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An ecological assessment of community-based interventions for prevention and health promotion: Approaches to measuring community coalitions

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American Journal of Community Psychology

Abstract

Presented an ecological assessment of a community coalition to prevent alcohol, tobacco, and other drug abuse, and related risks. Ecological assessment is defined as occurring at multiple social levels and along a continuum of stages of coalition readiness. The assessment is aided by the triangulation, or combining of assessment methods and strategies. Measures used to assess the coalition's formation, implementation of community initiatives, and production of community impacts are described, along with the triangulation strategies used to enhance the assessment findings.

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References

  • Bailey, G. W. (1989). Current perspectives on substance abuse in youth.Journal of the American Academy of Child and Adolescent Psychiatry,28, 151–162.

    PubMed  Google Scholar 

  • Basch, C. E., Sliepcevich, E. M., Gold, R. S., Duncan, F., & Kolbe, L. J. (1985). Avoiding Type III errors in health education program evaluations: A case study.Health Education Quarterly, 12, 315–331.

    PubMed  Google Scholar 

  • Blaikie, N. W. H. (1991). A critique of the use of triangulation in social research.Quality & Quantity, 25, 115–136.

    Article  Google Scholar 

  • Burns, L. R., & Becker, S. W. (1988). Leadership and managership. In S. M. Shortell & A. D. Kaluzny (Eds.),Health care management: A text in organization theory and behavior, (2nd ed., pp. 142–186). New York: Wiley.

    Google Scholar 

  • 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, 65–79.

    PubMed  Google Scholar 

  • Butterfoss, F. D., Goodman, R. M., Wandersman, A., Valois, R. F., & Chinman, M. (1996). The Plan Quality Index: An empowerment evaluation tool for measuring and improving the quality of plants. In D. Fetterman, S. Kaftarian, & A. Wandersman (Eds.),Empowerment evaluation: Knowledge and tools for self-assessment and accountability (pp. 304–331). Newbury Park, CA: Sage.

    Google Scholar 

  • Center for Substance Abuse Prevention. (1994).National evaluation of the Community Coalition Demonstration Program (3rd annual report). Rockville, MD Center for Substance Abuse Prevention.

    Google Scholar 

  • Cordray, D. S. (1986). Quasi-experimental analysis: A mixture of methods and judgment. In W. M. K. Trochim (Ed.),Advances in quasi-experimental design and analysis (pp. 9–27). San Francisco: Jossey-Bass.

    Google Scholar 

  • Cottrell, L. S. (1976). The competent community. In B. H. Kaplan, R. N. Wilson, & A. H. Leighton (Eds.),Further explorations in social psychology (pp. 195–209). New York, Basic Books.

    Google Scholar 

  • Denzin, N. K. (1978).The research act: A theoretical introduction to sociological methods. New York: McGraw-Hill.

    Google Scholar 

  • Elder, J., McGraw, S., Abrams, D., Ferreira, A., Lasater, T., Longpre, H., Peterson, G., Schwertfeger, R., & Carleton, R. (1986). Organizational and community approaches to community-wide prevention of heart disease: The first two years of the Pawtucket Heart Health Program.Preventive Medicine, 15, 107–117.

    Article  PubMed  Google Scholar 

  • Eng, E., & Young, R. (1992). Lay health advisors as community change agents.Family & Community Health, 15, 1–12.

    Google Scholar 

  • Farquhar, J., Fortmann, S., Maccoby, N., Haskell, W., Williams, P., Flora, J., Taylor, C., Brown, B., Solomon, D., & Hulley, S. (1985). The Stanford Five-City Project: Design and methods.American Journal of Epidemiology, 122, 323–334.

    PubMed  Google Scholar 

  • Fetterman, D. M. (1994). Empowerment evaluation.Evaluation Practice, 15, 1–13.

    Article  Google Scholar 

  • Florin, P., Chavis, D., Wandersman, A., & Rich, R. (1992). A systems approach to understanding and enhancing grassroots organizations: The Block Booster Project. In R. L. Levine & H. E. Fitzgerald (Eds.),Analysis of dynamic psychological systems, Vol. 2: Methods and applications. New York: Plenum Press.

