1 00:00:04,719 --> 00:00:05,820 GOOD MORNING, EVERYONE 2 00:00:05,820 --> 00:00:06,921 JOINING IN PERSON AND ONLINE. 3 00:00:06,921 --> 00:00:09,824 THANK YOU SO MUCH POOR BEG HERE. 4 00:00:09,824 --> 00:00:11,126 FOR BEING HERE. 5 00:00:11,126 --> 00:00:12,193 WE WILL GET STARTED. 6 00:00:12,193 --> 00:00:13,228 IF YOU COULD PLEASE TAKE YOUR 7 00:00:13,228 --> 00:00:18,967 SEATS. 8 00:00:18,967 --> 00:00:20,401 WELCOME TO THE "2023 HINTS DATA 9 00:00:20,401 --> 00:00:21,369 USERS CONFERENCE". 10 00:00:21,369 --> 00:00:26,474 WE ARE THRILL ED TO HAVE YOU AT 11 00:00:26,474 --> 00:00:29,444 NIH TO HELP YOU CELEBRATE THE 12 00:00:29,444 --> 00:00:31,112 TRENDS SURVEY. 13 00:00:31,112 --> 00:00:36,017 WE HAVE 419 REGISTERED, 166 IN 14 00:00:36,017 --> 00:00:38,486 PERSON HERE AT NATCHER AND 253 15 00:00:38,486 --> 00:00:48,129 VIEWING ONLINE. 16 00:00:48,129 --> 00:00:54,068 THAT'S MORE THAN IN 2019. 17 00:00:54,068 --> 00:00:55,670 WHEN WE STARTED PLANNING THIS 18 00:00:55,670 --> 00:00:57,539 CONFERENCE WE WERE UNDER 19 00:00:57,539 --> 00:00:58,239 STRICTER DENSITY REQUIREMENTS 20 00:00:58,239 --> 00:01:07,015 DUE TO COVID. 21 00:01:07,015 --> 00:01:08,416 THE ROOM IS QUITE LARGE. 22 00:01:08,416 --> 00:01:10,285 IT'S GOOD WE HAVE EXTRA SPACE 23 00:01:10,285 --> 00:01:12,153 TO ACCOMMODATE A BIT OF 24 00:01:12,153 --> 00:01:12,821 DISTANCING SO FEEL FREE TO DO 25 00:01:12,821 --> 00:01:22,931 THAT. 26 00:01:42,684 --> 00:01:45,420 WE ENCOURAGE QUESTIONS, THOUGH 27 00:01:45,420 --> 00:01:46,221 COMMENTS WON'T BE MONITORED 28 00:01:46,221 --> 00:01:46,821 REGULARLY. 29 00:01:46,821 --> 00:01:48,690 WE WILL TRY TO ANSWER QUESTIONS 30 00:01:48,690 --> 00:01:57,866 ON YOUR BEHALF IF TIME ALLOWS. 31 00:01:57,866 --> 00:01:59,200 IF YOU NEED TECHNICAL 32 00:01:59,200 --> 00:02:00,635 ASSISTANCE EMAIL HERE. 33 00:02:00,635 --> 00:02:02,203 THE OFFICE OF RESEARCH SERVICES 34 00:02:02,203 --> 00:02:05,306 WAS ABLE TO GET THE NATCHER 35 00:02:05,306 --> 00:02:07,642 CAFETERIA OPEN FOR US, SO 36 00:02:07,642 --> 00:02:08,476 PLEASE PATRONIZE IT THE NEXT 37 00:02:08,476 --> 00:02:09,477 FEW DAYS. 38 00:02:09,477 --> 00:02:13,248 LUNCH WILL BE SERVED FROM 39 00:02:13,248 --> 00:02:13,882 11:30-1:30. 40 00:02:13,882 --> 00:02:17,285 WE WILL HAVE HOT STATIONS, GRAB 41 00:02:17,285 --> 00:02:21,122 AND GO SANDWICHES AND SALADS 42 00:02:21,122 --> 00:02:24,492 AND SUSHI AND FOR THE HANDFUL 43 00:02:24,492 --> 00:02:29,097 OF PEOPLE WHO ORDERED BOXED 44 00:02:29,097 --> 00:02:30,832 LUNCHES THOSE WERE CANCELLED 45 00:02:30,832 --> 00:02:32,500 AND YOU WEREN'T CHARGED. 46 00:02:32,500 --> 00:02:35,770 USE THE CAFETERIA. 47 00:02:35,770 --> 00:02:37,205 STAFF AT THE REGISTRATION DESK 48 00:02:37,205 --> 00:02:39,374 CAN ASSIST YOU WITH BOOKING 49 00:02:39,374 --> 00:02:42,610 TAXIS. 50 00:02:42,610 --> 00:02:45,146 IF YOU USE LYFT OR UBER, THE 51 00:02:45,146 --> 00:02:49,117 PICK UP IS AT A KISS AND RIDE 52 00:02:49,117 --> 00:02:50,685 AREA OUTSIDE THE CAMPUS 53 00:02:50,685 --> 00:02:52,120 PERIMETER. 54 00:02:52,120 --> 00:02:54,389 PLEASE CONTACT PEOPLE AT THE 55 00:02:54,389 --> 00:02:55,757 TABLE. 56 00:02:55,757 --> 00:02:58,293 TOMORROW ROOM J HAS BEEN 57 00:02:58,293 --> 00:03:00,161 RESERVED FOR LUGGAGE, IF YOU 58 00:03:00,161 --> 00:03:01,829 NEED TO BRING LUGGAGE WITH YOU 59 00:03:01,829 --> 00:03:03,464 TO THE NATCHER CONFERENCE 60 00:03:03,464 --> 00:03:05,333 CENTER, ALLOW EXTRA TIME FOR 61 00:03:05,333 --> 00:03:06,734 SECURITY AT THE GATEWAY CENTER 62 00:03:06,734 --> 00:03:07,702 IN THE MORNING, BECAUSE YOU 63 00:03:07,702 --> 00:03:10,705 WILL STILL NEED TO GO THROUGH 64 00:03:10,705 --> 00:03:13,408 SECURITY AGAIN AND GET ANOTHER 65 00:03:13,408 --> 00:03:15,109 VISITOR BADGE. 66 00:03:15,109 --> 00:03:20,081 POSTER PRESENTERS ARE 67 00:03:20,081 --> 00:03:22,417 ENCOURAGED TO USE THE POSTERS 68 00:03:22,417 --> 00:03:24,052 IN THE ATRIUM. 69 00:03:24,052 --> 00:03:25,954 AND YOUR POSTERS DO NEED TO BE 70 00:03:25,954 --> 00:03:26,921 REMOVED WHEN THE CONFERENCE 71 00:03:26,921 --> 00:03:33,561 ADJOURNS TOMORROW. 72 00:03:33,561 --> 00:03:43,037 BEFORE WE START I WOULD LIKE TO 73 00:03:43,037 --> 00:03:47,408 EXPRESS GRATITUDE TO EVERYONE. 74 00:03:47,408 --> 00:03:48,943 THE LIST GOES ON AND ON. 75 00:03:48,943 --> 00:03:51,679 IT'S BEEN A HERCULEAN EFFORT BY 76 00:03:51,679 --> 00:03:53,247 A LOT OF PEOPLE. 77 00:03:53,247 --> 00:04:03,758 AND WE REALLY APPRECIATE THEM. 78 00:04:05,460 --> 00:04:08,396 NAMELY ANNA GAYSYNSKY. 79 00:04:08,396 --> 00:04:10,932 OUR ASL INTERPRETERS AND STAFF 80 00:04:10,932 --> 00:04:12,800 AT ICF, INCLUDING BRIAN KEEFE. 81 00:04:12,800 --> 00:04:14,335 THANK YOU SO MUCH TO OUR 82 00:04:14,335 --> 00:04:15,169 CONFERENCE PLANNERS. 83 00:04:15,169 --> 00:04:18,239 NOW I WOULD LIKE TO MAKE A FEW 84 00:04:18,239 --> 00:04:19,907 INTRODUCTORY REMARKS TO GIVE 85 00:04:19,907 --> 00:04:21,075 SOME CONTEXT FOR OUR CONFERENCE. 86 00:04:21,075 --> 00:04:26,881 AS YOU KNOW WE ARE CELEBRATING 87 00:04:26,881 --> 00:04:29,150 20 YEARS SINCE HINTS FIRST 88 00:04:29,150 --> 00:04:30,351 FIELDED IN 2023. 89 00:04:30,351 --> 00:04:34,589 RAISE YOUR HAND IF YOU WERE 90 00:04:34,589 --> 00:04:37,258 INVOLVED IN THAT INAUGURAL IN 91 00:04:37,258 --> 00:04:40,728 2003 OR IF YOU HAVE USED THE 92 00:04:40,728 --> 00:04:41,562 2003 DATA IN YOUR RESEARCH. 93 00:04:41,562 --> 00:04:43,064 GREAT. 94 00:04:43,064 --> 00:04:45,600 IT'S BEEN VERY GRATIFYING FOR 95 00:04:45,600 --> 00:04:47,335 THOSE OF US WHO HAVE WORKED ON 96 00:04:47,335 --> 00:04:49,137 THE SURVEY ALL THIS TIME TO 97 00:04:49,137 --> 00:04:50,538 HAVE SUCH LONG RELATIONSHIPS 98 00:04:50,538 --> 00:04:53,107 WITH OUR DATA USERS AND WE 99 00:04:53,107 --> 00:04:54,542 REMAIN COMMITTED TO SERVING YOU 100 00:04:54,542 --> 00:04:56,411 WELL OVER THE NEXT 20 YEARS. 101 00:04:56,411 --> 00:04:58,613 FOR THOSE OF YOU WHO DON'T KNOW 102 00:04:58,613 --> 00:05:03,151 THE HISTORY OF HINTS. 103 00:05:03,151 --> 00:05:05,520 AT A CANCER RISK COMMUNICATION 104 00:05:05,520 --> 00:05:09,090 IT SORT OF BECAME THE BASIS OF 105 00:05:09,090 --> 00:05:11,893 A MONOGRAPH PUBLISHED IN 1999 106 00:05:11,893 --> 00:05:13,661 THAT OUTLINED PRIORITY AREAS 107 00:05:13,661 --> 00:05:14,195 FOR CANCER COMMUNICATION 108 00:05:14,195 --> 00:05:15,430 SCIENCE. 109 00:05:15,430 --> 00:05:17,965 FOLLOWING THAT WORKSHOP AND THE 110 00:05:17,965 --> 00:05:19,834 PUBLICATION OF THE MONOGRAPH, 111 00:05:19,834 --> 00:05:20,568 CANCER COMMUNICATION WAS 112 00:05:20,568 --> 00:05:22,904 IDENTIFIED AS AN EXTRAORDINARY 113 00:05:22,904 --> 00:05:23,604 OPPORTUNITY FOR INVESTMENT 114 00:05:23,604 --> 00:05:28,009 THREE YEARS IN A ROW IN NCI'S 115 00:05:28,009 --> 00:05:29,143 BYPASS BUDGET. 116 00:05:29,143 --> 00:05:32,513 THAT GAVE RISE TO THE HEALTH 117 00:05:32,513 --> 00:05:33,181 COMMUNICATION AND INFORMATICS 118 00:05:33,181 --> 00:05:35,516 RESEARCH BRANCH WHERE I WORK AT 119 00:05:35,516 --> 00:05:37,885 NCI AND WHERE HINTS IS HOUSED. 120 00:05:37,885 --> 00:05:39,954 OUR BRANCH REMAINS THE ONLY 121 00:05:39,954 --> 00:05:40,655 HEALTH COMMUNICATION RESEARCH 122 00:05:40,655 --> 00:05:44,725 BRANCH AT ALL OF NIH. 123 00:05:44,725 --> 00:05:46,794 SO THE EARLY PLANNING EFFORTS 124 00:05:46,794 --> 00:05:50,998 MORE THAN 20 YEARS AGO AND 125 00:05:50,998 --> 00:05:52,867 EXTRAORDINARY OPPORTUNITY 126 00:05:52,867 --> 00:05:54,735 DESIGNATION WERE IMPETUS FOR 127 00:05:54,735 --> 00:05:55,937 TWO INITIATIVES. 128 00:05:55,937 --> 00:05:58,239 THE CENTERS OF EXCELLENCE AND 129 00:05:58,239 --> 00:06:01,075 CANCER COMMUNICATION RESEARCH, 130 00:06:01,075 --> 00:06:03,945 EXTRAMARITAL FUNDING INITIATIVE 131 00:06:03,945 --> 00:06:06,981 THAT FUNDED P 50 CENTERS AND 132 00:06:06,981 --> 00:06:07,915 OUR NATIONAL TRENDS SURVEY. 133 00:06:07,915 --> 00:06:09,550 WHICH IS WHY WE ARE ALL HERE 134 00:06:09,550 --> 00:06:11,419 TODAY. 135 00:06:11,419 --> 00:06:14,021 AS I SAID, HINTS WAS FIRST 136 00:06:14,021 --> 00:06:16,124 FIELDED IN 2003 AND FIELDED 16 137 00:06:16,124 --> 00:06:18,659 TIMES TO DATE WITH SEVERAL 138 00:06:18,659 --> 00:06:19,827 SPECIAL ITERATIONS INCLUDING 139 00:06:19,827 --> 00:06:22,964 ONE IN PUERTO RICO AND TWO THAT 140 00:06:22,964 --> 00:06:25,099 WERE TOBACCO SPECIFIC AND 141 00:06:25,099 --> 00:06:26,701 FUNDED BY FDA'S CENTER FOR 142 00:06:26,701 --> 00:06:27,935 TOBACCO PRODUCTS. 143 00:06:27,935 --> 00:06:29,804 THE MOST RECENT GENERAL 144 00:06:29,804 --> 00:06:30,905 POPULATION SURVEY WAS FIELDED 145 00:06:30,905 --> 00:06:33,107 IN 2022. 146 00:06:33,107 --> 00:06:35,109 AND NEXT ITERATION IS SLATED 147 00:06:35,109 --> 00:06:37,645 FOR JANUARY 2024. 148 00:06:37,645 --> 00:06:39,981 AT OUR LAST COUNT EARLIER THIS 149 00:06:39,981 --> 00:06:42,783 YEAR THERE HAVE BEEN MORE THAN 150 00:06:42,783 --> 00:06:45,086 800 HINTS PAPERS PUBLISHED IN 151 00:06:45,086 --> 00:06:47,121 PEER-REVIEWED JOURNALS. 152 00:06:47,121 --> 00:06:47,622 SO PLEASE CONGRATULATE 153 00:06:47,622 --> 00:06:50,324 YOURSELVES FOR THAT. 154 00:06:50,324 --> 00:06:52,193 THE HINTS PROGRAM HAS ENJOYED 155 00:06:52,193 --> 00:06:53,594 SUPPORT FROM SEVERAL AGENCIES 156 00:06:53,594 --> 00:06:54,529 AND OFFICES ACROSS THE 157 00:06:54,529 --> 00:06:56,397 DEPARTMENT OF HEALTH AND HUMAN 158 00:06:56,397 --> 00:06:56,931 SERVICES AND THE FEDERAL 159 00:06:56,931 --> 00:06:58,266 GOVERNMENT. 160 00:06:58,266 --> 00:07:01,802 NAMELY THE FOOD AND DRUG 161 00:07:01,802 --> 00:07:03,905 ADMINISTRATION'S CENTER FOR 162 00:07:03,905 --> 00:07:06,007 TOBACCO PRODUCTS, HHS, NATIONAL 163 00:07:06,007 --> 00:07:06,974 COORDINATOR FOR INFORMATION 164 00:07:06,974 --> 00:07:14,615 TECHNOLOGY, OR ONC FOR SHORT, 165 00:07:14,615 --> 00:07:16,484 THE FCC AND ODPHP. 166 00:07:16,484 --> 00:07:17,952 HINTS ITEMS ARE ACTUALLY THE 167 00:07:17,952 --> 00:07:20,254 BENCHMARKS FOR SIX OF THE 168 00:07:20,254 --> 00:07:21,656 HEALTHY PEOPLE NOW 2030, IT 169 00:07:21,656 --> 00:07:25,526 USED TO BE HEALTHY PEOPLE 2020. 170 00:07:25,526 --> 00:07:28,129 THE OBJECTIVES RELATED TO 171 00:07:28,129 --> 00:07:28,896 COMPONENTS OF THE AFFORDABLE 172 00:07:28,896 --> 00:07:31,232 CARE ACT. 173 00:07:31,232 --> 00:07:32,600 PROPORTION OF ADULTS OFFERED 174 00:07:32,600 --> 00:07:35,803 ONLINE ACCESS TO THEIR MEDICAL 175 00:07:35,803 --> 00:07:36,103 RECORD. 176 00:07:36,103 --> 00:07:39,373 PROPORTION WHO USE IT FOR 177 00:07:39,373 --> 00:07:40,608 HEALTHCARE DATA AND COMMUNICATE 178 00:07:40,608 --> 00:07:41,509 WITH PROVIDERS. 179 00:07:41,509 --> 00:07:43,444 ITEMS LIKE THAT. 180 00:07:43,444 --> 00:07:47,381 IN ADDITION TO HINTS, NCI'S 181 00:07:47,381 --> 00:07:49,517 RESEARCH BRANCH HAS HELD 182 00:07:49,517 --> 00:07:50,451 SEVERAL MEANINGFUL INITIATIVES 183 00:07:50,451 --> 00:07:53,487 OVER THE LAST 20 YEARS THAT 184 00:07:53,487 --> 00:07:56,057 HAVE BUOYED UP HINTS AND HINTS 185 00:07:56,057 --> 00:07:59,126 SUPPORTED INCLUDING EFFORTS ON 186 00:07:59,126 --> 00:08:01,229 PATIENT-CENTERED COMMUNICATION, 187 00:08:01,229 --> 00:08:02,630 HEALTH LITERACY, VACCINATION 188 00:08:02,630 --> 00:08:03,397 INFORMATION AND MISINFORMATION 189 00:08:03,397 --> 00:08:04,699 AMONG OTHERS. 190 00:08:04,699 --> 00:08:07,034 I HAVE ROBIN VANDER POOL AND MY 191 00:08:07,034 --> 00:08:08,236 COLLEAGUES IN THE RESEARCH 192 00:08:08,236 --> 00:08:11,439 BRANCH TO THANK FOR THESE COOL 193 00:08:11,439 --> 00:08:13,174 ROADMAP SLIDES THAT PLOT OUT 194 00:08:13,174 --> 00:08:14,508 OUR KEY INITIATIVES. 195 00:08:14,508 --> 00:08:16,844 I WANTED TO SHOW YOU THESE TO 196 00:08:16,844 --> 00:08:18,679 GIVE YOU SOME CONTEXT FOR HOW 197 00:08:18,679 --> 00:08:22,416 HINTS FITS WITH OTHER HEALTH 198 00:08:22,416 --> 00:08:23,618 AND CANCER COMMUNICATION 199 00:08:23,618 --> 00:08:25,186 EFFORTS AT NCI. 200 00:08:25,186 --> 00:08:28,923 FOR EXAMPLE, OUR BRANCH HAS LED 201 00:08:28,923 --> 00:08:30,091 SEVERAL FUNDING INITIATIVES 202 00:08:30,091 --> 00:08:32,393 THAT EITHER SOLELY FOCUS ON 203 00:08:32,393 --> 00:08:34,061 CANCER COMMUNICATION OR ADDRESS 204 00:08:34,061 --> 00:08:34,562 IMPORTANT COMMUNICATION 205 00:08:34,562 --> 00:08:36,397 RESEARCH QUESTIONS IN THE 206 00:08:36,397 --> 00:08:39,400 CONTEXT OF OTHER DOMAINS. 207 00:08:39,400 --> 00:08:41,035 EXAMPLES INCLUDE THREE 208 00:08:41,035 --> 00:08:42,670 ISSUANCES OF OUR INNOVATIVE 209 00:08:42,670 --> 00:08:43,838 APPROACHES TO SETTING CANCER 210 00:08:43,838 --> 00:08:46,874 COMMUNICATION IN THE NEW 211 00:08:46,874 --> 00:08:48,743 INFORMATION ECOSYSTEM P.A.R.'S 212 00:08:48,743 --> 00:08:51,112 AND TELEHEALTH RESEARCH CENTERS 213 00:08:51,112 --> 00:08:52,513 OF EXCELLENCE R.F.A. INITIATIVE 214 00:08:52,513 --> 00:08:54,849 THAT WAS RECENTLY FUNDED. 215 00:08:54,849 --> 00:08:56,684 AND HEALTH AND CANCER 216 00:08:56,684 --> 00:08:57,385 COMMUNICATION RESEARCH WILL 217 00:08:57,385 --> 00:08:59,220 CONTINUE TO BE AN IMPORTANT 218 00:08:59,220 --> 00:09:01,589 AREA OF INVESTMENT FOR OUR 219 00:09:01,589 --> 00:09:02,556 DIVISION AND OUR BRANCH IN THE 220 00:09:02,556 --> 00:09:04,358 YEARS TO COME. 221 00:09:04,358 --> 00:09:08,963 IN 2023 OUR DIVISION 222 00:09:08,963 --> 00:09:10,831 ESTABLISHED SIX PRIORITY AREAS 223 00:09:10,831 --> 00:09:12,033 FOR INVESTMENT WHICH OUR BRANCH 224 00:09:12,033 --> 00:09:13,634 AND HINTS HAVE AN IMPORTANT 225 00:09:13,634 --> 00:09:16,470 ROLE TO PLAY, DR. KATRINA 226 00:09:16,470 --> 00:09:18,039 GODDARD WILL ADDRESS IN HER 227 00:09:18,039 --> 00:09:18,973 OPENING REMARKS. 228 00:09:18,973 --> 00:09:20,474 BEFORE I ASK HER TO DO THAT, I 229 00:09:20,474 --> 00:09:22,376 WOULD LIKE TO TAKE A FEW 230 00:09:22,376 --> 00:09:24,478 MINUTES TO HIGHLIGHT SOME OF 231 00:09:24,478 --> 00:09:25,613 THE SURVEY'S ACCOMPLISHMENTS 232 00:09:25,613 --> 00:09:26,113 AND CONTRIBUTIONS. 233 00:09:26,113 --> 00:09:28,683 SO THOSE OF YOU WHO HAVE WORKED 234 00:09:28,683 --> 00:09:30,017 WITH HINTS DATA ARE FAMILIAR 235 00:09:30,017 --> 00:09:31,052 WITH THE PROTOCOLS ON THIS 236 00:09:31,052 --> 00:09:32,053 SLIDE, SO I WON'T GO THROUGH 237 00:09:32,053 --> 00:09:32,920 THEM. 238 00:09:32,920 --> 00:09:35,056 BUT WHAT YOU MAY NOT KNOW IS 239 00:09:35,056 --> 00:09:36,691 SINCE OUR FIRST FIELDING IN 240 00:09:36,691 --> 00:09:38,793 2023, WE HAVE RECEIVED SURVEY 241 00:09:38,793 --> 00:09:41,295 RESPONSES FROM MORE THAN 63,000 242 00:09:41,295 --> 00:09:42,296 U.S. ADULTS. 243 00:09:42,296 --> 00:09:43,497 WHICH I THINK IS PRETTY 244 00:09:43,497 --> 00:09:47,001 IMPRESSIVE. 245 00:09:47,001 --> 00:09:49,136 OUR BROAD OBJECTIVES HAVE 246 00:09:49,136 --> 00:09:50,504 REMAINED CONSISTENT THROUGHOUT 247 00:09:50,504 --> 00:09:52,173 THE SURVEY'S HISTORY. 248 00:09:52,173 --> 00:09:53,808 WITH THE PRIMARY OBJECTIVE 249 00:09:53,808 --> 00:09:55,042 IDENTIFY AND TRACK INFORMATION 250 00:09:55,042 --> 00:09:59,880 SUPPORT NEEDS IN THE POPULATION. 251 00:09:59,880 --> 00:10:03,384 AND THIS ALLOWS TO DOCUMENT 252 00:10:03,384 --> 00:10:04,785 DISPARITIES AND INEQUALITIES 253 00:10:04,785 --> 00:10:06,187 AND FIND OPPORTUNITIES FOR 254 00:10:06,187 --> 00:10:08,022 INTERVENTIONS AND TRY TO SERVE 255 00:10:08,022 --> 00:10:12,393 AS THE GOVERNMENT'S PREMIERE 256 00:10:12,393 --> 00:10:14,495 SURVEILLANCE MECHANISM FOR 257 00:10:14,495 --> 00:10:15,629 HEALTH INFORMATION CONSTRUCTS 258 00:10:15,629 --> 00:10:20,801 INCLUDING THE HEALTHY PEOPLE 259 00:10:20,801 --> 00:10:24,138 2030 BENCHMARKS I MENTIONED 260 00:10:24,138 --> 00:10:25,439 EARLIER AND EXTRAMURAL SUPPORT 261 00:10:25,439 --> 00:10:26,607 AND RESOURCES TO YOU. 262 00:10:26,607 --> 00:10:29,977 WE HOPE WE DO THAT WELL. 263 00:10:29,977 --> 00:10:31,645 RELEASING SECONDARY DATA FOR 264 00:10:31,645 --> 00:10:34,215 PUBLIC HEALTH RESEARCHERS AND 265 00:10:34,215 --> 00:10:34,915 PRACTITIONERS, EXTERNAL 266 00:10:34,915 --> 00:10:37,017 STAKEHOLDERS AND OUR FEDERAL 267 00:10:37,017 --> 00:10:39,153 PARTNERS AND PRODUCING AND 268 00:10:39,153 --> 00:10:40,054 RELEASING POPULATION ESTIMATES 269 00:10:40,054 --> 00:10:42,523 FOR PLANNING PURPOSES. 270 00:10:42,523 --> 00:10:44,492 AND HINTS ALSO OBVIOUSLY 271 00:10:44,492 --> 00:10:46,394 PROVIDES INTRAMURAL SUPPORT AND 272 00:10:46,394 --> 00:10:47,628 RESEARCH OPPORTUNITIES FOR NCI 273 00:10:47,628 --> 00:10:52,032 STAFF AND FELLOWS. 274 00:10:52,032 --> 00:10:54,101 WE THINK THOSE OBJECTIVES ARE 275 00:10:54,101 --> 00:10:56,771 BEING MET BASED ON ENGAGEMENT 276 00:10:56,771 --> 00:10:58,639 AND PRODUCTIVITY. 277 00:10:58,639 --> 00:11:02,777 OUR WEB ANALYTICS TELL US IN 278 00:11:02,777 --> 00:11:05,146 THE LAST SIX YEARS DATA HAS 279 00:11:05,146 --> 00:11:06,981 BEEN DOWNLOADED MORE THAN 280 00:11:06,981 --> 00:11:09,417 33,000 TIMES BY MORE THAN 281 00:11:09,417 --> 00:11:11,452 14,000 UNIQUE USERS. 282 00:11:11,452 --> 00:11:13,521 IN EARLIER 2023 THIS YEAR, OUR 283 00:11:13,521 --> 00:11:17,124 HINTS MANAGEMENT TEAMWORKED 284 00:11:17,124 --> 00:11:25,065 WITH NIH LIBRARIANS TO CONDUCT 285 00:11:25,065 --> 00:11:26,767 A BIBLIOMETRIC ANALYSIS OF 286 00:11:26,767 --> 00:11:28,102 HINTS PUBLICATIONS TO TRY TO 287 00:11:28,102 --> 00:11:30,237 ASSESS THE IMPACT OF OUR HINTS 288 00:11:30,237 --> 00:11:30,471 PROGRAM. 289 00:11:30,471 --> 00:11:31,839 THE RESULTS OF THAT ANALYSIS 290 00:11:31,839 --> 00:11:33,274 POINT TO A NUMBER OF KEY 291 00:11:33,274 --> 00:11:35,409 FINDINGS. 292 00:11:35,409 --> 00:11:37,978 NAMELY THAT HINTS HAS A HIGHER 293 00:11:37,978 --> 00:11:39,780 THAN AVERAGE CITATION IMPACT. 294 00:11:39,780 --> 00:11:41,882 THERE'S A SIZABLE NUMBER OF 295 00:11:41,882 --> 00:11:43,617 RESEARCHERS WORKING WITH DATA 296 00:11:43,617 --> 00:11:44,952 INDEPENDENTLY OTHER THAN THOSE 297 00:11:44,952 --> 00:11:47,087 OF US AT NCI WORKING WITH IT. 298 00:11:47,087 --> 00:11:49,890 AND FACILITATED A LOT OF 299 00:11:49,890 --> 00:11:50,424 WONDERFUL COLLABORATIONS 300 00:11:50,424 --> 00:11:51,659 BETWEEN NCI AND OTHER 301 00:11:51,659 --> 00:11:53,194 ORGANIZATIONS. 302 00:11:53,194 --> 00:11:56,263 SO FOR EXAMPLE, THIS GRAPHIC IS 303 00:11:56,263 --> 00:11:58,632 AN INSTITUTIONAL CO-AUTHOR SHIP 304 00:11:58,632 --> 00:12:00,701 NETWORK THAT EXCLUDES NCI, 305 00:12:00,701 --> 00:12:03,304 SHOWING 403 INSTITUTIONS 306 00:12:03,304 --> 00:12:06,106 AFFILIATED WITH 503 AUTHORS OF 307 00:12:06,106 --> 00:12:07,041 HINTS PUBLICATIONS WHERE NONE 308 00:12:07,041 --> 00:12:09,143 OF THE AUTHORS ON THE 309 00:12:09,143 --> 00:12:10,978 PUBLICATION WERE AFFILIATED 310 00:12:10,978 --> 00:12:12,313 WITH NCI BUT CERTAINLY PEOPLE 311 00:12:12,313 --> 00:12:13,147 WERE WORKING TOGETHER ON THEIR 312 00:12:13,147 --> 00:12:14,281 RESEARCH. 313 00:12:14,281 --> 00:12:17,318 AND THEN THIS ONE IS SHOWING 314 00:12:17,318 --> 00:12:18,752 125 INSTITUTIONS AFFILIATED 315 00:12:18,752 --> 00:12:20,154 WITH AUTHORS OF 170 316 00:12:20,154 --> 00:12:22,256 PUBLICATIONS WHERE AT LEAST ONE 317 00:12:22,256 --> 00:12:23,757 AUTHOR WAS AFFILIATED WITH 318 00:12:23,757 --> 00:12:26,260 SOMEONE AT NCI. 319 00:12:26,260 --> 00:12:28,829 IN TERMS OF CITATION IMPACT FOR 320 00:12:28,829 --> 00:12:32,600 THE GROUP OF PAPERS, THE 650 OR 321 00:12:32,600 --> 00:12:38,405 SO PUBLISHED FROM 2024, SO -- 322 00:12:38,405 --> 00:12:42,109 2004 A YEAR AFTER THE SURVEY 323 00:12:42,109 --> 00:12:46,680 CAME OUT, IT WAS CITED TOTAL OF 324 00:12:46,680 --> 00:12:49,116 OVER 12,000. 325 00:12:49,116 --> 00:12:50,818 AVERAGE CITATIONS PER PAPER ARE 326 00:12:50,818 --> 00:12:50,985 29. 327 00:12:50,985 --> 00:12:52,186 I THINK IT'S REALLY IMPRESSIVE 328 00:12:52,186 --> 00:12:55,022 WE HAVE AT LEAST 153 OF OUR 329 00:12:55,022 --> 00:12:58,392 HINTS PUBLICATIONS IN THE TOP 330 00:12:58,392 --> 00:13:01,595 10% OF CITATIONS OVERALL. 331 00:13:01,595 --> 00:13:03,964 THE MOST FREQUENTLY CITED HINTS 332 00:13:03,964 --> 00:13:05,332 STUDIES ARE THOSE THAT ARE 333 00:13:05,332 --> 00:13:06,567 OLDER BECAUSE THEY HAVE HAD 334 00:13:06,567 --> 00:13:08,969 MORE TIME TO BE READ AND CITED 335 00:13:08,969 --> 00:13:10,571 BUT NEVERTHELESS TELL US A LOT 336 00:13:10,571 --> 00:13:11,539 ABOUT THE CONTRIBUTION TO THE 337 00:13:11,539 --> 00:13:13,874 LITERATURE. 338 00:13:13,874 --> 00:13:15,976 TRUST AND USE OF HEALTH 339 00:13:15,976 --> 00:13:16,977 INFORMATION SOURCES AND 340 00:13:16,977 --> 00:13:19,713 DOCUMENTED THE IMPACT OF THE 341 00:13:19,713 --> 00:13:21,382 INTERNET AND ITS IMPLICATIONS 342 00:13:21,382 --> 00:13:22,783 FOR HEALTHCARE PROVIDERS AND 343 00:13:22,783 --> 00:13:25,486 HAS BEEN CITED 999 TIMES, IT'S 344 00:13:25,486 --> 00:13:26,253 PROBABLY 1,000 TIMES AS OF 345 00:13:26,253 --> 00:13:27,988 TODAY. 346 00:13:27,988 --> 00:13:29,523 THESE SLIDES ARE ABOUT A MONTH 347 00:13:29,523 --> 00:13:31,959 OLD NOW. 348 00:13:31,959 --> 00:13:34,295 AND THEN ANOTHER HINTS PAPER 349 00:13:34,295 --> 00:13:36,163 ACHIEVING A REALLY HIGH 350 00:13:36,163 --> 00:13:38,499 CITATION RATE WAS ACTUALLY THE 351 00:13:38,499 --> 00:13:41,068 SECOND HIGHEST FOR HINTS 352 00:13:41,068 --> 00:13:42,937 EXAMINED PREDICTORS OF E-HEALTH 353 00:13:42,937 --> 00:13:44,338 USE AND PROVIDED INSIGHTS ON 354 00:13:44,338 --> 00:13:45,472 THE DIGITAL DIVIDE. 355 00:13:45,472 --> 00:13:48,309 AND OF COURSE THE ORIGINAL 356 00:13:48,309 --> 00:13:49,476 HINTS METHODS PAPER PUBLISHED 357 00:13:49,476 --> 00:13:52,713 BY DAVE NELSON AND NCI 358 00:13:52,713 --> 00:13:55,015 COLLEAGUES HAS BEEN CITED QUITE 359 00:13:55,015 --> 00:13:56,183 FREQUENTLY, I'M SURE MOST OF 360 00:13:56,183 --> 00:13:59,820 YOU HAVE CITED THAT ONE. 361 00:13:59,820 --> 00:14:02,856 OTHER MOST CITED HINTS 362 00:14:02,856 --> 00:14:09,363 PUBLICATIONS ARE HEALTH 363 00:14:09,363 --> 00:14:09,830 LITERACY AND SMOKERS 364 00:14:09,830 --> 00:14:12,700 INFORMATION. 365 00:14:12,700 --> 00:14:13,434 UNREALISTIC BELIEFS ABOUT 366 00:14:13,434 --> 00:14:15,002 CANCER PREVENTION. 367 00:14:15,002 --> 00:14:18,706 I THINK THE FIELD'S RELIANCE ON 368 00:14:18,706 --> 00:14:20,107 THESE PAPERS INDICATES THE ROLE 369 00:14:20,107 --> 00:14:22,676 OF HINTS AS A SURVEILLANCE TOOL 370 00:14:22,676 --> 00:14:24,311 AND BASELINE FOR HEALTH 371 00:14:24,311 --> 00:14:25,312 COMMUNICATION RESEARCH AND 372 00:14:25,312 --> 00:14:27,815 HEALTH BEHAVIOR RESEARCH. 373 00:14:27,815 --> 00:14:29,717 SEVERAL OF OUR PUBLISHED 374 00:14:29,717 --> 00:14:32,252 STUDIES THAT HAVE USED HINTS 375 00:14:32,252 --> 00:14:34,388 DATA ALSO GARNERED SIGNIFICANT 376 00:14:34,388 --> 00:14:35,589 MEDIA ATTENTION AND CONTRIBUTED 377 00:14:35,589 --> 00:14:36,557 TO POLICY AND POLICY 378 00:14:36,557 --> 00:14:39,827 DISCUSSIONS. 379 00:14:39,827 --> 00:14:41,895 AS EVIDENCED BY ALT METRIC 380 00:14:41,895 --> 00:14:42,896 ATTENTION SCORES. 381 00:14:42,896 --> 00:14:47,067 I HOPE ALL OF YOU ARE FAMILIAR 382 00:14:47,067 --> 00:14:48,736 WITH ALTMETRIC, ALL OF THESE I 383 00:14:48,736 --> 00:14:50,104 WILL MENTION ON THIS SLIDE AND 384 00:14:50,104 --> 00:14:53,707 NEXT, ARE IN THE TOP 5% OF 385 00:14:53,707 --> 00:14:56,710 RESEARCH INPUTS SCORED BY 386 00:14:56,710 --> 00:14:58,379 ALTMETRIC BROADLY AND THERE ARE 387 00:14:58,379 --> 00:15:00,714 OTHER STUDIES IN THAT TOP 5% OF 388 00:15:00,714 --> 00:15:02,249 SCORES BUT I DON'T HAVE TIME TO 389 00:15:02,249 --> 00:15:04,218 MENTION THEM ALL. 390 00:15:04,218 --> 00:15:08,822 SO A HINTS PAPER LED BY JEN 391 00:15:08,822 --> 00:15:10,924 TABER AND COLLEAGUES IS WHY 392 00:15:10,924 --> 00:15:12,793 PEOPLE AVOID MEDICAL CARE. 393 00:15:12,793 --> 00:15:14,595 IT GARNERED SIGNIFICANT MEDIA 394 00:15:14,595 --> 00:15:16,230 ATTENTION WITH OVER 76 STORIES 395 00:15:16,230 --> 00:15:26,407 AND 66 NEWS OUTLETS, AND WHO 396 00:15:26,407 --> 00:15:31,912 AND A PAPER LED BY AMANDA GRAM 397 00:15:31,912 --> 00:15:35,849 AND MICHAEL AMATO USED HINTS TO 398 00:15:35,849 --> 00:15:36,984 DOCUMENT 12 MILLION SMOKERS 399 00:15:36,984 --> 00:15:39,019 HAVE LOOKED ONLINE FOR SMOKING 400 00:15:39,019 --> 00:15:40,287 CESSATION HELP ANNUALLY. 401 00:15:40,287 --> 00:15:43,357 AND IT WAS MENTIONED IN 69 402 00:15:43,357 --> 00:15:49,163 STORIES FROM 66 MEDIA OUTLETS 403 00:15:49,163 --> 00:15:51,031 AND SEIDENBERG AND COLLEAGUES I 404 00:15:51,031 --> 00:15:53,200 THINK THIS YEAR USED HINTS TO 405 00:15:53,200 --> 00:15:55,903 LOOK AT ALCOHOL AS A CARCINOGEN 406 00:15:55,903 --> 00:15:58,772 AND IF THAT LINK CONTRIBUTES TO 407 00:15:58,772 --> 00:16:01,075 PEOPLE'S OPINIONS ABOUT POLICY 408 00:16:01,075 --> 00:16:09,083 MEASURES TO PREVENT ALCOHOL USE. 409 00:16:09,083 --> 00:16:11,351 SUK AND COLLEAGUES DOCUMENTED 410 00:16:11,351 --> 00:16:15,389 KNOWLEDGE OF HPV AND THE 411 00:16:15,389 --> 00:16:16,790 RECEIPT OF HPV RECOMMENDATIONS 412 00:16:16,790 --> 00:16:19,560 IN A PAPER IN JAMA PEDIATRIC 413 00:16:19,560 --> 00:16:20,427 THAT'S RESULTED IN 46 NEW 414 00:16:20,427 --> 00:16:22,563 STORIES. 415 00:16:22,563 --> 00:16:24,198 ANTHONY AND COLLEAGUES USED 416 00:16:24,198 --> 00:16:26,533 HINTS TO DOCUMENT WHO ISN'T 417 00:16:26,533 --> 00:16:29,103 USING PATIENT PORTALS AND WHY. 418 00:16:29,103 --> 00:16:32,206 FORD AND COLLEAGUES USED HINTS 419 00:16:32,206 --> 00:16:34,541 ABOUT PERSONAL HEALTH RECORDS 420 00:16:34,541 --> 00:16:35,409 AND PREDICT FUTURE ADOPTION 421 00:16:35,409 --> 00:16:37,077 LEVELS. 422 00:16:37,077 --> 00:16:38,946 I THINK THE PREDICTION OF THESE 423 00:16:38,946 --> 00:16:45,119 FINDINGS AND RESULT IN HIGH 424 00:16:45,119 --> 00:16:46,954 ALTMETRIC ATTENTION SCORES 425 00:16:46,954 --> 00:16:49,323 HINTS IS USED FOR PRACTITIONERS 426 00:16:49,323 --> 00:16:51,658 AND POLICY MAKERS AND THEY HAVE 427 00:16:51,658 --> 00:16:53,193 UTILITY BEYOND JUST ACADEMIC 428 00:16:53,193 --> 00:16:54,495 EFFORTS. 429 00:16:54,495 --> 00:16:56,130 SO KUDOS TO ALL OF YOU WHO ARE 430 00:16:56,130 --> 00:16:58,065 DOING THIS IMPORTANT WORK. 431 00:16:58,065 --> 00:16:59,166 AND THANKS FOR MAKING HINTS 432 00:16:59,166 --> 00:17:00,801 DATA PART OF THE LARGER PUBLIC 433 00:17:00,801 --> 00:17:05,072 INFORMATION ENVIRONMENT. 434 00:17:05,072 --> 00:17:07,741 SO WHAT DO THE NEXT 20 YEARS 435 00:17:07,741 --> 00:17:08,809 HAVE IN STORE? 436 00:17:08,809 --> 00:17:16,450 WE HOPE TO CONTINUE TO NURTURE 437 00:17:16,450 --> 00:17:18,085 OUR ROBUST COMMUNICATION DATA 438 00:17:18,085 --> 00:17:19,520 USER COMMUNITY FOCUSED ON 439 00:17:19,520 --> 00:17:21,588 ANSWERING IMPORTANT HEALTH AND 440 00:17:21,588 --> 00:17:22,790 CANCER COMMUNICATION RESEARCH 441 00:17:22,790 --> 00:17:23,323 QUESTIONS THAT CAN INFORM 442 00:17:23,323 --> 00:17:24,391 PRACTICE. 443 00:17:24,391 --> 00:17:27,294 WE WILL HAVE MORE ABOUT 444 00:17:27,294 --> 00:17:29,963 LONGITUDINAL DATA TOMORROW. 445 00:17:29,963 --> 00:17:30,831 EXPAND DATA LINKAGES, 446 00:17:30,831 --> 00:17:33,233 PRIORITIZE THE NEEDS OF CANCER 447 00:17:33,233 --> 00:17:34,568 SURVIVORS AND CAREGIVERS IN OUR 448 00:17:34,568 --> 00:17:36,270 COLLECTION EFFORTS. 449 00:17:36,270 --> 00:17:37,704 KEEP PACE WITH IMPORTANT 450 00:17:37,704 --> 00:17:38,839 DEVELOPMENTS IN THE 451 00:17:38,839 --> 00:17:40,140 COMMUNICATION AND HEALTH 452 00:17:40,140 --> 00:17:40,641 INFORMATION TECHNOLOGY 453 00:17:40,641 --> 00:17:41,642 LANDSCAPES. 454 00:17:41,642 --> 00:17:44,745 TRYING TO HAVE MORE FOCUS ON 455 00:17:44,745 --> 00:17:46,847 EMERGING SOCIAL MEDIA PLATFORMS 456 00:17:46,847 --> 00:17:48,248 RESPONSES TO ONLINE 457 00:17:48,248 --> 00:17:49,216 MISINFORMATION, CHANGES IN 458 00:17:49,216 --> 00:17:50,150 TELEHEALTH POLICY ET CETERA. 459 00:17:50,150 --> 00:17:52,286 WE HOPE TO CONTINUE TO SUPPORT 460 00:17:52,286 --> 00:17:54,221 OUR FEDERAL PARTNERS IN 461 00:17:54,221 --> 00:17:55,889 TRACKING POLICY IMPLEMENTATION 462 00:17:55,889 --> 00:17:57,491 AND GUIDELINE ADHERENCE AND TO 463 00:17:57,491 --> 00:17:59,660 STAY ON THE CUTTING EDGE OF 464 00:17:59,660 --> 00:18:00,360 SURVEY METHODOLOGY. 465 00:18:00,360 --> 00:18:01,962 WE HAVE A REAL TREAT AFTER 466 00:18:01,962 --> 00:18:03,864 LUNCH WHERE WE WILL HAVE A 467 00:18:03,864 --> 00:18:05,966 PANEL OF DIRECTORS OF FEDERAL 468 00:18:05,966 --> 00:18:06,900 SURVEYS TALKING ABOUT 469 00:18:06,900 --> 00:18:08,535 CHALLENGES AND OPPORTUNITIES 470 00:18:08,535 --> 00:18:09,770 FOR FEDERAL SURVEY RESEARCH. 471 00:18:09,770 --> 00:18:11,371 SO WE HOPE YOU WILL BE HERE 472 00:18:11,371 --> 00:18:13,473 WITH US FOR THE NEXT 20 YEARS. 473 00:18:13,473 --> 00:18:14,808 WE ARE GLAD YOU ARE HERE WITH 474 00:18:14,808 --> 00:18:16,977 US TODAY. 475 00:18:16,977 --> 00:18:21,648 SO NEXT, IT'S MY HONOR TO 476 00:18:21,648 --> 00:18:23,250 INTRODUCE KATRINA GODDARD. 477 00:18:23,250 --> 00:18:25,352 DR. GODDARD IS THE DIRECTOR OF 478 00:18:25,352 --> 00:18:27,187 DIVISION OF CANCER CONTROL AND 479 00:18:27,187 --> 00:18:29,523 POPULATION SCIENCES HERE AT NCI. 480 00:18:29,523 --> 00:18:32,559 THE DIVISION THAT HOUSES HINTS. 481 00:18:32,559 --> 00:18:33,760 DR. GODDARD WAS APPOINTED THE 482 00:18:33,760 --> 00:18:35,729 DIRECTOR OF THE DIVISION OF 483 00:18:35,729 --> 00:18:37,998 CANCER CONTROL AND POPULATION 484 00:18:37,998 --> 00:18:39,533 SCIENCES IN OCTOBER 2021, SO 485 00:18:39,533 --> 00:18:41,468 SHE IS STILL PRETTY NEW TO OUR 486 00:18:41,468 --> 00:18:41,735 DIVISION. 487 00:18:41,735 --> 00:18:43,370 IN THIS POSITION SHE OVERSEES 488 00:18:43,370 --> 00:18:45,939 OUR DIVISION THAT COVERS A WIDE 489 00:18:45,939 --> 00:18:49,409 RANGE OF SCIENTIFIC DOMAINS AND 490 00:18:49,409 --> 00:18:51,278 DISCIPLINES, INCLUDING EPI 491 00:18:51,278 --> 00:18:52,479 BEHAVIORAL SILENCES, 492 00:18:52,479 --> 00:18:54,114 SURVEILLANCE AND STATISTICS, 493 00:18:54,114 --> 00:18:55,282 CANCER SURVIVEORSHIP AND HEALTH 494 00:18:55,282 --> 00:18:56,950 OUTCOMES RESEARCH. 495 00:18:56,950 --> 00:18:59,553 PRIOR TO JOINING NCI SHE WAS A 496 00:18:59,553 --> 00:19:00,954 DISTINGUISHED INVESTIGATOR AND 497 00:19:00,954 --> 00:19:03,323 DIRECTOR OF TRANSLATIONAL AND 498 00:19:03,323 --> 00:19:06,226 APPLIED GENOMICS AT KAISER IN 499 00:19:06,226 --> 00:19:16,136 PORTLAND OREGON. 500 00:19:16,136 --> 00:19:17,537 BIO STATITICIAN. 501 00:19:17,537 --> 00:19:26,146 SHE HAS A BS IN MOLECULAR 502 00:19:26,146 --> 00:19:31,084 BIOLOGY FROM UNIVERSITY OF 503 00:19:31,084 --> 00:19:33,787 WISCONSIN, MADISON. 504 00:19:33,787 --> 00:19:36,657 WELCOME, DR. GODDARD. 505 00:19:36,657 --> 00:19:37,557 >> Katrina Goddard: WELCOME, 506 00:19:37,557 --> 00:19:38,992 EVERYONE. 507 00:19:38,992 --> 00:19:40,360 AND REALLY CONGRATULATIONS TO 508 00:19:40,360 --> 00:19:43,664 EVERYONE HERE WHO HAS TAKEN 509 00:19:43,664 --> 00:19:47,734 PART IN HINTS OVER THE PAST 20 510 00:19:47,734 --> 00:19:49,136 YEARS. 511 00:19:49,136 --> 00:19:52,639 I AM JUST THRILLED TO HAVE THE 512 00:19:52,639 --> 00:19:55,475 OPPORTUNITY TO FOLLICLY'S 513 00:19:55,475 --> 00:19:55,709 REMARKS. 514 00:19:55,709 --> 00:19:59,246 -- FOLLOW KELLY'S REMARKS. 515 00:19:59,246 --> 00:20:00,814 THANK YOU, KELLY FOR GIVING US 516 00:20:00,814 --> 00:20:02,249 THE WONDERFUL LOOK OVER THE 517 00:20:02,249 --> 00:20:04,117 PAST 20 YEARS AND NOW I GET TO 518 00:20:04,117 --> 00:20:05,986 LOOK FORWARD ABOUT HOW HEALTH 519 00:20:05,986 --> 00:20:08,388 COMMUNICATION AND HINTS IN 520 00:20:08,388 --> 00:20:09,790 PARTICULAR IS REALLY GOING TO 521 00:20:09,790 --> 00:20:11,525 BE PART OF THE FUTURE 522 00:20:11,525 --> 00:20:22,002 DIRECTIONS OF THE DIVISION. 523 00:20:24,705 --> 00:20:27,607 AS KELLY MENTIONED WE DEVELOPED 524 00:20:27,607 --> 00:20:29,609 SIX PRIORITY AREAS SINCE I 525 00:20:29,609 --> 00:20:30,711 JOINED NCI. 526 00:20:30,711 --> 00:20:32,746 THIS WAS A PROCESS THAT 527 00:20:32,746 --> 00:20:34,348 INVOLVED OUR ENTIRE RESEARCH 528 00:20:34,348 --> 00:20:34,614 COMMUNITY. 529 00:20:34,614 --> 00:20:40,253 WE HAD A REQUEST FOR 530 00:20:40,253 --> 00:20:41,855 INFORMATION AND RECEIVED NEARLY 531 00:20:41,855 --> 00:20:44,858 400 IDEAS WHAT OUR PRIORITIES 532 00:20:44,858 --> 00:20:46,693 SHOULD BE BETWEEN THE 533 00:20:46,693 --> 00:20:47,861 EXTRAMURAL COMMUNITIES AND 534 00:20:47,861 --> 00:20:49,763 OTHER STAKEHOLDERS AS WELL AS 535 00:20:49,763 --> 00:20:51,565 STAFF IDEAS WE GATHERED 536 00:20:51,565 --> 00:20:52,799 INTERNALLY AT NCI. 537 00:20:52,799 --> 00:20:56,036 SO FROM THOSE 400 IDEAS WE WENT 538 00:20:56,036 --> 00:20:57,204 THROUGH A FACILITATED PROCESS 539 00:20:57,204 --> 00:20:59,306 TO NARROW IT DOWN AND COME UP 540 00:20:59,306 --> 00:21:01,208 WITH THESE SIX PRIORITY AREAS. 541 00:21:01,208 --> 00:21:05,879 THESE SIX AREAS WERE CHOSEN 542 00:21:05,879 --> 00:21:07,047 BECAUSE WE THINK THERE'S AN 543 00:21:07,047 --> 00:21:08,949 OPPORTUNITY RIGHT NOW TO REALLY 544 00:21:08,949 --> 00:21:11,651 ADVANCE THE SCIENCE IN THESE 545 00:21:11,651 --> 00:21:12,419 AREAS. 546 00:21:12,419 --> 00:21:14,154 BECAUSE THESE AREAS BUILD UPON 547 00:21:14,154 --> 00:21:16,656 THE WORK THAT WE HAVE DONE OVER 548 00:21:16,656 --> 00:21:19,292 THE PAST 25 YEARS IN THIS 549 00:21:19,292 --> 00:21:20,961 DIVISION. 550 00:21:20,961 --> 00:21:25,599 AND BECAUSE SOME OF THESE AREAS 551 00:21:25,599 --> 00:21:27,534 REALLY NEED GREATER 552 00:21:27,534 --> 00:21:30,604 COORDINATION FROM THE NCI TO 553 00:21:30,604 --> 00:21:33,473 BUILD INFRASTRUCTURE IN ORDER 554 00:21:33,473 --> 00:21:35,075 TO HELP RESEARCHERS BE ABLE TO 555 00:21:35,075 --> 00:21:37,611 DO THE SCIENCE THAT IS VERY 556 00:21:37,611 --> 00:21:39,646 DIFFICULT TO DO TODAY. 557 00:21:39,646 --> 00:21:42,049 SO THOSE WERE KIND OF THE THREE 558 00:21:42,049 --> 00:21:43,884 REASONS WHY WE CHOSE THESE SIX 559 00:21:43,884 --> 00:21:44,751 PRIORITY AREAS. 560 00:21:44,751 --> 00:21:48,055 I WANT TO TALK ABOUT HOW HINTS 561 00:21:48,055 --> 00:21:49,456 IS REALLY GOING TO BE 562 00:21:49,456 --> 00:21:52,059 CONTRIBUTING TO ALL OF THESE 563 00:21:52,059 --> 00:21:53,927 PRIORITIES, AND HAS CONTRIBUTED. 564 00:21:53,927 --> 00:21:55,695 SO STARTING WITH THE DIGITAL 565 00:21:55,695 --> 00:21:57,764 HEALTH PRIORITY AREA. 566 00:21:57,764 --> 00:22:02,202 I THINK THAT IT IS CLEAR THAT 567 00:22:02,202 --> 00:22:05,205 DIGITAL TECHNOLOGIES ARE HERE 568 00:22:05,205 --> 00:22:08,041 TO STAY AND REALLY INTERESTING 569 00:22:08,041 --> 00:22:09,443 OPPORTUNITY FOR US TO THINK 570 00:22:09,443 --> 00:22:11,511 ABOUT HOW TO USE THESE 571 00:22:11,511 --> 00:22:12,913 TECHNOLOGIES AS PART OF 572 00:22:12,913 --> 00:22:14,214 HEALTHCARE AND AS PART OF 573 00:22:14,214 --> 00:22:16,516 HEALTH COMMUNICATION. 574 00:22:16,516 --> 00:22:19,519 SO THESE ARE JUST SOME EXAMPLES 575 00:22:19,519 --> 00:22:22,622 OF THE RELEVANT HINTS ITEMS 576 00:22:22,622 --> 00:22:24,458 THAT HAVE BEEN ON PAST SURVEYS 577 00:22:24,458 --> 00:22:25,625 FOR HINTS. 578 00:22:25,625 --> 00:22:27,794 SO ONE IS ON YOUR TABLET OR 579 00:22:27,794 --> 00:22:28,695 SMARTPHONE. 580 00:22:28,695 --> 00:22:34,434 DO YOU HAVE ANY SOFTWARE 581 00:22:34,434 --> 00:22:39,106 APPLICATIONS OR APPS FOR HEALTH. 582 00:22:39,106 --> 00:22:41,208 DID YOU RECEIVE CARE FROM A 583 00:22:41,208 --> 00:22:42,709 DOCTOR OR HEALTH PROFESSIONAL 584 00:22:42,709 --> 00:22:43,977 USING TELEHEALTH. 585 00:22:43,977 --> 00:22:46,113 DURING THE PANDEMIC WE SAW A 586 00:22:46,113 --> 00:22:48,215 DRAMATIC INCREASE IN THE USE OF 587 00:22:48,215 --> 00:22:49,583 TELEHEALTH AND I THINK THAT'S A 588 00:22:49,583 --> 00:22:50,984 TECHNOLOGY THAT IS HERE TO STAY 589 00:22:50,984 --> 00:22:53,286 AND SOMETHING THAT WE NEED TO 590 00:22:53,286 --> 00:22:55,288 STUDY HOW TO USE IT MOST 591 00:22:55,288 --> 00:22:59,292 EFFECTIVELY. 592 00:22:59,292 --> 00:23:01,294 OUR NEXT PRIORITY AREA IS 593 00:23:01,294 --> 00:23:02,963 CLIMATE CHANGE. 594 00:23:02,963 --> 00:23:05,365 THIS IS SOMETHING THAT REALLY 595 00:23:05,365 --> 00:23:06,967 IMPACTS HEALTH BEHAVIORS BUT IT 596 00:23:06,967 --> 00:23:08,301 ALSO IMPACTS HOW WE DELIVER 597 00:23:08,301 --> 00:23:09,269 CANCER CARE. 598 00:23:09,269 --> 00:23:11,338 AND SO THIS IS AN EXAMPLE HOW 599 00:23:11,338 --> 00:23:13,006 MUCH DO YOU THINK CLIMATE 600 00:23:13,006 --> 00:23:15,842 CHANGE WILL HARM YOUR HEALTH. 601 00:23:15,842 --> 00:23:17,711 SO TRYING TO UNDERSTAND 602 00:23:17,711 --> 00:23:19,946 ATTITUDES ABOUT CLIMATE CHANGE 603 00:23:19,946 --> 00:23:24,217 ANDITY HEALTH EFFECTS. 604 00:23:24,217 --> 00:23:25,152 MODIFIABLE RISK FACTORS HAS 605 00:23:25,152 --> 00:23:26,987 BEEN PART OF OUR BREAD AND 606 00:23:26,987 --> 00:23:29,589 BUTTER OVER THE PAST 25 YEARS. 607 00:23:29,589 --> 00:23:32,425 A REALLY IMPORTANT AREA OF 608 00:23:32,425 --> 00:23:35,929 RESEARCH IN CANCER, IT 609 00:23:35,929 --> 00:23:38,732 CONTRIBUTES ABOUT 40% OF CANCER 610 00:23:38,732 --> 00:23:40,901 DEATHS ARE FROM KNOWN 611 00:23:40,901 --> 00:23:42,135 MODIFIABLE RISK FACTORS. 612 00:23:42,135 --> 00:23:43,837 SO THIS IS AN AREA THAT WE 613 00:23:43,837 --> 00:23:46,606 STILL NEED TO CONTINUE TO WORK 614 00:23:46,606 --> 00:23:48,975 ON ADDRESSING THESE HEALTH 615 00:23:48,975 --> 00:23:50,810 BEHAVIORS AND MODIFIABLE RISK 616 00:23:50,810 --> 00:23:54,047 FACTORS THAT ARE REALLY MAKING 617 00:23:54,047 --> 00:23:55,015 A SUBSTANTIAL CONTRIBUTION TO 618 00:23:55,015 --> 00:23:56,616 CANCER RISK. 619 00:23:56,616 --> 00:24:02,522 AND SO SOME OF THE ITEMS YOU 620 00:24:02,522 --> 00:24:03,924 CAN SEE HERE, THIS QUESTION HOW 621 00:24:03,924 --> 00:24:05,325 MUCH DO YOU THINK DRINKING 622 00:24:05,325 --> 00:24:06,960 ALCOHOL CAN INCREASE A PERSON'S 623 00:24:06,960 --> 00:24:08,828 CHANCE OF DEVELOPING CANCER WAS 624 00:24:08,828 --> 00:24:11,298 A VERY IMPORTANT QUESTION THAT 625 00:24:11,298 --> 00:24:21,808 LED TO, THAT WAS PUBLISHED IN 626 00:24:24,978 --> 00:24:26,079 THE SEIDENBERG MANUSCRIPT THAT 627 00:24:26,079 --> 00:24:27,948 KELLY WAS TALKING ABOUT. 628 00:24:27,948 --> 00:24:31,585 HEALTH EQUITY IS SOMETHING THAT 629 00:24:31,585 --> 00:24:34,387 WE ALL NEED TO FOCUS ON. 630 00:24:34,387 --> 00:24:36,256 AND THE HEALTH DISPARITIES IN 631 00:24:36,256 --> 00:24:39,159 THIS COUNTRY AND WORLDWIDE ARE 632 00:24:39,159 --> 00:24:40,760 SUBSTANTIAL AND SOMETHING THAT 633 00:24:40,760 --> 00:24:43,797 WE CAN MAKE A DIFFERENCE IN. 634 00:24:43,797 --> 00:24:48,001 SO THIS IS A PRIORITY FOR OUR 635 00:24:48,001 --> 00:24:50,136 DIVISION TO STUDY WAYS THAT WE 636 00:24:50,136 --> 00:24:51,171 CAN REDUCE THESE HEALTH 637 00:24:51,171 --> 00:24:53,206 DISPARITIES. 638 00:24:53,206 --> 00:25:00,180 AND HINTS QUESTIONS HAVE 639 00:25:00,180 --> 00:25:06,253 CONTRIBUTED TO UNDERSTANDING 640 00:25:06,253 --> 00:25:08,588 PEOPLE'S FOOD INSECURITY AND 641 00:25:08,588 --> 00:25:09,522 DISCRIMINATION IN HEALTHCARE 642 00:25:09,522 --> 00:25:11,591 SETTINGS AND HOW THEY HAVE 643 00:25:11,591 --> 00:25:13,627 EXPERIENCED THAT IN THEIR OWN 644 00:25:13,627 --> 00:25:18,231 PERSONAL SITUATION. 645 00:25:18,231 --> 00:25:20,767 HEALTH POLICY IS ONE WAY THAT 646 00:25:20,767 --> 00:25:23,937 WE CAN REALLY TAKE THE RESEARCH 647 00:25:23,937 --> 00:25:28,275 THAT WE ARE DOING AND HELP TO 648 00:25:28,275 --> 00:25:30,210 EMBED EVIDENCE-BASED PRACTICES 649 00:25:30,210 --> 00:25:35,749 INTO FUTURE CARE AND TO MAKE 650 00:25:35,749 --> 00:25:37,817 SURE THAT THE RESEARCH WE DO 651 00:25:37,817 --> 00:25:39,853 CAN BE SUSTAINED AND SCALABLE 652 00:25:39,853 --> 00:25:40,153 NATIONWIDE. 653 00:25:40,153 --> 00:25:49,796 SO SOME OF THE HINTS ITEMS HERE 654 00:25:49,796 --> 00:25:52,365 ARE LOOKING AT EXCESSIVE 655 00:25:52,365 --> 00:25:55,035 ALCOHOL USE AND LOOKING AT 656 00:25:55,035 --> 00:25:56,236 WARNINGS ON CONTAINERS AS 657 00:25:56,236 --> 00:25:57,871 HEALTH POLICY. 658 00:25:57,871 --> 00:26:00,006 AND WHEN YOU ORDER FOOD DO YOU 659 00:26:00,006 --> 00:26:01,341 SEEK CALORIE INFORMATION ON THE 660 00:26:01,341 --> 00:26:02,108 MENU. 661 00:26:02,108 --> 00:26:03,743 SO THESE ARE PARTICULAR POLICY 662 00:26:03,743 --> 00:26:06,780 THAT'S COULD MAKE A DIFFERENCE 663 00:26:06,780 --> 00:26:09,382 IN HEALTH BEHAVIORS. 664 00:26:09,382 --> 00:26:11,251 DATA STRATEGIES IS REALLY 665 00:26:11,251 --> 00:26:13,119 IMPORTANT BECAUSE WE REALLY 666 00:26:13,119 --> 00:26:16,323 NEED TO FIND WAYS TO DO OUR 667 00:26:16,323 --> 00:26:23,830 WORK MORE EFFICIENTLY AND TO 668 00:26:23,830 --> 00:26:26,199 REUSE TO THE MAXIMUM EXTENT 669 00:26:26,199 --> 00:26:27,801 POSSIBLE THE MAXIMUM AMOUNT OF 670 00:26:27,801 --> 00:26:29,736 INFORMATION WE ARE COLLECTING. 671 00:26:29,736 --> 00:26:32,505 I THINK HINTS IS A NICE EXAMPLE 672 00:26:32,505 --> 00:26:33,907 FROM THE STATISTICS KELLY 673 00:26:33,907 --> 00:26:35,809 QUOTED WITH SO MANY 674 00:26:35,809 --> 00:26:45,051 PUBLICATIONS, SO MANY USERS 675 00:26:45,051 --> 00:26:46,686 WERE REALLY LIVING THAT 676 00:26:46,686 --> 00:26:47,854 IMPORTANCE OF DATA STRATEGIES 677 00:26:47,854 --> 00:26:49,489 THROUGH HINTS TO ENSURE THE 678 00:26:49,489 --> 00:26:51,491 DATA IS ACCESSIBLE AND TO 679 00:26:51,491 --> 00:26:59,599 ACCELERATE THE DISCOVERIES. 680 00:26:59,599 --> 00:27:01,801 I ALSO WANT TO TALK ABOUT 681 00:27:01,801 --> 00:27:08,742 NATIONAL CANCER PLAN. 682 00:27:08,742 --> 00:27:11,077 MARTINA JOINED AND WHAT SHE DID 683 00:27:11,077 --> 00:27:14,547 AFTER JOINING NCI WAS TO COME 684 00:27:14,547 --> 00:27:16,483 OUT WITH THE NATION'S NATIONAL 685 00:27:16,483 --> 00:27:17,817 CANCER PLAN. 686 00:27:17,817 --> 00:27:19,386 THIS INVOLVES EVERYONE. 687 00:27:19,386 --> 00:27:21,988 IT'S ALL OF GOVERNMENT, ALL OF 688 00:27:21,988 --> 00:27:23,623 SOCIETY APPROACH TO HOW WE CAN 689 00:27:23,623 --> 00:27:30,397 TACKLE THE ISSUE OF CANCER. 690 00:27:30,397 --> 00:27:32,766 THERE ARE EIGHT PRIORITY AREAS 691 00:27:32,766 --> 00:27:34,100 IN THE NATIONAL CANCER PLAN 692 00:27:34,100 --> 00:27:35,568 LISTED HERE. 693 00:27:35,568 --> 00:27:37,871 IN THE RED TEXT YOU COULD SEE 694 00:27:37,871 --> 00:27:40,306 HOW HINTS IS CONTRIBUTING TO 695 00:27:40,306 --> 00:27:46,479 EACH OF THESE PRIORITY AREAS. 696 00:27:46,479 --> 00:27:49,048 IN TERMS OF PREVENTION OF 697 00:27:49,048 --> 00:27:50,250 CANCER, TRACKING KNOWLEDGE, 698 00:27:50,250 --> 00:27:51,985 ATTITUDES AND BEHAVIORS RELATED 699 00:27:51,985 --> 00:27:53,953 TO CANCER PREVENTION. 700 00:27:53,953 --> 00:27:55,155 DETECTING CANCERS EARLY. 701 00:27:55,155 --> 00:27:57,056 SHARED DECISION MAKING. 702 00:27:57,056 --> 00:27:59,859 AND ADDRESSING CANCER SCREENING. 703 00:27:59,859 --> 00:28:02,429 ELIMINATING INEQUITIES. 704 00:28:02,429 --> 00:28:04,531 LOOKING AT DIFFERENCES IN 705 00:28:04,531 --> 00:28:06,232 ACCESS AND USE TO INFORMATION 706 00:28:06,232 --> 00:28:07,967 TECHNOLOGY. 707 00:28:07,967 --> 00:28:10,336 DELIVERING OPTIMAL CARE. 708 00:28:10,336 --> 00:28:13,373 LOOKING AT PATIENT PROVIDER 709 00:28:13,373 --> 00:28:14,507 COMMUNICATION, CARE 710 00:28:14,507 --> 00:28:15,742 SATISFACTION AND CARE 711 00:28:15,742 --> 00:28:17,510 UTILIZATION. 712 00:28:17,510 --> 00:28:18,711 ENGAGING EVERY PERSON IN 713 00:28:18,711 --> 00:28:20,313 RESEARCH. 714 00:28:20,313 --> 00:28:22,649 IT PROVIDES AN OPPORTUNITY FOR 715 00:28:22,649 --> 00:28:24,551 THOSE WITH CANCER AND AT RISK 716 00:28:24,551 --> 00:28:27,220 FOR CANCER TO PARTICIPATE IN 717 00:28:27,220 --> 00:28:29,222 RESEARCH BY BEING PART OF THE 718 00:28:29,222 --> 00:28:32,459 HINTS SURVEY. 719 00:28:32,459 --> 00:28:33,626 AND MAXIMIZING DATA UTILITY 720 00:28:33,626 --> 00:28:35,462 BECAUSE THIS DATA IS FREELY 721 00:28:35,462 --> 00:28:38,531 AVAILABLE TO THE RESEARCH 722 00:28:38,531 --> 00:28:42,268 COMMUNITY AND REALLY BEING ABLE 723 00:28:42,268 --> 00:28:43,937 TO FACILITATE THOSE 724 00:28:43,937 --> 00:28:44,504 COLLABORATIONS LIKE KELLY 725 00:28:44,504 --> 00:28:47,407 SHOWED IN THE VERY IMPRESSIVE 726 00:28:47,407 --> 00:28:49,709 NETWORK OF COLLABORATIONS THAT 727 00:28:49,709 --> 00:28:54,681 ARE USING HINTS DATA. 728 00:28:54,681 --> 00:28:56,282 SO I WANTED TO END WITH SHOWING 729 00:28:56,282 --> 00:28:58,551 SOME OF THE CANCER 730 00:28:58,551 --> 00:28:59,786 COMMUNICATION-RELATED FUNDING 731 00:28:59,786 --> 00:29:00,119 OPPORTUNITIES. 732 00:29:00,119 --> 00:29:03,323 I HOPE THAT YOU WILL CONSIDER 733 00:29:03,323 --> 00:29:03,756 APPLYING FOR THESE 734 00:29:03,756 --> 00:29:04,691 OPPORTUNITIES. 735 00:29:04,691 --> 00:29:06,793 WE WOULD REALLY LIKE TO 736 00:29:06,793 --> 00:29:09,696 STIMULATE SCIENCE IN THESE 737 00:29:09,696 --> 00:29:13,166 AREAS AND SEE MORE PEOPLE WHO 738 00:29:13,166 --> 00:29:14,067 ARE STUDYING THESE TOPICS. 739 00:29:14,067 --> 00:29:16,636 THERE ARE SEVERAL. 740 00:29:16,636 --> 00:29:19,439 SO STARTING OFF WITH INNOVATIVE 741 00:29:19,439 --> 00:29:20,840 APPROACHES FOR STUDYING CANCER 742 00:29:20,840 --> 00:29:22,275 COMMUNICATION IN THE NEW 743 00:29:22,275 --> 00:29:24,077 INFORMATION ECOSYSTEM. 744 00:29:24,077 --> 00:29:26,646 I THINK EVERYONE IN THIS 745 00:29:26,646 --> 00:29:29,415 AUDIENCE, BOTH IN PERSON AND 746 00:29:29,415 --> 00:29:30,850 VIRTUALLY UNDERSTANDS THE 747 00:29:30,850 --> 00:29:31,551 IMPORTANCE THAT CANCER 748 00:29:31,551 --> 00:29:35,421 COMMUNICATION IS GOING TO HAVE. 749 00:29:35,421 --> 00:29:41,828 IN OUR FUTURE HEALTH OF THE 750 00:29:41,828 --> 00:29:43,730 POPULATION AND THE COVID 751 00:29:43,730 --> 00:29:45,198 PANDEMIC ONLY UNDERLINED AND 752 00:29:45,198 --> 00:29:48,167 UNDERSCORED THAT IMPORTANCE. 753 00:29:48,167 --> 00:29:48,768 LOOKING AT THE 754 00:29:48,768 --> 00:29:51,004 PATIENT-CLINICIAN RELATIONSHIP. 755 00:29:51,004 --> 00:29:51,905 LEVERAGING HEALTH INFORMATION 756 00:29:51,905 --> 00:29:54,574 TECHNOLOGY TO ADDRESS AND 757 00:29:54,574 --> 00:29:57,076 REDUCE HEALTHCARE DISPARITIES. 758 00:29:57,076 --> 00:29:58,945 AND SECONDARY ANALYSES TO 759 00:29:58,945 --> 00:30:01,047 INTEGRATE EXISTING DATA AND 760 00:30:01,047 --> 00:30:02,382 ELUCIDATE CANCER RISK AND 761 00:30:02,382 --> 00:30:03,149 RELATED OUTCOMES. 762 00:30:03,149 --> 00:30:05,518 SO I THINK YOU CAN SEE HOW MANY 763 00:30:05,518 --> 00:30:07,387 OF THESE TOPICS RELATE TO THE 764 00:30:07,387 --> 00:30:08,021 PRIORITIES I JUST MENTIONED AS 765 00:30:08,021 --> 00:30:13,293 WELL. 766 00:30:13,293 --> 00:30:15,862 WE ALSO RECENTLY HAD A NEW 767 00:30:15,862 --> 00:30:17,997 P.A.R. ANNOUNCED ON POPULATION 768 00:30:17,997 --> 00:30:18,798 APPROACHES TO REDUCE 769 00:30:18,798 --> 00:30:20,967 ALCOHOL-RELATED CANCER RISK. 770 00:30:20,967 --> 00:30:23,236 AND AGAIN, THIS WAS PARTIALLY 771 00:30:23,236 --> 00:30:25,638 MOTIVATED BY SOME OF THE DATA 772 00:30:25,638 --> 00:30:30,710 FROM HINTS, SO THAT IS EXCITING. 773 00:30:30,710 --> 00:30:31,311 UNDERSTANDING EXPECTANCIES IN 774 00:30:31,311 --> 00:30:32,545 CANCER-SYMPTOM MANAGEMENT. 775 00:30:32,545 --> 00:30:34,881 AND NOTICE OF SPECIAL INTEREST 776 00:30:34,881 --> 00:30:36,316 ON TELEHEALTH AND CANCER CARE. 777 00:30:36,316 --> 00:30:37,550 SO THANK YOU VERY MUCH FOR 778 00:30:37,550 --> 00:30:41,688 BEING HERE TODAY. 779 00:30:41,688 --> 00:30:42,655 AND REALLY ENJOY THE CONFERENCE. 780 00:30:42,655 --> 00:30:52,832 THANK YOU. 781 00:31:04,744 --> 00:31:08,615 >> Kelly Blake: THANK YOU, DR. 782 00:31:08,615 --> 00:31:10,483 GODDARD FOR THOSE REMARKS. 783 00:31:10,483 --> 00:31:12,819 NOW IT'S MY PLEASURE, HONOR AND 784 00:31:12,819 --> 00:31:15,822 THRILL TO INTRODUCE YOU TO MY 785 00:31:15,822 --> 00:31:17,023 FRIEND MARLENE CAMACHO-RIVERA 786 00:31:17,023 --> 00:31:19,826 WHO IS THE CONFERENCE CHAIR FOR 787 00:31:19,826 --> 00:31:22,562 THIS HINTS MEETING, TO GIVE HER 788 00:31:22,562 --> 00:31:24,864 KEYNOTE ADDRESS TITLED -- 789 00:31:24,864 --> 00:31:27,200 SORRY, THE PATH TOWARDS HEALTH 790 00:31:27,200 --> 00:31:28,635 COMMUNICATION EQUITY, A JOURNEY 791 00:31:28,635 --> 00:31:31,904 THROUGH 20 YEARS OF HINTS. 792 00:31:31,904 --> 00:31:33,773 DR. CAMACHO-RIVERA IS AN 793 00:31:33,773 --> 00:31:34,907 ASSISTANT PROFESSOR OF 794 00:31:34,907 --> 00:31:37,744 COMMUNITY HEALTH SCIENCES AT 795 00:31:37,744 --> 00:31:39,612 SUNY DOWNSTATE SCHOOL OF HEALTH. 796 00:31:39,612 --> 00:31:41,247 SHE RECEIVED HER B.S. IN 797 00:31:41,247 --> 00:31:41,981 BIOLOGY AND SOCIETY FROM 798 00:31:41,981 --> 00:31:44,017 CORNELL. 799 00:31:44,017 --> 00:31:45,885 M.P.H. FROM HEALTH POLICY AND 800 00:31:45,885 --> 00:31:49,389 MANAGEMENT FROM TUFTS AND SCM 801 00:31:49,389 --> 00:31:52,925 AND SCD DEGREES IN SOCIAL 802 00:31:52,925 --> 00:31:53,826 EPIDEMIOLOGY FROM THE HARVARD 803 00:31:53,826 --> 00:31:56,763 SCHOOL OF PUBLIC HEALTH AND 804 00:31:56,763 --> 00:31:58,865 POSTDOCTORAL FELLOW AT THE 805 00:31:58,865 --> 00:32:00,933 FEINSTEIN INSTITUTE FOR MEDICAL 806 00:32:00,933 --> 00:32:04,437 RESEARCH NORTH WELL HEALTH. 807 00:32:04,437 --> 00:32:05,605 DR. CAMACHO-RIVERA'S RESEARCH 808 00:32:05,605 --> 00:32:08,141 FOCUSES ON THREE MAIN THEMES. 809 00:32:08,141 --> 00:32:09,308 SOCIAL AND STRUCTURAL 810 00:32:09,308 --> 00:32:10,576 DETERMINANTS OF CHRONIC DISEASE 811 00:32:10,576 --> 00:32:13,046 DISPARITIES. 812 00:32:13,046 --> 00:32:14,847 EXPLORING PATTERNS AND 813 00:32:14,847 --> 00:32:17,417 DETERMINANTS WITHIN GROUP 814 00:32:17,417 --> 00:32:19,285 HETEROGENEITY AND CHRONIC 815 00:32:19,285 --> 00:32:22,522 HEALTH OUTCOMES WITHIN LATINOS 816 00:32:22,522 --> 00:32:25,591 AND DESIGN BETWEEN MULTI-LEVEL 817 00:32:25,591 --> 00:32:26,759 COMMUNITY-ENGAGED INTERVENTIONS 818 00:32:26,759 --> 00:32:30,129 TO MANAGE CHRONIC DISEASE 819 00:32:30,129 --> 00:32:31,731 SELF-MANAGEMENT AMONG NON URBAN 820 00:32:31,731 --> 00:32:32,965 COMMUNITIES WITH NEW HEALTH AND 821 00:32:32,965 --> 00:32:34,100 TECHNOLOGIES. 822 00:32:34,100 --> 00:32:37,303 MARLENE HAS LONG BEEN A HINTS 823 00:32:37,303 --> 00:32:37,904 DATA USER. 824 00:32:37,904 --> 00:32:39,939 HAS CHALLENGED US TO REALLY 825 00:32:39,939 --> 00:32:43,409 FOCUS ON HEALTH EQUITY AND SHE 826 00:32:43,409 --> 00:32:46,212 IS ACTIVELY ENGAGED WITH HINTS 827 00:32:46,212 --> 00:32:49,716 DATA AND OTHER RESEARCH THAT 828 00:32:49,716 --> 00:32:51,851 EXAMINES DETERMINANTS AND 829 00:32:51,851 --> 00:32:54,020 IMPACTS OF CANCER, COVID-19 830 00:32:54,020 --> 00:32:57,323 PANDEMIC, I THINK SHE HAS SOME 831 00:32:57,323 --> 00:32:58,958 FROM NHLBI AT ONE TIME. 832 00:32:58,958 --> 00:33:02,228 HER RESEARCH HAS BEEN FUNDED BY 833 00:33:02,228 --> 00:33:04,097 NCI, ASSOCIATION OF AMERICAN 834 00:33:04,097 --> 00:33:05,264 MEDICAL COLLEGES, NATIONAL 835 00:33:05,264 --> 00:33:06,933 INSTITUTE ON MINORITY HEALTH 836 00:33:06,933 --> 00:33:12,238 AND HEALTH DISPARITIES AND 837 00:33:12,238 --> 00:33:14,273 STONEY WALL HERBERT FUND. 838 00:33:14,273 --> 00:33:16,642 JOIN ME IN WELCOMING OUR 839 00:33:16,642 --> 00:33:17,443 CONFERENCE CHAIR, DR. MARLENE 840 00:33:17,443 --> 00:33:26,119 CAMACHO-RIVERA. 841 00:33:26,119 --> 00:33:27,186 >> Marlene Camacho-Rivera: GOOD 842 00:33:27,186 --> 00:33:27,954 MORNING, EVERYBODY. 843 00:33:27,954 --> 00:33:29,622 WHAT A TREAT AND PLEASURE TO BE 844 00:33:29,622 --> 00:33:32,158 ABLE TO BE HERE IN PERSON TO BE 845 00:33:32,158 --> 00:33:34,026 ABLE TO REALLY HELP US KICKOFF 846 00:33:34,026 --> 00:33:36,863 WHAT I THINK IS GOING TO BE AN 847 00:33:36,863 --> 00:33:38,264 EXCITING AND PRODUCTIVE TWO 848 00:33:38,264 --> 00:33:40,133 DAYS OF EVENTS AND ACTIVITIES 849 00:33:40,133 --> 00:33:44,036 HERE AT THIS CONFERENCE. 850 00:33:44,036 --> 00:33:45,638 I WAS ASKED TO SORT OF THINK 851 00:33:45,638 --> 00:33:49,575 ABOUT HOW WE CAN CONTEXTUALIZE 852 00:33:49,575 --> 00:33:52,411 AND KICKOFF THE THEME IN 853 00:33:52,411 --> 00:33:53,312 THINKING ABOUT 20 YEARS OF 854 00:33:53,312 --> 00:33:54,514 HINTS. 855 00:33:54,514 --> 00:33:56,282 I THOUGHT THROUGH THIS KEYNOTE 856 00:33:56,282 --> 00:33:58,017 IN THE CONTEXT OF THE FACT THAT 857 00:33:58,017 --> 00:34:01,254 AS MANY OF YOU KNOW, LAST WEEK 858 00:34:01,254 --> 00:34:03,689 STARTED THE KICK-OFF TO LATINO 859 00:34:03,689 --> 00:34:04,757 HISPANIC HERITAGE MONTH. 860 00:34:04,757 --> 00:34:09,195 YES, THANK YOU FOR THAT. 861 00:34:09,195 --> 00:34:12,398 SO I WAS REFLECTING BACK ON MY 862 00:34:12,398 --> 00:34:15,201 JOURNEY INTO PUBLIC HEALTH AND 863 00:34:15,201 --> 00:34:16,636 THINKING ABOUT HEALTH EQUITY, I 864 00:34:16,636 --> 00:34:18,304 REALIZED MY PATH IN THE FIELD 865 00:34:18,304 --> 00:34:20,640 OF PUBLIC HEALTH AND HEALTH 866 00:34:20,640 --> 00:34:23,442 EQUITY STARTED WITH MY EARLIEST 867 00:34:23,442 --> 00:34:25,745 LIVED EXPERIENCES BEING THE 868 00:34:25,745 --> 00:34:27,814 DAUGHTER OF IMMIGRANTS, HELPING 869 00:34:27,814 --> 00:34:29,615 MY FAMILY SERVE AS AN 870 00:34:29,615 --> 00:34:32,118 INTERPRETER AND NAVIGATOR IN 871 00:34:32,118 --> 00:34:33,753 ORDER TO ENHANCE THEIR 872 00:34:33,753 --> 00:34:35,655 EFFECTIVE COMMUNICATION AND 873 00:34:35,655 --> 00:34:36,255 RELATIONSHIPS WITH HEALTHCARE 874 00:34:36,255 --> 00:34:36,823 PROVIDERS. 875 00:34:36,823 --> 00:34:40,560 SO AT THE VERY CENTER OF MY 876 00:34:40,560 --> 00:34:42,895 JOURNEY IN PUBLIC HEALTH AND AS 877 00:34:42,895 --> 00:34:45,031 A HEALTH EQUITY RESEARCHER AND 878 00:34:45,031 --> 00:34:47,366 PRACTITIONER IS COMMUNICATION. 879 00:34:47,366 --> 00:34:48,467 IT'S ACTUALLY BEEN SUCH A 880 00:34:48,467 --> 00:34:50,803 PRIVILEGE TO BE ABLE TO WORK 881 00:34:50,803 --> 00:34:54,140 WITH HINTS TO THINK ABOUT HOW 882 00:34:54,140 --> 00:34:55,308 TO CONTEXTUALIZE MY HINTS 883 00:34:55,308 --> 00:34:55,908 EXPERIENCE INTO THE BROADER 884 00:34:55,908 --> 00:34:58,811 FIELD. 885 00:34:58,811 --> 00:35:00,913 I WANT TO TALK A LITTLE BIT 886 00:35:00,913 --> 00:35:02,081 JUST ABOUT HEALTH EQUITY. 887 00:35:02,081 --> 00:35:04,217 AND WE HAVE ALREADY HEARD IT 888 00:35:04,217 --> 00:35:05,218 MENTIONED SEVERAL TIMES HERE 889 00:35:05,218 --> 00:35:06,786 WITHIN THE CONFERENCE. 890 00:35:06,786 --> 00:35:08,421 I'M SURE IT WILL BE A RUNNING 891 00:35:08,421 --> 00:35:10,256 THEME WE WILL BE ABLE TO SEE 892 00:35:10,256 --> 00:35:12,124 AND ESTABLISH OUR OWN 893 00:35:12,124 --> 00:35:13,759 INTERCONNECTIONS AS WE MOVE 894 00:35:13,759 --> 00:35:15,328 THROUGH THESE TWO DAYS. 895 00:35:15,328 --> 00:35:17,730 I REALLY LIKE THIS CDC 896 00:35:17,730 --> 00:35:18,698 FRAMEWORK AND VISUAL ROADMAP 897 00:35:18,698 --> 00:35:20,299 FOR THINKING ABOUT HOW WE CAN 898 00:35:20,299 --> 00:35:22,902 PAVE THE ROAD TO HEALTH EQUITY 899 00:35:22,902 --> 00:35:24,303 AND ADVANCE HEALTH EQUITY. 900 00:35:24,303 --> 00:35:26,172 I WANT TO HIGHLIGHT FOUR KEY 901 00:35:26,172 --> 00:35:28,474 POINTS THAT HAVE ALREADY BEEN 902 00:35:28,474 --> 00:35:30,309 TOUCHED UPON WITHIN THIS 903 00:35:30,309 --> 00:35:31,043 MORNING'S PRESENTERS. 904 00:35:31,043 --> 00:35:34,647 THE FIRST IS ABOUT MEASUREMENT. 905 00:35:34,647 --> 00:35:36,382 HINTS PLAYS AN IMPORTANT ROLE 906 00:35:36,382 --> 00:35:38,251 IN HEALTH COMMUNICATION, HEALTH 907 00:35:38,251 --> 00:35:39,418 INFORMATION SURVEILLANCE 908 00:35:39,418 --> 00:35:41,053 RESEARCH AND CANCER 909 00:35:41,053 --> 00:35:43,356 SURVEILLANCE RESEARCH ALONG 910 00:35:43,356 --> 00:35:44,490 WITH SIERRA MOORE BROADLY. 911 00:35:44,490 --> 00:35:48,227 WE WILL THINK MORE AS AN 912 00:35:48,227 --> 00:35:50,129 EPIDEMIOLOGIST I LIKE GEEKING 913 00:35:50,129 --> 00:35:51,030 OUT THINKING CRITICALLY ABOUT 914 00:35:51,030 --> 00:35:51,330 MEASUREMENT. 915 00:35:51,330 --> 00:35:53,165 WHAT I WANT US TO THINK ABOUT 916 00:35:53,165 --> 00:35:55,034 WITH RESPECT TO HEALTH EQUITY 917 00:35:55,034 --> 00:35:56,669 IS EVERY SINGLE DATA POINT 918 00:35:56,669 --> 00:35:59,272 WITHIN HINTS IS A PERSON, A 919 00:35:59,272 --> 00:36:02,141 PERSON WITH UNIQUE LIVED 920 00:36:02,141 --> 00:36:05,211 EXPERIENCES WHO AGREED TO 921 00:36:05,211 --> 00:36:06,646 PARTICIPATE IN HINTS BECAUSE 922 00:36:06,646 --> 00:36:08,047 THEY WANTED THEIR STORY TOLD. 923 00:36:08,047 --> 00:36:10,182 AND THAT'S SOMETHING THAT IS 924 00:36:10,182 --> 00:36:10,850 INCREDIBLY IMPORTANT FOR HEALTH 925 00:36:10,850 --> 00:36:12,084 EQUITY. 926 00:36:12,084 --> 00:36:13,586 ESPECIALLY AS WE THINK ABOUT 927 00:36:13,586 --> 00:36:15,121 HOW WE AMPLIFY THE STORIES OF 928 00:36:15,121 --> 00:36:16,689 THOSE WHO HAVE BEEN 929 00:36:16,689 --> 00:36:18,190 HISTORICALLY SILENCED. 930 00:36:18,190 --> 00:36:21,193 ESPECIALLY INDIVIDUALS WHO COME 931 00:36:21,193 --> 00:36:21,827 FROM SYSTEMICALLY MARGINALIZED 932 00:36:21,827 --> 00:36:22,361 BACKGROUNDS. 933 00:36:22,361 --> 00:36:23,996 I ALSO WANT US TO THINK ABOUT 934 00:36:23,996 --> 00:36:26,565 HOW WE CAN ADD DEPTH AND 935 00:36:26,565 --> 00:36:27,967 CONTEXT TO THOSE STORIES. 936 00:36:27,967 --> 00:36:30,102 AND AS A SOCIAL EPIDEMIOLOGIST 937 00:36:30,102 --> 00:36:32,438 A LOT OF MY WORK HAS BEEN 938 00:36:32,438 --> 00:36:34,540 BRINGING ATTENTION TO MORE 939 00:36:34,540 --> 00:36:35,641 UPSTREAM STRUCTURAL AND SOCIAL 940 00:36:35,641 --> 00:36:37,376 FACTORS IN TERMS OF THINKING 941 00:36:37,376 --> 00:36:39,712 ABOUT HOW THEY INFLUENCE ACCESS 942 00:36:39,712 --> 00:36:41,580 AND UPTICK OF INFORMATION, AS 943 00:36:41,580 --> 00:36:43,482 WELL AS HEALTH INFORMATION 944 00:36:43,482 --> 00:36:44,450 TECHNOLOGY AND HEALTH 945 00:36:44,450 --> 00:36:45,017 COMMUNICATION INTO BROADER 946 00:36:45,017 --> 00:36:45,584 CONTEXT. 947 00:36:45,584 --> 00:36:47,954 BUT IT'S NOT ENOUGH FOR US TO 948 00:36:47,954 --> 00:36:48,888 THINK ABOUT DATA AND 949 00:36:48,888 --> 00:36:50,089 MEASUREMENT. 950 00:36:50,089 --> 00:36:53,059 DATA FOR THE SAKE OF DATA 951 00:36:53,059 --> 00:36:54,160 DOESN'T REALLY ADVANCE HEALTH 952 00:36:54,160 --> 00:36:55,428 EQUITY AT ALL. 953 00:36:55,428 --> 00:36:57,296 SO REALLY THINKING ABOUT HOW WE 954 00:36:57,296 --> 00:36:59,865 CAN TRANSLATE THE SCIENTIFIC 955 00:36:59,865 --> 00:37:02,001 EVIDENCE UTILIZING HINTS INTO 956 00:37:02,001 --> 00:37:03,636 BOTH ADVANCEMENTS IN PROGRAMS, 957 00:37:03,636 --> 00:37:06,205 CANCER PREVENTION AND CONTROL 958 00:37:06,205 --> 00:37:07,840 PROGRAMS, AGAIN TO ADVANCE 959 00:37:07,840 --> 00:37:09,742 HEALTH EQUITY BROADER ON A 960 00:37:09,742 --> 00:37:10,676 BROADER SCOPE NATIONALLY, AS 961 00:37:10,676 --> 00:37:12,144 WELL AS WITHIN OUR LOCAL 962 00:37:12,144 --> 00:37:13,012 COMMUNITIES. 963 00:37:13,012 --> 00:37:16,048 AND I WILL SPEND JUST A FEW 964 00:37:16,048 --> 00:37:17,350 MINUTES HIGHLIGHTING LOCAL 965 00:37:17,350 --> 00:37:17,984 INITIATIVES LEVERAGING HINTS AS 966 00:37:17,984 --> 00:37:18,884 WELL. 967 00:37:18,884 --> 00:37:20,286 WE HAVE ALREADY HEARD ABOUT 968 00:37:20,286 --> 00:37:21,921 POLICY AND THE REALLY IMPORTANT 969 00:37:21,921 --> 00:37:24,023 ROLE THAT HINTS PLAYS IN 970 00:37:24,023 --> 00:37:26,359 HELPING TO UNDERSTAND AMERICANS 971 00:37:26,359 --> 00:37:28,194 AWARENESS OF POLICIES, WITH 972 00:37:28,194 --> 00:37:30,062 RESPECT TO CANCER INEQUITIES IN 973 00:37:30,062 --> 00:37:33,699 THE FIELDS OF TOBACCO, ALCOHOL, 974 00:37:33,699 --> 00:37:34,767 MENU-LABELING. 975 00:37:34,767 --> 00:37:36,168 BUT OF COURSE THINKING ABOUT 976 00:37:36,168 --> 00:37:37,803 HOW WE CAN UNDERSTAND AND TAKE 977 00:37:37,803 --> 00:37:39,672 THE PULSE OF U.S. ADULTS TO 978 00:37:39,672 --> 00:37:42,241 REALLY BE ABLE TO ADVOCATE FOR 979 00:37:42,241 --> 00:37:44,010 POLICY CHANGE THAT WILL HELP 980 00:37:44,010 --> 00:37:45,544 ADVANCE HEALTH EQUITY. 981 00:37:45,544 --> 00:37:47,179 BUT OF COURSE IT'S IMPORTANT 982 00:37:47,179 --> 00:37:49,515 FOR US TO REALIZE ADVANCEMENT 983 00:37:49,515 --> 00:37:50,716 IN POLICY MEASUREMENT AND 984 00:37:50,716 --> 00:37:52,318 PROGRAMS CAN ONLY TAKE US SO 985 00:37:52,318 --> 00:37:54,020 FAR IF WE ARE NOT INVESTING IN 986 00:37:54,020 --> 00:37:55,354 INFRASTRUCTURE. 987 00:37:55,354 --> 00:37:57,323 INFRASTRUCTURE IS KEY TO 988 00:37:57,323 --> 00:37:59,592 ADVANCING HEALTH EQUITY, 989 00:37:59,592 --> 00:38:00,326 ESPECIALLY, AGAIN, AMONG 990 00:38:00,326 --> 00:38:03,796 COMMUNITIES THAT HAVE BEEN 991 00:38:03,796 --> 00:38:04,764 HISTORICALLY DISINVESTED, AS 992 00:38:04,764 --> 00:38:07,633 WELL AS INDIVIDUALS FROM 993 00:38:07,633 --> 00:38:08,167 SYSTEMICALLY MARGINALIZED 994 00:38:08,167 --> 00:38:08,934 BACKGROUNDS. 995 00:38:08,934 --> 00:38:11,704 AND I WILL HIGHLIGHT THAT AS AN 996 00:38:11,704 --> 00:38:13,339 EARLY CAREER INVESTIGATOR WHO 997 00:38:13,339 --> 00:38:15,207 IS AT AN INSTITUTION NOT 998 00:38:15,207 --> 00:38:18,477 AFFILIATED WITH AN NCI 999 00:38:18,477 --> 00:38:19,645 AFFILIATED CANCER CENTER, HINTS 1000 00:38:19,645 --> 00:38:21,747 HAS PLAYED AN IMPORTANT ROLE 1001 00:38:21,747 --> 00:38:22,681 MAKING PUBLICLY AVAILABLE DATA 1002 00:38:22,681 --> 00:38:24,884 THAT AGAIN WE CAN UTILIZE TO 1003 00:38:24,884 --> 00:38:26,952 TRANSLATE INTO PROGRAMS WITHIN 1004 00:38:26,952 --> 00:38:27,820 OUR COMMUNITIES IN CENTRAL 1005 00:38:27,820 --> 00:38:30,856 BROOKLYN. 