1 00:00:08,400 --> 00:00:14,240 >> THIS IS ONGOING, OBVIOUSLY, 2 00:00:14,240 --> 00:00:18,240 BUT WE'RE TAKING THIS VERY 3 00:00:18,240 --> 00:00:21,960 SERIOUSLY, AND WE'RE VERY 4 00:00:21,960 --> 00:00:23,840 COMMITTED TO REALLY ADDRESSING 5 00:00:23,840 --> 00:00:29,600 ANY ISSUES THAT WE -- THAT, YOU 6 00:00:29,600 --> 00:00:32,600 KNOW, WE GATHER FROM THIS RFI, 7 00:00:32,600 --> 00:00:35,840 IN THE BEST POSSIBLE WAY. 8 00:00:35,840 --> 00:00:37,760 THE NEXT -- OOPS. 9 00:00:37,760 --> 00:00:39,720 IT'S NOT ADVANCING, THE SLIDES 10 00:00:39,720 --> 00:00:41,080 HERE. 11 00:00:41,080 --> 00:00:43,120 AM I SUPPOSED TO? 12 00:00:43,120 --> 00:00:51,240 CAN YOU ADVANCE IT FOR ME? 13 00:00:51,240 --> 00:00:51,560 YES. 14 00:00:51,560 --> 00:00:54,080 THE NEXT ITEM I WANT TO MENTION 15 00:00:54,080 --> 00:00:57,520 IS THE CREATION OF A NEW NIH 16 00:00:57,520 --> 00:01:00,560 OFFICE OF AUTOIMMUNE DISEASE 17 00:01:00,560 --> 00:01:01,760 RESEARCH AT NIH, OADR, AND THIS 18 00:01:01,760 --> 00:01:04,000 IS UNDER THE OFFICE OF RESEARCH 19 00:01:04,000 --> 00:01:06,680 FOR WOMEN'S HEALTH AT THE OFFICE 20 00:01:06,680 --> 00:01:07,880 OF THE DIRECTOR. 21 00:01:07,880 --> 00:01:11,040 AND THIS IS IN RECOGNITION OF -- 22 00:01:11,040 --> 00:01:15,120 THE REASON WHY IT'S UNDER THE 23 00:01:15,120 --> 00:01:17,640 OFFICE OF RESEARCH IN WOMEN'S 24 00:01:17,640 --> 00:01:19,680 HEALTH BECAUSE AUTOIMMUNE 25 00:01:19,680 --> 00:01:21,800 DISEASES AND CONDITIONS 26 00:01:21,800 --> 00:01:22,880 DISPROPORTIONATELY AFFECT WOMEN, 27 00:01:22,880 --> 00:01:26,600 AND THIS IS AN EFFORT TO CREATE 28 00:01:26,600 --> 00:01:28,760 MORE SORT OF CROSS-CUTTING 29 00:01:28,760 --> 00:01:30,440 KNOWLEDGE DEVELOPMENT ACROSS 30 00:01:30,440 --> 00:01:33,760 THESE VARIOUS DISEASES THAT VERY 31 00:01:33,760 --> 00:01:37,440 OFTEN GET -- YOU KNOW, ACTUALLY 32 00:01:37,440 --> 00:01:38,600 GET LOOKED AT SEPARATELY, 33 00:01:38,600 --> 00:01:43,240 DISEASES, FOR EXAMPLE, LIKE 34 00:01:43,240 --> 00:01:46,040 LUPUS OR SHÖGREN'S SYNDROME, 35 00:01:46,040 --> 00:01:47,920 SCLERODERMA, TEND TO BE 36 00:01:47,920 --> 00:01:48,800 SEPARATED INTO THESE VARIOUS 37 00:01:48,800 --> 00:01:51,000 CONDITIONS BUT WE LOOK AT, FOR 38 00:01:51,000 --> 00:01:53,920 EXAMPLE, MOLECULAR MARKERS THAT 39 00:01:53,920 --> 00:01:54,800 GO ACROSS THESE CONDITIONS, 40 00:01:54,800 --> 00:01:56,520 THERE'S A LOT TO BE LEARNED BY 41 00:01:56,520 --> 00:02:00,520 LOOKING AT THESE AS A WHOLE. 42 00:02:00,520 --> 00:02:01,600 THERE WAS RECENTLY NOTICE OF 43 00:02:01,600 --> 00:02:06,760 SPECIAL FROM IN RELATIONSHIP TO 44 00:02:06,760 --> 00:02:08,280 THIS, EXPOSOME IN COLLABORATION 45 00:02:08,280 --> 00:02:10,040 TEAM PLANNING I WARDS, EXACT. 46 00:02:10,040 --> 00:02:12,000 WE'RE VERY INTERESTED IN THIS 47 00:02:12,000 --> 00:02:17,240 OBVIOUSLY AT THE NIH-WIDE LEVEL. 48 00:02:17,240 --> 00:02:18,360 NEXT SLIDE. 49 00:02:18,360 --> 00:02:24,800 THE NEXT ITEM I WANT TO MENTION 50 00:02:24,800 --> 00:02:27,640 IS THE ARPA-H HIRING A PROGRAM 51 00:02:27,640 --> 00:02:28,080 MANAGER. 52 00:02:28,080 --> 00:02:31,920 WE'VE TALKED ABOUT ARPA-H IN 53 00:02:31,920 --> 00:02:33,120 PREVIOUS COUNCIL MEETINGS. 54 00:02:33,120 --> 00:02:36,760 THIS IS A NEW ENTITY AT NIH THAT 55 00:02:36,760 --> 00:02:40,440 IS GEARED TOWARDS THE RAPID 56 00:02:40,440 --> 00:02:42,960 ACCELERATION OF DEVELOPMENT OF 57 00:02:42,960 --> 00:02:48,080 TECHNOLOGIES AND SORT OF 58 00:02:48,080 --> 00:02:48,840 TRANSLATION TO COMMERCIAL 59 00:02:48,840 --> 00:02:49,760 DEVELOPMENT TO IMPROVE THE 60 00:02:49,760 --> 00:02:51,680 HEALTH OF ALL. 61 00:02:51,680 --> 00:02:54,640 AND INTERESTINGLY, SO THE FOUR 62 00:02:54,640 --> 00:03:00,440 FOCUS AREAS, OF THE FOUR FOCUS 63 00:03:00,440 --> 00:03:03,200 AREAS HIGHLIGHTED TWO ARE 64 00:03:03,200 --> 00:03:05,600 RELEVANT TO NCCIH, ONE BEING 65 00:03:05,600 --> 00:03:06,920 PRO-ACTIVE HEALTH, KEEPING 66 00:03:06,920 --> 00:03:08,120 PEOPLE FROM BECOMING PATIENTS, 67 00:03:08,120 --> 00:03:11,560 AND THE OTHER IS RESILIENCE 68 00:03:11,560 --> 00:03:12,280 SYSTEMS, BUILDING INTEGRATED 69 00:03:12,280 --> 00:03:14,400 HEALTH CARE SYSTEMS, AS YOU CAN 70 00:03:14,400 --> 00:03:17,400 SEE THIS IS VERY MUCH IN THE 71 00:03:17,400 --> 00:03:20,240 SAME SPIRIT AS OUR WHOLE PERSON 72 00:03:20,240 --> 00:03:24,520 HEALTH STRATEGIC PLAN. 73 00:03:24,520 --> 00:03:26,320 AND SO, THE HIRING OF THESE 74 00:03:26,320 --> 00:03:29,680 PROGRAM MANAGERS IS A VERY 75 00:03:29,680 --> 00:03:30,320 INTERROGATORY PROCESS, BASICALLY 76 00:03:30,320 --> 00:03:31,360 LOOKING FOR INDIVIDUALS FROM THE 77 00:03:31,360 --> 00:03:34,200 COMMUNITY AS WELL AS WITHIN NIH 78 00:03:34,200 --> 00:03:36,280 WHO ARE PASSIONATE ABOUT A 79 00:03:36,280 --> 00:03:38,760 SPECIFIC VISION FOR MAKING 80 00:03:38,760 --> 00:03:40,080 SOMETHING HAPPEN FAST. 81 00:03:40,080 --> 00:03:42,400 AND THIS IS A KEY COMPONENT OF 82 00:03:42,400 --> 00:03:44,800 ARPA-H, AS THIS IS MEANT TO 83 00:03:44,800 --> 00:03:46,120 REALLY ACCELERATE PROGRESS IN 84 00:03:46,120 --> 00:03:49,960 SPECIFIC AREAS, SO THESE PROGRAM 85 00:03:49,960 --> 00:03:53,000 MANAGERS WILL HAVE -- WILL BE 86 00:03:53,000 --> 00:03:55,840 EMPOWERED ESSENTIALLY TO DEVELOP 87 00:03:55,840 --> 00:03:57,600 REVOLUTIONARY SOLUTIONS TO SOLVE 88 00:03:57,600 --> 00:03:59,040 PROBLEMS, AND SO THEY ARE HIRING 89 00:03:59,040 --> 00:03:59,440 NOW. 90 00:03:59,440 --> 00:04:02,200 SO IF YOU'RE AWARE OF ANY 91 00:04:02,200 --> 00:04:03,640 INDIVIDUALS WHO MIGHT BE 92 00:04:03,640 --> 00:04:05,280 INTERESTED IN THIS, MIGHT BE 93 00:04:05,280 --> 00:04:08,520 QUALIFIED, LET THEM KNOW. 94 00:04:08,520 --> 00:04:09,200 NEXT SLIDE PLEASE. 95 00:04:09,200 --> 00:04:12,800 STILL IN THE SORT OF DOMAIN OF 96 00:04:12,800 --> 00:04:14,320 SCIENCE AND TECHNOLOGY, VERY 97 00:04:14,320 --> 00:04:18,160 IMPORTANT INITIATIVE WHICH IS 98 00:04:18,160 --> 00:04:20,880 THE STRIDES INITIATIVE, ABOUT -- 99 00:04:20,880 --> 00:04:24,400 TO HELP INVESTIGATORS TO KIND OF 100 00:04:24,400 --> 00:04:26,680 MAKE THE STEP AND UTILIZE CLOUD 101 00:04:26,680 --> 00:04:29,040 SERVICES AND TECHNOLOGIES FOR 102 00:04:29,040 --> 00:04:30,240 DATA STORAGE, DATA MANAGEMENT, 103 00:04:30,240 --> 00:04:32,280 THIS IS SOMETHING THAT NIH IS 104 00:04:32,280 --> 00:04:35,040 REALLY PUTTING A LOT OF EFFORT 105 00:04:35,040 --> 00:04:38,640 TO DO THE ODSS, OR THE OFFICE OF 106 00:04:38,640 --> 00:04:47,040 DATA STRATEGY AT THE NIH-WIDE 107 00:04:47,040 --> 00:04:49,360 LEVEL, IS REALLY ENCOURAGING AND 108 00:04:49,360 --> 00:04:50,320 REALLY PROVIDING RESOURCES TO 109 00:04:50,320 --> 00:04:53,160 GIVE, FOR EXAMPLE, DISCOUNTS TO 110 00:04:53,160 --> 00:04:55,280 USE CLOUD SERVICES TO 111 00:04:55,280 --> 00:04:57,440 INVESTIGATORS, WELL WORTH 112 00:04:57,440 --> 00:05:00,200 CHECKING THESE OUT. 113 00:05:00,200 --> 00:05:02,040 NEXT SLIDE PLEASE. 114 00:05:02,040 --> 00:05:05,120 COVID, SO WE ALWAYS HAVE A COVID 115 00:05:05,120 --> 00:05:06,640 SECTION IN THIS REPORT. 116 00:05:06,640 --> 00:05:10,280 AND IT'S VERY INTERESTING THIS 117 00:05:10,280 --> 00:05:12,600 COINCIDES WITH I BELIEVE 118 00:05:12,600 --> 00:05:13,880 YESTERDAY THE ENDING OF THE 119 00:05:13,880 --> 00:05:16,720 EMERGENCY STATUS FOR COVID IN 120 00:05:16,720 --> 00:05:18,240 THIS COUNTRY. 121 00:05:18,240 --> 00:05:19,960 NOW, NOBODY'S KIDDING OURSELVES 122 00:05:19,960 --> 00:05:21,760 THAT THIS PANDEMIC IS ACTUALLY 123 00:05:21,760 --> 00:05:22,040 OVER. 124 00:05:22,040 --> 00:05:22,520 NOBODY'S SAYING THAT. 125 00:05:22,520 --> 00:05:24,600 ON THE OTHER HAND, IT DOES FEEL 126 00:05:24,600 --> 00:05:26,120 LIKE WE'RE MAKING PROGRESS, AND 127 00:05:26,120 --> 00:05:28,400 THE FACT WE'RE ALL IN HERE IN 128 00:05:28,400 --> 00:05:30,600 THIS ROOM I THINK ATTESTS TO 129 00:05:30,600 --> 00:05:30,800 THAT. 130 00:05:30,800 --> 00:05:33,360 AND I'M GOING TO JUST SAY FROM 131 00:05:33,360 --> 00:05:34,200 PERSONAL STANDPOINT, I KNOW A 132 00:05:34,200 --> 00:05:38,240 LOT OF PEOPLE FEEL THIS WAY, I 133 00:05:38,240 --> 00:05:40,040 THINK ONE OF THE QUIET SORT 134 00:05:40,040 --> 00:05:41,800 BLESSINGS THAT WE'VE KIND OF 135 00:05:41,800 --> 00:05:44,840 RECEIVED FROM THE COVID PANDEMIC 136 00:05:44,840 --> 00:05:47,600 IS AN INCREASED APPRECIATION FOR 137 00:05:47,600 --> 00:05:49,120 BEING WITH OTHER PEOPLE IN 138 00:05:49,120 --> 00:05:49,320 PERSON. 139 00:05:49,320 --> 00:05:52,080 I THINK A LOT OF PEOPLE FEEL 140 00:05:52,080 --> 00:05:53,920 THAT VERY VISCERALLY AND 141 00:05:53,920 --> 00:05:54,240 PROFOUNDLY. 142 00:05:54,240 --> 00:05:55,680 I KNOW I DO. 143 00:05:55,680 --> 00:05:57,120 AND SO, YOU KNOW, IF WE CAN SAY 144 00:05:57,120 --> 00:05:58,760 THANK YOU TO COVID FOR ONE 145 00:05:58,760 --> 00:06:02,440 THING, I WOULD SAY IT'S THAT. 146 00:06:02,440 --> 00:06:03,360 NEXT SLIDE. 147 00:06:03,360 --> 00:06:05,200 I ALSO WANT TO SAY WE'RE VERY 148 00:06:05,200 --> 00:06:09,880 SORRY ONE OF OUR RECENTLY 149 00:06:09,880 --> 00:06:11,440 APPOINTED COUNCIL MEMBERS HAD TO 150 00:06:11,440 --> 00:06:13,200 STEP DOWN FROM COUNCIL FOR 151 00:06:13,200 --> 00:06:16,920 PERSONAL REASONS, BUT WE WILL 152 00:06:16,920 --> 00:06:17,800 MISS HER DEARLY. 153 00:06:17,800 --> 00:06:19,440 NEXT SLIDE. 154 00:06:19,440 --> 00:06:21,720 IT'S NOW MY PLEASURE TO WELCOME 155 00:06:21,720 --> 00:06:25,720 SOME NEW COUNCIL MEMBERS. 156 00:06:25,720 --> 00:06:26,760 ALTHOUGH, YES, THESE INDIVIDUALS 157 00:06:26,760 --> 00:06:28,560 WERE HERE ALREADY AT A PREVIOUS 158 00:06:28,560 --> 00:06:30,600 COUNCIL MEETING BUT TODAY THEY 159 00:06:30,600 --> 00:06:33,560 ARE HERE FOR THE FIRST TIME AT 160 00:06:33,560 --> 00:06:37,080 THEIR OFFICIAL CAPACITY, SO I 161 00:06:37,080 --> 00:06:41,320 WILL START WITH DR. HELENE 162 00:06:41,320 --> 00:06:41,960 BENVENISTE. 163 00:06:41,960 --> 00:06:44,720 WHAT HAPPENED IN THERE WE GO, 164 00:06:44,720 --> 00:06:48,400 PROFESSOR IN THE DEPARTMENT OF 165 00:06:48,400 --> 00:06:51,840 ANESTHESIOLOGY AT YALE, SCHOOL 166 00:06:51,840 --> 00:06:55,120 OF MEDICINE, LABORATORY EXPLORES 167 00:06:55,120 --> 00:06:56,000 FUNCTIONING OF GLYMPHATIC 168 00:06:56,000 --> 00:06:57,520 SYSTEMS OR THE WASTE DISPOSAL 169 00:06:57,520 --> 00:06:59,600 SYSTEM IN THE BRAIN. 170 00:06:59,600 --> 00:07:03,200 SHE'S DEVELOPED IMAGING 171 00:07:03,200 --> 00:07:03,960 PLATFORMS TO EXAMINE HOW 172 00:07:03,960 --> 00:07:05,320 CEREBROSPINAL FLUID CIRCULATES 173 00:07:05,320 --> 00:07:08,400 IN THE BRAIN, EXPLORES CRITICAL 174 00:07:08,400 --> 00:07:11,560 PROCESSES SUCH AS BODY POSITION, 175 00:07:11,560 --> 00:07:15,400 RESPIRATION, TYPE OF ANESTHESIA 176 00:07:15,400 --> 00:07:17,240 AND BODY POSITION, WASTE 177 00:07:17,240 --> 00:07:20,440 DISPOSAL ACROSS HEALTHY BRAIN 178 00:07:20,440 --> 00:07:21,040 AND NEURODEGENERATIVE DISEASES, 179 00:07:21,040 --> 00:07:23,160 THE OVERALL GOAL OF HER PROGRAM 180 00:07:23,160 --> 00:07:25,120 IS TO DEVELOP THERAPEUTIC 181 00:07:25,120 --> 00:07:26,680 STRATEGIES TO SUSTAIN OPTIMIZED 182 00:07:26,680 --> 00:07:28,520 WASTE CLEARANCE THROUGH THE 183 00:07:28,520 --> 00:07:31,920 GIVEN LIFESPAN TO PREVENT 184 00:07:31,920 --> 00:07:32,320 DEMENTIA. 185 00:07:32,320 --> 00:07:40,320 SO WELCOME. 186 00:07:40,320 --> 00:07:42,200 NEXT SLIDE PLEASE. 187 00:07:42,200 --> 00:07:46,240 THE OTHER NEW COUNCIL MEMBER, 188 00:07:46,240 --> 00:07:48,440 DOCTOR OF OSTEOPATHIC MEDICINE, 189 00:07:48,440 --> 00:07:56,200 VICE PROVOST, TEAM PHYSICIAN FOR 190 00:07:56,200 --> 00:08:01,120 VIRGINIA TECH ATHLETICS AND U.S. 191 00:08:01,120 --> 00:08:03,640 SKI TEAM, DR. BROLINSON RESEARCH 192 00:08:03,640 --> 00:08:06,240 INTERESTS INCLUDED EXERCISE AND 193 00:08:06,240 --> 00:08:08,440 IMMUNE FUNCTION, EXERCISE AND 194 00:08:08,440 --> 00:08:09,640 BONE MINERAL DENSITY, MILD 195 00:08:09,640 --> 00:08:12,160 TRAUMATIC BRAIN INJURY IN 196 00:08:12,160 --> 00:08:16,760 SPORTS, IMPACT OF BIOMECHANICS, 197 00:08:16,760 --> 00:08:21,560 HUMAN FACTORS IN AT AUTO SAFETY, 198 00:08:21,560 --> 00:08:25,720 OSTEOPATHIC MANIPULATION. 199 00:08:25,720 --> 00:08:27,920 NEXT SLIDE PLEASE. 200 00:08:27,920 --> 00:08:30,440 NEXT IS DR. DANIEL DICKERSON, 201 00:08:30,440 --> 00:08:34,360 ALSO A DOCTOR OF OSTEOPATHY, 202 00:08:34,360 --> 00:08:37,000 ASSOCIATE RESEARCH PSYCHIATRIST 203 00:08:37,000 --> 00:08:38,960 AT UCLA INTEGRATIVE SUBSTANCE 204 00:08:38,960 --> 00:08:41,120 ABUSE PROGRAM, RESEARCH FOCUSES 205 00:08:41,120 --> 00:08:42,440 ON DEVELOPMENT AND ANALYSIS OF 206 00:08:42,440 --> 00:08:44,560 SUBSTANCE USE TREATMENT AND 207 00:08:44,560 --> 00:08:46,360 PREVENTION PROGRAMS FOR AMERICAN 208 00:08:46,360 --> 00:08:48,920 INDIAN, ALASKA NATIVE YOUTH AND 209 00:08:48,920 --> 00:08:50,640 ADULTS, CONDUCTED RESEARCH ON 210 00:08:50,640 --> 00:08:58,960 VARIOUS NIH FUNDED STUDIES, 211 00:08:58,960 --> 00:09:00,840 NATIVE AMERICAN YOUTH SLEEP, 212 00:09:00,840 --> 00:09:02,360 HEALTH AND WELLNESS, 213 00:09:02,360 --> 00:09:03,480 MOTIVATIONAL INTERVIEWING AND 214 00:09:03,480 --> 00:09:07,600 CULTURES FOR YOUTH, AND DRUM 215 00:09:07,600 --> 00:09:09,040 ASSISTED RECOVERY THERAPY FOR 216 00:09:09,040 --> 00:09:10,240 NATIVE AMERICANS. 217 00:09:10,240 --> 00:09:12,400 SO WELCOME. 218 00:09:12,400 --> 00:09:17,760 NEXT IS DR. ERICA SABENGA, M.D., 219 00:09:17,760 --> 00:09:21,520 ASSOCIATE PROFESSOR IN 220 00:09:21,520 --> 00:09:22,240 DEPARTMENT OF PEDIATRICS, JOHNS 221 00:09:22,240 --> 00:09:24,360 HOPKINS UNIVERSITY SCHOOL OF 222 00:09:24,360 --> 00:09:26,760 MEDICINE, AN EXPERT IN PEDIATRIC 223 00:09:26,760 --> 00:09:29,520 CLINICAL RESEARCH, FOCUS ON 224 00:09:29,520 --> 00:09:31,840 DEVELOPING EVIDENCE FOR SENSIBLE 225 00:09:31,840 --> 00:09:33,800 INTEGRATION OF COMPLEMENTARY 226 00:09:33,800 --> 00:09:37,880 APPROACHES IN PEDIATRIC CARE, 227 00:09:37,880 --> 00:09:38,880 HER MINDFULNESS PROGRAMS FOR 228 00:09:38,880 --> 00:09:41,360 URBAN YOUTH IN CLINIC AND 229 00:09:41,360 --> 00:09:43,440 SCHOOL-BASED STUDIES ARE AN AREA 230 00:09:43,440 --> 00:09:44,520 OF FOCUS, MINDFULNESS 231 00:09:44,520 --> 00:09:45,640 PROGRAMMING FOR URBAN TEACHERS 232 00:09:45,640 --> 00:09:48,560 AND MOTHERS OF INFANTS IN 233 00:09:48,560 --> 00:09:50,120 NEONATAL INTENSIVE CARE UNITS, 234 00:09:50,120 --> 00:09:51,760 AND PROGRAMS FOR VULNERABLE 235 00:09:51,760 --> 00:09:54,400 ADOLESCENTS WITH TYPE 1 236 00:09:54,400 --> 00:09:55,720 DIABETES, INFLAMMATORY BOWEL 237 00:09:55,720 --> 00:10:00,520 DISEASE, HOMELESS YOUTH. 238 00:10:00,520 --> 00:10:03,040 SO WELCOME. 239 00:10:03,040 --> 00:10:05,360 DR. RHONDA MAGEE, SHOULD WE 240 00:10:05,360 --> 00:10:09,080 ADDRESS YOU AS DOCTOR? 241 00:10:09,080 --> 00:10:09,760 J.D., PROFESSOR OF LAW, 242 00:10:09,760 --> 00:10:11,800 UNIVERSITY OF SAN FRANCISCO, 243 00:10:11,800 --> 00:10:14,080 WHERE SHE TEACHES TORT INSURANCE 244 00:10:14,080 --> 00:10:22,080 LAW, RACE IN AMERICAN LEGAL 245 00:10:22,080 --> 00:10:24,160 HISTORY, CO-CREATED CON 246 00:10:24,160 --> 00:10:25,480 TEMPLATIVE LAWYERING, THE AUTHOR 247 00:10:25,480 --> 00:10:28,000 OF INNER WORK OF RACIAL JUSTICE, 248 00:10:28,000 --> 00:10:29,000 HEALING OURSELVES AND 249 00:10:29,000 --> 00:10:34,440 TRANSFORMING OUR COMMUNITIES 250 00:10:34,440 --> 00:10:36,440 THROUGH MINDFULNESS. 251 00:10:36,440 --> 00:10:39,080 SHE'S A PRACTICE INNOVATOR OF 252 00:10:39,080 --> 00:10:41,640 SOCIAL JUSTICE PRINCIPLES, 253 00:10:41,640 --> 00:10:44,800 CONCEPTS, PRACTICE, FOUNDING 254 00:10:44,800 --> 00:10:47,880 DIRECTOR OF CENTER FOR CON 255 00:10:47,880 --> 00:10:49,280 TEMPLATEIVE LAW, UNIVERSITY OF 256 00:10:49,280 --> 00:10:50,720 SAN FRANCISCO. 257 00:10:50,720 --> 00:10:54,320 NEXT, NEW EX OFFICIO COUNCIL 258 00:10:54,320 --> 00:11:00,600 MEMBER CAPTAIN JAMES RUSSELL 259 00:11:00,600 --> 00:11:06,600 LINDERMAN, Ph.D. IN EXERCISE 260 00:11:06,600 --> 00:11:08,720 PHYSIOLOGY, A NAVAL AEROSPACE 261 00:11:08,720 --> 00:11:11,840 AND OPERATIONAL PHYSIOLOGIST, AT 262 00:11:11,840 --> 00:11:12,600 THE UNIFORMED SERVICE UNIVERSITY 263 00:11:12,600 --> 00:11:14,240 SCHOOL OF MEDICINE, ALSO THE 264 00:11:14,240 --> 00:11:15,560 DEPUTY DIRECTOR OF THE 265 00:11:15,560 --> 00:11:19,800 CONSORTIUM FOR HEALTH AND 266 00:11:19,800 --> 00:11:24,600 MILITARY PERFORMANCE OR CHAMP, 267 00:11:24,600 --> 00:11:25,840 ALSO A DESIGNATED DEPARTMENT OF 268 00:11:25,840 --> 00:11:27,040 DEFENSE CENTER OF EXCELLENCE 269 00:11:27,040 --> 00:11:30,240 SPECIALIZING IN TOTAL FORCE 270 00:11:30,240 --> 00:11:35,000 FITNESS AND HUMAN PERFORMANCE 271 00:11:35,000 --> 00:11:35,640 OPTIMIZATION. 272 00:11:35,640 --> 00:11:37,640 HIS PERSONAL AWARDS INCLUDE 273 00:11:37,640 --> 00:11:42,640 DEFENSE MERITORIOUS SERVICE 274 00:11:42,640 --> 00:11:44,000 MEDAL, MERITORIOUS SERVICE 275 00:11:44,000 --> 00:11:45,960 MEDAL, AND NAVY AND MARINE CORPS 276 00:11:45,960 --> 00:11:48,880 COMMENDATION MEDAL. 277 00:11:48,880 --> 00:11:49,480 WELCOME AS WELL. 278 00:11:49,480 --> 00:11:52,720 I NOW WANT TO GIVE YOU NCCIH 279 00:11:52,720 --> 00:11:53,840 STAFF UPDATES. 280 00:11:53,840 --> 00:11:55,920 WE HAVE SEVERAL NEW STAFF 281 00:11:55,920 --> 00:11:59,080 ARRIVALS IN THE OFFICE OF 282 00:11:59,080 --> 00:12:00,720 ADMINISTRATIVE OPERATIONS, 283 00:12:00,720 --> 00:12:02,160 EXTRAMURAL ACTIVITIES, 284 00:12:02,160 --> 00:12:03,160 EXTRAMURAL RESEARCH, AND 285 00:12:03,160 --> 00:12:04,280 INTRAMURAL RESEARCH. 286 00:12:04,280 --> 00:12:07,080 WE'RE ALWAYS EXCITED TO WELCOME 287 00:12:07,080 --> 00:12:11,680 NEW MEMBERS TO NCCIH. 288 00:12:11,680 --> 00:12:18,560 WE ALSO HAD DEPARTURES, LISTED 289 00:12:18,560 --> 00:12:18,800 HERE. 290 00:12:18,800 --> 00:12:21,320 I WANT TO HIGHLIGHT OUR NEW 291 00:12:21,320 --> 00:12:23,480 DIRECTOR OF THE OFFICE OF 292 00:12:23,480 --> 00:12:29,640 SCIENTIFIC REVIEW WHO IS 293 00:12:29,640 --> 00:12:32,800 SUCCEEDED DR. SCHMIDT, 294 00:12:32,800 --> 00:12:34,120 CONGRATULATIONS TO JESSICA, VERY 295 00:12:34,120 --> 00:12:36,400 MUCH EXCITED SHE'S ASSUMING HER 296 00:12:36,400 --> 00:12:38,720 NEW ROLE. 297 00:12:38,720 --> 00:12:41,560 WE ALSO HAVE A NEW CAREER 298 00:12:41,560 --> 00:12:42,920 POSITION OPEN THAT I WANT TO 299 00:12:42,920 --> 00:12:45,000 TELL YOU ALL ABOUT. 300 00:12:45,000 --> 00:12:48,640 THIS IS OUR POSITION OF FACILITY 301 00:12:48,640 --> 00:12:50,440 HEAD, STAFF SCIENTIST, IN THE 302 00:12:50,440 --> 00:12:53,520 NIH PAIN RESEARCH CENTER IN THE 303 00:12:53,520 --> 00:12:55,840 DIVISION OF INTRAMURAL RESEARCH 304 00:12:55,840 --> 00:12:57,680 AT NCCIH, AN IMPORTANT POSITION 305 00:12:57,680 --> 00:12:59,960 THAT WILL HELP US GROW OUR 306 00:12:59,960 --> 00:13:01,840 CENTER FOR PAIN RESEARCH THAT IS 307 00:13:01,840 --> 00:13:05,000 A CENTER THAT REALLY INTERFACES 308 00:13:05,000 --> 00:13:06,880 WITH ALL THE NIH INSTITUTES. 309 00:13:06,880 --> 00:13:08,760 IT'S GOING TO REALLY GROW THE 310 00:13:08,760 --> 00:13:11,560 FIELD OF PAIN RESEARCH IN NIH AS 311 00:13:11,560 --> 00:13:14,520 A WHOLE. 312 00:13:14,520 --> 00:13:17,400 NEXT SLIDE. 313 00:13:17,400 --> 00:13:21,000 NOW TIME FOR BUDGET UPDATE. 314 00:13:21,000 --> 00:13:23,040 AND SO THOSE NOT FAMILIAR WITH 315 00:13:23,040 --> 00:13:24,080 THIS MECHANISM TABLE WE SHOW 316 00:13:24,080 --> 00:13:25,360 THIS ALL THE TIME. 317 00:13:25,360 --> 00:13:27,320 THERE'S A COUPLE THAT DON'T HAVE 318 00:13:27,320 --> 00:13:33,160 TO LOOK AT EVERY SINGLE NUMBER 319 00:13:33,160 --> 00:13:35,080 BUT WANT TO HIGHLIGHT. 320 00:13:35,080 --> 00:13:37,640 WE HAD A NICE BUDGET INCREASE 321 00:13:37,640 --> 00:13:39,600 THIS PAST YEAR. 322 00:13:39,600 --> 00:13:43,760 ONE OF THE SPECIFIC ITEMS IN 323 00:13:43,760 --> 00:13:46,360 THIS BUDGET INCREASE WAS $5 324 00:13:46,360 --> 00:13:48,040 MILLION APPROPRIATED EARMARK TO 325 00:13:48,040 --> 00:13:58,560 NCCIH FOR INCREASING OUR PAIN 326 00:14:01,560 --> 00:14:02,240 RESEARCH, ACKNOWLEDGMENT OF 327 00:14:02,240 --> 00:14:06,520 EFFORTS AND SUCCESS IN PAIN 328 00:14:06,520 --> 00:14:06,800 RERESEVER. 329 00:14:06,800 --> 00:14:08,760 CAN YOU SEE AT THE TOP A 330 00:14:08,760 --> 00:14:13,680 COMPETING LINE, A NICE INCREASE 331 00:14:13,680 --> 00:14:15,840 IN OUR COMPETING RESEARCH FROM 332 00:14:15,840 --> 00:14:17,280 $19 MILLION TO $23 MILLION, SO 333 00:14:17,280 --> 00:14:18,680 WE'VE BEEN ABLE TO INCREASE THAT 334 00:14:18,680 --> 00:14:19,880 THIS YEAR SO WE'RE VERY HAPPY 335 00:14:19,880 --> 00:14:20,360 ABOUT THAT. 336 00:14:20,360 --> 00:14:23,040 I WANT TO POINT OUT ONE ITEM 337 00:14:23,040 --> 00:14:28,440 TOWARDS THE BOTTOM IN OUR 338 00:14:28,440 --> 00:14:30,440 CONTRACT LINE, WE'RE 339 00:14:30,440 --> 00:14:32,680 CONTRIBUTING $1.5 MILLION TO AN 340 00:14:32,680 --> 00:14:34,560 IMPORTANT ASPECT OF OUR 341 00:14:34,560 --> 00:14:36,120 EPIDEMIOLOGY RESEARCH, WHICH IS 342 00:14:36,120 --> 00:14:38,880 THE NATIONAL HEALTH INTERVIEW 343 00:14:38,880 --> 00:14:40,200 SURVEY, NHIS. 344 00:14:40,200 --> 00:14:42,280 WE CONTRACT TO THE CDC, AND THIS 345 00:14:42,280 --> 00:14:43,920 GIVES US EXTREMELY IMPORTANT 346 00:14:43,920 --> 00:14:45,760 INFORMATION ON THE UTILIZATION 347 00:14:45,760 --> 00:14:49,160 OF COMPLEMENTARY AND INTEGRATIVE 348 00:14:49,160 --> 00:14:49,680 PRACTICES THROUGHOUT THE 349 00:14:49,680 --> 00:14:51,240 COUNTRY. 350 00:14:51,240 --> 00:14:54,160 NEXT, I WANT TO POINT OUT 351 00:14:54,160 --> 00:14:57,160 SOMETHING VERY IMPORTANT HERE IN 352 00:14:57,160 --> 00:14:59,600 OUR -- NEXT SLIDE PLEASE -- HOW 353 00:14:59,600 --> 00:15:02,280 SUCCESSFUL WE'VE BEEN OVER THE 354 00:15:02,280 --> 00:15:08,520 PAST YEARS AT LEVERAGING FUNDS 355 00:15:08,520 --> 00:15:11,800 FROM OTHER ICOS, TRANS-NIH 356 00:15:11,800 --> 00:15:12,680 INITIATIVES. 357 00:15:12,680 --> 00:15:18,240 IN GREEN OUR APPROPRIATED 358 00:15:18,240 --> 00:15:19,560 BUDGET, MODESTLY GROWN, BUT THE 359 00:15:19,560 --> 00:15:22,760 CONTRIBUTION FROM BOTH THE HEAL 360 00:15:22,760 --> 00:15:25,480 INITIATIVE IN BLUE, YOU CAN SEE 361 00:15:25,480 --> 00:15:27,320 HAS REALLY BEEN VERY NICE, $26 362 00:15:27,320 --> 00:15:30,000 MILLION THIS YEAR FROM THE HEAL 363 00:15:30,000 --> 00:15:33,400 INITIATIVE, IN ADDITION TO OUR 364 00:15:33,400 --> 00:15:36,640 BUDGET. 365 00:15:36,640 --> 00:15:37,240 AND THIS INCLUDES NEARLY $14 366 00:15:37,240 --> 00:15:39,280 MILLION FOR AN INITIATIVE ON 367 00:15:39,280 --> 00:15:42,680 MYOFASCIAL PAIN WHICH WE'VE 368 00:15:42,680 --> 00:15:45,840 FUNDED THROUGH "HEAL," AND ALSO 369 00:15:45,840 --> 00:15:48,480 $3.4 MILLION FOR BEHAVIORAL AND 370 00:15:48,480 --> 00:15:50,760 SOCIAL INTERVENTIONS TO APPROVE 371 00:15:50,760 --> 00:15:51,560 ADHERENCE TO MEDICATION-ASSISTED 372 00:15:51,560 --> 00:15:55,760 TREATMENT FOR OPIOID USE 373 00:15:55,760 --> 00:15:56,000 DISORDERS. 374 00:15:56,000 --> 00:15:57,800 WE'RE HAPPY ABOUT THAT. 375 00:15:57,800 --> 00:16:00,640 THE OTHER ITEMS IN RED SHOWN 376 00:16:00,640 --> 00:16:04,000 HERE IS OUR CO-FUNDING FROM 377 00:16:04,000 --> 00:16:05,880 OTHER INSTITUTES ON SOME OF THE 378 00:16:05,880 --> 00:16:07,760 GRANTS THAT WE'RE FUNDING 379 00:16:07,760 --> 00:16:09,280 THROUGH NCCIH, YOU CAN SEE 380 00:16:09,280 --> 00:16:12,440 THAT'S VERY ROBUST AS WELL. 381 00:16:12,440 --> 00:16:15,080 OUR BUDGET IS REALLY VERY WELL 382 00:16:15,080 --> 00:16:17,840 SUPPLEMENTED BY ALL THE EFFORTS 383 00:16:17,840 --> 00:16:20,480 THAT OUR STAFF PUT TOWARDS 384 00:16:20,480 --> 00:16:23,080 PARTICIPATING IN THESE TRANS-NIH 385 00:16:23,080 --> 00:16:27,520 INITIATIVES AND IT'S A LOT OF 386 00:16:27,520 --> 00:16:27,720 WORK. 387 00:16:27,720 --> 00:16:29,880 IT'S REALLY -- WE WANT TO GIVE 388 00:16:29,880 --> 00:16:33,960 OUR STAFF A LOT OF CREDIT FOR 389 00:16:33,960 --> 00:16:34,800 REALLY ESTABLISHING THESE 390 00:16:34,800 --> 00:16:39,520 CONNECTIONS WITH THE OTHER 391 00:16:39,520 --> 00:16:40,720 INSTITUTES, AND SECURING THESE 392 00:16:40,720 --> 00:16:43,800 CO-FUNDS, ALSO PARTICIPATING IN 393 00:16:43,800 --> 00:16:46,040 THESE TRANS-NIH PROGRAMS. 394 00:16:46,040 --> 00:16:48,640 SO THIS IS AN AREA THAT WE'RE 395 00:16:48,640 --> 00:16:49,560 VERY EXCITED ABOUT, AND VERY 396 00:16:49,560 --> 00:16:51,880 MUCH HOPING THIS WILL CONTINUE 397 00:16:51,880 --> 00:16:53,400 TO GROW. 398 00:16:53,400 --> 00:16:55,080 NEXT SLIDE. 399 00:16:55,080 --> 00:16:57,680 SO, NOW SOME PROGRAM NEWS FROM 400 00:16:57,680 --> 00:17:00,640 WITHIN NCCIH. 401 00:17:00,640 --> 00:17:02,720 I WANT TO REALLY CELEBRATE THE 402 00:17:02,720 --> 00:17:06,480 LAUNCHING OF THE NIH MUSIC-BASED 403 00:17:06,480 --> 00:17:07,120 INTERVENTION TOOLKIT. 404 00:17:07,120 --> 00:17:12,360 NOW, THIS IS A RESOURCE THAT'S 405 00:17:12,360 --> 00:17:14,760 AVAILABLE TO RESEARCHERS THAT 406 00:17:14,760 --> 00:17:17,840 DEALS WITH -- PROVIDES A LOT OF 407 00:17:17,840 --> 00:17:20,240 RESOURCES INCLUDING CORE SETS OF 408 00:17:20,240 --> 00:17:23,280 COMMON DATA ELEMENTS, FUNCTIONAL 409 00:17:23,280 --> 00:17:23,960 OUTCOME MEASURES, GUIDELINES FOR 410 00:17:23,960 --> 00:17:25,040 INTEGRATED RESEARCH ON MUSIC AND 411 00:17:25,040 --> 00:17:25,280 HEALTH. 412 00:17:25,280 --> 00:17:28,200 THIS IS GOING TO BE A VERY 413 00:17:28,200 --> 00:17:28,880 IMPORTANT RESEARCH GOING 414 00:17:28,880 --> 00:17:31,280 FORWARD, AS WE'RE GROWING OUR 415 00:17:31,280 --> 00:17:34,240 PORTFOLIO ON MUSIC AND HEALTH. 416 00:17:34,240 --> 00:17:36,760 NEXT SLIDE PLEASE. 417 00:17:36,760 --> 00:17:39,280 SO NOW I'LL HIGHLIGHT A FEW 418 00:17:39,280 --> 00:17:40,280 RESEARCH SPOTLIGHTS WE MAY WANT 419 00:17:40,280 --> 00:17:42,000 TO CHECK OUT AND READ. 420 00:17:42,000 --> 00:17:42,800 NEXT SLIDE. 421 00:17:42,800 --> 00:17:44,960 FIRST IS A VERY INTERESTING 422 00:17:44,960 --> 00:17:48,600 STUDY ON THE IMPACT OF DIGITAL 423 00:17:48,600 --> 00:17:50,440 MEDITATION ON WORK STRESS AND 424 00:17:50,440 --> 00:17:54,840 HEALTH OUTCOME AMONG ADULTS WITH 425 00:17:54,840 --> 00:17:56,600 OVERWEIGHT, RANDOMIZED 426 00:17:56,600 --> 00:17:58,440 CONTROLLED TRIAL, AND FROM 427 00:17:58,440 --> 00:17:59,200 THE -- PARTLY FROM THE 428 00:17:59,200 --> 00:18:03,480 DEPARTMENT OF PSYCHIATRY AND 429 00:18:03,480 --> 00:18:04,960 BEHAVIORAL SCIENCES, UCSF, AND 430 00:18:04,960 --> 00:18:07,000 ASSOCIATE A CENTER FOR 431 00:18:07,000 --> 00:18:07,520 INTEGRATIVE MEDICINE AT 432 00:18:07,520 --> 00:18:08,280 UNIVERSITY OF CALIFORNIA. 433 00:18:08,280 --> 00:18:12,880 WHAT WAS FOUND IN THIS STUDY IS 434 00:18:12,880 --> 00:18:16,800 IF YOU LOOK AT THE DIFFERENCES 435 00:18:16,800 --> 00:18:18,400 BETWEEN THE DIFFERENT 436 00:18:18,400 --> 00:18:19,560 INTERVENTION, HEALTHY EATING 437 00:18:19,560 --> 00:18:22,640 WHICH IS MORE LIKE NUTRITIONAL 438 00:18:22,640 --> 00:18:26,600 COUNSELING, BUT THEN ADDING 439 00:18:26,600 --> 00:18:29,720 MINDFULNESS, MINDFULNESS 440 00:18:29,720 --> 00:18:35,680 INTERVENTION TO THE NUTRITIONAL 441 00:18:35,680 --> 00:18:39,120 INTERVENTION INCREASED ITS 442 00:18:39,120 --> 00:18:42,360 EFFECTIVENESS NOT ONLY ON THE 443 00:18:42,360 --> 00:18:43,960 STRESS OUTCOMES BUT ALSO ON THE 444 00:18:43,960 --> 00:18:45,720 MEASURE OF OVERWEIGHT, WHICH IN 445 00:18:45,720 --> 00:18:49,920 THIS CASE IS THE SAGITTAL 446 00:18:49,920 --> 00:18:50,200 DIAMETER. 447 00:18:50,200 --> 00:18:54,800 THIS IS PROMISING IN THE SENSE 448 00:18:54,800 --> 00:18:58,040 WE'RE SEEING MINDFULNESS CANP BE 449 00:18:58,040 --> 00:18:59,240 APPLIED TO VARIOUS ASPECTS OF 450 00:18:59,240 --> 00:19:02,800 THE WHOLE PERSON. 451 00:19:02,800 --> 00:19:03,680 NEXT SLIDES. 452 00:19:03,680 --> 00:19:07,360 THIS IS AN INTERESTING STUDY 453 00:19:07,360 --> 00:19:14,920 FROM A VARIETY OF DIFFERENT -- 454 00:19:14,920 --> 00:19:17,120 MOSTLY FROM STANFORD UNIVERSITY, 455 00:19:17,120 --> 00:19:18,200 DIFFERENT GROUPS OF 456 00:19:18,200 --> 00:19:20,040 INVESTIGATORS ON EFFECTS OF 457 00:19:20,040 --> 00:19:21,200 WEARABLE FITNESS TRACKER AND 458 00:19:21,200 --> 00:19:26,320 ACTIVITY, LOOKING AT THE MINDSET 459 00:19:26,320 --> 00:19:28,040 OF THIS ON THE BEHAVIOR OF THE 460 00:19:28,040 --> 00:19:29,640 PERSON AND THE INTERESTING THING 461 00:19:29,640 --> 00:19:32,440 HERE IS THE WAY THEY DID IT, SO 462 00:19:32,440 --> 00:19:34,520 THEY GAVE PEOPLE THESE ACTIVITY 463 00:19:34,520 --> 00:19:41,280 TRACKERS AND THEN THEY ACTUALLY 464 00:19:41,280 --> 00:19:43,080 FALSIFIED THE INFORMATION THE 465 00:19:43,080 --> 00:19:44,360 TRACKER WAS GIVING THE PERSON. 466 00:19:44,360 --> 00:19:45,560 WHEN PEOPLE WERE TAKING A 467 00:19:45,560 --> 00:19:47,120 CERTAIN NUMBER OF STEPS AND TOLD 468 00:19:47,120 --> 00:19:50,280 THEY WERE TAKING LESS STEPS IT 469 00:19:50,280 --> 00:19:51,800 AFFECTED THEIR BEHAVIOR. 470 00:19:51,800 --> 00:19:53,560 SO VERY INTERESTING STUDY 471 00:19:53,560 --> 00:19:53,920 DESIGN. 472 00:19:53,920 --> 00:19:55,560 I WOULD ENCOURAGE YOU TO CHECK 473 00:19:55,560 --> 00:19:57,520 IT OUT IF YOU'RE INTERESTED. 474 00:19:57,520 --> 00:20:00,680 AND THE NEXT SLIDE PLEASE. 475 00:20:00,680 --> 00:20:03,640 THIS IS ALSO A REALLY 476 00:20:03,640 --> 00:20:06,480 INTERESTING STUDY THAT LOOKED AT 477 00:20:06,480 --> 00:20:13,800 THE EFFECTS OF ADMINISTERED -- 478 00:20:13,800 --> 00:20:20,360 CO-ADMINISTERED THC AND CBD, AND 479 00:20:20,360 --> 00:20:22,240 DR. NADIA KETKI IS ONE OF THE 480 00:20:22,240 --> 00:20:22,480 AUTHORS? 481 00:20:22,480 --> 00:20:23,680 MAYBE NOT. 482 00:20:23,680 --> 00:20:28,920 I GUESS NOT, SORRY. 483 00:20:28,920 --> 00:20:30,440 WHAT THE INDIVIDUAL SAW, WHAT 484 00:20:30,440 --> 00:20:32,320 RESEARCHERS FOUND HERE WAS QUITE 485 00:20:32,320 --> 00:20:35,280 SURPRISING, THAT THE EFFECT OF 486 00:20:35,280 --> 00:20:40,440 THE -- NEGATIVE EFFECT OF THE 487 00:20:40,440 --> 00:20:44,680 THC EXACERBATED BY THE CBD, AND 488 00:20:44,680 --> 00:20:47,720 SO THIS IS DUE TO THE FACT THE 489 00:20:47,720 --> 00:20:51,120 METABOLISM OF THE THC IS ALTERED 490 00:20:51,120 --> 00:20:53,520 BY THE PRESENCE OF CBD. 491 00:20:53,520 --> 00:20:56,600 AND THIS IS INTERESTING TO KNOW 492 00:20:56,600 --> 00:20:58,160 BECAUSE IT'S ALSO HAS A LOT TO 493 00:20:58,160 --> 00:21:00,000 DO WITH THE DRUG INTERACTIONS 494 00:21:00,000 --> 00:21:03,040 THAT CAN TAKE PLACE. 495 00:21:03,040 --> 00:21:04,400 SO, ALSO VERY IMPORTANT STUDY TO 496 00:21:04,400 --> 00:21:06,600 CHECK OUT. 497 00:21:06,600 --> 00:21:07,360 NEXT SLIDE PLEASE. 498 00:21:07,360 --> 00:21:10,520 I NOW WANT TO POINT OUT SOME 499 00:21:10,520 --> 00:21:12,360 FUNDING OPPORTUNITIES. 500 00:21:12,360 --> 00:21:17,280 THE FIRST IS A RESEARCH NETWORK 501 00:21:17,280 --> 00:21:18,160 TO PROMOTE MULTI-DISCIPLINARY 502 00:21:18,160 --> 00:21:19,160 MECHANISTIC AND TRANSLATIONAL 503 00:21:19,160 --> 00:21:21,000 STUDIES OF SICKLE CELL DISEASE 504 00:21:21,000 --> 00:21:21,200 PAIN. 505 00:21:21,200 --> 00:21:22,440 THIS IS REALLY AS OPPOSED TO 506 00:21:22,440 --> 00:21:23,640 SOME OF THE PRIOR INITIATIVES 507 00:21:23,640 --> 00:21:25,840 THAT WE HAD THAT HAVE BEEN MORE 508 00:21:25,840 --> 00:21:29,920 ON THE CLINICAL SIDE, THIS IS 509 00:21:29,920 --> 00:21:33,400 REALLY LOOKING AT MECHANISMS OF 510 00:21:33,400 --> 00:21:36,160 ACTION. 511 00:21:36,160 --> 00:21:38,400 AND THIS FUNDING OPPORTUNITY 512 00:21:38,400 --> 00:21:41,200 IS -- WAIT A MINUTE. 513 00:21:41,200 --> 00:21:43,160 POSTED DATE, YES, THE DUE DATE 514 00:21:43,160 --> 00:21:44,800 IS OCTOBER, SO THERE'S STILL 515 00:21:44,800 --> 00:21:50,480 PLENTY OF TIME TO SUBMIT THIS. 516 00:21:50,480 --> 00:21:52,120 AND THE ICCIH PROGRAM CONTACT IS 517 00:21:52,120 --> 00:21:57,520 DR. BALFOUR. 518 00:21:57,520 --> 00:21:59,120 THIS IS A NOTICE OF SPECIAL 519 00:21:59,120 --> 00:22:01,760 INTERESTS, BRAIN INITIATIVE IS 520 00:22:01,760 --> 00:22:04,480 ONE OF THE TRANS-NIH INITIATIVE. 521 00:22:04,480 --> 00:22:06,760 WHEN WE SEE -- WE VERY MUCH WORK 522 00:22:06,760 --> 00:22:09,200 WITH BRAIN TO CREATE THESE 523 00:22:09,200 --> 00:22:09,960 INITIATIVES, FUNDING 524 00:22:09,960 --> 00:22:11,760 OPPORTUNITIES THAT ARE RELEVANT 525 00:22:11,760 --> 00:22:14,000 TO NCCIH, AND THIS IS ONE OF 526 00:22:14,000 --> 00:22:17,840 THEM, NOTICE OF SUPPORT FOR 527 00:22:17,840 --> 00:22:19,240 RESEARCH ON INTEROCEPTION 528 00:22:19,240 --> 00:22:19,520 CIRCUITS. 529 00:22:19,520 --> 00:22:21,040 WE'VE FUNDED SOME RESEARCH IN 530 00:22:21,040 --> 00:22:22,320 THE PAST ON INTEROCEPTION. 531 00:22:22,320 --> 00:22:23,640 THIS IS VERY IMPORTANT ASPECT OF 532 00:22:23,640 --> 00:22:28,320 THE BODY IN WHICH THE BODY 533 00:22:28,320 --> 00:22:29,760 PERCEIVES SIGNALS, INTERNAL 534 00:22:29,760 --> 00:22:30,720 SIGNALS, AND PERCEIVES SIGNALS 535 00:22:30,720 --> 00:22:32,720 FOR EXAMPLE COMING FROM YOUR GUT 536 00:22:32,720 --> 00:22:37,760 OR YOUR LUNG OR OTHER SORT OF 537 00:22:37,760 --> 00:22:40,480 VISCERA. 538 00:22:40,480 --> 00:22:41,920 SO, THIS PARTICULAR INITIATIVE 539 00:22:41,920 --> 00:22:45,200 IS ALSO OPEN UNTIL OCTOBER, AND 540 00:22:45,200 --> 00:22:49,120 CONTACT IS DR. WEN CHEN. 541 00:22:49,120 --> 00:22:53,600 THE NEXT SLIDE IS A NOTICE OF 542 00:22:53,600 --> 00:22:55,240 SPECIAL INTEREST FOR GLOBAL 543 00:22:55,240 --> 00:22:57,440 BRAIN AND NERVOUS SYSTEM 544 00:22:57,440 --> 00:22:58,720 DISORDERS RESEARCH ACROSS THE 545 00:22:58,720 --> 00:23:01,880 LIFESPAN. 546 00:23:01,880 --> 00:23:02,920 AND THIS IS SPECIFICALLY TO 547 00:23:02,920 --> 00:23:05,840 SEARCH FOR NEW SOURCES OF 548 00:23:05,840 --> 00:23:07,400 NATURAL PRODUCTS THAT HAVE 549 00:23:07,400 --> 00:23:09,800 ACTIVITY WITHIN THE BRAIN. 550 00:23:09,800 --> 00:23:13,040 AND THIS IS IN COLLABORATION 551 00:23:13,040 --> 00:23:16,040 WITH THE FOGARTY INTERNATIONAL 552 00:23:16,040 --> 00:23:16,480 CENTER. 553 00:23:16,480 --> 00:23:20,960 AND THE POINT OF CONTACT IS DR. 554 00:23:20,960 --> 00:23:21,840 PATRICK STILL. 555 00:23:21,840 --> 00:23:23,600 THESE ARE SOME FUNDING 556 00:23:23,600 --> 00:23:26,240 OPPORTUNITIES THAT WE HAVE 557 00:23:26,240 --> 00:23:27,440 SIGNED ON. 558 00:23:27,440 --> 00:23:29,480 ONE IS A TRANS-NIH ACTIVITY TO 559 00:23:29,480 --> 00:23:32,880 ADDRESS THE IMPACT OF STRUCTURAL 560 00:23:32,880 --> 00:23:33,880 RACISM, AND DISCRIMINATION ON 561 00:23:33,880 --> 00:23:36,520 MINORITY HEALTH AND HEALTH 562 00:23:36,520 --> 00:23:39,360 DISPARITIES, SO THIS IS FOR 563 00:23:39,360 --> 00:23:41,520 R01s WITH CLINICAL TRIAL 564 00:23:41,520 --> 00:23:41,800 OPTIONAL. 565 00:23:41,800 --> 00:23:48,320 THE POINT OF CONTACT IS DR. BEDA 566 00:23:48,320 --> 00:23:48,640 JEAN-FRANCOIS. 567 00:23:48,640 --> 00:23:49,760 NEXT SLIDE. 568 00:23:49,760 --> 00:23:52,040 NOTICE OF SPECIAL INTEREST ON 569 00:23:52,040 --> 00:23:54,880 SYNTHETIC BIOLOGY FOR BIOMEDICAL 570 00:23:54,880 --> 00:23:55,680 APPLICATIONS. 571 00:23:55,680 --> 00:23:57,640 AGAIN, THIS IS VERY IMPORTANT TO 572 00:23:57,640 --> 00:23:59,040 DEVELOP TOOLS FOR NATURAL 573 00:23:59,040 --> 00:24:02,520 PRODUCT RESEARCH AS WELL AS FOR 574 00:24:02,520 --> 00:24:03,960 MIND AND BODY THERAPIES AND THIS 575 00:24:03,960 --> 00:24:05,800 IS A LONGSTANDING PARTNERSHIP 576 00:24:05,800 --> 00:24:13,720 THAT WE'VE HAD WITH THE NIBIB. 577 00:24:13,720 --> 00:24:17,760 POINT OF CONTACT IS DR. HYE-SOOK 578 00:24:17,760 --> 00:24:18,280 KIM. 579 00:24:18,280 --> 00:24:27,040 NEXT IS ALSO A NOTICE OF SPECIAL 580 00:24:27,040 --> 00:24:27,560 INTEREST, ADMINISTRATIVE 581 00:24:27,560 --> 00:24:29,840 SUPPLEMENTS FOR OPEN TOOLS 582 00:24:29,840 --> 00:24:30,040 SCIENCE. 583 00:24:30,040 --> 00:24:34,520 AS WE'RE MOVING FORWARD WITH OUR 584 00:24:34,520 --> 00:24:35,480 DEVELOPING OUR FUNDING 585 00:24:35,480 --> 00:24:37,800 OPPORTUNITIES FOR DOING WHOLE 586 00:24:37,800 --> 00:24:40,320 PERSON RESEARCH, IT'S VERY 587 00:24:40,320 --> 00:24:45,560 IMPORTANT THAT OUR INVESTIGATORS 588 00:24:45,560 --> 00:24:48,520 ARE FULLY EMPOWERED TO REALLY 589 00:24:48,520 --> 00:24:52,240 MAXIMALLY UTILIZE BIG DATA SETS, 590 00:24:52,240 --> 00:24:56,040 AND SHARING DATA, AND DEVELOPING 591 00:24:56,040 --> 00:24:57,800 THE PLATFORMS THAT ARE AVAILABLE 592 00:24:57,800 --> 00:25:00,640 TO DO THIS TO THEIR MAXIMUM 593 00:25:00,640 --> 00:25:01,000 EFFECTIVENESS. 594 00:25:01,000 --> 00:25:02,520 THIS IS ALSO -- THESE AWARDS ARE 595 00:25:02,520 --> 00:25:05,680 THROUGH THE OFFICE OF DATA 596 00:25:05,680 --> 00:25:12,360 SCIENCE AND STRATEGY, ODSS. 597 00:25:12,360 --> 00:25:14,040 AND SO DR. HORGUSLUOGLU IS POINT 598 00:25:14,040 --> 00:25:19,360 OF CONTACT ON THIS. 599 00:25:19,360 --> 00:25:20,480 NEXT IS ANOTHER IMPORTANT NOTICE 600 00:25:20,480 --> 00:25:22,760 OF SPECIAL INTEREST TO SUPPORT 601 00:25:22,760 --> 00:25:24,320 COLLABORATION TO IMPROVE WHAT WE 602 00:25:24,320 --> 00:25:34,200 CALL AI/ML READINESS. 603 00:25:34,200 --> 00:25:35,800 WHEN DATA ARE FIRED FOR THE 604 00:25:35,800 --> 00:25:36,520 PURPOSE OF ARTIFICIAL 605 00:25:36,520 --> 00:25:37,760 INTELLIGENCE IT'S IMPORTANT 606 00:25:37,760 --> 00:25:39,400 THESE DATA ARE ANNOTATED IN SUCH 607 00:25:39,400 --> 00:25:42,560 A WAY THEY CAN BE USED TO DO 608 00:25:42,560 --> 00:25:43,320 ARTIFICIAL INTELLIGENCE, AND SO 609 00:25:43,320 --> 00:25:47,360 DATA NEED TO BE ACQUIRED WITH 610 00:25:47,360 --> 00:25:49,920 A.I. IN MIND FROM THE START. 611 00:25:49,920 --> 00:25:56,960 SO THIS IS WHAT THESE NOSIs 612 00:25:56,960 --> 00:25:58,360 ARE ABOUT, AND DR. HORGUSLUOGLU 613 00:25:58,360 --> 00:26:00,000 IS THE POINT OF CONTACT FOR 614 00:26:00,000 --> 00:26:00,360 THIS. 615 00:26:00,360 --> 00:26:01,200 NEXT SLIDE. 616 00:26:01,200 --> 00:26:04,920 I WANT TO HIGHLIGHT SOME OF THE 617 00:26:04,920 --> 00:26:06,240 PAST ACTIVITIES. 618 00:26:06,240 --> 00:26:11,040 ONE IS WE HAD OUR NIH "HEAL" 619 00:26:11,040 --> 00:26:11,840 INVESTIGATOR MEETING, ANNUAL 620 00:26:11,840 --> 00:26:12,680 MEETING, FEBRUARY HERE IN PERSON 621 00:26:12,680 --> 00:26:14,240 AT NIH. 622 00:26:14,240 --> 00:26:17,840 IT WAS VERY SUCCESSFUL MEETING. 623 00:26:17,840 --> 00:26:18,920 AND THIS WAS A WONDERFUL 624 00:26:18,920 --> 00:26:19,560 OPPORTUNITY FOR "HEAL" 625 00:26:19,560 --> 00:26:20,760 INVESTIGATORS TO MEET EACH OTHER 626 00:26:20,760 --> 00:26:21,680 IN PERSON. 627 00:26:21,680 --> 00:26:23,520 A LOT OF THEM HAD BEEN 628 00:26:23,520 --> 00:26:26,080 INTERACTING WITH EACH OTHER 629 00:26:26,080 --> 00:26:27,480 VIRTUALLY FOR QUITE A WHILE. 630 00:26:27,480 --> 00:26:33,040 AND AFTER THE MEETING WE HAD A 631 00:26:33,040 --> 00:26:35,160 VERY NICE ONE-DAY SYMPOSIUM WITH 632 00:26:35,160 --> 00:26:36,880 THREE VERY IMPORTANT PROGRAMS IN 633 00:26:36,880 --> 00:26:39,280 THE "HEAL" THAT WE -- ACTUALLY 634 00:26:39,280 --> 00:26:41,040 FOUR OF THEM, THAT WE'RE VERY 635 00:26:41,040 --> 00:26:43,240 MUCH PARTICIPATING. 636 00:26:43,240 --> 00:26:45,440 ONE IS THE MYOFASCIAL PAIN 637 00:26:45,440 --> 00:26:50,000 BIOMARKERS INITIATIVE, OTHER IS 638 00:26:50,000 --> 00:26:51,320 REJOIN INITIATIVE, FOR 639 00:26:51,320 --> 00:26:52,640 DELINEATING THE SENSORY 640 00:26:52,640 --> 00:26:55,360 INNERVATION OF WHOLE JOINTS. 641 00:26:55,360 --> 00:26:59,200 ANOTHER IS THE BACPAC INITIATIVE 642 00:26:59,200 --> 00:27:00,160 FOR UNDERSTANDING MECHANISMS OF 643 00:27:00,160 --> 00:27:02,040 BACK PAIN, AND THEN THE FINAL 644 00:27:02,040 --> 00:27:06,880 ONE IS INITIATIVE FROM NINDS ON 645 00:27:06,880 --> 00:27:09,600 DEVELOPING BIOMARKERS, TISSUE 646 00:27:09,600 --> 00:27:09,920 BIOMARKERS. 647 00:27:09,920 --> 00:27:12,560 AND SO WE HAD A MEETING OF THE 648 00:27:12,560 --> 00:27:14,720 INVESTIGATORS WITH ALL THESE 649 00:27:14,720 --> 00:27:16,200 FOUR PROGRAMS, IT WAS ABSOLUTELY 650 00:27:16,200 --> 00:27:18,600 WONDERFUL TO SEE THE 651 00:27:18,600 --> 00:27:19,360 CROSS-FERTILIZATION ACROSS THESE 652 00:27:19,360 --> 00:27:21,240 PROGRAMS EVIDENT IN THE ROOM AS 653 00:27:21,240 --> 00:27:22,680 WE WERE THERE, YOU KNOW, 654 00:27:22,680 --> 00:27:24,120 WATCHING PEOPLE SORT OF CONNECT 655 00:27:24,120 --> 00:27:24,920 ACROSS THESE FOUR PROGRAMS. 