Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013;1(3):14-25.

Application of the PRECEDE-PROCEED Planning Model in Designing an Oral Health Strategy

Catherine J Binkley  1 , Knowlton W Johnson  2
Affiliations

Application of the PRECEDE-PROCEED Planning Model in Designing an Oral Health Strategy

Catherine J Binkley et al. J Theory Pract Dent Public Health. 2013.

Abstract

Background: Although the poor oral health of adults with intellectual and developmental disabilities (IDD) constitutes a significant health disparity in the United States, few interventions to date have produced lasting results. Moreover, there is minimal application of planning models to inform and design a theory-based strategy that has the potential to be effective and sustainable in this population.

Methods: The PRECEDE-PROCEED planning model is being used to design and evaluate an oral health strategy for adults with IDD. The PRECEDE component involves assessing social, epidemiological, behavioral, environmental, educational, and ecological factors that informed the development of an intervention with underlying social cognitive theory assumptions. The PROCEED component consists of pilot-testing and evaluating the implementation of the strategy, its impact on mediators and outcomes of the population under study.

Results: A The PRECEDE assessment and strategy design results are presented including a conceptual framework and oral health strategy that are linked to social cognitive theory and Health Action Process Approach. We have developed a strategy consisting of a planned actions, capacity building, environmental adaptations, and caregiver reinforcement within group homes. The strategy is designed to increase caregiver self-efficacy, outcome expectancies, and behavioral capability, and also to create environmental influences that will lead to improved self-care behavior of the adult with IDD. It is anticipated that this strategy will improve the oral health and quality of life, including respiratory health, of individuals with IDD. The planned PROCEED component of the planning model includes a description of an in-process pilot study to refine the oral health strategy, along with a future randomized controlled clinical trial to demonstrate its effectiveness.

Conclusions: The application of the PRECEDE-PROCEED planning model presented here demonstrates the feasibility of this planning model for developing and evaluating interventions for adults within the IDD population.

Keywords: Adults with intellectual and developmental disabilities; Health Action Process Approach; Oral health; Oral health strategy; PRECEDE-PROCEED planning model; Social cognitive theory.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Conceptual Framework of the Oral Health Strategy for Adults with Intellectual and/or Development Disabilities.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. DHHS . Oral Health in America: A Report of the Surgeon General. US Department of Health and Human Services: National Institute of Dental & Craniofacial Research; Rockville, MD: 2000.
    1. Morgan JP, Minihan PM, Stark PC, Finkelman MD, Yantsides KE, Park A, et al. The oral health status of 4,732 adults with intellectual and developmental disabilities. Journal of the American Dental Association. 2012;143(8):838–46. - PMC - PubMed
    1. Avenali L, Guerra F, Cipriano L, Corridore D, Otto-lenghi L. Disabled patients and oral health in Rome, Italy: long-term evaluation of educational initiatives. Ann Stomatol (Roma) 2011;2(3-4):25–30. PMCID: 3314314. - PMC - PubMed
    1. Faulks D, Hennequin M. Evaluation of a long-term oral health program by carers of children and adults with intellectual disabilities. Spec Care Dentist. 2000;20(5):199–208. - PubMed
    1. Glassman P, Miller CE. Effect of preventive dentistry training program for caregivers in community facilities on caregiver and client behavior and client oral hygiene. N Y State Dent J. 2006;72(2):38–46. - PubMed

LinkOut - more resources