1006 00:38:30,856 --> 00:38:33,192 SO WE GOT A REALLY GREAT 1007 00:38:33,192 --> 00:38:34,894 OVERVIEW OF THE CONTEXT AND 1008 00:38:34,894 --> 00:38:36,695 HISTORY OF HINTS, SO I DON'T 1009 00:38:36,695 --> 00:38:38,364 WANT TO BELABOR THE POINT TOO 1010 00:38:38,364 --> 00:38:38,564 MUCH. 1011 00:38:38,564 --> 00:38:40,433 BUT THERE WAS A LOT OF WORK 1012 00:38:40,433 --> 00:38:43,669 HAPPENING BEHIND THE SCENES 1013 00:38:43,669 --> 00:38:45,304 BEFORE 2003, TEN YEARS IN THE 1014 00:38:45,304 --> 00:38:47,640 MAKING I THINK THAT REALLY LED 1015 00:38:47,640 --> 00:38:49,108 TO THE IMPETUS AND 1016 00:38:49,108 --> 00:38:50,743 ESTABLISHMENT OF HINTS. 1017 00:38:50,743 --> 00:38:51,911 THAT WAS EVERYTHING FROM 1018 00:38:51,911 --> 00:38:54,947 CHANGES IN HOW WE ACCESS 1019 00:38:54,947 --> 00:38:56,015 INFORMATION, LITTLE THINGS 1020 00:38:56,015 --> 00:38:57,483 CALLED THE WORLD WIDE WEB. 1021 00:38:57,483 --> 00:38:59,351 CHANGES IN TECHNOLOGY AND 1022 00:38:59,351 --> 00:39:01,654 ACCESS TO THE FIRST SMARTPHONE. 1023 00:39:01,654 --> 00:39:03,789 AND OF COURSE, HOW WE THINK 1024 00:39:03,789 --> 00:39:04,690 ABOUT ADVANCEMENTS IN SCIENCE 1025 00:39:04,690 --> 00:39:07,460 AND HOW WE CAN COMMUNICATE 1026 00:39:07,460 --> 00:39:08,928 ADVANCEMENTS IN SCIENCE, 1027 00:39:08,928 --> 00:39:10,563 ESPECIALLY IN FIELDS OF 1028 00:39:10,563 --> 00:39:11,130 UNCERTAINTY TO THE GENERAL 1029 00:39:11,130 --> 00:39:16,035 PUBLIC. 1030 00:39:16,035 --> 00:39:17,203 IT'S NO SURPRISE THIS WAS 1031 00:39:17,203 --> 00:39:18,370 HAPPENING RIGHT AROUND THE TIME 1032 00:39:18,370 --> 00:39:21,440 WE WERE THINKING OF ADVANCEMENT 1033 00:39:21,440 --> 00:39:23,309 IN THE HUMAN GENOME AND 1034 00:39:23,309 --> 00:39:24,477 TRANSLATING SOMETHING AS 1035 00:39:24,477 --> 00:39:26,112 COMPLEX AS GENOMIC INFORMATION 1036 00:39:26,112 --> 00:39:27,613 AND GENETIC INFORMATION TO THE 1037 00:39:27,613 --> 00:39:28,180 PUBLIC. 1038 00:39:28,180 --> 00:39:31,183 WE CONTINUE TO SEE HOW 1039 00:39:31,183 --> 00:39:32,751 ADVANCEMENTS IN SCIENCE AND THE 1040 00:39:32,751 --> 00:39:35,087 NEED FOR ADVANCEMENT IN SCIENCE 1041 00:39:35,087 --> 00:39:36,956 RESULTING IN RAPID 1042 00:39:36,956 --> 00:39:37,690 COMMUNICATION OF EVIDENCE-BASED 1043 00:39:37,690 --> 00:39:38,858 INFORMATION, WE HAVE SEEN THAT 1044 00:39:38,858 --> 00:39:42,428 WITHIN THE LAST THREE YEARS IN 1045 00:39:42,428 --> 00:39:43,028 MOVING THROUGH THE COVID-19 1046 00:39:43,028 --> 00:39:44,330 PANDEMIC. 1047 00:39:44,330 --> 00:39:46,866 SO WE TALKED A LITTLE BIT 1048 00:39:46,866 --> 00:39:48,267 AGAIN, KELLY PRESENTED A REALLY 1049 00:39:48,267 --> 00:39:49,668 GREAT OVERVIEW OF THE 1050 00:39:49,668 --> 00:39:52,238 ESTABLISHMENT OF HINTS AS A 1051 00:39:52,238 --> 00:39:52,838 NATIONAL HEALTH INFORMATION 1052 00:39:52,838 --> 00:39:54,140 SURVEILLANCE PROGRAM. 1053 00:39:54,140 --> 00:39:58,811 WITHIN THE BROADER CONTEXT OF 1054 00:39:58,811 --> 00:40:01,680 SURVEILLANCE RESEARCH, ALONG 1055 00:40:01,680 --> 00:40:04,250 WITH SEER AND PLAYING AN 1056 00:40:04,250 --> 00:40:05,217 IMPORTANT ROLE REDUCING 1057 00:40:05,217 --> 00:40:06,619 HEALTHCARE INEQUITIES. 1058 00:40:06,619 --> 00:40:08,721 THE GOALS OF HINTS HAVE BEEN 1059 00:40:08,721 --> 00:40:11,524 CONSTANTLY BUT THE WAY HINTS 1060 00:40:11,524 --> 00:40:12,892 CONSTANTLY EVOLVES TO MEET 1061 00:40:12,892 --> 00:40:15,661 THOSE GOALS WITHIN U.S. ADULTS 1062 00:40:15,661 --> 00:40:16,662 IS EXCITING. 1063 00:40:16,662 --> 00:40:17,563 THINKING ABOUT IDENTIFYING 1064 00:40:17,563 --> 00:40:19,665 PATTERNS AND CHANGES IN HEALTH 1065 00:40:19,665 --> 00:40:20,633 INFORMATION ENVIRONMENT, 1066 00:40:20,633 --> 00:40:21,300 DOCUMENTING SOURCES OF 1067 00:40:21,300 --> 00:40:22,501 COMMUNICATION CHANNELS. 1068 00:40:22,501 --> 00:40:25,070 THINKING ABOUT HOW TO ACCESS 1069 00:40:25,070 --> 00:40:27,673 AND UPTAKE HEALTH INFORMATION 1070 00:40:27,673 --> 00:40:29,074 AND COMMUNICATION INFLUENCE 1071 00:40:29,074 --> 00:40:29,942 CANCER DISPARITIES ACROSS THE 1072 00:40:29,942 --> 00:40:31,177 CONTINUUM. 1073 00:40:31,177 --> 00:40:31,977 AGAIN, THINKING ABOUT 1074 00:40:31,977 --> 00:40:33,312 INVESTMENT IN INFRASTRUCTURE 1075 00:40:33,312 --> 00:40:34,480 FROM THE VERY BEGINNING, MAKING 1076 00:40:34,480 --> 00:40:38,083 SURE THAT HINTS IS PUBLICLY A 1077 00:40:38,083 --> 00:40:40,186 FREELY AVAILABLE TO A BROAD 1078 00:40:40,186 --> 00:40:41,120 STAKEHOLDER BASE AND PROVIDING 1079 00:40:41,120 --> 00:40:43,489 THEM WITH THE TOOLS TO BE ABLE 1080 00:40:43,489 --> 00:40:45,090 TO EFFECTIVELY UTILIZE HINTS IS 1081 00:40:45,090 --> 00:40:45,357 IMPORTANT. 1082 00:40:45,357 --> 00:40:48,160 SO I JUST WANTED TO HIGHLIGHT 1083 00:40:48,160 --> 00:40:50,796 THE EARLY HINTS FRAMEWORK, 1084 00:40:50,796 --> 00:40:51,564 WHICH AGAIN, REALLY BRAD IS 1085 00:40:51,564 --> 00:40:53,132 HERE IN THE ROOM. 1086 00:40:53,132 --> 00:40:55,234 I'M SURE HE MIGHT HAVE BEEN 1087 00:40:55,234 --> 00:40:57,002 SOME TIME SINCE HE HAS SEEN 1088 00:40:57,002 --> 00:40:58,537 THIS PARTICULAR FIGURE. 1089 00:40:58,537 --> 00:41:00,439 AGAIN, REALLY THINKING ABOUT 1090 00:41:00,439 --> 00:41:01,607 THE FOREFRONT, REALLY THINKING 1091 00:41:01,607 --> 00:41:03,475 ABOUT HOW HINTS HAD A 1092 00:41:03,475 --> 00:41:04,443 TREMENDOUS AMOUNT OF FOREFRONT 1093 00:41:04,443 --> 00:41:07,012 IN THINKING ABOUT NOT JUST THE 1094 00:41:07,012 --> 00:41:10,849 IMPORTANCE OF AWARENESS AND 1095 00:41:10,849 --> 00:41:12,518 RAISING AWARENESS AROUND HEALTH 1096 00:41:12,518 --> 00:41:13,185 INFORMATION AND HEALTH 1097 00:41:13,185 --> 00:41:16,188 COMMUNICATION, BUT THINKING OF 1098 00:41:16,188 --> 00:41:18,324 HEALTH COMMUNICATION IS 1099 00:41:18,324 --> 00:41:21,093 MODIFIED BY SOCIOECONOMIC, 1100 00:41:21,093 --> 00:41:21,860 COMMUNITY STRUCTURAL AND 1101 00:41:21,860 --> 00:41:23,329 BROADER STRUCTURAL CONTEXT. 1102 00:41:23,329 --> 00:41:24,663 OF COURSE THINKING ABOUT HOW 1103 00:41:24,663 --> 00:41:26,699 THAT GETS TRANSLATED INTO 1104 00:41:26,699 --> 00:41:28,000 HEALTH BEHAVIORS THROUGH 1105 00:41:28,000 --> 00:41:29,668 KNOWLEDGE AND ATTITUDES. 1106 00:41:29,668 --> 00:41:31,837 AND OF COURSE RECOGNIZING THAT 1107 00:41:31,837 --> 00:41:32,271 THERE'S RECIPROCAL 1108 00:41:32,271 --> 00:41:33,005 RELATIONSHIP, RIGHT? 1109 00:41:33,005 --> 00:41:35,374 THE MORE YOU KNOW, THE MORE YOU 1110 00:41:35,374 --> 00:41:36,976 BECOME AWARE, THE MORE 1111 00:41:36,976 --> 00:41:38,611 KNOWLEDGE THAT IS GAINED HOW 1112 00:41:38,611 --> 00:41:40,246 THAT CAN CONTINUE TO RESULT IN 1113 00:41:40,246 --> 00:41:44,216 BEHAVIORAL CHANGE. 1114 00:41:44,216 --> 00:41:46,585 THIS WAS A REALLY IMPORTANT 1115 00:41:46,585 --> 00:41:47,987 EARLY PUBLICATION FROM HINTS 1116 00:41:47,987 --> 00:41:49,788 THAT UTILIZED THE FIRST WAVE OF 1117 00:41:49,788 --> 00:41:51,757 HINTS DATA. 1118 00:41:51,757 --> 00:41:53,592 AND AGAIN, HIGHLIGHTING THE 1119 00:41:53,592 --> 00:41:55,961 NEED FOR CONSIDERATION OF 1120 00:41:55,961 --> 00:41:57,363 STRUCTURAL AND SOCIAL CONTEXT 1121 00:41:57,363 --> 00:41:59,932 WITH RESPECT TO THINKING ABOUT 1122 00:41:59,932 --> 00:42:02,234 COMMUNICATION INEQUALITIES. 1123 00:42:02,234 --> 00:42:03,269 THIS PARTICULAR FIGURE, IF YOU 1124 00:42:03,269 --> 00:42:07,873 LOOK AT THE FIGURE ON THE RIGHT 1125 00:42:07,873 --> 00:42:09,475 SHOWS THE PERCENTAGE THAT POINT 1126 00:42:09,475 --> 00:42:12,745 WHO HAD ACCESS TO INTERNET USE 1127 00:42:12,745 --> 00:42:14,647 AND AGAIN, REALLY SHOWING THE 1128 00:42:14,647 --> 00:42:16,048 IMPORTANCE OF HINTS IN TERMS OF 1129 00:42:16,048 --> 00:42:17,950 BEING ABLE TO SET THE STAGE FOR 1130 00:42:17,950 --> 00:42:19,084 U.S. ADULTS FOR THE DIGITAL 1131 00:42:19,084 --> 00:42:19,852 DIVIDE. 1132 00:42:19,852 --> 00:42:21,754 WHAT WE CAN SEE WITHIN THIS 1133 00:42:21,754 --> 00:42:24,089 PUBLICATION IS WE KNOW THERE 1134 00:42:24,089 --> 00:42:25,891 ARE DISPARITIES AND DISPARITIES 1135 00:42:25,891 --> 00:42:27,760 CONTINUE AND PERSIST IN 1136 00:42:27,760 --> 00:42:30,596 INTERNET USE ACROSS RACE 1137 00:42:30,596 --> 00:42:31,530 ETHNICITY, SOCIOECONOMIC 1138 00:42:31,530 --> 00:42:35,668 STATUS, AS WELL AS PLACE-BASED 1139 00:42:35,668 --> 00:42:36,068 DISPARITIES. 1140 00:42:36,068 --> 00:42:37,903 I WANT TO TALK A LITTLE BIT 1141 00:42:37,903 --> 00:42:39,538 ABOUT HOW WE HAVE BEEN ABLE TO 1142 00:42:39,538 --> 00:42:41,173 CONTINUE TO MOVE THE NEEDLE 1143 00:42:41,173 --> 00:42:42,875 FORWARDMENT A LOT OF MY WORK 1144 00:42:42,875 --> 00:42:44,543 HAS BEEN FOCUSED ON THINKING 1145 00:42:44,543 --> 00:42:47,913 ABOUT WHAT LIES WITHIN THESE 1146 00:42:47,913 --> 00:42:49,782 BROADER DISPARITIES THAT WE 1147 00:42:49,782 --> 00:42:51,850 DOCUMENT THROUGH MANY OF OUR 1148 00:42:51,850 --> 00:42:53,485 EXISTING WORK WITHIN BROAD 1149 00:42:53,485 --> 00:42:55,821 RACIAL AND ETHNIC AND OTHER 1150 00:42:55,821 --> 00:42:56,789 PARTICULAR CATEGORIES AND 1151 00:42:56,789 --> 00:42:58,857 SOCIAL IDENTITIES. 1152 00:42:58,857 --> 00:43:00,759 AND SO, ONE OF THE PAPERS I HAD 1153 00:43:00,759 --> 00:43:02,394 THE PLEASURE OF WORKING WITH 1154 00:43:02,394 --> 00:43:03,829 KELLY AT HINTS WITH IS TO BE 1155 00:43:03,829 --> 00:43:14,340 ABLE TO LOOK AT HETEROGENEITY. 1156 00:43:18,610 --> 00:43:21,313 THIS IS THE FIRST TIME TO LOOK 1157 00:43:21,313 --> 00:43:23,415 AT LATINO GROUPS TO UNDERSTAND 1158 00:43:23,415 --> 00:43:28,053 DISPARITIES AND PATTERNS OF USE. 1159 00:43:28,053 --> 00:43:32,257 THIS WAS IN A SPECIAL ISSUE BIO 1160 00:43:32,257 --> 00:43:33,859 MARKERS AND PREVENTION. 1161 00:43:33,859 --> 00:43:36,195 WE FOUND TRUST AND USES OF 1162 00:43:36,195 --> 00:43:40,699 VARIOUS SOURCES OF CANCER 1163 00:43:40,699 --> 00:43:42,568 INFORMATION VARIED CONSIDERABLY 1164 00:43:42,568 --> 00:43:44,670 27% RADIO 91% OF TRUST IN 1165 00:43:44,670 --> 00:43:46,171 DOCTORS, AS THE PRIMARY SOURCE 1166 00:43:46,171 --> 00:43:47,973 OF HEALTH INFORMATION. 1167 00:43:47,973 --> 00:43:49,808 BUT WE DID FIND ETHNIC 1168 00:43:49,808 --> 00:43:51,677 DIFFERENCES BY COUNTRY OF 1169 00:43:51,677 --> 00:43:55,414 ORIGIN WITH LATINOS FROM 1170 00:43:55,414 --> 00:43:56,348 CARIBBEAN BACKGROUNDS, CUBANS 1171 00:43:56,348 --> 00:43:58,217 AND PUERTO RICANS MORE LIKELY 1172 00:43:58,217 --> 00:44:01,520 TO TRUST SOURCES FROM PRINT 1173 00:44:01,520 --> 00:44:05,257 MEDIA COMPARED TO LATINOS FROM 1174 00:44:05,257 --> 00:44:08,794 MEXICAN OR AMERICAN DESCENT AND 1175 00:44:08,794 --> 00:44:11,130 WE CONTINUE TO FIND DISPARITIES 1176 00:44:11,130 --> 00:44:12,765 BY AGE AND GENDER IDENTITY. 1177 00:44:12,765 --> 00:44:14,166 WHAT THIS REALLY POINTED TO IS 1178 00:44:14,166 --> 00:44:17,403 THE NEED FOR US TO THINK AGAIN, 1179 00:44:17,403 --> 00:44:18,537 BEYOND THESE BROAD DISPARITY 1180 00:44:18,537 --> 00:44:20,205 CATEGORIES THAT WE SO OFTEN USE. 1181 00:44:20,205 --> 00:44:27,613 AND THINK ABOUT HOW WE CAN 1182 00:44:27,613 --> 00:44:29,648 THINK ABOUT THESE FOR CANCER 1183 00:44:29,648 --> 00:44:32,117 COMMUNICATION AND PREVENTION. 1184 00:44:32,117 --> 00:44:34,052 GETTING MORE SPECIFICITY IN 1185 00:44:34,052 --> 00:44:35,921 THESE GROUPS AND REALIZE ONE 1186 00:44:35,921 --> 00:44:36,922 SIZE FITS ALL APPROACHES NEVER 1187 00:44:36,922 --> 00:44:38,757 WORK OUT AS WE INTENDED. 1188 00:44:38,757 --> 00:44:40,392 I WANT TO HIGHLIGHTS THIS 1189 00:44:40,392 --> 00:44:42,494 EXISTING WORK BEING DONE ACROSS 1190 00:44:42,494 --> 00:44:43,629 OTHER CATEGORIES AS WELL. 1191 00:44:43,629 --> 00:44:49,468 THE WORK OF DR. CHRIS WELDON 1192 00:44:49,468 --> 00:44:52,004 AND HIS COLLEAGUES, SEXUAL 1193 00:44:52,004 --> 00:44:52,504 IDENTITY AND MINORITY 1194 00:44:52,504 --> 00:44:54,106 RESPONDENTS WITH RESPECT TO 1195 00:44:54,106 --> 00:45:04,316 HINTS WITH RESPECT TO TRUST IN 1196 00:45:04,316 --> 00:45:05,517 TOBACCO INFORMATION. 1197 00:45:05,517 --> 00:45:10,656 WE WILL TALK ABOUT THE 1198 00:45:10,656 --> 00:45:11,390 HINTS-SEER AND IMPORTANT GROUPS 1199 00:45:11,390 --> 00:45:13,091 THAT NEED TO HAVE THEIR STORIES 1200 00:45:13,091 --> 00:45:18,597 AND EXPERIENCES TOLD. 1201 00:45:18,597 --> 00:45:20,933 AS A SOCIAL EPIDEMIOLOGIST I 1202 00:45:20,933 --> 00:45:23,869 WAS SO EXCITED I THINK I MIGHT 1203 00:45:23,869 --> 00:45:26,238 HAVE HELPED MANIFEST THAT INTO 1204 00:45:26,238 --> 00:45:27,206 FRUITION THINKING ABOUT FOR THE 1205 00:45:27,206 --> 00:45:30,476 FIRST TIME WE ARE ABLE TO 1206 00:45:30,476 --> 00:45:31,176 LEVERAGE EXISTING 1207 00:45:31,176 --> 00:45:32,244 ADMINISTRATIVE DATA AND CENSUS 1208 00:45:32,244 --> 00:45:34,680 DATA TO BE ABLE TO THINK ABOUT 1209 00:45:34,680 --> 00:45:36,415 STRUCTURAL AND SOCIAL CONTEXT 1210 00:45:36,415 --> 00:45:37,916 WITHIN HINTS RESPONDENTS. 1211 00:45:37,916 --> 00:45:38,917 AND I'M REALLY EXCITED TO 1212 00:45:38,917 --> 00:45:40,686 CONTINUE TO SEE THAT. 1213 00:45:40,686 --> 00:45:42,087 MOVE FORWARD. 1214 00:45:42,087 --> 00:45:43,021 OF COURSE THERE'S OPPORTUNITIES 1215 00:45:43,021 --> 00:45:45,123 FOR US TO THINK ABOUT HOW WE 1216 00:45:45,123 --> 00:45:46,558 DEVELOP OUR OWN COMMUNITY HINTS 1217 00:45:46,558 --> 00:45:48,427 AND BEING ABLE TO UNDERSTAND 1218 00:45:48,427 --> 00:45:51,697 SMALL AREA ESTIMATES OF HEALTH 1219 00:45:51,697 --> 00:45:52,164 INFORMATION, HEALTH 1220 00:45:52,164 --> 00:45:53,098 COMMUNICATION, INEQUALITIES 1221 00:45:53,098 --> 00:45:54,566 WITHIN OUR OWN COMMUNITIES. 1222 00:45:54,566 --> 00:45:56,602 WE HAVE TALKED A LOT ABOUT HOW 1223 00:45:56,602 --> 00:45:58,704 HINTS HAS USED, TO PE ABLE TO 1224 00:45:58,704 --> 00:45:59,638 TRANSLATE EVIDENCE INTO 1225 00:45:59,638 --> 00:46:01,039 PROGRAMMATIC ACTION. 1226 00:46:01,039 --> 00:46:02,908 SO I WON'T BELABOR THIS POINT 1227 00:46:02,908 --> 00:46:04,543 WITH RESPECT TO HINTS PLAYING 1228 00:46:04,543 --> 00:46:07,145 AN IMPORTANT ROLE IN TERMS OF 1229 00:46:07,145 --> 00:46:08,347 TRACKING NATIONAL OBJECTIVES 1230 00:46:08,347 --> 00:46:10,449 AROUND HEALTH COMMUNICATION AND 1231 00:46:10,449 --> 00:46:11,617 HEALTH INFORMATION TECHNOLOGY, 1232 00:46:11,617 --> 00:46:18,957 BOTH WITHIN HEALTHY PEOPLE 2020 1233 00:46:18,957 --> 00:46:20,092 AND HEALTHY PEOPLE 2030. 1234 00:46:20,092 --> 00:46:24,096 GETTING A PULSE OF ACCESS TO 1235 00:46:24,096 --> 00:46:25,964 HEALTH INFORMATION AND 1236 00:46:25,964 --> 00:46:26,431 COMMUNICATION WITHIN 1237 00:46:26,431 --> 00:46:27,165 DECISION-MAKING CONTEXT. 1238 00:46:27,165 --> 00:46:33,071 I WANT TO SPEND A LITTLE TIME 1239 00:46:33,071 --> 00:46:34,706 TALKING ABOUT THE POPULATION 1240 00:46:34,706 --> 00:46:36,041 HEALTH ASSESSMENT IN CANCER 1241 00:46:36,041 --> 00:46:37,075 CATCHMENT AREAS. 1242 00:46:37,075 --> 00:46:39,578 THIS WAS MY FIRST DEEP DIVES 1243 00:46:39,578 --> 00:46:40,779 USING HINTS. 1244 00:46:40,779 --> 00:46:44,750 I WAS FORTUNATE TO BE CO-LEAGUE 1245 00:46:44,750 --> 00:46:48,687 FOR MSK CATCHMENT AWARD IN 2016 1246 00:46:48,687 --> 00:46:50,322 WITHIN NEW YORK CITY AND WE 1247 00:46:50,322 --> 00:46:53,125 DECIDED TO FOCUS ON AREAS IN 1248 00:46:53,125 --> 00:46:54,726 CENTRAL BROOKLYN AND 1249 00:46:54,726 --> 00:46:56,562 COMMUNITIES IN CENTRAL BROOKLYN 1250 00:46:56,562 --> 00:47:01,500 THAT WERE UNDERSERVED BY 1251 00:47:01,500 --> 00:47:02,968 MEMORIAL SLOAN KETTERING, THIS 1252 00:47:02,968 --> 00:47:05,537 IS IN THE SPIRIT OF 1253 00:47:05,537 --> 00:47:07,606 PROGRAMMATIC GOALS OF THIS 1254 00:47:07,606 --> 00:47:09,007 SUPPLEMENTAL INITIATIVE TO 1255 00:47:09,007 --> 00:47:10,642 ENHANCE LOCAL CAPACITY TO BE 1256 00:47:10,642 --> 00:47:16,448 ABLE TO ACQUIRE DATA LEVERAGING 1257 00:47:16,448 --> 00:47:18,083 EXISTING QUESTIONS. 1258 00:47:18,083 --> 00:47:20,652 SO TRANSLATE THAT INTO HOW WE 1259 00:47:20,652 --> 00:47:23,956 CAN BETTER DEVELOP AND 1260 00:47:23,956 --> 00:47:26,024 DISSEMINATE CANCER CATCHMENT 1261 00:47:26,024 --> 00:47:26,758 ACTIVITIES TO ADDRESS 1262 00:47:26,758 --> 00:47:28,160 DISPARITIES WITHIN OUR AREA. 1263 00:47:28,160 --> 00:47:30,195 AND OF COURSE A REALLY 1264 00:47:30,195 --> 00:47:30,896 IMPORTANT ROLE IN 1265 00:47:30,896 --> 00:47:33,265 INFRASTRUCTURE WAS TO BE ABLE 1266 00:47:33,265 --> 00:47:34,666 TO FACILITATE COLLABORATIONS 1267 00:47:34,666 --> 00:47:35,601 THROUGH SHARED DATA ELEMENTS. 1268 00:47:35,601 --> 00:47:38,637 TO BE ABLE TO EXPAND RESEARCH 1269 00:47:38,637 --> 00:47:39,905 AGAIN AROUND LOCAL HEALTH 1270 00:47:39,905 --> 00:47:41,206 INEQUITIES. 1271 00:47:41,206 --> 00:47:43,308 SO THINKING ABOUT HINTS FROM 1272 00:47:43,308 --> 00:47:45,210 BOTH LARGE AND SMALL. 1273 00:47:45,210 --> 00:47:46,878 SO REALLY UNDERSTANDING THAT 1274 00:47:46,878 --> 00:47:48,246 INEQUITIES WITHIN OUR LOCAL 1275 00:47:48,246 --> 00:47:49,881 CONTEXT MAY OR MAY IN THE MAP 1276 00:47:49,881 --> 00:47:50,849 ONTO WHAT WE ARE SEEING 1277 00:47:50,849 --> 00:47:51,817 NATIONALLY. 1278 00:47:51,817 --> 00:47:54,519 SO IT'S REALLY IMPORTANT FOR US 1279 00:47:54,519 --> 00:47:58,023 TO THINK ABOUT AS WE CONTINUE 1280 00:47:58,023 --> 00:47:59,891 TO ADVANCE HEALTH EQUITY IN OUR 1281 00:47:59,891 --> 00:48:02,227 OWN COMMUNITIES TO WHAT EXTENT 1282 00:48:02,227 --> 00:48:03,595 THE DISPARITIES MIRROR WHAT WE 1283 00:48:03,595 --> 00:48:06,298 KNOW WITHIN THE BROADER HINTS 1284 00:48:06,298 --> 00:48:07,599 SCIENTIFIC EVIDENCE BASE. 1285 00:48:07,599 --> 00:48:10,168 SO THIS WAS A REALLY EXCITING 1286 00:48:10,168 --> 00:48:12,504 INITIATIVE TO BE A PART OF AND 1287 00:48:12,504 --> 00:48:14,606 THERE WERE TWO CYCLES OF 1288 00:48:14,606 --> 00:48:16,241 FUNDING OPPORTUNITIES THAT LED 1289 00:48:16,241 --> 00:48:17,676 TO TWO SPECIAL ISSUES. 1290 00:48:17,676 --> 00:48:21,380 ONE THAT WAS FOCUSED ON CANCER 1291 00:48:21,380 --> 00:48:23,982 EPIDEMIOLOGY BIO MARKERS AND 1292 00:48:23,982 --> 00:48:26,652 PREVENTION, WE HIGHLIGHTED 1293 00:48:26,652 --> 00:48:28,954 DISPARITIS IN SMARTPHONE USE 1294 00:48:28,954 --> 00:48:30,122 WITHIN CENTRAL BROOKLYN 1295 00:48:30,122 --> 00:48:31,089 NEIGHBORHOODS AND SPECIAL 1296 00:48:31,089 --> 00:48:32,691 SECTION WITHIN THE JOURNAL OF 1297 00:48:32,691 --> 00:48:34,793 RURAL HEALTH AND HAVING A 1298 00:48:34,793 --> 00:48:36,928 VIRTUAL MEETING IN 2020 TO TALK 1299 00:48:36,928 --> 00:48:38,063 ABOUT BEST PRACTICES AND 1300 00:48:38,063 --> 00:48:39,965 CONTINUE TO MOVE THESE 1301 00:48:39,965 --> 00:48:41,600 COLLABORATIONS FORWARD. 1302 00:48:41,600 --> 00:48:43,669 WITHIN NEW YORK CITY THESE 1303 00:48:43,669 --> 00:48:45,470 EXIST PART OF OUR NEW YORK CITY 1304 00:48:45,470 --> 00:48:46,238 CANCER COLLABORATIVE. 1305 00:48:46,238 --> 00:48:49,074 IT LED TO MORE THAN 50 1306 00:48:49,074 --> 00:48:50,475 ADDITIONAL PUBLICATIONS JUST 1307 00:48:50,475 --> 00:48:53,311 USING LOCAL AND AGGREGATED DATA 1308 00:48:53,311 --> 00:48:54,913 AND THOSE PUBLICATIONS CONTINUE 1309 00:48:54,913 --> 00:48:56,415 TO GROW. 1310 00:48:56,415 --> 00:48:58,617 THINKING ABOUT HOW WE TRANSLATE 1311 00:48:58,617 --> 00:49:02,788 EVIDENCE INTO ACTION, THROUGH 1312 00:49:02,788 --> 00:49:03,288 EVIDENCE-BASED TAILORED 1313 00:49:03,288 --> 00:49:04,156 MULTI-LEVEL PROGRAMS WITHIN OUR 1314 00:49:04,156 --> 00:49:05,157 OWN COMMUNITIES. 1315 00:49:05,157 --> 00:49:06,758 I WANT TO TALK A LITTLE ABOUT 1316 00:49:06,758 --> 00:49:08,160 SOME OF THE ADVANCES. 1317 00:49:08,160 --> 00:49:09,594 AGAIN, WE TALKED ABOUT POLICY. 1318 00:49:09,594 --> 00:49:10,996 WE HEARD ABOUT THE IMPORTANCE 1319 00:49:10,996 --> 00:49:12,664 THAT HINTS PLAYS IN 1320 00:49:12,664 --> 00:49:14,533 UNDERSTANDING THE U.S. ADULTS 1321 00:49:14,533 --> 00:49:15,734 AWARENESS IN SUPPORT FOR 1322 00:49:15,734 --> 00:49:16,968 POLICIES AS WELL AS GUIDELINE 1323 00:49:16,968 --> 00:49:17,836 TRACKING. 1324 00:49:17,836 --> 00:49:19,905 WE HAVE SOME REALLY EXCITING 1325 00:49:19,905 --> 00:49:21,173 PRESENTERS LATER WHO ARE GOING 1326 00:49:21,173 --> 00:49:23,709 TO BE PRESENTING ON THIS WORK. 1327 00:49:23,709 --> 00:49:25,110 IN TERMS OF THINKING ABOUT 1328 00:49:25,110 --> 00:49:28,513 EVERYTHING FROM AWARENESS OF 1329 00:49:28,513 --> 00:49:30,082 SPECIFIC HEALTH CONTENT 1330 00:49:30,082 --> 00:49:31,049 WARNINGINGS ON ALCOHOL 1331 00:49:31,049 --> 00:49:34,586 CONTAINERS IN LOTS OF WORK IN 1332 00:49:34,586 --> 00:49:37,122 TOBACCO USE FOR WORK OF 1333 00:49:37,122 --> 00:49:39,925 UTILIZATION OF IMAGES AND WORDS 1334 00:49:39,925 --> 00:49:41,960 ON TOBACCO PRODUCTS AND SOCIAL 1335 00:49:41,960 --> 00:49:42,160 MEDIA. 1336 00:49:42,160 --> 00:49:44,362 THERE WILL BE A PRESENTATION 1337 00:49:44,362 --> 00:49:46,932 TALKING ABOUT MENU LABELING AND 1338 00:49:46,932 --> 00:49:48,333 AWARENESS OF CALORIE 1339 00:49:48,333 --> 00:49:49,735 INFORMATION AMONG U.S. ADULTS 1340 00:49:49,735 --> 00:49:51,403 AND THINKING ABOUT GOVERNMENT 1341 00:49:51,403 --> 00:49:52,003 RECOMMENDATIONS FOR PHYSICAL 1342 00:49:52,003 --> 00:49:53,004 ACTIVITY. 1343 00:49:53,004 --> 00:49:56,041 AND THESE ARE SOME, AGAIN, 1344 00:49:56,041 --> 00:49:58,643 IMPORTANT RECENT PUBLICATIONS 1345 00:49:58,643 --> 00:50:00,078 JUST LEVERAGING THE EXISTING 1346 00:50:00,078 --> 00:50:01,446 QUESTIONS ON HINTS AROUND 1347 00:50:01,446 --> 00:50:03,548 POLICY SUPPORT AND TRACKING 1348 00:50:03,548 --> 00:50:05,183 THAT HAVE BEEN DISSEMINATED IN 1349 00:50:05,183 --> 00:50:07,552 BROAD AND HIGH IMPACT JOURNALS. 1350 00:50:07,552 --> 00:50:08,920 AND HINTS DOES ITS OWN WORK 1351 00:50:08,920 --> 00:50:10,288 WITH RESPECT TO PUBLISHING 1352 00:50:10,288 --> 00:50:12,190 THEIR OWN BRIEFS TO BE ABLE TO 1353 00:50:12,190 --> 00:50:13,125 COMMUNICATE SOME OF THESE KEY 1354 00:50:13,125 --> 00:50:15,026 FINDINGS. 1355 00:50:15,026 --> 00:50:17,596 SO THIS CAME, THE FIGURE ON THE 1356 00:50:17,596 --> 00:50:20,132 RIGHT CAME FROM HINTS BRIEF #50 1357 00:50:20,132 --> 00:50:21,533 LOOKING AT AWARENESS AND SUP 1358 00:50:21,533 --> 00:50:23,668 FOR THE FOR ADDITIONAL LABELING 1359 00:50:23,668 --> 00:50:25,070 THAT UTILIZES BOTH HEALTH AND 1360 00:50:25,070 --> 00:50:26,972 WORDS TO SHOW NEGATIVE IMPACTS 1361 00:50:26,972 --> 00:50:32,511 OF SMOKING AND OVERWHELMINGLY 1362 00:50:32,511 --> 00:50:33,879 SHOWING ADULTS SHOW STRONG 1363 00:50:33,879 --> 00:50:35,514 SUPPORT OR SUPPORT FOR 1364 00:50:35,514 --> 00:50:36,915 UTILIZATION OF IMAGES AND WORDS 1365 00:50:36,915 --> 00:50:39,985 BUT WE KNOW THERE'S DISPARITIES 1366 00:50:39,985 --> 00:50:43,288 ACROSS GEOGRAPHICAL CONTEXT AND 1367 00:50:43,288 --> 00:50:43,922 WITHIN SOCIOECONOMIC GROUPS AS 1368 00:50:43,922 --> 00:50:45,123 WELL. 1369 00:50:45,123 --> 00:50:47,592 I LAST WANT TO CLOSE BY TALKING 1370 00:50:47,592 --> 00:50:48,059 ABOUT INVESTMENTS IN 1371 00:50:48,059 --> 00:50:49,327 INFRASTRUCTURE. 1372 00:50:49,327 --> 00:50:51,429 AGAIN, WE CAN'T ADVANCE HEALTH 1373 00:50:51,429 --> 00:50:51,997 EQUITY WITHOUT THINKING OF 1374 00:50:51,997 --> 00:50:53,799 INFRASTRUCTURE. 1375 00:50:53,799 --> 00:50:55,400 I LOVE DR. GODDARD'S 1376 00:50:55,400 --> 00:50:57,269 PRESENTATION ABOUT ALL THE 1377 00:50:57,269 --> 00:50:58,236 DIFFERENT FUNDING OPPORTUNITIES 1378 00:50:58,236 --> 00:51:01,373 AVAILABLE FOR US TO THINK 1379 00:51:01,373 --> 00:51:03,408 CREATIVELY UTILIZING HINTS. 1380 00:51:03,408 --> 00:51:06,278 I COUNT 17 DATASETS BECAUSE I 1381 00:51:06,278 --> 00:51:09,047 COUNT THE DATA LINKAGE PROJECT 1382 00:51:09,047 --> 00:51:10,682 THOUGH THAT WAS EXISTING DATA. 1383 00:51:10,682 --> 00:51:12,651 THINKING ABOUT NOT JUST MAKING 1384 00:51:12,651 --> 00:51:15,821 DATA PUBLICLY AVAILABLE BUT 1385 00:51:15,821 --> 00:51:16,988 PROVIDING WEBINARS, 1386 00:51:16,988 --> 00:51:18,390 CONFERENCES, TUTORIALS TO 1387 00:51:18,390 --> 00:51:20,959 EMPOWER USERS TO THINK ABOUT 1388 00:51:20,959 --> 00:51:22,594 UTILIZING HINTS AND HOPEFULLY 1389 00:51:22,594 --> 00:51:24,930 PROVIDE FEEDBACK TO THE HINTS 1390 00:51:24,930 --> 00:51:25,530 COMMUNITY ABOUT FUTURE 1391 00:51:25,530 --> 00:51:26,798 DIRECTIONS AND GROWTH. 1392 00:51:26,798 --> 00:51:27,732 WE HAVE SEEN SUCCESS WITH 1393 00:51:27,732 --> 00:51:30,569 RESPECT TO THE NUMBER OF 1394 00:51:30,569 --> 00:51:31,136 ARTICLES AND PEER-REVIEWED 1395 00:51:31,136 --> 00:51:32,237 PUBLICATIONS WHERE I THINK WE 1396 00:51:32,237 --> 00:51:34,339 CAN DO MORE IS REALLY 1397 00:51:34,339 --> 00:51:36,408 INCORPORATING THE POWER OF 1398 00:51:36,408 --> 00:51:37,242 HINTS INTO FEDERALLY FUNDED 1399 00:51:37,242 --> 00:51:39,244 RESEARCH. 1400 00:51:39,244 --> 00:51:40,879 THINKING ABOUT THE IMPORTANCE 1401 00:51:40,879 --> 00:51:43,248 OF SECONDARY DATA AND EXISTING 1402 00:51:43,248 --> 00:51:44,883 DATA AND UTILIZING EXISTING 1403 00:51:44,883 --> 00:51:47,452 DATA INTO DEVELOPING AND 1404 00:51:47,452 --> 00:51:50,021 ADVANCING AND EVALUATING BOTH 1405 00:51:50,021 --> 00:51:51,223 INTERVENTIONS TO ENHANCE 1406 00:51:51,223 --> 00:51:52,624 EVERYTHING FROM PATIENT 1407 00:51:52,624 --> 00:51:53,792 PROVIDER COMMUNICATION TO 1408 00:51:53,792 --> 00:51:56,528 ACCESS AND UPTAKE TO TELEHEALTH 1409 00:51:56,528 --> 00:51:57,329 USE. 1410 00:51:57,329 --> 00:52:00,332 I HAVE DONE WORK ADDRESSING 1411 00:52:00,332 --> 00:52:01,766 INFORMATION AND MISINFORMATION 1412 00:52:01,766 --> 00:52:02,934 AMONG LATINOS AND HINTS 1413 00:52:02,934 --> 00:52:03,869 QUESTIONS HAVE PLAYED AN 1414 00:52:03,869 --> 00:52:05,036 IMPORTANT ROLE IN THAT. 1415 00:52:05,036 --> 00:52:07,839 CONTINUING TO THINK ABOUT HOW 1416 00:52:07,839 --> 00:52:09,941 WE CAN EVOLVE AND UTILIZE HINTS 1417 00:52:09,941 --> 00:52:13,011 IN NEW AND EXCITING WAYS AND 1418 00:52:13,011 --> 00:52:14,145 FOSTER CROSS COLLABORATION 1419 00:52:14,145 --> 00:52:15,313 ACROSS DISCIPLINES TO CONTINUE 1420 00:52:15,313 --> 00:52:16,982 TO SUSTAIN THIS WORK THAT'S 1421 00:52:16,982 --> 00:52:18,583 BEING DONE AND I WOULD BE 1422 00:52:18,583 --> 00:52:20,952 REMISS IF I DIDN'T MENTION THAT 1423 00:52:20,952 --> 00:52:22,854 THE MOST IMPORTANT INVESTMENTS 1424 00:52:22,854 --> 00:52:24,689 IN INFRASTRUCTURE ARE AMONG 1425 00:52:24,689 --> 00:52:26,358 BRINGING MORE HINTS USERS TO 1426 00:52:26,358 --> 00:52:27,726 THE TABLE EARLIER IN THE 1427 00:52:27,726 --> 00:52:28,493 PIPELINE. 1428 00:52:28,493 --> 00:52:30,428 SO REALLY SUPPORTING EARLY 1429 00:52:30,428 --> 00:52:31,763 CAREER INVESTIGATORS, STUDENTS. 1430 00:52:31,763 --> 00:52:33,398 I WILL GIVE A QUICK SHOUT OUT, 1431 00:52:33,398 --> 00:52:37,202 WE HAVE A FEW OF OUR STUDENTS 1432 00:52:37,202 --> 00:52:39,104 HERE AT SUNY DOWNSTATE 1433 00:52:39,104 --> 00:52:41,640 PRESENTING BECAUSE WE TEACH A 1434 00:52:41,640 --> 00:52:42,374 STATISTICS COURSE UTILIZING 1435 00:52:42,374 --> 00:52:44,242 HINTS WITHIN THE CLASSROOM. 1436 00:52:44,242 --> 00:52:46,144 REALLY THINKING ABOUT WAYS WE 1437 00:52:46,144 --> 00:52:49,447 CAN CREATE MORE INCLUSIVE 1438 00:52:49,447 --> 00:52:50,415 ENVIRONMENTS, MORE DIVERSE 1439 00:52:50,415 --> 00:52:51,316 ENVIRONMENTS FOR HINTS USERS 1440 00:52:51,316 --> 00:52:53,218 THAT WILL HELP TO SUSTAIN THIS 1441 00:52:53,218 --> 00:52:53,785 IMPORTANT WORK FOR YEARS TO 1442 00:52:53,785 --> 00:52:55,787 COME. 1443 00:52:55,787 --> 00:52:56,888 I THINK THAT'S IT. 1444 00:52:56,888 --> 00:52:59,057 I WANT TO GO AHEAD AND THANK 1445 00:52:59,057 --> 00:53:00,025 THE PLANNING COMMITTEE AGAIN, 1446 00:53:00,025 --> 00:53:02,360 AND SOME OF MY LONG-STANDING 1447 00:53:02,360 --> 00:53:03,061 HINTS COLLABORATORS FOR ALL THE 1448 00:53:03,061 --> 00:53:04,496 WORK WE HAVE BEEN DOING AND 1449 00:53:04,496 --> 00:53:05,196 WILL CONTINUE TO DO. 1450 00:53:05,196 --> 00:53:15,473 THANKS SO MUCH. 1451 00:53:33,858 --> 00:53:34,926 >> Kelly Blake: SO THAT WAS 1452 00:53:34,926 --> 00:53:37,095 AMAZING. 1453 00:53:37,095 --> 00:53:39,331 WE DIDN'T PAY MARLENE TO SAY 1454 00:53:39,331 --> 00:53:40,598 THOSE THINGS. 1455 00:53:40,598 --> 00:53:43,435 I DIDN'T TELL HER WHAT TO SAY. 1456 00:53:43,435 --> 00:53:44,602 TELL HER ANYTHING THAT WENT 1457 00:53:44,602 --> 00:53:45,470 INTO HER SLIDES. 1458 00:53:45,470 --> 00:53:47,138 THAT WAS ALL HER. 1459 00:53:47,138 --> 00:53:48,540 THANK YOU, MARLENE FOR BEING 1460 00:53:48,540 --> 00:53:51,409 SUCH A HINTS ADVOCATE AND AVID 1461 00:53:51,409 --> 00:53:52,444 HINTS USER AND OUR CONFERENCE 1462 00:53:52,444 --> 00:53:53,311 CHAIR. 1463 00:53:53,311 --> 00:53:54,746 THAT WAS REALLY GREAT. 1464 00:53:54,746 --> 00:53:56,114 SO NOW I'M GOING TO HAVE TO 1465 00:53:56,114 --> 00:53:57,549 FIGURE OUT HOW TO GET BACK TO 1466 00:53:57,549 --> 00:54:02,320 THE OTHER SLIDES. 1467 00:54:02,320 --> 00:54:03,655 JUST ONE MORE. 1468 00:54:03,655 --> 00:54:05,390 NEXT I WILL ASK ALL OF THE 1469 00:54:05,390 --> 00:54:06,791 PRESENTERS WHO ARE PRESENTING 1470 00:54:06,791 --> 00:54:09,127 IN OUR FIRST ORAL PRESENTATION 1471 00:54:09,127 --> 00:54:10,996 SESSION TO COME AND SIT AT THE 1472 00:54:10,996 --> 00:54:12,130 TABLE AT THE STAGE. 1473 00:54:12,130 --> 00:54:14,232 COME TO THE PODIUM TO GIVE YOUR 1474 00:54:14,232 --> 00:54:15,133 PRESENTATION, THEN SIT BACK 1475 00:54:15,133 --> 00:54:17,035 DOWN AT THE TABLE TO ANSWER 1476 00:54:17,035 --> 00:54:19,304 QUESTIONS AT THE END. 1477 00:54:19,304 --> 00:54:21,039 OUR MODERATOR FOR THIS SESSION, 1478 00:54:21,039 --> 00:54:23,341 I'M SO THRILLED HE IS HERE WITH 1479 00:54:23,341 --> 00:54:26,144 US IS DR. BRAD HESSE WHO USED 1480 00:54:26,144 --> 00:54:27,645 TO BE THE DIRECTOR OF THE HINTS 1481 00:54:27,645 --> 00:54:33,284 PROGRAM AND CHIEF OF THE HEALTH 1482 00:54:33,284 --> 00:54:34,452 COMMUNICATION AND INFORMATICS 1483 00:54:34,452 --> 00:54:36,354 RESEARCH AT NCI BEFORE HE 1484 00:54:36,354 --> 00:54:37,455 RETIRED IN 2019. 1485 00:54:37,455 --> 00:54:39,657 BRAD WILL WALK US THROUGH THIS 1486 00:54:39,657 --> 00:54:40,759 ORAL PRESENTATION SESSION. 1487 00:54:40,759 --> 00:54:42,160 IF THE PRESENTERS CAN COME TO 1488 00:54:42,160 --> 00:54:47,232 THE TABLE, WE WILL GET STARTED 1489 00:54:47,232 --> 00:54:48,233 WITH OUR FIRST DATA-DRIVEN SET 1490 00:54:48,233 --> 00:54:58,410 OF TALKS. 1491 00:55:36,381 --> 00:55:37,248 >> Moderator Bradford Hesse: 1492 00:55:37,248 --> 00:55:38,583 THANK YOU FOR COMING TODAY AND 1493 00:55:38,583 --> 00:55:41,286 BEING PART. 1494 00:55:41,286 --> 00:55:42,720 THIS IS INCREDIBLE, FELT LIKE 1495 00:55:42,720 --> 00:55:45,023 GOING TO SAN FRANCISCO, GO TO A 1496 00:55:45,023 --> 00:55:47,492 COUPLE VINEYARDS AND ALL OF THE 1497 00:55:47,492 --> 00:55:49,260 SUDDEN WE HAVE THIS GIGANTIC 1498 00:55:49,260 --> 00:55:49,861 INFRASTRUCTURE. 1499 00:55:49,861 --> 00:55:50,995 THANK YOU ALL. 1500 00:55:50,995 --> 00:55:53,131 I KNOW IN THE EARLY DAYS PART 1501 00:55:53,131 --> 00:55:55,500 OF WHAT WE WANTED TO DO WITH 1502 00:55:55,500 --> 00:55:56,935 HINTS IS KEEP TRACK OF THE 1503 00:55:56,935 --> 00:56:06,411 CHANGING HEALTH ENVIRONMENT. 1504 00:56:06,411 --> 00:56:08,446 BACK IN 2002-2003 IT WAS CD 1505 00:56:08,446 --> 00:56:09,914 ROMS. 1506 00:56:09,914 --> 00:56:11,983 THAT'S HOW OLD IT WAS. 1507 00:56:11,983 --> 00:56:13,451 SINCE THEN, OH MY GOSH. 1508 00:56:13,451 --> 00:56:14,352 AND THE PANDEMIC, RIGHT? 1509 00:56:14,352 --> 00:56:16,721 WE ARE GOING TO BE LOOKING IN A 1510 00:56:16,721 --> 00:56:18,556 FEW MINUTES WHAT HAPPENED FROM 1511 00:56:18,556 --> 00:56:21,292 THE OFFICES OF NATIONAL HEALTH 1512 00:56:21,292 --> 00:56:22,360 COORDINATOR, THEY ARE LOOKING 1513 00:56:22,360 --> 00:56:23,194 AT USE OF HEALTH INFORMATION 1514 00:56:23,194 --> 00:56:23,862 TECHNOLOGY. 1515 00:56:23,862 --> 00:56:25,296 THAT WILL BE OUR FIRST 1516 00:56:25,296 --> 00:56:26,331 PRESENTER. 1517 00:56:26,331 --> 00:56:28,967 WE WILL WATCH AMAZING TRENDS I 1518 00:56:28,967 --> 00:56:30,335 NEVER THOUGHT WE WOULD SEE. 1519 00:56:30,335 --> 00:56:32,203 WITH THAT, I WANT TO INTRODUCE 1520 00:56:32,203 --> 00:56:35,807 OUR FIRST SPEAKER FROM THE ONC. 1521 00:56:35,807 --> 00:56:39,744 SO THIS IS DR. CHELSEA RICHWINE. 1522 00:56:39,744 --> 00:56:42,814 HER TOPIC WILL BE ON PROGRESS 1523 00:56:42,814 --> 00:56:46,551 AND PERSISTED DISPARITIES IN 1524 00:56:46,551 --> 00:56:47,652 PATIENT INFORMATION IN HEALTH 1525 00:56:47,652 --> 00:56:54,726 INFORMATION TECHNOLOGY. 1526 00:56:54,726 --> 00:56:56,027 >> Chelsea Richwine: THANK YOU 1527 00:56:56,027 --> 00:56:58,096 FOR THE INTRODUCTION. 1528 00:56:58,096 --> 00:56:59,597 SO ON TREND WITH LOOKING BACK 1529 00:56:59,597 --> 00:57:02,200 AT THE LAST 20 YEARS OF HINTS 1530 00:57:02,200 --> 00:57:03,368 THIS PRESENTATION IS USING 1531 00:57:03,368 --> 00:57:05,937 SEVERAL WAVES OF THE HINTS TO 1532 00:57:05,937 --> 00:57:08,239 ASSESS PROGRESS AND PERSISTENT 1533 00:57:08,239 --> 00:57:10,074 DISPARITIES IN PATIENT ACCESS 1534 00:57:10,074 --> 00:57:10,542 TO ELECTRONIC HEALTH 1535 00:57:10,542 --> 00:57:11,242 INFORMATION. 1536 00:57:11,242 --> 00:57:12,677 AND BEFORE I DIVE INTO THE 1537 00:57:12,677 --> 00:57:15,013 RESULTS, I WANT TO GIVE A 1538 00:57:15,013 --> 00:57:16,214 LITTLE BIT OF BACKGROUND AND 1539 00:57:16,214 --> 00:57:18,283 IMPORTANCE TO THIS TOPIC. 1540 00:57:18,283 --> 00:57:20,151 EXPANDING PATIENT ACCESS TO 1541 00:57:20,151 --> 00:57:22,987 ELECTRONIC HEALTH INFORMATION 1542 00:57:22,987 --> 00:57:26,024 OR EHI HAS BEEN SHOWN TO HELP 1543 00:57:26,024 --> 00:57:27,659 MAKE INDIVIDUALS MAKE MORE 1544 00:57:27,659 --> 00:57:29,060 INFORMED DECISIONS ABOUT THEIR 1545 00:57:29,060 --> 00:57:30,395 HEALTH AND LEAD TO BETTER 1546 00:57:30,395 --> 00:57:31,596 HEALTH OUTCOMES. 1547 00:57:31,596 --> 00:57:33,965 TO ACHIEVE THIS GOAL THERE HAVE 1548 00:57:33,965 --> 00:57:35,333 BEEN SEVERAL FEDERAL EFFORTS 1549 00:57:35,333 --> 00:57:40,572 OVER THE LAST DECADE OR MORE TO 1550 00:57:40,572 --> 00:57:42,440 HELP MAKE INFORMED DECISIONS BY 1551 00:57:42,440 --> 00:57:43,441 INCREASING PATIENT ACCESS TO 1552 00:57:43,441 --> 00:57:49,914 EHI. 1553 00:57:49,914 --> 00:57:54,185 PROVIDERS TO ADOPT AND USE 1554 00:57:54,185 --> 00:57:56,921 ELECTRONIC HEALTH RECORD 1555 00:57:56,921 --> 00:57:59,224 SYSTEMS THAT ENABLE PATIENTS TO 1556 00:57:59,224 --> 00:58:00,858 DOWNLOAD AND TRANSIT HEALTH 1557 00:58:00,858 --> 00:58:03,895 INFORMATION, THIS IS LARGELY 1558 00:58:03,895 --> 00:58:07,232 VIA PATIENT PORTALS. 1559 00:58:07,232 --> 00:58:08,800 MORE RECENTLY IN 2020, SOUGHT 1560 00:58:08,800 --> 00:58:10,902 TO MAKE EHI MORE EASILY 1561 00:58:10,902 --> 00:58:14,439 ACCESSIBLE TO PATIENTS THROUGH 1562 00:58:14,439 --> 00:58:15,406 SECURE STANDARDS BASED EPI'S 1563 00:58:15,406 --> 00:58:18,710 THAT COULD BE USED TO CREATE 1564 00:58:18,710 --> 00:58:21,779 SMARTPHONE HEALTH APPS THAT CAN 1565 00:58:21,779 --> 00:58:22,947 HELP PATIENTS ACCESS THEIR 1566 00:58:22,947 --> 00:58:25,250 HEALTH INFORMATION. 1567 00:58:25,250 --> 00:58:26,851 DESPITE SUBSTANTIAL PROGRESS 1568 00:58:26,851 --> 00:58:28,953 OVER THE LAST DECADE IN 1569 00:58:28,953 --> 00:58:29,921 EXPANDING PATIENT ACCESS THIS 1570 00:58:29,921 --> 00:58:31,122 GROWTH HAS NOT OCCURRED 1571 00:58:31,122 --> 00:58:32,257 EQUITABLY. 1572 00:58:32,257 --> 00:58:35,059 THERE HAVE BEEN SEVERAL STUDIES 1573 00:58:35,059 --> 00:58:35,793 IDENTIFYING DISPARITIES IN 1574 00:58:35,793 --> 00:58:37,395 PATIENT ACCESS. 1575 00:58:37,395 --> 00:58:40,865 PARTICULARLY THE TWO, SHOW 1576 00:58:40,865 --> 00:58:42,333 BLACK AND HISPANIC PATIENTS 1577 00:58:42,333 --> 00:58:44,435 HAVE BEEN LESS OFFERED TO 1578 00:58:44,435 --> 00:58:45,803 ACCESS THEIR PORTAL COMPARED TO 1579 00:58:45,803 --> 00:58:47,905 WHITE INDIVIDUALS. 1580 00:58:47,905 --> 00:58:49,540 THIS IS NEGATIVE DOWNSTREAM 1581 00:58:49,540 --> 00:58:51,943 IMPLICATIONS IN ACCESS IN THE 1582 00:58:51,943 --> 00:59:02,086 USE OF EHI. 1583 00:59:02,086 --> 00:59:03,121 LOOKING AT SIX DIFFERENT WAYS 1584 00:59:03,121 --> 00:59:06,524 OF THE HINTS. 1585 00:59:06,524 --> 00:59:09,794 FROM 2014 TO 2022, EXAMINING 1586 00:59:09,794 --> 00:59:11,195 TRENDS ACCESSING PATIENT PORTAL. 1587 00:59:11,195 --> 00:59:13,031 THIS IS IMPORTANT BECAUSE WE 1588 00:59:13,031 --> 00:59:17,635 LOOK AT THIS IN 2022, WHICH MAY 1589 00:59:17,635 --> 00:59:19,270 HAVE INCREASED DEMAND FOR 1590 00:59:19,270 --> 00:59:20,471 PATIENT ACCESS TO EHI. 1591 00:59:20,471 --> 00:59:21,839 THIS WAS A GOOD OPPORTUNITY TO 1592 00:59:21,839 --> 00:59:23,541 LOOK AT THIS LONG TREND AND SEE 1593 00:59:23,541 --> 00:59:34,085 HOW MUCH PROGRESS WE HAVE MADE. 1594 00:59:54,906 --> 00:59:56,240 OBVIOUSLY DATA FOR THIS STUDY 1595 00:59:56,240 --> 01:00:00,311 COME FROM THE HINTS. 1596 01:00:00,311 --> 01:00:03,915 RANGING FROM HINTS 4 2014, TO 1597 01:00:03,915 --> 01:00:05,883 HINTS 6 IN 2022. 1598 01:00:05,883 --> 01:00:10,321 THIS USED QUESTIONS FROM THE 1599 01:00:10,321 --> 01:00:11,956 MEDICAL RECORDS QUESTION SET 1600 01:00:11,956 --> 01:00:15,626 FOR PATIENTS TO ENGAGE IN THEIR 1601 01:00:15,626 --> 01:00:18,696 MEDICAL RECORD OR PATIENT 1602 01:00:18,696 --> 01:00:18,930 PORTAL. 1603 01:00:18,930 --> 01:00:21,099 HENCEFORTH PATIENT PORTAL. 1604 01:00:21,099 --> 01:00:23,468 THE TRENDS OVER THE SIX WAVES 1605 01:00:23,468 --> 01:00:24,402 OF THIS STUDY, INDIVIDUALS 1606 01:00:24,402 --> 01:00:25,803 REPORTING THEY WERE OFFERED 1607 01:00:25,803 --> 01:00:27,872 ACCESS TO THE PORTAL BY THEIR 1608 01:00:27,872 --> 01:00:29,107 HEALTHCARE PROVIDER. 1609 01:00:29,107 --> 01:00:31,476 THEY WERE ENCOURAGED TO USE THE 1610 01:00:31,476 --> 01:00:33,311 PORTAL BY THEIR HEALTHCARE 1611 01:00:33,311 --> 01:00:34,278 PROVIDER, WHETHER THEY ACCESSED 1612 01:00:34,278 --> 01:00:36,347 IT AT LEAST ONCE IN THE PAST 1613 01:00:36,347 --> 01:00:38,249 YEAR, AS WELL AS HOW THEY 1614 01:00:38,249 --> 01:00:40,785 ACCESS THEIR PORTAL, THROUGH A 1615 01:00:40,785 --> 01:00:43,454 WEBSITE AND HEALTH APP OR BOTH 1616 01:00:43,454 --> 01:00:46,557 METHODS HOW THEY USE TO VIEW, 1617 01:00:46,557 --> 01:00:47,759 DOWNLOAD, TRANSMIT INFORMATION. 1618 01:00:47,759 --> 01:00:49,394 AS WELL AS EASE OF 1619 01:00:49,394 --> 01:00:49,994 UNDERSTANDING INFORMATION IN 1620 01:00:49,994 --> 01:00:51,262 THE PORTAL. 1621 01:00:51,262 --> 01:00:53,131 WE KNOW THE SAMPLE IS 1622 01:00:53,131 --> 01:00:54,766 RESTRICTED TO RESPONDENTS WHO 1623 01:00:54,766 --> 01:00:56,634 HAD HEALTHCARE VISIT IN THE 1624 01:00:56,634 --> 01:00:58,703 LAST 12 YEARS AND THUS HAD 1625 01:00:58,703 --> 01:01:01,806 REASON TO ACCESS THEIR PORTAL. 1626 01:01:01,806 --> 01:01:03,408 AND ALL THIS USED TO DEVELOP 1627 01:01:03,408 --> 01:01:04,876 THE HINTS TEAM. 1628 01:01:04,876 --> 01:01:15,420 SO THIS FIRST SLIDE SHOWS THOSE 1629 01:01:18,823 --> 01:01:20,425 OFFERED PATIENT PORTAL BY THEIR 1630 01:01:20,425 --> 01:01:21,826 HEALTHCARE PROVIDER AND THE 1631 01:01:21,826 --> 01:01:24,295 OTHER THOSE WHO HAVE ACCESSED 1632 01:01:24,295 --> 01:01:26,197 THEIR PATIENT PORTAL. 1633 01:01:26,197 --> 01:01:28,299 ACCESS HAS INCREASED WITH A 1634 01:01:28,299 --> 01:01:29,534 COUPLE SIGNIFICANT INCREASES 1635 01:01:29,534 --> 01:01:30,935 INDICATED BY THE ASTERISKS HERE. 1636 01:01:30,935 --> 01:01:32,670 BUT I REALLY WANT TO CALL 1637 01:01:32,670 --> 01:01:33,838 ATTENTION TO THE ACCELERATION 1638 01:01:33,838 --> 01:01:37,341 IN GROWTH AND PATIENT ACCESS 1639 01:01:37,341 --> 01:01:38,876 BETWEEN 2020 AND 2022 DURING 1640 01:01:38,876 --> 01:01:40,378 THOSE PANDEMIC YEARS. 1641 01:01:40,378 --> 01:01:42,280 THE SHARE OF INDIVIDUALS 1642 01:01:42,280 --> 01:01:46,384 OFFERED A PATIENT PORTAL 1643 01:01:46,384 --> 01:01:48,252 INCREASED 24% BETWEEN 2020 AND 1644 01:01:48,252 --> 01:01:51,456 2022. 1645 01:01:51,456 --> 01:01:54,492 AND THOSE WHO USED INCREASED 1646 01:01:54,492 --> 01:01:57,895 FROM 46% TO 86% IN 2022. 1647 01:01:57,895 --> 01:01:59,864 WHILE THERE ARE A LOT OF 1648 01:01:59,864 --> 01:02:01,732 DIFFERENT REASONS WHY PATIENT 1649 01:02:01,732 --> 01:02:02,900 ACCESS MAY HAVE ACCELERATED IN 1650 01:02:02,900 --> 01:02:04,402 THE LAST COUPLE YEARS, IT COULD 1651 01:02:04,402 --> 01:02:06,838 HAVE BEEN DUE TO INCREASED 1652 01:02:06,838 --> 01:02:07,872 DEMAND FOR PATIENT ACCESS 1653 01:02:07,872 --> 01:02:09,140 DURING THE PANDEMIC. 1654 01:02:09,140 --> 01:02:11,042 SOME OF THE POLICY EFFORTS I 1655 01:02:11,042 --> 01:02:11,776 MENTIONED IN THE LAST COUPLE 1656 01:02:11,776 --> 01:02:12,910 YEARS. 1657 01:02:12,910 --> 01:02:16,180 BUT WE ALSO SAW INCREASED 1658 01:02:16,180 --> 01:02:17,348 HEALTHCARE PROVIDER ENGAGEMENT 1659 01:02:17,348 --> 01:02:18,583 WHICH MAY HAVE CONTRIBUTED TO 1660 01:02:18,583 --> 01:02:19,484 PATIENT ACCESS. 1661 01:02:19,484 --> 01:02:22,286 IN OTHER WORDS THERE WAS AN 1662 01:02:22,286 --> 01:02:23,688 INCREASE IN INDIVIDUALS 1663 01:02:23,688 --> 01:02:25,423 INDICATING THEIR PROVIDER 1664 01:02:25,423 --> 01:02:27,992 OFFERED THEM A PORTAL AND 1665 01:02:27,992 --> 01:02:29,393 SIGNIFICANT INCREASE IN SHARE 1666 01:02:29,393 --> 01:02:31,762 OF PATIENTS THAT THEIR 1667 01:02:31,762 --> 01:02:32,396 HEALTHCARE PROVIDER ENCOURAGED 1668 01:02:32,396 --> 01:02:34,565 THEM TO USE THE PORTAL. 1669 01:02:34,565 --> 01:02:35,333 THIS MAY HAVE CONTRIBUTED TO 1670 01:02:35,333 --> 01:02:36,968 THE GROWTH OF ACCESS IN THE 1671 01:02:36,968 --> 01:02:39,303 MIDDLE PART OF THE BAR, THE 1672 01:02:39,303 --> 01:02:40,271 48-68%. 1673 01:02:40,271 --> 01:02:41,906 HOWEVER, WE ALSO SEE AMONG 1674 01:02:41,906 --> 01:02:43,574 THOSE OFFERED A PORTAL AND 1675 01:02:43,574 --> 01:02:47,078 ENCOURAGED TO USE IT, THERE 1676 01:02:47,078 --> 01:02:47,712 WERE STILL SIGNIFICANT 1677 01:02:47,712 --> 01:02:50,314 INCREASES IN ACCESS. 1678 01:02:50,314 --> 01:02:51,916 AMONG THOSE ENCOURAGED AND WE 1679 01:02:51,916 --> 01:02:53,818 ALSO SEE A SIGNIFICANT INCREASE. 1680 01:02:53,818 --> 01:02:55,920 THIS REALLY SUGGESTS THAT IN 1681 01:02:55,920 --> 01:02:58,256 ADDITION TO INCREASED 1682 01:02:58,256 --> 01:02:59,924 HEALTHCARE PROVIDER 1683 01:02:59,924 --> 01:03:01,559 ENCOURAGEMENT THERE'S INCREASED 1684 01:03:01,559 --> 01:03:02,727 PATIENT ENGAGEMENT, POTENTIALLY 1685 01:03:02,727 --> 01:03:04,629 DUE TO INCREASED DEMAND OR 1686 01:03:04,629 --> 01:03:06,531 OTHER FACTORS SUCH AS THESE 1687 01:03:06,531 --> 01:03:08,633 POLICY EFFORTS I MENTIONED. 1688 01:03:08,633 --> 01:03:11,402 SO TO THAT END, ONE OF THE 1689 01:03:11,402 --> 01:03:13,037 POLICY EFFORTS I MENTIONED IS 1690 01:03:13,037 --> 01:03:14,605 MAKING IT EASIER FOR PATIENTS 1691 01:03:14,605 --> 01:03:16,007 TO ACCESS INFORMATION. 1692 01:03:16,007 --> 01:03:18,376 ONE WAY IS EXPANDING APP-BASED 1693 01:03:18,376 --> 01:03:22,346 ACCESS TO EHI. 1694 01:03:22,346 --> 01:03:25,650 WE SEE BETWEEN 2020-2022 ACCESS 1695 01:03:25,650 --> 01:03:27,051 TO APP-BASED EHI INCREASED. 1696 01:03:27,051 --> 01:03:30,521 WHILE THERE WAS ONLY A SMALL 1697 01:03:30,521 --> 01:03:38,963 INCREASE IN APP-ONLY FROM 2016. 1698 01:03:38,963 --> 01:03:41,566 THERE WAS SIGNIFICANT INCREASE 1699 01:03:41,566 --> 01:03:46,270 USING BOTH AN APP AND A WEBSITE. 1700 01:03:46,270 --> 01:03:47,405 TOGETHER SUGGESTS INDIVIDUALS 1701 01:03:47,405 --> 01:03:50,207 HAD MORE WAYS TO ACCESS AND MAY 1702 01:03:50,207 --> 01:03:51,609 HAVE CONTRIBUTED TO THE 1703 01:03:51,609 --> 01:03:54,178 EXPANDED ACCESS WE SEE. 1704 01:03:54,178 --> 01:03:57,515 SO OVER THE LAST FEW SLIDES 1705 01:03:57,515 --> 01:03:59,216 PAINTED THIS POSITIVE PICTURE 1706 01:03:59,216 --> 01:04:00,818 IN EXPANSION IN PATIENT ACCESS. 1707 01:04:00,818 --> 01:04:03,387 WE SEE GROWTH IN PATIENT ACCESS 1708 01:04:03,387 --> 01:04:05,022 HAS NOT OCCURRED EQUITABLY. 1709 01:04:05,022 --> 01:04:07,124 THE DISPARITIES WE SAW IN 1710 01:04:07,124 --> 01:04:08,359 STUDIES IN 2020 APPEAR TO 1711 01:04:08,359 --> 01:04:09,927 PERSIST IN 2022. 1712 01:04:09,927 --> 01:04:12,697 SO IN THIS FIRST SET OF BARS WE 1713 01:04:12,697 --> 01:04:15,533 SEE BLACK AND HISPANIC 1714 01:04:15,533 --> 01:04:16,434 INDIVIDUALS HAD SIGNIFICANTLY 1715 01:04:16,434 --> 01:04:18,069 LOWER RATES OF INDICATING THEY 1716 01:04:18,069 --> 01:04:20,404 WERE OFFERED THE OPPORTUNITY TO 1717 01:04:20,404 --> 01:04:22,506 ACCESS THEIR PORTAL COMPARED TO 1718 01:04:22,506 --> 01:04:25,242 THEIR WHITE COUNTERPARTS. 1719 01:04:25,242 --> 01:04:26,410 BLACK AND HISPANIC 1720 01:04:26,410 --> 01:04:27,845 SIGNIFICANTLY LOWER RATES OF 1721 01:04:27,845 --> 01:04:29,714 BEING ENCOURAGED TO USE A 1722 01:04:29,714 --> 01:04:31,148 PORTAL AND SIGNIFICANTLY LOWER 1723 01:04:31,148 --> 01:04:33,217 RATES OF ACCESSING A PORTAL. 1724 01:04:33,217 --> 01:04:34,485 HOWEVER, AMONG THOSE THAT DID 1725 01:04:34,485 --> 01:04:36,253 HAVE AN OPPORTUNITY TO ACCESS 1726 01:04:36,253 --> 01:04:38,322 THEIR PORTAL THROUGH THE OFFER, 1727 01:04:38,322 --> 01:04:39,957 THERE WERE NO SIGNIFICANT 1728 01:04:39,957 --> 01:04:40,858 DIFFERENCES IN ACCESS AMONG 1729 01:04:40,858 --> 01:04:42,026 THAT GROUP. 1730 01:04:42,026 --> 01:04:45,563 THERE WERE ALSO NO SIGNIFICANT 1731 01:04:45,563 --> 01:04:46,731 DIFFERENCES IN ACCESS AMONG 1732 01:04:46,731 --> 01:04:47,665 THOSE ENCOURAGED TO USE THEIR 1733 01:04:47,665 --> 01:04:50,101 PORTAL. 1734 01:04:50,101 --> 01:04:51,502 TAKEN TOGETHER THIS SUGGESTS 1735 01:04:51,502 --> 01:04:53,571 ROLE OF OFFER AND ENCOURAGEMENT 1736 01:04:53,571 --> 01:04:55,906 MAY BE A DRIVING FORCE IN THE 1737 01:04:55,906 --> 01:04:56,607 OVERALL DISPARITIES WE SEE IN 1738 01:04:56,607 --> 01:05:03,180 ACCESS. 1739 01:05:03,180 --> 01:05:07,518 TO FURTHER DEMONSTRATE WE SAW 1740 01:05:07,518 --> 01:05:09,787 NO DIFFERENCES IN USE OR 1741 01:05:09,787 --> 01:05:11,255 UNDERSTANDING. 1742 01:05:11,255 --> 01:05:13,324 THIS IS SHOWING PATIENT PORTAL 1743 01:05:13,324 --> 01:05:16,360 USE FOR DIFFERENT USES LOOK UP 1744 01:05:16,360 --> 01:05:18,329 TEST RESULTS, DOWNLOAD, SEND 1745 01:05:18,329 --> 01:05:19,697 INFORMATION AND VIEW CLINICAL 1746 01:05:19,697 --> 01:05:22,099 NOTES AMONG RACE AND ETHNICITY, 1747 01:05:22,099 --> 01:05:24,268 WE SAW NO REAL DIFFERENCES IN 1748 01:05:24,268 --> 01:05:25,670 ACCESS AND THE WAYS THEY USE 1749 01:05:25,670 --> 01:05:28,005 THEM, COB SIS STENT WITH THE 1750 01:05:28,005 --> 01:05:29,173 FINDINGS FROM 2019 AND 2022 AS 1751 01:05:29,173 --> 01:05:31,776 WELL. 1752 01:05:31,776 --> 01:05:39,817 BLACK AND HISPANIC WERE MORE 1753 01:05:39,817 --> 01:05:41,819 LIKELY TO DOWNLOAD THEIR HEALTH 1754 01:05:41,819 --> 01:05:43,087 INFORMATION. 1755 01:05:43,087 --> 01:05:45,756 TAKING ALL THESE THINGS 1756 01:05:45,756 --> 01:05:47,124 TOGETHER, IT'S REALLY MAKES AN 1757 01:05:47,124 --> 01:05:51,195 IMPORTANT POINT THAT NOT ONLY 1758 01:05:51,195 --> 01:05:53,564 IS THE OFFER IN ACCESSIBILITY 1759 01:05:53,564 --> 01:05:55,099 OF PORTALS PLAYING A ROLE. 1760 01:05:55,099 --> 01:06:04,775 IT SUGGESTS THE DIFFERENCE IN 1761 01:06:04,775 --> 01:06:05,676 PREFERENCES IS NOT DRIVING 1762 01:06:05,676 --> 01:06:07,044 DIFFERENCES IN ACCESS. 1763 01:06:07,044 --> 01:06:09,013 THERE ARE NO DIFFERENCES IN USE 1764 01:06:09,013 --> 01:06:10,648 OR UNDERSTANDING OF INFORMATION. 1765 01:06:10,648 --> 01:06:12,249 SO TO HIGHLIGHT THESE KEY 1766 01:06:12,249 --> 01:06:14,785 POINTS FROM THE STUDY WE FOUND 1767 01:06:14,785 --> 01:06:16,420 THAT INDIVIDUAL REPORTED ACCESS 1768 01:06:16,420 --> 01:06:19,023 TO ENGAGEMENT WITH PATIENT 1769 01:06:19,023 --> 01:06:19,724 PORTALS EXPANDED SIGNIFICANTLY 1770 01:06:19,724 --> 01:06:22,293 BETWEEN 2014 AND 2022. 1771 01:06:22,293 --> 01:06:24,395 BUT RACIAL AND ETHNIC 1772 01:06:24,395 --> 01:06:25,596 DISPARITIES EXIST. 1773 01:06:25,596 --> 01:06:26,530 THERE WERE NO SIGNIFICANT 1774 01:06:26,530 --> 01:06:30,267 DIFFERENCES IN THE USE OR 1775 01:06:30,267 --> 01:06:30,835 UNDERSTANDING UNDERSTANDING 1776 01:06:30,835 --> 01:06:32,169 MEDICAL RECORDS IN THE PORTALS 1777 01:06:32,169 --> 01:06:35,873 AMONG THOSE WHO HAD ACCESS 1778 01:06:35,873 --> 01:06:37,541 WHICH PROMOTES EFFORTS WOULD 1779 01:06:37,541 --> 01:06:39,043 LIKELY BE SUCCESSFUL IN 1780 01:06:39,043 --> 01:06:46,016 INCREASING PATIENT ACCESS. 1781 01:06:46,016 --> 01:06:48,452 LOOKING FORWARD, I THINK 1782 01:06:48,452 --> 01:06:50,254 THERE'S BEEN PRIMARY DATA 1783 01:06:50,254 --> 01:06:52,356 SOURCE WITHIN ONC THAT ALLOWS 1784 01:06:52,356 --> 01:06:54,225 US TO MONITOR THE IMPACT OF 1785 01:06:54,225 --> 01:06:55,659 POLICIES IN THE BEGINNING THAT 1786 01:06:55,659 --> 01:06:57,762 ARE DESIGNED TO MAKE IT EASIER 1787 01:06:57,762 --> 01:06:59,663 FOR INDIVIDUALS TO ACCESS AND 1788 01:06:59,663 --> 01:07:03,567 USE EHI THROUGH VARIETY OF 1789 01:07:03,567 --> 01:07:04,368 CHOICES INCLUDING SMARTPHONES 1790 01:07:04,368 --> 01:07:05,402 AND APPS. 1791 01:07:05,402 --> 01:07:07,271 IN ADDITION TO OTHER SURVEYS WE 1792 01:07:07,271 --> 01:07:10,074 HAVE LOOKING AT HOSPITALS AND 1793 01:07:10,074 --> 01:07:12,676 PROVIDERS USE OF VHR'S THAT 1794 01:07:12,676 --> 01:07:14,311 ENABLE THESE CAPABILITIES HINTS 1795 01:07:14,311 --> 01:07:16,180 OFFERS THIS PATIENT PERSPECTIVE 1796 01:07:16,180 --> 01:07:18,282 ON PERSONAL EXPERIENCES USING 1797 01:07:18,282 --> 01:07:21,085 TECHNOLOGIES TO ACCESS EHI. 1798 01:07:21,085 --> 01:07:23,420 THEREFORE ONGOING MEASUREMENT 1799 01:07:23,420 --> 01:07:26,524 IS ESSENTIAL FOR CONTINUED 1800 01:07:26,524 --> 01:07:28,392 ASSESSMENT AMONG PATIENT ACCESS 1801 01:07:28,392 --> 01:07:31,595 OVERALL BUT FOR ALL INDIVIDUALS. 1802 01:07:31,595 --> 01:07:33,330 IDENTIFYING AN OPPORTUNITY TO 1803 01:07:33,330 --> 01:07:34,498 ACCESS THEIR EHI AND CHOOSING 1804 01:07:34,498 --> 01:07:37,268 TO DO SO IS A REALLY CRITICAL 1805 01:07:37,268 --> 01:07:39,837 FIRST STEP IN DEVELOPING 1806 01:07:39,837 --> 01:07:40,805 SOLUTIONS IN ACHIEVING 1807 01:07:40,805 --> 01:07:41,872 EQUITABLE ACCESS AND USE. 1808 01:07:41,872 --> 01:07:43,140 THANK YOU. 1809 01:07:43,140 --> 01:07:44,775 I'M HAPPY TO ANSWER ANY 1810 01:07:44,775 --> 01:07:45,709 QUESTIONS AT THE END OF THE 1811 01:07:45,709 --> 01:07:55,953 PRESENTATION. 1812 01:08:28,419 --> 01:08:29,553 THIS IS NOT SOMETHING THAT 1813 01:08:29,553 --> 01:08:33,057 WOULD COME FROM THE ONC BUT ONE 1814 01:08:33,057 --> 01:08:35,159 OF THE POTENTIAL -- ONE OF 1815 01:08:35,159 --> 01:08:36,794 THE PAPERS I PUBLISHED LAST 1816 01:08:36,794 --> 01:08:37,995 YEAR WAS IMPLEMENTING A 1817 01:08:37,995 --> 01:08:39,663 UNIVERSAL ACCESS POLICY. 1818 01:08:39,663 --> 01:08:41,098 IT TAKES AWAY GUESSWORK OF 1819 01:08:41,098 --> 01:08:42,433 MAKING INDIVIDUAL OFFERS OR 1820 01:08:42,433 --> 01:08:43,834 RECOMMENDATION AND JUST SAYING 1821 01:08:43,834 --> 01:08:45,035 ANYONE WHO WALKS THROUGH YOUR 1822 01:08:45,035 --> 01:08:46,604 DOOR IS OFFERED A PORTAL. 1823 01:08:46,604 --> 01:08:48,539 I THINK THIS IS REALLY 1824 01:08:48,539 --> 01:08:50,374 IMPORTANT BECAUSE I THINK WHERE 1825 01:08:50,374 --> 01:08:51,809 SOMEONE RECEIVES CARE CAN MAKE 1826 01:08:51,809 --> 01:08:53,244 A REALLY BIG DIFFERENCE. 1827 01:08:53,244 --> 01:08:55,112 SO YOU MIGHT SEE DIFFERENCES IN 1828 01:08:55,112 --> 01:08:56,947 OFFERING A PORTAL AND 1829 01:08:56,947 --> 01:08:57,882 ENCOURAGING THAT PORTAL AMONG 1830 01:08:57,882 --> 01:09:00,684 THOSE WHO HAVE A PRE-EXISTING 1831 01:09:00,684 --> 01:09:03,687 RELATIONSHIP WITH A PROVIDER 1832 01:09:03,687 --> 01:09:05,389 VERSUS A CLINIC. 1833 01:09:05,389 --> 01:09:06,891 SO IMPLEMENTING THIS WOULD TAKE 1834 01:09:06,891 --> 01:09:08,692 AWAY THE GUESSWORK AND RELIANCE 1835 01:09:08,692 --> 01:09:10,327 ON THE PROVIDER WHO I REALIZE 1836 01:09:10,327 --> 01:09:11,996 HAS A LOT OF OTHER TASKS AT 1837 01:09:11,996 --> 01:09:13,097 HAND. 1838 01:09:13,097 --> 01:09:16,133 IT WOULD BE HELPFUL FOR THEM, 1839 01:09:16,133 --> 01:09:17,501 THE ORGANIZATION AND PATIENTS 1840 01:09:17,501 --> 01:09:21,138 TO MAKE SURE EVERYBODY HAS THAT 1841 01:09:21,138 --> 01:09:22,539 OPPORTUNITY TO ACCESS THEIR 1842 01:09:22,539 --> 01:09:23,140 PATIENT INFORMATION, IF THEY 1843 01:09:23,140 --> 01:09:29,513 WANT TO. 1844 01:09:29,513 --> 01:09:35,352 >> NO BUTTONS, I'M DR. RIVERA 1845 01:09:35,352 --> 01:09:36,387 WITH RUTGERS SCHOOL. 1846 01:09:36,387 --> 01:09:37,755 THIS IS A GREAT PRESENTATION. 1847 01:09:37,755 --> 01:09:41,725 IT'S MORE OF A CURIOSITY WHEN 1848 01:09:41,725 --> 01:09:43,427 YOU WERE LOOKING AT THE 1849 01:09:43,427 --> 01:09:45,996 DIFFERENCES BETWEEN WHITE, 1850 01:09:45,996 --> 01:09:47,698 BLACK AND HISPANIC USERS WHO 1851 01:09:47,698 --> 01:09:51,735 WERE OFFERED ACCESS, DID YOU 1852 01:09:51,735 --> 01:09:53,470 LOOK AT GEOGRAPHICAL DATA? 1853 01:09:53,470 --> 01:09:54,738 WAS THERE ANY, IF YOU HAVEN'T, 1854 01:09:54,738 --> 01:09:56,874 I THINK THAT WOULD BE VERY 1855 01:09:56,874 --> 01:09:59,243 INTERESTING TO SEE, ARE THERE 1856 01:09:59,243 --> 01:10:00,644 SPECIFIC REGIONS WHERE MAYBE 1857 01:10:00,644 --> 01:10:05,215 MORE OF AN EFFORT HAS TO BE PUT 1858 01:10:05,215 --> 01:10:06,650 INTO REACHING THOSE PROVIDERS 1859 01:10:06,650 --> 01:10:08,352 SO THEY ARE ACTUALLY GETTING 1860 01:10:08,352 --> 01:10:09,420 EQUAL ACCESS? 1861 01:10:09,420 --> 01:10:13,891 >> YEAH, SO THERE WASN'T 1862 01:10:13,891 --> 01:10:15,392 GEOGRAPHIC INFORMATION 1863 01:10:15,392 --> 01:10:16,760 AVAILABLE BUT THERE WERE 1864 01:10:16,760 --> 01:10:17,928 PARTICULARLY IN THE PAST 1865 01:10:17,928 --> 01:10:19,997 PAPERS, THIS IS SORT OF AN 1866 01:10:19,997 --> 01:10:22,132 UPDATE OF A PAPER I PUBLISHED 1867 01:10:22,132 --> 01:10:23,701 AT THE END OF LAST YEAR. 1868 01:10:23,701 --> 01:10:26,170 IN THAT ONE WE CONTROLED FOR A 1869 01:10:26,170 --> 01:10:27,805 NUMBER OF DIFFERENT THINGS, 1870 01:10:27,805 --> 01:10:28,539 INCLUDING WHETHER THE 1871 01:10:28,539 --> 01:10:29,974 INDIVIDUAL HAS ACCESS TO THE 1872 01:10:29,974 --> 01:10:31,475 INTERNET AS A PROXY. 1873 01:10:31,475 --> 01:10:34,278 THERE MIGHT HAVE BEEN AN 1874 01:10:34,278 --> 01:10:35,446 URBAN/RURAL SPLIT. 1875 01:10:35,446 --> 01:10:37,381 A COUPLE THINGS TO GET AT THAT 1876 01:10:37,381 --> 01:10:37,948 ACCESS. 1877 01:10:37,948 --> 01:10:39,416 I THINK THE INTERNET ACCESS WAS 1878 01:10:39,416 --> 01:10:40,517 A TRICKY ONE. 1879 01:10:40,517 --> 01:10:42,820 I THINK I ENDED UP CONTROLLING 1880 01:10:42,820 --> 01:10:44,688 FOR IN NUMBER OF INTERNET 1881 01:10:44,688 --> 01:10:46,590 ACCESS TYPES. 1882 01:10:46,590 --> 01:10:47,291 HAVING BROADBAND AND CELLULAR 1883 01:10:47,291 --> 01:10:48,225 AND WI-FI. 1884 01:10:48,225 --> 01:10:51,495 I THINK THERE'S A LITTLE BIT OF 1885 01:10:51,495 --> 01:10:53,130 MISUNDERSTANDING SOMETIMES, IN 1886 01:10:53,130 --> 01:10:54,531 WHICH CASE RESPONDENTS OF WHAT 1887 01:10:54,531 --> 01:10:56,600 TYPE OF ACCESS THEY HAVE. 1888 01:10:56,600 --> 01:10:58,035 I FOUND THAT CONTROLLING FOR 1889 01:10:58,035 --> 01:11:00,170 THE NUMBER WAS ACTUALLY A 1890 01:11:00,170 --> 01:11:01,605 BETTER PROXY OF ACCESS THERE. 1891 01:11:01,605 --> 01:11:03,807 BUT THAT'S CERTAINLY A REALLY 1892 01:11:03,807 --> 01:11:11,281 GOOD POINT THAT GEOGRAPHY AND 1893 01:11:11,281 --> 01:11:12,449 WHERE YOU ARE RECEIVING CARE IS 1894 01:11:12,449 --> 01:11:13,617 A BIG DRIVER OF THAT. 1895 01:11:13,617 --> 01:11:16,553 IT'S AN OPPORTUNITY TO LOOK AT. 1896 01:11:16,553 --> 01:11:17,321 THANK YOU. 1897 01:11:17,321 --> 01:11:17,988 >> Moderator Bradford Hesse: 1898 01:11:17,988 --> 01:11:28,165 ALL RIGHT. 1899 01:12:12,943 --> 01:12:16,346 >> Abhishek Henry: HI, I'M 1900 01:12:16,346 --> 01:12:18,449 ABHISHEK HENRY, I'M A GRADUATE 1901 01:12:18,449 --> 01:12:20,317 STUDENT AT MASTER OF PUBLIC 1902 01:12:20,317 --> 01:12:23,053 HEALTH IN EPIDEMIOLOGY AT OHIO 1903 01:12:23,053 --> 01:12:25,956 STATE UNIVERSITY. 1904 01:12:25,956 --> 01:12:31,562 STARTING OFF WITH SOME 1905 01:12:31,562 --> 01:12:32,496 BACKGROUND ON COLORECTAL 1906 01:12:32,496 --> 01:12:34,832 CANCER, IT'S THE SECOND LEADING 1907 01:12:34,832 --> 01:12:36,366 CAUSE OF CANCER-RELATED DEATHS 1908 01:12:36,366 --> 01:12:38,802 AMONG BOTH MEN AND WOMEN. 1909 01:12:38,802 --> 01:12:40,270 HOWEVER WE CAN PREVENT THROUGH 1910 01:12:40,270 --> 01:12:41,772 EARLY DETECTION. 1911 01:12:41,772 --> 01:12:46,343 IN 2021 THE UNITED STATES WITH 1912 01:12:46,343 --> 01:12:48,212 A TASK FORCE REDUCED SCREENING 1913 01:12:48,212 --> 01:12:52,616 AGE FROM 50 YEARS TO 45 YEARS. 1914 01:12:52,616 --> 01:12:54,952 AS AGE DECREASES OTHER MEANS OF 1915 01:12:54,952 --> 01:12:55,953 INTERVENTIONS MAY PROVE MORE 1916 01:12:55,953 --> 01:12:58,055 BENEFICIAL. 1917 01:12:58,055 --> 01:12:59,690 FOR EXAMPLE, 60% OF UNITED 1918 01:12:59,690 --> 01:13:02,226 STATES ADULTS REPORTED SEEKING 1919 01:13:02,226 --> 01:13:04,027 ONLINE HEALTH INFORMATION. 1920 01:13:04,027 --> 01:13:08,899 THIS JUST GOES TO SHOW TARGETED 1921 01:13:08,899 --> 01:13:10,968 ONLINE CANCER EDUCATION AND 1922 01:13:10,968 --> 01:13:12,703 PREVENTION CAN BE USED FOR 1923 01:13:12,703 --> 01:13:15,706 CANCER SCREENING UTILIZATION. 1924 01:13:15,706 --> 01:13:19,009 SO DURING THE COVID-19 1925 01:13:19,009 --> 01:13:19,843 PANDEMIC, IN-PERSON HEALTHCARE 1926 01:13:19,843 --> 01:13:22,045 VISITS WERE HARD TO ACCESS. 1927 01:13:22,045 --> 01:13:23,680 HOWEVER, ONLINE MEDICAL RECORDS 1928 01:13:23,680 --> 01:13:24,848 AND ONLINE PATIENT PORTALS 1929 01:13:24,848 --> 01:13:26,750 COULD HAVE BEEN USED TO BRIDGE 1930 01:13:26,750 --> 01:13:31,688 THE GAP BETWEEN PATIENTS AND 1931 01:13:31,688 --> 01:13:32,389 PROVIDERS AND INCREASE 1932 01:13:32,389 --> 01:13:34,258 HEALTHCARE ACCESS. 1933 01:13:34,258 --> 01:13:37,060 PREVIOUS STUDIES HAVE SHOWN 1934 01:13:37,060 --> 01:13:41,765 PATIENT PORTALS HAVE INCREASED 1935 01:13:41,765 --> 01:13:42,432 PATIENT-PROVIDER COMMUNICATIONS 1936 01:13:42,432 --> 01:13:43,901 REGARDING CRC SCREENING. 1937 01:13:43,901 --> 01:13:49,139 OUR DESIGN WAS TO EXAMINE THE 1938 01:13:49,139 --> 01:13:51,675 IMPACT OF ONLINE MEDICAL. 1939 01:13:51,675 --> 01:13:57,014 WE USED THE HINTS 5, CYCLES 2, 1940 01:13:57,014 --> 01:13:59,416 3, 4 BETWEEN 2018-2010. 1941 01:13:59,416 --> 01:14:01,451 -- -2020. 1942 01:14:01,451 --> 01:14:08,091 IT ASSESSES HEALTH 1943 01:14:08,091 --> 01:14:09,726 COMMUNICATION, AND HEALTH 1944 01:14:09,726 --> 01:14:13,697 RELATED ATTITUDES AND BEHAVIORS. 1945 01:14:13,697 --> 01:14:15,098 ADULTS AGE 45-75 WHO 1946 01:14:15,098 --> 01:14:17,167 PARTICIPATED IN THE HINTS 1947 01:14:17,167 --> 01:14:19,536 DURING THESE SPECIFIED CYCLES, 1948 01:14:19,536 --> 01:14:20,971 THIS AGE RANGE WAS CHOSEN TO BE 1949 01:14:20,971 --> 01:14:22,105 IN LINE WITH THE 1950 01:14:22,105 --> 01:14:23,640 RECOMMENDATIONS BY UNITED 1951 01:14:23,640 --> 01:14:24,274 STATES PREVENTIVE SERVICE TASK 1952 01:14:24,274 --> 01:14:26,977 FORCE. 1953 01:14:26,977 --> 01:14:31,248 AND WHY USE HINTS FOR THE 1954 01:14:31,248 --> 01:14:33,584 STUDY, IT INFORMS COMMUNICATION 1955 01:14:33,584 --> 01:14:37,554 AND CANCER PREVENTIONMENT OUR 1956 01:14:37,554 --> 01:14:38,855 DEPENDENT VARIABLE WAS CRC 1957 01:14:38,855 --> 01:14:39,656 SCREEN STATUS. 1958 01:14:39,656 --> 01:14:42,226 HAVE YOU EVER HAD A TEST TO 1959 01:14:42,226 --> 01:14:45,796 CHECK FOR COLON CANCER. 1960 01:14:45,796 --> 01:14:47,130 DICHOTOMIZED AS EVER SCREENED 1961 01:14:47,130 --> 01:14:48,398 AND NEVER SCREENED. 1962 01:14:48,398 --> 01:14:51,168 HINTS DID NOT PROVIDE OR ASK 1963 01:14:51,168 --> 01:14:52,603 THE SPECIFIC AGE TIMEFRAME FOR 1964 01:14:52,603 --> 01:14:53,971 WHEN THEY WERE SCREENED. 1965 01:14:53,971 --> 01:14:55,639 SO THIS IS WHY IT WAS 1966 01:14:55,639 --> 01:14:57,441 DICHOTOMIZED THIS WAY. 1967 01:14:57,441 --> 01:14:59,776 OUR INDEPENDENT VARIABLES WERE 1968 01:14:59,776 --> 01:15:00,978 SOCIAL DEMOGRAPHICS, MEDICAL 1969 01:15:00,978 --> 01:15:02,813 CONDITIONS AND ONLINE MEDICAL 1970 01:15:02,813 --> 01:15:03,747 RECORD USE ASSESSED THROUGH 1971 01:15:03,747 --> 01:15:05,482 WHETHER THEY ACCESS THEIR 1972 01:15:05,482 --> 01:15:07,551 ONLINE MEDICAL RECORDS IN THE 1973 01:15:07,551 --> 01:15:09,886 LAST 12 MONTHS ALSO 1974 01:15:09,886 --> 01:15:11,989 DICHOTOMIZED WITH YES OR NO. 1975 01:15:11,989 --> 01:15:14,091 GOING ONTO STATISTICAL ANALYSIS 1976 01:15:14,091 --> 01:15:16,393 WE FIRST APPLIED SURVEY WEIGHTS 1977 01:15:16,393 --> 01:15:22,833 USING THE JACK KNIFE 1978 01:15:22,833 --> 01:15:23,600 REPLICATION METHOD AND OTHER 1979 01:15:23,600 --> 01:15:25,636 FACTORS. 1980 01:15:25,636 --> 01:15:33,343 WE THEN CONDUCTED BVARIATE 1981 01:15:33,343 --> 01:15:35,045 ANALYSES, CHECK FOR PREDICTORS 1982 01:15:35,045 --> 01:15:35,445 AND SIGNIFICANT 1983 01:15:35,445 --> 01:15:37,614 ASSOCIATIONSMENT WE WANTED TO 1984 01:15:37,614 --> 01:15:39,216 SEE ASSOCIATIONS BETWEEN ONLINE 1985 01:15:39,216 --> 01:15:43,186 MEDICAL RECORD USE AND 1986 01:15:43,186 --> 01:15:44,154 INDEPENDENT VARIABLES, SO 1987 01:15:44,154 --> 01:15:46,890 BIVARIATE WAS USED HERE. 1988 01:15:46,890 --> 01:15:50,260 AND CHI-SQUARE TESTS WERE USED 1989 01:15:50,260 --> 01:15:52,729 TO ASSESS. 1990 01:15:52,729 --> 01:15:54,598 WE DID A MULTI-VARIABLE 1991 01:15:54,598 --> 01:15:59,069 LOGISTIC REGRESSION TO ASSESS. 1992 01:15:59,069 --> 01:16:03,273 OUR WEIGHTED SAMPLE SIZE WAS 1993 01:16:03,273 --> 01:16:04,441 AROUND 257 MILLION PARTICIPANTS. 