Objective: To identify successful coalition practices using qualitativ
e data and a case study design. Methods: Bracket sampling was used to
select two of six rural coalitions that varied on several intermediate
outcomes. Qualitative data obtained from focus groups with the core m
embership of the two coalitions were contrasted. Results: Differences
between the positive and negative case were found on decision making f
or health promotion activities, scope of health problems and populatio
ns addressed, methods for encouraging community participation, benefit
s and costs of membership, and approach to coalition institutionalizat
ion. Conclusions: Prescriptions for improving coalition practice are p
resented and discussed.