1 00:00:06,174 --> 00:00:08,476 >> THANK YOU FOR JOINING US 2 00:00:08,476 --> 00:00:15,984 FOR OUR SEPTEMBER EDUCATION 3 00:00:15,984 --> 00:00:19,421 TITLED COMMUNITY ENGAGED 4 00:00:19,421 --> 00:00:23,992 RESEARCH FOR CARDIOVASCULAR. A 5 00:00:23,992 --> 00:00:27,796 LINK TO THE VIDEO CAST AND 6 00:00:27,796 --> 00:00:28,430 SLIDES FROM THE SESSIONS TODAY 7 00:00:28,430 --> 00:00:29,964 WILL BE POSTED ON THE WEBSITE 8 00:00:29,964 --> 00:00:31,700 APPROXIMATELY ONE TO TWO WEEKS 9 00:00:31,700 --> 00:00:33,868 AFTER THE SESSION. IN THE 10 00:00:33,868 --> 00:00:36,004 PRESENTATION ARCHIVE OF THE 11 00:00:36,004 --> 00:00:39,708 OHSRP EDUCATION AND TRAINING 12 00:00:39,708 --> 00:00:47,615 WEBPAGE. OUR SPEAKERER IS 13 00:00:47,615 --> 00:00:50,952 COVERING OBESITY AND 14 00:00:50,952 --> 00:00:52,353 CARDIOVASCULAR RISK DEPARTMENT. 15 00:00:52,353 --> 00:00:57,358 A JOINT DEPARTMENT IN THE 16 00:00:57,358 --> 00:00:57,859 INTRAMURAL RESEARCH AND 17 00:00:57,859 --> 00:01:01,963 CARDIOVASCULAR BRANCH AND 18 00:01:01,963 --> 00:01:03,598 MINORITY BRANCH OF HEALTH 19 00:01:03,598 --> 00:01:07,836 DISPARITIES AND USES RESEARCH, 20 00:01:07,836 --> 00:01:10,405 EPIDEMIOLOGIC METHODS AND 21 00:01:10,405 --> 00:01:11,272 APPROACHES TO UNDERSTAND SOCIAL 22 00:01:11,272 --> 00:01:13,508 FACTORS THAT PROMOTE OBESITY AND 23 00:01:13,508 --> 00:01:18,213 LIMIT CARDIOVASCULAR HEALTH. IN 24 00:01:18,213 --> 00:01:22,016 2021 DR. POWELL-WYLIE'S WORK WAS 25 00:01:22,016 --> 00:01:24,486 RECOGNIZED WITH THE RESEARCH 26 00:01:24,486 --> 00:01:27,956 PRIZE AND PART OF THE SOCIETY 27 00:01:27,956 --> 00:01:30,892 FOR CLINICAL INVESTIGATION. AT 28 00:01:30,892 --> 00:01:33,661 NIH THE DOCTOR HAS MENTORED 29 00:01:33,661 --> 00:01:36,364 MANY, SEVERAL WHO ARE 30 00:01:36,364 --> 00:01:38,333 TENURE-TRACT NIH-FUNDED FACULTY. 31 00:01:38,333 --> 00:01:41,803 SHE SERVES AS EDITOR FOR JOURNAL 32 00:01:41,803 --> 00:01:43,772 AS AMERICAN HEART ASSOCIATION, 33 00:01:43,772 --> 00:01:45,974 CONSULTING EDITOR FOR HEALTH 34 00:01:45,974 --> 00:01:47,575 PSYCHOLOGY AND EDITORIAL BOARD 35 00:01:47,575 --> 00:01:50,378 FOR JOURNAL CIRCULATION. SHE 36 00:01:50,378 --> 00:01:53,414 RECEIVED THE NHLBI DIRECTOR'S 37 00:01:53,414 --> 00:01:55,083 AWARD TO CREATE THE HOPE CENTER, 38 00:01:55,083 --> 00:01:58,620 A COMMUNITY-ENGAGED RESEARCH HUB 39 00:01:58,620 --> 00:02:02,257 IN WASHINGTON D.C.'S WARD 5 TO 40 00:02:02,257 --> 00:02:03,958 INCREASE ACCESSIBILITY AND 41 00:02:03,958 --> 00:02:07,796 PROMOTE DIVERSITY IN THE 42 00:02:07,796 --> 00:02:10,698 BIOMEDICAL WORKFORCE AND 43 00:02:10,698 --> 00:02:14,536 GRADUATED CUM LAUDE FROM 44 00:02:14,536 --> 00:02:17,939 UNIVERSITY OF MICHIGAN AND 45 00:02:17,939 --> 00:02:20,542 COMPLETED EPIDEMIOLOGY STUDIES 46 00:02:20,542 --> 00:02:22,477 IN NORTH CAROLINA, GRADUATED 47 00:02:22,477 --> 00:02:24,212 FROM DUKE SCHOOL OF MEDICINE, 48 00:02:24,212 --> 00:02:26,414 MEMBER OF THE ALPHA OMEGA 49 00:02:26,414 --> 00:02:28,349 MEDICAL HONOR SOCIETY. PRIOR TO 50 00:02:28,349 --> 00:02:30,118 JOINING DR. POWELL-WYLIE 51 00:02:30,118 --> 00:02:32,754 COMPLETED INTERNAL RESIDENCY AT 52 00:02:32,754 --> 00:02:34,289 BRIGHAM WOMEN'S HOSPITAL AND 53 00:02:34,289 --> 00:02:36,591 CARDIOLOGY FELLOWSHIP AT 54 00:02:36,591 --> 00:02:37,325 UNIVERSITY OF TEXAS SOUTHWEST 55 00:02:37,325 --> 00:02:39,127 MEDICAL CENTER. THROUGHOUT 56 00:02:39,127 --> 00:02:40,461 TODAY'S SESSION WE ENCOURAGE 57 00:02:40,461 --> 00:02:41,696 VIEWERS TO SUBMIT QUESTIONS BY 58 00:02:41,696 --> 00:02:43,665 CLICKING ON THE BOX BELOW THE 59 00:02:43,665 --> 00:02:46,167 VIDEO TITLED LIVE FEEDBACK LINK, 60 00:02:46,167 --> 00:02:48,203 THEN WE WILL HAVE A Q&A SESSION 61 00:02:48,203 --> 00:02:50,538 AFTER THE PRESENTATION. SO THANK 62 00:02:50,538 --> 00:02:54,008 YOU FOR JOINING US. WHY DON'T 63 00:02:54,008 --> 00:03:04,319 YOU GET STARTED. 64 00:03:06,454 --> 00:03:10,825 >> THANK YOU SO MUCH. CAN YOU 65 00:03:10,825 --> 00:03:12,126 SEE MY SLIDES? 66 00:03:12,126 --> 00:03:12,961 >> LOOK FINE. 67 00:03:12,961 --> 00:03:14,028 >> THANK YOU FOR THE 68 00:03:14,028 --> 00:03:15,430 OPPORTUNITY TO BE HERE. I'M 69 00:03:15,430 --> 00:03:16,898 HAPPY TO BE HERE. AS MENTIONED I 70 00:03:16,898 --> 00:03:20,501 WILL BE TALKING ABOUT HOW WE ARE 71 00:03:20,501 --> 00:03:24,339 USING COMMUNITY ENGAGED RESEARCH 72 00:03:24,339 --> 00:03:25,740 TO ADDRESS CARDIOMETABOLIC 73 00:03:25,740 --> 00:03:26,541 HEALTH DISPARITIES . 74 00:03:26,541 --> 00:03:30,311 THE WORK IS FIRST TO THE DEFINE 75 00:03:30,311 --> 00:03:32,780 COMMUNITY-ENGAGED RESEARCH OR 76 00:03:32,780 --> 00:03:33,715 COMMUNITY-BASED PARTICIPATORY 77 00:03:33,715 --> 00:03:37,318 RESEARCH. I WILL DESCRIBE THE 78 00:03:37,318 --> 00:03:39,254 ROLE FOR COMMUNITY ENGAGED 79 00:03:39,254 --> 00:03:41,022 RESEARCH IN ADDRESSING 80 00:03:41,022 --> 00:03:42,223 CARDIOMETABOLIC DISPARITIES, 81 00:03:42,223 --> 00:03:46,027 PARTICULARLY THOSE IMPACTED BY 82 00:03:46,027 --> 00:03:46,694 SOCIAL DETERMINANTS OF HEALTH. 83 00:03:46,694 --> 00:03:49,864 THEN I WILL TALK ABOUT HOW WE 84 00:03:49,864 --> 00:03:50,999 UTILIZE COMMUNITY ENGAGED 85 00:03:50,999 --> 00:03:53,701 RESEARCH TO ADDRESS CLINICAL 86 00:03:53,701 --> 00:03:58,740 TRIAL DID VERIESTY. AS WE KNOW, 87 00:03:58,740 --> 00:04:00,375 THE PREVALENCE OF OBESITY HAS 88 00:04:00,375 --> 00:04:03,111 INCREASED OVER THE LAST TWO 89 00:04:03,111 --> 00:04:04,112 GENERATION, HAD CLEAR 90 00:04:04,112 --> 00:04:05,914 CARDIOMETABOLIC IMPACT ON THE 91 00:04:05,914 --> 00:04:08,683 U.S. POPULATION. THE SPEED WITH 92 00:04:08,683 --> 00:04:12,120 WHICH OBESITY HAS INCREASED OVER 93 00:04:12,120 --> 00:04:14,355 THE LAST SEVERAL DECADES 94 00:04:14,355 --> 00:04:15,957 HIGHLIGHTS THE ENVIRONMENTAL 95 00:04:15,957 --> 00:04:17,358 FACTORS INTERACTING WITH BIOLOGY 96 00:04:17,358 --> 00:04:19,794 AND SUGGESTS A NEED FOR NEW 97 00:04:19,794 --> 00:04:22,130 PARADIGMS IN HOW WE DEVELOP 98 00:04:22,130 --> 00:04:25,166 INTERVENTIONS TO STEM THESE 99 00:04:25,166 --> 00:04:28,136 TRENDS. WE ALSO KNOW THAT 100 00:04:28,136 --> 00:04:31,806 OBESITY IN CONJUNCTION WITH 101 00:04:31,806 --> 00:04:33,374 DIABETES AS WELL AS SOCIAL 102 00:04:33,374 --> 00:04:35,977 DETERMINANTS OF HEALTH ARE 103 00:04:35,977 --> 00:04:37,879 IMPACTING CARDIOVASCULAR 104 00:04:37,879 --> 00:04:40,014 MORTALITY IN THE U.S. INSTANCE 105 00:04:40,014 --> 00:04:43,985 DATA FROM THE CDC SHOWS US THERE 106 00:04:43,985 --> 00:04:48,990 HAVE BEEN DECLINES AND SLOWING 107 00:04:48,990 --> 00:04:50,959 OF CARDIOVASCULAR MORTALITY IN 108 00:04:50,959 --> 00:04:54,762 THE U.S. FOR INSTANCE, WE KNOW 109 00:04:54,762 --> 00:04:57,665 THAT SEVERAL RACIAL AND ETHNIC 110 00:04:57,665 --> 00:05:00,068 GROUPS, NON-HISPANIC BLACKS, FOR 111 00:05:00,068 --> 00:05:02,971 INSTANCE, HAVE THE HIGHEST 112 00:05:02,971 --> 00:05:05,640 CARDIOVASCULAR MORTALITY WITH 113 00:05:05,640 --> 00:05:07,976 INCREASING AMONGST NATIVE 114 00:05:07,976 --> 00:05:10,845 AMERICAN AND ALASKA NATIVE WITH 115 00:05:10,845 --> 00:05:13,414 STAGNANT AMONG WHITE WOMEN IN 116 00:05:13,414 --> 00:05:14,882 THE U.S. WE ALSO KNOW COUNTIES 117 00:05:14,882 --> 00:05:17,819 WITH THE HIGHEST RATES OF NOT 118 00:05:17,819 --> 00:05:19,821 ONLY OBESITY AND DIABETES BUT 119 00:05:19,821 --> 00:05:21,322 WITH THE LOWEST LEVELS OF 120 00:05:21,322 --> 00:05:23,257 EDUCATION IN THE UNITED STATES 121 00:05:23,257 --> 00:05:27,962 ARE THOSE THE HIGHEST RISK FOR 122 00:05:27,962 --> 00:05:28,863 PREMATURE CARDIOVASCULAR 123 00:05:28,863 --> 00:05:30,765 MORTALITY SO HIGHLIGHTS AGAIN 124 00:05:30,765 --> 00:05:34,302 THE ENVIRONMENT, THE SOCIAL 125 00:05:34,302 --> 00:05:39,140 FACTORS INTERACT WITH THE RISK 126 00:05:39,140 --> 00:05:48,783 FACTORS LIKE BE OBESITY AND 127 00:05:48,783 --> 00:05:50,485 DIABETES. WE CAN THINK OF THESE 128 00:05:50,485 --> 00:05:52,687 AS SEVERAL EPIDEMICS AND 129 00:05:52,687 --> 00:06:03,097 PANDEMICS WORKING SIN 130 00:06:05,366 --> 00:06:07,001 SYNERGISTICALL BUT THESE 131 00:06:07,001 --> 00:06:11,339 FACTORIES CAN BE THOUGHT OF AS A 132 00:06:11,339 --> 00:06:14,208 SYNDYMIC WHERE THEY ARE NOT ONLY 133 00:06:14,208 --> 00:06:17,678 INFLUENCED EACH OTHER BUT BY 134 00:06:17,678 --> 00:06:18,379 SOCIAL DETERMINANTS OF HEALTH 135 00:06:18,379 --> 00:06:25,153 THAT LEAD TO A NEED FOR 136 00:06:25,153 --> 00:06:26,387 SOLUTIONS ACROSS DIFFERENT 137 00:06:26,387 --> 00:06:27,622 SECTORS THIS THINK ABOUT HOW WE 138 00:06:27,622 --> 00:06:31,726 CAN PROMOTE HEALTH EQUITY ACROSS 139 00:06:31,726 --> 00:06:38,199 DIVERSE POPULATIONS. THESE 140 00:06:38,199 --> 00:06:40,601 DISEASE STATES, AND HOW CAN WE 141 00:06:40,601 --> 00:06:43,471 ADDRESS THESE BIOLOGICAL 142 00:06:43,471 --> 00:06:47,675 PATHWAYS. SO AS WE PUT FORWARD 143 00:06:47,675 --> 00:06:49,577 WITH THE AMERICAN HEART 144 00:06:49,577 --> 00:06:51,379 ASSOCIATION WE HIGHLIGHTED THE 145 00:06:51,379 --> 00:06:54,449 CONNECTION NOT ONLY BETWEEN 146 00:06:54,449 --> 00:06:58,753 BIOLOGY BUT ALSO PSYCHOSOCIAL, 147 00:06:58,753 --> 00:07:01,956 ENVIRONMENTAL AND SOCIOECONOMIC 148 00:07:01,956 --> 00:07:02,857 FACTORS WERE SOCIAL DETERMINANTS 149 00:07:02,857 --> 00:07:04,392 OF HEALTH THAT CONTRIBUTED TO 150 00:07:04,392 --> 00:07:06,494 WORSENING OUTCOMES RELATED TO 151 00:07:06,494 --> 00:07:07,895 OBESITY. AS WE THINK OF 152 00:07:07,895 --> 00:07:08,996 INTERVENTIONS WE NEED TO ACCOUNT 153 00:07:08,996 --> 00:07:10,898 FOR THESE COMPLEXITIES THAT 154 00:07:10,898 --> 00:07:16,404 INFLUENCE THE RATES OF OBESITY. 