656 00:27:24,920 --> 00:27:26,920 THIS IS GOING TO BE VERY 657 00:27:26,920 --> 00:27:29,120 POWERFUL AS IT GOES FORWARD, AS 658 00:27:29,120 --> 00:27:32,320 WE GROW OUR PORTFOLIO ON 659 00:27:32,320 --> 00:27:34,800 MUSCULOSKELETAL RESEARCH, PAIN 660 00:27:34,800 --> 00:27:35,080 RESEARCH. 661 00:27:35,080 --> 00:27:35,720 NEXT SLIDE. 662 00:27:35,720 --> 00:27:40,840 THE BRIDGE TO A.I. IS ANOTHER 663 00:27:40,840 --> 00:27:42,240 INITIATIVE, COMMON FUND, 664 00:27:42,240 --> 00:27:43,240 TRANS-NIH INITIATIVE, WHICH 665 00:27:43,240 --> 00:27:45,120 IS -- IT'S CALLED BRIDGE TO 666 00:27:45,120 --> 00:27:46,560 ARTIFICIAL INTELLIGENCE. 667 00:27:46,560 --> 00:27:48,280 IT'S TO DEVELOP THESE LARGE 668 00:27:48,280 --> 00:27:51,120 SCALE DATASETS THAT ARE A.I. 669 00:27:51,120 --> 00:27:53,240 READY, AS I MENTIONED, AND THAT 670 00:27:53,240 --> 00:27:54,040 ADDRESS VERY DIFFICULT PROBLEMS 671 00:27:54,040 --> 00:27:54,520 TO SOLVE. 672 00:27:54,520 --> 00:28:00,960 ONE OF THE PROBLEMS THAT THE 673 00:28:00,960 --> 00:28:07,480 BRIDGE2AI CON COURT YUM IS THE 674 00:28:07,480 --> 00:28:10,080 RETURN TO HEALTH AFTER ILLNESS, 675 00:28:10,080 --> 00:28:11,760 THE ANNUAL MEETING WAS HELD A 676 00:28:11,760 --> 00:28:18,600 COUPLE WEEKS AGO IN APRIL, A 677 00:28:18,600 --> 00:28:19,800 LARGE NUMBER OF INVESTIGATORS 678 00:28:19,800 --> 00:28:22,120 WERE THERE, NOT ALL YET BUT IT 679 00:28:22,120 --> 00:28:29,440 WAS A VERY INTERESTING MEETING. 680 00:28:29,440 --> 00:28:30,240 NEXT MEETING WE'RE HOPING ALL 681 00:28:30,240 --> 00:28:31,520 THE INVESTIGATORS WILL BE ABLE 682 00:28:31,520 --> 00:28:38,280 TO COME. 683 00:28:38,280 --> 00:28:40,800 NEXT SLIDE. 684 00:28:40,800 --> 00:28:42,280 THE EMOTIONAL WELL BEING SECOND 685 00:28:42,280 --> 00:28:43,240 ANNUAL MEETING TOOK PLACE IN 686 00:28:43,240 --> 00:28:43,480 MARCH. 687 00:28:43,480 --> 00:28:45,000 A LOT OF THESE INVESTIGATOR 688 00:28:45,000 --> 00:28:46,760 MEETINGS AS I'LL MENTION FOR 689 00:28:46,760 --> 00:28:48,600 SEVERAL OTHERS ARE JUST CLOSED 690 00:28:48,600 --> 00:28:51,120 FOR INVESTIGATORS ONLY. 691 00:28:51,120 --> 00:28:56,000 BUT THIS PARTICULAR ONE IS -- WE 692 00:28:56,000 --> 00:28:59,960 CAN A KEYNOTE SPEAKER DR. 693 00:28:59,960 --> 00:29:02,400 VANDERWEELE, LECTURE ON 694 00:29:02,400 --> 00:29:03,480 FLOURISHING AND EMOTIONAL 695 00:29:03,480 --> 00:29:04,880 WELL-BEING, IT WAS VIDEOCAST IF 696 00:29:04,880 --> 00:29:09,280 YOU WANT TO WATCH, IT'S ON OUR 697 00:29:09,280 --> 00:29:09,920 WEBSITE. 698 00:29:09,920 --> 00:29:10,920 NEXT SLIDE. 699 00:29:10,920 --> 00:29:14,400 WE'RE ALSO VERY HAPPY TO 700 00:29:14,400 --> 00:29:18,560 PARTICIPATE BACK IN MARCH ON A 701 00:29:18,560 --> 00:29:20,320 STATE-OF-THE-ART CONFERENCE AT 702 00:29:20,320 --> 00:29:24,360 THE V.A. HELD BY THE V.A. ON THE 703 00:29:24,360 --> 00:29:25,760 DEVELOPMENT OF MEASURES, WHOLE 704 00:29:25,760 --> 00:29:28,320 PERSON OUTCOMES, AND IT WAS 705 00:29:28,320 --> 00:29:29,720 TITLED MEASURING WHAT MATTERS, A 706 00:29:29,720 --> 00:29:30,920 WONDERFUL CONFERENCE. 707 00:29:30,920 --> 00:29:33,240 WE REALLY DUG REALLY, REALLY 708 00:29:33,240 --> 00:29:38,800 DEEP INTO MEASURES OF 709 00:29:38,800 --> 00:29:41,000 WELL-BEING, MEASURES OF 710 00:29:41,000 --> 00:29:43,200 PATIENT -- HOW INDIVIDUALS VIEW 711 00:29:43,200 --> 00:29:45,480 THEIR OWN HEALTH, AND ALSO WHAT 712 00:29:45,480 --> 00:29:49,320 IS THE RELATIONSHIP BETWEEN 713 00:29:49,320 --> 00:29:50,400 HEALTH AND WELL-BEING. 714 00:29:50,400 --> 00:29:53,160 IT WAS JUST A LOVELY MEETING, 715 00:29:53,160 --> 00:29:57,400 AND DR. EDWARDS AND QUINLAN AND 716 00:29:57,400 --> 00:29:57,880 MYSELF ATTENDED. 717 00:29:57,880 --> 00:29:59,080 THERE'S A LOT OF IMPORTANT 718 00:29:59,080 --> 00:30:00,440 ACTION ITEMS THAT ARE GOING TO 719 00:30:00,440 --> 00:30:04,640 BE DERIVED FROM THIS MEETING. 720 00:30:04,640 --> 00:30:09,680 DR. BEN KLIGLER ON ZOOM IS 721 00:30:09,680 --> 00:30:10,800 LEADING THIS EFFORT AND WE'RE 722 00:30:10,800 --> 00:30:13,280 GRATEFUL FOR THE PARTNERSHIP. 723 00:30:13,280 --> 00:30:14,880 NEXT SLIDE. 724 00:30:14,880 --> 00:30:17,680 I WANT TO NOW HIGHLIGHT ONE OF 725 00:30:17,680 --> 00:30:19,400 OUR HOT TOPIC WEBINARS THAT WAS 726 00:30:19,400 --> 00:30:21,880 ON MARCH -- WE HAD TWO. 727 00:30:21,880 --> 00:30:26,960 ONE ON MARCH 6 AND APRIL 28. 728 00:30:26,960 --> 00:30:30,120 AND THIS WAS -- THEY WERE ON 729 00:30:30,120 --> 00:30:31,760 EXPANDING THE TRANSLATIONALLY 730 00:30:31,760 --> 00:30:33,040 RELEVANT CHEMICAL SPACE, 731 00:30:33,040 --> 00:30:36,040 INSIGHTS INTO NATURAL PRODUCT 732 00:30:36,040 --> 00:30:37,800 RESOURCES, TECHNOLOGIES, AND 733 00:30:37,800 --> 00:30:38,080 MECHANISMS. 734 00:30:38,080 --> 00:30:39,520 THESE ARE VIDEOTAPED SO IF YOU 735 00:30:39,520 --> 00:30:42,240 WANT TO WATCH THEM, THEY ARE 736 00:30:42,240 --> 00:30:45,080 AVAILABLE ON OUR WEBSITE. 737 00:30:45,080 --> 00:30:46,960 NEXT SLIDE PLEASE. 738 00:30:46,960 --> 00:30:50,720 WE HAD AN ARTS AND WELLNESS 739 00:30:50,720 --> 00:30:52,760 PANEL WITHIN THE NEUROARTS 740 00:30:52,760 --> 00:30:54,720 BLUEPRINT APRIL 19, IT WAS 741 00:30:54,720 --> 00:30:58,920 DISCUSSION AT THE KENNEDY CENTER 742 00:30:58,920 --> 00:30:59,960 WITH RENÉE FLEMING, AND DR. 743 00:30:59,960 --> 00:31:02,960 EDWARDS AND DR. FRANCIS COLLINS 744 00:31:02,960 --> 00:31:04,400 PRESENTED THE NIH MUSIC-BASED 745 00:31:04,400 --> 00:31:05,360 INTERVENTION TOOLKIT AT THAT 746 00:31:05,360 --> 00:31:06,120 MEETING. 747 00:31:06,120 --> 00:31:06,880 THERE'S A VIDEO ARCHIVE AGAIN IF 748 00:31:06,880 --> 00:31:09,200 YOU WANT TO WATCH IT. 749 00:31:09,200 --> 00:31:09,960 NEXT SLIDE. 750 00:31:09,960 --> 00:31:12,680 AND NOW I WANT TO HIGHLIGHT 751 00:31:12,680 --> 00:31:15,640 UPCOMING ACTIVITIES. 752 00:31:15,640 --> 00:31:19,800 THE FIRST IS THE FIRST ANNUAL 753 00:31:19,800 --> 00:31:21,240 NOW PURPOSE MEETING FOR EARLY 754 00:31:21,240 --> 00:31:23,000 CAREER PAIN RESEARCHERS WITHIN 755 00:31:23,000 --> 00:31:24,640 THE HEAL INITIATIVE. 756 00:31:24,640 --> 00:31:26,040 THIS HAPPENED JUST YESTERDAY, I 757 00:31:26,040 --> 00:31:32,520 GUESS, IT'S STILL GOING ON. 758 00:31:32,520 --> 00:31:33,640 AND I UNDERSTAND DR. CLARK WAS 759 00:31:33,640 --> 00:31:38,000 PART OF THIS, THIS IS FOR 760 00:31:38,000 --> 00:31:38,920 ENCOURAGING NETWORKING AMONG THE 761 00:31:38,920 --> 00:31:40,480 EARLY-STAGE INVESTIGATORS AND A 762 00:31:40,480 --> 00:31:43,880 LOT OF MENTORING, SO A GREAT 763 00:31:43,880 --> 00:31:45,320 OPPORTUNITY FOR PAIN RESEARCHERS 764 00:31:45,320 --> 00:31:48,840 WITHIN "HEAL." 765 00:31:48,840 --> 00:31:49,680 NEXT SLIDE. 766 00:31:49,680 --> 00:31:52,760 WE'RE GOING TO BE HAVING OUR 767 00:31:52,760 --> 00:31:54,840 WORKSHOP AGAIN SPONSORED BY THE 768 00:31:54,840 --> 00:31:56,840 HEAL INITIATIVE ON UNDERSTANDING 769 00:31:56,840 --> 00:31:58,560 AND RESTORING WHOLE JOINT HEALTH 770 00:31:58,560 --> 00:31:59,320 IN PAIN MANAGEMENT. 771 00:31:59,320 --> 00:32:01,920 THIS IS GOING TO BE JULY 25 AND 772 00:32:01,920 --> 00:32:02,160 26. 773 00:32:02,160 --> 00:32:06,480 IT'S GOING TO BE A VIRTUAL 774 00:32:06,480 --> 00:32:07,160 WORKSHOP, AND REGISTRATION, WE 775 00:32:07,160 --> 00:32:08,680 ENCOURAGE ANY OF YOU WHO ARE 776 00:32:08,680 --> 00:32:10,760 INTERESTED TO REGISTER HERE ON 777 00:32:10,760 --> 00:32:11,280 OUR WEBSITE. 778 00:32:11,280 --> 00:32:13,600 NOW, THIS IS A VERY IMPORTANT 779 00:32:13,600 --> 00:32:15,800 INITIATIVE BECAUSE WHAT WE FEEL 780 00:32:15,800 --> 00:32:18,400 IS, YOU KNOW, JOINT PAIN IS 781 00:32:18,400 --> 00:32:20,680 SOMETHING THAT WHEN PEOPLE HAVE 782 00:32:20,680 --> 00:32:22,760 PAIN IN THEIR JOINTS USUALLY WE 783 00:32:22,760 --> 00:32:25,880 ASSUME THE PAIN IS COMING FROM 784 00:32:25,880 --> 00:32:27,640 THE JOINT, THE ARTICULATION 785 00:32:27,640 --> 00:32:28,600 ITSELF, THE CARTILAGE, RIGHT? 786 00:32:28,600 --> 00:32:30,000 THERE'S A LOT OF OTHER PIECES OF 787 00:32:30,000 --> 00:32:31,960 THE JOINT WHICH WE PAY A LOT 788 00:32:31,960 --> 00:32:35,040 LESS ATTENTION TO, AND THESE 789 00:32:35,040 --> 00:32:37,440 ARE, FOR EXAMPLE, PERIARTICULAR 790 00:32:37,440 --> 00:32:38,480 TISSUES, CAPSULES, MUSCLE , 791 00:32:38,480 --> 00:32:39,440 LIGAMENTS, FASCIA, ALL THESE 792 00:32:39,440 --> 00:32:41,360 COMPONENTS OF THE JOINT. 793 00:32:41,360 --> 00:32:45,960 SO WHAT WE WANT TO DO IS HAVE 794 00:32:45,960 --> 00:32:48,040 PRESENTATIONS ON BOTH ARTICULAR 795 00:32:48,040 --> 00:32:49,480 AND PERIARTICULAR COMPONENTS OF 796 00:32:49,480 --> 00:32:52,320 JOINT PAIN AS WELL AS DIFFERENT 797 00:32:52,320 --> 00:32:53,440 TYPES OF THERAPEUTIC APPROACHES 798 00:32:53,440 --> 00:32:58,240 THAT MAY ADDRESS THIS. 799 00:32:58,240 --> 00:32:58,800 NEXT SLIDE. 800 00:32:58,800 --> 00:33:00,760 WE WERE GOING TO BE HAVING, 801 00:33:00,760 --> 00:33:02,920 AGAIN, PART OF THE BRAIN 802 00:33:02,920 --> 00:33:05,120 INITIATIVE THIS TIME, THE 803 00:33:05,120 --> 00:33:06,320 SCIENTIFIC MEETING ON JUNE 12 804 00:33:06,320 --> 00:33:07,440 AND 13. 805 00:33:07,440 --> 00:33:11,360 THIS IS ANNUAL MEETING. 806 00:33:11,360 --> 00:33:13,120 AND, AGAIN, OPEN TO -- NOT JUST 807 00:33:13,120 --> 00:33:16,520 FOR INVESTIGATORS. 808 00:33:16,520 --> 00:33:22,240 YOU CAN REGISTER AT THE BRAIN 809 00:33:22,240 --> 00:33:24,480 INITIATIVE WEBSITE. 810 00:33:24,480 --> 00:33:29,280 NEXT IS OUR FOUR SPACE 811 00:33:29,280 --> 00:33:32,280 MANIPULATION MEETING, KEYNOTE 812 00:33:32,280 --> 00:33:33,800 SPEAKER, DR. DAVID GINTE, ALSO 813 00:33:33,800 --> 00:33:35,120 AVAILABLE FOR VIEWING, SO YOU 814 00:33:35,120 --> 00:33:37,720 CAN REGISTER ON THAT. 815 00:33:37,720 --> 00:33:40,120 I'M SORRY, THE BLUE IS NOT VERY 816 00:33:40,120 --> 00:33:40,360 VISIBLE. 817 00:33:40,360 --> 00:33:42,280 AND SO THERE IS GOING TO BE AN 818 00:33:42,280 --> 00:33:43,760 OPEN SESSION, THE REST OF THE 819 00:33:43,760 --> 00:33:48,680 MEETING WILL BE FOR 820 00:33:48,680 --> 00:33:49,560 INVESTIGATORS ONLY, FORCE-BASED 821 00:33:49,560 --> 00:33:53,200 MANIPULATION IS ONE OF OUR 822 00:33:53,200 --> 00:33:55,160 NETWORKS WE'VE BEEN HAVING THAT 823 00:33:55,160 --> 00:34:00,080 IS NOW FUNDED FOR THE SECOND 824 00:34:00,080 --> 00:34:01,840 YEAR, AND WE'RE PLEASED WITH HOW 825 00:34:01,840 --> 00:34:04,880 INVESTIGATORS ARE COMING 826 00:34:04,880 --> 00:34:12,240 TOGETHER AND GROWING THIS FIELD 827 00:34:12,240 --> 00:34:13,640 OF FORCE-BASED MANIPULATION. 828 00:34:13,640 --> 00:34:14,720 AROUND FOUR MEETINGS CLOSED TO 829 00:34:14,720 --> 00:34:17,480 THE PUBLIC BUT THESE 830 00:34:17,480 --> 00:34:20,960 INITIATIVES, PAIN MANAGEMENT 831 00:34:20,960 --> 00:34:22,520 COLLABORATORY, PRAGMATIC, HEAL 832 00:34:22,520 --> 00:34:24,640 RESEARCH TO IMPROVE MEDICATION 833 00:34:24,640 --> 00:34:28,760 BASED TREMENDOUS OR BRIM, AND 834 00:34:28,760 --> 00:34:30,040 BOTANICALS AND NATURAL PRODUCTS 835 00:34:30,040 --> 00:34:34,240 OR CARBON, ALL OF THESE 836 00:34:34,240 --> 00:34:40,880 INITIATIVES, ANNUAL MEETINGS ARE 837 00:34:40,880 --> 00:34:41,880 REALLY IMPORTANT FOR 838 00:34:41,880 --> 00:34:43,400 INVESTIGATORS TO MEET TOGETHER, 839 00:34:43,400 --> 00:34:45,040 EXCHANGE IDEAS, ALSO IT'S 840 00:34:45,040 --> 00:34:47,280 IMPORTANT FOR US AT NCCIH TO 841 00:34:47,280 --> 00:34:52,600 HEAR HOW THEY ARE DOING. 842 00:34:52,600 --> 00:34:55,880 I WANT TO HIGHLIGHT TWO OF OUR 843 00:34:55,880 --> 00:34:56,880 INTEGRATIVE MEDICINE RESEARCH 844 00:34:56,880 --> 00:34:58,960 LECTURE SERIES THAT ARE 845 00:34:58,960 --> 00:34:59,200 UPCOMING. 846 00:34:59,200 --> 00:35:01,920 ONE, THE FIRST ONE ON MAY 25, 847 00:35:01,920 --> 00:35:05,760 AND JUNE 15. 848 00:35:05,760 --> 00:35:09,800 AND THESE ARE REALLY GEARED 849 00:35:09,800 --> 00:35:12,960 TOWARDS CHILDREN AND SORT OF 850 00:35:12,960 --> 00:35:14,360 ADDRESSING PREVENTION EARLY IN 851 00:35:14,360 --> 00:35:15,880 LIFE, VERY IMPORTANT. 852 00:35:15,880 --> 00:35:18,120 FIRST UNLEASHING POWER OF 853 00:35:18,120 --> 00:35:21,080 PREVENTION TO ENHANCE WELL-BEING 854 00:35:21,080 --> 00:35:30,160 ACROSS THE LIFESPAN BY DR. 855 00:35:30,160 --> 00:35:30,800 MARGARET KULINSKI, PREVENTING 856 00:35:30,800 --> 00:35:32,360 PROBLEMS BEFORE THEY BEGIN, 857 00:35:32,360 --> 00:35:34,280 TRACING EVOLUTION OF PREVENTION 858 00:35:34,280 --> 00:35:35,720 SCIENCE, SHARING FINDINGS FROM 859 00:35:35,720 --> 00:35:37,160 LONGITUDINAL INTERVENTION 860 00:35:37,160 --> 00:35:39,440 STUDIES BASED ON SOCIAL 861 00:35:39,440 --> 00:35:40,080 DEVELOPMENT STRATEGY AND SHE 862 00:35:40,080 --> 00:35:42,720 WILL DESCRIBE WHAT IS NEEDED TO 863 00:35:42,720 --> 00:35:44,680 INCREASE EQUITABLE REACH AND 864 00:35:44,680 --> 00:35:47,520 IMPACT OF EFFECTIVE HEALTH 865 00:35:47,520 --> 00:35:48,520 PROMOTION AND PREVENTION 866 00:35:48,520 --> 00:35:48,840 APPROACHES. 867 00:35:48,840 --> 00:35:52,120 OTHER LECTURE, NEXT SLIDE 868 00:35:52,120 --> 00:35:55,320 PLEASE, JUNE 15, DR. TANYA 869 00:35:55,320 --> 00:35:56,640 PALERMO, INSIGHTS INTO 870 00:35:56,640 --> 00:35:57,320 PREVENTION AND MANAGEMENT OF 871 00:35:57,320 --> 00:35:59,600 CHRONIC PAIN IN CHILDREN AND 872 00:35:59,600 --> 00:36:04,600 ADOLESCENTS, FOCUSING ON PAIN. 873 00:36:04,600 --> 00:36:07,800 IT'S ASTONISHING THAT PAIN IS 874 00:36:07,800 --> 00:36:10,840 NOW AFFECTING A HIGH NUMBER OF 875 00:36:10,840 --> 00:36:12,840 CHILDREN, UP TO 40% OF CHILDREN 876 00:36:12,840 --> 00:36:14,360 REPORT PROBLEMS WITH PAIN. 877 00:36:14,360 --> 00:36:17,400 THE RISK OF CONTINUED PAIN AND 878 00:36:17,400 --> 00:36:19,480 IMPACT OF CHILDHOOD PAIN ON 879 00:36:19,480 --> 00:36:21,160 HEALTH AND DEVELOPMENT IN 880 00:36:21,160 --> 00:36:22,880 ADULTHOOD IS A CRISIS. 881 00:36:22,880 --> 00:36:25,760 IT'S AN EMERGENT AREA OF 882 00:36:25,760 --> 00:36:26,160 RESEARCH. 883 00:36:26,160 --> 00:36:27,280 AND PSYCHOLOGICAL INTERVENTIONS 884 00:36:27,280 --> 00:36:29,320 DELIVERED IN CHILDHOOD MAY HELP 885 00:36:29,320 --> 00:36:30,840 PREVENT PAIN AND DISABILITY AND 886 00:36:30,840 --> 00:36:32,440 BUILD RESILIENCE ACROSS THE 887 00:36:32,440 --> 00:36:33,840 LIFESPAN, SO VERY, VERY 888 00:36:33,840 --> 00:36:34,320 IMPORTANT. 889 00:36:34,320 --> 00:36:39,320 SHE WILL ALSO HIGHLIGHT THE ROLE 890 00:36:39,320 --> 00:36:41,600 OF ACCESSIBLE DIGITAL HEALTH IN 891 00:36:41,600 --> 00:36:42,080 PAIN INTERVENTIONS FOR 892 00:36:42,080 --> 00:36:45,800 INCREASING ACCESS AND EQUITY IN 893 00:36:45,800 --> 00:36:49,720 HEALTH CARE FOR PAIN. 894 00:36:49,720 --> 00:36:52,480 NEXT ANOTHER HOT TOPIC WEBINAR 895 00:36:52,480 --> 00:36:55,200 ON JUNE 7, LAUNCHING A CAREER IN 896 00:36:55,200 --> 00:36:56,920 HEALTH DISPARITIES RESEARCH, 897 00:36:56,920 --> 00:36:59,120 FROM THE PERSPECTIVE OF NCCIH. 898 00:36:59,120 --> 00:37:03,640 OUR SPEAKERS WILL BE DR. EUGENE 899 00:37:03,640 --> 00:37:06,800 DUNNE FROM TEMPLE, DR. KRYSTAL 900 00:37:06,800 --> 00:37:10,240 CHAPMAN LAMBERT, AND DR. SHUFANG 901 00:37:10,240 --> 00:37:14,440 SUN FROM BROWN UNIVERSITY, 902 00:37:14,440 --> 00:37:17,520 HIGHLIGHTING THREE NCCIH FUNDED 903 00:37:17,520 --> 00:37:19,840 EARLY CAREER INVESTIGATORS 904 00:37:19,840 --> 00:37:22,560 FOCUSED ON HIV POPULATIONS. 905 00:37:22,560 --> 00:37:23,760 PROVIDING OVERVIEW OF RESEARCH, 906 00:37:23,760 --> 00:37:26,160 PARTICIPATE IN GUIDED DISCUSSION 907 00:37:26,160 --> 00:37:27,600 ABOUT THEIR CAREER PATH, 908 00:37:27,600 --> 00:37:28,880 INCLUDING CHALLENGES OF 909 00:37:28,880 --> 00:37:33,520 CONDUCTING RESEARCH TO ADDRESS 910 00:37:33,520 --> 00:37:35,400 HEALTH DISPARITIES. 911 00:37:35,400 --> 00:37:39,480 WE'RE PARTICIPATING IN NCCIH ON 912 00:37:39,480 --> 00:37:43,240 DR. RICHARD NAHAN PARTICIPATING 913 00:37:43,240 --> 00:37:46,000 IN A WEBINAR, CONTEXT OF HEALTHY 914 00:37:46,000 --> 00:37:47,640 PEOPLE 2030 SPOTLIGHT ON HEALTH, 915 00:37:47,640 --> 00:37:56,480 BEST PRACTICES IN PAIN CARE ON 916 00:37:56,480 --> 00:37:57,080 MAY 23. 917 00:37:57,080 --> 00:38:00,320 YOU CAN REGISTER FOR THIS. 918 00:38:00,320 --> 00:38:04,400 MORE EFFORTS FOR EMOTIONAL 919 00:38:04,400 --> 00:38:07,680 WELL-BEING, NCCIH IS GOING TO BE 920 00:38:07,680 --> 00:38:10,720 PARTICIPATING IN A BRAIN 921 00:38:10,720 --> 00:38:14,240 SYMPOSIUM ON EMOTIONAL 922 00:38:14,240 --> 00:38:15,760 WELL-BEING, CAN WE MEASURE, 923 00:38:15,760 --> 00:38:17,600 MONITOR, MODULATE IT IN THE 924 00:38:17,600 --> 00:38:19,280 BRAIN, IN MAY. 925 00:38:19,280 --> 00:38:21,440 AGAIN, YOU CAN REGISTER FOR 926 00:38:21,440 --> 00:38:21,800 THIS. 927 00:38:21,800 --> 00:38:25,520 I DON'T KNOW IF THIS IS VIRTUAL 928 00:38:25,520 --> 00:38:26,240 OR NOT. 929 00:38:26,240 --> 00:38:29,840 NEXT SLIDE PLEASE. 930 00:38:29,840 --> 00:38:31,480 ANOTHER VERY IMPORTANT SYMPOSIUM 931 00:38:31,480 --> 00:38:37,920 THAT IS GOING TO BE UPCOMING 932 00:38:37,920 --> 00:38:43,480 JUNE 28-29, THIS IS THE 2023 933 00:38:43,480 --> 00:38:45,000 MULTI-SCALE MODELING CONSORTIUM, 934 00:38:45,000 --> 00:38:45,200 IMAG. 935 00:38:45,200 --> 00:38:47,320 VERY, VERY IMPORTANT IN THE 936 00:38:47,320 --> 00:38:48,840 CONTEXT OF DEVELOPING OUR 937 00:38:48,840 --> 00:38:51,240 RESEARCH CAPACITY TO DO WHOLE 938 00:38:51,240 --> 00:38:53,000 PERSON RESEARCH, RIGHT? 939 00:38:53,000 --> 00:38:55,400 THE ABILITY TO DEVELOP, FOR 940 00:38:55,400 --> 00:38:58,240 EXAMPLE, DIGITAL TWINS. 941 00:38:58,240 --> 00:39:00,840 THIS IS KIND OF DEVELOPING 942 00:39:00,840 --> 00:39:02,840 MODELS OF A PERSON THAT REFLECTS 943 00:39:02,840 --> 00:39:05,760 ALL THE TYPES OF DATA THAT CAN 944 00:39:05,760 --> 00:39:10,560 BE GATHERED AND THEN MODELS IN 945 00:39:10,560 --> 00:39:13,680 VIRTUAL WAY, POWERFUL WAY TO DO 946 00:39:13,680 --> 00:39:15,520 MODELING AND TEST INTERVENTION 947 00:39:15,520 --> 00:39:17,040 IN SILICO. 948 00:39:17,040 --> 00:39:21,320 MACHINE LEARNING METHODS, AND 949 00:39:21,320 --> 00:39:23,600 ALSO QUANTUM COMPUTING, VERY 950 00:39:23,600 --> 00:39:24,800 MUCH CUTTING EDGE SYMPOSIUM, AND 951 00:39:24,800 --> 00:39:27,320 THAT THIS IS GOING TO BE AT THE 952 00:39:27,320 --> 00:39:32,040 NATCHER CONFERENCE CENTER AT 953 00:39:32,040 --> 00:39:34,160 NIH. 954 00:39:34,160 --> 00:39:36,960 AND FINALLY, THERE'S GOING TO BE 955 00:39:36,960 --> 00:39:38,360 PRE-CONFERENCE WORKSHOP AT THE 956 00:39:38,360 --> 00:39:40,480 ACADEMY HEALTH ANNUAL RESEARCH 957 00:39:40,480 --> 00:39:44,160 MEETING, GIVEN BY THE PRAGMATIC 958 00:39:44,160 --> 00:39:45,360 TRIALS COLLABORATORY TEAM, 959 00:39:45,360 --> 00:39:49,280 PRESENTED BY DR. WENDY WEBER AND 960 00:39:49,280 --> 00:39:51,520 BEDA JEAN-FRANCOIS, AND THIS IS 961 00:39:51,520 --> 00:39:53,960 A PRE-CONFERENCE WORKSHOP ON 962 00:39:53,960 --> 00:39:55,480 PRAGMATIC TRIAL DESIGN AND 963 00:39:55,480 --> 00:39:55,800 METHODS. 964 00:39:55,800 --> 00:39:59,520 THE MEETING IS AGAIN OPEN FOR 965 00:39:59,520 --> 00:40:01,720 REGISTRATION TO ATTEND. 966 00:40:01,720 --> 00:40:03,680 AND FINALLY, OUR NEXT MEETING 967 00:40:03,680 --> 00:40:05,440 SEPTEMBER 8, SAVE THE DATE 968 00:40:05,440 --> 00:40:05,640 PLEASE. 969 00:40:05,640 --> 00:40:09,240 I HOPE THAT WE'RE GOING TO 970 00:40:09,240 --> 00:40:10,360 SEE -- CONTINUE SEEING AS MANY 971 00:40:10,360 --> 00:40:12,480 OF YOU AS POSSIBLE IN PERSON AT 972 00:40:12,480 --> 00:40:15,480 THIS MEETING IN SEPTEMBER. 973 00:40:15,480 --> 00:40:25,160 SO THANK YOU. 974 00:40:25,160 --> 00:40:31,400 WE HAVE A COUPLE MINUTES IF 975 00:40:31,400 --> 00:40:33,040 THERE ARE QUESTIONS OR COMMENTS 976 00:40:33,040 --> 00:40:36,880 FROM COUNCIL MEMBERS, I WOULD 977 00:40:36,880 --> 00:40:39,200 CERTAINLY WELCOME. 978 00:40:39,200 --> 00:40:39,560 ANY QUESTIONS? 979 00:40:39,560 --> 00:40:41,800 >> CAN I ADD SOMETHING? 980 00:40:41,800 --> 00:40:42,040 >>YEAH. 981 00:40:42,040 --> 00:40:43,760 >> WE FORGOT TO INCLUDE THAT 982 00:40:43,760 --> 00:40:47,600 SLIDE BUT I WANTED TO BRING TO 983 00:40:47,600 --> 00:40:51,000 YOUR ATTENTION THAT THE FINANCED 984 00:40:51,000 --> 00:40:52,720 FROM THE NIH DIRECTORS 985 00:40:52,720 --> 00:40:55,360 HIGH-RISK, HIGH-REWARD PROGRAM, 986 00:40:55,360 --> 00:40:59,760 ALL THE RFAs ARE OUT, THE 987 00:40:59,760 --> 00:41:01,840 RANGE FROM AUGUST 18 THROUGH 988 00:41:01,840 --> 00:41:02,760 SEPTEMBER 8 FOR RECEIPT DATE, SO 989 00:41:02,760 --> 00:41:06,880 PLEASE GO TO THE WEBSITE FOR 990 00:41:06,880 --> 00:41:08,520 HRHR, WE'VE BEEN VERY SUCCESSFUL 991 00:41:08,520 --> 00:41:12,040 IN, YOU KNOW, GETTING SOME GREAT 992 00:41:12,040 --> 00:41:12,880 INVESTIGATORS IN ALL THE 993 00:41:12,880 --> 00:41:14,080 DIFFERENT OPPORTUNITIES THAT ARE 994 00:41:14,080 --> 00:41:14,960 OUT THERE. 995 00:41:14,960 --> 00:41:22,200 TAKE A LOOK AT THAT. 996 00:41:22,200 --> 00:41:23,200 >> GREAT. 997 00:41:23,200 --> 00:41:23,480 THANK YOU. 998 00:41:23,480 --> 00:41:24,720 >> THANK YOU SO MUCH FOR 999 00:41:24,720 --> 00:41:31,200 BRINGING US UP TO DATE ON THESE 1000 00:41:31,200 --> 00:41:34,920 REALLY INTRIGUING AND EXCITING 1001 00:41:34,920 --> 00:41:35,240 DEVELOPMENTS. 1002 00:41:35,240 --> 00:41:38,320 JUST TO KIND OF OVERARCHING 1003 00:41:38,320 --> 00:41:43,800 THEMATIC QUESTIONS COMING UP FOR 1004 00:41:43,800 --> 00:41:45,440 ME, ACTUALLY A THIRD. 1005 00:41:45,440 --> 00:41:48,680 IN SOME SENSE, I'M ALWAYS 1006 00:41:48,680 --> 00:41:51,760 CURIOUS ABOUT HOW TO INTEGRATE 1007 00:41:51,760 --> 00:41:56,560 ALL OF THESE DIFFERENT DOMAINS 1008 00:41:56,560 --> 00:41:57,920 OF INVESTIGATION, RESEARCH 1009 00:41:57,920 --> 00:41:59,960 FINDINGS, WAYS THAT MAKE IT EVEN 1010 00:41:59,960 --> 00:42:08,960 MORE EASY FOR THE LAY POPULATION 1011 00:42:08,960 --> 00:42:09,960 TO IDENTIFY TAKEAWAYS THAT THEY 1012 00:42:09,960 --> 00:42:14,440 CAN ACTIONABLY APPLY TO THEIR 1013 00:42:14,440 --> 00:42:15,400 LIVES RIGHT NOW. 1014 00:42:15,400 --> 00:42:18,480 SO I LOVE THE WIDE AND BROAD 1015 00:42:18,480 --> 00:42:21,560 DIVERSITY IN REACH AND SCOPE AND 1016 00:42:21,560 --> 00:42:22,960 GENUINELY AM APPRECIATIVE, ALSO 1017 00:42:22,960 --> 00:42:24,160 THINKING ARE THERE WAYS TO TELL 1018 00:42:24,160 --> 00:42:27,240 A STORY TO THE PUBLIC ABOUT ALL 1019 00:42:27,240 --> 00:42:30,640 OF THIS THAT HELPS MAKE PLAIN 1020 00:42:30,640 --> 00:42:34,440 MAJOR VERSUS SUBSIDIARY KINDS OF 1021 00:42:34,440 --> 00:42:36,520 FINDINGS AND KEEPS US FEELING 1022 00:42:36,520 --> 00:42:42,240 LIKE WE'RE MOVING ALONG, 1023 00:42:42,240 --> 00:42:45,400 EXPANDING THE BROADLY ACCESSIBLE 1024 00:42:45,400 --> 00:42:46,720 CONVERSATIONS ABOUT HEALTH SPAN 1025 00:42:46,720 --> 00:42:49,200 DURING THESE TIMES, NEW WAYS OF 1026 00:42:49,200 --> 00:42:50,320 ACCESSING THEM, SUPPORTING THAT 1027 00:42:50,320 --> 00:42:54,600 ACROSS ALL COMMUNITIES SO WE ALL 1028 00:42:54,600 --> 00:42:55,040 FLOURISH TOGETHER. 1029 00:42:55,040 --> 00:42:57,000 AND THAT AND I GUESS THE OTHER 1030 00:42:57,000 --> 00:42:59,600 TWO POINTS RELATED TO THAT 1031 00:42:59,600 --> 00:43:01,160 OVERARCHING INQUIRY ABOUT HOW DO 1032 00:43:01,160 --> 00:43:03,920 WE TELL THAT STORY, HOW DO WE 1033 00:43:03,920 --> 00:43:04,520 CONVEY THESE EXCITING 1034 00:43:04,520 --> 00:43:06,280 DEVELOPMENTS IN WAYS THAT MAKE 1035 00:43:06,280 --> 00:43:08,800 IT ALL THE MORE EASILY 1036 00:43:08,800 --> 00:43:09,600 ACCESSIBLE FOR LAY POPULATIONS 1037 00:43:09,600 --> 00:43:11,280 TO SEE THE BROAD OUTLINES AND 1038 00:43:11,280 --> 00:43:12,960 BUSY SCHEDULE WHEN THEY ARE NOT 1039 00:43:12,960 --> 00:43:15,760 GOING INTO THE WEEDS BUT TO BE 1040 00:43:15,760 --> 00:43:17,680 ABLE TO TAKE, LIKE, WHERE ARE WE 1041 00:43:17,680 --> 00:43:20,880 WITH HEALTH AND WHAT ARE THE 1042 00:43:20,880 --> 00:43:21,720 WONDERFULLY EXCITING ASPECTS 1043 00:43:21,720 --> 00:43:24,640 THAT WE'RE MOVING INTO IN THESE 1044 00:43:24,640 --> 00:43:26,240 NEW TIMES WITH NEW TECHNOLOGICAL 1045 00:43:26,240 --> 00:43:27,440 RESOURCES, ET CETERA, AND WHERE 1046 00:43:27,440 --> 00:43:28,280 ARE THE CHALLENGES. 1047 00:43:28,280 --> 00:43:30,840 JUST TO BE ABLE TO TAKE THAT UP. 1048 00:43:30,840 --> 00:43:31,800 IT'S ALL THERE. 1049 00:43:31,800 --> 00:43:34,760 JUST TO SAY THAT. 1050 00:43:34,760 --> 00:43:36,480 AND THEN RELATEDLY, I'M ALWAYS 1051 00:43:36,480 --> 00:43:39,480 THINKING ABOUT THE EFFECTS OF 1052 00:43:39,480 --> 00:43:40,800 ECONOMIC INEQUALITY ON HEALTH 1053 00:43:40,800 --> 00:43:42,320 AND WELL-BEING, AND WHO GETS TO 1054 00:43:42,320 --> 00:43:44,960 BE WELL. 1055 00:43:44,960 --> 00:43:46,560 AND JUST CURIOUS ABOUT HOW, 1056 00:43:46,560 --> 00:43:47,760 AGAIN, THE VARIOUS DIFFERENT 1057 00:43:47,760 --> 00:43:50,520 PROGRAMS AND POINTS OF FOCUS 1058 00:43:50,520 --> 00:43:57,080 KEEP US LOOKING AT EVER MORE 1059 00:43:57,080 --> 00:44:00,600 UNION SORT OF CONCERNING FOR US 1060 00:44:00,600 --> 00:44:02,040 PATTERNS AROUND ECONOMIC 1061 00:44:02,040 --> 00:44:03,320 EQUALITY, LEADING TO THE SECOND 1062 00:44:03,320 --> 00:44:04,720 PIECE, MAYBE THIRD, WHICH IS 1063 00:44:04,720 --> 00:44:08,280 ABOUT A.I. AND ITS IMPLICATIONS. 1064 00:44:08,280 --> 00:44:11,320 YOU KNOW, SO THE ETHICS OF 1065 00:44:11,320 --> 00:44:12,960 HEALTH AND WELL-BEING AND A.I., 1066 00:44:12,960 --> 00:44:14,160 WE'RE SO EXCITED ABOUT 1067 00:44:14,160 --> 00:44:15,040 POSSIBILITIES AND POTENTIAL FOR 1068 00:44:15,040 --> 00:44:16,320 ALL THINGS THAT CAN DEVELOP 1069 00:44:16,320 --> 00:44:18,080 AROUND A.I. FOR HEALTH AND 1070 00:44:18,080 --> 00:44:21,040 WELL-BEING, THINK ALL OF US ARE. 1071 00:44:21,040 --> 00:44:23,920 AND I'M ALSO AWARE OF CONCERNS 1072 00:44:23,920 --> 00:44:25,880 ABOUT, YOU KNOW, ETHICAL 1073 00:44:25,880 --> 00:44:28,840 FRAMEWORKS NECESSARY TO MOVE US 1074 00:44:28,840 --> 00:44:31,360 ALL AGAIN POSITIVELY FORWARD IN 1075 00:44:31,360 --> 00:44:34,960 A WAY WE CAN ALL FLOURISH 1076 00:44:34,960 --> 00:44:36,040 TOGETHER. 1077 00:44:36,040 --> 00:44:38,240 THAT INTERLINKS I THINK, THESE 1078 00:44:38,240 --> 00:44:39,240 QUESTIONS ABOUT THE 1079 00:44:39,240 --> 00:44:41,080 ACCESSIBILITY OF THE INFORMATION 1080 00:44:41,080 --> 00:44:44,720 FOR ALL OF US, TRANSLATING INTO 1081 00:44:44,720 --> 00:44:47,840 WAYS INFORMATION IS ACCESSIBLE 1082 00:44:47,840 --> 00:44:48,520 FOR EVERYBODY. 1083 00:44:48,520 --> 00:44:50,360 THE PATTERNS OF EXACERBATED 1084 00:44:50,360 --> 00:44:51,040 INEQUALITY AND ITS EFFECTS, AND 1085 00:44:51,040 --> 00:44:53,880 THEN OF COURSE THE ETHICS AROUND 1086 00:44:53,880 --> 00:44:56,080 A.I. AS A COMPONENT OF ALL OF 1087 00:44:56,080 --> 00:44:56,600 THAT. 1088 00:44:56,600 --> 00:44:57,240 BIG PICTURE THINGS THAT JUST 1089 00:44:57,240 --> 00:45:00,120 WANT TO PUT ON THE TABLE AS WE 1090 00:45:00,120 --> 00:45:02,520 THINK ABOUT THE BEAUTIFUL WORK 1091 00:45:02,520 --> 00:45:06,480 THAT YOU SHARED WITH US TODAY. 1092 00:45:06,480 --> 00:45:08,000 >> WELL, THANK YOU. 1093 00:45:08,000 --> 00:45:09,640 I COULD PERHAPS RESPOND VERY 1094 00:45:09,640 --> 00:45:11,160 BRIEFLY TO GIVE OTHER PEOPLE A 1095 00:45:11,160 --> 00:45:16,200 CHANCE TO COMMENT IF THEY HAVE. 1096 00:45:16,200 --> 00:45:17,520 BUT COMMUNICATION IS SOMETHING 1097 00:45:17,520 --> 00:45:20,240 WE TAKE SERIOUSLY AT NCCIH, WE 1098 00:45:20,240 --> 00:45:22,320 HAVE AN ACTIVE COMMUNICATIONS, 1099 00:45:22,320 --> 00:45:24,360 THE DIRECTOR IS HERE, KATHERINE 1100 00:45:24,360 --> 00:45:24,680 LAW. 1101 00:45:24,680 --> 00:45:28,680 WE TAKE GREAT PRIDE IN HOW WE 1102 00:45:28,680 --> 00:45:30,640 PRESENT INFORMATION ON OUR 1103 00:45:30,640 --> 00:45:32,120 WEBSITE SO IT'S ACCESSIBLE TO 1104 00:45:32,120 --> 00:45:34,000 RESEARCHERS AND THE PUBLIC. 1105 00:45:34,000 --> 00:45:39,040 IN TERMS OF PACKAGING OUR 1106 00:45:39,040 --> 00:45:42,240 FINDINGS INTO KIND OF INTEGRATED 1107 00:45:42,240 --> 00:45:43,200 BODY OF KNOWLEDGE, I THINK 1108 00:45:43,200 --> 00:45:45,640 THAT'S WHAT YOU WERE HINTING AT 1109 00:45:45,640 --> 00:45:47,760 IN YOUR FIRST PART OF THE 1110 00:45:47,760 --> 00:45:48,040 QUESTION. 1111 00:45:48,040 --> 00:45:49,680 YEAH, HOW DO YOU MAKE SENSE OF 1112 00:45:49,680 --> 00:45:51,880 ALL OF THIS AND INTEGRATE? 1113 00:45:51,880 --> 00:45:53,520 AND THIS IS A BIG PIECE OF WHAT 1114 00:45:53,520 --> 00:45:56,080 WE WANT TO DO WITH WHOLE PERSON 1115 00:45:56,080 --> 00:45:57,880 HEALTH. 1116 00:45:57,880 --> 00:46:02,320 BECAUSE BEFORE IN PREVIOUS TIMES 1117 00:46:02,320 --> 00:46:04,600 NCCIH WAS LOOKING AT DIFFERENT 1118 00:46:04,600 --> 00:46:05,240 MODALITIES SEPARATELY. 1119 00:46:05,240 --> 00:46:08,760 YOU HAD NATURAL PRODUCTS, MIND 1120 00:46:08,760 --> 00:46:10,200 AND BODY THERAPIES, ACUPUNCTURE, 1121 00:46:10,200 --> 00:46:11,600 BUT NOW WE'RE REALLY TRYING TO 1122 00:46:11,600 --> 00:46:14,120 MAKE THIS AND PUT THIS INTO AN 1123 00:46:14,120 --> 00:46:14,680 INTEGRATED FRAMEWORK SO 1124 00:46:14,680 --> 00:46:16,400 HOPEFULLY THAT WILL HELP. 1125 00:46:16,400 --> 00:46:18,320 WE'VE HAD A TREMENDOUS RESPONSE 1126 00:46:18,320 --> 00:46:19,840 FROM THE COMMUNITY ABOUT THIS. 1127 00:46:19,840 --> 00:46:23,080 WE HAD A STAKEHOLDER MEETING 1128 00:46:23,080 --> 00:46:26,600 LAST FALL WITH, YOU KNOW, OVER 1129 00:46:26,600 --> 00:46:27,720 100 ORGANIZATIONS REPRESENTED 1130 00:46:27,720 --> 00:46:30,200 AND FROM ALL DIFFERENT KINDS OF 1131 00:46:30,200 --> 00:46:30,400 AREAS. 1132 00:46:30,400 --> 00:46:31,720 AND SO PEOPLE RESONATE WITH THIS 1133 00:46:31,720 --> 00:46:33,200 MESSAGE VERY, VERY MUCH. 1134 00:46:33,200 --> 00:46:34,720 THE SECOND THING YOU'RE TALKING 1135 00:46:34,720 --> 00:46:38,880 ABOUT IN TERMS OF A.I., YES, AND 1136 00:46:38,880 --> 00:46:40,400 YES, YES, AND YES. 1137 00:46:40,400 --> 00:46:47,720 ONE OF THE IMPORTANT -- 1138 00:46:47,720 --> 00:46:50,560 BRIDGE2AI INITIATIVE, I'M ONE OF 1139 00:46:50,560 --> 00:46:52,760 THE FIVE INSTITUTE DIRECTORS ON 1140 00:46:52,760 --> 00:46:54,720 THE EXECUTIVE COMMITTEE, ONE OF 1141 00:46:54,720 --> 00:46:56,920 THE PRIMARY CONCERNS IS TO BUILD 1142 00:46:56,920 --> 00:47:00,520 AN EXAMPLE HOW TO BUILD 1143 00:47:00,520 --> 00:47:06,240 A.I.-READY DATASET THAT IS 1144 00:47:06,240 --> 00:47:07,840 ETHICALLY SOUND, THAT PAYS 1145 00:47:07,840 --> 00:47:11,480 ATTENTION TO REALLY MAKING SURE 1146 00:47:11,480 --> 00:47:13,880 THERE ARE NO BUILT-IN INEQUITIES 1147 00:47:13,880 --> 00:47:15,640 IN THE ACQUISITION OF THE DATA, 1148 00:47:15,640 --> 00:47:20,360 THAT'S EASIER SAID THAN DONE, 1149 00:47:20,360 --> 00:47:20,920 OBVIOUSLY. 1150 00:47:20,920 --> 00:47:23,320 THERE'S A WHOLE ETHICS CORE THAT 1151 00:47:23,320 --> 00:47:25,200 IS REALLY DESIGNED TO LOOKING AT 1152 00:47:25,200 --> 00:47:25,520 THIS. 1153 00:47:25,520 --> 00:47:30,240 YES, VERY GOOD QUESTIONS. 1154 00:47:30,240 --> 00:47:30,920 THANK YOU. 1155 00:47:30,920 --> 00:47:31,360 DR. JEAN-LOUIS? 1156 00:47:31,360 --> 00:47:33,600 >> THANK YOU FOR A WONDERFUL 1157 00:47:33,600 --> 00:47:34,080 PRESENTATION. 1158 00:47:34,080 --> 00:47:38,880 I LIKE THE IDEA OF INTRODUCING 1159 00:47:38,880 --> 00:47:40,600 QUANTUM COMPUTING TO ACCELERATE 1160 00:47:40,600 --> 00:47:41,040 DISCOVERIES. 1161 00:47:41,040 --> 00:47:43,360 NOW, SUCH EQUIPMENT CAN BE VERY 1162 00:47:43,360 --> 00:47:45,000 EXPENSIVE, WOULD NIH BE WILLING 1163 00:47:45,000 --> 00:47:47,840 TO SUPPORT PROJECTS THAT ARE 1164 00:47:47,840 --> 00:47:52,440 ASKING FUNDING TO BUILD SUCH 1165 00:47:52,440 --> 00:47:53,120 PROGRAMS? 1166 00:47:53,120 --> 00:47:55,240 >> WELL, YOU KNOW, WE ARE -- I 1167 00:47:55,240 --> 00:47:56,360 CANNOT ANSWER THIS QUESTION 1168 00:47:56,360 --> 00:48:00,680 DIRECTLY BECAUSE THIS IS A 1169 00:48:00,680 --> 00:48:01,640 VERY -- OBVIOUSLY A SPECIFIC 1170 00:48:01,640 --> 00:48:02,920 REQUEST IN REGARDS TO EQUIPMENT 1171 00:48:02,920 --> 00:48:05,080 AND STUFF LIKE THAT, HAVE TO BE 1172 00:48:05,080 --> 00:48:06,320 DONE ON A CASE-BY-CASE BASIS. 1173 00:48:06,320 --> 00:48:09,120 HOWEVER, WHAT I CAN SAY IS THAT 1174 00:48:09,120 --> 00:48:13,200 NIH AS A WHOLE, WE HAVE NOW OUR 1175 00:48:13,200 --> 00:48:18,160 OFFICE OF DATA STRATEGY THAT IS 1176 00:48:18,160 --> 00:48:19,120 HEAVILY INVESTED IN MAKING SURE 1177 00:48:19,120 --> 00:48:21,200 THAT INVESTIGATORS HAVE THE 1178 00:48:21,200 --> 00:48:22,840 TOOLS AND RESOURCES AVAILABLE TO 1179 00:48:22,840 --> 00:48:26,280 GET -- TO MOVE INTO THIS SORT OF 1180 00:48:26,280 --> 00:48:27,880 NEW ERA OF BIG DATA. 1181 00:48:27,880 --> 00:48:29,960 HOW ARE WE GOING TO DO THIS? 1182 00:48:29,960 --> 00:48:31,720 THERE'S SO MANY LAYERS TO THIS. 1183 00:48:31,720 --> 00:48:33,800 YOU'RE POINTING OUT THAT 1184 00:48:33,800 --> 00:48:35,080 EQUIPMENT, RIGHT, THAT'S 1185 00:48:35,080 --> 00:48:38,320 IMPORTANT, BUT ALSO DATA STORAGE 1186 00:48:38,320 --> 00:48:39,720 AND DATA STORAGE OVER THE LONGER 1187 00:48:39,720 --> 00:48:41,560 TERM, THAT'S ALSO VERY 1188 00:48:41,560 --> 00:48:41,840 EXPENSIVE. 1189 00:48:41,840 --> 00:48:45,120 HOW ARE WE GOING TO DO THIS? 1190 00:48:45,120 --> 00:48:49,560 SO THERE ARE -- WE'RE ENGAGED IN 1191 00:48:49,560 --> 00:48:50,920 DEEP CONVERSATIONS THROUGHOUT 1192 00:48:50,920 --> 00:48:54,520 NIH, INCLUDING LED BY ODSS AND 1193 00:48:54,520 --> 00:48:55,600 NATIONAL LIBRARY OF MEDICINE, 1194 00:48:55,600 --> 00:48:57,800 NLM IS VERY MUCH ENGAGED IN 1195 00:48:57,800 --> 00:49:00,320 THIS, MAKING SURE THAT WE ARE 1196 00:49:00,320 --> 00:49:02,480 MOVING FORWARD WITH THIS AS 1197 00:49:02,480 --> 00:49:05,120 QUICKLY AND BEST AS WE CAN. 1198 00:49:05,120 --> 00:49:06,000 EXCELLENT QUESTION. 1199 00:49:06,000 --> 00:49:07,880 YOU KNOW, WE'LL HAVE TO SEE WHAT 1200 00:49:07,880 --> 00:49:08,840 HAPPENS WITH THIS. 1201 00:49:08,840 --> 00:49:10,720 EVERYTHING IS SUBJECT TO 1202 00:49:10,720 --> 00:49:12,000 AVAILABILITY OF FUNDS, 1203 00:49:12,000 --> 00:49:13,000 OBVIOUSLY, RIGHT? 1204 00:49:13,000 --> 00:49:14,520 IT'S AN IMPORTANT PIECE, AS YOU 1205 00:49:14,520 --> 00:49:14,720 SAY. 1206 00:49:14,720 --> 00:49:16,920 THIS IS EXPENSIVE TO DO. 1207 00:49:16,920 --> 00:49:18,920 AND SO WE NEED TO LOOK AT ALL 1208 00:49:18,920 --> 00:49:20,960 THE ASPECTS OF THAT. 1209 00:49:20,960 --> 00:49:21,560 YEAH, VERY GOOD QUESTION. 1210 00:49:21,560 --> 00:49:24,000 >> THANK YOU. 1211 00:49:24,000 --> 00:49:27,560 1212 00:49:27,560 --> 00:49:35,280 >> ANY OTHER QUESTIONS? 1213 00:49:35,280 --> 00:49:35,520 PARDON? 1214 00:49:35,520 --> 00:49:35,840 >> OH, YES. 1215 00:49:35,840 --> 00:49:38,360 >> IT'S NOT A QUESTION, JUST A 1216 00:49:38,360 --> 00:49:41,680 COMMENT GOING BACK TO YOUR 1217 00:49:41,680 --> 00:49:42,520 MENTION OF THE CONFERENCE AT 1218 00:49:42,520 --> 00:49:48,680 V.A. ON MEASURING WHAT MATTERS 1219 00:49:48,680 --> 00:49:48,880 MOST. 1220 00:49:48,880 --> 00:49:53,800 I WANTED TO SHARE HOW GRATEFUL 1221 00:49:53,800 --> 00:49:56,320 WE ARE WITH THE NCCIH MEASURING 1222 00:49:56,320 --> 00:49:58,960 OUTCOMES THAT REFLECT WHOLE 1223 00:49:58,960 --> 00:50:01,120 PERSON HEALTH AND HOW CRITICAL, 1224 00:50:01,120 --> 00:50:04,000 WE THINK THAT IS FOR MOVING THE 1225 00:50:04,000 --> 00:50:05,520 ENDEAVOR FORWARD BUT ALSO HOW 1226 00:50:05,520 --> 00:50:06,960 MUCH THAT'S AN INTEREST THAT'S 1227 00:50:06,960 --> 00:50:08,360 SPANNING ACROSS DIFFERENT 1228 00:50:08,360 --> 00:50:09,880 GOVERNMENT AGENCIES, NOT JUST 1229 00:50:09,880 --> 00:50:14,280 NIH AND V.A., BUT HEALTH AND 1230 00:50:14,280 --> 00:50:15,920 HUMAN SERVICES, AND CMS, AND 1231 00:50:15,920 --> 00:50:17,120 SURGEON GENERAL'S OFFICE, AND 1232 00:50:17,120 --> 00:50:19,600 JUST SO MANY AGENCIES THAT ARE 1233 00:50:19,600 --> 00:50:20,920 NOW ENGAGED AROUND THIS QUESTION 1234 00:50:20,920 --> 00:50:25,560 OF HOW DO WE GET BEYOND 1235 00:50:25,560 --> 00:50:26,600 DISEASE-SPECIFIC OR 1236 00:50:26,600 --> 00:50:27,120 PROBLEM-SPECIFIC OUTCOME 1237 00:50:27,120 --> 00:50:30,480 MEASUREMENTS TO LOOK HARDER AT 1238 00:50:30,480 --> 00:50:31,280 THINGS THAT CAPTURE WHAT'S 1239 00:50:31,280 --> 00:50:32,240 IMPORTANT AT THE WHOLE PERSON. 1240 00:50:32,240 --> 00:50:33,640 I WANT TO THANK YOU FOR YOUR 1241 00:50:33,640 --> 00:50:34,400 PARTNERSHIP. 1242 00:50:34,400 --> 00:50:36,160 I THINK WE'RE GOING TO SEE SOME 1243 00:50:36,160 --> 00:50:37,160 REALLY AMAZING MOVEMENT IN THAT 1244 00:50:37,160 --> 00:50:40,320 AREA OVER THE NEXT COUPLE YEARS. 1245 00:50:40,320 --> 00:50:43,160 AND THE WAY YOU ARE PUSHING THAT 1246 00:50:43,160 --> 00:50:44,680 FORWARD AT NIH IN THE 1247 00:50:44,680 --> 00:50:45,560 CONVERSATION IS REALLY A HUGE 1248 00:50:45,560 --> 00:50:46,680 PART OF THAT. 1249 00:50:46,680 --> 00:50:50,160 SO I WANTED TO THANK YOU FOR 1250 00:50:50,160 --> 00:50:51,720 THAT AND SHARE WITH PEOPLE WHO 1251 00:50:51,720 --> 00:50:54,000 ARE LISTENING AND WATCH FLAG IF 1252 00:50:54,000 --> 00:51:00,040 YOU -- WATCHING THAT IF YOU 1253 00:51:00,040 --> 00:51:02,360 WASN'T ENGAGED, IT'S SPREADING 1254 00:51:02,360 --> 00:51:05,200 QUICKLY ACROSS A LOT OF ACADEMIC 1255 00:51:05,200 --> 00:51:09,120 HEALTH ENVIRONMENTS AS WELL AS 1256 00:51:09,120 --> 00:51:09,800 GOVERNMENT. 1257 00:51:09,800 --> 00:51:10,640 THANK YOU, DR. LANGEVIN, FOR 1258 00:51:10,640 --> 00:51:12,040 HELPING WITH THAT. 1259 00:51:12,040 --> 00:51:13,840 I REALLY APPRECIATE IT. 1260 00:51:13,840 --> 00:51:15,440 >> WELL, THANK YOU. 1261 00:51:15,440 --> 00:51:19,800 WE'RE SO -- BY THE WAY, ARE 1262 00:51:19,800 --> 00:51:21,360 YOU -- THE PROGRAM CAMERA IS NOT 1263 00:51:21,360 --> 00:51:21,520 ON? 1264 00:51:21,520 --> 00:51:25,320 IT IS ON? 1265 00:51:25,320 --> 00:51:27,520 I DON'T SEE IT. 1266 00:51:27,520 --> 00:51:29,120 >> IT'S BEING CAPTURED -- 1267 00:51:29,120 --> 00:51:29,440 (INAUDIBLE). 1268 00:51:29,440 --> 00:51:30,800 >> I GUESS IT'S THE PEOPLE ON 1269 00:51:30,800 --> 00:51:33,120 ZOOM THAT CAN'T SEE IT. 1270 00:51:33,120 --> 00:51:33,840 ANYWAY, DOESN'T MATTER. 1271 00:51:33,840 --> 00:51:35,600 EXCUSE ME. 1272 00:51:35,600 --> 00:51:39,000 WE'RE SO GRATEFUL WITH THIS -- 1273 00:51:39,000 --> 00:51:40,520 IT GOES BOTH WAYS. 1274 00:51:40,520 --> 00:51:46,560 WHAT DR. KLIGLER DESCRIBED IS AN 1275 00:51:46,560 --> 00:51:48,400 AMAZING PARTNERSHIP PUSHING 1276 00:51:48,400 --> 00:51:51,040 FORWARD, AND AT THE V.A. THEY 1277 00:51:51,040 --> 00:51:54,520 ARE DEMONSTRATING THAT A WHOLE 1278 00:51:54,520 --> 00:52:00,600 HEALTH APPROACH IS NOT ONLY 1279 00:52:00,600 --> 00:52:02,640 FEASIBLE, IMPLEMENTABLE, ALSO 1280 00:52:02,640 --> 00:52:02,960 SUCCESSFUL. 1281 00:52:02,960 --> 00:52:06,040 SO, WE ARE REALLY KIND OF -- 1282 00:52:06,040 --> 00:52:08,000 WE'RE DEVELOPING THIS KIND OF IN 1283 00:52:08,000 --> 00:52:10,760 PARALLEL BUT THERE'S SO MANY 1284 00:52:10,760 --> 00:52:12,800 CONNECTIONS BETWEEN THE TWO THAT 1285 00:52:12,800 --> 00:52:16,640 WE'RE VERY, VERY HAPPY WITH THIS 1286 00:52:16,640 --> 00:52:16,880 AS WELL. 1287 00:52:16,880 --> 00:52:19,840 SO THANK YOU. 1288 00:52:19,840 --> 00:52:21,240 I SEE SOME COUNCIL MEMBERS 1289 00:52:21,240 --> 00:52:23,080 APPEARING. 1290 00:52:23,080 --> 00:52:24,720 THAT'S WONDERFUL. 1291 00:52:24,720 --> 00:52:26,160 BECAUSE THE NEXT STEP -- ANY 1292 00:52:26,160 --> 00:52:30,760 OTHER COMMENTS BEFORE I MOVE 1293 00:52:30,760 --> 00:52:33,720 OVER TO THE NEXT STAGE? 1294 00:52:33,720 --> 00:52:39,960 MY NEXT JOB IS TO THANK RETIRING 1295 00:52:39,960 --> 00:52:43,360 COUNCIL MEMBERS. 1296 00:52:43,360 --> 00:52:44,040 IT'S ALWAYS BITTERSWEET. 1297 00:52:44,040 --> 00:52:46,520 I WANT TO MAKE SURE I HAVE THE 1298 00:52:46,520 --> 00:52:47,600 RIGHT -- OKAY. 1299 00:52:47,600 --> 00:52:49,800 WE HAVE A FEW MEMBERS WHO ARE ON 1300 00:52:49,800 --> 00:52:53,520 ZOOM AND SOME WHO ARE NOT. 1301 00:52:53,520 --> 00:52:55,040 PEOPLE WHO ARE ON ZOOM, I'M 1302 00:52:55,040 --> 00:53:01,280 GOING TO THANK AND GIVE YOU YOUR 1303 00:53:01,280 --> 00:53:04,000 CERTIFICATE VIRTUALLY. 