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Initial conditions and functioning over time among community coalitions.

Louis D Brown1, Rebecca Wells2, Sarah Meyer Chilenski3

  • 1Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health, 5130 Gateway East Blvd., El Paso, TX 79903, USA.

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|April 24, 2022
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Summary
This summary is machine-generated.

Community coalitions in Mexico showed increased member engagement and process competence over 1.5 years. Community champions were key to perceived community improvement, suggesting their pivotal role in public health success.

Keywords:
Coalition capacityCoalition functioningCommunity coalitionsReadinessSubstance abuse prevention coalitionsSustainability

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Area of Science:

  • Public Health
  • Community Psychology
  • Substance Use Prevention

Background:

  • Operationally strong community coalitions are vital for public health improvement.
  • Understanding coalition functioning and its predictors is crucial for maximizing impact.

Purpose of the Study:

  • To measure the functioning of substance use prevention coalitions in Mexico during their initial 1.5 years.
  • To examine the relationship between initial community context and subsequent coalition functioning and outcomes.

Main Methods:

  • 19 coalitions participated in three survey waves assessing context and functioning.
  • Paired t-tests analyzed changes in coalition functioning and outcomes.
  • Regression models explored associations between community context, functioning, and outcomes.

Main Results:

  • Member engagement, coordinator skill, and participatory leadership style increased over 1.5 years.
  • Community support and community champions predicted process competence.
  • Community champions uniquely predicted perceived community improvement.

Conclusions:

  • Increases in engagement and process competence may enhance coalition sustainability.
  • Community champions appear to be a critical factor for coalition success and perceived community impact.
  • Findings inform strategies for developing effective community coalitions for public health initiatives.