1. Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning.
- Author
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Shapiro, Valerie, Hawkins, J., Oesterle, Sabrina, Shapiro, Valerie B, and Hawkins, J David
- Subjects
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COALITIONS , *HEALTH of young adults , *COMMUNITY health services , *BEHAVIORAL assessment , *MEDICAL care , *PUBLIC health , *COMMUNITY health services administration , *COMPARATIVE studies , *COOPERATIVENESS , *INTERVIEWING , *RESEARCH methodology , *MEDICAL cooperation , *ORGANIZATIONAL change , *ORGANIZATIONAL effectiveness , *PREVENTIVE health services , *RESEARCH , *RESEARCH funding , *EVIDENCE-based medicine , *QUALITATIVE research , *EVALUATION research - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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