Mobilizing communities for teen pregnancy prevention: Associations between coalition characteristics and perceived accomplishments

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

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)S31-S41
JournalJournal of Adolescent Health
Volume37
Issue number3 SUPPL.
DOIs
StatePublished - Sep 1 2005

Keywords

  • Coalitions
  • Community partnerships
  • Community-based
  • Teen pregnancy prevention
  • Youth development

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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