1
00:00:06,006 --> 00:00:07,007
GOOD AFTERNOON AND      

2
00:00:07,007 --> 00:00:09,676
WELCOME, EVERYONE.

3
00:00:09,676 --> 00:00:10,677
 WE ARE SO 

4
00:00:10,677 --> 00:00:12,346
EXCITED THAT YOU'RE HERE TO JOIN

5
00:00:12,346 --> 00:00:14,014
US FOR THIS RESEARCH SHOWCASE.  

6
00:00:14,014 --> 00:00:18,585
FOR CONNECTING THE COMMUNITY AND

7
00:00:18,585 --> 00:00:20,621
MATERNAL HEALTH CHALLENGE.  LET 

8
00:00:20,621 --> 00:00:22,422
ME INTRODUCE MYSELF, MY NAME IS 

9
00:00:22,422 --> 00:00:24,458
THOM MARTIN AND I'M WITH A 

10
00:00:24,458 --> 00:00:25,559
COMPANY CALLED FED TECH AND I 

11
00:00:25,559 --> 00:00:28,562
WILL BE ONE OF THE MCS TODAY AND

12
00:00:28,562 --> 00:00:30,731
I HAVE 30 YEARS OF RESEARCH AND 

13
00:00:30,731 --> 00:00:33,133
STRATEGY EXPERIENCE.  AND I HAD 

14
00:00:33,133 --> 00:00:34,134
THE GREAT FORTUNE OF BEING PART 

15
00:00:34,134 --> 00:00:38,071
OF A TEAM THAT LED THE AFFECTING

16
00:00:38,071 --> 00:00:40,173
THE COMMUNITY OF THE MATERNAL 

17
00:00:40,173 --> 00:00:41,742
HEALTH CHALLENGE AND I'M ALSO 

18
00:00:41,742 --> 00:00:45,345
JOINED TODAY WITH DR. JENNIFER 

19
00:00:45,345 --> 00:00:45,746
WISDOM, JENNIFER 

20
00:00:45,746 --> 00:00:47,781
>> JENNIFER: HI, I'M A
CLINICAL 

21
00:00:47,781 --> 00:00:49,883
PSYCHOLOGIST AND RESEARCHER AND 

22
00:00:49,883 --> 00:00:51,418
I ALSO HAVE BEEN DELIGHTED TO BE

23
00:00:51,418 --> 00:00:53,020
PART OF THIS TEAM.  PART OF WHAT

24
00:00:53,020 --> 00:00:55,422
I DID WITH THE TEAM WAS TO 

25
00:00:55,422 --> 00:00:56,490
PROVIDE AND COORDINATE TRAININGS

26
00:00:56,490 --> 00:00:59,459
FOR THEM ON RESEARCH AND THEN 

27
00:00:59,459 --> 00:01:00,827
PROVIDED COACHING TO ASSIST THEM

28
00:01:00,827 --> 00:01:02,029
THROUGHOUT THE PROCESS BUT MAKE 

29
00:01:02,029 --> 00:01:04,464
NO MISTAKE ALL THE GOOD STUFF IS

30
00:01:04,464 --> 00:01:05,265
ON THEM, THEY DID FANTASTIC W

31
00:01:05,265 --> 00:01:07,234
WORK.  

32
00:01:07,234 --> 00:01:08,635
>> THOM: AWESOME, WELL,
THANK 

33
00:01:08,635 --> 00:01:10,437
YOU, JENNIFER AND A BIG THANKS 

34
00:01:10,437 --> 00:01:16,276
TO THE TEAM AT NIH AND NIHCD FOR

35
00:01:16,276 --> 00:01:17,945
THE AMAZING SUPPORT ON THIS 

36
00:01:17,945 --> 00:01:20,314
GROUP TODAY WE'LL DO A QUICK 

37
00:01:20,314 --> 00:01:22,182
INTRODUCTIONS AND OVERVIEW.  

38
00:01:22,182 --> 00:01:25,085
WE'RE THEN GOING TO WELCOME 

39
00:01:25,085 --> 00:01:27,287
DR. ALISON CERNICH THEN JUMP 

40
00:01:27,287 --> 00:01:29,656
RIGHT INTO PRESENTATIONS.  WITH 

41
00:01:29,656 --> 00:01:31,058
A LITTLE BREAK IN BETWEEN THE 

42
00:01:31,058 --> 00:01:32,693
MIDDLE PART OF THE 

43
00:01:32,693 --> 00:01:33,894
PRESENTATIONS.  WE'RE GOING TO 

44
00:01:33,894 --> 00:01:38,498
HAVE A Q&A SESSION FOR ABOUT
TEN

45
00:01:38,498 --> 00:01:40,067
MINUTES.  AND THEN DR. BALL KEY 

46
00:01:40,067 --> 00:01:44,171
IS AN IS GOING TO PROVIDE SOME 

47
00:01:44,171 --> 00:01:45,505
REFLECTIONS ON THIS CHALLENGE.  

48
00:01:45,505 --> 00:01:47,541
SO A COUPLE OF LITTLE NOTES.  

49
00:01:47,541 --> 00:01:50,510
WE ARE RECORDING THIS WEBINAR 

50
00:01:50,510 --> 00:01:52,079
TODAY.  BY WE REALLY REQUEST 

51
00:01:52,079 --> 00:01:55,582
THAT YOU DO NOT RECORD, TAKE 

52
00:01:55,582 --> 00:01:57,317
SCREENSHOTS OR REPLICATE.  WE'RE

53
00:01:57,317 --> 00:01:58,852
GOING TO BE ACCEPTING QUESTIONS 

54
00:01:58,852 --> 00:02:01,455
IN THE Q&A TAB AT THE BOTTOM
OF 

55
00:02:01,455 --> 00:02:02,889
THE PAGE AND LOOK BELOW YOU'LL 

56
00:02:02,889 --> 00:02:08,161
SEE Q&A TAB IS CHAT, CHAT IS

57
00:02:08,161 --> 00:02:10,197
DISABLED, Q&A WORKS.  WE'LL
HOLD

58
00:02:10,197 --> 00:02:12,432
THOSE QUESTIONS UNTIL THE
Q&A 

59
00:02:12,432 --> 00:02:14,334
SESSION.  WE HAVE A GREAT TEAM 

60
00:02:14,334 --> 00:02:17,804
WITH AMY WHO WILL HELP US IN THE

61
00:02:17,804 --> 00:02:20,173
EVENT THAT YOU HAVE ANY 

62
00:02:20,173 --> 00:02:21,675
TECHNICAL DIFFICULTIES.  

63
00:02:21,675 --> 00:02:24,144
JENNIFER, WOULD YOU LIKE TO LEAD

64
00:02:24,144 --> 00:02:25,579
THE INTRODUCTION?  

65
00:02:25,579 --> 00:02:26,680
>> JENNIFER: SO TO SAY A
LITTLE 

66
00:02:26,680 --> 00:02:30,183
BIT ABOUT THE IMPROVED 

67
00:02:30,183 --> 00:02:31,551
INITIATIVE OF IMPROVING THE 

68
00:02:31,551 --> 00:02:32,853
OUTCOMES VISION FOR EVERYONE.  

69
00:02:32,853 --> 00:02:34,654
THIS IS A REALLY IMPORTANT 

70
00:02:34,654 --> 00:02:36,156
INITIATIVE.  ON AVERAGE ABOUT 

71
00:02:36,156 --> 00:02:37,958
700 PEOPLE DIE EACH YEAR OF 

72
00:02:37,958 --> 00:02:40,460
PREGNANCY RELATED CAUSES IN THE 

73
00:02:40,460 --> 00:02:42,763
U.S. AND UNFORTUNATELY, THE 

74
00:02:42,763 --> 00:02:45,032
RACIAL, ETHNIC AND SOCIOECONOMIC

75
00:02:45,032 --> 00:02:46,400
DISPARITIES IN THESE MATERNAL 

76
00:02:46,400 --> 00:02:49,436
DEATHS ARE STARK.  FOR EXAMPLE, 

77
00:02:49,436 --> 00:02:51,004
AMERICAN INDIAN, ALASKAN NATIVE 

78
00:02:51,004 --> 00:02:53,640
AND BLACK WOMEN ARE TWO TO THREE

79
00:02:53,640 --> 00:02:57,944
TIMES AS LIKELY TO DIE FROM A 

80
00:02:57,944 --> 00:03:01,681
PREGNANCY CAUSE COMPARED TO 

81
00:03:01,681 --> 00:03:03,884
WHITE WOMEN.  THIS INCLUDES 

82
00:03:03,884 --> 00:03:05,952
AFRICAN AMERICAN BLACK, AMERICAN

83
00:03:05,952 --> 00:03:09,756
INDIAN, ALASKAN NATIVE, NATIVE 

84
00:03:09,756 --> 00:03:12,959
PACIFIC ISLANDER MEANS ENGAGING 

85
00:03:12,959 --> 00:03:14,828
THE COMMUNITIES IN THIS PROCESS 

86
00:03:14,828 --> 00:03:16,463
TO MAKE SURE THEIR NEEDS ARE 

87
00:03:16,463 --> 00:03:17,964
CAPTURED THAT IS WHAT THIS 

88
00:03:17,964 --> 00:03:18,698
PROJECT IS ALL ABOUT.  

89
00:03:18,698 --> 00:03:20,534
>> THOM: GREAT, THANK YOU,

90
00:03:20,534 --> 00:03:21,968
JENNIFER.  AND LET ME GIVE YOU A

91
00:03:21,968 --> 00:03:23,670
LITTLE BIT OF INSIGHT INTO THE 

92
00:03:23,670 --> 00:03:26,206
CONNECTING THE COMMUNITY FOR 

93
00:03:26,206 --> 00:03:26,840
MATERNAL HEALTH CHALLENGE THIS 

94
00:03:26,840 --> 00:03:30,010
WAS OPEN TO COMMUNITY BASED AND 

95
00:03:30,010 --> 00:03:32,212
COMMUNITY ORIENTED 5013C 

96
00:03:32,212 --> 00:03:34,314
ORGANIZATIONS AND THE REAL GOAL 

97
00:03:34,314 --> 00:03:37,417
WAS TO HELP THESE TEAMS BUILD 

98
00:03:37,417 --> 00:03:38,652
INFRASTRUCTURE CAPABILITIES TO 

99
00:03:38,652 --> 00:03:40,921
ENABLE THEM TO PURSUE THE 

100
00:03:40,921 --> 00:03:43,457
MATERNAL HEALTH RESEARCH IN THE 

101
00:03:43,457 --> 00:03:44,591
AREAS THAT IMPACT IN THEIR 

102
00:03:44,591 --> 00:03:46,560
SPECIFIC COMMUNITIES.  WE KNOW 

103
00:03:46,560 --> 00:03:48,862
IN THIS AREA OF WORK, WE HAVE TO

104
00:03:48,862 --> 00:03:50,931
BE LOCAL.  AND THAT IS WHAT 

105
00:03:50,931 --> 00:03:53,600
THESE TEAMS REALLY SET OUT TO 

106
00:03:53,600 --> 00:03:55,569
DO.  SO THERE WAS FOUR PHASES OF

107
00:03:55,569 --> 00:03:56,770
THE CHALLENGE.  AND THIS HAS 

108
00:03:56,770 --> 00:03:59,072
BEEN GOING ON FOR CLOSE TO TWO 

109
00:03:59,072 --> 00:04:01,942
YEARS.  WE STARTED WITH A NUMBER

110
00:04:01,942 --> 00:04:03,677
OF INFORMATIONAL INTERVIEWS 

111
00:04:03,677 --> 00:04:06,546
HOSTED BY THE TEAM AND WITH FED 

112
00:04:06,546 --> 00:04:09,382
TECH AND NIH.  AND DURING A FOUR

113
00:04:09,382 --> 00:04:11,685
WEEK PERIOD WE HAD A LOTS OF -- 

114
00:04:11,685 --> 00:04:17,023
WEBINARS, AND WE RECEIVED 90 

115
00:04:17,023 --> 00:04:18,792
APPLICATIONS.  FROM THERE, WE 

116
00:04:18,792 --> 00:04:19,893
SELECTED 50 ORGANIZATIONS AND 

117
00:04:19,893 --> 00:04:23,096
THEN WE STARTED OUR TRAINING AND

118
00:04:23,096 --> 00:04:25,565
ONE-ON-ONE COACHING.  THE TEAMS 

119
00:04:25,565 --> 00:04:27,200
DEVELOPED OUT A SCOPING AND AN 

120
00:04:27,200 --> 00:04:28,135
APPROACH DOCUMENT THAT WAS 

121
00:04:28,135 --> 00:04:30,036
REVIEWED BY SOME OF THE ESTEEMED

122
00:04:30,036 --> 00:04:35,675
FOLKS AT THE NIH AND THE NIHCD. 

123
00:04:35,675 --> 00:04:37,978
AND 15 ORGANIZATIONS WERE 

124
00:04:37,978 --> 00:04:40,747
SELECTED TO BE IN THEM.  OVER A 

125
00:04:40,747 --> 00:04:43,483
TEN WEEK PERIOD OF VIRTUAL 

126
00:04:43,483 --> 00:04:45,552
WORKSHOPS, SUBJECT MATTER EXPERT

127
00:04:45,552 --> 00:04:48,922
TALKS, ONE-ON-ONE COACHING AND 

128
00:04:48,922 --> 00:04:49,556
NETWORKING OPPORTUNITIES THEN 

129
00:04:49,556 --> 00:04:51,958
SUBMITTED THEIR PROPOSALS.  NINE

130
00:04:51,958 --> 00:04:54,261
ORGANIZATIONS WERE SELECTED TO 

131
00:04:54,261 --> 00:04:56,563
CONTINUE LAST JUNE.  SO FOR THE 

132
00:04:56,563 --> 00:04:58,732
LAST YEAR, THEY'VE BEEN BUILDING

133
00:04:58,732 --> 00:05:00,667
THEIR INFRASTRUCTURE AND 

134
00:05:00,667 --> 00:05:02,035
CONDUCTING THEIR WORK.  WE AT 

135
00:05:02,035 --> 00:05:06,339
FED TECH, HERO X AND NIHCD TEAM 

136
00:05:06,339 --> 00:05:09,743
HAVE BEEN PROVIDING WEEKLY 

137
00:05:09,743 --> 00:05:11,244
WORKSHOPS ON PROJECT MANAGEMENT,

138
00:05:11,244 --> 00:05:13,113
REPORT WRITING, AND WE'RE 

139
00:05:13,113 --> 00:05:14,714
PROVIDING SUBJECT MATTER EXPERTS

140
00:05:14,714 --> 00:05:16,783
AND A NUMBER OF GREAT SPEAKERS 

141
00:05:16,783 --> 00:05:17,450
AND ONE-ON-ONE COACHING 

142
00:05:17,450 --> 00:05:19,653
THROUGHOUT THE WHOLE PROGRAM.  

143
00:05:19,653 --> 00:05:22,155
SO IT'S A VERY ROBUST AND A WELL

144
00:05:22,155 --> 00:05:24,391
SUPPORTED PROGRAM TO HELP THESE 

145
00:05:24,391 --> 00:05:26,293
TEAMS SUCCEED.  I THINK AS YOU 

146
00:05:26,293 --> 00:05:29,663
SEE THE PRESENTATIONS, YOU CAN 

147
00:05:29,663 --> 00:05:32,766
SEE THEY'VE DONE JUST A GREAT 

148
00:05:32,766 --> 00:05:34,868
JOB.  

149
00:05:34,868 --> 00:05:36,002
>> JENNIFER: YEAH,
ABSOLUTELY IT

150
00:05:36,002 --> 00:05:37,604
TOOK SO MANY PEOPLE TO MAKE THIS

151
00:05:37,604 --> 00:05:40,507
WORK.  A HUGE TEAM AT NIH HAS 

152
00:05:40,507 --> 00:05:41,942
DONE A FANTASTIC JOB OF 

153
00:05:41,942 --> 00:05:43,577
SHEPHERDING THIS THROUGH AND 

154
00:05:43,577 --> 00:05:44,678
PROVIDING THEIR EXPERTISE EVERY 

155
00:05:44,678 --> 00:05:45,912
STEP OF THE WAY AND MANY OF 

156
00:05:45,912 --> 00:05:47,347
THESE FOLKS ARE HERE WITH US 

157
00:05:47,347 --> 00:05:49,950
TODAY SO BIG THANKS TO NIH.  FOR

158
00:05:49,950 --> 00:05:52,285
THE NEXT SLIDE, PLEASE.  WE 

159
00:05:52,285 --> 00:05:53,486
WOULD ALSO LIKE TO THANK OUR 

160
00:05:53,486 --> 00:05:55,822
GUEST SPEAKERS.  WE HAD EXPERTS 

161
00:05:55,822 --> 00:05:59,693
FROM THE CDC, FROM HRSA, FROM 

162
00:05:59,693 --> 00:06:04,564
OTHER PARTS OF NIH AND 

163
00:06:04,564 --> 00:06:07,701
RESEARCHERS ACROSS THE COUNTRY 

164
00:06:07,701 --> 00:06:09,402
TO HELP RESEARCHERS DEVELOP WHAT

165
00:06:09,402 --> 00:06:13,540
THEY'RE DOING AND THINK MORE 

166
00:06:13,540 --> 00:06:15,275
BROADLY ABOUT THE IMPACT OF 

167
00:06:15,275 --> 00:06:16,743
MATERNAL HEALTH AND THE PROGRAM 

168
00:06:16,743 --> 00:06:18,645
TEAM AS THOM MENTIONED WE HAVE A

169
00:06:18,645 --> 00:06:22,849
WHOLE CAST HERE FROM HERO X, 

170
00:06:22,849 --> 00:06:24,317
NASA, WISDOM CONSULTING ANDED A 

171
00:06:24,317 --> 00:06:26,186
VAR RAH WHO HELPED WITH EVERY 

172
00:06:26,186 --> 00:06:28,321
ASPECT OF GETTING THE TECHNICAL 

173
00:06:28,321 --> 00:06:28,788
PIECES DONE. 

174
00:06:28,788 --> 00:06:30,357
GETTING THE WEBINARS DONE ON 

175
00:06:30,357 --> 00:06:31,791
TIME AND COMMUNICATING WITH THE 

176
00:06:31,791 --> 00:06:33,493
SITE.  THANKS TO EVERYONE WHO 

177
00:06:33,493 --> 00:06:38,398
MADE THIS A FANTASTIC ADVENTURE.

178
00:06:38,398 --> 00:06:39,633
AND OF COURSE, A SPECIAL THANK 

179
00:06:39,633 --> 00:06:41,201
YOU TO THE COMMUNITY 

180
00:06:41,201 --> 00:06:43,336
ORGANIZATIONS THAT TOOK PART, 

181
00:06:43,336 --> 00:06:44,437
YOU HAVE BEEN ABSOLUTELY 

182
00:06:44,437 --> 00:06:45,705
AMAZING.  AND WE'RE ALL SO 

183
00:06:45,705 --> 00:06:54,881
EXCITED TO HEAR FROM YOU TODAY. 

184
00:06:54,881 --> 00:06:56,883
SO NEXT UP WE HAVE DR. CERNICH 

185
00:06:56,883 --> 00:06:59,786
IS WITH US.  DR. ALISON CERNICH.

186
00:06:59,786 --> 00:07:03,123
SHE BECAME THE DEPUTY DIRECTOR 

187
00:07:03,123 --> 00:07:06,559
OF THE EUNICE KENNEDY SH LIVER 

188
00:07:06,559 --> 00:07:08,328
NATIONAL INSTITUTE OF CHILD 

189
00:07:08,328 --> 00:07:11,665
DEVELOPMENT IN 2019 AND ASSISTS 

190
00:07:11,665 --> 00:07:13,500
THE DIRECTOR IN SUPPORTING 

191
00:07:13,500 --> 00:07:15,869
RESEARCH ON CHILD DEVELOPMENT, 

192
00:07:15,869 --> 00:07:17,537
DEVELOPMENTAL BIOLOGY, 

193
00:07:17,537 --> 00:07:19,773
NUTRITION, HIV, AIDS, 

194
00:07:19,773 --> 00:07:20,974
INTELLECTUAL AND DEVELOPMENTAL 

195
00:07:20,974 --> 00:07:22,642
DISABILITIES, POPULATION 

196
00:07:22,642 --> 00:07:24,944
DYNAMICS, WOMEN'S HEALTH, 

197
00:07:24,944 --> 00:07:26,680
REPRODUCTIVE BIOLOGY, 

198
00:07:26,680 --> 00:07:29,482
CONTRACEPTION PREGNANCY AND 

199
00:07:29,482 --> 00:07:32,152
MEDICAL REHABILITATION.  SHE 

200
00:07:32,152 --> 00:07:35,455
ALSO REPRESENTS NICHD ON 

201
00:07:35,455 --> 00:07:36,423
WIDE-RANGING INITIATIVES IN 

202
00:07:36,423 --> 00:07:39,125
DIVERSITY, EQUITY INCLUSION AND 

203
00:07:39,125 --> 00:07:41,761
ACCESSIBILITY.  MATERNAL HEALTH,

204
00:07:41,761 --> 00:07:43,697
DATA SCIENCE, NEURAL SCIENCE, 

205
00:07:43,697 --> 00:07:45,965
AND SOCIAL DETERMINANTS OF 

206
00:07:45,965 --> 00:07:48,635
HEALTH AND PAIN.  DR. CERNICH IS

207
00:07:48,635 --> 00:07:51,171
A SOUGHT AFTER COLLABORATOR AND 

208
00:07:51,171 --> 00:07:53,306
LEADS OR CONTRIBUTES TO THE 

209
00:07:53,306 --> 00:07:56,209
DEPARTMENT OF HEALTH AND WORKING

210
00:07:56,209 --> 00:07:57,977
SERVICES GROUPS ON REPRODUCTIVE 

211
00:07:57,977 --> 00:07:59,512
CARE AND PATIENT CENTERED 

212
00:07:59,512 --> 00:08:01,448
OUTCOME.  WELCOME, DR. CERNICH 

213
00:08:01,448 --> 00:08:03,383
AND WE ARE SO DELIGHTED TO HEAR 

214
00:08:03,383 --> 00:08:03,883
FROM YOU.  

215
00:08:03,883 --> 00:08:05,985
>> ALISON: WELL, FIRST
OFF, JEN,

216
00:08:05,985 --> 00:08:09,823
THANK YOU, THOM, THANK YOU THE 

217
00:08:09,823 --> 00:08:13,293
TEAM, YOU KNOW, I JUST WANT TO 

218
00:08:13,293 --> 00:08:15,428
EXTEND MY WELCOME SO THE 

219
00:08:15,428 --> 00:08:18,565
IMPROVED CONNECTING THE RESEARCH

220
00:08:18,565 --> 00:08:20,900
SHOWCASE.  WE HAVE BEEN WITH 

221
00:08:20,900 --> 00:08:22,268
THIS PROGRAM SINCE IT WAS AN 

222
00:08:22,268 --> 00:08:24,170
IDEA ON A PIECE OF PAPER BEFORE 

223
00:08:24,170 --> 00:08:25,905
WE EVER ENTERED INTO AN 

224
00:08:25,905 --> 00:08:28,608
AGREEMENT WITH NASA EVER MET OUR

225
00:08:28,608 --> 00:08:30,744
TEAM AT HERO X AND FED TECH AND 

226
00:08:30,744 --> 00:08:33,680
EVER CONVENED ALL OF OUR NIH 

227
00:08:33,680 --> 00:08:35,515
EXPERTS AND HAVE BEEN WORKING 

228
00:08:35,515 --> 00:08:37,951
WITH US AS WELL AS OUR EXTERNAL 

229
00:08:37,951 --> 00:08:39,018
TECHNICAL ADVISORS FROM THE 

230
00:08:39,018 --> 00:08:41,521
MARCH OF DIMES, FROM 

231
00:08:41,521 --> 00:08:43,022
COMMONWEALTH FUND AND ELSEWHERE 

232
00:08:43,022 --> 00:08:45,492
THAT HAVE REALLY WORKED WITH US.

233
00:08:45,492 --> 00:08:47,093
AND THESE EIGHT INCREDIBLE 

234
00:08:47,093 --> 00:08:47,827
COMMUNITY ORGANIZATIONS THAT 

235
00:08:47,827 --> 00:08:49,963
YOU'RE GOING TO HEAR FROM TODAY.

236
00:08:49,963 --> 00:08:50,964
THAT HAVE ADVANCED TO BE 

237
00:08:50,964 --> 00:08:53,967
FINALISTS IN THE RESEARCH PHASE 

238
00:08:53,967 --> 00:08:55,268
OF THIS CHALLENGE AND I WANT TO 

239
00:08:55,268 --> 00:08:57,237
ACKNOWLEDGE THE FOLKS THAT 

240
00:08:57,237 --> 00:08:58,338
PARTICIPATED THROUGHOUT THAT 

241
00:08:58,338 --> 00:09:01,975
TOOK TIME, IT TOOK EXPERTISE AND

242
00:09:01,975 --> 00:09:09,949
IT SHOWS YOUR DEDICATION TO 

243
00:09:09,949 --> 00:09:11,851
IMPROVING HEALTH OUTCOMES.  AND 

244
00:09:11,851 --> 00:09:14,154
WE TALKED ABOUT THE REASONS WE 

245
00:09:14,154 --> 00:09:15,722
LAUNCHED THIS CHALLENGE BETWEEN 

246
00:09:15,722 --> 00:09:17,957
OUR INSTITUTE.  WE ARE 

247
00:09:17,957 --> 00:09:19,692
CO-LEADING THE IMPROVE 

248
00:09:19,692 --> 00:09:20,960
INITIATIVE WITH THE NATIONAL 

249
00:09:20,960 --> 00:09:23,129
INSTITUTE OF NURSING RESEARCH 

250
00:09:23,129 --> 00:09:24,564
AND THE OFFICE OF RESEARCH ON 

251
00:09:24,564 --> 00:09:26,533
WOMEN'S HEALTH AND WE COORDINATE

252
00:09:26,533 --> 00:09:28,401
AND COLLABORATE ACROSS THE NIH 

253
00:09:28,401 --> 00:09:31,638
ON THIS PROGRAM TO REDUCE 

254
00:09:31,638 --> 00:09:33,840
PREVENTABLE CAUSES OF MATERNAL 

255
00:09:33,840 --> 00:09:35,675
DEATH AND IMPROVE HEALTH OF 

256
00:09:35,675 --> 00:09:37,510
WOMEN BEFORE, AFTER AND DURING 

257
00:09:37,510 --> 00:09:38,411
DELIVERY.  WE KNOW THAT ONE OF 

258
00:09:38,411 --> 00:09:41,648
THE THINGS WE NEED TO DO TO MAKE

259
00:09:41,648 --> 00:09:43,650
A DIFFERENCE IN MATERNAL 

260
00:09:43,650 --> 00:09:47,287
MORBIDITY IS ENGAGE COMMUNITIES.

261
00:09:47,287 --> 00:09:56,329
AND THESE ARE THE COMMUNITIES WE

262
00:09:56,329 --> 00:09:57,464
REPRESENT.  AND WE NEED YOU TO 

263
00:09:57,464 --> 00:09:59,466
MAKE THESE DIFFERENCES AND TO BE

264
00:09:59,466 --> 00:10:00,900
QUITE HONEST OFTEN WE RELY ON 

265
00:10:00,900 --> 00:10:03,136
OUR ACADEMIC INSTITUTIONS, ON 

266
00:10:03,136 --> 00:10:06,206
HOSPITALS, BY THE RESPONSE TO 

267
00:10:06,206 --> 00:10:08,208
THIS PROGRAM ANNOUNCEMENT SHOWED

268
00:10:08,208 --> 00:10:10,143
THAT COMMUNITIES WERE READY TO 

269
00:10:10,143 --> 00:10:11,211
TAKE ON THIS RESEARCH CHALLENGE 

270
00:10:11,211 --> 00:10:13,947
AND I THINK THAT REFLECTED THE 

271
00:10:13,947 --> 00:10:20,053
LEVEL OF CONCERN AND COMMITMENT 

272
00:10:20,053 --> 00:10:20,653
COMMUNITIES HAVE THAT AFFECT 

273
00:10:20,653 --> 00:10:24,757
PEOPLE WHERE THEY RIVLIVE.  WE 

274
00:10:24,757 --> 00:10:25,959
WANTED TOME POWER COMMUNITY 

275
00:10:25,959 --> 00:10:26,960
BASED ORGANIZATIONS TO CONDUCT 

276
00:10:26,960 --> 00:10:28,294
AND PARTICIPATE IN RESEARCH BY 

277
00:10:28,294 --> 00:10:30,029
HELPING THEM DEVELOP THE 

278
00:10:30,029 --> 00:10:31,664
RESOURCES AND CAPABILITIES 

279
00:10:31,664 --> 00:10:32,765
NECESSARY TO CONDUCT MATERNAL 

280
00:10:32,765 --> 00:10:35,568
HEALTH RESEARCH AND COMPETE FOR 

281
00:10:35,568 --> 00:10:37,804
FEDERAL FUNDING.  SO I KNOW THAT

282
00:10:37,804 --> 00:10:39,405
YOU ALL HAVE BEEN GETTING 

283
00:10:39,405 --> 00:10:41,441
TRAINING FOR A LONG TIME.  AND 

284
00:10:41,441 --> 00:10:43,109
ENGAGING WITH REALLY AMAZING 

285
00:10:43,109 --> 00:10:44,777
EXPERTS AND I WANT TO THANK ALL 

286
00:10:44,777 --> 00:10:46,112
OF THEM AND ESPECIALLY JEN FOR 

287
00:10:46,112 --> 00:10:48,448
LEADING MOST OF THEM WITH OUR 

288
00:10:48,448 --> 00:10:51,417
NIH TEAM AND GETTING ALL THE 

289
00:10:51,417 --> 00:10:53,520
MATERIALS DEVELOPED OUT.  I HOPE

290
00:10:53,520 --> 00:10:54,787
THOSE HAVE BEEN VALUABLE AND 

291
00:10:54,787 --> 00:10:56,189
EQUIPPED YOU WITH THE TOOLS YOU 

292
00:10:56,189 --> 00:10:58,024
NEED TO CONTINUE YOUR WORK AFTER

293
00:10:58,024 --> 00:10:59,259
THIS PROGRAM ENDS.  AND BEFORE I

294
00:10:59,259 --> 00:11:01,694
TURN IT OVER, I JUST REALLY NEED

295
00:11:01,694 --> 00:11:03,763
TO TAKE A MOMENT TO THANK OUR 

296
00:11:03,763 --> 00:11:05,598
TEAM, ESPECIALLY OUR CHALLENGE 

297
00:11:05,598 --> 00:11:11,304
COLEADS FROM NICHD.  DOCTORS 

298
00:11:11,304 --> 00:11:15,942
MAURICE DAVIS AND JUANITA CHINN.

299
00:11:15,942 --> 00:11:18,244
MAURICE AND JUANITA SAID YES TO 

300
00:11:18,244 --> 00:11:20,280
AN IDEA THAT HAD NOT BEEN TESTED

301
00:11:20,280 --> 00:11:23,383
AND I'M SUPER GRATEFUL TO THEM. 

