Moving Knowledge to Action: Applying Community Coalition Action Theory (CCAT) to Bus Seat Belt Usage

Harooni, Javad; Ghaffari, Mohtasham

doi:10.15280/jlm.2021.11.1.8

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…The Community Coalition Action Theory (CCAT) was the theoretical underpinning for Vision Zero Leadership Team Training Institute curriculum development (Butterfoss and Kegler, 2002;Kegler And Swan, 2011;Kegler and Swan, 2012). The CCAT, grounded in extensive literature and practice, includes an underlying framework of constructs and propositions for developing successful coalition structures, processes, and outcomes (Butterfoss and Kegler, 2002;Butterfoss, 2004;Kegler et al, 2010;Kegler And Swan, 2011;Sharma And Smith, 2011;Kegler and Swan, 2012;Harooni and Ghaffari, 2021). The CCAT identifies that coalition development progresses through stages from coalition formation through institutionalization with frequent cycles back to earlier stages as challenges arise, planning cycles within the coalition are repeated, or coalition members change (Butterfoss and Kegler, 2002).…”

Section: Leadership Institute Conceptualization and Underlying Frameworkmentioning

confidence: 99%

“…Prior research has indicated that the CCAT is a robust model for framing coalition development and processes in order to achieve complex health and social change (Butterfoss and Kegler, 2002;Kegler et al, 2010;Kegler And Swan, 2011;Sharma And Smith, 2011); however, it has received little attention in the area of transportation safety (Harooni and Ghaffari, 2021). This intensive Institute was built upon a CCAT foundation for coalition development within a Vision Zero and Safe Systems approach, and we found that the application of this model was associated with an increase in participants' confidence in several critical skills related to coalition development and initiative planning processes.…”

Section: Figurementioning

confidence: 99%

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A novel Vision Zero leadership training model to support collaboration and strategic action planning

Naumann

LaJeunesse

Keefe

et al. 2023

Front. Future Transp.

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Introduction: While collaboration and cooperation are regarded as foundational to Vision Zero (VZ) and Safe Systems initiatives, there is little guidance on structuring VZ collaboration, conducting collaborative goal setting, and aligning tangible action across organizations. As part of a larger VZ mutual learning model, we developed a VZ Leadership Team Institute to support communities in collaborative VZ strategic planning and goal setting. The purpose of this paper is to describe the development and evaluation of the Institute, which can serve as a foundation for other initiatives seeking to move VZ planning and implementation forward in a collaborative, systems-aware manner.Methods: In June 2021, eight multi-disciplinary teams of 3–6 persons each (n = 42 participants) attended the Institute, representing leaders from communities of various sizes. Surveys were administered pre, immediately post, and 6 months following the Institute. We measured confidence in a range of skills (on a 5-point scale, 1: not confident to 5: very confident). Surveys also measured coalition collaboration pre-Institute and 6 months post-Institute (on a 4-point scale, 1: strongly disagree to 4: strongly agree).Results: The largest increases in confidence from pre- to immediately post-Institute were for collaboratively drafting objectives and actions for VZ goals (pre-mean: 2.6, SD: 0.9 to post-mean: 3.8, SD: 0.9); incorporating equity into goals (pre-mean: 2.8, SD: 1.0 to post-mean: 3.9, SD: 0.8); and knowing how to keep VZ planning and implementation efforts on track (pre-mean: 2.6, SD: 1.0 to post-mean: 3.7, SD: 0.7). For all measures, average confidence in skills decreased from immediately post-Institute to 6 months post-Institute, but remained greater than average scores pre-Institute. Several measures of coalition collaboration maintained high agreement across time, and mean agreement increased for reporting that the future direction of the coalition was clearly communicated to everyone (pre-mean: .6, SD: 0.8; 6 months post-mean: 3.1, SD: 0.4). However, average scores decreased for feeling like the coalition had adequate staffing (pre-mean: 3.0, SD: 0.6; 6 months post-mean: 2.3, SD: 0.5).Discussion: The Institute utilized innovative content, tools, and examples to support VZ coalitions’ collaborative and systems-aware planning and implementation processes. As communities work toward zero transportation deaths and serious injuries, providing effective support models to aid multidisciplinary planning and action around a Safe Systems approach will be important to accelerate progress toward a safer transportation system.

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Section: Leadership Institute Conceptualization and Underlying Frameworkmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

A novel Vision Zero leadership training model to support collaboration and strategic action planning

Naumann

LaJeunesse

Keefe

et al. 2023

Front. Future Transp.