    Google Scholar 

  • Florin, P., Mitchell, R., & Stevenson, J. (1993). Identifying technical assistance needs in community coalitions: A developmental approach.Health Education Research, 8, 417–432.

    PubMed  Google Scholar 

  • Francisco, V. T., Paine, A. L., & Fawcett, S. (1993). A methodology for monitoring and evaluating community health coalitions.Health Education Research, 8, 403–416.

    PubMed  Google Scholar 

  • Goeppinger, J., & Baglioni, A. J. (1985). Community competence: A positive approach to needs assessment.American Journal of Community Psychology, 13, 507–523.

    Article  PubMed  Google Scholar 

  • Goodman, R. M., McLeroy, K. R., Steckler, A.., & Hoyle, R. H. (1993). Development of Level of Institutionalization (LoIn) Scales for health promotion programs.Health Education Quarterly, 20, 161–178.

    PubMed  Google Scholar 

  • Goodman, R. M., & Steckler, A. (1987). A model for the institutionalization of health promotion programs.Family & Community Health, 11, 63–78.

    Google Scholar 

  • Goodman, R. M. & Steckler, A. (1990). Mobilizing organizations for health enhancement: Theories of organizational change. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.),Health behavior and health education: Theory, research, and practice (pp. 314–341). San Francisco. Jossey-Bass.

    Google Scholar 

  • Goodman, R. M., Steckler, A., Hoover, S., & Schwartz, R. (1993). A critique of contemporary community health promotion approaches: Maine— A multiple case study.American Journal of Health Promotion, 7, 208–220.

    PubMed  Google Scholar 

  • Goodman, R. M., & Wandersman, A. (1994). FORECAST: A formative approach to evaluating community coalitions and community-based initiatives. In S. Kaftarian & W. Hansen (Eds.), Improving methodologies for evaluating community-based coalitions for preventing alcohol, tobacco, and other drug use.Journal of Community Psychology (CSAP special issue), 6–25.

  • Goodman, R. M., Wheeler, F. C., & Lee, P. R. (1995). Evaluation of The Heart To Heart Project: Lessions from a community-based chronic disease prevention project.American Journal of Health Promotion, 9, 443–455.

    PubMed  Google Scholar 

  • Green, L. (1989). Is institutionalization the proper goal of grantmaking?American Journal of Health Promotion, 3, 44.

    Google Scholar 

  • Hansen, W. B. (1992). School-based substance abuse prevention: A review of the state of the art in curriculum, 1980–1990.Health Education Research, 7, 403–430.

    PubMed  Google Scholar 

  • Hawkins, D., & Catalano, R. (1992).Communities that care: Action for drug abuse prevention. San Francisco: Jossey-Bass.

    Google Scholar 

  • Jacobs, D., Luepker, R., Mittelmark, M., Folson, A., Pirie, P., Mascioli, S., Hannan, P., Pechacek, T., Bracht, N., Carlaw, R., Kline, F. & Blackburn, H. (1986). Community-wide prevention strategies: Evaluation design of the Minnesota Heart Health Program.Journal of Chronic Disease, 39, 775–788.

    Article  Google Scholar 

  • Jessor, R., & Jessor, S. L. (1977).Problem behavior and psychological development: A longitudinal study of youth. San Diego, CA: Academic Press.

    Google Scholar 

  • Kaluzny, A. D., & Hernandez, S. R. (1988). Organizational change and innovation. In S. M. Shortell & A. D. Kaluzny (Eds.),Health care management: A text in organization theory and behavior (2nd ed., pp. 379–417). New York: Wiley.

    Google Scholar 

  • Katz, D., & Kahn, R. L. (1978).The social psychology of organizations (2nd ed.). New York: Wiley.

    Google Scholar 

  • Kelly, J. G. (1966). Ecological constraints on mental health services.American Psychologist, 21, 535–539.

    Article  PubMed  Google Scholar 

  • Linney, J. A., & Wandersman, A. (1991).Prevention plus III: A four-step guide to useful program assessment. Rockville, MD: U.S. Department of Health and Human Services, Office for Substance Abuse Prevention.

