Project Support Area: Health Promotion Proposal Program
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Project Support Area: Health Promotion Proposal Program
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Community Description
The target population for this health promotion proposal is American Indians and Alaska Natives, one of the fastest-growing populations in the United States. Despite population growth, these communities continue to experience significant health disparities, particularly in relation to chronic diseases. Diabetes mellitus remains one of the most serious health concerns affecting this population and serves as a major risk factor for cardiovascular disease. Research indicates that the prevalence of diabetes among American Indians and Alaska Natives is substantially higher than that of the general U.S. population, contributing to increased rates of heart disease, reduced quality of life, and higher mortality.
Multiple social determinants of health, including limited healthcare access, socioeconomic challenges, geographic isolation, and historical inequities, contribute to these disparities. Addressing diabetes prevention and cardiovascular health requires culturally appropriate health promotion strategies that recognize the unique needs of these communities.
Program Planning Model
The PRECEDE-PROCEED planning model has been selected to guide the development of this health promotion program. PRECEDE focuses on identifying health problems, assessing behavioral and environmental factors, and determining educational priorities before intervention planning. PROCEED emphasizes implementation, policy development, and evaluation to measure program effectiveness and support continuous improvement.
This comprehensive planning framework enables healthcare professionals to systematically assess community health needs, develop targeted interventions, implement evidence-based strategies, and evaluate health outcomes throughout the program lifecycle.
Rationale for Selecting the PRECEDE-PROCEED Model
The PRECEDE-PROCEED model is appropriate because it places community needs at the center of program planning while encouraging active stakeholder participation. The model supports the identification of behavioral, environmental, educational, and policy factors contributing to diabetes and cardiovascular disease among American Indians and Alaska Natives. It also facilitates the development of culturally sensitive interventions designed to improve health knowledge, encourage healthy lifestyle behaviors, and reduce chronic disease risk.
By combining health education with environmental and policy interventions, the model promotes sustainable improvements in population health while addressing the broader social determinants influencing chronic disease outcomes. Continuous evaluation throughout implementation ensures that program objectives remain relevant and effective in meeting community needs.
Expected Health Promotion Outcomes
The proposed program aims to increase community awareness of diabetes prevention, encourage healthier nutrition and physical activity, improve access to preventive healthcare services, and reduce cardiovascular disease risk factors among American Indians and Alaska Natives. Through culturally responsive education and community engagement, the program seeks to strengthen health behaviors and improve long-term quality of life.
Conclusion
American Indians and Alaska Natives continue to experience disproportionately high rates of diabetes and cardiovascular disease, highlighting the need for targeted health promotion initiatives. The PRECEDE-PROCEED planning model provides a comprehensive framework for designing, implementing, and evaluating interventions that address community priorities while promoting sustainable improvements in health outcomes through education, prevention, and collaborative community engagement.
References
Binkley, C. J., & Johnson, K. W. (2013). Application of the PRECEDE-PROCEED planning model in designing an oral health strategy. Journal of Theory and Practice of Dental Public Health, 1(3).
Breathett, K., Sims, M., Gross, M., Jackson, E. A., Jones, E. J., Navas-Acien, A., ... & American Heart Association. (2020). Cardiovascular health in American Indians and Alaska Natives: A scientific statement from the American Heart Association. Circulation, 141(25), e948–e959.
Handyside, L., Warren, R., Devine, S., & Drovandi, A. (2021). Utilisation of the PRECEDE-PROCEED model in community pharmacy for health needs assessment: A narrative review. Research in Social and Administrative Pharmacy, 17(2), 292–299.