1994 01:16:04,441 --> 01:16:06,710 ON THE RIGHT YOU WILL SEE A 1995 01:16:06,710 --> 01:16:09,079 GRAPH THAT SHOWS THE RACIAL 1996 01:16:09,079 --> 01:16:11,915 DISTRIBUTION IN OUR STUDY. 1997 01:16:11,915 --> 01:16:13,250 MAJORITY WERE NON-HISPANIC 1998 01:16:13,250 --> 01:16:16,520 WHITES AROUND 72%. 1999 01:16:16,520 --> 01:16:19,323 70% OF PARTICIPANTS REPORTED 2000 01:16:19,323 --> 01:16:21,258 PREVIOUS COLORECTAL SCREENINGS. 2001 01:16:21,258 --> 01:16:23,593 FOR REFERENCE THE 2021 NATIONAL 2002 01:16:23,593 --> 01:16:25,696 HEALTH INTERVIEW SURVEY 2003 01:16:25,696 --> 01:16:27,564 REPORTED COLORECTAL SCREENINGS 2004 01:16:27,564 --> 01:16:30,434 AT 59% FOR ADULTS 45 YEARS OR 2005 01:16:30,434 --> 01:16:30,634 OLDER. 2006 01:16:30,634 --> 01:16:33,303 SO OURS HAS A LITTLE BIT MORE 2007 01:16:33,303 --> 01:16:36,373 REPORTINGS. 2008 01:16:36,373 --> 01:16:38,241 52% OF PARTICIPANTS ALSO 2009 01:16:38,241 --> 01:16:39,609 REPORTED ACCESSING THEIR ONLINE 2010 01:16:39,609 --> 01:16:43,080 MEDICAL RECORDS AT LEAST ONCE 2011 01:16:43,080 --> 01:16:45,415 IN THE LAST PAST YEAR. 2012 01:16:45,415 --> 01:16:47,384 MEAN AGE WHERE AVERAGE WAS 59 2013 01:16:47,384 --> 01:16:49,052 YEARS AND NEVER SCREENED WAS 52 2014 01:16:49,052 --> 01:16:49,953 YEARS. 2015 01:16:49,953 --> 01:16:53,490 THESE ARE RESULTS OF THE 2016 01:16:53,490 --> 01:16:55,592 BIVARIATE ANALYSES. 2017 01:16:55,592 --> 01:16:57,928 THESE MIMIC TODAY'S TRENDS IN 2018 01:16:57,928 --> 01:16:59,329 COLORECTAL SCREENING, WE ARE 2019 01:16:59,329 --> 01:17:03,567 SEEING HIGHER RATES IN 2020 01:17:03,567 --> 01:17:04,634 NON-HISPANIC BLACK AND 2021 01:17:04,634 --> 01:17:06,536 NON-HISPANIC WHITE. 2022 01:17:06,536 --> 01:17:08,405 THOSE WERE HIGHER EDUCATIONAL 2023 01:17:08,405 --> 01:17:08,972 ATTAINMENT AND THOSE WITH 2024 01:17:08,972 --> 01:17:10,273 INSURANCE. 2025 01:17:10,273 --> 01:17:12,376 WE ALSO FOUND THOSE WITH HIGH 2026 01:17:12,376 --> 01:17:18,215 BLOOD PRESSURE TO ALSO HAVE 2027 01:17:18,215 --> 01:17:18,749 MORE COLORECTAL CANCER 2028 01:17:18,749 --> 01:17:29,025 SCREENING RATES. 2029 01:17:31,061 --> 01:17:35,132 THIS IS BIVARIATE ANALYSIS OF 2030 01:17:35,132 --> 01:17:39,336 ONLINE MEDICAL RECORD USE. 2031 01:17:39,336 --> 01:17:42,572 THOSE WITH INSURANCE, 53% HAD 2032 01:17:42,572 --> 01:17:44,241 REPORTED PREVIOUS ACCESSING 2033 01:17:44,241 --> 01:17:46,576 THEIR ONLINE MEDICAL RECORDS 2034 01:17:46,576 --> 01:17:49,546 WHILE ONLY 20% ACCESSED THEM 2035 01:17:49,546 --> 01:17:50,113 WITHIN THE GROUP WITHOUT 2036 01:17:50,113 --> 01:18:00,290 INSURANCE. 2037 01:18:03,660 --> 01:18:04,895 THIS IS CONTROLLING FOR 2038 01:18:04,895 --> 01:18:07,130 CONFOUNDERS. 2039 01:18:07,130 --> 01:18:11,802 WE SEE HIGHER ODDS OF COLO 2040 01:18:11,802 --> 01:18:15,405 RECTAL SCREENING AMONG NON 2041 01:18:15,405 --> 01:18:16,306 HISPANIC AFRICAN AMERICANS 2042 01:18:16,306 --> 01:18:19,342 COMPARED TO NON HISPANIC WHITES. 2043 01:18:19,342 --> 01:18:20,977 THIS DEMONSTRATES PROMOTION OF 2044 01:18:20,977 --> 01:18:21,445 SCREENING AMONG THESE 2045 01:18:21,445 --> 01:18:22,679 INDIVIDUALS. 2046 01:18:22,679 --> 01:18:25,215 WE SEE GREATER ODDS OF 2047 01:18:25,215 --> 01:18:27,117 SCREENING AMONG ONLINE MEDICAL 2048 01:18:27,117 --> 01:18:30,086 RECORD USERS. 2049 01:18:30,086 --> 01:18:31,221 SHOWING ASSOCIATION OF 2050 01:18:31,221 --> 01:18:32,355 COLORECTAL SCREENING AND ONLINE 2051 01:18:32,355 --> 01:18:33,590 MEDICAL RECORD USE. 2052 01:18:33,590 --> 01:18:35,892 WE ALSO SEE GREATER ODDS AMONG 2053 01:18:35,892 --> 01:18:37,794 OLDER INDIVIDUALS. 2054 01:18:37,794 --> 01:18:39,396 THOSE WITH HIGHER EDUCATIONAL 2055 01:18:39,396 --> 01:18:39,963 ATTAINMENT AND THOSE WITH 2056 01:18:39,963 --> 01:18:41,731 INSURANCE. 2057 01:18:41,731 --> 01:18:43,867 NOTABLY, YOU COULD SEE THE ODDS 2058 01:18:43,867 --> 01:18:46,002 RATIOS ARE QUITE HIGH FOR THE 2059 01:18:46,002 --> 01:18:50,907 LAST FEW FACTORS. 2060 01:18:50,907 --> 01:18:51,842 SOME STRENGTHS AND LIMITATIONS 2061 01:18:51,842 --> 01:18:53,510 FOR OUR STUDY. 2062 01:18:53,510 --> 01:18:57,981 IT'S A LARGE DATASET. 2063 01:18:57,981 --> 01:18:59,916 SO IT'S QUITE GENERALIZABLE 2064 01:18:59,916 --> 01:19:00,350 FINDINGS. 2065 01:19:00,350 --> 01:19:05,689 OUR GROUP IS THE FIRST TO FIND 2066 01:19:05,689 --> 01:19:06,923 UTILITY AMONG THE GENERAL 2067 01:19:06,923 --> 01:19:08,692 POPULATION. 2068 01:19:08,692 --> 01:19:10,293 ALSO INTERNET USE AND 2069 01:19:10,293 --> 01:19:12,162 TECHNOLOGY HAVE BEEN IDENTIFIED 2070 01:19:12,162 --> 01:19:13,063 AS SOCIAL DETERMINANTS OF 2071 01:19:13,063 --> 01:19:14,464 HEALTH. 2072 01:19:14,464 --> 01:19:18,969 SO OUR STUDY INVESTIGATES THE 2073 01:19:18,969 --> 01:19:20,604 BEHAVIOR AND SOCIAL CONTEXTUAL 2074 01:19:20,604 --> 01:19:22,439 RELATED INFORMATION BETWEEN 2075 01:19:22,439 --> 01:19:24,608 THIS AND SCREENING. 2076 01:19:24,608 --> 01:19:26,243 SOME QUICK LIMITATIONS. 2077 01:19:26,243 --> 01:19:28,912 OUR STUDY INCLUDED THOSE WHO 2078 01:19:28,912 --> 01:19:31,581 ARE AVERAGE RISK AND HIGH RISK 2079 01:19:31,581 --> 01:19:32,682 FOR COLORECTAL CANCER. 2080 01:19:32,682 --> 01:19:34,317 SO WE ARE TREATING THEM THE 2081 01:19:34,317 --> 01:19:35,619 SAME WHEN THEY MIGHT NOT IN 2082 01:19:35,619 --> 01:19:37,120 FACT BE. 2083 01:19:37,120 --> 01:19:41,358 SO THOSE WITH HIGHER RISK 2084 01:19:41,358 --> 01:19:42,993 MIGHT HAVE DIFFERENT SCREENING 2085 01:19:42,993 --> 01:19:44,861 GUIDELINES OR DIFFERENT 2086 01:19:44,861 --> 01:19:45,395 COMMUNICATION WITH THEIR 2087 01:19:45,395 --> 01:19:47,664 PROVIDERS. 2088 01:19:47,664 --> 01:19:49,533 WHEN WE DICHOTOMIZE BETWEEN 2089 01:19:49,533 --> 01:19:50,934 EVER SCREENED AND NEVER SCREEN 2090 01:19:50,934 --> 01:19:53,737 WE ARE ASSUMING THOSE NOT 2091 01:19:53,737 --> 01:19:55,005 UP-TO-DATE WITH THEIR 2092 01:19:55,005 --> 01:19:55,805 COLORECTAL SCREENING 2093 01:19:55,805 --> 01:19:57,541 RECOMMENDATIONS HAVE THE SAME 2094 01:19:57,541 --> 01:19:58,141 SCREENING BEHAVIORS AS THOSE 2095 01:19:58,141 --> 01:19:59,743 WHO ARE. 2096 01:19:59,743 --> 01:20:01,845 SO THERE ARE DIFFERENT KINDS OF 2097 01:20:01,845 --> 01:20:03,246 SCREENING TESTS LIKE THE FIT 2098 01:20:03,246 --> 01:20:09,252 TEST WHICH IS DONE ANNUALLY OR 2099 01:20:09,252 --> 01:20:10,487 A COLONOSCOPY USUALLY DONE 2100 01:20:10,487 --> 01:20:11,755 EVERY TEN YEARS. 2101 01:20:11,755 --> 01:20:17,060 YOU CAN SEE HOW THOSE WHO ARE 2102 01:20:17,060 --> 01:20:19,162 NOT UP-TO-DATE MIGHT BE STILL 2103 01:20:19,162 --> 01:20:19,896 CONSIDERED IN EVER SCREEN 2104 01:20:19,896 --> 01:20:23,833 CATEGORY. 2105 01:20:23,833 --> 01:20:26,670 WE ALSO HAVE SELF-REPORTED COLO 2106 01:20:26,670 --> 01:20:28,305 RECTAL SCREENING AND ONLINE 2107 01:20:28,305 --> 01:20:30,340 MEDICAL REPORT USE REPORTS. 2108 01:20:30,340 --> 01:20:32,475 THERE ARE SOME CAUSALITY 2109 01:20:32,475 --> 01:20:35,278 CONCERNS, THE LIMITATION ACROSS 2110 01:20:35,278 --> 01:20:36,813 CONCEPTUAL DESIGN AND LIMITED 2111 01:20:36,813 --> 01:20:39,049 RACIAL AND ETHNIC DIVERSITY, WE 2112 01:20:39,049 --> 01:20:41,585 SAW MAJORITY OF THE POPULATION 2113 01:20:41,585 --> 01:20:44,354 WERE NON HISPANIC WHITE SO 2114 01:20:44,354 --> 01:20:45,522 GREATER OUTREACH AND SAMPLING 2115 01:20:45,522 --> 01:20:46,957 COULD HELP. 2116 01:20:46,957 --> 01:20:49,025 WE SAW POSITIVE ASSOCIATION 2117 01:20:49,025 --> 01:20:50,460 BETWEEN COLORECTAL SCREENING 2118 01:20:50,460 --> 01:20:54,698 AND ONLINE MEDICAL RECORD USE. 2119 01:20:54,698 --> 01:20:56,866 SHOWING HOW ONLINE MEDICAL 2120 01:20:56,866 --> 01:20:59,102 RECORD UTILITY CAN PROMOTE 2121 01:20:59,102 --> 01:20:59,369 SCREENING. 2122 01:20:59,369 --> 01:21:02,038 WE STILL SAW DISPARITIES AMONG 2123 01:21:02,038 --> 01:21:02,839 SCREENING AND ONLINE MEDICAL 2124 01:21:02,839 --> 01:21:05,075 RECORD USE. 2125 01:21:05,075 --> 01:21:06,242 THROUGH HIGHER EDUCATIONAL 2126 01:21:06,242 --> 01:21:07,410 ATTAINMENT AND INSURANCE STATUS 2127 01:21:07,410 --> 01:21:10,747 WE MIGHT BE SEEING HIGHER 2128 01:21:10,747 --> 01:21:13,183 ECONOMICALLY SOCIAL STATUS 2129 01:21:13,183 --> 01:21:14,818 LEADS TO BETTER OUTCOMES. 2130 01:21:14,818 --> 01:21:18,355 WE SAW LOWER ODDS OF COLORECTAL 2131 01:21:18,355 --> 01:21:20,256 SCREENING AMONG HISPANICS, NON 2132 01:21:20,256 --> 01:21:22,225 HISPANIC ASIAN AND NON HISPANIC 2133 01:21:22,225 --> 01:21:24,227 OTHER. 2134 01:21:24,227 --> 01:21:26,429 NON HISPANIC AFRICAN AMERICANS 2135 01:21:26,429 --> 01:21:27,998 HAD HIGHER ODDS OF SCREENING. 2136 01:21:27,998 --> 01:21:32,435 I WANT TO TALK ABOUT MODIFIABLE 2137 01:21:32,435 --> 01:21:34,671 AND NON MODIFIABLE FACTORS. 2138 01:21:34,671 --> 01:21:36,740 AGE, RACE AND ETHNICITY ARE NON 2139 01:21:36,740 --> 01:21:38,575 MODIFIABLE. 2140 01:21:38,575 --> 01:21:39,976 ONLINE RECORD USE, EDUCATION 2141 01:21:39,976 --> 01:21:43,179 AND INSURANCE ARE MODIFIABLE. 2142 01:21:43,179 --> 01:21:44,347 HOWEVER, ONLINE MEDICAL RECORD 2143 01:21:44,347 --> 01:21:48,284 USE IS AN ACTIONABLE TARGET 2144 01:21:48,284 --> 01:21:49,919 THAT HEALTHCARE PATIENTS AND 2145 01:21:49,919 --> 01:21:51,588 SYSTEMS CAN CHANGE TOGETHER. 2146 01:21:51,588 --> 01:21:53,857 THEY ARE MORE ACCESSIBLE AND 2147 01:21:53,857 --> 01:21:54,758 OPERATIONALIZED AMONG GENERAL 2148 01:21:54,758 --> 01:21:57,794 PATIENT POPULATION. 2149 01:21:57,794 --> 01:21:59,763 COMPARED TO INFLUENCING 2150 01:21:59,763 --> 01:22:01,398 EDUCATION STATUS OR INSURANCE 2151 01:22:01,398 --> 01:22:11,541 STATUS. 2152 01:22:13,410 --> 01:22:16,179 NOTING TECHNOLOGY AND USE OF 2153 01:22:16,179 --> 01:22:17,380 INTERNET ARE SOCIAL 2154 01:22:17,380 --> 01:22:18,548 DETERMINANTS OF HEALTH, 2155 01:22:18,548 --> 01:22:20,650 PROMOTION OF TECHNOLOGY AND 2156 01:22:20,650 --> 01:22:22,252 ONLINE BASED INTERVENTIONS SUCH 2157 01:22:22,252 --> 01:22:24,120 AS ONLINE MEDICAL RECORD USE 2158 01:22:24,120 --> 01:22:25,622 CAN LEAD TO POSITIVE HEALTH 2159 01:22:25,622 --> 01:22:25,889 OUTCOMES. 2160 01:22:25,889 --> 01:22:36,066 THANK YOU. 2161 01:23:07,697 --> 01:23:12,235 >> COULD IT BE POSSIBLE THOSE 2162 01:23:12,235 --> 01:23:13,303 ARE CORRELATED AND NEEDS 2163 01:23:13,303 --> 01:23:14,804 FURTHER STUDY. 2164 01:23:14,804 --> 01:23:15,972 ASSUMING THERE'S A CAUSAL LINK, 2165 01:23:15,972 --> 01:23:18,308 BRINGING BACK TO THE PREVIOUS 2166 01:23:18,308 --> 01:23:23,146 PRESENTER, HOW WOULD YOU EXPECT 2167 01:23:23,146 --> 01:23:25,281 THAT WOULD RELATE TO FURTHER 2168 01:23:25,281 --> 01:23:27,217 DISPARITIES IN PATIENTS WITH 2169 01:23:27,217 --> 01:23:28,785 COLO RECTAL CANCER? 2170 01:23:28,785 --> 01:23:30,854 AS A PRIOR PRESENTER SHOWED, 2171 01:23:30,854 --> 01:23:34,124 MINORITIES ARE LESS LIKELY TO 2172 01:23:34,124 --> 01:23:35,091 UTILIZE ONLINE MEDICAL RECORDS 2173 01:23:35,091 --> 01:23:38,561 SO THAT COULD POTENTIALLY 2174 01:23:38,561 --> 01:23:42,265 FURTHER PERPETUATE DISPARITIES. 2175 01:23:42,265 --> 01:23:43,900 >> Abhishek Henry: YEAH, WE ARE 2176 01:23:43,900 --> 01:23:46,002 INVOLVED IN ANOTHER STUDY WE 2177 01:23:46,002 --> 01:23:49,205 ARE ASSESSING THE FACILITATORS 2178 01:23:49,205 --> 01:23:52,275 FOR ONLINE MEDICAL RECORDS AND 2179 01:23:52,275 --> 01:23:53,676 PATIENT PORTALS AMONG AFRICAN 2180 01:23:53,676 --> 01:23:55,512 AMERICANS AND SPECIFICALLY HOW 2181 01:23:55,512 --> 01:24:00,150 THAT MIGHT INFLUENCE THEIR 2182 01:24:00,150 --> 01:24:00,717 COLORECTAL CANCER SCREENING 2183 01:24:00,717 --> 01:24:01,551 RATES. 2184 01:24:01,551 --> 01:24:02,585 THERE ARE DISPARITIES AND 2185 01:24:02,585 --> 01:24:04,988 BARRIERS. 2186 01:24:04,988 --> 01:24:09,459 SOME RELATE TO OLDER 2187 01:24:09,459 --> 01:24:10,426 INDIVIDUALS HAVING TROUBLE 2188 01:24:10,426 --> 01:24:11,795 USING TECHNOLOGY. 2189 01:24:11,795 --> 01:24:14,597 OR THEY PREFER BEING IN-PERSON 2190 01:24:14,597 --> 01:24:16,099 WITH THEIR PROVIDERS RATHER 2191 01:24:16,099 --> 01:24:19,769 THAN COMMUNICATING ONLINE. 2192 01:24:19,769 --> 01:24:20,770 SO WITHIN DIFFERENT RACIAL 2193 01:24:20,770 --> 01:24:23,139 GROUPS WE STILL DO SEE THAT 2194 01:24:23,139 --> 01:24:26,810 THOSE DIFFERENCES, I WILL SAY 2195 01:24:26,810 --> 01:24:28,478 THAT EVEN AMONG NON-HISPANIC 2196 01:24:28,478 --> 01:24:29,179 WHITE INDIVIDUALS, THOSE 2197 01:24:29,179 --> 01:24:33,016 LIMITATIONS ARE STILL THERE. 2198 01:24:33,016 --> 01:24:35,351 SO OLDER INDIVIDUALS MIGHT NOT 2199 01:24:35,351 --> 01:24:37,220 WANT TO USE ONLINE MEDICAL 2200 01:24:37,220 --> 01:24:38,388 RECORDS OR TECHNOLOGY JUST 2201 01:24:38,388 --> 01:24:40,056 BECAUSE OF THAT GAP IN 2202 01:24:40,056 --> 01:24:42,158 KNOWLEDGE FOR TECHNOLOGY USE. 2203 01:24:42,158 --> 01:24:46,029 BUT FURTHER STUDIES CAN BE USED 2204 01:24:46,029 --> 01:24:49,799 TO INVESTIGATE ONLINE MEDICAL 2205 01:24:49,799 --> 01:24:51,601 RECORD USE AGAINST DIFFERENT 2206 01:24:51,601 --> 01:24:56,506 SUBGROUPS, SO YEAH. 2207 01:24:56,506 --> 01:24:58,141 >> Moderator Bradford Hesse: 2208 01:24:58,141 --> 01:24:59,375 ACTUALLY, YOU WERE SETTING UP 2209 01:24:59,375 --> 01:25:02,879 OUR NEXT SPEAKER. 2210 01:25:02,879 --> 01:25:05,682 SO DR. YINJIAO YE FROM 2211 01:25:05,682 --> 01:25:07,083 UNIVERSITY OF RHODE ISLAND, 2212 01:25:07,083 --> 01:25:08,718 TALKING A LITTLE ABOUT OLDER 2213 01:25:08,718 --> 01:25:11,521 PEOPLE, AND I'M NOW IN THAT 2214 01:25:11,521 --> 01:25:11,788 CATEGORY. 2215 01:25:11,788 --> 01:25:12,889 SOMETIMES WILL HAVE STRUGGLES 2216 01:25:12,889 --> 01:25:13,756 WITH TECHNOLOGY AND NEED HELP 2217 01:25:13,756 --> 01:25:14,724 WITH THAT. 2218 01:25:14,724 --> 01:25:17,527 SO WE WANT TO TRACK THOSE. 2219 01:25:17,527 --> 01:25:19,863 IN HAWAIIAN THERE'S GREAT 2220 01:25:19,863 --> 01:25:22,465 RESULT FOR OLDER PEOPLE, KAPUNA. 2221 01:25:22,465 --> 01:25:23,867 SO I APPRECIATE THE FACT YOU 2222 01:25:23,867 --> 01:25:24,801 ARE REMEMBERING THAT PART OF 2223 01:25:24,801 --> 01:25:26,703 THE POPULATION AS WE LOOK NOW 2224 01:25:26,703 --> 01:25:30,306 AT HOW TO TRY TO TAKE OUR 2225 01:25:30,306 --> 01:25:30,874 INFORMATION ENVIRONMENT AND 2226 01:25:30,874 --> 01:25:33,610 SCULPT IN A WAY THAT IS 2227 01:25:33,610 --> 01:25:34,377 COMPLETELY ACCESSIBLE BY ALL 2228 01:25:34,377 --> 01:25:35,245 GROUPS. 2229 01:25:35,245 --> 01:25:36,880 SO THANK YOU FOR PRESENTING AND 2230 01:25:36,880 --> 01:25:37,847 IT'S UP TO YOU NOW. 2231 01:25:37,847 --> 01:25:47,590 >> THANK YOU. 2232 01:25:47,590 --> 01:25:49,225 >> Yinjiao Ye: THANK YOU. 2233 01:25:49,225 --> 01:25:50,393 SPEAKING OF THAT GROUP, IN TEN 2234 01:25:50,393 --> 01:25:52,528 YEARS I WILL BE IN THAT GROUP. 2235 01:25:52,528 --> 01:25:54,364 IT'S AN HONOR TO PRESENT THIS 2236 01:25:54,364 --> 01:25:55,765 RESEARCH TO OUR AUDIENCE TODAY. 2237 01:25:55,765 --> 01:25:57,667 SO IT IS ABOUT THE GREAT 2238 01:25:57,667 --> 01:25:59,402 DIGITAL DIVIDE IN THE 2239 01:25:59,402 --> 01:26:01,204 POST-PANDEMIC ERA. 2240 01:26:01,204 --> 01:26:06,276 I LOOK AT SEVERAL USES HOW 2241 01:26:06,276 --> 01:26:06,776 INFORMATION TECHNOLOGY 2242 01:26:06,776 --> 01:26:08,845 INCLUDING ACCESS TO THE 2243 01:26:08,845 --> 01:26:10,713 INTERNET, HEALTH RELATED 2244 01:26:10,713 --> 01:26:13,149 INTERNET USE, TELEHEALTH VISITS 2245 01:26:13,149 --> 01:26:14,851 AND THE USE OF ONLINE MEDICAL 2246 01:26:14,851 --> 01:26:24,961 RECORDS. 2247 01:26:24,961 --> 01:26:26,296 MAXWELL HUANG FROM NOBLE HIGH 2248 01:26:26,296 --> 01:26:28,831 SCHOOL STUDENT. 2249 01:26:28,831 --> 01:26:35,071 HE DID THIS RESEARCH. 2250 01:26:35,071 --> 01:26:37,206 A FEW PIECES OF INFORMATION 2251 01:26:37,206 --> 01:26:40,209 REGARDING WHY WE DID THIS STUDY. 2252 01:26:40,209 --> 01:26:42,312 THE FIRST THING THAT CAME TO 2253 01:26:42,312 --> 01:26:47,116 MIND IS THAT EVEN THOUGH THE 2254 01:26:47,116 --> 01:26:50,920 INTERNET HAS BEEN INVENTED FOR 2255 01:26:50,920 --> 01:26:54,557 30 YEARS, AS OF 2021, STILL 7% 2256 01:26:54,557 --> 01:26:56,426 OF THE POPULATION OF U.S. 2257 01:26:56,426 --> 01:27:00,263 ADULTS DIDN'T USE THE INTERNET. 2258 01:27:00,263 --> 01:27:04,834 AND THAT NUMBER BECOMES 25% 2259 01:27:04,834 --> 01:27:07,303 AMONG PEOPLE WHO ARE 65 YEARS 2260 01:27:07,303 --> 01:27:09,806 OR OLDER. 2261 01:27:09,806 --> 01:27:11,674 AND THE SECOND PIECE OF 2262 01:27:11,674 --> 01:27:14,210 INFORMATION THAT LEADS TO THE 2263 01:27:14,210 --> 01:27:17,680 STUDY IS THE RAPID HEALTHCARE 2264 01:27:17,680 --> 01:27:21,050 DIGITALIZATION. 2265 01:27:21,050 --> 01:27:23,653 ESPECIALLY DURING THE COVID 2266 01:27:23,653 --> 01:27:25,688 PANDEMIC. 2267 01:27:25,688 --> 01:27:27,423 JUST AN EXAMPLE, 90% OF 2268 01:27:27,423 --> 01:27:29,659 OFFICE-BASED DOCTORS IN THE 2269 01:27:29,659 --> 01:27:31,494 U.S. ADOPTED ELECTRONIC HEALTH 2270 01:27:31,494 --> 01:27:34,197 RECORDS IN 2021. 2271 01:27:34,197 --> 01:27:36,132 80% OF CANCER PATIENTS USE 2272 01:27:36,132 --> 01:27:37,433 SOCIAL MEDIA TO CONNECT WITH 2273 01:27:37,433 --> 01:27:39,769 THEIR PEERS. 2274 01:27:39,769 --> 01:27:42,905 AND 50% OF SMARTPHONE OWNERS 2275 01:27:42,905 --> 01:27:46,509 USE HEALTH APPS, AS OF 2021. 2276 01:27:46,509 --> 01:27:49,645 AND 39% OF U.S. ADULTS ACCESSED 2277 01:27:49,645 --> 01:27:52,181 THEIR ONLINE MEDICAL RECORDS AT 2278 01:27:52,181 --> 01:27:55,852 LEAST 1-2 TIMES A YEAR. 2279 01:27:55,852 --> 01:27:59,555 AND ONE THIRD OF THE U.S. 2280 01:27:59,555 --> 01:28:01,557 ADULTS USE WEARABLE HEALTHCARE 2281 01:28:01,557 --> 01:28:03,960 ELECTRONIC DEVICES. 2282 01:28:03,960 --> 01:28:07,263 AND THEN FINALLY, 22% OF 2283 01:28:07,263 --> 01:28:09,432 AMERICAN ADULTS USE TELEHEALTH. 2284 01:28:09,432 --> 01:28:13,369 THAT NUMBER IS UP FROM 11% 2285 01:28:13,369 --> 01:28:16,105 BEFORE THE PANDEMIC. 2286 01:28:16,105 --> 01:28:20,543 SO IT IS SIGNIFICANT INCREASE 2287 01:28:20,543 --> 01:28:23,279 IN HEALTHCARE DIGITALIZATION. 2288 01:28:23,279 --> 01:28:25,648 THE THIRD INFORMATION THAT 2289 01:28:25,648 --> 01:28:29,218 LEADS TO OUR RESEARCH IS OLDER 2290 01:28:29,218 --> 01:28:31,421 ADULTS POPULATION HEALTHCARE, 2291 01:28:31,421 --> 01:28:32,188 ESPECIALLY THEIR PERSONAL 2292 01:28:32,188 --> 01:28:37,693 HEALTHCARE SPENDING. 2293 01:28:37,693 --> 01:28:40,963 IN 2020, THE PERSONAL 2294 01:28:40,963 --> 01:28:42,365 HEALTHCARE SPENDING FOR OLDER 2295 01:28:42,365 --> 01:28:48,171 ADULTS IN THE U.S. WERE $1.2 2296 01:28:48,171 --> 01:28:49,672 TRILLION DOLLARS. 2297 01:28:49,672 --> 01:28:52,942 OR IN OTHER WORDS, OLDER ADULTS 2298 01:28:52,942 --> 01:28:56,412 USED ABOUT -- I MEAN, LIKE 2299 01:28:56,412 --> 01:29:03,086 ONE OLDER ADULT USE 22,356 IN 2300 01:29:03,086 --> 01:29:06,556 2020. 2301 01:29:06,556 --> 01:29:08,691 THAT NUMBER WAS 2.5 TIMES 2302 01:29:08,691 --> 01:29:13,029 HIGHER THAN THE AVERAGE 2303 01:29:13,029 --> 01:29:14,397 HEALTHCARE SPENDING BY AVERAGE 2304 01:29:14,397 --> 01:29:20,736 WORKING-AGE PERSON. 2305 01:29:20,736 --> 01:29:22,638 SO THOSE THREE THINGS REALLY 2306 01:29:22,638 --> 01:29:25,741 LED TO OUR INVESTIGATION HOW TO 2307 01:29:25,741 --> 01:29:27,844 MITIGATE THIS GRAY DIGITAL 2308 01:29:27,844 --> 01:29:30,847 DIVIDE AND REDUCE HEALTHCARE 2309 01:29:30,847 --> 01:29:34,817 EXPENDITURES FOR OLDER ADULTS. 2310 01:29:34,817 --> 01:29:36,152 SEVERAL SIGNIFICANT FINDINGS IN 2311 01:29:36,152 --> 01:29:37,153 THE LITERATURE. 2312 01:29:37,153 --> 01:29:39,322 NUMBER ONE IS THERE ARE THREE 2313 01:29:39,322 --> 01:29:42,091 LEVELS OF DIGITAL DIVIDE, 2314 01:29:42,091 --> 01:29:43,759 INCLUDING PHYSICAL ACCESS, 2315 01:29:43,759 --> 01:29:44,727 DIGITAL LITERACY AND BENEFITS 2316 01:29:44,727 --> 01:29:46,395 GAINED THROUGH THE USE OF 2317 01:29:46,395 --> 01:29:49,398 HEALTH INFORMATION TECHNOLOGY. 2318 01:29:49,398 --> 01:29:52,034 THE SECOND IS ABOUT THE 2319 01:29:52,034 --> 01:29:54,604 EVIDENCE OF THE GRAY DIGITAL 2320 01:29:54,604 --> 01:29:57,206 DIVIDE IN INTERNET ACCESS, AS 2321 01:29:57,206 --> 01:29:59,842 WELL AS IN HITU'S. 2322 01:29:59,842 --> 01:30:02,845 SO PREVIOUS RESEARCH HAS FOUND 2323 01:30:02,845 --> 01:30:04,514 THAT OLDER ADULTS ARE LESS 2324 01:30:04,514 --> 01:30:06,415 LIKELY TO USE THE INTERNET AS 2325 01:30:06,415 --> 01:30:10,820 WELL AS LESS LIKELY TO USE HIT, 2326 01:30:10,820 --> 01:30:11,287 OR HEALTH INFORMATION 2327 01:30:11,287 --> 01:30:12,688 TECHNOLOGIES. 2328 01:30:12,688 --> 01:30:15,258 AND THEN THERE IS A THEORY 2329 01:30:15,258 --> 01:30:17,093 REGARDING THE ADOPTION OF 2330 01:30:17,093 --> 01:30:18,761 HEALTHCARE TECHNOLOGY. 2331 01:30:18,761 --> 01:30:21,564 THE THEORY IS CALLED UNIFIED 2332 01:30:21,564 --> 01:30:23,132 THEORY OF ACCEPTANCE AND USE OF 2333 01:30:23,132 --> 01:30:25,301 TECHNOLOGY. 2334 01:30:25,301 --> 01:30:29,038 THE EXTENDED VERSION. 2335 01:30:29,038 --> 01:30:32,575 THE ABBREVIATION IS UTAUT2. 2336 01:30:32,575 --> 01:30:34,911 THIS THEORY PROPOSES, THERE ARE 2337 01:30:34,911 --> 01:30:36,112 SEVERAL FACTORS THAT CONTRIBUTE 2338 01:30:36,112 --> 01:30:37,680 TO THE ADOPTION OF HEALTH 2339 01:30:37,680 --> 01:30:40,316 INFORMATION TECHNOLOGY. 2340 01:30:40,316 --> 01:30:41,984 INCLUDING NUMBER ONE 2341 01:30:41,984 --> 01:30:44,820 PERFORMANCE EXPECTANCY. 2342 01:30:44,820 --> 01:30:46,222 WHICH IS THE EXPECTED BENEFITS 2343 01:30:46,222 --> 01:30:49,992 FROM THE USE OF THE TECHNOLOGY. 2344 01:30:49,992 --> 01:30:53,496 THE SECOND IS EFFORT EXPECTANCY. 2345 01:30:53,496 --> 01:30:56,299 WHICH IS THE EASE, DEGREE HOW 2346 01:30:56,299 --> 01:30:57,200 EASY IT IS TO USE THE 2347 01:30:57,200 --> 01:30:58,434 TECHNOLOGY. 2348 01:30:58,434 --> 01:31:00,102 THE THIRD IS SOCIAL INFLUENCE. 2349 01:31:00,102 --> 01:31:03,506 THE FOURTH IS FACILITATING 2350 01:31:03,506 --> 01:31:06,008 CONDITIONS. 2351 01:31:06,008 --> 01:31:08,411 NUMBER FIVE FACTOR IS HEDONIC 2352 01:31:08,411 --> 01:31:09,278 MOTIVATION. 2353 01:31:09,278 --> 01:31:11,180 IN OTHER WORDS PEOPLE USE 2354 01:31:11,180 --> 01:31:12,315 TECHNOLOGY NOT JUST FOR 2355 01:31:12,315 --> 01:31:13,249 INFORMATION BUT ALSO SOMETIMES 2356 01:31:13,249 --> 01:31:18,654 THEY USE IT FOR ENTERTAINMENT. 2357 01:31:18,654 --> 01:31:19,622 NUMBER SIX FACTOR IS PRICE 2358 01:31:19,622 --> 01:31:20,556 VALUE. 2359 01:31:20,556 --> 01:31:22,391 WHICH MEANS IF THE TECHNOLOGY 2360 01:31:22,391 --> 01:31:25,328 DOESN'T COST MUCH IN TERMS OF 2361 01:31:25,328 --> 01:31:28,331 HOW MUCH IT COSTS LIKE MONEY 2362 01:31:28,331 --> 01:31:29,999 VALUE. 2363 01:31:29,999 --> 01:31:32,268 AND THEN, IT ALSO BRINGS 2364 01:31:32,268 --> 01:31:33,703 BENEFITS TO THEIR PERSON. 2365 01:31:33,703 --> 01:31:35,338 THEN THE PERSON WILL SEE A 2366 01:31:35,338 --> 01:31:37,607 BETTER PRICE VALUE FOR USING 2367 01:31:37,607 --> 01:31:40,409 THE TECHNOLOGY THAT WILL LEAD 2368 01:31:40,409 --> 01:31:41,510 TO HIGHER LIKELIHOOD OF USING 2369 01:31:41,510 --> 01:31:43,446 THE TECHNOLOGY. 2370 01:31:43,446 --> 01:31:47,216 THE LAST ONE FACTOR FROM THIS 2371 01:31:47,216 --> 01:31:48,651 MODEL IS HABIT OF USING 2372 01:31:48,651 --> 01:31:51,187 TECHNOLOGY. 2373 01:31:51,187 --> 01:31:53,656 SO ALL THESE FACTORS ARE 2374 01:31:53,656 --> 01:31:55,725 LOOKING AT THE INDIVIDUAL'S 2375 01:31:55,725 --> 01:31:58,327 CHARACTERISTICS, AS WELL AS 2376 01:31:58,327 --> 01:31:59,729 SOCIAL INFLUENCE AND PHYSICAL 2377 01:31:59,729 --> 01:32:01,130 ENVIRONMENT FACTORS. 2378 01:32:01,130 --> 01:32:03,933 AND THEN, IN OUR RESEARCH WE 2379 01:32:03,933 --> 01:32:07,203 FOUND THERE'S SEVERAL GAPS. 2380 01:32:07,203 --> 01:32:08,471 EVEN THOUGH THE SIGNIFICANCE OF 2381 01:32:08,471 --> 01:32:10,139 FINDINGS IN THE LITERATURE. 2382 01:32:10,139 --> 01:32:13,142 THE NUMBER ONE GAP IS THERE WAS 2383 01:32:13,142 --> 01:32:16,279 LESS FOCUS ON OLDER ADULTS. 2384 01:32:16,279 --> 01:32:18,080 ESPECIALLY THEIR USE OF HEALTH 2385 01:32:18,080 --> 01:32:19,582 INFORMATION TECHNOLOGY. 2386 01:32:19,582 --> 01:32:25,221 THE SECOND IS THAT THE LIMITED 2387 01:32:25,221 --> 01:32:27,623 SCOPE OF HIT USE EXAMINED IN 2388 01:32:27,623 --> 01:32:28,724 THE PREVIOUS LITERATURE. 2389 01:32:28,724 --> 01:32:31,294 THE THIRD IS THAT THE USE OF 2390 01:32:31,294 --> 01:32:34,630 NATIONAL DATA TO EXAMINE THIS 2391 01:32:34,630 --> 01:32:34,830 TOPIC. 2392 01:32:34,830 --> 01:32:36,866 SO ALL THOSE THREE GAPS LED TO 2393 01:32:36,866 --> 01:32:40,369 OUR STUDY OF HOW OLDER ADULTS 2394 01:32:40,369 --> 01:32:40,870 USE HEALTH INFORMATION 2395 01:32:40,870 --> 01:32:43,706 TECHNOLOGIES. 2396 01:32:43,706 --> 01:32:45,808 AND THEN MORE IMPORTANTLY, LIKE 2397 01:32:45,808 --> 01:32:49,211 MENTIONED IN THE PREVIOUS 2398 01:32:49,211 --> 01:32:49,912 RESEARCH, THE PRESENTATIONS 2399 01:32:49,912 --> 01:32:53,382 THAT WE WANT TO TAKE A LOOK AT 2400 01:32:53,382 --> 01:32:57,253 THE MODIFIABLE RISK FACTORS. 2401 01:32:57,253 --> 01:33:00,022 SO FOR EXAMPLE, EDUCATION. 2402 01:33:00,022 --> 01:33:02,591 INCOME COULD BE MODIFIABLE. 2403 01:33:02,591 --> 01:33:03,092 AND ALSO HEALTH-RELATED 2404 01:33:03,092 --> 01:33:04,927 MOTIVATION. 2405 01:33:04,927 --> 01:33:08,064 FOR EXAMPLE, GENERAL HEALTH 2406 01:33:08,064 --> 01:33:11,600 STATUS OF OLDER ADULTS. 2407 01:33:11,600 --> 01:33:14,136 NOW, OUR RESEARCH HYPOTHESES 2408 01:33:14,136 --> 01:33:15,671 ARE BUILT UPON THE LITERATURE 2409 01:33:15,671 --> 01:33:16,939 REVIEW. 2410 01:33:16,939 --> 01:33:21,711 THE FIRST TWO HYPOTHESES 2411 01:33:21,711 --> 01:33:23,179 LOOKING AT TWO LEVELS OF 2412 01:33:23,179 --> 01:33:24,747 DIGITAL DIVIDE. 2413 01:33:24,747 --> 01:33:26,716 WE DIDN'T EXAMINE THE THIRD 2414 01:33:26,716 --> 01:33:29,385 LEVEL OF DIGITAL DIVIDE, WHICH 2415 01:33:29,385 --> 01:33:30,319 IS ABOUT BENEFITS GAINED 2416 01:33:30,319 --> 01:33:32,555 THROUGH THE USE OF HEALTH 2417 01:33:32,555 --> 01:33:33,322 INFORMATION TECHNOLOGIES, DUE 2418 01:33:33,322 --> 01:33:35,224 TO THE SCOPE OF THE QUESTIONS 2419 01:33:35,224 --> 01:33:36,359 IN THE HINTS DATA. 2420 01:33:36,359 --> 01:33:38,060 WE WOULD LIKE TO DO MORE ABOUT 2421 01:33:38,060 --> 01:33:40,196 THAT IN THE FUTURE. 2422 01:33:40,196 --> 01:33:44,066 BUT FOR NOW WE EXAMINED THE 2423 01:33:44,066 --> 01:33:47,069 FIRST OF TWO LEVEL DIGITAL 2424 01:33:47,069 --> 01:33:48,938 DIVIDE BETWEEN OLDER ADULTS AND 2425 01:33:48,938 --> 01:33:51,040 YOUNGER ADULTS. 2426 01:33:51,040 --> 01:33:53,275 THE FIRST ONE IS DIGITAL DIVIDE 2427 01:33:53,275 --> 01:33:55,244 IN INTERNET ACCESS. 2428 01:33:55,244 --> 01:33:58,881 THE SECOND IS DIGITAL DIVIDE IN 2429 01:33:58,881 --> 01:34:03,052 THE USE OF HEALTH INFORMATION 2430 01:34:03,052 --> 01:34:04,487 TECHNOLOGIES, INCLUDING 2431 01:34:04,487 --> 01:34:05,154 HEALTH-RELATED INTERNET USE, 2432 01:34:05,154 --> 01:34:06,856 TELEHEALTH VISITS AND USE OF 2433 01:34:06,856 --> 01:34:09,191 ONLINE MEDICAL RECORDS. 2434 01:34:09,191 --> 01:34:14,530 THE THIRD SET OF HYPOTHESES 2435 01:34:14,530 --> 01:34:15,698 DEAL WITH EDUCATION 2436 01:34:15,698 --> 01:34:16,365 MODIFICATION ON THE DIGITAL 2437 01:34:16,365 --> 01:34:18,033 DIVIDE. 2438 01:34:18,033 --> 01:34:19,402 THE TWO LEVELS OF DIGITAL 2439 01:34:19,402 --> 01:34:20,903 DIVIDE. 2440 01:34:20,903 --> 01:34:24,840 THE FOURTH SET OF HYPOTHESES 2441 01:34:24,840 --> 01:34:28,110 DEALS WITH THE INCOME 2442 01:34:28,110 --> 01:34:29,545 MODERATION ON THE DIGITAL 2443 01:34:29,545 --> 01:34:31,914 DIVIDE. 2444 01:34:31,914 --> 01:34:34,016 THE FINAL RESEARCH HYPOTHESES 2445 01:34:34,016 --> 01:34:37,787 IS ABOUT HOW GENERAL HEALTH 2446 01:34:37,787 --> 01:34:39,422 STATUS MODIFIES THEIR 2447 01:34:39,422 --> 01:34:40,623 SECOND-LEVEL DIGITAL DIVIDE. 2448 01:34:40,623 --> 01:34:42,224 ONE THING I WANT TO PROVIDE A 2449 01:34:42,224 --> 01:34:43,125 QUICK NOTE ABOUT IS THE LAST 2450 01:34:43,125 --> 01:34:45,761 ONE. 2451 01:34:45,761 --> 01:34:52,268 WE DIDN'T EXAMINE HOW STATUS 2452 01:34:52,268 --> 01:34:53,736 MODIFICATION BECAUSE WE THINK 2453 01:34:53,736 --> 01:34:55,337 IT'S MORE RELEVANT TO THE 2454 01:34:55,337 --> 01:34:56,639 SECOND LEVEL DIGITAL DIVIDE 2455 01:34:56,639 --> 01:35:01,310 WHICH IS THE USE OF H.I.T. 2456 01:35:01,310 --> 01:35:04,313 OUR METHODOLOGIES, WE USED THE 2457 01:35:04,313 --> 01:35:07,783 HINTS DATA IN CONDUCTED IN 2022 2458 01:35:07,783 --> 01:35:09,919 AND OUR MEASURES INCURRED 2459 01:35:09,919 --> 01:35:11,153 NUMBER ONE, THE PREDICTOR WHICH 2460 01:35:11,153 --> 01:35:12,488 IS AGE GROUP. 2461 01:35:12,488 --> 01:35:16,625 SO WE HAVE TWO AGE GROUPS, 65 2462 01:35:16,625 --> 01:35:17,960 YEARS AND OLDER, VERSUS YOUNGER 2463 01:35:17,960 --> 01:35:19,895 ADULTS. 2464 01:35:19,895 --> 01:35:21,230 THE OUTCOMES WE EXAMINED 2465 01:35:21,230 --> 01:35:22,898 INCLUDE TWO LEVELS. 2466 01:35:22,898 --> 01:35:25,434 NUMBER ONE IS PHYSICAL ACCESS 2467 01:35:25,434 --> 01:35:27,536 OR THE FIRST-LEVEL OF DIGITAL 2468 01:35:27,536 --> 01:35:31,540 DIVIDE WHICH IS INTERNET ACCESS. 2469 01:35:31,540 --> 01:35:35,945 THE SECOND SET OF OUTCOMES IS 2470 01:35:35,945 --> 01:35:38,080 H.I.T. USE, RECRUITING THE 2471 01:35:38,080 --> 01:35:39,215 THREE TYPES OF H.I.T.'S I 2472 01:35:39,215 --> 01:35:41,617 MENTIONED BEFORE. 2473 01:35:41,617 --> 01:35:46,121 SO THERE WE LOOK AT MODERATORS 2474 01:35:46,121 --> 01:35:47,590 INCLUDING EDUCATION, INCOME AND 2475 01:35:47,590 --> 01:35:49,391 GENERAL HEALTH STATUS. 2476 01:35:49,391 --> 01:35:52,161 ALL THESE ANALYSIS ARE ADJUSTED 2477 01:35:52,161 --> 01:35:54,430 FOR GENDER AND RACE. 2478 01:35:54,430 --> 01:36:00,803 AND THEN WE CONDUCTED THE 2479 01:36:00,803 --> 01:36:04,874 REGRESSION ANALYSIS BY USING 2480 01:36:04,874 --> 01:36:07,376 ACCESS LOGISTIC OR PROCEDURES 2481 01:36:07,376 --> 01:36:10,412 DEPENDING WHETHER THE OUTCOMES 2482 01:36:10,412 --> 01:36:12,481 ARE CONTINUOUS VARIABLES OR 2483 01:36:12,481 --> 01:36:15,251 CATEGORICAL VARIABLES. 2484 01:36:15,251 --> 01:36:16,886 OUR RESULTS, THE VERY FIRST 2485 01:36:16,886 --> 01:36:19,388 THING WE NOTICED IN THE 2486 01:36:19,388 --> 01:36:21,757 ANALYSIS WAS THE GRAY DIGITAL 2487 01:36:21,757 --> 01:36:23,359 DIVIDE IN INTERNET ACCESS. 2488 01:36:23,359 --> 01:36:25,094 SO THAT SPEAKS TO THE FIRST 2489 01:36:25,094 --> 01:36:28,130 LEVEL OF DIGITAL DIVIDE. 2490 01:36:28,130 --> 01:36:29,498 SO OLDER ADULTS WERE LESS 2491 01:36:29,498 --> 01:36:32,668 LIKELY TO USE THE INTERNET THAN 2492 01:36:32,668 --> 01:36:35,004 YOUNGER ADULTS. 2493 01:36:35,004 --> 01:36:38,674 SO IN OTHER WORDS, YOUNGER 2494 01:36:38,674 --> 01:36:40,075 ADULTS WERE 4.55 TIMES MORE 2495 01:36:40,075 --> 01:36:44,680 LIKELY TO USE THE INTERNET THAN 2496 01:36:44,680 --> 01:36:47,950 OLDER ADULTS. 2497 01:36:47,950 --> 01:36:50,553 SO THAT CONFIRMED OUR FIRST 2498 01:36:50,553 --> 01:36:53,289 DIGITAL RESEARCH HYPOTHESES. 2499 01:36:53,289 --> 01:36:55,824 THE SECOND IS ABOUT THE SECOND 2500 01:36:55,824 --> 01:37:00,329 LEVEL DIGITAL DIVIDE. 2501 01:37:00,329 --> 01:37:05,234 SO IN TERMS OF HEALTH-RELATED 2502 01:37:05,234 --> 01:37:06,635 INTERNET USE, OLDER ADULTS WERE 2503 01:37:06,635 --> 01:37:08,070 LESS LIKELY TO USE THAT. 2504 01:37:08,070 --> 01:37:10,606 IN TERMS OF ACCESSING ONLINE 2505 01:37:10,606 --> 01:37:12,708 MEDICAL RECORDS, OLDER ADULTS 2506 01:37:12,708 --> 01:37:15,978 WERE MUCH LESS LIKELY TO ACCESS 2507 01:37:15,978 --> 01:37:17,179 ONLINE MEDICAL RECORDS, 2508 01:37:17,179 --> 01:37:18,581 COMPARED TO YOUNGER ADULTS. 2509 01:37:18,581 --> 01:37:20,883 IN TERMS OF THE TELEHEALTH 2510 01:37:20,883 --> 01:37:22,618 VISIT WE DIDN'T FIND ANY 2511 01:37:22,618 --> 01:37:23,752 DIFFERENCE BETWEEN THE TWO AGE 2512 01:37:23,752 --> 01:37:25,654 GROUPS. 2513 01:37:25,654 --> 01:37:28,924 THEREFORE OUR SECOND HYPOTHESES 2514 01:37:28,924 --> 01:37:34,129 WERE, THE SECOND SET OF 2515 01:37:34,129 --> 01:37:34,663 HYPOTHESES WERE PARTIALLY 2516 01:37:34,663 --> 01:37:37,600 CONFIRMED. 2517 01:37:37,600 --> 01:37:39,835 CONTINUING THE RESULTS 2518 01:37:39,835 --> 01:37:42,538 REGARDING THE MODIFICATION OF 2519 01:37:42,538 --> 01:37:49,912 EDUCATION ON DIGITAL DIVIDE. 2520 01:37:49,912 --> 01:37:55,484 EDUCATION WAS A SIGNIFICANT 2521 01:37:55,484 --> 01:37:56,118 MODIFIABLE FACTOR IN INTERNET 2522 01:37:56,118 --> 01:37:57,620 ACCESS. 2523 01:37:57,620 --> 01:37:59,922 SO OUR FIRST HYPOTHESES IN THE 2524 01:37:59,922 --> 01:38:08,931 THIRD SET WAS CONFIRMED. 2525 01:38:08,931 --> 01:38:10,799 EDUCATION ALSO MODIFIED THREE 2526 01:38:10,799 --> 01:38:13,002 H.I.T. USES IN TERMS OF 2527 01:38:13,002 --> 01:38:14,803 HEALTH-RELATED INTERNET USE. 2528 01:38:14,803 --> 01:38:16,538 ACCESS ONLINE MEDICAL RECORDS 2529 01:38:16,538 --> 01:38:19,308 AND TELEHEALTH VISITS. 2530 01:38:19,308 --> 01:38:25,014 SO EDUCATION WAS A VERY 2531 01:38:25,014 --> 01:38:26,649 CONSISTENT POWERFUL MOTIVATOR 2532 01:38:26,649 --> 01:38:28,751 OF INTERNET ACCESS AND H.I.T. 2533 01:38:28,751 --> 01:38:31,153 USE EXAMINED IN THE STUDY. 2534 01:38:31,153 --> 01:38:33,722 IN TERMS OF MODIFICATION OF 2535 01:38:33,722 --> 01:38:37,960 INCOME ON DIGITAL DIVIDE, 2536 01:38:37,960 --> 01:38:39,595 INCOME WAS SIGNIFICANTLY 2537 01:38:39,595 --> 01:38:49,672 PREDICTING INTERNET ACCESS. 2538 01:38:49,672 --> 01:38:51,073 HIGHER INCOME PEOPLE OLDER 2539 01:38:51,073 --> 01:38:58,180 ADULTS WERE MORE LIKELY TO 2540 01:38:58,180 --> 01:39:00,282 ACCESS INTERNET. 2541 01:39:00,282 --> 01:39:02,184 HIGHER-INCOME PEOPLE WERE MORE 2542 01:39:02,184 --> 01:39:04,987 LIKELY TO USE H.I.T.'S, 2543 01:39:04,987 --> 01:39:05,921 INCLUDING HEALTH-RELATED 2544 01:39:05,921 --> 01:39:07,489 INTERNET USE AND ACCESSING 2545 01:39:07,489 --> 01:39:09,224 ONLINE MEDICAL RECORDS. 2546 01:39:09,224 --> 01:39:12,594 HOWEVER, INCOME DID NOT PREDICT 2547 01:39:12,594 --> 01:39:14,263 TELEHEALTH VISITS. 2548 01:39:14,263 --> 01:39:16,832 IN OTHER WORDS, BOTH LOW INCOME 2549 01:39:16,832 --> 01:39:18,701 AND HIGH INCOME PEOPLE, OLDER 2550 01:39:18,701 --> 01:39:22,871 ADULTS, I SHOULD SAY, WERE 2551 01:39:22,871 --> 01:39:24,139 EQUALLY LIKELY TO HAVE 2552 01:39:24,139 --> 01:39:25,641 TELEHEALTH VISITS. 2553 01:39:25,641 --> 01:39:31,613 IN TERMS OF THE MODIFICATION OF 2554 01:39:31,613 --> 01:39:34,850 GENERAL STATUS AMONG H.I.T.'S 2555 01:39:34,850 --> 01:39:37,920 AMONG OLDER ADULTS, WE FOUND 2556 01:39:37,920 --> 01:39:40,756 GENERAL HEALTH STATUS GENERALLY 2557 01:39:40,756 --> 01:39:41,290 PREDICTED HEALTH RELATED 2558 01:39:41,290 --> 01:39:43,559 INTERNET USE. 2559 01:39:43,559 --> 01:39:47,863 THESE DIDN'T PREDICT ACCESSING 2560 01:39:47,863 --> 01:39:53,569 ONLINE MEDICAL RECORDS AND 2561 01:39:53,569 --> 01:39:55,237 PREDICTED TELEHEALTH VISITS. 2562 01:39:55,237 --> 01:39:57,206 WE WILL DISCUSS THE OUTCOME OF 2563 01:39:57,206 --> 01:39:59,241 THOSE RESULTS LATER. 2564 01:39:59,241 --> 01:40:01,243 OVERALL GRAY DIGITAL DIVIDE 2565 01:40:01,243 --> 01:40:02,745 STILL EXISTS DECADES AFTER THE 2566 01:40:02,745 --> 01:40:04,346 INVENTION OF THE INTERNET. 2567 01:40:04,346 --> 01:40:06,448 NOT JUST IN TERMS OF PHYSICAL 2568 01:40:06,448 --> 01:40:13,422 ACCESS BUT ALSO IN TERMS OF USE 2569 01:40:13,422 --> 01:40:15,758 OF SOFT H.I.T.'S LIKE 2570 01:40:15,758 --> 01:40:17,126 HEALTH-RELATED INTERNET USE AND 2571 01:40:17,126 --> 01:40:18,994 USE OF ONLINE MEDICAL RECORDS. 2572 01:40:18,994 --> 01:40:20,629 OUR SECOND FINDING WAS 2573 01:40:20,629 --> 01:40:23,065 EDUCATION SEEMS TO BE THE MOST 2574 01:40:23,065 --> 01:40:29,104 PROMINENT MITIGATOR. 2575 01:40:29,104 --> 01:40:31,406 INCOME COMPARED TO EDUCATION IS 2576 01:40:31,406 --> 01:40:32,574 MUCH LESS CONSISTENT PREDICTOR 2577 01:40:32,574 --> 01:40:40,015 OF DIGITAL DIVIDE. 2578 01:40:40,015 --> 01:40:41,583 SO WHAT DOES THIS MEAN FOR 2579 01:40:41,583 --> 01:40:43,285 HEALTH POLICIES? 2580 01:40:43,285 --> 01:40:45,420 WE ADVOCATE FOR MORE 2581 01:40:45,420 --> 01:40:47,756 EDUCATIONAL PROGRAMS, 2582 01:40:47,756 --> 01:40:50,626 ESPECIALLY PROGRAMS TARGETING 2583 01:40:50,626 --> 01:40:52,161 HEALTH DIGITAL LITERACY SKILLS 2584 01:40:52,161 --> 01:40:54,263 FOR OLDER ADULTS. 2585 01:40:54,263 --> 01:40:55,731 FOR EXAMPLE, HOW TO SEARCH FOR 2586 01:40:55,731 --> 01:41:00,135 HEALTH INFORMATION. 2587 01:41:00,135 --> 01:41:02,437 HOW TO SCREEN OUT LESS 2588 01:41:02,437 --> 01:41:05,107 TRUSTWORTHY HEALTH INFORMATION. 2589 01:41:05,107 --> 01:41:06,408 HOW TO PROCESS INFORMATION, ET 2590 01:41:06,408 --> 01:41:07,409 CETERA. 2591 01:41:07,409 --> 01:41:10,245 SO THAT'S A VERY IMPORTANT. 2592 01:41:10,245 --> 01:41:14,683 THE SECOND IMPLICATION OF OUR 2593 01:41:14,683 --> 01:41:17,019 RESEARCH IS THAT WE ADVOCATE 2594 01:41:17,019 --> 01:41:26,195 FOR MORE PROGRAMS THAT GIVE 2595 01:41:26,195 --> 01:41:29,198 THREE OR SUBSIDIZED DEVICES TO 2596 01:41:29,198 --> 01:41:30,599 ADULTS TO ELIMINATE THAT 2597 01:41:30,599 --> 01:41:34,870 BARRIER IN ACCESSING THE 2598 01:41:34,870 --> 01:41:37,873 INTERNET AND ALSO USE OF 2599 01:41:37,873 --> 01:41:39,808 H.I.T.'S AMONG OLDER ADULTS. 2600 01:41:39,808 --> 01:41:42,511 THOSE ARE THE MOST IMPORTANT 2601 01:41:42,511 --> 01:41:45,981 IMPLICATIONS OF OUR STUDY. 2602 01:41:45,981 --> 01:41:47,616 AND THEN SURPRISINGLY GENERAL 2603 01:41:47,616 --> 01:41:49,718 STATUS WE THOUGHT THIS WOULD 2604 01:41:49,718 --> 01:41:51,753 MOTIVATE PEOPLE TO USE HEALTH 2605 01:41:51,753 --> 01:41:53,922 INFORMATION TECHNOLOGIES. 2606 01:41:53,922 --> 01:41:56,725 WE DIDN'T FIND THAT IS AS 2607 01:41:56,725 --> 01:42:00,095 STRONG AS EDUCATION AND INCOME 2608 01:42:00,095 --> 01:42:02,865 MODIFICATION ON DIGITAL DIVIDE. 2609 01:42:02,865 --> 01:42:05,968 MORE RESEARCH IS NEEDED FOR 2610 01:42:05,968 --> 01:42:09,872 THAT, ONE HIGHLIGHT FROM THIS 2611 01:42:09,872 --> 01:42:13,842 IS THAT THEIR OPPOSITE EFFECTS 2612 01:42:13,842 --> 01:42:15,911 OF GENERAL HEALTH STATUS. 2613 01:42:15,911 --> 01:42:17,779 BETTER HEALTH PREDICTS MORE 2614 01:42:17,779 --> 01:42:20,816 INTERNET ACCESS AND ALSO USING 2615 01:42:20,816 --> 01:42:21,383 THE INTERNET FOR HEALTH 2616 01:42:21,383 --> 01:42:25,087 INFORMATION. 2617 01:42:25,087 --> 01:42:28,757 HOWEVER, BETTER HEALTH PREDICTS 2618 01:42:28,757 --> 01:42:31,426 LESS USE OF TELEHEALTH VISITS. 2619 01:42:31,426 --> 01:42:32,794 I THINK THAT IS REASONABLE 2620 01:42:32,794 --> 01:42:35,764 BECAUSE WHEN YOU ACTUALLY 2621 01:42:35,764 --> 01:42:38,100 EXPERIENCE A DISEASE OR HAVE 2622 01:42:38,100 --> 01:42:39,768 SOME HEALTH CONDITIONS, THEN 2623 01:42:39,768 --> 01:42:43,238 YOU ARE MORE MOTIVATED TO LOOK 2624 01:42:43,238 --> 01:42:44,039 FOR HEALTHCARE THROUGH 2625 01:42:44,039 --> 01:42:45,540 TELEHEALTH VISIT. 2626 01:42:45,540 --> 01:42:49,144 THIS IS IN CONTRAST TO SOFT 2627 01:42:49,144 --> 01:42:50,779 H.I.T. USE SUCH AS JUST 2628 01:42:50,779 --> 01:42:51,513 SEARCHING FOR INFORMATION ON 2629 01:42:51,513 --> 01:42:58,220 THE INTERNET. 2630 01:42:58,220 --> 01:42:59,621 THE OTHER I WOULD LIKE TO TOUCH 2631 01:42:59,621 --> 01:43:02,157 ON IS ABOUT THE INCLUSION OF 2632 01:43:02,157 --> 01:43:04,493 EDUCATION AND INCOME INTO THE 2633 01:43:04,493 --> 01:43:08,864 PREDICTION OF TECHNOLOGY 2634 01:43:08,864 --> 01:43:10,766 ADOPTION, ESPECIALLY AMONG 2635 01:43:10,766 --> 01:43:11,600 H.I.T. ADOPTION AMONG OLDER 2636 01:43:11,600 --> 01:43:12,634 ADULTS. 2637 01:43:12,634 --> 01:43:17,072 SO BECAUSE OF THOSE TWO 2638 01:43:17,072 --> 01:43:18,540 POWERFUL CONTRIBUTORS TO 2639 01:43:18,540 --> 01:43:19,174 DIGITAL DIVIDE. 2640 01:43:19,174 --> 01:43:25,614 THANK YOU. 2641 01:43:25,614 --> 01:43:26,548 >> Moderator Bradford Hesse: WE 2642 01:43:26,548 --> 01:43:28,417 HAVE TIME FOR JUST ONE 2643 01:43:28,417 --> 01:43:29,418 QUESTION, IF ANYONE HAS ONE 2644 01:43:29,418 --> 01:43:30,986 FROM THE AUDIENCE. 2645 01:43:30,986 --> 01:43:31,653 OTHERWISE WE WILL HAVE TO MOVE 2646 01:43:31,653 --> 01:43:32,888 ON. 2647 01:43:32,888 --> 01:43:37,726 WE HAVE ONE RIGHT HERE? 2648 01:43:37,726 --> 01:43:39,161 >> THANK YOU FOR YOUR 2649 01:43:39,161 --> 01:43:40,095 PRESENTATION, I WILL BE QUICK. 2650 01:43:40,095 --> 01:43:41,930 CAN YOU SPEAK A LITTLE BIT TO 2651 01:43:41,930 --> 01:43:43,899 THE DECISION TO CONTROL FOR 2652 01:43:43,899 --> 01:43:46,735 RACE AND GENDER? 2653 01:43:46,735 --> 01:43:48,236 WHAT YOUR DECISION WAS FOR 2654 01:43:48,236 --> 01:43:55,010 THAT, GIVEN, I KNOW IN BLACK 2655 01:43:55,010 --> 01:43:56,144 WOMEN, EDUCATIONAL DOESN'T 2656 01:43:56,144 --> 01:43:58,046 REALLY RELATE TO HEALTH. 2657 01:43:58,046 --> 01:44:01,483 ANY THOUGHTS ON THAT? 2658 01:44:01,483 --> 01:44:03,385 >> Yinjiao Ye: WE LOOKED IN 2659 01:44:03,385 --> 01:44:05,520 DETAIL ABOUT THE CONTRIBUTION 2660 01:44:05,520 --> 01:44:07,456 OF RACE AND ALSO GENDER IN OUR 2661 01:44:07,456 --> 01:44:08,957 RESEARCH. 2662 01:44:08,957 --> 01:44:12,461 BUT IF I REMEMBER IT CORRECTLY 2663 01:44:12,461 --> 01:44:16,631 RACE IS ALSO A VERY SIGNIFICANT 2664 01:44:16,631 --> 01:44:22,838 PREDICTOR OF DIGITAL DIVIDE 2665 01:44:22,838 --> 01:44:24,473 HERE IN TERMS OF GENDER, I 2666 01:44:24,473 --> 01:44:26,575 THINK THE SAME THING TOO. 2667 01:44:26,575 --> 01:44:28,610 PERHAPS GENDER IS MORE POWERFUL 2668 01:44:28,610 --> 01:44:32,314 OR STRONGER PREDICTOR. 2669 01:44:32,314 --> 01:44:32,914 >> Moderator Bradford Hesse: 2670 01:44:32,914 --> 01:44:33,515 ALL RIGHT. 2671 01:44:33,515 --> 01:44:34,983 THANK YOU VERY MUCH. 2672 01:44:34,983 --> 01:44:37,419 LET'S GO AHEAD AND CHANGE 2673 01:44:37,419 --> 01:44:38,153 SPEAKERS. 2674 01:44:38,153 --> 01:44:41,757 SO AS WE ARE DOING THAT, JUST A 2675 01:44:41,757 --> 01:44:44,926 QUICK COMMENT THAT, OVER THE 2676 01:44:44,926 --> 01:44:47,429 ITERATIONS OF HINTS NOW FOR 20 2677 01:44:47,429 --> 01:44:49,097 YEARS, THAT AGE DISPARITY HAS 2678 01:44:49,097 --> 01:44:49,831 ALWAYS BEEN PREVALENT IN 2679 01:44:49,831 --> 01:44:52,100 TECHNOLOGY. 2680 01:44:52,100 --> 01:44:53,035 AND IT'S SOMETHING WE HAVE BEEN 2681 01:44:53,035 --> 01:44:53,769 WATCHING. 2682 01:44:53,769 --> 01:44:55,170 BUT I APPRECIATE THAT WE ARE 2683 01:44:55,170 --> 01:44:57,039 GETTING A LITTLE BIT MORE 2684 01:44:57,039 --> 01:45:00,308 NUANCED NOW IN OUR ANALYSES, 2685 01:45:00,308 --> 01:45:02,411 ESPECIALLY WITH THAT FUNNY BUMP 2686 01:45:02,411 --> 01:45:06,815 WE HAD WITH THE PANDEMIC AND 2687 01:45:06,815 --> 01:45:08,750 TELEHEALTH BEING USED MORE 2688 01:45:08,750 --> 01:45:09,651 FREQUENTLY, NOW BECAUSE PEOPLE 2689 01:45:09,651 --> 01:45:12,687 HAVE THE NEED BECAUSE THEY ARE 2690 01:45:12,687 --> 01:45:14,322 HOME-BOUND THERE'S SOME 2691 01:45:14,322 --> 01:45:15,490 PROGRESSION IN GETTING 2692 01:45:15,490 --> 01:45:17,592 TELEHEALTH IMPLEMENTED BUT THE 2693 01:45:17,592 --> 01:45:18,527 EDUCATION REQUIREMENTS FOR THAT 2694 01:45:18,527 --> 01:45:20,028 ARE SOMETHING WE CAN'T IGNORE. 2695 01:45:20,028 --> 01:45:21,897 SO I REALLY APPRECIATE THAT. 2696 01:45:21,897 --> 01:45:24,232 AS WE ARE LOOKING NOW AT HEALTH 2697 01:45:24,232 --> 01:45:26,835 DISPARITIES WE HAVE LOOKED AT 2698 01:45:26,835 --> 01:45:27,836 TRADITIONAL ETHNIC AND RACIAL 2699 01:45:27,836 --> 01:45:29,404 DISPARITIES. 2700 01:45:29,404 --> 01:45:32,374 WE HAVE LOOKED AT AGE. 2701 01:45:32,374 --> 01:45:35,210 AND I'M REALLY HAPPY TO SEE 2702 01:45:35,210 --> 01:45:37,045 THAT ELISE ATKINSON WILL BE 2703 01:45:37,045 --> 01:45:39,614 PRESENTING ON ANOTHER LEVEL OF 2704 01:45:39,614 --> 01:45:40,849 MINORITY GROUPING. 2705 01:45:40,849 --> 01:45:47,823 AND SO THEY WILL BE PRESENTING 2706 01:45:47,823 --> 01:45:52,194 ON PATTERNS OF TELEHEALTH USE 2707 01:45:52,194 --> 01:45:57,466 IN 2022 AMONG U.S. ADULTS BY 2708 01:45:57,466 --> 01:46:03,004 SEXUAL ORIENTATION. 2709 01:46:03,004 --> 01:46:04,506 >> Elise Atkinson: I'M ELISE 2710 01:46:04,506 --> 01:46:05,107 ATKINSON. 2711 01:46:05,107 --> 01:46:10,178 I HAVE NOTHING TO DISCLOSE. 2712 01:46:10,178 --> 01:46:10,879 MINORITIES EXPERIENCE FINANCIAL 2713 01:46:10,879 --> 01:46:12,481 BURDEN, BOTH OF THE APPOINTMENT 2714 01:46:12,481 --> 01:46:14,583 ITSELF AND OF OPPORTUNITY COST 2715 01:46:14,583 --> 01:46:17,219 THAT COMES FROM MISSING WORK. 2716 01:46:17,219 --> 01:46:18,386 TRANSPORTATION, BOTH IN THE 2717 01:46:18,386 --> 01:46:20,522 PHYSICAL SENSE AS WELL AS THE 2718 01:46:20,522 --> 01:46:22,224 TIME NEEDED AND DISCRIMINATION. 2719 01:46:22,224 --> 01:46:23,458 THE CHANCE OF WHICH INCREASES 2720 01:46:23,458 --> 01:46:28,230 WITH EACH SUBSEQUENT PERSON. 2721 01:46:28,230 --> 01:46:29,397 THESE GEARS DON'T TURN VERY 2722 01:46:29,397 --> 01:46:30,532 WELL. 2723 01:46:30,532 --> 01:46:32,367 THIS IS A VERY DIFFICULT SYSTEM 2724 01:46:32,367 --> 01:46:36,705 TO NAVIGATE. 2725 01:46:36,705 --> 01:46:37,739 LUCKILY, TELEHEALTH MINIMIZES 2726 01:46:37,739 --> 01:46:42,544 ALL THREE OF THESE BARRIERS. 2727 01:46:42,544 --> 01:46:46,648 IT'S NOT QUESTION THAT 2728 01:46:46,648 --> 01:46:48,450 MINORITIES HAVE BEEN THE 2729 01:46:48,450 --> 01:46:51,086 BIGGEST USERS. 2730 01:46:51,086 --> 01:46:55,457 BEFORE 2013 THE NATIONAL 2731 01:46:55,457 --> 01:47:03,398 INTERVIEW HEALTH BY GAY AND 2732 01:47:03,398 --> 01:47:05,300 BISEXUAL MEN, LATER TO REACH 2733 01:47:05,300 --> 01:47:06,668 OUT TO H.I.V. INDIVIDUALS 2734 01:47:06,668 --> 01:47:08,570 IMPROVING ACCESS TO CARE AS 2735 01:47:08,570 --> 01:47:10,972 WELL AS PATIENT RETENTION. 2736 01:47:10,972 --> 01:47:12,541 MORE RECENTLY THE AARP FOUND 2737 01:47:12,541 --> 01:47:14,910 THAT SEXUAL MINORITY AND 2738 01:47:14,910 --> 01:47:16,478 TRANSGENDER ADULTS AGED 45 2739 01:47:16,478 --> 01:47:19,781 YEARS AND UP USED TELEHEALTH AT 2740 01:47:19,781 --> 01:47:26,021 GREATER RATES THAN THEIR 2741 01:47:26,021 --> 01:47:30,959 COMPATRIOTS. 2742 01:47:30,959 --> 01:47:33,328 WITH THE ADVENT OF COVID, 2743 01:47:33,328 --> 01:47:35,597 INCREASED FUNDING AND PUBLIC 2744 01:47:35,597 --> 01:47:36,431 AWARENESS BROUGHT TELEHEALTH TO 2745 01:47:36,431 --> 01:47:37,832 THE MAINSTREAM. 2746 01:47:37,832 --> 01:47:40,368 MOVING FORWARD, HOW CAN WE 2747 01:47:40,368 --> 01:47:42,470 LEVERAGE THESE INVESTMENTS TO 2748 01:47:42,470 --> 01:47:44,773 HELP SEXUAL MINORITIES WHO HAVE 2749 01:47:44,773 --> 01:47:48,843 ALREADY BEEN USING THIS 2750 01:47:48,843 --> 01:47:49,711 TECHNOLOGY TO MITIGATE BARRIERS 2751 01:47:49,711 --> 01:47:50,512 THEMSELVES? 2752 01:47:50,512 --> 01:47:52,614 IN ORDER TO DO THIS, IT WOULD 2753 01:47:52,614 --> 01:47:54,749 BE HELPFUL TO NOTE PATTERNS AND 2754 01:47:54,749 --> 01:47:56,351 PREFERENCES OF THIS COMMUNITY. 2755 01:47:56,351 --> 01:47:58,687 WHILE THIS HAS BEEN UNKNOWN, 2756 01:47:58,687 --> 01:48:00,222 HINTS 2022 DATA CAN HELP FILL 2757 01:48:00,222 --> 01:48:01,489 THIS GAP. 2758 01:48:01,489 --> 01:48:04,259 IT SHOULD BE NOTED HOWEVER THAT 2759 01:48:04,259 --> 01:48:06,127 TRANSGENDER INDIVIDUALS WERE 2760 01:48:06,127 --> 01:48:08,863 NOT ANALYZED IN THE STUDY DUE 2761 01:48:08,863 --> 01:48:11,933 TO SMALL NUMBER OF RESPONDENTS. 2762 01:48:11,933 --> 01:48:13,068 OF RESPONDENTS WE USE 2763 01:48:13,068 --> 01:48:15,770 TELEHEALTH. 2764 01:48:15,770 --> 01:48:17,172 QUALITY RATINGS WERE MEASURED 2765 01:48:17,172 --> 01:48:18,807 BASED ON THREE ITEMS. 2766 01:48:18,807 --> 01:48:20,442 TECHNICAL ISSUES. 2767 01:48:20,442 --> 01:48:23,445 IF K WAS EQUIVALENT TO 2768 01:48:23,445 --> 01:48:25,780 IN-PERSON CARE, FEELINGS OF 2769 01:48:25,780 --> 01:48:27,415 PRIVACY, MODALITY WAS BASED ON 2770 01:48:27,415 --> 01:48:29,084 ONE ITEM WITH OPTIONS VIDEO, 2771 01:48:29,084 --> 01:48:32,954 PHONE CALL OR BOTH. 2772 01:48:32,954 --> 01:48:35,056 SUBJECT OF VISIT WAS OPTIONS 2773 01:48:35,056 --> 01:48:38,059 FOR AN ANNUAL VISIT, FOR ACUTE 2774 01:48:38,059 --> 01:48:40,629 CARE, FOR CHRONIC CONDITION, 2775 01:48:40,629 --> 01:48:41,396 FOR MENTAL HEALTH APPOINTMENT, 2776 01:48:41,396 --> 01:48:43,465 OR OTHER. 2777 01:48:43,465 --> 01:48:45,333 AND REASONS FOR VISIT WAS BASED 2778 01:48:45,333 --> 01:48:47,669 ON ONE ITEM WITH OPTIONS IT WAS 2779 01:48:47,669 --> 01:48:48,670 RECOMMENDED BY THE HEALTHCARE 2780 01:48:48,670 --> 01:48:49,804 PROVIDER. 2781 01:48:49,804 --> 01:48:51,640 IF THEY WANTED ADVICE TO SEE IF 2782 01:48:51,640 --> 01:48:53,708 THEY NEEDED TO COME IN PERSON. 2783 01:48:53,708 --> 01:48:55,410 TO AVOID INFECTION. 2784 01:48:55,410 --> 01:48:56,611 IF IT WAS CONVENIENT. 2785 01:48:56,611 --> 01:48:57,812 IF THEY WANTED TO INCLUDE 2786 01:48:57,812 --> 01:48:58,647 OTHERS ON THE CALL. 2787 01:48:58,647 --> 01:49:01,783 AND OTHER. 2788 01:49:01,783 --> 01:49:05,287 THE DATA WAS ANALYZED VIA 2789 01:49:05,287 --> 01:49:06,254 PROBIT REGRESSION, PROBABILITY 2790 01:49:06,254 --> 01:49:08,123 ESTIMATE OF NORMAL DATA. 2791 01:49:08,123 --> 01:49:12,727 THE DATA WAS ANALYZED IN MPLUS 2792 01:49:12,727 --> 01:49:17,098 USING THE SQUARES MEAN VARIANCE 2793 01:49:17,098 --> 01:49:22,103 ESTIMATOR. 2794 01:49:22,103 --> 01:49:23,271 FULL INFORMATION MAXIMUM 2795 01:49:23,271 --> 01:49:25,373 LIKELIHOOD WAS USED TO KEEP 2796 01:49:25,373 --> 01:49:27,442 RESPONDENTS WHO HAD BLANKS, 2797 01:49:27,442 --> 01:49:28,576 THIS CREATED A MORE ACCURATE 2798 01:49:28,576 --> 01:49:32,347 ESTIMATION. 2799 01:49:32,347 --> 01:49:38,586 COVARIATES INCLUDE, AGE, SEX, 2800 01:49:38,586 --> 01:49:40,555 MARITAL STATUS EDUCATION LEVEL 2801 01:49:40,555 --> 01:49:43,325 AND RACE/ETHNICITY. 2802 01:49:43,325 --> 01:49:45,360 PATIENT HEALTH QUESTIONNAIRE 2803 01:49:45,360 --> 01:49:46,828 AND SELF-RATED HEALTH. 2804 01:49:46,828 --> 01:49:48,830 THIS IS IMPORTANT AS MINORITIES 2805 01:49:48,830 --> 01:49:50,465 SUFFER FROM MINORITY STRESS AND 2806 01:49:50,465 --> 01:49:52,534 MAY HAVE WORSE HEALTH STATUSES. 2807 01:49:52,534 --> 01:49:54,903 IN ORDER TO ADDRESS 2808 01:49:54,903 --> 01:49:56,504 INTERCORRELATIONS FOR DATABASED 2809 01:49:56,504 --> 01:50:03,411 ON MULTIPLE ITEMS OR OPTIONS, 2810 01:50:03,411 --> 01:50:04,112 SIMULTANEOUS PROBIT REGRESSIONS 2811 01:50:04,112 --> 01:50:06,681 WERE DONE FOR QUALITY RATINGS, 2812 01:50:06,681 --> 01:50:08,850 THREE SEPARATE ITEMS AND SIX 2813 01:50:08,850 --> 01:50:11,720 SIM TANE YUS DONE FOR REASONS 2814 01:50:11,720 --> 01:50:14,055 FOR VISIT, ONE ITEM BUT 2815 01:50:14,055 --> 01:50:15,890 MULTIPLE OPTIONS COULD BE 2816 01:50:15,890 --> 01:50:19,561 SELECTED AND THIS WAS BINARY 2817 01:50:19,561 --> 01:50:20,795 DATA. 2818 01:50:20,795 --> 01:50:23,598 9% IDENTIFIED AS SEXUAL 2819 01:50:23,598 --> 01:50:25,467 MINORITY AND 40% REPORTED USING 2820 01:50:25,467 --> 01:50:27,302 TELEHEALTH USE. 2821 01:50:27,302 --> 01:50:28,937 LIKE PREVIOUS STUDIES THIS 2822 01:50:28,937 --> 01:50:30,839 FOUND THAT SEXUAL MINORITIES 2823 01:50:30,839 --> 01:50:35,443 USED TELEHEALTH AT MUCH HIGHER 2824 01:50:35,443 --> 01:50:39,481 RATES THAN THEIR COMPATRIOTS. 2825 01:50:39,481 --> 01:50:41,916 OVERALL 49% USED TELEHEALTH 2826 01:50:41,916 --> 01:50:44,219 COMPARED TO 38% OF 2827 01:50:44,219 --> 01:50:45,820 HETEROSEXUALS SO IT'S AN 11% 2828 01:50:45,820 --> 01:50:48,022 GAP. 2829 01:50:48,022 --> 01:50:49,424 SUBJECT OF VISIT WERE MORE 2830 01:50:49,424 --> 01:50:51,693 LIKELY TO BE MENTAL HEALTH 2831 01:50:51,693 --> 01:50:53,762 RELATED. 2832 01:50:53,762 --> 01:50:55,363 THIS REMAINED EVEN AFTER 2833 01:50:55,363 --> 01:50:57,866 CONTROLLING FOR MENTAL HEALTH 2834 01:50:57,866 --> 01:50:59,734 STATUS, SUGGESTING THE DUAL 2835 01:50:59,734 --> 01:51:01,369 STATUS OF BEING SEXUAL MINORITY 2836 01:51:01,369 --> 01:51:03,705 AND HAVING A MENTAL HEALTH 2837 01:51:03,705 --> 01:51:04,406 ISSUE PUSHED THESE INDIVIDUALS 2838 01:51:04,406 --> 01:51:07,475 ON LEAN TO A MORE PHYSICAL AND 2839 01:51:07,475 --> 01:51:08,643 EMOTIONAL DISTANCE, LESS LIKELY 2840 01:51:08,643 --> 01:51:10,712 TO BE ACUTE CARE. 2841 01:51:10,712 --> 01:51:11,913 SEXUAL MINORITIES REASONS FOR 2842 01:51:11,913 --> 01:51:14,249 VISITS WERE MORE LIKELY TO BE 2843 01:51:14,249 --> 01:51:16,151 CONVENIENT AND MINIMIZED 2844 01:51:16,151 --> 01:51:17,819 EXPOSURE TO ILLNESSES. 2845 01:51:17,819 --> 01:51:19,020 THE FINDING OF CONVENIENCE MAY 2846 01:51:19,020 --> 01:51:22,357 BE DUE TO FEARS ABOUT 2847 01:51:22,357 --> 01:51:23,525 DISCRIMINATION WHILE EXPOSURE 2848 01:51:23,525 --> 01:51:26,127 TO ILLNESS MAY BE DUE TO 2849 01:51:26,127 --> 01:51:28,730 ATTITUDES TOWARDS COVID. 2850 01:51:28,730 --> 01:51:30,098 SEXUAL MINORITIES ARE MORE 2851 01:51:30,098 --> 01:51:34,602 LIKELY TO BE LIBERAL AND 2852 01:51:34,602 --> 01:51:36,638 POLITICAL LEANING AND ATTITUDES 2853 01:51:36,638 --> 01:51:38,072 TOWARD COVID LIBERAL AND 2854 01:51:38,072 --> 01:51:42,977 POLITICAL LEANING. 2855 01:51:42,977 --> 01:51:44,846 MODALITY AND QUALITY NO 2856 01:51:44,846 --> 01:51:49,684 DIFFERENCE THIS. DIFFERS FROM 2857 01:51:49,684 --> 01:51:51,252 PAST FINDINGS. 2858 01:51:51,252 --> 01:51:52,854 STUDIES WERE MORE TO THE 2859 01:51:52,854 --> 01:51:55,657 BEGINNING OF THE PANDEMIC WHERE 2860 01:51:55,657 --> 01:51:56,825 LESS MODALITIES MAY HAVE BEEN 2861 01:51:56,825 --> 01:51:57,525 AVAILABLE. 2862 01:51:57,525 --> 01:51:59,160 SO WITH ALL THIS KNOWLEDGE HOW 2863 01:51:59,160 --> 01:52:02,230 CAN WE FACILITATE ACCESS TO 2864 01:52:02,230 --> 01:52:06,901 CARE FOR SEXUAL MINORITIES? 2865 01:52:06,901 --> 01:52:07,836 FIRSTLY PAYMENT PARITY SHOULD 2866 01:52:07,836 --> 01:52:08,970 BE SUPPORTED. 2867 01:52:08,970 --> 01:52:11,539 THIS SHOULD ALLOW THE SAME 2868 01:52:11,539 --> 01:52:12,240 REIMBURSEMENT RATE FOR 2869 01:52:12,240 --> 01:52:15,944 IN-PERSON CARE AS WELL AS TELL 2870 01:52:15,944 --> 01:52:20,114 HEALTH. 2871 01:52:20,114 --> 01:52:22,016 TELEHEALTH. 2872 01:52:22,016 --> 01:52:22,517 ONE MODALITY WAS NOT 2873 01:52:22,517 --> 01:52:25,019 SIGNIFICANT. 2874 01:52:25,019 --> 01:52:26,187 RACIAL AND SEXUAL MODALITIES 2875 01:52:26,187 --> 01:52:28,990 MAY PREFER A SPECIFIC MODALITY. 2876 01:52:28,990 --> 01:52:31,326 ALLYSHIP SHOULD BE MADE VISIBLE 2877 01:52:31,326 --> 01:52:32,260 IN THE PHYSICAL HEALTHCARE 2878 01:52:32,260 --> 01:52:35,096 SPACE AS WELL AS ANY ASSOCIATED 2879 01:52:35,096 --> 01:52:36,030 WEBSITES WITH USE OF CODED 2880 01:52:36,030 --> 01:52:37,699 VISUALS. 2881 01:52:37,699 --> 01:52:39,567 NOW THE GEARS RUN SMOOTHLY, 2882 01:52:39,567 --> 01:52:41,436 IT'S A MUCH BETTER SYSTEM. 2883 01:52:41,436 --> 01:52:44,205 THIS IS A GOOD STEP TOWARD 2884 01:52:44,205 --> 01:52:45,373 KNOWING THE RELATIONSHIP 2885 01:52:45,373 --> 01:52:46,841 BETWEEN SEXUAL MINORITIES AND 2886 01:52:46,841 --> 01:52:48,443 TELEHEALTH USE. 2887 01:52:48,443 --> 01:52:50,345 SOME THINGS REMAIN UNKNOWN. 2888 01:52:50,345 --> 01:52:51,713 FOR EXAMPLE, OVERALL 2889 01:52:51,713 --> 01:52:54,115 WILLINGNESS TO USE TELEHEALTH. 2890 01:52:54,115 --> 01:52:56,117 DO THESE INDIVIDUALS CHOOSE TO 2891 01:52:56,117 --> 01:52:57,218 USE TELEHEALTH OR FEEL PUSHED 2892 01:52:57,218 --> 01:52:59,387 TO USE IT? 2893 01:52:59,387 --> 01:53:02,390 AVAILABLE OPTIONS IN THEIR AREA 2894 01:53:02,390 --> 01:53:03,892 AND IDEAL MODALITY ALSO NEED TO 2895 01:53:03,892 --> 01:53:05,159 BE LOOKED AT. 2896 01:53:05,159 --> 01:53:08,763 AS WELL AS A MORE GRANULAR 2897 01:53:08,763 --> 01:53:10,665 ANALYSIS OF DEMOGRAPHIC THAT'S 2898 01:53:10,665 --> 01:53:11,666 WILL ELUCIDATE THE RELATIONSHIP 2899 01:53:11,666 --> 01:53:11,966 MUCH BETTER. 2900 01:53:11,966 --> 01:53:18,273 THANK YOU. 2901 01:53:18,273 --> 01:53:19,240 >> Moderator Bradford Hesse: 2902 01:53:19,240 --> 01:53:21,576 I'M A FAN OF THE MOVING GEARS. 2903 01:53:21,576 --> 01:53:22,944 I LIKE THAT, THAT'S WONDERFUL. 2904 01:53:22,944 --> 01:53:25,813 WE HAVE TIME FOR A QUESTION OR 2905 01:53:25,813 --> 01:53:31,819 TWO. 2906 01:53:31,819 --> 01:53:33,922 >> GREAT PRESENTATION. 2907 01:53:33,922 --> 01:53:37,191 THAT WAS VERY IMPORTANT TOPIC 2908 01:53:37,191 --> 01:53:38,526 AND I APPRECIATE THE TIMELINESS 2909 01:53:38,526 --> 01:53:39,527 OF IT. 2910 01:53:39,527 --> 01:53:41,596 I UNDERSTAND WITH RESPECT TO 2911 01:53:41,596 --> 01:53:43,231 DATA LIMITATIONS MAY HAVE 2912 01:53:43,231 --> 01:53:44,666 SAMPLE SIZE LIMITATIONS MAY 2913 01:53:44,666 --> 01:53:45,600 HAVE INFLUENCED THE ABILITY TO 2914 01:53:45,600 --> 01:53:48,403 BE ABLE TO LOOK AT IMPORTANCE 2915 01:53:48,403 --> 01:53:50,271 OF INTERSECTIONAL IDENTITIES 2916 01:53:50,271 --> 01:53:51,906 WITH RESPECT TO SEXUAL 2917 01:53:51,906 --> 01:53:56,711 ORIENTATION AS WELL AS MULTIPLE 2918 01:53:56,711 --> 01:53:57,211 MARGINALIZATIONS ACROSS 2919 01:53:57,211 --> 01:53:58,446 RACE/ETHNICITY. 2920 01:53:58,446 --> 01:54:01,249 I WAS CURIOUS YOUR THOUGHTS 2921 01:54:01,249 --> 01:54:02,917 MOVING THAT WORK FORWARD TO 2922 01:54:02,917 --> 01:54:06,754 LOOK AT INTERSECTIONAL ANALYSES 2923 01:54:06,754 --> 01:54:08,156 ACROSS SEXUAL ORIENTATION AND 2924 01:54:08,156 --> 01:54:10,458 MINE OR TIESED LINES OF 2925 01:54:10,458 --> 01:54:12,327 INDIVIDUALS ESPECIALLY GIVEN 2926 01:54:12,327 --> 01:54:13,528 SOME PROPOSED MECHANISMS YOU 2927 01:54:13,528 --> 01:54:16,798 TALKED ABOUT WITH RESPECT TO 2928 01:54:16,798 --> 01:54:17,966 TELEHEALTH UTILIZATION 2929 01:54:17,966 --> 01:54:18,666 DECREASED EXPERIENCES OF 2930 01:54:18,666 --> 01:54:20,301 DISCRIMINATION AS WELL AS 2931 01:54:20,301 --> 01:54:24,272 STIGMA AND OTHER FORMS OF 2932 01:54:24,272 --> 01:54:24,872 MARGINALIZATION WITHIN 2933 01:54:24,872 --> 01:54:26,107 HEALTHCARE SETTINGS, THANKS. 2934 01:54:26,107 --> 01:54:28,476 >> Elise Atkinson: I PLAN ON 2935 01:54:28,476 --> 01:54:29,410 REPLICATING WITH A LARGER 2936 01:54:29,410 --> 01:54:31,646 SAMPLE IN THE FUTURE. 2937 01:54:31,646 --> 01:54:36,284 I AGREE, CROSS SECTIONS OF 2938 01:54:36,284 --> 01:54:38,152 DEMOGRAPHICS AND BOTH GENDER 2939 01:54:38,152 --> 01:54:40,254 AND SEXUAL ORIENTATION AS WELL 2940 01:54:40,254 --> 01:54:41,456 AS RACIAL IS VERY IMPORTANT TO 2941 01:54:41,456 --> 01:54:47,195 KNOW. 2942 01:54:47,195 --> 01:54:49,063 I KNOW LESBIAN INDIVIDUALS HAVE 2943 01:54:49,063 --> 01:54:51,566 THE HIGHEST RATES OF 2944 01:54:51,566 --> 01:54:53,468 VACCINATION DUE TO THEIR HIGH 2945 01:54:53,468 --> 01:54:58,306 EDUCATION LEVEL, AS WELL AS 2946 01:54:58,306 --> 01:55:02,443 THEIR SOCIOECONOMIC STATUS. 2947 01:55:02,443 --> 01:55:05,780 THIS IS A SNAPSHOT BUT MORE 2948 01:55:05,780 --> 01:55:06,347 GRANULAR ANALYSIS WILL 2949 01:55:06,347 --> 01:55:07,148 DEFINITELY BE USEFUL. 2950 01:55:07,148 --> 01:55:13,588 THANK YOU. 2951 01:55:13,588 --> 01:55:15,456 >> Moderator Bradford Hesse: WE 2952 01:55:15,456 --> 01:55:17,558 HAVE FIVE MINUTES BEFORE LUNCH. 2953 01:55:17,558 --> 01:55:19,494 I WOULD LIKE TO TAKE A 2954 01:55:19,494 --> 01:55:20,762 PREROGATIVE TO ASK YOU GUYS 2955 01:55:20,762 --> 01:55:22,030 SOMETHING RIGHT NOW. 2956 01:55:22,030 --> 01:55:23,665 EACH OF YOU BE THINKING ABOUT 2957 01:55:23,665 --> 01:55:23,865 THIS. 2958 01:55:23,865 --> 01:55:27,235 THIS IS YOUR CHANCE TO TALK 2959 01:55:27,235 --> 01:55:28,836 ABOUT THE NEXT 20 YEARS OF 2960 01:55:28,836 --> 01:55:31,706 EVENTS. 2961 01:55:31,706 --> 01:55:34,008 IN YOUR YEARS OF RESEARCH, YOU 2962 01:55:34,008 --> 01:55:35,877 HAVE A LEG UP, YOU SAID YOU 2963 01:55:35,877 --> 01:55:37,712 WANT TO WATCH THIS OR THIS, 2964 01:55:37,712 --> 01:55:39,614 THINK OF THE ONE OR TWO THINGS 2965 01:55:39,614 --> 01:55:41,282 YOU WANT THE HINTS GROUP AND 2966 01:55:41,282 --> 01:55:42,650 THIS COMMUNITY TO THINK ABOUT 2967 01:55:42,650 --> 01:55:44,318 IN YOUR AREAS OF RESEARCH INTO 2968 01:55:44,318 --> 01:55:45,486 THE FUTURE. 2969 01:55:45,486 --> 01:55:48,756 AND SO I'M GOING TO START 2970 01:55:48,756 --> 01:55:50,191 ACTUALLY WITH DR. RICHWINE. 2971 01:55:50,191 --> 01:55:55,263 BECAUSE YOU ARE NEXT TO ME. 2972 01:55:55,263 --> 01:55:56,130 >> Chelsea Richwine: OKAY, ON 2973 01:55:56,130 --> 01:55:57,365 THE SPOT. 2974 01:55:57,365 --> 01:56:00,134 IN THE FUTURE LOOKING AT CLOSER 2975 01:56:00,134 --> 01:56:01,369 METHODS OF ACCESS WILL BE 2976 01:56:01,369 --> 01:56:02,270 INTERESTING GOING FORWARD. 2977 01:56:02,270 --> 01:56:03,905 WE HAVE A COUPLE NEW QUESTIONS 2978 01:56:03,905 --> 01:56:06,441 WE ARE JUST ON HINT 6 AND 2979 01:56:06,441 --> 01:56:08,810 HOPEFULLY ON HINT 7 THAT GET 2980 01:56:08,810 --> 01:56:10,678 MORE INTO, FOR INSTANCE PORTAL 2981 01:56:10,678 --> 01:56:12,080 ORGANIZING APPS. 2982 01:56:12,080 --> 01:56:13,681 PULLING YOUR INFORMATION FROM 2983 01:56:13,681 --> 01:56:14,415 DIFFERENT RECORDS INTO ONE 2984 01:56:14,415 --> 01:56:18,986 PLACE. 