Precede-Proceed Model (HS 2250) PDF

HS 225 0 TH EORI ES & M OD ELS Continued Unit 3, Lecture 3 Precede- Proceed Model HA2250 © J. Ir w in Preced e- Proceed *I’m wrong – this is not a more elaborate figure than your HA2250 © J. Ir w in text…it’s the same on...

HS 225 0 TH EORI ES & M OD ELS Continued Unit 3, Lecture 3 Precede- Proceed Model HA2250 © J. Ir w in Preced e- Proceed *I’m wrong – this is not a more elaborate figure than your HA2250 © J. Ir w in text…it’s the same one   Preced e- Proceed  8 - st e p f ra m e w o r k f o r HP p r o g r a m m in g  Pr e - p r o w o r k in t a n d e m , p r o v id in g c o n t in u o u s se r ie s o f st e p s in p la n n in g , im p le m e n t a t io n , & e v a lu a t io n o f HP p r o g r a m s  Wo r kin g t h ru p - p is like so lv in g m y st e r y  Le d t o t h in k f ir st in d u c t iv e ly t h e n d e d u c t iv e ly — st a r t w it h d e sir e d e n d s & w o r k b a c k t o o r ig in a l c a u se s E.g., h e a r t d ise a se HA2250 © J. Ir w in Preced e- Proceed PHASE 1: SOCIAL ASSESSM ENT ( & SITUATIONAL ANALYSIS) Be g in w it h c o n sid e r a t io n o f q u a lit y o f lif e In v o lv e p e o p le w h o w ill b e t a r g e t e d ! Wh y ? Ac q u ir e su b je c t iv e ly d e f in e d p r o b le m s & p r io r it ie s o f in d iv id u a ls o r c o m m u n it ie s So c ia l p r o b le m s o f c o m m u n it y o f f e r p r a c t ic a l & o f t e n a c c u r a t e b a r o m e t e r o f it s q u a lit y o f lif e In d ic a t o r s in c lu d e : a b se n t e e ism , a e st h e t ic s, c r im e , u n e m p lo y m e n t , se lf - e st e e m , e t c. HA2250 © J. Ir w in Preced e- Proceed PHASE 2: EPIDEM IOLOGICAL ASSESSM ENT Esse n t ia l f o r p r o g r a m p la n n in g Ta sk is t o m a t c h in f o in Ph a se 1 & 2 ( Eg., sic k b u ild in g sy n d r o m e ) An d , m a t c h in f o t o c o n t rib u t in g f a c t o r s t o m a in c o n c e r n s/ p r o b le m s Ra n k t h e m – im p o r t a n c e , r e a lit y C o n sid e r “v it a l in d ic a t o r s” ( m o r b id it y, f e r t ilit y, m o rt a lit y ) & t h e ir “d im e n sio n s” ( st re n g t h o f p r o b le m / n e e d ) : In c id e n c e - n e w c a se s in a g r o u p in c e r t a in t im e p e r io d Pr e v a le n c e – e xist in g c a se s in g r o u p a t d e sig n a t e d t ime p e r io d HA2250 © J. Ir w in Preced e- Proceed PHASE 2: EPIDEM IOLOGICAL ASSESSM ENT ( con t in u e d ) ID sp e c if ic h e a lt h - r e la t e d b e h , e n v ir o & g e n e t ic f a c t o r s t h a t c o u ld b e lin ke d t o h e a lt h p r o b c h o se n in p h a se 2 ( r isk f a c t o r s & c o n d it io n s) En v ir o n m e n t a l f a c t o r s Ou t sid e p e r so n , ‘c a n ’ b e m o d if ie d HA2250 © J. Ir w in Preced e- Proceed PHASE 2: EPIDEM IOLOGICAL ASSESSM ENT ( con t in u e d ) C o n sid e r e n v ir o , b e h a v, & g e n e t ic in d ic a t o r s & d im e n sio n s En v ir o e.g., c o u n se lin g se r v ic