1 00:00:04,904 --> 00:00:05,538 >> GOOD MORNING. 2 00:00:05,605 --> 00:00:06,873 I WOULD LIKE TO CALL TO ORDER 3 00:00:06,940 --> 00:00:08,808 THE OPEN SESSION OF THE 87TH 4 00:00:08,875 --> 00:00:11,444 MEETING OF THE NATIONAL ADVISORY 5 00:00:11,511 --> 00:00:13,313 COUNCIL FOR COMPLEMENTARY AND 6 00:00:13,380 --> 00:00:14,414 INTEGRATIVE HEALTH. 7 00:00:14,481 --> 00:00:16,049 I AM MARTINA SCHMIDT, AND I'M 8 00:00:16,116 --> 00:00:18,752 SERVING AS THE EXECUTIVE 9 00:00:18,818 --> 00:00:21,821 SECRETARY FOR THE NCCIH NATIONAL 10 00:00:21,888 --> 00:00:22,922 ADVISORY COUNCIL FOR 11 00:00:22,989 --> 00:00:23,990 COMPLEMENTARY AND INTEGRATIVE 12 00:00:24,057 --> 00:00:24,591 HEALTH. 13 00:00:24,657 --> 00:00:25,759 I NOTE FOR THE RECORD THAT THIS 14 00:00:25,825 --> 00:00:27,560 MEETING IS BEING HELD IN PERSON 15 00:00:27,627 --> 00:00:29,929 AND IT'S BEING RECORDED AND 16 00:00:29,996 --> 00:00:32,766 BROADCAST LIVE TO THE PUBLIC VIA 17 00:00:32,832 --> 00:00:34,868 NIH VIDEOCAST. 18 00:00:34,934 --> 00:00:36,970 THIS COUNCIL MEETING IS CONVENED 19 00:00:37,036 --> 00:00:39,639 AS IS REQUIRED BY TITLE 42 OF 20 00:00:39,706 --> 00:00:40,874 THE U.S. CODE OF LAW THAT 21 00:00:40,940 --> 00:00:43,743 GOVERNS THE NIH IN GENERAL AND 22 00:00:43,810 --> 00:00:47,313 NCCIH SPECIFICALLY IN SECTION 23 00:00:47,380 --> 00:00:48,081 287C-21. 24 00:00:48,148 --> 00:00:50,483 AND IN ACCORDANCE WITH THE 25 00:00:50,550 --> 00:00:53,887 FEDERAL ADVISORY ACT. 26 00:00:53,953 --> 00:00:55,121 I NOTE THE CLOSED SESSION OF 27 00:00:55,188 --> 00:00:56,389 THIS COUNCIL WAS HELD EARLIER 28 00:00:56,456 --> 00:00:58,591 THIS MORNING AND WAS CLOSED TO 29 00:00:58,658 --> 00:01:01,561 THE PUBLIC IN ACCORDANCE WITH 30 00:01:01,628 --> 00:01:02,662 THE GOVERNMENT AND THE SUNSHINE 31 00:01:02,729 --> 00:01:06,466 ACT. 32 00:01:06,533 --> 00:01:07,667 WITH THOSE BUSINESS ITEMS 33 00:01:07,734 --> 00:01:10,203 COVERED, I'M GOING TO ASK 34 00:01:10,270 --> 00:01:11,070 DR. LANGEVIN, DIRECTOR OF NCCIH, 35 00:01:11,137 --> 00:01:12,806 TO OFFER A FEW WELCOMING 36 00:01:12,872 --> 00:01:13,573 REMARKS. 37 00:01:13,640 --> 00:01:17,777 DR. LANGEVIN. 38 00:01:17,844 --> 00:01:20,280 >> THANK YOU. 39 00:01:20,346 --> 00:01:21,014 SORRY. 40 00:01:21,080 --> 00:01:22,882 WE'RE SO EXCITED TO SEE YOU ALL 41 00:01:22,949 --> 00:01:24,918 HERE, AND THOSE OF YOU WHO ARE 42 00:01:24,984 --> 00:01:28,021 JOINING US BOTH ON ZOOM AND ON 43 00:01:28,087 --> 00:01:29,322 VIDEOCAST. 44 00:01:29,389 --> 00:01:29,856 WELCOME. 45 00:01:29,923 --> 00:01:33,359 IT'S JUST A PLEASURE. 46 00:01:33,426 --> 00:01:35,662 WE'RE GOING TO HAVE A VERY 47 00:01:35,728 --> 00:01:38,398 EXCITING PROGRAM, LOTS OF REALLY 48 00:01:38,465 --> 00:01:41,801 DIVERSE PRESENTATIONS FOR YOU 49 00:01:41,868 --> 00:01:44,304 TODAY, AND LOOKING FORWARD TO 50 00:01:44,370 --> 00:01:44,471 IT. 51 00:01:44,537 --> 00:01:46,172 >> THANK YOU. 52 00:01:46,239 --> 00:01:50,009 SO THE OPEN SESSION TODAY WILL 53 00:01:50,076 --> 00:01:51,311 INCLUDE THESE OPENING PROCEDURE 54 00:01:51,377 --> 00:01:52,846 REMARKS FOLLOWED BY 55 00:01:52,912 --> 00:01:54,047 DR. LANGEVIN'S NCCIH DIRECTOR'S 56 00:01:54,113 --> 00:01:56,115 REPORT TO COUNCIL, FOLLOWED BY 57 00:01:56,182 --> 00:01:58,618 OUR COUNCIL WORKING GROUP ON 58 00:01:58,685 --> 00:02:00,386 SPIRITUAL HEALTH, WHICH WILL 59 00:02:00,453 --> 00:02:01,488 THEN PRESENT AN UPDATE. 60 00:02:01,554 --> 00:02:03,223 AND AFTER THAT, WE WILL BREAK 61 00:02:03,289 --> 00:02:03,556 FOR LUNCH. 62 00:02:03,623 --> 00:02:05,859 THIS SHOULD BE AROUND 63 00:02:05,925 --> 00:02:07,594 12:50 TODAY, AND WE WILL 64 00:02:07,660 --> 00:02:10,129 RECONVENE AT 1:50. 65 00:02:10,196 --> 00:02:11,531 FOLLOWING LUNCH, THERE WILL BE 66 00:02:11,598 --> 00:02:15,168 AN UPDATE ON NCCIH PORTFOLIO 67 00:02:15,235 --> 00:02:16,903 ANALYSIS AND OUR STRATEGIC 68 00:02:16,970 --> 00:02:18,004 PLANNING PROCESS. 69 00:02:18,071 --> 00:02:19,639 WE WILL BREAK FOR 10 MINUTES 70 00:02:19,706 --> 00:02:21,274 AFTER THAT, AND THEN 71 00:02:21,341 --> 00:02:22,942 DR. LANGEVIN WILL GIVE AN UPDATE 72 00:02:23,009 --> 00:02:25,879 ON THE NIH HEAL INITIATIVE, 73 00:02:25,945 --> 00:02:28,948 FOLLOWED BY PRESENTATIONS ON THE 74 00:02:29,015 --> 00:02:30,483 NCCIH UPDATED CLINICAL TRIAL 75 00:02:30,550 --> 00:02:31,784 FUNDING OPPORTUNITIES AND SOME 76 00:02:31,851 --> 00:02:33,753 RECENTLY APPROVED CONCEPTS. 77 00:02:33,820 --> 00:02:36,055 AND WITH THIS, OUR FIRST ORDER 78 00:02:36,122 --> 00:02:38,324 OF BUSINESS TODAY WILL BE TO 79 00:02:38,391 --> 00:02:41,494 APPROVE THE JANUARY 2024 COUNCIL 80 00:02:41,561 --> 00:02:43,263 MINUTES, WHICH WERE PROVIDED TO 81 00:02:43,329 --> 00:02:45,231 ALL COUNCIL MEMBERS VIA THE 82 00:02:45,298 --> 00:02:46,966 ELECTRONIC COUNCIL BOOK. 83 00:02:47,033 --> 00:02:54,407 A COPY OF THE MEETING MINUTES IS 84 00:02:54,474 --> 00:02:55,074 DISPLAYED ON THE SCREEN RIGHT 85 00:02:55,141 --> 00:02:55,842 NOW. 86 00:02:55,909 --> 00:02:56,943 SO ARE THERE ANY CORRECTIONS TO 87 00:02:57,010 --> 00:02:58,144 THE GENERAL COUNCIL MEETING 88 00:02:58,211 --> 00:03:00,213 MINUTES? 89 00:03:00,280 --> 00:03:00,647 NO? 90 00:03:00,713 --> 00:03:02,849 OWOKAY. 91 00:03:02,916 --> 00:03:04,050 THEN DO I HAVE A MOTION TO 92 00:03:04,117 --> 00:03:07,754 APPROVE THE MINUTES? 93 00:03:07,820 --> 00:03:11,791 DO WE HAVE A SECOND? 94 00:03:11,858 --> 00:03:13,927 ANY DISCUSSION? 95 00:03:13,993 --> 00:03:14,561 NO? 96 00:03:14,627 --> 00:03:14,761 OKAY. 97 00:03:14,827 --> 00:03:17,063 SO ALL IN FAVOR IN THE ROOM AS 98 00:03:17,130 --> 00:03:19,132 WELL AS THOSE ON ZOOM, PLEASE 99 00:03:19,198 --> 00:03:20,667 RAISE YOUR HAND, YOUR DIGITAL 100 00:03:20,733 --> 00:03:22,635 HAND AND YOUR ACTUAL HAND TO 101 00:03:22,702 --> 00:03:29,208 VOTE TO APPROVE THE MINUTES. 102 00:03:29,275 --> 00:03:31,077 YOU'RE GOOD, THERE'S NO 103 00:03:31,144 --> 00:03:32,145 ABSTENTIONS, SO WITH THIS, THE 104 00:03:32,211 --> 00:03:33,913 MEETING MINUTES HAVE BEEN 105 00:03:33,980 --> 00:03:34,547 APPROVED UNANIMOUSLY. 106 00:03:34,614 --> 00:03:36,215 NOW, ARE THERE ANY QUESTIONS 107 00:03:36,282 --> 00:03:39,052 BEFORE WE MOVE ON? 108 00:03:39,118 --> 00:03:39,385 NO? 109 00:03:39,452 --> 00:03:41,187 IF NOT, THEN I'M HANDING THE 110 00:03:41,254 --> 00:03:43,089 MEETING BACK OVER TO 111 00:03:43,156 --> 00:03:44,290 DR. LANGEVIN FOR HER DIRECTOR'S 112 00:03:44,357 --> 00:03:45,625 REPORT. 113 00:03:45,692 --> 00:03:48,995 >> THANK YOU VERY MUCH. 114 00:03:49,062 --> 00:03:53,032 IT'S NOW MY PLEASURE TO PRESENT 115 00:03:53,099 --> 00:03:55,568 OUR REPORT ON ACTIVITIES OF 116 00:03:55,635 --> 00:03:57,870 NCCIH, AND ALSO NIH IN GENERAL. 117 00:03:57,937 --> 00:04:02,675 SINCE OUR LAST COUNCIL MEETING. 118 00:04:02,742 --> 00:04:04,210 I HAVE A DIFFERENT FORMAT NOW 119 00:04:04,277 --> 00:04:06,946 FOR THIS REPORT THAT WE STARTED 120 00:04:07,013 --> 00:04:08,915 BACK IN JANUARY. 121 00:04:08,982 --> 00:04:19,192 WE TRIED TO REALLY PARE THINGS 122 00:04:19,258 --> 00:04:20,827 DOWN FOR MORE HIGHLIGHTS. 123 00:04:20,893 --> 00:04:24,864 IN YOUR COUNCIL BOOK THERE IS 124 00:04:24,931 --> 00:04:26,299 ADDITIONAL INFORMATION ON 125 00:04:26,366 --> 00:04:27,166 FUNDING OPPORTUNITIES, ET 126 00:04:27,233 --> 00:04:28,701 CETERA, IF YOU WANT TO CHECK 127 00:04:28,768 --> 00:04:31,104 THAT OUT TO SEE MORE. 128 00:04:31,170 --> 00:04:41,648 SO FIRST, FIRST SOME GENERAL 129 00:04:43,049 --> 00:04:45,218 NEWS AND THE FIRST NEWS IS 130 00:04:45,284 --> 00:04:47,954 UNFORTUNATELY A SAD ONE. 131 00:04:48,021 --> 00:04:51,891 IS THE PASSING OF A FORMER NCCIH 132 00:04:51,958 --> 00:04:54,727 PROGRAM DIRECTOR, DR. EVE 133 00:04:54,794 --> 00:04:54,961 REIDER. 134 00:04:55,028 --> 00:04:58,131 SOME OF YOU MAY REMEMBER 135 00:04:58,197 --> 00:04:58,531 DR. REIDER. 136 00:04:58,598 --> 00:04:59,999 SHE HAD A TREMENDOUS IMPACT 137 00:05:00,066 --> 00:05:01,067 DURING HER TIME AT NCCIH. 138 00:05:01,134 --> 00:05:04,137 SHE WORKED BOTH AT NCCIH, AT 139 00:05:04,203 --> 00:05:05,438 NIDA, NATIONAL INSTITUTE OF DRUG 140 00:05:05,505 --> 00:05:07,674 ABUSE, AND ALSO AT NATIONAL 141 00:05:07,740 --> 00:05:09,075 INSTITUTE OF MENTAL HEALTH. 142 00:05:09,142 --> 00:05:11,344 SHE REALLY WAS A CHAMPION FOR 143 00:05:11,411 --> 00:05:13,813 PREVENTION RESEARCH, YOUTH AND 144 00:05:13,880 --> 00:05:15,948 MENTAL HEALTH DISPARITIES AND 145 00:05:16,015 --> 00:05:20,219 SUICIDE RISK, AND NOTABLY, SHE 146 00:05:20,286 --> 00:05:24,490 WON A NCCIH'S DIRECTOR AWARD FOR 147 00:05:24,557 --> 00:05:25,458 HER LEADERSHIP IN ESTABLISHING 148 00:05:25,525 --> 00:05:29,829 THE TRANS AGENCY NIH DOD VA 149 00:05:29,896 --> 00:05:30,730 MANAGEMENT COLLABORATORY WHICH 150 00:05:30,797 --> 00:05:33,433 RESULTED IN THE FUNDING OF 151 00:05:33,499 --> 00:05:34,867 COORDINATING CENTER AND 11 152 00:05:34,934 --> 00:05:35,768 PRAGMATIC TRIALS THAT ARE STILL 153 00:05:35,835 --> 00:05:37,403 GOING ON RIGHT NOW, SO SHE HAD A 154 00:05:37,470 --> 00:05:38,604 REALLY BIG IMPACT, AND WE MISS 155 00:05:38,671 --> 00:05:40,673 HER. 156 00:05:40,740 --> 00:05:43,109 DR. EDWARDS WILL BE REPRESENTING 157 00:05:43,176 --> 00:05:45,278 NCCIH ON A ROUNDTABLE ABOUT 158 00:05:45,344 --> 00:05:47,013 EVE'S LEGACY AT THE SOCIETY FOR 159 00:05:47,080 --> 00:05:48,114 PREVENTION RESEARCH ANNUAL 160 00:05:48,181 --> 00:05:54,787 MEETING ON MAY 29TH. 161 00:05:54,854 --> 00:05:59,792 NOW WE WELCOME A NEW DIRECTOR AT 162 00:05:59,859 --> 00:06:02,662 NIH, DR. KATHLEEN NEUZIL. 163 00:06:02,729 --> 00:06:04,530 SHE IS THE NEW DIRECTOR OF THE 164 00:06:04,597 --> 00:06:07,467 FOGARTY INTERNATIONAL CENTER, 165 00:06:07,533 --> 00:06:10,603 AND DR. NEUZIL WILL BE THE FIRST 166 00:06:10,670 --> 00:06:12,271 WOMAN TO HOLD THIS POSITION 167 00:06:12,338 --> 00:06:14,674 SINCE ITS START IN 1968. 168 00:06:14,741 --> 00:06:16,542 SHE WAS PREVIOUSLY THE DIRECTOR 169 00:06:16,609 --> 00:06:18,277 OF THE CENTER FOR VACCINE 170 00:06:18,344 --> 00:06:19,612 DEVELOPMENT AND GLOBAL HEALTH, 171 00:06:19,679 --> 00:06:21,581 AND THE CHIEF OF DIVISION OF 172 00:06:21,647 --> 00:06:22,415 GEOGRAPHIC MEDICINE AT 173 00:06:22,482 --> 00:06:25,284 UNIVERSITY OF MARYLAND IN 174 00:06:25,351 --> 00:06:26,385 BALTIMORE. 175 00:06:26,452 --> 00:06:28,654 SHE HAS RECEIVED NIH FUNDING 176 00:06:28,721 --> 00:06:29,555 THROUGHOUT HER CAREER ON A 177 00:06:29,622 --> 00:06:31,958 VARIETY OF DISEASES INCLUDING 178 00:06:32,024 --> 00:06:34,827 INFLUENZA, TYPHOID AND COVID-19. 179 00:06:34,894 --> 00:06:36,129 SHE HAS A STRONG COMMITMENT TO 180 00:06:36,195 --> 00:06:37,663 MENTORING THE NEXT GENERATION OF 181 00:06:37,730 --> 00:06:38,865 SCIENTISTS AND WE REALLY LOOK 182 00:06:38,931 --> 00:06:45,204 FORWARD TO WORKING WITH HER. 183 00:06:45,271 --> 00:06:50,109 NEXT SLIDE IS -- WE ARE -- 184 00:06:50,176 --> 00:06:52,578 BITTERSWEET DEPARTURE OF THE 185 00:06:52,645 --> 00:06:54,614 NIMH DIRECTOR, DR. JOSHUA 186 00:06:54,680 --> 00:06:57,283 GORDON, WHO IS LEAVING US TO 187 00:06:57,350 --> 00:06:59,752 RETURN TO COLUMBIA UNIVERSITY AS 188 00:06:59,819 --> 00:07:01,821 CHAIR OF THE DEPARTMENT OF 189 00:07:01,888 --> 00:07:03,790 PSYCHIATRY. 190 00:07:03,856 --> 00:07:06,025 DR. GORDON HAS BEEN THE DIRECTOR 191 00:07:06,092 --> 00:07:07,960 OF NIMH FOR QUITE SOME YEARS 192 00:07:08,027 --> 00:07:10,029 NOW, FOR EIGHT YEARS. 193 00:07:10,096 --> 00:07:11,230 HE'S OVERSEEN AN EXTENSIVE 194 00:07:11,297 --> 00:07:12,765 PORTFOLIO OF BASIC, 195 00:07:12,832 --> 00:07:14,200 TRANSLATIONAL AND CLINICAL 196 00:07:14,267 --> 00:07:15,268 RESEARCH THAT AIMS TO TRANSFORM 197 00:07:15,334 --> 00:07:16,702 THE UNDERSTANDING OF TREATMENT 198 00:07:16,769 --> 00:07:17,470 FOR MENTAL ILLNESS. 199 00:07:17,537 --> 00:07:20,306 WE'VE HAD LOTS OF OPPORTUNITIES 200 00:07:20,373 --> 00:07:23,276 TO COLLABORATE WITH NIMH, 201 00:07:23,342 --> 00:07:25,444 NOTABLY THROUGH THE BRAIN 202 00:07:25,511 --> 00:07:28,614 INITIATIVE, AND HE REALLY WILL 203 00:07:28,681 --> 00:07:36,489 BE MISSED. 204 00:07:36,556 --> 00:07:42,295 DR. SHELLI AVENEVOLI WILL SERVE 205 00:07:42,361 --> 00:07:43,062 AS ACTING DIRECTOR WHILE A 206 00:07:43,129 --> 00:07:45,665 SEARCH IS UNDERWAY. 207 00:07:45,731 --> 00:07:47,099 I WANT TO ALSO POINT OUT 208 00:07:47,166 --> 00:07:49,402 SOMETHING I'VE MENTIONED BEFORE, 209 00:07:49,468 --> 00:07:51,470 BUT NOW IT'S NOW TAKING EFFECT. 210 00:07:51,537 --> 00:07:53,139 NEW CHANGES TO GRANT 211 00:07:53,206 --> 00:07:54,440 APPLICATIONS AND REVIEW. 212 00:07:54,507 --> 00:07:56,542 AND TO ASSIST IN THIS EFFORT, 213 00:07:56,609 --> 00:07:58,277 NIH HAS RELEASED A GUIDE NOTICE 214 00:07:58,344 --> 00:08:00,780 LAST MONTH THAT PROVIDES 215 00:08:00,847 --> 00:08:02,181 INFORMATION AND RESOURCE ON 216 00:08:02,248 --> 00:08:02,648 THESE CHANGES. 217 00:08:02,715 --> 00:08:04,183 SO THERE WILL ALSO BE WEBINARS 218 00:08:04,250 --> 00:08:06,219 ABOUT THESE CHANGES AND THE NEXT 219 00:08:06,285 --> 00:08:08,221 TWO ARE GOING TO BE ON JUNE 5TH 220 00:08:08,287 --> 00:08:09,322 AND SEPTEMBER 19TH. 221 00:08:09,388 --> 00:08:11,157 AND I ALSO WANT TO DRAW YOUR 222 00:08:11,224 --> 00:08:12,358 ATTENTION NOW, WE'RE GOING TO 223 00:08:12,425 --> 00:08:16,329 USE QR CODES ON OUR SLIDES, SO 224 00:08:16,395 --> 00:08:17,697 IF YOU HOVER YOUR SMARTPHONE 225 00:08:17,763 --> 00:08:20,299 CAMERA OVER THIS CODE AND THEN 226 00:08:20,366 --> 00:08:21,434 CLICK, YOU CAN SEE IF THAT 227 00:08:21,500 --> 00:08:22,668 ACTUALLY WORKS FOR YOU. 228 00:08:22,735 --> 00:08:23,636 WE'RE TRYING THIS FOR THE FIRST 229 00:08:23,703 --> 00:08:26,472 TIME. 230 00:08:26,539 --> 00:08:28,140 AND I'M GOING TO BE USING THIS 231 00:08:28,207 --> 00:08:29,208 THROUGHOUT MY PRESENTATION. 232 00:08:29,275 --> 00:08:30,643 IS ANYBODY ABLE TO DO IT? 233 00:08:30,710 --> 00:08:31,644 DOES IT WORK? 234 00:08:31,711 --> 00:08:34,347 IT WORKS! 235 00:08:34,413 --> 00:08:34,680 YAY! 236 00:08:34,747 --> 00:08:35,448 LOOK AT THAT. 237 00:08:35,514 --> 00:08:36,983 OKAY. 238 00:08:37,049 --> 00:08:40,920 NOW, NEXT I WANT TO MENTION AN 239 00:08:40,987 --> 00:08:44,757 IMPORTANT NEW PROGRAM AT NIH 240 00:08:44,824 --> 00:08:48,127 THAT IS REALLY SPURRED BY THE 241 00:08:48,194 --> 00:08:49,962 NIH DIRECTOR, DR. MONICA 242 00:08:50,029 --> 00:08:55,034 BERTAGNOLLI. 243 00:08:55,101 --> 00:08:57,970 SHE HAS REALLY BEEN A CHAMPION 244 00:08:58,037 --> 00:08:59,171 RESOURCE IN PRIMARY CARE 245 00:08:59,238 --> 00:09:01,607 SETTINGS, AND SHE IS NOW UNDER 246 00:09:01,674 --> 00:09:03,676 HER LEADERSHIP, WE ARE LAUNCHING 247 00:09:03,743 --> 00:09:07,246 A NEW COMMON FUND PROGRAM TO 248 00:09:07,313 --> 00:09:11,150 SUPPORT THE DEVELOPMENT OF 249 00:09:11,217 --> 00:09:14,053 NIH RESEARCH NETWORKS TO SUPPORT 250 00:09:14,120 --> 00:09:17,523 RESEARCH THAT IS DELIVERED IN 251 00:09:17,590 --> 00:09:19,191 THE SETTING OF PRIMARY CARE 252 00:09:19,258 --> 00:09:19,525 CLINICS. 253 00:09:19,592 --> 00:09:25,097 FOR EXAMPLE, WITH A FOCUS ON 254 00:09:25,164 --> 00:09:25,998 RURAL HEALTH AS WELL AS 255 00:09:26,065 --> 00:09:27,366 FEDERALLY QUALIFIED HEALTHCARE 256 00:09:27,433 --> 00:09:29,268 CENTERS. 257 00:09:29,335 --> 00:09:31,671 THIS IS REALLY IN RESPONSE TO A 258 00:09:31,737 --> 00:09:35,174 VERY, VERY SERIOUS PROBLEM, 259 00:09:35,241 --> 00:09:36,409 REALLY A DECLINING OF HEALTH IN 260 00:09:36,475 --> 00:09:38,444 THE U.S. POPULATION MANIFESTED 261 00:09:38,511 --> 00:09:39,946 AS DECREASE IN LIFE EXPECTANCY, 262 00:09:40,012 --> 00:09:45,117 WHICH IS REALLY ONGOING. 263 00:09:45,184 --> 00:09:46,552 THIS IS A PROBLEM THAT'S JUST 264 00:09:46,619 --> 00:09:48,521 GETTING WORSE INSTEAD OF BETTER, 265 00:09:48,587 --> 00:09:50,790 DESPITE THE FACT WE ARE SPENDING 266 00:09:50,856 --> 00:09:53,426 ANY MORE THAN ANY OTHER 267 00:09:53,492 --> 00:09:54,593 DEVELOPED NATION ON HEALTHCARE 268 00:09:54,660 --> 00:09:56,062 SO SOMETHING IS NOT RIGHT. 269 00:09:56,128 --> 00:09:56,929 DR. BERTAGNOLLI IS REALLY TAKING 270 00:09:56,996 --> 00:09:58,130 THE BULL BY THE HORNS HERE, AND 271 00:09:58,197 --> 00:10:01,434 SHE REALLY POINTS OUT, 272 00:10:01,500 --> 00:10:03,502 RIGHTFULLY, THAT A BIG PART OF 273 00:10:03,569 --> 00:10:05,137 THIS PROBLEM IS THAT THERE'S 274 00:10:05,204 --> 00:10:06,572 TREMENDOUS HEALTH INEQUITY IN 275 00:10:06,639 --> 00:10:07,873 THE U.S. 276 00:10:07,940 --> 00:10:10,810 AND A LOT OF THE POPULATION THAT 277 00:10:10,876 --> 00:10:12,812 IS UNDERSERVED IN TERMS OF 278 00:10:12,878 --> 00:10:14,780 HEALTHCARE IS ALSO UNDERSERVED 279 00:10:14,847 --> 00:10:16,849 IN TERMS OF RESEARCH. 280 00:10:16,916 --> 00:10:18,918 SO PEOPLE WHO LIVED IN A LOT OF 281 00:10:18,985 --> 00:10:21,020 RURAL AREAS, FOR EXAMPLE, WHO DO 282 00:10:21,087 --> 00:10:24,457 NOT HAVE ACCESS TO UNIVERSITY, 283 00:10:24,523 --> 00:10:25,591 FOR EXAMPLE, CENTERS WHERE 284 00:10:25,658 --> 00:10:27,026 RESEARCH IS BEING CONDUCTED, 285 00:10:27,093 --> 00:10:29,528 THEY DO NOT HAVE THE 286 00:10:29,595 --> 00:10:32,264 OPPORTUNITIES TO PARTICIPATE IN 287 00:10:32,331 --> 00:10:33,132 CLINICAL RESEARCH AS 288 00:10:33,199 --> 00:10:33,466 PARTICIPANTS. 289 00:10:33,532 --> 00:10:35,001 HOW DO WE APPROACH THIS? 290 00:10:35,067 --> 00:10:36,902 WELL, WE HAVE TO DO THE RESEARCH 291 00:10:36,969 --> 00:10:39,372 IN THE PLACES WHERE THE 292 00:10:39,438 --> 00:10:40,139 HEALTHCARE IS ACTUALLY 293 00:10:40,206 --> 00:10:40,940 DELIVERED. 294 00:10:41,007 --> 00:10:42,641 AND ONE OF THE REASONS WHY THIS 295 00:10:42,708 --> 00:10:45,044 IS OF PARTICULAR INTEREST TO 296 00:10:45,111 --> 00:10:46,278 NCCIH IS BECAUSE THIS IS WHAT 297 00:10:46,345 --> 00:10:48,714 THE PRAGMATIC TRIALS 298 00:10:48,781 --> 00:10:49,248 COLLABORATORY HAS BEEN NOW 299 00:10:49,315 --> 00:10:50,383 WORKING ON FOR THE LAST 10 300 00:10:50,449 --> 00:10:51,183 YEARS. 301 00:10:51,250 --> 00:10:54,787 IF YOU RECALL, THE PRAGMATIC 302 00:10:54,854 --> 00:10:56,222 TRIALS COLLABORATORY WAS ANOTHER 303 00:10:56,288 --> 00:10:57,523 COMMON FUND PROGRAM, RIGHT? 304 00:10:57,590 --> 00:10:59,492 FOR 10 YEARS, THE COMMON FUND 305 00:10:59,558 --> 00:11:01,027 FUNDED THE COLLABORATORY THAT 306 00:11:01,093 --> 00:11:03,863 DEVELOPED THIS REALLY, REALLY 307 00:11:03,929 --> 00:11:05,865 IMPORTANT INFRASTRUCTURE AND 308 00:11:05,931 --> 00:11:08,534 EXPERTISE TO CONDUCT PRAGMATIC 309 00:11:08,601 --> 00:11:11,437 TRIALS IN THE REAL WORLD. 310 00:11:11,504 --> 00:11:13,406 AND SO BECAUSE OF THIS EXPERTISE 311 00:11:13,472 --> 00:11:16,342 IN THE COLLABORATORY, NCCIH IS 312 00:11:16,409 --> 00:11:18,577 VERY INVOLVED IN THIS, I AM 313 00:11:18,644 --> 00:11:20,980 ACTUALLY ONE OF THREE CO-CHAIRS 314 00:11:21,047 --> 00:11:23,682 OF THE OVERSIGHT COMMITTEE ALONG 315 00:11:23,749 --> 00:11:26,218 WITH DR. JOANIE RUDDER OF NCATS 316 00:11:26,285 --> 00:11:32,525 AND DR. DEB TUCCI OF THE -- OF 317 00:11:32,591 --> 00:11:33,959 NIDCD AND WE ARE REALLY IN THE 318 00:11:34,026 --> 00:11:35,594 PROCESS OF LAUNCHING THIS 319 00:11:35,661 --> 00:11:36,028 PROGRAM. 320 00:11:36,095 --> 00:11:37,997 SO THIS PROGRAM IS GOING TO BE 321 00:11:38,064 --> 00:11:40,066 VERY, VERY QUICK LAUNCH. 322 00:11:40,132 --> 00:11:42,668 THIS YEAR THERE'S GOING TO BE 323 00:11:42,735 --> 00:11:44,737 $5 MILLION IN FUNDS FROM THE 324 00:11:44,804 --> 00:11:46,639 OFFICE OF THE DIRECTOR, FROM THE 325 00:11:46,705 --> 00:11:49,475 COMMON FUND, TO SET UP SOME 326 00:11:49,542 --> 00:11:51,777 PILOT PROJECTS, AND THE IDEA 327 00:11:51,844 --> 00:11:54,613 HERE IS TO CONNECT EXISTING 328 00:11:54,680 --> 00:11:57,683 CLINICAL TRIAL NETWORKS WITH 329 00:11:57,750 --> 00:11:59,452 ADDITIONAL OPPORTUNITIES FOR 330 00:11:59,518 --> 00:12:01,120 EXTENDING THEIR REACH THROUGH 331 00:12:01,187 --> 00:12:02,822 MULTIPLE OTHER SITES THROUGHOUT 332 00:12:02,888 --> 00:12:04,890 THE COUNTRY WITH AN EMPHASIS ON 333 00:12:04,957 --> 00:12:06,659 RURAL HEALTH AN UNDERSERVED 334 00:12:06,725 --> 00:12:08,894 COMMUNITIES. 335 00:12:08,961 --> 00:12:10,362 SO THE IDEA IS THAT IF WE CAN 336 00:12:10,429 --> 00:12:11,464 DEMONSTRATE THAT THIS IS 337 00:12:11,530 --> 00:12:12,465 FEASIBLE, THERE WOULD BE A KIND 338 00:12:12,531 --> 00:12:14,533 OF QUICK RAMP-UP OF THE BUDGET 339 00:12:14,600 --> 00:12:16,735 OF THIS OVER COMING YEARS. 340 00:12:16,802 --> 00:12:18,370 SO THIS IS VERY EXCITING, AND 341 00:12:18,437 --> 00:12:21,207 WE'LL BE HAVING MORE NEWS ON 342 00:12:21,273 --> 00:12:28,114 THAT HOPEFULLY IN THE FALL. 343 00:12:28,180 --> 00:12:28,514 NEXT SLIDE. 344 00:12:28,581 --> 00:12:29,615 SO THIS IS ACTUALLY SOMETHING 345 00:12:29,682 --> 00:12:30,716 VERY IMPORTANT FOR ALL 346 00:12:30,783 --> 00:12:33,886 INVESTIGATORS TO KNOW ABOUT. 347 00:12:33,953 --> 00:12:35,754 THIS IS THE NIH CLOUD LAB. 348 00:12:35,821 --> 00:12:38,290 THIS IS A NO-COST 90-DAY PROGRAM 349 00:12:38,357 --> 00:12:41,560 FOR RESEARCHERS TO REALLY KIND 350 00:12:41,627 --> 00:12:45,598 OF TRY OUT COMMERCIAL CLOUD 351 00:12:45,664 --> 00:12:47,566 SERVICES TO DEPOSIT THEIR DATA 352 00:12:47,633 --> 00:12:49,435 AND ACTUALLY -- AND ACTUALLY 353 00:12:49,502 --> 00:12:51,103 WORK ALSO ON DATA IN THE CLOUD 354 00:12:51,170 --> 00:12:52,505 PLATFORMS. 355 00:12:52,571 --> 00:12:56,742 SO THE TEAM -- CLOUD LAB NOW HAS 356 00:12:56,809 --> 00:13:00,813 A STIPEND. 357 00:13:00,880 --> 00:13:04,750 YOU CAN ACTUALLY GET SOME 358 00:13:04,817 --> 00:13:07,453 FREE -- WHY IS MY SLIDE NOT 359 00:13:07,520 --> 00:13:10,656 ADVANCING? 360 00:13:10,723 --> 00:13:11,624 THE SLIDE IS STUCK. 361 00:13:11,690 --> 00:13:13,225 THERE WE GO. 362 00:13:13,292 --> 00:13:18,297 SO THERE IS ACTUALLY SOME FREE 363 00:13:18,364 --> 00:13:20,499 KIND OF FUNDING THAT YOU CAN 364 00:13:20,566 --> 00:13:23,569 GET, IF YOU GO TO THIS LAB PAGE, 365 00:13:23,636 --> 00:13:25,738 AGAIN USE THE QR CODE, AND YOU 366 00:13:25,804 --> 00:13:27,506 CAN REQUEST AN ACCOUNT, LOG IN 367 00:13:27,573 --> 00:13:28,340 AND TRY THIS OUT. 368 00:13:28,407 --> 00:13:30,643 SO YOU CAN TRY VARIOUS DIFFERENT 369 00:13:30,709 --> 00:13:33,379 PLATFORMS, SEE WHAT WORKS FOR 370 00:13:33,445 --> 00:13:33,946 YOU. 371 00:13:34,013 --> 00:13:34,513 IT'S VERY USEFUL. 372 00:13:34,580 --> 00:13:37,016 SO I WOULD ENCOURAGE YOU ALL 373 00:13:37,082 --> 00:13:41,453 TO -- AND THIS IS FOR RECIPIENTS 374 00:13:41,520 --> 00:13:45,858 OF FUNDED RESEARCHERS BUT ALSO 375 00:13:45,925 --> 00:13:47,393 PEOPLE WHO ARE APPLYING FOR NIH 376 00:13:47,459 --> 00:13:51,330 FUNDING AS WELL AS STUDENTS. 377 00:13:51,397 --> 00:13:52,765 I ALSO WANT TO ANNOUNCE ANOTHER 378 00:13:52,831 --> 00:13:54,433 VERY, VERY EXCITING DEVELOPMENT 379 00:13:54,500 --> 00:13:57,136 HERE, WHICH IS GOING TO BE THE 380 00:13:57,203 --> 00:13:59,338 LAUNCH OF THE NCCIH COALITION 381 00:13:59,405 --> 00:14:03,676 FOR WHOLE PERSON HEALTH. 382 00:14:03,742 --> 00:14:06,545 THIS IS A COALITION TO LEAD 383 00:14:06,612 --> 00:14:07,746 ADVOCACY EFFORTS AT THE FEDERAL 384 00:14:07,813 --> 00:14:10,683 LEVEL TO PROMOTE AND EDUCATE ALL 385 00:14:10,749 --> 00:14:11,317 STAKEHOLDERS ON THE IMPORTANCE 386 00:14:11,383 --> 00:14:14,853 OF RESEARCH OF THE NCCIH AND 387 00:14:14,920 --> 00:14:18,691 FURTHERING RESEARCH ON 388 00:14:18,757 --> 00:14:20,626 INTEGRATIVE, INTERPROFESSIONAL, 389 00:14:20,693 --> 00:14:21,360 PATIENT-CENTERED AND WHOLE 390 00:14:21,427 --> 00:14:21,727 PERSON CARE. 391 00:14:21,794 --> 00:14:22,828 NOW ORGANIZATIONS ARE GOING TO 392 00:14:22,895 --> 00:14:24,263 BE WELCOME TO JOIN THIS 393 00:14:24,330 --> 00:14:26,765 COALITION STARTING VERY SOON. 394 00:14:26,832 --> 00:14:29,068 I WOULD THINK WE SHOULD -- FOR 395 00:14:29,134 --> 00:14:30,469 MORE INFORMATION, CONTACT MARY 396 00:14:30,536 --> 00:14:31,036 BETH KESTER. 397 00:14:31,103 --> 00:14:32,905 WE'RE GOING TO HAVE A PAGE ON 398 00:14:32,972 --> 00:14:34,640 OUR WEBSITE THAT'S GOING TO GIVE 399 00:14:34,707 --> 00:14:36,075 INFORMATION ABOUT THE COALITION. 400 00:14:36,141 --> 00:14:41,413 THIS IS FOR ORGANIZATIONS, MUST 401 00:14:41,480 --> 00:14:44,416 BE 501(C)3 OR 501C6 OR SIMILAR 402 00:14:44,483 --> 00:14:46,552 AND WILL BE REPRESENTED BY ONE 403 00:14:46,619 --> 00:14:47,286 DELEGATE PER ORGANIZATION. 404 00:14:47,353 --> 00:14:49,088 SO THIS IS NOT FOR INDIVIDUALS. 405 00:14:49,154 --> 00:14:51,423 THIS IS ONLY FOR REPRESENTATIVES 406 00:14:51,490 --> 00:14:54,460 OF ORGANIZATIONS, SUCH AS 407 00:14:54,526 --> 00:14:55,728 SOCIETIES, ET CETERA, ALL KINDS 408 00:14:55,794 --> 00:14:58,264 OF ORGANIZATIONS THAT HAVE AN 409 00:14:58,330 --> 00:15:01,133 INTEREST IN COMPLEMENTARY -- IN 410 00:15:01,200 --> 00:15:02,968 SUPPORTING COMPLEMENTARY AND 411 00:15:03,035 --> 00:15:05,971 INTEGRATIVE HEALTH. 412 00:15:06,038 --> 00:15:07,806 SO THIS IS GOING TO BE MORE ON 413 00:15:07,873 --> 00:15:11,210 THAT, AGAIN, AT FUTURE COUNCIL 414 00:15:11,277 --> 00:15:14,380 MEETINGS. 415 00:15:14,446 --> 00:15:15,581 NOW FOR SOME STAFF UPDATES. 416 00:15:15,648 --> 00:15:18,984 WE'RE VERY EXCITED THAT 417 00:15:19,051 --> 00:15:20,953 DR. MISHA BACKONJA IS NOW OUR 418 00:15:21,020 --> 00:15:22,054 NEW NCCIH CLINICAL DIRECTOR. 419 00:15:22,121 --> 00:15:25,424 HE HAD PREVIOUSLY BEEN THE 420 00:15:25,491 --> 00:15:27,393 ACTING DIRECTOR, AND 421 00:15:27,459 --> 00:15:29,461 DR. BACKONJA HAS WASTED NO TIME 422 00:15:29,528 --> 00:15:32,197 SINCE HIS START AT NCCIH IN 423 00:15:32,264 --> 00:15:34,633 LAUNCHING SOME VERY IMPORTANT 424 00:15:34,700 --> 00:15:38,671 EDUCATIONAL INITIATIVES, A NICE 425 00:15:38,737 --> 00:15:40,406 LECTURE SERIES UNDER HIS 426 00:15:40,472 --> 00:15:42,608 LEADERSHIP ALSO, HE IS REALLY 427 00:15:42,675 --> 00:15:45,210 PROMOTING A LOT OF COORDINATION 428 00:15:45,277 --> 00:15:51,350 ACROSS THE INTRAMURAL PROGRAM ON 429 00:15:51,417 --> 00:15:53,919 PAIN PHENOTYPING, SO WE'RE VERY 430 00:15:53,986 --> 00:15:56,388 EXCITED TO HAVING HIM AS OUR 431 00:15:56,455 --> 00:15:58,557 PERMANENT CLINICAL DIRECTOR. 432 00:15:58,624 --> 00:16:01,026 ALSO A NEW ARRIVAL IN OUR 433 00:16:01,093 --> 00:16:03,495 DIVISION OF EXTRAMURAL 434 00:16:03,562 --> 00:16:05,898 ACTIVITIES, DR. MEI QIN, WHO IS 435 00:16:05,964 --> 00:16:07,566 JOINING US AS A NEW SCIENTIFIC 436 00:16:07,633 --> 00:16:08,867 REVIEW OFFICER. 437 00:16:08,934 --> 00:16:10,235 IN THE OFFICE OF SCIENTIFIC 438 00:16:10,302 --> 00:16:11,036 REVIEW. 439 00:16:11,103 --> 00:16:12,905 SHE WILL BE SETTING UP SPECIAL 440 00:16:12,971 --> 00:16:15,741 EMPHASIS PANELS FOR APPLICATIONS 441 00:16:15,808 --> 00:16:19,678 AND PRIOR TO COMING TO NCCIH, 442 00:16:19,745 --> 00:16:21,046 DR. QIN WAS AT THE NATIONAL 443 00:16:21,113 --> 00:16:24,149 INSTITUTE OF MENTAL HEALTH AND 444 00:16:24,216 --> 00:16:25,818 NATIONATIONAL INSTITUTE OF DRUG 445 00:16:25,884 --> 00:16:26,018 ABUSE. 446 00:16:26,085 --> 00:16:27,319 SHE HAS A LOT OF EXPERIENCE AT 447 00:16:27,386 --> 00:16:30,422 NIH AND SHE HAS SPER TEET IN 448 00:16:30,489 --> 00:16:32,358 BEHAVIORAL ASSAYS, NEUROIMAGING, 449 00:16:32,424 --> 00:16:35,594 MEASURING BRAIN PROTEIN, 450 00:16:35,661 --> 00:16:36,729 METABOLISM AND NEURAL SIGNAL 451 00:16:36,795 --> 00:16:37,930 TRANSDUCTION, SO A LOT OF 452 00:16:37,996 --> 00:16:40,466 RELEVANT EXPERTISE TO US. 453 00:16:40,532 --> 00:16:42,201 I ALWAYS -- WE ALWAYS HAVE SOME 454 00:16:42,267 --> 00:16:44,403 STAFF UPDATES, PEOPLE WHO HAVE 455 00:16:44,470 --> 00:16:47,239 JOINED US AND I'VE LISTED THEM 456 00:16:47,306 --> 00:16:50,309 HEHERE, SINCE THE LAST COUNCIL 457 00:16:50,376 --> 00:16:51,410 MEETING, AS WELL AS PEOPLE THAT 458 00:16:51,477 --> 00:16:55,547 WE'VE SAID GOODBYE TO. 459 00:16:55,614 --> 00:16:56,882 AND WE ALWAYS HAVE A LOT OF 460 00:16:56,949 --> 00:16:58,951 PEOPLE COMING AND GOING 461 00:16:59,017 --> 00:16:59,818 BECAUSE -- AND PART OF THIS IS, 462 00:16:59,885 --> 00:17:03,655 YOU KNOW, NCCIH AND NIH IN 463 00:17:03,722 --> 00:17:04,623 GENERAL IS A GREAT PLACE FOR 464 00:17:04,690 --> 00:17:07,259 PEOPLE TO PASS THROUGH SOMETIMES 465 00:17:07,326 --> 00:17:08,994 OR STAY, AND WE CONTRIBUTE A 466 00:17:09,061 --> 00:17:11,630 LOT, I THINK -- WE THINK, TO 467 00:17:11,697 --> 00:17:15,033 SCIENCE THROUGHOUT THE COUNTRY, 468 00:17:15,100 --> 00:17:17,002 VIA ALL THESE OPPORTUNITIES THAT 469 00:17:17,069 --> 00:17:19,938 WE OFFER AT NIH FOR ALL KINDS OF 470 00:17:20,005 --> 00:17:21,273 DIFFERENT JOBS, FELLOWSHIPS, ET 471 00:17:21,340 --> 00:17:27,279 CETERA. 472 00:17:27,346 --> 00:17:27,813 LET'S SEE. 473 00:17:27,880 --> 00:17:31,116 MORE ARRIVALS AND DEPARTURES, 474 00:17:31,183 --> 00:17:33,752 MANY IN OUR INTRAMURAL DIVISION. 475 00:17:33,819 --> 00:17:36,255 NOW OUR BUDGET. 476 00:17:36,321 --> 00:17:41,160 SO, BUDGET IS FLAT THIS YEAR. 477 00:17:41,226 --> 00:17:42,494 WHICH IS ACTUALLY NOT THE WORST 478 00:17:42,561 --> 00:17:44,129 NEWS. 479 00:17:44,196 --> 00:17:48,367 POSSIBLE. 480 00:17:48,434 --> 00:17:52,304 [LAUGHTER] 481 00:17:52,371 --> 00:17:54,773 YOU KNOW, IT'S BEEN A DIFFICULT 482 00:17:54,840 --> 00:17:57,576 YEAR FOR US. 483 00:17:57,643 --> 00:17:58,977 FIRST OF ALL, WE HAD TO WAIT A 484 00:17:59,044 --> 00:18:00,179 LONG TIME BEFORE GETTING OUR 485 00:18:00,245 --> 00:18:01,747 BUDGET, BUT WE'RE GLAD NOW WE 486 00:18:01,814 --> 00:18:04,116 ACTUACTUALLY HAVE A BUDGET, WE W 487 00:18:04,183 --> 00:18:05,684 IT'S FLAT, WE CAN ACT ON IT. 488 00:18:05,751 --> 00:18:09,688 AND AS YOU CAN SEE HERE, OUR 489 00:18:09,755 --> 00:18:15,494 FINAL TOTAL AMOUNT, $170,000,894 490 00:18:15,561 --> 00:18:17,696 IS PRETTY MUCH EXACTLY WHAT WE 491 00:18:17,763 --> 00:18:21,200 HAD BEFORE, AND WE ARE -- YOU 492 00:18:21,266 --> 00:18:23,068 KNOW, WHAT HAPPENS WHEN A BUDGET 493 00:18:23,135 --> 00:18:25,571 IS FLAT, RIGHT? 494 00:18:25,637 --> 00:18:27,172 INFLATION IS STILL -- DOESN'T 495 00:18:27,239 --> 00:18:29,408 STOP, SALARIES GO UP, YOU KNOW, 496 00:18:29,475 --> 00:18:31,710 COST OF LIVING, ET CETERA. 497 00:18:31,777 --> 00:18:34,613 SO WE HAVE TO DEAL WITH THIS, SO 498 00:18:34,680 --> 00:18:37,049 AS EVERYBODY ELSE AT NIH, BUT 499 00:18:37,115 --> 00:18:39,318 WE'RE ACTUALLY VERY HAPPY THAT 500 00:18:39,384 --> 00:18:41,320 IT WAS NOT WORSE THAN THAT. 501 00:18:41,386 --> 00:18:43,288 SO GIVEN THIS BUDGET CLIMATE, WE 502 00:18:43,355 --> 00:18:45,691 ARE VERY EXCITED, THOUGH, TO 503 00:18:45,757 --> 00:18:47,993 SHOW YOU HOW WELL WE HAVE BEEN 504 00:18:48,060 --> 00:18:51,597 DOING FROM THE POINT OF VIEW 505 00:18:51,663 --> 00:18:54,867 OF -- THE CLICKER IS JUST -- 506 00:18:54,933 --> 00:18:55,534 REALLY ANNOYING. 507 00:18:55,601 --> 00:18:56,735 THAT'S WHAT I'VE BEEN DOING. 508 00:18:56,802 --> 00:18:58,270 OKAY. 509 00:18:58,337 --> 00:19:01,974 NOW, JUST TO SHOW YOU THAT WE 510 00:19:02,040 --> 00:19:06,478 HAVE BEEN AUGMENTING OUR BUDGET 511 00:19:06,545 --> 00:19:10,182 VERY EFFECTIVELY, SO IN GREEN, 512 00:19:10,249 --> 00:19:12,384 YOU CAN SEE OUR TOTAL THAT WE 513 00:19:12,451 --> 00:19:17,322 ARE ABLE TO SPEND ON EXTRAMURAL 514 00:19:17,389 --> 00:19:20,692 GRANTS. 515 00:19:20,759 --> 00:19:21,793 $90,000,796 IN 2023, WHICH IS 516 00:19:21,860 --> 00:19:23,095 THE LAST NUMBER THAT WE CAN 517 00:19:23,161 --> 00:19:26,164 ACTUALLY GIVE YOU A TOTAL FOR. 518 00:19:26,231 --> 00:19:30,102 BUT YOU CAN SEE IN THE BLUE IS 519 00:19:30,168 --> 00:19:31,737 THE ADDITIONAL FUNDING THAT WE 520 00:19:31,803 --> 00:19:34,806 GET THROUGH THE HEAL INITIATIVE. 521 00:19:34,873 --> 00:19:37,342 AND IMPORTANTLY, IN RED, ALL THE 522 00:19:37,409 --> 00:19:38,644 ADDITIONAL FUNDING THAT WE GET 523 00:19:38,710 --> 00:19:40,145 FROM OTHER INSTITUTES AND 524 00:19:40,212 --> 00:19:41,580 CENTERS AT NIH. 525 00:19:41,647 --> 00:19:44,750 SO YOU CAN SEE THAT WE ARE 526 00:19:44,816 --> 00:19:46,451 REALLY AUGMENTING OUR BUDGET IN 527 00:19:46,518 --> 00:19:48,153 A VERY SIGNIFICANT WAY BY ALL OF 528 00:19:48,220 --> 00:19:51,657 THE COLLABORATIONS THAT WE 529 00:19:51,723 --> 00:19:53,058 SECURE THROUGH ALL THE HARD WORK 530 00:19:53,125 --> 00:19:54,927 THAT PEOPLE DO THROUGHOUT THE 531 00:19:54,993 --> 00:19:57,329 CENTER IN MAINTAINING 532 00:19:57,396 --> 00:19:59,197 RELATIONSHIPS WITH OTHER 533 00:19:59,264 --> 00:20:01,700 INSTITUTES AND CENTERS, 534 00:20:01,767 --> 00:20:04,670 PARTICIPATING IN PROGRAM FUNDING 535 00:20:04,736 --> 00:20:07,839 OPPORTUNITIES AT OTHER CENTERS, 536 00:20:07,906 --> 00:20:09,141 COLLABORATE WITH US, AND ALSO IN 537 00:20:09,207 --> 00:20:10,342 THESE BIG TRANS-NIH PROGRAMS 538 00:20:10,409 --> 00:20:11,877 THAT I MENTIONED, THE HEAL 539 00:20:11,944 --> 00:20:13,211 INITIATIVE, THE BRAIN 540 00:20:13,278 --> 00:20:14,246 INITIATIVE, THE COMMON FUND, ET 541 00:20:14,313 --> 00:20:14,546 CETERA. 542 00:20:14,613 --> 00:20:17,015 SO I THINK WE'RE DOING QUITE 543 00:20:17,082 --> 00:20:19,751 WELL IN REALLY DOING THE BEST 544 00:20:19,818 --> 00:20:21,086 THAT WE CAN WITH THE MONEY THAT 545 00:20:21,153 --> 00:20:24,122 WE HAVE AND, YOU KNOW, IN 546 00:20:24,189 --> 00:20:27,292 SECURING ADDITIONAL FUNDS. 547 00:20:27,359 --> 00:20:29,094 SO I'M GOING TO POINT OUT NOW 548 00:20:29,161 --> 00:20:30,796 JUST A COUPLE OF RESEARCH 549 00:20:30,862 --> 00:20:31,129 SPOTLIGHTS. 550 00:20:31,196 --> 00:20:36,068 ONE OF THEM HAS TO DO, TWO 551 00:20:36,134 --> 00:20:37,469 PAPERS PUBLISHED BY THE 552 00:20:37,536 --> 00:20:38,503 PRAGMATIC TRIAL COLLABORATORY, 553 00:20:38,570 --> 00:20:44,376 WHICH AGAIN, REALLY HIGHLIGHT 554 00:20:44,443 --> 00:20:45,677 THE IMPORTANCE OF THE WORK THE 555 00:20:45,744 --> 00:20:47,312 COLLABORATORY HAS DONE IN WHAT 556 00:20:47,379 --> 00:20:51,717 WE CALL CREATING LEARNING 557 00:20:51,783 --> 00:20:52,351 HEALTHCARE SYSTEMS. 558 00:20:52,417 --> 00:20:53,352 WHAT DOES THAT MEAN? 559 00:20:53,418 --> 00:20:54,853 IT MEANS EMBEDDING RESEARCH IN 560 00:20:54,920 --> 00:20:57,489 HEALTHCARE SYSTEMS WITH THE 561 00:20:57,556 --> 00:21:01,426 PRIOR BUY-IN AND THE INTEREST 562 00:21:01,493 --> 00:21:03,061 AND THE -- WORKING WITH THE 563 00:21:03,128 --> 00:21:04,162 HEALTHCARE SYSTEMS THEMSELVES IN 564 00:21:04,229 --> 00:21:07,432 THE DESIGN OF THE RESEARCH, 565 00:21:07,499 --> 00:21:08,634 ANSWERING -- AND ADDRESSING AND 566 00:21:08,700 --> 00:21:09,868 ANSWERING QUESTIONS THAT THE 567 00:21:09,935 --> 00:21:12,371 HEALTHCARE SYSTEMS ACTUALLY CARE 568 00:21:12,437 --> 00:21:15,307 ABOUT ENSURES THAT AT THE END OF 569 00:21:15,374 --> 00:21:17,409 THE STUDY, THAT THE RESULTS OF 570 00:21:17,476 --> 00:21:20,345 THE RESEARCH WILL BE USED IN 571 00:21:20,412 --> 00:21:22,214 ACTUALLY CHANGING THE HEALTHCARE 572 00:21:22,280 --> 00:21:22,981 SYSTEM AT IMPLEMENTING THE 573 00:21:23,048 --> 00:21:25,150 RESULTS OF THE STUDY. 574 00:21:25,217 --> 00:21:26,251 WHETHER THEY WERE POSITIVE OR 575 00:21:26,318 --> 00:21:26,785 NEGATIVE. 