1304 00:53:04,000 --> 00:53:05,440 DR. DIANA FISHBEIN, WE'RE GOING 1305 00:53:05,440 --> 00:53:08,360 TO MISS YOU SO VERY MUCH. 1306 00:53:08,360 --> 00:53:10,240 AND WE WANT TO THANK YOU SO MUCH 1307 00:53:10,240 --> 00:53:13,560 FOR YOUR SERVICE ON THE COUNCIL 1308 00:53:13,560 --> 00:53:17,240 AND WE REALLY WISH YOU ALL THE 1309 00:53:17,240 --> 00:53:17,920 BEST. 1310 00:53:17,920 --> 00:53:20,760 I'M HANDING YOU OVER YOUR 1311 00:53:20,760 --> 00:53:22,400 CERTIFICATE AND I WANT TO THANK 1312 00:53:22,400 --> 00:53:24,680 YOU. 1313 00:53:24,680 --> 00:53:29,040 1314 00:53:29,040 --> 00:53:30,040 1315 00:53:30,040 --> 00:53:32,880 NEXT IS DR. RICK HARRIS. 1316 00:53:32,880 --> 00:53:35,880 WHERE IS RICK? 1317 00:53:35,880 --> 00:53:36,080 RICK? 1318 00:53:36,080 --> 00:53:37,400 SO, THANK YOU SO VERY MUCH FOR 1319 00:53:37,400 --> 00:53:38,560 SERVING ON THE COUNCIL. 1320 00:53:38,560 --> 00:53:41,760 I THINK WE EXTENDED YOUR TERM 1321 00:53:41,760 --> 00:53:43,920 FOR AS LONG AS WE POSSIBLY 1322 00:53:43,920 --> 00:53:44,760 COULD. 1323 00:53:44,760 --> 00:53:47,960 AND REALLY WANT TO THANK YOU AND 1324 00:53:47,960 --> 00:53:49,320 WE SO MUCH LOOK FORWARD TO 1325 00:53:49,320 --> 00:53:50,720 CONTINUING TO WORK WITH YOU IN 1326 00:53:50,720 --> 00:53:52,360 DIFFERENT CAPACITIES, BUT HERE 1327 00:53:52,360 --> 00:53:54,360 IS YOUR CERTIFICATE. 1328 00:53:54,360 --> 00:53:55,880 >> THANK YOU. 1329 00:53:55,880 --> 00:53:56,320 THANK YOU SO MUCH. 1330 00:53:56,320 --> 00:54:00,400 >> THANK YOU. 1331 00:54:00,400 --> 00:54:10,440 1332 00:54:12,080 --> 00:54:20,440 AND FINALLY DR. TAMMY BORZINGA, 1333 00:54:20,440 --> 00:54:21,320 -- HUIZENGA. 1334 00:54:21,320 --> 00:54:22,720 >> THANK YOU. 1335 00:54:22,720 --> 00:54:26,120 >> AND NOT ATTENDING, DR. RONI 1336 00:54:26,120 --> 00:54:36,560 EVANS, DR. KINSEL, AND DR. 1337 00:54:39,680 --> 00:54:40,800 JUSTIN SUNBERG. 1338 00:54:40,800 --> 00:54:43,440 WE WANT TO THANK ALL OF THEM. 1339 00:54:43,440 --> 00:54:46,160 ALL RIGHT. 1340 00:54:46,160 --> 00:54:52,280 1341 00:54:52,280 --> 00:55:02,320 1342 00:55:14,800 --> 00:55:16,800 >> GOOD AFTERNOON, EVERYONE. 1343 00:55:16,800 --> 00:55:18,680 SO, I HAVE THE PLEASURE OF 1344 00:55:18,680 --> 00:55:22,040 TRYING TO EXPLAIN TO YOU WHAT IS 1345 00:55:22,040 --> 00:55:24,480 THE HEAL INITIATIVE, HELPING 1346 00:55:24,480 --> 00:55:25,000 ENDS ADDICTION LONG TERM. 1347 00:55:25,000 --> 00:55:30,240 AND SO WE HAVE A PANEL OF 1348 00:55:30,240 --> 00:55:33,440 SPEAKERS, WE'RE GOING TO TALK 1349 00:55:33,440 --> 00:55:35,080 ABOUT WHAT REALLY NCCIH IS DOING 1350 00:55:35,080 --> 00:55:39,440 IN RELATION TO THE HEAL 1351 00:55:39,440 --> 00:55:40,440 INITIATIVE, AND REALLY FOCUS 1352 00:55:40,440 --> 00:55:43,640 TODAY MORE ON THE CLINICAL 1353 00:55:43,640 --> 00:55:44,600 RESEARCH ACTIVITIES AND IN 1354 00:55:44,600 --> 00:55:46,800 FUTURE MEETING WE'LL TALK MORE 1355 00:55:46,800 --> 00:55:48,200 ABOUT THE BASIC AND MECHANISTIC 1356 00:55:48,200 --> 00:55:51,800 RESEARCH THAT'S SUPPORTED BY THE 1357 00:55:51,800 --> 00:55:53,560 HEAL INITIATIVE. 1358 00:55:53,560 --> 00:55:55,000 THE SLIDE DR. LANGEVIN PRESENTED 1359 00:55:55,000 --> 00:55:56,040 EARLIER SET WE UP WHERE YOU CAN 1360 00:55:56,040 --> 00:55:59,040 SEE HOW MUCH OF THE HEAL FUNDS 1361 00:55:59,040 --> 00:56:00,440 ARE COMING TOWARDS NCCIH. 1362 00:56:00,440 --> 00:56:02,320 I'M ALSO GOING TO HIGHLIGHT SOME 1363 00:56:02,320 --> 00:56:04,080 EXAMPLES WHERE WE MAY NOT BE 1364 00:56:04,080 --> 00:56:05,520 ADMINISTERING THE AWARD BUT MANY 1365 00:56:05,520 --> 00:56:08,360 OF THE TOPICS AND PROJECTS THAT 1366 00:56:08,360 --> 00:56:09,560 ARE ONGOING REALLY RELATE QUITE 1367 00:56:09,560 --> 00:56:12,680 CLOSELY TO OUR MISSION AND OUR 1368 00:56:12,680 --> 00:56:12,920 VISION. 1369 00:56:12,920 --> 00:56:16,240 SO WE'VE BEEN EXCITED TO BE PART 1370 00:56:16,240 --> 00:56:17,040 OF THE HEAL INITIATIVE, AND I'LL 1371 00:56:17,040 --> 00:56:18,880 GIVE YOU A LITTLE BIT OF 1372 00:56:18,880 --> 00:56:19,440 OVERVIEW HERE. 1373 00:56:19,440 --> 00:56:23,480 I'M FIRST GOING TO START OFF 1374 00:56:23,480 --> 00:56:25,000 WITH TELLING YOU, I'LL HAVE TO 1375 00:56:25,000 --> 00:56:26,520 ASK YOU TO DO NEXT SLIDE BECAUSE 1376 00:56:26,520 --> 00:56:28,920 IT BUZZED AT ME FOR CLICKING THE 1377 00:56:28,920 --> 00:56:29,960 NEXT BUTTON. 1378 00:56:29,960 --> 00:56:35,760 CAN YOU GUYS ADVANCE FOR ME? 1379 00:56:35,760 --> 00:56:36,480 THANK YOU. 1380 00:56:36,480 --> 00:56:38,800 SO WE'RE GOING TO HAVE FOUR 1381 00:56:38,800 --> 00:56:40,200 SPEAKERS, I'M THE FIRST, AN 1382 00:56:40,200 --> 00:56:42,400 OVERVIEW OF THE STRUCTURE OF 1383 00:56:42,400 --> 00:56:44,360 "HEAL," TALK ABOUT SOME OF THE 1384 00:56:44,360 --> 00:56:46,040 PAIN CLINICAL RESEARCH PROJECTS 1385 00:56:46,040 --> 00:56:47,760 AND PROGRAMS THAT ARE PART OF 1386 00:56:47,760 --> 00:56:50,400 THE PROGRAM AND RELEVANT TO OUR 1387 00:56:50,400 --> 00:56:51,360 MISSION HERE AT NCCIH. 1388 00:56:51,360 --> 00:56:53,120 AND THEN I'M GOING TO TURN 1389 00:56:53,120 --> 00:56:54,560 THINGS OVER TO DR. PETER MURRAY, 1390 00:56:54,560 --> 00:56:56,880 WHO IS ONE OF OUR PROGRAM 1391 00:56:56,880 --> 00:56:58,400 OFFICERS IN THE CLINICAL 1392 00:56:58,400 --> 00:56:59,320 RESEARCH BRANCH, HE'S GOING TO 1393 00:56:59,320 --> 00:57:02,320 TALK ABOUT SOME OF THE PROJECTS 1394 00:57:02,320 --> 00:57:03,440 THAT WE'RE OVERSEEING AND 1395 00:57:03,440 --> 00:57:05,360 PROGRAMS RELATED TO OPIOID USE 1396 00:57:05,360 --> 00:57:06,720 DISORDER AND HE WILL TELL YOU 1397 00:57:06,720 --> 00:57:08,560 ABOUT THOSE AS WELL AS REALLY 1398 00:57:08,560 --> 00:57:09,440 EXCITING NEW TRAINING 1399 00:57:09,440 --> 00:57:11,760 OPPORTUNITIES THAT ARE COMING UP 1400 00:57:11,760 --> 00:57:12,960 WITHIN THE HEAL INITIATIVE. 1401 00:57:12,960 --> 00:57:16,000 AND THEN WE HAVE TWO SPEAKERS 1402 00:57:16,000 --> 00:57:19,520 THAT ARE DOING "HEAL"-FUNDED 1403 00:57:19,520 --> 00:57:23,040 RESEARCH, JOINING US VIRTUALLY 1404 00:57:23,040 --> 00:57:25,960 BOTH ONLINE, THANK YOU DR. 1405 00:57:25,960 --> 00:57:27,080 MORONE AND DR. COOPERMAN. 1406 00:57:27,080 --> 00:57:28,640 I'LL GIVE YOU INTROS AND THEY 1407 00:57:28,640 --> 00:57:32,120 WILL COME UP LATER WHEN THEY 1408 00:57:32,120 --> 00:57:33,880 TALK ABOUT THEIR WORK. 1409 00:57:33,880 --> 00:57:35,400 DR. MORONE IS ASSOCIATE 1410 00:57:35,400 --> 00:57:37,160 PROFESSOR OF MEDICINE BOSTON 1411 00:57:37,160 --> 00:57:38,760 UNIVERSITY, BOSTON MEDICAL 1412 00:57:38,760 --> 00:57:39,760 CENTER. 1413 00:57:39,760 --> 00:57:42,960 RESEARCH CAREER IS FOCUSED ON 1414 00:57:42,960 --> 00:57:43,760 INTEGRATIVE NON-PHARMACOLOGIC 1415 00:57:43,760 --> 00:57:45,880 INTERVENTION TO TREAT CHRONIC 1416 00:57:45,880 --> 00:57:46,800 PAIN, CONDUCTED SEVERAL LARGE 1417 00:57:46,800 --> 00:57:49,160 TRIALS, WILL TELL YOU ABOUT ONE 1418 00:57:49,160 --> 00:57:51,240 OF THEM LATER TODAY BUT SHE'S 1419 00:57:51,240 --> 00:57:53,840 ALSO VERY INTERESTED IN CAREER 1420 00:57:53,840 --> 00:57:55,280 DEVELOPMENT PROGRAMS ESPECIALLY 1421 00:57:55,280 --> 00:57:56,600 THOSE THAT ASSIST 1422 00:57:56,600 --> 00:57:57,160 UNDERREPRESENTED GROUPS IN 1423 00:57:57,160 --> 00:57:59,160 HELPING THEM STAY IN THE 1424 00:57:59,160 --> 00:58:01,880 RESEARCH PIPELINE AND PURSUE 1425 00:58:01,880 --> 00:58:02,760 CAREERS IN RESEARCH. 1426 00:58:02,760 --> 00:58:07,480 AND WE'LL WRAP UP WITH DR. NINA 1427 00:58:07,480 --> 00:58:09,520 COOPERMAN, WHO IS ASSOCIATE 1428 00:58:09,520 --> 00:58:11,960 PROFESSOR IN DIVISION OF 1429 00:58:11,960 --> 00:58:13,760 ADDICTION PSYCHIATRY AT RUTGERS 1430 00:58:13,760 --> 00:58:14,160 MEDICAL SCHOOL. 1431 00:58:14,160 --> 00:58:16,880 SHE'S THE CHAIR FOR THE 1432 00:58:16,880 --> 00:58:19,600 TREATMENT AND RECOVERY PROGRAM 1433 00:58:19,600 --> 00:58:21,600 AT THE RUTGERS ADDICTION 1434 00:58:21,600 --> 00:58:21,960 RESEARCH CENTER. 1435 00:58:21,960 --> 00:58:23,440 SHE'S CLINICAL PSYCHOLOGIST 1436 00:58:23,440 --> 00:58:25,280 THAT'S BEEN STUDYING BEHAVIORAL 1437 00:58:25,280 --> 00:58:26,160 INTERVENTIONS AMONG INDIVIDUALS 1438 00:58:26,160 --> 00:58:27,480 WITH SUBSTANCE USE DISORDERS FOR 1439 00:58:27,480 --> 00:58:29,360 OVER 20 YEARS, SHE'S GOING TO 1440 00:58:29,360 --> 00:58:33,440 TELL US ABOUT THE MINDFULNESS 1441 00:58:33,440 --> 00:58:36,160 ORIENTED RECOVERY ENHANCEMENT 1442 00:58:36,160 --> 00:58:37,480 PROGRAM, THE MORE PROGRAM, WHAT 1443 00:58:37,480 --> 00:58:39,680 SHE'S FUNDED IN "HEAL" TO DO. 1444 00:58:39,680 --> 00:58:41,960 LET'S JUMP IN AND LET ME GIVE 1445 00:58:41,960 --> 00:58:43,520 YOU OVERSIGHT INTO THE "HEAL" 1446 00:58:43,520 --> 00:58:43,920 PROGRAM. 1447 00:58:43,920 --> 00:58:46,960 NEXT SLIDE. 1448 00:58:46,960 --> 00:58:51,240 SO, THIS ALL STARTED IN 2018 1449 00:58:51,240 --> 00:58:52,160 WITH APPROPRIATION FROM CONGRESS 1450 00:58:52,160 --> 00:58:53,840 TO ADDRESS OPIOID AND THE PAIN 1451 00:58:53,840 --> 00:58:56,840 CRISIS IN THE U.S. 1452 00:58:56,840 --> 00:58:59,040 THERE'S TWO OVERARCHING GOALS TO 1453 00:58:59,040 --> 00:59:00,120 ENHANCE PAIN MANAGEMENT TO 1454 00:59:00,120 --> 00:59:04,640 REDUCE THE RISK AND NEED FOR 1455 00:59:04,640 --> 00:59:06,640 STARTING OPIOIDS IN PATIENTS WHO 1456 00:59:06,640 --> 00:59:07,680 HAVE PAIN. 1457 00:59:07,680 --> 00:59:09,520 AND THE OTHER KEY ELEMENT HERE 1458 00:59:09,520 --> 00:59:11,200 IS TO IMPROVE PREVENTION AND 1459 00:59:11,200 --> 00:59:13,280 TREATMENT STRATEGIES FOR OPIOID 1460 00:59:13,280 --> 00:59:15,000 ADDICTION AND OVERDOSE. 1461 00:59:15,000 --> 00:59:16,880 THIS CONTINUES TO EVOLVE OVER 1462 00:59:16,880 --> 00:59:17,080 TIME. 1463 00:59:17,080 --> 00:59:18,840 NOW FIVE YEARS INTO THE PROGRAM, 1464 00:59:18,840 --> 00:59:21,040 WE'VE DONE A LOT. 1465 00:59:21,040 --> 00:59:22,360 IT'S BEEN QUITE EXCITING TO SEE 1466 00:59:22,360 --> 00:59:26,240 WHAT ALL WE'VE DONE. 1467 00:59:26,240 --> 00:59:26,840 NEXT SLIDE. 1468 00:59:26,840 --> 00:59:28,480 SO, JUST A COUPLE VERY BRIEF 1469 00:59:28,480 --> 00:59:30,000 SLIDES JUST TO PUT EVERYBODY ON 1470 00:59:30,000 --> 00:59:34,480 THE SAME PAGE IN TERMS OF 1471 00:59:34,480 --> 00:59:34,720 CONTEXT. 1472 00:59:34,720 --> 00:59:42,480 1980s WE SEE VICODIN, 1473 00:59:42,480 --> 00:59:45,960 CONSIDERED SAFE. 1474 00:59:45,960 --> 00:59:46,960 1990s, LONGER ACTING, 1475 00:59:46,960 --> 00:59:48,600 OXYCONTIN, PAIN BECOMING THE 1476 00:59:48,600 --> 00:59:50,360 FIFTH VITAL SIGN, THE HUGE 1477 00:59:50,360 --> 00:59:53,640 INCREASE IN USE OF THESE PAIN 1478 00:59:53,640 --> 00:59:55,520 MEDICATIONS AND THEIR MARKETING 1479 00:59:55,520 --> 00:59:56,600 AND BELIEVING THEY REALLY 1480 00:59:56,600 --> 00:59:57,920 WOULDN'T CAUSE ADDICTION IN 1481 00:59:57,920 --> 00:59:59,200 PEOPLE WITH PAIN. 1482 00:59:59,200 --> 01:00:00,880 WE'VE NOW OF COURSE LEARNED THAT 1483 01:00:00,880 --> 01:00:02,400 IT DOES CAUSE ADDICTION IN 1484 01:00:02,400 --> 01:00:04,600 PEOPLE EVEN IF THEY DO HAVE 1485 01:00:04,600 --> 01:00:07,880 PAIN, IT IS YET STILL A VERY 1486 01:00:07,880 --> 01:00:09,640 IMPORTANT THERAPEUTIC AND HAS AN 1487 01:00:09,640 --> 01:00:11,480 IMPORTANT USE WHEN IT IS 1488 01:00:11,480 --> 01:00:12,480 INDICATED, AND WHAT WE WANT TO 1489 01:00:12,480 --> 01:00:14,880 DO IS MAKE SURE IT'S USED 1490 01:00:14,880 --> 01:00:16,520 APPROPRIATELY TO MANAGE THOSE 1491 01:00:16,520 --> 01:00:18,080 SITUATIONS, AND THAT WE DON'T 1492 01:00:18,080 --> 01:00:19,520 GET INTO THE SITUATION WHERE 1493 01:00:19,520 --> 01:00:20,720 PEOPLE HAVE ACTUAL ADDICTION AND 1494 01:00:20,720 --> 01:00:23,520 IT REALLY TAKES OVER THEIR 1495 01:00:23,520 --> 01:00:23,960 LIVES. 1496 01:00:23,960 --> 01:00:25,840 WHAT WE'VE SEEN IS THE SHIFT 1497 01:00:25,840 --> 01:00:27,920 FROM PEOPLE USING THESE 1498 01:00:27,920 --> 01:00:29,760 PRESCRIPTION MEDICATIONS TO 1499 01:00:29,760 --> 01:00:31,320 USING INITIALLY HEROIN BUT NOW 1500 01:00:31,320 --> 01:00:33,200 WE'RE SEEING FENTANYL IS THE 1501 01:00:33,200 --> 01:00:34,800 MAJOR THING THAT'S BEING USED. 1502 01:00:34,800 --> 01:00:36,680 AND THAT LITTLE VIAL SHOWS YOU 1503 01:00:36,680 --> 01:00:38,960 LETHAL DOSE OF FENTANYL AND HOW 1504 01:00:38,960 --> 01:00:40,720 SMALL THAT AMOUNT IS, WHICH IS 1505 01:00:40,720 --> 01:00:42,680 WHY WE HAVE SO MANY MORE 1506 01:00:42,680 --> 01:00:45,200 OVERDOSES AND THE ISSUES WITH 1507 01:00:45,200 --> 01:00:46,280 CONTAMINATION THAT WE'RE SEEING 1508 01:00:46,280 --> 01:00:48,920 ACROSS ALL FAKE PILLS BEING SOLD 1509 01:00:48,920 --> 01:00:50,240 ONLINE AND ALL KINDS OF 1510 01:00:50,240 --> 01:00:52,960 DIFFERENT PLACES THAT YOU CAN 1511 01:00:52,960 --> 01:00:54,240 GET THESE THINGS. 1512 01:00:54,240 --> 01:00:55,200 THE NUMBERS ARE STAGGERING. 1513 01:00:55,200 --> 01:00:56,520 THEY CONTINUE TO RISE. 1514 01:00:56,520 --> 01:00:58,280 NOW WE'RE SEEING MORE AND MORE 1515 01:00:58,280 --> 01:01:01,640 ISSUES WITH POLY SUBSTANCE USE, 1516 01:01:01,640 --> 01:01:03,840 AND OVERDOSE EPIDEMIC. 1517 01:01:03,840 --> 01:01:05,360 UNFORTUNATELY MOVING INTO 1518 01:01:05,360 --> 01:01:08,000 YOUNGER ADOLESCENTS WITH KIDS 1519 01:01:08,000 --> 01:01:09,600 TAKING A FAKE ADDERALL, FOR 1520 01:01:09,600 --> 01:01:10,960 EXAMPLE, LACED OR CONTAMINATED 1521 01:01:10,960 --> 01:01:13,040 WITH FENTANYL AND DYING. 1522 01:01:13,040 --> 01:01:15,240 THERE'S JUST REALLY TRAGIC 1523 01:01:15,240 --> 01:01:15,640 STORIES. 1524 01:01:15,640 --> 01:01:16,000 NEXT SLIDE. 1525 01:01:16,000 --> 01:01:19,400 SO WHEN YOU LOOK AT ALL OVERDOSE 1526 01:01:19,400 --> 01:01:22,080 DEATHS OVER TIME, THIS STARTS IN 1527 01:01:22,080 --> 01:01:25,600 2015 AND GOES TO 2022, ALMOST 1528 01:01:25,600 --> 01:01:27,600 90% OF OPIOID OVERDOSE DEATHS 1529 01:01:27,600 --> 01:01:29,680 ARE OVERDOSES IN GENERAL LINKED 1530 01:01:29,680 --> 01:01:30,320 TO OPIOIDS. 1531 01:01:30,320 --> 01:01:33,920 AND ALMOST ALL OF THAT IS 1532 01:01:33,920 --> 01:01:35,160 SYNTHETIC OPIOIDS, BROWN LINE, 1533 01:01:35,160 --> 01:01:41,240 THE BLACK LINE IS ALL OPIOIDS 1534 01:01:41,240 --> 01:01:41,640 COMBINED. 1535 01:01:41,640 --> 01:01:42,160 NEXT SLIDE. 1536 01:01:42,160 --> 01:01:43,640 THIS GIVES AN IDEA WHERE WE WERE 1537 01:01:43,640 --> 01:01:46,240 IN 2012 IN TERMS OF NUMBER OF 1538 01:01:46,240 --> 01:01:47,480 PRESCRIPTIONS FOR OPIOIDS. 1539 01:01:47,480 --> 01:01:50,320 AND THIS REALLY SHOWS THE 1540 01:01:50,320 --> 01:01:52,000 PICTURE THAT WE'VE STOPPED MUCH 1541 01:01:52,000 --> 01:01:53,640 OF THE PRESCRIBING, THE PROBLEM 1542 01:01:53,640 --> 01:01:57,080 NOW IS REALLY THIS ILLICIT 1543 01:01:57,080 --> 01:01:58,320 AVAILABILITY AND CONTAMINATION 1544 01:01:58,320 --> 01:01:59,720 ISSUE WITH THESE COMPOUNDS, JUST 1545 01:01:59,720 --> 01:02:01,920 FLOODING THE MARKET IN OTHER 1546 01:02:01,920 --> 01:02:02,360 WAYS. 1547 01:02:02,360 --> 01:02:05,120 AND SO THE GRAPH IN 2012 WITH 1548 01:02:05,120 --> 01:02:06,520 NUMBER OF PRESCRIPTIONS, THE 1549 01:02:06,520 --> 01:02:11,200 DARK COLOR BEING OVER 100 1550 01:02:11,200 --> 01:02:14,200 PRESCRIPTIONS PER 100 PERSONS, 1551 01:02:14,200 --> 01:02:16,680 WHICH IS PRETTY AMAZING. 1552 01:02:16,680 --> 01:02:18,240 AND THEN HOW IT'S REALLY 1553 01:02:18,240 --> 01:02:19,000 SHIFTED. 1554 01:02:19,000 --> 01:02:21,280 AND THE OTHER THING I THINK 1555 01:02:21,280 --> 01:02:23,480 THAT'S AMAZING IS THE LEVEL OF 1556 01:02:23,480 --> 01:02:25,680 DETAIL THAT WE HAVE NOW IS SO 1557 01:02:25,680 --> 01:02:27,880 MUCH MORE PRECISE IN BEING ABLE 1558 01:02:27,880 --> 01:02:30,720 TO SEE EXACTLY WHERE ARE THESE 1559 01:02:30,720 --> 01:02:32,480 PROBLEMS, AT THE COUNTY LEVEL 1560 01:02:32,480 --> 01:02:35,200 AND SOMETIMES SMALLER AS OPPOSED 1561 01:02:35,200 --> 01:02:37,200 TO STATE LEVEL WHEN WE STARTED 1562 01:02:37,200 --> 01:02:41,200 MONITORING IN 2012. 1563 01:02:41,200 --> 01:02:42,440 NEXT SLIDE. 1564 01:02:42,440 --> 01:02:44,040 SO, THE HEAL INITIATIVE IS 1565 01:02:44,040 --> 01:02:45,600 LOOKING AT OVERDOSE ISSUES BUT 1566 01:02:45,600 --> 01:02:47,400 ALSO LOOKING AT PAIN. 1567 01:02:47,400 --> 01:02:49,880 AND SO CHRONIC PAIN STILL 1568 01:02:49,880 --> 01:02:51,280 REMAINS AN ENORMOUS PROBLEM IN 1569 01:02:51,280 --> 01:02:52,400 THE U.S. 1570 01:02:52,400 --> 01:02:57,440 THE NUMBERS HERE THAT YOU SEE 1571 01:02:57,440 --> 01:02:59,520 HAVE CONTINUED TO INCREASE FROM 1572 01:02:59,520 --> 01:03:01,840 2011, AROUND 18% OF POPULATION 1573 01:03:01,840 --> 01:03:03,120 WAS IDENTIFIED HAVING CHRONIC 1574 01:03:03,120 --> 01:03:04,200 PAIN DEFINED AS PAIN EXPERIENCED 1575 01:03:04,200 --> 01:03:05,880 ON MOST DAYS IN THE LAST THREE 1576 01:03:05,880 --> 01:03:07,840 MONTHS WHICH HAS GONE UP TO 20% 1577 01:03:07,840 --> 01:03:08,800 IN 2019. 1578 01:03:08,800 --> 01:03:11,440 AGAIN WE SEE INCREASES IN HIGH 1579 01:03:11,440 --> 01:03:14,080 INTENSITY CHRONIC PAIN WHICH IS 1580 01:03:14,080 --> 01:03:15,040 IDENTIFIED WHEN THAT PAIN 1581 01:03:15,040 --> 01:03:16,800 INTERFERES WITH AT LEAST ONE 1582 01:03:16,800 --> 01:03:18,560 ELEMENT OF SOMEONE'S LIFE GOING 1583 01:03:18,560 --> 01:03:21,720 FROM I THINK AROUND 5% TO 7 1/2% 1584 01:03:21,720 --> 01:03:22,480 FROM 2011 TO 2019. 1585 01:03:22,480 --> 01:03:24,920 SO THIS IS NOT GETTING BETTER. 1586 01:03:24,920 --> 01:03:26,840 IT'S SOMETHING WE STILL 1587 01:03:26,840 --> 01:03:28,200 OBVIOUSLY NEED ADDRESS AND NEED 1588 01:03:28,200 --> 01:03:31,800 TO FIND BETTER TREATMENTS FOR. 1589 01:03:31,800 --> 01:03:32,760 NEXT SLIDE. 1590 01:03:32,760 --> 01:03:34,960 SO, WHERE ARE WE IN 2023 WITH 1591 01:03:34,960 --> 01:03:38,240 THE HEAL INITIATIVE? 1592 01:03:38,240 --> 01:03:40,120 SINCE 2018 OVER $2.5 BILLION 1593 01:03:40,120 --> 01:03:41,680 HAVE BEEN AWARDED IN RESEARCH 1594 01:03:41,680 --> 01:03:43,720 PROJECTS AS PART OF THIS 1595 01:03:43,720 --> 01:03:45,600 PROGRAM. 1596 01:03:45,600 --> 01:03:47,720 OVER A THOUSAND RESEARCH 1597 01:03:47,720 --> 01:03:49,120 PROJECTS WITH 42 SPECIFIC 1598 01:03:49,120 --> 01:03:50,240 PROGRAMS AND PROJECTS ACROSS 1599 01:03:50,240 --> 01:03:54,800 EVERY STATE IN THE U.S. 1600 01:03:54,800 --> 01:03:57,800 THERE ARE 314 CLINICAL TRIALS 1601 01:03:57,800 --> 01:03:59,080 UNDERWAY ON ADDICTION SIDE, 1602 01:03:59,080 --> 01:04:00,280 OVERDOSE PREVENTION SIDE AS WELL 1603 01:04:00,280 --> 01:04:01,160 AS PAIN SIDE. 1604 01:04:01,160 --> 01:04:02,920 YOU CAN SEE WE HAVE OVER 100 1605 01:04:02,920 --> 01:04:08,160 PROJECTS ON BACK PAIN ALONE. 1606 01:04:08,160 --> 01:04:09,160 OVER 200 PROJECTS ADDRESSING 1607 01:04:09,160 --> 01:04:11,320 MEDICATIONS FOR OPIOID USE 1608 01:04:11,320 --> 01:04:11,720 DISORDER. 1609 01:04:11,720 --> 01:04:13,720 THE EXCITING THING IS THAT WE'RE 1610 01:04:13,720 --> 01:04:17,120 SEEING NEW COMPOUNDS MOVING 1611 01:04:17,120 --> 01:04:19,360 THROUGH THIS PROGRAM, 41 FDA 1612 01:04:19,360 --> 01:04:20,320 SUBMISSIONS FOR CLINICAL TESTING 1613 01:04:20,320 --> 01:04:22,760 OF NEW DRUGS OR DEVICES, THINGS 1614 01:04:22,760 --> 01:04:24,800 ARE MOVING THROUGH THE PIPELINE, 1615 01:04:24,800 --> 01:04:26,000 WE'RE STARTING TO SEE THINGS, 1616 01:04:26,000 --> 01:04:28,760 YOU'LL GET A TREAT TODAY, YOU'LL 1617 01:04:28,760 --> 01:04:30,040 HEAR PREVIEW OF SOME RESULTS OF 1618 01:04:30,040 --> 01:04:32,240 ONE OF THE TRIALS THAT'S 1619 01:04:32,240 --> 01:04:34,240 ACTUALLY BEEN COMPLETED AS ONE 1620 01:04:34,240 --> 01:04:35,240 OF THE EARLY STUDIES AS PART OF 1621 01:04:35,240 --> 01:04:37,920 THE PROGRAM. 1622 01:04:37,920 --> 01:04:38,680 NEXT SLIDE. 1623 01:04:38,680 --> 01:04:40,680 SO, WE TALK A LOT NOW WITHIN THE 1624 01:04:40,680 --> 01:04:42,680 "HEAL" PROGRAM ABOUT SORT OF THE 1625 01:04:42,680 --> 01:04:44,400 CROSS-CUTTING NATURE OF MANY 1626 01:04:44,400 --> 01:04:47,920 PROGRAMS, AND IN TRYING TO WORK 1627 01:04:47,920 --> 01:04:50,560 ACROSS EVEN BOTH OUD AND PAIN 1628 01:04:50,560 --> 01:04:51,640 SIDE TOGETHER, BECAUSE MANY 1629 01:04:51,640 --> 01:04:53,520 PATIENTS WHO HAVE PAIN MAY BE AT 1630 01:04:53,520 --> 01:04:55,360 RISK FOR OPIOID USE DISORDER OR 1631 01:04:55,360 --> 01:04:56,480 OTHER ADDICTION ISSUES AS WELL 1632 01:04:56,480 --> 01:04:58,400 AS PEOPLE WITH SUBSTANCE USE 1633 01:04:58,400 --> 01:04:59,560 DISORDERS OFTEN HAVE CHRONIC 1634 01:04:59,560 --> 01:05:00,280 PAIN CONDITIONS. 1635 01:05:00,280 --> 01:05:02,480 AND SO LOOKING AT THAT OVERLAP 1636 01:05:02,480 --> 01:05:05,360 IS SOMETHING WE'RE SEEING A LOT. 1637 01:05:05,360 --> 01:05:07,440 YOU'RE STARTING TO SEE DR. 1638 01:05:07,440 --> 01:05:08,120 LANGEVIN'S LANGUAGE, MANY 1639 01:05:08,120 --> 01:05:10,160 PLACES, SEE IT HERE ON THE FOCUS 1640 01:05:10,160 --> 01:05:14,080 ON WHOLE PERSON PATIENT OR 1641 01:05:14,080 --> 01:05:14,880 PERSON-CENTRIC RESEARCH LOOKING 1642 01:05:14,880 --> 01:05:16,880 AT HEALTH SYSTEM CHALLENGES, 1643 01:05:16,880 --> 01:05:19,040 LOOKING AT INEQUITIES, WE HAVE 1644 01:05:19,040 --> 01:05:21,880 SOME EXCITING PROGRAMS LAUNCHING 1645 01:05:21,880 --> 01:05:22,960 IN THAT AREA. 1646 01:05:22,960 --> 01:05:24,800 A BIG FAMILY SIS IN THE PROGRAM 1647 01:05:24,800 --> 01:05:28,120 IS DOING A LOT OF COMMUNITY 1648 01:05:28,120 --> 01:05:30,240 ENGAGEMENT, PATIENT ENGAGEMENT. 1649 01:05:30,240 --> 01:05:31,720 THEY HAVE A COMMUNITY ENGAGEMENT 1650 01:05:31,720 --> 01:05:34,000 GROUP THEY WORK WITH AND THAT 1651 01:05:34,000 --> 01:05:35,440 PROVIDES FEEDBACK TO "HEAL" AND 1652 01:05:35,440 --> 01:05:37,200 WHICH DIRECTIONS IT SHOULD GO. 1653 01:05:37,200 --> 01:05:39,360 BUT IT'S STILL -- WE'RE STILL 1654 01:05:39,360 --> 01:05:43,640 NIH, STILL RESEARCH FOCUSED, 1655 01:05:43,640 --> 01:05:47,920 LOOKING AT BIOLOGY OF PAIN AND 1656 01:05:47,920 --> 01:05:49,160 MECHANISMS, IDENTIFYING TARGETS, 1657 01:05:49,160 --> 01:05:50,240 THERAPEUTIC TARGETS FOR 1658 01:05:50,240 --> 01:05:50,760 TREATMENT. 1659 01:05:50,760 --> 01:05:51,200 NEXT SLIDE. 1660 01:05:51,200 --> 01:05:54,600 SO, THIS IS THE GRAPHIC THAT DR. 1661 01:05:54,600 --> 01:05:55,600 KOROSHETZ SHOWS FOR LIKE ALMOST 1662 01:05:55,600 --> 01:05:57,120 EVERYTHING THAT WE'RE DOING ON 1663 01:05:57,120 --> 01:05:59,960 THE PAIN SIDE WITHIN "HEAL." 1664 01:05:59,960 --> 01:06:02,480 I'M FOCUSING ON MORE OF THE 1665 01:06:02,480 --> 01:06:04,760 RIGHT SIDE OF THE SLIDE TODAY, 1666 01:06:04,760 --> 01:06:08,120 AS I SAID IN FUTURE MEN 1667 01:06:08,120 --> 01:06:10,240 PRESENTATION YOU'LL HEAR ABOUT 1668 01:06:10,240 --> 01:06:18,240 THE LEFT SIDE, BASIC AND 1669 01:06:18,240 --> 01:06:18,640 MECHANISTIC SIDE. 1670 01:06:18,640 --> 01:06:21,440 WE'VE BEEN ABLE TO FILL IN GAPS 1671 01:06:21,440 --> 01:06:23,600 AND FILL IN AREAS RELATED TO 1672 01:06:23,600 --> 01:06:26,240 PAIN RESEARCH AND IMPROVING 1673 01:06:26,240 --> 01:06:27,320 ENHANCEMENT OR ENHANCED PAIN 1674 01:06:27,320 --> 01:06:28,320 MANAGEMENT. 1675 01:06:28,320 --> 01:06:30,200 SO ON THE FAR RIGHT SIDE, 1676 01:06:30,200 --> 01:06:34,880 TOWARDS THE BOTTOM, WE'LL TALK 1677 01:06:34,880 --> 01:06:37,280 ABOUT SEVERAL PROGRAMS, I'LL 1678 01:06:37,280 --> 01:06:40,600 DEFINE THE ACRONYMS, ERN 1679 01:06:40,600 --> 01:06:43,280 PROGRAM, PRISM PROGRAM, HEALTH 1680 01:06:43,280 --> 01:06:48,440 EQUITIES PROGRAM, AND PETE IS 1681 01:06:48,440 --> 01:06:50,000 GOING TO COVER IMPOWR, AND WE 1682 01:06:50,000 --> 01:06:52,280 HAVE A LOT OF RESEARCH IN OUR 1683 01:06:52,280 --> 01:06:54,880 PAIN PORTFOLIO THAT IS WHY WE'RE 1684 01:06:54,880 --> 01:06:58,240 FOCUSED ON MANY OF THOSE. 1685 01:06:58,240 --> 01:06:59,520 NEXT SLIDE. 1686 01:06:59,520 --> 01:07:00,720 PRISM, PRAGMATIC AND 1687 01:07:00,720 --> 01:07:01,800 IMPLEMENTATION STUDIES FOR 1688 01:07:01,800 --> 01:07:04,400 MANAGEMENT OF PAIN TO REDUCE 1689 01:07:04,400 --> 01:07:05,600 OPIOID PRESCRIBING. 1690 01:07:05,600 --> 01:07:08,480 SO PRISM IS OUR SHORT HAND FOR 1691 01:07:08,480 --> 01:07:08,800 THAT. 1692 01:07:08,800 --> 01:07:10,760 NEXT SLIDE. 1693 01:07:10,760 --> 01:07:13,280 THE GOAL HERE WAS TO -- HOW DO 1694 01:07:13,280 --> 01:07:14,160 WE TAKE EVIDENCE-BASED 1695 01:07:14,160 --> 01:07:17,000 INTERVENTIONS THAT WE KNOW WORK 1696 01:07:17,000 --> 01:07:19,080 FOR PAIN CONDITIONS AND ACTUALLY 1697 01:07:19,080 --> 01:07:22,680 GET THEM INTO THE HEALTH CARE 1698 01:07:22,680 --> 01:07:24,640 SETTING. 1699 01:07:24,640 --> 01:07:25,680 NCCIH PROPOSED THIS TOPIC, AND 1700 01:07:25,680 --> 01:07:28,360 DAVID AND I WORKED HARD IN 2018 1701 01:07:28,360 --> 01:07:30,880 AND 2019 TO PUSH THIS TOPIC 1702 01:07:30,880 --> 01:07:31,880 THROUGH THE "HEAL" LEADERSHIP 1703 01:07:31,880 --> 01:07:35,920 AND MAKE THIS ONE HAPPEN. 1704 01:07:35,920 --> 01:07:39,440 WE LEVERAGED AN ONGOING PROGRAM 1705 01:07:39,440 --> 01:07:41,560 YOU HEARD ABOUT, PRAGMATIC 1706 01:07:41,560 --> 01:07:42,600 TRIALS COLLABORATORY, PREVIOUSLY 1707 01:07:42,600 --> 01:07:44,160 HEALTH CARE SYSTEMS RESEARCH 1708 01:07:44,160 --> 01:07:46,320 COLLABORATORY FIGURING OUT HOW 1709 01:07:46,320 --> 01:07:47,400 DO YOU EMBED CLINICAL RESEARCH 1710 01:07:47,400 --> 01:07:49,720 INTO THE HEALTH CARE SETTING AND 1711 01:07:49,720 --> 01:07:53,360 GET THESE INTERVENTIONS INTO THE 1712 01:07:53,360 --> 01:07:55,200 CLINICAL, WHERE PATIENTS ARE AND 1713 01:07:55,200 --> 01:07:56,280 HAVE PATIENTS RECEIVING THEIR 1714 01:07:56,280 --> 01:07:58,160 REGULAR HEALTH CARE HAVE ACCESS 1715 01:07:58,160 --> 01:07:58,880 TO THESE INTERVENTIONS. 1716 01:07:58,880 --> 01:08:04,920 AND SO THE GOAL HERE IS DOING 1717 01:08:04,920 --> 01:08:06,720 LARGE SCALE FULLY POWERED TRIALS 1718 01:08:06,720 --> 01:08:08,440 OR STUDIES TO IMPROVE PAIN 1719 01:08:08,440 --> 01:08:09,120 MANAGEMENT. 1720 01:08:09,120 --> 01:08:10,880 AS I SAID, REALLY EMBEDDING THIS 1721 01:08:10,880 --> 01:08:13,800 INTO THAT REAL WORLD SETTING. 1722 01:08:13,800 --> 01:08:14,280 NEXT SLIDE. 1723 01:08:14,280 --> 01:08:16,360 SO WE HAVE A COORDINATING CENTER 1724 01:08:16,360 --> 01:08:17,760 THAT HELPS SUPPORT THE PROJECTS 1725 01:08:17,760 --> 01:08:21,920 AND THEY GO THROUGH THIS PHASED 1726 01:08:21,920 --> 01:08:23,440 AWARD MECHANISM, CALLED A 1727 01:08:23,440 --> 01:08:25,640 UG3/UH3, ONE YEAR OF PLANNING, 1728 01:08:25,640 --> 01:08:27,640 FOUR YEARS TO CONDUCT THE TRIAL. 1729 01:08:27,640 --> 01:08:29,480 IN THAT PLANNING PHASE THEY WORK 1730 01:08:29,480 --> 01:08:30,240 WITH THIS COORDINATING CENTER, 1731 01:08:30,240 --> 01:08:32,040 I'LL SHOW YOU A COUPLE EXAMPLES 1732 01:08:32,040 --> 01:08:33,960 OF SOME WORK GROUPS THEY WORK 1733 01:08:33,960 --> 01:08:35,080 WITH THAT REALLY HELP THEM MAKE 1734 01:08:35,080 --> 01:08:36,800 SURE THEY ARE READY TO GO AND 1735 01:08:36,800 --> 01:08:38,920 LAUNCH ONCE THEY GET TO THE 1736 01:08:38,920 --> 01:08:40,120 LAUNCH PHASE. 1737 01:08:40,120 --> 01:08:41,840 THIS PROGRAM DOES NOT PROVIDE 1738 01:08:41,840 --> 01:08:42,640 DATA COORDINATION SUPPORT, MOST 1739 01:08:42,640 --> 01:08:44,800 OF THE DATA COMES FROM THE 1740 01:08:44,800 --> 01:08:46,200 ELECTRONIC HEALTH RECORDS. 1741 01:08:46,200 --> 01:08:47,440 AND WE COULDN'T FIGURE OUT HOW 1742 01:08:47,440 --> 01:08:48,560 TO HAVE A DATA COORDINATING 1743 01:08:48,560 --> 01:08:50,600 CENTER HAVE AC LESS TO 1744 01:08:50,600 --> 01:08:52,800 ELECTRONIC HEALTH RECORDS SO WE 1745 01:08:52,800 --> 01:08:54,400 KEPT THAT IN THE HEALTH CARE 1746 01:08:54,400 --> 01:08:56,280 SYSTEMS AND EACH PROGRAM HAS 1747 01:08:56,280 --> 01:08:57,600 THEIR DATA COORDINATION 1748 01:08:57,600 --> 01:08:58,080 ACTIVITIES. 1749 01:08:58,080 --> 01:08:58,680 NEXT SLIDE. 1750 01:08:58,680 --> 01:09:00,640 SO WE HAVE THIS SET OF PROJECTS 1751 01:09:00,640 --> 01:09:02,840 THAT WORK WITH DIFFERENT CORE 1752 01:09:02,840 --> 01:09:05,360 WORKING GROUPS, PARTICIPATE IN 1753 01:09:05,360 --> 01:09:08,080 STEERING COMMITTEE MEETINGS, 1754 01:09:08,080 --> 01:09:08,680 TELECONFERENCES, PARTNERING 1755 01:09:08,680 --> 01:09:09,560 ORGANIZATIONS, BUT COORDINATING 1756 01:09:09,560 --> 01:09:10,960 CENTER TAKES THOSE LESSONS AND 1757 01:09:10,960 --> 01:09:12,720 WHAT THEY ARE LEARNING ACROSS 1758 01:09:12,720 --> 01:09:15,760 THE PROJECTS, THEY HAVE A LIVING 1759 01:09:15,760 --> 01:09:17,120 TEXT BOOK OF PRAGMATIC RESEARCH 1760 01:09:17,120 --> 01:09:18,720 IN HEALTH CARE SYSTEMS, DO A 1761 01:09:18,720 --> 01:09:19,840 WEEKLY GRAND ROUNDS WHICH THEY 1762 01:09:19,840 --> 01:09:21,360 HAVE BEEN DOING FOR TEN YEARS 1763 01:09:21,360 --> 01:09:24,680 NOW AND SO THEY ARE ARCHIVED, 1764 01:09:24,680 --> 01:09:26,400 HUNDREDS OF GRAND ROUNDS ARE 1765 01:09:26,400 --> 01:09:28,800 AVAILABLE, ANYONE CAN SIGN UP TO 1766 01:09:28,800 --> 01:09:29,680 LISTEN TO THOSE. 1767 01:09:29,680 --> 01:09:32,080 AND THEY HAVE PUBLISHED JUST 1768 01:09:32,080 --> 01:09:33,640 EXTENSIVELY, GUIDANCE DOCUMENTS, 1769 01:09:33,640 --> 01:09:34,960 WHITE PAPERS, BEST PRACTICES, 1770 01:09:34,960 --> 01:09:36,680 ALL OF THAT INFORMATION TO GET 1771 01:09:36,680 --> 01:09:37,640 THIS INFORMATION TO OTHERS WHO 1772 01:09:37,640 --> 01:09:41,480 WANT TO DO THIS KIND OF 1773 01:09:41,480 --> 01:09:41,760 RESEARCH. 1774 01:09:41,760 --> 01:09:42,680 NEXT SLIDE. 1775 01:09:42,680 --> 01:09:46,560 EACH OF THE PROJECTS GET SUPPORT 1776 01:09:46,560 --> 01:09:51,280 FROM BIOSTATISTICS AND STUDY 1777 01:09:51,280 --> 01:09:56,520 DESIGNS , A TEAM LOOKS AT EVERY 1778 01:09:56,520 --> 01:09:58,720 PLAN TO TWEAK AND INCREASE 1779 01:09:58,720 --> 01:10:01,000 POWER, USE NEW NOVEL METHOD OR 1780 01:10:01,000 --> 01:10:04,600 SOMETHING, AND THE GROUP CREATED 1781 01:10:04,600 --> 01:10:06,680 NEW METHODS AND VALIDATED NEW 1782 01:10:06,680 --> 01:10:07,920 STATISTICAL METHODS FOR 1783 01:10:07,920 --> 01:10:09,440 RANDOMIZATION AND OTHER THINGS. 1784 01:10:09,440 --> 01:10:10,640 I MENTIONED THEY USE ELECTRONIC 1785 01:10:10,640 --> 01:10:12,160 HEALTH RECORDS, THAT'S NOT 1786 01:10:12,160 --> 01:10:13,480 ALWAYS EASY. 1787 01:10:13,480 --> 01:10:15,800 WE HAVE TECHNICAL SUPPORT FOR 1788 01:10:15,800 --> 01:10:18,080 THAT AS WELL AS HOW TO KEEP 1789 01:10:18,080 --> 01:10:21,600 INTERACTION WAS YOUR HEALTH CARE 1790 01:10:21,600 --> 01:10:22,160 SYSTEMS. 1791 01:10:22,160 --> 01:10:24,560 ETHICS AND REGULATORY ISSUES ARE 1792 01:10:24,560 --> 01:10:26,440 INTERESTING, OFTEN CLUSTER 1793 01:10:26,440 --> 01:10:27,760 RANDOMIZED STUDIES, AND MANY OF 1794 01:10:27,760 --> 01:10:29,200 THOSE CASES THEY DON'T GET 1795 01:10:29,200 --> 01:10:30,720 CONSENT AND HOW DO THEY DOCUMENT 1796 01:10:30,720 --> 01:10:33,360 THAT THEY DON'T NEED THAT, WORK 1797 01:10:33,360 --> 01:10:35,320 THROUGH THEIR IRB AND 1798 01:10:35,320 --> 01:10:35,920 COORDINATING CENTER PROVIDES 1799 01:10:35,920 --> 01:10:37,760 SUPPORT FOR THAT. 1800 01:10:37,760 --> 01:10:38,640 NEXT SLIDE. 1801 01:10:38,640 --> 01:10:40,720 SO THESE ARE SIX TRIALS 1802 01:10:40,720 --> 01:10:41,600 SUPPORTED THROUGH THE PRISM 1803 01:10:41,600 --> 01:10:43,320 PROGRAM AT THIS POINT. 1804 01:10:43,320 --> 01:10:45,880 WE'RE HOPING FOR ANOTHER SUITE 1805 01:10:45,880 --> 01:10:48,480 OF THEM TO BE FUNDED LATER THIS 1806 01:10:48,480 --> 01:10:50,160 SUMMER, SO WE'LL HAVE MORE. 1807 01:10:50,160 --> 01:10:54,280 YOU'RE GOING TO HEAR FROM DR. 1808 01:10:54,280 --> 01:10:57,800 MORONE ABOUT THE OPTIMUM STUDY 1809 01:10:57,800 --> 01:11:01,120 TREATMENT OF LOW BACK PAIN USING 1810 01:11:01,120 --> 01:11:02,080 VIRTUAL GROUP DELIVERED 1811 01:11:02,080 --> 01:11:03,080 MINDFULNESS BASED STRESS 1812 01:11:03,080 --> 01:11:05,040 REDUCTION PROGRAM THAT IS IN 1813 01:11:05,040 --> 01:11:07,120 PRIMARY CARE AND SET UP AS A 1814 01:11:07,120 --> 01:11:08,640 GROUP MEDICAL VISIT. 1815 01:11:08,640 --> 01:11:10,960 SO THERE'S A WAY TO BILL 1816 01:11:10,960 --> 01:11:13,680 INSURANCE AND ACTUALLY HAVE THIS 1817 01:11:13,680 --> 01:11:14,760 BE A SUSTAINABLE PROGRAM HEALTH 1818 01:11:14,760 --> 01:11:16,200 CARE SYSTEMS COULD CONTINUE IN 1819 01:11:16,200 --> 01:11:17,720 THE FUTURE. 1820 01:11:17,720 --> 01:11:21,480 SHE WILL TELL YOU ABOUT HER 1821 01:11:21,480 --> 01:11:23,040 PROJECT AND AMAZING COMMUNITY 1822 01:11:23,040 --> 01:11:23,720 ENGAGEMENT ACTIVITIES THAT THEY 1823 01:11:23,720 --> 01:11:27,000 HAVE BEEN ABLE TO DO AS PART OF 1824 01:11:27,000 --> 01:11:27,480 THAT. 1825 01:11:27,480 --> 01:11:31,600 I'VE BOLDED THE ONES HERE, THAT 1826 01:11:31,600 --> 01:11:33,160 ARE BEING OVERSEEN BY NCCIH 1827 01:11:33,160 --> 01:11:33,360 STAFF. 1828 01:11:33,360 --> 01:11:36,720 WE HAVE MADE ALL OF THOSE 1829 01:11:36,720 --> 01:11:37,600 AWARDS. 1830 01:11:37,600 --> 01:11:38,800 WE OVERSEE THIS ENTIRE PROGRAM, 1831 01:11:38,800 --> 01:11:39,840 SET OF GRANTS. 1832 01:11:39,840 --> 01:11:41,800 SOME ARE WITH OTHER INSTITUTES 1833 01:11:41,800 --> 01:11:43,400 AND CENTERS, BUT WE OVERSEE AND 1834 01:11:43,400 --> 01:11:44,200 WORK WITH THE COORDINATING 1835 01:11:44,200 --> 01:11:46,240 CENTER AS WELL AS ALL OF THE 1836 01:11:46,240 --> 01:11:47,040 DIFFERENT INDIVIDUAL PROJECTS 1837 01:11:47,040 --> 01:11:50,080 BUT REALLY ALL OF THESE ALMOST 1838 01:11:50,080 --> 01:11:51,280 ARE LOOKING AT NON-PHARMACOLOGIC 1839 01:11:51,280 --> 01:11:56,880 APPROACHES TO PAIN MANAGEMENT 1840 01:11:56,880 --> 01:12:03,680 AND RELEVANT TO NCCIH. 1841 01:12:03,680 --> 01:12:04,480 EFFECTIVENESS RESEARCH NETWORK, 1842 01:12:04,480 --> 01:12:06,720 ERN, THE GOAL TO DO MULTI-SITE 1843 01:12:06,720 --> 01:12:09,480 EFFECTIVENESS TRIALS AND TRY TO 1844 01:12:09,480 --> 01:12:10,240 GET COMPARATIVE EFFECTIVENESS, 1845 01:12:10,240 --> 01:12:11,440 HOW DOES THIS PAIN TREATMENT 1846 01:12:11,440 --> 01:12:13,000 COMPARE TO THIS PAIN TREATMENT 1847 01:12:13,000 --> 01:12:15,280 AND SEE WHICH ONE DO PAIN 1848 01:12:15,280 --> 01:12:17,360 PATIENTS DO BETTER WITH. 1849 01:12:17,360 --> 01:12:20,000 THEY ARE LEVERAGING INVERSE 1850 01:12:20,000 --> 01:12:21,400 STRUCTURE AS WELL, CTSA PROGRAM. 1851 01:12:21,400 --> 01:12:25,440 THEY HAVE A TRIALS INNOVATION 1852 01:12:25,440 --> 01:12:26,880 NETWORK THAT HELPS WITH 1853 01:12:26,880 --> 01:12:28,200 RECRUITMENT AND OTHER THINGS. 1854 01:12:28,200 --> 01:12:30,160 THOSE TRIALS HAVE ACCESS TO ALL 1855 01:12:30,160 --> 01:12:32,120 OF THOSE RESOURCES AND HELP TO 1856 01:12:32,120 --> 01:12:36,280 HELP THEM LAUNCH THEIR TRIALS. 1857 01:12:36,280 --> 01:12:36,840 NEXT SLIDE. 1858 01:12:36,840 --> 01:12:38,240 THIS ISN'T THE FULL LIST OF 1859 01:12:38,240 --> 01:12:38,480 TRIALS. 1860 01:12:38,480 --> 01:12:41,760 THESE ARE WHAT I THOUGHT WERE 1861 01:12:41,760 --> 01:12:44,760 MOST RELEVANT IN TERMS OF BEING 1862 01:12:44,760 --> 01:12:47,880 NON-PHARMACOLOGIC OR A 1863 01:12:47,880 --> 01:12:48,200 COMBINATION. 1864 01:12:48,200 --> 01:12:49,400 SEQUENCING, SHOULD YOU START 1865 01:12:49,400 --> 01:12:54,240 WITH CBT AND GO TO MEDICATION, 1866 01:12:54,240 --> 01:12:55,680 MAYBE ABLATION, NERVE BLOCK, 1867 01:12:55,680 --> 01:12:58,240 REALLY INTERESTING COMPLEX STUDY 1868 01:12:58,240 --> 01:13:01,720 DESIGN FOR KNEE OSTEOARTHRITIS. 1869 01:13:01,720 --> 01:13:03,680 THE VOWLES APPLICATION, WE'RE 1870 01:13:03,680 --> 01:13:04,880 PROVIDING PROJECT SCIENTISTS, 1871 01:13:04,880 --> 01:13:06,720 DR. MUDD IS PARTICIPATING IN 1872 01:13:06,720 --> 01:13:07,640 THIS ACTIVITY. 1873 01:13:07,640 --> 01:13:10,680 AND WE FUNDED AN R34 FOR 1874 01:13:10,680 --> 01:13:12,880 PRELIMINARY WORK WHICH LED TO 1875 01:13:12,880 --> 01:13:14,960 HIM BEING ABLE TO COMPETE 1876 01:13:14,960 --> 01:13:16,680 SUCCESSFULLY FOR THIS ERN TRIAL. 1877 01:13:16,680 --> 01:13:18,440 BUT MANY OF THESE INTERVENTIONS 1878 01:13:18,440 --> 01:13:20,960 ALSO ARE VERY RELEVANT TO OUR 1879 01:13:20,960 --> 01:13:22,280 MISSION AS WELL AND SO THIS 1880 01:13:22,280 --> 01:13:24,880 GIVES A SENSE OF WE'RE WORKING 1881 01:13:24,880 --> 01:13:28,200 WITH ONE SPECIFICALLY, MANY 1882 01:13:28,200 --> 01:13:30,600 PROJECTS DIRECTLY RELATE TO 1883 01:13:30,600 --> 01:13:31,240 NCCIH'S MISSION. 1884 01:13:31,240 --> 01:13:33,880 I DON'T HAVE TIME TO GO THROUGH 1885 01:13:33,880 --> 01:13:36,400 ALL THIS BUT TRIAL INNOVATION 1886 01:13:36,400 --> 01:13:38,120 NETWORKS PROVIDES ENORMOUS 1887 01:13:38,120 --> 01:13:39,680 AMOUNT OF RESOURCES, TECHNICAL 1888 01:13:39,680 --> 01:13:41,000 SUPPORT, ASSISTANCE TO EACH OF 1889 01:13:41,000 --> 01:13:42,520 THE TRIALS. 1890 01:13:42,520 --> 01:13:44,840 FROM HELPING WRITE PROTOCOLS, 1891 01:13:44,840 --> 01:13:46,040 WITH RECRUITMENT ACTIVITIES, 1892 01:13:46,040 --> 01:13:48,000 STAKEHOLDER ENGAGEMENT PANEL 1893 01:13:48,000 --> 01:13:50,240 THAT THEY HELP THEM DEVELOP, 1894 01:13:50,240 --> 01:13:51,840 WHAT MATTERS MOST TO THE 1895 01:13:51,840 --> 01:13:52,480 PATIENTS WITH THEIR CONDITION, 1896 01:13:52,480 --> 01:13:54,680 IN TERMS OF WHAT SHOULD BE 1897 01:13:54,680 --> 01:13:56,320 MEASURED AND WHAT SHOULD BE 1898 01:13:56,320 --> 01:13:56,600 COLLECTED. 1899 01:13:56,600 --> 01:13:58,000 AND IT GOES ON AND ON. 1900 01:13:58,000 --> 01:13:59,400 THE AMOUNT OF RESOURCES PROVIDED 1901 01:13:59,400 --> 01:14:01,040 TO THESE TRIALS, IT'S REALLY 1902 01:14:01,040 --> 01:14:01,880 JUST PHENOMENAL. 1903 01:14:01,880 --> 01:14:04,080 THEY DO THE DATA COORDINATION SO 1904 01:14:04,080 --> 01:14:05,600 THEY BUILD THE DATABASE, THE 1905 01:14:05,600 --> 01:14:06,560 DATA QUALITY CONTROL, ALL OF 1906 01:14:06,560 --> 01:14:08,720 THAT FOR ALL OF THESE STUDIES AS 1907 01:14:08,720 --> 01:14:11,880 PART OF THE SUPPORT THAT THIS 1908 01:14:11,880 --> 01:14:12,960 NETWORK PROVIDES. 1909 01:14:12,960 --> 01:14:13,720 NEXT SLIDE. 1910 01:14:13,720 --> 01:14:15,360 TWO LAST SLIDES AND I'LL TURN 1911 01:14:15,360 --> 01:14:17,320 OVER TO DR. MURRAY SO HE CAN 1912 01:14:17,320 --> 01:14:21,160 MAKE HIS WAY UP HERE. 1913 01:14:21,160 --> 01:14:23,360 SO, THERE'S A SET OF PROJECTS WE 1914 01:14:23,360 --> 01:14:25,200 FUNDED AS PART OF THE HEAL 1915 01:14:25,200 --> 01:14:26,120 INITIATIVE TO REALLY ADVANCE 1916 01:14:26,120 --> 01:14:27,600 HEALTH EQUITY WHEN IT COMES TO 1917 01:14:27,600 --> 01:14:28,280 PAIN MANAGEMENT. 1918 01:14:28,280 --> 01:14:29,600 WE KNOW THERE ARE HUGE 1919 01:14:29,600 --> 01:14:32,800 DISPARITIES WHEN IT COMES TO 1920 01:14:32,800 --> 01:14:34,000 PAIN MANAGEMENT, WHO GETS ACCESS 1921 01:14:34,000 --> 01:14:37,600 TO DIFFERENT TYPES OF SERVICES, 1922 01:14:37,600 --> 01:14:39,200 WHO JUST EVEN WHETHER PEOPLE ARE 1923 01:14:39,200 --> 01:14:42,960 BELIEVED IN HOW MUCH PAIN THEY 1924 01:14:42,960 --> 01:14:43,800 HAVE, VERY STRIKING STATISTICS 1925 01:14:43,800 --> 01:14:45,920 ABOUT THE KIND OF CARE PEOPLE 1926 01:14:45,920 --> 01:14:47,520 RECEIVE WHEN THEY WALK INTO THE 1927 01:14:47,520 --> 01:14:48,600 EMERGENCY DEPARTMENT, FOR 1928 01:14:48,600 --> 01:14:50,480 EXAMPLE, EVEN WITH A BROKEN 1929 01:14:50,480 --> 01:14:51,040 BONE. 1930 01:14:51,040 --> 01:14:53,360 IT'S PHENOMENAL THE DIFFERENCES 1931 01:14:53,360 --> 01:14:54,880 IN CARE PEOPLE RECEIVE. 1932 01:14:54,880 --> 01:14:56,720 WE HAVE TWO PROJECTS THAT WE'RE 1933 01:14:56,720 --> 01:15:00,440 HELPING TO ADMINISTER, ONE IN 1934 01:15:00,440 --> 01:15:03,280 PEDIATRIC SICKLE CELL PAIN, 1935 01:15:03,280 --> 01:15:04,400 MIND-BODY INTERVENTION, 1936 01:15:04,400 --> 01:15:06,040 BEHAVIORAL HEALTH TREATMENT 1937 01:15:06,040 --> 01:15:06,240 TOOL. 1938 01:15:06,240 --> 01:15:08,960 DR. EVANS, WHO WE MENTIONED 1939 01:15:08,960 --> 01:15:10,640 EARLIER, IS ALSO DOING A STUDY 1940 01:15:10,640 --> 01:15:13,560 LOOKING AT BACK AND NECK PAIN 1941 01:15:13,560 --> 01:15:19,840 USING A SELF-MANAGEMENT TRAINING 1942 01:15:19,840 --> 01:15:20,080 PROGRAM. 1943 01:15:20,080 --> 01:15:21,560 INTERESTINGLY THIS TARGETS LOW 1944 01:15:21,560 --> 01:15:22,920 INCOME POPULATIONS AS THEIR 1945 01:15:22,920 --> 01:15:25,400 PRIMARY GROUP THEY ARE LOOKING 1946 01:15:25,400 --> 01:15:25,720 AT. 1947 01:15:25,720 --> 01:15:29,000 I INCLUDED SEVERAL OTHERS 1948 01:15:29,000 --> 01:15:31,240 LOOKING AT GROUP-BASED AND 1949 01:15:31,240 --> 01:15:31,960 ACUPUNCTURE STUDY, INTEGRATIVE 1950 01:15:31,960 --> 01:15:33,160 CARE APPROACH. 1951 01:15:33,160 --> 01:15:33,840 WE'RE NOT SUCCESSFUL GETTING ALL 1952 01:15:33,840 --> 01:15:36,360 TO COME TO US TO ADMINISTER. 