e s ( in d ic a t o r ) a n d a c c e ssib ilit y ( d im e n sio n ) Be h a v e.g., c o m p lia n c e ( in d ic a t o r ) a n d f r e q u e n c y ( d im e n sio n ) Ge n e t ic s e g., b r e a st c a n c e r ( in d ic a t o r : g e n e t ic p r e d is f o r so m e ) a n d p o o r d ie t ( d im e n sio n : r isk f a c t o r ) in t e r a c t io n Pr io r it iza t io n —r a n kin g & m a t r ix HA2250 © J. Ir w in Preced e- Proceed PHASE 2: EPIDEM IOLOGICAL ASSESSM ENT - PRIORITIZATION M ATRIX HA2250 © J. Ir w in Precede- Proceed PHASE 3: EDUCATIONAL & ECOLOGICAL ASSESSM ENT On b a sis o f c u m u la t iv e r e se a r c h o n h e a lt h & so c b e h , & o n e c o lo g ic a l r e la t io n sh ip s b / w e n v ir o & b e h , h u n d r e d s o f f a c t o rs h a v e p o t e n t ia l t o in f lu e n c e h e a lt h b e h Pr e c e d e g r o u p s f a c t o r s a c c o r d in g t o ed & ec o l a p p ro a c h es 3 b r o a d g r o u p in g s... HA2250 © J. Ir wi n Precede- Proceed PHASE 3: EDUCATIONAL & ECOLOGICAL ASSESSM ENT 3 BROAD GROUPINGS 1 Pre d isp osin g Fa ct ors: Kn o w le d g e , > a t t it u d e s, b e lie f s, v a lu e s, p e r c e p t io n s Ge n e t ic s, EC e xp e r ie n c e s HA2250 © J. Ir wi n Precede- Proceed PHASE 3: EDUCATIONAL & ECOLOGICAL ASSESSM ENT 3 BROAD GROUPINGS 2 En a b lin g Fa ct ors: Skills, r e so u r c e s, b a r r ie r s C r e a t e d b y so c ie t y f o r c e s o r sy st e m s Fa c t o r s t h a t m a ke p o ssib le a c h a n g e HA2250 © J. Ir wi n Precede- Proceed PHASE 3: EDUCATIONAL & ECOLOGICAL ASSESSM ENT 3 BROAD GROUPINGS 3 Re in forcin g Fa ct ors: Re w a r d s & f e e d b a c k En c o u r a g e o r d isc o u r a g e b e h c o n t in u a t io n Pr o d u c e lif e st y le s w h ic h in f lu e n c e e n v ir o ( v ia c o n su m e r d e m a n d , c u m u la t iv e a c t io n s, p o lit ic a l a d v o c a c y ) HA2250 © J. Ir wi n Precede- Proceed PHASE 3: EDUCATIONAL & ECOLOGICAL ASSESSM ENT PHASE 3 SUM M ARY So r t in g & c a t e g o r izin g f a c t o r s v ia 3 c la sse s P, E, & R h e lp s r e p r io r it izin g f o r in t e r v e n t io n De c isio n b a se d o n im p o r t a n c e & e v id e n c e o f p o ssib le c h a n g e & c o st > HA2250 © J. Ir wi n Precede- Proceed PHASE 4 : ADM IN & POLICY ASSESSM ENT ( & INTERVENTION ALIGNM ENT) Asse ss o f o r g a n iza t io n a l & a d m in ist r a t iv e c a p a b ilit ie s & r e so u r c e s f o r p r o g r a m in t e r v e n t io n Asse ss lim it a t io n s HA2250 © J. Ir wi n Precede- Proceed PHASE 5 - 8 : IM PLEM ENTATION & EVALUATIONS Ma ke u p PROC EED p o r t io n Ev a lu a t io n a s la st p h a se is m isle a d in g In t e g r a l & c o n t in u o u s t h ro u g h o u t a ll p h a se s o f im p le m e n t a t io n HA2250 © J. Ir wi n Precede- Proceed FINAL THOUGHTS Ob v io u s n e e d f o r in t e r d isc ip lin a r y w o r k in f ie ld & Mu lt id isc ip lin a r y p r o f e ssio n a ls( ie., y o u ) HA2250 © J. Ir wi n