576 00:21:26,852 --> 00:21:28,754 VERY, VERY, VERY IMPORTANT. 577 00:21:28,820 --> 00:21:29,855 AND THIS IS WHAT THE 578 00:21:29,921 --> 00:21:31,289 COLLABORATORY DOES IN SPADES. 579 00:21:31,356 --> 00:21:33,692 THIS IS THE EXPERTISE OF THE 580 00:21:33,759 --> 00:21:34,693 COLLABORATORY THAT REALLY 581 00:21:34,760 --> 00:21:37,195 DEVELOPED THIS KIND OF ENGINE 582 00:21:37,262 --> 00:21:38,830 OF -- AND THIS IS WHAT THESE TWO 583 00:21:38,897 --> 00:21:39,998 PAPERS TALK ABOUT. 584 00:21:40,065 --> 00:21:43,101 WHAT ARE THE EFFECTS OF CLINICAL 585 00:21:43,168 --> 00:21:45,404 TRIALS ON THIS SORT OF POST 586 00:21:45,470 --> 00:21:47,039 TRIAL SUSTAINING AND 587 00:21:47,105 --> 00:21:48,440 IMPLEMENTATION OF THE STUDY 588 00:21:48,507 --> 00:21:49,441 INTERVENTIONS AND THE RESULTS OF 589 00:21:49,508 --> 00:21:50,108 THE STUDY. 590 00:21:50,175 --> 00:21:54,479 SO I ENCOURAGE YOU TO CHECK 591 00:21:54,546 --> 00:21:55,013 THESE PAPERS OUT. 592 00:21:55,080 --> 00:21:56,448 THEY'RE VERY IMPORTANT, AND AS I 593 00:21:56,515 --> 00:21:57,315 MENTIONED, THEY WILL BE VERY 594 00:21:57,382 --> 00:22:02,020 IMPORTANT IN GUIDING THIS NEW 595 00:22:02,087 --> 00:22:03,455 TRANS-NIH PRIMARY CARE NETWORK 596 00:22:03,522 --> 00:22:04,890 INITIATIVE THAT I TALKED ABOUT 597 00:22:04,956 --> 00:22:07,159 EARLIER. 598 00:22:07,225 --> 00:22:09,261 I ALSO WANT TO POINT OUT ANOTHER 599 00:22:09,327 --> 00:22:15,133 NICE PAPER THAT COVERS THE NIH 600 00:22:15,200 --> 00:22:17,335 APPROACH TO ADVANCING RESEARCH 601 00:22:17,402 --> 00:22:19,738 TO IMPROVE YOUTH MENTAL HEALTH 602 00:22:19,805 --> 00:22:23,341 AND REDUCE DISPARITIES. 603 00:22:23,408 --> 00:22:26,745 AND THIS IS A PAPER THAT WAS 604 00:22:26,812 --> 00:22:31,550 ALSO CO-AUTHORED BY OUR OWN 605 00:22:31,616 --> 00:22:37,255 DR. BEDA JEAN-FRANCOIS WHO WROTE 606 00:22:37,322 --> 00:22:38,990 THIS ON ADDRESSING BIAS, RACISM 607 00:22:39,057 --> 00:22:39,758 AND MENTAL HEALTH DISPARITIES 608 00:22:39,825 --> 00:22:42,060 THROUGH RESEARCH. 609 00:22:42,127 --> 00:22:44,896 PRACTICE AND POLICY. 610 00:22:44,963 --> 00:22:47,099 I ALSO WANT TO POINT OUT ANOTHER 611 00:22:47,165 --> 00:22:48,400 SPECIAL ISSUE ON THE MECHANISMS 612 00:22:48,467 --> 00:22:49,935 OF MANUAL THERAPIES. 613 00:22:50,001 --> 00:22:52,537 THIS SPECIAL ISSUE WAS PUBLISHED 614 00:22:52,604 --> 00:22:57,175 THIS YEAR BY THE NETWORK, THE 615 00:22:57,242 --> 00:23:00,078 U24 RESEARCH NETWORK GROUP ON 616 00:23:00,145 --> 00:23:03,281 THE FORCE BASED MANIPULATION 617 00:23:03,348 --> 00:23:06,118 GROUP OF STUDIES THAT WE FUNDED. 618 00:23:06,184 --> 00:23:08,286 NOW, WE HAVE FUNDED SEVERAL NOW 619 00:23:08,353 --> 00:23:10,388 OF THESE U24 NETWORKS, ONE OF 620 00:23:10,455 --> 00:23:12,557 THEM ON MUSIC AND HEALTH, ONE ON 621 00:23:12,624 --> 00:23:14,626 MECHANISMS OF MANUAL THERAPIES, 622 00:23:14,693 --> 00:23:16,828 AND WE ARE VERY EXCITED -- THIS 623 00:23:16,895 --> 00:23:17,929 WAS ACTUALLY THE FIRST ONE THAT 624 00:23:17,996 --> 00:23:20,132 WE FUNDED, AND WE'RE HAPPY TO 625 00:23:20,198 --> 00:23:22,634 SEE THE RESULTS OF THESE 626 00:23:22,701 --> 00:23:23,735 NETWORKS THAT ARE REALLY 627 00:23:23,802 --> 00:23:24,936 INVOLVED IN PRETTY MUCH DOING 628 00:23:25,003 --> 00:23:25,904 WHAT WE WERE HOPING THEY WERE 629 00:23:25,971 --> 00:23:27,239 GOING TO DO, WHICH IS REALLY 630 00:23:27,305 --> 00:23:29,841 BASICALLY GETTING A COMMUNITY OF 631 00:23:29,908 --> 00:23:30,942 RESEARCHERS TOGETHER TO WORK 632 00:23:31,009 --> 00:23:33,612 TOGETHER ON REALLY SETTING THE 633 00:23:33,678 --> 00:23:35,981 GROUNDWORK FOR A NEW FIELD, 634 00:23:36,047 --> 00:23:37,082 DOING META-ANALYSES, FOR 635 00:23:37,149 --> 00:23:39,918 EXAMPLE, DEFINING TERMS, DOING 636 00:23:39,985 --> 00:23:42,654 ONTOLOGIES, REALLY WORKING ON 637 00:23:42,721 --> 00:23:45,490 THE BASIC GROUNDWORK THAT IT 638 00:23:45,557 --> 00:23:48,026 TAKES TO LIFT UP A FIELD THAT 639 00:23:48,093 --> 00:23:49,528 DIDN'T EXIST BEFORE. 640 00:23:49,594 --> 00:23:53,265 SO WE'RE VERY PLEASED WITH THIS 641 00:23:53,331 --> 00:23:55,567 SPECIAL ISSUE OF PAPERS. 642 00:23:55,634 --> 00:23:57,636 I'M NOW GOING TO GO INTO THE 643 00:23:57,702 --> 00:24:01,039 PROGRAM NEWS, WHICH IS ORGANIZED 644 00:24:01,106 --> 00:24:03,575 NOW ACCORDING TO OUR COLORED 645 00:24:03,642 --> 00:24:06,845 CIRCLES, AND I WANT TO REALLY 646 00:24:06,912 --> 00:24:08,013 POINT OUT THESE CIRCLES. 647 00:24:08,079 --> 00:24:09,214 WE'VE BEEN WORKING ON THEM QUITE 648 00:24:09,281 --> 00:24:09,648 A BIT. 649 00:24:09,714 --> 00:24:12,617 THE REASON IS THAT NOT ONLY IS 650 00:24:12,684 --> 00:24:15,353 THIS USEFUL FOR ORGANIZING THIS 651 00:24:15,420 --> 00:24:16,354 DIRECTOR'S REPORT, BUT AS YOU 652 00:24:16,421 --> 00:24:20,826 WILL SEE LATER ON IN THE DAY, 653 00:24:20,892 --> 00:24:22,594 DR. ANGELA ARENSDORF IS GOING TO 654 00:24:22,661 --> 00:24:25,964 GIVE A PRESENTATION ON OUR 655 00:24:26,031 --> 00:24:26,865 PORTFOLIO ANALYSIS THAT SHE HAS 656 00:24:26,932 --> 00:24:28,834 BEEN DOING. 657 00:24:28,900 --> 00:24:32,437 THAT FOLLOWS THIS SAME SCHEMA, 658 00:24:32,504 --> 00:24:35,173 AND AS YOU CAN SEE, WE ARE 659 00:24:35,240 --> 00:24:36,274 REALLY -- AND THIS IS ALSO GOING 660 00:24:36,341 --> 00:24:38,677 TO BE VERY USEFUL FOR US FOR OUR 661 00:24:38,743 --> 00:24:40,745 NEW STRATEGIC PLAN. 662 00:24:40,812 --> 00:24:44,449 SO AS THROUGHOUT THE REST OF MY 663 00:24:44,516 --> 00:24:45,951 PRESENTATION, I ENCOURAGE YOU TO 664 00:24:46,017 --> 00:24:48,620 LOOK AT THE UPPER RIGHT CORNER 665 00:24:48,687 --> 00:24:56,494 OF THE SLIDE AND TO SHOW YOU THE 666 00:24:56,561 --> 00:24:59,464 MAIN TOPIC THAT IS REQUESTING TO 667 00:24:59,531 --> 00:25:01,299 BE COVERED. 668 00:25:01,366 --> 00:25:02,701 AS ANGELA WILL SHOW YOU, WE HAVE 669 00:25:02,767 --> 00:25:08,640 A LOT OF ACTIVITIES THAT COVER 670 00:25:08,707 --> 00:25:11,376 MORE THAN ONE AREA. 671 00:25:11,443 --> 00:25:12,377 THAT MAKES SENSE, RIGHT? 672 00:25:12,444 --> 00:25:14,346 SO PAIN RESEARCH MIGHT ALSO 673 00:25:14,412 --> 00:25:16,047 INVOLVE MIND AND BODY THERAPIES, 674 00:25:16,114 --> 00:25:20,018 FOR EXAMPLE. 675 00:25:20,085 --> 00:25:23,955 AND MORE POSITIVE HEALTH 676 00:25:24,022 --> 00:25:24,589 PROCESSES. 677 00:25:24,656 --> 00:25:25,824 WHOLE PERSON RESEARCH MIGHT 678 00:25:25,891 --> 00:25:26,892 INVOLVE NATURAL PRODUCT OR 679 00:25:26,958 --> 00:25:29,728 NUTRITION, MIGHT ALSO INVOLVE 680 00:25:29,794 --> 00:25:32,797 POSITIVE HEALTH -- SO THIS BY 681 00:25:32,864 --> 00:25:33,999 DEFINITION IS GOING TO BE VERY 682 00:25:34,065 --> 00:25:34,566 CROSS-CUTTING. 683 00:25:34,633 --> 00:25:35,667 HOWEVER, WHAT WE ARE REALLY 684 00:25:35,734 --> 00:25:36,835 TRYING TO LOOK AT IS WHAT I'M 685 00:25:36,902 --> 00:25:38,837 GOING TO BE SHOWING YOU IS THAT 686 00:25:38,904 --> 00:25:40,672 THERE'S USUALLY A MAIN THEME 687 00:25:40,739 --> 00:25:47,245 THAT A PARTICULAR ACTIVITY 688 00:25:47,312 --> 00:25:48,113 PERTAINS TO AND THAT'S GOING TO 689 00:25:48,179 --> 00:25:49,681 BE AT THE UPPER RIGHT CORNER AND 690 00:25:49,748 --> 00:25:50,982 THERE WILL BE OTHER THEMES I 691 00:25:51,049 --> 00:25:51,516 WILL MENTION AS WELL. 692 00:25:51,583 --> 00:25:52,951 SO LET'S START WITH PAIN. 693 00:25:53,018 --> 00:25:56,888 SO OBVIOUSLY, YOU KNOW, PAIN IS 694 00:25:56,955 --> 00:26:01,159 ALWAYS A BIG FOCUS AT NCCIH, AND 695 00:26:01,226 --> 00:26:05,964 IN PARTICULAR, IN THIS 696 00:26:06,031 --> 00:26:08,566 PARTICULAR CASE HERE, THIS IS A 697 00:26:08,633 --> 00:26:10,535 SYMPOSIUM AT THE -- THAT IS 698 00:26:10,602 --> 00:26:15,674 GOING TO BE UPCOMING IN JUNE AT 699 00:26:15,740 --> 00:26:18,643 THE ANNUAL SICKLE CELL DISEASE 700 00:26:18,710 --> 00:26:20,278 RESEARCH EDUCATIONAL SYMPOSIUM 701 00:26:20,345 --> 00:26:21,279 THAT ILLUSTRATES THE 702 00:26:21,346 --> 00:26:22,547 INTERSECTION OF PAIN RESEARCH AS 703 00:26:22,614 --> 00:26:24,182 WELL AS WHOLE PERSON RESEARCH AS 704 00:26:24,249 --> 00:26:26,685 WELL AS WORKFORCE DEVELOPMENT 705 00:26:26,751 --> 00:26:27,819 AND SPECIAL POPULATIONS. 706 00:26:27,886 --> 00:26:29,287 SO THAT'S WHY WE'VE LISTED ALL 707 00:26:29,354 --> 00:26:29,788 THREE HERE. 708 00:26:29,854 --> 00:26:32,991 THIS IS GOING TO BE ORGANIZED BY 709 00:26:33,058 --> 00:26:36,695 DR. INNA BELFER, AND ON UNMET 710 00:26:36,761 --> 00:26:37,762 NEEDS, ME CAN NIS TICS AND 711 00:26:37,829 --> 00:26:39,531 TRANSLATIONAL STUDIES OF SICKLE 712 00:26:39,597 --> 00:26:41,066 CELL DISEASE AS A WHOLE PERSON 713 00:26:41,132 --> 00:26:42,600 HEALTH CHALLENGE. 714 00:26:42,667 --> 00:26:43,835 SO WE'RE VERY MUCH LOOKING 715 00:26:43,902 --> 00:26:48,073 FORWARD TO THAT. 716 00:26:48,139 --> 00:26:52,510 ALSO IN KIND OF -- IN PARALLEL 717 00:26:52,577 --> 00:26:56,381 TO THIS, STAY TUNED FOR AWARD 718 00:26:56,448 --> 00:27:01,086 ANNOUNCEMENTS THIS SUMMER ON 719 00:27:01,152 --> 00:27:01,953 MULTIDISCIPLINARY MECHANISTIC 720 00:27:02,020 --> 00:27:04,222 AND TRANSLATIONAL STUDIES OF 721 00:27:04,289 --> 00:27:06,992 SICKLE CELL DISEASE PAIN. 722 00:27:07,058 --> 00:27:08,159 WE'RE GOING TO BE ANNOUNCING THE 723 00:27:08,226 --> 00:27:11,696 RESULTS OF THAT VERY SOON. 724 00:27:11,763 --> 00:27:15,767 NOW I WANT TO LOOK BACK TO THE 725 00:27:15,834 --> 00:27:17,268 PARTICIPATION THAT NIH HAD, 726 00:27:17,335 --> 00:27:21,639 NCCIH HAD, AT THE INTERNATIONAL 727 00:27:21,706 --> 00:27:22,540 ASSOCIATION -- I'M SORRY, NO, 728 00:27:22,607 --> 00:27:24,376 THIS IS THE FUTURE. 729 00:27:24,442 --> 00:27:25,477 SORRY. 730 00:27:25,543 --> 00:27:26,911 I'M BACKWARDS HERE. 731 00:27:26,978 --> 00:27:30,548 THIS IS AT IASP, COMING UP. 732 00:27:30,615 --> 00:27:32,650 SO THIS IS THE INTERNATIONAL 733 00:27:32,717 --> 00:27:34,552 ASSOCIATION FOR THE STUDY OF 734 00:27:34,619 --> 00:27:39,057 PAIN MEETING IN AMSTERDAM IN 735 00:27:39,124 --> 00:27:40,925 AUGUST, AND I AM DELIGHTED THAT 736 00:27:40,992 --> 00:27:44,062 I WILL BE GIVING A PLENARY ON A 737 00:27:44,129 --> 00:27:45,597 WHOLE PERSON APPROACH TO PAIN 738 00:27:45,663 --> 00:27:46,031 RESEARCH. 739 00:27:46,097 --> 00:27:47,365 AND IN THIS LECTURE, I'M GOING 740 00:27:47,432 --> 00:27:51,069 TO BE EMPHASIZING TWO THINGS. 741 00:27:51,136 --> 00:27:53,038 GAPS IN PAIN RESEARCH THAT 742 00:27:53,104 --> 00:27:54,906 REALLY NCCIH IS VERY MUCH 743 00:27:54,973 --> 00:27:57,208 LOOKING FORWARD TO WORKING VERY 744 00:27:57,275 --> 00:27:58,510 CLOSELY, ESPECIALLY WITH THE 745 00:27:58,576 --> 00:28:01,146 HEAL INITIATIVE, TO ADDRESS. 746 00:28:01,212 --> 00:28:02,447 ONE IS THE CONNECTION OF THE 747 00:28:02,514 --> 00:28:05,283 BRAIN AND THE REST OF THE BODY 748 00:28:05,350 --> 00:28:07,252 IN UNDERSTANDING PAIN. 749 00:28:07,318 --> 00:28:11,089 AND THE OTHER GAP THAT WE DON'T 750 00:28:11,156 --> 00:28:12,624 REALLY UNDERSTAND VERY WELL IS 751 00:28:12,690 --> 00:28:16,127 ENDOGENOUS PAIN RESOLUTION, AND 752 00:28:16,194 --> 00:28:17,762 HOW WE HAVE MECHANISMS THAT ARE 753 00:28:17,829 --> 00:28:21,699 KIND OF BUILT IN THAT HELP US TO 754 00:28:21,766 --> 00:28:24,436 RESOLVE PAIN AND WE NEED TO 755 00:28:24,502 --> 00:28:27,505 UNDERSTAND HOW TO PROMOTE THIS. 756 00:28:27,572 --> 00:28:28,706 SO THAT'S WHAT I'M GOING TO BE 757 00:28:28,773 --> 00:28:30,675 TALKING ABOUT. 758 00:28:30,742 --> 00:28:31,910 ANOTHER EXCITING THING THAT'S 759 00:28:31,976 --> 00:28:33,978 GOING TO BE HAPPENING AT THE 760 00:28:34,045 --> 00:28:38,983 IASP MEETING IS A SYMPOSIUM TO 761 00:28:39,050 --> 00:28:40,518 PROMOTE MUSCULOSKELETAL HEALTH 762 00:28:40,585 --> 00:28:42,954 BEYOND SYMPTOM MANAGEMENT, AND 763 00:28:43,021 --> 00:28:44,155 DR. HEATHER TICK IS ORGANIZING 764 00:28:44,222 --> 00:28:45,790 THIS AND I'LL BE PARTICIPATING 765 00:28:45,857 --> 00:28:49,494 THEN ALONG WITH DR. MARY BARBE 766 00:28:49,561 --> 00:28:51,262 AND CARLA STECCO. 767 00:28:51,329 --> 00:28:53,765 ALSO AT IASP, THERE'S GOING TO 768 00:28:53,832 --> 00:28:59,003 BE A SYMPOSIUM ON THE GLY M.P.H. 769 00:28:59,070 --> 00:29:01,072 ATIC SYSTEM AT THE CROSS ROAD OF 770 00:29:01,139 --> 00:29:02,740 INTEGRATIVE HEALTH APPROACHES IN 771 00:29:02,807 --> 00:29:05,143 CHRONIC PAIN PRESENTED BY 772 00:29:05,210 --> 00:29:07,879 DR. INNA BELFORT AS WELL AS A 773 00:29:07,946 --> 00:29:09,981 SYMPOSIUM, A TRANSLATIONAL, 774 00:29:10,048 --> 00:29:11,516 GLOBAL AND HISTORICAL 775 00:29:11,583 --> 00:29:20,758 PERSPECTIVE ON TER PE TERPENS AR 776 00:29:20,825 --> 00:29:23,061 CANNABINOIDS FOR PAIN ALSO IN 777 00:29:23,128 --> 00:29:29,968 AMSTERDAM. 778 00:29:30,034 --> 00:29:35,540 NOW I WANT TO GIVE YOU A HEADS 779 00:29:35,607 --> 00:29:36,975 UP ABOUT A NOFO. 780 00:29:37,041 --> 00:29:38,276 YOU ALL UNDERSTAND OF COURSE 781 00:29:38,343 --> 00:29:39,043 WHAT NOFO MEANS? 782 00:29:39,110 --> 00:29:40,812 THIS IS OUR NEW ACRONYM. 783 00:29:40,879 --> 00:29:43,648 NOTICE OF FUNDING OPPORTUNITY. 784 00:29:43,715 --> 00:29:45,383 SO ON THE UP LEFT CORNER, THIS 785 00:29:45,450 --> 00:29:46,684 IS TO INDICATE WHAT KIND OF 786 00:29:46,751 --> 00:29:48,586 THING THIS IS. 787 00:29:48,653 --> 00:29:51,189 THIS IS ON THE SAFETY AND EARLY 788 00:29:51,256 --> 00:29:56,995 EFFICACY OF PSYCHEDELIC-ASSISTED 789 00:29:57,061 --> 00:29:58,830 THERAPY FOR CHRONIC PAIN IN 790 00:29:58,897 --> 00:29:59,397 OLDER ADULTS. 791 00:29:59,464 --> 00:30:01,232 THIS IS A FUNDING OPPORTUNITY 792 00:30:01,299 --> 00:30:03,868 THAT WE'RE SIGNING ON TO. 793 00:30:03,935 --> 00:30:06,237 IT WAS ACTUALLY INITIATED BY THE 794 00:30:06,304 --> 00:30:07,172 NATIONAL INSTITUTE ON AGING. 795 00:30:07,238 --> 00:30:11,209 AND WE ARE VERY EXCITED TO BE 796 00:30:11,276 --> 00:30:12,510 COLLABORATING WITH NIA ON THIS. 797 00:30:12,577 --> 00:30:16,014 THIS IS A NEW AREA THAT'S QUITE 798 00:30:16,080 --> 00:30:16,915 INTERESTING. 799 00:30:16,981 --> 00:30:19,517 IT'S HOW PEOPLE ARE STARTING TO 800 00:30:19,584 --> 00:30:21,152 USE, OF COURSE UNDER MEDICAL 801 00:30:21,219 --> 00:30:21,920 SUPERVISION, PSYCHEDELICS TO 802 00:30:21,986 --> 00:30:26,391 HELP PEOPLE WITH A VARIETY OF 803 00:30:26,457 --> 00:30:27,358 PROBLEMS INCLUDING DEPRESSION, 804 00:30:27,425 --> 00:30:29,127 FOR EXAMPLE, BUT THIS PARTICULAR 805 00:30:29,194 --> 00:30:31,996 ONE IS FOCUSING ON CHRONIC PAIN. 806 00:30:32,063 --> 00:30:38,770 AND DR. SEKAI CHIDEYA-CHIHOTA IS 807 00:30:38,836 --> 00:30:39,871 THE CONTACT ON THIS. 808 00:30:39,938 --> 00:30:44,108 THE EATHE EARLIEST SUBMISSION DS 809 00:30:44,175 --> 00:30:45,109 IN SEPTEMBER. 810 00:30:45,176 --> 00:30:45,343 OKAY. 811 00:30:45,410 --> 00:30:47,078 NOW WE'RE MOVING TO ORANGE, THE 812 00:30:47,145 --> 00:30:51,883 MIND AND BODY CONNECTION. 813 00:30:51,950 --> 00:30:54,285 IN JUNE IS GOING TO BE, AGAIN, 814 00:30:54,352 --> 00:30:56,921 OUR FORCE-BASED MANIPULATION 815 00:30:56,988 --> 00:30:59,324 NETWORK IS GOING TO HAVE ITS 816 00:30:59,390 --> 00:31:01,292 ANNUAL INVESTIGATOR MEETING, AND 817 00:31:01,359 --> 00:31:04,696 I'M MENTIONING THIS, THERE IS 818 00:31:04,762 --> 00:31:07,098 THIS QR CODE THERE YOU CAN GO, 819 00:31:07,165 --> 00:31:08,299 THIS IS GOING TO BE VIDEOCAST, 820 00:31:08,366 --> 00:31:12,003 THE KEYNOTE LECTURE BY 821 00:31:12,070 --> 00:31:16,074 DR. VALERIA VASQUEZ, IN THE 822 00:31:16,140 --> 00:31:17,709 FINE-TUNING OF MECHANOSENSITIVE 823 00:31:17,775 --> 00:31:19,277 ION CHANNELS FROM BASIC SCIENCE 824 00:31:19,344 --> 00:31:20,545 TO TRANSLATIONAL RESEARCH. 825 00:31:20,612 --> 00:31:22,547 SO EVEN THOUGH THE MEETING IS AN 826 00:31:22,614 --> 00:31:24,048 INVESTIGATOR MEETING THAT'S NOT 827 00:31:24,115 --> 00:31:25,917 OPEN TO THE PUBLIC, BUT THE 828 00:31:25,984 --> 00:31:28,219 KEYNOTE LECTURE IS. 829 00:31:28,286 --> 00:31:31,289 SO YOU CAN VIEW THAT IF YOU LI 830 00:31:31,356 --> 00:31:31,623 LIKE. 831 00:31:31,689 --> 00:31:33,491 NEXT, POSITIVE HEALTH PROCESSES. 832 00:31:33,558 --> 00:31:35,126 SO WHAT ARE POSITIVE HEALTH 833 00:31:35,193 --> 00:31:35,760 PROCESSES? 834 00:31:35,827 --> 00:31:38,763 FOR EXAMPLE, EMOTIONAL 835 00:31:38,830 --> 00:31:40,698 WELL-BEING IS AN EXAMPLE OF 836 00:31:40,765 --> 00:31:41,466 THIS. 837 00:31:41,532 --> 00:31:42,333 HEALTH RESTORATION WOULD BE 838 00:31:42,400 --> 00:31:45,837 ANOTHER EXAMPLE. 839 00:31:45,903 --> 00:31:47,038 AND RESILIENCE WOULD BE ANOTHER 840 00:31:47,105 --> 00:31:47,705 EXAMPLE. 841 00:31:47,772 --> 00:31:52,510 SO WE HAVE AS A PAST EVENT HERE 842 00:31:52,577 --> 00:31:54,479 THE INVESTIGATOR MEETING FOR OUR 843 00:31:54,545 --> 00:31:58,850 EMOTIONAL WELL-BEING GROUP, AND 844 00:31:58,916 --> 00:32:00,184 THIS WAS VERY -- THERE WAS A 845 00:32:00,251 --> 00:32:01,586 VERY, VERY NICE KEYNOTE 846 00:32:01,653 --> 00:32:03,254 DELIVERED BY DR. ERIC GARLAND 847 00:32:03,321 --> 00:32:04,889 THAT WAS ALSO VIDEOTAPED, SO ANY 848 00:32:04,956 --> 00:32:08,393 OF YOU WHO WANT TO VIEW THAT, 849 00:32:08,459 --> 00:32:10,895 YOU CAN JUST GO ON OUR WEBSITE 850 00:32:10,962 --> 00:32:14,565 AND CLICK OP THAT AND YOU CAN YN 851 00:32:14,632 --> 00:32:14,832 SEE IT. 852 00:32:14,899 --> 00:32:18,202 IT WAS ON MINDFULNESS-ORIENTED 853 00:32:18,269 --> 00:32:20,738 RECOVERY ENHANCEMENT BUILDS 854 00:32:20,805 --> 00:32:22,707 EMOTIONAL WELL-BEING BY 855 00:32:22,774 --> 00:32:23,675 RESTRUCTURING REWARD, MEANING 856 00:32:23,741 --> 00:32:26,744 AND SELF, VERY, VERY NICE TALK. 857 00:32:26,811 --> 00:32:30,682 NEXT IS ANOTHER OF THE NOFO 858 00:32:30,748 --> 00:32:32,016 SIGN-ONS. 859 00:32:32,083 --> 00:32:33,484 THIS IS AN INITIATIVE BY THE 860 00:32:33,551 --> 00:32:36,387 OFFICE OF ODP OR OFFICE OF 861 00:32:36,454 --> 00:32:37,689 DISEASE PREVENTION ON 862 00:32:37,755 --> 00:32:38,990 MULTI-SECTORAL PREVENTIVE 863 00:32:39,057 --> 00:32:39,791 INTERVENTIONS THAT ADDRESS 864 00:32:39,857 --> 00:32:41,626 SOCIAL DETERMINANTS OF HEALTH IN 865 00:32:41,693 --> 00:32:42,493 POPULATIONS THAT EXPERIENCE 866 00:32:42,560 --> 00:32:43,494 HEALTH DISPARITIES. 867 00:32:43,561 --> 00:32:45,563 SO YOU CAN SEE -- THIS IS ALSO 868 00:32:45,630 --> 00:32:50,368 TO BUILD RESILIENCE, AND SO 869 00:32:50,435 --> 00:32:51,369 DR. BAUMGARTNER IS OUR CONTACT 870 00:32:51,436 --> 00:32:52,970 ON THIS, SO WE'VE LISTED THIS 871 00:32:53,037 --> 00:32:55,173 UNDER POSITIVE HEALTH PROCESSES, 872 00:32:55,239 --> 00:32:58,476 AND ALSO UNDER WORKFORCE DEVE 873 00:32:58,543 --> 00:32:59,677 DEVELOPMENT AND SPECIAL 874 00:32:59,744 --> 00:33:00,445 POPULATION. 875 00:33:00,511 --> 00:33:02,080 NEXT IS NUTRITION AND NATURAL 876 00:33:02,146 --> 00:33:07,552 PRODUCTS. 877 00:33:07,618 --> 00:33:13,891 UPCOMING IS A SYMPOSIUM ON -- 878 00:33:13,958 --> 00:33:16,494 EXCUSE ME, INVESTIGATOR MEETING, 879 00:33:16,561 --> 00:33:19,097 THE NCCIH CANNABINOID RESEARCH 880 00:33:19,163 --> 00:33:20,231 PRINCIPAL INVESTIGATORS MEETING 881 00:33:20,298 --> 00:33:21,632 ON EXPLORING THE MECHANISMS 882 00:33:21,699 --> 00:33:24,769 UNDERUNDERLYING THE ANALGESIC 883 00:33:24,836 --> 00:33:27,472 PROPERTIES OF MINOR CANNABINOIDS 884 00:33:27,538 --> 00:33:28,740 AND TERPENES. 885 00:33:28,806 --> 00:33:30,441 THIS IS GOING TO BE ON JUNE 4TH 886 00:33:30,508 --> 00:33:33,678 AND THE KEYNOTE IS GOING TO BE 887 00:33:33,745 --> 00:33:37,315 DR. DANIELE PIOMELLI, OVERVIEW 888 00:33:37,382 --> 00:33:39,384 OF SAFETY AND EFFICACY OF 889 00:33:39,450 --> 00:33:40,351 CANNABIS-BASED PRODUCTS IN 890 00:33:40,418 --> 00:33:41,452 ANIMAL MODELS. 891 00:33:41,519 --> 00:33:43,321 YOU CAN VIEW THIS, I BELIEVE, 892 00:33:43,388 --> 00:33:45,723 RIGHT, ON VIDEOCAST. 893 00:33:45,790 --> 00:33:48,459 ALSO UPCOMING, JUNE 10TH AND 894 00:33:48,526 --> 00:33:50,862 11TH A SYMPOSIUM ON 895 00:33:50,928 --> 00:33:51,729 COMPLEMENTARY AND INTEGRATIVE 896 00:33:51,796 --> 00:33:52,830 INTERVENTIONS TO PREVENT AND 897 00:33:52,897 --> 00:33:55,133 MITIGATE THE EFFECTS OF 898 00:33:55,199 --> 00:33:57,869 ENDOCRINE-DISRUPTING CHEMICALS. 899 00:33:57,935 --> 00:34:00,705 THIS IS SPONSORED BY BOTH NCCIH, 900 00:34:00,772 --> 00:34:02,173 AS WELL AS THE NATIONAL 901 00:34:02,240 --> 00:34:03,441 INSTITUTE OF ENVIRONMENTAL 902 00:34:03,508 --> 00:34:05,510 HEALTH SCIENCES. 903 00:34:05,576 --> 00:34:07,145 WE THINK THIS IS REALLY 904 00:34:07,211 --> 00:34:09,680 IMPORTANT, BECAUSE WE ARE 905 00:34:09,747 --> 00:34:11,649 SURROUNDED BY ALL KINDS OF 906 00:34:11,716 --> 00:34:15,820 PRODUCTS THAT WE ARE EXPOSED TO 907 00:34:15,887 --> 00:34:17,355 THROUGH THINGS THAT WE TOUCH, 908 00:34:17,422 --> 00:34:19,424 CARPETS AND CLOTHING AND OUR 909 00:34:19,490 --> 00:34:23,027 WATER BOTTLES AND ALL KINDS OF 910 00:34:23,094 --> 00:34:24,462 THINGS THAT ARE REALLY -- WE 911 00:34:24,529 --> 00:34:26,297 DON'T KNOW WHAT EFFECT THEY HAVE 912 00:34:26,364 --> 00:34:28,166 ON OUR HEALTH, BUT WHAT WE DO 913 00:34:28,232 --> 00:34:32,770 KNOW IS THAT WE REALLY WANT TO 914 00:34:32,837 --> 00:34:36,474 BE PROACTIVE IN FIGURING OUT 915 00:34:36,541 --> 00:34:41,012 WHAT KIND OF MITIG MITIGATING 916 00:34:41,078 --> 00:34:41,846 STRATEGIES COULD WE EXPLORE AND 917 00:34:41,913 --> 00:34:43,614 DEVELOP TO PREVENT AND TO REDUCE 918 00:34:43,681 --> 00:34:48,753 THE NEGATIVE IMPACTS THESE 919 00:34:48,820 --> 00:34:49,520 COMPOUNDS HAVE ON HEALTH. 920 00:34:49,587 --> 00:34:52,590 ONE OF THE AREAS THAT IS OF 921 00:34:52,657 --> 00:34:53,591 PARTICULAR INTEREST TO NCCIH IS 922 00:34:53,658 --> 00:34:55,493 THE EFFECTS OF STRESS, BECAUSE 923 00:34:55,560 --> 00:34:59,130 WE KNOW THAT STRESS CAN COMPOUND 924 00:34:59,197 --> 00:35:02,900 THE EFFECTS OF MANY SORT OF 925 00:35:02,967 --> 00:35:04,235 ENVIRONMENTAL STRESSORS, AND SO 926 00:35:04,302 --> 00:35:08,072 WE REALLY WANT TO EXPLORE HOW 927 00:35:08,139 --> 00:35:09,373 ADDRESSING BOTH STRESS, BUT ALSO 928 00:35:09,440 --> 00:35:11,476 GOOD NUTRITION, PHYSICAL 929 00:35:11,542 --> 00:35:13,010 ACTIVITY, ALL THOSE KINDS OF 930 00:35:13,077 --> 00:35:14,879 LIFESTYLE INTERVENTIONS THAT WE 931 00:35:14,946 --> 00:35:18,015 ARE STUDYING AND PROMOTE COMPANY 932 00:35:18,082 --> 00:35:20,685 PERHAPS ALSO HELP WITH DEALING 933 00:35:20,751 --> 00:35:21,819 WITH NEGATIVE INFLUENCES FROM 934 00:35:21,886 --> 00:35:22,253 THE ENVIRONMENT. 935 00:35:22,320 --> 00:35:24,655 SO AGAIN, THIS IS THE 936 00:35:24,722 --> 00:35:26,057 INTERSECTION OF WHOLE PERSON 937 00:35:26,123 --> 00:35:28,926 HEALTH WITH THE BIOLOGY, THE 938 00:35:28,993 --> 00:35:30,461 BEHAVIOR, THE SOCIAL, AND THE 939 00:35:30,528 --> 00:35:31,562 ENVIRONMENT. 940 00:35:31,629 --> 00:35:33,631 SO THIS IS A VERY IMPORTANT 941 00:35:33,698 --> 00:35:36,367 INITIATIVE, I THINK, THAT WE 942 00:35:36,434 --> 00:35:37,902 WANT TO -- WE'RE GOING TO BE 943 00:35:37,969 --> 00:35:39,103 FOLLOWING CLOSELY AND THIS 944 00:35:39,170 --> 00:35:40,304 WORKSHOP IS GOING TO BE 945 00:35:40,371 --> 00:35:43,274 IMPORTANT TO GET THAT -- AND GET 946 00:35:43,341 --> 00:35:44,809 THE INPUT OF THE COMMUNITY ON 947 00:35:44,876 --> 00:35:51,148 THIS. 948 00:35:51,215 --> 00:35:53,217 I WANT TO TALK ABOUT THE CARBON 949 00:35:53,284 --> 00:35:58,422 PROGRAM WHICH IS ISSUED, THREE 950 00:35:58,489 --> 00:36:00,391 IMPORTANT FUNDING ANNOUNCEMENT 951 00:36:00,458 --> 00:36:01,292 OPPORTUNITIES. 952 00:36:01,359 --> 00:36:02,360 ONE IS A LIMITED COMPETITION, 953 00:36:02,426 --> 00:36:03,761 AND OF COURSE CARBON IS A 954 00:36:03,828 --> 00:36:05,029 PROGRAM THAT'S LONG-STANDING AND 955 00:36:05,096 --> 00:36:06,163 HAS BEEN A COLLABORATION WITH 956 00:36:06,230 --> 00:36:08,266 THE OFFICE OF DIETARY 957 00:36:08,332 --> 00:36:09,133 SUPPLEMENTS. 958 00:36:09,200 --> 00:36:13,037 THIS LIMITED COMPETITION IS FOR 959 00:36:13,104 --> 00:36:14,839 A RESEARCH RESOURCE FOR NATURAL 960 00:36:14,906 --> 00:36:17,675 PRODUCT NMR, NUCLEAR MAGNETIC 961 00:36:17,742 --> 00:36:22,713 RESONANCE DATA, AND THIS IS OPEN 962 00:36:22,780 --> 00:36:31,022 TO THE EXISTING CENTER THAT HAS 963 00:36:31,088 --> 00:36:32,356 ALREADY -- BECAUSE WE WANT TO BE 964 00:36:32,423 --> 00:36:33,858 ASSURED THAT WE HAVE CONTINUITY 965 00:36:33,925 --> 00:36:35,092 IN THIS VERY, VERY IMPORTANT 966 00:36:35,159 --> 00:36:36,694 RESOURCE. 967 00:36:36,761 --> 00:36:39,363 THE NEXT IS LEVERAGING DATA AT 968 00:36:39,430 --> 00:36:41,098 SCALE TO UNDERSTAND NATURAL 969 00:36:41,165 --> 00:36:43,968 PRODUCT IMPACTS ON WHOLE PERSON 970 00:36:44,035 --> 00:36:45,369 HEALTH. 971 00:36:45,436 --> 00:36:50,641 THIS IS A R01 PROGRAM THAT IS 972 00:36:50,708 --> 00:36:56,314 REALLY TO BUILD THE PORTFOLIO OF 973 00:36:56,380 --> 00:36:59,717 NATURAL PRODUCTS TO MOVE IN A 974 00:36:59,784 --> 00:37:01,686 TRANSLATIONAL DIRECTION TOWARDS 975 00:37:01,752 --> 00:37:04,188 TESTING A LOT OF THE PROMISING 976 00:37:04,255 --> 00:37:05,189 INTERVENTIONS THAT WE'RE SORT OF 977 00:37:05,256 --> 00:37:06,490 BEGINNING TO UNDERSTAND MORE 978 00:37:06,557 --> 00:37:08,793 FROM A BIOCHEMICAL POINT OF VIEW 979 00:37:08,859 --> 00:37:10,761 AND TO MOVE INTO UNDERSTANDING 980 00:37:10,828 --> 00:37:14,065 HOW CAN WE NOW MOVE TOWARDS 981 00:37:14,131 --> 00:37:16,767 HUMAN RESEARCH. 982 00:37:16,834 --> 00:37:20,938 THE OTHER ONE IS, AGAIN, ANOTHER 983 00:37:21,005 --> 00:37:23,908 PROGRAM ON BOTANICAL DIETARY 984 00:37:23,975 --> 00:37:25,776 SUPPLEMENTS TRANSLATIONAL 985 00:37:25,843 --> 00:37:29,246 RESEARCH TEAM, RM1 CLINICAL 986 00:37:29,313 --> 00:37:30,247 TRIAL REQUIRED. 987 00:37:30,314 --> 00:37:31,983 AGAIN, THIS IS TO BUILD -- TO 988 00:37:32,049 --> 00:37:34,518 MOVE TOWARDS DEVELOPING THE 989 00:37:34,585 --> 00:37:37,355 SCIENCE THAT WILL ALLOW FUTURE 990 00:37:37,421 --> 00:37:41,192 LARGE SCALE CLINICAL TRIALS ON 991 00:37:41,258 --> 00:37:42,159 NATURAL PRODUCTS THAT WE'RE 992 00:37:42,226 --> 00:37:42,893 STARTING TO UNDERSTAND MORE 993 00:37:42,960 --> 00:37:43,227 ABOUT. 994 00:37:43,294 --> 00:37:44,228 SO THIS IS KIND OF THE EVOLUTION 995 00:37:44,295 --> 00:37:47,098 OF OUR STRATEGY ON NATURAL 996 00:37:47,164 --> 00:37:49,066 PRODUCTS FROM REALLY 997 00:37:49,133 --> 00:37:50,701 UNDERSTANDING NATURAL PRODUCTS 998 00:37:50,768 --> 00:37:55,272 FROM A FUNDAMENTAL PERSPECTIVE 999 00:37:55,339 --> 00:37:57,908 TOWARDS REALLY IMPLEMENTING THIS 1000 00:37:57,975 --> 00:37:59,443 KNOWLEDGE INTO TRANSLATIONAL AND 1001 00:37:59,510 --> 00:38:01,946 CLINICAL RESEARCH. 1002 00:38:02,013 --> 00:38:04,382 BE AND WE'RE VERY EXCITED TO BE 1003 00:38:04,448 --> 00:38:05,816 WORKING WITH ODS ON THIS. 1004 00:38:05,883 --> 00:38:11,055 WHOLE PERSON NOW. 1005 00:38:11,122 --> 00:38:12,657 THIS IS WHAT WE DID AT THE 1006 00:38:12,723 --> 00:38:14,125 INTERNATIONAL CONGRESS FOR 1007 00:38:14,191 --> 00:38:16,193 INTEGRATIVE MEDICINE & HEALTH 1008 00:38:16,260 --> 00:38:18,729 THIS PAST APRIL. 1009 00:38:18,796 --> 00:38:22,767 I WAS VERY HAPPY TO PARTICIPATE 1010 00:38:22,833 --> 00:38:25,202 IN A PLENARY SESSION WITH 1011 00:38:25,269 --> 00:38:27,938 DR. ALEX KRIST, WHERE WE 1012 00:38:28,005 --> 00:38:29,206 DISCUSSED THE RECOMMENDATIONS 1013 00:38:29,273 --> 00:38:30,574 FROM THE NATIONAL ACADEMIES OF 1014 00:38:30,641 --> 00:38:32,843 SCIENCE, ENGINEERING AND 1015 00:38:32,910 --> 00:38:34,945 MEDICINE ON WHOLE HEALTHCARE TO 1016 00:38:35,012 --> 00:38:37,782 INFORM RESEARCH AND POLICY. 1017 00:38:37,848 --> 00:38:40,217 WE ARE VERY INTERESTED, OF 1018 00:38:40,284 --> 00:38:42,720 COURSE, IN THIS REPORT, WHICH 1019 00:38:42,787 --> 00:38:44,588 WAS VERY MUCH A BUILDING ON 1020 00:38:44,655 --> 00:38:48,092 EXPERTISE FROM THE VETERANS' 1021 00:38:48,159 --> 00:38:49,427 ADMINISTRATION'S WHOLE HEALTH 1022 00:38:49,493 --> 00:38:50,828 PROGRAM AND REALLY EXPLORING HOW 1023 00:38:50,895 --> 00:38:54,899 THE IMPLICATIONS OF WHAT WE ARE 1024 00:38:54,965 --> 00:38:57,234 LEARNING ON WHOLE HEALTH TO 1025 00:38:57,301 --> 00:38:58,402 REALLY INFLUENCE HEALTHCARE AS 1026 00:38:58,469 --> 00:39:02,339 IT'S DELIVERED OVERALL IN THE 1027 00:39:02,406 --> 00:39:03,140 ENTIRE COUNTRY. 1028 00:39:03,207 --> 00:39:04,575 NOW, OF COURSE, IN ORDER TO DO 1029 00:39:04,642 --> 00:39:06,977 THAT SUCCESSFULLY, WE NEED 1030 00:39:07,044 --> 00:39:11,816 RESEARCH, AND SO NCCIH IS VERY 1031 00:39:11,882 --> 00:39:14,518 INTERESTED IN THIS WHOLE FIELD 1032 00:39:14,585 --> 00:39:18,589 OF UNDERSTANDING HOW TO MEASURE 1033 00:39:18,656 --> 00:39:19,890 WHOLE HEALTH. 1034 00:39:19,957 --> 00:39:21,459 WE ARE -- WE HAVE BEEN 1035 00:39:21,525 --> 00:39:23,527 COLLABORATING WITH THE VA ON 1036 00:39:23,594 --> 00:39:26,497 WHAT WE ARE LOOKING AT NCCIH IN 1037 00:39:26,564 --> 00:39:28,899 TERMS OF THE IMPORTANCE OF 1038 00:39:28,966 --> 00:39:29,767 UNDERSTANDING BOTH 1039 00:39:29,834 --> 00:39:32,303 PATIENT-REPORTED MEASURES OF THE 1040 00:39:32,369 --> 00:39:36,340 WHOLE PERSON, AND ALSO OBJECTIVE 1041 00:39:36,407 --> 00:39:37,875 MEASUREMENTS OF HEALTH AND HOW 1042 00:39:37,942 --> 00:39:41,278 TO BEST COMBINE THE TWO TO 1043 00:39:41,345 --> 00:39:43,781 DELIVER THE BEST QUALITY 1044 00:39:43,848 --> 00:39:46,751 RESEARCH TO ENVELOPE US HOW TO 1045 00:39:46,817 --> 00:39:48,119 MOVE THESE KINDS OF PROGRAMS 1046 00:39:48,185 --> 00:39:54,391 FORWARD. 1047 00:39:54,458 --> 00:39:55,459 ALSO AT THE INTERNATIONAL 1048 00:39:55,526 --> 00:39:56,594 CONGRESS ON INTEGRATIVE MEDICINE 1049 00:39:56,660 --> 00:39:58,996 AND HEALTH WAS A REALLY VERY 1050 00:39:59,063 --> 00:40:00,765 NICE SESSION THAT WE HAD, I 1051 00:40:00,831 --> 00:40:03,167 THINK YOU SEE THERE, IT WAS 1052 00:40:03,234 --> 00:40:05,803 STANDING-ROOM ONLY, WHICH WAS A 1053 00:40:05,870 --> 00:40:13,144 SESSION THAT WAS PUT TOGETHER BY 1054 00:40:13,210 --> 00:40:17,081 DR. EMRIN HORGUSLUOGLU ON 1055 00:40:17,148 --> 00:40:19,817 SEVERAL DIFFERENT INITIATIVES ON 1056 00:40:19,884 --> 00:40:21,385 DEVELOPING METHODS TO PURSUE THE 1057 00:40:21,452 --> 00:40:22,586 WHOLE PERSON HEALTH RESEARCH 1058 00:40:22,653 --> 00:40:23,020 AGENDA. 1059 00:40:23,087 --> 00:40:24,221 DOING RESEARCH ON WHOLE PERSON 1060 00:40:24,288 --> 00:40:25,756 HEALTH IS NOT EASY. 1061 00:40:25,823 --> 00:40:27,625 IT TAKES A LOT OF DIFFERENT 1062 00:40:27,691 --> 00:40:29,827 PIECES TO PUT TOGETHER. 1063 00:40:29,894 --> 00:40:31,562 ONE OF THE PIECES THAT WE 1064 00:40:31,629 --> 00:40:34,732 DISCUSS IS I GAVE A JOINT 1065 00:40:34,799 --> 00:40:37,268 PRESENTATION WITH DR. PATRICIA 1066 00:40:37,334 --> 00:40:41,338 HERMAN ON OUR MRS. M EXAMPLE, 1067 00:40:41,405 --> 00:40:42,506 AND THIS IS SOMETHING THAT I'VE 1068 00:40:42,573 --> 00:40:45,309 PRESENTED AT THIS COUNCIL IN THE 1069 00:40:45,376 --> 00:40:46,610 PAST, COMPARING TWO DIFFERENT 1070 00:40:46,677 --> 00:40:49,013 SCENARIOS FOR A TYPICAL PATIENT. 1071 00:40:49,079 --> 00:40:50,981 ONE USING CONVENTIONAL CARE, THE 1072 00:40:51,048 --> 00:40:52,516 OTHER ONE USING WHOLE PERSON 1073 00:40:52,583 --> 00:40:55,686 CARE, AND LOOKING AT THE 1074 00:40:55,753 --> 00:40:59,423 FINANCIAL IMPACTS OF THESE TWO 1075 00:40:59,490 --> 00:41:01,525 APPROACHES OVER 40 YEARS OF 1076 00:41:01,592 --> 00:41:04,161 MRS. M'S LIFE. 1077 00:41:04,228 --> 00:41:08,732 AND WE HAVE A PAPER SUBMITTED ON 1078 00:41:08,799 --> 00:41:11,135 THIS THAT'S CURRENTLY UNDER 1079 00:41:11,202 --> 00:41:13,037 REVIEW. 1080 00:41:13,103 --> 00:41:14,538 DR. JEFF DUSEK ALSO PRESENTING 1081 00:41:14,605 --> 00:41:21,545 SOME VERY, VERY NICE DATA ON THE 1082 00:41:21,612 --> 00:41:25,616 BRAVEWELL-FUNDED PATIENT CARE 1083 00:41:25,683 --> 00:41:27,051 NETWORK, PRACTICE-BASED NETWORK 1084 00:41:27,117 --> 00:41:29,453 THAT COVERS A GOOD PART OF THE 1085 00:41:29,520 --> 00:41:31,288 COUNTRY NOW, AND THEY'RE 1086 00:41:31,355 --> 00:41:34,391 COLLECTING OUTCOME MEASURES OF 1087 00:41:34,458 --> 00:41:36,460 COMPLEMENTARY AND INTEGRATIVE 1088 00:41:36,527 --> 00:41:38,329 CENTERS, AND I'M MENTIONING 1089 00:41:38,395 --> 00:41:40,664 THIS, VERY IMPORTANT, BECAUSE 1090 00:41:40,731 --> 00:41:43,601 THIS WHOLE EMPHASIS THAT NIH NOW 1091 00:41:43,667 --> 00:41:46,871 IS PLACING ON BUILDING NETWORKS 1092 00:41:46,937 --> 00:41:48,005 OF PRIMARY CARE, YOU CAN SEE 1093 00:41:48,072 --> 00:41:49,773 THAT THIS IS THE NEXT POSSIBLE 1094 00:41:49,840 --> 00:41:52,243 EXTENSION OF THIS, RIGHT, IS 1095 00:41:52,309 --> 00:41:54,411 INCORPORATING THIS NETWORKS -- 1096 00:41:54,478 --> 00:41:57,648 THIS RESEARCH INTO NETWORKS OF 1097 00:41:57,715 --> 00:41:59,149 COMPLEMENTARY AND INTEGRATIVE 1098 00:41:59,216 --> 00:42:01,352 HEALTH THAT ARE DELIVERING THESE 1099 00:42:01,418 --> 00:42:01,719 INTERVENTIONS. 1100 00:42:01,785 --> 00:42:02,953 SO WE'RE FOLLOWING THIS VERY, 1101 00:42:03,020 --> 00:42:04,688 VERY CLOSELY. 1102 00:42:04,755 --> 00:42:08,292 AND FINALLY, DR. AARON LEE 1103 00:42:08,359 --> 00:42:10,494 PRESENTED A VERY, VERY NICE 1104 00:42:10,561 --> 00:42:14,565 REPORT ON THIS BRIDGE TO A.I. 1105 00:42:14,632 --> 00:42:20,237 PROJECT ON SALUTOGENESIS, I'VE 1106 00:42:20,304 --> 00:42:22,573 BEEN TELLING YOU THIS ON PAST 1107 00:42:22,640 --> 00:42:23,040 COUNCILS. 1108 00:42:23,107 --> 00:42:24,441 THIS IS A COMMON FUND PROJECT 1109 00:42:24,508 --> 00:42:28,045 THAT FUNDED A VERY LARGE SCALE 1110 00:42:28,112 --> 00:42:30,547 STUDY THAT IS STUDYING PATIENTS 1111 00:42:30,614 --> 00:42:33,584 WITH EARLY DIABETES AND DOING 1112 00:42:33,651 --> 00:42:34,752 MULTIPLE MEASUREMENTS TO REALLY 1113 00:42:34,818 --> 00:42:37,221 LOOK AT THEIR WHOLE PHYSIOLOGY 1114 00:42:37,288 --> 00:42:39,690 AND HOW THAT CHANGES OVER TIME, 1115 00:42:39,757 --> 00:42:41,125 WHETHER PATIENTS ARE GOING 1116 00:42:41,191 --> 00:42:42,092 TOWARDS HEALTH OR AWAY FROM 1117 00:42:42,159 --> 00:42:43,427 HEALTH. 1118 00:42:43,494 --> 00:42:45,930 AND SO THIS IS A VERY -- IT WAS 1119 00:42:45,996 --> 00:42:46,730 A VERY INTERESTING SESSION 1120 00:42:46,797 --> 00:42:48,265 BECAUSE IT COVERED MANY, MANY 1121 00:42:48,332 --> 00:42:50,134 DIFFERENT ASPECTS OF WHOLE 1122 00:42:50,200 --> 00:42:51,535 PERSON HEALTH. 1123 00:42:51,602 --> 00:42:53,304 SHOWING THAT WE REALLY CAN DO 1124 00:42:53,370 --> 00:42:54,305 RESEARCH IN THIS AREA. 1125 00:42:54,371 --> 00:42:55,739 WE JUST REALLY HAVE TO WORK ON 1126 00:42:55,806 --> 00:43:00,210 IT TOGETHER. 1127 00:43:00,277 --> 00:43:03,948 OTHER SESSIONS AT IC IMH THAT 1128 00:43:04,014 --> 00:43:06,583 WERE VERY -- OF NOTE AND WELL 1129 00:43:06,650 --> 00:43:09,320 ATTENDED, ADVANCING THE SCIENCE 1130 00:43:09,386 --> 00:43:11,121 OF EMOTIONAL WELL-BEING, NIH 1131 00:43:11,188 --> 00:43:12,323 OPEN ACCESS REPOSITORIES, HOW TO 1132 00:43:12,389 --> 00:43:15,793 ACCESS THEM AND LEVERAGE THEM, 1133 00:43:15,859 --> 00:43:17,261 NAVIGATING EARLY CAREER STAGE 1134 00:43:17,328 --> 00:43:18,562 TRANSITIONS, AND ALSO 1135 00:43:18,629 --> 00:43:20,030 DISSEMINATION AND IMPLEMENTATION 1136 00:43:20,097 --> 00:43:20,331 SCIENCE. 