{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:14:26Z","timestamp":1773000866075,"version":"3.50.1"},"reference-count":61,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["R01TW010664-01"],"award-info":[{"award-number":["R01TW010664-01"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Cancer Institute","award":["P30CA138292"],"award-info":[{"award-number":["P30CA138292"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Effective models for aligning public health and civil society at the local level have the potential to impact various global health issues, including tobacco. Georgia and Armenia Teams for Healthy Environments and Research (GATHER) is a collaboration between Armenia, Georgia and U.S. researchers involving a community randomized trial testing the impact of community coalitions to promote smoke-free policy adoption and compliance in various settings. Community Coalition Action Theory (CCAT) was used to guide and describe coalition formation, implementation and effectiveness. Mixed methods were used to evaluate 14 municipality-based coalitions in Georgia and Armenia, including semi-structured interviews (n = 42) with coalition leaders and active members, coalition member surveys at two timepoints (n = 85 and n = 83), and review of action plans and progress reports. Results indicated successful creation of 14 multi-sectoral coalitions, most commonly representing education, public health, health care, and municipal administration. Half of the coalitions created at least one smoke-free policy in specific settings (e.g., factories, parks), and all 14 promoted compliance with existing policies through no-smoking signage and stickers. The majority also conducted awareness events in school, health care, and community settings, in addition to educating the public about COVID and the dangers of tobacco use. Consistent with CCAT, coalition processes (e.g., communication) were associated with member engagement and collaborative synergy which, in turn, correlated with perceived community impact, skills gained by coalition members, and interest in sustainability. Findings suggest that community coalitions can be formed in varied sociopolitical contexts and facilitate locally-driven, multi-sectoral collaborations to promote health. Despite major contextual challenges (e.g., national legislation, global pandemic, war), coalitions were resilient, nimble and remained active. Additionally, CCAT propositions appear to be generalizable, suggesting that coalition-building guidance may be relevant for local public health in at least some global contexts.<\/jats:p>","DOI":"10.1371\/journal.pone.0289149","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T17:25:31Z","timestamp":1691083531000},"page":"e0289149","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["Community coalitions for smoke-free environments in Armenia and Georgia: A mixed methods analysis of coalition formation, implementation and perceived effectiveness"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4898-5454","authenticated-orcid":true,"given":"Michelle 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Lin","year":"2010","journal-title":"Glob Health Promot."},{"key":"pone.0289149.ref029","volume-title":"Community Organizing and Community Building for Health and Social Equity New Brunswick","author":"F Butterfoss","year":"2022","edition":"4"},{"issue":"2","key":"pone.0289149.ref030","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1177\/0272684X211006549","article-title":"Community Coalition Action Theory: Introducing an interventional application to confronting Covid-19.","volume":"43","author":"M Ghaffari","year":"2023","journal-title":"Community Health Equity Res Policy"},{"issue":"1","key":"pone.0289149.ref031","doi-asserted-by":"crossref","first-page":"8","DOI":"10.15280\/jlm.2021.11.1.8","article-title":"Moving knowledge to action: applying Community Coalition Action Theory (CCAT) to bus seat belt usage.","volume":"11","author":"J Harooni","year":"2021","journal-title":"J Lifestyle Med"},{"issue":"5","key":"pone.0289149.ref032","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1177\/1524839917742850","article-title":"Evaluation of the Southern Harm Reduction Coalition for HIV Prevention: Advocacy accomplishments.","volume":"19","author":"CR Story","year":"2018","journal-title":"Health Promot Pract."},{"issue":"1\u20132","key":"pone.0289149.ref033","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/ajcp.12162","article-title":"Structural and community change outcomes of the connect-to-protect coalitions: Trials and triumphs securing adolescent access to HIV prevention, testing, and medical care.","volume":"60","author":"RL Miller","year":"2017","journal-title":"Am J Community Psychol"},{"issue":"3","key":"pone.0289149.ref034","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/07370016.2015.1057072","article-title":"Coalition building for health: a community garden pilot project with apartment dwelling refugees.","volume":"32","author":"LK Eggert","year":"2015","journal-title":"J Community Health Nurs"},{"issue":"5","key":"pone.0289149.ref035","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1177\/1090198115577372","article-title":"The Collective Impact Model and its potential for health promotion: overview and case study of a healthy retail initiative in San Francisco.","volume":"42","author":"J Flood","year":"2015","journal-title":"Health Educ Behav."