Effective coalition building requires coordination, collaboration, and involvement of diverse community partners from the beginning. FIGH aimed to build coalitions and develop leaders through health systems work by creating an adult coalition and a separate youth leadership development program, which empowered individuals, engaged the community, and advocated for a healthier coalition for underserved communities.

Southern Nevada Health District developed improved data collection, disaggregation, and tobacco use surveillance efforts through community partnerships in order to inform policy and program change for priority populations of interest. The Tobacco Control Program is working to use this data analysis and information to create a safe, culturally and linguistically tailored quitline and cessation protocols for the NH/PI community.

CPACS formed a youth task force to advocate for tobacco policy change through work with policymakers, partnerships with national nonprofits, and the local tobacco control GATE coalition. Engaging youth in policy initiatives allowed for greater community support for smoke-free ordinance passage and legislative change.

APPEAL adapted the transtheoretical model into a framework for analyzing community readiness for policy change. APPEAL employs the community readiness model to help communities identify and evaluate priority areas of focus to develop policy strategies to change social norms.

APPEAL developed a framework for engaging communities in policy change from identifying policy champions for leadership development to coordinating collaborative efforts with priority populations. The model targets 4 levels of policy change to reduce and eliminate health disparities within communities.

A leadership training institute in MN created infrastructure for policy change through application of the APPEAL leadership model. This case study demonstrates how building community capacity for leadership in tobacco control requires tailored approaches and priority population input for social change.

APPEAL created a leadership model that integrates health equity into community programming and policy change to address upstream factors that impact social determinants of health. APPEAL leverage s this model to develop tailored interventions and policy in its collaborative efforts with community and state partners to provide appropriate technical assistance and training content.