302
00:11:23,383 --> 00:11:25,385
THIS WAS A SECOND TIME MAURICE 

303
00:11:25,385 --> 00:11:28,421
SAID YES TO ME WHEN I HAD AN 

304
00:11:28,421 --> 00:11:32,258
IDEA AND I AM GRATEFUL FOR HIM 

305
00:11:32,258 --> 00:11:33,026
TO JUMP IN AND JUANITA TO LEARN 

306
00:11:33,026 --> 00:11:34,060
THIS PROCESS AND HUGE THANK YOU 

307
00:11:34,060 --> 00:11:35,862
TO PARTNERS FOR ALWAYS BEING 

308
00:11:35,862 --> 00:11:37,564
THERE AND THINKING WITH US AND 

309
00:11:37,564 --> 00:11:39,632
REALLY CRITIQUING OUR PROCESS 

310
00:11:39,632 --> 00:11:42,535
AND OUR PROGRAM.  OUR CONTRACT 

311
00:11:42,535 --> 00:11:45,538
TEAM.  OUR IRB TEAM.  AND 

312
00:11:45,538 --> 00:11:46,839
FINALLY, OUR WONDERFUL 

313
00:11:46,839 --> 00:11:48,441
PARTICIPANTS FOR THEIR 

314
00:11:48,441 --> 00:11:49,475
CONTRIBUTIONS AND INVOLVEMENT.  

315
00:11:49,475 --> 00:11:51,511
BUT I WANT TO THANK ALL OF YOU 

316
00:11:51,511 --> 00:11:52,779
FOR YOUR DEDICATION, YOUR 

317
00:11:52,779 --> 00:11:54,981
CREATIVITY AND YOUR HARD WORK.  

318
00:11:54,981 --> 00:11:56,215
I'M SO PROUD OF WHAT THIS 

319
00:11:56,215 --> 00:11:57,684
PROGRAM IS DOING.  TO MAKE THE 

320
00:11:57,684 --> 00:11:59,752
DIFFERENCE IN THE LIVES OF 

321
00:11:59,752 --> 00:12:01,387
PREGNANT AND POSTPARTUM PEOPLE 

322
00:12:01,387 --> 00:12:02,221
RIGHT WHERE YOU LIVE AND I 

323
00:12:02,221 --> 00:12:04,023
REALLY AM EXCITED TO HEAR ABOUT 

324
00:12:04,023 --> 00:12:06,092
THIS.  THIS IS SOMETHING THAT I 

325
00:12:06,092 --> 00:12:08,127
HAVE BEEN TRACKING FROM ITS VERY

326
00:12:08,127 --> 00:12:09,829
BEGINNING.  AND THIS IS GOING TO

327
00:12:09,829 --> 00:12:11,798
BE REALLY FUN FOR ME TO HEAR 

328
00:12:11,798 --> 00:12:13,566
WHERE WE ARE NOW.  SO I WILL 

329
00:12:13,566 --> 00:12:15,768
TURN IT BACK TO THE TEAM, BUT 

330
00:12:15,768 --> 00:12:17,503
THANK YOU ALL SO MUCH FOR GIVING

331
00:12:17,503 --> 00:12:19,005
ME THE OPPORTUNITY TO SAY THANK 

332
00:12:19,005 --> 00:12:20,840
YOU.  THIS HAS BEEN A REALLY 

333
00:12:20,840 --> 00:12:26,112
WONDERFUL JOURNEY.  

334
00:12:26,112 --> 00:12:27,447
>> THOM: THANK YOU DR.
CERNICH 

335
00:12:27,447 --> 00:12:28,081
AND NOW ONTO OUR EIGHT 

336
00:12:28,081 --> 00:12:32,085
PRESENTATIONS.  SO JUST A QUICK 

337
00:12:32,085 --> 00:12:34,220
REMINDER, NO RECORDING, NO 

338
00:12:34,220 --> 00:12:36,189
SCREENSHOTS, AND NO 

339
00:12:36,189 --> 00:12:37,590
REPLICATIONS.  I WANT TO MAKE A 

340
00:12:37,590 --> 00:12:40,293
SPECIAL NOTE THAT THE TEAM ARE 

341
00:12:40,293 --> 00:12:41,961
BUSY WITH THEIR WORK BUT STILL 

342
00:12:41,961 --> 00:12:45,965
CONDUCTING THEIR RESEARCH SO 

343
00:12:45,965 --> 00:12:49,502
THESE ARE PRELIMINARY FINDINGS 

344
00:12:49,502 --> 00:12:51,137
SO WE APPRECIATE THE NO 

345
00:12:51,137 --> 00:12:53,272
SCREENSHOTS OR REPLICATIONS.  

346
00:12:53,272 --> 00:12:53,906
PLEASE REMEMBER TO PUT YOUR 

347
00:12:53,906 --> 00:12:56,242
QUESTIONS IN THE TAB AND WE WILL

348
00:12:56,242 --> 00:12:59,045
GET GOING.  SO WITH THAT 

349
00:12:59,045 --> 00:13:01,080
JENNIFER WOULD YOU LIKE TO 

350
00:13:01,080 --> 00:13:02,181
SURPRISE THE FIRST TEAM?  

351
00:13:02,181 --> 00:13:03,249
>> JENNIFER: ABSOLUTELY.  

352
00:13:03,249 --> 00:13:05,952
WELCOME TO THE ABUNDANCE 

353
00:13:05,952 --> 00:13:08,087
PROJECT.  MS. MICHELE HOLLAND IS

354
00:13:08,087 --> 00:13:09,956
THE FOUNDER OF THE PROJECT THAT 

355
00:13:09,956 --> 00:13:12,959
PROVIDES ACCESS, EDUCATION AND 

356
00:13:12,959 --> 00:13:14,527
ADVOCACY FOR DOULA CARE TO 

357
00:13:14,527 --> 00:13:17,964
MOTHERS IN NEED BY REMOVING 

358
00:13:17,964 --> 00:13:20,266
ETHIC DISPARITIES IN MATERNAL 

359
00:13:20,266 --> 00:13:23,536
HEALTH CARE.  SHE HAS OVER THREE

360
00:13:23,536 --> 00:13:25,338
DECADES OF EXPERIENCE AS A 

361
00:13:25,338 --> 00:13:30,043
CHAMPION AND HAS A BOOK ON 

362
00:13:30,043 --> 00:13:31,444
PRENATAL MASSAGE THERAPY.  

363
00:13:31,444 --> 00:13:34,414
JESSICA HAN LYNN IS CO-OWNER OF 

364
00:13:34,414 --> 00:13:36,916
SANCTU

365
00:13:36,916 --> 00:13:40,520
SANCTUARY DOULAS, SHE IS A 

366
00:13:40,520 --> 00:13:43,556
MOTHER, POSTPARTUM DOULA AND 

367
00:13:43,556 --> 00:13:44,624
PERINATAL HEALTH THERAPIST.  WE 

368
00:13:44,624 --> 00:13:46,259
LOOK FORWARD TO YOUR 

369
00:13:46,259 --> 00:13:56,502
PRESENTATION.

370
00:13:58,171 --> 00:13:59,272
>> THANK YOU, I WANT TO
THANK 

371
00:13:59,272 --> 00:14:04,410
THE NIH LEADERS.  WE'RE SO 

372
00:14:04,410 --> 00:14:05,078
HONORED TO HAVE BEEN CHOSEN AS 

373
00:14:05,078 --> 00:14:07,780
ONE OF THE EIGHT FINALISTS IN 

374
00:14:07,780 --> 00:14:09,816
CONNECTING AND COMMUNITY AND WE 

375
00:14:09,816 --> 00:14:10,483
EXTEND OUR GRATITUDE TO THE 

376
00:14:10,483 --> 00:14:19,058
OTHER SEVEN NONPROFITS 

377
00:14:19,058 --> 00:14:20,993
PRESENTING TODAY.  AS JENNIFER 

378
00:14:20,993 --> 00:14:23,496
MENTIONED, THE ABUNDANCE PROJECT

379
00:14:23,496 --> 00:14:25,965
IS LOCATED IN BEAUTIFUL BOULDER 

380
00:14:25,965 --> 00:14:29,602
COUNTY, KROO KRO WE PROVIDE 

381
00:14:29,602 --> 00:14:33,673
ADVOCACY FOR DOULA CARE WITH 

382
00:14:33,673 --> 00:14:34,774
SPONSORSHIPS WITH ACADEMIC 

383
00:14:34,774 --> 00:14:36,843
CHALLENGES.  

384
00:14:36,843 --> 00:14:39,846
SANCTUARY DOULAS AND FAMILY CARE

385
00:14:39,846 --> 00:14:41,514
IS COLORADO'S LARGEST INFANT 

386
00:14:41,514 --> 00:14:43,583
CARE TEAM AND I HAVE HAD THE 

387
00:14:43,583 --> 00:14:45,418
PRIVILEGE OF WORKING WITH BOTH 

388
00:14:45,418 --> 00:14:47,954
JESSICA AND THE CO-OWNER ALISON 

389
00:14:47,954 --> 00:14:49,555
SINCE 2018 IN A LOVELY COMMUNITY

390
00:14:49,555 --> 00:14:51,190
PARTNERSHIP THAT MAKES THE 

391
00:14:51,190 --> 00:14:54,393
FUNDING AND THIS POSTPARTUM 

392
00:14:54,393 --> 00:14:56,229
DOULA CARE POSSIBLE IN OUR 

393
00:14:56,229 --> 00:14:57,964
COMMUNITIES.  OUR RESEARCH TEAM 

394
00:14:57,964 --> 00:15:00,333
HAS ALSO ADDED TWO REMARKABLE 

395
00:15:00,333 --> 00:15:03,803
UNIVERSITY MATERNAL HEALTH 

396
00:15:03,803 --> 00:15:08,074
RESEARCH EXPERTS.  ELIZABETH 

397
00:15:08,074 --> 00:15:10,843
GREEN WE'LL AND LAUREL HICKS 

398
00:15:10,843 --> 00:15:14,313
WITH THE CROWN INSTITUTE OF THE 

399
00:15:14,313 --> 00:15:16,716
UNIVERSITY OF COLORADO-BOULDER, 

400
00:15:16,716 --> 00:15:18,117
NEXT SLIDE, PLEASE. 

401
00:15:18,117 --> 00:15:21,254
OUR RESEARCH EXAMINES THE IMPACT

402
00:15:21,254 --> 00:15:23,689
OF POSTPARTUM DOULAS ON MENTAL 

403
00:15:23,689 --> 00:15:28,227
HEALTH AND HYPERTENSION IN BIPOC

404
00:15:28,227 --> 00:15:29,796
MOTHERS.  DEPRESSION, ANXIETY 

405
00:15:29,796 --> 00:15:32,932
AND HYPERTENSION ARE THE LEADING

406
00:15:32,932 --> 00:15:34,534
FACTORS CONTRIBUTING TO MATERNAL

407
00:15:34,534 --> 00:15:37,670
MORBIDITY AND MORTALITY IN THE 

408
00:15:37,670 --> 00:15:40,106
UNITED STATES, ESPECIALLY AMONG 

409
00:15:40,106 --> 00:15:42,942
BLACK, INDIGENOUS AND PEOPLE OF 

410
00:15:42,942 --> 00:15:46,312
COLOR BIPOC POSTPARTUM MOTHERS 

411
00:15:46,312 --> 00:15:49,382
IS POSTPARTUM DOULA CARE 

412
00:15:49,382 --> 00:15:51,317
EFFECTIVE IN REDUCING SYMPTOMS 

413
00:15:51,317 --> 00:15:53,052
OF DEPRESSION AND HYPERTENSION? 

414
00:15:53,052 --> 00:15:54,921
TWO, WHAT IS THE ACCEPTABILITY 

415
00:15:54,921 --> 00:15:57,223
AND FEASIBILITY OF POSTPARTUM 

416
00:15:57,223 --> 00:15:58,758
DOULA CARE AS AN INTERVENTION?  

417
00:15:58,758 --> 00:16:01,327
AND THREE HOW DOES POSTPARTUM 

418
00:16:01,327 --> 00:16:04,697
DOULA CARE IMPACT THE POSTPARTUM

419
00:16:04,697 --> 00:16:05,865
EXPERIENCE.  THE SUMMARY OF OUR 

420
00:16:05,865 --> 00:16:09,235
PROJECT IS WE EMPLOYED A 

421
00:16:09,235 --> 00:16:11,838
LONGITUDINAL PILOT STUDY TO 

422
00:16:11,838 --> 00:16:13,272
EXPLORE THE EFFECTS OF THIS 

423
00:16:13,272 --> 00:16:15,474
NON-MEDICAL INTERVENTION THE 

424
00:16:15,474 --> 00:16:17,476
STUDY'S INTERVENTION CONSISTED 

425
00:16:17,476 --> 00:16:19,378
OF A SERIES OF IN-HOME 

426
00:16:19,378 --> 00:16:21,881
POSTPARTUM CARE VISITS, 24 HOURS

427
00:16:21,881 --> 00:16:23,883
TOTAL GENERALLY OFFERED IN SIX 

428
00:16:23,883 --> 00:16:25,451
VISITS OF FOUR HOURS EACH 

429
00:16:25,451 --> 00:16:27,920
PROVIDED TO THE STUDY 

430
00:16:27,920 --> 00:16:28,688
PARTICIPANTS WITHIN THE FIRST 

431
00:16:28,688 --> 00:16:31,757
YEAR POSTPARTUM.  OUR PROJECT 

432
00:16:31,757 --> 00:16:34,293
TIMELINE BEGAN IN SEPTEMBER 2023

433
00:16:34,293 --> 00:16:37,296
AND WILL CONCLUDE IN 2024 UPON 

434
00:16:37,296 --> 00:16:40,399
REACHING OUR INTENDED SAMPLE 

435
00:16:40,399 --> 00:16:43,069
SIZE WITH THE REEVALUATION AT 

436
00:16:43,069 --> 00:16:46,272
THAT TIME OF BEST NEXT STEPS.  

437
00:16:46,272 --> 00:16:47,406
JESSICA WILL SHARE OUR NEXT 

438
00:16:47,406 --> 00:16:50,443
RESEARCH FINDINGS.  NEXT SLIDE, 

439
00:16:50,443 --> 00:16:50,676
PLEASE.

440
00:16:50,676 --> 00:16:53,212
>> OUR STUDY WAS
ORIGINALLY 

441
00:16:53,212 --> 00:16:56,215
DESIGNED AS A RANDOMIZED CONTROL

442
00:16:56,215 --> 00:16:58,517
TRIAL BUT WE HAD SLOW 

443
00:16:58,517 --> 00:17:00,319
RECRUITMENT AND TIME 

444
00:17:00,319 --> 00:17:01,087
CONSTRAINTS.  OUR INTERVENTION 

445
00:17:01,087 --> 00:17:11,130
EQUALS 24 HOURS OF POST PARTUM 

446
00:17:11,130 --> 00:17:12,665
DOULA CARE.  WE COLLECTED DATA 

447
00:17:12,665 --> 00:17:13,833
THROUGH ELECTRONIC FORMS OF 

448
00:17:13,833 --> 00:17:24,343
(READING).  WE'VE ENROLLED 20 

449
00:17:30,516 --> 00:17:31,584
PARTICIPATION UP FROM 16.  WHICH

450
00:17:31,584 --> 00:17:33,052
IS GREAT.  NEXT SLIDE, PLEASE.  

451
00:17:33,052 --> 00:17:34,687
IN LOOK AT OUR PRELIMINARY 

452
00:17:34,687 --> 00:17:35,888
RESEARCH FINDINGS WE HAVE USED 

453
00:17:35,888 --> 00:17:39,492
THE SOFTWARE SPSS TO CONDUCT OUR

454
00:17:39,492 --> 00:17:41,961
ANALYSES THUS FAR WE COLLECTED A

455
00:17:41,961 --> 00:17:43,629
WIDE ARRAY OF DESCRIPTIVE 

456
00:17:43,629 --> 00:17:44,764
CHARACTERISTICS AND FOUND SOME 

457
00:17:44,764 --> 00:17:47,166
TRENDS AS A MAJORITY OF OUR 

458
00:17:47,166 --> 00:17:50,269
PARTICIPANTS WERE RECEIVING 

459
00:17:50,269 --> 00:17:53,940
MEDICAID BENEFITS.  ALSO NOTE WE

460
00:17:53,940 --> 00:17:56,709
ADDED A FEW MORE PARTICIPANTS 

461
00:17:56,709 --> 00:17:57,944
WHOSE PRIMARY LANGUAGE IS 

462
00:17:57,944 --> 00:18:00,146
SPANISH AND WE ARE EAGER TO 

463
00:18:00,146 --> 00:18:01,948
REACH MORE IN THE MONTHS TO 

464
00:18:01,948 --> 00:18:03,482
COME.  AS YOU CAN SEE HERE IN 

465
00:18:03,482 --> 00:18:04,450
FIGURE ONE OUR PARTICIPANT 

466
00:18:04,450 --> 00:18:05,918
SCORES FOR DEPRESSION THROUGH 

467
00:18:05,918 --> 00:18:08,721
THE PHQ-9 AND ANXIETY THROUGH 

468
00:18:08,721 --> 00:18:16,963
THE GAD-7 THUS FAR HAVE 

469
00:18:16,963 --> 00:18:19,498
DECREASED WE USE THESE TEST FOR 

470
00:18:19,498 --> 00:18:21,734
DEPRESSION AND ANXIETY AS WELL 

471
00:18:21,734 --> 00:18:25,404
FOR BLOOD PRESSURE READINGS.  

472
00:18:25,404 --> 00:18:28,040
OUR PRELIMINARY RESULTS 

473
00:18:28,040 --> 00:18:29,709
ANTICIPATE STRONG ENGAGEMENT AND

474
00:18:29,709 --> 00:18:31,811
SATISFACTION WITH THE 

475
00:18:31,811 --> 00:18:32,812
INTERVENTION.  NEXT SLIDE, 

476
00:18:32,812 --> 00:18:34,413
PLEASE.  CONCLUSIONS DRAWN AT 

477
00:18:34,413 --> 00:18:36,248
THIS POINT IN THE STUDY INDICATE

478
00:18:36,248 --> 00:18:38,384
PARTICIPATION IS ASSOCIATED WITH

479
00:18:38,384 --> 00:18:40,853
A REDUCTION IN ANXIETY SYMPTOMS.

480
00:18:40,853 --> 00:18:42,989
EARLY RESULTS BEGIN TO PROVIDE 

481
00:18:42,989 --> 00:18:44,557
EVIDENCE THAT POSTPARTUM CARE 

482
00:18:44,557 --> 00:18:47,927
COULD ADDRESS THE MORBIDITY AND 

483
00:18:47,927 --> 00:18:49,762
MORTALITY.  AND POTENTIALLY ALSO

484
00:18:49,762 --> 00:18:50,963
FOR MATERNAL HYPERTENSION AS 

485
00:18:50,963 --> 00:18:53,966
WELL.  THE IMPLICATIONS OF OUR 

486
00:18:53,966 --> 00:18:55,935
FINDINGS INCLUDE OPPORTUNITY FOR

487
00:18:55,935 --> 00:18:56,736
EARLY REFERRAL FOR MEDICAL 

488
00:18:56,736 --> 00:18:59,638
ATTENTION FOR MOTHERS RECEIVING 

489
00:18:59,638 --> 00:19:01,407
POSTPARTUM CARE.  WE HAVE THE 

490
00:19:01,407 --> 00:19:02,608
OPPORTUNITY TO HELP BRIDGE THE 

491
00:19:02,608 --> 00:19:04,944
GAP FOR BIPOC FAMILIES AND 

492
00:19:04,944 --> 00:19:07,013
REBUILDING TRUST WITH THE 

493
00:19:07,013 --> 00:19:09,749
MATERNAL HEALTH SYSTEM THERE'S A

494
00:19:09,749 --> 00:19:11,617
SIGNIFICANT NEED FOR MEDICATION 

495
00:19:11,617 --> 00:19:15,287
FOR THOSE IN POSTPARTUM CARE AND

496
00:19:15,287 --> 00:19:16,655
FUNDING IN THIS CASE IS 

497
00:19:16,655 --> 00:19:17,957
IMPORTANT FOR ACCESS AND 

498
00:19:17,957 --> 00:19:19,158
AWARENESS.  OUR PRELIMINARY 

499
00:19:19,158 --> 00:19:21,494
FINDINGS CONTRIBUTE TO A GROWING

500
00:19:21,494 --> 00:19:23,429
BODY OF LITERATURE ON MENTAL 

501
00:19:23,429 --> 00:19:25,064
HEALTH AND PHYSICAL WELLNESS AND

502
00:19:25,064 --> 00:19:26,298
HIGHLIGHTS THE VALUE OF A 

503
00:19:26,298 --> 00:19:28,701
SERVICE WITH RACIALIZED 

504
00:19:28,701 --> 00:19:29,668
POSTPARTUM MOTHERS.  NOW BACK TO

505
00:19:29,668 --> 00:19:31,804
MICHELE FOR NEXT STEPS.

506
00:19:31,804 --> 00:19:34,140
>> THANKS, JESSICA, I AM 

507
00:19:34,140 --> 00:19:35,341
DELIGHTED TO REPORT THAT OUR 

508
00:19:35,341 --> 00:19:38,878
PARTICIPATION IN THE IMPROVE 

509
00:19:38,878 --> 00:19:41,614
INITIATIVE HAS LEAD EXTENSIVE 

510
00:19:41,614 --> 00:19:43,549
GROUNDWORK OUR PROJECT'S 

511
00:19:43,549 --> 00:19:45,551
IMMEDIATE NEXT STEPS ARE 

512
00:19:45,551 --> 00:19:46,886
CONTINUING TO COLLECT DATA WITH 

513
00:19:46,886 --> 00:19:48,554
THE GOAL OF REACHING OUR SAMPLE 

514
00:19:48,554 --> 00:19:52,158
SIZE OF 30 AND IMPLEMENT OUR 

515
00:19:52,158 --> 00:19:53,259
PLANNED COLLABORATION WITH 

516
00:19:53,259 --> 00:19:56,228
TECHNOLOGY PARTNER CARETAKER 

517
00:19:56,228 --> 00:19:57,963
MEDICAL, INITIATIVE WINNER 

518
00:19:57,963 --> 00:19:59,398
THROUGH THE TECH FOR MATERNAL 

519
00:19:59,398 --> 00:20:00,800
HEALTH CHALLENGE AFTER THAT 

520
00:20:00,800 --> 00:20:02,234
WE'LL DECIDE WHETHER TO EXPAND 

521
00:20:02,234 --> 00:20:04,170
OUR SAMPLE SIZE OR END THIS 

522
00:20:04,170 --> 00:20:07,606
STUDY AND PUBLISH OUR FINDINGS 

523
00:20:07,606 --> 00:20:08,941
IN PEER-REVIEWED MATERNAL HEALTH

524
00:20:08,941 --> 00:20:11,377
JOURNALS WE'RE EAGER TO EXPLORE 

525
00:20:11,377 --> 00:20:13,879
FURTHER NIH STATE-LEVEL AND 

526
00:20:13,879 --> 00:20:14,713
FOUNDATION FUNDING OPTIONS TO 

527
00:20:14,713 --> 00:20:17,716
CONTINUE OUR COMMUNITY BASED 

528
00:20:17,716 --> 00:20:20,219
RESEARCH.  INCLUDING RO 3 AND R 

529
00:20:20,219 --> 00:20:21,220
21 RESEARCH GRANT APPLICATIONS 

530
00:20:21,220 --> 00:20:24,523
IN 2025.  WE REALLY WANT TO 

531
00:20:24,523 --> 00:20:27,193
CONTINUE IN THIS AREA OF 

532
00:20:27,193 --> 00:20:29,361
INTEREST.  WE BELIEVE POSTPARTUM

533
00:20:29,361 --> 00:20:31,163
DOULA CARE IS AN INTEGRAL PART 

534
00:20:31,163 --> 00:20:32,898
OF THE SYSTEM ESPECIALLY FOR 

535
00:20:32,898 --> 00:20:35,234
MARGINALIZED MOTHERS.  NEXT 

536
00:20:35,234 --> 00:20:39,138
SLIDE, PLEASE.  IT'S IMPERATIVE 

537
00:20:39,138 --> 00:20:43,542
TO STUDY THE IMPACTS OF THE 

538
00:20:43,542 --> 00:20:44,777
OUTCOMES.  ESPECIALLY THOSE WHO 

539
00:20:44,777 --> 00:20:46,745
HAVE MENTAL HEALTH DISPARITIES 

540
00:20:46,745 --> 00:20:49,949
BECAUSE OF THEIR RACE, ETHNICITY

541
00:20:49,949 --> 00:20:53,752
AND GEOGRAPHY.  THESE LESSONS 

542
00:20:53,752 --> 00:20:56,222
ARE IN FOUR PRIMARY AREA.  WE 

543
00:20:56,222 --> 00:20:58,524
WANT TO NAVIGATE THE FORMAL 

544
00:20:58,524 --> 00:21:00,025
RESEARCH PARTNERSHIPS EARLIER, 

545
00:21:00,025 --> 00:21:02,595
TWO, FOR OUR STUDY RECRUITMENT 

546
00:21:02,595 --> 00:21:04,763
CHALLENGES, AND STUDY DESIGN, 

547
00:21:04,763 --> 00:21:06,932
RELYING ON COMMUNITY BASED 

548
00:21:06,932 --> 00:21:08,234
ORGANIZATION VERSUS MEDICAL 

549
00:21:08,234 --> 00:21:10,836
PROVIDER REFERRALS, EXPANDING 

550
00:21:10,836 --> 00:21:12,171
OUR ELIGIBILITY CRITERIA BOTH 

551
00:21:12,171 --> 00:21:14,273
WITH TIMEFRAME AND DIAGNOSTIC 

552
00:21:14,273 --> 00:21:16,475
CRITERIA AND CHANGING FROM OUR 

553
00:21:16,475 --> 00:21:19,578
PILOT, RANDOMIZED CONTROL TRIAL 

554
00:21:19,578 --> 00:21:20,813
TO A LONGITUDINAL PILOT 

555
00:21:20,813 --> 00:21:22,781
INTERVENTION STUDY.  THREE, WE 

556
00:21:22,781 --> 00:21:25,951
ALSO LEARNED THAT FOR OUR STUDY 

557
00:21:25,951 --> 00:21:28,320
PROCEDURES LOGISTICS TO BE MORE 

558
00:21:28,320 --> 00:21:30,189
STRICT TO USE FINITE DETAIL ON 

559
00:21:30,189 --> 00:21:31,457
LESS RESTRICTIVE CRITERIA AND 

560
00:21:31,457 --> 00:21:33,292
LASTLY FOR OUR DATA COLLECTION, 

561
00:21:33,292 --> 00:21:37,129
INSTEAD OF USING OUR EXISTING 

562
00:21:37,129 --> 00:21:37,963
SOFTWARE, USE AN ESTABLISHED 

563
00:21:37,963 --> 00:21:41,167
TOOL SUCH AS RED CAP.  NEXT 

564
00:21:41,167 --> 00:21:42,968
SLIDE, PLEASE. 

565
00:21:42,968 --> 00:21:44,003
THANK YOU, SO MUCH.  PLEASE STAY

566
00:21:44,003 --> 00:21:48,641
IN TOUCH WITH US.  AS WE 

567
00:21:48,641 --> 00:21:50,209
CONTINUE OUR RESEARCH.  

568
00:21:50,209 --> 00:21:53,279
>> JENNIFER: THANK YOU SO
MUCH 

569
00:21:53,279 --> 00:21:55,748
MICHELE AND JESSICA AND TO THE 

570
00:21:55,748 --> 00:21:56,382
WHOLE ABUNDANCE PROJECT.  YOU 

571
00:21:56,382 --> 00:21:58,951
HAVE DONE SUCH AMAZING WORK.  AS

572
00:21:58,951 --> 00:22:01,587
WE GET SET UP FOR THE ATLANTA 

573
00:22:01,587 --> 00:22:04,256
BIRTH CENTER LET ME TELL YOU 

574
00:22:04,256 --> 00:22:06,025
ABOUT THE CENTERS.  MOLLY JOB 

575
00:22:06,025 --> 00:22:09,895
HAS WORKED IN COMMUNETY HEALTH 

576
00:22:09,895 --> 00:22:12,064
AND IN HOSPITAL AND PRIVATE 

577
00:22:12,064 --> 00:22:14,300
PRACTICE SETTINGS.  SHE HAS 

578
00:22:14,300 --> 00:22:16,268
TRAINING IN THE COMMUNITY 

579
00:22:16,268 --> 00:22:18,871
RESILIENCY MODEL, TRAUMA 

580
00:22:18,871 --> 00:22:23,209
INFORMED CARE AND PERINATAL 

581
00:22:23,209 --> 00:22:26,679
MENTAL HEALTH.  HANNAH WALTERS 

582
00:22:26,679 --> 00:22:33,953
WORKED IN AUGUSTA UNIVERSITY AND

583
00:22:33,953 --> 00:22:36,121
FOCUSED ON PUBLIC HEALTH AND 

584
00:22:36,121 --> 00:22:38,257
WORKS AT THE FEMINIST CENTER AND

585
00:22:38,257 --> 00:22:40,426
HANNAH AIMS TO GROUND HER 

586
00:22:40,426 --> 00:22:43,028
PRACTICE IN REPRODUCTIVE JUSTICE

587
00:22:43,028 --> 00:22:45,297
HOLDING SPACE FOR INDIVIDUAL 

588
00:22:45,297 --> 00:22:47,900
HUMAN EXPERIENCES, INTUITION AND

589
00:22:47,900 --> 00:22:49,201
AUTONOMY.  WELCOME TO THE 

590
00:22:49,201 --> 00:22:50,636
ATLANTA BIRTH CENTER, WE ARE SO 

591
00:22:50,636 --> 00:22:52,671
EXCITED TO HEAR ABOUT YOUR 

592
00:22:52,671 --> 00:22:52,905
PROJECT.

593
00:22:52,905 --> 00:22:57,176
>> THANK YOU, JEN.  SO THE
TITLE

594
00:22:57,176 --> 00:22:59,912
OF OUR PROJECT WAS WELLNESS 

595
00:22:59,912 --> 00:23:01,046
WITHIN, PROMOTING HEALING 

596
00:23:01,046 --> 00:23:02,648
CENTERED TOOLS FOR PREGNANCY, 

597
00:23:02,648 --> 00:23:04,683
BIRTH AND BEYOND.  YOU CAN GO TO

598
00:23:04,683 --> 00:23:06,452
THE NEXT SLIDE.  SO THIS PROJECT

599
00:23:06,452 --> 00:23:08,654
TOOK PLACE IN COLLABORATION WITH

600
00:23:08,654 --> 00:23:09,722
ATLANTA BIRTH CENTER OR WE CALL 

601
00:23:09,722 --> 00:23:14,093
IT ABC.  SO ABC IS A NONPROFIT. 

