Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning

Valerie B. Shapiro, J. David Hawkins, Sabrina Oesterle

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

The widespread adoption of science-based prevention requires local infrastructures for prevention service delivery. Communities That Care (CTC) is a tested prevention service delivery system that enables a local coalition of community stakeholders to use a science-based approach to prevention and improve the behavioral health of young people. This paper uses data from the Community Youth Development Study (CYDS), a community-randomized trial of CTC, to examine the extent to which better internal team functioning of CTC coalitions increases the community-wide adoption of science-based prevention within 12 communities, relative to 12 matched comparison communities. Specifically, this paper examines the potential of both a direct relationship between coalition functioning and the community-wide adoption of science-based prevention and a direct relationship between functioning and the coalition capacities that ultimately enable the adoption of science-based prevention. Findings indicate no evidence of a direct relationship between four dimensions of coalition functioning and the community-wide adoption of a science-based approach to prevention, but suggest a relationship between coalition functioning and coalition capacities (building new member skills and establishing external linkages with existing community organizations) that enable science-based prevention.

Original languageEnglish (US)
Pages (from-to)1136-1146
Number of pages11
JournalPrevention Science
Volume16
Issue number8
DOIs
StatePublished - Nov 1 2015
Externally publishedYes

Keywords

  • Capacities
  • Coalition
  • Communities That Care
  • Community-level intervention
  • Functioning
  • Science-based prevention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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