1953 01:15:36,360 --> 01:15:38,560 WE TRY REALLY HARD TO GET ALL OF 1954 01:15:38,560 --> 01:15:41,080 THESE ASSIGNED TO US BUT THEY DO 1955 01:15:41,080 --> 01:15:43,040 GET SPREAD OUT ACROSS THE 1956 01:15:43,040 --> 01:15:43,840 DIFFERENT INSTITUTES AND 1957 01:15:43,840 --> 01:15:44,720 CENTERS, SOMETHING "HEAL" TRIES 1958 01:15:44,720 --> 01:15:46,680 TO DO TO GET ENGAGEMENT OF AS 1959 01:15:46,680 --> 01:15:48,080 MANY INSTITUTES AND CENTERS AS 1960 01:15:48,080 --> 01:15:51,160 POSSIBLE AS PART OF THE PROGRAM. 1961 01:15:51,160 --> 01:15:53,000 NEXT SLIDE. 1962 01:15:53,000 --> 01:15:55,200 AND FINALLY, SECONDARY DATA 1963 01:15:55,200 --> 01:15:56,720 ANALYSIS, WE RECOGNIZE THAT 1964 01:15:56,720 --> 01:15:58,800 THERE IS A WEALTH OF EXISTING 1965 01:15:58,800 --> 01:16:00,480 DATA WE COULD LEARN FROM WHEN IT 1966 01:16:00,480 --> 01:16:01,760 COMES TO PAIN MANAGEMENT. 1967 01:16:01,760 --> 01:16:04,840 AND SO I THINK TWICE NOW WE'VE 1968 01:16:04,840 --> 01:16:05,960 ISSUED FUNDING ANNOUNCEMENTS TO 1969 01:16:05,960 --> 01:16:08,880 ENCOURAGE PEOPLE TO LOOK AT THAT 1970 01:16:08,880 --> 01:16:10,720 DATA AND DO SOME HYPOTHESIS 1971 01:16:10,720 --> 01:16:14,800 GENERATION IN SOME OF THAT WORK. 1972 01:16:14,800 --> 01:16:19,360 SO DR. WAGER IS LOOKING AT 1973 01:16:19,360 --> 01:16:20,920 CHRONIC PAIN, CHARACTERIZING 1974 01:16:20,920 --> 01:16:24,400 BRAIN AND GENETIC PATHWAYS 1975 01:16:24,400 --> 01:16:30,000 ACROSS UNDERSTUDIED POPULATIONS. 1976 01:16:30,000 --> 01:16:32,720 DR. SMOLEREN LOOKING AT CRITICAL 1977 01:16:32,720 --> 01:16:34,040 LIMB ISCHEMIA PAIN, WHAT IS 1978 01:16:34,040 --> 01:16:35,240 HAPPENING, HOW IS PAIN BEING 1979 01:16:35,240 --> 01:16:37,640 MANAGED, IS IT BEING MANAGED, 1980 01:16:37,640 --> 01:16:41,600 AND WHAT DIFFERENT PSYCHOLOGICAL 1981 01:16:41,600 --> 01:16:43,000 VARIABLES AND OUTCOMES IN THAT 1982 01:16:43,000 --> 01:16:43,320 POPULATION. 1983 01:16:43,320 --> 01:16:47,400 I GET TO PASS THE BATON TO DR. 1984 01:16:47,400 --> 01:16:54,520 MURRAY AND THEN HE WILL PASS TO 1985 01:16:54,520 --> 01:16:55,560 OUR OTHER SPEAKERS. 1986 01:16:55,560 --> 01:16:56,040 >> OKAY. 1987 01:16:56,040 --> 01:16:56,680 THANKS, WENDY. 1988 01:16:56,680 --> 01:16:59,400 THAT WAS A REALLY GREAT JOB 1989 01:16:59,400 --> 01:17:00,760 ILLUSTRATING THE HISTORY OF THE 1990 01:17:00,760 --> 01:17:05,240 RISE TO OPIOID EPIDEMIC AND THEN 1991 01:17:05,240 --> 01:17:10,160 EXPLAINING THE NEED FOR A 1992 01:17:10,160 --> 01:17:11,920 PROGRAM LIKE "HEAL" AT NCCIH WE 1993 01:17:11,920 --> 01:17:14,640 THINK THERE IS A ROLE THAT 1994 01:17:14,640 --> 01:17:16,200 COMPLEMENTARY INTEGRATIVE HEALTH 1995 01:17:16,200 --> 01:17:18,600 APPROACHES CAN PLAY IN DEALING 1996 01:17:18,600 --> 01:17:22,240 WITH PAIN, IN DEALING WITH 1997 01:17:22,240 --> 01:17:23,520 OPIOID USE DISORDER, AND SO 1998 01:17:23,520 --> 01:17:26,040 WE'RE DOING WHAT WE CAN TO 1999 01:17:26,040 --> 01:17:28,120 LEVERAGE THE "HEAL" PROGRAM AND 2000 01:17:28,120 --> 01:17:32,640 MAKE SURE THAT COMPLEMENTARY 2001 01:17:32,640 --> 01:17:34,280 INTEGRATIVE APPROACHES PLAY A 2002 01:17:34,280 --> 01:17:38,200 ROLE IN THIS PROGRAM. 2003 01:17:38,200 --> 01:17:39,720 NEXT SLIDE PLEAT. 2004 01:17:39,720 --> 01:17:42,240 I'M SORRY. 2005 01:17:42,240 --> 01:17:43,440 PREVIOUS SLIDE. 2006 01:17:43,440 --> 01:17:46,600 I'M GOING TO TALK RIGHT NOW 2007 01:17:46,600 --> 01:17:49,680 ABOUT THE BRIM PROGRAM THAT DR. 2008 01:17:49,680 --> 01:17:51,400 LANGEVIN MENTIONED EARLIER. 2009 01:17:51,400 --> 01:17:53,960 SO BEHAVIORAL RESEARCH TO 2010 01:17:53,960 --> 01:17:54,680 IMPROVE MEDICATION-ASSISTED 2011 01:17:54,680 --> 01:17:58,120 TREATMENT FOR OPIOID USE 2012 01:17:58,120 --> 01:17:58,480 DISORDERS. 2013 01:17:58,480 --> 01:18:02,040 NEXT SLIDE PLEASE. 2014 01:18:02,040 --> 01:18:03,800 SO, THE GOOD NEWS IS THERE ARE 2015 01:18:03,800 --> 01:18:05,000 MEDICATIONS THAT HAVE BEEN SHOWN 2016 01:18:05,000 --> 01:18:08,640 TO BE SAFE AND EFFECTIVE FOR 2017 01:18:08,640 --> 01:18:10,560 TREATING OPIOID USE DISORDER. 2018 01:18:10,560 --> 01:18:12,720 THE BAD NEWS IS THAT FOR MANY 2019 01:18:12,720 --> 01:18:14,600 PEOPLE WHO NEED THEM, THEY ARE 2020 01:18:14,600 --> 01:18:15,280 NOT AVAILABLE. 2021 01:18:15,280 --> 01:18:19,400 FOR A LOT OF PEOPLE WHO RECEIVE 2022 01:18:19,400 --> 01:18:21,720 THESE MEDICATIONS, ADHERENCE IS 2023 01:18:21,720 --> 01:18:23,160 A MAJOR CHALLENGE, WHERE 50% 2024 01:18:23,160 --> 01:18:25,880 HAVE DROPPED OUT OF THE 2025 01:18:25,880 --> 01:18:30,120 TREATMENT PROGRAMS AT SIX 2026 01:18:30,120 --> 01:18:30,360 MONTHS. 2027 01:18:30,360 --> 01:18:32,640 ANOTHER COMPLICATION IS THAT NOT 2028 01:18:32,640 --> 01:18:34,720 ALL SIZE -- ONE SIZE DOESN'T FIT 2029 01:18:34,720 --> 01:18:35,080 ALL. 2030 01:18:35,080 --> 01:18:36,920 THE TIMING OF THE TREATMENT 2031 01:18:36,920 --> 01:18:39,120 VARIES FOR SOME INDIVIDUALS, 2032 01:18:39,120 --> 01:18:40,520 LONGER DURATION INCLUDING YEARS 2033 01:18:40,520 --> 01:18:44,160 MIGHT BE NECESSARY TO PREVENT 2034 01:18:44,160 --> 01:18:44,600 RELAPSE. 2035 01:18:44,600 --> 01:18:48,960 SO, WE REALLY THINK FOR THE BRIM 2036 01:18:48,960 --> 01:18:49,760 PROGRAM TARGETING THAT ADHERENCE 2037 01:18:49,760 --> 01:18:53,360 ASPECT MIGHT BE THE BEST WAY TO 2038 01:18:53,360 --> 01:18:56,200 IMPROVE LONG-TERM OUTCOMES FOR 2039 01:18:56,200 --> 01:18:57,080 PEOPLE ENGAGED IN MEDICATION 2040 01:18:57,080 --> 01:18:59,720 TREATMENT FOR OPIOID USE 2041 01:18:59,720 --> 01:19:00,120 DISORDER. 2042 01:19:00,120 --> 01:19:01,440 NEXT SLIDE PLEASE. 2043 01:19:01,440 --> 01:19:03,920 I'M GOING TO TALK A LITTLE BIT 2044 01:19:03,920 --> 01:19:05,720 ABOUT ADHERENCE DOMAINS AND 2045 01:19:05,720 --> 01:19:08,800 NATURE OF ADHERENCE IN GENERAL. 2046 01:19:08,800 --> 01:19:12,400 ADHERENCE IS COMPLEX AND 2047 01:19:12,400 --> 01:19:12,920 MULTI-FACTORIAL. 2048 01:19:12,920 --> 01:19:14,040 BEHAVIORS CHANGE OVER TIME. 2049 01:19:14,040 --> 01:19:15,240 THEY ARE NOT STATIC. 2050 01:19:15,240 --> 01:19:18,520 AND OF COURSE POOR ADHERENCE IS 2051 01:19:18,520 --> 01:19:20,360 NOT LIMITED TO JUST MEDICAL 2052 01:19:20,360 --> 01:19:21,800 TREATMENT OF OPIOID USE 2053 01:19:21,800 --> 01:19:22,080 DISORDER. 2054 01:19:22,080 --> 01:19:24,360 SO, YOU KNOW, ARE THERE LESSONS 2055 01:19:24,360 --> 01:19:27,200 THAT CAN BE LEARNED IN ADHERENCE 2056 01:19:27,200 --> 01:19:29,040 CHALLENGES OUTSIDE OF MOUD THAT 2057 01:19:29,040 --> 01:19:32,000 WE CAN APPLY IN THIS PROGRAM AT 2058 01:19:32,000 --> 01:19:32,400 BRIM? 2059 01:19:32,400 --> 01:19:38,600 SO, JUST TO TALK ABOUT THE THREE 2060 01:19:38,600 --> 01:19:42,080 DIMENSIONS OF ADHERENCE, 2061 01:19:42,080 --> 01:19:43,160 INITIATION, ADHERENCE. 2062 01:19:43,160 --> 01:19:49,640 INITIATION IS GETTING THEM 2063 01:19:49,640 --> 01:19:50,240 STARTED. 2064 01:19:50,240 --> 01:19:51,720 IMPLEMENTATION, AND PERSISTENCE, 2065 01:19:51,720 --> 01:19:53,800 DO THEY STAY ON LONG ENOUGH TO 2066 01:19:53,800 --> 01:19:54,800 REACH SUCCESSFUL TREATMENT. 2067 01:19:54,800 --> 01:19:56,680 NEXT SLIDE PLEASE. 2068 01:19:56,680 --> 01:20:00,720 AND WE WERE ASKING FOR FULLY 2069 01:20:00,720 --> 01:20:01,800 POWERED EFFECTIVENESS TRIALS, OR 2070 01:20:01,800 --> 01:20:04,760 TRIALS THAT ARE READY FOR 2071 01:20:04,760 --> 01:20:07,720 IMPLEMENTATION SCIENCE WORK IN 2072 01:20:07,720 --> 01:20:08,600 THIS PROGRAM. 2073 01:20:08,600 --> 01:20:12,080 AGAIN, WITH THE GOAL OF 2074 01:20:12,080 --> 01:20:15,480 PREVENTING SUBSTANCE USE 2075 01:20:15,480 --> 01:20:16,680 RELAPSE, IMPROVING LONG-TERM 2076 01:20:16,680 --> 01:20:19,880 ABSTINENCE FROM ILLICIT OPIOIDS, 2077 01:20:19,880 --> 01:20:24,040 SET UP AWARDS AS TWO-PHASE 2078 01:20:24,040 --> 01:20:24,520 MILESTONE-DRIVEN AWARDS. 2079 01:20:24,520 --> 01:20:26,280 NEXT SLIDE PLEASE. 2080 01:20:26,280 --> 01:20:29,360 I'M HAPPY TO SAY THAT THE 14 2081 01:20:29,360 --> 01:20:33,000 TRIALS OF THE BRIM PROGRAM, ALL 2082 01:20:33,000 --> 01:20:35,000 HAD SUCCESSFULLY -- HAVE 2083 01:20:35,000 --> 01:20:37,080 SUCCESSFULLY TRANSITIONED TO THE 2084 01:20:37,080 --> 01:20:38,240 SECOND PHASE, NO SMALL FEAT 2085 01:20:38,240 --> 01:20:41,760 GIVEN A LOT OF STUFFEDDIES WERE 2086 01:20:41,760 --> 01:20:43,920 STARTED IN 2019 AND BEFORE. 2087 01:20:43,920 --> 01:20:46,880 HAPPY TO SAY SIX OF THE TRIALS 2088 01:20:46,880 --> 01:20:49,760 HAVE PUBLISHED ALREADY ON DATA 2089 01:20:49,760 --> 01:20:51,160 FROM THEIR PILOT STUDIES AND 2090 01:20:51,160 --> 01:20:53,600 THINGS ARE MOVING SO FAST THAT 2091 01:20:53,600 --> 01:20:56,520 THE SECOND BULLET IS OUTDATED, 2092 01:20:56,520 --> 01:20:59,720 THREE TRIALS I'M HAPPY TO REPORT 2093 01:20:59,720 --> 01:21:02,360 HAVE NOW COMPLETED RECRUITMENT. 2094 01:21:02,360 --> 01:21:04,760 AND THEN "HEAL" ISSUED A 2095 01:21:04,760 --> 01:21:06,520 SUPPLEMENT ACROSS ALL 2096 01:21:06,520 --> 01:21:09,240 "HEAL"-FUNDED STUDIES TO LOOK AT 2097 01:21:09,240 --> 01:21:13,320 ROLE OF STIGMA IN, YOU KNOW, 2098 01:21:13,320 --> 01:21:16,920 CONTRIBUTING TO THE HEALTH OR 2099 01:21:16,920 --> 01:21:18,880 PROVIDING HEALTH CHALLENGE 2100 01:21:18,880 --> 01:21:20,640 ACROSS ALL HEAL-FUNDED STUDIES, 2101 01:21:20,640 --> 01:21:22,840 SO IN OUR BRIM PROGRAM, YOU 2102 01:21:22,840 --> 01:21:24,040 KNOW, FOUR INVESTIGATORS WERE 2103 01:21:24,040 --> 01:21:27,520 ABLE TO GO OUT AND GET 2104 01:21:27,520 --> 01:21:28,160 ADMINISTRATIVE SUPPLEMENTS TO 2105 01:21:28,160 --> 01:21:33,560 ADD WORK THAT ANNUAL ANALYZED E 2106 01:21:33,560 --> 01:21:34,680 OF STIGMA IN PROVIDING 2107 01:21:34,680 --> 01:21:37,960 ADDITIONAL CHALLENGE TO GAINING 2108 01:21:37,960 --> 01:21:38,480 AND SEEKENING 2109 01:21:38,480 --> 01:21:39,560 MEDICATION-ASSISTED TREATMENT 2110 01:21:39,560 --> 01:21:41,640 FOR OPIOID USE DISORDER. 2111 01:21:41,640 --> 01:21:44,920 AND, YOU KNOW, LOOK AT WAYS 2112 01:21:44,920 --> 01:21:48,000 WHERE THEY COULD WORK COMPONENTS 2113 01:21:48,000 --> 01:21:49,440 INTO INTERVENTION IN ADULTS 2114 01:21:49,440 --> 01:21:50,000 SPECIFICALLY WITH STIGMA. 2115 01:21:50,000 --> 01:21:51,840 NEXT SLIDE PLEASE. 2116 01:21:51,840 --> 01:21:53,600 HERE IS KIND OF A -- TRYING TO 2117 01:21:53,600 --> 01:21:57,520 GIVE A SUMMARY OF ALL OF THE 2118 01:21:57,520 --> 01:22:00,040 TRIALS, 14 ADMINISTERED BY 2119 01:22:00,040 --> 01:22:02,920 NCCIH, TWO TRANSFERRED TO NIDA 2120 01:22:02,920 --> 01:22:03,680 IN THE SECOND PHASE. 2121 01:22:03,680 --> 01:22:08,360 WHAT I WANT TO POINT OUT HERE IS 2122 01:22:08,360 --> 01:22:10,760 THAT TARGET POPULATION THERE'S 2123 01:22:10,760 --> 01:22:12,840 SOME MIX THERE, MOSTLY THOSE 2124 01:22:12,840 --> 01:22:15,600 WITH OUD, OPIOID USE DISORDER, 2125 01:22:15,600 --> 01:22:17,560 BUT SEVERAL STUDIES ARE LOOKING 2126 01:22:17,560 --> 01:22:21,920 AT INDIVIDUALS WHO ARE 2127 01:22:21,920 --> 01:22:22,680 EXPERIENCING OPIOID USE DISORDER 2128 01:22:22,680 --> 01:22:23,800 PLUS CHRONIC PAIN. 2129 01:22:23,800 --> 01:22:26,440 AND THEN THE BOTTOM BAR SHOWS 2130 01:22:26,440 --> 01:22:28,920 DIFFERENT TYPES OF CLINICS THESE 2131 01:22:28,920 --> 01:22:30,880 STUDIES ARE TAKING IN, OPIOID 2132 01:22:30,880 --> 01:22:35,600 TREATMENT PROGRAMS OR PRIMARY 2133 01:22:35,600 --> 01:22:36,360 CARE SETTINGS. 2134 01:22:36,360 --> 01:22:37,360 AND DIFFERENT TYPES OF 2135 01:22:37,360 --> 01:22:39,120 MEDICATION PROGRAMS THAT THESE 2136 01:22:39,120 --> 01:22:40,640 PEOPLE ARE INITIATING. 2137 01:22:40,640 --> 01:22:44,360 OF COURSE, YOU CAN SEE A NICE 2138 01:22:44,360 --> 01:22:45,000 DIVERSITY OF COMPLEMENTARY 2139 01:22:45,000 --> 01:22:46,200 INTEGRATIVE APPROACHES THAT ARE 2140 01:22:46,200 --> 01:22:49,280 BEING IMPLEMENTED ACROSS THE 2141 01:22:49,280 --> 01:22:49,960 STUDIES IN BRIM. 2142 01:22:49,960 --> 01:22:52,360 NEXT SLIDE PLEASE. 2143 01:22:52,360 --> 01:22:55,200 THESE ARE INVESTIGATORS. 2144 01:22:55,200 --> 01:22:58,800 I SHOULD HAVE MENTIONED DR. 2145 01:22:58,800 --> 01:22:59,720 COOPERMAN'S STUDY, SHOWN ON 2146 01:22:59,720 --> 01:23:02,640 THERE, IS ONE OF THE STUDIES TO 2147 01:23:02,640 --> 01:23:03,240 HAVE COMPLETED RECRUITMENT, IN 2148 01:23:03,240 --> 01:23:05,920 FACT IT WAS THE FIRST TO HAVE 2149 01:23:05,920 --> 01:23:07,520 COMPLETED RECRUITMENT, SO 2150 01:23:07,520 --> 01:23:09,120 LOOKING FORWARD TO SEEING SOME 2151 01:23:09,120 --> 01:23:10,840 OF THEY ARE DATA FROM BOTH 2152 01:23:10,840 --> 01:23:12,080 PHASES IN FACT. 2153 01:23:12,080 --> 01:23:15,000 BUT THIS IS THE GROUP OF BRIM 2154 01:23:15,000 --> 01:23:15,880 INVESTIGATORS. 2155 01:23:15,880 --> 01:23:17,640 WE DO HAVE AN INVESTIGATOR 2156 01:23:17,640 --> 01:23:19,960 MEETING ONCE A YEAR. 2157 01:23:19,960 --> 01:23:21,680 DR. LANGEVIN MENTIONED IT'S 2158 01:23:21,680 --> 01:23:25,680 COMING UP IN JUNE, WHERE THE 2159 01:23:25,680 --> 01:23:27,160 INVESTIGATORS COME, YOU KNOW, 2160 01:23:27,160 --> 01:23:30,760 PRESENT EARLY PILOT DATA THUS 2161 01:23:30,760 --> 01:23:34,160 FAR, ALSO KIND OF DISCUSS 2162 01:23:34,160 --> 01:23:35,120 CHALLENGES AND SOLUTIONS AND THE 2163 01:23:35,120 --> 01:23:39,160 FACT THAT ALL OF THEM 2164 01:23:39,160 --> 01:23:40,080 TRANSITIONED TO THE SECOND 2165 01:23:40,080 --> 01:23:41,480 PHASE, IT'S BEEN A SUCCESSFUL 2166 01:23:41,480 --> 01:23:44,520 MODEL FOR THEM. 2167 01:23:44,520 --> 01:23:49,040 NEXT SLIDE PLEASE. . 2168 01:23:49,040 --> 01:23:50,680 AND SPEAKING OF SUCCESS THIS IS 2169 01:23:50,680 --> 01:23:51,560 A FEW PUBLICATIONS OUT OF THE 2170 01:23:51,560 --> 01:23:52,440 BRIM PROGRAM. 2171 01:23:52,440 --> 01:23:56,800 LOOKING AT THE FIRST ONE, MARK 2172 01:23:56,800 --> 01:23:59,200 FISHMAN'S GROUP, THIS WAS 2173 01:23:59,200 --> 01:24:03,680 SUPPORTED BY ANOTHER SUPPLEMENT, 2174 01:24:03,680 --> 01:24:07,520 FOCUS OF MECHANISM OF MOUD, 2175 01:24:07,520 --> 01:24:10,160 THERAPEUTIC DOSE MEDIATED 2176 01:24:10,160 --> 01:24:10,600 RELATIONSHIP BETWEEN 2177 01:24:10,600 --> 01:24:14,720 BUPRENORPHINE, NALOXONE, AS A 2178 01:24:14,720 --> 01:24:16,720 TREATMENT IN YOUTH WITH OPIOID 2179 01:24:16,720 --> 01:24:17,160 USE DISORDER. 2180 01:24:17,160 --> 01:24:19,560 I WOULD POINT OUT THE SECOND 2181 01:24:19,560 --> 01:24:21,960 PUBLICATION TOO SUPPORTED BY THE 2182 01:24:21,960 --> 01:24:25,920 STIGMA SUPPLEMENT, SEAN YOUNG'S 2183 01:24:25,920 --> 01:24:29,520 GROUP, SHOWED MISINFORMATION AND 2184 01:24:29,520 --> 01:24:32,040 STIGMA CONTRIBUTES TO PEOPLE 2185 01:24:32,040 --> 01:24:34,560 HAVING CHALLENGES IN UPTAKE OF 2186 01:24:34,560 --> 01:24:35,440 TREATMENT. 2187 01:24:35,440 --> 01:24:37,200 AND LASTLY JUST KIND OF A TEASER 2188 01:24:37,200 --> 01:24:40,880 FOR THE PRESENTATION LATER ON, 2189 01:24:40,880 --> 01:24:42,760 THIS IS DR. COOPERMAN'S STUDY. 2190 01:24:42,760 --> 01:24:47,920 THIS PAPER LOOKED AT PILOT DATA, 2191 01:24:47,920 --> 01:24:49,640 AND MORE IN INDIVIDUALS 2192 01:24:49,640 --> 01:24:50,760 METHADONE TREATMENT AND WE'LL 2193 01:24:50,760 --> 01:24:55,920 SEE THE IMPACT ON ILLICIT DRUG 2194 01:24:55,920 --> 01:24:56,480 USE, HEALTH AND WELL-BEING. 2195 01:24:56,480 --> 01:24:57,400 NEXT SLIDE PLEASE. 2196 01:24:57,400 --> 01:25:03,200 NOW I WANT TO TALK ABOUT ANOTHER 2197 01:25:03,200 --> 01:25:03,440 PROGRAM. 2198 01:25:03,440 --> 01:25:06,280 SO IMPOWR IS ADMINISTERED BY 2199 01:25:06,280 --> 01:25:09,880 NIDA PRIMARILY BUT NCCIH DOES 2200 01:25:09,880 --> 01:25:11,120 HAVE SOME SECONDARY SUPPORTIVE 2201 01:25:11,120 --> 01:25:15,680 ROLES IN THIS PROGRAM. 2202 01:25:15,680 --> 01:25:17,800 SO INTEGRATED MANAGEMENT OF 2203 01:25:17,800 --> 01:25:20,400 CHRONIC PAIN IN OUD FOR WHOLE 2204 01:25:20,400 --> 01:25:23,960 RECOVERY, THIS PIECE IS 2205 01:25:23,960 --> 01:25:30,480 IMPORTANT BECAUSE I THINK NCCIH 2206 01:25:30,480 --> 01:25:33,880 LANGUAGE AFFECTING HOW OTHERS 2207 01:25:33,880 --> 01:25:34,320 THINK 2208 01:25:34,320 --> 01:25:36,240 NOT JUST TREATING THE CONDITION 2209 01:25:36,240 --> 01:25:42,280 BUT THE CONTEXT IN WHICH THAT 2210 01:25:42,280 --> 01:25:45,440 CONDITION EXISTS STIGMA, HEALTH 2211 01:25:45,440 --> 01:25:45,920 DISPARITIES, COMORBID 2212 01:25:45,920 --> 01:25:47,440 PSYCHIATRIC CONDITIONS PREVALENT 2213 01:25:47,440 --> 01:25:48,280 IN THESE POPULATIONS. 2214 01:25:48,280 --> 01:25:51,280 NEXT SLIDE PLEASE. 2215 01:25:51,280 --> 01:25:52,800 SO, BOTH MEDICATIONS AND 2216 01:25:52,800 --> 01:25:54,280 COMPLEMENTARY INTERVENTIONS HAVE 2217 01:25:54,280 --> 01:25:57,160 BEEN SHOWN TO BE EFFECTIVE 2218 01:25:57,160 --> 01:25:58,600 SEPARATELY FOR OPIOID USE 2219 01:25:58,600 --> 01:26:01,000 DISORDER, AND ALSO CHRONIC PAIN. 2220 01:26:01,000 --> 01:26:04,720 BUT MUCH LESS IS KNOWN ABOUT HOW 2221 01:26:04,720 --> 01:26:05,560 TO INTEGRATE LEVERAGE AND 2222 01:26:05,560 --> 01:26:10,240 DELIVER THESE SORT OF COMBINED 2223 01:26:10,240 --> 01:26:10,720 INTERVENTIONS TO TREAT 2224 01:26:10,720 --> 01:26:11,800 INDIVIDUALS WITH OPIOID USE 2225 01:26:11,800 --> 01:26:13,440 DISORDER AND EXPERIENCING 2226 01:26:13,440 --> 01:26:14,640 CHRONIC PAIN. 2227 01:26:14,640 --> 01:26:16,960 ANOTHER CHALLENGE IS THAT 2228 01:26:16,960 --> 01:26:19,920 BECAUSE THESE ARE COMPLEX 2229 01:26:19,920 --> 01:26:23,200 INDIVIDUALS, THEY GET -- RECEIVE 2230 01:26:23,200 --> 01:26:24,400 CARE FROM MANY DIFFERENT, YOU 2231 01:26:24,400 --> 01:26:26,280 KNOW, AREAS OF EXPERTISE AND 2232 01:26:26,280 --> 01:26:28,120 SERVICES, AND CLINICS AND 2233 01:26:28,120 --> 01:26:30,840 LOCATIONS, AND SO IT REALLY 2234 01:26:30,840 --> 01:26:35,360 TENDS TO RESULT IN OFTEN 2235 01:26:35,360 --> 01:26:37,440 DISPARATE FRAGMENTED CARE. 2236 01:26:37,440 --> 01:26:39,360 AND SO IDEALLY YOU WANT TO 2237 01:26:39,360 --> 01:26:43,000 INTEGRATE THAT CARE AND DELIVERY 2238 01:26:43,000 --> 01:26:45,600 IN A COORDINATED MANNER. 2239 01:26:45,600 --> 01:26:47,920 BUT THERE'S CHALLENGES TO DOING 2240 01:26:47,920 --> 01:26:50,200 EXACTLY THAT, INTEGRATING THAT 2241 01:26:50,200 --> 01:26:53,040 CARE, LIMITED RESOURCES, LIMITED 2242 01:26:53,040 --> 01:26:53,840 EXPERTISE, ALSO LIMITED 2243 01:26:53,840 --> 01:26:55,040 COMMUNICATIONS BETWEEN PROVIDERS 2244 01:26:55,040 --> 01:26:58,520 AND CLINICS AND SO FORTH. 2245 01:26:58,520 --> 01:27:02,680 AND LASTLY, YOU KNOW, THE RISE 2246 01:27:02,680 --> 01:27:04,240 IN OPIOID OVERDOSES THAT ARE 2247 01:27:04,240 --> 01:27:07,800 LINKED TO COVID-19, WITH TIMING 2248 01:27:07,800 --> 01:27:09,240 OF THIS STUDY, THIS PROGRAM 2249 01:27:09,240 --> 01:27:19,760 REALLY JUST ADDED A MORE ACUTE 2250 01:27:20,360 --> 01:27:21,480 AND CATASTROPHIC CHALLENGE TO 2251 01:27:21,480 --> 01:27:22,640 FIXING THE THINGS THIS STUDY IS 2252 01:27:22,640 --> 01:27:23,040 INTENDING TO FIX. 2253 01:27:23,040 --> 01:27:24,240 NEXT SLIDE PLEASE. 2254 01:27:24,240 --> 01:27:26,640 SO, HOW ARE THEY GOING TO 2255 01:27:26,640 --> 01:27:27,640 ADDRESS THESE CHALLENGES TO 2256 01:27:27,640 --> 01:27:29,280 DEVELOP INTERVENTIONS THAT ARE 2257 01:27:29,280 --> 01:27:33,080 NOT ONLY EFFECTIVE BUT COST 2258 01:27:33,080 --> 01:27:33,880 EFFECTIVE, THAT INTEGRATE 2259 01:27:33,880 --> 01:27:36,720 TREATMENT FOR BOTH CHRONIC PAIN 2260 01:27:36,720 --> 01:27:39,000 AND OPIOID USE DISORDER? 2261 01:27:39,000 --> 01:27:41,520 AND, AGAIN, THESE ARE COMPLEX 2262 01:27:41,520 --> 01:27:41,960 INDIVIDUALS. 2263 01:27:41,960 --> 01:27:43,600 SO, YOU KNOW, HOW BEST TO 2264 01:27:43,600 --> 01:27:46,800 COORDINATE THEIR CARE, WHAT ARE 2265 01:27:46,800 --> 01:27:50,160 THOSE CARE DELIVERY MODELS THAT 2266 01:27:50,160 --> 01:27:51,600 PROVIDE THE BEST AND EFFICIENT 2267 01:27:51,600 --> 01:27:55,200 AND EFFECTIVE CARE FOR THESE 2268 01:27:55,200 --> 01:27:55,640 INDIVIDUALS? 2269 01:27:55,640 --> 01:27:58,160 AND LASTLY, IDENTIFY BARRIERS 2270 01:27:58,160 --> 01:28:00,800 AND SOLUTIONS TO DEVELOP 2271 01:28:00,800 --> 01:28:01,440 EFFECTIVE IMPLEMENTATION 2272 01:28:01,440 --> 01:28:02,200 STRATEGIES. 2273 01:28:02,200 --> 01:28:05,000 SO THAT THESE INTERVENTIONS CAN 2274 01:28:05,000 --> 01:28:07,080 BE IMPLEMENTED IN A LONG-TERM 2275 01:28:07,080 --> 01:28:09,720 SUSTAINED MANNER. 2276 01:28:09,720 --> 01:28:15,120 NEXT SLIDE PLEASE. 2277 01:28:15,120 --> 01:28:17,080 ULTIMATELY IMPOWR AIMS TO 2278 01:28:17,080 --> 01:28:18,520 GENERATE PATIENT-CENTERED 2279 01:28:18,520 --> 01:28:19,360 SOLUTIONS FOR INTEGRATED 2280 01:28:19,360 --> 01:28:22,200 MANAGEMENT OF CO-OCCURRING PAIN 2281 01:28:22,200 --> 01:28:24,000 AND OPIOID USE DISORDER, AND 2282 01:28:24,000 --> 01:28:25,600 THEN COMMUNICATE THOSE FINDINGS 2283 01:28:25,600 --> 01:28:27,680 EFFECTIVELY TO THE KEY 2284 01:28:27,680 --> 01:28:29,440 STAKEHOLDERS AND TO AS QUICKLY 2285 01:28:29,440 --> 01:28:32,640 AS POSSIBLE MAKE AN IMPACT ON 2286 01:28:32,640 --> 01:28:33,040 PUBLIC HEALTH. 2287 01:28:33,040 --> 01:28:36,040 NEXT SLIDE PLEASE. 2288 01:28:36,040 --> 01:28:39,160 OH, THREE MORE TIMES. 2289 01:28:39,160 --> 01:28:40,160 YES, THAT'S GOOD. 2290 01:28:40,160 --> 01:28:43,320 THEY ARE GOING TO MAKE THIS MOST 2291 01:28:43,320 --> 01:28:47,960 EFFECTIVE BY NUMBER ONE 2292 01:28:47,960 --> 01:28:51,560 MAXIMIZING GENERALIZABILITY, CAN 2293 01:28:51,560 --> 01:28:52,440 THESE INTERVENTIONS BE 2294 01:28:52,440 --> 01:28:53,960 IMPLEMENTED IN DIVERSE SETTINGS? 2295 01:28:53,960 --> 01:28:56,800 AGAIN FOCUSING ON THE WHOLE 2296 01:28:56,800 --> 01:29:00,760 PATIENT, YOU KNOW, REALLY TAKING 2297 01:29:00,760 --> 01:29:03,160 INTO CONSIDERATION THE COMORBID 2298 01:29:03,160 --> 01:29:04,800 PSYCHIATRIC CONDITIONS AND 2299 01:29:04,800 --> 01:29:08,720 ADDRESS HEALTH EQUITIES, I 2300 01:29:08,720 --> 01:29:10,360 MENTIONED STIGMA, 2301 01:29:10,360 --> 01:29:11,200 DISCRIMINATION, THOSE SORTS OF 2302 01:29:11,200 --> 01:29:14,880 ASPECTS ARE GOING TO BE INFORMED 2303 01:29:14,880 --> 01:29:16,520 BY ENGAGING PARTNERS, ENGAGING 2304 01:29:16,520 --> 01:29:18,040 COMMUNITY CLINICIANS, ALSO 2305 01:29:18,040 --> 01:29:23,160 PEOPLE WITH LIVED EXPERIENCE. 2306 01:29:23,160 --> 01:29:24,920 AND THEN, YOU KNOW, IMPOWR FEELS 2307 01:29:24,920 --> 01:29:27,920 THE NEED TO SEED THE FIELD FOR 2308 01:29:27,920 --> 01:29:30,320 THE FUTURE OF RESEARCH IN 2309 01:29:30,320 --> 01:29:32,520 ADDRESSING CHRONIC PAIN AND 2310 01:29:32,520 --> 01:29:39,200 OPIOID USE DISORDER, SO SPECIAL 2311 01:29:39,200 --> 01:29:39,840 CONSIDERATION IS GIVEN TO 2312 01:29:39,840 --> 01:29:41,040 EARLY-STAGE INVESTIGATORS TO 2313 01:29:41,040 --> 01:29:42,920 BUILD THE CROP OF YOUNG EARLY 2314 01:29:42,920 --> 01:29:44,000 CAREER INVESTIGATORS. 2315 01:29:44,000 --> 01:29:47,840 OH, SORRY, YEAH. 2316 01:29:47,840 --> 01:29:50,760 SO, AGAIN IMPOWR IS NOT 2317 01:29:50,760 --> 01:29:51,240 SPECIFICALLY INCLUDING 2318 01:29:51,240 --> 01:29:52,000 COMPLEMENTARY INTEGRATIVE HEALTH 2319 01:29:52,000 --> 01:29:53,520 APPROACHING BUT I WANT IN AND 2320 01:29:53,520 --> 01:29:57,240 PULLED OUT THESE FIVE STUDIES 2321 01:29:57,240 --> 01:30:05,000 THAT ARE USING THESE 2322 01:30:05,000 --> 01:30:06,440 COMPLEMENTARY HEALTH APPROACHES, 2323 01:30:06,440 --> 01:30:08,240 AND INTERVENTIONS THEY ARE 2324 01:30:08,240 --> 01:30:10,840 USING, SO I THINK THIS IS GREAT, 2325 01:30:10,840 --> 01:30:14,080 YOU KNOW, REALLY ALSO EXPANDS 2326 01:30:14,080 --> 01:30:15,720 THE SCOPE OF COMPLEMENTARY 2327 01:30:15,720 --> 01:30:16,880 APPROACHES, YOU KNOW, PAST 2328 01:30:16,880 --> 01:30:20,360 WHAT'S ALREADY GOING ON IN BRIM. 2329 01:30:20,360 --> 01:30:21,680 NEXT SLIDE PLEASE. 2330 01:30:21,680 --> 01:30:25,440 SO I THINK -- AM I GOING TO GO 2331 01:30:25,440 --> 01:30:28,360 THROUGH THESE? 2332 01:30:28,360 --> 01:30:28,560 OKAY. 2333 01:30:28,560 --> 01:30:29,760 SHIFTING AGAIN, "HEAL" IS A 2334 01:30:29,760 --> 01:30:31,080 REALLY BIG PROGRAM. 2335 01:30:31,080 --> 01:30:32,520 SO IT'S REALLY EXPANDED THE 2336 01:30:32,520 --> 01:30:34,400 AMOUNT OF PAIN RESEARCH THAT'S 2337 01:30:34,400 --> 01:30:36,200 BEING CONDUCTED. 2338 01:30:36,200 --> 01:30:40,040 YOU KNOW, WE NEED TO EXPAND THE 2339 01:30:40,040 --> 01:30:42,440 FIELD OF RESEARCHERS, SO "HEAL" 2340 01:30:42,440 --> 01:30:48,280 IS IMPLEMENTING A K-12 MENTORED 2341 01:30:48,280 --> 01:30:51,240 CAREER PROGRAM FOR CLINICIANS, 2342 01:30:51,240 --> 01:30:52,800 SPECIFICALLY TO DO CLINICAL 2343 01:30:52,800 --> 01:30:54,880 RESEARCH TO STUDY PAIN, NEXT 2344 01:30:54,880 --> 01:30:56,400 SLIDE PLEASE. 2345 01:30:56,400 --> 01:30:59,080 IT'S A NATIONAL MENTORING 2346 01:30:59,080 --> 01:30:59,320 PROGRAM. 2347 01:30:59,320 --> 01:31:01,880 YOU KNOW, AS I MENTIONED, IT'S 2348 01:31:01,880 --> 01:31:04,080 GOING TO ENHANCE CLINICAL PAIN 2349 01:31:04,080 --> 01:31:04,760 RESEARCH WORKFORCE. 2350 01:31:04,760 --> 01:31:08,600 THEY ARE GOING TO DEVELOP 2351 01:31:08,600 --> 01:31:10,120 GUIDELINES TO MAXIMIZE EFFECTIVE 2352 01:31:10,120 --> 01:31:12,720 MENTORING AND CAREER 2353 01:31:12,720 --> 01:31:13,000 DEVELOPMENT. 2354 01:31:13,000 --> 01:31:15,800 AND THEN AT THE END HELP 2355 01:31:15,800 --> 01:31:16,880 SCHOLARS SUCCESSFULLY TRANSITION 2356 01:31:16,880 --> 01:31:19,160 INTO INDEPENDENCE AFTER THE 2357 01:31:19,160 --> 01:31:19,840 TRAINING AND VERY IMPORTANTLY 2358 01:31:19,840 --> 01:31:21,600 THEY ARE GOING TO COLLABORATE 2359 01:31:21,600 --> 01:31:24,080 WITH THE PURPOSE NETWORK, WHICH 2360 01:31:24,080 --> 01:31:26,280 DR. LANGEVIN MENTIONED IS 2361 01:31:26,280 --> 01:31:27,280 MEETING LITERALLY YESTERDAY AND 2362 01:31:27,280 --> 01:31:27,520 TODAY. 2363 01:31:27,520 --> 01:31:31,200 AND I GUESS I WOULD SAY THAT 2364 01:31:31,200 --> 01:31:34,720 THERE WAS A FUNDING 2365 01:31:34,720 --> 01:31:35,240 ANNOUNCEMENT, FUNDING 2366 01:31:35,240 --> 01:31:37,560 OPPORTUNITY, AND THE FIRST THREE 2367 01:31:37,560 --> 01:31:39,200 SCHOLARS HAVE BEEN SELECTED, AND 2368 01:31:39,200 --> 01:31:41,200 THEY ARE ENGAGING IN TRAINING 2369 01:31:41,200 --> 01:31:45,440 BOOT CAMP THIS SUMMER. 2370 01:31:45,440 --> 01:31:46,320 ANOTHER CALL FOR APPLICATIONS IS 2371 01:31:46,320 --> 01:31:48,960 GOING TO GO OUT IN THE FALL FOR 2372 01:31:48,960 --> 01:31:50,880 APPLICATIONS IN THE SPRING, SO 2373 01:31:50,880 --> 01:31:54,200 KEEP YOUR EYES OPEN ON THE 2374 01:31:54,200 --> 01:31:55,920 "HEAL" AND NCCIH WEBSITES. 2375 01:31:55,920 --> 01:31:58,040 NEXT SLIDE PLEASE. 2376 01:31:58,040 --> 01:32:02,160 SO THE K23 MENTORING PROGRAM IS 2377 01:32:02,160 --> 01:32:03,480 LEVERAGING THIS PURPOSE NETWORK, 2378 01:32:03,480 --> 01:32:07,760 AND I THOUGHT I HAD THE ACRONYM, 2379 01:32:07,760 --> 01:32:08,960 TO EXPLAIN THE ACRONYM. 2380 01:32:08,960 --> 01:32:10,960 BUT ANYWAY THE PURPOSE NETWORK 2381 01:32:10,960 --> 01:32:13,680 IS REALLY CENTERED ON A DIGITAL 2382 01:32:13,680 --> 01:32:17,600 PLATFORM THROUGH WHICH A 2383 01:32:17,600 --> 01:32:19,680 COMMUNITY OF RESEARCHERS, 2384 01:32:19,680 --> 01:32:23,840 TRAINEES, MENTORS, CAN CONNECT 2385 01:32:23,840 --> 01:32:25,520 AND COLLABORATE 2386 01:32:25,520 --> 01:32:25,920 MULTI-DISCIPLINARY 2387 01:32:25,920 --> 01:32:26,600 COLLABORATIONS, YOU KNOW, WRITE 2388 01:32:26,600 --> 01:32:27,480 GRANTS TOGETHER. 2389 01:32:27,480 --> 01:32:30,080 THERE'S OPPORTUNITIES FOR 2390 01:32:30,080 --> 01:32:31,960 TRAINING THROUGH WEBINARS, AND 2391 01:32:31,960 --> 01:32:35,600 SO FORTH. 2392 01:32:35,600 --> 01:32:36,160 AND SO THERE'S ALREADY 900 2393 01:32:36,160 --> 01:32:39,720 INDIVIDUALS THAT ARE PART OF THE 2394 01:32:39,720 --> 01:32:41,960 NETWORK, AND I WANT TO ENCOURAGE 2395 01:32:41,960 --> 01:32:43,880 COUNCIL MEMBERS TO GO TO THE 2396 01:32:43,880 --> 01:32:47,840 NETWORK AND SIGN UP TO BE EITHER 2397 01:32:47,840 --> 01:32:53,240 A MENTOR OR MENTEE, AND THE 2398 01:32:53,240 --> 01:32:56,160 WIDER COMMUNITY. 2399 01:32:56,160 --> 01:32:56,840 NEXT SLIDE PLEASE. 2400 01:32:56,840 --> 01:32:59,800 >> GREAT, LET'S TURN THINGS 2401 01:32:59,800 --> 01:33:01,640 OVER TO DR. MORONE. 2402 01:33:01,640 --> 01:33:04,920 WE'LL TAKE A BRIEF BREAK OR TAKE 2403 01:33:04,920 --> 01:33:07,520 A PAUSE SO DR. MORONE CAN ANSWER 2404 01:33:07,520 --> 01:33:08,640 SPECIFIC QUESTIONS ABOUT HER 2405 01:33:08,640 --> 01:33:09,400 PRESENTATION AND SCIENCE SHE'S 2406 01:33:09,400 --> 01:33:11,120 PRESENTED AND WE'LL GO TO DR. 2407 01:33:11,120 --> 01:33:12,680 COOPERMAN AND TAKE QUESTIONS FOR 2408 01:33:12,680 --> 01:33:15,760 HER AND A BROADER DISCUSSION. 2409 01:33:15,760 --> 01:33:17,960 2410 01:33:17,960 --> 01:33:19,360 >> THANK YOU SO MUCH. 2411 01:33:19,360 --> 01:33:22,960 CAN I HAVE THE NEXT SLIDE? 2412 01:33:22,960 --> 01:33:25,480 CAN YOU HEAR ME? 2413 01:33:25,480 --> 01:33:25,600 2414 01:33:25,600 --> 01:33:30,280 >> YES, WE CAN HEAR YOU. 2415 01:33:30,280 --> 01:33:32,480 >> SO, I WAS GOING TO -- WE 2416 01:33:32,480 --> 01:33:39,200 DON'T HAVE TO GO TO MY ORIGINAL 2417 01:33:39,200 --> 01:33:39,520 SLIDE. 2418 01:33:39,520 --> 01:33:41,480 I'M NATALIA MORONE, BOSTON 2419 01:33:41,480 --> 01:33:42,480 UNIVERSITY, BOSTON MEDICAL 2420 01:33:42,480 --> 01:33:44,520 CENTER, PRIMARY CARE PHYSICIAN, 2421 01:33:44,520 --> 01:33:45,840 A GENERAL INTERNIST. 2422 01:33:45,840 --> 01:33:48,720 I'M DELIGHTED TO SPEAK TO YOU 2423 01:33:48,720 --> 01:33:54,920 TODAY, I'M HONORED TO ASK TO 2424 01:33:54,920 --> 01:33:58,520 SPEAK ABOUT THE PRAGMATIC TRIAL 2425 01:33:58,520 --> 01:33:59,840 I'M RUNNING, PARTICULARLY ABOUT 2426 01:33:59,840 --> 01:34:02,600 THE COMMUNITY ADVISORY BOARD AND 2427 01:34:02,600 --> 01:34:06,240 STAKEHOLDER ENGAGEMENT THAT 2428 01:34:06,240 --> 01:34:06,720 WE'VE IMPLEMENTED. 2429 01:34:06,720 --> 01:34:09,480 OPTIMIZING PAIN TREATMENT IN 2430 01:34:09,480 --> 01:34:11,000 MEDICAL SETTINGS USING 2431 01:34:11,000 --> 01:34:13,480 MINDFULNESS IS A PRAGMATIC 2432 01:34:13,480 --> 01:34:17,040 CLINICAL TRIAL, INTEGRATING 2433 01:34:17,040 --> 01:34:19,320 TELEHEALTH GROUP-BASED STRESS 2434 01:34:19,320 --> 01:34:21,320 REDUCTION PROGRAM, PRIMARY CARE 2435 01:34:21,320 --> 01:34:21,680 SETTING. 2436 01:34:21,680 --> 01:34:23,360 PERSONS WITH CHRONIC LOW BACK 2437 01:34:23,360 --> 01:34:23,560 PAIN. 2438 01:34:23,560 --> 01:34:25,560 WE ORIGINALLY MET IN PERSON, THE 2439 01:34:25,560 --> 01:34:28,200 PANDEMIC TURNED IT INTO A 2440 01:34:28,200 --> 01:34:30,040 TELEHEALTH PROGRAM. 2441 01:34:30,040 --> 01:34:32,000 IT'S A PRAGMATIC RANDOMIZED 2442 01:34:32,000 --> 01:34:34,040 TRIAL, PARTICIPANTS ARE FOLLOWED 2443 01:34:34,040 --> 01:34:36,840 OVER ONE YEAR. 2444 01:34:36,840 --> 01:34:39,880 WE ARE RECRUITING 450 PATIENTS 2445 01:34:39,880 --> 01:34:41,200 WITH CHRONIC LOW BACK PAIN AT 2446 01:34:41,200 --> 01:34:44,080 LEAST 18 YEARS OF AGE, THREE 2447 01:34:44,080 --> 01:34:45,280 HEALTH CARE SYSTEMS, BOSTON 2448 01:34:45,280 --> 01:34:47,760 MEDICAL CENTER WHERE I AM 2449 01:34:47,760 --> 01:34:51,520 LOCATED IS A SAFETY NET HEALTH 2450 01:34:51,520 --> 01:34:53,440 SYSTEM. 2451 01:34:53,440 --> 01:34:55,120 UPMC IS UNIVERSITY OF 2452 01:34:55,120 --> 01:34:55,880 PITTSBURGH, IN PITTSBURGH, AND 2453 01:34:55,880 --> 01:34:57,200 AFFILIATED WITH MY COLLEAGUES AT 2454 01:34:57,200 --> 01:35:00,000 THE UNIVERSITY OF PITTSBURGH. 2455 01:35:00,000 --> 01:35:01,200 AND THEN THE UNIVERSITY OF NORTH 2456 01:35:01,200 --> 01:35:04,440 CAROLINA AT CHAPEL HILL, 2457 01:35:04,440 --> 01:35:07,320 PARTICULARLY PIEDMONT HEALTH 2458 01:35:07,320 --> 01:35:08,400 SERVICES, A FEDERALLY QUALIFIED 2459 01:35:08,400 --> 01:35:10,480 COMMUNITY HEALTH CENTER. 2460 01:35:10,480 --> 01:35:12,640 HALF OF THE GROUP, 225 2461 01:35:12,640 --> 01:35:14,720 PARTICIPANTS, GET THE 8-WEEK 2462 01:35:14,720 --> 01:35:16,480 MINDFULNESS PROGRAM, AND THE 2463 01:35:16,480 --> 01:35:22,960 OTHERS GET THE USUAL PRIMARY 2464 01:35:22,960 --> 01:35:26,120 CARE. 2465 01:35:26,120 --> 01:35:29,640 PRIMARY OUTCOME IS LOOKING AT 2466 01:35:29,640 --> 01:35:31,960 PAIN INTENSITY AND PAIN 2467 01:35:31,960 --> 01:35:33,920 EXPERIENCE IN ENJOYMENT OF LIFE 2468 01:35:33,920 --> 01:35:35,200 AND PHYSICAL FUNCTION. 2469 01:35:35,200 --> 01:35:38,400 WE'RE LOOKING AT OTHER SECONDARY 2470 01:35:38,400 --> 01:35:40,480 MEASURES LIKE PSYCHOLOGICAL 2471 01:35:40,480 --> 01:35:42,240 FUNCTION, PHYSICAL FUNCTIONING, 2472 01:35:42,240 --> 01:35:43,760 HEALTHCARE UTILIZATION, PAIN 2473 01:35:43,760 --> 01:35:45,400 MEDICATION, OPIOID USE, LIKE ANY 2474 01:35:45,400 --> 01:35:50,680 PAIN CLINICAL TRIAL WE HAVE TO 2475 01:35:50,680 --> 01:35:51,760 HAVE MULTI-DISCIPLINARY MEASURES 2476 01:35:51,760 --> 01:35:55,360 FOR OUR OUTCOME. 2477 01:35:55,360 --> 01:35:56,400 NEXT SLIDE. 2478 01:35:56,400 --> 01:36:01,720 PRIMARY HYPOTHESIS IS THAT 2479 01:36:01,720 --> 01:36:03,480 PATIENTS WILL HAVE SIGNIFICANTLY 2480 01:36:03,480 --> 01:36:04,760 IMPROVED PAIN INTENSITY AND 2481 01:36:04,760 --> 01:36:08,840 INTERFERENCE MEASURED BY THE PG 2482 01:36:08,840 --> 01:36:11,360 SCORE AT COMPLETION AT SIX AND 2483 01:36:11,360 --> 01:36:12,680 TWELVE MONTHS LATER COMPARED TO 2484 01:36:12,680 --> 01:36:13,400 USUAL CARE. 2485 01:36:13,400 --> 01:36:17,400 WE WANT TO SEE WITH ANY PAIN 2486 01:36:17,400 --> 01:36:18,440 INTERVENTION THAT THERE IS 2487 01:36:18,440 --> 01:36:20,760 EFFECT OVER TIME, IT'S NOT JUST 2488 01:36:20,760 --> 01:36:23,080 LIKE A TYLENOL WHERE IT HELPS MY 2489 01:36:23,080 --> 01:36:25,280 HEADACHE RIGHT NOW BUT IT'S 2490 01:36:25,280 --> 01:36:32,120 NOTHING LONG TERM. 2491 01:36:32,120 --> 01:36:33,240 NEXT SLIDE. 2492 01:36:33,240 --> 01:36:36,200 TWELVE PARTICIPANTS WITH CHRONIC 2493 01:36:36,200 --> 01:36:40,800 LOW BACK PAIN ARE REFERRED OR 2494 01:36:40,800 --> 01:36:41,720 SELF-IDENTIFIED. 2495 01:36:41,720 --> 01:36:43,640 COMPLETE BASELINE SURVEYS ALL 2496 01:36:43,640 --> 01:36:44,120 ONLINE. 2497 01:36:44,120 --> 01:36:46,280 THEY GET RANDOMIZED TO ONE OF 2498 01:36:46,280 --> 01:36:46,720 TWO GROUPS. 2499 01:36:46,720 --> 01:36:48,040 THEY PARTICIPATE IN THE 2500 01:36:48,040 --> 01:36:49,640 PROGRAMS, AND ALSO WE TAKE 2501 01:36:49,640 --> 01:36:52,280 SURVEYS MONTHLY AT 8 WEEKS, 6 2502 01:36:52,280 --> 01:36:53,840 MONTHS, 12 MONTHS. 2503 01:36:53,840 --> 01:36:57,960 SO THE CLINICAL TRIAL IS 2504 01:36:57,960 --> 01:36:59,080 COMPLETELY -- PRAGMATIC CLINICAL 2505 01:36:59,080 --> 01:37:05,440 TRIAL IS COMPLETELY VIRTUAL. 2506 01:37:05,440 --> 01:37:06,520 NEXT SLIDE. 2507 01:37:06,520 --> 01:37:07,600 AGAIN, CLINICAL PAIN MANAGEMENT 2508 01:37:07,600 --> 01:37:10,040 PROGRAM IS MODELS ON THE 2509 01:37:10,040 --> 01:37:10,760 MINDFULNESS BASED STRESS 2510 01:37:10,760 --> 01:37:12,200 REDUCTION PROGRAM, NOW AN 2511 01:37:12,200 --> 01:37:14,200 EVIDENCE-BASED TREATMENT FOR 2512 01:37:14,200 --> 01:37:16,160 PERSONS WHO HAVE CHRONIC LOW 2513 01:37:16,160 --> 01:37:21,520 BACK PAIN AS LONG AS THE PRIMARY 2514 01:37:21,520 --> 01:37:23,040 FIRST LINE INTERVENTION FOR 2515 01:37:23,040 --> 01:37:28,080 PEOPLE WITH CHRONIC LOW BACK 2516 01:37:28,080 --> 01:37:28,680 PAIN. 2517 01:37:28,680 --> 01:37:29,760 EIGHT WEEKLY 90-MINUTE SESSIONS 2518 01:37:29,760 --> 01:37:33,480 GROUP BASED DELIVERED IN PRIMARY 2519 01:37:33,480 --> 01:37:38,400 CARE, SO TELEHEALTH MEDICAL 2520 01:37:38,400 --> 01:37:39,240 GROUP VISIT MODEL. 2521 01:37:39,240 --> 01:37:39,920 NEXT SLIDE. 2522 01:37:39,920 --> 01:37:41,760 HOW DOES THAT WORK? 2523 01:37:41,760 --> 01:37:47,360 THE PATIENTS SIGN INTO THE GROUP 2524 01:37:47,360 --> 01:37:51,400 ZOOM AND WILL HAVE A MINDFULNESS 2525 01:37:51,400 --> 01:37:53,280 INSTRUCTOR, PRIMARY CARE 2526 01:37:53,280 --> 01:37:54,040 PROVIDERS. 2527 01:37:54,040 --> 01:37:55,040 PATIENTS MEET WITH PROVIDER FOR 2528 01:37:55,040 --> 01:37:56,720 A BRIEF CHECK-IN IN A BREAKOUT 2529 01:37:56,720 --> 01:37:58,520 ROOM PRIOR TO THE START OF THE 2530 01:37:58,520 --> 01:37:59,240 SESSION. 2531 01:37:59,240 --> 01:38:01,040 AND THE PATIENT RETURNS TO THE 2532 01:38:01,040 --> 01:38:03,680 FULL GROUP TO PARTICIPATE IN THE 2533 01:38:03,680 --> 01:38:06,840 MINDFULNESS PROGRAM. 2534 01:38:06,840 --> 01:38:08,360 NEXT SLIDE. 2535 01:38:08,360 --> 01:38:11,320 A SNAPSHOT OF WHERE WE'RE 2536 01:38:11,320 --> 01:38:14,360 CURRENTLY AT, WE HAVE SCREENED 2537 01:38:14,360 --> 01:38:19,560 1247 PEOPLE, IF YOU KIND OF GO 2538 01:38:19,560 --> 01:38:23,960 DOWN ALL THE ROWS, WE RANDOMIZED 2539 01:38:23,960 --> 01:38:28,080 366 PEOPLE SO WE'RE GETTING 2540 01:38:28,080 --> 01:38:29,320 CLOSE. 2541 01:38:29,320 --> 01:38:30,200 WE RANDOMIZE IN COHORTS BECAUSE 2542 01:38:30,200 --> 01:38:31,840 OF THE NATURE OF THE WAY THE 2543 01:38:31,840 --> 01:38:33,440 TRIAL IS SET UP, THERE'S STILL 2544 01:38:33,440 --> 01:38:41,920 PEOPLE IN WAITING TO BE 2545 01:38:41,920 --> 01:38:42,520 RANDOMIZED. 2546 01:38:42,520 --> 01:38:43,720 NOW SHIFTING TO STAKEHOLDER 2547 01:38:43,720 --> 01:38:46,320 ENGAGEMENT AND WORK WITH 2548 01:38:46,320 --> 01:38:48,680 STAKEHOLDER ENGAGEMENT. 2549 01:38:48,680 --> 01:38:49,680 NEXT SLIDE. 2550 01:38:49,680 --> 01:38:52,600 AND WHO ARE THE STAKE HOLDERS? 2551 01:38:52,600 --> 01:38:57,440 THEY COME FROM GROUPS AND 2552 01:38:57,440 --> 01:39:01,480 ORGANIZATIONS, HEALTH CARED A 2553 01:39:01,480 --> 01:39:03,640 34-R9ORS, ADVOCATES, COMMUNITY 2554 01:39:03,640 --> 01:39:04,440 MEMBERS, POLICYMAKERS, MIGHT 2555 01:39:04,440 --> 01:39:08,480 BRING SEVERAL PERSPECTIVES TO 2556 01:39:08,480 --> 01:39:09,480 ANY PROJECTS. 2557 01:39:09,480 --> 01:39:10,680 COMMUNITY ADVISORY BOARD 2558 01:39:10,680 --> 01:39:12,440 MEMBERS, STAKEHOLDERS FROM 2559 01:39:12,440 --> 01:39:14,280 VARIOUS BACKGROUNDS, WHO EACH 2560 01:39:14,280 --> 01:39:16,360 BRING UNIQUE PERSPECTIVES AND 2561 01:39:16,360 --> 01:39:20,960 EXPERTISE TO THE TABLE. 2562 01:39:20,960 --> 01:39:25,360 NEXT SLIDE. 2563 01:39:25,360 --> 01:39:28,840 SO, THE CONTRIBUTIONS OF CAB, 2564 01:39:28,840 --> 01:39:32,760 FOR SHORT, THE FEEDBACK AND 2565 01:39:32,760 --> 01:39:36,040 ADVICE THEY PROVIDE, A LOT 2566 01:39:36,040 --> 01:39:36,920 IDENTIFY ABOUT LIVING WITH 2567 01:39:36,920 --> 01:39:38,240 CHRONIC PAIN, CHRONIC LOW BACK 2568 01:39:38,240 --> 01:39:41,640 PAIN, GIVE ADVICE HOW TO ENGAGE 2569 01:39:41,640 --> 01:39:43,600 WITH PROVIDERS WHO SERVE AS 2570 01:39:43,600 --> 01:39:44,560 PARTICIPANTS, PROVIDE 2571 01:39:44,560 --> 01:39:46,880 MINDFULNESS AND PRIMARY CARE AND 2572 01:39:46,880 --> 01:39:49,920 ADVICE ON RESISTANCE TO 2573 01:39:49,920 --> 01:39:51,720 MINDFULNESS FOR TREATING PAIN. 2574 01:39:51,720 --> 01:39:52,440 ASSISTANCE WITH TAILORING 2575 01:39:52,440 --> 01:39:53,560 RECRUITMENT AND METHODS, AS YOU 2576 01:39:53,560 --> 01:39:55,880 CAN IMAGINE, THAT'S WHAT WE'RE 2577 01:39:55,880 --> 01:39:56,960 WORKING ON NOW. 2578 01:39:56,960 --> 01:39:58,720 REALLY WE WILL BE ENGAGING THEM 2579 01:39:58,720 --> 01:40:04,600 MORE AND MORE ON NEXT STEPS FOR 2580 01:40:04,600 --> 01:40:05,400 DISSEMINATION. 2581 01:40:05,400 --> 01:40:06,240 NEXT SLIDE. 2582 01:40:06,240 --> 01:40:09,000 WHO WHO MAKES UP OUR CAB? 2583 01:40:09,000 --> 01:40:11,640 WE HAVE PEOPLE WHO HAVE CHRONIC 2584 01:40:11,640 --> 01:40:13,240 LOW BACK PAIN, THAT GOES WITHOUT 2585 01:40:13,240 --> 01:40:15,680 SAYING THAT'S CRITICAL. 2586 01:40:15,680 --> 01:40:17,440 BUT GIVEN THE MOSTLY 2587 01:40:17,440 --> 01:40:18,720 DISCIPLINARY NATURE OF THIS 2588 01:40:18,720 --> 01:40:20,240 STUDY WE HAVE MINDFULNESS 2589 01:40:20,240 --> 01:40:22,480 INSTRUCTORS, WE HAVE HEALTH CARE 2590 01:40:22,480 --> 01:40:24,680 PROFESSIONALS, WE HAVE PAIN 2591 01:40:24,680 --> 01:40:26,240 ADVOCACY GROUP LEADERS AND 2592 01:40:26,240 --> 01:40:26,600 ADMINISTRATORS. 2593 01:40:26,600 --> 01:40:30,120 SO WE TRY TO CREATE A CAB WITH A 2594 01:40:30,120 --> 01:40:32,840 BREADTH OF VIEWPOINTS AND NOT 2595 01:40:32,840 --> 01:40:34,040 JUST THE RESEARCH VIEWPOINT THAT 2596 01:40:34,040 --> 01:40:35,680 ME AS A PRINCIPAL INVESTIGATOR 2597 01:40:35,680 --> 01:40:36,480 WILL BRING. 2598 01:40:36,480 --> 01:40:39,200 WE HAVE TEN MEMBERS IN OUR CAB. 2599 01:40:39,200 --> 01:40:42,040 WE DO MEET MONTHLY FOR AN HOUR. 2600 01:40:42,040 --> 01:40:43,560 PEOPLE ARE REIMBURSED. 2601 01:40:43,560 --> 01:40:45,120 THIS WAS CONSCIOUS TO DO IT 2602 01:40:45,120 --> 01:40:46,640 MONTHLY, NOT ALL CABs ARE DONE 2603 01:40:46,640 --> 01:40:49,920 MONTHLY BUT I WANTED TO 2604 01:40:49,920 --> 01:40:51,360 INTEGRATE AND THEIR FEEDBACK AS 2605 01:40:51,360 --> 01:40:55,840 PART OF THE TEAM SO THAT IT 2606 01:40:55,840 --> 01:40:57,160 COULD BE DIRECTLY IMPLEMENTED 2607 01:40:57,160 --> 01:41:01,120 WHAT THEY HAVE RECOMMENDED FOR 2608 01:41:01,120 --> 01:41:01,640 US. 2609 01:41:01,640 --> 01:41:02,120 NEXT SLIDE. 