1 00:00:05,152 --> 00:00:07,354 GOOD MORNING, GOOD AFTERNOON, 2 00:00:07,354 --> 00:00:09,123 AND GOOD EVENING, DEPENDING ON 3 00:00:09,123 --> 00:00:13,360 WHERE YOU'RE JOINING US FROM AND 4 00:00:13,360 --> 00:00:16,864 WELCOME TO THE NIH WORK TOP TO 5 00:00:16,864 --> 00:00:20,367 ADDRESS CHRONIC DISEASE. 6 00:00:20,367 --> 00:00:22,002 I'M ALLISON BROWN AND I SERVE AS 7 00:00:22,002 --> 00:00:24,638 A COORDINATOR HERE AND I'VE HAD 8 00:00:24,638 --> 00:00:26,440 THE PLEASURE OF SERVING AS ONE 9 00:00:26,440 --> 00:00:28,142 OF THE PROGRAM LEADS FOR THE 10 00:00:28,142 --> 00:00:29,510 WORKSHOP TODAY. 11 00:00:29,510 --> 00:00:33,747 A PROUD DAUGHTER OF SOMEONE WHO 12 00:00:33,747 --> 00:00:35,582 MIGRATED TO THE UNITED STATES 13 00:00:35,582 --> 00:00:37,251 FOR OPPORTUNITIES, I'M EXCITED 14 00:00:37,251 --> 00:00:38,986 TO HAVE YOU JOIN US TODAY. 15 00:00:38,986 --> 00:00:40,721 BEFORE WE DIVE INTO THE OFFICIAL 16 00:00:40,721 --> 00:00:42,923 WELCOME, I WANT TO TURN IT OVER 17 00:00:42,923 --> 00:00:45,592 TO OUR TEAM TO GO OVER TECHNICAL 18 00:00:45,592 --> 00:00:46,860 ITEMS FOR THE DAY. 19 00:00:46,860 --> 00:00:55,269 NEXT SLIDE. 20 00:00:55,269 --> 00:00:57,471 >> THANK YOU DR. BROWN AND GOOD 21 00:00:57,471 --> 00:00:59,640 AFTERNOON EVERYBODY. 22 00:00:59,640 --> 00:01:02,109 I'M BRITTANY, JUNIOR BE WORKSHOP 23 00:01:02,109 --> 00:01:05,379 COORDINATE SHALL WITH THE NIH BL 24 00:01:05,379 --> 00:01:07,014 WORKSHOP PROGRAM AND THRAWRCHG 25 00:01:07,014 --> 00:01:09,483 FOR US FOR THE FIRST DAY OF THE 26 00:01:09,483 --> 00:01:11,785 ADVANCING HEALTH AND EQUITY 27 00:01:11,785 --> 00:01:15,355 THROUGH CULTURE CENTERED DIETARY 28 00:01:15,355 --> 00:01:17,591 INTERVENTIONS TO ADDRESS CHRONIC 29 00:01:17,591 --> 00:01:19,660 DISEASE VIRTUAL WORKSHOP. 30 00:01:19,660 --> 00:01:20,861 THIS PRESENTATION IS BEING 31 00:01:20,861 --> 00:01:24,131 RECORDED FOR INTERNAL USE ONLY. 32 00:01:24,131 --> 00:01:25,666 PLEASE MAINTAIN RESEARCH 33 00:01:25,666 --> 00:01:27,568 INTERGRITD AND CONFIDENTIALITY. 34 00:01:27,568 --> 00:01:28,936 SO QUESTIONS AND COMMENTS 35 00:01:28,936 --> 00:01:31,605 THROUGH THE VIDEO CAST LIVE 36 00:01:31,605 --> 00:01:34,575 FEEDBACK USING THE FEEDBACK 37 00:01:34,575 --> 00:01:36,743 BUTTON AT THE TOP RIGHT OF THE 38 00:01:36,743 --> 00:01:37,511 VIDEO DESCRIPTION. 39 00:01:37,511 --> 00:01:41,014 IF POSSIBLE, PLEASE STATE THE 40 00:01:41,014 --> 00:01:45,919 PANELIST YOU'RE ADDRESSING TO. 41 00:01:45,919 --> 00:01:48,322 LIVE CAPTIONS ARE LOCATED IN THE 42 00:01:48,322 --> 00:01:50,757 TOOLBAR OF THE BOTTOM RIGHT OF 43 00:01:50,757 --> 00:01:52,092 YOUR VIDEO PLAYER. 44 00:01:52,092 --> 00:01:54,728 SELECT THE CLOSE CAPTIONED ICON 45 00:01:54,728 --> 00:01:57,631 AND SELECT "ENGLISH" TO ENABLE 46 00:01:57,631 --> 00:01:58,298 THEM. 47 00:01:58,298 --> 00:02:01,602 I'M PASSING THINGS BACK OVER FOR 48 00:02:01,602 --> 00:02:06,707 DR. ALLISON BROWN AND DR. 49 00:02:06,707 --> 00:02:09,243 COLLINS TO DO OUR NIH WELCOME. 50 00:02:09,243 --> 00:02:11,645 >> THANK YOU, BRITTANY AND 51 00:02:11,645 --> 00:02:12,980 WELCOME AGAIN EVERYONE. 52 00:02:12,980 --> 00:02:23,891 ON BEHALF OF MY FELLOW COSCH COR 53 00:02:24,725 --> 00:02:26,426 DR. COLLINS, WE'RE EXAIPT. 54 00:02:26,426 --> 00:02:28,862 EXCITED FOR YOU TO BE HERE WITH 55 00:02:28,862 --> 00:02:30,898 US. 56 00:02:30,898 --> 00:02:33,200 THE VIRTUAL WORKSHOP PLATFORM 57 00:02:33,200 --> 00:02:36,103 ALLOWS US TO ENHANCE OUR 58 00:02:36,103 --> 00:02:39,439 ACCESSIBILITY AND ENGAGE WITH 59 00:02:39,439 --> 00:02:40,607 ATTENDEES NOT ONLY HERE IN THE 60 00:02:40,607 --> 00:02:42,075 UNITED STATES, BUT ACROSS THE 61 00:02:42,075 --> 00:02:43,544 GLOBE. 62 00:02:43,544 --> 00:02:46,079 THIS TWO-DAY WORKSHOP WOULD NOT 63 00:02:46,079 --> 00:02:48,215 BE POSSIBLE WOWMENT THE 64 00:02:48,215 --> 00:02:49,550 COLLABORATION AND EXPERTISE OF 65 00:02:49,550 --> 00:02:51,251 OUR PLANNING COMMITTEE. 66 00:02:51,251 --> 00:02:52,920 WE WANT TO THANK THEM AND 67 00:02:52,920 --> 00:02:54,555 ACKNOWLEDGE OUR AMAZING TEAM. 68 00:02:54,555 --> 00:02:58,492 AS YOU'LL NOTE ON THE GUIDE, THE 69 00:02:58,492 --> 00:03:00,260 PLANNING COMMITTEE COMPRISES NOT 70 00:03:00,260 --> 00:03:03,096 ONLY OF COLLEAGUES ACROSS NIH, 71 00:03:03,096 --> 00:03:05,832 BUT ALSO FEDERAL PARTNERS 72 00:03:05,832 --> 00:03:09,136 INCLUDING THE USDA AND OTHER 73 00:03:09,136 --> 00:03:10,671 AGENCIES. 74 00:03:10,671 --> 00:03:15,475 THIS IS A COLLABORATION. 75 00:03:15,475 --> 00:03:17,911 TO GIVE YOU MORE CONTEXT FOR 76 00:03:17,911 --> 00:03:20,647 TODAY'S WORKSHOP, THE NIH 77 00:03:20,647 --> 00:03:22,616 RELEASED THE STRATEGIC PLAN FOR 78 00:03:22,616 --> 00:03:24,585 NUTRITION RESEARCH IN 2020. 79 00:03:24,585 --> 00:03:26,653 THIS INCLUDE FOUR GOALS OUTLINED 80 00:03:26,653 --> 00:03:27,721 IN THE FIGURE ON THE RIGHT AND 81 00:03:27,721 --> 00:03:30,190 IT'S ORGANIZED AROUND THE 82 00:03:30,190 --> 00:03:32,993 CENTRAL UNIFYING VISION OF 83 00:03:32,993 --> 00:03:34,328 PREVISION RESEARCH. 84 00:03:34,328 --> 00:03:35,862 THIS ALIGNS WITH THE WORKSHOP 85 00:03:35,862 --> 00:03:39,466 THAT PRECISION NUTRITION FOCUSES 86 00:03:39,466 --> 00:03:43,604 ON DIETARY INTERVENTIONS IN 87 00:03:43,604 --> 00:03:45,238 DIVERSE COMMUNITIES. 88 00:03:45,238 --> 00:03:48,742 NEXT SLIDE. 89 00:03:48,742 --> 00:03:51,712 SNEU P NUTRITION INEQUITIES THAT 90 00:03:51,712 --> 00:03:54,348 WE SEE IN THIS COUNTRY SIGNAL 91 00:03:54,348 --> 00:03:56,617 THE NEED FOR MORE TARGETED 92 00:03:56,617 --> 00:03:57,818 INTERVENTIONS. 93 00:03:57,818 --> 00:04:01,154 ALTHOUGH MOST AMERICANS DON'T 94 00:04:01,154 --> 00:04:09,029 MEET DIETARY. 95 00:04:09,029 --> 00:04:11,765 THEY ARE MORE IN CULTURAL 96 00:04:11,765 --> 00:04:12,733 GROUPS. 97 00:04:12,733 --> 00:04:16,003 THERE ARE DIE OAT RELATED 98 00:04:16,003 --> 00:04:17,471 CANCERS SHOWN ON THE FIGURE ON 99 00:04:17,471 --> 00:04:18,872 THE RIGHT. 100 00:04:18,872 --> 00:04:21,174 RESEARCH HIGHLIGHTS DIE OAT AS 101 00:04:21,174 --> 00:04:23,043 AN IMPORTANT RISKS FACTOR TO 102 00:04:23,043 --> 00:04:24,578 IMPROVE HEALTH. 103 00:04:24,578 --> 00:04:26,346 MEANWHILE, WE KNOW THAT DIE OAT 104 00:04:26,346 --> 00:04:30,484 IS INFLUENCED BY A VA RIETD OF 105 00:04:30,484 --> 00:04:32,252 FACTORS INCLUDING CULTURE AND 106 00:04:32,252 --> 00:04:33,920 ENVIRONMENTAL INFLUENCES. 107 00:04:33,920 --> 00:04:35,922 SOME OF THE FACTORS WILL BE 108 00:04:35,922 --> 00:04:36,890 DISCUSSED AND HIGHLIGHTED 109 00:04:36,890 --> 00:04:38,191 THROUGHOUT THE TWO DAYS OFFER 110 00:04:38,191 --> 00:04:39,292 THE WORKSHOP. 111 00:04:39,292 --> 00:04:40,293 NEXT SLIDE. 112 00:04:40,293 --> 00:04:41,728 UNDERSTANDING THE COMPLEXITIES 113 00:04:41,728 --> 00:04:43,997 OF THE CAUSES OF NUTRITION 114 00:04:43,997 --> 00:04:47,367 HEALTH DISPARITIES, THE NIH 115 00:04:47,367 --> 00:04:49,202 OFFICE OF NUTRITION RESEARCH 116 00:04:49,202 --> 00:04:51,371 COORDINATE NAITSZ THE ROURKEING 117 00:04:51,371 --> 00:04:53,073 GROUP ALONG WP SEARCH OTHER 118 00:04:53,073 --> 00:04:54,741 WORKING GROUPS HIGHLIGHTED ON 119 00:04:54,741 --> 00:04:56,910 THE IMAGE OF THE SLIDE. 120 00:04:56,910 --> 00:04:58,845 THE GOAL OF THE WORKING GROUP IS 121 00:04:58,845 --> 00:05:02,249 THREE FOLD, ONE, TO ADVANCE NIH 122 00:05:02,249 --> 00:05:04,384 NUTRITION RESEARCH TO UNDERSTAND 123 00:05:04,384 --> 00:05:06,953 THE INTERACTION BETWEEN NOT ONLY 124 00:05:06,953 --> 00:05:10,791 DIETS H ET BUT ENVIRONMENT, 125 00:05:10,791 --> 00:05:12,492 BIOLOGICAL AND BEHAVIORAL 126 00:05:12,492 --> 00:05:13,794 PROCESSES AND HOW THEY 127 00:05:13,794 --> 00:05:15,328 CONTRIBUTE TO HEALTH 128 00:05:15,328 --> 00:05:16,463 DISPARITIES. 129 00:05:16,463 --> 00:05:19,166 SECONDLY TO ENCOURAGE RECH ON 130 00:05:19,166 --> 00:05:29,142 RESEARCH.SINCE HEALTH DISPARITIA 131 00:05:29,142 --> 00:05:31,211 CROSS COUNTRY PLAN, THE GOAL IS 132 00:05:31,211 --> 00:05:33,513 TO WORK WITH OTHER GRIPES TO 133 00:05:33,513 --> 00:05:36,049 SUPPORT NUTRITION AND HEALTH 134 00:05:36,049 --> 00:05:37,117 DISPARITY RESEARCH. 135 00:05:37,117 --> 00:05:39,720 TODAY'S WORKSHOP IS AN ACTIVITY 136 00:05:39,720 --> 00:05:44,491 OF THIS WORKING GROUP. 137 00:05:44,491 --> 00:05:46,893 TODAY'S WORKSHOP ALIGNS WITH THE 138 00:05:46,893 --> 00:05:49,463 PRIORITIES SOCIETY ON THE 2022 139 00:05:49,463 --> 00:05:51,498 WHITE KORVES ON HUNGER, 140 00:05:51,498 --> 00:05:53,467 NUTRITION AND HEALTH SCLD THE 141 00:05:53,467 --> 00:05:57,270 CONFERENCE REINVOLVED AROUND 142 00:05:57,270 --> 00:05:58,271 FIVE PILLAR. 143 00:05:58,271 --> 00:06:01,441 THIS ASK THE FIFTH 3EU8ER TO 144 00:06:01,441 --> 00:06:03,877 ENHANCE NUTRITION AND FOOD 145 00:06:03,877 --> 00:06:04,745 RESEARCH. 146 00:06:04,745 --> 00:06:07,881 WE HOPE THIS WILL SIMULATE OUR 147 00:06:07,881 --> 00:06:09,816 AUDIENCE INTO MORE SCIENCE AND 148 00:06:09,816 --> 00:06:12,753 RESEARCH AS WELL AS MORE 149 00:06:12,753 --> 00:06:13,954 CULTURED-CENTERED PRACTICES. 150 00:06:13,954 --> 00:06:16,823 NOW I WILL TURN IT OVER TO MY 151 00:06:16,823 --> 00:06:20,861 COLLEAGUE DR. COLLINS. 152 00:06:20,861 --> 00:06:22,529 >> THANK YOU SO MUCH, ALLISON. 153 00:06:22,529 --> 00:06:24,264 I WOULD LIKE TO SHARE WITH YOU 154 00:06:24,264 --> 00:06:26,133 THE IMPORTANCE OF NUTRITION 155 00:06:26,133 --> 00:06:27,434 HEALTH DISEXPAIRTS TO LET YOU 156 00:06:27,434 --> 00:06:31,505 KNOW THAT THE WHITE 157 00:06:31,505 --> 00:06:33,039 CONFERENCE -- DISPARITIES AND 158 00:06:33,039 --> 00:06:34,474 THE WHITE HOUSE CONFERENCE 159 00:06:34,474 --> 00:06:36,543 SPAWNED A NUMBER OF INITIATIVES 160 00:06:36,543 --> 00:06:39,479 TO ADDRESS NUTRITIONAL HEALTH 161 00:06:39,479 --> 00:06:40,714 DISPARITIES. 162 00:06:40,714 --> 00:06:44,651 ONE IS THE FRAMEWORK. 163 00:06:44,651 --> 00:06:51,958 SO THIS FRAMEWORK IS IN ORDER TO 164 00:06:51,958 --> 00:06:53,960 REDUCE DISPARITIES, YOU P NEED 165 00:06:53,960 --> 00:06:57,430 TO DESIGN THE INTD PLAY OF 166 00:06:57,430 --> 00:06:59,800 MULTIPLE LEVELS OF INFLUENCE 167 00:06:59,800 --> 00:07:02,702 OPERATE WITHIN THE BIOLOGICAL, 168 00:07:02,702 --> 00:07:05,005 BEHAVIORAL, ENVIRONMENTAL AND 169 00:07:05,005 --> 00:07:08,008 HEALTHCARE DOMAINS AND SHOULD 170 00:07:08,008 --> 00:07:13,113 ENCOMPASS EVERY LEVEL OF THE 171 00:07:13,113 --> 00:07:13,780 SOCIO-ECOLOGICAL LEVEL. 172 00:07:13,780 --> 00:07:17,384 IN ORDER TO FULLY UNDERSTAND THE 173 00:07:17,384 --> 00:07:18,919 DISPARITIES, WE EVER TO ADDRESS 174 00:07:18,919 --> 00:07:24,524 THE CUMULATIVE AND INTERACTIVE 175 00:07:24,524 --> 00:07:30,530 EFFECTS FL NUTRITIONAL INTAKE, 176 00:07:30,530 --> 00:07:37,204 DIETARY INTAKE, AND HEALTH. 177 00:07:37,204 --> 00:07:40,106 WE HAVE TO LOOK AT MULTIPLE 178 00:07:40,106 --> 00:07:40,607 FACTORS. 179 00:07:40,607 --> 00:07:42,342 I WOULD LIKE OL HIGHLIGHT A FEW 180 00:07:42,342 --> 00:07:44,978 EXAMPLES FROM THE NUTRITION 181 00:07:44,978 --> 00:07:49,249 HEALTH DISPARITY FRAMEWORK. 182 00:07:49,249 --> 00:07:51,117 THIS WAS DEVELOPED BY NIH 183 00:07:51,117 --> 00:07:52,185 RESEARCHERS HERE AT NIH AND IN 184 00:07:52,185 --> 00:07:54,654 ADDITION TO THAT, WE MODIFIED 185 00:07:54,654 --> 00:07:56,256 THE NUTRITION HEALTH DISPARITIES 186 00:07:56,256 --> 00:08:00,727 FRAMEWORK FROM THE NIH MD 187 00:08:00,727 --> 00:08:01,161 FRAMEWORK. 188 00:08:01,161 --> 00:08:04,698 THIS IS MUCH MORE NUTRITION 189 00:08:04,698 --> 00:08:05,765 CENTRIC AND FOCUSED. 190 00:08:05,765 --> 00:08:09,269 IT HAS THE LEVELS OF INFLUENCE 191 00:08:09,269 --> 00:08:12,606 IN VISUAL AND SOCIETAL LEVEL AND 192 00:08:12,606 --> 00:08:14,307 THE LEVELS OF DOMAIN OF 193 00:08:14,307 --> 00:08:16,276 INFLUENCE WOULD BE THE 194 00:08:16,276 --> 00:08:21,181 BIOLOGICAL, BEHAVIORAL, PHYSICAL 195 00:08:21,181 --> 00:08:23,583 AND BUILT ENVIRONMENTS AND 196 00:08:23,583 --> 00:08:24,818 NUTRITIONAL HEALTHCARE SYSTEM. 197 00:08:24,818 --> 00:08:28,788 I WOULD LIKE TO HIGHLIGHT A FEW 198 00:08:28,788 --> 00:08:30,857 EXAMPLES. 199 00:08:30,857 --> 00:08:35,128 THIS WORKSHOP FOCUSES ON THE 200 00:08:35,128 --> 00:08:37,631 NEEDS TO ADVANCE NUTRITIONAL 201 00:08:37,631 --> 00:08:39,733 INTERVENTION AND REDUCE HEALTH 202 00:08:39,733 --> 00:08:40,600 DISPARITIES. 203 00:08:40,600 --> 00:08:41,701 LOOKING AT THE INDIVIDUAL LEVEL, 204 00:08:41,701 --> 00:08:48,375 YOU CAN SEE THAT A CULL TRAITION 205 00:08:48,375 --> 00:08:51,878 ASK ASSOCIATED KA DISPARITIES. 206 00:08:51,878 --> 00:08:56,816 FOR EXAMPLE PEOPLE THAT A CULL A 207 00:08:56,816 --> 00:08:59,319 CULTURE EIGHT THEIR DIETS HAVE 208 00:08:59,319 --> 00:09:01,254 MORE FAST FOODS AND PROCESSED 209 00:09:01,254 --> 00:09:05,058 FOODS WHEREAS THOSE THAT ADHERE 210 00:09:05,058 --> 00:09:07,327 TO TRADITIONAL DIETS, THAT HAS 211 00:09:07,327 --> 00:09:10,830 MORE INTAKE OF FRUITS AND 212 00:09:10,830 --> 00:09:12,399 VEGETABLESES AND FIBER INTAKE 213 00:09:12,399 --> 00:09:14,668 AND HOME-COOKED MEALS. 214 00:09:14,668 --> 00:09:17,103 YOU CAN SEE SOCIAL NETWORK AND 215 00:09:17,103 --> 00:09:19,205 FAMILIES AND PEER NORMS SOARNTED 216 00:09:19,205 --> 00:09:21,107 WITH INTAKE AND HOW IT 217 00:09:21,107 --> 00:09:24,077 INFLUENCES DIETARY INTAKE. 218 00:09:24,077 --> 00:09:26,046 THE COMMUNITY NORMS HAVE BEEN 219 00:09:26,046 --> 00:09:28,448 ALSO ASSOCIATED WITH DIETARY 220 00:09:28,448 --> 00:09:28,682 INTAKE. 221 00:09:28,682 --> 00:09:32,185 FOR EXAMPLE, RESEARCH SUGGESTS 222 00:09:32,185 --> 00:09:34,254 THAT COMMUNITY NORMS ASSOCIATED 223 00:09:34,254 --> 00:09:36,856 WITH POSITIVE COMMUNITY 224 00:09:36,856 --> 00:09:38,291 CONNECTIVENESS AND COHESION. 225 00:09:38,291 --> 00:09:41,061 THAT HAS BEEN ASSOCIATED WITH 226 00:09:41,061 --> 00:09:43,096 DECREASED FOOD INSECURITY. 227 00:09:43,096 --> 00:09:47,367 BODY SOFA ESTEEM INCLUSIVE AND 228 00:09:47,367 --> 00:09:51,338 ACCEPTING ENVIRONMENT WHERE BODY 229 00:09:51,338 --> 00:09:52,939 SELF-ESTEEM IS VIEWED POSITIVELY 230 00:09:52,939 --> 00:09:55,575 HAS BEEN BE ASSOCIATED WITH 231 00:09:55,575 --> 00:09:59,879 DECREASED DISORDERED EATING 232 00:09:59,879 --> 00:10:01,147 AMONG CERTAIN POPULATIONS. 233 00:10:01,147 --> 00:10:03,450 WHEN YOU LOOK AT THE SOCIETAL 234 00:10:03,450 --> 00:10:06,453 EFFECTS OF SOCIAL NORMS, WE FIND 235 00:10:06,453 --> 00:10:12,492 THAT THERE IS SOME SOCIETIES 236 00:10:12,492 --> 00:10:15,862 WHERE THERE IS STIGMA OVER 237 00:10:15,862 --> 00:10:18,064 GOVERNMENT ASSISTANCE PROGRAMS 238 00:10:18,064 --> 00:10:20,233 MAY CONTRIBUTE TO THE LIMITED 239 00:10:20,233 --> 00:10:21,768 BENEFITS OF THE PROGRAMS AND 240 00:10:21,768 --> 00:10:25,505 INCREASE RISK FOR NUTRITION 241 00:10:25,505 --> 00:10:26,373 HEALTH DISPARITIES. 242 00:10:26,373 --> 00:10:30,477 THESE ARE SOME EXAMPLES OF HOW 243 00:10:30,477 --> 00:10:33,646 SOCIOCULTURAL ENVIRONMENTS CAN 244 00:10:33,646 --> 00:10:35,715 ENHANCE DISPARITIES. 245 00:10:35,715 --> 00:10:37,851 BASICALLY UNDERSTANDING THESE 246 00:10:37,851 --> 00:10:39,719 INFLUENCES CAN LEAD TO DESIGNING 247 00:10:39,719 --> 00:10:42,856 AND DEVELOPING INTERVENTIONS. 248 00:10:42,856 --> 00:10:45,492 THEY CAN REDUCE NUTRITIONAL 249 00:10:45,492 --> 00:10:48,795 HEALTH DISTAIRTS AND IMPROVE AND 250 00:10:48,795 --> 00:10:49,996 PROMOTE NUTRITION HEALTH AND 251 00:10:49,996 --> 00:10:52,966 WELL-BEING. 252 00:10:52,966 --> 00:10:54,167 SO WE WANTED TO HIGHLIGHT THAT 253 00:10:54,167 --> 00:10:59,205 WE DID APPLY FOR CPEU CREDITS 254 00:10:59,205 --> 00:11:01,041 FOR REGISTERED DIETICIANS. 255 00:11:01,041 --> 00:11:02,375 THIS PARTICULAR SLIDE SHOWS THAT 256 00:11:02,375 --> 00:11:09,783 THE WORKSHOP ATTENDANTS ARE HE 257 00:11:09,783 --> 00:11:13,453 ELIGIBLE FOR 9 CPEU SCRED ITS. 258 00:11:13,453 --> 00:11:17,057 THIS IS FOR REGISTERED 259 00:11:17,057 --> 00:11:19,325 DIETICIANS AND PROFESSIONALS AS 260 00:11:19,325 --> 00:11:21,761 WELL AS REGISTERED DIETETIC 261 00:11:21,761 --> 00:11:22,629 TECHNICIANS AS WELL. 262 00:11:22,629 --> 00:11:25,532 IT ALIGNS WITH THE PERFORMANCE 263 00:11:25,532 --> 00:11:27,567 COMPETENCY AREAS SUCH AS FOOD 264 00:11:27,567 --> 00:11:31,037 AND DIETETICS CAN AND APPLIES 265 00:11:31,037 --> 00:11:33,473 CURRENT FOOD AND NUTRITION 266 00:11:33,473 --> 00:11:38,745 SCIENCE AND NUTRITION PRACTICE 267 00:11:38,745 --> 00:11:40,947 AND DMON IS STRAITS AND APPLIES 268 00:11:40,947 --> 00:11:43,550 KNOWLEDGE AND CULINARY 269 00:11:43,550 --> 00:11:44,184 PRACTICES. 270 00:11:44,184 --> 00:11:46,719 ANOTHER IS NUTRITION POPULATION 271 00:11:46,719 --> 00:11:51,124 AND GLOBAL HEALTH SUCH AS 272 00:11:51,124 --> 00:11:53,059 ADVOCATING FOR DISEASE 273 00:11:53,059 --> 00:11:54,694 PREVENTION TO SUPPORT ACCOUNT 274 00:11:54,694 --> 00:11:57,230 IMPLEMENTATION OF 23450U TRITION 275 00:11:57,230 --> 00:11:58,565 AND PROGRAMS. 276 00:11:58,565 --> 00:12:00,500 AND DESIGNING AND DEVELOPING 277 00:12:00,500 --> 00:12:02,268 COMMUNITY AND POPULATION HEALTH 278 00:12:02,268 --> 00:12:02,535 PROGRAMS. 279 00:12:02,535 --> 00:12:06,072 I JUST WANT TO SAY THAT WE HAVE 280 00:12:06,072 --> 00:12:09,809 APPLIED FOR CPEUs, WE'RE 281 00:12:09,809 --> 00:12:11,211 WAITING -- OUR APPLICATION 282 00:12:11,211 --> 00:12:12,312 SUNDAY REVIEW. 283 00:12:12,312 --> 00:12:13,613 PLEASE CONTACT IF YOU WANT TO 284 00:12:13,613 --> 00:12:16,015 KNOW MORE AND IF YOU'D LIKE TO 285 00:12:16,015 --> 00:12:19,519 LEARN MORE ABOUT CPEUS AND 286 00:12:19,519 --> 00:12:20,353 OBTAINING CERTIFICATES TO GO TO 287 00:12:20,353 --> 00:12:21,855 THE WEBSITE AFTER THE WORKSHOP 288 00:12:21,855 --> 00:12:24,424 AND TO GET ANYS ADDITIONAL 289 00:12:24,424 --> 00:12:26,726 UPDATES AS IT RELATES TO THESE 290 00:12:26,726 --> 00:12:28,061 CERTIFICATES. 291 00:12:28,061 --> 00:12:31,231 NOW I WOULD LIKE TO SAY THAT 292 00:12:31,231 --> 00:12:32,866 WE'D LIKE TO TURN THE WORKSHOP 293 00:12:32,866 --> 00:12:35,401 OVER TO OUR CO-CHAIRS. 294 00:12:35,401 --> 00:12:40,773 O OUR CO-CHAIRS ARE DR. MERE MA 295 00:12:40,773 --> 00:12:42,842 IT A AND DR. MECHANICS GREEDY 296 00:12:42,842 --> 00:12:45,145 AND THEY'LL PROVIDE AN OVERVIEW 297 00:12:45,145 --> 00:12:47,447 OF THE WORKSHOP PROGRAM. 298 00:12:47,447 --> 00:12:52,585 THANK YOU DR. MATTEI AND DR. 299 00:12:52,585 --> 00:12:53,686 McGREEVEY. 300 00:12:53,686 --> 00:12:54,888 >> WE'RE EXCITED TO HAVE 301 00:12:54,888 --> 00:12:56,589 EVERYONE HERE FOR DAY ONE OF OUR 302 00:12:56,589 --> 00:12:58,057 WORKSHOP. 303 00:12:58,057 --> 00:12:59,058 NEXT SLIDE, PLEASE. 304 00:12:59,058 --> 00:13:05,098 I WANTED TO INTRODUCE THE TWO 305 00:13:05,098 --> 00:13:05,431 COSHARES. 306 00:13:05,431 --> 00:13:13,840 I'LL ALE HAVE DR. MATTEI FIRST. 307 00:13:13,840 --> 00:13:16,009 >> GOOD MORNING, EVERYBODY OR 308 00:13:16,009 --> 00:13:17,210 GOOD, GOOD EVENING, I KNOW THIS 309 00:13:17,210 --> 00:13:19,979 IS A WORLDWIDE EVENT. 310 00:13:19,979 --> 00:13:22,582 THANK YOU ALL FOR JOINING US 311 00:13:22,582 --> 00:13:23,349 TODAY. 312 00:13:23,349 --> 00:13:25,518 WE'RE PLEASED TO FINALLY BE HERE 313 00:13:25,518 --> 00:13:28,288 TODAY SHOWING THE CULMINATION OF 314 00:13:28,288 --> 00:13:31,124 A LOT OF WORK FOR MANY PEOPLE. 315 00:13:31,124 --> 00:13:32,559 A SPECIAL THANK YOU TO OUR 316 00:13:32,559 --> 00:13:34,327 PLANNING COMMITTEE TO THE NIH, 317 00:13:34,327 --> 00:13:38,031 AND TO MY CO-CHAIR BREE. 318 00:13:38,031 --> 00:13:39,065 WE'VE BEEN WORK TOGETHER FOR 319 00:13:39,065 --> 00:13:41,000 SEVERAL MONTHS TO BRING YOU THIS 320 00:13:41,000 --> 00:13:43,169 WORKSHOP HEAD TO AND WE HOPE 321 00:13:43,169 --> 00:13:46,039 THAT YOU ENJOY IT AND WE'LL GO 322 00:13:46,039 --> 00:13:48,241 THROUGH THE OVERVIEW OF WHAT 323 00:13:48,241 --> 00:13:49,676 YOU'LL BE LISTENING TO IN THE 324 00:13:49,676 --> 00:13:51,277 NEXT COUPLE OF DAYS. 325 00:13:51,277 --> 00:13:52,946 THANK YOU AGAIN. 326 00:13:52,946 --> 00:13:54,781 >> SO I JUST WANTED TO MAKE SURE 327 00:13:54,781 --> 00:13:57,016 THAT EVERYONE ASK QUESTIONS 328 00:13:57,016 --> 00:14:00,086 DURING THE PRESENTATION USING 329 00:14:00,086 --> 00:14:04,123 THE Q AND A FUNCTION. 330 00:14:04,123 --> 00:14:05,758 WE'RE EXCITED TO HAVE SO MANY 331 00:14:05,758 --> 00:14:07,961 PEOPLE REGISTERED FOR THIS 332 00:14:07,961 --> 00:14:09,462 TWO-DAY VIRTUAL EVENT. 333 00:14:09,462 --> 00:14:12,031 NEXT SLIDE, PLEASE. 334 00:14:12,031 --> 00:14:15,969 THERE ARE THREE MAIN KEY 335 00:14:15,969 --> 00:14:18,838 OBJECTIVES FOR THIS WORKSHOP ONE 336 00:14:18,838 --> 00:14:21,874 IS REVIEWING HOW CULTURAL 337 00:14:21,874 --> 00:14:24,744 FOODWAYS AND SOCIOCULTURAL 338 00:14:24,744 --> 00:14:26,145 FACTORS COULD BE LESSONED TO 339 00:14:26,145 --> 00:14:29,449 IMPROVE THE EFFECTIVENESS OF 340 00:14:29,449 --> 00:14:31,284 DIETARY PREVENTIONS CAN OF 341 00:14:31,284 --> 00:14:33,386 DIVERSE POPULATIONS INCLUDING 342 00:14:33,386 --> 00:14:38,524 IMMIGRANT GROUPS, RACIAL ETHNIC 343 00:14:38,524 --> 00:14:39,959 AND RURAL COMMUNITIES. 344 00:14:39,959 --> 00:14:46,199 WE WANT TO IDENTIFY GAPS AND 345 00:14:46,199 --> 00:14:46,866 OPPORTUNITIES. 346 00:14:46,866 --> 00:14:50,136 FOR RESEARCH ON HERITAGE FOOD 347 00:14:50,136 --> 00:14:53,406 WIEST TO TREAT AND MANAGE 348 00:14:53,406 --> 00:14:56,209 DIET-RELATED DISEASES IN 349 00:14:56,209 --> 00:15:01,648 CULTURALLY DIVERSE POPULATIONS. 350 00:15:01,648 --> 00:15:06,386 WE'LL LOOK AT BIOLOGICAL 351 00:15:06,386 --> 00:15:08,488 MECHANISMS, UNDERLYING RESPONSES 352 00:15:08,488 --> 00:15:10,556 TO TRADITIONAL AND 353 00:15:10,556 --> 00:15:12,759 EVIDENCE-BASED DIETARY PATTERNS. 354 00:15:12,759 --> 00:15:14,627 NEXT SLIDE, PLEASE. 355 00:15:14,627 --> 00:15:16,596 THE OVERARCHING GOAL OF THIS 356 00:15:16,596 --> 00:15:18,431 WORKSHOP IS TO REVIEW THE STATE 357 00:15:18,431 --> 00:15:20,400 OF THE SCIENCE AND PROVIDE 358 00:15:20,400 --> 00:15:21,301 RECOMMENDATIONS FOR FUTURE 359 00:15:21,301 --> 00:15:23,603 RESEARCH ON THE DEVELOPMENT AND 360 00:15:23,603 --> 00:15:25,672 IMPLEMENTATION OF CULTURE 361 00:15:25,672 --> 00:15:29,075 CENTERED DIETARY INTERVENTIONS 362 00:15:29,075 --> 00:15:31,678 AND GUIDELINES AND INDEXES AND 363 00:15:31,678 --> 00:15:33,546 CONSIDERATION OF CULTURAL 364 00:15:33,546 --> 00:15:36,215 FOODWAYS AND SOCIOCULTURAL 365 00:15:36,215 --> 00:15:42,755 FACTORS SUCH AS CULTURATION IN 366 00:15:42,755 --> 00:15:44,490 DIETARY INTERVENTIONS. 367 00:15:44,490 --> 00:15:48,094 SO WE KNOW THE UTZ IS DIVERSE 368 00:15:48,094 --> 00:15:51,364 AND KNOWN FOR THE RICH TAPESTRY 369 00:15:51,364 --> 00:15:52,265 OF DIVERSITY. 370 00:15:52,265 --> 00:15:57,770 THIS DIVERSE TRI IS EVIDENT 371 00:15:57,770 --> 00:16:01,507 RANGING FROM ETHNIC BACKGROUNDS 372 00:16:01,507 --> 00:16:02,709 TO GEOGRAPHIC DIFFERENCE. 373 00:16:02,709 --> 00:16:05,044 WE HAVE VAST DIFFERENCES IN 374 00:16:05,044 --> 00:16:06,879 WHERE PEOPLE LIVE, RURAL AND 375 00:16:06,879 --> 00:16:09,282 URBAN AND DIFFERENT RIEMENTS C 376 00:16:09,282 --> 00:16:10,383 CLIMATES. 377 00:16:10,383 --> 00:16:12,418 WHROORNT YOU HAVE ACCESS TO 378 00:16:12,418 --> 00:16:16,089 FRESH WAT -- WHETHER OR NOT YOUE 379 00:16:16,089 --> 00:16:19,058 ACCESS TO FRESH WATER OR 380 00:16:19,058 --> 00:16:23,730 SALTWATER. 381 00:16:23,730 --> 00:16:26,032 RACIAL/ETHNIC DIVERSITY. 382 00:16:26,032 --> 00:16:30,636 THE U.S. HAS AFRICAN-AMERICANS, 383 00:16:30,636 --> 00:16:32,171 ASIAN AMERICANS, NATIVE 384 00:16:32,171 --> 00:16:33,906 AMERICANS AND MANY MORE. 385 00:16:33,906 --> 00:16:36,309 THIS HAS ENRICHED THE NATION'S 386 00:16:36,309 --> 00:16:38,544 CULTURE AND TRADITIONS AND OUR 387 00:16:38,544 --> 00:16:42,482 WCUISINE AS WELL. 388 00:16:42,482 --> 00:16:46,819 THERE IS RELIGIOUS DIVERSITY, 389 00:16:46,819 --> 00:16:52,625 LINGUISTIC DIVERSITY, LGBTQ+ 390 00:16:52,625 --> 00:16:54,494 COMMUNITIES AND IT IMPACTS LOTS 391 00:16:54,494 --> 00:16:56,295 OF THINGS BUT ALSO WHAT WE EAT 392 00:16:56,295 --> 00:16:59,298 AND THAT'S WHY WE ARE HERE 393 00:16:59,298 --> 00:16:59,999 TODAY. 394 00:16:59,999 --> 00:17:01,801 EACH CONTRIBUTE TO THE CULTURAL 395 00:17:01,801 --> 00:17:05,304 DIVERSITY OF OUR DIETS. 396 00:17:05,304 --> 00:17:07,940 WHY ARE WE FOCUSING ON THIS 397 00:17:07,940 --> 00:17:08,274 TOPIC? 398 00:17:08,274 --> 00:17:12,412 WHY IS IT IMPORTANT TO CULL. 399 00:17:12,412 --> 00:17:16,315 FOCUS ON PREVENTING HEALTH 400 00:17:16,315 --> 00:17:16,716 EQUITY? 401 00:17:16,716 --> 00:17:18,384 WE KNOW THERE IS AN INCREASING 402 00:17:18,384 --> 00:17:20,553 FOCUS ON FINDING WAYS. 403 00:17:20,553 --> 00:17:23,055 WE CAN ADDRESS HEALTH THROUGH 404 00:17:23,055 --> 00:17:24,090 GOOD NUTRITION. 405 00:17:24,090 --> 00:17:26,459 LAST YEAR, THE WHITE HOUSE HELD 406 00:17:26,459 --> 00:17:28,961 A CONFERENCE AND NIH HAS AN 407 00:17:28,961 --> 00:17:31,597 INITIATIVE FOCUSING ON PREVISION 408 00:17:31,597 --> 00:17:32,231 NUTRITION. 409 00:17:32,231 --> 00:17:33,332 SO THERE ARE WAYS THAT WE'RE 410 00:17:33,332 --> 00:17:35,134 TRYING TO FIGURE OUT HOW TO 411 00:17:35,134 --> 00:17:36,936 INCORPORATE MORE FOCUS ON 412 00:17:36,936 --> 00:17:37,670 NUTRITION AND HEALTH. 413 00:17:37,670 --> 00:17:41,841 IN ADDITION, THE 2025/2030 414 00:17:41,841 --> 00:17:43,409 GUIDELINES ARE UPDATED AND WE 415 00:17:43,409 --> 00:17:46,546 HAVE A FANL FOCUSED ON ISSUES 416 00:17:46,546 --> 00:17:49,549 EVER INCORPORATING HEALTH EQUITY 417 00:17:49,549 --> 00:17:55,988 INTO DIETARY GUIDELI GUIDELINESD 418 00:17:55,988 --> 00:18:00,460 THENNING EVIDENCE-BASED FOR 419 00:18:00,460 --> 00:18:02,662 DIVERSITY OF ENVIRONMENTS. 420 00:18:02,662 --> 00:18:04,964 FOR TODAY, WE ARE FOCUSING ON 421 00:18:04,964 --> 00:18:08,134 FOUR MAIN PANELS. 422 00:18:08,134 --> 00:18:09,635 WE'LL HAVE SEVERAL SPEAKERS 423 00:18:09,635 --> 00:18:10,269 WITHIN EACH. 424 00:18:10,269 --> 00:18:13,439 PANEL ONE IS LOOKING AT THE 425 00:18:13,439 --> 00:18:15,875 SOCIOCULTURAL FACTORS 426 00:18:15,875 --> 00:18:17,910 INFLUENCING FOODWAYWAYS AND 427 00:18:17,910 --> 00:18:21,848 SOVEREIGNTY UNTIL NAIT MERCHS. 428 00:18:21,848 --> 00:18:24,150 PANEL TWO IS TAILORED TO BLACKS 429 00:18:24,150 --> 00:18:26,786 IN THE U.S. 430 00:18:26,786 --> 00:18:29,088 PANEL 3 IS LACKING AT MIGRATION 431 00:18:29,088 --> 00:18:39,832 AND DIETARY AMONG LA LATINX FORE 432 00:18:45,671 --> 00:18:47,373 DIVERSE CULTURES IN THE U.S. 433 00:18:47,373 --> 00:18:48,574 DAY TWO WILL HAVE PRESENTATIONS 434 00:18:48,574 --> 00:18:50,109 FROM THOSE WHO WORK IN SEVERAL 435 00:18:50,109 --> 00:18:52,979 GOVERNMENT POSITIONS SUCH AS 436 00:18:52,979 --> 00:18:55,047 USDA AND HEALTH ARE PROMOTION. 437 00:18:55,047 --> 00:18:58,317 DAY TWO WILL FOCUS ON 438 00:18:58,317 --> 00:18:59,852 PRACTITIONERS IN TRANSLATING 439 00:18:59,852 --> 00:19:00,853 RESEARCH INTO THE COMMUNITIES. 440 00:19:00,853 --> 00:19:03,589 WE'LL LOOK AT PRECISION 441 00:19:03,589 --> 00:19:05,658 NUTRITION AND BIOLOGICAL 442 00:19:05,658 --> 00:19:08,494 MECHANISMS AND HAVE ALL OUR 443 00:19:08,494 --> 00:19:09,495 FLASH TALK PRESENTATIONS TROUT 444 00:19:09,495 --> 00:19:10,463 THE DAY AS WELL. 445 00:19:10,463 --> 00:19:12,198 MAKE SURE YOU JOIN US BACK FOR 446 00:19:12,198 --> 00:19:13,533 DAY TWO. 447 00:19:13,533 --> 00:19:16,035 NEXT SLIDE. 448 00:19:16,035 --> 00:19:18,037 SO THERE HAVE BEEN MANY 449 00:19:18,037 --> 00:19:19,572 INSTITUTES AND CENTERS WHO HELP 450 00:19:19,572 --> 00:19:21,207 CONTRIBUTE TO THE THIS WORKSHOP 451 00:19:21,207 --> 00:19:22,975 AND LOOK FORWARD TO HEARING FROM 452 00:19:22,975 --> 00:19:24,610 YOU ALL ABOUT HOW TO BEST 453 00:19:24,610 --> 00:19:27,146 ADVANCE OUR WORK IN HEALTH HE 454 00:19:27,146 --> 00:19:33,586 HEALTHEQUITY TO ADDRESS DISEASE. 455 00:19:33,586 --> 00:19:36,222 I'M HAPPY TO INTRODUCE THE 456 00:19:36,222 --> 00:19:39,825 DIRECTOR OF THE NATIONAL 457 00:19:39,825 --> 00:19:41,661 INSTEUNS OF HEALTH DES TAIRTS 458 00:19:41,661 --> 00:19:46,732 WHO WILL BE -- HEALTH 459 00:19:46,732 --> 00:19:47,900 DISPARITIES WHO WILL BE 460 00:19:47,900 --> 00:19:50,036 PROVIDING OPENING REMARKS. 461 00:19:50,036 --> 00:19:51,370 THANK YOU SO MUCH. 462 00:19:51,370 --> 00:19:54,073 AND TO THE ORGANIZERS, OUR 463 00:19:54,073 --> 00:19:55,474 INSTITUTE HAS BEEN INVOLVED IN 464 00:19:55,474 --> 00:19:57,577 THIS AND TO THE CO-CHAIRS. 465 00:19:57,577 --> 00:20:02,181 THIS IS GREAT TO LISTEN TO SOME 466 00:20:02,181 --> 00:20:05,551 OF THE OVERVIEW. 467 00:20:05,551 --> 00:20:08,621 CAN I SHARE MY SCREEN? 468 00:20:08,621 --> 00:20:10,289 >> NEXT SLIDE, PLEASE. 469 00:20:10,289 --> 00:20:13,426 >> NEXT SLIDE. 470 00:20:13,426 --> 00:20:16,762 NEXT SLIDE. 471 00:20:16,762 --> 00:20:20,199 KEEP GOING. 472 00:20:20,199 --> 00:20:21,734 OKAY. 473 00:20:21,734 --> 00:20:23,469 I WANT TO JUST SHARE SOME 474 00:20:23,469 --> 00:20:27,406 THOUGHTS ABOUT THIS TOPIC, ALSO 475 00:20:27,406 --> 00:20:31,811 SHARE THE PERSPECTIVE OF NIH OF 476 00:20:31,811 --> 00:20:33,779 THE GLOBAL ISSUES OF HEALTH 477 00:20:33,779 --> 00:20:36,749 DISPARITIES AND HOW GIVEN THE 478 00:20:36,749 --> 00:20:41,320 NATURE OF THE WORKSHOP AND SORT 479 00:20:41,320 --> 00:20:42,989 OF SUPPORTED BY WHAT I JUST 480 00:20:42,989 --> 00:20:43,422 HEARD. 481 00:20:43,422 --> 00:20:45,925 IN THE CONTEXT YOU ALL KNOW, 482 00:20:45,925 --> 00:20:47,660 CHRONIC DISEASE IS NUMBER ONE 483 00:20:47,660 --> 00:20:49,729 CAUSE OF DEATH ON A GLOBAL 484 00:20:49,729 --> 00:20:50,529 LEVEL. 485 00:20:50,529 --> 00:20:52,598 MOST CHRONIC DISEASES ARE MORE 486 00:20:52,598 --> 00:20:54,767 COMMON IN PEOPLE WHO ARE POOR AS 487 00:20:54,767 --> 00:20:56,736 WE HAVE INCREASED THE ACCESS TO 488 00:20:56,736 --> 00:20:58,304 FOOD AND DEVELOPMENT. 489 00:20:58,304 --> 00:21:01,140 IT USED TO BE THE OTHER WAY 490 00:21:01,140 --> 00:21:01,374 AROUND. 491 00:21:01,374 --> 00:21:03,876 IF YOU HAD EXCESS WEIGHT, 492 00:21:03,876 --> 00:21:05,745 YOU WERE WELL OFF AND THAT 493 00:21:05,745 --> 00:21:06,646 CHANGED. 494 00:21:06,646 --> 00:21:08,180 DIET CONTRIBUTES TO A BUNCH OF 495 00:21:08,180 --> 00:21:11,917 CHRONIC CONDITIONS MANY ARE 496 00:21:11,917 --> 00:21:14,120 CARDIOVASCULAR VEELTED AND ALSO 497 00:21:14,120 --> 00:21:16,055 CANCERS YOU HEARD. 498 00:21:16,055 --> 00:21:21,794 IT CAN BE AN EFFECTIVE THERAPY 499 00:21:21,794 --> 00:21:22,928 ALTHOUGH IT'S BEEN A CHALLENGE 500 00:21:22,928 --> 00:21:24,830 TO IMPLEMENT AND HAVE ADHERENCE 501 00:21:24,830 --> 00:21:29,035 ON A SUSTAINABLE BASIS TO 502 00:21:29,035 --> 00:21:30,503 DIETARY CHANGES ON A POPULATION 503 00:21:30,503 --> 00:21:30,870 LEVEL. 504 00:21:30,870 --> 00:21:33,472 ONE THING THAT WE COULD DO MORE 505 00:21:33,472 --> 00:21:36,842 OF EVEN FROM THE NIH PERSPECTIVE 506 00:21:36,842 --> 00:21:39,278 IS ADDRESSING STRUCTURAL 507 00:21:39,278 --> 00:21:40,146 FACTORS. 508 00:21:40,146 --> 00:21:41,814 ONE OBVIOUS IS THE COST OF 509 00:21:41,814 --> 00:21:44,016 HEALTHY FOOD IS SUBSTANTIALLY 510 00:21:44,016 --> 00:21:47,053 HIGHER AND THE COST OF ULTRA 511 00:21:47,053 --> 00:21:49,922 PROCESSED AND ACCESS TO ULTRA 512 00:21:49,922 --> 00:21:51,323 PROCESSED FOOD IS EASIER AND 513 00:21:51,323 --> 00:21:52,091 LOWER. 514 00:21:52,091 --> 00:21:54,827 LEER COST, EASIER ACCESS. 515 00:21:54,827 --> 00:21:58,230 LOWER COST, EASIER ACCESS. 516 00:21:58,230 --> 00:22:01,267 FROM MY RESEARCH PERSPECTIVE, 517 00:22:01,267 --> 00:22:04,336 I'M A GENERAL INTERNIST. 518 00:22:04,336 --> 00:22:09,875 I WORKED ABOUT MULTIPLE 519 00:22:09,875 --> 00:22:11,143 DIFFERENT DISCIPLINES. 520 00:22:11,143 --> 00:22:12,344 ONE COMFORT CHALLENGES IN 521 00:22:12,344 --> 00:22:13,646 NUTRITION SCIENCE IS HARD TO 522 00:22:13,646 --> 00:22:14,880 MESH WHAT ARE PEOPLE EAT. 523 00:22:14,880 --> 00:22:18,718 I KNOW IT'S GOTTEN BETTER AND 524 00:22:18,718 --> 00:22:20,453 QUESTIONNAIRES ARE MORE FOCUSED 525 00:22:20,453 --> 00:22:22,455 AND BETTER PROGRAMS TO ANALYZE 526 00:22:22,455 --> 00:22:23,055 IT MORE. 527 00:22:23,055 --> 00:22:25,958 THEY ARE RELIABLE, BUT THEY'RE 528 00:22:25,958 --> 00:22:27,693 TEDIOUS TO ADMINISTER. 529 00:22:27,693 --> 00:22:30,763 TO DISSEMINATE MORE INFORMATION 530 00:22:30,763 --> 00:22:34,700 ABOUT THIS PERSPECTIVE, ADDING 531 00:22:34,700 --> 00:22:37,436 QUESTIONS TO STANDARDIZED 532 00:22:37,436 --> 00:22:38,838 SURVEYS WOULD BE ONE WAY OF 533 00:22:38,838 --> 00:22:41,140 EXPANDING IT. 534 00:22:41,140 --> 00:22:45,211 THE PUBLIC ALSO EXPRESSES 535 00:22:45,211 --> 00:22:46,212 FRUSTRATION SOMETIMES. 536 00:22:46,212 --> 00:22:50,149 THEY SAY IT'S GOOD TO EAT THIS 537 00:22:50,149 --> 00:22:54,620 THEN CHANGE THEIR MINDS, IT'S 538 00:22:54,620 --> 00:22:56,255 BETTER TO EAT THIS. 539 00:22:56,255 --> 00:23:00,092 THE MANTRA EAST MOSTLY PLANTS, 540 00:23:00,092 --> 00:23:05,898 NOT TOO MUCH AND ALSO THE IDEA 541 00:23:05,898 --> 00:23:07,533 AS REAL FOOD AS OPPOSED TO 542 00:23:07,533 --> 00:23:10,703 THINGS THAT GET PROCESSED OR 543 00:23:10,703 --> 00:23:12,905 OVERLY PACKAGED IS ONE THAT CAN 544 00:23:12,905 --> 00:23:15,174 GUIDE OUR NUTRITION WITHOUT 545 00:23:15,174 --> 00:23:21,747 GETTING PRESCRIPTIVE AND PREVK 546 00:23:21,747 --> 00:23:25,618 EXPECTING PREFERENCES. 547 00:23:25,618 --> 00:23:27,219 FOOD PRODUCTION IS IS A PROBLEM. 548 00:23:27,219 --> 00:23:31,056 U.S. PRODUCES OVER 3,000 549 00:23:31,056 --> 00:23:33,759 CALORIES PER DAY PER PERSON TO 550 00:23:33,759 --> 00:23:35,561 BE CONSUMED AND WE ONLY NEED 551 00:23:35,561 --> 00:23:38,430 HALF THAT MUCH SLIGHTLY MORE 552 00:23:38,430 --> 00:23:40,065 DEPENDING ON THE SITUATION FOR 553 00:23:40,065 --> 00:23:42,668 ACTUALLY BEING NOURISHED. 554 00:23:42,668 --> 00:23:45,738 THE OBESITY EPIDEMIC OCCURRED 555 00:23:45,738 --> 00:23:47,473 DURING MY CAREER OVER THE LAST 556 00:23:47,473 --> 00:23:48,374 40 YEARS. 557 00:23:48,374 --> 00:23:51,544 AND WE KIND OF WATCHED IT. 558 00:23:51,544 --> 00:23:53,612 WE DIDN'T DO ANYTHING ABOUT IT. 559 00:23:53,612 --> 00:23:55,481 WE MADE LOTS OF OBSERVATIONS 560 00:23:55,481 --> 00:23:56,348 ABOUT IT. 561 00:23:56,348 --> 00:23:58,784 BUT IT IS QUITE STRIKING LOOKING 562 00:23:58,784 --> 00:24:00,319 BACK. 563 00:24:00,319 --> 00:24:04,023 WE SAW, ALL THEE E THOUGH NOT 564 00:24:04,023 --> 00:24:04,824 PROPORTIONALLY, THE SAME 565 00:24:04,824 --> 00:24:06,892 INCREASE IN DIABETES THAT 566 00:24:06,892 --> 00:24:09,562 FOLLOWED OVER TIME. 567 00:24:09,562 --> 00:24:12,498 I MENTIONED THE TERM OF 568 00:24:12,498 --> 00:24:14,233 "SPUBTIVE CULTURAL" WHEN I 569 00:24:14,233 --> 00:24:16,468 STARTED DOING RESEARCH, IT WAS 570 00:24:16,468 --> 00:24:19,538 ON CIGARETTE SMOKING AND SOCIAL 571 00:24:19,538 --> 00:24:21,574 PSYCHOLOGISTS TAUGHT ME THE 572 00:24:21,574 --> 00:24:24,643 APPROACH OF ASKING PEOPLE ABOUT 573 00:24:24,643 --> 00:24:30,583 THEIR ATTITUDES AND BELIEFS AND 574 00:24:30,583 --> 00:24:35,054 BEHAVIOR FOR WHITE COMPARED TO 575 00:24:35,054 --> 00:24:36,155 LATINOS. 576 00:24:36,155 --> 00:24:39,191 AND TO LOOK AT SIMILAR ATTITUDES 577 00:24:39,191 --> 00:24:41,193 AND BEHAVIORS AND IT PAVED THE 578 00:24:41,193 --> 00:24:43,262 WAY FOR WHAT I WOULD SAY 579 00:24:43,262 --> 00:24:46,265 TAILORED INTERVENTIONS. 580 00:24:46,265 --> 00:24:49,068 CULTURAL SPECIFIC INTERVENTIONS. 581 00:24:49,068 --> 00:24:53,339 CLEARLY IN DIETARY HABITS, 582 00:24:53,339 --> 00:24:55,407 NUTRITIONAL HABITS VARY ACROSS 583 00:24:55,407 --> 00:24:58,244 HERITAGE GROUPS. 584 00:24:58,244 --> 00:25:01,981 NIH STARTS WITH THE PREMISE THAT 585 00:25:01,981 --> 00:25:05,584 RACE AND EPT NISITY AS A 586 00:25:05,584 --> 00:25:06,485 SELF-IDENTIFIED SOCIAL CONSTRUCT 587 00:25:06,485 --> 00:25:09,989 AND SOCIAL CAN CLASS OR 588 00:25:09,989 --> 00:25:16,729 SOCIOIMLK SSOCIOECONOMIC ARE WAT 589 00:25:16,729 --> 00:25:19,265 SHOULD BE MEASUREDDED IN A 590 00:25:19,265 --> 00:25:21,333 STANDARDIZED WAY AND CONSIDERED 591 00:25:21,333 --> 00:25:23,769 AS POSSIBLE CONTRIBUTORS TO THE 592 00:25:23,769 --> 00:25:25,170 OUTCOMES THAT WE'RE OBSERVING. 593 00:25:25,170 --> 00:25:29,141 THIS MAY BE SORT OF PREACHING TO 594 00:25:29,141 --> 00:25:30,809 THE CONVERTED IN THIS AUDIENCE, 595 00:25:30,809 --> 00:25:35,915 BUT IT'S NOT UNIVERSALLY 596 00:25:35,915 --> 00:25:41,921 ENDORSED BY CLINICAL RESEARCHERS 597 00:25:41,921 --> 00:25:42,388 IN PARTICULAR. 598 00:25:42,388 --> 00:25:45,557 I BELIEVE THIS IS A GLOBAL ISSUE 599 00:25:45,557 --> 00:25:47,426 NOT A U.S. CENTRIC CONCERN. 600 00:25:47,426 --> 00:25:51,230 RACE AND ETHNICITY ARE GLOBAL 601 00:25:51,230 --> 00:25:53,899 ISSUES ESPECIALLY AS WE SEE MORE 602 00:25:53,899 --> 00:25:54,633 DIVERSIFICATION IN DIFFERENT 603 00:25:54,633 --> 00:25:57,236 PARTS OF THE WORLD. 604 00:25:57,236 --> 00:26:00,306 PREDICTION OF LIFE EXPECTANCY 605 00:26:00,306 --> 00:26:02,508 AND MORTALITY ARE STRONG IN THE 606 00:26:02,508 --> 00:26:04,376 U.S. 607 00:26:04,376 --> 00:26:06,612 IT'S VARIED TREMENDOUSLY IN THE 608 00:26:06,612 --> 00:26:07,680 LAST 25 YEARS. 609 00:26:07,680 --> 00:26:09,848 AFRICAN AND LATINO HOUSEHOLDS, 610 00:26:09,848 --> 00:26:12,284 ABOUT A THIRD OR SO HAVE SOME 611 00:26:12,284 --> 00:26:14,553 LEVEL OF FOOD INSECURITY. 612 00:26:14,553 --> 00:26:17,189 COMPARED TO ABOUT MAYBE 15% OR 613 00:26:17,189 --> 00:26:19,858 HALF THAT MANY AMONG WHITE 614 00:26:19,858 --> 00:26:20,159 HOUSEHOLDS. 615 00:26:20,159 --> 00:26:22,962 AND IF YOU LOOK AT PEOPLE WITH 616 00:26:22,962 --> 00:26:24,563 LESS THAN HIGH SCHOOL, THE 617 00:26:24,563 --> 00:26:28,067 NUMBER GOES UP TO 40%. 618 00:26:28,067 --> 00:26:32,237 AMERICAN INDIAN AND ALASKAN 619 00:26:32,237 --> 00:26:36,275 NATIVE HAVE MORE PROBLEMS 620 00:26:36,275 --> 00:26:40,446 DESPITE OBESITY BEING HIGH AMONG 621 00:26:40,446 --> 00:26:42,614 AFRICAN-AMERICAN AND LATINO 622 00:26:42,614 --> 00:26:44,450 POPULATIONS, CHILDREN AS WELL. 623 00:26:44,450 --> 00:26:50,723 IMMIGRANTS WHO ARE MORE CULL 624 00:26:50,723 --> 00:26:54,126 TRAITED AND BECOME MORE FLUENT 625 00:26:54,126 --> 00:26:58,063 IN THE ENGLISH LANGUAGE AND 626 00:26:58,063 --> 00:27:01,100 ADOPT MORE MAINSTREAM ATTITUDES 627 00:27:01,100 --> 00:27:03,002 HAVE LOWER DIET QUALITY. 628 00:27:03,002 --> 00:27:08,107 THIS IS MOSTLY STUDIED AMONG THE 629 00:27:08,107 --> 00:27:10,109 LATINO HISPANIC POPULATIONS. 630 00:27:10,109 --> 00:27:12,478 THIS IS THE IDEA THAT 631 00:27:12,478 --> 00:27:14,013 ACCULTURATION IS BAD FOR YOUR 632 00:27:14,013 --> 00:27:14,246 HEALTH. 633 00:27:14,246 --> 00:27:15,881 THIS IS ONE OF THE AREAS WHERE 634 00:27:15,881 --> 00:27:17,282 EVIDENCE POINTS IN THAT 635 00:27:17,282 --> 00:27:25,290 DIRECTION ALTHOUGH NOT ALL DO. 636 00:27:25,290 --> 00:27:28,894 JUST AS EXAMPLE OF DATA 637 00:27:28,894 --> 00:27:30,796 SUPPLEMENTAL NUTRITION 638 00:27:30,796 --> 00:27:32,564 ASSISTANCE PROGRAM, HOUSEHOLDS 639 00:27:32,564 --> 00:27:35,234 ENROLLED HAD A LOWER RATE OF 640 00:27:35,234 --> 00:27:38,637 FOOD INSECURITY. 641 00:27:38,637 --> 00:27:40,372 BLACK HOUSEHOLDS COMPARED TO 642 00:27:40,372 --> 00:27:40,572 WHITE. 643 00:27:40,572 --> 00:27:42,241 YOU CAN SEE THAT THESE KINDS 644 00:27:42,241 --> 00:27:46,278 EVER INTERVENTIONS, PROGRAM 645 00:27:46,278 --> 00:27:47,279 INTERVENTIONS SUPPORTED BY THE 646 00:27:47,279 --> 00:27:49,248 FEDERAL GOVERNMENT REALLY DO 647 00:27:49,248 --> 00:27:52,418 MAKE A DIFFERENCE IN THE MOST 648 00:27:52,418 --> 00:27:59,324 VULNERABLE POPULATION GROUPS. 649 00:27:59,324 --> 00:28:02,061 SO, NIMHD RESEARCH PRIORITIES 650 00:28:02,061 --> 00:28:05,030 ARE SUMMARIZED HERE. 651 00:28:05,030 --> 00:28:06,765 IN USING THIS IN THE LAST 652 00:28:06,765 --> 00:28:09,968 SEVERAL MONTHS IN MY TALKS. 653 00:28:09,968 --> 00:28:12,771 I SAID THE FIRST BULLET AND GO 654 00:28:12,771 --> 00:28:15,674 BACK TO OUR ORIGINAL FOUND BEING 655 00:28:15,674 --> 00:28:17,643 AND WHAT WE HAVE TRADITIONALLY 656 00:28:17,643 --> 00:28:20,612 WORKED IN I THINK WE NEED TO 657 00:28:20,612 --> 00:28:24,650 REMAIN PRIORITIZING THE FACTORS 658 00:28:24,650 --> 00:28:28,120 OF RACE AND/OR ET NIS YIPT IN 659 00:28:28,120 --> 00:28:30,055 SOCIAL ECONOMIC STATUS. 660 00:28:30,055 --> 00:28:33,192 WE'RE INTERESTED IN ALL 661 00:28:33,192 --> 00:28:35,060 SECTIONALITY WITH RACE AND 662 00:28:35,060 --> 00:28:37,229 ETHNICITY WITH ALL THE 663 00:28:37,229 --> 00:28:39,765 POPULATIONS DESIGNATED AS HAVING 664 00:28:39,765 --> 00:28:44,837 HEALTH DISPARITIES, UNDERSCORE 665 00:28:44,837 --> 00:28:48,874 RURAL POPULATIONS AND LGBTQ+ 666 00:28:48,874 --> 00:28:50,442 PERSONS AND PERSON WITH 667 00:28:50,442 --> 00:28:52,010 DISABILITIES AND ALL OTHER 668 00:28:52,010 --> 00:28:53,645 CONDITIONS AS WELL. 669 00:28:53,645 --> 00:28:58,684 THAT'S HOW WEAVE WE'VE OPERATEDE 670 00:28:58,684 --> 00:29:00,719 OUR FOUNDING AS A CENTER IS 23 671 00:29:00,719 --> 00:29:01,653 YEARS AGO. 672 00:29:01,653 --> 00:29:05,290 WE NEED TO REEVALUATE THE IDEA 673 00:29:05,290 --> 00:29:07,159 THAT EVERYONE IS COMPARED TO 674 00:29:07,159 --> 00:29:07,392 WHITES. 675 00:29:07,392 --> 00:29:09,027 WHITES ARE THE MAJORITY 676 00:29:09,027 --> 00:29:10,329 POPULATION AND CONTINUE TO BE 677 00:29:10,329 --> 00:29:11,864 THE MAJORITY POPULATION AND WILL 678 00:29:11,864 --> 00:29:14,166 BE FOR AT LEAST ANOTHER DECADE 679 00:29:14,166 --> 00:29:16,034 OR SO. 680 00:29:16,034 --> 00:29:18,137 60% OF THE U.S. 681 00:29:18,137 --> 00:29:20,439 AND GENERALLY THOUGHT THEY HAD 682 00:29:20,439 --> 00:29:22,608 BETTER OUTCOMES BUT THAT HASN'T 683 00:29:22,608 --> 00:29:24,610 TURNED OUT TO BE THE CASE AS YOU 684 00:29:24,610 --> 00:29:27,446 PROBABLY ARE AWARE AND SO, I 685 00:29:27,446 --> 00:29:29,648 THINK RE-THINKING OF A REFERENCE 686 00:29:29,648 --> 00:29:33,018 POINT IN TERMS OF AN 687 00:29:33,018 --> 00:29:35,120 ASPIRATIONAL GOAL FOR BASED ON 688 00:29:35,120 --> 00:29:36,321 NATIONAL METRICS IS THE WAY 689 00:29:36,321 --> 00:29:38,390 WE'RE MOVING IN THIS DIRECTION, 690 00:29:38,390 --> 00:29:41,360 NOT YET FINALIZED AS A PROCESS 691 00:29:41,360 --> 00:29:44,196 INTERNALLY AT THE INSTITUTE. 692 00:29:44,196 --> 00:29:46,732 YOU SAW THE FRAMEWORK ALREADY. 693 00:29:46,732 --> 00:29:49,001 NEXT SLIDE IS CERTAINLY MADE ME 694 00:29:49,001 --> 00:29:52,538 HAPPY TO SEE THE NUTRITIONAL 695 00:29:52,538 --> 00:29:53,405 RESEARCH FRAMEWORK. 696 00:29:53,405 --> 00:29:56,241 I THINK THIS WAS DISCUSSED IN 697 00:29:56,241 --> 00:29:57,543 THE PREVIOUS PRESENTATION. 698 00:29:57,543 --> 00:29:58,877 NEXT SLIDE. 699 00:29:58,877 --> 00:30:01,747 I'LL SKIP THIS. 700 00:30:01,747 --> 00:30:03,749 WE DO FUND A NUMBER OF THINGS IN 701 00:30:03,749 --> 00:30:05,884 THIS AREA TO MAKE PEOPLE AWARE 702 00:30:05,884 --> 00:30:10,822 FOR THE AUDIENCE, THREE MULTIPLE 703 00:30:10,822 --> 00:30:12,124 CRIME DISEASE RESEARCH CENTERS 704 00:30:12,124 --> 00:30:14,326 FUNDED ON A CONGRESSIONAL 705 00:30:14,326 --> 00:30:16,161 MANDATE INCLUDE INTERVENTIONS 706 00:30:16,161 --> 00:30:18,697 THAT FOCUS ON NUTRITION, DIETER 707 00:30:18,697 --> 00:30:20,465 AND CHRONIC DISEASE. 708 00:30:20,465 --> 00:30:22,734 THESE ARE CENTERS THAT ARE 709 00:30:22,734 --> 00:30:26,104 SUPPOSED TO OR EXPECTED TO 710 00:30:26,104 --> 00:30:28,774 DEVELOP AND IMPLEMENT 711 00:30:28,774 --> 00:30:30,175 INTERVENTIONS UPSTREAM AS WELL 712 00:30:30,175 --> 00:30:33,345 AS THE PEOPLE WITH THE DISEASE. 713 00:30:33,345 --> 00:30:36,415 WE HAVE R-1s FOCUSED ON 714 00:30:36,415 --> 00:30:38,517 AMERICAN INDIAN AND ALASKAN 715 00:30:38,517 --> 00:30:40,052 NATIVE POPULATIONS AROUND FOOD 716 00:30:40,052 --> 00:30:41,353 IN DIFFERENT PARTS OF THE 717 00:30:41,353 --> 00:30:42,888 COUNTRY. 718 00:30:42,888 --> 00:30:44,623 DIETARY INTERVENTION GRANTS THAT 719 00:30:44,623 --> 00:30:50,762 WE'VE FUNDED INCLUDING R-K AND 720 00:30:50,762 --> 00:30:53,732 R-21, COFUSSING ON BLACK WOMEN 721 00:30:53,732 --> 00:30:56,368 AND OBESE BLACK MEN IN THE RURAL 722 00:30:56,368 --> 00:31:01,073 SOUTH AND MEKSEN AMERICAN MEN 723 00:31:01,073 --> 00:31:03,809 WITH THE INTENTION TO PREVENT 724 00:31:03,809 --> 00:31:08,180 LIVER DISEASE. 725 00:31:08,180 --> 00:31:10,482 GROCERIES FOR HELPING BLOOD 726 00:31:10,482 --> 00:31:16,288 PRESSURE CONTROL IN GOOD DESERTS 727 00:31:16,288 --> 00:31:19,658 AND HOUSEHOLDS OR FAMILY FOCUSED 728 00:31:19,658 --> 00:31:20,759 INTERVENTIONS WHICH HAVE BEEN 729 00:31:20,759 --> 00:31:23,495 DONE IN OTHER OUTCOMES. 730 00:31:23,495 --> 00:31:25,297 BEHAVIORAL OUTCOMES MIGHT BE 731 00:31:25,297 --> 00:31:32,237 ANOTHER DIRECTION TO MOVE INTO. 732 00:31:32,237 --> 00:31:34,940 SO, EMPHASIS ON THIS MULTI-LEVEL 733 00:31:34,940 --> 00:31:37,142 ASPECT FROM THE FRAMEWORK, NOT 734 00:31:37,142 --> 00:31:39,011 JUST INDIVIDUAL BUT THINK OF 735 00:31:39,011 --> 00:31:40,345 FAMILY AND HOUSEHOLD AND 736 00:31:40,345 --> 00:31:41,446 COMMUNITY. 737 00:31:41,446 --> 00:31:44,783 I EMPHASIZED THE IDEA OF 738 00:31:44,783 --> 00:31:47,619 STRUCTURAL POLICY INTERVENTIONS 739 00:31:47,619 --> 00:31:58,263 LIKE THE JUNK FOOD TAX AND BENCH 740 00:31:59,698 --> 00:32:00,999 BEVERAGE TAXES. 741 00:32:00,999 --> 00:32:07,339 INSTEAD OF SEEING FAST FOODS 742 00:32:07,339 --> 00:32:09,141 THAT ARE EASY TO PICK UP, YOU 743 00:32:09,141 --> 00:32:10,542 SEE HEALTHIER FOODS. 744 00:32:10,542 --> 00:32:12,177 AND PEOPLE HAVE ACTUALLY DONE 745 00:32:12,177 --> 00:32:14,446 THIS PARTICULARLY RELATED TO 746 00:32:14,446 --> 00:32:16,381 RURAL AREAS AND INDIAN 747 00:32:16,381 --> 00:32:18,884 COUNTRIES. 748 00:32:18,884 --> 00:32:19,518 COUNTRIES. 749 00:32:19,518 --> 00:32:21,987 KEEP OUT THINGS THAT ARE NOT 750 00:32:21,987 --> 00:32:25,624 AUTOMATICALLY IN THE BIOMEDICAL 751 00:32:25,624 --> 00:32:27,159 RESEARCH LANE TO BEGIN WITH. 752 00:32:27,159 --> 00:32:30,228 AND TAILERINGING INTERVENTIONS 753 00:32:30,228 --> 00:32:31,897 TO LEVERAGE CONSUMPTION OF 754 00:32:31,897 --> 00:32:34,299 HEALTHIER FOODS ALL CULTURES AND 755 00:32:34,299 --> 00:32:37,035 HERITAGES HAVE SOME COMPONENT OF 756 00:32:37,035 --> 00:32:40,639 THEIR DIET THAT IS HEALTHY IF 757 00:32:40,639 --> 00:32:43,041 NOT HEALTHIER THAN WE'RE USED TO 758 00:32:43,041 --> 00:32:44,710 EATING IN HIGH INCOME SOCIETIES 759 00:32:44,710 --> 00:32:46,678 AND FINDING WAYS TO LEVERAGE 760 00:32:46,678 --> 00:32:49,514 THAT AND REALLY VALUE THAT I 761 00:32:49,514 --> 00:32:52,050 THINK IS AN APPROACH AND 762 00:32:52,050 --> 00:32:53,352 INTERVENTION THAT IS VERY 763 00:32:53,352 --> 00:32:54,219 PROMISING. 764 00:32:54,219 --> 00:32:56,722 THANK YOU VERY MUCH FOR YOUR 765 00:32:56,722 --> 00:32:58,590 ATTENTION AND I LOOK FORWARD TO 766 00:32:58,590 --> 00:33:00,359 THE SUMMARY FROM THIS WORKSHOP. 767 00:33:00,359 --> 00:33:10,702 THANK YOU, ALLISON. 768 00:33:20,512 --> 00:33:30,822 >> NEXT SLIDE, PLEASE. 769 00:33:35,327 --> 00:33:45,036 NEXT SLIDE, PLEASE. 770 00:33:45,036 --> 00:33:50,308 NEXT SLIDE. 771 00:33:50,308 --> 00:33:53,979 NOW WE'LL HAVE AING PRESENTATION 772 00:33:53,979 --> 00:33:59,718 FROM JOEL GITTELSOHN ONLY CENTER 773 00:33:59,718 --> 00:34:01,319 FOR HUMAN NUTRITION. 774 00:34:01,319 --> 00:34:02,988 HE COULDN'T JOIN US TODAY, BUT 775 00:34:02,988 --> 00:34:05,724 HE DID A PRERECORDING. 776 00:34:05,724 --> 00:34:07,025 WE'LL TURN IT OVER TO THE 777 00:34:07,025 --> 00:34:08,794 RECORDING. 778 00:34:08,794 --> 00:34:11,396 >> GOOD MORNING I'M A PROFESSOR 779 00:34:11,396 --> 00:34:14,032 WITH THE CENTER FOR HUMAN 780 00:34:14,032 --> 00:34:15,333 NUTRITION, DEPARTMENT 781 00:34:15,333 --> 00:34:19,638 INTERNATIONAL HEALTH, JOHNS 782 00:34:19,638 --> 00:34:20,505 HOPKINS. 783 00:34:20,505 --> 00:34:22,441 I'M HAPPY TO SPEAK TO YOU ON 784 00:34:22,441 --> 00:34:24,209 ASPECTS MUCH FOOD AND DIET AND 785 00:34:24,209 --> 00:34:30,982 PRESENT TO YOU KEY OR CORE 786 00:34:30,982 --> 00:34:31,249 CONCEPTS. 787 00:34:31,249 --> 00:34:32,651 I'M GOING TO TALK ABOUT 788 00:34:32,651 --> 00:34:33,885 IMPORTANT ASPECTS ON HOW 789 00:34:33,885 --> 00:34:35,954 CULTURAL IS RELATED TO FOOD AND 790 00:34:35,954 --> 00:34:38,557 HOW TO DO WE EXPLORE AND COME TO 791 00:34:38,557 --> 00:34:41,226 UNDERSTAND FOOD CULTURE. 792 00:34:41,226 --> 00:34:44,596 I MENTION THESE FOR THINKING 793 00:34:44,596 --> 00:34:47,466 ABOUT DESIGNING CULTURALLY 794 00:34:47,466 --> 00:34:48,333 TAILORED INTERVENTIONS. 795 00:34:48,333 --> 00:34:51,436 WHEN I TEACH ABOUT NUTRITION AND 796 00:34:51,436 --> 00:34:52,838 CULTURE, ONE OF THE FIRST THINGS 797 00:34:52,838 --> 00:34:54,906 I DO SI SHOW SOME OF THE SLIDES 798 00:34:54,906 --> 00:34:57,676 WHICH ARE FROM A BOOK CALLED 799 00:34:57,676 --> 00:35:00,078 "WHAT THE WORLD EATS" AND IT 800 00:35:00,078 --> 00:35:02,481 SHOWS THE FOOD CONSUMPTION IN A 801 00:35:02,481 --> 00:35:05,450 WEEK BY FAMILIES AROUND THE 802 00:35:05,450 --> 00:35:06,985 WORLD KRLD I ASK STUDENTS WHAT 803 00:35:06,985 --> 00:35:09,087 DO YOU THINK THAT DIFFERENTIATES 804 00:35:09,087 --> 00:35:15,694 THE PICTURES 6 WH OFFER WHAT PEE 805 00:35:15,694 --> 00:35:16,962 ARE THINKING? 806 00:35:16,962 --> 00:35:19,498 I GET ANSWERS LIKE ECONOMICS, 807 00:35:19,498 --> 00:35:22,000 WHAT IS AFFORDABLE, 808 00:35:22,000 --> 00:35:22,868 INTERNATIONAL DISPARKTS 809 00:35:22,868 --> 00:35:24,169 ENVIRONMENT AND GLOBALIZATION 810 00:35:24,169 --> 00:35:26,938 AND INDIVIDUAL CHOICE 811 00:35:26,938 --> 00:35:29,441 PREFERENCES AND SO FORTH. 812 00:35:29,441 --> 00:35:30,809 EVENTUALLY WE TYPICALLY GIT TO 813 00:35:30,809 --> 00:35:33,378 THE IDEA THAT ONE OF THE KEY 814 00:35:33,378 --> 00:35:34,379 DIFFERENCES IS CULTURE. 815 00:35:34,379 --> 00:35:38,850 IN FACT, CULTURE -- ALL OF OUR 816 00:35:38,850 --> 00:35:39,451 TECHNICAL ACHIEVEMENTS ARE 817 00:35:39,451 --> 00:35:41,152 THINGS THAT WE LEARN THAT WE 818 00:35:41,152 --> 00:35:43,455 PASS ON THROUGH OUR CULTURE AND 819 00:35:43,455 --> 00:35:44,856 FOOD CHOICE IS ONE OF THOSE 820 00:35:44,856 --> 00:35:47,192 THINGS WHICH IS LARGELY 821 00:35:47,192 --> 00:35:47,826 CULTURALLY DETERMINED AND WHAT 822 00:35:47,826 --> 00:35:49,227 IS APPROPRIATE TO EAT AND WHAT 823 00:35:49,227 --> 00:35:51,096 IS CONSIDERED HEALTHY OR 824 00:35:51,096 --> 00:35:52,631 UNHEALTHY. 825 00:35:52,631 --> 00:35:54,165 WE LEARN THESE THROUGH OUR 826 00:35:54,165 --> 00:35:54,966 CULTURE. 827 00:35:54,966 --> 00:35:57,335 PEOPLE'S PREFERENCES FOR 828 00:35:57,335 --> 00:35:59,437 DIFFERENT KINDS EVER FOODS ARE 829 00:35:59,437 --> 00:36:01,206 HIGHLY RELATED TO THEIR CULTURE. 830 00:36:01,206 --> 00:36:07,913 WHAT FOODS ARE SUPERIOR AND WHAT 831 00:36:07,913 --> 00:36:09,281 ARE INFERIOR. 832 00:36:09,281 --> 00:36:11,249 LET'S TALK ABOUT WHAT WE MEAN BY 833 00:36:11,249 --> 00:36:11,583 CULTURE. 834 00:36:11,583 --> 00:36:13,718 WHAT IS CULTURE. 835 00:36:13,718 --> 00:36:17,856 THIS IS NOT AN EASY THING TO 836 00:36:17,856 --> 00:36:18,423 DEFINE. 837 00:36:18,423 --> 00:36:20,492 I'M GOING TO GIVE THE DRENGS THE 838 00:36:20,492 --> 00:36:26,865 DEFINITIONTHE WAY I LIKE TO LOO. 839 00:36:26,865 --> 00:36:29,167 A BODY EVER VALUES, KNOWLEDGE, 840 00:36:29,167 --> 00:36:31,570 IDEAS AND APPROACHES THAT 841 00:36:31,570 --> 00:36:36,474 CHARACTERIZE A PARTICULAR GROUP. 842 00:36:36,474 --> 00:36:38,109 THIS PROVIDES GUIDELINES AND 843 00:36:38,109 --> 00:36:40,845 RULES FOR HOW YOU SHOULD BEHAVE 844 00:36:40,845 --> 00:36:42,981 WITHIN A PARTICULAR GROUP. 845 00:36:42,981 --> 00:36:45,150 AND IT GUIDES AND ENCOMPASSES 846 00:36:45,150 --> 00:36:46,785 MANY OTHER AREAS OF HOW WE THINK 847 00:36:46,785 --> 00:36:49,654 ABOUT HEALTH AND ECONOMICS, 848 00:36:49,654 --> 00:36:51,523 RELIGION, KINSHIP AND ALL THOSE 849 00:36:51,523 --> 00:36:53,158 DIFFERENT THINGS. 850 00:36:53,158 --> 00:36:55,226 LET'S TALK A LITTLE BIT GO 851 00:36:55,226 --> 00:36:56,861 CHARACTERISTICS OF CULTURE. 852 00:36:56,861 --> 00:37:02,367 THE CULTURE, THAT INFORMATION 853 00:37:02,367 --> 00:37:02,968 VALUES AND KNOWLEDGE THAT YOU 854 00:37:02,968 --> 00:37:04,502 SHARE WITH A GROUP OF PEOPLE IS 855 00:37:04,502 --> 00:37:06,071 SOMETHING THAT YOU SHARE WITH 856 00:37:06,071 --> 00:37:07,806 THOSE PEOPLE AND YOU LEARN IT 857 00:37:07,806 --> 00:37:10,342 FROM YOSH PARENTS OR FROM YOUR 858 00:37:10,342 --> 00:37:12,210 ELDERS AND TYPICALLY PASS IT ON 859 00:37:12,210 --> 00:37:15,280 TO YOUR CHILDREN TO OTHER PEOPLE 860 00:37:15,280 --> 00:37:17,015 IN YOUR CULTURAL GROUP. 