SO FIRST OFF I WOULD JUST LIKE
TO THANK FOR ALL OF OUR
PARTICIPANTS, SPEAKERS TODAY'S
THE PLANNING COMMITTEE WE'RE
EXTREMELY EXCITED ABOUT WORKING
WITH YOU ALL YOU KNOW GETTING TO
KNOW YOU AND GETTING TO
UNDERSTAND YOUR WORK IN THIS
SPACE AND GETTING TO UNDERSTAND
THIS SPACE BETTER, SO THANK YOU.
SECOND, I WANT TO THANK THE TEAM
AND I'M GOING TO TAKE AN
INFORMAL APPROACH AND I WILL ASK
THAT OTHER PEOPLE IF THEY'RE
COMFORTABLE, WE GET TO KNOW EACH
OTHER, THIS IS NOT TO BE SO
RIGID ABOUT TODAY, I KNOW
SOMETIMES ONLINE IT BRINGS UP
MORE OF A RIGID KIND OF
ENVIRONMENT MORE LIKE A TV SHOW,
BUT WE'RE TRYING TO BE AN IMPROV
SHOW, AS CORRELATED POSED TO A
CRYPTED SHOW, SO PLEASE, SHARE,
ASK QUESTIONS, SO I WANT TO
THANK MY CO-ORGANIZERS.
FIRST PAUL BURNS WHO A LOT OF
YOU GOT TO KNOW BETWEEN E-MAILS
BACK AND FORTH AND PAUL'S DONE A
WONDERFUL DRIVE, INTELLECTUAL
DRIVER ON TODAY'S EVENT.
AJAY YADA VA, THEY'RE ALL THE
WAY AND REALLY TRYING TO
UNDERSTAND THIS SPACE IN THE
PORTFOLIO THIS KIND OF SPACE,
UNDERSTAND IT AND REALLY KEEPS
THINGS ON TASK AND THEN MALIA
[INDISCERNIBLE] WHO IS A
WONDERFUL COLLEAGUE AND REALLY
TRIED TO HELP US FILL IN, HOW TO
DO A WORKSHOP, WHAT'S IMPORTANT
IN THIS SPACE, NOT REALLY
UNDERSTAND THE BIG QUESTIONS,
NOT LOSE THE FOREST FOR THE
TREE, SO THANK YOU ALL.
I ALSO WANT TO THANK THE TEAM OF
THE EVENTS TEAM LED BY ROSELYN
HIMLER AND HER COLLEAGUES THAT
HAVE DONE A GREAT JOB AND JUST
ORGANIZING AND A LOT GOES INTO
ONLINE AND THE VIRTUAL WORLD, SO
THANKS TO ALL OF THEM AND YOU'LL
BE INTERACTING WITH THEM ALL
DAY.
SO THANK YOU TO THEM.
THEN I WANT TO THANK THE NHLBI
LEADERSHIP, SPECIFICALLY THE
CITRUS LEADERSHIP FOR THEIR
EPITHELIAL LECTUAL CURIOSITY,
THEIR THOUGHTFULNESS, THEIR
VISION, SPECIFICALLY GEORGE
MENSA, THE DIRECTOR FOR THE
CENTER FOR TRANSLATION RESEARCH
AND IMPLEMENTATION SCIENCE AND
THE CAROL LOUIS, THE DEPUTY
DIRECTOR OF THE SAME CENTER FOR
TRANSLATION RESEARCH AND
IMPLEMENTATION SCIENCE.
THIS IS A LITTLE BIT OUT OF OUR
COMFORT ZONE FOR HEART LUNG AND
BLOOD BUT THEY BOTH APPRECIATE
THE VALUE OF THE ARTS SO THAT
LEADS ME TO A MINUTE OR 2 OF
REMARKS WHICH ARE FOR ME, THE
ARTS ARE A PART OF US, THEY'RE A
PART OF OUR BIOLOGY, I ARE THE
STATE REGULATORRED OFF, I WILL
TELL YOU MYSELF, I TARTED OFF AS
A BIOLOGIST, A BEASK BIOLOGIST,
A PERSON STILL VERY INTERESTED
IN EVOLUTION AND THE ARTS ARE
PART OF OUR EVOLUTION AS HUMANS
SO I THINK THAT'S IMPORTANT TO
KEEP IN MIND THEY'RE INTEGRAL
AND THEY'RE POWERFUL, APPRECIATE
THE POWER OF THE ARTS TO EXPRESS
EMOTION TO CONNECT PEOPLE AND
COMMUNITIES TO TEACH, TO
EDUCATE, THESE ARE IMPORTANT
POWERFUL PARTS OF US, THE ARTS
AND I THINK THAT'S BEEN
APPRECIATED FOR A LONG TIME BUT
MAYBE NOT BY THE SCIENTIFIC
COMMUNITY WHO'S LOOKING FOR DATA
RIGOROUS ANALYSIS BUT OVER THE
RECENT YEARS, THE SCIENTIFIC
COMMUNITY NOW IS ALSO COMING
AROUND IS IT SEEING THAT YOU CAN
DO ANALYSIS AND YOU CAN SHOW
IMPORTANCE OF THE ARTS AND A
VALUE TO US AS INDIVIDUALS, AS
COMMUNITIES, SO THE EVIDENCE IS
COMING IN, SO, NOW WE'RE AT A
REALLY GREAT TIME TO REALLY IN A
THOUGHTFUL AND INTENTIONAL WAY,
TO REALLY MOVE FORWARD WITH
USING THE ART TO IMPROVE HEALTH,
AND TODAY WE'RE GOING TO FOCUS
ON THAT QUESTION AND
SPECIFICALLY CAROL LEWIS IS
GOING TO REALLY KIND OF GET MORE
SPECIFIC.
WE WILL REALLY FOCUS ON HOW TO
USE THAT IN IMPLEMENTATION
DISSEMINATION SCIENCE ISSUES
OTHER THINGS MAY COME UP BUT
THAT'S REALLY THE FOCUS OF OUR
CENTER.
SO HOW DO WE USE, HOW DO WE USE
THE ARTS IN A THOUGHTFUL AND
INVENTIONAL WAY.
I WILL LEAVE YOU WITH THAT
BECAUSE I THINK MY TIME IS OVER
SO I WILL TURN IT OVER TO OUR
NEXT SPEAKERY--
>> I ALSO WANT TO USE THE
OPPORTUNITY TO THANK EACH OF
YOU, WE KNOW THAT YOU'RE VERY
BUSY WITH MULTIPLE COMPETING
PRIORITIES SO IT MEANS A LOT TO
US AT NHLBI AND CITRUS THAT YOU
AGREED TO JOIN US FOR THIS
LEPGHTY WORKSHOP TODAY, THANK
YOU.
I ALSO WANT TO THANK AND
ACKNOWLEDGE MORE THAN A DOZEN
PANELISTS AND EXPERTS WHO WILL
SHARE THE INSIGHTS AND
CHALLENGES ON SUPPORTING
RESEARCH THAT UTILIZES THE ARTS
AS AN IMPLEMENTATION STRATEGY
FOR INSTANCE TO IMPROVE HEALTH
AND WELL BEING FOR ALL WHO MAY
BE STRUGGLING WITH HEART, LUNG
AND BLOOD SLEEP CONDITIONS AND
BEYOND.
WE'RE VERY PROUD OF THE
REMARKABLE MULTIDISCIPLINARY
BACKGROUNDS OF THE PANELISTS WHO
JOINED US TODAY, THEIR RICH
EXPERTISE THEY BRING GIVEN THEIR
EXPERIENCE WITH ARTS FROM A
BROAD RANGE OF SETTINGS AND
AROUND THE WORLD.
SO WE'RE ASKING YOU TO USE
DIVERSE EXPERTISE TO HELP US
IDENTIFY OPPORTUNITIES FOR
ENHANCING LATE STAGE TRANSLATION
RESEARCH THAT LEVERAGES ART FOR
HEART, LUNG AND BLOOD SLEEP
CONDITIONS THE, CITRUS AS YOU
KEEP HEARING US SAY IS THE
CENTER FOR TRANSLATION RESEARCH
AND IMPLEMENT EGGS SCIENCE, IT
IS TRANSLATIONAL RESEARCH TEEJIC
FOCAL POINT THAT'S HEART, LUNG
AND BLOOD INSTITUTE AND WE'RE
RESPONSIBLE FOR ADMIN RECORDS
AND VANCEING RESEARCH THAT
DIRECTLY AS YOU CAN SEE FROM MY
BACKGROUND, WE TURN 10 TYPESET
THIS YEAR AND WE ARE DELIGHTED
TO HEAR ABOUT THAT AND EVIDENCE
OR EVIDENCE BASED PRACTICES TO
COMMUNITIES IN NEED.
LATER DR. KEITH MINTZER, WILL
LAY THE CHARGE FOR THE BREAK OUT
GROUPS AFTER THE KEY NOTE
ADDRESS.
OUR HOPE IS BY THE TIME WE
COMPLETE THIS WORKSHOP, WE WOULD
HAVE ADDRESSED ALL OF THESE
QUESTIONS AND SO, JUST TO GIVE
YOU A LITTLE FORESHADOWING WE
WANT TO LEARN FROM YOU ABOUT
COMPELLING QUESTIONS OR CRITICAL
CHALLENGES TO DOING RESEARCH
RELATED TO ART BASED
INTERVENTIONS THAT MIGHT HAVE
EVIDENCE INDICATING THEY'RE
READY FOR IMPLEMENTATION OR
EXAMPLES OF USING ARTS TO
DISSEMINATE HEALTH KNOWLEDGE
THAT MIGHT BE UNDERUTILIZED OR
READY FOR SCALE OR PROMISING ART
BASED LIMP EMENTATION STRATEGIES
IN MY LEADERSHIP ROLE, I'M
REQUIRED TO REMIND THAT YOU
UNDER THE FEDERAL ADVISORY
COMMITTEE ACT SIGNED INTO LAW IN
1972 OUR WORKSHOP SHOULD NOT BE
CONSTRUED AND THEY ARE NOT
CONSITUTED FOR YOU TO ADVISE
NHLBI OR MAKE RECOMMENDATIONS TO
THE NATIONAL INSTITUTES OF
HEALTH.
SO PLEASE DO FRAME YOUR INSIGHTS
THAT YOU SHARE WITH US AS
CHALLENGES OR AS OPPORTUNITIES
THAT WE CAN EXPLORE,
NONAPOPTOTIC THE AS
RECOMMENDATIONS.
THE OPPORTUNITIES YOU IDENTIFY
WILL PLAY AN IMPORTANT ROLE AS
WE REFRESH OUR NHLBI STRATEGIC
VISION AND OUR CENTERS, SO
STRIS'S TRANSLATIONAL RESEARCH
TEEJIC IMPLEMENTATION PLAN.
WE UNDERSTAND THAT SOME OF YOU
CAN BE NEWER TO THE AREA OF
DISSEMINATION ASK IMPLEMENTATION
SCIENCE AND WE WELCOME ALL NEW
COMERS AND WE CHERISH THESE
OPPORTUNITIES WHERE DIVERSE
BACKGROUNDS COME TOGETHER AND
INSPIRE IDEAS.
SO AS WE COME OUT OF THIS
RESEARCH SPACE, PLEASE FLAG ANY
OF THESE AS GOOD REQUESTEDS AND
PUT A PIN IN THEM SO MODERATORS
CAN HELP TURN THAT SIM SEMESTER
NATION BACK TO THE
IMPLEMENTATION SCIENCE SPACE
WHEREVER POSSIBLE, SO WE'RE
EAGER TO HEAR ABOUT
OPPORTUNITIES TO IMPROVE HEALTH
PATIENT EXPERIENCE BY
INTEGRATING ARTS AND HEGHT CARE,
EXPAND RESEARCH AND INVESTMENT
IN THIS FIELD TO MAXIMIZE THE
POSITIVE IMPACTS OF ARTS IN
HEALTHCARE, STIMULATE INNOVATION
AND ART SPACE, LATE STAGE
TRANSLATION RESEARCH, TWEP
METHOD LOGICAL TOOLS AND
MEASURES TO EVALUATE ART SPACE
INTERVENTIONS, UTILIZE THE ARTS
TO CONTRIBUTE TO HEALTH EQUIT
COMPETENT FOSTER COMMUNITY
ENGAGEMENT AND REDUCE
DISPARITIES BY PROVIDING
CULTURALLY TAILORED PREVENTIVE
CARE AND TREATMENT PROGRAMS.
SO WE'RE DELIGHTED TO HAVE YOU
ALL TODAY, THANK YOU, THANK YOU
FOR TAKING THE TIME TO YOIN US
AND BACK TO YOU KEITH.
>> THANK YOU CARA, SO NOW I HAVE
THE PLEASURE OF INTRODUCING OUR
VIRTUAL SPEAKER AND WE ARE
DELIGHTED.
WE WILL HAVE A VERY SHORT
PRESENTATION BY DR. MARIA
ROSARIO JACKSON WHO IS THE SHARE
OF THE NATIONAL ENDOWMENT FOR
THE ARTS.
SO I'M JUST GOING TO STOP THERE
AND WE ASK START WITH THE
PRESENTATION.
WOOER DELIGHTED TO HAVE THIS
PRE--WE'RE DELIGHTED TO HAVE
THIS PRESENTATION.
>> EXCUSE ME, DOCTOR, I DON'T
THINK SHE'S PRESENT.
>> SHE'S NOT, WE HAVE THE VIDEO.
>> OKAY.
NWE'RE NOT HEARING HER.
>> WE ARE TROUBLE SHOOTING THE
SOUND RIGHT NOW.
HOLD ON 1-SECOND DR. MINTZER.
DO YOU NEED A COUPLE MINUTES?
YOU CAN WORK ON THIS AND WE
COULD HAVE THE KEY NOTE SPEAKER?
WOULD THAT BE GOOD?
NYES, GIVE ME 1-SECOND.
YES, SIR.
SO YES, YOU WOULD LIKE US TO
MOVE ON?
YES, CAN YOU MOVE ON.
>> OKAY, SO AFTER THE KEY NOTE
WE WILL HAVE THE VIDEO, OKAY?
SO IF YOU CAN--ABOUT 40 MINUTES
OR SO.
THANKS.
OKAY, SO WE'RE GOING TO ON TO
OUR KEY NOTE ADDRESS AND TO
INTRODUCE OUR KEYNOTE SPEAKER, I
WILL ASK DR. JULIET
[INDISCERNIBLE] FROM WASHINGTON
UNIVERSITY IN ST. LOUIS TO
INTRODUCE OUR SPEAKER AND SHE
WILL ALSO MODERATE OUR
DISCUSSION AFTERWARDS AND THEN
WE WILL GO BACK TO THE VIDEO.
JULIET?
IS JULIET OFF MUTE?
CAN YOU SPEAK?
>> YES, I COULDN'T UNMUTE MYSELF
BUT NOW I CAN NOW, CAN YOU HEAR
ME?
OKAY.
I GUESS THE VIDEO, TOO, I COULD
GO ON AS WELL, BECAUSE I CAN'T
TAKE MYSELF OFF VIDEO.
THERE WE GO.
HI, GOOD MORNING AND IT'S AN
HONOR AND PLEASURE TO WELCOME
PROFESSOR DAISY FANCOURT, OUR
KEY NOTE SPEAKER TO THIS
WONDERFUL SESSION ON WHY ARTS
MATTER ESPECIALLY FOR THIS
WONDERFUL INSTITUTION THAT WE'RE
HERE TODAY, I'M HOSTING US, SO
DR. DACEY FANCOURT IS A
PROFESSOR OF EPIDEMIOLOGY AND
PSYCHOLOGY AND HEAD OF THE
SOCIAL BEHAVIOR RESEARCH GROUP
AT UCL, DAISY STUDIED AT OXFORD
UNIVERSITY IN KINGS COLLEGE
LONDON BEFORE COMPLETING HER
Ph.D. IN PSYCHONEUROIMMUNOLOGY
AND UNIVERSITY COLLEGE OF LONDON
AND POST DOCTORAL WORK AT THE I
PERRIAL COLLEGE OF LONDON,
ALONGSIDE WORKING IN NHS, HER
RESEARCH FOCUSES ON THE EFFECTS
OF SOCIAL CONNECTIONS AND
BEHAVIORS IN HEALTH INCLUDING
SOCIAL DEFICITS SUCH AS
LONELINESS AND SOCIAL
IZZOALATION AS WELL AS SOCIAL
ASSETS SUCH AS COMMUNITY
ENGAGEMENT, ARTS AND CULTURAL
ACTIVITIES AND SOCIAL
PRESCRIBING.
SOME OF HER TALK ENCLOUDS HER
EXAMPLE,--INCLUDES HER EXAMPLE
WHAT ART ANDS CULTURAL
PARTICIPATION MEANS FOR HEALTH
AND WELL BEING ON A POPULATION
LEVEL AND HOW INEQUALITIES FOR
EXAMPLE, AND ACCESS TO ART COULD
BE ADDRESSED AND THINGS SUCH AS
SOCIAL PRESCRIBING CAN BE USED
TO INTEGRATE HEALTH IN ARTS AND
GENDER, TODAY SHE'S HERE TO TALK
ABOUT ARTISTIC DISCIPLINES TO
PROMOTE HEALTH AND WELL BEING
FOR ALL AND WITHOUT FURTHER ADO,
PLEASE HELP ME WELCOME PROFESSOR
DACEY FANCOURT TO OUR MEETING.
WELCOME.
>> THAIRNG YOU SO EMPLOY, IT WAS
SUCH A PLEASURE TO BE HERE AND I
WAS REALLY STRUCK WHEN KEITH WAS
TALKING ABOUT THE ROLE ARTS OF
PLAYING ACROSS EVOLUTION TO OUR
BEHAVIORS.
I'VE BEEN WORKING IN A SPACE
OVER THISEC DIDDADE MOW AND 1
THING THAT BROUGHTLY INTO THIS
WAS THE REALIZE THAT ART HAS
BEEN IN HUMAN BEHAVIOR SINCE
PAILIO LITHIC TIMES, NOW THERE
ARE FEW THINGS WE DO THAT LAST
THAT LONG WITHOUT SOME REASON
BEHIND THEM AND OVER THE LAST
DECADE MY TEAM AND I HAVE
UNCOVERED INCREDIBLE RESEARCH
AND THIS REALLY BUILDS ON THE
EVIDENT BASES, DEVELOPING MORE
BROADLY ON ARTS AND HEALTH, SO
TODAY I WANT TO SHARE THAT WITH
YOU IN THE IMPLEMENTATION OF
SCIENCE RESEARCH.
SO I WOULD LOVE IT IF WE COULD
SHARE MY SLIDES, PLEASE.
THANK YOU AND THE NEXT SLIDE,
PLEASE.
AS YOU HAD IN MY RESEARCH GROUP,
WE FOCUS MORE BROADLY ON SOCIAL
CONNECTIONS AND BEHAVIOR AND
HEALTH, TRYING TO UNDERSTAND
WHAT KINDS OF BEHAVIORS,
INCLUDING ARTS BEHAVIORS AFFECT
WHICH OUTCOMES, WHAT THE
MECHANISMS OF THIS ARE, WHO
SEEMS TO BENEFIT MOAFORT AND
CHANGE AND SUPPORT PEOPLE AS
ARTS BEHAVIORS, NEXT SLIDE,
PLEASE AND WE CARRY OUT THIS
WORK UNDER 5 PROGRAMS INCLUDING
SPECIFICALLY A PROGRAM ON
CLINICAL TRIAL ANDS
IMPLEMENTATION SCIENCE AS WELL
AS A PROGRAM BASED ON
EPIDEMIOLOGY AND MECHANISTIC
PROGRAMS USING PSYCHOBIOLOGICAL
APPROACHES.
WE ALSO DO A LOT OF BEHAVIORIAL
SCIENCE AND WE UNDERPIN ALL OF
THIS WITH A COMPLEXITY WORK
SCIENCE STREAM DEVELOPING THEORY
AROUND THIS SPACE BUT I WILL
FOCUS REALLY TODAY ON THE
CLINICAL TRIALS IN EPIDEMIOLOGY
WORK THAT WE'VE BEEN DOING OVER
THE LAST FEW YEARS IN RELATION
TO IMPLEMENTATION SCIENCE
ISSUES.
NEXT SLIDE, PLEASE.
BUT FIRST OF ALL WHAT ACTUALLY
IS THE EVIDENCE BASE OF THE
HEALTH IMPACT OF THE ARTS, AND
NEXT SLIDE ISSUES PLEASE.
I PUT UP A LIST HERE OF ACTUALLY
WHAT WE MEAN BY THE ART ANDS
THERE WAS SO MANY DIFFERENT
KINDS OF ACTIVITIES THAT WE'RE
TALKING ABOUT WHEN WE THINK
ABOUT ARTS, INCLUDING THOSE OF
PARTICIPATORY, PEOPLE DOING
THING ANDS TAKING PART IN
ACTIVITIES VERSUS THOSE THAT ARE
MORE RESPEPTIVE SO FOR EXAMPLE,
CULTURAL EVENTS OR HERITAGE OR
DESIGN AND ENVIRONMENT, BUT ALL
OF THESE FALL UNDER THE UMBRELLA
OF ARTS OF ENGAGEMENT AND IF WE
PUT UP THE NEXT SLIDE, I PUT UP
A SLIDE I WROTE FOR THE WORLD
HEALTH ORGANIZATION A FEW YEARS
AGO.
NEXT SLIDE ISSUES PLEASE.
AND WE LOOK AT WHAT THE EVIDENCE
BASE IS OVERALL, I WILL WAIT FOR
THAT SLIDE TO COME UP SO I CAN
SHOW YOU.
THANK YOU.
WE IDENTIFIED OVER 3 AND HALF
THOUSAND RESEARCH PAPERS ON THE
IMPACT OF ART IN HEALTH AND THIS
WAS CARRIED OUT NEARLY 7 YEARS
AGO SO THERE'S A PHENOMENAL
AMOUNT OF WORK THAT'S BEEN DONE.