602
00:23:14,093 --> 00:23:16,695
IT'S ATLANTA'S ONLY FREESTANDING

603
00:23:16,695 --> 00:23:18,964
BIRTH CENTER AND ONE OF THREE IN

604
00:23:18,964 --> 00:23:21,967
THE STATE OF GEORGIA.  WE 

605
00:23:21,967 --> 00:23:24,503
PROVIDE FULL SCOPE MIDWIFERY 

606
00:23:24,503 --> 00:23:26,972
CARE TO NURTURE THE LIVES OF 

607
00:23:26,972 --> 00:23:29,308
PEOPLE AND THEIR FAMILIES OF 

608
00:23:29,308 --> 00:23:30,743
FAMILY CENTERED, EQUITABLE AND 

609
00:23:30,743 --> 00:23:35,147
HOLISTIC CARE.  NEXT SLIDE.  SO 

610
00:23:35,147 --> 00:23:37,950
AS MIDWIVES WE'RE VERY ATTUNED 

611
00:23:37,950 --> 00:23:39,018
TO THE PSYCHOSOCIAL NEEDS OF OUR

612
00:23:39,018 --> 00:23:41,887
CLIENTS AND ALSO VERY AWARE OF 

613
00:23:41,887 --> 00:23:43,122
THE BARRIERS THAT PREVENT PEOPLE

614
00:23:43,122 --> 00:23:46,525
TO HAVING ACCESS TO QUALITY 

615
00:23:46,525 --> 00:23:48,193
COMPASSIONATE MENTAL HEALTH CARE

616
00:23:48,193 --> 00:23:48,994
AND SUPPORT SO FOR THIS PROJECT 

617
00:23:48,994 --> 00:23:50,863
WE SOUGHT TO FIND A SIMPLE 

618
00:23:50,863 --> 00:23:52,831
SUSTAINABLE WAY TO MITIGATE THE 

619
00:23:52,831 --> 00:23:55,868
RISK OF PERINATAL OR POSTPARTUM 

620
00:23:55,868 --> 00:23:59,371
MOOD AND ANXIETY DISORDERS.  OUR

621
00:23:59,371 --> 00:24:01,307
HYPOTHESIS WAS THAT BY 

622
00:24:01,307 --> 00:24:02,274
IMPLEMENTING THE SKILLS TAUGHT 

623
00:24:02,274 --> 00:24:05,844
IN THE RESILIENCY MODEL INTO 

624
00:24:05,844 --> 00:24:08,213
PRENATAL CARE WE WOULD IMPROVE 

625
00:24:08,213 --> 00:24:10,349
WELL-BEING AND RESILIENCE AND 

626
00:24:10,349 --> 00:24:12,184
DECREASE DEPRESSION.  OUR THREE 

627
00:24:12,184 --> 00:24:15,454
AIMS WERE FIRST, TO ASSESS THE 

628
00:24:15,454 --> 00:24:19,491
IMPACT OF CRM ON DEPRESSION, 

629
00:24:19,491 --> 00:24:21,193
WELL-BEING AND RESILIENCY WITHIN

630
00:24:21,193 --> 00:24:23,662
A PREDOMINANTLY BLACK COHORT OF 

631
00:24:23,662 --> 00:24:25,964
PREGNANT PEOPLE.  TWO, TO 

632
00:24:25,964 --> 00:24:27,199
COMPARE PREGNANCY CONDITIONS AND

633
00:24:27,199 --> 00:24:29,268
CLINICAL OUTCOMES BETWEEN OUR 

634
00:24:29,268 --> 00:24:31,537
CRM COHORT AND A HISTORICAL 

635
00:24:31,537 --> 00:24:33,772
COMPARISON GROUP AND THIRD TO 

636
00:24:33,772 --> 00:24:35,641
EVALUATE IF SOCIAL DETERMINANTS 

637
00:24:35,641 --> 00:24:37,443
OF HEALTH FACTORS AFFECT 

638
00:24:37,443 --> 00:24:40,245
DEPRESSION, WELL-BEING AND 

639
00:24:40,245 --> 00:24:41,347
RESILIENCY.  NEXT SLIDE.  SO 

640
00:24:41,347 --> 00:24:44,249
THIS IS AN OVERVIEW OF OUR 

641
00:24:44,249 --> 00:24:46,385
PROJECT TIMELINE SO FIRST WE 

642
00:24:46,385 --> 00:24:47,986
SPENT TIME SETTING UP THE 

643
00:24:47,986 --> 00:24:49,588
INFRASTRUCTURE OF OUR PROJECT.  

644
00:24:49,588 --> 00:24:53,192
NEXT, OUR ELIGIBLE PARTICIPANTS 

645
00:24:53,192 --> 00:24:54,593
FOR INTERVENTION GROUP WERE 

646
00:24:54,593 --> 00:24:58,497
RECRUITED BY OUR AMAZING PROJECT

647
00:24:58,497 --> 00:24:59,331
COORDINATOR.  PARTICIPANTS THEN 

648
00:24:59,331 --> 00:25:01,900
ENROLLED IN A TWO OUR CRM COURSE

649
00:25:01,900 --> 00:25:04,203
AND THIS WAS LED BY FACILITATORS

650
00:25:04,203 --> 00:25:07,606
NAMELY TRACY WHO ARE ALSO 

651
00:25:07,606 --> 00:25:08,240
CHILDBIRTH EDUCATORS WITH US AT 

652
00:25:08,240 --> 00:25:10,576
THE BIRTH CENTER.  PARTICIPANTS 

653
00:25:10,576 --> 00:25:12,578
ALSO SCHEDULED A 30 MINUTE CHECK

654
00:25:12,578 --> 00:25:14,980
IN WITH A NURSE-MIDWIFE THAT WAS

655
00:25:14,980 --> 00:25:17,316
COMPLETED AFTER THE CRM CLASS TO

656
00:25:17,316 --> 00:25:19,852
REINFORCE THE CRM SKILLS.  

657
00:25:19,852 --> 00:25:22,087
SCREENINGS FOR DEPRESSION, AND 

658
00:25:22,087 --> 00:25:23,889
WELL-BEING AND RESILIENCY WERE 

659
00:25:23,889 --> 00:25:24,990
COLLECTED PRIOR AND THAT ONE 

660
00:25:24,990 --> 00:25:26,825
WEEK POST INTERVENTION AND AT 

661
00:25:26,825 --> 00:25:28,594
SIX WEEKS POST PAR TIM IN 

662
00:25:28,594 --> 00:25:31,196
ADDITION, WE ALSO SCREENED FOR 

663
00:25:31,196 --> 00:25:33,365
TRAUMA EXPOSURE, DOMESTIC 

664
00:25:33,365 --> 00:25:35,167
VIOLENCE AND EXPERIENCES OF 

665
00:25:35,167 --> 00:25:36,802
DISCRIMINATION PREINTERVENTION 

666
00:25:36,802 --> 00:25:39,671
AND FOR DOMESTIC VIOLENCE AT SIX

667
00:25:39,671 --> 00:25:40,706
WEEKS POSTPARTUM.  

668
00:25:40,706 --> 00:25:42,574
AND THEN WHILE ALL THIS WAS 

669
00:25:42,574 --> 00:25:44,676
GOING ON, WE REVIEWED OUR 

670
00:25:44,676 --> 00:25:46,712
HISTORICAL CHARTS FOR THE 

671
00:25:46,712 --> 00:25:53,952
COMPARISON GROUP DATASET.  NEXT 

672
00:25:53,952 --> 00:25:56,422
SLIDE.  THANK YOU.  SO OUR FINAL

673
00:25:56,422 --> 00:26:02,027
SAMPLE SIZE FOR OUR STUDY WAS 

674
00:26:02,027 --> 00:26:02,327
3

675
00:26:02,327 --> 00:26:04,930
382 THIS INCLUDED OUR 

676
00:26:04,930 --> 00:26:06,598
INTERVENTION GROUP WHICH WAS 45 

677
00:26:06,598 --> 00:26:07,633
PARTICIPANTS WHO ARE CURRENT 

678
00:26:07,633 --> 00:26:10,969
CLIENTS.  THEY COMPLETED THE 

679
00:26:10,969 --> 00:26:11,904
INTERVENTION AS WELL AS 

680
00:26:11,904 --> 00:26:13,572
POSTPARTUM FOLLOW UP AND THE 

681
00:26:13,572 --> 00:26:15,507
HISTORICAL GROUP WHICH WAS 334 

682
00:26:15,507 --> 00:26:16,875
CLIENTS WHO RECEIVED PRENATAL 

683
00:26:16,875 --> 00:26:20,078
CARE IN 2022.  WHO HAD COMPLETED

684
00:26:20,078 --> 00:26:21,947
DEPRESSION SCREENING BOTH 

685
00:26:21,947 --> 00:26:24,850
PRENATALLY AND POSTPARTUM.  SO 

686
00:26:24,850 --> 00:26:26,518
FOR AIM ONE WE FOUND WHEN 

687
00:26:26,518 --> 00:26:29,855
ASSESSING FOR THE IMPACT OF CRM,

688
00:26:29,855 --> 00:26:31,857
DEPRESSION SCORES WERE NOT 

689
00:26:31,857 --> 00:26:32,791
SIGNIFICANTLY DIFFERENT BETWEEN 

690
00:26:32,791 --> 00:26:34,560
TIME POINTS BUT THEY DID TREND 

691
00:26:34,560 --> 00:26:37,029
DOWNWARDS FROM PREINTERVENTION 

692
00:26:37,029 --> 00:26:39,097
TO POSTPARTUM FOR WELL-BEING, 

693
00:26:39,097 --> 00:26:41,834
AGAIN, THESE SCORES WERE NOT 

694
00:26:41,834 --> 00:26:42,501
SIGNIFICANTLY DIFFERENT BETWEEN 

695
00:26:42,501 --> 00:26:45,170
TIME POINTS BUT WE DID SEE A 

696
00:26:45,170 --> 00:26:46,205
TREND UPWARDS FROM 

697
00:26:46,205 --> 00:26:47,272
PREINTERVENTION TO POSTPARTUM 

698
00:26:47,272 --> 00:26:49,942
BUT THEN FOR RESILIENCE WE DID 

699
00:26:49,942 --> 00:26:52,377
SEE THE SCORES IMPROVE AND THEY 

700
00:26:52,377 --> 00:26:53,912
WERE SIGNIFICANTLY IMPROVED FROM

701
00:26:53,912 --> 00:26:55,848
OUR PREINTERVENTION TO ONE WEEK 

702
00:26:55,848 --> 00:26:57,950
POST INTERVENTION AND THAT 

703
00:26:57,950 --> 00:26:59,084
IMPROVEMENT WAS MAINTAINED 

704
00:26:59,084 --> 00:27:01,954
THROUGH THE SIX WEEK POSTPARTUM 

705
00:27:01,954 --> 00:27:04,823
TIME POINT.  NEXT SLIDE.  SO FOR

706
00:27:04,823 --> 00:27:06,758
AIM TWO THIS IS WHERE WE WERE 

707
00:27:06,758 --> 00:27:07,726
COMPARING PREGNANCY CONDITIONS 

708
00:27:07,726 --> 00:27:09,261
AND CLINICAL OUTCOMES BETWEEN 

709
00:27:09,261 --> 00:27:11,830
THE CRM COHORT AND OUR 

710
00:27:11,830 --> 00:27:13,332
HISTORICAL COMPARISON GROUP AND 

711
00:27:13,332 --> 00:27:14,566
SO THERE WERE THREE MAIN 

712
00:27:14,566 --> 00:27:16,635
TAKEAWAYS HERE.  FIRST, WAS THAT

713
00:27:16,635 --> 00:27:18,770
PARTICIPANTS WHO RECEIVED THE 

714
00:27:18,770 --> 00:27:20,272
CRM INTERVENTION HAD SIMILAR 

715
00:27:20,272 --> 00:27:21,707
RATES OF OUTCOMES, CLINICAL 

716
00:27:21,707 --> 00:27:23,809
OUTCOMES SO WE LOOKED 

717
00:27:23,809 --> 00:27:25,844
SPECIFICALLY AT HOSPITAL 

718
00:27:25,844 --> 00:27:30,215
TRANSFER, DEVELOPMENT OF 

719
00:27:30,215 --> 00:27:31,984
PREECLAMPSIA, NICU ADMISSION, 

720
00:27:31,984 --> 00:27:34,753
THERE WERE NO DIFFERENCES IN 

721
00:27:34,753 --> 00:27:36,355
DEPRESSION SCORES DURING 

722
00:27:36,355 --> 00:27:39,591
PREGNANCY OR EARLY POSTPARTUM 

723
00:27:39,591 --> 00:27:44,129
AND THE MAJOR DIFFERENCES WERE 

724
00:27:44,129 --> 00:27:47,032
THAT THE GROUP HAD HIGHER 

725
00:27:47,032 --> 00:27:47,799
PROPORTIONS OF PARTICIPANT WHO 

726
00:27:47,799 --> 00:27:50,969
IS SELF-IDENTIFIED AS BLACK AND 

727
00:27:50,969 --> 00:27:52,304
HAVING THEIR FIRST PREGNANCY.  

728
00:27:52,304 --> 00:27:53,605
WE STILL DIDN'T SEE A DIFFERENCE

729
00:27:53,605 --> 00:27:55,507
IN CLINICAL OUTCOMES.  AND THEN 

730
00:27:55,507 --> 00:27:57,209
FOR AIM THREE WE SOUGHT TO 

731
00:27:57,209 --> 00:27:58,810
EVALUATE A SOCIAL DETERMINANTS 

732
00:27:58,810 --> 00:28:00,746
OF HEALTH AFFECTED DEPRESSION 

733
00:28:00,746 --> 00:28:03,181
WELL-BEING OR RESILIENCY AND 

734
00:28:03,181 --> 00:28:05,384
SPECIFICALLY WE WANTED TO LOOK 

735
00:28:05,384 --> 00:28:06,785
AT SELF-REPORTED EXPERIENCES OF 

736
00:28:06,785 --> 00:28:09,421
DISCRIMINATION USING A KRIEGER 

737
00:28:09,421 --> 00:28:12,457
SCALE SO WE DID A SUBANALYSIS 

738
00:28:12,457 --> 00:28:13,425
THAT EXPERIENCED THE GREATEST 

739
00:28:13,425 --> 00:28:14,826
BURDEN OF DISCRIMINATION SO THIS

740
00:28:14,826 --> 00:28:16,194
WAS 15 OF OUR PARTICIPANTS AND 

741
00:28:16,194 --> 00:28:18,764
FOUND THAT IN THIS GROUP THE CRM

742
00:28:18,764 --> 00:28:21,934
INTERVENTION WAS ASSOCIATED WITH

743
00:28:21,934 --> 00:28:23,468
SIGNIFICANTLY LOWER SCORES FROM 

744
00:28:23,468 --> 00:28:24,570
PREINTERVENTION TO POSTPARTUM AS

745
00:28:24,570 --> 00:28:27,606
WELL AS TIM PROVED RESILIENT 

746
00:28:27,606 --> 00:28:31,376
SCORE FROM PREINTERVENTION TO 

747
00:28:31,376 --> 00:28:36,682
POSTPARTUM.  JUST IN TERMS OF 

748
00:28:36,682 --> 00:28:38,717
UTILIZATION ABOUT 95% OF OUR 

749
00:28:38,717 --> 00:28:40,352
PARTICIPANTS REPORTED THAT THE 

750
00:28:40,352 --> 00:28:42,554
SKILLS WERE USEFUL TO THEM AND 

751
00:28:42,554 --> 00:28:43,789
YOU CAN SEE THE SKILLS THEY USED

752
00:28:43,789 --> 00:28:45,724
THE MOST AND WE'RE HAPPY TO 

753
00:28:45,724 --> 00:28:47,259
EXPLAIN THE SKILLS IN THE
Q&A 

754
00:28:47,259 --> 00:28:49,962
BUT OUR MAJOR CONCLUSIONS WERE 

755
00:28:49,962 --> 00:28:53,432
AGAIN, ONE THAT CRM EXPOSURE WAS

756
00:28:53,432 --> 00:28:55,968
ASSOCIATED WITH IMPROVED 

757
00:28:55,968 --> 00:28:57,336
RESILIENCE, IT DID NOT 

758
00:28:57,336 --> 00:28:59,404
NEGATIVELY IMPACT ANY OUTCOME WE

759
00:28:59,404 --> 00:29:00,505
MEASURED.  CRM COULD BE 

760
00:29:00,505 --> 00:29:02,207
ESPECIALLY USEFUL FOR PEOPLE 

761
00:29:02,207 --> 00:29:04,643
EXPERIENCING HIGHER LEVELS OF 

762
00:29:04,643 --> 00:29:05,744
DISCRIMINATION AND OVERALL WE --

763
00:29:05,744 --> 00:29:07,579
WE BELIEVE THAT CRM IS A 

764
00:29:07,579 --> 00:29:08,647
SUSTAINABLE AND EFFECTIVE 

765
00:29:08,647 --> 00:29:09,948
INTERVENTION THAT SHOWS A LOT OF

766
00:29:09,948 --> 00:29:13,218
PROMISE FOR HELPING PROMOTE 

767
00:29:13,218 --> 00:29:15,887
RESILIENCY IN PREGNANT PEOPLE 

768
00:29:15,887 --> 00:29:17,623
AND MAYBE PARTICULARLY HELPFUL 

769
00:29:17,623 --> 00:29:19,191
FOR PREGNANT PEOPLE WITH 

770
00:29:19,191 --> 00:29:21,426
DISCRIMINATION AND WE'RE REALLY 

771
00:29:21,426 --> 00:29:25,230
EXCITED AND FEEL FUTURE RESEARCH

772
00:29:25,230 --> 00:29:28,500
IS NEEDED TO SEE HOW THIS MIGHT 

773
00:29:28,500 --> 00:29:30,035
TRANSLATE INTO LONG-TERM MENTAL 

774
00:29:30,035 --> 00:29:32,437
HEALTH IN THE TRANSITION TO 

775
00:29:32,437 --> 00:29:34,406
PARENTHOOD.  NEXT SLIDE.  SO OUR

776
00:29:34,406 --> 00:29:39,077
NEXT STEPS AND ADDS -- AS WE 

777
00:29:39,077 --> 00:29:40,345
MENTIONED WE WANTED AN 

778
00:29:40,345 --> 00:29:41,947
INTERVENTION THAT WE COULD 

779
00:29:41,947 --> 00:29:43,148
INCORPORATE INTO CARE AT THE 

780
00:29:43,148 --> 00:29:44,049
BIRTH CENTER.  

781
00:29:44,049 --> 00:29:46,351
RIGHT NOW WE'RE WORKING WITH ABC

782
00:29:46,351 --> 00:29:47,786
LEADERSHIP AND STAFF TO 

783
00:29:47,786 --> 00:29:52,691
INCORPORATE CRM INTO OUR 

784
00:29:52,691 --> 00:29:53,959
CHILDBIRTH EDUCATION TO CREATE 

785
00:29:53,959 --> 00:29:55,460
CRM SUPPORT GROUPS.  WE'RE ALSO 

786
00:29:55,460 --> 00:29:56,728
REALLY EXCITED TO WORK WITH THE 

787
00:29:56,728 --> 00:29:58,230
NEWLY FORMED RESEARCH COMMITTEE 

788
00:29:58,230 --> 00:30:00,932
AT THE BIRTH CENTER.  ONE WAY IS

789
00:30:00,932 --> 00:30:03,201
WE HOPE TO KEEP EXPANDING THIS 

790
00:30:03,201 --> 00:30:05,270
RESEARCH IS DOING ONE SECONDARY 

791
00:30:05,270 --> 00:30:06,304
DATA ANALYSIS USING SOME OF THE 

792
00:30:06,304 --> 00:30:08,273
DATA WE ALREADY HAVE AND ALSO 

793
00:30:08,273 --> 00:30:09,808
WE'RE REALLY EAGER TO DO FURTHER

794
00:30:09,808 --> 00:30:12,010
RESEARCH LOOKING AT RESPECT IN 

795
00:30:12,010 --> 00:30:13,879
OBSTETRIC HERE.  SO IN THIS 

796
00:30:13,879 --> 00:30:17,949
STUDY WE MEASURED SELF-REPORTED 

797
00:30:17,949 --> 00:30:19,051
RESPECTFULNESS DURING PRENATAL 

798
00:30:19,051 --> 00:30:21,153
CARE OR THE CRM GROUP AT SIX 

799
00:30:21,153 --> 00:30:22,788
WEEKS POSTPARTUM USING THE 

800
00:30:22,788 --> 00:30:25,057
MOTHERS ON RESPECT INDEX.  AND 

801
00:30:25,057 --> 00:30:26,758
OUR INTERVENTION GROUP HAD 

802
00:30:26,758 --> 00:30:29,661
SCORES OF 83 REGARDLESS OF 

803
00:30:29,661 --> 00:30:32,297
SELF-IDENTIFIED RACE WHICH IS A 

804
00:30:32,297 --> 00:30:33,465
NEARLY PERFECT SCORE AND ABOUT 

805
00:30:33,465 --> 00:30:34,766
TEN POINTS HIGHER THAN THE 

806
00:30:34,766 --> 00:30:37,569
SIMILAR STUDIES SO MIDWIFE LED 

807
00:30:37,569 --> 00:30:39,104
OUT OF HOSPITAL CARE IS REALLY 

808
00:30:39,104 --> 00:30:40,338
UNIQUE IN THE SOUTH AND SO WE 

809
00:30:40,338 --> 00:30:44,042
REALLY HOPE TO CONTINUE TO LEAD 

810
00:30:44,042 --> 00:30:46,511
STUDIES THAT INCORPORATE THIS 

811
00:30:46,511 --> 00:30:49,948
INTO OTHER SETTINGS SO HIGH RISK

812
00:30:49,948 --> 00:30:51,249
POPULATIONS AND HOSPITAL 

813
00:30:51,249 --> 00:30:54,619
PRACTICES.  AND THEN NEXT SLIDE.

814
00:30:54,619 --> 00:30:57,956
LASTLY, OUR KEY TAKEAWAYS, ONE, 

815
00:30:57,956 --> 00:30:58,924
EVERYTHING TOOK LONGER THAN 

816
00:30:58,924 --> 00:31:00,692
ANTICIPATED SO A LOT MORE TIME 

817
00:31:00,692 --> 00:31:03,328
UPFRONT.  FOR GETTING THINGS 

818
00:31:03,328 --> 00:31:05,964
SET, INFRASTRUCTURE-WISE.  WE 

819
00:31:05,964 --> 00:31:09,034
ALSO HAD SOME CHALLENGES WITH 

820
00:31:09,034 --> 00:31:10,869
OBSTRUCTION FOR HISTORICAL AND 

821
00:31:10,869 --> 00:31:13,338
INTERVENTION GROUPS SO 

822
00:31:13,338 --> 00:31:14,806
DEFINITELY ADVOCATING MORE TIME 

823
00:31:14,806 --> 00:31:16,208
TOWARDS THIS AND I THINK 

824
00:31:16,208 --> 00:31:19,010
PROBABLY ONE OF OUR OTHER MAIN 

825
00:31:19,010 --> 00:31:20,612
TAKEAWAYS AND SOMEONE OF OUR 

826
00:31:20,612 --> 00:31:23,749
FAVORITE PARTS OF THIS WAS 

827
00:31:23,749 --> 00:31:27,886
HEARING EXPERIENCES DURING THIS 

828
00:31:27,886 --> 00:31:31,056
VISIT.  SO WE HOPE WE CAN 

829
00:31:31,056 --> 00:31:32,624
CONCRETELY CAPTURE THIS AND THEN

830
00:31:32,624 --> 00:31:33,592
LASTLY, WE COULD NOT HAVE DONE 

831
00:31:33,592 --> 00:31:35,560
THIS PROJECT WITHOUT OUR 

832
00:31:35,560 --> 00:31:36,228
COMMUNITY ACCOUNTABILITY BOARD. 

833
00:31:36,228 --> 00:31:38,630
SO THIS WAS A GROUP OF COMMUNITY

834
00:31:38,630 --> 00:31:44,402
STAKEHOLDERS LED BY ONE OF OUR 

835
00:31:44,402 --> 00:31:46,772
STUDIES, AMANDA AND THEY WERE 

836
00:31:46,772 --> 00:31:48,306
ESSENTIAL IN HELPING US DEVELOP 

837
00:31:48,306 --> 00:31:50,342
OUR STUDY NAME AND ARE 

838
00:31:50,342 --> 00:31:52,944
CONTINUING TO HELP US WORK AS WE

839
00:31:52,944 --> 00:31:56,281
INCORPORATE CRM INTO CARE AT THE

840
00:31:56,281 --> 00:31:57,949
BIRTH CENTER.  NEXT SLIDE.  

841
00:31:57,949 --> 00:32:00,352
AGAIN, THANK YOU, ALL, SO MUCH, 

842
00:32:00,352 --> 00:32:01,953
JEN, IMPROVE INITIATIVE, ALL OF 

843
00:32:01,953 --> 00:32:04,823
OUR COMMUNITY.  

844
00:32:04,823 --> 00:32:05,557
SUPPORTERS.  JUST THIS HAS BEEN 

845
00:32:05,557 --> 00:32:08,326
AN AMAZING EXPERIENCE AND WE'RE 

846
00:32:08,326 --> 00:32:10,762
SO EXCITED TO KEEP DOING THIS 

847
00:32:10,762 --> 00:32:11,329
WORK.  

848
00:32:11,329 --> 00:32:11,963
>> JENNIFER: THANK YOU SO
MUCH 

849
00:32:11,963 --> 00:32:13,965
AND THANKS FOR A FANTASTIC 

850
00:32:13,965 --> 00:32:14,699
PRESENTATION.  REALLY EXCITED 

851
00:32:14,699 --> 00:32:17,435
ABOUT YOUR WORK.  AS A REMINDER 

852
00:32:17,435 --> 00:32:18,870
TO EVERYONE PLEASE SUBMIT YOUR 

853
00:32:18,870 --> 00:32:20,806
QUESTIONS IN THE Q&A AND OUR

854
00:32:20,806 --> 00:32:22,140
FIRST TWO PRESENTERS ARE ALREADY

855
00:32:22,140 --> 00:32:23,475
ANSWERING QUESTIONS.  SO 

856
00:32:23,475 --> 00:32:24,476
QUESTIONS ARE BEING ANSWERED AND

857
00:32:24,476 --> 00:32:26,344
THEN WE'LL HAVE A LITTLE BIT OF 

858
00:32:26,344 --> 00:32:27,379
TIME AT THE END FOR GENERAL 

859
00:32:27,379 --> 00:32:28,880
QUESTIONS AS WELL.  SO PLEASE 

860
00:32:28,880 --> 00:32:31,917
PUT YOUR QUESTIONS IN THE
Q&A.  

861
00:32:31,917 --> 00:32:36,521
OUR NEXT TEAM.  BUFFALO PRENATAL

862
00:32:36,521 --> 00:32:41,927
PERINATAL NETWORK.  PRESENTER 

863
00:32:41,927 --> 00:32:49,701
LUANN BROWN HAS A BS IN NURSING 

864
00:32:49,701 --> 00:32:51,002
ADMINISTRATOR.  AND ESTABLISHES 

865
00:32:51,002 --> 00:32:53,471
BETTER LINKAGES BETWEEN EXISTING

866
00:32:53,471 --> 00:32:54,206
PROGRAMS AND ENSURING FAMILIES 

867
00:32:54,206 --> 00:32:56,975
HAVE ACCESS TO THE FULL RAKE OF 

868
00:32:56,975 --> 00:33:00,545
RESOURCES IN ERIE COUNTY NEW 

869
00:33:00,545 --> 00:33:06,518
YORK,  MICKEY IS AN EXPERIENCED 

870
00:33:06,518 --> 00:33:08,119
PROFESSOR AT THE BUFFALO SCHOOL 

871
00:33:08,119 --> 00:33:10,188
OF SOCIAL WORK AND WORKS WITH 

872
00:33:10,188 --> 00:33:12,257
THE TRAUMA ON PEOPLE'S CHILD 

873
00:33:12,257 --> 00:33:13,325
BEARING AND POSTPARTUM 

874
00:33:13,325 --> 00:33:18,763
EXPERIENCES AND OUTCOMES.  SHE 

875
00:33:18,763 --> 00:33:20,665
DEVELOPS INTERVENTIONS FOR 

876
00:33:20,665 --> 00:33:22,567
SEXUAL VIOLENCE AND OTHER TRAUMA

877
00:33:22,567 --> 00:33:24,169
AND POSITIONING THESE OTHER 

878
00:33:24,169 --> 00:33:25,937
INTERVENTIONS AND FOSTERING 

879
00:33:25,937 --> 00:33:27,906
THEIR SUCCESS.  WELCOME LUANN 

880
00:33:27,906 --> 00:33:31,509
AND MICKEY.  WE LOOK FORWARD TO 

881
00:33:31,509 --> 00:33:37,449
YOUR PRESENTATION.

882
00:33:37,449 --> 00:33:39,417
>> THANK YOU.  NEXT SLIDE.

883
00:33:39,417 --> 00:33:40,151
>> YEAH.  YOU CAN GO TO
THE NEXT

884
00:33:40,151 --> 00:33:50,495
SLIDE.  NEXT SLIDE.

885
00:33:52,697 --> 00:33:53,498
>> WELCOME, AND THANK YOU
SO 

886
00:33:53,498 --> 00:33:56,334
MUCH FOR HAVING US.  OUR 

887
00:33:56,334 --> 00:33:58,336
PROGRAM'S CENTERED ON A TRIAL OF

888
00:33:58,336 --> 00:34:05,510
THE SURVIVOR MOMS' COMPANION.  

889
00:34:05,510 --> 00:34:09,247
THIS IS MALTREATMENT, CYCLES OF 

890
00:34:09,247 --> 00:34:12,751
ABUSE AND VULNERABILITY HOWEVER 

891
00:34:12,751 --> 00:34:14,286
TREATMENTS HAVE TYPICALLY 

892
00:34:14,286 --> 00:34:16,788
CENTERED ON DEPRESSION WITH 

893
00:34:16,788 --> 00:34:20,325
LIMITED ATTENTION TO TRAUMA AND 

894
00:34:20,325 --> 00:34:22,928
PTSD.  VERY FEW RESOURCES ARE 

895
00:34:22,928 --> 00:34:25,463
BASED ON FRONTLINE PROGRAMS.  WE

896
00:34:25,463 --> 00:34:27,832
HYPOTHESIS THAT UTILIZING THE 

897
00:34:27,832 --> 00:34:29,901
MSC WHICH IS A PSYCHOEDUCATIONAL

898
00:34:29,901 --> 00:34:30,602
PROGRAM THAT PROVIDES 

899
00:34:30,602 --> 00:34:32,337
INFORMATION, SKILL BUILDING AND 

900
00:34:32,337 --> 00:34:35,340
EMOTIONAL SUPPORT FROM A TRAINED

901
00:34:35,340 --> 00:34:37,542
TUTOR WOULD HELP PREGNANT 

902
00:34:37,542 --> 00:34:41,179
PERSONS WITH PTSD NAVIGATE THE 

903
00:34:41,179 --> 00:34:44,316
CHILDBEARING YEAR.  OUR OVERALL 

904
00:34:44,316 --> 00:34:45,250
OBJECTIVE WAS SO CONDUCT A 

905
00:34:45,250 --> 00:34:47,852
PARTICIPATION IN THE MSC AND 

906
00:34:47,852 --> 00:34:49,321
EXAMINE WHETHER THE PROGRAM WAS 

907
00:34:49,321 --> 00:34:53,959
FEASIBLE TO DELIVER, UTILIZING 

908
00:34:53,959 --> 00:34:55,360
CULTURALLY CONGRUENT HEALTH 

909
00:34:55,360 --> 00:35:00,899
WORKERS AS TUTORS AND WAS 

910
00:35:00,899 --> 00:35:02,000
ASSOCIATED WITH MENTAL HEALTH.  