861 00:37:17,015 --> 00:37:19,784 THERE IS SYMBOLISM INVOLVED IN 862 00:37:19,784 --> 00:37:23,989 TUL TOUR. 863 00:37:23,989 --> 00:37:24,422 IN 864 00:37:24,422 --> 00:37:25,824 CULTURE. 865 00:37:25,824 --> 00:37:29,861 CULTURE IS SYMBOLIC AND SYSTEMIC 866 00:37:29,861 --> 00:37:31,396 AND PATTERNED. 867 00:37:31,396 --> 00:37:33,064 THERE IS AN ORDER TO HOW CULTURE 868 00:37:33,064 --> 00:37:34,265 IS ORGANIZED. 869 00:37:34,265 --> 00:37:37,969 AND CULTURE HELPS TO DETERMINE 870 00:37:37,969 --> 00:37:41,840 WHAT IS SALIENT AND IMPORTANT OR 871 00:37:41,840 --> 00:37:42,907 LESS IMPORTANT. 872 00:37:42,907 --> 00:37:44,909 IF WE'RE GOING TO DIG DOWN INTO 873 00:37:44,909 --> 00:37:46,745 CULTURE AND UNDERSTAND IMPORTANT 874 00:37:46,745 --> 00:37:48,246 ASPECTS EVER CULTURE RELATED TO 875 00:37:48,246 --> 00:37:50,248 FOOD, I'M GOING TO TALK ABOUT 876 00:37:50,248 --> 00:37:51,983 A -- INTRODUCE A FEW DIFFERENT 877 00:37:51,983 --> 00:37:53,952 TERMS THAT YOU ARE PROBABLY 878 00:37:53,952 --> 00:37:55,053 INITIALLY FAMILIAR WITH. 879 00:37:55,053 --> 00:37:57,889 I'M THINKING I'M FOCUSING ON 880 00:37:57,889 --> 00:38:00,759 SORT OF HOUSEHOLD FAMILY ASPECTS 881 00:38:00,759 --> 00:38:03,595 EVER CULTURE. 882 00:38:03,595 --> 00:38:04,496 OF CULTURE. 883 00:38:04,496 --> 00:38:08,333 THESE ARE FOOD CLASSIFICATION 884 00:38:08,333 --> 00:38:10,335 SYSTEMS, SYMBOLIC MEANING OF 885 00:38:10,335 --> 00:38:17,308 FOOD AND INTERTRA HOUSEHOLD 886 00:38:17,308 --> 00:38:18,176 SHARES. 887 00:38:18,176 --> 00:38:20,679 FOODWAYS ARE THE RULES WE SHARE 888 00:38:20,679 --> 00:38:22,981 WITHIN A GROUP THAT GUIDE FOOD 889 00:38:22,981 --> 00:38:24,182 PREPARATION AND INTAKE. 890 00:38:24,182 --> 00:38:26,084 THE RULES FOR WHAT FOODS SHOULD 891 00:38:26,084 --> 00:38:28,119 GO TOGETHER AND EXPWIEND HOW 892 00:38:28,119 --> 00:38:30,755 THEY SHOULD BE SEGREGATED AND 893 00:38:30,755 --> 00:38:32,590 WHICH FOODS SHOULD BE KEPT APART 894 00:38:32,590 --> 00:38:34,592 OR EVEN THE SEQUENCING AND 895 00:38:34,592 --> 00:38:36,261 ORDERING EVER FOODS. 896 00:38:36,261 --> 00:38:37,595 FOODWAYS CONSIDER WHAT WE 897 00:38:37,595 --> 00:38:39,064 CONSIDER A MEAL AND WHAT IS NOT 898 00:38:39,064 --> 00:38:39,998 A MEAL. 899 00:38:39,998 --> 00:38:42,267 WHAT DIFFERENTIATES IN OUR 900 00:38:42,267 --> 00:38:43,001 CULTURE FOR EXAMPLE BETWEEN A 901 00:38:43,001 --> 00:38:46,237 MEAL AND A SNACK. 902 00:38:46,237 --> 00:38:51,376 IN A SYSTEM THAT I GLEUP IN THE 903 00:38:51,376 --> 00:38:53,445 USA, I GREW UP IN A THREE-PART 904 00:38:53,445 --> 00:38:54,212 SYSTEM. 905 00:38:54,212 --> 00:38:57,582 A MEAL WAS A MEAT, STARCH AND A 906 00:38:57,582 --> 00:38:59,017 VEGETABLE. 907 00:38:59,017 --> 00:39:01,219 THERE ARE PLENTY OF OTHER TYPES 908 00:39:01,219 --> 00:39:01,986 EVER MEALS. 909 00:39:01,986 --> 00:39:04,089 IN THE PACIFIC ITEMS YOU CAN SEE 910 00:39:04,089 --> 00:39:06,157 TO THE RIGHT, THIS MEAL IS 911 00:39:06,157 --> 00:39:07,659 COMPRISED OF A STAIP AND IS A 912 00:39:07,659 --> 00:39:09,227 CAN COMPLEMENT. 913 00:39:09,227 --> 00:39:20,572 THE DESCRSH ST -- THE STAIP STN 914 00:39:22,273 --> 00:39:23,007 COMPLEMENT. 915 00:39:23,007 --> 00:39:24,809 WHAT IS CONSIDERED FOOD? 916 00:39:24,809 --> 00:39:26,277 WHAT THINGS ARE CONSIDERED FOODS 917 00:39:26,277 --> 00:39:27,812 AND NOT CONSIDERED FOODS. 918 00:39:27,812 --> 00:39:31,750 IN MY CULTURE SETTING, INSECTS 919 00:39:31,750 --> 00:39:33,985 ARE RARELY CONSIDERED FOODS 920 00:39:33,985 --> 00:39:36,221 ALTHOUGH THEY ARE EDIBLE, THEY 921 00:39:36,221 --> 00:39:38,356 ARE NOT CONSIDERED SOMETHING WE 922 00:39:38,356 --> 00:39:39,124 WOULD EAT. 923 00:39:39,124 --> 00:39:41,693 THERE ARE CUISINE RULES HOW IT 924 00:39:41,693 --> 00:39:45,497 SHOULD BE COOKED AND FLAVORED, 9 925 00:39:45,497 --> 00:39:47,332 THE PREPARATION OR PROCEDURES 926 00:39:47,332 --> 00:39:49,300 FOR PREPARING FOODS AND MEAL 927 00:39:49,300 --> 00:39:50,702 FORMATS, THE RULES FOR SELECTION 928 00:39:50,702 --> 00:39:53,271 EVER SIDE DISHES, ORDER OF 929 00:39:53,271 --> 00:39:54,606 SERVING, PLACEMENT OF FOODS IN 930 00:39:54,606 --> 00:39:57,408 FRONT EVER YOU, MEAL CYCLE HOW 931 00:39:57,408 --> 00:39:59,377 FOODS MAY OR MAY NOT DIFFER 932 00:39:59,377 --> 00:40:02,247 WITHIN A DAY, WEEKENDS VERSUS 933 00:40:02,247 --> 00:40:04,516 THE REST OF THE FIVE DAYS OF THE 934 00:40:04,516 --> 00:40:06,785 WEEK. 935 00:40:06,785 --> 00:40:07,986 SEASONALITY ANNUALLY AND SO 936 00:40:07,986 --> 00:40:08,553 FORTH. 937 00:40:08,553 --> 00:40:11,856 IT INCLUDES HOW FOODS ARE SHARED 938 00:40:11,856 --> 00:40:13,825 BETWEEN HOUSEHOLDS AND HOW THEY 939 00:40:13,825 --> 00:40:15,527 MIGHT BE ALLOCATED WITHIN 940 00:40:15,527 --> 00:40:16,194 HOUSEHOLDS. 941 00:40:16,194 --> 00:40:23,001 I WANLTD TO WANT TO STEP DEEPED 942 00:40:23,001 --> 00:40:23,802 CLASSIFICATION SYSTEM. 943 00:40:23,802 --> 00:40:28,740 THEY ARE USED AROUND P AROUND 944 00:40:28,740 --> 00:40:30,775 THE WORLD KMED I WANT THOUGH 945 00:40:30,775 --> 00:40:33,511 NOTE THAT ALL CULTURES HAVE 946 00:40:33,511 --> 00:40:36,014 MULTIPLE OVERLAPPING SYSTEMS OF 947 00:40:36,014 --> 00:40:36,948 FOOD CLASSIFICATION. 948 00:40:36,948 --> 00:40:38,983 SOME SYSTEMS ARE MORE USED THAN 949 00:40:38,983 --> 00:40:40,318 OTHERS WITHIN A PARTICULAR 950 00:40:40,318 --> 00:40:40,852 CULTURE. 951 00:40:40,852 --> 00:40:45,323 THESE CAN RESPECT CORE CULTURAL 952 00:40:45,323 --> 00:40:46,524 VALUES. 953 00:40:46,524 --> 00:40:49,928 ONE VALUE MIGHT HAVE THE NOTION 954 00:40:49,928 --> 00:40:50,929 OF BALANCE. 955 00:40:50,929 --> 00:40:52,230 THIS IS OFTEN REFLECTED IN THE 956 00:40:52,230 --> 00:40:54,232 FOODS THAT PEOPLE CHOOSE TO EAT 957 00:40:54,232 --> 00:40:55,767 AND HOW THOUGH THINK ABOUT 958 00:40:55,767 --> 00:41:00,271 FOODS. 959 00:41:00,271 --> 00:41:03,575 SYSTEMS LIKE IS THIS FOR FOOD 960 00:41:03,575 --> 00:41:04,576 CLASSIFICATION OFTEN HAVE A 961 00:41:04,576 --> 00:41:06,511 SETAL IS RULES FOR ASSIGNING A 962 00:41:06,511 --> 00:41:08,146 FOOD TO A PARTICULAR CATEGORY. 963 00:41:08,146 --> 00:41:11,316 THEY CAN GUIDE DECISIONS ON WHAT 964 00:41:11,316 --> 00:41:13,051 TO EAT AND WHAT NOT TO EAT. 965 00:41:13,051 --> 00:41:14,686 IF YOU WORK IN DIFFERENT SEGHTS 966 00:41:14,686 --> 00:41:17,355 AROUND THE WORLD, EWELL' FIND 967 00:41:17,355 --> 00:41:18,723 COMMON FOOD CLASSIFICATION 968 00:41:18,723 --> 00:41:20,425 SYSTEMS AND IT VARIES FROM 969 00:41:20,425 --> 00:41:20,959 SETTING TO SETTING. 970 00:41:20,959 --> 00:41:22,927 THE FOODS THAT YOU WOULD EAT FOR 971 00:41:22,927 --> 00:41:24,696 A FEAST OR SPECIAL OCCASION 972 00:41:24,696 --> 00:41:27,532 VERSUS THE STAPLE FOODS AND 973 00:41:27,532 --> 00:41:29,500 TYPICALLY STAPLE FOODS ARE 974 00:41:29,500 --> 00:41:31,970 CONSUMED BY EVERYONE EQUALLY, 975 00:41:31,970 --> 00:41:34,505 BUT SPECIALTY FOODS MAY BE MORE 976 00:41:34,505 --> 00:41:36,608 PRESENTATIONLY ALLOCATED TO 977 00:41:36,608 --> 00:41:37,609 CERTAIN HIGHER STATUS PEOPLE 978 00:41:37,609 --> 00:41:40,211 THAN OTHERS DEPENDING ON THE 979 00:41:40,211 --> 00:41:41,312 CULTURAL GROUP WE'RE WORKING 980 00:41:41,312 --> 00:41:44,716 WITH. 981 00:41:44,716 --> 00:41:47,785 VALENCE REFERS TO THE HOT AND 982 00:41:47,785 --> 00:41:50,955 CAN COLD FOOD SYSTEM. 983 00:41:50,955 --> 00:41:54,125 THIS IS IN LATIN AMERICA, SOUTH 984 00:41:54,125 --> 00:41:57,195 ASIA, EAST ASIA CONSIDERING SOME 985 00:41:57,195 --> 00:41:59,731 FOODS HAVING INHERENT QUALITIES 986 00:41:59,731 --> 00:42:03,668 OF HOTNESS OR COLDNESS FOR THE 987 00:42:03,668 --> 00:42:05,303 HEATING PROPERTIES AND COOLING 988 00:42:05,303 --> 00:42:07,405 PROPERTIES OF THOSE FOODS. 989 00:42:07,405 --> 00:42:08,606 OTHER SYSTEMS INCLUDE THINGS 990 00:42:08,606 --> 00:42:10,575 THAT ARE HEALTHY AND UNHEALTHY. 991 00:42:10,575 --> 00:42:12,744 WE TYPICALLY DO THAT IN THE USA. 992 00:42:12,744 --> 00:42:14,479 WE TALK ABOUT FOODS AS BEING 993 00:42:14,479 --> 00:42:16,514 HEALTHY OTHER FOODS AS BEING 994 00:42:16,514 --> 00:42:18,149 JUNK FOODS NOT HEALTHY, THAT 995 00:42:18,149 --> 00:42:20,551 SORT OF THING. 996 00:42:20,551 --> 00:42:23,488 DIGEST BILITYD, SOME FOODS HEAVY 997 00:42:23,488 --> 00:42:26,057 VERSUS OTHER FOODS BEING LIGHT. 998 00:42:26,057 --> 00:42:28,126 THAT'S ANOTHER COMMON FOOD 999 00:42:28,126 --> 00:42:31,296 CLASSIFICATION SYSTEM IS OUR 1000 00:42:31,296 --> 00:42:38,202 FOODAL IS FOOD IS PURE AND THEID 1001 00:42:38,202 --> 00:42:39,170 IMPURE. 1002 00:42:39,170 --> 00:42:40,371 A DISTINCTION BETWEEN WHAT WE 1003 00:42:40,371 --> 00:42:42,006 EAT AND WHAT THEY EAT. 1004 00:42:42,006 --> 00:42:44,409 THESE ARE THE MOST COMMON 1005 00:42:44,409 --> 00:42:45,410 CLASSIFICATION SYSTEMS FOR FOOD. 1006 00:42:45,410 --> 00:42:46,978 WE HAVE OTHER ONES THAT WE USE 1007 00:42:46,978 --> 00:42:49,647 THAT WE LEARN AS PART OF OUR 1008 00:42:49,647 --> 00:42:50,448 HEALTH EDUCATION COURSES AND 1009 00:42:50,448 --> 00:42:51,749 THAT SORT OF THING. 1010 00:42:51,749 --> 00:42:53,484 WE TALK ABOUT THE THREE FOOD 1011 00:42:53,484 --> 00:42:56,587 GROUPS OR THE FIVE FOOD GROUPS 1012 00:42:56,587 --> 00:42:58,556 OR USING PER MEEDZ OR SOMETHING 1013 00:42:58,556 --> 00:43:02,593 LIKE THAT. 1014 00:43:02,593 --> 00:43:04,228 -- PYRAMIDS. 1015 00:43:04,228 --> 00:43:07,932 IN OTHER LOW INCOME SETTINGS, 1016 00:43:07,932 --> 00:43:10,234 THESE SYSTEMS YOU SEE BEFORE YOU 1017 00:43:10,234 --> 00:43:12,904 ARE COMMONLY USED TO THIS DAY. 1018 00:43:12,904 --> 00:43:15,073 WHAT ABOUT FOOD PROSCRIPTIONS 1019 00:43:15,073 --> 00:43:19,978 AND PREVIPTIONS? PREDESCRIPTION? 1020 00:43:19,978 --> 00:43:21,212 THIS INCLUDES THE RULES ON WHAT 1021 00:43:21,212 --> 00:43:23,181 TO EAT OR NOT TO EAT. 1022 00:43:23,181 --> 00:43:25,049 THESE AND WHEN TO EAT THOSE 1023 00:43:25,049 --> 00:43:27,118 FOODS OR WHEN NOT TO EAT THOSE 1024 00:43:27,118 --> 00:43:30,321 NOODZ. 1025 00:43:30,321 --> 00:43:30,955 FOODS. 1026 00:43:30,955 --> 00:43:34,359 THESE ARE NORMS OR IDEALIZED 1027 00:43:34,359 --> 00:43:37,328 BEHAVIORS COMMONLY USED FOR 1028 00:43:37,328 --> 00:43:41,733 PEOPLE IN VULNERABLE STATES, SO 1029 00:43:41,733 --> 00:43:44,235 PREGNANT OR POSTPARTUM. 1030 00:43:44,235 --> 00:43:46,971 THERE IS A SLIDE FROM KOREA 1031 00:43:46,971 --> 00:43:50,174 WHERE THEY HAVE POSTPARTUM 1032 00:43:50,174 --> 00:43:52,276 HOSPITALS WHERE WOMEN STAY IN 1033 00:43:52,276 --> 00:43:54,245 AFTER THEY DELIVER AND ARE 1034 00:43:54,245 --> 00:43:55,913 TREATED SPECIALLY WITH SPECIAL 1035 00:43:55,913 --> 00:43:56,881 FOODS. 1036 00:43:56,881 --> 00:43:58,850 DURING LACTATION AND 1037 00:43:58,850 --> 00:44:00,685 MENSTRUATION IF ONE IS AN INFANT 1038 00:44:00,685 --> 00:44:02,687 OR SICK OR ELDERLY, THESE ARE 1039 00:44:02,687 --> 00:44:05,957 ALL TIMES WHEN FOODS MAY BE 1040 00:44:05,957 --> 00:44:09,060 PROSCRIBED OR PRESCRIBED DURING 1041 00:44:09,060 --> 00:44:10,028 THOSE TIMES. 1042 00:44:10,028 --> 00:44:11,462 ANOTHER THING TO CONSIDER ABOUT 1043 00:44:11,462 --> 00:44:13,998 FOOD IS THE SIGNIFICANCE OR THE 1044 00:44:13,998 --> 00:44:16,300 MEANING OF FOOD OR IN SOME WAY 1045 00:44:16,300 --> 00:44:18,136 WHAT IS WE CALL THE SYMBOLISM OF 1046 00:44:18,136 --> 00:44:19,470 FOOD. 1047 00:44:19,470 --> 00:44:21,072 FOOD CAN HAVE OTHER PURPOSES 1048 00:44:21,072 --> 00:44:22,440 THAN JUST BEING SOMETHING THAT 1049 00:44:22,440 --> 00:44:25,510 YOU CONSUME. 1050 00:44:25,510 --> 00:44:27,712 IT CAN SERVE TO REINFORCE THE 1051 00:44:27,712 --> 00:44:28,913 STATUS OR AUTHORITY 1052 00:44:28,913 --> 00:44:29,380 RELATIONSHIPS BETWEEN 1053 00:44:29,380 --> 00:44:29,981 INDIVIDUALS. 1054 00:44:29,981 --> 00:44:40,458 IT CAN SHOW A MEANS EVER OF 1055 00:44:42,894 --> 00:44:45,329 DEMONSTRATING PROPER BEHAVIOR. 1056 00:44:45,329 --> 00:44:50,034 THEY CAN BE ETHNIC. 1057 00:44:50,034 --> 00:44:52,970 THOSE FOODS ARE HEALTHY OR 1058 00:44:52,970 --> 00:44:53,304 UNHEALTHY. 1059 00:44:53,304 --> 00:44:57,241 IN THIS PICTURE, YOU COULD SAY 1060 00:44:57,241 --> 00:44:58,676 THIS IS A COMMON ONE WE USE IN 1061 00:44:58,676 --> 00:44:59,977 THE U.S. WHERE THE FOODS YOU 1062 00:44:59,977 --> 00:45:01,913 CHOOSE TO EAT OR FOODS THAT YOU 1063 00:45:01,913 --> 00:45:03,681 CHOOSE NOT TO EAT ARE AN 1064 00:45:03,681 --> 00:45:05,149 EXPRESSION EVER YOUR OWN 1065 00:45:05,149 --> 00:45:06,117 PERSONAL CONTROL. 1066 00:45:06,117 --> 00:45:10,188 THAT SEEMS TOOB TO BE AN IMPORT 1067 00:45:10,188 --> 00:45:11,355 THING IN OUR SOCIETY. 1068 00:45:11,355 --> 00:45:13,658 ANOTHER WAY TO LOOK AT IT IS 1069 00:45:13,658 --> 00:45:16,194 FOOD CAN BE HEALTH-ENHANCING 1070 00:45:16,194 --> 00:45:19,730 USINGED TO ACHIEVE BALANCE. 1071 00:45:19,730 --> 00:45:22,366 FROM THE PREVIOUS EXAMPLE OF 1072 00:45:22,366 --> 00:45:24,235 CLASSIFICATION OF OT H HOT AND 1073 00:45:24,235 --> 00:45:31,242 COLD, THAT'S AN IMPORTANT 1074 00:45:31,242 --> 00:45:32,543 DISTINCTION. 1075 00:45:32,543 --> 00:45:35,046 FOOD CAN BE CONSIDERED AN ETHNIC 1076 00:45:35,046 --> 00:45:38,382 MARKER AS A WAY OF DEFINING US 1077 00:45:38,382 --> 00:45:41,085 FROM A PERSONAL, SOCIAL OR 1078 00:45:41,085 --> 00:45:43,588 POLITICAL PERSPECTIVE AND TIED 1079 00:45:43,588 --> 00:45:46,858 IN WITH CORPS CULTURAL VALUES 1080 00:45:46,858 --> 00:45:48,326 LIKE TRADITIONALISM. 1081 00:45:48,326 --> 00:45:50,528 WE VALUE THE TRADITIONAL WAY OF 1082 00:45:50,528 --> 00:45:52,263 LIVING THEREFORE WE VALUE THE 1083 00:45:52,263 --> 00:45:54,098 FOODS WE CONSUMED AS PART OF OUR 1084 00:45:54,098 --> 00:45:55,766 GROUP. 1085 00:45:55,766 --> 00:45:57,468 I WOULD LIKE TO TURN ATTENTION 1086 00:45:57,468 --> 00:46:00,805 NOW TO THE IDEA OF FOOD 1087 00:46:00,805 --> 00:46:01,572 ALLOCATION. 1088 00:46:01,572 --> 00:46:04,142 WHEN I SAY FOOD ALLOCATION WHAT 1089 00:46:04,142 --> 00:46:05,676 I'M TALKING ABOUT IS PREFERENCE 1090 00:46:05,676 --> 00:46:09,614 FOOD ALLOCATION OR FAVORITISM. 1091 00:46:09,614 --> 00:46:11,749 THIS ALSO COMMONLY FOLLOWS 1092 00:46:11,749 --> 00:46:14,218 CULTURAL RULES, FOODS THAT ARE 1093 00:46:14,218 --> 00:46:15,286 PROSCRIBED IS TO FOODS YOU 1094 00:46:15,286 --> 00:46:18,055 SHOULD EAT OR NOT EAT. 1095 00:46:18,055 --> 00:46:20,024 AND ORPHAN HIERARCHY OR 1096 00:46:20,024 --> 00:46:22,226 DIFFERENCES IN 1259 US BETWEEN 1097 00:46:22,226 --> 00:46:29,634 INDIVIDUALS WITHIN A GROUP. 1098 00:46:29,634 --> 00:46:32,837 I'M REFERRING TO INFORMAL 1099 00:46:32,837 --> 00:46:38,643 ALLOCATION VERSE YOURS FORMAL. 1100 00:46:38,643 --> 00:46:39,076 -- 1101 00:46:39,076 --> 00:46:39,844 VERSUS FORMAL. 1102 00:46:39,844 --> 00:46:42,380 I WANT TO GIVE AN EXAMPLE OF A 1103 00:46:42,380 --> 00:46:49,587 MEAL I NOABD NE OBSERVED IN NEP. 1104 00:46:49,587 --> 00:46:57,695 IN THIS HOUSE WHICH WAS EYE A UR 1105 00:46:57,695 --> 00:47:01,199 CLASS HOUSEHOLD, A WOMAN WAS 1106 00:47:01,199 --> 00:47:04,869 MAKING A TYPE OF BREAD. 1107 00:47:04,869 --> 00:47:08,039 THE SMILE CHILD WAS SERVED FIRST 1108 00:47:08,039 --> 00:47:09,040 OF RICE. 1109 00:47:09,040 --> 00:47:10,474 NEXT THESE TWO PEOPLE NOT 1110 00:47:10,474 --> 00:47:12,910 MEMBERS OF THE HOUSE WERE SERVE 1111 00:47:12,910 --> 00:47:15,613 A VARIETY OF DIFFERENT FOODS, 1112 00:47:15,613 --> 00:47:20,952 RICE, DAAL, ROTI AND YOGURT. 1113 00:47:20,952 --> 00:47:23,254 AND THEY GOT OFFERED SECOND 1114 00:47:23,254 --> 00:47:23,854 HELPINGS. 1115 00:47:23,854 --> 00:47:27,091 AND THEN THE MALE HEAD OF HOUSE 1116 00:47:27,091 --> 00:47:29,827 EIGHT. 1117 00:47:29,827 --> 00:47:32,697 ATE SO PEOPLE WERE EATING IN A 1118 00:47:32,697 --> 00:47:33,864 SEQUENCE OR ORDER. 1119 00:47:33,864 --> 00:47:39,036 THEN A DAUGHTER-IN-LAW LAW ATE 1120 00:47:39,036 --> 00:47:41,005 ROTI THEN THE SON WAS SERVED BY 1121 00:47:41,005 --> 00:47:41,906 HIS MOTHER. 1122 00:47:41,906 --> 00:47:43,608 THE LAST THING I WANT TO EXPLORE 1123 00:47:43,608 --> 00:47:48,012 IS WHO WERE THESE PEOPLE? 1124 00:47:48,012 --> 00:47:50,648 MAYBE YOUR GUESS IS THESE WERE 1125 00:47:50,648 --> 00:47:52,250 HONORED GUESTS BUT ACTUALLY THEY 1126 00:47:52,250 --> 00:47:54,252 ARE OR WERE OF A LOWER CAST. 1127 00:47:54,252 --> 00:47:58,789 THEY ARE ARTISANS, AND THEY WERE 1128 00:47:58,789 --> 00:48:02,026 DOING SOME OF THE SEWING FOR 1129 00:48:02,026 --> 00:48:02,927 THEIR FAMILY. 1130 00:48:02,927 --> 00:48:06,631 THEY WERE ACTUALLY OF A LOWER 1131 00:48:06,631 --> 00:48:09,500 CASTE AND NOT ALLOWED TO COME 1132 00:48:09,500 --> 00:48:09,967 INTO THE HOUSE. 1133 00:48:09,967 --> 00:48:12,570 THEY HAD TO EAT OUT OF SPECIAL 1134 00:48:12,570 --> 00:48:15,206 BOWLS AND PLATES USED TO SERVE 1135 00:48:15,206 --> 00:48:16,173 LOWER CASTE PEOPLE. 1136 00:48:16,173 --> 00:48:19,176 HERE IS AN EXAMPLE OF FOOD AND 1137 00:48:19,176 --> 00:48:24,915 HOW IT IS SERVED OBSERVES SOCIAL 1138 00:48:24,915 --> 00:48:30,855 RELATIONSHIPS AND HIKER ARKEE HY 1139 00:48:30,855 --> 00:48:32,189 WITHIN THE SKULL TOUR. 1140 00:48:32,189 --> 00:48:36,127 IT'S MORE THAN WHAT THEY EAT. 1141 00:48:36,127 --> 00:48:37,895 IT'S HOW IT IS SERVED AND 1142 00:48:37,895 --> 00:48:38,763 DISTRIBUTED. 1143 00:48:38,763 --> 00:48:39,964 ALL VERY IMPORTANT. 1144 00:48:39,964 --> 00:48:42,133 WHAT IS OUR TECHNIQUES? 1145 00:48:42,133 --> 00:48:43,768 WHAT IS OUR STRATEGYS WE MIGHT 1146 00:48:43,768 --> 00:48:45,870 USE TO EXPLORE AND COME TO 1147 00:48:45,870 --> 00:48:46,971 UNDERSTAND CULTURE? 1148 00:48:46,971 --> 00:48:48,773 A LARGE PART OF THE WORK THAT WE 1149 00:48:48,773 --> 00:48:52,143 DO IS BASED ON OBSERVATION 1150 00:48:52,143 --> 00:48:53,110 PARTICULARLY CALLED PARTICIPANT 1151 00:48:53,110 --> 00:48:54,111 OBSERVATION. 1152 00:48:54,111 --> 00:48:55,846 WE DO A LOT OF INTERVIEWING IN 1153 00:48:55,846 --> 00:48:58,049 TERMS OF OUR WORK TO UNDERSTAND 1154 00:48:58,049 --> 00:49:04,622 OR E PLOR CULTURE. 1155 00:49:04,622 --> 00:49:06,490 WEES SOMETIMES USE GROUP METHODS 1156 00:49:06,490 --> 00:49:10,328 AND I'LL HAVE TO SAY LIKE FOCUS 1157 00:49:10,328 --> 00:49:12,063 GROUPS -- MANY OF THESE METHODS 1158 00:49:12,063 --> 00:49:18,002 ARE EQUAL 25EU QUALITATIVE AND R 1159 00:49:18,002 --> 00:49:20,271 WRITING BOOK REPORTS FOR 1160 00:49:20,271 --> 00:49:20,604 RESEARCH. 1161 00:49:20,604 --> 00:49:23,941 I WILL SAY NOW DAYS THERE ARE 1162 00:49:23,941 --> 00:49:32,850 TOOLS CALLED FES OR RAMMED 1163 00:49:32,850 --> 00:49:37,788 ASSESSMENT PROCEDURES TO EXPLORE 1164 00:49:37,788 --> 00:49:41,292 VITAMIN A AND HEALTH AND ARE 1165 00:49:41,292 --> 00:49:43,794 COOKBOOKS THAT CAN BE USED TO 1166 00:49:43,794 --> 00:49:49,734 EXPLORE THESE TOPICS IN A IS 1167 00:49:49,734 --> 00:49:53,471 SEMI-STRUCTURED WAY FOR GUIDANCE 1168 00:49:53,471 --> 00:49:54,572 FOR INTERVENTION. 1169 00:49:54,572 --> 00:49:57,608 I'VE MENTIONED BEFORE THIS 1170 00:49:57,608 --> 00:50:04,548 NOTION OF CORE CULTURAL VALUES. 1171 00:50:04,548 --> 00:50:06,851 WE WANT TO LEARN ABOUT FROM ANY 1172 00:50:06,851 --> 00:50:07,718 CULTURE WE WORK WITH. 1173 00:50:07,718 --> 00:50:10,154 THESE ARE THE KEY PRINCIPLES AND 1174 00:50:10,154 --> 00:50:12,857 IDEALS THAT GUIDE THE BEHAVIOR, 1175 00:50:12,857 --> 00:50:14,725 NORMS AND DECISION MAKING OF A 1176 00:50:14,725 --> 00:50:16,060 PARTICULAR GROUP OR SOCIETY. 1177 00:50:16,060 --> 00:50:19,697 THIS IS AN NON-EXHAUSTIVE LIST 1178 00:50:19,697 --> 00:50:20,998 BUT THINGS LIKE VILDISM. 1179 00:50:20,998 --> 00:50:22,666 THAT IS STRONG WITHIN THE UNITED 1180 00:50:22,666 --> 00:50:23,868 STATES. 1181 00:50:23,868 --> 00:50:25,736 HARMONY, FREEDOM, ANOTHER ONE 1182 00:50:25,736 --> 00:50:26,504 STRONG IN THE UNITED STATES. 1183 00:50:26,504 --> 00:50:32,843 REBE EXPECT FOR ELDERS, FAMILY, 1184 00:50:32,843 --> 00:50:35,780 RESILIENCE ARE ALL PART OF CORE 1185 00:50:35,780 --> 00:50:36,814 CULTURAL VALUES. 1186 00:50:36,814 --> 00:50:39,617 IF YOU THINK IN TERMS OF CORE 1187 00:50:39,617 --> 00:50:42,586 CULTURAL VALUES, THESE ARE 1188 00:50:42,586 --> 00:50:44,121 THEMES THAT RESONATE WITH 1189 00:50:44,121 --> 00:50:46,390 PEOPLE, WHAT DOES IT MEAN TO 1190 00:50:46,390 --> 00:50:48,259 BRING CULTURE INTO INTERVENTION 1191 00:50:48,259 --> 00:50:48,526 PROGRAMS? 1192 00:50:48,526 --> 00:50:51,228 AND WHAT IT MEANS IS IF YOU'RE 1193 00:50:51,228 --> 00:50:53,864 DOING A GOOD JOB OF BRINGING 1194 00:50:53,864 --> 00:50:56,066 CULTURAL INTO INTERVENTION 1195 00:50:56,066 --> 00:50:57,701 PROGRAMS, YOU'RE PROBABLY USING 1196 00:50:57,701 --> 00:50:59,703 THE PREFERRED COMMUNICATIONS 1197 00:50:59,703 --> 00:51:00,571 METHODS. 1198 00:51:00,571 --> 00:51:02,573 YOU'RE ALMOST ALWAYS USING THE 1199 00:51:02,573 --> 00:51:04,375 LOCAL LANGUAGE AND TERMINOLOGY 1200 00:51:04,375 --> 00:51:05,309 USED BY THE COMMUNITIES THAT 1201 00:51:05,309 --> 00:51:09,079 YOU'RE WE WORKING WITH ASK USING 1202 00:51:09,079 --> 00:51:10,881 APPROPRIATE ROLE MODELS TO 1203 00:51:10,881 --> 00:51:13,517 CONVEY INFORMATION. 1204 00:51:13,517 --> 00:51:14,718 REINFORCING THINGS THAT PEOPLE 1205 00:51:14,718 --> 00:51:15,686 ARE ALREADY DOING. 1206 00:51:15,686 --> 00:51:18,556 YOU WORKING WITH AND DO NOT GO 1207 00:51:18,556 --> 00:51:20,524 AGAINST THE CORE CULTURAL VALUES 1208 00:51:20,524 --> 00:51:21,992 IN A PARTICULAR SETTING AND TRY 1209 00:51:21,992 --> 00:51:23,794 TO WORK WITHIN OR IN PARTNERSHIP 1210 00:51:23,794 --> 00:51:26,897 OR COLLABORATION OR AT LEAST 1211 00:51:26,897 --> 00:51:28,232 ACKNOWLEDGING LOCAL CULTURAL 1212 00:51:28,232 --> 00:51:30,468 SYSTEMS, KNOWLEDGE, PERCEPTIONSS 1213 00:51:30,468 --> 00:51:32,169 AND ATTITUDES AND TYPICALLY WE 1214 00:51:32,169 --> 00:51:34,338 WORK WITH AND LINK TO LOCAL 1215 00:51:34,338 --> 00:51:36,273 INSTITUTIONS WHEN WE DO THIS TO 1216 00:51:36,273 --> 00:51:38,642 SCHOOLS, CHURCHES, TO COMMUNITY 1217 00:51:38,642 --> 00:51:42,680 CENTERS, TO RECREATION CENTERS. 1218 00:51:42,680 --> 00:51:43,681 INTERVENTIONS THAT ARE 1219 00:51:43,681 --> 00:51:46,016 CULTURALLY LINKED MAKES SENSE TO 1220 00:51:46,016 --> 00:51:46,851 PEOPLE. 1221 00:51:46,851 --> 00:51:49,253 THEY RESONATE TO PEOPLE. 1222 00:51:49,253 --> 00:51:50,888 THEY'RE MEMORABLE AND SERVE TO 1223 00:51:50,888 --> 00:51:52,823 BUILD ENGAGEMENT AND LONG-TERM 1224 00:51:52,823 --> 00:51:53,491 USE. 1225 00:51:53,491 --> 00:51:56,827 JUST AS A QUICK EXAMPLE AS I 1226 00:51:56,827 --> 00:51:59,964 CLOSE, HERE ARE SOME EXAMPLES OF 1227 00:51:59,964 --> 00:52:02,500 DIFFERENT MESSAGING THAT WOULD 1228 00:52:02,500 --> 00:52:04,735 REFLECT CORE CULTURAL VALUES. 1229 00:52:04,735 --> 00:52:07,371 IN A SETTING WHERE INDIVIDUALISM 1230 00:52:07,371 --> 00:52:10,875 IS A CORE CULTURAL VALUE, THE 1231 00:52:10,875 --> 00:52:12,610 MESSAGE WOULD REFERENCE YOU -- 1232 00:52:12,610 --> 00:52:14,512 DIRECTED TO YOU. 1233 00:52:14,512 --> 00:52:16,413 EAT SUCH AND SUCH HEALTHY FOOD 1234 00:52:16,413 --> 00:52:18,849 TO LIVE A LONG AND HEALTHY LIFE. 1235 00:52:18,849 --> 00:52:19,850 THAT'S YOU. 1236 00:52:19,850 --> 00:52:20,918 IT'S YOUR RESPONSIBILITY. 1237 00:52:20,918 --> 00:52:21,719 YOU AS AN INDIVIDUAL. 1238 00:52:21,719 --> 00:52:24,889 ON THE OTHER HAND, IN A SETTING 1239 00:52:24,889 --> 00:52:28,125 WHERE FAMILY A CORE CULTURAL VAL 1240 00:52:28,125 --> 00:52:32,997 WHY YOU, A DIFFERENT MESSAGE MAY 1241 00:52:32,997 --> 00:52:34,431 BE IMPORTANT TO BE THERE FOR 1242 00:52:34,431 --> 00:52:36,367 YOUR FAMILY AND BE SUPPORTIVE OF 1243 00:52:36,367 --> 00:52:39,069 YOUR FAMILY AND DO WHAT IS RIGHT 1244 00:52:39,069 --> 00:52:40,271 FOR YOUR FAMILY. 1245 00:52:40,271 --> 00:52:43,340 I HOPE EUP' ENJOYED THIS BRIEF 1246 00:52:43,340 --> 00:52:45,109 DESTRUCTION TO SOME OF THE CORE 1247 00:52:45,109 --> 00:52:47,177 CONCEPTS AND TERMINOLOGY 1248 00:52:47,177 --> 00:52:50,347 ASSOCIATED WITH CULTURE. 1249 00:52:50,347 --> 00:52:52,149 PLEASE FEEL FREE TO CONTACT ME 1250 00:52:52,149 --> 00:52:54,485 MY e-MAIL IS LISTED IN THIS 1251 00:52:54,485 --> 00:52:54,785 SLIDE. 1252 00:52:54,785 --> 00:53:03,994 THANK YOU VERY MUCH. 1253 00:53:03,994 --> 00:53:04,728 THANKS SO MUCH FOR THE 1254 00:53:04,728 --> 00:53:05,663 PRESENTATION. 1255 00:53:05,663 --> 00:53:07,965 AND I'M GLAD HE WAS ABLE TO 1256 00:53:07,965 --> 00:53:10,034 RECORD SOMETHING FOR US AND 1257 00:53:10,034 --> 00:53:12,036 PROVIDE US WITH AN OVERVIEW OF 1258 00:53:12,036 --> 00:53:14,638 KU8 TOUR AND FOODWAYS. 1259 00:53:14,638 --> 00:53:16,874 I'M HAPPY -- CULTURE AND FOOD 1260 00:53:16,874 --> 00:53:17,441 WAIST. 1261 00:53:17,441 --> 00:53:24,982 I'M HAPPY TO INTRODUCE DR. 1262 00:53:24,982 --> 00:53:30,120 MATTEI AT THE HAZA HARVARD SCHOF 1263 00:53:30,120 --> 00:53:31,221 PUBLIC HEALTH. 1264 00:53:31,221 --> 00:53:33,657 SHE LAS GUIDED EVIDENCE-BASED 1265 00:53:33,657 --> 00:53:35,192 POLICY AND PROGRAMS FOR BETTER 1266 00:53:35,192 --> 00:53:40,264 ACCESS TO HEALTHY FOOD AND 1267 00:53:40,264 --> 00:53:41,999 CARDIOMETABOLIC HEALTH TO ALIGN 1268 00:53:41,999 --> 00:53:44,101 WITH VALUES AND ENVIRONMENTAL 1269 00:53:44,101 --> 00:53:46,136 STABILITY. 1270 00:53:46,136 --> 00:53:51,208 I WILL TURN THIS OVER TO DR. 1271 00:53:51,208 --> 00:53:51,976 MATTEI. 1272 00:53:51,976 --> 00:53:52,610 >> WELCOME EVERYBODY. 1273 00:53:52,610 --> 00:53:56,146 AND I THINK THIS IS A PERFECT 1274 00:53:56,146 --> 00:54:03,988 WAY OF DR. GITTALSOHN'S 1275 00:54:03,988 --> 00:54:11,462 PRESENTATION. 1276 00:54:11,462 --> 00:54:15,933 SO NEXT SLIDE, PLEASE. 1277 00:54:15,933 --> 00:54:20,738 SO, DIETARY INTERVENTION DID NOT 1278 00:54:20,738 --> 00:54:23,140 NECESSARILY TRANSLATE TO HEALTH 1279 00:54:23,140 --> 00:54:23,407 BENEFITS. 1280 00:54:23,407 --> 00:54:25,442 WE HAVE TO TEST WHATEVER WE HAVE 1281 00:54:25,442 --> 00:54:29,079 THAT IS EVIDENCE THAT WE HAVE 1282 00:54:29,079 --> 00:54:31,482 AND WOULD BE THE DIETARY 1283 00:54:31,482 --> 00:54:34,351 GUIDELINES AND HOW TO ADAPT THAT 1284 00:54:34,351 --> 00:54:40,290 AND HOW WE AS PROVIDERS, 1285 00:54:40,290 --> 00:54:43,327 CONSUMERS AND EVERYBODY CAN 1286 00:54:43,327 --> 00:54:45,729 ADOPT AND SUSTAIN THOSE 1287 00:54:45,729 --> 00:54:47,064 EVIDENCE-BASED GUIDELINES TO 1288 00:54:47,064 --> 00:54:48,832 OBTAIN THE MOST HEALTH BENEFITS 1289 00:54:48,832 --> 00:54:51,101 OUT OF THAT. 1290 00:54:51,101 --> 00:54:52,636 THAT'S FOR THE WHOLE SOCIETY. 1291 00:54:52,636 --> 00:54:53,937 AND WHOLE SOCIETY MEANS 1292 00:54:53,937 --> 00:54:54,938 EVERYBODY. 1293 00:54:54,938 --> 00:54:57,775 NEXT SLIDE, PLEASE. 1294 00:54:57,775 --> 00:55:00,210 SO AS I MENTIONED IN NUTRITION, 1295 00:55:00,210 --> 00:55:02,913 THE EVIDENCE IS MOSTLY COMPILING 1296 00:55:02,913 --> 00:55:05,783 THE DIETARY GUIDELINES FOR 1297 00:55:05,783 --> 00:55:07,184 AMERICANS. 1298 00:55:07,184 --> 00:55:07,885 WHAT IS SIFTING THROUGH THE 1299 00:55:07,885 --> 00:55:10,754 EVIDENCE AND WE'RE GOING THROUGH 1300 00:55:10,754 --> 00:55:12,256 ANOTHER ROUND OF EVIDENCE THAT 1301 00:55:12,256 --> 00:55:16,527 HAS BEEN GENERATED TO PUT FORTH 1302 00:55:16,527 --> 00:55:19,396 THE RECOMMENDATIONS FOR HEALTHY 1303 00:55:19,396 --> 00:55:20,064 EATING. 1304 00:55:20,064 --> 00:55:22,132 THE EVIDENCE STATES THAT EATING 1305 00:55:22,132 --> 00:55:24,001 HEALTHY PREVENTS CHRONIC 1306 00:55:24,001 --> 00:55:24,802 DISEASE. 1307 00:55:24,802 --> 00:55:26,970 BUT WE SEE MANY PEOPLE WITH 1308 00:55:26,970 --> 00:55:29,807 CHRONIC DISEASE. 1309 00:55:29,807 --> 00:55:33,210 6 TO 10 OF ADULTS HAVE MORE THAN 1310 00:55:33,210 --> 00:55:37,915 ONE CHRONIC DISEASE. 1311 00:55:37,915 --> 00:55:39,650 VUL TERRIBLE POPULATION HAVE 1312 00:55:39,650 --> 00:55:42,386 MORE CONDITIONS. 1313 00:55:42,386 --> 00:55:43,954 WHAT WILL WE HAVE TO REMEMBER IS 1314 00:55:43,954 --> 00:55:48,292 THAT THERE IS A BIG GAP BETWEEN 1315 00:55:48,292 --> 00:55:51,228 HEFFICACIOUS EVIDENCE AND THE 1316 00:55:51,228 --> 00:55:52,896 EFFECTIVE SOLUTIONS. 1317 00:55:52,896 --> 00:55:54,398 BECAUSE REAL LIFE HAPPENS IN 1318 00:55:54,398 --> 00:55:56,734 BETWEEN THOSE TWO THINGS. 1319 00:55:56,734 --> 00:56:02,439 SO, NEXT SLIDE, PLEASE. 1320 00:56:02,439 --> 00:56:04,174 WHAT WE THEN HAVE IS TO BE 1321 00:56:04,174 --> 00:56:12,316 THINKING IS HOW DO WE LI LEAP FM 1322 00:56:12,316 --> 00:56:14,351 THIS TO EFFECTIVENESS. 1323 00:56:14,351 --> 00:56:18,188 IN EFFICACY, WE TEST WHETHER 1324 00:56:18,188 --> 00:56:20,624 IT'S IN THIS PARTICULAR GROUP 1325 00:56:20,624 --> 00:56:22,593 AND EFFECTIVENESS, WE'RE TESTING 1326 00:56:22,593 --> 00:56:25,195 WHETHER IT'S WORKING FOR A 1327 00:56:25,195 --> 00:56:27,297 DIVERSE GROUP OF PEOPLE, FOR 1328 00:56:27,297 --> 00:56:27,631 EVERYBODY. 1329 00:56:27,631 --> 00:56:32,136 AND WE HAVE TO ADDRESS THESE 1330 00:56:32,136 --> 00:56:36,707 REAL LIFE CHALLENGES. 1331 00:56:36,707 --> 00:56:41,011 WE SAW THIS FIGURE WITH THE 1332 00:56:41,011 --> 00:56:45,115 FRAMEWORK FOR HEALTH DISPARITIES 1333 00:56:45,115 --> 00:56:46,383 RESEARCH. 1334 00:56:46,383 --> 00:56:50,554 IT SHOWS LEVELS OF INFLUENCE 1335 00:56:50,554 --> 00:56:53,924 THONHEALTH OUTCOMES. 1336 00:56:53,924 --> 00:56:55,726 YOU CAN MAKE AN ARGUMENT THAT 1337 00:56:55,726 --> 00:56:58,328 CULTURE COVERS EVERY SINGLE ONE 1338 00:56:58,328 --> 00:56:59,763 OF THOSE PROCESSES. 1339 00:56:59,763 --> 00:57:02,199 LEVELS EVER INFLUENZAS AND 1340 00:57:02,199 --> 00:57:03,834 DOMAINS OF INFLUENZAS. 1341 00:57:03,834 --> 00:57:06,370 EVERY ONE OF THOSE BOXES WILL 1342 00:57:06,370 --> 00:57:07,938 HAVE AN ASPECT EVER CULTURE IN 1343 00:57:07,938 --> 00:57:10,207 THERE. 1344 00:57:10,207 --> 00:57:12,409 ASPECT OF CULTURE IN THERE. 1345 00:57:12,409 --> 00:57:16,780 KOHL NSZ WENT THROUGH THISCOLLIS 1346 00:57:16,780 --> 00:57:17,815 NICELY. 1347 00:57:17,815 --> 00:57:20,417 HOWAL IS CULTURE INFLUENCING 1348 00:57:20,417 --> 00:57:20,784 THIS? 1349 00:57:20,784 --> 00:57:24,221 BUT I ENCOURAGE YOU TO VISIT US 1350 00:57:24,221 --> 00:57:25,289 AND SEE THE REST OF THE VISION 1351 00:57:25,289 --> 00:57:25,856 FOR TOMORROW. 1352 00:57:25,856 --> 00:57:34,364 FOR EXAMPLE, HOW M METABOLISM AD 1353 00:57:34,364 --> 00:57:37,935 HOW CULTURE INFLUENCE THAT. 1354 00:57:37,935 --> 00:57:39,770 HOW EVERY ONE OF THE BOXES IS 1355 00:57:39,770 --> 00:57:41,972 SHAPED BY CULTURE. 1356 00:57:41,972 --> 00:57:43,507 NEXT SLIDE. 1357 00:57:43,507 --> 00:57:45,242 IN ANOTHER ASPECT THAT I THINK 1358 00:57:45,242 --> 00:57:46,877 IS REALLY IMPORTANT TO KEEP IN 1359 00:57:46,877 --> 00:57:48,478 MIND AS WE'RE THINKING OF 1360 00:57:48,478 --> 00:57:51,181 CULTURE IS THAT CULTURE IS AN 1361 00:57:51,181 --> 00:57:51,615 ICEBERG. 1362 00:57:51,615 --> 00:57:54,885 THIS IS AN EXACTLY WHAT 1363 00:57:54,885 --> 00:57:57,321 GITTALSON WAS ADDRESSING IS THAT 1364 00:57:57,321 --> 00:57:59,489 USUALLY WITH WITH THE THEME OF 1365 00:57:59,489 --> 00:58:00,691 CULTURE, THERE IS WAYER IN THAN 1366 00:58:00,691 --> 00:58:01,124 THAT. 1367 00:58:01,124 --> 00:58:06,396 THAT IS MANY OF THE ASPECTS AND 1368 00:58:06,396 --> 00:58:12,536 DERCHTIDEFINITIONS ADDRESSED. 1369 00:58:12,536 --> 00:58:15,405 DIETARY CULTURE, A CULTURE OF 1370 00:58:15,405 --> 00:58:22,379 DIDIE OAT, YOU CAN THINK OF THAT 1371 00:58:22,379 --> 00:58:24,648 AS THE THINGS YOU CAN SEE IN 1372 00:58:24,648 --> 00:58:28,085 FOOD AT A SURFACE LEVEL AND 1373 00:58:28,085 --> 00:58:32,356 THINGS YOU CAN'T SEE LIKE THE 1374 00:58:32,356 --> 00:58:34,224 HIERARCHIES, THE PREPARATIONS, 1375 00:58:34,224 --> 00:58:36,193 THE ATTITUDES AND VALUES THAT 1376 00:58:36,193 --> 00:58:38,395 PEOPLE PUT TOWARD FOOD, ALL OF 1377 00:58:38,395 --> 00:58:41,431 THOSE THINGS THAT ARE DEEP DOWN 1378 00:58:41,431 --> 00:58:44,067 ARE THE DEEP CULTURAL ASPECTS OF 1379 00:58:44,067 --> 00:58:46,370 FOOD THAT WE RARELY TAKE INTO 1380 00:58:46,370 --> 00:58:47,237 CONSIDERATION. 1381 00:58:47,237 --> 00:58:49,439 AND THAT HAS BEEN ONE OF THE 1382 00:58:49,439 --> 00:58:52,209 BIGGEST GAPS IN THE 1383 00:58:52,209 --> 00:58:55,846 EFFECTIVENESS. 1384 00:58:55,846 --> 00:58:58,148 OF REAL LIFE 1385 00:58:58,148 --> 00:58:59,883 ADAPTATIONS FOR DIETARY 1386 00:58:59,883 --> 00:59:02,052 INTERVENTIONS. 1387 00:59:02,052 --> 00:59:05,689 SO I WANT TO TODAY IS SHOW YOU 1388 00:59:05,689 --> 00:59:09,660 HOW WE CAN ADOPT DIETARY 1389 00:59:09,660 --> 00:59:11,094 INTERVENTIONS TAKING THE FABRIC 1390 00:59:11,094 --> 00:59:13,230 OF CULTURE ACROSS DIFFERENT 1391 00:59:13,230 --> 00:59:16,833 LEVELS USING THE SAMPLE OF THE 1392 00:59:16,833 --> 00:59:19,603 MEDITERRANEAN DIE OAT. 1393 00:59:19,603 --> 00:59:21,371 DIET. 1394 00:59:21,371 --> 00:59:22,906 THIS HAS STRONG EVIDENCE FOR 1395 00:59:22,906 --> 00:59:23,206 HEALTH. 1396 00:59:23,206 --> 00:59:26,176 IT'S BEEN SHOWN IN BOTH CLINICAL 1397 00:59:26,176 --> 00:59:27,811 TRIALS AS WELL AS OBSERVATIONAL 1398 00:59:27,811 --> 00:59:30,447 STUDIES THAT IT CAN REDUCE THE 1399 00:59:30,447 --> 00:59:34,084 RISK OF CARDIOVASCULAR DISEASE 1400 00:59:34,084 --> 00:59:36,987 AND ME BIOTIC SYNDROME, 1401 00:59:36,987 --> 00:59:38,922 MORTALITYOVER ALL BUT IT HAS 1402 00:59:38,922 --> 00:59:41,124 VERY LIMITED EVIDENCE COMING 1403 00:59:41,124 --> 00:59:48,565 FROM GROUPS EVER DIVERSE ORIGIN. 1404 00:59:48,565 --> 00:59:50,867 AND THE PROBLEM IS THAT WHEN THE 1405 00:59:50,867 --> 00:59:52,669 EVIDENCE IS USUALLY GENERATED 1406 00:59:52,669 --> 00:59:54,137 FROM WHITE OR EUROPEAN 1407 00:59:54,137 --> 00:59:55,005 POPULATIONS AND THAT IS THE CASE 1408 00:59:55,005 --> 00:59:57,474 FOR THE MEDITERRANEAN DIE OAT, 1409 00:59:57,474 --> 01:00:03,947 IT MAY -- DIE O DIET, IT MAY NOT 1410 01:00:03,947 --> 01:00:07,217 EXTRAPOLATE TO OTHER SOARTS. 1411 01:00:07,217 --> 01:00:09,319 DIFFERENT CULTURES MIGHT EAT THE 1412 01:00:09,319 --> 01:00:12,789 SAME FOOD BUT IN DIFFERENT WAYS. 1413 01:00:12,789 --> 01:00:14,057 FOOD GROUPS DIFFERENTLY. 1414 01:00:14,057 --> 01:00:17,327 AND THE MEDITERRANEAN DIET, THE 1415 01:00:17,327 --> 01:00:22,666 WAY WE CURRENTLY MEASURE IS WITH 1416 01:00:22,666 --> 01:00:23,767 FOOD GROUPS. 1417 01:00:23,767 --> 01:00:26,636 HERE YOU CAN SEE THE WAY WE 1418 01:00:26,636 --> 01:00:28,505 TRADITIONALLY DEFINE WHAT THE 1419 01:00:28,505 --> 01:00:30,674 MEDITERRANEAN DIE OAT SHOULD BE 1420 01:00:30,674 --> 01:00:31,241 PRESCRIBED AS. 1421 01:00:31,241 --> 01:00:33,977 EAT MORE VEGETABLES, MORE FRUIT 1422 01:00:33,977 --> 01:00:37,247 AND VEGETABLES AND SO FORTH. 1423 01:00:37,247 --> 01:00:42,552 WHAT IS A LEGUME? 1424 01:00:42,552 --> 01:00:49,226 HERE ARE SOME EXAMPLES. 1425 01:00:49,226 --> 01:00:51,328 THE TRIAL THAT STARTED THIS 1426 01:00:51,328 --> 01:00:56,700 EVIDENCE, THE TOP LEGUME WERE 1427 01:00:56,700 --> 01:00:59,903 LENTILS AND CHICK PASTE. 1428 01:00:59,903 --> 01:01:01,972 IF YOU'RE TRYING TO TRANSLATE 1429 01:01:01,972 --> 01:01:05,375 THAT INTO OTHER POPULATIONS, YOU 1430 01:01:05,375 --> 01:01:06,977 MIGHT ADVOCATE FOR THAT, BUT 1431 01:01:06,977 --> 01:01:11,214 THOSE MIGHT NOT BE THE MAIN LE 1432 01:01:11,214 --> 01:01:17,120 JEUMS. 1433 01:01:17,120 --> 01:01:17,354 LEGUMES. 1434 01:01:17,354 --> 01:01:21,558 YOU HAVE A SOUTHERN FOOD MADE 1435 01:01:21,558 --> 01:01:27,130 WITH BLACK EYED PEAS OR YOU HAVE 1436 01:01:27,130 --> 01:01:31,501 A TYPICAL RED BEANS FROM PUERTO 1437 01:01:31,501 --> 01:01:37,441 RICO OR YOU HAVE HERE A BROWNISH 1438 01:01:37,441 --> 01:01:39,609 OR BLACK BEAN FROM COSTA RICA. 1439 01:01:39,609 --> 01:01:43,346 HERE ON THE RIGHT BOTTOM, YOU 1440 01:01:43,346 --> 01:01:49,786 HAVE AN RICE WITH 1441 01:01:49,786 --> 01:01:51,221 [INDISCERNIBLE] HAS MORE 1442 01:01:51,221 --> 01:01:53,256 RELATION TO ATTITUDES TO OUR 1443 01:01:53,256 --> 01:01:55,959 HEALTH PROMOTION AND DISEASE 1444 01:01:55,959 --> 01:01:56,259 PREVENTION. 1445 01:01:56,259 --> 01:02:00,230 ALL OF THEM HAVE DIFFERENT AT 1446 01:02:00,230 --> 01:02:01,865 TIFS WITH PRESENTATIONS AND 1447 01:02:01,865 --> 01:02:03,066 DIFFERENT TYPES EVER BEANS THAT 1448 01:02:03,066 --> 01:02:04,034 ARE USED. 1449 01:02:04,034 --> 01:02:07,771 WHAT EXACTLY IS A MEDITERRANEAN 1450 01:02:07,771 --> 01:02:10,006 DIET IS DIFFERENT IN ALL OF 1451 01:02:10,006 --> 01:02:11,208 THESE DIFFERENT SEGHTSES. 1452 01:02:11,208 --> 01:02:15,145 THAT IS A LIMITATION BUT AN 1453 01:02:15,145 --> 01:02:15,579 OPPORTUNITY. 1454 01:02:15,579 --> 01:02:18,448 IT'S A LIMITATION BECAUSE YOU 1455 01:02:18,448 --> 01:02:20,684 CAN'T EXTRAPOLATE AND YOU NEED 1456 01:02:20,684 --> 01:02:24,354 THE RIGHT DIETARY ASSESSMENT 1457 01:02:24,354 --> 01:02:26,690 TOOL TO CAPTURE THE RIGHT FOOD 1458 01:02:26,690 --> 01:02:28,158 ASK RIGHT FOOD PREPARATIONS BUT 1459 01:02:28,158 --> 01:02:30,827 IT'S A GREAT OPPORTUNITY TBHAWS 1460 01:02:30,827 --> 01:02:34,698 OPENNESS PROVIDES THE ADOPTION 1461 01:02:34,698 --> 01:02:39,169 OF WHAT THE DIET COULD BE LIKE. 1462 01:02:39,169 --> 01:02:42,506 THE DIETARY GUIDELINE SAYS WE 1463 01:02:42,506 --> 01:02:44,641 SHOULD BE EATING MORE OF THE 1464 01:02:44,641 --> 01:02:46,309 MEDITERRANEAN DIE OAT AND THEY 1465 01:02:46,309 --> 01:02:49,045 SAY WE SHOULD CUSTOMIZE AND 1466 01:02:49,045 --> 01:02:51,248 ENJOY FOODS THAT ARE REFLECT OUR 1467 01:02:51,248 --> 01:02:53,216 PERSONAL PREFERENCE AND OUR 1468 01:02:53,216 --> 01:02:54,684 CULTURAL TRADITIONS AND OUR 1469 01:02:54,684 --> 01:02:56,219 BUDGE INDUSTRY TRADITIONS. 1470 01:02:56,219 --> 01:02:59,823 THEY GIVE US THAT MANDATE AND 1471 01:02:59,823 --> 01:03:01,358 THAT DIRECTION AND THEY GIVE US 1472 01:03:01,358 --> 01:03:03,460 THE ADDRESS AND FINAL 1473 01:03:03,460 --> 01:03:05,162 DESTINATION BUT DON'T GIVE US 1474 01:03:05,162 --> 01:03:06,596 THE ROAD MAP SO WE DON'T KNOW 1475 01:03:06,596 --> 01:03:10,534 HOW TOW DO THAT. 1476 01:03:10,534 --> 01:03:11,234 DRUSH HOW TO DO 1477 01:03:11,234 --> 01:03:12,068 IS THAT. 1478 01:03:12,068 --> 01:03:15,138 WE FIND THESE CHALLENGES IN REAL 1479 01:03:15,138 --> 01:03:16,106 LIFE ADAPTATION. 1480 01:03:16,106 --> 01:03:18,975 THIS IS A GOOD EXAMPLE OF A 1481 01:03:18,975 --> 01:03:21,711 MEDITERRANEAN DIE OAT ADAPTATION 1482 01:03:21,711 --> 01:03:25,148 THAT WAS TRIED IN A 1483 01:03:25,148 --> 01:03:26,216 NON-MEDITERRANEAN COUNTRY, IN 1484 01:03:26,216 --> 01:03:31,721 THIS CASE THE U.K. 1485 01:03:31,721 --> 01:03:42,232 IT WAS FOUND SOME AK SEPTEMBER E 1486 01:03:42,232 --> 01:03:44,401 AND HAD THE DIFFICULTY OF 1487 01:03:44,401 --> 01:03:48,038 FINDING THOSE FOODS AND COSTS 1488 01:03:48,038 --> 01:03:51,408 AND PRESSURE -- TIME PRESSURES 1489 01:03:51,408 --> 01:03:55,845 THAT ALL UNDERMINE THAT 1490 01:03:55,845 --> 01:03:56,713 ADHERENCE. 1491 01:03:56,713 --> 01:03:59,282 WITHOUT ADHERENCE, YOU CAN'T 1492 01:03:59,282 --> 01:04:04,187 HAVE AN EFFECTIVE INTERVENTION. 1493 01:04:04,187 --> 01:04:07,824 SORRY, I MISSED THE NEXT WOULD 1494 01:04:07,824 --> 01:04:08,258 SLIDES. 1495 01:04:08,258 --> 01:04:09,659 NEXT SLIDE. 1496 01:04:09,659 --> 01:04:12,996 NEXT SLIDE. 1497 01:04:12,996 --> 01:04:17,467 SO KR, WITH THAT, WE DECIDED TOO 1498 01:04:17,467 --> 01:04:18,702 AN INTERSTLEANGS ADDRESSED ALL 1499 01:04:18,702 --> 01:04:19,469 OF THAT. 1500 01:04:19,469 --> 01:04:20,770 I'LL ALE HIGHLIGHT A COUPLE OF 1501 01:04:20,770 --> 01:04:22,539 POINTS SO YOU CAN SEE HOW YOU 1502 01:04:22,539 --> 01:04:26,142 CAN INTEGRATE THE SAME 1503 01:04:26,142 --> 01:04:26,810 ADAPTATIONS. 1504 01:04:26,810 --> 01:04:29,446 IN THE REST OF THE PANELS TODAY 1505 01:04:29,446 --> 01:04:31,081 AND TOMORROW, YOU'LL SEE SEVERAL 1506 01:04:31,081 --> 01:04:31,815 EXAMPLES OF THESE. 1507 01:04:31,815 --> 01:04:36,219 WE HAVE A STUDY RIGHT NOW GOING 1508 01:04:36,219 --> 01:04:40,357 ON FOR CULTURAL-INFORMED 1509 01:04:40,357 --> 01:04:43,593 INTERVENTION. 1510 01:04:43,593 --> 01:04:47,030 WE'RE GIVING OLIVE OIL OR 1511 01:04:47,030 --> 01:04:50,433 VEGETABLE OILS, BEANS AND 1512 01:04:50,433 --> 01:04:52,936 PEANUTS AND FRESH PRODUCE FOR 1513 01:04:52,936 --> 01:04:55,472 ABOUT A MONTH. 1514 01:04:55,472 --> 01:04:57,374 THE CONTROL IS JUST GETTING A 1515 01:04:57,374 --> 01:04:58,708 VOUCHER TO PURCHASE THEIR OWN 1516 01:04:58,708 --> 01:05:01,378 FOODS FOR THE SAME VALUE OF 1517 01:05:01,378 --> 01:05:02,379 THAT. 1518 01:05:02,379 --> 01:05:06,216 THIS IS AN 18-MONTH INTERVENTION 1519 01:05:06,216 --> 01:05:08,952 AND DIVIDING IS IT INTO SIX 1520 01:05:08,952 --> 01:05:09,753 MONTH PARTS. 1521 01:05:09,753 --> 01:05:11,688 THE FIRST SIX MONTHS GETTING THE 1522 01:05:11,688 --> 01:05:14,024 ACCESS PART AND ENABLING ACCESS 1523 01:05:14,024 --> 01:05:15,258 OF GETTING THE FOOD. 1524 01:05:15,258 --> 01:05:18,295 THE NEXT SIX MONTHS ADDING AND 1525 01:05:18,295 --> 01:05:20,430 STACKING ON KNOWLEDGE COMPONENT 1526 01:05:20,430 --> 01:05:22,699 AND THE NEXT SIX MONTHS 1527 01:05:22,699 --> 01:05:24,100 PRACTICING THE BOO HAIFIER SO 1528 01:05:24,100 --> 01:05:28,071 THEY WILL BE RECEIVING TEXT 1529 01:05:28,071 --> 01:05:30,040 MESSAGES THAT WILL CONTINUE THE 1530 01:05:30,040 --> 01:05:32,242 BEHAVIOR THAT THEY LEARNED IN 1531 01:05:32,242 --> 01:05:36,179 THE PREVIOUS SIX MONTHS AND A 1532 01:05:36,179 --> 01:05:37,514 MAINTENANCE BEHAVIOR WHERE THEY 1533 01:05:37,514 --> 01:05:40,884 ARE GOING TO KEEP UP WITH THE 1534 01:05:40,884 --> 01:05:44,754 BEHAVIOR WITH JUST SMALL PROMPTS 1535 01:05:44,754 --> 01:05:46,623 BUT WITH THE PREVIOUS 1536 01:05:46,623 --> 01:05:47,257 INTERVENTION. 1537 01:05:47,257 --> 01:05:52,662 HOW DO WE INTEGRATE SEVERAL 1538 01:05:52,662 --> 01:05:54,597 STRATEGIES? 1539 01:05:54,597 --> 01:05:58,134 FIRST, WE MADE IT PRAGMATIC AND 1540 01:05:58,134 --> 01:06:00,203 YOU CAN DO THE SAME THING TOO IF 1541 01:06:00,203 --> 01:06:04,507 YOU'RE CREATING AN INTERVENTION. 1542 01:06:04,507 --> 01:06:06,476 MAKE IT REAL LIFE. 1543 01:06:06,476 --> 01:06:08,812 HAVE CLINICAL BEHAVIORAL AND 1544 01:06:08,812 --> 01:06:12,282 SOCIAL METRICS THAT YOU CAN SUES 1545 01:06:12,282 --> 01:06:14,084 AND HAVE PRACTICAL THINGS THAT 1546 01:06:14,084 --> 01:06:15,719 PEOPLE CAN USE. 1547 01:06:15,719 --> 01:06:24,027 SOCIAL AND BEHAVIORAL METRICS 1548 01:06:24,027 --> 01:06:25,528 CAN THIS HELP WITH SOCIAL 1549 01:06:25,528 --> 01:06:25,962 SUPPORT? 1550 01:06:25,962 --> 01:06:30,133 CAN IT HELP FOOD INSECURITY AND 1551 01:06:30,133 --> 01:06:33,970 HELP PEOPLE TO CHANGE TO A 1552 01:06:33,970 --> 01:06:35,138 MAINTENANCE BEHAVIOR. 1553 01:06:35,138 --> 01:06:35,972 THESE ARE IMPORTANT AND IT'S 1554 01:06:35,972 --> 01:06:38,375 GOOD TO ADD THESE INTO YOUR 1555 01:06:38,375 --> 01:06:42,979 METRICS. 1556 01:06:42,979 --> 01:06:44,948 THE OTHER THING WE NEED WAS TO 1557 01:06:44,948 --> 01:06:46,316 START WITH SOLID EVIDENCE. 1558 01:06:46,316 --> 01:06:50,253 BEFORE WE DID THIS, WE SPENT 1559 01:06:50,253 --> 01:06:53,022 SEVERAL YEARS LOOKING WHAT A 1560 01:06:53,022 --> 01:06:54,657 MEDITERRANEAN DIET LOOKED LIKE 1561 01:06:54,657 --> 01:07:00,563 IN PUERTO RICO AND THEY WERE 1562 01:07:00,563 --> 01:07:04,200 DIFFERENT THAN A MEDITERRANEAN 1563 01:07:04,200 --> 01:07:05,702 DIET IN OTHER COUNTRIES. 1564 01:07:05,702 --> 01:07:09,339 WE IDENTIFIED THE OIL AND LEDGE 1565 01:07:09,339 --> 01:07:20,617 ILEJELEGUMES AND FRUITS AND VEGE 1566 01:07:20,617 --> 01:07:23,253 VEGETABLES. 1567 01:07:23,253 --> 01:07:28,258 WE STUDIED THE CARDIOMETABOLIC 1568 01:07:28,258 --> 01:07:30,360 OUTCOMES WE OBSERVED. 1569 01:07:30,360 --> 01:07:32,095 SOMETHING THAT IS COMMON ACROSS 1570 01:07:32,095 --> 01:07:35,064 ALL THE ADAPTATIONS IS THAT I 1571 01:07:35,064 --> 01:07:38,435 READ AND DISPIEND HAD MOST OF MY 1572 01:07:38,435 --> 01:07:41,871 COLLEAGUES HAVE DESIGNED IS 1573 01:07:41,871 --> 01:07:43,339 FORMATIVE RESEARCH. 1574 01:07:43,339 --> 01:07:45,708 YOU'LL SEE THIS CLEARLY IN 1575 01:07:45,708 --> 01:07:49,546 PANELS TODAY. 1576 01:07:49,546 --> 01:07:51,981 FORMATIVE RESEARCH INFORMS 1577 01:07:51,981 --> 01:07:53,082 CULTURAL FOODWAYS AND THE 1578 01:07:53,082 --> 01:07:56,052 CHANGES YOU NEED TO MAKE IN YOUR 1579 01:07:56,052 --> 01:07:56,352 ADAPTATION. 1580 01:07:56,352 --> 01:07:59,422 WE NEED SURVEYS AND INTEREXPREUS 1581 01:07:59,422 --> 01:08:00,156 FOCUS GROUPS. 1582 01:08:00,156 --> 01:08:04,661 THOSE HELP -- INTERVIEWS AND 1583 01:08:04,661 --> 01:08:09,199 FOCUS GROUPS. 1584 01:08:09,199 --> 01:08:11,134 HOW TO COOK THESE EXPWEENS WHERE 1585 01:08:11,134 --> 01:08:12,435 THEY WERE PURCHASED OR HOW TO 1586 01:08:12,435 --> 01:08:14,304 SERVE THEM, HOW OFTEN O SERVE 1587 01:08:14,304 --> 01:08:14,871 THEM. 1588 01:08:14,871 --> 01:08:17,040 WHAT THEY VALUE ABOUT THEM. 1589 01:08:17,040 --> 01:08:23,613 AND THAT TOOK SOME TIME BUT 1590 01:08:23,613 --> 01:08:25,415 TAILORED THE MESSAGES WE WERE 1591 01:08:25,415 --> 01:08:26,382 GIVING. 1592 01:08:26,382 --> 01:08:32,222 WE ALSO USED FORMATIVE RESEARCH 1593 01:08:32,222 --> 01:08:34,123 FOR THE STRATEGIES. 1594 01:08:34,123 --> 01:08:36,226 SHORT TERM GOALS, PERSONAL 1595 01:08:36,226 --> 01:08:39,329 GOALS, PEOPLE DIDN'T WANT TO -- 1596 01:08:39,329 --> 01:08:44,033 AND HEALTH-RELATED GOALS. 1597 01:08:44,033 --> 01:08:46,536 THEY WANTED TO FOCUS ON OVERALL 1598 01:08:46,536 --> 01:08:47,203 HEALTH. 1599 01:08:47,203 --> 01:08:52,141 WE MADE SURE THAT 5U ALL OF THEE 1600 01:08:52,141 --> 01:08:54,777 RELATED TO THE CULTURE AND WE 1601 01:08:54,777 --> 01:08:56,779 PUT INTO OUR MESSAGES. 1602 01:08:56,779 --> 01:09:00,316 CULTURAL ADOPTED PROGRAMS ON AND 1603 01:09:00,316 --> 01:09:02,151 INTERVENTIONS SHOULD ADDRESS 1604 01:09:02,151 --> 01:09:03,286 STRUCTURAL BARRIERS. 1605 01:09:03,286 --> 01:09:07,991 THAT IS SOMETHING WE HAVE WITH 1606 01:09:07,991 --> 01:09:09,726 STAPLE FOODS LESS EXPENSIVE. 1607 01:09:09,726 --> 01:09:11,461 THE OILS AND BEANS ARE LESS 1608 01:09:11,461 --> 01:09:14,797 EXPENSIVE THAN THE OIL AND LE 1609 01:09:14,797 --> 01:09:19,636 JEUMS GIVEN IN THE TRADITION -- 1610 01:09:19,636 --> 01:09:22,739 LEGUMES GIVEN IN THE TRADITIONAL 1611 01:09:22,739 --> 01:09:23,540 MEDITERRANEAN DIET. 1612 01:09:23,540 --> 01:09:26,109 ALL OF THE BOXES OF PRODUCE THAT 1613 01:09:26,109 --> 01:09:31,648 WE ARE GIVING COME FROM LOCAL, 1614 01:09:31,648 --> 01:09:33,917 SMALL FARMERS IN PUERTO RICO. 1615 01:09:33,917 --> 01:09:37,687 SO WE ARE HELPING THE CULTURE, 1616 01:09:37,687 --> 01:09:40,223 THE COMMUNITY AND FARMERS IN 1617 01:09:40,223 --> 01:09:42,025 PUERTO RICO AND BRINGING IN 1618 01:09:42,025 --> 01:09:44,260 FAMILIAR FOODS TO THE COMMUNITY. 1619 01:09:44,260 --> 01:09:48,998 NEXT. 1620 01:09:48,998 --> 01:09:51,601 SO LASTLY, THIS IS AN EXAMPLE OF 1621 01:09:51,601 --> 01:09:54,137 HOW WE TAILOR THE INTERVENTION 1622 01:09:54,137 --> 01:09:55,838 WITH THESE CULTURAL MESSAGES. 1623 01:09:55,838 --> 01:09:57,607 THIS IS AN EXAMPLE OF A TEXT 1624 01:09:57,607 --> 01:09:59,876 MESSAGE IN THE INTERVENTION. 1625 01:09:59,876 --> 01:10:02,312 HERE WE ADDRESS THE TRADITIONAL 1626 01:10:02,312 --> 01:10:06,482 CONCEPT, APPEALING TO TRADITION 1627 01:10:06,482 --> 01:10:08,551 AND CULTURAL PART OF EATING 1628 01:10:08,551 --> 01:10:10,186 BEANS BECAUSE THEY ARE PART OF 1629 01:10:10,186 --> 01:10:11,888 YOUR CULTURE. 1630 01:10:11,888 --> 01:10:14,857 THE COOKING PART, HOW TO COOK IT 1631 01:10:14,857 --> 01:10:17,260 AND HOW TO DO SUBSTITUTIONS AND 1632 01:10:17,260 --> 01:10:19,028 WITH WHAT. 1633 01:10:19,028 --> 01:10:21,798 AND ALSO THE RECIPE. 1634 01:10:21,798 --> 01:10:23,533 THESE RECIPES THAT WE'RE 1635 01:10:23,533 --> 01:10:26,402 PROVIDING WERE ALL TESTED. 1636 01:10:26,402 --> 01:10:29,372 THEY'RE GRANDMA APPROVED AS WE 1637 01:10:29,372 --> 01:10:32,108 CALL THEM. 1638 01:10:32,108 --> 01:10:34,844 AND FINALLY SOMETHING THAT IS 1639 01:10:34,844 --> 01:10:36,145 REALLY IMPORTANT AND THAT I 1640 01:10:36,145 --> 01:10:38,281 ALWAYS MENTION IS THAT ALL OF 1641 01:10:38,281 --> 01:10:39,916 THESE ADAPTATIONS HAVE SOB 1642 01:10:39,916 --> 01:10:41,351 GUIDED BY A FRAMEWORK. 1643 01:10:41,351 --> 01:10:43,953 WE USE THE FRAMEWORK TO GUIDE 1644 01:10:43,953 --> 01:10:49,826 WHEN OR WHO OR WHAT OR WHERE OFL 1645 01:10:49,826 --> 01:10:52,862 MOST IMPORTANTLY WHY REASONS WHY 1646 01:10:52,862 --> 01:10:54,497 WE'RE DOING THESE ADAPTATIONS. 1647 01:10:54,497 --> 01:10:58,501 I USE THIS ONE IN PARTICULAR, 1648 01:10:58,501 --> 01:11:00,236 WILL ARE MANY FRAMEWORKS OUT 1649 01:11:00,236 --> 01:11:00,470 THERE. 1650 01:11:00,470 --> 01:11:04,440 I HAVE TO MENTION THE HEALTH 1651 01:11:04,440 --> 01:11:06,442 EQUITY FRAMEWORK WHICH IS VERY 1652 01:11:06,442 --> 01:11:08,578 HELPFUL AND THE SCOL 1653 01:11:08,578 --> 01:11:10,346 CONSOLIDATED FRAMEWORK FOR 1654 01:11:10,346 --> 01:11:12,949 RESEARCH AND ROLE MODEL FROM THE 1655 01:11:12,949 --> 01:11:14,017 AMERICAN HEART ASSOCIATION, 1656 01:11:14,017 --> 01:11:16,285 THEY'RE GOOD WAYS FOR YOU TO 1657 01:11:16,285 --> 01:11:17,520 CONCEPTUALIZE WHAT YOU NEED TO 1658 01:11:17,520 --> 01:11:22,158 DO AS YOU ADOPT AN INTERVENTION. 1659 01:11:22,158 --> 01:11:29,999 LASTLY, I HAVE TO MENTION THAT 1660 01:11:29,999 --> 01:11:31,968 EAR DIETARY PATTERNS. 1661 01:11:31,968 --> 01:11:36,172 I USE THE MEDITERRANEAN DIET 1662 01:11:36,172 --> 01:11:37,740 BECAUSE IT'S POPULAR AND 1663 01:11:37,740 --> 01:11:38,474 EVERYONE KNOWS IT. 1664 01:11:38,474 --> 01:11:41,144 BUT WE HAVE TO REMEMBER THAT ALL 1665 01:11:41,144 --> 01:11:45,048 OF THESE -- CULTURE IS A LAYER 1666 01:11:45,048 --> 01:11:48,251 AND WE HAVE MULTIPLE DIFFERENT 1667 01:11:48,251 --> 01:11:50,286 CULTURES NOT JUST BY COUNTRY BUT 1668 01:11:50,286 --> 01:11:51,087 DIFFERENT ASPECTS. 1669 01:11:51,087 --> 01:11:53,690 THERE ARE MANY PATTERNS 1670 01:11:53,690 --> 01:11:54,223 CULTURALLY DIVERSE. 1671 01:11:54,223 --> 01:11:56,726 IF YOU LOOK GLOBALLY, WE HAVE SO 1672 01:11:56,726 --> 01:11:58,161 MANY GUIDELINES THAT WE HAVE TO 1673 01:11:58,161 --> 01:12:03,132 FIGURE OUT HOW DO WE ADAPT ALL 1674 01:12:03,132 --> 01:12:06,102 OF THESE MESSAGES THAT SPEAK TO 1675 01:12:06,102 --> 01:12:07,503 A PARTICULAR GROUP INTO THEIR 1676 01:12:07,503 --> 01:12:08,604 DIFFERENT POPULATIONS. 1677 01:12:08,604 --> 01:12:10,506 WITH THAT, I'M GOING TO CLOSE 1678 01:12:10,506 --> 01:12:15,545 WITH A COUPLE OF RESEARCH GAPS 1679 01:12:15,545 --> 01:12:16,312 AND OPPORTUNITIES. 1680 01:12:16,312 --> 01:12:17,847 GAPS THAT WE HAVE TO KEEP IN 1681 01:12:17,847 --> 01:12:20,516 MIND IS THAT WE STILL HAVE 1682 01:12:20,516 --> 01:12:21,951 LIMITATION NOTICE EVIDENCE FROM 1683 01:12:21,951 --> 01:12:23,252 DIVERSE POPULATIONS. 1684 01:12:23,252 --> 01:12:24,887 BUT WITH THAT, IT OPENS AN 1685 01:12:24,887 --> 01:12:29,058 OPPORTUNITY THAT WE HAVE GOOD 1686 01:12:29,058 --> 01:12:32,729 COHORTS OUT THERE THAT YOU CAN 1687 01:12:32,729 --> 01:12:35,098 FIND OUT THE TRADITIONAL FOODS 1688 01:12:35,098 --> 01:12:38,835 THAT MAY BE PREVENTING CHRONIC 1689 01:12:38,835 --> 01:12:41,604 DISEASES IN POPULATIONS OF 1690 01:12:41,604 --> 01:12:42,572 DIVERSE CHARACTERISTICS. 1691 01:12:42,572 --> 01:12:47,844 THERE IS NO CONSENSUS WITH 1692 01:12:47,844 --> 01:12:49,712 HEALTH BUT WE HAVE DERCHTIONS. 1693 01:12:49,712 --> 01:12:52,281 THE OTHER THING THAT I WANT TO 1694 01:12:52,281 --> 01:12:53,583 SEE WITH GAPS AND OPPORTUNITIES, 1695 01:12:53,583 --> 01:12:57,587 THIS IS A WARNING, WHEN WE TALK 1696 01:12:57,587 --> 01:12:59,989 ABOUT CULTURE, WE MIGHT BE 1697 01:12:59,989 --> 01:13:03,159 TALKING ABOUT SOME STEREOTYPES 1698 01:13:03,159 --> 01:13:08,598 OR BIASES OR JUDGMENTS. 1699 01:13:08,598 --> 01:13:10,500 THAT'S NOT THE PURPOSE OF 1700 01:13:10,500 --> 01:13:11,634 INCORPORATING CULTURE INTO OUR 1701 01:13:11,634 --> 01:13:13,903 EVIDENCE BASE, BUT RATHER IT'S 1702 01:13:13,903 --> 01:13:15,872 BEEN VALIDATING AND VALUING 1703 01:13:15,872 --> 01:13:21,477 CULTURE IN OUR NUTRITION 1704 01:13:21,477 --> 01:13:21,711 SCIENCE. 1705 01:13:21,711 --> 01:13:23,012 THANK YOU VERY MUCH AND ENJOY 1706 01:13:23,012 --> 01:13:24,447 THE REST OF THE PANEL. 1707 01:13:24,447 --> 01:13:25,648 >> THANK YOU SO MUCH. 1708 01:13:25,648 --> 01:13:28,117 THAT HELPS SET THE STAGE FOR THE 1709 01:13:28,117 --> 01:13:32,588 REST EVER OF OUR PANELS TODAY. 