A LOT OF THAT LOOK AT THE
TREATMENT OF ILLNESS, SO THIS
INCLUDES THINGS LIKE MENTAL
ILLNESS, VARIOUS ACUTE
CONDITIONS WITH LOTS OF
DIFFERENT NONCOMMUNICABLE
DISEASES WHICH INCLUDES A STRONG
FOCUS ON MANY THAT ARE RELEVANT
TO THIS PARTICULAR BRANCH OF NIH
AS WELL, SO STRONG FOCUS ON
CARDIOVASCULAR OUTCOMES,
RESPIRATORY OUTCOMES AND BROAD
ENDOCRINE KNOWLEDGE TOO, BUT 1
THING PEOPLE WANT TO KNOW ABOUT
SO MUCH IS THE ARTS HAVE A
REALLY STRONG ROLE TO PLAY IN
BROADER HEALTH PROMOTION AND THE
PREVENTION OF THE DEVELOPMENT OF
ILLNESS IN THE FIRST PLACE, SO
IN THIS REPORT WE LOOKEDDA THE
THAT VERY BROAD EVIDENT BASE AS
A AND WE'VE ALSO PUBLISHED A
NUMBER OF POLICY BRIEFINGS IN
THE WORLD HEALTH ORGANIZATION
SINCE, MY TEAM AND I HAVE BEEN
DESIGNATED A WORLD HEALTH
ORGANIZATION COLLABORATING
CENTER ON ARTS AND HEALTH SO WE
WORK CLOSELY WITH SOME OF THE
HEAD OFFICES AND SENIOR
DIVISIONS WITHIN W. H. O. AND WE
HAVE EXCITING STUFF COMING UP
LOOKING AT POLICIES DPLOABALLY
THAT COULD SUPPORT ART IN HEALTH
BEHAVIOR, JUST LIKE WE THINK
ABOUT PHYSICAL ACTIVITY, SLEEP,
DIET, TOBACCO, ALCOHOL, PUTTING
THE ARTS IN THE SAME DOMAIN AND
I THINK IT'S AN EXCITING SPACE
AND I AM WELCOMING CONVERSATIONS
LIKE THE 1 WE'RE HAVING TODAY
THAT IS SEEING THE ARTS BEING
GIVEN THE RECOGNITION FROM A
SCIENTIFIC PERSPECTIVE THEY
REALLY SHOULD BE GIVEN NOW AS A
HEALTH BEHAVIOR.
NEXT SLIDE, PLEASE.
SO WHEN I WAS ASKED TO THINK
ABOUT BIG QUESTIONS WITH
IMPLEMENTATION RESEARCH, I COME
UP WITH 6 ISSUE I THOUGHT IT WAS
RELEVANT FOR ME TO TALK ABOUT
TODAY, THIS WILL BE A SUBSET OF
THE DISCUSSIONS WE'RE ABOUT TO
HAVE WHICH IESM REALLY LOOKING
FORWARD TO, BUT I WANTED TO TALK
THROUGH WHAT I THINK THESE BIG 6
ISSUES ARE AND TO DO THIS, I WAS
GOING TO FOCUS ON 2 PROGRAMS OF
WORK, INSTEAD OF CASE STUDIES, 1
OF WHICH IS A SERIES OF CLINICAL
TRIALS THAT WE'VE BEEN UPDATER
TAKING OVER THE PAST 9 YEARS IN
THE UK AND ALSO IN COLLABORATION
WITH THE WORLD HEGHT
ORGANIZATION AND THE OTHER IS A
SERIES OF STUDIES LOOKING MORE
AT PUBLIC HEGHT AND EPIDEMIOLOGY
APROARCHS CHAZ BEEN PART OF A
MULTIYEAR FANTASTIC
COLLABORATION FUNDED BY N. E. A.
NATIONAL ENDOWMENTAR THE ARTS.
SO I WILL USE THESE 2 CASE
STUDIES TO DEMON TRAIT THESE BIG
QUESTIONS, THEY'RE ACTUALLY BOTH
FOCUSED ON MENTAL HEALTH BUT
THIS IS FOR STRATEGIC PURPOSES,
THERE ARE MANY, MANY BROADER
ISSUES I JUST MENTIONED, THE
ARTS ARE RELEVANT FOR HEALTH
OUTCOMES SO THIS IS CRUST TO
GIVE YOU A FLAVOR.
SO THE FIRST THING IS HOW DO WE
ASCERTAIN EFFECTIVENESS PROPERLY
WITH ART SPACE INTERVENTIONS AND
I WOULD SAY THERE ARE 2 MAIN
APPROACHES.
IF YOU CAN GO TO THE NEXT SLIDE,
PLEASE.
THE FIRST OF THESE IS THE VERY
TRADITIONAL RANDOMIZED CONTROL
TYPE APPROACH AND MY TEAM AND I
HAVE DONE A LOT OF THESE ON
VARIOUS HEALTH CONDITIONS THIS,
IS A PROGRAM CALLED MELODIES FOR
MOMS WE ESTABLISHED 9 YEARS AGO
WHERE WE WONDERED IF GROUP
SINGING ACTIVITIES COULD REDUCE
SYMPTOMS OF POSTNATAL DEPRESSION
IN MOTHER WHO IS HAD THAT
PROBLEM.
ESSENTIALLY IN OUR FITTER
RANDOMIZED CONTROL TRIAL, WE
RANDOMIZED PEOPLE TO 10 WEEKS OF
GROUP SINGING, 10 WEEKS OF GROUP
SINGING, USUAL CARE CLINICAL
CARE, OR 10 WEEKS OF SOCIAL
SUPPORT TYPE INTERVENTION, SO WE
WERE REALLY TRYING TO ASKER
SPAIN WHETHER THE--ASCERTAIN
WHETHER THE SINGING WAS
IMPORTANT.
AND YOU CAN SEE THEY RECOVERED
FROM POSTNATAL DEPRESSION A
MONTH EARLIER.
THAT MONTH LONG RECOVERY, MONTH
EARLIER RECOVERY IS CLINICALLY
REALLY IMPORTANT BECAUSE THE
LONGER A MOTHER HAS POSTNATAL
DEPRESSION, NOT ONLY DOES IT
HAVE A NASTY EFFECT FOR HER IN
THAT TIME BUT IT INCREASES THE
RISK MUCH THE EFFECT ON THE
CHILD AND IT ALSO INCREASES THE
MOTHER'S RISK OF DEVELOPING
MAJOR DEPRESSION.
NOW I'M A BIG BELIEVER IN
REPLICATION OF STUDIES, THEY'RE
NOT ONLY CAN WE CONDUCT THE
ORIGINALLA RANDOMIZED CONTROL
TRIAL BUT WE'VE SINCE DONE
REPLICATION TRIALS INCLUDING
INTERVENTION ONLINE TO ASCERTAIN
WHETHER WE CAN STILL SEE THAT
SAME KIND OF EFFICACY WHICH IS
FROM THE TOP RIGHT WE
DEMONSTRATE WIDE MAINTENANCE
RESULTS AT 6 MONTHS LATER AS
WELL.
AND WE'VE ALSO BEEN CONDUCTING A
LARGER SCALE FOLLOW UP TRIAL
OVER THE LAST 4 YEARS, WHERE
WE'RE ACTUALLY LITERALLY JUST
ANALYZING DATA NOW BUT SEEMING
TO FIND THE SAME KINDS OF
PATTERNS OF IMPROVED OR RECOVERY
AND THE SINGING GROUP.
THIS IS ALSO NOW BEING RULED OUT
WITH W. H. O. AND IT'S 3
COUNTRIES IN EUROPE SO FAR, AND
INTERVENTION IS ALSO RECEIVE
CLINICAL COMMISSIONING IN UK IN
VARIOUS AREAS, AND I THINK THIS
IS THE FIRST THING WHEN WE'RE
THINKING ABOUT ASCERTAINING
EFFICACY, IT'S IMPORTANT WE'RE
TAKING THIS BROADER APPROACH
LOOKING AT THE INTERVENTION FOR
MULTIPLE ANGLES AND MULTIMEL
TRIALS TO CONFIRM THOSE
FINDINGS.
NEXT SLIDE, PLEASE.
BUT OF COURSE THAT'S MORE THE
APPROACH WHEN WE'RE LOOKING AT
THE TREATMENT OF HEALTH
CONDITIONS, WE HAVE TO TAKE A
SLIGHTLY DIFFERENT APPROACH FROM
THINKING ABOUT ISSUES ABOUT
PREVENTION.
SO THIS IS WHERE I WORK WITH THE
N. E. A. CAME IN TO PLAY, ABOUT
7 YEARS AGO, MY TEAM AND I
STARTED EXPLORING EXISTING
COHORT STUDIES THAT MIGHT
ALREADY HAVE QUESTIONS ON ARTS
IN THEM AND IT'S ACTUALLY REALLY
SURPRISING THAT BASICALLY MOST
OF THE MAJOR COHORT STUDIES IN
MOST COUNTRIES ACTUALLY HAVE
INCLUDED QUESTIONS AND ARTS OVER
THE YEARS.
AWNCH I THINK IT'S BEEN A BIT
RANDOM AS TO WHY THEY'VE DONE IT
BUT IT'S BEEN BENEFICIAL BECAUSE
IT LOOKS LIKE ART ENGAGEMENT AND
WHEN IT REDUCES THE RISK OF
HEALTH CONDITIONS LATER ON.
IN THIS STUDY WE LOOK AT ADULTS
OVER THE AGE OF 50 THAT WERE
FREE FROM DEPRESSION AT BASE
LINE AND DIDN'T HAVE PREVIOUS
HISTORY OF DEPRESSION AND WE
THEN CHAT FOR OVER 10 YEARS AND
WE FOUND THAT THOSE MORE ENGAGED
WITH CULTURAL ACTIVITIES LIKE
GOING TO MUSEUMS, GALLERIES,
LIVE MUSIC EVENTS, EXHIBITIONS
THEY HAD A LOWER INCIDENCE RATE
OF DEPRESSION OVER THOSE 10
YEARS, SO, FOR PEOPLE WHO NEVER
ENGAGED AROUND 5 AND A HUNDRED
EVERY YEAR 12 DEPRESSION,
COMPARED TO ONLY 2 WHO ENGAGE
ONCE A MONTH OR MORE.
THIS EQUATES TO ABOUT HALF THE
ODDS OVERALL.
NOW NATURALLY A KEY QUESTION IS
ABOUT CONFOUNDING, WE ARE
LOOKING THE BSKSAL STUDIES, HOW
DO WE,A ASSESSES EFFICACY WHEN
WE'RE NOT INTERVENING SO WE'VE
TAKEN A ROBUST APPROACH OF
IDENTIFYING EVERY CONFOUNDING
FACTOR THAT WE CAN IDENTIFY AND
AS THAT DIAD SHOWS, IT'S MAPPING
THESE INTO OUR STATISTICAL
MODELS AND THIS IS CERTAINLY 1
APPROACH BUT JUST LIKE WITH
TRIALS I THINK WE HAVE TO TAKE A
360-DEGREE VIEW HERE, SO IF YOU
GO TO THE NEXT SLIDE, PLEASE, IF
I JUST PUT UP A FEW EXAMPLES OF
HOW WE HAVE ALSO USED OTHER
STATISTICAL APPROACHES TO TEST
THIS QUESTION OF EFFICACY.
NEXT SLIDE, PLEASE.
THANK YOU.
SO AS WELL AS SIMPLY ADJUSTING
FOR CONFOUNDERS, WE ALSO LOOKED
AT STRATIFYING SO IN OTHER WORDS
DO YOU FIND TD SAME RESULTS HERE
IN PEOPLE WHO ARE LESS EDUCATED
AND MORE EDUCATED, PEOPLE WHO
ARE MORE WEALTHY AND LESS
WEALTHY PEOPLE BASED ON
OCCUPATIONAL STATUS AND ACTUALLY
YES, THE RESULT IS PRESENT IN
EVERY 1 OF THESE STRATA.
WE ALSO USED OTHER APPROACHES
LIKE PROPENSITY SCORE MATCHING
WHICH IS A INTERESTING APPROACH
WHERE YOU TRY AND EMULATE A
RANDOMIZED CONTROL TRIAL, SAY
TAKING PEOPLE WHO DON'T HAVE
DEPRESSION, THINKING ABOUT THOSE
WHO ARE CULTURALLY ENIMAIJED AND
THEN TRYING TO FIND THEM A
MATCHED TWIN WHO ISN'T
CULTURALLY ENGAGED IN THE DATA
SET, BUT IS EXTREMELY SIMILAR ON
ALL OTHER KINDS OF FACTORS LIKE
EDUCATION, WEALTH, EMPLOYMENT,
GENDER, AGE, OCCUPATIONAL
STATUS, AS WELL AS MANY OTHER
DIFFERENT FACTORS, TOO.
EVEN WHEN WE'VE DONE THIS
APPROACH, WE ACTUALLY STILL FIND
THIS RELATIONSHIP HERE, AND THIS
SUGGIESTS IT'S NOT JUST DUE TO
LATENT CONFOUNDING FACTORS
WITHIN OUR ANALYSIS.
AND WE'VE ALSO TAKEN OTHER NOVEL
CONFERENCE APPROACHES LIKE
AFFECT ANALYSIS WHICH INSTEAD OF
COMPARING THOSE, COMPARE
THEMSELVES THIS TIME AND
AUTOMATICALLY TAKING ACCOUNT OF
FACTORS LIKE GENETICS AS WELL AS
MANY OTHER BROAD CONFOUNDING
FACTORS AND ESSENTIALLY SAYING
DO WE STILL SEE THIS
RELATIONSHIP WITH HEALTH OVER
TIME IF YOU INCREASE YOUR ACT
ENGAGEMENT, DO YOU SEE
SUBSEQUENT REDUCTIONS IN
DEPRESSION EMPLOY SO I THINK
THIS IS SOMETHING TO BEAR IN
MIND, THE APPROACH TO EFFICACY
WHEN WE'RE LOOKING AT TREATMENT
WHICH MY BE A MORE TRADITIONAL
TRIAL BASED APPROACH BUT THEN
THE APPROACH WHEN WE THINK ABOUT
EFFICACY, WHERE WE MIGHT NEED TO
TAKE MORE OF AN EPIDEMIOLOGY
APPROACH.
NEXT SLIDE, PLEASE.
BUT EVEN WITH WE THOUGHT ABOUT
EFFECTIVENESS, WE TILL HAVE TO
ACTUALLY THINK WHY IS THIS
HAPPENING AND THIS IS WHY 2
ISSUES ARE REALLY CRUCIAL,
ACTIVE INGREDIENTS ARE ACTIONS
OF MECHANISM.
NEXT SLIDE, PLOAZ.
I TEND TO THINK THIS IN THE SAME
WE WE THINK ABOUT PAIN KILLERS,
BUT IT'S THE SAME CONCEPT, THEY
HAVE AN ACTIVE INGREDIENT LIKE
ACET MIN FEN THAT TRIGGERS THE
MECHANISM THAT LEADS TO BLOCKING
OF PAIN IMPULSELESS AND THIS
LEADS TO THE OUTCOME OFIESING
THE PAIN AND I THINK IT'S NICE
TO THINK ABOUT THIS,A PROACH
WHEN WE TALK ABOUT ARTS IN
HEALTH, WHAT ARE THE ACTIVE
INGREDIENTS IN ARTS THAT CAN
TRIGGER MECHANISMS THAT CAN LEAD
TO OUTCOMES.
NOW NATURALLY THIS IS A
PHARMAICOLOGICAL MODEL SO IT'S
LINEAR AND SIMPLISTIC AND WE
HAVE TO BE AWARE THAT ART IS
MORE COMPLEX THAT THAT.
CAN WE THINK ABOUT WHAT THE CORE
COMPONENTS OF ART ACTIVITIES ARE
THAT WE NEED TO FOCUS ON AND
PRESERVE FOR IMPLEMENTATION.
NEXT SLIDE.
MY TEAM AND I HAVE DEVELOPED A
FRAMEWORK CALLED INNATE WHERE WE
IDENTIFIED 135 ACTIVE
INGREDIENTS IN ARTS ACTIVITIES
THAT COULD BE IMPORTANT FOR
HEALTH.
NOW NATURALLY THIS ISN'T EVERY
SINGLE INGREDIENT IN AN ACTIVITY
BUT IT'S THE 1S WE THINK ARE
KEY, TO THINGS LIKE THE DOSE,
HOW OFTEN PEOPLE ARE GETTING
THIS, THE FORMATS, WHAT IS IT
THEY'RE ACTUALLY DOING, THE
KINDS OF STIMULI BEING EXPOSED
TO WHEN THEY'RE ENGAGING AND
IT'S ALSO THINKING MORE BROADLY
ABOUT THE SOCIAL COMPOSITION OF
THE PEOPLE WHO THEY COULD BE
ENGAGING WITH, WE KNOW THAT
ENGAGING A SOCIAL ACTIVITIES IS
BENEFICIAL FOR HEALTH AND ALSO
THE KIND OF LEADERSHIP THEY
MIGHT BE EXPOSED TO, AS WELL AS
CONTEXT THAT ANY KIND OF
ACTIVITIES ARE HAPPENING IN.
NOW I LIKE THIS KIND OF APPROACH
BECAUSE IT ALSO ENABLING US TO
THINK ABOUT WHEN WE'RE SAYING
WHY THE ARTS MATTER AND WE HAVE
2 KEY HYPOTHESIS.
THE FIRST IS THAT ARTS BENEFIT
OUR HEALTH TO BEING A VEHICLE
FOR EXISTING HEALTH BEHAVIORS.
IF YOU DO THE ARTS IT MEANS
YOU'RE GETTING OUT OF THE HOUSE,
YOU'RE GETTING PHYSICAL ACTIVITY
UNCLES BRINGS YOU INTO SOCIAL
CONTACT WITH OTHER PEOPLE WHICH
WE KNOW IS GOOD FOR HEALTH IT'S
GOOD FOR COGNITIVE AND SENSORY
STIMULATION, ALL THESE ARE
ALREADY RECOGNIZED AS BENEFICIAL
BEHAVIORS BUT THE ART IS THE
VEHICLE TO GET THERE, BUT THE
OTHER HYPOTHESIS IS THAT THE ART
HAS UNIQUE INGREDIENTS SO THINGS
THAT ARE UNIQUE TO THE ARTS OR
PARTICULARLY STRESSED SO
IMAGINATION, ESTHETICS,
MULTISENSORY STIMULATION,
CREATIVITY AND WHAT I THINK IS
THAT PROBABLY THESE 2 HYPOTHESIS
EXIST TOGETHER, THE ARTS ARE A
VEHICLE TO MANY OTHER HEGHT
BEHAVIOR ANDS THEY ALSO BRING
THEIR OWN UNIQUE HEALTH BEHAVIOR
OR COMPONENTS.
AND FOR THIS WITH THE HEALTH IS
EXPLAINED WHY WE NEED TO BRING
ART ON DISCUSSIONS ON HEALTH
BEHAVIORS.
NEXT SLIDE.
FROM AN IMPLEMENTATION
PERSPECTIVE, THIS FRAMEWORK IS
ALSO REALLY HELPFUL WHEN WE'RE
STARTING TO THINK ABOUT DEFINITE
ACTIVITIES.
I MENTIONED OUR POSTNATAL
DEPRESSION TRIAL WITH THE MOMS
AND BABIES ENCLUEDED IN-PERSON
AND ONLINE VERSION.
NOW OBVIOUSLY THERE IS SOME
INGREDIENTS HERE THAT ARE GOING
TO BE VERY SIMILAR AND USING
INNATE FRAMEWORK WE WERE ABLE TO
IDENTIFY THESE IN GREEN EMPLOY
SO FOR EXAMPLE, SO STILL THE
SAME FREQUENCY, DURATION,
STRUCTURE, ACTIVITY, SENSORY
ENGAGEMENT PEOPLE ARE GOING TO
BE HAVING BUT THERE ARE OTHER
INGREDIENTS THAT MIGHT DIFFER,
FOR EXAMPLE, THE RED INGREDIENTS
HERE ARE COMPLETELY DIFFERENT
AND LOTS OF THESE RELATE TO
THINGS LIKE THE ENVIRONMENT AND
THE ATMOSPHERE THAT'S BEEN
CREATED.
YOU KNOW ALL KNOW THAT BEING
ONLINE IS JUST NOT THE SAME AS
IN PERSON, BUT IF WE ARTICULATE
THE DIFFERENCE IN INGREDIENTS,
THAT'S REALLY VALUABLE BECAUSE
IT MEANS WE'RE REPLICATING
INTERVENTIONS YOU CAN ASSESS
THEM TO THE ORIGINAL 1 OR IF
YEAR ADAPTING INTERVENTIONS WE
CAN SAY WHAT NEEDS TO CHANGE AND
WHY, IT ALSO MEANS THAT AS WITH
POSTNATAL DEPRESSION TRIAL, WE
FIND THE SAME RESULS FROM
DIFFERENT MODES OF DELIVERY LIKE
ONLINE AND IN PERSON, THEN WE
CAN IDENTIFY THE INGREDIENTS
THAT HAVE CHANGED AREN'T
NECESSARILY AS IMPORTANT AS SOME
OF THE 1S THAT HAVE STAYED THE
SAME IN TERMS OF INFLUENCING
THOSE OUTCOMES.
NEXT SLIDE, PLEASE.
THIS BRINGS ME TO THINKING ABOUT
THOSE MECHANISMS, HOW DO THOSE
INGREDIENTS LINK TO MECHANISMS.
IF YOU GET TO THE NEXT SLIDE, I
BROUGHT US BA BEING TO THE SAME
IMAGE ABOUT OUR PAIN KILLERS,
THINKING ABOUT INGREDIENTS,
MECHANISMS AND OUTCOMES.
NEXT SLIDE, PLEASE.
AND THESE MECHANISMS OF ACTION
ARE PROCESSES THAT HAVE CHANGED
IN ENGAGING IN THE ARTS.
