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From Formation to Action: How Allies Against Asthma Coalitions Are Getting the Job Done

Consortium for Infant and Child Health (CINCH), Center for Pediatric Research at Eastern Virginia Medical School in Norfolk, Virginia

Lisa A. Gilmore, MBA, MSW

National Capital Asthma Coalition in Washington, D.C.

James W. Krieger, MD, MPH

King County Allies Against Asthma program of the King County Asthma Forum (KCAF), University of Washington, Public Health—Seattle and King County in Seattle, Washington

Laurie L. Lachance, PhD, MPH

Center for Managing Chronic Disease, University of Michigan in Ann Arbor, Michigan

Marielena Lara, MD, MPH

Alianza Contra el Asma Pediátrica en Puerto Rico (ALIANZA) and the UCLA/RAND Program Latino Children with Asthma, UCLA Department of Pediatrics, and RAND Health in Santa Monica, California

John R. Meurer, MD, MBA

Fight Asthma Milwaukee Allies (FAM Allies) Medical College of Wisconsin in Milwaukee, Wisconsin

Carlyn E. Orians, MA

Allies Against Asthma, Battelle Centers for Public Health Research and Evaluation in Seattle, Washington

Jane W. Peterson, PhD, RN

King County Allies Against Asthma program of the King County Asthma Forum (KCAF), Seattle University College of Nursing in Seattle, Washington

Shyanika W. Rose, MA

Allies Against Asthma, Battelle Centers for Public Health Research and Evaluation in Durham, North Carolina

Michael P. Rosenthal, MD

Philadelphia Allies Against Asthma (PAAA), Department of Family and Community Medicine at the Jefferson Medical College of Thomas Jefferson University in Philadelphia, Pennsylvania

Coalitions develop in and recycle through stages. At each stage (formation, implementation, maintenance, and institutionalization), certain factors enhance coalition function, accomplishment of tasks, and progression to the next stage. The Allies Against Asthma coalitions assessed stages of development through annual member surveys, key informant interviews of 16 leaders from each site, and other evaluation tools. Results indicate all coalitions completed formation and implementation, six achieved maintenance, and five are in the institutionalization stage. Differences among coalitions can be attributed to their maturity and experience working within a coalition framework. Participants agreed that community mobilization around asthma would not have happened without coalitions. They attributed success to being responsive to community needs and developing comprehensive strategies, and they believed that partners’ goals were more innovative and achievable than any institution could have created alone.

Key Words: asthma • coalition • coalition formation • coalition development

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