2985 01:56:18,986 --> 01:56:20,855 AND CURRENTLY THERE'S 1% SAYING 2986 01:56:20,855 --> 01:56:22,523 THEY WERE DOING THIS. 2987 01:56:22,523 --> 01:56:24,559 I AM INTERESTED TO SEE THIS IN 2988 01:56:24,559 --> 01:56:27,128 THE FUTURE AND HOW THAT CAN 2989 01:56:27,128 --> 01:56:27,662 EXPAND ACCESS OF USE. 2990 01:56:27,662 --> 01:56:28,996 >> Moderator Bradford Hesse: I 2991 01:56:28,996 --> 01:56:31,099 WAS INTERESTED TO SEE FROM MY 2992 01:56:31,099 --> 01:56:33,000 PERCH OVER IN HAWAII, THE 2993 01:56:33,000 --> 01:56:34,736 NATIONAL CANCER PROGRAM IS NOW 2994 01:56:34,736 --> 01:56:36,771 ANNOUNCING A TOPIC IN THE AREA 2995 01:56:36,771 --> 01:56:39,674 OF USING TECHNOLOGY FOR 2996 01:56:39,674 --> 01:56:40,975 COORDINATING CARE. 2997 01:56:40,975 --> 01:56:43,644 AND I THINK THIS NOTION OF 2998 01:56:43,644 --> 01:56:45,747 ORGANIZING DIGITAL INFORMATION 2999 01:56:45,747 --> 01:56:46,914 WITH ORGANIZING APPS, THAT KIND 3000 01:56:46,914 --> 01:56:51,119 OF THING, SO WE GET AWAY FROM 3001 01:56:51,119 --> 01:56:52,053 THIS DIFFUSE BIFURCATED 3002 01:56:52,053 --> 01:56:54,155 PIPELINES OF DATA AND 3003 01:56:54,155 --> 01:56:55,323 INFORMATION, THAT DOES SEEM 3004 01:56:55,323 --> 01:56:56,724 LIKE SOMETHING TO REALLY TAP 3005 01:56:56,724 --> 01:56:58,326 INTO FOR THE NEXT TEN YEARS. 3006 01:56:58,326 --> 01:56:58,826 THAT'S WONDERFUL. 3007 01:56:58,826 --> 01:57:00,027 THANK YOU. 3008 01:57:00,027 --> 01:57:02,130 I WILL GO RIGHT NOW, INSTEAD OF 3009 01:57:02,130 --> 01:57:03,531 ORDER FROM THE PRESENTATION, WE 3010 01:57:03,531 --> 01:57:05,533 WILL GO RIGHT DOWN THE ROW. 3011 01:57:05,533 --> 01:57:07,535 DR. YE? 3012 01:57:07,535 --> 01:57:11,906 >> Yinjiao Ye: IN TERMS OF 3013 01:57:11,906 --> 01:57:14,041 ADDITIONAL TOPICKS IN DIGITAL 3014 01:57:14,041 --> 01:57:15,510 DIVIDE, I THINK THE NEXT 20 3015 01:57:15,510 --> 01:57:20,615 YEARS I WOULD LIKE TO SEE -- 3016 01:57:20,615 --> 01:57:21,749 BETWEEN OLDER ADULTS AND 3017 01:57:21,749 --> 01:57:25,019 YOUNGER ADULTS. 3018 01:57:25,019 --> 01:57:28,990 ESPECIALLY FOR THE PURPOSE OF 3019 01:57:28,990 --> 01:57:29,590 REDUCING PERSONAL HEALTHCARE 3020 01:57:29,590 --> 01:57:31,726 EXPENDITURE. 3021 01:57:31,726 --> 01:57:33,561 SO I THINK THAT'S A VERY FIRST 3022 01:57:33,561 --> 01:57:36,697 THING I WOULD LIKE TO SEE AND 3023 01:57:36,697 --> 01:57:40,034 THEN DO RESEARCH ABOUT. 3024 01:57:40,034 --> 01:57:43,404 AND THE SECOND IS WHETHER, WE 3025 01:57:43,404 --> 01:57:47,875 CAN ALSO TAKE A LOOK AT HOW 3026 01:57:47,875 --> 01:57:49,043 THEIR SOCIAL CIRCLE, THEIR 3027 01:57:49,043 --> 01:57:51,212 FAMILY MEMBERS AND THEIR 3028 01:57:51,212 --> 01:57:57,285 FRIENDS CAN HELP THEM TO REALLY 3029 01:57:57,285 --> 01:57:59,287 GO ALONG WITH THEIR HEALTHCARE 3030 01:57:59,287 --> 01:58:00,321 DIGITALIZATION. 3031 01:58:00,321 --> 01:58:04,692 I THINK THAT'S ANOTHER THING 3032 01:58:04,692 --> 01:58:06,994 THAT I WOULD LIKE FOR HINTS TO 3033 01:58:06,994 --> 01:58:08,429 INCLUDE IN THE FUTURE SURVEYS. 3034 01:58:08,429 --> 01:58:09,096 THANK YOU. 3035 01:58:09,096 --> 01:58:11,799 >> Moderator Bradford Hesse: 3036 01:58:11,799 --> 01:58:12,066 WONDERFUL. 3037 01:58:12,066 --> 01:58:13,201 AND I CAN COMMENT ON THAT A 3038 01:58:13,201 --> 01:58:14,502 LITTLE BIT. 3039 01:58:14,502 --> 01:58:16,838 ONE THING WE HAVE NOTICED IN 3040 01:58:16,838 --> 01:58:18,673 PREVIOUS ITERATIONS OF HINTS 3041 01:58:18,673 --> 01:58:20,775 AND EXAMINING THE USE OF THIS 3042 01:58:20,775 --> 01:58:22,910 TECHNOLOGY, OFTEN, AND THIS 3043 01:58:22,910 --> 01:58:23,845 APPLIES SOMETIMES FOR 3044 01:58:23,845 --> 01:58:25,479 IMMIGRANTS WHO HAVE ENGLISH AS 3045 01:58:25,479 --> 01:58:26,881 A SECOND LANGUAGE AND OLDER 3046 01:58:26,881 --> 01:58:28,983 ADULTS HOW MUCH THEY RELY ON 3047 01:58:28,983 --> 01:58:31,619 OTHER FAMILY MEMBERS FOR CARE 3048 01:58:31,619 --> 01:58:32,119 GIVING AND INFORMATION 3049 01:58:32,119 --> 01:58:32,820 REFEREEING. 3050 01:58:32,820 --> 01:58:36,290 SO THEY WILL GO DOWN AND GIVE 3051 01:58:36,290 --> 01:58:37,158 INFORMATION TO THE ABUELA OR 3052 01:58:37,158 --> 01:58:38,159 SOMETHING LIKE THAT. 3053 01:58:38,159 --> 01:58:39,827 IT SEEMS THIS NOTION OF LOOKING 3054 01:58:39,827 --> 01:58:45,233 AT THAT FAMILY IS IMPORTANT, AS 3055 01:58:45,233 --> 01:58:47,068 WE REDUCE OVERALL DEFICITS IN 3056 01:58:47,068 --> 01:58:47,802 OLDER PEOPLE'S USE OF 3057 01:58:47,802 --> 01:58:48,502 TECHNOLOGY. 3058 01:58:48,502 --> 01:58:50,838 AND THANK YOU FOR NEVER SAYING 3059 01:58:50,838 --> 01:58:51,739 OKAY, BOOMER, WHEN I DID ALL 3060 01:58:51,739 --> 01:58:52,740 THAT STUFF. 3061 01:58:52,740 --> 01:58:54,108 SO THAT'S REALLY GOOD. 3062 01:58:54,108 --> 01:59:01,349 LET'S MOVE TO THE NEXT ONE. 3063 01:59:01,349 --> 01:59:03,184 >> Abhishek Henry: BEING A 3064 01:59:03,184 --> 01:59:05,253 SECOND YEAR MASTER STUDENT I 3065 01:59:05,253 --> 01:59:07,588 DON'T HAVE TOO MUCH RESEARCH 3066 01:59:07,588 --> 01:59:08,956 EXPERIENCE BUT I'M INTERESTED 3067 01:59:08,956 --> 01:59:11,058 HOW TECHNOLOGY CAN BE USED TO 3068 01:59:11,058 --> 01:59:12,260 PROMOTE HEALTH, I'VE BEEN 3069 01:59:12,260 --> 01:59:13,361 INVOLVED WITH THE CANCER 3070 01:59:13,361 --> 01:59:14,795 RESEARCH GROUP. 3071 01:59:14,795 --> 01:59:18,332 I'M INTERESTED IN SEEING HOW 3072 01:59:18,332 --> 01:59:20,401 TECHNOLOGY COULD BE IMPLEMENTED 3073 01:59:20,401 --> 01:59:22,904 EVEN HEALTHCARE SETTINGS. 3074 01:59:22,904 --> 01:59:24,872 SO I PREVIOUSLY MENTIONED I WAS 3075 01:59:24,872 --> 01:59:31,913 IN ANOTHER STUDY LOOKING AT 3076 01:59:31,913 --> 01:59:33,581 FACILITATORS AND WE HAVE BEEN 3077 01:59:33,581 --> 01:59:35,149 TALKING ABOUT THE PATIENT SIDE 3078 01:59:35,149 --> 01:59:38,185 AND HOW WE CAN GET TO USE THEM 3079 01:59:38,185 --> 01:59:40,488 BETTER, BUT THE PROVIDER SIDE 3080 01:59:40,488 --> 01:59:44,225 WE ARE DOING STUDIES IN 3081 01:59:44,225 --> 01:59:44,859 FEDERALLY-QUALIFIED HEALTHCARE 3082 01:59:44,859 --> 01:59:51,832 CENTERS AND THERE'S A MIX OF 3083 01:59:51,832 --> 01:59:53,301 RESPONSES TO THE PROVIDERS 3084 01:59:53,301 --> 01:59:54,902 WHERE THEY MIGHT HAVE DIFFERENT 3085 01:59:54,902 --> 01:59:57,004 BARRIERS AND IT MIGHT BE BETTER 3086 01:59:57,004 --> 01:59:59,807 WORK TO KEEP TRACK AND MAINTAIN 3087 01:59:59,807 --> 02:00:02,143 AN ONLINE MEDICAL RECORD SYSTEM 3088 02:00:02,143 --> 02:00:03,311 WHEREAS PROVIDERS SAY IT'S 3089 02:00:03,311 --> 02:00:05,680 SOMETHING USEFUL, I THINK THERE 3090 02:00:05,680 --> 02:00:07,648 NEEDS TO BE SOME KIND OF 3091 02:00:07,648 --> 02:00:09,183 UNDERSTANDING AND COMMON GROUND 3092 02:00:09,183 --> 02:00:11,552 OF PUSHING THESE TECHNOLOGY 3093 02:00:11,552 --> 02:00:15,256 METHODS TO THEIR PATIENTS TO 3094 02:00:15,256 --> 02:00:16,691 HELP COMMUNICATION. 3095 02:00:16,691 --> 02:00:18,192 SO THAT'S SOMETHING I'M 3096 02:00:18,192 --> 02:00:20,828 INTERESTED IN DOING. 3097 02:00:20,828 --> 02:00:23,998 IN HOW MANY, TEN OR 20 YEARS, 3098 02:00:23,998 --> 02:00:25,466 I'M NOT SURE. 3099 02:00:25,466 --> 02:00:26,200 BUT THAT'S THE NEXT STEP. 3100 02:00:26,200 --> 02:00:26,934 >> Moderator Bradford Hesse: 3101 02:00:26,934 --> 02:00:29,103 GOOD, YOU ARE JUST AT THE START 3102 02:00:29,103 --> 02:00:30,104 OF THIS TRAJECTORY, SO WE WILL 3103 02:00:30,104 --> 02:00:31,072 GET YOU BACK. 3104 02:00:31,072 --> 02:00:33,708 THAT WILL WORK OUT REALLY WELL. 3105 02:00:33,708 --> 02:00:34,642 EMPHASIZING ACROSS THE PANEL 3106 02:00:34,642 --> 02:00:37,478 THE NOTION OF THE USE OF 3107 02:00:37,478 --> 02:00:41,248 PORTALS TO PROMPT FOR SCREENING. 3108 02:00:41,248 --> 02:00:43,184 OFTEN WORKS BEST WHEN THERE ARE 3109 02:00:43,184 --> 02:00:44,719 MULTIPLE MODALITIS. 3110 02:00:44,719 --> 02:00:47,288 SO A TRIGGER HAPPENS AND THE 3111 02:00:47,288 --> 02:00:48,456 PHYSICIAN SENDS A BIRTHDAY CARD 3112 02:00:48,456 --> 02:00:51,025 AND SAYS HOW ABOUT THAT 3113 02:00:51,025 --> 02:00:51,826 COLORECTAL SCREENING, IT'S 3114 02:00:51,826 --> 02:00:52,994 ABOUT TIME, RIGHT? 3115 02:00:52,994 --> 02:00:54,996 BUT THERE'S A FOLLOW-UP AT THE 3116 02:00:54,996 --> 02:00:59,200 OTHER END AND YOU CAN MAKE YOUR 3117 02:00:59,200 --> 02:01:01,035 APPOINTMENT ONLINE, SO THAT 3118 02:01:01,035 --> 02:01:03,204 COORDINATION OF THE PROMPT AND 3119 02:01:03,204 --> 02:01:05,306 RESPONSE TO MAKE SURE WE GET A 3120 02:01:05,306 --> 02:01:07,441 CLOSED LOOP OF THE 3121 02:01:07,441 --> 02:01:07,775 COMMUNICATION. 3122 02:01:07,775 --> 02:01:09,343 ELISE YOU ARE AHEAD OF THE GAME 3123 02:01:09,343 --> 02:01:10,978 BUT SEE IF THERE IS ANYTHING 3124 02:01:10,978 --> 02:01:13,114 ELSE YOU LEFT OUT. 3125 02:01:13,114 --> 02:01:18,786 >> Elise Atkinson: YEAH, THAT 3126 02:01:18,786 --> 02:01:21,655 WAS DUE RELATED TO MY PAPER. 3127 02:01:21,655 --> 02:01:23,324 BUT OVERALL, I THINK I 3128 02:01:23,324 --> 02:01:26,727 MENTIONED I COULDN'T REALLY 3129 02:01:26,727 --> 02:01:27,395 MEASURE TRANSGENDER RESPONDENTS 3130 02:01:27,395 --> 02:01:28,596 DUE TO THE SMALL NUMBER. 3131 02:01:28,596 --> 02:01:30,464 IF YOU COULD OVER SAMPLE 3132 02:01:30,464 --> 02:01:32,466 MINORITIES AND WEIGHT THEM IN 3133 02:01:32,466 --> 02:01:35,102 THE END TO BE ACCURATE TO THE 3134 02:01:35,102 --> 02:01:36,971 U.S. POPULATION, I THINK THAT 3135 02:01:36,971 --> 02:01:38,172 WOULD ALLOW RESEARCHERS LIKE ME 3136 02:01:38,172 --> 02:01:40,841 TO GET THE NUMBERS I NEED WHILE 3137 02:01:40,841 --> 02:01:43,744 STILL REMAINING TRUE TO THE 3138 02:01:43,744 --> 02:01:45,813 OVERALL MAKE-UP OF AMERICA. 3139 02:01:45,813 --> 02:01:46,914 >> Moderator Bradford Hesse: 3140 02:01:46,914 --> 02:01:48,783 YOU KNOW, IN SOME WAYS I WAS 3141 02:01:48,783 --> 02:01:50,184 GOING TO PREDICT THAT'S WHERE 3142 02:01:50,184 --> 02:01:51,819 YOU WERE GOING TO GO. 3143 02:01:51,819 --> 02:01:53,721 BECAUSE THAT'S SUCH A PROBLEM 3144 02:01:53,721 --> 02:01:57,425 IN THESE SURVEYS GETTING 3145 02:01:57,425 --> 02:01:58,826 REPRESENTATIVENESS IN CERTAIN 3146 02:01:58,826 --> 02:02:00,227 GROUP THAT'S CAN OTHERWISE 3147 02:02:00,227 --> 02:02:02,096 FALLOUT SIDE OF THE GRID. 3148 02:02:02,096 --> 02:02:03,364 A SPECIAL STUDY CAN SOMETIMES 3149 02:02:03,364 --> 02:02:04,432 BE DONE. 3150 02:02:04,432 --> 02:02:12,973 I CAN SEE KELLY'S GEARS. 3151 02:02:12,973 --> 02:02:14,141 WHAT A WONDERFUL START TO THE 3152 02:02:14,141 --> 02:02:14,875 PANELS. 3153 02:02:14,875 --> 02:02:16,710 THANK YOU FOR THE WONDERFUL 3154 02:02:16,710 --> 02:02:22,683 WORK AND PRESENTATION. 3155 02:02:22,683 --> 02:02:24,785 >> Kelly Blake: THANK YOU, 3156 02:02:24,785 --> 02:02:26,287 BRAD, FOR MODERATING OUR FIRST 3157 02:02:26,287 --> 02:02:27,388 ORAL PRESENTATION SESSION. 3158 02:02:27,388 --> 02:02:29,290 IT'S TIME FOR LUNCH, EVERYBODY. 3159 02:02:29,290 --> 02:02:31,625 THE CAFETERIA, IF YOU GO 3160 02:02:31,625 --> 02:02:33,527 UPSTAIRS TO THE ATRIUM, MAKE A 3161 02:02:33,527 --> 02:02:34,462 LEFT, PAST THE ELEVATORS YOU 3162 02:02:34,462 --> 02:02:36,097 WILL SEE THE CAFETERIA. 3163 02:02:36,097 --> 02:02:37,765 WE HAVE AN HOUR FOR LUNCH. 3164 02:02:37,765 --> 02:02:38,766 I THINK THERE ARE TABLES 3165 02:02:38,766 --> 02:02:39,633 OUTSIDE. 3166 02:02:39,633 --> 02:02:41,268 IT'S A NICE DAY. 3167 02:02:41,268 --> 02:02:44,038 OR OF COURSE YOU CAN SIT INSIDE. 3168 02:02:44,038 --> 02:02:46,407 PLEASE BE BACK AT 1:00 SHARP 3169 02:02:46,407 --> 02:02:47,408 WHEN WE WILL START THE AGENDA 3170 02:02:47,408 --> 02:02:55,345 BACK. THANK YOU. 3171 02:02:55,345 --> 02:02:57,147 WELCOME BACK 3172 02:02:57,147 --> 02:02:59,516 EVERYBODY. WE HAVE A REAL 3173 02:02:59,516 --> 02:03:00,417 TREAT HERE THIS AFTERNOON 3174 02:03:00,417 --> 02:03:06,123 BEFORE WE JUMP INTO THE REST OF 3175 02:03:06,123 --> 02:03:08,091 THE ORAL PRESENTATIONS AND THE 3176 02:03:08,091 --> 02:03:08,625 SPECIFIC SESSIONS OF THE 3177 02:03:08,625 --> 02:03:13,030 CONFERENCE WE HAVE THIS PANEL 3178 02:03:13,030 --> 02:03:13,530 TITLED "CHALLENGES AND 3179 02:03:13,530 --> 02:03:14,031 OPPORTUNITIES IN SURVEY 3180 02:03:14,031 --> 02:03:17,401 RESEARCH." 3181 02:03:17,401 --> 02:03:17,935 AND WE HAVE THE LEADERS OF 3182 02:03:17,935 --> 02:03:19,102 MANY OF OUR FEDERAL SURVEYS AND 3183 02:03:19,102 --> 02:03:19,903 METHODOLOGIES FROM FEDERAL 3184 02:03:19,903 --> 02:03:24,107 SURVEYS HERE TO SPEAK TODAY. 3185 02:03:24,107 --> 02:03:24,708 SO I'M GOING TO TELL YOU WHO 3186 02:03:24,708 --> 02:03:25,275 THEY ARE AND WHERE THEY ARE 3187 02:03:25,275 --> 02:03:28,545 FROM. 3188 02:03:28,545 --> 02:03:33,517 AND THEN TURN IT OVER TO THEM 3189 02:03:33,517 --> 02:03:34,084 TO INTRODUCE THEMSELVES ON 3190 02:03:34,084 --> 02:03:37,187 THEIR WORK BEFORE WE JUMP INTO 3191 02:03:37,187 --> 02:03:38,388 SOME MODERATOR QUESTIONS AND 3192 02:03:38,388 --> 02:03:38,889 WELCOME YOU GUYS TO ASK 3193 02:03:38,889 --> 02:03:40,057 QUESTIONS AS WELL. 3194 02:03:40,057 --> 02:03:41,925 ON THE PANEL TODAY WE HAVE DR. 3195 02:03:41,925 --> 02:03:43,327 PAUL BEATTY, CHIEF - CENTER FOR 3196 02:03:43,327 --> 02:03:44,094 BEHAVIORAL SCIENCE METHODS, U.S. 3197 02:03:44,094 --> 02:03:44,561 CENSUS BUREAU, AND PAST 3198 02:03:44,561 --> 02:03:45,028 PRESIDENT - AMERICAN 3199 02:03:45,028 --> 02:03:45,629 ASSOCIATION FOR PUBLIC 3200 02:03:45,629 --> 02:03:51,869 OPINION RESEARCH (AAPOR). AND 3201 02:03:51,869 --> 02:03:55,639 WE HAVE MELISA CREAMER, DEPUTY 3202 02:03:55,639 --> 02:03:56,173 BRANCH CHIEF AND PROGRAM 3203 02:03:56,173 --> 02:03:56,573 OFFICIAL - 3204 02:03:56,573 --> 02:03:57,140 EPIDEMIOLOGY RESEARCH BRANCH, 3205 02:03:57,140 --> 02:03:57,708 NATIONAL INSTITUTE ON DRUG 3206 02:03:57,708 --> 02:03:58,108 ABUSE (THE 3207 02:03:58,108 --> 02:03:58,609 POPULATION ASSESSMENT OF 3208 02:03:58,609 --> 02:03:59,142 TOBACCO AND HEALTH [PATH] 3209 02:03:59,142 --> 02:04:09,286 STUDY) 3210 02:04:12,556 --> 02:04:20,864 WE HAVE DR. BRANCH CHIEF - 3211 02:04:20,864 --> 02:04:21,498 POPULATION HEALTH SURVEILLANCE 3212 02:04:21,498 --> 02:04:21,865 BRANCH, 3213 02:04:21,865 --> 02:04:22,466 CENTERS FOR DISEASE CONTROL AND 3214 02:04:22,466 --> 02:04:23,033 PREVENTION (BEHAVIORAL RISK 3215 02:04:23,033 --> 02:04:23,367 FACTOR 3216 02:04:23,367 --> 02:04:24,902 SURVEILLANCE SYSTEM [BRFSS]) 3217 02:04:24,902 --> 02:04:28,205 AND DR. AARON MAITLAND ALSO 3218 02:04:28,205 --> 02:04:30,474 FROM THE CDC. CHIEF - SURVEY 3219 02:04:30,474 --> 02:04:31,174 PLANNING AND SPECIAL SURVEYS 3220 02:04:31,174 --> 02:04:31,708 BRANCH, NATIONAL CENTER FOR 3221 02:04:31,708 --> 02:04:32,276 HEALTH STATISTICS (NATIONAL 3222 02:04:32,276 --> 02:04:42,553 HEALTH INTERVIEW 3223 02:04:56,266 --> 02:04:58,735 SURVEY [NHIS]). 3224 02:04:58,735 --> 02:04:59,303 THIS GO IN THE ORDER OF THE 3225 02:04:59,303 --> 02:04:59,670 AGENDA. 3226 02:04:59,670 --> 02:05:02,272 >> DR. BEATTY: HELLO EVERYBODY, 3227 02:05:02,272 --> 02:05:06,910 I'M PAUL BEATTY, CHIEF - CENTER 3228 02:05:06,910 --> 02:05:07,544 FOR BEHAVIORAL SCIENCE METHODS, 3229 02:05:07,544 --> 02:05:07,844 U.S. 3230 02:05:07,844 --> 02:05:08,312 CENSUS BUREAU, AND PAST 3231 02:05:08,312 --> 02:05:08,779 PRESIDENT - AMERICAN 3232 02:05:08,779 --> 02:05:09,379 ASSOCIATION FOR PUBLIC 3233 02:05:09,379 --> 02:05:14,284 OPINION RESEARCH (AAPOR). AND 3234 02:05:14,284 --> 02:05:14,785 SURVEY METHODOLOGIES BY 3235 02:05:14,785 --> 02:05:16,920 TRAINING IN FEDERAL SERVICE FOR 3236 02:05:16,920 --> 02:05:19,256 30 YEARS. I HAVE BEEN AT CENSUS 3237 02:05:19,256 --> 02:05:19,856 FOR NINE YEARS BEFORE THAT I 3238 02:05:19,856 --> 02:05:23,860 WAS AT THE -- FOR 21 YEARS. 3239 02:05:23,860 --> 02:05:27,164 UNLIKE A LOT OF THE OTHER 3240 02:05:27,164 --> 02:05:27,764 PANELISTS, I WORK IN A GROUP 3241 02:05:27,764 --> 02:05:28,231 THAT IS NOT PRIMARILY 3242 02:05:28,231 --> 02:05:35,505 RESPONSIBLE FOR MAJOR DATA 3243 02:05:35,505 --> 02:05:36,840 COLLECTION OPERATION. WE ARE A 3244 02:05:36,840 --> 02:05:37,541 METHODS GROUP, WHICH IS IN 3245 02:05:37,541 --> 02:05:38,175 CONTACT WITH MOST OF THE OTHER 3246 02:05:38,175 --> 02:05:41,845 PARTS OF THE CENSUS BUREAU AND 3247 02:05:41,845 --> 02:05:42,412 THE FEDERAL AGENCY AS WELL 3248 02:05:42,412 --> 02:05:43,046 ABOUT MAXIMIZING THE QUALITY OF 3249 02:05:43,046 --> 02:05:44,748 THE DATA COLLECTION WE DO. 3250 02:05:44,748 --> 02:05:47,417 THAT INCLUDES OF COURSE THE 3251 02:05:47,417 --> 02:05:50,354 DECENNIAL CENSUS WHICH IS ONE 3252 02:05:50,354 --> 02:05:50,954 OF THE MOST VISIBLE THINGS WE 3253 02:05:50,954 --> 02:05:52,489 DO BUT THE CENSUS BUREAU IS 3254 02:05:52,489 --> 02:05:55,058 ESSENTIALLY A NATIONAL CENTER 3255 02:05:55,058 --> 02:05:55,659 FOR DEMOGRAPHIC AND ECONOMIC 3256 02:05:55,659 --> 02:05:58,729 STATISTICS. SO MANY OTHER 3257 02:05:58,729 --> 02:06:03,700 SURVEYS EITHER DONE DIRECTLY BY 3258 02:06:03,700 --> 02:06:04,835 US, OR WE DO ON BEHALF OF THE 3259 02:06:04,835 --> 02:06:05,435 FEDERAL AGENCIES COMING INTO 3260 02:06:05,435 --> 02:06:08,939 OUR WORLD. 3261 02:06:08,939 --> 02:06:11,241 WHAT WE ARE WORKING ON IS 3262 02:06:11,241 --> 02:06:14,244 CLOSING THE GAP BETWEEN WHAT 3263 02:06:14,244 --> 02:06:17,014 PEOPLE ARE TRYING TO MEASURE, 3264 02:06:17,014 --> 02:06:17,514 AND WHAT THEIR MEASURES 3265 02:06:17,514 --> 02:06:20,150 ACTUALLY DO. WE DO THAT 3266 02:06:20,150 --> 02:06:20,751 THROUGH A COMBINATION OF 3267 02:06:20,751 --> 02:06:23,353 METHODS. QUALITATIVE AND 3268 02:06:23,353 --> 02:06:26,189 QUANTITATIVE. 3269 02:06:26,189 --> 02:06:26,790 MANY OF YOU ARE FAMILIAR WITH 3270 02:06:26,790 --> 02:06:28,258 COGNITIVE TESTING. THAT IS 3271 02:06:28,258 --> 02:06:32,629 PART OF WHAT WE DO. DISABILITY 3272 02:06:32,629 --> 02:06:36,933 TESTING ALSO. NOT ALL 3273 02:06:36,933 --> 02:06:37,501 QUALITATIVE. SOUND IS MORE 3274 02:06:37,501 --> 02:06:43,807 CORRECTION BASED FOR EXAMPLE, 3275 02:06:43,807 --> 02:06:44,441 LIKE -- DATA ANALYSIS AND OTHER 3276 02:06:44,441 --> 02:06:46,309 FORMS OF ACCREDITATION. 3277 02:06:46,309 --> 02:06:49,046 AND WE DO MORE THAN ADVISE AND 3278 02:06:49,046 --> 02:06:49,680 DESIGN. WE ARE ALSO INVOLVED IN 3279 02:06:49,680 --> 02:06:51,481 KEY INITIATIVES IN TRYING TO 3280 02:06:51,481 --> 02:06:52,949 UNDERSTAND WHAT DATA USERS ARE 3281 02:06:52,949 --> 02:06:57,654 EXPECTING FROM US. AND HELPING 3282 02:06:57,654 --> 02:07:00,724 TO PRODUCE PRODUCTS THAT BETTER 3283 02:07:00,724 --> 02:07:02,959 ALIGN WITH THEIR NEEDS. WHICH 3284 02:07:02,959 --> 02:07:03,794 MEANS WE HAVE TO UNDERSTAND 3285 02:07:03,794 --> 02:07:13,770 WHAT THEY WANT AND CONSTRUCT 3286 02:07:13,770 --> 02:07:14,204 PRODUCTS WITH THAT 3287 02:07:14,204 --> 02:07:15,138 UNDERSTANDING IN MY. THAT'S 3288 02:07:15,138 --> 02:07:18,775 ENOUGH ABOUT ME. 3289 02:07:18,775 --> 02:07:19,743 >> AARON_ 3290 02:07:19,743 --> 02:07:23,780 >> DR. MAITLAND: AARON 3291 02:07:23,780 --> 02:07:24,314 MAITLAND, CHIEF - SURVEY 3292 02:07:24,314 --> 02:07:25,015 PLANNING AND SPECIAL SURVEYS 3293 02:07:25,015 --> 02:07:25,549 BRANCH, NATIONAL CENTER FOR 3294 02:07:25,549 --> 02:07:26,116 HEALTH STATISTICS (NATIONAL 3295 02:07:26,116 --> 02:07:26,883 HEALTH INTERVIEW 3296 02:07:26,883 --> 02:07:28,652 SURVEY [NHIS]). LIKE KELLY 3297 02:07:28,652 --> 02:07:34,591 SAID. 3298 02:07:34,591 --> 02:07:37,094 OUR BRANCH OVERSEAS ONE 3299 02:07:37,094 --> 02:07:45,569 LONGTIME SURVEY AND ONE SURVEY 3300 02:07:45,569 --> 02:07:48,338 PROGRAM THAT HAS BEEN BORN. 3301 02:07:48,338 --> 02:07:48,905 YOU SAW SLIDES THIS MORNING 3302 02:07:48,905 --> 02:07:53,677 THAT REFER TO THE NIHS, AN 3303 02:07:53,677 --> 02:07:55,011 ONGOING SURVEY THAT HAS BEEN 3304 02:07:55,011 --> 02:07:56,246 GOING ON SINCE 1957, IT GOES ON 3305 02:07:56,246 --> 02:08:01,485 EVERY YEAR. IT'S AN 3306 02:08:01,485 --> 02:08:04,621 ADDRESS-BASED SAMPLE. THE 3307 02:08:04,621 --> 02:08:05,222 INTERVIEWS ARE DONE IN PERSON 3308 02:08:05,222 --> 02:08:07,791 AND BY TELEPHONE. WE DO 3309 02:08:07,791 --> 02:08:09,826 INTERVIEWS WITH ABOUT 30,000 3310 02:08:09,826 --> 02:08:20,003 SAMPLE ADULTS. AND THEN ABOUT 3311 02:08:20,003 --> 02:08:20,637 10,000 PARENTS OR CAREGIVERS OF 3312 02:08:20,637 --> 02:08:23,340 SAMPLE CHILDREN. THE MAIN 3313 02:08:23,340 --> 02:08:30,113 OBJECTIVE OF THE NHIS IS TO 3314 02:08:30,113 --> 02:08:30,714 MONITOR THE OVERALL HEALTH OF 3315 02:08:30,714 --> 02:08:32,949 THE UNITED STATES POPULATION. 3316 02:08:32,949 --> 02:08:34,251 WE ASK ABROAD RANGE OF HEALTH 3317 02:08:34,251 --> 02:08:37,154 TOPICS, HEALTH CONDITIONS, 3318 02:08:37,154 --> 02:08:37,754 HEALTH BEHAVIORS, HEALTHCARE 3319 02:08:37,754 --> 02:08:41,158 ACCESS, IT'S ABOUT AN HOUR LONG 3320 02:08:41,158 --> 02:08:44,861 INTERVIEW OF THE HEALTH OF THE 3321 02:08:44,861 --> 02:08:49,032 PEOPLE WE ARE TALKING TO. 3322 02:08:49,032 --> 02:08:51,101 MAJOR STRENGTH OF THE SURVEY 3323 02:08:51,101 --> 02:08:55,572 IS IT HAS A LARGE SAMPLE SIZE. 3324 02:08:55,572 --> 02:08:57,674 SO, IF FOLKS ARE LOOKING TO GET 3325 02:08:57,674 --> 02:08:59,676 ESTIMATES OF SUBPOPULATIONS, 3326 02:08:59,676 --> 02:09:06,316 THE HIS IS A GOOD SOURCE OF 3327 02:09:06,316 --> 02:09:09,119 DATA. THE HIS IS USED TO TRACK 3328 02:09:09,119 --> 02:09:11,488 A LOT OF GOALS FOR THE 3329 02:09:11,488 --> 02:09:12,122 DEPARTMENT OF HEALTH AND HUMAN 3330 02:09:12,122 --> 02:09:14,457 SERVICES HEALTHY PEOPLE 2030 3331 02:09:14,457 --> 02:09:16,560 GOALS AND WE WORK WITH A LOT OF 3332 02:09:16,560 --> 02:09:20,096 CDC PROGRAMS AND NIH PROGRAMS 3333 02:09:20,096 --> 02:09:20,664 TO MEASURE THOSE GOALS AND 3334 02:09:20,664 --> 02:09:22,999 OTHER RELATED GOALS. 3335 02:09:22,999 --> 02:09:25,035 AND WE ALSO HAVE OF COURSE THE 3336 02:09:25,035 --> 02:09:31,274 RESEARCH COMMUNITY USES THE HIS 3337 02:09:31,274 --> 02:09:32,475 FOR A VARIETY OF DIFFERENT 3338 02:09:32,475 --> 02:09:33,844 TOPICS. 3339 02:09:33,844 --> 02:09:38,381 EACH YEAR, WE HAVE CONTENT 3340 02:09:38,381 --> 02:09:41,685 THAT IS THE SAME EVERY YEAR. 3341 02:09:41,685 --> 02:09:45,088 WE ALSO HAVE-- AND RECALL THAT 3342 02:09:45,088 --> 02:09:47,157 ANNUAL CORE CONTENT-- WE HAVE 3343 02:09:47,157 --> 02:09:50,260 ROTATING CORE CONTENT THAT IS 3344 02:09:50,260 --> 02:09:51,528 PART OF OUR CORE TOPICS THAT WE 3345 02:09:51,528 --> 02:09:55,799 ARE ASKING ABOUT IN THE NHIS. 3346 02:09:55,799 --> 02:09:59,836 BUT THOSE TOPICS ARE ONLY SAY 3347 02:09:59,836 --> 02:10:00,437 ONCE EVERY OTHER YEAR OR TWO 3348 02:10:00,437 --> 02:10:01,938 OUT OF THREE YEARS. 3349 02:10:01,938 --> 02:10:03,206 AND THEN WE ALSO HAVE A COUPLE 3350 02:10:03,206 --> 02:10:13,717 OF CATEGORIES OF CONTENT THAT 3351 02:10:16,286 --> 02:10:16,786 VERY LITTLE BIT SO WE HAVE 3352 02:10:16,786 --> 02:10:18,755 SPONSOR CONTEXT OR WE WORK WITH 3353 02:10:18,755 --> 02:10:21,358 CDC PROGRAMS AND NIH AND OTHER 3354 02:10:21,358 --> 02:10:21,992 GOVERNMENT AGENCIES TO SPONSOR 3355 02:10:21,992 --> 02:10:24,060 TOPICS THAT ARE OF INTEREST TO 3356 02:10:24,060 --> 02:10:24,628 VARIOUS PARTS OF THE CDC OR 3357 02:10:24,628 --> 02:10:25,595 OTHER PARTS OF THE GOVERNMENT. 3358 02:10:25,595 --> 02:10:26,196 AND THAT WHAT WE HAVE WHAT WE 3359 02:10:26,196 --> 02:10:28,732 CALL THE "EMERGING CONTENT," 3360 02:10:28,732 --> 02:10:33,403 TOPICS THAT ARE -- THAT HAVE A 3361 02:10:33,403 --> 02:10:37,207 TIMELY NATURE TO THEM. SO IF 3362 02:10:37,207 --> 02:10:37,807 THERE IS SOME NEW ISSUE THAT 3363 02:10:37,807 --> 02:10:40,076 HAS EMERGED. FOR EXAMPLE WE 3364 02:10:40,076 --> 02:10:41,077 HAVE INCLUDED NEW QUESTIONS ON 3365 02:10:41,077 --> 02:10:44,214 THINGS LIKE OPIOIDS AND PAIN 3366 02:10:44,214 --> 02:10:44,781 MANAGEMENT, AND THINGS LIKE 3367 02:10:44,781 --> 02:10:46,883 THAT. 3368 02:10:46,883 --> 02:10:52,923 SO THAT'S-- ALL ABOUT THE HIS. 3369 02:10:52,923 --> 02:10:54,224 WE HAVE A NEW SURVEY SYSTEM 3370 02:10:54,224 --> 02:10:55,292 THAT IS JUST GETTING UNDERWAY 3371 02:10:55,292 --> 02:10:59,362 THAT IS CALLED THE "RAPID 3372 02:10:59,362 --> 02:11:00,864 SURVEY SYSTEM." AND SO FOR THAT 3373 02:11:00,864 --> 02:11:04,868 SYSTEM, WE ARE USING ONLINE 3374 02:11:04,868 --> 02:11:07,137 COMMERCIAL WEB PANELS TO 3375 02:11:07,137 --> 02:11:07,771 COLLECT DATA ON TOPICS THAT ARE 3376 02:11:07,771 --> 02:11:10,607 SORT OF TIME SENSITIVE NATURE. 3377 02:11:10,607 --> 02:11:13,677 AND IT'S GOT THE NAME "RAPID," 3378 02:11:13,677 --> 02:11:16,780 BECAUSE WE'RE TRYING TO DO ONE 3379 02:11:16,780 --> 02:11:20,383 SURVEY EVERY QUARTER. SO, FOR 3380 02:11:20,383 --> 02:11:20,951 EXAMPLE IF A SAFETY PROGRAM 3381 02:11:20,951 --> 02:11:22,886 COMES TO US WITH A TOPIC THAT 3382 02:11:22,886 --> 02:11:24,988 THEY WANT TO PUT ON ONE OF OUR 3383 02:11:24,988 --> 02:11:26,923 SURVEYS, 3384 02:11:26,923 --> 02:11:27,524 FROM THE TIME WE ARE DESIGNING 3385 02:11:27,524 --> 02:11:29,159 THE QUESTIONS, 3386 02:11:29,159 --> 02:11:30,460 TO WHEN WE WILL HAVE DATA 3387 02:11:30,460 --> 02:11:30,860 AVAILABLE 3388 02:11:30,860 --> 02:11:32,762 ON OUR WEBSITE 3389 02:11:32,762 --> 02:11:34,464 IS ABOUT SIX MONTHS OF TIME. 3390 02:11:34,464 --> 02:11:37,434 SO, 3391 02:11:37,434 --> 02:11:38,034 FOR SOME THAT MAY NOT BE THAT 3392 02:11:38,034 --> 02:11:39,402 RAPID. 3393 02:11:39,402 --> 02:11:41,604 FOR US THAT IS PRETTY RAPID. 3394 02:11:41,604 --> 02:11:43,039 THAT IS A NEW SYSTEM 3395 02:11:43,039 --> 02:11:45,141 THAT IS GETTING STARTED. 3396 02:11:45,141 --> 02:11:48,044 AND WE ARE USING LIKE I SAID 3397 02:11:48,044 --> 02:11:50,914 THE COMMERCIAL WEB PANELS 3398 02:11:50,914 --> 02:11:51,448 BUT MANY HERE ARE FAMILIAR 3399 02:11:51,448 --> 02:11:54,017 WITH ALREADY. 3400 02:11:54,017 --> 02:11:56,052 AND KELLY, I THINK YOU WANTED 3401 02:11:56,052 --> 02:11:59,689 ME TO SAY A LITTLE ABOUT OUR 3402 02:11:59,689 --> 02:12:00,323 CONNECTIONS WITH DATA USERS? GO 3403 02:12:00,323 --> 02:12:02,892 AHEAD WITH THAT. 3404 02:12:02,892 --> 02:12:03,460 SO WE DON'T HAVE AN ONGOING 3405 02:12:03,460 --> 02:12:04,694 CONFERENCE LIKE THIS ONE. 3406 02:12:04,694 --> 02:12:06,863 I THINK THIS IS GREAT. 3407 02:12:06,863 --> 02:12:07,430 THIS IS A GREAT WAY TO BE IN 3408 02:12:07,430 --> 02:12:08,331 TOUCH 3409 02:12:08,331 --> 02:12:12,836 WITH EVERYONE WE HAD A DATA 3410 02:12:12,836 --> 02:12:16,306 USERS CONFERENCE, NHIS, I DON'T 3411 02:12:16,306 --> 02:12:18,908 THINK IT HAS HAD ONE FOR ABOUT 3412 02:12:18,908 --> 02:12:19,509 10 YEARS OR SO BUT THAT DATA 3413 02:12:19,509 --> 02:12:20,477 USERS CONFERENCE WAS FOR ALL 3414 02:12:20,477 --> 02:12:28,618 CDC, ALL NCHS SYSTEMS, AND DATA 3415 02:12:28,618 --> 02:12:30,120 SET THAT WE ALL HAVE DATA 3416 02:12:30,120 --> 02:12:31,654 PRESENTED THERE. 3417 02:12:31,654 --> 02:12:36,259 WE -- A LOT OF 3418 02:12:36,259 --> 02:12:38,628 OUR USERS 3419 02:12:38,628 --> 02:12:39,195 LIKE I WAS REFERRING TO WITH 3420 02:12:39,195 --> 02:12:40,530 OUR SPONSORED CONTENT 3421 02:12:40,530 --> 02:12:42,365 OR OTHER CDC PROGRAMS 3422 02:12:42,365 --> 02:12:44,801 OR PLACES AT NIH. 3423 02:12:44,801 --> 02:12:46,469 SO THEY ARE DATA USERS. 3424 02:12:46,469 --> 02:12:47,037 WE ARE CONSTANTLY KEEPING IN 3425 02:12:47,037 --> 02:12:48,405 TOUCH WITH THEM 3426 02:12:48,405 --> 02:12:48,872 BECAUSE THEY ARE OFTEN 3427 02:12:48,872 --> 02:12:50,206 SPONSORING 3428 02:12:50,206 --> 02:12:50,774 TOPICS ON THE SURVEY AND WE 3429 02:12:50,774 --> 02:12:51,741 WORK WITH THEM 3430 02:12:51,741 --> 02:12:53,209 A LOT OF TIMES 3431 02:12:53,209 --> 02:12:55,412 TO GET PUBLICATIONS OUT 3432 02:12:55,412 --> 02:12:56,646 AND ON THE TOPICS 3433 02:12:56,646 --> 02:12:59,816 THAT THEY SPONSOR. 3434 02:12:59,816 --> 02:13:04,320 AND 3435 02:13:04,320 --> 02:13:06,156 SO THE OTHER 3436 02:13:06,156 --> 02:13:08,458 DATA USERS LIKE 3437 02:13:08,458 --> 02:13:09,692 RESEARCHERS AT UNIVERSITIES, 3438 02:13:09,692 --> 02:13:11,995 AND OTHER PLACES, 3439 02:13:11,995 --> 02:13:12,462 WE DON'T REALLY HAVE A 3440 02:13:12,462 --> 02:13:15,665 SPECIFIC WAY 3441 02:13:15,665 --> 02:13:24,574 TO KEEP IN TOUCH WITH THEM. 3442 02:13:24,574 --> 02:13:25,108 SOMETIMES WE DO HAVE SOME 3443 02:13:25,108 --> 02:13:25,742 COLLABORATIONS ON OPERATIONS ON 3444 02:13:25,742 --> 02:13:26,376 PUBLICATIONS OR SOMETHING LIKE 3445 02:13:26,376 --> 02:13:27,310 THAT. 3446 02:13:27,310 --> 02:13:28,845 WE HAVE THE DATA USER REQUEST 3447 02:13:28,845 --> 02:13:29,446 LINE THAT WE ARE SOMETIMES IN 3448 02:13:29,446 --> 02:13:31,047 TOUCH WITH THEM OR RANDOM TOUCH 3449 02:13:31,047 --> 02:13:33,249 POINTS WITH THEM. 3450 02:13:33,249 --> 02:13:34,250 THAT IS PROBABLY A PLACE 3451 02:13:34,250 --> 02:13:41,958 WHERE I THINK HINTS DOES A 3452 02:13:41,958 --> 02:13:43,226 MUCH BETTER JOB AT REACHING 3453 02:13:43,226 --> 02:13:44,260 THOSE RESEARCHERS THAN WE DO 3454 02:13:44,260 --> 02:13:47,330 AND HINTS DOES AN AWESOME JOB 3455 02:13:47,330 --> 02:13:49,732 AND DOCUMENTATION TOO. 3456 02:13:49,732 --> 02:13:52,802 TRYING TO DOCUMENT EVERYTHING 3457 02:13:52,802 --> 02:13:53,403 ON OUR SURVEY ON THE WEBSITE 3458 02:13:53,403 --> 02:13:54,604 THAT WE CAN. 3459 02:13:54,604 --> 02:13:55,805 MAYBE SOMETIMES 3460 02:13:55,805 --> 02:13:57,607 TO OUR DETRIMENT 3461 02:13:57,607 --> 02:13:58,108 WHEN WE GET DOCUMENTED A 3462 02:13:58,108 --> 02:13:59,542 REALLY LONG, 3463 02:13:59,542 --> 02:14:01,144 AND NOBODY WANTS TO READ THEM. 3464 02:14:01,144 --> 02:14:02,745 BUT ALL THE DETAILS ARE THERE 3465 02:14:02,745 --> 02:14:05,148 ABOUT THE SURVEYS. 3466 02:14:05,148 --> 02:14:05,715 SO WE DEFINITELY TRY TO KEEP 3467 02:14:05,715 --> 02:14:06,349 OUR DATA USERS INFORMED THAT 3468 02:14:06,349 --> 02:14:10,987 WAY. 3469 02:14:10,987 --> 02:14:13,790 >> HI EVERYONE I AM MELISA 3470 02:14:13,790 --> 02:14:15,859 CREAMER, AT DEPUTY BRANCH CHIEF 3471 02:14:15,859 --> 02:14:16,459 AND PROGRAM OFFICIAL - 3472 02:14:16,459 --> 02:14:17,026 EPIDEMIOLOGY RESEARCH BRANCH, 3473 02:14:17,026 --> 02:14:17,594 NATIONAL INSTITUTE ON DRUG 3474 02:14:17,594 --> 02:14:17,994 ABUSE (THE 3475 02:14:17,994 --> 02:14:18,495 POPULATION ASSESSMENT OF 3476 02:14:18,495 --> 02:14:19,129 TOBACCO AND HEALTH [PATH] 3477 02:14:19,129 --> 02:14:23,333 STUDY). I HAVE CODIRECTED STUDY 3478 02:14:23,333 --> 02:14:24,868 OF THE HEALTH STUDY A 3479 02:14:24,868 --> 02:14:28,905 LONGITUDINAL STUDY OF THE 3480 02:14:28,905 --> 02:14:32,275 NATIONALLY REPRESENTED 3481 02:14:32,275 --> 02:14:32,909 NONINSTITUTIONALIZED POPULATION 3482 02:14:32,909 --> 02:14:33,510 IN THE UNITED STATES ONGOING 3483 02:14:33,510 --> 02:14:39,282 SINCE 2013 WHEN THE FIRST WAVE 3484 02:14:39,282 --> 02:14:42,552 DATA WERE COLLECTED. 3485 02:14:42,552 --> 02:14:43,186 APPROXIMATELY 34,000 YOUTHS AND 3486 02:14:43,186 --> 02:14:46,823 ADULTS. 3487 02:14:46,823 --> 02:14:47,390 WE PRIMARILY COLLECT DATA ON 3488 02:14:47,390 --> 02:14:48,958 TOBACCO USE, HEALTH 3489 02:14:48,958 --> 02:14:49,559 EFFECTS AND BEHAVIORS THAT MAY 3490 02:14:49,559 --> 02:14:51,227 BE 3491 02:14:51,227 --> 02:14:52,962 INFLUENCED BY TOBACCO USE AND 3492 02:14:52,962 --> 02:15:01,271 OTHER 3493 02:15:01,271 --> 02:15:02,071 ETIOLOGICAL FACTORS IS 3494 02:15:02,071 --> 02:15:04,674 ASSOCIATED. 3495 02:15:04,674 --> 02:15:05,275 WE CURRENTLY HAVE A SURVEY ON 3496 02:15:05,275 --> 02:15:05,909 13 DIFFERENT CLASSES OF TOBACCO 3497 02:15:05,909 --> 02:15:08,211 PRODUCTS, INCLUDING CIGARETTES, 3498 02:15:08,211 --> 02:15:12,048 E-PRODUCTS, 3499 02:15:12,048 --> 02:15:12,649 AND WE RECENTLY ADDED NICOTINE 3500 02:15:12,649 --> 02:15:16,920 OR THE NICOTINE -- IN OTHER 3501 02:15:16,920 --> 02:15:18,221 TYPES OF CIGAR PRODUCTS SO A 3502 02:15:18,221 --> 02:15:19,856 WIDE VARIETY OF PRODUCTS. 3503 02:15:19,856 --> 02:15:21,124 I ALSO JUST WANTED TO NOTE 3504 02:15:21,124 --> 02:15:25,094 THAT OUR STUDY NOT ONLY COLLECT 3505 02:15:25,094 --> 02:15:26,396 DATA 3506 02:15:26,396 --> 02:15:28,231 IN A SURVEY FORM. 3507 02:15:28,231 --> 02:15:32,368 I CAN TALK LATER 3508 02:15:32,368 --> 02:15:32,936 IF WE WANT ABOUT SOME OF THE 3509 02:15:32,936 --> 02:15:33,736 CHANGES THAT WERE IMPLEMENTED 3510 02:15:33,736 --> 02:15:35,205 DURING COVID. 3511 02:15:35,205 --> 02:15:36,973 WE PRIMARILY COLLECT IN PERSON 3512 02:15:36,973 --> 02:15:39,342 INTERVIEW DATA, SAMPLING 3513 02:15:39,342 --> 02:15:39,842 PROCEDURES AND THEY ARE 3514 02:15:39,842 --> 02:15:41,411 FOLLOWED EVERY YEAR. 3515 02:15:41,411 --> 02:15:43,079 AND WE HAVE COLLECTED 3516 02:15:43,079 --> 02:15:44,847 ANNUAL DATA SINCE LIKE I SAID 3517 02:15:44,847 --> 02:15:46,449 2013. 3518 02:15:46,449 --> 02:15:51,821 AND BEGINNING AFTER WAVE 4, 3519 02:15:51,821 --> 02:15:52,355 WE STARTED EVERY OTHER YEAR 3520 02:15:52,355 --> 02:15:55,191 DATA COLLECTION OF THE FULL 3521 02:15:55,191 --> 02:15:59,162 SAMPLE. AND IN BETWEEN YEARS, 3522 02:15:59,162 --> 02:16:00,863 WE SAMPLED THE USE OR YOUNGER 3523 02:16:00,863 --> 02:16:01,798 ADULTS. 3524 02:16:01,798 --> 02:16:03,533 WE ALSO COLLECT BIOMARKER DATA. 3525 02:16:03,533 --> 02:16:04,867 SO BUYER SPECIMENS ARE 3526 02:16:04,867 --> 02:16:05,335 COLLECTED. 3527 02:16:05,335 --> 02:16:07,537 URINE HAS BEEN COLLECTED AT 3528 02:16:07,537 --> 02:16:09,739 EVERY ANNUAL, OR EVERY MAIN 3529 02:16:09,739 --> 02:16:12,242 WAVE OF DATA COLLECTIONS. 3530 02:16:12,242 --> 02:16:12,775 SO WHEN THE FULL SAMPLE IS 3531 02:16:12,775 --> 02:16:16,813 COLLECTED WE ALSO COLLECT URINE 3532 02:16:16,813 --> 02:16:17,380 AND ANALYZE THOSE BIOMARKER 3533 02:16:17,380 --> 02:16:18,681 DATA, BEING ABLE TO COLLECT 3534 02:16:18,681 --> 02:16:19,315 OBJECTIVE DATA WITH SUBJECTIVE 3535 02:16:19,315 --> 02:16:21,784 DATA. 3536 02:16:21,784 --> 02:16:22,352 AND OTHER DATA ARE AVAILABLE 3537 02:16:22,352 --> 02:16:23,353 TO THE PUBLI RIGHT NOW THROUGH 3538 02:16:23,353 --> 02:16:25,521 WAVE 6, PUBLIC USE FILES ARE 3539 02:16:25,521 --> 02:16:28,091 AVAILABLE AT NATA, THE NATIONAL 3540 02:16:28,091 --> 02:16:30,994 ADDICTION AND HIV ARCHIVE DATA 3541 02:16:30,994 --> 02:16:32,729 PROGRAM. 3542 02:16:32,729 --> 02:16:35,298 AND, 3543 02:16:35,298 --> 02:16:40,036 THE BIOMARKER DATA-- 3544 02:16:40,036 --> 02:16:40,637 THEY USE FILES BUT IT'S RATHER 3545 02:16:40,637 --> 02:16:41,237 EASY TO APPLY AND YOU HAVE TO 3546 02:16:41,237 --> 02:16:45,908 HAVE AN IRV AND A RESEARCH 3547 02:16:45,908 --> 02:16:46,542 QUESTION A NATURAL THING BUT WE 3548 02:16:46,542 --> 02:16:47,877 TRY TO CONNECT WITH OUR DATA 3549 02:16:47,877 --> 02:16:52,282 USERS ANNUALLY AT ICPSR 3550 02:16:52,282 --> 02:16:52,815 (PHONETIC) UNIVERSITY OF 3551 02:16:52,815 --> 02:16:55,351 MICHIGAN. 3552 02:16:55,351 --> 02:16:55,952 WE HAVE OFFERED TRADITIONALLY A 3553 02:16:55,952 --> 02:16:56,786 PROGRAM REALLY 3554 02:16:56,786 --> 02:16:58,521 ON THE DATA 3555 02:16:58,521 --> 02:16:59,055 ITSELF AND HOW TO USE THE 3556 02:16:59,055 --> 02:17:00,690 DATA, 3557 02:17:00,690 --> 02:17:01,791 HOW TO ANALYZE THE DATA. 3558 02:17:01,791 --> 02:17:03,626 DATA WORKSHOPS. 3559 02:17:03,626 --> 02:17:07,497 AND WE ALSO HAVE ARCHIVED 3560 02:17:07,497 --> 02:17:09,098 YOUTUBE VIDEOS OF THE BASICS OF 3561 02:17:09,098 --> 02:17:09,899 THE PAST STUDY PROGRAM BECAUSE 3562 02:17:09,899 --> 02:17:10,800 WE RECOGNIZE IT CAN BE REALLY 3563 02:17:10,800 --> 02:17:11,401 CHALLENGING USE LONGITUDINAL 3564 02:17:11,401 --> 02:17:13,736 DATA. 3565 02:17:13,736 --> 02:17:15,605 AND HOW DIFFERENT WAYS 3566 02:17:15,605 --> 02:17:17,607 IT COULD BE USED, AND THE 3567 02:17:17,607 --> 02:17:21,311 VARIOUS WAYS, AND WE TRY TO 3568 02:17:21,311 --> 02:17:21,878 REALLY BE INVOLVED WITH THE 3569 02:17:21,878 --> 02:17:22,979 SCIENTIFIC COMMUNITY. 3570 02:17:22,979 --> 02:17:26,349 THE IMPORTANT PART OF THE PAST 3571 02:17:26,349 --> 02:17:26,983 DATA WHICH I FAILED TO MENTION 3572 02:17:26,983 --> 02:17:28,484 IN THE BEGINNING, SPONSORED BY 3573 02:17:28,484 --> 02:17:28,985 THE CENTER FOR TOBACCO 3574 02:17:28,985 --> 02:17:37,393 PRODUCTS, IS A CONTRACT THAT 3575 02:17:37,393 --> 02:17:37,994 NAIDA (PHONETIC) ADMINISTERS. 3576 02:17:37,994 --> 02:17:39,662 THE MAIN PURPOSE OF THE PAST 3577 02:17:39,662 --> 02:17:41,564 STUDY WAS TO BUILD SCIENTIFIC 3578 02:17:41,564 --> 02:17:43,499 EVIDENCE FOR THE RULEMAKING AND 3579 02:17:43,499 --> 02:17:48,338 REGULATORY PROCESSES THAT CTP 3580 02:17:48,338 --> 02:17:51,641 CAN DO AND SO A LOT OF THE 3581 02:17:51,641 --> 02:17:52,275 QUESTIONS HAVE BEEN MAINTAINED 3582 02:17:52,275 --> 02:17:52,875 OVER TIME AND SOME HAVE BEEN 3583 02:17:52,875 --> 02:17:53,476 CHANGED FOR THE MOST PART WE 3584 02:17:53,476 --> 02:17:54,110 ARE TRYING TO BUILD SCIENTIFIC 3585 02:17:54,110 --> 02:17:56,145 EVIDENCE SO THAT CTP AND 3586 02:17:56,145 --> 02:17:57,413 REGULAR TOBACCO PRODUCT IN AN 3587 02:17:57,413 --> 02:18:00,350 EFFECTIVE MANNER. 3588 02:18:00,350 --> 02:18:06,122 >> 3589 02:18:06,122 --> 02:18:07,857 >> GOOD AFTERNOON EVERYONE. 3590 02:18:07,857 --> 02:18:08,858 EVERYONE IS TIRED FROM LUNCH. I 3591 02:18:08,858 --> 02:18:12,061 AM TIRED FROM LUNCH. I AM DR. 3592 02:18:12,061 --> 02:18:13,329 MACHELL TOWN, BRANCH CHIEF - 3593 02:18:13,329 --> 02:18:13,963 POPULATION HEALTH SURVEILLANCE 3594 02:18:13,963 --> 02:18:14,330 BRANCH, 3595 02:18:14,330 --> 02:18:14,931 CENTERS FOR DISEASE CONTROL AND 3596 02:18:14,931 --> 02:18:15,498 PREVENTION (BEHAVIORAL RISK 3597 02:18:15,498 --> 02:18:15,832 FACTOR 3598 02:18:15,832 --> 02:18:16,999 SURVEILLANCE SYSTEM [BRFSS]). 3599 02:18:16,999 --> 02:18:17,567 OUR BRANCH OF THE POPULATION 3600 02:18:17,567 --> 02:18:19,235 HEALTH SURVEILLANCE BRANCH 3601 02:18:19,235 --> 02:18:19,736 WITHIN THE DIVISION OF 3602 02:18:19,736 --> 02:18:24,507 PREPARATION HEALTH WITHIN CDC. 3603 02:18:24,507 --> 02:18:25,007 WE ARE SYSTEM BASED OF 3604 02:18:25,007 --> 02:18:26,876 STATE-BASED SURVEYS. WE HAVE 3605 02:18:26,876 --> 02:18:32,281 BEEN IN EXISTENCE 1984. WE EACH 3606 02:18:32,281 --> 02:18:32,915 STATED WE COLLECT DATA FOR, WE 3607 02:18:32,915 --> 02:18:33,516 COLLECT DATA FOR ALL STATES, 3608 02:18:33,516 --> 02:18:36,986 DC, AND THREE US TERRITORIES. 3609 02:18:36,986 --> 02:18:39,255 THE SURVEY IS OF ADULTS 18 AND 3610 02:18:39,255 --> 02:18:43,559 OLDER. WE COLLECT DATA ON 3611 02:18:43,559 --> 02:18:44,093 HEALTH CONDITIONS, RACE 3612 02:18:44,093 --> 02:18:48,297 FACTORS, CHRONIC CONDITIONS. 3613 02:18:48,297 --> 02:18:53,569 OPIOIDS. OPIOID QUESTIONS. WE 3614 02:18:53,569 --> 02:18:54,137 HAVE SOCIAL DETERMINANTS OF 3615 02:18:54,137 --> 02:18:55,171 HEALTH QUESTIONS. WE HAVE 3616 02:18:55,171 --> 02:19:00,343 ACTIONS TO RAISE QUESTIONS IN 3617 02:19:00,343 --> 02:19:00,777 DIFFERENT TYPES OF 3618 02:19:00,777 --> 02:19:03,679 HEALTH-RELATED QUESTIONS, AND 3619 02:19:03,679 --> 02:19:04,313 ALSO DO PREVENTABLE INFECTIOUS 3620 02:19:04,313 --> 02:19:06,315 DISEASE QUESTIONS. 3621 02:19:06,315 --> 02:19:07,817 OUR DATA IS COLLECTED 3622 02:19:07,817 --> 02:19:18,094 AND THE PARTNERSHIP BETWEEN 3623 02:19:18,094 --> 02:19:18,628 OUR OFFICES AND THE STATE 3624 02:19:18,628 --> 02:19:19,228 DEPARTMENTS AND ALSO THE CDC 3625 02:19:19,228 --> 02:19:22,799 PROGRAMS WE COME TOGETHER, THE 3626 02:19:22,799 --> 02:19:26,969 BRFS (PHONETIC) HAS A CORE 3627 02:19:26,969 --> 02:19:27,603 STUDY, AND THE STATE DETERMINE 3628 02:19:27,603 --> 02:19:32,041 WHICH MODULES THEY ARE GOING TO 3629 02:19:32,041 --> 02:19:32,675 COLLECT AND EACH STATE BECAUSE 3630 02:19:32,675 --> 02:19:35,511 IT TO COLLECT THE MODULES, WE 3631 02:19:35,511 --> 02:19:39,882 CONSIDER OURSELVES 54 SURVEYS 3632 02:19:39,882 --> 02:19:49,892 TIMES -- BECAUSE WE DO LANDLINE 3633 02:19:49,892 --> 02:19:50,526 AND CELL PHONE ADMINISTRATION. 3634 02:19:50,526 --> 02:19:51,160 WE WORK REALLY CLOSELY WITH THE 3635 02:19:51,160 --> 02:19:52,862 STATE HEALTH DEPARTMENTS. THEY 3636 02:19:52,862 --> 02:19:53,429 ARE THE ONES THAT ACTUALLY 3637 02:19:53,429 --> 02:19:53,996 DETERMINE EXACTLY WHAT THE 3638 02:19:53,996 --> 02:19:55,331 FINAL QUESTIONNAIRE WILL BE 3639 02:19:55,331 --> 02:19:58,134 FOR THEIR PARTICULAR STATE. SO 3640 02:19:58,134 --> 02:19:58,734 WE WORK CLOSELY WITH THE CDC 3641 02:19:58,734 --> 02:20:02,004 PROGRAMS. AS AARON STATED 3642 02:20:02,004 --> 02:20:03,940 BEFORE THEY PROPOSE QUESTIONS 3643 02:20:03,940 --> 02:20:07,343 ON THE BRFS, AND THE STATE 3644 02:20:07,343 --> 02:20:10,179 HEALTH DEPARTMENT DETERMINES 3645 02:20:10,179 --> 02:20:10,746 WHETHER OR NOT THEY WANT TO 3646 02:20:10,746 --> 02:20:11,380 ADMINISTER THE QUESTIONS THAT 3647 02:20:11,380 --> 02:20:11,948 THE CDC PROGRAMS ACTUALLY 3648 02:20:11,948 --> 02:20:12,682 SPONSORED. 3649 02:20:12,682 --> 02:20:18,888 AND WE ALSO, WE WORK WITH-- WE 3650 02:20:18,888 --> 02:20:21,557 HAVE ADDITIONAL-- WE DO 3651 02:20:21,557 --> 02:20:24,327 EMERGING CORE TOPICS AS AARON 3652 02:20:24,327 --> 02:20:28,264 SAID THEY DO, ANYTHING THAT 3653 02:20:28,264 --> 02:20:30,199 COMES UP, HEALTH BEHAVIORS OR 3654 02:20:30,199 --> 02:20:32,802 WHEN COVID CAME OUT WE DID THE 3655 02:20:32,802 --> 02:20:35,738 EMERGING QUARTILE, THE 3656 02:20:35,738 --> 02:20:36,706 ADMINISTRATION OF THE COVID 3657 02:20:36,706 --> 02:20:38,641 SHOT. 3658 02:20:38,641 --> 02:20:40,009 SO WE ALSO HAVE A PROJECT 3659 02:20:40,009 --> 02:20:44,146 WHERE WE USED THE BRFS DATA TO 3660 02:20:44,146 --> 02:20:45,715 CONTINUE TO COLLECT DATA ON 3661 02:20:45,715 --> 02:20:52,855 PERSONS WHO HAVE HAD ASTHMA. SO 3662 02:20:52,855 --> 02:20:53,422 WE HAVE THE ASTHMA CALLBACK 3663 02:20:53,422 --> 02:20:54,357 SURVEY THAT USES A PARTICULAR 3664 02:20:54,357 --> 02:20:57,393 DATA. WE HAVE A STANDARDIZED 3665 02:20:57,393 --> 02:20:58,027 DATA COLLECTION WERE WITNESS TO 3666 02:20:58,027 --> 02:21:00,930 THE SURVEY ON THE LANDLINE AND 3667 02:21:00,930 --> 02:21:03,599 CELL PHONE. OUR LANDLINE IS 3668 02:21:03,599 --> 02:21:04,867 STRATIFIED BY COUNTIES. WE DO 3669 02:21:04,867 --> 02:21:09,272 CENSUS TRACTS, CENSUS BLOCKS. 3670 02:21:09,272 --> 02:21:10,273 WE CAN ALSO STRATIFY DIFFERENT 3671 02:21:10,273 --> 02:21:12,875 COUNTIES. SO WHEN THE STATE 3672 02:21:12,875 --> 02:21:13,276 DETERMINE WHETHER 3673 02:21:13,276 --> 02:21:14,110 STRATIFICATION METHOD IS THE 3674 02:21:14,110 --> 02:21:14,710 DETERMINE WHETHER OR NOT THEY 3675 02:21:14,710 --> 02:21:16,679 WANT TO HAVE JUST THE OVERALL 3676 02:21:16,679 --> 02:21:18,981 STATE SAMPLE, OR THEY WANT TO 3677 02:21:18,981 --> 02:21:25,888 SAMPLE AT THE GEOGRAPHIC LEVEL. 3678 02:21:25,888 --> 02:21:26,422 WE ALSO BY CELL PHONES, WE 3679 02:21:26,422 --> 02:21:26,989 SAMPLE BY COUNTIES BY CELL 3680 02:21:26,989 --> 02:21:28,524 PHONES WITH THE CELL PHONE 3681 02:21:28,524 --> 02:21:29,125 SAMPLE. WE ARE IN THE PROCESS 3682 02:21:29,125 --> 02:21:29,926 OF CONTINUING TO LOOK AT OTHER 3683 02:21:29,926 --> 02:21:32,695 WAYS IN WHICH WE CAN CONTINUE 3684 02:21:32,695 --> 02:21:36,065 TO COLLECT DATA AT THE 3685 02:21:36,065 --> 02:21:36,632 STRATIFICATION LEVEL 3686 02:21:36,632 --> 02:21:40,870 BY CELL PHONE. WE HAVE HAD A 3687 02:21:40,870 --> 02:21:43,573 CONFERENCE EVERY YEAR WHERE WE 3688 02:21:43,573 --> 02:21:44,407 SPONSOR THE STATE HEALTH 3689 02:21:44,407 --> 02:21:46,976 COORDINATORS THAT COME IN AND 3690 02:21:46,976 --> 02:21:49,245 ALSO THE CDC PROGRAMS COME IN 3691 02:21:49,245 --> 02:21:49,845 AND WE DO TRAINING ON HOW TO 3692 02:21:49,845 --> 02:21:52,381 USE THE BRFS DATA. WE ALSO 3693 02:21:52,381 --> 02:21:53,349 HAVE WEBINARS THAT WE HAVE HAD 3694 02:21:53,349 --> 02:21:55,151 EVERY MONTH ON THE USE OF THE 3695 02:21:55,151 --> 02:21:57,887 DATA AND DIFFERENT PAPERS THAT 3696 02:21:57,887 --> 02:22:01,090 ARE ACTUALLY WRITTEN USING BRFS. 3697 02:22:01,090 --> 02:22:01,657 WE ALSO WORK WITH DIFFERENT 3698 02:22:01,657 --> 02:22:04,560 UNIVERSITIES. ARE USUALLY 3699 02:22:04,560 --> 02:22:04,994 PRESENT AT MULTIPLE 3700 02:22:04,994 --> 02:22:05,628 UNIVERSITIES AROUND THE COUNTRY 3701 02:22:05,628 --> 02:22:09,298 ON DATA. WE ALSO WORK WITH CMS 3702 02:22:09,298 --> 02:22:10,700 ON DIFFERENT PROJECTS. ON HOW 3703 02:22:10,700 --> 02:22:15,204 THEY CAN USE BRFS DATA, AND 3704 02:22:15,204 --> 02:22:15,805 THEY CAN LEVERAGE SOME OF THE 3705 02:22:15,805 --> 02:22:17,573 QUESTIONS THAT WE USE. 3706 02:22:17,573 --> 02:22:18,074 WE ALSO WORK WITH OTHER 3707 02:22:18,074 --> 02:22:20,176 FEDERAL AGENCIES. I WORK WITH 3708 02:22:20,176 --> 02:22:21,277 THE OFFICE OF MINORITY HEALTH 3709 02:22:21,277 --> 02:22:23,412 ON HOW TO REACH NATIVE AMERICAN 3710 02:22:23,412 --> 02:22:25,448 POPULATIONS. 3711 02:22:25,448 --> 02:22:27,450 SO WE DO A LOT OF 3712 02:22:27,450 --> 02:22:28,050 COLLABORATION WITHIN SOME OF 3713 02:22:28,050 --> 02:22:32,855 THE FEDERAL AGENCIES. 3714 02:22:32,855 --> 02:22:34,523 >> THANK YOU GUYS FOR THIS 3715 02:22:34,523 --> 02:22:35,191 REVIEW OF YOUR SURVEYS AND WHAT 3716 02:22:35,191 --> 02:22:40,162 YOU DO. AND I THINK ONE OF THE 3717 02:22:40,162 --> 02:22:40,763 MOST COMMON QUESTIONS WE GET 3718 02:22:40,763 --> 02:22:45,234 FROM OUR DATA USERS AROUND 3719 02:22:45,234 --> 02:22:45,868 RESPONSE RATES. I WOULD LIKE TO 3720 02:22:45,868 --> 02:22:51,574 START THERE, SYNTHESIS OF PANEL 3721 02:22:51,574 --> 02:22:52,108 ABOUT CHALLENGES. AS WAS 3722 02:22:52,108 --> 02:22:54,210 OPPORTUNITIES. 3723 02:22:54,210 --> 02:22:55,544 PAUL MAYBE WE CAN START WITH 3724 02:22:55,544 --> 02:22:57,146 YOU, JUST GIVING SOME 3725 02:22:57,146 --> 02:22:57,780 OVERARCHING REMARKS AND 3726 02:22:57,780 --> 02:23:00,216 THOUGHTS ON DECLINING RESPONSE 3727 02:23:00,216 --> 02:23:03,119 RATES THE FEDERAL SURVEYS. AND 3728 02:23:03,119 --> 02:23:03,653 THAT WILL FOLLOW UP WITH 3729 02:23:03,653 --> 02:23:05,221 EVERYBODY IN THE PANEL, GIVING 3730 02:23:05,221 --> 02:23:06,288 SIMILAR REMARKS BUT ALSO, 3731 02:23:06,288 --> 02:23:09,625 TALKING ABOUT YOU KNOW HOW IN 3732 02:23:09,625 --> 02:23:11,761 YOUR SURVEYS YOU ARE ASSESSING 3733 02:23:11,761 --> 02:23:13,229 THE RELATIONSHIP BETWEEN 3734 02:23:13,229 --> 02:23:15,097 RESPONSE RATE AND NONRESPONSE 3735 02:23:15,097 --> 02:23:16,732 BIAS AND DATA QUALITY IN THE 3736 02:23:16,732 --> 02:23:18,234 SURVEYS THAT EACH OF YOU LEAD. 3737 02:23:18,234 --> 02:23:21,504 >> DR. BEATTY: SURE WELL, 3738 02:23:21,504 --> 02:23:23,906 NEWSFLASH. RESPONSE RATES ARE 3739 02:23:23,906 --> 02:23:30,146 REALLY BAD. WHEN SOME 3740 02:23:30,146 --> 02:23:32,281 REPUTABLE, NATIONAL SURVEYS ARE 3741 02:23:32,281 --> 02:23:32,915 GETTING RESPONSE RATE IN SINGLE 3742 02:23:32,915 --> 02:23:36,786 DIGITS, THAT IS KIND OF 3743 02:23:36,786 --> 02:23:39,755 FRIGHTENING. WHEN I WAS BEING 3744 02:23:39,755 --> 02:23:40,890 TRAINED AS THE SURVEY 3745 02:23:40,890 --> 02:23:43,893 METHODOLOGIST, WE WOULD NEVER 3746 02:23:43,893 --> 02:23:44,527 HAVE ACCEPTED THINGS LIKE THAT 3747 02:23:44,527 --> 02:23:48,130 IS LEGITIMATE. THIS IS BEYOND 3748 02:23:48,130 --> 02:23:48,731 ANY REALM THAT WE EXPECTED TO 3749 02:23:48,731 --> 02:23:52,735 BE WORKING IN. WE HAVE ENTERED 3750 02:23:52,735 --> 02:23:55,337 DIFFERENT STAGES OF THINGS. 3751 02:23:55,337 --> 02:23:55,938 FORTUNATELY WELL DONE FEDERAL 3752 02:23:55,938 --> 02:23:56,939 SERVICE ARE NOT QUITE IN THAT 3753 02:23:56,939 --> 02:24:00,476 BALLPARK. MOST OF THE TIME. 3754 02:24:00,476 --> 02:24:01,010 AND WE TEND TO GET BETTER 3755 02:24:01,010 --> 02:24:02,178 RESPONSE RATE THAN MOST OTHER 3756 02:24:02,178 --> 02:24:04,213 PARTS OF THE WORLD ARE DOING 3757 02:24:04,213 --> 02:24:07,616 SURVEYS. 3758 02:24:07,616 --> 02:24:09,218 AND ACTUALLY I THINK WE REALLY 3759 02:24:09,218 --> 02:24:12,421 DO A GOOD JOB MONITORING FOR 3760 02:24:12,421 --> 02:24:14,457 RESPONSE BIAS. WHICH IS WHAT WE 3761 02:24:14,457 --> 02:24:16,759 ARE REALLY CONCERNED ABOUT. 3762 02:24:16,759 --> 02:24:19,128 YOU CAN HAVE AS IT TURNS OUT, 3763 02:24:19,128 --> 02:24:19,762 RESPONSE RATE THAT IS NOT VERY 3764 02:24:19,762 --> 02:24:22,465 GOOD, AND NOT HAVE A PROBLEM 3765 02:24:22,465 --> 02:24:24,734 WITH RESPONSE BIAS. AND THE 3766 02:24:24,734 --> 02:24:25,968 OTHER WAY AROUND AS WELL. YOU 3767 02:24:25,968 --> 02:24:28,070 CAN HAVE A RELATIVELY HIGH 3768 02:24:28,070 --> 02:24:29,672 RESPONSE RATE, BUT NEVERTHELESS 3769 02:24:29,672 --> 02:24:33,943 THE BIAS IS NOT IGNORABLE. 3770 02:24:33,943 --> 02:24:35,978 SO THE WAY WE HAVE TO BE 3771 02:24:35,978 --> 02:24:38,781 MINDFUL OF IS FIRST OF ALL, WE 3772 02:24:38,781 --> 02:24:39,415 CAN'T TOTALLY STOP THE DECLINE 3773 02:24:39,415 --> 02:24:44,286 IN RESPONSE RATES. WE CAN 3774 02:24:44,286 --> 02:24:44,887 CONTINUE TO DO BEST PRACTICES 3775 02:24:44,887 --> 02:24:46,722 TO GET PEOPLE TO PARTICIPATE IN 3776 02:24:46,722 --> 02:24:48,324 SERVICE AS MUCH AS THEY CAN. 3777 02:24:48,324 --> 02:24:51,994 BUT THIS IS THE NEW REALITY. 3778 02:24:51,994 --> 02:24:52,595 THE DAYS OF 80% RESPONSE RATE 3779 02:24:52,595 --> 02:24:55,464 AS A VIABLE TARGET ARE REALLY 3780 02:24:55,464 --> 02:24:57,833 PROBABLY BEHIND US FOREVER. 3781 02:24:57,833 --> 02:25:01,971 SO, GIVEN THAT REALITY, HOW 3782 02:25:01,971 --> 02:25:05,141 MUCH IS BIAS A PROBLEM? 3783 02:25:05,141 --> 02:25:06,976 AND AS IT TURNS OUT IT'S ONLY 3784 02:25:06,976 --> 02:25:08,410 A PROBLEM WHEN THE PROPENSITY 3785 02:25:08,410 --> 02:25:11,147 TO RESPOND IS RELATED TO THE 3786 02:25:11,147 --> 02:25:11,680 THING THAT WE CARE ABOUT 3787 02:25:11,680 --> 02:25:14,717 MEASURING. AND IN A LOT OF 3788 02:25:14,717 --> 02:25:15,317 THINGS THAT WE ARE CONCERNED 3789 02:25:15,317 --> 02:25:17,753 ABOUT, THAT IS NOT GOING TO BE 3790 02:25:17,753 --> 02:25:21,290 THE CASE. 3791 02:25:21,290 --> 02:25:22,558 THERE ARE CERTAIN VOTER 3792 02:25:22,558 --> 02:25:24,293 BEHAVIORS WHERE IT IS NOT TRUE. 3793 02:25:24,293 --> 02:25:26,695 YOUR WILLINGNESS TO BE TALKING 3794 02:25:26,695 --> 02:25:28,697 ABOUT YOUR VOTER BEHAVIOR IS 3795 02:25:28,697 --> 02:25:31,600 DEFINITELY RELATED TO YOUR 3796 02:25:31,600 --> 02:25:32,835 ATTITUDES ABOUT CERTAIN 3797 02:25:32,835 --> 02:25:34,336 POLITICAL THINGS. 3798 02:25:34,336 --> 02:25:37,907 IN HEALTH, NOT ALWAYS SO MUCH. 3799 02:25:37,907 --> 02:25:42,411 WE DO HAVE TO MAKE SURE-- AND 3800 02:25:42,411 --> 02:25:44,647 WE WILL GET TO THIS LATER -- 3801 02:25:44,647 --> 02:25:46,115 THE GROUPS THAT ARE HARD TO 3802 02:25:46,115 --> 02:25:48,317 FIND, HARDER TO REACH, HARDER 3803 02:25:48,317 --> 02:25:48,951 TO CONVINCE THAT THEY SHOULD BE 3804 02:25:48,951 --> 02:25:51,353 TALKING WITH US, THAT IS WHERE 3805 02:25:51,353 --> 02:25:52,188 A LOT OF OUR INTEREST AND OUR 3806 02:25:52,188 --> 02:25:55,858 ATTENTION IS DIRECTED. IT IS 3807 02:25:55,858 --> 02:25:56,859 PARTLY A MATTER OF BIAS IN 3808 02:25:56,859 --> 02:26:02,064 GENERAL, BUT ALSO MAKING SURE 3809 02:26:02,064 --> 02:26:02,698 THAT EVERYBODY THAT WE HAVE AN 3810 02:26:02,698 --> 02:26:04,567 INTEREST IN COMMUNICATING IN, 3811 02:26:04,567 --> 02:26:05,201 BRINGING THE DATA TO THE TABLE 3812 02:26:05,201 --> 02:26:09,371 IS IN FACT REACHED. 3813 02:26:09,371 --> 02:26:16,612 >> OKAY. 3814 02:26:16,612 --> 02:26:19,114 >> YEAH, I DON'T KNOW IF I HAVE 3815 02:26:19,114 --> 02:26:26,322 A LOT TO ADD TO WHAT PAUL SAID. 3816 02:26:26,322 --> 02:26:27,389 BUT MAYBE I CAN TALK ABOUT 3817 02:26:27,389 --> 02:26:32,094 SPECIFICALLY ABOUT NHIS. WE 3818 02:26:32,094 --> 02:26:32,561 DID A REDESIGN OF OUR 3819 02:26:32,561 --> 02:26:33,195 QUESTIONNAIRE IN 2019, AND DID 3820 02:26:33,195 --> 02:26:38,467 A REDESIGN OF OUR WEIGHTING 3821 02:26:38,467 --> 02:26:40,402 PROCEDURES AT THE SAME TIME. 3822 02:26:40,402 --> 02:26:40,936 WE DID THE QUESTIONNAIRE 3823 02:26:40,936 --> 02:26:42,972 REDESIGN. 3824 02:26:42,972 --> 02:26:49,645 THE RESULT OF THAT HAS BEEN 3825 02:26:49,645 --> 02:26:50,112 LIKE A CLOSER LOOK AT 3826 02:26:50,112 --> 02:26:51,213 NONRESPONSE BIAS EVERY YEAR 3827 02:26:51,213 --> 02:26:54,850 WITH THIS PROCESS. WHAT WE 3828 02:26:54,850 --> 02:26:55,451 USED TO DO AS WE HAD A BASIC 3829 02:26:55,451 --> 02:26:57,253 GEOGRAPHIC ADJUSTMENT PER 3830 02:26:57,253 --> 02:26:59,788 NONRESPONSE TO SORT OF TAKE 3831 02:26:59,788 --> 02:27:01,757 CARE OF THE DIFFERENT RATES OF 3832 02:27:01,757 --> 02:27:05,694 RESPONDING ACROSS THE US. 3833 02:27:05,694 --> 02:27:12,868 AND THEN, WE WOULD HAVE AN 3834 02:27:12,868 --> 02:27:15,037 AGE/SEX POST STRATIFICATION. WE 3835 02:27:15,037 --> 02:27:16,272 DID SOME RESEARCH THAT HELPED 3836 02:27:16,272 --> 02:27:19,174 US KIND OF REDESIGN OUR 3837 02:27:19,174 --> 02:27:22,711 WEIGHTING; AND THAT GAVE US A 3838 02:27:22,711 --> 02:27:25,314 LITTLE BIT MORE COMPLICATED 3839 02:27:25,314 --> 02:27:26,382 PROCESS THAT INVOLVED MODELING 3840 02:27:26,382 --> 02:27:30,753 USING OUR PAIR DATA AND USING 3841 02:27:30,753 --> 02:27:32,354 OTHER SOURCES OF INFORMATION TO 3842 02:27:32,354 --> 02:27:36,959 SORT OF MODEL NONRESPONSE IN A 3843 02:27:36,959 --> 02:27:37,760 SAMPLE ADULT OR SAMPLE CHILD 3844 02:27:37,760 --> 02:27:40,863 LEVEL. AND SO WE HAVE SOME 3845 02:27:40,863 --> 02:27:44,199 MULTILEVEL REGRESSION MODELS 3846 02:27:44,199 --> 02:27:46,635 THAT SERVE AS PREDICTORS OF 3847 02:27:46,635 --> 02:27:47,870 RESPONSE AND WE PUT THAT INTO A 3848 02:27:47,870 --> 02:27:48,971 PROPENSITY MODEL, AND ADJUST 3849 02:27:48,971 --> 02:27:52,141 FOR THAT NONRESPONSE THAT WAY. 3850 02:27:52,141 --> 02:27:55,411 WE'VE GOTTEN A LITTLE BIT MORE 3851 02:27:55,411 --> 02:27:55,978 COMPLICATED, OVER THE PAST 3852 02:27:55,978 --> 02:27:59,415 COUPLE OF YEARS. WE NOW USE 3853 02:27:59,415 --> 02:28:02,117 SORT OF MACHINE LEARNING 3854 02:28:02,117 --> 02:28:02,584 METHODS, OR RECURSIVE 3855 02:28:02,584 --> 02:28:06,088 PARTITIONING MODELS. AND SO, 3856 02:28:06,088 --> 02:28:13,128 THESE MODELS ALLOW US THEY ARE 3857 02:28:13,128 --> 02:28:13,762 TREE-BASED MODELS THAT ALLOW US 3858 02:28:13,762 --> 02:28:16,031 TO LOOK AT THE INTERACTIONS 3859 02:28:16,031 --> 02:28:16,632 BETWEEN VARIOUS PREDICTORS OF 3860 02:28:16,632 --> 02:28:17,900 NONRESPONSE AND HOPEFULLY DO A 3861 02:28:17,900 --> 02:28:20,903 BETTER JOB OF MODELING THE 3862 02:28:20,903 --> 02:28:23,172 NONRESPONSE. THAT GOES INTO OUR 3863 02:28:23,172 --> 02:28:24,440 PROPENSITY MODEL NOW. 3864 02:28:24,440 --> 02:28:30,479 AND, WE'VE ALSO AS A RESULT OF 3865 02:28:30,479 --> 02:28:34,450 REDESIGNING OUR WEIGHTING, 3866 02:28:34,450 --> 02:28:37,987 INSTEAD OF USING THE 3867 02:28:37,987 --> 02:28:38,387 AGE/SEX/RACE POST 3868 02:28:38,387 --> 02:28:39,221 STRATIFICATION WE DO 3869 02:28:39,221 --> 02:28:43,325 CALIBRATION THROUGH RAKING. 3870 02:28:43,325 --> 02:28:45,728 AND THAT GIVES US SOME MORE-- 3871 02:28:45,728 --> 02:28:48,097 A LITTLE BIT MORE OF A VARIETY 3872 02:28:48,097 --> 02:28:50,566 OF DIFFERENT CELLS THAT WE DID 3873 02:28:50,566 --> 02:28:51,066 NOT HAVE BEFORE IN THE 3874 02:28:51,066 --> 02:28:52,835 CALIBRATION. 3875 02:28:52,835 --> 02:28:53,669 SO WE HAVE THINGS LIKE AGE, 3876 02:28:53,669 --> 02:28:59,041 SEX AND RACE STILL. BUT WE 3877 02:28:59,041 --> 02:29:01,043 ADDED TO THAT EDUCATIONAL 3878 02:29:01,043 --> 02:29:04,179 ATTAINMENT, METROPOLITAN 3879 02:29:04,179 --> 02:29:07,516 STATISTICAL AREA STATUS, AND 3880 02:29:07,516 --> 02:29:15,691 SO, WHEN WE LOOK AT WHAT REALLY 3881 02:29:15,691 --> 02:29:19,128 MAKES OUR ADJUSTMENTS WORK, IN 3882 02:29:19,128 --> 02:29:22,731 SPITE OF HOW COMPLICATED THE 3883 02:29:22,731 --> 02:29:26,168 NONRESPONSE WEIGHTING METHODS 3884 02:29:26,168 --> 02:29:28,137 ARE, IT'S REALLY THE 3885 02:29:28,137 --> 02:29:28,704 CALIBRATION THAT MOVES THE 3886 02:29:28,704 --> 02:29:29,605 ESTIMATES IN THE RANKING MAKES 3887 02:29:29,605 --> 02:29:31,473 A BIG DIFFERENCE. 3888 02:29:31,473 --> 02:29:35,978 AND SO, WITH THOSE MODELS, 3889 02:29:35,978 --> 02:29:38,914 EVERY YEAR WE HAVE A COUPLE OF 3890 02:29:38,914 --> 02:29:39,848 DIFFERENT TYPES OF DATA FILES 3891 02:29:39,848 --> 02:29:43,118 THAT WE PRODUCE. WE HAVE WHAT 3892 02:29:43,118 --> 02:29:48,557 WE CALL "EARLY RELEASE 3893 02:29:48,557 --> 02:29:49,191 ESTIMATES," THAT WERE RELEASED 3894 02:29:49,191 --> 02:29:51,427 FOUR TIMES DURING THE YEAR, 3895 02:29:51,427 --> 02:29:52,061 EVERY QUARTER AND WE ALSO HAVE 3896 02:29:52,061 --> 02:29:55,364 AN ANNUAL DATA FILE THAT IS 3897 02:29:55,364 --> 02:29:55,964 RELEASED IN EVERY YEAR WE DO 3898 02:29:55,964 --> 02:29:58,667 THE ANNUAL DATA FILE WE ARE 3899 02:29:58,667 --> 02:30:01,003 RERUNNING THE NONRESPONSE 3900 02:30:01,003 --> 02:30:02,504 WEIGHTING MODELS TO SEE WE ARE 3901 02:30:02,504 --> 02:30:05,307 PICKING UP ANY NEW FACTORS. WE 3902 02:30:05,307 --> 02:30:05,941 ARE CONSTANTLY LOOKING FOR NEW 3903 02:30:05,941 --> 02:30:07,609 DATA SOURCES OUT THERE THAT WE 3904 02:30:07,609 --> 02:30:13,615 CAN LINK TO OUR DATA AND SEE IF 3905 02:30:13,615 --> 02:30:15,984 THERE IS SOME LEVEL OF 3906 02:30:15,984 --> 02:30:16,585 GEOGRAPHY AND SEE IF THEY ARE 3907 02:30:16,585 --> 02:30:18,420 PREDICTIVE OF NONRESPONSE THAT 3908 02:30:18,420 --> 02:30:18,954 WOULD ADD ANYTHING TO OUR 3909 02:30:18,954 --> 02:30:20,956 WEIGHTING. SOMETIMES WE CAN 3910 02:30:20,956 --> 02:30:24,393 CHANGE THAT. IT CAN RESULT IN 3911 02:30:24,393 --> 02:30:24,993 CHANGES OF WHAT GOES INTO THE 3912 02:30:24,993 --> 02:30:27,162 MODEL OVER TIME. 3913 02:30:27,162 --> 02:30:32,034 AND THEN, SO WE BASICALLY 3914 02:30:32,034 --> 02:30:34,002 STICK WITH THE SAME MODEL FROM 3915 02:30:34,002 --> 02:30:36,438 THE ANNUAL FILE. THAT WILL GET 3916 02:30:36,438 --> 02:30:40,876 APPLY TO ALL THE QUARTER P 3917 02:30:40,876 --> 02:30:44,913 FILES. BUT AT LEAST ONCE A YEAR 3918 02:30:44,913 --> 02:30:45,547 WE ARE LOOKING VERY CLOSE THAT 3919 02:30:45,547 --> 02:30:48,283 WHETHER ANYTHING SHOULD BE 3920 02:30:48,283 --> 02:30:48,851 UPDATING IN THE NONRESPONSE 3921 02:30:48,851 --> 02:30:49,384 WEIGHTING MODELS. 3922 02:30:49,384 --> 02:30:52,421 WITH THE PANDEMIC HEAD, 3923 02:30:52,421 --> 02:30:56,024 (CORRECTION) HIT, WE SAW THERE 3924 02:30:56,024 --> 02:30:56,592 WERE THINGS THAT WE NEED TO 3925 02:30:56,592 --> 02:30:58,560 ADJUST IN OUR RAKING 3926 02:30:58,560 --> 02:31:00,929 PROCEDURES. WHEN THE PANDEMIC 3927 02:31:00,929 --> 02:31:03,732 HIT, WE WERE SEEING ONE 3928 02:31:03,732 --> 02:31:06,135 VARIABLE THAT SHOWED UP REALLY 3929 02:31:06,135 --> 02:31:07,769 STRONGER THAN IT HAD IN THE 3930 02:31:07,769 --> 02:31:10,706 PAST, HOUSING TENURE. WE WERE 3931 02:31:10,706 --> 02:31:11,273 SEEING WEALTHIER HOUSEHOLDS 3932 02:31:11,273 --> 02:31:15,944 SNEAK IN AT A HIGHER RATE THAN 3933 02:31:15,944 --> 02:31:18,680 LESS WEALTHY HOUSEHOLD. 3934 02:31:18,680 --> 02:31:21,550 WE ADDED THAT TO OUR RANKING 3935 02:31:21,550 --> 02:31:23,819 PROCEDURES IN 2020. 3936 02:31:23,819 --> 02:31:33,162 BESIDES THE WEIGHTING, WHAT 3937 02:31:33,162 --> 02:31:33,795 WE WERE TRYING TO DO TO ADDRESS 3938 02:31:33,795 --> 02:31:35,797 RESPONSE RATES, WE START AS AN 3939 02:31:35,797 --> 02:31:40,869 IN PERSON SURVEY. AND SO, WE 3940 02:31:40,869 --> 02:31:43,438 DON'T HAVE INCENTIVES. REALLY, 3941 02:31:43,438 --> 02:31:44,006 I STILL THINK THE STRONGEST 3942 02:31:44,006 --> 02:31:49,178 THING YOU CAN DO TO ADDRESS 3943 02:31:49,178 --> 02:31:49,678 NONRESPONSE IS NOT CAN 3944 02:31:49,678 --> 02:31:53,916 SOMEBODY'S DOOR. THERE'S NOT A 3945 02:31:53,916 --> 02:31:55,517 WHOLE LOT ELSE WE CAN 3946 02:31:55,517 --> 02:31:55,984 DO THAT IS GOING TO BE 3947 02:31:55,984 --> 02:31:57,352 STRONGER THAN THAT. AND SO WE 3948 02:31:57,352 --> 02:32:01,523 FOCUSED A LOT OF OUR EFFORTS ON 3949 02:32:01,523 --> 02:32:12,034 WHATEVER WE CAN DO TO TRY TO 3950 02:32:12,034 --> 02:32:12,568 SUPPORT THE CENSUS FIELD 3951 02:32:12,568 --> 02:32:13,168 REPRESENTATIVES IN GOING OUT 3952 02:32:13,168 --> 02:32:15,204 AND RECRUITING HOUSEHOLD. 3953 02:32:15,204 --> 02:32:15,804 SYMPTOMS THAT MEAN TRYING TO 3954 02:32:15,804 --> 02:32:18,240 FIGURE OUT WAYS TO ADDRESS 3955 02:32:18,240 --> 02:32:19,041 CONCERNS THAT RESPONDENTS HAVE 3956 02:32:19,041 --> 02:32:19,675 THROUGH TRAINING AND THINGS OF 3957 02:32:19,675 --> 02:32:23,212 THAT NATURE. OTHER TIMES IT IS 3958 02:32:23,212 --> 02:32:25,314 DEVELOPING NEW MATERIALS THAT 3959 02:32:25,314 --> 02:32:25,814 THEY CAN USE TO RECRUIT 3960 02:32:25,814 --> 02:32:29,518 HOUSEHOLDS. AND SOMETIMES, 3961 02:32:29,518 --> 02:32:31,553 IT'S KIND OF CREATING FORUMS 3962 02:32:31,553 --> 02:32:36,525 FOR THE FRS TO ENGAGE WITH 3963 02:32:36,525 --> 02:32:37,092 THEIR SUPERVISORS AND WITH 3964 02:32:37,092 --> 02:32:40,963 THEMSELVES TO TALK ABOUT HOW 3965 02:32:40,963 --> 02:32:45,100 THEY CAN ADDRESS THEIR CASELOAD. 3966 02:32:45,100 --> 02:32:48,937 BUT THAT IS REALLY THE FOCUS 3967 02:32:48,937 --> 02:32:51,206 OF OUR EFFORTS. GIVING THEM THE 3968 02:32:51,206 --> 02:32:59,448 SUPPORT THEY NEED. 3969 02:32:59,448 --> 02:33:02,985 >> SO AS I SAID OUR STUDY IS 3970 02:33:02,985 --> 02:33:03,585 SLIGHTLY DIFFERENT IN SOME OF 3971 02:33:03,585 --> 02:33:05,687 THE OTHER SURVEYS. IT IS 3972 02:33:05,687 --> 02:33:07,522 LONGITUDINAL. SO ALL WE DO HAVE 3973 02:33:07,522 --> 02:33:10,292 RESPONSE RATES, WE HAVE A 3974 02:33:10,292 --> 02:33:10,892 REALLY GOOD RETENTION OF OUR 3975 02:33:10,892 --> 02:33:13,295 SAMPLE OVER TIME. AND ONE 3976 02:33:13,295 --> 02:33:17,266 THING THAT I DID NOT MENTION IN 3977 02:33:17,266 --> 02:33:17,866 THE STUDY IS WE REPLENISH THE 3978 02:33:17,866 --> 02:33:19,534 SAMPLE TWICE. AND THE PRIMARY 3979 02:33:19,534 --> 02:33:20,135 PURPOSE OF REPLENISHING THE 3980 02:33:20,135 --> 02:33:24,273 SAMPLE, IT HAPPENED THAT WAY, 3981 02:33:24,273 --> 02:33:28,310 2017-18, HAPPENED AGAIN IN WAVE 3982 02:33:28,310 --> 02:33:31,246 7, WHICH WAS LAST YEAR IN 2022. 