Table 3 Anticipated adaptations to Getting To Outcomes (GTO)
FRAME specifications | GTO | GTI |
|---|---|---|
Context | ||
Setting | Community organizations | Healthcare settings |
Personnel | Community workers/organizers | Healthcare workers and leaders |
Population | At-risk populations in community | Patients not receiving evidence-based care |
Format | Manual with tools and extensive resources | Shorter manual with more narrow focus on implementation strategies |
Content | ||
Substitution | Evidence-based intervention | Implementation strategy bundle |
Tailoring | Designed to help community organizations choose interventions and apply them in their setting | Designed to help clinicians choose implementation strategies to increase adherence to evidence-based practices—examples tailored based on the clinical setting and problem |
Packaging | Manual with tools and extensive resources | Shorter manual with more narrow focus on implementation strategies |
Spreading | Problem identification | Divided into two steps: (1) identifying the gaps in care and goals; (2) identifying implementation barriers and facilitators |
Condensing | Evaluation of intervention and implementation (separate steps) Modifying the program or practice and assessing capacity to implement (separate steps) | Condensed into one evaluation step |
Training/evaluating | ||
Training | Staff with no prior experience in program management are trained over a week | Experienced facilitators will be trained in two 3-h sessions |