155 00:07:16,404 --> 00:07:19,440 IF WE WANT TO THINK ABOUT SOCIAL 156 00:07:19,440 --> 00:07:23,711 DETERMINANTS OF HEALTH, WE THINK 157 00:07:23,711 --> 00:07:29,584 OF FRAMEWORKS HOW THESE 158 00:07:29,584 --> 00:07:31,752 INFLUENCE THESE. THESE ARE 159 00:07:31,752 --> 00:07:33,287 STRUCTURAL, SOCIOECONOMIC, 160 00:07:33,287 --> 00:07:35,389 SOCIAL CULTURAL FACTORS THAT 161 00:07:35,389 --> 00:07:38,526 INFLUENCE HEALTH BUT ALSO 162 00:07:38,526 --> 00:07:41,262 FACTORS THAT ARE MORE 163 00:07:41,262 --> 00:07:42,864 INTERMEDIARY INCLUDING SOCIAL 164 00:07:42,864 --> 00:07:44,499 AND COMMUNITY CONTEXT. 165 00:07:44,499 --> 00:07:46,901 PARTICULARLY THOSE FACTORS 166 00:07:46,901 --> 00:07:48,102 AROUND SOCIAL NEEDS THAT 167 00:07:48,102 --> 00:07:55,076 INFLUENCE MARGINALIZED 168 00:07:55,076 --> 00:07:55,977 POPULATIONS. THESE FACTORS THAT 169 00:07:55,977 --> 00:08:00,815 HAVE CONSEQUENCES. AS I TALKED 170 00:08:00,815 --> 00:08:05,720 ABOUT ON BIOLOGICAL PATHWAYS 171 00:08:05,720 --> 00:08:06,988 THAT INFLUENCE CARDIOVASCULAR 172 00:08:06,988 --> 00:08:11,025 DISEASE OUTCOMES. SO THE WORK 173 00:08:11,025 --> 00:08:12,793 WE'VE DONE IN MY GROUP, IN 174 00:08:12,793 --> 00:08:14,428 PARTICULAR, HAS FOCUSED ON 175 00:08:14,428 --> 00:08:15,563 NEIGHBORHOOD FACTORS IN 176 00:08:15,563 --> 00:08:18,633 PARTICULAR THAT WORK IN 177 00:08:18,633 --> 00:08:22,069 CONJUNCTION WITH SOCIAL AND 178 00:08:22,069 --> 00:08:24,872 COMMUNITY FACTORS THAT INFLUENCE 179 00:08:24,872 --> 00:08:27,975 STRESS AND HAVE, AGAIN, 180 00:08:27,975 --> 00:08:32,914 BIOLOGICAL EFFECTS AND LEAD TO 181 00:08:32,914 --> 00:08:35,016 CARDIOVASCULAR OUTCOMES. SO 182 00:08:35,016 --> 00:08:37,084 ENGAGED RESEARCH SERVES AS A WAY 183 00:08:37,084 --> 00:08:38,853 TO WORK WITH COMMUNITIES MOST 184 00:08:38,853 --> 00:08:42,790 IMPACTED BY ADVERSE SOCIAL 185 00:08:42,790 --> 00:08:44,325 CONDITIONS BUT ACCOUNT FOR THESE 186 00:08:44,325 --> 00:08:47,028 DISEASE STATES THAT WORK 187 00:08:47,028 --> 00:08:50,431 TOGETHER, WORK SYNERGISTICALLY 188 00:08:50,431 --> 00:08:53,334 AND CAN BE CONSIDERED A 189 00:08:53,334 --> 00:08:55,469 SYNDEMIC. LET'S FIRST START BY 190 00:08:55,469 --> 00:08:56,204 DEFINING COMMUNITIES THAT WE 191 00:08:56,204 --> 00:08:59,173 WORK WITH. WE CAN DEFINE A 192 00:08:59,173 --> 00:09:00,141 COMMUNITY BASED ON MANY 193 00:09:00,141 --> 00:09:02,176 DIFFERENT ASPECTS. WE CAN THINK 194 00:09:02,176 --> 00:09:03,911 OF COMMUNITIES BASED ON 195 00:09:03,911 --> 00:09:05,947 GEOGRAPHY, BASED ON RACE OR 196 00:09:05,947 --> 00:09:08,015 ETHNICITY, BASED ON GENDER, 197 00:09:08,015 --> 00:09:10,418 SEXUAL ORIENTATION, DISABILITY 198 00:09:10,418 --> 00:09:12,320 OR A SPECIFIC HEALTH CONDITION 199 00:09:12,320 --> 00:09:14,755 OR EVEN A COMBINATION OF ANY OF 200 00:09:14,755 --> 00:09:19,260 THESE FACTORS. COMMUNITY ARE 201 00:09:19,260 --> 00:09:20,628 TYPICALLY GROUPS WITH A COMMON 202 00:09:20,628 --> 00:09:23,965 INTEREST OR A CAUSE BUT THEY MAY 203 00:09:23,965 --> 00:09:27,868 BE CONNECTED BY CARE THEY ARE 204 00:09:27,868 --> 00:09:29,737 OBTAINING BY A SPECIFIC HEALTH 205 00:09:29,737 --> 00:09:32,807 CARE ORGANIZATION OR BASED ON 206 00:09:32,807 --> 00:09:34,208 PUBLIC HEALTH CAUSE THAT IS 207 00:09:34,208 --> 00:09:35,676 COMMON AMONG THEM. COMMUNITIES 208 00:09:35,676 --> 00:09:37,078 CAN BE BROUGHT TOGETHER BY 209 00:09:37,078 --> 00:09:39,747 STATE, LOCAL OR TRIBAL LEADERS 210 00:09:39,747 --> 00:09:43,985 AS WELL AS POLICYMAKERS. WE CAN 211 00:09:43,985 --> 00:09:46,954 ALSO THINK OF HOW COMMUNITY 212 00:09:46,954 --> 00:09:49,457 ENGAGEMENT IS IMPORTANT FOR 213 00:09:49,457 --> 00:09:52,126 OVERCOMING THE MISTRUST THAT 214 00:09:52,126 --> 00:09:53,561 EXISTS WITH THE HEALTH CARE 215 00:09:53,561 --> 00:09:55,963 SYSTEM. THIS MISTRUST EXISTS DUE 216 00:09:55,963 --> 00:09:59,967 TO HISTORICAL EVENTS BUT ALSO 217 00:09:59,967 --> 00:10:02,270 DUE TO MISTREATMENT OR BIAS THAT 218 00:10:02,270 --> 00:10:05,339 MAY BE EXPERIENCED BY 219 00:10:05,339 --> 00:10:08,309 INDIVIDUALS IN THE HEALTH CARE 220 00:10:08,309 --> 00:10:11,112 SYSTEM, EVEN THOSE WHO ARE 221 00:10:11,112 --> 00:10:14,682 EXPERIENCING THOSE TYPES OF 222 00:10:14,682 --> 00:10:17,084 EVENTS, EVEN TODAY. MORE 223 00:10:17,084 --> 00:10:19,754 RECENTLY. NOT NECESSARILY JUST 224 00:10:19,754 --> 00:10:21,555 HISTORICAL EVENTS. THIS IS DUE 225 00:10:21,555 --> 00:10:25,393 TO THESE FACTORS AND THESE 226 00:10:25,393 --> 00:10:26,961 EVENTS LEAD TO MISTRUST AND LEAD 227 00:10:26,961 --> 00:10:37,505 TO FACTORS THAT ARE INFLUENCING 228 00:10:40,041 --> 00:10:43,311 SOCIETY WITHIN WHICH THEY LIVE. 229 00:10:43,311 --> 00:10:46,080 COMMUNITY ENGAGEMENT ALLOWS FOR 230 00:10:46,080 --> 00:10:48,683 INPUT FOR THOSE WHO ARE MOST 231 00:10:48,683 --> 00:10:51,485 IMPACTED BY HEALTH DISPARITIES 232 00:10:51,485 --> 00:10:54,655 BUT ALSO THOSE WHO ARE MOST 233 00:10:54,655 --> 00:10:56,290 IMPACTED BY BIAS AND 234 00:10:56,290 --> 00:10:58,726 MISTREATMENT AND HAVE MISTRUST 235 00:10:58,726 --> 00:11:00,161 OF THE HEALTH CARE SYSTEM. 236 00:11:00,161 --> 00:11:01,595 AGAIN, COMMUNITY ENGAGEMENT 237 00:11:01,595 --> 00:11:06,334 ACCOUNTS FOR FACTORS ACROSS THE 238 00:11:06,334 --> 00:11:10,671 CONTINUUM OF -- FROM INDIVIDUAL 239 00:11:10,671 --> 00:11:14,041 TO SOCIETY FOR FACTORS THAT 240 00:11:14,041 --> 00:11:17,178 INFLUENCE THEIR ENGAGEMENT WITH 241 00:11:17,178 --> 00:11:19,413 THE HEALTH CARE SYSTEM. WE CAN 242 00:11:19,413 --> 00:11:22,483 THINK OF COMMUNITY ENGAGED 243 00:11:22,483 --> 00:11:26,253 RESEARCH AS A CONTINUUM. FROM 244 00:11:26,253 --> 00:11:28,222 BEING A SITUATION THERE IS NO 245 00:11:28,222 --> 00:11:31,459 LEVEL OF ENGAGEMENT BETWEEN THE 246 00:11:31,459 --> 00:11:32,560 RESEARCHER AND THE COMMUNITY 247 00:11:32,560 --> 00:11:36,130 WHERE THE RESEARCHER DESIGNS THE 248 00:11:36,130 --> 00:11:41,569 STUDY, DESIGNS THE QUESTIONS AND 249 00:11:41,569 --> 00:11:43,037 GOES TO THE COMMUNITY WHERE THEY 250 00:11:43,037 --> 00:11:44,772 PROVIDE INPUT JUST AROUND THAT 251 00:11:44,772 --> 00:11:46,707 SPECIFIC QUESTION. AT THE OTHER 252 00:11:46,707 --> 00:11:49,377 END O F THE SPECTRUM WE CAN 253 00:11:49,377 --> 00:11:50,778 THINK OF COMMUNITY ENGAGEMENT AS 254 00:11:50,778 --> 00:11:53,814 BEING FULLY ENGAGED WHERE THE 255 00:11:53,814 --> 00:11:56,450 COMMUNITY DEFINES THE QUESTIONS, 256 00:11:56,450 --> 00:11:57,918 DESIGNS THE STUDY AND RECRUITS 257 00:11:57,918 --> 00:12:00,855 THE PARTICIPANTS FOR THAT STUDY 258 00:12:00,855 --> 00:12:03,491 AND WORKS AS A COLLABORATOR 259 00:12:03,491 --> 00:12:05,159 THROUGH THE ENTIRE PROCESS. 260 00:12:05,159 --> 00:12:09,063 WITHIN THIS FULLY ENGAGED 261 00:12:09,063 --> 00:12:11,499 PROCESS, RESEARCHERS SERVE AS 262 00:12:11,499 --> 00:12:15,970 COLLABORATORS TO HELP AND 263 00:12:15,970 --> 00:12:18,606 FACILITATE THE WORK DONE WITHIN 264 00:12:18,606 --> 00:12:20,107 THE COMMUNITIES. WITHIN THESE 265 00:12:20,107 --> 00:12:21,642 EXTREMES OF COMMUNITY ENGAGEMENT 266 00:12:21,642 --> 00:12:25,279 THERE ARE VARIOUS WAYS IN WHICH 267 00:12:25,279 --> 00:12:27,948 BOTH THE COMMUNITY AND 268 00:12:27,948 --> 00:12:31,085 RESEARCHERS CAN WORK TOGETHER IN 269 00:12:31,085 --> 00:12:34,488 DESIGNING RESEARCH PROGRAMS. 270 00:12:34,488 --> 00:12:35,790 THERE ARE DIFFERENCES WHEN WE 271 00:12:35,790 --> 00:12:38,559 THINK WHAT IS COMMUNITY ENGAGED 272 00:12:38,559 --> 00:12:40,161 RESEARCH VERSUS PATIENT-ENGAGED 273 00:12:40,161 --> 00:12:43,964 RESEARCH. FOR INSTANCE IN 274 00:12:43,964 --> 00:12:46,300 BUILDING TRUST WITH STAKEHOLDERS 275 00:12:46,300 --> 00:12:47,902 COMMUNITY ENGAGEMENT TYPICALLY 276 00:12:47,902 --> 00:12:50,638 BUILDS ON RELATIONSHIPS BETWEEN 277 00:12:50,638 --> 00:12:51,739 ACADEMIC PARTNERS AND COMMUNITY 278 00:12:51,739 --> 00:12:55,943 MEMBERS OR ORGANIZATIONS WHERE 279 00:12:55,943 --> 00:12:59,079 PATIENTS WORK TOGETHER AND 280 00:12:59,079 --> 00:13:01,916 ENGAGE AS OPPOSED TO PATIENT 281 00:13:01,916 --> 00:13:02,817 ENGAGEMENT, TYPICALLY BUILT ON 282 00:13:02,817 --> 00:13:06,754 RELATIONSHIPS ESTABLISHED WITHIN 283 00:13:06,754 --> 00:13:09,190 THE CARE SETTINGS. COMMUNITY N 284 00:13:09,190 --> 00:13:11,258 GAUGEMENT IS TYPICALLY BUILT ON 285 00:13:11,258 --> 00:13:13,694 A COMMON INTEREST AROUND ISSUE 286 00:13:13,694 --> 00:13:16,764 THAT AFFECTS AN ENTIRE COMMUNITY 287 00:13:16,764 --> 00:13:17,898 WHILE THE SOURCE OF COMMON 288 00:13:17,898 --> 00:13:20,434 INTEREST AND PATIENT ENGAGEMENT 289 00:13:20,434 --> 00:13:22,203 IS TYPICALLY A FAMILY OR A 290 00:13:22,203 --> 00:13:23,971 PERSONAL HEALTH ISSUE OR AN 291 00:13:23,971 --> 00:13:27,808 EXPERIENCE RELATED TO MEDICAL 292 00:13:27,808 --> 00:13:29,443 CARE. COMMUNITY ENGAGEMENT 293 00:13:29,443 --> 00:13:30,711 TYPICALLY INVOLVES MORE OF A 294 00:13:30,711 --> 00:13:33,747 DIVERSE SET OF STAKEHOLDERS, 295 00:13:33,747 --> 00:13:36,050 INCLUDING LOCAL GOVERNMENT 296 00:13:36,050 --> 00:13:37,918 OFFICIALS, SCHOOL OFFICIALS OR 297 00:13:37,918 --> 00:13:40,821 FAITH-BASED ORGANIZATIONS AS 298 00:13:40,821 --> 00:13:42,723 EXAMPLES BUT PATIENT ENGAGEMENT 299 00:13:42,723 --> 00:13:44,592 TYPICALLY INVOLVES TRADITIONALLY 300 00:13:44,592 --> 00:13:48,562 MORE CLINICIANS AND PATIENTS AT 301 00:13:48,562 --> 00:13:51,765 THE TABLE. STUDIES HAVE EXAMINED 302 00:13:51,765 --> 00:13:53,834 HOW COMMUNITY ENGAGEMENT CAN 303 00:13:53,834 --> 00:13:54,869 ACTUALLY INFLUENCE 304 00:13:54,869 --> 00:13:59,340 REPRESENTATION OF POPULATIONS 305 00:13:59,340 --> 00:14:01,609 FOR UNDERREPRESENTED AND -- IN 306 00:14:01,609 --> 00:14:03,277 BIOMEDICAL RESEARCH. FOR 307 00:14:03,277 --> 00:14:05,679 INSTANCE RESEARCH AT BETH ISRAEL 308 00:14:05,679 --> 00:14:12,887 IN BOSTON EXAMINED 309 00:14:12,887 --> 00:14:14,255 CARDIOVASCULAR DISEASE 310 00:14:14,255 --> 00:14:15,856 INTERVENTIONS UP UNTIL 2019 TO 311 00:14:15,856 --> 00:14:18,926 LOOK AT RECRUITMENT OF 312 00:14:18,926 --> 00:14:22,096 NON-HISPANIC BLACK ADULTS IN THE 313 00:14:22,096 --> 00:14:25,699 CARDIOVASCULAR STUDIES AND FOUND 314 00:14:25,699 --> 00:14:29,403 ONLY 21% SPECIFIED THE TYPES 315 00:14:29,403 --> 00:14:31,672 RECRUITMENT STRATEGIES FOR 316 00:14:31,672 --> 00:14:38,746 REACHING UNDERREPRESENTED AND 317 00:14:38,746 --> 00:14:41,115 USED COMMUNITY BASED STRATEGIES. 