1137 00:43:20,397 --> 00:43:22,633 SO AS YOU CAN SEE, WE'RE ALWAYS 1138 00:43:22,700 --> 00:43:25,903 VERY BUSY AT ICIMH AND THIS YEAR 1139 00:43:25,970 --> 00:43:31,909 WAS NO EXCEPTION. 1140 00:43:31,976 --> 00:43:33,377 ANOTHER NOTICE OF INTENT TO 1141 00:43:33,444 --> 00:43:34,678 PUBLISH. 1142 00:43:34,745 --> 00:43:35,112 VERY IMPORTANT. 1143 00:43:35,179 --> 00:43:37,181 IN THE PAST, YOU'VE ALL HEARD 1144 00:43:37,247 --> 00:43:39,483 ABOUT OUR REACH CENTER, SO THIS 1145 00:43:39,550 --> 00:43:42,052 WAS A CENTER THAT WAS FUNDED 1146 00:43:42,119 --> 00:43:45,222 LAST YEAR TO THE RAND 1147 00:43:45,289 --> 00:43:50,527 CORPORATION TO CREATE A SUPPORT 1148 00:43:50,594 --> 00:43:51,462 FOR COMPLEMENTARY AND 1149 00:43:51,528 --> 00:43:55,099 INTEGRATIVE INSTITUTIONS TO HELP 1150 00:43:55,165 --> 00:43:58,569 THEM SUBMIT GRANT APPLICATIONS, 1151 00:43:58,635 --> 00:44:01,205 AND TO REALLY SUPPORT GROWING 1152 00:44:01,271 --> 00:44:03,874 THE INTEGRATIVE HEALTH 1153 00:44:03,941 --> 00:44:07,711 INSTITUTIONS IN THEIR EFFORTS TO 1154 00:44:07,778 --> 00:44:08,812 RESEARCH THAT IS DIRECTLY 1155 00:44:08,879 --> 00:44:10,881 INVOLVING THOSE INSTITUTIONS. 1156 00:44:10,948 --> 00:44:13,550 AND SO THAT EARLY FIRST CENTER 1157 00:44:13,617 --> 00:44:16,720 WAS FUNDED AND NOW WE HAVE 1158 00:44:16,787 --> 00:44:17,788 RE-ISSUED THIS, WE'RE GOING 1159 00:44:17,855 --> 00:44:19,023 TO -- ACTUALLY WE'VE NOT 1160 00:44:19,089 --> 00:44:22,960 REISSUED IT YET, THIS IS JUST A 1161 00:44:23,027 --> 00:44:25,729 NOTICE BUT IT WILL BE REISSUED. 1162 00:44:25,796 --> 00:44:26,497 DR. LANAY MUDD IS THE PROGRAM 1163 00:44:26,563 --> 00:44:28,032 OFFICER ON THIS, SO WE ARE 1164 00:44:28,098 --> 00:44:29,566 REALLY LOOKING TO FUND MORE OF 1165 00:44:29,633 --> 00:44:32,536 THESE RESEARCH CENTERS. 1166 00:44:32,603 --> 00:44:34,171 BECAUSE WE THINK THAT THIS IS A 1167 00:44:34,238 --> 00:44:35,672 VERY, VERY IMPORTANT THING TO 1168 00:44:35,739 --> 00:44:41,078 KEEP DOING. 1169 00:44:41,145 --> 00:44:42,513 I NOW WANT TO BRING YOUR 1170 00:44:42,579 --> 00:44:44,381 ATTENTION TO SEVERAL HIGH 1171 00:44:44,448 --> 00:44:45,582 RISK/HIGH REWARD FUNDING 1172 00:44:45,649 --> 00:44:46,450 OPPORTUNITIES, AGAIN FUNDED BY 1173 00:44:46,517 --> 00:44:47,284 THE COMMON FUND. 1174 00:44:47,351 --> 00:44:49,119 THESE ARE REALLY, REALLY 1175 00:44:49,186 --> 00:44:50,988 IMPORTANT, AND I REALLY WANT TO 1176 00:44:51,055 --> 00:44:53,991 ENCOURAGE ALL OF YOU TO GO TO 1177 00:44:54,058 --> 00:44:55,092 THESE WEBSITES AND CHECK THEM 1178 00:44:55,159 --> 00:44:55,526 OUT. 1179 00:44:55,592 --> 00:44:58,462 THIS IS TO FUND RESEARCH THAT IS 1180 00:44:58,529 --> 00:45:00,764 OUT OF THE BOX, OKAY? 1181 00:45:00,831 --> 00:45:03,734 THIS IS RESEARCH THAT IS 1182 00:45:03,801 --> 00:45:07,337 EXPLORING NEW PARADIGMS, NEW 1183 00:45:07,404 --> 00:45:09,873 APPROACHES, AND WHAT WE DO HERE 1184 00:45:09,940 --> 00:45:11,742 AT NCCIH, A LOT OF IT IS OUT OF 1185 00:45:11,809 --> 00:45:13,277 THE BOX. 1186 00:45:13,343 --> 00:45:14,912 THIS IS WHAT WE TRY TO DO. 1187 00:45:14,978 --> 00:45:17,014 WE REALLY TRY TO LOOK AT 1188 00:45:17,081 --> 00:45:18,882 DIFFERENT WAYS TO THINK ABOUT 1189 00:45:18,949 --> 00:45:22,152 HEALTH, DIFFERENT WAYS TO THINK 1190 00:45:22,219 --> 00:45:25,756 ABOUT DIFFERENT KINDS OF THER 1191 00:45:25,823 --> 00:45:26,957 THERAPIES, LIFESTYLE, ALL THOSE 1192 00:45:27,024 --> 00:45:31,261 KINDS OF THINGS, AND SO THE NIH 1193 00:45:31,328 --> 00:45:33,230 DIRECTOR'S INNOVATION AWARD, THE 1194 00:45:33,297 --> 00:45:34,798 NIH DIRECTOR'S EARLY 1195 00:45:34,865 --> 00:45:35,299 INDEPENDENCE AWARD. 1196 00:45:35,365 --> 00:45:38,569 THE NEXT ONE IS THE -- ON THE 1197 00:45:38,635 --> 00:45:40,337 NEXT SLIDE IS THE TRANSFORMATIVE 1198 00:45:40,404 --> 00:45:42,106 RESEARCH AWARD, AND THE NIH 1199 00:45:42,172 --> 00:45:45,709 DIRECTOR'S PIONEER AWARDS ARE 1200 00:45:45,776 --> 00:45:47,244 ALL OPPORTUNITIES TO SUBMIT 1201 00:45:47,311 --> 00:45:51,181 GRANT APPLICATIONS THAT ARE VERY 1202 00:45:51,248 --> 00:45:54,618 NEW AND CUTTING EDGE AND THAT WE 1203 00:45:54,685 --> 00:45:56,153 ARE INCREASINGLY VERY HAPPY TO 1204 00:45:56,220 --> 00:46:00,190 SEE THAT A LOT OF THE 1205 00:46:00,257 --> 00:46:04,361 INVESTIGATORS WHO ARE SOME OF 1206 00:46:04,428 --> 00:46:06,230 THE INVESTIGATORS PREVIOUSLY 1207 00:46:06,296 --> 00:46:07,264 FUNDED BY NCCIH HAVE STARTED TO 1208 00:46:07,331 --> 00:46:08,966 GO TO THESE MECHANISMS AND TAKE 1209 00:46:09,032 --> 00:46:09,867 ADVANTAGE OF THESE FUNDING 1210 00:46:09,933 --> 00:46:13,804 OPPORTUNITIES. 1211 00:46:13,871 --> 00:46:15,606 SO WE'RE REALLY ENCOURAGING ALL 1212 00:46:15,672 --> 00:46:17,574 OF YOU TO LOOK AT THAT. 1213 00:46:17,641 --> 00:46:20,844 ALSO, UPCOMING IS NIH PRAGMATIC 1214 00:46:20,911 --> 00:46:21,945 TRIALS COLLABORATORY. 1215 00:46:22,012 --> 00:46:23,147 I'VE MENTIONED THE COLLABORATORY 1216 00:46:23,213 --> 00:46:26,016 QUITE A FEW TIMES IN THIS 1217 00:46:26,083 --> 00:46:27,985 PRESENTATION, AND THIS IS THEIR 1218 00:46:28,051 --> 00:46:35,125 ANNUAL WORKSHOP IN JULY. 1219 00:46:35,192 --> 00:46:36,960 THIS IS ALSO GOING TO HAVE A 1220 00:46:37,027 --> 00:46:38,629 PART OF IT -- OR IS THE WHOLE 1221 00:46:38,695 --> 00:46:40,597 THING VIDEOCAST, RIGHT? 1222 00:46:40,664 --> 00:46:42,032 IS THE WHOLE THING VIDEOCAST? 1223 00:46:42,099 --> 00:46:46,537 THIS IS VERY IMPORTANT TO GIVE A 1224 00:46:46,603 --> 00:46:49,373 SENSE OF REALLY THIS -- THE 1225 00:46:49,439 --> 00:46:51,141 THEME THAT I TALKED ABOUT 1226 00:46:51,208 --> 00:46:52,142 ALREADY. 1227 00:46:52,209 --> 00:46:55,245 IT'S ADDRESSING THE VERY URGENT 1228 00:46:55,312 --> 00:46:56,647 HEALTHCARE ISSUES THAT WE'RE 1229 00:46:56,713 --> 00:46:59,082 HAVING THROUGH PRAGMATIC 1230 00:46:59,149 --> 00:47:00,717 RESEARCH. 1231 00:47:00,784 --> 00:47:02,352 AND REALLY ENCOURAGING THIS 1232 00:47:02,419 --> 00:47:05,756 LEARNING HEALTHCARE SYSTEM 1233 00:47:05,822 --> 00:47:07,424 APPROACH TO IMPROVING HEALTHCARE 1234 00:47:07,491 --> 00:47:11,995 THROUGH PRAGMATIC TRIAL. 1235 00:47:12,062 --> 00:47:13,230 ANOTHER NOTICE OF SPECIAL 1236 00:47:13,297 --> 00:47:14,731 INTEREST, NOW THIS IS AN AREA OF 1237 00:47:14,798 --> 00:47:17,801 METHODS AND DATA SCIENCE. 1238 00:47:17,868 --> 00:47:21,338 I MENTIONED EARLIER THE CLOUD, 1239 00:47:21,405 --> 00:47:22,673 UTILIZING CLOUD-BASED DATA 1240 00:47:22,739 --> 00:47:23,540 SERVICES. 1241 00:47:23,607 --> 00:47:27,444 THIS PARTICULAR ONE IS FOR MORE 1242 00:47:27,511 --> 00:47:29,646 EXTENSIVE LARGER PROJECTS. 1243 00:47:29,713 --> 00:47:31,114 THE EARLIER -- WHAT I TALKED 1244 00:47:31,181 --> 00:47:34,484 ABOUT EARLIER IS MORE FOR PEOPLE 1245 00:47:34,551 --> 00:47:36,920 TO KIND OF TRY THINGS OUT, BUT 1246 00:47:36,987 --> 00:47:39,690 THERE'S NOT ENOUGH IF YOU HAVE A 1247 00:47:39,756 --> 00:47:41,758 VERY LARGE PROJECT, FOR EXAMPLE, 1248 00:47:41,825 --> 00:47:44,027 TO USE CLOUD-BASED SERVICES, YOU 1249 00:47:44,094 --> 00:47:45,696 MAY NEED ADDITIONAL RESOURCES 1250 00:47:45,762 --> 00:47:47,798 AND THIS IS WHAT THIS IS ABOUT. 1251 00:47:47,864 --> 00:47:49,433 THIS IS PUBLISHED BY THE OFFICE 1252 00:47:49,499 --> 00:47:51,635 OF DATA SCIENCE STRATEGY, AND 1253 00:47:51,702 --> 00:47:55,038 THEY HAVE FUNDING FOR PEOPLE WHO 1254 00:47:55,105 --> 00:47:58,208 REALLY WANT TO USE CLOUD 1255 00:47:58,275 --> 00:47:59,876 SERVICES AND NEED ADDITIONAL 1256 00:47:59,943 --> 00:48:06,116 SUPPORT TO DO THIS. 1257 00:48:06,183 --> 00:48:07,351 SO, WE'VE COME TO THE END OF 1258 00:48:07,417 --> 00:48:07,851 THIS. 1259 00:48:07,918 --> 00:48:09,152 OUR NEXT MEETING IS GOING TO BE 1260 00:48:09,219 --> 00:48:09,653 SEPTEMBER 13. 1261 00:48:09,720 --> 00:48:10,854 IT'S GOING TO BE AGAIN IN 1262 00:48:10,921 --> 00:48:12,489 PERSON, AND WE ARE REALLY 1263 00:48:12,556 --> 00:48:15,993 LOOKING FORWARD TO SEEING YOU IN 1264 00:48:16,059 --> 00:48:17,894 SEPTEMBER. 1265 00:48:17,961 --> 00:48:21,164 AND I HA WILL STOP HERE AND WOUD 1266 00:48:21,231 --> 00:48:23,367 LOVE TO HEAR ANY QUESTIONS OR 1267 00:48:23,433 --> 00:48:23,700 COMMENTS. 1268 00:48:23,767 --> 00:48:26,803 DO WE HAVE TIME FOR QUESTIONS? 1269 00:48:26,870 --> 00:48:28,405 HOW ARE WE DOING WITH OUR TIME? 1270 00:48:28,472 --> 00:48:32,276 >> YOU'RE DOING OKAY UNTIL 1271 00:48:32,342 --> 00:48:32,476 12:20. 1272 00:48:32,542 --> 00:48:33,110 >> PERFECT. 1273 00:48:33,176 --> 00:48:33,810 ALL RIGHT. 1274 00:48:33,877 --> 00:48:35,245 QUESTIONS, COMMENTS, REACTION? 1275 00:48:35,312 --> 00:48:36,780 BEN. 1276 00:48:36,847 --> 00:48:38,749 >> THANKS FOR THAT UPDATE, 1277 00:48:38,815 --> 00:48:40,183 DR. LANGEVIN. 1278 00:48:40,250 --> 00:48:42,586 I WONDER IF YOU HAVE ANY NEWS 1279 00:48:42,653 --> 00:48:44,021 ABOUT -- I KNOW THERE'S BEEN A 1280 00:48:44,087 --> 00:48:46,556 TRANS-NIH WORKING GROUP ON WHOLE 1281 00:48:46,623 --> 00:48:47,958 PERSON OUTCOMES, ET CETERA, THAT 1282 00:48:48,025 --> 00:48:49,493 YOU'VE BEEN REALLY SPEARHEADING, 1283 00:48:49,559 --> 00:48:52,129 AND I WONDER IF YOU HAVE ANY 1284 00:48:52,195 --> 00:48:54,464 NEWS ABOUT THAT OR UPDATES ON 1285 00:48:54,531 --> 00:48:54,665 THAT. 1286 00:48:54,731 --> 00:48:59,369 >> WE ARE ALMOST THERE. 1287 00:48:59,436 --> 00:49:08,145 WE HAD A CONCEPT CLEARANCE ON 1288 00:49:08,211 --> 00:49:13,183 ISSUING A FUNDING OPPORTUNITY 1289 00:49:13,250 --> 00:49:16,653 FOR DEVELOPING A KNOWLEDGE BASE 1290 00:49:16,720 --> 00:49:18,588 ON WHOLE PERSON RESEARCH. 1291 00:49:18,655 --> 00:49:20,624 I CANNOT SAY MORE THAN THAT 1292 00:49:20,691 --> 00:49:23,694 RIGHT NOW, BUT THERE WILL BE 1293 00:49:23,760 --> 00:49:25,128 SOME NEW DEVELOPMENTS VERY SOON, 1294 00:49:25,195 --> 00:49:25,796 RIGHT? 1295 00:49:25,862 --> 00:49:29,299 I CAN SAY THAT? 1296 00:49:29,366 --> 00:49:31,268 I CAN. 1297 00:49:31,335 --> 00:49:32,703 WE HAVE THIS -- THAT'S RIGHT, 1298 00:49:32,769 --> 00:49:36,106 THANK YOU, EMMELINE. 1299 00:49:36,173 --> 00:49:40,177 THIS WAS -- WE ARE -- OUR 1300 00:49:40,243 --> 00:49:42,479 WORKING GROUP ON WHOLE PERSON 1301 00:49:42,546 --> 00:49:44,981 RESEARCH HAS BEEN EXTREMELY 1302 00:49:45,048 --> 00:49:45,515 SUCCESSFUL. 1303 00:49:45,582 --> 00:49:51,655 WE HAVE NOW 17 INSTITUTES, 17 1304 00:49:51,722 --> 00:49:54,424 INSTITUTES, CENTERS AND OFFICES. 1305 00:49:54,491 --> 00:49:57,828 I REALLY WANT TO COMMEND THE 1306 00:49:57,894 --> 00:50:08,405 WORK OF DR. ERIN AND -- SHE'S 1307 00:50:12,075 --> 00:50:12,275 VIRTUAL? 1308 00:50:12,342 --> 00:50:13,477 THEY HAVE MOVED MOUNTAINS. 1309 00:50:13,543 --> 00:50:14,578 I DON'T KNOW IF YOU KNOW WHAT 1310 00:50:14,644 --> 00:50:16,113 IT'S LIKE TO DEVELOP A FUNDING 1311 00:50:16,179 --> 00:50:19,950 OPPORTUNITY WITH 17 INSTITUTES, 1312 00:50:20,016 --> 00:50:21,351 CENTERS AND OFFICES ON A TOPIC 1313 00:50:21,418 --> 00:50:22,386 AS COMPLEX AS WHOLE PERSON 1314 00:50:22,452 --> 00:50:22,819 HEALTH. 1315 00:50:22,886 --> 00:50:25,155 I CAN ONLY TELL YOU, YOU SEE THE 1316 00:50:25,222 --> 00:50:28,825 SMILE ON MY FACE. 1317 00:50:28,892 --> 00:50:30,394 SO YOU CAN READ MY LIPS, THIS IS 1318 00:50:30,460 --> 00:50:35,132 GOING TO BE AWESOME. 1319 00:50:35,198 --> 00:50:36,900 SO YOU'LL HEAR ABOUT THIS VERY 1320 00:50:36,967 --> 00:50:37,100 SOON. 1321 00:50:37,167 --> 00:50:39,770 >> CAN I JUST ADD, JUST SUPER 1322 00:50:39,836 --> 00:50:41,972 QUICK THANKS FROM THE WHOLE 1323 00:50:42,038 --> 00:50:44,708 COUNTRY AND THE WORLD FOR TAKING 1324 00:50:44,775 --> 00:50:45,342 THAT ON? 1325 00:50:45,409 --> 00:50:47,310 BECAUSE I THINK IT REALLY 1326 00:50:47,377 --> 00:50:50,647 REFLECTS THE MOVEMENT IN NIH 1327 00:50:50,714 --> 00:50:52,048 TOWARDS A MORE EXPANSIVE 1328 00:50:52,115 --> 00:50:53,350 APPROACH BEYOND JUST LOOKING AT 1329 00:50:53,417 --> 00:50:54,718 SPECIFIC DISEASES, AND I DON'T 1330 00:50:54,785 --> 00:50:55,786 THINK WE'D BE GETTING THERE 1331 00:50:55,852 --> 00:50:59,956 WITHOUT YOU AND THE NCCIH 1332 00:51:00,023 --> 00:51:00,257 LEADERSHIP. 1333 00:51:00,323 --> 00:51:01,491 >> THE FACT THAT WE'VE GOTTEN 1334 00:51:01,558 --> 00:51:02,959 MOST OF -- I MEAN, THE MAJORITY 1335 00:51:03,026 --> 00:51:04,694 OF NIH INSTITUTES AND CENTERS TO 1336 00:51:04,761 --> 00:51:07,097 COLLABORATE ON THIS IS IF HE 1337 00:51:07,164 --> 00:51:10,634 KNPHENOMENAL, I THINK, I'M VERY, 1338 00:51:10,700 --> 00:51:11,701 VERY EXCITED THAT PEOPLE ARE 1339 00:51:11,768 --> 00:51:13,603 BUYING IN. 1340 00:51:13,670 --> 00:51:13,970 YES, HELEN. 1341 00:51:14,037 --> 00:51:15,572 >> JUST A QUICK QUESTION ON THE 1342 00:51:15,639 --> 00:51:17,340 PROJECT BECAUSE OF THE HEAL 1343 00:51:17,407 --> 00:51:20,510 INITIATIVE FUNDING, YOU KNOW, 1344 00:51:20,577 --> 00:51:22,512 WAXING AND WANING, IS THERE ANY 1345 00:51:22,579 --> 00:51:24,147 PARTICULAR REASON FOR THAT? 1346 00:51:24,214 --> 00:51:26,750 >> FOR HEAL? 1347 00:51:26,817 --> 00:51:29,953 WELL, CERTAIN LARGE PROGRAMS 1348 00:51:30,020 --> 00:51:31,288 HAVE BEEN HIT A LOT MORE THAN 1349 00:51:31,354 --> 00:51:32,255 THE INSTITUTES AND CENTERS 1350 00:51:32,322 --> 00:51:34,791 THEMSELVES. 1351 00:51:34,858 --> 00:51:36,960 YOU KNOW, CONGRESS DECIDES THAT. 1352 00:51:37,027 --> 00:51:40,730 WE DON'T HAVE ANY SAY OVER THAT. 1353 00:51:40,797 --> 00:51:43,900 SO CONGRESS THIS YEAR DECIDED TO 1354 00:51:43,967 --> 00:51:46,303 CUT SEVERAL LARGE PROGRAMS, 1355 00:51:46,369 --> 00:51:48,972 INCLUDING SOME OF HEAL. 1356 00:51:49,039 --> 00:51:49,873 THE ALL-OF-US INITIATIVE WAS 1357 00:51:49,940 --> 00:51:50,407 CUT. 1358 00:51:50,474 --> 00:51:52,909 THE BRAIN INITIATIVE SUFFERED A 1359 00:51:52,976 --> 00:51:54,110 SEVERE CUT. 1360 00:51:54,177 --> 00:51:56,446 THE NIH INSTITUTES AND CENTERS 1361 00:51:56,513 --> 00:52:01,685 WERE MOSTLY SPARED. 1362 00:52:01,751 --> 00:52:02,886 SO, YOU KNOW, THAT'S WHAT 1363 00:52:02,953 --> 00:52:06,189 HAPPENED. 1364 00:52:06,256 --> 00:52:07,624 SO WE'RE HOPING THAT SOME OF 1365 00:52:07,691 --> 00:52:09,259 THIS FUNDING FOR ALL-OF-US AND, 1366 00:52:09,326 --> 00:52:11,895 YOU KNOW, BRAIN AND HEAL WILL 1367 00:52:11,962 --> 00:52:13,363 EVENTUALLY BE RESTORED. 1368 00:52:13,430 --> 00:52:16,299 THE GOOD NEWS, HOWEVER, IS WE 1369 00:52:16,366 --> 00:52:17,934 HAVE TO KEEP REMEMBERING, WE'RE 1370 00:52:18,001 --> 00:52:19,369 VERY FORTUNATE TO HAVE THESE 1371 00:52:19,436 --> 00:52:21,037 LARGE INITIATIVES IN THE FIRST 1372 00:52:21,104 --> 00:52:23,974 PLACE, RIGHT? 1373 00:52:24,040 --> 00:52:25,642 HEAL HAS BEEN A WONDERFUL THING 1374 00:52:25,709 --> 00:52:26,176 TO HAVE. 1375 00:52:26,243 --> 00:52:27,844 IT HAS REALLY ACCELERATED 1376 00:52:27,911 --> 00:52:31,681 RESEARCH ON PAIN AND OPIOID USE 1377 00:52:31,748 --> 00:52:32,782 DISORDER TO THE POINT WHERE WE 1378 00:52:32,849 --> 00:52:34,751 ARE -- I MEAN, THE SUCCESS IS 1379 00:52:34,818 --> 00:52:37,087 JUST PHENOMENAL IN CREATING A 1380 00:52:37,153 --> 00:52:37,821 WHOLE COMMUNITY OF 1381 00:52:37,888 --> 00:52:39,122 INVESTIGATORS, AND WE'RE ALSO, 1382 00:52:39,189 --> 00:52:44,194 OF COURSE, NOT FOR GETTING ALL L 1383 00:52:44,261 --> 00:52:47,497 THE RESEARCH ON PAIN THAT'S 1384 00:52:47,564 --> 00:52:49,499 OCCURRING OUTSIDE OF HEAL, AND 1385 00:52:49,566 --> 00:52:54,104 THERE'S NOW A BIG EFFORT THROUGH 1386 00:52:54,170 --> 00:52:57,173 THE NEWS AND I'VE BEEN TALKING 1387 00:52:57,240 --> 00:52:58,608 ABOUT THAT -- I'LL BE TALKING 1388 00:52:58,675 --> 00:53:00,377 ABOUT THAT IN MY NEXT 1389 00:53:00,443 --> 00:53:03,647 PRESENTATION ON HEAL. 1390 00:53:03,713 --> 00:53:05,515 SO IT'S SAD BUT YOU KNOW, IT 1391 00:53:05,582 --> 00:53:06,483 HAPPENS. 1392 00:53:06,550 --> 00:53:06,683 NADIA. 1393 00:53:06,750 --> 00:53:08,952 >> IT'S REALLY A GRADE SUMMARY, 1394 00:53:09,019 --> 00:53:10,053 SUPER INTERESTING, EXCITING 1395 00:53:10,120 --> 00:53:10,687 STUFF GOING ON. 1396 00:53:10,754 --> 00:53:12,923 I JUST WANTED TO SPECIFICALLY 1397 00:53:12,989 --> 00:53:16,726 POINT HOW EB THEUS YAS TICK 1398 00:53:16,793 --> 00:53:25,535 ENTHUSIASTIC I AMTO SEE THE NOFN 1399 00:53:25,602 --> 00:53:26,236 NUTRITION AND NATURAL PRODUCTS 1400 00:53:26,303 --> 00:53:26,503 AREA. 1401 00:53:26,570 --> 00:53:27,804 I KNOW THAT'S BEEN A TREMENDOUS 1402 00:53:27,871 --> 00:53:29,406 EFFORT TO ENVISION THE FUTURE OF 1403 00:53:29,472 --> 00:53:32,342 THE CARBON PROGRAM AND BY A LOT 1404 00:53:32,409 --> 00:53:35,545 OF PEOPLE AT NCCIH, CRAIG 1405 00:53:35,612 --> 00:53:36,546 HOFFMAN, PATRICK STILL AND FOLKS 1406 00:53:36,613 --> 00:53:38,815 AT ODS AND PROBABLY MANY OTHERS, 1407 00:53:38,882 --> 00:53:41,284 REALLY EXCITING TO SEE THE 1408 00:53:41,351 --> 00:53:42,252 R01 MECHANISM COMING IN THERE, 1409 00:53:42,319 --> 00:53:43,587 WHICH I THINK WILL BE A REALLY 1410 00:53:43,653 --> 00:53:45,589 GOOD OPPORTUNITY MAYBE FOR SOME 1411 00:53:45,655 --> 00:53:46,556 INVESTIGATORS WHO HAVEN'T BEEN 1412 00:53:46,623 --> 00:53:48,358 ABLE TO BE PARTICIPATING IN THE 1413 00:53:48,425 --> 00:53:50,627 U GRANTS TO COME IN WHICH IS 1414 00:53:50,694 --> 00:53:51,628 SOMETHING THAT WE'VE BROUGHT UP 1415 00:53:51,695 --> 00:53:53,730 AT PREVIOUS MEETINGS, SO REALLY 1416 00:53:53,797 --> 00:53:54,397 EXCITED TO SEE THAT. 1417 00:53:54,464 --> 00:53:55,599 JUST WANT TO SAY THANKS TO 1418 00:53:55,665 --> 00:53:56,600 EVERYBODY THAT'S BEEN INVOLVED. 1419 00:53:56,666 --> 00:53:58,501 I KNOW IT'S A TREMENDOUS AMOUNT 1420 00:53:58,568 --> 00:53:58,902 OF EFFORT. 1421 00:53:58,969 --> 00:54:00,236 >> YEAH, WE'RE VERY EXCITED 1422 00:54:00,303 --> 00:54:01,471 ABOUT THESE DEVELOPMENTS AS 1423 00:54:01,538 --> 00:54:03,873 WELL. 1424 00:54:03,940 --> 00:54:05,308 DR. PASIACOS, THE NEW DIRECTOR 1425 00:54:05,375 --> 00:54:06,443 OF THE OFFICE OF DIETARY 1426 00:54:06,509 --> 00:54:07,744 SUPPLEMENTS HAS BEEN EXTREMELY 1427 00:54:07,811 --> 00:54:08,745 INTERESTED IN COLLABORATING WITH 1428 00:54:08,812 --> 00:54:09,179 US. 1429 00:54:09,245 --> 00:54:11,247 HE HAS A BIG INTEREST IN 1430 00:54:11,314 --> 00:54:14,651 CLINICAL TRANSLATION, AND WE ARE 1431 00:54:14,718 --> 00:54:16,219 VERY MUCH IN AGREEMENT THAT 1432 00:54:16,286 --> 00:54:18,021 THAT'S WHERE WE WANT TO GO. 1433 00:54:18,088 --> 00:54:20,056 >> YEAH, THAT'S GREAT TO SEE. 1434 00:54:20,123 --> 00:54:21,257 AND IT'S BEEN OBVIOUSLY A LONG 1435 00:54:21,324 --> 00:54:23,460 TIME IN COMING, THINKING ABOUT 1436 00:54:23,526 --> 00:54:24,995 TAKING A STEP BACK FROM SOME OF 1437 00:54:25,061 --> 00:54:26,062 THE INITIAL TRIALS AND THINKING 1438 00:54:26,129 --> 00:54:27,330 ABOUT HOW TO MOVE IN THAT 1439 00:54:27,397 --> 00:54:28,298 DIRECTION, BUT IT'S REALLY 1440 00:54:28,365 --> 00:54:29,199 EXCITING TO SEE IT GOING THAT 1441 00:54:29,265 --> 00:54:29,399 WAY. 1442 00:54:29,466 --> 00:54:32,268 >> WE'RE IN A DIFFERENT PLACE 1443 00:54:32,335 --> 00:54:32,435 NOW. 1444 00:54:32,502 --> 00:54:33,336 >> YEAH, VERY DIFFERENT. 1445 00:54:33,403 --> 00:54:35,238 >> WE HAVE A LOT MORE 1446 00:54:35,305 --> 00:54:37,140 CAPABILITIES IN TERMS OF 1447 00:54:37,207 --> 00:54:41,478 TECHNIQUES, YOU KNOW, DATA 1448 00:54:41,544 --> 00:54:43,680 RESOURCES, AND ALSO THE CENTERS 1449 00:54:43,747 --> 00:54:45,482 THAT WERE FUNDED THROUGH CARBON 1450 00:54:45,548 --> 00:54:46,616 ARE GOING TO HELP WITH THAT. 1451 00:54:46,683 --> 00:54:47,250 >> RIGHT. 1452 00:54:47,317 --> 00:54:49,653 >> SO YEAH, I THINK WE'RE IN A 1453 00:54:49,719 --> 00:54:51,855 GOOD PLACE, SO, YEAH. 1454 00:54:51,921 --> 00:54:58,762 >> AGREED. 1455 00:54:58,828 --> 00:55:00,296 >> ALSO I WANT TO MENTION AN 1456 00:55:00,363 --> 00:55:01,598 IMPORTANT COLLABORATION WITH THE 1457 00:55:01,665 --> 00:55:03,299 OFFICE OF NUTRITION RESEARCH. 1458 00:55:03,366 --> 00:55:06,036 WE ARE IN THE MIDDLE NOW OF 1459 00:55:06,102 --> 00:55:09,406 PREPARING A MANUSCRIPT WHERE WE 1460 00:55:09,472 --> 00:55:12,242 HAVE NCCIH, THE OFFICE OF 1461 00:55:12,308 --> 00:55:14,377 NUTRITION RESEARCH, OFFICE 1462 00:55:14,444 --> 00:55:16,212 DIETARY SUPPLEMENTS AND ALSO THE 1463 00:55:16,279 --> 00:55:17,213 OFFICE OF NURSING RESEARCH. 1464 00:55:17,280 --> 00:55:19,115 WE'RE REALLY INTERESTED IN 1465 00:55:19,182 --> 00:55:20,650 LOOKING -- WE'VE CALLED IT THE 1466 00:55:20,717 --> 00:55:21,284 NUTRITION CONTINUUM. 1467 00:55:21,351 --> 00:55:24,888 SO ALL THE WAY FROM, YOU KNOW, 1468 00:55:24,954 --> 00:55:28,024 THE ENVIRONMENTAL ASPECTS TO 1469 00:55:28,091 --> 00:55:31,194 FOOD INSECURITY, FOR EXAMPLE, N 1470 00:55:31,261 --> 00:55:32,595 IMR IS VERY INTERESTED IN THAT, 1471 00:55:32,662 --> 00:55:35,265 TO SOCIAL ASPECTS OF FOOD -- 1472 00:55:35,331 --> 00:55:36,900 TEACHING KITCHENS, FOR EXAMPLE, 1473 00:55:36,966 --> 00:55:39,636 FOOD LITERACY, TO NUTRITION 1474 00:55:39,703 --> 00:55:41,504 ITSELF, TO THE COMPONENTS OF 1475 00:55:41,571 --> 00:55:43,940 FOOD, TO THE CONSTITUENTS OF 1476 00:55:44,007 --> 00:55:45,408 FOOD, TO DIETARY SUPPLEMENTS. 1477 00:55:45,475 --> 00:55:47,343 YOU SEE, THE WHOLE THING. 1478 00:55:47,410 --> 00:55:51,181 AND IT'S REALLY GREAT THAT NIH 1479 00:55:51,247 --> 00:55:53,450 AGAIN -- THIS IS THE WHOLE 1480 00:55:53,516 --> 00:55:55,418 PERSON, SO BIOLOGICAL, 1481 00:55:55,485 --> 00:55:56,319 BEHAVIORAL, SOCIAL, 1482 00:55:56,386 --> 00:55:57,320 ENVIRONMENTAL, WHY WORK 1483 00:55:57,387 --> 00:55:58,955 SEPARATELY WHEN WE COULD WORK 1484 00:55:59,022 --> 00:56:00,590 TOGETHER? 1485 00:56:00,657 --> 00:56:03,226 SO IT'S -- NUTRITION, I THINK, 1486 00:56:03,293 --> 00:56:04,127 THIS NUTRITION CONTINUUM EFFORT 1487 00:56:04,194 --> 00:56:05,762 THAT WE'RE DOING NOW ACROSS NIH 1488 00:56:05,829 --> 00:56:08,398 IS ANOTHER EXAMPLE OF HOW WHOLE 1489 00:56:08,465 --> 00:56:10,400 PERSON HEALTH CONCEPT IS REALLY 1490 00:56:10,467 --> 00:56:12,368 HELPING PEOPLE TO WORK TOGETHER. 1491 00:56:12,435 --> 00:56:14,904 EVERYBODY GETS IT. 1492 00:56:14,971 --> 00:56:17,607 IT'S LIKE IT AMAZING, RIGHT? 1493 00:56:17,674 --> 00:56:20,710 HOW IT HAS BEEN ALMOST LIKE A 1494 00:56:20,777 --> 00:56:23,012 RALLYING CALL. 1495 00:56:23,079 --> 00:56:24,347 THAT HAS GOTTEN A LOT OF PEOPLE 1496 00:56:24,414 --> 00:56:30,887 TO WORK TOGETHER. 1497 00:56:30,954 --> 00:56:40,029 ANY OTHER THOUGHTS, COMMENTS? 1498 00:56:40,096 --> 00:56:42,632 SHOULD WE MOVE FORWARD TO OUR 1499 00:56:42,699 --> 00:56:45,602 NEXT PROGRAM ITEM? 1500 00:56:45,668 --> 00:56:46,803 GOOD LUCK, WHOEVER IS GOING TO 1501 00:56:46,870 --> 00:56:50,440 USE THIS CLICKER NEXT. 1502 00:56:50,507 --> 00:56:51,975 OH, YOU HAVE YOUR OWN. 1503 00:56:52,041 --> 00:56:52,308 GOOD. 1504 00:56:52,375 --> 00:57:02,786 I HOPE IT WORKS BETTER. 1505 00:57:49,632 --> 00:57:52,602 NEXT ON OUR AGENDA IS A VERY 1506 00:57:52,669 --> 00:57:55,805 IMPORTANT UPDATE. 1507 00:57:55,872 --> 00:57:58,208 AS PEOPLE KNOW AND ON THIS 1508 00:57:58,274 --> 00:58:01,077 COUNCIL, WE HAVE ESTABLISHED, 1509 00:58:01,144 --> 00:58:03,279 AFTER MANY DISCUSSIONS WITH YOU 1510 00:58:03,346 --> 00:58:07,217 ALL IN THE PAST AND INPUT FROM 1511 00:58:07,283 --> 00:58:08,985 THE COMMUNITY, A COUNCIL WORKING 1512 00:58:09,052 --> 00:58:10,220 GROUP ON THE TOPIC OF SPIRITUAL 1513 00:58:10,286 --> 00:58:13,089 HEALTH. 1514 00:58:13,156 --> 00:58:14,924 WE'RE VERY PLEASED THAT THIS 1515 00:58:14,991 --> 00:58:17,994 GROUP HAS BEEN FORMED, AND IS 1516 00:58:18,061 --> 00:58:20,330 BEING HELD AND LED BY DR. HELEN 1517 00:58:20,396 --> 00:58:21,764 BENVENISTE, WHO HAS GRACIOUSLY 1518 00:58:21,831 --> 00:58:28,171 AGREED TO CHAIR THE GROUP. 1519 00:58:28,238 --> 00:58:33,209 AND DR. BENVENISTE IS GOING TO 1520 00:58:33,276 --> 00:58:35,712 GIVE US A QUICK OVERVIEW OF THE 1521 00:58:35,778 --> 00:58:36,479 INITIAL PHASES OF THIS WORKING 1522 00:58:36,546 --> 00:58:37,013 GROUP. 1523 00:58:37,080 --> 00:58:39,048 THIS IS A WORK IN PROGRESS, BUT 1524 00:58:39,115 --> 00:58:41,351 WE'VE BEEN VERY PLEASED THAT THE 1525 00:58:41,417 --> 00:58:42,785 GROUP HAS MET SEVERAL TIMES 1526 00:58:42,852 --> 00:58:45,188 SINCE OUR LAST COUNCIL. 1527 00:58:45,255 --> 00:58:48,825 THEY HAVE REALLY BEEN VERY 1528 00:58:48,892 --> 00:58:58,034 ENGAGED, AND THAT ALSO DR 1529 00:58:58,101 --> 00:59:00,770 DR. LINSITINIB SHINTO, FORMER 1530 00:59:00,837 --> 00:59:01,471 COUNCILMEMBER WHO HAS BEEN 1531 00:59:01,537 --> 00:59:02,672 ENGAGED IN THIS WORKING GROUP IS 1532 00:59:02,739 --> 00:59:04,540 NOW JOINING US ON ZOOM FOR THIS 1533 00:59:04,607 --> 00:59:06,142 PRESENTATION AND ENSUING 1534 00:59:06,209 --> 00:59:07,977 DISCUSSION. 1535 00:59:08,044 --> 00:59:14,117 AND I WANT TO REALLY APPLAUD THE 1536 00:59:14,183 --> 00:59:15,551 GROUP FOR TAKING A VERY COMPLEX 1537 00:59:15,618 --> 00:59:16,686 TOPIC AND REALLY BEING VERY, 1538 00:59:16,753 --> 00:59:19,188 VERY THOUGHTFUL FROM WHAT I CAN 1539 00:59:19,255 --> 00:59:20,723 HEAR. 1540 00:59:20,790 --> 00:59:25,128 SO DR. BENVENISTE, TAKE IT AWAY. 1541 00:59:25,194 --> 00:59:27,130 >> THANK YOU VERY MUCH, 1542 00:59:27,196 --> 00:59:28,631 DR. LANGEVIN, FOR THIS 1543 00:59:28,698 --> 00:59:29,966 INTRODUCTION, AND ALSO IT'S AN 1544 00:59:30,033 --> 00:59:33,636 HONOR TO BE CHAIRING THIS GROUP, 1545 00:59:33,703 --> 00:59:37,874 AND I WILL TRY TO INTRODUCE THE 1546 00:59:37,941 --> 00:59:39,175 CONCEPT THAT WE HAVE BEEN -- THE 1547 00:59:39,242 --> 00:59:43,313 CHARGE THAT WE HAVE BEEN GIVEN 1548 00:59:43,379 --> 00:59:44,414 AND ALSO A LITTLE MORE ABOUT 1549 00:59:44,480 --> 00:59:45,715 WHAT WE HAVE ACTUALLY ACHIEVED. 1550 00:59:45,782 --> 00:59:49,485 BUT I WANT TO START BY LISTING 1551 00:59:49,552 --> 00:59:52,889 AND HIGHLIGHTING THE MEMBERS ON 1552 00:59:52,956 --> 00:59:54,424 THE COMMITTEE. 1553 00:59:54,490 --> 00:59:55,925 AS YOU CAN SEE HERE, THE 1554 00:59:55,992 --> 00:59:59,929 COUNCILMEMBERS AND ALSO A GREAT 1555 00:59:59,996 --> 01:00:01,831 THANKS TO MARTINA SCHMIDT, 1556 01:00:01,898 --> 01:00:02,765 EXECUTIVE SECRETARY, WHO IS 1557 01:00:02,832 --> 01:00:06,703 SUPPORTING THE PROCESS AND YOU 1558 01:00:06,769 --> 01:00:07,770 CAN SEE THE NAMES HERE, I'M NOT 1559 01:00:07,837 --> 01:00:08,838 GOING TO LIST THEM, BUT IT'S 1560 01:00:08,905 --> 01:00:11,774 BEEN A WONDERFUL EXPERIENCE FOR 1561 01:00:11,841 --> 01:00:17,046 ME PERSONALLY TO WORK WITH THE 1562 01:00:17,113 --> 01:00:18,481 COUNCILMEMBERS ON THIS. 1563 01:00:18,548 --> 01:00:21,484 AS I SAID OR AS DR. LANGEVIN WAS 1564 01:00:21,551 --> 01:00:22,385 MENTIONING, I THINK IN EARLY 1565 01:00:22,452 --> 01:00:23,686 MARCH WE WERE APPROACHED BY THE 1566 01:00:23,753 --> 01:00:26,522 NCCIH AND COUNCIL WAS ASKED IF 1567 01:00:26,589 --> 01:00:27,457 SOMEBODY -- WHO OF US WERE 1568 01:00:27,523 --> 01:00:28,791 INTERESTED IN GETTING ON THE 1569 01:00:28,858 --> 01:00:32,295 WORKING GROUP TO COME UP WITH 1570 01:00:32,362 --> 01:00:35,798 RECOMMENDATIONS REGARDING THIS 1571 01:00:35,865 --> 01:00:37,700 PARTICULAR TOPIC, AND THESE WERE 1572 01:00:37,767 --> 01:00:41,537 THE MEMBERS THAT JUMPED TO THE 1573 01:00:41,604 --> 01:00:42,071 OPPORTUNITY. 1574 01:00:42,138 --> 01:00:44,207 SO I THINK I'M GOING TO JUST 1575 01:00:44,273 --> 01:00:45,875 MENTION BRIEFLY, DR. LANGEVIN 1576 01:00:45,942 --> 01:00:48,444 HAS ALREADY KIND OF ALLUDED TO 1577 01:00:48,511 --> 01:00:49,679 THE FACT THAT WHY SHOULD WE HAVE 1578 01:00:49,746 --> 01:00:51,714 A WORKING GROUP ON SPIRITUALITY, 1579 01:00:51,781 --> 01:00:55,351 SO WHY IS THE NCCIH DOING THIS, 1580 01:00:55,418 --> 01:00:58,821 AND I THINK IN A LOT OF PEOPLE 1581 01:00:58,888 --> 01:01:00,223 ARE THINKING IT'S A NATURAL 1582 01:01:00,289 --> 01:01:02,291 EVOLUTION OF THE NCCIH STRATEGIC 1583 01:01:02,358 --> 01:01:07,330 PLANNING, BASED ON T ON THE 1584 01:01:07,397 --> 01:01:08,031 INTERACTIONS WITH THE COMMUNITY 1585 01:01:08,097 --> 01:01:10,299 AND IT'S NOT A NEW TOPIC, PER 1586 01:01:10,366 --> 01:01:10,466 SE. 1587 01:01:10,533 --> 01:01:12,201 THE V.A. CERTAINLY HAS ALREADY 1588 01:01:12,268 --> 01:01:15,438 EMBRACED SPIRITUALITY FRONT AND 1589 01:01:15,505 --> 01:01:17,306 CENTER IN THE WHOLE HEALTH 1590 01:01:17,373 --> 01:01:18,608 PATIENT CARE MODEL. 1591 01:01:18,674 --> 01:01:21,010 DR. LANGEVIN POSTED A VERY 1592 01:01:21,077 --> 01:01:24,247 IMPORTANT MESSAGE IN 2023 AND 1593 01:01:24,313 --> 01:01:26,315 POSED THE QUESTION REGARDING 1594 01:01:26,382 --> 01:01:27,950 INCLUDING SPIRITUALITY INTO A 1595 01:01:28,017 --> 01:01:30,486 FULLER PICTURE OF RESEARCH ON 1596 01:01:30,553 --> 01:01:32,722 WHOLE PERSON HEALTH, AND IT'S 1597 01:01:32,789 --> 01:01:36,993 ALSO BEEN THE FOCUS AREA AT THE 1598 01:01:37,060 --> 01:01:38,761 RECENT INTEGRATIVE HEALTH 1599 01:01:38,828 --> 01:01:39,796 CONFERENCE. 1600 01:01:39,862 --> 01:01:43,433 SO IT'S SOMETHING THAT IS ON 1601 01:01:43,499 --> 01:01:44,834 EVERYBODY'S MIND, SO TO SPEAK, 1602 01:01:44,901 --> 01:01:48,971 SO IT'S NOT SURPRISING AGAIN 1603 01:01:49,038 --> 01:01:53,276 THAT WE ARE NOW -- THE TIME IS 1604 01:01:53,342 --> 01:01:54,977 RIGHT, SO TO SPEAK, TO ACTUALLY 1605 01:01:55,044 --> 01:01:56,312 APPROACH IT A LITTLE MORE 1606 01:01:56,379 --> 01:01:56,813 CAREFULLY. 1607 01:01:56,879 --> 01:01:58,781 SO THE CHARGE THAT WE GOT, THE 1608 01:01:58,848 --> 01:02:01,384 GROUP GOT, IS LISTED HERE. 1609 01:02:01,451 --> 01:02:04,787 AND I'M GOING TO READ THE THINGS 1610 01:02:04,854 --> 01:02:07,623 IN BOLD, SO THE FIRST CHARGE IS 1611 01:02:07,690 --> 01:02:09,659 HOW DO SPIRITUAL PRACTICES AND 1612 01:02:09,725 --> 01:02:10,526 SPIRITUAL HEALTH FIT IN THE 1613 01:02:10,593 --> 01:02:12,395 CONCEPT OF WHOLE PERSON HEALTH? 1614 01:02:12,462 --> 01:02:15,298 AND AGAIN, SHOULD SPIRITUAL BE A 1615 01:02:15,364 --> 01:02:16,499 SEPARATE WHOLE PERSON HEALTH 1616 01:02:16,566 --> 01:02:17,233 DOMAIN? 1617 01:02:17,300 --> 01:02:18,901 I'M GOING TO SHOW THIS A LITTLE 1618 01:02:18,968 --> 01:02:20,536 MORE IN DETAIL LATER. 1619 01:02:20,603 --> 01:02:22,338 AND WHAT ARE THE RESEARCH GAPS 1620 01:02:22,405 --> 01:02:24,107 THAT ARE IN NEED OF BEING 1621 01:02:24,173 --> 01:02:25,875 ADDRESSED WITH RESPECT TO, LET'S 1622 01:02:25,942 --> 01:02:27,777 SAY, SPIRITUAL PRACTICES, 1623 01:02:27,844 --> 01:02:29,312 SPIRITUAL HEALTH, AND WHAT 1624 01:02:29,378 --> 01:02:31,614 RESEARCH METHODS ARE NEEDED TO 1625 01:02:31,681 --> 01:02:34,183 ADDRESS THE GAPS AND UNDER WHAT 1626 01:02:34,250 --> 01:02:36,152 RESEARCH CATEGORY SHOULD THIS 1627 01:02:36,219 --> 01:02:38,454 FIT INTO: MIND AND BODY 1628 01:02:38,521 --> 01:02:41,057 CONNECTION, POSITIVE HEALTH 1629 01:02:41,124 --> 01:02:42,692 PROCESSES, WHOLE BODY HEALTH -- 1630 01:02:42,758 --> 01:02:44,193 PERSON HEALTH, OR MORE THAN ONE. 1631 01:02:44,260 --> 01:02:45,728 AND WE JUST HEARD ABOUT THOSE 1632 01:02:45,795 --> 01:02:48,097 CATEGORIES FROM DR. LANGEVIN IN 1633 01:02:48,164 --> 01:02:50,266 HER PRESENTATION. 1634 01:02:50,333 --> 01:02:52,668 WHAT I'M GOING TO AGAIN REFRESH 1635 01:02:52,735 --> 01:02:54,871 EVERYBODY'S MEMORY ABOUT THE 1636 01:02:54,937 --> 01:02:58,141 WHOLE PERSON HEALTH CONCEPT, YOU 1637 01:02:58,207 --> 01:03:03,146 CAN SEE WE HAVE THE HEALTH TO 1638 01:03:03,212 --> 01:03:03,479 DISEASE. 1639 01:03:03,546 --> 01:03:05,982 IT TAKES A WHOLE ARMY TO STUDY, 1640 01:03:06,048 --> 01:03:07,917 TO GET TOGETHER ON THIS, TO 1641 01:03:07,984 --> 01:03:09,352 UNDERSTAND, AND WHAT WE ARE 1642 01:03:09,418 --> 01:03:11,721 FOCUSING ON IS ON THE INDIVIDUAL 1643 01:03:11,787 --> 01:03:13,222 WHERE YOU CAN SEE THE DIFFERENT 1644 01:03:13,289 --> 01:03:15,958 DOMAINS THAT ARE INTEGRATED 1645 01:03:16,025 --> 01:03:18,361 ALREADY, BIOLOGICAL, BEHAVIORAL, 1646 01:03:18,427 --> 01:03:20,563 SOCIAL, AND ENVIRONMENT. 1647 01:03:20,630 --> 01:03:23,232 IN THE PROCESS OF HEALTH TO 1648 01:03:23,299 --> 01:03:23,566 DISEASE. 1649 01:03:23,633 --> 01:03:25,001 AND NOW THE QUESTION OR THE 1650 01:03:25,067 --> 01:03:29,705 CHARGE IS, SHOULD SPIRITUAL BE A 1651 01:03:29,772 --> 01:03:31,507 SEPARATE DOMAIN HERE? 1652 01:03:31,574 --> 01:03:34,911 AND AGAIN, JUST HIGHLIGHTING 1653 01:03:34,977 --> 01:03:36,312 AGAIN THE NEW GROUPINGS THAT I 1654 01:03:36,379 --> 01:03:41,184 THINK ARE VERY HELPFUL, SO THESE 1655 01:03:41,250 --> 01:03:42,518 CONCEPTS, THESE GROUPINGS AS WAS 1656 01:03:42,585 --> 01:03:44,687 ALSO MENTIONED BY DR. LANGEVIN 1657 01:03:44,754 --> 01:03:46,656 ARE OVERLAPPING. 1658 01:03:46,722 --> 01:03:51,928 WE HAVE THE WHOLE PERSON HEALTH 1659 01:03:51,994 --> 01:03:53,429 THERE IN THE MIDDLE, AND YOU 1660 01:03:53,496 --> 01:03:54,830 WILL SEE IT BETTER ON THIS NEXT 1661 01:03:54,897 --> 01:03:57,033 ONE, THAT THE NCCIH HAS ACTUALLY 1662 01:03:57,099 --> 01:03:59,936 ALREADY THOUGHT ABOUT SPIRITUAL 1663 01:04:00,002 --> 01:04:01,571 PRACTICES IN THE THERAPEUTIC 1664 01:04:01,637 --> 01:04:02,672 INPUT DOMAINS AS YOU CAN SEE 1665 01:04:02,738 --> 01:04:03,873 HERE. 1666 01:04:03,940 --> 01:04:08,311 AND THE MIND-BODY PRACTICES 1667 01:04:08,377 --> 01:04:10,179 UNDER PSYCHOLOGICAL HAS LISTED 1668 01:04:10,246 --> 01:04:11,280 SPIRITUAL PRACTICES. 1669 01:04:11,347 --> 01:04:14,750 SO IT'S NOT LIKE COMING OUT OF 1670 01:04:14,817 --> 01:04:17,887 NOWHERE, AND WE ALL KNOW, LIK 1671 01:04:17,954 --> 01:04:19,322 LIKE -- AND I'M LEARNING, BEING 1672 01:04:19,388 --> 01:04:21,390 PART OF THE GROUP, LIKE YOGA CAN 1673 01:04:21,457 --> 01:04:23,993 BE AN EXERCISE OR IT CAN BE A 1674 01:04:24,060 --> 01:04:25,194 SPIRITUAL EXPERIENCE DEPENDING 1675 01:04:25,261 --> 01:04:27,730 ON THE INTENT OF THE INDIVIDUAL 1676 01:04:27,797 --> 01:04:28,464 DOING THESE THINGS. 1677 01:04:28,531 --> 01:04:33,836 AND THIS IS KIND OF FLOATING 1678 01:04:33,903 --> 01:04:35,004 AROUND IN MANY DIFFERENT DOMAINS 1679 01:04:35,071 --> 01:04:36,138 AND THIS IS WHAT WE ARE TRYING 1680 01:04:36,205 --> 01:04:38,507 TO ADDRESS. 1681 01:04:38,574 --> 01:04:40,610 ONE OF THE THINGS THAT THE GROUP 1682 01:04:40,676 --> 01:04:43,312 CAME TO REALIZE WAS THAT IT IS 1683 01:04:43,379 --> 01:04:44,747 EXTREMELY IMPORTANT THAT WE 1684 01:04:44,814 --> 01:04:47,917 HARMONIZE LANGUAGE. 1685 01:04:47,984 --> 01:04:49,452 WE WERE GIVEN THE CHARGE LOOKING 1686 01:04:49,518 --> 01:04:51,721 AT SPIRITUAL HEALTH. 1687 01:04:51,787 --> 01:04:54,457 BUT IT IMMEDIATELY BECAME CLEAR 1688 01:04:54,523 --> 01:04:57,493 THAT THE SPIRITUAL HEALTH VERSUS 1689 01:04:57,560 --> 01:04:58,794 SPIRITUAL WELL-BEING NEEDED TO 1690 01:04:58,861 --> 01:04:59,462 BE DISCUSSED. 1691 01:04:59,528 --> 01:05:00,896 THESE ARE TWO TERMS THAT ARE 1692 01:05:00,963 --> 01:05:05,167 BEING USED, AND WE DECIDED TO 1693 01:05:05,234 --> 01:05:08,337 DISCUSS THIS IN MORE DETAIL, AND 1694 01:05:08,404 --> 01:05:10,239 IN TERMS OF THE SPIRITUAL 1695 01:05:10,306 --> 01:05:11,407 WELL-BEING, USING THAT AS A 1696 01:05:11,474 --> 01:05:14,343 TERM, THE WHO AND THE V.A. HAVE 1697 01:05:14,410 --> 01:05:16,445 BEEN OPERATING WITH SPIRITUAL 1698 01:05:16,512 --> 01:05:17,079 WELL-BEING. 