2610 01:41:02,120 --> 01:41:04,360 SO HOW DO WE EVEN START THIS? 2611 01:41:04,360 --> 01:41:09,000 WELL, WHAT I USE AND WHAT WE USE 2612 01:41:09,000 --> 01:41:10,960 WAS CONNECTING COMMUNITIES TO 2613 01:41:10,960 --> 01:41:13,440 RESEARCH, A TOOLKIT. 2614 01:41:13,440 --> 01:41:17,040 THIS WAS DEVELOPED BY COLLEAGUES 2615 01:41:17,040 --> 01:41:23,080 AT BOSTON MEDICAL CENTER, AND IS 2616 01:41:23,080 --> 01:41:24,720 AVAILABLE FREELY THROUGH PCORI. 2617 01:41:24,720 --> 01:41:26,800 IT IS A STEP-BY-STEP GUIDE TO 2618 01:41:26,800 --> 01:41:29,200 TRAIN THE CAB. 2619 01:41:29,200 --> 01:41:32,160 I LISTED A LIST OF FOLKS WITH NO 2620 01:41:32,160 --> 01:41:33,240 EXPERIENCE IN RESEARCH. 2621 01:41:33,240 --> 01:41:34,680 SO IT'S VERY CRITICAL TO 2622 01:41:34,680 --> 01:41:37,640 INTRODUCE THEM TO THE RESEARCH 2623 01:41:37,640 --> 01:41:39,800 PROCESS AND REALLY SO THE CABs 2624 01:41:39,800 --> 01:41:42,200 DEVELOP AN UNDERSTANDING OF 2625 01:41:42,200 --> 01:41:44,600 CONTRIBUTIONS AS PARTNERS IN 2626 01:41:44,600 --> 01:41:46,040 RESEARCH STUDY. 2627 01:41:46,040 --> 01:41:47,680 SO, THEY PARTICIPATED IN A 2628 01:41:47,680 --> 01:41:49,240 TWO-HOUR TRAINING. 2629 01:41:49,240 --> 01:41:50,560 THIS TOOLKIT LITERALLY GOES OVER 2630 01:41:50,560 --> 01:41:52,720 STEP BY STEP AND HAS A 2631 01:41:52,720 --> 01:41:54,160 POWERPOINT PRESENTATION OF WHAT 2632 01:41:54,160 --> 01:41:55,120 YOU MIGHT INCLUDE. 2633 01:41:55,120 --> 01:41:57,400 SO WE OF COURSE TAILORED TO THE 2634 01:41:57,400 --> 01:41:59,720 OPTIMUM STUDY BUT IT WAS VERY 2635 01:41:59,720 --> 01:42:02,280 HELPFUL TO USE THIS AS A BASIC 2636 01:42:02,280 --> 01:42:05,200 TRAINING FOR ALL OF THE CAB 2637 01:42:05,200 --> 01:42:08,240 MEMBERS TO BEGIN THE JOURNEY 2638 01:42:08,240 --> 01:42:10,560 WITH US. 2639 01:42:10,560 --> 01:42:11,120 NEXT SLIDE. 2640 01:42:11,120 --> 01:42:14,200 SO WHAT ARE THE TOPICS? 2641 01:42:14,200 --> 01:42:16,840 ONE, I WILL SAY THIS IS SOMEWHAT 2642 01:42:16,840 --> 01:42:18,200 FLUID BECAUSE IF THINGS COME UP, 2643 01:42:18,200 --> 01:42:19,760 BECAUSE THEY ARE MEETING MONTHLY 2644 01:42:19,760 --> 01:42:22,600 IF SOMETHING COMES UP NOW IN THE 2645 01:42:22,600 --> 01:42:24,800 STUDY WE LIKE THEIR FEEDBACK 2646 01:42:24,800 --> 01:42:26,760 MIGHT BRING THAT UP AT THIS 2647 01:42:26,760 --> 01:42:27,440 MONTH'S MEETING BUT FOR SURE 2648 01:42:27,440 --> 01:42:29,920 THEY WERE INVOLVED IN LOOKING AT 2649 01:42:29,920 --> 01:42:33,080 OUR RECRUITMENT MATERIALS SUCH 2650 01:42:33,080 --> 01:42:36,160 AS FLYERS, WEBSITES, ANIMATED 2651 01:42:36,160 --> 01:42:37,560 VIDEO WE CREATED, LOOKED AT 2652 01:42:37,560 --> 01:42:39,760 LANGUAGE USED IN STUDY 2653 01:42:39,760 --> 01:42:42,160 MATERIALS, BRAINSTORMED 2654 01:42:42,160 --> 01:42:44,160 STRATEGIES FOR STUDY 2655 01:42:44,160 --> 01:42:44,920 PARTICIPATION AND RECRUITMENT, 2656 01:42:44,920 --> 01:42:46,960 AND WE GIVE THEM UPDATES ON 2657 01:42:46,960 --> 01:42:50,280 STUDY PROGRESS. 2658 01:42:50,280 --> 01:42:51,320 NEXT SLIDE. 2659 01:42:51,320 --> 01:42:54,320 SO, CAB WORK FLOW IS A CYCLE, 2660 01:42:54,320 --> 01:42:55,640 THE COMMUNITY ADVISORY BOARD 2661 01:42:55,640 --> 01:42:57,040 MEETS, THEY REVIEW THE MATERIALS 2662 01:42:57,040 --> 01:42:59,360 THAT WE PRESENT TO THEM AND THEY 2663 01:42:59,360 --> 01:43:01,560 DISCUSS STRATEGIES OR MAKE 2664 01:43:01,560 --> 01:43:03,720 RECOMMENDATIONS BASED ON THAT. 2665 01:43:03,720 --> 01:43:06,600 WE CREATE A LIGHTNING REPORT, 2666 01:43:06,600 --> 01:43:10,520 SEVEN DAYS OF THE CAB MEETING, 2667 01:43:10,520 --> 01:43:12,360 I'LL REVIEW THAT IN A MOMENT. 2668 01:43:12,360 --> 01:43:20,800 THEN WE TAKE THAT LIGHTNING 2669 01:43:20,800 --> 01:43:22,000 REPORT AND WE MEET EVERY TWO 2670 01:43:22,000 --> 01:43:24,800 WEEKS BRING THAT REPORT TO THE 2671 01:43:24,800 --> 01:43:27,800 ENTIRE TEAM FOR DISCUSSION 2672 01:43:27,800 --> 01:43:34,640 WITHIN FOUR WEEKS, TRY TO 2673 01:43:34,640 --> 01:43:36,400 IMPLEMENT RECOMMENDATIONS AND 2674 01:43:36,400 --> 01:43:37,280 BRING BACK WHAT WE'VE 2675 01:43:37,280 --> 01:43:38,760 IMPLEMENTED TO THE CAB AND THE 2676 01:43:38,760 --> 01:43:43,600 CYCLE STARTS ALL OVER AGAIN. 2677 01:43:43,600 --> 01:43:45,680 NEXT SLIDE. 2678 01:43:45,680 --> 01:43:49,600 SO LIGHTNING REPORT IS A RAPID 2679 01:43:49,600 --> 01:43:51,560 QUALITATIVE ANALYSIS METHOD, THE 2680 01:43:51,560 --> 01:43:54,240 WAY WE'VE IMPLEMENTED, TWO NOTE 2681 01:43:54,240 --> 01:43:58,240 TAKERS DURING THE CAB MEETING, 2682 01:43:58,240 --> 01:44:00,640 AND THEY SUMMARIZE IN THIS WAY 2683 01:44:00,640 --> 01:44:04,480 THAT'S SHOWN HERE THE MEETING OF 2684 01:44:04,480 --> 01:44:05,440 THE CAB. 2685 01:44:05,440 --> 01:44:07,760 SO WHAT'S WORKING, WHAT NEEDS TO 2686 01:44:07,760 --> 01:44:09,080 CHANGE, OVERALL INSIGHT, ACTION 2687 01:44:09,080 --> 01:44:09,480 ITEMS. 2688 01:44:09,480 --> 01:44:11,360 AND A LITTLE EXECUTIVE SUMMARY. 2689 01:44:11,360 --> 01:44:14,760 THIS IS A VERY FAST WAY TO 2690 01:44:14,760 --> 01:44:16,080 ORGANIZE THE RECOMMENDATIONS OF 2691 01:44:16,080 --> 01:44:17,680 THE CAB MEETING AND THIS IS 2692 01:44:17,680 --> 01:44:20,840 LITERALLY WHAT WE BRING TO THE 2693 01:44:20,840 --> 01:44:25,560 WHOLE TEAM TO DISCUSS. 2694 01:44:25,560 --> 01:44:25,880 NEXT SLIDE. 2695 01:44:25,880 --> 01:44:29,040 I WANT TO SHOW YOU CONCRETE 2696 01:44:29,040 --> 01:44:29,320 EXAMPLES. 2697 01:44:29,320 --> 01:44:30,800 ON THE LEFT THE ORIGINAL FLYER 2698 01:44:30,800 --> 01:44:31,560 SHOWN TO CAB. 2699 01:44:31,560 --> 01:44:34,640 THEY HAD A LOT OF OPINIONS ABOUT 2700 01:44:34,640 --> 01:44:34,800 IT. 2701 01:44:34,800 --> 01:44:38,800 ONE IS THEY FELT THAT EVERYBODY 2702 01:44:38,800 --> 01:44:40,240 WITH CHRONIC PAIN RESEARCH SHOWS 2703 01:44:40,240 --> 01:44:41,320 IMAGE OF SOMEBODY HOLDING THEIR 2704 01:44:41,320 --> 01:44:42,880 BACK AND IN PAIN. 2705 01:44:42,880 --> 01:44:46,680 THEY REALLY DO NOT LIKE THAT. 2706 01:44:46,680 --> 01:44:50,720 THEY ACTUALLY WANTED US TO HAVE 2707 01:44:50,720 --> 01:44:51,800 NATURE, PICTURES OF NATURE. 2708 01:44:51,800 --> 01:44:53,560 AND SO WE TOOK THAT TO HEART. 2709 01:44:53,560 --> 01:44:55,880 THE OTHER THING THAT THEY REALLY 2710 01:44:55,880 --> 01:44:57,960 WANTED IS FOR US TO MENTION 2711 01:44:57,960 --> 01:44:59,720 MINDFULNESS. 2712 01:44:59,720 --> 01:45:03,000 THEY UNDERSTOOD PEOPLE MAY BE 2713 01:45:03,000 --> 01:45:04,600 RANDOMIZED TO USUAL CARE, 2714 01:45:04,600 --> 01:45:06,800 NEVERTHELESS FELT IT WAS 2715 01:45:06,800 --> 01:45:09,000 IMPORTANT THAT THE PEOPLE WHO 2716 01:45:09,000 --> 01:45:11,000 SAW THIS FLYER UNDERSTOOD THIS 2717 01:45:11,000 --> 01:45:14,600 WAS A STUDY FOR MINDFULNESS. 2718 01:45:14,600 --> 01:45:15,240 NEXT SLIDE. 2719 01:45:15,240 --> 01:45:17,680 AGAIN, SAME WITH THE IMAGE. 2720 01:45:17,680 --> 01:45:20,600 DID NOT LIKE THE GRIMACING 2721 01:45:20,600 --> 01:45:21,720 PERSON HOLDING THEIR BACK. 2722 01:45:21,720 --> 01:45:23,880 WE'VE SEEN IT A MILLION TIMES, 2723 01:45:23,880 --> 01:45:26,920 IT'S NOT INNOVATIVE OR CREATIVE. 2724 01:45:26,920 --> 01:45:28,360 SO, SOME OF THE LANGUAGE FOR 2725 01:45:28,360 --> 01:45:29,560 EXAMPLE HAVE YOU METHOD ABOUT 2726 01:45:29,560 --> 01:45:31,760 MINDFULNESS FOR YOUR CHRONIC LOW 2727 01:45:31,760 --> 01:45:33,600 BACK PAIN, THAT'S DIRECTLY THE 2728 01:45:33,600 --> 01:45:34,960 LANGUAGE THAT THEY WERE 2729 01:45:34,960 --> 01:45:36,240 RECOMMENDING US TO USE. 2730 01:45:36,240 --> 01:45:39,200 THEY WERE VERY CLEAR THEY DID 2731 01:45:39,200 --> 01:45:44,680 NOT WANT US TO MENTION HOW MUCH 2732 01:45:44,680 --> 01:45:45,280 COMPENSATION PARTICIPANTS MAY 2733 01:45:45,280 --> 01:45:45,440 GET. 2734 01:45:45,440 --> 01:45:50,920 ALSO I WANT TO POINT OUT THEY 2735 01:45:50,920 --> 01:45:52,880 DID THE NATION SCENE MENTIONING 2736 01:45:52,880 --> 01:45:53,640 MINDFULNESS FROM PATIENTS WITH 2737 01:45:53,640 --> 01:45:55,720 CHRONIC LOW BACK PAIN WHO 2738 01:45:55,720 --> 01:45:57,280 PARTICIPATED IN THE 8-WEEK 2739 01:45:57,280 --> 01:45:57,520 PROGRAM. 2740 01:45:57,520 --> 01:46:00,200 SO THEY WERE BOTH FAMILIAR WITH 2741 01:46:00,200 --> 01:46:01,200 LIVING WITH CHRONIC PAIN AND 2742 01:46:01,200 --> 01:46:06,000 HAVING GONE THROUGH A 2743 01:46:06,000 --> 01:46:06,960 MINDFULNESS PROGRAM. 2744 01:46:06,960 --> 01:46:08,960 NEXT SLIDE. 2745 01:46:08,960 --> 01:46:10,280 ANOTHER SUGGESTION, THE CAB, I 2746 01:46:10,280 --> 01:46:12,240 SHOWED THIS TO YOU EARLIER GOING 2747 01:46:12,240 --> 01:46:13,920 THROUGH THE FLOW OF THE STUDY, 2748 01:46:13,920 --> 01:46:17,200 THEY DID NOT LIKE THE ORIGINAL 2749 01:46:17,200 --> 01:46:18,280 PROVIDER IMAGE CARTOON YOU SEE 2750 01:46:18,280 --> 01:46:23,080 ON THE LEFT, SO YOU SEE WE ALSO 2751 01:46:23,080 --> 01:46:23,760 CHANGED THAT. 2752 01:46:23,760 --> 01:46:25,160 AGAIN, BRING THEM WHAT WE CHANGE 2753 01:46:25,160 --> 01:46:27,800 AND THEY GIVE US FEEDBACK, AND 2754 01:46:27,800 --> 01:46:29,560 IF EVERYONE LIKES IT WE BRING IT 2755 01:46:29,560 --> 01:46:33,720 TO THE IRB FOR APPROVAL. 2756 01:46:33,720 --> 01:46:34,800 NEXT SLIDE. 2757 01:46:34,800 --> 01:46:36,840 WHAT ABOUT LANGUAGE AND 2758 01:46:36,840 --> 01:46:37,840 RECRUITMENT APPROACH? 2759 01:46:37,840 --> 01:46:38,840 THIS WAS VERY HELPFUL. 2760 01:46:38,840 --> 01:46:41,280 WHEN THEY LOOKED AT ORIGINAL 2761 01:46:41,280 --> 01:46:44,880 RECRUITMENT LETTER SAID YOU NEED 2762 01:46:44,880 --> 01:46:46,960 TO ADD CONFIDENTIALITY LANGUAGE. 2763 01:46:46,960 --> 01:46:49,120 PEOPLE WHO ARE PARTICIPATING IN 2764 01:46:49,120 --> 01:46:51,120 A STUDY NEED TO KNOW THAT 2765 01:46:51,120 --> 01:46:51,760 EVERYTHING THAT YOU'RE 2766 01:46:51,760 --> 01:46:53,640 COLLECTING FROM THEM WILL BE 2767 01:46:53,640 --> 01:46:54,520 CONFIDENTIAL. 2768 01:46:54,520 --> 01:47:00,200 SO WE ADDED THAT. 2769 01:47:00,200 --> 01:47:01,520 THEY ALSO HELPED WITH 2770 01:47:01,520 --> 01:47:02,840 RECRUITMENT, HAD A LOT OF 2771 01:47:02,840 --> 01:47:04,400 DISCUSSION ON THE INFORMATION 2772 01:47:04,400 --> 01:47:07,720 THAT NEEDS TO BE BROUGHT TO 2773 01:47:07,720 --> 01:47:09,160 PARTICIPANTS WHEN SPEAKING ON 2774 01:47:09,160 --> 01:47:10,600 THE PHONE, FOR EXAMPLE, REALLY 2775 01:47:10,600 --> 01:47:12,480 WHAT ARE THE BENEFITS OF 2776 01:47:12,480 --> 01:47:13,360 PARTICIPATING IN RESEARCH AND 2777 01:47:13,360 --> 01:47:17,280 WHY WOULD YOU EVEN WANT TO 2778 01:47:17,280 --> 01:47:18,480 PARTICIPATE IN RESEARCH. 2779 01:47:18,480 --> 01:47:20,320 THEY WANTED THEM TO HAVE MORE 2780 01:47:20,320 --> 01:47:23,280 INFORMATION ON THE BENEFITS OF 2781 01:47:23,280 --> 01:47:23,760 MINDFULNESS. 2782 01:47:23,760 --> 01:47:26,560 SO INTERESTINGLY, YOU THINK OF 2783 01:47:26,560 --> 01:47:28,440 WHO DOES THAT IN CLINICAL TRIAL, 2784 01:47:28,440 --> 01:47:30,360 OF COURSE IT'S RESEARCH 2785 01:47:30,360 --> 01:47:34,240 ASSISTANTS, WHO HAVE THE MOST 2786 01:47:34,240 --> 01:47:35,760 ONE-TO-ONE DIRECT CONTACT WITH 2787 01:47:35,760 --> 01:47:37,320 POTENTIAL PARTICIPANTS. 2788 01:47:37,320 --> 01:47:40,120 THIS LED TO A REALLY RICH STUDY 2789 01:47:40,120 --> 01:47:46,160 AMONG ALL THREE SITES, AND 2790 01:47:46,160 --> 01:47:48,160 RESEARCH ASSISTANTS, ON ACTUAL 2791 01:47:48,160 --> 01:47:51,320 TALKING POINTS, TO SPEAK WITH TO 2792 01:47:51,320 --> 01:47:53,800 A PARTICIPANT AND ALSO HELP ME 2793 01:47:53,800 --> 01:47:55,240 UNDERSTAND EVEN SOME RESEARCH 2794 01:47:55,240 --> 01:47:59,200 ASSISTANTS DIDN'T COMPLETELY 2795 01:47:59,200 --> 01:48:00,280 UNDERSTAND ALL THE EVIDENCE BASE 2796 01:48:00,280 --> 01:48:01,480 BETWEEN MINDFULNESS AND CHRONIC 2797 01:48:01,480 --> 01:48:03,120 LOW BACK PAIN SO IT WAS AN 2798 01:48:03,120 --> 01:48:03,880 EDUCATIONAL OPPORTUNITY. 2799 01:48:03,880 --> 01:48:08,520 WE DEVELOPED TALKING POINTS THAT 2800 01:48:08,520 --> 01:48:10,120 TO THIS DAY THEY HAVE 2801 01:48:10,120 --> 01:48:12,320 CONSISTENTLY USED. 2802 01:48:12,320 --> 01:48:13,320 NEXT SLIDE. 2803 01:48:13,320 --> 01:48:16,240 "HEAL" IS GENEROUS IN THE 2804 01:48:16,240 --> 01:48:17,080 INVOLVEMENT OF STAKEHOLDERS, AND 2805 01:48:17,080 --> 01:48:21,040 WHAT YOU'RE SEEING LEER IS -- 2806 01:48:21,040 --> 01:48:22,600 HERE IS A PICTURE OF THE ANNUAL 2807 01:48:22,600 --> 01:48:25,800 MEETING WITH A POSTER SESSION, 2808 01:48:25,800 --> 01:48:27,080 WE INVITED AMY GOLDSTEIN WHO IS 2809 01:48:27,080 --> 01:48:30,240 ONE OF OUR CAB MEMBERS, TO 2810 01:48:30,240 --> 01:48:31,360 PARTICIPATE IN THE POSTER 2811 01:48:31,360 --> 01:48:36,760 SESSION, AND SO YOU SEE HER 2812 01:48:36,760 --> 01:48:38,680 THERE ALONG WITH ISABELLE ROTH 2813 01:48:38,680 --> 01:48:43,040 WHO AS A K01 FROM NCCIH IS A 2814 01:48:43,040 --> 01:48:46,240 STRONG LEADER IN THE STAKEHOLDER 2815 01:48:46,240 --> 01:48:46,640 ENGAGEMENT. 2816 01:48:46,640 --> 01:48:48,320 SO, I'M APPRECIATIVE OF HOW 2817 01:48:48,320 --> 01:48:51,280 GENEROUS "HEAL" HAS BEEN IN 2818 01:48:51,280 --> 01:48:53,440 INVITING THE YOUNG EARLY 2819 01:48:53,440 --> 01:48:54,440 INVESTIGATORS BY PROVIDING 2820 01:48:54,440 --> 01:48:58,160 TRAVEL AWARDS TO "HEAL" MEETINGS 2821 01:48:58,160 --> 01:49:01,040 AND ALSO STAKEHOLDERS WHICH IS 2822 01:49:01,040 --> 01:49:03,000 VERY EXCITING. 2823 01:49:03,000 --> 01:49:03,840 NEXT SLIDE. 2824 01:49:03,840 --> 01:49:05,920 I DO WANT TO ACKNOWLEDGE IT 2825 01:49:05,920 --> 01:49:08,040 TAKES A VILLAGE, AS THEY SAY. 2826 01:49:08,040 --> 01:49:10,760 AND IT DOES FOR THE OPTIMUM 2827 01:49:10,760 --> 01:49:12,160 STUDY ALSO. 2828 01:49:12,160 --> 01:49:14,560 SO SUSAN, KIM, CAROL, AND 2829 01:49:14,560 --> 01:49:18,960 KATHLEEN ARE THE SITE P.I.s, 2830 01:49:18,960 --> 01:49:21,560 AND I'M INDEBTED TO THEM AND THE 2831 01:49:21,560 --> 01:49:24,760 TEAM AND ALL CAB MEMBER STUDY 2832 01:49:24,760 --> 01:49:26,960 PARTICIPANTS, NIH PRAGMATIC 2833 01:49:26,960 --> 01:49:28,720 TRIAL COLLABORATORY REALLY 2834 01:49:28,720 --> 01:49:31,720 DOES -- IS AN ESSENTIAL PART OF 2835 01:49:31,720 --> 01:49:34,640 BIGGER TEAM AND OF COURSE WENDY 2836 01:49:34,640 --> 01:49:37,040 WEBER IS OUR PROGRAM OFFICER. 2837 01:49:37,040 --> 01:49:39,440 I'D LIKE TO THANK EVERYBODY FOR 2838 01:49:39,440 --> 01:49:41,840 THEIR ATTENTION TODAY AND I'M 2839 01:49:41,840 --> 01:49:50,800 HAPPY TO ANSWER ANY QUESTIONS. 2840 01:49:50,800 --> 01:49:52,440 2841 01:49:52,440 --> 01:49:53,960 >> THANKS, NATALIA. 2842 01:49:53,960 --> 01:49:55,600 WE'LL TAKE FIVE MINUTES, IF 2843 01:49:55,600 --> 01:49:56,800 PEOPLE HAVE SPECIFIC QUESTIONS, 2844 01:49:56,800 --> 01:50:00,320 AND WE'LL MOVE TO DR. COOPERMAN 2845 01:50:00,320 --> 01:50:02,080 AND HER PRESENTATION. 2846 01:50:02,080 --> 01:50:02,600 SO, YEAH? 2847 01:50:02,600 --> 01:50:04,240 >> THANK YOU FOR THIS VERY 2848 01:50:04,240 --> 01:50:06,120 INTERESTING TALK. 2849 01:50:06,120 --> 01:50:08,120 I CAN'T WAIT TO HEAR THE 2850 01:50:08,120 --> 01:50:10,240 RESULTS, ONCE YOU FINISH THE 2851 01:50:10,240 --> 01:50:11,600 RECRUITMENT, BUT WHAT I WANTED 2852 01:50:11,600 --> 01:50:15,240 TO UNDERSTAND IS, IS THERE A 2853 01:50:15,240 --> 01:50:18,840 MEASURE IN YOUR TRIAL DESIGN AS 2854 01:50:18,840 --> 01:50:25,400 TO HOW YOU CAN TEST WHETHER OR 2855 01:50:25,400 --> 01:50:26,920 NOT THE STUDY PARTICIPANTS ARE 2856 01:50:26,920 --> 01:50:30,000 ACTIVELY DOING THE MINDFULNESS? 2857 01:50:30,000 --> 01:50:32,000 I MEAN, ARE SOME DOING IT BETTER 2858 01:50:32,000 --> 01:50:33,760 THAN OTHERS? 2859 01:50:33,760 --> 01:50:34,080 >> RIGHT. 2860 01:50:34,080 --> 01:50:39,080 THAT'S AN EXCELLENT QUESTION. 2861 01:50:39,080 --> 01:50:42,280 AS A PRAGMATIC TRIAL, WE -- I 2862 01:50:42,280 --> 01:50:47,520 DID THIS IN MY ORIGINAL R01, MY 2863 01:50:47,520 --> 01:50:48,160 EFFICACY TRIAL. 2864 01:50:48,160 --> 01:50:49,720 I KNEW IN THE CLINICAL SETTING 2865 01:50:49,720 --> 01:50:52,080 THIS WOULD BE LESS LIKELY THAT 2866 01:50:52,080 --> 01:50:53,440 PROVIDERS WERE LESS LIKELY TO BE 2867 01:50:53,440 --> 01:50:54,400 CHECKING IN. 2868 01:50:54,400 --> 01:50:57,040 BUT I WILL TELL YOU HOW WE'RE 2869 01:50:57,040 --> 01:50:57,320 DOING IT. 2870 01:50:57,320 --> 01:51:01,120 I MENTIONED THAT THE PRIMARY 2871 01:51:01,120 --> 01:51:03,800 CARE PROVIDER CHECKS IN EVERY 2872 01:51:03,800 --> 01:51:04,920 WEEK WITH PARTICIPANTS. 2873 01:51:04,920 --> 01:51:11,920 AND SO PART OF THE NOTE THAT SHE 2874 01:51:11,920 --> 01:51:12,800 WRITES, SHE'S ACROSS SITES NOW 2875 01:51:12,800 --> 01:51:15,320 THAT I THINK ABOUT IT, THE 2876 01:51:15,320 --> 01:51:16,760 PROVIDER, WE ASK THEM WHAT 2877 01:51:16,760 --> 01:51:18,720 MEDITATIONS THEY HAVE BEEN DOING 2878 01:51:18,720 --> 01:51:20,040 IN THE PAST WEEK. 2879 01:51:20,040 --> 01:51:23,280 SO, IT'S NOT BEING COLLECTED THE 2880 01:51:23,280 --> 01:51:25,280 WAY I MIGHT DO AN EFFICACY TRIAL 2881 01:51:25,280 --> 01:51:26,840 WHERE, YOU KNOW, YOU MIGHT HAVE 2882 01:51:26,840 --> 01:51:28,480 YOUR APP WHERE YOU'RE COLLECTING 2883 01:51:28,480 --> 01:51:29,920 IT BUT WE'RE COLLECTING IT 2884 01:51:29,920 --> 01:51:31,320 THROUGH THE MEDICAL RECORDS AND 2885 01:51:31,320 --> 01:51:32,720 THAT POTENTIALLY WILL BE A WAY 2886 01:51:32,720 --> 01:51:37,200 FOR US TO CAPTURE SOME OF IT. 2887 01:51:37,200 --> 01:51:38,360 >> GREAT. 2888 01:51:38,360 --> 01:51:38,560 THANKS. 2889 01:51:38,560 --> 01:51:41,240 OTHER QUESTIONS? 2890 01:51:41,240 --> 01:51:42,200 2891 01:51:42,200 --> 01:51:42,360 YES? 2892 01:51:42,360 --> 01:51:43,200 >> JUST A COMMENT. 2893 01:51:43,200 --> 01:51:45,640 I'D LIKE TO SAY THANKS FOR 2894 01:51:45,640 --> 01:51:46,520 SHARING THE PATIENT FEEDBACK 2895 01:51:46,520 --> 01:51:48,800 THAT YOU GOT ABOUT SHAPING THE 2896 01:51:48,800 --> 01:51:50,160 RECRUITMENT MATERIALS. 2897 01:51:50,160 --> 01:51:53,000 THAT'S REALLY, REALLY HELPFUL. 2898 01:51:53,000 --> 01:51:54,480 I'M ACTUALLY IN A LITTLE -- 2899 01:51:54,480 --> 01:51:55,480 DOING A FEW INTERACTIONS WITH 2900 01:51:55,480 --> 01:51:58,240 OUR P.R. ABOUT MY OWN PATIENT 2901 01:51:58,240 --> 01:51:59,960 FLYERS, IT'S LIKE, WOW, I SHOULD 2902 01:51:59,960 --> 01:52:01,920 ACTUALLY ASK MY PATIENTS WHAT 2903 01:52:01,920 --> 01:52:02,800 WOULD BE BEST. 2904 01:52:02,800 --> 01:52:04,080 SO THANKS A BUNCH FOR BRINGING 2905 01:52:04,080 --> 01:52:06,800 THAT UP. 2906 01:52:06,800 --> 01:52:09,400 >> YOU KNOW WHAT? 2907 01:52:09,400 --> 01:52:11,160 IT SURPRISED ME. 2908 01:52:11,160 --> 01:52:13,440 I'M A CLINICIAN ALSO. 2909 01:52:13,440 --> 01:52:15,600 AND AS A RESEARCHER, I THOUGHT 2910 01:52:15,600 --> 01:52:17,200 OF COURSE THESE PATIENTS WANT TO 2911 01:52:17,200 --> 01:52:18,360 SEE SOMEONE HOLDING THEIR BACK. 2912 01:52:18,360 --> 01:52:19,240 YOU KNOW WHAT? 2913 01:52:19,240 --> 01:52:21,240 THEY DON'T. 2914 01:52:21,240 --> 01:52:22,000 THEY DON'T. 2915 01:52:22,000 --> 01:52:24,280 SO, THAT WAS VERY HELPFUL. 2916 01:52:24,280 --> 01:52:26,800 I HAVE TO ADMIT I LIKE -- 2917 01:52:26,800 --> 01:52:28,120 THERE'S MORE NATURE SCENES I 2918 01:52:28,120 --> 01:52:28,800 DIDN'T SHOW. 2919 01:52:28,800 --> 01:52:31,920 I KIND OF LIKE THE NATURE SCENES 2920 01:52:31,920 --> 01:52:32,160 BETTER. 2921 01:52:32,160 --> 01:52:34,520 IT MAKES SENSE TO ME FROM A 2922 01:52:34,520 --> 01:52:39,520 MINDFULNESS PERSPECTIVE ANYWAY. 2923 01:52:39,520 --> 01:52:40,840 >> GREAT. 2924 01:52:40,840 --> 01:52:42,240 THANKS SO MUCH. 2925 01:52:42,240 --> 01:52:43,720 WE'LL HAVE TIME FOR MORE OPEN 2926 01:52:43,720 --> 01:52:46,160 DISCUSSION AT THE END WHEN WE 2927 01:52:46,160 --> 01:52:48,800 GET THROUGH THE NEXT 2928 01:52:48,800 --> 01:52:49,800 PRESENTATION. 2929 01:52:49,800 --> 01:52:51,400 DR. COOPERMAN, ARE YOU READY TO 2930 01:52:51,400 --> 01:52:52,200 JOIN US? 2931 01:52:52,200 --> 01:52:53,920 LET'S SEE IF WE CAN HEAR YOU. 2932 01:52:53,920 --> 01:52:55,640 >> CAN YOU HEAR ME? 2933 01:52:55,640 --> 01:52:56,800 >>YES, WE CAN. 2934 01:52:56,800 --> 01:52:58,080 I THINK WE'RE ALL SET. 2935 01:52:58,080 --> 01:52:59,240 WE'LL TURN THINGS OVER TO YOU. 2936 01:52:59,240 --> 01:53:00,280 >> GREAT. 2937 01:53:00,280 --> 01:53:01,200 THANK YOU SO MUCH. 2938 01:53:01,200 --> 01:53:07,400 SO WE CAN GO TO THE NEXT SLIDE. 2939 01:53:07,400 --> 01:53:11,800 SO, I'M GOING TO BE TALKING 2940 01:53:11,800 --> 01:53:12,360 ABOUT MINDFULNESS-ORIENTED 2941 01:53:12,360 --> 01:53:13,640 RECOVERY ENHANCEMENT AS ADJUNCT 2942 01:53:13,640 --> 01:53:14,840 TO METHADONE TREATMENT FOR 2943 01:53:14,840 --> 01:53:17,360 OPIOID USE AND CHRONIC PAIN 2944 01:53:17,360 --> 01:53:20,560 TODAY. 2945 01:53:20,560 --> 01:53:21,160 I'M DR. NINA COOPERMAN, 2946 01:53:21,160 --> 01:53:26,400 ASSOCIATE PROFESSOR IN THE 2947 01:53:26,400 --> 01:53:28,960 DIVISION OF OF ADDICTION 2948 01:53:28,960 --> 01:53:29,880 PSYCHIATRY AT RUTGERS ROBERT 2949 01:53:29,880 --> 01:53:31,520 WOOD JOHNSON MEDICAL SCHOOL. 2950 01:53:31,520 --> 01:53:33,280 THANK YOU FOR INVITING ME, 2951 01:53:33,280 --> 01:53:34,040 LOOKING FORWARD TO PRESENTING 2952 01:53:34,040 --> 01:53:36,000 RESULTS TO ALL OF YOU. 2953 01:53:36,000 --> 01:53:36,320 NEXT SLIDE. 2954 01:53:36,320 --> 01:53:38,880 JUST TO GIVE AN OVERVIEW ABOUT 2955 01:53:38,880 --> 01:53:40,280 WHAT I'M GOING TO TALK ABOUT, SO 2956 01:53:40,280 --> 01:53:42,800 I'M GOING TO GIVE A RATIONALE 2957 01:53:42,800 --> 01:53:44,440 FOR THE PROJECTS THAT I'M GOING 2958 01:53:44,440 --> 01:53:48,480 TO GIVE YOU THE RESULTS FOR AND 2959 01:53:48,480 --> 01:53:52,120 TELL YOU THAT FIRST A SMALL 2960 01:53:52,120 --> 01:53:53,720 PILOT STUDY, R21 PILOT STUDY OF 2961 01:53:53,720 --> 01:53:56,440 30 INDIVIDUALS, AND WE DID A 2962 01:53:56,440 --> 01:53:58,560 LARGER STUDY WITH OUR R33 GRANT. 2963 01:53:58,560 --> 01:54:02,920 AND I'LL TELL YOU ABOUT WHAT 2964 01:54:02,920 --> 01:54:04,240 WE'RE, WORKING ON NOW, WHAT NEXT 2965 01:54:04,240 --> 01:54:04,840 STEPS ARE. 2966 01:54:04,840 --> 01:54:05,880 NEXT SLIDE. 2967 01:54:05,880 --> 01:54:08,040 BEFORE I GET STARTED I WANT TO 2968 01:54:08,040 --> 01:54:09,840 ANNUAL MY WONDERFUL TEAM, 2969 01:54:09,840 --> 01:54:12,800 INCLUDING MY CO-INVESTIGATORS AT 2970 01:54:12,800 --> 01:54:15,400 RUTGERS AND UNIVERSITY OF UTAH 2971 01:54:15,400 --> 01:54:15,680 AND STAFF. 2972 01:54:15,680 --> 01:54:18,560 WE HAD WONDERFUL NEW JERSEY 2973 01:54:18,560 --> 01:54:19,880 METHADONE CLINICS AND CLIENTS 2974 01:54:19,880 --> 01:54:22,520 THAT PARTICIPATED IN THIS 2975 01:54:22,520 --> 01:54:23,160 RESEARCH. 2976 01:54:23,160 --> 01:54:24,480 NEXT SLIDE. 2977 01:54:24,480 --> 01:54:27,880 SO, AS WE'VE HEARD, THE U.S. HAS 2978 01:54:27,880 --> 01:54:30,920 BEEN EXPERIENCING AN EPIDEMIC OF 2979 01:54:30,920 --> 01:54:32,240 OPIOID USE DISORDER, OUD, AND 2980 01:54:32,240 --> 01:54:33,120 OPIOID OVERDOSE. 2981 01:54:33,120 --> 01:54:35,000 THERE'S A GREAT NEED FOR 2982 01:54:35,000 --> 01:54:36,520 EFFECTIVE TREATMENTS TO HELP 2983 01:54:36,520 --> 01:54:38,240 INDIVIDUALS WITH OPIOID USE 2984 01:54:38,240 --> 01:54:39,240 DISORDER BECOME AND STAY 2985 01:54:39,240 --> 01:54:44,400 ABSTINENT FROM A LIST OF ILLICIT 2986 01:54:44,400 --> 01:54:45,040 DRUGS. 2987 01:54:45,040 --> 01:54:45,560 MEDICATION COMBINED WITH 2988 01:54:45,560 --> 01:54:48,240 COUNSELING AND THERAPY IS THE 2989 01:54:48,240 --> 01:54:49,000 MOST EFFECTIVE TREATMENT FOR 2990 01:54:49,000 --> 01:54:50,520 OPIOID USE DISORDER AND 2991 01:54:50,520 --> 01:54:52,360 METHADONE IS THE MOST COMMON 2992 01:54:52,360 --> 01:54:56,240 MEDICATION FOR OPIOID USE 2993 01:54:56,240 --> 01:54:56,960 DISORDER. 2994 01:54:56,960 --> 01:54:58,800 TO RECEIVE METHADONE, FOR OPIOID 2995 01:54:58,800 --> 01:55:00,560 USE DISORDER, INDIVIDUALS ATTEND 2996 01:55:00,560 --> 01:55:04,560 A METHADONE CLINIC AND THEY GET 2997 01:55:04,560 --> 01:55:05,320 THEIR METHADONE AT THE CLINIC, 2998 01:55:05,320 --> 01:55:08,800 WHERE YOU CAN EARN DOSES OR 2999 01:55:08,800 --> 01:55:09,880 TAKEHOME DOSES FOR ABSTINENCE 3000 01:55:09,880 --> 01:55:11,000 FROM DRUGS. 3001 01:55:11,000 --> 01:55:14,200 AND ALSO USUALLY IS PART OF THE 3002 01:55:14,200 --> 01:55:15,400 METHADONE CLINIC TREATMENT, 3003 01:55:15,400 --> 01:55:17,320 INDIVIDUAL AND GROUP THERAPY IS 3004 01:55:17,320 --> 01:55:19,880 AVAILABLE WITH VARYING INTENSITY 3005 01:55:19,880 --> 01:55:21,080 AND FREQUENCY. 3006 01:55:21,080 --> 01:55:22,480 HOWEVER, AS PETER MENTIONED, 50% 3007 01:55:22,480 --> 01:55:24,800 OF THOSE WHO BEGIN METHADONE 3008 01:55:24,800 --> 01:55:26,640 TREATMENT DISCONTINUE WITHIN A 3009 01:55:26,640 --> 01:55:29,080 YEAR, AND OF THOSE WHO REMAIN IN 3010 01:55:29,080 --> 01:55:30,720 TREATMENT 50% RELAPSED TO OPIOID 3011 01:55:30,720 --> 01:55:32,440 USE WITHIN SIX MONTHS. 3012 01:55:32,440 --> 01:55:35,520 SO, THIS COULD BE DUE TO 3013 01:55:35,520 --> 01:55:37,600 UNDERLYING FACTORS LIKE CHRONIC 3014 01:55:37,600 --> 01:55:39,360 EMOTIONAL AND PHYSICAL PAIN THAT 3015 01:55:39,360 --> 01:55:42,200 NEED TO BE ADDRESSED. 3016 01:55:42,200 --> 01:55:44,600 AND NOVEL BEHAVIORAL 3017 01:55:44,600 --> 01:55:45,800 INTERVENTIONS ARE NEEDED AS 3018 01:55:45,800 --> 01:55:52,840 ADJUNCTS TO METHADONE TREATMENT 3019 01:55:52,840 --> 01:55:56,000 TO IMPROVE OUTCOMES. 3020 01:55:56,000 --> 01:55:58,520 NEXT SLIDE. 3021 01:55:58,520 --> 01:55:59,120 MINDFULNESS-ORIENTED RECOVERY 3022 01:55:59,120 --> 01:56:08,040 ENHANCEMENT, MORE, IS AN 3023 01:56:08,040 --> 01:56:11,880 INTERVENTION THAT COULD ADDRESS, 3024 01:56:11,880 --> 01:56:14,960 BUT NEVER AS EFFECTIVE AS 3025 01:56:14,960 --> 01:56:16,920 METHADONE, DEVELOPED BY DR. ERIC 3026 01:56:16,920 --> 01:56:17,920 GARLAND, UNIVERSITY OF UTAH, 3027 01:56:17,920 --> 01:56:20,440 FOUND TO BE EFFICACIOUS FOR 3028 01:56:20,440 --> 01:56:21,960 REDUCING PRESCRIBED OPIOID 3029 01:56:21,960 --> 01:56:24,280 MISUSE AMONG PAIN PATIENTS AND 3030 01:56:24,280 --> 01:56:25,760 PRIMARY CARE SETTINGS. 3031 01:56:25,760 --> 01:56:27,560 RECENT STUDY OF MORE COMPARED TO 3032 01:56:27,560 --> 01:56:29,840 A SUPPORT GROUP AND PRIMARY CARE 3033 01:56:29,840 --> 01:56:38,400 PUBLISHED IN JAMA INTERNAL 3034 01:56:38,400 --> 01:56:40,480 MEDICINE FOUND MISUSE AT 45 PTZ. 3035 01:56:40,480 --> 01:56:41,160 %. 3036 01:56:41,160 --> 01:56:43,000 MORE IS AN 8-SESSION GROUP 3037 01:56:43,000 --> 01:56:43,640 INTERVENTION THAT INCLUDES 3038 01:56:43,640 --> 01:56:46,800 TRAINING AND OF IN MINDFULNESS, 3039 01:56:46,800 --> 01:56:48,840 COGNITIVE REAPPRAISAL, POSITIVE 3040 01:56:48,840 --> 01:56:50,240 EMOTION REGULATION SKILLS. 3041 01:56:50,240 --> 01:56:52,040 AND STUDIES I'M PRESENTING TODAY 3042 01:56:52,040 --> 01:56:54,120 ARE THE FIRST TO EVALUATE MORE 3043 01:56:54,120 --> 01:56:57,960 AMONG PEOPLE WITH AN OPIOID USE 3044 01:56:57,960 --> 01:57:00,160 DISORDER AND IN TREATMENT, AND 3045 01:57:00,160 --> 01:57:04,320 ON ANY MEDICATION FOR OPIOID USE 3046 01:57:04,320 --> 01:57:04,560 DISORDER. 3047 01:57:04,560 --> 01:57:04,960 NEXT SLIDE. 3048 01:57:04,960 --> 01:57:08,480 JUST A LITTLE BIT MORE OF AN 3049 01:57:08,480 --> 01:57:11,320 OVERVIEW OF "MORE," INTEGRATIVE 3050 01:57:11,320 --> 01:57:12,960 MIND-BODY THERAPY THAT UNITES 3051 01:57:12,960 --> 01:57:17,000 COMPLEMENTARY ASPECTS OF 3052 01:57:17,000 --> 01:57:18,800 MINDFULNESS TRAINING, CBT, 3053 01:57:18,800 --> 01:57:29,240 PRINCIPLES OF POSITIVE . 3054 01:57:29,800 --> 01:57:31,280 IT'S A SEQUENCED TREATMENT, 3055 01:57:31,280 --> 01:57:32,360 BEGINS WITH A FOUNDATION OF 3056 01:57:32,360 --> 01:57:35,760 MINDFULNESS, WHICH IS THE FORM 3057 01:57:35,760 --> 01:57:37,080 OF MEDITATION INVOLVING 3058 01:57:37,080 --> 01:57:38,800 NON-JUDGMENTAL PRESENT MOMENT 3059 01:57:38,800 --> 01:57:40,760 AWARENESS OF THOUGHTS, EMOTION, 3060 01:57:40,760 --> 01:57:42,240 BODY SENSATIONS. 3061 01:57:42,240 --> 01:57:45,480 AND THROUGH ITS EFFECTS ON 3062 01:57:45,480 --> 01:57:46,600 INCREASING ATTENTIONAL CONTROL, 3063 01:57:46,600 --> 01:57:48,360 META AWARENESS, MINDFULNESS IS 3064 01:57:48,360 --> 01:57:51,840 USED TO SYNERGIZE MORE ELABORATE 3065 01:57:51,840 --> 01:57:56,240 THERAPEUTIC TECHNIQUES LIKE 3066 01:57:56,240 --> 01:57:58,480 REAPPRAISAL, DESIGNED TO 3067 01:57:58,480 --> 01:58:00,040 MODULATE A SERIES OF THERAPEUTIC 3068 01:58:00,040 --> 01:58:02,800 MECHANISMS WHICH IN TURN ARE 3069 01:58:02,800 --> 01:58:04,040 INTENDED TO PRODUCE STEP-WISE 3070 01:58:04,040 --> 01:58:05,560 CHANGE IN A RANGE OF TREATMENT 3071 01:58:05,560 --> 01:58:07,640 TARGETS RELATIVE TO CHRONIC PAIN 3072 01:58:07,640 --> 01:58:09,600 AND OPIOID USE DISORDER. 3073 01:58:09,600 --> 01:58:12,000 AND JUST ALSO TO MENTION MORE 3074 01:58:12,000 --> 01:58:16,280 HAS BEEN FOUND TO BE EFFECTIVE 3075 01:58:16,280 --> 01:58:19,720 FOR ALCOHOL USE, OTHER ILLICIT 3076 01:58:19,720 --> 01:58:20,240 DRUGS, SMOKING, OBESITY, 3077 01:58:20,240 --> 01:58:24,400 INTERNET ADDICTION. 3078 01:58:24,400 --> 01:58:25,200 NEXT SLIDE. 3079 01:58:25,200 --> 01:58:32,400 IN TERMS OF SESSION 3080 01:58:32,400 --> 01:58:42,920 CONTENT,SESSIONS ARE TWO HOURS 3081 01:58:44,360 --> 01:58:45,720 LONGER, EXERCISE, DEBRIEFING, 3082 01:58:45,720 --> 01:58:46,720 EACH SESSION FOCUSES ON A 3083 01:58:46,720 --> 01:58:49,120 DIFFERENT TOPIC THAT BUILDS ON 3084 01:58:49,120 --> 01:58:51,760 EARLIER SESSIONS AND HERE IS AN 3085 01:58:51,760 --> 01:58:56,000 OVERVIEW OF TOPICS OF THE EIGHT 3086 01:58:56,000 --> 01:58:56,280 SESSIONS. 3087 01:58:56,280 --> 01:58:57,000 NEXT SLIDE. 3088 01:58:57,000 --> 01:58:59,400 NOW TO OUR STUDIES. 3089 01:58:59,400 --> 01:59:03,240 SO, WE CONDUCTED TWO STUDIES, 3090 01:59:03,240 --> 01:59:05,000 FIRST A SMALL PILOT STUDY 3091 01:59:05,000 --> 01:59:07,480 DETERMINED FEASIBILITY OF 3092 01:59:07,480 --> 01:59:07,800 IMPLEMENTING 3093 01:59:07,800 --> 01:59:08,480 MINDFULNESS-ORIENTED RECOVERY 3094 01:59:08,480 --> 01:59:09,560 ENHANCEMENT IN METHADONE 3095 01:59:09,560 --> 01:59:10,640 TREATMENT SETTINGS. 3096 01:59:10,640 --> 01:59:13,880 THIS STUDY INCLUDED 30 PEOPLE IN 3097 01:59:13,880 --> 01:59:15,120 METHADONE TREATMENT, RANDOMIZED 3098 01:59:15,120 --> 01:59:19,120 THEM TO MORE OR METHADONE 3099 01:59:19,120 --> 01:59:21,160 TREATMENT AS USUAL. 3100 01:59:21,160 --> 01:59:24,120 THIS STUDY WE IMPLEMENTED IN THE 3101 01:59:24,120 --> 01:59:25,080 METHADONE CLINICS AND 3102 01:59:25,080 --> 01:59:26,840 IMPLEMENTED THE INTERVENTION 3103 01:59:26,840 --> 01:59:28,800 FACE TO FACE, JUST WHEN WE WERE 3104 01:59:28,800 --> 01:59:30,600 ABOUT TO GET STARTED 3105 01:59:30,600 --> 01:59:32,000 IMPLEMENTING THE NEXT PHASE OF 3106 01:59:32,000 --> 01:59:34,560 THE STUDY THE LARGER STUDY, 3107 01:59:34,560 --> 01:59:35,280 COVID HIT. 3108 01:59:35,280 --> 01:59:38,040 I THINK ABOUT A WEEK OR SO 3109 01:59:38,040 --> 01:59:40,040 BEFORE WE WERE ABOUT TO GET 3110 01:59:40,040 --> 01:59:41,240 STARTED ON RECRUITMENT AND 3111 01:59:41,240 --> 01:59:43,840 IMPLEMENTING THE STUDY SO WE HAD 3112 01:59:43,840 --> 01:59:47,560 TO QUICKLY PIVOT AND WE 3113 01:59:47,560 --> 01:59:48,520 IMPLEMENTED THIS STUDY AND 3114 01:59:48,520 --> 01:59:51,360 INTERVENTION REMOTELY. 3115 01:59:51,360 --> 01:59:53,000 WE PROVIDED TABLETS TO THOSE 3116 01:59:53,000 --> 01:59:54,120 PARTICIPANTS IN THE STUDY SO 3117 01:59:54,120 --> 01:59:57,720 THEY COULD ACCESS THE TREATMENT 3118 01:59:57,720 --> 01:59:58,720 REMOTELY. 3119 01:59:58,720 --> 01:59:59,920 AND THEN WE RANDOMIZED 77 3120 01:59:59,920 --> 02:00:03,720 INDIVIDUALS TO METHADONE 3121 02:00:03,720 --> 02:00:06,520 TREATMENT AS USUAL, 77 TO THE 3122 02:00:06,520 --> 02:00:08,680 MORE INTERVENTION. 3123 02:00:08,680 --> 02:00:10,560 NEXT SLIDE. 3124 02:00:10,560 --> 02:00:12,440 BOTH STUDIES WERE IMPLEMENTED IN 3125 02:00:12,440 --> 02:00:13,280 COLLABORATION WITH METHADONE 3126 02:00:13,280 --> 02:00:16,560 CLINICS IN NEW JERSEY, 3127 02:00:16,560 --> 02:00:18,120 PARTICIPANTS WERE RECRUITED BY 3128 02:00:18,120 --> 02:00:20,960 REFERRALS FROM CLINIC STAFF, 3129 02:00:20,960 --> 02:00:21,640 FLYERS, AND IN-PATIENT WAITING 3130 02:00:21,640 --> 02:00:23,560 AREAS SO IN THE PILOT STUDY WE 3131 02:00:23,560 --> 02:00:26,320 WERE IN PATIENT WAITING ROOMS 3132 02:00:26,320 --> 02:00:28,080 FOR THE VIRTUAL STUDY WE WERE IN 3133 02:00:28,080 --> 02:00:29,960 PARKING LOTS APPROACHING PEOPLE 3134 02:00:29,960 --> 02:00:31,040 IN CARS SOMETIMES WHEN PEOPLE 3135 02:00:31,040 --> 02:00:34,720 WERE WAITING TO GET DOSED DURING 3136 02:00:34,720 --> 02:00:35,400 THE PANDEMIC. 3137 02:00:35,400 --> 02:00:37,800 WE RECRUITED PEOPLE IN COHORTS 3138 02:00:37,800 --> 02:00:39,840 OF 14, SINCE THE CLOSED GROUP 3139 02:00:39,840 --> 02:00:42,720 AND RANDOMIZED PEOPLE TO "MORE" 3140 02:00:42,720 --> 02:00:45,080 OR TREATMENT AS USUAL AT EACH 3141 02:00:45,080 --> 02:00:46,920 CLINIC, IN GENERAL TO BE 3142 02:00:46,920 --> 02:00:49,920 ELIGIBLE INDIVIDUALS HAD TO BE 3143 02:00:49,920 --> 02:00:52,880 ON METHADONE, PATIENTS IN THE 3144 02:00:52,880 --> 02:00:54,400 CLINIC EXPERIENCING CHRONIC 3145 02:00:54,400 --> 02:00:57,040 PAIN, AND BE ABLE TO PARTICIPATE 3146 02:00:57,040 --> 02:01:01,400 AND ATTEND THE INTERVENTION 3147 02:01:01,400 --> 02:01:01,680 SESSIONS. 3148 02:01:01,680 --> 02:01:03,080 NEXT SLIDE. 3149 02:01:03,080 --> 02:01:06,040 FOR ASSESSMENT WE CONDUCTED 3150 02:01:06,040 --> 02:01:08,080 SURVEYS AT BASELINE, 8 WEEKS 3151 02:01:08,080 --> 02:01:09,360 MEETLY POST-ASSESSMENT FOR THE 3152 02:01:09,360 --> 02:01:11,480 "MORE" GROUP AND 8 WEEKS AFTER 3153 02:01:11,480 --> 02:01:14,640 THAT, 16 WEEKS POST BASELINE. 3154 02:01:14,640 --> 02:01:17,840 WE ALSO COLLECTED ECOLOGICAL 3155 02:01:17,840 --> 02:01:19,800 MOMENTARY ASSESSMENTS, WHERE WE 3156 02:01:19,800 --> 02:01:21,520 PROVIDED PEOPLE WITH SMARTPHONES 3157 02:01:21,520 --> 02:01:24,160 DURING THE PILOT STUDY, THEY HAD 3158 02:01:24,160 --> 02:01:27,880 TABLETS DURING THE LARGER STUDY. 3159 02:01:27,880 --> 02:01:30,600 AND SO PEOPLE WERE 3160 02:01:30,600 --> 02:01:35,120 PROMPTED TWICE A DAY TO ANSWER 3161 02:01:35,120 --> 02:01:36,800 QUESTIONS ABOUT PAIN, CRAVING, 3162 02:01:36,800 --> 02:01:38,840 DRUG USE, IF THEY WERE IN THE 3163 02:01:38,840 --> 02:01:42,880 "MORE" GROUP WE ASKED ABOUT 3164 02:01:42,880 --> 02:01:45,960 THEIR MINDFULNESS PRACTICE, SO 3165 02:01:45,960 --> 02:01:47,400 IN DAILY ASSESSMENTS THROUGH 3166 02:01:47,400 --> 02:01:49,800 TEXT MESSAGES THROUGH THEIR CELL 3167 02:01:49,800 --> 02:01:51,960 PHONE OR THEIR TABLET. 3168 02:01:51,960 --> 02:01:55,360 SO THIS IS THE PATIENT -- 3169 02:01:55,360 --> 02:01:57,080 PARTICIPANT CHARACTERISTICS. 3170 02:01:57,080 --> 02:01:58,200 THE CHARACTERISTICS WERE SIMILAR 3171 02:01:58,200 --> 02:02:00,080 IN BOTH STUDIES WITH SOME 3172 02:02:00,080 --> 02:02:02,120 VARIATION FOR THE SECOND STUDY 3173 02:02:02,120 --> 02:02:05,320 WE ADDED ANOTHER CLINIC. 3174 02:02:05,320 --> 02:02:07,320 SO RACIAL/ETHNIC DIVERSITY WAS A 3175 02:02:07,320 --> 02:02:08,480 LITTLE DIFFERENT. 3176 02:02:08,480 --> 02:02:13,880 BUT IN BOTH STUDIES AT LEAST 3177 02:02:13,880 --> 02:02:16,400 HALF WERE MINORITY POPULATION, 3178 02:02:16,400 --> 02:02:19,240 PARTICIPANTS ON AVERAGE MIDDLE 3179 02:02:19,240 --> 02:02:20,200 AGE, HALF WERE FEMALE. 3180 02:02:20,200 --> 02:02:23,720 AND AS YOU CAN SEE DRUG USE WAS 3181 02:02:23,720 --> 02:02:25,680 COMMON IN THE LAST 30 DAYS. 3182 02:02:25,680 --> 02:02:29,720 I THINK IN THE SECOND STUDY, 3183 02:02:29,720 --> 02:02:31,480 SMALLER PERCENTAGE WERE RECENTLY 3184 02:02:31,480 --> 02:02:34,000 USING SUBSTANCES BECAUSE WE DREW 3185 02:02:34,000 --> 02:02:36,200 FROM A BROADER POPULATION IN THE 3186 02:02:36,200 --> 02:02:38,720 CLINICS, FIRST STUDY MOSTLY FROM 3187 02:02:38,720 --> 02:02:40,680 THE INTENSIVE OUTPATIENT 3188 02:02:40,680 --> 02:02:41,520 PROGRAMS. 3189 02:02:41,520 --> 02:02:44,600 SO, THEY WERE MORE ACUTE, MORE 3190 02:02:44,600 --> 02:02:46,600 LIKELY TO BE USING, WE OPENED UP 3191 02:02:46,600 --> 02:02:48,920 TO BROADER PATIENT POPULATION. 3192 02:02:48,920 --> 02:02:51,000 SO -- ANOTHER THING I WANT TO 3193 02:02:51,000 --> 02:02:53,280 MENTION IS THAT THERE'S A LOT OF 3194 02:02:53,280 --> 02:02:55,120 TRAUMA IN THIS POPULATION, MORE 3195 02:02:55,120 --> 02:02:57,120 THAN HALF HAD EXPERIENCED 3196 02:02:57,120 --> 02:03:00,400 TRAUMATIC EXPERIENCE, AND ALMOST 3197 02:03:00,400 --> 02:03:03,000 THREE-QUARTERS EARNED LESS THAN 3198 02:03:03,000 --> 02:03:04,320 $30,000 A YEAR. 3199 02:03:04,320 --> 02:03:08,240 AND THE OTHER THING, NO 3200 02:03:08,240 --> 02:03:08,760 STATISTICALLY SIGNIFICANT 3201 02:03:08,760 --> 02:03:09,920 DIFFERENCES BETWEEN MORE AND 3202 02:03:09,920 --> 02:03:12,920 TREATMENT AS USUAL IN BASELINE 3203 02:03:12,920 --> 02:03:18,200 DEMOGRAPHIC VARIABLES IN THE R21 3204 02:03:18,200 --> 02:03:19,200 OR R33 STUDY. 3205 02:03:19,200 --> 02:03:21,760 THESE ARE RESULTS FROM THE PILOT 3206 02:03:21,760 --> 02:03:24,040 STUDY WHICH WE PUBLISHED IN THE 3207 02:03:24,040 --> 02:03:28,080 JOURNAL SUBSTANCE ABUSE 3208 02:03:28,080 --> 02:03:29,040 TREATMENT IN 2001. 3209 02:03:29,040 --> 02:03:30,840 NOT ONLY DID THE PILOT STUDY 3210 02:03:30,840 --> 02:03:32,560 SHOW MORE WAS FEASIBLE AND 3211 02:03:32,560 --> 02:03:33,920 ACCEPTABLE AS ADJUNCT TO 3212 02:03:33,920 --> 02:03:34,840 METHADONE TREATMENT, 3213 02:03:34,840 --> 02:03:36,400 PARTICIPANTS IN THE MORE GROUP 3214 02:03:36,400 --> 02:03:37,840 SHOWING FEWER DAYS OF DRUG USE 3215 02:03:37,840 --> 02:03:40,680 DURING THE STUDY AS COMPARED TO 3216 02:03:40,680 --> 02:03:42,760 TREATMENT AS USUAL AS SHOWN ON 3217 02:03:42,760 --> 02:03:43,520 THIS GRAPH. 3218 02:03:43,520 --> 02:03:46,680 ALSO IN THE PILOT STUDY WE FOUND 3219 02:03:46,680 --> 02:03:48,480 THAT MORE HAD SIGNIFICANTLY 3220 02:03:48,480 --> 02:03:49,120 BETTER PAIN-RELATED FUNCTIONING 3221 02:03:49,120 --> 02:03:51,520 AS SHOWN IN THE GRAPH HERE ON 3222 02:03:51,520 --> 02:03:52,560 THE RIGHT. 3223 02:03:52,560 --> 02:03:54,120 SIGNIFICANTLY LESS DEPRESSION 3224 02:03:54,120 --> 02:03:55,360 AND SIGNIFICANTLY LESS ANXIETY 3225 02:03:55,360 --> 02:03:56,560 AS COMPARED TO TREATMENT AS 3226 02:03:56,560 --> 02:04:00,920 USUAL OVER THE COURSE OF THE 3227 02:04:00,920 --> 02:04:01,440 STUDY. 3228 02:04:01,440 --> 02:04:02,440 NEXT SLIDE. 3229 02:04:02,440 --> 02:04:05,040 SO, GIVEN THE SUCCESS OF THE 3230 02:04:05,040 --> 02:04:08,560 R21, WE NEXT CONDUCTED OUR 3231 02:04:08,560 --> 02:04:10,760 LARGER STUDY IN 154 PEOPLE TO 3232 02:04:10,760 --> 02:04:12,480 SEE IF WE COULD REPLICATE 3233 02:04:12,480 --> 02:04:17,760 FINDINGS FROM THE R21 AND LARGR 3234 02:04:17,760 --> 02:04:20,040 STUDY, WE HAD TO IMPLEMENT THIS 3235 02:04:20,040 --> 02:04:21,360 VIRTUALLY BUT EVEN IMPLEMENTING 3236 02:04:21,360 --> 02:04:24,640 VIRTUALLY IN THIS LARGER STUDY 3237 02:04:24,640 --> 02:04:28,960 WE FOUND "MORE" RESULTED IN 36% 3238 02:04:28,960 --> 02:04:32,600 FEWER DAYS OF DRUG USE THAN 3239 02:04:32,600 --> 02:04:34,240 METHADONE TREATMENT AS USUAL. 3240 02:04:34,240 --> 02:04:38,120 AND SO WE SAY IN THIS SLIDE I'M 3241 02:04:38,120 --> 02:04:41,200 TALKING ABOUT OVERALL DRUG, 3242 02:04:41,200 --> 02:04:51,280 ILLICIT DRUG USE, OPIOID, 3243 02:04:51,280 --> 02:04:51,720 COCAINE, MARIJUANA, 3244 02:04:51,720 --> 02:04:52,480 METHAMPHETAMINE, A SPECIFIC 3245 02:04:52,480 --> 02:04:55,200 DIFFERENCE IN OPIOID USE AS 3246 02:04:55,200 --> 02:04:55,400 WELL. 3247 02:04:55,400 --> 02:04:55,720 NEXT SLIDE. 3248 02:04:55,720 --> 02:04:58,040 ANOTHER WAY TO LOOK AT THE DATA 3249 02:04:58,040 --> 02:05:00,360 WE FOUND THAT PARTICIPANTS IN 3250 02:05:00,360 --> 02:05:01,440 MORE ARE SIGNIFICANTLY LONGER 3251 02:05:01,440 --> 02:05:02,560 TIME TO DRUG USE OVER THE COURSE 3252 02:05:02,560 --> 02:05:05,600 OF THE 16 WEEKS THAN THOSE IN 3253 02:05:05,600 --> 02:05:08,760 TREATMENT AS USUAL. 3254 02:05:08,760 --> 02:05:09,400 NEXT SLIDE. 