318 00:14:41,115 --> 00:14:45,619 ONLY 5% DESCRIBED USING -- AND 319 00:14:45,619 --> 00:14:47,588 WORKING WITH COMMUNITY MEMBERS 320 00:14:47,588 --> 00:14:49,456 IN A SPECIFICALLY ENGAGING 321 00:14:49,456 --> 00:14:52,693 COMMUNITY MEMBERS AS PART OF 322 00:14:52,693 --> 00:14:55,296 THEIR STUDY DESIGN. THEY ALSO 323 00:14:55,296 --> 00:14:58,799 SHOWED THOSE THAT DEFINE THE 324 00:14:58,799 --> 00:15:00,267 RECRUITMENT TARGETS FOR 325 00:15:00,267 --> 00:15:06,707 UNDERREPRESENTED POPULATIONS AT 326 00:15:06,974 --> 00:15:08,709 HAS /* HAD A HIGHER NUMBER OF 327 00:15:08,709 --> 00:15:11,211 BLACK RECRUITMENT IN STUDIES BUT 328 00:15:11,211 --> 00:15:16,784 SHOWS HOW MUCH ROOM AT LEAST 329 00:15:16,784 --> 00:15:19,620 WITHIN CARDIOVASCULAR SPACE TO 330 00:15:19,620 --> 00:15:21,822 USE COMMUNITY ENGAGEMENT 331 00:15:21,822 --> 00:15:23,724 RECRUITMENT TECHNIQUES. WHEN WE 332 00:15:23,724 --> 00:15:25,492 THINK OF TERM AND DEFINITION FOR 333 00:15:25,492 --> 00:15:27,728 COMMUNITY BASED PARTICIPATORY 334 00:15:27,728 --> 00:15:29,430 RESEARCH THAT IS USED TO 335 00:15:29,430 --> 00:15:31,865 ACKNOWLEDGE AND EMPHASIZE 336 00:15:31,865 --> 00:15:33,167 PARTICIPATION, INFLUENCE AND 337 00:15:33,167 --> 00:15:35,169 CONTROL OF MORE NON-ACADEMIC 338 00:15:35,169 --> 00:15:38,572 RESEARCHERS AS PART OF THE 339 00:15:38,572 --> 00:15:41,542 PARTNERSHIP IN DOING RESEARCH TO 340 00:15:41,542 --> 00:15:44,612 UNDERSTAND AND TO DESIGN STUDIES 341 00:15:44,612 --> 00:15:47,047 THROUGHOUT THE RESEARCH PROCESS. 342 00:15:47,047 --> 00:15:49,817 THIS APPROACH IS DESIGNED TO 343 00:15:49,817 --> 00:15:51,986 EQUITABLY INVOLVE COMMUNITY 344 00:15:51,986 --> 00:15:53,687 MEMBERS, COMMUNITY ORGANIZATIONS 345 00:15:53,687 --> 00:15:57,257 AND ACADEMIC RESEARCHERS IN ALL 346 00:15:57,257 --> 00:15:59,293 ASPECTS OF THE RESEARCH PROCESS. 347 00:15:59,293 --> 00:16:02,363 COMMUNITY BASED PARTICIPATORY 348 00:16:02,363 --> 00:16:04,932 RESEARCH OR C B P R ENABLES ALL 349 00:16:04,932 --> 00:16:07,334 TO CONTRIBUTE AND BE INVOLVED IN 350 00:16:07,334 --> 00:16:09,336 THE RESEARCH PROCESS AND 351 00:16:09,336 --> 00:16:11,105 RECOGNIZES THE COMMUNITY AS A 352 00:16:11,105 --> 00:16:14,074 SOCIAL AND CULTURAL ENTITY WITH 353 00:16:14,074 --> 00:16:16,343 ACTIVE ENGAGEMENT AND THE 354 00:16:16,343 --> 00:16:19,279 IMPORTANCE OF THE INFLUENCE OF 355 00:16:19,279 --> 00:16:22,383 COMMUNITY MEMBERS IN ALL ASPECTS 356 00:16:22,383 --> 00:16:27,788 OF THE RESEARCH PROCESS. CBPR 357 00:16:27,788 --> 00:16:28,922 PLAYS A PARTICULARLY IMPORTANT 358 00:16:28,922 --> 00:16:30,691 ROLE IN THINKING HOW DO WE 359 00:16:30,691 --> 00:16:31,959 DESIGN INTERVENTIONS THAT 360 00:16:31,959 --> 00:16:33,560 PROMOTE HEALTH EQUITY. 361 00:16:33,560 --> 00:16:35,863 PARTICULARLY AS WE THINK ABOUT 362 00:16:35,863 --> 00:16:42,002 ADDRESSING THE SYDEMIC OF 363 00:16:42,002 --> 00:16:44,638 OBESITY, DIABETES AND 364 00:16:44,638 --> 00:16:47,875 CARDIOVASCULAR, CBPR CAN PLAY A 365 00:16:47,875 --> 00:16:50,077 KEY ROLE AND IS IMPORTANT IN 366 00:16:50,077 --> 00:16:50,778 COMMUNITIES IMPACTED BY 367 00:16:50,778 --> 00:16:53,313 DISPARITIES AND ALLOWS CLINICAL 368 00:16:53,313 --> 00:16:54,682 RESEARCH STUDIES TO BE TAYLORED 369 00:16:54,682 --> 00:16:57,718 TO THE SPECIFIC NEEDS AND ASSETS 370 00:16:57,718 --> 00:17:02,022 WITHIN THE COMMUNITY. CBPR WORKS 371 00:17:02,022 --> 00:17:04,024 BY DEVELOPING KEY PARTNERSHIPS 372 00:17:04,024 --> 00:17:05,993 WITH TRUSTED COMMUNITY MEMBERS 373 00:17:05,993 --> 00:17:06,560 AND WORKING WITH COMMUNITY 374 00:17:06,560 --> 00:17:08,662 LEADER WHO'S CAN HELP TO 375 00:17:08,662 --> 00:17:12,299 IDENTIFY THE ASSETS THAT EXIST 376 00:17:12,299 --> 00:17:15,769 WITHIN THE COMMUNITY TO IMPROVE 377 00:17:15,769 --> 00:17:17,671 HEALTH OUTCOMES AND PROMOTE 378 00:17:17,671 --> 00:17:22,076 HEALTH EQUITY. THESE ARE ASSETS 379 00:17:22,076 --> 00:17:23,977 THAT EXIST IN ALL COMMUNITIES 380 00:17:23,977 --> 00:17:26,547 AND SERVE AS RESILIENCE FACTORS 381 00:17:26,547 --> 00:17:28,115 THAT CAN BE MOBILIZED TO TARGET 382 00:17:28,115 --> 00:17:30,017 HEALTH ISSUES WITHIN THE 383 00:17:30,017 --> 00:17:31,218 COMMUNITY. THESE MAY BE THINGS 384 00:17:31,218 --> 00:17:35,556 THAT ARE HEALTH-RELATED OR MORE 385 00:17:35,556 --> 00:17:38,726 STRUCTURAL ISSUES THAT ARE SEEN 386 00:17:38,726 --> 00:17:40,994 WITHIN THE COMMUNITY AS 387 00:17:40,994 --> 00:17:44,865 CONTRIBUTING TO HEALTH 388 00:17:44,865 --> 00:17:47,101 DISPARITIES. THERE ARE KEY 389 00:17:47,101 --> 00:17:48,502 PRINCIPLES TO THINK ABOUT AS 390 00:17:48,502 --> 00:17:51,638 PART OF THE COMMUNITY ENGAGEMENT 391 00:17:51,638 --> 00:17:54,041 PROCESS. THESE KEY PRINCIPLES 392 00:17:54,041 --> 00:17:56,977 ARE INVOLVED IN GUIDING THE 393 00:17:56,977 --> 00:17:59,379 DEVELOPMENT OF THE CBPR 394 00:17:59,379 --> 00:18:02,483 PARTNERSHIP. FIRST CBPR REQUIRES 395 00:18:02,483 --> 00:18:03,984 BEING CLEAR ABOUT THE PURPOSE 396 00:18:03,984 --> 00:18:05,519 AND GOALS OF THE EFFORT TO BUILD 397 00:18:05,519 --> 00:18:08,055 THE PARTNERSHIP FROM THE VERY 398 00:18:08,055 --> 00:18:10,124 BEGINNING OF THE PROCESS. 399 00:18:10,124 --> 00:18:12,726 ANOTHER KEY PRINCIPLE IS THAT 400 00:18:12,726 --> 00:18:14,228 CBPR BUILDS ON STRENGTHS AND 401 00:18:14,228 --> 00:18:15,729 RESOURCES WITHIN THE COMMUNITY. 402 00:18:15,729 --> 00:18:20,734 IT REQUIRES A RESEARCHER TO BE 403 00:18:20,734 --> 00:18:23,637 KNOWLEDGEABLE ABOUT THE SPECIFIC 404 00:18:23,637 --> 00:18:26,540 HISTORY OF THE COMMUNITY BUT THE 405 00:18:26,540 --> 00:18:29,576 ASSETS THAT EXIST WITHIN THE 406 00:18:29,576 --> 00:18:37,151 COMMUNITY. FOR INSTANCE IT IS 407 00:18:37,151 --> 00:18:38,585 CRITICAL, WORK THATS ALREADY 408 00:18:38,585 --> 00:18:43,657 EXIST. AND THE MEDIATING 409 00:18:43,657 --> 00:18:44,258 STRUCT 410 00:18:44,258 --> 00:18:45,759 STRUCTURES, FAITH-BASED AND 411 00:18:45,759 --> 00:18:46,794 COMMUNITY-BASED ORGANIZATIONS 412 00:18:46,794 --> 00:18:48,295 THAT HELP COMMUNITY MEMBERS WORK 413 00:18:48,295 --> 00:18:55,435 TOGETHER TO IM PIMPROVE THEIR 414 00:18:55,435 --> 00:18:58,438 HEALTH. CBPR PROMOTES COLLECTIVE 415 00:18:58,438 --> 00:19:00,707 AND COLLABORATIVE PARTNERSHIPS 416 00:19:00,707 --> 00:19:02,109 NEEDED TO BUILD TRUST. THIS 417 00:19:02,109 --> 00:19:05,045 STARTS BY WORKING WITH COMMUNITY 418 00:19:05,045 --> 00:19:06,380 MEMBERS TO IDENTIFY THE ISSUES 419 00:19:06,380 --> 00:19:09,116 AND CONCERNS THAT NEED TO BE 420 00:19:09,116 --> 00:19:11,485 ADDRESSED. IT MEANS THAT 421 00:19:11,485 --> 00:19:15,656 RESEARCHERS WHO ARE INVOLVED IN 422 00:19:15,656 --> 00:19:18,091 CBPR RECOGNIZE INEQUALITIES THAT 423 00:19:18,091 --> 00:19:19,960 EXIST BETWEEN THEMSELVES AND THE 424 00:19:19,960 --> 00:19:23,297 COMMUNITY MEMBERS THEY WORK 425 00:19:23,297 --> 00:19:26,567 WITH. THEY PAY EXPLICIT 426 00:19:26,567 --> 00:19:28,001 ATTENTION EXPERTISE OF COMMUNITY 427 00:19:28,001 --> 00:19:30,637 MEMBERS. IN ADDITION IT IS 428 00:19:30,637 --> 00:19:32,673 IMPORTANT TO THINK ABOUT 429 00:19:32,673 --> 00:19:34,575 CREATING AN EMPOWERING PROCESS 430 00:19:34,575 --> 00:19:35,976 BY SHARING INFORMATION, SHARING 431 00:19:35,976 --> 00:19:40,047 THE DECISION MAKING PROCESS. 432 00:19:40,047 --> 00:19:43,450 AGAIN, CENTERING THE COMMUNITY 433 00:19:43,450 --> 00:19:46,587 AS DECISIONS ARE BEING MADE 434 00:19:46,587 --> 00:19:49,156 THROUGHOUT THE RESEARCH PROCESS. 435 00:19:49,156 --> 00:19:51,925 AND INVOLVING AND LEARNING WITH 436 00:19:51,925 --> 00:19:57,764 EACH OTHER THROUGHOUT THE 437 00:19:57,764 --> 00:19:59,399 PARTNERSHIP. ANOTHER KEY 438 00:19:59,399 --> 00:20:02,636 PRINCIPLE IS THOSE INVOLVED IN 439 00:20:02,636 --> 00:20:04,638 CBPR RECOGNIZE THAT SELF 440 00:20:04,638 --> 00:20:07,674 DETERMINATION IS A RIGHT AMONG 441 00:20:07,674 --> 00:20:08,442 ALL THOSE WORKING WITHIN THE 442 00:20:08,442 --> 00:20:09,710 COMMUNITY AND COMMUNITY MEMBERS 443 00:20:09,710 --> 00:20:12,980 MAY NOT BE WILLING OR ABLE TO 444 00:20:12,980 --> 00:20:14,882 WORK IN PARTNERSHIP AND 445 00:20:14,882 --> 00:20:18,785 THROUGHOUT THE PROCESS OF 446 00:20:18,785 --> 00:20:22,222 RESEARCH. CBPR IS MEANT TO 447 00:20:22,222 --> 00:20:24,791 FACILITATE CO -LEARNING AND 448 00:20:24,791 --> 00:20:25,392 CAPACITY BUILDING TO CREATE 449 00:20:25,392 --> 00:20:28,729 CHANGE AND IMPROVE HEALTH. SO 450 00:20:28,729 --> 00:20:30,998 RESEARCHERS NEED TO LEARN FROM 451 00:20:30,998 --> 00:20:33,066 THE LOCAL KNOWLEDGE FROM 452 00:20:33,066 --> 00:20:34,601 COMMUNITY MEMBERS ABOUT THE 453 00:20:34,601 --> 00:20:37,704 CULTURE AND SOCIAL CONTEXT FOR 454 00:20:37,704 --> 00:20:42,042 THAT COMMUNITY. ALSO AGAIN LEARN 455 00:20:42,042 --> 00:20:43,143 THE COMMUNITY'S SKILL SET THAT 456 00:20:43,143 --> 00:20:48,181 CAN BE A PART OF THE RESEARCH 457 00:20:48,181 --> 00:20:49,683 PROCESS. IN ADDITION COMMUNITY 458 00:20:49,683 --> 00:20:51,418 MEMBERS LEARN SKILLS IN 459 00:20:51,418 --> 00:20:53,120 CONDUCTING CLINICAL RESEARCH AS 460 00:20:53,120 --> 00:20:55,989 THEY WORK WITH ACADEMIA -- THOSE 461 00:20:55,989 --> 00:20:59,993 FROM ACADEMIA BUT ALSO LEARN THE 462 00:20:59,993 --> 00:21:02,562 PROCESS OF RESEARCH INCLUDING 463 00:21:02,562 --> 00:21:08,001 WRITING GRANT PROPOSALS OR 464 00:21:08,001 --> 00:21:10,470 IDENTIFYING FUNDING 465 00:21:10,470 --> 00:21:13,273 OPPORTUNITIES FOR FUTURE WORK. 466 00:21:13,273 --> 00:21:15,842 FINALLY CBPR RECOGNIZES THE NEED 467 00:21:15,842 --> 00:21:17,678 TO BALANCE RESEARCH AND ACTION 468 00:21:17,678 --> 00:21:20,314 FOR THE MUTUAL BENEFIT OF A 469 00:21:20,314 --> 00:21:21,848 DIVERSE SET OF STAKEHOLDERS. 