The Collective Impact Model and Its Potential for Health Promotion: Overview and Case Study of a Healthy Retail Initiative in San Francisco

As resources for health promotion become more constricted, it is increasingly important to collaborate across sectors, including the private sector. Although many excellent models for cross-sector collaboration have shown promise in the health field, collective impact (CI), an emerging model for cre...

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Bibliographic Details
Published in:Health education & behavior 2015-10, Vol.42 (5), p.654-668
Main Authors: Flood, Johnna, Minkler, Meredith, Lavery, Susana Hennessey, Estrada, Jessica, Falbe, Jennifer
Format: Article
Language:English
Subjects:
Advertising
California
Case Studies
Change Strategies
Coalitions
Commerce - standards
Community
Community Action
Community Involvement
Community Relations
Community-Based Participatory Research - methods
Cooperative Behavior
Cooperative Planning
Focus Groups
Food
Full Articles
Health Behavior
Health Promotion
Health Promotion - organization & administration
Humans
Immigrants
Intervention
Interviews
Models, Theoretical
Neighborhoods
Nutrition
Nutritional Status
Poverty
Program Development
Program Effectiveness
San Francisco
Smoking
Social policy
Tobacco Use Cessation - methods
Urban Areas
Youth Programs
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Summary:As resources for health promotion become more constricted, it is increasingly important to collaborate across sectors, including the private sector. Although many excellent models for cross-sector collaboration have shown promise in the health field, collective impact (CI), an emerging model for creating larger scale change, has yet to receive much study. Complementing earlier collaboration approaches, CI has five core tenets: a shared agenda, shared measurement systems, mutually reinforcing activities, continuous communication, and a central infrastructure. In this article, we describe the CI model and its key dimensions and constructs. We briefly compare CI to community coalition action theory and discuss our use of the latter to provide needed detail as we apply CI in a critical case study analysis of the Tenderloin Healthy Corner Store Coalition in San Francisco, California. Using Yin's multimethod approach, we illustrate how CI strategies, augmented by the community coalition action theory, are being used, and with what successes or challenges, to help affect community- and policy-level change to reduce tobacco and alcohol advertising and sales, while improving healthy, affordable, and sustainable food access. We discuss the strengths and weaknesses of CI as a framework for health promotion, as well as the benefits, challenges, and initial outcomes of the healthy retail project and its opportunities for scale-up. Implications for health promotion practice and research also are discussed.
ISSN:1090-1981
1552-6127
DOI:10.1177/1090198115577372