Community Coalition Action Theory


As part of the Strengthening and Sustaining Ohio’s Suicide Prevention Coalitions Initiative, five coalitions across Ohio received funding to study and apply the Community Coalition Action Theory (CCAT) to enhance the efforts of their coalitions.

Coalitions Funded in 2020

  • Ashtabula County Suicide Prevention Coalition
  • Butler County Suicide Prevention Coalition
  • Clermont County Suicide Prevention Coalition
  • Franklin County Suicide Prevention Coalition
  • River Hills Prevention Connection (Lawrence County)

Community Coalition Action Theory (CCAT) by Butterfoss & Kegler, 2002

In 2002, two community-based researchers described the critical elements of effective data-driven, action-oriented, community-based groups (e.g., coalitions, consortium, HUBs). In the chapter, they explain the importance of the elements and offer applied examples of how they work.

Book Chapter

Butterfoss, F. D., & Kegler, M. C. (2002). Toward a comprehensive understanding of community coalitions: Moving from practice to theory. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for improving public health (pp. 157-193). San Francisco: Jossey-Bass.

Constructs, Propositions, and Visual Model

The link below includes a two-page reference sheet from a course taught by the American College Health Association. It includes a table of the constructs and propositions from Butterfoss & Kegler’s book chapter (2002) and a visual depiction of the model.

Note: Butterfoss & Kegler updated their book chapter in 2009. We utilize the earlier version of the chapter (2002) to better align with the collaborative nature of planning and assessment in Ohio communities.

Introduction Video on the CCAT Model

This video describes the Community Coalition Action Theory Model (Butterfoss & Kegler, 2002). It is the backbone for the independent Study Group Process created by Ohio University’s Voinovich School of Leadership and Public Affairs and the Pacific Institute for Research and Evaluation.

Independent Study Group Process

The Independent Study Group Process for coalitions outlines six steps for coalitions to use when clarifying their operational structures and relationships. Below, you will find the downloadable resources for the co-facilitators and study group members for each step of the process.

Step 2: Studying the CCAT Model

Study Group Member Downloads



Co-Facilitator Downloads




Step 5: Develop a CCAT Graphic

Co-Facilitator Downloads



Step 6: Present Your CCAT Process

Coming Soon!

Completed CCAT Narratives and Graphics