470 00:21:21,848 --> 00:21:25,519 THESE PARTNERSHIPS NEED TO AGREE 471 00:21:25,519 --> 00:21:27,621 THAT ALL RESEARCH EFFORTS MAY 472 00:21:27,621 --> 00:21:29,856 NOT INVOLVE IN INTERVENTION 473 00:21:29,856 --> 00:21:31,558 COMPONENT BUT THEY ARE WORKING 474 00:21:31,558 --> 00:21:33,260 TO TRANSLATE THESE RESEARCH 475 00:21:33,260 --> 00:21:34,962 FINDING TO INTERVENTION 476 00:21:34,962 --> 00:21:37,998 STRATEGIES THAT CAN ADDRESS THE 477 00:21:37,998 --> 00:21:44,037 NEEDS AND CONCERNS OF COMMUNITY 478 00:21:44,037 --> 00:21:46,206 MEMBERS. ADDITIONALLY CBPR 479 00:21:46,206 --> 00:21:49,910 FOCUSES AGAIN ON IDENTIFYING AND 480 00:21:49,910 --> 00:21:52,179 MOBILIZING COMMUNITY ASSETS. 481 00:21:52,179 --> 00:21:53,914 CBPR IS ABOUT DISSEMINATING 482 00:21:53,914 --> 00:21:56,450 FINDING TO ALL PARTNERS AND 483 00:21:56,450 --> 00:21:58,352 INVOLVING THEM THROUGHOUT THE 484 00:21:58,352 --> 00:22:02,723 DISSEMINATION PROCESS. IT 485 00:22:02,723 --> 00:22:05,025 REQUIRES, AGAIN, CONTROL NOT 486 00:22:05,025 --> 00:22:05,892 BEING WITHIN ONE PARTICULAR 487 00:22:05,892 --> 00:22:07,961 GROUP BUT ALLOWING THE CONTROL 488 00:22:07,961 --> 00:22:10,831 OF ACTIONS RELATED TO PARTS OF A 489 00:22:10,831 --> 00:22:14,601 STUDY TO BE WITHIN -- LED BY 490 00:22:14,601 --> 00:22:15,969 COMMUNITY MEMBERS AND BEING 491 00:22:15,969 --> 00:22:24,044 FLEXIBLE ABOUT THE CHANGING 492 00:22:24,044 --> 00:22:27,381 NEEDS AMONGST COMMUNITY MEMBERS. 493 00:22:27,381 --> 00:22:29,249 IT CAN BE LONG AND COMMITMENT ON 494 00:22:29,249 --> 00:22:31,952 THE PART OF BOTH PARTNERSHIPS. 495 00:22:31,952 --> 00:22:38,392 BUT GENERALLY TO FOLLOW THESE 496 00:22:38,392 --> 00:22:39,960 LONG-TERM AND EXTEND BEYOND A 497 00:22:39,960 --> 00:22:43,330 SINGLE PROJECT OR A SINGLE 498 00:22:43,330 --> 00:22:47,834 FUNDING PERIOD. SO ULTIMATELY 499 00:22:47,834 --> 00:22:50,937 THE CORE VALUES WITHIN COMMUNITY 500 00:22:50,937 --> 00:22:55,208 BASED PARTICIPATORY RESEARCH ARE 501 00:22:55,208 --> 00:22:57,310 INCORPORATING AND FOSTERING 502 00:22:57,310 --> 00:22:59,646 TRUST, BUILDING RESPECT BETWEEN 503 00:22:59,646 --> 00:23:00,881 RESEARCHERS AND COMMUNITY 504 00:23:00,881 --> 00:23:03,517 MEMBERS AND COMMUNITY LEADERS, 505 00:23:03,517 --> 00:23:10,090 FOCUSSING ON SELF-DETERMINATION, 506 00:23:10,390 --> 00:23:11,792 MUTUAL INTERESTS, RECIPROCITY AS 507 00:23:11,792 --> 00:23:14,428 WELL AS COLLECTIVE BENEFIT AND, 508 00:23:14,428 --> 00:23:18,098 IN PARTICULAR, A LONG-TERM 509 00:23:18,098 --> 00:23:22,169 COMMITMENT TO IMPROVING THE 510 00:23:22,169 --> 00:23:26,640 HEALTH OF COMMUNITY. IT IS 511 00:23:26,640 --> 00:23:28,308 IMPORTANT TO REMEMBER THAT CBPR 512 00:23:28,308 --> 00:23:29,843 IS AN APPROACH TO RESEARCH, 513 00:23:29,843 --> 00:23:33,513 WHICH CHANGES THE ROLE FOR A 514 00:23:33,513 --> 00:23:36,983 RESEARCHER AND THE POPULATION 515 00:23:36,983 --> 00:23:39,820 PARTICIPATING IN THE ERESEARCH 516 00:23:39,820 --> 00:23:42,055 AND DESIGNED TOWARD BRINGING 517 00:23:42,055 --> 00:23:43,723 EQUITY BETWEEN THE TWO GROUPS. 518 00:23:43,723 --> 00:23:45,258 IT IS NOT MEANT TO BE A SPECIFIC 519 00:23:45,258 --> 00:23:47,494 METHOD OR SET OF METHODS. IT CAN 520 00:23:47,494 --> 00:23:50,330 INVOLVE MANY DIFFERENT TYPES OF 521 00:23:50,330 --> 00:23:52,432 METHODS INCLUDING QUALITATIVE 522 00:23:52,432 --> 00:23:54,701 AND QUANTITATIVE METHODS AND CAN 523 00:23:54,701 --> 00:23:56,369 HAVE DIFFERENT RESEARCH DESIGNS 524 00:23:56,369 --> 00:23:58,972 DEPENDING ON WHAT IS BEST TO 525 00:23:58,972 --> 00:24:00,440 BUILD A PARTICULAR PROJECT. FOR 526 00:24:00,440 --> 00:24:02,876 INSTANCE, IT CAN INVOLVE 527 00:24:02,876 --> 00:24:06,079 RANDOMIZED TRIALS, OBSERVATIONAL 528 00:24:06,079 --> 00:24:12,385 STUDIES OR EVEN STUDIES OF 529 00:24:12,385 --> 00:24:13,353 THERAPEUTICS OR TREATMENT OF 530 00:24:13,353 --> 00:24:13,620 DISEASE . 531 00:24:13,620 --> 00:24:15,322 THE GOAL IS WORK ACROSS 532 00:24:15,322 --> 00:24:16,523 DIFFERENT GROUPS WITHIN THE 533 00:24:16,523 --> 00:24:18,358 COMMUNITY, WITHIN THE ACADEMIC 534 00:24:18,358 --> 00:24:21,561 INSTITUTION TO WORK AT CHANGING 535 00:24:21,561 --> 00:24:25,832 THE HEALTH AND TO IMPROVE THE 536 00:24:25,832 --> 00:24:31,238 SYSTEMS THAT ARE DESIGNED TO 537 00:24:31,238 --> 00:24:32,606 PROMOTE AND DEVELOP RESEARCH 538 00:24:32,606 --> 00:24:36,009 PROJECTS TO INFLUENCE HEALTH 539 00:24:36,009 --> 00:24:41,248 WITHIN THE COMMUNITY. SO IF WE 540 00:24:41,248 --> 00:24:44,784 THINK CBPR ACROSS THE STEPS AND 541 00:24:44,784 --> 00:24:46,052 COMPONENTS INFORMING THE 542 00:24:46,052 --> 00:24:46,953 PARTNERSHIPS THAT ARE NEEDED, WE 543 00:24:46,953 --> 00:24:51,258 CAN THINK OF THE FIRST PART OF 544 00:24:51,258 --> 00:24:53,927 THE PROCESS AS BEING WORK TO 545 00:24:53,927 --> 00:24:56,696 IDENTIFY POTENTIAL PARTNERS AND 546 00:24:56,696 --> 00:24:59,733 COMMUNITIES WHO CAN BE INVOLVED 547 00:24:59,733 --> 00:25:04,237 IN THE PARTNERSHIP. ASSESSING 548 00:25:04,237 --> 00:25:07,741 THE STRENGTHS OF THAT -- THE 549 00:25:07,741 --> 00:25:11,878 STRENGTHS OF THOSE PARTNERS WHO 550 00:25:11,878 --> 00:25:15,982 ARE COMING TO THE TABLE. 551 00:25:15,982 --> 00:25:18,084 ESTABLISHING THE NORMS AROUND 552 00:25:18,084 --> 00:25:20,287 HOW THESE GROUP ALSO WORK 553 00:25:20,287 --> 00:25:22,522 TOGETHER AND CREATING 554 00:25:22,522 --> 00:25:24,191 INFRASTRUCTURE FOR CARRYING OUT 555 00:25:24,191 --> 00:25:27,727 THE RESEARCH PROCESS. IN TERMS 556 00:25:27,727 --> 00:25:31,531 OF DESIGNING AND CONDUCTING THE 557 00:25:31,531 --> 00:25:33,867 RESEARCH PROJECT, IT IS 558 00:25:33,867 --> 00:25:34,901 IMPORTANT TO THINK ABOUT WHAT 559 00:25:34,901 --> 00:25:37,904 ARE THE MAJOR PROBLEMS THAT ARE 560 00:25:37,904 --> 00:25:40,874 IMPACTING THE COMMUNITY THAT THE 561 00:25:40,874 --> 00:25:43,476 PARTNERSHIP MIGHT ADDRESS. THEN 562 00:25:43,476 --> 00:25:45,345 IT INVOLVES FEEDING THAT 563 00:25:45,345 --> 00:25:47,981 INFORMATION BACK TO THE 564 00:25:47,981 --> 00:25:51,251 COMMUNITY AS THE RESEARCH 565 00:25:51,251 --> 00:25:53,353 PROGRAM IS BEING DEVELOPED BUT 566 00:25:53,353 --> 00:25:55,088 MAKING SURE THE COMMUNITY IS IN 567 00:25:55,088 --> 00:25:58,091 TUNE WITH WHAT IS BEING 568 00:25:58,091 --> 00:26:00,227 DEVELOPED. THERE IS BUY-IN FOR 569 00:26:00,227 --> 00:26:03,096 WHAT MAY BE PROPOSED AS A 570 00:26:03,096 --> 00:26:06,533 POTENTIAL INTERVENTION OR 571 00:26:06,533 --> 00:26:11,338 POTENTIAL STUDY BY THE PARTNERS 572 00:26:11,338 --> 00:26:16,343 AT THE TABLE. IN TERMS OF 573 00:26:16,343 --> 00:26:19,846 IMPLEMENTING THE INTERVENTION OR 574 00:26:19,846 --> 00:26:23,250 STUDY THAT INVOLVES WORKING 575 00:26:23,250 --> 00:26:25,819 TOGETHER THROUGH EACH PART OF 576 00:26:25,819 --> 00:26:27,287 CONDUCTING THE PROJECT. THEN 577 00:26:27,287 --> 00:26:29,956 TAKING THOSE FINDING BACK O THE 578 00:26:29,956 --> 00:26:32,826 COMMUNITY FOR DISSEMINATION. AND 579 00:26:32,826 --> 00:26:36,062 RETOOLING AND RE-TAYLORING THE 580 00:26:36,062 --> 00:26:39,966 STUDY BASED ON FEEDBACK FROM THE 581 00:26:39,966 --> 00:26:43,169 COMMUNITY AND TRANSLATING THOSE 582 00:26:43,169 --> 00:26:45,772 RESEARCH FINDING FOR THE DESIGN 583 00:26:45,772 --> 00:26:50,944 OF FUTURE STUDIES OR 584 00:26:50,944 --> 00:26:52,679 INTERVENTIONS. OF COURSE THIS 585 00:26:52,679 --> 00:26:55,015 PROCESS CAN BE DESCRIBED IN THE 586 00:26:55,015 --> 00:26:57,617 IDEAL BUT THERE ARE MANY 587 00:26:57,617 --> 00:26:59,986 CHALLENGES THAT CAN EXIST IN 588 00:26:59,986 --> 00:27:02,389 BUILDING THESE ACADEMIC AND 589 00:27:02,389 --> 00:27:03,623 COMMUNITY RELATIONSHIPS. THERE 590 00:27:03,623 --> 00:27:06,860 ARE QUESTIONS ABOUT 591 00:27:06,860 --> 00:27:08,395 PARTICIPATION AND COMMUNITY 592 00:27:08,395 --> 00:27:11,931 CONSENT. IF THERE ARE SEGMENTS 593 00:27:11,931 --> 00:27:14,834 PARTICULARLY OF A COMMUNITY THAT 594 00:27:14,834 --> 00:27:16,503 ARE PARTICIPATING IN THE STUDY 595 00:27:16,503 --> 00:27:18,138 WHILE OTHER GROUPS ARE NOT. 596 00:27:18,138 --> 00:27:24,678 THERE MAY BE BUY-IN FROM ONE 597 00:27:24,678 --> 00:27:26,746 SEGMENT VERSUS OTHER SEGMENTS. 