1710 01:13:32,588 --> 01:13:38,461 I'LL TURN IT OVER TO MODERATING 1711 01:13:38,461 --> 01:13:40,129 FOR PANEL ONE. 1712 01:13:40,129 --> 01:13:41,364 >> THANK YOU. 1713 01:13:41,364 --> 01:13:44,300 GOOD AFTERNOON. 1714 01:13:44,300 --> 01:13:46,035 I WANT TO SAY WE'RE RUNNING A 1715 01:13:46,035 --> 01:13:47,737 LITTLE BEHIND SO WE'RE GOING TO 1716 01:13:47,737 --> 01:13:49,372 SKIP THE BREAK AND GO STRAIGHT 1717 01:13:49,372 --> 01:13:50,339 INTO THE PANEL. 1718 01:13:50,339 --> 01:13:56,145 I'M KIBBE BROWN THE ULT 1719 01:13:56,145 --> 01:13:58,915 CONSULTANT FOR INDIAN EXPWHEALT 1720 01:13:58,915 --> 01:14:00,783 PREVENTION. 1721 01:14:00,783 --> 01:14:03,085 IT'S BEEN A PLEASURE TO SERVE ON 1722 01:14:03,085 --> 01:14:04,387 THIS CAN COMMITTEE. 1723 01:14:04,387 --> 01:14:05,922 I WANTED TO SAY A COUPLE OF 1724 01:14:05,922 --> 01:14:07,089 THINGS ABOUT MYSELF. 1725 01:14:07,089 --> 01:14:13,062 I AM A MEMBER OF THE TRIBE IN 1726 01:14:13,062 --> 01:14:16,299 SOUTH DAKOTA. 1727 01:14:16,299 --> 01:14:18,301 IT'S BEEN INTERESTING TO WATCH 1728 01:14:18,301 --> 01:14:20,736 THE FOOD SOVEREIGNTY MOVEMENT. 1729 01:14:20,736 --> 01:14:24,207 ALL THE ACTIVITY HAPPENING 1730 01:14:24,207 --> 01:14:25,408 ACROSS INDIA COUNTRY. 1731 01:14:25,408 --> 01:14:28,044 OUR PANELISTS WILL TOUCH ON SOME 1732 01:14:28,044 --> 01:14:29,278 EXAMPLES. 1733 01:14:29,278 --> 01:14:30,780 IF YOU CAN TELL ON THE SLIDE 1734 01:14:30,780 --> 01:14:35,084 THAT WE HAVE A GREAT LINE-UP OF 1735 01:14:35,084 --> 01:14:38,120 SPEAKERS FOR THIS PANEL WHICH 1736 01:14:38,120 --> 01:14:40,690 HIGHLIGHTS THE SOCIOCULTURAL CAN 1737 01:14:40,690 --> 01:14:43,092 FACTORS HIGHLIGHTING FOOD 1738 01:14:43,092 --> 01:14:44,493 SOVEREIGNTY IN NATIVE MERCH 1739 01:14:44,493 --> 01:14:45,695 COMMUNITIES. 1740 01:14:45,695 --> 01:14:46,929 WE'LL BEGIN WITH THE 1741 01:14:46,929 --> 01:14:50,666 PRESENTATION BY ENTITLED FOOD 1742 01:14:50,666 --> 01:14:56,906 SOVEREIGNTY AND FOOD WITHIN 1743 01:14:56,906 --> 01:15:00,877 INDIGENOUS COMMUNITIES. 1744 01:15:00,877 --> 01:15:04,847 DURING THE Q&A DISCUSSION, 1745 01:15:04,847 --> 01:15:09,218 PLEASE SEND YOUR QUESTIONS USING 1746 01:15:09,218 --> 01:15:10,887 THE LIVE FEEDBACK. 1747 01:15:10,887 --> 01:15:12,555 PLEASE STATE WHICH PANELIST 1748 01:15:12,555 --> 01:15:13,789 YOU'RE DIRECTING YOUR QUESTION 1749 01:15:13,789 --> 01:15:15,157 TO. 1750 01:15:15,157 --> 01:15:18,694 LET ME INTRODUCE OUR FIRST 1751 01:15:18,694 --> 01:15:19,762 SPEAKER. 1752 01:15:19,762 --> 01:15:22,899 THE DIRECTOR OF THE CENTER FOR 1753 01:15:22,899 --> 01:15:25,501 INDIGENOUS RESEARCH POLICY AND A 1754 01:15:25,501 --> 01:15:28,471 PROFESSOR WITHIN THE CENTER OF 1755 01:15:28,471 --> 01:15:31,340 HEALTH SCIENCES AT OKLAHOMA 1756 01:15:31,340 --> 01:15:37,680 STATE UNIVERSITY. 1757 01:15:37,680 --> 01:15:40,683 WELCOME DR. JEMIGAN. 1758 01:15:40,683 --> 01:15:44,387 >> THANK YOU DR. BROWN. 1759 01:15:44,387 --> 01:15:46,389 NEXT SLIDE PLEASE. 1760 01:15:46,389 --> 01:15:48,124 I WILL BE TALKING ABOUT FOOD 1761 01:15:48,124 --> 01:15:50,760 SOVEREIGNTY AS A PATH TO 1762 01:15:50,760 --> 01:15:52,929 INDIGENOUS HEALTH EQUITY. 1763 01:15:52,929 --> 01:15:55,298 NEXT SLIDE. 1764 01:15:55,298 --> 01:16:02,338 I WANT TO SAY THANK YOU TO THE 1765 01:16:02,338 --> 01:16:03,406 NIH CONFERENCE ORGANIZING 1766 01:16:03,406 --> 01:16:04,540 COMMITTEE AND I WANT TO THANK 1767 01:16:04,540 --> 01:16:08,377 THE CENTER FOR INDIGENOUS 1768 01:16:08,377 --> 01:16:10,413 INNOVATION AND HEALTH PARTNERING 1769 01:16:10,413 --> 01:16:12,415 COMMUNITIES. 1770 01:16:12,415 --> 01:16:16,686 WE HAVE EXCELLENT PARTNERS FROM 1771 01:16:16,686 --> 01:16:20,890 OSAGE NATION, CENTER FOR ALASKAN 1772 01:16:20,890 --> 01:16:22,458 NATIVE HEALTH RESEARCH 1773 01:16:22,458 --> 01:16:29,665 UNIVERSITY OF ALASKA FAIR BANKS. 1774 01:16:29,665 --> 01:16:33,102 DENAKKANAAGA INK AND SOUTH 1775 01:16:33,102 --> 01:16:34,370 CENTRAL IN ALASKA. 1776 01:16:34,370 --> 01:16:38,808 HERE I TOUCH ON NUTRITION AND 1777 01:16:38,808 --> 01:16:43,412 DIET DISPARITIES IN NATIVE 1778 01:16:43,412 --> 01:16:47,116 AMERICAN AND ALASKAN 1779 01:16:47,116 --> 01:16:48,184 COMMUNITIES. 1780 01:16:48,184 --> 01:16:52,154 FOOD INSECURITY IS LINKED WITH 1781 01:16:52,154 --> 01:16:57,760 HIGH HEALTH CARE COSTS AND 1782 01:16:57,760 --> 01:16:58,527 PREMATURE DEATH. 1783 01:16:58,527 --> 01:17:00,429 I LOOKED AT THIS IN THE EARLIEST 1784 01:17:00,429 --> 01:17:02,832 PARTS OF MY CAREER. 1785 01:17:02,832 --> 01:17:04,700 THE PREFER LENS OF FOOD 1786 01:17:04,700 --> 01:17:06,035 INSECURITY IS HIGH IN NATIVE 1787 01:17:06,035 --> 01:17:06,469 COMMUNITIES. 1788 01:17:06,469 --> 01:17:09,105 MY COLLEAGUES AND I RECENTLY 1789 01:17:09,105 --> 01:17:10,973 CONDUCTED A SCOPING REVIEW TO 1790 01:17:10,973 --> 01:17:13,409 EXAMINE THE REV LENS OF FOOD 1791 01:17:13,409 --> 01:17:16,278 INSECURITY ACROSS THE UNIVERSITY 1792 01:17:16,278 --> 01:17:18,381 IN AMERICAN INDIA AND ALASKAN 1793 01:17:18,381 --> 01:17:19,115 NATIVE COMMUNITIES. 1794 01:17:19,115 --> 01:17:23,986 WE LOOKED AT STUDIES PUBLISHED 1795 01:17:23,986 --> 01:17:25,287 AFTER 1990 THROUGH 2021 AND 1796 01:17:25,287 --> 01:17:31,260 FOUND AN AVERAGE PREVALENCE EVER 1797 01:17:31,260 --> 01:17:36,732 458.7% ALTHOUGH THEY VARIED FROM 1798 01:17:36,732 --> 01:17:43,939 60 TO 80% IN OTHER COMMUNITIES. 1799 01:17:43,939 --> 01:17:47,276 YOU CAN SEE THIS IS A DIG 1800 01:17:47,276 --> 01:17:47,943 DISPARITY. 1801 01:17:47,943 --> 01:17:50,780 IN OKLAHOMA WE FOUND 60% OF 1802 01:17:50,780 --> 01:17:52,882 NATIVE AMERICANS FOR FOOD 1803 01:17:52,882 --> 01:17:53,149 INSECURE. 1804 01:17:53,149 --> 01:17:55,918 THEY WERE MSH LIKELY TO HAVE 1805 01:17:55,918 --> 01:17:57,953 DIABETES, OBESITY AND 1806 01:17:57,953 --> 01:18:00,356 HYPERTENSION COMPARED TO 1807 01:18:00,356 --> 01:18:01,357 INDIVIDUALS WHO WERE FOOD 1808 01:18:01,357 --> 01:18:01,824 SECURE. 1809 01:18:01,824 --> 01:18:05,795 WE KNOW FROM DATA COLLECTED AS 1810 01:18:05,795 --> 01:18:09,065 PART OF THE NATIONAL INTERVIEW 1811 01:18:09,065 --> 01:18:11,600 SURVEY WHICH INCLUDES NATIVES 1812 01:18:11,600 --> 01:18:13,402 THAT NATIVES ARE THREE TIMES 1813 01:18:13,402 --> 01:18:16,305 MORE LIKELY TO HAVE DIABETES 1814 01:18:16,305 --> 01:18:18,207 COMPARED TO WHITES AND MUCH MORE 1815 01:18:18,207 --> 01:18:21,410 LIKELY TO DIE FROM 1816 01:18:21,410 --> 01:18:22,311 DIABETES-RELATED COMPLICATIONS. 1817 01:18:22,311 --> 01:18:25,047 HAS TO CHALLENGES REQUIRE US TO 1818 01:18:25,047 --> 01:18:27,049 DIRECTLY INTERVENE AS STRUCTURAL 1819 01:18:27,049 --> 01:18:29,652 AND ENVIRONMENTAL LEVELS AND 1820 01:18:29,652 --> 01:18:31,587 CREATE LONG-TERM ACCESS TO 1821 01:18:31,587 --> 01:18:34,256 HEALTHY FOODS THAT IS CULTURALLY 1822 01:18:34,256 --> 01:18:36,025 CENTERED AND RELIABLE. 1823 01:18:36,025 --> 01:18:43,699 AND IN THIS NEXT SLIDE HERE, STT 1824 01:18:43,699 --> 01:18:45,301 SHOWS GARDENING INTERVENTIONS 1825 01:18:45,301 --> 01:18:47,703 WITH THE OSAGE NATION. 1826 01:18:47,703 --> 01:18:50,639 THAT'S PART OF INDIGENOUS FOOD 1827 01:18:50,639 --> 01:18:53,709 SOVEREIGNTY WHICH IS THIS 1828 01:18:53,709 --> 01:18:55,611 GRASSROOTS SOCIAL MOVEMENT THAT 1829 01:18:55,611 --> 01:18:57,146 ADDRESSES SOME OF THE MANY 1830 01:18:57,146 --> 01:18:59,548 BARRIERS TO HEALTHY FOOD ACCESS 1831 01:18:59,548 --> 01:19:01,450 AND TRADITION IN NATIVE 1832 01:19:01,450 --> 01:19:02,184 COMMUNITIES. 1833 01:19:02,184 --> 01:19:04,320 IT'S DEFINED AS THE RIGHT AND 1834 01:19:04,320 --> 01:19:06,755 RESPONSIBILITY OF INDIGENOUS 1835 01:19:06,755 --> 01:19:08,591 COMMUNITIES TO HELP HAVE 1836 01:19:08,591 --> 01:19:10,359 CULTURALLY APPROPRIATE FOODS 1837 01:19:10,359 --> 01:19:12,495 PRODUCED THROUGH INDIGENOUS 1838 01:19:12,495 --> 01:19:14,663 PRACTICES AND EMERGED AS AN 1839 01:19:14,663 --> 01:19:17,199 IMPORTANT STRATEGY TO SUPPORT 1840 01:19:17,199 --> 01:19:19,401 INDIGENOUS COMMUNITIES IN TAKING 1841 01:19:19,401 --> 01:19:20,769 GREATER CONTROL OVER OUR LAND 1842 01:19:20,769 --> 01:19:22,838 AND FOOD SYSTEMS BY INCREASING 1843 01:19:22,838 --> 01:19:24,507 AND PROTECTING TRA DECISIONAL 1844 01:19:24,507 --> 01:19:26,675 HEALTHY FOODS AND REDUCING 1845 01:19:26,675 --> 01:19:28,344 DEPENDENCE ON PACKAGED AND FAST 1846 01:19:28,344 --> 01:19:30,179 FOODS. 1847 01:19:30,179 --> 01:19:32,648 THE FOOD SOVEREIGNTY MOVEMENT 1848 01:19:32,648 --> 01:19:34,517 CENTERS INDIGENOUS WORLD VIEWS 1849 01:19:34,517 --> 01:19:36,118 AND CULTURAL PRACTICES AND 1850 01:19:36,118 --> 01:19:38,120 KNOWLEDGE WHICH ARE NOT INCLUDED 1851 01:19:38,120 --> 01:19:41,924 IN THE PUBLIC HEALTH OR MEDICAL 1852 01:19:41,924 --> 01:19:43,559 LITERATURE AND FOOD SOVEREIGNTY 1853 01:19:43,559 --> 01:19:45,861 IS A BROAD TERM THAT DESCRIBES 1854 01:19:45,861 --> 01:19:47,730 MANY TYPES EVER ACTIVITIES 1855 01:19:47,730 --> 01:19:49,632 RELATED TO TRADITION THE 1856 01:19:49,632 --> 01:19:51,433 FOODWAYS BUT A COMMON VALUE 1857 01:19:51,433 --> 01:19:52,568 WITHIN THE FOOD SORCHTSY 1858 01:19:52,568 --> 01:19:58,240 MOVEMENT I -- FOOD SOVEREIGNTY 1859 01:19:58,240 --> 01:19:59,675 MOVEMENT RESTORE EFFORTS AS THE 1860 01:19:59,675 --> 01:20:02,378 ORIGINAL LAW OR GREAT LAW 1861 01:20:02,378 --> 01:20:02,978 INCLUDING THE ORIGINAL 1862 01:20:02,978 --> 01:20:04,847 AGREEMENTS THAT OUR ANCESTORS 1863 01:20:04,847 --> 01:20:07,850 MADE WITH OUR PLANT AND ANIMAL 1864 01:20:07,850 --> 01:20:09,919 RELATIVES WHICH IS THAT WE'LL 1865 01:20:09,919 --> 01:20:12,755 CARE FOR THEM AND THEY IN TURN 1866 01:20:12,755 --> 01:20:14,523 WILL CARE FOR US. 1867 01:20:14,523 --> 01:20:16,692 IT'S THIS RESTORATION OF 1868 01:20:16,692 --> 01:20:17,793 RELATIONAL RESPONSIBILITIES THAT 1869 01:20:17,793 --> 01:20:20,262 WE BELIEVE IS THE KEY TO LEADING 1870 01:20:20,262 --> 01:20:21,997 BALANCES AND HEALTHY LIVES AND 1871 01:20:21,997 --> 01:20:24,500 THAT IS ULTIMATELY WHAT WILL 1872 01:20:24,500 --> 01:20:26,635 IMPROVE HEALTH AND WELLNESS IN 1873 01:20:26,635 --> 01:20:29,338 OUR COMMUNITIES. 1874 01:20:29,338 --> 01:20:32,007 THIS IS A PICTURE OF OUR OSAGE 1875 01:20:32,007 --> 01:20:37,446 AND ALASKAN NATIVE PARTNERS IN 1876 01:20:37,446 --> 01:20:39,181 ANCHORAGE TAINDING A FOOD 1877 01:20:39,181 --> 01:20:45,754 GATHERS WHICH. 1878 01:20:45,754 --> 01:20:49,959 THE PURPOSE OF THIS CENTER FOR 1879 01:20:49,959 --> 01:20:51,927 INDIGENOUS INVASION AND HEALTH 1880 01:20:51,927 --> 01:20:53,996 EQUITY IS TO SUPPORT THE 1881 01:20:53,996 --> 01:20:56,198 COMMUNITIES ACROSS THE U.S. AND 1882 01:20:56,198 --> 01:20:58,767 EVALUATE THEIR IMPACT ON HEALTH 1883 01:20:58,767 --> 01:20:59,535 OUTCOMES. 1884 01:20:59,535 --> 01:21:03,005 THIS WILL ADDRESS THE GAP IN 1885 01:21:03,005 --> 01:21:05,641 SCIENTIFIC LITERATURE FOR HEALTH 1886 01:21:05,641 --> 01:21:07,743 AND WELLNESS AS WELL AS 1887 01:21:07,743 --> 01:21:09,078 DEMONSTRATE THE CLEAR 1888 01:21:09,078 --> 01:21:10,045 RELATIONSHIP BETWEEN FOOD 1889 01:21:10,045 --> 01:21:11,580 SOVEREIGNTY AND IMPROVED HEALTH 1890 01:21:11,580 --> 01:21:14,416 WHICH WE KNOW EXISTS BUT HASN'T 1891 01:21:14,416 --> 01:21:15,484 BEEN WELL-DOCUMENTED OR 1892 01:21:15,484 --> 01:21:17,987 DOCUMENTED AT ALL WITHIN THE 1893 01:21:17,987 --> 01:21:22,258 SCIENTIFIC LITERATURE. 1894 01:21:22,258 --> 01:21:25,928 I WANT TO SHOW YOU SOME SPECIFIC 1895 01:21:25,928 --> 01:21:29,431 EXAMPLES OF WHAT FOOD 1896 01:21:29,431 --> 01:21:30,299 SOVEREIGNTY INITIATIVES LOOK 1897 01:21:30,299 --> 01:21:32,801 LIKE FOR INDIGENOUS COMMUNITIES. 1898 01:21:32,801 --> 01:21:39,842 HERE ASK T IS THE GROWING HOPE M 1899 01:21:39,842 --> 01:21:44,446 OF THE CHOCTAW NATION. 1900 01:21:44,446 --> 01:21:48,050 THEY DISTRIBUTE HEIRLOOM SEEDS 1901 01:21:48,050 --> 01:21:50,452 BROUGHT FROM THE ORIGINAL HOME 1902 01:21:50,452 --> 01:21:51,487 LANDS IN THE EASTERN PART OF THE 1903 01:21:51,487 --> 01:21:52,388 UNITED STATES. 1904 01:21:52,388 --> 01:21:54,156 WE SEWED THEM INTO OUR CLOTHING 1905 01:21:54,156 --> 01:21:57,459 AND CARRIED THEM TO NOW WHAT IS 1906 01:21:57,459 --> 01:21:58,460 PRESENT-DAY OKLAHOMA AS PART OF 1907 01:21:58,460 --> 01:22:02,364 THE TRAIL OF TIRES. 1908 01:22:02,364 --> 01:22:03,499 TARYS. 1909 01:22:03,499 --> 01:22:08,103 THEY WERE KEPT BY CHOCTAW 1910 01:22:08,103 --> 01:22:09,438 FAMILIES AND SNARED THIS PROGRAM 1911 01:22:09,438 --> 01:22:13,475 WHO ARE PROVIDED SEEDS TO 1912 01:22:13,475 --> 01:22:15,878 SUPPORT AND MAINTAIN A 1913 01:22:15,878 --> 01:22:17,913 TRADITIONAL CHOCTAW GARDEN. 1914 01:22:17,913 --> 01:22:20,416 IT INCLUDES TRADITIONAL PLANTING 1915 01:22:20,416 --> 01:22:24,386 METHODS SUCH AS THREE SISTERS 1916 01:22:24,386 --> 01:22:28,223 AND PLANTING OF CORN BEANS AND 1917 01:22:28,223 --> 01:22:29,558 SWASH. 1918 01:22:29,558 --> 01:22:30,959 COOKING TRADITIONAL FOODS AND 1919 01:22:30,959 --> 01:22:32,494 FOOD PRESERVATION. 1920 01:22:32,494 --> 01:22:35,130 WE AS PART OF THIS WILL ARE 1921 01:22:35,130 --> 01:22:36,799 ASSESSING HEALTH OUTCOMES 1922 01:22:36,799 --> 01:22:38,701 INCLUDING FOOD SECURITY, CHANGES 1923 01:22:38,701 --> 01:22:41,737 IN DIETARY INTAKE, BLOOD 1924 01:22:41,737 --> 01:22:43,539 PRESSURE AND SELF-REPORTED 1925 01:22:43,539 --> 01:22:47,443 HEALTH. 1926 01:22:47,443 --> 01:22:51,880 ANOTHER EXAMPLE IS THE 1927 01:22:51,880 --> 01:22:53,182 INTERVENTION OUT OF FAIRBANKS 1928 01:22:53,182 --> 01:22:56,018 WITH OUR PARTNERS THERE -- 1929 01:22:56,018 --> 01:23:00,389 >> YOU HAVE TWO MINUTES 1930 01:23:00,389 --> 01:23:01,090 REMAINING. 1931 01:23:01,090 --> 01:23:03,092 >> THIS IS ELDERS MENTORING 1932 01:23:03,092 --> 01:23:05,027 ELDERS IS WHAT IT'S CALLED. 1933 01:23:05,027 --> 01:23:09,665 IT'S LED BY ALASKAN NAIT ELDERS 1934 01:23:09,665 --> 01:23:13,235 THAT TEACH TRADITIONAL FOOD 1935 01:23:13,235 --> 01:23:14,870 PRACTICES WITH RESIDENTIAL 1936 01:23:14,870 --> 01:23:16,739 SCHOOL SURVIVORS AND FAMILIES. 1937 01:23:16,739 --> 01:23:18,440 NATIVE PEOPLE WERE TAKEN AS PART 1938 01:23:18,440 --> 01:23:20,309 OF THE ASSIMILATION PROCESS IN 1939 01:23:20,309 --> 01:23:23,946 THIS COUNTRY AND MY OWN 1940 01:23:23,946 --> 01:23:25,781 GRANDMOTHER, FOR EXAMPLE, WAS 1941 01:23:25,781 --> 01:23:27,516 PLACED IN A RESIDENTIAL SCHOOL. 1942 01:23:27,516 --> 01:23:29,585 MANY OF US DID NOT HAVE A CHANCE 1943 01:23:29,585 --> 01:23:32,121 TO LEARN OUR CULTURAL WAYS OR AS 1944 01:23:32,121 --> 01:23:34,356 THE PROJECT LEAD IN THIS 1945 01:23:34,356 --> 01:23:35,424 PARTICULAR PROJECT STATES IT, 1946 01:23:35,424 --> 01:23:38,660 THIS IS HOW WE LEARN OUR 1947 01:23:38,660 --> 01:23:38,961 TRADITIONS. 1948 01:23:38,961 --> 01:23:40,963 THAT'S HOW WE BECOME A HUMAN 1949 01:23:40,963 --> 01:23:42,731 BEING IN OUR CULTURE. 1950 01:23:42,731 --> 01:23:45,868 IN IS LOOKING TO RESTORE THAT 1951 01:23:45,868 --> 01:23:47,503 PROCESS AND THE TRANSMISSION OF 1952 01:23:47,503 --> 01:23:48,337 CULTURAL KNOWLEDGE. 1953 01:23:48,337 --> 01:23:51,106 WE'RE EVALUATING THE IMPACT OF 1954 01:23:51,106 --> 01:23:54,109 THESE CULTURE CAMPS OF SOCIAL 1955 01:23:54,109 --> 01:23:56,378 AND CULTURAL WELL-BEING, 1956 01:23:56,378 --> 01:23:58,480 SELF-REPORTED HEALTH AND DIETARY 1957 01:23:58,480 --> 01:24:00,883 INTAKE. 1958 01:24:00,883 --> 01:24:03,819 MY COLLEAGUES AND I -- NEXT 1959 01:24:03,819 --> 01:24:09,958 SLIDE. 1960 01:24:09,958 --> 01:24:20,002 MY EXPLEETION I C COLLEAGUES ANA 1961 01:24:20,002 --> 01:24:22,704 COMMUNITY PARTNERSHIP DEVELOPED 1962 01:24:22,704 --> 01:24:26,141 TO MEND THE RELATE BETWEEN FOOD 1963 01:24:26,141 --> 01:24:27,376 SOVEREIGNTY AND HEALTH. 1964 01:24:27,376 --> 01:24:30,345 IT'S MEANT TO BE READ FROM LEFT 1965 01:24:30,345 --> 01:24:32,214 TO RIGHT. 1966 01:24:32,214 --> 01:24:35,751 WE HAVE GATHERING AND FORAGING, 1967 01:24:35,751 --> 01:24:40,789 AND GARDENING AND WE HAVE THE 1968 01:24:40,789 --> 01:24:44,626 EFFECTS OF THIS. 1969 01:24:44,626 --> 01:24:46,728 THIS IS FLFERRED BY 1970 01:24:46,728 --> 01:24:50,599 COMMUNITY-BASED PRACTICE AS WELL 1971 01:24:50,599 --> 01:24:51,934 AS SCIENTIFIC LITERATURE. 1972 01:24:51,934 --> 01:24:53,969 IT'S BASED ON A COUPLE MUCH 1973 01:24:53,969 --> 01:24:57,306 THEORIES EVER CHANGE, THE 1974 01:24:57,306 --> 01:24:59,308 CONNECTIVENESS MODEL WHICH 1975 01:24:59,308 --> 01:25:03,011 PAUSES THAT BE CONNECTIVES IN 1976 01:25:03,011 --> 01:25:05,280 AND INDIVIDUALNESS LEADS TO 1977 01:25:05,280 --> 01:25:07,182 HEALING AND THE DISCONNECTION 1978 01:25:07,182 --> 01:25:11,820 LEADS TO POOR HEALTH AS WELL AS 1979 01:25:11,820 --> 01:25:13,288 SELF-DETERMINATION AND CULTURAL 1980 01:25:13,288 --> 01:25:14,356 CONTINUITY. 1981 01:25:14,356 --> 01:25:16,792 WE PUBLISHED THIS AS PASSIONATE 1982 01:25:16,792 --> 01:25:23,866 OF A 12 HRT SERIES 12-PART SERIT 1983 01:25:23,866 --> 01:25:24,733 IN NOVEMBER. 1984 01:25:24,733 --> 01:25:27,302 NEXT SLIDE, I'LL CONCLUDE WITH 1985 01:25:27,302 --> 01:25:29,938 TH LAST SLIDE A BEAUTIFUL QUOTE 1986 01:25:29,938 --> 01:25:36,512 BY OUR LAGUNA WRITER WHO SO 1987 01:25:36,512 --> 01:25:43,452 BUFFBEAUTIFULLY WROTE IN HER BO. 1988 01:25:43,452 --> 01:25:45,854 THIS IS ALL WE HAVE TO FIGHT OFF 1989 01:25:45,854 --> 01:25:47,756 ILLNESS AND DEATH. 1990 01:25:47,756 --> 01:25:49,591 THIS IS WHAT THE FOOD 1991 01:25:49,591 --> 01:25:52,761 SOVEREIGNTY INITIATIVES ARE 1992 01:25:52,761 --> 01:25:54,296 DOING, IS RESTORING 1993 01:25:54,296 --> 01:25:56,532 CONNECTIVENESS AND OUR CULTURAL 1994 01:25:56,532 --> 01:25:59,167 FOODWAYS ARE STORIES AND THE 1995 01:25:59,167 --> 01:26:02,204 RESTORATION OF OUR ORIGINAL 1996 01:26:02,204 --> 01:26:02,504 AGREEMENTS. 1997 01:26:02,504 --> 01:26:04,306 AND LAST SLIDE, THIS IS A 1998 01:26:04,306 --> 01:26:09,177 PICTURE OF SOME OF OUR PARTNERS 1999 01:26:09,177 --> 01:26:09,711 YAKOKE. 2000 01:26:09,711 --> 01:26:12,915 THANK YOU. 2001 01:26:12,915 --> 01:26:14,750 >> THANK YOU FOR THAT EXCELLENT 2002 01:26:14,750 --> 01:26:16,385 PRESENTATION. 2003 01:26:16,385 --> 01:26:26,929 OUR NEXT PRESENTER IS DR. FORETZ 2004 01:26:28,597 --> 01:26:32,067 THE SHEYENNE RIVER SIOUX TRIBE 2005 01:26:32,067 --> 01:26:36,405 FOR HEALTH STUDY ADAPTATION FOR 2006 01:26:36,405 --> 01:26:37,606 INDIGENOUS COMMUNITY. 2007 01:26:37,606 --> 01:26:43,512 SHE'S A CARDIOVASCULAR 2008 01:26:43,512 --> 01:26:45,480 EPIDEMIOLOGIST AIMED AT 2009 01:26:45,480 --> 01:26:48,717 IMPROVING CASHEDIO METABOLIC 2010 01:26:48,717 --> 01:26:54,723 HEALTH IN UNDERSERVED IS 2011 01:26:54,723 --> 01:26:55,023 COMMUNITIES. 2012 01:26:55,023 --> 01:26:58,594 >> GOOD MORNING, EVERYONE. 2013 01:26:58,594 --> 01:27:01,096 AS WAY OF BACKGROUND, THE 2014 01:27:01,096 --> 01:27:06,435 PROBLEMS OF OBESITY AND DIABETES 2015 01:27:06,435 --> 01:27:09,705 AND CORONARY HEART DISEASE ARE 2016 01:27:09,705 --> 01:27:14,076 HIGH AMONG AMERICAN INDIANS. 2017 01:27:14,076 --> 01:27:17,446 ACCORDING TO STATISTICS ABOUT 2018 01:27:17,446 --> 01:27:20,282 48% OF AMERICAN INDIANS HAVE 2019 01:27:20,282 --> 01:27:21,049 OBESITY. 2020 01:27:21,049 --> 01:27:26,288 24% HAVE DIABETES AND 9% HAVE 2021 01:27:26,288 --> 01:27:27,689 CORONARY HEART DISEASE. 2022 01:27:27,689 --> 01:27:32,494 IT'S HYPOTHETICALLIZED THAT THE 2023 01:27:32,494 --> 01:27:35,197 BUSHED CAN BE BE AN TRIBUTED TO 2024 01:27:35,197 --> 01:27:38,266 RECENT CHANGES IN LIFESTYLE. 2025 01:27:38,266 --> 01:27:41,103 THE ADOPTION OF SEDENTARY 2026 01:27:41,103 --> 01:27:44,406 LIFESTYLE INCLUDING INCREASED 2027 01:27:44,406 --> 01:27:47,175 CONSUMPTION OF PROCESSED FOODS 2028 01:27:47,175 --> 01:27:49,711 AND CHANGES IN RESERVATIONS MAY 2029 01:27:49,711 --> 01:27:52,981 BE RESPONSIBLE FOR THE STRIKING 2030 01:27:52,981 --> 01:27:55,550 PREVALENCE OF HEALTH OUTCOMES IN 2031 01:27:55,550 --> 01:27:59,221 AMERICAN INDIAN COMMUNITIES. 2032 01:27:59,221 --> 01:28:02,457 MOST OF WHAT WE KNOW ABOUT 2033 01:28:02,457 --> 01:28:13,602 QUARDIO METAMETABOLIC SEIZES COE 2034 01:28:16,238 --> 01:28:17,506 STUDY. 2035 01:28:17,506 --> 01:28:19,141 I DON'T HAVE TIME TO GO FLOOT 2036 01:28:19,141 --> 01:28:22,144 STUDY IN DETAIL, BUT WORK FROM 2037 01:28:22,144 --> 01:28:25,113 THE STRONG HEART STUDY INFORMS 2038 01:28:25,113 --> 01:28:26,615 THE WORK I WILL STRIE TODAY. 2039 01:28:26,615 --> 01:28:30,986 THIS SHOWS THE ACHIEVEMENT OF 2040 01:28:30,986 --> 01:28:33,455 THE LIFE'S SIMPLE 7 DIE OAT 2041 01:28:33,455 --> 01:28:34,356 GOALS. 2042 01:28:34,356 --> 01:28:37,092 THE GENERAL POPULATION IS SHOWN 2043 01:28:37,092 --> 01:28:39,728 IN PURPLE. 2044 01:28:39,728 --> 01:28:46,568 IN THE INDIANS SNOAN GOALS. 2045 01:28:46,568 --> 01:28:47,969 THE STRONG HEART PARTICIPANTS 2046 01:28:47,969 --> 01:28:51,573 ARE MEETING THE GUIDELINES FOR 2047 01:28:51,573 --> 01:28:56,845 MOST FOODS. 2048 01:28:56,845 --> 01:28:59,314 SO BASED ON FINDINGS FROM THE 2049 01:28:59,314 --> 01:29:01,049 STRONG HEART STAWDY, WE KNOW 2050 01:29:01,049 --> 01:29:03,585 THERE IS NEED FOR CAN 2051 01:29:03,585 --> 01:29:05,921 IMPROVEMENT IN DIET QUALITY IN 2052 01:29:05,921 --> 01:29:07,689 SUSTAINABLE, DIETARY 2053 01:29:07,689 --> 01:29:08,790 INTERVENTIONS ARE NEEDED. 2054 01:29:08,790 --> 01:29:10,425 WE KNOW THERE ARE MANY EXAMPLES 2055 01:29:10,425 --> 01:29:13,562 OF DIET INTERVENTIONS CONDUCTED 2056 01:29:13,562 --> 01:29:14,830 IN DIVERSE POPULATIONS, BUT MOST 2057 01:29:14,830 --> 01:29:16,732 OF THE INTERVENTIONS ARE NOT 2058 01:29:16,732 --> 01:29:19,367 POSSIBLE TO IMPLEMENT FROM 2059 01:29:19,367 --> 01:29:20,435 RESOURCE-LIMITED COMMUNITIES 2060 01:29:20,435 --> 01:29:22,170 LIKE MANY RURAL AND REZ RAILROAD 2061 01:29:22,170 --> 01:29:22,637 VAITION COMMUNITIES. 2062 01:29:22,637 --> 01:29:26,408 THERE IS NO TEACHING KITCHENS, 2063 01:29:26,408 --> 01:29:29,377 THERE ARE FEW CENTRALLY MEETING 2064 01:29:29,377 --> 01:29:32,914 LOCATIONS THAT ARE CONVENIENT TO 2065 01:29:32,914 --> 01:29:33,281 MOST. 2066 01:29:33,281 --> 01:29:35,851 THERE IS LIMITED OR NO PUBLIC 2067 01:29:35,851 --> 01:29:38,053 TRANSPORTATION AND ONLY A 2068 01:29:38,053 --> 01:29:39,755 HANDFUL OF GROCERY STORES. 2069 01:29:39,755 --> 01:29:45,393 MOST EXISTING COMMUNITY DIE OAT 2070 01:29:45,393 --> 01:29:48,230 FOCUS ON PREVENTION OF DIABETES 2071 01:29:48,230 --> 01:29:49,431 AND HEART DISEASE. 2072 01:29:49,431 --> 01:29:51,600 WITH POPULATIONS WITH A HIGH 2073 01:29:51,600 --> 01:29:55,771 BURDEN, WE NEED TO FOCUS ON 2074 01:29:55,771 --> 01:29:57,105 OPTIMIZING HEALTH AMONG THOSE 2075 01:29:57,105 --> 01:30:01,109 WITH EXISTING MORBIDITY. 2076 01:30:01,109 --> 01:30:04,946 THE STRONG HEART STUDY INCLUDES 2077 01:30:04,946 --> 01:30:06,381 PARTICIPANTS FROM 12 TRIBES 2078 01:30:06,381 --> 01:30:08,049 THROUGHOUT THE UNITED STATES AND 2079 01:30:08,049 --> 01:30:10,585 INTERVENTION FOCUSES ON ONE 2080 01:30:10,585 --> 01:30:13,321 COMMUNITY TO DATE, THE SHEYENNE 2081 01:30:13,321 --> 01:30:15,624 RIVER SIOUX TRIBE. 2082 01:30:15,624 --> 01:30:18,260 THE RESERVATION IS THE FOURTH 2083 01:30:18,260 --> 01:30:19,394 LARGEST RESERVATION IN THE 2084 01:30:19,394 --> 01:30:20,095 UNITED STATES. 2085 01:30:20,095 --> 01:30:23,999 IT EXPRIEZS 4200 SQUARE MILES 2086 01:30:23,999 --> 01:30:25,433 WHICH IS THE SIEFERS THE STATE 2087 01:30:25,433 --> 01:30:26,468 EVER CONNECTICUT. 2088 01:30:26,468 --> 01:30:28,837 8,000 PEOPLE LIVE ON THE 2089 01:30:28,837 --> 01:30:30,105 RESERVATION AND IT'S IF ONE OF 2090 01:30:30,105 --> 01:30:31,773 THE LOWEST INCOME COUNTIES IN 2091 01:30:31,773 --> 01:30:42,317 THE USA OUR JOURNEY TO DEVELOP 2092 01:30:42,317 --> 01:30:45,420 AND IMPLEMENT A CULTURALLY 2093 01:30:45,420 --> 01:30:51,092 TAILORED DIE OAT INTERVENTION 2094 01:30:51,092 --> 01:30:51,760 REQUIRES WORK. 2095 01:30:51,760 --> 01:30:54,996 WE STARTED WITH PILOT WORK IN 2096 01:30:54,996 --> 01:30:55,597 2016. 2097 01:30:55,597 --> 01:30:58,834 WE BEGAN THE EARLY STEPS OF A 2098 01:30:58,834 --> 01:30:59,935 TRIAL DESIGN? 2099 01:30:59,935 --> 01:31:08,143 2DESIGN IN 2018 AND HOPE TOHAVE. 2100 01:31:08,143 --> 01:31:10,779 FIRST I'LL TALK ABOUT OUR PILOT 2101 01:31:10,779 --> 01:31:12,280 STUDY. 2102 01:31:12,280 --> 01:31:13,815 IT HAS SEVERAL COMPONENTS 2103 01:31:13,815 --> 01:31:14,883 PARTICULARLY THE ADMINISTRATION 2104 01:31:14,883 --> 01:31:19,788 OF THE USDA COMMUNITY FOOD STORE 2105 01:31:19,788 --> 01:31:24,226 SURVEY AT OUTLETS ON THE 2106 01:31:24,226 --> 01:31:25,227 RESERVATION. 2107 01:31:25,227 --> 01:31:27,095 TO BETTER TRAIRK ADVERTISE THE 2108 01:31:27,095 --> 01:31:29,064 FOOD ENVIRONMENT. 2109 01:31:29,064 --> 01:31:33,602 WE DRUSH BETTER CHARACTERIZE THE 2110 01:31:33,602 --> 01:31:35,837 FOOD ENVIRONMENT. 2111 01:31:35,837 --> 01:31:37,672 WE WORKED TO BETTER UNDERSTAND 2112 01:31:37,672 --> 01:31:41,276 RESOURRESOURCES AND BEE BARRIERD 2113 01:31:41,276 --> 01:31:43,245 FACILITATORS TO EATING HEALTHY 2114 01:31:43,245 --> 01:31:43,845 FOODS. 2115 01:31:43,845 --> 01:31:47,816 WE SET THE GROUNDWORK TO PROMOTE 2116 01:31:47,816 --> 01:31:53,054 HEALTHY FOOD CHOICE. 2117 01:31:53,054 --> 01:31:56,391 THE COMPONENT OF OUR PILOT WORK 2118 01:31:56,391 --> 01:31:58,927 HIGHLIGHTED FIVE MAJOR TOPICS TO 2119 01:31:58,927 --> 01:32:00,462 HEALTHY EATING. 2120 01:32:00,462 --> 01:32:02,364 EXTERNAL FACTORS WERE COST, 2121 01:32:02,364 --> 01:32:03,899 AVAILABILITY AND QUALITY. 2122 01:32:03,899 --> 01:32:05,200 INTERNAL FACTORS WERE TASTE AND 2123 01:32:05,200 --> 01:32:05,901 KNOWLEDGE. 2124 01:32:05,901 --> 01:32:10,071 IN THE USDA COMMUNITY SURVEY 2125 01:32:10,071 --> 01:32:11,773 DEMONSTRATED MORE THAN 90% OF 2126 01:32:11,773 --> 01:32:13,375 FOODS ON THE SURVEY WERE 2127 01:32:13,375 --> 01:32:15,443 AVAILABLE AT LOCAL STORRS BUT 2128 01:32:15,443 --> 01:32:17,245 THERE WAS A HUGE RANGE OF PRICES 2129 01:32:17,245 --> 01:32:19,447 ACROSS THE STORES. 2130 01:32:19,447 --> 01:32:23,051 NEXT SLIDE. 2131 01:32:23,051 --> 01:32:25,820 BASED ON OUR FINDINGS, WE 2132 01:32:25,820 --> 01:32:27,622 DETERMINED THAT THE COOKING 2133 01:32:27,622 --> 01:32:29,190 MATTERS PROGRAM WHICH IS SHARE 2134 01:32:29,190 --> 01:32:31,026 OUR STRENGTH CAMPAIGN THAT 2135 01:32:31,026 --> 01:32:34,596 OFFERS COOKING CLASSES TO 2136 01:32:34,596 --> 01:32:36,298 FAMILIES PARTLY FILLED MANY OF 2137 01:32:36,298 --> 01:32:39,301 THE NEEDS FOR DIET INTERVENTION. 2138 01:32:39,301 --> 01:32:42,237 HOWEVER, THE INTERVENTION NEEDED 2139 01:32:42,237 --> 01:32:44,205 MAJOR ADAPTATIONS TO WORK WELL 2140 01:32:44,205 --> 01:32:46,374 WITH THE TRIBAL COMMUNITY. 2141 01:32:46,374 --> 01:32:48,543 THE TRIBE WANTED TO FOCUS ON 2142 01:32:48,543 --> 01:32:50,145 DIABETES MANAGEMENT RATHER THAN 2143 01:32:50,145 --> 01:32:51,813 HEALTHY FOODS PROMOTION IN 2144 01:32:51,813 --> 01:32:52,247 GENERAL. 2145 01:32:52,247 --> 01:32:56,618 WE NEEDED TO INCORPORATE A NEW 2146 01:32:56,618 --> 01:33:00,755 DIDIMENSION. 2147 01:33:00,755 --> 01:33:02,590 THE AIMS OFFER OUR COOKING 2148 01:33:02,590 --> 01:33:04,092 FORRAL HEALTH STUDY WERE TO WORK 2149 01:33:04,092 --> 01:33:08,797 IN PARTNERSHIP WITH THE TRIBAL 2150 01:33:08,797 --> 01:33:12,067 DIABETES PROGRAM TO CONDUCT A 2151 01:33:12,067 --> 01:33:13,601 RANDOMIZED CONTROL PANEL TO 2152 01:33:13,601 --> 01:33:15,770 DPERM THE BUDGETING, 2153 01:33:15,770 --> 01:33:19,240 PARTICIPATING AND COOKING 2154 01:33:19,240 --> 01:33:19,908 INFLUENCES HEALTH. 2155 01:33:19,908 --> 01:33:23,078 WE LOOKED AT DIFFERENT IN DIET 2156 01:33:23,078 --> 01:33:25,947 SPECIFICALLY SUGAR-SWEETENED 2157 01:33:25,947 --> 01:33:28,850 BENCHES AND PROCESSED FOODS. 2158 01:33:28,850 --> 01:33:31,252 AND ALSO TO LOOK AT DIFFERENCES 2159 01:33:31,252 --> 01:33:35,957 IN DIABETES CONTROL AND BMI AT 2160 01:33:35,957 --> 01:33:38,493 MONTHS 6 AND 12. 2161 01:33:38,493 --> 01:33:43,264 WE HAD A MIXED METHODS PROCESS 2162 01:33:43,264 --> 01:33:47,969 TO LOOK AT EFFECTIVENESS. 2163 01:33:47,969 --> 01:33:50,972 IN TOTAL, 176 PARNTS ENROLLED IN 2164 01:33:50,972 --> 01:33:52,874 THE TRIAL, HALF WERE 2165 01:33:52,874 --> 01:33:54,042 INTERVENTION AND HALF WERE IN 2166 01:33:54,042 --> 01:33:56,778 THE CONTROL ARM. 2167 01:33:56,778 --> 01:33:59,581 AT THE START OF THE STUDY, 2168 01:33:59,581 --> 01:34:00,682 INTERVENTION PARTICIPANTS 2169 01:34:00,682 --> 01:34:04,052 RECEIVED TOOLS TO PREPARE 2170 01:34:04,052 --> 01:34:07,022 HEALTHY MEALS. 2171 01:34:07,022 --> 01:34:09,724 IN THE INTERVENTION ARM THEY 2172 01:34:09,724 --> 01:34:11,860 RECEIVED 12 MONTHS OF ACTIVITIES 2173 01:34:11,860 --> 01:34:16,598 TO IMPROVING DIET FOR DIABETES 2174 01:34:16,598 --> 01:34:17,799 MANAGEMENT. 2175 01:34:17,799 --> 01:34:24,973 PARTICIPANTS ARE OW ENGAGING WIH 2176 01:34:24,973 --> 01:34:26,174 FOLKS THAT LIVE IN THE COMMUNITY 2177 01:34:26,174 --> 01:34:28,676 THAT FOCUS ON COOKING, AND 2178 01:34:28,676 --> 01:34:33,915 BUDGETING FOR FOODS, INCREASING 2179 01:34:33,915 --> 01:34:35,216 LITERACY HAD SHOPPING FOR FOODS. 2180 01:34:35,216 --> 01:34:38,286 WE HAVE LOTS OF CONTESTS WITH 2181 01:34:38,286 --> 01:34:40,188 MONTHLY RAFFLES AND GIFT 2182 01:34:40,188 --> 01:34:43,058 CERTIFICATES TO INCENTIVIZE 2183 01:34:43,058 --> 01:34:44,492 PARTICIPATION. 2184 01:34:44,492 --> 01:34:48,963 IF EFFECTIVE, THE DIABETES 2185 01:34:48,963 --> 01:34:50,498 PROGRAMS HOPE TO USE THIS 2186 01:34:50,498 --> 01:34:51,900 INTERVENTION AS PART OF THEIR 2187 01:34:51,900 --> 01:34:53,101 PROGRAMMING FOR DIABETES 2188 01:34:53,101 --> 01:34:54,035 MANAGEMENT. 2189 01:34:54,035 --> 01:34:57,839 NEXT SLIDE, PLEASE. 2190 01:34:57,839 --> 01:35:01,042 HERE IS A SNAPSHOT OF THE TOPICS 2191 01:35:01,042 --> 01:35:06,214 COVERED. 2192 01:35:06,214 --> 01:35:10,051 THONE SMALL GOAL CAN MAKE 2193 01:35:10,051 --> 01:35:11,319 MEANINGFUL CHANGES IN HEALTH. 2194 01:35:11,319 --> 01:35:13,388 IT'S DISTANCE-BASE SOD MAINLY 2195 01:35:13,388 --> 01:35:16,191 DONE BY TABLETS WITH VIDEOS AND 2196 01:35:16,191 --> 01:35:18,259 ACTIVITIES THAT DON'T REQUIRE 2197 01:35:18,259 --> 01:35:20,361 INTERNET DUE TO LIMITED PLACES 2198 01:35:20,361 --> 01:35:23,264 TO HOLD COOKING CLASSES AND 2199 01:35:23,264 --> 01:35:26,000 BECAUSE MOST OF THIS 2200 01:35:26,000 --> 01:35:27,535 INTERVENTION WAS OCCURRING 2201 01:35:27,535 --> 01:35:30,605 DURING THE PANDEMIC. 2202 01:35:30,605 --> 01:35:32,607 PARTICIPANTS COME IN FOR THREE 2203 01:35:32,607 --> 01:35:35,944 VISITS OVER 12 MONTHS AND HAVE 2204 01:35:35,944 --> 01:35:37,912 MONTHLY PHONE CALLS. 2205 01:35:37,912 --> 01:35:43,118 INTERVENTION IS REALLY GROUNDED 2206 01:35:43,118 --> 01:35:48,690 IN LAKOT LAKOTAA VALUES TO MAKE 2207 01:35:48,690 --> 01:35:50,024 HEALTHY FOOD CHOILSES. 2208 01:35:50,024 --> 01:35:57,699 NEXT SLIDE -- FOOD CHOILSES. 2209 01:35:57,699 --> 01:36:02,170 WE USE FOODS OBTAINED LOCALLY AS 2210 01:36:02,170 --> 01:36:03,805 WELL AS LAKOTAA FOODS. 2211 01:36:03,805 --> 01:36:06,040 HERE IS AN EXAMPLE OFFER THE USE 2212 01:36:06,040 --> 01:36:08,376 EVER HEALTHY TRADITIONAL FOODS 2213 01:36:08,376 --> 01:36:11,980 AND NON-TRADITIONAL ALTERNATIVES 2214 01:36:11,980 --> 01:36:16,484 SUCH AS PROTEIN SUCH A BUFFALO 2215 01:36:16,484 --> 01:36:21,022 OR DEER AND NON-TRADITION ARE 2216 01:36:21,022 --> 01:36:23,892 TURKEY OR CHICKEN. 2217 01:36:23,892 --> 01:36:27,462 HERE ARE THE BASELINE 2218 01:36:27,462 --> 01:36:28,329 CHARACTERISTICS. 2219 01:36:28,329 --> 01:36:30,765 EVERYONE HAD DIABETES. 2220 01:36:30,765 --> 01:36:40,808 IT'S COMMON AMONG INDIVIDUALS IS 2221 01:36:40,808 --> 01:36:42,310 OBESITY WERE COMMON AND THERE 2222 01:36:42,310 --> 01:36:44,045 WERE HIGH LEVELS EVER FOOD 2223 01:36:44,045 --> 01:36:45,246 INSECURITY. 2224 01:36:45,246 --> 01:36:47,682 70% OF FOOD PARTICIPANTS 2225 01:36:47,682 --> 01:36:51,286 REPORTED FOOD INSECURITY. 2226 01:36:51,286 --> 01:36:53,421 THIS IS JUST ONE EXAMPLE OF ON 2227 01:36:53,421 --> 01:37:00,228 GOING WORK IN THE SIOUX TRIBE. 2228 01:37:00,228 --> 01:37:05,700 THIS INCLUDES A PROJECT FOR DEEP 2229 01:37:05,700 --> 01:37:09,170 ASSESSMENT FOR MULTI-LEVEL 2230 01:37:09,170 --> 01:37:10,038 COMPONENTS OF THE FOOD 2231 01:37:10,038 --> 01:37:11,706 ENVIRONMENT IN ALL 12 2232 01:37:11,706 --> 01:37:13,474 COMMUNITIES AND WE WERE FUNDED 2233 01:37:13,474 --> 01:37:18,413 TO HAVE A PRESCRIPTION PROGRAM. 2234 01:37:18,413 --> 01:37:20,949 WE'LL CONTINUE TO BUILD 2235 01:37:20,949 --> 01:37:22,483 PARTNERSHIPS WITH LOCAL 2236 01:37:22,483 --> 01:37:23,484 ORGANIZATIONS THAT FOCUS ON 2237 01:37:23,484 --> 01:37:23,818 FOOD. 2238 01:37:23,818 --> 01:37:26,754 IF EFFECTIVE, WE WANT TO 2239 01:37:26,754 --> 01:37:31,859 DEPARTMADAPTTHE STUDY FOR OTHERL 2240 01:37:31,859 --> 01:37:32,293 NATIONS. 2241 01:37:32,293 --> 01:37:37,932 I WOULD LIKE TO ACKNOWLEDGE NRCH 2242 01:37:37,932 --> 01:37:42,437 EVERYONE INVOLVED IN THIS 2243 01:37:42,437 --> 01:37:44,305 RESEARCH. 2244 01:37:44,305 --> 01:37:52,080 >> OUR NEXT PRESENTER IS BY 2245 01:37:52,080 --> 01:37:55,984 CHRISTINE HA FOR 2246 01:37:55,984 --> 01:37:56,784 INTERGENERATIONAL 2350D 2247 01:37:56,784 --> 01:37:58,019 PRACTICES. 2248 01:37:58,019 --> 01:38:03,958 MRS. HA IS A PhD. CANDIDATE IS 2249 01:38:03,958 --> 01:38:05,893 WITH THE MCGILL UNIVERSITY IN 2250 01:38:05,893 --> 01:38:06,728 KAND. 2251 01:38:06,728 --> 01:38:12,834 SHE JOINED THE DELORIMER LAB TO 2252 01:38:12,834 --> 01:38:14,802 FOCUS ON FOOD LITERACY AND 2253 01:38:14,802 --> 01:38:18,873 CLIMATE CHANGE AND INDIGENOUS 2254 01:38:18,873 --> 01:38:20,875 HEALTH PARTICULARLY AMONG 2255 01:38:20,875 --> 01:38:22,977 INDIGENOUS YOUTH. 2256 01:38:22,977 --> 01:38:24,045 WELCOME. 2257 01:38:24,045 --> 01:38:25,280 CHRISTINE HA. 2258 01:38:25,280 --> 01:38:28,750 >> THANK YOU FOR HAVING ME. 2259 01:38:28,750 --> 01:38:32,487 FIRST SLIDE, PLEASE. 2260 01:38:32,487 --> 01:38:34,555 POSITIONALITY IS AN IMPORTANTLY 2261 01:38:34,555 --> 01:38:35,857 CONCEPT FOR RESEARCHERS 2262 01:38:35,857 --> 01:38:37,792 PARTICULARLY HOSE LIKE ME WHO 2263 01:38:37,792 --> 01:38:40,695 ARE NON-INDIGENOUS AND ENGAGE IN 2264 01:38:40,695 --> 01:38:42,830 RESEARCH WITH THE INDIGENOUS 2265 01:38:42,830 --> 01:38:43,765 POPULATION. 2266 01:38:43,765 --> 01:38:45,466 WITH YOUTH, I ACKNOWLEDGED MY 2267 01:38:45,466 --> 01:38:50,004 POSITION AS A RESEARCHER OFFER 2268 01:38:50,004 --> 01:38:55,243 CHINESE AND VIET NAMESE DESCENT 2269 01:38:55,243 --> 01:38:57,545 MAY HAVE AN IMPACT ON MY ROLE. 2270 01:38:57,545 --> 01:39:00,248 THERE MAY BE CONCERN PRIVILEGES 2271 01:39:00,248 --> 01:39:02,817 ASSOCIATED WITH BEING A 2272 01:39:02,817 --> 01:39:04,552 NON-INDIGENOUS RESEARCHER. 2273 01:39:04,552 --> 01:39:06,087 I'M AWARE OF THE BALANCES 2274 01:39:06,087 --> 01:39:07,055 BETWEEN MY SOFA AND THE 2275 01:39:07,055 --> 01:39:09,057 POPULATION THAT I WORK WITH AND 2276 01:39:09,057 --> 01:39:11,392 TO ADDRESS THESE IMBALANCES, I 2277 01:39:11,392 --> 01:39:12,927 ENGAGE IN MEANINGFUL 2278 01:39:12,927 --> 01:39:15,997 COLLABORATIONS WITH THE 2279 01:39:15,997 --> 01:39:19,300 COMMUNITY. 2280 01:39:19,300 --> 01:39:22,236 I ENSURE THEIR RESEARCH BENEFITS 2281 01:39:22,236 --> 01:39:25,506 THEM TO RESPECT MUTUAL INTEREST. 2282 01:39:25,506 --> 01:39:28,309 I CAN NAVIGATE MY ROLE WITHIN 2283 01:39:28,309 --> 01:39:30,144 THE RESEARCH PROCESS MORE 2284 01:39:30,144 --> 01:39:32,347 EFFECTIVELY WHILE FOST SHALLING 2285 01:39:32,347 --> 01:39:32,947 STRONGER RELATIONSHIPS WITHIN 2286 01:39:32,947 --> 01:39:36,184 THE COMMUNITY. 2287 01:39:36,184 --> 01:39:38,086 IT'S IMPORTANT TO NOTE THAT THE 2288 01:39:38,086 --> 01:39:39,420 PRINCIPLES OF POSITIONALITY ARE 2289 01:39:39,420 --> 01:39:43,157 NOT LIMITED TO ACADEMIA BUT CAN 2290 01:39:43,157 --> 01:39:46,994 BE APPLIED IN PRACTICAL CONCEPTS 2291 01:39:46,994 --> 01:39:50,998 SUCH AS DEVELOPING INTERVENTION. 2292 01:39:50,998 --> 01:39:53,501 LET'S TALK A LITTLE BIT ABOUT 2293 01:39:53,501 --> 01:39:54,268 REFLEXITY. 2294 01:39:54,268 --> 01:39:56,037 I'M CONSTANTLY CHECK E CHECKING 2295 01:39:56,037 --> 01:39:57,839 IN WITH MYSELF AND RECOGNIZING 2296 01:39:57,839 --> 01:40:00,375 MY OWN BIASES AND ASSUMPTIONS 2297 01:40:00,375 --> 01:40:01,776 AND WHERE I STAND IN RELATION 2298 01:40:01,776 --> 01:40:03,411 WITH THE RESEARCH AND PEOPLE 2299 01:40:03,411 --> 01:40:04,078 INVOLVED. 2300 01:40:04,078 --> 01:40:07,915 BEING A NON-INDIGENOUS 2301 01:40:07,915 --> 01:40:09,050 RESEARCHER MEANS I HAVE TO OWN 2302 01:40:09,050 --> 01:40:11,586 UP TO MY CULTURAL BACKGROUND AND 2303 01:40:11,586 --> 01:40:14,222 MANY BIASES I CARRY DUE TO WHO I 2304 01:40:14,222 --> 01:40:14,655 AM. 2305 01:40:14,655 --> 01:40:15,790 WHEN I'M GOING THROUGH THE DATA, 2306 01:40:15,790 --> 01:40:18,292 I HAVE TO MAKE SURE THAT WHAT I 2307 01:40:18,292 --> 01:40:20,027 FIND ACTUALLY REPRESENTS THE 2308 01:40:20,027 --> 01:40:21,996 STHAWTS AND WAYS OF THE 2309 01:40:21,996 --> 01:40:22,997 INDIGENOUS COMMUNITY THAT I'M 2310 01:40:22,997 --> 01:40:23,965 WORKING WITH. 2311 01:40:23,965 --> 01:40:26,100 COMING FROM A PRETTY DIFFERENT 2312 01:40:26,100 --> 01:40:28,136 CULTURAL AND EDUCATIONAL 2313 01:40:28,136 --> 01:40:30,304 BACKGROUND, THE WAY I INTERPRET 2314 01:40:30,304 --> 01:40:32,707 THE RESEARCH FINDING MAKE ME 2315 01:40:32,707 --> 01:40:33,541 DIFFERENT FROM THE COMMUNITY 2316 01:40:33,541 --> 01:40:34,108 MEMBERS. 2317 01:40:34,108 --> 01:40:37,044 TO MAKE SURE I'M IN SYNC WITH 2318 01:40:37,044 --> 01:40:39,814 THE COMMUNITY, THE PROCESS COLED 2319 01:40:39,814 --> 01:40:41,516 BY MYSELF AND COMMUNITY MEMBERS. 2320 01:40:41,516 --> 01:40:44,051 YOU CAN SEE IN THIS GRAPH, AFTER 2321 01:40:44,051 --> 01:40:45,686 AN INTERVIEW IS BEING CONDUCTED 2322 01:40:45,686 --> 01:40:48,089 WITH A PARTICIPANT, WHICH KEEP 2323 01:40:48,089 --> 01:40:51,225 IN MIND IS DONE WITH AN 2324 01:40:51,225 --> 01:40:52,326 INDIGENOUS RESEARCH ASSISTANCE, 2325 01:40:52,326 --> 01:40:54,796 IT'S A COCONDUCTED INTERVIEW, WE 2326 01:40:54,796 --> 01:40:56,464 REFLECT ON THE FINDINGS TOGETHER 2327 01:40:56,464 --> 01:40:59,567 AND I TAKE NOTES OF MY 2328 01:40:59,567 --> 01:41:02,503 REFLECTIONS OF HOW I WAS FEELING 2329 01:41:02,503 --> 01:41:05,106 AT THE TIME AND MY REFLECTIONS 2330 01:41:05,106 --> 01:41:06,641 DURING THE INTERVIEW AND ACH. 2331 01:41:06,641 --> 01:41:09,243 WE DISCUSS ABOUT MY ASSUMPTIONS 2332 01:41:09,243 --> 01:41:11,446 AND HOW THAT MIGHT IMPACT THE 2333 01:41:11,446 --> 01:41:12,280 ANALYSIS OF THE DATA. 2334 01:41:12,280 --> 01:41:14,348 I FURTHER REFLECT ON THE 2335 01:41:14,348 --> 01:41:17,385 FINDINGS AND WE REEVALUATE OUR 2336 01:41:17,385 --> 01:41:19,821 RESEARCH FINDINGS TO MAKE SURE 2337 01:41:19,821 --> 01:41:20,988 WHAT WE'RE REPORTING IS 2338 01:41:20,988 --> 01:41:24,792 REFLECTIVE OF THE WAYS OF 2339 01:41:24,792 --> 01:41:25,059 KNOWING. 2340 01:41:25,059 --> 01:41:27,895 OVER THE PAST FIVE YEARS -- NEXT 2341 01:41:27,895 --> 01:41:29,096 SLIDE, PLEASE. 2342 01:41:29,096 --> 01:41:31,799 OVER THE PAST FIVE YEARS, I'VE 2343 01:41:31,799 --> 01:41:33,568 NURTURED AND BUILT STRONG 2344 01:41:33,568 --> 01:41:35,002 RELATIONSHIPS WITH THE 2345 01:41:35,002 --> 01:41:35,837 COMMUNITY. 2346 01:41:35,837 --> 01:41:37,472 THESE RELATIONSHIPS HAVE PLAYED 2347 01:41:37,472 --> 01:41:39,574 AN IMPORTANT ROLE IN THE SUCCESS 2348 01:41:39,574 --> 01:41:41,976 OF CODEVELOPED RESEARCH PROJECT. 2349 01:41:41,976 --> 01:41:44,912 MY JOURNEY BEGAN DURING MY 2350 01:41:44,912 --> 01:41:47,315 PhD. PROGRAM WHEN I FIRST 2351 01:41:47,315 --> 01:41:51,619 INTERNED WITH THE KREE NATION 2352 01:41:51,619 --> 01:41:53,821 GOVERNMENT WHICH LOOKS AT 2353 01:41:53,821 --> 01:41:55,456 CLIMATE CHANGE ON COMMUNITIES. 2354 01:41:55,456 --> 01:41:57,859 WE ACTIVELY INVOLVE YOUTH AS 2355 01:41:57,859 --> 01:41:59,393 RESEARCH ASSISTANCE OFFERING 2356 01:41:59,393 --> 01:42:00,595 THEM TRAINING AND OPPORTUNITIES 2357 01:42:00,595 --> 01:42:02,597 TO CREATE A STRATEGY AND ACTION 2358 01:42:02,597 --> 01:42:04,765 PLAN FOR THE KREE COMMUNITY. 2359 01:42:04,765 --> 01:42:11,672 THIS INITIAL -- KREE COMMUNITY. 2360 01:42:11,672 --> 01:42:13,508 -- CREE COMMUNITY. 2361 01:42:13,508 --> 01:42:15,576 HAVING AN INDIGENOUS RESEARCHER 2362 01:42:15,576 --> 01:42:18,179 AS MY MENTOR AT THE UNIVERSITY 2363 01:42:18,179 --> 01:42:26,521 HAD A DI SIGNIFICANT IMPACT. 2364 01:42:26,521 --> 01:42:33,060 MY MENTOR PLAYED A ROLE IN 2365 01:42:33,060 --> 01:42:35,129 UNDERSTANDING AND HAVING SELF 2366 01:42:35,129 --> 01:42:38,733 REFLECTION DURING MY TRAINING. 2367 01:42:38,733 --> 01:42:41,836 I HIGHLY RECOMMEND BUILDING 2368 01:42:41,836 --> 01:42:42,703 RELATIONSHIPS WITH COMMUNITIES 2369 01:42:42,703 --> 01:42:43,871 TO BEST UNDERSTAND THEIR 2370 01:42:43,871 --> 01:42:46,274 DISMEEDZ HOW TO MOST EFFECTIVELY 2371 01:42:46,274 --> 01:42:50,011 ADDRESS THEIR -- NEEDS AND HOW 2372 01:42:50,011 --> 01:42:53,180 TO MOST EFFECTIVELY ADDRESS 2373 01:42:53,180 --> 01:42:54,582 THEIR NEEDS. 2374 01:42:54,582 --> 01:42:57,418 WE CREATE AN INCLUSIVE 2375 01:42:57,418 --> 01:42:58,619 ENVIRONMENT INVITING PEOPLE TO 2376 01:42:58,619 --> 01:42:59,921 SHAPE THE RESEARCH PROCESS WITH 2377 01:42:59,921 --> 01:43:01,556 ME. 2378 01:43:01,556 --> 01:43:04,926 MY WORK IS TO EXPAND THE 2379 01:43:04,926 --> 01:43:08,095 EXISTING NOTION FOR THE 2380 01:43:08,095 --> 01:43:09,230 PARTICIPATE RESEARCH APPROACH 2381 01:43:09,230 --> 01:43:11,399 AND EXISTING RESEARCH WITHIN THE 2382 01:43:11,399 --> 01:43:12,900 NORTHERN REGIONS EVER QUEBEC. 2383 01:43:12,900 --> 01:43:16,337 WE EXPECT THAT THIS PROJECT WILL 2384 01:43:16,337 --> 01:43:18,039 SUPPORT THE COMMUNITY'S EFFORTS 2385 01:43:18,039 --> 01:43:22,543 TO ENGAGE MORE YOUTH IN FOOD 2386 01:43:22,543 --> 01:43:24,178 PRACTICES AND ADDRESS THEIR 2387 01:43:24,178 --> 01:43:25,446 CONCERNS WITH RESEARCH IN A 2388 01:43:25,446 --> 01:43:26,314 POSITIVE RELATIONSHIP WITH 2389 01:43:26,314 --> 01:43:27,949 RESEARCHERS. 2390 01:43:27,949 --> 01:43:31,018 IN CLINICAL PRACTICE, THIS COULD 2391 01:43:31,018 --> 01:43:33,120 BE APPLIED TO COCREATE 2392 01:43:33,120 --> 01:43:34,255 INTERVENTIONS. 2393 01:43:34,255 --> 01:43:38,092 NEXT SLIDE, PLEASE. 2394 01:43:38,092 --> 01:43:40,628 IN MY -- AS I PREVIOUSLY 2395 01:43:40,628 --> 01:43:42,229 MERCHTIONED, MY RESEARCH IS 2396 01:43:42,229 --> 01:43:45,299 MOSTLY FOCUSED IN THE COMMUNITY 2397 01:43:45,299 --> 01:43:48,002 IN NORTHERN QUEBEC AND I 2398 01:43:48,002 --> 01:43:50,104 RECOGNIZE THAT THEIR FOOD SYSTEM 2399 01:43:50,104 --> 01:43:52,073 IS DIFFERENT THAN WHAT I'M 2400 01:43:52,073 --> 01:43:53,975 ACCUSTOMED TO IN MONTREAL. 2401 01:43:53,975 --> 01:43:56,344 I WOULD EXPECT AN INTERVENTION 2402 01:43:56,344 --> 01:43:58,079 IN CLINICAL PRACTICE AND 2403 01:43:58,079 --> 01:44:00,681 RESEARCH IF LOCATED IN MONTREAL 2404 01:44:00,681 --> 01:44:02,650 WOULD LOOK DIFFERENT THAN AN 2405 01:44:02,650 --> 01:44:04,852 INTERVENTION FOR A COMMUNITY IN 2406 01:44:04,852 --> 01:44:05,620 NORTHERN QUEBEC. 2407 01:44:05,620 --> 01:44:07,922 TO DO SO, I NEED TOE FIRST 2408 01:44:07,922 --> 01:44:08,789 CONSULT AND WORK WITH THE 2409 01:44:08,789 --> 01:44:10,324 COMMUNITY TO UNDERSTAND THAT TO 2410 01:44:10,324 --> 01:44:13,194 THE CREE, THE NORTHERN 2411 01:44:13,194 --> 01:44:14,362 TRADITIONAL FOOD SYSTEM IS 2412 01:44:14,362 --> 01:44:16,897 FOUNDATIONAL TO THEIR GOOD 2413 01:44:16,897 --> 01:44:18,099 HEALTH AND WELL-BEING. 2414 01:44:18,099 --> 01:44:21,902 IT'S WHERE THEY GAINT SKILLS AND 2415 01:44:21,902 --> 01:44:23,771 IS COMPOSED OFFER ALL THE 2416 01:44:23,771 --> 01:44:26,040 ANIMALS AND PLANT SPECIES 2417 01:44:26,040 --> 01:44:30,945 HARVESTED FROM THE LAND TO HAVE 2418 01:44:30,945 --> 01:44:32,913 HIGHLY NUTRITIONAL FOODS. 2419 01:44:32,913 --> 01:44:36,183 THESE ARE EXPRESSED THROUGH OLD 2420 01:44:36,183 --> 01:44:37,084 TRADITIONS, STORY TELLING AND 2421 01:44:37,084 --> 01:44:38,486 PRACTICING THEIR CULTURE ON THE 2422 01:44:38,486 --> 01:44:46,560 LAND WITH KNOWLEDGE-HOLDERS. 2423 01:44:46,560 --> 01:44:49,764 IT PROVIDES VALUABLE GUIDANCE TO 2424 01:44:49,764 --> 01:44:51,532 BOTH MYSELF AS A RESEARCHER AND 2425 01:44:51,532 --> 01:44:53,267 TO OTHER HEALTHCARE 2426 01:44:53,267 --> 01:44:55,569 PROFESSIONALS ON HOW TO CREATE 2427 01:44:55,569 --> 01:44:59,707 AN INTERVENTION TO HAVE 2428 01:44:59,707 --> 01:45:03,010 INDIGENOUS PRACTICES AND ENHANCE 2429 01:45:03,010 --> 01:45:04,945 IT'S BENEFITS TO THE COMMUNITY. 2430 01:45:04,945 --> 01:45:06,614 IT IS CLEAR BY NOW THE 2431 01:45:06,614 --> 01:45:08,983 TRADITIONAL FOODS AND PRACTICES 2432 01:45:08,983 --> 01:45:10,284 HOLD SIGNIFICANCE IMPORTANCE. 2433 01:45:10,284 --> 01:45:14,188 IN A COMMUNITY ACTING TO 2434 01:45:14,188 --> 01:45:16,824 STRENGTH AND THEN PRESERVE THEM. 2435 01:45:16,824 --> 01:45:18,926 BUT THERE HAS BEEN A SHIFT IN 2436 01:45:18,926 --> 01:45:19,794 DIETARY PATTERN. 2437 01:45:19,794 --> 01:45:21,429 TODAY THE TRADITIONAL FOODS IS 2438 01:45:21,429 --> 01:45:24,765 ON THE DECLINE WHILE THE 2439 01:45:24,765 --> 01:45:26,634 INCREASE OF MARKET-BASED IS ON 2440 01:45:26,634 --> 01:45:29,537 THE RISE SO MORE PROCESSED 2441 01:45:29,537 --> 01:45:30,337 FOODS. 2442 01:45:30,337 --> 01:45:32,073 THIS IS PARTICULARLY NOTICEABLE 2443 01:45:32,073 --> 01:45:35,176 AMONG THE YOUNGER GENERATIONS OF 2444 01:45:35,176 --> 01:45:40,614 INDIGENOUS YOUTH. 2445 01:45:40,614 --> 01:45:42,650 IT'S WORTH EMPHASIZING THAT 2446 01:45:42,650 --> 01:45:46,721 STUDIES FOUND IS THAT DIETS 2447 01:45:46,721 --> 01:45:48,889 INCORPORATING TRADITIONAL FOODS 2448 01:45:48,889 --> 01:45:52,426 ARE SUPERIOR COMPARED TO 2449 01:45:52,426 --> 01:45:53,260 MARKET-BASED FOODS WITHIN THE 2450 01:45:53,260 --> 01:46:00,067 SAME POPULATION. 2451 01:46:00,067 --> 01:46:02,770 ALTHOUGH WE ACKNOWLEDGE THAT THE 2452 01:46:02,770 --> 01:46:05,473 CREE WORLD VIEW DOES NOT 2453 01:46:05,473 --> 01:46:07,241 ENCOMPASS FOOD LITERACY, WE'LL 2454 01:46:07,241 --> 01:46:09,744 USE THIS AS A BRIDGE TO EX-POUR 2455 01:46:09,744 --> 01:46:11,579 THE PERSPECTIVE ON HOW 2456 01:46:11,579 --> 01:46:13,681 INDIGENOUS COMMUNITIES A KRIER 2457 01:46:13,681 --> 01:46:15,349 TRADITIONAL FOOD PRACTICES, 2458 01:46:15,349 --> 01:46:17,184 SKILLS AND KNOWLEDGE THROUGH 2459 01:46:17,184 --> 01:46:19,019 THEIR INTERACTIONS BETWEEN THE 2460 01:46:19,019 --> 01:46:20,788 ENVIRONMENT AND TRADITIONAL 2461 01:46:20,788 --> 01:46:21,422 KNOWLEDGE HOLDERS. 2462 01:46:21,422 --> 01:46:22,356 THE COMMUNITY I WORK IN 2463 01:46:22,356 --> 01:46:24,291 OBSERVATION PRESSINGED AN 2464 01:46:24,291 --> 01:46:26,160 INTEREST IN FOCUSING ON ENGAGING 2465 01:46:26,160 --> 01:46:28,863 THE YOUTH IN FOOD PRACTICES. 2466 01:46:28,863 --> 01:46:31,298 WE WANT TO BETTER UNDERSTAND THE 2467 01:46:31,298 --> 01:46:33,801 PROCESS EVER TRADITIONAL FOOD 2468 01:46:33,801 --> 01:46:35,102 PRACTICES AND HOPE THIS WILL 2469 01:46:35,102 --> 01:46:37,505 CONTRIBUTE TO FOOD SECURITY, 2470 01:46:37,505 --> 01:46:39,140 COMMUNITY RESILIENCE AND THE 2471 01:46:39,140 --> 01:46:41,175 OVERALL WELL-BEING OF INDIGENOUS 2472 01:46:41,175 --> 01:46:42,409 COMMUNITIES. 2473 01:46:42,409 --> 01:46:44,111 OVERALL IT IS TO IMPROVE THE 2474 01:46:44,111 --> 01:46:46,447 HEALTH OF THE OVERALL YOUTH. 2475 01:46:46,447 --> 01:46:50,785 IN SOME CASES THEY MAY HAVE 2476 01:46:50,785 --> 01:46:55,356 ACCESS TO GET FOOD BECAUSE EVER 2477 01:46:55,356 --> 01:46:57,458 COST. 2478 01:46:57,458 --> 01:46:59,960 FOR INSTANCE, ACQUIRING THE SAME 2479 01:46:59,960 --> 01:47:02,129 GROCERIES UP NORTH WHERE I WORK 2480 01:47:02,129 --> 01:47:03,464 CAN COST NEARLY TWO OR THREE 2481 01:47:03,464 --> 01:47:06,700 TIMES THE COST OF LIVING IN 2482 01:47:06,700 --> 01:47:07,735 MONTREAL. 2483 01:47:07,735 --> 01:47:11,272 IF WE PROMOTE FOOD SECURITY 2484 01:47:11,272 --> 01:47:13,607 INCLUDING IMPROVING FOOD ACCESS 2485 01:47:13,607 --> 01:47:15,342 TO PARTICIPATE IN THEIR 2486 01:47:15,342 --> 01:47:17,411 TRADITIONAL FOOD PRACTICES, 2487 01:47:17,411 --> 01:47:19,914 WE'RE SUPPORTING OVERALL FOOD 2488 01:47:19,914 --> 01:47:22,283 SECURITY IF THE STORE BOUGHT 2489 01:47:22,283 --> 01:47:25,986 FOODS ARE NOT AS ACCESSIBLE. 2490 01:47:25,986 --> 01:47:28,889 I WANTED TO WRAP UP WITH A FEW 2491 01:47:28,889 --> 01:47:30,891 QUESTIONS FOR YOU ALL TO REFLECT 2492 01:47:30,891 --> 01:47:32,026 ON. 2493 01:47:32,026 --> 01:47:34,161 THIS COULD BE FOR HEALTH CARE 2494 01:47:34,161 --> 01:47:36,964 PRACTITIONERS OUR RESEARCH ARSE 2495 01:47:36,964 --> 01:47:38,265 LIKE. 2496 01:47:38,265 --> 01:47:39,633 SOME QUESTIONS THAT ARE 2497 01:47:39,633 --> 01:47:41,035 IMPORTANT TO THINK ABOUT ARE DO 2498 01:47:41,035 --> 01:47:43,237 YOU THINK THAT YOUR PERSONAL 2499 01:47:43,237 --> 01:47:44,705 TRAINING AND EXPERIENCES ARE 2500 01:47:44,705 --> 01:47:46,740 INFLUENCING YOUR APPROACH AND 2501 01:47:46,740 --> 01:47:49,210 THE TYPES OF INVENTIONS YOU 2502 01:47:49,210 --> 01:47:49,476 RECOMMEND. 2503 01:47:49,476 --> 01:47:54,815 WHO IS THIS INTERVENTION YOU'RE 2504 01:47:54,815 --> 01:47:57,117 DEVELOPING DIRECTED TO. 2505 01:47:57,117 --> 01:47:58,886 HOW TO DOES IT HELP OUTCOMES IN 2506 01:47:58,886 --> 01:48:00,621 THE POPULATIONING AND IS THE 2507 01:48:00,621 --> 01:48:02,690 INTERVENTION YOU'RE SUGGESTING 2508 01:48:02,690 --> 01:48:04,825 THE MOST SUITABLE APPROACH TO 2509 01:48:04,825 --> 01:48:07,928 ADDRESS THE HEALTH ISSUE WITHIN 2510 01:48:07,928 --> 01:48:09,129 THAT PARTICULAR POPULATION? 2511 01:48:09,129 --> 01:48:16,237 THERE IS ONE MORE SLIDE, BUT -- 2512 01:48:16,237 --> 01:48:18,606 >> EXCELLENT. 2513 01:48:18,606 --> 01:48:25,412 THANK YOU. 2514 01:48:25,412 --> 01:48:25,713 MRS. LA. 2515 01:48:25,713 --> 01:48:34,088 MRS. HA.I WILL START WITH DISCUN 2516 01:48:34,088 --> 01:48:35,456 QUESTIONS. 2517 01:48:35,456 --> 01:48:36,423 WE'RE EXCITED TO FOLLOW YOUR 2518 01:48:36,423 --> 01:48:37,625 RESEARCH IN THE FUTURE. 2519 01:48:37,625 --> 01:48:40,995 AS A REMINDER, PLEASE SUBMIT ANY 2520 01:48:40,995 --> 01:48:43,631 QUESTIONS USING THE SUBMIT LIVE 2521 01:48:43,631 --> 01:48:45,599 FEEDBACK BUTTON. 2522 01:48:45,599 --> 01:48:47,768 PLEASE STATE WHICH PANELIST 2523 01:48:47,768 --> 01:48:49,203 YOU'RE DIRECTING YOUR QUESTION 2524 01:48:49,203 --> 01:48:50,271 TO. 2525 01:48:50,271 --> 01:48:51,772 LESS' LIVE INTO SOME QUESTIONS. 2526 01:48:51,772 --> 01:48:52,907 WOULD I LIKE TO ADDRESS THE 2527 01:48:52,907 --> 01:49:02,583 FIRST QUESTION TO DR. FRETTS. 2528 01:49:02,583 --> 01:49:09,423 IT'S CONTROLLING THE GROUP FOR 2529 01:49:09,423 --> 01:49:11,091 HEALTHY COOKING PRACTICES. 2530 01:49:11,091 --> 01:49:13,761 COULD YOU SHARE MORE ON WHAT THE 2531 01:49:13,761 --> 01:49:15,796 CONTROL GROUP RECEIVED. 2532 01:49:15,796 --> 01:49:17,164 >> THE CONTROL GROUP IS 2533 01:49:17,164 --> 01:49:18,599 ESSENTIALLY A DELAYED 2534 01:49:18,599 --> 01:49:19,466 INTERVENTION GROUP. 2535 01:49:19,466 --> 01:49:21,201 AT THE END OF THE STUDY WHICH IS 2536 01:49:21,201 --> 01:49:23,203 NEXT MONTH, EVERYONE IN THE 2537 01:49:23,203 --> 01:49:27,041 CONTROL GROUP WILL BE INVITED TO 2538 01:49:27,041 --> 01:49:29,009 PARTAKE IN THE INTERVENTION AND 2539 01:49:29,009 --> 01:49:31,111 HAVE ACCESS TO ALL THE 2540 01:49:31,111 --> 01:49:31,845 MATERIALS. 2541 01:49:31,845 --> 01:49:34,148 SO IT'S ESSENTIALLY A CONTROL 2542 01:49:34,148 --> 01:49:35,816 GROUP IN THE SENSE THAT THEY 2543 01:49:35,816 --> 01:49:37,017 DIDN'T RECEIVE THE INTERVENTION 2544 01:49:37,017 --> 01:49:37,685 RIGHT AWAY. 2545 01:49:37,685 --> 01:49:40,487 IN THE END, EVERYONE IN THE 2546 01:49:40,487 --> 01:49:40,988 COMMUNITY WILL HAVE THE 2547 01:49:40,988 --> 01:49:43,223 OPPORTUNITY TO BENEFIT FROM THE 2548 01:49:43,223 --> 01:49:45,326 MATERIALS. 2549 01:49:45,326 --> 01:49:47,161 >> THERE IS LIKE A PART B. 2550 01:49:47,161 --> 01:49:49,663 WHAT STRATEGIES ARE USED TO 2551 01:49:49,663 --> 01:49:50,898 ENSURE THE COMPLIANCE WITHIN THE 2552 01:49:50,898 --> 01:49:52,166 CONTROL GROUP? 