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Health Educ Behav. 2014 Feb;41(1):100-7. doi: 10.1177/1090198113492766. Epub 2013 Jul 12.

The influence of community context on how coalitions achieve HIV-preventive structural change.

Author information

1
1Michigan State University, East Lansing, MI, USA.

Abstract

Community coalition action theory (CCAT) depicts the processes and factors that affect coalition formation, maintenance, institutionalization, actions, and outcomes. CCAT proposes that community context affects coalitions at every phase of development and operation. We analyzed data from 12 Connect to Protect coalitions using inductive content analysis to examine how contextual factors (e.g., economics, collaboration, history, norms, and politics) enhance or impede coalitions' success in achieving outcomes. Consistent with CCAT, context affected the objectives that coalitions developed and those they completed. Results suggest that local prevention history and political support have particular impact on coalitions' success in creating structural changes. These data underscore the heuristic value of CCAT, yet also imply that the contextual constructs that affect outcomes are issue specific.

KEYWORDS:

community coalition action theory; community coalitions; community partnerships

PMID:
23855017
PMCID:
PMC3947250
DOI:
10.1177/1090198113492766
[Indexed for MEDLINE]
Free PMC Article

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