process needs more than just heallh education. W11en factors other than behaviors are adcfressed, the process becomes one of heal U1 promotion. Hawe, Degeling and Hall (1990) employed the PRECEDE framework in needs assessment but expanded it to assess not only the health education needs but also the be,,lth promotfon needs of a community. Thus, risk factors do not onlv look at behaviors. Social, organizationa l economic, legislative,md environmentat' factors (non-behavioral factors) are als~ considered as 1isk factors. Risk factors are analyzed for their predisposing, enabling a. nd reinforcing factors. The original PRECEDE model, thus, was extended lo encompass. the,~ider environmental, policy and organi. zational foctors that Green and Kreuter had found important in launching national programs of community health promotion. The goals of the model are lo explain healtl1-re Jated behadors and environments, and tu design and evaluate the interventions needed to influence holh Lhe behaviors and the living conditions that in:f:luence them and their con~cque L1ces. (Green and Kreuter 1999) As you c. an see, the issues raised by Hawe, Degeling and Hall were addressed in ilie PRECEDE-PROCEF. O Framework. This model has been npplictl, tested, studied, extended, and verified in over 960 published studies nnd thousands of unpublished projects in community, school, clinical, und workplace settings over the last decade. (http://www. Igreen. net/precede. htm) 111e figure below shows the relationship of health education and lieal U1 promotion: \., Enviro. ri­. mel)(al Policy HEAL TH PROMOTION egulato Environ--mental--Socia Environ-mentat·-HEAL TH PROMOTION. nviron­ mei:)tal tno Env(ron­ rriental Relationship of Health Education and Health Promotion Source: Green LWand Kreuter MW (1991) 205 