Comprehensive Evaluation of a Community Coalition: A Case Study of Environmental Tobacco Smoke Reduction

Mary E. Cramer, Keith J. Mueller, Dianne Harrop

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Community coalitions have become an increasingly popular means for addressing community health issues, yet evaluating their effectiveness and performance has presented formidable challenges. To meet the community's need for health program evaluation, public health nurses will need to become better prepared to deal with the complexities of evaluating coalitions and their multifaceted organizational structures. This article presents the methodology and conceptual framework, Targeting Outcomes of Programs (TOP), used to evaluate the performance and impact of a local community coalition. The case study offered here focuses on a tobacco-prevention coalition composed of 15 public and private agencies and their 121 activities. The TOP evaluation model provided the coalition with formative evaluation, needed to improve the coalition's on-going program delivery, and summative evaluation, needed for annual reviews of the coalition's effectiveness and impact in the community. The methodological approach and instrument presented here provide the public health nurse with a solid conceptual framework for approaching such a task.

Original languageEnglish (US)
Pages (from-to)464-477
Number of pages14
JournalPublic Health Nursing
Issue number6
StatePublished - Nov 2003


  • Community coalition
  • Evaluation
  • Tobacco

ASJC Scopus subject areas

  • General Nursing
  • Public Health, Environmental and Occupational Health


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