3255 02:05:09,400 --> 02:05:11,520 AND THIS IS SPECIFICALLY 3256 02:05:11,520 --> 02:05:13,240 ADDRESSING THE TARGET OF THE 3257 02:05:13,240 --> 02:05:15,240 BRIM INITIATIVE. 3258 02:05:15,240 --> 02:05:18,080 SO THE TARGET, FOCUS ON 3259 02:05:18,080 --> 02:05:19,840 ADHERENCE TO MEDICATIONS FOR 3260 02:05:19,840 --> 02:05:22,560 OPIOID USE DISORDER SO "MORE" 3261 02:05:22,560 --> 02:05:25,720 SIGNIFICANTLY INCREASE THE 3262 02:05:25,720 --> 02:05:29,920 METHADON ADHERENCE AT 16 WEEKS 3263 02:05:29,920 --> 02:05:31,880 COMPARED TO TREATMENT AS USUAL, 3264 02:05:31,880 --> 02:05:32,760 ADHERENCE MAINTAINED FROM 3265 02:05:32,760 --> 02:05:35,000 BASELINE TO 16 WEEKS AMONG THE 3266 02:05:35,000 --> 02:05:36,240 MORE GROUP BUT DECLINED IN 3267 02:05:36,240 --> 02:05:39,320 TREATMENT AS USUAL GROUP SO AT 3268 02:05:39,320 --> 02:05:40,400 16 WEEKS MORE HAD 4.4 TIMES THE 3269 02:05:40,400 --> 02:05:42,400 ODDS OF THOSE IN TREATMENT AS 3270 02:05:42,400 --> 02:05:45,880 USUAL TO HAVE A URINE DRUG 3271 02:05:45,880 --> 02:05:48,960 SCREEN POSITIVE FOR METHADONE, 3272 02:05:48,960 --> 02:05:52,080 AT 16 WEEKS, THAN AT BASELINE AS 3273 02:05:52,080 --> 02:05:54,320 COMPARED TO BASELINE. 3274 02:05:54,320 --> 02:05:55,000 NEXT SLIDE. 3275 02:05:55,000 --> 02:05:57,600 AND BASED ON OUR ECOLOGICAL 3276 02:05:57,600 --> 02:06:00,080 ASSESSMENT DATA, WE FOUND THAT 3277 02:06:00,080 --> 02:06:01,800 PATIENTS IN MORE HAD GREATER 3278 02:06:01,800 --> 02:06:03,160 DECREASE IN PAIN INTENSITY THAN 3279 02:06:03,160 --> 02:06:05,400 THOSE IN TREATMENT AS USUAL OVER 3280 02:06:05,400 --> 02:06:08,360 THE COURSE OF THE 16 WEEKS. 3281 02:06:08,360 --> 02:06:09,800 NEXT SLIDE. 3282 02:06:09,800 --> 02:06:11,800 AND WE HAD SIMILAR RESULTS WITH 3283 02:06:11,800 --> 02:06:13,600 DEPRESSION AND ANXIETY, THE MORE 3284 02:06:13,600 --> 02:06:14,840 GROUP EXPERIENCED SIGNIFICANTLY 3285 02:06:14,840 --> 02:06:16,040 GREATER REDUCTIONS IN DEPRESSION 3286 02:06:16,040 --> 02:06:17,760 THAN THE TREATMENT AS USUAL 3287 02:06:17,760 --> 02:06:18,080 GROUP. 3288 02:06:18,080 --> 02:06:20,520 THE MORE GROUP ALSO SEEMED TO 3289 02:06:20,520 --> 02:06:22,280 HAVE A GREATER DECREASE IN 3290 02:06:22,280 --> 02:06:25,320 ANXIETY BUT DIDN'T REACH 3291 02:06:25,320 --> 02:06:28,920 STATISTICAL SIGNIFICANCE IN THIS 3292 02:06:28,920 --> 02:06:29,960 SAMPLE. 3293 02:06:29,960 --> 02:06:31,320 NEXT SLIDE. 3294 02:06:31,320 --> 02:06:32,880 SO, WE'RE MOVING ON TO NOW 3295 02:06:32,880 --> 02:06:36,280 FIGURE OUT HOW WE CAN IMPLEMENT 3296 02:06:36,280 --> 02:06:39,920 THESE AND EXPAND OUR WORK FOR 3297 02:06:39,920 --> 02:06:40,760 MINDFULNESS-ORIENTED RECOVERY 3298 02:06:40,760 --> 02:06:42,080 AND ENHANCEMENT IN METHADONE 3299 02:06:42,080 --> 02:06:43,600 TREATMENT, WORKING ON TWO 3300 02:06:43,600 --> 02:06:44,720 STUDIES CURRENTLY. 3301 02:06:44,720 --> 02:06:48,520 ONE IS THE IMPLEMENTATION AND 3302 02:06:48,520 --> 02:06:50,080 EFFECTIVENESS OF MORE AS ADJUNCT 3303 02:06:50,080 --> 02:06:57,840 TO METHADONE TREATMENT AS PART 3304 02:06:57,840 --> 02:06:59,280 OF IMPOWR NETWORK WORKING TO 3305 02:06:59,280 --> 02:07:01,000 TRAIN CLINICIANS IN THE 3306 02:07:01,000 --> 02:07:03,640 METHADONE CLINIC, NOT JUST HAVE 3307 02:07:03,640 --> 02:07:06,280 RESEARCH THERAPISTS IMPLEMENTING 3308 02:07:06,280 --> 02:07:06,680 THE INTERVENTION. 3309 02:07:06,680 --> 02:07:13,400 IN A MUCH LARGER EFFECTIVENESS 3310 02:07:13,400 --> 02:07:14,680 STUDY AND TRYING TO EXPAND THE 3311 02:07:14,680 --> 02:07:15,680 FOCUS OF INTERVENTION. 3312 02:07:15,680 --> 02:07:18,760 ONE THING THAT HASN'T BEEN 3313 02:07:18,760 --> 02:07:20,680 ADDRESSED OFTEN IN DRUG 3314 02:07:20,680 --> 02:07:22,120 TREATMENT PROGRAM IS TOBACCO 3315 02:07:22,120 --> 02:07:24,080 DEPENDENCE TREATMENT. 3316 02:07:24,080 --> 02:07:25,520 WE WANT TO ADDRESS POLY 3317 02:07:25,520 --> 02:07:27,480 SUBSTANCE MUSE, MAKE SURE WE'RE 3318 02:07:27,480 --> 02:07:30,280 NOT JUST FOCUSING ON ILLICIT 3319 02:07:30,280 --> 02:07:32,080 DRUGS BUT ALCOHOL AND TOBACCO, 3320 02:07:32,080 --> 02:07:35,920 THAT ARE REPLACING IMPACTING 3321 02:07:35,920 --> 02:07:36,360 QUALITY OF LIFE. 3322 02:07:36,360 --> 02:07:38,280 AND SO WE'RE TRYING TO COMBINE 3323 02:07:38,280 --> 02:07:40,160 IT WITH OTHER INTERVENTIONS SUCH 3324 02:07:40,160 --> 02:07:42,800 AS MOTIVATIONAL INTERVIEWING TO 3325 02:07:42,800 --> 02:07:46,240 SEE IF THAT IMPROVES OUTCOMES IN 3326 02:07:46,240 --> 02:07:47,600 THIS POPULATION, AND ALSO 3327 02:07:47,600 --> 02:07:50,360 LOOKING TO FURTHER RESEARCH IN 3328 02:07:50,360 --> 02:07:54,200 ADDRESSING OPIOID MISUSE WITH 3329 02:07:54,200 --> 02:07:56,160 MINDFULNESS ORIENTED MEDICAL 3330 02:07:56,160 --> 02:07:58,320 VISITS TO TRANSLATE TO PREVENT 3331 02:07:58,320 --> 02:08:01,320 OPIOID MISUSE IN PRIMARY CARE 3332 02:08:01,320 --> 02:08:02,120 POPULATIONS. 3333 02:08:02,120 --> 02:08:03,840 NEXT SLIDE. 3334 02:08:03,840 --> 02:08:05,880 SO, TO CONCLUDE, BASED ON OUR 3335 02:08:05,880 --> 02:08:08,200 STUDIES SEEMS LIKE MORE IS AN 3336 02:08:08,200 --> 02:08:10,520 EFFICACIOUS INTERVENTION FOR 3337 02:08:10,520 --> 02:08:12,040 ADDRESSING SUBSTANCE USE, 3338 02:08:12,040 --> 02:08:13,920 PHYSICAL PAIN, EMOTIONAL PAIN, 3339 02:08:13,920 --> 02:08:15,440 MENTAL HEALTH AND IMPROVING 3340 02:08:15,440 --> 02:08:16,160 OVERALL METHADONE TREATMENT 3341 02:08:16,160 --> 02:08:22,200 OUTCOMES. 3342 02:08:22,200 --> 02:08:23,000 THAT'S IT. 3343 02:08:23,000 --> 02:08:24,920 SO ANY QUESTIONS? 3344 02:08:24,920 --> 02:08:25,600 >> GREAT. 3345 02:08:25,600 --> 02:08:27,680 SHOULD WE OPEN FOR DISCUSSION? 3346 02:08:27,680 --> 02:08:32,480 WE'VE GOT SEVERAL HANDS RAISED. 3347 02:08:32,480 --> 02:08:34,040 >> SO EXCITED ABOUT THIS. 3348 02:08:34,040 --> 02:08:38,400 I WANTED TO KNOW IF YOU THINK -- 3349 02:08:38,400 --> 02:08:41,680 BUPRENORPHINE IS COMING UP AS AN 3350 02:08:41,680 --> 02:08:43,000 ALTERNATIVE FOR METHADONE, 3351 02:08:43,000 --> 02:08:45,920 THERE'S BEEN SOME TALK ABOUT 3352 02:08:45,920 --> 02:08:48,040 CLOSING DOWN METHADONE CLINICS 3353 02:08:48,040 --> 02:08:48,760 AND WHETHER OR NOT YOU THINK 3354 02:08:48,760 --> 02:08:50,200 THIS IS GOING TO BE SOMETHING 3355 02:08:50,200 --> 02:08:51,360 YOU'RE GOING TO HAVE TO THINK 3356 02:08:51,360 --> 02:08:54,400 ABOUT IN TERMS OF MOVING 3357 02:08:54,400 --> 02:08:54,880 FORWARD. 3358 02:08:54,880 --> 02:08:59,080 >> SO, IN TERMS OF THE EMPHASIS 3359 02:08:59,080 --> 02:08:59,920 BUPRENORPHINE OR METHADONE? 3360 02:08:59,920 --> 02:09:03,240 >>JUST YOUR TESTING IN 3361 02:09:03,240 --> 02:09:04,240 METHADONE TREATMENT PARADIGM, 3362 02:09:04,240 --> 02:09:04,440 RIGHT? 3363 02:09:04,440 --> 02:09:09,040 WHAT DO YOU THINK ABOUT THAT IN 3364 02:09:09,040 --> 02:09:10,120 VIEW OF BUPRENORPHINE BEING 3365 02:09:10,120 --> 02:09:10,680 INCREASINGLY POPULAR? 3366 02:09:10,680 --> 02:09:11,120 >> RIGHT. 3367 02:09:11,120 --> 02:09:14,480 SO I MEAN AT LEAST AROUND HERE, 3368 02:09:14,480 --> 02:09:16,320 IT DOESN'T SEEM LIKE METHADONE 3369 02:09:16,320 --> 02:09:18,120 TREATMENT IS GOING AWAY. 3370 02:09:18,120 --> 02:09:21,840 SO, BUT I THINK WE'RE WORKING TO 3371 02:09:21,840 --> 02:09:23,720 TRANSLATE INTO VARIOUS MODELS OF 3372 02:09:23,720 --> 02:09:24,200 TREATMENT. 3373 02:09:24,200 --> 02:09:25,360 I THINK MINDFULNESS 3374 02:09:25,360 --> 02:09:30,400 INTERVENTIONS ARE ALSO BEING 3375 02:09:30,400 --> 02:09:31,680 INVESTIGATED IN OUTPATIENT 3376 02:09:31,680 --> 02:09:33,640 SETTINGS SUCH AS WHERE 3377 02:09:33,640 --> 02:09:34,560 BUPRENORPHINE PRIMARY CARE 3378 02:09:34,560 --> 02:09:36,040 SETTINGS WHERE BUPRENORPHINE IS 3379 02:09:36,040 --> 02:09:37,400 PROVIDED, AND ACTUALLY I THINK 3380 02:09:37,400 --> 02:09:40,800 THE WORK THAT HAS ALREADY BEEN 3381 02:09:40,800 --> 02:09:44,640 DONE IN PRIMARY CARE SETTINGS 3382 02:09:44,640 --> 02:09:46,120 WITH "MORE" PREVENTING OPIOID 3383 02:09:46,120 --> 02:09:48,760 MISUSE CAN BE HELPFUL WITH 3384 02:09:48,760 --> 02:09:50,520 INCREASING ADHERENCE TO OTHER 3385 02:09:50,520 --> 02:09:52,000 OPIOID USE DISORDER MEDICATIONS 3386 02:09:52,000 --> 02:09:55,920 LIKE BUPRENORPHINE. 3387 02:09:55,920 --> 02:09:58,960 AND NALOXONE. 3388 02:09:58,960 --> 02:10:04,880 IT SIMPLY INCREASES AWARENESS 3389 02:10:04,880 --> 02:10:09,080 AND INCREASES CONSCIOUS CHOICE 3390 02:10:09,080 --> 02:10:10,840 AND DISCONNECTS THE HABITUAL 3391 02:10:10,840 --> 02:10:13,800 IMPULSIVE DECISIONS THAT OFTEN 3392 02:10:13,800 --> 02:10:16,080 LEAD TO LACK OF ADHERENCE OR 3393 02:10:16,080 --> 02:10:18,880 DRUG RELAPSE. 3394 02:10:18,880 --> 02:10:19,360 3395 02:10:19,360 --> 02:10:22,000 >> THANKS. 3396 02:10:22,000 --> 02:10:23,320 3397 02:10:23,320 --> 02:10:27,560 >> HI, DR. COOPERMAN. 3398 02:10:27,560 --> 02:10:29,200 REALLY AMAZING STUDY AND 3399 02:10:29,200 --> 02:10:30,160 RESULTS. 3400 02:10:30,160 --> 02:10:31,320 THIS IS DAN DICKERSON. 3401 02:10:31,320 --> 02:10:32,960 I WAS CURIOUS ABOUT THE 3402 02:10:32,960 --> 02:10:34,600 MINDFULNESS, SORRY IF I MISSED 3403 02:10:34,600 --> 02:10:38,840 IT, BUT CURIOUS HOW MANY 3404 02:10:38,840 --> 02:10:41,360 SESSIONS, HOW LONG WAS EACH 3405 02:10:41,360 --> 02:10:43,120 SESSION, WHICH MINDFULNESS 3406 02:10:43,120 --> 02:10:46,320 EXERCISES DID YOU USE? 3407 02:10:46,320 --> 02:10:49,120 >> SO, IT'S 8 WEEKS OF 3408 02:10:49,120 --> 02:10:50,280 INTERVENTION. 3409 02:10:50,280 --> 02:10:53,920 IT'S A 2-HOUR GROUP SESSION. 3410 02:10:53,920 --> 02:10:56,720 AND IT INCORPORATION THINGS LIKE 3411 02:10:56,720 --> 02:11:04,960 THE BODY SCAN, MINDFUL 3412 02:11:04,960 --> 02:11:06,160 BREATHING, MINDFUL SAVOR OF 3413 02:11:06,160 --> 02:11:09,440 POSITIVE EXPERIENCES, THAT'S THE 3414 02:11:09,440 --> 02:11:09,840 GENERAL OVERVIEW. 3415 02:11:09,840 --> 02:11:15,240 >> GREAT, THANKS. 3416 02:11:15,240 --> 02:11:18,080 >> YEAH, HI. 3417 02:11:18,080 --> 02:11:19,240 THIS IS ERICA SABINGA. 3418 02:11:19,240 --> 02:11:19,600 WONDERFUL WORK. 3419 02:11:19,600 --> 02:11:21,920 THANK YOU SO MUCH FOR IT. 3420 02:11:21,920 --> 02:11:26,640 TWO THINGS THAT COME UP FOR ME. 3421 02:11:26,640 --> 02:11:29,920 ONE IS I'M A PEDIATRICIAN, MORE 3422 02:11:29,920 --> 02:11:33,080 LIKELY TO WORK WITH CHILDREN OF 3423 02:11:33,080 --> 02:11:33,880 SUBSTANCE USING PARENTS. 3424 02:11:33,880 --> 02:11:38,160 ONE OF THE THINGS WE SEE IN 3425 02:11:38,160 --> 02:11:40,760 PEDIATRIC PRACTICE IS INCREDIBLE 3426 02:11:40,760 --> 02:11:42,720 APPRECIATION OF THE CHRONICITY 3427 02:11:42,720 --> 02:11:44,600 AND RELAPSING AND REMITTING 3428 02:11:44,600 --> 02:11:48,520 CHARACTERISTIC OF SUBSTANCE USE 3429 02:11:48,520 --> 02:11:49,040 DISORDER. 3430 02:11:49,040 --> 02:11:54,240 AS IMPRESSIVE AS 16 WEEKS IS, IT 3431 02:11:54,240 --> 02:11:54,640 IS NOT VERY LONG. 3432 02:11:54,640 --> 02:11:55,320 >>RIGHT. 3433 02:11:55,320 --> 02:11:57,720 >> IN THE COURSE OF A FAMILY'S 3434 02:11:57,720 --> 02:11:58,680 LIFE. 3435 02:11:58,680 --> 02:12:03,720 AND SO I WONDER IF YOU'RE, A, 3436 02:12:03,720 --> 02:12:06,280 THINKING ABOUT STUDYING THE 3437 02:12:06,280 --> 02:12:07,320 OUTCOMES FOR LONGER BECAUSE I 3438 02:12:07,320 --> 02:12:08,240 THINK IN MINDFULNESS RESEARCH 3439 02:12:08,240 --> 02:12:11,960 ONE OF THE THINGS THAT WE ARE 3440 02:12:11,960 --> 02:12:16,920 BEGINNING TO RECOGNIZE IS THE 3441 02:12:16,920 --> 02:12:19,800 UNFOLDING OF THE MENTAL HEALTH 3442 02:12:19,800 --> 02:12:23,320 IMPACT AND THE POTENTIAL FOR 3443 02:12:23,320 --> 02:12:25,400 BEHAVIORAL CHANGE, BUT THAT IT'S 3444 02:12:25,400 --> 02:12:27,880 AN EVOLUTION, THAT IT'S NOT A 3445 02:12:27,880 --> 02:12:31,200 SORT OF, YOU KNOW, THIS IS HOW 3446 02:12:31,200 --> 02:12:33,160 IT WORKS ON DAY 10 AND THAT'S 3447 02:12:33,160 --> 02:12:36,760 THAT, IF YOU KNOW WHAT I MEAN. 3448 02:12:36,760 --> 02:12:37,520 >> ABSOLUTELY. 3449 02:12:37,520 --> 02:12:39,400 >> I JUST WANTED TO SAY ONE 3450 02:12:39,400 --> 02:12:40,400 OTHER THING. 3451 02:12:40,400 --> 02:12:40,600 SORRY. 3452 02:12:40,600 --> 02:12:43,360 AND THEN YOU CAN TALK ABOUT 3453 02:12:43,360 --> 02:12:43,680 BOTH. 3454 02:12:43,680 --> 02:12:45,320 THE OTHER THING THAT I THINK IS 3455 02:12:45,320 --> 02:12:48,160 REALLY COMING UP IN MINDFULNESS 3456 02:12:48,160 --> 02:12:52,120 RESEARCH IS WHO IS DOING THE 3457 02:12:52,120 --> 02:12:55,840 MINDFULNESS INSTRUCTION, AND YOU 3458 02:12:55,840 --> 02:12:58,680 WERE TALKING ABOUT TRAINING 3459 02:12:58,680 --> 02:13:00,440 CLINICIANS TO DO IT. 3460 02:13:00,440 --> 02:13:06,800 AND I GUESS THAT RAISES A 3461 02:13:06,800 --> 02:13:07,880 DIFFERENT SET OF QUESTIONS ABOUT 3462 02:13:07,880 --> 02:13:13,520 THE FIT AND THEIR INTEREST IN 3463 02:13:13,520 --> 02:13:14,280 BECOMING MINDFULNESS 3464 02:13:14,280 --> 02:13:14,560 INSTRUCTORS. 3465 02:13:14,560 --> 02:13:16,560 AND WHAT WILL HAPPEN WITH THAT 3466 02:13:16,560 --> 02:13:17,640 WORK AS WELL. 3467 02:13:17,640 --> 02:13:18,160 THANK YOU. 3468 02:13:18,160 --> 02:13:21,280 >> BOTH VERY GOOD QUESTIONS. 3469 02:13:21,280 --> 02:13:24,560 WE'VE ASKED THOSE QUESTIONS AS 3470 02:13:24,560 --> 02:13:25,000 WELL. 3471 02:13:25,000 --> 02:13:26,840 SO, TO ADDRESS THE FIRST 3472 02:13:26,840 --> 02:13:28,480 QUESTION ABOUT LONG-TERM, SO IN 3473 02:13:28,480 --> 02:13:30,640 OUR STUDIES WE'RE WORKING ON 3474 02:13:30,640 --> 02:13:34,480 NOW, WE'RE PLANNING ON HAVING A 3475 02:13:34,480 --> 02:13:35,160 12-MONTH OR FULL-YEAR FOLLOW-UP, 3476 02:13:35,160 --> 02:13:37,680 SO WE'RE GOING TO FOLLOW PEOPLE 3477 02:13:37,680 --> 02:13:40,480 OVER THE 16 WEEKS WITH EMA BUT 3478 02:13:40,480 --> 02:13:42,400 WE'RE ALSO GOING TO CHECK IN 6 3479 02:13:42,400 --> 02:13:44,800 MONTHS AND ONE YEAR LATER. 3480 02:13:44,800 --> 02:13:48,080 AND TO ADDRESS YOUR QUESTION 3481 02:13:48,080 --> 02:13:50,600 ABOUT -- ALSO JUST TO REWIND A 3482 02:13:50,600 --> 02:13:52,920 MINUTE, ONE OF THE THINGS WE'VE 3483 02:13:52,920 --> 02:13:57,080 DISCUSSED IS, YOU KNOW, 3484 02:13:57,080 --> 02:13:58,040 MAINTAINING A MINDFULNESS 3485 02:13:58,040 --> 02:13:58,800 PRACTICE. 3486 02:13:58,800 --> 02:14:00,000 IN THE STUDY IMPLEMENTED NOW 3487 02:14:00,000 --> 02:14:01,560 WE'VE BEEN THINKING ABOUT WHAT 3488 02:14:01,560 --> 02:14:03,440 IS IT'S BEST WAY TO DO THIS TO 3489 02:14:03,440 --> 02:14:04,520 KEEP PEOPLE DOING THIS, TO TRAIN 3490 02:14:04,520 --> 02:14:06,280 PEOPLE TO DO THIS AND WHO IS 3491 02:14:06,280 --> 02:14:08,160 GOING TO DO THE INTERVENTION. 3492 02:14:08,160 --> 02:14:10,240 SO WE'RE LOOKING AT IT FROM 3493 02:14:10,240 --> 02:14:11,280 SEVERAL ANGLES. 3494 02:14:11,280 --> 02:14:14,680 ONE IS WE'RE TRAINING PEOPLE 3495 02:14:14,680 --> 02:14:20,280 TO -- THE CLINICIANS, AND WE'RE 3496 02:14:20,280 --> 02:14:22,480 INCORPORATING FOCUS GROUPS AND 3497 02:14:22,480 --> 02:14:25,200 ADVISORY BOARDS TO GET INPUT 3498 02:14:25,200 --> 02:14:26,320 FROM THE CLINICIANS AND FROM 3499 02:14:26,320 --> 02:14:27,520 PATIENTS IN THE CLINICS 3500 02:14:27,520 --> 02:14:29,000 THEMSELVES TO UNDERSTAND HOW 3501 02:14:29,000 --> 02:14:31,440 THIS CAN BEST BE INTEGRATED INTO 3502 02:14:31,440 --> 02:14:33,240 THE TREATMENT SETTING. 3503 02:14:33,240 --> 02:14:35,320 AND IT'S GOING TO BE A BACK AND 3504 02:14:35,320 --> 02:14:38,680 FORTH PROCESS OVER THE COURSE OF 3505 02:14:38,680 --> 02:14:39,640 THE STUDY. 3506 02:14:39,640 --> 02:14:41,840 WE'RE ALSO LOOKING TO COMPARE 3507 02:14:41,840 --> 02:14:45,040 THE FULL PACKAGE OF 3508 02:14:45,040 --> 02:14:47,240 MINDFULNESS-ORIENTED RECOVERY 3509 02:14:47,240 --> 02:14:49,520 ENHANCEMENT THAT DOES REQUIRE 3510 02:14:49,520 --> 02:14:51,520 TRAINING, A SIMPLE SCRIPTED 3511 02:14:51,520 --> 02:14:52,360 MINDFULNESS PRACTICE, WHERE 3512 02:14:52,360 --> 02:14:54,160 WE'RE NOT PROVIDING ANY TRAINING 3513 02:14:54,160 --> 02:14:56,960 AT ALL, WE'RE JUST GOING TO GIVE 3514 02:14:56,960 --> 02:15:02,280 A SCRIPT THAT CAN BE READ TO 3515 02:15:02,280 --> 02:15:05,640 GUIDE PATIENTS THROUGH 3516 02:15:05,640 --> 02:15:07,560 MINDFULNESS EXERCISES, TO SEE IF 3517 02:15:07,560 --> 02:15:09,720 THAT IS EQUALLY AS EFFECTIVE OR 3518 02:15:09,720 --> 02:15:11,240 STILL MORE EFFECTIVE THAN 3519 02:15:11,240 --> 02:15:12,880 TREATMENT AS USUAL, PERHAPS NOT 3520 02:15:12,880 --> 02:15:15,440 AS EFFECTIVE, SO THERE COULD BE 3521 02:15:15,440 --> 02:15:19,840 OPTIONS FOR IMPLEMENTING THIS. 3522 02:15:19,840 --> 02:15:21,440 AND DEPENDING ON THE RESOURCES 3523 02:15:21,440 --> 02:15:24,960 OF THE ENVIRONMENT AND SO WE 3524 02:15:24,960 --> 02:15:31,360 HAVE ALREADY FOR THE R33 DID 3525 02:15:31,360 --> 02:15:32,600 TRAIN ONE CLINICIAN, WE HAD ONE 3526 02:15:32,600 --> 02:15:33,960 AT EACH CLINIC TO SEE IF THEY 3527 02:15:33,960 --> 02:15:37,400 COULD LEARN IT WITH OUR RESEARCH 3528 02:15:37,400 --> 02:15:37,640 CLINICIAN. 3529 02:15:37,640 --> 02:15:40,200 AND TO KIND OF SIT IN ON THE 3530 02:15:40,200 --> 02:15:45,920 GROUPS AND CO-LEAD THEM, SO WE 3531 02:15:45,920 --> 02:15:47,320 WERE ABLE TO GET EVIDENCE OF 3532 02:15:47,320 --> 02:15:48,560 INTEREST AND ABILITY FOR THE 3533 02:15:48,560 --> 02:15:49,040 NEXT STUDIES. 3534 02:15:49,040 --> 02:15:50,480 YEAH, THAT'S ONE OF THE THINGS 3535 02:15:50,480 --> 02:15:56,320 WE'RE LOOKING TO EVALUATE IN OUR 3536 02:15:56,320 --> 02:15:56,800 UPCOMING WORK. 3537 02:15:56,800 --> 02:15:58,200 >> THANK YOU FOR THE GREAT 3538 02:15:58,200 --> 02:16:01,800 ANSWER AND ALL THIS WORK. 3539 02:16:01,800 --> 02:16:05,520 >> DR. JEAN-LOUIS ON THE ZOOM 3540 02:16:05,520 --> 02:16:05,760 MEETING. 3541 02:16:05,760 --> 02:16:07,480 >> I APPRECIATE THIS. 3542 02:16:07,480 --> 02:16:08,560 AS YOU KNOW, MINDFULNESS 3543 02:16:08,560 --> 02:16:09,600 INTERVENTION LEADS TO 3544 02:16:09,600 --> 02:16:10,640 IMPROVEMENT IN SLEEP DURATION 3545 02:16:10,640 --> 02:16:11,480 AND QUALITY. 3546 02:16:11,480 --> 02:16:13,720 I'M NOT SURE IF YOU MEASURED 3547 02:16:13,720 --> 02:16:14,000 THAT. 3548 02:16:14,000 --> 02:16:16,440 IF SO, WOULD THOSE PARAMETERS 3549 02:16:16,440 --> 02:16:19,040 SERVE AS A BUFFER TO BETTER 3550 02:16:19,040 --> 02:16:19,680 IMPROVING OUTCOMES? 3551 02:16:19,680 --> 02:16:22,680 >> THAT'S A VERY GOOD QUESTION. 3552 02:16:22,680 --> 02:16:27,600 SO, AS I'M TRYING TO REMEMBER, 3553 02:16:27,600 --> 02:16:29,240 THINK AS PART OF THE IMPOWR 3554 02:16:29,240 --> 02:16:32,520 STUDIES I THINK THERE ARE SLEEP 3555 02:16:32,520 --> 02:16:34,600 ASSESSMENTS IN THERE. 3556 02:16:34,600 --> 02:16:37,000 SO, WE ARE -- YOU KNOW, WE CAN 3557 02:16:37,000 --> 02:16:38,560 LOOK AT THAT IN OUR FUTURE WORK. 3558 02:16:38,560 --> 02:16:40,080 >> THIS IS GOOD. 3559 02:16:40,080 --> 02:16:41,600 THIS IS GOOD WORK. 3560 02:16:41,600 --> 02:16:46,200 >> YEAH. 3561 02:16:46,200 --> 02:16:49,400 >> SO, AGAIN, APPLAUDING THE 3562 02:16:49,400 --> 02:16:52,440 WORK AS EVERYONE ELSE IS, ALSO 3563 02:16:52,440 --> 02:16:54,600 GRATEFUL TO BE LEARNING OF THIS. 3564 02:16:54,600 --> 02:16:57,760 I'M CURIOUS, A LOT OF WHAT I'VE 3565 02:16:57,760 --> 02:16:59,240 HEARD AND LEARNED IN TERMS OF 3566 02:16:59,240 --> 02:17:01,080 THE RESEARCH AROUND WHAT IS 3567 02:17:01,080 --> 02:17:06,280 CONTRIBUTING TO THE OPIOID 3568 02:17:06,280 --> 02:17:06,960 ADDICTION EMPHASIZES LONELINESS, 3569 02:17:06,960 --> 02:17:07,720 DISCONNECTION, ALIENATION FROM 3570 02:17:07,720 --> 02:17:08,920 OTHER HUMAN BEINGS AS A 3571 02:17:08,920 --> 02:17:11,880 COMPONENT OF WHAT IS DRIVING THE 3572 02:17:11,880 --> 02:17:15,520 KIND OF, YOU KNOW, UP OF 3573 02:17:15,520 --> 02:17:17,040 EPIDEMIC IN SOME MEASURE IN SOME 3574 02:17:17,040 --> 02:17:18,200 PLACES. 3575 02:17:18,200 --> 02:17:19,440 WHEN I LOOK AT STUDY DESIGN 3576 02:17:19,440 --> 02:17:21,760 INCLUDING A GROUP SESSION 3577 02:17:21,760 --> 02:17:22,640 COMPONENT WHERE NECESSARILY 3578 02:17:22,640 --> 02:17:26,120 FOLKS ARE IN A GROUP, WONDERING 3579 02:17:26,120 --> 02:17:28,080 IF WHEN YOUR CONTROL, IF IT HAS 3580 02:17:28,080 --> 02:17:30,040 A GROUP COMPONENT, SO WE KNOW 3581 02:17:30,040 --> 02:17:32,040 THAT WE CAN ISOLATE THE EFFECT, 3582 02:17:32,040 --> 02:17:33,680 IS IT MINDFULNESS OR BEING IN 3583 02:17:33,680 --> 02:17:36,960 THAT GROUP FOR THAT PERIOD? 3584 02:17:36,960 --> 02:17:40,920 I'M JUST CURIOUS TO LOOK AT 3585 02:17:40,920 --> 02:17:41,120 THAT. 3586 02:17:41,120 --> 02:17:43,960 THE SECOND PIECE, RELATEDLY, 3587 02:17:43,960 --> 02:17:44,600 INTERPERSONAL MINDFULNESS 3588 02:17:44,600 --> 02:17:45,920 PRACTICES, I IMAGINE THEY MAY 3589 02:17:45,920 --> 02:17:47,760 ALSO BE INCLUDED. 3590 02:17:47,760 --> 02:17:49,080 YOU MENTIONED BREATHING 3591 02:17:49,080 --> 02:17:52,040 EXERCISE, BODY SCAN, MINDFULNESS 3592 02:17:52,040 --> 02:17:54,200 SAVORING OF PLEASANT EXPERIENCE, 3593 02:17:54,200 --> 02:18:01,360 I'M CURIOUS THE DEGREE 3594 02:18:01,360 --> 02:18:02,040 MINDFULNESS COMMUNICATION, AND 3595 02:18:02,040 --> 02:18:02,880 MINDFULNESSFUL PRACTICES THAT 3596 02:18:02,880 --> 02:18:03,720 ARE PART OF IT? 3597 02:18:03,720 --> 02:18:05,760 >> GREAT QUESTION. 3598 02:18:05,760 --> 02:18:08,120 JUST TO -- FIRST QUESTION ABOUT, 3599 02:18:08,120 --> 02:18:09,240 YOU KNOW, WHETHER IT'S JUST 3600 02:18:09,240 --> 02:18:12,120 BEING IN A GROUP SETTING, THAT 3601 02:18:12,120 --> 02:18:14,720 SEEMS LIKE A LOGICAL QUESTION. 3602 02:18:14,720 --> 02:18:17,160 SO, THE WORK THAT'S ALREADY BEEN 3603 02:18:17,160 --> 02:18:20,440 DONE ON MINDFULNESS ORIENTED 3604 02:18:20,440 --> 02:18:23,080 RECOVERY ENHANCEMENT HAS BEEN 3605 02:18:23,080 --> 02:18:28,320 COMPARED TO SUPPORT GROUP OF 3606 02:18:28,320 --> 02:18:30,400 EQUAL INTENSITY, AND TIME 3607 02:18:30,400 --> 02:18:30,680 INVESTMENT. 3608 02:18:30,680 --> 02:18:33,040 SO, THE RESEARCH THAT HAS BEEN 3609 02:18:33,040 --> 02:18:37,400 DONE IN SHOWING EVIDENCE MORE 3610 02:18:37,400 --> 02:18:39,920 FOR OPIOID MISUSE HAS BEEN 3611 02:18:39,920 --> 02:18:42,160 COMPARED TO A SUPPORT GROUP. 3612 02:18:42,160 --> 02:18:44,920 SO THAT WE KNOW THAT IT'S NOT, 3613 02:18:44,920 --> 02:18:46,080 YOU KNOW, IT'S AN ATTENTION 3614 02:18:46,080 --> 02:18:47,720 CONTROL AND THE SUPPORT IS THE 3615 02:18:47,720 --> 02:18:48,720 SAME. 3616 02:18:48,720 --> 02:18:51,200 WE ALSO LOOKED AT AN IN OUR 3617 02:18:51,200 --> 02:18:52,840 STUDY, LOOKED AT ADDITIONAL 3618 02:18:52,840 --> 02:18:54,280 GROUP AND INDIVIDUAL 3619 02:18:54,280 --> 02:18:56,160 PSYCHOTHERAPY TIME AND 3620 02:18:56,160 --> 02:18:56,920 TREATMENT. 3621 02:18:56,920 --> 02:18:58,280 WE ABSTRACTED IT FROM THE 3622 02:18:58,280 --> 02:19:00,080 PATIENT'S CHARTS AT THE CLINIC 3623 02:19:00,080 --> 02:19:04,320 AND DIDN'T FIND ANY SIGNIFICANT 3624 02:19:04,320 --> 02:19:05,760 DIFFERENCES IN ACTUAL 3625 02:19:05,760 --> 02:19:06,440 PSYCHOSOCIAL INTERVENTION 3626 02:19:06,440 --> 02:19:07,640 BETWEEN THE TREATMENT AS USUAL 3627 02:19:07,640 --> 02:19:08,920 AND MORE GROUPS. 3628 02:19:08,920 --> 02:19:10,800 SO A LOT OF THE INDIVIDUALS IN 3629 02:19:10,800 --> 02:19:14,400 THE TREATMENT AS USUAL GROUP 3630 02:19:14,400 --> 02:19:20,320 WERE ALSO GETTING GROUPS THROUGH 3631 02:19:20,320 --> 02:19:27,760 THE IOP PROGRAMS AT THE 3632 02:19:27,760 --> 02:19:28,400 METHADONE CLINIC. 3633 02:19:28,400 --> 02:19:30,800 IN A LOT IT REPLACED, SO THEY 3634 02:19:30,800 --> 02:19:33,800 DID HAVE EQUAL AMOUNT OF GROUPS. 3635 02:19:33,800 --> 02:19:36,080 MOVING FORWARD WE HAVE THAT 3636 02:19:36,080 --> 02:19:37,400 INTEGRATED INTO FUTURE STUDIES 3637 02:19:37,400 --> 02:19:41,760 SO THE ONE WHERE WE'RE 3638 02:19:41,760 --> 02:19:42,920 ADDRESSING TOBACCO DEPENDENCE 3639 02:19:42,920 --> 02:19:48,960 COMPARING IT TO A SUPPORT GROUP. 3640 02:19:48,960 --> 02:19:51,240 AND WE ALSO FOR THIS MINDFULNESS 3641 02:19:51,240 --> 02:19:52,600 PRACTICE WE'RE ALSO -- THAT'S A 3642 02:19:52,600 --> 02:19:57,520 GROUP AS COMPARED TO THE FULL 3643 02:19:57,520 --> 02:19:58,280 MINDFULNESS ORIENTED RECOVERY 3644 02:19:58,280 --> 02:20:00,560 ENHANCEMENT GROUP OF. 3645 02:20:00,560 --> 02:20:02,440 IN TERMS OF INTERPERSONAL 3646 02:20:02,440 --> 02:20:06,240 CONNECTION IN THE MORE GROUP 3647 02:20:06,240 --> 02:20:09,640 THERE'S A PROCESSING COMPONENT, 3648 02:20:09,640 --> 02:20:11,840 AND SUPPORT COMPONENT, THAT 3649 02:20:11,840 --> 02:20:16,960 IS -- THAT'S PART OF THE GROUP, 3650 02:20:16,960 --> 02:20:20,920 AND WE DO THE EXPERIENTIAL 3651 02:20:20,920 --> 02:20:22,080 EXERCISES BUT PROCESS TOGETHER 3652 02:20:22,080 --> 02:20:26,840 WHICH DOES I THINK IMPACT THAT 3653 02:20:26,840 --> 02:20:27,600 INTERPERSONAL HUMAN CONNECTION 3654 02:20:27,600 --> 02:20:27,800 PART. 3655 02:20:27,800 --> 02:20:29,560 >> IT'S A KIND OF INTERPERSONAL 3656 02:20:29,560 --> 02:20:31,760 MINDFULNESS PRACTICE THAT YOU'RE 3657 02:20:31,760 --> 02:20:33,320 PROCESSINGS BUT I WAS CURIOUS 3658 02:20:33,320 --> 02:20:37,280 ABOUT THE OTHER MORE TARGETED 3659 02:20:37,280 --> 02:20:38,160 INTERPERSONAL PRACTICES. 3660 02:20:38,160 --> 02:20:38,440 THANK YOU. 3661 02:20:38,440 --> 02:20:40,840 >> IT'S A GOOD POINT. 3662 02:20:40,840 --> 02:20:45,760 WE HAVEN'T -- I THINK IT'S SORT 3663 02:20:45,760 --> 02:20:49,040 OF APPLYING IT TO EVERYTHING IN 3664 02:20:49,040 --> 02:20:50,480 YOUR LIFE. 3665 02:20:50,480 --> 02:20:55,680 SO WE DON'T SPECIFICALLY TALK 3666 02:20:55,680 --> 02:20:57,280 ABOUT USING IT, I THINK IT 3667 02:20:57,280 --> 02:20:58,560 DEPENDS ON THE INDIVIDUAL. 3668 02:20:58,560 --> 02:21:00,120 SOMEONE COULD USE THAT IF THAT'S 3669 02:21:00,120 --> 02:21:01,200 WHAT'S APPROPRIATE FOR THEM THAT 3670 02:21:01,200 --> 02:21:02,400 THEY NEED TO GET HUMAN 3671 02:21:02,400 --> 02:21:04,160 CONNECTION, BUT IT'S NOT A 3672 02:21:04,160 --> 02:21:08,960 SPECIFIC TOPIC BUT THAT'S A GOOD 3673 02:21:08,960 --> 02:21:09,160 POINT. 3674 02:21:09,160 --> 02:21:10,480 >> THANK YOU. 3675 02:21:10,480 --> 02:21:11,160 >> YEAH. 3676 02:21:11,160 --> 02:21:11,600 >> DR. SHURTLEFF? 3677 02:21:11,600 --> 02:21:12,880 >> GREAT STUDY. 3678 02:21:12,880 --> 02:21:14,000 WE STARTED THE BRIM PROGRAM FIVE 3679 02:21:14,000 --> 02:21:22,240 YEARS AGO, THIS IS WHAT WE WERE 3680 02:21:22,240 --> 02:21:23,640 HOPING WOULD HAPPEN, SYNERGY 3681 02:21:23,640 --> 02:21:25,040 BETWEEN NON-PHARMACOLOGY 3682 02:21:25,040 --> 02:21:29,520 APPROACHES AND PHARMACOLOGY, 3683 02:21:29,520 --> 02:21:30,400 INTEGRATED APPROACH SO I'M 3684 02:21:30,400 --> 02:21:31,920 THRILLED BY YOUR RESULTS. 3685 02:21:31,920 --> 02:21:34,120 I GUESS MY QUESTION, IT WAS 3686 02:21:34,120 --> 02:21:35,720 WONDERFUL TO SEE ADHERENCE RATES 3687 02:21:35,720 --> 02:21:37,320 STAY PRETTY STABLE WITH THE MORE 3688 02:21:37,320 --> 02:21:37,720 GROUP. 3689 02:21:37,720 --> 02:21:39,160 DID THAT TRANSLATE TO OTHER 3690 02:21:39,160 --> 02:21:41,440 ASPECTS OF THEIR LIFE IN TERMS 3691 02:21:41,440 --> 02:21:45,040 OF JOB PERFORMANCE OR FAMILY, 3692 02:21:45,040 --> 02:21:50,840 GETTING BACK TO QUESTIONS DR. 3693 02:21:50,840 --> 02:21:53,240 SABINGA RAISED, WAS THERE ANY 3694 02:21:53,240 --> 02:21:55,600 CHANGE IN CRAVING, DID YOU DO 3695 02:21:55,600 --> 02:21:56,680 EMA AND SEE CRAVING SCORES 3696 02:21:56,680 --> 02:21:58,880 DIFFER BETWEEN THE GROUPS? 3697 02:21:58,880 --> 02:22:04,240 CURIOUS HOW THIS EXPANDS BEYOND 3698 02:22:04,240 --> 02:22:05,800 ADHERENCE. 3699 02:22:05,800 --> 02:22:06,160 >> ABSOLUTELY. 3700 02:22:06,160 --> 02:22:10,800 IN TERMS OF JOB PERFORMANCE, 3701 02:22:10,800 --> 02:22:12,520 OVERALL WELL-BEING, SO 3702 02:22:12,520 --> 02:22:17,600 SPECIFICALLY JOB PERFORMANCE, IT 3703 02:22:17,600 --> 02:22:19,120 WAS DURING COVID. 3704 02:22:19,120 --> 02:22:23,480 SO, YOU KNOW, IT'S HARD TO 3705 02:22:23,480 --> 02:22:24,360 UNDERSTAND, TO TEASE APART 3706 02:22:24,360 --> 02:22:25,760 WHAT'S WHAT IN TERMS OF THAT. 3707 02:22:25,760 --> 02:22:29,960 THERE WERE A LOT OF PEOPLE WHO 3708 02:22:29,960 --> 02:22:32,480 WERE UNEMPLOYED IN THE GROUP. 3709 02:22:32,480 --> 02:22:34,440 BUT WE DON'T HAVE SPECIFIC 3710 02:22:34,440 --> 02:22:36,840 MEASURES ABOUT THOSE KINDS OF 3711 02:22:36,840 --> 02:22:38,280 OUTCOMES. 3712 02:22:38,280 --> 02:22:41,320 WE DO HAVE WELL-BEING. 3713 02:22:41,320 --> 02:22:49,760 WE DO HAVE COPING SKILLS. 3714 02:22:49,760 --> 02:22:51,000 WHICH WE HAVEN'T ANALYZED, 3715 02:22:51,000 --> 02:22:52,200 WELL-BEING MEASURES FOR SURE. 3716 02:22:52,200 --> 02:22:53,600 WE LOOKED AT CRAVING. 3717 02:22:53,600 --> 02:22:55,000 WE'VE ANALYZED FROM THE PILOT 3718 02:22:55,000 --> 02:22:55,560 STUDY. 3719 02:22:55,560 --> 02:22:56,400 WE HAD INTERESTING FINDINGS WITH 3720 02:22:56,400 --> 02:22:59,160 THAT AND PUBLISHED A PAPER ON 3721 02:22:59,160 --> 02:22:59,440 THAT. 3722 02:22:59,440 --> 02:23:04,440 WE FOUND IN THE PILOT STUDY, 3723 02:23:04,440 --> 02:23:09,520 INDIVIDUALS REPORTED IN THE MORE 3724 02:23:09,520 --> 02:23:11,880 GROUP, REPORTED MORE -- 3725 02:23:11,880 --> 02:23:12,520 EXPERIENCING MORE CRAVINGS, IN 3726 02:23:12,520 --> 02:23:14,480 OTHER WORDS THEY WERE MORE AWARE 3727 02:23:14,480 --> 02:23:18,280 OF THEM BUT ALSO MORE LIKELY TO 3728 02:23:18,280 --> 02:23:19,960 RESIST AND COPE WITH THEM 3729 02:23:19,960 --> 02:23:20,360 BETTER. 3730 02:23:20,360 --> 02:23:21,560 WE DID FIND THAT RELATIONSHIP IN 3731 02:23:21,560 --> 02:23:24,440 THE EMA DATA IN THE PILOT STUDY. 3732 02:23:24,440 --> 02:23:26,240 WE HAVEN'T TEASED APART ALL THE 3733 02:23:26,240 --> 02:23:31,240 CRAVING DATA YET IN THE R33, 3734 02:23:31,240 --> 02:23:32,120 YEAH. 3735 02:23:32,120 --> 02:23:32,680 >> GREAT. 3736 02:23:32,680 --> 02:23:32,960 WONDERFUL. 3737 02:23:32,960 --> 02:23:38,560 I WANT TO SEE IF THERE ARE 3738 02:23:38,560 --> 02:23:40,240 ADDITIONAL QUESTIONS FOR DR. 3739 02:23:40,240 --> 02:23:42,920 MORONE OR THE HEAL INITIATIVE IN 3740 02:23:42,920 --> 02:23:43,960 GENERAL, THERE ARE A FEW MINUTES 3741 02:23:43,960 --> 02:23:45,760 LEFT IF THERE ARE ANY QUESTIONS 3742 02:23:45,760 --> 02:23:48,640 ABOUT THE PROGRAM. 3743 02:23:48,640 --> 02:23:51,840 HOPEFULLY WE'VE GIVEN A GLIMPSE 3744 02:23:51,840 --> 02:23:53,600 OF THE ICEBERG, THERE'S A LOT 3745 02:23:53,600 --> 02:23:54,200 THERE. 3746 02:23:54,200 --> 02:23:56,800 A LOT OF PROGRAMS AND WE 3747 02:23:56,800 --> 02:23:58,760 CONTINUE HERE AT NCCIH TO PUT 3748 02:23:58,760 --> 02:24:00,400 FORWARD NEW CONCEPTS AND BRING 3749 02:24:00,400 --> 02:24:04,840 NEW IDEAS AND WE'RE GOING TO 3750 02:24:04,840 --> 02:24:07,040 TALK ABOUT CONCEPTS NEXT. 3751 02:24:07,040 --> 02:24:10,320 I DON'T THINK THEY ARE "HEAL" 3752 02:24:10,320 --> 02:24:12,480 THIS TIME AROUND. 3753 02:24:12,480 --> 02:24:13,640 I HAVE TWO CLOSING SLIDES. 3754 02:24:13,640 --> 02:24:16,480 DR. HANEY, DO YOU HAVE A 3755 02:24:16,480 --> 02:24:16,720 QUESTION? 3756 02:24:16,720 --> 02:24:19,640 >> VERY QUICKLY. 3757 02:24:19,640 --> 02:24:20,720 IS OUR TAKEAWAY THOUGH THAT 3758 02:24:20,720 --> 02:24:22,920 PEOPLE IN TREATMENT FOR 3759 02:24:22,920 --> 02:24:24,440 SUBSTANCE USE DISORDERS ARE 3760 02:24:24,440 --> 02:24:26,120 OPEN, MAJORITY ARE OPEN TO 3761 02:24:26,120 --> 02:24:28,920 MINDFULNESS? 3762 02:24:28,920 --> 02:24:32,800 IS THAT THE TAKEAWAY? 3763 02:24:32,800 --> 02:24:33,880 >> ACTUALLY, ABSOLUTELY. 3764 02:24:33,880 --> 02:24:36,720 I'VE DONE OTHER RESEARCH OF 3765 02:24:36,720 --> 02:24:38,040 OTHER BEHAVIORAL INTERVENTIONS 3766 02:24:38,040 --> 02:24:39,440 IN THE SAME CLINICS. 3767 02:24:39,440 --> 02:24:44,160 AND THERE WAS SOMETHING ABOUT 3768 02:24:44,160 --> 02:24:46,040 THIS INTERVENTION THAT -- A 3769 02:24:46,040 --> 02:24:47,480 NUMBER OF LEVELS. 3770 02:24:47,480 --> 02:24:48,240 PEOPLE WITHOUT UNDERSTANDING 3771 02:24:48,240 --> 02:24:51,200 WHAT IT WAS SAYING WE'RE GOING 3772 02:24:51,200 --> 02:24:54,320 TO ADDRESS YOUR PAIN IS REALLY 3773 02:24:54,320 --> 02:24:54,720 MOTIVATING. 3774 02:24:54,720 --> 02:24:56,320 THE FACT WE WERE GOING TO OFFER 3775 02:24:56,320 --> 02:24:59,040 SOMETHING TO HELP COPE WITH 3776 02:24:59,040 --> 02:25:00,960 PHYSICAL PAIN. 3777 02:25:00,960 --> 02:25:03,360 AND ONCE THEY BECAME INVOLVED IN 3778 02:25:03,360 --> 02:25:04,800 THE INTERVENTION, THEY SAID IT 3779 02:25:04,800 --> 02:25:06,720 WAS UNLIKE ANYTHING THEY 3780 02:25:06,720 --> 02:25:10,240 EXPERIENCED BEFORE IN TERMS OF 3781 02:25:10,240 --> 02:25:11,560 SUBSTANCE USE TREATMENT. 3782 02:25:11,560 --> 02:25:16,480 AND FOUND IT REALLY REWARDING. 3783 02:25:16,480 --> 02:25:18,320 WE HAD AMAZING RETENTION AND 3784 02:25:18,320 --> 02:25:19,880 PARTICIPATION IN THE GROUPS THAT 3785 02:25:19,880 --> 02:25:21,400 WERE DIFFERENT THAN ANY OF THE 3786 02:25:21,400 --> 02:25:24,760 OTHER STUDIES WE'VE DONE BEFORE. 3787 02:25:24,760 --> 02:25:27,120 SO, YEAH, IT'S INTERESTING. 3788 02:25:27,120 --> 02:25:29,160 IT'S DEFINITELY FEASIBLE. 3789 02:25:29,160 --> 02:25:31,160 THERE'S DEFINITELY BUY-IN FOR 3790 02:25:31,160 --> 02:25:31,440 THIS. 3791 02:25:31,440 --> 02:25:34,560 AND NOW WE'RE TRYING TO FIGURE 3792 02:25:34,560 --> 02:25:36,400 OUT, YOU KNOW, IN PERSON, 3793 02:25:36,400 --> 02:25:40,120 VIRTUAL, WHICH IS THE BEST WAY 3794 02:25:40,120 --> 02:25:42,400 TO DO THIS. 3795 02:25:42,400 --> 02:25:45,440 AND I SEE THAT THE QUESTION IS 3796 02:25:45,440 --> 02:25:50,280 ARE PROVIDERS OPEN TO IT. 3797 02:25:50,280 --> 02:25:55,320 AND WE -- AS THEY ARE SEEING 3798 02:25:55,320 --> 02:26:01,320 PATIENTS BENEFIT, THE CULTURE IN 3799 02:26:01,320 --> 02:26:02,640 CLINICS ARE EVOLVING, PATIENTS 3800 02:26:02,640 --> 02:26:06,680 ARE TALKING ABOUT IT, TALKING TO 3801 02:26:06,680 --> 02:26:07,800 THE PROVIDERS, CREATING BUY-IN 3802 02:26:07,800 --> 02:26:09,080 FROM THE PROVIDERS. 3803 02:26:09,080 --> 02:26:10,080 YEAH, THAT'S MORE OF WHAT WE'RE 3804 02:26:10,080 --> 02:26:11,600 GOING TO LEARN IN THE NEXT PHASE 3805 02:26:11,600 --> 02:26:16,560 OF THE RESEARCH. 3806 02:26:16,560 --> 02:26:16,680 3807 02:26:16,680 --> 02:26:18,280 >>FANTASTIC. 3808 02:26:18,280 --> 02:26:18,960 THANK YOU. 3809 02:26:18,960 --> 02:26:20,040 >>NINA, YOU'RE REMINDING ME OF 3810 02:26:20,040 --> 02:26:23,320 ONE OF THE SPEAKERS AT ONE OF 3811 02:26:23,320 --> 02:26:24,760 THE "HEAL" INVESTIGATORS 3812 02:26:24,760 --> 02:26:26,160 MEETINGS, TALKED ABOUT AT THEIR 3813 02:26:26,160 --> 02:26:27,400 TREATMENT FACILITY WHETHER THEY 3814 02:26:27,400 --> 02:26:28,600 WERE TREATING PATIENTS WITH 3815 02:26:28,600 --> 02:26:30,760 OPIOID USE DISORDER AND OTHER 3816 02:26:30,760 --> 02:26:32,080 ADDICTIONS THAT THEY WERE HAVING 3817 02:26:32,080 --> 02:26:34,160 SUCH A PROBLEM WITH STAFF 3818 02:26:34,160 --> 02:26:37,120 BURNOUT AND TURNOVER AND OTHER 3819 02:26:37,120 --> 02:26:38,200 THINGS THEY IMPLEMENTED A 3820 02:26:38,200 --> 02:26:39,360 MINDFULNESS BASED PROGRAM FOR 3821 02:26:39,360 --> 02:26:42,040 STAFF AND IT COMPLETELY 3822 02:26:42,040 --> 02:26:43,480 TRANSFORMED THEIR CLINIC. 3823 02:26:43,480 --> 02:26:47,960 SO I THINK THERE'S SOME 3824 02:26:47,960 --> 02:26:49,840 POTENTIALLY PROJECTS COMING 3825 02:26:49,840 --> 02:26:51,680 RELATED TO THOSE ACTIVITIES FOR 3826 02:26:51,680 --> 02:26:52,640 OPIOID USE DISORDER. 3827 02:26:52,640 --> 02:26:55,720 ONE OF THE BIG CHALLENGES IS 3828 02:26:55,720 --> 02:26:58,040 MAINTAINING ENOUGH PERSONNEL IN 3829 02:26:58,040 --> 02:26:59,480 MANY FACILITIES TO CONTINUE TO 3830 02:26:59,480 --> 02:27:01,000 PROVIDE TREATMENT. 3831 02:27:01,000 --> 02:27:03,080 SO I THINK THAT'S AN ONGOING 3832 02:27:03,080 --> 02:27:04,360 CHALLENGE AND SOMETHING THAT 3833 02:27:04,360 --> 02:27:06,240 MIGHT BE WORTH LOOKING AT. 3834 02:27:06,240 --> 02:27:09,720 >> WE INCORPORATE THAT INTO THE 3835 02:27:09,720 --> 02:27:11,640 TRAINING FOR THE CLINICIANS, THE 3836 02:27:11,640 --> 02:27:14,720 TRAINING OF THE INTERVENTION IS 3837 02:27:14,720 --> 02:27:16,360 EXPERIENTIAL, AND WITH THE 3838 02:27:16,360 --> 02:27:19,560 RECOMMENDATION THAT CLINICIANS 3839 02:27:19,560 --> 02:27:20,080 PRACTICE THEMSELVES. 3840 02:27:20,080 --> 02:27:23,520 SO THE IDEA IS TO KIND OF CHANGE 3841 02:27:23,520 --> 02:27:26,320 THE CULTURE TOWARDS A MINDFUL 3842 02:27:26,320 --> 02:27:26,560 CULTURE. 3843 02:27:26,560 --> 02:27:32,080 >> THAT'S GREAT. 3844 02:27:32,080 --> 02:27:33,280 TWO QUICK SLIDES, NEXT 3845 02:27:33,280 --> 02:27:33,960 DIRECTIONS. 3846 02:27:33,960 --> 02:27:36,960 I MENTIONED AT THE BEGINNING 3847 02:27:36,960 --> 02:27:38,160 THINGS ARE CHANGING, THE 3848 02:27:38,160 --> 02:27:39,920 PANDEMIC SORT OF WAS IN THE 3849 02:27:39,920 --> 02:27:42,720 MIDDLE OF THIS FIRST FIVE YEARS, 3850 02:27:42,720 --> 02:27:45,040 AND THE PATTERNS OF DRUG USE ARE 3851 02:27:45,040 --> 02:27:45,360 SHIFTING. 3852 02:27:45,360 --> 02:27:47,040 THERE'S LOTS OF NEW THREATS, I 3853 02:27:47,040 --> 02:27:53,680 DON'T KNOW IF PEOPLE HEARD ABOUT 3854 02:27:53,680 --> 02:27:56,320 XYLAZINE, OR TRANQ, MORE DEADLY 3855 02:27:56,320 --> 02:27:58,440 THAN FENTANYL, A COMBINATION. 3856 02:27:58,440 --> 02:28:00,280 THIS ISSUE OF POLY SUBSTANCE 3857 02:28:00,280 --> 02:28:01,680 USE, YOU'VE HEARD MENTIONED A 3858 02:28:01,680 --> 02:28:03,360 FEW TIMES, SOMETHING THAT "HEAL" 3859 02:28:03,360 --> 02:28:06,440 IS REALLY LOOKING AT ON THE 3860 02:28:06,440 --> 02:28:08,040 ADDICTION AND OVERDOSE SIDE. 3861 02:28:08,040 --> 02:28:11,120 ALSO, LOOKING AT HOW DO WE GET 3862 02:28:11,120 --> 02:28:12,760 REALTIME DATA SO WE CAN SEE 3863 02:28:12,760 --> 02:28:15,360 WHERE THERE'S A NEW CRISIS, A 3864 02:28:15,360 --> 02:28:17,480 NEW PROBLEM THAT'S OCCURRING IN 3865 02:28:17,480 --> 02:28:20,400 DIFFERENT AREAS, ADDRESSING THE 3866 02:28:20,400 --> 02:28:20,960 CO-OCCURRING MENTAL HEALTH 3867 02:28:20,960 --> 02:28:23,160 CONDITIONS, WE'VE HEARD ABOUT 3868 02:28:23,160 --> 02:28:23,800 SLEEP. 3869 02:28:23,800 --> 02:28:25,480 THERE'S TWO OR THREE PROGRAMS 3870 02:28:25,480 --> 02:28:26,800 WITHIN "HEAL" SPECIFICALLY 3871 02:28:26,800 --> 02:28:30,280 LOOKING AT THE OVERLAP BETWEEN 3872 02:28:30,280 --> 02:28:31,480 SLEEP AND OUD AND MENTAL HEALTH 3873 02:28:31,480 --> 02:28:32,800 CONDITIONS, TRYING TO TEASE THAT 3874 02:28:32,800 --> 02:28:35,880 OUT AND HOW THEY INTERACT WITH 3875 02:28:35,880 --> 02:28:37,520 ONE ANOTHER. 3876 02:28:37,520 --> 02:28:38,960 UNFORTUNATELY PAIN MANAGEMENT IS 3877 02:28:38,960 --> 02:28:40,080 STILL A BIT FRAGMENTS, SOMETHING 3878 02:28:40,080 --> 02:28:41,680 "HEAL" IS TRYING TO ADDRESS, 3879 02:28:41,680 --> 02:28:44,840 TRYING TO FIGURE OUT HOW DO WE 3880 02:28:44,840 --> 02:28:45,720 ENCOURAGE COORDINATED CARE, 3881 02:28:45,720 --> 02:28:47,040 RESEARCH, LOOKING AT THAT AND 3882 02:28:47,040 --> 02:28:48,920 WE'VE HEARD ALREADY TODAY A LOT 3883 02:28:48,920 --> 02:28:51,120 ABOUT HEALTH INEQUITIES, ROLE OF 3884 02:28:51,120 --> 02:28:54,240 SOCIAL DETERMINANTS IN GETTING 3885 02:28:54,240 --> 02:28:55,920 BOTH PAIN AND ADDICTION 3886 02:28:55,920 --> 02:28:56,160 TREATMENT. 3887 02:28:56,160 --> 02:28:57,000 NEXT SLIDE. 3888 02:28:57,000 --> 02:28:59,400 SO THESE ARE A COUPLE REALLY 3889 02:28:59,400 --> 02:29:05,000 FAST RESOURCES YOU CAN FIND OUT 3890 02:29:05,000 --> 02:29:05,280 INFORMATION. 3891 02:29:05,280 --> 02:29:07,960 I SEARCHED NIH HEAL INITIATIVE 3892 02:29:07,960 --> 02:29:10,560 AND ANY SEARCH ENGINE WILL GET 3893 02:29:10,560 --> 02:29:12,080 YOU THERE. 3894 02:29:12,080 --> 02:29:13,520 "HEAL" PUTS OUT FUNDING 3895 02:29:13,520 --> 02:29:14,960 OPPORTUNITIES EVERY YEAR AND 3896 02:29:14,960 --> 02:29:17,560 THEY TYPICALLY COME OUT IN THE 3897 02:29:17,560 --> 02:29:20,320 EARLY SUMMER TO EARLY FALL. 3898 02:29:20,320 --> 02:29:23,600 THE TOPICS ARE ALWAYS DIFFERENT. 3899 02:29:23,600 --> 02:29:24,440 THERE'S ALWAYS SOMETHING NEW 3900 02:29:24,440 --> 02:29:25,120 WE'RE LOOKING FOR. 3901 02:29:25,120 --> 02:29:28,080 BUT IT IS A GREAT PLACE TO TAKE 3902 02:29:28,080 --> 02:29:28,720 A LOOK AT. 3903 02:29:28,720 --> 02:29:31,480 I THINK WE'RE AT CLOSE TO $700 3904 02:29:31,480 --> 02:29:33,200 MILLION A YEAR IN BUDGET FOR 3905 02:29:33,200 --> 02:29:35,600 "HEAL," AND SO THERE ARE ALWAYS 3906 02:29:35,600 --> 02:29:37,600 NEW FUNDING ANNOUNCEMENTS AND 3907 02:29:37,600 --> 02:29:38,680 OPPORTUNITIES THAT DO COME OUT. 3908 02:29:38,680 --> 02:29:40,520 AND YOU CAN ALSO SEARCH FOR MORE 3909 02:29:40,520 --> 02:29:42,200 INFORMATION ABOUT ANY OF THE 3910 02:29:42,200 --> 02:29:44,120 FUNDED PROJECTS IN ALL OF THE 3911 02:29:44,120 --> 02:29:45,040 PROGRAMS ACROSS ALL OF "HEAL" 3912 02:29:45,040 --> 02:29:47,200 THROUGH THE FUNDED PROJECT 3913 02:29:47,200 --> 02:29:47,440 SEARCH. 