Step-By-Step Guide to Using Evidence-Based Approaches

It can become overwhelming to think about everything it takes to integrate evidence-based approaches into program and service delivery. Using a framework to integrate these evidence-based approaches, step-by-step, can make this process easier.

There are many implementation frameworks out there. Healthy Teen Network most often uses Getting to Outcomes® (GTO) as a framework for integrating evidence-based approaches into providing programs, supports, and strategies to promote the health and well-being of youth and young adults. Another example of a framework is  the CHAMPSS Model

Researchers at RAND and the University of South Carolina co-developed GTO initially to address substance abuse prevention. Subsequently, the model has been applied to a range of areas, such as teen pregnancy (Ten Steps to Promoting Science-Based Approaches [PSBA] to Teen Pregnancy Prevention Using GTO) and youth development (GTO with Developmental Assets). Research has demonstrated that agencies that use GTO are better able to carry out their services than those who do not. It is a framework that transcends a particular field, making it an ideal systematic framework for program implementation.

Healthy Teen Network introduced Centers for Disease Control and Prevention, Division of Reproductive Health (CDC DRH) Project Officers to GTO and played a catalytic role in persuading DRH to adopt GTO as its teen pregnancy prevention program implementation science framework. GTO offered a value-added component to integrate evidence-based approaches, improve quality, and strengthen capacity of all grantees and their local partners.

Whether you’re using GTO or another framework, you’ll probably find many similarities. GTO isn’t truly something new…you’re probably already doing many of the steps…rather, GTO is one example of a framework that provides an organized, clear, and systematic approach for developing, planning, implementing, evaluating, and sustaining our work.

Getting to Outcomes® (GTO)

Getting to Outcomes, or GTO, is a framework that takes the details of selecting, implementing, and evaluating a program and lays it out in 10 steps. It may seem like a lot at first, but most organizations already do most of these steps. GTO is an easy to follow process that helps make sure you cover all of your bases, so you can demonstrate your success while planning for sustainability.

The Evidence-Based Resource Center is organized around the 10 Steps:

Check out this helpful infographic, developed by RAND, on the 10 steps of GTO, proven to lead to better programs.

The GTO process uses widely held evidence-based approaches, or best practices, and was originally developed by Abraham Wandersman, Matthew Chinman, Pamela Imm, and Shakeh Kaftarian, and has since been used successfully in a number of public health areas.


The GTO framework helps you to select, implement, and evaluate your evidence based or innovative program so it can be sustainable.


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