2553 01:49:52,166 --> 01:49:54,034 >> THIS IS A CHALLENGING 2554 01:49:54,034 --> 01:49:56,670 QUESTION AS WELL. 2555 01:49:56,670 --> 01:49:58,172 THE COMMUNITY THAT WE'RE WORKING 2556 01:49:58,172 --> 01:50:00,240 WITH IS VERY SMALL AND 2557 01:50:00,240 --> 01:50:03,544 CLOSE-KNIT. 2558 01:50:03,544 --> 01:50:05,746 THERE IS POTENTIAL FOR SHARING 2559 01:50:05,746 --> 01:50:10,884 OF INFORMATION AMONG -- ACROSS 2560 01:50:10,884 --> 01:50:12,753 INDIVIDUALS WHO WERE RANDOMIZED 2561 01:50:12,753 --> 01:50:14,788 TO THE INTERVENTION GROUP AND 2562 01:50:14,788 --> 01:50:16,290 INDIVIDUALS WHO ARE RANDOMIZED 2563 01:50:16,290 --> 01:50:17,725 TO THE CONTROL GROUP. 2564 01:50:17,725 --> 01:50:19,259 THERE IS NOT MUCH WE CAN DO 2565 01:50:19,259 --> 01:50:19,693 ABOUT THAT. 2566 01:50:19,693 --> 01:50:22,863 THE WAY WE HAVE CONTROLLED FOR 2567 01:50:22,863 --> 01:50:25,132 IT IS FOR THE INTERVENTION, 2568 01:50:25,132 --> 01:50:26,567 WE'RE ONLY ALLOWING ONE 2569 01:50:26,567 --> 01:50:28,769 INDIVIDUAL PER HOUSEHOLD TO BE 2570 01:50:28,769 --> 01:50:30,304 ABLE TO PARTICIPATE IN THE 2571 01:50:30,304 --> 01:50:30,704 INTERVENTION. 2572 01:50:30,704 --> 01:50:34,108 WHEN THE CONTROL GROUP AND THE 2573 01:50:34,108 --> 01:50:35,409 INTERVENTION GROUP COME IN, WE 2574 01:50:35,409 --> 01:50:37,811 ASK THEM, HAVE YOU SHARED ANY OF 2575 01:50:37,811 --> 01:50:39,246 THE INFORMATION OR THE VIDEOS 2576 01:50:39,246 --> 01:50:40,981 WITH OTHER PEOPLE? 2577 01:50:40,981 --> 01:50:44,251 AND WHEN WE DO OUR ANALYSIS, 2578 01:50:44,251 --> 01:50:46,420 WE'LL CONSIDER THAT TO SEE IF 2579 01:50:46,420 --> 01:50:47,321 THAT IMPACTED ANYTHING. 2580 01:50:47,321 --> 01:50:49,056 IT'S JUST THE REALITY OF WORKING 2581 01:50:49,056 --> 01:50:52,326 IN A SMALL COMMUNITY. 2582 01:50:52,326 --> 01:50:55,596 >> THANK YOU. 2583 01:50:55,596 --> 01:51:03,137 NEXT QUESTION IS DR. JEMER 2584 01:51:03,137 --> 01:51:03,470 RMIGAN. 2585 01:51:03,470 --> 01:51:09,043 WHAT ARE THE WHAT DO YOU THINK 2586 01:51:09,043 --> 01:51:12,746 WE CAN LEARN AS THE NUTRITIONAL 2587 01:51:12,746 --> 01:51:16,683 COMMUNITY THIN THINKS ABOUT MOSS 2588 01:51:16,683 --> 01:51:18,752 FOR FOOD INTERSECURITY? 2589 01:51:18,752 --> 01:51:19,720 >> GREAT QUESTION. 2590 01:51:19,720 --> 01:51:21,989 THE FOCUS ON NUTRITION SECURITY 2591 01:51:21,989 --> 01:51:29,396 HAS GAINED A LOT OF EXCITEMENT 2592 01:51:29,396 --> 01:51:31,198 AND ENTHUSIASM IN NATIVE 2593 01:51:31,198 --> 01:51:32,666 RESEARCH CIRCLES BECAUSE WE SEE 2594 01:51:32,666 --> 01:51:41,208 IT AS A PROAMP APPROACHING A MOE 2595 01:51:41,208 --> 01:51:46,380 HOLISTIC VIEW OF FOOD. 2596 01:51:46,380 --> 01:51:48,782 WE THINK OF FOOD SOVEREIGNTY AS 2597 01:51:48,782 --> 01:51:51,718 A PATHWAY TO FOOD SECURITY. 2598 01:51:51,718 --> 01:51:54,154 IT IS, YOU KNOW, NUTRITION 2599 01:51:54,154 --> 01:51:58,492 SECURITY AND THAT CONCEPT OF 2600 01:51:58,492 --> 01:52:00,761 NUTRITION BEING WHOLE HEALTH AND 2601 01:52:00,761 --> 01:52:03,197 ACCESS TO YOUR FISHING AND 2602 01:52:03,197 --> 01:52:04,731 HUNTING RIGHTS. 2603 01:52:04,731 --> 01:52:09,103 AND FORGING RIGHTS. 2604 01:52:09,103 --> 01:52:10,504 FORAGING RIGHTS AND 2605 01:52:10,504 --> 01:52:11,805 SOVEREIGNTY OF YOUR OWN LAND 2606 01:52:11,805 --> 01:52:14,074 BASE. 2607 01:52:14,074 --> 01:52:17,845 VERY HOLISTIC VIEWPOINT ASK 2608 01:52:17,845 --> 01:52:19,913 NUTRITION SECURITY IS A RIGHT 2609 01:52:19,913 --> 01:52:23,617 DIRECTION IN HOW WE ACCESS THAT. 2610 01:52:23,617 --> 01:52:29,723 >> NEXT QUESTION ASKS, CAN YOU 2611 01:52:29,723 --> 01:52:32,726 TALK ABOUT ANY CHALLENGES 2612 01:52:32,726 --> 01:52:36,797 SCREENING FOR FOOD INSECURITY IN 2613 01:52:36,797 --> 01:52:42,269 AMERICAN INDIAN OR ALASKAN IJ 2614 01:52:42,269 --> 01:52:46,240 DIJ NEWS COMMUNITY? 2615 01:52:46,240 --> 01:52:47,040 COMMUNITY -- ALASKAN 2616 01:52:47,040 --> 01:52:48,642 NATIVE COMMUNITY? 2617 01:52:48,642 --> 01:52:51,178 >> WE HAVE A SMALL PILOT GRANT 2618 01:52:51,178 --> 01:52:52,913 RIGHT NOW THAT IS I'M WORKING 2619 01:52:52,913 --> 01:52:54,114 WITH INDIVIDUALS AT THE 2620 01:52:54,114 --> 01:52:55,649 UNIVERSITY OF CALIFORNIA DAVIS 2621 01:52:55,649 --> 01:52:57,951 IN THE NAVAJO NATION. 2622 01:52:57,951 --> 01:53:02,523 THE INSEN INTENTION WAS TO DEVEA 2623 01:53:02,523 --> 01:53:04,124 STRENGTH-BASED SCREENER AS 2624 01:53:04,124 --> 01:53:07,127 OPPOSED TO A DEFICIT-BASED 2625 01:53:07,127 --> 01:53:07,628 SCREENER. 2626 01:53:07,628 --> 01:53:12,366 RIGHT NOW WE USE USDA 2627 01:53:12,366 --> 01:53:13,033 INSTRUMENTS. 2628 01:53:13,033 --> 01:53:15,335 SOMETIMES THE QUESTIONS ARE A 2629 01:53:15,335 --> 01:53:16,670 LITTLE BIT CONFUSING FOR 2630 01:53:16,670 --> 01:53:18,038 INDIVIDUALS. 2631 01:53:18,038 --> 01:53:20,774 SO WHEN INDIVIDUALS TALK 2632 01:53:20,774 --> 01:53:22,242 ABOUT -- THESE QUESTIONS WERE 2633 01:53:22,242 --> 01:53:24,845 DEVELOPED FOR THE GENERAL US 2634 01:53:24,845 --> 01:53:28,448 POPULATION AND NONE HAVE BEEN 2635 01:53:28,448 --> 01:53:30,017 VALIDATED OR THOAN TO BE 2636 01:53:30,017 --> 01:53:30,417 RELIABLE. 2637 01:53:30,417 --> 01:53:31,852 SOME OF THE QUESTIONS ARE JUST 2638 01:53:31,852 --> 01:53:32,719 CONFUSING. 2639 01:53:32,719 --> 01:53:36,323 FOR INSTANCE, ONE OF THE 2640 01:53:36,323 --> 01:53:37,925 QUESTIONS ASKED ABOUT DO YOU RUN 2641 01:53:37,925 --> 01:53:39,960 OUT OF FOOD BY THE END EVER 2642 01:53:39,960 --> 01:53:43,664 PLONT? 2643 01:53:43,664 --> 01:53:45,465 -- END OFFER THE MONTH. 2644 01:53:45,465 --> 01:53:47,668 IN MANY COMMUNITIES THERE ARE 2645 01:53:47,668 --> 01:53:49,203 SOCIAL NETWORKS THAT PREVENT 2646 01:53:49,203 --> 01:53:50,737 INDIVIDUALS FROM RUNNING OUT OF 2647 01:53:50,737 --> 01:53:51,071 FOOD. 2648 01:53:51,071 --> 01:53:52,573 INDIVIDUALS MAY NOT NECESSARILY 2649 01:53:52,573 --> 01:53:55,976 HAVE INCOME IN THEIR HOUSE TO 2650 01:53:55,976 --> 01:53:57,844 PURCHASE FOOD, BUT THEY WON'T 2651 01:53:57,844 --> 01:53:59,179 RUN OUT BECAUSE THEY HAVE FAMILY 2652 01:53:59,179 --> 01:54:01,114 AND FRIENDS AND OTHER SOCIAL 2653 01:54:01,114 --> 01:54:02,516 NETWORKS TO HELP SUPPORT THEM. 2654 01:54:02,516 --> 01:54:06,253 I THINK IT IS CHALLENGING TO 2655 01:54:06,253 --> 01:54:08,021 ASSESS FOOD INSECURITY AND A LOT 2656 01:54:08,021 --> 01:54:11,592 OF PEOPLE AT LEAST THAT WE 2657 01:54:11,592 --> 01:54:14,127 REALIZE THROUGH THIS PILOT 2658 01:54:14,127 --> 01:54:15,662 PROJECT DON'T LIKE THE 2659 01:54:15,662 --> 01:54:17,664 QUESTIONNAIRES. 2660 01:54:17,664 --> 01:54:19,032 THEY FEEL STIGMATIZED. 2661 01:54:19,032 --> 01:54:21,635 I THINK IT'S CHALLENGING TO 2662 01:54:21,635 --> 01:54:26,206 MEASURE FOOD INSECURITY AND WE 2663 01:54:26,206 --> 01:54:32,145 NEED BETTER INSTRUMENT 20S TO DO 2664 01:54:32,145 --> 01:54:32,779 SO. 2665 01:54:32,779 --> 01:54:34,448 >> ANYONE ELSE? 2666 01:54:34,448 --> 01:54:36,216 OR SHOULD YOU MOVE ON? 2667 01:54:36,216 --> 01:54:40,721 >> I WOULD ADD THAT WHAT I HAVE 2668 01:54:40,721 --> 01:54:48,562 SEEN IS THAT THE FOOD SECURITY 2669 01:54:48,562 --> 01:54:51,098 SCREENING, UNFORTUNATELY, IS NOT 2670 01:54:51,098 --> 01:54:52,332 ADMINISTERED VERY REGULARLY AS 2671 01:54:52,332 --> 01:54:55,002 PART OF ANY KIND MUCH ROUTINE 2672 01:54:55,002 --> 01:54:56,403 MEDICAL CARE. 2673 01:54:56,403 --> 01:54:58,939 IT'S SIMPLY FOR THE FACT THAT 2674 01:54:58,939 --> 01:55:01,441 IHS IS SO UNDERFUNDED THAT THERE 2675 01:55:01,441 --> 01:55:04,945 IS NOT A LOT OF TIME IN THOSE 2676 01:55:04,945 --> 01:55:06,613 PATIENT PROVIDER INTERACTIONS 2677 01:55:06,613 --> 01:55:08,115 WHICH WOULD BE ONE OF THE 2678 01:55:08,115 --> 01:55:09,216 FRONTLINES WHERE THAT WOULD 2679 01:55:09,216 --> 01:55:11,518 OCCUR. 2680 01:55:11,518 --> 01:55:14,888 AND SO A LOT OF PEOPLE ARE NEVER 2681 01:55:14,888 --> 01:55:16,757 ASKED ABOUT FOOD SECURITY. 2682 01:55:16,757 --> 01:55:19,026 WHEN THEY ARE ASKED, LIKE MANDY 2683 01:55:19,026 --> 01:55:21,662 WAS SAYING, SOME OF THE 2684 01:55:21,662 --> 01:55:23,630 QUESTIONS REALLY DON'T GET AT 2685 01:55:23,630 --> 01:55:29,369 THE CULTURAL CONTEXT. 2686 01:55:29,369 --> 01:55:30,237 >> SCREENING IS DEFINITELY ON 2687 01:55:30,237 --> 01:55:31,872 THE RISE AND THAT'S A GOOD 2688 01:55:31,872 --> 01:55:32,539 THING. 2689 01:55:32,539 --> 01:55:34,174 BUT I WOULD LIKE TO MOVE ON WITH 2690 01:55:34,174 --> 01:55:35,475 OUR FINAL QUESTION. 2691 01:55:35,475 --> 01:55:37,978 THAT IS WHAT STRUCTURAL BEAR 2692 01:55:37,978 --> 01:55:40,514 YORES EXIST IN THE INDIGENOUS 2693 01:55:40,514 --> 01:55:43,684 COMMUNITIES TO REESTABLISH FOOD 2694 01:55:43,684 --> 01:55:45,252 SOVEREIGNTY AND WHAT SOLUTIONS 2695 01:55:45,252 --> 01:55:47,988 CAN BE USED TO OVERCOME THOSE 2696 01:55:47,988 --> 01:55:49,323 STRUCTURAL BARRIERS? 2697 01:55:49,323 --> 01:55:51,425 THIS IS TO ANYONE OF THE 2698 01:55:51,425 --> 01:55:56,430 PANELISTS. 2699 01:55:56,430 --> 01:55:58,198 >> I CAN SPEAK A LITTLE BIT. 2700 01:55:58,198 --> 01:55:59,900 ONE OF THE MAIN BEAR YORES IN 2701 01:55:59,900 --> 01:56:02,235 THE COMMUNITIES I WORK WITH 2702 01:56:02,235 --> 01:56:05,572 BECAUSE I'M WITH THE YOUTH, IS 2703 01:56:05,572 --> 01:56:07,140 THE -- A LOT OF THE YOUTH DON'T 2704 01:56:07,140 --> 01:56:08,008 HAVE ACCESS TO THE LAND. 2705 01:56:08,008 --> 01:56:10,310 THAT'S ONE OF THE MAJOR BEAR 2706 01:56:10,310 --> 01:56:11,745 YORES AS WELL AS HAVING THE 2707 01:56:11,745 --> 01:56:13,613 KNOWLEDGE AND SKILL FOS ACCESS 2708 01:56:13,613 --> 01:56:15,148 THEIR TRADITIONAL FOOD SYSTEM. 2709 01:56:15,148 --> 01:56:17,017 AT LEAST IN MY WORK, THE KNOW 2710 01:56:17,017 --> 01:56:24,558 CUSS IS HOW TO ENGAGE INDIGENOUS 2711 01:56:24,558 --> 01:56:26,159 YOUTH IN EXCHANGES AND SPINDING 2712 01:56:26,159 --> 01:56:28,495 MORE TIME ON THE LAND TO LEARN. 2713 01:56:28,495 --> 01:56:31,331 IF THEY HAVE MORE KNOWLEDGE 2714 01:56:31,331 --> 01:56:32,866 ABOUT INTEREST EDITIONAL FOOD 2715 01:56:32,866 --> 01:56:35,602 PRACTICES AND THE CAPACITY TO 2716 01:56:35,602 --> 01:56:39,039 PRACTICE THEIR CULTURAL -- IN 2717 01:56:39,039 --> 01:56:43,176 THEIR INDIGENOUS FOOD SYSTEM, IT 2718 01:56:43,176 --> 01:56:45,145 COULD SUPPORT FOOD SECURITY. 2719 01:56:45,145 --> 01:56:48,415 AS I MENTIONED EARLIER, FOOD 2720 01:56:48,415 --> 01:56:49,983 SECURITY APPLIES ON BOTH FRONTS 2721 01:56:49,983 --> 01:56:54,054 FOR THIS COMMUNITY WHERE 2722 01:56:54,054 --> 01:56:56,757 STORE-BOUGHT FOODS IS NOT THE 2723 01:56:56,757 --> 01:56:58,492 MOST ACCESSIBLE NOR IS IT ON THE 2724 01:56:58,492 --> 01:56:59,359 LAND. 2725 01:56:59,359 --> 01:57:01,294 >> WE DID HAVE A COUPLE MORE 2726 01:57:01,294 --> 01:57:04,364 QUESTIONS COME IN. 2727 01:57:04,364 --> 01:57:08,902 SO MANY INTERVENTIONS FOR 2728 01:57:08,902 --> 01:57:10,737 INDIGENOUS FOOD SECURITY ARE 2729 01:57:10,737 --> 01:57:13,573 DONE ON A LOCAL OR GRASSROOTS 2730 01:57:13,573 --> 01:57:13,774 LEVEL. 2731 01:57:13,774 --> 01:57:15,976 DO YOU KNOW OF ANY INTERVENTIONS 2732 01:57:15,976 --> 01:57:19,613 ON A LARGER SCALE SUCH AS GLOBAL 2733 01:57:19,613 --> 01:57:19,846 HEALTH? 2734 01:57:19,846 --> 01:57:23,216 IF NOT, WHY IS THIS NOT LOOKED 2735 01:57:23,216 --> 01:57:32,526 AT OR IS IT EVEN POSSIBLE? 2736 01:57:32,526 --> 01:57:34,528 >> YES, THEY ARE DONE AT A LOCAL 2737 01:57:34,528 --> 01:57:35,896 LEVEL AND THAT'S THE BEAUTY OF 2738 01:57:35,896 --> 01:57:37,097 THEM. 2739 01:57:37,097 --> 01:57:44,905 THEY ARE DEEPLY LOCALIZED. 2740 01:57:44,905 --> 01:57:46,973 KNOWLEDGE IS PART OF THE REASON 2741 01:57:46,973 --> 01:57:48,408 WHY THAT OCCURS. 2742 01:57:48,408 --> 01:57:50,777 TAKING THE UNIQUE KNOWLEDGE OF A 2743 01:57:50,777 --> 01:57:54,681 SPECIFIC PLACE AND BROADENING 2744 01:57:54,681 --> 01:57:57,050 THAT KNOWLEDGE OUT IS VERY, VERY 2745 01:57:57,050 --> 01:57:57,851 CHALLENGING. 2746 01:57:57,851 --> 01:57:59,286 SO THAT'S PROBABLY ONE REASON 2747 01:57:59,286 --> 01:58:00,654 WHY THAT DOESN'T OCCUR. 2748 01:58:00,654 --> 01:58:09,429 BUT I THINK ALSO YOU KNOW, THESE 2749 01:58:09,429 --> 01:58:12,165 INTERVENTIONS ARE NOT WHAT YOU 2750 01:58:12,165 --> 01:58:15,569 WOULD CONSIDER THE TYPICAL RCT 2751 01:58:15,569 --> 01:58:18,004 SORT OF MATERIAL. 2752 01:58:18,004 --> 01:58:22,042 SO IF YOU KEEP THEM INTACT, IT'S 2753 01:58:22,042 --> 01:58:24,010 HARD TO KIND OF OPERATIONALIZE 2754 01:58:24,010 --> 01:58:28,482 THEM IN THE RTC MODEL. 2755 01:58:28,482 --> 01:58:30,550 WE ARE EXPANDING SOME OF THIS AS 2756 01:58:30,550 --> 01:58:35,355 PASSIONATE OF OUR CENTER FOR 2757 01:58:35,355 --> 01:58:37,891 INDIGENOUS INNOVATION AND HEALTH 2758 01:58:37,891 --> 01:58:38,191 EQUITY. 2759 01:58:38,191 --> 01:58:41,094 WE LOOK AT SIMULATOR IN THE 2760 01:58:41,094 --> 01:58:43,597 DIFFERENT POPULATIONS. 2761 01:58:43,597 --> 01:58:46,700 BUT WE HAVE TO BE THOUGHTFUL 2762 01:58:46,700 --> 01:58:49,836 ABOUT KEEPING THAT CASE-BASED 2763 01:58:49,836 --> 01:58:52,105 KNOWLEDGE LOCALIZED. 2764 01:58:52,105 --> 01:58:57,244 THE EMERGENCE CAME FROM A CROSS 2765 01:58:57,244 --> 01:58:58,745 CULTURAL INTERNATIONAL LEARNING 2766 01:58:58,745 --> 01:58:59,746 EXCHANGE WHICH IS THE LAST 2767 01:58:59,746 --> 01:59:02,616 PICTURE IN MY SLIDE WHERE POKES 2768 01:59:02,616 --> 01:59:09,389 FROM HAWAII, OSAGE, CHOCTAW, 2769 01:59:09,389 --> 01:59:14,227 CHEROKEE CAME TOGETHER IN HAWAII 2770 01:59:14,227 --> 01:59:24,738 AND IMAGINED WHAT THE CCISCOS 2771 01:59:25,305 --> 01:59:28,208 LOOKEDS LIKE. 2772 01:59:28,208 --> 01:59:38,051 IT'S NOT IN THE BOOKS YET BUT 2773 01:59:38,051 --> 01:59:47,327 IT'S EMERGING. 2774 01:59:47,327 --> 01:59:51,565 >> HOW DO WE ADDRESS NATIVE 2775 01:59:51,565 --> 01:59:54,601 ELDERS AND E ON FOOD KNOWLEDGE, 2776 01:59:54,601 --> 01:59:56,236 HOW DO YOU LEVERAGE THEIR 2777 01:59:56,236 --> 01:59:59,339 INFLUENCE AND INSIGHT? 2778 01:59:59,339 --> 02:00:00,840 >> I CAN SPEAK TO THIS A LITTLE 2779 02:00:00,840 --> 02:00:01,608 BIT. 2780 02:00:01,608 --> 02:00:04,244 FOR MY RESEARCH, WE HAVE AN 2781 02:00:04,244 --> 02:00:05,545 INDIGENOUS NOOJ CIRCLE WHICH IS 2782 02:00:05,545 --> 02:00:07,514 A LOT OF OLDERS AND CAN 2783 02:00:07,514 --> 02:00:09,149 COUNCILMEMBERS THAT GUIDE MY 2784 02:00:09,149 --> 02:00:10,383 RESEARCH. 2785 02:00:10,383 --> 02:00:12,018 BASICALLY, I OFTEN REFER TO THEM 2786 02:00:12,018 --> 02:00:13,954 TO GUIDE MY RESEARCH. 2787 02:00:13,954 --> 02:00:16,156 THEY'RE THE ONE WHOSE GIVE ME 2788 02:00:16,156 --> 02:00:17,557 CONNECTIONS OF WHO I SHOULD 2789 02:00:17,557 --> 02:00:19,593 REACH OUT TO, WHO ARE THE KEY 2790 02:00:19,593 --> 02:00:20,894 KNOWLEDGE HOLDERS IN THE 2791 02:00:20,894 --> 02:00:21,227 COMMUNITY. 2792 02:00:21,227 --> 02:00:23,129 I THINK IT'S CENTRAL TO HAVE 2793 02:00:23,129 --> 02:00:25,799 THAT O LEVERAGE THEIR KNOWLEDGE, 2794 02:00:25,799 --> 02:00:27,834 THEIR EXPERIENCES AND THEIR 2795 02:00:27,834 --> 02:00:28,301 CONNECTIONS WITHIN THE 2796 02:00:28,301 --> 02:00:30,070 COMMUNITY. 2797 02:00:30,070 --> 02:00:31,871 THROUGHOUT MY RESEARCH, WE HAVE 2798 02:00:31,871 --> 02:00:33,907 INDIGENOUS RESEARCH ASSISTANTS 2799 02:00:33,907 --> 02:00:35,609 THAT ARE PART OF THE RESEARCH AT 2800 02:00:35,609 --> 02:00:37,210 EVERY STAGE. 2801 02:00:37,210 --> 02:00:40,614 THEY'RE PART OF DATA ANALYSIS, 2802 02:00:40,614 --> 02:00:42,182 CODEVELOPMENT, ANALYSES AND 2803 02:00:42,182 --> 02:00:42,916 WRITING AS WELL. 2804 02:00:42,916 --> 02:00:44,884 NOW THAT I'M WORKING ON WRITING 2805 02:00:44,884 --> 02:00:47,621 AND PUBLISHING, IT'S HOW QUOWO 2806 02:00:47,621 --> 02:00:50,123 DO YOU -- HOW DO I GIVE THEM 2807 02:00:50,123 --> 02:00:50,790 AUTHORIZESHIP AND RECOGNITION 2808 02:00:50,790 --> 02:00:54,194 FOR ALL OF THEIR CONTRIBUTION TO 2809 02:00:54,194 --> 02:00:54,728 THE WORK. 2810 02:00:54,728 --> 02:00:58,465 THAT'S HOW I LEVERAGE IT. 2811 02:00:58,465 --> 02:01:00,634 >> THANK YOU. 2812 02:01:00,634 --> 02:01:02,636 I WANT TO THANK THE PANEL 2813 02:01:02,636 --> 02:01:05,238 MEMBERS FOR SHARING YOUR 2814 02:01:05,238 --> 02:01:07,207 INSIGHTS IN THIS TOPIC. 2815 02:01:07,207 --> 02:01:09,209 THANK YOU TO THE AUDIENCE. 2816 02:01:09,209 --> 02:01:13,480 THINK WE NEED TO MOVE ON TO OUR 2817 02:01:13,480 --> 02:01:14,481 COOKING DEMONSTRATION. 2818 02:01:14,481 --> 02:01:17,851 WE NOW HAVE A BRIEF COOKING 2819 02:01:17,851 --> 02:01:19,853 DEMONSTRATION VIDEO FROM OUR 2820 02:01:19,853 --> 02:01:23,857 FINAL PRESENTER BRETT O 'TIS. 2821 02:01:23,857 --> 02:01:27,260 HE'S A COMMUNICATION PROJECT 2822 02:01:27,260 --> 02:01:30,864 MANAGER IN HARVARD, SCOOFL 2823 02:01:30,864 --> 02:01:32,699 PUBLIC HEALTH CONSIDER HE LENDS 2824 02:01:32,699 --> 02:01:34,567 STRATEGIC SUPPORT TO 2825 02:01:34,567 --> 02:01:39,606 INTERVENTIONS INCLUDING THE 2826 02:01:39,606 --> 02:01:50,016 WEBSITE NUTRITIONSOURCE. 2827 02:01:53,620 --> 02:01:56,256 >> HI, I'M BRETT, I'M A CITIZEN 2828 02:01:56,256 --> 02:02:06,599 OF THE OKUNA TRIBE. 2829 02:02:07,634 --> 02:02:09,669 THIS I'M HERE WITH MY DAD WHO 2830 02:02:09,669 --> 02:02:12,939 TAUGHT ME HOW TO LISTEN FOR THE 2831 02:02:12,939 --> 02:02:17,010 PARTICULAR SOUND TO RAKE SCAPE 2832 02:02:17,010 --> 02:02:18,211 ALONG A SHELL. 2833 02:02:18,211 --> 02:02:21,414 HE IS BETTER THAN I AM. 2834 02:02:21,414 --> 02:02:24,784 SOMETIMES WE PULL UP ONES THAT 2835 02:02:24,784 --> 02:02:26,252 ARE TOO SMALL. 2836 02:02:26,252 --> 02:02:27,654 WE PUT THEM BACK IN. 2837 02:02:27,654 --> 02:02:29,756 WE DON'T LIVE ON THE ISLAND. 2838 02:02:29,756 --> 02:02:31,624 IT'S BEEN A SPECIAL PLACE OF 2839 02:02:31,624 --> 02:02:33,326 CONNECTION FOR ME. 2840 02:02:33,326 --> 02:02:36,396 WHEN I LEARNED OUR LANGUAGE'S 2841 02:02:36,396 --> 02:02:40,867 WORDS FOR LAND, WATER AND FOOD 2842 02:02:40,867 --> 02:02:43,503 CAME FULL CIRCLE. 2843 02:02:43,503 --> 02:02:48,408 MY LAND IS ME AND FOOD IS ME. 2844 02:02:48,408 --> 02:02:50,076 BACK FROM THE BEACH AND FLOOT 2845 02:02:50,076 --> 02:02:53,012 KITCHEN ALTHOUGH TRADITIONALLY 2846 02:02:53,012 --> 02:02:56,883 THESE QUAHOGS WOULD HAVE BEEN 2847 02:02:56,883 --> 02:03:01,988 COOKED NOT TOO FAR AWAY FROM THE 2848 02:03:01,988 --> 02:03:04,190 WATER, STONES WOULD HAVE BEEN 2849 02:03:04,190 --> 02:03:06,526 HEATED SO THEY'RE HOTTE. 2850 02:03:06,526 --> 02:03:16,269 THERE IS HOCK WOOD SEE WEED AND 2851 02:03:16,269 --> 02:03:19,873 STEAM THE QUOHOGS. 2852 02:03:19,873 --> 02:03:22,509 WE'RE GOING TO USE A STEAMING 2853 02:03:22,509 --> 02:03:26,679 METHOD ON THE STOVE TOP. 2854 02:03:26,679 --> 02:03:29,182 I'M USING CORN BEING THE SQUASH 2855 02:03:29,182 --> 02:03:33,419 KNOWN AS THE THREE SISTERS THAT 2856 02:03:33,419 --> 02:03:37,524 CORN GROWS IN THE CENTER, SQUASH 2857 02:03:37,524 --> 02:03:41,728 AROUND THE BASE AND BEANS IN A 2858 02:03:41,728 --> 02:03:42,862 SYMBIOTIC RELATIONSHIP WITH EACH 2859 02:03:42,862 --> 02:03:43,062 OTHER. 2860 02:03:43,062 --> 02:03:45,665 TIME TO GET COOKING. 2861 02:03:45,665 --> 02:03:52,572 FIRST THING TO DO IS WASH THE 2862 02:03:52,572 --> 02:03:52,872 QUAHOGS. 2863 02:03:52,872 --> 02:03:55,708 THEN HE LET THEM SOAK TO RELEASE 2864 02:03:55,708 --> 02:03:57,977 THE SAND WHILE PREPARING THE 2865 02:03:57,977 --> 02:03:58,845 OTHER INGREDIENTS. 2866 02:03:58,845 --> 02:04:01,047 HERE I TAKE THE FRESH CORN ON 2867 02:04:01,047 --> 02:04:04,117 THE COB AND SLIPPING OFF THE 2868 02:04:04,117 --> 02:04:10,223 KERNELS AND I WILL SAY IT A IT N 2869 02:04:10,223 --> 02:04:11,424 ALIVE OIL. 2870 02:04:11,424 --> 02:04:14,727 GIVE THEM A STIR IN THE PAN AND 2871 02:04:14,727 --> 02:04:16,863 ONCE THE GARLIC IS FRAGRANT, I 2872 02:04:16,863 --> 02:04:20,967 ADD THE CORN, BLEND OF SEAWEED 2873 02:04:20,967 --> 02:04:23,570 AND OTHER HERBS AND SPICES AND 2874 02:04:23,570 --> 02:04:29,609 ADD THE QUOHOGS AND PLACE THEM 2875 02:04:29,609 --> 02:04:32,445 ON TOP SO THEY'RE NOD CROWDED. 2876 02:04:32,445 --> 02:04:34,647 I SNEAK IN A LITTLE BIT OF WHITE 2877 02:04:34,647 --> 02:04:38,351 WINE FOR MORE FLAVOR AND ADDING 2878 02:04:38,351 --> 02:04:40,887 VOLUME TO THE STEAMING LIQUID 2879 02:04:40,887 --> 02:04:43,656 AND LOATHE IT DO ITS THING. 2880 02:04:43,656 --> 02:04:45,358 GIVING EVERYTHING A STIR TO BE 2881 02:04:45,358 --> 02:04:47,794 SURE ALL THE SHELLS HAVE OPENED. 2882 02:04:47,794 --> 02:04:50,496 ALWAYS BE SURE TO DISCARD ANY 2883 02:04:50,496 --> 02:04:52,799 THAT DON'T OPEN. 2884 02:04:52,799 --> 02:04:54,133 IT'S LOOKING GOOD. 2885 02:04:54,133 --> 02:04:57,837 FOR A FINAL TOUCH, I ADDED FRESH 2886 02:04:57,837 --> 02:04:59,906 BASIL SINCE IT'S DOING SO WELL 2887 02:04:59,906 --> 02:05:01,975 IN THE GARDEN THIS SUMMER. 2888 02:05:01,975 --> 02:05:08,448 NOW TIME TO GIVE IT A TASTE. 2889 02:05:08,448 --> 02:05:09,382 DELICIOUS. 2890 02:05:09,382 --> 02:05:12,518 SUPER SIMPLE. 2891 02:05:12,518 --> 02:05:14,921 YOU CAN TASTE THE OCEAN FROM THE 2892 02:05:14,921 --> 02:05:17,457 CLAMS AND CORN IS NICE AND SWEET 2893 02:05:17,457 --> 02:05:20,193 AND JUST A SIMPLE QUICK 2894 02:05:20,193 --> 02:05:20,493 PREPARATION. 2895 02:05:20,493 --> 02:05:25,865 IT CAN BE SERVED OVER PASTA AND 2896 02:05:25,865 --> 02:05:28,835 DIPPING BREAD IN IT BUT I'LL 2897 02:05:28,835 --> 02:05:31,337 PROBABLY DRINK ARE THE BROTH UP 2898 02:05:31,337 --> 02:05:33,539 AFTER I'M DONE WITH THE CLAMS. 2899 02:05:33,539 --> 02:05:38,244 THE OTHER COOL THING ABOUT 2900 02:05:38,244 --> 02:05:39,646 QUAHOGS IS ONCE THEY'RE DONE, 2901 02:05:39,646 --> 02:05:41,581 YOU HAVE A BEAUTIFUL SHELL LEFT 2902 02:05:41,581 --> 02:05:42,048 OVER. 2903 02:05:42,048 --> 02:05:44,050 YOU ARE SEEK THE PURPLE INSIDE. 2904 02:05:44,050 --> 02:05:46,953 WE HAVE A LOT EVER TALENTED 2905 02:05:46,953 --> 02:05:49,389 ARTISANS WHO CRAFT BEADS AND 2906 02:05:49,389 --> 02:05:56,596 OTHER JEWELRY OUT OF THIS 2907 02:05:56,596 --> 02:05:56,829 WAMPUM. 2908 02:05:56,829 --> 02:05:58,831 THANK YOU FOR JOINING ME FROM 2909 02:05:58,831 --> 02:06:02,869 GETTING THE QUAHOGS. 2910 02:06:02,869 --> 02:06:07,106 I ENJOYED SHARING A GLIMPSE OF 2911 02:06:07,106 --> 02:06:08,942 THIS PRACTICE THAT IS A 2912 02:06:08,942 --> 02:06:10,610 CONNECTION POINT FOR ME AND MY 2913 02:06:10,610 --> 02:06:12,245 FAMILY AS WELL AS MY OWN 2914 02:06:12,245 --> 02:06:13,012 PERSONAL CONNECTION TO THE LAND 2915 02:06:13,012 --> 02:06:16,649 AND GETTING TO ENJOY A FOOD THAT 2916 02:06:16,649 --> 02:06:19,686 HAS BEEN CONSUMED FOR AS LONG AS 2917 02:06:19,686 --> 02:06:21,321 ANYONE CAN REMEMBER. 2918 02:06:21,321 --> 02:06:27,694 SO THAT'S ALL FOR ME. 2919 02:06:27,694 --> 02:06:33,700 THTHEINDIGENOUS PEOPLE ARE STIL 2920 02:06:33,700 --> 02:06:34,033 HERE. 2921 02:06:34,033 --> 02:06:36,869 IT'S GREAT TO SHARE THIS WITH 2922 02:06:36,869 --> 02:06:38,204 YOU. 2923 02:06:38,204 --> 02:06:38,972 >> HOW INSPIRING. 2924 02:06:38,972 --> 02:06:40,807 I WOULD LIKE TO THANK EACH OF 2925 02:06:40,807 --> 02:06:42,976 OUR PANELISTS AND TO ALL OF YOU 2926 02:06:42,976 --> 02:06:44,711 WHO JOINED OUR FIRST PANEL OF 2927 02:06:44,711 --> 02:06:45,645 THE DAY. 2928 02:06:45,645 --> 02:06:47,847 I THINK WE ARE A LITTLE BEHIND 2929 02:06:47,847 --> 02:06:50,283 TIME AND WE'RE GOING STRAIGHT ON 2930 02:06:50,283 --> 02:06:51,751 TO PANEL 2. 2931 02:06:51,751 --> 02:07:01,728 AND SO, DR. BLACKMAN CARR, YOU 2932 02:07:01,728 --> 02:07:03,930 ARE OUR NEXT MODERATOR. 2933 02:07:03,930 --> 02:07:05,431 >> GOOD AFTERNOON AND THANK YOU. 2934 02:07:05,431 --> 02:07:07,834 I HOPE EVERYBODY ENJOYED PANEL 2935 02:07:07,834 --> 02:07:10,003 1. 2936 02:07:10,003 --> 02:07:20,146 I AM DR. BLACKMAN CARR, I'M AN 2937 02:07:20,146 --> 02:07:21,314 ASSISTANT PROFESSOR AT THE 2938 02:07:21,314 --> 02:07:24,283 UNIVERSITY OF CONNECTICUT WITHIN 2939 02:07:24,283 --> 02:07:25,184 THE DEPARTMENT OF HEALTH 2940 02:07:25,184 --> 02:07:26,085 SCIENCES. 2941 02:07:26,085 --> 02:07:28,621 I FOCUS ON WEIGHT CONTROL 2942 02:07:28,621 --> 02:07:30,156 AMONGST BLACK WOMEN BUT I'M ALSO 2943 02:07:30,156 --> 02:07:32,091 A REGISTERED DIETICIAN AS WELL 2944 02:07:32,091 --> 02:07:34,027 FOR A PASSION FOR EATING WELL, 2945 02:07:34,027 --> 02:07:37,597 COOKING AND CERTAINLY A FOCUS ON 2946 02:07:37,597 --> 02:07:39,032 HEALTH DISPARITIES AND CULTURE 2947 02:07:39,032 --> 02:07:40,800 WITHIN MY WORK. 2948 02:07:40,800 --> 02:07:43,836 AS WE -- AS A MODERATE PANEL 2, 2949 02:07:43,836 --> 02:07:46,806 WE HAVE A WONDERFUL LINE-UP OF 2950 02:07:46,806 --> 02:07:50,076 SPEAKERS WHO WILL HIGHLIGHT 2951 02:07:50,076 --> 02:07:52,412 DIETARY INTERVENTIONS TAILORED 2952 02:07:52,412 --> 02:07:54,614 TO BLACKS OF DIVERSE 2953 02:07:54,614 --> 02:07:55,715 SOCIOCULTURAL EXPERIENCES WITHIN 2954 02:07:55,715 --> 02:07:57,216 THE UNITED STATES. 2955 02:07:57,216 --> 02:07:59,318 BEFORE WE START, A COUPLE OF 2956 02:07:59,318 --> 02:08:00,620 HOUSE KEEG NOTES. 2957 02:08:00,620 --> 02:08:02,255 THROUGHOUT THE PRESENTATION FOR 2958 02:08:02,255 --> 02:08:04,757 PANEL 2, CERTAINLY THERE WILL BE 2959 02:08:04,757 --> 02:08:07,226 A Q&A DISCUSSION PORTION THAT 2960 02:08:07,226 --> 02:08:09,195 WILL COME, BUT PLEASE SEND ANY 2961 02:08:09,195 --> 02:08:11,364 QUESTION TOTS LIVE FEEDBACK 2962 02:08:11,364 --> 02:08:12,932 BUTTON IN THE NIH VIDEO 2963 02:08:18,337 --> 02:08:21,340 AND PLEASE TELL US WHO YOU'RE 2964 02:08:21,340 --> 02:08:23,009 DIRECTING YOUR QUESTION TO. 2965 02:08:23,009 --> 02:08:24,844 I WOULD LIKE TO INTRODUCE DR. 2966 02:08:24,844 --> 02:08:27,780 STERLING IS A NUTRITION 2967 02:08:27,780 --> 02:08:29,649 SCIENTIST AND FOUNDER AND 2968 02:08:29,649 --> 02:08:32,819 DIRECTOR OF VEGGIE AND SOUL. 2969 02:08:32,819 --> 02:08:36,422 AND SERVES AS A DIRECTOR FOR THE 2970 02:08:36,422 --> 02:08:37,356 PEANUT INSTITUTE. 2971 02:08:37,356 --> 02:08:41,060 SHE IS IN THE PREVENTION AND 2972 02:08:41,060 --> 02:08:43,062 TREATMENT OF CHRONIC DISEASES. 2973 02:08:43,062 --> 02:08:45,331 DR. STERLING WILL START US OFF 2974 02:08:45,331 --> 02:08:48,201 WITH PLANT-BASED SOUL FOOD 2975 02:08:48,201 --> 02:08:51,370 NUTRITION AND LIFESTYLE 2976 02:08:51,370 --> 02:08:58,044 INTERVENTIONS TO IMPROVE 2977 02:08:58,044 --> 02:09:00,847 LIFESTYLE RISKS. 2978 02:09:00,847 --> 02:09:01,848 >> THANK YOU SO MUCH. 2979 02:09:01,848 --> 02:09:04,050 I APPRECIATE THE ORGANIZERS FOR 2980 02:09:04,050 --> 02:09:05,685 THE OPPORTUNITY TO BE PART OF 2981 02:09:05,685 --> 02:09:07,453 SUCH AN IMPORTANT DISCUSSION. 2982 02:09:07,453 --> 02:09:09,956 I'LL BE TALKING ABOUT THE VEGGIE 2983 02:09:09,956 --> 02:09:11,390 AND SOUL STUDY? 2984 02:09:11,390 --> 02:09:16,562 IS A PLANT-PLACED LIFESTYLE 2985 02:09:16,562 --> 02:09:19,699 INTERVENTION TO IMPROVE 2986 02:09:19,699 --> 02:09:22,535 CARDIOVASCULAR RISK TO BLACKS 2987 02:09:22,535 --> 02:09:24,737 LIVING IN THE DEEP SOUTH. 2988 02:09:24,737 --> 02:09:25,705 IN 2019 WHETHER WE STARTED TO 2989 02:09:25,705 --> 02:09:26,939 PREPARE FOR THIS WORK, ONE OF 2990 02:09:26,939 --> 02:09:28,875 THE THINGS WE QUICKLY RECOGNIZED 2991 02:09:28,875 --> 02:09:31,878 WAS THERE IS A WEALTH OF DATA ON 2992 02:09:31,878 --> 02:09:35,448 THE HEALTH BENEFITS OF DIETARY 2993 02:09:35,448 --> 02:09:36,582 PATTERNS IN THE GENERAL 2994 02:09:36,582 --> 02:09:38,518 POPULATION BUT LIMITED RESEARCH 2995 02:09:38,518 --> 02:09:41,387 THAT HAD BEEN DONE AMONG BLACK 2996 02:09:41,387 --> 02:09:44,323 ADULTS IN A RURAL BLACK BELT 2997 02:09:44,323 --> 02:09:44,657 SETTING. 2998 02:09:44,657 --> 02:09:50,463 WE SAW THE STUDY WHICH WAS ONE 2999 02:09:50,463 --> 02:09:51,998 OF THE PIONEERS OF THE STUDY BUT 3000 02:09:51,998 --> 02:09:54,066 WE WANTED TO FOCUS ON THE DEEP 3001 02:09:54,066 --> 02:09:55,701 SOUTH BECAUSE THERE WERE HIGHING 3002 02:09:55,701 --> 02:09:58,070 RATES OF CHRONIC DISEASES AMONG 3003 02:09:58,070 --> 02:09:59,438 BLACKS IN THIS REGION. 3004 02:09:59,438 --> 02:10:00,840 ALTHOUGH THERE ARE DIETARY 3005 02:10:00,840 --> 02:10:08,648 SHIFTS THAT ARE NEEDED, TIE TRIY 3006 02:10:08,648 --> 02:10:10,082 INCLUDED PLANT FOODS. 3007 02:10:10,082 --> 02:10:11,817 ONE OF THE THINGS THAT WAS 3008 02:10:11,817 --> 02:10:13,486 INTERESTING IS THAT WE SAW THE 3009 02:10:13,486 --> 02:10:15,454 TRENTD AMONG BLACK AMERICANS 3010 02:10:15,454 --> 02:10:18,291 MOVING TOWARDS MORE 3011 02:10:18,291 --> 02:10:21,260 PLANT-CENTERED DIETS AND THAT IS 3012 02:10:21,260 --> 02:10:22,762 INCREASING ACROSS THE COUNTRY. 3013 02:10:22,762 --> 02:10:25,398 SO WE THOUGHT HOW DO WE 3014 02:10:25,398 --> 02:10:27,366 INTERVENE IN A WAY THAT HONOR 3015 02:10:27,366 --> 02:10:28,000 CULTURE. 3016 02:10:28,000 --> 02:10:30,570 WE CONSIDERED THE CONCEPT I LIKE 3017 02:10:30,570 --> 02:10:33,406 TO CALL CULTURAL PALT BILITY. 3018 02:10:33,406 --> 02:10:35,007 BEFORE WE GET TO THE THIRD STEP 3019 02:10:35,007 --> 02:10:36,742 IN GREEN THAT YOU SEE THERE QUR 3020 02:10:36,742 --> 02:10:39,645 WE START TEACHING BEST PRACTICES 3021 02:10:39,645 --> 02:10:41,681 RELATED TO PRESERVING AND 3022 02:10:41,681 --> 02:10:43,783 ENHANCING THE NUTRIENT DESITY OF 3023 02:10:43,783 --> 02:10:45,718 EACH MEAL, WE HAVE TO FIRST 3024 02:10:45,718 --> 02:10:47,720 HIGHLIGHT AND SOLE BRAIT THE 3025 02:10:47,720 --> 02:10:49,488 RICH FOODS OF THE CULTURE AND 3026 02:10:49,488 --> 02:10:52,558 CONSIDER WAYS TO INCORPORATE 3027 02:10:52,558 --> 02:10:54,093 THEM WITHIN THE INTERVENTION 3028 02:10:54,093 --> 02:10:57,797 WE'RE SEEKING TO DO. 3029 02:10:57,797 --> 02:10:59,999 THE VEGGIE AND SOUL WAS A ARE 3030 02:10:59,999 --> 02:11:03,970 GRASS ROADS 12 VEHICLE 3031 02:11:03,970 --> 02:11:08,641 INTERVENTION TO EMPHASIZE SOUL 3032 02:11:08,641 --> 02:11:09,642 FOOD FLAVORS. 3033 02:11:09,642 --> 02:11:13,045 IT DID RELY ON ELEMENTS OF 3034 02:11:13,045 --> 02:11:14,313 COMMUNITY-BASED FOR RESEARCH AND 3035 02:11:14,313 --> 02:11:16,616 FOCUSED ON THESE FOUR ELEMENTS 3036 02:11:16,616 --> 02:11:18,718 YOU SEE THERE. 3037 02:11:18,718 --> 02:11:22,655 PLANT-BASED NUTRITION, 23EUS PHL 3038 02:11:22,655 --> 02:11:25,224 ACTIVITY AND WELLNESS AND 3039 02:11:25,224 --> 02:11:27,627 CULTURAL ADAPTABILITY. 3040 02:11:27,627 --> 02:11:29,061 NEXT SLIDE, PLEASE. 3041 02:11:29,061 --> 02:11:31,497 THE INTERVENTION WAS SET IN 3042 02:11:31,497 --> 02:11:32,665 ALBANY GEORGIA WHICH IS 3043 02:11:32,665 --> 02:11:34,267 CONSIDERED PART OF THE BLACK 3044 02:11:34,267 --> 02:11:34,900 BELT REGION IN THE UNITED 3045 02:11:34,900 --> 02:11:35,434 STATES. 3046 02:11:35,434 --> 02:11:37,837 WHAT THAT MEANS IS THAT GREATER 3047 02:11:37,837 --> 02:11:39,939 THAN 50% OF THE POPULATION 3048 02:11:39,939 --> 02:11:42,341 IDENTIFIES AS EITHER BLACK OR 3049 02:11:42,341 --> 02:11:43,442 AFRICAN-AMERICAN. 3050 02:11:43,442 --> 02:11:47,046 73% OF THE POPULATION IS BLACK, 3051 02:11:47,046 --> 02:11:48,581 ONLY 23 IS WHITE. 3052 02:11:48,581 --> 02:11:51,117 THE DISPARITIES HERE ARE 3053 02:11:51,117 --> 02:11:54,153 PALPABLE BECAUSE WE SEE THE HIGH 3054 02:11:54,153 --> 02:11:56,489 RATES OF CHRONIC DISEASE AS 3055 02:11:56,489 --> 02:11:58,424 AMONG BLACKS AND LIMITED ACCESS 3056 02:11:58,424 --> 02:12:00,793 TO MEDICAL CARE BUT NUTRITION 3057 02:12:00,793 --> 02:12:02,161 FOODS IN MANY NEIGHBORHOODS. 3058 02:12:02,161 --> 02:12:04,864 THAT'S ONE OF THE REASONS WE 3059 02:12:04,864 --> 02:12:06,032 WERE GRATEFUL TO HAVE THE 3060 02:12:06,032 --> 02:12:07,433 SUPPORT OF THE SPONSORS LISTED 3061 02:12:07,433 --> 02:12:09,402 BELOW. 3062 02:12:09,402 --> 02:12:13,139 SO, THE INTERVENTION INCLUDED 3063 02:12:13,139 --> 02:12:15,107 WEEKLY VIRTUAL EDUCATIONAL 3064 02:12:15,107 --> 02:12:16,676 CLASSES, SUPPORT GROUPS THAT 3065 02:12:16,676 --> 02:12:20,046 CAME IN THE SUPPORT OF HEALTH 3066 02:12:20,046 --> 02:12:21,847 LEADERS IN THE COMMUNITY AND 3067 02:12:21,847 --> 02:12:23,549 Facebook GROUPS WHERE PEOPLE 3068 02:12:23,549 --> 02:12:24,750 COULD SHARE WITH EACH OTHER. 3069 02:12:24,750 --> 02:12:26,519 THAT WAS A KEY PART OF THE 3070 02:12:26,519 --> 02:12:27,053 INTERVENTION. 3071 02:12:27,053 --> 02:12:29,689 PARTICIPANTS RECEIVED WEEKLY 3072 02:12:29,689 --> 02:12:31,891 PLANT-BASED MEALS FROM A LOCAL 3073 02:12:31,891 --> 02:12:34,193 RESTAURANT START-UP, PRODUCE 3074 02:12:34,193 --> 02:12:37,697 BOXES FROM A LOCAL GARDEN AND 3075 02:12:37,697 --> 02:12:40,199 MEAL PLANS. 3076 02:12:40,199 --> 02:12:45,071 WE DID CONDUCT SURVEYS. 3077 02:12:45,071 --> 02:12:50,476 THIS WAS A GRASSROOTS MODEL. 3078 02:12:50,476 --> 02:12:52,878 HERE YOU CAN SEE IF YOU GO BACK 3079 02:12:52,878 --> 02:12:57,083 ONE SLIDE, SO HERE YOU CAN SEE A 3080 02:12:57,083 --> 02:12:59,385 FEW SNIPPETS OF ONE EVER OUR 3081 02:12:59,385 --> 02:13:00,686 WEEKLY CLASSES. 3082 02:13:00,686 --> 02:13:05,191 A LOCAL COMMUNITY PASTOR DR. THE 3083 02:13:05,191 --> 02:13:07,626 DEMONSTRATIONS FOR THE LESSONS 3084 02:13:07,626 --> 02:13:10,262 AND THERE WAS EXERCISE 3085 02:13:10,262 --> 02:13:11,797 DEMONSTRATION WITH PARTICIPANT 3086 02:13:11,797 --> 02:13:12,365 ENGAGEMENT TOE END EVER THE 3087 02:13:12,365 --> 02:13:12,898 CLASS. 3088 02:13:12,898 --> 02:13:14,967 ONE THING THAT IS NOT SHOWN HERE 3089 02:13:14,967 --> 02:13:17,069 IS ONE OF THE HEALTH LEADERS HAS 3090 02:13:17,069 --> 02:13:18,437 A PRODUCTIVE FARM IN THE AREA 3091 02:13:18,437 --> 02:13:20,873 AND WHAT HE DID WAS HE TAUGHT 3092 02:13:20,873 --> 02:13:23,342 PARTICIPANTS HOW TO PLANT FOODS 3093 02:13:23,342 --> 02:13:25,111 LIKE BLUEBERRIES IN THEIR OWN 3094 02:13:25,111 --> 02:13:28,581 SPACES. 3095 02:13:28,581 --> 02:13:31,550 HERE IS A LOOK AT WHAT OUR CHEF 3096 02:13:31,550 --> 02:13:33,886 TAUGHT COOKING CLASSES LOOKED 3097 02:13:33,886 --> 02:13:34,320 LIKE. 3098 02:13:34,320 --> 02:13:38,324 ON THE TOP LEFT YOU'LL SEE A 3099 02:13:38,324 --> 02:13:40,426 RECIPE FOR CRAB CAKES. 3100 02:13:40,426 --> 02:13:46,932 ON THE BOMB OM RIGHT IS A RECIPE 3101 02:13:46,932 --> 02:13:47,666 FOR BUFFALO. 3102 02:13:47,666 --> 02:13:49,435 IT WAS ONE OF OUR PARTICIPANTS 3103 02:13:49,435 --> 02:13:55,107 FAVORITES. 3104 02:13:55,107 --> 02:13:57,209 HERE YOU CAN SEE A PICTURE MUCH 3105 02:13:57,209 --> 02:13:59,145 WEEKLY FOOD BOXES AND RECIPES 3106 02:13:59,145 --> 02:14:00,813 THAT PARTICIPANTS RECEIVED. 3107 02:14:00,813 --> 02:14:03,015 WE TRIED TO COORDINATE THE 3108 02:14:03,015 --> 02:14:04,750 RECIPE CARDS THEY GOT WITH THE 3109 02:14:04,750 --> 02:14:06,819 KIND OF PRODUCE WE GOT. 3110 02:14:06,819 --> 02:14:14,760 ON THE WEEK THEY GO COLLARD GRES 3111 02:14:14,760 --> 02:14:17,163 THEY COULD REPLACE IT WITH 3112 02:14:17,163 --> 02:14:18,264 SOMETHING ELSE. 3113 02:14:18,264 --> 02:14:19,932 LET'S TALK ABOUT THE RESULTS. 3114 02:14:19,932 --> 02:14:21,700 THERE WERE 24TH PARTICIPANTS IN 3115 02:14:21,700 --> 02:14:23,969 THE HIGHLIGHT AND 92% WERE 3116 02:14:23,969 --> 02:14:24,637 WOMEN. 3117 02:14:24,637 --> 02:14:26,472 THE AVERAGE AGE WAS 43. 3118 02:14:26,472 --> 02:14:31,844 WE DID SEE ANG EVEN SPREAD AMONG 3119 02:14:31,844 --> 02:14:34,480 INCOME AND EDUCATIONAL LEVELS. 3120 02:14:34,480 --> 02:14:36,682 A THIRD OF ALL PARTICIPANTS 3121 02:14:36,682 --> 02:14:37,850 DEMONSTRATED SOME LEVEL EVER 3122 02:14:37,850 --> 02:14:40,352 FOOD INSECURITY ADDS MEASURED BY 3123 02:14:40,352 --> 02:14:42,822 THE SURVEY. 3124 02:14:42,822 --> 02:14:47,059 IN TERMS OF DIETARY BEHAVIORS, 3125 02:14:47,059 --> 02:14:49,195 WE FOUND THAT SELF-REPORTED FOOD 3126 02:14:49,195 --> 02:14:51,096 AND WHOLE GRAIN CONSUMPTION 3127 02:14:51,096 --> 02:14:53,799 DOUBLED BY 12 WEEKS AND 3128 02:14:53,799 --> 02:14:55,434 VEGETABLE CONSUMPTION INCREASED 3129 02:14:55,434 --> 02:14:57,736 BY 90% AND A SIGNIFICANT 3130 02:14:57,736 --> 02:14:59,738 REDUCTION IN LIMITS TO LIMIT 3131 02:14:59,738 --> 02:15:04,343 SUCH AS CHOLESTEROL AND ADDED 3132 02:15:04,343 --> 02:15:05,311 SUGARS. 3133 02:15:05,311 --> 02:15:06,879 PARTICIPANTS REDUCED THEIR 3134 02:15:06,879 --> 02:15:07,413 CAFFEINE INTAKE. 3135 02:15:07,413 --> 02:15:09,815 WE THINK IT MAY HAVE A 3136 02:15:09,815 --> 02:15:13,018 CORRELATION WITH ADDED SUGARS IN 3137 02:15:13,018 --> 02:15:15,888 THE COULD HOTTER. 3138 02:15:15,888 --> 02:15:16,322 COHORT. 3139 02:15:16,322 --> 02:15:18,290 THERE WAS IMPROVEMENT IN TERMS 3140 02:15:18,290 --> 02:15:20,359 OF CONFIDENCE TO PREPARE AND 3141 02:15:20,359 --> 02:15:22,461 SHOP FOR NUTRITION FOOD ITEMS IN 3142 02:15:22,461 --> 02:15:28,067 THE GROCERY STORE. 3143 02:15:28,067 --> 02:15:34,640 BODY MASS INDISPEKS WAIST 3144 02:15:34,640 --> 02:15:37,643 CIRCUMFERENCE WERE DECREASED AND 3145 02:15:37,643 --> 02:15:41,881 LDL REDUCED AND INFLAMMATORY 3146 02:15:41,881 --> 02:15:47,319 MARKERS WAS REDUCED BY 25%. 3147 02:15:47,319 --> 02:15:49,955 AT THE BEGINNING OF THE 3148 02:15:49,955 --> 02:15:50,856 INTERVENTION, WHAT YOU SEE HERE 3149 02:15:50,856 --> 02:15:52,558 IS WE USE A VALIDATED 3150 02:15:52,558 --> 02:15:56,428 QUESTIONNAIRE TO ASK PEOPLE TO 3151 02:15:56,428 --> 02:15:58,430 AGREE OR EXPWREE TO THE 3152 02:15:58,430 --> 02:16:00,299 FOLLOWING STATEMENT. 3153 02:16:00,299 --> 02:16:03,035 AT BASELINE THERE WAS AN EVEN 3154 02:16:03,035 --> 02:16:06,438 SPREAD ON AGREEING OR 3155 02:16:06,438 --> 02:16:07,406 DISAGREEING. 3156 02:16:07,406 --> 02:16:11,343 ED .AT THE END, YOU'LL SEE THAT% 3157 02:16:11,343 --> 02:16:13,279 OF PARTICIPANTS AGREED OR 3158 02:16:13,279 --> 02:16:14,914 STRONGLY AGREED WITH THE 3159 02:16:14,914 --> 02:16:15,581 STATEMENT BY THE END OF THE 3160 02:16:15,581 --> 02:16:16,248 PROGRAM. 3161 02:16:16,248 --> 02:16:17,983 THE PROGRAM WAS HIGHLY RATE ADD 3162 02:16:17,983 --> 02:16:19,952 AMONG PARTICIPANTS AND HAD AN 3163 02:16:19,952 --> 02:16:23,956 AVERAGE EVER 93 PANE DANCE. 3164 02:16:23,956 --> 02:16:25,357 93 ATTENDANCE. 3165 02:16:25,357 --> 02:16:28,894 THEY SAID THAT THE TOP 3166 02:16:28,894 --> 02:16:30,863 MOTIVATORS WERE THE EDUCATIONAL 3167 02:16:30,863 --> 02:16:32,865 LESSONS AND FOOD BOXES AND THEY 3168 02:16:32,865 --> 02:16:35,334 HIGHLY RATED THE MEALS AND 3169 02:16:35,334 --> 02:16:38,437 RECIPES THEMSELVES. 3170 02:16:38,437 --> 02:16:39,972 WE ACKNOWLEDGE THAT THERE WERE 3171 02:16:39,972 --> 02:16:40,839 SOME LIMITATIONS WITHIN THE 3172 02:16:40,839 --> 02:16:42,274 CONTEXT OF THIS PILOT. 3173 02:16:42,274 --> 02:16:44,610 IN TERMS OF NOT HAVING A 3174 02:16:44,610 --> 02:16:48,347 RANDOMIZED SAMPLE AND USING 3175 02:16:48,347 --> 02:16:50,950 24-HOUR DIETARY RECALLS. 3176 02:16:50,950 --> 02:16:54,453 SOME UNIQUE CHALLENGES INCLUDED 3177 02:16:54,453 --> 02:16:59,959 THE ENVIRONMENTAL CONDITIONS. 3178 02:16:59,959 --> 02:17:00,192 THAT 3179 02:17:00,192 --> 02:17:03,696 WAY HINDER THE ADOPTION OF 3180 02:17:03,696 --> 02:17:06,765 HEALTHY DIETARY PATTERNS. 3181 02:17:06,765 --> 02:17:09,635 ONE OF THE THINGS WE THINK IS A 3182 02:17:09,635 --> 02:17:10,636 UNIQUE STRENGTH OF THIS PROGRAM 3183 02:17:10,636 --> 02:17:11,971 IS BEING ABLE TO LIVE IN THE 3184 02:17:11,971 --> 02:17:14,173 COMMUNITY THAT WE SERVE ON LOCAL 3185 02:17:14,173 --> 02:17:14,940 LEVEL. 3186 02:17:14,940 --> 02:17:17,276 I CAN'T EMPHASIZE HOW POWERFUL 3187 02:17:17,276 --> 02:17:18,978 THAT WAS BECAUSE IT HELPED US TO 3188 02:17:18,978 --> 02:17:20,846 FOSTER TRUST NOT ONLY AMONG THE 3189 02:17:20,846 --> 02:17:22,615 PARTICIPANTS THEMSELVES, BUT IT 3190 02:17:22,615 --> 02:17:25,551 HELPED US BUILD AN INTEGRAL 3191 02:17:25,551 --> 02:17:27,119 NETWORK ACROSS VARIOUS COMMUNITY 3192 02:17:27,119 --> 02:17:30,322 PARTNERS. 3193 02:17:30,322 --> 02:17:32,257 AND THESE NETWORKS HAVE ALLOWED 3194 02:17:32,257 --> 02:17:33,926 US TO CONTINUE OUR WORK IN 3195 02:17:33,926 --> 02:17:36,629 VARIOUS WAYS THROUGH MONTH-LONG 3196 02:17:36,629 --> 02:17:40,466 COOKING CLASSES, LIFESTYLE 34ED 3197 02:17:40,466 --> 02:17:42,768 SIN HEALTH CARES AND OTHER 3198 02:17:42,768 --> 02:17:44,703 EVENTS DESIGNED TO NOT ONLY 3199 02:17:44,703 --> 02:17:47,840 RAISE AWARENESS BUT TEACH 3200 02:17:47,840 --> 02:17:50,342 HEALTHY LIFESTYLE HABITS AND 3201 02:17:50,342 --> 02:17:52,444 SKILLS AND WE HOPE TO HAVE MORE 3202 02:17:52,444 --> 02:17:53,846 TO BUILD UPON THE WORK THAT 3203 02:17:53,846 --> 02:17:55,648 WE'VE BEEN ABLE TO DO. 3204 02:17:55,648 --> 02:17:57,850 I WANTED TO END BY ACKNOWLEDGING 3205 02:17:57,850 --> 02:18:00,119 THE VJY AND SOUL STAFF, THE 3206 02:18:00,119 --> 02:18:03,222 STUDENTS, INTERNS, THE COMMUNITY 3207 02:18:03,222 --> 02:18:04,523 LEADERS, SPONSORS AND ALL THE 3208 02:18:04,523 --> 02:18:08,027 PARTICIPANTS WHO MADE THIS WORK 3209 02:18:08,027 --> 02:18:10,696 POSSIBLE. 3210 02:18:10,696 --> 02:18:12,231 >> THANK YOU SO MUCH DR. 3211 02:18:12,231 --> 02:18:14,400 STERLING FOR A REALLY EXCELLENT 3212 02:18:14,400 --> 02:18:15,067 PRESENTATION. 3213 02:18:15,067 --> 02:18:17,269 THOSE RESULTS ARE VERY 3214 02:18:17,269 --> 02:18:18,003 ENCOURAGING. 3215 02:18:18,003 --> 02:18:20,839 I LOOK FORWARD TO THE Q&A AND 3216 02:18:20,839 --> 02:18:23,208 THE QUESTIONS THAT WILL COME 3217 02:18:23,208 --> 02:18:23,942 REGARDING YOUR WORK. 3218 02:18:23,942 --> 02:18:25,477 NOW I WOULD LIKE TOTION 3219 02:18:25,477 --> 02:18:26,712 TRANSITION TO THE SECOND 3220 02:18:26,712 --> 02:18:27,246 PANELIST. 3221 02:18:27,246 --> 02:18:33,485 NEXT PRESENTATION IS BY NICOLE. 3222 02:18:33,485 --> 02:18:34,486 COMMUNITY-BASED PARTICIPATORY 3223 02:18:34,486 --> 02:18:37,423 APPROACH TO IDENTIFY FACTORS 3224 02:18:37,423 --> 02:18:39,391 AFFECTING DIET FOLLOWING 3225 02:18:39,391 --> 02:18:42,127 MIGRATION FROM AFRICA. 3226 02:18:42,127 --> 02:18:44,897 SHE'S A STUDENT IN PUBLIC HEALTH 3227 02:18:44,897 --> 02:18:46,665 AT THE UNIVERSITY OF CALIFORNIA 3228 02:18:46,665 --> 02:18:47,833 SAN DIEGO. 3229 02:18:47,833 --> 02:18:49,601 AND SAN DIEGO STATE UNIVERSITY 3230 02:18:49,601 --> 02:18:51,704 WHERE SHE WORKED WITH DR. SHERYL 3231 02:18:51,704 --> 02:18:53,038 ANDERSON. 3232 02:18:53,038 --> 02:18:57,576 IN HER WORK, SHOO CLAB -- SHE 3233 02:18:57,576 --> 02:19:00,979 COLLABORATES TO CATER TO UNDER 3234 02:19:00,979 --> 02:19:03,048 SERVED AND UNDERREPRESENTED 3235 02:19:03,048 --> 02:19:04,983 COMMUNITIES. 3236 02:19:04,983 --> 02:19:06,685 >> THANK YOU. 3237 02:19:06,685 --> 02:19:08,020 HI, EVERYONE. 3238 02:19:08,020 --> 02:19:11,523 LIKE SHE MENTION, I'M 234EU COAL 3239 02:19:11,523 --> 02:19:14,927 A PhD. STUDENT, THE PRIMARY 3240 02:19:14,927 --> 02:19:19,531 VECTOR FOR THE STUDY. 3241 02:19:19,531 --> 02:19:22,334 MY P MY APOLOGIES FOR THE SOUND 3242 02:19:22,334 --> 02:19:26,572 OF MY VOICE. 3243 02:19:26,572 --> 02:19:29,942 SO, THE OBJECTIVE OF THIS STUDY 3244 02:19:29,942 --> 02:19:36,849 WHICH IS THE HAWASH PILOT STUDY 3245 02:19:36,849 --> 02:19:40,385 FOCUSING ON VEGETABLES AND HERBS 3246 02:19:40,385 --> 02:19:42,788 FOR HYPERTENSION USED TO PROVIDE 3247 02:19:42,788 --> 02:19:45,290 KEY INSIGHTS FROM COMMUNITY 3248 02:19:45,290 --> 02:19:47,726 MEMBERS AS WELL AS KEY 3249 02:19:47,726 --> 02:19:48,727 INFORMANTS FOR THE BARRIERS AND 3250 02:19:48,727 --> 02:19:51,029 OPPORTUNITIES FOR IMPROVEMENT OF 3251 02:19:51,029 --> 02:19:52,331 DIETARY QUALITY FOR THIS 3252 02:19:52,331 --> 02:19:52,965 POPULATION. 3253 02:19:52,965 --> 02:19:55,467 OUR POPULATION OF INTEREST IS 3254 02:19:55,467 --> 02:20:00,405 EAST AFRICAN AND SUBSAHARAN 3255 02:20:00,405 --> 02:20:03,142 IMMIGRANTS LIVING IN SAN DIEGO. 3256 02:20:03,142 --> 02:20:13,752 WE CREATED A IMPACT AND DECREASF 3257 02:20:43,382 --> 02:20:46,451 SALT, SUGAR, DIETARY FAT AND 3258 02:20:46,451 --> 02:20:49,721 OTHER FACTORS. 3259 02:20:49,721 --> 02:20:51,623 I QUO LIKE TO START BY 3260 02:20:51,623 --> 02:20:52,858 ACKNOWLEDGING AND GIVING A BOIG 3261 02:20:52,858 --> 02:20:54,893 SHOUT OUT TO OUR EXCELLENT 3262 02:20:54,893 --> 02:21:02,701 COMMUNITY PARTNER, UNITED WOMEN 3263 02:21:02,701 --> 02:21:09,875 OF EAST AFRICA. 3264 02:21:09,875 --> 02:21:11,777 WE WOULD NOT BE ABLE TO DO THIS 3265 02:21:11,777 --> 02:21:12,644 WITHOUT THEM. 3266 02:21:12,644 --> 02:21:13,946 THE BACKGROUND OF THIS WORK 3267 02:21:13,946 --> 02:21:16,148 COMES FROM UNDERSTANDING THE 3268 02:21:16,148 --> 02:21:18,417 ROLE OF ACCULTURATION AND 3269 02:21:18,417 --> 02:21:20,786 NUTRITION TRANSITION FOR MANY 3270 02:21:20,786 --> 02:21:22,754 IMMIGRANTS, SNOT ONLY SUB SA 3271 02:21:22,754 --> 02:21:27,559 WHAT HAREN AND EAST AFRICAN 3272 02:21:27,559 --> 02:21:28,427 IMMIGRANTS COMING TO THE UNITED 3273 02:21:28,427 --> 02:21:30,195 STATES BUT PEOPLE MAY LEAVE 3274 02:21:30,195 --> 02:21:31,530 THEIR COUNTRY WHERE THEY HAVE A 3275 02:21:31,530 --> 02:21:36,535 HIGH FRUIT AND VEGETABLE INTAKE 3276 02:21:36,535 --> 02:21:39,004 AS WELL AS WHOLE AND UNREFINED 3277 02:21:39,004 --> 02:21:39,671 GRAINS. 3278 02:21:39,671 --> 02:21:40,939 AS THEY COME TO THE UNITED 3279 02:21:40,939 --> 02:21:43,242 STATES, WE SEE A SHIFT IN 3280 02:21:43,242 --> 02:21:46,979 DIETARY QUALITY AND 3281 02:21:46,979 --> 02:21:47,880 CARDIOMETABOLIC FACTORS. 3282 02:21:47,880 --> 02:21:50,716 SO MAYBE THE SHIFT TO WESTERN 3283 02:21:50,716 --> 02:21:52,651 DIET AND SOME OF THE LIMITED 3284 02:21:52,651 --> 02:21:55,153 ACCESS TO THEIR FOODS MIGHT 3285 02:21:55,153 --> 02:22:00,425 RESULT IN FRUITS AND VEGETABLES 3286 02:22:00,425 --> 02:22:03,629 TO THE FORM THEY'RE USED TO. 3287 02:22:03,629 --> 02:22:04,963 THEY'RE MORE EXPENSIVE THAN 3288 02:22:04,963 --> 02:22:07,599 BEING ABLE TO ACCESS SOMETHING 3289 02:22:07,599 --> 02:22:11,003 MORE AFFORDABLE TO END UP BEING 3290 02:22:11,003 --> 02:22:12,204 HIGH ENERGY AS WELL AS 3291 02:22:12,204 --> 02:22:13,739 PROCESSED. 3292 02:22:13,739 --> 02:22:16,241 OFTEN WE SEE THE IMPACT OF THE 3293 02:22:16,241 --> 02:22:17,109 NUTRITION TRANSITION ON 3294 02:22:17,109 --> 02:22:19,845 IMMIGRANTS ALL OVER WHO COME TO 3295 02:22:19,845 --> 02:22:22,414 THE U.S. THAT THERE IS AN IMPACT 3296 02:22:22,414 --> 02:22:26,385 ON THEIR CARDIOMETABOLIC HEALTH 3297 02:22:26,385 --> 02:22:27,886 FOR THIS REASON. 3298 02:22:27,886 --> 02:22:33,292 WHAT WE AIM TO DO IS INCREASING 3299 02:22:33,292 --> 02:22:36,061 THE WAYS THAT WE'RE -- WHAT WE 3300 02:22:36,061 --> 02:22:39,698 AIM TO DO IS ACTUALLY MITIGATE 3301 02:22:39,698 --> 02:22:41,466 THE IMPACT OF THE NUTRITION 3302 02:22:41,466 --> 02:22:43,068 TRANSITION BY BEING ABLE TO 3303 02:22:43,068 --> 02:22:45,370 PROVIDE AN INTERVENTION TO ALLOW 3304 02:22:45,370 --> 02:22:46,705 CONTINUED HEALTH AFTER 3305 02:22:46,705 --> 02:22:47,239 IMMIGRATION TO THE UNITED 3306 02:22:47,239 --> 02:22:47,472 STATES. 3307 02:22:47,472 --> 02:22:50,709 AS WE KNOW, IMMIGRATION IS THE 3308 02:22:50,709 --> 02:22:52,744 CONTINUED PARTICIPANT OF LIFE IN 3309 02:22:52,744 --> 02:22:55,147 THE UNITED STATES AND THIS GROUP 3310 02:22:55,147 --> 02:22:58,684 OF IMMIGRANTS, PARTICULARLY 3311 02:22:58,684 --> 02:23:00,552 SUBSAHARAN AND EAST AFRICAN 3312 02:23:00,552 --> 02:23:02,287 IMMIGRANTS ARE INCREASING BY AS 3313 02:23:02,287 --> 02:23:04,523 MUCH AS 200 PERCENT WITHIN THE 3314 02:23:04,523 --> 02:23:05,390 LAST DECADE. 3315 02:23:05,390 --> 02:23:06,625 WE SEE AN INCREASE IN THIS 3316 02:23:06,625 --> 02:23:07,292 GROUP. 3317 02:23:07,292 --> 02:23:10,929 IT'S IMPORTANT TO DESIGN 3318 02:23:10,929 --> 02:23:12,564 INTERVENTIONS THAT WOULD BE ABLE 3319 02:23:12,564 --> 02:23:14,132 TO IMPROVE THOSE DIETARY 3320 02:23:14,132 --> 02:23:15,133 OUTCOMES AS THEY COME TO THE 3321 02:23:15,133 --> 02:23:23,742 UNITED STATES. 3322 02:23:23,742 --> 02:23:24,643 OUR MECHANISM OF ACTION THAT 3323 02:23:24,643 --> 02:23:27,145 WE'VE CHOSEN IS THE USE OF 3324 02:23:27,145 --> 02:23:30,315 SPICES AND HERBS. 3325 02:23:30,315 --> 02:23:38,323 MY ADVISER STARTED BY CONDUCTING 3326 02:23:38,323 --> 02:23:41,259 A TRIAL STARTING AT JOHNS 3327 02:23:41,259 --> 02:23:42,327 HOPKINS AS WELL AS CONTINUING 3328 02:23:42,327 --> 02:23:44,896 THE WORK HERE AT UC SAN DIEGO 3329 02:23:44,896 --> 02:23:48,100 THAT AIMED AN EFFICACY APPROACH 3330 02:23:48,100 --> 02:23:49,634 TO PARTICIPANTS BEING PROVIDED 3331 02:23:49,634 --> 02:23:54,539 WITH A CONTROLLED AMOUNT OF FOOD 3332 02:23:54,539 --> 02:23:57,442 THAT SHOWED THE RECOMMENDATIONS 3333 02:23:57,442 --> 02:23:58,643 THAT WE'RE SUPPOSED TO HAVE. 3334 02:23:58,643 --> 02:24:03,782 IT WAS LOW IN SE SODIUM AND 3335 02:24:03,782 --> 02:24:04,950 MIMICKED WHAT WE WANTED PEOPLE 3336 02:24:04,950 --> 02:24:06,885 TO BE ABLE TO EAT AND THE AMOUNT 3337 02:24:06,885 --> 02:24:08,854 OF SODIUM WE WOULD WANT THEM TO 3338 02:24:08,854 --> 02:24:09,287 EAT. 3339 02:24:09,287 --> 02:24:10,756 AFTER THAT, THE PARTICIPANTS 3340 02:24:10,756 --> 02:24:12,691 WERE SPLIT INTO THE INTERVENTION 3341 02:24:12,691 --> 02:24:13,925 AND CONTROL WHERE THE 3342 02:24:13,925 --> 02:24:18,163 INTERVENTION WAS PROVIDED WITH 3343 02:24:18,163 --> 02:24:19,264 GROUP COUNSELING AS WELL AS THIS 3344 02:24:19,264 --> 02:24:21,033 EMPHASIS ON SPICES AND HERBS 3345 02:24:21,033 --> 02:24:24,669 WHILE THE CONTROL WAS GIVEN 3346 02:24:24,669 --> 02:24:25,704 GROUP COUNSELING AND TOLD TO 3347 02:24:25,704 --> 02:24:28,173 STAY IN A LOW SODIUM DIET. 3348 02:24:28,173 --> 02:24:33,345 THEY FOUND A DRASTIC INCREASE 3349 02:24:33,345 --> 02:24:38,650 FOR URINARY SODIUM. 3350 02:24:38,650 --> 02:24:41,887 THIS WAS A WESTERN POPULATION. 3351 02:24:41,887 --> 02:24:44,222 THE QUESTION IS, WHAT LESSONS 3352 02:24:44,222 --> 02:24:46,758 CAN WE LEARN FOR A GROUP THAT 3353 02:24:46,758 --> 02:24:50,996 ALREADY HAS HIGH SPICE USE? 3354 02:24:50,996 --> 02:24:51,997 NEXT SLIDE. 3355 02:24:51,997 --> 02:24:57,035 SO SOME OF THE WORK THAT WE 3356 02:24:57,035 --> 02:24:58,236 BEGAN TO CONDUCT WITH 3357 02:24:58,236 --> 02:25:00,505 ORGANIZATIONS LIKE UNITED WOMEN 3358 02:25:00,505 --> 02:25:02,741 OF EAST AFRICA IS ASKING THE 3359 02:25:02,741 --> 02:25:04,276 COMMUNITY WHAT WOULD YOU NEED IN 3360 02:25:04,276 --> 02:25:05,944 AN INTERVENTION IN ORDER TO HELP 3361 02:25:05,944 --> 02:25:08,547 YOU START TO FOLLOW THE 3362 02:25:08,547 --> 02:25:09,414 RECOMMENDATIONS AS WELL AS 3363 02:25:09,414 --> 02:25:12,617 INCREASE THE A. KNOWLEDGE THAT 3364 02:25:12,617 --> 02:25:14,119 COULD CHANGE THE LEVEL OF ACCESS 3365 02:25:14,119 --> 02:25:16,121 THAT YOU HAVE? 3366 02:25:16,121 --> 02:25:23,995 SO WE DESIGNED AN ITERATIVE 3367 02:25:23,995 --> 02:25:24,262 APPROACH. 3368 02:25:24,262 --> 02:25:25,897 STARTING FROM THE LEFT SIDE OF 3369 02:25:25,897 --> 02:25:28,700 THE SLIDE, WHERE WE'RE DOING THE 3370 02:25:28,700 --> 02:25:29,801 FORMATIVE EVALUATION AND 3371 02:25:29,801 --> 02:25:31,336 ACTUALLY CONTINUING FROM WHAT 3372 02:25:31,336 --> 02:25:33,305 WAS ALREADY DONE IN 2016 HERE IN 3373 02:25:33,305 --> 02:25:35,507 SAN DIEGO WITH THIS POPULATION 3374 02:25:35,507 --> 02:25:36,808 ALREADY. 3375 02:25:36,808 --> 02:25:39,111 WE'LL CONDUCT FOCUS GROUP AND 3376 02:25:39,111 --> 02:25:42,881 GROUP INTERVIEWS INTERVIEWS ANDY 3377 02:25:42,881 --> 02:25:44,282 INFORMANTS AS WELL AS USING THE 3378 02:25:44,282 --> 02:25:46,051 LEARNINGS DIRECTLY INTO THE 3379 02:25:46,051 --> 02:25:47,052 INTERVENTION DESIGN. 3380 02:25:47,052 --> 02:25:48,653 AFTER THAT, AS YOU MOVE TO THE 3381 02:25:48,653 --> 02:25:50,455 RIGHT SIDE OF THE SLIDE, WE'LL 3382 02:25:50,455 --> 02:25:52,757 BE DOING AN ELIGIBILITY 3383 02:25:52,757 --> 02:25:53,959 SCREENING AND TESTING THAT 3384 02:25:53,959 --> 02:25:55,527 INTERVENTION THAT WE WOULD HAVE 3385 02:25:55,527 --> 02:25:57,195 CREATED USING THE LEARNINGS THAT 3386 02:25:57,195 --> 02:26:00,031 WE GET FROM THE FOCUS GROUP. 3387 02:26:00,031 --> 02:26:02,000 IT WILL BE A SIX-WEEK 3388 02:26:02,000 --> 02:26:04,569 INTERVENTION O TRY IT. 3389 02:26:04,569 --> 02:26:06,972 SEE ANY AREAS OF ADAPTATION AND 3390 02:26:06,972 --> 02:26:08,907 FOUR WEEKS LATER DO A FOLLOW-UP. 3391 02:26:08,907 --> 02:26:12,544 OUR OUTCOMES ARE RANGING FROM 3392 02:26:12,544 --> 02:26:14,412 EVERYTHING TO DO WITH 3393 02:26:14,412 --> 02:26:16,615 HYPERTENSION, AND BLOOD PRESSURE 3394 02:26:16,615 --> 02:26:19,951 AND YOU' URINARY SODIUM AND OTHR 3395 02:26:19,951 --> 02:26:23,455 FACTORS SUCH AS OVERWEIGHT, TYPE 3396 02:26:23,455 --> 02:26:30,028 II DIABETES AND HIGH 3397 02:26:30,028 --> 02:26:33,098 CHOLESTEROL. 3398 02:26:33,098 --> 02:26:35,267 OUR STUDY POPULATION INCLUDES 3399 02:26:35,267 --> 02:26:36,935 KEY INFORMANTS, PEOPLE WHO 3400 02:26:36,935 --> 02:26:38,503 WORKING WITH THIS POPULATION 3401 02:26:38,503 --> 02:26:40,572 WHETHER IT'S IN THE HEALTHCARE 3402 02:26:40,572 --> 02:26:44,976 SECTOR, COMMUNITY ORGANIZERS AND 3403 02:26:44,976 --> 02:26:45,610 GRASSROOTS ORGANIZERS AS WELL AS 3404 02:26:45,610 --> 02:26:47,612 PEOPLE IN THE FOOD INDUSTRY 3405 02:26:47,612 --> 02:26:48,813 MAYBE RESTAURANT OWNERS AND 3406 02:26:48,813 --> 02:26:51,016 GROCERY STORE OWNERS, SMALL 3407 02:26:51,016 --> 02:26:52,651 STORE OWNERS THAT INTERFACE WITH 3408 02:26:52,651 --> 02:26:54,419 THIS POPULATION STARTING TO SEE 3409 02:26:54,419 --> 02:26:57,355 WHAT TRENDS WE CAN FIND FROM 3410 02:26:57,355 --> 02:27:00,625 TRENDS. 