Question

Whats is PRECEDE-PROCEED Model (phases, predisposing, enabling and reinforcing factors) and give an example of each

Answer 1

The Precede – proceed model was proposed by Lawrence W. Green in 1974 to help health program planners and policy makers to analyse situations and design, implement and evaluate health programs effectively. PRECEDE is an acronym for Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation whereas PROCEED means Policy, Regulatory and Organizational Constructs in Educational and Environmental Development.  
• Predisposing factors include knowledge, attitudes, beliefs, personal preferences, existing skills and self efficacy towards a particular behaviour change.
• Reinforcing factors include the ways rewards or reinforcements are given for a desired behaviour change like social support, economic rewards and changing social norms.
• Enabling factors are the availability and accessibility of resources or services that facilitate achievement and provides motivation to change behaviour.
The Precede- proceed model consists of four planning phases, one implementation phase and three evaluation phases. They are:
1. Social diagnosis
2. Epidemiology, behavioural and environmental diagnosis
3. Educational and ecological diagnosis
4. Administrative and policy diagnosis
5. Implementation
6. Process evaluation
7. Impact evaluation
8. Outcome evaluation