Accelerating the Science and Practice of Bridging Research and Practice: Via Accountability Science The research–practice gap remains a persistent chasm: “If we keep on doing what we have been doing, we will keep on getting what we have been getting.” Despite progress, the science of how to bridge this gap has been underdeveloped. The Interactive Systems Framework for Dissemination and Implementation (ISF), originally developed with CDC and updated as ISF 2.0 (Wandersman et al., 2024), provides a pathway to diagnose barriers and accelerate progress toward outcomes. ISF 2.0 connects:
ISF 2.0 is strengthened by the Getting To Outcomes (GTO) approach, a rigorously tested accountability model that structures decision-making and improves results. GTO reframes accountability as a scientific process rather than a compliance exercise. It demonstrates that evidence-based interventions are necessary but not sufficient for achieving outcomes in complex settings. By integrating GTO, ISF 2.0 aligns funders, researchers, practitioners, delivery organizations, technical assistance providers, and consumers within one framework. It also incorporates the readiness heuristic (R = Motivation × Innovation-Specific Capacity × General Capacity → R=MC²), offering a practical method for understanding how accountability processes activate motivation and capacity for implementation. Positioning accountability as a central organizing principle transforms the research–practice gap into a testable, improvable process. This shift enables psychology and implementation science to accelerate progress, reduce inefficiencies, and improve the equity and effectiveness of services delivered to communities. A science of accountability can thus serve as a unifying principle across interrelated domains, bridging evidence, support, and delivery systems to produce real-world outcomes.
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In 2025, the PIRE sustainability team in partnership with the Wandersman Center completed a sustainability readiness strategy (SRS) for organizations interested in sustainment of healthcare evidence-based interventions (EBIs) after initial funding has ended. The SRS is an evidence-informed strategy that includes three evidence-based components: (1) a logic model with documented evidence of the connection between readiness and sustainability, (2) an adapted Getting to Outcomes® (GTO) process model, and (3) online coaching considered necessary to support SRS implementation. Five support system resources are a detailed Toolkit, interactive Excel™ Tools, a Coaching Guide, an Evaluation Guide, and a Training for Coach and Training on Excel™ Tool Use. A landing page that can be accessed through the following link presents an overview of (and links to) the five SRS support system resources: A Strategy to Sustain Healthcare EBIs (PIRE, 2025).
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