3411 02:27:00,625 --> 02:27:03,528 AND THEN OF COURSE, THE 3412 02:27:03,528 --> 02:27:05,397 POPULATION ITSELF WHERE IF 3413 02:27:05,397 --> 02:27:07,265 YOU'LL NOTICE, WE'RE INCLUDING 3414 02:27:07,265 --> 02:27:12,437 PEOPLE WHO HAVE HYPERTENSION AND 3415 02:27:12,437 --> 02:27:13,405 PREHYPERTENSION AS WELL AS 3416 02:27:13,405 --> 02:27:16,942 PEOPLE IMHOF A FAMILY EVER 3417 02:27:16,942 --> 02:27:21,746 HYPERTENSION. 3418 02:27:21,746 --> 02:27:24,216 SOME OF THE BEAUTY OF THIS 3419 02:27:24,216 --> 02:27:26,284 DESIGN IS WE ARE ALLOWING THE 3420 02:27:26,284 --> 02:27:29,020 COMMUNITY TO ACTUALLY INFORM 3421 02:27:29,020 --> 02:27:31,156 WHAT EXACTLY IS GOING TO BE PART 3422 02:27:31,156 --> 02:27:32,524 OF THIS INTERVENTION. 3423 02:27:32,524 --> 02:27:34,059 SOME OF THE KEY THINGS THAT 3424 02:27:34,059 --> 02:27:36,728 WE'RE FOCUSING ON SU CULTURAL 3425 02:27:36,728 --> 02:27:37,829 RELEVANCE. 3426 02:27:37,829 --> 02:27:39,864 HOW IS THIS RELEVANT TO YOU. 3427 02:27:39,864 --> 02:27:42,000 HOW IS THIS ADAPTABLE FOR YOU? 3428 02:27:42,000 --> 02:27:46,271 WHAT CAN WE HELP WITH. 3429 02:27:46,271 --> 02:27:57,482 IT'S HIE HIGH POT TH HYPOTHESIS. 3430 02:27:57,816 --> 02:27:59,217 WE KNOW THEY ARE HIGHLY 3431 02:27:59,217 --> 02:28:01,953 INTERESTED IN HOME COOKING. 3432 02:28:01,953 --> 02:28:04,055 IT'S ALSO AN ITERATIVE DESIGN 3433 02:28:04,055 --> 02:28:06,591 WHERE WE AIM TO ADAPT AND ADJUST 3434 02:28:06,591 --> 02:28:08,860 AS WE GO AND OFFERING DIFFERENT 3435 02:28:08,860 --> 02:28:12,063 LANGUAGES AND PROVIDING CULTURAL 3436 02:28:12,063 --> 02:28:14,766 HUMILITY TRAIN TRAINING AND BEIE 3437 02:28:14,766 --> 02:28:16,568 TO FOR OUR TEAM TO EVER A 3438 02:28:16,568 --> 02:28:17,736 PROCESS PIECE WHERE WE'RE 3439 02:28:17,736 --> 02:28:18,703 MEETING THE COMMUNITY WHERE THEY 3440 02:28:18,703 --> 02:28:26,945 ARE. 3441 02:28:26,945 --> 02:28:27,779 VARIOUS OPPORTUNITIES COME OUT 3442 02:28:27,779 --> 02:28:29,147 IN THIS WORK. 3443 02:28:29,147 --> 02:28:32,083 OUR METHODOLOGY IS BOTH WHERE IT 3444 02:28:32,083 --> 02:28:35,253 IS UNDER-STUDIED BUT IN ADDITION 3445 02:28:35,253 --> 02:28:36,621 THAT PROVIDES US THE OPPORTUNITY 3446 02:28:36,621 --> 02:28:40,558 TO ADJUST AND ADAPT AS WE WORK 3447 02:28:40,558 --> 02:28:41,226 WITH ORGANIZATIONS AS WELL AS 3448 02:28:41,226 --> 02:28:43,094 THIS COMMUNITY. 3449 02:28:43,094 --> 02:28:45,397 ON A NATIONAL LEVEL, WE'RE 3450 02:28:45,397 --> 02:28:47,632 STARTING TO RUN INTO DATABASES S 3451 02:28:47,632 --> 02:28:49,734 THAT DO NOT INCLUDE FOODS FROM 3452 02:28:49,734 --> 02:28:51,202 THE POPULATION OF INTEREST AND 3453 02:28:51,202 --> 02:28:54,973 HOW DO WE CREATE A BODY OF WORK 3454 02:28:54,973 --> 02:28:56,841 THAT WOULD END UP INFORMING 3455 02:28:56,841 --> 02:28:58,476 SYSTEMS SO THEY CHANGE THIS AND 3456 02:28:58,476 --> 02:29:01,212 THEY'RE ALSO CHANGING MORE 3457 02:29:01,212 --> 02:29:03,081 FREQUENTLY HOW MANY FOODS ARE IN 3458 02:29:03,081 --> 02:29:04,516 THESE DATABASES AS WELL AS 3459 02:29:04,516 --> 02:29:08,386 BUILDING CAPACITY FOR RESEARCH. 3460 02:29:08,386 --> 02:29:09,988 LOCALLY OF COURSE WE HAVE 3461 02:29:09,988 --> 02:29:12,023 LANGUAGE AND CULTURAL TAILORING 3462 02:29:12,023 --> 02:29:14,993 AS WELL AS THIS A HETEROGENOUS 3463 02:29:14,993 --> 02:29:15,660 GROUP. 3464 02:29:15,660 --> 02:29:17,896 IF YOU HAVE RESOURCES, THAT'S 3465 02:29:17,896 --> 02:29:19,564 GREAT BUT IF YOU DON'T, WHAT CAN 3466 02:29:19,564 --> 02:29:21,099 YOU DO TO MEET THE POPULATION 3467 02:29:21,099 --> 02:29:23,168 WHERE THEY ARE AND WHAT GAPS 3468 02:29:23,168 --> 02:29:25,003 EXIST WHEN PEOPLE ARE NOT ABLE 3469 02:29:25,003 --> 02:29:27,205 TO DO THIS WORK EFFECTIVELY. 3470 02:29:27,205 --> 02:29:28,840 THAT'S THE WORK THAT WE'RE DOING 3471 02:29:28,840 --> 02:29:30,442 AT LEAST IN SAN DIEGO SCLD THANK 3472 02:29:30,442 --> 02:29:33,411 YOU VERY MUCH -- AT LEAST FROM 3473 02:29:33,411 --> 02:29:35,213 SAN DIEGO, THANK YOU VERY MUCH 3474 02:29:35,213 --> 02:29:35,747 FOR HAVING ME. 3475 02:29:35,747 --> 02:29:37,716 >> THANK YOU, NICOLE FOR YOUR 3476 02:29:37,716 --> 02:29:38,049 PRESENTATION. 3477 02:29:38,049 --> 02:29:38,850 I LOOK FORWARD TO THE 3478 02:29:38,850 --> 02:29:39,718 DISCUSSION. 3479 02:29:39,718 --> 02:29:42,220 I WOULD LIKE TO TRANSITION TO 3480 02:29:42,220 --> 02:29:45,757 OUR NENGS PRESENTATION BY DR. 3481 02:29:45,757 --> 02:29:49,027 CARMEN SAMUEL HODGE SPEAKING ON 3482 02:29:49,027 --> 02:29:52,263 THE INTERVENTION AND 3483 02:29:52,263 --> 02:29:55,867 MEDITERRANEAN DIE OAT ADAPTED 3484 02:29:55,867 --> 02:30:01,005 FOR SOUTH EASTERN UNITED STATES 3485 02:30:01,005 --> 02:30:06,811 POPULATION. 3486 02:30:06,811 --> 02:30:11,349 DR. HODGES SERVES FOR DISEASE 3487 02:30:11,349 --> 02:30:19,124 PREVENTION AND SERVES IN A RURAL 3488 02:30:19,124 --> 02:30:21,092 ACADEMIC HEALTH DEPARTMENT. 3489 02:30:21,092 --> 02:30:22,394 >> THANK YOU. 3490 02:30:22,394 --> 02:30:23,428 GOOD AFTERNOON, EVERYONE. 3491 02:30:23,428 --> 02:30:25,897 IN THE NEXT 10 MINUTES, I WILL 3492 02:30:25,897 --> 02:30:31,936 TELL YOU ABOUT THE MED-SOUTH 3493 02:30:31,936 --> 02:30:34,939 PROGRAM WHICH PROMOTES A 3494 02:30:34,939 --> 02:30:37,442 MEDITERRANEAN PATTERN ADAPTED 3495 02:30:37,442 --> 02:30:47,886 FOR THE SOUTHEASTERN POPULATION. 3496 02:30:47,886 --> 02:30:52,490 MY MAIN ROLES HAVE BEEN IN 3497 02:30:52,490 --> 02:30:53,892 CONDUCTING COMMUNITY-BASED 3498 02:30:53,892 --> 02:30:57,662 REARCH AND TRAINING COUNSELORS 3499 02:30:57,662 --> 02:30:59,631 TO DELIVER THE FINDINGS TO ADULT 3500 02:30:59,631 --> 02:31:06,538 AND CHANGING EATING HABITS. 3501 02:31:06,538 --> 02:31:08,840 THE MED-SOUTH PROGRAM AND 3502 02:31:08,840 --> 02:31:11,376 SOUTHERN STYLE CULTURAL 3503 02:31:11,376 --> 02:31:15,880 ADAPTATIONS THAT BLEND THE 3504 02:31:15,880 --> 02:31:17,849 MEDITERRANEAN DIET AND I'LL 3505 02:31:17,849 --> 02:31:19,617 SUMMARIZE OUR FINDINGS FROM 3506 02:31:19,617 --> 02:31:26,324 THREE STUDIES DEVELOPED IN NORTH 3507 02:31:26,324 --> 02:31:29,461 CAROLINA. 3508 02:31:29,461 --> 02:31:31,996 MED-SOUTH IS A FOUR MONTH 3509 02:31:31,996 --> 02:31:35,166 PROGRAM WITH SENGSES FOCUSED ON 3510 02:31:35,166 --> 02:31:36,701 DIETARY CHANGES. 3511 02:31:36,701 --> 02:31:39,437 IT INCLUDES BRIEF PHONE CALL 3512 02:31:39,437 --> 02:31:42,006 THOSE CHECK IN WITH PARTICIPANTS 3513 02:31:42,006 --> 02:31:44,175 ON THE PROGRESS. 3514 02:31:44,175 --> 02:31:46,377 THE PROGRAM MATERIALS INCLUDE A 3515 02:31:46,377 --> 02:31:48,313 PARTICIPANT MANUAL THAT COVERS 3516 02:31:48,313 --> 02:31:50,582 INFORMATION, RECOMMENDATIONS AND 3517 02:31:50,582 --> 02:31:53,318 PRACTICAL STRATEGIES OR TIPS FOR 3518 02:31:53,318 --> 02:31:54,719 MAKING CHANGES IN DIETARY AND 3519 02:31:54,719 --> 02:31:59,324 PHYSICAL ACTIVITY BEHAVIORS. 3520 02:31:59,324 --> 02:32:03,394 THE MANUAL HIGHLIGHTS DIETARY 3521 02:32:03,394 --> 02:32:09,534 HABITS IN THE SOUTHWEST AND 3522 02:32:09,534 --> 02:32:10,835 TAILORED TO THOSE PEOPLE WHO 3523 02:32:10,835 --> 02:32:13,838 LACK ACCESS TO EXERCISE 3524 02:32:13,838 --> 02:32:14,806 FACILITIES. 3525 02:32:14,806 --> 02:32:16,674 MED-SOUTH INCLUDES A MAJOR 3526 02:32:16,674 --> 02:32:22,046 DIETARY FOCUS TO IMPROVE FAT AND 3527 02:32:22,046 --> 02:32:24,215 CARBOHYDRATE QUALITY AND IS 3528 02:32:24,215 --> 02:32:27,051 CLOSE TO THE MEDITERRANEAN DIE 3529 02:32:27,051 --> 02:32:27,385 OAT. 3530 02:32:27,385 --> 02:32:29,587 THERE IS A COOKBOOK THAT 3531 02:32:29,587 --> 02:32:34,158 INCLUDES RECIPES FROM THE 3532 02:32:34,158 --> 02:32:36,194 SOUTHEASTERN U.S. 3533 02:32:36,194 --> 02:32:37,996 PARTICIPATE MANUAL AND COOKBOOKS 3534 02:32:37,996 --> 02:32:39,597 ARE AVAILABLE IN ENGLISH AND 3535 02:32:39,597 --> 02:32:42,767 SPANISH AND WE HAVE A MED SOUTH 3536 02:32:42,767 --> 02:32:44,202 CHECKLIST WHICH IS A FULL 3537 02:32:44,202 --> 02:32:45,336 LISTING OF THE RECOMMENDATIONS 3538 02:32:45,336 --> 02:32:46,971 FROM ALL FOUR SESSIONS TO BE 3539 02:32:46,971 --> 02:32:53,878 USED AS A REMINDER FO PARTICIPAS 3540 02:32:53,878 --> 02:33:02,854 TO PUT ON THEIR REFRAIJ RAIRTS. 3541 02:33:02,854 --> 02:33:03,688 RAIRTS -- REFRIGERATES. 3542 02:33:03,688 --> 02:33:05,924 THIS IS WRITTEN IN A 3543 02:33:05,924 --> 02:33:07,458 CONVERSATIONAL TONE, THE READING 3544 02:33:07,458 --> 02:33:10,962 LEVEL IS BETWEEN THE 5TH AND 6TH 3545 02:33:10,962 --> 02:33:11,162 GRADE. 3546 02:33:11,162 --> 02:33:13,031 THERE IS AN ASSESSMENT OF 3547 02:33:13,031 --> 02:33:14,265 CURRENT EATING HABITS FOLLOWED 3548 02:33:14,265 --> 02:33:16,034 BY BACKGROUND INFORMATION AND 3549 02:33:16,034 --> 02:33:18,002 TIPS AND GOALS. 3550 02:33:18,002 --> 02:33:20,638 BRIEF ASSESSMENT ALLOWS THE 3551 02:33:20,638 --> 02:33:22,006 COUNSELOR TO TAILOR THE 3552 02:33:22,006 --> 02:33:23,875 COUNSELOR AND THE TIPS GIVE 3553 02:33:23,875 --> 02:33:25,610 PARNTS IDEAS ON HOW TO MAKE 3554 02:33:25,610 --> 02:33:26,844 IMPROVEMENTS IN EACH OF THE 3555 02:33:26,844 --> 02:33:28,613 ASSESSMENT AREAS. 3556 02:33:28,613 --> 02:33:30,915 NO MORE THAN TWO GOALS ARE SET 3557 02:33:30,915 --> 02:33:34,385 AT EACH SESSION AND TRACKING OF 3558 02:33:34,385 --> 02:33:34,886 PROGRESS HAPPENS BETWEEN 3559 02:33:34,886 --> 02:33:36,321 SESSIONS. 3560 02:33:36,321 --> 02:33:37,221 THE FOUR LESSONS ARE IN THE 3561 02:33:37,221 --> 02:33:39,390 ORDER EVER THE GREATEST 3562 02:33:39,390 --> 02:33:42,393 POTENTIAL TO REDUCE RISK FOR 3563 02:33:42,393 --> 02:33:44,095 CHRONIC DISEASES. 3564 02:33:44,095 --> 02:33:46,598 LESSON ONE STARTS WITH NUTS, 3565 02:33:46,598 --> 02:33:49,801 OILS, DRESSINGS AND SPREADS. 3566 02:33:49,801 --> 02:33:53,538 IT PROVIDES HEALTHY FATS. 3567 02:33:53,538 --> 02:33:56,641 LESSON TWO TARGETS VEGETABLES, 3568 02:33:56,641 --> 02:33:59,243 FRUITS, WHOLE GRAINS AND GREEN 3569 02:33:59,243 --> 02:34:01,546 BEANS. 3570 02:34:01,546 --> 02:34:05,049 HEALTHY CASHES NEEDS THE MOST 3571 02:34:05,049 --> 02:34:06,384 WORK AMONG AMERICANS. 3572 02:34:06,384 --> 02:34:10,054 LESSON THREE IS DRINKS, DESSERTS 3573 02:34:10,054 --> 02:34:13,591 AND SNACKS AND INTAKES NEED TO 3574 02:34:13,591 --> 02:34:15,560 BE REDUCED TO MEET DIETARY 3575 02:34:15,560 --> 02:34:18,396 RECOMMENDATIONS. 3576 02:34:18,396 --> 02:34:20,898 LESSON FOUR IS FISH AND POULTRY 3577 02:34:20,898 --> 02:34:24,202 AND EGGS AND WE FOCUS ON 3578 02:34:24,202 --> 02:34:25,303 INCREASING THE INTAKE OF FISH 3579 02:34:25,303 --> 02:34:32,110 AND REDUCING PROCESSED MEATSES. 3580 02:34:32,110 --> 02:34:37,582 DR. ALICE ZELLERMAN HAS LED THE 3581 02:34:37,582 --> 02:34:37,915 PARTICIPATION. 3582 02:34:37,915 --> 02:34:41,986 THE APPROACH TO ADAPTATIONS IS 3583 02:34:41,986 --> 02:34:43,755 TO ENCOURAGE THE MEDITERRANEAN 3584 02:34:43,755 --> 02:34:47,258 PATTERN TO THE CULTURALLY FOODS 3585 02:34:47,258 --> 02:34:49,894 OF THE POPULATION EVER INTEREST. 3586 02:34:49,894 --> 02:34:53,965 IT EMPHASIZES REGIONAL BEVERAGES 3587 02:34:53,965 --> 02:34:57,969 AND LOCAL FAVORINGS. 3588 02:34:57,969 --> 02:35:03,341 ADDING VEGETABLES TO DISHES LIKE 3589 02:35:03,341 --> 02:35:05,076 HUSHPUPPIES AND BARBECUE AND 3590 02:35:05,076 --> 02:35:07,945 INCLUDING SMALLER AMOUNTS OF 3591 02:35:07,945 --> 02:35:10,148 PROTEINS OR MEATS IN MIXED 3592 02:35:10,148 --> 02:35:10,581 DISHES. 3593 02:35:10,581 --> 02:35:12,950 IMPORTANT TO ALL ADAPTATIONS IS 3594 02:35:12,950 --> 02:35:16,087 HAVING THE ADAPTIVE RECIPES, 3595 02:35:16,087 --> 02:35:18,589 TASTE TESTED FOR AK 3596 02:35:18,589 --> 02:35:19,557 SEPTEMBERABLE BY COMMUNITY 3597 02:35:19,557 --> 02:35:20,491 MEMBERS. 3598 02:35:20,491 --> 02:35:22,694 THE AIM FOR THE RECIPES IN THE 3599 02:35:22,694 --> 02:35:24,462 COOKBOOK IS TO KEEP THE RECIPES 3600 02:35:24,462 --> 02:35:26,264 SIMPLE AND USE COMMONLY 3601 02:35:26,264 --> 02:35:28,066 AVAILABLE FOODS THAT ARE NOT 3602 02:35:28,066 --> 02:35:33,104 EXPENSIVE. 3603 02:35:33,104 --> 02:35:34,172 MED-SOUTH CAN BE DELIVERED IN 3604 02:35:34,172 --> 02:35:36,107 MANY FORMATS, INDIVIDUALLY, 3605 02:35:36,107 --> 02:35:39,577 GROUP KF PHONE, WEB-BASED AND 3606 02:35:39,577 --> 02:35:40,578 COMBINATION MORE MATS. 3607 02:35:40,578 --> 02:35:44,749 OUR APPROACH TO COUNSELING IS TO 3608 02:35:44,749 --> 02:35:47,852 HAVE CONVERSATIONS GROUNDED IN 3609 02:35:47,852 --> 02:35:50,254 ADULT LEARNING THEORY AND 3610 02:35:50,254 --> 02:35:52,657 MOTIVATIONAL INTERVIEWING 3611 02:35:52,657 --> 02:35:52,890 PRINCE. 3612 02:35:52,890 --> 02:35:55,093 THE BRIEF ASSESSMENT AT EACH 3613 02:35:55,093 --> 02:35:59,163 SESSION ALLOWS THE TAILOR OF THE 3614 02:35:59,163 --> 02:36:00,665 COUNSELING TO HIGHLIGHT THE 3615 02:36:00,665 --> 02:36:02,500 RECOMMENDED LEVEL AND WORK ON 3616 02:36:02,500 --> 02:36:04,402 WHAT COULD OR SHOULD BE 3617 02:36:04,402 --> 02:36:06,471 IMPROFFERRED. 3618 02:36:06,471 --> 02:36:08,339 BEHAVIORAL CHANGE STRATEGIES ARE 3619 02:36:08,339 --> 02:36:11,442 USED IN GOAL SETTING, ACTION 3620 02:36:11,442 --> 02:36:13,945 PLANNING, SELF MONITORING OF 3621 02:36:13,945 --> 02:36:16,013 BEHAVIORS AND PROVIDING FEEDBACK 3622 02:36:16,013 --> 02:36:18,816 ON PROGRESS. 3623 02:36:18,816 --> 02:36:20,985 THESE ARE SOME OF OUR RESEARCH 3624 02:36:20,985 --> 02:36:24,489 FINDINGS. 3625 02:36:24,489 --> 02:36:27,458 THE HEART TO HEALTH TESTED THE 3626 02:36:27,458 --> 02:36:29,093 MED-SOUTH PROGRAM. 3627 02:36:29,093 --> 02:36:32,663 IT SHOVED 385 PRIMARY PATIENTS 3628 02:36:32,663 --> 02:36:37,201 WITH THE MEAN AGE OF 63 YEARS. 3629 02:36:37,201 --> 02:36:39,570 HALF WERE FEMALE AND 24% WERE 3630 02:36:39,570 --> 02:36:42,440 ARCKEN AMERICANS. 3631 02:36:42,440 --> 02:36:44,575 AFRICAN-AMERICANS. 3632 02:36:44,575 --> 02:36:46,144 ONE GROUP RECEIVED ACCOUNT 3633 02:36:46,144 --> 02:36:48,746 PROGRAM BY COUNSELOR, IN-PERSON 3634 02:36:48,746 --> 02:36:50,748 OR BY PHONE EXT OTHER GROUP 3635 02:36:50,748 --> 02:36:51,349 WEB-BASED. 3636 02:36:51,349 --> 02:36:53,551 IT INCLUDES FOUR MONTHLY 3637 02:36:53,551 --> 02:36:56,287 SESSIONS AND THREE SHORT 3638 02:36:56,287 --> 02:36:58,923 SESSIONS FOR A 12 MONTH STUDY 3639 02:36:58,923 --> 02:36:59,390 PERIOD. 3640 02:36:59,390 --> 02:37:01,993 AT FOUR AND 12 NONTS, THERE WERE 3641 02:37:01,993 --> 02:37:05,630 SIGNIFICANT -- MONTHS THERE WERE 3642 02:37:05,630 --> 02:37:11,035 SUSTAINED RESULTS IN THE CSD 3643 02:37:11,035 --> 02:37:11,469 RISK. 3644 02:37:11,469 --> 02:37:14,639 WITH GREATER REDUCTION NOTICE 3645 02:37:14,639 --> 02:37:17,208 COUNSELOR ARM AT FOUR MONTHS. 3646 02:37:17,208 --> 02:37:20,845 BLOOD PRESSURE AND CHOLESTEROL 3647 02:37:20,845 --> 02:37:22,480 LEVELS ALL IMPROVED IN BOTH 3648 02:37:22,480 --> 02:37:23,881 GROUPS. 3649 02:37:23,881 --> 02:37:27,318 NEXT SLIDE, PLEASE. 3650 02:37:27,318 --> 02:37:33,357 FOLLOWING THE H THE HEART TO HEH 3651 02:37:33,357 --> 02:37:36,060 STUDY, WE STUDIED IN COMMUNITY 3652 02:37:36,060 --> 02:37:38,095 HEALTH EXPERNTS LOCAL HEALTH 3653 02:37:38,095 --> 02:37:40,364 DEPARTMENT IN MORE RURAL AND 3654 02:37:40,364 --> 02:37:44,635 UNDER-SERVED POPULATIONS. 3655 02:37:44,635 --> 02:37:47,572 HEART HEALTHY WAS CONDUCTED IN 3656 02:37:47,572 --> 02:37:54,612 LLENORE COUNTY. 3657 02:37:54,612 --> 02:38:00,518 WE ENROLLED 339 PARTICIPANTS. 3658 02:38:00,518 --> 02:38:04,722 6 OF 767% WERE FEMALE, 65% WERE 3659 02:38:04,722 --> 02:38:06,557 AFRICAN-AMERICAN AND THE 3660 02:38:06,557 --> 02:38:09,126 MED-SOUTH PROGRAM WAS DELIVEREDS 3661 02:38:09,126 --> 02:38:10,428 IN-PERSON, INDIVIDUAL, OR GROUP 3662 02:38:10,428 --> 02:38:13,664 SESSIONS AND FOLLOW-UP MEASURES 3663 02:38:13,664 --> 02:38:15,132 WERE COLLECTED AT SIX MONTHS. 3664 02:38:15,132 --> 02:38:17,034 WE SAW IMPROVEMENTS IN BLOOD 3665 02:38:17,034 --> 02:38:19,070 PRESSURE, DIETARY AND PHYSICAL 3666 02:38:19,070 --> 02:38:20,905 ACTIVITIES AND BEHAVIORS IN THIS 3667 02:38:20,905 --> 02:38:21,873 STUDY. 3668 02:38:21,873 --> 02:38:23,975 NEXT STUDY IS CHANGE WHICH 3669 02:38:23,975 --> 02:38:28,012 STANDS FOR CAROLINA, HEART LINES 3670 02:38:28,012 --> 02:38:30,248 FOR GREATER EQUITY. 3671 02:38:30,248 --> 02:38:32,016 THIS WAS DELIVERED BY COMMUNITY 3672 02:38:32,016 --> 02:38:38,556 HEALTH WOU WORKERS AND LOCAL HEH 3673 02:38:38,556 --> 02:38:40,958 DEPARTMENTS IN TWO 3674 02:38:40,958 --> 02:38:41,926 AFRICAN-AMERICAN COUNTIES WITH 3675 02:38:41,926 --> 02:38:47,331 HIGH RATES EVER POVERTY. 3676 02:38:47,331 --> 02:38:52,036 IN THIS STUDY WE HAD 360 PARNTS 3677 02:38:52,036 --> 02:38:54,772 AND WE OBSERVED MEANINGFUL 3678 02:38:54,772 --> 02:38:56,274 REDUCTIONS IN BLOOD PRESSURE AND 3679 02:38:56,274 --> 02:38:57,675 IMPROVEMENTS IN DIETARY AND 3680 02:38:57,675 --> 02:39:07,752 PHYSICAL ACTIVITY BEHAVIORS. 3681 02:39:07,752 --> 02:39:10,187 CURRENTLY WE'RE LOOKING TO STUDY 3682 02:39:10,187 --> 02:39:12,390 MED-SOUTH IN TERMS OF LOOKING AT 3683 02:39:12,390 --> 02:39:14,358 SCALING UP THE PROGRAM BY 3684 02:39:14,358 --> 02:39:16,394 FOCUSING ON IMPLEMENTATION AND 3685 02:39:16,394 --> 02:39:18,229 DELIVERY EFFECTIVENESS. 3686 02:39:18,229 --> 02:39:25,269 WE'VE INVOLVED 19 SITES, 300 3687 02:39:25,269 --> 02:39:27,071 PARTICIPANTS AND TRAINED THE 3688 02:39:27,071 --> 02:39:28,706 STAFF SITE FOR THE PROGRAM. 3689 02:39:28,706 --> 02:39:31,809 WE HAVE A SMALL SUBSAMPLE OF 3690 02:39:31,809 --> 02:39:35,179 SPANISH SPEAKING PARTICIPANTS. 3691 02:39:35,179 --> 02:39:38,482 THESE ARE THE GAPS AND 3692 02:39:38,482 --> 02:39:38,983 OPPORTUNITIES. 3693 02:39:38,983 --> 02:39:41,552 WHAT WE KNOW IS NEARLY 60% OF 3694 02:39:41,552 --> 02:39:43,287 ADULT AMERICANS HAVE AT LEAST 3695 02:39:43,287 --> 02:39:44,789 ONE CHRONIC DISEASE AND 3696 02:39:44,789 --> 02:39:46,590 TREATMENT OF CHRONIC DISEASES IS 3697 02:39:46,590 --> 02:39:47,792 A SIGNIFICANT DRIVER EVER 3698 02:39:47,792 --> 02:39:49,093 HEALTHCARE COSTS. 3699 02:39:49,093 --> 02:39:51,095 WHILE INVESTMENTS IN CHRONIC 3700 02:39:51,095 --> 02:39:53,731 DISEASE PREVENTION AND CONTROL 3701 02:39:53,731 --> 02:39:57,168 CAN SAVE LIVES AND DOLLARS, ONLY 3702 02:39:57,168 --> 02:39:59,704 A SMALL FRACTION SUPPORTS 3703 02:39:59,704 --> 02:40:00,972 PREVENTION AND HELP APPROXIMATES 3704 02:40:00,972 --> 02:40:01,572 PROMOTION. 3705 02:40:01,572 --> 02:40:04,308 MORE RESEARCH IS NEEDED ON 3706 02:40:04,308 --> 02:40:06,277 SYSTEM -- NEEDED AT THE SYSTEM 3707 02:40:06,277 --> 02:40:08,145 LEVEL TO IDENTIFY HOW PREVENTION 3708 02:40:08,145 --> 02:40:10,314 AND HEALTH PROMOTION PROGRAMS 3709 02:40:10,314 --> 02:40:13,250 FIT INTO THE SYSTEM AND HOW TO 3710 02:40:13,250 --> 02:40:15,519 INFLUENCE POLICYMAKERS TO INVEST 3711 02:40:15,519 --> 02:40:18,589 MORE IN STATE AND NATIONAL 3712 02:40:18,589 --> 02:40:20,524 ORGANIZATIONS TO ADDRESS CHRONIC 3713 02:40:20,524 --> 02:40:21,125 DISEASE PREVENTION. 3714 02:40:21,125 --> 02:40:26,097 IN TERMS OF OPPORTUNITIES, THERE 3715 02:40:26,097 --> 02:40:29,233 IS NOW AN INTEREST IN TESTING 3716 02:40:29,233 --> 02:40:31,702 AND USE OF FOOD AS MEDICINE SUCH 3717 02:40:31,702 --> 02:40:41,479 AS HEALTHY FOOD PRESCRIPTIONS. 3718 02:40:41,479 --> 02:40:45,082 IN APPROACH, THE IDEA IS TO SEEK 3719 02:40:45,082 --> 02:40:46,150 INTERVENTIONS INTO HEALTHCARE 3720 02:40:46,150 --> 02:40:47,918 WITH THE UNDERSTANDING THAT 3721 02:40:47,918 --> 02:40:48,786 THESE EFFORTS SHOULD BE 3722 02:40:48,786 --> 02:40:50,921 PARTNERED WITH A LARGER MOVEMENT 3723 02:40:50,921 --> 02:40:52,223 TO IMPROVE HEALTH AND FOOD 3724 02:40:52,223 --> 02:40:52,723 SYSTEMS. 3725 02:40:52,723 --> 02:40:55,626 AND THEN FINALLY, ANOTHER AVENUE 3726 02:40:55,626 --> 02:40:59,163 FOR IMPROVING THE USE EVER 3727 02:40:59,163 --> 02:41:01,165 PROGRAMS LIKE MED-SOUTH TARGETS 3728 02:41:01,165 --> 02:41:02,133 COMMUNITY CONNECTIONS. 3729 02:41:02,133 --> 02:41:08,372 HERE THE FOCUS IS ON SUPPORTS 3730 02:41:08,372 --> 02:41:10,374 FOR PRIME DISEASE MANAGEMENT 3731 02:41:10,374 --> 02:41:13,010 WHERE THERE IS MISTRUST OF THE 3732 02:41:13,010 --> 02:41:13,644 HEALTHCARE SYSTEM. 3733 02:41:13,644 --> 02:41:21,085 THANK YOU. 3734 02:41:21,085 --> 02:41:23,387 >> MANY THANKS TO ALL OF YOU FOR 3735 02:41:23,387 --> 02:41:24,321 YOUR PRESENTATIONS TODAY. 3736 02:41:24,321 --> 02:41:30,494 WE NOW ARE INTO OUR Q&A PORTION 3737 02:41:30,494 --> 02:41:32,663 WHERE I INVITE QUESTIONS FROM 3738 02:41:32,663 --> 02:41:33,330 THE AUDIENCE. 3739 02:41:33,330 --> 02:41:36,734 AS A REMINDER, IF YOU HAVE 3740 02:41:36,734 --> 02:41:37,601 WHICHS, INDICATE WHO YOUR 3741 02:41:37,601 --> 02:41:39,070 QUESTION MIGHT BE FOR AND YOU 3742 02:41:39,070 --> 02:41:45,342 CAN SUBMIT THAT FEEDBACK VIA THE 3743 02:41:45,342 --> 02:41:48,279 LIVE FEEDBACK BUTTON IN THE NIH 3744 02:41:48,279 --> 02:41:49,046 VIDEO CAST. 3745 02:41:49,046 --> 02:41:51,348 I WOULD LIKE TO KICK OFF A FIRST 3746 02:41:51,348 --> 02:41:53,818 QUESTION DIRECTED TO ALL SPECIAL 3747 02:41:53,818 --> 02:41:58,956 IF YOUR RESEARCH HAS INCLUDED 3748 02:41:58,956 --> 02:42:03,094 SOME SOCIAL MEDIA ASPECT. 3749 02:42:03,094 --> 02:42:05,629 WHAT WILL ARE YOUR THOUGHTS AND 3750 02:42:05,629 --> 02:42:06,597 ANYBODY CAN HAND THIS WILL 3751 02:42:06,597 --> 02:42:07,431 QUESTION. 3752 02:42:07,431 --> 02:42:08,966 WHAT WERE YOUR THOUGHTS ABOUT 3753 02:42:08,966 --> 02:42:12,503 THE USE OF SOCIAL MEDIA DURING 3754 02:42:12,503 --> 02:42:13,037 INTERVENTION TO INCREASE 3755 02:42:13,037 --> 02:42:15,639 COMPLIANCE TO THE INTERVENTION? 3756 02:42:15,639 --> 02:42:17,608 >> I GUESS I CAN START. 3757 02:42:17,608 --> 02:42:19,777 SO WE DID USE SOCIAL MEDIA QUITE 3758 02:42:19,777 --> 02:42:21,011 A BIT. 3759 02:42:21,011 --> 02:42:23,247 AND IT WAS ONE OF THE ELEMENTS 3760 02:42:23,247 --> 02:42:25,349 THAT OUR PARTICIPANTS NOTED AS 3761 02:42:25,349 --> 02:42:28,185 ONE MUCH THEIR TOP MOTIVATORS TO 3762 02:42:28,185 --> 02:42:29,019 REMAIN ENGAGED. 3763 02:42:29,019 --> 02:42:31,522 ONE OF THE REASON NARS IT WAS 3764 02:42:31,522 --> 02:42:32,389 ORGANIC. 3765 02:42:32,389 --> 02:42:34,258 IT WAS -- WE EVEN HAD SOME 3766 02:42:34,258 --> 02:42:35,659 FRIENDLY COMPETITION WITHIN THE 3767 02:42:35,659 --> 02:42:37,928 SOCIAL MEDIA SPACE WHERE PEOPLE 3768 02:42:37,928 --> 02:42:39,530 WANTED TO KIND OF SHOW WHAT THEY 3769 02:42:39,530 --> 02:42:42,433 WERE MAKING AND HOW MUCH THEY 3770 02:42:42,433 --> 02:42:44,101 WERE ENGAGING IN PHYSICAL 3771 02:42:44,101 --> 02:42:46,537 ACTIVITY AND OTHER LIFESTYLE 3772 02:42:46,537 --> 02:42:46,804 MEASURES. 3773 02:42:46,804 --> 02:42:48,706 I THINK IN TERMS OF COMPLIANCE, 3774 02:42:48,706 --> 02:42:50,941 IT WAS DEFINITELY KEY AND ALSO 3775 02:42:50,941 --> 02:42:52,810 BECAUSE COMMUNITY IS SUCH AN 3776 02:42:52,810 --> 02:42:54,945 INTEGRAL PART OF BLACK CULTURE 3777 02:42:54,945 --> 02:42:56,747 SPECIFICALLY WITHIN THE SOUTH, I 3778 02:42:56,747 --> 02:42:59,116 THINK THAT SOCIAL MEDIA PROVIDED 3779 02:42:59,116 --> 02:43:04,555 THAT SPACE FOR THE SUPPORT. 3780 02:43:04,555 --> 02:43:07,057 >> FOR MY SOFA, WE HAVE NOT 3781 02:43:07,057 --> 02:43:08,459 ENTERTAINED USING SOCIAL MEDIA 3782 02:43:08,459 --> 02:43:09,260 YET. 3783 02:43:09,260 --> 02:43:11,996 THATHAT WOULD ALLOW US TO TARGEA 3784 02:43:11,996 --> 02:43:13,330 YOUNGER POPULATION. 3785 02:43:13,330 --> 02:43:15,299 RIGHT NOW MUCH OF OUR 3786 02:43:15,299 --> 02:43:16,500 PARTICIPANTS ARE MID AGE OR 3787 02:43:16,500 --> 02:43:17,902 OLDER. 3788 02:43:17,902 --> 02:43:21,372 BUT WE KNOW FROM SOME OF OUR 3789 02:43:21,372 --> 02:43:25,709 SEPTEMBER BACCEPTABILITY YOU ARS 3790 02:43:25,709 --> 02:43:28,946 THAT PEOPLE ARE ASKING FOR ON 3791 02:43:28,946 --> 02:43:32,283 LINE TYPE ENGAGEMENT AND APPS. 3792 02:43:32,283 --> 02:43:34,451 >> AND WE'VE BEEN USING SOCIAL 3793 02:43:34,451 --> 02:43:36,620 MEDIA RIGHT NOW IN THE CAPACITY 3794 02:43:36,620 --> 02:43:38,122 OF RECRUITMENT. 3795 02:43:38,122 --> 02:43:43,360 WE'VE BEEN USING BOTH WATTS APP 3796 02:43:43,360 --> 02:43:45,796 AND RECRUITMENT. 3797 02:43:45,796 --> 02:43:51,101 WHAT WE DO HERE FROM AW SEAS 3798 02:43:51,101 --> 02:43:53,070 THAT THEY'RE CONNECTED AND THERE 3799 02:43:53,070 --> 02:43:56,207 IS AN OPPORTUNITY FOR CONTINUING 3800 02:43:56,207 --> 02:44:00,578 TO CONNECT WITH PARTICIPANTS 3801 02:44:00,578 --> 02:44:03,814 THROUGH WATTS APP AS THE 3802 02:44:03,814 --> 02:44:04,682 INTERVENTION IS GOING. 3803 02:44:04,682 --> 02:44:06,850 >> I HAVE A POINTED QUESTION FOR 3804 02:44:06,850 --> 02:44:07,885 DR. STERLING. 3805 02:44:07,885 --> 02:44:10,087 ONE OF THE QUESTIONS WAS 3806 02:44:10,087 --> 02:44:12,756 REGARDING THE SAMPLE THAT YOU 3807 02:44:12,756 --> 02:44:14,058 WORKED WITH FOR YOUR 3808 02:44:14,058 --> 02:44:14,491 INTERVENTION. 3809 02:44:14,491 --> 02:44:15,926 WERE THE PARTICIPANTS LIVING 3810 02:44:15,926 --> 02:44:18,896 WITH DIABETES OR PREDIABETES 3811 02:44:18,896 --> 02:44:22,299 THINKING ABOUT WHAT THEIR BODY 3812 02:44:22,299 --> 02:44:24,501 MASS INDEX MAY HAVE BEEN AT THE 3813 02:44:24,501 --> 02:44:25,970 OUT SET OF STUDY. 3814 02:44:25,970 --> 02:44:27,605 >> GREAT QUESTION AND WITHIN 10 3815 02:44:27,605 --> 02:44:30,307 MINUTES I DIDN'T HAVE THE CHANCE 3816 02:44:30,307 --> 02:44:32,676 TO GO THROUGH THAT. 3817 02:44:32,676 --> 02:44:36,347 70% OF PARNTS WERE EITHER 3818 02:44:36,347 --> 02:44:39,316 PREDIABETIC OR DEBETTIC. 3819 02:44:39,316 --> 02:44:41,185 WE DID SEE RESULTS TRENDING 3820 02:44:41,185 --> 02:44:43,787 TOWARDS A DECREASE IN HEEM 3821 02:44:43,787 --> 02:44:52,529 GLOBEN A-1-C BUT WE HAD A SMALL 3822 02:44:52,529 --> 02:45:00,604 START-UP SAMPLE. 3823 02:45:00,604 --> 02:45:02,573 >> NEXT QUESTION FOR YOU DR. 3824 02:45:02,573 --> 02:45:06,076 STERLING, HAVE YOU FOLLOWED UP 3825 02:45:06,076 --> 02:45:08,012 WITH PARTICIPANTS POST STUDY AND 3826 02:45:08,012 --> 02:45:11,482 WHAT WERE THE RESULTS? 3827 02:45:11,482 --> 02:45:13,083 >> WE FOLLOWED UP AT SIX MONTHS 3828 02:45:13,083 --> 02:45:16,453 AND DID A SURVEY AND 3829 02:45:16,453 --> 02:45:19,089 ENCOURAGINGLY -- SURPRISINGLY -- 3830 02:45:19,089 --> 02:45:22,459 WHAT WE SAW WAS THAT THEIR 3831 02:45:22,459 --> 02:45:23,927 SELF-REPORTED FRUIT AND 3832 02:45:23,927 --> 02:45:26,897 VEGETABLE INTAKE REMAINED 3833 02:45:26,897 --> 02:45:29,400 CONSISTENT IN 12 WEEKS. 3834 02:45:29,400 --> 02:45:31,135 SEESAW THAT THEIR CONCEPTIONS 3835 02:45:31,135 --> 02:45:33,804 WERE PLANT-BASED PATTERNS 3836 02:45:33,804 --> 02:45:36,507 APPEARED TO REMAIN AND 94% SAID 3837 02:45:36,507 --> 02:45:41,145 THEY WERE STILL HAVING MORE OF A 3838 02:45:41,145 --> 02:45:41,812 PLANT-CENTERED APPROACH. 3839 02:45:41,812 --> 02:45:43,147 THE MOATCATION CONTINUED TO BE 3840 02:45:43,147 --> 02:45:44,248 THERE. 3841 02:45:44,248 --> 02:45:46,116 I WILL SAY EVEN FOLLOWING UP 3842 02:45:46,116 --> 02:45:47,851 BEYOND IS THAT, BECAUSE WE LIVE 3843 02:45:47,851 --> 02:45:49,320 WITHIN THE COMMUNITY, ONE OF THE 3844 02:45:49,320 --> 02:45:50,854 THINGS WE HEAR IS THAT PEOPLE 3845 02:45:50,854 --> 02:45:52,189 WANT MORE SOCIAL SUPPORT. 3846 02:45:52,189 --> 02:45:54,058 I THINK THAT'S ONE OF THE MAIN 3847 02:45:54,058 --> 02:45:55,059 BARRIERS AND CHALLENGES THAT WE 3848 02:45:55,059 --> 02:45:57,628 HAVE. 3849 02:45:57,628 --> 02:45:58,696 >> SOCIAL SUPPORT CONTINUES TO 3850 02:45:58,696 --> 02:46:01,098 BE A REL VANTD TOPIC WITHIN THIS 3851 02:46:01,098 --> 02:46:06,136 SPACE AND OTHER RESEARCH 3852 02:46:06,136 --> 02:46:06,770 INTERESTS. 3853 02:46:06,770 --> 02:46:10,874 THANK YOU FOR THAT. 3854 02:46:10,874 --> 02:46:12,409 SAMUEL HODGE, ONE OF THE 3855 02:46:12,409 --> 02:46:14,144 QUESTIONS FROM THE AUDIENCE IS 3856 02:46:14,144 --> 02:46:18,349 REGARDING FOLLOW-UP. 3857 02:46:18,349 --> 02:46:21,018 WERE THERE ANY FOLLOW-UP STUDIES 3858 02:46:21,018 --> 02:46:27,324 TO MED-SOUTH WHERE YOU WERE ABLE 3859 02:46:27,324 --> 02:46:30,260 TO OBSERVE LONG TERM CHANGES 3860 02:46:30,260 --> 02:46:33,130 WITH PARTICIPANTS LIFESTYLE 3861 02:46:33,130 --> 02:46:38,268 CHANGES? 3862 02:46:38,268 --> 02:46:42,940 >> SO TO DATE WE ONLY HAD ONE 3863 02:46:42,940 --> 02:46:46,610 STUDY OF THE TWO-YEAR PERIOD. 3864 02:46:46,610 --> 02:46:49,346 THAT STUDY HAD MULTIPLE PROGRAMS 3865 02:46:49,346 --> 02:46:50,013 INVOLVED IN IT. 3866 02:46:50,013 --> 02:46:52,149 IT STARTED OUT WITH LIFESTYLE 3867 02:46:52,149 --> 02:46:55,319 AND A WEIGHT LOSS PROGRAM 3868 02:46:55,319 --> 02:46:56,620 INTEGRATED, THEN THERE WAS THE 3869 02:46:56,620 --> 02:46:57,955 HYPERTENSION CONTROLLED PROGRAM. 3870 02:46:57,955 --> 02:47:00,257 ALL OF THOSE MERGED TOGETHER 3871 02:47:00,257 --> 02:47:01,392 AMONG SOME PARTICIPANTS. 3872 02:47:01,392 --> 02:47:04,895 BUT WE SEE THAT THE BEHAVIORS 3873 02:47:04,895 --> 02:47:05,796 HOLD OVER TIME AND THE REASON 3874 02:47:05,796 --> 02:47:10,667 FOR THAT IS WE -- PARTICIPANTS 3875 02:47:10,667 --> 02:47:12,536 CHOOSE WHAT THEY FEEL THEY CAN 3876 02:47:12,536 --> 02:47:16,707 SUCCESSFULLY CHANGE. 3877 02:47:16,707 --> 02:47:18,809 THE THINGS THAT WE'RE SUGGESTING 3878 02:47:18,809 --> 02:47:20,411 ARE FAMILIAR WITH THEM AND THEY 3879 02:47:20,411 --> 02:47:22,045 FEEL COMFORTABLE MAKING THOSE 3880 02:47:22,045 --> 02:47:23,547 CHANGES BECAUSE THEY PRACTICED 3881 02:47:23,547 --> 02:47:25,115 DOING THEM OVER TIME. 3882 02:47:25,115 --> 02:47:27,818 WE FOUND THAT THE BEHAVIORS 3883 02:47:27,818 --> 02:47:29,653 HOLD. 3884 02:47:29,653 --> 02:47:30,888 >> THANK YOU FOR THAT. 3885 02:47:30,888 --> 02:47:32,923 THAT IS AN ENCOURAGING SIGN. 3886 02:47:32,923 --> 02:47:36,260 IN THINKING ABOUT INTERVENTIONS, 3887 02:47:36,260 --> 02:47:39,563 FOR YOU, STILL, DR. SAMUEL 3888 02:47:39,563 --> 02:47:42,065 HODGE, CAN YOU TALK ABOUT 3889 02:47:42,065 --> 02:47:43,834 CHALLENGES IN IMPLEMENTS 3890 02:47:43,834 --> 02:47:46,603 MED-SOUTH AND SIMILAR PROGRAMS 3891 02:47:46,603 --> 02:47:51,542 WITHIN COMMUNITY HEALTH CENTERS? 3892 02:47:51,542 --> 02:47:56,246 >> YES. 3893 02:47:56,246 --> 02:48:00,584 HOW WELL I KNOW THE CHALLENGES! 3894 02:48:00,584 --> 02:48:02,453 OUR PRIMARY HEALTH DELIVERY 3895 02:48:02,453 --> 02:48:07,691 SYSTEMS, THE WORK FLOWS THAT ARE 3896 02:48:07,691 --> 02:48:10,427 PRESENT DON'T REALLY ALLOW FOR 3897 02:48:10,427 --> 02:48:11,528 PREVENTION AND PROMOTION 3898 02:48:11,528 --> 02:48:13,430 PROGRAMS TO FIT VERY NEATLY. 3899 02:48:13,430 --> 02:48:15,299 IN ADDITION TO THE FUNDING 3900 02:48:15,299 --> 02:48:20,971 ISSUE, IT IS -- SITES TALK ABOUT 3901 02:48:20,971 --> 02:48:23,006 HOW TO GET PARTICIPANTS TO SHOW 3902 02:48:23,006 --> 02:48:25,075 UP WITHOUT INCENTIVIZING THEM 3903 02:48:25,075 --> 02:48:27,544 AND THEY TALK ABOUT STAFF TO BE 3904 02:48:27,544 --> 02:48:29,279 ABLE TO ACTUALLY DELIVER THESE 3905 02:48:29,279 --> 02:48:30,113 PROGRAMS. 3906 02:48:30,113 --> 02:48:33,750 AND MANY OF OUR HEALTHCARE 3907 02:48:33,750 --> 02:48:37,454 ORGANIZATIONS DON'T HAVE STRONG 3908 02:48:37,454 --> 02:48:38,789 PARTNERSHIPS WITH 3909 02:48:38,789 --> 02:48:39,890 COMMUNITY-BASED ORGANIZATIONS 3910 02:48:39,890 --> 02:48:41,358 THAT CAN HELP WITH DELIVERING 3911 02:48:41,358 --> 02:48:43,527 SOME OF THESE INTERVENTIONS. 3912 02:48:43,527 --> 02:48:44,661 THIS COMES DOWN TO WHO WILL PAY 3913 02:48:44,661 --> 02:48:46,497 FOR IT. 3914 02:48:46,497 --> 02:48:52,069 THAT'S THE BOTTOM, THE CORE OF A 3915 02:48:52,069 --> 02:48:53,704 LOT OF THE CHALLENGES TO 3916 02:48:53,704 --> 02:48:54,071 IMPLEMENTATION. 3917 02:48:54,071 --> 02:48:56,340 ALL OF THE SITES THAT WE LOVE 3918 02:48:56,340 --> 02:48:58,709 THIS PROGRAM AND WOULD LOVE TO 3919 02:48:58,709 --> 02:49:02,312 BE DOING IT, WE DON'T HAVE THE 3920 02:49:02,312 --> 02:49:04,047 WHEREWITHAL TO DO IT. 3921 02:49:04,047 --> 02:49:06,283 THERE IS A LOSS OF STAFF THROUGH 3922 02:49:06,283 --> 02:49:08,085 THE COVID PERIOD AND WE HAVE A 3923 02:49:08,085 --> 02:49:09,786 LOT OF FOLKS LEAVING PUBLIC 3924 02:49:09,786 --> 02:49:10,387 HEALTH. 3925 02:49:10,387 --> 02:49:13,624 THERE ARE CHALLENGES IN THE 3926 02:49:13,624 --> 02:49:14,258 WORKFORCE OF HEALTH. 3927 02:49:14,258 --> 02:49:15,025 >> THANK YOU FOR THAT. 3928 02:49:15,025 --> 02:49:17,427 I THINK THIS NEXT QUESTION THAT 3929 02:49:17,427 --> 02:49:22,399 CAME IN CERTAINLY SPEAKS TO YOUR 3930 02:49:22,399 --> 02:49:23,700 INTERVENTION, BUT I THINK IT'S 3931 02:49:23,700 --> 02:49:26,336 APPLICABLE ACROSS O OUR 3932 02:49:26,336 --> 02:49:28,338 PANELISTS CURIOUS OF CHALLENGES 3933 02:49:28,338 --> 02:49:30,374 IN TERMS OF ACCESSIBILITY OF THE 3934 02:49:30,374 --> 02:49:33,610 MED TRAIN CABBIAN OR OTHER 3935 02:49:33,610 --> 02:49:35,913 PLANT-BASED DIE OATS. 3936 02:49:35,913 --> 02:49:37,314 WHAT CHALLENGES HAVE YOU 3937 02:49:37,314 --> 02:49:39,182 ENCOUNTERED IN TERMS OF 3938 02:49:39,182 --> 02:49:40,551 ACCESSIBILITY IN THE DIETARY 3939 02:49:40,551 --> 02:49:42,753 PATTERNS THAT ARE BEING PROMOTED 3940 02:49:42,753 --> 02:49:44,121 THROUGH YOUR WORK? 3941 02:49:44,121 --> 02:49:47,524 >> I THINK THE WORK THAT WENT 3942 02:49:47,524 --> 02:49:51,161 INTO DEVELOPING THE ADAPTATIONS 3943 02:49:51,161 --> 02:49:52,696 INVOLVES COMMUNITY MEMBERS ALL 3944 02:49:52,696 --> 02:49:53,997 LONG THE WAY. 3945 02:49:53,997 --> 02:49:58,602 WHEN WE TEST ACCEPTABLE, WE FIND 3946 02:49:58,602 --> 02:49:59,436 IT'S HIGH. 3947 02:49:59,436 --> 02:50:01,171 WHAT IS MORE IMPORTANT THAN THE 3948 02:50:01,171 --> 02:50:03,941 FOOD ITSELF IS THE ENGAGEMENT 3949 02:50:03,941 --> 02:50:07,277 WITH THE COUNSELORS BECAUSE WE 3950 02:50:07,277 --> 02:50:08,912 REALLY EMPHASIZE BUILDING A 3951 02:50:08,912 --> 02:50:10,180 RELATIONSHIP WITH THE 3952 02:50:10,180 --> 02:50:14,217 PARTICIPANT NOT TEACHING THEM, 3953 02:50:14,217 --> 02:50:16,153 KRVETION AROUND BEHAVIOR 3954 02:50:16,153 --> 02:50:16,520 CHANGES. 3955 02:50:16,520 --> 02:50:18,055 THAT MAKES THEM FEEL MORE 3956 02:50:18,055 --> 02:50:20,791 COMFORTABLE IN MAKING CHANGES. 3957 02:50:20,791 --> 02:50:22,559 THE OTHER PIECES MANY OF THEM 3958 02:50:22,559 --> 02:50:25,128 HAVE HEARD ABOUT A MEDITERRANEAN 3959 02:50:25,128 --> 02:50:27,731 DIET, BUT WHEN THEY SEE 3960 02:50:27,731 --> 02:50:28,899 MED-SOUTH, THEY CAN SEE 3961 02:50:28,899 --> 02:50:30,634 THEMSELVES IN IT. 3962 02:50:30,634 --> 02:50:32,302 SO THAT'S THE COMMENTS THAT 3963 02:50:32,302 --> 02:50:34,271 WE'VE GOTTEN BACK FROM PARNTS IN 3964 02:50:34,271 --> 02:50:38,308 PARTICIPANT, BEFORE THEY DIDN'T 3965 02:50:38,308 --> 02:50:41,211 THINK THE PROGRAM WAS FOR THEM, 3966 02:50:41,211 --> 02:50:45,082 ESPECIALLY RURAL PARNTS. 3967 02:50:45,082 --> 02:50:45,749 PARTICIPANTS. 3968 02:50:45,749 --> 02:50:48,051 BUT THEY FEEL COMFORTABLE WITH 3969 02:50:48,051 --> 02:50:51,655 IT AND THEY FIND, OKAY, I FEEL 3970 02:50:51,655 --> 02:50:53,924 MORE H EFFICACIOUS AND I CAN DO 3971 02:50:53,924 --> 02:50:55,125 THIS. 3972 02:50:55,125 --> 02:50:56,760 THAT'S THE RESPONSES WE'VE 3973 02:50:56,760 --> 02:50:57,761 GOTTEN. 3974 02:50:57,761 --> 02:50:59,896 >> AND I WOULD ECHO THAT. 3975 02:50:59,896 --> 02:51:02,165 I THINK THAT'S SORT OF WHAT WE 3976 02:51:02,165 --> 02:51:02,766 FOUND AS WELL. 3977 02:51:02,766 --> 02:51:07,237 I THINK YOU SAID IT SO WELL. 3978 02:51:07,237 --> 02:51:11,108 PEOPLE HAVE HEARD ABOUT IT SO 3979 02:51:11,108 --> 02:51:13,610 WE'RE -- ALBANY GEORGIA IS 3980 02:51:13,610 --> 02:51:15,245 SOUTHWEST, IT'S CLOSER TO 3981 02:51:15,245 --> 02:51:17,881 FLORIDA BUT NOT TOO FAR FROM 3982 02:51:17,881 --> 02:51:20,884 ATLANTA AND THERE WERE 3983 02:51:20,884 --> 02:51:21,518 PLANT-BASED RESTAURANTS POPPING 3984 02:51:21,518 --> 02:51:22,486 UP THERE. 3985 02:51:22,486 --> 02:51:23,687 PEOPLE HAVE HEARD ABOUT PLANT 3986 02:51:23,687 --> 02:51:25,088 BASE AND WANT TO TRY IT. 3987 02:51:25,088 --> 02:51:28,058 WHEN THEY SEE THE WAYS IN WHICH 3988 02:51:28,058 --> 02:51:29,259 WE ARE TEACHING IT OR THE 3989 02:51:29,259 --> 02:51:30,961 CONVERSATIONS THAT WE'RE HAVING 3990 02:51:30,961 --> 02:51:33,163 AROUND IT JUST LIKE WE SAID 3991 02:51:33,163 --> 02:51:35,599 BEFORE, THEY SEE THEMSELVES IN 3992 02:51:35,599 --> 02:51:37,100 IT AND THEY'RE WILLING TO TRY 3993 02:51:37,100 --> 02:51:43,340 IT. 3994 02:51:43,340 --> 02:51:47,077 >> I FEEL THIS AL PLIES TO YOU 3995 02:51:47,077 --> 02:51:49,346 DR. KRANGO. 3996 02:51:49,346 --> 02:51:54,284 HOW IS ACCESSIBILITY IN TERMS OF 3997 02:51:54,284 --> 02:51:55,552 YOUR POPULATION? 3998 02:51:55,552 --> 02:51:57,287 >> WITH OUR TARGET POPULATION, 3999 02:51:57,287 --> 02:52:03,460 WHICH IS PEOPLE EAST AFRICAN -- 4000 02:52:03,460 --> 02:52:08,498 FROM THE EAST AFRICAN REGION, 4001 02:52:08,498 --> 02:52:10,634 THERE HAS BEEN FROM THE 4002 02:52:10,634 --> 02:52:12,936 QUALITATIVE DESIGNS FROM BEFORE 4003 02:52:12,936 --> 02:52:14,705 AND WITH DISCUSSION NOW, THERE 4004 02:52:14,705 --> 02:52:16,840 IS HIGH SOAPT BILITIES OF 4005 02:52:16,840 --> 02:52:19,443 PLANT-BASED FOODS BECAUSE THAT 4006 02:52:19,443 --> 02:52:21,078 IS OFTEN PART OF THEIR 4007 02:52:21,078 --> 02:52:21,845 TRADITIONAL DIE OAT. 4008 02:52:21,845 --> 02:52:26,950 WHEN YOU THINK OF EVEN THE 4009 02:52:26,950 --> 02:52:31,221 VARIOUS SIDE DISHES THAWR 4010 02:52:31,221 --> 02:52:32,756 INCLUDE -- DISHES THAT ARE 4011 02:52:32,756 --> 02:52:34,191 INCLUDED, IT'S EASY IN THIS 4012 02:52:34,191 --> 02:52:35,559 POPULATION TO HAVE A DISCUSSION 4013 02:52:35,559 --> 02:52:40,497 ABOUT PLANT BASED FOODS BUT WE 4014 02:52:40,497 --> 02:52:41,465 WANT TO HAVE A DISCUSSION ABOUT 4015 02:52:41,465 --> 02:52:46,336 THE WAYS THAT PROTEIN CAN BE, 4016 02:52:46,336 --> 02:52:48,038 WHY THOSE PLANT-BASED FOODS ARE 4017 02:52:48,038 --> 02:52:50,407 STILL IMPORTANT IN A DIE OAT AND 4018 02:52:50,407 --> 02:52:52,042 TALKING ABOUT PROTEIN AND THERE 4019 02:52:52,042 --> 02:52:54,544 IS PROTEIN IN VEGETABLES AS 4020 02:52:54,544 --> 02:52:54,978 WELL. 4021 02:52:54,978 --> 02:52:57,848 IT MIGHT BE MORE OF A KRCHTION 4022 02:52:57,848 --> 02:53:00,617 ABOUT THE FUNCTIONALITY AS WELL 4023 02:53:00,617 --> 02:53:03,887 OF PLANTS AND PLANT-BASED DIET 4024 02:53:03,887 --> 02:53:08,625 OUTSIDE FOR FLAVOR OR ESTHETIC 4025 02:53:08,625 --> 02:53:11,428 OR THE CRUNCH THAT THERE IS ALSO 4026 02:53:11,428 --> 02:53:13,263 ADDITIONAL FUNCTIONAL PROPERTIES 4027 02:53:13,263 --> 02:53:14,631 THAT WE CAN TALK THROUGH MANY, 4028 02:53:14,631 --> 02:53:17,000 MANY WAYS. 4029 02:53:17,000 --> 02:53:20,937 AT LEAST IN OUR POPULATION OF 4030 02:53:20,937 --> 02:53:22,873 INTEREST, AND THERE IS HIGH 4031 02:53:22,873 --> 02:53:26,376 SEPTEMBER BILITY FOR THE 4032 02:53:26,376 --> 02:53:31,915 PLANT-BASED -- SOAP BIL ACCEPTAR 4033 02:53:31,915 --> 02:53:34,184 THE PLANT-BASED DIE OAT. 4034 02:53:34,184 --> 02:53:38,388 >> WHAT KIND OF STRATEGIES ARE 4035 02:53:38,388 --> 02:53:41,158 HELPFUL IN TERMS OF RECRUITING 4036 02:53:41,158 --> 02:53:42,726 YOUR TARGET POPULATION. 4037 02:53:42,726 --> 02:53:44,795 SOMETIMES WORKING IN HEALTH 4038 02:53:44,795 --> 02:53:45,862 DISPARITIES, MANY OF THE 4039 02:53:45,862 --> 02:53:50,100 COMMUNITIES WE WORK WITH ARE 4040 02:53:50,100 --> 02:53:51,434 CHARACTERIZED AS HARD TO REACH. 4041 02:53:51,434 --> 02:53:54,137 WHAT ARE YOUR SUCCESSFUL 4042 02:53:54,137 --> 02:53:55,338 STRATEGIES? 4043 02:53:55,338 --> 02:54:01,244 >> WHEN I HIGHLIGHTED UNITED 4044 02:54:01,244 --> 02:54:04,948 WOMEN OF EAST AFRICA, IT WAS 4045 02:54:04,948 --> 02:54:06,917 UNDERSTATED AS OUR STAR IN BEING 4046 02:54:06,917 --> 02:54:08,185 ABLE TO CONNECTS TO THE 4047 02:54:08,185 --> 02:54:08,618 COMMUNITY. 4048 02:54:08,618 --> 02:54:13,957 WHAT WE'VE DONE IS DONE SORT OF 4049 02:54:13,957 --> 02:54:16,259 A RANDOMIZED POPULATION IN THAT 4050 02:54:16,259 --> 02:54:17,961 UNITED WOMEN OF EAST AFRICA, 4051 02:54:17,961 --> 02:54:19,596 THERE ARE PEOPLE THAT COME AND 4052 02:54:19,596 --> 02:54:21,164 ATTEND SERVICES THERE, BUT 4053 02:54:21,164 --> 02:54:22,999 THEY'RE ALSO A FACET OF THE 4054 02:54:22,999 --> 02:54:24,267 COMMUNITY THAT PEOPLE FOLLOW AND 4055 02:54:24,267 --> 02:54:28,538 GET NEWS FROM OR UPDATES ON WHAT 4056 02:54:28,538 --> 02:54:33,677 IS HAPPENING IN THE COMMUNITY OR 4057 02:54:33,677 --> 02:54:34,878 AND WHAT PROGRAMS ARE AVAILABLE. 4058 02:54:34,878 --> 02:54:37,347 IT'S NOT A CONVENIENT SAMPLE IN 4059 02:54:37,347 --> 02:54:38,982 THAT WE'RE MEETING PEOPLE WHO 4060 02:54:38,982 --> 02:54:41,551 ARE ACTUALLY INSIDE, BUT THROUGH 4061 02:54:41,551 --> 02:54:44,421 SOCIAL MEDIA WE'RE MEETING WITH 4062 02:54:44,421 --> 02:54:48,358 PEOPLE WHO DON'T NECESSARILY 4063 02:54:48,358 --> 02:54:50,427 INTERACT DIRECTLY WITH UNITED 4064 02:54:50,427 --> 02:54:51,928 WOMEN OF EAST AFRICA. 4065 02:54:51,928 --> 02:54:54,564 WE HAVE A SEMI-CONVENIENT SAMPLE 4066 02:54:54,564 --> 02:54:56,199 BASED ON THE FACT THAT EVERYONE 4067 02:54:56,199 --> 02:54:57,200 IS CONNECTED TO THIS 4068 02:54:57,200 --> 02:54:58,602 ORGANIZATION AND IT'S BRINGING 4069 02:54:58,602 --> 02:55:01,538 THE COMMUNITY TOGETHER. 4070 02:55:01,538 --> 02:55:03,039 THAT'S HOW WE'VE BEEN ABLE TO 4071 02:55:03,039 --> 02:55:05,275 RECRUIT FOR OUR STUDY. 4072 02:55:05,275 --> 02:55:07,077 WE'RE ALSO LOOKING INTO 4073 02:55:07,077 --> 02:55:09,145 ADDITIONAL WAYS THAT WE CAN 4074 02:55:09,145 --> 02:55:11,214 FURTHER REACH OUTSIDE OF THE 4075 02:55:11,214 --> 02:55:17,787 PEOPLE WHO ARE NOT ATTACHED TO 4076 02:55:17,787 --> 02:55:20,457 UW EAST IN ANY WAY AS WELL AS 4077 02:55:20,457 --> 02:55:22,158 CHURCHES AND OTHER COMMUNITY 4078 02:55:22,158 --> 02:55:26,963 ORGANIZATIONS WHERE WE GATHER 4079 02:55:26,963 --> 02:55:28,365 AND ARE IN COMMUNITY WITH EACH 4080 02:55:28,365 --> 02:55:31,534 OTHER. 4081 02:55:31,534 --> 02:55:34,271 WE'RE REALLY GOING AS FAR AS WE 4082 02:55:34,271 --> 02:55:34,437 CAN. 4083 02:55:34,437 --> 02:55:38,708 ALSO UNDERSTANDING THAT THIS IS 4084 02:55:38,708 --> 02:55:39,910 A PART OF POPULATION IN SAN 4085 02:55:39,910 --> 02:55:40,777 DIEGO. 4086 02:55:40,777 --> 02:55:45,081 SO OUR REACH IS NOT GOING TO BE 4087 02:55:45,081 --> 02:55:46,249 SUPER HIGH, BUT THE IMPACT WILL 4088 02:55:46,249 --> 02:55:48,952 BE THERE. 4089 02:55:48,952 --> 02:55:50,387 >> THANK YOU SO MUCH AND FOR 4090 02:55:50,387 --> 02:55:53,223 LANDING ON IMPACT AS A KNOW ALL 4091 02:55:53,223 --> 02:55:54,691 OF YOUR RESEARCH HAS THAT. 4092 02:55:54,691 --> 02:55:56,459 AGAIN, I WANT TO THANK ALL OF 4093 02:55:56,459 --> 02:55:58,328 YOU PANEL MEMBERS FOR SHARING 4094 02:55:58,328 --> 02:56:00,931 YOUR INSIGHTS ON THIS IMPORTANT 4095 02:56:00,931 --> 02:56:01,464 TOPIC. 4096 02:56:01,464 --> 02:56:05,302 FOR THE NEXT VIDEO, WE'LL HAVE A 4097 02:56:05,302 --> 02:56:07,037 COOKING DEMONSTRATION. 4098 02:56:07,037 --> 02:56:12,575 SHE IS FAMOUS FOR HER COOKING 4099 02:56:12,575 --> 02:56:13,243 CLASSES. 4100 02:56:13,243 --> 02:56:16,179 IN THIS VIDEO, SHE'LL HIGHLIGHT 4101 02:56:16,179 --> 02:56:19,015 HER ORGANIZATION SOUL FOOD MY 4102 02:56:19,015 --> 02:56:22,285 PLATE AND DEMONSTRATE A COOKING 4103 02:56:22,285 --> 02:56:30,060 DEMONSTRATION. 4104 02:56:30,060 --> 02:56:32,562 37 WELCOME TO ADVANCE BEING 4105 02:56:32,562 --> 02:56:37,834 HEALTH WE CANITY TO ADDRESS -- 4106 02:56:37,834 --> 02:56:43,006 >> WELCOME TO ADVANCE HEALTH. 4107 02:56:43,006 --> 02:56:46,076 THE IMPORTANCE EVER CULTURALLY 4108 02:56:46,076 --> 02:56:48,078 AND LINGUISTICALLY WELLNESS 4109 02:56:48,078 --> 02:56:50,714 MESSAGES CANNOT BE OVERSTATED 4110 02:56:50,714 --> 02:56:53,249 ESPECIALLY WHEN IT COMES TO 4111 02:56:53,249 --> 02:56:54,918 COMBATING CHRONIC DISEASES. 4112 02:56:54,918 --> 02:56:57,954 THESE DISEASES ARE OFTEN FUELED 4113 02:56:57,954 --> 02:57:00,156 BY LIFESTYLE FACTORS HAVE 4114 02:57:00,156 --> 02:57:02,125 REACHED ALARMING LEVELS 4115 02:57:02,125 --> 02:57:03,193 GLOBALLY. 4116 02:57:03,193 --> 02:57:05,962 IMAGINE A SOCIETY THAT HEALTH 4117 02:57:05,962 --> 02:57:08,231 MESSAGES ARE TAILORED TO 4118 02:57:08,231 --> 02:57:10,867 RESONATE WITH EVERY COMMUNITIER 4119 02:57:10,867 --> 02:57:16,006 AND EMPOWERMENT TRANSCENDS BEAR 4120 02:57:16,006 --> 02:57:17,307 YORES. 4121 02:57:17,307 --> 02:57:19,009 THOUGH BECOME RELATABLE AND 4122 02:57:19,009 --> 02:57:19,709 COMPELLING. 4123 02:57:19,709 --> 02:57:22,946 PEOPLE ARE MORE LIKELY TO 4124 02:57:22,946 --> 02:57:28,818 LISTEN, ABSORB AND ACT UPON 4125 02:57:28,818 --> 02:57:29,819 INFORMATION THAT ACKNOWLEDGE 4126 02:57:29,819 --> 02:57:31,354 THEIR HERITAGE AND SPREECT AND 4127 02:57:31,354 --> 02:57:32,188 IDENTITY. 4128 02:57:32,188 --> 02:57:33,623 THAT'S IMPORTANT. 4129 02:57:33,623 --> 02:57:36,026 A NUTRITION PLAN INSPIRED BY 4130 02:57:36,026 --> 02:57:39,362 TRADITIONAL DIETS AND EXERCISE 4131 02:57:39,362 --> 02:57:40,697 ROUTINES THAT HONOR CULTURAL 4132 02:57:40,697 --> 02:57:41,231 PRACTICES. 4133 02:57:41,231 --> 02:57:43,767 THEY'RE NOT ONLY EFFECTIVE BUT 4134 02:57:43,767 --> 02:57:45,068 CELEBRATE THE BEAUTY OF 4135 02:57:45,068 --> 02:57:45,869 DIVERSITY. 4136 02:57:45,869 --> 02:57:50,273 THIS IS WHY WE CREATED OUR CULT 4137 02:57:50,273 --> 02:57:56,946 LCONSULTANTS, WE DEVELOP HEALTH 4138 02:57:56,946 --> 02:57:59,215 INFORMATION IN PEOPLE'S NATIVE 4139 02:57:59,215 --> 02:58:02,385 LANGUAGES AND ENSURE THAT VITAL 4140 02:58:02,385 --> 02:58:03,820 INSIGHTS IS ACCESSIBLE TO 4141 02:58:03,820 --> 02:58:04,888 EVERYONE. 4142 02:58:04,888 --> 02:58:06,523 THIS PAVES THE WAY FOR INFORMED 4143 02:58:06,523 --> 02:58:08,725 DECISIONS, HEALTHIER CHOICES AND 4144 02:58:08,725 --> 02:58:11,561 ULTIMATELY A REDUCED BURDEN OF 4145 02:58:11,561 --> 02:58:12,796 CHRONIC DISEASES. 4146 02:58:12,796 --> 02:58:15,932 WE DEVELOPED THE SOUL FOOD PLATE 4147 02:58:15,932 --> 02:58:18,535 IN OUR PRACTICE IN ORDER FOR 4148 02:58:18,535 --> 02:58:19,836 DIETICIANS TO MEET PEOPLE WHERE 4149 02:58:19,836 --> 02:58:21,504 THEY ARE. 4150 02:58:21,504 --> 02:58:23,840 EMBRACING CULTURAL AND 4151 02:58:23,840 --> 02:58:27,911 LINGUISTIC DIVERSITY ISN'T JUST 4152 02:58:27,911 --> 02:58:29,979 AN OPTION, IT'S A NECESSITY. 4153 02:58:29,979 --> 02:58:32,148 IT'S A PATH TO FOST SHALLING A 4154 02:58:32,148 --> 02:58:35,318 HEALTHIER SOCIETY WHERE HEALTH 4155 02:58:35,318 --> 02:58:38,621 KNOWS NO CULTURAL BOUNDS AND 4156 02:58:38,621 --> 02:58:41,024 KNOWLEDGE TRANSFORMS LIVES. 4157 02:58:41,024 --> 02:58:44,060 LET'S HAVE THIS OPPORTUNITY TO 4158 02:58:44,060 --> 02:58:46,629 PURSUE WELL-BEING AND LEAD THE 4159 02:58:46,629 --> 02:58:49,532 CHANGE TOWARDS A FUTURE WITH 4160 02:58:49,532 --> 02:58:54,104 FEWER CHRONIC DISEASES. 4161 02:58:54,104 --> 02:58:56,806 ANY 2011, I IMMEDIATELY WENT TO 4162 02:58:56,806 --> 02:59:01,311 OUR TEAM AND SAID WE REALLY NEED 4163 02:59:01,311 --> 02:59:05,415 TO FOCUS ON THE SOUL FOOD 4164 02:59:05,415 --> 02:59:07,217 PYRAMID TRANSITIONS OVER TO A 4165 02:59:07,217 --> 02:59:08,418 SOUL FOOD PLATE. 4166 02:59:08,418 --> 02:59:11,588 IT HAS WORKED REALLY WELL BALLS 4167 02:59:11,588 --> 02:59:14,090 THEY SEE THEMSELVES IN THIS 4168 02:59:14,090 --> 02:59:15,258 PARTICULAR HANDOUT. 4169 02:59:15,258 --> 02:59:18,661 WE FOCUS ON LABEL READING AND WE 4170 02:59:18,661 --> 02:59:21,531 TEACH PORTION CONTROL ALONG WITH 4171 02:59:21,531 --> 02:59:24,501 THE PLATE AND A SPOON SO THEY 4172 02:59:24,501 --> 02:59:26,669 CAN GET IT RIGHT NOT ONLY HERE 4173 02:59:26,669 --> 02:59:29,239 IN FRONT OF ME, BUT REPEAT THE 4174 02:59:29,239 --> 02:59:30,740 MESSAGES EVEN AT HOME. 4175 02:59:30,740 --> 02:59:32,475 LET'S GO IN THE KITCHEN AND 4176 02:59:32,475 --> 02:59:42,585 COOK. 4177 03:01:50,213 --> 03:01:50,546 >> WONDERFUL. 4178 03:01:50,546 --> 03:01:52,882 THANK YOU ALL AGAIN FOR JOINING 4179 03:01:52,882 --> 03:01:54,183 OUR PANEL AND I HOPE YOU FOUND 4180 03:01:54,183 --> 03:01:55,885 THAT VIDEO ENJOYABLE. 4181 03:01:55,885 --> 03:01:57,854 THANK YOU TO OUR EXPEERKS 4182 03:01:57,854 --> 03:01:59,622 AUDIENCE MEMBERS FOR THE GREAT 4183 03:01:59,622 --> 03:02:01,057 QUESTIONS. 4184 03:02:01,057 --> 03:02:02,859 AND THOUGHT PROVOKING QUESTIONS 4185 03:02:02,859 --> 03:02:03,860 AS WELL. 4186 03:02:03,860 --> 03:02:05,828 WE'LL NOW MOVE TO PANEL THREE 4187 03:02:05,828 --> 03:02:08,431 AND I WILL TURN IT OVER TO DR. 4188 03:02:08,431 --> 03:02:12,468 HEATHER GREENLY, THE MODERATOR 4189 03:02:12,468 --> 03:02:14,437 FOR THIS NEXT SECTION. 4190 03:02:14,437 --> 03:02:20,877 THANK YOU. 4191 03:02:20,877 --> 03:02:25,381 >> HELLO EVERYBODY AND THANK YOU 4192 03:02:25,381 --> 03:02:27,016 RONIECE. 4193 03:02:27,016 --> 03:02:29,986 I WANT TO THANK THE ORGANIZERS 4194 03:02:29,986 --> 03:02:34,190 AT NHLBI AND NCI FOR THIS 4195 03:02:34,190 --> 03:02:34,724 WORKSHOP. 4196 03:02:34,724 --> 03:02:39,829 IT'S A TRUE HONOR TO PARTICIPATE 4197 03:02:39,829 --> 03:02:40,263 HERE. 4198 03:02:40,263 --> 03:02:43,099 I'M WITH THE FRED HUTCHISON 4199 03:02:43,099 --> 03:02:47,203 CANCER CENTER AND HEAD DIRECTOR 4200 03:02:47,203 --> 03:02:48,971 WITH WITH THE CLINICAL PROGRAM 4201 03:02:48,971 --> 03:02:52,308 HERE. 4202 03:02:52,308 --> 03:02:56,946 I HAVE A BILINGUAL WEBSITE TO 4203 03:02:56,946 --> 03:02:59,349 PROVIDE EVIDENCE-BASED 4204 03:02:59,349 --> 03:03:00,483 NUTRITIONAL INFORMATION TO 4205 03:03:00,483 --> 03:03:02,552 CANCER PATIENTS AND CAREGIVERS 4206 03:03:02,552 --> 03:03:08,791 ACROSS THE GLOBE AND SERVES AS A 4207 03:03:08,791 --> 03:03:12,929 PLATFORM FOR INTERVENTION FOR 4208 03:03:12,929 --> 03:03:14,697 CANCER PATIENTS. 4209 03:03:14,697 --> 03:03:19,135 WE'LL HIGHLIGHT MIGRATION AND 4210 03:03:19,135 --> 03:03:21,537 ACCULTURATION AMONG DIVERSE 4211 03:03:21,537 --> 03:03:25,475 HISPANIC AND LATINX COMMUNITIES. 4212 03:03:25,475 --> 03:03:28,010 THROUGHOUT THE PRESENTATION AND 4213 03:03:28,010 --> 03:03:32,315 THROUGHOUT THE Q&A DISCUSSION 4214 03:03:32,315 --> 03:03:35,284 SEND QUESTIONS AND LET US KNOW 4215 03:03:35,284 --> 03:03:37,253 WHICH PANELIST YOU'RE DIRECTING 4216 03:03:37,253 --> 03:03:38,554 YOUR QUESTION TO. 4217 03:03:38,554 --> 03:03:43,025 TODAY WE'LL BEGIN WITH THE FIRST 4218 03:03:43,025 --> 03:03:47,096 PRESENTATION ENTITLED CULTURE 4219 03:03:47,096 --> 03:03:49,399 FOOD FACTORS. 4220 03:03:49,399 --> 03:03:54,737 DR. FEUSER IS AT TULANE SCHOOL 4221 03:03:54,737 --> 03:03:58,975 AND HAS A PhD. IN FOOD POLICY 4222 03:03:58,975 --> 03:04:05,114 AND HER RESEARCH EXAMINES THE 4223 03:04:05,114 --> 03:04:07,817 CONTEXTUAL FOCUS ON LATIN 4224 03:04:07,817 --> 03:04:09,685 AMERICAN COMMUNITIES AND 4225 03:04:09,685 --> 03:04:12,488 DIASPORA. 4226 03:04:12,488 --> 03:04:20,363 WELCOME DR. FUFUSTER. 4227 03:04:20,363 --> 03:04:21,931 >> THANK YOU. 4228 03:04:21,931 --> 03:04:22,799 NEXT SLIDE. 4229 03:04:22,799 --> 03:04:26,135 THANK YOU FOR THE INTRODUCTION 4230 03:04:26,135 --> 03:04:31,407 AND FOR THE INVITATION. 4231 03:04:31,407 --> 03:04:34,777 IT'S AN HONOR TO BE HERE. 4232 03:04:34,777 --> 03:04:37,046 MY AIM FOR THIS TALK IT IS TO 4233 03:04:37,046 --> 03:04:39,015 OPEN THE SESSION BY UNDERSCORING 4234 03:04:39,015 --> 03:04:41,350 THE DIVERSITY WITHIN LATIN BE 4235 03:04:41,350 --> 03:04:42,852 AMERICAN COMMUNITIES AND PROVIDE 4236 03:04:42,852 --> 03:04:46,122 INSIGHTS ON HOW TO APPROACH SUCH 4237 03:04:46,122 --> 03:04:48,291 DIVERSITY WHEN DESIGNING 4238 03:04:48,291 --> 03:04:49,358 INTERVENTIONS BASED ON MY 4239 03:04:49,358 --> 03:04:50,126 RESEARCH. 4240 03:04:50,126 --> 03:04:52,862 MY GOAL IS TO PUSH US TO MOVE 4241 03:04:52,862 --> 03:04:55,565 BEYOND JUST CULTURE TO CONSIDER 4242 03:04:55,565 --> 03:04:58,868 STRUCTURAL FACTORS SUMP AS RACE, 4243 03:04:58,868 --> 03:05:01,904 GENDER, INCOME AND OTHERS AND 4244 03:05:01,904 --> 03:05:04,407 MOVER TO INDIVIDUAL BEHAVIOR 4245 03:05:04,407 --> 03:05:06,576 CHANGE TO THINK MORE ABOUT 4246 03:05:06,576 --> 03:05:07,577 ENVIRONMENTAL BASED CHANGES. 