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Community Coalition Functioning, Collaborative Structure, and Coalition Models: Enhancing Support for Evidence-Based

Youngjo Im1, Louis D Brown2, Rebecca Wells3

  • 1Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, PA, 16802, USA. yki5012@psu.edu.

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Summary
This summary is machine-generated.

Community coalitions using evidence-based practices (EBPs) effectively reduce youth substance use. Coalitions with strong functioning and clear models showed higher EBP use, highlighting the importance of strategic approaches for community health initiatives.

Keywords:
Coalition functioningCoalition modelCollaborative structureEvidence-based practicesK-means clustering

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Area of Science:

  • Public Health
  • Community Psychology
  • Substance Abuse Prevention

Background:

  • Community coalitions are vital for implementing evidence-based practices (EBPs) to reduce youth substance use.
  • Limited empirical evidence exists on how to effectively promote EBP adoption within these coalitions.
  • Understanding coalition characteristics that foster EBP use is crucial for enhancing prevention efforts.

Purpose of the Study:

  • To identify distinct coalition profiles associated with higher use of evidence-based practices (EBPs).
  • To examine how coalition characteristics and model types influence the adoption of EBPs.
  • To provide insights for improving community coalition capacity and effectiveness.

Main Methods:

  • Utilized k-means clustering on data from 67 coalitions in the Coalition Check-Up trial.
  • Analyzed coalition functioning and collaborative structure, considering coalition model types.
  • Employed analysis of variance (ANOVA) to assess EBP use across identified coalition subgroups.

Main Results:

  • Coalitions with high functioning (sustainability, science-based approaches, efficiency) and theory-based models demonstrated higher EBP use.
  • Coalitions with lower levels of collaborative structure but using theory-based models also showed increased EBP adoption.
  • Low functioning coalitions that did not use any specific model reported the lowest EBP utilization.

Conclusions:

  • Coalition functioning, collaborative structure, and model selection are key determinants of EBP use.
  • Utilizing explicit, theory-based models is critical for maximizing coalition impact and promoting EBPs.
  • Findings can guide technical assistance providers and coalition leaders in enhancing capacity for effective substance use prevention.