    Google Scholar 

  • Linney, J. A., & Wandersman, A. (1996). Empowering community groups with evaluation skills: The Prevention Plus III Model. In D. Fetterman, S. Kaftarian, & A. Wandersman (Eds.)Empowerment evaluation: Knowledge and tools for self-assement and accountability (pp. 259–276). Newbury Park, CA: Sage.

    Google Scholar 

  • Maxwell, J. A., Bashook, P. G., & Sandlow, L. J. (1987). Combining ethnographic and experimental methods in educational evaluation. In W. R. Shadish & C. S. Reichardt (Eds.),Evaluation studies: Review Annual (Vol. 12, pp. 568–590). Newbury Park, CA: Sage.

    Google Scholar 

  • McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs,Health Education Quarterly, 15, 351–377.

    PubMed  Google Scholar 

  • McLeroy, K. R., Steckler, A., Goodman, R. M., & Burdine, J. N. (1992). Health education research, theory and practice: Future directions.Health Education Research, 7, 1–8.

    Google Scholar 

  • Milio, N. (1988). Making healthy public policy: developing the science by learning the art: An ecological framework for policy studies.Health Promotion, 2, 263–274.

    Google Scholar 

  • Mittelmark, M. B., Hunt, M. K., Heath, G. W., & Schmidt, T. L. (1993). Realistic outcomes: Lessons from community-based research and demonstration programs for the prevention of cardiovascular diseases.Journal of Public Health Policy, 14, 437–462.

    Article  PubMed  Google Scholar 

  • Oetting, E. R., & Beauvais, F. (1987). Common elements in youth drug abuse: Peer clusters and other psychosocial factors.Journal of Drug Issues, 2, 133–151.

    Google Scholar 

  • Steckler, A., Allegrante, J., Altman, D., Brown, R., Burdine, J., Goodman, R. M., & Jorgenson, C. (1995). Health education intervention strategies: Recommendations for future research.Health Education Quarterly, 22, 307–329.

    PubMed  Google Scholar 

  • Steckler, A., McLeroy, K. R., Goodman, R. M., McCormick, L. & Bird, S. T. (1992). Toward integrating qualitative and quantitative methods: An introduction.Health Education Quarterly, 19, 1–8.

    PubMed  Google Scholar 

  • Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion.American Psychologist, 47, 256–268.

    Article  Google Scholar 

  • Thompson, B., & Kinne, S. (1990). Social change theory: Applications to community health. In N. Bracht (Ed.),Health promotion at the community level (pp. 45–65). Newbury Park, CA: Sage.

    Google Scholar 

  • Veney, J. E., & Kaluzny, A. D. (1991).Evaluation and decision making for health services (2nd ed.), Ann Arbor, MI: Health Administration Press.

    Google Scholar 

  • Wandersman, A., Valois, R., Ochs, L., delaCruz, D., Adkins, E., & Goodman, R. M. (1996). Toward a social ecology of community coalitions.American Journal of Health Promotion, 10, 299–307.

    PubMed  Google Scholar 

  • Windsor, R. A., Baranowski, T., Clark, N., & Cutter, G. (1994).Evaluation of health promotion, health education, and disease prevention programs. Mountain View, CA: Mayfield.

    Google Scholar 

  • Winett, R. A. (1995). A framework for health promotion and disease prevention programs.American Psychologist, 50, 341–350.

    Article  PubMed  Google Scholar 

  • Winett, R. A., King, A., & Altman, D. (1989).Health psychology and public health, New York: Pergamon.

    Google Scholar 

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We thank our evaluation team members including Erica Adams, Simon Choi, Cindy Crusto, Katie Davino, David delaCruz, Pamela Goodman, Maury Nation, and Diana Seybolt. We also thank the members of the community coalitions for substance abuse prevention and especially the project directors: James Bown, Dian Crain, Johneta Davis, Kelli Kenninson, Paul Pittman, Greg Sparkman, Sheryl Taylor, and Kenneth Wright.

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Goodman, R.M., Wandersman, A., Chinman, M. et al. An ecological assessment of community-based interventions for prevention and health promotion: Approaches to measuring community coalitions. Am J Commun Psychol 24, 33–61 (1996). https://doi.org/10.1007/BF02511882

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