Taha Sheena, Wood Shea, Sondagar Chandni, Helis Eftyhia, Payer Doris, Hernandez-Basurto Miguel
Canadian Centre on Substance Use and Addiction, 500 - 75 Albert St., Ottawa, ON, K1P 5E7, Canada.
Health Res Policy Syst. 2025 Apr 2;23(1):41. doi: 10.1186/s12961-025-01313-z.
The Canadian Centre on Substance Use and Addiction (CCSA) has a mandate to provide national leadership in evidence-informed analysis and knowledge mobilization to advance solutions that reduce substance-related harms. Doing this work effectively requires an understanding of the needs, priorities, perspectives and ideologies of multiple groups. Partnerships across various sectors support a full understanding and acknowledgement of the systems that create differential health outcomes for individuals and communities. CCSA has developed an integrated knowledge mobilization model to guide our work in supporting better substance use health outcomes. Our model begins by understanding the context a particular need (for example, research question and practice improvement) is occurring within. This involves engaging key partners with multiple viewpoints to understand the current situation, constraints and opportunities, including barriers to care, social and structural determinates of health and community strengths and assets. Based on this, the steps that follow involve determining the appropriate action and CCSA's unique role to respond in alignment with partner and community priorities to advance solutions within the given context. This leads to an iterative process of generating and mobilizing knowledge. This integrated and collaborative approach ensures that responses are relevant to the identified knowledge gap, that recommendations reflect partners' realities and that our efforts will achieve impact while minimizing the risk of harm. Through an iterative process of generating and mobilizing knowledge (for example, supporting the scale and spread of innovations, developing new tools and generating or tailoring evidence for a specific audience/context/substance/setting, among others), outputs such as increased awareness, knowledge, use of information and strengthened capacity occur. Together, these efforts contribute to the outcome of a healthier society for people living in Canada, where multiple forms of evidence advance substance use health. Meaningful engagement of partners and evaluation of our efforts are ingrained throughout the model to ensure our work has the intended effects. We share our approach for the consideration of other organizations (in the space of substance use health and otherwise) to engage partners in the development of evidence and other resources that can drive impactful programs, practice and policy.
加拿大物质使用与成瘾中心（CCSA）的使命是在基于证据的分析和知识传播方面发挥全国性领导作用，以推动减少与物质相关危害的解决方案。有效地开展这项工作需要了解多个群体的需求、优先事项、观点和意识形态。跨部门的伙伴关系有助于全面理解和认识那些给个人和社区带来不同健康结果的系统。CCSA已开发出一种综合知识传播模式，以指导我们在支持改善物质使用健康结果方面的工作。我们的模式首先要了解特定需求（例如，研究问题和实践改进）所处的背景。这包括与持有多种观点的关键合作伙伴合作，以了解当前状况、制约因素和机会，包括护理障碍、健康的社会和结构决定因素以及社区的优势和资产。在此基础上，后续步骤包括确定适当的行动以及CCSA在与合作伙伴和社区优先事项保持一致方面应发挥的独特作用，以便在给定背景下推动解决方案。这导致了一个生成和传播知识的迭代过程。这种综合协作方法确保应对措施与已识别的知识差距相关，建议反映合作伙伴的实际情况，并且我们的努力将产生影响，同时将危害风险降至最低。通过生成和传播知识的迭代过程（例如，支持创新的推广和传播、开发新工具以及为特定受众/背景/物质/环境等生成或定制证据等），会产生提高认识、知识、信息使用和增强能力等成果。这些努力共同促成了一个对加拿大民众更健康的社会的成果，在这个社会中，多种形式的证据推动物质使用健康的改善。合作伙伴的有意义参与以及对我们工作的评估贯穿于整个模式之中，以确保我们的工作产生预期效果。我们分享我们的方法，供其他组织（在物质使用健康领域及其他领域）参考，以便让合作伙伴参与到证据及其他资源的开发中，从而推动有影响力的项目、实践和政策的实施。
