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Table 2 Summary results of included studies

From: The impact of coalition characteristics on outcomes in community-based initiatives targeting the social determinants of health: a systematic review

Author

Year

Location

Study design

Coalition name

Formation

Theoretical framework

Participants

Exposure (coalition characteristics) measurement tool

Outcome indicators

Allen et al. [39]

2012

USA: Mid-west

Analytical cross-sectional

Family Violence Coordinating Councils (FVCC)

Unclear

Own, including collaborative capacity, social capital, and empowerment concepts

671 participants

21 coalitions

Self-rated survey

Social capital, member empowerment, community readiness/capacity, institutionalised change

Anderson-Carpenter et al. [46]

2017

USA: Kansas

Pre-test, post-test

Kansas Strategic Prevention Framework State Incentive Grant (SPF-SIG)

Policy/funding response

Tri-Ethnic Center for Prevention Research Communtiy Readiness Model

7 coalitions

Self-rated survey

Document scan

Community readiness/capacity

Brown et al. [28]

2017

Mexico

Analytical cross-sectional

Red de Coaliciones Comunitarias de Mexico

Unclear

Collaborative capacity (Foster-Fishman 2001)

Work group (Hackman 1987)

211 participants

17 coalitions

Self-rated survey

Community readiness/capacity, community improvement attributable to the coalition, sustainability planning

Calancie et al. [44]

2018

USA, Canada, Native American Tribes and First Nations

Not specified (analytical cross sectional)

Food Policy Councils (FPCs)

Various

FPC Framework (Allen et al. 2012)

354 participants

95 coalitions

Self-rated survey

Social capital, perceived effectiveness

Cicognani et al. [29]

2019

Italy: Emilia-Romagna region

Retrospective, cross-sectional

Guadagnare Salute in contesti di Comunita [Gaining health in community contexts]

Unclear

Sense of community (Nowell & Boyd 2010, 2014) Empowerment (Perkins & Zimmerman 1995; Powell & Peterson 2014)

238 participants

6 coalitions

Self-rated survey

Empowerment, perceived efficacy, community readiness/capacity

Crowley et al. [45]

2000

USA

Not specified (retrospective cohort)

Community Coalition Program

Policy/funding response

Community-based prevention

Participants not specified

>123 coalitions

Self-rated survey

Community readiness/capacity, risk and protective factor prevalence (knowledge, behaviour, attitudes, environment/systems)

Donchin et al. [30]

2006

Israel

Analytical cross-sectional

Healthy Cities Israel

Policy/funding response

Health for All & Agenda 21

18 participants

18 coalitions

Survey with researcher ratings

Policy and political support, policy change, best practice health promotion activities, environmental protection actions

Drach-Zahavy et al. [31]

2006

Israel

Analytical cross-sectional

Healthy Community Centers

Policy/funding response

Ottawa Charter for Health Promotion

37 participants

37 coalitions

Interview

Perceived effectiveness

Duran et al. [32]

2019

USA

Analytical cross-sectional

not specified & various

Unclear

Community-Based Participatory Research

450 participants

164 coalitions

Interview

Partnership synergy, partner and agency capacity, equal power, partnership sustainability, community health and transformation

Emshoff et al. [47]

2007

USA: Georgia

Not specified (cohort)

Family Connection

Unclear

Not specified

participants not specified

157 coalitions

Self-rated survey

Shared and inclusive decision making, financial resources, accessible services

Feinberg et al. [33]

2004

USA: Pennsylvania

Analytical cross-sectional

Communities That Care

Research project

Own model based on community readiness and organisational development frameworks

203 participants

21 coalitions

Interview

Perceived effectiveness

Flewelling et al. [12]

2016

USA: 26 states

Not specified (cohort)

SPF SIG

Policy/funding response

CSAP Strategic Prevention Framework

318 coalitions (process)

129 coalitions (outcome)

Self-rated survey

Alcohol consumption

Kegler et al. [34]

2012

USA: California

Analytical cross-sectional

California Healthy Cities and Communities

Policy/funding response

Community Coalition Action Theory

231 participants

19 coalitions

Self-rated survey

Community capacity, social capital, sense of community

Lawless et al. [41]

2010

UK: England

Not specified (cohort)

New Deal Communities

Policy/funding response

Government policy focusing on evidence, strategy, and locality

19,574 (wave 1)

19,633 (wave 2)

15,792 (wave 3) participants (outcome data)

39 participants (coalition data)

39 coalitions

Self-rated survey

Spend, outputs, project-level reviews, improved schools, police and health facilities

