In conclusion, the steps used to build the QACAP provided and effective structure to create and assess the coalition activities. Key contributors of this coalition success included: partners’ time to building trust and developing a sufficient understanding of local issues, high interest of the community members, the partners’ flexibility, the capitalization on partners’ strengths, and the shared decision building process. The development of research questions for future prevention projects will be more successfully accepted, having greater potential for impact, when they are both community and data driven. Effective community-academic partnerships are critical to this end.