4247 03:05:07,577 --> 03:05:11,981 I WILL END MY PRESENTATION BY 4248 03:05:11,981 --> 03:05:19,088 PRESENTING SOME OF MY WORK. 4249 03:05:19,088 --> 03:05:19,322 WORK 4250 03:05:19,322 --> 03:05:21,290 AIMING TO DO THAT. 4251 03:05:21,290 --> 03:05:23,493 ECHOING OUR OPENING SESSION, I 4252 03:05:23,493 --> 03:05:26,796 WANT TO START BY REMINDING US 4253 03:05:26,796 --> 03:05:29,232 THAT LATIN AMERICA AS A REGION 4254 03:05:29,232 --> 03:05:31,501 IS QUITE DIVERSE WITH SUCH 4255 03:05:31,501 --> 03:05:33,536 DIVERSITY STELLING FROM UNIQUE 4256 03:05:33,536 --> 03:05:35,571 HISTORIES AND GEOPOLITICAL 4257 03:05:35,571 --> 03:05:36,272 SITUATIONS. 4258 03:05:36,272 --> 03:05:40,977 THIS RESULTS IN NOT ONLY 4259 03:05:40,977 --> 03:05:44,146 DISTINCT PRACTICES BUT DIFFERENT 4260 03:05:44,146 --> 03:05:46,082 MIGRATORY TRAJECTORIES AND 4261 03:05:46,082 --> 03:05:48,484 HEALTH OUTCOMES IN THE STATES. 4262 03:05:48,484 --> 03:05:50,786 THE STUDY OF LATINOS PROVIDE 4263 03:05:50,786 --> 03:05:51,854 EVIDENCE OF THIS. 4264 03:05:51,854 --> 03:05:54,557 HERE YOU CAN SEE THAT FOR 4265 03:05:54,557 --> 03:05:57,927 EXAMPLE THOSE OF HISPANIC 4266 03:05:57,927 --> 03:05:59,929 CARIBBEAN ANCESTRY, PARTICULARLY 4267 03:05:59,929 --> 03:06:04,233 PUERTO RICANS IN THE BLUE DOTTED 4268 03:06:04,233 --> 03:06:06,135 LINE, LEAD THE CHARTS WHEN IT 4269 03:06:06,135 --> 03:06:08,804 COMES TO MANY PRESSING HEALTH 4270 03:06:08,804 --> 03:06:12,141 DISPARITY SUCH AS HEART DISEASE, 4271 03:06:12,141 --> 03:06:18,014 OBESITY, DIABETES AND 4272 03:06:18,014 --> 03:06:23,286 DEPRESSION. 4273 03:06:23,286 --> 03:06:27,323 THESE FINDINGS, I BELIEVE, MERIT 4274 03:06:27,323 --> 03:06:28,291 FURTHER EXPLANATION. 4275 03:06:28,291 --> 03:06:30,159 I WANT TO REMIND YOU PUERTO 4276 03:06:30,159 --> 03:06:32,895 RICANS ARE U.S. CITIZENS, IN 4277 03:06:32,895 --> 03:06:35,231 THEORY, THESE CITIZENSHIP 4278 03:06:35,231 --> 03:06:36,399 PROVIDE ADVANTAGES TO LIFE IN 4279 03:06:36,399 --> 03:06:39,502 THE STATES. 4280 03:06:39,502 --> 03:06:42,838 AS WE -- I AM PUERTO RICAN, WE 4281 03:06:42,838 --> 03:06:45,408 DO NOT HAVE TO CONTEND WITH THE 4282 03:06:45,408 --> 03:06:47,443 LEGAL ASPECTS OF BEING AN 4283 03:06:47,443 --> 03:06:49,011 IMMIGRANT. 4284 03:06:49,011 --> 03:06:50,780 BUT AS YOU BE SEE THIS IS NOT 4285 03:06:50,780 --> 03:06:52,782 RESULTING IN BOATER HEALTH 4286 03:06:52,782 --> 03:06:53,816 OUTCOMES. 4287 03:06:53,816 --> 03:06:58,688 IN MY RECENT WORK, I SOUGHT TO 4288 03:06:58,688 --> 03:07:00,957 DIG DEEPER AS TO WHY THIS WAS 4289 03:07:00,957 --> 03:07:02,325 THE CASE. 4290 03:07:02,325 --> 03:07:06,762 THIS WORK IS SUMMARIZED IN MY 4291 03:07:06,762 --> 03:07:09,165 BOOK WHERE I EXAMINED THE CASE 4292 03:07:09,165 --> 03:07:11,133 EVER PUERTO RICANS IN NEW YORK 4293 03:07:11,133 --> 03:07:20,876 CITY ALONGSIDE FELLOW CUBANS. 4294 03:07:20,876 --> 03:07:23,412 THIS IS RESEARCH ALONGSIDE 4295 03:07:23,412 --> 03:07:25,715 PUBLIC HEALTH, NUTRITION, 4296 03:07:25,715 --> 03:07:27,550 HISTORY, MIGRATION STUDIES AND 4297 03:07:27,550 --> 03:07:29,952 SOCIAL SCIENCE TO EXAMINING HOW 4298 03:07:29,952 --> 03:07:31,721 LOCAL AND GLOBAL CIRCUMSTANCES 4299 03:07:31,721 --> 03:07:40,663 HAVE SHAPED AND PRESENTING 4300 03:07:40,663 --> 03:07:49,071 RESULTS IN DISIRCHG THE U.S. 4301 03:07:49,071 --> 03:07:50,740 THIS IS IN NEW YORK CITY BUT 4302 03:07:50,740 --> 03:07:52,274 CONCLUDES WITH A LOOK AT 4303 03:07:52,274 --> 03:07:53,843 COMMUNITIES IN OTHER LOCATIONS 4304 03:07:53,843 --> 03:07:55,277 IN THE STATES. 4305 03:07:55,277 --> 03:07:57,046 THE CONTEMPORARY SITUATION IN 4306 03:07:57,046 --> 03:07:59,015 CARIBBEAN AND IMPLICATION FOR 4307 03:07:59,015 --> 03:08:00,349 OTHER GROUPS. 4308 03:08:00,349 --> 03:08:03,719 I ALSO WANTED TO HIGHLIGHT THAT 4309 03:08:03,719 --> 03:08:06,355 THE BOOK INCLUDES COMMON FOODS 4310 03:08:06,355 --> 03:08:08,224 AND SPANISH TERMS USED FOR THE 4311 03:08:08,224 --> 03:08:10,493 FOODS TO BENEFIT YOU WORKING 4312 03:08:10,493 --> 03:08:14,530 WITH THE COMMUNITIES. 4313 03:08:14,530 --> 03:08:16,932 HERE ARE SOME BRIEF ACHE AWAYS 4314 03:08:16,932 --> 03:08:18,768 FROM THIS WORK. 4315 03:08:18,768 --> 03:08:20,903 FIRST, I THINK THAT WE NEED A 4316 03:08:20,903 --> 03:08:24,140 BETTER UNDERSTANDING OF CULTURE. 4317 03:08:24,140 --> 03:08:27,443 WHEN I EXAMINE HOW OUR FIELD, 4318 03:08:27,443 --> 03:08:29,945 PUBLIC HEALTH, NUTRITION ADDRESS 4319 03:08:29,945 --> 03:08:31,013 LATIN AMERICAN COMMUNITIES, I 4320 03:08:31,013 --> 03:08:33,816 SHOWED HOW THERE IS CONTRASTING 4321 03:08:33,816 --> 03:08:36,919 THE CULTURE AS BOTH THE COST AND 4322 03:08:36,919 --> 03:08:38,721 SOLUTION FOR DIETARY PROBLEMS. 4323 03:08:38,721 --> 03:08:40,923 THAT IS, THERE WAS A PERCEPTION 4324 03:08:40,923 --> 03:08:44,694 OF CULTURAL PRACTICES BEING 4325 03:08:44,694 --> 03:08:46,829 DESCRIBED SOMETIMES AS UNHEALTHY 4326 03:08:46,829 --> 03:08:49,465 AND ON THE OTHER HAND, THERE WAS 4327 03:08:49,465 --> 03:08:53,069 A VIEW THAT WE NEED TO PRESERVE 4328 03:08:53,069 --> 03:08:54,637 THE TRADITIONAL PATTERNS AS 4329 03:08:54,637 --> 03:08:57,339 SOLUTIONS FRPT PROBLEM. 4330 03:08:57,339 --> 03:09:00,976 SOLUTIONS FOR THE PROBLEM. 4331 03:09:00,976 --> 03:09:03,045 I UNDERSCORE TRADITIONAL FOOD 4332 03:09:03,045 --> 03:09:06,882 PRACTICES AND I SEE AN IDEAL OIK 4333 03:09:06,882 --> 03:09:10,052 VIEW OF FOOD WASTE IN THE 4334 03:09:10,052 --> 03:09:11,020 CARIBBEAN. 4335 03:09:11,020 --> 03:09:13,222 OUR FOOD WASTES ARE BECOMING 4336 03:09:13,222 --> 03:09:15,624 MORE PROCESSED AND COMPLEX 4337 03:09:15,624 --> 03:09:17,827 INCLUDING ADDITIONS FROM OTHER 4338 03:09:17,827 --> 03:09:19,061 CULTURAL FOOD WASTE. 4339 03:09:19,061 --> 03:09:22,665 THEREFORE, WE NEED TO RE-THINK 4340 03:09:22,665 --> 03:09:33,476 VIEWS OF DIETARY ENCU CULL TRAI. 4341 03:09:36,512 --> 03:09:38,614 CULTURATION. 4342 03:09:38,614 --> 03:09:40,716 WE NEED TO ADDRESS THE INFLUENCE 4343 03:09:40,716 --> 03:09:43,452 OF STRUCTURAL FACTORS NAMELY 4344 03:09:43,452 --> 03:09:46,255 RACE, CLASS, GENDER ANDING MY 4345 03:09:46,255 --> 03:09:52,361 ANDMIGRATION. 4346 03:09:52,361 --> 03:09:57,299 THESE CAN FACILITATE AND HINDER 4347 03:09:57,299 --> 03:10:00,069 ACCESS TO FOOD AND BOATER LIVING 4348 03:10:00,069 --> 03:10:00,369 CONDITIONS. 4349 03:10:00,369 --> 03:10:03,405 THESE ARE INFLUENCED BY BROAD, 4350 03:10:03,405 --> 03:10:04,073 POLITICAL, ENVIRONMENTAL 4351 03:10:04,073 --> 03:10:06,542 CONDITIONS INCLUDING BACK TO THE 4352 03:10:06,542 --> 03:10:08,611 BIG VIEW ABOUT GLOBAL FORCES 4353 03:10:08,611 --> 03:10:11,914 THAT INFLUENCE THE MIGRATORY 4354 03:10:11,914 --> 03:10:13,215 FLOWS. 4355 03:10:13,215 --> 03:10:16,051 A SECOND TAKE AWAY IS THAT 4356 03:10:16,051 --> 03:10:18,220 HERITAGE FOODS ARE NOT ALWAYS 4357 03:10:18,220 --> 03:10:19,421 HEALTHY OR PREFERRED. 4358 03:10:19,421 --> 03:10:22,491 SOME I INTERVIEWED PERCEIVED 4359 03:10:22,491 --> 03:10:24,660 TRADITIONAL DIETS AS UNHEALTHY 4360 03:10:24,660 --> 03:10:26,028 AND DISANSD THEMSELVES FROM 4361 03:10:26,028 --> 03:10:28,330 THEIR HERITAGE SCHOOLS. 4362 03:10:28,330 --> 03:10:30,666 THESE WERE REFLECTED IN 4363 03:10:30,666 --> 03:10:36,739 DESCRIBING HE THEIR MEALS AS TOO 4364 03:10:36,739 --> 03:10:38,174 STARCHY AND POOR PEOPLE FOODS. 4365 03:10:38,174 --> 03:10:41,710 THIS WAS MOSTLY THE CASE AMONG 4366 03:10:41,710 --> 03:10:48,651 HUMANS AND I LEAN TO THE 4367 03:10:48,651 --> 03:10:49,885 NONEXISTENT RELATIONSHIP MOAMS 4368 03:10:49,885 --> 03:10:52,822 OF THE COMMUNITY HAVE WITH CUBA. 4369 03:10:52,822 --> 03:10:56,225 WE CANNOT ASSUME FOOD PREFERENCE 4370 03:10:56,225 --> 03:11:00,429 BASED ON ANCESTRY. 4371 03:11:00,429 --> 03:11:04,600 HOW WE EAT IS INFLUENCED BY HOW 4372 03:11:04,600 --> 03:11:07,336 WE LEFT OUR HOME COUNTRY NOTICE 4373 03:11:07,336 --> 03:11:08,571 FIRST PLACE AND THE RESULTING 4374 03:11:08,571 --> 03:11:10,506 SITUATION THAT WOVE BACK TO THAT 4375 03:11:10,506 --> 03:11:20,883 COUNTRY OF ORIGIN OR HERITAGE. 4376 03:11:20,883 --> 03:11:24,987 WE NEED TO EVER STRUCTURAL 4377 03:11:24,987 --> 03:11:25,187 FOCUS. 4378 03:11:25,187 --> 03:11:29,391 AS PART OF THIS, WE NEED TO 4379 03:11:29,391 --> 03:11:31,260 THINK ABOUT FOOD ENVIRONMENTS 4380 03:11:31,260 --> 03:11:33,362 AND SOCIAL NORMS AS IMPORTANT IN 4381 03:11:33,362 --> 03:11:34,763 SHAPING PERCEPTIONS OF DIETS AND 4382 03:11:34,763 --> 03:11:37,333 THE RESULTING FOOD PRACTICES. 4383 03:11:37,333 --> 03:11:40,269 NEXT SLIDE, PLEASE. 4384 03:11:40,269 --> 03:11:42,872 WITH THIS, FOLLOWING THIS TAKE 4385 03:11:42,872 --> 03:11:45,541 AWAY, I WANTED TO BRIEFLY SHARE 4386 03:11:45,541 --> 03:11:47,610 MY CURRENT FOCUS HOW IT MASS 4387 03:11:47,610 --> 03:11:50,246 SHIFTED FROM THAT INDIVIDUAL 4388 03:11:50,246 --> 03:11:53,682 FOCUS TO ADDRESSING MORE FOOD 4389 03:11:53,682 --> 03:11:54,083 ENVIRONMENT WORK. 4390 03:11:54,083 --> 03:11:56,418 AND SPECIFICALLY THROUGH LATIN 4391 03:11:56,418 --> 03:12:00,089 AMERICAN RESTAURANTS AS PART OF 4392 03:12:00,089 --> 03:12:01,390 MY INITIAL CAREER DEVELOPMENT 4393 03:12:01,390 --> 03:12:05,027 AWARD. 4394 03:12:05,027 --> 03:12:06,328 WHY RESTAURANTS? 4395 03:12:06,328 --> 03:12:09,064 ASIDE FROM THE INCREASING 4396 03:12:09,064 --> 03:12:11,133 IMPORTANCE OF FOODS AWAY FROM 4397 03:12:11,133 --> 03:12:13,535 HOME, MY EMPHASIS ON RESTAURANT 4398 03:12:13,535 --> 03:12:18,807 IS INSPIRED BY A RECOGNITION OF 4399 03:12:18,807 --> 03:12:22,578 THESE ESTABLISHMENTS AS AGENTS 4400 03:12:22,578 --> 03:12:24,079 TO MAKE A HEALTHIER CHOICE NOT 4401 03:12:24,079 --> 03:12:25,814 ONLY THE EASY ONE THAT PEOPLE 4402 03:12:25,814 --> 03:12:27,917 HAVE ACCESS TO, BUT ALSO THE 4403 03:12:27,917 --> 03:12:30,019 DESIRED ONE WHICH ARE TWO 4404 03:12:30,019 --> 03:12:31,954 DIFFERENT THINGS. 4405 03:12:31,954 --> 03:12:33,422 IN ADDITION, RESTAURANTS CAN 4406 03:12:33,422 --> 03:12:37,593 SERVE AS THE ECONOMIC POINT TO 4407 03:12:37,593 --> 03:12:39,561 MANY IMMIGRANT COMMUNITIES 4408 03:12:39,561 --> 03:12:42,197 MAKING FOOD BUSINESSES KEY FOR 4409 03:12:42,197 --> 03:12:44,300 ECONOMIC DEVELOPMENT EFFORTS AND 4410 03:12:44,300 --> 03:12:47,236 CONTRIBUTING TO FOOD ACCESS. 4411 03:12:47,236 --> 03:12:50,139 IN THIS WORK, I HAVE BEEN USING 4412 03:12:50,139 --> 03:12:52,708 THE DESIGNED THINKING TO TURN 4413 03:12:52,708 --> 03:12:57,713 CHALLENGES INTO OPPORTUNITIES 4414 03:12:57,713 --> 03:12:58,814 FOR COMMUNICATION. 4415 03:12:58,814 --> 03:13:01,884 WE NEED TO HAVE EMPATHY AND USER 4416 03:13:01,884 --> 03:13:03,419 EXPERIENCE AT THE CENTER. 4417 03:13:03,419 --> 03:13:06,021 FOCUSING ON INNOVATION AND 4418 03:13:06,021 --> 03:13:07,790 CREATIVITY TO DEVISE NEW 4419 03:13:07,790 --> 03:13:11,126 SOLUTIONS TO WHAT IS COMPLEX 4420 03:13:11,126 --> 03:13:12,628 PROBLEMS SUCH AS HEALTHIER 4421 03:13:12,628 --> 03:13:16,465 EATING IN RESTAURANTS AS PLACES 4422 03:13:16,465 --> 03:13:18,200 THAT ARE ORPHAN ASSOCIATED WITH 4423 03:13:18,200 --> 03:13:19,535 INDULGENCE AND NOT LEGALITY. 4424 03:13:19,535 --> 03:13:25,674 HERE I SHOW TWO CH TWO EXAMPLESE 4425 03:13:25,674 --> 03:13:28,811 CHALLENGES PRESENTED. 4426 03:13:28,811 --> 03:13:32,414 WE HAVE TWO OTHER CHALLENGES AT 4427 03:13:32,414 --> 03:13:35,284 THE RESTAURANT LEVEL AND WE ARE 4428 03:13:35,284 --> 03:13:37,820 NOW MOVING IN NEW ORLEANS TO SEE 4429 03:13:37,820 --> 03:13:39,521 HOW WE CAN ENGAGE LOCAL 4430 03:13:39,521 --> 03:13:41,223 RESTAURANTS AND RELATED TAKE 4431 03:13:41,223 --> 03:13:44,493 HOLDERS TO FIND INNOVATIVE 4432 03:13:44,493 --> 03:13:46,929 POLICY-LEVEL SOLUTIONS TO 4433 03:13:46,929 --> 03:13:48,630 FACILITATE CHANGE. 4434 03:13:48,630 --> 03:13:51,033 NEXT SLIDE. 4435 03:13:51,033 --> 03:13:54,970 BACK TO TODAY'S TOPIC, I WANT TO 4436 03:13:54,970 --> 03:13:57,706 BRING IT BACK TO MY MAIN 4437 03:13:57,706 --> 03:13:58,574 TAKE-AWAYS. 4438 03:13:58,574 --> 03:14:01,443 LET AS ENGAGE WITH CULTURE AND 4439 03:14:01,443 --> 03:14:03,812 THE COMPLEXITY. 4440 03:14:03,812 --> 03:14:07,316 THINK OF NOT JUST PLACE EVER 4441 03:14:07,316 --> 03:14:09,485 ANCESTRY BUT EVERYTHING ELSE 4442 03:14:09,485 --> 03:14:13,989 THAT MAKES YIDITE. 4443 03:14:13,989 --> 03:14:14,790 IDENTITY. 4444 03:14:14,790 --> 03:14:19,328 BASED ON AGE, JENTER INCOME AND 4445 03:14:19,328 --> 03:14:19,995 RACE. 4446 03:14:19,995 --> 03:14:21,797 WE ENCOUNTER THAT HERE IN THE 4447 03:14:21,797 --> 03:14:26,535 STATES AND FOLLOW FOLLOWING UP Y 4448 03:14:26,535 --> 03:14:29,338 CURRENT WORK, LETS' LEARN MORE 4449 03:14:29,338 --> 03:14:30,239 YOJTD THE INDIVIDUAL. 4450 03:14:30,239 --> 03:14:31,974 FINDING NEW WAYS TO ADDRESS 4451 03:14:31,974 --> 03:14:33,942 CHANGES AND RESEARCH AT THE 4452 03:14:33,942 --> 03:14:34,977 COMMUNITY OR ORGANIZATIONAL 4453 03:14:34,977 --> 03:14:36,345 POLICY AND ALSO CONTEXTUAL 4454 03:14:36,345 --> 03:14:37,746 LEVEL. 4455 03:14:37,746 --> 03:14:40,516 AND NEXT SLIDE, FINAL SLIDE, AND 4456 03:14:40,516 --> 03:14:46,655 WITH THIS, I WANT TO CLOSE. 4457 03:14:46,655 --> 03:14:48,857 I'M INCLUDING MY e-MAIL AND 4458 03:14:48,857 --> 03:14:49,591 YOU CAN REACH OUT. 4459 03:14:49,591 --> 03:14:50,993 THANK YOU SO MUCH FOR LISTENING. 4460 03:14:50,993 --> 03:14:53,762 I LOOK FORWARD TO THE NEXT 4461 03:14:53,762 --> 03:15:01,403 PRESENTATION AND DISCUSSION. 4462 03:15:01,403 --> 03:15:01,770 >> WONDERFUL. 4463 03:15:01,770 --> 03:15:03,672 THANK YOU FOR THAT PRESENTATION. 4464 03:15:03,672 --> 03:15:06,575 NEXT PRESENTATION IS BY DR. 4465 03:15:06,575 --> 03:15:16,652 SONYA VEGA LOPEZ FOR SOCIALLY 4466 03:15:16,652 --> 03:15:21,223 ACCEPTABLE SOLUTIONS. 4467 03:15:21,223 --> 03:15:23,225 SHE'S A MEMBER OF ARIZONA STATE 4468 03:15:23,225 --> 03:15:24,393 UNIVERSITY. 4469 03:15:24,393 --> 03:15:29,598 SHE'S A BILINGUAL AND BI 4470 03:15:29,598 --> 03:15:33,469 CULTURAL RESEARCHER. 4471 03:15:33,469 --> 03:15:34,603 >> THANK YOU VERY MUCH. 4472 03:15:34,603 --> 03:15:37,940 I'M HONORED TO BE PART OF THIS 4473 03:15:37,940 --> 03:15:39,241 PANEL. 4474 03:15:39,241 --> 03:15:42,010 NEXT SLIDE, PLEASE. 4475 03:15:42,010 --> 03:15:45,914 I WOULD LIKE TO ACKNOWLEDGE THAT 4476 03:15:45,914 --> 03:15:49,952 I'M ON THE INTIJ NEWSPEOPLE THAT 4477 03:15:49,952 --> 03:15:51,587 ALLOWS FOR THIS WORK TO BE 4478 03:15:51,587 --> 03:15:52,187 CONDUCT. 4479 03:15:52,187 --> 03:15:54,990 THIS WAS FUNDED BY THE NATIONAL 4480 03:15:54,990 --> 03:15:56,959 INSTITUTE FOR HEALTH DISPARITIES 4481 03:15:56,959 --> 03:15:58,694 AND NATIONAL INSTITUTE OF AGING 4482 03:15:58,694 --> 03:16:06,401 AND HEART ASSOCIATION AND. 4483 03:16:06,401 --> 03:16:08,337 OUR CENTER IS LOCATED IN THE 4484 03:16:08,337 --> 03:16:09,771 SOUTHWESTERN UNITED STATES AND 4485 03:16:09,771 --> 03:16:13,509 TO THE SOUTH BORDER OF MEXICO. 4486 03:16:13,509 --> 03:16:17,412 OUR LOCATION BRINGS UNIQUE 4487 03:16:17,412 --> 03:16:18,614 CHARACTERISTICS UNIQUE FOR 4488 03:16:18,614 --> 03:16:22,117 DIETARY INTERVENTION WORK. 4489 03:16:22,117 --> 03:16:23,552 IT IS CONCENTRATED IN THE 4490 03:16:23,552 --> 03:16:25,387 SOUTHERN PART OF THE STATE 4491 03:16:25,387 --> 03:16:27,456 INCLUDING THE TOWN ASKS 4492 03:16:27,456 --> 03:16:28,790 METROPOLITAN AREAS. 4493 03:16:28,790 --> 03:16:30,759 ACCORDING TO THE RECENT U.S. SEN 4494 03:16:30,759 --> 03:16:33,662 TELL US DATA, 19% OF THE U.S. 4495 03:16:33,662 --> 03:16:36,064 POPULATION IS HISPANIC. 4496 03:16:36,064 --> 03:16:39,902 BUT IN ARIZONA 32.5% OF THE 4497 03:16:39,902 --> 03:16:43,305 POPULATION IS HISPANIC OF WHICH 4498 03:16:43,305 --> 03:16:46,475 89% ARE OF MEXICAN ORIGIN. 4499 03:16:46,475 --> 03:16:49,077 WITH THE BARS ON THE RIGHT SIDE, 4500 03:16:49,077 --> 03:16:53,682 THE PERCENTAGE INCREASES WITH 4501 03:16:53,682 --> 03:17:00,989 GREATER ACCESS TO THE BORDER. 4502 03:17:00,989 --> 03:17:03,926 THEY HAVE DISADVANTAGED 4503 03:17:03,926 --> 03:17:05,327 SOCIOECONOMIC CONDITIONS WITH 4504 03:17:05,327 --> 03:17:07,863 LOWER LEVELS OF EDUCATION, HOME 4505 03:17:07,863 --> 03:17:10,465 OWNERSHIP AND HEALTH INSURANCE. 4506 03:17:10,465 --> 03:17:13,001 THEY'RE MORE LIKELY TO LIVE IN 4507 03:17:13,001 --> 03:17:16,538 OVERCROWDED HOUSEHOLDS. 4508 03:17:16,538 --> 03:17:20,209 20% OF HAS PANIC HOUSEHOLDS IN 4509 03:17:20,209 --> 03:17:22,844 ARIZONA LIVE BELOW THE POVERTY 4510 03:17:22,844 --> 03:17:25,280 LINE AND 27% ARE CONSIDERED LOW 4511 03:17:25,280 --> 03:17:26,682 INCOME. 4512 03:17:26,682 --> 03:17:29,318 WHEN THINKING ABOUT DIETARY 4513 03:17:29,318 --> 03:17:31,520 INTERVENTION AMONG HISPANICS WE 4514 03:17:31,520 --> 03:17:34,456 START WITH THE NOTION OF 4515 03:17:34,456 --> 03:17:40,295 MIGRATION PEOPLE ADOPT DIETARIAL 4516 03:17:40,295 --> 03:17:43,565 HABITS ALIGNING WITH THE 4517 03:17:43,565 --> 03:17:43,966 MIGRATION. 4518 03:17:43,966 --> 03:17:48,136 BUT IT'S NOT AS MARKED AS IT WAS 4519 03:17:48,136 --> 03:17:49,805 WHEN THIS STUDY EMERGED. 4520 03:17:49,805 --> 03:17:52,874 EVEN OUR PROXIMITY NOT ONLY TO 4521 03:17:52,874 --> 03:17:55,377 THE BORED WELCH MEXICO BUT 4522 03:17:55,377 --> 03:18:06,154 ARGUMOTHERAREAS LIKE CALIFORNIA. 4523 03:18:06,355 --> 03:18:07,823 NEXT SLIDE. 4524 03:18:07,823 --> 03:18:10,225 HOWEVER, IT'S ALSO IMPORTANT TO 4525 03:18:10,225 --> 03:18:11,860 CONSIDER THAT POLITICS WITHIN 4526 03:18:11,860 --> 03:18:16,565 MEXICO NOW HAS [INDISCERNIBLE] 4527 03:18:16,565 --> 03:18:19,268 AND ALSO SOME OF WHAT ARE 4528 03:18:19,268 --> 03:18:20,636 CONSIDERED AMERICAN FOODS HAVE 4529 03:18:20,636 --> 03:18:26,875 BEEN CULTURALLY ADOPTED TO 4530 03:18:26,875 --> 03:18:28,410 MEXICAN STYLE. 4531 03:18:28,410 --> 03:18:30,479 THE EU8 STRAITS THAT THE FOOD 4532 03:18:30,479 --> 03:18:33,649 CONTEXT IS MORE FLUID STHAN IT 4533 03:18:33,649 --> 03:18:40,555 EVER IT WAS. 4534 03:18:40,555 --> 03:18:42,424 THIS SLIGHT ILLUSTRATES THE 4535 03:18:42,424 --> 03:18:45,761 TRADITIONAL FOOD IN THE AREA. 4536 03:18:45,761 --> 03:18:56,271 HISPANICS IN ARIZONA AR -- 4537 03:18:56,271 --> 03:18:58,440 HISPANICS LIVE WITH LESS ACCESS 4538 03:18:58,440 --> 03:19:00,642 TO SUPERMARKETS AND THE ONE ON 4539 03:19:00,642 --> 03:19:02,711 THE RIGHT SUGGEST THAT THESE 4540 03:19:02,711 --> 03:19:05,814 HAVE GREATER ACCESS O 4541 03:19:05,814 --> 03:19:09,518 RESTAURANTS. 4542 03:19:09,518 --> 03:19:12,821 THIS ILLUSTRATES THE BARRIERS TO 4543 03:19:12,821 --> 03:19:15,657 HEALTHY EATING IN ARIZONA. 4544 03:19:15,657 --> 03:19:17,492 THE FOOD ENVIRONMENT AND 4545 03:19:17,492 --> 03:19:21,396 CONDITIONS WHICH ARE TIED WITH 4546 03:19:21,396 --> 03:19:22,731 COMPETING PRIORITIES AND HAVING 4547 03:19:22,731 --> 03:19:27,869 OTHER RESPONSIBILITIES. 4548 03:19:27,869 --> 03:19:30,572 ADDITIONAL CONTEXTUAL FACTORS 4549 03:19:30,572 --> 03:19:32,974 ARE PUBLIC TRANSPORTATION IN 4550 03:19:32,974 --> 03:19:35,277 AREAS THAT SPAN OVER LONG 4551 03:19:35,277 --> 03:19:37,346 DISTANCES AND WEATHER MAKES IT 4552 03:19:37,346 --> 03:19:41,016 IMPOSSIBLE TO SHOP OR AFFORD. 4553 03:19:41,016 --> 03:19:42,851 WHEN ADOPTING INTERS VENGS WORK, 4554 03:19:42,851 --> 03:19:44,753 IT'S IMPORTANT TO CAP STALLIZE 4555 03:19:44,753 --> 03:19:47,656 ON FACTORS THAT FUNCTION ON 4556 03:19:47,656 --> 03:19:49,291 FACILITATORS INSTEAD EVER 4557 03:19:49,291 --> 03:19:52,461 BARRIERS. 4558 03:19:52,461 --> 03:20:01,036 ILLINOFOR EXAMPLE, HISPANICS HAE 4559 03:20:01,036 --> 03:20:03,171 DISMOJ MOTIVATION TO HAVE A 4560 03:20:03,171 --> 03:20:04,072 HEALTHY DIE OAT. 4561 03:20:04,072 --> 03:20:07,542 THIS IS AN EXAMPLE OF A 4562 03:20:07,542 --> 03:20:10,212 DESCRIPTION OFFER A 7TH GRADE 4563 03:20:10,212 --> 03:20:14,182 GIRL THAT EMPHASIZED EATING WELL 4564 03:20:14,182 --> 03:20:17,486 TO AVOID HEALTH ISSUES SHE SEES 4565 03:20:17,486 --> 03:20:21,990 IN HER FAMILY. 4566 03:20:21,990 --> 03:20:24,593 NOT ALL TRADITIONAL FOODS MAY BE 4567 03:20:24,593 --> 03:20:26,261 PERCEIVED AS HEALTHY OPTIONS, 4568 03:20:26,261 --> 03:20:27,362 BUT IT'S IMPORTANT TO 4569 03:20:27,362 --> 03:20:30,098 ACKNOWLEDGE THAT MEMBERS OF THE 4570 03:20:30,098 --> 03:20:31,066 HISPANIC COMMUNITY RECOGNIZE 4571 03:20:31,066 --> 03:20:39,741 THERE ARE MANY TRADITIONAL 4572 03:20:39,741 --> 03:20:44,012 CUISINES ARE HEALTHY. 4573 03:20:44,012 --> 03:20:47,983 NEXT SLIDE. 4574 03:20:47,983 --> 03:20:49,151 THEIR ROLE AND IMPORTANCE OF 4575 03:20:49,151 --> 03:20:51,253 HAVING THE FAMILY STRUCTURE IS 4576 03:20:51,253 --> 03:20:53,555 AN IMPORTANT MECHANISM FOR 4577 03:20:53,555 --> 03:20:56,591 HEALTHY EATING. 4578 03:20:56,591 --> 03:20:57,959 A MIDDLE-AGED MAN SHARED 4579 03:20:57,959 --> 03:21:02,230 LEARNING FROM HIS DAUGHTER AND A 4580 03:21:02,230 --> 03:21:04,733 7TH GRADE BOY RECOGNIZED HIS 4581 03:21:04,733 --> 03:21:07,102 PARENTS AS ROLE MODELS FOR 4582 03:21:07,102 --> 03:21:10,305 HEALTHY EATING. 4583 03:21:10,305 --> 03:21:21,483 GIVEN THE MULTI-LEMRIN THE NEXTL 4584 03:21:22,117 --> 03:21:24,986 BRIEFLY PROVIDE EXAMPLES OF 4585 03:21:24,986 --> 03:21:26,388 INTERVENTION THAT HAS INCLUDED 4586 03:21:26,388 --> 03:21:29,157 SOME OF THESE MULTI-LEVEL BE 4587 03:21:29,157 --> 03:21:30,125 FACTORS. 4588 03:21:30,125 --> 03:21:32,227 NEXT SLIDE. 4589 03:21:32,227 --> 03:21:35,597 FOR EXAMPLE, THE LEETS FOR LIFE 4590 03:21:35,597 --> 03:21:38,099 PROGRAM, THIS WAS A PHYSICAL 4591 03:21:38,099 --> 03:21:42,471 ACTIVITY FOR FAMILIES WITH 4592 03:21:42,471 --> 03:21:47,175 MIDDLE SCHOOL AGED CHILDREN. 4593 03:21:47,175 --> 03:21:49,244 MOST EVER THE NUTRITION CONTENT 4594 03:21:49,244 --> 03:21:51,880 WAS PROVIDED TO THE PARENTS 4595 03:21:51,880 --> 03:21:53,715 TRYING TO FOCUS ON HOME FOOD 4596 03:21:53,715 --> 03:21:55,350 ENVIRONMENT. 4597 03:21:55,350 --> 03:22:05,694 NOT ONLY BEHAVIORS. 4598 03:22:05,894 --> 03:22:08,563 WE OBSERVED FAVORABLE AND 4599 03:22:08,563 --> 03:22:12,534 AVAILABILITY OF FRUIT AND SUGAR 4600 03:22:12,534 --> 03:22:15,070 ITEMS AFTER INTERVENTION. 4601 03:22:15,070 --> 03:22:19,274 THEY ARE FROM RANDOMIZED TRIALS 4602 03:22:19,274 --> 03:22:21,042 SHOW COMPARABLE RESULTS. 4603 03:22:21,042 --> 03:22:23,678 NEXT SLIDE. 4604 03:22:23,678 --> 03:22:25,213 ANOTHER APPROACH WE HAVE USED 4605 03:22:25,213 --> 03:22:27,082 FOCUSES ON TARGETING PARENTING 4606 03:22:27,082 --> 03:22:29,251 SKILLS AS A MEANS TO PROMOTE 4607 03:22:29,251 --> 03:22:34,756 HEALTHY EATING. 4608 03:22:34,756 --> 03:22:38,126 WE ADOPTED A 10-WEEK 4609 03:22:38,126 --> 03:22:40,462 INTERVENTION DESIGNED TO TARGET 4610 03:22:40,462 --> 03:22:45,033 SUBSTANCE ABUSE PREVENTION IN 4611 03:22:45,033 --> 03:22:46,134 MIDDLE SCHOOL STUDENTS AND 4612 03:22:46,134 --> 03:22:48,537 TARGETED THIS TO BEHAVIORS. 4613 03:22:48,537 --> 03:22:52,140 THESE OPERATED THE PLAZA 4614 03:22:52,140 --> 03:22:53,775 INTERVENTION WAS IN TRIAL 4615 03:22:53,775 --> 03:22:55,744 COMPARED AGAINST TRADITIONAL 4616 03:22:55,744 --> 03:23:01,082 INTERVENTION. 4617 03:23:01,082 --> 03:23:02,817 A AND IN ADDITION TO THE 4618 03:23:02,817 --> 03:23:05,954 PARENTING SKILLINGS AND PROBLEM 4619 03:23:05,954 --> 03:23:10,091 SOLUTIONS ADOPTED VERSION FOR 4620 03:23:10,091 --> 03:23:13,094 INFORMATION AND CONSENT RELATED 4621 03:23:13,094 --> 03:23:14,462 AROUND HEALTH. 4622 03:23:14,462 --> 03:23:16,231 THESE ARE JUST SOME OF THE 4623 03:23:16,231 --> 03:23:18,466 RELEVANT FINDINGS THAT INCLUDES 4624 03:23:18,466 --> 03:23:20,835 BOTH PARENTS ASK THEIR CHILDREN 4625 03:23:20,835 --> 03:23:25,507 IN THE GROUPS TO INCREASE FRUIT 4626 03:23:25,507 --> 03:23:30,111 INTAKE, VEGETABLE INTAKE. 4627 03:23:30,111 --> 03:23:32,747 PARENTS ALSO INCREASED THEIR 4628 03:23:32,747 --> 03:23:36,351 WHOLE GAINS INTAKE. 4629 03:23:36,351 --> 03:23:38,553 WHOLE GRAINS INTAKE. 4630 03:23:38,553 --> 03:23:41,189 I WANT TO SPEND THE FINAL COUPLE 4631 03:23:41,189 --> 03:23:47,095 OF MINUTES FOR INTERVENTION. 4632 03:23:47,095 --> 03:23:50,298 IT'S IMPORTANT TO GO BEYOND JUST 4633 03:23:50,298 --> 03:23:51,366 TRANSLATING INTO SPANISH TO MAKE 4634 03:23:51,366 --> 03:23:53,001 HERE IS IT'S TARGETING THE 4635 03:23:53,001 --> 03:23:53,935 POPULATION. 4636 03:23:53,935 --> 03:23:56,705 THIS MEANS HAVING RELATABLE 4637 03:23:56,705 --> 03:23:59,140 SAMPLES AND USING THE CORRECT 4638 03:23:59,140 --> 03:23:59,841 TERMINOLOGY. 4639 03:23:59,841 --> 03:24:03,545 RECOMMENDATIONS MUST BE KEPT 4640 03:24:03,545 --> 03:24:04,613 SIMPLE. 4641 03:24:04,613 --> 03:24:07,716 IT INCLUDES TO INCLUDE LANGUAGE 4642 03:24:07,716 --> 03:24:15,890 AND EDUCATION AND NOT MAKING 4643 03:24:15,890 --> 03:24:17,525 COMPLICATED SUGGESTION. 4644 03:24:17,525 --> 03:24:26,401 PREACHING FOOLDIT'S IMPORTANT FS 4645 03:24:26,401 --> 03:24:30,372 EXISTING POSITIVE TRAITS DIETARY 4646 03:24:30,372 --> 03:24:32,641 BEHAVIORS INCLUDING TRADITIONAL 4647 03:24:32,641 --> 03:24:32,841 FOODS. 4648 03:24:32,841 --> 03:24:34,976 WE NEED TO ENGAGE MULTIPLE 4649 03:24:34,976 --> 03:24:37,078 FAMILY MEMBERS AND OTHER SOURCES 4650 03:24:37,078 --> 03:24:41,016 EVER SOCIAL SUPPORT. 4651 03:24:41,016 --> 03:24:42,651 FINALLY INTEGRATE 4652 03:24:42,651 --> 03:24:45,120 RECOMMENDATIONS THAT INCLUDE THE 4653 03:24:45,120 --> 03:24:46,588 BROADER CONTEXT OF THE TARGETED 4654 03:24:46,588 --> 03:24:49,858 SOCIETY. 4655 03:24:49,858 --> 03:24:52,160 FINALLY RESEARCH GAPS. 4656 03:24:52,160 --> 03:24:55,063 WE SHOULD CONTINUE TO HAVE 4657 03:24:55,063 --> 03:24:57,165 EDUCATION AND INTERVENTION. 4658 03:24:57,165 --> 03:25:00,435 I WILL EMPHASIZE THAT THE 4659 03:25:00,435 --> 03:25:01,202 CONTEXTUAL FACTORS SHOULD BE 4660 03:25:01,202 --> 03:25:03,071 INTEGRATED IN THE INTERVENTION 4661 03:25:03,071 --> 03:25:06,474 PROGRAMS. 4662 03:25:06,474 --> 03:25:09,844 THEY CAN INCLUDE FAMILY MEMBERS 4663 03:25:09,844 --> 03:25:12,814 SUPPORT FOR DIETARY CHANGE. 4664 03:25:12,814 --> 03:25:13,782 THE RESEARCH INVOLVES 4665 03:25:13,782 --> 03:25:15,750 UNDERSTANDING HOW PEOPLE BREAK 4666 03:25:15,750 --> 03:25:17,185 CULTURAL CONSIDERATIONS IN 4667 03:25:17,185 --> 03:25:19,154 NUTRITION AND HOW TO ENSURE THAT 4668 03:25:19,154 --> 03:25:22,290 ACCESS TO POSITION-HELD 4669 03:25:22,290 --> 03:25:24,626 STRATEGIES ARE ATTAINABLE AND 4670 03:25:24,626 --> 03:25:27,962 WHAT ARE THE COMPONENTS TO 4671 03:25:27,962 --> 03:25:29,297 EXISTING INTERVENTIONS TO 4672 03:25:29,297 --> 03:25:34,135 CONTRIBUTE TO INTERVENTION. 4673 03:25:34,135 --> 03:25:37,639 WITH THAT, I THANK YOU FOR YOUR 4674 03:25:37,639 --> 03:25:41,509 ATTENTION AND I'M HERE IF THERE 4675 03:25:41,509 --> 03:25:42,610 ARE ANY QUESTIONS. 4676 03:25:42,610 --> 03:25:44,112 THANK YOU SO MUCH. 4677 03:25:44,112 --> 03:25:45,113 >> WONDERFUL. 4678 03:25:45,113 --> 03:25:49,584 THANK YOU DR. VEGA LOPEZ. 4679 03:25:49,584 --> 03:25:51,352 THAT WAS TERRIFIC. 4680 03:25:51,352 --> 03:25:58,093 NEXT PRESENTATION IS ENTITLED 4681 03:25:58,093 --> 03:26:00,462 BEE YAIF I DON'T RECALL DISEASES 4682 03:26:00,462 --> 03:26:05,900 IN LATINX COMMUNITIES. 4683 03:26:05,900 --> 03:26:15,677 DRSHE LESSONS HER EXPERTISE FROM 4684 03:26:15,677 --> 03:26:17,879 ENGAGEMENT AND BEHAVIORAL 4685 03:26:17,879 --> 03:26:20,849 SCIENCE TO ADDRESS DIABETES, 4686 03:26:20,849 --> 03:26:24,018 DEPRESSION AND CANCER. 4687 03:26:24,018 --> 03:26:26,321 >> THANK YOU SO MUCH FOR THAT 4688 03:26:26,321 --> 03:26:26,988 INTRODUCTION AND THANK YOU FOR 4689 03:26:26,988 --> 03:26:28,957 THE ORGANIZERS FOR INCLUDING ME 4690 03:26:28,957 --> 03:26:30,692 IN THIS WONDERFUL WORKSHOP. 4691 03:26:30,692 --> 03:26:32,060 I'VE BEEN LEARNING SO MUCH. 4692 03:26:32,060 --> 03:26:34,095 THANK YOU O MY COPRESENTERS ON 4693 03:26:34,095 --> 03:26:36,531 THIS PANEL WHO HAVE DONE SUMP A 4694 03:26:36,531 --> 03:26:39,134 TREMENDOUS JOB EVER DESCRIBING 4695 03:26:39,134 --> 03:26:41,136 THE IMPORTANT ISSUES TO CONSIDER 4696 03:26:41,136 --> 03:26:44,639 IN DIETARY PREVENTIONS IN THE 4697 03:26:44,639 --> 03:26:45,540 LATINX COMMUNITY HERE IN THE 4698 03:26:45,540 --> 03:26:48,309 UNITED STATES. 4699 03:26:48,309 --> 03:26:50,278 I'LL START WITH THE BRIEFEST OF 4700 03:26:50,278 --> 03:26:51,780 BACKGROUNDS BECAUSE I KNOW WE 4701 03:26:51,780 --> 03:26:52,781 SHARE AN UNDERSTANDING OF THE 4702 03:26:52,781 --> 03:26:53,982 IMPORTANCE EVER THIS TYPE OF 4703 03:26:53,982 --> 03:26:55,917 RESEARCH. 4704 03:26:55,917 --> 03:26:58,987 I'VE DECIDED TO FOCUS ON DIETARY 4705 03:26:58,987 --> 03:27:01,823 INTERVENTIONS FOR PREVENTION OF 4706 03:27:01,823 --> 03:27:12,300 CHRONIC DISEASE BECAUSE OF THE 4707 03:27:12,300 --> 03:27:13,735 DISPROPORTIONATE OCCURRENCE 4708 03:27:13,735 --> 03:27:15,804 RATES. 4709 03:27:15,804 --> 03:27:20,241 THE TRIAL DEMONSTRATED THAT A 4710 03:27:20,241 --> 03:27:21,142 BEHAVIORAL LIFESTYLE 4711 03:27:21,142 --> 03:27:23,745 INTERVENTION WAS MORE EFFECTIVE 4712 03:27:23,745 --> 03:27:26,915 THAN MODECATIONS OR TRADITIONAL 4713 03:27:26,915 --> 03:27:30,018 CARE. 4714 03:27:30,018 --> 03:27:31,953 NEVERTHELESS, EVEN THOUGH THE 4715 03:27:31,953 --> 03:27:34,255 U.S. PREVENT IR SERVICES TASK 4716 03:27:34,255 --> 03:27:35,890 FORCE RECOMMENDS THESE 4717 03:27:35,890 --> 03:27:38,493 INTERVENTIONS BE IMPLEMENTS IN 4718 03:27:38,493 --> 03:27:40,929 PRIMARY CARE, WE HAVE A LACK OF 4719 03:27:40,929 --> 03:27:42,263 CULTURALLY CENTERED 4720 03:27:42,263 --> 03:27:43,264 INTERVENTIONS THAT ARE EFFECTIVE 4721 03:27:43,264 --> 03:27:49,571 IN THIS POPULATION. 4722 03:27:49,571 --> 03:27:52,440 FOR MY TALK, I'LL FOCUS ON 4723 03:27:52,440 --> 03:28:00,148 LESSONS LESH LEARNED THAT MY TED 4724 03:28:00,148 --> 03:28:06,020 FROM IMPLEMENTING THE TRIALS. 4725 03:28:06,020 --> 03:28:08,323 THEN I'LL SPEND TIME TALKING 4726 03:28:08,323 --> 03:28:10,191 ABOUT OUR CURRENT WORK WHERE 4727 03:28:10,191 --> 03:28:11,526 WE'RE LEVERAGING OUR LEARNINGS 4728 03:28:11,526 --> 03:28:14,996 FROM THESE THREE TRIALS INTO TWO 4729 03:28:14,996 --> 03:28:16,865 NEW TRIALS INCORPORATING GREATER 4730 03:28:16,865 --> 03:28:18,967 FOCUS ON SOCIAL DETERMINANTS FL 4731 03:28:18,967 --> 03:28:20,268 HEALTH AND CONCLUDE WITH 4732 03:28:20,268 --> 03:28:26,107 RESEARCH GAPS. 4733 03:28:26,107 --> 03:28:27,842 ALL OF THE TRIALS I'M ABOUT TO 4734 03:28:27,842 --> 03:28:31,246 DESCRIBE USE A COMMUNITY-BASED 4735 03:28:31,246 --> 03:28:35,850 PARTICIPATORY APPROACH OR 4736 03:28:35,850 --> 03:28:36,651 PATIENT-CENTEREDOUT COMES. 4737 03:28:36,651 --> 03:28:39,888 THIS WAS A PARTICIPATE WITH A 4738 03:28:39,888 --> 03:28:41,956 HEALTH CENTER IN OUR AREA. 4739 03:28:41,956 --> 03:28:46,861 IN THIS STUDY, WE RECRUITED 4740 03:28:46,861 --> 03:28:49,063 LATINO ADULTS AT RISK OR 4741 03:28:49,063 --> 03:28:51,266 MANAGING A CHRONIC CONDITION AND 4742 03:28:51,266 --> 03:28:53,768 RANDOMIZED THEM TO THREE ARMS, 4743 03:28:53,768 --> 03:28:57,939 USUAL CARE, CASE MANAGEMENT 4744 03:28:57,939 --> 03:28:59,007 INTERVENTION PLUS HOME VISITS 4745 03:28:59,007 --> 03:29:01,209 FROM A COMMUNITY HEALTH WORKER 4746 03:29:01,209 --> 03:29:06,915 AND WE HAD 4 MONTHS OF FOLLOW UP 4747 03:29:06,915 --> 03:29:12,954 AND WEIGHT LOSS INTERVOANGS. 4748 03:29:12,954 --> 03:29:16,524 THE CASE MANAGEMENT COMPONENT 4749 03:29:16,524 --> 03:29:18,493 INCLUDED GROUP SESSIONS LED MY A 4750 03:29:18,493 --> 03:29:20,695 CASE MANAGER THAT WAS FROM THE 4751 03:29:20,695 --> 03:29:22,563 FEDERALLY QUALIFIED HEALTH 4752 03:29:22,563 --> 03:29:24,766 CENTER INCLUDING 12 MONTHLY 4753 03:29:24,766 --> 03:29:26,067 SESSIONS IN THE FIRST YEAR AND 4754 03:29:26,067 --> 03:29:27,302 THREE IN THE SECOND YEAR FOR 4755 03:29:27,302 --> 03:29:28,336 MAINTENANCE. 4756 03:29:28,336 --> 03:29:31,506 IN ADDITION TO 1-ON-1 MEETINGS 4757 03:29:31,506 --> 03:29:35,977 WITH THE CASE MANAGER TO ADDRESS 4758 03:29:35,977 --> 03:29:37,178 ANY PARTICULAR ISSUES THAT A 4759 03:29:37,178 --> 03:29:38,846 PATIENT WAS DEALING WITH. 4760 03:29:38,846 --> 03:29:40,481 THE HOME VISITS WERE CONDUCTED 4761 03:29:40,481 --> 03:29:43,351 BY A COMMUNITY HEALTH WORKER 4762 03:29:43,351 --> 03:29:47,288 FROM A COMMUNITY BEEN BASED 4763 03:29:47,288 --> 03:29:48,356 CENTER. 4764 03:29:48,356 --> 03:29:49,824 THERE WERE FIVE VISITS IN THE 4765 03:29:49,824 --> 03:29:51,626 FIRST YEAR AND TWO IN THE SECOND 4766 03:29:51,626 --> 03:29:55,530 YEAR AND FOCUSED ON HELPING 4767 03:29:55,530 --> 03:29:56,364 PATIENTS TO LEARN WHAT THEY DID 4768 03:29:56,364 --> 03:29:59,367 IN THE CLINIC AND BRING IT TO 4769 03:29:59,367 --> 03:30:01,002 THEIR FAMILY. 4770 03:30:01,002 --> 03:30:02,236 DESPITE SOME EXCITING CHANGES 4771 03:30:02,236 --> 03:30:04,272 FOR MANY OF THE PARNTS IN OUR 4772 03:30:04,272 --> 03:30:07,508 TRIAL, WE WERE ABLE TO 4773 03:30:07,508 --> 03:30:10,845 DEMONSTRATE SHORT-TERM GAINS OR 4774 03:30:10,845 --> 03:30:12,547 WEIGHT FLOSS THIS CASE OVER SIX 4775 03:30:12,547 --> 03:30:15,149 MONTHS PARTICULARLY DPL THE 4776 03:30:15,149 --> 03:30:16,451 PARTICIPANTS THAT WERE 4777 03:30:16,451 --> 03:30:18,753 RANDOMIZED TO GET THE HOME 4778 03:30:18,753 --> 03:30:21,622 VISITS FLADZ TO THE GROUP 4779 03:30:21,622 --> 03:30:23,057 SESSIONS. 4780 03:30:23,057 --> 03:30:24,926 THESE CHANGES WERE NOT SUSTAINED 4781 03:30:24,926 --> 03:30:31,065 OVER 12 OR 24 MONTHS. 4782 03:30:31,065 --> 03:30:32,266 WE TOOCT LEARNINGS FROM THAT 4783 03:30:32,266 --> 03:30:34,335 STUDY TO DESIGN OUR NEXT STUDY 4784 03:30:34,335 --> 03:30:41,909 THAT WE CALLED THE VIDDA SANNA. 4785 03:30:41,909 --> 03:30:49,684 WE HAD A BOARD THAT TO TOOK OVA 4786 03:30:49,684 --> 03:30:52,987 YEAR FOR THE GROUP-BASED A DAN 4787 03:30:52,987 --> 03:30:57,191 TAITION AND WE CONDUCTED A TYPE 4788 03:30:57,191 --> 03:30:59,293 1 HYBRID FILE INCLUDING SOME 4789 03:30:59,293 --> 03:31:01,129 PRELIMINARY INFORMATION ON 4790 03:31:01,129 --> 03:31:03,364 IMPLEDGES TO COMPARE THAT 4791 03:31:03,364 --> 03:31:04,732 CULTURALLY INTERVENTION WITH 4792 03:31:04,732 --> 03:31:05,733 USUAL CARE. 4793 03:31:05,733 --> 03:31:07,168 AGAIN, 24 MONTHS OF FOLLOW-UP 4794 03:31:07,168 --> 03:31:11,439 WITH A PRIMARY OUTKOSM WEIGHT 4795 03:31:11,439 --> 03:31:14,275 LOSS AT 12 MOONTS. 4796 03:31:14,275 --> 03:31:17,445 WORKIWORK -- 12 MONTHS. 4797 03:31:17,445 --> 03:31:20,114 WORK WITH THE DIVERSE GROUP OF 4798 03:31:20,114 --> 03:31:21,315 LATINO PATIENTS THAT WE 4799 03:31:21,315 --> 03:31:22,950 RECRUITED FROM PRIMARY CARE, WE 4800 03:31:22,950 --> 03:31:24,786 WENT THROUGH EACH SESSION TO 4801 03:31:24,786 --> 03:31:26,988 DETERMINE WHAT FACTORS WE COULD 4802 03:31:26,988 --> 03:31:29,490 IMPROVE OR ADDRESS TO INCREASE 4803 03:31:29,490 --> 03:31:31,926 THE CULTURAL RELEVANCE OF THE 4804 03:31:31,926 --> 03:31:32,794 INTERVENTION WE WERE 4805 03:31:32,794 --> 03:31:33,661 IMPLEMENTING. 4806 03:31:33,661 --> 03:31:35,997 THE LATINO PATIENT ADVISORY 4807 03:31:35,997 --> 03:31:38,166 BOARD FOCUSED ON A GREATER 4808 03:31:38,166 --> 03:31:39,400 INTEGRATION OF FAMILY THROUGHOUT 4809 03:31:39,400 --> 03:31:40,568 THE INTERVENTION. 4810 03:31:40,568 --> 03:31:43,304 EXAMPLES OF THIS INCLUDED ADDING 4811 03:31:43,304 --> 03:31:44,839 A FAMILY ORIENTATION AT THE 4812 03:31:44,839 --> 03:31:45,840 BEGINNING OF THE SESSIONS AND 4813 03:31:45,840 --> 03:31:49,544 HIGHLIGHTING OR INCLUDING FAMILY 4814 03:31:49,544 --> 03:31:50,745 MEMBERS IN SPECIFIC SESSIONS 4815 03:31:50,745 --> 03:31:55,149 WHERE IT WAS RELEVANT. 4816 03:31:55,149 --> 03:31:56,150 SESSION 6 AND 12. 4817 03:31:56,150 --> 03:31:58,653 YOU CAN GO TO THE NEXT SLIDE. 4818 03:31:58,653 --> 03:32:01,522 WE SHOWED SOME IMPROVEMENTS OVER 4819 03:32:01,522 --> 03:32:03,491 OUR LAST OUTCOMES AND WE WERE 4820 03:32:03,491 --> 03:32:05,626 ABLE TO SHOW SIGNIFICANT WEIGHT 4821 03:32:05,626 --> 03:32:07,328 LOSS AT 12 MONTHS COMPARED TO 4822 03:32:07,328 --> 03:32:07,762 USUAL AREA. 4823 03:32:07,762 --> 03:32:11,899 THIS WAS NOT SUSTAINED OVER 24 4824 03:32:11,899 --> 03:32:17,071 MONTH. 4825 03:32:17,071 --> 03:32:22,110 IN THE THIRD STUDY, CALLED 4826 03:32:22,110 --> 03:32:22,643 HOMBRE STUDY. 4827 03:32:22,643 --> 03:32:28,883 THAT WAS WITH THE LATINO MEN. 4828 03:32:28,883 --> 03:32:35,490 STANDIIN THIS STUDY, WE WERE 4829 03:32:35,490 --> 03:32:37,291 ADDRESSING TWO MAIN GAPS, ONE 4830 03:32:37,291 --> 03:32:39,427 WAS THE UNDERREPRESENTATION OF 4831 03:32:39,427 --> 03:32:40,528 LATINO MEN. 4832 03:32:40,528 --> 03:32:43,397 FROM SYSTEMATIC RECREWO VIEWS 4833 03:32:43,397 --> 03:32:46,334 RESEARCH THEY FOUND THAT ONLY A 4834 03:32:46,334 --> 03:32:49,270 VERY SMALL PERCENTAGE, LESS THAN 4835 03:32:49,270 --> 03:32:52,373 5% OF PARTICIPANTS IN THIS 4836 03:32:52,373 --> 03:32:54,308 RESEARCH INCLUDED ETHNIC MEN AS 4837 03:32:54,308 --> 03:32:57,245 A WHOLE AND EVEN FEWER LATINO 4838 03:32:57,245 --> 03:32:58,146 MEN. 4839 03:32:58,146 --> 03:33:00,348 WE FOCUSED ON THIS POPULATION 4840 03:33:00,348 --> 03:33:03,317 AND SOUGHT TO OVERCOME OFTEN THE 4841 03:33:03,317 --> 03:33:06,420 KEY ISSUES THAT PREVIOUS 4842 03:33:06,420 --> 03:33:09,957 PRINTERS ADDRESSED INCLUDING KEY 4843 03:33:09,957 --> 03:33:14,562 DEMANDS FOR CHRONIC DISEASE IN 4844 03:33:14,562 --> 03:33:19,367 LATINO PARTICIPANTS. 4845 03:33:19,367 --> 03:33:21,669 THEY WERE ALLOWED TO MAKE A 4846 03:33:21,669 --> 03:33:22,937 FACILITATED CHOICE. 4847 03:33:22,937 --> 03:33:28,109 THEY COULD DO IN-PERSON GROUPS, 4848 03:33:28,109 --> 03:33:30,845 THEY COULD DO VIRTUAL GROUPS ON 4849 03:33:30,845 --> 03:33:33,381 ZOOM AND THIS WAS PRE-PANDEMIC. 4850 03:33:33,381 --> 03:33:35,550 IT WAS NEWER FOR OUR TEAM AND 4851 03:33:35,550 --> 03:33:37,185 CAN COMMUNITY. 4852 03:33:37,185 --> 03:33:39,687 OR THEY COULD DO A SELF-DIRECTED 4853 03:33:39,687 --> 03:33:41,589 OPTION ENGAGING IN THE 4854 03:33:41,589 --> 03:33:42,590 INTERVENTION THROUGH ON LINE 4855 03:33:42,590 --> 03:33:46,327 VIDEOS. 4856 03:33:46,327 --> 03:33:47,628 I WON'T SPEND A LOT OF TIME 4857 03:33:47,628 --> 03:33:51,599 HERE, BUT I WANTED TO HIGHLIGHT 4858 03:33:51,599 --> 03:33:52,733 KEY DIFFERENCES BETWEEN THREE. 4859 03:33:52,733 --> 03:33:56,871 THOUGH INCLUDED THE SAME CONTENT 4860 03:33:56,871 --> 03:34:01,475 BUT HAD PEER SUPPORT, SIMILAR 4861 03:34:01,475 --> 03:34:03,010 FREQUENCY OF SESSIONS AND 4862 03:34:03,010 --> 03:34:04,178 DIFFERENT LANGUAGE OPTIONS 4863 03:34:04,178 --> 03:34:06,480 BETWEEN ENGLISH AND SPANISH. 4864 03:34:06,480 --> 03:34:08,716 HERE IN THESE JOWS COMES I'M 4865 03:34:08,716 --> 03:34:10,685 SHOWING YOU THIS FOR THE THREE 4866 03:34:10,685 --> 03:34:12,453 DIFFERENT OPTIONS. 4867 03:34:12,453 --> 03:34:14,989 YOU CAN SEE BY THEIR INITIAL 4868 03:34:14,989 --> 03:34:16,624 CHOICE AND THEIR FINAL CHOICE 4869 03:34:16,624 --> 03:34:19,460 AND YOU CAN SEE THAT MEN WHO 4870 03:34:19,460 --> 03:34:21,796 CHOSE THE VIDEOCONFERENCE AND 4871 03:34:21,796 --> 03:34:23,364 IN-PERSON GROUPS LOST 4872 03:34:23,364 --> 03:34:24,432 SIGNIFICANTLY MORE WEIGHT THAN 4873 03:34:24,432 --> 03:34:27,068 THES WHO CHOSE THE ON LINE 4874 03:34:27,068 --> 03:34:28,469 VIDEOS PERHAPS HIGHLIGHTING THE 4875 03:34:28,469 --> 03:34:30,004 IMPORTANCE OF MOTIVATION AND 4876 03:34:30,004 --> 03:34:36,043 ENGAGEMENT IN THE INTERVENTION. 4877 03:34:36,043 --> 03:34:38,012 SOME LESSONS LEARNED FROM THESE 4878 03:34:38,012 --> 03:34:39,880 THREE TILES, I WANT 208 4879 03:34:39,880 --> 03:34:41,816 HIGHLIGHT THE IMPORTANCE EVER 4880 03:34:41,816 --> 03:34:45,219 TAILORING FOR ACCULTURATION AND 4881 03:34:45,219 --> 03:34:49,357 I APPRECIATE THE THON LINEAR 4882 03:34:49,357 --> 03:34:56,430 CULL TNON-LNONLINEARAPPROACH. 4883 03:34:56,430 --> 03:34:59,533 I DID MENTION THE USE OF 4884 03:34:59,533 --> 03:35:00,735 TECHNOLOGY, BUT OPPORTUNITIES 4885 03:35:00,735 --> 03:35:03,571 FOR PARTICIPANTS TO ENGAGE WITH 4886 03:35:03,571 --> 03:35:05,439 EACH OTHER WITH THE HEALTH 4887 03:35:05,439 --> 03:35:08,476 COACHES AND COMMUNITY HEALTH 4888 03:35:08,476 --> 03:35:11,679 WORKERS WERE FACILITATED THROUGH 4889 03:35:11,679 --> 03:35:13,481 TECHNOLOGY LIKE TEXT MESSAGES 4890 03:35:13,481 --> 03:35:15,716 AND MONITORS. 4891 03:35:15,716 --> 03:35:18,019 WE ADDRESSED THE IMPORTANCE OF 4892 03:35:18,019 --> 03:35:20,421 SOARNL DETERMINANTS OF HEALTH 4893 03:35:20,421 --> 03:35:22,023 WITH OUR HEALTH COACH SUPPORT 4894 03:35:22,023 --> 03:35:23,424 FOR PARTICIPANTS BUT DIDN'T 4895 03:35:23,424 --> 03:35:26,294 INCLUDE A SYSTEMATIC WAY TO AND 4896 03:35:26,294 --> 03:35:27,962 THEN DIFFERENT STRATEGIES FOR 4897 03:35:27,962 --> 03:35:29,263 ADDRESSING SOCIAL DETERMINANTS 4898 03:35:29,263 --> 03:35:31,499 OF HEALTH WITHIN THE BEHAVIORAL 4899 03:35:31,499 --> 03:35:32,233 INTERVENTIONS. 4900 03:35:32,233 --> 03:35:33,768 THAT LEADS TO THE NEXT TRIALS 4901 03:35:33,768 --> 03:35:36,270 THAT WE'RE CONDUCTING NOW. 4902 03:35:36,270 --> 03:35:37,905 VERY BRIEFLY, WE HAVE TWO ON 4903 03:35:37,905 --> 03:35:40,107 GOING STUDIES RIGHT NOW IN 4904 03:35:40,107 --> 03:35:42,443 PARTICIPATE WITH THE SAME HEALTH 4905 03:35:42,443 --> 03:35:44,178 CENTER IS SYSTEMS AS WELL AS 4906 03:35:44,178 --> 03:35:45,913 DIFFERENT FOOD PARTNERS. 4907 03:35:45,913 --> 03:35:51,852 AGAIN, THE VIDDA SANNA HAS A 4908 03:35:51,852 --> 03:35:54,121 COMPONENT FOR ADDRESSING FOOD 4909 03:35:54,121 --> 03:35:57,325 INSECURITY FOR FED CLI SUPPORTED 4910 03:35:57,325 --> 03:36:00,027 GROCERIES FROM THE LOCAL FOOD 4911 03:36:00,027 --> 03:36:00,928 BANK. 4912 03:36:00,928 --> 03:36:04,432 THEY RECEIVED VIDDA SANNA PLUS 4913 03:36:04,432 --> 03:36:05,966 THE MEDICALLY GROCERIES. 4914 03:36:05,966 --> 03:36:12,306 THIS TRIAL IS ON GOING. 4915 03:36:12,306 --> 03:36:18,012 THE SECOND TRIAL IS ADELANTE 4916 03:36:18,012 --> 03:36:21,215 FOCUSED ON LATINA ADULTS WITH 4917 03:36:21,215 --> 03:36:21,482 DIABETES. 4918 03:36:21,482 --> 03:36:24,051 WE HAVE A DIABETES MANAGEMENT 4919 03:36:24,051 --> 03:36:28,089 INTERVENTION PLUS PR PRODUCE 4920 03:36:28,089 --> 03:36:28,522 PRESCRIPTIONS. 4921 03:36:28,522 --> 03:36:31,158 IN PARTICIPATE WITH ONE OF OUR 4922 03:36:31,158 --> 03:36:33,661 URBAN FARMS AND WE'LL FOLLOW 4923 03:36:33,661 --> 03:36:36,964 PATIENTS OVER 12 MONTHS AND LOOK 4924 03:36:36,964 --> 03:36:42,536 AT HEE HEMOGLOBIN CONTROL. 4925 03:36:42,536 --> 03:36:44,605 FINALLY IN TERMS OF RESEARCH 4926 03:36:44,605 --> 03:36:47,041 GAPS, IT'S IMPORTANT TO CONTINUE 4927 03:36:47,041 --> 03:36:50,111 ENGAGING PARTICIPANTS AND 4928 03:36:50,111 --> 03:36:53,280 PATIENTS WITH LIVED EXPERIENCE 4929 03:36:53,280 --> 03:36:54,949 FOR INTERVENTIONS IN THESE 4930 03:36:54,949 --> 03:36:55,282 COMMUNITIES. 4931 03:36:55,282 --> 03:36:58,753 FOR OUR INTERVENTIONS, I'M GLAD 4932 03:36:58,753 --> 03:37:00,087 THAT MY COPRESENTER MENTIONED 4933 03:37:00,087 --> 03:37:06,961 THE IMPORTANCE EVER -- OF FAMILY 4934 03:37:06,961 --> 03:37:09,063 FOCUS AND IMPLEMENTING THE 4935 03:37:09,063 --> 03:37:10,731 COMMUNITY-BASED SETTINGS AND 4936 03:37:10,731 --> 03:37:12,666 CONTINUING TO ADDRESS ADDITIONAL 4937 03:37:12,666 --> 03:37:14,902 DETERMINANTS OF HEALTH. 4938 03:37:14,902 --> 03:37:17,071 AND THINKING ABOUT ADAPTIVE 4939 03:37:17,071 --> 03:37:18,806 INTERVENTIONS AS WELL AS NATURAL 4940 03:37:18,806 --> 03:37:21,509 EXPERIMENTS THAT CAN OVERCOME 4941 03:37:21,509 --> 03:37:23,010 SOME OF THE CHALLENGES WITH 4942 03:37:23,010 --> 03:37:24,979 GENERALIZED ABILITY WITH 4943 03:37:24,979 --> 03:37:25,746 CLINICAL TRIALS. 4944 03:37:25,746 --> 03:37:31,986 THANK YOU. 4945 03:37:31,986 --> 03:37:34,488 >> THANK YOU DR. GOLDMAN AND 4946 03:37:34,488 --> 03:37:36,924 THANK YOU TO ALL THE PANELISTS. 4947 03:37:36,924 --> 03:37:38,893 NEXT SLIDE, I'M LOOKING FORWARD 4948 03:37:38,893 --> 03:37:39,827 TO FOLLOWING EVERYBODY'S 4949 03:37:39,827 --> 03:37:41,796 RESEARCH AND TO CONTINUE TO 4950 03:37:41,796 --> 03:37:43,164 LEARN FROM ALL OF YOU. 4951 03:37:43,164 --> 03:37:44,832 NOW WE'RE GOING TO TURN TO SOME 4952 03:37:44,832 --> 03:37:46,333 QUESTIONS FROM THE AUDIENCE. 4953 03:37:46,333 --> 03:37:48,836 SO FUR THE FIRST QUESTION, IT'S 4954 03:37:48,836 --> 03:37:52,907 FOR DR. FUSTEER. 4955 03:37:52,907 --> 03:37:56,844 CAN YOU OFFER INSIGHT ON THE 4956 03:37:56,844 --> 03:37:59,346 STRUCTURAL FACTORS ESSENTIAL TO 4957 03:37:59,346 --> 03:37:59,914 CONSIDER. 4958 03:37:59,914 --> 03:38:01,015 >> THANK YOU FOR THE QUESTION. 4959 03:38:01,015 --> 03:38:02,883 I APPRECIATE THE QUESTION BUT I 4960 03:38:02,883 --> 03:38:06,921 ALSO WANTING TO ANSWER -- SORT 4961 03:38:06,921 --> 03:38:08,756 EVER BY NOT ANSWERING BECAUSE I 4962 03:38:08,756 --> 03:38:10,524 DON'T WANT TO BE PRESCRIPTIVE IN 4963 03:38:10,524 --> 03:38:14,161 SAYING AGE, GENDER, INCOME, RACE 4964 03:38:14,161 --> 03:38:16,230 BECAUSE THEY'RE ALL IMPORTANT. 4965 03:38:16,230 --> 03:38:18,165 THE POINT IS NOT TO THINK OF 4966 03:38:18,165 --> 03:38:20,267 ESSENTIAL ONES, BUT MORE TO THI 4967 03:38:20,267 --> 03:38:22,002 EVER THEM, REALLY. 4968 03:38:22,002 --> 03:38:26,073 BECAUSE DRUSH THINK -- THINK OF 4969 03:38:26,073 --> 03:38:26,707 THEM REALLY. 4970 03:38:26,707 --> 03:38:29,677 WITH GOOD INTENTIONS WE MAY JUST 4971 03:38:29,677 --> 03:38:31,445 FOCUS ON CULTURE AND NOT REALIZE 4972 03:38:31,445 --> 03:38:33,914 ALL THE OTHER THINGS THAT 4973 03:38:33,914 --> 03:38:36,450 MATTER. 4974 03:38:36,450 --> 03:38:39,954 WHEN I USED TO TELL MY STUDENTS 4975 03:38:39,954 --> 03:38:46,961 IF THEY LEARN PUERTO RICAN, 4976 03:38:46,961 --> 03:38:48,262 [INDISCERNIBLE] THAT WAS THE 4977 03:38:48,262 --> 03:38:48,462 CASE. 4978 03:38:48,462 --> 03:38:50,030 IT MATTERS THAT I HAD THE INCOME 4979 03:38:50,030 --> 03:38:52,766 TO EAT AT DIFFERENT RESTAURANTS, 4980 03:38:52,766 --> 03:38:54,802 TRY THEIR FOODS AND TRAVEL AND 4981 03:38:54,802 --> 03:38:56,370 GO BACK TO PUERTO RICO. 4982 03:38:56,370 --> 03:38:57,705 IT'S INDIVIDUAL IT'S NOT A 4983 03:38:57,705 --> 03:38:59,807 MATTER OF TAKING DOWN THE WE 4984 03:38:59,807 --> 03:39:02,643 VENGS ONES BUT THINKING ABOUT 4985 03:39:02,643 --> 03:39:03,944 THE PERSON BEYOND WHERE THEY 4986 03:39:03,944 --> 03:39:06,013 COME FROM AND HOW THAT INTERACTS 4987 03:39:06,013 --> 03:39:10,751 TO HOW THEY RELATE TO THEIR HOME 4988 03:39:10,751 --> 03:39:11,685 CULTURE. 4989 03:39:11,685 --> 03:39:13,287 I APOLOGIZE I CAN'T GIVE A 4990 03:39:13,287 --> 03:39:16,357 STRAIGHT ANSWER. 4991 03:39:16,357 --> 03:39:23,297 >> FOR DR. VEG AFA LOPEZ, DID YU 4992 03:39:23,297 --> 03:39:27,668 NOTICE ANY PERCEPTION ON THE 4993 03:39:27,668 --> 03:39:30,271 FOODS WHAT DIFFER BY AGE? 4994 03:39:30,271 --> 03:39:32,540 >> THAT'S A GREAT QUESTION. 4995 03:39:32,540 --> 03:39:34,074 INTERESTINGLY, THE CONCEPT OF 4996 03:39:34,074 --> 03:39:37,211 WHETHER TRADITIONAL FOODS ARE 4997 03:39:37,211 --> 03:39:41,015 HEALTHY OR PERCEIVED AS SUCH IS 4998 03:39:41,015 --> 03:39:43,250 NOT A QUESTION THAT WE COULD ASK 4999 03:39:43,250 --> 03:39:45,653 IN OUR FEE CUSS GROUPS. 5000 03:39:45,653 --> 03:39:48,188 IT'S A THEME CAME UP MORE WITH 5001 03:39:48,188 --> 03:39:52,026 MEN THAN WOMEN. 5002 03:39:52,026 --> 03:39:56,463 AND THAT DIDN'T NECESSARILY COME 5003 03:39:56,463 --> 03:39:57,398 UP. 5004 03:39:57,398 --> 03:40:00,868 I THINK IT'S A FUNCTION OF THE 5005 03:40:00,868 --> 03:40:04,438 EXPOSURE THAT THE GROUPS HAVE 5006 03:40:04,438 --> 03:40:09,176 DIFFERENT TRADITIONAL CUISINE 5007 03:40:09,176 --> 03:40:11,679 AND WHERE THE DIFFERENT 5008 03:40:11,679 --> 03:40:13,447 TRADITIONAL FOODS HAVE BEEN 5009 03:40:13,447 --> 03:40:16,383 EXPOSED TO ARE FROM IN E IN 5010 03:40:16,383 --> 03:40:20,654 MEXICO AS WELL. 5011 03:40:20,654 --> 03:40:24,925 I THINK IT'S MORE A FUNCTION OF 5012 03:40:24,925 --> 03:40:32,967 WHAT THEY'VE BEEN EXPOSED TO. 5013 03:40:32,967 --> 03:40:39,006 >> FOR DR. GOLDMAN ROSAS. 5014 03:40:39,006 --> 03:40:50,050 >> SOME I THINK -- CAN YOU HEAR 5015 03:40:50,684 --> 03:40:53,687 ME? 5016 03:40:53,687 --> 03:40:55,956 THANK YOU SO MUCH FOR THAT 5017 03:40:55,956 --> 03:40:56,223 QUESTION. 5018 03:40:56,223 --> 03:40:58,025 I THINK MY FELLOW PRERNTS 5019 03:40:58,025 --> 03:40:59,326 MENTIONED SOME OF THIS BEFORE 5020 03:40:59,326 --> 03:41:01,328 AND IT REALLY RESONATED WITH 5021 03:41:01,328 --> 03:41:03,197 WHAT OUR LATINO PATIENT ADVISORY 5022 03:41:03,197 --> 03:41:04,598 BOARD WAS SAYING. 5023 03:41:04,598 --> 03:41:09,003 SO ONE IS NOT TO THINK OF YOUR 5024 03:41:09,003 --> 03:41:11,171 CULTURAL FOODS AS GOOD OR BAD 5025 03:41:11,171 --> 03:41:11,672 NECESSARILY. 5026 03:41:11,672 --> 03:41:13,807 BUT THINK OF WAYS THAT YOU CAN 5027 03:41:13,807 --> 03:41:16,110 MAKE EACH FOOD THAT YOU ENJOY 5028 03:41:16,110 --> 03:41:17,745 EATING HEALTHIER. 5029 03:41:17,745 --> 03:41:21,048 AND VERY INTERESTINGLY IN THE 5030 03:41:21,048 --> 03:41:22,683 LATINO PATIENT ISRAELI BOARD 5031 03:41:22,683 --> 03:41:24,218 MEETING, WE TRIED OUT DIFFERENT 5032 03:41:24,218 --> 03:41:25,085 FOODS EVERY TIME. 5033 03:41:25,085 --> 03:41:28,055 ONE OF THE FIRST THINGS WE SAID 5034 03:41:28,055 --> 03:41:30,691 WE DON'T WANT TO EAT MEXICAN 5035 03:41:30,691 --> 03:41:31,325 FOOD EVERY WEEK. 5036 03:41:31,325 --> 03:41:34,828 WE WANT O LEARN HOW TO MAKE 5037 03:41:34,828 --> 03:41:36,030 DIFFERENT FOODS HEALTHIER. 5038 03:41:36,030 --> 03:41:39,233 WE DIDN'T OVEREMPHASIZE ANY 5039 03:41:39,233 --> 03:41:40,968 PARTICULAR CUISINE. 5040 03:41:40,968 --> 03:41:42,736 A SECOND THING WAS HOW TO 5041 03:41:42,736 --> 03:41:44,705 PRIORITIZE YOUR OWN HEALTH WHEN 5042 03:41:44,705 --> 03:41:46,740 WITH FAMILY AND NOT JUST IN 5043 03:41:46,740 --> 03:41:51,945 CELEBRATION TS BUT WS BUT WHEN E 5044 03:41:51,945 --> 03:41:55,149 WITH OTHERS THAT ARE NOT ON A 5045 03:41:55,149 --> 03:41:56,984 JOURNEY TO PRIORITIZE THEIR 5046 03:41:56,984 --> 03:41:57,217 HEALTH. 5047 03:41:57,217 --> 03:41:58,752 HOW CAN YOU DO IS THAT AND 5048 03:41:58,752 --> 03:42:00,387 MAINTAIN SOCIAL KIKSZS DURING 5049 03:42:00,387 --> 03:42:04,191 THOSE TIMES -- SOCIAL 5050 03:42:04,191 --> 03:42:10,864 CONNECTIONS DURING THOSE TIMES? 5051 03:42:10,864 --> 03:42:12,866 THANK YOU FOR THE QUESTION ABOUT 5052 03:42:12,866 --> 03:42:13,267 MEN. 5053 03:42:13,267 --> 03:42:15,369 WE LEARNED SO MUCH THROUGH THAT 5054 03:42:15,369 --> 03:42:16,370 STUDY. 5055 03:42:16,370 --> 03:42:18,005 I THINK ONE OF THE BIGGEST 5056 03:42:18,005 --> 03:42:21,175 THINGS WAS OVERCOMING 5057 03:42:21,175 --> 03:42:23,077 PRECONCEIVED NOTION BTION WHAT 5058 03:42:23,077 --> 03:42:24,912 HEALTHY FOOD WAS -- NOTIONS 5059 03:42:24,912 --> 03:42:27,314 ABOUT WHAT HEALTHY FOOD WAS 5060 03:42:27,314 --> 03:42:28,515 GOING TO BE. 5061 03:42:28,515 --> 03:42:30,484 SOME OF OUR PARTICIPANTS SAID 5062 03:42:30,484 --> 03:42:33,921 IT'S FOOD ONLY WOMEN WOULD EAT. 5063 03:42:33,921 --> 03:42:35,856 COMING BACK TO THAT IDEA THAT 5064 03:42:35,856 --> 03:42:37,858 YOU CAN MAKE HEALTHY CHOICES 5065 03:42:37,858 --> 03:42:40,494 WITHIN ALL KINDS OF DIETARY 5066 03:42:40,494 --> 03:42:42,129 PREFERENCES AND THAT IS PART OF 5067 03:42:42,129 --> 03:42:43,997 THIS INTERVENTION IS HELPING YOU 5068 03:42:43,997 --> 03:42:45,866 TO TAILOR IT TO YOUR OWN 5069 03:42:45,866 --> 03:42:48,368 PREFERENCES. 5070 03:42:48,368 --> 03:42:50,504 WHILE MAKING HEALTHY 5071 03:42:50,504 --> 03:42:50,738 CHOICES. 5072 03:42:50,738 --> 03:42:51,672 >> THANK YOU. 5073 03:42:51,672 --> 03:42:53,073 THIS NEXT QUESTION IS FOR THE 5074 03:42:53,073 --> 03:42:55,209 WHOLE PANEL. 5075 03:42:55,209 --> 03:42:57,811 TEALINGS A TWO-PRONGED QUESTION. 5076 03:42:57,811 --> 03:42:59,747 IT'S A TWO-PRONGED QUESTION. 5077 03:42:59,747 --> 03:43:02,716 CAN YOU SPEAK MORE ON HOW TO 5078 03:43:02,716 --> 03:43:05,819 TAILOR INTERVENTIONS FO FOR 5079 03:43:05,819 --> 03:43:07,554 HISPANIC OR LATINX COMMUNITIES 5080 03:43:07,554 --> 03:43:18,065 WITH A VARIETY OF CULTURATION 5081 03:43:18,565 --> 03:43:20,901 LIKE URBAN LOCATIONINGS AND 5082 03:43:20,901 --> 03:43:22,402 TRANS BORDER AREAS WHERE 5083 03:43:22,402 --> 03:43:24,404 DIFFERENT CULTURES ARE 5084 03:43:24,404 --> 03:43:24,705 CONVERGING. 5085 03:43:24,705 --> 03:43:27,074 HOW DO WE DESIGN INTERVENTIONS 5086 03:43:27,074 --> 03:43:28,509 APPROPRIATE FOR THOSE 5087 03:43:28,509 --> 03:43:33,514 POPULATIONS? 5088 03:43:33,514 --> 03:43:37,584 >> I THINK A GOOD APPROACH IS 5089 03:43:37,584 --> 03:43:38,952 FOCUSING BEYOND THE INDIVIDUAL. 