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Meta-Analysis
. 2022 Oct 9;11(1):213.
doi: 10.1186/s13643-022-02092-2.

Effect of the PRECEDE-PROCEED model on health programs: a systematic review and meta-analysis

Junghee Kim  1 , Jaeun Jang  2 , Bora Kim  3 , Kyung Hee Lee  4
Affiliations
Meta-Analysis

Effect of the PRECEDE-PROCEED model on health programs: a systematic review and meta-analysis

Junghee Kim et al. Syst Rev. .

Abstract

Background: The predisposing, reinforcing, and enabling constructs in educational diagnosis and evaluation policy, regulatory, and organizational constructs in educational and environmental development (PRECEDE-PROCEED) model has been used as a theoretical framework to guide health promotion strategies to prevent chronic diseases and improve the quality of life. However, there is a lack of evidence as to whether applying the PRECEDE-PROCEED model effectively improves health outcomes. This study aimed to systematically review intervention studies that applied the PRECEDE-PROCEED model and examine its effectiveness. METHODS: In December 2020, seven databases were systematically searched. The quality of studies was assessed using the Mixed Methods Appraisal Tool. The outcome of interest for the meta-analysis was knowledge.

Results: In total, 26 studies were systematically reviewed. Most studies provided educational programs as the main intervention for various population groups. Symptom or disease management and health-related behavior promotion were the most common topics, and education was the most frequently used intervention method. The PRECEDE-PROCEED model was applied in the planning, implementation, and evaluation of the intervention programs. Eleven studies were included in the meta-analysis, which showed that interventions using the PRECEDE-PROCEED model significantly improved knowledge.

Conclusions: This study indicated that individuals are more likely to engage in health-related behaviors with better knowledge. Thus, the PRECEDE-PROCEED model can be used as the theoretical framework for health promotion interventions across population groups, and these interventions are particularly effective with regard to knowledge improvement.

Keywords: Education; Health behavior; Health promotion; Knowledge; PRECEDE-PROCEED model.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow diagram of the study selection
Fig. 2
Fig. 2
Knowledge (predisposing factors)
Fig. 3
Fig. 3
Funnel plot (observed values)
Fig. 4
Fig. 4
Adjusted funnel plot
See this image and copyright information in PMC

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