Document Detail

Mobilizing communities for teen pregnancy prevention: associations between coalition characteristics and perceived accomplishments.
MedLine Citation:
PMID:  16115569     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe coalition membership, examine associations between coalition processes and short-term coalition outcomes, and assess the relative contribution of key coalition processes to perceived accomplishments in teen pregnancy prevention coalitions. METHODS: A self-administered survey was distributed to active members of 21 teen pregnancy prevention coalitions in 13 communities. The overall response rate was 67%, with 471 surveys returned. Process measures included staff competence, member influence in decision making, and coalition functioning. Short-term outcome measures included perceived accomplishments, member satisfaction, member participation, and coalition viability. RESULTS: About 50% of coalition members represented health or teen pregnancy prevention or youth development service organizations, with 13% participating primarily as residents or youth. None of the process measures were associated with coalition viability (defined as active 2 years post-survey). Many bivariate associations between coalition processes and other short-term outcomes were significant at the individual and coalition levels of analysis. In a multivariate random coefficients model, coalition functioning (p <.001) and member influence in decision making (p = .019) were significantly associated with perceived coalition accomplishments. CONCLUSION: Consistent with research on coalitions that have addressed other health issues, good coalition processes were associated with short-term indicators of effectiveness in these teen pregnancy prevention coalitions. Coalition processes were not associated with coalition viability 2 years post-survey, however, suggesting that other factors influence coalition survival.
Michelle C Kegler; Clayton W Williams; Carol M Cassell; John Santelli; Scott R Kegler; Susanne B Montgomery; Mary Lou Bell; Yolanda G Martinez; Jonathan D Klein; Peter Mulhall; Jeffry A Will; Vicki Harris Wyatt; Toni L Felice; Sharon C Hunt
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  37     ISSN:  1879-1972     ISO Abbreviation:  J Adolesc Health     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-23     Completed Date:  2006-03-24     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S31-41     Citation Subset:  IM    
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA.
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MeSH Terms
Adolescent Behavior
Centers for Disease Control and Prevention (U.S.)
Community Health Planning* / organization & administration,  standards
Data Collection
Data Interpretation, Statistical
Ethnic Groups
Follow-Up Studies
Middle Aged
Outcome Assessment (Health Care)
Pregnancy in Adolescence / prevention & control*
Time Factors
United States
Grant Support
U88/CCU/012384/CC/CDC HHS; U88/CCU/212367/CC/CDC HHS; U88/CCU/312355/CC/CDC HHS; U88/CCU/312381/CC/CDC HHS; U88/CCU/412369/CC/CDC HHS; U88/CCU/415272/CC/CDC HHS; U88/CCU/512403/CC/CDC HHS; U88/CCU/519486/CC/CDC HHS; U88/CCU/612534/CC/CDC HHS; U88/CCU/621043/CC/CDC HHS; U88/CCU/712388/CC/CDC HHS; U88/CCU/912375/CC/CDC HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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