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 language | English (US) |
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Pages (from-to) | 1136-1146 |
Number of pages | 11 |
Journal | Prevention Science |
Volume | 16 |
Issue number | 8 |
DOIs | |
State | Published - Nov 1 2015 |
Externally published | Yes |
Keywords
- Capacities
- Coalition
- Communities That Care
- Community-level intervention
- Functioning
- Science-based prevention
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health