911
00:35:02,000 --> 00:35:03,868
AFTER A PERIOD OF START-UP 

912
00:35:03,868 --> 00:35:05,036
ACTIVITIES WHICH TOOK LONGER 

913
00:35:05,036 --> 00:35:06,137
THAN EXPECTED, SIMILAR TO THE 

914
00:35:06,137 --> 00:35:08,373
OTHER GROUPS, WE RECRUITED 

915
00:35:08,373 --> 00:35:12,677
PARTICIPANTS FROM DECEMBER 2023 

916
00:35:12,677 --> 00:35:14,279
TO MAY 2024.  NEXT SLIDE, PL

917
00:35:14,279 --> 00:35:24,422
PLEASE.

918
00:35:24,856 --> 00:35:27,726
>> SO WE DEDICATED THREE 

919
00:35:27,726 --> 00:35:28,326
COMMUNITY HEALTH WORKERS TO 

920
00:35:28,326 --> 00:35:30,562
SERVE AS TUTORS FOR THE SMC AND 

921
00:35:30,562 --> 00:35:32,964
TRAIN IN THE SMC MODEL.  

922
00:35:32,964 --> 00:35:35,300
OVERSIGHT COMPLIANCE INCLUDED 

923
00:35:35,300 --> 00:35:39,304
IRB APPROVAL, ENCORE CLINICAL 

924
00:35:39,304 --> 00:35:41,206
TRIALS.GOV.  WE RECRUITED 

925
00:35:41,206 --> 00:35:43,508
PARTICIPANTS, WE CONDUCTED THE 

926
00:35:43,508 --> 00:35:46,444
ASSESSMENTS.  WE RANDOMIZED THE 

927
00:35:46,444 --> 00:35:47,145
WAITLIST CONTROL GROUP. 

928
00:35:47,145 --> 00:35:51,349
AND PROVIDED A MINIMUM OF FOUR 

929
00:35:51,349 --> 00:35:52,884
SMC SESSIONS WITH A TUTOR.  WE 

930
00:35:52,884 --> 00:35:56,788
DID PIVOT TO INCREASE EQUITY BY 

931
00:35:56,788 --> 00:35:58,456
PROCURING SPANISH LANGUAGE 

932
00:35:58,456 --> 00:36:00,091
TRANSLATIONS WE ACTUALLY WROTE A

933
00:36:00,091 --> 00:36:01,159
SMALL GRANT IN ORDER TO DO THIS 

934
00:36:01,159 --> 00:36:03,261
BECAUSE WE FELT IT WAS MORE 

935
00:36:03,261 --> 00:36:06,131
EQUITABLE TO HELP INCREASE THE 

936
00:36:06,131 --> 00:36:07,766
SAMPLE SIZE AND INCLUDING 

937
00:36:07,766 --> 00:36:09,034
PARTICIPANTS IN THE POSTPARTUM 

938
00:36:09,034 --> 00:36:11,102
PERIOD AS WELL.  AND THEN WE 

939
00:36:11,102 --> 00:36:11,736
CONDUCTED THE ANALYSIS.  NEXT 

940
00:36:11,736 --> 00:36:21,780
SLIDE.

941
00:36:21,780 --> 00:36:22,947
>> WE RECRUITED A SAMPLE
OF 

942
00:36:22,947 --> 00:36:29,287
FOLKS IN THEIR 20S.  WITH THE 

943
00:36:29,287 --> 00:36:32,357
HIGH SCHOOL EQUIVALENCE.  AND A 

944
00:36:32,357 --> 00:36:36,928
HOUSEHOLD INCOME OF LESS THAN 

945
00:36:36,928 --> 00:36:38,329
25,000 DOLLARS.  THIS WAS AN 

946
00:36:38,329 --> 00:36:40,799
OVERALL MEAN SCORE OF 5.9 ON THE

947
00:36:40,799 --> 00:36:43,001
ACE AND NOTE THAT IN A LARGE 

948
00:36:43,001 --> 00:36:45,937
BODY OF RESEARCH SCORES OF FOUR 

949
00:36:45,937 --> 00:36:51,443
OR MORE ON THE ACE CONFIRM MAJOR

950
00:36:51,443 --> 00:36:53,144
CONCERN FOR MENTAL HEALTH 

951
00:36:53,144 --> 00:36:54,846
INDICATORS.  ALSO IN OUR SAMPLE 

952
00:36:54,846 --> 00:36:57,082
A SIGNIFICANT NUMBER, NEARLY 79%

953
00:36:57,082 --> 00:37:01,219
MET THE PROVISIONAL PTSD 

954
00:37:01,219 --> 00:37:04,089
DIAGNOSIS.  AND 91% HAD AT LEAST

955
00:37:04,089 --> 00:37:05,957
MILD DEPRESSION, WITH SCORES OF 

956
00:37:05,957 --> 00:37:09,627
FIVE OR MORE PER THE PHQ-9 

957
00:37:09,627 --> 00:37:12,564
ALMOST 64% HAD BOTH PTSD AND 

958
00:37:12,564 --> 00:37:13,898
DEPRESSION.  WE PROVIDED A 

959
00:37:13,898 --> 00:37:16,901
MINIMUM OF FOUR OF THE S MC 

960
00:37:16,901 --> 00:37:19,204
MODELS TO THE SMC GROUP. 

961
00:37:19,204 --> 00:37:21,239
THAT WERE 17 IN THAT GROUP AND 

962
00:37:21,239 --> 00:37:23,007
ALSO TO THE CONTROL GROUP.  

963
00:37:23,007 --> 00:37:26,077
THERE ARE 14, FOLLOWING THE 

964
00:37:26,077 --> 00:37:28,079
PRETEST.  POSTTEST.  OUR 

965
00:37:28,079 --> 00:37:30,014
ANALYSES WERE MORE LIMITED THAN 

966
00:37:30,014 --> 00:37:33,184
PLANNED DUE TO SAMPLE SIZE 

967
00:37:33,184 --> 00:37:34,586
CONSTRAINTS.  HOWEVER, WE NOW 

968
00:37:34,586 --> 00:37:35,854
ANALYZE FEASIBILITY AND 

969
00:37:35,854 --> 00:37:37,956
ACCEPTABILITY DATA AND CONDUCT A

970
00:37:37,956 --> 00:37:40,225
PAIRED SAMPLES TESTS ON THE 

971
00:37:40,225 --> 00:37:41,559
INTENTION TO TREAT SAMPLE AS YOU

972
00:37:41,559 --> 00:37:43,428
CAN SEE HERE IN TABLE ONE ALL 

973
00:37:43,428 --> 00:37:46,131
MEAN SCORES ON OUR MENTAL HEALTH

974
00:37:46,131 --> 00:37:48,566
INDICATORS IMPROVED OVER THE 

975
00:37:48,566 --> 00:37:49,968
STUDY PERIOD WITH STATISTICALLY 

976
00:37:49,968 --> 00:37:53,938
SIGNIFICANT REDUCTIONS IN PTSD 

977
00:37:53,938 --> 00:37:55,340
AS WELL AS SENSITIVITY SYMPTOMS.

978
00:37:55,340 --> 00:37:56,407
NEXT SLIDE, PLEASE.

979
00:37:56,407 --> 00:37:58,343
>> SO WE FOUND THE PROGRAM
WAS 

980
00:37:58,343 --> 00:37:59,677
FEASIBLE TO BE DELIVERED BY 

981
00:37:59,677 --> 00:38:01,479
COMMUNITY HEALTH WORKERS.  IT 

982
00:38:01,479 --> 00:38:03,014
WAS ALSO VERY ACCEPT TO BELIEVE 

983
00:38:03,014 --> 00:38:05,783
PARTICIPANTS THEY RATED IT 

984
00:38:05,783 --> 00:38:06,518
HIGHLY ON THE CLIENT 

985
00:38:06,518 --> 00:38:09,020
SATISFACTION SCALE AND ONE 

986
00:38:09,020 --> 00:38:10,655
PARTICIPANT ACTUALLY SHARED -- 

987
00:38:10,655 --> 00:38:13,224
SHE SAID I LIKE IT ALL.  I LIKED

988
00:38:13,224 --> 00:38:15,126
THE WHOLE PROGRAM ITSELF BECAUSE

989
00:38:15,126 --> 00:38:17,228
IT HELPED ME LEARN FROM BIRTH TO

990
00:38:17,228 --> 00:38:19,230
AFTER BIRTH AND IT GOES ON FROM 

991
00:38:19,230 --> 00:38:21,065
THERE.  I AM GOING BACK TO MY 

992
00:38:21,065 --> 00:38:24,035
GOOD FUTURE AND GO FROM THERE.  

993
00:38:24,035 --> 00:38:27,172
OUR ANALYSIS SHOWED TO REDUCE 

994
00:38:27,172 --> 00:38:29,174
PTSD AND REDUCE PERSONAL 

995
00:38:29,174 --> 00:38:30,475
SENSITIVITY.  NEXT SLIDE.

996
00:38:30,475 --> 00:38:32,277
>> WE ARE PLANNING FUTURE 

997
00:38:32,277 --> 00:38:33,645
RESEARCH TOGETHER AND THIS 

998
00:38:33,645 --> 00:38:35,513
INCLUDES OUR INTENTION TO HIRE A

999
00:38:35,513 --> 00:38:36,915
COMMUNITY HEALTH WORKER WHO IS 

1000
00:38:36,915 --> 00:38:39,884
DEDICATED TO SERVING AS THE SMC 

1001
00:38:39,884 --> 00:38:41,853
TUTOR ON A FULL-TIME BASIS.  

1002
00:38:41,853 --> 00:38:44,022
HIRING A PART-TIME, EITHER 

1003
00:38:44,022 --> 00:38:45,089
LICENSED MENTAL HEALTH COUNSELOR

1004
00:38:45,089 --> 00:38:48,126
OR AN LMSW TO PROVIDE THE 

1005
00:38:48,126 --> 00:38:49,093
CLINICAL SUPERVISION AND ALSO TO

1006
00:38:49,093 --> 00:38:51,796
DO THE INTAKES AND ASSESSMENTS. 

1007
00:38:51,796 --> 00:38:54,699
WE DO SEE A NEED TO EXPAND OUR 

1008
00:38:54,699 --> 00:38:55,967
REFERRAL NETWORK TO OTHER AREA 

1009
00:38:55,967 --> 00:39:01,306
AGENCIES WHO ARE SERVING 

1010
00:39:01,306 --> 00:39:07,045
PREGNANT PERSONS AND WORK WITH 

1011
00:39:07,045 --> 00:39:12,483
DISASSOCIATION MORE ROBUST BLI 

1012
00:39:12,483 --> 00:39:13,117
DURING THE POSTPARTUM PERIOD. 

1013
00:39:13,117 --> 00:39:15,820
AND ALSO THE SCORES ON 

1014
00:39:15,820 --> 00:39:16,988
DISSOCIATIVE SCALE WE ALSO SEE A

1015
00:39:16,988 --> 00:39:18,723
NEED TO ADD A MEASURE OF 

1016
00:39:18,723 --> 00:39:20,158
STRUCTURAL RACISM.  

1017
00:39:20,158 --> 00:39:25,630
THE ACE DOES NOT EXACTLY GET AT 

1018
00:39:25,630 --> 00:39:26,264
PERVASIVE EFFECTS OF 

1019
00:39:26,264 --> 00:39:29,801
DISCRIMINATION AND SO WE WANT TO

1020
00:39:29,801 --> 00:39:40,245
EXPLORE THAT FURTHER.  WE ALSO 

1021
00:39:40,245 --> 00:39:42,046
SEE THE NEED ADD THE UPTAKE TO 

1022
00:39:42,046 --> 00:39:44,315
ALL THE PARTICIPANTS AND ADD AN 

1023
00:39:44,315 --> 00:39:45,950
OUTSIDE EVALUATION COMPONENT TO 

1024
00:39:45,950 --> 00:39:47,919
ENRICH OUR EVALUATION GOING 

1025
00:39:47,919 --> 00:39:49,754
FORWARD.  BECAUSE PTSD IN THE 

1026
00:39:49,754 --> 00:39:51,256
CHILDBEARING YEAR IS A RISK 

1027
00:39:51,256 --> 00:39:52,824
FACTOR FOR ADVERSE MATERNAL AND 

1028
00:39:52,824 --> 00:39:54,359
INFANT OUTCOMES AND BECAUSE WE 

1029
00:39:54,359 --> 00:39:56,227
SEE THE BURDENS THAT OUR CLIENTS

1030
00:39:56,227 --> 00:39:59,697
BEAR, WE'RE DEDICATED TO 

1031
00:39:59,697 --> 00:40:02,000
ADVANCING TREATMENT FOR PTSD 

1032
00:40:02,000 --> 00:40:05,937
DURING PREGNANCY AND DISRUPTING 

1033
00:40:05,937 --> 00:40:14,812
THE TWIN CYCLE OF ABUSE AND 

1034
00:40:14,812 --> 00:40:17,115
VULNERABILITY.  WE'RE SO 

1035
00:40:17,115 --> 00:40:19,450
GRACIOUS FOR THOSE WHO WERE 

1036
00:40:19,450 --> 00:40:20,251
DEDICATED TO THIS PROJECT AND WE

1037
00:40:20,251 --> 00:40:21,753
LOOK FORWARD TO BUILDING ON 

1038
00:40:21,753 --> 00:40:22,720
THOSE CONTRIBUTIONS.

1039
00:40:22,720 --> 00:40:24,922
>> LESSONS LEARNED.  WE
LEARNED 

1040
00:40:24,922 --> 00:40:26,858
SEVERAL INCLUDING THAT WE NEED 

1041
00:40:26,858 --> 00:40:28,660
TO ADEQUATELY FUND FUTURE 

1042
00:40:28,660 --> 00:40:29,694
PRODUCTS AND PROVIDE AMPLE TIME 

1043
00:40:29,694 --> 00:40:32,297
FOR COMPLETION.  WE WILL 

1044
00:40:32,297 --> 00:40:34,532
PRIORITIZE COMMUNICATION AND 

1045
00:40:34,532 --> 00:40:37,368
ONGOING INSERVICE WE WANT TO 

1046
00:40:37,368 --> 00:40:40,071
NAVIGATE RESEARCH PRIORITIES TO 

1047
00:40:40,071 --> 00:40:41,172
INCREASE EQUITABLE PRACTICES 

1048
00:40:41,172 --> 00:40:42,740
LIKE WHEN WE INCREASE THE 

1049
00:40:42,740 --> 00:40:44,342
SPANISH SPEAKERS.  WE NEED TO 

1050
00:40:44,342 --> 00:40:45,576
INCREASE OUR REFERRAL STREAM 

1051
00:40:45,576 --> 00:40:52,016
FROM AGENCIES EXTERNAL TO BPPN 

1052
00:40:52,016 --> 00:40:54,085
AND TO EXPLORE THE FINDINGS 

1053
00:40:54,085 --> 00:40:57,955
RELATED TO DISASSOCIATION, 

1054
00:40:57,955 --> 00:40:59,090
INCREASED TRACKING AND ADD A 

1055
00:40:59,090 --> 00:41:01,893
DIRECT MEASUREMENT OF STRUCTURAL

1056
00:41:01,893 --> 00:41:03,594
RACISM TO OUR SUITE OF MEASURES.

1057
00:41:03,594 --> 00:41:07,231
WE'RE THANKFUL FOR THE GUIDANCE 

1058
00:41:07,231 --> 00:41:08,633
IMPLEMENTERS, IT'S BEEN 

1059
00:41:08,633 --> 00:41:11,035
INVALUABLE AND WE APPRECIATE ANY

1060
00:41:11,035 --> 00:41:12,003
ONGOING INFORMATION ABOUT 

1061
00:41:12,003 --> 00:41:12,603
POTENTIAL COLLABORATORS AND 

1062
00:41:12,603 --> 00:41:14,672
FUNDERS FOR THIS RESEARCH.  MANY

1063
00:41:14,672 --> 00:41:15,740
THANKS TO JEN, ESPECIALLY FOR 

1064
00:41:15,740 --> 00:41:20,345
HER ENTHUSIASTIC AND SUPPORTIVE 

1065
00:41:20,345 --> 00:41:20,845
GUIDANCE.  THANK YOU.  

1066
00:41:20,845 --> 00:41:21,579
>> JENNIFER: THANKS SO
MUCH.  

1067
00:41:21,579 --> 00:41:24,415
THANK YOU, TEAM, YOU, LUANN AND 

1068
00:41:24,415 --> 00:41:25,783
MICKEY DID A FANTASTIC JOB ON 

1069
00:41:25,783 --> 00:41:28,186
THIS.  THANK YOU, REMINDER, 

1070
00:41:28,186 --> 00:41:32,323
THERE ARE QUESTIONS IN THE
Q&A 

1071
00:41:32,323 --> 00:41:33,424
AND SOME OF THE QUESTIONS ARE 

1072
00:41:33,424 --> 00:41:35,960
FOR YOU BUFFALO TEAM.  NEXT UP, 

1073
00:41:35,960 --> 00:41:37,495
WE HAVE CENTRAL JERSEY FAMILY 

1074
00:41:37,495 --> 00:41:40,398
HEALTH CONSORTIUM.  DR. CHERYL 

1075
00:41:40,398 --> 00:41:42,000
MCFARLAND IS THE DIRECTOR OF 

1076
00:41:42,000 --> 00:41:45,203
EVALUATION AND ANALYTICS AND HAS

1077
00:41:45,203 --> 00:41:49,207
SERVED AS THE LEAD EVALUATOR 

1078
00:41:49,207 --> 00:41:52,310
INCLUDING FOR THE CARE AND KIDS 

1079
00:41:52,310 --> 00:41:55,880
PROGRAM AND THE NEW JERSEY 

1080
00:41:55,880 --> 00:41:57,382
COLLABORATIVE.  WELCOME, CHERYL.

1081
00:41:57,382 --> 00:41:58,750
>> THANK YOU VERY MUCH. 
THANK 

1082
00:41:58,750 --> 00:42:00,451
YOU FOR THE INTRODUCTION AND 

1083
00:42:00,451 --> 00:42:01,953
TODAY I AM GOING TO BE 

1084
00:42:01,953 --> 00:42:04,222
PRESENTING ON OUR WORK ON THE 

1085
00:42:04,222 --> 00:42:07,759
DEVELOPMENT OF A PREPREGNANCY 

1086
00:42:07,759 --> 00:42:09,160
MATERNAL MORBIDITY RISK 

1087
00:42:09,160 --> 00:42:10,762
ALGORITHM.  NEXT SLIDE.  SO WE 

1088
00:42:10,762 --> 00:42:13,131
ARE THE CENTRAL JERSEY FAMILY 

1089
00:42:13,131 --> 00:42:14,599
HEALTH CONSORTIUM OUR MISSION IS

1090
00:42:14,599 --> 00:42:17,535
TO PROMOTE AN EQUITABLE AND 

1091
00:42:17,535 --> 00:42:19,537
HEALTHY FUTURE FOR FAMILIES 

1092
00:42:19,537 --> 00:42:21,105
THROUGH SERVICES, ADVOCACY, 

1093
00:42:21,105 --> 00:42:22,640
EDUCATION AND COLLABORATION.  

1094
00:42:22,640 --> 00:42:25,510
THIS GIVES YOU AN IDEA OF THE 

1095
00:42:25,510 --> 00:42:26,978
PROGRAMS WE OFFER AND SOME OF 

1096
00:42:26,978 --> 00:42:29,580
THE WORK THAT WE DO AND FOR MORE

1097
00:42:29,580 --> 00:42:31,582
INFORMATION ON BOTH THE 

1098
00:42:31,582 --> 00:42:33,818
ORGANIZATION AND MY TEAM, THE 

1099
00:42:33,818 --> 00:42:36,954
WEBSITE IS AVAILABLE.  NEXT 

1100
00:42:36,954 --> 00:42:41,959
SLIDE.  SO WE WANTED TO 

1101
00:42:41,959 --> 00:42:43,694
UNDERSTAND THE INCIDENCE OF 

1102
00:42:43,694 --> 00:42:45,363
SEVERE MATERNAL MORBIDITY OVER 

1103
00:42:45,363 --> 00:42:49,934
TIME, LOOK AT FACTORS THAT 

1104
00:42:49,934 --> 00:42:52,970
INFLUENCE SEVERE MATERNAL 

1105
00:42:52,970 --> 00:42:54,472
MORBIDITY AND ALSO ASSESS RISK 

1106
00:42:54,472 --> 00:42:58,509
OF HAVING AMAH TERNL MORBIDITY 

1107
00:42:58,509 --> 00:43:01,946
UTILIZING A CLAIMS DATA PRIOR TO

1108
00:43:01,946 --> 00:43:08,319
PREGNANCY AND COMBINING THAT TO 

1109
00:43:08,319 --> 00:43:09,720
DETERMINE THE RISK BURDEN THAT 

1110
00:43:09,720 --> 00:43:12,323
PEOPLE HAVE IN RELATION TO RISK 

1111
00:43:12,323 --> 00:43:16,127
OF SEVERE MATERNAL MORBIDITY. 

1112
00:43:16,127 --> 00:43:19,630
NEXT SLIDE.  SO OUR RESEARCH 

1113
00:43:19,630 --> 00:43:20,731
ACTIVITY STARTED WITH GETTING 

1114
00:43:20,731 --> 00:43:25,203
OUR IRB APPROVED.  AND REACHING 

1115
00:43:25,203 --> 00:43:27,505
OUT TO THE NEW JERSEY MEDICAID 

1116
00:43:27,505 --> 00:43:30,741
FOR DATA USE AGREEMENT. 

1117
00:43:30,741 --> 00:43:32,877
HOWEVER, DUE TO CONSTRAINTS IN 

1118
00:43:32,877 --> 00:43:35,046
TIMING WE WERE UNABLE TO GET A 

1119
00:43:35,046 --> 00:43:37,915
DATA USE AGREEMENT.  SO WE 

1120
00:43:37,915 --> 00:43:40,017
EXPLORED ALTERNATIVE SOURCES OF 

1121
00:43:40,017 --> 00:43:41,185
ADMINISTRATIVE DATA AND 

1122
00:43:41,185 --> 00:43:44,922
ULTIMATELY, DECIDED ON USING THE

1123
00:43:44,922 --> 00:43:47,191
TRIF YAN MARKET SCAN DATA WHICH 

1124
00:43:47,191 --> 00:43:49,460
IS -- WAS MADE AVAILABLE TO US 

1125
00:43:49,460 --> 00:43:51,462
THROUGH A MEMORANDUM OF 

1126
00:43:51,462 --> 00:43:53,764
UNDERSTANDING WITH RIT GER'S 

1127
00:43:53,764 --> 00:43:54,165
UNIVERSITY. 

1128
00:43:54,165 --> 00:43:56,601
AND IT IS ACTUALLY A NATIONAL 

1129
00:43:56,601 --> 00:43:56,868
DATASET. 

1130
00:43:56,868 --> 00:44:00,371
SO WE WERE ABLE TO LOOK AT OUR 

1131
00:44:00,371 --> 00:44:03,908
ANALYSIS NATIONALLY.  PRIOR TO 

1132
00:44:03,908 --> 00:44:05,309
OBTAINING THE DATA WE DEVELOPED 

1133
00:44:05,309 --> 00:44:09,947
AN ALGORITHM USING INTEGRATING 

1134
00:44:09,947 --> 00:44:12,683
PRIOR CHRONIC DISEASE ALGORITHMS

1135
00:44:12,683 --> 00:44:14,051
AND THEN WE TESTED THE 

1136
00:44:14,051 --> 00:44:15,419
FUNCTIONALITY OF OUR CODE USING 

1137
00:44:15,419 --> 00:44:17,121
OTHER SOURCES OF DATA AVAILABLE 

1138
00:44:17,121 --> 00:44:19,123
SO THAT WHEN WE WERE ABLE TO GET

1139
00:44:19,123 --> 00:44:20,791
THE ADMINISTRATIVE DATA WE 

1140
00:44:20,791 --> 00:44:22,927
WERE -- WE HIT THE GROUND 

1141
00:44:22,927 --> 00:44:25,363
RUNNING.  WE ALSO REVIEWED AND 

1142
00:44:25,363 --> 00:44:27,899
DETERMINED THE BEST METHODS OF 

1143
00:44:27,899 --> 00:44:31,269
MACHINE LEARNING TO CREATE OUR 

1144
00:44:31,269 --> 00:44:33,704
PREDICTION ALGORITHM.  OVERALL, 

1145
00:44:33,704 --> 00:44:39,310
OUR TOTAL SAMPLE SIZE FOR THE 

1146
00:44:39,310 --> 00:44:41,279
ALGORITHM IS ONE MILLION EIGHTY 

1147
00:44:41,279 --> 00:44:44,315
EIGHT THOUSAND BIRTHS AND FIGURE

1148
00:44:44,315 --> 00:44:45,716
ONE PROVIDES DESCRIPTION OF THE 

1149
00:44:45,716 --> 00:44:49,353
FLOW AND EXCLUSION CRITERIA.  

1150
00:44:49,353 --> 00:44:56,327
NEXT SLIDE.  SO OVERALL WE HAD 

1151
00:44:56,327 --> 00:44:59,764
FOUR AIMS FOR OUR PROJECT, OR WE

1152
00:44:59,764 --> 00:45:01,432
HAD THREE AIMS FOR OUR PROJECT. 

1153
00:45:01,432 --> 00:45:05,736
AIM ONE WAS TO LOOK AT THE RATES

1154
00:45:05,736 --> 00:45:08,272
OF MATERNAL MORBIDITY OVER TIME.

1155
00:45:08,272 --> 00:45:10,775
WE FOUND THAT OVERALL, THERE HAS

1156
00:45:10,775 --> 00:45:14,679
BEEN AN INCREASE IN MATERNAL 

1157
00:45:14,679 --> 00:45:17,315
MORBIDITY.  THAT INCREASE VARIES

1158
00:45:17,315 --> 00:45:20,851
BY INSURANCE TIME SUCH THAT 

1159
00:45:20,851 --> 00:45:24,488
THOSE ON MEDICAID ARE 1.8 TIMES 

1160
00:45:24,488 --> 00:45:28,926
HIGHER RATES OF SEVERE MATERNAL 

1161
00:45:28,926 --> 00:45:30,761
MORBIDITY THAN THOSE THAT ARE 

1162
00:45:30,761 --> 00:45:32,196
COMMERCIALLY INSURED AND YOU 

1163
00:45:32,196 --> 00:45:33,631
WILL NOTICE THAT IT HAS 

1164
00:45:33,631 --> 00:45:34,966
STABILIZED IN THE LAST TEN YEARS

1165
00:45:34,966 --> 00:45:39,170
OR SO WHILE THE MEDICAID DATA 

1166
00:45:39,170 --> 00:45:43,841
INCREASES.  AIM TWO WAS TO LOOK 

1167
00:45:43,841 --> 00:45:48,813
AT WHAT PREDICTED THE ODDS OF 

1168
00:45:48,813 --> 00:45:49,947
SEVERE MATERNAL MORBIDITY AND WE

1169
00:45:49,947 --> 00:45:51,782
FOUND THAT AGE AND MEDICAID 

1170
00:45:51,782 --> 00:45:59,690
STATUS INCREASED, THE ODDS OF A 

1171
00:45:59,690 --> 00:46:00,358
SEVERE MATERNAL MORBIDITY HAVING

1172
00:46:00,358 --> 00:46:03,261
DECREASED FAMILY UNITY INCREASED

1173
00:46:03,261 --> 00:46:04,795
THE ODDS OF HAVING A SEVERE 

1174
00:46:04,795 --> 00:46:05,930
MATERNAL MORBIDITY AND INCREASES

1175
00:46:05,930 --> 00:46:09,934
IN OVERALL COMMUNITY HEALTH AND 

1176
00:46:09,934 --> 00:46:11,902
INSTITUTIONAL HEALTH DECREASED 

1177
00:46:11,902 --> 00:46:14,372
THE ODDS OF HAVING AMAH TERNL 

1178
00:46:14,372 --> 00:46:17,141
MORBIDITY AND THESE ARE BASED ON

1179
00:46:17,141 --> 00:46:17,642
STATE-LEVEL INDICATORS. 

1180
00:46:17,642 --> 00:46:20,344
THE FINAL AIM AND THE CRUX OF 

1181
00:46:20,344 --> 00:46:21,946
THIS PRESENTATION IS THE 

1182
00:46:21,946 --> 00:46:25,049
DEVELOPMENT OF THE ALGORITHM.  

1183
00:46:25,049 --> 00:46:29,854
SO WE TRAINED MODELS, USING 80% 

1184
00:46:29,854 --> 00:46:33,491
OF OUR SAMPLE THAT 1. -- THAT 

1185
00:46:33,491 --> 00:46:35,426
LITTLE OVER ONE MILLION PEOPLE, 

1186
00:46:35,426 --> 00:46:38,496
WE TRAINED THE MODEL ON 80% AND 

1187
00:46:38,496 --> 00:46:43,200
THEN ON 20% WE TESTED TO MAKE 

1188
00:46:43,200 --> 00:46:45,870
SURE OUR ALGORITHM WAS A VALID 

1189
00:46:45,870 --> 00:46:49,640
ALGORITHM FOR PREDICTING 

1190
00:46:49,640 --> 00:46:51,242
MATER

1191
00:46:51,242 --> 00:46:54,779
MATERNAL MORBIDITY APPROXIMATELY

1192
00:46:54,779 --> 00:46:57,081
307,000 INDIVIDUALS WERE 

1193
00:46:57,081 --> 00:46:59,016
EXCLUDED BECAUSE OF NO PRIOR 

1194
00:46:59,016 --> 00:47:01,319
PREPREGNANCY CLAIMS.  HOWEVER, 

1195
00:47:01,319 --> 00:47:05,022
THEY DO HAVE A HIGHER BURDEN OF 

1196
00:47:05,022 --> 00:47:05,656
SEVERE MATERNAL MORBIDITY AND 

1197
00:47:05,656 --> 00:47:06,357
ALTHOUGH WE COULDN'T INCLUDE IT 

1198
00:47:06,357 --> 00:47:10,961
IN THE MODEL, NOT HAVING PRIOR 

1199
00:47:10,961 --> 00:47:14,965
CLAIMS IS A RISK FACTOR IN AND 

1200
00:47:14,965 --> 00:47:19,136
OF ITSELF OF MATERNAL MORBIDITY.

1201
00:47:19,136 --> 00:47:22,206
NEXT SLIDE.  SO THIS DESCRIBES 

1202
00:47:22,206 --> 00:47:24,175
THE DIFFERENT MODELS THAT WE 

1203
00:47:24,175 --> 00:47:26,343
TESTED.  THE RANDOM FOREST IN 

1204
00:47:26,343 --> 00:47:29,180
THE EXTREME GRADIENT BOOSTING 

1205
00:47:29,180 --> 00:47:30,114
MODELS ARE MACHINE LEARNING 

1206
00:47:30,114 --> 00:47:32,350
MODELS THAT USE THOUSANDS OF 

1207
00:47:32,350 --> 00:47:34,952
DECISION TREES TO DETECT COMPLEX

1208
00:47:34,952 --> 00:47:38,155
RELATIONSHIPS AMONG OUR 

1209
00:47:38,155 --> 00:47:42,593
PREDICTORS SO USING ALL OF THE 

1210
00:47:42,593 --> 00:47:43,260
PREPREGNANCY DIAGNOSES.  

