Couple and family relationships are central in processes of substance use and gambling disorders, yet they remain inadequately researched and marginally addressed in services found in the health system. Multiple barriers exist that favour a focus on the individual due to organization structure and discourse, shortage of couple therapy training, and values and philosophy of addiction services. This article describes a successful strategic initiative to foster a partnership for researchers and health system decision-makers to promote a health system change. We identify impactful factors in a two-day integrated knowledge translation workshop bringing together practitioners, researchers, decision-makers and couples seeking services for gambling and substance use disorders. The initiative shifted awareness of decision-makers, built a network of collaborative relationships and created a consensus for action among stakeholders. This early integrated knowledge translation strategy opened up research partnership on a couple therapy randomized trial in the health system, training for counselors, and research opportunities for graduate students.

中文翻译：

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物质使用和赌博障碍的夫妻治疗：促进卫生系统变革

夫妻和家庭关系是药物滥用和赌博障碍过程的核心，但它们仍然没有得到充分研究，并且在卫生系统中发现的服务中很少得到解决。由于组织结构和话语、缺乏夫妻治疗培训以及成瘾服务的价值观和理念，存在多种有利于关注个人的障碍。本文描述了一项成功的战略举措，旨在为研究人员和卫生系统决策者建立伙伴关系以促进卫生系统变革。我们在为期两天的综合知识翻译研讨会中确定了影响因素，该研讨会汇集了寻求赌博和药物滥用障碍服务的从业者、研究人员、决策者和夫妇。该倡议改变了决策者的意识，建立合作关系网络，并在利益相关者之间达成行动共识。这种早期的综合知识翻译策略在卫生系统中的夫妻治疗随机试验、辅导员培训和研究生研究机会方面开辟了研究合作伙伴关系。