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
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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