1699 01:05:17,146 --> 01:05:19,582 IT'S A CONSENSUS TO REFER TO 1700 01:05:19,649 --> 01:05:22,084 THIS TERM BY MANY. 1701 01:05:22,151 --> 01:05:25,154 AND IT'S ALSO A GENERAL CONCEPT 1702 01:05:25,221 --> 01:05:28,391 AMONG NATIVE AMERICANS, ABOUT 1703 01:05:28,457 --> 01:05:28,858 HEALTH. 1704 01:05:28,924 --> 01:05:31,260 THE TERM WELLNESS IS MENTIONED 1705 01:05:31,327 --> 01:05:33,029 IN THEIR WHEEL OF LIFE. 1706 01:05:33,095 --> 01:05:37,066 AND THE WELL-BEING HAS DIFFERENT 1707 01:05:37,133 --> 01:05:38,801 FACETS, AND MANY ARE THINKING 1708 01:05:38,868 --> 01:05:41,070 THAT THE TERM WELL-BEING IS LESS 1709 01:05:41,137 --> 01:05:41,837 CONTROVERSIAL. 1710 01:05:41,904 --> 01:05:43,606 BUT YOU ALSO HAVE THE OTHER 1711 01:05:43,673 --> 01:05:48,577 OPINION THAT HEALTH IS LESS 1712 01:05:48,644 --> 01:05:49,779 JUDGMENTAL, AT MIND AND BODY 1713 01:05:49,845 --> 01:05:51,314 INTERSECTION WITH SPIRITUAL 1714 01:05:51,380 --> 01:05:54,050 HEALTH, THAT'S ALREADY KIND OF 1715 01:05:54,116 --> 01:05:58,921 INCORPORATED IN THE NCCIH KIND 1716 01:05:58,988 --> 01:06:02,091 OF PLAN, AND ALSO HEALTH IS PART 1717 01:06:02,158 --> 01:06:04,393 OF WELL-BEING AS A CONCEPT, AND 1718 01:06:04,460 --> 01:06:06,562 AGAIN MIGHT BE BETTER ALIGNED 1719 01:06:06,629 --> 01:06:09,398 WITH THE NCCIH MISSION GOALS. 1720 01:06:09,465 --> 01:06:12,468 SO YOU CAN SEE THERE'S PROS AND 1721 01:06:12,535 --> 01:06:14,737 CONS, AND GIVEN THIS, WE DECIDED 1722 01:06:14,804 --> 01:06:15,604 TO EMBRACE BOTH. 1723 01:06:15,671 --> 01:06:18,240 SO WE ARE TALKING ABOUT 1724 01:06:18,307 --> 01:06:18,874 SPIRITUAL HEALTH AND WELL-BEING 1725 01:06:18,941 --> 01:06:21,577 FOR NOW. 1726 01:06:21,644 --> 01:06:25,181 SO YOU CAN SEE THIS IS NOT FAST 1727 01:06:25,247 --> 01:06:25,514 PROCESS. 1728 01:06:25,581 --> 01:06:27,149 LOTS OF DISCUSSION GOING ON AND 1729 01:06:27,216 --> 01:06:28,317 TRYING TO CONVENE ON THINGS THAT 1730 01:06:28,384 --> 01:06:31,387 WE CAN ALL AGREE ON. 1731 01:06:31,454 --> 01:06:32,922 THERE'S ALSO MANY WORKING 1732 01:06:32,988 --> 01:06:34,557 DEFINITIONS OF WHAT DO PEOPLE 1733 01:06:34,623 --> 01:06:36,158 MEAN OR WHAT ARE THEY REFERRING 1734 01:06:36,225 --> 01:06:40,096 TO IN TERMS OF SPIRITUALITY, AND 1735 01:06:40,162 --> 01:06:41,197 THIS PARTICULAR DEFINITION IS 1736 01:06:41,263 --> 01:06:43,899 NOT ALSO TAKEN OUT OF THE BLUE. 1737 01:06:43,966 --> 01:06:48,604 IT HAS BEEN ENDORSED BY MANY 1738 01:06:48,671 --> 01:06:51,474 WORKING IN THE WHOLE BODY HEALTH 1739 01:06:51,540 --> 01:06:52,942 AND PALLIATIVE CARE MEDICINE. 1740 01:06:53,008 --> 01:06:55,177 AND YOU CAN SEE THIS IS JUST ONE 1741 01:06:55,244 --> 01:06:57,880 OF THE DEFINITIONS THAT ARE 1742 01:06:57,947 --> 01:06:59,515 MENTIONING MANY WORDS THAT MANY 1743 01:06:59,582 --> 01:07:02,017 CAN RELATE TO. 1744 01:07:02,084 --> 01:07:03,986 SPIRITUALITY IS DEFINED AS A 1745 01:07:04,053 --> 01:07:06,255 DYNAMIC AND INTRINSIC ASPECT OF 1746 01:07:06,322 --> 01:07:08,424 HUMANITY THROUGH WHICH PERSONS 1747 01:07:08,491 --> 01:07:09,959 SEEK ULTIMATE MEANING, PURPOSE 1748 01:07:10,025 --> 01:07:11,594 AND TRANSCENDENCE AND EXPERIENCE 1749 01:07:11,660 --> 01:07:13,896 RELATIONSHIP TO SELF, FAMILY, 1750 01:07:13,963 --> 01:07:15,498 OTHERS, COMMUNITY, SOCIETY, 1751 01:07:15,564 --> 01:07:17,466 NATURE, AND THE SIGNIFICANT OR 1752 01:07:17,533 --> 01:07:18,868 SACRED. 1753 01:07:18,934 --> 01:07:20,136 SPIRITUALITY IS EXPRESSED 1754 01:07:20,202 --> 01:07:21,704 THROUGH BELIEFS, VALUES, 1755 01:07:21,771 --> 01:07:23,572 TRADITIONS AND PRACTICES. 1756 01:07:23,639 --> 01:07:25,875 VERY BROAD, BUT THERE ARE MANY 1757 01:07:25,941 --> 01:07:27,476 OTHER DEFINITIONS OF 1758 01:07:27,543 --> 01:07:28,577 SPIRITUALITY, AND THIS IS JUST 1759 01:07:28,644 --> 01:07:29,111 ONE OF THEM. 1760 01:07:29,178 --> 01:07:31,347 I MEAN, WE ARE NOT EMBRACING ONE 1761 01:07:31,414 --> 01:07:33,682 OR THE OTHER, BUT WE THOUGHT -- 1762 01:07:33,749 --> 01:07:35,785 THE WORKING GROUP THOUGHT THIS 1763 01:07:35,851 --> 01:07:40,055 WAS VERY BROAD AND TOOK AWAY AND 1764 01:07:40,122 --> 01:07:42,458 INCLUDING A LOT OF THE CONCEPTS 1765 01:07:42,525 --> 01:07:43,459 THAT WERE DISCUSSED IN THE 1766 01:07:43,526 --> 01:07:46,362 GROUP. 1767 01:07:46,429 --> 01:07:52,935 IN TERMS OF OU ARE SPIRITUAL HEH 1768 01:07:53,002 --> 01:07:55,137 AND WELL-BEING PART WHOLE PERSON 1769 01:07:55,204 --> 01:07:56,172 HEALTH, THAT'S THE FIRST CHARGE. 1770 01:07:56,238 --> 01:07:57,273 NOW HERE'S SOME OF THE COMMENTS 1771 01:07:57,339 --> 01:07:58,774 AND THOUGHTS AND THIS AGAIN IS A 1772 01:07:58,841 --> 01:08:00,276 PROCESS AND THERE ARE MANY 1773 01:08:00,342 --> 01:08:01,377 DISCUSSIONS WITHIN THE GROUP. 1774 01:08:01,444 --> 01:08:03,679 SO SPIRITUAL ASPECTS OF LIFE 1775 01:08:03,746 --> 01:08:04,947 EXIST, BUT WHETHER PEOPLE 1776 01:08:05,014 --> 01:08:06,282 BELIEVE IT OR NOT IN 1777 01:08:06,348 --> 01:08:08,017 SPIRITUALITY, WHICH CAN ALSO BE 1778 01:08:08,083 --> 01:08:10,786 CONSIDERED SPIRITUAL INCLINA 1779 01:08:10,853 --> 01:08:11,620 INCLINATION, AFFECTS THE WAY 1780 01:08:11,687 --> 01:08:14,557 THEY FUNCTION AND THEIR HEALTH. 1781 01:08:14,623 --> 01:08:16,325 MIND AND BODY AND SPIRIT ARE 1782 01:08:16,392 --> 01:08:18,594 DIFFERENT ENTITIES, IMPLYING 1783 01:08:18,661 --> 01:08:20,796 THAT SPIRITUAL HEALTH SHOULD BE 1784 01:08:20,863 --> 01:08:21,730 THOUGHT OF IN A DIFFERENT 1785 01:08:21,797 --> 01:08:21,997 CATEGORY. 1786 01:08:22,064 --> 01:08:23,866 SO YOU CAN SEE THAT ONE WOULD 1787 01:08:23,933 --> 01:08:25,234 SAY IT SHOULD BE A SEPARATE 1788 01:08:25,301 --> 01:08:26,836 DOMAIN. 1789 01:08:26,902 --> 01:08:32,441 THEN THERE'S THIS ONE, SPIRITUAL 1790 01:08:32,508 --> 01:08:37,580 HEALTH -- REPRESENTS AN 1791 01:08:37,646 --> 01:08:39,215 INCREDIBLE VARIETY OF DOMAINS, 1792 01:08:39,281 --> 01:08:41,383 SPEAR TREUL STATES CAN LEAD TO 1793 01:08:41,450 --> 01:08:43,252 WELL-BEING AS WELL AS DISTRESS. 1794 01:08:43,319 --> 01:08:45,221 RECOGNIZING THE OTHER SIDE HERE. 1795 01:08:45,287 --> 01:08:46,622 SPIRITUALITY IS PART OF WHOLE 1796 01:08:46,689 --> 01:08:48,123 PERSON HEALTH, EMPHASIZED WITH 1797 01:08:48,190 --> 01:08:49,024 MENTAL HEALTH SERVICES. 1798 01:08:49,091 --> 01:08:51,660 AND SOME PRACTICES NCCIH IS 1799 01:08:51,727 --> 01:08:53,162 STUDYING ON WHOLE PERSON HEALTH 1800 01:08:53,229 --> 01:08:54,997 FROM SOME ASPECTS OF SPIRITUAL 1801 01:08:55,064 --> 01:08:57,633 PRACTICES. 1802 01:08:57,700 --> 01:08:59,602 AND THERE'S ALSO THIS OPINION 1803 01:08:59,668 --> 01:09:01,971 THAT SPIRITUALITY AS AN ELEMENT 1804 01:09:02,037 --> 01:09:03,606 IN WHOLE BODY HEALTH COULD BE 1805 01:09:03,672 --> 01:09:04,807 PROBLEMATIC, BUT INCLUDING IT AS 1806 01:09:04,874 --> 01:09:07,843 A COVARIATE THAT INFLUENCES 1807 01:09:07,910 --> 01:09:09,078 WHOLE BODY HEALTH MAY BE A 1808 01:09:09,144 --> 01:09:10,713 REASONABLE THING TO DO, AND 1809 01:09:10,779 --> 01:09:12,014 DESCRIBE HOW PEOPLE LIVE THEIR 1810 01:09:12,081 --> 01:09:16,151 LIVES. 1811 01:09:16,218 --> 01:09:18,420 SO AGAIN MOVING FORWARD, WHAT WE 1812 01:09:18,487 --> 01:09:20,723 ARE CONTINUING -- WE ARE 1813 01:09:20,789 --> 01:09:22,591 CONTINUING WORKING TOGETHER ON 1814 01:09:22,658 --> 01:09:24,960 ASPECTS OF THE CHARGE. 1815 01:09:25,027 --> 01:09:27,897 AND THERE'S A LOT THAT WE -- WE 1816 01:09:27,963 --> 01:09:30,533 STILL HAVE A LOT OF WORK TO DO, 1817 01:09:30,599 --> 01:09:31,567 AND THE PRELIMINARY OUTCOMES 1818 01:09:31,634 --> 01:09:36,171 THAT WE ARE ENDORSING OR WE ARE 1819 01:09:36,238 --> 01:09:37,273 GETTING CLOSE TO CONVENE ON IS 1820 01:09:37,339 --> 01:09:42,077 THAT IT NEEDS TO BE A STEP-WISE 1821 01:09:42,144 --> 01:09:44,613 APPROACH IN ALL OF US TO ASSESS 1822 01:09:44,680 --> 01:09:46,415 WHETHER OR NOT SPIRITUAL HEALTH 1823 01:09:46,482 --> 01:09:48,317 AND WELL-BEING SHOULD BE 1824 01:09:48,384 --> 01:09:51,887 CONSIDERED A DOMAIN OF WHOLE 1825 01:09:51,954 --> 01:09:52,655 BODY HEALTH. 1826 01:09:52,721 --> 01:09:55,057 AND AGAIN I THINK THERE'S -- 1827 01:09:55,124 --> 01:09:56,158 WE'RE LEANING THAT IT MIGHT BE 1828 01:09:56,225 --> 01:09:58,961 BETTER THOUGHT OF INITIALLY AS A 1829 01:09:59,028 --> 01:10:00,596 COVARIATE RATHER THAN A FULL 1830 01:10:00,663 --> 01:10:06,936 DOMAIN, AND THIS IS PROBABLY THE 1831 01:10:07,002 --> 01:10:08,804 RECOMMENDATION FOR THE TIME 1832 01:10:08,871 --> 01:10:10,639 BEING THAT IT IS A COVARIATE AND 1833 01:10:10,706 --> 01:10:11,774 WE SHOULD MOVE TO INVESTIGATE IT 1834 01:10:11,840 --> 01:10:13,909 AS AN INTERVENTION, AND THEN WE 1835 01:10:13,976 --> 01:10:17,379 COULD DEFINE IT LATER ON AS A 1836 01:10:17,446 --> 01:10:18,614 SEPARATE WHOLE BODY HEALTH 1837 01:10:18,681 --> 01:10:18,948 DOMAIN. 1838 01:10:19,014 --> 01:10:21,784 AND AGAIN, WE RECOGNIZE THERE'S 1839 01:10:21,850 --> 01:10:22,985 BOTH POSITIVE AND NEGATIVE 1840 01:10:23,052 --> 01:10:24,687 EFFECTS OF SPIRITUALITY AND THAT 1841 01:10:24,753 --> 01:10:26,088 NEEDS TO BE KIND OF THOUGHT OF 1842 01:10:26,155 --> 01:10:26,989 VERY CAREFULLY. 1843 01:10:27,056 --> 01:10:29,825 SO THESE ARE THE PRELIMINARY 1844 01:10:29,892 --> 01:10:31,660 OUTCOMES OF THE GROUP, AND WE 1845 01:10:31,727 --> 01:10:36,131 ARE MOVING AHEAD, WE'LL CONTINUE 1846 01:10:36,198 --> 01:10:37,366 MEETING TO ADDRESS AS MANY OF 1847 01:10:37,433 --> 01:10:39,835 THESE CHARGES AS WE CAN, AND 1848 01:10:39,902 --> 01:10:42,237 COME OUT WITH A MORE FULL 1849 01:10:42,304 --> 01:10:43,572 RECOMMENDATION LATER ON FOR THE 1850 01:10:43,639 --> 01:10:44,440 NEXT COUNCIL MEETING. 1851 01:10:44,506 --> 01:10:49,778 SO THANK YOU FOR LISTENING. 1852 01:10:49,845 --> 01:10:51,413 >> WOW, THANK YOU SO MUCH. 1853 01:10:51,480 --> 01:10:56,885 I MEAN, THIS WAS SUCH A GREAT 1854 01:10:56,952 --> 01:10:58,153 SUMMARY OF WHAT I UNDERSTAND 1855 01:10:58,220 --> 01:11:00,022 HAVE BEEN REALLY DEEP 1856 01:11:00,089 --> 01:11:00,589 DISCUSSIONS. 1857 01:11:00,656 --> 01:11:02,191 AND I REALLY COMMEND YOU FOR 1858 01:11:02,257 --> 01:11:07,329 BEING ABLE TO REALLY GIVE US 1859 01:11:07,396 --> 01:11:08,564 THAT SORT OF STEP BACK, YOU 1860 01:11:08,631 --> 01:11:10,099 KNOW, I UNDERSTAND THAT 1861 01:11:10,165 --> 01:11:11,734 OBVIOUSLY YOU'RE JUST STARTING, 1862 01:11:11,800 --> 01:11:15,337 RIGHT, BUT I CAN SAY THAT THIS 1863 01:11:15,404 --> 01:11:17,272 IS REALLY WHAT WE WERE HOPING 1864 01:11:17,339 --> 01:11:19,008 THAT THIS COMMITTEE WOULD DO. 1865 01:11:19,074 --> 01:11:22,578 SO I REALLY WANT TO THANK YOU 1866 01:11:22,645 --> 01:11:22,878 PROFOUNDLY. 1867 01:11:22,945 --> 01:11:23,212 >> THANK YOU. 1868 01:11:23,278 --> 01:11:25,414 AND I WANT TO REALLY THANK THE 1869 01:11:25,481 --> 01:11:28,450 MEMBERS OF THE WORKING GROUP. 1870 01:11:28,517 --> 01:11:29,652 I'M PROBABLY THE ONE THAT KNOWS 1871 01:11:29,718 --> 01:11:31,520 THE LEAST ABOUT THIS TOPIC, AND 1872 01:11:31,587 --> 01:11:34,323 IT'S BEEN A TREMENDOUS 1873 01:11:34,390 --> 01:11:35,057 EXPERIENCE FOR ME TO LEARN, SO 1874 01:11:35,124 --> 01:11:36,158 THANK YOU, EVERYBODY. 1875 01:11:36,225 --> 01:11:40,663 >> SOUNDS LIKE -- SO I -- IT 1876 01:11:40,729 --> 01:11:42,498 SOUNDS LIKE YOU HAD ALSO A 1877 01:11:42,564 --> 01:11:44,600 VARIETY OF DIFFERENT 1878 01:11:44,667 --> 01:11:46,568 PERSPECTIVES IN THE GROUP, WHICH 1879 01:11:46,635 --> 01:11:48,437 I THINK IS VERY VALUABLE, RIGHT? 1880 01:11:48,504 --> 01:11:51,874 >> YES, VERY MUCH SO, AND LIS 1881 01:11:51,940 --> 01:11:53,609 LISTENING AND WE ARE STILL 1882 01:11:53,676 --> 01:11:57,246 DISCUSSING, AND THAT I THINK IS 1883 01:11:57,312 --> 01:11:59,214 EVIDENT FROM EVERY MEETING WE 1884 01:11:59,281 --> 01:12:03,652 HAVE HAD, THAT THE OPINIONS ARE 1885 01:12:03,719 --> 01:12:04,186 VERY DIVERSE. 1886 01:12:04,253 --> 01:12:06,488 AND I THINK IT'S A 1887 01:12:06,555 --> 01:12:08,524 REPRESENTATIVE -- YOU KNOW, WE 1888 01:12:08,590 --> 01:12:10,859 ARE ALSO A REPRESENTATIVE OF THE 1889 01:12:10,926 --> 01:12:12,361 POPULATION, SO TO SPEAK, RIGHT? 1890 01:12:12,428 --> 01:12:17,266 SO WE ARE TAKING THIS VERY 1891 01:12:17,332 --> 01:12:18,667 STEP-WISE AND HOPEFULLY WE CAN 1892 01:12:18,734 --> 01:12:19,668 CONVERGE ON YOUR OTHER VERY 1893 01:12:19,735 --> 01:12:21,970 IMPORTANT QUESTIONS TO ADDRESS. 1894 01:12:22,037 --> 01:12:23,906 >> WELL, I WANT TO OPEN THIS UP 1895 01:12:23,972 --> 01:12:26,742 TO DISCUSSION FROM THE REST OF 1896 01:12:26,809 --> 01:12:27,710 THE GROUP. 1897 01:12:27,776 --> 01:12:29,578 ANY COMMENTS, QUESTIONS, 1898 01:12:29,645 --> 01:12:36,885 REACTIONS? 1899 01:12:36,952 --> 01:12:37,219 >> THANKS. 1900 01:12:37,286 --> 01:12:38,420 THIS IS REALLY INTERESTING. 1901 01:12:38,487 --> 01:12:39,521 I WONDER IF YOU DISCUSSED AND IF 1902 01:12:39,588 --> 01:12:42,558 THERE'S A WAY OF DIVIDING UP THE 1903 01:12:42,624 --> 01:12:44,193 DIFFERENT FACETS. 1904 01:12:44,259 --> 01:12:48,897 SO THERE'S PERSONAL MEANING AND 1905 01:12:48,964 --> 01:12:50,966 TRANSCENDENCE, INTERPERSONAL, 1906 01:12:51,033 --> 01:12:52,067 THEN ENGAGING IN A SOCIAL 1907 01:12:52,134 --> 01:12:53,135 PRACTICE WITH OTHER PEOPLE WHO 1908 01:12:53,202 --> 01:12:54,269 MIGHT EVEN PHYSICALLY CARE FOR 1909 01:12:54,336 --> 01:12:55,104 ONE ANOTHER. 1910 01:12:55,170 --> 01:12:56,605 SO IT JUST OCCURRED TO ME 1911 01:12:56,672 --> 01:12:59,875 THERE'S DIFFERENT FACETS. 1912 01:12:59,942 --> 01:13:02,511 >> YOU'RE FAST FORWARDING. 1913 01:13:02,578 --> 01:13:03,812 WE HAVEN'T EVEN GOTTEN THERE 1914 01:13:03,879 --> 01:13:07,616 YET, BUT YES, THIS IS ON THE 1915 01:13:07,683 --> 01:13:09,918 PRACTICES AND, YOU KNOW, 1916 01:13:09,985 --> 01:13:11,120 ACTUALLY THE METRICS OF BEING 1917 01:13:11,186 --> 01:13:13,288 ABLE TO STUDY AND DEFINING THESE 1918 01:13:13,355 --> 01:13:16,592 THINGS, WE WILL HAVE TO LOOK AT 1919 01:13:16,658 --> 01:13:17,559 THESE PARTICULAR ENTITIES THAT 1920 01:13:17,626 --> 01:13:19,261 YOU ARE MENTIONING. 1921 01:13:19,328 --> 01:13:23,432 BUT WE'RE NOT THERE YET. 1922 01:13:23,499 --> 01:13:24,967 BY THE WAY, IF ANYBODY FROM THE 1923 01:13:25,033 --> 01:13:25,868 WORKING GROUP WANTS TO COMMENT, 1924 01:13:25,934 --> 01:13:27,469 YOU KNOW, IT SHOULDN'T JUST BE 1925 01:13:27,536 --> 01:13:27,870 ME. 1926 01:13:27,936 --> 01:13:29,104 I'M JUST SPEAKING FOR THE GROUP 1927 01:13:29,171 --> 01:13:32,474 AS CHAIR, BUT -- YEAH. 1928 01:13:32,541 --> 01:13:34,143 >> I'D JUST LIKE TO MAKE SOME 1929 01:13:34,209 --> 01:13:34,743 GENERAL COMMENTS. 1930 01:13:34,810 --> 01:13:37,246 I'M JUST VERY EXCITED ABOUT OUR 1931 01:13:37,312 --> 01:13:39,214 DISCUSSIONS THAT WE'VE HAD IN 1932 01:13:39,281 --> 01:13:40,849 THIS WORK GROUP. 1933 01:13:40,916 --> 01:13:42,684 I REALLY APPRECIATE ALL OUR 1934 01:13:42,751 --> 01:13:45,120 COLLEAGUES AND BEING ABLE TO 1935 01:13:45,187 --> 01:13:48,490 REALLY TALK ABOUT A SUBJECT 1936 01:13:48,557 --> 01:13:50,926 THAT'S COMPLEX AND HAS A LOT OF 1937 01:13:50,993 --> 01:13:53,428 DIFFERENT TYPES OF MEANINGS. 1938 01:13:53,495 --> 01:13:56,431 THANK YOU, DR. LANGEVIN, ALSO, 1939 01:13:56,498 --> 01:13:57,933 WHOLE PERSON HEALTH, THIS ALL 1940 01:13:58,000 --> 01:14:00,335 TIES IN NICELY AS WELL TO WHOLE 1941 01:14:00,402 --> 01:14:02,871 PERSON HEALTH, AND WITH NATIVE 1942 01:14:02,938 --> 01:14:05,140 AMERICAN PEOPLE SPEAKING -- I 1943 01:14:05,207 --> 01:14:06,542 CAN'T MAKE A DEFINITIVE 1944 01:14:06,608 --> 01:14:07,976 STATEMENT ON THIS BUT NATIVE 1945 01:14:08,043 --> 01:14:10,279 AMERICANS, YOU KNOW, ROUTINELY 1946 01:14:10,345 --> 01:14:13,549 INCLUDE SPIRITUALITY AS 1947 01:14:13,615 --> 01:14:16,819 RECOGNIZING THAT ROLE PART OF 1948 01:14:16,885 --> 01:14:17,619 OUR HEALTH AND WELL-BEING. 1949 01:14:17,686 --> 01:14:21,290 THAT CAN BE ANYTHING FROM NATIVE 1950 01:14:21,356 --> 01:14:22,257 AMERICAN TRADITIONAL PRACTICES 1951 01:14:22,324 --> 01:14:23,926 AND SPIRITUALITY TO RELIGIONS 1952 01:14:23,992 --> 01:14:25,627 AND EVERYTHING IN BETWEEN. 1953 01:14:25,694 --> 01:14:28,163 AND OUR ELDERS OFTEN EMPHASIZE 1954 01:14:28,230 --> 01:14:31,400 THAT WE ARE SPIRITUAL BEINGS AND 1955 01:14:31,466 --> 01:14:35,437 WHATEVER SPIRITUAL PRACTICES YOU 1956 01:14:35,504 --> 01:14:37,272 HAVE ARE EMPHASIZED AS BEING 1957 01:14:37,339 --> 01:14:40,776 SOMETHING YOU SHOULD -- OR 1958 01:14:40,843 --> 01:14:43,078 RECOMMENDED TO SEEK FURTHER AND 1959 01:14:43,145 --> 01:14:43,946 INCORPORATE INTO YOUR OWN 1960 01:14:44,012 --> 01:14:45,681 HEALTH. 1961 01:14:45,747 --> 01:14:48,784 SO JUST SOME GENERAL COMMENTS. 1962 01:14:48,851 --> 01:14:52,221 >> THANK YOU. 1963 01:14:52,287 --> 01:14:52,387 BEN. 1964 01:14:52,454 --> 01:14:53,889 >> I JUST WANT TO ECHO THE 1965 01:14:53,956 --> 01:14:56,592 THANKS TO YOU ALL FOR TA TAKINGT 1966 01:14:56,658 --> 01:14:58,026 ON, AND NOT THAT WE NEED MORE 1967 01:14:58,093 --> 01:14:58,994 EVIDENCE OF ITS IMPORTANCE, BUT 1968 01:14:59,061 --> 01:15:02,064 AS PART OF THE WORK WE'RE DOING 1969 01:15:02,130 --> 01:15:04,333 IN V.A. TO DEFINE A WELL-BEING 1970 01:15:04,399 --> 01:15:06,535 MEASUREMENT FRAMEWORK, WE DID A 1971 01:15:06,602 --> 01:15:08,170 NUMBER OF KIND OF FOCUS GROUPS 1972 01:15:08,237 --> 01:15:10,339 AND WHAT THEY CALL 1973 01:15:10,405 --> 01:15:11,640 HUMAN-CENTERED DESIGN 1974 01:15:11,707 --> 01:15:13,375 QUALITATIVE WORK THROUGH THE 1975 01:15:13,442 --> 01:15:14,576 VETERANS EXPERIENCE OFFICE WITH 1976 01:15:14,643 --> 01:15:16,945 GROUPS OF VETERANS, REALLY 1977 01:15:17,012 --> 01:15:18,480 DIVERSE GROUPS, DIFFERENT AGES, 1978 01:15:18,547 --> 01:15:20,682 DIFFERENT ETHNICS, DIFFERENT ALL 1979 01:15:20,749 --> 01:15:22,317 KINDS OF DIFFERENT BACKGROUNDS, 1980 01:15:22,384 --> 01:15:25,821 AND WE ASKED THEM TO RATE AS WE 1981 01:15:25,888 --> 01:15:27,322 WERE WORKING ON WHAT DOMAINS WE 1982 01:15:27,389 --> 01:15:28,657 WOULD INCLUDE IN THE WELL-BEING 1983 01:15:28,724 --> 01:15:30,158 MEASUREMENT FRAMEWORK, WE ASKED 1984 01:15:30,225 --> 01:15:32,461 THEM TO GIVE US THEIR SENSE OF 1985 01:15:32,527 --> 01:15:33,762 WHAT DOES IT MEAN TO THEM TO 1986 01:15:33,829 --> 01:15:36,298 HAVE A SENSE OF WHOLE PERSON 1987 01:15:36,365 --> 01:15:38,033 WELL-BEING AND MENTAL HEALTH, 1988 01:15:38,100 --> 01:15:39,034 PHYSICAL HEALTH AND SPIRITUAL 1989 01:15:39,101 --> 01:15:41,103 HEALTH WERE BASICALLY ALL TIED 1990 01:15:41,169 --> 01:15:43,405 AT THE TOP. 1991 01:15:43,472 --> 01:15:44,373 AND THEN OF COURSE THERE WAS 1992 01:15:44,439 --> 01:15:46,341 LOTS OF OTHER THINGS, SOCIAL 1993 01:15:46,408 --> 01:15:47,309 CONNECTION, ECONOMIC WELL-BEING, 1994 01:15:47,376 --> 01:15:49,745 SO THERE WAS A REAL -- WE WERE 1995 01:15:49,811 --> 01:15:52,447 ALSO DEBATING HOW TO INCLUDE 1996 01:15:52,514 --> 01:15:54,416 SPIRITUAL WELL-BEING IN OUR 1997 01:15:54,483 --> 01:15:55,617 FRAMEWORK, AND IT WAS QUITE 1998 01:15:55,684 --> 01:15:58,120 CLEAR FROM THE VETERANS VOICE 1999 01:15:58,186 --> 01:15:59,655 THAT THAT WAS CRUCIAL. 2000 01:15:59,721 --> 01:16:03,158 SO I THINK THERE'S JUST MORE AND 2001 01:16:03,225 --> 01:16:04,693 MORE MOUNTING EVIDENCE ABOUT THE 2002 01:16:04,760 --> 01:16:05,794 PEOPLE FEEL THAT WE CAN'T REALLY 2003 01:16:05,861 --> 01:16:06,795 LOOK AT WHOLE PERSON HEALTH 2004 01:16:06,862 --> 01:16:08,096 WITHOUT REALLY TACKLING THAT 2005 01:16:08,163 --> 01:16:09,531 AREA, SO THANK YOU. 2006 01:16:09,598 --> 01:16:14,303 >> AND I JUST WANTED TO -- THANK 2007 01:16:14,369 --> 01:16:14,469 YOU. 2008 01:16:14,536 --> 01:16:15,971 I JUST WANTED TO SAY, BEN, THAT 2009 01:16:16,038 --> 01:16:19,775 WE ARE USING THE V.A. 2010 01:16:19,841 --> 01:16:21,443 DOCUMENTATIONS AND THE PLATFORM 2011 01:16:21,510 --> 01:16:23,278 CREATED BY THE V.A. A LOT, YOU 2012 01:16:23,345 --> 01:16:25,013 KNOW, AS REFERENCE MATERIAL. 2013 01:16:25,080 --> 01:16:27,549 IT'S EXTREMELY IMPORTANT TO THE 2014 01:16:27,616 --> 01:16:28,650 GROUP. 2015 01:16:28,717 --> 01:16:31,253 >> FIRST I WANT TO JUST THANK 2016 01:16:31,320 --> 01:16:33,221 HELEN FOR DOING A REALLY NICE 2017 01:16:33,288 --> 01:16:35,190 SUMMARY OF THE WORKING GROUP'S 2018 01:16:35,257 --> 01:16:37,359 DISCUSSIONS AND ALSO FOR 2019 01:16:37,426 --> 01:16:38,660 CHAIRING THE SESSIONS. 2020 01:16:38,727 --> 01:16:39,995 IT'S BEEN A REALLY GOOD LEARNING 2021 01:16:40,062 --> 01:16:40,295 EXPERIENCE. 2022 01:16:40,362 --> 01:16:43,498 I HAD A QUESTION ABOUT THE -- I 2023 01:16:43,565 --> 01:16:45,000 THINK THERE WAS A CALL FOR 2024 01:16:45,067 --> 01:16:46,835 COMMENT FROM THE PUBLIC ABOUT 2025 01:16:46,902 --> 01:16:47,936 THIS ISSUE. 2026 01:16:48,003 --> 01:16:50,339 AND I JUST WONDERED IF ANYONE 2027 01:16:50,405 --> 01:16:51,840 COULD GIVE US A SUMMARY OF WHAT 2028 01:16:51,907 --> 01:16:53,709 KIND OF COMMENTS CAME IN, EITHER 2029 01:16:53,775 --> 01:16:55,344 NOW OR IF THAT WOULD BE OPEN TO 2030 01:16:55,410 --> 01:16:59,614 THE WORKING GROUP AT SOME POINT. 2031 01:16:59,681 --> 01:17:01,383 IS MARY BETH ON? 2032 01:17:01,450 --> 01:17:02,851 CAN MARY BETH COMMENT ON IT? 2033 01:17:02,918 --> 01:17:04,486 >> I JUST WANT TO POINT OUT, 2034 01:17:04,553 --> 01:17:08,490 IT'S ACTUALLY UPLOADED ON ECB, 2035 01:17:08,557 --> 01:17:09,658 ALL THE COMMENTS, SO IF YOU 2036 01:17:09,725 --> 01:17:11,059 DON'T GET ALL THE DETAILS, YOU 2037 01:17:11,126 --> 01:17:12,327 HAVE ACCESS TO ALL THE COMMENTS. 2038 01:17:12,394 --> 01:17:13,996 >> OKAY, THANK YOU. 2039 01:17:14,062 --> 01:17:17,165 >> I HAVE SEEN THEM, SO I WILL 2040 01:17:17,232 --> 01:17:18,700 SHARE WITH YOU ALL. 2041 01:17:18,767 --> 01:17:19,568 I APOLOGIZE FOR MISSING THAT. 2042 01:17:19,634 --> 01:17:24,072 >> OKAY, SO THAT'S -- I DIDN'T 2043 01:17:24,139 --> 01:17:28,310 KNOW IF MARRY BETH W MARY BETH E 2044 01:17:28,377 --> 01:17:29,378 A COMMENT ABOUT THAT, ABOUT THE 2045 01:17:29,444 --> 01:17:30,579 PROCESS OF GATHERING ALL THESE 2046 01:17:30,645 --> 01:17:31,013 COMMENTS OR -- 2047 01:17:31,079 --> 01:17:33,148 >> NO, I HAVE NOTHING ADDITIONAL 2048 01:17:33,215 --> 01:17:33,515 TO ADD. 2049 01:17:33,582 --> 01:17:34,616 >> OKAY. 2050 01:17:34,683 --> 01:17:43,692 ALL RIGHT. 2051 01:17:43,759 --> 01:17:44,259 OTHER COMMENTS? 2052 01:17:44,326 --> 01:17:49,731 I HAVE A QUESTION. 2053 01:17:49,798 --> 01:17:50,665 >> GREAT JOB. 2054 01:17:50,732 --> 01:17:52,100 I SEE THE DEFINITION YOU HAVE 2055 01:17:52,167 --> 01:17:53,402 FOR SPIRITUALITY. 2056 01:17:53,468 --> 01:17:55,270 IS IT ALL ENCOMPASSING OR WILL 2057 01:17:55,337 --> 01:17:57,672 YOU BE TASKED TO COME UP WITH A 2058 01:17:57,739 --> 01:17:58,206 NEW DEFINITION? 2059 01:17:58,273 --> 01:18:01,510 AND IF SO, WOULD YOU ALSO BE 2060 01:18:01,576 --> 01:18:02,778 ABLE TO COME UP WITH A SCALE 2061 01:18:02,844 --> 01:18:04,413 THAT MEASURES SPIRITUALITY? 2062 01:18:04,479 --> 01:18:06,481 >> THE THOUSAND -- MILLION 2063 01:18:06,548 --> 01:18:07,482 DOLLAR QUESTION, I WOULD SAY. 2064 01:18:07,549 --> 01:18:09,217 BUT IN TERMS OF THE DEFINITIONS, 2065 01:18:09,284 --> 01:18:13,355 I MEAN, THIS IS -- I'VE 2066 01:18:13,422 --> 01:18:14,122 HIGHLIGHTED JUST ONE. 2067 01:18:14,189 --> 01:18:14,790 THERE'S MANY. 2068 01:18:14,856 --> 01:18:17,826 WE'RE NOT TASKED WITH COMING UP 2069 01:18:17,893 --> 01:18:19,227 WITH REINVENTING ANOTHER 2070 01:18:19,294 --> 01:18:21,096 DEFINITION OF SPIRITUALITY. 2071 01:18:21,163 --> 01:18:23,999 IN TERMS OF THE SCALE AND 2072 01:18:24,066 --> 01:18:26,735 METRICS, YOU KNOW, GETTING IN 2073 01:18:26,802 --> 01:18:29,471 DEEPER INTO ACTUALLY 2074 01:18:29,538 --> 01:18:30,872 INCORPORATING IT, YOU KNOW, 2075 01:18:30,939 --> 01:18:31,640 ADDRESSING THE CHARGE, WE ARE 2076 01:18:31,706 --> 01:18:35,811 GOING TO HAVE TO GO BACK AND 2077 01:18:35,877 --> 01:18:36,578 DELVE INTO THE LITERATURE AND 2078 01:18:36,645 --> 01:18:41,349 ALSO TO THE NEWER LITERATURE 2079 01:18:41,416 --> 01:18:42,918 HIGHLIGHTING DIFFERENT SCALES OF 2080 01:18:42,984 --> 01:18:44,619 THIS PHENOMENON IF WE WANT TO 2081 01:18:44,686 --> 01:18:46,922 CALL IT THAT. 2082 01:18:46,988 --> 01:18:48,256 BASED ON THE DEFINITION. 2083 01:18:48,323 --> 01:18:49,724 SO IT COMPLEX. 2084 01:18:49,791 --> 01:18:57,866 >> IT WOULD BE NICE TO SEE -- 2085 01:18:57,933 --> 01:19:00,135 SOME LEVEL OF EVIDENCE TO 2086 01:19:00,202 --> 01:19:01,236 RECOMMEND BECAUSE THERE'S TOO 2087 01:19:01,303 --> 01:19:02,337 MUCH CONFUSION ABOUT WHAT 2088 01:19:02,404 --> 01:19:09,277 SCHEDULE SHOULD BE UTILIZED, S 2089 01:19:09,344 --> 01:19:11,146 SO -- FROM THIS GROUP I TOOK 2090 01:19:11,213 --> 01:19:12,247 QUITE A BIT. 2091 01:19:12,314 --> 01:19:13,014 >> VERY IMPORTANT. 2092 01:19:13,081 --> 01:19:15,884 >> SO MY QUESTION IS A LITTLE 2093 01:19:15,951 --> 01:19:19,387 BIT ABOUT SOMETHING THAT I THINK 2094 01:19:19,454 --> 01:19:20,455 MOTIVATED THIS FROM THE START, 2095 01:19:20,522 --> 01:19:23,258 IS THE IDEA THAT FROM THE POINT 2096 01:19:23,325 --> 01:19:30,098 OF VIEW OF RESEARCH, IF, FOR 2097 01:19:30,165 --> 01:19:31,533 EXAMPLE, EITHER SPIRITUAL HEALTH 2098 01:19:31,600 --> 01:19:34,236 OR WELL-BEING VERSUS SPIRITUAL 2099 01:19:34,302 --> 01:19:34,669 PRACTICES. 2100 01:19:34,736 --> 01:19:36,438 YOU COULD THINK OF THEM PERHAPS 2101 01:19:36,505 --> 01:19:39,040 IN TERMS OF INPUT AND OUTPUT 2102 01:19:39,107 --> 01:19:42,210 VARIABLES, RIGHT? 2103 01:19:42,277 --> 01:19:44,179 SO SPIRITUAL PRACTICE WOULD BE 2104 01:19:44,246 --> 01:19:46,681 THE INPUT VARIABLE OR THE 2105 01:19:46,748 --> 01:19:49,284 INDEPENDENT VARIABLE AND THEN 2106 01:19:49,351 --> 01:19:51,820 THE OUTCOME MIGHT BE SPIRITUAL 2107 01:19:51,887 --> 01:19:53,188 WELL-BEING OR HEALTH OR WHATEVER 2108 01:19:53,255 --> 01:19:57,692 ONE WE WANT TO CALL IT, AND THEN 2109 01:19:57,759 --> 01:19:59,294 ALL THE IDEAS, THERE COULD BE A 2110 01:19:59,361 --> 01:19:59,628 COVARIATE. 2111 01:19:59,694 --> 01:20:01,897 IT COULD BE SOMETHING THAT 2112 01:20:01,963 --> 01:20:03,198 INFLUENCES THE INPUT -- THE 2113 01:20:03,265 --> 01:20:08,537 OUTPUT OF A GIVEN EXPERIMENT, 2114 01:20:08,603 --> 01:20:09,304 THERAPY OR WHATEVER. 2115 01:20:09,371 --> 01:20:11,506 WHATEVER IT IS, INPUT, OUTPUT, 2116 01:20:11,573 --> 01:20:12,674 COVARIATE, WHATEVER, IT NEEDS TO 2117 01:20:12,741 --> 01:20:13,341 BE MEASURED. 2118 01:20:13,408 --> 01:20:15,610 IT NEEDS TO BE DEFINED AND 2119 01:20:15,677 --> 01:20:16,411 MEASURED AND EVERYTHING. 2120 01:20:16,478 --> 01:20:20,749 I'M JUST WONDERING WHETHER 2121 01:20:20,815 --> 01:20:23,919 THINKING ABOUT THAT IN A 2122 01:20:23,985 --> 01:20:26,655 RESEARCH SETTING MIGHT HELP 2123 01:20:26,721 --> 01:20:28,723 NARROW DOWN SOME OF THE 2124 01:20:28,790 --> 01:20:30,692 QUESTIONS, AND I DON'T KNOW, I'M 2125 01:20:30,759 --> 01:20:31,993 SURE YOU'VE PROBABLY STARTED 2126 01:20:32,060 --> 01:20:33,862 DISCUSSING THIS, RIGHT? 2127 01:20:33,929 --> 01:20:36,665 BUT I WAS CURIOUS ABOUT THE 2128 01:20:36,731 --> 01:20:39,301 COMMENT ABOUT USING SPIRITUAL 2129 01:20:39,367 --> 01:20:41,069 HEALTH OR SOMETHING AS A 2130 01:20:41,136 --> 01:20:43,371 COVARIATE, HOW WOULD THAT BE 2131 01:20:43,438 --> 01:20:45,473 DIFFERENT THAN USING IT AS AN 2132 01:20:45,540 --> 01:20:49,377 OUOUTCOME? 2133 01:20:49,444 --> 01:20:53,281 >> WELL, I THINK IT NEEDS TO BE 2134 01:20:53,348 --> 01:20:55,016 LOOKED AT FROM THE POINT OF VIEW 2135 01:20:55,083 --> 01:20:58,086 OF DOING THIS STEP WISE. 2136 01:20:58,153 --> 01:21:01,156 SO YOU HAVE ON THE WHOLE PERSON 2137 01:21:01,223 --> 01:21:03,425 HEALTH, YOU HAVE THE BIOLOGY, 2138 01:21:03,491 --> 01:21:05,193 YOU HAVE PSYCHOLOGY, YOU HAVE 2139 01:21:05,260 --> 01:21:06,394 BEHAVIOR AND ENVIRONMENT. 2140 01:21:06,461 --> 01:21:08,930 AND IN A WAY, YOU CAN THINK OF 2141 01:21:08,997 --> 01:21:11,166 THESE DIFFERENT FACTORS AS A 2142 01:21:11,233 --> 01:21:12,500 COVARIATE TOO, RIGHT? 2143 01:21:12,567 --> 01:21:15,704 ANYWAY, I MEAN, SOCIOECONOMICS, 2144 01:21:15,770 --> 01:21:16,404 ZIP CODE, THINGS LIKE THAT. 2145 01:21:16,471 --> 01:21:17,005 >> EXACTLY. 2146 01:21:17,072 --> 01:21:21,776 >> SO I THINK IT'S, AGAIN, THE 2147 01:21:21,843 --> 01:21:23,078 LANGUAGE HARMONIZATION THAT IS 2148 01:21:23,144 --> 01:21:24,179 IMPORTANT TO THE GROUP THAT WE 2149 01:21:24,246 --> 01:21:26,581 THINK OF IT AS A STEP-WISE 2150 01:21:26,648 --> 01:21:28,650 APPROACH, LET'S FIGURE OUT A WAY 2151 01:21:28,717 --> 01:21:30,385 TO MEASURE IT, THEN GO IN AND 2152 01:21:30,452 --> 01:21:33,121 LET'S SEE IF IT ACTUALLY HAS AN 2153 01:21:33,188 --> 01:21:38,793 EFFECT AS WERE YOU SAYING, 2154 01:21:38,860 --> 01:21:39,794 REGARDLESS OF WHAT PRACTICE WE 2155 01:21:39,861 --> 01:21:41,229 ARE TALKING ABOUT AND THEN MAYBE 2156 01:21:41,296 --> 01:21:46,001 INSERT IT AS A FULL DOMAIN ONCE 2157 01:21:46,067 --> 01:21:46,234 THAT -- 2158 01:21:46,301 --> 01:21:49,404 >> MAYBE THE ISSUE OF THE DOMAIN 2159 01:21:49,471 --> 01:21:50,372 WAS PREMATURE. 2160 01:21:50,438 --> 01:21:52,874 >> I THINK THE GROUP FEELS THAT 2161 01:21:52,941 --> 01:21:54,509 THAT OTHER STEP NEEDS TO BE DONE 2162 01:21:54,576 --> 01:21:54,843 FIRST. 2163 01:21:54,909 --> 01:21:58,246 WE NEED BETTER MEASURES AND WE 2164 01:21:58,313 --> 01:21:59,447 NEED TO IMPLEMENT IT MORE 2165 01:21:59,514 --> 01:22:00,949 CAREFULLY, AND IF I'M NOT 2166 01:22:01,016 --> 01:22:03,251 REFLECTING THIS CORRECTLY, 2167 01:22:03,318 --> 01:22:04,586 PLEASE, THE WORKING GROUP IS 2168 01:22:04,653 --> 01:22:06,588 HERE, SO PLEASE FEEL FREE TO ADD 2169 01:22:06,655 --> 01:22:07,322 TO MY STATEMENT. 2170 01:22:07,389 --> 01:22:10,959 BUT THAT'S HOW I UNDERSTOOD IT. 2171 01:22:11,026 --> 01:22:14,796 >> YEAH, THAT'S ACCURATELY 2172 01:22:14,863 --> 01:22:15,497 REFLECTING IT. 2173 01:22:15,563 --> 01:22:17,032 WE'RE GRADUALLY BECOMING LESS 2174 01:22:17,098 --> 01:22:20,869 CONFUSED. 2175 01:22:20,935 --> 01:22:22,170 BUT IT'S BEEN AN INTERESTING 2176 01:22:22,237 --> 01:22:22,804 PROCESS. 2177 01:22:22,871 --> 01:22:25,006 BUT YEAH, THAT'S EXACTLY HOW IT 2178 01:22:25,073 --> 01:22:25,440 KIND OF -- 2179 01:22:25,507 --> 01:22:26,775 >> BECAUSE WE STARTED WITH THAT. 2180 01:22:26,841 --> 01:22:28,710 SHOULD IT BE A DOMAIN? 2181 01:22:28,777 --> 01:22:30,045 BECAUSE THAT'S KIND OF WHAT THE 2182 01:22:30,111 --> 01:22:32,213 INPUT WE WERE GETTING FROM THE 2183 01:22:32,280 --> 01:22:34,082 COMMUNITY WAS, YOU MISSED -- WE 2184 01:22:34,149 --> 01:22:35,950 MISS SOMETHING. 2185 01:22:36,017 --> 01:22:37,786 THAT WAS THE INITIAL FEEDBACK 2186 01:22:37,852 --> 01:22:40,889 THAT WE HAD, RIGHT? 2187 01:22:40,955 --> 01:22:42,057 SO OKAY, WE MISSED SOMETHING. 2188 01:22:42,123 --> 01:22:42,724 ALL RIGHT. 2189 01:22:42,791 --> 01:22:44,125 AND THEN NOW WE'RE REALLY 2190 01:22:44,192 --> 01:22:46,861 LOOKING INTO WHAT EXACTLY ARE WE 2191 01:22:46,928 --> 01:22:49,164 MISSING, MAYBE PUTTING THAT 2192 01:22:49,230 --> 01:22:51,866 QUESTION ASIDE OF SHOULD IT BE 2193 01:22:51,933 --> 01:22:54,602 ITS OWN DOMAIN, AND REALLY 2194 01:22:54,669 --> 01:22:58,306 FOCUSING ON HOW CAN WE DEFINE, 2195 01:22:58,373 --> 01:23:02,777 MEASURE, UTILIZE IN RESEARCH, 2196 01:23:02,844 --> 01:23:04,112 THEN AFTER THAT HAS BEEN FIGURED 2197 01:23:04,179 --> 01:23:05,780 OUT, MAYBE THE DOMAIN QUESTION 2198 01:23:05,847 --> 01:23:08,817 WILL BECOME MORE CLEAR. 2199 01:23:08,883 --> 01:23:11,519 >> I THINK AND ALSO AS I SAID TO 2200 01:23:11,586 --> 01:23:13,388 BEN, WE REALLY ARE LEARNING A 2201 01:23:13,455 --> 01:23:15,323 LOT FROM WHAT'S GOING ON AT THE 2202 01:23:15,390 --> 01:23:17,192 V.A. TOO, BECAUSE I THINK IN A 2203 01:23:17,258 --> 01:23:18,727 WAY, THAT'S THE SAME KIND OF 2204 01:23:18,793 --> 01:23:19,928 STEP-WISE APPROACH, ALTHOUGH 2205 01:23:19,994 --> 01:23:23,398 MAYBE IT'S KIND OF INTEGRATED 2206 01:23:23,465 --> 01:23:25,500 QUICKLY -- I MEAN NOT QUICKLY 2207 01:23:25,567 --> 01:23:27,802 BUT IN THAT WHOLE BODY HEALTH 2208 01:23:27,869 --> 01:23:28,236 MODEL. 2209 01:23:28,303 --> 01:23:29,704 BUT I THINK THE GROUP WANTS TO 2210 01:23:29,771 --> 01:23:30,505 DO IT THIS WAY. 2211 01:23:30,572 --> 01:23:31,506 >> GOOD. 2212 01:23:31,573 --> 01:23:32,273 WELL, THAT'S GREAT. 2213 01:23:32,340 --> 01:23:35,377 THAT SOUNDS LIKE A GOOD 2214 01:23:35,443 --> 01:23:37,078 DEVELOPMENT, AND SHORT 2215 01:23:37,145 --> 01:23:38,179 PROGRESS -- I MEAN QUICK 2216 01:23:38,246 --> 01:23:41,783 PROGRESS, RIGHT? 2217 01:23:41,850 --> 01:23:45,153 >> HELEN? 2218 01:23:45,220 --> 01:23:46,588 >> THERE ARE MULTIPLE GROUPS 2219 01:23:46,654 --> 01:23:49,624 THAT ARE INVOLVED IN DEFINING 2220 01:23:49,691 --> 01:23:50,492 SPIRITUAL HEALTH AND WELL-BEING, 2221 01:23:50,558 --> 01:23:54,129 INCLUDING THE NIH GROUP, AND I 2222 01:23:54,195 --> 01:23:55,764 THINK IT WOULD BE IMPORTANT TO 2223 01:23:55,830 --> 01:23:58,500 SYNCHRONIZE OUR EFFORTS WITH 2224 01:23:58,566 --> 01:24:01,803 ESPECIALLY THE NIH AND THE V.A. 2225 01:24:01,870 --> 01:24:04,305 >> THAT'S RIGHT, THERE IS AN 2226 01:24:04,372 --> 01:24:07,008 NIH -- TRANS-NIH GROUP ON 2227 01:24:07,075 --> 01:24:09,544 SPIRITUAL -- SPIRITUALITY THAT'S 2228 01:24:09,611 --> 01:24:10,979 BEEN ONGOING FOR QUITE A WHILE. 2229 01:24:11,045 --> 01:24:14,115 THERE HAS NOT BEEN -- WE HAVE A 2230 01:24:14,182 --> 01:24:16,084 MEMBER OF THIS GROUP HERE. 2231 01:24:16,151 --> 01:24:17,819 >> WE HAVE BEEN TALKING ABOUT 2232 01:24:17,886 --> 01:24:20,121 IT. 2233 01:24:20,188 --> 01:24:23,591 THE GROUP PRIMARILY, THEY HAVE A 2234 01:24:23,658 --> 01:24:25,059 LOT OF SPEAKERS, SO WE'RE 2235 01:24:25,126 --> 01:24:26,194 LOOKING AT THOSE PRESENTATIONS 2236 01:24:26,261 --> 01:24:28,196 BUT THE GROUP HAS NOT STARTED 2237 01:24:28,263 --> 01:24:29,631 COMING OUT WITH THEIR OWN 2238 01:24:29,697 --> 01:24:30,899 RECOMMENDATIONS, SO FOR US IT'S 2239 01:24:30,965 --> 01:24:39,674 A GREAT RESOURCE TO JUST LOOK AT 2240 01:24:39,741 --> 01:24:43,978 WHAT PRESENTERS HAD THERE. 2241 01:24:44,045 --> 01:24:46,080 >> WE REALLY FELT THAT WE NEEDED 2242 01:24:46,147 --> 01:24:46,848 TO ADDRESS THIS ISSUE FROM THE 2243 01:24:46,915 --> 01:24:48,483 POINT OF VIEW OF NCCIH, BUT IT'S 2244 01:24:48,550 --> 01:24:51,553 NOT THAT WE'RE IGNORING WHAT'S 2245 01:24:51,619 --> 01:24:53,021 HAPPENING IN ALL OF NIH, AS A 2246 01:24:53,087 --> 01:24:54,389 MATTER OF FACT, WE HAVE A 2247 01:24:54,456 --> 01:24:55,590 REPRESENTATIVE OF NCCIH ON THAT 2248 01:24:55,657 --> 01:25:01,396 WORKING GROUP. 2249 01:25:01,463 --> 01:25:03,331 >> HI, THIS IS RUSSELL AGAIN 2250 01:25:03,398 --> 01:25:08,369 FROM THE CONSORTIUM OF HEALTH 2251 01:25:08,436 --> 01:25:10,004 AND -- PERFORMANCE. 