need assessment and precede modle Flashcards

(91 cards)

1
Q

serve as frames from which to build; Provide structure & organization for the planning process

A

Models

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2
Q

Common elements, but different labels

A

Models

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3
Q

No perfect model Can be used in entirety, parts, & combinations

ترجم

A

يقلك مافي نموذج كامل لكن انت خذ من النماذج الي تشوفها مناسبة وسوي تجميعه بينهم بحيث تطلع بنموذج مناسب لك

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4
Q

Three Fs of program planning help with selecting the appropriate model:

A

 Fluidity - steps are sequential
 Flexibility - adapt to needs of stakeholders
 Functionality - useful in improving health conditions

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5
Q

Model’s Categories:

A

 Practitioner driven
 Consumer-based

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6
Q

is a community-oriented, participatory model for creating successful community health promotion interventions.

A

PRECEDE/PROCEED model

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7
Q

Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation

A

PRECEDE

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8
Q

Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development

A

PROCEED

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9
Q

 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

A

PRECEDE

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10
Q

 Phase 6: Implementation
 Phase 7: Process evaluation
 Phase 8: Impact evaluation
 Phase 9: Outcome evaluation

حسب سلايدات الاولاد ممكن تختلف سلايدات البنات

A

PROCEED

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11
Q

Since behavior change is by and large voluntary, health promotion is more likely to be effective if it’s:

A

participatory.

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12
Q

Health and other issues must be looked at in the context of:

A

the community.

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13
Q

Health and other issues are:

A

essentially quality-of-life issues

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14
Q

is itself a constellation of factors that add up to a healthy life for individuals and communities.

A

Health

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15
Q

Why use PRECEDE/PROCEED?

A logic model provides a…………………………. for constructing an intervention.

A logic model provides a framework for …………………..

A

procedural structure

critical analysis.

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16
Q

PRECEDE/PROCEED is participatory, thus assuring community involvement.

صح ولا خطا

A

صح

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17
Q

Community involvement leads to

A

community buy-in.

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18
Q

PRECEDE/PROCEED incorporates a multi-level evaluation, which means you have the chance to constantly monitor and adjust your evaluation.

A

صح

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19
Q

The model allows leeway to adapt the content and methods of the intervention to your particular needs and circumstances.

A

صح

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20
Q

social diagnosis, you ask the community what it wants and needs to improve its quality of life.

A

Phase 1

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21
Q

epidemiological diagnosis, you identify the health or other issues that most clearly influence the outcome the community seeks.

A

Phase 2

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22
Q

social diagnosis

A

Phase 1

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23
Q

epidemiological diagnosis

A

Phase 2

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24
Q

In these two phases, you create the objectives for your intervention.