598 00:27:26,746 --> 00:27:29,649 SO HOW DO YOU DEAL WITH THOSE -- 599 00:27:29,649 --> 00:27:31,985 IDENTIFYING HOW DO YOU DEAL WITH 600 00:27:31,985 --> 00:27:35,221 THOSE ISSUES AND HOW DO YOU 601 00:27:35,221 --> 00:27:40,493 BUILD PARTNERSHIPS THAT CAN WORK 602 00:27:40,493 --> 00:27:45,632 ACROSS AND ADDRESS ISSUES THAT 603 00:27:45,632 --> 00:27:49,069 MAY LIMIT WHO IS ACTUALLY 604 00:27:49,069 --> 00:27:50,770 PARTICIPATING IN A PARTICULAR 605 00:27:50,770 --> 00:27:53,740 STUDY. THERE ARE ISSUES RELATED 606 00:27:53,740 --> 00:27:55,542 TO POWER DIFFERENTIALS AND 607 00:27:55,542 --> 00:27:58,445 PRIVILEGE, DEPENDING WHO IS 608 00:27:58,445 --> 00:28:00,080 SAYING THE RESEARCH QUESTION AND 609 00:28:00,080 --> 00:28:02,615 WHO HAS KNOWLEDGE WITHIN THE 610 00:28:02,615 --> 00:28:03,950 PARTNERSHIP. AND ADDRESSING 611 00:28:03,950 --> 00:28:08,254 THOSE THROUGHOUT THE PROCESS IS 612 00:28:08,254 --> 00:28:10,757 IMPORTANT. ONE MUST ALSO 613 00:28:10,757 --> 00:28:13,893 RECOGNIZE AGAIN THE HISTORICAL 614 00:28:13,893 --> 00:28:17,430 RESEARCH ABUSE THAT LIMITS TRUST 615 00:28:17,430 --> 00:28:22,502 BUT ALSO RACISM, STEREOTYPING 616 00:28:22,502 --> 00:28:29,376 AND BIAS THAT LEAD TO HOW THOSE 617 00:28:29,376 --> 00:28:31,945 CAN INFLUENCE WHAT IS BEING 618 00:28:31,945 --> 00:28:35,382 IMPLEMENTED AS PART OF AN 619 00:28:35,382 --> 00:28:38,251 INTERVENTION AND WHAT IS -- WHAT 620 00:28:38,251 --> 00:28:40,019 WORKS WITHIN A PARTNERSHIP. THEN 621 00:28:40,019 --> 00:28:42,689 THROUGHOUT THE PARTNERSHIP IT IS 622 00:28:42,689 --> 00:28:45,625 IMPORTANT TO BE WILLING TO TALK 623 00:28:45,625 --> 00:28:47,961 ABOUT THESE NEGATIVE HISTORICAL 624 00:28:47,961 --> 00:28:50,397 EVENTS AND PRESENT-DAY EVENTS 625 00:28:50,397 --> 00:28:55,368 THAT LIMIT AND SO MISTRUST 626 00:28:55,368 --> 00:28:58,838 WITHIN -- THOSE WITHIN COMMUNITY 627 00:28:58,838 --> 00:29:02,008 ACADEMIC PARTNERSHIPS AND HAVE 628 00:29:02,008 --> 00:29:04,244 PRODUCTIVE DIALOGUES TO TALK 629 00:29:04,244 --> 00:29:06,946 ABOUT HOW THOSE EVENTS MAY BE 630 00:29:06,946 --> 00:29:09,549 INFLUENCING WHAT IS HAPPENING 631 00:29:09,549 --> 00:29:13,686 FOR OUR COMMUNITY MEMBERS. IT IS 632 00:29:13,686 --> 00:29:14,554 ALSO IMPORTANT TO CONSIDER 633 00:29:14,554 --> 00:29:19,959 DIFFERENCES AND REQUIREMENTS FOR 634 00:29:19,959 --> 00:29:22,462 PUBLISHING AND REQUIREMENTS IN 635 00:29:22,462 --> 00:29:25,565 ACADEMIA THAT ARE DIFFERENT FROM 636 00:29:25,565 --> 00:29:28,635 REQUIREMENTS FOR COMMUNITY 637 00:29:28,635 --> 00:29:36,509 ORGANIZATIONS. WITHIN CBPR THERE 638 00:29:36,509 --> 00:29:38,845 ARE RESEARCH GOALS THAT MAY NEED 639 00:29:38,845 --> 00:29:41,881 TO BE EXPLICITLY OUTLINED AND 640 00:29:41,881 --> 00:29:44,184 ALIGNED FROM THE BEGINNING FOR 641 00:29:44,184 --> 00:29:45,452 COMMUNITY MEMBERS AND THE 642 00:29:45,452 --> 00:29:49,088 ACADEMIC PARTNERS. BUT 643 00:29:49,088 --> 00:29:52,759 ULTIMATELY IT IS IMPORTANT THAT 644 00:29:52,759 --> 00:29:54,093 MEMBERS THROUGHOUT THE RESEARCH 645 00:29:54,093 --> 00:30:00,533 TEAM ENGAGE IN CULTURAL 646 00:30:00,533 --> 00:30:02,602 HUMILITY, LISTENING AND 647 00:30:02,602 --> 00:30:03,703 DECISION-MAKING SO THEY CAN WORK 648 00:30:03,703 --> 00:30:04,971 TOGETHER TO IDENTIFY WHERE ARE 649 00:30:04,971 --> 00:30:08,374 THE COMMON GOALS THAT THEY CAN 650 00:30:08,374 --> 00:30:11,978 WORK TOWARDS IN IMPLEMENTING A 651 00:30:11,978 --> 00:30:15,782 PARTICULAR PROJECT BUT ALSO IN 652 00:30:15,782 --> 00:30:18,251 DISSEMINATING INFORMATION AND 653 00:30:18,251 --> 00:30:19,619 POTENTIALLY INFLUENCING POLICY 654 00:30:19,619 --> 00:30:26,392 BASED ON FINDING FROM THE STUDY. 655 00:30:26,392 --> 00:30:27,961 IT IS IMPORTANT, OF COURSE, TO 656 00:30:27,961 --> 00:30:30,964 REMEMBER THE BENEFITS OF CBPR 657 00:30:30,964 --> 00:30:33,466 GIVEN THAT IT ENHANCES RESEARCH 658 00:30:33,466 --> 00:30:35,401 QUESTIONS FOR COMMUNITIES. 659 00:30:35,401 --> 00:30:36,769 PARTICULARLY THOSE AT HIGHEST 660 00:30:36,769 --> 00:30:39,539 RISK FOR DISEASE AND ENHANCES 661 00:30:39,539 --> 00:30:43,142 THE RELIABILITY AND VALIDITY OF 662 00:30:43,142 --> 00:30:47,981 TOOLS BEING USED WITHIN THE 663 00:30:47,981 --> 00:30:49,215 COMMUNITY INTERVENTION OR 664 00:30:49,215 --> 00:30:53,019 COMMUNITY STUDY. IT ALSO 665 00:30:53,019 --> 00:30:54,888 IMPROVES RESPONSE RATES FOR 666 00:30:54,888 --> 00:30:57,524 STUDIES THAT ARE MEANT TO 667 00:30:57,524 --> 00:30:59,726 RECRUIT INDIVIDUALS FROM DIVERSE 668 00:30:59,726 --> 00:31:01,828 AND UNDERREPRESENTED POPULATIONS 669 00:31:01,828 --> 00:31:05,031 IN CLINICAL RESEARCH. IT SERVES 670 00:31:05,031 --> 00:31:08,968 AS A WAY TO STRENGTHEN 671 00:31:08,968 --> 00:31:10,570 INTERVENTIONS AND STUDIES 672 00:31:10,570 --> 00:31:11,971 TAILORED ON CULTURAL BELIEFS BUT 673 00:31:11,971 --> 00:31:15,975 ALSO THE CONTEXT IN WHICH 674 00:31:15,975 --> 00:31:26,486 COMMUNITIES LIVE. SO MY GROUP 675 00:31:29,756 --> 00:31:31,257 STARTED TO PUT FORTH A FRAMEWORK 676 00:31:31,257 --> 00:31:33,359 AND THINK ABOUT THE METHODS 677 00:31:33,359 --> 00:31:34,594 BEHIND COMMUNITY ENGAGEMENT FOR 678 00:31:34,594 --> 00:31:36,229 WORK WE HAVE BEEN DOING IN THE 679 00:31:36,229 --> 00:31:39,966 WASHINGTON D.C. AREA TO WORK 680 00:31:39,966 --> 00:31:43,970 WITH COMMUNITIES MOST IMPACTED 681 00:31:43,970 --> 00:31:46,873 BY CARDIOVASCULAR DISEASE IN THE 682 00:31:46,873 --> 00:31:49,108 WASHINGTON D.C. AREA. WE 683 00:31:49,108 --> 00:31:52,245 DEVELOPED A MODEL CALLED THE 684 00:31:52,245 --> 00:31:56,749 CARE MODEL, WHICH IS MEANT TO 685 00:31:56,749 --> 00:31:59,319 WORK AT COMMUNICATION, AT 686 00:31:59,319 --> 00:32:02,689 BUILDING AWARENESS, 687 00:32:02,689 --> 00:32:05,425 RELATIONSHIPS AND EMPOWERING 688 00:32:05,425 --> 00:32:06,125 POPULATIONS. REALLY AGAIN TO 689 00:32:06,125 --> 00:32:08,695 BUILD THE TRUST THAT IS NEEDED 690 00:32:08,695 --> 00:32:11,931 FOR IMPLEMENTING COMMUNITY 691 00:32:11,931 --> 00:32:15,868 ENGAGED STUDIES. SO IT STARTS 692 00:32:15,868 --> 00:32:26,279 WITH COMMUNICATING WITH 693 00:32:28,281 --> 00:32:29,015 ORGANIZATIONS THAT ARE TRUSTING 694 00:32:29,015 --> 00:32:32,552 OF THE WORK WE ARE DOING AND THE 695 00:32:32,552 --> 00:32:35,655 POTENTIAL FOR PARTNERSHIPS 696 00:32:35,655 --> 00:32:44,130 AROUND A PARTICULAR RESEARCH 697 00:32:44,130 --> 00:32:45,898 PROGRAM AND HEALTH PROVIDING 698 00:32:45,898 --> 00:32:49,502 OUTREACH TO PROMOTE HEALTH FOR 699 00:32:49,502 --> 00:32:55,074 COMMUNITY MEMBERS SO THAT WE ARE 700 00:32:55,074 --> 00:32:58,711 PRESENT AND KNOWN WITHIN THE 701 00:32:58,711 --> 00:33:06,185 COMMUNITY. SO WE ARE PROVIDING 702 00:33:06,185 --> 00:33:07,987 EDUCATION ON A CONSISTENT BASIS. 703 00:33:07,987 --> 00:33:09,689 IT MEANS MAINTAINING 704 00:33:09,689 --> 00:33:11,958 RELATIONSHIPS EVEN WHEN PROJECTS 705 00:33:11,958 --> 00:33:17,997 ARE NOT HAPPENING SO THAT IF 706 00:33:17,997 --> 00:33:22,135 THERE ARE REOSOURCES WE CAN SHAE 707 00:33:22,135 --> 00:33:25,405 AROUND HEALTH TOPICS OR LEADING 708 00:33:25,405 --> 00:33:35,948 PROGRAMS RELATED TO HEALTH THAT 709 00:33:35,948 --> 00:33:40,586 WE CAN PROVIDE THOSE TYPES OF 710 00:33:40,586 --> 00:33:42,221 RESOURCES. NOT ONLY EMPOWER BUT 711 00:33:42,221 --> 00:33:43,423 WORK COLLABORATIVELY ON HEALTH 712 00:33:43,423 --> 00:33:46,492 RELATED PROJECTS AS WELL AS TO 713 00:33:46,492 --> 00:33:48,494 OBTAIN INDEPENDENT FUNDING SO 714 00:33:48,494 --> 00:33:52,265 THAT THEY CAN BUILD SUSTAINABLE 715 00:33:52,265 --> 00:33:58,004 PROGRAMS AS WELL. TO GIVE YOU A 716 00:33:58,004 --> 00:33:59,872 SENSE HOW WE HAVE WORKED WITH 717 00:33:59,872 --> 00:34:00,540 COMMUNITY ENGAGED RESEARCH IN 718 00:34:00,540 --> 00:34:04,877 THE WASHINGTON D.C. AREA, I WANT 719 00:34:04,877 --> 00:34:07,447 TO HIGHLIGHT HOW WE HAVE 720 00:34:07,447 --> 00:34:08,548 COMBINED COMMUNITY ENGAGED 721 00:34:08,548 --> 00:34:09,882 RESEARCH WITH WHAT HAS 722 00:34:09,882 --> 00:34:12,118 TRADITIONALLY BEEN SILOED AREAS, 723 00:34:12,118 --> 00:34:14,020 INCLUDING AREAS RELATED TO 724 00:34:14,020 --> 00:34:21,961 DIGITAL HEALTH TECHNOLOGIES, GEO 725 00:34:21,961 --> 00:34:27,867 SPATIAL TOOLS INCLUDING OMIX AND 726 00:34:27,867 --> 00:34:38,411 BIOINFORMATICS. WE HAVE WORKED 727 00:34:39,312 --> 00:34:39,679 WIT 728 00:34:39,679 --> 00:34:40,313 TOGETHER TO BUILD A FRAMEWORK TO 729 00:34:40,313 --> 00:34:40,847 WORK WITH PARTNERS IN THE 730 00:34:40,847 --> 00:34:41,514 WASHINGTON D.C. AREA. BECAUSE 731 00:34:41,514 --> 00:34:44,584 CBPR AND COMMUNITY ENGAGED 732 00:34:44,584 --> 00:34:48,121 RESEARCH REQUIRES ONE TO THINK 733 00:34:48,121 --> 00:34:51,057 OF THE SYSTEMS THAT INFLUENCE -- 734 00:34:51,057 --> 00:34:54,227 AND THE CONTEXT IN WHICH PEOPLE 735 00:34:54,227 --> 00:34:56,095 LIVE, WE HAVE SOUGHT TO EMBRACE 736 00:34:56,095 --> 00:35:02,935 THOSE SYSTEMS AND THINK FROM A 737 00:35:02,935 --> 00:35:04,303 SYSTEMS STANDPOINT, HOW CAN WE 738 00:35:04,303 --> 00:35:06,372 THINK ABOUT COMPLEXITY OF 739 00:35:06,372 --> 00:35:07,240 INEQUITY, BETTER UNDERSTAND 740 00:35:07,240 --> 00:35:09,408 THOSE COMPLEXITIES BUT ALSO HOW 741 00:35:09,408 --> 00:35:11,477 CAN WE INCORPORATE THOSE 742 00:35:11,477 --> 00:35:14,680 COMPLEXITIES INTO THE 743 00:35:14,680 --> 00:35:20,787 INTERVENTIONS THAT WE DO. WE 744 00:35:20,787 --> 00:35:23,523 HAVE LOOKED AT HOW DO WE BRING 745 00:35:23,523 --> 00:35:25,158 TRANSLATIONAL WORK, HOW DO WE 746 00:35:25,158 --> 00:35:26,425 BRING THAT INTO 747 00:35:26,425 --> 00:35:27,393 COMMUNITY-ENGAGED RESEARCH AND 748 00:35:27,393 --> 00:35:37,937 HOW DO WE UTILIZE THOSE TOOLS AS 749 00:35:40,039 --> 00:35:42,241 POTENTIAL BIO MARKERS FOR 750 00:35:42,241 --> 00:35:44,377 TARGETS AND IDENTIFYING TARGETS 751 00:35:44,377 --> 00:35:47,880 FOR IMPROVING CARDIOMETABOLIC 752 00:35:47,880 --> 00:35:49,649 HEALTH. AS I SAID WE WORK 753 00:35:49,649 --> 00:35:50,449 SPECIFICALLY RIGHT NOW IN THE 754 00:35:50,449 --> 00:35:52,285 WASHINGTON D.C. AREA, BUT OUR 755 00:35:52,285 --> 00:35:57,824 MODEL IN WORKING AND BRINGING 756 00:35:57,824 --> 00:36:01,194 MORE TOOLS AROUND, DIGITAL, OMIX 757 00:36:01,194 --> 00:36:05,431 AND BIO INFORMATICS TO 758 00:36:05,431 --> 00:36:06,232 COMMUNITY-ENGAGED RESEARCH, THAT 759 00:36:06,232 --> 00:36:08,568 IS A MODEL WE CAN USE IN OTHER 760 00:36:08,568 --> 00:36:11,804 URBAN AREAS. IT IS ALLOWING US 761 00:36:11,804 --> 00:36:13,472 TO THINK ABOUT HOW CAN WE BUILD 762 00:36:13,472 --> 00:36:15,641 OUT SOME OF THESE PROGRAMS FOR 763 00:36:15,641 --> 00:36:18,110 POPULATIONS NOT JUST IN THE D.C. 764 00:36:18,110 --> 00:36:28,855 AREA BUT OTHER PARTS O OF THE 765 00:36:28,855 --> 00:36:31,924 COUNTRY. WE STARTED WORKING IN 766 00:36:31,924 --> 00:36:34,827 2012 IN BUILDING A COLLABORATION 767 00:36:34,827 --> 00:36:37,730 WITH HOWARD AND FAITH-BASED 768 