2252 01:25:10,071 --> 01:25:11,406 SPIRITUALITY IS ONE WE HAVE IN 2253 01:25:11,473 --> 01:25:12,507 OUR HOLISTIC APPROACH TO 2254 01:25:12,574 --> 01:25:13,708 HEALTHCARE, AND IT'S AN ONGOING 2255 01:25:13,775 --> 01:25:14,809 DISCUSSION WE HAVE, AND ONE OF 2256 01:25:14,876 --> 01:25:17,111 THE THINGS WE HAVE COMING UP IS 2257 01:25:17,178 --> 01:25:19,047 NEXT JANUARY, WE'RE HAVING A 2258 01:25:19,113 --> 01:25:20,815 PSYCHOLOGICAL, SOCIAL AND 2259 01:25:20,882 --> 01:25:22,450 SPIRITUAL SUMMIT, WHICH WILL BE 2260 01:25:22,517 --> 01:25:25,620 IN ROCKLEDGE THAT WILL BE 2261 01:25:25,687 --> 01:25:28,022 BRINGING IN LOTS OF INDIVIDUALS 2262 01:25:28,089 --> 01:25:31,392 TO DISCUSS THIS VERY TO PICK. 2263 01:25:31,459 --> 01:25:31,726 TOPIC SO IF 2264 01:25:31,793 --> 01:25:34,362 PEOPLE ARE INTERESTED IN IT, 2265 01:25:34,429 --> 01:25:35,129 PLEASE LET US KNOW. 2266 01:25:35,196 --> 01:25:36,865 >> WONDERFUL. 2267 01:25:36,931 --> 01:25:38,199 IS THIS AN OPEN MEETING OR 2268 01:25:38,266 --> 01:25:38,433 CLOSED? 2269 01:25:38,500 --> 01:25:39,267 >> IT WILL BE OPEN. 2270 01:25:39,334 --> 01:25:40,468 >> OPEN MEETING? 2271 01:25:40,535 --> 01:25:40,668 GREAT. 2272 01:25:40,735 --> 01:25:41,169 >> YES, MA'AM. 2273 01:25:41,236 --> 01:25:43,671 >> SEND US THE COORDINATES. 2274 01:25:43,738 --> 01:25:43,938 WONDERFUL. 2275 01:25:44,005 --> 01:25:47,609 THANK YOU. 2276 01:25:47,675 --> 01:25:54,082 ANY OTHER THOUGHTS OR QUESTIONS? 2277 01:25:54,148 --> 01:25:56,551 >> JUST TO ADD ON, WE HAVE 2278 01:25:56,618 --> 01:25:57,352 BEEN -- THEY ALREADY STARTED 2279 01:25:57,418 --> 01:25:58,553 ALSO AND I'M JUST COMMENTING ON 2280 01:25:58,620 --> 01:25:59,954 THIS BECAUSE I'M SITTING AND 2281 01:26:00,021 --> 01:26:02,357 LISTENING TO IT, THEY HAVE 2282 01:26:02,423 --> 01:26:03,591 ALREADY DONE A GREAT JOB LOOKING 2283 01:26:03,658 --> 01:26:05,860 AT THINGS LIKE OUT COME 2284 01:26:05,927 --> 01:26:06,528 MEASURES. 2285 01:26:06,594 --> 01:26:08,897 THE GROUP DIDN'T FEEL THEY WERE 2286 01:26:08,963 --> 01:26:11,099 READY, SO -- BUT THIS IS -- IT 2287 01:26:11,165 --> 01:26:14,269 IS COMING SO IT IS ON 2288 01:26:14,335 --> 01:26:15,370 EVERYBODY'S MIND, AND WE'RE ALSO 2289 01:26:15,436 --> 01:26:17,105 TRYING TO REACH OUT TO SOME 2290 01:26:17,171 --> 01:26:18,973 EXPERTS IN THE AREA TO GET SOME 2291 01:26:19,040 --> 01:26:20,508 ADDITIONAL FEEDBACK FOR WHAT 2292 01:26:20,575 --> 01:26:22,610 THEY ARE DOING THERE. 2293 01:26:22,677 --> 01:26:24,245 >> AND TO HIGHLIGHT HELEN'S 2294 01:26:24,312 --> 01:26:25,346 COMMENT, IT IS REALLY IMPORTANT 2295 01:26:25,413 --> 01:26:28,416 THAT WE INTEGRATE -- WE'RE NOT 2296 01:26:28,483 --> 01:26:29,384 REINVENTING SOMETHING, BUT 2297 01:26:29,450 --> 01:26:30,485 AGAIN, WE ARE GETTING SOME OF 2298 01:26:30,552 --> 01:26:31,920 THESE SPEAKERS FROM THE NIH 2299 01:26:31,986 --> 01:26:34,522 GROUP TO COME AND PRESENT TO US. 2300 01:26:34,589 --> 01:26:37,158 THAT IS THE GOAL FOR THIS NEXT 2301 01:26:37,225 --> 01:26:41,429 PHASE. 2302 01:26:41,496 --> 01:26:43,598 >> DEPENDING ON HOW WELL THINGS 2303 01:26:43,665 --> 01:26:44,933 GO, WE MAY HAVE ANOTHER UPDATE 2304 01:26:44,999 --> 01:26:50,038 IN SEPTEMBER OR LATER, DEPENDING 2305 01:26:50,104 --> 01:26:52,340 ON -- WHENEVER IT'S READY AND -- 2306 01:26:52,407 --> 01:26:54,208 READY TO GO. 2307 01:26:54,275 --> 01:26:56,077 SO WE ARE SO THANKFUL. 2308 01:26:56,144 --> 01:26:57,712 SO THANK YOU AGAIN. 2309 01:26:57,779 --> 01:26:59,447 ALL RIGHT. 2310 01:26:59,514 --> 01:27:02,417 SO, NOW WE ARE -- ARE WE A 2311 01:27:02,483 --> 01:27:03,718 LITTLE AHEAD OF SCHEDULE? 2312 01:27:03,785 --> 01:27:04,152 JUST A LITTLE BIT. 2313 01:27:04,218 --> 01:27:04,919 >> A FEW MINUTES. 2314 01:27:04,986 --> 01:27:06,554 BUT I THINK WE'LL STICK WITH THE 2315 01:27:06,621 --> 01:27:09,090 SCHEDULE. 2316 01:27:09,157 --> 01:27:10,358 >> NOBODY MINDS HAVING A FEW 2317 01:27:10,425 --> 01:27:10,858 EXTRA MINUTES? 2318 01:27:10,925 --> 01:27:13,294 >> NOBODY IS UPSET WE'LL HAVE 10 2319 01:27:13,361 --> 01:27:14,529 MINUTES MORE FOR LUNCH BREAK. 2320 01:27:14,596 --> 01:27:17,231 >> SO WE ARE GOING TO RECONVENE 2321 01:27:17,298 --> 01:27:17,765 NOW AT -- 2322 01:27:17,832 --> 01:27:20,835 >> 1:50. 2323 01:27:20,902 --> 01:27:22,604 >> OKAY, LET'S GET STARTED 2324 01:27:22,670 --> 01:27:22,937 AGAIN. 2325 01:27:23,004 --> 01:27:24,706 WELCOME BACK, EVERYBODY, FROM 2326 01:27:24,772 --> 01:27:26,541 LUNCH. 2327 01:27:26,608 --> 01:27:27,976 GLAD TO SEE EVERYBODY MADE IT 2328 01:27:28,042 --> 01:27:28,209 BACK. 2329 01:27:28,276 --> 01:27:31,579 GOOD. 2330 01:27:31,646 --> 01:27:32,880 LET'S CONTINUE, AND I'M HANDING 2331 01:27:32,947 --> 01:27:35,316 THIS OVER TO YOU, HELENE, FOR 2332 01:27:35,383 --> 01:27:37,652 INTRODUCING OUR NEXT SPEAKER. 2333 01:27:37,719 --> 01:27:39,020 >> WELCOME BACK. 2334 01:27:39,087 --> 01:27:39,787 THANK YOU. 2335 01:27:39,854 --> 01:27:43,558 WE'RE GOING TO BE HAVING TWO 2336 01:27:43,625 --> 01:27:44,525 PRESENTATIONS FROM THE NCCIH 2337 01:27:44,592 --> 01:27:46,928 OFFICE OF POLICY PLANNING AND 2338 01:27:46,995 --> 01:27:47,562 EVALUATION. 2339 01:27:47,629 --> 01:27:49,430 THE FIRST ONE WILL BE FROM 2340 01:27:49,497 --> 01:27:50,431 DR. ANGELA ARENSDORF, HEALTH 2341 01:27:50,498 --> 01:27:53,067 SCIENCE POLICY ANALYST, WHO WILL 2342 01:27:53,134 --> 01:27:55,670 SHARE AN ANALYSIS OF NCCIH'S 2343 01:27:55,737 --> 01:27:57,305 PORTFOLIO WITH A WHOLE PERSON 2344 01:27:57,372 --> 01:28:06,748 HEALTH RESEARCH FOCUS. 2345 01:28:06,814 --> 01:28:11,252 >> SO I'M GOING TO GIVE A A SHOT 2346 01:28:11,319 --> 01:28:12,120 PRESENTATION, AND THEN WHAT WE 2347 01:28:12,186 --> 01:28:15,623 REALLY WANT IS TO HAVE A LIVELY 2348 01:28:15,690 --> 01:28:18,126 DISCUSSION ABOUT THE PORTFOLIO 2349 01:28:18,192 --> 01:28:19,694 AND THE NEW BUSINESS OF 2350 01:28:19,761 --> 01:28:20,428 VISUALIZATION, SO I'M HOPING TO 2351 01:28:20,495 --> 01:28:23,498 LEAVE LOTS OF TIME FOR THAT. 2352 01:28:23,564 --> 01:28:24,932 SO WHY AM I TALKING TO YOU 2353 01:28:24,999 --> 01:28:25,733 TODAY? 2354 01:28:25,800 --> 01:28:27,035 IT'S BECAUSE WE ARE STARTING TO 2355 01:28:27,101 --> 01:28:29,137 THINK ABOUT OUR NEXT STRATEGIC 2356 01:28:29,203 --> 01:28:29,871 PLAN. 2357 01:28:29,937 --> 01:28:33,641 FOR THOSE OF YOU WHO ARE NEW AND 2358 01:28:33,708 --> 01:28:34,442 DON'T THINK ABOUT THIS DOCUMENT 2359 01:28:34,509 --> 01:28:44,118 ALL THE TIME LIKE WE DO, IT IS A 2360 01:28:44,185 --> 01:28:44,886 CONGRESSIONALLY MANDATED 2361 01:28:44,952 --> 01:28:46,988 DOCUMENT THAT WE HAVE TO PREPARE 2362 01:28:47,055 --> 01:28:50,258 EVERY FIVE YEARS, WE UPDATE IT. 2363 01:28:50,324 --> 01:28:54,195 WE GO THROUGH A LONG PUBLIC 2364 01:28:54,262 --> 01:28:55,663 COMMENT PROCESS IN WHICH WE GET 2365 01:28:55,730 --> 01:28:57,432 INPUT FROM NOT ONLY OUR NCCIH 2366 01:28:57,498 --> 01:28:59,834 STAFF BUT STAKEHOLDERS AND 2367 01:28:59,901 --> 01:29:02,236 SCIENTIFIC ADVISORS IN THE 2368 01:29:02,303 --> 01:29:05,306 GENERGENERAL PUBLIC. 2369 01:29:05,373 --> 01:29:06,774 THROUGH THIS DOCUMENT, WE SET 2370 01:29:06,841 --> 01:29:08,810 THE STRATEGIC PRIORITIES OR WHAT 2371 01:29:08,876 --> 01:29:11,045 WE CONSIDER OUR STRATEGIC 2372 01:29:11,112 --> 01:29:14,348 PRIORITIES TO HELP ADVANCE OUR 2373 01:29:14,415 --> 01:29:17,285 OVERALL MISSION AT NCCIH. 2374 01:29:17,351 --> 01:29:25,927 AND EVERY TIME WE DO THIS, EVERY 2375 01:29:25,993 --> 01:29:26,994 TIME WE START ON THIS PROCESS, 2376 01:29:27,061 --> 01:29:29,997 WE DO EXTENSIVE PORTFOLIO 2377 01:29:30,064 --> 01:29:31,833 ANALYSES, AND THE TWO QUESTIONS 2378 01:29:31,899 --> 01:29:33,601 THAT WE'RE ALWAYS TRYING TO 2379 01:29:33,668 --> 01:29:35,036 ADDRESS ARE WHERE ARE THE 2380 01:29:35,103 --> 01:29:36,771 POTENTIAL GAPS IN OUR PORTFOLIO, 2381 01:29:36,838 --> 01:29:38,639 AND WHAT SHOULD OUR STRATEGIC 2382 01:29:38,706 --> 01:29:41,209 PRIORITIES BE. 2383 01:29:41,275 --> 01:29:43,277 SO AS DR. LANGEVIN HAS SHOWN AND 2384 01:29:43,344 --> 01:29:47,014 YOU'VE SEEN THIS MANY TIMES 2385 01:29:47,081 --> 01:29:49,517 TODAY, NCCIH HAS A LOT OF 2386 01:29:49,584 --> 01:29:53,054 INTEREST AREAS. 2387 01:29:53,121 --> 01:29:56,691 AND SO WE'RE TALKING ABOUT 2388 01:29:56,758 --> 01:29:58,326 THESE, AND WHAT WE KNOW IS THAT 2389 01:29:58,392 --> 01:30:02,930 THESE AREAS TEND -- ARE VERY -- 2390 01:30:02,997 --> 01:30:04,298 THE RESEARCH THAT WE SUPPORT 2391 01:30:04,365 --> 01:30:06,234 THESE AREAS ARE VERY INTEGRATED 2392 01:30:06,300 --> 01:30:09,103 WITHIN THEM. 2393 01:30:09,170 --> 01:30:10,938 SO THE QUESTION IS, HOW CAN WE 2394 01:30:11,005 --> 01:30:13,841 NOT ONLY VIEW THE PORTFOLIO 2395 01:30:13,908 --> 01:30:15,176 ACROSS ALL OF THESE INTEREST 2396 01:30:15,243 --> 01:30:18,679 AREAS, BUT REALLY CAPTURE THAT 2397 01:30:18,746 --> 01:30:19,213 INTEGRATIVE NATURE OF THE 2398 01:30:19,280 --> 01:30:22,517 PORTFOLIO. 2399 01:30:22,583 --> 01:30:24,051 AND THEN IDEALLY BE ABLE TO 2400 01:30:24,118 --> 01:30:25,720 TRACK THIS INTEGRATIVE NATURE 2401 01:30:25,787 --> 01:30:28,055 OVER TIME. 2402 01:30:28,122 --> 01:30:30,124 SO THIS GETS -- I'M SURE YOU CAN 2403 01:30:30,191 --> 01:30:31,225 APPRECIATE, THIS GETS VERY 2404 01:30:31,292 --> 01:30:33,728 COMPLICATED VERY, VERY QUICKLY, 2405 01:30:33,795 --> 01:30:37,632 AND SO WE DECIDED TO SEE IF WE 2406 01:30:37,698 --> 01:30:39,634 COULD VISUALIZE OUR PORTFOLIO 2407 01:30:39,700 --> 01:30:43,204 USING A NETWORK MAP. 2408 01:30:43,271 --> 01:30:45,573 AND SO THIS IS THE BEAUTIFUL 2409 01:30:45,640 --> 01:30:47,875 NETWORK MAP, WHICH BASICALLY 2410 01:30:47,942 --> 01:30:48,676 THAT'S THE MAP YOU'RE GOING TO 2411 01:30:48,743 --> 01:30:50,378 BE SEEING THROUGHOUT THE WHOLE 2412 01:30:50,444 --> 01:30:52,814 PRESENTATION. 2413 01:30:52,880 --> 01:30:56,217 SO WHAT THIS MAP IS SHOWING IS, 2414 01:30:56,284 --> 01:30:58,386 IT'S REALLY A SNAPSHOT IN TIME 2415 01:30:58,452 --> 01:31:01,556 OF OUR FY -- OUR FISCAL YEAR 2416 01:31:01,622 --> 01:31:03,024 2023 EXTRAMURAL RESEARCH 2417 01:31:03,090 --> 01:31:08,029 PORTFOLIO. 2418 01:31:08,095 --> 01:31:10,565 TO AR YENT YOU, EACH OF THOSE 2419 01:31:10,631 --> 01:31:11,799 LITTLE DOTS YOU SEE ARE A GRANT 2420 01:31:11,866 --> 01:31:14,202 THAT WE EITHER ADMINISTERED OR 2421 01:31:14,268 --> 01:31:15,736 FUNDED. 2422 01:31:15,803 --> 01:31:20,074 THE GREY BOXES ARE THOSE -- THE 2423 01:31:20,141 --> 01:31:22,109 FIVE WHAT WE CALL THE WHAT 2424 01:31:22,176 --> 01:31:26,047 THEMES, THE COLORED DOTS THAT 2425 01:31:26,113 --> 01:31:27,248 YOU SAW ON THE PREVIOUS SLIDE. 2426 01:31:27,315 --> 01:31:28,482 THE GREY LINES CONNECTING THE 2427 01:31:28,549 --> 01:31:32,520 DOTS TO A THEME IS A CONNECTION, 2428 01:31:32,587 --> 01:31:33,855 IT'S ESSENTIALLY SAYING THAT 2429 01:31:33,921 --> 01:31:37,558 GRANT HAS SOME -- TOUCHES SOME 2430 01:31:37,625 --> 01:31:42,763 ASPECT OF THAT THEME, AND THEN 2431 01:31:42,830 --> 01:31:44,432 THE DOTS ARE COLOR-CODED BY HOW 2432 01:31:44,498 --> 01:31:46,400 MANY OF THOSE THEMES THEY TOUCH. 2433 01:31:46,467 --> 01:31:48,603 SO JUST BY LOOKING AT IT, YOU 2434 01:31:48,669 --> 01:31:50,605 CAN SEE ONE THEME, TWO THEMES, 2435 01:31:50,671 --> 01:31:51,873 THREE THEMES, FOUR THEMES, AND 2436 01:31:51,939 --> 01:31:57,044 WE HAVE NO FIVE THEMES. 2437 01:31:57,111 --> 01:31:59,881 SO THIS IS VERY HELPFUL IN 2438 01:31:59,947 --> 01:32:03,184 TAKING A VERY COMPLEX 2439 01:32:03,251 --> 01:32:04,518 INTERACTION AND DISTILLING IT 2440 01:32:04,585 --> 01:32:06,721 DOWN TO SOMETHING THAT YOU CAN 2441 01:32:06,787 --> 01:32:09,123 VISUALLY APPRECIATE. 2442 01:32:09,190 --> 01:32:11,859 ANOTHER THING TO ORIENT YOU IS 2443 01:32:11,926 --> 01:32:14,829 THE POSITION OF THE GRANTS ARE 2444 01:32:14,896 --> 01:32:15,296 IMPORTANT. 2445 01:32:15,363 --> 01:32:17,465 YOU CAN IMAGINE THAT THERE'S A 2446 01:32:17,531 --> 01:32:20,768 TUG OF WAR HAPPENING BETWEEN THE 2447 01:32:20,835 --> 01:32:22,136 DIFFERENT THEMES AND THE RESULT 2448 01:32:22,203 --> 01:32:25,373 OF THAT TUG OF WAR IS WHERE THE 2449 01:32:25,439 --> 01:32:28,910 DOT ENDS UP. 2450 01:32:28,976 --> 01:32:31,178 THIS IS -- SO JUST BY LOOKING AT 2451 01:32:31,245 --> 01:32:34,682 IT, YOU GET A SENSE OF WHAT 2452 01:32:34,749 --> 01:32:41,822 THEMES A GRANT PARTICIPATES IN. 2453 01:32:41,889 --> 01:32:43,124 YOU ALSO SEE LOTS OF CLUSTERS. 2454 01:32:43,190 --> 01:32:44,125 THE CLUSTERS ARE IMPORTANT 2455 01:32:44,191 --> 01:32:45,226 BECAUSE THE CLUSTERS ARE TELLING 2456 01:32:45,293 --> 01:32:46,894 YOU THAT ALL OF THOSE GRANTS ARE 2457 01:32:46,961 --> 01:32:48,663 TOUCHING THE SAME THEMES, AND SO 2458 01:32:48,729 --> 01:32:52,600 YOU GET A SENSE OF THE 2459 01:32:52,667 --> 01:32:54,702 SATURATION OR HOW MUCH ARE WE 2460 01:32:54,769 --> 01:33:05,379 INVESTING IN CERTAIN AREAS -. 2461 01:33:06,180 --> 01:33:07,448 SO THERE'S A LOT OF INFORMATION 2462 01:33:07,515 --> 01:33:09,684 IN THIS THAT WE CAN DISCUSS. 2463 01:33:09,750 --> 01:33:11,018 ONE THING -- I'M NOW GOING TO 2464 01:33:11,085 --> 01:33:12,753 SHOW YOU SOME EXAMPLES OF THESE 2465 01:33:12,820 --> 01:33:14,855 CLUSTERS OF HOW THEY -- HOW THEY 2466 01:33:14,922 --> 01:33:18,359 ARE HELPFUL IN NOT ONLY 2467 01:33:18,426 --> 01:33:21,228 VISUALIZING THE PORTFOLIO BUT 2468 01:33:21,295 --> 01:33:23,164 ALSO GROUPING LIKE THINGS 2469 01:33:23,230 --> 01:33:27,368 TOGETHER AND MAKING IT EASIER TO 2470 01:33:27,435 --> 01:33:30,871 IDENTIFY GAPS AND POTENTIAL 2471 01:33:30,938 --> 01:33:31,772 OPPORTUNITIES. 2472 01:33:31,839 --> 01:33:36,344 SO FIRST THIS CLUSTER RIGHT HERE 2473 01:33:36,410 --> 01:33:38,446 ARE GRANTS THAT -- THIS CLUSTER 2474 01:33:38,512 --> 01:33:42,483 IS REPRESENTED BY GRANTS THAT 2475 01:33:42,550 --> 01:33:44,352 FALL WITHIN THE NUTRITION AND 2476 01:33:44,418 --> 01:33:47,088 NATURAL PRODUCTS THEME. 2477 01:33:47,154 --> 01:33:49,724 I'VE PICKED OUT ONE GRANT THAT 2478 01:33:49,790 --> 01:33:53,060 IS PRESENT WITHIN THIS CLUSTER, 2479 01:33:53,127 --> 01:33:55,763 AND YOU CAN SEE FROM IT THAT IT 2480 01:33:55,830 --> 01:33:58,199 IS FOCUSING ON A NATURAL 2481 01:33:58,265 --> 01:33:58,733 PRODUCT. 2482 01:33:58,799 --> 01:34:01,035 IT IS EVALUATING THE 2483 01:34:01,102 --> 01:34:02,136 PHARMACOLOGY, THE SYNTHESIS AND 2484 01:34:02,203 --> 01:34:03,671 TARGET ASSIGNMENT ASSOCIATED 2485 01:34:03,738 --> 01:34:07,408 WITH THAT NATURAL PRODUCT. 2486 01:34:07,475 --> 01:34:09,844 LOOKING AT THIS, I HOPE YOU CAN 2487 01:34:09,910 --> 01:34:11,712 APPRECIATE THAT IT CLEARLY IS A 2488 01:34:11,779 --> 01:34:13,047 PURE NATURAL PRODUCTS GRANT. 2489 01:34:13,114 --> 01:34:15,016 IT REALLY DOESN'T SEEM TO HAVE 2490 01:34:15,082 --> 01:34:17,018 MUCH OVERLAP WITH OTHER -- THE 2491 01:34:17,084 --> 01:34:19,086 OTHER THEMES. 2492 01:34:19,153 --> 01:34:22,056 SO COMPARE THAT WITH THIS 2493 01:34:22,123 --> 01:34:27,628 CLUSTER, WHICH INTEGRATES THE 2494 01:34:27,695 --> 01:34:28,963 MIND-BODY CONNECTION WITH PAIN 2495 01:34:29,030 --> 01:34:30,965 AND PAIN MANAGEMENT, AND AGAIN, 2496 01:34:31,032 --> 01:34:33,134 I'VE PULLED OUT A GRANT FOR YOU 2497 01:34:33,200 --> 01:34:34,468 HERE. 2498 01:34:34,535 --> 01:34:37,738 THIS ONE IS LOOKING AT 2499 01:34:37,805 --> 01:34:39,407 MINDFULNESS AND THE CONNECTION 2500 01:34:39,473 --> 01:34:41,275 BETWEEN MINDFULNESS AND PAIN 2501 01:34:41,342 --> 01:34:47,381 MANAGEMENT. 2502 01:34:47,448 --> 01:34:49,383 I HAVE A THIRD CLUSTER, IF I CAN 2503 01:34:49,450 --> 01:34:49,850 ADVANCE. 2504 01:34:49,917 --> 01:34:50,418 THERE WE GO. 2505 01:34:50,484 --> 01:34:53,888 THIS CLUSTER IS AN INTEGRATION 2506 01:34:53,954 --> 01:34:55,990 OF WHOLE PERSON RESEARCH, 2507 01:34:56,057 --> 01:34:58,726 NATURAL PRODUCTS, NUTRITION, 2508 01:34:58,793 --> 01:35:00,828 PAIN AND PAIN MANAGEMENT. 2509 01:35:00,895 --> 01:35:02,696 THERE'S A LOT GOING THERE. 2510 01:35:02,763 --> 01:35:09,904 SO THE GRANT I SELECTED HERE IS 2511 01:35:09,970 --> 01:35:12,173 A MULTISYSTEM INVESTIGATION. 2512 01:35:12,239 --> 01:35:15,242 FOCUSING ON CANNABINOIDS, AND 2513 01:35:15,309 --> 01:35:16,544 THEIR INPUT -- THEIR INFLUENCE 2514 01:35:16,610 --> 01:35:21,715 ON PAIN AND INFLAMMATION. 2515 01:35:21,782 --> 01:35:23,818 YOU CAN SEE THAT THIS GRANT IS 2516 01:35:23,884 --> 01:35:26,087 VERY DIFFERENT FROM THE PREVIOUS 2517 01:35:26,153 --> 01:35:28,389 NATURAL PRODUCTS GRANT THAT I 2518 01:35:28,456 --> 01:35:30,524 SHOWED YOU, AND THIS IS EVIDENT 2519 01:35:30,591 --> 01:35:34,628 BY THE FACT THAT IT IS IN TWO 2520 01:35:34,695 --> 01:35:35,563 VERY DIFFERENT PLACES IN THE 2521 01:35:35,629 --> 01:35:38,999 MAP, SO THIS MAP ALLOWS YOU TO 2522 01:35:39,066 --> 01:35:42,937 SORT AND IDENTIFY THESE UNIQUE 2523 01:35:43,003 --> 01:35:45,773 TYPES OF GRANTS. 2524 01:35:45,840 --> 01:35:48,409 THE LAST EXAMPLE THAT I WANT TO 2525 01:35:48,476 --> 01:35:50,511 SHOW YOU, THIS IS AN EXAMPLE OF 2526 01:35:50,578 --> 01:35:55,449 A CLUSTER THAT INTEGRATES FOUR 2527 01:35:55,516 --> 01:35:57,184 THEMES, AND AGAIN, THIS IS VERY 2528 01:35:57,251 --> 01:35:57,952 DIFFERENT FROM THE GRANTS I'VE 2529 01:35:58,018 --> 01:35:59,787 SHOWN YOU BEFORE. 2530 01:35:59,854 --> 01:36:01,522 EVEN THOUGH IT TOUCHES ON MANY 2531 01:36:01,589 --> 01:36:03,691 OF THE SAME THEMES THAT WE HAD 2532 01:36:03,757 --> 01:36:05,893 BEFORE. 2533 01:36:05,960 --> 01:36:08,162 SO I WENT THROUGH THAT VERY 2534 01:36:08,229 --> 01:36:10,097 QUICKLY BECAUSE I WANT TO FOCUS 2535 01:36:10,164 --> 01:36:15,469 ON THE DISCUSSION, SO JUST TO 2536 01:36:15,536 --> 01:36:18,205 WRAP UP, I HOPE I'VE CONVINCED 2537 01:36:18,272 --> 01:36:20,841 YOU THAT THE NETWORK MAPPING IS 2538 01:36:20,908 --> 01:36:23,611 A GOOD WAY TO VISUALIZE THE 2539 01:36:23,677 --> 01:36:24,812 INTEGRATIVE NATURE OF OUR 2540 01:36:24,879 --> 01:36:25,346 PORTFOLIO. 2541 01:36:25,412 --> 01:36:30,217 IT ALLOWS US TO SORT LIKE GRANTS 2542 01:36:30,284 --> 01:36:34,054 AND IT PROVIDES A NEW WAY FOR US 2543 01:36:34,121 --> 01:36:35,456 TO IDENTIFY GAPS AND 2544 01:36:35,523 --> 01:36:37,691 OPPORTUNITIES WITHIN OUR 2545 01:36:37,758 --> 01:36:37,958 PORTFOLIO. 2546 01:36:38,025 --> 01:36:41,128 WHAT IT HAS SHOWN US SO FAR IS 2547 01:36:41,195 --> 01:36:43,731 THAT OUR PORTFOLIO IS 2548 01:36:43,797 --> 01:36:44,732 PREDOMINANTLY INTEGRATED, WHICH 2549 01:36:44,798 --> 01:36:46,100 WE SUSPECTED BUT NOW WE HAVE 2550 01:36:46,167 --> 01:36:47,635 DATA TO BACK IT UP. 2551 01:36:47,701 --> 01:36:49,503 WITH THE MAJORITY OF THE GRANTS 2552 01:36:49,570 --> 01:36:54,842 THAT WE HAVE FUNDED COVERING TWO 2553 01:36:54,909 --> 01:36:56,944 OR MORE THEMES. 2554 01:36:57,011 --> 01:36:58,946 SO WITH THAT, I WILL TAKE 2555 01:36:59,013 --> 01:37:00,014 QUESTIONS AND OPEN IT UP FOR 2556 01:37:00,080 --> 01:37:10,391 DISCUSSION. 2557 01:37:10,457 --> 01:37:13,194 >> I HAVE A QUESTION. 2558 01:37:13,260 --> 01:37:13,861 OH, GO AHEAD. 2559 01:37:13,928 --> 01:37:15,930 >> NO, YOU FIRST. 2560 01:37:15,996 --> 01:37:18,199 >> ALL RIGHT. 2561 01:37:18,265 --> 01:37:20,568 I REALLY LIKE THAT VISUALIZATION 2562 01:37:20,634 --> 01:37:21,502 A LOT ACTUALLY. 2563 01:37:21,569 --> 01:37:26,774 IT'S A WONDERFUL GRAPH. 2564 01:37:26,840 --> 01:37:28,175 I THINK IT SERVES US A LOT. 2565 01:37:28,242 --> 01:37:30,511 I'M WONDERING HOW YOU DEFINE 2566 01:37:30,578 --> 01:37:32,012 WHOLE PERSON EXACTLY, BECAUSE 2567 01:37:32,079 --> 01:37:33,314 MAYBE BY DEFINITION, IT CAN MEAN 2568 01:37:33,380 --> 01:37:34,114 A LOT OF THINGS. 2569 01:37:34,181 --> 01:37:36,083 MAYBE IT'S NOT WHOLE, WHOLE 2570 01:37:36,150 --> 01:37:38,185 PERSON BUT MAYBE FOR NOW MAYBE 2571 01:37:38,252 --> 01:37:40,487 IT'S MULTISYSTEM OR -- YEAH, HOW 2572 01:37:40,554 --> 01:37:42,056 DO YOU CATEGORIZE THINGS? 2573 01:37:42,122 --> 01:37:43,791 >> SO WE'VE SPENT A LOT OF TIME 2574 01:37:43,857 --> 01:37:46,927 TALKING ABOUT THIS. 2575 01:37:46,994 --> 01:37:48,696 AND THE WAY THAT THE CODING ON 2576 01:37:48,762 --> 01:37:51,565 THIS WORKS IS THAT WE CODE 2577 01:37:51,632 --> 01:37:53,400 SUBAREAS AND THEN BY DEFINITION 2578 01:37:53,467 --> 01:37:55,736 THOSE ROLL UP TO HIGHER AREAS, 2579 01:37:55,803 --> 01:37:57,605 AND SO THEN THE THEME IS A 2580 01:37:57,671 --> 01:37:59,139 GROUPING OF SMALLER AREAS. 2581 01:37:59,206 --> 01:38:01,542 AND THE SMALLER AREAS THAT WE 2582 01:38:01,609 --> 01:38:05,179 HAVE FOR WHOLE PERSON RESEARCH 2583 01:38:05,246 --> 01:38:08,449 ARE INTEGRATIVE MULTISYSTEM 2584 01:38:08,515 --> 01:38:09,650 INVESTIGATIONS, SO THAT 2585 01:38:09,717 --> 01:38:12,486 ESSENTIALLY MEANS THAT WE'RE 2586 01:38:12,553 --> 01:38:14,388 LOOKING AT ONE OR MORE BODY 2587 01:38:14,455 --> 01:38:16,790 SYSTEM OR THE WHOLE PERSON 2588 01:38:16,857 --> 01:38:20,527 DOMAINS INTERACTING OR 2589 01:38:20,594 --> 01:38:21,629 INFLUENCING EACH OTHER. 2590 01:38:21,695 --> 01:38:24,465 THE OTHER IS MULTISYSTEM 2591 01:38:24,531 --> 01:38:27,968 THERAPEUTIC OUTPUTS, SO NOW YOU 2592 01:38:28,035 --> 01:38:29,370 NEED TO HAVE AN INTERVENTION AND 2593 01:38:29,436 --> 01:38:30,304 THEN YOU'RE LOOKING AT THE 2594 01:38:30,371 --> 01:38:32,072 EFFECTS IN TWO OR MORE SYSTEMS 2595 01:38:32,139 --> 01:38:36,310 OR DOMAINS. 2596 01:38:36,377 --> 01:38:37,978 WE HAVE MULTICOMPONENT 2597 01:38:38,045 --> 01:38:40,948 INTERVENTIONS, SO INTERVENTIONS 2598 01:38:41,015 --> 01:38:42,349 THAT ARE STUDYING TWO OR MORE 2599 01:38:42,416 --> 01:38:45,653 THINGS AND THEY CAN EITHER BE 2600 01:38:45,719 --> 01:38:46,253 INFLUENCING -- LOOKING AT THE 2601 01:38:46,320 --> 01:38:47,621 IMPACT ON MULTIPLE SYSTEMS OR 2602 01:38:47,688 --> 01:38:50,090 JUST THE INTERACTION BETWEEN THE 2603 01:38:50,157 --> 01:38:50,524 TWO. 2604 01:38:50,591 --> 01:38:52,793 AND THEN THIS IS ALSO WHERE WE 2605 01:38:52,860 --> 01:38:56,830 PUT THE TRADITIONAL, TRADITIONAL 2606 01:38:56,897 --> 01:38:58,365 WHOLE HEALTH SYSTEMS. 2607 01:38:58,432 --> 01:39:01,669 SO ANY OF THOSE IS WHAT WE'RE 2608 01:39:01,735 --> 01:39:03,737 CALLING WHOLE PERSON RESEARCH. 2609 01:39:03,804 --> 01:39:10,210 AT LEAST FOR THIS ANALYSIS. 2610 01:39:10,277 --> 01:39:12,513 >> WE STRUGGLE SOMETIMES WITH 2611 01:39:12,579 --> 01:39:13,714 THE WORD WHOLE PERSON, AS YOU 2612 01:39:13,781 --> 01:39:14,481 POINTED OUT. 2613 01:39:14,548 --> 01:39:15,783 BECAUSE SOMETIMES IT'S EASIER TO 2614 01:39:15,849 --> 01:39:17,384 CONCLUDE, OH, IT HAS TO BE ABOUT 2615 01:39:17,451 --> 01:39:18,886 THE WHOLE PERSON. 2616 01:39:18,952 --> 01:39:22,589 IT'S REALLY INTEGRATIVE. 2617 01:39:22,656 --> 01:39:24,258 IT'S TOWARDS UNDERSTANDING THE 2618 01:39:24,325 --> 01:39:25,993 WHOLE PERSON. 2619 01:39:26,060 --> 01:39:27,561 AND THAT'S THE WAY WE'VE DEFINED 2620 01:39:27,628 --> 01:39:30,497 IT ALL ALONG, IS YOU CAN PUT TWO 2621 01:39:30,564 --> 01:39:33,167 OR MORE PIECES OF A PUZZLE 2622 01:39:33,233 --> 01:39:33,934 TOGETHER TOWARDS UNDERSTANDING 2623 01:39:34,001 --> 01:39:44,311 THE WHOLE PUZZLE. 2624 01:39:45,879 --> 01:39:55,856 >> DR. HANEY. 2625 01:39:55,923 --> 01:39:59,426 >> I ALSO REALLY LIKED THAT 2626 01:39:59,493 --> 01:39:59,760 VISUALIZATION. 2627 01:39:59,827 --> 01:40:01,362 YOU MIGHT HAVE MENTIONED IT, BUT 2628 01:40:01,428 --> 01:40:02,763 WHAT WAS IN THE OTHER CATEGORY? 2629 01:40:02,830 --> 01:40:05,966 IT LOOKED LIKE YOU HAD A LOT. 2630 01:40:06,033 --> 01:40:07,935 >> I DID NOT MENTION THE OTHER 2631 01:40:08,001 --> 01:40:09,269 CATEGORY, BUT IF YOU REMEMBER 2632 01:40:09,336 --> 01:40:11,772 ALL OF THOSE DOTS -- NOT THE 2633 01:40:11,839 --> 01:40:12,573 NETWORK DOTS BUT THE BUBBLES 2634 01:40:12,639 --> 01:40:16,810 THAT WE STARTED WITH, WE HAD 2635 01:40:16,877 --> 01:40:20,180 WORKFORCE DEVELOPMENT AND WE HAD 2636 01:40:20,247 --> 01:40:22,783 DATA METHODS AND THINGS LIKE 2637 01:40:22,850 --> 01:40:23,517 THAT. 2638 01:40:23,584 --> 01:40:27,020 WHAT IS IN THAT REALLY 2639 01:40:27,087 --> 01:40:28,756 REPRESENTS THOSE THINGS, SO IT'S 2640 01:40:28,822 --> 01:40:30,991 DIVERSITY PROGRAMS, IT'S 2641 01:40:31,058 --> 01:40:34,161 TRAINING THAT DOESN'T HAVE 2642 01:40:34,228 --> 01:40:35,362 NECESSARILY A RESEARCH FOCUS 2643 01:40:35,429 --> 01:40:37,431 THAT FALLS INTO ONE OF THE OTHER 2644 01:40:37,498 --> 01:40:39,299 BUCKETS. 2645 01:40:39,366 --> 01:40:42,736 >> OKAY, SO THAT WILL FEED INTO 2646 01:40:42,803 --> 01:40:46,206 WHAT'S MISSING CATEGORIES? 2647 01:40:46,273 --> 01:40:47,040 >> RIGHT, RIGHT. 2648 01:40:47,107 --> 01:40:48,442 >> OKAY. 2649 01:40:48,509 --> 01:40:51,211 >> YES. 2650 01:40:51,278 --> 01:40:52,746 >> I ALSO LIKE THAT 2651 01:40:52,813 --> 01:40:53,414 VISUALIZATION A LOT. 2652 01:40:53,480 --> 01:40:55,382 YOU MENTIONED USING TO FOLLOW 2653 01:40:55,449 --> 01:40:56,383 CHANGES OVER TIME. 2654 01:40:56,450 --> 01:40:58,318 HAVE YOU DONE THAT 2655 01:40:58,385 --> 01:40:59,319 RETROSPECTIVELY AND SEEN HOW 2656 01:40:59,386 --> 01:41:01,054 THINGS CHANGED OVER THE LAST 2657 01:41:01,121 --> 01:41:02,523 FIVE YEARS WITH THE INTRODUCTION 2658 01:41:02,589 --> 01:41:07,528 OF WHOLE PERSON HEALTH AS A -- 2659 01:41:07,594 --> 01:41:09,530 >> I HAVE DABBLED. 2660 01:41:09,596 --> 01:41:12,266 WE DON'T HAVE ANYTHING OFFICIAL 2661 01:41:12,332 --> 01:41:14,268 YET, PARTLY BECAUSE WE'VE BEEN 2662 01:41:14,334 --> 01:41:15,803 REALLY DECIDING HOW WE'RE GOING 2663 01:41:15,869 --> 01:41:18,305 TO DEFINE EVERYTHING. 2664 01:41:18,372 --> 01:41:22,142 BUT WE HAVE SEEN SHIFTS. 2665 01:41:22,209 --> 01:41:25,979 I'VE LOOKED AT 2018 AND 2019. 2666 01:41:26,046 --> 01:41:30,451 WE'VE SEEN SHIFTS BUT WE'RE NOT 2667 01:41:30,517 --> 01:41:34,188 READY TO PRESENT THAT OR -- BUT 2668 01:41:34,254 --> 01:41:35,189 YES, IT IS SOMETHING WE COULD 2669 01:41:35,255 --> 01:41:42,095 TRACK OVER TIME. 2670 01:41:42,162 --> 01:41:43,964 >> I THINK IT'S REALLY 2671 01:41:44,031 --> 01:41:47,134 FASCINATING AND I LOVE THE 2672 01:41:47,201 --> 01:41:48,235 OPPORTUNITY TO VISUALIZE SORT OF 2673 01:41:48,302 --> 01:41:51,538 WHAT WE'VE FELT HAPPENING. 2674 01:41:51,605 --> 01:41:55,576 AND FROM A VISUAL PERSPECTIVE, 2675 01:41:55,642 --> 01:41:57,444 IT'S INTERESTING HOW IT SEEMS AS 2676 01:41:57,511 --> 01:42:00,948 THOUGH THERE'S SORT OF A LESS 2677 01:42:01,014 --> 01:42:03,817 BUILT UP PART, AND SO THE 2678 01:42:03,884 --> 01:42:06,753 TEMPTATION IS TO SAY THAT 2679 01:42:06,820 --> 01:42:09,756 THERE'S A GAP THERE, BUT THEN I 2680 01:42:09,823 --> 01:42:12,593 RECOGNIZE THAT NOT ALL OF THOSE 2681 01:42:12,659 --> 01:42:15,529 CIRCLES ARE NECESSARILY EQUAL, 2682 01:42:15,596 --> 01:42:20,934 AND I WONDER IF THERE MIGHT BE 2683 01:42:21,001 --> 01:42:22,269 FURTHER VISUAL ANALYTICS YOU 2684 01:42:22,336 --> 01:42:25,539 COULD USE TO QUANTIFY, FOR 2685 01:42:25,606 --> 01:42:29,476 INSTANCE, WHOLE PERSON HEALTH IS 2686 01:42:29,543 --> 01:42:33,547 QUITE DIFFERENT FROM A 2687 01:42:33,614 --> 01:42:37,284 REDUCTIONISTIC NATURAL PRODUCT 2688 01:42:37,351 --> 01:42:39,119 APPROACH, OR GRANT OR PROJECT OR 2689 01:42:39,186 --> 01:42:40,254 SOMETHING LIKE THAT, SO I'M 2690 01:42:40,320 --> 01:42:43,323 STRUSTRUGGLING A LITTLE BIT WITH 2691 01:42:43,390 --> 01:42:47,694 BEAUTY OF THE VISUAL SORT OF 2692 01:42:47,761 --> 01:42:50,464 OPPORTUNITY, BUT WANTING TO BE 2693 01:42:50,531 --> 01:42:53,133 CAREFUL TO MATCH IT WITH THE 2694 01:42:53,200 --> 01:42:53,367 CONTENT. 2695 01:42:53,433 --> 01:42:54,968 >> AND I THINK IT'S IMPORTANT TO 2696 01:42:55,035 --> 01:42:58,405 REMEMBER THAT THIS ISN'T ONLY 2697 01:42:58,472 --> 01:43:00,040 ANALYSIS WE'LL DO WHEN WE'RE 2698 01:43:00,107 --> 01:43:01,141 STARTING TO EVALUATE THE 2699 01:43:01,208 --> 01:43:03,043 PORTFOLIO. 2700 01:43:03,110 --> 01:43:06,446 WHAT I THINK THIS DOES REALLY 2701 01:43:06,513 --> 01:43:07,881 WELL IS MAKING IT EASY FOR YOU 2702 01:43:07,948 --> 01:43:10,484 TO SEE WHICH AREAS DO WE HAVE A 2703 01:43:10,551 --> 01:43:14,621 LOT OF GRANTS IN, I MEAN, WE CAN 2704 01:43:14,688 --> 01:43:16,657 CUT AND DICE THE DATA AND REALLY 2705 01:43:16,723 --> 01:43:18,292 GET DOWN INTO OKAY, WELL, IN 2706 01:43:18,358 --> 01:43:19,426 THIS CLUSTER, WHAT TYPE OF 2707 01:43:19,493 --> 01:43:23,163 GRANTS ARE WE TALKING ABOUT, OR 2708 01:43:23,230 --> 01:43:24,798 THINGS LIKE THAT, BUT IT'S NOT 2709 01:43:24,865 --> 01:43:29,002 OUR ONLY TOOL, BUT IT IS HELPFUL 2710 01:43:29,069 --> 01:43:30,871 IN VISUALIZING THOSE COMPLEX 2711 01:43:30,938 --> 01:43:31,939 INTERACTIONS AND ASKING HOW MUCH 2712 01:43:32,005 --> 01:43:36,243 ARE WE REALLY INVESTING IN THIS 2713 01:43:36,310 --> 01:43:40,247 SPECIFIC AREA. 2714 01:43:40,314 --> 01:43:41,848 >> YOU MENTIONED AN EXAMPLE, 2715 01:43:41,915 --> 01:43:43,283 RIGHT, OF A NATURAL PRODUCTS 2716 01:43:43,350 --> 01:43:45,352 GRANT THAT WOULD BE KIND OF IN 2717 01:43:45,419 --> 01:43:47,588 ITS OWN KIND OF BUBBLE, BUT AS I 2718 01:43:47,654 --> 01:43:50,324 MENTIONED IN MY PRESENTATION, 2719 01:43:50,390 --> 01:43:53,927 WE'RE REALLY LOOKING TO MOVE OUR 2720 01:43:53,994 --> 01:43:55,495 PORTFOLIO IN AN INTEGRATIVE 2721 01:43:55,562 --> 01:43:55,963 DIRECTION. 2722 01:43:56,029 --> 01:43:57,831 SO YOU WOULD EXPECT THAT IN THE 2723 01:43:57,898 --> 01:44:00,667 FUTURE YEARS, YOU MIGHT SEE MORE 2724 01:44:00,734 --> 01:44:02,302 NATURAL PRODUCTS GRANTS THAT 2725 01:44:02,369 --> 01:44:04,738 WOULD BE CONNECTED TO OTHER 2726 01:44:04,805 --> 01:44:05,272 THINGS. 2727 01:44:05,339 --> 01:44:08,675 LIKE RESILIENCE, LIKE WE ARE 2728 01:44:08,742 --> 01:44:09,810 DOING SOME OF THAT. 2729 01:44:09,876 --> 01:44:11,545 SO, YOU KNOW, THAT'S THE IDEA, 2730 01:44:11,612 --> 01:44:13,647 IS THAT OVER TIME, YOU WOULD 2731 01:44:13,714 --> 01:44:15,148 EXPECT TO SEE MORE OF THESE 2732 01:44:15,215 --> 01:44:17,851 GRANTS ENDING UP IN THE MIDDLE 2733 01:44:17,918 --> 01:44:18,919 OF THE THING BUT WE DON'T KNOW. 2734 01:44:18,986 --> 01:44:20,354 WE'LL HAVE TO SEE IF THAT 2735 01:44:20,420 --> 01:44:22,789 ACTUALLY HAPPENS, RIGHT? 2736 01:44:22,856 --> 01:44:25,092 DEPENDS WHAT GRANTS PEOPLE SEND 2737 01:44:25,158 --> 01:44:30,964 US. 2738 01:44:31,031 --> 01:44:32,599 DO YOU WANT TO RESPOND TO THAT 2739 01:44:32,666 --> 01:44:33,700 POINT OR -- 2740 01:44:33,767 --> 01:44:36,937 >> YEAH, I KIND OF DID, BUT -- 2741 01:44:37,004 --> 01:44:40,974 >> I JUST WANTED TO ADDRESS THE 2742 01:44:41,041 --> 01:44:42,175 NATURAL PRODUCTS AND 2743 01:44:42,242 --> 01:44:42,709 REDUCTIONIST RESEARCH. 2744 01:44:42,776 --> 01:44:44,111 THAT IS PART OF IT, BUT OF 2745 01:44:44,177 --> 01:44:45,812 COURSE WITH NATURAL PRODUCTS 2746 01:44:45,879 --> 01:44:48,348 BEING MULTICOMPONENT MIXTURES 2747 01:44:48,415 --> 01:44:49,549 WHICH COULD HAVE MULTIPLE 2748 01:44:49,616 --> 01:44:50,884 EFFECTS, I THINK THERE'S NO 2749 01:44:50,951 --> 01:44:55,155 REASON WHY A NATURAL PRODUCTS 2750 01:44:55,222 --> 01:44:58,759 PRODUCT RESEARCH SHOULD ALSO NOT 2751 01:44:58,825 --> 01:44:59,893 ADDRESS WHOLE PERSONAL HEALTH. 2752 01:44:59,960 --> 01:45:01,895 >> YOU COULD SEE THAT IN THE 2753 01:45:01,962 --> 01:45:02,429 NETWORK MAP. 2754 01:45:02,496 --> 01:45:05,298 NOT ALL OF THE NATURAL PRODUCTS 2755 01:45:05,365 --> 01:45:06,066 GRANTS WERE SINGLE. 2756 01:45:06,133 --> 01:45:09,569 WE HAD THEM TOUCHING ALL OF THE 2757 01:45:09,636 --> 01:45:09,870 DIFFERENT -- 2758 01:45:09,936 --> 01:45:11,672 >> ABSOLUTELY, RIGHT. 2759 01:45:11,738 --> 01:45:15,175 >> THE ONLY THING I WANT TO NOT 2760 01:45:15,242 --> 01:45:16,743 LOSE SIGHT OF IS THAT THERE IS A 2761 01:45:16,810 --> 01:45:18,645 TIME AND A PLACE WHEN ONE HAS TO 2762 01:45:18,712 --> 01:45:21,548 DO THAT FIRST. 2763 01:45:21,615 --> 01:45:24,418 AND BEFORE YOU CAN DO AN 2764 01:45:24,484 --> 01:45:25,552 INTEGRATED APPROACH, YOU HAVE TO 2765 01:45:25,619 --> 01:45:28,021 GET IN AND UNDERSTAND A 2766 01:45:28,088 --> 01:45:28,655 MECHANISM OF SOMETHING BEFORE 2767 01:45:28,722 --> 01:45:31,892 YOU CAN TAKE TO THE NEXT LEVEL, 2768 01:45:31,958 --> 01:45:32,759 AND PARTICULARLY NATURAL 2769 01:45:32,826 --> 01:45:35,162 PRODUCTS AND EVEN SOME OF THE 2770 01:45:35,228 --> 01:45:36,129 NON-PHARMACOLOGICAL TREATMENTS, 2771 01:45:36,196 --> 01:45:39,766 WE NEED TO UNDERSTAND THAT 2772 01:45:39,833 --> 01:45:41,535 BEFORE WE CAN START SAYING WELL, 2773 01:45:41,601 --> 01:45:42,602 WE NEED TO FOLLOW THIS WHOLE 2774 01:45:42,669 --> 01:45:44,504 PERSON APPROACH. 2775 01:45:44,571 --> 01:45:45,939 SO THERE'S -- I DON'T WANT TO 2776 01:45:46,006 --> 01:45:50,877 LOSE SIGHT OF THOSE -- IN ANY 2777 01:45:50,944 --> 01:45:51,044 WAY. 2778 01:45:51,111 --> 01:45:51,978 >> -- EVEN IN THE END. 2779 01:45:52,045 --> 01:45:53,613 >> YEAH, AND WHILE IT'S 2780 01:45:53,680 --> 01:45:54,681 IMPORTANT, WE JUST NEED TO KEEP 2781 01:45:54,748 --> 01:45:55,949 IN MIND THAT THERE'S SOME REAL 2782 01:45:56,016 --> 01:45:57,584 BASIC STUFF THAT STILL HAS TO BE 2783 01:45:57,651 --> 01:45:59,486 DONE IN ORDER TO MOVE SCIENCE 2784 01:45:59,553 --> 01:45:59,720 FORWARD. 2785 01:45:59,786 --> 01:46:10,163 >> I UNDERSTAND THAT. 2786 01:46:11,131 --> 01:46:12,399 >> OTHER COMMENTS, THOUGHTS, 2787 01:46:12,466 --> 01:46:14,568 QUESTIONS? 2788 01:46:14,634 --> 01:46:19,272 COMPLAINTS? 2789 01:46:19,339 --> 01:46:19,973 PEOPLE LIKE THIS? 2790 01:46:20,040 --> 01:46:20,741 WE'RE EXCITED ABOUT IT. 2791 01:46:20,807 --> 01:46:21,975 I MEAN, WE'VE BEEN WORKING ON 2792 01:46:22,042 --> 01:46:24,511 THIS FOR MANY YEARS NOW, AND IT 2793 01:46:24,578 --> 01:46:25,512 SEEMS, YOU KNOW, IN TERMS OF 2794 01:46:25,579 --> 01:46:26,913 PLAYING AROUND WITH THESE TYPES 2795 01:46:26,980 --> 01:46:29,015 OF NETWORK GRAPHS, IT SEEMS LIKE 2796 01:46:29,082 --> 01:46:30,584 WE'VE KIND OF ARRIVED SOMEWHERE 2797 01:46:30,650 --> 01:46:33,320 WHERE WE NOW HAVE A TOOL THAT WE 2798 01:46:33,386 --> 01:46:34,621 CAN USE AND THE FACT THAT THIS 2799 01:46:34,688 --> 01:46:36,957 IS NOW THE BEGINNING OF OUR 2800 01:46:37,023 --> 01:46:41,228 STRATEGIC PLAN IS A NICE -- NICE 2801 01:46:41,294 --> 01:46:42,095 TIMING, EXACTLY. 2802 01:46:42,162 --> 01:46:46,199 SO THANK YOU, ANGELA, FOR DOING 2803 01:46:46,266 --> 01:46:47,734 THIS IMPORTANT WORK. 2804 01:46:47,801 --> 01:46:52,105 SO OUR NEXT -- SPEAKING OF EXTRA 2805 01:46:52,172 --> 01:46:53,774 STRATEGIC PLAN, OUR NEXT SPEAKER 2806 01:46:53,840 --> 01:46:57,010 IS MS. MARY BETH KESTER, WHO IS 2807 01:46:57,077 --> 01:46:59,346 DIRECTOR OF OUR POLICY OFFICE 2808 01:46:59,412 --> 01:47:01,581 AND WHO WILL UPDATE US ON THE 2809 01:47:01,648 --> 01:47:02,315 STRATEGIC PLANNING PROCESS THAT 2810 01:47:02,382 --> 01:47:03,450 WE WILL BE KICKING OFF THIS 2811 01:47:03,517 --> 01:47:03,984 YEAR. 2812 01:47:04,050 --> 01:47:05,986 MARY BETH. 2813 01:47:06,052 --> 01:47:06,787 >> THANK YOU. 2814 01:47:06,853 --> 01:47:08,655 SORRY I CAN'T BE THERE WITH YOU 2815 01:47:08,722 --> 01:47:09,523 IN PERSON TODAY. 2816 01:47:09,589 --> 01:47:17,631 CAN YOU ALL SEE MY SCREEN? 2817 01:47:17,697 --> 01:47:18,431 OH KAY. 2818 01:47:18,498 --> 01:47:22,035 OKAY.I WILL BE SUPER BRIEF WITHY 2819 01:47:22,102 --> 01:47:22,469 ONE SLIDE. 