Health Promotion and Dr. Green’s Precede-Proceed Model
Introduction
Using Dr. Green’s Precede-Proceed Model, the Healthy People 2020 objective of promoting physical activity can be developed into a strategy. The target population of this particular objective consists of adults at a behavioral health clinic located in a low income area. My plan is to execute a 7-week exercise class with health education to promote physical activity. The goal of the plan is to embed physical activity in the daily lives and routines of the adult clients at the clinic. This paper will examine the 7 phases of the Precede-Proceed Model and show how they apply to the Healthy People 2020 objective described above.
Phase 1: Social Assessment and Situational Analysis
The health status of the low income community in which our behavioral health clinic is situated is not the best. A windshield survey indicates that few people are outdoors exercising, playing sports in parks, walking, jogging, bicycling, or taking in part in any sort of physical activity whatsoever. As Berlin and Colditz (1990) pointed nearly three decades ago, physical activity is crucial to the prevention of so many health related issues, such as coronary heart disease. There is a lack of awareness of the benefits of physical activity among the adult clients at the behavioral health clinic, which indicates a need for an educational intervention, in accordance with the model recommended by Green, Kreuter, Deeds and Partridge (1980).
Phase 2: Epidemiological Diagnosis
Lack of physical activity is especially harmful for individuals with behavioral or mental health problems (Vancampfort et al., 2011). It can reduce the quality of life for such patients and impair their ability to improve their conditions overall. Additionally, excess weight and lack of physical exercise lead to an increased risk of cancer development in the pancreas and kidney (Ehem et al., 2012). There is also an economic cost, which was measured at the end of the 20th century at $24 billion or 2.4% of money paid on health care per year (Colditz, 1999). There is also the problem that this particular population is from a low income community, an environment that can cause people to want to stay indoors and not get outside an exercise for fear of being attacked, assaulted or just from a fear of feeling unsafe in the community (Molnar, Gortmaker & Buka, 2004). Thus, part of the problem of addressing this issue...
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