5090 03:43:38,952 --> 03:43:45,859 IF YOU START ADDRESSING 5091 03:43:45,859 --> 03:43:49,129 [INDISCERNIBLE] YOU'LL BE ABLE 5092 03:43:49,129 --> 03:43:52,332 TO REACH SEVERAL PEOPLE WHO MAY 5093 03:43:52,332 --> 03:43:58,906 HAVE DIFFERENT ACCESS TO -- OR 5094 03:43:58,906 --> 03:44:02,976 DIFFERENT [INDISCERNIBLE] 5095 03:44:02,976 --> 03:44:11,285 WENGAGING MEMBERS IN DECISION 5096 03:44:11,285 --> 03:44:12,853 MAKING FOR WHAT WILL BE 5097 03:44:12,853 --> 03:44:15,856 AVAILABLE IN THE HOME AND WHAT 5098 03:44:15,856 --> 03:44:22,729 IS PREPARED CAN REACH THE AGENCY 5099 03:44:22,729 --> 03:44:23,931 LOAFL. 5100 03:44:23,931 --> 03:44:26,466 LEVEL. 5101 03:44:26,466 --> 03:44:29,670 >> I WOULD AGREE WITH WHAT DR. 5102 03:44:29,670 --> 03:44:32,739 VEGA LOPEZ SAID ENTIRELY. 5103 03:44:32,739 --> 03:44:34,575 I THINK HERE IN CALIFORNIA, 5104 03:44:34,575 --> 03:44:36,410 ESPECIALLY IN THE SAN FRANCISCO 5105 03:44:36,410 --> 03:44:38,111 BAY AREA, WE HAVE A DIVERSE 5106 03:44:38,111 --> 03:44:39,980 LATINO COMMUNITY AND PROVIDING 5107 03:44:39,980 --> 03:44:41,648 OPPORTUNITIES FOR PEOPLE TO 5108 03:44:41,648 --> 03:44:43,283 SHARE THEIR EXPERIENCES WHETHER 5109 03:44:43,283 --> 03:44:47,321 THEY'RE U.S.-BORN, ORIGINALLY 5110 03:44:47,321 --> 03:44:49,623 BORN OUTSIDE OF THE U.S. AND THE 5111 03:44:49,623 --> 03:44:51,792 DIFFERENT COUNTRIES OF ORIGINAL, 5112 03:44:51,792 --> 03:44:53,994 AT WHREES IN OUR COMMUNITY 5113 03:44:53,994 --> 03:44:55,395 HEALTH WORKER VISITS AND GROUP 5114 03:44:55,395 --> 03:44:58,265 SESSIONS HAD A LOT OF WONDERFUL 5115 03:44:58,265 --> 03:45:00,534 LEARNINGS FROM EACH OTHER BY 5116 03:45:00,534 --> 03:45:03,837 SHARING RECIPES AND IDEAS. 5117 03:45:03,837 --> 03:45:08,008 THAT'S BEEN A HUGE STRENGTH FOR 5118 03:45:08,008 --> 03:45:08,508 US. 5119 03:45:08,508 --> 03:45:16,316 >> AND I'VE BEEN THINKING ABOUT 5120 03:45:16,316 --> 03:45:18,619 THIS IN NEW YORK CITY WHY THEY 5121 03:45:18,619 --> 03:45:23,924 SET THE TABLE AT WORK, PEOPLE 5122 03:45:23,924 --> 03:45:27,361 ARE ALREADY INTERACTING. 5123 03:45:27,361 --> 03:45:31,398 RECENTLY I HAD AN EXPERIMENTAL 5124 03:45:31,398 --> 03:45:34,801 APPROACH, FROM THE USER 5125 03:45:34,801 --> 03:45:37,971 PERSPECTIVE, IT ALLOWS US TO GO 5126 03:45:37,971 --> 03:45:39,306 BEYOND COMMUNITY ENGAGED 5127 03:45:39,306 --> 03:45:42,009 RESEARCH IN THAT IT INSPIRING 5128 03:45:42,009 --> 03:45:47,748 CREATIVITY AND INNOVATION AT ITS 5129 03:45:47,748 --> 03:45:48,282 CORE. 5130 03:45:48,282 --> 03:45:50,918 THESE PROBLEMS ARE COMPLEX, THEY 5131 03:45:50,918 --> 03:45:52,286 REQUIRE JUST TAKING US TO 5132 03:45:52,286 --> 03:45:54,087 DIFFERENT WAYS OF ADDRESS THEM 5133 03:45:54,087 --> 03:45:55,856 AND GETTING OUT OF OUR COMFORT 5134 03:45:55,856 --> 03:45:57,724 ZONE TO REALLY ADDRESS THEM IN 5135 03:45:57,724 --> 03:46:00,027 THE COMPLEXITY. 5136 03:46:00,027 --> 03:46:02,429 I MIGHT SUGGEST EXPLORING NEW 5137 03:46:02,429 --> 03:46:04,932 METHODS TO REALLY ENGAGE THE 5138 03:46:04,932 --> 03:46:06,233 COMMUNITY BEYOND JUST ASKING 5139 03:46:06,233 --> 03:46:09,102 THEM LIKE MAKING THEM MORE 5140 03:46:09,102 --> 03:46:13,240 ACTIVE AND INNOVATE WITH THEM ON 5141 03:46:13,240 --> 03:46:16,209 HOW TO ADDRESS IT. 5142 03:46:16,209 --> 03:46:25,819 AGAIN, I COMPO EXHORT TO THINK T 5143 03:46:25,819 --> 03:46:29,323 THE FACT THIS IS NOT LINEAR, 5144 03:46:29,323 --> 03:46:32,392 THERE ARE STUDIES THAT HAVE 5145 03:46:32,392 --> 03:46:35,395 COMPLICATED MY VIEW ON 5146 03:46:35,395 --> 03:46:36,396 ACCULTURATION. 5147 03:46:36,396 --> 03:46:41,068 IF YOU'RED THI YOU'RE INTERESTE, 5148 03:46:41,068 --> 03:46:43,704 GET OUT OF YOUR COMFORT ZONE AND 5149 03:46:43,704 --> 03:46:46,773 EXPLORE THE OTHER SCHOLARSHIP TO 5150 03:46:46,773 --> 03:46:48,976 PROVIDE NEW LENSES TO ADDRESS 5151 03:46:48,976 --> 03:46:54,414 THE COMPLEX ISSUES. 5152 03:46:54,414 --> 03:46:57,751 >> OKAY, AND THAL IS ALSO 5153 03:46:57,751 --> 03:47:01,788 CAPITALIZING ON WHAT IS CAUSING 5154 03:47:01,788 --> 03:47:04,591 EITHER WITHIN THE FOOD 5155 03:47:04,591 --> 03:47:08,061 ENVIRONMENT OR NEIGHBORHOOD 5156 03:47:08,061 --> 03:47:10,230 ENVIRONMENT OR PRACTICES THAT 5157 03:47:10,230 --> 03:47:11,732 PEOPLE ARE FOLLOWING, 5158 03:47:11,732 --> 03:47:13,400 EMPHASIZING THOSE ARE POSITIVE 5159 03:47:13,400 --> 03:47:15,168 AND SHOULD BE MAINTAINED RATHER 5160 03:47:15,168 --> 03:47:19,906 THAN WHAT SHOULD YOU NOT EAT AND 5161 03:47:19,906 --> 03:47:25,445 STOP EATING. 5162 03:47:25,445 --> 03:47:27,781 >> GREAT, SO TO FOLLOW ON THAT 5163 03:47:27,781 --> 03:47:30,384 AND MAYBE AN ADDITIONAL LAYER, 5164 03:47:30,384 --> 03:47:31,618 DO YOU HAVE ANY SUGGESTIONS ON 5165 03:47:31,618 --> 03:47:33,587 HOW TO DETERMINE SOCIAL 5166 03:47:33,587 --> 03:47:35,222 DETERMINANTS ON SOCIAL 5167 03:47:35,222 --> 03:47:36,656 FACTORRERS ON INTERVENTIONS 5168 03:47:36,656 --> 03:47:38,959 WITHIN INTERVENTIONS AND WOULD 5169 03:47:38,959 --> 03:47:42,029 THAT DIFFER EITHER FOR THE 5170 03:47:42,029 --> 03:47:43,697 SPECIFIC HISPANIC LATINO 5171 03:47:43,697 --> 03:47:45,732 COMMUNITIES OR BEE A HAIF I 5172 03:47:45,732 --> 03:47:47,034 DON'T RECALL INTERVENTIONS IN 5173 03:47:47,034 --> 03:47:51,304 GENERAL? 5174 03:47:51,304 --> 03:47:52,272 >> I CAN START. 5175 03:47:52,272 --> 03:47:54,908 I TALKED A LITTLE BIT ABOUT THIS 5176 03:47:54,908 --> 03:47:57,444 TO MY RESTAURANT WORK IS 5177 03:47:57,444 --> 03:48:00,280 INSPIRED TO TRY TO DO THIS 5178 03:48:00,280 --> 03:48:02,149 BECAUSE IF YOU THINK OF SOCIAL 5179 03:48:02,149 --> 03:48:05,585 DETERMINANTS AS INCOME ACCESS TO 5180 03:48:05,585 --> 03:48:07,788 FOOD, FOOD ENVIRONMENTS. 5181 03:48:07,788 --> 03:48:10,290 THAT'S WHY AGAIN I FOCUS ON THE 5182 03:48:10,290 --> 03:48:12,359 INDIVIDUAL IS IMPORTANT, BUT IF 5183 03:48:12,359 --> 03:48:14,928 WE COULD WORK WITH BUSINESSES OR 5184 03:48:14,928 --> 03:48:18,065 THINK ABOUT FOOD NOT ONLY AS A 5185 03:48:18,065 --> 03:48:20,200 DETERMINANT FOR HEALTH, HEALTH 5186 03:48:20,200 --> 03:48:22,736 OUTCOMES BUT THINKING OF FOOD AS 5187 03:48:22,736 --> 03:48:25,005 AN ECONOMIC ENGINE FOR 5188 03:48:25,005 --> 03:48:26,339 COMMUNITIES AND INDIVIDUALS THAT 5189 03:48:26,339 --> 03:48:33,013 WE HAVE SEEN HISTORICALLY IN 5190 03:48:33,013 --> 03:48:35,215 IMMIGRANT COMMUNITIES AND MAYBE 5191 03:48:35,215 --> 03:48:37,284 MOVING OUR WORK UPSTREAM CAN 5192 03:48:37,284 --> 03:48:37,851 HELP. 5193 03:48:37,851 --> 03:48:40,520 SOME OF THE WORK I'VE SEEN 5194 03:48:40,520 --> 03:48:43,390 INVOLVING THE YOUTH IN 5195 03:48:43,390 --> 03:48:44,758 ADVOCATING FOR CHANGES IN THE 5196 03:48:44,758 --> 03:48:47,828 LOCAL STORES, INVOLVING THE 5197 03:48:47,828 --> 03:48:51,331 YOUTH AND OTHER PEOPLE TO IN 5198 03:48:51,331 --> 03:48:53,200 GROWING FOOD IN URBAN AREAS AND 5199 03:48:53,200 --> 03:48:54,301 SELLING THE FOOD. 5200 03:48:54,301 --> 03:48:56,670 BEING MORE CREATIVE IN HOW WE 5201 03:48:56,670 --> 03:49:03,977 ADDRESS THE ISSUES. 5202 03:49:03,977 --> 03:49:05,512 >> I WOULD JUST ADD THAT 5203 03:49:05,512 --> 03:49:07,914 HOPEFULLY FROM THIS -- THESE 5204 03:49:07,914 --> 03:49:10,117 THREE PRESENTATIONS, YOU HAVE 5205 03:49:10,117 --> 03:49:13,320 THE TAKE AWAY MESSAGE THAT IT'S 5206 03:49:13,320 --> 03:49:15,288 IMPORTANT FOR US TO LOOK AT 5207 03:49:15,288 --> 03:49:18,492 UPSTREAM FACTORS AND FOOD 5208 03:49:18,492 --> 03:49:20,127 ENVIRONMENTS MORE BRADLEY. 5209 03:49:20,127 --> 03:49:22,629 IN ADDITION WITHIN INDIVIDUAL OR 5210 03:49:22,629 --> 03:49:24,731 FAMILY FOCUSED INTERVENTIONS TO 5211 03:49:24,731 --> 03:49:27,033 ALSO ADDRESS THOSE SOCIAL 5212 03:49:27,033 --> 03:49:27,701 DETERMINANTS EVER HEALTH WHILE 5213 03:49:27,701 --> 03:49:30,737 WE CONTINUE TO TRY TO SCHAING 5214 03:49:30,737 --> 03:49:31,004 THEM. 5215 03:49:31,004 --> 03:49:31,505 CHANGE THEM. 5216 03:49:31,505 --> 03:49:33,907 SO I THINK WE NEED TO USE BOTH 5217 03:49:33,907 --> 03:49:39,880 APPROACHES. 5218 03:49:39,880 --> 03:49:42,282 >> SO MANY TIMES WE THINK ABOUT 5219 03:49:42,282 --> 03:49:47,754 SOCIAL DETERMINANTS IN HEALTH AS 5220 03:49:47,754 --> 03:49:51,925 THE MEDICAL CONNOTATION THAT 5221 03:49:51,925 --> 03:49:55,195 PEOPLE THINK OF THEMSELVES AS A 5222 03:49:55,195 --> 03:49:55,662 STEREOTYPE. 5223 03:49:55,662 --> 03:49:59,633 A LOT OF PEOPLE HAVE BUSINESS -- 5224 03:49:59,633 --> 03:50:00,567 THE MISCONCEPTION THAT PEOPLE 5225 03:50:00,567 --> 03:50:02,702 DON'T KNOW HOW TO CHOOSE HEALTHY 5226 03:50:02,702 --> 03:50:03,870 OPTIONS FOR FOOD. 5227 03:50:03,870 --> 03:50:06,106 THAT IS NOT THE CASE. 5228 03:50:06,106 --> 03:50:08,408 IT'S NOT THE LACK OF KNOWLEDGE 5229 03:50:08,408 --> 03:50:11,278 THAT MAY PREVENT FREEDOM BEING 5230 03:50:11,278 --> 03:50:13,647 ABLE TO MAKE CHOICE. 5231 03:50:13,647 --> 03:50:17,050 I THINK CHANGING THAT PARADIGM 5232 03:50:17,050 --> 03:50:19,686 IS ALSO IMPORTANT FROM HOW TO 5233 03:50:19,686 --> 03:50:23,557 ADDRESS THE MEANS. 5234 03:50:23,557 --> 03:50:25,592 >> I WANT O THANK OUR PANEL FOR 5235 03:50:25,592 --> 03:50:27,594 A WONDERFUL PRESENTATIONS AND A 5236 03:50:27,594 --> 03:50:28,495 ROBUST DISCUSSION. 5237 03:50:28,495 --> 03:50:30,130 THAT WAS TERRIFIC. 5238 03:50:30,130 --> 03:50:31,631 I'LL INVITE AUDIENCE MEMBERS TO 5239 03:50:31,631 --> 03:50:34,701 REACH OUT INDIVIDUALLY TO THE 5240 03:50:34,701 --> 03:50:36,436 PANEL MEMBERS IF YOU SUBMITTED 5241 03:50:36,436 --> 03:50:37,804 QUESTIONS THAT WEREN'T ANSWERED. 5242 03:50:37,804 --> 03:50:39,606 I THINK THEY WOULD BE HAPPY TO 5243 03:50:39,606 --> 03:50:40,273 CONTINUE THE CONVERSATION WITH 5244 03:50:40,273 --> 03:50:40,907 YOU. 5245 03:50:40,907 --> 03:50:42,642 NEXT WE HAVE A BRIEF VIDEO 5246 03:50:42,642 --> 03:50:45,812 PRESENTATION FROM OUR FINAL 5247 03:50:45,812 --> 03:50:49,216 PRESENTER DA LEANA SO THEO. 5248 03:50:49,216 --> 03:50:52,519 SHE'S AN AFTER ROW BLINK WALL 5249 03:50:52,519 --> 03:50:55,755 DIETICIAN THAT CELEBRATES EATING 5250 03:50:55,755 --> 03:50:57,657 CULTURAL FOODS WITHOUT GUILT. 5251 03:50:57,657 --> 03:51:00,927 SHE TRIES TO INSHIER OTHERS TO 5252 03:51:00,927 --> 03:51:03,897 BUILD NARRATIVES THAT DON'T 5253 03:51:03,897 --> 03:51:08,602 INCLUDE DEPRIVATION. 5254 03:51:08,602 --> 03:51:15,642 WELCOME DA LEANA AND THANK YOU. 5255 03:51:15,642 --> 03:51:16,176 >> HELLO. 5256 03:51:16,176 --> 03:51:19,379 I'M DALINA SO THEO. 5257 03:51:19,379 --> 03:51:23,016 MY FOCUS IS TO EDUCATE MY 5258 03:51:23,016 --> 03:51:25,752 PATIENTS, MY CLIENTELE BOTH IN 5259 03:51:25,752 --> 03:51:27,520 THE PHILADELPHIA AREA AND ACROSS 5260 03:51:27,520 --> 03:51:29,689 THE COUNTRY WITH MY SOCIAL MEDIA 5261 03:51:29,689 --> 03:51:32,792 ACCOUNTS ON HOW WE CAN CONTINUE 5262 03:51:32,792 --> 03:51:35,929 TO EAT OUR CULTURAL FOODS AND 5263 03:51:35,929 --> 03:51:38,231 STILL MANAGE CHRONIC CONDITIONS 5264 03:51:38,231 --> 03:51:40,533 AND LEARN THE NUTRITION IN OUR 5265 03:51:40,533 --> 03:51:43,737 FOOD. 5266 03:51:43,737 --> 03:51:44,871 SOMETHING THAT I SEE OR ISSUES 5267 03:51:44,871 --> 03:51:50,910 THATISSUESTHAT I SEE IN MY COMMN 5268 03:51:50,910 --> 03:51:52,512 WORKING WITH THEM IS THAT THERE 5269 03:51:52,512 --> 03:51:55,615 IS A LACK OF CULTURAL HUMBLE 5270 03:51:55,615 --> 03:51:56,383 RESOURCES. 5271 03:51:56,383 --> 03:51:58,251 A LOT OF TIMES IN THE MEDICAL 5272 03:51:58,251 --> 03:52:01,755 SYSTEM THEY'RE JUST GETTING 5273 03:52:01,755 --> 03:52:03,590 HANDOUTS OR RECOMMENDATIONS THAT 5274 03:52:03,590 --> 03:52:06,559 ARE NOT FULLY HUMBLE. 5275 03:52:06,559 --> 03:52:12,265 AND REALLY ARE COMING FROM 5276 03:52:12,265 --> 03:52:13,867 STEREOTYPES TOWARDS OUR FOODS 5277 03:52:13,867 --> 03:52:16,436 AND A LOT OF TIME EDUCATION IS 5278 03:52:16,436 --> 03:52:18,071 VERY FEAR-BASED. 5279 03:52:18,071 --> 03:52:21,808 AND SO WHETHER MY PATIENTS 5280 03:52:21,808 --> 03:52:23,043 CLIENTS -- SO WHEN MY PATIENTS 5281 03:52:23,043 --> 03:52:23,810 CLIENTS ARE GOING TO THE 5282 03:52:23,810 --> 03:52:25,812 DOCTORS, THERE IS STWRES AND 5283 03:52:25,812 --> 03:52:28,415 SHAME AND GUILT INVOLVED -- 5284 03:52:28,415 --> 03:52:30,717 STWRES AND SLAIM AND GUILT 5285 03:52:30,717 --> 03:52:33,053 INVOLVED. 5286 03:52:33,053 --> 03:52:36,756 WHEN I GET KATE, I LIKE TO #ED 5287 03:52:36,756 --> 03:52:39,225 KATE OA ON POSITIVE NUTRITION 5288 03:52:39,225 --> 03:52:41,328 AND NUTRITION IN OUR DISHES 5289 03:52:41,328 --> 03:52:42,962 THAWR GOING TO PROVIDE US THE 5290 03:52:42,962 --> 03:52:45,365 NUTRITION THAT WE NEED TO MANAGE 5291 03:52:45,365 --> 03:52:46,766 CHRONIC CONDITIONS. 5292 03:52:46,766 --> 03:52:48,535 FOR INSTANCE, I LIKE TO REDUCE 5293 03:52:48,535 --> 03:52:50,870 STRESS BY EDUCATING ON THE 5294 03:52:50,870 --> 03:52:52,272 NUTRITION IN THE DISHES THAT WE 5295 03:52:52,272 --> 03:52:53,907 ARE ALREADY EATING. 5296 03:52:53,907 --> 03:52:56,576 HOW ARE WE PUTTING THE DISHES 5297 03:52:56,576 --> 03:52:56,876 TOGETHER? 5298 03:52:56,876 --> 03:52:59,212 HOW ARE WE COOKING IT? 5299 03:52:59,212 --> 03:53:02,282 WHAT INGREDIENTS ARE WE USING? 5300 03:53:02,282 --> 03:53:04,551 WHEN THE CLIENT IS ABLE TO SEE 5301 03:53:04,551 --> 03:53:07,487 ALL THOSE PIECES AND I'M ABLE TO 5302 03:53:07,487 --> 03:53:10,423 EDUCATE ON THE NUTRITION IN 5303 03:53:10,423 --> 03:53:12,625 THOSE FOODS, THEY'RE ABLE TO 5304 03:53:12,625 --> 03:53:14,794 THEN TAKE THAT INFORMATION AND 5305 03:53:14,794 --> 03:53:16,696 AS THEY ARE BUILDING OTHER 5306 03:53:16,696 --> 03:53:17,564 DISHES THROUGHOUT THE DAY, 5307 03:53:17,564 --> 03:53:19,766 THEY'RE ABLE TO SEE ALL OF THE 5308 03:53:19,766 --> 03:53:22,936 NUTRITION THAT THEY ARE BEING 5309 03:53:22,936 --> 03:53:25,505 GIVEN BY THESE FOODS AND 5310 03:53:25,505 --> 03:53:27,440 REDUCING THE STRESS AND HELPING 5311 03:53:27,440 --> 03:53:30,243 THEM FOCUS ON HEALTHY BEHAVIOR 5312 03:53:30,243 --> 03:53:31,978 INSTEAD EVER RESTRICTIONS FROM 5313 03:53:31,978 --> 03:53:33,413 TAKING OUT. 5314 03:53:33,413 --> 03:53:36,716 I THINK A LOT OF THE TIMES THERE 5315 03:53:36,716 --> 03:53:38,151 ARE SO MANY SOCIAL DETERMINANTS 5316 03:53:38,151 --> 03:53:40,754 EVER HEALTH THAT MY CLIENTS ARE 5317 03:53:40,754 --> 03:53:42,922 DEALING WITH SO A LOT MUCH THE 5318 03:53:42,922 --> 03:53:44,724 TIME I WANT TO HELP REDUCE THAT 5319 03:53:44,724 --> 03:53:45,892 STRESS. 5320 03:53:45,892 --> 03:53:47,594 I WANT TO BE A RESOURCE FOR THEM 5321 03:53:47,594 --> 03:53:51,197 WHERE THEY CAN COME TWO MY 5322 03:53:51,197 --> 03:53:53,633 APPOINTS AND LOOK FOR RESOURCES 5323 03:53:53,633 --> 03:53:55,969 IN THEIR COMMUNITY OR LEARN 5324 03:53:55,969 --> 03:53:57,036 ABOUT RESOURCES IN THEIR 5325 03:53:57,036 --> 03:53:58,338 COMMUNITIES THAT ARE GOING TO 5326 03:53:58,338 --> 03:54:01,474 HELP THEM WITH THEIR HEALTH. 5327 03:54:01,474 --> 03:54:05,512 THEY ARE GOING TO BE TIMES WHERE 5328 03:54:05,512 --> 03:54:08,681 I THINK BECAUSE I HAVE AN HOUR 5329 03:54:08,681 --> 03:54:12,152 WITH THEM, I'M ABLE TO HELP THEM 5330 03:54:12,152 --> 03:54:13,853 SOLVE PROBLEMS THAT MAY THEY 5331 03:54:13,853 --> 03:54:17,223 WEREN'T ABLE T TO DO AT THE 5332 03:54:17,223 --> 03:54:18,124 DOCTOR'S OFFICE BECAUSE THEY 5333 03:54:18,124 --> 03:54:19,859 WEREN'T ABLE TO DO THAT AND HAVE 5334 03:54:19,859 --> 03:54:20,894 THOSE CONVERSATIONS. 5335 03:54:20,894 --> 03:54:22,862 BEING A REGISTERED DIETICIAN 5336 03:54:22,862 --> 03:54:25,732 ALLOWS ME TO HAVE THE TIME AND 5337 03:54:25,732 --> 03:54:27,500 SPACE WITH PATIENTS SO I 5338 03:54:27,500 --> 03:54:30,003 ENCOURAGE YOU TO REFER TO 5339 03:54:30,003 --> 03:54:32,472 REGISTERED DIETICIANS ESPECIALLY 5340 03:54:32,472 --> 03:54:34,874 DIETICIANS THAT LOOK LIKE YOUR 5341 03:54:34,874 --> 03:54:36,476 COMMUNITY AND THEY'RE GOING TO 5342 03:54:36,476 --> 03:54:39,512 UNDERSTAND THE DISHES THAT DISHY 5343 03:54:39,512 --> 03:54:40,847 ARE ALREADY EATING AND 5344 03:54:40,847 --> 03:54:42,682 UNDERSTAND THE CULTURE AND 5345 03:54:42,682 --> 03:54:43,683 TRADITIONS BEHIND THOSE DISHES 5346 03:54:43,683 --> 03:54:47,120 SO THEY'RE HELPING THAT PATIENT, 5347 03:54:47,120 --> 03:54:49,722 THAT CLIENT UNDERSTAND HOW THOSE 5348 03:54:49,722 --> 03:54:52,559 FOODS CAN BENEFIT THEIR HEALTH 5349 03:54:52,559 --> 03:54:54,194 INSTEAD OF FEARING THEM AND 5350 03:54:54,194 --> 03:54:55,662 THINKING THAT THEY HAVE TO 5351 03:54:55,662 --> 03:54:57,864 COMPLETELY STOP EATING THEM. 5352 03:54:57,864 --> 03:54:59,199 WHEN WE CAN TRULY CONTINUE TO 5353 03:54:59,199 --> 03:55:02,235 EAT THEM AND ADD NUTRITION TO 5354 03:55:02,235 --> 03:55:03,503 THEM TO HELP THEM. 5355 03:55:03,503 --> 03:55:04,771 THAT'S WHAT I FOCUS ON. 5356 03:55:04,771 --> 03:55:08,842 I FOCUS ON HEALTHY BEHAVIORS AND 5357 03:55:08,842 --> 03:55:11,711 FOCUS ON THE WHOLE PERSON AND 5358 03:55:11,711 --> 03:55:14,547 SNOT NOT JUST FOOD BUT FOCUSING 5359 03:55:14,547 --> 03:55:16,749 ON HOW REDUCING STRESS AND HOW 5360 03:55:16,749 --> 03:55:19,219 WE'RE GOING TO SLEEP MORE. 5361 03:55:19,219 --> 03:55:20,720 WHAT OTHER RESOURCES YOU HAVE 5362 03:55:20,720 --> 03:55:22,489 AVAILABLE TO YOU AND YOUR FAMILY 5363 03:55:22,489 --> 03:55:25,525 TO REDUCE THE STRESS. 5364 03:55:25,525 --> 03:55:30,597 WILL WE SHOP FOR FROZEN VEGGIES 5365 03:55:30,597 --> 03:55:32,699 OR FROZEN FOODS THAT CAN BE 5366 03:55:32,699 --> 03:55:33,333 STORED LONGER. 5367 03:55:33,333 --> 03:55:35,735 HOW CAN WE SHOP FOR FOODS THAT 5368 03:55:35,735 --> 03:55:36,970 ARE CONVENIENT FOR THEM TO BE 5369 03:55:36,970 --> 03:55:38,705 ABLE TO BUILD COMPLETE DISHES 5370 03:55:38,705 --> 03:55:39,706 WITH. 5371 03:55:39,706 --> 03:55:43,209 AND SO, MY JOB REALLY IS TO BE A 5372 03:55:43,209 --> 03:55:45,545 RESOURCE FOR THE COMMUNITY AND 5373 03:55:45,545 --> 03:55:46,946 REALLY EDUCATE THEM. 5374 03:55:46,946 --> 03:55:48,181 AGAIN, NOT ONLY ABOUT THE 5375 03:55:48,181 --> 03:55:50,783 NUTRITION IN OUR DISHES, BUT 5376 03:55:50,783 --> 03:55:53,019 ALSO HOW THEY CAN MANAGE THEIR 5377 03:55:53,019 --> 03:55:54,254 CHRONIC DISEASE WITH THESE 5378 03:55:54,254 --> 03:55:57,290 FOODS. 5379 03:55:57,290 --> 03:55:59,392 AND SO, IF YOU'D LIKE TO BE 5380 03:55:59,392 --> 03:56:02,562 CONTACT ME AND LEARN MORE, HOW I 5381 03:56:02,562 --> 03:56:03,696 WORK WITH THE COMMUNITY, THESE 5382 03:56:03,696 --> 03:56:06,065 ARE ALL THE DIFFERENT WAYS THAT 5383 03:56:06,065 --> 03:56:08,234 YOU CAN FIND MY WORK AND ALSO 5384 03:56:08,234 --> 03:56:10,503 YOU ARE FREE TO e-MAIL ME IF 5385 03:56:10,503 --> 03:56:19,345 YOU HAVE ANY QUESTIONS. 5386 03:56:19,345 --> 03:56:22,749 >> TERRIFIC, THANK YOU DALINNA. 5387 03:56:22,749 --> 03:56:25,752 I WANT TO THANK ALL OUR SPEAKERS 5388 03:56:25,752 --> 03:56:28,154 FROM PANEL THREE AND GETTING 5389 03:56:28,154 --> 03:56:32,091 READY NOW TO HAND IT OVER -- 5390 03:56:32,091 --> 03:56:33,960 PANEL 4 OVER TO THE MODERATOR 5391 03:56:33,960 --> 03:56:35,395 FOR THE NEXT PANEL. 5392 03:56:35,395 --> 03:56:39,566 THANKS. 5393 03:56:39,566 --> 03:56:40,900 >> GOOD AFTERNOON, EVERYONE. 5394 03:56:40,900 --> 03:56:47,006 CAN YOU HAIR ME? 5395 03:56:47,006 --> 03:56:49,442 I'M A TEACHING PROFESSOR AND THE 5396 03:56:49,442 --> 03:56:51,411 DIRECTOR OF THE GRADUATE PROGRAM 5397 03:56:51,411 --> 03:56:54,047 IN THE DEPARTMENT EVER NUTRITION 5398 03:56:54,047 --> 03:56:57,584 AND FOOD STUDIES SAT SYRACUSE 5399 03:56:57,584 --> 03:56:58,117 UNIVERSITY. 5400 03:56:58,117 --> 03:57:04,257 I'M A FELLOW OF THE ACADEMY OF 5401 03:57:04,257 --> 03:57:10,330 NUTRITION AND DIET. 5402 03:57:10,330 --> 03:57:13,833 MY FOCUS IS ON HEALTH OF 5403 03:57:13,833 --> 03:57:19,272 IMMIGRANTS ESPECIALLY FROM 5404 03:57:19,272 --> 03:57:19,939 INDIA. 5405 03:57:19,939 --> 03:57:24,677 WE'LL A ADDRESS THE DIETARY 5406 03:57:24,677 --> 03:57:30,817 RECOMMENDATIONS FOR ASIAN AND 5407 03:57:30,817 --> 03:57:32,685 ISLANDER GROUPS. 5408 03:57:32,685 --> 03:57:34,153 THANK YOU FOR INCLUDING US IN 5409 03:57:34,153 --> 03:57:35,955 THIS EVENT. 5410 03:57:35,955 --> 03:57:38,191 WE HAVE AN EXCELLENT PANEL OF 5411 03:57:38,191 --> 03:57:40,026 SPEAKERS TO SPEAK ON THE HEALTH 5412 03:57:40,026 --> 03:57:44,297 AND NUTRITION ISSUES RELATED TO 5413 03:57:44,297 --> 03:57:47,600 THE U.S. AS WELL AS THE SOUTH 5414 03:57:47,600 --> 03:57:49,369 ASIAN AND CHINESE POPULATIONS IN 5415 03:57:49,369 --> 03:57:49,936 THE U.S. 5416 03:57:49,936 --> 03:57:57,410 I WOULD LIKE TO REITERATE THE 5417 03:57:57,410 --> 03:58:00,780 HOUSEKEEPING FOR QUESTIONS. 5418 03:58:00,780 --> 03:58:03,016 PLEASE SEND QUESTIONS AND IS 5419 03:58:03,016 --> 03:58:05,318 STATE WHICH PANELIST YOU ARE 5420 03:58:05,318 --> 03:58:06,953 DIRECTING YOUR QUESTION TO. 5421 03:58:06,953 --> 03:58:10,456 OUR FIRST PRESENTATION IS TITLED 5422 03:58:10,456 --> 03:58:14,327 "CULTURE AND DIETARY 5423 03:58:14,327 --> 03:58:21,200 INTERVENTIONS FOR 5424 03:58:21,200 --> 03:58:24,604 MARSHALLESSINGE POPULATIONS. 5425 03:58:24,604 --> 03:58:30,243 WOUR SPEAKER HAS OVER 15 YEARS F 5426 03:58:30,243 --> 03:58:32,578 WORKING IN THE CLINIC AND PUBLIC 5427 03:58:32,578 --> 03:58:36,082 HEAT SETTING WITH EYE PARTICULAR 5428 03:58:36,082 --> 03:58:40,019 FOCUS ON SERVING UNDERSERVED 5429 03:58:40,019 --> 03:58:42,155 POPULATIONS. 5430 03:58:42,155 --> 03:58:42,388 WELCOME. 5431 03:58:42,388 --> 03:58:43,356 >> THANK YOU. 5432 03:58:43,356 --> 03:58:48,594 HELLO, EVERYONE. 5433 03:58:48,594 --> 03:58:52,365 I'M A NURSE EDUCATOR WITH THE 5434 03:58:52,365 --> 03:58:54,267 OFFICE EVER COMMUNITY LET AND 5435 03:58:54,267 --> 03:58:54,767 RESEARCH. 5436 03:58:54,767 --> 03:58:56,869 IT'S MY HONORING TO HERE TO TALK 5437 03:58:56,869 --> 03:59:03,576 TO YOU ABOUT THE MARSHALINGE 5438 03:59:03,576 --> 03:59:05,578 BASE IN NORTHWEST ARKANSAS AND 5439 03:59:05,578 --> 03:59:10,750 ACROSS THE WORLD. 5440 03:59:10,750 --> 03:59:12,251 BEFORING CONTINUING, I WANT TO 5441 03:59:12,251 --> 03:59:15,254 TELL YOU ABOUT UMS OR THE 5442 03:59:15,254 --> 03:59:18,291 UNIVERSITY EVER ARKANSAS 5443 03:59:18,291 --> 03:59:19,592 COMMUNITY HEALTH AND RESEARCH 5444 03:59:19,592 --> 03:59:19,759 IS. 5445 03:59:19,759 --> 03:59:22,328 WE ARE A DIVERSE TEAM DEDICATED 5446 03:59:22,328 --> 03:59:23,963 TO WORKING WITH COMMUNITIES TO 5447 03:59:23,963 --> 03:59:25,131 CREATE A BETTER STATE OF HEALTH 5448 03:59:25,131 --> 03:59:25,798 FOR ALL. 5449 03:59:25,798 --> 03:59:27,667 WE HAVE PROGRAMS THROUGHOUT 5450 03:59:27,667 --> 03:59:30,937 ARKANSAS AND ALSO HAVE WORKED 5451 03:59:30,937 --> 03:59:36,542 WITH MARSHALESE COMMUNITIES. 5452 03:59:36,542 --> 03:59:39,612 NEXT SLIDE, PLEASE. 5453 03:59:39,612 --> 03:59:46,285 WHO WILL ARE THESE 5454 03:59:46,285 --> 03:59:47,987 MARSHALLESSINGE PEOPLE? 5455 03:59:47,987 --> 03:59:54,660 IT IS NORTH EVER THE EQUATOR. 5456 03:59:54,660 --> 03:59:56,195 FAMILY IS A CRUCIAL PART OF 5457 03:59:56,195 --> 03:59:57,730 THEIR CULTURE. 5458 03:59:57,730 --> 03:59:59,332 DECISIONS CAN MADE BY THE FAMILY 5459 03:59:59,332 --> 04:00:01,300 EXPHEMS NOT AS AN INDEPENDENT 5460 04:00:01,300 --> 04:00:01,834 PERSON. 5461 04:00:01,834 --> 04:00:04,437 TO UNDERSTAND HOW IT TO SERVE 5462 04:00:04,437 --> 04:00:07,039 THIS COMMUNITY, RESEARCHERS AND 5463 04:00:07,039 --> 04:00:08,808 HEALTH PROVIDERS NEED TO 5464 04:00:08,808 --> 04:00:10,343 UNDERSTAND THE LIST TRI AND 5465 04:00:10,343 --> 04:00:11,644 CULTURE OF THE PEOPLE. 5466 04:00:11,644 --> 04:00:17,917 NEXT SLIDE, PLEASE. 5467 04:00:17,917 --> 04:00:22,088 THE MARSHALLESE COMMUNITY PLACE 5468 04:00:22,088 --> 04:00:29,095 IMPORTANCE ON HEALTH. 5469 04:00:29,095 --> 04:00:31,097 THEIR ISLANDS WERE USED AS A 5470 04:00:31,097 --> 04:00:34,400 TEST SITE FOR NUCLEAR WEAPONS 5471 04:00:34,400 --> 04:00:39,839 FROM 1946 TO 1958. 5472 04:00:39,839 --> 04:00:45,945 THEREIN 2,007 HAD 2,700 HIROSHIE 5473 04:00:45,945 --> 04:00:48,881 TOES DEDICATED. 5474 04:00:48,881 --> 04:00:53,352 AS A RESULT THE WHOLE ISLAND WE 5475 04:00:53,352 --> 04:00:55,788 VAPORIZED. 5476 04:00:55,788 --> 04:00:57,056 RADIATION EXPOSURE TO THE 5477 04:00:57,056 --> 04:00:57,890 ENVIRONMENT AND FOOD. 5478 04:00:57,890 --> 04:01:02,028 DURING THE TESTING IN 1954, 5479 04:01:02,028 --> 04:01:05,264 PROJECT 4.1 WAS CONDUCTED. 5480 04:01:05,264 --> 04:01:08,434 TO STUDY THE EFFECT OFFER 5481 04:01:08,434 --> 04:01:12,038 23450UBG LAR RADIATION ON HUMANS 5482 04:01:12,038 --> 04:01:13,339 WITHOUT CITIZEN CONSENT. 5483 04:01:13,339 --> 04:01:17,977 IT LEFT BEHIND RADIOACTIVE 5484 04:01:17,977 --> 04:01:21,380 DEBRIS ON A DOME LOCATED AT 5485 04:01:21,380 --> 04:01:24,016 THEIR RUINED IENLTS. 5486 04:01:24,016 --> 04:01:24,817 ISLANDS. 5487 04:01:24,817 --> 04:01:27,553 YOU SEE THE DOME AND IT WILL IS 5488 04:01:27,553 --> 04:01:29,088 CURRENTLY LIKING TODAY. 5489 04:01:29,088 --> 04:01:31,724 HIGH RATES OF HEALTH DISPARITIES 5490 04:01:31,724 --> 04:01:36,028 INCLUDING DIABETES, 5491 04:01:36,028 --> 04:01:38,097 CARDIOVASCULAR DISEASE AND LOW 5492 04:01:38,097 --> 04:01:40,166 BIRTH BABIES AND EARS ARE EYE 5493 04:01:40,166 --> 04:01:43,035 RESULT OF THIS. 5494 04:01:43,035 --> 04:01:45,538 HERE ASK A TIMELINE OF HOW THE 5495 04:01:45,538 --> 04:01:48,774 UNITED STATES WAS INVOLVED WITH 5496 04:01:48,774 --> 04:01:52,411 THE MARSHALLESE. 5497 04:01:52,411 --> 04:01:55,314 UNTIL 1946 NUCLEAR TESTING AND 5498 04:01:55,314 --> 04:01:58,150 IN 1957, THE ISLAND BECAME A 5499 04:01:58,150 --> 04:02:01,387 U.S. TRUST TERRITORY IN THE U.S. 5500 04:02:01,387 --> 04:02:04,924 1958 NUCLEAR TESTING ENDED. 5501 04:02:04,924 --> 04:02:07,393 1979 THEY BECAME AN INDEPENDENT 5502 04:02:07,393 --> 04:02:11,430 STATE AND CALLED THE REPUBLIC OR 5503 04:02:11,430 --> 04:02:13,199 RMI. 5504 04:02:13,199 --> 04:02:16,936 IN 1983, RMI AND THE U.S. BECAME 5505 04:02:16,936 --> 04:02:20,139 A COFA AGREEMENT AND IT WAS 5506 04:02:20,139 --> 04:02:26,045 FINALLY FORMED IN 1986 WHERE 5507 04:02:26,045 --> 04:02:26,979 MARSHALLINGESE SPHRG THE ISLAND 5508 04:02:26,979 --> 04:02:29,015 ARE NOT ALLOWED TOKING MY GREAT 5509 04:02:29,015 --> 04:02:32,018 TO THE UNITED STATES WITHOUT ANY 5510 04:02:32,018 --> 04:02:34,320 VISAO PR RESIDENT CARDS. 5511 04:02:34,320 --> 04:02:38,457 DURING THE COFA AGREEMENT, THEY 5512 04:02:38,457 --> 04:02:41,460 WERE GIVEN FEDERAL BENEFITS SUCH 5513 04:02:41,460 --> 04:02:44,964 AS MEDICAID AND OTHER FEDERAL 5514 04:02:44,964 --> 04:02:46,332 BENEFITS. 5515 04:02:46,332 --> 04:02:47,934 UNTIL 1996, THE PERSONAL 5516 04:02:47,934 --> 04:02:49,368 RESPONSIBILITY AND WORK 5517 04:02:49,368 --> 04:02:52,538 OPPORTUNITY RECONCILIATION ACT 5518 04:02:52,538 --> 04:02:58,344 OR THE PORA KNOWN AS THE CLINTON 5519 04:02:58,344 --> 04:03:00,780 WELFARE ACT HALTED THE BEN FITH 5520 04:03:00,780 --> 04:03:02,114 FOR THEM. 5521 04:03:02,114 --> 04:03:05,284 IN 2020 ALTHOUGH THE MEDICAID 5522 04:03:05,284 --> 04:03:07,486 WAS RESTORED, THEY'RE STILL NOT 5523 04:03:07,486 --> 04:03:09,455 ELIGIBLE FOR FEDERAL GRANTS LIKE 5524 04:03:09,455 --> 04:03:11,791 ACCOUNT SNAP WHICH IS VITAL 5525 04:03:11,791 --> 04:03:12,792 ASSISTANCE PROGRAM FOR OUR 5526 04:03:12,792 --> 04:03:14,327 PEOPLE. 5527 04:03:14,327 --> 04:03:16,295 PRIOR TO THE U.S. INVOLVEMENT, 5528 04:03:16,295 --> 04:03:19,632 THE PEOPLE WRL HUNTER, GATHERERS 5529 04:03:19,632 --> 04:03:21,367 AND FARMERS. 5530 04:03:21,367 --> 04:03:23,536 HARVESTING WAS ONE OF THE MOST 5531 04:03:23,536 --> 04:03:25,404 IMPORTANT SKILLS THAT ENSURED 5532 04:03:25,404 --> 04:03:27,340 SURVIVAL FOR EACH PERSON. 5533 04:03:27,340 --> 04:03:29,241 SINCE THERE WEREN'T ANY IMPORTED 5534 04:03:29,241 --> 04:03:31,177 FOOD, PEOPLE HAD TO RELY ON 5535 04:03:31,177 --> 04:03:32,378 NATURAL RESOURCES. 5536 04:03:32,378 --> 04:03:36,015 FOOD THAT PEOPLE HAD TO RELY ON 5537 04:03:36,015 --> 04:03:41,087 INCLUDING LOCAL GRAPEFRUIT, AND 5538 04:03:41,087 --> 04:03:48,794 BANANA AS TO NAME A FEW. 5539 04:03:48,794 --> 04:03:51,664 BUT THE RADIATION ALTERED THE 5540 04:03:51,664 --> 04:03:53,666 HEALTH OF THESE PEOPLE. 5541 04:03:53,666 --> 04:03:55,768 WHILE U.S. PROVIDED AID WITH 5542 04:03:55,768 --> 04:03:58,637 FOOD, ALL THE FOOD THAT WAS 5543 04:03:58,637 --> 04:04:03,109 IMPORTED WAS PROCESSED FOOD. 5544 04:04:03,109 --> 04:04:06,645 THIS RESULTED IN HEALTH 5545 04:04:06,645 --> 04:04:09,181 DISPARITIES NOT ONLY IN THE RMI 5546 04:04:09,181 --> 04:04:11,317 BUT AS THEYING MY GRATED TO THE 5547 04:04:11,317 --> 04:04:12,952 UNITED STATES THEY CARRIED THE 5548 04:04:12,952 --> 04:04:14,553 BURDEN OF THESE DISEASE WITH 5549 04:04:14,553 --> 04:04:15,354 THEM. 5550 04:04:15,354 --> 04:04:18,324 20 TO 50% OF ADULTS HAVE 5551 04:04:18,324 --> 04:04:21,927 DIABETES, 40% HAVE HYPERTENSION. 5552 04:04:21,927 --> 04:04:32,471 10 TO 15% INFECTED WITH CHRONIC 5553 04:04:35,841 --> 04:04:38,611 HEPATITIS AND CHRONIC HBV. 5554 04:04:38,611 --> 04:04:42,448 NEXT SLIDE, PLEASE. 5555 04:04:42,448 --> 04:04:49,055 UNTIL DIET IN THE RMI, MAJORITY 5556 04:04:49,055 --> 04:04:50,623 IS IMPORTED PROCESSED FOOD. 5557 04:04:50,623 --> 04:04:52,324 ADDS YOU SEE IN THE PICTURE ON 5558 04:04:52,324 --> 04:04:58,964 THE LEFLT LEFT, WE DEPENDED ON D 5559 04:04:58,964 --> 04:04:59,498 FOOD. 5560 04:04:59,498 --> 04:05:01,834 THEY'RE SO USED TO THE DIET THEY 5561 04:05:01,834 --> 04:05:03,836 PREFER THAT DIET AND THEIR TASTE 5562 04:05:03,836 --> 04:05:06,539 SYSTEM IS NOT USED TO THE FRESH 5563 04:05:06,539 --> 04:05:07,440 PRODUCE THAT ARE AVAILABLE IN 5564 04:05:07,440 --> 04:05:09,208 THE UNITED STATES. 5565 04:05:09,208 --> 04:05:13,212 TO BE HEALTHY IN THE R, MR. I IS 5566 04:05:13,212 --> 04:05:15,047 VERY EXPENSIVE AS THE MINIMUM 5567 04:05:15,047 --> 04:05:17,450 WAGE IS ABOUT TWO DOLLARS AND 5568 04:05:17,450 --> 04:05:19,585 EVERYTHING IS UNAFFORDABLE. 5569 04:05:19,585 --> 04:05:21,454 HEALTH IS UNAFFORDABLE ALTHOUGH 5570 04:05:21,454 --> 04:05:23,956 THE U.S. HAVE ACCESS TO 5571 04:05:23,956 --> 04:05:26,392 AFFORDABLE FOOD, THE PEOPLE ARE 5572 04:05:26,392 --> 04:05:27,726 USED TO THE PROCESSED FOOD AND 5573 04:05:27,726 --> 04:05:30,229 IT IS SO DIFFICULT TO SCHAING 5574 04:05:30,229 --> 04:05:31,764 THEIR DIET. 5575 04:05:31,764 --> 04:05:34,300 REGARDLESS OF THE FRESH AND 5576 04:05:34,300 --> 04:05:36,569 HEALTHIER FOOD CHOICES THEY HAVE 5577 04:05:36,569 --> 04:05:41,140 HERE AS WELL AS COFA CITIZEN IN 5578 04:05:41,140 --> 04:05:42,708 THE MAINLAND DUE TO THE WELL P 5579 04:05:42,708 --> 04:05:44,944 PAIR ACT AND IMMIGRATION STATUS 5580 04:05:44,944 --> 04:05:46,112 OF THE COMMUNITIES, THEY 5581 04:05:46,112 --> 04:05:49,115 STRUGGLE TO FIND JOBS TO MEET 5582 04:05:49,115 --> 04:05:55,154 THE BASIC NEEDS SUCH AS FOOD. 5583 04:05:55,154 --> 04:05:58,958 IT'S EVIDENT THAT -- HEALTHIER 5584 04:05:58,958 --> 04:06:00,860 FOOD CAN IMPROVE HEALTH 5585 04:06:00,860 --> 04:06:01,894 DISPARITIES. 5586 04:06:01,894 --> 04:06:03,863 THE FAIR POLICIES HAS MADE 5587 04:06:03,863 --> 04:06:08,868 HUNGER WORSE LEAVING THEM OUT OF 5588 04:06:08,868 --> 04:06:10,870 FEDERAL SAFETY NET LIKE SNAP 5589 04:06:10,870 --> 04:06:12,972 WHICH IS SUPPOSED TO HELP 5590 04:06:12,972 --> 04:06:14,106 LOW-INCOME FAMILIES. 5591 04:06:14,106 --> 04:06:16,275 AND MIGRATION IS ALREADY A 5592 04:06:16,275 --> 04:06:17,943 DIFFICULT THING. 5593 04:06:17,943 --> 04:06:19,478 NEXT SLIDE PLEASE. 5594 04:06:19,478 --> 04:06:22,448 AT THE UNIVERSITY EVER ARKANSAS 5595 04:06:22,448 --> 04:06:24,083 FOR MEDICAL SCIENCE OFFICE OF 5596 04:06:24,083 --> 04:06:27,486 HEALTH AND RESEARCH, WE HAD 5597 04:06:27,486 --> 04:06:33,559 PILOTED A CULTURAL FAMILY MODEL 5598 04:06:33,559 --> 04:06:35,027 FOR EDUCATION AND SUPPORT 5599 04:06:35,027 --> 04:06:36,896 PROGRAM. 5600 04:06:36,896 --> 04:06:39,798 DIETARY INTERVENTION IS ONE OF 5601 04:06:39,798 --> 04:06:43,135 THE CORE CONTENTS HIGHLIGHTED IN 5602 04:06:43,135 --> 04:06:47,106 THE RMI AND IMPLEMENTED HERE IN 5603 04:06:47,106 --> 04:06:48,774 ARKANSAS. 5604 04:06:48,774 --> 04:06:59,185 THROUGH THIS PROJECT -- 5605 04:06:59,818 --> 04:07:00,986 VEGETABLES ARE HARD TO ACCESS 5606 04:07:00,986 --> 04:07:04,723 FROM THE RMI AND FOODS WITH HIGH 5607 04:07:04,723 --> 04:07:08,594 CARBS ARE FOUND IN TEENA, SMAM 5608 04:07:08,594 --> 04:07:10,563 AND RICE WHICH IS THE DAILY 5609 04:07:10,563 --> 04:07:16,268 NORMS OF THE DIE OAT. 5610 04:07:16,268 --> 04:07:26,946 ALTHOUSTUDIES SHOW A POSITIVE 5611 04:07:28,814 --> 04:07:29,848 IMPROVEMENT IN ARKANSAS AND 5612 04:07:29,848 --> 04:07:30,716 OTHER STATES. 5613 04:07:30,716 --> 04:07:34,386 THIS IS EVIDENT BY LIFESTYLE 5614 04:07:34,386 --> 04:07:36,555 CHANGE, PORTION CONTROL WITH 5615 04:07:36,555 --> 04:07:39,625 FOOD MY CARB -- REDUCTION 6 FOOD 5616 04:07:39,625 --> 04:07:45,898 HIGH IN CARBS AND SUGAR AND A 1 5617 04:07:45,898 --> 04:07:50,970 C. 5618 04:07:50,970 --> 04:07:52,271 NEXT SLIDE, PLEASE. 5619 04:07:52,271 --> 04:07:54,573 TO BETTER UNDERSTAND THE 5620 04:07:54,573 --> 04:07:57,142 COMMUNITIES, WE USE A 5621 04:07:57,142 --> 04:07:58,244 COMMUNITY-BASED PARTICIPATORY 5622 04:07:58,244 --> 04:08:00,145 APPROACH THAT INVOLVES THE 5623 04:08:00,145 --> 04:08:01,180 COMMUNITY IN THE DEVELOPMENT OF 5624 04:08:01,180 --> 04:08:02,181 OUR PROGRAM. 5625 04:08:02,181 --> 04:08:03,716 THIS HELPS BUILD TRUST 5626 04:08:03,716 --> 04:08:05,618 ESPECIALLY IN RELATIONSHIP WHILE 5627 04:08:05,618 --> 04:08:06,719 CREATING PROGRAMS THAT ARE 5628 04:08:06,719 --> 04:08:08,587 EFFECTIVE AND ENJOYABLE FOR THE 5629 04:08:08,587 --> 04:08:10,656 COMMUNITIES TO BE INVOLVED. 5630 04:08:10,656 --> 04:08:12,191 CREATING AND SUPPORTING PROGRAM 5631 04:08:12,191 --> 04:08:18,063 TO FILL IN THE GAP IN RESOURCES 5632 04:08:18,063 --> 04:08:23,202 BY PORING A, WE NEED TO HAVE THE 5633 04:08:23,202 --> 04:08:26,338 FAIRNESS ACT, HEALTH WORKERS, 5634 04:08:26,338 --> 04:08:29,275 HEALTHY START AND OTHER THINGS 5635 04:08:29,275 --> 04:08:31,377 RELATED TO THE WELFARE ACT. 5636 04:08:31,377 --> 04:08:33,312 TO CONTINUE TO FILL IN THE TBAP, 5637 04:08:33,312 --> 04:08:34,813 WE NEED TO WORK TO UNDERSTAND 5638 04:08:34,813 --> 04:08:37,116 AND EFFECTIVELY ADDRESS HEALTH 5639 04:08:37,116 --> 04:08:40,519 DISPARITIES AND THIS INCLUDES 5640 04:08:40,519 --> 04:08:42,655 MONITORING FOR HYPERTENSION AND 5641 04:08:42,655 --> 04:08:44,957 DIABETES PATIENTS AND DELIVERY 5642 04:08:44,957 --> 04:08:48,227 SYSTEM AND CREATING AND REFINING 5643 04:08:48,227 --> 04:08:50,863 NUTRITION EDUCATION PROGRAM. 5644 04:08:50,863 --> 04:08:56,735 IT WILL BE A TWRE HELP FOR THE 5645 04:08:56,735 --> 04:08:58,170 MARSHALLESE IN NORTHWEST 5646 04:08:58,170 --> 04:09:00,339 ARKANSAS AS WELL AS OTHER STATES 5647 04:09:00,339 --> 04:09:05,811 TO BE SUPPORTIVE WITH THE FARM 5648 04:09:05,811 --> 04:09:09,148 BILL ACT TO RESTORE THE BENEFITS 5649 04:09:09,148 --> 04:09:11,784 OF THE LEGAL IMMIGRANTS AND THAT 5650 04:09:11,784 --> 04:09:12,418 INCLUDES SNAP. 5651 04:09:12,418 --> 04:09:16,622 THANK YOU FOR YOUR TIME AND FOR 5652 04:09:16,622 --> 04:09:18,257 THIS OPPORTUNITY TO PRESENT. 5653 04:09:18,257 --> 04:09:20,893 NEXT SLIDE. 5654 04:09:20,893 --> 04:09:23,095 >> THANK YOU FOR THAT EXCELLENT 5655 04:09:23,095 --> 04:09:26,098 AND INFORMATIVE PRESENTATION 5656 04:09:26,098 --> 04:09:28,934 HIGHLIGHTING THE HISTORY SVELTE 5657 04:09:28,934 --> 04:09:31,370 THE CURRENT ISSUES FACED BY THIS 5658 04:09:31,370 --> 04:09:33,339 POPULATION. 5659 04:09:33,339 --> 04:09:38,077 NEXT PRESENTATION IS BY DR. 5660 04:09:38,077 --> 04:09:38,377 KALUDA. 5661 04:09:38,377 --> 04:09:41,146 THIS PRESENTATION IS TITLED 5662 04:09:41,146 --> 04:09:44,316 SOCIAL CULTURAL FACTORINGS AND 5663 04:09:44,316 --> 04:09:46,385 INTERVENTION AS AMONG SOUTH 5664 04:09:46,385 --> 04:09:51,390 ASIAN IMMIGRANTS. 5665 04:09:51,390 --> 04:09:54,660 SHE IS IN GENDER MEDICINE AND A 5666 04:09:54,660 --> 04:09:56,662 PRIMARY CARE PHYSICIAN. 5667 04:09:56,662 --> 04:09:58,097 SHE'S INTERNATIONALLY KNOWN FOR 5668 04:09:58,097 --> 04:10:02,935 RESEARCH ON SOUTH ASIAN 5669 04:10:02,935 --> 04:10:04,903 CARDIOVASCULAR HEALTH AND 5670 04:10:04,903 --> 04:10:12,044 RESEARCH TO HELP DISPARITIES. 5671 04:10:12,044 --> 04:10:14,880 >> THANK YOU DR. RAJ. 5672 04:10:14,880 --> 04:10:16,982 CAN I PLEASE HAVE THE NEXT 5673 04:10:16,982 --> 04:10:17,916 SLIDE? 5674 04:10:17,916 --> 04:10:22,554 I WANT TO THANK THE NHLDI AND 5675 04:10:22,554 --> 04:10:24,390 NCI FOR PUTTING TOGETHER THIS 5676 04:10:24,390 --> 04:10:25,691 WORKSHOP. 5677 04:10:25,691 --> 04:10:29,862 I ENJOYED THE VIDEOS AND COOKING 5678 04:10:29,862 --> 04:10:31,063 DEMONSTRATIONS. 5679 04:10:31,063 --> 04:10:33,165 NEXT SLIDE. 5680 04:10:33,165 --> 04:10:36,335 I HAVE NO RELEVANT FINANCIAL 5681 04:10:36,335 --> 04:10:39,738 RELATIONSHIPS TO DISCLOSE. 5682 04:10:39,738 --> 04:10:42,841 OBJECTIVES OF THIS TALK ARE TO 5683 04:10:42,841 --> 04:10:45,144 REVIEW FOODWAYS, CULTURAL 5684 04:10:45,144 --> 04:10:48,414 CONTACTS AND LINKS WITH 5685 04:10:48,414 --> 04:10:49,448 CARDIOMETABOLIC HEALTH AND TO 5686 04:10:49,448 --> 04:10:51,784 DESCRIBE THE EVIDENCE-BASED 5687 04:10:51,784 --> 04:10:55,421 DIETARY COUNSELING INTERVENTION 5688 04:10:55,421 --> 04:10:58,690 IN THE PREVENTION TRIAL AND TO 5689 04:10:58,690 --> 04:11:01,660 IDENTIFY GAPS AND OPPORTUNITIES 5690 04:11:01,660 --> 04:11:04,463 IN RESEARCH OF EVIDENCE-BASED 5691 04:11:04,463 --> 04:11:07,299 DIETARY APPROACHES TO IMPROVE 5692 04:11:07,299 --> 04:11:10,169 HEALTH IN CULTURALLY DIVERSE 5693 04:11:10,169 --> 04:11:10,936 POPULATIONS. 5694 04:11:10,936 --> 04:11:13,005 INDIVIDUALS OF SOUTH ASIAN 5695 04:11:13,005 --> 04:11:14,440 BACKGROUND IN THE UNITED STATES 5696 04:11:14,440 --> 04:11:16,008 REPRESENT MANY DIFFERENT 5697 04:11:16,008 --> 04:11:22,147 COUNTRIES SUCH A AS BANGLADESH 5698 04:11:22,147 --> 04:11:24,883 SRI LANKAA AND BERMA. 5699 04:11:24,883 --> 04:11:28,120 THIS REFLECTS IDENTITY, CULTURE, 5700 04:11:28,120 --> 04:11:29,121 RELIGION, MIGRATION AND CHANGE 5701 04:11:29,121 --> 04:11:31,123 THAT COMES WITH MIGRATION. 5702 04:11:31,123 --> 04:11:36,862 IT'S AN EXTREMELY HET R HETEROGS 5703 04:11:36,862 --> 04:11:40,666 POPULATION AND IS -- ONE OF THE 5704 04:11:40,666 --> 04:11:43,469 LARGEST DIASPORAS IN THE WORLD. 5705 04:11:43,469 --> 04:11:46,939 IN SOUTH ASIAN CULTURES, WE INTO 5706 04:11:46,939 --> 04:11:49,575 IELDITY VALU VALUES AND NORMS AE 5707 04:11:49,575 --> 04:11:49,908 TIED TO FOOD. 5708 04:11:49,908 --> 04:11:52,511 THIS IS SA CROSS ALL CULTURES. 5709 04:11:52,511 --> 04:11:57,216 MANY SOUTH ASIAN LANGUAGES USE 5710 04:11:57,216 --> 04:12:01,220 THE WORD THAT MEANS FOOD, MEAL 5711 04:12:01,220 --> 04:12:03,388 AND MOST IMPORTANTLY ENJOYMENT. 5712 04:12:03,388 --> 04:12:05,691 THAT'S THE THEME THAT I THINK 5713 04:12:05,691 --> 04:12:08,427 WE'VE HEARD FROM SEVERAL PEOPLE 5714 04:12:08,427 --> 04:12:12,297 IS THAT A LOT OF THE 5715 04:12:12,297 --> 04:12:14,533 INTERCEPTIONS MAYBE MORE 5716 04:12:14,533 --> 04:12:15,701 EFFECTIVE IF WE CAN GET PEOPLE 5717 04:12:15,701 --> 04:12:18,170 TO ENJOY THEIR FOOD RATHER THAN 5718 04:12:18,170 --> 04:12:20,038 MAKING THEM FEEL WE'RE TRYING TO 5719 04:12:20,038 --> 04:12:21,139 TAKE ZAG WAY FROM THEM. 5720 04:12:21,139 --> 04:12:22,541 IT'S IMPORTANT O RECOGNIZE THAT 5721 04:12:22,541 --> 04:12:24,810 PEOPLE HAVE INTERSECTING 5722 04:12:24,810 --> 04:12:26,044 IDENTITIES IN THEIR RELIGION AND 5723 04:12:26,044 --> 04:12:27,880 THE REGION THEY COME FROM 234 5724 04:12:27,880 --> 04:12:30,916 SOUTH ASIA, GENDER AND 5725 04:12:30,916 --> 04:12:32,417 ACCULTURATION ALL OF THESE 5726 04:12:32,417 --> 04:12:33,719 THINGS INFORM THEIR FOOD 5727 04:12:33,719 --> 04:12:35,020 PRACTICES. 5728 04:12:35,020 --> 04:12:38,457 IN SOUTH ASIA, THEY HAVE 5729 04:12:38,457 --> 04:12:39,424 IMPORTANCE EVER COMMUNITY AND 5730 04:12:39,424 --> 04:12:41,560 FAMILY ARE CORE VALUES. 5731 04:12:41,560 --> 04:12:45,264 IN ADDITION, THERE ARE ANCIENT 5732 04:12:45,264 --> 04:12:48,901 PRACTICES OF MEDICINE WHERE FOOD 5733 04:12:48,901 --> 04:12:54,306 CONSUMPTION I IS LINKED TO 5734 04:12:54,306 --> 04:12:55,908 WELL-BEING AND BALANCE. 5735 04:12:55,908 --> 04:12:58,343 WE LEARNED FROM OUR COMMUNITY 5736 04:12:58,343 --> 04:13:01,847 THAT SWEETS HAVE AN IMPORTANT 5737 04:13:01,847 --> 04:13:03,649 ROLE BECAUSE THEY'RE OFTEN 5738 04:13:03,649 --> 04:13:05,250 SERVED IN CELEBRATIONS. 5739 04:13:05,250 --> 04:13:09,755 NEXT SLIDE. 5740 04:13:09,755 --> 04:13:11,790 THERE ARE MANY SCHALS TO 5741 04:13:11,790 --> 04:13:13,225 UNDERSTANDING THE HEALTH OF 5742 04:13:13,225 --> 04:13:15,961 HAPPY COMMUNITIES IN THE UNITED 5743 04:13:15,961 --> 04:13:16,428 STATES. 5744 04:13:16,428 --> 04:13:19,031 BUT THAT IS CHANGING AND RECENT 5745 04:13:19,031 --> 04:13:23,602 WORK HAS SHOWN THAT SOUTH ASIAN 5746 04:13:23,602 --> 04:13:26,805 AMERICANS EXPERIENCE CARD 5747 04:13:26,805 --> 04:13:34,780 SLARVECARDIOVASCULAR DISPARITIE. 5748 04:13:34,780 --> 04:13:36,882 ASIAN INDIANS BOTH MINUTE AND 5749 04:13:36,882 --> 04:13:39,585 WOMEN HAVE SOME OF THE HIGH ESES 5750 04:13:39,585 --> 04:13:42,754 RATES OF CORONARY DRUSH HIGHEST 5751 04:13:42,754 --> 04:13:45,357 CASES EVER CORONARY HEART 5752 04:13:45,357 --> 04:13:51,797 DISEASE AND STROKE. 5753 04:13:51,797 --> 04:13:53,765 SO SINCE 2010, WE'VE BEEN 5754 04:13:53,765 --> 04:13:56,335 FOLLOWING A COHORLT OF SOUTH 5755 04:13:56,335 --> 04:13:59,871 ASIAN IMMIGRANTS IN THE UNITED 5756 04:13:59,871 --> 04:14:03,241 STATES. 5757 04:14:03,241 --> 04:14:05,143 AND PARTICIPANTS -- OVER A 5758 04:14:05,143 --> 04:14:05,911 THOUSAND PARTICIPANTS WHO HAVE 5759 04:14:05,911 --> 04:14:08,080 BEEN ADMINISTERED A FOOD 5760 04:14:08,080 --> 04:14:08,981 FREQUENCY QUESTIONNAIRE. 5761 04:14:08,981 --> 04:14:12,584 WE WERE ABLE TO DERIVE SEVERAL 5762 04:14:12,584 --> 04:14:13,852 DIETARY PATTERNS THAT ARE 5763 04:14:13,852 --> 04:14:14,152 INTERESTING. 5764 04:14:14,152 --> 04:14:16,955 THIS IS THE FIRST DESCRIPTION OF 5765 04:14:16,955 --> 04:14:18,991 SOUTH ASIAN DIETARY PATTERNS. 5766 04:14:18,991 --> 04:14:22,094 THREE OF THE DIETARY PATTERNS 5767 04:14:22,094 --> 04:14:25,731 THAT WE DERIVED WASSEN MALL 5768 04:14:25,731 --> 04:14:27,265 PROTEIN PATTERN THAT INCLUDED 5769 04:14:27,265 --> 04:14:31,003 MORE WESTERN-TYPES EVER FOODS. 5770 04:14:31,003 --> 04:14:34,806 HIGH FAT DAIRY PATTERN EVER 5771 04:14:34,806 --> 04:14:36,975 SOUTH ASIAN FOODS AND ANOTHER 5772 04:14:36,975 --> 04:14:39,478 DIETARY PATTERN WAY WAS SOUTH 5773 04:14:39,478 --> 04:14:41,680 ASIAN FOODS THAT WE CALL FRUITS 5774 04:14:41,680 --> 04:14:48,654 AND VEGETABLES NUTS AND LEDGE L. 5775 04:14:48,654 --> 04:14:51,523 A THIRD OF OUR SAMPLE BELONGED 5776 04:14:51,523 --> 04:14:52,658 TO EACH OF THESE. 5777 04:14:52,658 --> 04:14:54,626 WE LEARNED THAT EACH OF THESE 5778 04:14:54,626 --> 04:14:58,463 DIFFERENT DIETARY PATTERNS WERE 5779 04:14:58,463 --> 04:15:00,666 DIFFERENTLY ASSOCIATED WITH 5780 04:15:00,666 --> 04:15:02,134 CARDIOMETABOLIC DISEASE WITH THE 5781 04:15:02,134 --> 04:15:05,971 ANIMAL PROTEIN AND FRIED SNACKS 5782 04:15:05,971 --> 04:15:09,574 BEING ASSOCIATED WITH WOWRS 5783 04:15:09,574 --> 04:15:12,911 METABOLIC HEALTH AND NUTS AND 5784 04:15:12,911 --> 04:15:13,912 LEGUMES BEING ASSOCIATED WITH 5785 04:15:13,912 --> 04:15:14,813 BETTER HEALTH. 5786 04:15:14,813 --> 04:15:16,214 AN IMPORTANT THING O POINT OUT 5787 04:15:16,214 --> 04:15:20,585 HERE IS THAT BOTH BOTTOM TWO 5788 04:15:20,585 --> 04:15:22,854 WERE PREDOMINANTLY VEGETARIAN 5789 04:15:22,854 --> 04:15:24,389 APPARENTS BUT IT DOESN'T MEAN 5790 04:15:24,389 --> 04:15:27,893 THAT ALL VEGETARIAN DIETS ARE 5791 04:15:27,893 --> 04:15:29,294 ASSOCIATED WITH BETTER HEALTH 5792 04:15:29,294 --> 04:15:31,363 AND THAT'S AN IMPORTANT MESSAGE 5793 04:15:31,363 --> 04:15:32,097 TO TALK ABOUT WITHIN OUR 5794 04:15:32,097 --> 04:15:33,999 COMMUNITY. 5795 04:15:33,999 --> 04:15:36,702 NEXT SLIDE. 5796 04:15:36,702 --> 04:15:42,107 USING THE FOOD FREQUENTLY 5797 04:15:42,107 --> 04:15:43,975 QUESTIONNAIRE, THERE WAS A 5798 04:15:43,975 --> 04:15:47,212 HEALTHFUL PLANT-BASED DIETARY 5799 04:15:47,212 --> 04:15:50,015 PATTERN AND FOUND THAT A HEALTHY 5800 04:15:50,015 --> 04:15:51,850 PATTERN WAS ASSOCIATED FROM OUR 5801 04:15:51,850 --> 04:15:55,353 COHORT WITH LESS FATLY LIVER AND 5802 04:15:55,353 --> 04:15:58,490 LESS OBESITY AND LOWER RISK FOR 5803 04:15:58,490 --> 04:15:59,591 TYPE 2 DIABETES. 5804 04:15:59,591 --> 04:16:01,560 RECOGNIZING THAT NOT ALL 5805 04:16:01,560 --> 04:16:04,296 VEGETARIAN DIETS ARE CREATED 5806 04:16:04,296 --> 04:16:04,730 EQUAL. 5807 04:16:04,730 --> 04:16:08,967 THERE IS A HIGH REV LENS OF 5808 04:16:08,967 --> 04:16:10,502 VEGETARIANISM IN SOME SOUTH 5809 04:16:10,502 --> 04:16:11,470 ASIAN COMMUNITIES. 5810 04:16:11,470 --> 04:16:15,941 CAN YOU ADVANCE THIS. 5811 04:16:15,941 --> 04:16:21,813 SO WE USE A CONCEPTIONAL 5812 04:16:21,813 --> 04:16:24,049 FRAMEWORK OF DRIVERS THAT 5813 04:16:24,049 --> 04:16:25,751 INFLUENCE DIET AND OTHER 5814 04:16:25,751 --> 04:16:26,985 BEHAVIORS RECOGNIZING THAT THERE 5815 04:16:26,985 --> 04:16:29,688 ARE SOCIAL AND CULTURAL FACTORS. 5816 04:16:29,688 --> 04:16:32,124 THE IMPORTANCE OF IMMIGRATION AS 5817 04:16:32,124 --> 04:16:34,960 WELL AS ENVIRONMENTAL FACTORS 5818 04:16:34,960 --> 04:16:38,196 AND ALL OF THESE THINGS 5819 04:16:38,196 --> 04:16:40,465 INFLUENCE INDIVIDUALS, 5820 04:16:40,465 --> 04:16:41,900 COMMUNITIES, SOCIAL NETWORKS AND 5821 04:16:41,900 --> 04:16:52,911 FAMILIES, HOW THEY A CU A CULTE 5822 04:16:56,848 --> 04:16:57,916 AND AFFECT PATTERNS. 5823 04:16:57,916 --> 04:17:01,086 WE EULS THAT FRAMEWORKING TO 5824 04:17:01,086 --> 04:17:07,359 INVESTIGATE AND -- WE USE THAT T 5825 04:17:07,359 --> 04:17:10,295 TO DETERMINE THEIR PATTERN. 5826 04:17:10,295 --> 04:17:13,064 THEY NEED FRUITS AND VEGETABLES 5827 04:17:13,064 --> 04:17:17,002 1K8 HEALTHY PROTEINS, NUTS, FISH 5828 04:17:17,002 --> 04:17:20,572 AND SEA FOOD, LOW-FAT DAIRY, 5829 04:17:20,572 --> 04:17:24,176 VEGETABLE OILS, MINIMUM CLI 5830 04:17:24,176 --> 04:17:26,812 PROCESSED FOODS AND LIMITING 5831 04:17:26,812 --> 04:17:29,214 SALT AND PROCESSED SUGARS. 5832 04:17:29,214 --> 04:17:31,383 WINDOW TOOK THIS PATTERN AND 5833 04:17:31,383 --> 04:17:33,585 WORKED WITH COMMUNITY MEMBERS 5834 04:17:33,585 --> 04:17:37,122 THROUGH A MULTI-SECTOR ENGAGE 5835 04:17:37,122 --> 04:17:39,124 THE PARTNERSHIP TO THINK ABOUT 5836 04:17:39,124 --> 04:17:40,859 HOW DO WE TAKE THIS INFORMATION 5837 04:17:40,859 --> 04:17:44,830 AND ADAPT IT INTO A BEHAVIORAL 5838 04:17:44,830 --> 04:17:47,866 COUNSELING PROGRAM FOR THE SOUTH 5839 04:17:47,866 --> 04:17:49,134 ASIAN COMMUNITY? 5840 04:17:49,134 --> 04:17:51,736 NEXT SLIDE. 5841 04:17:51,736 --> 04:17:54,206 THE COMMUNITY INVOLVEMENT AND 5842 04:17:54,206 --> 04:17:55,574 CULTURAL ADAPTATION IN THE 5843 04:17:55,574 --> 04:17:59,010 DESIGN OF OUR CURRICULUM 5844 04:17:59,010 --> 04:18:00,078 MANIFESTED IN SEVERAL DIFFERENT 5845 04:18:00,078 --> 04:18:00,512 WAYS. 5846 04:18:00,512 --> 04:18:01,713 WE HAD COMMUNITY MEMBERS 5847 04:18:01,713 --> 04:18:04,149 INVOLVED IN ITERATIVE FEEDBACK 5848 04:18:04,149 --> 04:18:06,751 SESSIONS SORT OF LIKE A USER 5849 04:18:06,751 --> 04:18:09,454 CENTER DESIGNER PROSES AND BETA 5850 04:18:09,454 --> 04:18:10,789 TESTING. 5851 04:18:10,789 --> 04:18:12,257 WE HAVE SEVERAL DIFFERENT 5852 04:18:12,257 --> 04:18:13,558 COMMUNITY PARTNERS AND THEIR 5853 04:18:13,558 --> 04:18:16,628 STAFF AND LEADERSHIP PROVIDED 5854 04:18:16,628 --> 04:18:22,334 INPUT ON THE DESIGN OFFER -- 5855 04:18:22,334 --> 04:18:24,636 >> TWO MINUTES REPLAINING. 5856 04:18:24,636 --> 04:18:26,238 >> THEY PARTICIPATED IN A 5857 04:18:26,238 --> 04:18:28,607 PROCESS EVALUATION AND WE HAD 5858 04:18:28,607 --> 04:18:30,141 STAKEHOLDER ADVISORY RESOURCE 5859 04:18:30,141 --> 04:18:33,445 PANELS THAT GAVE US FEEDBACK. 5860 04:18:33,445 --> 04:18:38,383 SO THE SAHELEO I CURRICULUM, 5861 04:18:38,383 --> 04:18:48,927 THIS WAS A TRIAL FUNDED BY NIH. 5862 04:18:54,466 --> 04:18:56,034 ONE EXAMPLE IS THE MESSAGE 5863 04:18:56,034 --> 04:18:58,103 STEREO EAT MORE WHOLE GRAINS. 5864 04:18:58,103 --> 04:19:00,839 WE EVER A SESSION FOCUSED ON THE 5865 04:19:00,839 --> 04:19:03,275 WHOLE GRAINS THAT THEY MIGHT USE 5866 04:19:03,275 --> 04:19:05,510 TO CREATE SOUTH ASIAN DISHES AND 5867 04:19:05,510 --> 04:19:07,913 DO A GROCERY STORE TOUR TO FIND 5868 04:19:07,913 --> 04:19:09,481 THOSE TYPES EVER WHOLE GRAINS. 5869 04:19:09,481 --> 04:19:11,983 IN ADDITION, WE TRY TO FOCUS ON 5870 04:19:11,983 --> 04:19:13,785 SOME OF THE STRESSORS AS WELL AS 5871 04:19:13,785 --> 04:19:16,988 HOW IMMIGRATION MIGHT AFFECT 5872 04:19:16,988 --> 04:19:18,857 PEOPLE'S DIETARY PATTERN. 5873 04:19:18,857 --> 04:19:22,494 NEXT SLIDE. 5874 04:19:22,494 --> 04:19:26,031 WE ALSO HAD AK EXPECTS OF 5875 04:19:26,031 --> 04:19:29,301 SERVICE A DAP STATION SUCH AS 5876 04:19:29,301 --> 04:19:30,068 RE-THINK YOUR DRINK. 5877 04:19:30,068 --> 04:19:34,306 WE SHOWED THE SUGAR IN BEVERAGES 5878 04:19:34,306 --> 04:19:36,841 WE INCLUDED SOUTH ASIAN SPECIFIC 5879 04:19:36,841 --> 04:19:37,175 DRINKS. 5880 04:19:37,175 --> 04:19:39,678 WE HAVE A HEALTHY PLATE EXERCISE 5881 04:19:39,678 --> 04:19:45,750 WHERE WE VEE EVALUATE THE 5882 04:19:45,750 --> 04:19:46,851 NUTRITIONAL CONTENT. 5883 04:19:46,851 --> 04:19:49,120 AND WE HAVE DEEPER ADAPTATIONS 5884 04:19:49,120 --> 04:19:51,022 WHERE WE TRY TO CREATE DIETARY 5885 04:19:51,022 --> 04:19:53,758 MESSAGES BUT RECOGNIZING THAT 5886 04:19:53,758 --> 04:19:55,327 THEY CAN CON SNRICT WITH 5887 04:19:55,327 --> 04:19:57,329 BELIEVES, KNOWLEDGE, FAMILY AND 5888 04:19:57,329 --> 04:19:59,297 COMMUNITY AND MAKING SURE THAT 5889 04:19:59,297 --> 04:20:00,932 MESSAGING IS RESPECTFUL AND THAT 5890 04:20:00,932 --> 04:20:03,768 THE GROUPS ARE TALKING ABOUT HOW 5891 04:20:03,768 --> 04:20:05,737 THEIR SOCIAL, MISSER TO CAL, 5892 04:20:05,737 --> 04:20:09,007 RELIGIOUS AND COMMUNITY CONTEXT 5893 04:20:09,007 --> 04:20:11,409 INFLUENCE THE FOODS OFFER OFFERD 5894 04:20:11,409 --> 04:20:15,246 SCEUNLED AND HOW THE 5895 04:20:15,246 --> 04:20:16,014 MULTI-GENERATIONAL RELATIONSHIPS 5896 04:20:16,014 --> 04:20:17,315 AND COMMUNITY STRENGTHS 5897 04:20:17,315 --> 04:20:18,950 INFLUENCE OUR HEALTH AND 5898 04:20:18,950 --> 04:20:21,686 FOODWAYS. 5899 04:20:21,686 --> 04:20:23,588 THESE ARE SOME EXAMPLES OF 5900 04:20:23,588 --> 04:20:24,689 COMMUNITY KNOWLEDGE AND 5901 04:20:24,689 --> 04:20:27,525 PRACTICES THAT CAME OUT OF OUR 5902 04:20:27,525 --> 04:20:30,395 GROUP SESSIONS. 5903 04:20:30,395 --> 04:20:33,898 THERE WERE MEDICINAL DIETARY 5904 04:20:33,898 --> 04:20:39,204 PRINCE SUCH AS USING JINGER AND 5905 04:20:39,204 --> 04:20:41,339 BLACK PEPPER AND GARLIC. 5906 04:20:41,339 --> 04:20:44,843 THEY HAVE A LADY SECTION. 5907 04:20:44,843 --> 04:20:45,844 THERE ARE SWEETS. 5908 04:20:45,844 --> 04:20:48,113 THE IMPORTANCE OF SERVING GOOD 5909 04:20:48,113 --> 04:20:49,714 FOOD AT A FESTIVAL OR AT A 5910 04:20:49,714 --> 04:20:50,181 PARTY. 5911 04:20:50,181 --> 04:20:52,584 IF YOU ONLY HAVE VEGETABLES AT 5912 04:20:52,584 --> 04:20:55,186 YOUR PARTY, NOBODY WILL COME TO 5913 04:20:55,186 --> 04:20:56,821 YOUR HOUSE AND HOW CAN YOU FAST 5914 04:20:56,821 --> 04:21:00,058 IN A HEALTHY WAY? 5915 04:21:00,058 --> 04:21:02,060 FASTING IS AN IMPORTANT PRACTICE 5916 04:21:02,060 --> 04:21:03,194 IN THE SOUTH ASIAN COMMUNITY. 5917 04:21:03,194 --> 04:21:05,430 I'M GOING TO CONCLUDE WITH 5918 04:21:05,430 --> 04:21:06,498 SEVERAL GAPS AND OPPORTUNITIES 5919 04:21:06,498 --> 04:21:09,567 THAT I THINK HAVE EMERG EMERGEDM 5920 04:21:09,567 --> 04:21:12,404 MY EXPERIENCE IN THE CLINICAL 5921 04:21:12,404 --> 04:21:15,807 TRIAL AS WELL AS MY RESEARCH. 5922 04:21:15,807 --> 04:21:20,311 IS CULTURAL ADAPTATION 5923 04:21:20,311 --> 04:21:20,578 EFFECTIVE? 5924 04:21:20,578 --> 04:21:23,748 HOW DO WE MONITOR NON-WESTERN 5925 04:21:23,748 --> 04:21:26,184 DIETARY PATTERNS IN TERMS OF 5926 04:21:26,184 --> 04:21:27,485 SELF-MONITORING AND BEE MAY 5927 04:21:27,485 --> 04:21:28,586 HAVIER CHANGE? 5928 04:21:28,586 --> 04:21:31,823 WHAT IS THE ROLE OF DIETARY 5929 04:21:31,823 --> 04:21:33,992 CHANGE AND CAN WE MOVE BEYOND 5930 04:21:33,992 --> 04:21:35,894 WESTERN EVIDENCE-BASED MODELS 5931 04:21:35,894 --> 04:21:38,063 AND MOVE TO OAL RATE ISING 5932 04:21:38,063 --> 04:21:39,431 CULTURAL KNOWLEDGE THAT IS VERY 5933 04:21:39,431 --> 04:21:41,966 DEEP AND USING TRADITIONAL 5934 04:21:41,966 --> 04:21:43,568 MODELS FL HEALTH. 