2820 01:47:22,536 --> 01:47:24,204 SO JUST TO GIVE YOU AN IDEA OF 2821 01:47:24,271 --> 01:47:26,807 THE TIMELINE WE HAVE COMING UP. 2822 01:47:26,873 --> 01:47:29,376 OUR CURRENT PLAN GOES THROUGH FY 2823 01:47:29,442 --> 01:47:29,709 25. 2824 01:47:29,776 --> 01:47:31,478 SO WE ARE WORKING RIGHT NOW 2825 01:47:31,545 --> 01:47:36,817 INTERNALLY WITH OUR DUR STAFF 2826 01:47:36,883 --> 01:47:40,720 AND SENIOR STAFF TO DO THE 2827 01:47:40,787 --> 01:47:41,488 PORTFOLIO ANALYSIS THAT ANGELA 2828 01:47:41,555 --> 01:47:43,356 JUST SHOWED YOU AND THINK 2829 01:47:43,423 --> 01:47:44,558 THROUGH OUR HIGH PRIORITY 2830 01:47:44,624 --> 01:47:45,525 RESEARCH TOPICS. 2831 01:47:45,592 --> 01:47:47,894 WE WILL BE PUTTING OUT AN RFI 2832 01:47:47,961 --> 01:47:49,329 PROBABLY IN THE FALL, SOMETIME 2833 01:47:49,396 --> 01:47:50,964 SEPTEMBER THROUGH NOVEMBER FOR 2834 01:47:51,031 --> 01:47:52,199 THE COMMUNITY JUST TO GET 2835 01:47:52,265 --> 01:47:52,833 PEOPLE'S THOUGHTS ON THE CURRENT 2836 01:47:52,899 --> 01:47:54,634 PLAN AND WHERE WE MIGHT HAVE 2837 01:47:54,701 --> 01:47:55,735 SUCCEEDED OR FAILED AND WHAT ARE 2838 01:47:55,802 --> 01:47:56,870 THE GAPS AND OPPORTUNITIES THAT 2839 01:47:56,937 --> 01:47:59,272 WE SHOULD LOOK AT AND THINK 2840 01:47:59,339 --> 01:48:01,675 ABOUT, AND THEN OUR PLAN IS TO 2841 01:48:01,741 --> 01:48:05,912 POST A DRAFT PLAN TO THE NCCIH 2842 01:48:05,979 --> 01:48:07,781 WEBSITE IN AUGUST OF NEXT YEAR, 2843 01:48:07,848 --> 01:48:09,649 AND OPEN THAT UP FOR PUBLIC 2844 01:48:09,716 --> 01:48:11,484 COMMENT ON THE DRAFT, AND THEN 2845 01:48:11,551 --> 01:48:15,155 HAVE THE FINAL PLAN COMPLETED IN 2846 01:48:15,222 --> 01:48:15,488 EARLY 2026. 2847 01:48:15,555 --> 01:48:18,124 AND YOU ALL WILL BE HEARING 2848 01:48:18,191 --> 01:48:26,199 ABOUT THIS -- 2849 01:48:26,266 --> 01:48:36,543 [SPEAKER FROZEN] 2850 01:48:37,444 --> 01:48:43,984 [PLEASE STAND BY] 2851 01:48:44,050 --> 01:48:48,455 >> SO I GUESS I CAN FINISH. 2852 01:48:48,521 --> 01:48:51,191 BASICALLY JUST GOING THROUGH 2853 01:48:51,258 --> 01:48:54,427 THIS AGENDA, YOU CAN SEE THAT 2854 01:48:54,494 --> 01:48:56,596 OUR TIMELINE IS BASICALLY TO GET 2855 01:48:56,663 --> 01:49:02,168 US TO A DRAFT POSTED A YEAR FROM 2856 01:49:02,235 --> 01:49:03,737 AUGUST. 2857 01:49:03,803 --> 01:49:07,574 SO WE HAD ESSENTIALLY A YEAR TO 2858 01:49:07,641 --> 01:49:09,342 DIGEST ALL THE INFORMATION THAT 2859 01:49:09,409 --> 01:49:12,279 WE'RE GOING TO EITHER COLLECT 2860 01:49:12,345 --> 01:49:13,647 OURSELVES OR -- AND THAT WE'RE 2861 01:49:13,713 --> 01:49:17,817 GOING TO GATHER FROM -- OH, 2862 01:49:17,884 --> 01:49:19,219 YOU'RE BACK, MARY BETH. 2863 01:49:19,286 --> 01:49:20,620 >> SORRY ABOUT THAT. 2864 01:49:20,687 --> 01:49:22,522 >> I WAS PITCH HITTING FOR YOU. 2865 01:49:22,589 --> 01:49:23,757 >> SORRY ABOUT THAT. 2866 01:49:23,823 --> 01:49:26,393 DID YOU HEAR THE TIMELINE? 2867 01:49:26,459 --> 01:49:28,728 >> NO -- WELL, YOU WERE 2868 01:49:28,795 --> 01:49:30,096 PARTLY -- PARTWAY THROUGH IT. 2869 01:49:30,163 --> 01:49:32,666 >> OKAY. 2870 01:49:32,732 --> 01:49:34,467 >> YOU WERE IN AUGUSTA. 2871 01:49:34,534 --> 01:49:35,869 >> I'LL PUT IT BACK UP THERE. 2872 01:49:35,936 --> 01:49:38,605 SO YES, WE'LL POST THE DRAFT 2873 01:49:38,672 --> 01:49:39,940 PLAN IN AUGUST OF NEXT YEAR AND 2874 01:49:40,006 --> 01:49:44,010 HAVE PUBLIC COMMENT PERIOD, AND 2875 01:49:44,077 --> 01:49:45,278 THEN HOPEFULLY WE'LL HAVE THE 2876 01:49:45,345 --> 01:49:49,449 FINAL PLAN COMPLETED IN EARLY 2877 01:49:49,516 --> 01:49:51,851 2026, AND YOU ALL WILL HAVE 2878 01:49:51,918 --> 01:49:53,420 PLENTY OF OPPORTUNITY TO COMMENT 2879 01:49:53,486 --> 01:49:54,387 ON EVERYTHING THROUGH THE 2880 01:49:54,454 --> 01:49:55,922 PROCESS AND HEAR ABOUT IT AT ALL 2881 01:49:55,989 --> 01:49:57,257 THE COUNCIL MEETINGS BETWEEN NOW 2882 01:49:57,324 --> 01:50:01,027 AND JANUARY OF 2026. 2883 01:50:01,094 --> 01:50:02,662 SO HOPEFULLY I DID NOT FREEZE 2884 01:50:02,729 --> 01:50:08,802 THAT TIME. 2885 01:50:08,868 --> 01:50:09,336 >> THANK YOU. 2886 01:50:09,402 --> 01:50:10,670 SO ANY QUESTIONS ABOUT THAT 2887 01:50:10,737 --> 01:50:14,874 PROCESS? 2888 01:50:14,941 --> 01:50:19,779 PRETTY STRAIGHTFORWARD. 2889 01:50:19,846 --> 01:50:20,046 WONDERFUL. 2890 01:50:20,113 --> 01:50:20,313 ALL RIGHT. 2891 01:50:20,380 --> 01:50:22,515 THANK YOU, MARY BETH. 2892 01:50:22,582 --> 01:50:23,984 SO WE'RE AHEAD OF SCHEDULE AND 2893 01:50:24,050 --> 01:50:25,318 WE THOUGHT THAT SINCE SOME OF 2894 01:50:25,385 --> 01:50:27,153 YOU AND MOST OF YOU HAVE PLANES 2895 01:50:27,220 --> 01:50:30,390 TO CATCH, WE COULD JUST KEEP 2896 01:50:30,457 --> 01:50:31,725 GOING IN OUR PROGRAM, RIGHT? 2897 01:50:31,791 --> 01:50:33,259 WE'RE NOT GOING TO HAVE IT, WE 2898 01:50:33,326 --> 01:50:34,527 DON'T NEED A BREAK NOW, WE JUST 2899 01:50:34,594 --> 01:50:35,795 CAME BACK FROM LUNCH. 2900 01:50:35,862 --> 01:50:44,004 SO WE WILL KEEP GOING. 2901 01:50:44,070 --> 01:50:45,505 WAIT A MINUTE, WHO'S NEXT? 2902 01:50:45,572 --> 01:50:46,272 >> YOU ARE. 2903 01:50:46,339 --> 01:50:47,207 >> ME? 2904 01:50:47,273 --> 01:50:47,640 OH, IT'S ME. 2905 01:50:47,707 --> 01:50:48,408 OKAY. 2906 01:50:48,475 --> 01:50:50,610 I AM GOING TO BE NOW TALKING 2907 01:50:50,677 --> 01:50:53,113 ABOUT -- THANK YOU. 2908 01:50:53,179 --> 01:50:54,714 SOME PRETTY EXCITING CHANGES. 2909 01:50:54,781 --> 01:50:59,319 I ALREADY ALLUDED TO THOSE IN MY 2910 01:50:59,386 --> 01:51:00,553 DIRECTOR'S REPORT ON THE HEAL 2911 01:51:00,620 --> 01:51:04,624 INITIATIVE. 2912 01:51:04,691 --> 01:51:05,692 SO IF I COULD PLEASE HAVE THE 2913 01:51:05,759 --> 01:51:12,832 SLIDES. 2914 01:51:12,899 --> 01:51:14,467 SO AS MOST OF YOU I'M SURE ARE 2915 01:51:14,534 --> 01:51:16,836 AWARE, THE HEAL INITIATIVE IS A 2916 01:51:16,903 --> 01:51:19,773 VERY IMPORTANT PROGRAM THAT WE 2917 01:51:19,839 --> 01:51:21,875 ARE VERY MUCH INVOLVED IN AT 2918 01:51:21,941 --> 01:51:22,942 NCCIH. 2919 01:51:23,009 --> 01:51:27,414 ONE OF THE REASONS IS, PRETTY 2920 01:51:27,480 --> 01:51:32,118 OBVIOUS, THAT HEAL IS -- IT 2921 01:51:32,185 --> 01:51:33,787 STANDS FOR HELP TO END ADDICTION 2922 01:51:33,853 --> 01:51:34,187 LONG TERM. 2923 01:51:34,254 --> 01:51:35,889 SO THE HEAL PROGRAM WAS 2924 01:51:35,955 --> 01:51:37,524 ORIGINALLY CREATED IN RESPONSE 2925 01:51:37,590 --> 01:51:41,127 TO THE OPIOID CRISIS, AND AS WAS 2926 01:51:41,194 --> 01:51:43,930 EVIDENT FROM THE START, IT WAS 2927 01:51:43,997 --> 01:51:45,865 AT THE BEGINNING, ANYWAY, OF 2928 01:51:45,932 --> 01:51:49,035 THIS KIND OF OPIOID OVERDOSE 2929 01:51:49,102 --> 01:51:51,071 EPIDEMIC THAT WE HAD, A LOT OF 2930 01:51:51,137 --> 01:51:54,240 IT WAS DRIVEN BY PRESCRIPTIONS 2931 01:51:54,307 --> 01:51:55,108 FOR OPIOIDS. 2932 01:51:55,175 --> 01:51:56,109 NOW OF COURSE THIS SITUATION 2933 01:51:56,176 --> 01:51:59,446 WITH THE OPIOID OVERDOSES HAS 2934 01:51:59,512 --> 01:52:00,980 EVOLVED GREATLY SINCE THEN. 2935 01:52:01,047 --> 01:52:04,150 NOW WE HAVE -- HAVE HAD VARIOUS 2936 01:52:04,217 --> 01:52:07,554 WAVES OF DIFFERENT -- WITH 2937 01:52:07,620 --> 01:52:08,822 HEROIN AND NOW FENTANYL AND 2938 01:52:08,888 --> 01:52:10,223 OTHER TYPES OF STIMULANTS, AND 2939 01:52:10,290 --> 01:52:12,425 IT JUST KEEPS CHANGING. 2940 01:52:12,492 --> 01:52:15,261 HOWEVER, THE PROBLEM THAT 2941 01:52:15,328 --> 01:52:16,763 STARTED THIS WHOLE THING IS PAIN 2942 01:52:16,830 --> 01:52:19,833 MANAGEMENT. 2943 01:52:19,899 --> 01:52:20,700 WHICH HAS CONTINUED. 2944 01:52:20,767 --> 01:52:22,902 SO EVEN THOUGH THE PRESCRIPTION 2945 01:52:22,969 --> 01:52:27,006 OF OPIATES BY VARIOUS TYPES OF 2946 01:52:27,073 --> 01:52:30,944 HEALTHCARE PROVIDERS HAS 2947 01:52:31,010 --> 01:52:32,145 STABILIZED, IT STILL REMAINS TOO 2948 01:52:32,212 --> 01:52:32,579 HIGH. 2949 01:52:32,645 --> 01:52:36,749 SPECIFICALLY THERE IS NOT ENOUGH 2950 01:52:36,816 --> 01:52:39,519 UTILIZATION OF NON-ADDICTIVE AND 2951 01:52:39,586 --> 01:52:41,521 ESPECIALLY NON-PHARMACOLOGICAL 2952 01:52:41,588 --> 01:52:43,356 METHODS THAT WE KNOW ARE 2953 01:52:43,423 --> 01:52:46,392 EFFECTIVE, AND SO IT'S REALLY A 2954 01:52:46,459 --> 01:52:50,096 PROBLEM STILL. 2955 01:52:50,163 --> 01:52:51,731 SO THIS IS WHY THE HEAL 2956 01:52:51,798 --> 01:52:53,933 INITIATIVE WAS ORIGINALLY 2957 01:52:54,000 --> 01:52:54,567 CREATED. 2958 01:52:54,634 --> 01:52:55,602 AT ITS BEGINNING. 2959 01:52:55,668 --> 01:52:57,403 SO THIS WAS A LARGE INITIATIVE 2960 01:52:57,470 --> 01:52:59,839 THAT WAS OF THE ORDER OF HALF A 2961 01:52:59,906 --> 01:53:02,442 BILLION DOLLARS A YEAR. 2962 01:53:02,509 --> 01:53:05,578 IT WAS -- INITIALLY THE -- THIS 2963 01:53:05,645 --> 01:53:06,980 WAS A PROGRAM THAT WAS SET UP 2964 01:53:07,046 --> 01:53:08,748 WITHIN THE OFFICE OF THE NIH 2965 01:53:08,815 --> 01:53:10,383 DIRECTOR. 2966 01:53:10,450 --> 01:53:12,418 AT THE TIME. 2967 01:53:12,485 --> 01:53:13,186 DR. COLLINS' OFFICE WAS RUNNING 2968 01:53:13,253 --> 01:53:15,588 IT. 2969 01:53:15,655 --> 01:53:18,758 EVEN THOUGH RIGHT FROM THE 2970 01:53:18,825 --> 01:53:19,626 BEGINNING, THE MONEY WAS 2971 01:53:19,692 --> 01:53:21,327 ACTUALLY APPROPRIATED TO TWO 2972 01:53:21,394 --> 01:53:22,428 SPECIFIC INSTITUTES, THE 2973 01:53:22,495 --> 01:53:23,530 NATIONAL INSTITUTE OF DRUG 2974 01:53:23,596 --> 01:53:26,533 ABUSE, NIDA, FOR THE OPIATE 2975 01:53:26,599 --> 01:53:31,237 PART, AND THE OPIOID USE 2976 01:53:31,304 --> 01:53:33,139 DISORDER PART AND THE NATIONAL 2977 01:53:33,206 --> 01:53:34,841 INSTITUTE OF NINDS, NEUROLOGICAL 2978 01:53:34,908 --> 01:53:37,844 DISEASES AND STROKE, FOR THE 2979 01:53:37,911 --> 01:53:38,311 PAIN. 2980 01:53:38,378 --> 01:53:41,614 THE PROGRAM WAS RUN LIKE THIS 2981 01:53:41,681 --> 01:53:43,349 FOR A NUMBER OF YEARS, VERY 2982 01:53:43,416 --> 01:53:45,752 SUCCESSFULLY. 2983 01:53:45,818 --> 01:53:47,687 AND THIS YEAR, EARLIER THIS 2984 01:53:47,754 --> 01:53:49,656 YEAR, THE DECISION WAS MADE THAT 2985 01:53:49,722 --> 01:53:51,958 IT WAS TIME TO MOVE THE PROGRAM 2986 01:53:52,025 --> 01:53:52,959 OUT OF THE OFFICE OF THE 2987 01:53:53,026 --> 01:53:54,928 DIRECTOR. 2988 01:53:54,994 --> 01:53:57,764 AND THIS HAPPENS, A LOT OF TIMES 2989 01:53:57,830 --> 01:53:59,299 PROGRAMS THAT GERMINATE 2990 01:53:59,365 --> 01:54:00,667 ESSENTIALLY THAT ARE STARTED OUT 2991 01:54:00,733 --> 01:54:03,403 AT THE OFFICE OF THE DIRECTOR 2992 01:54:03,469 --> 01:54:05,705 EVENTUALLY MIGRATE TO THEIR 2993 01:54:05,772 --> 01:54:07,907 INSTITUTES THAT WERE THERE MORE 2994 01:54:07,974 --> 01:54:08,575 APPROPRIATELY LOCATED. 2995 01:54:08,641 --> 01:54:09,709 SO THIS IS WHAT'S HAPPENING 2996 01:54:09,776 --> 01:54:10,276 RIGHT NOW. 2997 01:54:10,343 --> 01:54:14,647 IT STARTED HAPPENING BACK IN 2998 01:54:14,714 --> 01:54:17,917 SEPTEMBER OF LAST YEAR. 2999 01:54:17,984 --> 01:54:20,186 THE SITUATION IS DIFFERENT FOR 3000 01:54:20,253 --> 01:54:25,225 THE OPIOID USE DISORDER AND THE 3001 01:54:25,291 --> 01:54:25,658 PAIN. 3002 01:54:25,725 --> 01:54:28,061 BECAUSE NIDA IS THE ONE 3003 01:54:28,127 --> 01:54:31,431 INSTITUTE AT NIH THAT 3004 01:54:31,497 --> 01:54:34,267 ESSENTIALLY IS DEDICATED TO THE 3005 01:54:34,334 --> 01:54:38,871 STUDY OF OPIOID USE DISORDER, 3006 01:54:38,938 --> 01:54:41,941 THE OUD, AS WE CALL IT, PART OF 3007 01:54:42,008 --> 01:54:44,510 IT RESIDES AT NIDA, IS REALLY 3008 01:54:44,577 --> 01:54:46,946 ADMINISTERED BY NIDA. 3009 01:54:47,013 --> 01:54:48,581 WITH PAIN, THOUGH, BECAUSE WE 3010 01:54:48,648 --> 01:54:50,083 HAVE A LARGE NUMBER OF 3011 01:54:50,149 --> 01:54:54,087 INSTITUTES AND CENTERS AT NIH, 3012 01:54:54,153 --> 01:54:56,489 WHO ARE INVOLVED IN PAIN 3013 01:54:56,556 --> 01:55:00,760 RESEARCH, NOT JUST ONE, WE 3014 01:55:00,827 --> 01:55:02,295 DECIDED THAT IT WAS BETTER TO 3015 01:55:02,362 --> 01:55:04,697 HAVE A STRUCTURE, AN 3016 01:55:04,764 --> 01:55:06,733 ADMINISTRATIVE STRUCTURE THAT 3017 01:55:06,799 --> 01:55:08,835 WAS MORE DISTRIBUTED, OF ALL THE 3018 01:55:08,901 --> 01:55:10,136 INSTITUTES AND CENTERS THAT HAVE 3019 01:55:10,203 --> 01:55:11,371 AN INTEREST IN PAIN RESEARCH 3020 01:55:11,437 --> 01:55:19,579 WOULD BE ESSENTIALLY INVOLVED IN 3021 01:55:19,646 --> 01:55:22,582 THE ACTUAL ADMINISTRATION OF THE 3022 01:55:22,649 --> 01:55:23,983 HEAL PROGRAM. 3023 01:55:24,050 --> 01:55:28,388 SO THIS IS WHAT'S HAPPENING AND 3024 01:55:28,454 --> 01:55:29,255 THIS HAS ALREADY STARTED TO 3025 01:55:29,322 --> 01:55:29,555 HAPPEN. 3026 01:55:29,622 --> 01:55:32,625 SO WHAT I WANTED TO SHOW YOU -- 3027 01:55:32,692 --> 01:55:35,895 KEEP GOING. 3028 01:55:35,962 --> 01:55:36,529 OKAY. 3029 01:55:36,596 --> 01:55:38,398 LET'S MOVE TO THE OD GOVERNANCE, 3030 01:55:38,464 --> 01:55:40,266 THE NEXT ONE. 3031 01:55:40,333 --> 01:55:41,467 ALL RIGHT. 3032 01:55:41,534 --> 01:55:44,304 SO AS I WAS JUST TELLING YOU, 3033 01:55:44,370 --> 01:55:45,805 THE GOVERNANCE NOW OF WHAT WE 3034 01:55:45,872 --> 01:55:49,309 CALL HEAL 2.0, WHICH IS THIS NEW 3035 01:55:49,375 --> 01:55:52,445 VERSION OF HEAL, IS DR. VOLKOW, 3036 01:55:52,512 --> 01:56:00,320 WHO'S THE NIDA DIRECTOR, AND DRS 3037 01:56:00,386 --> 01:56:02,388 DIRECTOR, ARE ESSENTIALLY 3038 01:56:02,455 --> 01:56:05,992 ADMINISTERING ALL THAT HAS TO DO 3039 01:56:06,059 --> 01:56:07,827 WITH THE MONEY, RIGHT, BECAUSE 3040 01:56:07,894 --> 01:56:10,897 THE MONEY COMES FROM THEIR 3041 01:56:10,963 --> 01:56:12,965 INSTITUTES. 3042 01:56:13,032 --> 01:56:16,235 THAT'S WHERE THE MONEY RESIDES. 3043 01:56:16,302 --> 01:56:18,237 HOWEVER, EVERYTHING ELSE IN 3044 01:56:18,304 --> 01:56:21,874 TERMS OF, FOR EXAMPLE, COMING UP 3045 01:56:21,941 --> 01:56:23,976 WITH THE FUNDING OPPORTUNITIES, 3046 01:56:24,043 --> 01:56:27,680 CREATING THE INITIATIVES, 3047 01:56:27,747 --> 01:56:29,449 REVIEWING THE APPLICATIONS, 3048 01:56:29,515 --> 01:56:31,150 COMING UP WITH THE PAY PLANS, 3049 01:56:31,217 --> 01:56:32,585 AND ADMINISTERING THE AWARDS 3050 01:56:32,652 --> 01:56:35,321 AFTER THEY'RE FUNDED, ALL OF 3051 01:56:35,388 --> 01:56:36,923 THAT IS DISTRIBUTED ACROSS ALL 3052 01:56:36,989 --> 01:56:45,231 THE INSTITUTES THAT YOU CAN SEE. 3053 01:56:45,298 --> 01:56:46,399 THAT'S WHAT I JUST SAID. 3054 01:56:46,466 --> 01:56:51,537 KEEP GOING. 3055 01:56:51,604 --> 01:56:58,344 SO THE PAIN PART OF THE HEAL 2.Y 3056 01:56:58,411 --> 01:57:02,014 THREE INSTITUTE DIRECTORS, 3057 01:57:02,081 --> 01:57:05,718 DR. KOROSHETZ, DR. LINDSAY 3058 01:57:05,785 --> 01:57:06,686 CRISWELL, DIRECTOR OF THE 3059 01:57:06,753 --> 01:57:08,121 NATIONAL INSTITUTE FOR ARTHRITIS 3060 01:57:08,187 --> 01:57:09,088 AND MUSCULOSKELETAL SKIN 3061 01:57:09,155 --> 01:57:10,490 DISEASES, AND MYSELF. 3062 01:57:10,556 --> 01:57:11,691 I GUESS I DON'T HAVE MY NAME 3063 01:57:11,758 --> 01:57:14,627 THERE. 3064 01:57:14,694 --> 01:57:15,027 [LAUGHTER] 3065 01:57:15,094 --> 01:57:25,371 >> WE KNOW YOU. 3066 01:57:31,711 --> 01:57:34,647 SO THERE IS A GROUP OF INSTITUTE 3067 01:57:34,714 --> 01:57:35,415 DIRECTORS THAT -- THERE'S MANY 3068 01:57:35,481 --> 01:57:39,886 OF US AND I THINK THE LIST -- WE 3069 01:57:39,952 --> 01:57:41,020 HAVE THE LIST ON A DIFFERENT 3070 01:57:41,087 --> 01:57:41,287 SLIDE? 3071 01:57:41,354 --> 01:57:42,488 IT'S ON A PREVIOUS SLIDE. 3072 01:57:42,555 --> 01:57:43,456 ANYWAY, YOU SAW THE LIST. 3073 01:57:43,523 --> 01:57:44,357 BIG LIST. 3074 01:57:44,424 --> 01:57:47,160 SO IT INCLUDES, FOR EXAMPLE, 3075 01:57:47,226 --> 01:57:50,763 CHILD HEALTH, IT INCLUDES DENTAL 3076 01:57:50,830 --> 01:57:54,500 AND CRANIOFACIAL, IT INCLUDES 3077 01:57:54,567 --> 01:57:57,603 KIDNEY, NIDID, IT INCLUDES ALL 3078 01:57:57,670 --> 01:57:59,572 OF THESE INSTITUTES. 3079 01:57:59,639 --> 01:58:03,509 AND THE REALITY IS, BECAUSE NIH 3080 01:58:03,576 --> 01:58:07,013 IS CUT UP INTO DIFFERENT 3081 01:58:07,079 --> 01:58:08,114 DISEASES AND BODY PARTS, THERE'S 3082 01:58:08,181 --> 01:58:10,183 NOT A PART OF THE BODY THAT 3083 01:58:10,249 --> 01:58:12,452 ISN'T SOMEHOW INVOLVED IN PAIN, 3084 01:58:12,518 --> 01:58:13,186 RIGHT? 3085 01:58:13,252 --> 01:58:15,822 CANCER, ANY DISEASE BASICALLY. 3086 01:58:15,888 --> 01:58:21,027 SO YOU CAN SEE THAT A LOT OF 3087 01:58:21,093 --> 01:58:23,563 THESE INSTITUTES HAVE COME 3088 01:58:23,629 --> 01:58:24,330 TOGETHER HERE, SO IT'S VERY NICE 3089 01:58:24,397 --> 01:58:25,431 BECAUSE IT REALLY MEANS THAT WE 3090 01:58:25,498 --> 01:58:26,732 HAVE A PROGRAM THAT'S VERY 3091 01:58:26,799 --> 01:58:33,406 DIVERSE. 3092 01:58:33,473 --> 01:58:34,941 SO THIS JUST TELLS YOU A LITTLE 3093 01:58:35,007 --> 01:58:36,042 BIT, AND THIS IS A LITTLE BIT 3094 01:58:36,108 --> 01:58:38,110 MORE KIND OF INSIDE, YOU KNOW, 3095 01:58:38,177 --> 01:58:40,813 THE INSIDE SCOOP, BUT JUST TO 3096 01:58:40,880 --> 01:58:45,518 GIVE YOU A SENSE OF HOW ALL OF 3097 01:58:45,585 --> 01:58:46,519 THIS WORK GETS DONE. 3098 01:58:46,586 --> 01:58:51,958 SO YOU HAVE ALMOST LIKE A 3099 01:58:52,024 --> 01:58:52,758 FUNNEL. 3100 01:58:52,825 --> 01:58:54,494 SO -- AND THIS GOES THROUGH A 3101 01:58:54,560 --> 01:58:55,828 CYCLE THAT GOES ON FOR OVER A 3102 01:58:55,895 --> 01:58:56,162 YEAR. 3103 01:58:56,229 --> 01:58:58,865 IT TAKES A LONG TIME. 3104 01:58:58,931 --> 01:59:01,801 SO FIRST THERE ARE DIFFERENT 3105 01:59:01,868 --> 01:59:03,769 TEAMS AND PROGRAM STAFF THAT 3106 01:59:03,836 --> 01:59:05,071 PARTICIPATE IN COMING UP WITH 3107 01:59:05,137 --> 01:59:09,041 IDEAS FOR INITIATIVES, BECAUSE 3108 01:59:09,108 --> 01:59:10,610 SO FAR, AND I DON'T KNOW IF THIS 3109 01:59:10,676 --> 01:59:13,346 IS GOING TO CONTINUE EXACTLY, 3110 01:59:13,412 --> 01:59:15,581 BUT THOSE OF YOU THAT HAVE 3111 01:59:15,648 --> 01:59:16,082 PARTICIPATED IN A HEAL 3112 01:59:16,148 --> 01:59:17,250 INITIATIVE HAVE NOTICED PROBABLY 3113 01:59:17,316 --> 01:59:21,187 THAT ALL OF HEAL, THERE'S NO 3114 01:59:21,254 --> 01:59:22,188 INVESTIGATOR INITIATED GRANTS TO 3115 01:59:22,255 --> 01:59:22,722 HEAL. 3116 01:59:22,788 --> 01:59:28,528 IT'S ALL I IN RESPONSE TO FUNDIG 3117 01:59:28,594 --> 01:59:29,495 ANNOUNCEMENTS, OPPORTUNITIES. 3118 01:59:29,562 --> 01:59:31,130 SO THAT MIGHT CHANGE BUT FOR 3119 01:59:31,197 --> 01:59:31,764 NOW, THAT'S HOW IT IS. 3120 01:59:31,831 --> 01:59:35,835 SO IN ORDER TO CREATE A FUNDING 3121 01:59:35,902 --> 01:59:37,236 OPPORTUNITY, THE PROGRAM STAFF 3122 01:59:37,303 --> 01:59:38,971 GET TOGETHER, THEY DISCUSS THESE 3123 01:59:39,038 --> 01:59:40,406 IDEAS AND THEN THEY COME UP 3124 01:59:40,473 --> 01:59:43,142 LIKE, FOR EXAMPLE, THIS 3125 01:59:43,209 --> 01:59:47,280 INITIATIVE ON -- WE'VE HAD -- 3126 01:59:47,346 --> 01:59:52,418 NCCIH HAS PROMOTED RECENTLY AND 3127 01:59:52,485 --> 01:59:54,954 SUCCESSFULLY LAUNCHED THE 3128 01:59:55,021 --> 01:59:56,122 MYOFASCIAL PAIN INITIATIVE TO 3129 01:59:56,188 --> 01:59:58,224 DEVELOP BIOMARKERS AND METHODS 3130 01:59:58,291 --> 01:59:59,859 TO MEASURE MYOFASCIAL PAIN. 3131 01:59:59,926 --> 02:00:04,096 THAT WAS AN IDEA THAT KIND OF 3132 02:00:04,163 --> 02:00:05,431 MANY DIFFERENT -- EVEN THOUGH WE 3133 02:00:05,498 --> 02:00:07,266 INITIATED IT, BUT IT WAS WITH 3134 02:00:07,333 --> 02:00:11,671 THE COLLABORATION OF MANY 3135 02:00:11,737 --> 02:00:15,141 OTHERS, ESPECIALLY 3136 02:00:15,207 --> 02:00:16,375 MUSCULOSKELETAL, SKIN, 3137 02:00:16,442 --> 02:00:17,743 BIOMEDICAL ENGINEERING, THERE 3138 02:00:17,810 --> 02:00:18,978 WERE MANY OTHER INSTITUTES THAT 3139 02:00:19,045 --> 02:00:20,313 WERE ALSO INTERESTED IN THIS. 3140 02:00:20,379 --> 02:00:22,548 SO WHEN YOU HAVE MANY DIFFERENT 3141 02:00:22,615 --> 02:00:23,749 INSTITUTES THAT WANT TO DO THE 3142 02:00:23,816 --> 02:00:24,550 SAME -- SOMETHING TOGETHER, THIS 3143 02:00:24,617 --> 02:00:26,285 IS WHAT HEAL IS REALLY, REALLY 3144 02:00:26,352 --> 02:00:27,820 GOOD FOR. 3145 02:00:27,887 --> 02:00:30,790 BECAUSE IT IS A WAY THAT ALL OF 3146 02:00:30,856 --> 02:00:32,191 THIS COMBINED SWORD OF ENERGY 3147 02:00:32,258 --> 02:00:34,727 AND IDEAS CAN COME TOGETHER AND 3148 02:00:34,794 --> 02:00:36,662 RESULT IN A PRETTY EXCITING 3149 02:00:36,729 --> 02:00:38,564 FUNDING OPPORTUNITY WHICH 3150 02:00:38,631 --> 02:00:42,201 HAPPENS TO BEING A BE ALSO FUNDY 3151 02:00:42,268 --> 02:00:42,401 HEAL. 3152 02:00:42,468 --> 02:00:43,235 SO THIS IS REALLY GREAT. 3153 02:00:43,302 --> 02:00:44,470 SO YOU CAN SEE AT THE TOP, YOU 3154 02:00:44,537 --> 02:00:47,707 HAVE IDEAS, CONCEPTS, ET CETERA. 3155 02:00:47,773 --> 02:00:49,475 ALL OF THIS GETS DISTILLED DOWN 3156 02:00:49,542 --> 02:00:51,110 INTO IDEAS THAT THEN GETS 3157 02:00:51,177 --> 02:00:52,645 PROPOSED TO A STEERING 3158 02:00:52,712 --> 02:00:52,979 COMMITTEE. 3159 02:00:53,045 --> 02:00:54,714 AND THE STEERING COMMITTEE IS 3160 02:00:54,780 --> 02:00:56,248 COMPOSED OF REPRESENTATIVES FROM 3161 02:00:56,315 --> 02:00:59,118 ALL OF THE ICs, INSTITUTES AND 3162 02:00:59,185 --> 02:01:01,020 CENTERS THAT ARE INVOLVED IN THE 3163 02:01:01,087 --> 02:01:04,323 PAIN SIDE OF HEAL. 3164 02:01:04,390 --> 02:01:05,825 THEN THEY GET RANKED, THE 3165 02:01:05,891 --> 02:01:06,892 STEERING COMMITTEE, AND THIS IS 3166 02:01:06,959 --> 02:01:09,228 AT THE PROGRAM STAFF LEVEL. 3167 02:01:09,295 --> 02:01:10,863 THEY GET RANKED AND PEOPLE GIVE 3168 02:01:10,930 --> 02:01:16,736 THEIR VARIOUS ENTHUSIASM FOR THE 3169 02:01:16,802 --> 02:01:18,304 CONCEPT, THEN IT GOES TO A FINAL 3170 02:01:18,371 --> 02:01:20,706 INSTITUTE DIRECTOR COMMITTEE. 3171 02:01:20,773 --> 02:01:22,241 THIS IS THE COMMITTEE THAT 3172 02:01:22,308 --> 02:01:24,977 WALTER KOROSHETZ, LINDSAY 3173 02:01:25,044 --> 02:01:26,846 CRISWELL AND I SHARE AND DECIDE 3174 02:01:26,912 --> 02:01:27,913 WHETHER THE CONCEPT IS GOING TO 3175 02:01:27,980 --> 02:01:29,015 GO FORWARD OR NOT. 3176 02:01:29,081 --> 02:01:29,982 THEN ONCE THE CONCEPT GOES 3177 02:01:30,049 --> 02:01:31,183 FORWARD AND THE REQUEST FOR 3178 02:01:31,250 --> 02:01:33,919 APPLICATION GOES OUT, THE WHOLE 3179 02:01:33,986 --> 02:01:35,888 PROCESS STARTS AGAIN BECAUSE 3180 02:01:35,955 --> 02:01:36,789 THEN YOU HAVE A CERTAIN AMOUNT 3181 02:01:36,856 --> 02:01:39,625 OF TIME THAT THE APPLICATION -- 3182 02:01:39,692 --> 02:01:40,826 THE CONCEPT IS WHAT WE CALL ON 3183 02:01:40,893 --> 02:01:42,428 THE STREETS, WHICH IS WHAT GIVES 3184 02:01:42,495 --> 02:01:43,529 PEOPLE A CERTAIN AMOUNT OF TIME 3185 02:01:43,596 --> 02:01:44,630 TO RESPOND AND I'LL GET TO THAT 3186 02:01:44,697 --> 02:01:45,831 AMOUNT OF TIME IN A MINUTE 3187 02:01:45,898 --> 02:01:48,901 BECAUSE THAT'S IMPORTANT. 3188 02:01:48,968 --> 02:01:49,769 PEOPLE HAVE A CERTAIN AMOUNT OF 3189 02:01:49,835 --> 02:01:52,004 TIME TO REACT TO THE CONCEPT, 3190 02:01:52,071 --> 02:01:53,773 COME UP WITH A PROPOSAL -- WITH 3191 02:01:53,839 --> 02:01:55,341 A GRANT APPLICATION, WRITE IT, 3192 02:01:55,408 --> 02:01:58,177 SUBMIT IT, AND WE ALL KNOW HOW 3193 02:01:58,244 --> 02:02:00,680 HARD IT IS TO RESPOND TO THAT. 3194 02:02:00,746 --> 02:02:01,480 I'LL TALK ABOUT THAT IN A 3195 02:02:01,547 --> 02:02:02,348 MINUTE. 3196 02:02:02,415 --> 02:02:04,116 SO -- AND THEN THE APPLICATIONS 3197 02:02:04,183 --> 02:02:07,486 COME IN AT A CERTAIN DEADLINE. 3198 02:02:07,553 --> 02:02:09,989 THEN WE HAVE TO ORGANIZE 3199 02:02:10,056 --> 02:02:10,790 REVIEWS. 3200 02:02:10,856 --> 02:02:11,857 REVIEW GROUPS AS APPROPRIATE. 3201 02:02:11,924 --> 02:02:13,926 AND THAT GOES TO THE INDIVIDUAL 3202 02:02:13,993 --> 02:02:14,593 IC. 3203 02:02:14,660 --> 02:02:18,497 SO FOR EXAMPLE, NCCIH WILL 3204 02:02:18,564 --> 02:02:20,599 REVIEW SOME OF THOSE PROPOSALS 3205 02:02:20,666 --> 02:02:22,635 HERE DEPENDING ON THE EXPERTISE, 3206 02:02:22,702 --> 02:02:24,203 ET CETERA. 3207 02:02:24,270 --> 02:02:26,806 THEN THE FUNDING -- THE 3208 02:02:26,872 --> 02:02:27,907 APPLICATIONS GET SCORED AND THEN 3209 02:02:27,973 --> 02:02:32,044 HAVE TO GO TO A COUNCIL SUCH AS 3210 02:02:32,111 --> 02:02:33,145 THIS ONE. 3211 02:02:33,212 --> 02:02:37,616 THEN THE FUNDING DECISIONS ARE 3212 02:02:37,683 --> 02:02:40,152 MADE, WE REPEAT THE PROCESS WITH 3213 02:02:40,219 --> 02:02:41,854 THE STEERING COMMITTEE AND THE 3214 02:02:41,921 --> 02:02:43,522 INSTITUTE DIRECTOR COMMITTEE AND 3215 02:02:43,589 --> 02:02:44,924 FINALLY THE FINAL FUNDING 3216 02:02:44,990 --> 02:02:45,825 DECISION IS MADE BY HEAL. 3217 02:02:45,891 --> 02:02:48,427 SO YOU CAN SEE IT'S A PROCESS 3218 02:02:48,494 --> 02:02:53,666 THAT IS PLEX BUT BELIEVE IT OR 3219 02:02:53,733 --> 02:02:55,067 NOT, IT'S A LOT LESS COMPLEX 3220 02:02:55,134 --> 02:02:55,935 THAN IT USED TO BE. 3221 02:02:56,001 --> 02:02:59,371 BECAUSE BEFORE, THERE WAS AN 3222 02:02:59,438 --> 02:03:00,372 ADDITIONAL LAYER ON TOP OF ALL 3223 02:03:00,439 --> 02:03:02,975 OF THIS AT THE OFFICE OF THE 3224 02:03:03,042 --> 02:03:03,642 DIRECTOR. 3225 02:03:03,709 --> 02:03:04,810 AND THE PROBLEM BEFORE IS THAT 3226 02:03:04,877 --> 02:03:06,679 THE TIME THAT A CONCEPT WAS ABLE 3227 02:03:06,746 --> 02:03:09,515 TO BE ON THE STREET WAS 3228 02:03:09,582 --> 02:03:10,449 EXTREMELY SHORT. 3229 02:03:10,516 --> 02:03:13,052 BECAUSE IT TOOK SO LONG TO GET 3230 02:03:13,119 --> 02:03:16,088 THESE CONCEPTS PASS PASS PAST AF 3231 02:03:16,155 --> 02:03:16,455 THESE LAYERS. 3232 02:03:16,522 --> 02:03:18,090 OH, AND I FORGOT ONE LAYER 3233 02:03:18,157 --> 02:03:19,492 ACTUALLY, THE MULTIDISCIPLINARY 3234 02:03:19,558 --> 02:03:20,926 WORKING GROUP. 3235 02:03:20,993 --> 02:03:24,663 WHICH IS AN EXTERNAL BOARD THAT 3236 02:03:24,730 --> 02:03:26,499 REVIEWS THE CONCEPTS BEFORE THEY 3237 02:03:26,565 --> 02:03:28,567 GET APPROVED AND THE PAY PLANS 3238 02:03:28,634 --> 02:03:29,635 BEFORE THEY GET APPROVED SO YOU 3239 02:03:29,702 --> 02:03:32,071 CAN SEE HOW THERE WAS JUST A LOT 3240 02:03:32,138 --> 02:03:34,673 OF GEARS THAT HAD TO GRIND 3241 02:03:34,740 --> 02:03:36,575 BEFORE FIRST OF ALL THE 3242 02:03:36,642 --> 02:03:38,444 PROCESS -- THE CONCEPT COULD BE 3243 02:03:38,511 --> 02:03:39,745 PUBLISHED, SO YOU ALL COULD HEAR 3244 02:03:39,812 --> 02:03:41,046 ABOUT IT. 3245 02:03:41,113 --> 02:03:44,150 AND THEN YOU'D HAVE TO SCRAMBLE 3246 02:03:44,216 --> 02:03:46,185 FOR 90 DAYS OR SOMETHING AND I 3247 02:03:46,252 --> 02:03:47,720 MEAN, I USED TO BE AN 3248 02:03:47,787 --> 02:03:48,053 INVESTIGATOR. 3249 02:03:48,120 --> 02:03:49,255 IF SOMEBODY WOULD SAY YOU'RE 3250 02:03:49,321 --> 02:03:50,723 GOING TO WRITE A GRANT IN 90 3251 02:03:50,790 --> 02:03:51,757 DAYS I WOULD HAVE LAUGHED, 3252 02:03:51,824 --> 02:03:52,091 RIGHT? 3253 02:03:52,158 --> 02:03:56,462 BUT THAT'S WHAT IS THE REALITY 3254 02:03:56,529 --> 02:03:58,964 IS WITH THESE RFAs, IS THEY'RE 3255 02:03:59,031 --> 02:03:59,398 EXTREMELY SHORT. 3256 02:03:59,465 --> 02:04:01,467 THE IDEA HERE IS TO TRY TO 3257 02:04:01,534 --> 02:04:03,335 EXPAND THAT, SO THAT WE WOULD BE 3258 02:04:03,402 --> 02:04:06,205 ABLE TO PUBLISH THE REQUEST FOR 3259 02:04:06,272 --> 02:04:08,674 APPLICATION SOONER BECAUSE THE 3260 02:04:08,741 --> 02:04:09,809 OTHER PART THAT'S SQUEEZED AT 3261 02:04:09,875 --> 02:04:11,177 THE END IS THE FISCAL YEAR. 3262 02:04:11,243 --> 02:04:13,913 WE HAVE A CERTAIN BUDGET AND WE 3263 02:04:13,979 --> 02:04:15,781 HAVE TO FINISH OUR BUDGET BEFORE 3264 02:04:15,848 --> 02:04:17,116 THE BEGINNING OF THE FISCAL YEAR 3265 02:04:17,183 --> 02:04:21,053 WHICH IS OCTOBER 1ST, SO IF WE 3266 02:04:21,120 --> 02:04:22,488 HAVE MONEY FOR A CERTAIN FISCAL 3267 02:04:22,555 --> 02:04:25,090 YEAR FOR A GIVEN PROJECT, IT HAS 3268 02:04:25,157 --> 02:04:26,492 TO BE SPENT BEFORE OCTOBER 1ST 3269 02:04:26,559 --> 02:04:28,794 SO YOU CAN SEE THAT WE CAN'T 3270 02:04:28,861 --> 02:04:31,530 JUST DELAY THE RECEIPT DATE TOO 3271 02:04:31,597 --> 02:04:33,065 LATE BECAUSE THEN WE HAVE TO 3272 02:04:33,132 --> 02:04:35,034 REVIEW THESE APPLICATIONS. 3273 02:04:35,100 --> 02:04:37,002 AND SO -- AND THEN WE SWR TO 3274 02:04:37,069 --> 02:04:40,940 PROCESHAVE TOPROCESS THE AWARDSM 3275 02:04:41,006 --> 02:04:42,241 SO IT GETS SQUEEZED AT BOTH 3276 02:04:42,308 --> 02:04:42,708 ENDS. 3277 02:04:42,775 --> 02:04:44,009 SO WHAT WE'RE HOPING AND SO FAR 3278 02:04:44,076 --> 02:04:45,978 I THINK WE'RE MAKING GREAT 3279 02:04:46,045 --> 02:04:47,813 PROGRESS TOWARDS THAT, IS TO BE 3280 02:04:47,880 --> 02:04:49,515 ABLE TO SIMPLIFY THE PROJECT SO 3281 02:04:49,582 --> 02:04:52,651 THAT WE CAN PUBLISH THE RFAs 3282 02:04:52,718 --> 02:04:54,653 FASTER SO IT GIVES MORE TIME FOR 3283 02:04:54,720 --> 02:04:56,155 THEM FOR PEOPLE TO WRITE THE 3284 02:04:56,222 --> 02:04:57,890 APPLICATIONS AND ALSO LESS 3285 02:04:57,957 --> 02:05:01,293 PRESSURE ON OUR REVIEW GROUP AND 3286 02:05:01,360 --> 02:05:03,062 ON OUR GRANTS MANAGEMENT SO THAT 3287 02:05:03,128 --> 02:05:05,331 THE AWARDS CAN GET OUT THE DOOR 3288 02:05:05,397 --> 02:05:05,865 BEFORE OCTOBER 1ST. 3289 02:05:05,931 --> 02:05:07,933 DOES THAT MAKE SENSE? 3290 02:05:08,000 --> 02:05:10,202 YOU CAN SEE HOW IT'S REALLY HARD 3291 02:05:10,269 --> 02:05:13,339 AND I THINK UNLESS THE REASON I 3292 02:05:13,405 --> 02:05:14,773 WANT TO EXPLAIN ALL OF THIS TO 3293 02:05:14,840 --> 02:05:16,375 YOU IS I KNOW IT'S NOT SOMETHING 3294 02:05:16,442 --> 02:05:17,576 THAT'S IMMEDIATELY APPARENT FROM 3295 02:05:17,643 --> 02:05:18,777 THE OUTSIDE. 3296 02:05:18,844 --> 02:05:21,280 A LOT OF TIMES PEOPLE THINK WHY 3297 02:05:21,347 --> 02:05:23,015 ARE WE GIVEN ONLY SUCH A SHORT 3298 02:05:23,082 --> 02:05:24,250 AMOUNT OF TIME TO WRITE THESE 3299 02:05:24,316 --> 02:05:24,783 GRANTS? 3300 02:05:24,850 --> 02:05:27,086 WELL, THAT'S WHY. 3301 02:05:27,152 --> 02:05:28,053 SO IT'S NOT EASY. 3302 02:05:28,120 --> 02:05:38,330 NEXT SLIDE. 3303 02:05:41,967 --> 02:05:43,369 THIS IS TO GIVE YOU AN IDEA OF 3304 02:05:43,435 --> 02:05:44,503 THE AMOUNT OF PEOPLE INVOLVED IN 3305 02:05:44,570 --> 02:05:45,571 THE HEAL INITIATIVE. 3306 02:05:45,638 --> 02:05:47,406 I CAN'T EVEN READ IT. 3307 02:05:47,473 --> 02:05:48,607 ANYWAY, A LOT OF PEOPLE. 3308 02:05:48,674 --> 02:05:49,275 OKAY. 3309 02:05:49,341 --> 02:05:52,011 LET'S NOW START ABOUT THE 3310 02:05:52,077 --> 02:05:53,212 STRATEGIC PLANNING PROCESS, 3311 02:05:53,279 --> 02:05:58,584 BECAUSE AS A RESULT OF THIS HEAL 3312 02:05:58,651 --> 02:05:59,685 2.0 REBOOT -- NOT REALLY REBOOT 3313 02:05:59,752 --> 02:06:03,923 BUT, YOU KNOW, RESTRUCTURING, WE 3314 02:06:03,989 --> 02:06:07,760 HAVE THE OPPORTUNITY TO HAVE A 3315 02:06:07,826 --> 02:06:10,829 NEW STRATEGIC PLAN FOR HEAL, 3316 02:06:10,896 --> 02:06:14,366 WHICH IS HOPEFULLY GOING TO BE A 3317 02:06:14,433 --> 02:06:15,334 GROWTH AND WILL GIVE US THE 3318 02:06:15,401 --> 02:06:17,169 OPPORTUNITY TO LOOK AT SOME PART 3319 02:06:17,236 --> 02:06:21,140 OF THE HEAL PORTFOLIO THAT HAVE 3320 02:06:21,206 --> 02:06:23,776 KIND OF NOT BEEN ADDRESSED 3321 02:06:23,842 --> 02:06:25,978 SUCCESSFULLY OR EITHER -- YOU 3322 02:06:26,045 --> 02:06:28,280 KNOW, WHY DO WE HAVE PERCEIVED 3323 02:06:28,347 --> 02:06:30,215 WHAT WE CALL GAPS, RIGHT? 3324 02:06:30,282 --> 02:06:32,551 WELL, WE MAY HAVE GAPS BECAUSE 3325 02:06:32,618 --> 02:06:35,187 THERE'S SOME AREAS OF RESEARCH, 3326 02:06:35,254 --> 02:06:36,689 IN THIS CASE PAIN RESEARCH, 3327 02:06:36,755 --> 02:06:40,960 WHERE THERE HAS NOT BEEN ENOUGH 3328 02:06:41,026 --> 02:06:41,961 OR SUFFICIENT FUNDING 3329 02:06:42,027 --> 02:06:42,828 OPPORTUNITIES, OR THERE MAY HAVE 3330 02:06:42,895 --> 02:06:44,997 BEEN FUNDING OPPORTUNITIES BUT 3331 02:06:45,064 --> 02:06:46,532 WE DIDN'T GET THE APPLICATIONS. 3332 02:06:46,598 --> 02:06:52,838 THAT HAPPENS SOMETIMES. 3333 02:06:52,905 --> 02:06:54,807 OR WE GOT APPLICATIONS BUT NONE 3334 02:06:54,873 --> 02:06:55,908 OF THEM SCORED WELL. 3335 02:06:55,975 --> 02:06:57,009 THAT HAPPENS TOO. 3336 02:06:57,076 --> 02:07:00,212 SO WE HAVE TO ADDRESS THAT, AND 3337 02:07:00,279 --> 02:07:04,149 SO PART OF THAT IS TO DO A BIG 3338 02:07:04,216 --> 02:07:05,884 PORTFOLIO ANALYSIS SIMILAR TO 3339 02:07:05,951 --> 02:07:07,119 WHAT ANGELA JUST SHOWED US FOR 3340 02:07:07,186 --> 02:07:08,187 HERE, BUT YOU CAN IMAGINE WHEN 3341 02:07:08,253 --> 02:07:09,488 YOU'RE LOOKING AT SOMETHING AS 3342 02:07:09,555 --> 02:07:11,490 COMPLICATED AS HEAL, WHICH 3343 02:07:11,557 --> 02:07:14,426 INVOLVES THE ENTIRE NIH PRETTY 3344 02:07:14,493 --> 02:07:17,363 MUCH, BUT IT GETS COMPLEX. 3345 02:07:17,429 --> 02:07:18,797 THE OTHER THING WE WANT TO 3346 02:07:18,864 --> 02:07:20,432 REALLY UNDERSTAND IS HOW MUCH OF 3347 02:07:20,499 --> 02:07:23,302 PAIN RESEARCH IS HAPPENING AT 3348 02:07:23,369 --> 02:07:25,804 NIH IN HEAL, AND HOW MUCH IS 3349 02:07:25,871 --> 02:07:28,107 HAPPENING OUTSIDE OF HEAL? 3350 02:07:28,173 --> 02:07:31,710 AND WE WANT THE TWO TO NOT -- TO 3351 02:07:31,777 --> 02:07:33,479 BE COMPLEMENTARY TO EACH OTHER, 3352 02:07:33,545 --> 02:07:34,680 AND SO WE HAVE TO UNDERSTAND 3353 02:07:34,747 --> 02:07:38,951 THAT, AND SO THAT INVOLVES A LOT 3354 02:07:39,018 --> 02:07:43,889 OF WORK TO EVEN FIGURE THAT OUT, 3355 02:07:43,956 --> 02:07:44,857 BECAUSE YOU CAN IMAGINE THE 3356 02:07:44,923 --> 02:07:46,158 NUMBER OF GRANTS THAT THIS 3357 02:07:46,225 --> 02:07:50,863 INVOLVES. 3358 02:07:50,929 --> 02:07:53,565 THE OTHER THING I MYSELF AM 3359 02:07:53,632 --> 02:07:54,500 PARTICULARLY INTERESTED IN, I 3360 02:07:54,566 --> 02:07:55,801 MENTIONED THE TALK I'M GOING TO 3361 02:07:55,868 --> 02:07:57,202 BE GIVING AT THE INTERNATIONAL 3362 02:07:57,269 --> 02:07:57,903 ASSOCIATION FOR THE STUDY OF 3363 02:07:57,970 --> 02:08:00,539 PAIN IN AUGUST, IS I REALLY FEEL 3364 02:08:00,606 --> 02:08:01,874 THAT THERE ARE SOME AREAS OF 3365 02:08:01,940 --> 02:08:06,745 PAIN RESEARCH THAT SO FAR HAVE 3366 02:08:06,812 --> 02:08:10,783 REALLY NOT BEEN, YOU KNOW, 3367 02:08:10,849 --> 02:08:13,085 REALLY EVEN LOOKED AT. 3368 02:08:13,152 --> 02:08:15,054 AND SO I THINK THIS IS GOING TO 3369 02:08:15,120 --> 02:08:18,357 BE AN OPPORTUNITY FOR US AT 3370 02:08:18,424 --> 02:08:21,193 NCCIH TO HAVE INPUT ON THE KIND 3371 02:08:21,260 --> 02:08:24,263 OF RESEARCH THAT WE WOULD LIKE 3372 02:08:24,329 --> 02:08:26,231 HEAL TO CONSIDER, AND SO THIS IS 3373 02:08:26,298 --> 02:08:31,804 A GREAT, GREAT OPPORTUNITY. 3374 02:08:31,870 --> 02:08:33,972 SO WE HAVE A COMMITTEE, AND 3375 02:08:34,039 --> 02:08:36,442 IT'S -- THIS IS -- WE ARE IN THE 3376 02:08:36,508 --> 02:08:38,177 MIDDLE OF FORMING A COMMITTEE AS 3377 02:08:38,243 --> 02:08:40,245 A WORKING GROUP OF THE NINDS 3378 02:08:40,312 --> 02:08:42,981 ADVISORY COUNCIL, BECAUSE THAT'S 3379 02:08:43,048 --> 02:08:44,316 HOW THOSE COMMITTEES ARE FORMED, 3380 02:08:44,383 --> 02:08:45,717 TO MAKE RECOMMENDATIONS ON THESE 3381 02:08:45,784 --> 02:08:50,722 RESEARCH PRIORITIES. 