Using the Precede-Proceed Model of Health Program Planning in breast cancer nursing research

Tramm, Ralph, McCarthy, Alexandra, & Yates, Patsy (2012) Using the Precede-Proceed Model of Health Program Planning in breast cancer nursing research. Journal of Advanced Nursing, 68(8), pp. 1870-1880.

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Aim: In this paper we discuss the use of the Precede-Proceed model when investigating health promotion options for breast cancer survivors.

Background: Adherence to recommended health behaviors can optimize well-being after cancer treatment. Guided by the Precede-Proceed approach, we studied the behaviors of breast cancer survivors in our health service area.

Data sources: The interview data from the cohort of breast cancer survivors are used in this paper to illustrate the use of Precede-Proceed in this nursing research context. Interview data were collected from June to December 2009. We also searched Medline, CINAHL, PsychInfo and PsychExtra up to 2010 for relevant literature in English to interrogate the data from other theoretical perspectives.

Discussion: The Precede-Proceed model is theoretically-complex. The deductive analytic process guided by the model usefully explained some of the health behaviors of cancer survivors, although it could not explicate many other findings. A complementary inductive approach to the analysis and subsequent interpretation by way of Uncertainty in Illness Theory and other psychosocial perspectives provided a comprehensive account of the qualitative data that resulted in contextually-relevant recommendations for nursing practice.

Implications for nursing: Nursing researchers using Precede-Proceed should maintain theoretical flexibility when interpreting qualitative data. Perspectives not embedded in the model might need to be considered to ensure that the data are analyzed in a contextually-relevant way.

Conclusion: Precede-Proceed provides a robust framework for nursing researchers investigating health promotion in cancer survivors; however additional theoretical lenses to those embedded in the model can enhance data interpretation.

Impact and interest:

4 citations in Scopus
2 citations in Web of Science®
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ID Code: 46355
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Precede-Proceed model, Health Belief Model, Uncertainty in Illness Theory, breast cancer survivor, health promotion, health behavior
DOI: 10.1111/j.1365-2648.2011.05888.x
ISSN: 1365-2648
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Tertiary (Rehabilitative) (111004)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2011 The Authors. Journal of Advanced Nursing Copyright 2011 Blackwell Publishing Ltd
Copyright Statement: The definitive version is available at
Deposited On: 09 Oct 2011 23:07
Last Modified: 22 Jun 2017 18:27

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