Knowledge mobilization (KMb) can be defined as a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen the health care system (CIHR). Here at INTREPID Lab (formerly Nicotine Dependence Service), we have pursued knowledge mobilization comprehensively, and our KMb products can be explored further below.
▥ Knowledge Synthesis
▣Evaluating Scale-up Initiatives
▦ Theories & frameworks which guide our work
We summarize research evidence to make it easy to understand what is already known in a given area and what the knowledge gaps are. Read below to see our list of various knowledge synthesis outputs:
Network of information, resources and support for pregnant and postpartum individuals to support reducing or quitting smoking
Collection of resources
| Prevention of Gestational and Neonatal Exposure to Tobacco Smoke (PREGNETS) is a resource for pregnant and postpartum individuals and their health care providers to reduce smoking, quit, and stay quit. Please note as of 2017, Pregnets' network has been inactive. All information found on this site is meant to provide information for self-support. |
Developed guidelines for health care practitioners looking to treat their patients' commercial tobacco dependence
Guidelines
| The Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment (CAN-ADAPTT) was a practice-based research network facilitating research and knowledge exchange among providers, researchers and policy makers in tobacco cessation. |
Lower Risk Nicotine Use Guidelines
Guidelines
| These guidelines share the current state of evidence on tobacco and other nicotine products, including e-cigarettes. |
Collaboratively created, culturally relevant toolkits for Indigenous groups
Toolkits
| IT’S TIME toolkits provide community workers, community members, and others with culturally relevant commercial tobacco reduction/cessation tools. IT'S TIME is a model of collaboration and integration between evidence-based reduction/cessation resources, and Indigenous ways of learning and knowing. |
A realist review, synthesizing evidence from diverse sources, to understand what factors are associated with effective multiple health behaviour change
Research paper
| The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome. |
Evaluating Scale-up Initiatives
We evaluate different knowledge translation strategies to see how effective they are to facilitate the adoption and scale up evidence-based practices. Read below to see our list of various scale-up initiatives:
| Clinical Decision Support Systems |
COMBAT - Combined Alcohol and Tobacco Use: Tobacco use is significantly associated with cancer risk; smokers that drink alcohol above recommended low-risk guidelines are at greater risk of developing certain types of cancer. The COMBAT study aims to test the effectiveness of a web-based clinical decision support system (CDSS) to enable primary health care providers in the
Smoking Treatment for Ontario Patients (STOP) Program to address risky alcohol consumption among adult smokers making a quit attempt.
PACE - Promoting and Accelerating Change through Empowerment project: a 6-year project that used innovative technological approaches and resources to support both healthcare practitioners and patients to address smoking cessation, vaping and e-cigarette use, and health behaviors like physical activity and healthy eating.
| COMBAT
- A method for co-creation of an evidence-based patient workbook to address alcohol use when quitting smoking in primary care: a case study -
Link to paper
- The effect of a clinical decision support system on prompting an intervention for risky alcohol use in a primary care smoking cessation program: a cluster randomized trial -
Link to paper
- Computerized CDSS for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex‐Based Secondary Analysis of a Cluster Randomized Trial -
Link to paper
- Integrating a brief alcohol intervention with tobacco addiction treatment in primary care: qualitative study of health care practitioner perceptions -
Link to paper
Research paper
PACE
- Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: a rapid realist review -
Link to paper
- Impact of a Web-Based Clinical Decision Support System to Assist Practitioners in Addressing Physical Activity and/or Healthy Eating for Smoking Cessation Treatment: Protocol for a Hybrid Type I Randomized Controlled Trial - Link to paper
- Co-designing Behavior Change Resources With Treatment-Seeking Smokers: Engagement Events' Findings - Link to paper
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The Impact of a Clinical Decision Support System for Addressing Physical Activity and Healthy Eating During Smoking Cessation Treatment: Hybrid Type I Randomized Controlled Trial - Link to paper
Research paper
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| Conversational agent | We have two different chatbot studies, one being a motivational interviewing chatbot to support smoking cessation. The primary goal of this study is to design, train, and test an automated MI-based chatbot capable of eliciting reflection in a conversation with cigarette smokers.
The other project currently underway is to develop a chatbot whose purpose is to help improve varenicline adherence in patients.
| Engaging Unmotivated Smokers to Move Toward Quitting: Design of Motivational Interviewing–Based Chatbot Through Iterative Interactions -
Link to paper
Research paper
Ongoing project to co-create a conversational agent for varenicline treatment adherence - Link to project information
Research grant |
|
Knowledge Broker vs Email | This study evaluated the effectiveness of generalised, exclusively email-based prompts versus a personalised remote knowledge broker for delivering evidence-based mood management interventions within an existing smoking cessation programme in primary care settings.
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Mood management
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Tailored Versus Generic Knowledge Brokering to Integrate Mood Management Into Smoking Cessation Interventions in Primary Care Settings: Protocol for a Cluster Randomized Controlled Trial -
Link to paper
- The effectiveness of generic emails versus a remote knowledge broker to integrate mood management into a smoking cessation programme in team-based primary care: a cluster randomised trial -
Link to paper
Research paper |
| Mobile game app to support mental health self-care | With an idea born from the isolation felt during the pandemic, a group of National Research Council researchers, along with CAMH developed the Legend of Evelys game. LOE is a role-playing mobile game with a retro gaming look that will be used to study the effectiveness of video games to guide and support mental health self-care.
| Legend of Evelys mobile game app to support mental health self-care through the pandemic
Resource (mobile game)
Video Game to Attenuate Pandemic-Related Stress From an Equity Lens: Development and Usability Study - Link to paper
Research paper |
Guiding Theories & Frameworks
Our work is guided by several theories, frameworks, and models. Click below to see how we integrate these in our practice at INTREPID:
Interested in learning more about knowledge mobilization at INTREPID Lab?
Contact Dr. Nadia Minian at nadia.minian2@camh.ca for more!