NEXT SLIDE, PLEASE.
AND IN ANOTHER PAPER I PUBLISHED
WITH COLLEAGUES A FEW YEARS AGO
IN THE LANCET OF PSYCHIATRY, IT
HOW IS LISTENINGED TO OUTCOMES,
WE HAVE IDENTIFY 600 MECHANISMS
THAT ARE TESTED TO DATE AND
THESE ENCLUED IKE PSYCHOLOGICAL
PROCESSES, BIOLOGICAL PROCESSES
SOCIAL AND BEHAVIORIAL
PROCESSES, BEING ABLE TO SAY
WHAT THESE ARE IS REALLY
IMPORTANT BECAUSE WE HAVE THE
WHY QUESTION ANSWERED
PARTICULARLY WHEN WE THINK ABOUT
IMPLEMENTATION, PEOPLE WANT TO
KNOW IF IT WORKS THEY WANT TO
KNOW WHY, AND I THINK IT'S
IMPORTANT TO REMEMBER THAT ART
IS A VERY COMPLEX ACTIVITY, SO
THESE AREN'T LINEAR PROCESSES AS
YOU SEE FROM THE ARROWS ON THIS
DIAGRAM, WE'RE PROPOSING THAT
THEY REALLY INTERSECT WITH 1
ANOTHER AND WE USE THE LENS OF
COMPLEXITY SCIENCE TO UNDERSTAND
THESE KINDS OF IRPT SECTIONS.
WE ALSO HAVE TO REMEMBER THAT
THEE MECHANISMS DON'T JUST
HAPPEN ON AN INDIVIDUAL LEVEL,
LET'S SAY YOU IMAGINE THE MOM
ANDS BABIES IN OUR GROUP, WHILE
INDIVIDUALLY THESE MOTHERS MIGHT
EXPERIENCE GREATER REDECREASES
IN THEIR LONELINESS FROM GOING
TO THESE CLASSES BUT AT A GROUP
LEVEL, THESE MANAGERS MIGHT ALSO
HAVE GROUP BONDING WITHIN THE
GROUP, SO BETWEEN THEMSELVES BY
BECOMING MORE BONDED TOGETHER.
AND AT A SOCIETAL LEVEL, IF YOU
IMAGINE LOTS OF THESE GROUPS
WITHIN THE COMMUNITY, LOTS OF
MOM AND BABY GROUPS FOR
POSTNATAL DEPRESSION, YOU WOULD
START THAT COULD CREATE SOCIAL
COHESIVENESS IN COMMUNITIES MORE
BROADLY.
SO IT'S IMPORTANT TO THINK ABOUT
THIS NOT ONLY ON THE INDIVIDUAL
MICROLEVEL AND NEXT WE HAVE THIS
MECHANISM INTO STUDIES THAT TEST
EFFICACY IS REALLY CRUCIAL HERE,
SO FOR EXAMPLE WITHIN OUR
POSTNATAL DEPRESSION STUDY,
WE'VE UPDATER TICKEN A NUMBER OF
DIFFERENT SUBSTUDIES THAT TRY TO
UNDERSTAND WHY WE SEE THE
RESULTS THIS 1 OF OUR BIOLOGICAL
SUBSTADS WE GOT BACK INTO THE
LAB AND WE TESTED THEM DURING
SINGING GROUPS AND PLAY GROUPS
WITH THEIR BABIES IN RANDOMIZED
ORDER WITH WASH OUT PERIODS AND
WE ACTUALLY SHOW THAT THE
SINGING GROUP IN BLACK HAD
GREATER RESULTS, THAN THE GRAY
GROUP DID, IT SEEMS WHEN MOTHERS
WERE PLAYING THEY WERE LIKELY TO
CHAT WITH EACH OTHER AND BOND
RATHER THAN BABIES, AND ALSO
ABLE TO SHOW THAT THE SINGING
GROUP HAD GREATER IMPROVEMENTS
IN POSITIVE AFFECT AND GREATER
REDUCTIONS IN NEGATIVE AFFECT IS
ANXIETY AS WELL AS BIOLOGICAL
CORRELATES OF THIS, LIKE SORT
SOLAND CORTISONE, AND WE WERE
ABLE TO SHOW THIS THERE WAS A
GOOD CORRELATION BETWEEN AFFECT
AND ANXIETY AND THE IMPROVEMENTS
IN MOTHER-INFANT CLOSENESS, I
BELIEVE THESE MECHANISTICS
STUDIES WOVEN INTO STUDIES ARE
CRUCIAL FROM AN IMPLEMENTATION
SCIENCE ASPECT.
NEXT SLIDE, PLEASE.
AND WE'VE ALSO DONE THIS AT A
POPULATION LEVEL TO BE ABLE TO
SHOW FROM EPIDEMIOLOGY STUDIES
ENGAGING WITH ART ACTIVITIES AND
REDUCTIONS IN INFLAMMATORY
MARKERS FOR EXAMPLE, IN THIS
STUDY, WE SHOWED THAT SOCIAL
ENGAGEMENT WHICH IS ACTUALLY
HERE INCLUDED GOING INTO ARTS
ACTIVITIES WITHIN THE COMMUNITY,
WAS ASSOCIATED OVER TIME WITH
LOWER LEVELS OF FIEB RENO
GENERATED AND WHITE BLOOD CELLS
WHICH ARE MARKERS OF
INFLAMMATION, WE CAN DO THIS
WITHIN EPIDEMIOLOGY WORK.
NEXT SLIDE, PLEASE.
BUT THIS BRINGS US TO A QUESTION
OF HOW WE ACTUALLY ARK ASSESSES
IMPLEMENTATION, LIKE THIS IS
REALLY THINKING ABOUT ECOLOGICAL
VALIDITY AS WELL, WORK WHERE
THINGS WILL ONLY WORK IN SOME
CIRCUMSTANCES.
NOW FROM A TRIALS PERSPECTIVE, I
THINK WE CAN DO THIS VERY EASILY
BY APPLYING LATEST INSIGHT AND
IMPLEMENTATION SCIENCE, NEXT
SLIDE, PLEASE.
I PUT A LITTLE PICTURE IN THE
TOP LEFT HERE, A TRADITIONAL
PIPELINE OF IMPLEMENTATION
SCIENCE WORK SHOWING WE TEND TO
START WITH CLINICAL RESEARCH
WITH EFFECTIVENESS STUDIES AND
THEN WE TART THINKING BY
IMPLEMENTATION, BUT I'M A HUGE
PROPONENT OF HYBRID DESIGNS,
THIS IS WHERE YOU WILL BE
SIMULTANEOUSLY LOOKING AT
IMPLEMENTATION, WE RUN A LOT OF
HYBRID TYPE 2 STUDIES WITHIN MY
TEAM, THAT'S WHAT THE POSTNATAL
DEPRESSION STUDIES HAVE BEEN AND
THE IDEA HERE IS IF YOU ARE
THINKING ABOUT THE INGREDIENT OF
THAT ACTIVITY, AS I MENTIONED
CONTEXT IS A BIG 1 BUT FOR MOM
AND BABY CLASSES FOR POSTNATAL
DEPRESSION TO WORK, THE WAY
THEY'RE DELIVERED AND THE PLACE
THEY LIVE IN IS CRUCIAL AND HOW
THEY FIT INTO A MOTHER'S CARE
PATHWAY AFTER HAVING A BABY.
AND THESE HYBRID DESIGNS MEAN
WE'RE LOOKING AT IMPLEMENTATION
AT THE SAME TIME AS
EFFECTIVENESS, SO THAT IF WE
FIND RESULTS, WE'RE ABLE TO
SCALE INTERVENTIONS FASTER, TO
MORE PLACES, BUT EQUALLY WE'RE
ABLE TO UNDERSTAND THE FAILURES
IN IMPLEMENTATION, ACTUALLY LIE
BEHIND FAILURES AND EFFICACY,
IT'S NOT THE SAME AS THE DRUGS,
DRUGS WE WOULD EXPECT TO WORK
THE SAME REGARDLESS OF WHERE
SOMEONE IS WHERE THEY TAKE THEM
BUT COMPLEX ACTIVITIES, LIKE
ARTS ENGAGEMENT, WE ARE
EXPECTING THAT TO BE MODERATION
OF THOSE RESULTS BASED ON HOW
THEY'RE IMPLEMENTED.
ON THE RIGHT HAND SIDE OF THIS
SLIDE, I PUT AN EXAMPLE OF WHAT
THE TYPE OF TABLE WE'VE BEEN
TBLING HERE WHERE WE THINK
SIMULTANEOUSLY ABOUT
EFFECTIVENESS AND COST
EFFECTIVENESS AND CLINICAL
EFFECTIVENESS AND IMPLEMENTATION
EFFECTIVENESS.
THIS IS A TABLE WE PUBLISHED
BASED ON THE PROTOCOL WE DID FOR
OUR MELODIES FOR MOMS POSTNATAL
DEPRESSION TRIAL AND ON THE
BOTTOM LEFT I GAVE AN EXAMPLE OF
WHAT WE'RE CURRENTLY PUBLISHING
WHICH IS SHOWING HOW YOU CAN
THEN MAP INGREDIENTS IN
INTERVENTIONS TO THAT
IMPLEMENTATION OUTCOME, SHOWING
WHETHER CERTAIN INGREDIENTS MADE
IT MORE OR LESS SUCCESSFUL AS AN
OVERALL INNERVENTION, I AM HAPPY
TO SHARE THESE SLIDES AT THE END
SO THAT WE CAN SHARE IT AND
THINK ABOUT THIS COMBINED
APPROACH.
OF COURSE FROM A--FROM A
POPULATION HEALTH EPIDEMIOLOGY
PERSPECTIVE WE CAN DOSOMEULAR
THINGS THIS WAS 1 OF THE MOST
STUDIES WE'VE EVER DONE WAS
FUNDED BY NEA AND THIS WAS
LOOKING NOT JUST AT THE RESULTS
FROM 1 COUNTRY BUT LOOKING AT
RESULTS FROM 16 DIFFERENT
COUNTRIES GLOBALLY, WE PUBLISHED
IN THIS NATURE MEDICINE LAST
YEAR AND WE WERE SAYING JUST
HAVING A CREATIVE HOBBY
AFFECTINGS MENTAL HEALTH
OUTCOMES ALONGITUDEINALLY ALL
OVER THE WORLD EMPLOY WE CONDUCT
THE ANALYSIS EACH 1 INDIVIDUALLY
AND DO IMPROVED METRIC ANALYSIS
AND AS YOU CAN SEE, WE WERE
FIENLDING OVERALL THERE WERE
LINKS OVERALL TO LOWER
DEPRESSIVE SYMPTOMS, BETTER
REPORTED HEALTH, HIGHER
HAPPINESS AND HIGHER LIFE
SATISFACTION.
THIS IS REALLY CRUCIAL IN
SHOWING THE RESULTS WEREN'T JUST
HAPPENING BECAUSE WE WERE
FOCUSING ON WESTERN COUNTRIES
THAT ARE HIGHLY EDUCATED AND
PRIZE THE ARTS IN A CERTAIN WAY
BUT WE'RE ACTUALLY BEING FOUND
IN OTHER COUNTRIES WITH
DIFFERENT SOCIOECONOMIC PROFILES
AND DIFFERENT PATTERN OF
ENGAGEMENTS IN THE ARTS.
NEXT SLIDE, PLEASE.
WE ALSO REALLY NEED TO THINK
ABOUT COST EFFECTIVENESS AND
IMPLEMENTATION AND I THINK THERE
ARE DIFFERENT WAYS TO DO THIS
FOR TRIALS AND FOR PUBLIC HEALTH
WORK ON ARTS IN HEALTH.
NEXT SLIDE, PLEASE.
I'VE SHARED A CONFIDENTIAL SLIDE
HERE AND WE'RE JUST IN THE
PROCESS OF WRITING UP FROM OUR
MOM AND BABY, TRIALS, WE WERE
TRYING TO LOOK AT THE COST
EFFECTIVENESS OF THE
INTERVENTION AND WE HAVE FOUND
THAT ACCORDING TO THE UK'S
DEFINITION OF COST
EFFECTIVENESS, SO MONETIZING THE
MEMBER OF QUALITY AJUSTED LIFE
YEARS GAINED OUR INTERVENTION IS
COST EFFECTIVE WHICH IS REALLY
IMPORTANT WHEN WE ARE SPEAKING
TO COMMISSIONERS ABOUT THIS
GOING ON A LARGER SCALE BUT I
ALSO WANT TO FLAG IT'S NOT
REALLY SIMPLE.
OT TOP RIGHT I'VE SHOWN THAT OUR
SINGING GROUP HAD INCREASED
CONTACT WITH PSYCHOLOGICAL
THERAPY OVER THE COURSE OF
FOLLOW UP.
AND THAT IS ACTUALLY WHAT WE
WOULD EXPECT BECAUSE WE ARE
RAISING OUR AWARENESS OF
POSTNATAL DEPRESSION AND HELPING
THEM RECOGNIZE THEY MAY NEED
SUPPORT AND POSTING THEM TO
PSYCHOTHERAPY BUT NATURALLY THAT
IS A COST INCREASE, SO I'M
ADDING A CAVEAT THAT I THINK WE
NEED TO BE CAREFUL WE'RE NOT
OVERLY SIMPLISTIC ABOUT HOW THE
ARTS MIGHT PROVIDE ISSUES WITH
THE SERVICING.
IN THIS STUDY, I'M HAPPY TO
SHARE THESE SLIDES SO CAN YOU
LOOK AT IT IN MORE DETAIL BUT
WHAT WE FOUND IS THAT IF PEOPLE,
INCREASE THEIR ENGAGE NMENT ARTS
ACTIVITIES THEY ACTUALLY TEND TO
INCREASE THEIR USE IN MORE
PREVENTIVE CARE ALONGSIDE
DECREASING USE OF MORE EXPENSIVE
IN PATIENT AND NURSING CARE, SO
THE INCREASE IN OUTPATIENT CARE
IS A GOOD OUTCOME HERE BECAUSE
IT'S SUGGIESTING THINGS MIGHT BE
FOUND EARLIER AND TREATED
EARLIER WHEN THEY'RE LESS
EXPENSIVE BUT ALONGSIDE THAT WE
WERE SEEING THAT DECREASE IN
SECONDARY AND TERTIARY CARE, SO
THINKING ABOUT THE NUANCE AND
HOW WE THINK ABOUT HEALTH
SERVICES.
NEXT SLIDE, PLEASE EMPLOY AND I
WILL SAY, WHAT WE HAVE BEEN
DOING RECENTLY IS, WOOING WITH
FRONTIER ECONOMICS IN THE UK
TO,A ASSESSES WHAT DO WE THINK
THE HEALTH ECONOMIC BENEFITS OF
HAVING PEOPLE ENGAGED IN THE
ARTS WITHIN THE UK IS, EACH YEAR
THAT HAS BEEN ESTIMATE INDEED
TERMS OF THE QUALITY ADJUSTED
LIFE YEARS FROM ENGAGING IN ARTS
SUGGIEST THAT 1 PARTICULAR
OUTCOME, IT'S AROUND 500-POUNDS
PER PERSON, FROM THOSE WHO
ENGAGE IN THE ARTS AND THAT
ACTUALLY QUITE EQUATES TO 5 AND
HALF BILLION POUNDS OF
UNANTICIPATED BENEFIT EACH YEAR.
THIS IS PART OF A MUCH LARGER
REPORT PUBLISHED THIS SUMMER BUT
I THINK IT'S HUGELY EXCITING
BECAUSE IT'S THE FIRST TIME WE
REALLY HAD THE LARMING SCALE
POPULATION DATA ON WHAT THE
PUBLIC HEALTH COST EFFECTIVENESS
OF ENCOURAGING ARTS AND ENGAGE
AM WITHIN SOCIETY COULD BE.
NEXT SLIDE, PLEASE.
BUT I THINK MY FINAL POINT IS
THAT WE REALLY HAVE TO THINK
ABOUT ACCESS AND EQUITY OF
ACCESS, WE'RE AWARE THAT THE
ARTS ARE NOT EQUAL AND ON THE
NEXT SLIDE, PLEASE I'VE SHARED
MORE CONFIDENTIAL DATA AND FROM
LANCET COMMISSION WE'VE BEEN
WORKING ON.
NEXT SLIDE, PLEASE.
WE ALONG WITH WITH THE WORLD
HEALTH ORGANIZATION, HAVE BEEN
ANALYZING DATA FROM 64 COUNTRIES
FROM ARK ROUND THE WORLD, SAYING
WHERE DO PEOPLE ENGAGE MOST IN
MUSIC AND ARTS AND ACTIVITIES,
AS CAN YOU SEE THE HUGE
VARIATION IN THESE RESUMMITS AND
IT'S ACTUALLY NOT EVEN CLIERLY
PATENT BY CONTINENT, IT'S
SEEMINGLY QUITE RANDOM PATTERN
WHEN YOU LOOK AT IT AT A COUNTRY
LEVEL.
NEXT SLIDE, PLEASE.
WITH WE LOOK AT PREDICTORS THERE
ARE SOME THINGS THAT COME UP
FIRST, ON A GLOBAL SCALE, WE SEE
THAT ENGAGE IN ARTS AND MUSIC
GROUPS IS LESS COMMON AMONGST
PEOPLE WITH LOWER EDUCATIONAL
ATTAIN AM, LESS COMMON FROM
PEOPLE FROM LOWER AS WELL, LOWER
SOCIOECONOMIC BACKGROUNDS, WE
ALSO SEE IT'S UNFORTUNATELY MORE
COMMON IN COUNTRIES WITH GREATER
INEQUALITIES TO THIS VERY MUCH
POINTS TO THE IDEA THAT
COUNTRIES WITH GREATER
INEQUALITIES HAVE MORE AFFLUENT
PEOPLE WHO SORT OF DRIVE ARTS
AND ENGAGEMENT AT THE HIGHER
END, BUT I THINK THIS IS A SORT
OF CONCERNING PATTERN THAT WE'RE
FOR THE FIRST TIME WE'VE BEEN
ABLE TO QUANTIFY
INTERNATIONALLY.
NEXT SLIDE, PLEASE.
AND IN THIS SLIDE, I TRIED TO
PUT THE GRAPHS ROUGHLY WHERE THE
CONTINENTS AROUND THE WORLD ARE
AND JUST TO SHOW THIS IS NOT
DRIVEN BY PARTICULAR CONTINENTS
THIS IS FOUND IN EVERY SINGLE
CONTINENT AROUND THE WORLD SO WE
HAVE DEEP ENTRENCHED QUALITY TO
ACCESS TO THE ARTS, NEXT SLIDE,
PLEASE, MY TEAM AND I HAVE
RECEIPTLY PUBLISHED SOMETHING
CALLED THE RAID YONS FRAMEWORK,
WE ARGUED THAT WHEN PEOPLE THINK
ABOUT REDUCING INEQUALITIES THEY
OFTEN FOCUSED ON MICROLEVEL
FACTORS LIKE SAYING THIS IS DUE
TO ETHNICITY RACE, THIS IS DUE
TO WEALTH, BUT IT'S NOT AS
SIMPLE AS THAT, EVEN SCHEMES IN
THE UK THAT HAVE TRIED TO GIVE
TIKIS, FREE TIKIS TO ARTS EVENTS
TO PEOPLE WHO ARE FROM ETHNIC
MINORITY GROUPS AND LOWER WEALTH
GROUPS THEY STILL HAVEN'T SEEN A
CHANGE IN THEIR ENGAGEMENT AND
THAT'S BECAUSE IT'S NOT AS
SIMPLE AS THOSE FACTORS
MOTIVATING THEM.
THOSE FACTORS HAVE ALSO INCLUDED
THINGS LIKE THE BUILT
ENVIRONMENT, HAVE THEY ACTUALLY
GOT ARTS VENUES NEAR THEM,
THINGS LIKE INFRASTRUCTURE AND
AND HOW THEY GOT PUBLIC SERVES
LIKE TRANSPORT, THEY CAN GET
THERE, IT'S BEEN ABOUT THINGS
LIKE SOCIAL METE YORK, SEE THEIR
FRIENDS AND FAMILY GOR SOMETHING
THEY DON'T HAVE SOCIAL SUPPORT
AND ENGAGING IN.
AND THINGS LIKE NORMS AND
VALUES, SOMETHING THAT IS
CULTURALLY THE NORM FOR THEM TO
DO OR HOW WE GOT BIGGER THINGS
WOO VERMEN INFECTED TO TRY AND
CHANGE IF WE REALLY WANT TO
ADDRESS THESE ISSUES.
ANOTHER ISSUE IS AROUND ECONOMIC
SYSTEMS A LOT OF PEOPLE DIDN'T
HAVE THE ANNUAL LEAVE OR TIME
OFF WORK TO GO TO THESE KINDS OF
EVENTS SO I THINK WE HAVE TO
TAKE A WHOLISTIC VIEW OF WHAT
THESE CHALLENGES IN ACCESS CAN
BE AND HOWEE CAN OVERCOME THEM.
