The effect of a program designed based on PRECEDE-PROCEED model on adolescents’ mental health and their parents’ participation

Document Type : Original Quantitative and Qualitative Research Paper

Author

MSc in Community Health Nursing, Faculty member, School of Nursing and Midwifery, University of Medical Sciences, Mashhad, Iran

Abstract

Background: Parents have high motivation to provide mental health promotion for their adolescents, but cannot treat them effectively due to the lack of knowledge and an organized model to do accordingly.
Aim: To evaluate the effect of an educational program based on PRECEDE- PROCEED  Model on adolescents’ mental health and their parents’ participation.
Method: The study was a randomized controlled clinical trial that was carried out on 66 parents referred to health centers of Mashhad, along with their teenage sons in 2011who were randomly assigned to two experimental and control groups. Dimensions of mental health of adolescents was measured by GHQ-28 )General Health Questionnaire). Then intervention program consisted of 8 60-minutes sessions was carried out for experimental group for two months. One month after the intervention, adolescents’ mental health was again measured. Data were analyzed with SPSS Version17 software using independent and paired t-test and chi-square.
Results: A significant increase was seen in the score of mental health of adolescents in the experimental group compared to the control group (P=0.003). Also the score of knowledge (P=0.021), attitude (P=0.001) and the behavior of parents’ participation (P=0.014) had a significant increase after intervention.
Conclusion: PRECEDE-PROCEED model is useful in designing health promotion programs, therefore it is suggested that the training of this model to be considered in nursing curriculum.

Keywords


1. Moshki M. Using the PRECEDE- PRECEDE Model in combination with health locos of control for mental health
promotion of university students. (Thesis Ph.D Health Education), Trarbiat Modares University; 2007. (Persian)
2. Zendehtalab HR. Effect of parents participation program on self esteem of masculine adolescents of high school
in Mashhad, (Thesis MSc Nursing),Trarbiat Modares University; 1998. (Persian)
3. WHO Regional Office for Europe: Community health needs assessment: an introductory guide for the family
health nurse in Europe. Available at: http://www.euro.who.int/document/e73498.pdf
4.Ying L, Jia C, Hui L, Daikun L, Yang W, Jia H. Community health needs assessment with PRECEDE-PROCEED
model: a mixed methods study. BMC Health Services Research 2009: 9: 181.
5. Bao Y, He Y, Zhang J, Mo ZB, Li XH. Design of working programming of health education and health promotion
in China city community. Chinese General Practice 2004: 7(3):146-8.
6. Saffari M, Shojaeizade D. Principles and foundations of health promotion and education.Tehran: Samat:2008.
(Persian)
7. Bastani F. The effect of relaxation training based on PRECEDE and HBM model and self-efficacy theory on
reduction of anxiety and result of pregnancy in pregnant women,(Thesis Ph.D Health Education), Tarbiat Modares
University. 2004. (Persian)
8.Saffari M, Shojaizadeh D, Gofranipour F, Heidarnia A, Pakpour A. Health education and promotion; theories,
models and method. Tehran: Sobhan:2008. (Persian)
9. Lin LZ, Zhou CM, Yu QH, Ye YY: Influence of PRECEDE- PRECEDE model of oral health education on KAP of
pupils. Health, 2005; 21(17):537-9.
10. Butler Th. Principle of health education and health promotion.Wads Words Co: 2000.
11. Hazavehei MM, Sabzmakan L, Hassanzadeh A, Rabief K. The effect of PRECEDE Model-based educational
program on depression level in patients with coronary artery bypass grafting. The Journal of Qazvin University of
Medical Sciences, 2008: 12(2), 32-40. (Persian)
12.Nazari M, Heidarnia A, Eftekhar Ardebili H, Mobasheri M, Amin Shokravi F, Niknami SH, et al. Intervention
based on PRECEDE-PROCEED for promoting safety behaviors in primary school boys. J Armaghan-e- Danesh
2008: 13(2): 83-93. (Persian)
13. Huang, JH. Health Promotion in Community. Health, 2003. 19(6):421-3.
14. Hazavehei MM, Sabzmakan L, Hassanzadeh A, Rabief K. The effect of PRECEDE Model-based educational
program on depression level in patients with coronary artery bypass grafting. The Journal of Qazvin University of
Medical Sciences, 2008: 12(2), 32-40. (Persian)
15.Deren S, Kang SY, Rapkin B, Robles RR, Andia JF, Colon HM. The utility of the PRECEDE model in predicting
HIV risk behaviors among puerto rican injection drug users. AIDS and Behavior, 2003: 7: 405-12.
16. Jones SC, Donovan RJ: Does theory inform practice in health promotion in Australia? Health Educ Res, 2004:
19(1):1-14.
17. Yeo M, Berzins S, Addington D: Development of an early psychosis public education program using the
PRECEDE-PROCEED model. Health Educ Res, 2007: 22(5):639-47.
18. Yang QM, Lin W, Du M: Strategy and analysis health education and health promotion in community of Shanghai
City. Tianjin Journal of Nursing 2008: 16(5):251-2.
19. Onken, L. PRECEDE-PROCEED and the NIDA stage model: the value of a conceptual framework for interven-
tion research. Journal of Public Health Dentistry 2011: 71:518-9.
20.Ying L, Jia C, Hui L, Daikun L, Yang W, Jia H. Community health needs assessment with PRECEDE-PROCEED
model: a mixed methods study. BMC Health Services Research 2009: 9: 181.