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Reciprocal relations between coalition functioning and the provision of implementation support.

Louis D Brown1, Mark E Feinberg, Valerie B Shapiro

  • 1University of Texas School of Public Health, 1101 N. Campbell, Room 409, El Paso, TX, 79902, USA, louis.d.brown@uth.tmc.edu.

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Community coalitions enhance the implementation of evidence-based prevention programs. Coalition functioning, particularly member knowledge of the Communities That Care (CTC) model, predicts successful program delivery with fidelity.

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Area of Science:

  • Public Health
  • Community Psychology
  • Implementation Science

Background:

  • Community coalitions are vital for disseminating evidence-based prevention programs.
  • Challenges exist in implementing these programs with fidelity.
  • Understanding coalition characteristics is key to effective implementation support.

Purpose of the Study:

  • To explore coalition characteristics that support prevention program implementation.
  • To identify factors enabling fidelity in evidence-based program implementation.
  • To examine the influence of coalition functioning on implementation support.

Main Methods:

  • Longitudinal cross-lagged panel models.
  • Study of 74 Communities That Care (CTC) coalitions in Pennsylvania.
  • Analysis of coalition functioning and provision of implementation support.

Main Results:

  • Coalition functioning positively influences the provision of implementation support.
  • Coalition member knowledge of the CTC model is the strongest predictor.
  • This knowledge predicts support for evidence-based program implementation with fidelity.

Conclusions:

  • Coalition functioning is crucial for effective implementation support.
  • Enhancing coalition member knowledge is essential for fidelity.
  • Innovative training and technical assistance methods are needed to boost member knowledge.