ONE THING THROUGH THIS IS SOCIAL
PRESCRIBING AND AGAIN YET MORE
WORK WE'VE DONE WITH NEA AND THE
U.S., WE'VE BEEN LOOKING AT THE
ROLL OUT OF THIS OF SOMETHING
CALLED THE 1 NATION 1 PROJECT
PRACTICAL WHERE SOCIAL
PRESCRIBING IS BEING TRIAL
INDEED A NUMBER OF DIFFERENT
SITES, OVER 20 DIFFERENT SITES,
IT'S THE IDEA THAT PEOPLE WITH
COMPLEX NEEDS WITH BE REFERRED
BY HEALTH PROFESSIONALS OR
OTHERS WITHIN THE COMMUNITY TO
COMMUNE BASED ACTIVITIES THAT
COULD HELP THEM, INCLUDING ARTS
CULTURE AND HERITAGE, THERE IS A
QUESTION AS TO DOES THIS REDUCE
INEQUALITIES AND ACCESS IN BUT
ALL MY FINAL SLIDES, ON DATA,
NEXT SLIDE, PLEASE, I HAVE SHOWN
IN THE UK AT LEAST, WE HAVE THAT
IT CAN HELP WITH THIS, WE'VE
ANALYZED DATA FROM NEARLY 20,000
PEOPLE IN LONDON, SHOWING THAT
SEECIAL PREKRIEBING WHICH IS
ACTUALLY BEING ROLLED OUT AS A
NATIONAL PROGRAM IN THE UK HAS
BEEN REPEATEDLY GIVEN MORE TO
PEOPLE FROM MORE DEPRIVED
BACKGROUNDS WITH MORE LONG-TERM
CONDITIONS AND MAKE MORE USE OF
PRIMARY CARE, WE ALSO ACCESS THE
RECORDS OF 160 THIS HAPPENED
PEOPLE WHO HAD SOCIAL
PREKRIEBINGS SINCE THE NATIONAL
ROLL OUT BEGAN 4 YEARS AGO AND
WE'VE SHOWN THAT IT HAS GONE
MOST OF ALL TO PEOPLE FOR MORE
DEPRIVED AREAS AND ALSO
INTEGRATED NEW AREAS IN OUR
NATIONAL COHORTS AND WE'VE
ACTUALLY SHOWN HERE THAT SOCIAL
PRESCRIBING IS CONSISTENTLY
BEING GIVEN MORE TO PEOPLE WITH
MORE SOCIOLOGICAL ADVERSITY
EXPERIENCING PEOPLE LIKE
DEPRESSION, DIABETES, CHRONIC
PAIN, MULTIPLE INFLAMMATORY
CONDITIONS AND ACTIVITY, SO I
THINK WE HAVE THE POTENTIAL TO
BE OPTIMISTIC ABOUT THIS AS A
WAY OF ADDRESSING ACCESS AND I
THINK THIS APPROACH IS REALLY
NICE BECAUSE IT BRINGS TOGETHER
WHAT I'VE BEEN TALKING ABOUT IN
THIS TALK, SO THE TRIALS BASED
APPROACH GIVING PEOPLE
INTERVENTIONS BUT ALSO THE
POPULATION BASED APPROACH OF
THINKING HOW CAN WE GET THIS TO
EVERYBODY NOT JUST IN TERMS OF
TREATMENT BUT ALSO PEOPLE WHERE
IT MIGHT BE THINKING MORE ABOUT
PREVENTION, SO NEXT SLIDE,
PLEASE.
SO JUST SAY I'M REALLY HAPPY TO
ANSWER ANY QUESTIONS ON THESE
QUESTIONS,A ROUND IMPLEMENTATION
RESEARCH, OR ANYTHING ELSE, I
HAVEN'T HAD A CHANCE TO TALK
ABOUT, MY NEXT LIED IS MY FINAL
SLIDE WITH MORE DETAILS IF YOU
WOULD LIKE TO VISIT OUR WEBSITE
AND SEE MORE ABOUT RESEARCH
PROJECTS SO WE HAVE THEM
OUTLINES.
THANK YOU SO MUCH.
>> WHAT A PRESENTATION.
THANK YOU, THANK YOU.
I THINK WE WILL OPEN IT UP NOW
FOR QUESTIONS FROM THE AUDIENCE.
NI ACTUALLY HAVE 1, CAN YOU HEAR
ME?
SO HOW DO YOU THEN SUSTAIN THE
ART?
SO WE KNOW IT MATTERS, WE KNOW
THE DOSE AND FORMAT WILL BE
DIFFERENT DEPENDING ON DIFFERENT
CONTEXT AND SO IF IT IS FUNDED,
WHAT ARE YOUR THOUGHTS IN
SUSTAINABILITY?
>> WELL THE CRUCIAL THING FOR
SUSTAINABILITY IS THAT WE HAVE
CONTINUITY OF ACTIVITIES AND I
KNOW THAT THE U.S. IS QUITE
SIMILAR TO THE UK AND ACTUALLY
FACING A LOT OF FUNDING ISSUES
AROUND ARTS ACTIVITIES, OFTEN I
FIND THAT ART SEEM TO BE
DISCIPLINARY PRIORITIZED FOR
FUNDING AHEAD OF OTHER THINGS,
SEEN AS THE NICE TO HAVE IN
SOCIETY, AND WE'VE BEEN ARGUING
A LOT IN THE UK THAT THAT'S A
BIG MISTAKE BECAUSE THESE ARE
HEALTH BEHAVIORS SO IF YOU WILL
CUT THEM, YOU WILL HAVE DOWN
STREAM EFFECTS ON PEOPLE'S
HEALTH AND ALSO ON PEOPLE'S--ON
PEOPLE'S USE OF HEALTH SERVICES,
THE KINDS OF CARE THEY MIGHT
NEED IN THE FUTURE, THAT'S 1 OF
THE REASONS WE'VE BEEN DOING
THESE HEALTH ECONOMIC ANALYSIS
SAY AT A GLOBAL LEVEL,
POPULATION LEVEL, THIS IS THE
HEALTHY ECONOMIC CENTER FOR
EXCELLENCE ON AGINGS ABOUT
ENGAGEMENT SO IN OTHER WORDS IF
YOU CUT ART, YOU HAVE TO BE
AWARE THERE WILL BE THIS
FINANCIAL IMPLICATION FROM DOING
SO AND I THINK THAT--SO I THINK
THAT'S 1 THING, IS THE
CONTINUITY OF GENERAL ARTS
FUNDING, BUT I THINK IF PEOPLE
ARE THINKING ABOUT TRIALS, AS
WELL, SORT OF NOVEL
INTERVENTIONS THAT ARE TRYING TO
TARGET MORE SPECIFIC HEALTH
CHALLENGES THAT WILL BE
IMPORTANT TO THINK ABOUT FROM
THE START ABOUT THE INGREDIENTS
THAT ARE GOING TO BE NECESSARY
FOR THAT SUSTAINABILITY, THERE
ARE NICE MODELS I'M HAPPY TO
SHARE THAT WE USE ABOUT HOW TO
MAKE THINGS LONG-TERM
SUSTAINABLE BUT THOSE HAVE TO BE
IN PLACE RIGHT FROM START, WE
CAN'T DO A SHORT-TERM TRIAL AND
MAKE IT LONG-TERM, IF YOU
HAVEN'T PUT THOSE IN FROM THE
START, I BASICALLY NEVER REALLY
SEE ANYTHING SUCCEED IF IT
HASN'T THOUGHT ABOUT IT EARLY IN
TERMS OF SUSTAINABILITY NCAN YOU
SPEAK ON IT THEN WITH THE MOMS
SINGS HOW HAVE YOU THEN BEING
SUSTAINABLE OVER TIME AS A CASE?
>> SO WE'VE DEVELOPED REALLY
CLEAR MANUELS ABOUT HOW TO
IMPLEMENT THIS, WE ALSO
DEVELOPED TRAINING PROGRAMS FOR
HOW TO TRAIN THE PRACTITIONERS
IN HOW TO DO HAD AND ALSO
MANUELIZEED HOW YOU RECRUIT
MOTHERS INTO THE TRIALS
SUCCESSFULLY.
WE'VE WORKED REALLY CLOSELY WITH
W. H. O. OVER THIS OVER THE LAST
2 YEARS AND REALLY PRODUCED TOOL
KITS AND WHEN WE CASE STUDY
TRIAL IT BY IMPLEMENTING IT IN 3
DIFFERENT OTHER COUNTRIES AROUND
EUROPE WITH VERY DIFFERENT
SOCIOLOGICAL ECONOM BEING
PROFILE ANDS DIFFERENT TYPES OF
COMMUNITIES TO TEST HOW THAT
TOOL KIT WORKS, ALL OF THESE
RESOURCES ARE FREELYY AVAILABLE
SO THAT ALL OF THAT LEARNING IS
THERE, AND BECAUSE OF ALL THOSE
TOOLS I MENTIONED LIKE THE
INNATE FRAMEWORK AND MECHANISMS
FRAMEWORK, WE HAVE ACCESSIBLE
WORK SHEETS ON THOSE, THE ART
ARTS CAN WORK THROUGH
THEMSELVES, SO THAT THEY CAN
COPY THE PROCESS THAT WE'VE DONE
AND HAVE KIND OF RESOURCE
AVAILABLE TO OTHERS.
>> SO I GUESS I'M HEARING THEN
THAT SUSTAINABILITY IS NOT ONLY
ABOUT FUNDING IT'S ABOUT HAVING
THOSE OTHER RESOURCES AVAILABLE
AT THE BARE MINIMUM SO THAT
PEOPLE CAN PICK IT UP.
ALL RIGHT, COOL, WE HAVE
QUESTIONS IN THE AUDIENCE CAN
YOU SPEAK MORE TO HOW ARTS
ENGAGEMENT WAS DEFINED IN THE
GLOBAL STUDY.
>> WE LOOKEDDA THE ENGAGEMENT
WITH CREATIVE HOBBIES SO THAT
WAS THINGS THAT WERE
PARTICIPATORY, DONE IN PEOPLE'S
FREE TIME BUT WE WEREN'T
RESTRECTING WHAT IT IS, FROM AN
INGREDIENTS PERSPECTIVE WE WERE
THINKING IT WOULDN'T MATTER IF
SOMEONE WAS PLAYING THE PIANO OR
KNITTING OR TAKING PART IN A
BOOK CLUB OR THOSE THINGS
BECAUSE THERE ARE ENOUGH SHARED
INGREDIENTS THERE AND ARE ENOUGH
BROAD OUTCOMES FOR MENTAL
HEALTH, SELF-REPORTED HEALTH A
VARIETY OF DIFFERENT INGREDIENTS
COULD HAVE BEEN KEY.
BUT WE'RE NOW ACTUALLY UNDER
TAKING A SERIES OF OTHER
MULTICOHORT STUDIES, THAT WHERE
WE'RE USING DIFFERENT
DEFINITIONS, WE HAVE 1 PAPER
UNDERWAY FOR EXAMPLE, IT'S
LOOKING AT CULTURAL ACTIVITIES
WITHIN COMMUNITIES FOR EXAMPLE,
AND WE'VE GOT OTHERS WITH OTHER
DEFINITIONS THAT ARE IN PLAY.
NAND CAN YOU SHARE ABOUT HOW
SOME OF THE ARTS INTERVENTIONS
YOU STUDIED WERE DEVELOPED?
SO I GUESS THE ARTS ITSELF, LIKE
GROUP SINGING HOW DID YOU COME
ACROSS OR HOW DID YOU DEVELOP
THAT ACTUAL INTERVENTION?
>> SO WE TAKE A PROBLEM BASED
APPROACH SO WE ALWAYS START
WORKING WITH THE CLINICAL TEAMS
AND SAYING WHAT IS THE CHALLENGE
THAT YOU'RE FACING SO THIS COULD
BE A PATIENT CHALERG, LIKICISM
TOPS THAT AREN'T BEING ADDRESSED
BY TRADITIONAL CLINICAL PATHWAYS
OR IT COULD ALSO BE A SORT OF
SERVICES CHALLENGE LIKE THAT,
THAT ISN'T FUNDING OR SERVICE
AVAILABLE TO TACKLE CERTAIN
ISSUES AND THEN WE DO EXTENSIVE
CO PRODUCTION WORK SO WORKING A
LOT WITH PATIENTS, WITH THEIR
FAMILIES, OR RELATIVES OR
CARRIES WITH THEIR CLINICAL
STAFF, WE IDENTIFY WHAT
INGREDIENTS THEY'RE SAYING THEY
REALLY NEED, WE WILL OFTEN THEN
WORK OUT IF IT'S THE CASE THAT
YOU WANT 1 INTERVENTION OR
WHETHER MORE LIKE SOCIAL
PRESCRIBING YOU WANT A MECHANISM
THAT WOULD REFER PEOPLE TO A
GREATER CHOICE OF ACTIVITIES.
WE THEN TYPICALLY GO THROUGH
PILOTING WORK WHERE I WILL TEST
OUT INTERVENTIONS.
WE WORK CLOSELY WITH ARTS
ORGANIZATIONS FOR THIS BECAUSE
WE ARE SCIENTISTS AND WE DO NOT
KNOW BEST ON THIS 1, SO THE ARTS
ORGANIZATIONS HELP TO DEVELOP
THOSE DIFFERENT OPTIONS, WE THEN
SPECIFICALLY TART TO SEE WHICH
THINGS ARE WORKING AND WE CAN BE
INFORMED BY THE LITERATURE, THE
SINGING STUDY WE WERE INFORMED
BY A LOT OF ANTHROPOLOGICAL
RESEARCH SHOWING THAT MOTHER VS
BEEN SINGING TO BABIES FOREVER,
AND EVOLUTIONARY DATA THAT
SINGING MAY BE BENEFICIAL FOR
MOTHER MARKED FOR IDENTIFICATION
-MOTHER-BABY FOR
EXAMPLE, AND THERE ARE SET
MECHANISMS AND THEORIES THAT
MIGHT BE KEY, SO OFTEN PHYSICAL
HELT OUTCOMES YOU MIGHT WANT
THAT PHYSICAL INGREDIENT LIKE
DANCE TO BE INVOLVED AND THEN WE
MOVE THROUGH THE PIPELINE I
OUTLINED EARLIER, THINKING ABOUT
THE THIS EARLIER ARE WE SEEING
RESULTS FROM EARLIER EVALUATIONS
OR FROM QUALITATIVE STUDIES AND
THEN WE ONLY TEND TO LAUNCH INTO
THE BIG RANDOMIZED CONTROL
TRIALS AT THE POINT WE'RE
CONFIDENT THAT SOMETHING IS
COMING THROUGH ON THE EFFICACY
LEVEL THAT WE NOW WANT TO TEST
IN THAT HYBRID IMPLEMENTATION
OUTCOME APPROACH.
>> WONDERFUL, I DO ADPREE MUSIC
HAS BEEN IN EXISTENCE FOR A
LONG, LONG TIME.
QUESTION THEN WHAT ARE SOME OF
THE CHALLENGES YOU MAY HAVE
FACED IN TRYING TO PUT ALL THIS
TOGETHER?
AND THEN OBVIOUSLY OPPORTUNITIES
AND I'M THINKING FOR EARLY
CAREER INVESTIGATOR WHO IS MIGHT
BE THINKING ABOUT GOING DOWN
THIS PATHWAY, BUT OFTEN TIMES
DON'T EVEN KNOW WHERE TO BEGIN,
SO IF YOU CAN GIVE THEM 1
ADVICE, GIVEN SOME CHALLENGES
BUT YES, OPPORTUNITIES WHO WOULD
YOU SHARE?
NI THINK 1 OF THE CHALLENGES HAD
BEEN AROUND FUNDING, LET'S BE
HONEST THIS MEETING WITH A
DIVISION OF NIH WOULD NOT HAVE
BEEN HAPPENING 10 YEARS AGO ON
THIS TOPIC, EVEN A FEW YEARS
AGO, I THINK IT'S TAKEN A WHILE
FOR THE SCIENTIFIC COMMUNITY TO
ACTUALLY ACCEPT THIS IS THE
HEALTH BEHAVIOR WE'RE TALKING
ABOUT, AND IT'S A SCIENTIFIC
STUDY AND ALSO THAT THE SAME
KIND OF SCIENTIFIC STUDY CAN BE
DONE AS FOR OTHER HEALTH DEHAD A
FEWS SO THAT'S SOMETHING MY TEAM
AND I HAVE REALLY HAD TO FIGHT
FOR OVER THE YEARS AND THE
ARGUMENT THIS NEEDS THE SAME
SCALE OF RESEARCH INVESTMENT,
YOU CAN'T DO SMALL AMOUNTS OF
MONEY AND EXPECT TO PRODUCE HIGH
QUALITY EVIDENT THAT'S GOING TO
SHORT OF SHIFT THE PARADIGM ON
THIS.
AND OTHERS IN THE FIELD WHO
PLAYED THEIR ROLE AS WELL IN
HELPING THIS TO HAPPEN.
I THINK THE BIGGEST CHALLENGE IS
PROBABLY THE RIGHT
COLLABORATION, BECAUSE THIS IS
NEVER GOING TO BE SOMEONE THAT
SITS IN ALL OF THESE, THIS IS
HIGHLY DISCIPLINARY WORK
REQUIRING SCIENCE AND ARTS AND
MEDICINE TO COME TOGETHER, SO I
THINK FOR EARLY CAREER RESEARCH,
IT'S ABOUT FINDING THEIR CREW,
FINDING THE TEAM THEY CAN
COLLABORATE WITH AND MAKING SURE
THEY'RE GENUINELY HAVE THE
EXPERTISE THEY NEED IN ALL THESE
TRIALS AND FEELING CONFIDENT IN
OWNING THE PART OF THE METHOLOGY
THAT ARE THEIRS AND I THINK
PARTICULARLY, OPPORTUNITIES FOR
MULTIDISCIPLINARY TRAINING ARE
REALLY GOOD BECAUSE THEY'RE
DISCIPLINES THAT PEOPLE COME
INTO IN THIS FIELD, IT'S NOT
JUST 1 TRAINING ROOT THAT GETS
YOU INTO THIS AREA THAT PEOPLE
COME FROM SUCH DIVERSE TRAINING
BACKGROUNDS THEN I THINK MAKING
SURE THEY'RE GETTING THE
ADDITIONAL TRAINING THEY MIGHT
NEED IS KEY AS WELL.
>> ONE LAST 1, FROM SARAH HOOFER
WHAT HAVE YOU LEARNED ABOUT
BUILDING CAPACITY IN ARTISTS WHO
ARE FACILITATORS OF THESE SORTS
OF PARTICIPATORY EXPERIENCES?
SO THE ARTIST THEMSELVES, HOW
HAVE YOU BUILT THEIR CAPACITY?
>> YEAH, I LOVED WORKING WITH
THE ARTS ORGANIZATIONS OVER THE
YEARS.
I'VE BEEN HAPPY ABOUT HOW
ENTHUSIASTIC ARTISTS ARE ABOUT
THIS WORK, IT'S A DIFFERENT PATH
TO TRAIN ON THE WHOLE STAGE FOR
EXAMPLE BUT IT'S 1 THAT'S GOT
ENORM MEANING AND IMPACT.
I HAVE A SLIGHT NERVOUSNESS
BECAUSE I FEEL LIKE IT CAN BE
EXPLOITED, LIKE THEY'RE BEING
TREATED LIKE ALLIED HEALTH PRFS,
SO WE'VE RUN OUT OF FUNDING AND
WE BRING IN AN ARTIST TO SAVE IT
AND SOMETIMES THEY DON'T HAVE
THE TRAIN XG SUPPORT TO DEAL
WITH CLINICAL SITUATIONS, I
THINK ART THERAPY VS BEEN MUCH
BETTER ABOUT PROVIDING THAT
TRAINING AND SUPPORT FOR ARTISTS
BUT WHAT WE'RE TALKING ABOUT
HERE IS NOT NECESSARILY
THERAPIES BUT THE BROADER
APPLICATION OF ARTS IN HEALTH
AND I THINK THE OUTSIDE
THERAPIES WE NEED TO LEARN MORE
FROM HOW THE THERAPIES HAVE DONE
IT AND OTHER ALLIED HEALTH
DISCIPLINES AND MAKING SURE THAT
PEOPLE HAVE GOT THAT TRAINING
AND SUPPORT.
>> I THINK WITHOUT FURTHER ADO.
THANK YOU, THANK YOU, THANK YOU.
I ACTUALLY CROWD SOURCE MUSIC
FROM YOUNG PEOPLE AND WE'RE
STILL IN THE BEGINNING STAGINGS
OF DOING THAT AND SO I LOOK
FORWARD TO JUST COMING BACK TO
YOU AND SHARING SOME THOUGHTS
AND HOPEFULLY GUIDANCE AS WE
CONTINUE TO BUILD OUT THIS
PROJECT ALSO FUNDED BY THE
NHLBI, SO THANK YOU, THANK YOU
FOR THIS OPPORTUNITY.
>> THANK YOU.
NSO OVER TO YOU KEITH.
>> THANK YOU.
THANK YOU JULIET, THANK YOU
DAISY.
THAT WAS A WONDERFUL TALK.
I SO MUCH APPRECIATE THE
KNOWLEDGE YOU BROUGHT AND SHARED
AND YOUR RESULTS, IT WAS
WONDERFUL AND I ALSO REALLY
APPRECIATE THE THOUGHTFUL
QUESTIONS.
I THINK THEY REALLY GET AT
TODAY'S WORK.
SO I WOULD LIKE TO IF WE CAN
BEFORE WE TAKE A BREAK, GO BACK
AND SEE IF WE CAN HEAR FROM
CHAIR JACKSON.
I THINK WE ALSO SAW FROM DAISY'S
TALK THE IMPORTANCE OF THE
NATIONAL ENDOW AM FOR THE ARTS
IN THIS WORK AND DAISY'S WORK
SPECIFICALLY AND IN THIS AREA,
SO IF WE CAN HEAR FROM HER, GIVE
A VERY NICE, VERY BEAUTIFUL
REMARKS.
>> HELLO, EVERYONE, I'M MARIA
ROSARIO JACKSON CHAIR OF THE
NATIONAL ENDOWMENT FOR THE ARTS,
IT'S BEEN AN HONOR AND A
PRIVILEGE TO SERVE IN THIS ROLE
FOR OVER 2 YEARS PER THE BETTER
PART IN 32 YEARS IN VARIOUS
AREAS OF GOVERNMENT, ACADEMIA,
NONPROFIT SECTOR AND
PHILANTHROPY.
I HAVE WORKED AT THE
INTERSECTION OF THE ART ANDS
COMPREHENSIVE STRATEGIES TO
CREATE HEALTH COMPETENT THRIVING
COMMUNITIES.
DURING MY TIME AS CHAIR OF THE
NEA, I'VE EMPHASIZED ARTS IN
DIVERSE AREAS OF POLICY AND
PRACTICE INCLUDING WORK TO EMBED
ARTS AND CULTURE AND IMPROVING
HEALTH AND WELLNESS FOR
INDIVIDUALS AND COMMUNITIES.
