Abstract
Community prevention coalitions are a commonly utilized mechanism for supporting community‐based prevention efforts. The effectiveness of community coalitions to foster change and improvements in outcomes is inconclusive and often influenced by other factors such as community readiness and coalition capacity. Limited studies have examined the effects of technical assistance (TA) models on coalition and community capacity to facilitate change and improvements in outcomes. The present study analyzed the effects of a capacity‐building TA model on the implementation of both key coalition processes (e.g., strategic planning) and the facilitation of community changes (i.e., program, policy, and practice changes) by prevention coalitions. A between‐group randomized controlled trial, with a delayed intervention control group design, was used with eight coalitions in the Midwest. The results suggest that although internal coalition capacity increased, it did not immediately result in greater facilitation of external community changes by the community prevention coalitions.
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