Mansergh et al. [50]

1996

USA: Indianapolis & Pasadena

Case study

Day One Coordinating Council, I-STAR Community Action Council

Research project

Grassroots

Butterfoss et al. (1993) collaboration model

100 participants

2 coalitions

Self-rated survey

Coalition efficiency, outcome efficiency (AOD use), interagency coordination

Nowell et al. [47]

2011

USA: Mid-west

Mixed methods

Not specified

Grassroots

Authors’ own

614 organisations

51 coalitions

Self-rated survey

Partner organisation capacity

Oetzel et al. [35]

2018

USA

Analytical cross-sectional & case study

Research for Improved Health study

Unclear

Community-Based Participatory Research

650 participants

200 coalitions

Interview

Self-rated survey

Document scan

Agency capacity building, personal capacity building, sustainability of the work

Powell et al. [36]

2014

USA

Cross sectional

SPF SIG

Policy/funding response

Psychological Empowerment and Organisational Efforts

138 participants

11 coalitions

Self-rated survey

Psychological empowerment, sense of community, perceived effectiveness

Ramanadhan et al. [37]

2012

USA

Analytical cross-sectional

Massachusetts Community Network for Cancer Education, Research, and Training (MassCONECT)

Policy/funding response

Community-Based Participatory Research

38 participants

3 coalitions

Self-rated survey

Community activities, grants and publications, policy engagement

Valente et al. [49]

2007

USA: Massachusetts, Colorado, Adkansas, Iowa & MIssouri

Randomised controlled trial

STEP (Steps Toward Effective Prevention)

Research project

Social network theory

415 (baseline)

406 (follow up)

participants

24 coalitions

Self-rated survey

Benchmark achievement, prevention activity progress

Wagner et al. [42]

2009

USA: Colorado

Not specified (pre-test, post-test)

Not specified

Unclear

Social capital theory

181 participants

10 coalitions

Self-rated survey

Social capital

Watson-Thompson et al. [51]

2008

USA: Kansas City

Quasi-experimental, interrupted time-series design

Ivanhoe Neighbourhood Council & Northeast Coalition

Grassroots

Institute of Medicine’s Framework for Collaborative Public Health Action in Communities

40 participants

2 coalitions

Self-rated survey

Instances of community and systems change

Watson-Thompson et al. [52]

2014

USA: Mid-west

Between-group randomised controlled trial

Community Anti-Drug Coalitions of America (CADCA)

Unclear

Institute of Medicine’s Framework for Collaborative Public Health Action in Communities

27 participants

10 coalitions

Self-rated survey

Community change (e.g. policy, practice)

Wells et al. [48]

2009

USA: Pennsylvania

Mixed methods

Communities That Care

Unclear

Organisational theory (Hackman)

1,081 (exposure)

1,502 (outcome) participants

45 coalitions

Self-rated survey

Perceived coalition impact

Yang et al. [38]

2012

USA

Analytical cross-sectional

CADCA

Unclear

Socio-ecological Framework

& Community Problem Solving and Change Framework

551 participants

551 coalitions

Self-rated survey

Comprehensiveness of strategies, engagement with systems change, facilitating community change

Zeldin et al. [43]

2016

Malaysia

Not specified (quasi/ pre-test post-test)

Not applicable

Policy/funding response

Youth-adult partnership

357 (wave 1)

207 (wave 2) participants

3 coalitions

Self-rated survey

Youth empowerment

Author

Outcome measurement tool

SDOH

Initiative focus

SDOH measurement tool

Analysis

Analysis type

Analysis level

Mediating effects observed

Quality

score (0-8)

Allen et al. [39]

Survey (coalition members)

Family violence

Not evaluated

Hierarchical linear modelling

Reg/Cor

Modelling

Individual, coalition

Yes

3

Anderson-Carpenter et al. [46]

Interview (coalition members)

Underage drinking

Not evaluated

Paired-sample t-tests and Two-tailed Person correlations

Sig diff

Reg/Cor

Geographical region

Not analysed

6

Brown et al. [28]

Survey (coalition members)

Drug use, violence, crime

Not evaluated

Multiple regression

Reg/Cor

Coalition

Not analysed

6

Calancie et al. [44]

Survey (coalition members)

Food environments

Not evaluated

Structural equation modelling

Modelling

Individual, coalition

Yes

6

Cicognani et al. [29]

Survey (coalition members)

Healthy eating, physical activity, smoking, alcohol consumption, health inequalities

Not evaluated

Regression & SEM

Reg/Cor

Modelling

Coalition

Yes

3

Crowley et al. [45]