3382 02:08:50,789 --> 02:08:52,357 AND WE ARE TOTALLY DELIGHTED 3383 02:08:52,424 --> 02:08:54,793 THAT ONE OF US, DR. KATHLEEN 3384 02:08:54,860 --> 02:08:56,862 SLUKA, IS GOING TO CO-CHAIR THIS 3385 02:08:56,929 --> 02:08:59,298 COMMITTEE, ALONG WITH ROB GEREAU 3386 02:08:59,364 --> 02:09:01,400 AT WASH-U AND THE TWO TOGETHER, 3387 02:09:01,467 --> 02:09:04,002 I UNDERSTAND NOW, ARE HARD AT 3388 02:09:04,069 --> 02:09:06,338 WORK ALREADY TO FORM THE 3389 02:09:06,405 --> 02:09:07,639 COMMITTEE, AND WE'RE SO 3390 02:09:07,706 --> 02:09:08,841 THANKFUL, KATHLEEN, THAT YOU 3391 02:09:08,907 --> 02:09:12,811 HAVE AGREED TO DO THIS. 3392 02:09:12,878 --> 02:09:15,314 AND THIS IS GOING TO BE REALLY, 3393 02:09:15,380 --> 02:09:16,615 REALLY IMPORTANT TO DEVELOP TRA 3394 02:09:16,682 --> 02:09:23,088 TSTRATEGIC RESEARCH PROJECTS FOR 3395 02:09:23,155 --> 02:09:23,622 HEAL PAIN. 3396 02:09:23,689 --> 02:09:25,057 AND AN IMPORTANT PART OF THIS IS 3397 02:09:25,124 --> 02:09:26,158 TO LOOK AT THE INTERFACE BETWEEN 3398 02:09:26,225 --> 02:09:27,626 HEAL AND OPIOID USE DISORDER, 3399 02:09:27,693 --> 02:09:29,428 BECAUSE THERE IS A BIG IMPORTANT 3400 02:09:29,495 --> 02:09:33,031 AND TRICKY INTERFACE. 3401 02:09:33,098 --> 02:09:37,336 PEOPLE WHO ARE -- HAVE AN OPIOID 3402 02:09:37,402 --> 02:09:38,203 USE DISORDER WHO HAVE AN 3403 02:09:38,270 --> 02:09:40,372 ADDICTION TO OPIATES, THEY HAVE 3404 02:09:40,439 --> 02:09:41,373 PAIN TOO. 3405 02:09:41,440 --> 02:09:44,109 RIGHT? 3406 02:09:44,176 --> 02:09:45,444 EVEN SOMEBODY WHO IS NO LONGER 3407 02:09:45,511 --> 02:09:48,847 USING OPIOIDS BUT WHO HAS 3408 02:09:48,914 --> 02:09:50,249 DIFFICULTY WITH, YOU KNOW, 3409 02:09:50,315 --> 02:09:54,286 VARIOUS ASPECTS OF OPIOID, YOU 3410 02:09:54,353 --> 02:09:55,487 KNOW, ADDICTION DOESN'T 3411 02:09:55,554 --> 02:09:57,356 NECESSARILY STOP IF YOU STOP 3412 02:09:57,422 --> 02:09:59,224 USING THEM. 3413 02:09:59,291 --> 02:10:01,393 ANY EXPOSURE TO OPIOIDS IN 3414 02:10:01,460 --> 02:10:03,262 SOMEBODY WHO HAS A HISTORY OF 3415 02:10:03,328 --> 02:10:04,263 OPIOID USE DISORDER IS A 3416 02:10:04,329 --> 02:10:05,364 PROBLEM. 3417 02:10:05,430 --> 02:10:07,432 SO HOW DO YOU MANAGE PAIN, YOU 3418 02:10:07,499 --> 02:10:10,068 KNOW, IN PEOPLE WITH THAT -- IN 3419 02:10:10,135 --> 02:10:10,736 THAT SITUATION? 3420 02:10:10,802 --> 02:10:12,371 VERY, VERY IMPORTANT. 3421 02:10:12,437 --> 02:10:15,207 THERE'S ALSO VERY IMPORTANT 3422 02:10:15,274 --> 02:10:16,742 ISSUES AROUND SPECIAL 3423 02:10:16,808 --> 02:10:18,810 POPULATIONS THAT ARE AT RISK FOR 3424 02:10:18,877 --> 02:10:20,012 BOTH PAIN AND OPIOID USE 3425 02:10:20,078 --> 02:10:20,345 DISORDER. 3426 02:10:20,412 --> 02:10:23,348 ONE OF THEM BEING AMERICAN 3427 02:10:23,415 --> 02:10:27,819 INDIAN AND ALAS K ALASKAN NATIV. 3428 02:10:27,886 --> 02:10:28,687 THE NATIVE AMERICAN POPULATION 3429 02:10:28,754 --> 02:10:30,656 IS THE MOST AT RISK POPULATION 3430 02:10:30,722 --> 02:10:32,724 FOR OPIOID USE DISORDER, BY FAR, 3431 02:10:32,791 --> 02:10:34,159 IN THIS COUNTRY. 3432 02:10:34,226 --> 02:10:36,895 AND SO WE WANT TO WORK VERY 3433 02:10:36,962 --> 02:10:39,298 CAREFULLY, CLOSELY, WITH NIDA, 3434 02:10:39,364 --> 02:10:40,399 WITH THE NATIONAL INSTITUTE OF 3435 02:10:40,465 --> 02:10:43,902 DRUG ABUSE, TO WORK ON SOME VERY 3436 02:10:43,969 --> 02:10:45,204 SPECIAL INITIATIVES AND PROGRAMS 3437 02:10:45,270 --> 02:10:46,872 YOU'LL BE HEARING MORE ABOUT ON 3438 02:10:46,939 --> 02:10:53,645 THIS. 3439 02:10:53,712 --> 02:10:55,013 SO HEAL PAIN STRATEGIC PLANNING, 3440 02:10:55,080 --> 02:10:56,381 THIS IS THE TIMELINE, VERY 3441 02:10:56,448 --> 02:10:58,016 SIMILAR TO OUR OWN STRATEGIC 3442 02:10:58,083 --> 02:10:58,350 PLAN. 3443 02:10:58,417 --> 02:11:00,886 WE THINK THAT WE ARE VERY 3444 02:11:00,953 --> 02:11:01,887 FORTUNATE THAT OUR STRATEGIC 3445 02:11:01,954 --> 02:11:05,023 PLAN AND THE HEAL STRATEGIC PLAN 3446 02:11:05,090 --> 02:11:06,325 ARE HAPPENING KIND OF IN 3447 02:11:06,391 --> 02:11:07,859 PARALLEL, WHICH IS, WE THINK, 3448 02:11:07,926 --> 02:11:10,696 VERY EXCITING. 3449 02:11:10,762 --> 02:11:11,964 WE ARE GOING TO BE ABLE TO HAVE 3450 02:11:12,030 --> 02:11:15,267 A LOT OF INPUT INTO THIS. 3451 02:11:15,334 --> 02:11:17,903 AND HAVING TO SAY, WE HAVE 3452 02:11:17,970 --> 02:11:20,405 ALREADY HAD A LOT OF INPUT INTO 3453 02:11:20,472 --> 02:11:23,809 THE HEAL INITIATIVE. 3454 02:11:23,875 --> 02:11:27,312 I CAN'T SAY ENOUGH ABOUT HOW 3455 02:11:27,379 --> 02:11:29,414 IMPORTANT THE INPUT OF NCCIH IS 3456 02:11:29,481 --> 02:11:34,086 FOR SHAPING SOME PROGRAMS SUCH 3457 02:11:34,152 --> 02:11:35,787 AS PRISSMM AND BRIM. 3458 02:11:35,854 --> 02:11:36,922 SO THESE ARE TWO PROGRAMS THAT 3459 02:11:36,989 --> 02:11:38,257 YOU'VE ALL BEEN HEARING QUITE A 3460 02:11:38,323 --> 02:11:39,458 LOT ABOUT. 3461 02:11:39,524 --> 02:11:43,195 PRISSMM IS PRAGMATIC TRIALS TO 3462 02:11:43,262 --> 02:11:44,830 REDUCE -- WHAT DOES PRISSMM 3463 02:11:44,896 --> 02:11:45,897 MEAN? 3464 02:11:45,964 --> 02:11:51,703 PRAGMATIC STUDIES TO WHAT? 3465 02:11:51,770 --> 02:11:53,405 THERE YOU GO. 3466 02:11:53,472 --> 02:11:54,706 PRAGMATIC AND IMPLEMENTATION 3467 02:11:54,773 --> 02:11:56,441 STUDIES TO IMPROVE THE -- OKAY, 3468 02:11:56,508 --> 02:11:58,944 SO BASICALLY PRAGMATIC TRIALS OF 3469 02:11:59,011 --> 02:12:06,618 PAIN, AND THEN BRIM IS BIO -- 3470 02:12:06,685 --> 02:12:08,287 BEHAVIORAL -- I'M TERRIBLE WITH 3471 02:12:08,353 --> 02:12:08,587 ACRONYMS. 3472 02:12:08,654 --> 02:12:10,122 I CAN NEVER FIGURE OUT WHAT THEY 3473 02:12:10,188 --> 02:12:10,322 MEAN. 3474 02:12:10,389 --> 02:12:12,858 BUT IN ANY CASE, ONE IS -- 3475 02:12:12,924 --> 02:12:16,928 THEY'RE BOTH PROGRAMS THAT ARE 3476 02:12:16,995 --> 02:12:22,267 REALLY UTILI UTILIZE THE PRAGMAC 3477 02:12:22,334 --> 02:12:23,735 STUDY DESIGN AND IMPLEMENTATION 3478 02:12:23,802 --> 02:12:26,438 SCIENCE IN ORDER TO REALLY LOOK 3479 02:12:26,505 --> 02:12:29,041 AT THE MANAGEMENT OF PAIN AND 3480 02:12:29,107 --> 02:12:30,609 OPIOID USE DISORDER IN THE REAL 3481 02:12:30,676 --> 02:12:31,576 WORLD, KIND OF WHAT I WAS 3482 02:12:31,643 --> 02:12:34,846 TALKING ABOUT EARLIER, ABOUT THE 3483 02:12:34,913 --> 02:12:37,082 IMPORTANCE OF STUDYING RESEARCH 3484 02:12:37,149 --> 02:12:40,118 THAT IS IN THE HEALTHCARE 3485 02:12:40,185 --> 02:12:41,653 SYSTEMS OR WHEREVER THE CARE IS 3486 02:12:41,720 --> 02:12:43,855 BEING DELIVERED. 3487 02:12:43,922 --> 02:12:48,226 AND SO BOTH PRISSMM AND BRIM ARE 3488 02:12:48,293 --> 02:12:49,661 REALLY FLAGSHIP PROGRAMS OF THE 3489 02:12:49,728 --> 02:12:51,196 HEAL INITIATIVE THAT HAVE BEEN 3490 02:12:51,263 --> 02:12:53,065 THERE SINCE THE BEGINNING AND 3491 02:12:53,131 --> 02:13:04,109 NONE OFANDDUE TO THE EFFORTS OFD 3492 02:13:04,609 --> 02:13:06,978 SHURTLEFF, WENDY WEBER HAVE BEEN 3493 02:13:07,045 --> 02:13:09,514 VERY INSTRUMENTAL, PETE MURRAY, 3494 02:13:09,581 --> 02:13:11,016 WITH BRIM, WHO HAVE REALLY 3495 02:13:11,083 --> 02:13:14,119 INFLUENCED THE VERY DIRECTION OF 3496 02:13:14,186 --> 02:13:14,986 HEAL BECAUSE AT THE VERY 3497 02:13:15,053 --> 02:13:17,723 BEGINNING OF HEAL, A BIG 3498 02:13:17,789 --> 02:13:19,691 EMPHASIS WAS ON DRUG 3499 02:13:19,758 --> 02:13:21,226 DEVELOPMENT. 3500 02:13:21,293 --> 02:13:25,063 AND BECAUSE I BELIEVE OF THE 3501 02:13:25,130 --> 02:13:27,933 DIRECTION THAT NCCIH HAS REALLY 3502 02:13:27,999 --> 02:13:31,303 IMPARTED ON THE HEAL, A LOT OF 3503 02:13:31,370 --> 02:13:33,739 IT ENDED UP BEING ABOUT 3504 02:13:33,805 --> 02:13:35,107 NON-PHARMACOLOGICAL APPROACHES, 3505 02:13:35,173 --> 02:13:37,209 AND IF IT WASN'T FOR NIH'S 3506 02:13:37,275 --> 02:13:38,543 INPUT, PROBABLY WOULD NOT HAVE 3507 02:13:38,610 --> 02:13:39,444 BEEN QUITE SO MUCH. 3508 02:13:39,511 --> 02:13:41,313 SO THIS WAS REALLY IMPORTANT, 3509 02:13:41,380 --> 02:13:45,117 AND WE'RE CONTINUING TO REALLY 3510 02:13:45,183 --> 02:13:48,520 HAVE, I THINK, A BIG IMPACT ON 3511 02:13:48,587 --> 02:13:50,188 THE OPPORTUNITIES THAT ARE 3512 02:13:50,255 --> 02:13:51,490 AVAILABLE THROUGH THE HEAL 3513 02:13:51,556 --> 02:13:54,693 INITIATIVE. 3514 02:13:54,760 --> 02:13:57,963 SO MORE TO COME ON THAT. 3515 02:13:58,029 --> 02:13:58,330 OKAY. 3516 02:13:58,397 --> 02:13:59,431 SO ANY QUESTIONS ABOUT THIS OR 3517 02:13:59,498 --> 02:14:03,468 ANY COMMENTS? 3518 02:14:03,535 --> 02:14:05,303 >> THIS IS SUPER INTERESTING AND 3519 02:14:05,370 --> 02:14:06,071 EXCITING STUFF. 3520 02:14:06,138 --> 02:14:09,708 I WANTED TO -- YOU MAY HAVE 3521 02:14:09,775 --> 02:14:10,675 ALLUDED TO THIS A LITTLE BIT, 3522 02:14:10,742 --> 02:14:12,411 THERE ARE SOME AREAS OF PAIN 3523 02:14:12,477 --> 02:14:13,011 RESEARCH THAT HAVEN'T REALLY 3524 02:14:13,078 --> 02:14:15,814 BEEN LOOKED AT AND THAT MAYBE 3525 02:14:15,881 --> 02:14:17,015 HEAL SHOULD CONSIDER AND I 3526 02:14:17,082 --> 02:14:19,284 WONDERED IF YOU COULD MAYBE 3527 02:14:19,351 --> 02:14:20,051 SHARE IF YOU HAVE ANY THOUGHTS 3528 02:14:20,118 --> 02:14:21,787 ABOUT WHAT THOSE GAPS ARE. 3529 02:14:21,853 --> 02:14:23,221 >> WELL, SOME OF THEM, WE'VE 3530 02:14:23,288 --> 02:14:24,990 ALREADY STARTED. 3531 02:14:25,056 --> 02:14:30,429 SO ANY AREA OF MUSCULOSKELETAL 3532 02:14:30,495 --> 02:14:33,265 PAIN, THERE HAS BEEN A PENDULUM 3533 02:14:33,331 --> 02:14:35,033 SHIFT THAT HAS TAKEN PLACE. 3534 02:14:35,100 --> 02:14:37,002 IF YOU GO BACK AND, YOU KNOW, 3535 02:14:37,068 --> 02:14:40,138 BACK IN 19 -- MAYBE 1980, 1990, 3536 02:14:40,205 --> 02:14:42,007 IT WAS ALL ABOUT FIXING WHAT'S 3537 02:14:42,073 --> 02:14:42,541 BROKEN, RIGHT? 3538 02:14:42,607 --> 02:14:45,844 YOU HAD BACK PAIN, YOU HAD AN 3539 02:14:45,911 --> 02:14:51,016 MRI AND YOU HAD MAYBE SURGERY OR 3540 02:14:51,082 --> 02:14:52,050 WHATEVER OR SPINAL INJECTION OR 3541 02:14:52,117 --> 02:14:54,252 SOMETHING LIKE THAT. 3542 02:14:54,319 --> 02:14:58,857 IF YOU HAD ARTHRITIS, IT WAS 3543 02:14:58,924 --> 02:15:01,359 ABOUT THE JOINT -- THE 3544 02:15:01,426 --> 02:15:01,827 CARTILAGE, ET CETERA. 3545 02:15:01,893 --> 02:15:04,529 AND THEN AFTER ABOUT 1990, THERE 3546 02:15:04,596 --> 02:15:06,531 WAS THIS BIG SHIFT TOWARDS 3547 02:15:06,598 --> 02:15:08,800 REALLY UNDERSTANDING THE 3548 02:15:08,867 --> 02:15:10,202 EMOTIONAL AND PSYCHOLOGICAL 3549 02:15:10,268 --> 02:15:11,837 DIMENSIONS OF PAIN AND THE 3550 02:15:11,903 --> 02:15:15,674 NEURAL MECHANISMS OF PAIN, AND 3551 02:15:15,740 --> 02:15:17,008 FOR GOOD REASONS, BECAUSE A LOT 3552 02:15:17,075 --> 02:15:18,643 OF PAIN, ESPECIALLY CHRONIC 3553 02:15:18,710 --> 02:15:21,813 PAIN, DOES INVOLVE SENT 3554 02:15:21,880 --> 02:15:27,819 TIIZSENSITIZATIONMECHANISMS IN T 3555 02:15:27,886 --> 02:15:28,787 PERPETUATE THE PAIN. 3556 02:15:28,854 --> 02:15:30,222 BUT THE PENDULUM HAS SWUNG SO 3557 02:15:30,288 --> 02:15:31,323 FAR IN THAT DIRECTION RIGHT NOW 3558 02:15:31,389 --> 02:15:32,624 THAT IF YOU LOOK AT THE 3559 02:15:32,691 --> 02:15:33,959 LITERATURE, THERE'S VERY, VERY 3560 02:15:34,025 --> 02:15:37,329 LITTLE ABOUT THE PERIPHERAL 3561 02:15:37,395 --> 02:15:38,230 TISSUES ANYMORE. 3562 02:15:38,296 --> 02:15:39,865 A LOT OF OF THE PAIN RESEARCH IS 3563 02:15:39,931 --> 02:15:41,833 NOW ABOUT THE NERVOUS SYSTEM AND 3564 02:15:41,900 --> 02:15:43,668 PSYCHOSOCIAL ASPECTS OF PAIN. 3565 02:15:43,735 --> 02:15:44,870 I'VE WRITTEN ABOUT THIS AND I 3566 02:15:44,936 --> 02:15:45,804 THINK THE VERY IMPORTANT PIECE 3567 02:15:45,871 --> 02:15:47,939 OF THIS IS TO BRING THE TWO BACK 3568 02:15:48,006 --> 02:15:49,808 TOGETHER, AND SO WE'VE ALREADY 3569 02:15:49,875 --> 02:15:51,209 STARTED DOING THAT WITH THE HEAL 3570 02:15:51,276 --> 02:15:51,543 INITIATIVE. 3571 02:15:51,610 --> 02:15:54,279 ONE IS WE'RE DEVELOPING BETTER 3572 02:15:54,346 --> 02:15:55,914 BIOMARKERS AND IMAGING, FOR 3573 02:15:55,981 --> 02:15:57,215 EXAMPLE, FOR ALL OF THOSE 3574 02:15:57,282 --> 02:15:58,950 TISSUES, THOSE SOFT TISSUES THAT 3575 02:15:59,017 --> 02:16:00,385 NOBODY EVER LOOKS AT. 3576 02:16:00,452 --> 02:16:02,053 X-RAYS ARE REALLY GOOD AT 3577 02:16:02,120 --> 02:16:05,991 LOOKING AT BONES AND CARTILAGE, 3578 02:16:06,057 --> 02:16:07,292 AND THEY'RE TERRIBLE AT LOOKING 3579 02:16:07,359 --> 02:16:09,160 AT LIGAMENTS AND FASCIA AND 3580 02:16:09,227 --> 02:16:09,461 MUSCLE. 3581 02:16:09,528 --> 02:16:11,062 YOU CAN'T -- YOU KNOW, YOU 3582 02:16:11,129 --> 02:16:12,864 REALLY CAN'T SEE, AND YOU CAN'T 3583 02:16:12,931 --> 02:16:14,165 TELL WHAT'S WRONG ANYWAY, IF 3584 02:16:14,232 --> 02:16:15,267 THERE'S SOMETHING WRONG, YOU 3585 02:16:15,333 --> 02:16:16,902 CAN'T SEE IT. 3586 02:16:16,968 --> 02:16:18,103 SO WE'RE DOING THAT, BUT AT THE 3587 02:16:18,169 --> 02:16:19,871 SAME TIME, THERE'S ANOTHER 3588 02:16:19,938 --> 02:16:22,274 INITIATIVE WITHIN HEAL CALLED 3589 02:16:22,340 --> 02:16:25,777 REJOIN THAT IS ABOUT LOOKING AT 3590 02:16:25,844 --> 02:16:26,945 A JOINT NOT JUST FROM THE POINT 3591 02:16:27,012 --> 02:16:28,713 OF VIEW OF THE INSIDE OF THE 3592 02:16:28,780 --> 02:16:32,884 JOINT, THE CARTILAGE, BUT THE 3593 02:16:32,951 --> 02:16:34,719 WHOLE JOINT, THAT ALL THE OTHER 3594 02:16:34,786 --> 02:16:37,722 PARTS OF THE JOINT, THE 3595 02:16:37,789 --> 02:16:38,924 CAPSULES, LIGAMENTS, FASCIA, ALL 3596 02:16:38,990 --> 02:16:40,425 THE STUFF THAT REALLY WE DON'T 3597 02:16:40,492 --> 02:16:41,226 EVEN KNOW WHETHER THEY CAN 3598 02:16:41,293 --> 02:16:42,427 GENERATE PAIN OR NOT BECAUSE WE 3599 02:16:42,494 --> 02:16:45,163 CAN'T EVEN LOOK AT IT. 3600 02:16:45,230 --> 02:16:47,332 SO REJOIN IS MAPPING THE SENSORY 3601 02:16:47,399 --> 02:16:48,767 INNERVATION OF ALL OF THESE 3602 02:16:48,833 --> 02:16:50,235 TISSUES, AND THEN THERE'S BAC 3603 02:16:50,302 --> 02:16:52,704 PAC, WHICH IS A BACK PAIN 3604 02:16:52,771 --> 02:16:54,139 CONSORTIUM THAT IS DEVELOPING 3605 02:16:54,205 --> 02:16:56,308 VERY, VERY ELABORATE MODELS AND 3606 02:16:56,374 --> 02:16:58,944 TESTING THESE MODELS FOR BACK 3607 02:16:59,010 --> 02:17:00,045 PAIN, BUT IMPORTANTLY, WE'LL BE 3608 02:17:00,111 --> 02:17:02,981 ABLE TO INCORPORATE THE DATA M 3609 02:17:03,048 --> 02:17:04,649 KOLLING FROM THESE OTHER 3610 02:17:04,716 --> 02:17:06,618 PROGRAMS, LIKE MYOFASCIAL AND 3611 02:17:06,685 --> 02:17:08,153 REJOIN, IN ORDER TO IMPROVE OUR 3612 02:17:08,219 --> 02:17:10,989 UNDERSTANDING OF PAIN -- OF BACK 3613 02:17:11,056 --> 02:17:12,857 PAIN BEYOND JUST THE FACET 3614 02:17:12,924 --> 02:17:15,360 JOINTS AND THE INTERVERTEBRAL 3615 02:17:15,427 --> 02:17:16,127 DISKS, BECAUSE THERE'S SO MUCH 3616 02:17:16,194 --> 02:17:17,195 WE DON'T KNOW. 3617 02:17:17,262 --> 02:17:22,767 SO THAT'S A PART OF PAIN, 3618 02:17:22,834 --> 02:17:23,335 MUSCULOSKELETAL PAIN, WHICH 3619 02:17:23,401 --> 02:17:25,170 ALREADY IS MOVING IN A MORE 3620 02:17:25,236 --> 02:17:26,705 INTEGRATIVE DIRECTION, PARTLY 3621 02:17:26,771 --> 02:17:27,939 BECAUSE OF WORK THAT WE'VE DONE 3622 02:17:28,006 --> 02:17:28,607 HERE AT NCCIH. 3623 02:17:28,673 --> 02:17:31,309 BUT I REALLY FEEL THIS NEEDS TO 3624 02:17:31,376 --> 02:17:32,744 CONTINUE. 3625 02:17:32,811 --> 02:17:33,645 THE OTHER DIRECTION AS I 3626 02:17:33,712 --> 02:17:34,713 MENTIONED ALREADY THIS MORNING 3627 02:17:34,779 --> 02:17:35,947 IS ENDOGENOUS PAIN RESOLUTION. 3628 02:17:36,014 --> 02:17:38,350 SO WHEN WE THINK OF PAIN 3629 02:17:38,416 --> 02:17:40,518 MANAGEMENT, WE USUALLY THINK OF 3630 02:17:40,585 --> 02:17:43,254 IT AS ANALGESIA, RIGHT? 3631 02:17:43,321 --> 02:17:46,124 A METHOD THAT WILL REDUCE THE 3632 02:17:46,191 --> 02:17:48,059 PAIN AND BUT THAT IS TEMPORARY. 3633 02:17:48,126 --> 02:17:50,028 THAT WHEN YOU STOP, YOU KNOW, 3634 02:17:50,095 --> 02:17:51,463 TAKING THE DRUG OR WHATEVER, THE 3635 02:17:51,529 --> 02:17:53,198 PAIN COMES BACK. 3636 02:17:53,264 --> 02:17:55,300 EVEN SOMETHING LIKE, YOU KNOW, 3637 02:17:55,367 --> 02:17:56,601 ACUPUNCTURE IS USUALLY THOUGHT 3638 02:17:56,668 --> 02:17:59,104 OF AS AN ANALGESIC. 3639 02:17:59,170 --> 02:18:01,439 BUT IF YOU LOOK AT PEOPLE WHO'VE 3640 02:18:01,506 --> 02:18:06,144 HAD TREATMENTS LIKE ACUPUNCTURE 3641 02:18:06,211 --> 02:18:07,479 OR -- OVER A LONG PERIOD OF 3642 02:18:07,545 --> 02:18:08,713 TIME, YOU SEE THAT SOMETIMES 3643 02:18:08,780 --> 02:18:10,482 WHAT HAPPENS IS THAT PEOPLE WILL 3644 02:18:10,548 --> 02:18:12,450 HAVE A COURSE OF ACUPUNCTURE 3645 02:18:12,517 --> 02:18:13,551 TREATMENTS FOR TWO OR THREE 3646 02:18:13,618 --> 02:18:14,653 MONTHS AND THEN THEY STOP, BUT A 3647 02:18:14,719 --> 02:18:16,755 YEAR LATER, THEY'RE STILL 3648 02:18:16,821 --> 02:18:17,255 BETTER. 3649 02:18:17,322 --> 02:18:20,025 AND SOME RESEARCH HAS 3650 02:18:20,091 --> 02:18:20,458 CORROBORATED THIS. 3651 02:18:20,525 --> 02:18:21,459 SO WHAT HAS HAPPENED? 3652 02:18:21,526 --> 02:18:25,397 THIS IS WHAT WE CALL HEALTH 3653 02:18:25,463 --> 02:18:25,930 RESTORATION. 3654 02:18:25,997 --> 02:18:27,899 THE BODY HAS ACTUALLY HEALED 3655 02:18:27,966 --> 02:18:29,000 SUCH THAT YOU DON'T -- THERE'S 3656 02:18:29,067 --> 02:18:30,702 NO LONGER A NEED TO ACTUALLY -- 3657 02:18:30,769 --> 02:18:32,404 TO TAKE MORE ANALGESICS. 3658 02:18:32,470 --> 02:18:36,107 THIS IS A MECHANISM THAT'S 3659 02:18:36,174 --> 02:18:37,375 RELATED TO OVERALL RESTORATION 3660 02:18:37,442 --> 02:18:38,610 OF HEALTH, WHICH WE UNDERSTAND 3661 02:18:38,677 --> 02:18:39,611 VERY LITTLE ABOUT. 3662 02:18:39,678 --> 02:18:41,446 WHY? 3663 02:18:41,513 --> 02:18:43,882 BECAUSE IT IS NOT SOMETHING THAT 3664 02:18:43,948 --> 02:18:44,983 INVOLVES ONE MOLECULE OR ONE -- 3665 02:18:45,050 --> 02:18:47,052 IT'S A WHOLE PERSON THING. 3666 02:18:47,118 --> 02:18:48,486 IT INVOLVES A LOT OF COMPLICATED 3667 02:18:48,553 --> 02:18:49,154 THINGS. 3668 02:18:49,220 --> 02:18:51,556 IT INVOLVES CHANGING ONE'S 3669 02:18:51,623 --> 02:18:54,325 BEHAVIOR PROBABLY, IT INVOLVES 3670 02:18:54,392 --> 02:18:55,860 RESOLUTION OF PHENOMENA THAT MAY 3671 02:18:55,927 --> 02:18:58,096 BE OCCURRING IN THE TISSUES AND 3672 02:18:58,163 --> 02:18:59,364 THE NERVOUS SYSTEM PROBABLY 3673 02:18:59,431 --> 02:19:00,899 TOGETHER ALONG WITH BEHAVIOR, 3674 02:19:00,965 --> 02:19:02,400 PERHAPS ALONG WITH, YOU KNOW, 3675 02:19:02,467 --> 02:19:04,135 SOCIETAL, YOU KNOW, INFLUENCES. 3676 02:19:04,202 --> 02:19:05,003 THERE'S A LOT OF THINGS THAT GO 3677 02:19:05,070 --> 02:19:06,104 INTO THIS. 3678 02:19:06,171 --> 02:19:07,639 AND SO THIS IS WHY WE THINK THIS 3679 02:19:07,706 --> 02:19:09,274 IS VERY MUCH RELATED TO A 3680 02:19:09,340 --> 02:19:10,475 WHOLE -- TAKING A WHOLE PERSON 3681 02:19:10,542 --> 02:19:13,645 APPROACH AND UNDERSTANDING 3682 02:19:13,712 --> 02:19:14,646 BUILT-IN MECHANISMS THAT PEOPLE 3683 02:19:14,713 --> 02:19:15,947 HAVE IN ORDER TO GET BETTER. 3684 02:19:16,014 --> 02:19:17,348 WHETHER IT'S FROM PAIN OR 3685 02:19:17,415 --> 02:19:18,116 SOMETHING ELSE. 3686 02:19:18,183 --> 02:19:20,585 AND THIS IS WHERE THE APPROACH 3687 02:19:20,652 --> 02:19:21,786 TO WHOLE PERSON HEALTH IS SO 3688 02:19:21,853 --> 02:19:23,188 IMPORTANT. 3689 02:19:23,254 --> 02:19:24,089 SO THESE ARE THE TWO. 3690 02:19:24,155 --> 02:19:25,190 THAT WAS A LONG ANSWER TO YOUR 3691 02:19:25,256 --> 02:19:27,692 QUESTION, I'M SORRY. 3692 02:19:27,759 --> 02:19:29,794 BUT THAT'S ESSENTIALLY WHAT I'M 3693 02:19:29,861 --> 02:19:31,629 GOING TO TALK ABOUT AT IASP. 3694 02:19:31,696 --> 02:19:33,264 I JUST GAVE YOU A SNEAK PREVIEW. 3695 02:19:33,331 --> 02:19:36,267 ANY OTHER QUESTIONS? 3696 02:19:36,334 --> 02:19:39,304 >> WE'RE FINE. 3697 02:19:39,370 --> 02:19:45,110 ANY OTHER -- YES. 3698 02:19:45,176 --> 02:19:50,048 >> THAFNTI TWO POTENTIAL QUESTI. 3699 02:19:50,115 --> 02:19:51,349 WE'LL SEE WHAT HAPPENS WITH THE 3700 02:19:51,416 --> 02:19:52,784 OTHER IF I HAVE TIME TO ASK 3701 02:19:52,851 --> 02:19:53,885 ANOTHER ONE TOO. 3702 02:19:53,952 --> 02:19:55,620 I'M WONDERING, SO I THINK MY 3703 02:19:55,687 --> 02:19:58,923 UNDERSTANDING OF HEAL IS THAT 3704 02:19:58,990 --> 02:20:02,193 IT'S GOT TO BE SHOVEL-REDI, IT'S 3705 02:20:02,260 --> 02:20:05,163 GOT TO BE VERY PATIENT FOCUSED. 3706 02:20:05,230 --> 02:20:06,898 I'M WONDERING WHAT THE PLACE -- 3707 02:20:06,965 --> 02:20:12,370 WHERE THE PLACE IS FOR BASE UK C 3708 02:20:12,437 --> 02:20:13,538 RESEARCH OF FUNDAMENTAL RESEARCH 3709 02:20:13,605 --> 02:20:14,739 ON PAIN ITSELF AND WHERE DOES IT 3710 02:20:14,806 --> 02:20:15,540 COME FROM. 3711 02:20:15,607 --> 02:20:17,509 >> SO WHEN YOU SAY PATIENT 3712 02:20:17,575 --> 02:20:19,277 FOCUSED, MY FIRST QUESTION WAS, 3713 02:20:19,344 --> 02:20:21,880 HMM, NOT ENTIRELY. 3714 02:20:21,946 --> 02:20:23,982 THE BIG FOCUS ON HEAL, FOR HEAL, 3715 02:20:24,048 --> 02:20:24,883 IS THERAPEUTICS DEVELOPMENT. 3716 02:20:24,949 --> 02:20:25,984 THAT WAS FROM THE BEGINNING. 3717 02:20:26,050 --> 02:20:29,053 IT WAS THE IDEA WAS WHEN MONEY 3718 02:20:29,120 --> 02:20:30,188 WAS APPROPRIATED FROM CONGRESS, 3719 02:20:30,255 --> 02:20:31,589 THE IDEA WAS WE'RE GOING TO 3720 02:20:31,656 --> 02:20:33,424 DEVELOP BETTER DRUGS THAT ARE 3721 02:20:33,491 --> 02:20:34,192 NOT ADDICTIVE. 3722 02:20:34,259 --> 02:20:36,394 THAT WAS THE IDEA. 3723 02:20:36,461 --> 02:20:37,695 SO THERE WAS THIS WHOLE PIPELINE 3724 02:20:37,762 --> 02:20:40,565 OF, YOU KNOW, TARGET DEVELOPMENT 3725 02:20:40,632 --> 02:20:44,602 AND, YOU KNOW, IDENTIFICATION OF 3726 02:20:44,669 --> 02:20:45,737 COMPOUNDS, FOR EXAMPLE, THAT 3727 02:20:45,804 --> 02:20:48,173 MIGHT INTERACT WITH VARIOUS 3728 02:20:48,239 --> 02:20:50,008 MOLECULES, XYZ RECEPTOR, 3729 02:20:50,074 --> 02:20:52,277 WHATEVER, AND A LOT OF THE STUFF 3730 02:20:52,343 --> 02:20:53,945 IS GOING ON, SO THAT'S NOT 3731 02:20:54,012 --> 02:20:54,579 PATIENT-FOCUSED. 3732 02:20:54,646 --> 02:20:56,014 THAT'S REALLY THERAPEUTICS 3733 02:20:56,080 --> 02:20:56,548 DEVELOPMENT. 3734 02:20:56,614 --> 02:21:01,286 THERE'S ALSO SOME OF IT THAT IS 3735 02:21:01,352 --> 02:21:03,354 BASED ON LOOKING FOR DEVICES OF 3736 02:21:03,421 --> 02:21:05,657 VARIOUS DIFFERENT STAGES OF 3737 02:21:05,723 --> 02:21:06,090 DEVELOPMENT. 3738 02:21:06,157 --> 02:21:06,991 THERE'S ALSO THAT OTHER END OF 3739 02:21:07,058 --> 02:21:08,560 ALL THE PRAGMATIC RESEARCH THAT 3740 02:21:08,626 --> 02:21:10,161 I WAS TALKING ABOUT. 3741 02:21:10,228 --> 02:21:11,663 THAT'S VERY -- THAT'S VERY 3742 02:21:11,729 --> 02:21:13,331 CLINICAL. 3743 02:21:13,398 --> 02:21:16,734 BUT WHAT I BELIEVE YOU'RE 3744 02:21:16,801 --> 02:21:18,169 TALKING ABOUT IS MORE BASIC 3745 02:21:18,236 --> 02:21:19,370 RESEARCH ON PAIN MECHANISMS LIKE 3746 02:21:19,437 --> 02:21:20,438 IN ANIMALS, WHATEVER. 3747 02:21:20,505 --> 02:21:22,640 MOST OF THAT IS NOT AT HEAL. 3748 02:21:22,707 --> 02:21:25,643 MOST OF THAT, A LOT OF THAT IS 3749 02:21:25,710 --> 02:21:27,712 FUNDED BY NINDS. 3750 02:21:27,779 --> 02:21:29,247 SOME OF IT IS FUNDED BY US BUT I 3751 02:21:29,314 --> 02:21:35,587 WOULD SAY MOST OF IT, RIGHT, I 3752 02:21:35,653 --> 02:21:37,989 IS -- NIAMS I SHOULD HAVE 3753 02:21:38,056 --> 02:21:38,556 MENTIONED, YES. 3754 02:21:38,623 --> 02:21:40,625 SO THE IDEA IS THAT HEAL FROM 3755 02:21:40,692 --> 02:21:42,060 THE START WAS NOT -- AND 3756 02:21:42,126 --> 02:21:43,361 PROBABLY NIDCR. 3757 02:21:43,428 --> 02:21:46,865 FROM THE START, HEAL WAS NOT 3758 02:21:46,931 --> 02:21:47,832 DESIGNED AS A PROGRAM TO DO 3759 02:21:47,899 --> 02:21:48,533 BASIC RESEARCH ON PAIN. 3760 02:21:48,600 --> 02:21:53,238 IT WAS REALLY FOCUSED ON FINDING 3761 02:21:53,304 --> 02:21:53,538 TREATMENTS. 3762 02:21:53,605 --> 02:21:55,173 THAT'S CHANGING A LITTLE BIT. 3763 02:21:55,240 --> 02:21:59,811 AS YOU CAN SEE, THE PROGRAM ON 3764 02:21:59,878 --> 02:22:02,347 MYOFASCIAL PAIN IS NOT -- WELL, 3765 02:22:02,413 --> 02:22:03,715 IT'S -- THERE'S A THERAPEUTIC 3766 02:22:03,781 --> 02:22:04,749 COMPONENT TO IT, BUT THE MAJOR 3767 02:22:04,816 --> 02:22:06,351 PART OF IT IS ABOUT DEVELOPING 3768 02:22:06,417 --> 02:22:07,685 THE MEASUREMENTS. 3769 02:22:07,752 --> 02:22:08,586 AND THAT WAS A CHANGE. 3770 02:22:08,653 --> 02:22:11,756 I MEAN, IT WAS A TRICKY THING TO 3771 02:22:11,823 --> 02:22:13,524 ACTUALLY GET HEAL TO AGREE TO 3772 02:22:13,591 --> 02:22:20,198 FUND THAT. 3773 02:22:20,265 --> 02:22:21,733 THE REJOIN PROGRAM IS PRETTY 3774 02:22:21,799 --> 02:22:22,166 BASIC. 3775 02:22:22,233 --> 02:22:27,405 IT'S REALLY LOOKING AT 3776 02:22:27,472 --> 02:22:29,440 SENSORY -- A LOT OF IT IS IN 3777 02:22:29,507 --> 02:22:30,375 ANIMALS, SOME USING HUMAN 3778 02:22:30,441 --> 02:22:30,842 TISSUE. 3779 02:22:30,909 --> 02:22:31,743 BUT I WOULD SAY THAT HOPEFULLY 3780 02:22:31,809 --> 02:22:35,313 THERE WILL BE INCREASING 3781 02:22:35,380 --> 02:22:36,214 OPPORTUNITIES TO FUND DIFFERENT 3782 02:22:36,281 --> 02:22:40,885 KINDS OF RESEARCH THROUGH THE 3783 02:22:40,952 --> 02:22:41,886 HEAL INITIATIVE AS WE CAN MAKE 3784 02:22:41,953 --> 02:22:42,587 THE CASE FOR IT. 3785 02:22:42,654 --> 02:22:44,756 DID THAT ANSWER YOUR QUESTION? 3786 02:22:44,822 --> 02:22:45,556 DOESN'T LOOK LIKE IT. 3787 02:22:45,623 --> 02:22:47,158 >> YES, BUT. 3788 02:22:47,225 --> 02:22:48,559 >> OKAY. 3789 02:22:48,626 --> 02:22:51,429 >> I THINK THERE'S ALSO -- 3790 02:22:51,496 --> 02:22:52,864 THERE'S BASIC MECHANISTIC 3791 02:22:52,931 --> 02:22:54,866 RESEARCH IN AN INTERNATIONAL 3792 02:22:54,933 --> 02:23:00,972 FALLSIN ANIMALS AND ALSO INHUMAE 3793 02:23:01,039 --> 02:23:02,340 IT PAINTS IS WE'RE CONSTANTLY 3794 02:23:02,407 --> 02:23:03,508 LEARNING ABOUT SENSORY 3795 02:23:03,574 --> 02:23:04,709 EXPERIENCE, OPINION ON PAIN, THE 3796 02:23:04,776 --> 02:23:05,743 MEANING OF PAIN AND SO SOME OF 3797 02:23:05,810 --> 02:23:06,911 THE REASONS THAT PEOPLE DEVELOP 3798 02:23:06,978 --> 02:23:07,879 CHRONIC PAIN IS BECAUSE THESE 3799 02:23:07,946 --> 02:23:09,080 LEARNING MECHANISMS ARE 3800 02:23:09,147 --> 02:23:09,414 DISREGULATED. 3801 02:23:09,480 --> 02:23:13,451 SO THAT'S KIND OF ONE EXAMPLE OF 3802 02:23:13,518 --> 02:23:15,653 SORT OF HUMAN RESEARCH THAT I 3803 02:23:15,720 --> 02:23:19,090 DON'T THINK HAS A GOOD HOME, 3804 02:23:19,157 --> 02:23:22,026 BECAUSE IT ISN'T ABOUT A 3805 02:23:22,093 --> 02:23:24,462 PARTICULAR CONDITION, SO IT 3806 02:23:24,529 --> 02:23:27,031 WOULDN'T BE NIAMS OR NINDS, IT'S 3807 02:23:27,098 --> 02:23:28,499 ABOUT THE PROCESS OF, YOU KNOW, 3808 02:23:28,566 --> 02:23:31,269 LEARNING AND ADAPTATION USING 3809 02:23:31,336 --> 02:23:32,570 PAIN AS A -- YOU KNOW, AS -- 3810 02:23:32,637 --> 02:23:34,439 >> YOU'RE ACTUALLY SINGING MY 3811 02:23:34,505 --> 02:23:37,175 SONG HERE. 3812 02:23:37,241 --> 02:23:38,943 ONE SLIDE ACTUALLY THAT WAS NOT 3813 02:23:39,010 --> 02:23:40,244 PART OF THE SLIDE DECK, I'M 3814 02:23:40,311 --> 02:23:42,680 SORRY, IT WAS SHOWING THE FOUR 3815 02:23:42,747 --> 02:23:44,082 GROUPS, I DON'T KNOW WHY THAT 3816 02:23:44,148 --> 02:23:48,753 WASN'T THERE, OKAY, SO -- THE 3817 02:23:48,820 --> 02:23:49,220 FOUR TEAMS. 3818 02:23:49,287 --> 02:23:53,391 SO INITIALLY, THERE WERE TWO OF 3819 02:23:53,458 --> 02:23:54,625 THE LAST FOUR WERE TWO TEAMS. 3820 02:23:54,692 --> 02:23:56,594 THERE WAS A BASIC TEAM THAT WAS 3821 02:23:56,661 --> 02:24:00,498 MAINLY ABOUT DEVELOPING 3822 02:24:00,565 --> 02:24:01,366 THERAPEUTICS, DRUGS, AND THEN 3823 02:24:01,432 --> 02:24:03,034 THERE WAS A CLINICAL TEAM THAT 3824 02:24:03,101 --> 02:24:05,269 WAS MORE INTO CLINICAL TRIALS. 3825 02:24:05,336 --> 02:24:06,537 THE KIND OF RESEARCH YOU'RE 3826 02:24:06,604 --> 02:24:07,839 TALKING ABOUT FALSE IN BETWEEN 3827 02:24:07,905 --> 02:24:08,172 THOSE TWO. 3828 02:24:08,239 --> 02:24:09,941 SO WE WERE HAVING A LOT OF HARD 3829 02:24:10,008 --> 02:24:11,042 TIMES SOMETIMES FINDING A HOME 3830 02:24:11,109 --> 02:24:15,113 FOR THOSE TYPES OF CONCEPTS. 3831 02:24:15,179 --> 02:24:17,048 NOW I'M GLAD TO SAY THERE ARE 3832 02:24:17,115 --> 02:24:17,415 FOUR TEAMS. 3833 02:24:17,482 --> 02:24:18,616 ONE OF THE TEAMS, I FORGET WHAT 3834 02:24:18,683 --> 02:24:19,484 IT'S CALLED NOW. 3835 02:24:19,550 --> 02:24:21,019 DO YOU REMEMBER? 3836 02:24:21,085 --> 02:24:22,520 INTEGRATIVE PAIN MECHANISMS. 3837 02:24:22,587 --> 02:24:23,221 MUCH BETTER, RIGHT? 3838 02:24:23,287 --> 02:24:24,322 SO THERE'S GOING TO BE A TEAM 3839 02:24:24,389 --> 02:24:26,624 FOR THAT NOW. 3840 02:24:26,691 --> 02:24:28,059 NOT TO SAY THAT A PROGRAM NEEDS 3841 02:24:28,126 --> 02:24:31,562 TO NECESSARILY BELONG TO A TEAM, 3842 02:24:31,629 --> 02:24:33,331 BUT BEFORE LACK OF A HOME AND A 3843 02:24:33,398 --> 02:24:35,500 TEAM WAS DEFINITELY AN OBSTACLE 3844 02:24:35,566 --> 02:24:40,505 TO GETTING A CONCEPT THROUGH, 3845 02:24:40,571 --> 02:24:42,473 IT'S GOING TO BE EASIER NOW AND 3846 02:24:42,540 --> 02:24:45,543 IT'S NOT GOING TO BE QUITE SO 3847 02:24:45,610 --> 02:24:48,413 PRESCRIPTIVE BUT THE FACT THAT 3848 02:24:48,479 --> 02:24:50,181 THERE'S NOW A TEAM DEDICATED TO 3849 02:24:50,248 --> 02:24:52,784 THAT KIND OF PROBLEM IS GOOD. 3850 02:24:52,850 --> 02:24:53,918 AND WE'RE GOING TO HAVE A 3851 02:24:53,985 --> 02:24:56,320 PRESENCE ON THAT TEAM OBVIOUSLY. 3852 02:24:56,387 --> 02:25:01,726 SO YEAH, SO EXCELLENT QUESTION. 3853 02:25:01,793 --> 02:25:04,195 >> SO JUST TO ADDRESS THIS ISSUE 3854 02:25:04,262 --> 02:25:05,763 ABOUT THE PATIENTS THAT YOU 3855 02:25:05,830 --> 02:25:07,065 MENTIONED, WHEN HEAL STARTED, IT 3856 02:25:07,131 --> 02:25:08,933 WAS REALLY TO ADDRESS A PUBLIC 3857 02:25:09,000 --> 02:25:09,700 HEALTH EMERGENCY. 3858 02:25:09,767 --> 02:25:12,770 SO IT'S AN ALL HANDS ON DECK 3859 02:25:12,837 --> 02:25:14,639 APPROACH TO ADDRESS THE OPIOID 3860 02:25:14,705 --> 02:25:17,675 CRISIS AND THE PAIN MANAGEMENT 3861 02:25:17,742 --> 02:25:19,877 ISSUES, AND SO THE TENDENCY WAS 3862 02:25:19,944 --> 02:25:22,046 TO GO MORE TOWARDS THE IMMEDIATE 3863 02:25:22,113 --> 02:25:24,382 APPLIED APPROACH TO REALLY 3864 02:25:24,449 --> 02:25:25,249 ADDRESS THIS EMERGENCY. 3865 02:25:25,316 --> 02:25:29,454 AND I THINK WHAT'S HAPPENING AS 3866 02:25:29,520 --> 02:25:30,555 HELENE HAS ILLUSTRATED, THE 3867 02:25:30,621 --> 02:25:32,190 PROGRAM IS EVOLVING. 3868 02:25:32,256 --> 02:25:33,624 AND CHANGING AND WITH THE 3869 02:25:33,691 --> 02:25:35,359 STRATEGIC PLANNING THAT 3870 02:25:35,426 --> 02:25:36,360 CATHERINE WILL BE INVOLVED IN 3871 02:25:36,427 --> 02:25:38,362 AND OTHERS, I THINK THAT WILL 3872 02:25:38,429 --> 02:25:40,631 REALLY REDEFINE WHAT HEAL IS 3873 02:25:40,698 --> 02:25:41,399 MOVING FORWARD. 3874 02:25:41,466 --> 02:25:43,167 BUT THAT'S HISTORICALLY WHY YOU 3875 02:25:43,234 --> 02:25:44,402 MIGHT HAVE GOT THE SENSE IT WAS 3876 02:25:44,469 --> 02:25:47,572 PATIENT FOCUSED, BUT FOR GOOD 3877 02:25:47,638 --> 02:25:47,805 REASON. 3878 02:25:47,872 --> 02:25:50,007 >> THAT'S A GOOD POINT, DAVID, 3879 02:25:50,074 --> 02:25:50,508 THAT'S RIGHT, EXACTLY. 3880 02:25:50,575 --> 02:25:51,509 IT WAS A VERY GOOD THING THAT 3881 02:25:51,576 --> 02:25:53,811 HEAL HAPPENED IN RESPONSE TO 3882 02:25:53,878 --> 02:25:55,346 THAT, AND IN FACT, WHAT WE'RE 3883 02:25:55,413 --> 02:25:59,217 SEEING IS THAT IT REALLY HELPED 3884 02:25:59,283 --> 02:26:00,384 TO GROW THE PAIN FIELD. 3885 02:26:00,451 --> 02:26:02,153 IF YOU LOOK, THE HEAL 3886 02:26:02,220 --> 02:26:02,920 INVESTIGATOR MEETINGS, I MEAN, 3887 02:26:02,987 --> 02:26:06,757 WE HAVE A WHOLE CADRE NOW OF 3888 02:26:06,824 --> 02:26:09,494 INVESTIGATORS -- IT WAS -- PAIN 3889 02:26:09,560 --> 02:26:12,663 RESEARCH IS HARD, YOU KNOW, AND 3890 02:26:12,730 --> 02:26:15,500 IT'S HARD TO PRACTICE PAIN TO BE 3891 02:26:15,566 --> 02:26:17,168 A PRACTITIONER WHO TREATS 3892 02:26:17,235 --> 02:26:18,569 PATIENTS WITH PAIN, IT'S 3893 02:26:18,636 --> 02:26:19,570 DIFFICULT, AND IT'S ALSO HARD TO 3894 02:26:19,637 --> 02:26:21,973 DO RESEARCH ON PAIN. 3895 02:26:22,039 --> 02:26:23,374 IT IS NOT TYPICALLY -- IT'S AN 3896 02:26:23,441 --> 02:26:24,976 AREA OF RESEARCH WHERE IT HARD 3897 02:26:25,042 --> 02:26:26,944 TO ATTRACT INVESTIGATORS AND SO 3898 02:26:27,011 --> 02:26:31,516 I THINK WHAT THIS IS DOING IS 3899 02:26:31,582 --> 02:26:35,486 REALLY GIVING NEW LIFE INTO PAIN 3900 02:26:35,553 --> 02:26:37,221 RESEARCH THAT IS GOING TO HELP, 3901 02:26:37,288 --> 02:26:40,858 BUT IT NOW, AS DAVID SAID, IT'S 3902 02:26:40,925 --> 02:26:42,460 DEFINITELY EVOLVING, AND A LOT 3903 02:26:42,527 --> 02:26:44,695 OF IT IS IN RESPONSE TO THE 3904 02:26:44,762 --> 02:26:46,030 NEEDS AND FEEDBACK THAT WE'RE 3905 02:26:46,097 --> 02:26:48,666 GETTING FROM PEOPLE AND SO, 3906 02:26:48,733 --> 02:26:50,301 YEAH, SO -- YEAH. 3907 02:26:50,368 --> 02:26:51,736 KATHLEEN. 3908 02:26:51,802 --> 02:26:55,907 >> AND I'LL TELL YOU THAT -- I 3909 02:26:55,973 --> 02:26:56,941 MEAN, I KNOW THE CONCERN IS THAT 3910 02:26:57,008 --> 02:26:57,909 BECAUSE WE NOW HAVE HEAL, 3911 02:26:57,975 --> 02:26:59,544 THERE'S LESS MONEY GOING INTO 3912 02:26:59,610 --> 02:27:00,878 PAIN RESEARCH ELSEWHERE. 3913 02:27:00,945 --> 02:27:02,880 THIS IS KIND OF WHAT THE GENERAL 3914 02:27:02,947 --> 02:27:04,382 COMMITTEE, BUT IT'S NOT TRUE. 3915 02:27:04,448 --> 02:27:05,783 AND WE LOOKED AT THE NUMBERS AND 3916 02:27:05,850 --> 02:27:08,486 WE LOOKED AT THE GRAPHS, AND 3917 02:27:08,553 --> 02:27:10,021 ACTUALLY THERE'S A SMALL 3918 02:27:10,087 --> 02:27:12,523 INCREASE IN NON-HEAL FUNDING FOR 3919 02:27:12,590 --> 02:27:14,592 PAIN RESEARCH IN ADDITION TO 3920 02:27:14,659 --> 02:27:15,726 HAVING THE HEAL FUNDING ON TOP 3921 02:27:15,793 --> 02:27:16,160 OF THAT. 3922 02:27:16,227 --> 02:27:17,328 SO THAT WAS REALLY ENCOURAGING 3923 02:27:17,395 --> 02:27:21,032 TO ME. 3924 02:27:21,098 --> 02:27:22,166 CONSIDERING PEOPLE LIKE ME HAVE 3925 02:27:22,233 --> 02:27:23,568 BEEN FIGHTING TO INCREASE PAIN 3926 02:27:23,634 --> 02:27:25,870 RESEARCH SINCE WE WERE YOUNG 3927 02:27:25,937 --> 02:27:28,839 SCIENTISTS A FEW YEARS AGO. 3928 02:27:28,906 --> 02:27:30,508 BUT YEAH, SO IT WAS REALLY 3929 02:27:30,575 --> 02:27:31,375 ENCOURAGING TO SEE THAT. 3930 02:27:31,442 --> 02:27:32,610 AND I DO THINK, YOU KNOW, 3931 02:27:32,677 --> 02:27:34,111 THERE'S GOING TO BE A GROUP 3932 02:27:34,178 --> 02:27:37,848 THAT'S GOING TO THINK THROUGH 3933 02:27:37,915 --> 02:27:40,051 HOPEFULLY WHEN WE GET THEM ALL 3934 02:27:40,117 --> 02:27:41,352 APPOINTED WHAT THE BIG 3935 02:27:41,419 --> 02:27:43,888 INITIATIVES SHOULD BE AND WHERE 3936 02:27:43,955 --> 02:27:45,089 THEY SHOULD GO, BUT THEY ARE 3937 02:27:45,156 --> 02:27:47,391 WRAPPED AROUND THINGS THAT WILL 3938 02:27:47,458 --> 02:27:48,359 HOPEFULLY IMPROVE MANAGEMENT IN 3939 02:27:48,426 --> 02:27:50,695 THE LONG RUN. 3940 02:27:50,761 --> 02:27:51,896 BUT ALL THOSE MANAGEMENT ONES 3941 02:27:51,963 --> 02:27:53,431 ARE NOW GOING THROUGH HEAL, SO A 3942 02:27:53,497 --> 02:27:56,300 LOT OF THEM AREN'T GOING INTO 3943 02:27:56,367 --> 02:27:58,402 THE STANDARD STUDY SECTIONS, 3944 02:27:58,469 --> 02:27:59,470 RIGHT? 