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Related Experiment Video

Updated: Jun 3, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
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An initial attempt at operationalizing and testing the Community Coalition Action Theory.

Michelle C Kegler1, Deanne W Swan

  • 1Emory University, Atlanta, GA, USA. mkegler@sph.emory.edu

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|March 12, 2011
PubMed
Summary

Community coalitions can achieve change by focusing on shared decision-making and leadership. These factors, along with staff competence and cohesion, support coalition capacity and member satisfaction, according to the Community Coalition Action Theory (CCAT).

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Area of Science:

  • Community-based participatory research
  • Public health program evaluation
  • Social science research methods

Background:

  • Community coalitions are vital for driving local change and building capacity.
  • The Community Coalition Action Theory (CCAT) provides a framework for understanding coalition effectiveness.
  • Empirical validation of CCAT is needed across different stages of coalition development.

Purpose of the Study:

  • To test the relationships between coalition factors and outcomes as predicted by CCAT.
  • To examine these relationships in two distinct stages of coalition development.
  • To evaluate 20 California Healthy Cities and Communities coalitions.

Main Methods:

  • Utilized data from two rounds of coalition member surveys.
  • Conducted interviews with local coalition coordinators.
  • Analyzed semiannual progress reports for coalition outcomes.

Main Results:

  • Shared decision-making and leadership correlated with participation.
  • Staff competence, task focus, and cohesion correlated with member satisfaction.
  • Coalition size, funding diversity, and dollars leveraged were associated with various positive outcomes like new leadership and partners.

Conclusions:

  • Findings offer preliminary support for many CCAT predictions regarding coalition factors and outcomes.
  • Specific relationships, such as leadership and funding diversity, were linked to program expansion and new partnerships.
  • The study highlights the importance of internal coalition dynamics and resource acquisition for achieving community change.