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