AS MANY IN THIS ROOM WILL
APPRECIATE, THIS AGENDA IS
GROUNDED IN STRONG RESEARCH AND
THE N EA ISN'T STARTING FROM
SCRATCH, INCREASINGLY, THE NEA
IS LEANING INTO ITS ROLE AS A
NATIONAL RESOURCE, A CORE
COMPONENT OF THIS WORK IS
BOLSTERING RESEARCH FUNCTIONS
INCLUDING NEA SUPPORT FOR A
DPROAING BODY OF RESEARCH ABOUT
THE IMPACT OF THE ARTS ON HEALTH
AND WELL BEING.
WE'RE LEARNING MORE EVERY DAY
ABOUT HOW THE ARTS CAN
POSITIVELY IMPACT MENTAL HEALTH
AND WELL BEING FROM EARLY
CHILDHOOD THROUGH ADOLESCENCE
AND YOUTH AND THROUGH LATER
STAGES OF LIFE AS WELL.
IN CLINICAL AND COMMUNITY
SETTINGS, WE'RE LEARNING MORE
AND MORE ABOUT THE POWER OF THE
ARTS TO HELP PEOPLE HEAL, COPE,
MANAGE, AND THRIVE ASK WE'RE
BECOMING INCREASINGLY AWARE OF
HOW IN CITIES, TOWNS AND
NEIGHBORHOODS, ARTS BASED
STRATEGIES CAN CONTRIBUTE TO
GREATER SOCIAL COHESION, HEALTH
EQUIT COMPETENT COMMUNITY WELL
BEING.
AS YOU MIGHT IMAGINE, I'M JUST
DELIGHTED THAT THE NATIONAL
HEART, LUNG AND BLOOD INSTITUTE
AT NIH IS HOSTING TODAY'S
CONVENING, ARTS FOR HEALTH SAKE.
WE HAVE A LONG HISTORY OF
PARTNERING WITH NIH AND RESEARCH
INSTITUTIONS AND WE'RE SO PROUD
OF THESE PARTNERSHIPS, INCLUDING
OUR WORK ON MUSIC AND HEALTH
THROUGH SOUND HEALTH.
THE NEA IN CONJUNCTION WITH NIH,
WORKS WITH THE KENNEDY CENTER IN
THE UNIVERSITY OF CALIFORNIA
SAN FRANCISCO TO SUPPORT THE
SOUND HEALTH NETWORK AN ONLINE
HUB DEDICATING TO PROMOTING
RESEARCH AND PUBLIC AWARENESS ON
MUSIC'S IMPACT ON HEALTH AND
WELLNESS.
WE'RE PROUD AND EXCITED ABOUT
THIS WORK AND MANY OTHER EFFORTS
WHERE WE'RE HELPING TO EXPAND
OUR KNOWLEDGE AND UNDERSTANDING
OF THE POWER OF THE ARTS.
AS I LEAVE YOU TODAY, I WANT TO
SHARE A QUOTE FROM THE GREAT
NOVELIST [INDISCERNIBLE], IT'S 1
I FIND INSPIRATIONAL, SHE SAID,
AS YOU ENTER POSITIONS OF TRUST
AND POWER, DREAM A LITTLE BEFORE
YOU THINK.
TODAY YOU WILL DISCUSS THE STATE
OF RESEARCH AND NEW FRONTIERS
FOR STUDYING THE ARTS AND THE
CONTEXT OF PREVENTING AND
TREATING HEART, LUNG AND BLOOD
DISORDERS, AS YOU DO THIS, I
INVITE YOU ALL TO JUST TAKE A
MOMENT TO DREAM, TO SUSPEND WHAT
WE'RE USED TO, WHAT IS STANDARD,
AND WHAT IS TYPICAL AND TO STAND
IN THE SPACE OF POSSIBILITY.
PLEASE THINK OF US AT THE NEA AS
A RESOURCE AND A PARTNER ON YOUR
ENDEAVORS, THANKS FOR LISTENING
AND FOR ALL YOU DO.
>> GREAT.
THANK YOU.
THAT WAS WONDERFUL REMARKS ARE
VERY MUCH APPRECIATED AND I
THINK IT'S A GOOD WAY TO SET UP
FOR THE REST OF THE DAY.
SO I THINK THAT NOW, WE HAVE A
BREAK OF--WE HAVE A HALF OUR
BREAK SO PEOPLE CAN JUST
DECOMPRESS FROM BEING ONLINE AND
THEN WE WILL COME BACK AND TALK
ABOUT OUR CHARGE FOR OUR GROUPS
AND WE WILL GET TO KNOW EACH
OTHER BETTER WHICH I'M REALLY
LOOKING FORWARD TO AND WE WILL
GET TO START DOING SOME WORK
TOGETHER.
SO I WILL SUGGEST WE BE BACK AT
ABOUT--AT 35 AFTER THE HOUR.
WE'RE ALL ON DIFFERENT HOURS BUT
35 AFTER THE HOUR.
ARE THERE ANY QUESTIONS BEFORE
WE BREAK?
ANYBODY?
I THINK YOU'RE ALL OFF MUTE?
>> KEITH CAN I CONFIRM REALLY
QUICKLY THAT THE VIDEOCAST WILL
END AT THIS POINT?
>> GOOD QUESTION.
VIDEO TEAM?
>> NO IT WOULDN'T END.
>> OKAY, BUT IT'S GOING TO END
WHEN WE--WE'RE NOT GOING TO
VIDEOCAST THE ROOMS.
>> NO.
>> CORRECT.
>> OKAY, SO PEOPLE CAN REJOIN,
DOES THAT MAKE SENSE MALIA?
>> YES, I JUST WANTED TO MAKE
SURE THAT IF FOLKS WHO ARE NOT
PART OF THE BREAK OUTS WANTED TO
YOIN WHETHER THEY SHOULD OR
SHOULD NOT JOIN AT THE 12:35
MARK.
SO THANKS KEITH.
AND I THINK WHAT WE'RE SEEING IS
THEY'RE WELCOME TO HEARING THE
CHARGE BUT THEY WON'T BE ABLE TO
BE IN THE BREAK OUTS AND JUST TO
REMEANED YOU TO THOSE PEOPLE, WE
WILL GATHER TOGETHER AND IT WILL
BE VIDEOCAST WHEN WE COME BACK
FOR OUR DEBRIEF WHICH IS AT
ABOUT 2:15 TODAY.
SO AND EVERYONE IS WELCOME TO
THAT.
OKAY?
ALL RIGHT.
NOT HEARING OTHER QUESTIONS.
IN ABOUT 30 MINUTES WE'LL GET
BACK TOGETHER AND AGAIN, THANK
YOU FOR EVERYONE FOR JOINING AND
LOOK BEING FORWARD TO LATER TODAY.
OKAY. BYE EVERYBODY.
CONTINGENT OF PEOPLE BACK.
SO, WE'RE GOING TO HAVE A FEW
MINUTES NOW FOR A REPORT-OUT.
AND THEN WE WILL HAVE TIME FOR
DISCUSSION.
SO I WILL TURN IT OVER TO MALIHA
FOR THE FIRST REPORT OUT TO KIND
OF LEAD US AND THEN WE'LL MOVE
ON.
ACTUALLY, YOU WILL LEAD US TO
THE WHOLE REPORT-OUT SO I WILL
PASS IT OFF >> THANKS SO MUCH
KEITH AND THANKS EVERYONE FOR
JOINING US BACK EMPLOY I'M SURE
YOU ALL HAD VERY ACTIVE
DISCUSSION GROUPS AS DID GROUP 2
WHICH IS WHERE I WAS SITTING.
JUST AS A QUICK INTRODUCTION,
MALIHA ILIAS, I'M THE PROGRAM
DIRECTOR FOR CENTER FOR
TRANSLATION RESEARCH AND
IMPLEMENTATION SCIENCES AT THE
NHLBI AND I HAVE THE PLEASURE OF
WORKING WITH KEITH AND PAUL AND
AJAY AND OTHERS ON THIS WORKSHOP
SO GLAD TO BE HERE AND IT IS MY
CHARGE NOW TO GO AHEAD AND
KICKOFF THE REPORT OUT SECTION
OF OUR MEETING TODAY, SO AS WE
KNOW, WE HAD 3 GROUPS THAT WERE
BROKEN OUT IN GENERAL AROUND
SPECIFIC CHARGES, GROUP 1 WAS
EXPLORING WHAT ART BASED
INTERVENTIONS FOR HEALTH ARE
READY FOR IMPLEMENTATION.
THE SECOND GROUP WAS EXPLORING
THE BEST EXAMPLES OF USING THE
ARTS TO DISSEMINATE HEALTH
KNOWLEDGE AND THE THIRD GROUP
WAS EXPLORING THE BEST--MOST
PROMISING ART BASED
IMPLEMENTATION STRATEGIES.
SO, WE WILL HEAR FROM ALL 3
GROUPS.
DO WE HAVE THE GROUP 1 SPOKES
PERSON READY TO GO TO TALK ABOUT
ART BASED INTERVENTIONS FOR
HEALTH THAT ARE READY FOR
IMPLEMENTATION?
WHO DO WE HAVE FROM GROUP 1 AND
COULD I ALSO REQUEST THE NIH
COLLEAGUE WHO MODERATED THAT
SESSION TO LET ME KNOW.
>> HI, MALIHA, YES, GROUP 1,
ERICA [INDISCERNIBLE] WILL BE
DOING THE REPORT-OUT.
>> OKAY, ERICA ARE YOU READY TO
GO.
>> YES, I'M HERE, THIS IS I'M
ERICA, I'M A SEECIAL SCIENCE
ADVISOR AT THE U.S. AGENCY FOR
INTERNATIONAL DEVELOPMENT IN THE
GLOBAL HEALTH BUREAU.
I THINK WE HAD SOME SLIDES, ARE
THOSE ABLE TO BE POSTED FOR
EVERYONE TO SEE AS WELL?
>> I BELIEVE THE SCIENCE ARE
WRITERS HAVE SHARED THEIR SLIDES
WITH THE I.T. FOLKS.
JONATHAN AND ANYONE ELSE FROM
THE I.T. TEAM, CAN YOU
REPORT--ACTUALLY WHO IS YOUR
SCIENCE WRITER IF ARE YOUR
GROUP, GROUP #1.
>> ALEXANDRA.
NOKAY, ALEXANDRA WERE YOU ABLE
TO SHARE THE SLIDES WITH ANYONE
IN THE AV TEAM TO BE ABLE TO PUT
IT ON OR CAN YOU SHARE YOUR
SCREEN.
>> I BELIEVE I.T. IS WORKING ON
IT, THEY DO HAVE MY SLIDES.
>> OKAY, THIS IS CLIFF, THEY
WILL BE UP SHORTLY.
>> OKAY, THANK YOU CLIFF.
SO YOU HAVE A BIT OF TIME TO GET
YOUR THOUGHTS TOGETHER AND THEN
WE CAN KICKOFF WHENEVER THE
SLIDES ARE UP, HOW ABOUT THAT?
>> SURE, THAT SOUNDS GOOD.
I WILL SAY, YEAH, MEAN WHILE WE
HAD A WONDERFUL DISCUSSION AND
WE WERE A SMALL GROUP BUT
FORTUNATE TO HAVE A KEY MEMBER
IN THE GROUP WHO WAS ABLE TO GO
THROUGH A LOT OF THE EVIDENT
THAT'S OUT THERE THAT WE'LL BE
SHARING WITH YOU GUYS ONCE THE
SLIDES GET UP.
>> THANK YOU.
LOOKING FORWARD TO IT.
THERE WE GO.
>> OKAY, SO, YES, AS THE FIRST
GROUP WE WERE LOOKING AT WHAT
ART-BASED INTERVENTIONS FOR
HEALTH ARE READY FOR FOR
IMPLEMENTATION SO IF WE GO TO
THE NEXT SLIDE WE CAN WALK
THROUGH THESE WITH YOU AND THEN
OF COURSE, THE REST OF MY FROWP
MEMBER, THEY CAN ALSO JOIN IN
FOR ANYTHING I MAY LEAVE OUT AS
WELL.
OH, THE SLIDES WENT DOWN.
>> AV TEAM, WE'RE NOT SEEING ANY
SLIDES ANYMORE.
>> YES, JUST A MOMENT, SOMETHING
HAPPENED WITH THE SLIDES.
>> OKAY, GREAT.
CAN WE GO TO THE NEXT SLIDE.
OKAY, SO THE EVIDENCE BASE IS
REALLY CLEAR, THERE'S A LOT THAT
IS READY THAT CAN BE IMPLEMENTED
OR SCALED UP, WE TALKED ABOUT
FIRST A LOT MORE OF THE SAY
PHYSICAL OR CLINICAL KIND OF
IMPACTS THAT ART CAN HAVE ON
HEALTH SO JUST GENERAL MENTAL
HEALTH.
THERE'S EVIDENT ONNYONATAL AND
EARLY CHILDHOOD DEVELOPMENT
ACCIDENT COGNITIVE AND
NEUROHEALTH DEGENERATIVE
DISEASES, ANXIETY AND PAIN
MANAGEMENT, PRENATAL, POSTNATAL
CARE, RESPIRATORY HEALTH,
SUBSTANCE ABUSE, A LOT OF THESE
RANGE FROM EVERYTHING FROM DANCE
AND MOVEMENT TO SINGING AND
MUSIC AND INSTRUMENT PLAYING
THAT CAN ALL HELP TO IMPROVE
THESE VARIOUS AREAS.
SO NEXT SLIDE.
WE ALSO TALKED ABOUT PRACTICE
AND TRAINING READINESS, SO IT'S
NOT JUST THE EVIDENT BUT
PRACTICE AND TRAINING IS NEEDED
TO ADEQUATELY PREPARE SETTINGS
TO IMPLEMENT THESE
INTERVENTIONS.
THERE'S CLINICAL SERVICE
READINESS, THERE'S TRAINING
PROFESSIONALS WHETHER THAT'S
TRAINING THE ARTIST THEMSELVES
WHO MIGHT BE GOING INTO A
CLINICAL SETTING OR THE
CLINICIANS WHO ARE THEN BRINGING
IN THE ARTISTS, THERE'S TRAINING
THAT NEEDS TO HAPPEN ON BOTH
SIDES AND OF COURSE THERE NEEDS
TO BE A DEDICATED TEAM WHO CAN
LIAISONAISE BETWEEN THE HEALTH
PROFESSIONALS AND THE NURSES AND
THEN THE ARTIST AS WELL, WHETHER
IT'S FOR MUSIC OR VISUAL ARTS.
JUST EXAMPLES, SO, NEXT SLIDE.
WE TALKED ABOUT SOCIAL
PRESCRIBING, SO, THERE'S THIS
LINK WORKER ROLE, TYPICALLY YOU
FIND IT IN THE UK WHERE PATIENTS
ARE CONNECTED TO LINK WORKERS
WITH DOCTORS AND PATIENTS AND
THEY CAN CONNECT THEM TO
NETWORKS AND ORGANIZATIONS
ACTIVATING PRESCRIPTIONS BASED
ONLET PRESCRIPTIONS BACKGROUND
AND SO THIS IS A VERY
INFLUENTIAL ROLE BUT THERE'S A
NEED TO RETHINK AND CLEARLY
DEFINE THE ROLE IN THE CONTEXT
OF ART SPACED INTERVENTIONS AND
AGAIN, IT GOES BACK TO THAT
TRAINING WE WERE TALKING ABOUT,
AND THEN QUALITY CONTROL, THERE
REALLY IS NO CONTROL TO INSURE
THAT ART NETWORKS AND PROVIDERS
ARE FULFILLING PATIENTS NEEDS
AND SO THERE'S THIS NEED FOR
MONITORING AND EVALUATION OR
LIKE METRICS TO BE SET UP IN
THAT REGARD.
SO NEXT SLIDE.
CAN THEN WEE TALKED ABOUT
ENTERTAINMENT, THIS IS THE AREA
I AM MOST FAMILIAR WITH IN MY
BACKGROUND AT USAID WORKING IN
LOWER, MEDDLE INCOME COUNTRIES
AND SOCIAL AND BEHAVIOR CHANGE.
WE HAVE EXAMPLES OF FUNDING,
INTERVENTIONS AND RESEARCH
AROUND THE INTERVENTION OF USING
STORY TELLING, TO BOTH PROVIDE A
FUN AND EDUCATIONAL WAY TO
INFLUENCE HEALTH BEHAVIORS TO
THEREFORE IMPROVE HEALTH
OUTCOMES AND SO IN MY PARTICULAR
EXAMPLE HERE, WE FUNDED THE
DEVELOPMENT AND RESEARCH AROUND
A MOBILE DEVICE GAME TO EDUCATE
PLAYERS ON FERTILITY AND
MENSTRUATION AND OTHER RELATED
HEALTH TOPICS.
OF COURSE 1 OF THE CHALLENGES IS
INSURING SUSTAINABILITY, WHETHER
THAT'S FUNDING OR OR OTHER WAYS
OF JUST GETTING THE PRODUCT OUT
TO THE USERS, THAT'S JUST 1
EXAMPLE OF WHERE USAID MIGHT
COME TO LEND A HAND.
IN ACCIDENT SLIDE.
WE TALKED ABOUT ACADEMIC
PROGRAMS THAT SUPPORT ARTS IN
HEALTH, SO THERE'S A LOT OF
EXISTING PROGRAMS, BUT THEY CAN
REALLY RANGE, THERE ARE SOME
SPOKE PROGRAMS THAT ARE
INSTALLED AS WELL AND
OPPORTUNITIES FOR DEVELOP AND
OPPORTUNITY TO DEVELOP CURRICULA
IN THE PUBLIC HEALTH DOMAIN
EPARTIALLY TO WORK WITH THE ART
ANDS ARTISTS.
AND NEXT SLIDE, THIS MIGHT BE
OUR FINAL SLIDE, SO WE CLOSED
OUR DISCUSSION ABOUT CREATING
THIS IS SYSTEM SO TO ROLELY GET
THE EVIDENCE INTO PRACTICE THERE
NEEDS TO BE THIS WHOLE ECOSYSTEM
THAT INCLUDES EVERYONE FROM THE
HEALTH LEADERSHIP AND
ADMINISTRATION SIDE TO THE
PHYSICIANS TO THE PATIENTS AND
PART OF THAT ALSO INCLUDES STAFF
RETENTION, DEMON TRAITING HOW
INTEGRATING ARTS CAN IMPROVE
STAFF RETENTIONS, SAY AT A
HOSPITAL, AND BUT THEN THEY'RE
ALSO, WILLING TO TAKE INTO
ACCOUNT THE ARTIST THEMSELVES IN
THEIR OWN MENTAL HEALTH AND IN
GOING INTO THESE SETTINGS AND
HAVING THE BAND WIDTH, THERE'S
COST BENEFITS, THERE'S A LOT OF
EVIDENT TO SUGGIEST THERE ARE
COST BENEFITS FOR INCORPORATING
ARTS TO HELT CARE SETTINGS AND
JUST THESE OTHER CONNECTIONS, SO
EMPHASIZING THAT HOSPITALS WITH
INFUSED ARTS HAVE NOTICEABLE
CONNECTION TO AN ARTS THAT
ENHANCING THAT ENVIRONMENT.
SO THOSE ARE ALL OF OUR SLIDES
BUT I DO WELCOME MY OTHER GROUP
MEMBERS TO MENTION ANYTHING ELSE
THAT I MAY HAVE NOT HAVE
INCLUDED, SO THANK YOU.
>> THANK YOU VERY MUCH ERICA
WOULD ANYONE ELSE FROM GROUP 2
LIKE TO ADD IN?
AND FIELD FUNCTIONS COULD
REQUEST THE SLIDES BE LEFT UP SO
FOLKS HAVE QUESTIONS THEY CAN
CHIME IN HERE.
ANY QUESTIONS, ANY THOUGHTS
ABOUT THE--WHAT WAS SHARED RIGHT
NOW IN ANYONE ELSE FROM THE
GROUP WANTED TO CHIME IN WITH
ANY ADDITIONAL THOUGHTS?
WE HAVE TIME.
PAUL ANY THOUGHTS FROM YOUR END
ON THE GROUP DISCUSSIONS?
>> I WILL JUST ADD THAT I
APPRECIATE EVERYONE'S ENGAGEMENT
IN THE DISCUSSION.
I THINK WE HAD A REALLY LIVELY
DISCUSSION.
I KNOW THAT I LEARNED A LOT AND
I THINK 1 THING I WOULD ADD
ABOUT THE SOCIAL PRESCRIBING, I
THINK THAT THERE WERE--THERE RP
INDICATION THERE WERE CHALLENGES
OVERALL BUT OVERALL THE PROGRAM
IS A PROPISSING INTERVENTION
THAT'S READY FOR SCALE UP.
>> THANKS, PAUL, EMILY YOU HAVE
YOUR HAND UP, GO,A HEAD.
>> YEAH, JUST WONDERING IF THERE
WAS ANY--ANY ADDITIONAL
CONVERSATION OR IF FOLKS HAD ANY
COMMENT ON AGAIN THE--THANK YOU
FOR SHARING THAT AND PAUL TOO
ABOUT PREKRIEBING, I'M CURIOUS
WELL LIKE THE LINK WORKER ROLE
IN THE UK AND MADE ME THINK
ABOUT A LOT OF ROLES WE HAVE
HERE IN TERMS OF COMMUNITY
WORKERS AND PATIENT NAVIGATORS
AND SOCIAL WORKERS SO WE HAVE
CERTAIN KINDS OF POSITIONS THAT
MAY BE SEMESTERULAR TO THAT AND
I WAS JUST MAYBE WONDERING ABOUT
IF THERE'S ANY CONVERSATION TO
BE HAD OR THAT WAS HAD AROUND
UTILIZING LIKE THE SYSTEMS THAT
ARE ALREADY IN PLACE TO, YOU
KNOW NOT RECREATING THE WHEEL I
GUESS IN TERMS OF OH WE NEED TO
START FROM SCRATCH BECAUSE IT'S
AN ART BASED PROGRAM BUT WHAT
SYSTEMS ARE ALREADY THERE THAT
ARE CAN BE SLIGHTLY TWEAKED OR
ADVANTAGED TO HELP WITH THIS
TYPE OF WORK.