1211
00:47:43,260 --> 00:47:46,363
STATE-LEVEL FACTORS, IT DETECTS 

1212
00:47:46,363 --> 00:47:47,431
THE COMPLEX RELATIONSHIP BETWEEN

1213
00:47:47,431 --> 00:47:49,333
ALL OF THESE THINGS.  AS YOU 

1214
00:47:49,333 --> 00:47:51,469
WILL NOTICE, THE EXTREME 

1215
00:47:51,469 --> 00:47:53,170
GRADIENT BOOSTING T LAST LINE OF

1216
00:47:53,170 --> 00:47:54,438
THIS TABLE. 

1217
00:47:54,438 --> 00:48:00,010
SHOWS THAT THAT IS THE BEST 

1218
00:48:00,010 --> 00:48:02,113
MODEL AT PREDICTING SEVERE 

1219
00:48:02,113 --> 00:48:04,682
MATERNAL MORBIDITY, THE 

1220
00:48:04,682 --> 00:48:07,151
SENSITIVITY OR THE ABILITY TO 

1221
00:48:07,151 --> 00:48:09,487
DETECT TRUE POSITIVES WAS NEARLY

1222
00:48:09,487 --> 00:48:13,958
80% AND THE OVERALL ACCURACY IS 

1223
00:48:13,958 --> 00:48:16,627
94.8%.  THIS MEANS THAT THE 

1224
00:48:16,627 --> 00:48:17,928
OVERALL ACCURACY MEETS THE 

1225
00:48:17,928 --> 00:48:20,297
THRESHOLD FOR BEING USED IN 

1226
00:48:20,297 --> 00:48:23,200
CLINICAL SETTINGS AND SETS US UP

1227
00:48:23,200 --> 00:48:27,471
TO START USING THIS TOOL AS A 

1228
00:48:27,471 --> 00:48:29,774
DATA-DRIVEN TOOL FOR DEVELOPING 

1229
00:48:29,774 --> 00:48:31,108
DATA-DRIVEN TOOL FOR DECISIONS 

1230
00:48:31,108 --> 00:48:33,944
IN DEVELOPING PROGRAMS TO 

1231
00:48:33,944 --> 00:48:38,349
ADDRESS RISK.  NEXT SLIDE.  SO 

1232
00:48:38,349 --> 00:48:40,017
OUR PRELIMINARY RESEARCH 

1233
00:48:40,017 --> 00:48:42,753
FINDINGS, THERE HAS BEEN AN 

1234
00:48:42,753 --> 00:48:44,555
INCREASE IN SEVERE MATERNAL 

1235
00:48:44,555 --> 00:48:47,358
MORBIDITY OVER TIME.  BUT NOT 

1236
00:48:47,358 --> 00:48:49,960
AMONG ALL PREGNANT PEOPLE.  

1237
00:48:49,960 --> 00:48:51,529
THERE IS -- IT'S HIGHER AMONG 

1238
00:48:51,529 --> 00:48:55,032
THOSE ON MEDICAID.  IT IS 

1239
00:48:55,032 --> 00:48:57,701
DIFFICULT TO PREDICT SEVERE 

1240
00:48:57,701 --> 00:49:00,271
MATERNAL MORBIDITY AMONG THOSE 

1241
00:49:00,271 --> 00:49:02,940
WITHOUT ROBUST MEDICAL RECORDS. 

1242
00:49:02,940 --> 00:49:04,975
THIS, HOWEVER, IS A -- IN AND OF

1243
00:49:04,975 --> 00:49:08,345
ITSELF A PREDICTOR OF SEVERE 

1244
00:49:08,345 --> 00:49:09,947
MATERNAL MORBIDITY RISK.  Z 

1245
00:49:09,947 --> 00:49:12,850
CODES OR THE ICD 10 DIAGNOSTIC 

1246
00:49:12,850 --> 00:49:17,855
CODES ASSOCIATED WITH SOCIAL 

1247
00:49:17,855 --> 00:49:20,291
DETERMINANTS OF HEALTH WERE AN 

1248
00:49:20,291 --> 00:49:21,425
INFLUENTIAL PREDICTOR IN OUR 

1249
00:49:21,425 --> 00:49:23,127
MODELS AND ACTUALLY IN SOME 

1250
00:49:23,127 --> 00:49:26,397
INSTANCES, WERE MORE PREDICTIVE 

1251
00:49:26,397 --> 00:49:29,533
OF SEVERE MATERNAL MORBIDITY 

1252
00:49:29,533 --> 00:49:30,668
THAN MEDICAL DIAGNOSES WHICH 

1253
00:49:30,668 --> 00:49:34,839
SUGGESTS A NEED FOR IMPROVED 

1254
00:49:34,839 --> 00:49:38,876
TRACKING OF THESE SOCIAL 

1255
00:49:38,876 --> 00:49:39,543
DETERMINANTS OF HEALTH 

1256
00:49:39,543 --> 00:49:40,811
DIAGNOSTIC CODES IN MEDICINE 

1257
00:49:40,811 --> 00:49:43,113
MORE BROADLY BUT SPECIFICALLY IN

1258
00:49:43,113 --> 00:49:45,616
MATERNAL AND CHILD HEALTH.  THE 

1259
00:49:45,616 --> 00:49:47,284
FINDINGS SUGGEST THAT IT IS 

1260
00:49:47,284 --> 00:49:49,954
POSSIBLE TO DEVELOP A CLINICALLY

1261
00:49:49,954 --> 00:49:53,724
USEFUL ALGORITHM TO ASSESS 

1262
00:49:53,724 --> 00:49:55,159
SEVERE MATERNAL MORBIDITY RISK 

1263
00:49:55,159 --> 00:49:58,395
USING PREPREGNANCY MEDICAL 

1264
00:49:58,395 --> 00:50:00,331
RECORDS AND THIS HAS THE 

1265
00:50:00,331 --> 00:50:03,133
POTENTIAL TO INFLUENCE THE 

1266
00:50:03,133 --> 00:50:07,705
MATERNAL HEALTH LANDSCAPE AS IT 

1267
00:50:07,705 --> 00:50:09,440
ALLOWS FOR US TO HAVE 

1268
00:50:09,440 --> 00:50:10,207
DATA-DRIVEN DECISION ON THE 

1269
00:50:10,207 --> 00:50:12,042
DEVELOPMENT OF PROGRAMS 

1270
00:50:12,042 --> 00:50:19,416
ADDRESSING THESE TYPES OF RISK. 

1271
00:50:19,416 --> 00:50:24,788
IT ALIGNS WITH THE IMPROVE 

1272
00:50:24,788 --> 00:50:27,558
INITIATIVE AND OUR ULTIMATE 

1273
00:50:27,558 --> 00:50:29,827
GOAL, NEXT SLIDE, OUR IT GOAL 

1274
00:50:29,827 --> 00:50:32,396
ONCE WE FINALIZE AND ENHANCE OUR

1275
00:50:32,396 --> 00:50:38,736
PERFORMANCE OF OUR MODEL IS TO 

1276
00:50:38,736 --> 00:50:41,205
INCORPORATE GEOGRAPHIC 

1277
00:50:41,205 --> 00:50:42,072
INDICATORS WE KNOW THAT 

1278
00:50:42,072 --> 00:50:44,208
COMMUNITIES HAVE AN INFLUENCE ON

1279
00:50:44,208 --> 00:50:45,943
OUTCOMES AND TO COLLABORATE ON 

1280
00:50:45,943 --> 00:50:49,280
THE DEVELOPMENT OF A PROGRAM 

1281
00:50:49,280 --> 00:50:50,547
THAT OFFERS SERVICES STRATIFIED 

1282
00:50:50,547 --> 00:50:53,183
BY LEVELS OF RISK AND CONDUCT A 

1283
00:50:53,183 --> 00:50:56,220
CLUSTER OF RANDOMIZED CONTROL 

1284
00:50:56,220 --> 00:50:59,690
TRIAL AMONG THIS -- WITH THIS IN

1285
00:50:59,690 --> 00:51:01,926
COLLABORATION WITH THIS HOSPITAL

1286
00:51:01,926 --> 00:51:03,727
SYSTEM IN ORDER TO TEST THE 

1287
00:51:03,727 --> 00:51:07,965
EFFICACY OF THE ALGORITHM AND 

1288
00:51:07,965 --> 00:51:09,934
ALSO USE IT TO POTENTIALLY 

1289
00:51:09,934 --> 00:51:13,938
PREVENT OR INTERVENE EARLY WITH 

1290
00:51:13,938 --> 00:51:16,607
MORE SEVERE MATERNAL MORBIDITY 

1291
00:51:16,607 --> 00:51:20,978
AND ULTIMATELY PREVENT MATERNAL 

1292
00:51:20,978 --> 00:51:21,545
MORTALITY.  

1293
00:51:21,545 --> 00:51:23,113
>> JENNIFER: WE NEED TO
STOP 

1294
00:51:23,113 --> 00:51:23,981
RIGHT NOW BECAUSE WE'RE OVER 

1295
00:51:23,981 --> 00:51:25,382
TIME AND WE HAVE TO MOVE ONTO 

1296
00:51:25,382 --> 00:51:27,451
THE NEXT ONE, THANK YOU SO MUCH 

1297
00:51:27,451 --> 00:51:30,054
FOR THE PRESENTATION IF YOU 

1298
00:51:30,054 --> 00:51:31,689
COULD MOVE AHEAD WE ARE -- IT IS

1299
00:51:31,689 --> 00:51:35,159
NOW TIME FOR THE INTERMISSION.  

1300
00:51:35,159 --> 00:51:36,226
THANK YOU SO MUCH CENTRAL JERSEY

1301
00:51:36,226 --> 00:51:38,462
FAMILY HEALTH CONSORTIUM.  SORRY

1302
00:51:38,462 --> 00:51:40,197
TO CUT YOU OFF BUT WE HAVE TO 

1303
00:51:40,197 --> 00:51:42,900
KEEP ON OUR SCHEDULE HERE.  WE 

1304
00:51:42,900 --> 00:51:45,536
WILL HAVE A TWO MINUTE 

1305
00:51:45,536 --> 00:51:46,904
INTERMISSION WE WILL HAVE A 

1306
00:51:46,904 --> 00:51:49,974
COUPLE MINUTES HERE IF SOMEONE 

1307
00:51:49,974 --> 00:51:53,811
NEEDS TO RUN AND GET A DRINK OF 

1308
00:51:53,811 --> 00:51:56,246
WATER AND RUN TO THE RESTROOM 

1309
00:51:56,246 --> 00:51:57,314
NOW IS THE TIME.  

1310
00:51:57,314 --> 00:51:59,450
>> THOM: IT'S NICE TO SEE
AI AND

1311
00:51:59,450 --> 00:52:01,518
MACHINE LEARNING BEING LEVERAGED

1312
00:52:01,518 --> 00:52:04,121
TO HELP THE FUTURE HERE.  SO, 

1313
00:52:04,121 --> 00:52:05,990
BUT JEN I WANTED TO ASK YOU A 

1314
00:52:05,990 --> 00:52:07,458
COUPLE QUESTIONS WHILE WE'RE ON 

1315
00:52:07,458 --> 00:52:08,759
THIS QUICK INTERMISSION.  YOU 

1316
00:52:08,759 --> 00:52:11,128
SPENT A LOT OF TIME WITH THE 

1317
00:52:11,128 --> 00:52:13,497
TEAMS.  COULD YOU SHARE A LITTLE

1318
00:52:13,497 --> 00:52:15,499
MORE ABOUT THE PROCESS THAT YOU 

1319
00:52:15,499 --> 00:52:15,699
USED? 

1320
00:52:15,699 --> 00:52:16,867
>> JENNIFER: ABSOLUTELY,
ONE OF 

1321
00:52:16,867 --> 00:52:18,135
THE WONDERFUL THINGS ABOUT THIS 

1322
00:52:18,135 --> 00:52:20,104
CHALLENGE IS THAT IT INCLUDED 

1323
00:52:20,104 --> 00:52:22,039
COACHING.  A LOT OF TIMES 

1324
00:52:22,039 --> 00:52:23,607
PROGRAMS THAT AIM TO TEACH 

1325
00:52:23,607 --> 00:52:25,743
PEOPLE STUFF, THEY PROVIDE THE 

1326
00:52:25,743 --> 00:52:27,578
TRAINING AND THEN THERE'S NO 

1327
00:52:27,578 --> 00:52:29,446
FOLLOW UP.  SO REALLY LOVE THAT 

1328
00:52:29,446 --> 00:52:30,514
THIS PROGRAM INCLUDED COACHING 

1329
00:52:30,514 --> 00:52:34,284
AND I HAD THE WONDERFUL HONOR OF

1330
00:52:34,284 --> 00:52:35,586
COACHING SITES.  WE BASICALLY 

1331
00:52:35,586 --> 00:52:37,621
OPENED IT UP TO ANYTHING THE 

1332
00:52:37,621 --> 00:52:40,791
SITES WANTED TO TALK ABOUT AND 

1333
00:52:40,791 --> 00:52:41,492
THERE WERE CHALLENGES IN EVERY 

1334
00:52:41,492 --> 00:52:42,993
AREA THAT YOU CAN IMAGINE FOR 

1335
00:52:42,993 --> 00:52:44,194
ANYONE WHO HAS DONE RESEARCH, 

1336
00:52:44,194 --> 00:52:45,996
YOU KNOW WHERE THESE COME FROM, 

1337
00:52:45,996 --> 00:52:48,365
CHALLENGES RELATED TO THE IRB 

1338
00:52:48,365 --> 00:52:49,867
AND HOW YOU MANAGE THOSE 

1339
00:52:49,867 --> 00:52:51,235
SITUATIONS.  THAT WAS BRAND NEW 

1340
00:52:51,235 --> 00:52:52,936
FOR SOME OF THE SITES AND FIRST 

1341
00:52:52,936 --> 00:52:57,341
IRB RIDE IS ALWAYS A BIT BUMPY, 

1342
00:52:57,341 --> 00:52:58,242
THERE WERE QUESTIONS ABOUT 

1343
00:52:58,242 --> 00:53:00,177
PROJECT MANAGEMENT OR STAFF 

1344
00:53:00,177 --> 00:53:00,978
TURNOVER ABOUT HOW DO YOU PIVOT 

1345
00:53:00,978 --> 00:53:02,980
IN A STUDY.  WHAT ARE YOU 

1346
00:53:02,980 --> 00:53:05,049
ALLOWED TO DO?  WHAT DO YOU NEED

1347
00:53:05,049 --> 00:53:06,617
TO GET APPROVAL TO DO TO CHANGE 

1348
00:53:06,617 --> 00:53:08,018
THINGS WHEN THINGS AREN'T GOING 

1349
00:53:08,018 --> 00:53:10,621
AS PLANNED?  SUCH AS A COUPLE OF

1350
00:53:10,621 --> 00:53:13,023
SITES MENTIONED THAT THEY HAD 

1351
00:53:13,023 --> 00:53:17,327
DIFFICULTY RECRUITING FOR THE 

1352
00:53:17,327 --> 00:53:19,363
SAMPLE THEY IDENTIFY SO HOW DO 

1353
00:53:19,363 --> 00:53:20,731
YOU PIVOT AND WHAT DOES THAT 

1354
00:53:20,731 --> 00:53:22,866
LOOK LIKE?  WE TALKED ABOUT WAYS

1355
00:53:22,866 --> 00:53:24,802
TO MOVE FORWARD BEYOND THIS 

1356
00:53:24,802 --> 00:53:26,637
CHALLENGE.  SO SOME SITES ARE 

1357
00:53:26,637 --> 00:53:29,973
ALREADY WORKING ON OR HAVE 

1358
00:53:29,973 --> 00:53:31,075
ALREADY SUBMITTED A GRANT 

1359
00:53:31,075 --> 00:53:32,209
PROPOSAL.  SOME OF THEM HAVE 

1360
00:53:32,209 --> 00:53:33,844
REACHED OUT TO SOME OF OUR 

1361
00:53:33,844 --> 00:53:35,846
FANTASTIC PRESENTERS FROM EITHER

1362
00:53:35,846 --> 00:53:37,981
AGENCIES OR FUNDED RESEARCHERS 

1363
00:53:37,981 --> 00:53:40,884
AT UNIVERSITIES TO FIND OUT HOW 

1364
00:53:40,884 --> 00:53:41,985
THEY CAN COLLABORATE.  IT'S BEEN

1365
00:53:41,985 --> 00:53:43,720
REALLY AMAZING AND, AGAIN, I 

1366
00:53:43,720 --> 00:53:46,690
WOULD SAY ONE MORE PIECE IS 

1367
00:53:46,690 --> 00:53:47,357
QUESTIONS ABOUT SPECIFIC 

1368
00:53:47,357 --> 00:53:50,027
RESEARCH SKILLS SO HOW DO WE 

1369
00:53:50,027 --> 00:53:52,262
STRUCTURE OUR DATA CAPTURE.  HOW

1370
00:53:52,262 --> 00:53:54,264
DO WE CONDUCT QUALITATIVE 

1371
00:53:54,264 --> 00:53:55,999
ANALYSIS?  HOW DO WE BALANCE AIM

1372
00:53:55,999 --> 00:53:57,801
ONE AND AIM TWO AND THAT SORT OF

1373
00:53:57,801 --> 00:53:58,368
THING.  SO IT'S BEEN REALLY 

1374
00:53:58,368 --> 00:54:00,871
WONDERFUL.  

1375
00:54:00,871 --> 00:54:02,072
>> THOM: THANK YOU, AGAIN,
AS 

1376
00:54:02,072 --> 00:54:03,373
YOU HEARD FROM THE TEAMS THEY 

1377
00:54:03,373 --> 00:54:06,210
REALLY APPRECIATED ALL THE 

1378
00:54:06,210 --> 00:54:07,811
SUPPORT AND WE REALLY APPRECIATE

1379
00:54:07,811 --> 00:54:09,313
IT.  I THINK BECAUSE WE'RE 

1380
00:54:09,313 --> 00:54:10,948
RUNNING A TAD BEHIND SCHEDULE 

1381
00:54:10,948 --> 00:54:15,652
WHY DON'T WE MOVE ONTO THE NEXT 

1382
00:54:15,652 --> 00:54:19,823
PRESENTATION?  SO JENNIFER, DO 

1383
00:54:19,823 --> 00:54:22,526
YOU HAVE A QUICK INTRODUCTION TO

1384
00:54:22,526 --> 00:54:24,428
COLLAR RIS HEALTH MOTHER OF 

1385
00:54:24,428 --> 00:54:25,963
FACT.  

1386
00:54:25,963 --> 00:54:30,200
>> JENNIFER: YES, THIS IS
EMILY 

1387
00:54:30,200 --> 00:54:36,206
SYLVESTER A PEDIATRIC 

1388
00:54:36,206 --> 00:54:37,808
REGISTERED.  AND ALSO LISA 

1389
00:54:37,808 --> 00:54:40,377
FOCUSED ON EQUITABLE AND 

1390
00:54:40,377 --> 00:54:41,979
CULTURALLY APPROPRIATE NUTRITION

1391
00:54:41,979 --> 00:54:44,014
CARE FOR MOMS AND BABIES.  MS. 

1392
00:54:44,014 --> 00:54:48,051
LISA IS A CERTIFIED MIDWIFE AND 

1393
00:54:48,051 --> 00:54:49,319
NURSE-PRACTITIONER AND WORKS IN 

1394
00:54:49,319 --> 00:54:51,455
CLINICAL SETTINGS INCLUDING 

1395
00:54:51,455 --> 00:54:53,624
COLLAR RIS HEALTH AND WERE WE 

1396
00:54:53,624 --> 00:54:55,192
ARE VERY MUCH LOOKING FORWARD TO

1397
00:54:55,192 --> 00:54:55,926
YOUR PRESENTATION TODAY.

1398
00:54:55,926 --> 00:54:56,693
>> HI, THERE, CAN YOU HEAR
ME 

1399
00:54:56,693 --> 00:55:07,237
OKAY?  GREAT WE WILL TALK ABOUT 

1400
00:55:08,705 --> 00:55:12,309
MOTHER OF FACT AND CLARIS HEALTH

1401
00:55:12,309 --> 00:55:14,478
FOR PREGNANT INDIVIDUALS AT RISK

1402
00:55:14,478 --> 00:55:18,749
FOR GESTATIONAL DIABETES.  IT 

1403
00:55:18,749 --> 00:55:20,350
HAS BEEN AN ABSOLUTE PLEASURE TO

1404
00:55:20,350 --> 00:55:27,357
WORK WITH MOTHER OF FACT AND TO 

1405
00:55:27,357 --> 00:55:29,393
BRING THIS TO OUR PATIENTS.  

1406
00:55:29,393 --> 00:55:31,061
WE'RE BASED IN LOS ANGELES 

1407
00:55:31,061 --> 00:55:33,297
FEATURING A DEDICATED TEAM 

1408
00:55:33,297 --> 00:55:37,968
MYSELF.  I'M A MIDWIFE AND NP.  

1409
00:55:37,968 --> 00:55:42,539
EMILY SYLVESTER, ALICIA, EHAVE 

1410
00:55:42,539 --> 00:55:46,977
AED THAT IS A PA, AND ANDREW A 

1411
00:55:46,977 --> 00:55:50,314
DATA ANALYST.  

1412
00:55:50,314 --> 00:55:54,284
CLARIS HEALTH WORKS WITH 

1413
00:55:54,284 --> 00:55:56,286
PARTICIPANTS IN L. COUNTY AND 

1414
00:55:56,286 --> 00:55:59,556
MOTHER OF ACT IS A HIPAA SECURE 

1415
00:55:59,556 --> 00:56:04,061
DIGITAL PLATFORM WITH ON DEMAND 

1416
00:56:04,061 --> 00:56:06,196
MESSAGING (READING)A COUNTY AND 

1417
00:56:06,196 --> 00:56:06,830
MOTHER OF ACT IS A HIPAA SECURE 

1418
00:56:06,830 --> 00:56:07,464
DIGITAL PLATFORM WITH ON DEMAND 

1419
00:56:07,464 --> 00:56:08,131
MESSAGING (READING).  COUNTY AND

1420
00:56:08,131 --> 00:56:08,765
MOTHER OF ACT IS A HIPAA SECURE 

1421
00:56:08,765 --> 00:56:09,399
DIGITAL PLATFORM WITH ON DEMAND 

1422
00:56:09,399 --> 00:56:10,667
MESSAGING (READING) SO MINORITY 

1423
00:56:10,667 --> 00:56:12,903
POPULATIONS WITH LOW INCOME, LOW

1424
00:56:12,903 --> 00:56:15,939
HEALTH LITERACY AND OBESITY FACE

1425
00:56:15,939 --> 00:56:18,008
HIGHER RATES OF GESTATIONAL 

1426
00:56:18,008 --> 00:56:19,142
DIABETES LEADING TO POOR 

1427
00:56:19,142 --> 00:56:21,411
PREGNANCY OUTCOMES AND MEDICAID 

1428
00:56:21,411 --> 00:56:23,814
PATIENTS OFTEN LACK ACCESS TO 

1429
00:56:23,814 --> 00:56:26,483
REGISTERED DIETICIANS TO HELP 

1430
00:56:26,483 --> 00:56:28,151
MANAGE DIABETES RISK.  OUR 

1431
00:56:28,151 --> 00:56:30,287
RESEARCH AIMS TO INVESTIGATE 

1432
00:56:30,287 --> 00:56:34,758
ENROLLMENT TRENDS, ENGAGEMENT 

1433
00:56:34,758 --> 00:56:35,726
PATTERNS AND THE RELATIONSHIPS 

1434
00:56:35,726 --> 00:56:37,461
BETWEEN THE CHARACTERISTICS AND 

1435
00:56:37,461 --> 00:56:39,196
ENGAGEMENT METRICS AMONG MOTHERS

1436
00:56:39,196 --> 00:56:41,131
WHO ENGAGE WITH AN 

1437
00:56:41,131 --> 00:56:43,233
EVIDENCE-BASED NUTRITION DIGITAL

1438
00:56:43,233 --> 00:56:45,502
HEALTH PLATFORM.  THIS SINGLE 

1439
00:56:45,502 --> 00:56:48,272
ARM UNBLINDED PILOT STUDY 

1440
00:56:48,272 --> 00:56:51,808
CONDUCTED VIA TO LOS ANGELES 

1441
00:56:51,808 --> 00:56:53,477
HEALTH CENTERS ASSESS THE IMPACT

1442
00:56:53,477 --> 00:56:56,880
OF NUTRITIONAL EDUCATION AND 

1443
00:56:56,880 --> 00:57:01,985
TELEHEALTH MEDICAL NUTRITION 

1444
00:57:01,985 --> 00:57:05,589
THERAPY ON PREGNANT INDIVIDUALS 

1445
00:57:05,589 --> 00:57:06,890
WITH GESTATIONAL DIABETES.  

1446
00:57:06,890 --> 00:57:09,860
PARTICIPANTS USE A MOBILE APP TO

1447
00:57:09,860 --> 00:57:10,527
MESSAGE DIETITIANS, LOG 

1448
00:57:10,527 --> 00:57:13,163
NUTRITION DATA, ASSESS 

1449
00:57:13,163 --> 00:57:15,599
EDUCATIONAL RESOURCES, AND 

1450
00:57:15,599 --> 00:57:17,968
ATTEND MONTHLY TELEHEALTH VISITS

1451
00:57:17,968 --> 00:57:21,405
OUR STUDY RAN FROM DECEMBER 2023

1452
00:57:21,405 --> 00:57:23,974
TO MAY 2024 AND NEXT SLIDE AND 

1453
00:57:23,974 --> 00:57:29,946
YOU'LL HEAR FROM EMILY.

1454
00:57:29,946 --> 00:57:31,948
>> HELLO, WE ARE EXCITED
TO DIVE

1455
00:57:31,948 --> 00:57:34,318
INTO OUR RESEARCH ACTIVITIES 

1456
00:57:34,318 --> 00:57:36,787
FROM JULY TO SEPTEMBER WE 

1457
00:57:36,787 --> 00:57:38,422
ATTENDED THE NIH WORKSHOPS WHICH

1458
00:57:38,422 --> 00:57:41,958
WERE AMAZING: EXPANDING OUR 

1459
00:57:41,958 --> 00:57:45,962
OBJECTIVES AND DEVELOPED A 

1460
00:57:45,962 --> 00:57:52,903
PLATFORM E-MAIL KCUSTOMIZATION 

1461
00:57:52,903 --> 00:57:55,372
AND THEN WE CONDUCTED STAFF 

1462
00:57:55,372 --> 00:57:57,240
TRAININGS WITH THE MIDWIVES AND 

1463
00:57:57,240 --> 00:57:59,943
CLINICAL TEAM TO THE PREGNANCY 

1464
00:57:59,943 --> 00:58:01,545
CARE.  AND CREATED ELIGIBILITY 

1465
00:58:01,545 --> 00:58:02,846
CHECKLIST AND ALSO SUBMITTED TO 

1466
00:58:02,846 --> 00:58:05,782
THE IRB OF NOTE SUBMITTING TO 

1467
00:58:05,782 --> 00:58:07,951
THE IRB WAS DELAYED BY THREE 

1468
00:58:07,951 --> 00:58:09,586
MONTHS AS THERE WERE SOME 

1469
00:58:09,586 --> 00:58:10,854
RETEAMING NEEDS THAT WERE REALLY

1470
00:58:10,854 --> 00:58:15,792
OUT OF OUR CONTROL AND THEN FROM

1471
00:58:15,792 --> 00:58:17,260
DECEMBER 2023 TO MAY WE WERE 

1472
00:58:17,260 --> 00:58:20,163
EXCITED TO RECRUIT PATIENTS AND 

1473
00:58:20,163 --> 00:58:23,066
INITIATING DAILY INTERACTIONS 

1474
00:58:23,066 --> 00:58:24,568
AND MAINTAINING WITH THE 

1475
00:58:24,568 --> 00:58:26,203
RECRUITMENT SITES.  IN APRIL WE 

1476
00:58:26,203 --> 00:58:29,072
ONBOARDED A DATA ANALYTICS 

1477
00:58:29,072 --> 00:58:29,906
CONSULTANT, CONDUCTED ANALYSIS 

1478
00:58:29,906 --> 00:58:31,274
AND ACTUALLY PRESENTED EARLY 

1479
00:58:31,274 --> 00:58:33,977
RESULT TO TWO NATIONWIDE 

1480
00:58:33,977 --> 00:58:37,114
WORKSHOPS INCLUDING THE HRSA 

1481
00:58:37,114 --> 00:58:38,248
ADVISORY COMMITTEE ON INFANT AND

1482
00:58:38,248 --> 00:58:40,217
SOCIAL DETERMINANTS OF HEALTH 

1483
00:58:40,217 --> 00:58:42,586
WORKGROUP AND THEN AS OF MAY 

1484
00:58:42,586 --> 00:58:44,521
31ST, 2024 WE STOPPED DATA 

1485
00:58:44,521 --> 00:58:45,956
COLLECTION FOR THIS REPORT BUT 

1486
00:58:45,956 --> 00:58:47,657
FINAL OUTCOMES ASSESSMENT IS SET

1487
00:58:47,657 --> 00:58:51,061
TO BEGIN IN APRIL 2025 AFTER 

1488
00:58:51,061 --> 00:58:52,062
INTERVENTION RUNS THROUGH SIX 

1489
00:58:52,062 --> 00:58:55,465
WEEKS POSTPARTUM FOR OUR 

1490
00:58:55,465 --> 00:59:02,005
PARTICIP

1491
00:59:02,005 --> 00:59:04,674
PARTICIPANTS NEXT SLIDE.  WE 

1492
00:59:04,674 --> 00:59:06,543
ENROLLED 93 PARTICIPANTS.  WE 

1493
00:59:06,543 --> 00:59:08,345
CONDUCTED 51 NUTRITIONAL 

1494
00:59:08,345 --> 00:59:10,847
APPOINTMENTS.  ACHIEVING A RATE 

1495
00:59:10,847 --> 00:59:13,350
OF 91%.  WITH OUR STUDY SAMPLE 

1496
00:59:13,350 --> 00:59:18,688
SIZE FOR THIS ANALYSIS AT 23 THE

1497
00:59:18,688 --> 00:59:20,157
ETHNIC COMPOSITION WAS 22% 

1498
00:59:20,157 --> 00:59:21,958
AFRICAN AMERICAN AND 52% 

1499
00:59:21,958 --> 00:59:23,360
HISPANIC LATINO AND THEN IN THE 

1500
00:59:23,360 --> 00:59:25,962
RED BOXES YOU CAN SEE 

1501
00:59:25,962 --> 00:59:27,564
SIGNIFICANT STRONG POSITIVE 

1502
00:59:27,564 --> 00:59:28,265
CORRELATIONS WERE OBSERVED 

1503
00:59:28,265 --> 00:59:31,735
BETWEEN THE FOLLOWING ENGAGEMENT

1504
00:59:31,735 --> 00:59:33,970
MEASURES.  TOTAL NUTRITION 

1505
00:59:33,970 --> 00:59:35,872
EDUCATION MODULES COMPLETED AND 

1506
00:59:35,872 --> 00:59:38,575
NUMBER OF -- SO TEXT MESSAGES 

1507
00:59:38,575 --> 00:59:40,310
BETWEEN SESSIONS.  JOURNAL 

1508
00:59:40,310 --> 00:59:42,446
ENTRIES.  AND TOTAL NUTRITION 

1509
00:59:42,446 --> 00:59:44,648
EDUCATION MODEL -- MODULES 

1510
00:59:44,648 --> 00:59:47,684
COMPLETED.  AND NUMBER OF TEXT 

1511
00:59:47,684 --> 00:59:49,219
MESSAGES BETWEEN SESSIONS AND 

1512
00:59:49,219 --> 00:59:52,722
NUMBER OF JOURNAL ENTRIES IN THE

1513
00:59:52,722 --> 00:59:53,356
APP.  ADDITIONALLY, A 

1514
00:59:53,356 --> 00:59:55,959
SIGNIFICANT NEGATIVE CORRELATION

1515
00:59:55,959 --> 00:59:57,227
WAS FOUND BETWEEN SESSION LENGTH

1516
00:59:57,227 --> 00:59:59,429
SO THE TELEHEALTH SESSION AND 

1517
00:59:59,429 --> 01:00:02,532
TOTAL NUTRITION EDUCATION 

1518
01:00:02,532 --> 01:00:07,504
MODULES COMPLETED.  WITH A 

1519
01:00:07,504 --> 01:00:11,441
MODERATE NUMBER OF SESSIONS AND 

1520
01:00:11,441 --> 01:00:13,977
LENGTH.  THESE ENGAGEMENT 

1521
01:00:13,977 --> 01:00:15,212
SUGGESTS THAT THIS WAS USED IN 

1522
01:00:15,212 --> 01:00:17,414
VARIOUS WAYS WITH SOME DURING 

1523
01:00:17,414 --> 01:00:18,448
SESSIONS AND SOME AFTER 

1524
01:00:18,448 --> 01:00:21,585
SESSIONS.  NEXT SLIDE, PLEASE.  

