Coalition staff, leaders, and members need training to promote coalition building and maintenance as well as ongoing technical assistance. The Coalition Technical Assistance and Training Framework uses a 6-step process to diagnose coalition strengths and challenges and provide a prescription for action. Re-evaluation after a specified time period helps determine whether a coalition adopted recommended changes in coalition participants, structures, and/or processes and progressed through stages of development. This empowerment approach helps coalition staff and members help themselves to be more effective and efficient. The framework was piloted with the Virginia Healthy Start Initiative from November 1997 to June 2001. Seven perinatal councils that focused on preventing low-weight births and infant mortality adopted 75% of the recommended actions within 1 year. Results from a pre and post-assessment tool after 3 years showed significant progress in the coalitions’ ability to develop effective participants, processes, and structures
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References
1.
Buchanan, R. J. (1996, fall). HIV consortia services funded by Title II of the Ryan White CARE Act: A survey of the states. AIDS and Public Policy Journal, 11(3), 118-143.
2.
Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for health promotion and disease prevention. Health Education Research: Theory and Practice, 8(3), 315-330.
3.
Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1996) Community coalitions for prevention and health promotion: Factors predicting satisfaction, participation and planning. Health Education Quarterly, 23(1), 65-79.
4.
Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (2001). Citizen participation and health: Toward a psychology of improving health through individual, organizational and community involvement. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (pp. 613-626). Mahwah, NJ: Lawrence Erlbaum.
5.
Butterfoss, F. D., & Kegler, M. K. (2002). Toward a comprehensive understanding of community coalitions: Moving from practice to theory. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for improving public health (pp. 157-193). San Francisco: Jossey-Bass.
6.
Butterfoss, F. D., Morrow, A. L., Rosenthal, J., Crews, R. C., & Louis, P. A. (1998). CINCH: A community coalition for action and empowerment. Health Education and Behavior, 25(2), 212-225.
7.
Butterfoss, F. D., Webster, J. D., Morrow, A. L., & Rosenthal, J. (1998). Immunization coalitions that work: Training for public health professionals. Journal of Public Health Management and Practice, 4(6), 79-87.
8.
Cividin, T. M., & Ottoson, J. M. (1997). Linking reasons for continuing professional education participation with post-program application. Journal of Continuing Education in the Health Professions, 17, 46-55.
9.
Fawcett, S. B., Lewis, R. K., Paine-Andrews, A., Francisco, V. T., Richter, K. P., Williams, E. L., et al. (1997). Evaluating community coalitions for prevention of substance abuse. Health Education and Behavior, 24(6), 812-828.
10.
Fetterman, D. M., Kafterian, S., & Wandersman, A. (Eds.). (1996). Empowerment evaluation: Knowledge and tools for self-assessment and accountability. Thousand Oaks, CA: Sage.
11.
Florin, P., Mitchell, R., & Stevenson, J. (1993). Identifying training and technical assistance needs in community coalitions: A developmental approach. Health Education Research: Theory and Practice, 8(3), 417-432.
12.
Goldstein, S. M. (1997). Community coalitions: A self-assessment tool. American Journal of Health Promotion, 11(6), 430-435.
13.
Goodman, R. M. (1998). Principles and tools for evaluating community-based prevention and health promotion programs. Journal of Public Health Management and Practice, 4(2), 37-47.
14.
Goodman, R. M., Speers, M. A., McLeroy, K., Fawcett, S., Kegler, M. C., Parker, E., et al. (1998). Identifying and defining the dimensions of community capacity to provide a basis for measurement. Health Education and Behavior, 25(3), 258-278.
15.
Goodman, R. M., Wandersman, A., Chinman, M., Imm, P., & Morrisey, E. (1996). An ecological assessment of community based interventions for prevention and health promotion: Approaches to measuring community coalitions. American Journal of Community Psychology, 24(1), 33-36.
16.
Goodman, R. M., Wheeler, F. C., & Lee, P. R. (1995). Evaluation of the Heart to Heart Project: Lessons from a community-based chronic disease prevention project. American Journal of Health Promotion, 9(6), 443-455.
17.
Israel, B. A., Checkoway, B., Schultz, A., & Zimmerman, M. (1994). Health education and community empowerment: Conceptualizing and measuring perceptions of individual, organizational, and community control. Health Education Quarterly, 21(2), 149-170.
18.
Kegler, M. C., Steckler, A., McLeroy, K., & Malek, S. H. (1998). Factors that contribute to effective community health promotion coalitions: A study of 10 Project ASSIST coalitions in North Carolina. Health Education and Behavior, 25(3), 338-353.
19.
Kotter, J. P. (1995). The new rules: How to succeed in today’s postcorporate world. New York: Free Press.
20.
Kreuter, M. W., Lezin, N. A., & Young, L. A. (2000). Evaluating community-based collaborative mechanisms: Implications for practitioners. Health Promotion Practice, 1(1), 49-63.
21.
Kuhn, M., Doucett, C., & Edwards, N. (1999). Effectiveness of coalitions in heart health promotion, tobacco use reduction, and injury prevention: A systematic review of the literature 1990-1998 (CHRU Publication No. DP99-1). Ottawa, Canada: Community Health Research Unit.
22.
McLeroy, K. R., Kegler, M. C., Steckler, A. B., Burdine, J. N., & Wisotzsky, M. (1994). Community coalitions for health promotion: Summary and further reflections [Editorial]. Health Education Research, 9(1), 1-11.
23.
Ottoson, J. M. (1997). After the applause: Exploring multiple influences on application following an adult education program. Adult Education Quarterly, 47(2), 92-107.
24.
Rogers, E. M. (1983). Diffusion of innovations (3rd ed.). New York: Free Press.
25.
Rowitz, L. (1999). The mystery of public health workforce development. Journal of Public Health Management and Practice, 5(3), 101-104.
26.
Senge, P. M. (1990). The fifth discipline: The art and practice of the learning organization. New York: Doubleday/Currency.
27.
Steckler, A. B., Goodman, R. M., & Alciati, M. H. (1997). The impact of the National Cancer Institute’s Data-Based Intervention Research program on state health agencies. Health Education Research, 12(2), 199-211.
28.
Stephens, T. T., & Dolan, K. (1998, September). Focus group evaluation of the Immunization Coalition Training Institute. Report submitted to the Center for Pediatric Research by Emory University School of Public Health, Department of Behavioral Science and Health Education. Unpublished report. (Available from the first author, Center for Pediatric Research, 855 W. Brambleton Ave., Norfolk, VA 23690)
29.
Wandersman, A., Valois, R., Ochs, L., De la Cruz, D., Adkins, E., & Goodman, R. M. (1996). Toward a social ecology of community coalitions. American Journal of Health Promotion, 10(4), 299-307.