AND THANK YOU EVERYBODY.
>> MAY I OFFER SOME
RESPONSIVENESS?
I WAS IN THIS GROUP AND EMILY
THAT'S A GREAT QUESTION AND THE
1 NATION 1 PROJECT IF ANYONE HAS
THE LINK TO THAT TO THROW IN THE
CHAT, THE 1 NATION 1 PROJECT
PROGRAM THAT'S TAKING PLACE
RIGHT NOW IS GOING TO OFFER US A
LOT OF REALLY CLEAR EVIDENCE FOR
HOW THE BEST ROLE IS BEING TAKEN
UP AND REALLY DIFFERENT CONTEXT
WITHIN THE UNITED STATES.
SO THERE ARE A NUMBER OF
DIFFERENT WAYS IN WHICH THIS IS
BEING CONCEIVED OF IN THE U.S.,
1 IS EXACTLY AS YOU SAID EMILY
USING COMMUNITY HEALTH WORKERS,
AND SO IT'LL BE REALLY
INTERESTING TO SEE HOW THIS
PLAYS OUT WITHIN SYSTEMS AND IT
WOULD BE GREAT IF WE COULD COME
TO SOME COMMON UNDERSTANDINGS
ABOUT THE BEST WAYS TO DO THIS
WITHIN THE U.S. SYSTEM.
>> THANKS, SARAH.
EMILY WAS THAT ABLE TOW ADDRESS
YOUR QUESTION OR DO YOU HAVE ANY
FOLLOW UP?
NYEAH, THAT WAS A GREAT POINT
AND I GUESS IT JUST MAKES ME
THINK ABOUT LIKE SUPPORTING
COMMUNITY WORKERS AND NAVIGATORS
LIKE IN TERMS OF THEIR
PROFESSIONAL DEVELOPMENT AND A
LOT IS PUT ON THOSE ROLES TO DO
EVERYTHING IS LIKE NOW CAN YOU
KNOW HOW TO INCORPORATE SOME OF
THIS--SORRY, HOW CAN WE
INCORPORATE LIKE SOME OF THE
LEARNINGS AND THE TRAINING LIKE
THIS, TOO, TO SUPPORT THEM IN
THEIR OWN PROFESSIONAL JOURNEY
AND ECONOMIC IMPRESIDENT OBAMA
VISITEDDERMENT AS PEER WORKERS,
COMMUNITY NAVIGATORS AND HEALTH
WORKERS.
>> GO,A HEAD SARAH, YOU CAME ON
CAMERA, DID YOU WANT TO SAY
SOMETHING?
>> I WAS ALL FOR MAKING
SUSTAINABLE JOBS FOR PEOPLE TO
MAKE THE WORK SO WE CAN MAKE
THESE RUN.
SO I'M FULLY SUPPORTIVE OF THAT.
>> IF WE COULD--I DON'T SEE ANY
QUESTIONS IN THE CHAT SO I
WANTED TO BRING UP 1 OF MY OWN.
IF WE COULD JUST--IS THIS THE
FIRST SLIDE OR I THINK THERE WAS
A NOTE ON THE OTHER SLIDES THAT
I WANTED TO REACT TO IF WE COULD
JUST GO FORTH.
>> THIS IS THE LAST SLIDE.
>> THIS IS THE LAST 1?
COULD WE GO BACK A BIT, WHOEVER
IS RUNNING THE SLIDES?
>> WHICH 1?
>> I'M NOT SURE, IF YOU CAN GO
BACK 1 SLIDE AND I WILL LET YOU
KNOW IF THAT'S THE RIGHT 1.
JUST MOVE BACK 1 SLIDE.
WHILE YOU MOVE BACK FROM THE
SLIDES, I SEE THERE'S A NOTE
FROM KATIE, THE HUMANITIES OF
MAYO CLINIC IS IN THE WORKS OF
SOCIAL PREKRIEBING THROUGH OUR
WORK WITH THE EHR, AND
COLLABORATING WITH COLLEAGUE
ANDS SOCIAL WORK AND SOCIAL
DETERMINANTS OF HEALTH, ET
CETERA, I WOULD BE GRAD TO
CONNECT WITH OTHERS WOSHING ON
SOCIAL PRESCRIBING IN THE U.S.
>> YOU CAN COME OFF MUTE, IT'S
AN INFORM AT DISCUSSION, IF YOU
WANT TO ADD AIR LITTLE BIT ON
THAT NOTE.
NI BELIEVE YOU'RE MUTED.
>> JUST TO SAY I'M EXCITED TO
HEAR CONVERSATION ON THIS AND
LOOK FORWARD TO TALKING WITH
OTHERS WHO ARE WORK,ING ON WHAT
THIS WOULD LOOK LIKE IN THE U.S.
AND HOW WE CAN CONNECT IT.
I THINK IT'S KEY TO CONNECT IT
TO THE SYSTEMS WE'RE WORKING IN,
THAT WAS A GOOD COMMENT, CAN WE
CONNECT WITH SOCIAL WORKERS OR
OTHERS WE'RE WORKING WITH SO WE
WOULD BE HAPPY TO CONTINUE THE
CONVERSATION WITH OTHERS TOO.
N.
>> WONDERFUL THANK YOU.
ONE THING WOE ENCOURAGED IN OUR
GROUP AND OTHERS TO DO AS WELL,
IS ANY LINKS TO REPORTS OR
WEBSITES OF THE THINGS THAT YOU
MENTIONED THAT COME UP IN THE
CONVERSATION PLEASE GO AHEAD AND
POP IT IN THE CHAT BECAUSE WE
WILL BE SAVING THE CHAT AND
OTHERS CAN BENEFIT FROM THAT
INFORMATION EMPLOY SO I HIGHLY
APPRECIATE IT.
IME NOT SURE IF WE HAVE BEEN
ABLE TO MOVE BACK, I HAVEN'T
SEEN THE SLIDES MOVE, KIHOLD OFF
ON MY QUESTION, ANYBODY ELSE
HAVE A THOUGHT THAT THEY WOULD
LIKE TO SHARE WITH THE GROUP 1
ON IMPLEMENTATION READY ART
INTERVENTIONS BASED FOR HEALTH?
OKAY, GOING ONCE, GOING TWICE.
ALL RIGHTY I WILL GO ARK HEAD
AND JUMP RIGHT INTO THE
DISCIPLINARY CUSHION FROM THE
BREAK OUT GROUP 2.
JONATHAN AND OTHERS WHOEVER ARE
SUPPORTING US HERE FROM THE AV
POINT OF VIEW, CAN YOU--YEAH,
THANK YOU VERY MUCH FOR BRINGING
THOSE UP.
SO GROUP 2 HAD THE CHARGE OF
WHAT ARE THE BEST EXAMPLES OF
USING THE ARTS TO DISSEMINATE
HEALTH KNOWLEDGE, SO HERE WE ARE
REALLY EXPLORING ART AS A
DISSEMINATION STRATEGY, BUT ALSO
AS A WAY TO CONNECT WITH
COMMUNITIES, AND WE'LL GO
THROUGH THEM, BUT WE HAD CHOSEN,
I WANT TO IDENTIFY THE FOLKS IN
MY GROUP FIRST BY NAME BECAUSE
WE HAD QUITE A--QUITE A LOT OF
GREAT DISCUSSION EVEN THOUGH IT
WAS AND JULIET WAS A PART OF OUR
GROUP AND MARIEL FAIRIS WAS OUR
SCIENCE WRITER SO THANK YOU ALL
FOR A GREAT DISCUSSION IN THAT
GROUP.
WE HAD NOMINATED SENILE TO GIVE
OUR REPORT OUT BUT I KNOW HE'S
HAVING TECHNICAL DIFFICULTIES,
SO CAN ANYONE FROM AV CAN
CONFIRM WHETHER SENILE IS SIGNED
IN.
>> I DON'T SEE HIM AND THEY ARE
WORKING WITH HIM TO GET HIM IN.
>> I CAN GO AHEAD AND REPORT OUT
ON BEHALF OF THE GROUP.
ALL RIGHT, I THINK ARE THE
SLIDES READY TO GO.
OKAY, THANK YOU.
SO THE MAIN CHARGE OF YOUR GROUP
AS I MENTIONED WAS TO--THAT'S
WHAT WE STARTED WITH AFTER
INTRODUCTIONS, WAS TO EXPLORE
THE EXAMPLES OF USING ARTS TO
DISSEMINATE HEALTH KNOWLEDGE.
SO IF WE COULD MOVE OVER TO THE
NEXT SLIDE, PLEASE.
SO WHEN WE STARTED THE
DISCUSSION, 1 OF THE FIRST
THINGS THAT CAME UP FOR OUR
GROUP WAS THAT LANGUAGE MATTERS,
THAT WORDS LIKE BEST OR BEST
EXAMPLES, OR BEST PRACTICES, AND
EVIDENT BASED APPROACHES MAY
NEED TO BE RECONSIDERED BECAUSE
WHAT WORKS FOR 1 COMMUNITY OR IN
1 SPACE MAY NOT WORK FOR OTHERS,
SO TO CALL SOMETHING THE BEST
SHOULD BE DONE WITH A LOT OF
CAUTION, SO, WE HAD A LITTLE BIT
OF DISCUSSION, ALL OF OUR
SPEAKERS, PANELISTS WERE IN
AGREEMENT THAT IT'S PROBABLY
BETTER TO TALK THROUGH PROMISING
PRACTICES RATHER THAN BEST
PRACTICES.
SO WITH THAT CAVEAT, THE REAL
INTENTION THAT THE GROUP
APPROACHED THIS QUESTION WAS
THAT THE COMMUNITY COMES FIRST
AND THE COMMUNITY SHOULD DRIVE
WHAT IS MOST MEANINGFUL AND WE
NEED TO UNDERSTAND WHAT THE
COMMUNITIES PRIORITIES ARE, WHAT
THEIR NEEDS ARE AND TO COME UP
WITH THE MOST MEANINGFUL DESIGN
OF A PROJECT INCLUDING
IMPLEMENTATION AND DELIVERY FROM
THE COMMUNITIES PERSPECTIVE AND
THE COMMUNITIES LIVED REALITY.
SO THAT WAS 1 MAIN POINT THAT
CAME UP, THEN WE HAD A LOT OF
REALLY TBRAIT EXAMPLES AROUND
THE TYPE OF THINGS THAT ARE BEEN
USED.
ONE OF THE THINGS, THERE WAS A
LOT OF DISCUSSION ARK ROUND
SHORT FILMS, PHOTOGRAPHY, PHOTO
VOICING, SHARING IMPACTFUL
STORIES AND NARRATIVES THROUGH
THOSE MEDIUMS BUT ALSO QUILTING,
AS AND TO QUILT STAR BLANKETS TO
DESIGN THESE STAR BLANKETS THAT
SHARE STORIES AND 1 OF THE
THINGS THAT GLADYS WAS ABLE TO
SHARE WAS A WEBSITE THAT HAS
GROWN OUT OF A DISSERTATION
PROJECT ON STORIES OF
DECOLONIZATION WHICH INCLUDES
SHORT FILMS AS A MEANS OF
DISSEMINATING INFORMATION AROUND
DECOLONIZATION AND
DISCRIMINATION, ASSOCIATED WITH
THAT, WITH SOME OF THE HISTORIC
DISCRIMINATION THAT'S FACED BY
THESE COMMUNITIES, I WILL ASK MY
GROUP MEMBERS TO GO AHEAD AND
JUMP RIGHT IN IF I MISS QUOTE
ANYTHING OR IF THEY WANT TO ADD
ANYTHING, AGAIN THIS IS AN
INFORMAL DISCUSSION SO CAN YOU
JUMP RIGHT IN AND CORRECT ME IF
I SAID ANYTHING WRONG OR IF YOU
WANT TO ADD.
OT OTHER HAND, LISA SHARED ABOUT
THE PROGRAM CALLED HEAR OR HEAR
WE ARTS HEALTH, RESILIENCE AND
WELL BEING, THIS USED A LOT OF
DIFFERENT TYPES OF THERAPIES FOR
PARTICIPANTS WHICH INCLUDED ART
THERAPY, ART APPRECIATION,
YOWRNALLING, MUSIC THERAPY,
THEATER AND SOCIALIZATION AS
WELL AS MOVEMENT AND THESE
PARTICIPANTS AND FROM WHAT I
UNDERSTAND, AND LISA PLEASE
CORRECT ME IF I'M WRONG IS THAT
THESE PARTICIPANTS ARE MOSTLY
WOMEN AND THEY WERE FOLLOWED FOR
6-8 WEEKS AND EVEN AT THE END OF
THAT, THEY BECAME SUCH A CLOSE
KNIT GROUP OF PARTICIPANTS, THEY
WERE VERY CONNECTED TO THE
RESEARCH AND THE RESEARCHERS,
AND THEY APPRECIATED BEING GIVEN
A VOICE BUT ALSO APPRECIATED
LITTLE THINGS THAT MAY NOT
MATTER TO MANY OF--WE DON'T
THINK ABOUT IT BUT THEY WERE
ABLE TO SURFACE WHICH IS THANK
YOU FOR REMEMBERING OUR NAMES.
THANK YOU FOR LEARNING OUR NAMES
AND ALLOWING US THIS SPACE TO
WORK IN AND THEY LIKED IT SO
MUCH THAT THEY ASKED UNIONS OR
FOLLOW UPS AND THE TEAM WAS ABLE
TO DO THAT UNTIL THEY WERE
DISRUPTED BY COVID.
SO REALLY GREAT EXAMPLES AND
THEN SENILE WAS TALKING ABOUT
CREATING SPACES TO WALK ABOUT
VACCINE READINESS, HEALTH
KNOWLEDGE AND COME UP WITH
HEALTH STRATEGIC PLAN EDGES,EE
ALSO SHARED A REPORT THAT I HAVE
DONE WITH THE ROBERT WOOD
JOHNSON FOUNDATION ON PLACE
BASED PROJECTS THAT CAN FOSTER
HEALTH EQUITY.
THERE WAS A LOT OF SHARING OF
DIFFERENT INFORMATIONS, YOU CAN
SEE ON OUR SLIDES THERE'S A
SCREENING OF A SHORT FILM THAT'S
HAPPENING TOMORROW NIGHT THAT'S
SENILE IS SHARING AND AS WELL AS
OTHER OPPORTUNITIES TO BY THE
UNIVERSITY OF UTAH, AFRO-BEATS
WAS 1 SUCH PROJECT THAT WAS
SHARED BY JULIET WITH HER WORK
INTERNATIONALLY AROUND THIS
SPACE WHERE ARTIST CO-CREATED
AND ESPECIALLY MUSIC IS
CO-CREATED WITH THE YOUTH AND
HELP USED TO TRANSMIT KNOWLEDGE
TO CAREGIVERS BUT AS WE WERE
HAVING THESE DISCUSSIONS WE WERE
SURFACING SOME OF THE CHALLENGE
ANDS FOR EXAMPLE, THE CHALLENGES
AROUND PROTECTING OARNSHIP
RIGHTS OF THE MUSIC, WHAT ARE
WILL LEGAL AND ETHICAL CREATIONS
OF CO COMMUNITY MEMBERS, HOW ARE
WE ABLE TO PROVIDE FINANCIAL AS
WELL AS SEDITION MAKING EQUALITY
TO COMMUNITY AND ARTISTS WHO ARE
PARTNERS SO THEY'RE NOT AN
AFTERTHOUGHT OR WE EXPECT THEM
TO PROVIDE THE WORK TO US FOR
FREE, BUT THEY ARE FINANCIAL
INCLUDE INDEED THE RESEARCH
PROJECT FINANCIALLY AND ALSO
FROM A DECISION MAKING VIEW, AND
ALSO THERE WAS DISCUSSION AROUND
HOW ARTS ARE SUPPORTED SO ART
TAXONOMY IS NEEDED AS DIFFERENT
MEDIUMS ARE COMMUNICATED
DIFFERENTLY AND PEOPLE ENGAGED
IN ARTS DIFFERENTLY NEEDS TO BE
CONSIDERED FOR DISSEMINATING
HEALTH KNOWLEDGE.
SO THAT WAS THE CHARGE, AND THEN
WE WENT INTO A LITTLE BIT MORE
OF A DISCUSSION, SO NEXT SLIDE.
WE TALKED ABOUT OUR BOUNDARIES
AND ART AS A DISSEMINATION
STRATEGY BUT USING ART TO
CONNECT WITH COMMUNITIES AND
SOME OF THESE EXAMPLES I GAVE IN
THE PREVIOUS SLIDE ARE MENTIONED
HERE ALONG WITH THE LINKS THAT
HAVE BEEN INCLUDED FOR SOME OF
THESE GREAT PROJECTS AND I THINK
1 OF THE PANELISTS MADE A REALLY
GOOD POINT WHERE HE WAS
MENTIONING THAT ARTISTS CAN HELP
RESEARCHERS CHECK THE FACE
VALIDITY FROM THE FINDINGS, SO
BEING ABLE TO SHARE THE FINDINGS
WITH THE ARTIST CAN NOT OHM HELP
THEM REACT TO THE STUDY FINDINGS
BUT SHOW US WHETHER THEY JIVE
WITH WITH THE COMMUNITY'S LIVED
REALITY AND ALSO IF THEY
UNDERSTAND THE STUDY FINDINGS,
THEY CAN HELP THEM SIS DEMINATE
THEM BACK TO THE COMMUNITY MORE
IMPORTANTLY AND FROM A TRUSTED
SOURCE AND AGAIN AS WE
DISCUSSED, AS I DISCUSSED
EARLIER, FINANCIAL
RESPONSIBILITY TOWARDS OUR
ARTIST PARTNERS WAS EXTREMELY
IMPORTANT SO THAT WE'RE ALWAYS
RESPECTING THEIR WORK AND
BRINGING THEM IN AS EQUAL AND
APPROPRIATE PARTNERS INTO THE
RESEARCH PROGRAM.
SO NEXT SLIDE, PLEASE.
YES, I THINK THIS IS TALKING
ABOUT THE HEAR WE ARTS PROGRAM,
SO I ENCOURAGE FOLKS TO LOOK AT
IT AT THERE LEISURE, AND THEN WE
LOOKEDDA THE THROUGH THE LONGER
LIST OF QUESTIONS SOME OF THE
THINGS THAT CAME UP IS THAT THE
RESEARCH THAT IS REQUIRED HERE
IS A LITTLE BIT HARD GIIVE THE
RESOURCES THAT ARE AVAILABLE SO
ALTHOUGH THERE ARE VARIOUS SMALL
SCALED STUDIES THAT HAVE BEEN
DONE, THE TRADITIONAL EVIDENT
GATHERING, LARGE SCALE,
MULTISITE STUDIES ARE NOT ALWAYS
POSSIBLE AND HAVE NOT BEEN DONE
AS MUCH AND THE RESOURCES MAY
NOT BE AVAILABLE FOR THIS TYPE
OF WORK AND ALSO THERE MAY NOT
BE THE ABILITY FOR CERTAIN
COMMUNITY PARTNERS TO BE ABLE TO
TAKE PART IN THIS RESEARCH ON
THEIR OWN AND IN THAT REGARD, I
HAD BROUGHT UP THE WORK OF THE
COMMUNITY ENGAGE AM ALLIANCE
THAT NIH FUNDS THAT HAS BEEN
VERY CREATIVE AND BEING ABLE TO
DO COMMUNITY ENGAGED RESEARCH
AND COMMUNITY BASED
PARTICIPATORY RESEARCH WHICH
BRINGS IN COMMUNITY PARTNERS AS
EQUALS AS IS THE COMPOSES
PROGRAM WHICH IS ALSO AN NIH
FUNDED COMMON FUND PROGRAM THAT
FUNDS COMMUNITY MEMBERS
DIRECTLY.
SO SENILE AND OTHERS MENTIONED
THAT THERE HAVE BEEN REVIEWS
THAT DO THIS EVIDENCE GENERATION
USING THE SMALL SCALE STUDY DATA
WE HAVE UNTIL WE ARE ABLE TO DO
THESE TRADITIONAL LARGER SCALE
STUDIES, RCTs AND OTHER GOLD
STANDARDS THAT WE LIKE TO LOOK
AT WHEN WE'RE TRYING TO GENERATE
DATA.
YULEIET HAD BROUGHT IN A GREAT
QUESTION ABOUT SUSTAINABILITY OF
RESEARCH, HOW DO WE SUSTAIN
THESE INTERVENTIONS ONCER WE DO
THEM AND THERE WERE LOTS OF
GREAT EXAMPLES SHARED AROUND THE
WORK THAT FOR EXAMPLE, NEA HAS
DONE WITH THE D.O.D. TO SUPPORT
ART, MUSIC AND DANCE THERAPY FOR
MILITARY STAFF WHO ARE SUFFERING
FROM TRAUMA AND HOW THAT WORK
WAS INCORPORATED AND EMBEDDED IN
THE CLINICAL CARE FOR THESE
VEDRANS.
AND THERE WAS A LITTLE BIT OF
ANXIETY AROUND THE FACT THAT
ARTS ARE OFTEN THE FIRST TO BE
CUT IN PROGRAMS LIKE SCHOOL
CURRICULUM AND COLLEGE
CURRICULUMS, EVEN THOUGH WE HAVE
ENORM AUSEVIDENCE ON HOW
MUCH--ENORMOUS EVIDENCE ON HOW
MUCH THEY CAN BE BENEFICIAL
POETIC MENTAL AND PHYSICAL
HEALTH.
I BELIEVE THAT'S THE LAST SLIDE,
BUT CORRECT ME IF I'M WRONG.