1525
01:00:21,585 --> 01:00:24,187
WE RECOGNIZE THIS IS A SMALL 

1526
01:00:24,187 --> 01:00:25,856
SAMPLE SIZE BY WE SEE 

1527
01:00:25,856 --> 01:00:29,993
PARTICIPANTS ACTIVELY ENGAGING 

1528
01:00:29,993 --> 01:00:31,995
WITH THE PROGRAM, CONSISTENTLY 

1529
01:00:31,995 --> 01:00:32,762
ATTENDING, ONCE GIVEN ACCESS TO 

1530
01:00:32,762 --> 01:00:35,198
CARE THEY DEMONSTRATED HIGH 

1531
01:00:35,198 --> 01:00:37,167
ENGAGEMENT AND FULL UTILIZATION 

1532
01:00:37,167 --> 01:00:40,537
OF RESOURCES DESPITE SYSTEMIC 

1533
01:00:40,537 --> 01:00:42,138
BARRIERS WE OBSERVED DISTINCT 

1534
01:00:42,138 --> 01:00:44,241
ENGAGEMENT PATTERNS WITH SOME 

1535
01:00:44,241 --> 01:00:45,842
PARTICIPANTS HAVING LONG 

1536
01:00:45,842 --> 01:00:46,710
SESSIONS AND LAST, BETWEEN 

1537
01:00:46,710 --> 01:00:48,678
SESSION ENGAGEMENT WHILE OTHERS 

1538
01:00:48,678 --> 01:00:50,447
HAD SHORTER SESSIONS WITH MORE 

1539
01:00:50,447 --> 01:00:52,415
BETWEEN SESSION ENGAGEMENT AND 

1540
01:00:52,415 --> 01:00:54,017
THESE HIGHLIGHT THE NEED FOR 

1541
01:00:54,017 --> 01:00:56,553
CULTURALLY AND SOCIOECONOMICALLY

1542
01:00:56,553 --> 01:00:57,254
TAILORED EDUCATION FOR 

1543
01:00:57,254 --> 01:00:59,823
UNDERSTOOD SERVED COMMUNITIES, 

1544
01:00:59,823 --> 01:01:02,526
WITH THE MATERNAL CARE JOURNEY 

1545
01:01:02,526 --> 01:01:04,828
ADDRESSING DISPARITIES IN 

1546
01:01:04,828 --> 01:01:06,596
MATERNAL HEALTH BY IMPROVING 

1547
01:01:06,596 --> 01:01:08,532
ACCESS TO CARE CAN BE CRITICAL, 

1548
01:01:08,532 --> 01:01:10,634
PRELIMINARY DATA SHOWS THAT THIS

1549
01:01:10,634 --> 01:01:12,102
APPROACH MAY BUILD TRUST AND 

1550
01:01:12,102 --> 01:01:13,904
ASSIST IN CONTINUED MONITORING 

1551
01:01:13,904 --> 01:01:17,974
AND CARE FOR AT RISK 

1552
01:01:17,974 --> 01:01:27,951
PREGNANCIES:  NEXT STEPS IS 

1553
01:01:27,951 --> 01:01:30,053
GETTING NOR DATA WITH OUTCOMES 

1554
01:01:30,053 --> 01:01:32,556
RELATED TO GESTATIONAL DIABETES.

1555
01:01:32,556 --> 01:01:35,325
WITH INITIAL DATA SHARED IN 

1556
01:01:35,325 --> 01:01:36,359
PRESENTATIONS AND UPCOMING 

1557
01:01:36,359 --> 01:01:37,394
CONFERENCE SESSIONS.  AFTER 

1558
01:01:37,394 --> 01:01:39,629
FINAL ANALYSIS SO NEXT YEAR WE 

1559
01:01:39,629 --> 01:01:41,464
WILL SUBMIT TO ONE OR TWO 

1560
01:01:41,464 --> 01:01:44,534
MANUSCRIPTS TO DISSEMINATE OUR 

1561
01:01:44,534 --> 01:01:46,336
FINDINGS TO THE CLINICAL 

1562
01:01:46,336 --> 01:01:47,404
KNOWLEDGE BASE ON MATERNAL 

1563
01:01:47,404 --> 01:01:48,471
NUTRITION AND HEALTH.  AND WE 

1564
01:01:48,471 --> 01:01:50,473
HAVE BIG NEWS.  WE HAVE 

1565
01:01:50,473 --> 01:01:52,609
SUBMITTED A NEW IRB APPLICATION 

1566
01:01:52,609 --> 01:01:55,979
AND BEGUN PATIENT RECRUITMENT 

1567
01:01:55,979 --> 01:01:57,247
THIS MONTH UNDER A CONTINUATION 

1568
01:01:57,247 --> 01:01:59,916
PROJECT UNDER AN INSTITUTE 

1569
01:01:59,916 --> 01:02:01,484
HEALTH CARE ADVANCEMENT GRANT 

1570
01:02:01,484 --> 01:02:03,653
WITH THE INTENTION TO CONTINUE 

1571
01:02:03,653 --> 01:02:05,522
GROWTH IN THIS PROJECT AND TO 

1572
01:02:05,522 --> 01:02:07,223
COMBINE DATA FOR COMPREHENSIVE 

1573
01:02:07,223 --> 01:02:10,226
IMPACT ASSESSMENT.  WE ARE ALSO 

1574
01:02:10,226 --> 01:02:12,429
ASSESSING PLANS TO HAVE THIS SIX

1575
01:02:12,429 --> 01:02:14,898
MONTHS POSTPARTUM AND LONG-TERM 

1576
01:02:14,898 --> 01:02:17,968
INSIGHTS -- TO GET LONG-TERM 

1577
01:02:17,968 --> 01:02:21,037
INSIGHTS TO DIVERSIFY OUR 

1578
01:02:21,037 --> 01:02:28,244
POPULATION SAMPLE.  SO WHAT DID 

1579
01:02:28,244 --> 01:02:33,717
WE LEARN HI HERE?  OUR FLEXIBILY

1580
01:02:33,717 --> 01:02:37,420
FOR PLANS AND BUDGETS, KEEPING 

1581
01:02:37,420 --> 01:02:41,391
THE PROJECT ON TRACK EARLY AND 

1582
01:02:41,391 --> 01:02:43,693
CONTINUOUS WORKSHOPS.  

1583
01:02:43,693 --> 01:02:44,928
PRODUCTIVE USE OF DOWN TIME LED 

1584
01:02:44,928 --> 01:02:49,099
TO THE DEVELOP ON THE OF 

1585
01:02:49,099 --> 01:02:51,835
NUTRITION PLATFORM HIGHLIGHTING 

1586
01:02:51,835 --> 01:02:53,803
THE IMPORTANCE OF CULTURALLY 

1587
01:02:53,803 --> 01:02:54,904
APPROPRIATE STAFF.  

1588
01:02:54,904 --> 01:02:55,839
EFFECTIVE COMMUNICATION AND 

1589
01:02:55,839 --> 01:02:57,474
TRUST BUILDING THROUGH ADAPTED 

1590
01:02:57,474 --> 01:02:58,642
REFERRAL STRATEGIES, 

1591
01:02:58,642 --> 01:03:00,710
SIGNIFICANTLY IMPROVED 

1592
01:03:00,710 --> 01:03:01,578
ONBOARDING AND ENGAGEMENT RATES 

1593
01:03:01,578 --> 01:03:04,447
AND DEPTH OF STUDY DATA, AND 

1594
01:03:04,447 --> 01:03:06,983
INSIGHTS FROM A SMALLER SAMPLE 

1595
01:03:06,983 --> 01:03:08,051
SIZE UNDERSCORED THE IMPORTANCE 

1596
01:03:08,051 --> 01:03:10,487
OF COMMUNITY DEMOGRAPHICS.  

1597
01:03:10,487 --> 01:03:12,288
WITHIN THE ASSESSMENTS AND 

1598
01:03:12,288 --> 01:03:14,557
UNDERSTANDING THE VARIED 

1599
01:03:14,557 --> 01:03:17,193
ENGAGEMENT PREFERENCES WITHIN 

1600
01:03:17,193 --> 01:03:18,995
HEALTH LITERACY AND FINALLY, 

1601
01:03:18,995 --> 01:03:21,898
INTEGRATING DATA ANALYTICS WITH 

1602
01:03:21,898 --> 01:03:25,268
A DEDICATED CONSULTANT, ENSURED 

1603
01:03:25,268 --> 01:03:28,638
ANALYSIS LEADING TO EXPANDED 

1604
01:03:28,638 --> 01:03:29,239
OPPORTUNITIES AND ADDITIONAL 

1605
01:03:29,239 --> 01:03:30,006
FUNDING WE THANK YOU SO MUCH FOR

1606
01:03:30,006 --> 01:03:31,775
THIS OPPORTUNITY.  IT'S BEEN 

1607
01:03:31,775 --> 01:03:33,977
AMAZING.  IT'S BEEN A PLEASURE 

1608
01:03:33,977 --> 01:03:42,519
WORKING WITH MANY OF YOU HERE.  

1609
01:03:42,519 --> 01:03:44,554
AND WE'RE EXCITED TO CONTINUE 

1610
01:03:44,554 --> 01:03:45,255
THIS PROJECT.  

1611
01:03:45,255 --> 01:03:47,490
>> JENNIFER: THANK YOU.  

1612
01:03:47,490 --> 01:03:49,492
REMINDER TO PUT QUESTIONS IN THE

1613
01:03:49,492 --> 01:03:51,695
Q&A AND ALL THE PRESENTERS
ARE 

1614
01:03:51,695 --> 01:03:53,663
IN THE Q&A LOOKING AT YOUR 

1615
01:03:53,663 --> 01:03:55,699
QUESTIONS NOW.  NEXT UP WE HAVE 

1616
01:03:55,699 --> 01:03:59,869
DOULA CO-OP OF NEVADA.  EMILY 

1617
01:03:59,869 --> 01:04:02,572
WORKS WITH THE DOULA, CONSULTANT

1618
01:04:02,572 --> 01:04:04,708
AND EDUCATOR IN NEVADA AND 

1619
01:04:04,708 --> 01:04:07,177
ACROSS THE U.S.  SHE COFOUNDED 

1620
01:04:07,177 --> 01:04:09,112
THE NONPROFIT ORGANIZATION DOULA

1621
01:04:09,112 --> 01:04:11,214
CO-OP OF NEVADA WHERE SHE 

1622
01:04:11,214 --> 01:04:13,950
ADVOCATES FOR SUSTAINABLE ACCESS

1623
01:04:13,950 --> 01:04:17,420
FOR DOULA SERVICES AS THE 

1624
01:04:17,420 --> 01:04:19,589
DIRECTOR AND THEN JOYCE IS THE 

1625
01:04:19,589 --> 01:04:24,027
DIRECTOR OF RESEARCH AT THE 

1626
01:04:24,027 --> 01:04:26,563
DOULA CO-OP OF NEVADA.  SHE WAS 

1627
01:04:26,563 --> 01:04:29,032
PROGRAM OFFICER OVERSEEING 

1628
01:04:29,032 --> 01:04:31,768
NEVADA'S MATERNAL AND CHILD 

1629
01:04:31,768 --> 01:04:33,002
HEALTH TITLE V GRANT AND WORKED 

1630
01:04:33,002 --> 01:04:34,938
WITH THE HEALTH EDUCATION TO 

1631
01:04:34,938 --> 01:04:38,241
YOUTH IN KENYA.  WELCOME DOULA 

1632
01:04:38,241 --> 01:04:41,778
CO-OP OF NEVADA AND WE LOOK 

1633
01:04:41,778 --> 01:04:52,322
FORWARD TO YOUR PRESENTATION.  

1634
01:04:53,523 --> 01:04:58,595
ARE A 

1635
01:04:58,595 --> 01:05:06,369
>> THANK YOU, TRUE TO OUR
ROOTS,

1636
01:05:07,837 --> 01:05:11,541
DCNV IS A 103 ORGANIZATION.  WE 

1637
01:05:11,541 --> 01:05:17,981
HAVE DR. KRISTEN BASED IN LAS 

1638
01:05:17,981 --> 01:05:22,585
VEGAS AS WELL AS TIARA FLYNN, 

1639
01:05:22,585 --> 01:05:24,821
AND JOYCE IS AN HONORARY DOULA 

1640
01:05:24,821 --> 01:05:26,556
AS SHE WILL BE COMPLETING HER 

1641
01:05:26,556 --> 01:05:28,858
DOULA TRAINING THIS COMING FALL.

1642
01:05:28,858 --> 01:05:31,161
AT THE TIME WE ENTERED THIS 

1643
01:05:31,161 --> 01:05:32,362
RESEARCH CHALLENGE THE DOULA 

1644
01:05:32,362 --> 01:05:33,830
CO-OP WAS ONLY TWO MONTHS OLD 

1645
01:05:33,830 --> 01:05:35,799
AND WE JUST CELEBRATED OUR 

1646
01:05:35,799 --> 01:05:37,233
SECOND BIRTHDAY.  WE HAVE GROWN 

1647
01:05:37,233 --> 01:05:39,769
INTO A STATEWIDE HUB FOR 

1648
01:05:39,769 --> 01:05:44,541
SUPPORT, EDUCATION AND ADVOCACY.

1649
01:05:44,541 --> 01:05:48,311
DCNV PROVIDES ACCESS FOR DOULAS 

1650
01:05:48,311 --> 01:05:49,779
TO ENSURE THEIR CONTINUED 

1651
01:05:49,779 --> 01:05:50,947
PRESENCE FOR THE MOTHERS AND 

1652
01:05:50,947 --> 01:05:52,248
FAMILIES WHO DESERVE THEIR 

1653
01:05:52,248 --> 01:05:52,816
SUPPORT.  THANKS TO 

1654
01:05:52,816 --> 01:05:56,553
PARTICIPATING IN THIS CHALLENGE,

1655
01:05:56,553 --> 01:05:57,954
WE ARE ALSO EQUIPPED TO DO 

1656
01:05:57,954 --> 01:06:00,256
COMMUNITY BASED RESEARCH WHILE 

1657
01:06:00,256 --> 01:06:03,059
CREATING SUSTAINABLE PATHWAYS 

1658
01:06:03,059 --> 01:06:07,330
FOR COMMUNITY BASED RESEARCH 

1659
01:06:07,330 --> 01:06:09,299
WHILE ADVANCING THE PATHWAYS FOR

1660
01:06:09,299 --> 01:06:11,134
END OF LIFE CARE AND MATERNAL 

1661
01:06:11,134 --> 01:06:14,537
HEALTH.  NEXT SLIDE, PLEASE.

1662
01:06:14,537 --> 01:06:16,506
>> TODAY WE'RE GOING TO BE

1663
01:06:16,506 --> 01:06:20,310
DISCUSSING OUR STUDY ENTITLED 

1664
01:06:20,310 --> 01:06:23,580
CULTURALLY CONGRUENT DOULA CARE.

1665
01:06:23,580 --> 01:06:25,715
PERINATAL MOOD ANXIETY 

1666
01:06:25,715 --> 01:06:29,519
DISORDERS, PMADS, SIGNIFICANTLY 

1667
01:06:29,519 --> 01:06:30,720
AFFECT MATERNAL HEALTH.  

1668
01:06:30,720 --> 01:06:32,555
UNTREATED THESE CONDITIONS CAN 

1669
01:06:32,555 --> 01:06:33,957
PROFOUNDLY IMPACT BOTH MOTHERS 

1670
01:06:33,957 --> 01:06:36,860
AND BABIES OUR STUDY ADDRESSED A

1671
01:06:36,860 --> 01:06:39,729
RESEARCH GAP IN CULTURALLY 

1672
01:06:39,729 --> 01:06:43,666
CONGRUENT CARE WITH THE IMPACT 

1673
01:06:43,666 --> 01:06:45,535
ON SATISFACTION AMONG NEVADA 

1674
01:06:45,535 --> 01:06:46,970
MEDICAID BIRTHING POPULATIONS.  

1675
01:06:46,970 --> 01:06:49,739
THIS ALIGNS THE ETHNIC RACIAL 

1676
01:06:49,739 --> 01:06:51,908
LANGUAGE OF DOULAS AND CLIENTS. 

1677
01:06:51,908 --> 01:06:54,677
WE HYPOTHESIZE THAT MEDICAID 

1678
01:06:54,677 --> 01:06:56,546
BIRTHING PARTICIPANTS RECEIVING 

1679
01:06:56,546 --> 01:06:59,449
CULTURALLY CONGRUENT DOULA CARE 

1680
01:06:59,449 --> 01:07:02,185
WOULD HAVE FEWER PMADS SYMPTOMS 

1681
01:07:02,185 --> 01:07:03,686
COMPARED TO THOSE NOT RECEIVING 

1682
01:07:03,686 --> 01:07:06,522
THIS CARE.  ADDITIONALLY WE 

1683
01:07:06,522 --> 01:07:09,092
EXPECTED HIGHER CHILDBIRTH 

1684
01:07:09,092 --> 01:07:09,726
SATISFACTION AMONG PARTICIPANTS 

1685
01:07:09,726 --> 01:07:12,962
WITH CULTURALLY CONGRUENT 

1686
01:07:12,962 --> 01:07:16,499
DOULAS.  OUR STUDY EXAMINED THE 

1687
01:07:16,499 --> 01:07:17,767
PMAD OUTCOMES AND MATERNAL 

1688
01:07:17,767 --> 01:07:18,868
SATISFACTION DURING CHILDBIRTH 

1689
01:07:18,868 --> 01:07:21,771
AND TO ASSESS DOULAS' EXPERIENCE

1690
01:07:21,771 --> 01:07:25,074
WITH ENROLLMENT AND CARE AND 

1691
01:07:25,074 --> 01:07:25,975
EFFECTIVENESS DURING THE PERIOD 

1692
01:07:25,975 --> 01:07:34,417
OF JULY 22023 TO JUNE 2024.  WE 

1693
01:07:34,417 --> 01:07:36,719
HAD FOUR AREAS FIRST WE 

1694
01:07:36,719 --> 01:07:37,954
ESTABLISHED OUR ORGANIZATIONS 

1695
01:07:37,954 --> 01:07:38,788
RESEARCH INFRASTRUCTURE AND 

1696
01:07:38,788 --> 01:07:40,857
SUBMITTED ALL OF OUR STUDY 

1697
01:07:40,857 --> 01:07:43,059
MATERIAL TO THE IRB.  SECOND, 

1698
01:07:43,059 --> 01:07:45,962
AFTER RECEIVING OUR IRB APPROVAL

1699
01:07:45,962 --> 01:07:48,197
WE RECRUITED FOR DOULA 

1700
01:07:48,197 --> 01:07:48,998
PARTICIPANTS WHICH WE CONTINUE 

1701
01:07:48,998 --> 01:07:50,633
FOR SEVEN OF THE TWELVE MONTHS 

1702
01:07:50,633 --> 01:07:53,970
OF OUR STUDY TIMELINE IN TOTAL 

1703
01:07:53,970 --> 01:07:59,108
WE RECRUITED 16 BIRTHING 

1704
01:07:59,108 --> 01:08:00,944
PARTICIPANTS FROM NEVADA TO 

1705
01:08:00,944 --> 01:08:03,012
TRAIN ON MEDICAID PROCESSES AND 

1706
01:08:03,012 --> 01:08:04,280
PROVIDE THE INTERVENTION 

1707
01:08:04,280 --> 01:08:05,748
TREATMENT.  THIRD, WE BEGIN 

1708
01:08:05,748 --> 01:08:07,116
ACTIVITIES RELATED TO OUR FIRST 

1709
01:08:07,116 --> 01:08:09,552
RESEARCH AIM.  BY CONDUCTING OUR

1710
01:08:09,552 --> 01:08:11,354
INTERVENTION OF DOULA SERVICES. 

1711
01:08:11,354 --> 01:08:15,191
WHICH CONSISTED OF TWO PRENATAL 

1712
01:08:15,191 --> 01:08:17,860
VISITS AND ATTENDING BIRTH FROM 

1713
01:08:17,860 --> 01:08:19,062
CERTIFIED MEDICAID PROVIDER DUE 

1714
01:08:19,062 --> 01:08:24,300
L.A. WE RANDOMIZED BIRTHING 

1715
01:08:24,300 --> 01:08:25,702
PARTICIPANTS INTO ONE AND TWO 

1716
01:08:25,702 --> 01:08:27,904
GROUPS TO RECEIVE CULTURALLY 

1717
01:08:27,904 --> 01:08:30,707
CONGRUENT DOULA CARE.  WE PAIRED

1718
01:08:30,707 --> 01:08:34,310
DOULA AND BIRTHING PARTICIPANTS 

1719
01:08:34,310 --> 01:08:37,680
BASED ON THEIR SUBGROUP 

1720
01:08:37,680 --> 01:08:39,182
ASSIGNMENTS.  DURING THREE TIME 

1721
01:08:39,182 --> 01:08:41,484
POINTS.  ONCE IN PREGNANCY AND 

1722
01:08:41,484 --> 01:08:44,120
TWICE AFTER PARTICIPANTS GAVE 

1723
01:08:44,120 --> 01:08:45,588
BIRTH AFTER WEEK ONE AND TWO 

1724
01:08:45,588 --> 01:08:46,889
WEEKS POSTPARTUM.  AFTER THE 

1725
01:08:46,889 --> 01:08:50,827
VISITS WERE COMPLETE 0, WE 

1726
01:08:50,827 --> 01:08:52,562
FACILITATED SEMI-STRUCTURED 

1727
01:08:52,562 --> 01:08:53,563
INTERVIEWS WITH EACH PARTICIPANT

1728
01:08:53,563 --> 01:08:55,031
TO ADDRESS OUR SECOND RESEARCH 

1729
01:08:55,031 --> 01:08:57,300
AIM OUR FINAL ACTIVITIES IN THIS

1730
01:08:57,300 --> 01:08:59,302
AREA WERE DEVELOPING AND 

1731
01:08:59,302 --> 01:09:00,737
DISTRIBUTING A STATEWIDE SURVEY 

1732
01:09:00,737 --> 01:09:04,640
TO ALL KNOWN ACTIVITY BIRTH 

1733
01:09:04,640 --> 01:09:07,710
DOULAS IN THE STATE OF NEVADA TO

1734
01:09:07,710 --> 01:09:08,978
UNDERSTAND THE RISK BARRIERS.  

1735
01:09:08,978 --> 01:09:10,747
THIS FOCUSED ON THE EVALUATION 

1736
01:09:10,747 --> 01:09:12,915
AND THE ANALYSIS OF OUR DATA.  

1737
01:09:12,915 --> 01:09:14,417
THIS INCLUDED QUANTITATIVE 

1738
01:09:14,417 --> 01:09:17,353
ANALYSIS OF BIRTHING PARTICIPANT

1739
01:09:17,353 --> 01:09:19,188
PMAD AND CHILDBIRTH SATISFACTION

1740
01:09:19,188 --> 01:09:20,556
SURVEYS AS WELL AS STATEWIDE 

1741
01:09:20,556 --> 01:09:22,992
DOULA SURVEY AND QUALITATIVE 

1742
01:09:22,992 --> 01:09:24,193
ANALYSIS OF THE DOULA 

1743
01:09:24,193 --> 01:09:25,495
PARTICIPANT INTERVIEWS TO 

1744
01:09:25,495 --> 01:09:28,831
IDENTIFY COMMON THEMES.  NEXT 

1745
01:09:28,831 --> 01:09:31,501
SLIDE, PLEASE.  55 DOULAS 

1746
01:09:31,501 --> 01:09:33,269
PARTICIPATED IN OUR STATEWIDE 

1747
01:09:33,269 --> 01:09:36,339
SURVEY TO ASSESS DOULAS 

1748
01:09:36,339 --> 01:09:37,974
WORKFORCE AND THEIR DEDICATION. 

1749
01:09:37,974 --> 01:09:40,877
THIS SURVEY IS THE FIRST KIND IN

1750
01:09:40,877 --> 01:09:42,912
NEVADA.  WE ENROLLED 13 

1751
01:09:42,912 --> 01:09:44,547
PARTICIPATES IN THE STUDY.  7 IN

1752
01:09:44,547 --> 01:09:47,517
THE DOULA GROUP AND 6 IN THE 

1753
01:09:47,517 --> 01:09:48,184
CULTURALLY CONGRUENT DOULA 

1754
01:09:48,184 --> 01:09:53,322
GRIPE.  -- GROUP.  

1755
01:09:53,322 --> 01:09:56,559
THERE WERE FIVE AS TWO OR MORE 

1756
01:09:56,559 --> 01:09:57,927
ETHNICITIES.  EIGHT WERE FIRST 

1757
01:09:57,927 --> 01:10:01,864
TIME MOTHERS AND ALL SPOKE 

1758
01:10:01,864 --> 01:10:04,233
ENGLISH AT THEIR PRIMARY 

1759
01:10:04,233 --> 01:10:06,269
LANGUAGE.  13 DOULAS TOOK PART 

1760
01:10:06,269 --> 01:10:08,738
IN INTERVIEWS REVEALING THREE 

1761
01:10:08,738 --> 01:10:11,274
MAIN THEMES, NUMBER ONE CULTURAL

1762
01:10:11,274 --> 01:10:13,443
BACKGROUNDS DRIVE DOULA WORK.  

1763
01:10:13,443 --> 01:10:15,011
TWO LIMITED MENTAL HEALTH 

1764
01:10:15,011 --> 01:10:17,213
RESOURCES AND TRAINING AND THREE

1765
01:10:17,213 --> 01:10:19,248
CHALLENGES WITH THE MEDICAID 

1766
01:10:19,248 --> 01:10:19,916
ENROLLMENT.  TABLE THREE AS YOU 

1767
01:10:19,916 --> 01:10:22,652
CAN SEE ON THE RIGHT, DISPLAYS 

1768
01:10:22,652 --> 01:10:25,421
RESULTS FROM THE EDINBURGH 

1769
01:10:25,421 --> 01:10:26,789
POSTNATAL DEPRESSION SCALE.  FOR

1770
01:10:26,789 --> 01:10:30,026
THE ANXIETY SCREENING CHILD AND 

1771
01:10:30,026 --> 01:10:31,661
THE CHILD INSPECTION SCALE.  

1772
01:10:31,661 --> 01:10:33,796
WHILE PMAD SYMPTOMS DID NOT 

1773
01:10:33,796 --> 01:10:34,864
CHANGE SIGNIFICANTLY AMONG 

1774
01:10:34,864 --> 01:10:38,735
INTERVENTION GROUPS THOSE IN THE

1775
01:10:38,735 --> 01:10:44,040
CULTURALLY CONGRUENT GROUP SH

1776
01:10:44,040 --> 01:10:46,676
SHOWED SATISFACTION SCORES.  

1777
01:10:46,676 --> 01:10:49,278
THERE WAS MEDICAID ENROLLMENT 

1778
01:10:49,278 --> 01:10:51,347
AND REIMBURSEMENT PROCESSES.  

1779
01:10:51,347 --> 01:10:54,884
FINDINGS INDICATE THAT 75% OF 

1780
01:10:54,884 --> 01:10:58,754
DOULAS AGREE THAT REIMBURSEMENT 

1781
01:10:58,754 --> 01:11:01,157
WAS STRAIGHTFORWARD.  NEXT 

1782
01:11:01,157 --> 01:11:01,624
SLIDE, PLEADS.

1783
01:11:01,624 --> 01:11:03,993
>> THIS PILOT STUDY
DOESN'T 

1784
01:11:03,993 --> 01:11:05,528
PROVIDE ENOUGH EVIDENCE TO DRAW 

1785
01:11:05,528 --> 01:11:08,030
CONCLUSIONS ABOUT THE IMPACT OF 

1786
01:11:08,030 --> 01:11:09,098
CULTURALLY CONGRUENT CARE ON 

1787
01:11:09,098 --> 01:11:10,633
MATERNAL HEALTH IN THE 

1788
01:11:10,633 --> 01:11:12,702
POSTPARTUM PERIOD BECAUSE OUR 

1789
01:11:12,702 --> 01:11:14,904
CAPACITY TO RECRUIT BIRTHING 

1790
01:11:14,904 --> 01:11:18,975
PARTICIPANTS RELIED HIV   LY -- 

1791
01:11:18,975 --> 01:11:24,147
HEAVILY ON THE WORKFORCE.  