Survey (coalition members)

Substance abuse

Self report survey (coalition)

Structural equation modelling

Modelling

Not specified

Not analysed

4

Donchin et al. [30]

Survey (coalition members)

Health equity

Not evaluated

Spearman’s correlation & ANOVA

Reg/Cor

Coalition

Not analysed

3

Drach-Zahavy et al. [31]

Interview (coalition members)

Smoking, nutrition, physical activity, health conditions

Not evaluated

Pearson intercorrelations & hierarchical regression analysis

Reg/Cor

Coalition

Not analysed

4

Duran et al. [32]

Survey (coalition members)

Not specified

Not evaluated

Univariate regression

Reg/Cor

Individual

Not analysed

3

Emshoff et al. [47]

Survey (coalition members)

Early years

Self report survey (coalition)

Multi-level modelling

Reg/Cor

Modelling

Not specified

Yes

4

Feinberg et al. [33]

Interview (coalition members)

Teen substance use, violence, educational attainment, pregnancy

Not evaluated

Intercorrelations, scatterplots & mediational analysis

Reg/Cor

Coalition

Yes

5

Flewelling et al. [12]

Survey (community)

Underage drinking

Community survey

Mixed model regression

Reg/Cor

Coalition

Not analysed

6

Kegler et al. [34]

Survey (coalition members)

Youth development, civic capacity building, neighbourhood improvement, education (et al.)

Not evaluated

Multi-level mediation analysis

Reg/Cor

Modelling

Individual, coalition

Yes

4

Lawless et al. [41]

Survey (coalition members)

Crime, the community, housing and the physical environment, health, education, employment

Community survey

z-scores of a composite index of relative change

Sig diff

Geographic region

Not analysed

2

Mansergh et al. [50]

Survey (coalition members)

Document scan

Alcohol and other drug use

Not evaluated

ANCOVA & MANCOVA

Reg/Cor

Individual, coalition

Not analysed

5

Nowell et al. [47]

Survey (coalition members)

Domestic violence

Not evaluated

SEM, ANOVA & OLS multiple linear regression

Reg/Cor Modelling

Individual

Not analysed

5

Oetzel et al. [35]

Survey (coalition members)

Interview (coalition members)

Document scan

Observational data collection

Not specified

Case study & survey

SEM

Modelling

Coalition

Not analysed

5

Powell et al. [36]

Survey (coalition members)

Alcohol, tobacco, and other drug use

Not evaluated

SEM

Modelling

Individual

Yes

5

Ramanadhan et al. [37]

Survey (coalition members)

Health inequities

Not evaluated

Multiple linear regression models

Reg/Cor

Not specified

Not analysed

4

Valente et al. [49]

Survey (coalition members)

Drug prevention

Not evaluated

Confirmatory factor analysis & regression analysis

Reg/Cor

Coalition

Yes

2

Wagner et al. [42]

Survey (coalition members)

Interview (coalition members)

Natural resources management

Not evaluated

Multiple regression analysis, general linear model, mediation analysis

Reg/Cor

Individual, coalition, all coalitions

Yes

6

Watson-Thompson et al. [51]

Interview (coalition members)

Document scan

Neighbourhood improvement

Not evaluated

Between-group comparison

Sig diff

Coalition

Not analysed

4

Watson-Thompson et al. [52]

Survey (coalition members)

Document scan

Observational data collection

Substance abuse

Not evaluated

Paired sample t-test

Sig diff

Coalition

Not analysed

4

Wells et al. [48]

Survey (coalition members)

Adolescent risk factors

Not evaluated

Bivariate correlations & regression model

Reg/Cor

Coalition

Not analysed

5

Yang et al. [38]

Survey (coalition members)

Substance abuse

Not evaluated

SEM

Modelling

Not specified

Not analysed

5

Zeldin et al. [43]

Survey (youth)

Youth empowerment, civic engagement

Not evaluated

Other modelling / pathway analysis

Modelling

Not specified

Yes

7

  1. Quality assessed using the Joanna Briggs Institute Checklist for Analytical Cross Sectional Studies [27] (range 0-8)
  2. “SDOH” = social determinants of health, “USA” = United States of America, “UK” = United Kingdom, “Reg/Cor” = regression, bivariate correlation or similar analysis, “Sig diff” = significant difference in values between multiple coalitions e.g. an intervention and delayed community, “SEM” – statistical equation modelling, “ANOVA” = analysis of variance, “ANCOVA” = analysis of covariance, “MANCOVA” = multivariate analysis of covariance, “OLS” = ordinary least squares