3983 02:33:31,246 --> 02:33:32,581 AND THE MAIN PURPOSE OF THAT 3984 02:33:32,581 --> 02:33:35,617 IS TO REPLENISH OUR YOUNGEST 3985 02:33:35,617 --> 02:33:39,888 DISCIPLINES, SO WE CAN HAVE 12 3986 02:33:39,888 --> 02:33:46,995 AND 13-YEAR-OLDS IN OUR STUDY. 3987 02:33:46,995 --> 02:33:47,496 AND I WILL SAY THAT OUR 3988 02:33:47,496 --> 02:33:48,096 REPLENISHMENT RESPONSE RATES 3989 02:33:48,096 --> 02:33:49,631 HAVE GONE DOWN OVER TIME AND WE 3990 02:33:49,631 --> 02:33:52,000 ARE NOT QUITE SURE WHY. WE DO 3991 02:33:52,000 --> 02:33:52,567 PROVIDE INCENTIVES FOR OUR 3992 02:33:52,567 --> 02:33:54,870 PARTICIPANTS. THAT IS A LITTLE 3993 02:33:54,870 --> 02:34:00,042 BIT EASIER. I THINK AARON MADE 3994 02:34:00,042 --> 02:34:00,909 A GREAT POINT OF BEING AN IN 3995 02:34:00,909 --> 02:34:01,543 PERSON SURVEY, PRIMARILY IN 3996 02:34:01,543 --> 02:34:02,344 PERSON AND WE DID CHANGES 3997 02:34:02,344 --> 02:34:05,814 DURING COVID TO OFFER OUR 2020 3998 02:34:05,814 --> 02:34:07,816 SAMPLE VIA TELEPHONE AND IN 3999 02:34:07,816 --> 02:34:12,754 2021, IT WAS PRIMARILY VIA 4000 02:34:12,754 --> 02:34:13,355 TELEPHONE. AND SINCE WE HAVE 4001 02:34:13,355 --> 02:34:16,625 RESUMED IN PERSON DATA 4002 02:34:16,625 --> 02:34:19,027 COLLECTION AND THE 4003 02:34:19,027 --> 02:34:19,594 RELATIONSHIPS OF PEOPLE WHO 4004 02:34:19,594 --> 02:34:20,195 WERE GOING TO THE SAME HOUSES 4005 02:34:20,195 --> 02:34:22,731 EVERY YEAR, THEY REALLY HAVE 4006 02:34:22,731 --> 02:34:23,198 BEEN ABLE TO BUILD A 4007 02:34:23,198 --> 02:34:23,632 RELATIONSHIP TO THE 4008 02:34:23,632 --> 02:34:24,733 PARTICIPANTS THEMSELVES. AND 4009 02:34:24,733 --> 02:34:25,334 ABLE TO STAY IN CONTACT WITH 4010 02:34:25,334 --> 02:34:28,136 THEM. 4011 02:34:28,136 --> 02:34:29,371 WE DO MAIL THROUGHOUT THE YEAR 4012 02:34:29,371 --> 02:34:32,841 BIRTHDAY CARDS AND OTHER WAYS 4013 02:34:32,841 --> 02:34:35,177 TO CONTACT THE PARTICIPANTS TO 4014 02:34:35,177 --> 02:34:36,611 REMIND THEM OF THE STUDY, AND 4015 02:34:36,611 --> 02:34:38,080 THE IMPORTANCE OF THE STUDY. 4016 02:34:38,080 --> 02:34:40,248 AND THAT SORT OF THING. WE ARE 4017 02:34:40,248 --> 02:34:41,383 CONSTANTLY UPDATING OUR 4018 02:34:41,383 --> 02:34:43,385 MATERIALS WITH INFOGRAPHICS, 4019 02:34:43,385 --> 02:34:43,985 AND DIFFERENT THINGS TO SHOW 4020 02:34:43,985 --> 02:34:45,287 HOW IMPORTANT THE DATA THAT 4021 02:34:45,287 --> 02:34:48,056 THEY ARE PROVIDING TO US ARE. 4022 02:34:48,056 --> 02:34:52,427 AND I WOULD SAY THAT YOU KNOW 4023 02:34:52,427 --> 02:34:56,465 WE DO VERY SIMILAR THINGS. WE 4024 02:34:56,465 --> 02:34:56,998 CONDUCT NONRESPONSE BIAS 4025 02:34:56,998 --> 02:34:58,867 ANALYSIS EVERY YEAR, ONE OF 4026 02:34:58,867 --> 02:34:59,501 THOSE VERY LONG DOCUMENT THAT I 4027 02:34:59,501 --> 02:35:00,102 AM NOT SURE ANYONE OUTSIDE OF 4028 02:35:00,102 --> 02:35:02,070 OUR RESEARCH GROUP READS. BUT 4029 02:35:02,070 --> 02:35:02,704 IT IS AVAILABLE AND IT IS 4030 02:35:02,704 --> 02:35:03,338 ONLINE. 4031 02:35:03,338 --> 02:35:06,475 THE LATEST ONE FOR WAVE 6 WAS 4032 02:35:06,475 --> 02:35:08,477 DONE AND IT INDICATED THERE 4033 02:35:08,477 --> 02:35:13,315 WERE NO MAJOR ISSUES. THE 4034 02:35:13,315 --> 02:35:15,183 WEIGHTING PROCEDURES WE HAVE 4035 02:35:15,183 --> 02:35:15,784 CORRECT FOR ANY POSSIBLE BIAS 4036 02:35:15,784 --> 02:35:17,686 THAT IS AN EXAMPLE. AND WE 4037 02:35:17,686 --> 02:35:22,491 ALSO APPLY RAKING PROCEDURES 4038 02:35:22,491 --> 02:35:27,396 AND ALSO TO THINK AND I AM NOT 4039 02:35:27,396 --> 02:35:28,029 METHODOLOGIST UNDERSTUDIES. AND 4040 02:35:28,029 --> 02:35:28,663 I WILL SPEAK VAGUELY ABOUT SOME 4041 02:35:28,663 --> 02:35:29,531 OTHER THINGS THAT I'M HAPPY TO 4042 02:35:29,531 --> 02:35:31,199 TAKE QUESTIONS AND BRING THEM 4043 02:35:31,199 --> 02:35:35,771 BACK, AND RESPOND VIA EMAIL IF 4044 02:35:35,771 --> 02:35:39,641 THAT IS MOST APPROPRIATE. 4045 02:35:39,641 --> 02:35:40,208 I WOULD SAY THEY JUST BEING 4046 02:35:40,208 --> 02:35:40,742 LONGITUDINAL, AND HAVING 4047 02:35:40,742 --> 02:35:42,677 REPEATED CONTACT, HAS REALLY 4048 02:35:42,677 --> 02:35:43,245 BEEN THE MOST BENEFICIAL IN 4049 02:35:43,245 --> 02:35:45,614 KEEPING OUR RESPONDENTS THERE. 4050 02:35:45,614 --> 02:35:48,950 AND THE SHIFT FROM ANNUAL DATA 4051 02:35:48,950 --> 02:35:49,518 COLLECTION TO BIANNUAL DATA 4052 02:35:49,518 --> 02:35:51,420 COLLECTION DID AFFECT SOMEWHAT 4053 02:35:51,420 --> 02:35:52,421 BECAUSE WE MAY BE LOST CONTACT 4054 02:35:52,421 --> 02:35:54,856 IN THAT IN BETWEEN YEAR. BUT 4055 02:35:54,856 --> 02:35:56,758 LIKE I SAID WE ATTEMPTED TO 4056 02:35:56,758 --> 02:35:59,194 MAINTAIN CONTACT BY OFFERING 4057 02:35:59,194 --> 02:35:59,795 INCENTIVES EVEN FOR UPDATING 4058 02:35:59,795 --> 02:36:02,030 YOUR CONTACT INFORMATION. IF 4059 02:36:02,030 --> 02:36:02,631 YOU MOVED OR SOMETHING ALONG 4060 02:36:02,631 --> 02:36:03,865 THOSE LINES. 4061 02:36:03,865 --> 02:36:05,233 SO THOSE ARE SOME OF THE WAYS 4062 02:36:05,233 --> 02:36:07,102 THAT WE HAVE WORKED ON OUR 4063 02:36:07,102 --> 02:36:10,572 RESPONSE RATES OVER TIME. 4064 02:36:10,572 --> 02:36:12,374 >> 4065 02:36:12,374 --> 02:36:22,384 >> 4066 02:36:23,452 --> 02:36:27,222 >> WE WERE LOOKING AT THE 4067 02:36:27,222 --> 02:36:27,823 NONRESPONSE BIAS, WE STARTED 4068 02:36:27,823 --> 02:36:31,126 LOOKING AT DATA FROM 2010 AND 4069 02:36:31,126 --> 02:36:33,028 RAKING THE METHODOLOGY AND 4070 02:36:33,028 --> 02:36:34,196 INCORPORATING THAT IN THE 4071 02:36:34,196 --> 02:36:36,631 ACTUAL METHODOLOGY. WE HAVE 4072 02:36:36,631 --> 02:36:41,770 DONE SIMILAR TO WHAT AARON HAS 4073 02:36:41,770 --> 02:36:42,404 DONE, BUT WE STARTED ABOUT 10 4074 02:36:42,404 --> 02:36:44,372 YEARS AGO. WE CONTINUE TO LOOK 4075 02:36:44,372 --> 02:36:45,507 AT OTHER VARIABLES THAT WE CAN 4076 02:36:45,507 --> 02:36:48,877 INCORPORATE INTO THE BRFS. AND 4077 02:36:48,877 --> 02:36:50,745 INTO OUR WEIGHTING. 4078 02:36:50,745 --> 02:36:53,381 WE ALSO LOOKED AT OTHER WAYS 4079 02:36:53,381 --> 02:36:58,119 OF HOW CAN WE LOOK AT THE 4080 02:36:58,119 --> 02:36:58,653 DATABASE ON WHAT WE HAVE 4081 02:36:58,653 --> 02:37:00,355 ACTUALLY COLLECTED AND DOING 4082 02:37:00,355 --> 02:37:00,956 MULTIPLE PILOTS FROM YEAR TO 4083 02:37:00,956 --> 02:37:02,357 YEAR TO DETERMINE WHETHER OR 4084 02:37:02,357 --> 02:37:05,460 NOT THE DATA THAT WE ARE 4085 02:37:05,460 --> 02:37:06,094 COLLECTING IS IN LINE WITH WHAT 4086 02:37:06,094 --> 02:37:06,628 OTHER SURVEY METHODS CAN 4087 02:37:06,628 --> 02:37:08,497 COLLECT. SO WE ARE IN THE 4088 02:37:08,497 --> 02:37:18,974 PROCESS OF COMING UP WITH A 4089 02:37:23,979 --> 02:37:24,546 MULTIMODE SURVEY WHERE WE WON'T 4090 02:37:24,546 --> 02:37:25,113 JUST BE DOING MAIL AND CELL 4091 02:37:25,113 --> 02:37:28,850 PHONE ADMINISTRATION, LOOKING 4092 02:37:28,850 --> 02:37:29,818 AT ELECTRONIC HEALTH DATA, THE 4093 02:37:29,818 --> 02:37:30,418 ELECTRONIC HEALTH RECORDS AND 4094 02:37:30,418 --> 02:37:32,854 WE DID A REALLY GOOD PILOT TWO 4095 02:37:32,854 --> 02:37:35,657 YEARS AGO WHERE WE ACTUALLY 4096 02:37:35,657 --> 02:37:40,595 PULLED THE CHRONIC HEALTH DATA, 4097 02:37:40,595 --> 02:37:41,062 AND WE SURVEYED THOSE 4098 02:37:41,062 --> 02:37:42,631 PARTICULAR PERSONS IN THE 4099 02:37:42,631 --> 02:37:43,265 ELECTRONIC HEALTH RECORD TO SEE 4100 02:37:43,265 --> 02:37:43,732 IF THERE DATA, THEY 4101 02:37:43,732 --> 02:37:48,470 ADMINISTERED THE BRFS DATA WITH 4102 02:37:48,470 --> 02:37:49,037 THEIR DATA, THE SURVEY DATA 4103 02:37:49,037 --> 02:37:49,671 BEING IN LINE WITH THE ACTUAL 4104 02:37:49,671 --> 02:37:52,841 ELECTRONIC HEALTH DATA. 4105 02:37:52,841 --> 02:37:53,441 AND WHAT WE FOUND IS THAT MOST 4106 02:37:53,441 --> 02:37:54,676 OF THE DATA WAS IN LINE. WHEN 4107 02:37:54,676 --> 02:37:56,578 WE LOOK TO CHRONIC CONDITIONS. 4108 02:37:56,578 --> 02:38:01,616 BUT WHEN WE TALK ABOUT TIMING, 4109 02:38:01,616 --> 02:38:02,183 WHEN YOU HAVE HAD YOUR LAST 4110 02:38:02,183 --> 02:38:02,784 APPOINTMENT, OR WHEN YOU GOT 4111 02:38:02,784 --> 02:38:03,718 YOUR FLU SHOT, THAT PARTICULAR 4112 02:38:03,718 --> 02:38:06,187 DATA WAS LITTLE BIT OFF. BUT 4113 02:38:06,187 --> 02:38:06,821 WHEN YOU LOOK AT WHETHER OR NOT 4114 02:38:06,821 --> 02:38:09,658 THEY HAD A CHRONIC CONDITION, 4115 02:38:09,658 --> 02:38:10,225 OR DIFFERENT RISK BEHAVIORS 4116 02:38:10,225 --> 02:38:10,859 THAT DATA WAS IN LINE WITH WHAT 4117 02:38:10,859 --> 02:38:14,796 THE BRFS ACTUALLY COLLECTS. 4118 02:38:14,796 --> 02:38:15,397 SO WE CONTINUE TO LOOK AT THE 4119 02:38:15,397 --> 02:38:16,631 DATA TO SEE IF IT IS ACTUALLY, 4120 02:38:16,631 --> 02:38:18,833 IF IT IS BIASED, IF WE ARE NOT 4121 02:38:18,833 --> 02:38:26,508 COLLECTING ENOUGH DATA FOR 4122 02:38:26,508 --> 02:38:27,108 DIFFERENT PARTICIPANTS. OR WE 4123 02:38:27,108 --> 02:38:28,076 TRY TO MAKE SURE WE ARE 4124 02:38:28,076 --> 02:38:28,543 REACHING UNDERSERVED 4125 02:38:28,543 --> 02:38:30,545 POPULATIONS. AND WE CONTINUE 4126 02:38:30,545 --> 02:38:32,213 TO TRY TO COME UP WITH WAYS IN 4127 02:38:32,213 --> 02:38:34,249 WHICH WE CAN ACTUALLY SURVEY 4128 02:38:34,249 --> 02:38:38,720 DIFFERENT RACE AND ETHNICITIES, 4129 02:38:38,720 --> 02:38:39,254 WHEN WE ARE INCORPORATING 4130 02:38:39,254 --> 02:38:40,522 METHODOLOGIES. SO WE ARE TRYING 4131 02:38:40,522 --> 02:38:42,891 TO REDUCE BIAS BY LOOKING AT 4132 02:38:42,891 --> 02:38:44,225 DIFFERENT METHODS.>> THANKS 4133 02:38:44,225 --> 02:38:48,630 MICHELLE. 4134 02:38:48,630 --> 02:38:49,230 >> I WANTED TO CIRCLE BACK TO A 4135 02:38:49,230 --> 02:38:54,803 COUPLE OF THINGS. I REALIZE 4136 02:38:54,803 --> 02:38:55,370 THAT WE ARE TALKING ABOUT A 4137 02:38:55,370 --> 02:38:57,038 LARGER POINT OF VIEW OF PEOPLE 4138 02:38:57,038 --> 02:38:57,572 WHO HAVE DATA AND WANT TO 4139 02:38:57,572 --> 02:38:58,907 DISSEMINATE IT. AS DATA 4140 02:38:58,907 --> 02:39:02,410 COLLECTORS, THERE'S A COUPLE 4141 02:39:02,410 --> 02:39:03,511 OF THINGS WE SHOULD THINK ABOUT 4142 02:39:03,511 --> 02:39:04,079 TOO THAT ARE RELATED TO THE 4143 02:39:04,079 --> 02:39:05,046 PROBLEMS OF NONRESPONSE. ONE IS 4144 02:39:05,046 --> 02:39:09,618 TRUST. YOU PEOPLE KNOW WHY WE 4145 02:39:09,618 --> 02:39:11,219 WANT TO COLLECT WHAT WE ARE 4146 02:39:11,219 --> 02:39:13,822 DOING? AND WHAT WE ARE GOING TO 4147 02:39:13,822 --> 02:39:15,690 DO WITH IT? HOW ARE WE GOING TO 4148 02:39:15,690 --> 02:39:17,626 KEEP IT SAFE? 4149 02:39:17,626 --> 02:39:18,226 THAT MESSAGE IF IT IS NOT VERY 4150 02:39:18,226 --> 02:39:25,634 CLEAR EXACERBATES THIS PROBLEM. 4151 02:39:25,634 --> 02:39:26,234 THE OTHER IS BURDEN. I'M NOT 4152 02:39:26,234 --> 02:39:34,075 GOING TO PICK ON AARON LAST WHO 4153 02:39:34,075 --> 02:39:36,978 ASKS A 500 QUESTION SURVEY, BUT 4154 02:39:36,978 --> 02:39:39,280 BURDEN LEADS TO NOT ONLY 4155 02:39:39,280 --> 02:39:39,881 NONRESPONSE, BUT ALSO LEAD TO 4156 02:39:39,881 --> 02:39:40,882 LOWER QUALITY EVEN IF YOU GET 4157 02:39:40,882 --> 02:39:43,151 THEM TO RESPOND. SO IT'S A 4158 02:39:43,151 --> 02:39:43,752 QUESTION WE NEED TO TAKE VERY 4159 02:39:43,752 --> 02:39:44,786 SERIOUSLY. 4160 02:39:44,786 --> 02:39:47,355 AND IN TERMS OF CONSEQUENCE, 4161 02:39:47,355 --> 02:39:47,989 WE TALKED ABOUT BIAS AS THE BIG 4162 02:39:47,989 --> 02:39:58,533 THING. ANOTHER CONSEQUENCES IS 4163 02:40:02,504 --> 02:40:03,004 COST. IT MAKES SURVEY LESS 4164 02:40:03,004 --> 02:40:03,638 SUSTAINABLE WE HAVE TO TALK TO 4165 02:40:03,638 --> 02:40:07,575 TWICE AS MANY PEOPLE. AND THAT 4166 02:40:07,575 --> 02:40:08,209 IS ANOTHER VITAL THING THAT WE 4167 02:40:08,209 --> 02:40:10,412 HAVE TO HAVE RECKONING ABOUT. 4168 02:40:10,412 --> 02:40:11,012 CAN WE AFFORD TO DO THINGS THE 4169 02:40:11,012 --> 02:40:14,282 WAY WE ARE DOING THEM? THEY ARE 4170 02:40:14,282 --> 02:40:16,618 CAUSING PERHAPS TOO MUCH 4171 02:40:16,618 --> 02:40:17,218 BURDEN, AND PERHAPS THEY ARE 4172 02:40:17,218 --> 02:40:17,786 NOT ULTIMATELY GOING TO BE 4173 02:40:17,786 --> 02:40:18,453 SUSTAINABLE. 4174 02:40:18,453 --> 02:40:24,959 >> GREAT POINTS. THANK YOU. 4175 02:40:24,959 --> 02:40:25,493 MICHELLE? 4176 02:40:25,493 --> 02:40:29,097 >> DR. TOWN: WE DID HAVE A 4177 02:40:29,097 --> 02:40:36,438 REDESIGN A QUESTIONNAIRE IN 4178 02:40:36,438 --> 02:40:37,372 2020 AND WE STREAMLINE OUR 4179 02:40:37,372 --> 02:40:37,972 SURVEY. OUR CORE IS NOT GOING 4180 02:40:37,972 --> 02:40:44,979 TO BE 25 MINUTES. WE ARE 4181 02:40:44,979 --> 02:40:45,580 DETERMINED TO THE MODULE, WE 4182 02:40:45,580 --> 02:40:46,214 WANTED TO MAKE SURE WE WERE NOT 4183 02:40:46,214 --> 02:40:47,849 KEEPING PEOPLE IN TELEPHONE TOO 4184 02:40:47,849 --> 02:40:48,416 LONG. WERE TRYING TO GET AT 4185 02:40:48,416 --> 02:40:50,351 LEAST 400,000 COMPLETE EACH 4186 02:40:50,351 --> 02:40:53,054 YEAR AND WE GET 450,000 4187 02:40:53,054 --> 02:40:57,125 COMPLETE EACH YEAR. 4188 02:40:57,125 --> 02:40:57,726 AND TO GET PEOPLE TO ACTUALLY 4189 02:40:57,726 --> 02:40:59,661 ANSWER THE SURVEY, WE ACTUALLY 4190 02:40:59,661 --> 02:41:00,228 HAVE OUR TELEPHONE NUMBERS 4191 02:41:00,228 --> 02:41:01,229 COMING IN AT THE STATE HEALTH 4192 02:41:01,229 --> 02:41:03,665 DEPARTMENT. SO WHEN THEY SEE 4193 02:41:03,665 --> 02:41:06,901 THAT PARTICULAR NAME ON THE 4194 02:41:06,901 --> 02:41:08,636 TELEPHONE, THEY USUALLY ANSWER. 4195 02:41:08,636 --> 02:41:11,673 BUT LATELY WE HAVE HAD SOME 4196 02:41:11,673 --> 02:41:12,307 ISSUES THAT WE WILL TALK ABOUT 4197 02:41:12,307 --> 02:41:15,143 LATER. 4198 02:41:15,143 --> 02:41:15,744 >> THANK YOU ALL FOR ENGAGING 4199 02:41:15,744 --> 02:41:17,979 ON NONRESPONSE RATE. IT'S 4200 02:41:17,979 --> 02:41:20,348 SOMETHING THAT LIKELY ALL OF 4201 02:41:20,348 --> 02:41:22,283 THE STUDIES ARE BASED WHEN 4202 02:41:22,283 --> 02:41:23,918 SUBMITTING PAPERS AND GETTING 4203 02:41:23,918 --> 02:41:24,552 REVIEWER COMMENTS TO ASK ABOUT 4204 02:41:24,552 --> 02:41:26,121 RESPONSE AND POTENTIAL 4205 02:41:26,121 --> 02:41:28,456 NONRESPONSE BIAS USING YOUR 4206 02:41:28,456 --> 02:41:29,057 SERVICE AS WELL. 4207 02:41:29,057 --> 02:41:36,197 >> DR. BLAKE: SO LET'S MOVE 4208 02:41:36,197 --> 02:41:36,965 INTO CONVERSATION ABOUT DATA 4209 02:41:36,965 --> 02:41:41,536 LINKAGES ESPECIALLY FOR MACHELL 4210 02:41:41,536 --> 02:41:46,808 AND MELISA AND AARON. WHAT ARE 4211 02:41:46,808 --> 02:41:47,342 YOU CAN SYNERGY THE DATA 4212 02:41:47,342 --> 02:41:49,477 COLLECTION EFFORTS YOU LEAD. 4213 02:41:49,477 --> 02:41:50,445 ANY LINKAGES THAT ARE DATA 4214 02:41:50,445 --> 02:41:54,215 USERS MIGHT PURSUE. EVEN IF IT 4215 02:41:54,215 --> 02:41:56,851 IS NOT A LINKAGE BUT COMPARISON 4216 02:41:56,851 --> 02:41:58,987 OF ITEMS, PREVALENCE ESTIMATES, 4217 02:41:58,987 --> 02:42:00,789 THINGS LIKE THAT. I WANT TO 4218 02:42:00,789 --> 02:42:03,391 TALK ABOUT LINKAGES FOR A BIT. 4219 02:42:03,391 --> 02:42:04,993 DR. CREAMER I'M GOING TO HAVE 4220 02:42:04,993 --> 02:42:05,593 YOU START THIS TIME. 4221 02:42:05,593 --> 02:42:11,599 >> DR. CREAMER: HAPPY TO. SO 4222 02:42:11,599 --> 02:42:12,200 RIGHT NOW LIKE I SAID ALL OF 4223 02:42:12,200 --> 02:42:13,535 OUR SURVEY DATA ARE AVAILABLE 4224 02:42:13,535 --> 02:42:20,842 VIA -- THROUGH 2021, WAVE 6 4225 02:42:20,842 --> 02:42:22,510 SURVEY. THOSE DATA ARE 4226 02:42:22,510 --> 02:42:23,578 AVAILABLE TO DOWNLOAD MOST 4227 02:42:23,578 --> 02:42:25,914 MEASURES USED IN THE SURVEY ARE 4228 02:42:25,914 --> 02:42:29,284 PULLED FROM THE PHOENIX 4229 02:42:29,284 --> 02:42:29,884 TOOLKIT. WE TRY TO BE REALLY 4230 02:42:29,884 --> 02:42:30,418 CAREFUL WITH PULLING OUR 4231 02:42:30,418 --> 02:42:31,619 MEASURES AND MAKING SURE THEY 4232 02:42:31,619 --> 02:42:35,623 ARE COMPARABLE TO OTHER 4233 02:42:35,623 --> 02:42:36,191 SURVEYS. OR FROM VALIDATED 4234 02:42:36,191 --> 02:42:42,263 SUBSCALES. THINGS LIKE THE -- 4235 02:42:42,263 --> 02:42:42,764 ASSESSMENTS LOOKING AT 4236 02:42:42,764 --> 02:42:49,237 DIFFERENT PSYCHOLOGICAL 4237 02:42:49,237 --> 02:42:51,639 VARIABLES AND RISK FACTORS 4238 02:42:51,639 --> 02:42:55,276 ASSOCIATED WITH TOBACCO USE. 4239 02:42:55,276 --> 02:42:55,844 ONE OF THE BEST WAY TO LINK 4240 02:42:55,844 --> 02:42:56,477 WITH OUR DATA TO GO THROUGH THE 4241 02:42:56,477 --> 02:42:57,078 CODEBOOKS AND UNDERSTAND THE 4242 02:42:57,078 --> 02:42:58,980 VARIABLES. I WON'T TELL YOU HOW 4243 02:42:58,980 --> 02:43:09,524 MANY QUESTIONS WE HAVE ON OURS, 4244 02:43:15,296 --> 02:43:15,864 BUT IT IS A 60 MINUTE IN PERSON 4245 02:43:15,864 --> 02:43:16,865 SERVE HER ADULT AND 45 MINUTES 4246 02:43:16,865 --> 02:43:17,498 FOR YOUTH. SO THERE'S A LOT OF 4247 02:43:17,498 --> 02:43:18,233 ITEMS AND A LOT OF QUESTIONS. 4248 02:43:18,233 --> 02:43:18,666 WE HAVE QUESTIONS ON 4249 02:43:18,666 --> 02:43:20,401 SCHIZOPHRENIA. WE WERE ABLE TO 4250 02:43:20,401 --> 02:43:21,569 DO NATIONAL ASSESSMENT ON 4251 02:43:21,569 --> 02:43:24,839 SCHIZOPHRENIA FOR INSTANCE 4252 02:43:24,839 --> 02:43:25,340 WHICH ISN'T NECESSARILY 4253 02:43:25,340 --> 02:43:27,508 AVAILABLE AND OTHER DATA SETS. 4254 02:43:27,508 --> 02:43:28,142 AND SO LINKING DATA TOBACCO USE 4255 02:43:28,142 --> 02:43:30,044 IS ONE THING. BUT I THINK 4256 02:43:30,044 --> 02:43:31,512 THERE'S A LOT OF OPPORTUNITIES 4257 02:43:31,512 --> 02:43:33,882 TO REALLY SYNERGIZE A LOOK AT 4258 02:43:33,882 --> 02:43:41,489 HOW CAN WE TRIANGULATE THE DATA 4259 02:43:41,489 --> 02:43:43,258 ACROSS THE SURVEYS. 4260 02:43:43,258 --> 02:43:45,960 >> DR. TOWN: WE HAVE THE DATA 4261 02:43:45,960 --> 02:43:47,528 ON THE WEBSITE AND A LOT OF 4262 02:43:47,528 --> 02:43:50,098 DOCUMENTATION AS AARON HAS 4263 02:43:50,098 --> 02:43:53,501 SAID. BRFS, WE TRY TO BE 4264 02:43:53,501 --> 02:43:54,035 TRANSPARENT WITH WHAT WE 4265 02:43:54,035 --> 02:43:59,941 ACTUALLY COLLECT SO EACH YEAR 4266 02:43:59,941 --> 02:44:07,949 WE DO HAVE MULTIPLE 4267 02:44:07,949 --> 02:44:08,449 DOCUMENTATION. OUR DATA 4268 02:44:08,449 --> 02:44:10,351 NORMALLY IS AT THE STATE LEVEL. 4269 02:44:10,351 --> 02:44:10,985 WE HAVE A COUNTY LEVEL THAT YOU 4270 02:44:10,985 --> 02:44:12,487 CAN USE BUT YOU HAVE TO GO TO 4271 02:44:12,487 --> 02:44:13,922 THE DATA RESEARCH CENTER TO PUT 4272 02:44:13,922 --> 02:44:17,325 IN A PROPOSAL. AND EVEN OTHER 4273 02:44:17,325 --> 02:44:24,132 AGENCIES THAT BLANK WITH OUR 4274 02:44:24,132 --> 02:44:28,269 DATA WE LINK THE BRFS DATA WITH 4275 02:44:28,269 --> 02:44:28,870 THE NATIONAL HEALTH INTERVIEW 4276 02:44:28,870 --> 02:44:30,571 SURVEY DATA. THERE IS A WAY 4277 02:44:30,571 --> 02:44:38,413 TO LINK THE BRFS DATA BY USING 4278 02:44:38,413 --> 02:44:39,013 THE COUNTY VARIABLE IF YOU GO 4279 02:44:39,013 --> 02:44:43,384 TO THE RESEARCH DATA CENTER. 4280 02:44:43,384 --> 02:44:48,890 >> DR. MAITLAND: NHIS DOES HAVE 4281 02:44:48,890 --> 02:44:51,859 LINKAGES TO A LOT OF DIFFERENT 4282 02:44:51,859 --> 02:44:52,427 SOURCES SO RESPONDENTS ARE 4283 02:44:52,427 --> 02:44:59,600 LINKED TO THINGS LIKE SOCIAL 4284 02:44:59,600 --> 02:45:00,234 SECURITY, MEDICARE FILES, 4285 02:45:00,234 --> 02:45:02,170 NATIONAL DEATH FILES. I KNOW 4286 02:45:02,170 --> 02:45:10,511 THAT HINTS AS AN AREA BASED 4287 02:45:10,511 --> 02:45:15,016 FILE AT THE COUNTY LEVEL. WE 4288 02:45:15,016 --> 02:45:15,650 ARE PROBABLY NOT A GREAT SOURCE 4289 02:45:15,650 --> 02:45:18,186 FOR THAT KIND OF LINKAGE 4290 02:45:18,186 --> 02:45:19,554 BECAUSE WE ARE THE NATIONAL 4291 02:45:19,554 --> 02:45:24,892 LEVEL. BUT, BRFS IS PROBABLY A 4292 02:45:24,892 --> 02:45:26,461 BETTER SOURCE FOR THAT TYPE OF 4293 02:45:26,461 --> 02:45:28,930 LINKAGE. 4294 02:45:28,930 --> 02:45:31,566 BUT IN TERMS OF OTHER TYPES OF 4295 02:45:31,566 --> 02:45:35,203 LINKAGES, IN TERMS OF YOU KNOW 4296 02:45:35,203 --> 02:45:36,137 COMPARING PREVALENCE ESTIMATES 4297 02:45:36,137 --> 02:45:40,041 AND THINGS LIKE THAT, NHIS HAS 4298 02:45:40,041 --> 02:45:40,608 HAD SOME HEALTH INFORMATION 4299 02:45:40,608 --> 02:45:43,077 QUESTIONS ON IT IN THE PAST. 4300 02:45:43,077 --> 02:45:44,412 THERE WERE A FEW YEARS WHERE 4301 02:45:44,412 --> 02:45:46,614 THEY WERE OFF. WE ACTUALLY PUT 4302 02:45:46,614 --> 02:45:49,417 THEM BACK ON. WE HAVE 4303 02:45:49,417 --> 02:45:49,984 QUESTIONS ABOUT LOOKING FOR 4304 02:45:49,984 --> 02:45:52,253 INFORMATION ABOUT HOW 4305 02:45:52,253 --> 02:45:53,588 COMMUNICATING WITH DOCTORS AND 4306 02:45:53,588 --> 02:45:56,858 USING THE INTERNET TO LOOK AT 4307 02:45:56,858 --> 02:45:57,425 MEDICAL TESTS RESULTS, AND 4308 02:45:57,425 --> 02:45:59,827 THINGS LIKE THAT. 4309 02:45:59,827 --> 02:46:00,895 AND THE REASON WE PUT IT BACK 4310 02:46:00,895 --> 02:46:04,732 ON ACTUALLY IS THAT WHILE WE 4311 02:46:04,732 --> 02:46:05,700 HAVE THIS RAPID SERVICE SYSTEM 4312 02:46:05,700 --> 02:46:09,771 RUNNING ALONGSIDE THE NHIS, 4313 02:46:09,771 --> 02:46:13,408 ONE OF THE THINGS, ONE OF THE 4314 02:46:13,408 --> 02:46:15,510 WAYS THAT WE WERE ABLE TO 4315 02:46:15,510 --> 02:46:19,680 CONVINCE OMB THAT IT WAS WORTH 4316 02:46:19,680 --> 02:46:20,214 GIVING THE COMMERCIAL WEB 4317 02:46:20,214 --> 02:46:21,249 PANELS THEY TRY, WE CAN 4318 02:46:21,249 --> 02:46:23,618 HOPEFULLY CALIBRATE THE 4319 02:46:23,618 --> 02:46:26,220 ESTIMATES FROM THE RAPID SURVEY 4320 02:46:26,220 --> 02:46:28,856 SYSTEM TO ESTIMATES FROM THE 4321 02:46:28,856 --> 02:46:29,791 NHIS. 4322 02:46:29,791 --> 02:46:31,626 AND SO WE WERE LOOKING FOR 4323 02:46:31,626 --> 02:46:35,096 THINGS THAT MAY BE PREDICTIVE 4324 02:46:35,096 --> 02:46:36,898 OF PEOPLE USING TECHNOLOGY AND 4325 02:46:36,898 --> 02:46:37,498 MAYBE, PAUL WAS TALKING ABOUT 4326 02:46:37,498 --> 02:46:39,367 THE PROPENSITY TO PARTICIPATE 4327 02:46:39,367 --> 02:46:40,968 IN WEB PANELS AND THINGS LIKE 4328 02:46:40,968 --> 02:46:43,971 THAT. SO THOSE REALLY SEEMED TO 4329 02:46:43,971 --> 02:46:46,908 BE GOOD CANDIDATES. BUT THOSE 4330 02:46:46,908 --> 02:46:53,047 VARIABLES WON'T BE ON THE NHIS 4331 02:46:53,047 --> 02:46:53,681 DATA FILE FOR PEOPLE TO USE FOR 4332 02:46:53,681 --> 02:46:56,918 OTHER TYPES OF PURPOSES. SO 4333 02:46:56,918 --> 02:46:59,854 YEAH THERE IS SOME SYNERGY 4334 02:46:59,854 --> 02:47:01,222 THERE. 4335 02:47:01,222 --> 02:47:01,656 >> DR. BLAKE: 4336 02:47:01,656 --> 02:47:12,133 SO WE HAVE A 11 MINUTES LEFT. 4337 02:47:16,370 --> 02:47:16,938 I WANT TO COMBINE THE LAST TWO 4338 02:47:16,938 --> 02:47:17,538 PIECES WE HAD DISCUSSED WHEN 4339 02:47:17,538 --> 02:47:19,474 WERE PREPPING FOR THIS PANEL TO 4340 02:47:19,474 --> 02:47:22,410 TALK ABOUT THE BIGGEST 4341 02:47:22,410 --> 02:47:23,010 CHALLENGE AND THAT DATA USERS 4342 02:47:23,010 --> 02:47:24,145 AND FEDERAL SURVEYS CURRENTLY 4343 02:47:24,145 --> 02:47:27,014 FACE OR WILL FACE IN THE NEXT 4344 02:47:27,014 --> 02:47:28,015 2-5 YEARS AND THE KEY 4345 02:47:28,015 --> 02:47:29,350 OPPORTUNITIES THAT PEOPLE 4346 02:47:29,350 --> 02:47:30,485 ANALYZING FEDERAL SURVEY DATA 4347 02:47:30,485 --> 02:47:32,153 SHOULD EMBRACE IN THE NEXT 4348 02:47:32,153 --> 02:47:35,590 COUPLE OF YEARS. MACHELL I WILL 4349 02:47:35,590 --> 02:47:36,691 START WITH YOU THAT IS OKAY. 4350 02:47:36,691 --> 02:47:41,028 >> DR. TOWN: AS BRFS MOVES TO 4351 02:47:41,028 --> 02:47:43,931 MULTIMODE SURVEY, WITHIN THEIR 4352 02:47:43,931 --> 02:47:45,700 DATA USERS WOULD DEFINITELY 4353 02:47:45,700 --> 02:47:46,234 HAVE TO UNDERSTAND HOW TO 4354 02:47:46,234 --> 02:47:48,269 ACTUALLY USE THE DATA. AND ALSO 4355 02:47:48,269 --> 02:47:50,071 I KNOW A LOT OF OUR DATA USERS, 4356 02:47:50,071 --> 02:47:52,440 THEY DO A LOT OF TREND ANALYSIS. 4357 02:47:52,440 --> 02:47:53,074 FOR LOOKING AT WHETHER OR NOT 4358 02:47:53,074 --> 02:47:54,642 THE DATA CAN STILL CONTINUE TO 4359 02:47:54,642 --> 02:47:56,777 BE USED LOOKING AT TRENDS. AND 4360 02:47:56,777 --> 02:47:57,411 SO I THINK THAT IS GOING TO BE 4361 02:47:57,411 --> 02:47:58,513 AN ISSUE THAT WE ARE GOING TO 4362 02:47:58,513 --> 02:48:01,048 HAVE TO FACE. AND ALSO ONE OF 4363 02:48:01,048 --> 02:48:03,184 THE THINGS THAT WE ARE HOPING 4364 02:48:03,184 --> 02:48:03,784 THAT WE ARE GOING TO DO WITH 4365 02:48:03,784 --> 02:48:05,353 THE MODE, THAT WE WILL BE ABLE 4366 02:48:05,353 --> 02:48:06,921 TO REACH MORE OF THE YOUNGER 4367 02:48:06,921 --> 02:48:09,323 POPULATION WHEN WE ADD SOME 4368 02:48:09,323 --> 02:48:10,925 OTHER WEB-BASED SURVEYS. SO 4369 02:48:10,925 --> 02:48:11,526 MAKING SURE THAT YOU LOOK AT 4370 02:48:11,526 --> 02:48:13,194 THE ESTIMATES AND UNDERSTAND 4371 02:48:13,194 --> 02:48:13,895 EXACTLY WHAT YOU'RE GOING TO GET 4372 02:48:13,895 --> 02:48:17,665 WITH THE NEW BRFS, WHEN WE ADD 4373 02:48:17,665 --> 02:48:18,432 A DIFFERENT MODE TO THE SURVEY. 4374 02:48:18,432 --> 02:48:23,538 >> DR. BLAKE: THANKS. MELISA? 4375 02:48:23,538 --> 02:48:28,609 >> DR. CREAMER: SURE WE HAVE 4376 02:48:28,609 --> 02:48:29,243 ALSO BEEN IN A MULTIMODE SINCE 4377 02:48:29,243 --> 02:48:29,810 2020 WHEN WE INTRODUCE THE 4378 02:48:29,810 --> 02:48:32,213 TELEPHONE PIECE TO IT. THAT 4379 02:48:32,213 --> 02:48:32,847 HAS BEEN CHALLENGING IN AND OF 4380 02:48:32,847 --> 02:48:36,117 ITSELF. BUT I THINK REALLY THE 4381 02:48:36,117 --> 02:48:38,085 PANDEMIC INFLUENCE-- WE DON'T 4382 02:48:38,085 --> 02:48:40,021 KNOW IF THE TRENDS AND THE 4383 02:48:40,021 --> 02:48:40,655 ESTIMATES HAVE HAPPENED DURING 4384 02:48:40,655 --> 02:48:42,490 THE PANDEMIC ARE REFLECTIVE OF 4385 02:48:42,490 --> 02:48:49,630 THE ACTUAL BEHAVIOR CHANGE. OR 4386 02:48:49,630 --> 02:48:50,264 IS IT A SHORT-TERM OR LONG-TERM 4387 02:48:50,264 --> 02:48:55,236 CHANGE? 4388 02:48:55,236 --> 02:48:55,803 SO BEING A MULTIMODE STUDY, 4389 02:48:55,803 --> 02:48:56,437 AND HAVING SIGNIFICANT CHANGES 4390 02:48:56,437 --> 02:48:59,807 FOR US PARTICULARLY HAS MADE US 4391 02:48:59,807 --> 02:49:00,408 THROUGH WHAT IS THIS GOING TO 4392 02:49:00,408 --> 02:49:04,178 LOOK LIKE? ARE THESE LONG-TERM 4393 02:49:04,178 --> 02:49:04,545 CHANGES? 4394 02:49:04,545 --> 02:49:06,714 BUT I THINK REALLY THE BIGGEST 4395 02:49:06,714 --> 02:49:07,248 CHALLENGE, SOMETHING THAT 4396 02:49:07,248 --> 02:49:08,416 PEOPLE WHO USE OUR DATA AND 4397 02:49:08,416 --> 02:49:12,119 WANTED USE OUR DATA, IS A 4398 02:49:12,119 --> 02:49:12,787 TIMELINESS. WE HAVE A 52-WEEK 4399 02:49:12,787 --> 02:49:15,122 COLLECTION PERIOD. WE ARE IN 4400 02:49:15,122 --> 02:49:15,723 THE FIELD ALL YEAR COLLECTING 4401 02:49:15,723 --> 02:49:17,325 OUR DATA, WHICH THEN MEANS THE 4402 02:49:17,325 --> 02:49:18,092 DATA OFTEN ARE NOT AVAILABLE 4403 02:49:18,092 --> 02:49:19,694 RIGHT AWAY. THEY ARE NOT 4404 02:49:19,694 --> 02:49:24,832 AVAILABLE FOR 6-9 MONTHS EVEN 4405 02:49:24,832 --> 02:49:28,869 INTERNALLY. AND THE RESEARCHER 4406 02:49:28,869 --> 02:49:30,338 FILE AND THE PUBLIC FILE AND SO 4407 02:49:30,338 --> 02:49:33,674 THE RESEARCH 2021 DATA JUST 4408 02:49:33,674 --> 02:49:34,275 BECAME AVAILABLE AS A PUBLIC 4409 02:49:34,275 --> 02:49:40,481 USE FILE THIS WEEKEND THAT IS 4410 02:49:40,481 --> 02:49:41,115 NEARLY A YEAR AND A HALF AFTER 4411 02:49:41,115 --> 02:49:42,183 THE DATA WERE FINISHED 4412 02:49:42,183 --> 02:49:45,987 COLLECTED. NOT BECAUSE WE ARE 4413 02:49:45,987 --> 02:49:46,621 HOLDING ONTO THE DATA. THERE'S 4414 02:49:46,621 --> 02:49:47,755 A LOT TO GOES INTO MAKING THE 4415 02:49:47,755 --> 02:49:50,858 DATA AVAILABLE. THAT IS 4416 02:49:50,858 --> 02:49:52,493 SOMETHING THAT WE WILL CONTINUE 4417 02:49:52,493 --> 02:49:53,027 TO FACE CHALLENGES WITH, 4418 02:49:53,027 --> 02:49:54,929 ESPECIALLY AS THERE IS PRESSURE 4419 02:49:54,929 --> 02:49:57,765 TO GET ESTIMATES TO OCCUR AND 4420 02:49:57,765 --> 02:49:59,333 UNDERSTAND WHAT IS HAPPENING IN 4421 02:49:59,333 --> 02:49:59,967 THE FIELD TO SEE WHAT IS GOING 4422 02:49:59,967 --> 02:50:01,202 ON. 4423 02:50:01,202 --> 02:50:03,304 AND IN TERMS OF AN OPPORTUNITY, 4424 02:50:03,304 --> 02:50:05,206 YOU KNOW THERE'S SO MUCH DATA 4425 02:50:05,206 --> 02:50:07,708 THAT ARE AVAILABLE. AND I THINK 4426 02:50:07,708 --> 02:50:11,212 THAT AS A RESEARCH COMMUNITY 4427 02:50:11,212 --> 02:50:13,147 LOOKING BEYOND PREVALENCE 4428 02:50:13,147 --> 02:50:14,348 ESTIMATES, BECAUSE I THINK THAT 4429 02:50:14,348 --> 02:50:14,982 IS OFTEN FROM THE NATIONAL SIDE 4430 02:50:14,982 --> 02:50:18,486 OF THINGS, FOCUSED ON WHAT IS 4431 02:50:18,486 --> 02:50:21,589 THIS, WHAT CAN WE PUT UP ON THE 4432 02:50:21,589 --> 02:50:24,692 WEBSITE AND WHAT IS HAPPENING. 4433 02:50:24,692 --> 02:50:25,293 THERE ARE REALLY INTERESTING 4434 02:50:25,293 --> 02:50:26,160 RESEARCH QUESTIONS THAT CAN BE 4435 02:50:26,160 --> 02:50:29,196 ANSWERED IN ALL OF THIS DATA. 4436 02:50:29,196 --> 02:50:29,764 SO UNDERSTANDING HOW CAN YOU 4437 02:50:29,764 --> 02:50:35,436 EITHER COMBINE DATA, DO 4438 02:50:35,436 --> 02:50:36,003 SUBPOPULATION ESTIMATES AND 4439 02:50:36,003 --> 02:50:37,505 REALLY UNDERSTAND WHAT IS 4440 02:50:37,505 --> 02:50:38,072 HAPPENING, AND YOU HAVE THE 4441 02:50:38,072 --> 02:50:40,274 LOGICAL LEVEL MULTIMODAL DATA 4442 02:50:40,274 --> 02:50:42,843 ALLOWING YOU TO LOOK OVER TIME 4443 02:50:42,843 --> 02:50:45,680 VIA REPEATED CROSS-SECTION OR 4444 02:50:45,680 --> 02:50:47,581 DO WITH IN PERSON CHANGES. 4445 02:50:47,581 --> 02:50:48,849 SO I THINK THERE ARE A LOT OF 4446 02:50:48,849 --> 02:50:52,486 WAYS TO EMBRACE THE DATA THAT 4447 02:50:52,486 --> 02:50:55,089 ARE AVAILABLE, AND LOOKED 4448 02:50:55,089 --> 02:50:55,723 TOWARDS THE REALLY INTERESTING 4449 02:50:55,723 --> 02:50:57,992 RESEARCH QUESTIONS TO PROPEL 4450 02:50:57,992 --> 02:50:58,592 THE FIELD FORWARD. 4451 02:50:58,592 --> 02:51:02,763 >> DR. BLAKE: THANK YOU. AARON 4452 02:51:02,763 --> 02:51:04,899 AND THEN PAUL. 4453 02:51:04,899 --> 02:51:07,368 >> DR. MAITLAND: YOU ALL DID A 4454 02:51:07,368 --> 02:51:10,471 GREAT JOB. I AM GOING TO ECHO A 4455 02:51:10,471 --> 02:51:11,072 LOT OF WHAT HAS ALREADY BEEN 4456 02:51:11,072 --> 02:51:16,811 SAID. LIKE PAUL SAID, WITH 4457 02:51:16,811 --> 02:51:18,946 RESPONSE RATES BEING WHAT THEY 4458 02:51:18,946 --> 02:51:20,848 ARE, OF COURSE THAT IS A 4459 02:51:20,848 --> 02:51:21,415 CHALLENGE, AND THAT IS TIED 4460 02:51:21,415 --> 02:51:26,020 DIRECTLY TO THE COST. WE DID 4461 02:51:26,020 --> 02:51:28,389 REDESIGN THE SURVEY IN 2019 TO 4462 02:51:28,389 --> 02:51:28,956 ADDRESS BURDEN AND MAKE IT 4463 02:51:28,956 --> 02:51:31,625 SHORTER. BUT THE INCREASE IN 4464 02:51:31,625 --> 02:51:33,361 COST IS HOW YOU GET BACK UP TO 4465 02:51:33,361 --> 02:51:37,898 500 QUESTIONS. RIGHT? BECAUSE 4466 02:51:37,898 --> 02:51:38,933 WE LOOK FOR OTHER PROGRAMS TO 4467 02:51:38,933 --> 02:51:41,168 HELP FUND THE SURVEY. AND THAT 4468 02:51:41,168 --> 02:51:42,069 COMES WITH ADDITIONAL CONTENT 4469 02:51:42,069 --> 02:51:44,772 ON THE SURVEY. SO YEAH, 4470 02:51:44,772 --> 02:51:47,074 DEFINITELY RESPONSE RATES AND 4471 02:51:47,074 --> 02:51:50,845 COSTS ARE A BIG CHALLENGE. 4472 02:51:50,845 --> 02:51:51,479 ALSO WANT TO ECHO THE THEME OF 4473 02:51:51,479 --> 02:52:00,554 TIMELINESS. A COUPLE OF YEARS 4474 02:52:00,554 --> 02:52:01,155 AGO FCSM, THERE WAS A REPORT 4475 02:52:01,155 --> 02:52:04,225 RELEASED THROUGH THEM, WE NEED 4476 02:52:04,225 --> 02:52:04,825 TO START THINKING ABOUT DATA 4477 02:52:04,825 --> 02:52:05,426 QUALITY IN BROADER TERMS AND 4478 02:52:05,426 --> 02:52:05,926 YES INCLUDE SUBSTANTIAL 4479 02:52:05,926 --> 02:52:06,527 ACCURACY AND RELIABILITY AND 4480 02:52:06,527 --> 02:52:07,661 INTEGRITY AND ALL THAT. BUT 4481 02:52:07,661 --> 02:52:08,496 TIMELINESS IS A PART OF THAT 4482 02:52:08,496 --> 02:52:11,899 TOO. YOU CAN HAVE THE BEST 4483 02:52:11,899 --> 02:52:13,067 DATA BUT IT'S NOT ON TIME TO 4484 02:52:13,067 --> 02:52:15,102 HELP POLICY DECISIONS, IT'S NOT 4485 02:52:15,102 --> 02:52:18,506 AS HELPFUL AS IT COULD BE. 4486 02:52:18,506 --> 02:52:20,741 AND THAT IS THE IMPETUS FOR 4487 02:52:20,741 --> 02:52:21,942 THINKING ABOUT THE RAPID SURVEY 4488 02:52:21,942 --> 02:52:28,849 SYSTEM TOO. AND, THE 4489 02:52:28,849 --> 02:52:33,053 OPPORTUNITIES -- I REALLY WANT 4490 02:52:33,053 --> 02:52:33,687 TO ECHO WHAT WAS SAID BEFORE ME 4491 02:52:33,687 --> 02:52:40,394 HERE. I THINK YOU KNOW, WE 4492 02:52:40,394 --> 02:52:40,995 ARE ALL APPEAR TALKING ABOUT 4493 02:52:40,995 --> 02:52:43,564 SURVEY DATA, BUT THERE IS SO 4494 02:52:43,564 --> 02:52:46,133 MUCH MORE THAT YOU CAN DO, 4495 02:52:46,133 --> 02:52:48,202 SURVEY DATA VIA ENGAGES, BY A 4496 02:52:48,202 --> 02:52:50,704 FILE, THE OBSERVER IS UNCLEAR 4497 02:52:50,704 --> 02:53:00,147 LIKE HANES HAS BEEN AROUND 4498 02:53:00,147 --> 02:53:00,648 FOREVER DOING EXAMS IN 4499 02:53:00,648 --> 02:53:02,183 CONNECTION WITH SURVEYS. 4500 02:53:02,183 --> 02:53:02,783 TECHNOLOGY IS GETTING BETTER 4501 02:53:02,783 --> 02:53:10,391 AND BETTER SO YOU CAN COLLECT 4502 02:53:10,391 --> 02:53:10,958 DIFFERENT TYPES OF DATA AND 4503 02:53:10,958 --> 02:53:11,358 SURVEY DATA, ALSO 4504 02:53:11,358 --> 02:53:12,593 ADMINISTRATIVE RECORD LINKAGES. 4505 02:53:12,593 --> 02:53:13,194 AND I THINK THE SURVEY DATA 4506 02:53:13,194 --> 02:53:16,230 STILL HAS A LOT TO OFFER WHEN 4507 02:53:16,230 --> 02:53:17,765 YOU'RE TRYING TO GO IN DEPTH 4508 02:53:17,765 --> 02:53:19,967 AND PARTICULARLY FOR THINGS 4509 02:53:19,967 --> 02:53:20,534 THAT YOU CAN'T GET OUT OF A 4510 02:53:20,534 --> 02:53:22,303 RECORD, AND CANNOT MEASURE ANY 4511 02:53:22,303 --> 02:53:26,173 OTHER WAY. KIND OF AN EXCITING 4512 02:53:26,173 --> 02:53:27,174 TIME FOR DATA USERS TO HAVE 4513 02:53:27,174 --> 02:53:27,675 THOSE LINKAGES. 4514 02:53:27,675 --> 02:53:32,480 >> DR. BLAKE: IT IS AND PAUL 4515 02:53:32,480 --> 02:53:33,047 WILL LET YOU CLOSE WITH THE 4516 02:53:33,047 --> 02:53:34,582 CHALLENGES AND OPPORTUNITIES. 4517 02:53:34,582 --> 02:53:35,216 AND THAT WILL OPEN IT UP FOR A 4518 02:53:35,216 --> 02:53:35,816 FEW QUESTIONS. 4519 02:53:35,816 --> 02:53:41,455 >> DR. BEATTY: SO A LOT OF I 4520 02:53:41,455 --> 02:53:41,989 WOULD SAY ECHO THE GREAT 4521 02:53:41,989 --> 02:53:44,758 COMMENTS EVERYONE ELSE HAS MADE. 4522 02:53:44,758 --> 02:53:45,292 BUT WHEN THINKING ABOUT 4523 02:53:45,292 --> 02:53:45,860 SURVEYS AND WE ARE LOOKING 4524 02:53:45,860 --> 02:53:49,630 ACROSS MANY SERVERS AND MANY 4525 02:53:49,630 --> 02:53:50,965 SYSTEMS, IT IS COST AND 4526 02:53:50,965 --> 02:53:51,599 SUSTAINABILITY THAT KEEPS US UP 4527 02:53:51,599 --> 02:53:54,401 AT NIGHT. 4528 02:53:54,401 --> 02:53:55,002 WHEN WE LOOK AT THE TRENDS AND 4529 02:53:55,002 --> 02:53:57,004 HOW MUCH IT COSTS TO PRODUCE 4530 02:53:57,004 --> 02:53:57,505 ESTIMATES THAT WILL BE 4531 02:53:57,505 --> 02:53:58,138 ACCEPTABLE, IT'S NOT GOING IN A 4532 02:53:58,138 --> 02:54:01,942 GOOD DIRECTION. 4533 02:54:01,942 --> 02:54:11,185 ONE THING WE HAVE A LOT OF 4534 02:54:11,185 --> 02:54:12,586 HOPE IN FIELD COSTS IS MOVING 4535 02:54:12,586 --> 02:54:14,221 INCREASINGLY TO MORE SELF 4536 02:54:14,221 --> 02:54:16,223 ADMINISTRATION. NOT EASY TO DO, 4537 02:54:16,223 --> 02:54:19,793 TO PLOP IT INTO A WEBSITE. BUT 4538 02:54:19,793 --> 02:54:20,861 WE FIND THAT INTERVIEWERS HAVE 4539 02:54:20,861 --> 02:54:21,362 A VERY COMPLICATED AND 4540 02:54:21,362 --> 02:54:21,996 INTERESTING RELATIONSHIP WITH 4541 02:54:21,996 --> 02:54:23,397 OUR DATA COLLECTION. THEY 4542 02:54:23,397 --> 02:54:25,132 MIGHT TAKE QUESTIONS THAT DON'T 4543 02:54:25,132 --> 02:54:28,836 REALLY WORK THAT WELL AS 4544 02:54:28,836 --> 02:54:29,503 STANDALONE MEASURES. AND HELP 4545 02:54:29,503 --> 02:54:31,572 TO FINESSE US TO GET PEOPLE TO 4546 02:54:31,572 --> 02:54:32,907 ANSWER THEM, WHETHER THROUGH A 4547 02:54:32,907 --> 02:54:36,143 COMBINATION OF MOTIVATING OR 4548 02:54:36,143 --> 02:54:40,014 REWORKING SLIGHTLY, THESE SORTS 4549 02:54:40,014 --> 02:54:40,414 OF THINGS. 4550 02:54:40,414 --> 02:54:42,182 IT IS A VERY BURDENSOME, AND 4551 02:54:42,182 --> 02:54:42,816 IT'S GOING TO BE A BIG PART OF 4552 02:54:42,816 --> 02:54:44,985 OUR EFFORTS OVER THE NEXT 4553 02:54:44,985 --> 02:54:45,586 SEVERAL YEARS TO BE THINKING 4554 02:54:45,586 --> 02:54:46,220 ABOUT HOW CAN WE REALLY GET A 4555 02:54:46,220 --> 02:54:48,422 FUNCTIONAL SURVEY THAT GETS THE 4556 02:54:48,422 --> 02:54:53,727 SAME DATA, BUT IS POSSIBLE FOR 4557 02:54:53,727 --> 02:54:55,696 SOMEONE TO DO WITHOUT AN 4558 02:54:55,696 --> 02:54:56,297 INTERVIEWER BEING PRESENT AND 4559 02:54:56,297 --> 02:54:57,131 ENGAGING WITH. AND STILL 4560 02:54:57,131 --> 02:55:00,534 WORKS. 4561 02:55:00,534 --> 02:55:03,871 WE ARE PLANNING TO SPEND QUITE 4562 02:55:03,871 --> 02:55:04,505 A BIT OF EFFORT ON THAT IN THE 4563 02:55:04,505 --> 02:55:06,307 NEXT YEARS. ANOTHER CHALLENGE 4564 02:55:06,307 --> 02:55:08,442 THAT I THINK WE ALL HAVE THIS 4565 02:55:08,442 --> 02:55:09,977 KIND OF MAKING SURE WE STAND UP 4566 02:55:09,977 --> 02:55:11,245 IN A CROWDED FIELD OF PEOPLE 4567 02:55:11,245 --> 02:55:16,383 ASKING FOR DATA. PEOPLE ARE 4568 02:55:16,383 --> 02:55:17,418 GETTING BOMBARDED WITH REQUESTS 4569 02:55:17,418 --> 02:55:19,753 FOR INFORMATION. THEY DON'T 4570 02:55:19,753 --> 02:55:21,121 REALLY WANT TO BE BOMBARDED 4571 02:55:21,121 --> 02:55:27,161 WITH REQUESTS FOR INFORMATION. 4572 02:55:27,161 --> 02:55:27,761 WE HAVE TO HAVE A REALLY GOOD 4573 02:55:27,761 --> 02:55:28,362 CASE FOR WHY OURS MATTER AND 4574 02:55:28,362 --> 02:55:30,130 WHY YOU SHOULD TALK TO US. AND 4575 02:55:30,130 --> 02:55:30,764 THERE ARE GREAT REASONS WHY YOU 4576 02:55:30,764 --> 02:55:33,300 SHOULD TALK TO US, AND ALL OF 4577 02:55:33,300 --> 02:55:33,867 THESE SERVICES WE HAVE BEEN 4578 02:55:33,867 --> 02:55:35,836 TALKING ABOUT TODAY. BECAUSE 4579 02:55:35,836 --> 02:55:36,437 THEY REALLY MAKE A DIFFERENCE 4580 02:55:36,437 --> 02:55:39,306 IN PEOPLE'S LIVES. BUT THAT 4581 02:55:39,306 --> 02:55:40,407 MESSAGE NEEDS TO BE FIRST OF 4582 02:55:40,407 --> 02:55:50,951 ALL IN PEOPLE'S FRAMES OF MIND. 4583 02:55:54,521 --> 02:55:55,055 THEY NEED TO UNDERSTAND WHAT 4584 02:55:55,055 --> 02:55:55,689 THE INFORMATION IS FOR AND THE 4585 02:55:55,689 --> 02:55:59,126 BENEFIT FOR SOCIETY, AND WHY IT 4586 02:55:59,126 --> 02:55:59,693 MATTERS. AND THE DIFFERENT 4587 02:55:59,693 --> 02:56:00,361 PRODUCTS THAT PEOPLE CAN SEE IS 4588 02:56:00,361 --> 02:56:01,061 REALLY CRITICAL. 4589 02:56:01,061 --> 02:56:04,565 IN TERMS OF-- THE LAST THING I 4590 02:56:04,565 --> 02:56:05,165 WILL SAY IS ABOUT A CHALLENGE 4591 02:56:05,165 --> 02:56:06,767 AND AN OPPORTUNITY. MAYBE WE 4592 02:56:06,767 --> 02:56:10,337 WILL BE ABLE AND NEED TO BE ABLE 4593 02:56:10,337 --> 02:56:13,874 TO FIND OTHER DATA SOURCES, 4594 02:56:13,874 --> 02:56:14,375 OTHER THAN SURVEYS THAT 4595 02:56:14,375 --> 02:56:16,910 SUPPLEMENT AND MEET OUR 4596 02:56:16,910 --> 02:56:19,580 RESEARCH NEEDS. AND IT'S A 4597 02:56:19,580 --> 02:56:20,214 DIFFERENT WORLD THAN THE ONE I 4598 02:56:20,214 --> 02:56:24,284 WAS TRAINED IN, WHERE WE REALLY 4599 02:56:24,284 --> 02:56:24,918 DESIGNED THE SURVEY AND WHAT WE 4600 02:56:24,918 --> 02:56:27,788 WANTED AND GOT THE DATA. NOW 4601 02:56:27,788 --> 02:56:28,389 YOU CAN ALWAYS COUNT ON THAT 4602 02:56:28,389 --> 02:56:30,057 WORKING. IT MAY NOT BECAUSE 4603 02:56:30,057 --> 02:56:31,892 FEASIBLE TO DO IT. IT MAY NOT 4604 02:56:31,892 --> 02:56:33,093 BE POSSIBLE TO GET PEOPLE TO 4605 02:56:33,093 --> 02:56:35,095 SIGN UP FOR THAT. 4606 02:56:35,095 --> 02:56:37,231 SO THE OPPORTUNITY THOUGH, IS 4607 02:56:37,231 --> 02:56:37,831 THAT IN LOOKING OTHER SOURCES 4608 02:56:37,831 --> 02:56:40,134 OF DATA, WE MIGHT FIND THAT 4609 02:56:40,134 --> 02:56:42,936 THEY GIVE US THE OPPORTUNITY TO 4610 02:56:42,936 --> 02:56:43,570 ANALYZE THINK THAT WE MIGHT NOT 4611 02:56:43,570 --> 02:56:46,473 HAVE THOUGHT ABOUT NECESSARILY. 4612 02:56:46,473 --> 02:56:48,842 WE DIDN'T USUALLY GO TO 4613 02:56:48,842 --> 02:56:52,846 ADMINISTRATIVE RECORDS AND 4614 02:56:52,846 --> 02:56:55,549 OTHER UNDESIGNED DATA SYSTEMS 4615 02:56:55,549 --> 02:57:03,257 BECAUSE WE WANTED TO. BUT 4616 02:57:03,257 --> 02:57:03,791 SOMETIMES FOUND THAT, NOT 4617 02:57:03,791 --> 02:57:04,425 ALWAYS BUT IN SOME CASES, THEY 4618 02:57:04,425 --> 02:57:05,025 ARE BETTER IN SOME WAYS, OR 4619 02:57:05,025 --> 02:57:07,061 DIFFERENT. 4620 02:57:07,061 --> 02:57:07,561 WHEN YOU THINK ABOUT HOW 4621 02:57:07,561 --> 02:57:11,098 EXCITING THE WORLD CAN BE, 4622 02:57:11,098 --> 02:57:11,699 INSTEAD OF THINKING ABOUT THE 4623 02:57:11,699 --> 02:57:12,332 STANDARD RECTANGULAR DATA FILE, 4624 02:57:12,332 --> 02:57:12,966 YOU'RE GOING TO HAVE TO PUT UP 4625 02:57:12,966 --> 02:57:13,834 SOMETHING THAT MIXES ALL KINDS 4626 02:57:13,834 --> 02:57:17,671 OF DATA WHETHER SELF RESPONSE 4627 02:57:17,671 --> 02:57:18,305 OR SOME ADMINISTRATIVE RECORDS, 4628 02:57:18,305 --> 02:57:19,006 OR OTHER FOUND DATA, WEARABLE 4629 02:57:19,006 --> 02:57:24,111 DATA. SOMETIMES THIS LEADS TO 4630 02:57:24,111 --> 02:57:26,046 REALLY NEW WAYS OF THINKING. 4631 02:57:26,046 --> 02:57:27,681 SO A QUICK EXAMPLE. I KNOW WE 4632 02:57:27,681 --> 02:57:31,585 ARE RUNNING OUT OF TIME. WE 4633 02:57:31,585 --> 02:57:32,219 HAVE BEEN LOOKING LATELY AT THE 4634 02:57:32,219 --> 02:57:32,853 CENSUS BUREAU, AT SOCIAL MEDIA 4635 02:57:32,853 --> 02:57:38,592 DATA. THINKING CAN SOCIAL MEDIA 4636 02:57:38,592 --> 02:57:39,159 TELL US THINGS THAT WE WERE 4637 02:57:39,159 --> 02:57:40,861 TRYING TO GET OUT OF 4638 02:57:40,861 --> 02:57:41,395 ATTITUDINAL SURVEYS? OR 4639 02:57:41,395 --> 02:57:51,905 WHATEVER. AN D IN OUR FIRST 4640 02:57:52,706 --> 02:57:53,273 ATTEMPT, TO SEE IF WE COULD GET 4641 02:57:53,273 --> 02:57:55,809 THE TRANCE TO FOLLOW CERTAIN 4642 02:57:55,809 --> 02:57:56,410 PATTERN, AT CERTAIN POINT WE 4643 02:57:56,410 --> 02:57:57,010 REALIZE THAT IS NOT THE ONLY 4644 02:57:57,010 --> 02:57:58,078 WAY TO ANALYZE THE DATA. THE 4645 02:57:58,078 --> 02:58:00,714 ACTUALLY MIGHT BE MEANINGFUL 4646 02:58:00,714 --> 02:58:01,281 THEMSELVES BECAUSE THEY ARE 4647 02:58:01,281 --> 02:58:03,117 ORGANICALLY PRODUCED, NOT IN 4648 02:58:03,117 --> 02:58:04,585 RESPONSE TO SURVEY QUESTION. SO 4649 02:58:04,585 --> 02:58:08,288 IT MAY NOT BE POPULATION-BASED 4650 02:58:08,288 --> 02:58:08,889 PERCENTAGE OF HOW MANY PEOPLE 4651 02:58:08,889 --> 02:58:15,129 TRUST THE GOVERNMENTAND A THE 4652 02:58:15,129 --> 02:58:18,298 PREDICTABLE GRAPH LIKE THAT. 4653 02:58:18,298 --> 02:58:18,932 BUT CHANGES IN SOCIAL MEDIA BY 4654 02:58:18,932 --> 02:58:19,967 BE MEANINGFUL, EVEN IF YOU DO 4655 02:58:19,967 --> 02:58:20,634 NOT KNOW IF IT'S THE SAME THING 4656 02:58:20,634 --> 02:58:23,704 THAT THE SURVEY DID. ANYWAY. 4657 02:58:23,704 --> 02:58:25,439 IT'S GOING TO BE A REALLY RICH 4658 02:58:25,439 --> 02:58:27,775 DATA WORLD. IT IS NOT GOING TO 4659 02:58:27,775 --> 02:58:31,278 CONTAIN THE DATA THAT WE ARE 4660 02:58:31,278 --> 02:58:31,812 ALL USED TO OR TRAINED ON 4661 02:58:31,812 --> 02:58:33,113 NECESSARILY. BUT THERE ARE 4662 02:58:33,113 --> 02:58:33,847 OPPORTUNITIES THERE AS WELL. 4663 02:58:33,847 --> 02:58:41,522 >> DR. BLAKE: WELL THANK YOU 4664 02:58:41,522 --> 02:58:42,156 ALL. PLEASE THANK ME THE PANEL 4665 02:58:42,156 --> 02:58:43,824 FOR JOINING US TODAY. IF 4666 02:58:43,824 --> 02:58:44,858 ANYBODY WOULD LIKE TO COME UP 4667 02:58:44,858 --> 02:58:45,459 TO THE MIC FOR A QUESTION OR 4668 02:58:45,459 --> 02:58:46,193 TWO BEFORE WE TRANSITION TO THE 4669 02:58:46,193 --> 02:58:47,628 NEXT PANEL? 4670 02:58:47,628 --> 02:58:54,067 >> SOPHIA CHAO FROM NCI. THE 4671 02:58:54,067 --> 02:58:55,969 QUESTION IS FOR EVERYBODY BUT 4672 02:58:55,969 --> 02:58:56,436 MOSTLY PERTAINING TO 4673 02:58:56,436 --> 02:58:56,970 SELF-ADMINISTERED ONLINE 4674 02:58:56,970 --> 02:58:59,940 SURVEYS. IN THE AGE OF CHAT GPT 4675 02:58:59,940 --> 02:59:01,809 AND AI, THERE HAVE BEEN 4676 02:59:01,809 --> 02:59:04,945 CONCERNS ABOUT CHATGPT 4677 02:59:04,945 --> 02:59:08,649 IMPERSONATING A PERSON. LIKE 4678 02:59:08,649 --> 02:59:09,283 IF YOU GET THE DATA SAYING YOU 4679 02:59:09,283 --> 02:59:10,050 ARE A 30-YEAR-OLD ASIAN WITH A 4680 02:59:10,050 --> 02:59:13,086 CANCER DIAGNOSIS, NOW GO ANSWER 4681 02:59:13,086 --> 02:59:14,721 ALL OF THE SURVEY QUESTIONS. 4682 02:59:14,721 --> 02:59:17,090 AND ANECDOTALLY, THEY ARE 4683 02:59:17,090 --> 02:59:19,026 FINDING A LOT OF SIMILARITIES 4684 02:59:19,026 --> 02:59:21,461 TO REAL-LIFE RESPONDENTS. AND 4685 02:59:21,461 --> 02:59:24,598 HAVE YOU THOUGHT OF THIS? IS 4686 02:59:24,598 --> 02:59:25,199 THIS SOMETHING THAT THERE ARE 4687 02:59:25,199 --> 02:59:27,134 WAYS TO MITIGATE SUCH HARMS OF 4688 02:59:27,134 --> 02:59:29,770 DATA INTEGRITY AND QUALITY? 4689 02:59:29,770 --> 02:59:31,538 BECAUSE OF GENERATIVE AI. THANK 4690 02:59:31,538 --> 02:59:34,374 YOU. 4691 02:59:34,374 --> 02:59:37,010 >> DR. BLAKE: ANYBODY THOUGHT 4692 02:59:37,010 --> 02:59:40,981 OF THAT YET? 4693 02:59:40,981 --> 02:59:41,548 >> I HAVEN'T THOUGHT ABOUT IT 4694 02:59:41,548 --> 02:59:44,852 BEFORE. BUT NOW I AM SCARED. 4695 02:59:44,852 --> 02:59:48,755 YEAH. I THINK THAT IS-- AI IS 4696 02:59:48,755 --> 02:59:51,558 CHANGING OUR WORLD SO QUICKLY. 4697 02:59:51,558 --> 02:59:53,927 I CANNOT EVEN IMAGINE SOMEONE 4698 02:59:53,927 --> 02:59:55,696 ASKING THAT QUESTION SIX MONTHS 4699 02:59:55,696 --> 02:59:56,496 AGO. AND NOW WE ARE TRYING TO 4700 02:59:56,496 --> 02:59:58,732 GRAPPLE WITH IT IN REAL TIME. 4701 02:59:58,732 --> 03:00:02,269 I THINK IT'S ABSOLUTELY 4702 03:00:02,269 --> 03:00:03,971 SOMETHING THAT WE NEED TO BE 4703 03:00:03,971 --> 03:00:07,774 CONCERNED ABOUT. I HAVE NOT 4704 03:00:07,774 --> 03:00:08,508 HAD A CHANCE TO THINK ABOUT IT 4705 03:00:08,508 --> 03:00:11,178 MUCH MORE BEYOND THAT. BUT I 4706 03:00:11,178 --> 03:00:14,281 WILL BY THIS TIME NEXT YEAR. 4707 03:00:14,281 --> 03:00:17,150 >> DR. TOWN: SAME HERE. I AM 4708 03:00:17,150 --> 03:00:20,687 CONCERNED NOW. HOPEFULLY WE 4709 03:00:20,687 --> 03:00:21,221 WILL EMBARK ON WEB-BASED 4710 03:00:21,221 --> 03:00:23,190 SURVEYS. WE PROBABLY HAVE TO 4711 03:00:23,190 --> 03:00:24,024 PUT SOMETHING IN PLACE WE HAVE 4712 03:00:24,024 --> 03:00:25,626 TO SHOW THAT YOU ARE A HUMAN. 4713 03:00:25,626 --> 03:00:27,694 PROBABLY HAVE TO DO THAT. 4714 03:00:27,694 --> 03:00:28,328 THANK YOU FOR BRINGING THAT TO 4715 03:00:28,328 --> 03:00:29,563 MY ATTENTION. WE ARE IN THE 4716 03:00:29,563 --> 03:00:34,301 PROCESS OF TESTING RIGHT NOW. 4717 03:00:34,301 --> 03:00:39,006 >> DR. CREAMER: WE HAVE NOT 4718 03:00:39,006 --> 03:00:43,710 THOUGHT ABOUT IT MUCH, BUT IN 4719 03:00:43,710 --> 03:00:46,280 TRANSITION FROM TELEPHONE TO IN 4720 03:00:46,280 --> 03:00:47,414 PERSON WE HAVE A LOT OF THINGS 4721 03:00:47,414 --> 03:00:49,716 ON HOW TO VERIFY. THIS IS A 4722 03:00:49,716 --> 03:00:52,819 LONGITUDINAL SURVEY. SHOULD BE 4723 03:00:52,819 --> 03:00:55,522 THE SAME PERSON. THERE WERE 4724 03:00:55,522 --> 03:00:56,156 VARIOUS VERIFICATION PROCESSES 4725 03:00:56,156 --> 03:01:00,027 THAT WENT INTO PLACE. I ASSUME 4726 03:01:00,027 --> 03:01:00,627 THAT IF WE WERE TO TRANSITION 4727 03:01:00,627 --> 03:01:01,595 TO WEB-BASED, WE WOULD HAVE 4728 03:01:01,595 --> 03:01:03,830 SOMETHING SIMILAR. I THINK THE 4729 03:01:03,830 --> 03:01:06,566 AI IS A LITTLE BIT SMARTER. 4730 03:01:06,566 --> 03:01:07,200 AND SO WE WILL HAVE TO CONSIDER 4731 03:01:07,200 --> 03:01:08,835 THOSE THINGS. IT IS AN 4732 03:01:08,835 --> 03:01:10,771 IMPORTANT TOPIC TO CONSIDER FOR 4733 03:01:10,771 --> 03:01:16,410 ALL RESEARCH REALLY. 4734 03:01:16,410 --> 03:01:17,544 >> JUST LIKE EVERYTHING WITH 4735 03:01:17,544 --> 03:01:25,252 AI. THE USES OF IT THAT HAVE 4736 03:01:25,252 --> 03:01:29,022 POTENTIAL HARM. ON THE OTHER 4737 03:01:29,022 --> 03:01:29,589 SIDE, THERE ARE THINGS THAT 4738 03:01:29,589 --> 03:01:31,325 COULD BE HELPFUL FOR US. WE 4739 03:01:31,325 --> 03:01:31,959 COULD HAVE WAYS TO ANALYZE THE 4740 03:01:31,959 --> 03:01:34,795 DATA THAT WE GET FROM OUR 4741 03:01:34,795 --> 03:01:35,429 SERVICE IN A WAY WE HAVE NEVER 4742 03:01:35,429 --> 03:01:37,364 BEEN ABLE TO ANALYZE BEFORE. 4743 03:01:37,364 --> 03:01:37,931 THAT IS NOT JUST THE SURVEY 4744 03:01:37,931 --> 03:01:38,899 DATA THEMSELVES, BUT THE 4745 03:01:38,899 --> 03:01:39,967 INTERACTIONS THAT HAPPEN WITHIN 4746 03:01:39,967 --> 03:01:43,337 THE SURVEYS. OUR ABILITY TO ASK 4747 03:01:43,337 --> 03:01:44,071 MORE OPEN ENDED QUESTIONS AND 4748 03:01:44,071 --> 03:01:47,307 HAVE AI HELP US OUT WITH THOSE. 4749 03:01:47,307 --> 03:01:49,743 SO YEAH, IT'S SOMETHING WE ARE 4750 03:01:49,743 --> 03:01:53,580 GOING TO HAVE TO GRAPPLE WITH 4751 03:01:53,580 --> 03:01:54,214 -- GRAPPLE WITH IT NOW, NOT IN 4752 03:01:54,214 --> 03:01:54,648 THE FUTURE. 4753 03:01:54,648 --> 03:01:57,451 >> DR. BLAKE: THANKS EVERYBODY 4754 03:01:57,451 --> 03:02:05,425 AND THANK YOU FOR JOINING. 4755 03:02:05,425 --> 03:02:05,826 SO OUR NEXT SET OF 4756 03:02:05,826 --> 03:02:12,332 PRESENTATIONS-- JUST A SECOND. 4757 03:02:12,332 --> 03:02:17,004 IS OR PRESENTATION SESSION #2, 4758 03:02:17,004 --> 03:02:19,106 MODERATED BY DR. MICHELLE 4759 03:02:19,106 --> 03:02:20,640 MOLLICA, NATIONAL CANCER 4760 03:02:20,640 --> 03:02:24,378 INSTITUTE. DIVISION OF CANCER 4761 03:02:24,378 --> 03:02:25,045 CONTROL POPULATION SCIENCES AT 4762 03:02:25,045 --> 03:02:29,616 NCI. MICHELLE HAS BEEN THE 4763 03:02:29,616 --> 03:02:30,150 CONTENT CHAMPION FOR THE 4764 03:02:30,150 --> 03:02:32,919 CAREGIVING ITEMS ON THE HINTS 4765 03:02:32,919 --> 03:02:33,520 SURVEY FOR MANY YEARS AND WE 4766 03:02:33,520 --> 03:02:34,187 ARE SO GLAD SHE'S HERE TO 4767 03:02:34,187 --> 03:02:37,557 MODERATE THIS PANEL, OR SESSION. 4768 03:02:37,557 --> 03:02:38,158 SO IF ALL THE SPEAKERS COULD 4769 03:02:38,158 --> 03:02:40,027 PLEASE COME UP TO THE STAGE. WE 4770 03:02:40,027 --> 03:02:44,398 WILL GET THE SESSION STARTED. 4771 03:02:44,398 --> 03:02:48,668 >> [SESSION 2] 4772 03:02:48,668 --> 03:02:53,306 >>> DR. MOLLICA: HELLO 4773 03:02:53,306 --> 03:02:53,907 EVERYONE, SO GREAT TO BE HERE 4774 03:02:53,907 --> 03:02:56,043 AND I'M THRILLED AND ADVISED, 4775 03:02:56,043 --> 03:02:56,676 AND THRILLED THAT WE ARE DOING 4776 03:02:56,676 --> 03:02:57,644 A SESSION CANCER SURVIVORSHIP. 4777 03:02:57,644 --> 03:02:58,378 WERE GOING TO SHIFT A LITTLE 4778 03:02:58,378 --> 03:03:05,419 BIT. 4779 03:03:05,419 --> 03:03:05,986 WHILE EVERYONE COMES UP, I AM 4780 03:03:05,986 --> 03:03:06,620 GOING TO INTRODUCE OUR SPEAKERS 4781 03:03:06,620 --> 03:03:08,188 FOR THE SESSION. BOTH OF YOU I 4782 03:03:08,188 --> 03:03:08,822 HAVE NOT MET I WILL DO MY BEST 4783 03:03:08,822 --> 03:03:10,190 TO PRONOUNCE YOUR NAME 4784 03:03:10,190 --> 03:03:11,658 CORRECTLY AND IF I PRONOUNCE IT 4785 03:03:11,658 --> 03:03:12,292 INCORRECTLY, PLEASE CORRECT ME 4786 03:03:12,292 --> 03:03:15,195 WHEN YOU GET UP HERE. I WILL 4787 03:03:15,195 --> 03:03:15,829 ANNOUNCE ALL THE PRESENTERS AND 4788 03:03:15,829 --> 03:03:16,463 THEN YOU WILL EACH HAVE ABOUT 4789 03:03:16,463 --> 03:03:19,366 12 MINUTES. THERE IS A TIMER 4790 03:03:19,366 --> 03:03:19,966 APPEAR JUST SO YOU ARE AWARE 4791 03:03:19,966 --> 03:03:24,905 OF. AND THEN WE WILL TAKE 4792 03:03:24,905 --> 03:03:29,509 QUESTIONS AT THE END. SO FIRST, 4793 03:03:29,509 --> 03:03:31,978 JEROME CORBIN WILL PRESENT 4794 03:03:31,978 --> 03:03:32,879 QUALITY OF CARE FOR CANCER 4795 03:03:32,879 --> 03:03:36,216 PATIENTS DURING THE COVID 4796 03:03:36,216 --> 03:03:41,054 PANDEMIC. DR. WHITNEY ZAHND 4797 03:03:41,054 --> 03:03:43,190 WILL TALK ABOUT CANCER SURVIVOR 4798 03:03:43,190 --> 03:03:47,160 CARE AND DR. KRISTIN MAKI WILL 4799 03:03:47,160 --> 03:03:49,329 BE PRESENTING FACTORS 4800 03:03:49,329 --> 03:03:49,896 ASSOCIATED WITH LUNG CANCER 4801 03:03:49,896 --> 03:03:52,466 SCREENING DISCUSSIONS AMONG 4802 03:03:52,466 --> 03:03:54,234 CANCER SURVIVORS. AND HEALTH 4803 03:03:54,234 --> 03:03:54,868 PROFESSIONALS A CROSS-SECTIONAL 4804 03:03:54,868 --> 03:03:59,639 ANALYSIS OF HINTS DATA. 4805 03:03:59,639 --> 03:04:04,111 AND DR. CHRISTOPHER WHELDON, 4806 03:04:04,111 --> 03:04:07,147 WILL PRESENT ON TEMPLE 4807 03:04:07,147 --> 03:04:07,747 UNIVERSITY - SOCIAL ISOLATION 4808 03:04:07,747 --> 03:04:08,248 AMONG CANCER SURVIVORS: 4809 03:04:08,248 --> 03:04:08,849 PREVALENCE, SYMPTOMS, AND THE 4810 03:04:08,849 --> 03:04:16,189 ROLE OF MARITAL STATUS. 4811 03:04:16,189 --> 03:04:24,097 >> 4812 03:04:24,097 --> 03:04:27,100 >> MR. CORBIN: I WILL LEAN OVER 4813 03:04:27,100 --> 03:04:37,043 A LITTLE BIT. THAT'S COOL. 4814 03:04:37,043 --> 03:04:38,545 HELLO EVERYONE MY NAME IS 4815 03:04:38,545 --> 03:04:41,314 JEROME CORBIN, MASTER STUDENTS 4816 03:04:41,314 --> 03:04:43,617 AT GEORGIA UNIVERSITY STUDYING 4817 03:04:43,617 --> 03:04:44,417 INTEGRATIVE MEDICINE AND TODAY 4818 03:04:44,417 --> 03:04:46,820 I'M GOING TO BE PRESENTING A 4819 03:04:46,820 --> 03:04:47,354 PROJECT, NATIONAL CANCER 4820 03:04:47,354 --> 03:04:47,954 INSTITUTE - CHANGES IN 4821 03:04:47,954 --> 03:04:48,455 CANCER CARE AND PERCEIVED 4822 03:04:48,455 --> 03:04:49,055 QUALITY OF CARE AMONG CANCER 4823 03:04:49,055 --> 03:04:49,656 PATIENTS DURING THE COVID-19 4824 03:04:49,656 --> 03:04:57,597 PANDEMIC. IT IS A MOUTHFUL, I 4825 03:04:57,597 --> 03:04:58,165 KNOW. I HAVE NO CONFLICT OF 4826 03:04:58,165 --> 03:05:03,904 INTEREST TO REPORT. 4827 03:05:03,904 --> 03:05:09,743 AS WE KNOW COVID MADE RAPID 4828 03:05:09,743 --> 03:05:13,280 CHANGES AND RESULT TRANSITIONS 4829 03:05:13,280 --> 03:05:13,813 TO TELEHEALTH AND CANCER 4830 03:05:13,813 --> 03:05:14,281 PATIENTS ALL SPECIFIC 4831 03:05:14,281 --> 03:05:20,086 CHALLENGES IN IN PERSON CARE, 4832 03:05:20,086 --> 03:05:20,720 AND CHEMOTHERAPY AND RADIATION 4833 03:05:20,720 --> 03:05:23,723 SESSIONS AND INTERRUPTED CANCER 4834 03:05:23,723 --> 03:05:24,357 SCREENING AND VACCINATION TOOK 4835 03:05:24,357 --> 03:05:24,958 HER IN HER STUDY WANT TO LOOK 4836 03:05:24,958 --> 03:05:25,525 AT HOW CANCER PATIENTS WERE 4837 03:05:25,525 --> 03:05:28,461 AFFECTED BY THE PANDEMIC. 4838 03:05:28,461 --> 03:05:28,995 WHILE OTHER STUDIES IN THE 4839 03:05:28,995 --> 03:05:29,462 FIELD HAVE LOOKED AT 4840 03:05:29,462 --> 03:05:29,963 CANCELLATION OF CANCER 4841 03:05:29,963 --> 03:05:32,399 APPOINTMENT DURING COVID, OUR 4842 03:05:32,399 --> 03:05:33,867 STUDY IS A LARGER STUDY IN THE 4843 03:05:33,867 --> 03:05:34,467 FIELD, AND THE ONLY STUDY WE 4844 03:05:34,467 --> 03:05:36,002 KNOW THAT MOST OF PERCEIVED 4845 03:05:36,002 --> 03:05:36,603 QUALITY OF CARE FOR CANCER 4846 03:05:36,603 --> 03:05:39,773 PATIENTS DURING COVID, AND THE 4847 03:05:39,773 --> 03:05:43,643 CHARACTERISTICS IT INFLUENCES. 4848 03:05:43,643 --> 03:05:44,177 IN THIS PROJECT WE AIM TO 4849 03:05:44,177 --> 03:05:44,744 DETERMINE CHANGES TO CANCER 4850 03:05:44,744 --> 03:05:50,350 SCREENING AND PREVENTATIVE CARE 4851 03:05:50,350 --> 03:05:50,984 APPOINTMENTS, CHANGES TO CANCER 4852 03:05:50,984 --> 03:05:51,484 TREATMENT AND FOLLOW-UP 4853 03:05:51,484 --> 03:05:53,053 APPOINTMENTS, PROCEED QUALITY 4854 03:05:53,053 --> 03:05:53,620 OF CARE AND CHARACTERS THAT 4855 03:05:53,620 --> 03:05:56,056 INFLUENCE IT, AS WELL AS GAIN 4856 03:05:56,056 --> 03:05:56,690 INSIGHT ON THE DOCTOR-PATIENT 4857 03:05:56,690 --> 03:05:57,824 RELATIONSHIP DURING CVOID-19. 4858 03:05:57,824 --> 03:06:02,295 WE USE THE HINTS 2021 DATABASE 4859 03:06:02,295 --> 03:06:05,198 FROM THREE REGISTRIES, IN IOWA, 4860 03:06:05,198 --> 03:06:09,469 THE BAY AREA NEW MEXICO AND THE 4861 03:06:09,469 --> 03:06:10,103 HINTS SERIES IS UNIQUE BECAUSE 4862 03:06:10,103 --> 03:06:10,737 INCLUDE COME QUESTION FOUND IN 4863 03:06:10,737 --> 03:06:12,038 THE ANNUAL HINTS SURVEY BUT 4864 03:06:12,038 --> 03:06:15,108 ALSO QUESTIONS IN COVID AND THE 4865 03:06:15,108 --> 03:06:16,176 DATA SUPPRESSION SET IS-- ANY 4866 03:06:16,176 --> 03:06:20,981 GROUP IN THE DS THAT IS LESS 4867 03:06:20,981 --> 03:06:25,485 THAN 25 RESPONDERS AND ADULTS 4868 03:06:25,485 --> 03:06:27,220 18 AND OVER WHO VISITED THE 4869 03:06:27,220 --> 03:06:28,021 HEALTHCARE PROVIDER AND LAST 4870 03:06:28,021 --> 03:06:33,627 MONTH. 55% WOMEN, 45% MEN. AGE, 4871 03:06:33,627 --> 03:06:36,863 MOST POPULAR WAS PATIENT GROUPS 4872 03:06:36,863 --> 03:06:41,368 OVER 75. RACE AND ETHNICITY 4873 03:06:41,368 --> 03:06:47,274 POPULATION WAS 76% WHITE, 12% 4874 03:06:47,274 --> 03:06:50,810 HISPANIC -- 4875 03:06:50,810 --> 03:06:54,381 BY EDUCATION, 59% OF THE 4876 03:06:54,381 --> 03:06:54,881 POPULATION WERE COLLEGE 4877 03:06:54,881 --> 03:07:00,086 GRADUATES ARE HIGHER. 26% HAD 4878 03:07:00,086 --> 03:07:00,720 SOME COLLEGE EXPERIENCE AND 15% 4879 03:07:00,720 --> 03:07:01,321 HAD A HIGHSCHOOLER LAST LEVEL 4880 03:07:01,321 --> 03:07:02,789 OF EDUCATION. IN TERMS OF 4881 03:07:02,789 --> 03:07:10,530 HOUSEHOLD INCOME, 55% EARN 4882 03:07:10,530 --> 03:07:16,836 ABOUT 75,000 AND 17% EARNED 4883 03:07:16,836 --> 03:07:20,840 LESS THAN 75,000. THE SENTIMENT 4884 03:07:20,840 --> 03:07:23,810 IS FROM JANUARY 2020 OVER THE 4885 03:07:23,810 --> 03:07:24,444 FOLLOWING YEAR AND LOOKING MORE 4886 03:07:24,444 --> 03:07:24,978 SPECIFIC AT OUTCOMES AND 4887 03:07:24,978 --> 03:07:27,280 METHODOLOGIES ARE FIRST TWO 4888 03:07:27,280 --> 03:07:27,847 OUTCOMES LOOK AT CHANGES IN 4889 03:07:27,847 --> 03:07:29,149 APPOINTMENTS WITH THE RESPONSE 4890 03:07:29,149 --> 03:07:30,684 BEING APPOINTMENTS ON AFFECTED 4891 03:07:30,684 --> 03:07:34,254 ONLY, APPOINTMENTS CANCEL ONLY 4892 03:07:34,254 --> 03:07:34,788 OR APPOINTMENTS CHANGE TO 4893 03:07:34,788 --> 03:07:36,856 TELEHEALTH ONLY TO CLARIFY 4894 03:07:36,856 --> 03:07:37,891 DEFINITIONS HERE, A PATIENT 4895 03:07:37,891 --> 03:07:39,259 RESPONSE SELECTING APPOINTMENTS 4896 03:07:39,259 --> 03:07:40,427 CANCEL ONLY MEANS ALL 4897 03:07:40,427 --> 03:07:43,763 APARTMENTS DURING THE CVOID-19 4898 03:07:43,763 --> 03:07:44,397 PANDEMIC ROUTER CANCEL AND THE 4899 03:07:44,397 --> 03:07:48,868 THIRD OUTCOME LOOKS AT WHETHER 4900 03:07:48,868 --> 03:07:49,469 CVOID-19 CONVOCATIONS DURING 4901 03:07:49,469 --> 03:07:50,070 CANCER HISTORY WERE DISCUSSED 4902 03:07:50,070 --> 03:07:55,542 BY THE HEALTHCARE PROVIDER WITH 4903 03:07:55,542 --> 03:07:58,144 BINARY YES/NO. IN THE LAST 4904 03:07:58,144 --> 03:08:00,980 OUTCOME -- --. 4905 03:08:00,980 --> 03:08:04,851 OUR ANALYSIS WE GOT CODED 4906 03:08:04,851 --> 03:08:11,491 WAITED PREVALENCE FOR 95% 4907 03:08:11,491 --> 03:08:12,125 CONFIDENCE LEVELS AND RECEIVING 4908 03:08:12,125 --> 03:08:12,859 SUBOPTIMAL QUALITY OF CARE 4909 03:08:12,859 --> 03:08:14,728 USING INDIVIDUAL LOGISTIC 4910 03:08:14,728 --> 03:08:15,362 REGRESSION MODELS ADJUSTING FOR 4911 03:08:15,362 --> 03:08:17,864 SEX AND AGE. 4912 03:08:17,864 --> 03:08:18,431 IN OUR FIRST FIGURE HERE WE 4913 03:08:18,431 --> 03:08:18,998 CAN VISUALIZE 4914 03:08:18,998 --> 03:08:20,200 CHANGES IN APARTMENTS DURING 4915 03:08:20,200 --> 03:08:24,204 CVOID-19. SCREENING AND 4916 03:08:24,204 --> 03:08:25,038 PREVENTATIVE CARE PERMIT 22% 4917 03:08:25,038 --> 03:08:26,840 PATIENT REPORTED THAT ALL OF 4918 03:08:26,840 --> 03:08:28,842 THEIR APPOINTMENTS WERE 4919 03:08:28,842 --> 03:08:29,442 CANCELED. 9% PATIENT REPORTED 4920 03:08:29,442 --> 03:08:30,243 THAT ALL THEIR APPOINTMENTS 4921 03:08:30,243 --> 03:08:32,379 WERE CHANGED TO TELEHEALTH. 4922 03:08:32,379 --> 03:08:35,382 FOR TREATMENT AND FOLLOW-UP 4923 03:08:35,382 --> 03:08:35,915 APPOINTMENTS 23% PATIENT 4924 03:08:35,915 --> 03:08:36,416 REPORTED THAT ALL THEIR 4925 03:08:36,416 --> 03:08:39,052 APPOINTMENTS WERE CANCELED. 4926 03:08:39,052 --> 03:08:43,189 SORRY, 8% OF PATIENTS REPORTED 4927 03:08:43,189 --> 03:08:44,023 OTHER PONDS WERE CANCELED AND 4928 03:08:44,023 --> 03:08:44,524 21% REPORTED THEY WERE 4929 03:08:44,524 --> 03:08:49,396 RESCHEDULED TO TELEHEALTH. 4930 03:08:49,396 --> 03:08:49,996 LOOKING AT OTHER CANCER HEALTH 4931 03:08:49,996 --> 03:08:52,465 IMPACT DURING THE PANDEMIC, 4932 03:08:52,465 --> 03:08:52,999 AMONG PATIENTS UNDERGOING 4933 03:08:52,999 --> 03:09:03,476 TREATMENT 7% REPORTED THAT 4934 03:09:12,719 --> 03:09:13,286 CVOID-19 CHANGE THEIR TREATMENT 4935 03:09:13,286 --> 03:09:13,920 PLAN AND 82% PATIENTS REPORTED 4936 03:09:13,920 --> 03:09:14,521 THAT HEALTHCARE PROVIDERS DID 4937 03:09:14,521 --> 03:09:14,988 NOT DISCUSS CVOID-19 4938 03:09:14,988 --> 03:09:17,857 COMPLICATIONS. 4939 03:09:17,857 --> 03:09:18,458 4% OF PATIENTS REPORTED THAT 4940 03:09:18,458 --> 03:09:19,092 THE DOCTOR SOMETIME NEVER GET A 4941 03:09:19,092 --> 03:09:20,460 CHANCE TO ASK HEALTH-RELATED 4942 03:09:20,460 --> 03:09:24,497 QUESTIONS IN THE PAST 12 4943 03:09:24,497 --> 03:09:25,098 MONTHS. 8% REPORTED THAT THEY 4944 03:09:25,098 --> 03:09:25,732 WERE SOMETIMES NOT INVOLVED IN 4945 03:09:25,732 --> 03:09:28,735 DECISIONS ABOUT THEIR HEALTH. 