title: The influence of community context on how coalitions achieve HIV-preventive structural change.
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.
authors.affiliation: 1Michigan State University, East Lansing, MI, USA.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Reed
authors.forename: Robin Lin
authors.initials: RL
authors.lastname: Miller
authors.forename: Vincent T
authors.initials: VT
authors.lastname: Francisco
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D019058:Community Networks / Q000458:organization & administration*; D003256:Community Participation / Q000379:methods*; D015658:HIV Infections / Q000517:prevention & control*; D006265:Health Care Coalitions / Q000458:organization & administration*; D006801:Humans; D019982:Organizational Case Studies; D011057:Politics; D040242:Risk Reduction Behavior; D014481:United States
keywords: community coalition action theory; community coalitions; community partnerships