4Gap 4: Evidence to Scale

The Translation Gap

THE PATTERN

You already have the evidence base. Nurse-Family Partnership, KIPP, GreenLight Fund—the proof points exist. The 17-year gap between evidence and adoption is not about proof. It is about systems.

17yr

RCT to practice translation time

The average time from randomized controlled trial evidence to field practice in the US is 17 years. 86% of proven interventions never make it to scale at all. The evidence-to-practice pipeline is the longest, leakiest funnel in social impact.

WHY IT HAPPENS

The translation gap exists because proof and scaling require fundamentally different capabilities. Academic researchers optimize for statistical significance. Scaling requires operational infrastructure, political will, funding continuity, and workforce development. These are different skills, different teams, different timelines.

Who's Closing This Gap

Nurse-Family Partnership

One of the rare social programs to achieve population scale (200K+ families annually). 15 years from evidence to 40+ state adoption through rigorous evidence building and systematic replication.

15 years from first RCT to 40+ state adoption - they got there by building systems, not just proof.

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YOUR MOVE

For your impact strategy, investing in translation infrastructure is where proven evidence becomes population-level change.

And the cycle begins again. Where does the next dollar flow?

Continue to Gap 1: Needs to Funding

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