Reciprocal Relations between Coalition Functioning and the Provision of Implementation Support

Brown, Louis D.; Feinberg, Mark E.; Shapiro, Valerie B.; Greenberg, Mark T.

doi:10.1007/s11121-013-0447-x

Cited by 25 publications

(28 citation statements)

References 44 publications

(82 reference statements)

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“…CTC provides a structure and training process that helps coalitions avoid implementation pitfalls such as inability to mobilize community members or use evidence-based preventive interventions. In addition to emphasizing science-based prevention and building knowledge and capacity in coalition members, CTC training and ongoing technical assistance help support healthy coalition functioning necessary for sustained effectiveness (Brown et al 2013b; Feinberg et al 2008; Feinberg et al 2004; Shapiro et al 2013). …”

Section: Discussionmentioning

confidence: 99%

Benefit–cost analysis of a randomized evaluation of Communities That Care: monetizing intervention effects on the initiation of delinquency and substance use through grade 12

et al. 2015

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Objective To determine whether the Communities That Care (CTC) prevention system is a cost-beneficial intervention. Methods Data were from a longitudinal panel of 4,407 youth participating in a randomized controlled trial including 24 towns in 7 states, matched in pairs within state and randomly assigned to condition. Significant differences favoring intervention youth in sustained abstinence from delinquency, alcohol use, and tobacco use through Grade 12 were monetized and compared to economic investment in CTC. Results CTC was estimated to produce $4,477 in benefits per youth (discounted 2011 dollars). It cost $556 per youth to implement CTC for 5 years. The net present benefit was $3,920. The benefit-cost ratio was $8.22 per dollar invested. The internal rate of return was 21%. Risk that investment would exceed benefits was minimal. Investment was expected to be recouped within 9 years. Sensitivity analyses in which effects were halved yielded positive cost-beneficial results. Conclusions CTC is a cost-beneficial, community-based approach to preventing initiation of delinquency, alcohol use, and tobacco use. CTC is estimated to generate economic benefits that exceed implementation costs when disseminated with fidelity in communities.

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Section: Discussionmentioning

confidence: 99%

Benefit–cost analysis of a randomized evaluation of Communities That Care: monetizing intervention effects on the initiation of delinquency and substance use through grade 12

et al. 2015

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“…Infrastructure for research and training is most efficiently developed at the state and federal levels. Infrastructure for service delivery is needed at the local level, where problems are defined and responses occur (Brown et al 2014b; Wandersman et al 2008). In this paper, we examine the extent to which a local infrastructure for service delivery (in the form of coalitions) enables science-based prevention.…”

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confidence: 99%

Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning

2015

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The widespread adoption of science-based prevention requires local infrastructures for prevention service delivery. Communities That Care (CTC) is a tested prevention service delivery system that enables a local coalition of community stakeholders to use a science-based approach to prevention and improve the behavioral health of young people. This paper uses data from the Community Youth Development Study (CYDS), a community-randomized trial of CTC, to examine the extent to which better internal team functioning of CTC coalitions increases the community-wide adoption of science-based prevention within 12 communities, relative to 12 matched comparison communities. Specifically, this paper examines the potential of both a direct relationship between coalition functioning and the community-wide adoption of science-based prevention and a direct relationship between functioning and the coalition capacities that ultimately enable the adoption of science-based prevention. Findings indicate no evidence of a direct relationship between four dimensions of coalition functioning and the community-wide adoption of a science-based approach to prevention, but suggest a relationship between coalition functioning and coalition capacities (building new member skills and establishing external linkages with existing community organizations) that enable science-based prevention.

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“…Coalition age in years and the number of coalition members were included as covariates to reduce potential confounding owing to the effects on processes and outcomes of coalition size (Nowell, 2009) and maturity (Brown, Feinberg, & Greenberg, 2010; Brown, Feinberg, Shapiro, & Greenberg, 2015). To estimate coalition size, we used 2015 membership rosters.…”

Section: Methodsmentioning

confidence: 99%

Effects of Sectoral Diversity on Community Coalition Processes and Outcomes

et al. 2017

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Collaboration with diverse partners is challenging but essential for the implementation of prevention programs and policies. Increased communication with partners from diverse sectors may help community coalitions overcome the challenges that diversity presents. We examined these issues empirically in a study of 17 substance use prevention coalitions in Mexico. Building on coalition and workgroup literatures, we hypothesized that sectoral diversity would improve outcomes but undermine coalition processes. Conversely, we expected uniformly positive effects from higher levels of intersectoral communication. Data are from a 2015 survey of 211 members within the 17 community coalitions. Regression models used sectoral diversity and intersectoral communication to predict coalition processes (cohesion, leader-member communication, efficiency) and outcomes (community support, community improvement, sustainability planning). Sectoral diversity was negatively associated with coalition processes and was not associated with coalition outcomes. Intersectoral communication was positively associated with two of the three measures of coalition outcomes but not associated with coalition processes. Our findings concur with those from prior research indicating that sectoral diversity may undermine coalition processes. However, more communication between sectors may facilitate the coalition outcomes of community support and sustainability planning. Skilled team leaders and participatory decision making may also help coalitions promote intersectoral communication, thereby engaging diverse community sectors to implement preventive interventions and actualize sustained public health impact.

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Reciprocal Relations between Coalition Functioning and the Provision of Implementation Support

Cited by 25 publications

References 44 publications

Benefit–cost analysis of a randomized evaluation of Communities That Care: monetizing intervention effects on the initiation of delinquency and substance use through grade 12

Benefit–cost analysis of a randomized evaluation of Communities That Care: monetizing intervention effects on the initiation of delinquency and substance use through grade 12

Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning

Effects of Sectoral Diversity on Community Coalition Processes and Outcomes

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