YES, I BELIEVE THAT WAS THE LAST
SLIDE.
I WANT TO ASK MY GROUP MEMBERS
TO PLEASE JUMP IN IF THEY THINK
I MISSED ANYTHING OR IF THERE'S
ANYTHING THEY WOULD LIKE TO ADD,
PLEASE JUMP IN.
>> THIS IS JULIET AND I THINK
YOU DID A GOOD JOB HIGHLIGHTING
EVERYTHING, AND GOING OVER, THE
1 THING I KNOW DIDN'T DIVE
DEEPER INTO IS CROWD SOURCING
FOR CREATING MUSIC, WE TAKE IT
FOR GRANTED THAT YOU KNOW
ESPECIALLY IF YOU WANT TO COME
INTO THIS SPACE, THAT THERE'S
ALREADY MUSIC IN THIS SPACE, AT
LEAST FOR THE WORK I DO OR ART
IN THIS SPACE, OR POETRY IN THIS
SPACE, SO MAYBE AS RESEARCHERS
WHAT YOU WANT TO DO IS CO-CREATE
THESE IDEAS BETTER AND
ESPECIALLY FOR IMPLEMENTATION
SCIENCE OR KNOWING THE EVIDENCE
EXISTS BUT WE DON'T KNOW HOW TO
GET INTO THE COMMUNITY SO HOW DO
YOU BEGIN TO USE ART AS A MEDIUM
BUT CORE CREATED ART, RIGHT, AS
A MEDIUM THROUGH WHICH WE GET TO
CLOSING THAT GAP AT LATE STAGE
TRANSLATION RESEARCH AND SO,
YEAH, I'M ALWAYS FASCINATED BY
WHAT THE COMMUNITY CAN DO IF YOU
DO GIVE THEM THE PLATFORM AND SO
SOMETIMES COMMUNITY ENGAGEMENT
SHOULD TRULY THEN BE THAT,
RIGHT?
COMMUNITY, COME TO THE FOREFRONT
OF YOUR OWN VOICE AND
EXPERIENCE, NOT ONLY EXPERT
DRIVEN BUT TRULY
COMMUNITY-DRIVEN.
NTHANKS SO MUCH JULIET FOR
WEIGHING IN.
COMPLETELY APPRECIATE YOUR
COMMENTS.
I DON'T KNOW--I KNOW SENILE
COULD NOT JOIN AND I DON'T SEE
LISA BUT GLADYS, I THINK YOU'RE
ON IF YOU WANTED TO SHARE
THOUGHTS FROM OUR GROUP
DISCUSSION?
>> I DON'T HAVE ANYTHING ELSE TO
ADD.
I FEEL LIKE WE HAD A REALLY RICH
DISCUSSION AND YOU PRESENTED IT
IN A WOBDERFUL WAY AND THANK YOU
FOR JUMPING IN AT THE LAST
MINUTE THERE AND OFFERING YOUR
SUMMARY.
I FEEL LIKE YEAH, THERE WAS JUST
REALLY RICH CONVERSATION AND
EXAMPLES, AND REALLY APPRECIATE
BEING PART OF IT.
>> THANK YOU GLADYS, I
APPRECIATED THE CONVERSATION AS
WELL, I THOUGHT OUR GROUP HAD A
GREAT DISCUSSION, SO WITH THAT I
WILL OPEN THIS UP FOR QUESTIONS,
I DON'T SEE ANYTHING IN THE CHAT
BUT IF THERE ARE ANY QUESTIONS
PLEASE RAISE YOUR HAND BEFORE WE
MOVE ON TO THE NEXT REPORT OUT?
KEITH, GO AHEAD.
>> I WAS JUST WONDERING DO
PEOPLE HAVE EXAMPLES OF USING
ART-BASED STRATEGIES AND
COMPARING THEM TO NONART-BASED
STRATEGIES JUST OUTRIGHT
COMPAREISONS ON HOW WELL THEY
DO?
>> YEAH, SO THE ARTS PROGRAM
THAT LISA MENTIONED I BELIEVE
THAT 1--THAT ACTUALLY STUDIED AS
A FEASIBILITY KEITH ANDIME NOT
READ UP ON THE PAPER BUT IT'S
INCLUDED AS A LINK IN THE SLIDES
FOR FOLKS TO LOOK UP AND IT'S
DONE BY THE CLEVELAND CLINIC BUT
WHAT SHE SHARED, AND I WISH SHE
WAS HERE TO SHARE THIS HERSELF
BUT WHAT SHE SHARED WAS THAT
ONCE AFTER THE FEASIBILITY STUDY
THEY WERE ABLE TO DO RCT AND 1
OF THE CONTROLS THAT I HAD WAS A
GROUP THAT GOT NO INTERVENTION
AND 1 CONTROL GROUP WAS A GROUP
THAT GOT ONLY EDUCATION AROUND
THEIR HEALTH WITHOUT ANY ART
BASED, THE WHOLE ART BASED
CURRICULUM SO THEY DID HAVE THAT
COMPARISON, LIKE I SAID I
HAVEN'T READ THE PAPER SO I'M
ASSUME BEING THE RESULTINGS WERE
VERY MUCH IN FAVOR OF THE ART
BASED CURRICULUM, BEING MORE
IMPACTFUL AND LEADING TO BETTER
RETENTION OF HEALTH KNOWLEDGE.
>> THANK YOU.
>> THANKS FOR THE QUESTION,
KEITH.
ANYBODY ELSE HAVE ANY QUESTIONS
BEFORE WE MOVE ON?
VERY QUIET GROUP AFTER LUNCH.
ALL RIGHT, GROUP 3, I BELIEVE
KEITH, THAT'S YOUR GROUP AND
THEY WERE CHARGED WITH LOOKING
AT USING ART TO--SORRY--TO
LOOKING AT ART BASED IMP
LEMMATION STRATEGIES, SO KEITH
WHO WAS THE NOTE TAKER WHO WAS
GOING TO TALK THROUGH YOUR
REPORT OUT?
>> WELL I THINK I'VE BEEN ASKED
TO CALL DIFFERENT MEMBERS OF THE
GROUP.
I WILL INTRODUCE THE GROUP,
FIRST AND THEN I WILL CALL ON
DIFFERENT MEMBERS SOPHISTICATED
TAKE DIFFERENT PARTS OF OUR
SLIDE AND HOPEFULLY, IT AM OPEN
UP TO A RICH DISCUSSION.
SO WE HAD A REALLY WONDERFUL,
VERY RICH DISCUSSION AND IN THE
GROUP WAS EMILY KLUKAS,
MARLAINE FIGUEROA, AND
[INDISCERNIBLE], AND CALLIE AND
IT WAS A WONDERFUL DISCUSSION
AND OUR SCIENCE WRITER WAS
THERE.
SO COULD YOU PUT UP THE SLIDE.
OKAY, NEXT SLIDE.
WE HAVE 1 SLIDE WE CAN KIND OF
TALK THROUGH, AND I THINK I WILL
START WITH KIND OF KATIE, SO YOU
KIND OF STARTED US OFF AND WE
COULD TALK THE FIRST COUPLE OF
POINTS?
>> SURE, I'LL DO MY BEST AND
WELCOME ALL THE GROUP MEMBERS TO
PITCH IN IF I MISS SOMETHING OR
SAY SOMETHING.
THANK YOU SO MUCH, LIKE THE
OTHER GROUPS I THINK WE REALLY
APPRECIATED THE OPPORTUNITY TO
TALK WITH EACH OTHER AND LEARN
FROM EACH OTHER AND IT WAS A
VERY RICH DISCUSSION AND LOOK
FORWARD TO CONNECKING AFTER THIS
AS WELL, SO, SO WE TRIED TO
ADDRESS PARTICULAR QUESTIONS AND
I THINK OUR COMMENTS SPOKE TO
MULTIPLE QUESTIONS SO THIS WAS
MORE A SUMMARY RATHER THAN AN
ANSWER TO A QUESTION OR BULLET
POINT.
WE TALKED ABOUT THE FUNDING
CONSTRAINTS AND THIS IS SORT OF
SOME OF THE CHALLENGES OF
IMPLEMENTING ARTS BASED
INTERVENTIONS OR PROGRAMMING
MORE GENERALLY, NOT RATHER THAN
A SINGLE INTERVENTION, FUNDING
CONSTRAINTS IN GENERAL, IN
PARTICULARLY IN THINKING ABOUT
THOSE COMING FROM QUALITATIVE
BACKGROUNDS AND FUNDING
EXPECTATIONS, OF THE REQUEST FOR
GRANTS THAT ARE EXPECTING YOU TO
BE ABLE TO COME IN WITH
QUANTITATIVE STRATEGIC
PLANENTLYYS OR METHODOLOGIES
THAT WE MIGHT BE LESS FAMILIAR
WITH AND WHAT FUNDING IS
AVAILABLE FOR THOSE COMING FROM
DIFFERENT METHODOLOGY
BACKGROUNDS, I'M TRYING TO
FIGURE OUT HOW YOU ASSESS
SPECIFIC OUTCOME WHEN IS WE'RE
WORKING WITH ARTS THAT MAY
IMPACT PEOPLE IN DEFINITE WAYS
AND ALSO IN THINKING ABOUT ARTS
AS MAYBE NOT AN ISOLATED ART BUT
MULTIPLE ARTS THAT MIGHT COME
TOGETHER SO IF YOU THINK ABOUT A
PERFORMANCE THAT WOULD HAVE
DANCE, MUSIC, THEATER AND THINGS
LIKE THAT, AND THEN YOU KNOW AND
ALSO MIGHT BE BRINGING PEOPLE
TOGETHER IN A SOCIAL CONTEXT FOR
EXAMPLE SO HOW DO YOU ASSESS
PARTICULAR OUTCOMES FROM THAT
WITHOUT SORT OF THINKING OF
EVERYTHING WHOLISTICALLY, WE
TALKED ABOUT ALSO IN TERMS OF
DOING THIS, WO, THOSE OF US
COMING FROM QUALITATIVE
BACKGROUNDS FEEL THIS STRONGLY
BUT WE'RE OFFER WORKING WITH
SMALL SAMPLE SIZES AND SO AGAIN
THIS IS A LITTLE DIFFERENT FROM
SOME OF THE LARGE SCALE STUDIES
THAT ARE AVAILABLE OR THAT ARE
MAYBE GIVEN PREFERENCE IN
FUNDING AND SO HOW DO WE REACH
HA AND THERE MAY OTHER
CONSIDERATIONS LIKE PRIVACY
CONSIDERATIONS FOR THOSE WORKING
IN A CLINICAL CONTEXT FOR
EXAMPLE THAT ARE CHALLENGES.
THE NEXT POINT SORT OF SPEAKS TO
SOME OF THE FACTORS THAT WE FEEL
ARE IMPORTANT, FACAS SITITATING
AND INCENTIVIZING COLLABORATIVE
EFFORTS AMONG EXPERTS FROM
DIVERSE FIELDS WITH SHARED
INTERESTS AND SO THE THIS SPEAKS
AS WELL TO THE KEY NOTE TALK AND
EMPHASIS ON THE FACT THAT NONE
OF US ARE SORT OF QUALIFIED FOR
ALL ASSPECS OF THIS WORK, SO
BEING ABLE TO FACILITATE AND
ENCOURAGE COLLABORATIONS BETWEEN
PEOPLE COMING FROM DIFFERENT
METHOD LOGICAL BACKGROUNDS,
DIFFERENT EXPERTISE THAT'S
CRITICAL TO BEING ABLE TO BED
WHOLISTICALLY WHAT'S HAPPENING
AND BEING ABLE TO DEMON TRAIT
THAT AND DISSEMINATE THAT
INFORMATION AND IN SOME CASES
FOR THOSE WHO DON'T HAVE
PARTNERS ALREADY, IF THERE ARE
OPPORTUNITIES TO FOR THE NIH OR
FOR OTHER ORGANIZATIONS TO HELP
WITH FACILITATING THAT TYPE OF
NETWORKING AND COLLABORATION,
THAT COULD BE VERY VALUABLE,
ESPECIALLY FOR THOSE WHO ARE
STARTING OFF OR THOSE WHO ARE
COMING FROM NONRESEARCH
BACKGROUNDS SO THAT MIGHT BE
ARTISTS OR COMMUNITY MEMBERS WHO
ARE UNFAMILIAR AS THE LANDSCAPE
AS IT CURRENTLY WAS--WAS
CURRENTLY THE LANDSCAPE, I
SHOULD SAY.
WE TALKED ABOUT CHANGING THAT
LANDSCAPE TOO, CO CREATION WITH
COMMUNITY ARTISTS AND
COLLABORATORS, WE TALKED A LOT
ABOUT THE VALUE OF ARTISTS AND
COMMUNITY MEMBERS, AND SORT OF
WHAT IS THE RESEARCH TEAM BEING
BROADER, FROM THE VERY
BEGINNING, SO IN EMERGING ITS OF
DETERMINING WHAT THE IS DESIGN,
WHAT IS THE GOAL AND THEN WHAT
IS THE DESIGN AND HOW DO YOU
THEN IMPLEMENT THAT AND HOW DO
YOU DISSEMINATE THE INFORMATION
AND HOW DO YOU EVALUATE PAST
KISS SEMESTER NATION BUT
EVALUATION OF THE SEMESTER
NATION STRATEGIES AS WELL, SO
THIS NEEDS TO BE A CO-CREATION
EFFORT FROM BEGINNING TO END AND
WE TALKED A LOT ABOUT
SUSTAINABILITY, BOTH IN TERMS OF
THE ACTUAL, YOU KNOW GRANT,
FUNDING THAT'S AVAILABLE FOR THE
WORK AND IN TERMS OF THE
PROGRAMMING THAT YOU'RE
PROVIDING.
WE TALKED ABOUT THE COST
EFFECTIVENESS OF PROGRAMS, WE
ALSO TALKED ABOUT A LITTLE BIT,
MAYBE THIS SUPPORT EXPLICIT IN
THE SLIDES BUT WE TALKED ABOUT
IS THERE A DOWN SIDE TO TRYING
TO PROVIDE METRICS AND TRYING TO
ADVOCATE FOR COST EFFECTIVENESS
OF PROGRAMS, IS THERE--THIS CAME
UP BECAUSE THERE WAS A COMMENT
FROM 1 OF OUR TEAM MEMBERS CAN
SPEAK MORE TO THIS BUT THERE WAS
A COMMENT THAT SOMEBODY SHE WAS
DOING RESEARCH WITH THAT BY
PUTTING NUMBERS TO THIS, YOU
MIGHT LOSE THE MAGIC, THE WELL
THE CHALLENGE OF THAT AND THE
ARTISTS IN THIS SPACE WE WANT TO
SHOW THAT DATA THAT WE CAN SHOW,
AND IT'S CRITICAL BUT THERE
MIGHT BE PUSH BACK FROM OTHER
PEOPLE THAT SAY MAYBE THAT THIS
KIND OF WORK SHOULDN'T BE DATA
CENTRIC SO THERE'S A BIT OF
TENSION THERE.
I WILL STOP.
THERE'S A LOT OF DETAIL IN THIS,
ANYTHING I MISSED?
I WILL PASS IT ON TO OTHERS.
>> THAT WAS GREAT.
THANKS KATIE.
THANKS FOR DOING THAT.
I WILL ASK MARLAINE, TO DO THE
NEXT 2 OR 3, AS MUCH AS YOU'RE
COMFORTABLE WITH AND I WILL ASK
EMILY TO DO THE LAST FEW, HOW'S
THAT IN.
>> SOUNDS GREAT.
>> GREAT.
>> THANK YOU.
>> AS WE WERE THINKING ABOUT
SPECIFIC IMPLEMENTATION
STRATEGIC PLAN EDGES WE'VE SEEN,
WE TALKED ABOUT COMICS THAT HAVE
BEEN KIND OF GROWING AND USED
FOR SIS SEMESTERINATING HEALTH
BEHAVIORS SUCH AS SCREENING FOR
SPECIFIC CANCERS AND AS WE
TALKED ABOUT THIS, WE REALLY
TALKED ABOUT THE IMPORTANCE OF
TAILORING ART TO SPECIFIC
COMMUNITIES FOR HEALTH OUTREACH
AND SOME PEOPLE HAD EXPERIENCE
WITH WERE IN SPANISH OR
TELENOVELLA STYLE, OR SCREENING
FOR COLON CANCER BUT THAT
MESSAGE WOULD CHANGE IN A
DIFFERENT COMMUNITY OR BE IN A
DIFFERENT LANGUAGE DEPENDING ON
THE MESSAGE AND AUDIENCE THAT
PEOPLE ARE WORKING WITH.
AS WE THOUGHT ABOUT KEY
CONSIDERATIONS FOR ART AS A
DISSEMINATION STRATEGIES 1 OF
THE THINGS WE TALKED ABOUT WAS
PROMOTING STIGMA REDUCTION AND
FOSTERING A COMFORTABLE
ENVIRONMENT FOR QUESTIONS, SO
BEING CAREFUL NOT TO--TO KIND OF
REEXAMINE SOMEONE'S DIAGNOSIS OR
LIKE THE LIVED EXPERIENCE OF
THEIR ILLNESS THAT THEY'RE
BRINGING IN OR HAVING ART BE
SOMETHING THAT OR THE ART THAT
YOU CREATE HAVE SOMETHING THAT'S
NOT WELL RECEIVED BY THE
COMMUNITY SO PAYING EXTRA
ATTENTION TO THE WAY THAT PEOPLE
ARE PERCEIVING THE MESSAGE IN
THE ART AND MAKING SURE THAT
THERE'S--ONCE IT'S BEING
DISSEMINATED WHATEVER THAT
ENVIRONMENT IS THAT THERE'S
COMMUNICATION WITHIN THE
COMMUNITY SO THERE'S AN
ENVIRONMENT FOR ASKING QUESTIONS
OR TO ENGAGE WITH IT, WE TALKED
ABOUT THIS SEVERAL TIMES, I SEE
IT APPEARS IN DIFFERENT BULLETS
IN THE SLIDES BUT FACILITATING
EXPERTS ACROSS VERSE DOMAINS,
THOSE ARE BOTH THE FAMILY
MEMBERS, THE ARTISTS, THE
COMMUNITY MEMBERS AND THE
PATIENTS WE TALKED ABOUT BUT
ALSO THE RESEARCH TEAM, LIKE HOW
DO YOU--HOW DO YOU DO THIS
RESEARCH, LIKE HOW DO YOU
ACTUALLY THINK ABOUT USING ART
AND IMPLEMENTATION SCIENCE AND
UNDERSTANDING THAT THIS IS
INTERDISCIPLINEAR COMPETENT
THERE'S NOT 1 DOMAIN THAT HAS
EXPERTISE BUT THIS IS SOMETHING
THAT SHOULD BE FOSTERED AND HAS
ANOTHER TEAM THAT I SAID BEFORE,
THIS IS SOMETHING THAT MAYBE
NIERK H COULD SUPPORT THE
FOSTERING OF THESE RESEARCH
PARTNERSHIPS.
AND THEN, THINKING ABOUT
SUSTAINABILITY AND POST
INTERVENTION SUPPORT, SO, HOW
DID THIS NOT BECOME A 1-OFF OR
SOMETHING THAT END WHEN IS THE
GRANT FUNDING ENDS.
I'LL DO 1 MORE BULLET AND TURN
IT OVER TO YOU EMILY, SO THE CO
CREATION WE THOUGHT WAS SO
IMPORTANT IS WE THOUGHT ABOUT
THE THIS CAN ADDRESS HEALTH
INIQUITIES SO HAVING PEOPLE, ON
THE TABLE OR HAVE A SEAT AT THE
TABLE TO HIGHLIGHT THINGS WOO
THAT MIGHT BE MISSING TO
INDIGATE THAT SOMEONE MIGHT BE
LEFT OUT OR THE SPECIFIC
STRATEGY IS GOING TO BE
SOMETHING THAT'S NOT ACCESSIBLE
TO EVERYONE IS SOMETHING
RESEARCHERS MIGHT OFTEN MISS AND
MAKING SURE THE CO CREATION
DESIGN OR PROCESS INCLUDES
PEOPLE BEYOND THE RESEARCH TEAM
AND WE WILL HELP ADDRESS THAT.
>> ALL RIGHT, I WILL HAND IT TO
YOU EMILY.
>> THANK YOU.