00:36:37,730 --> 00:36:43,369 LEADERS IN THE WASHINGTON D.C. 769 00:36:43,369 --> 00:36:46,572 AREA. AND THESE ARE PARTNERS WE 770 00:36:46,572 --> 00:36:47,974 IDENTIFIED THROUGH WORKING 771 00:36:47,974 --> 00:36:49,775 THROUGH ORGANIZATIONS LIKE THE 772 00:36:49,775 --> 00:36:51,978 AMERICAN HEART ASSOCIATION BUT 773 00:36:51,978 --> 00:36:54,447 ALSO THROUGH PARTNERSHIPS 774 00:36:54,447 --> 00:36:56,048 ESTABLISHED BY IDENTIFYING THOSE 775 00:36:56,048 --> 00:36:58,384 WORKING IN THE COMMUNITY WHO 776 00:36:58,384 --> 00:37:00,519 WERE ALSO WORKING AT NIH. OVER 777 00:37:00,519 --> 00:37:04,223 TIME WE HAVE BEEN ABLE TO 778 00:37:04,223 --> 00:37:06,292 INCORPORATE PARTICIPANTS FROM 779 00:37:06,292 --> 00:37:11,364 OTHER NIH INSTITUTES INTO OUR 780 00:37:11,364 --> 00:37:11,898 COLLABORATIVE WITHIN THE 781 00:37:11,898 --> 00:37:15,067 WASHINGTON D.C. AREA TO WORK 782 00:37:15,067 --> 00:37:19,238 TOGETHER WITH INVESTIGATORS IN 783 00:37:19,238 --> 00:37:21,307 IDDK, NIANS AS WELL AS THE 784 00:37:21,307 --> 00:37:25,244 CLINICAL CENTER TO BUILD OUT 785 00:37:25,244 --> 00:37:27,980 PARTNERSHIPS THAT CAN BUILD 786 00:37:27,980 --> 00:37:31,851 DIFFERENT PROJECTS WITHIN THE DC 787 00:37:31,851 --> 00:37:33,619 COMMUNITY. WE HAVE BROUGHT IN 788 00:37:33,619 --> 00:37:34,987 ACADEMIC PARTNERS FROM GW, 789 00:37:34,987 --> 00:37:37,690 AMERICAN UNIVERSITY AND 790 00:37:37,690 --> 00:37:40,526 INDIVIDUALS WORKING IN NONPROFIT 791 00:37:40,526 --> 00:37:43,296 SPACE TO MAKE SURE THAT THEY ARE 792 00:37:43,296 --> 00:37:47,967 REPRESENTED BUT ONE OF -- MOST 793 00:37:47,967 --> 00:37:55,875 IMPORTANT REPRESENTATIVES ARE 794 00:37:55,875 --> 00:37:58,377 COMMUNITY MEMBERS WHO LIVE IN 795 00:37:58,377 --> 00:38:04,684 WASHINGTON D.C. MOST IMPACTED BY 796 00:38:04,684 --> 00:38:06,319 CARDIOVASCULAR DISEASE. MOST ARE 797 00:38:06,319 --> 00:38:07,954 PARTICIPANTS IN OUR PROGRAM AND 798 00:38:07,954 --> 00:38:11,724 BRING EXPERTISE AROUND ASSETS IN 799 00:38:11,724 --> 00:38:15,861 THE COMMUNITY THAT CAN BE -- 800 00:38:15,861 --> 00:38:17,296 IMPORTANT AS PART OF OUR STUDIES 801 00:38:17,296 --> 00:38:20,366 SO ALLOWED US TO EMBED LIVED 802 00:38:20,366 --> 00:38:23,502 EXPERIENCE OF COMMUNITY MEMBERS 803 00:38:23,502 --> 00:38:26,105 INTO WORK WE ARE DOING AND 804 00:38:26,105 --> 00:38:28,174 ALLOWS FOR COLLABORATION ACROSS 805 00:38:28,174 --> 00:38:29,342 INSTITUTIONS IN THE D.C. AREA 806 00:38:29,342 --> 00:38:32,778 AND BROAD ENS THE REACH OF THE 807 00:38:32,778 --> 00:38:41,787 WORK WE ARE DOING SO TO GIVE YOU 808 00:38:41,787 --> 00:38:44,056 A SENSE OF HOW THIS WORKS WITH 809 00:38:44,056 --> 00:38:47,560 OUR ADVISORY BOARD OUR FIRST 810 00:38:47,560 --> 00:38:54,934 WORK WAS TO LOOK AT 811 00:38:54,934 --> 00:38:56,702 CARDIOVASCULAR HEALTH WITH THE 812 00:38:56,702 --> 00:38:57,837 UNIVERSITY TO LOOK AT WHAT CAN 813 00:38:57,837 --> 00:38:59,105 BE TARGETS IN THE WASHINGTON 814 00:38:59,105 --> 00:39:03,342 D.C. AREA. THEN WE TOOK THAT 815 00:39:03,342 --> 00:39:07,646 STUDY TO HELP US DESIGN A 816 00:39:07,646 --> 00:39:15,755 DIGITAL HEALTH INTERVENTION FOR 817 00:39:15,755 --> 00:39:18,424 POPULATIONS IN D.C., 818 00:39:18,424 --> 00:39:19,658 PARTICULARLY AFRICAN-AMERICAN 819 00:39:19,658 --> 00:39:21,994 WOMEN WITH CARDIOMETABOLIC RISK. 820 00:39:21,994 --> 00:39:23,396 THIS THEN EVOLVED INTO WORK IN 821 00:39:23,396 --> 00:39:25,031 OTHER INSTITUTES WHERE WE 822 00:39:25,031 --> 00:39:28,768 CREATED PROJECTS LIKE THE HOPE 823 00:39:28,768 --> 00:39:30,603 NET PROJECT, RUN BY HOWARD 824 00:39:30,603 --> 00:39:32,938 UNIVERSITY TO EXAMINE BARRIERS 825 00:39:32,938 --> 00:39:36,075 TO CLINICAL TRIAL PARTICIPATION 826 00:39:36,075 --> 00:39:38,310 IN AFRICAN-AMERICAN COMMUNITY. 827 00:39:38,310 --> 00:39:40,846 IT ALSO LED TO PROJECT CALLED 828 00:39:40,846 --> 00:39:43,115 D.C. COOK, A PROJECT RUN OUT OF 829 00:39:43,115 --> 00:39:47,386 THE NIH CLINICAL CENTER AND IS A 830 00:39:47,386 --> 00:39:49,188 " FOOD IS MEDICINE 831 00:39:49,188 --> 00:39:50,489 INTERVENTION " AND WE'VE GOT 832 00:39:50,489 --> 00:39:54,427 QUITE A BIT OF FEEDBACK FROM OUR 833 00:39:54,427 --> 00:40:03,469 COMMUNITY MEMBERS ON HOW WE CAN 834 00:40:03,469 --> 00:40:05,504 DEVELOP ADDITIONAL 835 00:40:05,504 --> 00:40:06,405 INTERVENTIONS. THROUGH THIS 836 00:40:06,405 --> 00:40:08,774 PROCESS IN THE STEP-IT-UP 837 00:40:08,774 --> 00:40:10,476 PHYSICAL ACTIVITY INTERVENTION 838 00:40:10,476 --> 00:40:21,020 BUT THE D.C. COOKS INTERVENTION: 839 00:40:21,554 --> 00:40:26,225 IT IS DESIGNED AS A CLINICAL 840 00:40:26,225 --> 00:40:29,095 TRIAL, AS A RANGE OF HEALTH 841 00:40:29,095 --> 00:40:31,030 TOOLS FOR IMPROVING PHYSICAL 842 00:40:31,030 --> 00:40:34,500 ACTIVITY AND TESTING WHETHER 843 00:40:34,500 --> 00:40:38,204 TAYLORING INFORMATION AROUND 844 00:40:38,204 --> 00:40:39,538 PHYSICAL ACTIVITY TO WHERE 845 00:40:39,538 --> 00:40:41,240 PEOPLE LIVE CAN IMPROVE THEIR 846 00:40:41,240 --> 00:40:44,844 LEVELS OF PHYSICAL ACTIVITY. IT 847 00:40:44,844 --> 00:40:55,387 IS DESIGNED IN THEI TERATIVE WAY 848 00:40:58,257 --> 00:41:01,127 OF PROVIDING INFORMATION AND 849 00:41:01,127 --> 00:41:04,730 FEEDBACK ABOUT THE TOOLS WE WERE 850 00:41:04,730 --> 00:41:06,265 USING AS PART OF THE 851 00:41:06,265 --> 00:41:07,967 INTERVENTION BUT WHAT THE 852 00:41:07,967 --> 00:41:09,668 INTERVENTION WOULD LOOK LIKE, 853 00:41:09,668 --> 00:41:13,672 HOW IT WOULD START TO 854 00:41:13,672 --> 00:41:18,210 DISSEMINATE FINDING AND WHAT WE 855 00:41:18,210 --> 00:41:21,080 WOULD -- EVEN NOW WHAT WE WERE 856 00:41:21,080 --> 00:41:25,184 THINKING ABOUT FOR FUTURE 857 00:41:25,184 --> 00:41:28,654 INTERVENTIONS. AS I SAID, WORK 858 00:41:28,654 --> 00:41:30,456 WITHIN THE COMMUNITY ALSO LED TO 859 00:41:30,456 --> 00:41:35,961 WORK TO THINK ABOUT HOW CAN WE 860 00:41:35,961 --> 00:41:36,462 IMPROVE CLINICAL TRIAL 861 00:41:36,462 --> 00:41:38,097 PARTICIPATION WITHIN THE 862 00:41:38,097 --> 00:41:38,998 AFRICAN-AMERICAN COMMUNITY AND 863 00:41:38,998 --> 00:41:40,933 SPECIFICALLY HOW THE WE WORK 864 00:41:40,933 --> 00:41:42,168 WITH THE COMMUNITY ADVISORY 865 00:41:42,168 --> 00:41:44,870 BOARD THE START TO LOOK AT 866 00:41:44,870 --> 00:41:47,873 BARRIERS TO CLINICAL TRIAL 867 00:41:47,873 --> 00:41:48,641 PARTICIPATION IN THE 868 00:41:48,641 --> 00:41:49,708 AFRICAN-AMERICAN COMMUNITY. THIS 869 00:41:49,708 --> 00:41:56,382 WAS A PROJECT FUNDED BY 870 00:41:56,382 --> 00:41:58,384 GENENTECH, HOWARD UNIVERSITY, 871 00:41:58,384 --> 00:41:59,952 AGAIN THROUGH HOPE NET. THIS IS 872 00:41:59,952 --> 00:42:02,054 LED BY HOWARD UNIVERSITY, RUN BY 873 00:42:02,054 --> 00:42:06,292 THEIR IRB. IT IS RUN IN THREE 874 00:42:06,292 --> 00:42:08,761 PHASES. THE FIRST IS DESIGNED TO 875 00:42:08,761 --> 00:42:11,964 LOOK AT BARRIERS AMONG COMMUNITY 876 00:42:11,964 --> 00:42:16,235 MEMBERS BUT ALSO AMONG 877 00:42:16,235 --> 00:42:17,836 INVESTIGATORS TO BETTER 878 00:42:17,836 --> 00:42:19,338 UNDERSTAND WHAT THEY SEE AS 879 00:42:19,338 --> 00:42:22,875 BARRIERS TO CLINICAL TRIAL 880 00:42:22,875 --> 00:42:24,777 PARTICIPATION. WE WORK WITH 881 00:42:24,777 --> 00:42:26,979 INVESTIGATORS AT NIH BUT ALSO AT 882 00:42:26,979 --> 00:42:29,215 HOWARD UNIVERSITY. WE GATHER 883 00:42:29,215 --> 00:42:33,352 DATA ON -- THEY ARE PERCEIVED 884 00:42:33,352 --> 00:42:35,354 THROUGH QUALITATIVE INTERVIEWS 885 00:42:35,354 --> 00:42:37,223 BUT THROUGH QUANTITATIVE SURVEY 886 00:42:37,223 --> 00:42:39,158 TOOLS. WE BROUGHT THE COMMUNITY 887 00:42:39,158 --> 00:42:42,962 MEMBERS AND INVESTIGATORS INTO A 888 00:42:42,962 --> 00:42:45,431 GROUP-BASED MODEL BUILDING 889 00:42:45,431 --> 00:42:46,632 EXERCISE WHERE THEY ARE LOOKING 890 00:42:46,632 --> 00:42:49,568 TO DEFINE THESE BARRIERS AND 891 00:42:49,568 --> 00:42:51,136 FACILITATORS AND HOW THEY 892 00:42:51,136 --> 00:42:55,407 ACTUALLY FIT TOGETHER AND 893 00:42:55,407 --> 00:42:58,010 INFLUENCED CLINICAL TRIAL 894 00:42:58,010 --> 00:42:59,245 PARTICIPATION. PHASE 2 IS WHERE 895 00:42:59,245 --> 00:43:00,879 WE WILL BRING PARTICIPANTS 896 00:43:00,879 --> 00:43:03,415 TOGETHER TO WORK WITH THE 897 00:43:03,415 --> 00:43:04,850 COMMUNITY ADVISORY BOARD TO 898 00:43:04,850 --> 00:43:07,519 REVISE THIS MODEL OF CLINICAL 899 00:43:07,519 --> 00:43:11,156 TRIAL PARTICIPATION. OUR LAST 900 00:43:11,156 --> 00:43:12,891 PHASE, THIRD PHASE WILL BE WHERE 901 00:43:12,891 --> 00:43:14,994 WE ARE ACTUALLY USING MACHINE 902 00:43:14,994 --> 00:43:18,464 LEARNING TOOLS TO SEE IF WE CAN 903 00:43:18,464 --> 00:43:24,470 MODEL THESE -- THIS GROUP-BASED 904 00:43:24,470 --> 00:43:27,373 MODEL AND ACTUALLY USE IT AS A 905 00:43:27,373 --> 00:43:29,875 PREDICTIVE TOOL FOR FUTURE 906 00:43:29,875 --> 00:43:32,544 STUDIES. SO CURRENTLY WE ARE IN 907 00:43:32,544 --> 00:43:34,113 THE SECOND PHASE OF THIS 908 00:43:34,113 --> 00:43:35,981 PROCESS, WHERE WE ARE STARTING 909 00:43:35,981 --> 00:43:39,418 TO LOOK AT HOW WE CAN BRING OUR 910 00:43:39,418 --> 00:43:41,387 COMMUNITY MEMBERS AND 911 00:43:41,387 --> 00:43:42,955 INVESTIGATORS TOGETHER WITH THE 912 00:43:42,955 --> 00:43:46,392 ADVISORY BOARD TO START TO BUILD 913 00:43:46,392 --> 00:43:48,661 A MODEL -- GROUP-BASED MODEL 914 00:43:48,661 --> 00:43:54,099 THAT IS REVISED BASED ON ALL OF 915 00:43:54,099 --> 00:43:57,136 THEIR INPUT. SO OUR WORK ACROSS 916 00:43:57,136 --> 00:44:02,541 THE ADVISORY BOARD WITH THE HOPE 917 00:44:02,541 --> 00:44:05,744 NET PROJECT AS WELL AS THE 918 00:44:05,744 --> 00:44:08,113 STEP-IT-UP PROJECT AND DC COOKS 919 00:44:08,113 --> 00:44:10,683 HAS ALSO LED TO US THINKING 920 00:44:10,683 --> 00:44:15,220 ABOUT HOW CAN WE WORK TOGETHER 921 00:44:15,220 --> 00:44:17,356 AND MAKE RESEARCH AS ACCESSIBLE 922 00:44:17,356 --> 00:44:18,757 AS POSSIBLE FOR THE COMMUNITY. 