1792
01:11:24,147 --> 01:11:25,948
SO EVEN THOUGH THAT WAS THE CASE

1793
01:11:25,948 --> 01:11:27,150
WE OBSERVED THAT THE 

1794
01:11:27,150 --> 01:11:28,251
PARTICIPANTS IN THE GROUP 

1795
01:11:28,251 --> 01:11:29,986
REPORTED SIGNIFICANTLY HIGHER 

1796
01:11:29,986 --> 01:11:34,323
SATISFACTION.  WITH  THEIR CHILD

1797
01:11:34,323 --> 01:11:37,960
CARE EXPERIENCES ESPECIALLY WITH

1798
01:11:37,960 --> 01:11:41,330
THE SUBSCALES.  THIS FINDING 

1799
01:11:41,330 --> 01:11:44,534
COULD BE INTERESTING FROM THE 

1800
01:11:44,534 --> 01:11:46,602
DOULA ADVOCACY AND 

1801
01:11:46,602 --> 01:11:48,271
COMMUNICATION.  FURTHER RESEARCH

1802
01:11:48,271 --> 01:11:49,639
IS ABSOLUTELY NECESSARY TO 

1803
01:11:49,639 --> 01:11:51,240
EXPLORE THESE POTENTIAL BENEFITS

1804
01:11:51,240 --> 01:11:53,109
ESPECIALLY FOR BLACK BIRTHING 

1805
01:11:53,109 --> 01:11:54,410
MOTHERS AND PEOPLE WHO FACE 

1806
01:11:54,410 --> 01:11:56,546
SIGNIFICANT HEALTH DISPARITIES 

1807
01:11:56,546 --> 01:12:01,951
LINKED TO SYSTEMIC RACISM.  THIS

1808
01:12:01,951 --> 01:12:07,657
RESEARCH COULD SHED LIGHT ON HOW

1809
01:12:07,657 --> 01:12:09,959
DOULAS SHED LIGHT ON THIS WITH 

1810
01:12:09,959 --> 01:12:11,060
BETTER COMMUNICATION AND 

1811
01:12:11,060 --> 01:12:13,229
EXPERIENCE: SO FOLLOWING OUR 

1812
01:12:13,229 --> 01:12:14,430
RESEARCH DCNV. 

1813
01:12:14,430 --> 01:12:19,735
WE PLAN TO EXPAND THE CULTURALLY

1814
01:12:19,735 --> 01:12:21,204
APPROPRIATE WORKFORCE IN NEVADA.

1815
01:12:21,204 --> 01:12:23,039
WHICH IS CRUCIAL FOR PEOPLE OF 

1816
01:12:23,039 --> 01:12:25,107
COLOR DURING CHILDBIRTH AS WELL 

1817
01:12:25,107 --> 01:12:27,176
AS ALL MEDICAID BIRTHING 

1818
01:12:27,176 --> 01:12:29,045
INDIVIDUALS.  WE ARE DEVELOPING 

1819
01:12:29,045 --> 01:12:30,780
A STATEWIDE SPECIFIC CURRICULUM 

1820
01:12:30,780 --> 01:12:33,749
DUE TO THE LIMITED OPTIONS 

1821
01:12:33,749 --> 01:12:34,851
LIMITED IN OUR STATE.  WE HAVE 

1822
01:12:34,851 --> 01:12:38,321
SECURED TWO GRANTS FOR WORKFORCE

1823
01:12:38,321 --> 01:12:39,856
DEVELOPMENT SCHOLARSHIPS AS WELL

1824
01:12:39,856 --> 01:12:41,924
AS IN THE NEVADA ACADEMIC 

1825
01:12:41,924 --> 01:12:47,630
INSTITUTIONS WITH ONE GRANT 

1826
01:12:47,630 --> 01:12:48,030
CRA

1827
01:12:48,030 --> 01:12:48,631
CREATING A SPANISH LANGUAGE 

1828
01:12:48,631 --> 01:12:51,567
PROGRAM WHICH IS COAUTHORED FROM

1829
01:12:51,567 --> 01:12:53,970
VIRGINIA.  OUR UPCOMING STEPS 

1830
01:12:53,970 --> 01:12:54,804
INCLUDE PRESENTING OUR 

1831
01:12:54,804 --> 01:12:56,539
PRELIMINARY RESEARCH FINDINGS AT

1832
01:12:56,539 --> 01:12:59,008
THIS YEAR'S CONFERENCE AND 

1833
01:12:59,008 --> 01:13:00,977
ADDITIONALLY WE WILL CONDUCT 

1834
01:13:00,977 --> 01:13:04,747
FURTHER RESEARCH USING THE HUMAN

1835
01:13:04,747 --> 01:13:05,948
GEOGRAPHY PERSPECTIVE.  THIS 

1836
01:13:05,948 --> 01:13:12,555
EFFORT AIMS TO GAIN PLACE BASED 

1837
01:13:12,555 --> 01:13:14,657
EXPERIENTIAL KNOWLEDGE AND HOW 

1838
01:13:14,657 --> 01:13:15,758
DOULAS CAN IMPACT THIS 

1839
01:13:15,758 --> 01:13:19,562
POPULATION.  NEXT SLIDE, PLEASE.

1840
01:13:19,562 --> 01:13:21,464
>> WE LEARNED THAT OUR
FINDINGS 

1841
01:13:21,464 --> 01:13:24,367
ARE MORE CONSISTENT WITH THOSE 

1842
01:13:24,367 --> 01:13:26,035
TYPICALLY OBSERVED IN A PILOT 

1843
01:13:26,035 --> 01:13:29,639
STUDY TO THE MEDICAID PROVIDED 

1844
01:13:29,639 --> 01:13:30,339
ENROLLMENT INHIBITING THE 

1845
01:13:30,339 --> 01:13:32,208
PARTICIPANT RECITEMENT IN ORDER 

1846
01:13:32,208 --> 01:13:35,978
TO BETTER ADDRESS OUR ORIGINAL 

1847
01:13:35,978 --> 01:13:37,079
HYPOTHESIS A TWO YEAR TIMELINE 

1848
01:13:37,079 --> 01:13:38,881
IS MORE APPROPRIATE.  WE ALSO 

1849
01:13:38,881 --> 01:13:41,784
LEARNED THAT THE ENROLLMENT AND 

1850
01:13:41,784 --> 01:13:43,319
REIMBURSEMENT PROCESSES MUST BE 

1851
01:13:43,319 --> 01:13:44,920
STREAMLINED IN ORDER TO REDUCE 

1852
01:13:44,920 --> 01:13:47,356
BARRIERS FOR DOULAS ENTERING THE

1853
01:13:47,356 --> 01:13:49,892
WORKFORCE THROUGH THIS PATHWAY. 

1854
01:13:49,892 --> 01:13:51,160
THIS SHOWS THAT ADEQUATELY 

1855
01:13:51,160 --> 01:13:53,963
ADDRESS OUR FIRST RESEARCH AIM, 

1856
01:13:53,963 --> 01:13:56,198
THERE MUST BE A DRASTIC INCREASE

1857
01:13:56,198 --> 01:13:58,601
IN THE TOTAL NUMBERS OF THE 

1858
01:13:58,601 --> 01:14:01,971
DOULA MEDICAID PROVIDER 

1859
01:14:01,971 --> 01:14:02,271
WORKFORCE.  

1860
01:14:02,271 --> 01:14:03,039
>> JENNIFER: I'M SORRY,
I'M 

1861
01:14:03,039 --> 01:14:04,473
GOING TO NEED TO CUT YOU OFF.  

1862
01:14:04,473 --> 01:14:07,176
WE'RE AT TIME, THANK YOU SO MUCH

1863
01:14:07,176 --> 01:14:08,778
FOR THE GREAT PRESENTATION.  AND

1864
01:14:08,778 --> 01:14:10,613
SORRY I HAD TO CUT YOU OFF AND 

1865
01:14:10,613 --> 01:14:11,380
WONDERFUL PICTURE.  LOVE IT.  

1866
01:14:11,380 --> 01:14:12,882
THANK YOU, EMILY AND JOYCE.  

1867
01:14:12,882 --> 01:14:14,917
LET'S MOVE ONTO OUR NEXT ONE.  

1868
01:14:14,917 --> 01:14:16,752
HEALTH CONNECT ONE.  REMINDER TO

1869
01:14:16,752 --> 01:14:18,120
PUT YOUR QUESTIONS IN THE
Q&A 

1870
01:14:18,120 --> 01:14:19,622
AND REMINDER TO THE SITE TO 

1871
01:14:19,622 --> 01:14:22,024
PLEASE ANSWER QUESTIONS IN THE 

1872
01:14:22,024 --> 01:14:24,060
Q&A.  THERE ARE GREAT
QUESTIONS 

1873
01:14:24,060 --> 01:14:27,196
GOING IN THERE.  HEALTH CONNECT 

1874
01:14:27,196 --> 01:14:29,231
ONE, WE HAVE CANAAN BRENT IS A 

1875
01:14:29,231 --> 01:14:31,200
COMMUNITY HEALTH ADVOCATE, A 

1876
01:14:31,200 --> 01:14:33,969
CENTRAL TEAM MEMBER ON THE 

1877
01:14:33,969 --> 01:14:37,773
HEALTH CONNECT ONE'S NIH PROJECT

1878
01:14:37,773 --> 01:14:39,442
AND CHRISTINA IS A CHILD HEALTH 

1879
01:14:39,442 --> 01:14:40,876
RESEARCHER,ED A VEE CAT, 

1880
01:14:40,876 --> 01:14:42,745
NONPROFIT COFOUNDER AND 

1881
01:14:42,745 --> 01:14:44,380
CONSULTANT AND SHE PARTNERED 

1882
01:14:44,380 --> 01:14:47,516
WITH HEALTH CONNECT ONE THROUGH 

1883
01:14:47,516 --> 01:14:52,755
HER ROLE AT THE EVALUATION 

1884
01:14:52,755 --> 01:15:02,565
SERVICES.  TAKE IT AWEI.

1885
01:15:02,565 --> 01:15:04,533
>> HELLO.  WE WILL TALK
ABOUT 

1886
01:15:04,533 --> 01:15:09,839
COMMUNITY DOULAS TO REDUCE PE

1887
01:15:09,839 --> 01:15:13,409
PERINATAL MOOD AND ANXIETY 

1888
01:15:13,409 --> 01:15:16,312
DISORDERS AND I WILL CALL PMADS.

1889
01:15:16,312 --> 01:15:21,083
A QUICK OVERVIEW OF OUR RESEARCH

1890
01:15:21,083 --> 01:15:25,287
TEAM.  OUR RESEARCH TEAM IS 

1891
01:15:25,287 --> 01:15:29,625
COMPRISED OF TWYLA DILLON, THE 

1892
01:15:29,625 --> 01:15:31,727
RESEARCH PROJECT MANAGER, 

1893
01:15:31,727 --> 01:15:34,730
MYSELF, AND CHRISTINA'S TEAM AND

1894
01:15:34,730 --> 01:15:35,398
A LITTLE BIT ABOUT HEALTH 

1895
01:15:35,398 --> 01:15:37,032
CONNECT ONE.  WE ARE A TRAINING 

1896
01:15:37,032 --> 01:15:39,835
AND ADVOCACY ORGANIZATION BASED 

1897
01:15:39,835 --> 01:15:41,804
OUT OF CHICAGO ILLINOIS.  AND 

1898
01:15:41,804 --> 01:15:43,939
OUR VISION IS TO SEE EVERY BABY,

1899
01:15:43,939 --> 01:15:46,509
MOTHER AND FAMILY THRIVE IN A 

1900
01:15:46,509 --> 01:15:49,145
HEALTHY COMMUNITY AND ACHIEVE 

1901
01:15:49,145 --> 01:15:52,014
THIS THROUGH AN EQUITY APPROACH 

1902
01:15:52,014 --> 01:15:53,949
SUPPORTING THE FIRST THOUSAND 

1903
01:15:53,949 --> 01:16:03,125
DAYS FOR BIRTHING FAMILIES.  WE 

1904
01:16:03,125 --> 01:16:04,160
HAVE EMPLOYEES ALL OVER THE 

1905
01:16:04,160 --> 01:16:07,530
COUNTRY.  I WILL SPEAK OFF SLIDE

1906
01:16:07,530 --> 01:16:11,066
HERE.  OUR PROBLEM STATEMENT WAS

1907
01:16:11,066 --> 01:16:13,469
LOOKING AT THE PREVALENCE OF 

1908
01:16:13,469 --> 01:16:17,940
LACK AT PMADS, ONE OF THE 

1909
01:16:17,940 --> 01:16:19,809
LEADING CAUSES OF MATERNAL 

1910
01:16:19,809 --> 01:16:23,679
MORTALITY AND AFFECT 15%.  43% 

1911
01:16:23,679 --> 01:16:24,513
OF WOMEN AROUND THE UNITED 

1912
01:16:24,513 --> 01:16:26,248
STATES SO IT'S AN EXTREMELY 

1913
01:16:26,248 --> 01:16:28,050
CHALLENGING ISSUE AND IT'S 

1914
01:16:28,050 --> 01:16:31,353
GROWING.  NOTABLY PMADS ARE MORE

1915
01:16:31,353 --> 01:16:33,556
PREVALENT AMONG POPULATIONS OF 

1916
01:16:33,556 --> 01:16:34,824
COLOR.  SPECIFICALLY BLACK, 

1917
01:16:34,824 --> 01:16:36,392
BROWN AND INDIGENOUS BIRTHING 

1918
01:16:36,392 --> 01:16:38,861
PEOPLE.  AND THIS IS FOR A FEW 

1919
01:16:38,861 --> 01:16:40,496
DIFFERENT REASONS.  SOME OF 

1920
01:16:40,496 --> 01:16:41,964
WHICH ARE THAT THESE INDIVIDUALS

1921
01:16:41,964 --> 01:16:44,066
ARE LESS LIKELY TO RECEIVE 

1922
01:16:44,066 --> 01:16:45,568
MENTAL HEALTH SCREENINGS 

1923
01:16:45,568 --> 01:16:47,703
POSTPARTUM.  AND ARE ALSO LESS 

1924
01:16:47,703 --> 01:16:49,071
LIKELY TO RECEIVE TREATMENT.  

1925
01:16:49,071 --> 01:16:51,841
THERE'S ALSO A SHORTAGE OF 

1926
01:16:51,841 --> 01:16:52,908
CULTURALLY COMPETENT TREATMENT 

1927
01:16:52,908 --> 01:16:53,909
OPTIONS AND THERE'S MORE 

1928
01:16:53,909 --> 01:16:55,744
MISTRUST IN THE HEALTH CARE 

1929
01:16:55,744 --> 01:16:57,046
SYSTEMS FROM THESE COMMUNITIES 

1930
01:16:57,046 --> 01:17:00,583
WHICH ADD TO BARRIERS FOR 

1931
01:17:00,583 --> 01:17:05,221
RECEIVING HEALTH DIAGNOSIS AND 

1932
01:17:05,221 --> 01:17:05,654
TRA

1933
01:17:05,654 --> 01:17:07,790
TRAININGS.  THESE HAVE AN EFFECT

1934
01:17:07,790 --> 01:17:14,430
ON THE MOTHER, FAMILY AND BABY. 

1935
01:17:14,430 --> 01:17:15,931
THIS WILL BE MORE LIKELY TO 

1936
01:17:15,931 --> 01:17:20,369
INITIATE CONVERSATIONS ON MENTAL

1937
01:17:20,369 --> 01:17:21,971
HEALTH, AND ENCOURAGE 

1938
01:17:21,971 --> 01:17:23,939
PROFESSIONAL HEALTH FOR DOULAS 

1939
01:17:23,939 --> 01:17:29,745
WHO HAVE NOT RECEIVED FIRST AID 

1940
01:17:29,745 --> 01:17:31,447
TRAINING.  AND NOW I WILL GIVE 

1941
01:17:31,447 --> 01:17:35,084
IT OVER TO CHRISTINA.  NEXT 

1942
01:17:35,084 --> 01:17:39,355
SLIDE, PLEASE.

1943
01:17:39,355 --> 01:17:47,196
>> GREAT, OUR DATA WAS
PURELY 

1944
01:17:47,196 --> 01:17:48,397
QUALITATIVE.  WE CONDUCTED FOCUS

1945
01:17:48,397 --> 01:17:50,499
GROUPS WITH COMMUNITY BASED 

1946
01:17:50,499 --> 01:17:52,134
DOULAS OF FOUR OF THE 

1947
01:17:52,134 --> 01:17:55,004
PARTICIPATING SITES.  WE 

1948
01:17:55,004 --> 01:17:57,506
ORIGINALLY WERE GOING TO DO 

1949
01:17:57,506 --> 01:17:58,240
CONTROL SITES THROUGHOUT THE 

1950
01:17:58,240 --> 01:18:00,809
INTERVENTION, HOWEVER, EVERYBODY

1951
01:18:00,809 --> 01:18:02,444
WANTED TO BE TRAINED IN MENTAL 

1952
01:18:02,444 --> 01:18:04,346
HEALTH FIRST AID TRAINING SO 

1953
01:18:04,346 --> 01:18:06,282
THREE OF THE SITES RECEIVED THE 

1954
01:18:06,282 --> 01:18:10,286
TRAINING AND THEN WE RECRUITED 

1955
01:18:10,286 --> 01:18:12,221
ONE CONTROL SITE THAT DID NOT 

1956
01:18:12,221 --> 01:18:13,622
RECEIVE THE TRAINING BUT 

1957
01:18:13,622 --> 01:18:16,225
PARTICIPATING IN A FOCUS GROUP 

1958
01:18:16,225 --> 01:18:19,061
AFTER THE INTERVENTION PERIOD.  

1959
01:18:19,061 --> 01:18:20,796
AND BECAUSE THIS IS SUCH A 

1960
01:18:20,796 --> 01:18:23,532
SERIOUS ISSUE WE ALSO FELT THAT 

1961
01:18:23,532 --> 01:18:24,433
IT WAS EQUITABLE AND JUST TO 

1962
01:18:24,433 --> 01:18:26,602
OFFER THE INTERVENTION TO AS 

1963
01:18:26,602 --> 01:18:29,338
MANY GROUPS AS POSSIBLE.  SO I 

1964
01:18:29,338 --> 01:18:31,840
WAS THE PROJECT MANAGER ON THE 

1965
01:18:31,840 --> 01:18:32,975
AMA KA CONSULTING SIDE. 

1966
01:18:32,975 --> 01:18:36,445
WE CODED ALL OF THE FOCUS GROUP 

1967
01:18:36,445 --> 01:18:38,581
TRANSCRIPTS USING QUALITATIVE 

1968
01:18:38,581 --> 01:18:40,115
SFATIST CALENDAR SOFTWARE AND WE

1969
01:18:40,115 --> 01:18:41,951
FOUND FOUR THEMES. 

1970
01:18:41,951 --> 01:18:43,552
NEXT SLIDE.  SO THEME ONE, 

1971
01:18:43,552 --> 01:18:45,287
ADDITIONAL MENTAL HEALTH 

1972
01:18:45,287 --> 01:18:47,156
TRAINING IS NEEDED AMONG THE 

1973
01:18:47,156 --> 01:18:48,424
COMMUNITY DOULA WORKFORCE AND I 

1974
01:18:48,424 --> 01:18:50,759
THINK WE HAVE HEARD THAT A LOT 

1975
01:18:50,759 --> 01:18:52,795
TODAY.  SO JUST ONE QUOTE HERE I

1976
01:18:52,795 --> 01:18:59,435
TALK TO MY CLIENTS ABOUT BABY 

1977
01:18:59,435 --> 01:19:02,137
PLUS VERSUS MOOD DISORDERS.  

1978
01:19:02,137 --> 01:19:03,939
THEME TWO, THIS TYPE OF TRAINING

1979
01:19:03,939 --> 01:19:05,975
AND MENTAL HEALTH FIRST SAID IS 

1980
01:19:05,975 --> 01:19:07,476
AN ACCEPTABLE OFFERING FOR 

1981
01:19:07,476 --> 01:19:08,777
FURTHER PROFESSIONAL DEVELOPMENT

1982
01:19:08,777 --> 01:19:10,846
OF COMMUNITY DOULAS.  A QUOTE 

1983
01:19:10,846 --> 01:19:11,747
HERE AS WELL, I WOULD LOVE TO 

1984
01:19:11,747 --> 01:19:14,583
SEE A TRAINING THAT EXPLORED 

1985
01:19:14,583 --> 01:19:16,685
MORE ALSO ABOUT THE STIGMA WITH 

1986
01:19:16,685 --> 01:19:20,589
MENTAL HEALTH AND SUPPORT FACING

1987
01:19:20,589 --> 01:19:24,026
BIPOC FAMILIES.  NEXT SLIDE.  

1988
01:19:24,026 --> 01:19:25,661
THEME THREE THIS TYPE OF 

1989
01:19:25,661 --> 01:19:27,596
TRAINING REQUIRES SPECIFIC 

1990
01:19:27,596 --> 01:19:28,464
ADAPTATIONS TO BE CULTURALLY 

1991
01:19:28,464 --> 01:19:32,434
CONGRUENT AND RELEVANT TO THE 

1992
01:19:32,434 --> 01:19:33,669
WORKFORCE.  SECOND QUOTE THERE 

1993
01:19:33,669 --> 01:19:34,937
READS, WE'RE GIVEN RESOURCES 

1994
01:19:34,937 --> 01:19:36,772
THAT MAYBE RESOURCES THAT ARE 

1995
01:19:36,772 --> 01:19:38,741
MAYBE MORE SPECIFIC TO THE 

1996
01:19:38,741 --> 01:19:41,243
PERINATAL PERIOD WOULD HAVE BEEN

1997
01:19:41,243 --> 01:19:43,245
HELPFUL LIKE PERINATAL MENTAL 

1998
01:19:43,245 --> 01:19:45,581
HEALTH RESOURCES AND THAT'S FROM

1999
01:19:45,581 --> 01:19:47,516
THE FACT THAT FIRST AID TRAINING

2000
01:19:47,516 --> 01:19:49,318
GENERALLY FOCUSES ON ALL STAGES 

2001
01:19:49,318 --> 01:19:51,286
OF LIFE AND WE ARE HOPING FOR IT

2002
01:19:51,286 --> 01:19:54,189
TO BE ACCEPTABLE AND ADAPTED TO 

2003
01:19:54,189 --> 01:19:55,991
THIS PARTICULAR POPULATION.  AND

2004
01:19:55,991 --> 01:19:59,728
THEN THE LAST THEME INCLUSION OF

2005
01:19:59,728 --> 01:20:02,564
MENTAL HEALTH VERSUS TRAINING 

2006
01:20:02,564 --> 01:20:05,334
AND DOULA CARE INCLUDES SUPPORT 

2007
01:20:05,334 --> 01:20:06,235
AND INTERACTIONS.  I WILL READ 

2008
01:20:06,235 --> 01:20:07,803
BOTH QUOTES BECAUSE I THINK 

2009
01:20:07,803 --> 01:20:10,005
THEY'RE EXCELLENT.  I HAVE 

2010
01:20:10,005 --> 01:20:20,549
CONNECTIONS TO (READING).  NEXT 

2011
01:20:24,687 --> 01:20:31,727
SLIDE.  SO THE PRELIMINARY 

2012
01:20:31,727 --> 01:20:33,896
RESEARCH FINDINGS IS WE -- WE 

2013
01:20:33,896 --> 01:20:36,899
WOULD CONTINUE TO HAVE MORE 

2014
01:20:36,899 --> 01:20:37,766
TOUCHPOINTS WITH THE DOULAS 

2015
01:20:37,766 --> 01:20:39,134
THROUGHOUT THE PROCESS, NOT ONLY

2016
01:20:39,134 --> 01:20:41,003
IN THE TRAINING BUT CLOSE FOLLOW

2017
01:20:41,003 --> 01:20:43,505
UP AND MANY DOULAS EMPHASIZED 

2018
01:20:43,505 --> 01:20:45,808
THAT BECAUSE MENTAL HEALTH IS AN

2019
01:20:45,808 --> 01:20:47,242
ONGOING ISSUE THEY WOULD LIKE 

2020
01:20:47,242 --> 01:20:48,944
MORE FREQUENT TRAININGS.  I'M 

2021
01:20:48,944 --> 01:20:50,813
SORRY, NOT TRAININGS, MAYBE 

2022
01:20:50,813 --> 01:20:53,182
TRAININGS TOO BUT DEFINITELY 

2023
01:20:53,182 --> 01:20:56,518
TOUCHPOINTS THAT, YES, IT DID 

2024
01:20:56,518 --> 01:20:58,520
INCREASE CONFIDENCE AMONG THE 

2025
01:20:58,520 --> 01:20:59,922
DOULAS, I FEEL MORE COMFORTABLE.

2026
01:20:59,922 --> 01:21:02,424
I USED TO HAVE A FEAR OF GOING 

2027
01:21:02,424 --> 01:21:03,726
OUTSIDE THE SCOPE.  CULTURAL 

2028
01:21:03,726 --> 01:21:05,427
RELEVANCE IS PRIMARY TO ADAPTING

2029
01:21:05,427 --> 01:21:07,863
THIS MODEL.  TRAINING THAT 

2030
01:21:07,863 --> 01:21:09,431
EXPLORED MORE ABOUT THE STIGMA 

2031
01:21:09,431 --> 01:21:12,201
OF MENTAL HEALTH AMONG 

2032
01:21:12,201 --> 01:21:13,535
COMMUNITIES WHICH WE HEARD 

2033
01:21:13,535 --> 01:21:17,272
EARLIER.  IMPROVED CLIENT 

2034
01:21:17,272 --> 01:21:21,944
SUPPORT, TRAINING, DOULAS 

2035
01:21:21,944 --> 01:21:24,680
ABILITY TO WORK WITH DOULAS 

2036
01:21:24,680 --> 01:21:26,215
FURTHER.  THE LIKELY OUTCOME IS 

2037
01:21:26,215 --> 01:21:28,584
EARLY IDENTIFICATION, REDUCED 

2038
01:21:28,584 --> 01:21:29,985
STIGMA AND STRONGER NETWORKS AND

2039
01:21:29,985 --> 01:21:31,754
THIS ALIGNS WITH THE IMPROVE 

2040
01:21:31,754 --> 01:21:33,388
OBJECTIVES BECAUSE IT FOCUSES ON

2041
01:21:33,388 --> 01:21:34,923
REDUCING HEALTH DISPARITIES AND 

2042
01:21:34,923 --> 01:21:35,758
PROMOTING AWARENESS.  NEXT SL

2043
01:21:35,758 --> 01:21:37,960
SLIDE.

2044
01:21:37,960 --> 01:21:40,295
>> SO OUR NEXT STEPS IN
TERMS OF

2045
01:21:40,295 --> 01:21:42,998
FURTHERING OUR RESEARCH ANALYSIS

2046
01:21:42,998 --> 01:21:44,066
AND PUBLICATIONS, WE HOPE TO 

2047
01:21:44,066 --> 01:21:46,769
SCALE THE PROJECT AND EXPAND 

2048
01:21:46,769 --> 01:21:48,070
MENTAL HEALTH FIRST AID TRAINING

2049
01:21:48,070 --> 01:21:49,204
FOR DOULAS AND TO HELP SUPPORT 

2050
01:21:49,204 --> 01:21:51,540
THIS, WE ARE LOOKING TO APPLY 

2051
01:21:51,540 --> 01:21:52,875
FOR A LARGER GRANT AND YOU CAN 

2052
01:21:52,875 --> 01:21:55,144
SEE OUR ESTIMATED BUDGET THERE 

2053
01:21:55,144 --> 01:21:57,312
AND IT'S IMPORTANT THAT WE FOCUS

2054
01:21:57,312 --> 01:21:59,181
ON CENTERING BIPOC VOICES OF 

2055
01:21:59,181 --> 01:22:00,949
BOTH THE BURDENED PEOPLE AND 

2056
01:22:00,949 --> 01:22:03,218
THEIR FAMILIES SINCE I SAID 

2057
01:22:03,218 --> 01:22:07,089
EARLIER PMADS DO AFFECT THE 

2058
01:22:07,089 --> 01:22:07,656
BROADER COMMUNITY AND IN 

2059
01:22:07,656 --> 01:22:09,091
ADDITION TO THIS WE WILL WANT TO

2060
01:22:09,091 --> 01:22:12,094
LOOK AT THE IMPACT ON LOCAL 

2061
01:22:12,094 --> 01:22:12,995
COMMUNITIES AND THROUGH YOU ARE 

2062
01:22:12,995 --> 01:22:15,030
A DATA WANT TO INFLUENCE STATE 

2063
01:22:15,030 --> 01:22:17,933
AND NATIONAL MATERNAL HEALTH 

2064
01:22:17,933 --> 01:22:19,134
PRACTICES AND AS ALWAYS WE WANT 

2065
01:22:19,134 --> 01:22:21,470
TO MAKE SURE WE ARE FOCUSING ON 

2066
01:22:21,470 --> 01:22:23,205
SUSTAINABILITY OF OUR TRAININGS 

2067
01:22:23,205 --> 01:22:24,006
AND MAKE SURE THIS IS 

2068
01:22:24,006 --> 01:22:25,240
PROFESSIONAL DEVELOPMENT FOR OUR

2069
01:22:25,240 --> 01:22:26,975
COMMUNITY BASED DOULAS.  NEXT 

2070
01:22:26,975 --> 01:22:28,777
SLIDE, PLEASE.  AND FINALLY, IN 

2071
01:22:28,777 --> 01:22:31,647
THE LAST, LIKE 20 SECONDS THAT 

2072
01:22:31,647 --> 01:22:32,314
WE HAVE OUR LESSONS LEARNED.  

2073
01:22:32,314 --> 01:22:35,784
ONE OF OUR BIGGEST LESSONS IS 

2074
01:22:35,784 --> 01:22:38,987
THAT WE HAD SOME UNFORESEEN 

2075
01:22:38,987 --> 01:22:40,856
STOCKING CHANGES.  MOVING 

2076
01:22:40,856 --> 01:22:42,624
FORWARD WE WANT TO PARTNER WITH 

2077
01:22:42,624 --> 01:22:44,593
A CONSULTING TEAM FOR AN 

2078
01:22:44,593 --> 01:22:45,961
EVALUATION AND ALSO POTENTIALLY 

2079
01:22:45,961 --> 01:22:48,263
AN ACADEMIC PARTNER TO HELP 

2080
01:22:48,263 --> 01:22:49,498
PUBLICATIONS AND BRING ON A 

2081
01:22:49,498 --> 01:22:50,666
MENTAL HEALTH PROFESSIONAL ONTO 

2082
01:22:50,666 --> 01:22:53,535
THE TEAM WHICH WILL HELP USE 

2083
01:22:53,535 --> 01:22:54,970
THEIR EXPERTISE SINCE MOST OF 

2084
01:22:54,970 --> 01:22:56,538
OUR TEAM ARE BIRTH WORK EXPERTS 

2085
01:22:56,538 --> 01:22:58,874
AND WE WANT TO INCLUDE THE VOICE

2086
01:22:58,874 --> 01:23:01,176
OF A MENTAL HEALTH EXPERT AS 

2087
01:23:01,176 --> 01:23:02,077
WELL AND I BELIEVE WE'RE AT TIME

2088
01:23:02,077 --> 01:23:04,146
SO I WILL STOP THERE.  

2089
01:23:04,146 --> 01:23:05,347
>> JENNIFER: THANK YOU SO
MUCH. 

2090
01:23:05,347 --> 01:23:07,916
I APPRECIATE THAT SO MUCH.  

2091
01:23:07,916 --> 01:23:09,618
LET'S MOVE TO THE NEXT SLIDE ONE

2092
01:23:09,618 --> 01:23:10,853
MORE REMINDER, PUT YOUR 

2093
01:23:10,853 --> 01:23:12,855
QUESTIONS IN THE Q&A.  WE'RE
NOT

2094
01:23:12,855 --> 01:23:14,089
GOING TO HAVE MUCH TIME AT THE 

2095
01:23:14,089 --> 01:23:16,959
END FOR Q&A.  PLEASE PUT
THEM IN

2096
01:23:16,959 --> 01:23:18,193
AND FOLKS CAN ANSWER THEM AS 

2097
01:23:18,193 --> 01:23:21,997
THEY GO.  OUR LAST TIME FOR 

2098
01:23:21,997 --> 01:23:28,203
TODAY, NURTURELY.  EMILY LITTLE 

2099
01:23:28,203 --> 01:23:30,038
IS DIRECTOR AND LEADS PREVENTION

2100
01:23:30,038 --> 01:23:31,740
FOCUS RESEARCH TO ELIMINATE 

2101
01:23:31,740 --> 01:23:35,377
RACIAL INEQUITIES AND INFANT 

2102
01:23:35,377 --> 01:23:37,479
HEALTH.  THE NEWLY DOCTOR.  