SO I MIGHT START WITH THE LAST 1
BECAUSE AS WE ROUNDED UP WE KIND
OF WENT BACK TO LIKE THE BIG
PICTURE STUFF SO THIS LAST 1
AROUND STATE OF EVIDENT IS KIND
OF OUR ANSWER TO WHAT ARE THE
MOST PROMPTING ART SPACE
IMPLEMENTATION STRATEGIES AND I
THINK I WANT TO DO A SHOUT OUT
TO GROUP 2 AND 1, AND TALKING
ABOUT LANGUAGE, WE CAN'T TALK
ABOUT THAT BUT THAT I THINK
COULD HAVE FUSED WITH OUR
CONSIDERATION AROUND LANGUAGE
AND AROUND YEAH, CO CREATION AND
SO I THINK WE ALL AGREE THERE'S
ENOUGH EVIDENT, SO EVERY
DIFFERENT MODALITY, THERE'S SOME
RESEARCH OR ETCHED AROUND IT, SO
I GUESS THIS MODALITY IS A GOOD
MODALITY, SOW WE TALKED A LOT
ABOUT PROCESS AND AROUND HAVING
OPTIONS AND REALLY--LIKE WE
SPENT A LOT ON CO CREATION IN
THE PROCESS ITSELF, SO KIND OF
LIKE JUMPING, I GUESS BACKWARDS
THEN AROUND ALL THROUGHOUT THE
PEACE, LIKE WE TALKED ABOUT, YOU
KNOW, IN TERMS OF LIKE TRAINING,
LIKE A 1-OFF TRAINING BUT REALLY
LIKE AS RESEARCHERS OR
IMPLEMENTERS, OR PEOPLE WITH
POWER, THINKING ABOUT LIKE WHAT
KINDS OF ONGOING CONVERSATIONS,
TRAININGS AND CONNECKS AROUND
ANTIRACISM AND REALLY LOOKING AT
LIKE WHERE WE HAVE POWER AND
HOW--BECAUSE AS RESEARCHERS,
WE'RE CREATING SYSTEMS AND
STRUCTURES THAT LIKE ECHO THE
WATER THAT WE'RE LIVING IN AND
WE CAN CHOOSE TO--HOW WE DO
THAT, WE'RE GOING TO MAKE
MISTAKES AND WE WILL GROW AS
WELL, AND SO CREATING SPACE FOR
THAT AND THAT WILL
MAKE--INFLUENCE THE WAY WE CO
CREATE, THE WAY WE DESIGN THE
SPECIFIC QUESTIONS THAT WE ASK,
WHEN WE'RE CREATING RESEARCH
DESIGNS AND WE'RE CREATING
STRATEGIES AND IMPLEMENTATION
AND ALSO DISSEMINATION, SO I'M
THINKING BEYOND, OKAY, WE DID
THIS PROJECT AND WE FOUND THESE
THINGS BUT LIKE WHAT DOES THAT
MEAN FOR POLICIES AND WHAT DOES
THAT MEAN FOR ADVOCACY AND JUST
CHANGES IN THE SYSTEM AS WELL,
RATHER THAN ONLY THE INDIVIDUAL
WE ALSO EXPLAINING UPWARDS THERE
WITH EVALUATION, SPECIFIC
OUTCOMES, IT WAS REALLY FROM HOW
I UNDERSTOOD IT WITH OUR TEAM
WAS ABOUT LIKE THE WHOLE PERSON
AND REALLY REDEFINING SUCCESS
AND INSTEAD OF STARTING WITH OUR
GOALS TO REDUCE THIS OR INCREASE
THIS, ET CETERA IS REALLY ASKING
FOLKS WHAT THEIR GOALS AND WHAT
SUCCESS LOOKS LIKE FOR THEM AND
CREATING OUR JOBS AS RESEARCHERS
AND CREATING TOOLS TO BE ABLE TO
MEASURE THE UNIQUENESS OF PEOPLE
AS WHOLE PEOPLE AND DIFFERENT
ASPECTS OF WHAT HEALTH NEEDS
BEYOND PHYSICAL AND MENTAL
HEALTH OR COMMUNITY HEALTH, TOO.
DOES THAT RESONATE WITH OUR
TEAM, DOES THERE ANYTHING TO
ADD?
DO FOLKS HAVE QUESTIONS OR KEITH
DO YOU WANT TO--
>> CAN I ADD 1 THING THAT IT'S
NOT ON THE SLIDE BUT I THOUGHT
IT WAS A REEL KEEPSAKESLY SORT
OF CRUCIAL DISCUSSION WENT AND
SORT OF THE WAY THAT THEY WERE
APPROACHING THAT GRANT WRITING
PROCESS WAS VERY DIFFERENT FROM
THE WAY THE ARTIST WAS SAYING,
LET'S DRAW A PICTURE TOGETHER,
SO THAT WAS A REALLY NICE
CONVERSATION, YOU KNOW KEITH
NOTED THAT WE'RE MAYBE GOING
ABOUT THIS THE WRONG WAY, WE
HAVE STRUCTURES IN PLACE AND WE
WRITE UP GRANTS A CERTAIN WAY
AND WE REQUEST THIS TYPE OF DATA
BUT MAYBE WE SHOULD BE MORE
SUBVERSIVE OR SLIP THINGS A
LITTLE BIT AND SAY, WELL WHAT
WOULD THE GRANT WRITING
APPLICATION PROCESS LOOK LIKE IF
WE TOOK AN ARTISTIC 1 TO THIS 1.
SO I WANT TO ADD THAT.
>> THANK YOU.
>> THANKS, THAT WAS GREAT EMILY
AND MARLAINE, AND KATIE, I THINK
IT WAS A GREAT SUMMARY OF A
REALLY RICH DISCUSSION AND THANK
YOU ALL, AND CALLIE IS NOT HERE
RIGHT NOW.
I GUESS I WILL TURN IT BACK OVER
TO MALIHA, TO OPEN THE
DISCUSSION.
>> THANK YOU VERY MUCH.
GREAT, GREAT DISCUSSION AND
FOLKS I'M NOT JUST OPENING IT UP
FOR DISCUSSION OR POINTS IF ARE
GROUP 3, BUT ALSO FOR ALL 3
GROUPS AND ANYONE CAN JUMP IN
AND PROVIDE COMMENTS AS NEEDED.
WHILE YOU ALL ARE PERCOLATING,
CAN I ASK A QUICK QUESTION ABOUT
THE USE OF COMICS AND GRAPHIC
ARTS AND I USE KNOW YOU USE IT
IN SPECIFIC POPULATIONS AND IT'S
A MEDIUM FOR YOUTH AS A
DEMOGRAPHIC, HAVE YOU SEEN THAT
TYPE OF, THE USE OF COMICS TO BE
HELPFUL FOR OTHER GROUPS, I'M
THINKING PEOPLE WITH DISABLES OR
SOMETHING, PICTURES COULD
POTENTIALLY BE, IS THAT
SOMETHING YOU NOTICED.
EMILY I SEE YOU SHAKING YOUR
HEAD.
IF YOU WANT TO JUMP?
>> THEY JUST USE THOSE STORIES
IN OTHER CULTURES AND
COMMUNITIES, I THINK
THERE'S--THERE'S A LITTLE BIT
ABOUT THAT.
>> YEAH, I JUST PUT IT IN THE
CHAT.
>> OH THANK YOU.
>> YEAH, IT WAS USING COMICS TO
HELP OLDER ADULTS, OLDER LATINO
SPANISH-SPEAKING ADULTS COME IN
FOR CANCER SCREENING AND SO,
USING THE COMIC HELP THEM
INCREASE ADHERENCE OR COMPLIANCE
WITH THE KREENING GUIDELINES AND
SO, NOT JUST CHILDREN, BUT, OR
NOT JUST YOUTH, BUT OLDER ADULLS
RESPOND AS WELL.
>> YEAH, THAT'S A GREAT POINT
BECAUSE I KNOW THAT 1 OF THE
SEAL TEAM ANDS FOLK WHO IS WERE
NOT FINANCIAL, THE COMMUNITY
ENGAGEMENT ALLIANCE WAS SET UP
DURING COVID TO ADDRESS VACCINE
HESITANCY, MISINFORMATION,
AROUND VACCINATION AND OTHER
THINGS, AND IT IS NOW SORT OF
AFTER THE END OF THE PANDEMIC IT
IS NOW MOVING MORE TOWARDS
ADDRESSING THE SOCIAL
DETERMINANTS OF HEALTH AND THE
UNIQUE STRUCTURAL AND SOCIAL
DETERMINANTS OF HEALTH AND
COMMUNITIES BASED THROUGH
ADDRESS SO WE CAN BUILD HEALTHY
AND RESILIENT COMMUNITIES IN THE
FACE OF ANY PUBLIC HEALTH THREAT
BUT 1 THING THAT WAS DONE BY 1
OF THE SEAL TEAMS AND THE SEAL
TEAMS ARE ACROSS 21 STATES IN
THE UNITED STATES, AND INCLUDE
ACADEMIC AND COMMUNITY PARTNERS,
1 GROUP WAS THE ALABAMA, I WILL
SEARCH TR IT AND POP IT IN THE
CHAT, THEY USED A HERO, COMIC
STRIP TO ADDRESS VACCINE HEALTH
INFORMATION AMONG THE YOUTH BUT
ALSO HOW TO SPIN-OFF OF THAT
WITH AN OLDER--ELDER CHARACTER
WHO ALSO TO SORT OF ADDRESS THE
ELDERS IN THE COMMUNITY.
AND IT WAS INTERESTING HOW THEY
WERE ABLE TO WORK WITH BOTH OF
THESE GROUPS USING THE SAME MEDE
AND POTENTIALLY SYNERGIZE ACROSS
THAT, SO I'M GOING TO POP THAT
IN THE CHAT, BUT I WAS THINKING
ABOUT THAT WHEN YOU WERE
TALKING, SO THANKS MARLAINE.
NI WAS GOING TO ASK THAT ABOUT
WITH OTHER FOLKS JUST LIKE THE
USE OF SUPER HEROES, IT TALKS
ABOUT THE WHOLE HUMAN PERSON,
THE WHOLE PERSON AND INTEGRATION
FOR SEX POSITIVITY AND UCH AS
WELL, LIKE LGBTQ HEALTH AND
POSITIVITY.
THERE'S A SPACE FOR LIKE THE
COMIC WORLD I THINK IS QUITE
IMPORTANT.
AND EMPOWERING FOR FOLKS.
>> ANY OTHER QUESTIONS OR
THOUGHTS FROM ANYONE?
I DON'T SEE ANYTHING IN THE CHAT
SO KEITH CAN I HAND IT BACK
OVER, SARAH SEEMS LIKE ACROSS
THE GROUPS THERE WAS DISCUSSION
AROUND RESPECT FOR DIVERSE
PERSPECTIVES AND WAYS TO SHARED
NEGOTIATE POWER AND LANGUAGE,
OUR GROUP ALSO DISCUSSED THE
ATTAINING OF TIME RATHER THAN A
RESEARCH STUDY AND YOU'RE RIGHT,
IT'S A CROSS CUTTING THEME DO
YOU WANT TO COME OFF AND MUTE
AND TALK A LITTLE BIT ABOUT
THAT?
>> AM I ON?
THERE I AM EMPLOY I DON'T HAVE
MUCH MORE TO SAY THAN THAT WAS
SOMETHING WE TALKED ABOUT IN
ORDER FOR CROSS PROFESSIONAL,
CROSS, YOU KNOW JUST IN TERMS OF
ALL THE DIFFERENT KINDS OF
PERSPECTIVES THAT MAY BE IN
GATHERED AROUND THE TABLE FOR
THESE PROJECTS, HOW DO WE
CULTIVATE MUTUAL RESPECT, MUTUAL
UNDERSTANDING, SO THAT WE CAN
TOGETHER SET AND ACHIEVE THE
GOALS THAT WE'RE TRYING TO SEE
WITH THIS RESEARCH AND BEYOND
THAT, INTO SUSTAINING THIS
LONG-TERM, RIGHT?
SO IT'S NOT JUST SOMETHING THAT
COMES IN, SEEMS PROMISING AND
THEN ENDS, AND WE TALKED--WE
PICKED UP ON DAISY'S COMMENTS IN
HER PRESENTATION, AROUND SETTING
IT UP FROM THE BEGINNING WITH
LONGEVITY IN MIND AND BEING ABLE
TO SUSTAIN IT OVERTIME IN MIND,
SO BUILDING RELATIONSHIPS WITH
INTEGRITY, MAKING SURE THAT
THEY'RE MATERIALS, FOR CARING
THE INITIATIVE FORWARD AND
WHETHER--THAT'S ALSO TRAINING.
ONCE YOU DEFINE THOSE COMMUNITY
PARTNERS, WHETHER THEY BE ARTIST
FACILITATORS OR CO CREATORS OR
ALL OF THE ABOVE, OR
ORGANIZATIONS WITH WHOM YOU
WORK, HOW DO YOU CONTINUE TO
INVEST IN THOSE RELATIONSHIPS
AND BUILD TRUST AND RESPECT SO
THAT THE PROGRAMS HAVE THE LEGS
TO STAND ON OVER TIME.
>> THOSE ARE EXCELLENT POINTS
AND THANKS FOR MAKING THEM
SARAH.
I POPPED INTO THE CHAT, I CAN'T
FIND THE PARTICULAR TOPIC I
WANTED BUT THE COLORADO TEAM HAS
PUT TOGETHER A GUIDE FOR
COMMUNITY COMICS AND A LOT OF
THIS WORK IS BEING INFORMED WITH
SEAL ESPECIALLY WITH YOUTH SO IF
EVERYBODY'S INTERESTED.
>> I DON'T--KEITH, YOUR HAND IS
RAISED?
>> I'M KIND OF CURIOUS ABOUT
SOCIAL PRESCRIBING AND AND MAYBE
THIS IS A QUESTION FOR DAISY OR
SOMEONE WHO KNOWS ABOUT WHAT'S
GOING ON IN OTHER PARTS OF THE
WORLD, IS SOCIAL PRESCRIBING NOW
JUST AN ACCEPTED WAY, JUST AN
ACCEPTED PART OF MEDICINE OR IS
IT BEING EVALUATED?
IS IT JUST AS ACCEPTABLE AS
PREKRIEBING AN ANTIBIOTIC BY
YOUR PRIMARY CARE PHYSICIAN?
BEING EVALUATED?
IF ANYONE WANTS TO KIND OF TAKE
THAT.
>> I'M NOT SURE SHE'S ABLE TO
COME OFF, SO THE RESEARCH AND
MOUNTING AND DAISY'S TEAM HAS IN
LARGE PART BEEN RESPONSIBLE FOR
THE GATHERING OF THAT DATA
ACROSS NOT JUST THE UK BUT
INCREASINGLY IN EUROPE AND NOW
IN THE U.S. AND THE 1 NATION 1
PROJECT INITIATIVE WHICH THE NEA
HAS HEAVILY SUPPORTED IS GIVING
US CASE STUDIES IN THE U.S. THAT
WE CAN LOOK TO ACROSS 18
DIFFERENT CITIES WITHIN THE U.S.
ABOUT HOW TO IMPLEMENT SOCIAL
PRESCRIBING INITIATIVE AND
REALLY DIFFERENT CONTEXTS SO
HOPEFULLY WE WILL BE--I KNOW
MASSACHUSETTS IS MOVING FORWARD
AT THE STATE LEVEL WITH MORE
INVESTMENTS IN SOCIAL
PRESCRIBING.
SO WE ARE ACTIVELY TRYING TO
FIGURE IT OUT HERE IN THE U.S.
WITHIN A DIFFERENT STRUCTURE,
RIGHT BECAUSE WE DON'T HAVE A
NATIONAL HEALTHCARE SYSTEM IN
THE SAME TO SORT OF SERVICE THE
BACKBONE OF THIS IN THE SAME
WAY.
NTHANKS.
THAT'S VERY HELPFUL.
>> THANKS KEITH FOR THE QUESTION
AND SARAH FOR WEIGHING IN.
ANY OTHER QUESTIONS FROM THE
AUDIENCE OR THOUGHTS?
IT SEEPS LIKE WE ARE WINDING
DOWN AT THIS POINT.
OKAY, KEITH, OVER TO YOU.
>> I AM GOING TO PASS IT TO WRAP
US UP AND FOR ANY FINAL
QUESTIONS TO PAUL.
>> OKAY, THANK YOU ALL FOR
JOINING US FOR THIS EXCITING
EXPLORATION AT THE INTERSECTION
OF THE ARTS IMPLEMENTATION
SCIENCE AND HEALTH.
TODAY WE DELVED INTO THE POWER
OF CREATIVE EXPRESSION TO BRIDGE
THE GAP BETWEEN RESEARCH, HEALTH
AND WELL BEING FOR ALL, I WANT
TO THANK OUR DIRECTOR GEORGE
MENSA FOR HIS SUPPORT OF THIS
WORKSHOP, AND ALSO DR. CARALOUIS
FOR HER WELCOME REMARKS AND
EXTREMELY GRATEFUL FOR CHAIRMAN
MARIAIAC SON FOR SHARING OPENING
REMARKS, ALSO A SPECIAL THANKS
TO DR. DAISY FANCOURT WHO HELPED
US FRAME OUR DISCUSSIONS, THE
FRAMEWORK SHE SHARED IS AN
INVALUABLE RESOURCE WHO ARE
INTERESTED IN THE DESIGN,
IMPLEMENTATION AND EVALUATION OF
HARD SPACED INTERVENTIONS AND
FINALLY A HEART FELT THANKS TO
ALL OF OUR THINK TANK EXPERTS
FOR THEIR INCREDIBLE WORK IT
TODAY AND ALSO OUR PARTICIPANTS
FOR THE VIDEOCAST FOR YOUR
ATTENTION, AND INTEREST IN THIS
IMPORTANT TOPIC.
SO BEFORE WE GO, LET'S TAKE A
MOMENT TO SUMMARIZE, TODAY WE
EXPLORED HOW ARTISTIC MEDIUMS
LIKE THEATURE AND MUSIC CAN BE
USED FOR IMPLEMENTATION
STRATEGIES, WE IDENTIFIED A
NUMBER OF BARRIERS AND DISCUSS
WAYS TO SUPPORT AND ADVANCE THE
USE OF ARTS IN HEALTH.
WE IDENTIFIED A NUMBER OF ARTS
BASED INTERVENTIONS THAT ARE
READY TO BE SCALED UP, SUCH AS
SOCIAL PRESCRIBING.
ALSO, WE PROVIDED EXAMPLES OF
PROMISING ART BASED
IMPLEMENTATION STRATEGIES, NOW
THAT WE'VE EXPLORED THE
POTENTIAL OF THE ARTS AND
IMPROVING HEALTH OUTCOMES, LET'S
CONSIDER HOW WE CAN PUT THIS
KNOWLEDGE INTO ACTION GOING
FORWARD, COULD I HAVE THE NEXT
SLIDE ISSUE PLEASE?
SO THINK CREATIVELY WHEN SEEK
ARTISTIC COLLABORATIONS, AND
DISSEMINATION AND COMMUNITY
ENGAGEMENT.
SECOND SEEK ARTISTIC
COLLABORATIONS, PARTNER WITH
ARTISTS, STORYTELLERS OR
COMMUNITY GROUPS TO DEVELOP
DEVELOP INTERVENTIONS AND THIRD
ADVOCATE FOR INTERVENTION, SHARE
WHAT YOU LEARN TODAY WITH
COLLEAGUES AND ENCOURAGE THEM TO
EXPLORE REGULAR APPROACHES WITH
THEIR WORK.
SO NEXT STEPS IS TO TAKE THE
INFORMATION GATHERED TODAY,
ANALYZE DATA AND DEVELOP A FINAL
REPORT THAT WE WILL BE POSTING
TO OUR WEBSITE SO STAY TUNED FOR
THAT.
AND THE NEXT SLIDE, PLEASE.
SO FINALLY, I WANT TO THANK MY
CO-ORGANIZERS KEITH MINTZER WHO
SPEARHEADED THIS PROJECT AND
MALIHA ILIAS AND AJAY AND WE
BEING NOT HAVE DONE THIS WITHOUT
THE SUPPORT OF THE NHLBI
WORKSHOP SUPPORT STAFF LED BY
ROSALIND HIMLER AND HER
SCIENTIFIC WRITERS AND AV STAFF,
IT'S MY PLEASURE TO WORK WITH
YOU ON THIS PASSION PROJECT.
NEXT SLIDE.
JUST WANT TO REMIND YOU ALL TO
TAKE A MOMENT TO FILL OUT OUR
SURVEY, WE WOULD LOVE TO GET
YOUR FEEDBACK AND WE LOOK
FORWARD TO CONTINUING THE
CONVERSATION WITH YOU ALL.
SO WITH THAT, ON BEHALF OF CTRIS
AND NHLBI, I WANT TO THANK THE
SPEAKERS AND EXPERTS AGAIN FOR
YOUR ACTIVE ENGAGEMENT AND
EFFORTS FOR ADVANCING SCIENCE,
ARTS IMPLEMENTATION AND HEALTH
AND IF YOU HAVE ANY QUESTIONS,
PLEASE REACH OUT TO US,ILE PUT
OUR CONTACT INFORMATION IN THE
CHAT IN 1-SECONDS.
BUT BEFORE I CLOSE OUT, I WANT
TO JUST ASK IF OUR DEPUTY
DIRECTOR CARA HAS ANY PARTING
WORDS FOR US, I THINK SHE'S
STILL HERE?
>> THANKS SO MUCH FOR THE
OPPORTUNITY TO SIT IN AND LISTEN
AND LEARN WITH YOU ALL TODAY.
AS I NOTED IN THE CHAT IT HAS
BEEN HIGHLY ILLUMINATIVE, I HAVE
HEARD A LOT OF CRITICAL
CHALLENGES WHICH IS UNFORTUNATE
THERE ARE SO MANY FACING THIS
TYPE OF WORK BUT NOW THAT WE
HAVE THEM COAALATED IF YOU WILL,
THAT WILL COUNT IT AS
COMPREHENSIVE BECERTAINLY,
OFFERING DIRECTIONS THAT WE CAN
LEAN IN ON AND PAY ATTENTION TO
AND SEE IF WE CAN'T OVERCOME
TOGETHER, SO, THANK YOU FOR
SURFACING THOSE, I HEARD A LOT
OF COMPELLING QUESTIONS AS WELL,
AND JUST A LOT OF ENERGY AND
GOOD IDEAS AND EXCELLENT WORK
AND I LOOK FORWARD TO SEEING HOW
WE CAN CULTIVATE MORE SKOALARS
WHO CAN PARTNER IN THIS AREA AS
WELL.
SO THANKS AGAIN.
THIS HAS BEEN REALLY, REALLY
HELPFUL EMPLOY.
>> THANK YOU CARA, AND THANK YOU
ALL AGAIN.
AND IF THERE ARE NO OTHER
QUESTIONS, I AM GOING TO TURN IT
BACK OVER TO KEITH.
>> OH.
WELL, THANK YOU FOR THAT
WONDERFUL SUMMARY, AND CARA
THANK YOU FOR THE COMMENTS AND I
JUST WANT--I'M JUST GOING TO SAY
THANKS TO EVERYBODY AND I HOPE
YOU HAVE WONDERFUL REST OF YOUR
DAYS AND WE LOOK FORWARD TO
CONTINUING DISCUSSIONS, THIS IS
JUST THE BEGINNING OF THEM, SO
THANK YOU VERY MUCH AND
EVERYBODY BE WELL.
>> THANKS.
>> THANK YOU.
THANK YOU VERY MUCH.
>> THANK YOU.