Applying PRECEDE-PROCEED to Develop an Intuitive Eating Nondieting Approach to Weight Management Pilot Program

Objective: To describe the use of a consolidated version of the PRECEDE-PROCEED participatory program planning model to collaboratively design an intuitive eating program with Fort Drum military spouses tailored to their readiness to reject the dieting mentality and make healthful lifestyle modifications. Design: A consolidated version of PRECEDE-PROCEED guided demographic, epidemiological, behavioral, organizational, and administrative diagnosis through survey research. Focus groups composed of planning/steering committee members diagnosed environmental, organizational, administrative. and policy considerations. Objectives were set for each phase to assist with program tailoring. Setting: Recruitment at Fort Drum Army Installation, NY, summer 2004. Participants: Ninety-one military health beneficiaries aged 20-65 years of age completed the pilot-tested survey packet. Phenomenon of Interest: The survey assessed quality of life issues, Diet Mentality, Healthy Eating Index, and Intuitive Eating Stages of Change scores, and desired program mix. Analysis: Mean and mode of survey responses and scores. Results: A 10-week "My Body Knows When" intuitive eating program was tailored to increase attendance, reduce barriers, and increase successful rejection of a dieting mentality. Conclusions and Implications: A consolidated version of PRECEDE-PROCEED efficiently guided participatory planning to tailor this program.