Developing Targeted Health Service Interventions Using the PRECEDE-PROCEED Model: Two Australian Case Studies

Abstract

Aims and Objectives. This paper provides an overview of the applicability of the PRECEDE-PROCEED Model to the development of targeted nursing led chronic illness interventions. Background. Changing health care practice is a complex and dynamic process that requires consideration of social, political, economic, and organisational factors. An understanding of the characteristics of the target population, health professionals, and organizations plus identification of the determinants for change are also required. Synthesizing this data to guide the development of an effective intervention is a challenging process. The PRECEDE-PROCEED Model has been used in global health care settings to guide the identification, planning, implementation, and evaluation of various health improvement initiatives. Design. Using a reflective case study approach, this paper examines the applicability of the PRECEDE-PROCEED Model to the development of targeted chronic care improvement interventions for two distinct Australian populations: a rapidly expanding and aging rural population with unmet palliative care needs and a disadvantaged urban community at higher risk of cardiovascular disease. Results. The PRECEDE-PROCEED Model approach demonstrated utility across diverse health settings in a systematic planning process. In environments characterized by increasing health care needs, limited resources, and growing community expectations, adopting planning tools such as PRECEDE-PROCEED Model at a local level can facilitate the development of the most effective interventions. Relevance to Clinical Practice. The PRECEDE-PROCEED Model is a strong theoretical model that guides the development of realistic nursing led interventions with the best chance of being successful in existing health care environments.

Systematic Review of Palliative Care in the Rural Setting

“…Three studies addressed program planning for rural palliative care services and programs; 2 were conducted in Australia and 1 in Canada. [18][19][20] The Australian studies found that palliative care had moved from being marginalized to a key component of rural health care delivery. 18,19 Blackford and Street 18 developed and evaluated the effectiveness of a model to improve advance-care planning in the community setting.…”

“…[18][19][20] The Australian studies found that palliative care had moved from being marginalized to a key component of rural health care delivery. 18,19 Blackford and Street 18 developed and evaluated the effectiveness of a model to improve advance-care planning in the community setting. Their model consisted of 5 domains: servicelevel governance, advance-care planning education, advance-care planning documentation, community engagement, and quality processes.…”

“…18 They found that an advance-care planning model is feasible in the rural community and should focus on advance-care planning conversations and involve families rather than just advance-care planning completion rates. 18 Phillips et al 19 evaluated the applicability of the Predisposing, Reinforcing, Enabling, Causes in, Educational Diagnosis and Evaluation (PRECEDE) and Policy, Regulatory, Organizational Constructs in Educational and Environmental Development (PROCEED) model in the development of targeted, nursing-led chronic illness interventions. They studied an aging population with rural, unmet palliative care needs and a disadvantaged urban community at high risk for cardiovascular dis- ease.…”

“…They studied an aging population with rural, unmet palliative care needs and a disadvantaged urban community at high risk for cardiovascular dis- ease. 19 They suggested the PRECEDE-PROCEED model could be used to guide nursing-led interventions in existing health care environments. 19 Watanabe et al 20 evaluated the feasibility of videoconferencing to provide specialist palliative care, radiotherapy consultations, and to explore symptoms in rural Canadian persons with cancer.…”

Evaluation of the effectiveness of an online transition planning program for adolescents on the autism spectrum: trial protocol

“…The model provides a stepwise guide to developing evidence-based interventions that meet the needs of the target group [21]. The model has been used to develop previous health interventions [22, 23]. The PRECEDE component guides the development of an intervention through the application of available research and an appropriate theoretical framework [20], and was used in the development of the BOOST-A™.…”