1 Health Behavior CHAPTER 4 This chapter will discuss The PrecedeProceed Model Framework understanding Predisposing Reinforcing and Enabling Factors as determinants of health behavior and how ID: 554524
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PRECEDE – PROCEDE THEORY
1
Health Behavior CHAPTER 4Slide2
This chapter will discuss The
Precede-Proceed Model Framework, understanding Predisposing, Reinforcing and Enabling Factors as determinants of health
behavior, and how to use the frame in the behavior case analysis
DESCRIPTION
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Health Behavior CHAPTER 4Slide3
General
The student able to analyze the health behavior problem with
precede-proceed model.
Specific
Student can explain
The
Precede-Proceed Model FrameworkStudent understand Predisposing, Reinforcing and Enabling Factors as determinants of health behavior.Student can use the frame in the behavior case analysis
OBJECTIVES
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Health Behavior CHAPTER 4Slide4
PRECEDE (Predisposing, Reinforcing, Enabling, Construct in Educational / Environmental Diagnosis and Evaluation
PROCEED (Policy, Regulatory and Organizational Construct in Educational and Environmental Development)
INTRODUCTION
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Health Behavior CHAPTER 4Slide5
Health Education : voluntary behavior change and the scope directly on healthy behaviorsHealth Promotion : combination of education and environmental support for the behavior with the specific conditions
Relationship between Health Promotion – Health Education and Public Health
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Health Behavior CHAPTER 4Slide6
Health Promotion : enable people able to control the causes of healthHealth Education is aimed at individual or communal voluntary action to obtain health or as make decision in health and good things in their community.
Relationship between Health Promotion – Health Education and Public Health
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Health Behavior CHAPTER 4Slide7
Looking at some of the factors that shape health status and help health promotor/educator focused on building a target for intervention.Provide specific objectives and evaluation criteria.
PRECEDE
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Health Behavior CHAPTER 4Slide8
Showing the stages of policy and implementation process and evaluation
PROCEED
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Health Behavior CHAPTER 4Slide9
Stage of serial process of planning, implementation & evaluation.
PRECEDE & PROCEED
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Health Behavior CHAPTER 4Slide10
HEALTH
PROMOTION
Predisposing
Factor
Reinforcing
Factor
Enabling
Factor
Behaviour
And
Lifestyle
Environment
Health
Quality
Of life
The Precede-Proceed model for health promotion planning and evaluation
Phase 1
Social
diagnosis
Phase 2
Epidemiological
diagnosis
Phase 3
Behavioral and
Environmental
diagnosis
Phase 4
Educational and
Organizational
diagnosis
Phase 5
Administrative and
Policy diagnosis
Phase 6 Implementation
Phase 7 Process
Phase 8 Impact
Phase 9 Outcome
Health
Education
Policy
Regulation
organization
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Health Behavior CHAPTER 4Slide11
Behaviour
Environment
Health
Quality of
life
Social indicators
-Absenteeism
-Achievement
-Aesthetics
-Alienation
-Comfort
-Crime
-Crowding
-Discrimination
-Happiness
-Hostility
-Illegitimacy
-Performance
Riots
Self-esteem
Unemployment
Welfare
Vital Indicators
:
-Disability
-Discomfort
-Fertility
-Fitness
-Morbidity
-Mortality
-Physiological risk
factors
Dimensions :
-Distribution
-Duration
-Functional level
-Incidence
-Intensity
-Longevity
-Prevalence
Environmental
Indicators :
Economic
Physical
Services
Social
Dimensions :
Access
Affordability
Equity
Behavioral
Indicators :
-Compliance
-Consumption pattern
-Coping
-Preventive action
-Self-care
-Utilization
Dimensions:
-Frequency
-Persistence
-Promptness
-Quality
-Range
11Health Behavior CHAPTER 4Slide12
Behavior
(Actions)of individuals,
groups, orcommunities
Environmental
factors
Predisposing
Factors:
-Knowledge
-Attitudes
-
Beliefs
-Values
-Perception
Reinforcing
Factors:
- Attitudes
and behavior of health personnel and other, peers, parents, employers, etc
Enabling factors:
-Availability of
resources
-Accessibility
-Referrals
-rules and laws
-Skills
Health
education
Component
of health
Promotion
program
Policy
Regulation
organization
Direct
Communication
To public,
Patients,
Employees, etc
Indirect
Communicat
.
Through staff
Training,
Supervision,
Consultation
feedback
Training
Community
organization
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Health Behavior CHAPTER 4Slide13
Health Behavior CHAPTER 413
Specific
Behavior by
Individuals
o
r by
organizationsEnvironment
(conditions of Living)
Predisposing Factors
:
- Knowledge
- Beliefs
- Values
- Attitudes
- Confidence
-Capacity
Reinforcing
Factors
:
Family
Peers
Teachers
Employers
Health providers
Community leaders
Decision makers
Enabling factors:
-Availability
of health
resources
-
Accessibility of Health resources
-Community/government laws, priority and
commitment to health
-Health related skills
Genetics
Health
Behavioral determinants of health and disease : Lawrence W. Green & Robert A Hiatt; 2011Slide14
I know “3M” is the most effective way of deciding the DHF transmission (knowledge)I agree to do “3M” (attitude)I disagree because of inconvenient “3M” (attitude) tend to practice
I did a “3M” (practice)
Example…
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Health Behavior CHAPTER 4Slide15
Do the application of this model to your case !15
Health Behavior CHAPTER 4Slide16
ReferenceGreen, W. Lawrence. Health Promotion Planning an Educational & Environmental Approach. Second edition. Mayfield Publishing Company. 1991
Health Behavior CHAPTER 4
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