The PRECEDE–PROCEED model as a tool in Public Health screening: a systematic review

doi: 10.7417/CT.2020.2208

  • R. Saulle Department of Public Health and Infectious Diseases “Sapienza” University of Rome, Rome, Italy
  • A. Sinopoli Department of Public Health and Infectious Diseases “Sapienza” University of Rome, Rome, Italy
  • A. De Paula Baer Department of Public Health and Infectious Diseases “Sapienza” University of Rome, Rome, Italy - Faculty of medicine, University of São Paulo, Brasil
  • A. Mannocci Department of Public Health and Infectious Diseases “Sapienza” University of Rome, Rome, Italy
  • M. Marino Department of Public Health, Catholic University of the Sacred Heart, Rome
  • A. G. de Belvis Department of Public Health, Catholic University of the Sacred Heart, Rome
  • A. Federici Ministero della Salute, Direzione Generale della Prevenzione, Rome, Italy
  • G. La Torre Department of Public Health and Infectious Diseases “Sapienza” University of Rome, Rome, Italy

Abstract

Objective
The aim of this systematic review was to summarize the scientific literature concerning the use of the Precede-Proceed model (PPM) applied to educational programs and health screenings contexts.


Study design
Systematic review


Methods
The search process was based on a selection of publications listed in Medline and Scopus. The keywords used were “Precede-Proceed” AND (“screening” OR “educational programs”). Studies included in the systematic review were subdivided into those applying the model in a screening context, and those applying it within educational programs.


Results
Twenty-seven studies were retrieved, mostly performed in the USA and, generally, the promoting center was the University. In the context of cancer screening, the PPM model was most of all applied to Mammography Screening (5 of 13 studies in cancer screening), and Cervical Cancer Screening (5 of 13). Another three studies within the cancer field investigated Menopause-Inducing Cancer Treatments, Oral cancer prevention, and cancer screening in general. In the remaining studies, the model was applied in various screening areas, particularly chronic and degenerative diseases. There were many different study designs, most of which cross-sectional (8), though several RTCs (8) and focus groups (5) were also found. For the cross-sectional studies the methodological quality varied between 3/10 and 9/10, whilst for the RCTs it ranged from 2/5 to 3/5.


Conclusion
The PPM provides an excellent framework for health intervention programs especially in screening contexts, and could improve the understanding of the relationship between variables such as knowledge and screening. Given the complexity of a behavioral change process, certain important predisposing factors could be measured in future studies, and during health intervention planning

Published
2020-03-05
How to Cite
SAULLE, R. et al. The PRECEDE–PROCEED model as a tool in Public Health screening: a systematic review. La Clinica Terapeutica, [S.l.], v. 2, n. 171, p. e167 - e177, mar. 2020. ISSN 1972-6007. Available at: <http://www.clinicaterapeutica.it/ojs/index.php/ClinicaTerapeutica/article/view/606>. Date accessed: 04 apr. 2020.
Section
Systematic review