4946 03:09:28,735 --> 03:09:29,235 6% REPORTED THAT DOCTOR 4947 03:09:29,235 --> 03:09:30,203 SOMETIMES OR NEVER MADE SURE 4948 03:09:30,203 --> 03:09:30,837 THEY UNDERSTOOD THEIR 4949 03:09:30,837 --> 03:09:33,840 HEALTHCARE. 4% REPORTED THAT 4950 03:09:33,840 --> 03:09:34,474 DOCTOR SOMETIMES NEVER EXPLAIN 4951 03:09:34,474 --> 03:09:36,576 THINGS CLEARLY. 10% REPORTED 4952 03:09:36,576 --> 03:09:37,977 THAT DOCTOR SOMETIMES NEVER 4953 03:09:37,977 --> 03:09:43,550 SPENT ENOUGH TIME WITH THEM. 4954 03:09:43,550 --> 03:09:44,150 AND FINALLY 20% REPORTED THAT 4955 03:09:44,150 --> 03:09:44,751 DOCTORS SOMETIMES NEVER HELP 4956 03:09:44,751 --> 03:09:45,251 THEM DEAL WITH HEALTH 4957 03:09:45,251 --> 03:09:48,488 UNCERTAINTY. 4958 03:09:48,488 --> 03:09:52,992 EVEN IF ADJUSTING OUTRAGEOUS 4959 03:09:52,992 --> 03:09:53,626 WICCANS EROSION SHOULD BE DOING 4960 03:09:53,626 --> 03:09:55,261 DEMOGRAPHIC CHARACTERISTICS AND 4961 03:09:55,261 --> 03:09:55,829 THE LIKELIHOOD OF HAVING AN 4962 03:09:55,829 --> 03:09:59,098 APPOINTMENT AFFECTED IN THE TOP 4963 03:09:59,098 --> 03:10:01,301 HALF IS PATIENT RESPONSE AND 4964 03:10:01,301 --> 03:10:05,772 CVOID-19 HAS AFFECTED MY CANCER 4965 03:10:05,772 --> 03:10:06,372 CARE FORMANTS AND THIS GROUP 4966 03:10:06,372 --> 03:10:06,973 HAD SIGNIFICANTLY LESS CANCER 4967 03:10:06,973 --> 03:10:12,345 SCREENING -- THIS IS CLOSE TO 4968 03:10:12,345 --> 03:10:13,847 THE LINE OF SIGNIFICANCE 4969 03:10:13,847 --> 03:10:14,447 INTERPRETING WITH CAUTION AND 4970 03:10:14,447 --> 03:10:15,081 THE BOTTOM HALF OF THE GRAPH 4971 03:10:15,081 --> 03:10:19,152 RESPONSE TO THE OUTCOME, 4972 03:10:19,152 --> 03:10:19,786 CVOID-19 IS AFFECTED MY CANCER 4973 03:10:19,786 --> 03:10:21,688 TREATMENT OR FOLLOW-UP 4974 03:10:21,688 --> 03:10:22,222 APPOINTMENT AND WE SEE NO 4975 03:10:22,222 --> 03:10:22,755 SIGNIFICANT VALUES AND IN 4976 03:10:22,755 --> 03:10:26,693 GENERAL MOST CHARACTERISTICS 4977 03:10:26,693 --> 03:10:27,193 WERE NOT SIGNIFICANTLY 4978 03:10:27,193 --> 03:10:28,862 ASSOCIATED WITH CHANGES IN 4979 03:10:28,862 --> 03:10:29,462 CANCER RELATED APPOINTMENTS, 4980 03:10:29,462 --> 03:10:30,029 INDICATING THAT APPOINTMENT 4981 03:10:30,029 --> 03:10:30,530 CHANGE DID NOT VARY BY 4982 03:10:30,530 --> 03:10:32,398 DEMOGRAPHICS. 4983 03:10:32,398 --> 03:10:36,836 IN THIS NEXT FIGURE, WE 4984 03:10:36,836 --> 03:10:40,773 ANALYZE OUTCOME OF PERCEIVING 4985 03:10:40,773 --> 03:10:41,407 SUBOPTIMAL QUALITY OF CARE AND 4986 03:10:41,407 --> 03:10:42,008 IN THE FIRST TWO ROWS WE SEE 4987 03:10:42,008 --> 03:10:42,542 EXPRESSING CHANGES TO AN 4988 03:10:42,542 --> 03:10:43,109 OPPONENT DOES NOT CORRELATE 4989 03:10:43,109 --> 03:10:43,676 WITH PERCEIVING QUALITY OF 4990 03:10:43,676 --> 03:10:45,645 CARE. GOING DOWN THE 4991 03:10:45,645 --> 03:10:49,516 DEMOGRAPHIC CHARACTERISTICS, 4992 03:10:49,516 --> 03:10:50,149 WE CAN SEE THE PATIENTS WITH NO 4993 03:10:50,149 --> 03:10:50,750 HIGH SCHOOL DIPLOMA PERCEIVED 4994 03:10:50,750 --> 03:10:56,856 SUBOPTIMAL QUALITY OF CARE 3.3 4995 03:10:56,856 --> 03:10:59,626 TIMES MORE FREQUENTLY COMPARED 4996 03:10:59,626 --> 03:11:00,260 TO COLOR PATIENTS AND PATIENTS 4997 03:11:00,260 --> 03:11:00,894 WITH HOUSEHOLD INCOME LESS THAN 4998 03:11:00,894 --> 03:11:01,494 35,000 PERCEIVED SUBOPTIMAL 4999 03:11:01,494 --> 03:11:06,065 QUALITY OF CARE 2.2 TIMES MORE 5000 03:11:06,065 --> 03:11:06,699 FREQUENTLY COMPARED TO PATIENTS 5001 03:11:06,699 --> 03:11:15,308 EARNING MORE THAN 75,000. 5002 03:11:15,308 --> 03:11:15,875 GOING INTO A SUMMARY OF OUR 5003 03:11:15,875 --> 03:11:16,409 FINDINGS, 23% OF PATIENTS 5004 03:11:16,409 --> 03:11:17,243 REPORTED THEIR CANCER SCREENING 5005 03:11:17,243 --> 03:11:17,877 OF PREVENTATIVE CARE FIRMS WERE 5006 03:11:17,877 --> 03:11:22,015 CANCELED AND 93% WERE 5007 03:11:22,015 --> 03:11:25,118 RESCHEDULE A TELEHEALTH AND 8% 5008 03:11:25,118 --> 03:11:25,685 REPORTED THEIR POINTS WERE 5009 03:11:25,685 --> 03:11:29,789 CANCELED AND 21% REPORTED THEIR 5010 03:11:29,789 --> 03:11:30,423 APPOINTMENTS WERE RESCHEDULED 5011 03:11:30,423 --> 03:11:31,024 TELEHEALTH AND BREAKING THESE 5012 03:11:31,024 --> 03:11:36,663 DOWN BY DIFFERENT TYPE OF 5013 03:11:36,663 --> 03:11:37,196 EMPLOYMENT SCREENING AND 5014 03:11:37,196 --> 03:11:41,134 PREVENTATIVE CARE APPOINTMENTS 5015 03:11:41,134 --> 03:11:41,668 WERE LIMITED BY INPATIENT 5016 03:11:41,668 --> 03:11:43,970 CANCER SCARE AND BECAUSE CANCER 5017 03:11:43,970 --> 03:11:44,437 CARE REQUIRE PHYSICAL 5018 03:11:44,437 --> 03:11:45,538 EXAMINATIONS THEY ARE NOT AS 5019 03:11:45,538 --> 03:11:46,272 ABLE TO ADAPT TO TELEHEALTH 5020 03:11:46,272 --> 03:11:53,479 FORMAT. 5021 03:11:53,479 --> 03:11:53,980 14.6% OF CANCER PATIENTS 5022 03:11:53,980 --> 03:11:54,614 REPORTED SUBOPTIMAL QUALITY OF 5023 03:11:54,614 --> 03:12:01,254 CARE DURING COVID NO 5024 03:12:01,254 --> 03:12:01,754 SIGNIFICANT VARIANCE BY 5025 03:12:01,754 --> 03:12:02,255 EFFECTIVE APARTMENTS BY 5026 03:12:02,255 --> 03:12:02,689 DEMOGRAPHIC AND THE 5027 03:12:02,689 --> 03:12:03,323 APPOINTMENTS DID NOT INFLUENCE 5028 03:12:03,323 --> 03:12:03,923 CARE PERCEPTION IN GENERAL WE 5029 03:12:03,923 --> 03:12:04,724 BELIEVE THIS REPORT OF 5030 03:12:04,724 --> 03:12:10,129 SUBOPTIMAL QUALITY OF CARE IS 5031 03:12:10,129 --> 03:12:10,730 (INDISCERNIBLE), ESPECIALLY 5032 03:12:10,730 --> 03:12:11,331 THE HEIGHT OF GLOBAL PANDEMIC 5033 03:12:11,331 --> 03:12:12,365 AND TRADITIONAL BEERS 5034 03:12:12,365 --> 03:12:14,267 EXPERIENCED BY CANCER PATIENTS 5035 03:12:14,267 --> 03:12:14,834 HOWEVER MOST STUDIES TO OUR 5036 03:12:14,834 --> 03:12:15,368 KNOWLEDGE LOOK AT CANCER 5037 03:12:15,368 --> 03:12:16,369 PATIENT PERCEPTION OF CARE 5038 03:12:16,369 --> 03:12:17,003 OUTSIDE OF PANDEMIC SO THERE IS 5039 03:12:17,003 --> 03:12:20,440 NO DATA TO COMPARE THIS TO. 5040 03:12:20,440 --> 03:12:25,144 WITH THE FACT THAT CHANGES 5041 03:12:25,144 --> 03:12:28,748 INFORMS DID NOT SIGNIFICANTLY 5042 03:12:28,748 --> 03:12:29,315 AFFECT QUALITY OF CARE THE 5043 03:12:29,315 --> 03:12:29,816 TRANSITION TO TELL HAVE 5044 03:12:29,816 --> 03:12:32,819 PROVIDED ACCESSIBLE AND 5045 03:12:32,819 --> 03:12:33,453 GENERALLY HIGH QUALITY OF CARE 5046 03:12:33,453 --> 03:12:35,188 DURING THE PANDEMIC. 5047 03:12:35,188 --> 03:12:35,722 FINALLY WE CONCLUDED THAT 5048 03:12:35,722 --> 03:12:36,356 PATIENTS WITHOUT A HIGH SCHOOL 5049 03:12:36,356 --> 03:12:36,956 DIPLOMA EXPERIENCE SUBOPTIMAL 5050 03:12:36,956 --> 03:12:44,664 QUALITY OF CARE 3.53 TIMES MORE 5051 03:12:44,664 --> 03:12:45,264 FREQUENTLY THAN WHEN COMPARED 5052 03:12:45,264 --> 03:12:45,765 TO COLLEGE GRADUATES IN 5053 03:12:45,765 --> 03:12:48,368 PATIENTS WITH INCOME BELOW 5054 03:12:48,368 --> 03:12:48,968 35,000 EXPERIENCED SUBOPTIMAL 5055 03:12:48,968 --> 03:12:57,243 QUALITY OF CARE 2.3 TIMES MORE 5056 03:12:57,243 --> 03:12:59,012 FREQUENTLY WHEN COMPARED WITH 5057 03:12:59,012 --> 03:12:59,512 PATIENTS WITH COLLEGE 5058 03:12:59,512 --> 03:13:03,549 EDUCATION. 5059 03:13:03,549 --> 03:13:04,150 AS I SAID BEFORE NOR THE STUDY 5060 03:13:04,150 --> 03:13:04,851 HAS LOOKED SPECIFICALLY AT 5061 03:13:04,851 --> 03:13:06,853 CANCER PATIENTS REPORTED 5062 03:13:06,853 --> 03:13:07,420 QUALITY OF CARE BUT STUDIES 5063 03:13:07,420 --> 03:13:09,455 HAVE LOOKED AT OTHER FACTORS OF 5064 03:13:09,455 --> 03:13:12,859 CANCER CARE FOR CANCER PATIENTS 5065 03:13:12,859 --> 03:13:14,093 INCLUDING IDENTIFYING PATIENTS 5066 03:13:14,093 --> 03:13:14,694 OF LOW SOCIAL ECONOMIC STATUS 5067 03:13:14,694 --> 03:13:16,529 OR EDUCATIONAL ATTAINMENT 5068 03:13:16,529 --> 03:13:17,163 GENERALLY HAVE LESS AGGRESSIVE 5069 03:13:17,163 --> 03:13:17,830 TREATMENT, WORSE HEALTH 5070 03:13:17,830 --> 03:13:18,464 OUTCOMES, AND A HIGHER 5071 03:13:18,464 --> 03:13:20,466 MORTALITY RATE. 5072 03:13:20,466 --> 03:13:23,436 WE CAN SEE THESE DISPARITIES 5073 03:13:23,436 --> 03:13:24,037 EXIST PERPETUALLY AND ARE NOT 5074 03:13:24,037 --> 03:13:24,537 JUST THE RESULT OF THE 5075 03:13:24,537 --> 03:13:28,908 PANDEMIC. BECAUSE OF THIS, IT 5076 03:13:28,908 --> 03:13:29,542 IS POSSIBLE TO INFER THE GROUPS 5077 03:13:29,542 --> 03:13:31,444 OF LOW HOUSEHOLD INCOME AND 5078 03:13:31,444 --> 03:13:35,314 EDUCATIONAL ATTAINMENT MAY BE 5079 03:13:35,314 --> 03:13:35,915 GENERALLY AT A HIGHER RISK OF 5080 03:13:35,915 --> 03:13:36,549 RECEIVING SUBOPTIMAL QUALITY OF 5081 03:13:36,549 --> 03:13:40,053 CARE. 5082 03:13:40,053 --> 03:13:40,520 WHILE THESE HEALTHCARE 5083 03:13:40,520 --> 03:13:41,087 DISPARITIES EXTEND PAST THE 5084 03:13:41,087 --> 03:13:43,823 PANDEMIC, THE MOVEMENT AWAY 5085 03:13:43,823 --> 03:13:44,390 FROM IN PERSON CARE TOWARDS 5086 03:13:44,390 --> 03:13:45,024 TELEHEALTH DURING THE PANDEMIC 5087 03:13:45,024 --> 03:13:45,625 EXACERBATED THESE IMPACTS FOR 5088 03:13:45,625 --> 03:13:48,061 GROUPS OF LAW SOCIOECONOMIC 5089 03:13:48,061 --> 03:13:50,763 STATUS AND LOW EDUCATIONAL 5090 03:13:50,763 --> 03:13:51,364 ATTAINMENT. PATIENTS WITH LOW 5091 03:13:51,364 --> 03:13:51,998 SOCIAL ECONOMIC STATUS A LOWER 5092 03:13:51,998 --> 03:13:52,598 USAGE RATE OF TELEHEALTH AND 5093 03:13:52,598 --> 03:13:55,902 COMPARED TO PATIENTS OF HIGH 5094 03:13:55,902 --> 03:13:57,470 SOCIOECONOMIC STATUS AND 5095 03:13:57,470 --> 03:13:58,071 PATIENTS WITH LOW EDUCATIONAL 5096 03:13:58,071 --> 03:14:00,106 ATTAINMENT ALSO EXHIBIT LOWER 5097 03:14:00,106 --> 03:14:00,740 USE OF TELEHEALTH WHEN COMPARED 5098 03:14:00,740 --> 03:14:04,711 TO COLLEGE GRADUATES. 5099 03:14:04,711 --> 03:14:05,211 LOWER RATES OF USAGE IN 5100 03:14:05,211 --> 03:14:05,845 PURSUING SUBOPTIMAL QUALITY OF 5101 03:14:05,845 --> 03:14:07,480 CARE CAN BE EXPLAINED BY ACCESS 5102 03:14:07,480 --> 03:14:08,081 TO QUALITY INTERNET AND VIDEO 5103 03:14:08,081 --> 03:14:12,285 DEVICES. 5104 03:14:12,285 --> 03:14:12,885 ONE STUDY SUGGESTS THAT AREAS 5105 03:14:12,885 --> 03:14:13,486 OF HIGH SOCIAL VULNERABILITY 5106 03:14:13,486 --> 03:14:16,689 WERE LESS LIKELY TO ADOPT VIDEO 5107 03:14:16,689 --> 03:14:17,323 TELEHEALTH AND INSTEAD PROPERLY 5108 03:14:17,323 --> 03:14:20,026 USE AUDIO TELEHEALTH. WITH 5109 03:14:20,026 --> 03:14:20,626 BARRIERS LIKE THIS TELEHEALTH 5110 03:14:20,626 --> 03:14:24,964 APPOINTMENT ARGUABLY GO FOR 5111 03:14:24,964 --> 03:14:25,398 LESS ACCESSIBLE AND 5112 03:14:25,398 --> 03:14:26,466 TECHNOLOGICAL LIMITATIONS AND 5113 03:14:26,466 --> 03:14:27,100 DIFFICULTIES IN EXPANDING THE 5114 03:14:27,100 --> 03:14:28,267 SUBPAR EXPERIENCE. 5115 03:14:28,267 --> 03:14:30,937 SOME STRENGTH OF OUR STUDY. 5116 03:14:30,937 --> 03:14:37,844 OUR STUDY USES THE HINTS 5117 03:14:37,844 --> 03:14:38,478 DATABASE -- AND THEY HELPED US 5118 03:14:38,478 --> 03:14:41,314 VERIFY THE CANCER CARE 5119 03:14:41,314 --> 03:14:41,948 DIAGNOSIS AND CONVERTED STUDIES 5120 03:14:41,948 --> 03:14:52,391 WE HAVE A HIGH UNWEIGHTED 5121 03:14:54,927 --> 03:14:55,495 SAMPLE, AND LOOKING AT MULTIPLE 5122 03:14:55,495 --> 03:14:56,062 OUTCOMES TO PROVIDE A MORE 5123 03:14:56,062 --> 03:14:56,596 HOLISTIC DETERMINATION OF 5124 03:14:56,596 --> 03:14:59,198 QUALITY OF CARE. THE SAMPLE 5125 03:14:59,198 --> 03:15:00,399 COLLECTED DATA FROM AUGUST 2021 5126 03:15:00,399 --> 03:15:01,033 SO WE WERE NOT ABLE TO GRAB THE 5127 03:15:01,033 --> 03:15:11,377 FULL SCOPE OF THE COVID 5128 03:15:11,377 --> 03:15:12,011 PANDEMIC AND LASTLY THE SAMPLE 5129 03:15:12,011 --> 03:15:12,612 BY RACE AND ETHNICITY LIMITED 5130 03:15:12,612 --> 03:15:13,780 THE ANALYSIS IN THE FUTURE. WE 5131 03:15:13,780 --> 03:15:14,313 WOULD LIKE TO COMPARE THE 5132 03:15:14,313 --> 03:15:18,484 FUTURE -- -- IN DOING THIS 5133 03:15:18,484 --> 03:15:19,085 PROJECT FURTHER EMPHASIZE THE 5134 03:15:19,085 --> 03:15:21,854 NEED TO IMPROVE HEALTHCARE 5135 03:15:21,854 --> 03:15:22,388 INFRASTRUCTURE AND BETTER 5136 03:15:22,388 --> 03:15:23,723 ADJUST THESE PERPETUAL HEALTH 5137 03:15:23,723 --> 03:15:24,323 DISPARITIES, ESPECIALLY WITH 5138 03:15:24,323 --> 03:15:25,091 THE EMERGENCE OF TELEHEALTH AS 5139 03:15:25,091 --> 03:15:27,193 AN OPTION INVESTMENT IN 5140 03:15:27,193 --> 03:15:28,728 TELEHEALTH INFRASTRUCTURE CAN 5141 03:15:28,728 --> 03:15:29,328 IMPROVE ACCESS AND QUALITY OF 5142 03:15:29,328 --> 03:15:29,896 APPOINTMENTS AND IMPROVING 5143 03:15:29,896 --> 03:15:31,597 QUALITY OF CARE. 5144 03:15:31,597 --> 03:15:35,201 THAT TAKE A MESSAGE IS THAT 5145 03:15:35,201 --> 03:15:35,768 COVID DISRUPTED HEALTHCARE 5146 03:15:35,768 --> 03:15:37,370 DELIVERY FOR ALL CANCER 5147 03:15:37,370 --> 03:15:37,904 PATIENTS AND EXACERBATED 5148 03:15:37,904 --> 03:15:46,012 EXISTING HEALTH DISPARITIES FOR 5149 03:15:46,012 --> 03:15:46,479 CERTAIN GROUPS OF LOW 5150 03:15:46,479 --> 03:15:47,079 SOCIOECONOMIC STATUS AND LOW 5151 03:15:47,079 --> 03:15:49,782 EDUCATIONAL ATTAINMENT. I WANT 5152 03:15:49,782 --> 03:15:50,349 TO THANK EVERYBODY TO THANK 5153 03:15:50,349 --> 03:15:51,851 EVERYONE WHO WORKED ON THIS 5154 03:15:51,851 --> 03:15:53,719 PROJECT WITH ME AND MY 5155 03:15:53,719 --> 03:15:55,655 COLLEAGUE ERIKA, WHO IS IN THE 5156 03:15:55,655 --> 03:15:58,157 FOURTH ROW, AND ALSO -- MY 5157 03:15:58,157 --> 03:16:03,763 MENTOR -- THANK YOU ALL FOR 5158 03:16:03,763 --> 03:16:06,165 HELPING ME MAKE THIS PROJECT 5159 03:16:06,165 --> 03:16:10,603 BECOME A REALITY. AND I WANT TO 5160 03:16:10,603 --> 03:16:11,204 THANK EVERYBODY WHO SHOWED UP 5161 03:16:11,204 --> 03:16:14,540 HERE TO HEAR ME PRESENT TODAY. 5162 03:16:14,540 --> 03:16:19,645 >> DR. MOLLICA: THANK YOU. NEXT 5163 03:16:19,645 --> 03:16:24,650 WILL HEAR FROM DR. ZHAND. 5164 03:16:24,650 --> 03:16:31,490 >> DR. ZAHND: GOOD AFTERNOON 5165 03:16:31,490 --> 03:16:32,124 EVERYONE. I THINK THE SEGWAY IS 5166 03:16:32,124 --> 03:16:33,860 REALLY WELL BECAUSE I AM 5167 03:16:33,860 --> 03:16:36,395 USUALLY PRESENTED ON THE SAME 5168 03:16:36,395 --> 03:16:36,896 DATA SET, JUST A SLIGHT 5169 03:16:36,896 --> 03:16:37,363 TWEAKING LOOKING AT 5170 03:16:37,363 --> 03:16:37,897 METROPOLITAN AND 5171 03:16:37,897 --> 03:16:39,999 NONMETROPOLITAN DIFFERENCES. 5172 03:16:39,999 --> 03:16:44,237 AND THE IMPACT OF THE PANDEMIC 5173 03:16:44,237 --> 03:16:44,837 ON CANCER SURVIVOR CARE, FITS 5174 03:16:44,837 --> 03:16:46,672 WITH WHAT WAS ALREADY SHARED 5175 03:16:46,672 --> 03:16:50,076 AND I DO WANT TO NOTE AN 5176 03:16:50,076 --> 03:16:50,676 APPRECIATION FOR HOW WELL THE 5177 03:16:50,676 --> 03:16:53,579 DATA IS INCLUDED RURAL URBAN 5178 03:16:53,579 --> 03:16:55,481 COMPARISONS OVER THE MANY YEARS 5179 03:16:55,481 --> 03:17:02,021 THAT IT HAS BEEN ADMINISTERED. 5180 03:17:02,021 --> 03:17:02,655 I AM A BIG FAN OF THIS ASPECT, 5181 03:17:02,655 --> 03:17:04,357 IT LEADS THE WAY IN PUBLICLY 5182 03:17:04,357 --> 03:17:05,024 AVAILABLE DATA SETS THAT HAVE A 5183 03:17:05,024 --> 03:17:06,025 RURAL VARIABLE. I WANT TO NOTE 5184 03:17:06,025 --> 03:17:07,026 THAT TO START OFF WITH. 5185 03:17:07,026 --> 03:17:11,130 A LITTLE BIT OF BACKGROUND. 5186 03:17:11,130 --> 03:17:11,764 AS WELL KNOW WHEN THE PANDEMIC 5187 03:17:11,764 --> 03:17:16,836 HIT HERE IN THE US, INITIALLY 5188 03:17:16,836 --> 03:17:19,338 IT WAS VERY MUCH HITTING URBAN 5189 03:17:19,338 --> 03:17:19,839 AREAS HARDEST BUT AS IT 5190 03:17:19,839 --> 03:17:20,406 PROGRESSED OVER TIME WE SAW 5191 03:17:20,406 --> 03:17:26,646 RURAL AREAS BECOMING 5192 03:17:26,646 --> 03:17:27,280 DISPROPORTIONALLY AFFECTED WITH 5193 03:17:27,280 --> 03:17:27,847 HIGHER HOSPITALIZATION AND 5194 03:17:27,847 --> 03:17:29,982 MORTALITY RATES, PUBLIC END OF 5195 03:17:29,982 --> 03:17:30,483 ANYBODY WHO WAS NEEDING 5196 03:17:30,483 --> 03:17:34,120 HEALTHCARE SERVICES OVER TIME 5197 03:17:34,120 --> 03:17:35,521 DURING THAT PERIOD REGARDLESS 5198 03:17:35,521 --> 03:17:36,022 OF IF THEY WERE CANCER 5199 03:17:36,022 --> 03:17:38,457 SURVIVORS OR NOT. 5200 03:17:38,457 --> 03:17:40,660 WE ALSO KNOW THAT BEING A 5201 03:17:40,660 --> 03:17:41,260 CANCER SURVIVOR PLACES PEOPLE 5202 03:17:41,260 --> 03:17:43,029 AT GREATER RISK FOR 5203 03:17:43,029 --> 03:17:44,830 COMPLICATIONS DUE TO THE 5204 03:17:44,830 --> 03:17:45,264 PANDEMIC. CVOID-19 5205 03:17:45,264 --> 03:17:49,235 SPECIFICALLY. AGAIN CREATING 5206 03:17:49,235 --> 03:17:49,835 ADDITIONAL COMPLICATIONS THAT 5207 03:17:49,835 --> 03:17:51,671 WE THINK ABOUT AND 5208 03:17:51,671 --> 03:17:52,939 CONSIDERATION WE THINK ABOUT 5209 03:17:52,939 --> 03:17:55,841 NECESSARY CARE. 5210 03:17:55,841 --> 03:17:56,342 WE KNOW THE PART OF THE 5211 03:17:56,342 --> 03:18:05,217 PANDEMIC AND DURING THE 5212 03:18:05,217 --> 03:18:05,818 PANDEMIC, DURING THE PANDEMIC 5213 03:18:05,818 --> 03:18:06,285 RULE POPULATIONS HAVE 5214 03:18:06,285 --> 03:18:08,521 CONSISTENTLY HAD LESS ACCESS TO 5215 03:18:08,521 --> 03:18:09,155 TELEHEALTH, WHETHER BROADBAND 5216 03:18:09,155 --> 03:18:10,856 ACCESS OR OTHER SOURCES OF 5217 03:18:10,856 --> 03:18:11,457 ACCESS MORE BROADLY AND LESS 5218 03:18:11,457 --> 03:18:13,225 ACCESS TO HOSPITALS THAT HAVE 5219 03:18:13,225 --> 03:18:14,894 TELEHEALTH AND CANCER CARE 5220 03:18:14,894 --> 03:18:17,330 AVAILABLE SIMULTANEOUSLY OR 5221 03:18:17,330 --> 03:18:17,830 HAVING ONE OF THE OTHER 5222 03:18:17,830 --> 03:18:19,932 AVAILABLE. 5223 03:18:19,932 --> 03:18:24,537 AT THE SAME TIME WE ALSO KNOW 5224 03:18:24,537 --> 03:18:26,973 THAT RURAL AND URBAN CANCER 5225 03:18:26,973 --> 03:18:27,573 CARE WAS NOTABLY IMPACTED BY 5226 03:18:27,573 --> 03:18:29,608 THE PANDEMIC. AND WE SAW THE 5227 03:18:29,608 --> 03:18:32,211 CONTINUUM FROM PREVENTION, 5228 03:18:32,211 --> 03:18:32,778 SCREENING, TO TREATMENT AND 5229 03:18:32,778 --> 03:18:36,082 SURVIVORSHIP CARE. SO THERE'S 5230 03:18:36,082 --> 03:18:37,249 A LOT OF CONSIDERATIONS THAT WE 5231 03:18:37,249 --> 03:18:40,519 NEED TO CONSIDER. AND OTHER 5232 03:18:40,519 --> 03:18:42,989 THINGS WE NEED TO CONSIDER IN 5233 03:18:42,989 --> 03:18:44,457 THE RELATIONSHIP BETWEEN 5234 03:18:44,457 --> 03:18:45,925 GEOGRAPHY, CANCER SURVIVORSHIP, 5235 03:18:45,925 --> 03:18:49,195 AND TREATMENT. 5236 03:18:49,195 --> 03:18:50,629 OR CARE IN GENERAL. 5237 03:18:50,629 --> 03:18:57,636 WE UTILIZED THE SIERRA HINTS 5238 03:18:57,636 --> 03:18:59,305 DATA ADMINISTERED TO CANCER 5239 03:18:59,305 --> 03:18:59,939 SURVIVORS ADMINISTERED THROUGH 5240 03:18:59,939 --> 03:19:02,908 THE IOWA -- IN NEW MEXICO 5241 03:19:02,908 --> 03:19:04,043 REGISTRY BETWEEN JANUARY AND 5242 03:19:04,043 --> 03:19:09,248 AUGUST 2021, LOOKING AT 5243 03:19:09,248 --> 03:19:09,882 SEVERAL QUESTIONS OR QUESTIONS 5244 03:19:09,882 --> 03:19:11,183 THAT A LOT OF PEOPLE ALLOWED TO 5245 03:19:11,183 --> 03:19:12,918 PROVIDE OPTIONS TO GET A SENSE 5246 03:19:12,918 --> 03:19:17,990 OF IF THE PANDEMIC HAD IMPACTED 5247 03:19:17,990 --> 03:19:20,893 THEIR TREATMENT OR FOLLOW-UP 5248 03:19:20,893 --> 03:19:22,962 CARE, AND WHETHER PEOPLE CANCEL 5249 03:19:22,962 --> 03:19:23,562 OR DELAY TREATMENT OR SHIFTED 5250 03:19:23,562 --> 03:19:24,196 TO PHONE OR TELEHEALTH AS WELL 5251 03:19:24,196 --> 03:19:28,834 AS ANY IMPACT ON PREVENTATIVE 5252 03:19:28,834 --> 03:19:37,276 OR ROUTINE CARE, AND HOW THAT 5253 03:19:37,276 --> 03:19:37,910 IMPACTED WHETHER CANCELLATIONS 5254 03:19:37,910 --> 03:19:38,511 OR DELAYS OR SHIFTS TO PHONE 5255 03:19:38,511 --> 03:19:39,111 TELEHEALTH. AND ALSO LOOKING 5256 03:19:39,111 --> 03:19:40,212 AND EXAMINING THE QUESTION 5257 03:19:40,212 --> 03:19:40,780 AROUND WHETHER PEOPLE HAVE 5258 03:19:40,780 --> 03:19:42,014 CONVERSATIONS WITH THE 5259 03:19:42,014 --> 03:19:42,548 PHYSICIANS REGARDING THE 5260 03:19:42,548 --> 03:19:47,653 INCREASED RISK DUE TO CVOID-19. 5261 03:19:47,653 --> 03:19:48,254 WE LOOKED AT THIS IS LARGELY A 5262 03:19:48,254 --> 03:19:48,888 DESCRIPTIVE ANALYSIS COMPARING 5263 03:19:48,888 --> 03:19:50,156 RURAL AND URBAN, OR 5264 03:19:50,156 --> 03:19:52,458 NONMETROPOLITAN/ METROPOLITAN 5265 03:19:52,458 --> 03:19:55,828 USES INTERCHANGEABLY HERE. 5266 03:19:55,828 --> 03:19:59,465 WHICH WE DETERMINED BY COUNTY/ 5267 03:19:59,465 --> 03:20:00,900 RURAL URBAN CODE, REGARDLESS OF 5268 03:20:00,900 --> 03:20:07,973 WHICH CODE YOU USE IF YOU 5269 03:20:07,973 --> 03:20:08,607 DICHOTOMIZED NONMETROPOLITAN A 5270 03:20:08,607 --> 03:20:09,241 DEVELOPMENT YOU GOT THE SAME 5271 03:20:09,241 --> 03:20:09,809 SAMPLE WE ACCOUNTED FOR THE 5272 03:20:09,809 --> 03:20:11,343 COMPLEX SURVEY DESIGN AND 5273 03:20:11,343 --> 03:20:15,147 WEIGHTING AND PERCENTAGES. 5274 03:20:15,147 --> 03:20:17,516 SO THIS GIVES YOU A QUICK 5275 03:20:17,516 --> 03:20:17,983 OVERVIEW OF OUR STUDY 5276 03:20:17,983 --> 03:20:21,187 CHARACTERISTICS. THIS INCLUDED 5277 03:20:21,187 --> 03:20:23,989 JUST UNDER 1200 CANCER 5278 03:20:23,989 --> 03:20:27,226 SURVIVOR, NOT THE WEIGHTED 5279 03:20:27,226 --> 03:20:29,995 SAMPLE BUT THE RAW NUMBERS 5280 03:20:29,995 --> 03:20:30,629 THERE, WHICH IS A REAL STRENGTH 5281 03:20:30,629 --> 03:20:35,334 OF THIS HINTS DATA, AND HAVING 5282 03:20:35,334 --> 03:20:35,901 THE ROBUST TOTAL NUMBER OF 5283 03:20:35,901 --> 03:20:39,672 CANCER SURVIVORS. WE HAD ABOUT 5284 03:20:39,672 --> 03:20:40,106 17% THAT WERE FROM 5285 03:20:40,106 --> 03:20:42,374 NONMETROPOLITAN COUNTIES. WE 5286 03:20:42,374 --> 03:20:50,249 ALSO SEE A HIGH PERCENTAGE OF 5287 03:20:50,249 --> 03:20:50,883 RURAL CANCER SURVIVORSHIP, WHO 5288 03:20:50,883 --> 03:20:52,852 WERE NON-HISPANIC WHITE 5289 03:20:52,852 --> 03:20:58,090 COMPARED TO URBAN, AND WE SEE 5290 03:20:58,090 --> 03:20:58,624 ABOUT THE SAME PERCENT IN 5291 03:20:58,624 --> 03:20:59,225 NONMETROPOLITAN/ METROPOLITAN 5292 03:20:59,225 --> 03:21:01,427 SURVIVORS. 5293 03:21:01,427 --> 03:21:01,994 WE BROKE THIS DOWN BY CANCER 5294 03:21:01,994 --> 03:21:02,928 CARE AND THEN PREVENTATIVE 5295 03:21:02,928 --> 03:21:03,462 CARE, AND ROUTINE CARE 5296 03:21:03,462 --> 03:21:08,134 SEPARATELY. WHEN WE LOOK AT 5297 03:21:08,134 --> 03:21:08,701 CANCER CARE, WE SEE THAT A 5298 03:21:08,701 --> 03:21:10,369 HIGHER PERCENTAGE OF 5299 03:21:10,369 --> 03:21:12,838 NONMETROPOLITAN CANCER 5300 03:21:12,838 --> 03:21:13,472 SURVIVORS INDICATED THAT THEIR 5301 03:21:13,472 --> 03:21:14,039 CARE WAS UNAFFECTED BY THE 5302 03:21:14,039 --> 03:21:17,009 PANDEMIC. WE SEE THAT JUST 5303 03:21:17,009 --> 03:21:23,149 UNDER 40%. ABOUT 15% POINTS 5304 03:21:23,149 --> 03:21:23,682 LOWER WHO HAVE THEIR CARE 5305 03:21:23,682 --> 03:21:24,250 UNAFFECTED IN METROPOLITAN 5306 03:21:24,250 --> 03:21:24,850 AREAS. 5307 03:21:24,850 --> 03:21:28,654 WE SEE RELATIVELY LITTLE 5308 03:21:28,654 --> 03:21:29,188 DIFFERENCE OR SIGNIFICANT 5309 03:21:29,188 --> 03:21:30,723 DIFFERENCE WHEN WE LOOK AT THE 5310 03:21:30,723 --> 03:21:32,191 CANCELLATIONS DUE TO THE 5311 03:21:32,191 --> 03:21:34,693 PANDEMIC, OR SHOULD SAY 5312 03:21:34,693 --> 03:21:35,261 SPECIFICALLY-- BUT WE SEE A 5313 03:21:35,261 --> 03:21:37,596 HIGHER PERCENTAGE OF 5314 03:21:37,596 --> 03:21:42,368 METROPOLITAN CANCER SURVIVORS, 5315 03:21:42,368 --> 03:21:45,037 7% HIGHER, INDICATED THE REPORT 5316 03:21:45,037 --> 03:21:45,538 WAS SHIFTED TO PHONE OR 5317 03:21:45,538 --> 03:21:48,440 TELEHEALTH DUE TO COVID. 5318 03:21:48,440 --> 03:21:49,875 LOOKING MORE SPECIFICALLY AT 5319 03:21:49,875 --> 03:21:52,211 PREVENTATIVE CARE OR ROUTINE 5320 03:21:52,211 --> 03:21:55,681 CARE VERSUS TREATMENT AND 5321 03:21:55,681 --> 03:21:59,451 FOLLOW-UP, WE SEE THERE WERE NO 5322 03:21:59,451 --> 03:22:00,019 DIFFERENCES IN THE PERCENT 5323 03:22:00,019 --> 03:22:01,820 REPORTING THAT THERE CARE WAS 5324 03:22:01,820 --> 03:22:03,222 UNAFFECTED BY THE PANDEMIC. WE 5325 03:22:03,222 --> 03:22:03,689 SEE NO DIFFERENCE IN 5326 03:22:03,689 --> 03:22:06,859 CANCELLATIONS. BUT AGAIN WE 5327 03:22:06,859 --> 03:22:13,632 SEE THAT METROPOLITAN CANCER 5328 03:22:13,632 --> 03:22:14,200 SURVIVORS REPORTED A HIGHER 5329 03:22:14,200 --> 03:22:14,700 PERCENTAGE SHIFTING TO 5330 03:22:14,700 --> 03:22:15,801 TELEHEALTH OR PHONE. 5331 03:22:15,801 --> 03:22:19,438 LOOKING SPECIFICALLY ABOUT 5332 03:22:19,438 --> 03:22:20,039 RECEIVING COMMUNICATION FROM 5333 03:22:20,039 --> 03:22:23,542 PHYSICIANS ABOUT THE RISKS OF 5334 03:22:23,542 --> 03:22:34,086 CVOID-19 FOR CANCER SURVIVORS, 5335 03:22:36,155 --> 03:22:36,555 WE SEE A NONSPECIFIC 5336 03:22:36,555 --> 03:22:37,189 SIGNIFICANCE DIFFERENCE BETWEEN 5337 03:22:37,189 --> 03:22:37,623 NONMETROPOLITAN AND 5338 03:22:37,623 --> 03:22:41,360 METROPOLITAN SURVIVORS. IT IS 5339 03:22:41,360 --> 03:22:41,894 STILL BELOW 15% FOR BOTH 5340 03:22:41,894 --> 03:22:46,899 GROUPS. 5341 03:22:46,899 --> 03:22:47,366 SO THE DISCUSSION AND 5342 03:22:47,366 --> 03:22:55,241 IMPLICATIONS OF THIS 5343 03:22:55,241 --> 03:22:55,874 NONMETROPOLITAN BULLETIN CANCER 5344 03:22:55,874 --> 03:22:56,508 SURVIVORS REPORTED LESS IMPACT 5345 03:22:56,508 --> 03:23:00,212 ON CANCER CARE. IN A LOWER 5346 03:23:00,212 --> 03:23:04,550 PERCENTAGE OF THOSE REPORTING 5347 03:23:04,550 --> 03:23:05,150 -- CANCER SURVIVORS REPORTING 5348 03:23:05,150 --> 03:23:06,318 IS SHIFTED TELEHEALTH. AND THIS 5349 03:23:06,318 --> 03:23:07,453 INVITES THE QUESTION OF WHY DID 5350 03:23:07,453 --> 03:23:10,990 THIS HAPPEN? WAS THIS MORE OF A 5351 03:23:10,990 --> 03:23:12,157 LACK OF AVAILABILITY OF 5352 03:23:12,157 --> 03:23:14,159 TELEHEALTH SERVICES OR 5353 03:23:14,159 --> 03:23:17,930 FOLLOW-UP? OR TREATMENT? OR IS 5354 03:23:17,930 --> 03:23:19,498 THERE ANOTHER REASON 5355 03:23:19,498 --> 03:23:23,502 WAS THIS A CHOICE BY THE 5356 03:23:23,502 --> 03:23:24,103 PATIENTS TO CONTINUE TO SEEK 5357 03:23:24,103 --> 03:23:31,777 THE SERVICES IN PERSON? IS AN 5358 03:23:31,777 --> 03:23:32,411 IMPORTANT QUESTION TO CONTINUE 5359 03:23:32,411 --> 03:23:38,350 TO PURSUE 5360 03:23:38,350 --> 03:23:38,884 WE SAW LAST DIFFERENCES BY 5361 03:23:38,884 --> 03:23:39,418 GEOGRAPHY BUT HARDSHIP TO 5362 03:23:39,418 --> 03:23:42,855 TELEHEALTH. WE NEED TO MAKE 5363 03:23:42,855 --> 03:23:44,857 SURE PEOPLE GET THE CARE THEY 5364 03:23:44,857 --> 03:23:45,491 NEED REGARDLESS OF IN PERSON OR 5365 03:23:45,491 --> 03:23:46,058 TELEHEALTH AND TO MAKE SURE 5366 03:23:46,058 --> 03:23:46,692 THOSE SERVICES CAN BE AVAILABLE 5367 03:23:46,692 --> 03:23:48,827 IN WAY THAT MAKES PATIENTS MOST 5368 03:23:48,827 --> 03:23:58,637 COMFORTABLE. WE ALSO AGAIN 5369 03:23:58,637 --> 03:23:59,138 FOUND RURAL PERCENTAGE 5370 03:23:59,138 --> 03:23:59,705 REGARDLESS OF GEOGRAPHY WHO 5371 03:23:59,705 --> 03:24:01,907 REPORTED RECEIVING INFORMATION 5372 03:24:01,907 --> 03:24:07,413 ABOUT CVOID-19, COMPLICATIONS 5373 03:24:07,413 --> 03:24:08,180 FOR THEIR CARE, CONTINUED 5374 03:24:08,180 --> 03:24:09,815 OPPORTUNITY FOR BETTER 5375 03:24:09,815 --> 03:24:10,416 EDUCATION FOR PATIENTS GOING 5376 03:24:10,416 --> 03:24:11,050 FORWARD MAKING SURE PEOPLE ARE 5377 03:24:11,050 --> 03:24:15,654 AWARE OF THOSE THINGS, THOSE 5378 03:24:15,654 --> 03:24:16,288 ELEMENTS THAT MIGHT PUT THEM AT 5379 03:24:16,288 --> 03:24:18,157 GREATER RISK. I APOLOGIZE FOR 5380 03:24:18,157 --> 03:24:19,992 SOME OF THE OVERLAPPING DESK. 5381 03:24:19,992 --> 03:24:20,526 THERE WERE SOME CITATIONS 5382 03:24:20,526 --> 03:24:22,628 BELOW. 5383 03:24:22,628 --> 03:24:24,963 SO IN WRAPPING UP, I DO WANT 5384 03:24:24,963 --> 03:24:31,103 TO ACKNOWLEDGE THOSE WHO WERE 5385 03:24:31,103 --> 03:24:31,737 ALSO PART OF THE STUDY. SEVERAL 5386 03:24:31,737 --> 03:24:33,105 OF US AT INSTITUTIONS THAT HAVE 5387 03:24:33,105 --> 03:24:35,708 THESE CANCER REGISTRIES. THE 5388 03:24:35,708 --> 03:24:39,178 UNIVERSITY OF IOWA, IOWA CANCER 5389 03:24:39,178 --> 03:24:42,881 REGISTRY. UCFS, THE GREATER BAY 5390 03:24:42,881 --> 03:24:48,987 AREA, ALSO FOLKS AT NCI, 5391 03:24:48,987 --> 03:24:50,222 MEETING WITH THE MONTHLY IN 5392 03:24:50,222 --> 03:24:52,124 DOING ANALYSIS ABOUT THIS 5393 03:24:52,124 --> 03:24:57,796 SIERRA HINTS SURVEY LOOKING FOR 5394 03:24:57,796 --> 03:24:58,397 ADDITIONAL USES IN THE FUTURE 5395 03:24:58,397 --> 03:25:00,299 AND WITH THAT I WILL WRAP UP. 5396 03:25:00,299 --> 03:25:01,934 AND HAPPY TO ANSWER ANY 5397 03:25:01,934 --> 03:25:02,568 QUESTIONS AT THAT POINT OF OUR 5398 03:25:02,568 --> 03:25:04,503 PANEL. FEEL FREE TO REACH OUT 5399 03:25:04,503 --> 03:25:10,242 TO ME. THANK YOU VERY MUCH. 5400 03:25:10,242 --> 03:25:12,010 >> DR. MOLLICA: THANKS VERY 5401 03:25:12,010 --> 03:25:14,513 MUCH. WE ARE GOING TO MOVE NOW 5402 03:25:14,513 --> 03:25:20,352 TO DR. MAKI. 5403 03:25:20,352 --> 03:25:25,124 >> DR. MAKI: THANK YOU. MY NAME 5404 03:25:25,124 --> 03:25:27,259 IS KRISTIN MAKI, WAYNE STATE 5405 03:25:27,259 --> 03:25:28,026 UNIVERSITY SCHOOL OF MEDICINE - 5406 03:25:28,026 --> 03:25:28,594 FACTORS ASSOCIATED WITH LUNG 5407 03:25:28,594 --> 03:25:29,194 CANCER SCREENING DISCUSSIONS 5408 03:25:29,194 --> 03:25:29,862 AMONG CANCER SURVIVORS AND 5409 03:25:29,862 --> 03:25:30,329 HEALTH PROFESSIONALS: A 5410 03:25:30,329 --> 03:25:30,896 CROSS-SECTIONAL ANALYSIS OF 5411 03:25:30,896 --> 03:25:34,967 HINTS DATA. I WOULD LIKE TO 5412 03:25:34,967 --> 03:25:35,601 THANK MY AWESOME CO-AUTHOR WHO 5413 03:25:35,601 --> 03:25:36,235 IS AT RUTGERS CANCER INSTITUTE 5414 03:25:36,235 --> 03:25:40,406 OF NEW JERSEY. WE HAVE NO 5415 03:25:40,406 --> 03:25:44,510 DISCLOSURES TO REPORT. 5416 03:25:44,510 --> 03:25:45,043 WE WERE LOOKING AT CANCER 5417 03:25:45,043 --> 03:25:48,914 SURVIVORS WITH LOOKING AT 5418 03:25:48,914 --> 03:25:50,115 CANCER SCREENING, BECAUSE 5419 03:25:50,115 --> 03:25:50,749 CANCER SURVIVORS HAVE A HIGHER 5420 03:25:50,749 --> 03:25:52,117 RISK FOR DEVELOPING A SECOND 5421 03:25:52,117 --> 03:25:53,685 PRIMARY CANCER COMPARED TO THE 5422 03:25:53,685 --> 03:25:57,156 GENERAL POPULATION UP TO 1 IN 5423 03:25:57,156 --> 03:25:58,557 12 CANCER SURVIVORS DEVELOP THE 5424 03:25:58,557 --> 03:26:01,593 SECOND PRIMARY MALIGNANCY. THAT 5425 03:26:01,593 --> 03:26:02,227 IS DIFFERENT FROM THE 5426 03:26:02,227 --> 03:26:04,930 METASTATIC CANCER, WHICH IS 5427 03:26:04,930 --> 03:26:06,799 WHEN A CANCER METASTASIZES TO A 5428 03:26:06,799 --> 03:26:09,968 DIFFERENT PART OF THE BODY. 5429 03:26:09,968 --> 03:26:10,569 THIS IS THE SECONDARY PRIMARY 5430 03:26:10,569 --> 03:26:13,172 CANCER DIAGNOSIS. 5431 03:26:13,172 --> 03:26:13,672 LUNG CANCER IS THE MOST 5432 03:26:13,672 --> 03:26:18,944 DIAGNOSED PRIMARY CANCER. THIS 5433 03:26:18,944 --> 03:26:19,411 IS POTENTIALLY DUO TO 5434 03:26:19,411 --> 03:26:21,413 OVERLAPPING RISK FACTORS 5435 03:26:21,413 --> 03:26:22,080 PARTICULARLY RELATED TO TOBACCO 5436 03:26:22,080 --> 03:26:26,051 USE. YOU SEE A LOT OF SECOND 5437 03:26:26,051 --> 03:26:27,219 PRIMARY CANCERS WITH LUNG 5438 03:26:27,219 --> 03:26:32,591 CANCER AMONG CANCER PATIENTS. 5439 03:26:32,591 --> 03:26:33,158 ALTHOUGH THERE IS A HIGHER 5440 03:26:33,158 --> 03:26:37,029 ELEVATED, HIGHER RISK FOR LUNG 5441 03:26:37,029 --> 03:26:39,331 CANCER AMONG CANCER SURVIVORS, 5442 03:26:39,331 --> 03:26:41,166 CANCER SURVIVORS ACTUALLY 5443 03:26:41,166 --> 03:26:43,268 HAVEN'T REALLY BEEN INCLUDED IN 5444 03:26:43,268 --> 03:26:44,069 THE LUNG CANCER SCREENING 5445 03:26:44,069 --> 03:26:48,640 TRIALS VERY CONSISTENTLY. SO 5446 03:26:48,640 --> 03:26:49,208 WE DON'T KNOW HOW WELL LUNG 5447 03:26:49,208 --> 03:26:52,845 CANCER SCREENING WORKS, AND AT 5448 03:26:52,845 --> 03:26:54,246 WHAT INTERVALS FOR CANCER 5449 03:26:54,246 --> 03:26:54,780 SURVIVORS COMPARED TO THE 5450 03:26:54,780 --> 03:27:00,385 GENERAL POPULATION. BIGGEST 5451 03:27:00,385 --> 03:27:00,986 LUNG CANCER SCREENING TRIAL, 5452 03:27:00,986 --> 03:27:03,355 THE NATIONAL LUNG SCREENING 5453 03:27:03,355 --> 03:27:03,856 TRIAL, THE RESULTS WERE 5454 03:27:03,856 --> 03:27:05,457 PUBLISHED IN 2011 AND IT SHOWED 5455 03:27:05,457 --> 03:27:07,893 THAT ANNUAL SCREENING WITH CT 5456 03:27:07,893 --> 03:27:10,429 SCANS IS EFFECTIVE FOR REDUCING 5457 03:27:10,429 --> 03:27:11,763 LUNG CANCER DEATH BY ABOUT 20% 5458 03:27:11,763 --> 03:27:12,331 FOR PEOPLE WHO WERE IN THE 5459 03:27:12,331 --> 03:27:14,366 ELIGIBLE POPULATION. BUT LIKE 5460 03:27:14,366 --> 03:27:16,068 I SAID CANCER SURVIVORS WERE 5461 03:27:16,068 --> 03:27:17,636 NOT NECESSARILY INCLUDED IN 5462 03:27:17,636 --> 03:27:20,239 THAT TRIAL SO WE DON'T KNOW HOW 5463 03:27:20,239 --> 03:27:22,274 OFTEN IT MIGHT BE EFFECTIVE FOR 5464 03:27:22,274 --> 03:27:25,010 CANCER SURVIVORS. 5465 03:27:25,010 --> 03:27:25,477 AS A RESULT THE CURRENT 5466 03:27:25,477 --> 03:27:26,044 GUIDELINES FOR LUNG CANCER 5467 03:27:26,044 --> 03:27:27,279 SCREENING 5468 03:27:27,279 --> 03:27:29,047 DO NOT INCLUDE CANCER SURVIVORS 5469 03:27:29,047 --> 03:27:29,648 DIFFERENTLY FROM THE GENERAL 5470 03:27:29,648 --> 03:27:32,451 POPULATION. AND AS A RESULT OF 5471 03:27:32,451 --> 03:27:34,987 THIS, THIS AFFECTS THE 5472 03:27:34,987 --> 03:27:36,021 POTENTIAL HEALTH INSURANCE 5473 03:27:36,021 --> 03:27:39,258 COVERAGE AND SCREENING. AND SO 5474 03:27:39,258 --> 03:27:40,959 THE HEALTH INSURANCE COVERAGE 5475 03:27:40,959 --> 03:27:43,061 TENDS TO OVERLAP THE GENERAL 5476 03:27:43,061 --> 03:27:43,862 POPULATION FOR ADULTS WHO ARE 5477 03:27:43,862 --> 03:27:46,098 BETWEEN 50-80 YEARS OLD 5478 03:27:46,098 --> 03:27:49,067 COMPARED TO USING STANDARD 5479 03:27:49,067 --> 03:27:52,471 SERVICES (INDISCERNIBLE) -- 5480 03:27:52,471 --> 03:27:53,372 YEARS OR CALCULATING BY 5481 03:27:53,372 --> 03:27:56,942 MULTIPLYING THE AVERAGE NUMBER 5482 03:27:56,942 --> 03:28:02,114 OF PACKS THE PERSON SMOKES PER 5483 03:28:02,114 --> 03:28:02,748 DAY BY THE NUMBER OF YEARS THEY 5484 03:28:02,748 --> 03:28:05,651 SMOKED. THAT COVERAGE TEND TO 5485 03:28:05,651 --> 03:28:08,420 OVERLAP WITH THOSE GUIDELINES. 5486 03:28:08,420 --> 03:28:10,422 FOR THIS PROJECT WE WANTED TO 5487 03:28:10,422 --> 03:28:10,923 ASSESS HOW MANY CANCER 5488 03:28:10,923 --> 03:28:12,190 SURVIVORS HAVE DISCUSSED LOW 5489 03:28:12,190 --> 03:28:16,728 DOSE CT SCANS WITH A HEALTH 5490 03:28:16,728 --> 03:28:17,329 PROFESSIONAL IN THE PAST 12 5491 03:28:17,329 --> 03:28:19,498 MONTHS. WE WANTED TO EXAMINE 5492 03:28:19,498 --> 03:28:20,566 WHAT FACTORS WERE ASSOCIATED 5493 03:28:20,566 --> 03:28:23,602 WITH HAVING THIS DISCUSSION. 5494 03:28:23,602 --> 03:28:24,169 AND CANNOT LIKE I MENTIONED 5495 03:28:24,169 --> 03:28:24,970 BEFORE, WE WERE EXPECTING TO 5496 03:28:24,970 --> 03:28:26,238 SEE SOME OVERLAP BASED ON 5497 03:28:26,238 --> 03:28:29,041 CANCER TYPES. FOR INSTANCE WE 5498 03:28:29,041 --> 03:28:32,177 EXPECTED THAT PEOPLE WHO WERE 5499 03:28:32,177 --> 03:28:33,712 SURVIVORS OF HEAD AND NECK 5500 03:28:33,712 --> 03:28:34,279 CANCER MIGHT HAVE HAD THIS 5501 03:28:34,279 --> 03:28:35,480 DISCUSSION MORE SO THAN PEOPLE 5502 03:28:35,480 --> 03:28:36,481 WHO HAD OTHER TYPES OF CANCER 5503 03:28:36,481 --> 03:28:40,185 DIDN'T HAVE SUCH A CLOSE 5504 03:28:40,185 --> 03:28:41,587 OVERLAP WITH RISK FACTORS. WE 5505 03:28:41,587 --> 03:28:45,991 USE THE HINTS 6 DATA COLLECTED 5506 03:28:45,991 --> 03:28:47,192 BETWEEN MARCH AND NOVEMBER 2022. 5507 03:28:47,192 --> 03:28:51,263 AND WE INCLUDED ADULTS WHO MET 5508 03:28:51,263 --> 03:29:00,238 TO SOME EXTENT OVERLAP OF THE 5509 03:29:00,238 --> 03:29:00,772 CURRENT MATERIAL FOR LONG 5510 03:29:00,772 --> 03:29:01,340 CANCER SCREENING GUIDELINES 5511 03:29:01,340 --> 03:29:01,773 BECAUSE WE THOUGHT 5512 03:29:01,773 --> 03:29:02,741 (INDISCERNIBLE). 5513 03:29:02,741 --> 03:29:08,180 WE INCLUDED ADULTS WHO WERE 5514 03:29:08,180 --> 03:29:13,285 50-80 YEARS OLD. PEOPLE WHO HAD 5515 03:29:13,285 --> 03:29:13,919 SMOKE 100 OR MORE CIGARETTES IN 5516 03:29:13,919 --> 03:29:14,486 THEIR LIFETIME WHICH GETS A 5517 03:29:14,486 --> 03:29:16,288 LEVEL OF SMOKE INTENSITY, AND 5518 03:29:16,288 --> 03:29:16,822 INCLUDED PEOPLE WHO WERE 5519 03:29:16,822 --> 03:29:17,289 DIAGNOSED WITH CANCER 5520 03:29:17,289 --> 03:29:18,323 PREVIOUSLY. 5521 03:29:18,323 --> 03:29:20,559 WE INCLUDED PEOPLE WHO HAD 5522 03:29:20,559 --> 03:29:21,193 PREVIOUSLY BEEN DIAGNOSED WITH 5523 03:29:21,193 --> 03:29:23,729 LUNG CANCER BECAUSE WE THOUGHT 5524 03:29:23,729 --> 03:29:24,596 THERE WAS A GREAT CHANCE OF 5525 03:29:24,596 --> 03:29:25,731 THEM HAVING DISCUSSED LUNG 5526 03:29:25,731 --> 03:29:26,365 CANCER SCREENING WITH A HEALTH 5527 03:29:26,365 --> 03:29:26,832 PROFESSIONAL. 5528 03:29:26,832 --> 03:29:32,537 WE USED "R" STUDIO USING THE 5529 03:29:32,537 --> 03:29:34,339 SURVEY PACKAGE TO ACCOUNT FOR 5530 03:29:34,339 --> 03:29:35,741 THIS DATA DESIGN AND THE 5531 03:29:35,741 --> 03:29:37,709 PRIMARY OUTCOME VARIABLE WAS 5532 03:29:37,709 --> 03:29:39,645 WHAT I HAVE ON THE SCREEN. SO 5533 03:29:39,645 --> 03:29:41,813 ANYTIME IN THE PAST YEAR, THE 5534 03:29:41,813 --> 03:29:42,414 DOCTOR OR HEALTH PROFESSIONAL 5535 03:29:42,414 --> 03:29:45,550 TALK WITH YOU ABOUT HAVING A 5536 03:29:45,550 --> 03:29:48,654 LOW-DOSE CT SCAN TO CHECK FOR 5537 03:29:48,654 --> 03:29:49,087 LUNG CANCER? 5538 03:29:49,087 --> 03:29:49,655 THE OTHER VARIABLES THAT WE 5539 03:29:49,655 --> 03:29:51,390 INCLUDED IN OUR ANALYSIS WHICH 5540 03:29:51,390 --> 03:29:57,696 WE USED LOGISTIC REGRESSION, 5541 03:29:57,696 --> 03:30:01,166 WERE AGE, SEX, RACE AND 5542 03:30:01,166 --> 03:30:02,200 ETHNICITY. EDUCATION AND 5543 03:30:02,200 --> 03:30:04,870 INCOME, REGION OF THE US PEOPLE 5544 03:30:04,870 --> 03:30:08,507 IN, HEALTH STATUS, SMOKING 5545 03:30:08,507 --> 03:30:12,744 STATUS, AND WE CHOSE THESE 5546 03:30:12,744 --> 03:30:13,378 VARIABLES DUE TO THE POTENTIAL 5547 03:30:13,378 --> 03:30:14,012 OVERLAP IN ASSOCIATIONS BETWEEN 5548 03:30:14,012 --> 03:30:17,049 THESE VARIABLES OF LUNG CANCER. 5549 03:30:17,049 --> 03:30:20,218 MY RESULTS. WE ENDED UP WITH 5550 03:30:20,218 --> 03:30:23,488 ABOUT 7.5 MILLION RESPONSES. 5551 03:30:23,488 --> 03:30:26,425 MOST WERE WHITE. THE AVERAGE 5552 03:30:26,425 --> 03:30:27,292 AGE WAS ABOUT 67 YEARS OLD, 5553 03:30:27,292 --> 03:30:30,395 WHICH WOULD BE IN WITH THE 5554 03:30:30,395 --> 03:30:32,831 AVERAGE AGE FOR PEOPLE WHO 5555 03:30:32,831 --> 03:30:33,432 MIGHT BE DIAGNOSED WITH LUNG 5556 03:30:33,432 --> 03:30:35,300 CANCER. WE WERE SURPRISED TO 5557 03:30:35,300 --> 03:30:38,170 FIND THAT MOST OF THEM DID NOT 5558 03:30:38,170 --> 03:30:38,770 DISCUSS LUNG CANCER SCREENING 5559 03:30:38,770 --> 03:30:41,907 WITH THEIR HEALTH PROFESSIONAL. 5560 03:30:41,907 --> 03:30:43,075 AND IN OUR LOGISTIC REGRESSION 5561 03:30:43,075 --> 03:30:46,111 RESULTS, WE SAW THAT AGE OR 5562 03:30:46,111 --> 03:30:51,383 PEOPLE WHO WERE BETWEEN 75-80 5563 03:30:51,383 --> 03:30:51,983 YEARS WAS ASSOCIATED WITH AN 5564 03:30:51,983 --> 03:30:52,684 INCREASED LIKELIHOOD OF HAVING 5565 03:30:52,684 --> 03:30:53,251 THIS DISCUSSION ABOUT LUNG 5566 03:30:53,251 --> 03:30:54,953 CANCER SCREENING. 5567 03:30:54,953 --> 03:30:55,554 THE INTERESTING THING WAS THAT 5568 03:30:55,554 --> 03:31:01,827 PEOPLE WHO WERE BETWEEN 75-80 5569 03:31:01,827 --> 03:31:02,461 YEARS OLD WERE AT THE UPPER END 5570 03:31:02,461 --> 03:31:03,261 OF THE SPECTRUM FOR PEOPLE WHO 5571 03:31:03,261 --> 03:31:04,362 MIGHT BENEFIT FROM LUNG CANCER 5572 03:31:04,362 --> 03:31:05,797 SCREENING. AND THIS GOES 5573 03:31:05,797 --> 03:31:08,300 OUTSIDE SOME OF THE INSURANCE 5574 03:31:08,300 --> 03:31:10,102 COVERAGE. FOR INSTANCE CMS -- 5575 03:31:10,102 --> 03:31:13,739 -- THEIR CRITERIA FOR COVERAGE 5576 03:31:13,739 --> 03:31:17,275 ENDS AT 77 YEARS. PEOPLE WHO 5577 03:31:17,275 --> 03:31:20,779 ARE 50-77 YEARS CAN BE COVERED 5578 03:31:20,779 --> 03:31:24,616 FOR LUNG CANCER SCREENING. 5579 03:31:24,616 --> 03:31:25,183 WITHIN THIS AGE GROUP ONLY 5580 03:31:25,183 --> 03:31:26,852 ABOUT HALF WOULD POTENTIALLY 5581 03:31:26,852 --> 03:31:28,086 HAVE THAT SCREENING COVERED, IF 5582 03:31:28,086 --> 03:31:30,555 THEY WERE COVERED BY MEDICARE. 5583 03:31:30,555 --> 03:31:31,289 WITHOUT THAT WAS REALLY 5584 03:31:31,289 --> 03:31:35,260 INTERESTING, MAYBE BECAUSE OF 5585 03:31:35,260 --> 03:31:36,995 THIS POTENTIAL DOWNSIDE OF NOT 5586 03:31:36,995 --> 03:31:38,730 BEING COVERED FOR LUNG CANCER 5587 03:31:38,730 --> 03:31:41,333 SCREENING BY INSURANCE. MAYBE 5588 03:31:41,333 --> 03:31:41,933 THAT IS WHY THEY WERE TALKING 5589 03:31:41,933 --> 03:31:43,301 ABOUT IT. WE WERE NOT SURE BUT 5590 03:31:43,301 --> 03:31:43,769 WE DID THINK THAT WAS 5591 03:31:43,769 --> 03:31:46,338 INTERESTING. 5592 03:31:46,338 --> 03:31:46,972 WE ALSO SAW-- AND THIS IS LESS 5593 03:31:46,972 --> 03:31:50,208 SURPRISING-- THAT PEOPLE WHO 5594 03:31:50,208 --> 03:31:51,510 CURRENTLY SMOKE WERE ALSO MORE 5595 03:31:51,510 --> 03:31:52,444 LIKELY TO DISCUSS LUNG CANCER 5596 03:31:52,444 --> 03:31:52,978 SCREENING WITH A HEALTH 5597 03:31:52,978 --> 03:31:55,247 PROFESSIONAL. THIS IS 5598 03:31:55,247 --> 03:31:57,649 IMPORTANT BECAUSE SMOKING 5599 03:31:57,649 --> 03:31:58,683 CESSATION IS INCLUDED IN THE 5600 03:31:58,683 --> 03:31:59,551 SHARED DECISION-MAKING 5601 03:31:59,551 --> 03:32:02,621 REQUIREMENT BY CMS IS ONE OF 5602 03:32:02,621 --> 03:32:04,089 THE THINGS THAT NEEDS TO BE 5603 03:32:04,089 --> 03:32:07,626 DISCUSSED DURING A LUNG CANCER 5604 03:32:07,626 --> 03:32:08,360 SCREENING. SHARED 5605 03:32:08,360 --> 03:32:11,763 DECISION-MAKING CONSULTATION. 5606 03:32:11,763 --> 03:32:12,364 AND PRIOR RESEARCH HAS SHOWN 5607 03:32:12,364 --> 03:32:13,365 THAT SMOKING CESSATION 5608 03:32:13,365 --> 03:32:13,932 COUNSELING IS A REALLY GOOD 5609 03:32:13,932 --> 03:32:14,699 OPPORTUNITY FOR BRINGING UP 5610 03:32:14,699 --> 03:32:16,601 LUNG CANCER SCREENING WITH 5611 03:32:16,601 --> 03:32:19,604 PEOPLE. SO IT'S NOT SURPRISING 5612 03:32:19,604 --> 03:32:21,773 THAT WE HAVE THAT RESULT. 5613 03:32:21,773 --> 03:32:22,340 I WILL SAY WE WERE SURPRISED 5614 03:32:22,340 --> 03:32:25,477 TO SEE THAT WE DID NOT HAVE ANY 5615 03:32:25,477 --> 03:32:26,111 SIGNIFICANT ASSOCIATIONS BASED 5616 03:32:26,111 --> 03:32:28,079 IN CANCER TYPES. WE WERE 5617 03:32:28,079 --> 03:32:28,647 SURPRISED BUT WE DO NOT SEE 5618 03:32:28,647 --> 03:32:37,222 THAT. 5619 03:32:37,222 --> 03:32:37,823 SOME OF THE LIMITATIONS OF OUR 5620 03:32:37,823 --> 03:32:38,490 ANALYSIS WERE THAT THIS WAS A 5621 03:32:38,490 --> 03:32:39,057 CROSS-SECTIONAL ANALYSIS OF 5622 03:32:39,057 --> 03:32:44,196 SELF-REPORTED DATA. PEOPLE 5623 03:32:44,196 --> 03:32:50,402 COULD FORGET, OR SAY I'VE NEVER 5624 03:32:50,402 --> 03:32:51,036 HEARD OF THIS TEST OR I AM NOT 5625 03:32:51,036 --> 03:32:54,272 SURE. WE INCLUDED THOSE AS NO. 5626 03:32:54,272 --> 03:32:55,507 WE ALSO WERE NOT ABLE TO 5627 03:32:55,507 --> 03:32:58,443 CALCULATE (INDISCERNIBLE) 5628 03:32:58,443 --> 03:32:59,711 RESCREENING ELIGIBILITY TO 5629 03:32:59,711 --> 03:33:01,313 ASSESS WHETHER PARTICIPANTS 5630 03:33:01,313 --> 03:33:04,549 RECEIVED THE LAW THOSE CT LUNG 5631 03:33:04,549 --> 03:33:05,183 CANCER SCREENING IN THE FUTURE 5632 03:33:05,183 --> 03:33:08,220 WOULD LOVE IT IF HINTS CONCLUDE 5633 03:33:08,220 --> 03:33:09,321 THE SMOKING INTENSITY VARIABLES 5634 03:33:09,321 --> 03:33:10,889 THAT WOULD ALLOW YOU TO 5635 03:33:10,889 --> 03:33:18,063 CALCULATE THE PAC YEARS 5636 03:33:18,063 --> 03:33:18,597 (PHONETIC) TO SEE WHETHER 5637 03:33:18,597 --> 03:33:19,231 ELIGIBILITY OF PEOPLE WHO WERE 5638 03:33:19,231 --> 03:33:20,065 TALKING WITH THE HEALTH 5639 03:33:20,065 --> 03:33:20,699 PROFESSIONAL, IF THEY WOULD BE 5640 03:33:20,699 --> 03:33:21,299 ELIGIBLE FOR THIS AND I WOULD 5641 03:33:21,299 --> 03:33:23,735 LOVE TO SEE THAT IN THE FUTURE. 5642 03:33:23,735 --> 03:33:24,336 IT WOULD ALSO BE REALLY NICE 5643 03:33:24,336 --> 03:33:26,238 IF WE COULD ASSESS WHETHER 5644 03:33:26,238 --> 03:33:26,838 PEOPLE ACTUALLY RECEIVED THE 5645 03:33:26,838 --> 03:33:28,540 SCREENING OR NOT. THAT WAS ONE 5646 03:33:28,540 --> 03:33:29,741 OF THE LIMITATIONS IN OUR 5647 03:33:29,741 --> 03:33:31,476 ANALYSIS. 5648 03:33:31,476 --> 03:33:33,545 OVERALL, OUR RESULTS SHOWED 5649 03:33:33,545 --> 03:33:35,380 THE DISCUSSIONS ABOUT LUNG 5650 03:33:35,380 --> 03:33:36,181 CANCER SCREENING ARE NOT 5651 03:33:36,181 --> 03:33:37,449 ROUTINELY HAPPENING AMONG LUNG 5652 03:33:37,449 --> 03:33:40,051 CANCER SURVIVORS. THIS 5653 03:33:40,051 --> 03:33:42,120 ACTUALLY PROBABLY REPLICATES 5654 03:33:42,120 --> 03:33:42,721 WHAT HAPPENS WITH THE GENERAL 5655 03:33:42,721 --> 03:33:43,922 POPULATION FROM SOME RECENT 5656 03:33:43,922 --> 03:33:45,457 WORK THAT I HAVE DONE WITH 5657 03:33:45,457 --> 03:33:48,093 COMMITTEE MEMBERS. INCLUDING 5658 03:33:48,093 --> 03:33:58,603 SOME CANCER SURVIVORS. PEOPLE 5659 03:34:00,705 --> 03:34:01,273 ARE NOT VERY FAMILIAR WITH LUNG 5660 03:34:01,273 --> 03:34:01,840 CANCER SCREENING INCLUDING 5661 03:34:01,840 --> 03:34:02,407 PEOPLE THAT HAVE HAD OTHER 5662 03:34:02,407 --> 03:34:04,409 CANCER DIAGNOSIS. PEOPLE ARE 5663 03:34:04,409 --> 03:34:05,010 ROUTINELY NOT DISCUSSING THAT 5664 03:34:05,010 --> 03:34:06,678 WITH HEALTH PROFESSIONALS BUT 5665 03:34:06,678 --> 03:34:08,513 THIS MIGHT LEAD TO DISPARITIES 5666 03:34:08,513 --> 03:34:15,453 AMONG LUNG CANCER MORTALITY 5667 03:34:15,453 --> 03:34:15,987 AMONG THE CANCER SURVIVOR 5668 03:34:15,987 --> 03:34:16,621 GROUP, PEOPLE WHO MIGHT REALLY 5669 03:34:16,621 --> 03:34:17,289 BENEFIT FROM THIS HAVE NOT BEEN 5670 03:34:17,289 --> 03:34:18,290 INCLUDED IN THAT. HOPEFULLY IN 5671 03:34:18,290 --> 03:34:18,723 THE FUTURE WILL SEE 5672 03:34:18,723 --> 03:34:20,225 IMPROVEMENTS ON THAT AS WELL AS 5673 03:34:20,225 --> 03:34:23,528 BEING ABLE TO TRACK THIS MOST 5674 03:34:23,528 --> 03:34:24,095 RECENT SCREENING. WITH THAT 5675 03:34:24,095 --> 03:34:26,464 THANK YOU FOR YOUR TIME. 5676 03:34:26,464 --> 03:34:27,165 >> 5677 03:34:27,165 --> 03:34:28,700 >> DR. MOLLICA: THANK YOU SO 5678 03:34:28,700 --> 03:34:33,238 MUCH. AND WE WILL FINISH WITH 5679 03:34:33,238 --> 03:34:37,108 DR. CHRISTOPHER WHELDON. 5680 03:34:37,108 --> 03:34:41,146 >> DR. WHELDON: GOOD AFTERNOON. 5681 03:34:41,146 --> 03:34:42,881 TODAY I AM GOING TO TALK ABOUT 5682 03:34:42,881 --> 03:34:44,516 PERCEIVED SOCIAL ISOLATION 5683 03:34:44,516 --> 03:34:47,719 AMONG CANCER SURVIVORS. AND I 5684 03:34:47,719 --> 03:34:48,353 HAVE ONE DISCLOSURE. THIS IS A 5685 03:34:48,353 --> 03:34:49,821 NEW AREA OF RESEARCH FOR ME. I 5686 03:34:49,821 --> 03:34:50,855 AM REALLY OPEN TO YOUR FEEDBACK 5687 03:34:50,855 --> 03:34:54,092 ABOUT WHAT I SHOULD INCLUDE. 5688 03:34:54,092 --> 03:34:56,928 THE MODEL I JUST THOUGHT ABOUT. 5689 03:34:56,928 --> 03:35:01,633 THIS IS A WORK IN PROGRESS. 5690 03:35:01,633 --> 03:35:02,233 PERCEIVE SOCIAL ISOLATION OR 5691 03:35:02,233 --> 03:35:03,935 LONELINESS HAS REALLY GAINED A 5692 03:35:03,935 --> 03:35:05,937 LOT OF ATTENTION IN THE LAST 5693 03:35:05,937 --> 03:35:06,471 YEAR, ESPECIALLY FROM THE 5694 03:35:06,471 --> 03:35:07,272 OFFICE OF THE SURGEON GENERAL 5695 03:35:07,272 --> 03:35:11,776 WHO HAS RELEASED A REPORT 5696 03:35:11,776 --> 03:35:12,277 TITLED "THE EPIDEMIC OF 5697 03:35:12,277 --> 03:35:12,777 LONELINESS AND SOCIAL 5698 03:35:12,777 --> 03:35:15,246 ISOLATION," AND HAS PROMOTED 5699 03:35:15,246 --> 03:35:17,015 THIS NEW VARIETY OF DIFFERENT 5700 03:35:17,015 --> 03:35:18,917 CONTEXTS. IF YOU GO TO THE 5701 03:35:18,917 --> 03:35:19,517 SURGEON GENERAL WEBSITE THEY 5702 03:35:19,517 --> 03:35:21,786 HAVE AN ACTION PLAN FOR 5703 03:35:21,786 --> 03:35:22,354 BUILDING SOCIAL CONNECTIONS 5704 03:35:22,354 --> 03:35:22,921 AMONG PEOPLE IN THE UNITED 5705 03:35:22,921 --> 03:35:25,156 STATES. AND THIS IS ONE OF THE 5706 03:35:25,156 --> 03:35:27,192 PRIORITY AREAS. 5707 03:35:27,192 --> 03:35:30,729 I SHOWED THIS TO GET TO MY 5708 03:35:30,729 --> 03:35:31,329 UNDERGRAD STUDENTS GET REALLY 5709 03:35:31,329 --> 03:35:33,064 MAD ABOUT IT. BECAUSE IT 5710 03:35:33,064 --> 03:35:33,732 REALLY SHOWS HOW THE INDICATORS 5711 03:35:33,732 --> 03:35:36,001 OF LONELINESS VARY AT DIFFERENT 5712 03:35:36,001 --> 03:35:41,406 GENERATIONS. SO IT'S KIND OF 5713 03:35:41,406 --> 03:35:41,973 HARD TO TELL THE DIFFERENCE 5714 03:35:41,973 --> 03:35:45,677 BETWEEN THE TWO, THE GREATEST 5715 03:35:45,677 --> 03:35:46,244 GENERATION WHICH IS IN DARK 5716 03:35:46,244 --> 03:35:50,648 BLUE IN THE DARK BLUE GENZ, IS 5717 03:35:50,648 --> 03:35:51,182 A YOUNGER GENERATION THE 5718 03:35:51,182 --> 03:35:52,684 REPORTS HIGHER LEVELS OF THESE 5719 03:35:52,684 --> 03:35:55,353 INDICATORS OF LONELINESS. THIS 5720 03:35:55,353 --> 03:35:55,987 IS COUNTERINTUITIVE TO WHAT WE 5721 03:35:55,987 --> 03:35:58,223 MIGHT THINK, MAYBE SOMETHING 5722 03:35:58,223 --> 03:35:58,723 THE OLDER GENERATION IS 5723 03:35:58,723 --> 03:36:00,792 EXPENSING. 5724 03:36:00,792 --> 03:36:01,259 IT'S SORT OF A LINEAR 5725 03:36:01,259 --> 03:36:03,928 RELATIONSHIP HERE WHERE YOU SEE 5726 03:36:03,928 --> 03:36:04,596 THAT THE YOUNGER THE GENERATION 5727 03:36:04,596 --> 03:36:06,865 IS, THE MORE INDICATORS OF 5728 03:36:06,865 --> 03:36:09,200 LONELINESS THEY ARE 5729 03:36:09,200 --> 03:36:12,971 EXPERIENCING. 5730 03:36:12,971 --> 03:36:13,571 IN FACT IN PEOPLE BETWEEN THE 5731 03:36:13,571 --> 03:36:15,206 AGES OF 18 AND 24 OR ABOUT 5732 03:36:15,206 --> 03:36:20,712 TWICE AS LONELY AS SENIORS WHO 5733 03:36:20,712 --> 03:36:29,988 ARE 65 YEARS OF AGE OR OLDER. 5734 03:36:29,988 --> 03:36:30,555 THIS IS A REPORT PUT OUT BY 5735 03:36:30,555 --> 03:36:31,990 THE NATIONAL ACADEMY OF 5736 03:36:31,990 --> 03:36:32,524 SCIENCES, ENGINEERING AND 5737 03:36:32,524 --> 03:36:33,158 MEDICINE. AND IT'S IMPORTANT TO 5738 03:36:33,158 --> 03:36:33,725 DISTINGUISH BETWEEN SOCIAL 5739 03:36:33,725 --> 03:36:34,359 ISOLATION-- MY TALK WAS PROCEED 5740 03:36:34,359 --> 03:36:36,628 BECAUSE I FORGOT TO PUT 5741 03:36:36,628 --> 03:36:40,498 "PERCEIVED" IN THE TITLE-- 5742 03:36:40,498 --> 03:36:41,132 SOCIAL ISOLATION IS DEFINED AS 5743 03:36:41,132 --> 03:36:42,567 THE OBJECTIVE LACK OF SOCIAL 5744 03:36:42,567 --> 03:36:44,502 CONTACTS. THAT IS FEWER NETWORK 5745 03:36:44,502 --> 03:36:45,103 TIES, OR IN FREQUENT CONTACT 5746 03:36:45,103 --> 03:36:45,670 WITH THOSE PEOPLE IN YOUR 5747 03:36:45,670 --> 03:36:49,040 NETWORK. 5748 03:36:49,040 --> 03:36:49,641 WHEREAS LONELINESS IS SORT OF 5749 03:36:49,641 --> 03:36:50,241 THAT SUBJECTIVE EXPERIENCE OF 5750 03:36:50,241 --> 03:36:51,776 FEELING LONELY. SO YOU CAN 5751 03:36:51,776 --> 03:36:52,977 IMAGINE THAT THESE ARE HIGHLY 5752 03:36:52,977 --> 03:36:53,611 RELATED TO EACH OTHER BUT THEY 5753 03:36:53,611 --> 03:36:55,146 ARE DISTINCT. AND SOMEONE 5754 03:36:55,146 --> 03:36:57,248 COULD HAVE HIGH OR LOW SOCIAL 5755 03:36:57,248 --> 03:36:58,750 ISOLATION BUT STILL HAVE HIGH 5756 03:36:58,750 --> 03:37:01,186 LEVELS OF LONELINESS. 5757 03:37:01,186 --> 03:37:02,654 THIS IS SORT OF THE CONCEPTUAL 5758 03:37:02,654 --> 03:37:04,522 FRAMEWORK. I THINK THE 5759 03:37:04,522 --> 03:37:04,989 WORKAROUND IS REALLY 5760 03:37:04,989 --> 03:37:06,157 INTERESTING. IS SORT OF 5761 03:37:06,157 --> 03:37:10,195 ONGOING NOW. HOW DO WE 5762 03:37:10,195 --> 03:37:13,298 CONCEPTUALIZE SORT OF THESE 5763 03:37:13,298 --> 03:37:13,898 CONCEPTS AND MEASURE THEM IN 5764 03:37:13,898 --> 03:37:16,901 OUR SURVEY RESEARCH? SO NASM IS 5765 03:37:16,901 --> 03:37:18,203 FRAMED AS SOCIAL CONNECTIONS 5766 03:37:18,203 --> 03:37:20,338 HAVE STRUCTURAL COMPONENTS. IF 5767 03:37:20,338 --> 03:37:22,507 YOU THINK OF YOUR SOCIAL 5768 03:37:22,507 --> 03:37:23,041 NETWORK, HOW MANY SOCIAL 5769 03:37:23,041 --> 03:37:25,410 CONTEXT YOU HAVE? HOW DENSE IS 5770 03:37:25,410 --> 03:37:26,778 THAT SOCIAL NETWORK? THE 5771 03:37:26,778 --> 03:37:30,148 STRUCTURE AROUND IT. AND IT 5772 03:37:30,148 --> 03:37:31,116 HAS FUNCTIONAL QUALITIES 5773 03:37:31,116 --> 03:37:32,951 PROVIDING SOCIAL SUPPORT AND 5774 03:37:32,951 --> 03:37:34,319 FEELINGS OF PERCEIVED 5775 03:37:34,319 --> 03:37:36,521 LONELINESS AS A PART OF THE 5776 03:37:36,521 --> 03:37:37,622 FUNCTION. AND OBVIOUSLY THOSE 5777 03:37:37,622 --> 03:37:38,156 RELATIONSHIPS CAN VARY BY 5778 03:37:38,156 --> 03:37:39,657 QUALITY. 5779 03:37:39,657 --> 03:37:41,059 BUT I WAS REALLY INTERESTED IN 5780 03:37:41,059 --> 03:37:44,229 LOOKING AT THESE THREE. HOW 5781 03:37:44,229 --> 03:37:47,165 SOCIAL ISOLATION IS RELATED TO 5782 03:37:47,165 --> 03:37:48,266 LONELINESS, AND WHAT ARE THE 5783 03:37:48,266 --> 03:37:48,900 STRUCTURAL VARIABLES OF MARITAL 5784 03:37:48,900 --> 03:37:51,035 STATUS. AND THAT IS WHAT I 5785 03:37:51,035 --> 03:37:54,439 WAS-- WELL THIS IS THE 5786 03:37:54,439 --> 03:37:59,944 INDIVIDUAL. 5787 03:37:59,944 --> 03:38:00,545 THEY ALSO PROPOSE THAT WE LOOK 5788 03:38:00,545 --> 03:38:01,179 AT THESE VARIABLES OF MULTIPLE 5789 03:38:01,179 --> 03:38:02,013 LEVELS OF INFLUENCE. AND FOR 5790 03:38:02,013 --> 03:38:02,614 THE STUDY ONLY LOOKED AT THE 5791 03:38:02,614 --> 03:38:04,916 INDIVIDUAL LEVEL. AND AS YOU 5792 03:38:04,916 --> 03:38:05,517 SEE IN THE SOCIAL CONNECTIONS 5793 03:38:05,517 --> 03:38:07,619 BOX, IT IS PROPOSED THAT THESE 5794 03:38:07,619 --> 03:38:08,219 THINGS ARE HIGHLY CORRELATED 5795 03:38:08,219 --> 03:38:10,655 WITH EACH OTHER: SOCIAL 5796 03:38:10,655 --> 03:38:11,189 ISOLATION, LONELINESS AND 5797 03:38:11,189 --> 03:38:14,759 SOCIAL SUPPORT. 5798 03:38:14,759 --> 03:38:15,326 HOWEVER THE RISK FACTORS FOR 5799 03:38:15,326 --> 03:38:15,894 EACH OF THOSE CONSTRUCTS ON 5800 03:38:15,894 --> 03:38:19,030 THEIR OWN COULD VERY. AND 5801 03:38:19,030 --> 03:38:19,497 THERE IS SOME REALLY 5802 03:38:19,497 --> 03:38:20,098 INTERESTING WORK DONE AROUND 5803 03:38:20,098 --> 03:38:20,632 THE PHYSIOLOGY OF SOCIAL 5804 03:38:20,632 --> 03:38:24,002 ISOLATION AND LONELINESS. AND 5805 03:38:24,002 --> 03:38:24,569 THE BODY REACTS TO THOSE IN 5806 03:38:24,569 --> 03:38:26,404 DIFFERENT WAYS, WHICH COULD 5807 03:38:26,404 --> 03:38:31,543 IMPACT HEALTH IN DIFFERENT WAYS 5808 03:38:31,543 --> 03:38:34,312 AND ULTIMATELY IN MORTALITY. 5809 03:38:34,312 --> 03:38:34,913 THE MODEL THAT I'M WORKING ON 5810 03:38:34,913 --> 03:38:45,390 IS THE IDEA THAT THESE RISK 5811 03:38:45,823 --> 03:38:46,391 FACTORS-- WE ALREADY KNOW FROM 5812 03:38:46,391 --> 03:38:47,025 THE GENERAL POPULATION CHRONIC 5813 03:38:47,025 --> 03:38:47,625 ILLNESS RELATED TO INCREASING 5814 03:38:47,625 --> 03:38:48,493 LONELINESS AND SOCIAL 5815 03:38:48,493 --> 03:38:49,060 ISOLATION. WHAT IS IT ABOUT 5816 03:38:49,060 --> 03:38:49,661 CANCER SPECIFICALLY THAT MY 5817 03:38:49,661 --> 03:38:50,495 CONSTRAINT PEOPLE'S SOCIAL 5818 03:38:50,495 --> 03:38:51,563 CONNECTIONS IN THEIR LIVES? 5819 03:38:51,563 --> 03:38:55,800 ONE OF THE VARIABLES IN THE 5820 03:38:55,800 --> 03:38:56,434 HINTS SERIOUS STUDY THAT LOOKED 5821 03:38:56,434 --> 03:38:56,968 AT HIS TREATMENT RELATED 5822 03:38:56,968 --> 03:39:00,271 STUDIES. THESE ARE THE SIDE 5823 03:39:00,271 --> 03:39:00,772 EFFECTS OF THE LATE OR 5824 03:39:00,772 --> 03:39:01,339 LONG-TERM EFFECTS OF CANCER 5825 03:39:01,339 --> 03:39:03,474 TREATMENT. I WANTED TO MODEL 5826 03:39:03,474 --> 03:39:05,043 TO SEE IF MARITAL STATUS 5827 03:39:05,043 --> 03:39:06,144 ACTUALLY ATTENUATED THE EFFECTS 5828 03:39:06,144 --> 03:39:12,483 OF THOSE SYMPTOMS ON SOMEONE'S 5829 03:39:12,483 --> 03:39:13,484 PERCEPTIONS OF LONELINESS. 5830 03:39:13,484 --> 03:39:22,694 I USED THE HINTS SER AND ALL 5831 03:39:22,694 --> 03:39:23,328 THE PARTICIPANTS WHO COMPLETED 5832 03:39:23,328 --> 03:39:23,928 THE PROMISE SOCIAL ISOLATION 5833 03:39:23,928 --> 03:39:26,231 FORM, FEELING LEFT OUT, FEELING 5834 03:39:26,231 --> 03:39:27,665 PEOPLE BARELY KNEW THEM, 5835 03:39:27,665 --> 03:39:29,367 FEELING ISOLATED FROM OTHERS, 5836 03:39:29,367 --> 03:39:34,305 FEELING THE PEOPLE AROUND ME-- 5837 03:39:34,305 --> 03:39:34,906 I FEEL THAT PEOPLE ARE AROUND 5838 03:39:34,906 --> 03:39:37,542 ME, IT'S HARD TO CHANGE THAT-- 5839 03:39:37,542 --> 03:39:38,142 PEOPLE AROUND ME BUT NOT WITH 5840 03:39:38,142 --> 03:39:41,346 ME. THESE ARE THE COMPONENTS 5841 03:39:41,346 --> 03:39:41,946 OF PERCEIVED SOCIAL ISOLATION 5842 03:39:41,946 --> 03:39:42,714 OR LONELINESS. 5843 03:39:42,714 --> 03:39:44,349 THE COGNITIVE IMPAIRMENT, 5844 03:39:44,349 --> 03:39:48,386 SEVERE FATIGUE, NAUSEA THAT 5845 03:39:48,386 --> 03:39:48,987 WERE PERCEIVED TO RESULT FROM 5846 03:39:48,987 --> 03:39:52,223 THE CANCER TREATMENT OR BINARY 5847 03:39:52,223 --> 03:39:56,027 ITEMS THAT I SUMMED. A PERSON 5848 03:39:56,027 --> 03:39:56,594 COULD HAVE A SCORE OF ZERO, 5849 03:39:56,594 --> 03:39:58,229 THEY DO NOT EXPERIENCE THOSE AS 5850 03:39:58,229 --> 03:40:00,064 A RESULT OF THEIR CANCER 5851 03:40:00,064 --> 03:40:00,698 TREATMENT OR EXPERIENCE TO ALL 5852 03:40:00,698 --> 03:40:01,032 THREE. 5853 03:40:01,032 --> 03:40:04,135 THE PROMISE MEASURE IS T 5854 03:40:04,135 --> 03:40:07,071 SQUARED TRANSFORMED, THAT MEANS 5855 03:40:07,071 --> 03:40:07,639 AN AVERAGE OF 50 IS IN THE 5856 03:40:07,639 --> 03:40:10,441 MIDDLE AND 10 POINT IS ONE 5857 03:40:10,441 --> 03:40:11,075 STANDARD DEVIATION, THAT IS HOW 5858 03:40:11,075 --> 03:40:12,610 WE CAN INTERPRET THAT. AND I 5859 03:40:12,610 --> 03:40:18,316 USED SAS AND APPLIED ALL THE 5860 03:40:18,316 --> 03:40:20,785 SURVEY PROCEDURES I LEARNED. 5861 03:40:20,785 --> 03:40:21,419 YOU CAN BE ASSURED IT WAS DONE 5862 03:40:21,419 --> 03:40:22,453 CORRECTLY. 5863 03:40:22,453 --> 03:40:30,261 ON AVERAGE, THESE PARTICIPANTS 5864 03:40:30,261 --> 03:40:30,862 WERE ABOUT 69 YEARS OLD. THEY 5865 03:40:30,862 --> 03:40:33,865 HAD EXPENSE CANCER USUALLY 5866 03:40:33,865 --> 03:40:34,465 AROUND 83 SO THERE WAS A TIME 5867 03:40:34,465 --> 03:40:35,867 GAP OF PARTICIPATION WHEN THEY 5868 03:40:35,867 --> 03:40:36,868 HAD CANCER AND A SMALL MINORITY 5869 03:40:36,868 --> 03:40:39,904 WAS FEMALE, NON-HISPANIC WHITE. 5870 03:40:39,904 --> 03:40:46,611 MOST WERE MARRIED, 5871 03:40:46,611 --> 03:40:47,211 COLLEGE-EDUCATED AND A SMALL 5872 03:40:47,211 --> 03:40:50,948 SUBSET WAS LGBTQ. WE KNOW THAT 5873 03:40:50,948 --> 03:40:53,818 LESBIAN, GAVE, BISEXUAL, 5874 03:40:53,818 --> 03:40:54,385 TRANSGENDER ADULTS ARE LESS 5875 03:40:54,385 --> 03:40:58,690 LIKELY TO GET MARRIED. I WILL 5876 03:40:58,690 --> 03:41:00,124 SPOIL THAT ALERT. THAT DESIGN 5877 03:41:00,124 --> 03:41:02,026 DID NOT COME UP AS A PREDICTOR. 5878 03:41:02,026 --> 03:41:02,694 PROMISE MEASURES DO HAVE 5879 03:41:02,694 --> 03:41:07,465 DESIGNATED CUT RATES. THEY WERE 5880 03:41:07,465 --> 03:41:08,299 DIVIDED BETWEEN MODERATE AND 5881 03:41:08,299 --> 03:41:08,866 SEVERE LONELINESS, AND AN 5882 03:41:08,866 --> 03:41:11,302 EXAMPLE IT WAS QUITE LOW. ABOUT 5883 03:41:11,302 --> 03:41:13,671 4% OF THE RESPONDENTS REPORTED 5884 03:41:13,671 --> 03:41:18,409 MODERATE TO SEVERE LONELINESS. 5885 03:41:18,409 --> 03:41:19,010 A LARGER CHUNK, ABOUT 11%, HAD 5886 03:41:19,010 --> 03:41:22,914 OF WHAT WE WOULD CONSIDER MILD 5887 03:41:22,914 --> 03:41:23,548 LONELINESS AND 85% WERE IN THE 5888 03:41:23,548 --> 03:41:28,519 NORMAL LIMITS OF THAT SCALE. 5889 03:41:28,519 --> 03:41:29,087 SO WHAT I DID IS I ACTUALLY 5890 03:41:29,087 --> 03:41:32,657 ANALYZED THIS AS A DICHOTOMOUS 5891 03:41:32,657 --> 03:41:33,224 VARIABLE TRYING TO PREDICT 5892 03:41:33,224 --> 03:41:33,858 MODERATE AND SEVERE LONELINESS 5893 03:41:33,858 --> 03:41:34,492 COMPARED TO THE MILD AND NORMAL 5894 03:41:34,492 --> 03:41:35,993 LIMITS. 5895 03:41:35,993 --> 03:41:39,197 IN TERMS OF CANCER TREATMENT 5896 03:41:39,197 --> 03:41:39,764 SYMPTOMS, ABOUT 40% OF THE 5897 03:41:39,764 --> 03:41:40,898 PARTICIPANTS HAD AT LEAST ONE 5898 03:41:40,898 --> 03:41:42,967 OF THESE SYMPTOMS AS A RESULT 5899 03:41:42,967 --> 03:41:45,370 OF THEIR CANCER TREATMENTS. 5900 03:41:45,370 --> 03:41:47,805 AND IT RANGED FROM ZERO TO 5901 03:41:47,805 --> 03:41:49,841 THREE AS YOU CAN SEE HERE. 5902 03:41:49,841 --> 03:41:50,408 THEY WERE HIGHLY CORRELATED 5903 03:41:50,408 --> 03:41:53,878 WITH EACH OTHER. AS YOU CAN 5904 03:41:53,878 --> 03:41:54,479 IMAGINE ALL THESE TREATMENTS 5905 03:41:54,479 --> 03:41:58,583 RESULT FROM CHEMO RADIATION 5906 03:41:58,583 --> 03:41:59,217 THERAPY. SO FATIGUE AND NAUSEA 5907 03:41:59,217 --> 03:42:00,251 AS WELL AS COGNITIVE IMPAIRMENT 5908 03:42:00,251 --> 03:42:00,852 EACH WERE INTERRELATED, WHICH 5909 03:42:00,852 --> 03:42:03,254 SUPPORTED MY IDEA TO CODE THEM 5910 03:42:03,254 --> 03:42:07,625 AS AN INDEX. 