A

Phase 1 and Phase 2

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25
behavioral and environmental diagnosis, you identify the behaviors and lifestyles and/or environmental factors that must be changed to affect the health or other issues identified in Phase 2, and determine which of them are most likely to be changeable.
Phase 3,
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educational and organizational diagnosis, you identify the predisposing, enabling, and reinforcing factors that act as supports for or barriers to changing the behaviors and environmental factors you identified in Phase 3.
Phase 4
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educational and organizational diagnosis
Phase 4
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behavioral and environmental diagnosis
Phase 3
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In these two phases, you plan the intervention.
Phase 3 and Phase 4
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administrative and policy diagnosis, you identify (and adjust where necessary) the internal administrative issues and internal and external policy issues that can affect the successful conduct of the intervention.
Phase 5
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administrative and policy diagnosis
Phase 5
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Those administrative and policy concerns include generating the funding and other resources for the intervention.
Phase 5
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implementation, you carry out the intervention
Phase 6
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process evaluation, you evaluate the process of the intervention – i.e., you determine whether the intervention is proceeding according to plan, and adjust accordingly.
Phase 7
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impact evaluation, you evaluate whether the intervention is having the intended impact on the behavioral and environmental factors it’s aimed at, and adjust accordingly.
Phase 8
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outcome evaluation, you evaluate whether the intervention’s effects are in turn producing the outcome(s) the community identified in Phase 1, and adjust accordingly.
Phase 9
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impact evaluation
Phase 8
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implementation
Phase 6
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process evaluation
Phase 7
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outcome evaluation
Phase 9
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Assessment means…
 Identify  Describe  Prioritize
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Phase 1 - seeks to subjectively define the
QOL (problems & priorities) of priority population
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seeks to subjectively define the QOL (problems & priorities) Of priority population
Phase 1
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Self-assessment of needs & aspirations
Phase 1
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study of the distribution & determinants of disease
Epidemiology
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Epidemiology - study of the distribution & determinants of disease
Phase 2
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What are the health problems associated with the desired QOL?
Phase 2 - Epidemiological Assessment
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Not all problems health related; If Phase 2 not applicable, skip and move on to Phase 3. صح ولا خطا ؟
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 Mortality  Morbidity  Disability  Fertility  Incidence rates  Prevalence rates
Epidemiological Data:
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Which problem has the greatest impact in terms of death, disease, days lost from work, rehabilitation costs, disability, family disorganization, and costs to communities and agencies for damage repair or loss and cost recovery?
Phase 2: Epidemiological Assessment Creating Priorities
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 Which problems are most changeable?  Which problem has the greater potential for an attractive yield in improved health status, economic savings and other benefits?
Phase 2: Epidemiological Assessment Creating Priorities
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 Are certain sub-populations such as teenagers, tourists, elderly, immigrants, at risk?  Which problem is not being addressed by other agencies in the community?  Is there a need being neglected?  Are any of the problems highly ranked as a regional or national priority?
Phase 2: Epidemiological Assessment Creating Priorities
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Focuses on behavioral and non-behavioral causes (personal and environmental factors) which seem to be linked to health problems defined in Phase 2
Phase 3: Behavioral Diagnosis
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Behavior of those who control resources or rewards المسؤولين عن صحة الافراد
 Community Leaders  Legislators  Parents  Teachers  Health Professionals
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 Genetic Predisposition  Age  Gender  Existing Disease  Workplace  Adequacy of Health Care Facilities
Environmental or Non- Behavioral Factors
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Determinants outside the person that can be modified to support behavior, health, or quality of life.
Environmental Factors
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Environmental Factors Include
 Physical  Social  Economic
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are the risk factors or risk conditions that the intervention will be tailored to affect.
Health and environmental factors identified
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 Each factor is rated in terms of its importance to the health problem  And rated in terms of its changeability
Decision Matrix
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If planners fail at this stage to become rigorous in identifying and ranking these factors and how they influence the outcomes sought, the whole planning process will collapse under its own weight.
Behavioral & Environmental Diagnosis
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Writing a behavioral objective that is: ???
SMART  S stands for specific  M stands for measurable  A stands for attainable  R stands for realstic  T stands for time bound Phase 3
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 How many will know, believe, or be able to do what by when?  How much of what resource will be available to whom by when?
behavioral objectives written
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Determining & prioritizing behavioral & environmental risk factors or conditions linked to the health problem Once identified, must be prioritized
Phase 3 - Behavioral & Environmental Assessment
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Identifies causal factors that must be changed to initiate and sustain the process of behavioral and environmental change identified in Phase 3
Phase 4: Educational & Organizational Diagnosis
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Predisposing Factors Reinforcing Factors Enabling Factors
Phase 4 Educational & Ecological Assessment
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Identifies & classifies factors that have potential to influence behavior or change the environment ايش يقصدوا ؟
Predisposing Factors Reinforcing Factors Enabling Factors
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antecedent; impact motivation; e.g., knowledge, attitudes , beliefs, values
Predisposing factors
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antecedent; barriers & vehicles; e.g., access, availability
Enabling factors
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subsequent; feedback & rewards; e.g., incentives, disincentives
Reinforcing factors
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 Knowledge  Attitudes  Values  Beliefs  Perceived Needs and Abilities
Predisposing Factors
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Environmental and Personal Resources that impact:  Accessibility, Availability and Affordability  Programs & Services  Skills  Money & Time  Facilities  Laws
Enabling Factors
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Positive or Negative Feedback From:  Peers  Family  Health Care Workers  Law Enforcement  The Media  Others
Reinforcing
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After identifying the three types of influencing factors, assess their relative importance and changeability
Phase 4: Educational & Ecological Assessment
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Then related learning and organizational objectives can be written, and state so that health promotion programs can focus where they will do the most good in facilitating development of or changes in behavior and environment
Phase 4: Educational & Ecological Assessment
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Theory is applied in this Phase
Phase 4: Educational & Ecological Assessment  Predisposing Individual Factors - Individual Theories  Enabling Factors – Interpersonal Level Theories  Reinforcing Factors – Community Level and Systems Theories حتى في المرحلة. الرابعة و السادسه نستخدم النظريات
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Determine if capabilities & resources are available to develop & implement program
Phase 5 - Administrative & Policy Assessment
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Close to the end of PRECEDE & moving toward PROCEED
Phase 5 - Administrative & Policy Assessment
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Focuses on administrative and organizational concerns which must be addressed prior to program implementation
Phase 5: Administrative and Policy Diagnosis
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Includes assessment of resources, budget development and allocation, development of implementation timetable, organization and coordination with others
Phase 5: Administrative and Policy Diagnosis
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 Analysis of policies, resources and circumstances prevailing organizational situations that could hinder or facilitate the development of the health program Policy Diagnosis
Phase 5: Administrative and Policy Diagnosis
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Assesses the compatibility of your program goals/objectives with those of the organization and its administration
Phase 5: Administrative and Policy Diagnosis
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Work in this phase is specific to the context of the program and the sponsoring organization(s) and requires political savvy as much as theoretical or empirical knowledge  Informed by theories, particularly community-level theories
Phase 5: Administrative and Policy Diagnosis
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 Assess limitations and constraints  Select the best combination of methods and strategies  Development of organizational and resource objectives follows
Phase 5: Administrative and Policy Diagnosis
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Implementation and Evaluation
PROCEED Model
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 The act of converting program objectives into actions through policy changes, regulation and organization (Green & Kreuter, 1991, p.432).
Phase 6: Implementation
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 Beginning of PROCEED  Selection of methods and strategies of the intervention, for example, education &/or other resources  Program begins
Phase 6 - Implementation
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Phases 7, 8, & 9 - Evaluation صح ولا خطا
صح
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measurements of implementation to control, assure, or improve the quality of the program
Process evaluation
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immediate observable effects of program
Impact evaluation
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long-term effects of the program
Outcome evaluation
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Phase 4: Educational & Ecological Assessment  ……………………………………. - Individual Theories  ……………………………….. – Interpersonal Level Theories  ………………………………… – Community Level and Systems Theories حتى في المرحلة. الرابعة و السادسه نستخدم النظريات
Phase 4: Educational & Ecological Assessment  Predisposing Individual Factors - Individual Theories  Enabling Factors – Interpersonal Level Theories  Reinforcing Factors – Community Level and Systems Theories حتى في المرحلة. الرابعة و السادسه نستخدم النظريات