923 00:44:18,757 --> 00:44:27,633 WE'VE GOTTEN A LOT OF FEEDBACK 924 00:44:27,633 --> 00:44:30,336 DEVELOPING THE NHLBI HOPE 925 00:44:30,336 --> 00:44:32,037 CENTER, WHICH STARTED AS A 926 00:44:32,037 --> 00:44:34,406 CONCEPT IN 2018. IT IS DESIGNED 927 00:44:34,406 --> 00:44:36,675 AS A COMMUNITY-BASED CLINICAL 928 00:44:36,675 --> 00:44:39,078 RESEARCH HUB. SO THIS REALLY 929 00:44:39,078 --> 00:44:41,780 SERVED AS A PARADIGM SHIFT FOR 930 00:44:41,780 --> 00:44:43,282 CONDUCTING CLINICAL RESEARCH AT 931 00:44:43,282 --> 00:44:46,151 NIH. IT IS DESIGNED AS AN 932 00:44:46,151 --> 00:44:50,222 ACCESSIBLE LOCATION FOR CLINICAL 933 00:44:50,222 --> 00:44:54,259 RESEARCH. IT IS EMBED WITHIN A 934 00:44:54,259 --> 00:44:55,661 HOUSING DEVELOPMENT IN NORTHEAST 935 00:44:55,661 --> 00:44:57,763 WASHINGTON D.C. AND IT IS MEANT 936 00:44:57,763 --> 00:45:00,499 TO PROVIDE A SITE FOR N GAUGING 937 00:45:00,499 --> 00:45:04,403 POPULATIONS WHO ARE HISTORICALLY 938 00:45:04,403 --> 00:45:05,804 UNDERREPRESENTED IN CLINICAL 939 00:45:05,804 --> 00:45:11,143 RESEARCH AND ALLOWS MY TEAM TO 940 00:45:11,143 --> 00:45:13,379 SEE PROTOCOL PARTICIPANTS BUT WE 941 00:45:13,379 --> 00:45:15,981 WORK WITH NIAMS TO SEE PATIENTS 942 00:45:15,981 --> 00:45:19,218 THERE. THIS SITE OPENED IN 943 00:45:19,218 --> 00:45:23,822 JANUARY TO 23. SO THE OTHER WORK 944 00:45:23,822 --> 00:45:31,797 WE DO IS MAKING SURE IN OUR 945 00:45:31,797 --> 00:45:33,599 EFFORTS IN COMMUNITY EVENTS AND 946 00:45:33,599 --> 00:45:34,967 EFFORTS WITH THE HOPE CENTER BUT 947 00:45:34,967 --> 00:45:37,703 ALSO IN WORKING IN PARTNERSHIP 948 00:45:37,703 --> 00:45:39,104 WITH COMMUNITY ORGANIZATIONS, WE 949 00:45:39,104 --> 00:45:47,980 ARE DISSEMINATING FINDING FROM 950 00:45:47,980 --> 00:45:50,182 OUR STUDIES AND TRYING TO FIND 951 00:45:50,182 --> 00:45:51,850 HOW WE ARE ENGAGING COMMUNITIES 952 00:45:51,850 --> 00:45:56,555 IN TERMS OF PROVIDING HEALTH 953 00:45:56,555 --> 00:45:59,958 INFORMATION BUT ALSO PROVIDING 954 00:45:59,958 --> 00:46:03,362 THE FINDING BACK TO COMMUNITY 955 00:46:03,362 --> 00:46:05,397 MEMBERS FROM STUDIES. WE 956 00:46:05,397 --> 00:46:07,332 RECOGNIZE IF WE WANT THESE 957 00:46:07,332 --> 00:46:10,369 PARTNERSHIPS TO BE SUSTAINABLE, 958 00:46:10,369 --> 00:46:12,671 THAT WE NEED TO DON'T RECOGNIZE 959 00:46:12,671 --> 00:46:13,972 RESILIENCE AND ASSETS OF 960 00:46:13,972 --> 00:46:15,808 COMMUNITIES WE WORK WITH. THAT 961 00:46:15,808 --> 00:46:20,446 WE NEED TO CONTINUE TO LOOK TO 962 00:46:20,446 --> 00:46:29,855 COMMUNITIES FOR THE DAY 963 00:46:29,855 --> 00:46:30,856 TAILORING AND INTERPRETATION OF 964 00:46:30,856 --> 00:46:32,958 WHAT WE ARE FINDING, MAKE SURE 965 00:46:32,958 --> 00:46:34,560 WE ARE BUILDING THESE 966 00:46:34,560 --> 00:46:36,395 PARTNERSHIPS SO THAT THEY CAN 967 00:46:36,395 --> 00:46:39,331 WORK AT DIFFERENT LEVELS TO 968 00:46:39,331 --> 00:46:40,265 ADDRESS COMMUNITY NEEDS AND 969 00:46:40,265 --> 00:46:44,837 UNDERSTAND HO WE CAN MAKE SURE 970 00:46:44,837 --> 00:46:52,878 THAT THEY -- THAT THEY ARE 971 00:46:52,878 --> 00:46:54,513 INCORPORATING AND IDENTIFYING 972 00:46:54,513 --> 00:46:56,448 THOSE WHO CAN SERVE AS CHAMPIONS 973 00:46:56,448 --> 00:46:58,550 FOR THE NEEDS OF THE COMMUNITY 974 00:46:58,550 --> 00:47:00,986 AND HIGHLIGHTING THOSE 975 00:47:00,986 --> 00:47:04,323 INDIVIDUALS SO THAT WHAT WE ARE 976 00:47:04,323 --> 00:47:07,526 DOING ACTUALLY LEADS TO MORE 977 00:47:07,526 --> 00:47:09,294 SUSTAINABLE INTERVENTIONS AND 978 00:47:09,294 --> 00:47:11,630 PROGRAMS IN THE FUTURE. WE ALSO 979 00:47:11,630 --> 00:47:16,068 NEED TO THINK ABOUT HOW DO WE 980 00:47:16,068 --> 00:47:17,870 ADDRESS WHAT -- WHAT ARE SOME OF 981 00:47:17,870 --> 00:47:21,373 THE WAYS IN WHICH WHAT WE ARE 982 00:47:21,373 --> 00:47:22,274 LEARNING BE TRANSLATED TO HEALTH 983 00:47:22,274 --> 00:47:25,611 CARE SYSTEMS OUTSIDE OF NIH. 984 00:47:25,611 --> 00:47:27,546 EVEN WITHIN THE CLINICAL CENTER. 985 00:47:27,546 --> 00:47:34,686 SO WE CAN THINK OF EXPANDING THE 986 00:47:34,686 --> 00:47:37,756 RESOURCES THAT ARE UTILIZED 987 00:47:37,756 --> 00:47:41,260 WITHIN CLINICAL TEAMS, MAKING 988 00:47:41,260 --> 00:47:44,363 SURE THAT CLINICAL TEAMS HAVE 989 00:47:44,363 --> 00:47:47,966 INDIVIDUALS SUCH AS HEALTH 990 00:47:47,966 --> 00:47:52,137 NAVIGATORS OR COMMUNITY HEALTH 991 00:47:52,137 --> 00:47:53,505 WORKER WHO'S CAN CONNECT 992 00:47:53,505 --> 00:47:57,242 PATIENTS TO COMMUNITY ASSETS TO 993 00:47:57,242 --> 00:48:02,614 ADDRESS SOCIAL NEEDS, THINK 994 00:48:02,614 --> 00:48:06,285 ABOUT CREATING MORE -- REDUCING 995 00:48:06,285 --> 00:48:09,655 BARRIERS TO CLINICAL AND SOCIAL 996 00:48:09,655 --> 00:48:13,392 SERVICES FOR PATIENTS WITHIN 997 00:48:13,392 --> 00:48:17,129 HEALTH CARE SYSTEMS AND THINKING 998 00:48:17,129 --> 00:48:19,598 ABOUT HOW DO HEALTH CARE SYSTEMS 999 00:48:19,598 --> 00:48:21,266 INVEST IN SOCIAL NEEDS 1000 00:48:21,266 --> 00:48:25,137 RESOURCES. FOR INSTANCE, AROUND 1001 00:48:25,137 --> 00:48:27,172 HOUSING OR FOOD THAT PATIENTS 1002 00:48:27,172 --> 00:48:32,477 MOST AFFECTED BY ADVERSE SOCIAL 1003 00:48:32,477 --> 00:48:34,780 DETERMINANTS, THOSE FACTORS ARE 1004 00:48:34,780 --> 00:48:38,750 THINGS THAT MOST AFFECT WHAT IS 1005 00:48:38,750 --> 00:48:41,420 HAPPENING FOR THEM. AND 1006 00:48:41,420 --> 00:48:43,922 ULTIMATELY AS WE THINK OF 1007 00:48:43,922 --> 00:48:46,858 OBESITY AS PART OF THIS 1008 00:48:46,858 --> 00:48:49,428 CONTINUUM ACROSS CARDIOVASCULAR 1009 00:48:49,428 --> 00:48:52,331 KIDNEY METABOLIC SYNDROME, THAT 1010 00:48:52,331 --> 00:48:54,499 FIRST STEP IN DEVELOPING 1011 00:48:54,499 --> 00:48:56,335 CARDIOVASCULAR KIDNEY METABOLIC 1012 00:48:56,335 --> 00:48:57,603 SYNDROME WE NEED THE THINK OF IT 1013 00:48:57,603 --> 00:49:00,639 AS A PROCESS WHERE WE ARE 1014 00:49:00,639 --> 00:49:01,907 SCREENING FOR SOCIAL 1015 00:49:01,907 --> 00:49:02,808 DETERMINANTS OF HEALTH AND 1016 00:49:02,808 --> 00:49:05,744 ADDRESSING SOCIAL NEEDS ACROSS 1017 00:49:05,744 --> 00:49:10,415 THAT PROCESS AND CROSS THE CARE 1018 00:49:10,415 --> 00:49:12,618 OF THOSE PATIENTS. SO ULTIMATELY 1019 00:49:12,618 --> 00:49:15,787 WHEN WE THINK OF COMMUNITY 1020 00:49:15,787 --> 00:49:19,625 ENGAGEMENT IT SERVES AS A WAY OF 1021 00:49:19,625 --> 00:49:21,860 BUILDING INTO INTERVENTIONS 1022 00:49:21,860 --> 00:49:24,029 METHODS FOR ADDRESSING -- NOT 1023 00:49:24,029 --> 00:49:27,099 ONLY UNDERSTANDING BUT 1024 00:49:27,099 --> 00:49:30,602 ACCOUNTING FOR AND WORKING WITH 1025 00:49:30,602 --> 00:49:34,406 COMMUNITIES TO ALLEVIATE THE 1026 00:49:34,406 --> 00:49:36,408 EFFECTS OF ADVERSE SOCIAL 1027 00:49:36,408 --> 00:49:38,110 DETERMINANTS BUT ACCOUNTING FOR 1028 00:49:38,110 --> 00:49:39,978 ASSETS THAT EXIST WITHIN 1029 00:49:39,978 --> 00:49:41,046 COMMUNITIES, WORKING TO BUILD 1030 00:49:41,046 --> 00:49:43,315 INTERVENTIONS THAT CAN BE 1031 00:49:43,315 --> 00:49:45,183 SUSTAINABLE, THAT ARE BUILT ON 1032 00:49:45,183 --> 00:49:46,418 TRUST BUT ULTIMATELY ARE 1033 00:49:46,418 --> 00:49:47,953 ACCESSIBLE TO AS BROAD A 1034 00:49:47,953 --> 00:49:49,788 POPULATION WITHIN THE COMMUNITY 1035 00:49:49,788 --> 00:49:58,463 AS POSSIBLE, TO IMPROVE 1036 00:49:58,463 --> 00:50:01,933 CARDIOVASCULAR OUTCOMES AND 1037 00:50:01,933 --> 00:50:04,169 IMPROVE THE OUTLOOK OF OBESITY. 1038 00:50:04,169 --> 00:50:05,504 THANK YOU FOR YOUR TIME AND I'M 1039 00:50:05,504 --> 00:50:06,672 HAPPY TO TAKE QUESTIONS. 1040 00:50:06,672 --> 00:50:09,074 >> THANK YOU VERY MUCH. WE 1041 00:50:09,074 --> 00:50:10,208 ARE DO HAVE TIME FOR SOME 1042 00:50:10,208 --> 00:50:13,612 QUESTIONS. IF YOU DO HAVE 1043 00:50:13,612 --> 00:50:19,184 QUESTIONS PLEASE GO AHEAD A. AN 1044 00:50:19,184 --> 00:50:25,290 WE WILL SEE WHAT WE HAVE. YOU 1045 00:50:25,290 --> 00:50:27,492 HAD MENTIONED CHALLENGES. IN 1046 00:50:27,492 --> 00:50:29,061 YOUR EXPERIENCE IN THE D.C. 1047 00:50:29,061 --> 00:50:31,129 SETTING WERE THERE PARTICULAR 1048 00:50:31,129 --> 00:50:32,864 BARRIERS THAT YOU EXPERIENCED. 1049 00:50:32,864 --> 00:50:35,967 THEN HOW DID YOU DEAL WITH 1050 00:50:35,967 --> 00:50:37,269 THOSE? 1051 00:50:37,269 --> 00:50:39,538 >> SURE. SO THERE HAVE BEEN 1052 00:50:39,538 --> 00:50:41,606 MANY CHALLENGES. I WOULD SAY 1053 00:50:41,606 --> 00:50:45,811 SOME OF THOSE INITIAL BARRIERS 1054 00:50:45,811 --> 00:50:51,249 WERE AROUND WORKING AND BEING A 1055 00:50:51,249 --> 00:50:54,386 REPRESENTATIVE OF THE FEDERAL 1056 00:50:54,386 --> 00:50:56,421 GOVERNMENT, WORKING IN CITY AND 1057 00:50:56,421 --> 00:50:59,958 PART OF THE COUNTRY THAT I'M NOT 1058 00:50:59,958 --> 00:51:02,127 ORIGINALLY FROM SO THEY ARE 1059 00:51:02,127 --> 00:51:04,796 BEING VERY LIMITED JUST BECAUSE 1060 00:51:04,796 --> 00:51:06,031 I'M NOT BEING FROM THE 1061 00:51:06,031 --> 00:51:10,435 WASHINGTON D.C. AREA BUT ALSO 1062 00:51:10,435 --> 00:51:11,970 NOT BEING TRUSTED BECAUSE I 1063 00:51:11,970 --> 00:51:13,705 WORKED FOR THE FEDERAL 1064 00:51:13,705 --> 00:51:18,310 GOVERNMENT. SO TRYING TO ADDRESS 1065 00:51:18,310 --> 00:51:25,984 THAT MEANT TRYING TO IDENTIFY 1066 00:51:25,984 --> 00:51:28,386 COMMUNITY MEMBERS THAT MAY WORK 1067 00:51:28,386 --> 00:51:31,690 WITHIN NIH OR THE FEDERAL 1068 00:51:31,690 --> 00:51:32,891 GOVERNMENT BUT WHO WERE ALREADY 1069 00:51:32,891 --> 00:51:34,493 ALREADY TRUSTED LEADERS WITHIN 1070 00:51:34,493 --> 00:51:38,296 THE COMMUNITY. MAY LEAD HEALTH 1071 00:51:38,296 --> 00:51:43,201 MINISTRIES AND FAITH-BASED 1072 00:51:43,201 --> 00:51:44,102 ORGANIZATIONS OR WORKING WITH 1073 00:51:44,102 --> 00:51:46,705 THE NONPROFIT, WORKING AND 1074 00:51:46,705 --> 00:51:49,174 VOLUNTEERING WITH A NONPROFIT 1075 00:51:49,174 --> 00:51:50,609 THAT COULD START TO BUILD SOME 1076 00:51:50,609 --> 00:51:56,481 OF THOSE PARTNERSHIPS. AND THAT 1077 00:51:56,481 --> 00:52:03,488 ALLOWED ME TO WORK THROUGH THOSE 1078 00:52:03,488 --> 00:52:05,323 INITIAL BRIDGES TO START TO 1079 00:52:05,323 --> 00:52:13,965 BUILD PARTNERSHIPS THAT BUILT ON 1080 00:52:13,965 --> 00:52:14,266 THEMSELVES. 