5911 03:42:07,625 --> 03:42:14,699 SO THIS IS THE BIVARIANT 5912 03:42:14,699 --> 03:42:15,266 RESULTS AND YOU CAN SEE THE 5913 03:42:15,266 --> 03:42:15,900 TREATMENT RELATED SYMPTOMS THAT 5914 03:42:15,900 --> 03:42:16,934 POSITIVELY ASSOCIATE WITH 5915 03:42:16,934 --> 03:42:18,436 MODERATE AND SEVERE LONELINESS, 5916 03:42:18,436 --> 03:42:19,070 AND MARITAL STATUS CORRELATED 5917 03:42:19,070 --> 03:42:22,273 INVERSELY. AS EXPECTED FROM 5918 03:42:22,273 --> 03:42:22,907 THE MODEL, MARITAL STATUS DOES 5919 03:42:22,907 --> 03:42:26,444 TEND TO HAVE A PROTECTIVE 5920 03:42:26,444 --> 03:42:27,011 EFFECT AGAINST LONELINESS, 5921 03:42:27,011 --> 03:42:27,612 ALTHOUGH IT WAS ONLY FOR THE 5922 03:42:27,612 --> 03:42:28,579 ONES WHO SAID THEY WERE MARRIED 5923 03:42:28,579 --> 03:42:29,781 AND NOT LIVING AS MARRIED. I 5924 03:42:29,781 --> 03:42:31,282 THOUGHT THAT WAS AN INTERESTING 5925 03:42:31,282 --> 03:42:32,550 FINDING. THAT IS A SMALLER 5926 03:42:32,550 --> 03:42:38,623 GROUP, AND A SUBSET. IT COULD 5927 03:42:38,623 --> 03:42:39,190 BE UNDERPOWERED. BUT IT WAS 5928 03:42:39,190 --> 03:42:39,824 LEGAL MARITAL STATUS THAT MADE 5929 03:42:39,824 --> 03:42:41,592 THE DIFFERENCE HERE. 5930 03:42:41,592 --> 03:42:42,160 THOSE MY ANIMATIONS I FORGOT 5931 03:42:42,160 --> 03:42:44,529 ABOUT. I DID NOT FIND ANY 5932 03:42:44,529 --> 03:42:47,365 SIGNIFICANT DIFFERENCES IN 5933 03:42:47,365 --> 03:42:47,999 DEMOGRAPHIC FACTORS, INCLUDING 5934 03:42:47,999 --> 03:42:50,835 SEXUAL ORIENTATION. I DID NOT 5935 03:42:50,835 --> 03:42:52,837 INCLUDE THOSE IN THE ADJUSTED 5936 03:42:52,837 --> 03:42:53,538 MODEL. 5937 03:42:53,538 --> 03:42:54,872 WHEN I MODELED THEM TOGETHER, 5938 03:42:54,872 --> 03:43:00,845 FOR EACH ADDITIONAL TREATMENT 5939 03:43:00,845 --> 03:43:01,579 RELATED SYMPTOM EXPERIENCE THAT 5940 03:43:01,579 --> 03:43:02,814 WAS ABOUT 66% HIGHER ARTS OF 5941 03:43:02,814 --> 03:43:05,249 MODERATE TO SEVERE LONELINESS. 5942 03:43:05,249 --> 03:43:05,850 SO THAT REALLY DID NOT CHANGE 5943 03:43:05,850 --> 03:43:07,752 AT ALL BY INCLUDING MARITAL 5944 03:43:07,752 --> 03:43:12,557 STATUS IN THE MODEL. AND 5945 03:43:12,557 --> 03:43:13,124 MARITAL STATUS STILL HAS AN 5946 03:43:13,124 --> 03:43:16,060 INVERSE RELATIONSHIP COMPARED 5947 03:43:16,060 --> 03:43:18,396 TO SINGLE, DIVORCED OR WIDOWED, 5948 03:43:18,396 --> 03:43:18,930 WERE MUCH LESS LIKELY TO 5949 03:43:18,930 --> 03:43:20,698 EXPERIENCE LONELINESS. AND THIS 5950 03:43:20,698 --> 03:43:21,332 IS A MEASURE OF LONELINESS THAT 5951 03:43:21,332 --> 03:43:24,836 IS CURRENT. IT IS NOT EXACTLY 5952 03:43:24,836 --> 03:43:25,937 TIED INTO WHEN THEY WERE 5953 03:43:25,937 --> 03:43:27,772 DIAGNOSED AND TREATED FOR 5954 03:43:27,772 --> 03:43:30,107 CANCER, BUT IT SHOULD BE 5955 03:43:30,107 --> 03:43:32,310 TEMPORARILY RELATED LATER IN 5956 03:43:32,310 --> 03:43:36,547 THE SYMPTOMS BY WHEN THEY WERE 5957 03:43:36,547 --> 03:43:40,551 DIAGNOSED. 5958 03:43:40,551 --> 03:43:41,018 DIRECTIONS FOR FUTURE 5959 03:43:41,018 --> 03:43:41,619 RESEARCH. I AM STILL THINKING 5960 03:43:41,619 --> 03:43:44,555 THROUGH THIS A LOT. I WANTED TO 5961 03:43:44,555 --> 03:43:45,189 GO BACK TO SORT OF THIS MODEL, 5962 03:43:45,189 --> 03:43:48,993 OR THIS CONCEPTUAL OF WHAT IS 5963 03:43:48,993 --> 03:43:55,733 SOCIAL CONNECTION. HOW DOES 5964 03:43:55,733 --> 03:43:56,367 CANCER, AND SPECIFICALLY THESE 5965 03:43:56,367 --> 03:43:59,604 CANCER- RELATED TREATMENT 5966 03:43:59,604 --> 03:44:00,171 OUTCOMES-- THE STRUCTURE OF 5967 03:44:00,171 --> 03:44:00,805 SOMEONE'S SOCIAL NETWORKS, HOW 5968 03:44:00,805 --> 03:44:01,839 THEY FUNCTION IN THEIR LIVES, 5969 03:44:01,839 --> 03:44:02,340 AND ULTIMATELY TO THEIR 5970 03:44:02,340 --> 03:44:04,575 WELL-BEING. AND ALSO THE 5971 03:44:04,575 --> 03:44:05,076 QUALITY OF THOSE SOCIAL 5972 03:44:05,076 --> 03:44:10,381 CONNECTIONS. IF YOU'RE FEELING 5973 03:44:10,381 --> 03:44:11,015 NAUSEOUS OR IF YOU HAVE SEVERE 5974 03:44:11,015 --> 03:44:12,683 FATIGUE YOU CAN IMAGINE THAT 5975 03:44:12,683 --> 03:44:13,284 YOU MIGHT BE ABLE TO MAINTAIN 5976 03:44:13,284 --> 03:44:16,053 THIS CONNECTIONS. BUT YOU 5977 03:44:16,053 --> 03:44:16,587 STILL GETTING THE SOCIAL 5978 03:44:16,587 --> 03:44:20,324 SUPPORT FROM THEM THAT YOU 5979 03:44:20,324 --> 03:44:23,261 WOULD NORMALLY? 5980 03:44:23,261 --> 03:44:23,861 AND FROM SOME OF THE FINDINGS 5981 03:44:23,861 --> 03:44:24,495 HERE IN THE LITERATURE WHICH I 5982 03:44:24,495 --> 03:44:29,033 CONSIDER THESE HIGH HYPOTHESIS, 5983 03:44:29,033 --> 03:44:33,437 I HYPOTHESIZED THAT THE LATE 5984 03:44:33,437 --> 03:44:34,972 LONG-TERM EFFECTS ARE SHRINKING 5985 03:44:34,972 --> 03:44:35,540 PEOPLE'S SOCIAL NETWORKS OF 5986 03:44:35,540 --> 03:44:38,209 SOCIAL TIES OR COLLAPSING. 5987 03:44:38,209 --> 03:44:38,709 THERE IS A DECREASE IN 5988 03:44:38,709 --> 03:44:41,913 CONNECTIVITY WITH THOSE PEOPLE. 5989 03:44:41,913 --> 03:44:42,547 AND THAT IT IS INCREASING THE 5990 03:44:42,547 --> 03:44:44,482 STRAIN ON RELATIONSHIPS. AND 5991 03:44:44,482 --> 03:44:46,183 THERE IS LITERATURE ABOUT HOW 5992 03:44:46,183 --> 03:44:48,786 MARRIAGE CAN BOTH HELP CANCER 5993 03:44:48,786 --> 03:44:52,056 SURVIVORS AND THEIR SUPPORT, 5994 03:44:52,056 --> 03:44:53,591 BUT IT CAN ALSO AFFECT THEM 5995 03:44:53,591 --> 03:44:54,025 INVERSELY IF THOSE 5996 03:44:54,025 --> 03:44:55,126 RELATIONSHIPS ARE ACTUALLY 5997 03:44:55,126 --> 03:44:58,496 DAMAGED BY THE CANCER DIAGNOSIS 5998 03:44:58,496 --> 03:45:01,232 OR THE LATE LONG-TERM EFFECTS 5999 03:45:01,232 --> 03:45:05,870 OF THEM. SO THIS IS WHERE I AM 6000 03:45:05,870 --> 03:45:08,339 AT. I'M ALSO LOOKING FOR 6001 03:45:08,339 --> 03:45:09,073 COLLABORATORS. PLEASE KEEP IN 6002 03:45:09,073 --> 03:45:12,410 MIND THAT TOO. 6003 03:45:12,410 --> 03:45:13,277 >> 6004 03:45:13,277 --> 03:45:14,845 >> DR. MOLLICA: THANK YOU SO 6005 03:45:14,845 --> 03:45:18,115 MUCH. SO AT THIS POINT WE ARE 6006 03:45:18,115 --> 03:45:21,152 GOING TO GO TO QUESTIONS. I'M 6007 03:45:21,152 --> 03:45:26,490 GOING TO MOVE THE SLIDE. SO, 6008 03:45:26,490 --> 03:45:27,091 IF YOU HAVE A QUESTION PLEASE 6009 03:45:27,091 --> 03:45:27,692 FEEL FREE TO COME UP TO THE 6010 03:45:27,692 --> 03:45:28,259 MICROPHONE. I SEE PEOPLE 6011 03:45:28,259 --> 03:45:30,161 MOVING ALREADY. I HAVE 6012 03:45:30,161 --> 03:45:31,429 QUESTIONS BUT I WILL HOLD THEM. 6013 03:45:31,429 --> 03:45:35,099 YOU GO RIGHT AHEAD. 6014 03:45:35,099 --> 03:45:35,633 >> THANK YOU FOR ALL THESE 6015 03:45:35,633 --> 03:45:38,235 PRESENTATIONS. MY NAME IS 6016 03:45:38,235 --> 03:45:40,638 NAOMI, A POSTDOC AT NCI. MY 6017 03:45:40,638 --> 03:45:45,843 QUESTION IS FOR DR. WHELDON. I 6018 03:45:45,843 --> 03:45:47,645 AM CURIOUS ABOUT PULLING OUT 6019 03:45:47,645 --> 03:45:50,514 MARITAL STATUS. I AM CURIOUS 6020 03:45:50,514 --> 03:45:51,282 ABOUT WHETHER OR NOT THERE IS 6021 03:45:51,282 --> 03:45:53,751 REVERSE CAUSATION THERE, AND 6022 03:45:53,751 --> 03:45:54,352 THINKING ABOUT DOWN THE LINE 6023 03:45:54,352 --> 03:45:58,556 WHEN WE THINK ABOUT WHAT THE 6024 03:45:58,556 --> 03:45:59,156 INTERVENTION MIGHT BE TO DEAL 6025 03:45:59,156 --> 03:46:00,591 WITH SOCIAL ISOLATION AND 6026 03:46:00,591 --> 03:46:02,660 LONELINESS. IS A SOLUTION 6027 03:46:02,660 --> 03:46:03,694 GOING TO BE THAT WE TELL 6028 03:46:03,694 --> 03:46:06,330 EVERYBODY TO GET MARRIED? 6029 03:46:06,330 --> 03:46:07,264 >> GREAT QUESTION. 6030 03:46:07,264 --> 03:46:10,468 >> DR. WHELDON: NO I DON'T 6031 03:46:10,468 --> 03:46:12,503 THINK THAT IS THE SOLUTION. 6032 03:46:12,503 --> 03:46:15,139 BUT IT IS THE ONE PREDICTOR. 6033 03:46:15,139 --> 03:46:16,273 WHEN YOU LOOK AT LONELINESS AS 6034 03:46:16,273 --> 03:46:18,009 PREDICTORS IN THE GENERAL 6035 03:46:18,009 --> 03:46:19,510 POPULATION, IT IS THE ONE 6036 03:46:19,510 --> 03:46:21,812 PREDICTOR THAT IS MOST 6037 03:46:21,812 --> 03:46:24,148 CONSISTENT. AND THERE IS A 6038 03:46:24,148 --> 03:46:24,849 REVIEW PUBLISHED-- PROBABLY A 6039 03:46:24,849 --> 03:46:28,019 LITTLE DATED, 5-10 YEARS OLD OF 6040 03:46:28,019 --> 03:46:30,521 CANCER SURVIVORS SPECIFICALLY. 6041 03:46:30,521 --> 03:46:31,055 IT WAS ONE THING THAT WAS 6042 03:46:31,055 --> 03:46:32,990 CONSISTENTLY ASSOCIATED. 6043 03:46:32,990 --> 03:46:34,558 AND I THINK IT'S NOT 6044 03:46:34,558 --> 03:46:36,827 NECESSARILY THE MARITAL 6045 03:46:36,827 --> 03:46:37,395 QUALITY, BUT THAT THEY HAVE 6046 03:46:37,395 --> 03:46:37,995 SOMEONE THAT THEY ARE LIVING 6047 03:46:37,995 --> 03:46:40,064 WITH. THAT IS THE OTHER THING 6048 03:46:40,064 --> 03:46:44,602 THAT IS COMPARED TO LIVING 6049 03:46:44,602 --> 03:46:48,906 ALONE. 6050 03:46:48,906 --> 03:46:49,440 SO I DON'T NECESSARILY WITH 6051 03:46:49,440 --> 03:46:50,007 PRESCRIBED MARRIAGE FOR THE 6052 03:46:50,007 --> 03:46:51,075 PREVENTION OF THIS. BUT I DO 6053 03:46:51,075 --> 03:46:51,709 THINK YOU CAN FACILITATE SOCIAL 6054 03:46:51,709 --> 03:46:54,145 CONNECTIONS IN OTHER WAYS. IF 6055 03:46:54,145 --> 03:46:56,914 YOU GO TO THE SURGEON GENERAL'S 6056 03:46:56,914 --> 03:46:57,548 WEBSITE THERE IS A LOT OF GOOD 6057 03:46:57,548 --> 03:46:58,115 INFORMATION THERE ABOUT THE 6058 03:46:58,115 --> 03:47:00,351 TYPES OF COMMUNITY LEVEL 6059 03:47:00,351 --> 03:47:00,851 INTERVENTIONS BUT ALSO 6060 03:47:00,851 --> 03:47:06,257 PSYCHOSOCIAL INTERVENTIONS, 6061 03:47:06,257 --> 03:47:06,824 PSYCHOLOGICAL INTERVENTIONS 6062 03:47:06,824 --> 03:47:08,125 THAT HAVE BEEN TALKED ABOUT, 6063 03:47:08,125 --> 03:47:08,693 HELPING PEOPLE TO DEAL WITH 6064 03:47:08,693 --> 03:47:09,293 SOCIAL ISOLATION IN DIFFERENT 6065 03:47:09,293 --> 03:47:10,761 WAYS. NOT JUST BRINGING PEOPLE 6066 03:47:10,761 --> 03:47:12,863 INTO YOUR LIFE AS MUCH AS HOW 6067 03:47:12,863 --> 03:47:13,297 YOU INTERPRET THOSE 6068 03:47:13,297 --> 03:47:13,931 RELATIONSHIPS. 6069 03:47:13,931 --> 03:47:15,266 >> THANK YOU. 6070 03:47:15,266 --> 03:47:16,600 >> DR. WHELDON: 6071 03:47:16,600 --> 03:47:18,235 GOOD TO SEE YOU AGAIN. 6072 03:47:18,235 --> 03:47:22,940 >> I'VE GOT TWO DIFFERENT SETS 6073 03:47:22,940 --> 03:47:23,774 OF QUESTIONS FOR THE PANELISTS. 6074 03:47:23,774 --> 03:47:25,409 MAYBE I WILL START WITH DR. 6075 03:47:25,409 --> 03:47:29,580 WHELDON FIRST. I WAS CURIOUS. 6076 03:47:29,580 --> 03:47:30,214 IT WAS INTERESTING TO SEE THAT 6077 03:47:30,214 --> 03:47:31,082 THERE WEREN'T ANY FINDINGS BY 6078 03:47:31,082 --> 03:47:34,118 GENDER IDENTITY. THERE IS A 6079 03:47:34,118 --> 03:47:36,854 BODY OF EVIDENCE THAT SUGGESTS 6080 03:47:36,854 --> 03:47:37,421 THAT MARITAL STATUS FRESHLY 6081 03:47:37,421 --> 03:47:42,626 BENEFITS FOR EXAMPLE OFTENTIMES 6082 03:47:42,626 --> 03:47:43,227 MEN AS COMPARED TO WOMEN IN A 6083 03:47:43,227 --> 03:47:45,629 HETEROSEXUAL PARTNERSHIP AND I 6084 03:47:45,629 --> 03:47:46,230 WAS WONDERING IF THERE WAS A 6085 03:47:46,230 --> 03:47:47,098 CONSIDERATION AROUND MODERATION 6086 03:47:47,098 --> 03:47:47,698 GENDER IDENTITY WITH RESPECT 6087 03:47:47,698 --> 03:47:49,300 LOOKING AT TREATMENT AND 6088 03:47:49,300 --> 03:47:52,236 LONELINESS. AND I WAS CURIOUS 6089 03:47:52,236 --> 03:47:54,371 AS TO WHETHER YOUR ABILITY TO 6090 03:47:54,371 --> 03:47:55,272 BE ABLE TO CONSIDER CHILDREN 6091 03:47:55,272 --> 03:47:59,310 WITHIN THE HOUSEHOLD. BECAUSE 6092 03:47:59,310 --> 03:48:01,178 IT MAY BE YOUR KIDS THAT MIGHT 6093 03:48:01,178 --> 03:48:03,380 BE KEEPING YOU FROM BEING 6094 03:48:03,380 --> 03:48:09,420 LONELY, AS OPPOSED TO A PARTNER 6095 03:48:09,420 --> 03:48:10,621 WITHIN A MARRIAGE RELATIONSHIP. 6096 03:48:10,621 --> 03:48:12,923 >> DR. WHELDON: THAT IS A 6097 03:48:12,923 --> 03:48:13,557 REALLY GOOD QUESTION AND THERE 6098 03:48:13,557 --> 03:48:19,396 IS A VARIABLE FOR THE NUMBER OF 6099 03:48:19,396 --> 03:48:19,997 PEOPLE IN THE HOUSEHOLD BUT I 6100 03:48:19,997 --> 03:48:20,464 DON'T BELIEVE WE CAN 6101 03:48:20,464 --> 03:48:21,298 DIFFERENTIATED THEIR CHILDREN. 6102 03:48:21,298 --> 03:48:21,932 WE MAY NOT BE ABLE TO DO THAT 6103 03:48:21,932 --> 03:48:26,070 IN THIS. BUT I CAN LOOK AT A 6104 03:48:26,070 --> 03:48:26,570 NUMBER OF PEOPLE IN THE 6105 03:48:26,570 --> 03:48:28,706 HOUSEHOLD. I DID NOT LOOK AT 6106 03:48:28,706 --> 03:48:30,708 THE INTERACTION WITH GENDER 6107 03:48:30,708 --> 03:48:31,308 WITH THE SETTLERS BUT I THINK 6108 03:48:31,308 --> 03:48:34,011 THAT IS A GOOD IDEA. IT MIGHT 6109 03:48:34,011 --> 03:48:34,645 BE CONSTRAINED A LITTLE BIT BY 6110 03:48:34,645 --> 03:48:35,579 THE SAMPLE SIZE. BUT I WILL 6111 03:48:35,579 --> 03:48:37,548 DEFINITELY CONSIDER THAT. 6112 03:48:37,548 --> 03:48:41,152 THE ISSUE ABOUT CHILDREN-- 6113 03:48:41,152 --> 03:48:41,752 WHICH I DO KNOW FROM PREVIOUS 6114 03:48:41,752 --> 03:48:43,988 RESEARCH IS THAT THEY ARE NOT 6115 03:48:43,988 --> 03:48:44,555 ALWAYS HELPFUL-- I MEAN WE 6116 03:48:44,555 --> 03:48:46,290 DON'T KNOW THAT BUT THEY ARE 6117 03:48:46,290 --> 03:48:47,725 NOT ALWAYS PREDICTIVE OF LESS 6118 03:48:47,725 --> 03:48:49,827 FEELINGS OF LONELINESS. AND IN 6119 03:48:49,827 --> 03:48:52,830 FACT WITH SOMEONE GOING THROUGH 6120 03:48:52,830 --> 03:48:54,431 AN ACUTE CHRONIC ILLNESS, 6121 03:48:54,431 --> 03:48:55,399 CHILDREN CAN ACTUALLY INCREASE 6122 03:48:55,399 --> 03:49:00,004 THE STRESS AND STRAIN ON THEIR 6123 03:49:00,004 --> 03:49:00,638 ROLES IN THEIR LIVES AND CAUSE 6124 03:49:00,638 --> 03:49:04,074 MORE DISTRESS. SO YEAH. I 6125 03:49:04,074 --> 03:49:05,242 WOULDN'T NECESSARILY THINK 6126 03:49:05,242 --> 03:49:05,976 (INDISCERNIBLE). 6127 03:49:05,976 --> 03:49:08,012 >> DR. MOLLICA: I THINK WE CAN 6128 03:49:08,012 --> 03:49:10,881 SECOND THAT. 6129 03:49:10,881 --> 03:49:11,448 >> YEAH ABSOLUTELY IMPORTANT 6130 03:49:11,448 --> 03:49:12,883 FOR THEM. AND THEN I HAVE A 6131 03:49:12,883 --> 03:49:19,857 QUESTION FOR DR. ZHAND AND 6132 03:49:19,857 --> 03:49:20,724 JEREMY AS WELL LOOKING AT THE 6133 03:49:20,724 --> 03:49:28,599 SER HINTS SURVEY. LOOKING AT 6134 03:49:28,599 --> 03:49:32,203 -- DR. ZHAND DIMENSION THE 6135 03:49:32,203 --> 03:49:32,770 TEMPORAL GEOGRAPHIC CHANGES 6136 03:49:32,770 --> 03:49:35,005 WITH RESPECT TO THE CVOID-19 6137 03:49:35,005 --> 03:49:35,472 PANDEMIC IN THE EARLY 6138 03:49:35,472 --> 03:49:39,410 EPICENTERS OF THE CVOID-19 6139 03:49:39,410 --> 03:49:40,010 PANDEMIC FOR EXAMPLE THE BAY 6140 03:49:40,010 --> 03:49:41,779 AREA WAS AN EARLY CVOID-19 6141 03:49:41,779 --> 03:49:43,514 EPICENTER. TO WHAT EXTENT DID 6142 03:49:43,514 --> 03:49:50,187 YOU THINK-- THE QUESTION FOR 6143 03:49:50,187 --> 03:49:50,855 YOU WAS AROUND WHAT PROPORTION 6144 03:49:50,855 --> 03:49:54,058 OF THE METROPOLITAN 6145 03:49:54,058 --> 03:49:54,658 RESPONDENTS WERE COMING FROM 6146 03:49:54,658 --> 03:49:55,593 THAT AREA AND TO WHAT EXTENT 6147 03:49:55,593 --> 03:49:56,193 THE THEY COME INTO PLAY WITH 6148 03:49:56,193 --> 03:49:56,861 RESPECT TO SWITCH TO TELEHEALTH 6149 03:49:56,861 --> 03:49:58,729 WITH THE BAY AREA BEING AN 6150 03:49:58,729 --> 03:50:00,865 EARLY CVOID-19 EPICENTER. 6151 03:50:00,865 --> 03:50:04,435 AND WITH RESPECT TO BEING ABLE 6152 03:50:04,435 --> 03:50:07,271 TO GENERALIZE KIND OF CROSS THE 6153 03:50:07,271 --> 03:50:07,838 PANDEMIC AND LOOKING AT THE 6154 03:50:07,838 --> 03:50:15,813 DEMOGRAPHIC SHIFTS. AND THE 6155 03:50:15,813 --> 03:50:16,413 POTENTIAL DISRUPTION IN CARE 6156 03:50:16,413 --> 03:50:17,047 AND HOW THAT HAPPENED EARLY IN 6157 03:50:17,047 --> 03:50:17,681 THE DYNAMIC VERSUS LATER IN THE 6158 03:50:17,681 --> 03:50:21,819 DYNAMIC AND LEARNING LESSONS 6159 03:50:21,819 --> 03:50:22,453 BASED ON WHAT WAS HAPPENING IN 6160 03:50:22,453 --> 03:50:25,389 OTHER AREAS. 6161 03:50:25,389 --> 03:50:29,159 >> DR. ZAHND: IS AN IMPORTANT 6162 03:50:29,159 --> 03:50:36,533 AND EXCELLENT QUESTION. THE SER 6163 03:50:36,533 --> 03:50:37,101 HINTS QUESTION THERE WAS A 6164 03:50:37,101 --> 03:50:44,608 MINISTER BETWEEN JANUARY AND 6165 03:50:44,608 --> 03:50:48,412 DECEMBER 2021. THE SAN 6166 03:50:48,412 --> 03:50:48,946 FRANCISCO AREA BEING THE 6167 03:50:48,946 --> 03:50:51,448 EPICENTER AT THE BEGINNING, SO 6168 03:50:51,448 --> 03:50:55,653 HITTING EARLIER. AND THE 6169 03:50:55,653 --> 03:50:58,055 TEMPORAL NATURE OF THAT, IN THE 6170 03:50:58,055 --> 03:50:58,589 QUESTIONS REFLECTING CITY 6171 03:50:58,589 --> 03:51:05,996 BEGINNING OF THE PANDEMIC. SO I 6172 03:51:05,996 --> 03:51:06,630 THINK I HAVE NOTICED THAT IS A 6173 03:51:06,630 --> 03:51:08,565 CONSISTENT CHANCE WITH ANYTHING 6174 03:51:08,565 --> 03:51:09,566 WE ASSESSED IN THE PANDEMIC. 6175 03:51:09,566 --> 03:51:10,100 WHATEVER YOU ASKING THAT 6176 03:51:10,100 --> 03:51:10,601 QUESTION WILL REPRESENT 6177 03:51:10,601 --> 03:51:17,241 DIFFERENT PERIODS OF TIME 6178 03:51:17,241 --> 03:51:17,875 RELATIVE TO WHAT IS GOING ON AT 6179 03:51:17,875 --> 03:51:18,375 THE TIME AND THAT IS AN 6180 03:51:18,375 --> 03:51:18,943 IMPORTANT QUESTION. 6181 03:51:18,943 --> 03:51:20,644 I WILL EXPLORE 6182 03:51:20,644 --> 03:51:26,083 WE CAN ALSO SEE WHEN PEOPLE 6183 03:51:26,083 --> 03:51:26,650 RESPONDED, OR WHEN THEY GOT 6184 03:51:26,650 --> 03:51:27,851 THAT BACK BECAUSE IT IS AN 6185 03:51:27,851 --> 03:51:28,452 INTERESTING ELEMENT OF PEOPLE 6186 03:51:28,452 --> 03:51:34,758 ANALYZING OTHER SURVEYS. WHEN 6187 03:51:34,758 --> 03:51:36,994 DID THEY RESPOND TO IT? ANOTHER 6188 03:51:36,994 --> 03:51:40,064 ELEMENT IS WHETHER THIS WAS 6189 03:51:40,064 --> 03:51:40,631 ADMINISTERED-- WHETHER THE 6190 03:51:40,631 --> 03:51:41,265 BEGINNING OF THE ADMINISTRATION 6191 03:51:41,265 --> 03:51:43,100 OF THE SURVEY WAS RIGHT WHEN 6192 03:51:43,100 --> 03:51:46,403 THE VACCINES WERE MORE PUBLICLY 6193 03:51:46,403 --> 03:51:48,806 AVAILABLE. SO THAT THROWS 6194 03:51:48,806 --> 03:51:49,306 ANOTHER ELEMENT INTO IT 6195 03:51:49,306 --> 03:51:49,940 ESPECIALLY WHEN THINKING ABOUT 6196 03:51:49,940 --> 03:51:50,607 SHIFTING TO TELEHEALTH OR GOING 6197 03:51:50,607 --> 03:51:58,816 IN PERSON. SOMEBODY-- KNOWING 6198 03:51:58,816 --> 03:51:59,450 CANCER SURVIVORS WOULD BE HIGH 6199 03:51:59,450 --> 03:52:05,622 ON THE LIST WHEN WE WERE FIRST 6200 03:52:05,622 --> 03:52:12,262 RAMPING UP VACCINATION AND THE 6201 03:52:12,262 --> 03:52:12,896 TIERS, WHO WAS GOING TO BE ABLE 6202 03:52:12,896 --> 03:52:15,532 TO VACCINATE EARLY. AND SO 6203 03:52:15,532 --> 03:52:17,234 HAVING THE VACCINE RELATIVE TO 6204 03:52:17,234 --> 03:52:18,902 WHEN THEY WERE DISCUSSING AND 6205 03:52:18,902 --> 03:52:23,107 COMPLETING THE SURVEYS. 6206 03:52:23,107 --> 03:52:27,144 GOING TO THE GREATER BAY AREA, 6207 03:52:27,144 --> 03:52:27,711 I WOULD HAVE TO LOOK AT THE 6208 03:52:27,711 --> 03:52:29,113 DISTRIBUTION AS TO WHAT 6209 03:52:29,113 --> 03:52:29,747 PERCENT-- BECAUSE THESE ARE ALL 6210 03:52:29,747 --> 03:52:30,814 GOING TO BE URBAN, ON THE URBAN 6211 03:52:30,814 --> 03:52:36,220 SIDE. BUT WHAT PERCENT OF THE 6212 03:52:36,220 --> 03:52:36,820 OVERALL. BECAUSE IOWA AND NEW 6213 03:52:36,820 --> 03:52:39,189 MEXICO ARE A LOT MORE RURAL 6214 03:52:39,189 --> 03:52:41,225 STATES, CERTAINLY ALBUQUERQUE 6215 03:52:41,225 --> 03:52:47,931 IN NEW MEXICO, DES MOINES, IOWA 6216 03:52:47,931 --> 03:52:50,034 CITY, GOOD POINT TO FURTHER 6217 03:52:50,034 --> 03:52:50,701 EXPLORE, DIFFERENCES ACROSS THE 6218 03:52:50,701 --> 03:52:55,472 REGISTRY. 6219 03:52:55,472 --> 03:52:55,973 >> DO YOU WANT TO RESPOND 6220 03:52:55,973 --> 03:53:05,115 JEREMY? 6221 03:53:05,115 --> 03:53:07,084 >> MAYBE I WILL ADD FOR BOTH OF 6222 03:53:07,084 --> 03:53:07,718 YOU, WHEN LOOKING AT QUALITY OF 6223 03:53:07,718 --> 03:53:11,789 CARE WE ALSO ADD NCI WE DID 6224 03:53:11,789 --> 03:53:17,861 DATA LINKAGE WITH SERS, AND WE 6225 03:53:17,861 --> 03:53:19,963 HAVE SOME NEW ON-SITE 6226 03:53:19,963 --> 03:53:20,597 INFORMATION ON PATIENT EXPENSES 6227 03:53:20,597 --> 03:53:21,231 THAT YOU MAY BE ABLE TO GET OUT 6228 03:53:21,231 --> 03:53:24,535 WITH THE DATA. A LITTLE BIT OF 6229 03:53:24,535 --> 03:53:25,169 MORE COMPLICATED DATA BUT MIGHT 6230 03:53:25,169 --> 03:53:26,703 BE A USEFUL RESOURCE TO LOOK 6231 03:53:26,703 --> 03:53:28,439 INTO. ANOTHER QUESTION? 6232 03:53:28,439 --> 03:53:34,445 >> HI. I'M (INDISCERNIBLE) FROM 6233 03:53:34,445 --> 03:53:35,312 HAMPTON DEPARTMENT OF 6234 03:53:35,312 --> 03:53:35,913 ECONOMICS. I HAVE A QUESTION 6235 03:53:35,913 --> 03:53:40,884 FOR DR. WHELDON. SO ONE 6236 03:53:40,884 --> 03:53:43,520 PRIMARY FOCUSES MENTAL HEALTH 6237 03:53:43,520 --> 03:53:49,793 AND WHAT IS THE CORRELATION OR 6238 03:53:49,793 --> 03:53:50,394 CAUSALITY BETWEEN THE SOCIAL 6239 03:53:50,394 --> 03:53:51,762 ISOLATION AND MENTAL HEALTH? 6240 03:53:51,762 --> 03:53:53,831 WHETHER YOU FEEL WORSE MENTAL 6241 03:53:53,831 --> 03:53:59,236 HEALTH OR INDEXED 6242 03:53:59,236 --> 03:53:59,870 (INDISCERNIBLE), WHICH MEASURES 6243 03:53:59,870 --> 03:54:01,505 DURING THE PAST TWO WEEKS 6244 03:54:01,505 --> 03:54:07,578 (INDISCERNIBLE) SOMETHING LIKE 6245 03:54:07,578 --> 03:54:08,212 IT. DO YOU THINK YOU BE SOCIAL 6246 03:54:08,212 --> 03:54:09,012 ISOLATION OR LONELINESS IS 6247 03:54:09,012 --> 03:54:09,546 IMPORTANT FOR YOUR MENTAL 6248 03:54:09,546 --> 03:54:12,282 HEALTH INDEX? 6249 03:54:12,282 --> 03:54:17,221 AND ANOTHER THING IS, THE 6250 03:54:17,221 --> 03:54:21,758 ENVIRONMENTAL FACTORS LIKE 6251 03:54:21,758 --> 03:54:22,392 ECONOMIC CONSEQUENCES ON MENTAL 6252 03:54:22,392 --> 03:54:26,029 HEALTH. SO (INDISCERNIBLE) 6253 03:54:26,029 --> 03:54:36,206 LIKE MOST SURVEY, TOTAL INITIAL 6254 03:54:36,206 --> 03:54:38,475 EXPOSURE. YOU FEEL MORE LONELY. 6255 03:54:38,475 --> 03:54:38,976 (INDISCERNIBLE) AND THE 6256 03:54:38,976 --> 03:54:47,584 CONSEQUENCE OF -- LABOR MARKETS 6257 03:54:47,584 --> 03:54:48,152 -- I AM MORE THAN HAPPY TO 6258 03:54:48,152 --> 03:54:48,785 KNOW WHAT YOU THINK ABOUT THIS. 6259 03:54:48,785 --> 03:54:49,820 THANK YOU. 6260 03:54:49,820 --> 03:54:53,690 >> DR. WHELDON: THERE IS THE 6261 03:54:53,690 --> 03:54:54,525 ISSUE OF CAUSATION WHICH IS 6262 03:54:54,525 --> 03:54:57,928 MESSY HERE. YOU HAVE ISOLATION 6263 03:54:57,928 --> 03:54:58,495 WHICH IS CLOSELY LINKED TO 6264 03:54:58,495 --> 03:55:02,199 MENTAL HEALTH. BUT THERE HAVE 6265 03:55:02,199 --> 03:55:02,799 BEEN SOME REALLY INTERESTING 6266 03:55:02,799 --> 03:55:06,069 STUDIES THAT USE LONGITUDINAL 6267 03:55:06,069 --> 03:55:08,205 DATA. AND HOPEFULLY THESE 6268 03:55:08,205 --> 03:55:08,839 PROMISED MEASURES TAKEN TO THE 6269 03:55:08,839 --> 03:55:10,674 LONGITUDINAL DATA SET. 6270 03:55:10,674 --> 03:55:11,241 THEY HAVE ACTUALLY SOLD THAT 6271 03:55:11,241 --> 03:55:14,244 IT SEEMS LIKE THE LONELINESS 6272 03:55:14,244 --> 03:55:15,779 PRECEDES THE MENTAL HEALTH 6273 03:55:15,779 --> 03:55:18,782 OUTCOMES, ESPECIALLY DEPRESSION. 6274 03:55:18,782 --> 03:55:23,420 ANXIETY SEEMS TO BE MORE 6275 03:55:23,420 --> 03:55:23,921 CO-OCCURRING, BUT THEN 6276 03:55:23,921 --> 03:55:24,855 EXPRESSING LONELINESS CAN 6277 03:55:24,855 --> 03:55:25,522 INCREASE THE RECURRENCE AND 6278 03:55:25,522 --> 03:55:28,926 SEVERE ANXIETY LATER ON. AND I 6279 03:55:28,926 --> 03:55:29,459 THINK THERE IS A DYNAMIC 6280 03:55:29,459 --> 03:55:29,993 RELATIONSHIP THAT EXISTS 6281 03:55:29,993 --> 03:55:32,362 BETWEEN THEM. THERE IS THE 6282 03:55:32,362 --> 03:55:32,963 ISSUE OF WHEN YOU'RE GOING TO 6283 03:55:32,963 --> 03:55:34,464 CERTAIN CANCER TREATMENTS, YOU 6284 03:55:34,464 --> 03:55:35,065 HAVE TO BE SOCIALLY ISOLATED 6285 03:55:35,065 --> 03:55:37,301 FOR A POINT OF TIME. AND THAT 6286 03:55:37,301 --> 03:55:37,901 IS WHAT I THINK INTERVENTIONS 6287 03:55:37,901 --> 03:55:39,503 ARE NEEDED TO KIND OF THINK 6288 03:55:39,503 --> 03:55:42,539 ABOUT MORE BROADLY OF THE 6289 03:55:42,539 --> 03:55:44,074 PSYCHOSOCIAL HELP, INCLUDING 6290 03:55:44,074 --> 03:55:44,675 SOCIAL CONNECTIONS FOR CANCER 6291 03:55:44,675 --> 03:55:45,609 SURVIVORS WHO ARE UNDERGOING 6292 03:55:45,609 --> 03:55:48,212 ACTIVE TREATMENT. 6293 03:55:48,212 --> 03:55:49,780 BUT FROM THIS DATA AT LEAST 6294 03:55:49,780 --> 03:55:56,420 THERE IS CONSIDERABLE AMOUNT OF 6295 03:55:56,420 --> 03:55:56,987 TIME BETWEEN WHEN THEY WERE 6296 03:55:56,987 --> 03:55:58,255 DIAGNOSED AND TREATED AND THEY 6297 03:55:58,255 --> 03:56:02,226 WERE REPORTING THIS ISOLATION. 6298 03:56:02,226 --> 03:56:02,859 IT SEEMS TO ME THAT IT'S GOING 6299 03:56:02,859 --> 03:56:03,393 TO CHANGE IN THEIR SOCIAL 6300 03:56:03,393 --> 03:56:07,864 NETWORKS. 6301 03:56:07,864 --> 03:56:08,465 THE IDEAL STUDY LIKE TO DO IS 6302 03:56:08,465 --> 03:56:11,635 DO A LONGITUDINAL STUDY OF THE 6303 03:56:11,635 --> 03:56:12,236 ECO-NETWORK AND WE CAN FOLLOW 6304 03:56:12,236 --> 03:56:12,736 CANCER SURVIVORS DURING 6305 03:56:12,736 --> 03:56:19,810 TREATMENT AND AFTER AND SEE HOW 6306 03:56:19,810 --> 03:56:20,444 THE STRUCTURE OF THEIR NETWORKS 6307 03:56:20,444 --> 03:56:21,044 CHANGE. THAT WOULD GIVE US A 6308 03:56:21,044 --> 03:56:21,511 REALLY GOOD POINT OF 6309 03:56:21,511 --> 03:56:21,979 INTERVENTION. 6310 03:56:21,979 --> 03:56:24,348 >> DR. MOLLICA: WILL MAKE THIS 6311 03:56:24,348 --> 03:56:25,048 LAST QUESTION. GO AHEAD. 6312 03:56:25,048 --> 03:56:28,318 >> I'M -- FROM THE UNIVERSITY 6313 03:56:28,318 --> 03:56:31,521 OF NEVADA. THANKS FOR A VERY 6314 03:56:31,521 --> 03:56:32,089 INTERESTING TOPIC ON MENTAL 6315 03:56:32,089 --> 03:56:41,064 HEALTH. 6316 03:56:41,064 --> 03:56:41,665 YOU MENTIONED THAT FOR CANCER 6317 03:56:41,665 --> 03:56:44,401 SURVIVORS, A LINK BETWEEN 6318 03:56:44,401 --> 03:56:46,637 MENTAL HEALTH DIAGNOSIS, CAN IT 6319 03:56:46,637 --> 03:56:47,170 BE RELATED TO EMPLOYMENT 6320 03:56:47,170 --> 03:56:48,105 STATUS? YOU MENTION EMPLOYMENT 6321 03:56:48,105 --> 03:56:49,840 STATUS, BUT IT WASN'T IN THE 6322 03:56:49,840 --> 03:56:53,877 HINTS 2022. USING IT IS 6323 03:56:53,877 --> 03:56:54,478 IMPORTANT TO HAVE EMPLOYMENT 6324 03:56:54,478 --> 03:56:55,946 STATUS BECAUSE IT AFFECTS 6325 03:56:55,946 --> 03:56:59,583 MENTAL HEALTH? AND IT MIGHT BE 6326 03:56:59,583 --> 03:57:00,617 BECAUSE FOR EXAMPLE LOSING A 6327 03:57:00,617 --> 03:57:01,451 JOB. 6328 03:57:01,451 --> 03:57:05,055 >> DR. WHELDON: I DID NOT PUT 6329 03:57:05,055 --> 03:57:05,622 THAT IN THERE BUT THAT IS A 6330 03:57:05,622 --> 03:57:11,161 GOOD POINT. EMPLOYMENT STATUS. 6331 03:57:11,161 --> 03:57:11,795 THE OTHER ONE I THOUGHT WAS THE 6332 03:57:11,795 --> 03:57:12,429 FINANCIAL INSTABILITY QUESTION. 6333 03:57:12,429 --> 03:57:14,531 I THINK WE CAN ADD THAT TOO. 6334 03:57:14,531 --> 03:57:17,034 THAT IS A VERY GOOD POINT THANK 6335 03:57:17,034 --> 03:57:22,472 YOU 6336 03:57:22,472 --> 03:57:25,642 DR. MOLLICA: PLEASE JOIN ME 6337 03:57:25,642 --> 03:57:28,812 IN THANKING MY SPEAKERS. AT 6338 03:57:28,812 --> 03:57:29,446 THIS POINT IT IS MY PLEASURE TO 6339 03:57:29,446 --> 03:57:33,583 ALLOW YOU TO TAKE A BREAK UNTIL 6340 03:57:33,583 --> 03:57:34,217 3:30. AND I WAS ASKED SPEAKERS 6341 03:57:34,217 --> 03:57:34,818 FOR THE DATA BLITZ SECTION TO 6342 03:57:34,818 --> 03:57:37,220 MAKE SURE THAT BY 3:30 YOU 6343 03:57:37,220 --> 03:57:38,622 MEANDER UPFRONT TO BE READY TO 6344 03:57:38,622 --> 03:57:41,838 GO. THANK YOU VERY MUCH. 6345 03:57:41,838 --> 03:57:47,812 GOOD AFTERNOON EVERYONE. MY 6346 03:57:47,812 --> 03:57:50,681 NAME IS HEATHER D'ANGELO. THIS 6347 03:57:50,681 --> 03:57:51,916 IS THE DATA BLITZ: RAPID FIRE 6348 03:57:51,916 --> 03:57:54,185 HINTS RESEARCH RESULTS. WE 6349 03:57:54,185 --> 03:57:54,719 HAVE A LOT OF INTERESTING 6350 03:57:54,719 --> 03:57:56,454 TOPICS FOR YOU. EACH 6351 03:57:56,454 --> 03:57:57,021 PRESENTATION WILL BE A FIVE 6352 03:57:57,021 --> 03:57:58,656 MINUTE TALK. IT'S GOING TO BE 6353 03:57:58,656 --> 03:58:01,492 SHORT AND SWEET. WE ARE GOING 6354 03:58:01,492 --> 03:58:03,594 TO MOVE THROUGH EIGHT DIFFERENT 6355 03:58:03,594 --> 03:58:04,228 PRESENTATIONS AND AT THE END WE 6356 03:58:04,228 --> 03:58:04,829 WILL HAVE TIME FOR QUESTIONS 6357 03:58:04,829 --> 03:58:07,198 AND ANSWERS. 6358 03:58:07,198 --> 03:58:08,599 SO PLEASE JOIN ME IN WELCOMING 6359 03:58:08,599 --> 03:58:11,836 OUR FIRST PRESENTER. ALISHA 6360 03:58:11,836 --> 03:58:14,438 LANGFORD, WAYNE STATE 6361 03:58:14,438 --> 03:58:19,310 UNIVERSITY. THANK YOU. 6362 03:58:19,310 --> 03:58:22,647 >> DR. LANGFORD: THANK YOU I AM 6363 03:58:22,647 --> 03:58:24,549 GOING TO TALK ABOUT NYU 6364 03:58:24,549 --> 03:58:25,283 GROSSMAN SCHOOL OF MEDICINE - 6365 03:58:25,283 --> 03:58:25,783 BELIEFS ABOUT THE ROLE OF 6366 03:58:25,783 --> 03:58:26,417 LIFESTYLE FACTORS ON DEVELOPING 6367 03:58:26,417 --> 03:58:26,984 CANCER, HEALTH-RELATED, AND 6368 03:58:26,984 --> 03:58:27,618 SOCIODEMOGRAPHIC CORRELATES OF 6369 03:58:27,618 --> 03:58:28,252 NOTICING CALORIE INFORMATION ON 6370 03:58:28,252 --> 03:58:33,024 RESTAURANT MENUS 6371 03:58:33,024 --> 03:58:35,793 AND I WOULD LIKE TO 6372 03:58:35,793 --> 03:58:39,897 ACKNOWLEDGE MY CO-AUTHORS ON 6373 03:58:39,897 --> 03:58:40,498 THIS ABSTRACT WHO ARE FROM A 6374 03:58:40,498 --> 03:58:41,332 VARIETY OF DIFFERENT 6375 03:58:41,332 --> 03:58:45,236 UNIVERSITIES. AND ONE OF MY 6376 03:58:45,236 --> 03:58:52,143 COLLEAGUES, KATERINA, IS HERE 6377 03:58:52,143 --> 03:58:52,777 AND WILL BE PRESENTING IN A FEW 6378 03:58:52,777 --> 03:58:55,847 MINUTES ON A DIFFERENT TOPIC. 6379 03:58:55,847 --> 03:58:56,414 SOME OF YOU MAY BE AWARE OR 6380 03:58:56,414 --> 03:58:59,016 NOT THAT IN MAY 2018, THE FDA 6381 03:58:59,016 --> 03:59:06,257 ISSUED A FINAL RULE. IT 6382 03:59:06,257 --> 03:59:06,891 REQUIRES THAT RESTAURANT CHAINS 6383 03:59:06,891 --> 03:59:08,492 THAT HAD AT LEAST 20 OR MORE 6384 03:59:08,492 --> 03:59:09,193 LOCATIONS LIST CALORIE 6385 03:59:09,193 --> 03:59:11,829 INFORMATION ON THEIR MENUS. 6386 03:59:11,829 --> 03:59:12,463 ONE OF THE CAVEAT WITH THAT WAS 6387 03:59:12,463 --> 03:59:13,965 THAT THE RESTAURANT HAD TO BE 6388 03:59:13,965 --> 03:59:15,800 OPERATING UNDER THE SAME NAME, 6389 03:59:15,800 --> 03:59:17,535 AND GENERALLY OFFERING THE SAME 6390 03:59:17,535 --> 03:59:22,473 MENU OF FOOD AND BEVERAGES. 6391 03:59:22,473 --> 03:59:26,210 SO THE OBJECTIVE OF THIS 6392 03:59:26,210 --> 03:59:28,112 PARTICULAR STUDY, EXPLORATORY 6393 03:59:28,112 --> 03:59:28,613 STUDY, WHAT TO LOOK AT 6394 03:59:28,613 --> 03:59:30,948 ASSOCIATIONS BETWEEN NOTICING 6395 03:59:30,948 --> 03:59:35,052 COLOR INFORMATION ON MENUS, AND 6396 03:59:35,052 --> 03:59:35,586 A VARIETY OF BEHAVIORAL, 6397 03:59:35,586 --> 03:59:36,187 MEDICAL AND SOCIODEMOGRAPHIC 6398 03:59:36,187 --> 03:59:37,388 FACTORS. 6399 03:59:37,388 --> 03:59:40,524 SO, WE DID USE A 6400 03:59:40,524 --> 03:59:43,828 CROSS-SECTIONAL DATA FROM HINTS 6401 03:59:43,828 --> 03:59:54,405 5 CICLE 4. THE DATA WERE 6402 03:59:54,405 --> 03:59:54,939 COLLECTED BETWEEN FEBRUARY IN 6403 03:59:54,939 --> 03:59:58,743 JUNE 2020. AND WE SHORTEN THE 6404 03:59:58,743 --> 04:00:05,016 ANALYSIS RESPONDERS THAT HAD NO 6405 04:00:05,016 --> 04:00:06,384 MISSING DATA AND THAT WAS 6406 04:00:06,384 --> 04:00:10,755 SAMPLE SIZE OF ABOUT 307. AND 6407 04:00:10,755 --> 04:00:11,289 THEY HAD NO VARIABLES OF 6408 04:00:11,289 --> 04:00:15,793 INTEREST. 6409 04:00:15,793 --> 04:00:16,360 THINKING ABOUT THE LAST TIME 6410 04:00:16,360 --> 04:00:16,994 YOU ORDERED FOOD IN A FAST FOOD 6411 04:00:16,994 --> 04:00:19,363 OR SITDOWN RESTAURANT, DID YOU 6412 04:00:19,363 --> 04:00:19,931 NOTICE CALORIE INFORMATION 6413 04:00:19,931 --> 04:00:20,564 LISTED NEXT TO THE FOOD ON THE 6414 04:00:20,564 --> 04:00:27,338 MENU OR MENU BOARD? YES OR NO. 6415 04:00:27,338 --> 04:00:27,905 YOU ALL CAN THINK ABOUT THE 6416 04:00:27,905 --> 04:00:29,907 LAST TIME YOU ORDERED FOOD. 6417 04:00:29,907 --> 04:00:30,474 DID YOU NOTICE THE CALORIE 6418 04:00:30,474 --> 04:00:32,410 INFORMATION? 6419 04:00:32,410 --> 04:00:34,545 SO WE LOOKED AGAIN-- THIS WAS 6420 04:00:34,545 --> 04:00:43,087 AN EXPLORATORY ANALYSIS. WE 6421 04:00:43,087 --> 04:00:43,621 LOOKED AT THE VARIETY OF 6422 04:00:43,621 --> 04:00:47,792 VARIABLES. WAS INTERESTED IN 6423 04:00:47,792 --> 04:00:48,326 HOUSEHOLD INCOME, MEDICAL 6424 04:00:48,326 --> 04:00:48,926 CONDITIONS AND THAT INCLUDED 6425 04:00:48,926 --> 04:00:50,728 THINGS LIKE HISTORY OF CANCER, 6426 04:00:50,728 --> 04:00:57,435 DIABETES, HYPERTENSION, ETC., 6427 04:00:57,435 --> 04:00:58,035 WHETHER KNOWING THAT YOU WERE 6428 04:00:58,035 --> 04:00:58,602 GENETICALLY PREDISPOSED FOR 6429 04:00:58,602 --> 04:00:59,270 DEVELOPING CANCER IF THAT WOULD 6430 04:00:59,270 --> 04:01:02,073 CHANGE BEHAVIORS. I WAS ALSO 6431 04:01:02,073 --> 04:01:03,341 PARTICULARLY INTERESTED IN 6432 04:01:03,341 --> 04:01:07,845 LIFESTYLE FACTORS. AND THAT 6433 04:01:07,845 --> 04:01:08,479 QUESTION WAS WORDED LOOKING AT 6434 04:01:08,479 --> 04:01:11,449 THREE DIFFERENT THINGS. ONE WAS 6435 04:01:11,449 --> 04:01:14,051 BEING OVERWEIGHT. ONE WAS 6436 04:01:14,051 --> 04:01:17,355 GAINING WEIGHT AS AN ADULT. 6437 04:01:17,355 --> 04:01:17,955 AND THE OTHER WAS EATING TOO 6438 04:01:17,955 --> 04:01:19,724 MUCH RED MEAT. 6439 04:01:19,724 --> 04:01:22,960 SO, PART OF OUR METHODS WERE 6440 04:01:22,960 --> 04:01:30,935 TO LOOK AT ALL OF THESE FACTORS 6441 04:01:30,935 --> 04:01:31,769 UNIVEARIANTLY. FACTORS THAT 6442 04:01:31,769 --> 04:01:39,143 WERE SIGNIFICANT P <1.5, WOULD 6443 04:01:39,143 --> 04:01:42,146 PUT THAT INTO A MULTIVARIABLE 6444 04:01:42,146 --> 04:01:43,514 REGRESSION ANALYSIS. THESE ARE 6445 04:01:43,514 --> 04:01:47,952 THE RESULT OF HER FINAL 6446 04:01:47,952 --> 04:01:51,655 MULTIVARIABLE MODEL. AND THE 6447 04:01:51,655 --> 04:01:52,256 FOUR FACTORS WERE SIGNIFICANT 6448 04:01:52,256 --> 04:01:52,723 FOR NOTICING CALORIE 6449 04:01:52,723 --> 04:01:57,228 INFORMATION, ONE FEMALES HAD 6450 04:01:57,228 --> 04:02:00,731 HIGHER ODDS OF NOTICING CALORIE 6451 04:02:00,731 --> 04:02:03,601 INFORMATION ON MENUS, THOSE 6452 04:02:03,601 --> 04:02:04,235 WITH A COLLEGE DEGREE ALSO HAD 6453 04:02:04,235 --> 04:02:10,274 HIGHER ODDS OF NOTICING CALORIE 6454 04:02:10,274 --> 04:02:12,476 INFORMATION ON MENUS. MAYBE NOT 6455 04:02:12,476 --> 04:02:13,511 SURPRISINGLY THOSE WHO WORE 6456 04:02:13,511 --> 04:02:21,986 DEVICES LIKE A FIT BIT OR APPLE 6457 04:02:21,986 --> 04:02:30,127 WATCH LIKE I HAVE HAD A HIGHER 6458 04:02:30,127 --> 04:02:30,661 ODDS OF NOTICING CALORIE 6459 04:02:30,661 --> 04:02:32,029 INFORMATION ON MENUS. 6460 04:02:32,029 --> 04:02:42,373 AND THOSE -- I WANT TO 6461 04:02:44,241 --> 04:02:45,943 ACKNOWLEDGE A FEW LIMITATIONS. 6462 04:02:45,943 --> 04:02:47,978 ONE IS WE COULD NOT DISTINGUISH 6463 04:02:47,978 --> 04:02:49,013 THOSE WHO ARE NOTICING CALORIE 6464 04:02:49,013 --> 04:02:51,082 INFORMATION ON FAST FOOD. SO 6465 04:02:51,082 --> 04:02:53,551 THINK OF BURGER KING, 6466 04:02:53,551 --> 04:02:55,453 MCDONALD'S, STARBUCKS VERSUS 6467 04:02:55,453 --> 04:02:57,855 PLACES WHERE YOU MAY SIT DOWN 6468 04:02:57,855 --> 04:03:00,357 LIKE APPLEBEE'S OR CHILI'S. 6469 04:03:00,357 --> 04:03:01,425 THERE COULD BE DIFFERENCES IN 6470 04:03:01,425 --> 04:03:04,862 HOW MUCH YOU PAID ATTENTION. 6471 04:03:04,862 --> 04:03:10,201 AND ALSO WE DON'T KNOW IF JUST 6472 04:03:10,201 --> 04:03:10,768 SIMPLY NOTICING INFORMATION 6473 04:03:10,768 --> 04:03:11,368 CALORIE INFORMATION ACTUALLY 6474 04:03:11,368 --> 04:03:11,936 CHANGES WHAT YOU ORDERED. 6475 04:03:11,936 --> 04:03:13,070 SOMETIMES IT DOES FOR ME. 6476 04:03:13,070 --> 04:03:15,139 SOMETIMES IT DOESN'T. 6477 04:03:15,139 --> 04:03:19,710 IN CONCLUSION, NOTICING 6478 04:03:19,710 --> 04:03:21,946 CALORIE INFORMATION ON MENUS 6479 04:03:21,946 --> 04:03:24,215 WAS ASSOCIATED WITH GENDER, 6480 04:03:24,215 --> 04:03:24,849 EDUCATION, WHAT PEOPLE BELIEVED 6481 04:03:24,849 --> 04:03:25,549 ABOUT THE LINK BETWEEN OBESITY 6482 04:03:25,549 --> 04:03:28,319 AND CANCER, AND ALSO USING 6483 04:03:28,319 --> 04:03:28,986 WEARABLE DEVICES TO TRACK 6484 04:03:28,986 --> 04:03:30,287 HEALTH. 6485 04:03:30,287 --> 04:03:32,223 AND I HAVE FIVE SECONDS. I 6486 04:03:32,223 --> 04:03:34,892 MADE IT IN FIVE MINUTES. THANK 6487 04:03:34,892 --> 04:03:37,128 YOU. THERE IS MY CONTACT 6488 04:03:37,128 --> 04:03:47,371 INFORMATION. 6489 04:03:57,414 --> 04:04:00,284 >> GOING TO HEAR FROM KRISTIN 6490 04:04:00,284 --> 04:04:00,784 SCHRADER, UNIVERSITY OF 6491 04:04:00,784 --> 04:04:01,986 TENNESSEE. 6492 04:04:01,986 --> 04:04:05,556 >> MS. SCHRADER: MY ADVISOR 6493 04:04:05,556 --> 04:04:11,762 ENCOURAGE ME TO USE THE HINTS 6494 04:04:11,762 --> 04:04:12,329 IN MY DISSERTATION RESEARCH 6495 04:04:12,329 --> 04:04:12,930 WHICH I AM PRESENTING TO YOU 6496 04:04:12,930 --> 04:04:13,797 TODAY. FIRST I'M GOING TO GIVE 6497 04:04:13,797 --> 04:04:14,932 YOU A COUNT OF THREE TO 6498 04:04:14,932 --> 04:04:16,167 IDENTIFY THE DIFFERENCES 6499 04:04:16,167 --> 04:04:17,334 BETWEEN THESE TWO IMAGES, 3, 2, 6500 04:04:17,334 --> 04:04:20,437 1. 6501 04:04:20,437 --> 04:04:28,112 YES! I HEARD SOME PEOPLE SOARS. 6502 04:04:28,112 --> 04:04:31,615 I'M HAPPY YOU NOTICED. YES, 6503 04:04:31,615 --> 04:04:32,249 THIS IS A GRAPHIC PUT TOGETHER 6504 04:04:32,249 --> 04:04:34,985 BY THE CDC AND I BORROWED IT 6505 04:04:34,985 --> 04:04:38,055 FROM THE SOCIAL MEDIA CAMPAIGN 6506 04:04:38,055 --> 04:04:38,689 WEBSITE FOR FLU VACCINATION AND 6507 04:04:38,689 --> 04:04:41,792 THEN ON THE RIGHT-HAND SIDE, I 6508 04:04:41,792 --> 04:04:43,594 CHANGE THE ATTRIBUTION TO A 6509 04:04:43,594 --> 04:04:44,461 LOCAL ORGANIZATION, THE GREATER 6510 04:04:44,461 --> 04:04:47,865 WASHINGTON COMMUNITY FUND. 6511 04:04:47,865 --> 04:04:48,465 THIS DIFFERENCE IS REALLY THE 6512 04:04:48,465 --> 04:04:53,737 CRUX OF MY RESEARCH, THERE'S A 6513 04:04:53,737 --> 04:04:55,673 LOT OF MESSAGE TESTING, AND A 6514 04:04:55,673 --> 04:05:00,744 LOT OF UNDERSTANDING OF WHAT 6515 04:05:00,744 --> 04:05:01,345 CHANGES MESSAGE BEHAVIOR BUT 6516 04:05:01,345 --> 04:05:03,781 LESS INFORMATION ABOUT HOW THE 6517 04:05:03,781 --> 04:05:04,315 CONTRACT CHANGES MESSAGE 6518 04:05:04,315 --> 04:05:05,482 BEHAVIORS OR MY INTEREST WAS IN 6519 04:05:05,482 --> 04:05:07,051 URBAN AND RURAL COMMUNITIES AND 6520 04:05:07,051 --> 04:05:07,585 HOW THOSE MESSAGES AFFECT 6521 04:05:07,585 --> 04:05:08,352 CHANGE. 6522 04:05:08,352 --> 04:05:17,861 I USED FOUR CYCLES OF THE 6523 04:05:17,861 --> 04:05:18,462 HINTS DATA AND USE THE SAMPLE 6524 04:05:18,462 --> 04:05:19,096 INTO AN URBAN GROUP IN A RURAL 6525 04:05:19,096 --> 04:05:19,697 GROUP AND USED FOR DIFFERENT 6526 04:05:19,697 --> 04:05:26,136 SOURCES. DOCTORS, FRIENDS 6527 04:05:26,136 --> 04:05:26,570 FAMILIES, RELIGIOUS 6528 04:05:26,570 --> 04:05:27,171 ORGANIZATIONS AND GOVERNMENT 6529 04:05:27,171 --> 04:05:37,481 HEALTH AGENCIES. 6530 04:05:48,225 --> 04:05:52,529 TRUST IN DOCTORS IS NOT 6531 04:05:52,529 --> 04:05:53,063 AFFECTED. YOUR RELIGIOUS 6532 04:05:53,063 --> 04:05:54,231 COMMUNITIES IN YOUR COMMUNITY, 6533 04:05:54,231 --> 04:05:57,334 AND SOMETHING YOU INTERACT WITH 6534 04:05:57,334 --> 04:05:57,968 AND GOVERNMENT HEALTH AGENCIES 6535 04:05:57,968 --> 04:05:58,535 ARE THE NATIONAL LEVEL SO I 6536 04:05:58,535 --> 04:06:03,440 WOULD EXPECT THAT PEOPLE IN 6537 04:06:03,440 --> 04:06:04,041 RURAL COMMUNITIES MAY BE LESS 6538 04:06:04,041 --> 04:06:04,575 TRUSTING OF THOSE AT THE 6539 04:06:04,575 --> 04:06:05,843 GOVERNMENT LEVEL AND MORE 6540 04:06:05,843 --> 04:06:07,278 TRUSTING TO THOSE CLOSE TO THEM 6541 04:06:07,278 --> 04:06:09,246 IN THEIR COMMUNITY. 6542 04:06:09,246 --> 04:06:09,813 THIS IS A QUICK CHART OF MY 6543 04:06:09,813 --> 04:06:12,316 SAMPLE. SO YOU WILL SEE THAT 6544 04:06:12,316 --> 04:06:15,986 THE RESPONSES WERE EVENLY SPLIT 6545 04:06:15,986 --> 04:06:20,124 BETWEEN RURAL AND URBAN. RURAL 6546 04:06:20,124 --> 04:06:20,758 IS A BLUE-COLLAR ON THE BOTTOM. 6547 04:06:20,758 --> 04:06:21,959 AND THE RURAL SAMPLES QUEUE TO 6548 04:06:21,959 --> 04:06:23,827 BE A LOT MORE NON-HISPANIC 6549 04:06:23,827 --> 04:06:24,461 WHITE WHEREAS THE URBAN SAMPLE 6550 04:06:24,461 --> 04:06:27,898 HAD A LOT MORE PERSONS WERE 6551 04:06:27,898 --> 04:06:31,568 IDENTIFIED AS SOMETHING OTHER 6552 04:06:31,568 --> 04:06:32,569 THAN NON-HISPANIC WHITE. THE 6553 04:06:32,569 --> 04:06:33,170 RURAL SAMPLES SKEWED SLIGHTLY 6554 04:06:33,170 --> 04:06:34,171 OLDER AND ALSO HAD SLIGHTLY 6555 04:06:34,171 --> 04:06:37,641 LOWER EDUCATIONAL ATTAINMENT. 6556 04:06:37,641 --> 04:06:38,275 AND ALL OF THAT IS IN LINE WITH 6557 04:06:38,275 --> 04:06:38,776 OTHER RESEARCH ON RURAL 6558 04:06:38,776 --> 04:06:41,545 DEMOGRAPHICS. 6559 04:06:41,545 --> 04:06:44,214 I ALSO LOOKED AT 6560 04:06:44,214 --> 04:06:44,848 HOMEOWNERSHIP, BECAUSE THAT CAN 6561 04:06:44,848 --> 04:06:45,616 BE AN INDICATOR OF 6562 04:06:45,616 --> 04:06:46,216 CONNECTEDNESS TO A PERSON'S 6563 04:06:46,216 --> 04:06:50,187 COMMUNITY. AND SO WE SEE THAT 6564 04:06:50,187 --> 04:06:50,821 RURAL PEOPLE ARE MORE LIKELY TO 6565 04:06:50,821 --> 04:06:55,759 OWN THEIR HOMES. 6566 04:06:55,759 --> 04:06:56,327 SO THEN I GOT INTO TRUSTING 6567 04:06:56,327 --> 04:06:56,927 THESE SOURCES AND THIS IS THE 6568 04:06:56,927 --> 04:06:59,797 MEAT WE ARE ALL INTERESTED IN. 6569 04:06:59,797 --> 04:07:00,397 AND OF COURSE THE HINTS DATA 6570 04:07:00,397 --> 04:07:01,031 PROVED ME WRONG AT MANY LEVELS 6571 04:07:01,031 --> 04:07:04,535 HERE. 6572 04:07:04,535 --> 04:07:05,135 FIRST WHEN I LOOKED AT DOCTORS 6573 04:07:05,135 --> 04:07:08,138 I DID A MEANS TEST TO COMPARE 6574 04:07:08,138 --> 04:07:17,614 THE MEAN SCORES AND I FOUND 6575 04:07:17,614 --> 04:07:18,148 THAT THERE WAS ACTUALLY A 6576 04:07:18,148 --> 04:07:18,782 SIGNIFICANT INTERACTION BETWEEN 6577 04:07:18,782 --> 04:07:20,384 VIRALITY AND TRUST IN DOCTORS, 6578 04:07:20,384 --> 04:07:21,018 THERE IS SOME DIFFERENCE OTHER 6579 04:07:21,018 --> 04:07:23,854 COMMUNITY YOU LIVE IN. 6580 04:07:23,854 --> 04:07:24,388 AND WHEN I LOOKED AT THESE 6581 04:07:24,388 --> 04:07:24,922 OTHER THREE THERE WAS NO 6582 04:07:24,922 --> 04:07:26,123 DIFFERENCE FROM FRIENDS AND 6583 04:07:26,123 --> 04:07:28,525 FAMILY. THERE WAS NO 6584 04:07:28,525 --> 04:07:28,992 SIGNIFICANCE, AND NO 6585 04:07:28,992 --> 04:07:29,593 SIGNIFICANT DIFFERENCE FOR A 6586 04:07:29,593 --> 04:07:33,864 RELIGIOUS ORGANIZATION. 6587 04:07:33,864 --> 04:07:34,465 THERE WAS A SIGNIFICANCE WITH 6588 04:07:34,465 --> 04:07:35,099 GOVERNMENT AGENCIES. THERE WAS 6589 04:07:35,099 --> 04:07:41,271 A LITTLE BIT OF A DIFFERENCE. 6590 04:07:41,271 --> 04:07:41,872 BUT I WAS VERY SURPRISED AND 6591 04:07:41,872 --> 04:07:43,674 VERY HAPPY TO SEE THAT RURAL 6592 04:07:43,674 --> 04:07:44,274 AND URBAN COMMUNITIES TRUSTED 6593 04:07:44,274 --> 04:07:44,808 GOVERNMENT AGENCIES UNDER 6594 04:07:44,808 --> 04:07:48,846 DOCTORS. PLACES LIKE NCI. 6595 04:07:48,846 --> 04:07:49,613 THE FUTURE OF MY RESEARCH IS 6596 04:07:49,613 --> 04:07:52,416 TO DO REGRESSION MODELING TO 6597 04:07:52,416 --> 04:07:53,917 PUT DEMOGRAPHICS AND HEALTHCARE 6598 04:07:53,917 --> 04:07:54,485 CHARACTERISTICS ON SEVERAL 6599 04:07:54,485 --> 04:07:55,352 OUTCOMES INCLUDING HEALTH 6600 04:07:55,352 --> 04:07:55,986 INFORMATION SEEKING, LIKELINESS 6601 04:07:55,986 --> 04:07:58,322 OF SEEKING INTERPERSONAL 6602 04:07:58,322 --> 04:08:00,324 SOURCE, A MEDIA SOURCE, OR A 6603 04:08:00,324 --> 04:08:04,661 PROVIDER SOURCE. AND THEN 6604 04:08:04,661 --> 04:08:12,836 TRUST, THE TRUST OUTCOMES. AND 6605 04:08:12,836 --> 04:08:13,303 ALSO I AM DESIGNING A 6606 04:08:13,303 --> 04:08:13,871 SURVEY--BASED EXPERIMENT TO 6607 04:08:13,871 --> 04:08:14,505 SHOW PEOPLE TWO GRAPHICS, LIKE 6608 04:08:14,505 --> 04:08:15,105 I SHOWED YOU AT THE START AND 6609 04:08:15,105 --> 04:08:16,073 SEE WHAT THE DIFFERENCES IT IS 6610 04:08:16,073 --> 04:08:16,907 GEOGRAPHIC ATTRIBUTED TO A 6611 04:08:16,907 --> 04:08:17,574 NATIONAL VERSUS A LOCAL 6612 04:08:17,574 --> 04:08:25,649 ORGANIZATION. 6613 04:08:25,649 --> 04:08:28,552 AND THE IMPLICATIONS HERE. WE 6614 04:08:28,552 --> 04:08:31,088 MAY BE ABLE TO ADVANCE POSITIVE 6615 04:08:31,088 --> 04:08:31,622 CHANGE IN HEALTH OUTCOMES 6616 04:08:31,622 --> 04:08:32,222 PARTICULARLY IN PREVENTATIVE 6617 04:08:32,222 --> 04:08:35,726 CARE. AND THIS IN MY RESEARCH 6618 04:08:35,726 --> 04:08:38,128 IS APPLYING IT TO RURAL AND 6619 04:08:38,128 --> 04:08:38,762 URBAN COMMUNITIES BUT THIS CAN 6620 04:08:38,762 --> 04:08:43,567 ALSO BE USED TO TARGET OTHER 6621 04:08:43,567 --> 04:08:44,234 UNDERSERVED POPULATIONS SUCH AS 6622 04:08:44,234 --> 04:08:47,337 DIFFERENT ETHNIC POPULATIONS. 6623 04:08:47,337 --> 04:08:48,205 AT THE START WITH HER A LOT 6624 04:08:48,205 --> 04:08:49,273 ABOUT THE LATINO POPULATION. I 6625 04:08:49,273 --> 04:08:50,474 THINK THIS IS REALLY VALUABLE 6626 04:08:50,474 --> 04:08:52,109 FOR SEVERAL DIFFERENT GROUPS. 6627 04:08:52,109 --> 04:08:53,777 THAT'S IT. 6628 04:08:53,777 --> 04:08:57,981 >> 6629 04:08:57,981 --> 04:09:01,418 >> DR. D'ANGELO: UP NEXT IS 6630 04:09:01,418 --> 04:09:03,720 ABIGAIL MURO, FROM THE NATIONAL 6631 04:09:03,720 --> 04:09:06,323 CANCER INSTITUTE. 6632 04:09:06,323 --> 04:09:09,460 >> DR. MURO: HI EVERYONE. I AM 6633 04:09:09,460 --> 04:09:10,427 ABIGAIL MURO, NATIONAL CANCER 6634 04:09:10,427 --> 04:09:11,128 INSTITUTE - TRUST IN HEALTH 6635 04:09:11,128 --> 04:09:11,728 INFORMATION SOURCES AND CLIMATE 6636 04:09:11,728 --> 04:09:12,262 CHANGE HARM PERCEPTIONS: 6637 04:09:12,262 --> 04:09:12,796 RESULTS FROM THE NATIONAL 6638 04:09:12,796 --> 04:09:13,397 CANCER INSTITUTE’S HEALTH 6639 04:09:13,397 --> 04:09:13,964 INFORMATION NATIONAL TRENDS 6640 04:09:13,964 --> 04:09:23,941 SURVEY (HINTS), 2022 6641 04:09:23,941 --> 04:09:31,515 SO, WE KNOW THAT THE NEGATIVE 6642 04:09:31,515 --> 04:09:32,049 HEALTH IMPACTS OF CLIMATE 6643 04:09:32,049 --> 04:09:33,684 CHANGE OF INCREASING. 6644 04:09:33,684 --> 04:09:34,318 SUPPORTIVE BELIEVE AND HARM DUE 6645 04:09:34,318 --> 04:09:35,252 TO CLIMATE CHANGE IS ESPECIALLY 6646 04:09:35,252 --> 04:09:37,654 IMPORTANT AND BECOMING MORE 6647 04:09:37,654 --> 04:09:38,222 IMPORTANT TO PREVENTION AND 6648 04:09:38,222 --> 04:09:42,159 PREPAREDNESS EFFORTS. AND 6649 04:09:42,159 --> 04:09:42,726 LEVELS OF TRUST IN VARIOUS 6650 04:09:42,726 --> 04:09:46,597 HEALTH INFORMATION VERSUS COULD 6651 04:09:46,597 --> 04:09:47,231 POTENTIALLY SHAPE PUBLIC BELIEF 6652 04:09:47,231 --> 04:09:47,865 THAT CLIMATE CHANGE IS HARMFUL 6653 04:09:47,865 --> 04:09:50,133 TO HEALTH, WHICH COULD IN TURN 6654 04:09:50,133 --> 04:09:51,401 PROMOTE BEHAVIOR CHANGE AND 6655 04:09:51,401 --> 04:09:51,902 SUPPORT CLIMATE RELATED 6656 04:09:51,902 --> 04:09:57,040 POLICIES. 6657 04:09:57,040 --> 04:10:00,444 SO OUR AIMS WERE TWOFOLD. 6658 04:10:00,444 --> 04:10:01,011 FIRST EXAMINE ASSOCIATIONS 6659 04:10:01,011 --> 04:10:02,813 BETWEEN DEMOGRAPHIC 6660 04:10:02,813 --> 04:10:03,380 CHARACTERISTICS AND CLIMATE 6661 04:10:03,380 --> 04:10:05,782 CHANGE HARM PERCEPTIONS AND 6662 04:10:05,782 --> 04:10:06,416 SECOND TO EXAMINE ASSOCIATIONS 6663 04:10:06,416 --> 04:10:08,986 BETWEEN TRUST AND SIX SEPARATE 6664 04:10:08,986 --> 04:10:12,289 INFORMATION SOURCES AND THOSE 6665 04:10:12,289 --> 04:10:12,823 SIX SOURCES WERE DOCTORS, 6666 04:10:12,823 --> 04:10:15,492 GOVERNMENT, SCIENTISTS, FAMILY 6667 04:10:15,492 --> 04:10:16,426 AND FRIENDS, CHARITABLE 6668 04:10:16,426 --> 04:10:17,394 ORGANIZATIONS, AND RELIGIOUS 6669 04:10:17,394 --> 04:10:23,734 ORGANIZATIONS. 6670 04:10:23,734 --> 04:10:24,268 WE MEASURED CLIMATE CHANGE 6671 04:10:24,268 --> 04:10:24,801 PERCEPTION USING HOW MUCH 6672 04:10:24,801 --> 04:10:27,104 CLIMATE CHANGE YOU THINK WILL 6673 04:10:27,104 --> 04:10:27,738 HARM YOUR HEALTH WE CODED THIS 6674 04:10:27,738 --> 04:10:28,906 INTO THREE CATEGORIES. CLIMATE 6675 04:10:28,906 --> 04:10:31,141 CHANGE HARMS HEALTH. CLIMATE 6676 04:10:31,141 --> 04:10:31,775 CHANGE DOES NOT HARM HEALTH. OR 6677 04:10:31,775 --> 04:10:36,780 DON'T KNOW. 6678 04:10:36,780 --> 04:10:37,314 WE MEASURE TRUST IN HEALTH 6679 04:10:37,314 --> 04:10:37,915 INFORMATION SOURCES USING THE 6680 04:10:37,915 --> 04:10:39,616 ITEM IN GENERAL, HOW MUCH WOULD 6681 04:10:39,616 --> 04:10:40,484 YOU TRUST INFORMATION ABOUT 6682 04:10:40,484 --> 04:10:40,984 CANCER FROM EACH OF THE 6683 04:10:40,984 --> 04:10:45,222 FOLLOWING. AND RECORDED THIS-- 6684 04:10:45,222 --> 04:10:45,822 THIS IS A CONTINUOUS VARIABLE 6685 04:10:45,822 --> 04:10:49,726 ON A SCALE OF 1-4, WITH A 6686 04:10:49,726 --> 04:10:51,161 HIGHER VALUE MEANING A HIGHER 6687 04:10:51,161 --> 04:10:51,695 AMOUNT OF TRUST IN EACH 6688 04:10:51,695 --> 04:10:56,199 INFORMATION SOURCE. 6689 04:10:56,199 --> 04:10:56,800 WE RESTRICTED ANALYSIS ONLY TO 6690 04:10:56,800 --> 04:10:57,601 PARTICIPANTS WITH COMPLETE DATA 6691 04:10:57,601 --> 04:11:02,606 SO WE HAD AN N OF 5,585, 6692 04:11:02,606 --> 04:11:06,143 COMPUTED WEIGHTED MEANS FOR 6693 04:11:06,143 --> 04:11:06,677 EACH TRUSTED SOURCE ITEM 6694 04:11:06,677 --> 04:11:07,277 OVERALL AND BY CLIMATE CHANGE 6695 04:11:07,277 --> 04:11:17,087 FORM PERCEPTION CATEGORY. WE 6696 04:11:17,087 --> 04:11:17,721 ALSO DID WEIGHTED MULTIVARIABLE 6697 04:11:17,721 --> 04:11:28,198 LOGISTIC REGRESSION MODULES. 6698 04:11:33,270 --> 04:11:33,804 OVERALL 40% OF RESPONDENTS 6699 04:11:33,804 --> 04:11:34,371 SAID THAT THEY BELIEVE THAT 6700 04:11:34,371 --> 04:11:34,972 CLIMATE CHANGE HARMS HEALTH. 6701 04:11:34,972 --> 04:11:35,539 HOWEVER AROUND 20% BELIEVE 6702 04:11:35,539 --> 04:11:36,139 CLARK CLIMATE CHANGE DOES NOT 6703 04:11:36,139 --> 04:11:46,683 HARM HEALTH AND 60% DON'T KNOW. 6704 04:11:47,084 --> 04:11:47,584 WE CAN SEE THAT YOUNGER 6705 04:11:47,584 --> 04:11:48,218 PREPARATIONS HAD HIGHER LEVELS 6706 04:11:48,218 --> 04:11:48,819 OF BELIEF THE CLIMATE CHANGE 6707 04:11:48,819 --> 04:11:49,319 WHEN COMPARED TO OLDER 6708 04:11:49,319 --> 04:11:49,953 RESPONDENTS IN THE SAME IS TRUE 6709 04:11:49,953 --> 04:11:50,554 FOR FEMALES COMPARED TO MALES 6710 04:11:50,554 --> 04:11:52,255 AND NONWHITE RESPONDENTS 6711 04:11:52,255 --> 04:11:57,160 COMPARED TO WHITE RESPONDENTS. 6712 04:11:57,160 --> 04:11:57,728 IN PARTICULAR NON-HISPANIC 6713 04:11:57,728 --> 04:11:58,261 ASIAN RESPONDENT HAD HIGH 6714 04:11:58,261 --> 04:11:59,162 LEVELS OF BELIEF THAT CLIMATE 6715 04:11:59,162 --> 04:12:05,068 CHANGE HARMS HEALTH. 6716 04:12:05,068 --> 04:12:05,669 THOSE WITH A COLLEGE EDUCATION 6717 04:12:05,669 --> 04:12:06,670 OR MORE HAD HIGHER LEVELS OF 6718 04:12:06,670 --> 04:12:07,704 BELIEF THAT CLIMATE CHANGE 6719 04:12:07,704 --> 04:12:10,607 HARMS HEALTH COMPARED TO THOSE 6720 04:12:10,607 --> 04:12:11,708 WITH LESS EDUCATION. 6721 04:12:11,708 --> 04:12:17,414 SCIENTISTS, GOVERNMENTS 6722 04:12:17,414 --> 04:12:17,914 DOCTORS AND CHARITABLE 6723 04:12:17,914 --> 04:12:20,083 ORGANIZATIONS WERE THE FOUR 6724 04:12:20,083 --> 04:12:20,651 HEALTH INFORMATION SOURCES 6725 04:12:20,651 --> 04:12:21,284 WHERE TRUST IN THEM FOR HEALTH 6726 04:12:21,284 --> 04:12:24,621 INFORMATION WAS ASSOCIATED WITH 6727 04:12:24,621 --> 04:12:25,188 BELIEVE THAT CLIMATE CHANGE 6728 04:12:25,188 --> 04:12:29,192 WILL HARM HEALTH. THE ONLY 6729 04:12:29,192 --> 04:12:29,793 NEGATIVE ASSOCIATION WE FOUND 6730 04:12:29,793 --> 04:12:30,227 WAS WITH RELIGIOUS 6731 04:12:30,227 --> 04:12:32,796 ORGANIZATIONS, AND WE DID NOT 6732 04:12:32,796 --> 04:12:34,031 FIND ANY SIGNIFICANT 6733 04:12:34,031 --> 04:12:34,598 ASSOCIATION FOR FAMILY AND 6734 04:12:34,598 --> 04:12:36,099 FRIENDS. 6735 04:12:36,099 --> 04:12:42,139 SO, TO QUICKLY ACKNOWLEDGE 6736 04:12:42,139 --> 04:12:42,673 LIMITATIONS, THERE WAS NO 6737 04:12:42,673 --> 04:12:43,273 MEASURE OF POLITICAL IDEOLOGY 6738 04:12:43,273 --> 04:12:47,844 OR AFFILIATION ON HINTS 6. 6739 04:12:47,844 --> 04:12:50,480 THIS WAS ALSO CROSS-SECTIONAL 6740 04:12:50,480 --> 04:12:51,214 DATA; SO WHAT WE ARE MEASURING 6741 04:12:51,214 --> 04:12:51,848 ASSOCIATION WE CANNOT ESTABLISH 6742 04:12:51,848 --> 04:12:54,117 CAUSATION. AND WE ALSO HAD A 6743 04:12:54,117 --> 04:12:58,255 LACK OF INFORMATION ABOUT PRIOR 6744 04:12:58,255 --> 04:13:00,090 EXPOSURE TO CLIMATE -RELATED 6745 04:13:00,090 --> 04:13:00,557 EVENTS, THIS IS ABOUT 6746 04:13:00,557 --> 04:13:00,991 PERCEPTION. 6747 04:13:00,991 --> 04:13:04,461 KEY TAKEAWAYS. OUR FINDINGS 6748 04:13:04,461 --> 04:13:09,266 WERE CONSISTENT WITH PREVIOUS 6749 04:13:09,266 --> 04:13:09,733 RESEARCH ABOUT SOCIAL 6750 04:13:09,733 --> 04:13:10,333 DEMOGRAPHIC INFORMATION THAT 6751 04:13:10,333 --> 04:13:12,169 HAS FOUND THAT FEMALE HAD 6752 04:13:12,169 --> 04:13:12,803 GREATER PERCEIVED PERSONAL HARM 6753 04:13:12,803 --> 04:13:19,009 FROM CLIMATE CHANGE AND OLDER 6754 04:13:19,009 --> 04:13:19,643 ADULTS HAD LOWER PERCEIVED HARM 6755 04:13:19,643 --> 04:13:20,277 AND NONWHITE ADULTS PERCEIVED 6756 04:13:20,277 --> 04:13:23,180 MORE VULNERABILITY TO THE 6757 04:13:23,180 --> 04:13:23,814 IMPACT OF CLIMATE CHANGE AND WE 6758 04:13:23,814 --> 04:13:24,481 CONTRIBUTE THE BODY OF RESEARCH 6759 04:13:24,481 --> 04:13:29,386 ARE FINDING IS A GREATER TRUST 6760 04:13:29,386 --> 04:13:29,986 IN HEALTH INFORMATION FROM A 6761 04:13:29,986 --> 04:13:30,620 DOCTOR, SCIENTISTS, GOVERNMENT, 6762 04:13:30,620 --> 04:13:31,922 AND CHARITABLE ORGANIZATIONS 6763 04:13:31,922 --> 04:13:32,522 WERE ASSOCIATED WITH GREATER 6764 04:13:32,522 --> 04:13:35,125 ODDS OF BELIEF THAT CLIMATE 6765 04:13:35,125 --> 04:13:35,659 CHANGE HARMS HEALTH WHILE 6766 04:13:35,659 --> 04:13:39,563 GREATER TRUST FROM INFORMATION 6767 04:13:39,563 --> 04:13:40,163 FROM RELIGIOUS ORGANIZATIONS 6768 04:13:40,163 --> 04:13:42,933 WAS ASSOCIATED WITH REDUCED 6769 04:13:42,933 --> 04:13:48,305 COSTS. 6770 04:13:48,305 --> 04:13:49,806 FUTURE WORK IS TO LEVERAGE 6771 04:13:49,806 --> 04:13:50,373 TRUST IN HEALTH INFORMATION 6772 04:13:50,373 --> 04:13:52,776 CHANNELS IN ORDER TO HELP 6773 04:13:52,776 --> 04:13:53,310 PUBLIC TO SUPPORT CLIMATE 6774 04:13:53,310 --> 04:13:55,212 CHANGE MITIGATION POLICIES AND 6775 04:13:55,212 --> 04:13:55,779 ENGAGE IN CLIMATE FRIENDLY 6776 04:13:55,779 --> 04:13:56,313 BEHAVIOR. 6777 04:13:56,313 --> 04:14:01,685 THANK YOU. 6778 04:14:01,685 --> 04:14:04,254 >> DR. D'ANGELO: THANK YOU. 6779 04:14:04,254 --> 04:14:06,523 NEXT WE WILL HEAR FROM KATERINA 6780 04:14:06,523 --> 04:14:11,394 ANDREADIS, FROM THE NYU 6781 04:14:11,394 --> 04:14:13,130 GROSSMAN SCHOOL OF MEDICINE. 6782 04:14:13,130 --> 04:14:16,333 >> MS. ANDREADIS: HI EVERYONE 6783 04:14:16,333 --> 04:14:19,002 THANK YOU SO MUCH FOR ALLOWING 6784 04:14:19,002 --> 04:14:19,603 ME TO PRESENT HERE TODAY IN A 6785 04:14:19,603 --> 04:14:20,937 VERY SPECIAL THANK YOU TO 6786 04:14:20,937 --> 04:14:21,538 DOCTOR LANGFORD FOR MENTORING 6787 04:14:21,538 --> 04:14:23,974 ME. 6788 04:14:23,974 --> 04:14:25,842 TODAY I WILL BE TALKING HOW 6789 04:14:25,842 --> 04:14:27,377 PATIENTS UNDERSTAND HEALTH 6790 04:14:27,377 --> 04:14:27,944 INFORMATION AND ELECTRONIC 6791 04:14:27,944 --> 04:14:28,512 MEDICAL RECORDS AND PATIENT 6792 04:14:28,512 --> 04:14:31,414 PORTALS. WE KNOW THE PATIENT 6793 04:14:31,414 --> 04:14:31,915 PORTALS HAVE BEEN VERY 6794 04:14:31,915 --> 04:14:32,582 TRANSFORMATIVE AND HOW PATIENTS 6795 04:14:32,582 --> 04:14:33,049 INTERACT WITH HEALTH 6796 04:14:33,049 --> 04:14:37,554 INFORMATION. AND THE BENEFITS 6797 04:14:37,554 --> 04:14:38,155 THAT COME WITH ACCESSING AND 6798 04:14:38,155 --> 04:14:38,755 BEING ABLE TO EFFECTIVELY USE 6799 04:14:38,755 --> 04:14:41,324 YOUR HEALTH INFORMATION. AND 6800 04:14:41,324 --> 04:14:41,958 THAT IS PART OF THE REASON WHY 6801 04:14:41,958 --> 04:14:43,727 A LOT OF US HERE TODAY HAVE 6802 04:14:43,727 --> 04:14:44,227 BEEN TALKING ABOUT THE 6803 04:14:44,227 --> 04:14:44,761 DISPARITIES IN ACCESSING 6804 04:14:44,761 --> 04:14:46,963 PATIENT PORTALS AND TALKING 6805 04:14:46,963 --> 04:14:47,531 ABOUT STRATEGIES AND HOW TO 6806 04:14:47,531 --> 04:14:49,699 INCREASE ACCESS TO PATIENT 6807 04:14:49,699 --> 04:14:50,333 PORTALS AND ELECTRONIC MEDICAL 6808 04:14:50,333 --> 04:14:51,701 RECORDS. AND THERE'S A LOT OF 6809 04:14:51,701 --> 04:14:58,475 LEGISLATION SUCH AS THE 21ST 6810 04:14:58,475 --> 04:15:01,878 CURES ACT THAT SUPPORTS 6811 04:15:01,878 --> 04:15:02,445 INCREASED ACCESS TO HEALTH 6812 04:15:02,445 --> 04:15:03,013 INFORMATION HOWEVER WE KNOW 6813 04:15:03,013 --> 04:15:03,547 THAT JUST BECAUSE HEALTH 6814 04:15:03,547 --> 04:15:04,181 INFORMATION IS AVAILABLE IT IS 6815 04:15:04,181 --> 04:15:04,815 NOT NECESSARILY MEAN THAT IT IS 6816 04:15:04,815 --> 04:15:06,416 ACCEPTABLE FOR PATIENTS. AND 6817 04:15:06,416 --> 04:15:06,950 THAT REALLY BRINGS UP THE 6818 04:15:06,950 --> 04:15:10,086 CONCEPT OF HEALTH LITERACY. 6819 04:15:10,086 --> 04:15:11,788 SO FIRST WE HAVE PERSONAL 6820 04:15:11,788 --> 04:15:12,389 HEALTH LITERACY WHICH IS HOW 6821 04:15:12,389 --> 04:15:12,956 PATIENTS UNDERSTAND AND ARE 6822 04:15:12,956 --> 04:15:13,824 ABLE TO USE THE HEALTH 6823 04:15:13,824 --> 04:15:17,661 INFORMATION. BUT MORE RECENTLY 6824 04:15:17,661 --> 04:15:18,195 WE ARE ALSO TALKING ABOUT 6825 04:15:18,195 --> 04:15:22,165 ORGANIZATIONAL HEALTH LITERACY. 6826 04:15:22,165 --> 04:15:22,732 AND THAT IS REALLY THINKING 6827 04:15:22,732 --> 04:15:23,133 ABOUT THE GROWING 6828 04:15:23,133 --> 04:15:24,568 RESPONSIBILITY THAT WE HAVE AS 6829 04:15:24,568 --> 04:15:25,101 HEALTHCARE STRUCTURES AND 6830 04:15:25,101 --> 04:15:27,237 SYSTEMS TO EMPOWER PATIENTS AND 6831 04:15:27,237 --> 04:15:27,804 GIVE THEM RESOURCES TO 6832 04:15:27,804 --> 04:15:31,975 EFFECTIVELY BE ABLE TO NAVIGATE 6833 04:15:31,975 --> 04:15:32,576 THE SYSTEMS THAT WE DESIGNED 6834 04:15:32,576 --> 04:15:33,143 FOR THEM TO BE ABLE TO USE 6835 04:15:33,143 --> 04:15:35,345 THEIR HEALTH INFORMATION. 6836 04:15:35,345 --> 04:15:36,913 AND THINKING ABOUT THIS 6837 04:15:36,913 --> 04:15:44,354 RESPONSIBILITY, AS INFORMATION 6838 04:15:44,354 --> 04:15:44,955 AVAILABILITY ROSE WE HAVE TO 6839 04:15:44,955 --> 04:15:45,555 REALLY THINK ABOUT HOW DO WE 6840 04:15:45,555 --> 04:15:46,122 MAKE THIS INFORMATION TRIMS 6841 04:15:46,122 --> 04:15:46,690 TENABLE AND ACCESSIBLE FOR 6842 04:15:46,690 --> 04:15:47,791 PATIENTS. THAT IS THE PREMISE 6843 04:15:47,791 --> 04:15:48,625 FOR A STUDY WHICH EXAMINED THE 6844 04:15:48,625 --> 04:15:50,160 ASSOCIATION BETWEEN PATIENTS' 6845 04:15:50,160 --> 04:15:54,130 EASE OF UNDERSTANDING THEIR 6846 04:15:54,130 --> 04:15:55,699 MIND, HEALTH INFORMATION, AND 6847 04:15:55,699 --> 04:15:59,536 VARIOUS FACTORS INCLUDING 6848 04:15:59,536 --> 04:15:59,970 SOCIAL DEMOGRAPHIC, 6849 04:15:59,970 --> 04:16:00,503 HEALTH-RELATED VARIABLES, 6850 04:16:00,503 --> 04:16:01,137 NUMERACY AND TECHNOLOGY RELATED 6851 04:16:01,137 --> 04:16:01,538 FACTORS. 6852 04:16:01,538 --> 04:16:09,579 TO DO THIS WE USED HINTS 6 6853 04:16:09,579 --> 04:16:10,180 DATA WHICH INCLUDED OVER 6000 6854 04:16:10,180 --> 04:16:11,781 RESPONSES. WE LOOK AT THE ODDS 6855 04:16:11,781 --> 04:16:12,415 OF THE HEALTH INFORMATION BEING 6856 04:16:12,415 --> 04:16:13,016 VERY EASY TO EXTENDERS IS NOT 6857 04:16:13,016 --> 04:16:13,483 VERY EASY WHICH WAS A 6858 04:16:13,483 --> 04:16:14,684 COMBINATION OF SOMEWHAT EASY, 6859 04:16:14,684 --> 04:16:19,656 SOMEWHAT DIFFICULT, AND VERY 6860 04:16:19,656 --> 04:16:20,056 DIFFICULT. 6861 04:16:20,056 --> 04:16:20,657 WITH SECLUDED ANY PATIENT THAT 6862 04:16:20,657 --> 04:16:24,628 HAD MISSING DATA FOR THE 6863 04:16:24,628 --> 04:16:25,128 VARIABLES THAT WE WERE 6864 04:16:25,128 --> 04:16:25,996 INTERESTED IN, AS WELL AS 6865 04:16:25,996 --> 04:16:26,563 PATIENTS WHO DO NOT HAVE A 6866 04:16:26,563 --> 04:16:30,667 PATIENT PORTAL AND WHO REPORTED 6867 04:16:30,667 --> 04:16:31,234 THEY DID NOT LOG ON TO THE 6868 04:16:31,234 --> 04:16:31,835 PATIENT PORTAL AT ALL IN THE 6869 04:16:31,835 --> 04:16:34,337 LAST 12 MONTHS. 6870 04:16:34,337 --> 04:16:34,838 WE WERE THEN LEFT WITH A 6871 04:16:34,838 --> 04:16:35,805 SAMPLE OF A LITTLE BIT OVER 6872 04:16:35,805 --> 04:16:40,977 3000 PARTICIPANTS. THE 6873 04:16:40,977 --> 04:16:41,544 VARIABLES WANTED TO EXAMINE 6874 04:16:41,544 --> 04:16:42,145 WHETHER EASE OF UNDERSTANDING 6875 04:16:42,145 --> 04:16:48,151 YOUR HEALTH INFORMATION, YOUR 6876 04:16:48,151 --> 04:16:48,752 SOCIAL DEMOGRAPHIC VARIABLES 6877 04:16:48,752 --> 04:16:49,352 INCLUDING AGE, BIRTH, GENDER, 6878 04:16:49,352 --> 04:16:51,321 RACE, ETHNICITY AND EDUCATION. 6879 04:16:51,321 --> 04:16:51,888 AND WE HAD A GROUP OF HEALTH 6880 04:16:51,888 --> 04:16:52,422 RELATED VARIABLES INCLUDE 6881 04:16:52,422 --> 04:16:54,391 GENERAL HEALTH, CONFIDENCE IN 6882 04:16:54,391 --> 04:16:55,659 YOUR OWN ABILITY TO TAKE CARE 6883 04:16:55,659 --> 04:16:56,593 OF YOUR HEALTH, HAVING A 6884 04:16:56,593 --> 04:17:04,567 CHRONIC ADDITION OF BEING DEAF 6885 04:17:04,567 --> 04:17:05,201 AND HAD NUMERACY WHICH INCLUDED 6886 04:17:05,201 --> 04:17:09,706 A QUESTION ABOUT THE EASE OF 6887 04:17:09,706 --> 04:17:10,307 UNDERSTANDING. AND DIFFERENT 6888 04:17:10,307 --> 04:17:20,717 COMMUNICATION QUESTIONS 6889 04:17:23,553 --> 04:17:24,120 COMBINED INTO ONE SCORE WITH A 6890 04:17:24,120 --> 04:17:24,654 GROUP OF VARIABLES ON THE 6891 04:17:24,654 --> 04:17:25,255 TECHNOLOGY-RELATED VARIABLES 6892 04:17:25,255 --> 04:17:25,722 WHICH WERE PRIMARILY 6893 04:17:25,722 --> 04:17:26,256 (INDISCERNIBLE). 