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

Abstract

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.

DOI: 10.1007/s11121-015-0562-y

4 Figures and Tables

Cite this paper

@article{Shapiro2015BuildingLI, title={Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning}, author={Valerie B Shapiro and Jeffrey D. Hawkins and Sabrina Oesterle}, journal={Prevention Science}, year={2015}, volume={16}, pages={1136-1146} }