3914 02:29:47,440 --> 02:29:54,960 THEY HAVE A NICE SEARCH ENGINE 3915 02:29:54,960 --> 02:29:56,800 YOU CAN SEARCH BY PROGRAM. 3916 02:29:56,800 --> 02:29:57,520 THANKS SO MUCH. 3917 02:29:57,520 --> 02:29:59,760 THANKS TO ALL THE PRESENTERS. 3918 02:29:59,760 --> 02:30:03,760 IT WAS FABULOUS. 3919 02:30:03,760 --> 02:30:04,840 >> OKAY. 3920 02:30:04,840 --> 02:30:06,800 SO, HOW ARE WE DOING? 3921 02:30:06,800 --> 02:30:12,840 EVERYBODY'S STILL HANGING IN 3922 02:30:12,840 --> 02:30:13,200 THERE? 3923 02:30:13,200 --> 02:30:13,400 OKAY. 3924 02:30:13,400 --> 02:30:15,480 >> MINDFULNESS! 3925 02:30:15,480 --> 02:30:19,520 >>YES. 3926 02:30:19,520 --> 02:30:20,320 OKAY. 3927 02:30:20,320 --> 02:30:23,560 WE HAVE ONE MAJOR ASPECT ON THE 3928 02:30:23,560 --> 02:30:24,680 AGENDA. 3929 02:30:24,680 --> 02:30:26,960 THIS IS OUR CONCEPT CLEARANCE, 3930 02:30:26,960 --> 02:30:27,640 COMING NEXT. 3931 02:30:27,640 --> 02:30:32,680 WE'RE HANGING IN FOR THE CONCEPT 3932 02:30:32,680 --> 02:30:32,960 CLEARANCE. 3933 02:30:32,960 --> 02:30:37,680 EVERYBODY WANTS TO LEAVE AS SOON 3934 02:30:37,680 --> 02:30:44,040 AS POSSIBLE. 3935 02:30:44,040 --> 02:30:46,320 CONCEPT CLEARANCE, OKAY. 3936 02:30:46,320 --> 02:30:52,280 LET'S START WITH CONCEPT 3937 02:30:52,280 --> 02:30:52,520 CLEARANCE. 3938 02:30:52,520 --> 02:30:53,800 FIRST ONE, OKAY. 3939 02:30:53,800 --> 02:30:55,480 EMRIN IS ALREADY UP THERE. 3940 02:30:55,480 --> 02:30:57,160 >> THANK YOU. 3941 02:30:57,160 --> 02:31:00,960 >> LET'S GET STARTED. 3942 02:31:00,960 --> 02:31:03,960 >> GOOD AFTERNOON. 3943 02:31:03,960 --> 02:31:07,160 TODAY WE WILL TALK ABOUT 3944 02:31:07,160 --> 02:31:14,400 CONCEPTS ABOUT THE WHOLE PERSON 3945 02:31:14,400 --> 02:31:16,440 RESEARCH INITIATIVE FOR NCCIH 3946 02:31:16,440 --> 02:31:21,600 ADVISORY CONCEPT APPROVAL. 3947 02:31:21,600 --> 02:31:24,240 NCCIH CURRENT STRATEGY PLAN 3948 02:31:24,240 --> 02:31:26,640 DEFINES WHOLE PERSON RESEARCH AS 3949 02:31:26,640 --> 02:31:31,200 INCLUDING THREE COMPONENTS. 3950 02:31:31,200 --> 02:31:33,520 FIRST, EXPLORING FUNDAMENTAL 3951 02:31:33,520 --> 02:31:37,240 SCIENCE OF INTERCONNECTED 3952 02:31:37,240 --> 02:31:38,200 SYSTEMS. 3953 02:31:38,200 --> 02:31:39,000 SECOND, INVESTIGATING 3954 02:31:39,000 --> 02:31:40,320 MULTI-COMPLEMENT INTERVENTIONS 3955 02:31:40,320 --> 02:31:44,440 OR THERAPEUTIC SYSTEMS. 3956 02:31:44,440 --> 02:31:46,880 THIRD, IMPACT OF THESE 3957 02:31:46,880 --> 02:31:50,240 INTERVENTIONS ON MULTI-SYSTEM OR 3958 02:31:50,240 --> 02:31:52,920 MULTI-ORGAN OUTCOMES. 3959 02:31:52,920 --> 02:31:54,640 NEXT SLIDE. 3960 02:31:54,640 --> 02:31:55,720 NEXT. 3961 02:31:55,720 --> 02:31:58,480 THE TIME IS RIGHT FOR WHOLE 3962 02:31:58,480 --> 02:32:04,080 PERSON RESEARCH DUE TO 3963 02:32:04,080 --> 02:32:06,960 CONVERGING ADVANCES INCLUDING 3964 02:32:06,960 --> 02:32:09,320 MULTIOMICS DATA, MEDICAL 3965 02:32:09,320 --> 02:32:10,520 INFORMATICS, ELECTRONIC HEALTH 3966 02:32:10,520 --> 02:32:13,240 RECORDS, MOBILE AND WEARABLE 3967 02:32:13,240 --> 02:32:23,760 TECHNOLOGIES, SOCIAL MEDIA AND 3968 02:32:24,240 --> 02:32:28,360 WEB DATA, AND MOVEMENT 3969 02:32:28,360 --> 02:32:29,760 PHENOTYPING, ALSO DIGITAL TOOLS 3970 02:32:29,760 --> 02:32:34,400 WHICH HAVE LAID THE GROUND WORK. 3971 02:32:34,400 --> 02:32:39,120 THE APPROACH CAN BUILD MODELS OF 3972 02:32:39,120 --> 02:32:42,960 MULTI-COMPONENT INTERVENTION BY 3973 02:32:42,960 --> 02:32:46,120 LINKING ACROSS PHYSIOLOGICAL, 3974 02:32:46,120 --> 02:32:48,600 BIOLOGICAL, AND ALSO BEHAVIORAL, 3975 02:32:48,600 --> 02:32:51,360 SOCIAL, ENVIRONMENTAL DOMAINS BY 3976 02:32:51,360 --> 02:32:55,400 LEVERAGING EXISTING DATA AND 3977 02:32:55,400 --> 02:32:56,600 COLLECTING NEW DYNAMICALLY 3978 02:32:56,600 --> 02:33:01,000 GENERATED DATA, AT MULTIPLE 3979 02:33:01,000 --> 02:33:07,440 TEMPORAL AND SPATIAL SCALES. 3980 02:33:07,440 --> 02:33:07,640 NEXT. 3981 02:33:07,640 --> 02:33:09,520 IN SEPTEMBER OF 2021 NCCIH 3982 02:33:09,520 --> 02:33:12,040 CONVENED A WHOLE PERSON RESEARCH 3983 02:33:12,040 --> 02:33:15,000 WORKSHOP ALONG WITH SEVERAL NIH 3984 02:33:15,000 --> 02:33:17,640 INSTITUTES AND CENTERS TO 3985 02:33:17,640 --> 02:33:20,680 DISCUSS RESEARCH EXAMPLES IN 3986 02:33:20,680 --> 02:33:22,880 WHOLE PERSON RESEARCH FROM 3987 02:33:22,880 --> 02:33:27,600 DIVERSE FIELDS. 3988 02:33:27,600 --> 02:33:29,400 AND DISCIPLINES. 3989 02:33:29,400 --> 02:33:31,440 ABOUT THESE THREE COMPONENTS. 3990 02:33:31,440 --> 02:33:34,480 IN ADDITION THE WORKSHOP 3991 02:33:34,480 --> 02:33:35,480 EXPLORED METHODOLOGIES 3992 02:33:35,480 --> 02:33:37,880 POTENTIALLY APPROPRIATE FOR 3993 02:33:37,880 --> 02:33:41,720 WHOLE PERSON RESEARCH, AND 3994 02:33:41,720 --> 02:33:46,320 SEVERAL TEAMS EMERGED. 3995 02:33:46,320 --> 02:33:49,160 FIRST, A SINGLE DISEASE, 3996 02:33:49,160 --> 02:33:51,360 CONDITION, OR BODY PARTS WILL 3997 02:33:51,360 --> 02:33:54,880 NOT BE SUFFICIENT TO SOLVE MAJOR 3998 02:33:54,880 --> 02:33:59,560 HEALTH PROBLEMS IN THE UNITED 3999 02:33:59,560 --> 02:34:00,640 STATES. 4000 02:34:00,640 --> 02:34:05,040 SECOND, SINGLE MODE INTERVENTION 4001 02:34:05,040 --> 02:34:07,640 IS OFTEN NOT ENOUGH FOR COMPLEX 4002 02:34:07,640 --> 02:34:11,360 HEALTH CONDITIONS. 4003 02:34:11,360 --> 02:34:14,320 THEREFORE REVEALING INSIGHTS 4004 02:34:14,320 --> 02:34:16,400 ABOUT MULTI-COMPONENT 4005 02:34:16,400 --> 02:34:17,280 INTERVENTION IMPACTING 4006 02:34:17,280 --> 02:34:22,520 MULTI-SYSTEM OUTCOMES WILL BE 4007 02:34:22,520 --> 02:34:26,240 CRITICAL, MORE INTEGRATIVE OF 4008 02:34:26,240 --> 02:34:28,960 UNDERSTANDING OF PATHOPHYSIOLOGY 4009 02:34:28,960 --> 02:34:32,400 AND DESIGN SEVERAL THERAPEUTIC 4010 02:34:32,400 --> 02:34:36,280 INTERVENTIONS AIMED AT WHOLE 4011 02:34:36,280 --> 02:34:37,080 PERSON IN THEIR ENVIRONMENTAL 4012 02:34:37,080 --> 02:34:40,440 CONTEXT. 4013 02:34:40,440 --> 02:34:40,920 NEXT SLIDE. 4014 02:34:40,920 --> 02:34:42,000 >> GREAT. 4015 02:34:42,000 --> 02:34:44,320 THIS NEW WHOLE PERSON RESEARCH 4016 02:34:44,320 --> 02:34:46,360 INITIATIVE WILL ADDRESS THE 4017 02:34:46,360 --> 02:34:48,120 DAUNTING HEALTH CARE CHALLENGE 4018 02:34:48,120 --> 02:34:58,560 BY STUDYING THE COMPLEX 4019 02:35:00,760 --> 02:35:02,440 INTERCONNECTED NATURE OF HEALTH. 4020 02:35:02,440 --> 02:35:04,200 AIMING TO CREATE DEDICATED 4021 02:35:04,200 --> 02:35:05,400 MULTI-DISCIPLINARY RESEARCH 4022 02:35:05,400 --> 02:35:06,960 PROGRAMS IN WHOLE PERSON 4023 02:35:06,960 --> 02:35:10,800 RESEARCH THAT WILL DEVELOP AND 4024 02:35:10,800 --> 02:35:18,880 TEST STATE-OF-THE-ART RESEARCH 4025 02:35:18,880 --> 02:35:20,160 MODELS THROUGH INNOVATEIVE 4026 02:35:20,160 --> 02:35:22,640 DESIGNS TO ANALYZE EFFECTS EVER 4027 02:35:22,640 --> 02:35:23,800 MULTI-COMPONENT INTERVENTION ON 4028 02:35:23,800 --> 02:35:24,800 INTERCONNECTED PHYSIOLOGICAL 4029 02:35:24,800 --> 02:35:27,840 SYSTEMS OF THE WHOLE PERSON WITH 4030 02:35:27,840 --> 02:35:30,680 DIVERSE SOCIAL AND ENVIRONMENTAL 4031 02:35:30,680 --> 02:35:32,760 CONTEXTS, THE SCOPE WILL INCLUDE 4032 02:35:32,760 --> 02:35:34,640 DEVELOPING AND TESTING MODELS 4033 02:35:34,640 --> 02:35:37,000 AND METHODS FOR BASIC, 4034 02:35:37,000 --> 02:35:38,360 MECHANISTIC, CLINICAL TRIAL AND 4035 02:35:38,360 --> 02:35:39,160 OBSERVATIONAL DATA RESEARCH 4036 02:35:39,160 --> 02:35:43,160 PROJECTS TO SUPPORT WHOLE PERSON 4037 02:35:43,160 --> 02:35:43,480 RESEARCH. 4038 02:35:43,480 --> 02:35:44,680 THE PROPOSED MULTI-DISCIPLINARY 4039 02:35:44,680 --> 02:35:47,240 RESEARCH PROGRAMS WILL PROVIDE A 4040 02:35:47,240 --> 02:35:48,560 STRONG AND MUCH NEEDED 4041 02:35:48,560 --> 02:35:52,480 FOUNDATION FOR WHOLE PERSON 4042 02:35:52,480 --> 02:35:55,640 HEALTH. 4043 02:35:55,640 --> 02:35:57,520 EXAMPLE ACTIVITIES MAY INCLUDE 4044 02:35:57,520 --> 02:35:59,920 BUILDING NETWORKS OF 4045 02:35:59,920 --> 02:36:00,360 RESEARCHERS, CREATING 4046 02:36:00,360 --> 02:36:03,200 OVERARCHING COORDINATING CENTER 4047 02:36:03,200 --> 02:36:05,360 THAT WOULD FACILITATE 4048 02:36:05,360 --> 02:36:07,160 COLLABORATION, SUPPORTING 4049 02:36:07,160 --> 02:36:09,120 DEMONSTRATION PROJECTS IN 4050 02:36:09,120 --> 02:36:10,840 PRE-CLINICAL MODELS OR HUMAN 4051 02:36:10,840 --> 02:36:12,520 SUBJECTS, SUPPORTING PILOT 4052 02:36:12,520 --> 02:36:13,320 PROJECTS, FEASIBILITY PROJECTS, 4053 02:36:13,320 --> 02:36:15,800 ALL THESE STUDIES WOULD BE AIMED 4054 02:36:15,800 --> 02:36:17,760 AT STUDYING INTERCONNECT THE 4055 02:36:17,760 --> 02:36:19,920 MULTIPLE SYSTEMS AND COMPLEX 4056 02:36:19,920 --> 02:36:20,720 MULTI-COMPONENT INTERVENTIONS 4057 02:36:20,720 --> 02:36:22,440 AND ULTIMATELY WE WOULD LOPE TO 4058 02:36:22,440 --> 02:36:23,960 SUPPORT SOME EFFICACY AND 4059 02:36:23,960 --> 02:36:25,280 EFFECTIVENESS TRIALS THAT WOULD 4060 02:36:25,280 --> 02:36:27,600 FOCUS ON THE WHOLE PERSON THAT 4061 02:36:27,600 --> 02:36:29,680 COULD BE BASED ON THE MODELS 4062 02:36:29,680 --> 02:36:31,320 THAT WERE BUILT THROUGH EARLIER 4063 02:36:31,320 --> 02:36:32,920 PHASES IN THE INITIATIVE. 4064 02:36:32,920 --> 02:36:33,600 NEXT SLIDE. 4065 02:36:33,600 --> 02:36:36,760 SO WE WOULD LIKE TO THANK YOU 4066 02:36:36,760 --> 02:36:38,400 FOR YOUR TIME AND ATTENTION AND 4067 02:36:38,400 --> 02:36:40,480 DO SEEK YOUR CONCURRENCE FOR 4068 02:36:40,480 --> 02:36:41,560 THIS PROPOSED CONCEPT. 4069 02:36:41,560 --> 02:36:42,560 WE WELCOME ANY QUESTIONS AND 4070 02:36:42,560 --> 02:36:44,360 COMMENTS YOU MAY HAVE. 4071 02:36:44,360 --> 02:36:52,640 THANK YOU. 4072 02:36:52,640 --> 02:36:53,200 4073 02:36:53,200 --> 02:36:55,040 >>I'LL ASK A QUESTION. 4074 02:36:55,040 --> 02:36:55,440 THIS WAS GREAT. 4075 02:36:55,440 --> 02:36:58,000 THANK YOU SO MUCH. 4076 02:36:58,000 --> 02:36:59,640 I'M CURIOUS IF YOU ANTICIPATE 4077 02:36:59,640 --> 02:37:01,480 THE STUDIES THAT WILL BE DONE AS 4078 02:37:01,480 --> 02:37:03,920 PART OF THIS INITIATIVE TO BE 4079 02:37:03,920 --> 02:37:05,920 INVOLVING BASIC AND MECHANISTIC 4080 02:37:05,920 --> 02:37:07,200 SCIENCE AND CLINICAL WORK OR 4081 02:37:07,200 --> 02:37:08,600 WOULD THOSE BE SEPARATE, WOULD 4082 02:37:08,600 --> 02:37:13,120 THOSE BE COMBINED, DO YOU HAVE 4083 02:37:13,120 --> 02:37:13,640 ANY THOUGHTS ABOUT THAT? 4084 02:37:13,640 --> 02:37:14,560 >>GREAT QUESTION. 4085 02:37:14,560 --> 02:37:17,600 THE ONE THING WE CAN SAY IS THAT 4086 02:37:17,600 --> 02:37:19,480 WE'RE HERE TOGETHER, I'M PART OF 4087 02:37:19,480 --> 02:37:21,800 THE CLINICAL RESEARCH BRANCH, MY 4088 02:37:21,800 --> 02:37:24,640 COLLEAGUE EMRIN IS IN OUR BASIC 4089 02:37:24,640 --> 02:37:32,280 MECHANISTIC BRANCH SO WE'RE 4090 02:37:32,280 --> 02:37:33,480 DELIBERATELY COLLABORATING FOR 4091 02:37:33,480 --> 02:37:36,440 THAT VERY REASON, A VERY 4092 02:37:36,440 --> 02:37:38,360 AMBITIOUS IDEA DEVELOPING WHOLE 4093 02:37:38,360 --> 02:37:39,160 PERSON INTERVENTIONS, LOOKING AT 4094 02:37:39,160 --> 02:37:39,920 THE WHOLE PERSON. 4095 02:37:39,920 --> 02:37:42,320 HOW DO YOU DO THIS IS SOMETHING 4096 02:37:42,320 --> 02:37:44,720 THAT'S GOING TO REQUIRE INPUT 4097 02:37:44,720 --> 02:37:45,960 FROM BOTH CLINICAL RESEARCHERS 4098 02:37:45,960 --> 02:37:51,760 AS WELL AS BASIC MECHANIC 4099 02:37:51,760 --> 02:37:56,360 MECHANISTIC 4100 02:37:56,360 --> 02:37:57,320 SCIENTIST, FIRST IS BRINGING 4101 02:37:57,320 --> 02:38:01,520 THIS TOGETHER TO PUZZLE IT OUT, 4102 02:38:01,520 --> 02:38:11,920 A BROAD RANGING SCOPE. 4103 02:38:11,920 --> 02:38:13,680 HOPEFULLY THAT HELPS. 4104 02:38:13,680 --> 02:38:17,560 >> YES, SO BY WHOLE PERSON, DO 4105 02:38:17,560 --> 02:38:21,320 YOU MEAN TO ADDRESS SYSTEMS THAT 4106 02:38:21,320 --> 02:38:24,400 ARE RESPONSIVE TO SINGLE 4107 02:38:24,400 --> 02:38:25,920 INTERVENTION OR HAVE 4108 02:38:25,920 --> 02:38:27,560 MULTI-COMPONENT INTERVENTIONS 4109 02:38:27,560 --> 02:38:28,400 TARGETING DIFFERENT SYSTEMS? 4110 02:38:28,400 --> 02:38:31,160 >> IT'S A GREAT QUESTION. 4111 02:38:31,160 --> 02:38:32,360 ACTUALLY WE COULD START WITH 4112 02:38:32,360 --> 02:38:36,480 WHAT IS THE IMPACT OF SINGLE 4113 02:38:36,480 --> 02:38:42,200 INTERVENTIONS ON MULTIPLE ORGAN 4114 02:38:42,200 --> 02:38:43,960 SYSTEMS BECAUSE WE STILL NEED 4115 02:38:43,960 --> 02:38:46,120 THE RICH INFORMATION IN THAT AND 4116 02:38:46,120 --> 02:38:48,880 USE SOME EXISTING DATA AND 4117 02:38:48,880 --> 02:38:51,160 DEVELOP METHODOLOGIES, AND THEN 4118 02:38:51,160 --> 02:38:54,240 OUR LAST AIM TO UNDERSTAND WHAT 4119 02:38:54,240 --> 02:38:55,760 IS THE MULTI-COMPONENT 4120 02:38:55,760 --> 02:39:02,640 INTERVENTION, WHAT ARE IMPACT OF 4121 02:39:02,640 --> 02:39:03,800 MULTI-COMPONENT INTERVENTION ON 4122 02:39:03,800 --> 02:39:04,960 SYSTEM OUTCOMES, IT WILL TAKE 4123 02:39:04,960 --> 02:39:06,280 TIME TO UNDERSTAND AND COMBINE 4124 02:39:06,280 --> 02:39:10,000 MULTIPLE INTERVENTIONS. 4125 02:39:10,000 --> 02:39:11,320 >> IF YOU'RE INTERESTED IN 4126 02:39:11,320 --> 02:39:12,480 THE -- VERY ROBUST DISCUSSION OF 4127 02:39:12,480 --> 02:39:14,360 THIS IN THE WORKSHOP THAT WAS 4128 02:39:14,360 --> 02:39:17,880 HELD IN 2021, AND THAT ENTIRE 4129 02:39:17,880 --> 02:39:20,160 WORKSHOP WAS ARCHIVED, YOU CAN 4130 02:39:20,160 --> 02:39:22,360 WATCH THE VIDEOS WHERE A LOT OF 4131 02:39:22,360 --> 02:39:24,360 THAT QUESTION WAS ADDRESSED. 4132 02:39:24,360 --> 02:39:27,080 WE DO HAVE MANY EXAMPLES OF 4133 02:39:27,080 --> 02:39:30,160 INVESTIGATORS IN THAT WORKSHOP 4134 02:39:30,160 --> 02:39:32,800 WHO TALKED ABOUT SINGLE 4135 02:39:32,800 --> 02:39:35,080 INTERVENTIONS THAT HAVE MULTIPLE 4136 02:39:35,080 --> 02:39:36,200 OUTCOME TARGETED IMPACTS, RIGHT? 4137 02:39:36,200 --> 02:39:39,240 AND THEN WE HAD SOME FOLKS WHO 4138 02:39:39,240 --> 02:39:40,720 WERE LOOKING AT MULTIPLE 4139 02:39:40,720 --> 02:39:42,440 INTERVENTIONS FOR SINGLE AND SO 4140 02:39:42,440 --> 02:39:46,480 ON AND SO FORTH SO THERE'S LOTS 4141 02:39:46,480 --> 02:39:48,440 OF EXISTING EXAMPLES BUT TO 4142 02:39:48,440 --> 02:39:50,200 REALLY PIECE IT TOGETHER I THINK 4143 02:39:50,200 --> 02:39:52,640 IS WHERE WE'RE TRYING TO HEAD IN 4144 02:39:52,640 --> 02:39:52,920 THE FUTURE. 4145 02:39:52,920 --> 02:39:54,280 >> I'D LIKE TO JUST MENTION I 4146 02:39:54,280 --> 02:39:57,720 DON'T KNOW IF IT CAME UP DURING 4147 02:39:57,720 --> 02:39:59,080 THE WORKSHOP, BUT SIMILAR 4148 02:39:59,080 --> 02:40:03,560 CONCEPT WAS USED BY NIMH IN OUR 4149 02:40:03,560 --> 02:40:06,720 ASSESSMENT OF DIFFERENT RESEARCH 4150 02:40:06,720 --> 02:40:08,040 DOMAINS ASSESSMENTS, LEVELS OF 4151 02:40:08,040 --> 02:40:09,200 ASSESSMENT OF THE INTERVENTIONS. 4152 02:40:09,200 --> 02:40:10,680 >> YES, ABSOLUTELY. 4153 02:40:10,680 --> 02:40:12,760 I'M FAMILIAR WITH RDoC. 4154 02:40:12,760 --> 02:40:16,560 THAT WAS A VERY GOOD 4155 02:40:16,560 --> 02:40:17,040 COMPREHENSIVE EXAMPLE. 4156 02:40:17,040 --> 02:40:19,200 >> ADDITIONALLY WE WANT TO 4157 02:40:19,200 --> 02:40:22,800 FIGURE OUT WHAT IS THE 4158 02:40:22,800 --> 02:40:25,760 COMPLEMENT INTERVENTION IN ORGAN 4159 02:40:25,760 --> 02:40:27,960 SYSTEMS, NOT JUST MULTIPLE 4160 02:40:27,960 --> 02:40:28,200 ORGANS. 4161 02:40:28,200 --> 02:40:36,160 >> THANK YOU. 4162 02:40:36,160 --> 02:40:39,880 >> I THINK THIS IS GREAT, 4163 02:40:39,880 --> 02:40:40,960 STRONGLY SUPPORTIVE OF THIS. 4164 02:40:40,960 --> 02:40:43,240 I THINK IT'S THE WAY, AS 4165 02:40:43,240 --> 02:40:44,560 PRACTITIONERS, WE DON'T DO JUST 4166 02:40:44,560 --> 02:40:46,760 ONE THING. 4167 02:40:46,760 --> 02:40:48,640 WE'RE ALWAYS USING 4168 02:40:48,640 --> 02:40:49,240 MULTI-COMPONENT INTERVENTIONS 4169 02:40:49,240 --> 02:40:52,440 TYPICALLY IN OUR PATIENTS. 4170 02:40:52,440 --> 02:40:54,080 NO MATTER WHAT WE'RE TREEING, 4171 02:40:54,080 --> 02:40:57,880 ACUTE OR CHRONIC ILLNESS. 4172 02:40:57,880 --> 02:40:59,240 IN SPORTS MEDICINE, THE CHURCH 4173 02:40:59,240 --> 02:41:01,400 OF WHAT'S HAPPENING NOW, THE 4174 02:41:01,400 --> 02:41:02,720 KITCHEN SINK GOES IN, WE HAVE TO 4175 02:41:02,720 --> 02:41:05,160 GET THIS BETTER AS QUICKLY AS WE 4176 02:41:05,160 --> 02:41:08,640 CAN SO WE'RE ALWAYS DOING 4177 02:41:08,640 --> 02:41:09,240 MULTI-COMPONENT INTERVENTIONS 4178 02:41:09,240 --> 02:41:13,200 AND SO I THINK THAT THIS IS 4179 02:41:13,200 --> 02:41:14,640 REALLY, REALLY EXCELLENT. 4180 02:41:14,640 --> 02:41:16,920 REALLY LOOKING FORWARD TO 4181 02:41:16,920 --> 02:41:18,160 PARTICIPATING IN THIS. 4182 02:41:18,160 --> 02:41:20,440 >> THANK YOU. 4183 02:41:20,440 --> 02:41:20,800 >> THANK YOU. 4184 02:41:20,800 --> 02:41:22,880 >> YES, THANK YOU SO MUCH. 4185 02:41:22,880 --> 02:41:25,080 I'M VERY SUPPORTIVE OF THIS 4186 02:41:25,080 --> 02:41:25,920 DIRECTION. 4187 02:41:25,920 --> 02:41:28,680 WITH NATIVE AMERICAN STUDIES I'M 4188 02:41:28,680 --> 02:41:31,440 ALWAYS FISHING AROUND FOR 4189 02:41:31,440 --> 02:41:35,120 DIFFERENT TYPES OF ASSESSMENTS, 4190 02:41:35,120 --> 02:41:35,760 MENTAL, PHYSICAL, SPIRITUAL, 4191 02:41:35,760 --> 02:41:38,960 WELL-BEINGS, AND HOW DO WE DO 4192 02:41:38,960 --> 02:41:41,800 THIS TYPE OF -- HOW DO WE 4193 02:41:41,800 --> 02:41:44,800 CAPTURE THESE DOMAINS OF HEALTH 4194 02:41:44,800 --> 02:41:46,960 WITHIN A SINGLE RESEARCH 4195 02:41:46,960 --> 02:41:47,360 PROJECT. 4196 02:41:47,360 --> 02:41:50,360 IT'S A BIG QUESTION. 4197 02:41:50,360 --> 02:41:53,440 I REALLY APPRECIATE THIS 4198 02:41:53,440 --> 02:41:56,800 ANNOUNCEMENT. 4199 02:41:56,800 --> 02:41:58,880 >> I THINK YOU MAY HAVE ALLUDED 4200 02:41:58,880 --> 02:42:01,960 TO IT A BIT BUT I'M CURIOUS IF 4201 02:42:01,960 --> 02:42:03,160 THE CONCEPTUALIZATION OF WHOLE 4202 02:42:03,160 --> 02:42:04,920 PERSON HEALTH AND ALL OF THE 4203 02:42:04,920 --> 02:42:06,560 WONDERFUL WAYS THAT THIS IS 4204 02:42:06,560 --> 02:42:07,760 FLOWERING INTO DIFFERENT 4205 02:42:07,760 --> 02:42:10,280 PROJECTS THAT ARE LINKING WITH 4206 02:42:10,280 --> 02:42:13,640 SYSTEMS AND IN MANY WAYS I THINK 4207 02:42:13,640 --> 02:42:16,760 ALREADY LEANING INTO WHAT I'M 4208 02:42:16,760 --> 02:42:18,920 GOING TO SAY, CURIOUS IF THERE'S 4209 02:42:18,920 --> 02:42:22,440 A KIND OF WHOLE COMMUNITY OR 4210 02:42:22,440 --> 02:42:26,400 SOME KIND OF COLLECTIVE 4211 02:42:26,400 --> 02:42:28,200 CONCEPTUALIZATION OF WHAT HEALTH 4212 02:42:28,200 --> 02:42:28,440 REQUIRES. 4213 02:42:28,440 --> 02:42:30,200 >> I LOVE THAT QUESTION. 4214 02:42:30,200 --> 02:42:32,840 SO, YOU KNOW, THE NIH IS REALLY 4215 02:42:32,840 --> 02:42:35,760 GOOD AT STUDYING BIOLOGY AND 4216 02:42:35,760 --> 02:42:37,640 BIOLOGICAL SYSTEMS, AND WE MANY 4217 02:42:37,640 --> 02:42:40,600 TIMES FALL SHORT ON THE MORE 4218 02:42:40,600 --> 02:42:41,760 COMMUNITY SIDE OF IT. 4219 02:42:41,760 --> 02:42:44,120 FORTUNATELY I COME FROM THAT 4220 02:42:44,120 --> 02:42:45,520 BACKGROUND SO I'M AN APPLIED 4221 02:42:45,520 --> 02:42:47,920 SOCIAL PSYCHOLOGIST BY TRAINING 4222 02:42:47,920 --> 02:42:49,120 SO I'M CERTAINLY BRINGING THAT 4223 02:42:49,120 --> 02:42:52,280 LENS TO THE TABLE AND HOPE TO 4224 02:42:52,280 --> 02:42:54,400 REALLY BUILD THE MODELS THAT 4225 02:42:54,400 --> 02:42:56,440 REALLY CAN BRING THAT TO BEAR 4226 02:42:56,440 --> 02:42:58,760 BECAUSE I THINK IT'S ONE OF THE 4227 02:42:58,760 --> 02:43:00,040 BIGGEST PREDICTORS OF HEALTH IN 4228 02:43:00,040 --> 02:43:03,000 THIS COUNTRY AT LEAST IS YOUR 4229 02:43:03,000 --> 02:43:04,880 ZIP CODE, RIGHT? 4230 02:43:04,880 --> 02:43:06,400 WHY IS THAT? 4231 02:43:06,400 --> 02:43:08,480 >> HEALTH AS AN ECOLOGY OF 4232 02:43:08,480 --> 02:43:09,040 HEALTH, RIGHT? 4233 02:43:09,040 --> 02:43:09,800 >> ABSOLUTELY. 4234 02:43:09,800 --> 02:43:14,520 YEAH, IF WE IGNORE THAT WE'D BE 4235 02:43:14,520 --> 02:43:18,240 REMISS. 4236 02:43:18,240 --> 02:43:20,960 >> PUSHING RESEARCH, THINK MORE 4237 02:43:20,960 --> 02:43:22,040 CREATIVELY MOVING BEYOND 4238 02:43:22,040 --> 02:43:23,680 INDIVIDUAL UNIT OF THE PERSON 4239 02:43:23,680 --> 02:43:24,600 UNIT OF MEASURE. 4240 02:43:24,600 --> 02:43:26,320 IT'S COMPLICATED BUT THAT'S 4241 02:43:26,320 --> 02:43:27,400 WHERE IT SEEMS HEADED, NEEDS TO 4242 02:43:27,400 --> 02:43:30,240 BE HEADED. 4243 02:43:30,240 --> 02:43:33,240 >> I CAN ALSO ADD WE HAVE A LOT 4244 02:43:33,240 --> 02:43:35,840 OF PARTNERS AT NIH, OTHER 4245 02:43:35,840 --> 02:43:36,960 INSTITUTES AND CENTERS, WE'RE 4246 02:43:36,960 --> 02:43:38,480 VERY EXCITED TO COLLABORATE. 4247 02:43:38,480 --> 02:43:41,280 ONE IS THE NATIONAL INSTITUTES 4248 02:43:41,280 --> 02:43:41,960 OF NURSING RESEARCH, THEY ARE 4249 02:43:41,960 --> 02:43:43,280 ALL OVER THIS. 4250 02:43:43,280 --> 02:43:48,320 THE OTHER ONE VERY INTERESTINGLY 4251 02:43:48,320 --> 02:43:50,160 IS NATIONAL INSTITUTES OF 4252 02:43:50,160 --> 02:43:50,760 ENVIRONMENTAL HEALTH RESEARCH, 4253 02:43:50,760 --> 02:43:54,440 AND THEY ARE VERY EXCITED ABOUT 4254 02:43:54,440 --> 02:43:56,880 THIS, EXTENDING THIS INTO THE 4255 02:43:56,880 --> 02:43:58,960 SOCIAL AND ENVIRONMENTAL 4256 02:43:58,960 --> 02:43:59,200 DOMAINS. 4257 02:43:59,200 --> 02:44:01,120 SO, WE'RE WORKING -- THESE ARE 4258 02:44:01,120 --> 02:44:03,400 TWO OF THE INSTITUTES, ALSO OF 4259 02:44:03,400 --> 02:44:04,480 COURSE NATIONAL INSTITUTES OF 4260 02:44:04,480 --> 02:44:07,240 MINORITY HEALTH AND HEALTH 4261 02:44:07,240 --> 02:44:07,760 DISPARITIES, THEY VERY 4262 02:44:07,760 --> 02:44:08,680 INTERESTED AS WELL. 4263 02:44:08,680 --> 02:44:10,000 WE HAVE A LOT OF PEOPLE WHO WANT 4264 02:44:10,000 --> 02:44:11,920 TO WORK WITH US ON THIS. 4265 02:44:11,920 --> 02:44:12,280 >> THANK YOU. 4266 02:44:12,280 --> 02:44:22,560 >> THANK YOU. 4267 02:44:23,080 --> 02:44:26,080 >> DO WE HAVE A MOTION A 4268 02:44:26,080 --> 02:44:27,360 APPROVING THIS CONCEPT? 4269 02:44:27,360 --> 02:44:29,480 >> SO MOVED. 4270 02:44:29,480 --> 02:44:30,680 >> OKAY. 4271 02:44:30,680 --> 02:44:30,920 SECOND? 4272 02:44:30,920 --> 02:44:31,200 >> SECOND. 4273 02:44:31,200 --> 02:44:31,640 >> OKAY. 4274 02:44:31,640 --> 02:44:33,400 SO PLEASE RAISE YOUR HAND IF 4275 02:44:33,400 --> 02:44:36,680 YOU'RE IN FAVOR OF THE MOTION. 4276 02:44:36,680 --> 02:44:44,040 4277 02:44:44,040 --> 02:44:45,680 THANK YOU. 4278 02:44:45,680 --> 02:44:48,600 MOTION HAS PASSED. 4279 02:44:48,600 --> 02:44:51,560 WE CAN MOVE TO THE SECOND 4280 02:44:51,560 --> 02:44:55,600 CONCEPT. 4281 02:44:55,600 --> 02:44:57,360 IT WILL BE PRESENTED BY DR. 4282 02:44:57,360 --> 02:45:00,960 PATRICK STILL. 4283 02:45:00,960 --> 02:45:05,760 4284 02:45:05,760 --> 02:45:11,880 4285 02:45:11,880 --> 02:45:15,440 >> GOOD AFTERNOON, COUNCIL 4286 02:45:15,440 --> 02:45:16,440 MEMBERS. 4287 02:45:16,440 --> 02:45:21,320 I'M PATRICK STILL, BASIC AND 4288 02:45:21,320 --> 02:45:23,200 MECHANISTIC BRANCH, NATURAL 4289 02:45:23,200 --> 02:45:24,160 PRODUCTS PORTFOLIO, PUTTING 4290 02:45:24,160 --> 02:45:26,320 FORWARD A STRATEGIC PLANNING 4291 02:45:26,320 --> 02:45:28,760 EFFORT FOR POTENTIAL 2025 4292 02:45:28,760 --> 02:45:31,080 INITIATIVE ON A RESOURCE CENTER 4293 02:45:31,080 --> 02:45:33,480 FOR CANNABIS AND CANNABINOID 4294 02:45:33,480 --> 02:45:34,400 RESEARCH. 4295 02:45:34,400 --> 02:45:36,760 I'LL START WITH BACKGROUND ON 4296 02:45:36,760 --> 02:45:38,520 THE PUBLIC HEALTH PERSPECTIVE, 4297 02:45:38,520 --> 02:45:41,360 AND PROGRESS OF NIH RESEARCH ON 4298 02:45:41,360 --> 02:45:44,080 CANNABIS AND MOVE TO PURPOSE OF 4299 02:45:44,080 --> 02:45:46,640 THE RESOURCE CENTER, WHICH MAPS 4300 02:45:46,640 --> 02:45:48,120 ONTO NEEDS IDENTIFIED AND 4301 02:45:48,120 --> 02:45:50,000 REQUESTS FOR INFORMATION. 4302 02:45:50,000 --> 02:45:51,480 AND THEN LASTLY LOOK AT 4303 02:45:51,480 --> 02:45:59,720 OBJECTIVES AND ACTIVITIES OF THE 4304 02:45:59,720 --> 02:46:00,520 CENTER. 4305 02:46:00,520 --> 02:46:02,120 NEXT SLIDE. 4306 02:46:02,120 --> 02:46:03,560 CANNABIS AND ITS CONSTITUENTS 4307 02:46:03,560 --> 02:46:06,560 HAVE BECOME A SIGNIFICANT PUBLIC 4308 02:46:06,560 --> 02:46:08,400 HEALTH TOPIC WITH 37 STATES 4309 02:46:08,400 --> 02:46:11,560 HAVING LEGALIZED MEDICAL AND 4310 02:46:11,560 --> 02:46:12,160 RECREATIONAL CANNABIS DESPITE 4311 02:46:12,160 --> 02:46:14,240 SHORT- AND LONG-TERM HEALTH 4312 02:46:14,240 --> 02:46:16,320 EFFECTS OF CANNABIS NOT BEING 4313 02:46:16,320 --> 02:46:17,040 ENTIRELY CLEAR. 4314 02:46:17,040 --> 02:46:19,720 THE CURRENT STATE OF EVIDENCE 4315 02:46:19,720 --> 02:46:23,320 AND RECOMMENDATIONS FOR RESEARCH 4316 02:46:23,320 --> 02:46:29,480 ARE SUMMARIZED IN THE 2017 NASM 4317 02:46:29,480 --> 02:46:33,920 REPORT ON HEALTH EEFFECTS. 4318 02:46:33,920 --> 02:46:35,360 LAST FIVE YEARS NIH PROGRESSED 4319 02:46:35,360 --> 02:46:40,160 IN ISSUING A VARIETY OF FUNDING 4320 02:46:40,160 --> 02:46:41,280 OPPORTUNITY ANNOUNCEMENTS SHOWN 4321 02:46:41,280 --> 02:46:41,840 HERE. 4322 02:46:41,840 --> 02:46:45,880 INVOLVING THIS RESEARCH THAT 4323 02:46:45,880 --> 02:46:47,680 THAT'S SUMMARIZE IN NIH-WIDE 4324 02:46:47,680 --> 02:46:49,040 CANNABIS AND CANNABINOID 4325 02:46:49,040 --> 02:46:49,920 RESEARCH FUNDING OPPORTUNITY 4326 02:46:49,920 --> 02:46:54,320 ANNOUNCEMENT WEB PAGE. 4327 02:46:54,320 --> 02:46:57,040 AND IN OCTOBER 2022, NCCIH 4328 02:46:57,040 --> 02:47:00,120 HOSTED AN ANNUAL PRINCIPAL 4329 02:47:00,120 --> 02:47:02,520 INVESTIGATORS MEETING WHERE 4330 02:47:02,520 --> 02:47:03,760 AWARDEES DISCUSSED THEIR ONGOING 4331 02:47:03,760 --> 02:47:07,760 RESEARCH AND CHALLENGES IN THE 4332 02:47:07,760 --> 02:47:08,240 FIELD. 4333 02:47:08,240 --> 02:47:12,160 NEXT CLICK. 4334 02:47:12,160 --> 02:47:13,720 NEXT SLIDE PLEASE. 4335 02:47:13,720 --> 02:47:17,520 THESE RESEARCH CHALLENGES IN THE 4336 02:47:17,520 --> 02:47:19,920 CANNABIS FIELD INTERSECT WITH 4337 02:47:19,920 --> 02:47:20,880 SEVERAL NIH INSTITUTES' 4338 02:47:20,880 --> 02:47:22,760 INTERESTS, AND TO DATE SEVERAL 4339 02:47:22,760 --> 02:47:25,000 NIH INSTITUTES HAVE TAKEN 4340 02:47:25,000 --> 02:47:26,480 EFFORTS TO LEVERAGE THE 4341 02:47:26,480 --> 02:47:27,360 THERAPEUTIC OPPORTUNITIES 4342 02:47:27,360 --> 02:47:29,320 ASSOCIATED WITH CANNABIS WITHIN 4343 02:47:29,320 --> 02:47:30,440 THEIR MISSIONS. 4344 02:47:30,440 --> 02:47:33,280 AND HAVE EXPRESSED INTEREST IN 4345 02:47:33,280 --> 02:47:36,800 JOINING THIS INITIATIVE AS 4346 02:47:36,800 --> 02:47:42,600 POTENTIAL PARTNERS. 4347 02:47:42,600 --> 02:47:43,920 NEXT SLIDE. 4348 02:47:43,920 --> 02:47:46,960 CHALLENGES DISCUSSED DURING THE 4349 02:47:46,960 --> 02:47:49,280 OCTOBER 2022 PRINCIPAL 4350 02:47:49,280 --> 02:47:51,360 INVESTIGATORS MEETING OVERLAPPED 4351 02:47:51,360 --> 02:47:53,360 WITH REQUEST FOR INFORMATION 4352 02:47:53,360 --> 02:47:54,400 ISSUED IN AUGUST OF 2022. 4353 02:47:54,400 --> 02:47:56,960 THE RESULTS OF WHICH ARE COLOR 4354 02:47:56,960 --> 02:47:59,040 CODED HERE, INTO SEVEN 4355 02:47:59,040 --> 02:47:59,560 CATEGORIES. 4356 02:47:59,560 --> 02:48:02,200 IT'S CLEAR FROM THE RESPONSES 4357 02:48:02,200 --> 02:48:05,560 THAT THE TOP NEEDS INCLUDE 4358 02:48:05,560 --> 02:48:07,000 INCREASED RESEARCH FUNDING, 4359 02:48:07,000 --> 02:48:11,040 INCREASED RESEARCH AND CLINICAL 4360 02:48:11,040 --> 02:48:13,320 GRADE PRODUCTS, PROMOTION OF 4361 02:48:13,320 --> 02:48:14,000 RESEARCH STANDARDS TOOLS, 4362 02:48:14,000 --> 02:48:18,960 METRICS, AS WELL AS PROVIDING 4363 02:48:18,960 --> 02:48:23,400 GUIDANCE ON REGULATORY 4364 02:48:23,400 --> 02:48:23,760 REQUIREMENTS. 4365 02:48:23,760 --> 02:48:26,800 NEXT SLIDE. 4366 02:48:26,800 --> 02:48:29,400 SO TO ADDRESS THE COMMUNITY 4367 02:48:29,400 --> 02:48:32,280 NEEDS FROM REQUESTS FOR 4368 02:48:32,280 --> 02:48:33,440 INFORMATION, PROPOSED CONCEPT 4369 02:48:33,440 --> 02:48:35,640 FOR RESOURCE CENTER FOR CANNABIS 4370 02:48:35,640 --> 02:48:38,880 AND CANNABINOID RESEARCH WILL 4371 02:48:38,880 --> 02:48:40,920 INCLUDE REGULATORY COMPLIANCE 4372 02:48:40,920 --> 02:48:43,440 CORE, WHERE ACTIONS SUCH AS 4373 02:48:43,440 --> 02:48:45,400 UPDATING REGULATORY GUIDANCE AND 4374 02:48:45,400 --> 02:48:48,920 BEING POLICY CLEARINGHOUSE FOR 4375 02:48:48,920 --> 02:48:55,720 RESEARCH OR GOALS COULD BE 4376 02:48:55,720 --> 02:48:56,520 ACCOMPLISHED. 4377 02:48:56,520 --> 02:48:57,560 REAGENTS, STANDARDS, AND 4378 02:48:57,560 --> 02:48:59,760 ANALYTICAL NEEDS COULD BE 4379 02:48:59,760 --> 02:49:00,960 ACCOMPLISHED THROUGH ANALYTICS 4380 02:49:00,960 --> 02:49:03,000 CORE SHOWN IN BLUE. 4381 02:49:03,000 --> 02:49:05,520 AND COMMUNITY NEEDS FOR PUBLIC 4382 02:49:05,520 --> 02:49:07,960 OUTREACH, TRAINING, AND SEED 4383 02:49:07,960 --> 02:49:09,920 FUNDING FOR REGULATORY 4384 02:49:09,920 --> 02:49:10,440 REQUIREMENTS AND PROPOSAL 4385 02:49:10,440 --> 02:49:12,240 DEVELOPMENT COULD BE 4386 02:49:12,240 --> 02:49:15,440 ACCOMPLISHED THROUGH AN OUTREACH 4387 02:49:15,440 --> 02:49:18,240 AND COMMUNITY SUPPORT CORE. 4388 02:49:18,240 --> 02:49:22,840 SO THESE CORE AREAS, GO BACK 4389 02:49:22,840 --> 02:49:25,160 ONE, THANK YOU, CORE AREAS AND 4390 02:49:25,160 --> 02:49:29,520 GENERAL OBJECTIVES WE ENVISION 4391 02:49:29,520 --> 02:49:31,400 AS BEING INTERCONNECTED, 4392 02:49:31,400 --> 02:49:32,040 ASSISTING PRINCIPAL 4393 02:49:32,040 --> 02:49:33,720 INVESTIGATORS AT EVERY CAREER 4394 02:49:33,720 --> 02:49:34,120 STAGE. 4395 02:49:34,120 --> 02:49:36,320 SO WE THEREFORE ASK FOR YOUR 4396 02:49:36,320 --> 02:49:38,360 CONCURRENCE ON THIS CONCEPT FOR 4397 02:49:38,360 --> 02:49:40,480 THIS PROPOSED INITIATIVE, ON A 4398 02:49:40,480 --> 02:49:43,360 RESOURCE CENTER FOR CANNABIS AND 4399 02:49:43,360 --> 02:49:44,800 CANNABINOID RESEARCH. 4400 02:49:44,800 --> 02:49:46,200 AND WE'RE HAPPY TO TAKE ANY 4401 02:49:46,200 --> 02:49:48,280 QUESTIONS YOU MAY HAVE. 4402 02:49:48,280 --> 02:49:58,520 THANK YOU. 4403 02:49:58,880 --> 02:50:00,840 >>THANKS, PATRICK. 4404 02:50:00,840 --> 02:50:01,640 THIS IS EXCITING. 4405 02:50:01,640 --> 02:50:03,400 I LIKE HOW I REACHED OUT FOR 4406 02:50:03,400 --> 02:50:04,720 FEEDBACK ABOUT GREATEST NEEDS 4407 02:50:04,720 --> 02:50:06,000 AND ARE TRYING TO MEET THOSE 4408 02:50:06,000 --> 02:50:06,440 NEEDS. 4409 02:50:06,440 --> 02:50:14,800 I HAD A COUPLE QUELLS. -- QUEST. 4410 02:50:14,800 --> 02:50:18,480 IS THAT LOW HIGH AND LOW THC, 4411 02:50:18,480 --> 02:50:21,680 HEMP AND MARIJUANA ARE TOPICS OF 4412 02:50:21,680 --> 02:50:22,000 RESEARCH? 4413 02:50:22,000 --> 02:50:26,840 >>YEAH, THE NIH LOOKED INTO 4414 02:50:26,840 --> 02:50:31,560 BOTH AREAS BUT DISTINGUISH THE 4415 02:50:31,560 --> 02:50:31,720 TWO. 4416 02:50:31,720 --> 02:50:33,360 >> RESOURCES FOR BOTH? 4417 02:50:33,360 --> 02:50:43,120 >> THAT'S RIGHT AND REGULATORY 4418 02:50:43,120 --> 02:50:47,640 GUIDANCE FOR SCHEDULE 1, IT 4419 02:50:47,640 --> 02:50:48,560 POINTS TO DIFFERENT ROUTES. 4420 02:50:48,560 --> 02:50:51,520 >> AND MY OTHER QUESTION IS 4421 02:50:51,520 --> 02:50:54,920 JUST TRYING TO UNDERSTAND WOULD 4422 02:50:54,920 --> 02:50:57,760 THIS BE SOMETHING THAT WOULD BE 4423 02:50:57,760 --> 02:50:59,120 BEING ACCOMPLISHED BY NIH OR 4424 02:50:59,120 --> 02:51:00,840 WOULD INVESTIGATORS BE 4425 02:51:00,840 --> 02:51:02,800 SUBMITTING PROPOSALS TO CREATE 4426 02:51:02,800 --> 02:51:03,560 THIS RESOURCE CENTER? 4427 02:51:03,560 --> 02:51:06,760 >> WELL, THAT'S A GREAT 4428 02:51:06,760 --> 02:51:07,120 QUESTION. 4429 02:51:07,120 --> 02:51:09,120 AND THIS RESOURCE CENTER IS 4430 02:51:09,120 --> 02:51:11,360 ENVISIONED AS HAVING A LOT OF 4431 02:51:11,360 --> 02:51:12,760 NIH OVERSIGHT. 4432 02:51:12,760 --> 02:51:18,360 HOWEVER, IT WILL BE LED BY THE 4433 02:51:18,360 --> 02:51:20,640 INVESTIGATIVE TEAM. 4434 02:51:20,640 --> 02:51:23,040 SO THE OUTREACH AND MEETING 4435 02:51:23,040 --> 02:51:26,800 SUPPORT, FOR EXAMPLE, WILL 4436 02:51:26,800 --> 02:51:28,040 REALLY BE LED BY THE COMMUNITY 4437 02:51:28,040 --> 02:51:29,520 SO THE IMPACT CAN BE INCREASED. 4438 02:51:29,520 --> 02:51:33,800 >> IT WOULD BE A U-GRANT KIND 4439 02:51:33,800 --> 02:51:34,280 OF CONTACT? 4440 02:51:34,280 --> 02:51:35,440 >>COOPERATIVE AGREEMENT 4441 02:51:35,440 --> 02:51:36,760 CONTEXT, YES. 4442 02:51:36,760 --> 02:51:40,360 >> AN RFA AND GROUPS WOULD 4443 02:51:40,360 --> 02:51:42,960 PROPOSE CREATING RESOURCE CENTER 4444 02:51:42,960 --> 02:51:45,320 DEPENDING ON EXPERTISE WITH NIH 4445 02:51:45,320 --> 02:51:46,560 INVOLVEMENT? 4446 02:51:46,560 --> 02:51:46,960 >> THAT'S RIGHT. 4447 02:51:46,960 --> 02:51:49,080 >> COOL, THANK YOU. 4448 02:51:49,080 --> 02:51:51,400 >> YEAH, THIS IS MY FIRST 4449 02:51:51,400 --> 02:51:52,240 COUNCIL MEETING. 4450 02:51:52,240 --> 02:51:53,640 THE ONLY THING I WANT TO SAY 4451 02:51:53,640 --> 02:51:57,240 SEEMS LIKE THE TWO CONCEPTS AND 4452 02:51:57,240 --> 02:52:00,400 THE OTHER ONE, THERE MUST HAVE 4453 02:52:00,400 --> 02:52:02,600 BEEN EXTENSIVE WORKSHOPS, KIND 4454 02:52:02,600 --> 02:52:07,600 OF LEADING UP TO THESE 4455 02:52:07,600 --> 02:52:09,920 PRESENTATIONS, SO IT'S VERY 4456 02:52:09,920 --> 02:52:12,680 HARD, THERE WAS A LOT OF 4457 02:52:12,680 --> 02:52:14,160 QUESTIONS HERE, IT'S DIFFICULT 4458 02:52:14,160 --> 02:52:16,480 TO APPRECIATE THE EXTENT OF IT 4459 02:52:16,480 --> 02:52:18,160 IN JUST, YOU KNOW, A FEW MINUTES 4460 02:52:18,160 --> 02:52:20,160 OF A PRESENTATION IN TERMS OF 4461 02:52:20,160 --> 02:52:22,080 ENDORSING OR NOT ENDORSING. 4462 02:52:22,080 --> 02:52:24,720 IT SOUNDS GREAT, BUT CLEARLY, 4463 02:52:24,720 --> 02:52:27,200 FOR EXAMPLE, EVEN THE PREVIOUS 4464 02:52:27,200 --> 02:52:32,280 ONE WILL NEED A LOT MORE WORK IN 4465 02:52:32,280 --> 02:52:33,600 AN RFA, I WOULD THINK? 4466 02:52:33,600 --> 02:52:35,040 >>THAT'S THE CHALLENGE WE FACE 4467 02:52:35,040 --> 02:52:36,320 BECAUSE WE DON'T WANT TO PROVIDE 4468 02:52:36,320 --> 02:52:39,200 SO MUCH INFORMATION THAT WE'RE 4469 02:52:39,200 --> 02:52:42,720 WRITING THE FOA, OR THE NOFO 4470 02:52:42,720 --> 02:52:45,440 NOW, NOTICE OF FUNDING 4471 02:52:45,440 --> 02:52:46,200 OPPORTUNITY, BEFORE IT'S 4472 02:52:46,200 --> 02:52:48,960 RELEASED BUT PROVIDE ENOUGH 4473 02:52:48,960 --> 02:52:50,480 INFORMATION ABOUT THE CONTEXT, 4474 02:52:50,480 --> 02:52:51,800 CONTEXTUAL FRAMEWORK SO AT LEAST 4475 02:52:51,800 --> 02:52:53,960 THE IDEA SOUNDS GOOD TO YOU THAT 4476 02:52:53,960 --> 02:52:58,040 WE'RE NOT GOING OFF IN A TOTALLY 4477 02:52:58,040 --> 02:53:00,520 TANGENTIAL WAY OR HITTING SOME 4478 02:53:00,520 --> 02:53:01,960 POSITIVE ASPECTS OF NEED IN THE 4479 02:53:01,960 --> 02:53:03,360 COMMUNITY OR FOR THE RESEARCH, 4480 02:53:03,360 --> 02:53:08,400 SO WE ALWAYS HAVE TO STRIKE THAT 4481 02:53:08,400 --> 02:53:08,640 BALANCE. 4482 02:53:08,640 --> 02:53:09,600 >> IF THERE WAS SOME MATERIAL 4483 02:53:09,600 --> 02:53:12,760 THAT I COULD HAVE LOOKED AT, YOU 4484 02:53:12,760 --> 02:53:12,960 KNOW. 4485 02:53:12,960 --> 02:53:13,200 >> OH. 4486 02:53:13,200 --> 02:53:15,720 >> MAYBE I DIDN'T LOOK ENOUGH. 4487 02:53:15,720 --> 02:53:17,280 I MEAN, THAT WOULD HAVE HELPED. 4488 02:53:17,280 --> 02:53:17,760 >> I SEE. 4489 02:53:17,760 --> 02:53:19,760 >> NOT ASKING ALL THESE 4490 02:53:19,760 --> 02:53:20,040 QUESTIONS. 4491 02:53:20,040 --> 02:53:21,640 I THINK THAT WOULD JUST BE 4492 02:53:21,640 --> 02:53:21,880 HELPFUL. 4493 02:53:21,880 --> 02:53:23,600 >> I HEAR WHAT YOU'RE SAYING, 4494 02:53:23,600 --> 02:53:24,320 MEASURE THAT'S SOMETHING WE 4495 02:53:24,320 --> 02:53:26,480 COULD DO IN THE FUTURE BUT WE'RE 4496 02:53:26,480 --> 02:53:32,240 HOPEFUL -- WE DON'T GIVE A LOT 4497 02:53:32,240 --> 02:53:35,240 OF INFORMATION BUT THE GENERAL 4498 02:53:35,240 --> 02:53:36,280 TOPIC, PRESENTING AN OUTLINE 4499 02:53:36,280 --> 02:53:38,720 THAT WILL LEAD TO WE HOPE, WE 4500 02:53:38,720 --> 02:53:39,920 THINK, CALL FOR PROPOSALS, DOES 4501 02:53:39,920 --> 02:53:41,440 THIS SEEM LIKE WE'RE IN THE 4502 02:53:41,440 --> 02:53:42,760 RIGHT BALL PARK, ARE WE DOING 4503 02:53:42,760 --> 02:53:45,160 SOMETHING THAT YOU THINK WILL 4504 02:53:45,160 --> 02:53:46,720 BENEFIT THE PUBLIC HEALTH, 4505 02:53:46,720 --> 02:53:51,840 RESEARCH COMMUNITY, ARE WE ON 4506 02:53:51,840 --> 02:53:52,080 TARGET? 4507 02:53:52,080 --> 02:53:55,240 SO WE'RE ASKING FOR 50,000-FOOT 4508 02:53:55,240 --> 02:53:56,680 PERSPECTIVE, IF THAT HELPS. 4509 02:53:56,680 --> 02:54:01,040 >> ALSO WOULD LIKE -- I CAN SEE 4510 02:54:01,040 --> 02:54:03,440 HOW PERHAPS -- YOUR COMMENT WAS 4511 02:54:03,440 --> 02:54:04,440 DIRECTED AT BOTH PROPOSALS BUT 4512 02:54:04,440 --> 02:54:08,040 CERTAINLY FOR THE ONE ON THE 4513 02:54:08,040 --> 02:54:10,040 WHOLE PERSON, THIS IS SOMETHING 4514 02:54:10,040 --> 02:54:13,520 THAT WE'VE BEEN WORKING ON NOW 4515 02:54:13,520 --> 02:54:17,800 FOR OVER THREE YEARS BECAUSE OF 4516 02:54:17,800 --> 02:54:19,760 IT'S DIRECTLY DERIVED FROM OUR 4517 02:54:19,760 --> 02:54:21,320 STRATEGIC PLAN. 4518 02:54:21,320 --> 02:54:25,680 SO IN A WAY, AS CLEARLY, WE 4519 02:54:25,680 --> 02:54:27,320 SHOULD HAVE THOUGHT MORE FOR NEW 4520 02:54:27,320 --> 02:54:31,640 COUNCIL MEMBERS WHO ARE ARRIVING 4521 02:54:31,640 --> 02:54:33,200 LIKE YOURSELF, SORT OF IN 4522 02:54:33,200 --> 02:54:34,200 RETROSPECT SHOULD HAVE PROVIDED 4523 02:54:34,200 --> 02:54:35,200 MORE BACKGROUND. 4524 02:54:35,200 --> 02:54:38,640 I CAN SEE HOW FROM WHERE YOU SIT 4525 02:54:38,640 --> 02:54:41,560 THAT WHOLE PERSON PROPOSAL MAY 4526 02:54:41,560 --> 02:54:43,960 HAVE SOUNDED VERY KIND OF BROAD 4527 02:54:43,960 --> 02:54:46,400 AND PERHAPS NOT VERY SPECIFIC, 4528 02:54:46,400 --> 02:54:46,600 RIGHT? 4529 02:54:46,600 --> 02:54:47,800 >> BUT VERY COOL TOO. 4530 02:54:47,800 --> 02:54:48,760 >> VERY COOL. 4531 02:54:48,760 --> 02:54:54,800 >> I UNDERSTAND IT BUT I THINK 4532 02:54:54,800 --> 02:54:54,920 -- 4533 02:54:54,920 --> 02:54:57,120 >>YEAH. 4534 02:54:57,120 --> 02:55:01,560 IT'S A VERY -- IT'S A -- YEAH. 4535 02:55:01,560 --> 02:55:03,320 >> IT'S GETTING THE BALANCE 4536 02:55:03,320 --> 02:55:03,760 RIGHT. 4537 02:55:03,760 --> 02:55:07,800 I THINK WE DO ASSUME -- FOR NEW 4538 02:55:07,800 --> 02:55:09,240 COUNCIL MEMBERS IT'S HARD TO 4539 02:55:09,240 --> 02:55:10,920 JUMP INTO OF COURSE WE'RE DOING 4540 02:55:10,920 --> 02:55:12,520 BUT BOTH PROPOSALS IT'S BEEN A 4541 02:55:12,520 --> 02:55:15,040 LONG TIME COMING. 4542 02:55:15,040 --> 02:55:18,280 WE'VE HAD SEVERAL INITIATIVES, 4543 02:55:18,280 --> 02:55:20,200 RFAs, NOTICE OF SPECIAL 4544 02:55:20,200 --> 02:55:20,960 INTEREST, REACHED OUT TO THE 4545 02:55:20,960 --> 02:55:22,680 COMMUNITY TO DO A REQUEST FOR 4546 02:55:22,680 --> 02:55:24,280 INFORMATION. 4547 02:55:24,280 --> 02:55:25,560 WE'VE BEEN TO MEETINGS. 4548 02:55:25,560 --> 02:55:27,440 WE'VE TALKED TO INVESTIGATORS 4549 02:55:27,440 --> 02:55:29,920 WHO ARE FUNDED IN DOING CANNABIS 4550 02:55:29,920 --> 02:55:30,200 RESEARCH. 4551 02:55:30,200 --> 02:55:31,600 SO WE'RE GETTING A GOOD SENSE OF 4552 02:55:31,600 --> 02:55:35,400 THE PULSE OF THE COMMUNITY, WHAT 4553 02:55:35,400 --> 02:55:36,840 THE CHALLENGES ARE, AND 4554 02:55:36,840 --> 02:55:39,040 CERTAINLY THE PUBLIC HEALTH 4555 02:55:39,040 --> 02:55:39,600 NEED. 4556 02:55:39,600 --> 02:55:45,720 BUT NOW IT'S UP TO I THINK 38 4557 02:55:45,720 --> 02:55:46,600 STATES LEGALIZED MARIJUANA, 4558 02:55:46,600 --> 02:55:48,680 ADULT OR MEDICAL USE, AND WE 4559 02:55:48,680 --> 02:55:50,720 KNOW HISTORICALLY RESEARCH IS 4560 02:55:50,720 --> 02:55:53,360 FAR LAGGING BEHIND PUBLIC USE 4561 02:55:53,360 --> 02:55:59,280 AND INTEREST IN THIS PLAN, FOR 4562 02:55:59,280 --> 02:56:02,240 MARIJUANA SO WE'RE PLAYING 4563 02:56:02,240 --> 02:56:03,320 CATCH-UP AS A RESEARCH INSTITUTE 4564 02:56:03,320 --> 02:56:05,400 AND MANY RESEARCHERS ARE PUT OFF 4565 02:56:05,400 --> 02:56:06,720 BY THE REGULATORY CLIMATE THEY 4566 02:56:06,720 --> 02:56:07,760 ARE HAVING TO FACE, WE THOUGHT 4567 02:56:07,760 --> 02:56:09,360 THIS WOULD BE ONE WAY TO 4568 02:56:09,360 --> 02:56:11,320 FACILITATE THE WORK. 4569 02:56:11,320 --> 02:56:14,240 THAT'S THE GENERAL IDEA BEHIND 4570 02:56:14,240 --> 02:56:17,760 THIS AND THE DETAILS WOULD BE 4571 02:56:17,760 --> 02:56:19,280 FORTHCOMING, MORE WORK, MORE 4572 02:56:19,280 --> 02:56:22,680 DEVELOPMENT, THROUGH PRESUMABLY 4573 02:56:22,680 --> 02:56:23,760 A NOFO OF SOME SORT. 4574 02:56:23,760 --> 02:56:26,040 I DON'T KNOW IF THAT HELPS. 