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“…20 21 One theory that can guide civil society mobilisation is the Community Coalition Action Theory (CCAT), 22 which has been used to synthesise coalition-building processes and outcomes across various topics. [23][24][25][26][27][28] CCAT posits that, in response to an opportunity or threat (eg, tobaccorelated health risks), a convening organisation can form a coalition representing diverse stakeholders who pool resources, implement evidence-based or promising interventions, and ultimately change policies, systems, environments and programmes to drive population-based outcomes. 22 However, coalition formation and effectiveness can be inhibited by insufficient resources, 29 30 a particular concern for low-income and middle-income countries (LMICs) where catalysing public health initiatives may be most needed.…”

Section: Introductionmentioning

confidence: 99%

Examining local smoke-free coalitions in Armenia and Georgia: context and outcomes of a matched-pairs community-randomised controlled trial

Berg,

Haardörfer,

Torosyan

et al. 2024

BMJ Glob Health

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IntroductionLocal coalitions can advance public health initiatives such as smoke-free air but have not been widely used or well-studied in low-income and middle-income countries.MethodsWe conducted a matched-pairs community-randomised controlled trial in 28 communities in Armenia and Georgia (N=14/country) in which we helped establish local coalitions in 2019 and provided training and technical assistance for coalition activity promoting smoke-free policy development and enforcement (2019–2021). Surveys of ~1450 households (Fall 2018, May–June 2022) were conducted to evaluate coalition impact on smoke-free policy support, smoke-free home adoption, secondhand smoke exposure (SHSe), and coalition awareness and activity exposure, using multivariable mixed modelling.ResultsBivariate analyses indicated that, at follow-up versus baseline, both conditions reported greater smoke-free home rates (53.6% vs 38.5%) and fewer days of SHSe on average (~11 vs ~12 days), and that intervention versus control condition communities reported greater coalition awareness (24.3% vs 12.2%) and activity exposure (71.2% vs 64.5%). Multivariable modelling indicated that intervention (vs control) communities reported greater rates of complete smoke-free homes (adjusted Odds Ratio [aOR] 1.55, 95% confiedence interval [CI] 1.11 to 2.18, p=0.011) and coalition awareness (aOR 2.89, 95% CI 1.44 to 8.05, p=0.043) at follow-up. However, there were no intervention effects on policy support, SHSe or community-based activity exposure.ConclusionsFindings must be considered alongside several sociopolitical factors during the study, including national smoke-free policies implementation (Georgia, 2018; Armenia, 2022), these countries’ participation in an international tobacco legislation initiative, the COVID-19 pandemic and regional/local war). The intervention effect on smoke-free homes is critical, as smoke-free policy implementation provides opportunities to accelerate smoke-free home adoption via local coalitions.Trial registration numberNCT03447912.

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“…Coalitions develop through stages and can cycle back through them as new issues or priorities are added, and community context influences all aspects of coalition work, from formation through institutionalization [1]. CCAT has been used to synthesize findings from coalition research across a range of topics from COVID-19 to food environments [30][31][32][33][34][35][36]. Considerable evidence supports that various aspects of coalition processes such as communication, shared decision-making and leadership, as well as community context, are associated with member participation, satisfaction and other indicators of intermediate effectiveness [7,[37][38][39][40][41][42][43].…”

Section: Introductionmentioning

confidence: 99%

Community coalitions for smoke-free environments in Armenia and Georgia: A mixed methods analysis of coalition formation, implementation and perceived effectiveness

et al. 2023

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Effective models for aligning public health and civil society at the local level have the potential to impact various global health issues, including tobacco. Georgia and Armenia Teams for Healthy Environments and Research (GATHER) is a collaboration between Armenia, Georgia and U.S. researchers involving a community randomized trial testing the impact of community coalitions to promote smoke-free policy adoption and compliance in various settings. Community Coalition Action Theory (CCAT) was used to guide and describe coalition formation, implementation and effectiveness. Mixed methods were used to evaluate 14 municipality-based coalitions in Georgia and Armenia, including semi-structured interviews (n = 42) with coalition leaders and active members, coalition member surveys at two timepoints (n = 85 and n = 83), and review of action plans and progress reports. Results indicated successful creation of 14 multi-sectoral coalitions, most commonly representing education, public health, health care, and municipal administration. Half of the coalitions created at least one smoke-free policy in specific settings (e.g., factories, parks), and all 14 promoted compliance with existing policies through no-smoking signage and stickers. The majority also conducted awareness events in school, health care, and community settings, in addition to educating the public about COVID and the dangers of tobacco use. Consistent with CCAT, coalition processes (e.g., communication) were associated with member engagement and collaborative synergy which, in turn, correlated with perceived community impact, skills gained by coalition members, and interest in sustainability. Findings suggest that community coalitions can be formed in varied sociopolitical contexts and facilitate locally-driven, multi-sectoral collaborations to promote health. Despite major contextual challenges (e.g., national legislation, global pandemic, war), coalitions were resilient, nimble and remained active. Additionally, CCAT propositions appear to be generalizable, suggesting that coalition-building guidance may be relevant for local public health in at least some global contexts.

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Moving Knowledge to Action: Applying Community Coalition Action Theory (CCAT) to Bus Seat Belt Usage

Cited by 3 publications

References 2 publications

A novel Vision Zero leadership training model to support collaboration and strategic action planning

A novel Vision Zero leadership training model to support collaboration and strategic action planning

Examining local smoke-free coalitions in Armenia and Georgia: context and outcomes of a matched-pairs community-randomised controlled trial

Community coalitions for smoke-free environments in Armenia and Georgia: A mixed methods analysis of coalition formation, implementation and perceived effectiveness

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