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

TitleThe influence of community context on how coalitions achieve HIV-preventive structural change.
Publication TypePublication
Year of Publication2014
AuthorsReed SJ, Miller RLin, Francisco VT
Corporate AuthorsAdolescent Medical Trials Network for HIV/AIDS Interventions
JournalHealth Educ Behav
Volume41
Issue1
Pagination100-7
Date Published2014 Feb
ISSN1552-6127
KeywordsAdolescent, Adolescent Behavior, Community Networks, Community Participation, Health Care Coalitions, HIV Infections, Humans, Organizational Case Studies, Politics, Risk Reduction Behavior, United States
Abstract

<p>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. </p>

DOI10.1177/1090198113492766
Alternate JournalHealth Educ Behav
PubMed ID23855017
PubMed Central IDPMC3947250
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
2 U01 HD040533 / HD / NICHD NIH HHS / United States