},{"issue":"1","key":"pone.0289149.ref036","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1177\/1090198113492766","article-title":"The influence of community context on how coalitions achieve HIV-preventive structural change.","volume":"41","author":"SJ Reed","year":"2014","journal-title":"Health Educ Behav"},{"issue":"3","key":"pone.0289149.ref037","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1177\/1090198110372875","article-title":"An initial attempt at operationalizing and testing the Community Coalition Action Theory.","volume":"38","author":"MC Kegler","year":"2011","journal-title":"Health Educ Behav"},{"issue":"1","key":"pone.0289149.ref038","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/109019819602300105","article-title":"Community coalitions for prevention and health promotion: factors predicting satisfaction, participation, and planning.","volume":"23","author":"FD Butterfoss","year":"1996","journal-title":"Health Educ Q"},{"issue":"1","key":"pone.0289149.ref039","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1186\/s12889-022-13678-9","article-title":"The impact of coalition characteristics on outcomes in community-based initiatives targeting the social determinants of health: a systematic review.","volume":"22","author":"P Nagorcka-Smith","year":"2022","journal-title":"BMC Public Health"},{"issue":"4","key":"pone.0289149.ref040","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1177\/1090198111419655","article-title":"Measuring coalition functioning: refining constructs through factor analysis.","volume":"39","author":"LD Brown","year":"2012","journal-title":"Health Educ Behav"},{"issue":"3","key":"pone.0289149.ref041","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s11121-010-0173-6","article-title":"Determinants of community coalition ability to support evidence-based programs","volume":"11","author":"LD Brown","year":"2010","journal-title":"Prev Science"},{"issue":"3","key":"pone.0289149.ref042","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1177\/109019819802500308","article-title":"Factors that contribute to effective community health promotion coalitions: a study of 10 Project ASSIST coalitions in North Carolina. American Stop Smoking Intervention Study for Cancer Prevention","volume":"25","author":"MC Kegler","year":"1998","journal-title":"Health Educ Behav"},{"key":"pone.0289149.ref043","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/1471-2458-10-90","article-title":"How does community context influence coalitions in the formation stage? A multiple case study based on the Community Coalition Action Theory","volume":"10","author":"MC Kegler","year":"2010","journal-title":"BMC Public Health"},{"issue":"5","key":"pone.0289149.ref044","doi-asserted-by":"crossref","first-page":"e0252299","DOI":"10.1371\/journal.pone.0252299","article-title":"Measuring partnership synergy and functioning: Multi-stakeholder collaboration in primary health care.","volume":"16","author":"E Loban","year":"2021","journal-title":"PloS One"},{"issue":"4","key":"pone.0289149.ref045","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1093\/heapro\/dar002","article-title":"Exploring the relationship between synergy and partnership functioning factors in health promotion partnerships.","volume":"26","author":"J Jones","year":"2011","journal-title":"Health Promot Int"},{"issue":"6","key":"pone.0289149.ref046","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1177\/109019802237938","article-title":"Making the most of collaboration: exploring the relationship between partnership synergy and partnership functioning.","volume":"29","author":"ES Weiss","year":"2002","journal-title":"Health Educ Behav."},{"key":"pone.0289149.ref047","unstructured":"World Health Organization. ARMENIA STEPS Survey 2016\u20132017: Fact Sheet. World Health Organization. [cited 2023 February 4]. Available from: https:\/\/nih.am\/assets\/pdf\/researches\/00380987c602e3895652446d141f5d7b.pdf."},{"key":"pone.0289149.ref048","article-title":"Georgia National Center for Disease Control and Prevention","year":"2019","journal-title":"Tobacco Prevalence Survey"},{"key":"pone.0289149.ref049","volume-title":"Case study research: Design and methods","author":"RK Yin","year":"2009"},{"key":"pone.0289149.ref050","volume-title":"A methods sourcebook.","author":"MB Miles","year":"2014"},{"issue":"5","key":"pone.0289149.ref051","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1093\/her\/cyg056","article-title":"Evaluating community coalition characteristics and functioning: a summary of measurement tools.","volume":"19","author":"ML Granner","year":"2004","journal-title":"Health Educ Res"},{"issue":"2","key":"pone.0289149.ref052","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1177\/1757975911404762","article-title":"Developing a scale to measure synergy in health promotion 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Roussos","year":"2000","journal-title":"Annu Rev Public Health"},{"issue":"(5 Suppl 4","key":"pone.0289149.ref056","doi-asserted-by":"crossref","first-page":"S309","DOI":"10.1016\/j.amepre.2012.06.024","article-title":"Evaluation of physical projects and policies from the Active Living by Design partnerships.","volume":"43","author":"KR Evenson","year":"2012","journal-title":"Am J Prev Med."},{"issue":"1","key":"pone.0289149.ref057","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/jrh.12087","article-title":"A controlled community-based trial to promote smoke-free policy in rural communities.","volume":"31","author":"EJ Hahn","year":"2015","journal-title":"J Rural Health"},{"issue":"1_suppl","key":"pone.0289149.ref058","doi-asserted-by":"crossref","first-page":"53s","DOI":"10.1177\/1090198119864078","article-title":"The Washtenaw ID Project: A government-issued id coalition working toward social, economic, and racial justice and health equity.","volume":"46","author":"AMW LeBr\u00f3n","year":"2019","journal-title":"Health Educ Behav."},{"issue":"2","key":"pone.0289149.ref059","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1001\/jamapediatrics.2013.4009","article-title":"Youth problem behaviors 8 years after implementing the communities that care prevention system: a community-randomized trial","volume":"168","author":"JD Hawkins","year":"2014","journal-title":"JAMA Pediatr"},{"issue":"9","key":"pone.0289149.ref060","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1001\/archpediatrics.2009.141","article-title":"Results of a type 2 translational research trial to prevent adolescent drug use and delinquency: a test of Communities That Care.","volume":"163","author":"JD Hawkins","year":"2009","journal-title":"Arch Pediatr Adolesc Med."},{"issue":"2","key":"pone.0289149.ref061","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s11121-009-0161-x","article-title":"Effects of the Communities That Care model in Pennsylvania on 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