SC Campaign to Prevent Teen Pregnancy, 1331 Elmwood Avenue, Suite 140, Columbia, SC 29201, USA.
Am J Community Psychol. 2012 Dec;50(3-4):370-85. doi: 10.1007/s10464-012-9531-9.
Getting To Outcomes (GTO), an innovative framework for planning, implementing, evaluating, and sustaining interventions has been shown to be effective in helping community-based organizations (CBOs) introduce science-based approaches into their prevention work. However, the Interactive Systems Framework (ISF) suggests that adopting innovations like GTO requires a significant amount of capacity building through training and technical assistance (T/TA). In this study, 11 CBOs and three schools in South Carolina entered into a 3 year program of intense and proactive T/TA based on the ISF to learn how to apply an adaptation of GTO (Promoting Science-Based Approaches-Getting To Outcomes, PSBA-GTO) to their teen pregnancy prevention programs. Using semi-structured interviews, the partnering organizations were assessed at three points in time, pre-T/TA, 12 months, and post T/TA (30 months) for their performance of the steps of GTO in their work. The seven organizations which participated in T/TA until the end of the project received an average of 76 h of TA and 112 h of training per organization. Interview results showed increased performance of all 10 steps of PSBA-GTO by these organizations when conducting their teen pregnancy programs. These results suggest targeted and proactive T/TA can successfully bridge the gap between research and practice by using a three part delivery system, as prescribed in the ISF, which relies on an intermediary prevention support system to ensure accurate and effective translation of research to the everyday work of community-based practitioners.
获得成果（GTO）是一种用于规划、实施、评估和维持干预措施的创新框架，已被证明在帮助社区组织（CBO）将基于科学的方法引入其预防工作方面非常有效。然而，交互式系统框架（ISF）表明，采用像 GTO 这样的创新需要通过培训和技术援助（T/TA）进行大量的能力建设。在这项研究中，南卡罗来纳州的 11 个 CBO 和 3 所学校参与了一个为期 3 年的强化和积极的 T/TA 计划，该计划基于 ISF 学习如何将 GTO 的改编版（促进基于科学的方法-获得成果，PSBA-GTO）应用于他们的青少年怀孕预防计划。使用半结构化访谈，在三个时间点评估参与合作的组织，在 T/TA 之前、12 个月和 T/TA 之后（30 个月），评估他们在工作中实施 GTO 步骤的表现。参加 T/TA 直到项目结束的 7 个组织平均每个组织接受了 76 小时的 T/TA 和 112 小时的培训。访谈结果显示，这些组织在进行青少年怀孕项目时，PSBA-GTO 的所有 10 个步骤的表现都有所提高。这些结果表明，通过使用 ISF 规定的三部分交付系统，即依靠中介预防支持系统来确保准确有效的将研究转化为社区基层实践者的日常工作，可以有针对性地和积极地进行 T/TA，成功弥合研究与实践之间的差距。
