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The PRECEDE-PROCEED model as a tool in Public Health screening: a systematic review
R Saulle1, A Sinopoli1, A De Paula Baer2
1Department of Public Health and Infectious Diseases "Sapienza" University of Rome, Rome, Italy.
The Precede-Proceed Model (PPM) effectively structures health education and screening programs. It enhances understanding of factors influencing screening behaviors, particularly in cancer prevention.
Area of Science:
- Health Education
- Public Health Interventions
- Health Behavior Theory
Background:
- The Precede-Proceed Model (PPM) is a widely recognized framework for designing health promotion and education programs.
- Its application in diverse health contexts, including screenings and educational initiatives, warrants a comprehensive review.
Purpose of the Study:
- To systematically review the scientific literature on the application of the Precede-Proceed Model (PPM).
- To summarize its use in both health screening programs and educational contexts.
Main Methods:
- A systematic review of publications was conducted using Medline and Scopus databases.
- Keywords included "Precede-Proceed" AND ("screening" OR "educational programs").
- Studies were categorized based on their application in screening or educational program contexts.
Main Results:
- Twenty-seven studies were identified, predominantly from the USA, often associated with universities.
- In cancer screening, the PPM was frequently applied to mammography and cervical cancer screening.
- The model was also utilized for chronic/degenerative disease screenings and various educational programs, employing diverse study designs like cross-sectional studies and RCTs.
Conclusions:
- The Precede-Proceed Model (PPM) serves as a robust framework for health intervention programs, especially within screening settings.
- It can elucidate the relationship between knowledge, behavior, and screening participation.
- Future research should focus on measuring predisposing factors for behavioral change in intervention planning.
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