1081 00:52:14,266 --> 00:52:16,201 >> WERE THERE CONNECTIONS YOU 1082 00:52:16,201 --> 00:52:18,069 FOUND TO BE MOST FRUITFUL IN 1083 00:52:18,069 --> 00:52:23,975 TERMS OF ADVANCING YOUR EFFORT? 1084 00:52:23,975 --> 00:52:31,716 >> THE MOST FRUITFUL 1085 00:52:31,716 --> 00:52:35,854 INITIALLY WERE PARTNERSHIPS WITH 1086 00:52:35,854 --> 00:52:38,757 -- MORE NIH STAFF ACTUALLY THAT 1087 00:52:38,757 --> 00:52:41,393 WERE LEADERS WITHIN THEIR 1088 00:52:41,393 --> 00:52:42,694 FAITH-BASED ORGANIZATIONS, 1089 00:52:42,694 --> 00:52:47,465 WITHIN THEIR CHURCHES. THEY 1090 00:52:47,465 --> 00:52:48,300 WORKED AT NICH BUT THEY ALSO 1091 00:52:48,300 --> 00:52:50,368 KNEW WHAT WAS HAPPYING IN THE 1092 00:52:50,368 --> 00:52:51,670 COMMUNITY. THEY WERE TRUSTED 1093 00:52:51,670 --> 00:52:53,605 WITHIN THE COMMUNITY SO THEY 1094 00:52:53,605 --> 00:52:55,974 ALLOWED ME AND MY TEAM TO START 1095 00:52:55,974 --> 00:53:00,045 TO WORK WITH THEIR FAITH-BASED 1096 00:53:00,045 --> 00:53:02,147 ORGANIZA 1097 00:53:02,147 --> 00:53:03,381 ORGANIZATIONS, TO BUILD OUT SOME 1098 00:53:03,381 --> 00:53:04,816 INITIAL CONNECTIONS. 1099 00:53:04,816 --> 00:53:07,752 >> HOW DID YOU IDENTIFY THOSE 1100 00:53:07,752 --> 00:53:09,487 INDIVIDUALS, LIKE THE NIH STAFF 1101 00:53:09,487 --> 00:53:13,191 THAT WERE VERY INVOLVED IN THEIR 1102 00:53:13,191 --> 00:53:14,125 COMMUNITY? 1103 00:53:14,125 --> 00:53:18,563 >> IT STARTED REALLY BY WORD 1104 00:53:18,563 --> 00:53:26,171 OF MOUTH AND TALKING TO PEOPLE 1105 00:53:26,171 --> 00:53:29,608 WHO WERE -- WHO MIGHT ALREADY BE 1106 00:53:29,608 --> 00:53:34,512 WORKING IN SOME ASPECT OF 1107 00:53:34,512 --> 00:53:35,881 RESEARCH WITHIN D.C. BUT NOT 1108 00:53:35,881 --> 00:53:38,350 NECESSARILY WORKING IN COMMUNITY 1109 00:53:38,350 --> 00:53:39,951 ENGAGED RESEARCH. IT MAY HAVE 1110 00:53:39,951 --> 00:53:41,586 BEEN GOING TO COMMUNITY MEETINGS 1111 00:53:41,586 --> 00:53:45,023 AND SEEING WHO MIGHT BE THERE. 1112 00:53:45,023 --> 00:53:48,827 IT MAY HAVE BEEN PRESENTING WHAT 1113 00:53:48,827 --> 00:53:52,864 MY HOPE WAS AND GOALS IN TERMS 1114 00:53:52,864 --> 00:53:55,367 OF BUILDING COMMUNITY 1115 00:53:55,367 --> 00:53:56,534 PARTNERSHIPS AND PEOPLE FROM NIH 1116 00:53:56,534 --> 00:53:59,337 BEING PART OF THOSE 1117 00:53:59,337 --> 00:54:01,339 PRESENTATIONS, SO IT VARIED IN 1118 00:54:01,339 --> 00:54:03,108 TERMS OF HOW I WAS ABLE TO 1119 00:54:03,108 --> 00:54:08,680 IDENTIFY SOME OF THOSE INITIAL 1120 00:54:08,680 --> 00:54:09,014 PARTNERS. 1121 00:54:09,014 --> 00:54:11,950 >> HERE'S SOMEBODY WHO SAYS 1122 00:54:11,950 --> 00:54:21,660 THANKS FOR YOUR WORK IN THIS AND 1123 00:54:21,660 --> 00:54:23,962 CURRENTLY USE IT. 1124 00:54:23,962 --> 00:54:26,932 >> FOR NIHLBI THERE ARE TWO 1125 00:54:26,932 --> 00:54:28,900 STUDIES WE ARE RECRUITING THERE 1126 00:54:28,900 --> 00:54:31,202 AND ABLE TO SEE PATIENT THERE 1127 00:54:31,202 --> 00:54:33,872 IS. THEN NIANS HAS STUDIES. I 1128 00:54:33,872 --> 00:54:36,808 DON'T KNOW HOW MANY THEY ARE 1129 00:54:36,808 --> 00:54:38,877 SEEING, PATIENTS THERE FOR, BUT 1130 00:54:38,877 --> 00:54:45,517 THEY ALSO ARE SEEING PATIENTS. 1131 00:54:45,517 --> 00:54:47,118 >> ANOTHER COMMENT. THIS IS 1132 00:54:47,118 --> 00:54:48,987 EXCELLENT WORK ON ADDRESSING A 1133 00:54:48,987 --> 00:54:51,556 BROADER ISSUE RELATED TO THE 1134 00:54:51,556 --> 00:54:52,958 SOCIOECONOMIC IMPACT ON HOW THIS 1135 00:54:52,958 --> 00:54:54,526 RESEARCH IS VITAL TO IMPROVEMENT 1136 00:54:54,526 --> 00:54:58,163 OF HUMAN HEALTH, THANK YOU. YOU 1137 00:54:58,163 --> 00:55:01,266 MENTIONED A PROGRAM CALLED D.C. 1138 00:55:01,266 --> 00:55:03,635 COOKS. FOOD IS MEDICINE AND 1139 00:55:03,635 --> 00:55:04,602 CLINICAL CENTERS INVOLVED. CAN 1140 00:55:04,602 --> 00:55:06,137 YOU SAY A LITTLE MORE ABOUT 1141 00:55:06,137 --> 00:55:06,404 THAT? 1142 00:55:06,404 --> 00:55:11,176 >> SURE. SO THIS IS A COOKING 1143 00:55:11,176 --> 00:55:12,277 BEHAVIOR INTERVENTION THAT IS 1144 00:55:12,277 --> 00:55:18,850 LED BY DR. NICOLE FARMER. IN THE 1145 00:55:18,850 --> 00:55:22,020 CLINICAL CENTER. IT IS DESIGNED 1146 00:55:22,020 --> 00:55:28,593 TO IMPROVE COOKING BEHAVIOR FOR 1147 00:55:28,593 --> 00:55:31,029 THOSE WHO HAVE CARDIOVASCULAR 1148 00:55:31,029 --> 00:55:33,631 RISK SO PRIMARILY WORKS WITH 1149 00:55:33,631 --> 00:55:36,034 INDIVIDUALS IN WARDS 7 AND 8 IN 1150 00:55:36,034 --> 00:55:39,437 WASHINGTON D.C. SO THOSE ARE 1151 00:55:39,437 --> 00:55:43,074 AREAS MORE IN SOUTHEAST D.C. 1152 00:55:43,074 --> 00:55:46,745 MORE EAST OF THE AN COST YA 1153 00:55:46,745 --> 00:55:50,415 RIVER. AREAS THAT HAVE HIGH 1154 00:55:50,415 --> 00:56:01,026 RATES OF KARZ /* CARDIOVASCULAR 1155 00:56:02,660 --> 00:56:10,301 DISEASE BUT HIGHER SOCIOECONOMIC 1156 00:56:10,301 --> 00:56:16,708 LEVEL LEVELS SO WITH THAT 1157 00:56:16,708 --> 00:56:19,177 INTERVENTION THEY ARE LOOKING AT 1158 00:56:19,177 --> 00:56:21,079 TRAINING COOKING BEHAVIOR, 1159 00:56:21,079 --> 00:56:22,580 IMPROVING COOKING BEHAVIOR, 1160 00:56:22,580 --> 00:56:24,783 WORKING WITH A CHEF WHO IS BASED 1161 00:56:24,783 --> 00:56:29,087 IN D.C. TO TEACH PARTICIPANTS ON 1162 00:56:29,087 --> 00:56:31,956 COOKING BUT ALSO HOW THAT 1163 00:56:31,956 --> 00:56:36,027 CHANGES OTHER DIETARY BEHAVIORS 1164 00:56:36,027 --> 00:56:38,963 AROUND SHOPPING, FOOD SHOPPING, 1165 00:56:38,963 --> 00:56:43,201 AROUND DIETARY HABITS, AROUND 1166 00:56:43,201 --> 00:56:47,572 EVEN SOME OF THE OCCUPATIONAL 1167 00:56:47,572 --> 00:56:49,941 HEALTH RELATED FACTORS AROUND 1168 00:56:49,941 --> 00:56:52,677 DIETARY BEHAVIOR AND HOW THAT 1169 00:56:52,677 --> 00:57:03,221 ALSO RELATES TO MORE BIO BE 1170 00:57:05,423 --> 00:57:07,725 BIO BEHAVIOR MEASURES SUCH AS 1171 00:57:07,725 --> 00:57:14,232 IMMUNE AND MICRO BUY BIOME 1172 00:57:14,232 --> 00:57:15,500 MEASURES RELATED TO 1173 00:57:15,500 --> 00:57:16,768 CARDIOVASCULAR DISEASE AND 1174 00:57:16,768 --> 00:57:17,368 STRESS. 1175 00:57:17,368 --> 00:57:18,136 >> INTERESTING PROGRAM. THERE 1176 00:57:18,136 --> 00:57:20,238 IS A QUESTION. ARE YOU 1177 00:57:20,238 --> 00:57:21,873 INTERESTED IN EXPANDING CONCEPTS 1178 00:57:21,873 --> 00:57:24,008 LIKE HOPE CENTER TO OTHER 1179 00:57:24,008 --> 00:57:25,510 COMMUNITIES OR CITIES. BY 1180 00:57:25,510 --> 00:57:27,979 EXTENSION DO YOU KNOW IF THERE 1181 00:57:27,979 --> 00:57:30,081 ARE OTHERS AT NIH LOOKING AT 1182 00:57:30,081 --> 00:57:33,184 EXPAND ING THAT CONCEPT? 1183 00:57:33,184 --> 00:57:39,124 >> SO THE HOPE CENTER TOOK A 1184 00:57:39,124 --> 00:57:41,126 LONG TIME TO COME TO FRUITION SO 1185 00:57:41,126 --> 00:57:42,927 I THINK IT IS RIPE FOR EXPANSION 1186 00:57:42,927 --> 00:57:46,998 IN TERMS OF THINKING HOW IT 1187 00:57:46,998 --> 00:57:50,969 COULD GROW AS A MORE RESEARCH 1188 00:57:50,969 --> 00:57:52,537 NETWORK. I WOULD BE -- I 1189 00:57:52,537 --> 00:57:54,272 CERTAINLY WOULD BE INTERESTED IN 1190 00:57:54,272 --> 00:58:00,945 THINKING ABOUT HOW THAT COULD 1191 00:58:00,945 --> 00:58:01,813 HAPPEN. THERE ARE OPPORTUNITIES 1192 00:58:01,813 --> 00:58:04,415 IN THINKING ABOUT WHERE IT IS IN 1193 00:58:04,415 --> 00:58:06,284 TERMS OF ITS LOCATION. IT IS 1194 00:58:06,284 --> 00:58:09,454 BASED IN A HOUSING DEVELOPMENT 1195 00:58:09,454 --> 00:58:17,862 RUN BY ENTERPRISE DEVELOPMENT 1196 00:58:17,862 --> 00:58:20,098 ORGANIZATION THAT HAS HOUSING 1197 00:58:20,098 --> 00:58:22,066 DEVELOPMENTS THROUGHOUT THE 1198 00:58:22,066 --> 00:58:23,935 MID-ATLANTIC. SO IF THERE WERE 1199 00:58:23,935 --> 00:58:25,803 WAYS TO THINK ABOUT IT AS A 1200 00:58:25,803 --> 00:58:29,340 MODEL FOR BUILDING OUT THROUGH 1201 00:58:29,340 --> 00:58:33,077 OTHER ENTERPRISE FACILITIES I 1202 00:58:33,077 --> 00:58:35,947 THINK THAT WOULD BE -- THERE IS 1203 00:58:35,947 --> 00:58:39,350 DEFINITELY POTENTIAL THERE. I DO 1204 00:58:39,350 --> 00:58:42,954 THINK IT CAN SERVE AS A MODEL 1205 00:58:42,954 --> 00:58:47,192 FOR GROWING THE ACCESSIBILITY OF 1206 00:58:47,192 --> 00:58:54,766 CLINICAL RESEARCH THAT NIH DOES. 1207 00:58:54,766 --> 00:58:56,134 >> I DON'T SEE ANY OTHER 1208 00:58:56,134 --> 00:58:57,936 QUESTIONS AT THE MOMENT. WE 1209 00:58:57,936 --> 00:58:59,103 WOULD CERTAINLY LIKE TO THANK 1210 00:58:59,103 --> 00:59:00,738 YOU FOR JOINING US TODAY. FOR 1211 00:59:00,738 --> 00:59:02,140 THOSE OF YOU THAT WATCH US ON A 1212 00:59:02,140 --> 00:59:04,542 REGULAR BASIS, OUR NEXT 1213 00:59:04,542 --> 00:59:05,810 EDUCATION SERIES SESSION WILL BE 1214 00:59:05,810 --> 00:59:08,346 THURSDAY OCTOBER 17TH FROM 3:00 1215 00:59:08,346 --> 00:59:11,216 TO 4:00 AND AT THE NIH VIDEO 1216 00:59:11,216 --> 00:59:15,153 CAST. I WILL BE SENDING OUT 1217 00:59:15,153 --> 00:59:15,920 ADDITIONAL INFORMATION WITHIN 1218 00:59:15,920 --> 00:59:18,289 THE NEXT FEW WEEKS. THANK YOU, 1219 00:59:18,289 --> 00:59:19,424 DOCTOR. WE APPRECIATE YOU 1220 00:59:19,424 --> 00:59:20,391 JOINING US TODAY. 1221 00:59:20,391 --> 00:59:21,025 >> THANK YOU FOR THE 1222 00:59:21,025 --> 00:59:21,960 OPPORTUNITY. I APPRECIATE IT. 1223 00:59:21,960 --> 00:59:23,494 >> THANK YOU, BYE-BYE. 1224 00:59:23,494 --> 00:59:33,938 >> ALL RIGHT, BYE-BYE.