5935 04:21:43,568 --> 04:21:48,706 AND HOW DO TO DESIGN STRUCTURAL 5936 04:21:48,706 --> 04:21:50,241 INTERVENTIONS TO FOCUS MORE ON 5937 04:21:50,241 --> 04:21:52,310 OUR ENVIRONMENT AND POLICIES TO 5938 04:21:52,310 --> 04:21:55,513 MAKE SURE THAT IMMIGRANT 5939 04:21:55,513 --> 04:21:57,315 COMMUNITIES HAVE ACCESS TO 5940 04:21:57,315 --> 04:21:58,316 HEALTHY FOODS AND HEALTH 5941 04:21:58,316 --> 04:21:58,950 INFORMATION. 5942 04:21:58,950 --> 04:22:01,319 THANK YOU SO MUCH. 5943 04:22:01,319 --> 04:22:03,755 I WANT TO ACKNOWLEDGE -- NEXT 5944 04:22:03,755 --> 04:22:05,156 SLIDE -- I WANT TO ACKNOWLEDGE 5945 04:22:05,156 --> 04:22:07,525 ALL THE COMMUNITY PARTNERS AND 5946 04:22:07,525 --> 04:22:08,526 OUR STUDY PARTICIPANTS AND MY 5947 04:22:08,526 --> 04:22:10,762 TEAM THAT MAKE THIS WORK A JOY 5948 04:22:10,762 --> 04:22:15,300 EVERY DAY. 5949 04:22:15,300 --> 04:22:18,736 >> THANK YOU FOR THAT EXCELLENT 5950 04:22:18,736 --> 04:22:19,571 PRESENTATION. 5951 04:22:19,571 --> 04:22:27,879 OUR NEXT PRESENTATION IS BY DR. 5952 04:22:27,879 --> 04:22:29,948 MING-CHIN YEH. 5953 04:22:29,948 --> 04:22:33,651 HIS PRESENTATION IS ON CULTURAL 5954 04:22:33,651 --> 04:22:41,426 LINGUIST ILINGUISTIC ADAPTATIONB 5955 04:22:41,426 --> 04:22:44,195 BASED DIABETES PREVENTION 5956 04:22:44,195 --> 04:22:46,397 PROGRAM IN CHINESE AMERICANS. 5957 04:22:46,397 --> 04:22:48,366 HE HAS STRATEGIES FOR HEALTH 5958 04:22:48,366 --> 04:22:50,335 PROMOTION AND CHRONIC DISEASE 5959 04:22:50,335 --> 04:22:51,703 PREVENTION. 5960 04:22:51,703 --> 04:22:53,171 WELCOME, DR. YEH. 5961 04:22:53,171 --> 04:22:54,572 >> THANK YOU. 5962 04:22:54,572 --> 04:22:56,074 IT'S GREAT TO BE HERE TO SHARE 5963 04:22:56,074 --> 04:22:59,144 WITH YOU THE GROUP MY SEARCH ON 5964 04:22:59,144 --> 04:23:07,552 THE CULTURE AND LINGUISTIC FOR 5965 04:23:07,552 --> 04:23:08,887 CHINESE AMERICANS SPECIFICALLY 5966 04:23:08,887 --> 04:23:12,824 HERE IN NEW YORK CITY. 5967 04:23:12,824 --> 04:23:23,168 NEXT SLIDE, PLEASE. 5968 04:23:25,370 --> 04:23:28,540 I WANT TO PROVIDE INFORMATION ON 5969 04:23:28,540 --> 04:23:29,741 CONVENTIONAL PROGRAM DESIGNS. 5970 04:23:29,741 --> 04:23:35,547 IT STARTED OUTS RANDOMIZED 5971 04:23:35,547 --> 04:23:39,484 CONTROL. 5972 04:23:39,484 --> 04:23:41,953 IT AIMS TO PREVENT OR DELAY THE 5973 04:23:41,953 --> 04:23:44,455 ON SET OF DIABETES AT HIGH-RISK 5974 04:23:44,455 --> 04:23:48,326 POPULATIONS AND THE GOALS OF THE 5975 04:23:48,326 --> 04:23:53,998 ORIGINAL IS TO ACHIEVE 7% WEIGHT 5976 04:23:53,998 --> 04:23:54,365 LOSS. 5977 04:23:54,365 --> 04:23:56,901 WE CAN DISCUSS ABOUT THIS. 5978 04:23:56,901 --> 04:23:59,637 AND ANOTHER GOAL IS TO A SCHEEF 5979 04:23:59,637 --> 04:24:02,640 AT LEAST 150 MINUTES OF PHYSICAL 5980 04:24:02,640 --> 04:24:06,945 CAL ACTIVITIES HER WEEK. 5981 04:24:06,945 --> 04:24:11,916 THE RESULT OF THE DPP HAS BEEN 5982 04:24:11,916 --> 04:24:14,319 PUBLISHED IN THE "NEW ENGLAND 5983 04:24:14,319 --> 04:24:15,753 JOURNAL OF MEDICINE" IN 2022. 5984 04:24:15,753 --> 04:24:23,661 IT SHOWS THAT IT WILL REDUCED 5985 04:24:23,661 --> 04:24:32,303 DIABETES BY 58% AND THE 5986 04:24:32,303 --> 04:24:39,277 METFOREMAN WAS 32%. 5987 04:24:39,277 --> 04:24:42,280 THIS IS ONE OF THE FIRST STUDIES 5988 04:24:42,280 --> 04:24:45,883 SHOWING THAT LIFESTYLE 5989 04:24:45,883 --> 04:24:47,252 INTERVENTION DID BETTER THAN THE 5990 04:24:47,252 --> 04:24:48,319 DRUG GROUP. 5991 04:24:48,319 --> 04:24:51,122 WHAT MAKES THE LIFESTYLE 5992 04:24:51,122 --> 04:24:52,757 INTERVENTION SUPERIOR TO THE 5993 04:24:52,757 --> 04:24:55,693 DRUGS 1234. 5994 04:24:55,693 --> 04:24:58,096 THERE ARE SEVERAL KEY FEATURES. 5995 04:24:58,096 --> 04:24:59,397 FIRST EACH INDIVIDUAL 5996 04:24:59,397 --> 04:25:03,001 PARTICIPANT WERE ASSIGNED A 5997 04:25:03,001 --> 04:25:05,503 LIFESTYLE COACH AND THE DIVE 5998 04:25:05,503 --> 04:25:07,272 STYLE COACH DELIVER THE 5999 04:25:07,272 --> 04:25:11,809 CURRICULUMS ON 1-ON-1 BASIS. 6000 04:25:11,809 --> 04:25:14,345 THE CURRICULUM INCLUDES 16 6001 04:25:14,345 --> 04:25:19,584 WEEKLY SESSIONS AND FOLLOWED BY 6002 04:25:19,584 --> 04:25:22,754 MONTHLY SESSIONS AND IT INCLUDES 6003 04:25:22,754 --> 04:25:28,293 PHYSICAL ACTIVITIES, STRESS 6004 04:25:28,293 --> 04:25:30,094 REDUCTION, AND SUPERVISED 6005 04:25:30,094 --> 04:25:33,231 PHYSICAL ACTIVITY TO INCREASE 6006 04:25:33,231 --> 04:25:36,801 PARNTS PHYSICAL AK -- INCREASE 6007 04:25:36,801 --> 04:25:37,902 PARTICIPANT'S PHYSICAL ACTIVITY 6008 04:25:37,902 --> 04:25:38,670 LEVELS. 6009 04:25:38,670 --> 04:25:41,639 THERE ARE OPTIONS FOR 6010 04:25:41,639 --> 04:25:43,041 PARTICIPANTS. 6011 04:25:43,041 --> 04:25:47,078 THE DIVE STYLE COACH WORKS WITH 6012 04:25:47,078 --> 04:25:49,147 EACH INDIVIDUAL PARTICIPANT TO 6013 04:25:49,147 --> 04:25:50,548 COME UP WITH SOLUTIONS WHERE 6014 04:25:50,548 --> 04:25:52,417 THEY CAN OVERCOME THE CHALLENGES 6015 04:25:52,417 --> 04:25:54,752 WHERE THEY'RE NOT EATING HEALTHY 6016 04:25:54,752 --> 04:25:56,821 OR NOT BEING PHYSICALLY ACTIVE. 6017 04:25:56,821 --> 04:25:59,057 AS YOU CAN SEE FROM THIS 6018 04:25:59,057 --> 04:26:01,693 ORIGINAL APPROACH, IT'S 6019 04:26:01,693 --> 04:26:03,328 INDIVIDUAL-BASED AND VERY 6020 04:26:03,328 --> 04:26:05,830 INTENSIVE AND HIGH COST. 6021 04:26:05,830 --> 04:26:07,465 NEXT SLIDE, PLEASE. 6022 04:26:07,465 --> 04:26:12,103 WHAT WE DO MOVING FORWARD -- HOW 6023 04:26:12,103 --> 04:26:15,106 CAN WE MAKE IT DPP MUCH MORE 6024 04:26:15,106 --> 04:26:15,707 SUSTAINABLE IN THE FUTURE AND 6025 04:26:15,707 --> 04:26:18,710 MAKE IT MORE APPROPRIATE FOR 6026 04:26:18,710 --> 04:26:21,012 CHINESE -- MINORITY POPULATIONS 6027 04:26:21,012 --> 04:26:22,647 SO WE CAN DISSEMINATE OR 6028 04:26:22,647 --> 04:26:24,282 IMPLEMENT IT WILL IN FUTURE 6029 04:26:24,282 --> 04:26:26,918 STUDIES. 6030 04:26:26,918 --> 04:26:32,690 MY FU STUDIES TRY 20 ADDRESS THE 6031 04:26:32,690 --> 04:26:34,859 ISSUES. 6032 04:26:34,859 --> 04:26:38,930 TRY TO ADDRESS THOSE ISSUES. 6033 04:26:38,930 --> 04:26:43,301 THE PROJECTS TRY TO SEE IF WE 6034 04:26:43,301 --> 04:26:46,037 CAN ADOPT AND TRANSLATE A DPP 6035 04:26:46,037 --> 04:26:49,040 KRIM ALUMINUM THAT IS CULTURALLY 6036 04:26:49,040 --> 04:26:51,642 APPROPRIATE AND LINGUISTIC 6037 04:26:51,642 --> 04:26:54,379 APPROPRIATE FOR CHINESE AMERICAN 6038 04:26:54,379 --> 04:26:56,447 DIABETES PREVENTION AND WE WANT 6039 04:26:56,447 --> 04:26:58,549 TO TRANSFORM THIS CURRICULUM 6040 04:26:58,549 --> 04:27:00,251 THAT YOU CAN BE HOUSED IN SOME 6041 04:27:00,251 --> 04:27:03,388 SORT OF ON LINE FORMAT AND WE 6042 04:27:03,388 --> 04:27:07,859 CAN DO A FEASIBILITY TEST TO SEE 6043 04:27:07,859 --> 04:27:13,664 IF IT'S ACCEPTABLE. 6044 04:27:13,664 --> 04:27:14,532 TO THE 6045 04:27:14,532 --> 04:27:17,235 CHINESE AMERICANS. 6046 04:27:17,235 --> 04:27:19,437 THIS STUDY WAS DIVIDED INTO 6047 04:27:19,437 --> 04:27:20,538 THREE PHASES. 6048 04:27:20,538 --> 04:27:23,941 FIRST ONE IS FORMATIVE 6049 04:27:23,941 --> 04:27:25,376 ITERATIONS. 6050 04:27:25,376 --> 04:27:28,546 WE HAVE FOCUS GROUPS TO GET 6051 04:27:28,546 --> 04:27:30,481 FEEDBACK TO SEE WHAT THEY LIKE 6052 04:27:30,481 --> 04:27:33,017 ABOUT THIS PROGRAM AND WHAT THEY 6053 04:27:33,017 --> 04:27:35,153 DON'T LIKE AND WHAT ARE THE 6054 04:27:35,153 --> 04:27:36,687 AREAS THEY'RE MISSING. 6055 04:27:36,687 --> 04:27:38,723 BASED ON THESE FEEDBACKS, WE 6056 04:27:38,723 --> 04:27:41,459 WERE ABLE TO REVISE OUR 6057 04:27:41,459 --> 04:27:42,994 CURRICULUM FURTHER BEFORE WE 6058 04:27:42,994 --> 04:27:46,164 SENT IT TO OUR ADVISORY BOARD. 6059 04:27:46,164 --> 04:27:48,132 SO THEY GAVE US ADDITIONAL 6060 04:27:48,132 --> 04:27:49,734 FEEDBACK AND ADDITIONAL 6061 04:27:49,734 --> 04:27:50,835 REVISIONS. 6062 04:27:50,835 --> 04:27:52,870 UNTIL WE ARE SATISFIED, WE MOVE 6063 04:27:52,870 --> 04:28:00,044 ON TO THE PHASE 2 WHERE WE WERE 6064 04:28:00,044 --> 04:28:01,279 ABLE TO TRANSFORM THIS. 6065 04:28:01,279 --> 04:28:04,215 WITH THE HELP OF OUR I.T. 6066 04:28:04,215 --> 04:28:05,983 PERSONNEL, WE WERE ABLE TO PUT 6067 04:28:05,983 --> 04:28:09,320 THE WHOLE CURRICULUM IN THE 6068 04:28:09,320 --> 04:28:14,025 PRIVATE FA Facebook GROUP WHERE 6069 04:28:14,025 --> 04:28:17,528 THEY WERE ABLE TO REVEAL THE 6070 04:28:17,528 --> 04:28:18,663 CURRICULUM AND UNDERSTAND THE 6071 04:28:18,663 --> 04:28:19,564 CONTENTS. 6072 04:28:19,564 --> 04:28:22,533 WE WERE ABLE TO DO A FEASIBILITY 6073 04:28:22,533 --> 04:28:24,969 AND ACCESSIBILITY STUDY BASED ON 6074 04:28:24,969 --> 04:28:27,038 THE CURRICULUM. 6075 04:28:27,038 --> 04:28:29,373 THE STUDY LASTS A YEAR. 6076 04:28:29,373 --> 04:28:33,010 WE ONLY HAD 13 PARTICIPANTS O 6077 04:28:33,010 --> 04:28:40,651 COMPLCANCOMPLETE THE STUDY. 6078 04:28:40,651 --> 04:28:42,820 WE USED FOCUS GROUPS, THEY END 6079 04:28:42,820 --> 04:28:53,297 OF SIX MONTHS AND ONE YEAR. 6080 04:28:55,166 --> 04:28:58,469 WE CAN SEE THAT CULTURAL STABLE 6081 04:28:58,469 --> 04:28:59,470 FROODZ IMPORTANT OR OUR 6082 04:28:59,470 --> 04:29:00,638 PARTICIPANTS. 6083 04:29:00,638 --> 04:29:03,274 ONE PARTICIPATE SAID CHINESE 6084 04:29:03,274 --> 04:29:04,475 LOVE RICE. 6085 04:29:04,475 --> 04:29:06,511 IF I DON'T EAT RICE AT ALL, I 6086 04:29:06,511 --> 04:29:08,846 WON'T BE USED TO IT, I NEED A 6087 04:29:08,846 --> 04:29:09,580 LITTLE RICE. 6088 04:29:09,580 --> 04:29:13,184 WE TOLD THEM, YOU DON'T NEED TO 6089 04:29:13,184 --> 04:29:14,819 ELIMINATE RICE FROM YOUR DIE 6090 04:29:14,819 --> 04:29:15,620 OAT. 6091 04:29:15,620 --> 04:29:21,392 MAYBE SWITCH OUT OR -- DIET, YOU 6092 04:29:21,392 --> 04:29:23,494 CAN JUST EAT HEALTHIER. 6093 04:29:23,494 --> 04:29:24,862 THE PARTICIPANT WOULD LIKE TO 6094 04:29:24,862 --> 04:29:27,632 SEE MORE CULTURAL FOODS IN THE 6095 04:29:27,632 --> 04:29:28,199 CURRICULUM. 6096 04:29:28,199 --> 04:29:33,671 ONE PARTICIPANT SAYS AMERICANS 6097 04:29:33,671 --> 04:29:40,745 GO TO BUY A DOUGHNUT BUT THE 6098 04:29:40,745 --> 04:29:44,282 CHINESE GO TO A BAKERY TO BUY 6099 04:29:44,282 --> 04:29:44,815 BREAD. 6100 04:29:44,815 --> 04:29:49,587 THERE IS A POPULAR STORE IN 6101 04:29:49,587 --> 04:29:51,989 CHINATOWN TO SELL CHINESE 6102 04:29:51,989 --> 04:29:54,392 PASTRIES AND THEY LIKE THAT. 6103 04:29:54,392 --> 04:29:56,627 ALSO THEY WOULD LIKE TO SEE MORE 6104 04:29:56,627 --> 04:29:59,030 REPRESENTATION IN THE CURRICULUM 6105 04:29:59,030 --> 04:30:00,798 WHERE THEY WANT TO SEE MORE 6106 04:30:00,798 --> 04:30:02,733 ASIAN FACING NOTICE CURRICULUM 6107 04:30:02,733 --> 04:30:03,000 ITSELF. 6108 04:30:03,000 --> 04:30:05,636 FOR EXAMPLE, ONE STATED IF I GO 6109 04:30:05,636 --> 04:30:09,006 ON LINE AND SEE ONLY WESTERN 6110 04:30:09,006 --> 04:30:10,341 FACES, I WOULD LOSE INTEREST 6111 04:30:10,341 --> 04:30:12,043 BECAUSE I THINK THIS IS NOT THE 6112 04:30:12,043 --> 04:30:19,383 CAUSE FOR ME. 6113 04:30:19,383 --> 04:30:23,988 WE'RE DELIGHTED TO SEE THAT, THE 6114 04:30:23,988 --> 04:30:25,723 FORMAT, THEY THINK ASSESS EASY 6115 04:30:25,723 --> 04:30:28,326 TO USE AND EASY TO UNDERSTAND. 6116 04:30:28,326 --> 04:30:30,728 THEY LIKE TO, HOWEVER, SOME OF 6117 04:30:30,728 --> 04:30:37,635 THE PARTICIPANTS EXPRESSED THAT 6118 04:30:37,635 --> 04:30:40,104 THEY'RE NOT FAMILIAR WITH USING 6119 04:30:40,104 --> 04:30:41,339 Facebook, BUT THEY ARE 6120 04:30:41,339 --> 04:30:44,041 EVERYONE MORE FAMILIAR WITH THE 6121 04:30:44,041 --> 04:30:46,577 SOFTWARE THAT IS POPULAR AMONG 6122 04:30:46,577 --> 04:30:54,452 CHINESE IMMIGRANTS. 6123 04:30:54,452 --> 04:30:57,054 LIKE WECHAT. 6124 04:30:57,054 --> 04:30:59,156 >> TWO MINUTES REMAINING. 6125 04:30:59,156 --> 04:31:02,493 >> IN TERMS OF THE PROGRAM, THEY 6126 04:31:02,493 --> 04:31:05,796 LIKING IT OVERCOMING THE INITIAL 6127 04:31:05,796 --> 04:31:08,299 HESITANCIES, THEY LIKE IT AND 6128 04:31:08,299 --> 04:31:10,234 THINK IT'S A GOOD WAY TO MANAGE 6129 04:31:10,234 --> 04:31:15,306 THEIR OWN SCHEDULES. 6130 04:31:15,306 --> 04:31:17,808 SO, WE ALSO THINK THAT IT'S 6131 04:31:17,808 --> 04:31:21,579 GREAT TO SEE THAT WE HAVE A HIGH 6132 04:31:21,579 --> 04:31:25,416 RETENTION RATE, EXPECTATIONS AND 6133 04:31:25,416 --> 04:31:30,788 WE SEE THERE IS SIGNIFICANT 6134 04:31:30,788 --> 04:31:35,526 REDUCTIONS STARTING AT MONTH TWO 6135 04:31:35,526 --> 04:31:39,296 GOING TO MONTH 10. 6136 04:31:39,296 --> 04:31:42,333 SO WHAT WE LEARNED, WE KNOW THAT 6137 04:31:42,333 --> 04:31:46,237 BASED ON THIS PRELIMINARY 6138 04:31:46,237 --> 04:31:47,838 FINDINGS, THE ON LINE PLATFORMS 6139 04:31:47,838 --> 04:31:50,207 OR APPLICATIONS SEEM FEASIBLE 6140 04:31:50,207 --> 04:31:54,545 AND ACCESSIBLE TO UNDER-SERVED 6141 04:31:54,545 --> 04:31:55,379 MINORITY POPULATIONS SUMP AS 6142 04:31:55,379 --> 04:31:56,280 ASIAN AMERICANS. 6143 04:31:56,280 --> 04:32:00,551 WOULD HOWEVER, WE DO OBSERVE GAR 6144 04:32:00,551 --> 04:32:04,955 CHALLENGES FOR EXAMPLE PROGRAM 6145 04:32:04,955 --> 04:32:07,458 GOALS FOR MEXICAN AMERICANS MAY 6146 04:32:07,458 --> 04:32:10,194 NOT BE APPROPRIATE FOR ALL 6147 04:32:10,194 --> 04:32:10,728 AMERICANS. 6148 04:32:10,728 --> 04:32:12,997 MAYBE THE 7% WEIGHT LOSS? 6149 04:32:12,997 --> 04:32:15,733 WE DON'T NEED THAT. 6150 04:32:15,733 --> 04:32:18,869 IT MAY NOT BE -- THE 7% MAY NOT 6151 04:32:18,869 --> 04:32:21,739 BE APPROPRIATE FOR ALL 6152 04:32:21,739 --> 04:32:24,041 POPULATIONS AND WE THINK NOT 6153 04:32:24,041 --> 04:32:28,946 EVERYBODY PPARTICIPANTS ARE FAMH 6154 04:32:28,946 --> 04:32:32,149 THE GUIDELINES. 6155 04:32:32,149 --> 04:32:34,085 THEY HAVE IMPLOAVMENTED THAT IN 6156 04:32:34,085 --> 04:32:37,688 THEIR REAL LIFE. 6157 04:32:37,688 --> 04:32:39,023 IMPLEMENTED THAT IN THEIR REAL 6158 04:32:39,023 --> 04:32:40,524 LIFE. 6159 04:32:40,524 --> 04:32:49,834 THIS IS A SIMPLE "MYPLATE." 6160 04:32:49,834 --> 04:32:52,203 YOU CAN SEE THAT HAD IS NOT THE 6161 04:32:52,203 --> 04:32:54,405 CASE FOR ASIAN AMERICANS. 6162 04:32:54,405 --> 04:32:56,607 THE CHINESE AMERICANS TO BE 6163 04:32:56,607 --> 04:33:00,745 SPECIFIC SCLD THIS IS ONE OF 6164 04:33:00,745 --> 04:33:01,879 MYPLATE EXERCISES THAT WE DID 6165 04:33:01,879 --> 04:33:08,152 SEVERAL IS YEARS BACK. 6166 04:33:08,152 --> 04:33:11,956 YOU CAN SEE THAT THEY HAVE 6167 04:33:11,956 --> 04:33:13,924 STRUGGLED INDIVIDUALIZING THOSE 6168 04:33:13,924 --> 04:33:22,133 CONCEPTS IN THE PLATE FORMAT. 6169 04:33:22,133 --> 04:33:26,437 A CHINESE STYLE IS DIFFERENT ON 6170 04:33:26,437 --> 04:33:26,837 THE TABLE. 6171 04:33:26,837 --> 04:33:31,275 THEY HAVE THE RICE IN A BOWL. 6172 04:33:31,275 --> 04:33:34,278 IT'S THIS CONCEPT PLATE CONCEPT 6173 04:33:34,278 --> 04:33:37,281 IS FOREIGN TO THEM AND THEY HAVE 6174 04:33:37,281 --> 04:33:39,150 TROUBLE CONCEPTUALIZING IT. 6175 04:33:39,150 --> 04:33:41,886 EVEN THOUGH IT'S SIMPLE, IT MAY 6176 04:33:41,886 --> 04:33:43,320 NOT BE CULTURALLY APPROPRIATE 6177 04:33:43,320 --> 04:33:45,456 FOR CHINESE AMERICANS. 6178 04:33:45,456 --> 04:33:47,558 NEXT SLIDE. 6179 04:33:47,558 --> 04:33:51,162 I DO WANT TO SAY THANK YOU TO MY 6180 04:33:51,162 --> 04:33:58,169 MENTORS AND MY COLLEAGUES DR. 6181 04:33:58,169 --> 04:34:08,646 JEWTH ROSETTE AND DR. MA AND 6182 04:34:10,614 --> 04:34:11,282 WINCEY LAU. 6183 04:34:11,282 --> 04:34:13,083 >> THANK YOU TO ALL OUR 6184 04:34:13,083 --> 04:34:15,052 PRESENTERS FOR YOUR EXCELLENT 6185 04:34:15,052 --> 04:34:15,586 PRESENTATIONS. 6186 04:34:15,586 --> 04:34:17,555 WE ARE CERTAINLY VERY EXCITED TO 6187 04:34:17,555 --> 04:34:22,493 FOLLOW YOUR RESEARCH. 6188 04:34:22,493 --> 04:34:24,795 AS A FRIENDLY REMINDER, PLEASE 6189 04:34:24,795 --> 04:34:28,299 SUBMIT ANY QUESTIONS USING THE 6190 04:34:28,299 --> 04:34:31,435 LIVE FEEDBACK BUTTON IN THE 6191 04:34:31,435 --> 04:34:32,336 CAST. 6192 04:34:32,336 --> 04:34:34,505 PLEASE STATE WHICH PANELIST 6193 04:34:34,505 --> 04:34:36,440 YOU'RE DIRECTING YOUR QUESTION 6194 04:34:36,440 --> 04:34:36,607 TO. 6195 04:34:36,607 --> 04:34:39,076 I HAVE A FEW QUESTIONS HERE. 6196 04:34:39,076 --> 04:34:41,178 MY FIRST QUESTION IS TO ANY OF 6197 04:34:41,178 --> 04:34:43,581 THE THREE PANELISTS, CAN YOU 6198 04:34:43,581 --> 04:34:45,950 GIVE SOME EXAMPLES OF ENGAGING 6199 04:34:45,950 --> 04:34:47,685 SOCIAL NETWORKS AND COMMUNITIES 6200 04:34:47,685 --> 04:34:49,653 WITH THE HOPE OF REACHING 6201 04:34:49,653 --> 04:34:51,188 INDIVIDUAL SUCCESSFULLY TO 6202 04:34:51,188 --> 04:34:57,895 ADDRESS THEIR DIETARY FACTOR. 6203 04:34:57,895 --> 04:34:59,230 >> I THINK THIS IS SOMETHING 6204 04:34:59,230 --> 04:35:01,799 THAT WE HAVE NOT DONE FORMALLY 6205 04:35:01,799 --> 04:35:04,201 IN TERMS OF A FORMAL SOCIAL 6206 04:35:04,201 --> 04:35:06,737 NETWORK ANALYSIS, BUT ONE 6207 04:35:06,737 --> 04:35:09,306 EXAMPLE WOULD BE ASKING PEOPLE 6208 04:35:09,306 --> 04:35:12,509 WHO IS THE PERSON WHO DOES -- 6209 04:35:12,509 --> 04:35:14,478 TRYING UNDERSTAND WHO IN YOUR 6210 04:35:14,478 --> 04:35:16,413 FAMILY OR HOUSEHOLD DOES THE 6211 04:35:16,413 --> 04:35:17,281 GROCERY SHOPPING. 6212 04:35:17,281 --> 04:35:19,250 WHO IS THE PERSON THAT DOES THE 6213 04:35:19,250 --> 04:35:20,451 COOKING? 6214 04:35:20,451 --> 04:35:21,318 WHO IS THE PERSON AT THAT 6215 04:35:21,318 --> 04:35:23,921 DECIDES WHAT THE MEALS SNRB THAT 6216 04:35:23,921 --> 04:35:25,589 WOULD BE AN EXAMPLE OF TRYING TO 6217 04:35:25,589 --> 04:35:28,225 UNDERSTAND WHO IS -- WHO ARE THE 6218 04:35:28,225 --> 04:35:30,261 INFLUENTIAL PEOPLE THAT 6219 04:35:30,261 --> 04:35:32,563 DETERMINE WHAT FOOD IS 6220 04:35:32,563 --> 04:35:35,366 PURCHASED, WHERE PEOPLE GET FOOD 6221 04:35:35,366 --> 04:35:37,268 AND WHO DECIDED WHAT PEOPLE WILL 6222 04:35:37,268 --> 04:35:39,703 EAT FOR DINNER. 6223 04:35:39,703 --> 04:35:43,007 ONE THING IS WE HAD A BARRIER TO 6224 04:35:43,007 --> 04:35:44,475 BEHAVIOR CHANGE SI WANT TO MAKE 6225 04:35:44,475 --> 04:35:46,543 THE CHANGES BUT MY KIDS DON'T 6226 04:35:46,543 --> 04:35:48,712 BECAUSE MANY OF THE CHILDREN OF 6227 04:35:48,712 --> 04:35:50,180 THE PEOPLE IN OUR TRIAL WERE 6228 04:35:50,180 --> 04:35:52,016 MORE WHEREINIZED OR AMERICANIZED 6229 04:35:52,016 --> 04:35:55,052 AND THOUGH WANTED TO EAT THEIR 6230 04:35:55,052 --> 04:35:56,954 OWN DISMINGS IT WAS UNCLEAR HOW 6231 04:35:56,954 --> 04:35:59,523 DO YOU NAVIGATE NOT JUST THE 6232 04:35:59,523 --> 04:36:01,025 BEHAVIOR SCHAING AND THE HEALTH 6233 04:36:01,025 --> 04:36:03,894 BUT DIFFERENT DIETARY PATTERNS. 6234 04:36:03,894 --> 04:36:05,863 I THINK FIRST IN RATING THE 6235 04:36:05,863 --> 04:36:07,798 FAMILY MEMBERS WHO ARE PART OF 6236 04:36:07,798 --> 04:36:10,968 THAT PROCESS AND ARE HELPFUL OR 6237 04:36:10,968 --> 04:36:16,140 BARRIERS IS REALLY IMPORTANT. 6238 04:36:16,140 --> 04:36:24,581 >> I JUST WANT TO SAY THAT 6239 04:36:24,581 --> 04:36:31,889 SOCIOSUPPORT IS IMPORTANT. 6240 04:36:31,889 --> 04:36:34,625 FAMILY MEMBERS, FRIENDS, CLOSE 6241 04:36:34,625 --> 04:36:35,492 FRIENDS ARE IMPORTANT. 6242 04:36:35,492 --> 04:36:38,462 FOR EXAMPLE, A ESPECIALLY THE 6243 04:36:38,462 --> 04:36:40,731 MALE PARTICIPANTS, MY WIFE 6244 04:36:40,731 --> 04:36:42,766 DOESN'T PREPARE THAT FOOD SO I 6245 04:36:42,766 --> 04:36:43,600 DON'T HAVE THE OPPORTUNITY TO 6246 04:36:43,600 --> 04:36:44,134 EAT IT. 6247 04:36:44,134 --> 04:36:46,070 IF I WANT TO EAT HEALTHY, I NEED 6248 04:36:46,070 --> 04:36:49,006 TO TALK TO MY WIFE OR YOU. 6249 04:36:49,006 --> 04:36:51,075 YOU NEED TO TUQUE MY WIFE SO 6250 04:36:51,075 --> 04:36:52,710 THEY CAN PREPARE HEALTHY FOOD 6251 04:36:52,710 --> 04:36:54,178 FOR US. 6252 04:36:54,178 --> 04:36:56,447 I THOUGHT IT WAS INTERESTING THE 6253 04:36:56,447 --> 04:36:57,548 FAMILY DYNAMIC. 6254 04:36:57,548 --> 04:37:00,818 IF WE INTERVENE ON ONE PERSON 6255 04:37:00,818 --> 04:37:02,486 BUT THE OTHER FAMILY MEMBERS 6256 04:37:02,486 --> 04:37:05,189 DOESN'T GET ON BOARD, IT'S GOING 6257 04:37:05,189 --> 04:37:06,857 TO BE DIFFICULT TO HAVE 6258 04:37:06,857 --> 04:37:08,258 EFFECTIVE INTERVENTION AS A 6259 04:37:08,258 --> 04:37:08,492 WHROAL. 6260 04:37:08,492 --> 04:37:11,996 >> TWHOLE. 6261 04:37:11,996 --> 04:37:14,898 >> DR. MA, WOULD YOU LIKE TO 6262 04:37:14,898 --> 04:37:17,201 ADDRESS THAT? 6263 04:37:17,201 --> 04:37:19,503 UNMUTE YOURSELF. 6264 04:37:19,503 --> 04:37:22,306 >> I DID NOT QUITE GOAT THE 6265 04:37:22,306 --> 04:37:23,007 QUESTION. 6266 04:37:23,007 --> 04:37:24,775 >> IT SAYS, CAN YOU GIVE SOME 6267 04:37:24,775 --> 04:37:26,910 EXAMPLES OF ENGAGING SOCIAL 6268 04:37:26,910 --> 04:37:27,911 NETWORKS AND COMMUNITIES WITH 6269 04:37:27,911 --> 04:37:31,115 THE HOPE OF REACHING INDIVIDUALS 6270 04:37:31,115 --> 04:37:32,383 SUCCESSFULLY TO ADDRESS THEIR 6271 04:37:32,383 --> 04:37:34,284 DIETARY PATTERNS? 6272 04:37:34,284 --> 04:37:36,754 WHAT KIND OF SOCIAL SUPPORT CAN 6273 04:37:36,754 --> 04:37:39,523 YOU ENVISION TO HAVE SUCCESS 6274 04:37:39,523 --> 04:37:41,825 WITH YOUR INTERVENTION PROGRAMS. 6275 04:37:41,825 --> 04:37:44,061 >> THE INTERVENTION PROGRAMS 6276 04:37:44,061 --> 04:37:46,363 WERE SUCCESSFUL. 6277 04:37:46,363 --> 04:37:47,598 BECAUSE WE COLLABORATED WITH A 6278 04:37:47,598 --> 04:37:49,733 LOT OF THE CHURCH COMMUNITIES. 6279 04:37:49,733 --> 04:37:53,570 IN THE MARSHALLESE CULTURE, IT'S 6280 04:37:53,570 --> 04:37:55,472 IMPORTANT AND WORKS FOR US TO 6281 04:37:55,472 --> 04:37:59,076 WORK WITH CHURCH LEADERS AS WELL 6282 04:37:59,076 --> 04:38:03,347 AS LOCAL ORGANIZATIONS TO BETTER 6283 04:38:03,347 --> 04:38:06,083 UNDERSTAND AND TO ADDRESS THESE 6284 04:38:06,083 --> 04:38:07,151 NUTRITIONAL NEEDS. 6285 04:38:07,151 --> 04:38:10,654 HOWEVER, LIKE WITH THE 6286 04:38:10,654 --> 04:38:11,422 MARSHALLESE COMMUNITY ALTHOUGH 6287 04:38:11,422 --> 04:38:13,457 IT WORKS WELL AND PEOPLE WERE 6288 04:38:13,457 --> 04:38:14,892 EDUCATED AND RECEIVED 6289 04:38:14,892 --> 04:38:16,393 INTERVENTION WELL, THE ONLY 6290 04:38:16,393 --> 04:38:19,129 ISSUE WE HAD WAS WITH THE DIET. 6291 04:38:19,129 --> 04:38:22,466 I MEAN WITH THE COST OF FOOD FOR 6292 04:38:22,466 --> 04:38:24,168 EXAMPLE IN THE ISLANDS. 6293 04:38:24,168 --> 04:38:26,804 BUT HERE IN THE UNITED STATES, 6294 04:38:26,804 --> 04:38:28,105 IT'S THE SAME THING. 6295 04:38:28,105 --> 04:38:33,710 WE USE FAMILY MEMBERS TO HELP 6296 04:38:33,710 --> 04:38:35,946 WITH -- TO COLLABORATE WITH DIE 6297 04:38:35,946 --> 04:38:37,614 OAT INTERVENTIONS. 6298 04:38:37,614 --> 04:38:41,718 THANK YOU. 6299 04:38:41,718 --> 04:38:49,293 >> MY NEXT QUESTION IS TO DR. 6300 04:38:49,293 --> 04:38:50,360 KABUA. 6301 04:38:50,360 --> 04:38:59,002 CAN YOU TALK ABOUT THE ORIGIN? 6302 04:38:59,002 --> 04:39:01,839 MEDIATORS OF AR THOROUGH CLOSEIS 6303 04:39:01,839 --> 04:39:03,273 LIVING IN AMERICA. 6304 04:39:03,273 --> 04:39:07,644 SAME LAR TO THE STUDY IT'S AN 6305 04:39:07,644 --> 04:39:12,649 HLBI STUNNEDDED COHORT AND NOW 6306 04:39:12,649 --> 04:39:14,351 MIHD FUNDED. 6307 04:39:14,351 --> 04:39:17,054 WE'VE BEEN FOLLOWING 1,000 SOUTH 6308 04:39:17,054 --> 04:39:19,056 ASIANS SINCE 2010 TO UNDERSTAND 6309 04:39:19,056 --> 04:39:22,192 RISK FACTORS FOR THE DEVELOPMENT 6310 04:39:22,192 --> 04:39:25,362 OF CARDIOVASCULAR DISEASE AND 6311 04:39:25,362 --> 04:39:26,130 DIABETES. 6312 04:39:26,130 --> 04:39:37,007 THEY'VE BEEN FEENO TY THENO REP. 6313 04:39:38,909 --> 04:39:41,712 IMHD FUNDED US TO ENRICH THE 6314 04:39:41,712 --> 04:39:43,280 INDIVIDUALITY OF OUR COHORT AND 6315 04:39:43,280 --> 04:39:45,549 WE'RE IN THE PROSIS EVER 6316 04:39:45,549 --> 04:39:47,885 RECRUITING ANOTHER 1,000 6317 04:39:47,885 --> 04:39:52,756 INDIVIDUALS OF PAKISTANI ORIGIN. 6318 04:39:52,756 --> 04:39:53,924 OUR DATA ARE AVAILABLE. 6319 04:39:53,924 --> 04:39:55,959 WE EVER A WEBSITE FOR 6320 04:39:55,959 --> 04:39:56,693 RESEARCHERS TO USE. 6321 04:39:56,693 --> 04:40:03,033 AND WE WELCOME COLLABORATION. 6322 04:40:03,033 --> 04:40:04,034 >> THANK YOU. 6323 04:40:04,034 --> 04:40:08,639 THE NEXT QUESTION IS EITHER 6324 04:40:08,639 --> 04:40:13,110 EITHER KABUA OR DR. YEH. 6325 04:40:13,110 --> 04:40:16,146 CAN YOU PEEK TO HOW YOU CONSIDER 6326 04:40:16,146 --> 04:40:18,916 THE VARIOUS ACCULTURATION LEVELS 6327 04:40:18,916 --> 04:40:22,219 IN INTERVENTION DESIGN AND THE 6328 04:40:22,219 --> 04:40:28,659 MATERIALS YOU USE. 6329 04:40:28,659 --> 04:40:30,260 SO YOU CAN RESEARCH THE 6330 04:40:30,260 --> 04:40:31,728 IMMIGRANTS THAT HAVE BEEN HERE A 6331 04:40:31,728 --> 04:40:33,564 LONG PERIOD OF TIME. 6332 04:40:33,564 --> 04:40:37,000 >> SO MAYBE I CAN START. 6333 04:40:37,000 --> 04:40:39,903 THE ACCULTURATION IS A VERY 6334 04:40:39,903 --> 04:40:44,741 IMPORTANT THING IN OUR STIDDIE Y 6335 04:40:44,741 --> 04:40:47,144 DESIGNS BECAUSE IMMIGRANTS ARE 6336 04:40:47,144 --> 04:40:49,446 OFTEN TIMES IN THE COMMUNITY 6337 04:40:49,446 --> 04:40:51,882 LONGER LIKE 15 OR 30 YEARS. 6338 04:40:51,882 --> 04:40:54,384 IN MY CURRENT STUDY, THE ONE 6339 04:40:54,384 --> 04:40:56,587 WHICH JUST ENDED, I THINK IT'S 6340 04:40:56,587 --> 04:40:59,089 MOSTLY THE CURRENT IMMIGRANTS. 6341 04:40:59,089 --> 04:41:02,993 AND SO, THEY STILL HAVE A LOT OF 6342 04:41:02,993 --> 04:41:04,461 ATTACHMENT TO THEIR ORIGINAL 6343 04:41:04,461 --> 04:41:06,430 CULTURES AND WOULD LIKE TO SEE 6344 04:41:06,430 --> 04:41:07,965 MORE OF THOSE THINGS IN THEIR 6345 04:41:07,965 --> 04:41:10,133 DAILY LIFE AS OPPOSED TO THOSE 6346 04:41:10,133 --> 04:41:12,002 HERE LONGER AND WOULD LIKE TO 6347 04:41:12,002 --> 04:41:13,971 KNOW MORE ABOUT AMERICAN WAY OF 6348 04:41:13,971 --> 04:41:15,372 EATING. 6349 04:41:15,372 --> 04:41:16,373 IT'S INTERESTING AND LIKE TO 6350 04:41:16,373 --> 04:41:17,808 KNOW MORE ABOUT IT. 6351 04:41:17,808 --> 04:41:22,479 BECAUSE THEY STAY IN SOME SORT 6352 04:41:22,479 --> 04:41:24,147 OF ENCLAVE. 6353 04:41:24,147 --> 04:41:28,051 WE TRIED TO SEE IF WE CAN 6354 04:41:28,051 --> 04:41:30,020 DIFFERENTIATE OUT OF THESE TWO 6355 04:41:30,020 --> 04:41:31,788 POPULATIONS AND TAILOR OUR 6356 04:41:31,788 --> 04:41:32,956 MESSAGE TO THEM. 6357 04:41:32,956 --> 04:41:36,260 THIS IS A SMALL STUDY. 6358 04:41:36,260 --> 04:41:38,228 WE WEREN'T ABLE TO DO THAT, BUT 6359 04:41:38,228 --> 04:41:40,097 I RECOGNIZE THIS IS ONE OF THE 6360 04:41:40,097 --> 04:41:41,832 AREAS MOVING FORWARD. 6361 04:41:41,832 --> 04:41:49,906 WE NEED TO SOMEHOW DIFFERENTIATE 6362 04:41:49,906 --> 04:41:52,876 SUBTLE DIFFERENCES. 6363 04:41:52,876 --> 04:41:54,645 >> THE ONLY THING WOULD I ADD IS 6364 04:41:54,645 --> 04:41:57,147 IT'S IMPORTANT TO MEASURE 6365 04:41:57,147 --> 04:41:58,915 ACCULTURATION IN MULTI-DIMENSION 6366 04:41:58,915 --> 04:42:00,917 THE WAYS INTOS THEY STUDIES SO 6367 04:42:00,917 --> 04:42:03,620 WE CAN UNDERSTAND IF A CULL 6368 04:42:03,620 --> 04:42:05,188 STRAITION AN EXECUTIVE MODIFIER 6369 04:42:05,188 --> 04:42:07,624 AND IF PEOPLE OF DIFFERENT 6370 04:42:07,624 --> 04:42:09,493 ACCULTURATION BACKGROUNDS FEEL 6371 04:42:09,493 --> 04:42:10,794 LIKE THE INTERVENTION MET THEIR 6372 04:42:10,794 --> 04:42:12,829 NIEDZ OR IF THEY'RE DROPPING OUT 6373 04:42:12,829 --> 04:42:14,865 AT A HIGHER RATE. 6374 04:42:14,865 --> 04:42:16,233 WE LEARNED FROM OUR PROCESS 6375 04:42:16,233 --> 04:42:17,301 EVALUATION THAT YOUNGER PEOPLE 6376 04:42:17,301 --> 04:42:20,003 WHO ARE HIGHLY A CULL TRAITED 6377 04:42:20,003 --> 04:42:21,004 MAYBE EVEN BORN IN THE UNITED 6378 04:42:21,004 --> 04:42:25,242 STATES DID NOT FEEL LIKE THE 6379 04:42:25,242 --> 04:42:26,677 SAHELI ACCULTURATION WAS FOR 6380 04:42:26,677 --> 04:42:29,646 THEM BUT MORE FOR THEIR PARENTS. 6381 04:42:29,646 --> 04:42:33,450 YOU CAN'T NECESSARILY ADDRESS 6382 04:42:33,450 --> 04:42:35,218 EVERYTHING IN ONE INTERVENTION, 6383 04:42:35,218 --> 04:42:36,953 BUT WE WERE AWARE OF IT AND 6384 04:42:36,953 --> 04:42:38,622 ASKED ABOUT IT AND TRIED O 6385 04:42:38,622 --> 04:42:41,191 MEASURE IT. 6386 04:42:41,191 --> 04:42:43,493 >> IT IS A CHALLENGE WHEN IT 6387 04:42:43,493 --> 04:42:48,965 COMES TO LEVELSES ADULTS AND BY 6388 04:42:48,965 --> 04:42:51,902 THE TIME YOU HAVE SECOND AND 6389 04:42:51,902 --> 04:42:54,338 THIRD GENERATION, THEY EVENT THE 6390 04:42:54,338 --> 04:42:58,008 REGULAR WESTERNER DIET. 6391 04:42:58,008 --> 04:43:02,412 I HAVE ONE MORE QUESTION. 6392 04:43:02,412 --> 04:43:06,016 FOR DR. YEH, WOULD YOUR 6393 04:43:06,016 --> 04:43:07,617 [INDISCERNIBLE] BE AVAILABLE FOR 6394 04:43:07,617 --> 04:43:08,785 HEALTH CARE PRACTITIONERS DO YOU 6395 04:43:08,785 --> 04:43:10,253 THINK DOWN THE ROAD? 6396 04:43:10,253 --> 04:43:10,520 >> YES. 6397 04:43:10,520 --> 04:43:14,191 I THINK THAT'S ONE OF THE GOALS. 6398 04:43:14,191 --> 04:43:15,492 WE LIKE TO DISSEMINATE THE 6399 04:43:15,492 --> 04:43:17,127 INFORMATION OUT IN THE FIELD. 6400 04:43:17,127 --> 04:43:20,163 WE DO GET QUITE A FEW REQUESTS. 6401 04:43:20,163 --> 04:43:24,034 WE LIKE TO SEE THOSE TYPES EVER 6402 04:43:24,034 --> 04:43:26,503 INFORMATIONS ESPECIALLY 6403 04:43:26,503 --> 04:43:28,405 LINGUISTIC INFORMATION. 6404 04:43:28,405 --> 04:43:30,841 IN THE FUTURE WE WANT TO 6405 04:43:30,841 --> 04:43:32,509 DISSEMINATE INTO THE WIRED 6406 04:43:32,509 --> 04:43:33,276 POPULATION. 6407 04:43:33,276 --> 04:43:35,879 >> ONE LAST QUESTION WAS BOTH 6408 04:43:35,879 --> 04:43:40,684 DR. KABUA AND DR. YEH MENTION 6409 04:43:40,684 --> 04:43:43,420 ABOUT THE ROLE OF RELIGION AND 6410 04:43:43,420 --> 04:43:46,156 I'M SURE TRADITIONAL CHINESE 6411 04:43:46,156 --> 04:43:47,991 MEDICINE PLAYS A ROLE. 6412 04:43:47,991 --> 04:43:49,926 DO YOU HAVE ANY PLANS TO DO 6413 04:43:49,926 --> 04:43:51,728 SPECIFIC STUDIES ON THE ROLE OF 6414 04:43:51,728 --> 04:43:55,866 RELIGION AS A SOCIAL/CULTURAL 6415 04:43:55,866 --> 04:43:58,602 DETERMINANT AND HOW RELIGION CAN 6416 04:43:58,602 --> 04:44:00,470 INFLUENCE DIETARY PATTERNS 6417 04:44:00,470 --> 04:44:01,838 BECAUSE THERE CAN BE PEOPLE WHO 6418 04:44:01,838 --> 04:44:05,075 ARE FASTING AND FEASTING AND SO 6419 04:44:05,075 --> 04:44:06,710 MANY BEHAVIORS THAT ARE 6420 04:44:06,710 --> 04:44:08,311 ASSOCIATED WITH RELIGION. 6421 04:44:08,311 --> 04:44:09,846 I'M PUTTING OUT A QUESTION THERE 6422 04:44:09,846 --> 04:44:12,582 IF THERE IS A POSSIBILITY 6423 04:44:12,582 --> 04:44:15,285 SOMETIME IN THE NEAR FUTURE. 6424 04:44:15,285 --> 04:44:16,820 >> I THINK IT'S AN INTERESTING 6425 04:44:16,820 --> 04:44:18,655 AND IMPORTANT AREA THAT WE 6426 04:44:18,655 --> 04:44:20,056 HAVEN'T LOOKED AT ENOUGH. 6427 04:44:20,056 --> 04:44:24,995 I DO AGREE THAT RELIGION IS A 6428 04:44:24,995 --> 04:44:26,997 PRIME DETERMINANT OF FOOD AND 6429 04:44:26,997 --> 04:44:28,832 DIETARY PATTERNS SO IT WOULD BE 6430 04:44:28,832 --> 04:44:31,468 GOOD TO LOOK AT THAT MORE 6431 04:44:31,468 --> 04:44:32,169 CLOISLY. 6432 04:44:32,169 --> 04:44:34,271 >> I THINK WE'RE OUT OF TIME, 6433 04:44:34,271 --> 04:44:36,039 BUT I WOULD LIKE TO THANK THE 6434 04:44:36,039 --> 04:44:38,108 PANEL MEMBERS FOR SHARING YOUR 6435 04:44:38,108 --> 04:44:39,943 INSIGHTS ON THIS IMPORTANT 6436 04:44:39,943 --> 04:44:40,177 TOPIC. 6437 04:44:40,177 --> 04:44:43,680 THANK YOU TO THE AUDIENCE FOR 6438 04:44:43,680 --> 04:44:47,818 POSING RELATIVE QUESTIONS. 6439 04:44:47,818 --> 04:44:50,454 WE'LL NOW HAVE A BRIEF LIFE 6440 04:44:50,454 --> 04:44:52,322 EXPERIENCE PRESENTATION FROM OUR 6441 04:44:52,322 --> 04:44:57,928 FINAL PRESENTER SHARON COLLEENY 6442 04:44:57,928 --> 04:44:59,095 ODOM. 6443 04:44:59,095 --> 04:45:03,700 SHE'S BEEN INVOLVED IN HAWAIIAN 6444 04:45:03,700 --> 04:45:05,769 HEALTH FROM A CULTURAL 6445 04:45:05,769 --> 04:45:15,979 PERSPECTIVE. 6446 04:45:17,814 --> 04:45:19,683 >> CAN THE VIDEO BE PLAYED 6447 04:45:19,683 --> 04:45:23,954 PLEASE. 6448 04:45:23,954 --> 04:45:26,490 >> ALOHA, I'M THE EXECUTIVE 6449 04:45:26,490 --> 04:45:28,725 DIRECTOR OF HAWAII FOOD 6450 04:45:28,725 --> 04:45:29,226 ALLIANCE. 6451 04:45:29,226 --> 04:45:32,429 I WANTED TO SHARE WITH YOU OUR 6452 04:45:32,429 --> 04:45:34,664 INDIGENOUS THOUGHTS BEHIND FOOD 6453 04:45:34,664 --> 04:45:39,936 AND PREMISS NUTRITION. 6454 04:45:39,936 --> 04:45:42,939 WHAT DOES THE IMAGE OF THE FOOD 6455 04:45:42,939 --> 04:45:48,645 MERE MID LOOPYRAMID LOOK LIKE F. 6456 04:45:48,645 --> 04:45:50,447 THERE IS WHAT I SEE WHEN I LOOK 6457 04:45:50,447 --> 04:45:56,520 AT IT HERE IN HILY. HAWAII. 6458 04:45:56,520 --> 04:45:59,756 THIS IS SOMETHING THAT WAS USED 6459 04:45:59,756 --> 04:46:03,693 TO POUND POI AND YOU CAN SEE 6460 04:46:03,693 --> 04:46:06,129 THIS. 6461 04:46:06,129 --> 04:46:08,198 THIS IS ONE OF OUR MOST 6462 04:46:08,198 --> 04:46:16,940 IMPORTANT FOODS AND PALOA WE 6463 04:46:16,940 --> 04:46:18,909 TAKE CARE OF THE ISLAND. 6464 04:46:18,909 --> 04:46:21,411 IF WE CARE FOR THE ISLAND, THE 6465 04:46:21,411 --> 04:46:24,481 ISLAND WILL CARE AND FEED US. 6466 04:46:24,481 --> 04:46:26,683 IF YOU LOOK INTO THE MOUNTAINS, 6467 04:46:26,683 --> 04:46:28,518 YOU'LL SEE FACES TO REMIND US 6468 04:46:28,518 --> 04:46:32,923 THAT OUR AN VEST YOU ARE ALWAYS 6469 04:46:32,923 --> 04:46:33,790 THERE. 6470 04:46:33,790 --> 04:46:35,559 THREE SIT ON MY SHOULDER EVERY 6471 04:46:35,559 --> 04:46:36,726 DAY. 6472 04:46:36,726 --> 04:46:44,501 IF WE LOOK TO OUR EA ANCESTORS D 6473 04:46:44,501 --> 04:46:49,306 GRANDPARENTS TO THE FOOD THEY 6474 04:46:49,306 --> 04:46:52,375 COOKED WE UNDERSTAND MORE. 6475 04:46:52,375 --> 04:46:57,113 WE LOOK FROM THE MOUNTAIN TO THE 6476 04:46:57,113 --> 04:47:00,250 OCEANS WE HAVE GUIDELINES ON HOW 6477 04:47:00,250 --> 04:47:06,723 TO TAKE CARE OF WATER AND FOOD. 6478 04:47:06,723 --> 04:47:08,258 YOU HAVE TO PUT IN EFFORT. 6479 04:47:08,258 --> 04:47:10,160 THESE PEOPLE WORKING THE FIELDS 6480 04:47:10,160 --> 04:47:12,095 REMIND US OF THE EFFORT WE NEED. 6481 04:47:12,095 --> 04:47:14,264 YOU'LL SEE WATER COMING DOWN THE 6482 04:47:14,264 --> 04:47:15,031 PYRAMID. 6483 04:47:15,031 --> 04:47:16,933 WATER WAS SO IMPORTANT FOR US. 6484 04:47:16,933 --> 04:47:18,368 NOBODY OWNED THE WATER. 6485 04:47:18,368 --> 04:47:21,638 IF YOU USED IT, YOU NEEDED IT TO 6486 04:47:21,638 --> 04:47:25,241 GROW FOOD, YOU WERE ABLE TO USE 6487 04:47:25,241 --> 04:47:25,909 IT. 6488 04:47:25,909 --> 04:47:33,350 WE NEED TO CARE FOR OUR WATER. 6489 04:47:33,350 --> 04:47:34,985 WE MUST CARE FOR THE ELEMENTS ON 6490 04:47:34,985 --> 04:47:38,154 A DAILY BASIS AND THIS REMINDS 6491 04:47:38,154 --> 04:47:38,989 US OF THAT. 6492 04:47:38,989 --> 04:47:42,092 THE SURFER AND SWIMMER AND 6493 04:47:42,092 --> 04:47:43,793 CANOER MEAN US NEED TO BE ACTIVE 6494 04:47:43,793 --> 04:47:45,595 ON A DAILY BASIS AND INCORPORATE 6495 04:47:45,595 --> 04:47:47,430 THAT INTO YOUR LIFE JUST AS DO 6496 04:47:47,430 --> 04:47:48,665 YOU HEALTHY FOODS. 6497 04:47:48,665 --> 04:47:53,069 YOU CAN SEE HANDS HOLDING THIS 6498 04:47:53,069 --> 04:47:55,105 PONO ON THE BOTTOM OF YOUR 6499 04:47:55,105 --> 04:47:55,672 SCREEN. 6500 04:47:55,672 --> 04:47:58,174 WITH THAT, IT TALKS ABOUT OUR 6501 04:47:58,174 --> 04:48:00,877 FOOD CONNECTS US TO OUR 6502 04:48:00,877 --> 04:48:01,211 SPIRITUALITY. 6503 04:48:01,211 --> 04:48:04,514 IN OUR HAWAII CULTURE, THE FOOD 6504 04:48:04,514 --> 04:48:07,050 REPRESENTS DIFFERENT LELTS OF 6505 04:48:07,050 --> 04:48:07,250 NAIMP. 6506 04:48:07,250 --> 04:48:12,155 WE HAVE -- ELEMENTS OF NATURE. 6507 04:48:12,155 --> 04:48:13,590 WE DIDN'T OWN THE PLANTS OR 6508 04:48:13,590 --> 04:48:14,891 WATER, WE WERE IN RELATIONSHIP 6509 04:48:14,891 --> 04:48:17,093 WITH THEM. 6510 04:48:17,093 --> 04:48:18,962 WE KNEW IF WE TOOK CARE OF THEM 6511 04:48:18,962 --> 04:48:20,830 JUST AS THE LAND. 6512 04:48:20,830 --> 04:48:23,533 , IF WE TAKE CARE OF OUR 6513 04:48:23,533 --> 04:48:26,069 ELEMENTS, THEY WILL TAKE CARE OF 6514 04:48:26,069 --> 04:48:26,236 US. 6515 04:48:26,236 --> 04:48:28,004 THESE HANDS REMIND US THAT THE 6516 04:48:28,004 --> 04:48:29,606 FOOD IS SPIRITUAL FROM THE TIME 6517 04:48:29,606 --> 04:48:31,908 WE PLANT IT TO HOW WE PREPARE IT 6518 04:48:31,908 --> 04:48:32,909 TO HOW WE SERVE IT. 6519 04:48:32,909 --> 04:48:35,745 ALL OF THIS COMES FROM AN 6520 04:48:35,745 --> 04:48:36,846 INTERNAL SPIRITUALITY THAT 6521 04:48:36,846 --> 04:48:39,582 CONNECTS US TO THE FOOD AND TO 6522 04:48:39,582 --> 04:48:42,719 THE WHOLE PROCESS. 6523 04:48:42,719 --> 04:48:45,321 IF YOU LOOK AT THE BOTTOM OF THE 6524 04:48:45,321 --> 04:48:48,792 PYRAMID ON LEFT-HAND SIDE, 6525 04:48:48,792 --> 04:48:52,495 YOU'LL SEE SWEET POTATO AND 6526 04:48:52,495 --> 04:48:52,962 BANANAS. 6527 04:48:52,962 --> 04:48:59,069 THIS IS TO REMIND US THAT OUR 6528 04:48:59,069 --> 04:49:06,142 POLYNESIAN CA CAR BOW HYDRATES N 6529 04:49:06,142 --> 04:49:06,743 THE WORLD. 6530 04:49:06,743 --> 04:49:08,344 THEY ARE HIGH IN FIEBER AND 6531 04:49:08,344 --> 04:49:11,147 DON'T RAISE YOUR BLOOD SUGARS. 6532 04:49:11,147 --> 04:49:17,921 WE KNOW IF YOU CUT OUT PROCESSED 6533 04:49:17,921 --> 04:49:24,027 CACARBOHYDRATES YOU CAN BRING DN 6534 04:49:24,027 --> 04:49:27,897 BLOOD PRESSURE AND LOSE WEIGHT. 6535 04:49:27,897 --> 04:49:31,768 WEFT OTHER CAR BOW HYDRATES ON 6536 04:49:31,768 --> 04:49:39,175 WE HAVE OTHER CARBOHYDRATES BUT 6537 04:49:39,175 --> 04:49:40,910 THEY'RE PROCESSED. 6538 04:49:40,910 --> 04:49:44,180 OUR MESSAGE IS TO EAT YOUR 6539 04:49:44,180 --> 04:49:46,015 CARBOHYDRATES AS CLOSE AS THEY 6540 04:49:46,015 --> 04:49:49,686 WERE PUT ON THERE EARTH SO 6541 04:49:49,686 --> 04:49:50,320 UNPROCESSED. 6542 04:49:50,320 --> 04:49:52,655 YOU'LL SEE THE RAINBOW AND WE 6543 04:49:52,655 --> 04:49:55,458 HAVE ALL TYPES OF FRUITS AND 6544 04:49:55,458 --> 04:49:57,660 VEGETABLES AND GET YOUR PURPLES 6545 04:49:57,660 --> 04:49:59,963 AND GREENS AND YELLOWS. 6546 04:49:59,963 --> 04:50:02,565 SO EATING THE RAINBOW OF FRUITS 6547 04:50:02,565 --> 04:50:03,633 AND VEJ STABLES. 6548 04:50:03,633 --> 04:50:05,735 YOU'LL SEE ON THE -- VEJ 6549 04:50:05,735 --> 04:50:09,372 STABLES. 6550 04:50:09,372 --> 04:50:10,140 VEGETABLES. 6551 04:50:10,140 --> 04:50:11,908 YOU'LL SEE THE DAIRY 6552 04:50:11,908 --> 04:50:14,043 COMPARTMENT. 6553 04:50:14,043 --> 04:50:15,612 BUT HAWAIIANS DIDN'T HAVE COWS 6554 04:50:15,612 --> 04:50:18,681 BUT ALL THE BONES THAT HAVE BEEN 6555 04:50:18,681 --> 04:50:20,517 DUG UP HAVE BEEN HEALTHY. 6556 04:50:20,517 --> 04:50:23,820 WE KNEW THAT WITH THE POI AND 6557 04:50:23,820 --> 04:50:28,625 FISH AND BONES EVENT, THE 6558 04:50:28,625 --> 04:50:32,028 CALCIUM WITHOUT HAVING DAIRY. 6559 04:50:32,028 --> 04:50:34,430 WE ENCOURAGE HEALTHY DAIRY, BUT 6560 04:50:34,430 --> 04:50:37,033 WE REALIZE THAT YOU CAN GET YOUR 6561 04:50:37,033 --> 04:50:38,568 CALCIUM FROM MANY OTHER SOURCES 6562 04:50:38,568 --> 04:50:40,737 AND IT DOESN'T HAVE TO BE DAIRY. 6563 04:50:40,737 --> 04:50:42,505 ON THE RIGHT-HAND SIDE IS 6564 04:50:42,505 --> 04:50:44,908 PROTEIN. 6565 04:50:44,908 --> 04:50:49,078 IT CAN BE FISH OR MEAT OAR 6566 04:50:49,078 --> 04:50:52,549 NONANIMAL DAIRY. 6567 04:50:52,549 --> 04:50:55,752 ON THE LEFT-HAND SIDE ARE THE 6568 04:50:55,752 --> 04:50:56,953 HEALTHIER FATS. 6569 04:50:56,953 --> 04:50:59,189 FATS ARE IMPORTANT IN THE BODY. 6570 04:50:59,189 --> 04:51:01,257 IT'S THE A. NATS WE EAT AND TYPE 6571 04:51:01,257 --> 04:51:03,126 OF FATS THAT WE EAT THAT ARE 6572 04:51:03,126 --> 04:51:04,093 IMPORTANT. 6573 04:51:04,093 --> 04:51:06,396 FOR NEWS HAWAII, WE HAD COKE 6574 04:51:06,396 --> 04:51:06,863 NUT. 6575 04:51:06,863 --> 04:51:09,165 COKE NUT WAS A ZERO VERY FAT FOR 6576 04:51:09,165 --> 04:51:09,599 US. 6577 04:51:09,599 --> 04:51:12,702 OUR FISH AND CHICKEN, THE ER 6578 04:51:12,702 --> 04:51:15,171 THINGS THAT WE HAD WERE LOW FAT. 6579 04:51:15,171 --> 04:51:18,208 THIS IS ONE OF THE AREA AS THAT 6580 04:51:18,208 --> 04:51:20,243 WE DID GET A SUBSTANTIAL AMOUNT 6581 04:51:20,243 --> 04:51:24,848 OF FATS FROM AND YOU'LL SEE 6582 04:51:24,848 --> 04:51:27,417 AVOCADO AND OLIVE OIL AND NUTS 6583 04:51:27,417 --> 04:51:29,319 AND THE RIGHT-HAND SIDE IS JUST 6584 04:51:29,319 --> 04:51:30,787 A REMINDER THAT THESE ARE THE 6585 04:51:30,787 --> 04:51:32,088 FATS THAT AREN'T AS HEALTHY FOR 6586 04:51:32,088 --> 04:51:32,689 US. 6587 04:51:32,689 --> 04:51:34,657 YOU DON'T WANT TO HAVE THEM ON A 6588 04:51:34,657 --> 04:51:36,426 DAILY BASIS. 6589 04:51:36,426 --> 04:51:38,494 SO OVERALL, WHEN WE TALK ABOUT 6590 04:51:38,494 --> 04:51:41,231 HEALTH AND NUTRITION FOR OUR 6591 04:51:41,231 --> 04:51:44,734 COMMUNITY, WE WANT THEM TO SEE 6592 04:51:44,734 --> 04:51:45,702 THAT THERE ARE SO MANY THINGS 6593 04:51:45,702 --> 04:51:48,671 THAT YOU CAN DO THAT A INSTEAD 6594 04:51:48,671 --> 04:51:50,740 OF BEING THE MESSENGER OF DON'T 6595 04:51:50,740 --> 04:51:53,243 DO THIS OR THIS ISN'T GOOD FOR 6596 04:51:53,243 --> 04:51:55,645 YOU AND DON'T EAT THAT, WE'RE 6597 04:51:55,645 --> 04:51:58,114 SAYING HERE IS A WIDE SELECTION 6598 04:51:58,114 --> 04:52:03,186 FEOFFER HEALTHY FOODS. 6599 04:52:03,186 --> 04:52:05,088 WE WANT YOU TO CONNECT WITH 6600 04:52:05,088 --> 04:52:07,023 HEALTH AND VISION AND 6601 04:52:07,023 --> 04:52:08,992 SPIRITUALITY AND KNOWLEDGE EVER 6602 04:52:08,992 --> 04:52:11,327 GRANDPARENTS AND PUT EFFORT INTO 6603 04:52:11,327 --> 04:52:12,295 EATING A HEALTHY DIE OAT. 6604 04:52:12,295 --> 04:52:13,796 THESE ARE ALL THE THINGS 6605 04:52:13,796 --> 04:52:24,240 COMBINED IN THIS PICTURE. 6606 04:52:27,010 --> 04:52:27,977 >> THANK YOU. 6607 04:52:27,977 --> 04:52:29,512 THAT IS SO INSPIRING AND 6608 04:52:29,512 --> 04:52:29,946 BEAUTIFUL. 6609 04:52:29,946 --> 04:52:31,581 THANK YOU VERY MUCH FOR SHARING 6610 04:52:31,581 --> 04:52:32,782 THAT WITH US, SHARON. 6611 04:52:32,782 --> 04:52:35,084 THANK YOU ALL FOR JOINING TOLD'S 6612 04:52:35,084 --> 04:52:36,653 PANEL AND AGAIN, THANK YOU TO 6613 04:52:36,653 --> 04:52:38,888 THE PANEL MEMBERS FOR SHARING 6614 04:52:38,888 --> 04:52:39,989 YOUR EXPERTISE. 6615 04:52:39,989 --> 04:52:42,759 WE'LL NOW MOVE FORWARD WITH THE 6616 04:52:42,759 --> 04:52:44,227 CLOSING OF DAY ONE. 6617 04:52:44,227 --> 04:52:48,064 THANK YOU. 6618 04:52:48,064 --> 04:52:49,866 >> SO I WANTED TO THANK EVERYONE 6619 04:52:49,866 --> 04:52:51,901 FOR ATTENDING TODAY PARTICULARLY 6620 04:52:51,901 --> 04:52:55,305 ALL OUR PANELISTS, MODERATOR, 6621 04:52:55,305 --> 04:52:56,839 SPEAKERS FOR SHARING THEIR 6622 04:52:56,839 --> 04:52:58,574 RESEARCHING AND EXPERTISE IN 6623 04:52:58,574 --> 04:53:01,044 WORKING WITH VARIOUS POPULATIONS 6624 04:53:01,044 --> 04:53:02,812 AROUND DIET AND CULTURE. 6625 04:53:02,812 --> 04:53:04,681 THANK YOU ATTENDEES FOR ASKING 6626 04:53:04,681 --> 04:53:07,617 YOUR THOUGHTFUL QUESTIONS FOR 6627 04:53:07,617 --> 04:53:08,751 THINKING THROUGH THE GAPS AND 6628 04:53:08,751 --> 04:53:11,120 OPPORTUNITIES IN THE AREA EVER 6629 04:53:11,120 --> 04:53:13,189 CULTURE CENTERED DIETARY 6630 04:53:13,189 --> 04:53:14,290 INTERVENTIONS. 6631 04:53:14,290 --> 04:53:15,825 NEXT SLIDE, PLEASE. 6632 04:53:15,825 --> 04:53:17,794 I'M JUST GOING TO WRAP UP WITH 6633 04:53:17,794 --> 04:53:20,763 OUR DAY ONE SO MY CO-CHAIR AND I 6634 04:53:20,763 --> 04:53:22,298 WILL TALK ABOUT BRIEFLY WHAT WE 6635 04:53:22,298 --> 04:53:24,567 TALKED ABOUT TODAY. 6636 04:53:24,567 --> 04:53:26,202 TODAY'S PRESENTATIONS DISCUSSED 6637 04:53:26,202 --> 04:53:28,738 SOME INNOVATIVE AND IMPACTFUL 6638 04:53:28,738 --> 04:53:31,040 RESEARCH AND THENNING CULTURAL 6639 04:53:31,040 --> 04:53:33,209 CONSIDERATIONS AND SOCIOCULTURAL 6640 04:53:33,209 --> 04:53:35,378 FACTORS AROUND DIETARY 6641 04:53:35,378 --> 04:53:36,713 INTERVNGSES AROUND NATIVE 6642 04:53:36,713 --> 04:53:39,415 AMERICAN COMMUNITIES, BLACK 6643 04:53:39,415 --> 04:53:44,187 COMMUNITIES, HISPANIC AND LATINX 6644 04:53:44,187 --> 04:53:46,456 COMMUNITIES AND EXPWRAITION 6645 04:53:46,456 --> 04:53:48,891 PACIFIC ISLANDER POPULATIONS. 6646 04:53:48,891 --> 04:53:53,396 DR. GITTALSON AND MATTEI TALKED 6647 04:53:53,396 --> 04:53:55,798 ABOUT THE IMPORTANCE OF TAKING 6648 04:53:55,798 --> 04:53:57,533 CULTURE INTO CONSIDERATION WHEN 6649 04:53:57,533 --> 04:54:00,470 DESIGNING DIETARY INTERVENTIONS. 6650 04:54:00,470 --> 04:54:07,276 OUR FIRST PANEL MOVE T MO MOCHEO 6651 04:54:07,276 --> 04:54:08,077 HEALTH EQUITY. 6652 04:54:08,077 --> 04:54:11,748 THERE WAS A COOKING MATTERS 6653 04:54:11,748 --> 04:54:14,617 INTERVENTION FOR THE SHEYENNE 6654 04:54:14,617 --> 04:54:16,152 RIVERS. 6655 04:54:16,152 --> 04:54:18,121 AND INVOLVING INDIGENOUS YOUTH 6656 04:54:18,121 --> 04:54:19,856 IN THE COMMUNITY AND I 6657 04:54:19,856 --> 04:54:22,058 APPRECIATED THE OVERVIEW OF 6658 04:54:22,058 --> 04:54:23,259 POSITIONALITY AS WELL IN 6659 04:54:23,259 --> 04:54:24,460 CONDUCTING RESEARCH 234 6660 04:54:24,460 --> 04:54:26,763 COMMUNITIES OUTSIDE OF YOUR OWN. 6661 04:54:26,763 --> 04:54:29,932 SECOND PANEL TOUCHED ON 6662 04:54:29,932 --> 04:54:32,035 PLANT-BASED DIETS FOR BLACK 6663 04:54:32,035 --> 04:54:34,404 AMERICANS LIVING IN THE BLACK 6664 04:54:34,404 --> 04:54:36,806 BELT AND USE OF SPICES AND 6665 04:54:36,806 --> 04:54:39,242 HERBS. 6666 04:54:39,242 --> 04:54:40,643 INFORMATION ABOUT HOW TO SCALE 6667 04:54:40,643 --> 04:54:42,412 UP THE PROGRAM. 6668 04:54:42,412 --> 04:54:45,248 I'LL TURN IT OVER TO JOSE TO MAP 6669 04:54:45,248 --> 04:54:47,817 UP THE OTHER ONCE. 6670 04:54:47,817 --> 04:54:50,319 >> OUR THANKS TO ALL OF THE 6671 04:54:50,319 --> 04:54:51,421 PANELISTS MOD EXPRAIRTS 6672 04:54:51,421 --> 04:54:52,155 PRESENTERS TODAY. 6673 04:54:52,155 --> 04:54:55,458 THIS LAS BEEN A FANTASTIC DAY. 6674 04:54:55,458 --> 04:54:56,659 WE'VE BEEN LEARNING 6675 04:54:56,659 --> 04:54:58,494 TREMENDOUSLY. 6676 04:54:58,494 --> 04:55:01,831 IN PANEL THREE WE LEARNED AND 6677 04:55:01,831 --> 04:55:06,169 HEARD FROM DR. FUSTER THE 6678 04:55:06,169 --> 04:55:08,037 IMPORTANCE EVER ACKNOWLEDGING 6679 04:55:08,037 --> 04:55:10,239 COMPLEXITY OF WHAT CULTURAL AND 6680 04:55:10,239 --> 04:55:12,375 WHAT ACCULTURATION IS AND HOW WE 6681 04:55:12,375 --> 04:55:15,344 NEED TO WE THINK THE FRAMEWORK 6682 04:55:15,344 --> 04:55:17,380 AND DETERMINE OTHER SOCIAL 6683 04:55:17,380 --> 04:55:18,014 DETERMINANTS. 6684 04:55:18,014 --> 04:55:19,982 THIS IS A TOPIC WE HEARD FROM 6685 04:55:19,982 --> 04:55:24,454 ALL OF THE PANELS TODAY AND DR. 6686 04:55:24,454 --> 04:55:28,925 VEGA LOPEZ PRESENTATION, WE GOT 6687 04:55:28,925 --> 04:55:30,927 CLOSER TO THE ACCULTURATIONING 6688 04:55:30,927 --> 04:55:32,829 AND THOUSAND HAPPENS IN AN OLDER 6689 04:55:32,829 --> 04:55:34,330 SITUATION. 6690 04:55:34,330 --> 04:55:36,732 AGAIN, EMPHASIZING THE 6691 04:55:36,732 --> 04:55:38,167 IMPORTANCE OF SOCIAL 6692 04:55:38,167 --> 04:55:39,702 DETERMINANTS AND THE SOCIAL 6693 04:55:39,702 --> 04:55:42,105 ENVIRONMENTAL ROLE. 6694 04:55:42,105 --> 04:55:45,842 IN DR. ROSAS'S PRESENTATION, WE 6695 04:55:45,842 --> 04:55:47,677 LOOKED AT VARIOUS INTERVENTIONS 6696 04:55:47,677 --> 04:55:50,546 AND I APPRECIATED HOW SHE WALKED 6697 04:55:50,546 --> 04:55:52,215 US THROUGH THE LEARNING PROCESS 6698 04:55:52,215 --> 04:55:54,083 OF THE INTERVENTIONS AND 6699 04:55:54,083 --> 04:55:57,253 RECOGNIZES HOW WE NEED TO TAILOR 6700 04:55:57,253 --> 04:56:01,757 TO ACCULTURATION LETTER AND TAKE 6701 04:56:01,757 --> 04:56:04,260 ALL THESE MESSAGES WITH FAMILY 6702 04:56:04,260 --> 04:56:05,561 AND SOCIAL SUPPORT THAT IS 6703 04:56:05,561 --> 04:56:07,964 CRUCIAL FOR THE LATINO 6704 04:56:07,964 --> 04:56:10,399 POPULATION AND WE'VE SEEN THE 6705 04:56:10,399 --> 04:56:12,368 DIVERSITY OF THE LATINO 6706 04:56:12,368 --> 04:56:13,002 POPULATION. 6707 04:56:13,002 --> 04:56:16,539 IN PANEL POWER, WE HAD THREE 6708 04:56:16,539 --> 04:56:19,609 EXCELLENT PRESENTATIONS STARTING 6709 04:56:19,609 --> 04:56:22,311 WITH THE MARSHAL ISLANDS. 6710 04:56:22,311 --> 04:56:24,480 RECOGNIZING HOW THE SOCIAL 6711 04:56:24,480 --> 04:56:26,249 POLITICAL CONTEXT CAN INFLUENCE 6712 04:56:26,249 --> 04:56:27,116 DIET AND CULTURE. 6713 04:56:27,116 --> 04:56:29,619 IT WAS VERY WELL APPRECIATED AND 6714 04:56:29,619 --> 04:56:31,287 A POINT WELL-GIVEN. 6715 04:56:31,287 --> 04:56:33,689 HOW CAN THOSE -- HOW CAN THEY 6716 04:56:33,689 --> 04:56:36,092 CANNOT BE IGNORED WHETHER WE'RE 6717 04:56:36,092 --> 04:56:38,628 DRAFTING AND CRAFTING DIETARY 6718 04:56:38,628 --> 04:56:39,529 INTERVENTIONS. 6719 04:56:39,529 --> 04:56:42,999 I ENJOYED THE PRESENTATION FROM 6720 04:56:42,999 --> 04:56:49,005 ABOUTTHE SOUTH ASIAN COMMUNITY. 6721 04:56:49,005 --> 04:56:51,040 NOT ONLY FOCUSING ON THE FOOD 6722 04:56:51,040 --> 04:56:52,608 AND ACTUAL MEAL BUT ON THE 6723 04:56:52,608 --> 04:56:55,344 ENJOYMENT OFFER THE FOOD. 6724 04:56:55,344 --> 04:56:58,481 AND ALSO REPRESENTING THE 6725 04:56:58,481 --> 04:57:00,149 INTERSECTIONALITIES THAT WE HAVE 6726 04:57:00,149 --> 04:57:02,084 SO MANY LAYERS THAT INCLUDE 6727 04:57:02,084 --> 04:57:06,556 RELIGION, GENDER, NOT ONLY THE 6728 04:57:06,556 --> 04:57:08,191 JUST ETHNICITY BUT WE EVER TO 6729 04:57:08,191 --> 04:57:10,826 RECOGNIZE ALL OF THESE 6730 04:57:10,826 --> 04:57:12,028 INTERSECTIONALITIES. 6731 04:57:12,028 --> 04:57:15,097 AND LASTLY, A GREAT PRESENTATION 6732 04:57:15,097 --> 04:57:19,402 AND ADAPTATION OF THE DPP 6733 04:57:19,402 --> 04:57:22,471 PROGRAM FOR CHINESE AMERICANS 6734 04:57:22,471 --> 04:57:23,873 EMPHASIZING THE IMPORTANCE EVER 6735 04:57:23,873 --> 04:57:25,408 SOCIAL SUPPORT AND DETERMINANTS 6736 04:57:25,408 --> 04:57:27,510 AND HOW WELL THE PLAYERS NEED TO 6737 04:57:27,510 --> 04:57:29,345 COME TOGETHER. 6738 04:57:29,345 --> 04:57:33,282 I THINK HEARING THESE TOPICS 6739 04:57:33,282 --> 04:57:35,952 EMPHASIZE THE COMMONALITIES 6740 04:57:35,952 --> 04:57:37,019 ACROSS ALL THE GROUPS BUT THREE 6741 04:57:37,019 --> 04:57:38,888 NEED TO BE TAILERS SPECIFICALLY 6742 04:57:38,888 --> 04:57:40,623 FOR EACH OF THESE GROUPS. 6743 04:57:40,623 --> 04:57:43,259 THANK YOU, AGAIN, IF WE CAN HAVE 6744 04:57:43,259 --> 04:57:45,795 THE NEXT LIGHTS FOR ONE LAST 6745 04:57:45,795 --> 04:57:47,997 MESSAGE. 6746 04:57:47,997 --> 04:57:49,865 >> THANKS, JOSE. 6747 04:57:49,865 --> 04:57:52,435 TOMORROW JUST A REMINDER, WE 6748 04:57:52,435 --> 04:57:53,469 START BACK AT NOON EASTERN 6749 04:57:53,469 --> 04:57:56,539 STANDARD TIME TO WRAP UP THIS 6750 04:57:56,539 --> 04:57:57,607 TWO-DAY VIRTUAL WORKSHOP. 6751 04:57:57,607 --> 04:57:59,175 PLEASE JOIN US AGAIN. 6752 04:57:59,175 --> 04:58:01,877 WE'LL START WITH A RECAP OF 6753 04:58:01,877 --> 04:58:04,580 TODAY AND MOVE INTO OUR THREE 6754 04:58:04,580 --> 04:58:06,282 PANELS ALONG WITH FLASH TALK 6755 04:58:06,282 --> 04:58:06,849 PRESENTATIONS. 6756 04:58:06,849 --> 04:58:08,884 THERE WILL BE AN EXECUTIVE 6757 04:58:08,884 --> 04:58:10,519 SUMMARY SHARED WITHIN A FEW 6758 04:58:10,519 --> 04:58:16,058 MONTHS AND POSTED TO THE 6759 04:58:16,058 --> 04:58:18,594 WORKSHOPS AND THE VIDEO CAST 6760 04:58:18,594 --> 04:58:20,196 WILL BE AVAILABLEAFTER WARDS. 6761 04:58:20,196 --> 04:58:22,665 AND FOR THOSE REGISTERED 6762 04:58:22,665 --> 04:58:28,804 DIETICIANS INTERESTED IN GETTING 6763 04:58:28,804 --> 04:58:33,843 CPEUs THIS WILL THERE ARE 9.25 6764 04:58:33,843 --> 04:58:36,912 CPEUs BUT IT'S CURRENTLY UNDER 6765 04:58:36,912 --> 04:58:37,179 REVIEW. 6766 04:58:37,179 --> 04:58:40,082 YOU CAN MAKE SURE TO VISITS THE 6767 04:58:40,082 --> 04:58:41,751 NMP WORKSHOP WEBSITE FOR 6768 04:58:41,751 --> 04:58:43,219 INFORMATION ON GETTING THE 6769 04:58:43,219 --> 04:58:44,820 CREDIT HOURS AND CERTIFICATES. 6770 04:58:44,820 --> 04:58:46,355 I WANT O THANK EVERYONE FOR 6771 04:58:46,355 --> 04:58:47,523 ATTENDING AND I HOPE EVERYONE 6772 04:58:47,523 --> 04:58:49,325 HAS A WONDERFUL REST OF THE DAY 6773 04:58:49,325 --> 04:58:50,993 AND WE'LL SEE EVERYONE TOMORROW. 6774 04:58:50,993 --> 04:58:54,897 NEXT SLIDE, PLEASE. 6775 04:58:54,897 --> 04:58:58,601 NEXT SLIDE. 6776 04:58:58,601 --> 04:58:59,602 THANKS EVERYONE. 6777 04:58:59,602 --> 04:59:10,079 WE'LL SEE EVERYONE TOMORROW.