4575 02:56:26,040 --> 02:56:29,920 >> LET ME JUST ADD SOMETHING. 4576 02:56:29,920 --> 02:56:32,920 ALSO MENTION AT NCCIH WE'VE HAD 4577 02:56:32,920 --> 02:56:34,520 A CANNABINOID WORKING GROUP FOR 4578 02:56:34,520 --> 02:56:37,160 THE PAST COUPLE YEARS NOW THAT'S 4579 02:56:37,160 --> 02:56:39,240 EXTENDED TO TRANS-NIH WORKING 4580 02:56:39,240 --> 02:56:41,320 GROUP SO WE DO HAVE DEEP 4581 02:56:41,320 --> 02:56:42,320 DISCUSSIONS ABOUT THESE ISSUES 4582 02:56:42,320 --> 02:56:45,680 JUST LIKE THE WHOLE PERSON 4583 02:56:45,680 --> 02:56:46,000 RESEARCH. 4584 02:56:46,000 --> 02:56:48,880 I THINK WHAT'S PRESENTED HERE IS 4585 02:56:48,880 --> 02:56:50,080 THE 30,000-FOOT VIEW. 4586 02:56:50,080 --> 02:56:52,040 WE CAN'T GIVE YOU ALL THE 4587 02:56:52,040 --> 02:56:53,160 DETAILS BECAUSE IT'S AN OPEN 4588 02:56:53,160 --> 02:56:55,120 SESSION TO BEGIN WITH. 4589 02:56:55,120 --> 02:56:58,400 WE CAN'T WRITE THE FOA AND 4590 02:56:58,400 --> 02:57:04,880 DISCUSS IT OPEN. 4591 02:57:04,880 --> 02:57:05,920 IT'S THE CONCEPT. 4592 02:57:05,920 --> 02:57:08,400 >> I THINK I WANT TO THANK YOU 4593 02:57:08,400 --> 02:57:12,240 FOR BRINGING UP THIS CONCEPT, 4594 02:57:12,240 --> 02:57:12,800 PATRICK. 4595 02:57:12,800 --> 02:57:14,360 I HAVE SIMILAR QUESTIONS AS 4596 02:57:14,360 --> 02:57:15,080 WELL. 4597 02:57:15,080 --> 02:57:16,960 I THINK I'D LIKE TO SEE 4598 02:57:16,960 --> 02:57:20,400 SOMETHING THAT DOES LOOK AT 4599 02:57:20,400 --> 02:57:20,640 HEMP 4600 02:57:20,640 --> 02:57:24,200 AS WELL AS CANNABIS. 4601 02:57:24,200 --> 02:57:25,040 THERE'S A DISTINCTION BUT IT'S 4602 02:57:25,040 --> 02:57:26,160 NOT THAT GREAT. 4603 02:57:26,160 --> 02:57:28,320 WHATEVER IS USEFUL FOR CANNABIS 4604 02:57:28,320 --> 02:57:29,640 INDUSTRY COULD BE HELPFUL FOR 4605 02:57:29,640 --> 02:57:30,960 HEMP AS WELL. 4606 02:57:30,960 --> 02:57:34,560 ALSO THIS IS REALLY -- IT'S VERY 4607 02:57:34,560 --> 02:57:35,960 WELL THOUGHT OUT, RESOURCES ARE 4608 02:57:35,960 --> 02:57:37,720 EXACTLY WHAT YOU NEED TO STUDY 4609 02:57:37,720 --> 02:57:40,120 PLANT MATERIALS IN THIS WAY. 4610 02:57:40,120 --> 02:57:41,680 WITH THINGS LIKE PSILOCYBIN AND 4611 02:57:41,680 --> 02:57:43,960 SO ON COMING UP BEHIND SETTING A 4612 02:57:43,960 --> 02:57:45,160 PATTERN OR PIPELINE FOR HOW 4613 02:57:45,160 --> 02:57:48,240 THESE THINGS CAN BE APPROACHED 4614 02:57:48,240 --> 02:57:49,120 WOULD BE VERY HELPFUL. 4615 02:57:49,120 --> 02:57:50,560 >> RIGHT. 4616 02:57:50,560 --> 02:57:53,760 THANK YOU FOR THE SUPPORT. 4617 02:57:53,760 --> 02:57:54,200 >> DR. HANEY? 4618 02:57:54,200 --> 02:57:57,320 >> WELL, I CAN JUST QUICKLY ADD 4619 02:57:57,320 --> 02:58:00,400 THAT STUDY BE CANNABIS IS 4620 02:58:00,400 --> 02:58:02,040 UNBELIEVABLY DIFFICULT, 4621 02:58:02,040 --> 02:58:03,240 REGULATORY BURDEN IS INTENSE, 4622 02:58:03,240 --> 02:58:09,320 SCHEDULE 1 DRUG, SO EVEN THE 4623 02:58:09,320 --> 02:58:10,880 LOWEST POTENCY PRODUCT IS STILL 4624 02:58:10,880 --> 02:58:14,920 KEPT IN A GUN SAFE I GET INTO A 4625 02:58:14,920 --> 02:58:17,000 ROOM WITH A FINGERPRINT, TREATED 4626 02:58:17,000 --> 02:58:17,320 LIKE HEROIN. 4627 02:58:17,320 --> 02:58:20,520 FOGGY LATE FROM THE DAY, I'VE 4628 02:58:20,520 --> 02:58:25,160 TRIED TO GET FUNDING FROM NCI, 4629 02:58:25,160 --> 02:58:26,240 CANCER INSTITUTE BECAUSE 4630 02:58:26,240 --> 02:58:28,000 MAJORITY OF PATIENTS USE 4631 02:58:28,000 --> 02:58:30,600 CANNABIS AT SOME POINT IN THE 4632 02:58:30,600 --> 02:58:32,360 ILLNESS, NCI HAS FUNDED A SINGLE 4633 02:58:32,360 --> 02:58:33,680 STUDY TO MY KNOWLEDGE. 4634 02:58:33,680 --> 02:58:39,360 SO I GUESS I'M JUST NOT 100% 4635 02:58:39,360 --> 02:58:41,640 CLEAR ON WHAT YOUR INSTITUTE 4636 02:58:41,640 --> 02:58:42,760 WOULD DO IN COLLABORATION WITH 4637 02:58:42,760 --> 02:58:44,400 THE OTHER INSTITUTES. 4638 02:58:44,400 --> 02:58:46,120 SO I'M JUST FUZZY ON THE DETAILS 4639 02:58:46,120 --> 02:58:48,000 THERE SO WE DON'T HAVE PRODUCT 4640 02:58:48,000 --> 02:58:49,840 THE FDA APPROVES FOR THE POST 4641 02:58:49,840 --> 02:58:51,840 PART TO STUDY. 4642 02:58:51,840 --> 02:58:53,480 WE HAVE BARRIERS GETTING 4643 02:58:53,480 --> 02:58:53,720 PRODUCT. 4644 02:58:53,720 --> 02:58:55,160 DEA, FDA, YOU HAVE TO GET 4645 02:58:55,160 --> 02:58:57,400 APPROVAL, THERE'S A LOT OF 4646 02:58:57,400 --> 02:59:00,160 REGULATORY BARRIERS BUT I'M 4647 02:59:00,160 --> 02:59:01,920 FUZZY ON WHAT THIS WOULD DO. 4648 02:59:01,920 --> 02:59:06,640 GETTING RESOURCES FOR NEW 4649 02:59:06,640 --> 02:59:07,600 INVESTIGATORS IS HUGE BUT YOU 4650 02:59:07,600 --> 02:59:09,640 WOULD SUPPLY INFORMATION HOW TO 4651 02:59:09,640 --> 02:59:12,200 GET PRODUCTS TO STUDY OR -- I'M 4652 02:59:12,200 --> 02:59:14,800 SORRY, I'M GETTING FUZZY NOW. 4653 02:59:14,800 --> 02:59:15,480 >> THAT'S RIGHT. 4654 02:59:15,480 --> 02:59:17,680 AND THANKS FOR YOUR QUESTION. 4655 02:59:17,680 --> 02:59:20,920 THAT'S A GREAT COMMENT. 4656 02:59:20,920 --> 02:59:27,840 AND THIS RESOURCE CENTER ISN'T 4657 02:59:27,840 --> 02:59:29,360 ENVISIONED AS A RESEARCH 4658 02:59:29,360 --> 02:59:29,800 ANNOUNCEMENT. 4659 02:59:29,800 --> 02:59:31,800 IT'S TO PROVIDE, AS YOU 4660 02:59:31,800 --> 02:59:33,000 MENTIONED, RESOURCES FOR THE 4661 02:59:33,000 --> 02:59:34,280 COMMUNITY TO LOWER BARRIERS TO 4662 02:59:34,280 --> 02:59:36,040 ENTRY AND TO MOVE TO DIFFERENT 4663 02:59:36,040 --> 02:59:39,560 PARTS OF RESEARCH IF YOU'RE 4664 02:59:39,560 --> 02:59:41,520 ALREADY IN THE FIELD AND ENABLE 4665 02:59:41,520 --> 02:59:43,680 CONNECTIONS TO HIGH QUALITY 4666 02:59:43,680 --> 02:59:46,760 VENDORS, FOR EXAMPLE. 4667 02:59:46,760 --> 02:59:47,680 AND DETAILED PROCEDURES. 4668 02:59:47,680 --> 02:59:49,920 AND SO IT'S NOT A PARTICULAR 4669 02:59:49,920 --> 02:59:51,680 RESEARCH FOCUS. 4670 02:59:51,680 --> 02:59:53,320 IT'S MORE JUST TO PROVIDE 4671 02:59:53,320 --> 02:59:55,520 RESOURCES TO THE COMMUNITY TO 4672 02:59:55,520 --> 02:59:56,040 GET THE WORK DONE. 4673 02:59:56,040 --> 02:59:57,280 >> OKAY, GREAT. 4674 02:59:57,280 --> 02:59:59,440 THAT'S NIH-WIDE. 4675 02:59:59,440 --> 03:00:00,680 FOR ALL THE INSTITUTES 4676 03:00:00,680 --> 03:00:01,960 >>YEAH, UH-HUH. 4677 03:00:01,960 --> 03:00:04,360 >> THANK YOU. 4678 03:00:04,360 --> 03:00:11,840 >> TO YOUR POINT NCI HAD AN 4679 03:00:11,840 --> 03:00:13,880 RFI, IT'S NOW SOMETHING IN THE 4680 03:00:13,880 --> 03:00:19,120 ORDER OF 25% OF CANCER PATIENTS 4681 03:00:19,120 --> 03:00:21,240 USE CANNABIS, REQUEST FOR 4682 03:00:21,240 --> 03:00:22,560 PROPOSALS WAS TO INTERROGATE 4683 03:00:22,560 --> 03:00:24,920 EHRs TO LOOK FOR WHAT PATIENTS 4684 03:00:24,920 --> 03:00:26,800 ARE USING CANNABIS FOR AND YOU 4685 03:00:26,800 --> 03:00:30,640 CAN IMAGINE ONCE YOU HAVE THOSE 4686 03:00:30,640 --> 03:00:33,960 KINDS OF DATA, EPIDATA, 4687 03:00:33,960 --> 03:00:35,480 OBSERVATIONAL DATA COULD LEAD TO 4688 03:00:35,480 --> 03:00:36,960 MORE RESEARCH SO THEY ARE HE AT 4689 03:00:36,960 --> 03:00:42,280 THE BEGINNING OF THEIR INTEREST 4690 03:00:42,280 --> 03:00:42,920 IN IN CANNABIS. 4691 03:00:42,920 --> 03:00:45,320 WE HAD A MEETING WITH CDC THIS 4692 03:00:45,320 --> 03:00:46,280 WEEK. 4693 03:00:46,280 --> 03:00:47,400 NHLBI HOLDING A WORKSHOP 4694 03:00:47,400 --> 03:00:48,480 INTERNALLY IN THE NEXT FEW 4695 03:00:48,480 --> 03:00:50,800 MONTHS TO TALK ABOUT THEIR 4696 03:00:50,800 --> 03:00:53,280 PRIORITIES FOR CANNABIS RESEARCH 4697 03:00:53,280 --> 03:00:55,920 SO WHAT YOU'RE SEEING AS MORE 4698 03:00:55,920 --> 03:00:57,240 STATES LEGALIZE IT, CAN YOU 4699 03:00:57,240 --> 03:00:59,240 CONTINUE THE DRUM BEAT OF THIS 4700 03:00:59,240 --> 03:01:02,080 BEING A PUBLIC HEALTH ISSUE, THE 4701 03:01:02,080 --> 03:01:03,720 MORE NIH INSTITUTES ARE STARTING 4702 03:01:03,720 --> 03:01:05,560 TO TAKE NOTICE AND SET UP THE 4703 03:01:05,560 --> 03:01:06,760 RESEARCH PLANS. 4704 03:01:06,760 --> 03:01:10,160 WE SEE THIS COORDINATING CENTER 4705 03:01:10,160 --> 03:01:12,480 AS ONE PIECE TO THAT CHALLENGE 4706 03:01:12,480 --> 03:01:14,240 TO HELP FACILITATE THE WORK AS 4707 03:01:14,240 --> 03:01:16,200 IT COMES ONLINE AMONG THE 4708 03:01:16,200 --> 03:01:17,840 VARIOUS INSTITUTES AND CENTERS 4709 03:01:17,840 --> 03:01:20,680 AT THE NIH. 4710 03:01:20,680 --> 03:01:21,880 4711 03:01:21,880 --> 03:01:23,640 >> OKAY. 4712 03:01:23,640 --> 03:01:27,080 DO WE HAVE ANY MORE COMMENTS? 4713 03:01:27,080 --> 03:01:29,320 >> A GENERAL COMMENT BUT NOT 4714 03:01:29,320 --> 03:01:31,200 RELATED TO THIS. 4715 03:01:31,200 --> 03:01:41,720 IS THIS THE TIME TO DO IT? 4716 03:01:41,720 --> 03:01:44,760 >>I WANT TO CONGRATULATE THE 4717 03:01:44,760 --> 03:01:47,160 NCCIH THAT IT BECOMES LEADING IN 4718 03:01:47,160 --> 03:01:48,480 THIS RESEARCH ACROSS THE CENTER. 4719 03:01:48,480 --> 03:01:51,200 >> I SECOND THAT. 4720 03:01:51,200 --> 03:01:51,400 4721 03:01:51,400 --> 03:01:55,240 >> THANK YOU. 4722 03:01:55,240 --> 03:01:58,440 A QUICK COMMENT I WANTED TO ADD 4723 03:01:58,440 --> 03:02:00,280 TO THE PREVIOUS DISCUSSION, 4724 03:02:00,280 --> 03:02:02,880 THERE IS ALSO MORE INFORMATION 4725 03:02:02,880 --> 03:02:06,080 ON THOSE CONCEPTS ON THE 4726 03:02:06,080 --> 03:02:07,400 ELECTRONIC COUNCIL BOOK. 4727 03:02:07,400 --> 03:02:08,640 I ENCOURAGE YOU IF YOU DIDN'T 4728 03:02:08,640 --> 03:02:10,360 HAVE A CHANCE TO LOOK AT THIS 4729 03:02:10,360 --> 03:02:11,120 MATERIAL, JUST LOOK. 4730 03:02:11,120 --> 03:02:13,920 IF YOU STILL FEEL THIS IS NOT 4731 03:02:13,920 --> 03:02:17,000 ENOUGH INFORMATION, GET BACK TO 4732 03:02:17,000 --> 03:02:17,480 ME PLEASE. 4733 03:02:17,480 --> 03:02:22,960 AND THEN WE SEE WHAT WE CAN DO, 4734 03:02:22,960 --> 03:02:23,520 OKAY? 4735 03:02:23,520 --> 03:02:25,360 >> WE HEAR YOUR COMMENT 4736 03:02:25,360 --> 03:02:25,640 SERIOUSLY. 4737 03:02:25,640 --> 03:02:27,120 WE'LL PAY ATTENTION IN THE 4738 03:02:27,120 --> 03:02:29,280 FUTURE WHEN WE PRESENT CONCEPTS 4739 03:02:29,280 --> 03:02:33,320 THAT YOU THINK ABOUT WHAT 4740 03:02:33,320 --> 03:02:37,280 MATERIALS MIGHT BE HELPFUL, YOU 4741 03:02:37,280 --> 03:02:38,920 KNOW. 4742 03:02:38,920 --> 03:02:39,280 YEAH, YEAH. 4743 03:02:39,280 --> 03:02:41,000 >> THIS PROCESS REALLY LIVES ON 4744 03:02:41,000 --> 03:02:41,480 YOUR FEEDBACK. 4745 03:02:41,480 --> 03:02:44,640 WE NEED TO KNOW WHAT YOU NEED SO 4746 03:02:44,640 --> 03:02:48,000 YOU CAN PROVIDE THE ADVICE WE'RE 4747 03:02:48,000 --> 03:02:50,880 ASKING YOU FOR. 4748 03:02:50,880 --> 03:02:51,440 GOOD. 4749 03:02:51,440 --> 03:02:54,360 LET'S GO AND YEAH, THAT'S WHAT 4750 03:02:54,360 --> 03:02:59,640 I'M GETTING AT. 4751 03:02:59,640 --> 03:03:02,800 I HAVEN'T FORGOTTEN. 4752 03:03:02,800 --> 03:03:08,360 DO WE HAVE A MOTION? 4753 03:03:08,360 --> 03:03:08,560 OKAY. 4754 03:03:08,560 --> 03:03:09,280 SECOND? 4755 03:03:09,280 --> 03:03:10,360 YEP. 4756 03:03:10,360 --> 03:03:10,640 THANK YOU. 4757 03:03:10,640 --> 03:03:13,160 ALL IN FAVOR? 4758 03:03:13,160 --> 03:03:15,600 4759 03:03:15,600 --> 03:03:17,560 4760 03:03:17,560 --> 03:03:18,000 OKAY. 4761 03:03:18,000 --> 03:03:19,760 THE MOTION HAS PASSED. 4762 03:03:19,760 --> 03:03:23,680 SO WE'RE GETTING TO OUR NEXT 4763 03:03:23,680 --> 03:03:24,080 CONCEPT CLEARANCE. 4764 03:03:24,080 --> 03:03:30,240 THE THIRD ONE IS BEING PRESENTED 4765 03:03:30,240 --> 03:03:32,280 BY DR. HYE-SOOK KIM. 4766 03:03:32,280 --> 03:03:36,280 >> GOOD AFTERNOON, I'M PROGRAM 4767 03:03:36,280 --> 03:03:40,640 DIRECTOR AT NCCIH, I'M GOING TO 4768 03:03:40,640 --> 03:03:43,680 PRESENT A CONCEPT FOR YOUR 4769 03:03:43,680 --> 03:03:45,040 CONSIDERATION ENHANCING 4770 03:03:45,040 --> 03:03:47,640 MECHANISTIC RESEARCH OF 4771 03:03:47,640 --> 03:03:50,800 PRECISION PROBIOTIC THERAPIES. 4772 03:03:50,800 --> 03:03:58,920 PROBIOTICS ALSO KNOWN AS 4773 03:03:58,920 --> 03:04:00,120 MICROBIAL THERAPEUTICS, WHEN WE 4774 03:04:00,120 --> 03:04:05,360 ADMINISTER AT JUST RIGHT AMOUNT 4775 03:04:05,360 --> 03:04:08,760 IT WILL PROVIDE THERAPY TO HOST. 4776 03:04:08,760 --> 03:04:12,360 THESE ARE EXAMPLES OF POTENTIAL 4777 03:04:12,360 --> 03:04:17,080 BENEFITS, FOR EXAMPLE IT COULD 4778 03:04:17,080 --> 03:04:20,240 IMPROVE MENTAL HEALTH, METABOLIC 4779 03:04:20,240 --> 03:04:22,880 DISORDER, MODULATE OUR IMMUNE 4780 03:04:22,880 --> 03:04:23,720 SYSTEM. 4781 03:04:23,720 --> 03:04:26,040 THERE ARE BENEFICIAL EFFECTS, 4782 03:04:26,040 --> 03:04:28,440 ALSO UNDERLYING MECHANISM OF 4783 03:04:28,440 --> 03:04:29,880 ACTIONS DEMONSTRATED VERY WELL 4784 03:04:29,880 --> 03:04:32,720 FROM IN VITRO AND IN VIVO 4785 03:04:32,720 --> 03:04:34,000 STUDIES. 4786 03:04:34,000 --> 03:04:35,360 NEXT SLIDE. 4787 03:04:35,360 --> 03:04:36,560 HOWEVER, PRE-CLINICAL RESULTS 4788 03:04:36,560 --> 03:04:40,200 ARE NOT WELL TRANSLATED INTO THE 4789 03:04:40,200 --> 03:04:44,040 CLINICAL SETTINGS WHICH IS MAIN 4790 03:04:44,040 --> 03:04:46,680 CHALLENGE IN PROBIOTIC RESEARCH. 4791 03:04:46,680 --> 03:04:50,480 STUDIES FOUND VERY DIFFERENT 4792 03:04:50,480 --> 03:04:51,760 RESPONSE TO EXACT SAME PROBIOTIC 4793 03:04:51,760 --> 03:04:54,720 STRAIN IN INDIVIDUALS WHICH LED 4794 03:04:54,720 --> 03:04:58,080 SIGNIFICANT VARIABILITY IN 4795 03:04:58,080 --> 03:05:01,400 CLINICAL OUTCOMES. 4796 03:05:01,400 --> 03:05:04,680 THERE ARE MULTIPLE FACTORS 4797 03:05:04,680 --> 03:05:05,880 CONTRIBUTING TO THIS. 4798 03:05:05,880 --> 03:05:09,600 FIRST PROBIOTIC ITSELF, THEY ARE 4799 03:05:09,600 --> 03:05:12,240 THE LIVE MICROBES, HOW MANY LIVE 4800 03:05:12,240 --> 03:05:14,200 PROBIOTIC CELLS AND ALSO HOW 4801 03:05:14,200 --> 03:05:16,480 OFTEN WE TAKE THESE PROBIOTICS 4802 03:05:16,480 --> 03:05:20,040 COULD GIVE VERY DIFFERENT 4803 03:05:20,040 --> 03:05:20,880 OUTCOMES. 4804 03:05:20,880 --> 03:05:23,200 SECOND IS OUR GUT MICROBIOME. 4805 03:05:23,200 --> 03:05:31,640 WE HAVE QUITE DISTINCTIVE GUT 4806 03:05:31,640 --> 03:05:32,800 MICROBIOME WHICH CAUSE 4807 03:05:32,800 --> 03:05:33,560 RESPONSES. 4808 03:05:33,560 --> 03:05:35,880 HOST FACTORS SUCH AS AGE, DIET, 4809 03:05:35,880 --> 03:05:38,920 DRUG USE. 4810 03:05:38,920 --> 03:05:39,600 NEXT. 4811 03:05:39,600 --> 03:05:39,800 NEXT. 4812 03:05:39,800 --> 03:05:43,200 SO TOGETHER THESE -- GO BACK 4813 03:05:43,200 --> 03:05:45,400 ONE. 4814 03:05:45,400 --> 03:05:47,160 THANK YOU. 4815 03:05:47,160 --> 03:05:54,280 SO, ALL TOGETHER THESE INITIAL 4816 03:05:54,280 --> 03:05:58,680 CONDITIONS IN HOST AND 4817 03:05:58,680 --> 03:06:02,280 MICROBIOME COULD AFFECT OUTCOME. 4818 03:06:02,280 --> 03:06:04,680 ALSO HAMPER NOT ONLY VERY 4819 03:06:04,680 --> 03:06:06,960 EFFECTIVE EVALUATION OF THE 4820 03:06:06,960 --> 03:06:08,640 CLINICAL EFFICACY BUT ALSO 4821 03:06:08,640 --> 03:06:11,840 INTEGRATION AND IMPLEMENTATION 4822 03:06:11,840 --> 03:06:13,640 INTO CURRENT HEALTH CARE 4823 03:06:13,640 --> 03:06:14,360 SYSTEMS. 4824 03:06:14,360 --> 03:06:14,560 NEXT. 4825 03:06:14,560 --> 03:06:17,160 ONE SOLUTION TO TACKLE THIS IS 4826 03:06:17,160 --> 03:06:19,680 TO DEVELOP PROCEDURE AND 4827 03:06:19,680 --> 03:06:21,080 PROBIOTIC INTERVENTION PARADIGM 4828 03:06:21,080 --> 03:06:25,160 BECAUSE IT HAS CAPABILITY TO 4829 03:06:25,160 --> 03:06:26,280 PREDICT INTERINDIVIDUAL 4830 03:06:26,280 --> 03:06:28,800 VARIATION AND TAILOR PROBIOTIC 4831 03:06:28,800 --> 03:06:31,520 STRAINS TO INDIVIDUAL SPECIFIC 4832 03:06:31,520 --> 03:06:32,960 FEATURES. 4833 03:06:32,960 --> 03:06:33,600 NEXT. 4834 03:06:33,600 --> 03:06:35,240 HOWEVER, THIS APPROACH OF COURSE 4835 03:06:35,240 --> 03:06:37,520 NEEDS FUNDAMENTAL UNDERSTANDING 4836 03:06:37,520 --> 03:06:39,320 OF REAL LIFE VARIABILITY OF 4837 03:06:39,320 --> 03:06:41,600 PROBIOTIC RESPONSE AT INDIVIDUAL 4838 03:06:41,600 --> 03:06:45,200 LEVEL AS WELL AS DEVELOPMENT OF 4839 03:06:45,200 --> 03:06:49,040 RESEARCH TOOLS AND STRATEGY TO 4840 03:06:49,040 --> 03:06:51,880 ADDRESS THIS COMPLEXITY OF 4841 03:06:51,880 --> 03:06:53,280 PERSON-SPECIFIC CHARACTERISTICS. 4842 03:06:53,280 --> 03:06:53,640 NEXT. 4843 03:06:53,640 --> 03:06:57,440 SO TO IDENTIFY THE GAPS IN 4844 03:06:57,440 --> 03:07:01,480 CURRENT UNDERSTANDING AND ALSO 4845 03:07:01,480 --> 03:07:02,400 RESEARCH LITERATURE FOR 4846 03:07:02,400 --> 03:07:04,560 PRECISION PROBIOTIC TREATMENT 4847 03:07:04,560 --> 03:07:06,880 NCCIH AND OFFICE OF DIETARY 4848 03:07:06,880 --> 03:07:10,720 SUPPLEMENTS PLANNED AND HELD A 4849 03:07:10,720 --> 03:07:13,000 WORKSHOP ON PRECISION PROBIOTIC 4850 03:07:13,000 --> 03:07:14,440 THERAPY CHALLENGES AND 4851 03:07:14,440 --> 03:07:20,760 OPPORTUNITIES IN 2022 APRIL BY 4852 03:07:20,760 --> 03:07:21,760 COLLABORATING TEN NIH 4853 03:07:21,760 --> 03:07:23,400 INSTITUTES, CENTERS, OFFICE, AS 4854 03:07:23,400 --> 03:07:25,920 WELL AS USDA. 4855 03:07:25,920 --> 03:07:26,640 NEXT. 4856 03:07:26,640 --> 03:07:29,640 SO THIS WORKSHOP IDENTIFIES 4857 03:07:29,640 --> 03:07:31,040 SEVERAL RESEARCH PRIORITIES, 4858 03:07:31,040 --> 03:07:33,440 GAPS, AND OPPORTUNITIES. 4859 03:07:33,440 --> 03:07:36,280 THE FIRST IT WAS PARTICULARLY 4860 03:07:36,280 --> 03:07:38,480 REALIZED MOST OF THE PROBIOTIC 4861 03:07:38,480 --> 03:07:41,120 CLINICAL TRIALS DIDN'T FULLY 4862 03:07:41,120 --> 03:07:44,840 CAPTURE THOSE COMPLEX PATTERNS 4863 03:07:44,840 --> 03:07:47,960 OF GUT MICROBIOME, HOST 4864 03:07:47,960 --> 03:07:48,560 VARIABILITY, DIETARY 4865 03:07:48,560 --> 03:07:49,520 DIFFERENCES, ENVIRONMENTAL 4866 03:07:49,520 --> 03:07:52,600 EXPOSURES OF BOTH MICROBES AND 4867 03:07:52,600 --> 03:07:54,360 HOST IN THE STUDY DESIGN. 4868 03:07:54,360 --> 03:07:57,840 THESE ARE ALL AS I MENTIONED, 4869 03:07:57,840 --> 03:08:00,360 ALL VERY CRITICAL CONSIDERATIONS 4870 03:08:00,360 --> 03:08:01,880 FOR PRECISION AND PROBIOTIC 4871 03:08:01,880 --> 03:08:04,640 RESPONSE IN THE INDIVIDUAL 4872 03:08:04,640 --> 03:08:04,960 LEVEL. 4873 03:08:04,960 --> 03:08:06,480 AND SECOND, ALTHOUGH THERE HAS 4874 03:08:06,480 --> 03:08:09,240 BEEN SOME STUDIES LOOKING AT 4875 03:08:09,240 --> 03:08:12,640 SUCH COMPLEX PATTERNS, BUT ONLY 4876 03:08:12,640 --> 03:08:16,760 FEW OF INSIGHTS HAVE TRANSLATED 4877 03:08:16,760 --> 03:08:18,960 TO RIGOROUS MECHANISTIC STUDIES 4878 03:08:18,960 --> 03:08:21,280 TO TEST THE CAUSALITY AND ALSO 4879 03:08:21,280 --> 03:08:22,800 THE MECHANISTIC CLINICAL TRIALS 4880 03:08:22,800 --> 03:08:26,840 HAS NOT BEEN WELL TRANSLATED IN 4881 03:08:26,840 --> 03:08:28,600 THIS AREA. 4882 03:08:28,600 --> 03:08:31,560 THIRD, WE NEED ACTUALLY NEED 4883 03:08:31,560 --> 03:08:33,760 ADVANCED COMPUTATIONAL AND 4884 03:08:33,760 --> 03:08:37,040 ARTIFICIAL INTELLIGENCE APPROACH 4885 03:08:37,040 --> 03:08:39,480 THAT ALLOW US INTERROGATE 4886 03:08:39,480 --> 03:08:40,880 COMPLICATED RELATIONSHIP AMONG 4887 03:08:40,880 --> 03:08:43,280 MULTIPLE SYSTEMS WHEN WE DESIGN 4888 03:08:43,280 --> 03:08:46,120 AND CONDUCT PRECISION PROBIOTIC 4889 03:08:46,120 --> 03:08:46,680 STUDIES. 4890 03:08:46,680 --> 03:08:47,000 NEXT. 4891 03:08:47,000 --> 03:08:50,080 SO IN RESPONSE TO THIS WORKSHOP 4892 03:08:50,080 --> 03:08:53,000 WE LIKE TO PROPOSE ON INITIAL 4893 03:08:53,000 --> 03:08:56,760 CONCEPT TO SUPPORT HIGHLY 4894 03:08:56,760 --> 03:08:58,040 INNOVATIVE MECHANISTIC RESEARCH 4895 03:08:58,040 --> 03:09:02,560 TO DEVELOP PRECISION PROBIOTIC 4896 03:09:02,560 --> 03:09:05,840 INTERVENTIONS USING TWO-PHASE 4897 03:09:05,840 --> 03:09:06,520 APPROACH. 4898 03:09:06,520 --> 03:09:11,640 THE PHASE 1 WOULD BE 4899 03:09:11,640 --> 03:09:13,200 OBSERVATIONAL CLINICAL STUDIES, 4900 03:09:13,200 --> 03:09:14,400 SECONDARY DATA ANALYSIS STUDIES, 4901 03:09:14,400 --> 03:09:18,040 VERY INTERESTED IN PHASE 1 STUDY 4902 03:09:18,040 --> 03:09:19,560 THAT RIGOROUSLY ASSESS 4903 03:09:19,560 --> 03:09:22,280 MICROBIOME AND HOST BIOLOGY SO 4904 03:09:22,280 --> 03:09:24,520 WE CAN MAP THE PERSON-SPECIFIC 4905 03:09:24,520 --> 03:09:25,120 FACTORS. 4906 03:09:25,120 --> 03:09:28,760 AND STUDIES THAT DEVELOP 4907 03:09:28,760 --> 03:09:30,600 COMPUTATIONAL ANALYSIS AND AI 4908 03:09:30,600 --> 03:09:33,000 TOOLS TO DETERMINE CRITICAL 4909 03:09:33,000 --> 03:09:36,280 FACTORS THAT IDENTIFY PATIENT 4910 03:09:36,280 --> 03:09:37,600 SUBPOPULATION. 4911 03:09:37,600 --> 03:09:37,800 NEXT. 4912 03:09:37,800 --> 03:09:39,920 THE SECOND PHASE WILL OBVIOUSLY 4913 03:09:39,920 --> 03:09:43,520 UTILIZE THE DATA GATHERED FROM 4914 03:09:43,520 --> 03:09:46,480 THE PHASE 1, AND SECOND PHASE 4915 03:09:46,480 --> 03:09:48,800 WILL DESIGN RIGOROUS MECHANISTIC 4916 03:09:48,800 --> 03:09:51,200 STUDIES USING ANIMAL AND HUMAN 4917 03:09:51,200 --> 03:09:57,400 SUBJECT TO TEST THE CAUSALITY, 4918 03:09:57,400 --> 03:09:57,640 SO NEXT. 4919 03:09:57,640 --> 03:09:59,960 SO, THE HERE A FEW EXAMPLES OF 4920 03:09:59,960 --> 03:10:04,640 OUR INTEREST IN THE PHASE 2 4921 03:10:04,640 --> 03:10:04,840 STUDY. 4922 03:10:04,840 --> 03:10:06,400 WE LIKE INVESTIGATOR TO IDENTIFY 4923 03:10:06,400 --> 03:10:09,440 NOVEL BIOMARKERS THAT WILL BE 4924 03:10:09,440 --> 03:10:12,360 USED FOR DIAGNOSTIC AND ALSO 4925 03:10:12,360 --> 03:10:13,640 PROGNOSTIC PRECISION PROBIOTIC 4926 03:10:13,640 --> 03:10:15,320 TREATMENT AND LOOKING INTO 4927 03:10:15,320 --> 03:10:19,040 MECHANISMS OF ACTIONS AND 4928 03:10:19,040 --> 03:10:20,040 FACTORS THAT INTERFERE WITH 4929 03:10:20,040 --> 03:10:22,280 PROBIOTIC TREATMENT AND ALSO 4930 03:10:22,280 --> 03:10:24,280 WE'RE VERY INTERESTED IN 4931 03:10:24,280 --> 03:10:26,160 IDENTIFYING NEW TARGETS FOR 4932 03:10:26,160 --> 03:10:28,680 INTENDED PROBIOTIC EFFECT AS 4933 03:10:28,680 --> 03:10:30,640 WELL AS DEVELOPING NEW PROBIOTIC 4934 03:10:30,640 --> 03:10:33,560 STRAIN, MAYBE BETTER PROBIOTIC 4935 03:10:33,560 --> 03:10:35,360 STRAIN, AND DETERMINE DYNAMIC 4936 03:10:35,360 --> 03:10:37,560 MECHANISMS OF ACTION OF 4937 03:10:37,560 --> 03:10:38,720 PROBIOTIC INTERVENTION. 4938 03:10:38,720 --> 03:10:41,360 I ALSO SHOULD MENTION STUDIES 4939 03:10:41,360 --> 03:10:43,560 THAT ALREADY HAVE UNIQUE 4940 03:10:43,560 --> 03:10:47,840 PATTERNS OF THE RELATIONSHIP WAS 4941 03:10:47,840 --> 03:10:49,480 IDENTIFIED PURITY OF PROBIOTIC 4942 03:10:49,480 --> 03:10:51,880 STRAIN MAY BE SUPPORTIVE TO 4943 03:10:51,880 --> 03:10:55,280 PURSUE THE SECOND PHASE 4944 03:10:55,280 --> 03:10:55,680 DIRECTLY. 4945 03:10:55,680 --> 03:10:56,840 WITH THAT I WOULD LIKE TO THANK 4946 03:10:56,840 --> 03:10:57,680 YOU FOR YOUR ATTENTION. 4947 03:10:57,680 --> 03:10:59,160 THIS IS THE LAST ONE FOR THE DAY 4948 03:10:59,160 --> 03:11:01,040 AND I'M HAPPY TO TAKE YOUR 4949 03:11:01,040 --> 03:11:02,920 QUESTIONS. 4950 03:11:02,920 --> 03:11:10,280 4951 03:11:10,280 --> 03:11:16,800 4952 03:11:16,800 --> 03:11:19,560 >> THANK YOU FOR THIS 4953 03:11:19,560 --> 03:11:20,640 INITIATIVE, A WONDERFUL IDEA 4954 03:11:20,640 --> 03:11:22,640 BECAUSE WE ARE WHAT WE EAT. 4955 03:11:22,640 --> 03:11:25,040 ONE QUESTION I HAD REGARDING 4956 03:11:25,040 --> 03:11:28,440 PHASE 1, WHEN YOU'RE LOOKING AT 4957 03:11:28,440 --> 03:11:29,200 SPECIFIC INDIVIDUAL DIFFERENCES, 4958 03:11:29,200 --> 03:11:31,080 WILL IT TAKE A LONGITUDINAL 4959 03:11:31,080 --> 03:11:32,240 APPROACH, HOW FACTORS MAY 4960 03:11:32,240 --> 03:11:33,800 ACTUALLY CHANGE WITH TIME OR 4961 03:11:33,800 --> 03:11:36,400 JUST BASICALLY YOU'RE DOING IT 4962 03:11:36,400 --> 03:11:38,800 ONCE AND SAMPLING A POPULATION? 4963 03:11:38,800 --> 03:11:41,760 >> YEAH, THAT'S A VERY GOOD 4964 03:11:41,760 --> 03:11:42,760 QUESTION. 4965 03:11:42,760 --> 03:11:44,600 SO, WE'RE MORE INTERESTED IN 4966 03:11:44,600 --> 03:11:46,920 LONGITUDINAL SAMPLING SO WE CAN 4967 03:11:46,920 --> 03:11:49,040 FIGURE OUT PATTERNS INSTEAD OF 4968 03:11:49,040 --> 03:11:53,560 THE CAUSATION OF THE FEATURES 4969 03:11:53,560 --> 03:11:56,000 BECAUSE EVENTUALLY WILL BE VERY 4970 03:11:56,000 --> 03:11:58,680 IMPORTANT FACTORS THAT LINK TO 4971 03:11:58,680 --> 03:12:03,320 THE PROBIOTIC EFFICACY. 4972 03:12:03,320 --> 03:12:05,080 >> THANKS FOR THAT NICE 4973 03:12:05,080 --> 03:12:05,600 PRESENTATION. 4974 03:12:05,600 --> 03:12:09,240 YOU MENTIONED YOU'RE GOING TO BE 4975 03:12:09,240 --> 03:12:10,240 LOOKING AT THE MICROBIOTA AS 4976 03:12:10,240 --> 03:12:11,640 WELL AS HUMAN BIOLOGY. 4977 03:12:11,640 --> 03:12:17,000 WHAT ASPECTS OF HUMAN BIOLOGY DO 4978 03:12:17,000 --> 03:12:21,040 YOU PLAN TO LOOK THAT? 4979 03:12:21,040 --> 03:12:24,200 >> VERY GOOD QUESTION. 4980 03:12:24,200 --> 03:12:27,840 DIET, IMMUNE SYSTEM. 4981 03:12:27,840 --> 03:12:29,240 HOST GENOMES. 4982 03:12:29,240 --> 03:12:31,560 ALSO COULD BE DIFFERENT USE OF 4983 03:12:31,560 --> 03:12:33,520 THE MEDICATION AS WELL, BECAUSE 4984 03:12:33,520 --> 03:12:37,600 THOSE ARE ALL THE FACTORS THAT 4985 03:12:37,600 --> 03:12:42,080 TIGHTLY LINK TO THE RESPONSE TO 4986 03:12:42,080 --> 03:12:42,520 THE PROBIOTICS BECAUSE 4987 03:12:42,520 --> 03:12:45,440 PROBIOTICS GO TO THE GUT, 4988 03:12:45,440 --> 03:12:47,400 INFLUENCE GUT MICROBIOME AND 4989 03:12:47,400 --> 03:12:49,720 ALSO DIFFERENT PEOPLE HAVE 4990 03:12:49,720 --> 03:12:53,360 DIFFERENT TYPES OF MICROBIOME, 4991 03:12:53,360 --> 03:12:56,000 DIFFERENT IMMUNE SYSTEM, WE HAVE 4992 03:12:56,000 --> 03:12:59,360 TO IDENTIFY WHICH MAY BE MOST 4993 03:12:59,360 --> 03:13:01,000 EFFECTIVE FOR CERTAIN PROBIOTICS 4994 03:13:01,000 --> 03:13:11,440 SO WE CAN TAILOR DESIGN. 4995 03:13:12,040 --> 03:13:16,680 >> I'VE HAD THIS DISCUSSION 4996 03:13:16,680 --> 03:13:17,320 WITH MANY MICROBIOME 4997 03:13:17,320 --> 03:13:19,200 RESEARCHERS, THEY CAN'T SAY WHAT 4998 03:13:19,200 --> 03:13:22,720 IS THE GOLD STANDARD MICROBIOME. 4999 03:13:22,720 --> 03:13:24,160 VARY GREATLY BY CERTAINLY 5000 03:13:24,160 --> 03:13:27,520 DETERMINANTS OF HEALTH, REGIONAL 5001 03:13:27,520 --> 03:13:28,000 DIETARY REFERENCES. 5002 03:13:28,000 --> 03:13:31,800 HOW ARE YOU GOING TO LEVERAGE 5003 03:13:31,800 --> 03:13:34,040 DATA AND ESTABLISH WHAT'S 5004 03:13:34,040 --> 03:13:34,480 NORMAL, HEALTHY. 5005 03:13:34,480 --> 03:13:37,640 >> WE ARE NOT LOOKING FOR 5006 03:13:37,640 --> 03:13:39,120 NORMAL AND NOT HEALTHY 5007 03:13:39,120 --> 03:13:43,200 MICROBIOME BECAUSE WHILE WE'RE 5008 03:13:43,200 --> 03:13:46,800 LOOKING IN THE PHASE 1 STUDY, 5009 03:13:46,800 --> 03:13:50,200 OTHER MICROBIOME FACTORS THAT 5010 03:13:50,200 --> 03:13:56,000 MIGHT LINK TO EFFECT OF THE 5011 03:13:56,000 --> 03:13:58,080 PROBIOTIC, SO ALTHOUGH THE 5012 03:13:58,080 --> 03:14:00,480 PROBIOTIC WOULD BE STIMULATION 5013 03:14:00,480 --> 03:14:05,240 OF THE Th1, IMMUNE SYSTEM, AND 5014 03:14:05,240 --> 03:14:08,440 STUDY DESIGN, PHASE 1 WILL BE 5015 03:14:08,440 --> 03:14:10,240 LOOKING AT OTHER FACTORS OTHER 5016 03:14:10,240 --> 03:14:14,240 THAN IMMUNE RESPONSE, MAYBE THE 5017 03:14:14,240 --> 03:14:17,320 MICROBIOME, DIFFERENT PERSON 5018 03:14:17,320 --> 03:14:17,880 MICROBIOME COULD AFFECT 5019 03:14:17,880 --> 03:14:19,960 INFLUENCE TO THE PROBIOTIC AND 5020 03:14:19,960 --> 03:14:21,720 THEN EXPRESSION OF THE IMMUNE 5021 03:14:21,720 --> 03:14:26,640 MODULATION SO WE'RE LOOKING FOR 5022 03:14:26,640 --> 03:14:27,720 THE FACTORS, MICROBIOME PROFILE 5023 03:14:27,720 --> 03:14:30,240 THAT LINK TO EFFECT OF INTENDED 5024 03:14:30,240 --> 03:14:32,120 USE OF THE PROBIOTICS, IT'S NOT 5025 03:14:32,120 --> 03:14:34,600 LIKE WE TRY TO DEFINE WHAT IS 5026 03:14:34,600 --> 03:14:37,800 THE HEALTHY MICROBIOME, SO THAT 5027 03:14:37,800 --> 03:14:39,560 IS NOT TO MY KNOWLEDGE THAT'S 5028 03:14:39,560 --> 03:14:40,320 ALMOST IMPOSSIBLE AT THIS 5029 03:14:40,320 --> 03:14:42,600 MOMENT. 5030 03:14:42,600 --> 03:14:46,360 5031 03:14:46,360 --> 03:14:49,080 >> WHAT ABOUT INTERACTIONS WITH 5032 03:14:49,080 --> 03:14:50,720 DIFFERENT PHENOTYPES OF DIETS? 5033 03:14:50,720 --> 03:14:52,680 WHAT KIND OF DIETS WILL YOU USE? 5034 03:14:52,680 --> 03:14:56,560 IS THAT ONE OF THE KEY PATTERNS? 5035 03:14:56,560 --> 03:14:58,520 >>YEAH, THAT'S EXACTLY WE LIKE 5036 03:14:58,520 --> 03:15:01,560 TO SEE, HOW THE DIFFERENT DIETS 5037 03:15:01,560 --> 03:15:02,960 WILL CHANGE THE RESPONSE TO THE 5038 03:15:02,960 --> 03:15:03,440 PROBIOTICS. 5039 03:15:03,440 --> 03:15:04,840 THAT'S ONE OF THE KEY FACTORS 5040 03:15:04,840 --> 03:15:08,680 THAT WE LIKE TO SEE AND WE LIKE 5041 03:15:08,680 --> 03:15:12,520 TO RECORD AND USING MAYBE 5042 03:15:12,520 --> 03:15:13,240 HOPEFULLY DEVELOP COMPUTATIONAL 5043 03:15:13,240 --> 03:15:16,880 AND A.I. TOOL TO MAP AND TEASE 5044 03:15:16,880 --> 03:15:21,920 APART AND THEN FIND WHAT IS THE 5045 03:15:21,920 --> 03:15:25,960 BEST PROBIOTIC STRAINS FOR THAT 5046 03:15:25,960 --> 03:15:27,400 SPECIFIC INDIVIDUALS, DIFFERENT 5047 03:15:27,400 --> 03:15:30,480 TYPES ALSO OF TAKING DIFFERENT 5048 03:15:30,480 --> 03:15:32,120 TYPES OF THE DIETS INTO THE 5049 03:15:32,120 --> 03:15:34,560 CONSIDERATION. 5050 03:15:34,560 --> 03:15:36,360 5051 03:15:36,360 --> 03:15:37,560 >> OKAY. 5052 03:15:37,560 --> 03:15:39,000 ANY MORE COMMENTS? 5053 03:15:39,000 --> 03:15:43,280 QUESTIONS? 5054 03:15:43,280 --> 03:15:43,440 NO? 5055 03:15:43,440 --> 03:15:43,800 >> THANK YOU. 5056 03:15:43,800 --> 03:15:47,320 >> THEN DO WE HAVE A MOTION? 5057 03:15:47,320 --> 03:15:47,560 5058 03:15:47,560 --> 03:15:48,240 >> SO MOVED. 5059 03:15:48,240 --> 03:15:50,240 >> THANK YOU. 5060 03:15:50,240 --> 03:15:52,440 SECOND? 5061 03:15:52,440 --> 03:15:54,160 OKAY. 5062 03:15:54,160 --> 03:15:55,880 THEN PLEASE RAISE YOUR HAND IF 5063 03:15:55,880 --> 03:16:05,160 YOU ARE IN FAVOR FOR THE MOTION. 5064 03:16:05,160 --> 03:16:07,360 THE MOTION HAS PASSED. 5065 03:16:07,360 --> 03:16:07,680 OKAY. 5066 03:16:07,680 --> 03:16:11,640 WE'RE GETTING TOWARDS THE END OF 5067 03:16:11,640 --> 03:16:14,280 THE MEETING. 5068 03:16:14,280 --> 03:16:16,920 ONE THING, DR. LANGEVIN 5069 03:16:16,920 --> 03:16:17,960 MENTIONED NEXT COUNCIL 5070 03:16:17,960 --> 03:16:19,000 MEETING -- CAN YOU HEAR ME? 5071 03:16:19,000 --> 03:16:21,920 I NEED TO GET CLOSER. 5072 03:16:21,920 --> 03:16:25,200 NEXT COUNCIL MEETING WILL BE 5073 03:16:25,200 --> 03:16:27,720 HELD ON SEPTEMBER 8, AND I THINK 5074 03:16:27,720 --> 03:16:30,480 ALL OF YOU HAVE RECEIVED A 5075 03:16:30,480 --> 03:16:33,080 CALENDAR INVITE SO IT SHOULD BE 5076 03:16:33,080 --> 03:16:34,960 ON YOUR CALENDARS. 5077 03:16:34,960 --> 03:16:38,320 AND THE LAST AGENDA ITEM FOR THE 5078 03:16:38,320 --> 03:16:40,640 OPEN SESSION IS GENERALLY PUBLIC 5079 03:16:40,640 --> 03:16:41,960 COMMENT SESSION, SINCE MEMBERS 5080 03:16:41,960 --> 03:16:44,160 OF THE PUBLIC ARE ATTENDING 5081 03:16:44,160 --> 03:16:47,000 VIRTUALLY IT'S NOT POSSIBLE TO 5082 03:16:47,000 --> 03:16:49,200 MAKE IN-PERSON COMMENTS. 5083 03:16:49,200 --> 03:16:50,240 THEREFORE ANYONE WHO WISHES TO 5084 03:16:50,240 --> 03:16:53,000 MAKE A PUBLIC COMMENT MAY DO SO 5085 03:16:53,000 --> 03:16:55,440 BY SENDING ME YOUR WRITTEN 5086 03:16:55,440 --> 03:16:56,960 COMMENTS WITHIN 15 DAYS OF THE 5087 03:16:56,960 --> 03:16:58,880 CONCLUSION OF THIS MEETING. 5088 03:16:58,880 --> 03:17:01,520 THIS CAN BE DONE EITHER VIA 5089 03:17:01,520 --> 03:17:04,480 E-MAIL OR HARD COPY LETTER. 5090 03:17:04,480 --> 03:17:07,120 SHOULD BE LESS THAN 700 WORDS IN 5091 03:17:07,120 --> 03:17:10,280 LENGTH, CONSIST WENT A 5092 03:17:10,280 --> 03:17:11,840 FIVE-MINUTE ORAL PRESENTATION, 5093 03:17:11,840 --> 03:17:13,600 AND ACTUALLY IT'S CORRECT, YEAH. 5094 03:17:13,600 --> 03:17:15,680 YOUR WRITTEN COMMENT WILL BE 5095 03:17:15,680 --> 03:17:19,320 PROVIDED TO COUNCIL VIA THE 5096 03:17:19,320 --> 03:17:22,160 ELECTRONIC COUNCIL BOOK. 5097 03:17:22,160 --> 03:17:26,240 NOW, THIS TIME AROUND, WE 5098 03:17:26,240 --> 03:17:29,600 RECEIVED A PUBLIC COMMENT AHEAD 5099 03:17:29,600 --> 03:17:32,440 OF THE MEETING. 5100 03:17:32,440 --> 03:17:37,040 THE -- IT PROPOSES THAT THE 5101 03:17:37,040 --> 03:17:41,760 SPIRITUAL COMPONENT OF HEALTHS 5102 03:17:41,760 --> 03:17:43,840 BE INCORPORATED INTO THE 5103 03:17:43,840 --> 03:17:45,320 FRAMEWORK FOR WHOLE PERSON 5104 03:17:45,320 --> 03:17:47,880 HEALTH AS A SEPARATE DOMAIN. 5105 03:17:47,880 --> 03:17:51,800 WE'VE SHARED THE COMMENT WITH 5106 03:17:51,800 --> 03:17:53,440 OUR COUNCIL MEMBERS, WE 5107 03:17:53,440 --> 03:17:55,400 DISCUSSED IT THIS MORNING. 5108 03:17:55,400 --> 03:17:58,400 AND WE WILL CONTINUE DISCUSSING 5109 03:17:58,400 --> 03:18:02,520 THIS AT NCCIH AS WE DO RECOGNIZE 5110 03:18:02,520 --> 03:18:04,920 THE IMPORTANCE OF SPIRITUALTY 5111 03:18:04,920 --> 03:18:06,120 FOR WHOLE PERSON HEALTH. 5112 03:18:06,120 --> 03:18:08,280 I JUST WANTED TO POINT THAT OUT. 5113 03:18:08,280 --> 03:18:12,040 ANOTHER COMMENT TO THIS IS ALSO 5114 03:18:12,040 --> 03:18:16,080 THAT WE REALIZE THAT SENDING 5115 03:18:16,080 --> 03:18:17,360 PUBLIC COMMENTS UNTIL TWO WEEKS 5116 03:18:17,360 --> 03:18:21,640 AFTER THE MEETING IS NOT A VERY 5117 03:18:21,640 --> 03:18:23,160 SATISFYING PROCESS. 5118 03:18:23,160 --> 03:18:24,880 SO, WE'RE LOOKING INTO THIS TO 5119 03:18:24,880 --> 03:18:27,160 CHANGE THE PROCESS. 5120 03:18:27,160 --> 03:18:30,880 AND WITH THIS I'M NOT 5121 03:18:30,880 --> 03:18:31,480 ACTUALLY -- SOMETHING ELSE TO 5122 03:18:31,480 --> 03:18:33,600 SAY? 5123 03:18:33,600 --> 03:18:37,560 WE'RE PROBABLY FINISHED. 5124 03:18:37,560 --> 03:18:38,760 AS WE'RE GETTING REALLY TO THE 5125 03:18:38,760 --> 03:18:40,480 END OF THIS COUNCIL MEETING I 5126 03:18:40,480 --> 03:18:42,120 WOULD LIKE TO STATE WHAT A 5127 03:18:42,120 --> 03:18:44,520 PLEASURE IT HAS BEEN TO MEET SO 5128 03:18:44,520 --> 03:18:47,920 MANY OF YOU IN PERSON, IN MANY 5129 03:18:47,920 --> 03:18:50,680 CASES I KNOW YOU FOR LIKE MANY 5130 03:18:50,680 --> 03:18:52,400 YEARS, IT'S THE FIRST TIME I 5131 03:18:52,400 --> 03:18:53,840 HAVE SEEN YOU AND YOU'VE BEEN IN 5132 03:18:53,840 --> 03:18:57,000 A ROOM WITH ME HERE TODAY FOR 5133 03:18:57,000 --> 03:18:57,680 THE COUNCIL MEETING. 5134 03:18:57,680 --> 03:19:01,400 I SAY THANK YOU FOR BEING HERE 5135 03:19:01,400 --> 03:19:01,960 TODAY. 5136 03:19:01,960 --> 03:19:04,360 I WOULD LIKE TO THANK COUNCIL 5137 03:19:04,360 --> 03:19:07,280 MEMBERS FOR ATTENDING. 5138 03:19:07,280 --> 03:19:09,480 NCCIH WOULD NOT BE ABLE TO 5139 03:19:09,480 --> 03:19:12,560 FULFILL ITS MISSION WITHOUT YOUR 5140 03:19:12,560 --> 03:19:13,280 EXPERTISE, FEEDBACK AND 5141 03:19:13,280 --> 03:19:13,840 GUIDANCE. 5142 03:19:13,840 --> 03:19:15,840 THANK YOU SO MUCH FOR JOINING US 5143 03:19:15,840 --> 03:19:18,280 TODAY AND FOR OFFERING YOUR 5144 03:19:18,280 --> 03:19:18,680 ADVICE. 5145 03:19:18,680 --> 03:19:22,120 I WOULD ALSO LIKE TO OFFER MY 5146 03:19:22,120 --> 03:19:26,120 SINCEREST THANKS TO ALL OF NIH 5147 03:19:26,120 --> 03:19:26,320 STAFF. 5148 03:19:26,320 --> 03:19:29,720 THIS WAS A VERY BUSY COUNCIL RUN 5149 03:19:29,720 --> 03:19:30,400 FOR NCCIH. 5150 03:19:30,400 --> 03:19:32,560 YOU COULD PROBABLY TELL FROM THE 5151 03:19:32,560 --> 03:19:34,400 NUMBER OF INITIATIVES PRESENTED 5152 03:19:34,400 --> 03:19:36,960 AND NUMBER OF CONCEPT CLEARANCES 5153 03:19:36,960 --> 03:19:38,920 YOU HEARD, THIS MEANS STAFF WAS 5154 03:19:38,920 --> 03:19:41,560 VERY BUSY TO GET TO THIS POINT, 5155 03:19:41,560 --> 03:19:43,640 TO GET INITIATIVES DEVELOPED AND 5156 03:19:43,640 --> 03:19:47,960 PUBLISHED, TO GET THEM REVIEWED, 5157 03:19:47,960 --> 03:19:49,560 YOU KNOW, GRANTS MANAGEMENT IS 5158 03:19:49,560 --> 03:19:50,440 NOW WORKING HARD WITH THE 5159 03:19:50,440 --> 03:19:52,480 PROGRAM OFFICERS TO GET ALL THE 5160 03:19:52,480 --> 03:19:54,600 GRANTS OUT OF THE DOOR. 5161 03:19:54,600 --> 03:19:57,120 ALSO AS I HAVE MENTIONED BEFORE 5162 03:19:57,120 --> 03:19:58,960 THIS IS OUR FIRST IN-PERSON 5163 03:19:58,960 --> 03:20:00,640 MEETING SINCE THE PANDEMIC 5164 03:20:00,640 --> 03:20:03,280 STARTED, AND I HAVE TO HONESTLY 5165 03:20:03,280 --> 03:20:05,000 ADMIT I HAVE COMPLETELY 5166 03:20:05,000 --> 03:20:06,800 FORGOTTEN HOW MUCH WORK GOES 5167 03:20:06,800 --> 03:20:11,240 INTO ORGANIZING AN IN-PERSON 5168 03:20:11,240 --> 03:20:11,880 MEETING. 5169 03:20:11,880 --> 03:20:14,240 SO IMMENSELY GRATEFUL TO OUR 5170 03:20:14,240 --> 03:20:17,480 ADMINISTRATIVE I.T. SUPPORT 5171 03:20:17,480 --> 03:20:18,400 STAFF, OFFICE OF COMMUNICATION, 5172 03:20:18,400 --> 03:20:19,800 WITHOUT THEIR HELP AND 5173 03:20:19,800 --> 03:20:20,880 DEDICATION WE WOULD NOT HAVE 5174 03:20:20,880 --> 03:20:22,200 BEEN ABLE TO HAVE THIS MEETING 5175 03:20:22,200 --> 03:20:23,080 HERE TODAY. 5176 03:20:23,080 --> 03:20:27,000 WITH THIS, I'M HANDING IT OVER 5177 03:20:27,000 --> 03:20:29,400 TO DR. LANGEVIN FOR CONCLUDING 5178 03:20:29,400 --> 03:20:29,880 REMARKS. 5179 03:20:29,880 --> 03:20:36,760 >> WELL, I'M GOING TO START BY 5180 03:20:36,760 --> 03:20:38,280 CONGRATULATING MARTINA BECAUSE 5181 03:20:38,280 --> 03:20:39,920 MARTINA BEING RELATIVELY, YOU 5182 03:20:39,920 --> 03:20:42,320 KNOW, NEW IN HER ROLE HAS NOT 5183 03:20:42,320 --> 03:20:43,520 HESITATED WHEN WE MADE THE 5184 03:20:43,520 --> 03:20:45,480 DECISION TO HOLD THIS MEETING, 5185 03:20:45,480 --> 03:20:48,600 WE ONLY HAD ONE PRIOR MEETING, 5186 03:20:48,600 --> 03:20:50,840 YOU KNOW, WITH MARTINA IN THE 5187 03:20:50,840 --> 03:20:51,080 CHAIR. 5188 03:20:51,080 --> 03:20:53,920 WHICH WAS NOT IN PERSON. 5189 03:20:53,920 --> 03:20:55,640 AND NOW WE WENT AND TOOK THE 5190 03:20:55,640 --> 03:20:59,960 PLUNGE AND DECIDED TO DO IT. 5191 03:20:59,960 --> 03:21:02,280 I CAN SAY YOU DID EVERYTHING 5192 03:21:02,280 --> 03:21:02,920 WITH FLYING COLORS. 5193 03:21:02,920 --> 03:21:07,360 I WANT TO REALLY THANK MARTINE. 5194 03:21:07,360 --> 03:21:11,760 5195 03:21:11,760 --> 03:21:13,600 AND OF COURSE I TOTALLY AGREE 5196 03:21:13,600 --> 03:21:15,600 WITH ALL OF HER COMMENTS ABOUT 5197 03:21:15,600 --> 03:21:19,640 HOW HARD THE STAFF HAS WORKED. 5198 03:21:19,640 --> 03:21:22,840 5199 03:21:22,840 --> 03:21:24,880 WE'RE VERY, VERY PLEASED HOW 5200 03:21:24,880 --> 03:21:25,880 THIS WENT TODAY. 5201 03:21:25,880 --> 03:21:27,440 AND I WANT TO ALSO OF COURSE 5202 03:21:27,440 --> 03:21:29,920 THANK ALL OF YOU COUNCIL 5203 03:21:29,920 --> 03:21:32,240 MEMBERS, INCLUDING THE -- WE HAD 5204 03:21:32,240 --> 03:21:33,560 SO MANY NEW MEMBERS, AND SO IT'S 5205 03:21:33,560 --> 03:21:36,080 GREAT TO SEE YOU. 5206 03:21:36,080 --> 03:21:38,280 IT'S REALLY -- I REALLY HOPE IN 5207 03:21:38,280 --> 03:21:40,360 SEPTEMBER EVEN MORE OF YOU CAN 5208 03:21:40,360 --> 03:21:42,760 COME IN PERSON, AND I HOPE WE 5209 03:21:42,760 --> 03:21:43,840 CAN HAVE, AGAIN, A SOCIAL 5210 03:21:43,840 --> 03:21:46,440 GATHERING SO WE CAN GET TO 5211 03:21:46,440 --> 03:21:49,320 REALLY, YOU KNOW, SEE AS MANY AS 5212 03:21:49,320 --> 03:21:52,480 POSSIBLE WITH YOU SO YOU GET TO 5213 03:21:52,480 --> 03:21:54,440 KNOW EACH OTHER, AND SO I CAN 5214 03:21:54,440 --> 03:21:57,720 ONLY SAY THANK YOU SO, SO MUCH. 5215 03:21:57,720 --> 03:21:59,040 YOU'VE PROVIDED US WITH JUST 5216 03:21:59,040 --> 03:22:02,320 VERY FRANK AND VERY HELPFUL 5217 03:22:02,320 --> 03:22:04,480 FEEDBACK, AND WE'LL TAKE IT ALL 5218 03:22:04,480 --> 03:22:05,680 TO HEART. 5219 03:22:05,680 --> 03:22:09,120 SO YOU REALLY HELP US GOING 5220 03:22:09,120 --> 03:22:09,360 FORWARD. 5221 03:22:09,360 --> 03:22:16,120 SO THANK YOU. 5222 03:22:16,120 --> 03:22:20,040 >> I DECLARE THE 84th MEETING 5223 03:22:20,040 --> 00:00:00,000 OF THE COUNCIL CLOSED.