2103
01:23:37,479 --> 01:23:41,383
DR. YA CUE BU IS THE PROGRAM 

2104
01:23:41,383 --> 01:23:43,652
DIRECTOR AT NURTURELY AND 

2105
01:23:43,652 --> 01:23:45,554
OVERSEES PROGRAM OPERATION AND 

2106
01:23:45,554 --> 01:23:49,291
MANAGES RESEARCH.

2107
01:23:49,291 --> 01:23:50,692
>> THE STUDENT:ED  --
STUDIES.  

2108
01:23:50,692 --> 01:23:53,028
WELCOME TO YOU BOTH AND TAKE IT 

2109
01:23:53,028 --> 01:23:53,228
AWAY.

2110
01:23:53,228 --> 01:23:55,230
>> THANK YOU SO MUCH. 
WE'RE SO 

2111
01:23:55,230 --> 01:23:57,699
HAPPY TO BE HERE TODAY, CARING 

2112
01:23:57,699 --> 01:24:01,103
FOR THE CULTURE.  NEXT SLIDE, 

2113
01:24:01,103 --> 01:24:03,805
PLEASE.  I'M EMILY LITTLE I USE 

2114
01:24:03,805 --> 01:24:06,308
SHE/HER PRONOUNS, FOUNDER AND 

2115
01:24:06,308 --> 01:24:07,943
EXECUTIVE DIRECTOR OF NURTURELY 

2116
01:24:07,943 --> 01:24:09,945
WITH A BACKGROUND IN GLOBAL 

2117
01:24:09,945 --> 01:24:12,514
PERINATAL HEALTH RESEARCH AND IN

2118
01:24:12,514 --> 01:24:13,282
PARTICULAR STUDYING INFANT CARE 

2119
01:24:13,282 --> 01:24:15,250
FROM A CULTURAL AND 

2120
01:24:15,250 --> 01:24:17,953
PSYCHOLOGICAL PERSPECTIVE.  I'M 

2121
01:24:17,953 --> 01:24:19,621
LUCKY TO BE JOINED IN THIS 

2122
01:24:19,621 --> 01:24:22,724
CHALLENGE WITH MY RESEARCH 

2123
01:24:22,724 --> 01:24:25,561
PARTNER AND COLLEAGUE AVER.

2124
01:24:25,561 --> 01:24:28,430
>> YES, I AM PROGRAM
DIRECTOR 

2125
01:24:28,430 --> 01:24:32,601
WITH TEN YEARS EXPERIENCE WITH 

2126
01:24:32,601 --> 01:24:34,836
STRATEGIC PLANNING AND CHILD 

2127
01:24:34,836 --> 01:24:35,103
HEALTH.

2128
01:24:35,103 --> 01:24:39,207
>> THANKS, NURTURELY IS A
SOCIAL

2129
01:24:39,207 --> 01:24:40,242
CHANGE ORGANIZATION WHERE THIS 

2130
01:24:40,242 --> 01:24:42,544
IS A HUMAN RIGHT NOT A PRIVILEGE

2131
01:24:42,544 --> 01:24:43,912
AND WE HAVE BEEN LUCKY TO HAVE 

2132
01:24:43,912 --> 01:24:45,681
BEEN SUPPORTED BY AN AMAZING 

2133
01:24:45,681 --> 01:24:50,585
GROUP OF HUMANS AT NEUROTURELY 

2134
01:24:50,585 --> 01:24:54,056
INCLUDING MARIA, AGREE SHA, 

2135
01:24:54,056 --> 01:24:56,024
REPRESENTING THE LIVED IS 

2136
01:24:56,024 --> 01:24:56,792
EXPERIENCE AND COMMUNITY BASE 

2137
01:24:56,792 --> 01:24:58,193
THAT SEEKS UP TO LIFT IN OUR 

2138
01:24:58,193 --> 01:25:07,469
WORK.  NEXT SLIDE, PLEASE.  LOW 

2139
01:25:07,469 --> 01:25:10,806
RATES OF LACTATION AND HIGH 

2140
01:25:10,806 --> 01:25:11,907
RATES OF DEPRESSION ARE 

2141
01:25:11,907 --> 01:25:13,608
CONTRIBUTING TO MORTALITY AND 

2142
01:25:13,608 --> 01:25:15,077
MORBIDITY.  BECAUSE OF SYSTEMIC 

2143
01:25:15,077 --> 01:25:17,012
AND CULTURAL RACISM WE KNOW THAT

2144
01:25:17,012 --> 01:25:19,481
BLACK BIRTHING PARENTS ARE AT 

2145
01:25:19,481 --> 01:25:22,517
THE HIGHEST RISK YET MOST OF 

2146
01:25:22,517 --> 01:25:24,820
THESE ARE NOT CULTURALLY 

2147
01:25:24,820 --> 01:25:26,254
REPRESENTATIVE.  INFANT CARRYING

2148
01:25:26,254 --> 01:25:28,724
OR BABY WEARING IS A POTENTIAL 

2149
01:25:28,724 --> 01:25:32,594
SOLUTION THAT IN CONTRAST TO 

2150
01:25:32,594 --> 01:25:37,899
SOME PERCEPTIONS IS NOT A KITE 

2151
01:25:37,899 --> 01:25:40,202
CRUNCHY TREND THIS IS A GLOBALLY

2152
01:25:40,202 --> 01:25:42,404
RELEVANT PRACTICE THAT HAS 

2153
01:25:42,404 --> 01:25:44,473
EXISTED SINCE THE BEGINNING OF 

2154
01:25:44,473 --> 01:25:47,142
HUMAN HISTORY AND IS ABSOLUTELY 

2155
01:25:47,142 --> 01:25:48,276
ESSENTIAL TO THE BLACK 

2156
01:25:48,276 --> 01:25:50,045
COMMUNITIES AND OUR PREVIOUS 

2157
01:25:50,045 --> 01:25:52,681
RANDOMIZED CONTROL TRIALS SHOWED

2158
01:25:52,681 --> 01:25:55,817
A DECREASE IN DEPRESSION AND AN 

2159
01:25:55,817 --> 01:25:57,919
INCREASE IN LACTATION WITH A 

2160
01:25:57,919 --> 01:25:59,688
SIMPLE INFANT CARRYING 

2161
01:25:59,688 --> 01:26:00,022
INTERVENTION.

2162
01:26:00,022 --> 01:26:01,123
>> TO ADDRESS THESE AREAS
WE 

2163
01:26:01,123 --> 01:26:03,358
ANSWERED TWO RESEARCH QUESTIONS.

2164
01:26:03,358 --> 01:26:05,327
FIRST, DOES OUR CULTURALLY 

2165
01:26:05,327 --> 01:26:07,162
INFORMED INFANT CARRYING 

2166
01:26:07,162 --> 01:26:10,565
TRAINING INCREASE PERINATAL CARE

2167
01:26:10,565 --> 01:26:11,500
PROVIDERS KNOWLEDGE AND 

2168
01:26:11,500 --> 01:26:13,268
CONFIDENCE AND TWO DOES USE OF 

2169
01:26:13,268 --> 01:26:17,439
AN INFANT CARRIER AFTER BIRTH 

2170
01:26:17,439 --> 01:26:18,874
DECREASE POSTPARTUM DEPRESSION 

2171
01:26:18,874 --> 01:26:20,609
AND LACTATION?  TO ANSWER THESE 

2172
01:26:20,609 --> 01:26:21,677
QUESTIONS WE UTILIZED 

2173
01:26:21,677 --> 01:26:24,413
IMPLEMENTATION SCIENCE RESEARCH 

2174
01:26:24,413 --> 01:26:27,416
AND AS WELL AS CLINICAL 

2175
01:26:27,416 --> 01:26:28,750
EFFECTIVENESS RESEARCH TO CREATE

2176
01:26:28,750 --> 01:26:30,352
NOVEL TOOLS AND TO BEGIN 

2177
01:26:30,352 --> 01:26:31,620
RECRUITMENT OF A PILOT STUDY TO 

2178
01:26:31,620 --> 01:26:33,855
ANSWER THESE QUESTIONS.  WHICH 

2179
01:26:33,855 --> 01:26:34,489
WE'LL TALK ABOUT IN THE NEXT FEW

2180
01:26:34,489 --> 01:26:43,031
SLIDES.  OKAY.  SO WE ADDRESS 

2181
01:26:43,031 --> 01:26:44,466
THREE DIFFERENT AIMS AND I WILL 

2182
01:26:44,466 --> 01:26:47,736
START WITH THE FIRST ONE.  SO 

2183
01:26:47,736 --> 01:26:49,171
NURTURELY ALONGSIDE OUR PARTNERS

2184
01:26:49,171 --> 01:26:52,441
WE CONDUCTED A SERIES OF 

2185
01:26:52,441 --> 01:26:55,077
RESEARCH ACTIVITIES WHERE WE 

2186
01:26:55,077 --> 01:26:57,946
DEVELOPED AND TESTED NOVEL 

2187
01:26:57,946 --> 01:27:00,082
MEASUREMENT SKILLS THAT WILL 

2188
01:27:00,082 --> 01:27:01,316
ADVANCE RESEARCHERS' ABILITY TO 

2189
01:27:01,316 --> 01:27:03,552
UNDERSTAND HOW CULTURAL MODELS 

2190
01:27:03,552 --> 01:27:06,154
OF PARENT, INFANT INTERACTION 

2191
01:27:06,154 --> 01:27:07,689
SHAPE INTERVENTION 

2192
01:27:07,689 --> 01:27:09,491
ACCEPTABILITY, USABILITY, AND 

2193
01:27:09,491 --> 01:27:11,660
ADOPTION AT THE ORGANIZATIONAL 

2194
01:27:11,660 --> 01:27:13,829
LEVEL.  TWO, TO BETTER TEST AND 

2195
01:27:13,829 --> 01:27:16,098
UNDERSTAND INFANT CARRYING 

2196
01:27:16,098 --> 01:27:18,300
IMPLEMENTATION OUTCOMES.  AND 

2197
01:27:18,300 --> 01:27:23,305
THREE, TO ASSESS SELF-REPORTED 

2198
01:27:23,305 --> 01:27:24,873
PARENTAL RESPONSIVENESS TO 

2199
01:27:24,873 --> 01:27:26,575
INFANT FEEDING CUES AS A 

2200
01:27:26,575 --> 01:27:29,544
POTENTIAL IMMEDIATE YAY DOOR OF 

2201
01:27:29,544 --> 01:27:33,715
INTERVENTION OUTCOMES.  AND IN 

2202
01:27:33,715 --> 01:27:39,054
AIM TWO WE HAD INFANT CARRYING 

2203
01:27:39,054 --> 01:27:40,255
TRAINING TO TAKE SURVEYS TO 

2204
01:27:40,255 --> 01:27:42,758
CONDUCT A COMPARISON OF KEY 

2205
01:27:42,758 --> 01:27:44,192
IMPLEMENTATION OUTCOMES, 

2206
01:27:44,192 --> 01:27:45,160
SELF-EFFICACY, CONFIDENCE, 

2207
01:27:45,160 --> 01:27:47,729
KNOWLEDGE, AND USABILITY.  AND 

2208
01:27:47,729 --> 01:27:49,798
THEN OUR THIRD -- IN OUR THIRD 

2209
01:27:49,798 --> 01:27:52,334
AIM, WE CONDUCTED TRAINING, 

2210
01:27:52,334 --> 01:27:53,502
TESTED INFRASTRUCTURE, AND BEGAN

2211
01:27:53,502 --> 01:27:56,438
THE RECRUITMENT FOR A RANDOMIZED

2212
01:27:56,438 --> 01:27:58,640
TWO ARM PARALLEL GROUP TRIAL TO 

2213
01:27:58,640 --> 01:28:01,376
TEST THE EFFECTIVENESS OF OUR 

2214
01:28:01,376 --> 01:28:02,978
INFANT CARRYING INTERVENTION IN 

2215
01:28:02,978 --> 01:28:04,613
IMPROVING POSTPARTUM HEALTH 

2216
01:28:04,613 --> 01:28:06,648
OUTCOMES.  WE IMPLEMENTED THIS 

2217
01:28:06,648 --> 01:28:08,416
INTERVENTION IN COLLABORATION 

2218
01:28:08,416 --> 01:28:12,554
WITH TWO PERINATAL CARE 

2219
01:28:12,554 --> 01:28:13,155
PROVIDERS, HEALTHY START SAN 

2220
01:28:13,155 --> 01:28:15,323
DIE

2221
01:28:15,323 --> 01:28:17,759
DIEGO, SERVING BLACK AND AFRICAN

2222
01:28:17,759 --> 01:28:20,629
DIAS IMPORTANT RAN FAMILIES WITH

2223
01:28:20,629 --> 01:28:22,597
CULTURALLY MATCHED CARE. 

2224
01:28:22,597 --> 01:28:25,967
AS WELL AS O VIA, A DIGITAL 

2225
01:28:25,967 --> 01:28:27,769
PERINATAL CARE APP COMPANY.  

2226
01:28:27,769 --> 01:28:29,104
NEXT SLIDE. 

2227
01:28:29,104 --> 01:28:32,741
SO FOLLOWING BEST PRACTICES AND 

2228
01:28:32,741 --> 01:28:34,209
SCALE DEVELOPMENT TO ANSWER AIM 

2229
01:28:34,209 --> 01:28:38,713
ONE WE USED A SERIES OF 

2230
01:28:38,713 --> 01:28:40,816
PROCEDURES BY LOOKING AT IT ALL 

2231
01:28:40,816 --> 01:28:42,751
AND WE COMPLETED PHASE ONE FOR 

2232
01:28:42,751 --> 01:28:44,152
ITEM DEVELOPMENT AND BEGAN THE 

2233
01:28:44,152 --> 01:28:46,855
PROCESS OF ADDRESSING PHASE TWO 

2234
01:28:46,855 --> 01:28:48,190
FOR SKILL DEVELOPMENT WHERE WE 

2235
01:28:48,190 --> 01:28:50,625
DID PRETESTING OF QUESTIONS AND 

2236
01:28:50,625 --> 01:28:52,627
ALSO SAMPLING AND SURVEY 

2237
01:28:52,627 --> 01:28:55,130
ADMINISTRATION AS WELL AS ITEM 

2238
01:28:55,130 --> 01:28:56,464
REDUCTION FOR FIVE SCALES LISTED

2239
01:28:56,464 --> 01:29:00,402
ON THE SLIDE RELATED TO THE 

2240
01:29:00,402 --> 01:29:02,470
CULTURAL INCLUSION OF CARRYING 

2241
01:29:02,470 --> 01:29:03,738
PRACTICES AND THEN ALSO 

2242
01:29:03,738 --> 01:29:05,507
CONFIDENCE AND KNOWLEDGE OF 

2243
01:29:05,507 --> 01:29:07,609
UTILIZING INFANT CARRIERS AND 

2244
01:29:07,609 --> 01:29:10,245
THEN ALSO RESPONSIVENESS TO 

2245
01:29:10,245 --> 01:29:13,782
INFANT FEEDING CUES: ITEMS WERE 

2246
01:29:13,782 --> 01:29:14,449
GENERATED BASED ON SUBJECT 

2247
01:29:14,449 --> 01:29:17,786
MATTER EXPERTISE, BASED ON MORE 

2248
01:29:17,786 --> 01:29:22,424
THAN TEN YEARS OF PROFESSIONAL 

2249
01:29:22,424 --> 01:29:23,825
EXPERIENCE STUDYING INSTANT 

2250
01:29:23,825 --> 01:29:27,128
CARRYING AROUND THE WORLD. 

2251
01:29:27,128 --> 01:29:29,464
CONTENT VALIDITY WAS ASSESSED 

2252
01:29:29,464 --> 01:29:30,365
USING ITEM CONTENT VALIDITY 

2253
01:29:30,365 --> 01:29:34,936
INDEX, NEXT SLIDE.  SO FOR AIM 

2254
01:29:34,936 --> 01:29:36,605
TWO, TRAINING OF DIRECT -- THE 

2255
01:29:36,605 --> 01:29:39,341
TRAINING OF DIRECT SERVICE 

2256
01:29:39,341 --> 01:29:41,943
PROVIDERS, HERE ARE RESULTS FROM

2257
01:29:41,943 --> 01:29:52,487
THE NURTURELY DEVELOPED.  SO AS 

2258
01:29:56,691 --> 01:29:58,493
YOU CAN SEE, WE DID SEE 

2259
01:29:58,493 --> 01:30:01,663
SIGNIFICANT DIFFERENCES IN 

2260
01:30:01,663 --> 01:30:03,999
CONFIDENCE AND KNOWLEDGE BETWEEN

2261
01:30:03,999 --> 01:30:05,200
PRE AND POST TRAINING 

2262
01:30:05,200 --> 01:30:09,871
INTERVENTION.  NEXT SLIDE.

2263
01:30:09,871 --> 01:30:13,008
>> WE'RE EXCITED TO
CONTINUE 

2264
01:30:13,008 --> 01:30:14,075
THIS WORK TO DEVELOP NOVEL 

2265
01:30:14,075 --> 01:30:15,944
MEASUREMENT TOOLS AND NEW 

2266
01:30:15,944 --> 01:30:17,379
APPROACHES TO THE RESEARCH 

2267
01:30:17,379 --> 01:30:18,947
INVESTIGATING PSYCHOLOGICAL 

2268
01:30:18,947 --> 01:30:21,283
BENEFITS OF INFANT CARRYING, THE

2269
01:30:21,283 --> 01:30:21,950
STRENGTH I WANT TO HIGHLIGHT IS 

2270
01:30:21,950 --> 01:30:23,451
THAT WE'RE FOCUSING ON 

2271
01:30:23,451 --> 01:30:25,220
UNDERSTANDING A CULTURAL 

2272
01:30:25,220 --> 01:30:28,189
PRACTICE, INFANT CARRYING, 

2273
01:30:28,189 --> 01:30:29,991
CULTURAL PRACTICES HAVE LONG 

2274
01:30:29,991 --> 01:30:33,328
BEEN NEGLECTED BY THE SCIENTIFIC

2275
01:30:33,328 --> 01:30:33,995
COMMUNITIES IN THE UNITED 

2276
01:30:33,995 --> 01:30:42,170
STATES, AND RESEARCH ON 

2277
01:30:42,170 --> 01:30:43,538
TRADITIONAL AND CULTURAL 

2278
01:30:43,538 --> 01:30:45,373
PRACTICES MUST BE SEEN AS AN 

2279
01:30:45,373 --> 01:30:47,942
URGENT GLOBAL PRIORITY TO HELP 

2280
01:30:47,942 --> 01:30:49,878
US SOLVE THE PERINATAL HEALTH 

2281
01:30:49,878 --> 01:30:51,446
CRISIS.  WE'RE EXCITED TO 

2282
01:30:51,446 --> 01:30:52,580
CONTRIBUTE TO THAT PRIORITY.  

2283
01:30:52,580 --> 01:30:54,916
WE'RE ALSO UNIQUE IN THE 

2284
01:30:54,916 --> 01:30:55,917
CULTURALLY INFORMED TRAINING AND

2285
01:30:55,917 --> 01:30:59,087
A BLACK-LED COMMUNITY CENTERED 

2286
01:30:59,087 --> 01:31:00,755
INTERVENTION.  WE KNOW THAT BOTH

2287
01:31:00,755 --> 01:31:02,891
DEPRESSION AND LACTATION ARE 

2288
01:31:02,891 --> 01:31:03,959
MODIFIABLE HEALTH FACTORS THAT 

2289
01:31:03,959 --> 01:31:07,562
MAY BE INFLUENCED BY INFANT 

2290
01:31:07,562 --> 01:31:09,097
CARRYING AND MEASUREMENT TOOLS 

2291
01:31:09,097 --> 01:31:12,167
LIKE THOSE THAT WE HAVE BEEN 

2292
01:31:12,167 --> 01:31:14,636
DEVELOPING ARE CRITICAL.  NEXT 

2293
01:31:14,636 --> 01:31:16,404
SLIDE, PLEASE.  WE LEARNED SOME 

2294
01:31:16,404 --> 01:31:20,075
KEY LESSONS THROUGH THIS PROJECT

2295
01:31:20,075 --> 01:31:21,409
THAT SERVED US SEEKING TO 

2296
01:31:21,409 --> 01:31:24,479
CONTINUE DEVELOPING OUR RESEARCH

2297
01:31:24,479 --> 01:31:25,580
CAPACITY.  OF COURSE ACCOUNTING 

2298
01:31:25,580 --> 01:31:28,416
FOR DELAYS AS TO BE EXPECTED, 

2299
01:31:28,416 --> 01:31:35,957
DEVELOPING CON ST -- CONTINGENC 

2300
01:31:35,957 --> 01:31:39,260
PLANS AND LEANING INTO 

2301
01:31:39,260 --> 01:31:41,629
MENTORSHIP.  WE'RE SO GRATEFUL 

2302
01:31:41,629 --> 01:31:45,100
FOR THE HELP OF THOSE ON THE 

2303
01:31:45,100 --> 01:31:48,003
TEAMS TO HELP US LAUNCH STRONG 

2304
01:31:48,003 --> 01:31:49,971
FOUNDATION FOR OUR RESEARCH 

2305
01:31:49,971 --> 01:31:56,177
THROUGH THE IMPROVE ENGLISH 

2306
01:31:56,177 --> 01:31:57,412
INITIATIVE.  WE ALSO 

2307
01:31:57,412 --> 01:31:59,514
STRENGTHENED EXIST 

2308
01:31:59,514 --> 01:31:59,881
RELATIONSHIPS. 

2309
01:31:59,881 --> 01:32:01,116
WITH NOT ONLY COMMUNITY BASED 

2310
01:32:01,116 --> 01:32:03,451
HOME VISITING PROGRAMS BUT ALSO 

2311
01:32:03,451 --> 01:32:05,854
NATIONAL HEALTH PLATFORMS AND 

2312
01:32:05,854 --> 01:32:06,855
EVEN INTERNATIONAL 

2313
01:32:06,855 --> 01:32:09,858
IMPLEMENTATION SCIENCE 

2314
01:32:09,858 --> 01:32:11,860
ORGANIZATIONS.  WE ALSO BUILT 

2315
01:32:11,860 --> 01:32:13,128
EXTENSIVE INFRASTRUCTURE 

2316
01:32:13,128 --> 01:32:15,864
INCLUDING A HIPAA COMPLIANT 

2317
01:32:15,864 --> 01:32:17,932
SOFTWARE SYSTEM.  AND WE 

2318
01:32:17,932 --> 01:32:19,334
SUPPORTED RESEARCH EXCELLENCE 

2319
01:32:19,334 --> 01:32:20,268
WITHIN OUR ORGANIZATION.  

2320
01:32:20,268 --> 01:32:21,936
THROUGH TRAINING AND 

2321
01:32:21,936 --> 01:32:23,104
EVIDENCE-BASED DISSEMINATION 

2322
01:32:23,104 --> 01:32:26,408
PROGRAMS.  AND, AGAIN, SHOUT-OUT

2323
01:32:26,408 --> 01:32:30,278
TO AVA WHO SUCCESSFULLY DID THIS

2324
01:32:30,278 --> 01:32:30,945
DURING HER CHALLENGE.

2325
01:32:30,945 --> 01:32:32,714
>> EMILY, UNFORTUNATELY,
WE HAVE

2326
01:32:32,714 --> 01:32:33,548
TO --

2327
01:32:33,548 --> 01:32:35,116
>> YEP, THANKS, THOM AND I
ARE 

2328
01:32:35,116 --> 01:32:36,918
ON THE SAME PAGE HERE, WE HAVE 

2329
01:32:36,918 --> 01:32:38,019
TO CUT YOU OFF.  WE'RE AT THE 

2330
01:32:38,019 --> 01:32:40,054
END OF TIME, THANK YOU SO MUCH 

2331
01:32:40,054 --> 01:32:42,791
EMILY AND AVA, REALLY APPRECIATE

2332
01:32:42,791 --> 01:32:43,425
IT.  THOM?  

2333
01:32:43,425 --> 01:32:44,259
>> THOM: GREAT, THANK YOU,

2334
01:32:44,259 --> 01:32:45,360
EVERYONE, JUST AMAZING WORK AND 

2335
01:32:45,360 --> 01:32:48,830
I WANT TO HAVE SOME REFLECTIONS 

2336
01:32:48,830 --> 01:32:52,133
FROM DR. BALL KEY IS A WHO HAS 

2337
01:32:52,133 --> 01:32:54,068
BEEN WITH THE OFFICE OF RESEARCH

2338
01:32:54,068 --> 01:32:56,137
ON WOMEN'S HEALTH AS A PHYSICIAN

2339
01:32:56,137 --> 01:33:00,642
SINCE 2023.  AMAZING PERSON TO 

2340
01:33:00,642 --> 01:33:04,612
WORK WITH.  AND DR. WHAT TARA'S 

2341
01:33:04,612 --> 01:33:07,081
RELIES ON PATIENT-CENTERED CARE 

2342
01:33:07,081 --> 01:33:09,350
ACROSS THE LIFE SPAN, MATERNAL 

2343
01:33:09,350 --> 01:33:11,586
AND CHILD HEALTH, STRUCTURAL 

2344
01:33:11,586 --> 01:33:13,621
DETERMINANTS OF HEALTH AND 

2345
01:33:13,621 --> 01:33:16,925
GLOBAL HEALTH.  I'M REALLY 

2346
01:33:16,925 --> 01:33:20,795
PLEASED TO WELCOME DR. BALL KEY 

2347
01:33:20,795 --> 01:33:21,963
IS A.

2348
01:33:21,963 --> 01:33:23,331
>> THANK YOU THOM,
PARTICIPANTS 

2349
01:33:23,331 --> 01:33:25,433
AND COLLEAGUES, IT IS MY 

2350
01:33:25,433 --> 01:33:27,102
PLEASURE TO DELIVER THE CLOSING 

2351
01:33:27,102 --> 01:33:28,803
PARKS FOR THIS EVENT AS WE 

2352
01:33:28,803 --> 01:33:31,339
CONCLUDE, I WANT TO EXTEND MY 

2353
01:33:31,339 --> 01:33:33,775
HEARTFELT APPRECIATION TO EACH 

2354
01:33:33,775 --> 01:33:35,410
AND EVERY ONE OF YOU FOR JOINING

2355
01:33:35,410 --> 01:33:39,214
US TODAY AND MAKING THIS EVENT A

2356
01:33:39,214 --> 01:33:40,849
SUCCESS.  I WOULD LIKE TO 

2357
01:33:40,849 --> 01:33:44,052
EXPRESS MY DEEPEST GRATITUDE TO 

2358
01:33:44,052 --> 01:33:45,286
OUR COMMUNITY ORGANIZATIONS FOR 

2359
01:33:45,286 --> 01:33:47,589
BEING PART OF THIS INCREDIBLE 

2360
01:33:47,589 --> 01:33:49,424
JOURNEY WITH US OVER THE PAST 

2361
01:33:49,424 --> 01:33:53,795
TWO YEARS.  YOUR CREATIVITY, 

2362
01:33:53,795 --> 01:33:55,363
DEDICATION, AND PASSION HAVE 

2363
01:33:55,363 --> 01:33:58,199
BEEN TRULY INSPIRING.  YOU HAVE 

2364
01:33:58,199 --> 01:34:00,235
DEMONSTRATED THAT BY LEVERAGING 

2365
01:34:00,235 --> 01:34:01,669
OUR COLLECTIVE STRENGTH FOR THE 

2366
01:34:01,669 --> 01:34:05,240
CAUSE OF MATERNAL HEALTH, WE CAN

2367
01:34:05,240 --> 01:34:07,842
CREATE SOLUTIONS THAT ARE 

2368
01:34:07,842 --> 01:34:10,712
LOCALLY RELEVANT AND SCALEABLE 

2369
01:34:10,712 --> 01:34:12,514
NATIONALLY.  SO TO ALL OUR 

2370
01:34:12,514 --> 01:34:16,417
PARTNERS, COLLEAGUES, AND TO OUR

2371
01:34:16,417 --> 01:34:18,186
AMAZING COLEADS OF THE 

2372
01:34:18,186 --> 01:34:20,155
CHALLENGE, YOUR CONTRIBUTION HAS

2373
01:34:20,155 --> 01:34:21,256
BEEN INSTRUMENTAL IN THIS ACCESS

2374
01:34:21,256 --> 01:34:24,859
OF THIS CHALLENGE.  AS WE MOVE 

2375
01:34:24,859 --> 01:34:26,461
FORWARD, LET US CARRY ON WITH 

2376
01:34:26,461 --> 01:34:28,897
THE MOMENTUM OF THIS CHALLENGE 

2377
01:34:28,897 --> 01:34:32,333
TO ENSURE THAT EVERY WOMAN, 

2378
01:34:32,333 --> 01:34:34,235
EVERY MOTHER, RECEIVES THE CARE 

2379
01:34:34,235 --> 01:34:35,703
THAT SHE DESERVES AND THE 

2380
01:34:35,703 --> 01:34:36,304
SUPPORT THAT SHE NEEDS, THANK 

2381
01:34:36,304 --> 01:34:41,943
YOU, ALL.  

2382
01:34:41,943 --> 01:34:42,777
>> THOM: GREAT AND WITH
THAT WE 

2383
01:34:42,777 --> 01:34:44,445
WILL CONCLUDE OUR RESEARCH 

2384
01:34:44,445 --> 01:34:46,047
SHOWCASE ON CONNECTING THE 

2385
01:34:46,047 --> 01:34:47,315
COMMUNITY FOR MATERNAL HEALTH 

2386
01:34:47,315 --> 01:34:49,584
CHALLENGE.  A BIG THANKS ONCE 

2387
01:34:49,584 --> 01:34:50,852
AGAIN TO THE ENTIRE TEAM OF -- 

2388
01:34:50,852 --> 01:34:53,588
AT NIH AND ALSO ALL THE 

2389
01:34:53,588 --> 01:34:54,522
PARTICIPATING TEAMS AND MOST 

2390
01:34:54,522 --> 01:34:55,823
IMPORTANTLY THE AUDIENCE TODAY. 

2391
01:34:55,823 --> 01:34:57,825
THANK YOU FOR THE GREAT 

2392
01:34:57,825 --> 01:35:00,962
QUESTIONS.  AND WE WILL BE 

2393
01:35:00,962 --> 01:35:01,663
POSTING THIS PRESENTATION ONCE 

2394
01:35:01,663 --> 01:35:03,865
IT'S BEEN APPROVED BY THE 

2395
01:35:03,865 --> 01:35:04,499
COMMUNICATIONS TEAMS.  THANK 

2396
01:35:04,499 --> 01:35:08,136
YOU, AGAIN, AND HAVE A WONDERFUL

2397
01:35:08,136 --> 01:35:18,136
DAY.