Early detection of high-risk factors for diabetes can be prevented by informative programs designed
and implemented to decrease the high prevalence and prevent complications. Aim: To determine
the effect of educational intervention based on PRECEDE model on preventive behaviors among
high-risk individuals for diabetes type 2. Design: Quasi-experimental research design pre-post-test
was utilized. Settings: The study was applied in the medical outpatient clinics at El-Fayoum
Medical University Hospital. Sample: A purposive sample of 160 individuals diagnosed as high-
risk for diabetes type 2. Tools: Four tools were used: (1) Structured interviewing questionnaire, (2)
Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) High-
risk individual's reported practices questionnaire of diabetes preventive behavior, and (4) High-risk
individual attitude questionnaire regarding diabetes prevention. Results: Mean score of knowledge,
enabling factors and reinforcing factors have been increased with statistical significance
immediately and after intervention. High-risk individuals had good practices toward diabetes type 2
preventive measures after three months post-intervention in comparison to the pre-intervention.
High-risk individuals had a positive attitude toward diabetes type 2 preventive measures after three
months post-intervention in comparison to the pre-intervention implementation. There was a
statistically significant relationship between knowledge, enabling, reinforcing factors score and
practices scores of diabetes type 2 preventive measures throughout the intervention phases.
Conclusion: It was concluded that the PRECEDE model was effective in promoting preventive
behaviors among high-risk individuals for diabetes type 2. Recommendation: The educational
intervention based on PRECEDE model about preventive behaviors should be integrated into care
among high-risk individuals for diabetes type 2.