Table 2

Getting To Outcomes accountability questions

Accountability questionsWhat's addressed in each GTO stepRelevant literature
Step #1: What are the underlying needs and conditions to address? (NEEDS)Provides information about conducting a needs and resource assessment and links to additional resourcesNeeds assessment; resources assessment
Step #2: What are the goals, priority populations and objectives (ie, desired outcomes)? (GOALS)Provides worksheets for defining priority populations and creating realistic and measurable goals and objectivesGoal setting
Step #3: Which science- (evidence-) based models and best practice programmes can be useful in reaching the goals? (BEST PRACTICES)Overviews evidence-based programming and what works in prevention and treatment across various domains (eg, individual, family, peer, school and community) and provides links to the evidence-based programme literatureScience and best practices
Step #4: What actions need to be taken so the selected programme fits the community context? (FIT)Prompts readers to review the characteristics of existing programmes and priority populations to reduce duplication and facilitate collaboration with other area programmesCollaboration; cultural competence
Step #5: What organisational capacities are needed to implement the programme? (CAPACITY)Prompts readers to assess several aspects of organisational capacity or the resources the organisation possesses to direct and sustain a programmeCapacity building
Step #6: What is the plan for this programme? (PLANNING)Presents information and worksheets for key planning elements such as an implementation timeline, assignments of responsibility, needed and available resources and locations for activitiesPlanning
Step #7: How will the quality of programme and/or initiative implementation be assessed? (PROCESS EVALUATION)Provides information and several tools to assist practitioners in assessing which activities were implemented, the quality of the implementation and the strengths and weaknesses of the implementationProcess evaluation
Step #8: How well did the programme work? (OUTCOME EVALUATION)Presents outcome evaluation and a basic framework for measurement; several evaluation designs; brief overviews of quantitative and qualitative methods and topics, including sample size, timing of assessments, informed consent, confidentiality and anonymity, data storage and establishing benchmarksOutcome and impact evaluation
Step #9: How will Continuous Quality Improvement (CQI) strategies be incorporated? (CQI)Prompts practitioners to reassess Questions 1–8 after completing the programme to assess and derive feedback evaluation information about planning, implementation and outcomes to improve the programmeTotal quality management; continuous quality improvement
Step #10: If the programme is successful, how will it be sustained? (SUSTAIN)Presents several factors that practitioners should consider when attempting to sustain an effective programme: (a) ‘buy-in’, (b) effectiveness, (c) diversity of funding, (d) staff training, (e) presence of a programme champion and (f) political capital of the programmeSustainability and institutionalisation