6894 04:17:26,256 --> 04:17:36,666 WE DID BOTH UNIVARIED AND 6895 04:17:41,738 --> 04:17:42,272 MULTI-VARIED. WITH THE RESULT 6896 04:17:42,272 --> 04:17:42,906 OF MULTIVARIATE ANALYSIS AND WE 6897 04:17:42,906 --> 04:17:44,274 HAD PARTICIPANTS -- COMPARED TO 6898 04:17:44,274 --> 04:17:46,710 75 AND OLDER. 6899 04:17:46,710 --> 04:17:54,517 ALSO LOOKING AT BIRTH GENDER 6900 04:17:54,517 --> 04:17:55,085 PARTICIPANTS REPORTED BEING 6901 04:17:55,085 --> 04:17:59,889 FEMALE THERE WERE 1.4 TIMES 6902 04:17:59,889 --> 04:18:00,523 MORE LIKELY TO FIND INFORMATION 6903 04:18:00,523 --> 04:18:01,024 EASY TO UNDERSTAND WHEN 6904 04:18:01,024 --> 04:18:02,192 COMPARED TO MALE PARTICIPANTS. 6905 04:18:02,192 --> 04:18:02,759 AND THOSE WHO HAD A HIGHER 6906 04:18:02,759 --> 04:18:03,493 PATIENT PROVIDER COMMUNICATION 6907 04:18:03,493 --> 04:18:05,295 SCORE WERE ASSOCIATED WITH 6908 04:18:05,295 --> 04:18:06,796 INCREASED ODDS OF UNDERSTANDING 6909 04:18:06,796 --> 04:18:09,399 THEIR HEALTH INFORMATION. AND 6910 04:18:09,399 --> 04:18:10,800 THEN THE MORE INTERESTING 6911 04:18:10,800 --> 04:18:12,802 FINDING WAS MEDICAL STATISTICS, 6912 04:18:12,802 --> 04:18:13,269 WHICH ARE VERY STRONG 6913 04:18:13,269 --> 04:18:17,540 ASSOCIATION. PARTICIPANTS WHO 6914 04:18:17,540 --> 04:18:18,008 HAD A VERY EASY TIME 6915 04:18:18,008 --> 04:18:18,842 UNDERSTANDING MEDICAL 6916 04:18:18,842 --> 04:18:22,645 STATISTICS, WERE 8.5 TIMES MORE 6917 04:18:22,645 --> 04:18:23,113 LIKELY TO FIND HEALTH 6918 04:18:23,113 --> 04:18:23,646 INFORMATION VERY EASY TO 6919 04:18:23,646 --> 04:18:24,280 UNDERSTAND. 6920 04:18:24,280 --> 04:18:31,554 AND FINALLY, MOTIVE 6921 04:18:31,554 --> 04:18:32,188 ACCESSIBILITY WORK SIGNIFICANCE 6922 04:18:32,188 --> 04:18:32,822 OF STATIONS WOULD PARTICIPATE 6923 04:18:32,822 --> 04:18:34,124 WHO ACCESSED PATIENT PORTAL AND 6924 04:18:34,124 --> 04:18:37,694 ELECTRONIC HEALTH RECORDS VIA 6925 04:18:37,694 --> 04:18:39,829 AN APPLICATION, IN BOTH AN 6926 04:18:39,829 --> 04:18:40,430 APPLICATION AND WEBSITE WERE 6927 04:18:40,430 --> 04:18:40,897 MORE LIKE YOU TO FIND 6928 04:18:40,897 --> 04:18:41,431 INFORMATION VERY EASY TO 6929 04:18:41,431 --> 04:18:41,965 UNDERSTAND THAN JUST THE 6930 04:18:41,965 --> 04:18:44,467 WEBSITE ALONE. 6931 04:18:44,467 --> 04:18:48,738 SO TO SUMMARIZE, OUR FINDINGS 6932 04:18:48,738 --> 04:18:49,372 SHOWED THAT THERE WERE SEVERAL 6933 04:18:49,372 --> 04:18:50,006 FACTORS ASSOCIATED WITH HAVING 6934 04:18:50,006 --> 04:18:51,541 EASY TIME UNDERSTANDING THE 6935 04:18:51,541 --> 04:18:53,176 HEALTH INFORMATION AND PATIENT 6936 04:18:53,176 --> 04:18:55,645 PORTALS INCLUDING NUMERACY, 6937 04:18:55,645 --> 04:18:56,880 PROVIDER COMMUNICATION, FEMALE 6938 04:18:56,880 --> 04:19:00,050 BIRTH GENDER, AND SPECIFIC ONLY 6939 04:19:00,050 --> 04:19:02,285 ACCESS MODE, SPECIFICALLY 6940 04:19:02,285 --> 04:19:06,022 MOBILE APP. 6941 04:19:06,022 --> 04:19:06,556 AND FORTUNATELY WE DID NOT 6942 04:19:06,556 --> 04:19:07,857 HAVE INFORMATION ABOUT WHAT 6943 04:19:07,857 --> 04:19:08,491 SECTIONS PATIENTS WERE THINKING 6944 04:19:08,491 --> 04:19:09,092 ABOUT WHEN ANSWERING HOW EASY 6945 04:19:09,092 --> 04:19:09,826 IT WAS TO UNDERSTAND HEALTH 6946 04:19:09,826 --> 04:19:13,029 INFORMATION. SO IT'S HARD TO 6947 04:19:13,029 --> 04:19:14,531 UNDERSTAND THIS WAS LAB 6948 04:19:14,531 --> 04:19:15,965 RESULTS, VERSUS A RADIOLOGY 6949 04:19:15,965 --> 04:19:16,699 REPORT, OR WAS IT PROGRESS 6950 04:19:16,699 --> 04:19:19,269 NOTES. IT WILL BE VERY 6951 04:19:19,269 --> 04:19:19,836 INTERESTING WHEN YOU THINK 6952 04:19:19,836 --> 04:19:22,338 ABOUT THIS IN FUTURE STUDIES. 6953 04:19:22,338 --> 04:19:23,807 HOWEVER OUR FINDINGS DO SHOW 6954 04:19:23,807 --> 04:19:24,441 THAT THERE ARE SOME DIFFERENCES 6955 04:19:24,441 --> 04:19:28,011 IN HOW PATIENTS UNDERSTAND 6956 04:19:28,011 --> 04:19:28,578 HEALTH INFORMATION AND WE 6957 04:19:28,578 --> 04:19:29,145 REALLY NEED TO BE THINKING 6958 04:19:29,145 --> 04:19:30,947 ABOUT OUR RESPONSIBILITY FOR 6959 04:19:30,947 --> 04:19:32,649 MAKING IT EASIER FOR PATIENTS 6960 04:19:32,649 --> 04:19:33,216 TO ACTUALLY HAVE ACCESSIBLE 6961 04:19:33,216 --> 04:19:34,951 HEALTH INFORMATION BESIDES JUST 6962 04:19:34,951 --> 04:19:37,120 AVAILABLE. THANK YOU SO MUCH. 6963 04:19:37,120 --> 04:19:41,458 >> [APPLAUSE] 6964 04:19:41,458 --> 04:19:43,193 >> DR. D'ANGELO: THANK YOU NEXT 6965 04:19:43,193 --> 04:19:48,198 WE HAVE LIJIAN XIAO FROM WRIGHT 6966 04:19:48,198 --> 04:19:49,265 STATE UNIVERSITY. 6967 04:19:49,265 --> 04:19:53,403 >> DR. XIAO: GOOD AFTERNOON 6968 04:19:53,403 --> 04:20:03,847 EVERYONE. MY NAME IS LIJIAN 6969 04:20:03,847 --> 04:20:04,514 XIAO, FROM WRIGHT STATE 6970 04:20:04,514 --> 04:20:05,048 UNIVERSITY. WRIGHT STATE 6971 04:20:05,048 --> 04:20:05,648 UNIVERSITY - A DECISION-TREE 6972 04:20:05,648 --> 04:20:06,015 ANALYSIS 6973 04:20:06,015 --> 04:20:06,583 OF ACCESS TO THE INTERNET AND 6974 04:20:06,583 --> 04:20:07,183 HEALTH INFORMATION TECHNOLOGY 6975 04:20:07,183 --> 04:20:07,817 TO PREDICT CONFIDENCE IN 6976 04:20:07,817 --> 04:20:11,855 FINDING ONLINE HEALTH RESOURCES 6977 04:20:11,855 --> 04:20:22,332 SO THE GOAL IS TO EXAMINE HOW 6978 04:20:25,168 --> 04:20:25,668 ACCESS TO THE INTERNET AND 6979 04:20:25,668 --> 04:20:26,302 INFORMATION TECHNOLOGY PREDICTS 6980 04:20:26,302 --> 04:20:26,903 CONFIDENCE IN FINDING ONLINE 6981 04:20:26,903 --> 04:20:28,505 RESOURCES BECAUSE RIGHT NOW NOT 6982 04:20:28,505 --> 04:20:29,072 EVERYBODY HAS ACCESS TO THE 6983 04:20:29,072 --> 04:20:29,639 ENERGY ESPECIALLY FOR OLDER 6984 04:20:29,639 --> 04:20:30,173 PEOPLE AND ALSO INTERNET 6985 04:20:30,173 --> 04:20:34,911 QUALITY ALSO AFFECTS THIS, AND 6986 04:20:34,911 --> 04:20:35,545 THE WAY YOU MESSAGE THE DOCTOR 6987 04:20:35,545 --> 04:20:36,179 OR THE WAY YOU HAVE ACCESS TO 6988 04:20:36,179 --> 04:20:37,647 THE PORTAL, AND ALSO IT AFFECTS 6989 04:20:37,647 --> 04:20:38,681 THE CONFIDENCE IN FINDING 6990 04:20:38,681 --> 04:20:41,784 ONLINE HEALTH RESOURCES. 6991 04:20:41,784 --> 04:20:48,191 THE METHOD I USED IS THE 6992 04:20:48,191 --> 04:20:53,263 GUASSIAN (PHONETIC) TREE, 6993 04:20:53,263 --> 04:20:56,933 PREDICTS THE CLASSIFICATION 6994 04:20:56,933 --> 04:20:57,534 ATTRIBUTES. THE DECISION TREE 6995 04:20:57,534 --> 04:21:00,103 ACTUALLY STARTS WITH THE ROOT, 6996 04:21:00,103 --> 04:21:01,404 AND THE ROOT IS THE MOST 6997 04:21:01,404 --> 04:21:03,806 IMPORTANT, SIGNIFICANT 6998 04:21:03,806 --> 04:21:04,440 ATTRIBUTES. AND THEY CALCULATE 6999 04:21:04,440 --> 04:21:08,578 EACH ATTRIBUTE, AND THAT MAKE A 7000 04:21:08,578 --> 04:21:09,212 WHOLE TREE FROM THE ROOT TO THE 7001 04:21:09,212 --> 04:21:13,917 BOTTOM. THEY USE HEURISTIC 7002 04:21:13,917 --> 04:21:24,394 METHODS CALLED INFORMATION 7003 04:21:25,228 --> 04:21:25,795 GAIN, IT CALCULATES INFORMATION 7004 04:21:25,795 --> 04:21:26,396 GAIN BASED ON THE ATTRIBUTES, 7005 04:21:26,396 --> 04:21:27,497 AND THEN IT SELECTS THE MOST 7006 04:21:27,497 --> 04:21:28,097 INFORMATION, AND IT PUTS THE 7007 04:21:28,097 --> 04:21:31,568 ATTRIBUTION A DIFFERENT TOOL. 7008 04:21:31,568 --> 04:21:32,969 THE VARIABLES WE CHOSE. THIS 7009 04:21:32,969 --> 04:21:35,505 IS FROM THE B SECTION OF THE 7010 04:21:35,505 --> 04:21:39,909 HINTS DATA. THE FIRST 7011 04:21:39,909 --> 04:21:40,443 INDEPENDENT VARIABLE WAS 7012 04:21:40,443 --> 04:21:47,617 INTERNET ACCESS. AND RELATED 7013 04:21:47,617 --> 04:21:48,251 YOU SATISFACTION WITH INTERNET 7014 04:21:48,251 --> 04:21:50,753 SPEED. USE OF HEALTH OR 7015 04:21:50,753 --> 04:21:55,758 WELLNESS APPS, HISTORY, 7016 04:21:55,758 --> 04:21:56,292 FREQUENCY, HOW FREQUENTLY 7017 04:21:56,292 --> 04:21:58,728 SOCIAL MEDIA IS USED IN 7018 04:21:58,728 --> 04:21:59,295 ATTITUDE TOWARDS HOW SOCIAL 7019 04:21:59,295 --> 04:22:00,496 MEDIA IS USED. 7020 04:22:00,496 --> 04:22:04,067 IN HERE YOU SEE THAT FOR -- 7021 04:22:04,067 --> 04:22:07,804 THERE ARE MULTIPLE DIFFERENT 7022 04:22:07,804 --> 04:22:13,142 ATTRIBUTES FOR B3 AND B 12. BUT 7023 04:22:13,142 --> 04:22:15,845 FOR DATA WILL HAVE 6000 ROLES 7024 04:22:15,845 --> 04:22:18,348 FOR THE DATA BUT IF WE ONLY 7025 04:22:18,348 --> 04:22:20,083 HAVE SO MANY LEVELS OF EACH 7026 04:22:20,083 --> 04:22:20,617 ATTRIBUTE IT AFFECTS THE 7027 04:22:20,617 --> 04:22:23,886 ACCURACY OF THE MODEL. I MERGED 7028 04:22:23,886 --> 04:22:26,189 SOME OF THE ATTRIBUTES INTO ONE 7029 04:22:26,189 --> 04:22:26,789 LEVEL, TO MAKE SURE THAT THE 7030 04:22:26,789 --> 04:22:27,557 MODEL WORKS WELL. FOR EXAMPLE 7031 04:22:27,557 --> 04:22:31,561 FOR THE 3, HEALTH RELATED 7032 04:22:31,561 --> 04:22:37,667 INTERNET USE, I USE THE FIRST 7033 04:22:37,667 --> 04:22:38,301 ONE HOUSE INFO, AND I COMBINED 7034 04:22:38,301 --> 04:22:38,868 THE OTHERS INTO A DIFFERENT 7035 04:22:38,868 --> 04:22:41,437 LEVEL. SO IS A LIMITED LEVEL. 7036 04:22:41,437 --> 04:22:43,039 AFTER CLEANING THE DATA WE ONLY 7037 04:22:43,039 --> 04:22:48,778 HAD 4000 ROLES. WE MAKE SURE 7038 04:22:48,778 --> 04:22:50,313 THAT MODEL WORK BETTER. 7039 04:22:50,313 --> 04:23:00,790 AND FOR THE -- LEVEL, NOT VERY 7040 04:23:04,327 --> 04:23:04,827 CONFIDENT OR CONFIDENT OR I 7041 04:23:04,827 --> 04:23:05,395 DON'T KNOW, THREE TYPES OF 7042 04:23:05,395 --> 04:23:05,962 LEVELS. 7043 04:23:05,962 --> 04:23:13,236 SO B4 DATA, I USED 30% OF THE 7044 04:23:13,236 --> 04:23:22,178 TESTING DATA AND 30% OF THE -- 7045 04:23:22,178 --> 04:23:22,812 DATA. THE APPROXIMATE ACCURACY 7046 04:23:22,812 --> 04:23:33,189 OF THE MODEL WAS 83% AND ALSO 7047 04:23:33,189 --> 04:23:33,823 -- CONFIDENT IN FINDING ONLINE 7048 04:23:33,823 --> 04:23:34,390 HEALTH RESOURCES AND ALMOST 7049 04:23:34,390 --> 04:23:35,024 EVERY RESPONDENT WAS SATISFIED 7050 04:23:35,024 --> 04:23:37,860 WITH THE INTERNET CONNECTION 7051 04:23:37,860 --> 04:23:38,494 AND USE THE INTERNET TO ENGAGE 7052 04:23:38,494 --> 04:23:39,128 IN HEALTHCARE SUCH AS SEEKING 7053 04:23:39,128 --> 04:23:40,496 ONLINE INFORMATION. 7054 04:23:40,496 --> 04:23:42,031 AND FOR THOSE WHO ARE NOT 7055 04:23:42,031 --> 04:23:44,067 SATISFIED WITH THEIR INTERNET 7056 04:23:44,067 --> 04:23:44,701 CONNECTION, 80% WERE CONFIDENT 7057 04:23:44,701 --> 04:23:46,536 IN FINDING ONLINE HEALTH 7058 04:23:46,536 --> 04:23:47,870 RESOURCES THEY USED THE 7059 04:23:47,870 --> 04:23:49,939 WELLNESS APP OR SOCIAL MEDIA 7060 04:23:49,939 --> 04:23:52,308 FOR HEALTH PURPOSES. AS YOU 7061 04:23:52,308 --> 04:23:55,211 CAN SEE OVERALL THE MOST 7062 04:23:55,211 --> 04:23:55,745 IMPORTANT AND SIGNIFICANT 7063 04:23:55,745 --> 04:23:56,312 ATTRIBUTES IS THE INTERNET 7064 04:23:56,312 --> 04:24:00,583 CONNECTION. 7065 04:24:00,583 --> 04:24:01,818 SO BASICALLY HERE IS WHAT THE 7066 04:24:01,818 --> 04:24:11,994 TREE LOOKS LIKE. THE FIRST ROOT 7067 04:24:11,994 --> 04:24:12,628 IS THE INTERNET CONNECTION, IF 7068 04:24:12,628 --> 04:24:13,262 PEOPLE WERE SATISFIED, IT GOES 7069 04:24:13,262 --> 04:24:13,830 TO THE RIGHT. ON THE LOWER 7070 04:24:13,830 --> 04:24:15,131 LEVEL AND THE LOWER PART IS THE 7071 04:24:15,131 --> 04:24:20,169 FINAL PREDICTION, WHETHER YOU 7072 04:24:20,169 --> 04:24:20,703 ARE CONFIDENT IN FINDING 7073 04:24:20,703 --> 04:24:22,572 INTERNET HEALTH ONLINE OR NOT. 7074 04:24:22,572 --> 04:24:29,512 SO OVERALL, THERE'S LIKE -- 7075 04:24:29,512 --> 04:24:31,647 NUMBERS AND AS YOU CAN SEE THE 7076 04:24:31,647 --> 04:24:34,550 MOST NUMBER OF OBSERVATION IS 7077 04:24:34,550 --> 04:24:36,085 PEOPLE WHO WERE SATISFIED WITH 7078 04:24:36,085 --> 04:24:41,224 INTERNET CONNECTION. THEN THEY 7079 04:24:41,224 --> 04:24:44,327 ACTUALLY USED INTERNET HEALTH 7080 04:24:44,327 --> 04:24:44,894 INFO, WHICH GIVES THEM MORE 7081 04:24:44,894 --> 04:24:45,962 CONFIDENCE IN FINDING ONLINE 7082 04:24:45,962 --> 04:24:47,630 RESOURCES. THANK YOU THAT IS 7083 04:24:47,630 --> 04:24:50,867 ALL. 7084 04:24:50,867 --> 04:24:55,738 >> DR. D'ANGELO: NEXT WE HAVE 7085 04:24:55,738 --> 04:25:01,644 TRACY ONEGA, FROM THE HUNTSMAN 7086 04:25:01,644 --> 04:25:02,779 CANCER INSTITUTE, UNIVERSITY OF 7087 04:25:02,779 --> 04:25:03,212 UTAH. 7088 04:25:03,212 --> 04:25:06,449 >> DR. ONEGA: THANK YOU I AM 7089 04:25:06,449 --> 04:25:07,183 HERE TODAY TO PRESENT BRIEFLY 7090 04:25:07,183 --> 04:25:07,617 ON HUNTSMAN CANCER 7091 04:25:07,617 --> 04:25:08,317 INSTITUTE/UNIVERSITY OF UTAH 7092 04:25:08,317 --> 04:25:08,751 - INTER-GENERATIONAL 7093 04:25:08,751 --> 04:25:09,218 DIFFERENCES IN HEALTH 7094 04:25:09,218 --> 04:25:09,852 INFORMATION, DIGITAL TECHNOLOGY 7095 04:25:09,852 --> 04:25:10,453 USE AND CANCER BELIEFS AMONG 7096 04:25:10,453 --> 04:25:11,087 LATINA WOMEN IN THE U.S. BASED 7097 04:25:11,087 --> 04:25:11,621 ON THE HEALTH INFORMATION 7098 04:25:11,621 --> 04:25:19,262 NATIONAL TRENDS SURVEY (HINTS). 7099 04:25:19,262 --> 04:25:21,798 I HAVE THE FLIP SITUATION, 7100 04:25:21,798 --> 04:25:22,398 USUALLY PEOPLE WHO HAVE BEEN 7101 04:25:22,398 --> 04:25:27,570 LONGER IN THEIR CAREER LIKE ME, 7102 04:25:27,570 --> 04:25:28,104 MAKING OPPORTUNITIES FOR 7103 04:25:28,104 --> 04:25:28,604 TRAINEES TO COME UP AND 7104 04:25:28,604 --> 04:25:29,105 PRESENT. TODAY IT'S THE 7105 04:25:29,105 --> 04:25:29,572 OPPOSITE FOR ME, MY 7106 04:25:29,572 --> 04:25:33,209 UNDERGRADUATE TRAINING FOR THE 7107 04:25:33,209 --> 04:25:43,219 SUMMER DANIELLE ALVARADO IS 7108 04:25:43,219 --> 04:25:43,820 WITH HER FAMILY OF ORIGIN IN 7109 04:25:43,820 --> 04:25:44,454 ECUADOR SO I AM PRESENTING HER 7110 04:25:44,454 --> 04:25:47,089 WORK 7111 04:25:47,089 --> 04:25:47,690 THE RATIONALE FOR THE STUDY IS 7112 04:25:47,690 --> 04:25:50,026 TO TRY TO UNDERSTAND IN THE 7113 04:25:50,026 --> 04:25:51,794 CONTEXT OF THE INCREASING USE 7114 04:25:51,794 --> 04:25:52,361 OF DIGITAL TECHNOLOGIES TO 7115 04:25:52,361 --> 04:25:59,502 REACH HEALTH DISPARITY 7116 04:25:59,502 --> 04:26:00,069 POPULATIONS-- PARTICULARLY 7117 04:26:00,069 --> 04:26:00,636 WITHIN CANCER CONTROL-- HOW 7118 04:26:00,636 --> 04:26:01,771 THERE MAY BE INTERGENERATIONAL 7119 04:26:01,771 --> 04:26:05,174 DIFFERENCES AMONG LATINO WOMEN, 7120 04:26:05,174 --> 04:26:05,675 PARTICULARLY RELATED TO 7121 04:26:05,675 --> 04:26:06,309 SCREENING AND THIS IS BORN FROM 7122 04:26:06,309 --> 04:26:06,843 SEVERAL OBSERVATIONS AND 7123 04:26:06,843 --> 04:26:09,979 EVIDENCE. 7124 04:26:09,979 --> 04:26:11,781 FIRST THAT THERE IS NOTED TO 7125 04:26:11,781 --> 04:26:15,685 BE INCREASED USE OF BREAST 7126 04:26:15,685 --> 04:26:16,252 CANCER SCREENING UPTAKE AND 7127 04:26:16,252 --> 04:26:16,886 ADHERENCE WHEN THERE IS SOCIAL 7128 04:26:16,886 --> 04:26:21,224 MEDIA AND TEXTBASED 7129 04:26:21,224 --> 04:26:21,791 INTERVENTIONS, AND A MYRIAD 7130 04:26:21,791 --> 04:26:22,425 EXAMPLES OF THIS. THIS IS JUST 7131 04:26:22,425 --> 04:26:26,028 ONE DRIVER. AT THE SAME TIME 7132 04:26:26,028 --> 04:26:26,662 HISPANIC AND LATINA PUBLISHERS 7133 04:26:26,662 --> 04:26:28,064 HAVE BEEN SHOWN LESS LIKELY TO 7134 04:26:28,064 --> 04:26:28,664 USE DIGITAL HEALTH TOOLS AND 7135 04:26:28,664 --> 04:26:32,602 WEB-BASED HEALTH INFORMATION. 7136 04:26:32,602 --> 04:26:33,236 AND AS WE KNOW FROM SOME OF OUR 7137 04:26:33,236 --> 04:26:36,205 SPEAKERS THIS MORNING, 7138 04:26:36,205 --> 04:26:36,839 AGE-RELATED DIFFERENCES IN THE 7139 04:26:36,839 --> 04:26:39,008 USE OF DIGITAL HEALTH 7140 04:26:39,008 --> 04:26:39,642 TECHNOLOGIES IS WELL-RECOGNIZED 7141 04:26:39,642 --> 04:26:41,143 TO COMBINING THESE THINGS 7142 04:26:41,143 --> 04:26:44,747 REALLY MAY PUT SOME WOMEN 7143 04:26:44,747 --> 04:26:45,381 ACROSS THE LIFESPAN, THE LIFE 7144 04:26:45,381 --> 04:26:46,983 COURSE, WOMEN AT RISK. 7145 04:26:46,983 --> 04:26:48,851 PARTICULARLY AROUND SCREENING 7146 04:26:48,851 --> 04:26:53,890 FOR USE OF HEALTH INFORMATION 7147 04:26:53,890 --> 04:26:54,323 AND HEALTH DIGITAL 7148 04:26:54,323 --> 04:26:56,559 TECHNOLOGIES. 7149 04:26:56,559 --> 04:26:57,126 THE METHODS WE USE HERE, WE 7150 04:26:57,126 --> 04:27:00,363 SPECIFICALLY WERE IN HINTS 5 7151 04:27:00,363 --> 04:27:05,468 ACROSS FOUR CYCLES. WE SELECTED 7152 04:27:05,468 --> 04:27:06,068 FOR LATINA AND HISPANIC WOMEN 7153 04:27:06,068 --> 04:27:08,538 AGES 18 AND OVER. RESPONDENTS 7154 04:27:08,538 --> 04:27:10,706 COULD BE IN ENGLISH OR SPANISH. 7155 04:27:10,706 --> 04:27:13,776 AND THE ANALYSIS WERE PRETTY 7156 04:27:13,776 --> 04:27:14,410 SIMPLE, DESCRIPTIVE ANALYSIS OF 7157 04:27:14,410 --> 04:27:16,879 DIGITAL TECHNOLOGY USE AND 7158 04:27:16,879 --> 04:27:19,749 HEALTH INFORMATION SEEKING IN 7159 04:27:19,749 --> 04:27:20,316 RELATION TO AGE IS OUR MAIN 7160 04:27:20,316 --> 04:27:25,454 EFFECT. 7161 04:27:25,454 --> 04:27:25,955 AND WE ALSO APPLIED FOR 7162 04:27:25,955 --> 04:27:26,455 MULTIVARIABLE LOGISTIC 7163 04:27:26,455 --> 04:27:27,056 REGRESSION TO TEST THE EFFECT 7164 04:27:27,056 --> 04:27:29,926 OF AGE. 7165 04:27:29,926 --> 04:27:33,162 SO WHAT WE SEE HERE, WE HAVE 7166 04:27:33,162 --> 04:27:33,796 OUR QUARTILES OF AGE GROUPS ON 7167 04:27:33,796 --> 04:27:36,699 THE LEFT. AND THEN WE HAVE 7168 04:27:36,699 --> 04:27:38,067 SELF-REPORTED USE OF DIGITAL 7169 04:27:38,067 --> 04:27:38,568 TECHNOLOGY AND CANCER 7170 04:27:38,568 --> 04:27:40,136 INFORMATION SEEKING. 7171 04:27:40,136 --> 04:27:42,204 NOT SURPRISINGLY, FOR THE 7172 04:27:42,204 --> 04:27:43,940 OLDER AGE GROUP OF WOMEN SEEN 7173 04:27:43,940 --> 04:27:49,645 IN THE LIGHT BLUE BAR, BOTH FOR 7174 04:27:49,645 --> 04:27:50,780 USE OF MOBILE DEVICES AND 7175 04:27:50,780 --> 04:27:51,948 WEARABLES AND FOR USE OF THE 7176 04:27:51,948 --> 04:27:57,386 INTERNET, ALMOST HALF AS MANY 7177 04:27:57,386 --> 04:27:57,987 WOMEN OF THE OLDEST AGE GROUP 7178 04:27:57,987 --> 04:27:59,722 USE THOSE, COMPARED TO THE 7179 04:27:59,722 --> 04:28:01,123 YOUNGEST AGE GROUP. 7180 04:28:01,123 --> 04:28:05,928 SIMILARLY, FOR SEEKING CANCER 7181 04:28:05,928 --> 04:28:07,630 INFORMATION, THE OLDEST AGE 7182 04:28:07,630 --> 04:28:08,230 GROUP OF WOMEN HAD THE LOWEST 7183 04:28:08,230 --> 04:28:08,798 REPORTED CANCER INFORMATION 7184 04:28:08,798 --> 04:28:11,133 SEEKING. AND THIS IS THE GROUP 7185 04:28:11,133 --> 04:28:20,643 WITH THE HIGHEST CANCER RISK. 7186 04:28:20,643 --> 04:28:21,243 THINKING ABOUT SELF REPORTING 7187 04:28:21,243 --> 04:28:21,844 SOURCES, FOR THOSE WHO SOUGHT 7188 04:28:21,844 --> 04:28:24,113 CANCER INFORMATION SEEKING, THE 7189 04:28:24,113 --> 04:28:29,085 X AXIS IS NOT AT 100%. 7190 04:28:29,085 --> 04:28:29,652 FOR THE OLDEST WOMAN IN THE 7191 04:28:29,652 --> 04:28:30,252 OLDEST AGE GROUP THAT DOCTOR 7192 04:28:30,252 --> 04:28:31,921 WAS THE MOST TRUSTED SOURCE OR 7193 04:28:31,921 --> 04:28:34,023 MOST FREQUENTLY USED SOURCE. 7194 04:28:34,023 --> 04:28:38,127 WHEREAS THE INTERNET WAS BY FAR 7195 04:28:38,127 --> 04:28:38,761 LOWER FOR THE OLDEST AGE GROUP 7196 04:28:38,761 --> 04:28:40,830 OF WOMEN. 7197 04:28:40,830 --> 04:28:43,099 SIMILARLY FAMILY AND FRIENDS 7198 04:28:43,099 --> 04:28:49,872 AND CANCER ORGANIZATIONS AS 7199 04:28:49,872 --> 04:28:50,506 SOURCES FOR CANCER INFORMATION 7200 04:28:50,506 --> 04:28:51,107 WAS HIGHEST IN THE OLDER AGE 7201 04:28:51,107 --> 04:28:57,446 GROUP OF WOMEN. 7202 04:28:57,446 --> 04:28:58,014 WE TRIED TO ADJUST FOR SOME 7203 04:28:58,014 --> 04:28:59,982 FACTORS THAT ARE NOTED BELOW TO 7204 04:28:59,982 --> 04:29:00,583 TEST THE EFFECTIVE AGE AMONG 7205 04:29:00,583 --> 04:29:01,784 THESE LATINA WOMEN. WE FOUND 7206 04:29:01,784 --> 04:29:05,554 THAT FOR INTERNET USE AND 7207 04:29:05,554 --> 04:29:10,593 MOBILE TECHNOLOGIES IN 7208 04:29:10,593 --> 04:29:11,127 PARTICULAR, AGE WAS VERY 7209 04:29:11,127 --> 04:29:15,798 STRONGLY RELATED NOT 7210 04:29:15,798 --> 04:29:16,432 SURPRISINGLY, BUT THE MAGNITUDE 7211 04:29:16,432 --> 04:29:17,066 OF THE DETRIMENT WAS SURPRISING 7212 04:29:17,066 --> 04:29:19,835 AS YOU CAN SEE IN THE OLDEST 7213 04:29:19,835 --> 04:29:22,638 AGE GROUP REFERENCE TO THE 7214 04:29:22,638 --> 04:29:26,308 YOUNGEST AGE GROUP ALMOST 95% 7215 04:29:26,308 --> 04:29:26,942 PRODUCTION IN THE LIKELY USE OF 7216 04:29:26,942 --> 04:29:27,543 INTERNET AND MOBILE WEARABLE 7217 04:29:27,543 --> 04:29:30,780 DEVICES RESPECTIVELY. VERY 7218 04:29:30,780 --> 04:29:31,380 DRAMATIC DROP OFF AS WE GO UP 7219 04:29:31,380 --> 04:29:33,816 IN THE AGE GROUPS. 7220 04:29:33,816 --> 04:29:34,383 SO THINKING ABOUT WHAT THIS 7221 04:29:34,383 --> 04:29:39,555 CAN TELL US, WE USE THIS TO 7222 04:29:39,555 --> 04:29:42,758 INFORM OUR THINKING ABOUT 7223 04:29:42,758 --> 04:29:43,392 HEALTH-RELATED INTERVENTIONS IN 7224 04:29:43,392 --> 04:29:45,528 THE MOBILE AND DIGITAL HEALTH 7225 04:29:45,528 --> 04:29:48,764 TECHNOLOGY INTERVENTIONS 7226 04:29:48,764 --> 04:29:49,398 PARTICULARLY ACROSS THE COUNTER 7227 04:29:49,398 --> 04:29:49,965 CONTROL CONTINUUM. AND THE 7228 04:29:49,965 --> 04:29:53,135 OLDER LATINA WOMEN IN THE US 7229 04:29:53,135 --> 04:29:53,769 ARE LESS LIKELY TO BENEFIT FROM 7230 04:29:53,769 --> 04:29:54,437 DIGITAL TECHNOLOGY-BASED CANCER 7231 04:29:54,437 --> 04:29:56,372 CONTROL ACTIVITIES. AND REALLY 7232 04:29:56,372 --> 04:30:00,609 WANTED TO EFFECTIVELY ADDRESS 7233 04:30:00,609 --> 04:30:01,177 THESE-- PARTICULARLY BREAST 7234 04:30:01,177 --> 04:30:05,815 CANCER DISPARITIES IN LATINA 7235 04:30:05,815 --> 04:30:06,382 WOMEN WHICH IS THE RESEARCH 7236 04:30:06,382 --> 04:30:12,121 GROUP THAT I AM EMBEDDED IN-- 7237 04:30:12,121 --> 04:30:12,755 MULTIPLE MODES OF INTERVENTION 7238 04:30:12,755 --> 04:30:13,856 BUT DIGITAL AND NONDIGITAL 7239 04:30:13,856 --> 04:30:15,925 SHOULD BE USED AND/OR THINKING 7240 04:30:15,925 --> 04:30:16,559 ABOUT STRATEGY AND TACTICS AND 7241 04:30:16,559 --> 04:30:20,663 SUPPORTS WE NEED TO RECRUIT 7242 04:30:20,663 --> 04:30:21,263 AND/OR USE INTERVENTIONS THAT 7243 04:30:21,263 --> 04:30:21,764 HAVE A DIGITAL HEALTH 7244 04:30:21,764 --> 04:30:24,133 COMPONENT. AND WE WANT TO 7245 04:30:24,133 --> 04:30:24,734 REPRESENT THOSE OLDER LATINO 7246 04:30:24,734 --> 04:30:28,270 WOMEN. BECAUSE REALLY THAT IS 7247 04:30:28,270 --> 04:30:28,904 THE POPULATION WITH THE HIGHEST 7248 04:30:28,904 --> 04:30:31,340 RISK OF CANCER. AND WITH THE 7249 04:30:31,340 --> 04:30:33,876 LOWEST DIGITAL USE. THAT 7250 04:30:33,876 --> 04:30:36,579 COMBINATION REALLY MAY 7251 04:30:36,579 --> 04:30:40,449 EXACERBATE SOME DISPARITIES. 7252 04:30:40,449 --> 04:30:41,183 AND WITH THAT I WANT TO THANK 7253 04:30:41,183 --> 04:30:44,653 YOU ON BEHALF OF DANNY ALVARADO 7254 04:30:44,653 --> 04:30:46,155 AND MYSELF. 7255 04:30:46,155 --> 04:30:48,390 >> [APPLAUSE] 7256 04:30:48,390 --> 04:30:52,328 >> DR. D'ANGELO: NEXT WE HAVE 7257 04:30:52,328 --> 04:30:54,363 KANG NAMKOONG, FROM THE 7258 04:30:54,363 --> 04:30:54,997 UNIVERSITY OF MARYLAND. 7259 04:30:54,997 --> 04:31:05,474 >> DR. NAMKOONG: THANK YOU FOR 7260 04:31:06,542 --> 04:31:09,545 THAT INTRODUCTION. MENTAL 7261 04:31:09,545 --> 04:31:12,181 HEALTH HAS BEEN A SERIOUS 7262 04:31:12,181 --> 04:31:14,250 SOCIAL AND PUBLIC HEALTH ISSUE. 7263 04:31:14,250 --> 04:31:20,756 THE DATA SHOWS-- I PERSONALLY 7264 04:31:20,756 --> 04:31:21,323 OBSERVED THE PREVALENCE OF 7265 04:31:21,323 --> 04:31:23,659 MENTAL HEALTH PROBLEMS THESE 7266 04:31:23,659 --> 04:31:23,993 DAYS. 7267 04:31:23,993 --> 04:31:24,593 TO TACKLE THIS ISSUE EXAMINED 7268 04:31:24,593 --> 04:31:25,761 THE ROLE OF PERCEIVED MEANING 7269 04:31:25,761 --> 04:31:27,429 AND PURPOSE OF LIFE AS PART OF 7270 04:31:27,429 --> 04:31:30,933 FORMATIVE RESEARCH TO DESIGN 7271 04:31:30,933 --> 04:31:31,634 OUR HEALTH COMMUNICATION 7272 04:31:31,634 --> 04:31:33,669 INTERVENTION. 7273 04:31:33,669 --> 04:31:40,876 DURING AND AFTER THE CVOID-19 7274 04:31:40,876 --> 04:31:41,510 PANDEMIC, SOCIAL ISOLATION AND 7275 04:31:41,510 --> 04:31:42,144 MENTAL HEALTH IS BEEN EVEN MORE 7276 04:31:42,144 --> 04:31:45,548 CRITICAL ISSUE. PURPOSE AND 7277 04:31:45,548 --> 04:31:49,852 MEANING OF LIFE, DEFINED AS THE 7278 04:31:49,852 --> 04:31:50,486 PURSUIT OF THE WORTHWHILE GOALS 7279 04:31:50,486 --> 04:31:52,454 IN LIFE CAN REDUCE THE NEGATIVE 7280 04:31:52,454 --> 04:31:54,290 INFLUENCE OF SOCIAL ISOLATION 7281 04:31:54,290 --> 04:31:54,824 AND IMPROVE MENTAL HEALTH 7282 04:31:54,824 --> 04:31:56,959 OUTCOMES. BECAUSE THE 7283 04:31:56,959 --> 04:32:06,035 PERCEIVED MEANING AND PURPOSE 7284 04:32:06,035 --> 04:32:07,736 OF LIFE HAS BEEN IDENTIFIED AS 7285 04:32:07,736 --> 04:32:08,270 AN ESSENTIAL RESOURCE TO 7286 04:32:08,270 --> 04:32:08,737 IMPROVE PSYCHOLOGICAL 7287 04:32:08,737 --> 04:32:10,172 WELL-BEING. 7288 04:32:10,172 --> 04:32:13,409 IN THE STUDY ARE EXAMINED IF 7289 04:32:13,409 --> 04:32:13,943 THE PERCEIVED MEANING AND 7290 04:32:13,943 --> 04:32:15,644 PURPOSE OF LIFE COULD MITIGATE 7291 04:32:15,644 --> 04:32:19,648 THE NEGATIVE INFLUENCE OF 7292 04:32:19,648 --> 04:32:23,919 SOCIAL ISOLATION AND MENTAL 7293 04:32:23,919 --> 04:32:24,420 HEALTH. AND ENHANCE THE 7294 04:32:24,420 --> 04:32:25,020 POSITIVE INFLUENCE OF SOCIAL 7295 04:32:25,020 --> 04:32:29,658 MEDIA USE ON MENTAL HEALTH. 7296 04:32:29,658 --> 04:32:30,192 TO BE SPECIFIC, I PROPOSED 7297 04:32:30,192 --> 04:32:31,060 FIVE HYPOTHESES. THE FIRST ONE 7298 04:32:31,060 --> 04:32:40,436 IS, I HYPOTHESIZED THAT SOCIAL 7299 04:32:40,436 --> 04:32:45,875 ISOLATION WILL BE NEGATIVELY 7300 04:32:45,875 --> 04:32:46,475 ASSOCIATED WITH PSYCHOLOGICAL 7301 04:32:46,475 --> 04:32:47,076 WELL-BEING. AND SOCIAL MEDIA 7302 04:32:47,076 --> 04:32:49,645 USE WILL BE POSITIVELY RELATED 7303 04:32:49,645 --> 04:32:51,780 TO PSYCHOLOGICAL WELL-BEING. 7304 04:32:51,780 --> 04:32:54,884 AND I ALSO PREDICTED PERCEIVED 7305 04:32:54,884 --> 04:32:59,221 MEANING AND PURPOSE OF LIFE 7306 04:32:59,221 --> 04:33:00,356 WOULD POSITIVELY IMPACT 7307 04:33:00,356 --> 04:33:01,824 PSYCHOLOGICAL WELL-BEING. 7308 04:33:01,824 --> 04:33:05,060 AND I ALSO EXAMINED THE 7309 04:33:05,060 --> 04:33:13,736 PERCEIVED MPL, WHICH MEANS THE 7310 04:33:13,736 --> 04:33:16,272 RELATIONSHIP BETWEEN SOCIAL 7311 04:33:16,272 --> 04:33:16,839 ISOLATION AND PSYCHOLOGICAL 7312 04:33:16,839 --> 04:33:21,343 WELL-BEING. IT ALSO MODERATED 7313 04:33:21,343 --> 04:33:21,977 THE RELATIONSHIP BETWEEN SOCIAL 7314 04:33:21,977 --> 04:33:22,778 MEDIA USE AND PSYCHOLOGICAL 7315 04:33:22,778 --> 04:33:24,313 WELL-BEING. 7316 04:33:24,313 --> 04:33:27,883 HINTS 6 DATA MEASURED ALL OF 7317 04:33:27,883 --> 04:33:29,018 THESE KEY VARIABLES WITH 7318 04:33:29,018 --> 04:33:31,987 MULTIPLE ITEMS. FOR EXAMPLE 7319 04:33:31,987 --> 04:33:36,258 PERCEIVED PLC WAS MEASURED WITH 7320 04:33:36,258 --> 04:33:37,960 FOUR ITEMS SUCH AS LIFE HAS 7321 04:33:37,960 --> 04:33:38,560 MEANING, I HAVE A CLEAR SENSE 7322 04:33:38,560 --> 04:33:40,362 OF DIRECTION IN LIFE, ARE 7323 04:33:40,362 --> 04:33:43,666 EXPERIENCE DEEP FULFILLMENT IN 7324 04:33:43,666 --> 04:33:44,199 MY LIFE, AND MY LIFE HAS 7325 04:33:44,199 --> 04:33:47,202 PURPOSE. 7326 04:33:47,202 --> 04:33:48,704 LIKEWISE, SOCIAL ISOLATION AND 7327 04:33:48,704 --> 04:33:49,872 PERCEIVED PSYCHOLOGICAL 7328 04:33:49,872 --> 04:33:52,975 WELL-BEING WERE ALSO MEASURED 7329 04:33:52,975 --> 04:33:55,744 WITH THE FOUR ITEM MEASURES. 7330 04:33:55,744 --> 04:34:02,251 RESEARCH. AS PREDICATED, NOT 7331 04:34:02,251 --> 04:34:02,851 SURPRISINGLY SOCIAL ISOLATION 7332 04:34:02,851 --> 04:34:03,419 WOULD NEGATIVELY ASSOCIATED 7333 04:34:03,419 --> 04:34:05,554 WITH PSYCHOLOGICAL WELL-BEING. 7334 04:34:05,554 --> 04:34:07,122 BUT THERE IS NO STATISTICALLY 7335 04:34:07,122 --> 04:34:10,092 SIGNIFICANT RELATIONSHIP 7336 04:34:10,092 --> 04:34:10,693 BETWEEN SOCIAL MEDIA USE AND 7337 04:34:10,693 --> 04:34:13,896 PSYCHOLOGICAL WELL-BEING. AND 7338 04:34:13,896 --> 04:34:18,834 AGAIN, AS PREDICTED, THE 7339 04:34:18,834 --> 04:34:19,435 PERCEIVED MEANING AND PURPOSE 7340 04:34:19,435 --> 04:34:20,369 OF LIFE HAD A POSITIVE IMPACT 7341 04:34:20,369 --> 04:34:24,440 ON PSYCHOLOGICAL WELL-BEING. 7342 04:34:24,440 --> 04:34:26,108 REGARDING MODERATING OR 7343 04:34:26,108 --> 04:34:33,749 PERCEIVED MPL, THE PERCEIVED 7344 04:34:33,749 --> 04:34:34,416 MPL WAS ELEVATED BETWEEN THE 7345 04:34:34,416 --> 04:34:37,252 RELATIONSHIP BETWEEN 7346 04:34:37,252 --> 04:34:39,088 (INDISCERNIBLE) THAT MEANS 7347 04:34:39,088 --> 04:34:39,922 PEOPLE READING AT A HIGHER 7348 04:34:39,922 --> 04:34:44,393 LEVEL OF MPL S NEGATIVE IMPACT 7349 04:34:44,393 --> 04:34:49,798 OF SOCIAL ISOLATION ON MENTAL 7350 04:34:49,798 --> 04:34:53,035 HEALTH OUTCOMES. 7351 04:34:53,035 --> 04:34:53,602 REGARDING SOCIAL MEDIA USE, 7352 04:34:53,602 --> 04:35:03,112 WITH THE LESS PERCEIVED MPL THE 7353 04:35:03,112 --> 04:35:03,746 SOCIAL MEDIA USE HAD A NEGATIVE 7354 04:35:03,746 --> 04:35:04,546 IMPACT ON THEIR MENTAL HEALTH 7355 04:35:04,546 --> 04:35:07,750 OUTCOMES COMPARED TO OTHERS. 7356 04:35:07,750 --> 04:35:09,952 THE MAIN OUTCOME OF THE STUDY 7357 04:35:09,952 --> 04:35:13,756 IS THE MEANING AND PURPOSE OF 7358 04:35:13,756 --> 04:35:14,390 LIFE HAS DIRECT AND MODERATING 7359 04:35:14,390 --> 04:35:14,890 EFFECT ON PSYCHOLOGICAL 7360 04:35:14,890 --> 04:35:19,194 WELL-BEING. AND THIS RESEARCH 7361 04:35:19,194 --> 04:35:20,062 IMPLIES THAT COMMUNICATION 7362 04:35:20,062 --> 04:35:22,564 CAMPAIGN, OR INTERVENTION THAT 7363 04:35:22,564 --> 04:35:25,868 AIMS TO ENHANCING INDIVIDUALS 7364 04:35:25,868 --> 04:35:27,770 IN A DRIVE TO FIND MEANING AND 7365 04:35:27,770 --> 04:35:30,739 PURPOSE IN LIFE COULD ALLEVIATE 7366 04:35:30,739 --> 04:35:32,174 THE MENTAL HEALTH PROBLEMS 7367 04:35:32,174 --> 04:35:34,309 CAUSED BY SOCIALIZATION. AND 7368 04:35:34,309 --> 04:35:36,979 HELP PEOPLE GET PSYCHOLOGICAL 7369 04:35:36,979 --> 04:35:38,280 BENEFITS FROM SOCIAL MEDIA USE. 7370 04:35:38,280 --> 04:35:39,214 THANK YOU. 7371 04:35:39,214 --> 04:35:42,985 >> [APPLAUSE] 7372 04:35:42,985 --> 04:35:45,821 >> DR. D'ANGELO: OUR LAST 7373 04:35:45,821 --> 04:35:50,559 PRESENTATION IS FROM JUAN 7374 04:35:50,559 --> 04:35:54,196 ALBERTORIO-DIAZ. FROM THE 7375 04:35:54,196 --> 04:35:54,696 FOUNDATION FOR SOCIAL 7376 04:35:54,696 --> 04:35:55,531 CONNECTION. 7377 04:35:55,531 --> 04:35:57,566 >> MR. ALBERTORIO-DIAZ: GOOD 7378 04:35:57,566 --> 04:36:05,441 AFTERNOON FOLKS. MY NAME IS 7379 04:36:05,441 --> 04:36:09,244 JUAN ALBERTORIO-DIAZ. I WANT 7380 04:36:09,244 --> 04:36:09,812 TO HAVE A BRIEF TALK ABOUT 7381 04:36:09,812 --> 04:36:10,412 SOCIAL ISOLATION AND LOOKING 7382 04:36:10,412 --> 04:36:12,681 HINTS. BEFORE MY TALK I WANT 7383 04:36:12,681 --> 04:36:23,225 TO CONGRATULATE DR. WHELDON FOR 7384 04:36:28,797 --> 04:36:29,364 THE WORK WITH SOCIAL ISOLATION 7385 04:36:29,364 --> 04:36:29,998 BECAUSE IT ALLOWS ME TO HAVE A 7386 04:36:29,998 --> 04:36:30,632 BRIEF TALK OF WHAT I WANTED TO 7387 04:36:30,632 --> 04:36:40,776 SAY ABOUT THAT. WE HAVE A 7388 04:36:40,776 --> 04:36:41,376 NOTION ABOUT HOW THIS AFFECTS 7389 04:36:41,376 --> 04:36:41,877 HEALTH, MORE BASICALLY 7390 04:36:41,877 --> 04:36:46,849 MORBIDITY AND MORTALITY. THIS 7391 04:36:46,849 --> 04:36:47,483 IS THE ARGUMENT THAT THE OFFICE 7392 04:36:47,483 --> 04:36:48,083 OF THE SURGEON GENERAL BRINGS 7393 04:36:48,083 --> 04:36:54,923 IN HIS REPORT AND IN COMMON 7394 04:36:54,923 --> 04:37:03,932 RESEARCH IN THE LAST 20 YEARS 7395 04:37:03,932 --> 04:37:04,533 HAVE PROVIDED NOTIONS OF HOW 7396 04:37:04,533 --> 04:37:05,134 SOCIETAL LONELINESS HAS BEEN 7397 04:37:05,134 --> 04:37:07,202 AFFECTING HEALTH AS A RISK 7398 04:37:07,202 --> 04:37:07,803 FACTOR IN HEALTH OUTCOMES AND 7399 04:37:07,803 --> 04:37:15,077 WE HAVE LITTLE NOTION ON HOW 7400 04:37:15,077 --> 04:37:15,544 LONELINESS MAY AFFECT 7401 04:37:15,544 --> 04:37:16,178 INFORMATION RESOURCES AND HELP 7402 04:37:16,178 --> 04:37:16,812 BELIEFS AND BEHAVIORS. AND THAT 7403 04:37:16,812 --> 04:37:22,951 IS THE ROLE WITH HINTS. HINTS 7404 04:37:22,951 --> 04:37:23,585 IS THE FIRST SURVEY OF FROM THE 7405 04:37:23,585 --> 04:37:26,889 PUBLIC HEALTH PERSPECTIVE TO 7406 04:37:26,889 --> 04:37:27,389 HAVE A MODEL TO MENTION 7407 04:37:27,389 --> 04:37:27,990 LONELINESS, ESTABLISHED IS AN 7408 04:37:27,990 --> 04:37:28,624 IDEA FOUR YEARS AGO. AND NOW WE 7409 04:37:28,624 --> 04:37:33,829 HAVE THE HINTS 6, THE FIRST 7410 04:37:33,829 --> 04:37:34,396 COMPLETE DATA FOR TWO YEARS 7411 04:37:34,396 --> 04:37:41,770 COMBINED ABOUT THIS MODEL. 7412 04:37:41,770 --> 04:37:42,337 TO THE BEST OF MY KNOWLEDGE, 7413 04:37:42,337 --> 04:37:43,906 AGAIN THIS IS ONE OF THE FIRST 7414 04:37:43,906 --> 04:37:44,373 PUBLIC HEALTH SURVEYS 7415 04:37:44,373 --> 04:37:44,840 CONDUCTING A MODEL ON 7416 04:37:44,840 --> 04:37:48,744 LONELINESS. 7417 04:37:48,744 --> 04:37:49,745 THE SECOND ONE THAT WE HAVE TO 7418 04:37:49,745 --> 04:37:54,616 MENTION IS BRFS WHICH HAS NEW 7419 04:37:54,616 --> 04:37:56,151 DATA FOR NEW CYCLES, WHICH YOU 7420 04:37:56,151 --> 04:37:56,752 CAN CONSIDER AND USE FOR YOUR 7421 04:37:56,752 --> 04:37:57,719 WORK AND FOLLOWING WE HAVE HIS 7422 04:37:57,719 --> 04:38:01,456 AND HANES. SO COMING SOON MORE 7423 04:38:01,456 --> 04:38:03,525 INFORMATION ABOUT IT. 7424 04:38:03,525 --> 04:38:06,795 SO WE TRY TO SEE HOW THE 7425 04:38:06,795 --> 04:38:07,396 CONSTRUCT OF SOCIAL ISOLATION 7426 04:38:07,396 --> 04:38:11,767 CAN BE GRASPED IN ONE WAY. WE 7427 04:38:11,767 --> 04:38:12,401 TRY TO USE SOCIAL METHODOLOGIES 7428 04:38:12,401 --> 04:38:16,972 FOR THIS QUESTION MODEL USING 7429 04:38:16,972 --> 04:38:17,539 THAT PART IN HAVING ALL THE 7430 04:38:17,539 --> 04:38:20,275 INFORMATION FOR THE 7431 04:38:20,275 --> 04:38:25,080 SOCIALIZATION MODEL. 7432 04:38:25,080 --> 04:38:25,614 WE USED MAXIMUM LIKELIHOOD 7433 04:38:25,614 --> 04:38:26,949 WITH MISSING VALUE WHICH ALLOWS 7434 04:38:26,949 --> 04:38:27,583 TO WORK WITH MISSING DATA FROM 7435 04:38:27,583 --> 04:38:30,919 THE HINTS DATA. ON A LATER 7436 04:38:30,919 --> 04:38:33,255 NOTE THERE IS A VERY NOMINAL 7437 04:38:33,255 --> 04:38:33,889 MISINFORMATION FOR LONELINESS 7438 04:38:33,889 --> 04:38:38,760 ABOUT THE HINTS. I SUGGESTED 7439 04:38:38,760 --> 04:38:39,361 TO USE THAT IN YOUR INTEREST 7440 04:38:39,361 --> 04:38:41,630 FOR RESEARCH. 7441 04:38:41,630 --> 04:38:42,097 WE TRY TO MEASURE HOW 7442 04:38:42,097 --> 04:38:43,899 LONELINESS AFFECTS HEALTH 7443 04:38:43,899 --> 04:38:45,500 INFORMATION, HEALTH BELIEFS, 7444 04:38:45,500 --> 04:38:46,835 AND HEALTH BEHAVIOR IN THE 7445 04:38:46,835 --> 04:38:50,939 SELECTED CONSTRUCT. 7446 04:38:50,939 --> 04:38:51,506 WITH THAT WE TRY TO MEASURE 7447 04:38:51,506 --> 04:38:53,342 LONELINESS, BASED ON THE FOUR 7448 04:38:53,342 --> 04:38:58,847 MEASURES USING THE RAW SCORE. 7449 04:38:58,847 --> 04:39:00,983 WOULD NOT USE THE T SCORE FOR 7450 04:39:00,983 --> 04:39:07,623 THE CMM MODEL. 7451 04:39:07,623 --> 04:39:08,223 WE TRY TO SEE HOW LONELINESS 7452 04:39:08,223 --> 04:39:10,559 AFFECTS. HERE WE CAN SEE THE 7453 04:39:10,559 --> 04:39:13,895 PEOPLE WHO ARE LONELY HAVE 7454 04:39:13,895 --> 04:39:14,363 HIGHER RATIO TO HAVE 7455 04:39:14,363 --> 04:39:16,365 INFORMATION FROM THE INTERNET 7456 04:39:16,365 --> 04:39:24,773 THAN FROM FAMILIES AND FRIENDS. 7457 04:39:24,773 --> 04:39:25,374 THEY ARE LESS LIKELY TO HAVE 7458 04:39:25,374 --> 04:39:27,075 THAT INFORMATION. WE CAN SEE 7459 04:39:27,075 --> 04:39:27,709 ALSO FROM SOME OF THE BEHAVIORS 7460 04:39:27,709 --> 04:39:29,544 OF PEOPLE WHO ARE LONELY ARE 7461 04:39:29,544 --> 04:39:30,112 MORE INTERESTED IN GETTING 7462 04:39:30,112 --> 04:39:31,013 INFORMATION FROM THE INTERNET, 7463 04:39:31,013 --> 04:39:33,615 CONSUME SODA, CONSUME PROCESSED 7464 04:39:33,615 --> 04:39:40,055 MEAT, RED MEAT, PROCESSED FOOD 7465 04:39:40,055 --> 04:39:40,656 AND NO FRUIT OR VEGETABLES IN 7466 04:39:40,656 --> 04:39:42,157 CAN ALSO DELINEATE THE PEOPLE 7467 04:39:42,157 --> 04:39:42,758 WHO ARE MORE LONELY ARE MORE 7468 04:39:42,758 --> 04:39:44,860 LIKELY TO HAVE NO SLEEP AND 7469 04:39:44,860 --> 04:39:47,262 LESS LIKELY TO NEVER SMOKE. 7470 04:39:47,262 --> 04:39:47,763 AND LESS LIKELY TO HAVE 7471 04:39:47,763 --> 04:39:52,267 UP-TO-DATE PAP SMEAR. 7472 04:39:52,267 --> 04:39:53,435 SO THAT GIVES YOU A SNAPSHOT 7473 04:39:53,435 --> 04:39:54,069 OF HOW THE MODEL OF LONELINESS 7474 04:39:54,069 --> 04:39:55,937 CAN BE USED. AND IN THAT SENSE 7475 04:39:55,937 --> 04:39:58,173 WE CAN INDICATE IN SUMMARY THAT 7476 04:39:58,173 --> 04:39:59,741 LONELY PEOPLE MAY TALK ABOUT 7477 04:39:59,741 --> 04:40:00,776 HEALTH, NOT ONLY WITH THEIR 7478 04:40:00,776 --> 04:40:07,015 PEERS OR PARTNERS. MOST LIKELY 7479 04:40:07,015 --> 04:40:07,482 THEY TEND TO LOOK FOR 7480 04:40:07,482 --> 04:40:07,883 INFORMATION USING 7481 04:40:07,883 --> 04:40:12,587 INTERNET-BASED. SO WE CAN USE 7482 04:40:12,587 --> 04:40:15,090 THAT AS AN ASSET TO PROVIDE 7483 04:40:15,090 --> 04:40:17,592 INFORMATION FOR UNDERSERVED 7484 04:40:17,592 --> 04:40:18,160 COMMUNITIES AND TAILOR THAT 7485 04:40:18,160 --> 04:40:18,794 INFORMATION FOR MINORITY GROUPS 7486 04:40:18,794 --> 04:40:29,104 IN THAT REGARDS. 7487 04:40:30,706 --> 04:40:31,273 AND AGAIN LONELY PEOPLE ARE 7488 04:40:31,273 --> 04:40:31,907 MORE LIKELY TO ATTRIBUTE HEALTH 7489 04:40:31,907 --> 04:40:32,541 BEHAVIORS TO CONDUCT BEHAVIOR 7490 04:40:32,541 --> 04:40:34,876 THAT MORE LIKELY PRODUCE CANCER. 7491 04:40:34,876 --> 04:40:35,410 AND I WANT TO GIVE YOU A 7492 04:40:35,410 --> 04:40:36,011 SNAPSHOT OF THE SOCIAL 7493 04:40:36,011 --> 04:40:40,482 SELECTION FOR LONELINESS IN 7494 04:40:40,482 --> 04:40:41,083 HINTS. AND I HOPE THIS SPARKS 7495 04:40:41,083 --> 04:40:41,683 YOUR INTEREST AND YOU TRY TO 7496 04:40:41,683 --> 04:40:42,384 USE IT. THANK YOU FOR YOUR 7497 04:40:42,384 --> 04:40:46,188 TIME. 7498 04:40:46,188 --> 04:40:48,223 >> DR. D'ANGELO: THANKS TO OUR 7499 04:40:48,223 --> 04:40:50,926 SPEAKERS. WE HAVE TIME FOR 7500 04:40:50,926 --> 04:40:52,260 QUESTIONS IF ANYONE HAS A 7501 04:40:52,260 --> 04:40:52,861 QUESTION. PLEASE MOVE TO THE 7502 04:40:52,861 --> 04:40:55,297 MIC. I SEE SOMEONE COMING 7503 04:40:55,297 --> 04:41:05,807 DOWN. YOU MAY HAVE TO SWITCH 7504 04:41:11,146 --> 04:41:21,223 IT ON. 7505 04:41:36,304 --> 04:41:38,440 >> WHAT WE COULD LEARN BY 7506 04:41:38,440 --> 04:41:40,709 ADDING A QUESTION TO THE 7507 04:41:40,709 --> 04:41:42,277 SURVEY, ABOUT WHETHER OR NOT 7508 04:41:42,277 --> 04:41:42,778 THAT DEVICE REQUIRES A 7509 04:41:42,778 --> 04:41:44,846 PRESCRIPTION. THE REASON I ASK 7510 04:41:44,846 --> 04:41:46,948 THAT IS BECAUSE OF THE DIABETES 7511 04:41:46,948 --> 04:41:50,652 PROBLEMS, VERY SPECIFICALLY. I 7512 04:41:50,652 --> 04:41:52,954 WILL SHARE A PERSONAL NOTE. I 7513 04:41:52,954 --> 04:41:55,357 HAVE TYPE I. I WOULD ANSWER YES 7514 04:41:55,357 --> 04:41:56,525 TO THIS QUESTION, BECAUSE I USE 7515 04:41:56,525 --> 04:42:00,228 THE CGM AND INSULIN PUMP. SO OF 7516 04:42:00,228 --> 04:42:02,264 COURSE I LOOK AT CALORIES AND 7517 04:42:02,264 --> 04:42:06,201 CARB CONTENT. I AM CURIOUS 7518 04:42:06,201 --> 04:42:08,336 ABOUT ANY COMMENTS YOU MAY HAVE 7519 04:42:08,336 --> 04:42:09,104 ABOUT ADDITIONAL INSIGHT WE 7520 04:42:09,104 --> 04:42:13,608 COULD GET FROM NOT JUST KNOWING 7521 04:42:13,608 --> 04:42:15,043 IF SOMEONE USES A DEVICE, BUT 7522 04:42:15,043 --> 04:42:16,511 WHAT TYPE OF DEVICE. AND WHAT 7523 04:42:16,511 --> 04:42:18,513 ITS PURPOSE IS. 7524 04:42:18,513 --> 04:42:23,018 >> YES SO I HAVE THE ACTUAL 7525 04:42:23,018 --> 04:42:23,552 WORDING OF THAT SPECIFIC 7526 04:42:23,552 --> 04:42:25,854 QUESTION FRENEMY. BUT I THINK 7527 04:42:25,854 --> 04:42:31,860 IT WAS BROUGHT. LIKE DO YOU 7528 04:42:31,860 --> 04:42:34,930 WEAR SOME KIND OF DEVICE, LIKE 7529 04:42:34,930 --> 04:42:36,097 FITBIT, HEART RATE MONITOR. I 7530 04:42:36,097 --> 04:42:36,731 CAN'T REMEMBER. BUT THERE'S A 7531 04:42:36,731 --> 04:42:44,806 FEW DIFFERENT EXAMPLES. 7532 04:42:44,806 --> 04:42:45,407 >> THE APPLE WATCH, THE GARMIN 7533 04:42:45,407 --> 04:42:52,714 AND THE FITBIT. 7534 04:42:52,714 --> 04:42:53,315 >> IF YOU ARE WEARING A FITBIT 7535 04:42:53,315 --> 04:42:53,949 OR MORE LIKE AN APPLE WATCH YOU 7536 04:42:53,949 --> 04:42:55,116 MAY BE DOING IT TO COUNT YOUR 7537 04:42:55,116 --> 04:42:55,750 STEPS WHICH IS IMPORTANT BUT IF 7538 04:42:55,750 --> 04:42:59,221 YOU HAVE A CLINICALLY 7539 04:42:59,221 --> 04:42:59,788 PRESCRIBED DEVICE-- LIKE A 7540 04:42:59,788 --> 04:43:01,690 GLUCOSE MONITOR OR MAY BE YOU 7541 04:43:01,690 --> 04:43:05,994 ARE USING A BLOOD PRESSURE 7542 04:43:05,994 --> 04:43:07,863 MONITOR AT HOME OR FOR SOME 7543 04:43:07,863 --> 04:43:09,397 OTHER MEDICAL REASON YOU MAY BE 7544 04:43:09,397 --> 04:43:11,833 PAYING ATTENTION TO CALORIE 7545 04:43:11,833 --> 04:43:13,702 INFORMATION OR OTHER TYPES OF 7546 04:43:13,702 --> 04:43:17,038 INFORMATION IN A DIFFERENT WAY. 7547 04:43:17,038 --> 04:43:17,572 BECAUSE IT MAY HAVE MORE 7548 04:43:17,572 --> 04:43:22,244 SIGNIFICANT IMPACTS ON YOUR 7549 04:43:22,244 --> 04:43:22,878 DATA, ESPECIALLY WITH TYPE I OR 7550 04:43:22,878 --> 04:43:23,745 TYPE II DIABETES VERSUS SOMEONE 7551 04:43:23,745 --> 04:43:24,279 WHO IS GOING TO GET MORE 7552 04:43:24,279 --> 04:43:25,380 EXERCISE. I THINK IT'S A 7553 04:43:25,380 --> 04:43:27,249 REALLY GOOD POINT. MAYBE THE 7554 04:43:27,249 --> 04:43:30,785 HINTS FOLKS, IF THERE IS A WAY 7555 04:43:30,785 --> 04:43:31,720 TO DISTINGUISH IT OUT BY TYPE, 7556 04:43:31,720 --> 04:43:33,355 AND MAY BE THE REASON. I THINK 7557 04:43:33,355 --> 04:43:34,756 THAT WOULD BE GREAT. 7558 04:43:34,756 --> 04:43:38,426 INTERESTINGLY ENOUGH, WE 7559 04:43:38,426 --> 04:43:38,960 LOOKED AT THAT PARTICULAR 7560 04:43:38,960 --> 04:43:39,461 ANALYSIS IN A COUPLE OF 7561 04:43:39,461 --> 04:43:43,198 DIFFERENT WAYS. SO HAVING A 7562 04:43:43,198 --> 04:43:44,399 WEARABLE DEVICE I THINK WAS-- 7563 04:43:44,399 --> 04:43:47,903 IF YOU CHANGED THAT OUT -- IT'S 7564 04:43:47,903 --> 04:43:52,207 KIND OF A PROXY FOR INCOME. WE 7565 04:43:52,207 --> 04:43:52,807 WANT TO LOOK MORE CLOSELY AT 7566 04:43:52,807 --> 04:44:00,348 THAT AS WELL BECAUSE SOME 7567 04:44:00,348 --> 04:44:00,882 MONITORS ARE CHEAPER THAN 7568 04:44:00,882 --> 04:44:03,218 OTHERS-- I SHOULD PROBABLY NOT 7569 04:44:03,218 --> 04:44:03,785 HAVE PAID AS MUCH FOR THIS 7570 04:44:03,785 --> 04:44:04,920 APPLE WATCH, THERE ARE 7571 04:44:04,920 --> 04:44:05,554 CHEAPER-- WE ARE GOING TO LOOK 7572 04:44:05,554 --> 04:44:06,688 MORE DEEPLY AT THAT. BUT I 7573 04:44:06,688 --> 04:44:10,725 THINK IT IS A GREAT POINT. 7574 04:44:10,725 --> 04:44:12,260 >> IN OUR POSTER WE DID SEE 7575 04:44:12,260 --> 04:44:14,029 THAT THE HIGHEST INCOME WAS 7576 04:44:14,029 --> 04:44:21,803 ASSOCIATED WITH WEARABLE DEVICE 7577 04:44:21,803 --> 04:44:22,370 USE. WHICH SUPPORTS EXACTLY 7578 04:44:22,370 --> 04:44:24,406 WHAT YOU ARE SAYING. 7579 04:44:24,406 --> 04:44:27,776 >> THE CALORIE, IT MAY BE A 7580 04:44:27,776 --> 04:44:28,376 GOOD QUALITATIVE STUDY TO DO 7581 04:44:28,376 --> 04:44:34,950 AFTER THIS. BUT THE WAY THAT 7582 04:44:34,950 --> 04:44:35,417 QUESTION WAS WORDED, 7583 04:44:35,417 --> 04:44:35,951 ESSENTIALLY DO YOU NOTICE 7584 04:44:35,951 --> 04:44:36,818 CALORIE INFORMATION. LIKE IF 7585 04:44:36,818 --> 04:44:40,121 YOU HAVE TYPE I OR TYPE II 7586 04:44:40,121 --> 04:44:40,655 DIABETES, YOU MAY BE MORE 7587 04:44:40,655 --> 04:44:42,057 INTERESTED IN CARBOHYDRATES, 7588 04:44:42,057 --> 04:44:43,525 WHERE THE SUGAR CONTENT-- IF 7589 04:44:43,525 --> 04:44:48,129 YOU HAVE HYPERTENSION, YOU MAY 7590 04:44:48,129 --> 04:44:48,730 POTENTIALLY BE INTERESTED IN 7591 04:44:48,730 --> 04:44:51,766 SALT. SO THAT QUESTION WAS 7592 04:44:51,766 --> 04:44:59,074 REALLY BROAD. BUT HAVING MORE 7593 04:44:59,074 --> 04:44:59,674 SPECIFIC QUESTIONS BUT AGAIN 7594 04:44:59,674 --> 04:45:00,275 PARTICIPANT BURDEN BUT GIVING 7595 04:45:00,275 --> 04:45:00,842 YOU THE IDEA THAT MAYBE WE 7596 04:45:00,842 --> 04:45:03,411 SHOULD DO FOLLOW-UP WITH FOCUS 7597 04:45:03,411 --> 04:45:04,012 GROUPS OF PEOPLE TO TEASE OUT 7598 04:45:04,012 --> 04:45:07,449 WHAT THEY THINK MIGHT BE THE 7599 04:45:07,449 --> 04:45:09,451 TREND. GREAT QUESTION. 7600 04:45:09,451 --> 04:45:10,952 >> BRAINSTORM. SURVEY 7601 04:45:10,952 --> 04:45:14,055 DESIGNERS. IF PEOPLE DO SAY 7602 04:45:14,055 --> 04:45:16,358 YES TO THE WEARABLE DEVICE, 7603 04:45:16,358 --> 04:45:18,960 JUST ASKING THEM WHICH ONE 7604 04:45:18,960 --> 04:45:19,561 WOULD BE THE LEAST BURDENSOME 7605 04:45:19,561 --> 04:45:19,894 WAY. 7606 04:45:19,894 --> 04:45:22,664 THANK YOU VERY MUCH. 7607 04:45:22,664 --> 04:45:27,569 >> THANKS. 7608 04:45:27,569 --> 04:45:32,340 >> OKAY. THANK YOU. -- I HAVE A 7609 04:45:32,340 --> 04:45:40,081 QUESTION FOR AISHA. I AM 7610 04:45:40,081 --> 04:45:42,384 CURIOUS TO KNOW WHY FEMALES 7611 04:45:42,384 --> 04:45:48,623 HAVE HIGHER ODDS -- NOT THE 7612 04:45:48,623 --> 04:45:49,190 SAME CALORIE INFORMATION AS 7613 04:45:49,190 --> 04:45:55,830 COMPARED TO MALES. 7614 04:45:55,830 --> 04:45:56,431 >> WE OBSERVED THAT FEMALES HAD 7615 04:45:56,431 --> 04:45:59,934 HIGHER ODDS. SECONDARY DATA 7616 04:45:59,934 --> 04:46:01,436 SETS. I DON'T KNOW EXACTLY WHY. 7617 04:46:01,436 --> 04:46:07,275 I AM JUST GUESSING. ONE 7618 04:46:07,275 --> 04:46:07,776 POTENTIAL HYPOTHESES OR 7619 04:46:07,776 --> 04:46:11,980 EXPLANATION IS THAT MAYBE 7620 04:46:11,980 --> 04:46:12,614 BECAUSE OF SOCIAL PRESSURES OR 7621 04:46:12,614 --> 04:46:15,016 OTHER PRESSURES, MAYBE WOMEN 7622 04:46:15,016 --> 04:46:17,385 ARE MORE CONSCIOUS ABOUT WEIGHT 7623 04:46:17,385 --> 04:46:22,457 AND DIET AND WHAT THEY ARE 7624 04:46:22,457 --> 04:46:23,024 EATING. I AM GUESSING THAT 7625 04:46:23,024 --> 04:46:27,729 COULD BE ONE REASON. 7626 04:46:27,729 --> 04:46:28,263 IT COULD BE THAT WOMEN ARE 7627 04:46:28,263 --> 04:46:28,897 MORE CONSCIOUS ABOUT WHAT THEY 7628 04:46:28,897 --> 04:46:29,531 ARE EATING AND THE CONTENT. 7629 04:46:29,531 --> 04:46:30,865 THERE IS ONE POSSIBLE REASON. 7630 04:46:30,865 --> 04:46:33,535 I DON'T KNOW. THAT IS ONE OF 7631 04:46:33,535 --> 04:46:34,836 THE LIMITATIONS FOR DOING LIKE 7632 04:46:34,836 --> 04:46:37,739 A BIG CROSS-SECTIONAL STUDY. 7633 04:46:37,739 --> 04:46:38,306 YOU DON'T KNOW EXACTLY WHY. 7634 04:46:38,306 --> 04:46:40,008 THOSE ARE MAYBE TWO POTENTIAL 7635 04:46:40,008 --> 04:46:42,110 REASONS. IF ANYONE ELSE HAS A 7636 04:46:42,110 --> 04:46:43,244 THOUGHT. 7637 04:46:43,244 --> 04:46:50,485 >> THANK YOU. ABIGAIL, WHAT 7638 04:46:50,485 --> 04:46:53,955 ROLE DO YOU THINK POLITICAL 7639 04:46:53,955 --> 04:46:57,759 AFFILIATION-- YOU SPOKE ABOUT 7640 04:46:57,759 --> 04:46:59,894 THAT-- DO YOU THINK IT PLAYS IN 7641 04:46:59,894 --> 04:47:03,431 PROMOTING HEALTH? 7642 04:47:03,431 --> 04:47:06,801 >> DR. MURO: I THINK THAT IS 7643 04:47:06,801 --> 04:47:09,604 GOOD POINT. SOMETHING THAT I 7644 04:47:09,604 --> 04:47:13,374 WANT TO EXPLORE LATER. THAT 7645 04:47:13,374 --> 04:47:14,008 COULD DEFINITELY HAVE AN IMPACT 7646 04:47:14,008 --> 04:47:15,610 ON WHY CERTAIN SOURCES ARE 7647 04:47:15,610 --> 04:47:21,816 BEING TRUSTED. LIKE ONE OF OUR 7648 04:47:21,816 --> 04:47:23,151 HEALTH INFORMATION SOURCES WE 7649 04:47:23,151 --> 04:47:26,154 MEASURED WERE GOVERNMENT 7650 04:47:26,154 --> 04:47:26,755 AGENCIES. AND ALSO ESPECIALLY 7651 04:47:26,755 --> 04:47:29,190 THE PHRASE "CLIMATE CHANGE"IS 7652 04:47:29,190 --> 04:47:34,929 VERY POLITICAL NOW. AND THE 7653 04:47:34,929 --> 04:47:37,866 WAY IT'S TALKED ABOUT AND WHAT 7654 04:47:37,866 --> 04:47:41,169 SOURCE IT IS COMING FROM, HOW 7655 04:47:41,169 --> 04:47:42,137 THAT INFORMATION IS PERCEIVED 7656 04:47:42,137 --> 04:47:42,737 PROBABLY VARIES BY POLITICAL 7657 04:47:42,737 --> 04:47:43,872 AFFILIATION. YEAH, I WOULD LIKE 7658 04:47:43,872 --> 04:47:46,007 TO SEE THAT. THAT QUESTION 7659 04:47:46,007 --> 04:47:49,144 WILL BE ON HINTS 7, ABOUT 7660 04:47:49,144 --> 04:47:51,813 POLITICAL ORIENTATION. THAT 7661 04:47:51,813 --> 04:47:54,949 WILL BE GOOD. MAYBE WE CAN DO 7662 04:47:54,949 --> 04:47:55,583 THIS AGAIN BY TAKING THAT INTO 7663 04:47:55,583 --> 04:48:02,490 ACCOUNT. 7664 04:48:02,490 --> 04:48:03,925 >> CAN I FOLLOW-UP ON THAT 7665 04:48:03,925 --> 04:48:06,361 QUESTION? DO YOU REMEMBER HOW 7666 04:48:06,361 --> 04:48:07,962 THE CLIMATE CHANGE QUESTION WAS 7667 04:48:07,962 --> 04:48:12,167 WORDED? LIKE IS SMOKING BAD FOR 7668 04:48:12,167 --> 04:48:13,835 YOU? ARE YOU EATING TOO MUCH 7669 04:48:13,835 --> 04:48:16,938 FOOD? THESE BIG THINGS. I AM 7670 04:48:16,938 --> 04:48:19,541 CURIOUS HOW IT WAS ASKED. I 7671 04:48:19,541 --> 04:48:20,175 FEEL THAT IS SUCH A HARD THING 7672 04:48:20,175 --> 04:48:22,677 TO CONCEPTUALIZE VERSUS BEING 7673 04:48:22,677 --> 04:48:23,645 OVERWEIGHT, OR SOMETHING THAT 7674 04:48:23,645 --> 04:48:26,414 SEEMS TO BE MORE SPECIFIC. 7675 04:48:26,414 --> 04:48:28,783 >> YEAH IT WAS SOMETHING LIKE 7676 04:48:28,783 --> 04:48:32,587 HOW -- TO WHAT EXTENT DO YOU 7677 04:48:32,587 --> 04:48:34,889 BELIEVE THAT CLIMATE CHANGE 7678 04:48:34,889 --> 04:48:42,630 WILL HARM YOUR HEALTH? IT COULD 7679 04:48:42,630 --> 04:48:43,231 BE THAT PEOPLE ARE SEEING OR 7680 04:48:43,231 --> 04:48:43,798 FEELING THE EFFECTS BUT NOT 7681 04:48:43,798 --> 04:48:45,066 ATTRIBUTING IT TO CLIMATE 7682 04:48:45,066 --> 04:48:48,736 CHANGE OR TO THE ENVIRONMENT, 7683 04:48:48,736 --> 04:48:49,304 BUT NOT WANTING TO USE THE 7684 04:48:49,304 --> 04:48:51,105 PHRASE. THAT IS ALL 7685 04:48:51,105 --> 04:48:51,706 INTERESTING, AND THE TYPES OF 7686 04:48:51,706 --> 04:48:55,076 POLITICS IS A PART OF IT. 7687 04:48:55,076 --> 04:49:01,683 >> SO HI, I HAVE A QUESTION FOR 7688 04:49:01,683 --> 04:49:04,619 LIJIAN REGARDING THE TREE 7689 04:49:04,619 --> 04:49:05,186 ANALYSIS. PERHAPS THIS IS A 7690 04:49:05,186 --> 04:49:05,787 DUMB QUESTION BECAUSE I DON'T 7691 04:49:05,787 --> 04:49:08,489 KNOW ABOUT TREE ANALYSIS. SO, 7692 04:49:08,489 --> 04:49:09,858 IT'S VERY INTERESTING TO SEE 7693 04:49:09,858 --> 04:49:20,401 THAT YOU USED MULTIPLE FACTORS 7694 04:49:22,303 --> 04:49:22,837 TO PREDICT THE CONFIDENCE IN 7695 04:49:22,837 --> 04:49:25,139 FINDING HEALTH INFORMATION 7696 04:49:25,139 --> 04:49:25,773 ONLINE. DO YOU MIND EXPLAINING 7697 04:49:25,773 --> 04:49:26,608 TREE ANALYSIS A LITTLE BIT? HOW 7698 04:49:26,608 --> 04:49:30,612 IS THAT DIFFERENT FROM SAY 7699 04:49:30,612 --> 04:49:34,282 REGRESSION MODELS THAT WILL USE 7700 04:49:34,282 --> 04:49:34,816 THOSE PREDICTORS? 7701 04:49:34,816 --> 04:49:43,524 >> DR. XIAO: SO, FOR THE TREE 7702 04:49:43,524 --> 04:49:44,659 ANALYSIS, THERE WERE OTHER 7703 04:49:44,659 --> 04:49:45,226 CLASSIFICATION METHODS FOR 7704 04:49:45,226 --> 04:49:49,530 EXAMPLE -- BASICALLY IT'S LIKE 7705 04:49:49,530 --> 04:49:50,098 WHY. AND WE HAVE MULTIPLE 7706 04:49:50,098 --> 04:49:52,767 ACCESS LIKE (INDISCERNIBLE). 7707 04:49:52,767 --> 04:49:57,872 FOR THOSE IN IT MIGHTE BE --- 7708 04:49:57,872 --> 04:50:08,349 TO X7 THEN THE Y SHOULD BE 7709 04:50:12,453 --> 04:50:12,987 (INDISCERNIBLE) AND THE TREES 7710 04:50:12,987 --> 04:50:16,090 TO FIND THE MOST IMPORTANT 7711 04:50:16,090 --> 04:50:16,724 ATTRIBUTE. WE NEED TO FIND THE 7712 04:50:16,724 --> 04:50:17,225 NEXT LEVEL SIGNIFICANT 7713 04:50:17,225 --> 04:50:19,560 ATTRIBUTES. FOR EACH ATTRIBUTE 7714 04:50:19,560 --> 04:50:20,194 THERE ARE MAYBE DIFFERENT 7715 04:50:20,194 --> 04:50:22,830 LEVELS CATEGORICAL. YES OR NO. 7716 04:50:22,830 --> 04:50:27,635 OR 1, 2, 3. VERY SATISFIED. 7717 04:50:27,635 --> 04:50:30,138 LESS SATISFIED. I DON'T KNOW. I 7718 04:50:30,138 --> 04:50:31,372 DISAGREE. OR SOMETHING LIKE 7719 04:50:31,372 --> 04:50:33,107 THAT. MULTIPLE LEVELS. AT EACH 7720 04:50:33,107 --> 04:50:34,776 LEVEL THERE IS A BRANCH. 7721 04:50:34,776 --> 04:50:37,178 FOR EXAMPLE IF I HAVE A VERY 7722 04:50:37,178 --> 04:50:38,246 GOOD INTERNET CONNECTION, I CAN 7723 04:50:38,246 --> 04:50:48,723 GO THERE. IT'S YES. MY NEXT 7724 04:50:53,494 --> 04:50:54,062 LEVEL, MOST IMPORTANT ATTRIBUTE 7725 04:50:54,062 --> 04:50:54,629 WOULD BE WHETHER I WEAR AN 7726 04:50:54,629 --> 04:50:55,897 APPLE WATCH. IF I DO WHERE AN 7727 04:50:55,897 --> 04:51:04,339 APPLE WATCH. IF I DON'T WEAR IT 7728 04:51:04,339 --> 04:51:11,245 GOES LAST. YOU ARE THE PREDICT 7729 04:51:11,245 --> 04:51:12,246 YOU HAVE BETTER CONFIDENCE IN 7730 04:51:12,246 --> 04:51:12,880 FINDING RESOURCES IF YOU HAVE 7731 04:51:12,880 --> 04:51:15,249 GOOD INTERNET. WHY ON THE 7732 04:51:15,249 --> 04:51:18,252 BOTTOM. AND THE LABEL YOU WANT 7733 04:51:18,252 --> 04:51:28,730 TO PREDICT. YES, I DO HAVE 7734 04:51:29,931 --> 04:51:40,541 CONFIDENCE, OR I DON'T. THERE 7735 04:51:40,541 --> 04:51:41,109 ARE OTHER ATTRIBUTES THAT WON'T 7736 04:51:41,109 --> 04:51:43,177 SHOW IN THIS TREE WHICH MEANS 7737 04:51:43,177 --> 04:51:44,278 -- WE COULD HAVE AN IMPACT, 7738 04:51:44,278 --> 04:51:47,281 DEPENDS ON THE P VALUE. I HOPE 7739 04:51:47,281 --> 04:51:49,317 I MADE THAT CLEAR. 7740 04:51:49,317 --> 04:51:53,254 >> SO IS THAT -- KIND OF 7741 04:51:53,254 --> 04:51:57,925 SIMILAR TO HIERARCHICAL 7742 04:51:57,925 --> 04:51:58,359 REGRESSION? 7743 04:51:58,359 --> 04:52:01,129 >> DR. XIAO: A LITTLE BIT LIKE 7744 04:52:01,129 --> 04:52:04,699 THAT. THEY USE DIFFERENT 7745 04:52:04,699 --> 04:52:05,299 METHODS TO CALCULATE. THE USE 7746 04:52:05,299 --> 04:52:11,105 INFORMATION GAIN. MATHEMATICAL 7747 04:52:11,105 --> 04:52:11,639 EQUATIONS TO CALCULATING 7748 04:52:11,639 --> 04:52:12,240 INFORMATION GAINED. THE MOST 7749 04:52:12,240 --> 04:52:12,874 INFORMATION GAINED GOES TO THE 7750 04:52:12,874 --> 04:52:17,912 ROOTS, THE LESS GOES TO 7751 04:52:17,912 --> 04:52:19,580 DIFFERENT LEVELS AND HOW TO 7752 04:52:19,580 --> 04:52:20,214 CORRELATE THAT IS BASED ON THE 7753 04:52:20,214 --> 04:52:20,748 NUMBER OF INFORMATION SET 7754 04:52:20,748 --> 04:52:23,317 DIFFERENT LEVELS. SO THERE ARE 7755 04:52:23,317 --> 04:52:26,621 MATHEMATICAL -- BEHIND THAT. IT 7756 04:52:26,621 --> 04:52:27,955 TURNS OUT THAT IT LOOKS LIKE 7757 04:52:27,955 --> 04:52:29,657 (INDISCERNIBLE). 7758 04:52:29,657 --> 04:52:30,825 >> THANK YOU VERY MUCH. 7759 04:52:30,825 --> 04:52:33,528 >> THANK YOU. 7760 04:52:33,528 --> 04:52:35,763 >> QUICK QUESTION. I THINK THIS 7761 04:52:35,763 --> 04:52:37,732 PROBABLY RELEVANT TO BOTH 7762 04:52:37,732 --> 04:52:43,538 KRISTIN AND ABIGAIL. I WONDER 7763 04:52:43,538 --> 04:52:45,473 IF THERE ANY PLANS TO LOOK AT 7764 04:52:45,473 --> 04:52:47,375 INTERACTIONS OR DIFFERENCES IN 7765 04:52:47,375 --> 04:52:51,546 TRUST IN ASSOCIATION WITH 7766 04:52:51,546 --> 04:52:53,881 MORALITY BASED ON REGIONS. I 7767 04:52:53,881 --> 04:53:01,255 THINK THE SAME FOR ABIGAIL, 7768 04:53:01,255 --> 04:53:01,856 PERCEPTIONS OF CLIMATE CHANGE 7769 04:53:01,856 --> 04:53:02,490 MIGHT VERY BY REGION DEPENDING 7770 04:53:02,490 --> 04:53:04,926 ON EXPERIENCES WITH NATURAL 7771 04:53:04,926 --> 04:53:05,526 DISASTERS AND HOW THAT MIGHT 7772 04:53:05,526 --> 04:53:08,129 INFLUENCE TRUST AND PERCEPTIONS 7773 04:53:08,129 --> 04:53:11,999 OF CLIMATE CHANGE. ANY THOUGHTS 7774 04:53:11,999 --> 04:53:13,034 OR CONSIDERATIONS LOOKING AT 7775 04:53:13,034 --> 04:53:15,903 DIFFERENCES BY REGION AND 7776 04:53:15,903 --> 04:53:17,872 ASSOCIATIONS? 7777 04:53:17,872 --> 04:53:23,044 >> YEAH. I AGREE WITH THAT. I 7778 04:53:23,044 --> 04:53:23,678 THINK IT'S REALLY IMPORTANT TO 7779 04:53:23,678 --> 04:53:24,445 CONSIDER WHEN YOU'RE LOOKING AT 7780 04:53:24,445 --> 04:53:29,951 THE RURAL POPULATION. BECAUSE 7781 04:53:29,951 --> 04:53:30,585 BEING FROM RURAL MAINE, IS NOT 7782 04:53:30,585 --> 04:53:34,255 THE SAME AS RURAL UTAH, NOT THE 7783 04:53:34,255 --> 04:53:36,090 SAME AS RURAL TENNESSEE. SO 7784 04:53:36,090 --> 04:53:39,494 IT'S INTERESTING TO LOOK AT IT. 7785 04:53:39,494 --> 04:53:44,165 BUT IT'S THE FIRST LINE, 7786 04:53:44,165 --> 04:53:44,799 UNDERSTANDING WHAT DIFFERENCES 7787 04:53:44,799 --> 04:53:51,839 EVEN EXIST AT THE START. KIND 7788 04:53:51,839 --> 04:53:54,609 OF THE FIRST LEVEL. GETTING 7789 04:53:54,609 --> 04:53:55,209 INTO DIFFERENT REGIONS AND I 7790 04:53:55,209 --> 04:53:56,277 THINK THE CHALLENGE WILL BE TO 7791 04:53:56,277 --> 04:53:56,944 UNDERSTAND WHAT WE MEAN WHEN WE 7792 04:53:56,944 --> 04:54:00,848 SAY RURAL. I ALWAYS THINK THAT 7793 04:54:00,848 --> 04:54:04,886 WHEN WE DO RURAL RESEARCH, WE 7794 04:54:04,886 --> 04:54:05,987 ARE LOOKING AT PEOPLE WHO ARE 7795 04:54:05,987 --> 04:54:06,587 OLDER AND HAVE DIFFERENT 7796 04:54:06,587 --> 04:54:08,856 EDUCATION LEVELS. I DON'T KNOW 7797 04:54:08,856 --> 04:54:13,995 THAT IT'S GETTING AT WHAT IT 7798 04:54:13,995 --> 04:54:17,231 MEANS TO HAVE THAT RURAL 7799 04:54:17,231 --> 04:54:17,865 IDENTITY. AND ONCE WE START TO 7800 04:54:17,865 --> 04:54:20,835 GET INTO THE RURAL 7801 04:54:20,835 --> 04:54:21,469 CONSCIOUSNESS, AND THE IDEA OF 7802 04:54:21,469 --> 04:54:22,103 IDENTIFYING YOURSELF AS RURAL, 7803 04:54:22,103 --> 04:54:23,037 THAT IS WHERE THE REGIONS ARE 7804 04:54:23,037 --> 04:54:25,673 DIFFERENT. BUT THAT IS A MUCH 7805 04:54:25,673 --> 04:54:28,643 HARDER IDEA TO MEASURE THAN 7806 04:54:28,643 --> 04:54:30,077 JUST SOME OF THE CATEGORICAL 7807 04:54:30,077 --> 04:54:32,313 VARIABLES THAT WE CAN GET HERE. 7808 04:54:32,313 --> 04:54:37,418 >> YEAH. I AGREE WITH THAT. 7809 04:54:37,418 --> 04:54:40,054 THAT IS WELL SAID. AND WHEN 7810 04:54:40,054 --> 04:54:41,455 TALKING ABOUT CLIMATE CHANGE, 7811 04:54:41,455 --> 04:54:44,959 IT'S FIRST HOW DOES GEOGRAPHIC 7812 04:54:44,959 --> 04:54:49,730 AREA, RURAL VS. URBAN, IMPACT 7813 04:54:49,730 --> 04:54:54,869 IDEOLOGY? AND THEN THERE'S ALSO 7814 04:54:54,869 --> 04:54:55,436 THE IMPACT-- LIKE YOU WERE 7815 04:54:55,436 --> 04:54:57,972 SAYING EXPERIENCE WITH EXTREME 7816 04:54:57,972 --> 04:54:59,941 WEATHER OR WILDFIRES. AND HOW 7817 04:54:59,941 --> 04:55:09,417 THOSE INTERACT. LET'S SAY 7818 04:55:09,417 --> 04:55:10,051 SOMEBODY EXPERIENCES THAT, BUT 7819 04:55:10,051 --> 04:55:10,585 DO THEY ATTRIBUTE THAT TO 7820 04:55:10,585 --> 04:55:11,519 CLIMATE CHANGE? WE NEED TO LOOK 7821 04:55:11,519 --> 04:55:12,053 INTO THAT MORE. 7822 04:55:12,053 --> 04:55:14,855 >> DR. D'ANGELO: THANKS 7823 04:55:14,855 --> 04:55:15,489 EVERYONE AND THANKS TO ALL OF 7824 04:55:15,489 --> 04:55:15,957 THE SPEAKERS. 7825 04:55:15,957 --> 04:55:20,094 >> [APPLAUSE] 7826 04:55:20,094 --> 04:55:23,998 >> DR. D'ANGELO: BEFORE YOU 7827 04:55:23,998 --> 04:55:25,900 MOVE ON TO THE POSTER SESSION, 7828 04:55:25,900 --> 04:55:26,467 I JUST WANT TO DO A LITTLE 7829 04:55:26,467 --> 04:55:27,001 HOUSEKEEPING FOR TOMORROW 7830 04:55:27,001 --> 04:55:30,404 MORNING. FOR DAY 2 OF THE 7831 04:55:30,404 --> 04:55:31,038 CONFERENCE, WE HAVE AN OPTIONAL 7832 04:55:31,038 --> 04:55:32,974 WORKSHOP AT 8:30 IN THE 7833 04:55:32,974 --> 04:55:37,178 MORNING, A HINTS TUTORIAL. TWO 7834 04:55:37,178 --> 04:55:38,913 CONCURRENT SESSIONS. ONE 7835 04:55:38,913 --> 04:55:39,714 SESSION IS AN OPEN OFFICE 7836 04:55:39,714 --> 04:55:40,781 HOURS, SO BRING YOUR LAPTOP, 7837 04:55:40,781 --> 04:55:43,951 YOUR QUESTIONS, YOUR DATA, YOUR 7838 04:55:43,951 --> 04:55:46,654 SOFTWARE THAT YOU USE. AND WE 7839 04:55:46,654 --> 04:55:47,655 WILL DO OUR BEST TO HELP YOU 7840 04:55:47,655 --> 04:55:50,258 OUT AND GET YOU STARTED. OR 7841 04:55:50,258 --> 04:55:50,791 HELP YOU ALONG WITH YOUR 7842 04:55:50,791 --> 04:55:52,059 RESEARCH QUESTION. 7843 04:55:52,059 --> 04:55:53,594 IN THE SECOND SESSION IS A 7844 04:55:53,594 --> 04:55:56,697 HINTS OVERVIEW OF OUR METHODS, 7845 04:55:56,697 --> 04:56:04,472 OUR HISTORY, MEASUREMENT, 7846 04:56:04,472 --> 04:56:06,574 WEIGHTING AND USING THE HINTS 7847 04:56:06,574 --> 04:56:10,344 DATA IN R, THE STATISTICAL 7848 04:56:10,344 --> 04:56:14,715 PACKAGE. 7849 04:56:14,715 --> 04:56:15,316 IF YOU ARE NOT ATTENDING THESE 7850 04:56:15,316 --> 04:56:15,950 WORKSHOPS, THE REGULAR SESSIONS 7851 04:56:15,950 --> 04:56:19,120 BEGIN AT 10 AM. AND FOR BOTH 7852 04:56:19,120 --> 04:56:19,720 REMEMBER TO LEAVE ENOUGH TIME 7853 04:56:19,720 --> 04:56:22,590 TO GET THROUGH SECURITY, 7854 04:56:22,590 --> 04:56:23,224 ESPECIALLY IF YOU HAVE LUGGAGE 7855 04:56:23,224 --> 04:56:23,791 AND YOU HAVE TO GET TO THE 7856 04:56:23,791 --> 04:56:26,093 GATEWAY CENTER. I THINK THOSE 7857 04:56:26,093 --> 04:56:27,895 ARE ALL THE ITEMS WE NEED TO 7858 04:56:27,895 --> 04:56:31,666 COVER. 7859 04:56:31,666 --> 04:56:32,233 THE NEXT SESSION IS A POSTER 7860 04:56:32,233 --> 04:56:32,867 SESSION UPSTAIRS IN THE ATRIUM. 7861 04:56:32,867 --> 04:56:42,867 I WILL SEE YOU THERE