3945 02:27:59,537 --> 02:28:02,540 SO THAT OPENS UP THAT MONEY AND 3946 02:28:02,607 --> 02:28:05,076 THOSE SLOTS FOR OTHER RESEARCH, 3947 02:28:05,142 --> 02:28:06,510 IN MY EYES. 3948 02:28:06,577 --> 02:28:07,845 SO I THINK IT'S A GOOD THING. 3949 02:28:07,912 --> 02:28:10,348 >> IT COULD VERY WELL BE, AND IN 3950 02:28:10,414 --> 02:28:15,253 FACT, CONGRESS APPROPRIATED US 3951 02:28:15,319 --> 02:28:19,090 $5 MILLION LAST YEAR AND THIS 3952 02:28:19,156 --> 02:28:20,758 YEAR, TO NCCIH, SPECIFICALLY 3953 02:28:20,825 --> 02:28:23,894 TORE PFORPAIN RESEARCH. 3954 02:28:23,961 --> 02:28:24,829 >> OH, DID THEY? 3955 02:28:24,895 --> 02:28:26,163 >> IN ADDITION TO OUR BUDGET. 3956 02:28:26,230 --> 02:28:26,364 YEAH. 3957 02:28:26,430 --> 02:28:28,532 >> THAT'S NICE. 3958 02:28:28,599 --> 02:28:29,867 >> AND IN ADDITION TO WHAT WE 3959 02:28:29,934 --> 02:28:31,936 ARE DOING WITH HEAL. 3960 02:28:32,003 --> 02:28:36,140 SO OUR PAIN PORTFOLIO IS VERY 3961 02:28:36,207 --> 02:28:37,775 WELL ALIVE, YOU KNOW, EVEN 3962 02:28:37,842 --> 02:28:48,119 OUTSIDE OF HEAL. 3963 02:28:50,921 --> 02:28:51,555 OTHER QUESTIONS? 3964 02:28:51,622 --> 02:28:53,391 OKAY. 3965 02:28:53,457 --> 02:28:53,958 GOOD. 3966 02:28:54,025 --> 02:29:00,564 SO NOW, THE NEXT PART OF OUR 3967 02:29:00,631 --> 02:29:02,433 PROGRAM IS -- I SEE WENDY THERE 3968 02:29:02,500 --> 02:29:05,936 SO IT MUST BE WENDY. 3969 02:29:06,003 --> 02:29:11,008 I DON'T KNOW WHERE I AM. 3970 02:29:11,075 --> 02:29:15,846 >> WE'RE GOING TO BE MOVING -- 3971 02:29:15,913 --> 02:29:17,114 >> OKAY. 3972 02:29:17,181 --> 02:29:18,883 SO I'M NOW PLEASED TO WELCOME TO 3973 02:29:18,949 --> 02:29:21,285 THE PODIUM DR. WENDY WEBER. 3974 02:29:21,352 --> 02:29:22,520 SHE'S THE BRANCH CHIEF OF OUR 3975 02:29:22,586 --> 02:29:25,756 CLINICAL RESEARCH BRANCH AND 3976 02:29:25,823 --> 02:29:26,757 DIVISION OF EXTRAMURAL RESEARCH, 3977 02:29:26,824 --> 02:29:28,025 AND SHE'S GOING TO SHARE WITH US 3978 02:29:28,092 --> 02:29:30,928 A BRIEF UPDATE ON OUR CLINICAL 3979 02:29:30,995 --> 02:29:37,501 TRIALS FUNDING OPPORTUNITIES. 3980 02:29:37,568 --> 02:29:39,003 >> GREAT. 3981 02:29:39,070 --> 02:29:39,904 GOOD AFTERNOON, EVERYONE. 3982 02:29:39,970 --> 02:29:41,505 SO I GET TO GIVE YOU AN UPDATE 3983 02:29:41,572 --> 02:29:43,874 ON SOME RECENT ACTIVITY OF OUR 3984 02:29:43,941 --> 02:29:45,076 CLINICAL RESEARCH BRANCH AND 3985 02:29:45,142 --> 02:29:46,177 WHAT WE'VE BEEN WORKING HARD ON 3986 02:29:46,243 --> 02:29:51,782 FOR MANY, MANY MONTHS NOW. 3987 02:29:51,849 --> 02:29:54,752 SO AS WE THINK ABOUT THE 3988 02:29:54,819 --> 02:29:58,456 CLINICAL RESEARCH BRANCH, WE 3989 02:29:58,522 --> 02:30:01,959 FUND -- OR WE SUPPORT AND 3990 02:30:02,026 --> 02:30:02,893 PROVIDE PORTFOLIO MANAGEMENT FOR 3991 02:30:02,960 --> 02:30:03,861 THE RESEARCH STUDIES THAT WE 3992 02:30:03,928 --> 02:30:06,630 FUND THAT ARE REALLY ABOUT 3993 02:30:06,697 --> 02:30:08,733 OUTCOMES AND CLINICAL OUTCOMES, 3994 02:30:08,799 --> 02:30:09,500 DEVELOPING INTERVENTIONS, 3995 02:30:09,567 --> 02:30:10,801 REFINING THOSE INTERVENTIONS, 3996 02:30:10,868 --> 02:30:12,570 AND TESTING THEM FOR EFFICACY 3997 02:30:12,636 --> 02:30:14,572 EVENTUALLY INTO PRAGMATIC 3998 02:30:14,638 --> 02:30:15,539 TRIALS, OUR COLLEAGUES IN THE 3999 02:30:15,606 --> 02:30:17,408 BASIC AND MECHANISTIC BRANCH DO 4000 02:30:17,475 --> 02:30:18,976 MORE OF THE MECHANISTIC CLINICAL 4001 02:30:19,043 --> 02:30:20,544 TRIALS AND OVERSEE THOSE 4002 02:30:20,611 --> 02:30:21,612 ACTIVITIES AS WELL AS ALL OF OUR 4003 02:30:21,679 --> 02:30:22,713 BASIC SCIENCE RESEARCH. 4004 02:30:22,780 --> 02:30:24,949 SO I'M FOCUSING MORE ON WHAT I'M 4005 02:30:25,015 --> 02:30:25,850 CALLING LIKE THE CLINICAL OUT 4006 02:30:25,916 --> 02:30:27,284 COME STUDIES WHICH CAN INCLUDE 4007 02:30:27,351 --> 02:30:28,185 HEALTH SERVICES RESEARCH BUT 4008 02:30:28,252 --> 02:30:29,920 ALSO MANY OF OUR TRIALS AND 4009 02:30:29,987 --> 02:30:31,355 INTERVENTION DEVELOPMENT. 4010 02:30:31,422 --> 02:30:34,325 AND AS WE THINK ABOUT SORT OF 4011 02:30:34,392 --> 02:30:36,260 WHAT ARE OUR GOALS FOR THIS 4012 02:30:36,327 --> 02:30:36,927 PROGRAM, WHAT KINDS OF RESEARCH 4013 02:30:36,994 --> 02:30:37,995 DO WE WANT TO SUPPORT, OF COURSE 4014 02:30:38,062 --> 02:30:40,331 WE WANT TO ALIGN WITH OUR 4015 02:30:40,398 --> 02:30:41,332 STRATEGIC PLAN, AND WE WANT TO 4016 02:30:41,399 --> 02:30:42,833 BE CONDUCTED AT THE APPROPRIATE 4017 02:30:42,900 --> 02:30:44,969 STAGE BASED ON WHAT'S CURRENTLY 4018 02:30:45,035 --> 02:30:47,638 ALREADY KNOWN ABOUT THE 4019 02:30:47,705 --> 02:30:48,839 INTERVENTIONS AND ABOUT THOSE 4020 02:30:48,906 --> 02:30:49,874 INTERVENTIONS USED IN DIFFERENT 4021 02:30:49,940 --> 02:30:52,343 CLINICAL CONDITIONS. 4022 02:30:52,410 --> 02:30:53,911 WE ALWAYS WANT OUR INVESTIGATORS 4023 02:30:53,978 --> 02:30:55,112 TO UTILIZE RIGOROUS METHODS THAT 4024 02:30:55,179 --> 02:30:55,946 ARE APPROPRIATE FOR THAT 4025 02:30:56,013 --> 02:30:57,548 PARTICULAR STAGE OF RESEARCH AND 4026 02:30:57,615 --> 02:30:59,417 TO TEST A HYPOTHESES THAT WILL 4027 02:30:59,483 --> 02:31:02,186 GUIDE FUTURE RESEARCH. 4028 02:31:02,253 --> 02:31:04,588 AND AS ALWAYS, YOU KNOW, 4029 02:31:04,655 --> 02:31:06,791 APPROPRIATE BUDGET AND REALISTIC 4030 02:31:06,857 --> 02:31:08,659 TIME FRAMES AND SORT OF THE 4031 02:31:08,726 --> 02:31:10,394 SCOPE OF WORK THAT CAN BE DONE 4032 02:31:10,461 --> 02:31:11,328 WITHIN AN INDIVIDUAL 4033 02:31:11,395 --> 02:31:11,862 APPLICATION. 4034 02:31:11,929 --> 02:31:14,265 AND ULTIMATELY OUR GOAL IS TO 4035 02:31:14,331 --> 02:31:15,633 SUPPORT IMPACTFUL TRIALS, AND 4036 02:31:15,699 --> 02:31:17,601 THAT CAN BE RESULTS OF FULLY 4037 02:31:17,668 --> 02:31:19,737 POWERED STUDIES THAT ARE GOING 4038 02:31:19,804 --> 02:31:21,071 TO INFLUENCE GUIDELINES AND 4039 02:31:21,138 --> 02:31:22,373 INFLUENCE HEALTHCARE POLICIES, 4040 02:31:22,440 --> 02:31:24,208 BUT IT CAN ALSO BE REALLY 4041 02:31:24,275 --> 02:31:26,777 IMPORTANT FEASIBILITY WORK THAT 4042 02:31:26,844 --> 02:31:29,213 WILL INFORM THE DESIGN OF THAT 4043 02:31:29,280 --> 02:31:32,616 ULTIMATE FULLY POWERED TRIAL. 4044 02:31:32,683 --> 02:31:34,018 SO HOPEFULLY THIS GRAPHIC IS 4045 02:31:34,084 --> 02:31:35,052 FAMILIAR TO MANY OF YOU. 4046 02:31:35,119 --> 02:31:37,221 THIS IS OUR RESEARCH FRAMEWORK, 4047 02:31:37,288 --> 02:31:38,989 AND WE WORKED ACROSS THE 4048 02:31:39,056 --> 02:31:40,224 BRANCHES TO REALLY SORT OF TRY 4049 02:31:40,291 --> 02:31:41,759 TO BUILD A FRAMEWORK THAT WORKS 4050 02:31:41,826 --> 02:31:43,527 FROM VERY BASIC RESEARCH ALL THE 4051 02:31:43,594 --> 02:31:46,630 WAY THROUGH EFFICACY TRIALS AND 4052 02:31:46,697 --> 02:31:48,165 ULTIMATELY DISSEMINATION 4053 02:31:48,232 --> 02:31:49,700 IMPLEMENTATION SCIENCE TYPES OF 4054 02:31:49,767 --> 02:31:50,234 WORK. 4055 02:31:50,301 --> 02:31:51,669 AND AT EACH ONE OF THESE 4056 02:31:51,735 --> 02:31:52,736 CIRCLES, YOU'LL SEE THERE'S A 4057 02:31:52,803 --> 02:31:53,804 QUESTION THAT'S ASSOCIATED WITH 4058 02:31:53,871 --> 02:31:54,905 IT OF THE KIND OF RESEARCH 4059 02:31:54,972 --> 02:31:56,740 THAT'S DONE AT THAT PARTICULAR 4060 02:31:56,807 --> 02:31:57,975 STAGE. 4061 02:31:58,042 --> 02:31:59,009 AND IT DOESN'T MEAN THAT YOU 4062 02:31:59,076 --> 02:32:00,845 HAVE TO MOVE ALONG THE PIPELINE. 4063 02:32:00,911 --> 02:32:02,246 YOUR RESEARCH MAY BE FOCUSED IN 4064 02:32:02,313 --> 02:32:03,781 ONE OF THESE CIRCLES BUT YOU MAY 4065 02:32:03,848 --> 02:32:05,416 ALSO TAKE RESEARCH THAT DOES 4066 02:32:05,483 --> 02:32:08,586 MOVE DOWN THIS PIPELINE. 4067 02:32:08,652 --> 02:32:12,690 AND AS WE HAVE LOOKED AT OUR 4068 02:32:12,756 --> 02:32:13,390 FUNDING OPPORTUNITIES, WHAT 4069 02:32:13,457 --> 02:32:15,226 WE'VE TRIED TO DO IN THE 4070 02:32:15,292 --> 02:32:17,495 CLINICAL RESEARCH BRANCH AND 4071 02:32:17,561 --> 02:32:18,896 HONESTLY WITHIN THE BASIC BRANCH 4072 02:32:18,963 --> 02:32:20,064 AS WELL IS TO MAKE SURE THAT WE 4073 02:32:20,130 --> 02:32:20,865 HAVE FUNDING OPPORTUNITIES FOR 4074 02:32:20,931 --> 02:32:22,032 EACH OF THESE DIFFERENT STAGES 4075 02:32:22,099 --> 02:32:23,567 OF RESEARCH, AND SO WHAT WE'VE 4076 02:32:23,634 --> 02:32:25,302 TRIED DO IS MAP ON TO THIS 4077 02:32:25,369 --> 02:32:27,938 FRAMEWORK THE INDIVIDUAL FUNDING 4078 02:32:28,005 --> 02:32:30,741 OPPORTUNITY -- OR NOW NOFOs, 4079 02:32:30,808 --> 02:32:31,408 NOTICE OF FUNDING OPPORTUNITIES, 4080 02:32:31,475 --> 02:32:32,476 THAT MATCH TO EACH OF THESE 4081 02:32:32,543 --> 02:32:37,381 DIFFERENT STAGES OF RESEARCH. 4082 02:32:37,448 --> 02:32:41,619 I'M HAPPY TO ANNOUNCE WE HAVE UP 4083 02:32:41,685 --> 02:32:42,319 UPDATED OUR WEBSITE. 4084 02:32:42,386 --> 02:32:44,855 THIS WAS A MAJOR EFFORT WE DID 4085 02:32:44,922 --> 02:32:45,856 WITH OUR OFFICE OF 4086 02:32:45,923 --> 02:32:47,024 COMMUNICATIONS AND PUBLIC 4087 02:32:47,091 --> 02:32:49,360 LIAISON AND OUR CLINICAL 4088 02:32:49,426 --> 02:32:49,960 RESEARCH BRANCH. 4089 02:32:50,027 --> 02:32:51,929 WE'VE DONE A LOT OF WORK TO 4090 02:32:51,996 --> 02:32:52,930 UPDATE ALL OF THE DIFFERENT 4091 02:32:52,997 --> 02:32:53,264 LINKS HERE. 4092 02:32:53,330 --> 02:32:56,600 ON THE LEFT SIDE WE'VE UPDATED 4093 02:32:56,667 --> 02:32:57,701 AND PUT A NAVIGATION SET OF 4094 02:32:57,768 --> 02:32:58,669 BULLETS ON THE LEFT SIDE HERE, 4095 02:32:58,736 --> 02:33:00,204 SO THAT YOU CAN FIND THINGS MORE 4096 02:33:00,271 --> 02:33:02,406 EASILY. 4097 02:33:02,473 --> 02:33:04,975 INCLUDING THE WHOLE SUITE OF NEW 4098 02:33:05,042 --> 02:33:05,843 FUNDING OPPORTUNITIES. 4099 02:33:05,910 --> 02:33:07,845 WE HAVE REISSUED 11 FUNDING 4100 02:33:07,912 --> 02:33:09,747 OPPORTUNITIES TO SUPPORT ACROSS 4101 02:33:09,813 --> 02:33:11,615 THIS ENTIRE STAGE OF RESEARCH 4102 02:33:11,682 --> 02:33:13,784 FOR BOTH OUR MIND AND BODY 4103 02:33:13,851 --> 02:33:14,685 INTERVENTIONS AND THEN OUR 4104 02:33:14,752 --> 02:33:16,687 NUTRITION AND NATURAL PRODUCT 4105 02:33:16,754 --> 02:33:18,455 INTERVENTIONS. 4106 02:33:18,522 --> 02:33:19,857 AND SO WE ALSO UPDATED ALL OF 4107 02:33:19,924 --> 02:33:21,559 THE FREQUENTLY ASKED QUESTIONS. 4108 02:33:21,625 --> 02:33:23,093 THERE'S ALSO A LINK FOR 4109 02:33:23,160 --> 02:33:23,427 RESOURCES. 4110 02:33:23,494 --> 02:33:25,162 WE'VE REALLY TRIED TO MAKE THIS 4111 02:33:25,229 --> 02:33:26,764 REALLY COMPREHENSIVE AND 4112 02:33:26,830 --> 02:33:28,799 HOPEFULLY EASIER TO FIND THE 4113 02:33:28,866 --> 02:33:29,767 FUNDING OPPORTUNITY TO MATCH THE 4114 02:33:29,833 --> 02:33:31,368 STAGE OF RESEARCH THAT YOU'RE 4115 02:33:31,435 --> 02:33:34,204 WANTING TO DO. 4116 02:33:34,271 --> 02:33:35,606 SO YOU'LL SEE I'VE HIGHLIGHTED 4117 02:33:35,673 --> 02:33:36,674 WITH ARROWS HERE THE TWO 4118 02:33:36,740 --> 02:33:37,775 DIFFERENT CLICKS THAT YOU CAN DO 4119 02:33:37,841 --> 02:33:39,343 TO GO TO THE MIND-BODY OR TO THE 4120 02:33:39,410 --> 02:33:40,010 NATURAL PRODUCTS. 4121 02:33:40,077 --> 02:33:41,445 IF YOU GO TO THE NEXT SLIDE, 4122 02:33:41,512 --> 02:33:43,180 WHAT YOU'LL SEE WHEN YOU GO TO 4123 02:33:43,247 --> 02:33:45,649 THIS IS THERE'S NOW A DROPDOWN 4124 02:33:45,716 --> 02:33:47,184 LIST FOR THE FUNDING 4125 02:33:47,251 --> 02:33:49,153 OPPORTUNITIES FOR EACH ONE OF 4126 02:33:49,219 --> 02:33:50,054 THOSE INDIVIDUAL CIRCLES. 4127 02:33:50,120 --> 02:33:51,088 SO IF YOU WANT TO KNOW WHAT 4128 02:33:51,155 --> 02:33:52,189 BASIC FUNDING OPPORTUNITIES WE 4129 02:33:52,256 --> 02:33:53,390 HAVE, YOU CAN CLICK THERE. 4130 02:33:53,457 --> 02:33:55,426 IF YOU WANT TO KNOW WHAT FUNDING 4131 02:33:55,492 --> 02:33:56,627 OPPORTUNITIES WOULD BE BEST FOR 4132 02:33:56,694 --> 02:33:57,928 EFFICACY RESEARCH, YOU CAN CLICK 4133 02:33:57,995 --> 02:33:59,029 THERE. 4134 02:33:59,096 --> 02:34:00,831 SO WE'VE TRIED TO MAKE THIS MUCH 4135 02:34:00,898 --> 02:34:02,499 MORE USER-FRIENDLY AND EASY TO 4136 02:34:02,566 --> 02:34:09,807 FIND. 4137 02:34:09,873 --> 02:34:11,675 AS WE'VE REISSUED ALL OF THESE 4138 02:34:11,742 --> 02:34:12,977 FUNDING ANNOUNCEMENTS AT THE 4139 02:34:13,043 --> 02:34:14,011 SAME TIME, WE'VE WORKED REALLY 4140 02:34:14,078 --> 02:34:15,112 CLOSELY WITH OUR OFFICE AND OUR 4141 02:34:15,179 --> 02:34:17,081 COLLEAGUES IN THE SCIENTIFIC 4142 02:34:17,147 --> 02:34:18,582 REVIEW OFFICE AND THE DIVISION 4143 02:34:18,649 --> 02:34:19,550 OF EXTRAMURAL ACTIVITIES AS 4144 02:34:19,617 --> 02:34:23,487 WE'VE DONE ALL OF THESE UPDATES, 4145 02:34:23,554 --> 02:34:24,922 AND ALIGNING THINGS WITH OUR 4146 02:34:24,989 --> 02:34:26,290 STRATEGIC PLAN, UPDATING OUR 4147 02:34:26,357 --> 02:34:28,592 PRIORITIES A LITTLE BIT, THERE'S 4148 02:34:28,659 --> 02:34:31,629 A NEW PLAN FOR ENHANCING DIVERSE 4149 02:34:31,695 --> 02:34:33,964 PERSPECTIVES, THE PEDP, WHICH IS 4150 02:34:34,031 --> 02:34:38,268 NOT ONLY ABOUT ENGAGING DIVERSE 4151 02:34:38,335 --> 02:34:39,303 PARTICIPANTS IN RESEARCH BUT 4152 02:34:39,370 --> 02:34:41,238 ALSO DIVERSIFYING OUR WORKFORCE 4153 02:34:41,305 --> 02:34:42,606 AND THE TEAMS THAT WORK ON YOUR 4154 02:34:42,673 --> 02:34:44,074 RESEARCH STUDIES. 4155 02:34:44,141 --> 02:34:46,176 SO WE ASK FOR A PLAN THAT 4156 02:34:46,243 --> 02:34:48,145 DESCRIBES YOUR APPLICATIONS 4157 02:34:48,212 --> 02:34:50,214 APPROACH TO DOING THAT. 4158 02:34:50,280 --> 02:34:51,715 YOU'RE GOING TO START TO SEE 4159 02:34:51,782 --> 02:34:52,916 THOSE ACROSS MORE AND MORE 4160 02:34:52,983 --> 02:34:53,884 FUNDING OPPORTUNITIES ACROSS 4161 02:34:53,951 --> 02:34:55,319 NIH, SO WE HAVE ADDED THAT 4162 02:34:55,386 --> 02:34:57,421 REQUIREMENT FOR OUR APPLICANTS 4163 02:34:57,488 --> 02:34:59,423 AS WELL. 4164 02:34:59,490 --> 02:35:01,191 WE TRIED TO CLARIFY THE 4165 02:35:01,258 --> 02:35:04,028 NONRESPONSIVE CRITERIA, 4166 02:35:04,094 --> 02:35:08,032 INCLUDING SOME UPDATES OF NOT 4167 02:35:08,098 --> 02:35:09,566 ALLOWING FOR WEIGHT LESS 4168 02:35:09,633 --> 02:35:11,535 CONTROLS, WE'RE TRYING TO 4169 02:35:11,602 --> 02:35:15,606 ENHANCE RIGOR, AND MOST OFTEN 4170 02:35:15,673 --> 02:35:17,608 OUR TRIALS USE THE USUAL CARE 4171 02:35:17,675 --> 02:35:19,243 CONTROLS IF THEY'RE USING 4172 02:35:19,309 --> 02:35:22,212 EFFECTIVENESS QUESTIONS OR 4173 02:35:22,279 --> 02:35:23,414 TIME -- IF THEY'RE DOING 4174 02:35:23,480 --> 02:35:24,381 EFFICACY DESIGNS. 4175 02:35:24,448 --> 02:35:25,582 AND EVEN IN OUR FEASIBILITY 4176 02:35:25,649 --> 02:35:27,051 WORK, WE WANT PEOPLE TO FIND OUT 4177 02:35:27,117 --> 02:35:28,919 IF IT'S FEASIBLE TO KEEP PEOPLE 4178 02:35:28,986 --> 02:35:30,254 IN STUDIES WITH THE COMPARISON 4179 02:35:30,320 --> 02:35:31,221 GROUPS THEY'RE ULTIMATELY GOING 4180 02:35:31,288 --> 02:35:31,889 TO USE. 4181 02:35:31,955 --> 02:35:33,457 IMPORTANTLY WE'VE UPDATED OUR 4182 02:35:33,524 --> 02:35:34,258 LANGUAGE TO MAKE IT VERY CLEAR, 4183 02:35:34,324 --> 02:35:36,360 WE DON'T WANT YOU TO DO UNDER 4184 02:35:36,427 --> 02:35:39,063 POWER TESTS OF EFFICACY. 4185 02:35:39,129 --> 02:35:40,764 YOU'RE NOT POWERED, JUST DON'T 4186 02:35:40,831 --> 02:35:41,131 LOOK. 4187 02:35:41,198 --> 02:35:42,566 SO WE'VE UPDATED THAT LANGUAGE 4188 02:35:42,633 --> 02:35:45,135 AND INSTEAD IF YOU'RE DOING 4189 02:35:45,202 --> 02:35:46,537 FEASIBLE WORK, FOCUS ON 4190 02:35:46,603 --> 02:35:47,971 FEASIBILITY OUTCOMES SO WE'VE 4191 02:35:48,038 --> 02:35:50,708 GOT A LOT OF GUIDANCE ABOUT 4192 02:35:50,774 --> 02:35:51,608 THAT. 4193 02:35:51,675 --> 02:35:53,177 WE'VE ALSO TRIED TO CLARIFY WHEN 4194 02:35:53,243 --> 02:35:55,813 YOU'RE DOING MULTICOMPONENT 4195 02:35:55,879 --> 02:35:56,580 INTERVENTIONS, HELPING DIRECT 4196 02:35:56,647 --> 02:35:58,315 YOU TO WHICH IS THE RIGHT 4197 02:35:58,382 --> 02:35:59,483 FUNDING OPPORTUNITY DEPENDING ON 4198 02:35:59,550 --> 02:36:00,384 WHAT YOUR RESEARCH QUESTION IS 4199 02:36:00,451 --> 02:36:01,585 AND HOW MUCH IS KNOWN ABOUT THE 4200 02:36:01,652 --> 02:36:02,686 DIFFERENT COMPONENTS THAT YOU'RE 4201 02:36:02,753 --> 02:36:02,953 COMBINING. 4202 02:36:03,020 --> 02:36:04,254 SO THAT HAS BEEN UPDATED ACROSS 4203 02:36:04,321 --> 02:36:06,390 THE WHOLE SUITE OF MIND AND BODY 4204 02:36:06,457 --> 02:36:07,024 FUNDING OPPORTUNITIES AND THE 4205 02:36:07,091 --> 02:36:08,826 WHOLE SUITE OF NATURAL PRODUCT 4206 02:36:08,892 --> 02:36:12,863 FUNDING OPPORTUNITIES. 4207 02:36:12,930 --> 02:36:13,964 SO SPECIFIC CHANGES WE'VE MADE 4208 02:36:14,031 --> 02:36:16,700 TO THE MIND-BODY FUNDING 4209 02:36:16,767 --> 02:36:17,668 OPPORTUNITIES, THERE'S NOW A 4210 02:36:17,735 --> 02:36:18,669 WHOLE SECTION WITHIN EACH OF 4211 02:36:18,736 --> 02:36:20,704 THOSE THAT ARE DESIGN 4212 02:36:20,771 --> 02:36:21,705 CONSIDERATIONS, WHERE WE TALK 4213 02:36:21,772 --> 02:36:23,006 AGAIN ABOUT THE WAIT LIST AND 4214 02:36:23,073 --> 02:36:24,274 COMPARATOR ARM SELECTION, 4215 02:36:24,341 --> 02:36:27,010 HELPING PEOPLE TO -- WHAT'S YOUR 4216 02:36:27,077 --> 02:36:28,011 RESEARCH QUESTION AND THEN LET 4217 02:36:28,078 --> 02:36:29,747 THAT DRIVE WHAT YOUR COMPARISON 4218 02:36:29,813 --> 02:36:33,317 GROUP WOULD BE. 4219 02:36:33,383 --> 02:36:34,752 EMPHASIZING THOSE FEASIBILITY 4220 02:36:34,818 --> 02:36:36,153 STUDIES SHOULDN'T TRY TO ASSESS 4221 02:36:36,220 --> 02:36:36,720 EFFICACY. 4222 02:36:36,787 --> 02:36:37,921 WE'VE GOT SOME SUGGESTIONS IN 4223 02:36:37,988 --> 02:36:39,523 THERE ABOUT THINKING ABOUT 4224 02:36:39,590 --> 02:36:41,391 POWER, AND MANY OF OUR 4225 02:36:41,458 --> 02:36:42,793 INTERVENTIONS END UP WITH A 4226 02:36:42,860 --> 02:36:44,728 GROUP ELEMENT TO THEM AND SO WE 4227 02:36:44,795 --> 02:36:47,464 HAVE SOME INSTRUCTIONS IN THERE 4228 02:36:47,531 --> 02:36:49,032 ABOUT GROUP-BASED INTERVENTIONS, 4229 02:36:49,099 --> 02:36:50,100 BECAUSE YOU DO HAVE TO ACCOUNT 4230 02:36:50,167 --> 02:36:52,369 FOR THAT IN YOUR POWER 4231 02:36:52,436 --> 02:36:53,570 CALCULATIONS, AND YOU OFTEN WILL 4232 02:36:53,637 --> 02:36:57,341 HAVE A SIMILAR FACILITATOR THAT 4233 02:36:57,407 --> 02:36:58,542 INTRODUCES SOME CLUSTERING IN 4234 02:36:58,609 --> 02:36:59,743 THOSE STUDIES, AND IT'S 4235 02:36:59,810 --> 02:37:02,045 SOMETHING THAT WE'VE JUST -- ARE 4236 02:37:02,112 --> 02:37:03,647 WELL AWARE OF ACROSS ALL OF OUR 4237 02:37:03,714 --> 02:37:04,748 STUDIES AND WANT PEOPLE TO BE 4238 02:37:04,815 --> 02:37:06,083 THINKING ABOUT. 4239 02:37:06,150 --> 02:37:08,585 AND THEN WE'VE ALSO TRIED TO 4240 02:37:08,652 --> 02:37:10,287 CLARIFY WHEN MECHANISTIC 4241 02:37:10,354 --> 02:37:11,088 OUTCOMES MAKE SENSE. 4242 02:37:11,155 --> 02:37:12,389 YOU KNOW, IF YOU'RE DESIGNING 4243 02:37:12,456 --> 02:37:14,591 FOR AN EFFICACY STUDY, DESIGN 4244 02:37:14,658 --> 02:37:15,626 FOR THE EFFICACY STUDY. 4245 02:37:15,692 --> 02:37:16,927 IF YOU WANT TO STUDY HOW 4246 02:37:16,994 --> 02:37:19,096 SOMETHING WORKS, DESIGN A 4247 02:37:19,163 --> 02:37:19,963 MECHANISTIC TRIAL. 4248 02:37:20,030 --> 02:37:21,932 AND NOT TRY TO DO BOTH NOT SO 4249 02:37:21,999 --> 02:37:22,866 GREAT. 4250 02:37:22,933 --> 02:37:24,635 AT THE SAME TIME. 4251 02:37:24,701 --> 02:37:27,538 IS OFTEN WHAT WE THINK ABOUT. 4252 02:37:27,604 --> 02:37:28,639 SO WE'VE TRIED TO GIVE SOME 4253 02:37:28,705 --> 02:37:30,274 GUIDANCE ABOUT THAT AND WHEN 4254 02:37:30,340 --> 02:37:32,309 YOUR QUESTIONS MIGHT BE A BETTER 4255 02:37:32,376 --> 02:37:33,177 FIT WITH ANOTHER FUNDING 4256 02:37:33,243 --> 02:37:38,982 ANNOUNCEMENT. 4257 02:37:39,049 --> 02:37:41,285 EUI'M NOT GOING TO LIST ALL THEE 4258 02:37:41,351 --> 02:37:44,188 BUT I WANTED THEM IN THE SLIDE 4259 02:37:44,254 --> 02:37:45,489 DECK THAT'S GOING TO BE POSTED 4260 02:37:45,556 --> 02:37:46,290 SO THEY'RE ALL THERE AVAILABLE 4261 02:37:46,356 --> 02:37:47,224 FOR YOU. 4262 02:37:47,291 --> 02:37:48,859 I'VE MAPPED THEM HERE DIRECTLY 4263 02:37:48,926 --> 02:37:50,828 ON TO ALL OF THE CIRCLES ACROSS 4264 02:37:50,894 --> 02:37:51,695 THE FRAMEWORK. 4265 02:37:51,762 --> 02:37:53,397 YOU'LL NOTICE IN RED ARE THE 4266 02:37:53,463 --> 02:37:55,399 ONES THAT WE'VE JUST RECENTLY 4267 02:37:55,465 --> 02:37:55,933 PUBLISHED. 4268 02:37:55,999 --> 02:37:57,801 IN BLUE UNDER EACH ONE OF THE 4269 02:37:57,868 --> 02:37:59,436 DIFFERENT ONES ARE THE EXISTING 4270 02:37:59,503 --> 02:38:01,071 PARENT FUNDING OPPORTUNITIES 4271 02:38:01,138 --> 02:38:02,139 THAT CAN BE USED FOR THE OTHER 4272 02:38:02,206 --> 02:38:05,642 AREAS OF RESEARCH, INCLUDING OUR 4273 02:38:05,709 --> 02:38:07,077 BASIC AND MECHANISTIC RESEARCH 4274 02:38:07,144 --> 02:38:09,046 AS WELL AS THE DISSEMINATION AND 4275 02:38:09,112 --> 02:38:09,546 IMPLEMENTATION SCIENCE. 4276 02:38:09,613 --> 02:38:11,315 THOSE HAVE EXISTING FUNDING 4277 02:38:11,381 --> 02:38:12,382 OPPORTUNITIES ACROSS NIH THAT 4278 02:38:12,449 --> 02:38:14,985 ARE AVAILABLE. 4279 02:38:15,052 --> 02:38:16,720 ALMOST DONE. 4280 02:38:16,787 --> 02:38:18,155 FOR NATURAL PRODUCTS, WE UPDATED 4281 02:38:18,222 --> 02:38:20,991 A FEW THINGS. 4282 02:38:21,058 --> 02:38:22,192 WE DID MAKE A CHANGE IN TERMS OF 4283 02:38:22,259 --> 02:38:23,460 THE LANGUAGE THAT WE'RE USING. 4284 02:38:23,527 --> 02:38:24,761 WE HAD BEEN USING THE 4285 02:38:24,828 --> 02:38:26,363 TERMINOLOGY OF BIOLOGICAL 4286 02:38:26,430 --> 02:38:27,164 SIGNATURE, AND WE'VE HAD A LOT 4287 02:38:27,231 --> 02:38:28,599 OF QUESTIONS THAT CAME UP IN 4288 02:38:28,665 --> 02:38:30,701 REVIEW AND FROM INVESTIGATORS 4289 02:38:30,767 --> 02:38:31,602 ABOUT WHAT IF IT'S NOT A 4290 02:38:31,668 --> 02:38:34,671 BIOLOGICAL MEASURE, WHAT IF IT'S 4291 02:38:34,738 --> 02:38:36,540 MORE OF A TARGET ENGAGEMENT, 4292 02:38:36,607 --> 02:38:38,408 MAYBE A PSYCHOLOGICAL PROCESS. 4293 02:38:38,475 --> 02:38:39,977 I THINK OUR DEFINITION OF 4294 02:38:40,043 --> 02:38:41,011 BIOLOGICAL SIGNATURE INCLUDED 4295 02:38:41,078 --> 02:38:42,613 ALL OF THOSE OTHER THINGS, BUT 4296 02:38:42,679 --> 02:38:44,214 IT DID GET CONFUSING SO WE'VE 4297 02:38:44,281 --> 02:38:45,983 SWITCHED TO JUST TARGET 4298 02:38:46,049 --> 02:38:46,950 ENGAGEMENT LANGUAGE JUST TO MAKE 4299 02:38:47,017 --> 02:38:49,319 IT A LITTLE MORE CLEAR FOR 4300 02:38:49,386 --> 02:38:49,586 EVERYBODY. 4301 02:38:49,653 --> 02:38:52,589 SIMILAR UPDATES TO OUR 4302 02:38:52,656 --> 02:38:54,424 NONRESPONSIVENESS CRITERIA. 4303 02:38:54,491 --> 02:38:57,094 OUR PORTFOLIO RESEARCH IS ON 4304 02:38:57,160 --> 02:38:58,795 NATURALLY OCCURRING PRODUCTS, SO 4305 02:38:58,862 --> 02:39:00,097 SYNTHETICALLY MODIFIED COMPOUNDS 4306 02:39:00,163 --> 02:39:02,633 ARE NOT A FIT FOR US. 4307 02:39:02,699 --> 02:39:04,368 THAT WOULD BE MORE IN THE DRUG 4308 02:39:04,434 --> 02:39:05,302 DEVELOPMENT AND WOULD PROBABLY 4309 02:39:05,369 --> 02:39:06,837 BE A BETTER FIT WITH OTHER 4310 02:39:06,904 --> 02:39:08,772 INSTITUTES AND CENTERS. 4311 02:39:08,839 --> 02:39:09,339 ALL OF THESE FUNDING 4312 02:39:09,406 --> 02:39:10,540 OPPORTUNITIES ARE FOR CLINICAL 4313 02:39:10,607 --> 02:39:12,276 TRIALS, SO ANIMAL STUDIES ARE 4314 02:39:12,342 --> 02:39:13,710 NOT APPROPRIATE. 4315 02:39:13,777 --> 02:39:16,013 AND LOOK FOR AN UPDATE AROUND 4316 02:39:16,079 --> 02:39:19,383 PRIORITIZING STUDIES THAT REALLY 4317 02:39:19,449 --> 02:39:20,517 ADDRESS THE DIETARY INTAKE AND 4318 02:39:20,584 --> 02:39:22,586 THE BACKGROUND NUTRITIONAL 4319 02:39:22,653 --> 02:39:23,420 STATUS BEING REALLY IMPORTANT 4320 02:39:23,487 --> 02:39:25,222 FOR MANY OF THESE NATURAL 4321 02:39:25,289 --> 02:39:27,024 PRODUCTS THAT PEOPLE GET IN 4322 02:39:27,090 --> 02:39:29,459 THEIR BACKGROUND DIET AS WELL, 4323 02:39:29,526 --> 02:39:30,560 AND THAT'S AN IMPORTANT ELEMENT 4324 02:39:30,627 --> 02:39:34,131 FOR THESE STUDIES TO I TO ADDRES 4325 02:39:34,197 --> 02:39:37,301 EITHER IN THEIR STUDY DESIGN BUT 4326 02:39:37,367 --> 02:39:38,602 ALSO POTENTIALLY THEIR ANALYTIC 4327 02:39:38,669 --> 02:39:39,369 APPROACHES. 4328 02:39:39,436 --> 02:39:40,404 SO SIMILAR LIST HERE OF ALL OF 4329 02:39:40,470 --> 02:39:42,339 THOSE FUNDING ANNOUNCEMENTS. 4330 02:39:42,406 --> 02:39:44,207 AS I SAID, THERE ARE 11 OF THEM. 4331 02:39:44,274 --> 02:39:45,976 WE'VE MAPPED THEM AGAIN ACROSS 4332 02:39:46,043 --> 02:39:48,578 ALL OF THE DIFFERENT FUNDING 4333 02:39:48,645 --> 02:39:49,680 ANNOUNCEMENTS TO EACH OF THE 4334 02:39:49,746 --> 02:39:52,115 DIFFERENT CIRCLES, SO THAT YOU 4335 02:39:52,182 --> 02:39:56,787 CAN SEE WHERE THOSE MIGHT FIT. 4336 02:39:56,853 --> 02:39:58,388 WE'VE ALREADY HAD OUR FIRST 4337 02:39:58,455 --> 02:39:58,755 RECEIPT DATE. 4338 02:39:58,822 --> 02:39:59,623 IT WAS IN FEBRUARY. 4339 02:39:59,690 --> 02:40:02,359 THE NEXT ONES COME IN IN JUNE, 4340 02:40:02,426 --> 02:40:04,461 AND THEY ARE ACTIVE THROUGH 4341 02:40:04,528 --> 02:40:06,263 OCTOBER OF 2026. 4342 02:40:06,330 --> 02:40:07,664 WE ARE AWARE WE'RE GOING TO HAVE 4343 02:40:07,731 --> 02:40:09,967 TO UPDATE FOR THE NEW REVIEW 4344 02:40:10,033 --> 02:40:11,568 CRITERIA SO WE'LL GET TO REISSUE 4345 02:40:11,635 --> 02:40:13,003 THEM ALL AGAIN IN JANUARY, BUT 4346 02:40:13,070 --> 02:40:18,041 JUST TO THE NEW REVIEW CRITERIA. 4347 02:40:18,108 --> 02:40:19,343 AND THEN OUTREACH, WHAT ARE WE 4348 02:40:19,409 --> 02:40:20,711 DOING TO TELL ALL OF YOU ABOUT 4349 02:40:20,777 --> 02:40:21,144 THIS? 4350 02:40:21,211 --> 02:40:22,913 THIS IS ONE ELEMENT OF THAT 4351 02:40:22,980 --> 02:40:23,246 OUTREACH. 4352 02:40:23,313 --> 02:40:24,982 OF COURSE THEY WERE ALL 4353 02:40:25,048 --> 02:40:26,316 PUBLISHED IN THE NOTICE TO THE 4354 02:40:26,383 --> 02:40:26,850 GUIDE. 4355 02:40:26,917 --> 02:40:29,119 WE'VE UPDATED OUR WEBSITE AND 4356 02:40:29,186 --> 02:40:29,987 PROVIDED ALL THIS INFORMATION 4357 02:40:30,053 --> 02:40:30,354 THERE. 4358 02:40:30,420 --> 02:40:32,055 WE'VE ALSO DONE A DIRECTED EMAIL 4359 02:40:32,122 --> 02:40:34,791 OUTREACH TO ANYONE WHO'S 4360 02:40:34,858 --> 02:40:36,293 PREVIOUSLY APPLIED IN THE LAST 4361 02:40:36,360 --> 02:40:37,761 THREE YEARS, WE REACHED OUT AND 4362 02:40:37,828 --> 02:40:38,795 SOME OF YOU MAY HAVE GOTTEN 4363 02:40:38,862 --> 02:40:40,998 THOSE EMAILS RECENTLY. 4364 02:40:41,064 --> 02:40:42,532 TO TELL PEOPLE WHAT THE KEY 4365 02:40:42,599 --> 02:40:44,701 CHANGES ARE. 4366 02:40:44,768 --> 02:40:48,071 AND AS OF THIS MORNING, WE HAVE 4367 02:40:48,138 --> 02:40:50,607 LAUNCHED A NEW PLACE ON OUR 4368 02:40:50,674 --> 02:40:53,643 WEBSITE OF A LIBRARY OF VIDEOS 4369 02:40:53,710 --> 02:40:56,380 THAT WE ARE GOING TO BE MAKING 4370 02:40:56,446 --> 02:40:58,448 AVAILABLE, REALLY SHORT 3 TO 4371 02:40:58,515 --> 02:40:59,983 5 MINUTE CLIPS TO HELP 4372 02:41:00,050 --> 02:41:01,251 INVESTIGATORS THINK ABOUT 4373 02:41:01,318 --> 02:41:03,353 PUTTING TOGETHER APPLICATIONS, 4374 02:41:03,420 --> 02:41:09,092 AND SO THE REVIEW OFFICE, 4375 02:41:09,159 --> 02:41:10,093 DR. MACALVENE DID ONE ON MAKING 4376 02:41:10,160 --> 02:41:11,628 SURE YOUR APPLICATION GETS 4377 02:41:11,695 --> 02:41:13,163 REVIEWED, SO MAKING SURE YOUR 4378 02:41:13,230 --> 02:41:14,398 APPLICATIONS ARE COMPLETE, 4379 02:41:14,464 --> 02:41:15,499 COMPLIANT AND WHAT'S THE THIRD 4380 02:41:15,565 --> 02:41:17,167 ONE? 4381 02:41:17,234 --> 02:41:18,702 JESSICA IS NOT HERE. 4382 02:41:18,769 --> 02:41:19,703 THERE'S THREE. 4383 02:41:19,770 --> 02:41:20,871 COMPLETE, COMPLIANT AND I THINK 4384 02:41:20,937 --> 02:41:23,040 RESPONSIVE ARE THE THREE KEY 4385 02:41:23,106 --> 02:41:23,940 ELEMENTS TO THAT. 4386 02:41:24,007 --> 02:41:25,776 AND THEN I DID ONE SORT OF 4387 02:41:25,842 --> 02:41:28,178 OUTLINING THE FRAMEWORK, THE 4388 02:41:28,245 --> 02:41:29,212 SLIDES WILL LOOK VERY FAMILIAR 4389 02:41:29,279 --> 02:41:31,014 TO WHAT YOU JUST SAW FOR THAT 4390 02:41:31,081 --> 02:41:32,716 FIRST SET OF VIDEOS, BUT MORE TO 4391 02:41:32,783 --> 02:41:34,284 COME WITH THAT, AND WE'RE REALLY 4392 02:41:34,351 --> 02:41:35,585 EXCITED ABOUT THOSE AND YOU'LL 4393 02:41:35,652 --> 02:41:37,187 SEE A BLOG HERE VERY SOON 4394 02:41:37,254 --> 02:41:38,121 ROLLING OUT THAT NEW VIDEO 4395 02:41:38,188 --> 02:41:38,355 LIBRARY. 4396 02:41:38,422 --> 02:41:39,322 AND I THINK THAT'S IT. 4397 02:41:39,389 --> 02:41:40,957 I'M HAPPY TO TAKE ANY QUESTIONS. 4398 02:41:41,024 --> 02:41:41,925 OH, JUST RESOURCES. 4399 02:41:41,992 --> 02:41:43,226 HERE ARE ALL THE LINKS TO ALL OF 4400 02:41:43,293 --> 02:41:44,094 THIS INFORMATION SO YOU CAN FIND 4401 02:41:44,161 --> 02:41:54,471 IT ON OUR WEBSITE. 4402 02:41:57,140 --> 02:41:58,241 >> SO YOU MENTIONED THIS WOULD 4403 02:41:58,308 --> 02:41:59,176 BE ON YOUR WEBSITE. 4404 02:41:59,242 --> 02:42:01,778 WILL IT BE ON NCCIH WEBSITE TOO? 4405 02:42:01,845 --> 02:42:03,713 SO IT WILL BE ACCESSIBLE IN BOTH 4406 02:42:03,780 --> 02:42:03,947 PLACES? 4407 02:42:04,014 --> 02:42:06,783 >> YEAH, SO THIS IS ON THE NCCIH 4408 02:42:06,850 --> 02:42:07,317 WEBSITE. 4409 02:42:07,384 --> 02:42:10,587 IF YOU SEARCH FOR JUST OUR 4410 02:42:10,654 --> 02:42:11,988 FRAMEWORK YOU'LL FIND IT BUT 4411 02:42:12,055 --> 02:42:13,957 ALSO IN THE DROP DOWN LIST UNDER 4412 02:42:14,024 --> 02:42:15,025 CLINICAL TRIAL FUNDING 4413 02:42:15,092 --> 02:42:15,559 OPPORTUNITIES, THIS IS THE 4414 02:42:15,625 --> 02:42:17,661 LANDING PAGE THAT YOU'LL END UP 4415 02:42:17,727 --> 02:42:18,428 ON WITH ALL THIS INFORMATION. 4416 02:42:18,495 --> 02:42:19,296 >> PERFECT. 4417 02:42:19,362 --> 02:42:22,499 THANKS. 4418 02:42:22,566 --> 02:42:24,401 >> DR. HANEY. 4419 02:42:24,468 --> 02:42:27,671 >> THANKS FOR THAT. 4420 02:42:27,737 --> 02:42:30,073 I DON'T DO THESE STUDIES SO FEEL 4421 02:42:30,140 --> 02:42:36,713 FREE TO EXPLAIN WHY -- BUT I DO 4422 02:42:36,780 --> 02:42:39,883 REVIEW A LOT OF STUDIES THAT USE 4423 02:42:39,950 --> 02:42:40,517 WEIGHTLESS CONTROL. 4424 02:42:40,584 --> 02:42:41,785 WHAT'S THE REASON THEY'RE NO 4425 02:42:41,852 --> 02:42:42,185 LONGER ACCEPTABLE? 4426 02:42:42,252 --> 02:42:43,620 >> SO WE DID THINK A LOT ABOUT 4427 02:42:43,687 --> 02:42:44,855 THIS INTERNALLY BEFORE WE SORT 4428 02:42:44,921 --> 02:42:48,425 OF MADE THIS DECISION, AN AND A 4429 02:42:48,492 --> 02:42:49,960 WEIGHT LESS CONTROL DOES A 4430 02:42:50,026 --> 02:42:50,827 COUPLE OF DIFFERENT THINGS. 4431 02:42:50,894 --> 02:42:54,531 ONE, IT INFORMS THE INDIVIDUALS 4432 02:42:54,598 --> 02:42:56,266 WHO GET PUT INTO THAT CONDITION, 4433 02:42:56,333 --> 02:42:58,869 THAT SOMETIMES THEY DO NOT SEEK 4434 02:42:58,935 --> 02:43:00,604 OUT OTHER CARE AND SO IN A USUAL 4435 02:43:00,670 --> 02:43:01,638 CARE CONDITION, THEY'RE SORT OF 4436 02:43:01,705 --> 02:43:03,073 TOLD TO KEEP DOING WHATEVER IT 4437 02:43:03,140 --> 02:43:04,307 IS YOU WOULD DO NORMALLY FOR 4438 02:43:04,374 --> 02:43:05,408 YOUR TREATMENT. 4439 02:43:05,475 --> 02:43:06,676 IN THE WEIGHTLESS SITUATION, 4440 02:43:06,743 --> 02:43:08,011 THERE'S ACTUALLY SOME PUBLISHED 4441 02:43:08,078 --> 02:43:08,612 LITERATURE THAT SHOWS THAT 4442 02:43:08,678 --> 02:43:12,349 INDIVIDUALS WHO END UP IN A 4443 02:43:12,415 --> 02:43:13,550 WEIGHTLESS ACTUALLY DEFER CARE 4444 02:43:13,617 --> 02:43:14,551 AND DON'T SEEK CARE BECAUSE 4445 02:43:14,618 --> 02:43:15,485 THEY'RE WAITING FOR WHAT THEY'RE 4446 02:43:15,552 --> 02:43:17,754 GOING TO GET AT THE END OF THE 4447 02:43:17,821 --> 02:43:19,723 STUDY. 4448 02:43:19,789 --> 02:43:21,158 IN ADDITION, IT EXTENDS THE 4449 02:43:21,224 --> 02:43:25,395 DURATION OF THE TRIAL AND THE 4450 02:43:25,462 --> 02:43:26,696 PARTICIPANT'S ACTIVITY IN THE 4451 02:43:26,763 --> 02:43:28,031 TRIAL, AND YOU OFTEN HAVE SOME 4452 02:43:28,098 --> 02:43:28,899 RETENTION PROBLEMS AND OTHER 4453 02:43:28,965 --> 02:43:30,467 THINGS THAT CAN OCCUR BECAUSE OF 4454 02:43:30,534 --> 02:43:31,902 THAT. 4455 02:43:31,968 --> 02:43:33,870 IT INCREASES THE COST TO THE 4456 02:43:33,937 --> 02:43:35,505 FUNDER SIDE BECAUSE NOW YOU HAVE 4457 02:43:35,572 --> 02:43:37,440 TO PROVIDE THE INTERVENTION FOR 4458 02:43:37,507 --> 02:43:38,742 EVERYBODY INVOLVED AND IT 4459 02:43:38,808 --> 02:43:40,944 EXTENDS THE TIMELINE BECAUSE 4460 02:43:41,011 --> 02:43:42,479 AFTER EVERYONE FINISHES, YOU 4461 02:43:42,546 --> 02:43:43,847 ALSO HAVE TO HAVE THE WHOLE TIME 4462 02:43:43,914 --> 02:43:44,948 PERIOD AGAIN OF THE INTERVENTION 4463 02:43:45,015 --> 02:43:47,217 BEING DELIVERED. 4464 02:43:47,284 --> 02:43:50,253 SO -- AND FROM A RIGOR 4465 02:43:50,320 --> 02:43:51,821 PERSPECTIVE, WAIT LIST CONTROLS 4466 02:43:51,888 --> 02:43:53,857 AREN'T QUITE AS RIGOROUS AS -- 4467 02:43:53,924 --> 02:43:54,724 CERTAINLY AS A TIME AND 4468 02:43:54,791 --> 02:43:55,959 ATTENTION CONTROL FOR AN 4469 02:43:56,026 --> 02:43:57,994 EFFICACY STUDY, AND FOR 4470 02:43:58,061 --> 02:43:59,296 EFFECTIVENESS TRIALS, YOU OFTEN 4471 02:43:59,362 --> 02:44:00,730 WANT PEOPLE DOING WHAT THEY 4472 02:44:00,797 --> 02:44:02,432 WOULD NORMALLY BE DOING IN A 4473 02:44:02,499 --> 02:44:02,966 USUAL CARE SETTING. 4474 02:44:03,033 --> 02:44:04,834 SO KIND OF FOR ALL OF THOSE 4475 02:44:04,901 --> 02:44:06,036 COMBINATION OF REASONS, THAT'S 4476 02:44:06,102 --> 02:44:07,337 SORT OF WHY WE WENT WITH THAT 4477 02:44:07,404 --> 02:44:09,973 DECISION. 4478 02:44:10,040 --> 02:44:10,707 >> THANK YOU. 4479 02:44:10,774 --> 02:44:12,142 >> THERE ARE SOME FEASIBILITY 4480 02:44:12,209 --> 02:44:14,444 STUDIES THAT ARE DONE WITHOUT A 4481 02:44:14,511 --> 02:44:16,279 COMPARISON GROUP, AND SO IF YOU 4482 02:44:16,346 --> 02:44:18,014 DON'T NEED FEASIBILITY DATA 4483 02:44:18,081 --> 02:44:19,115 ABOUT THE COMPARATOR GROUP, IF 4484 02:44:19,182 --> 02:44:23,019 IT ALREADY EXISTS, FOR EXAMPLE, 4485 02:44:23,086 --> 02:44:24,688 YOU'RE USING A VERY COMMON 4486 02:44:24,754 --> 02:44:26,189 COMPARISON GROUP IN YOUR FUTURE 4487 02:44:26,256 --> 02:44:27,390 STUDY, YOU MAY NOT NEED TO 4488 02:44:27,457 --> 02:44:28,658 COLLECT FEASIBILITY DATA, SO YOU 4489 02:44:28,725 --> 02:44:30,860 MAY NOT NEED TO EVEN HAVE A 4490 02:44:30,927 --> 02:44:33,363 COMPARATOR ARM IN SOME 4491 02:44:33,430 --> 02:44:34,798 FEASIBILITY TRIALS. 4492 02:44:34,864 --> 02:44:35,932 MORE OFTEN THAN NOT, YOU'RE 4493 02:44:35,999 --> 02:44:37,367 WANTING TO DO A FEASIBILITY OF 4494 02:44:37,434 --> 02:44:38,435 ARE PEOPLE WILLING TO BE 4495 02:44:38,501 --> 02:44:40,170 RANDOMIZED TO THE TWO CONDITIONS 4496 02:44:40,237 --> 02:44:41,137 THAT YOU'LL EVENTUALLY USE IN 4497 02:44:41,204 --> 02:44:43,607 YOUR FUTURE EFFICACY STUDY. 4498 02:44:43,673 --> 02:44:49,045 >> AND IS THIS AN NIH-WIDE DO 4499 02:44:49,112 --> 02:44:50,247 YOU THINK KIND OF APPROACH NOW? 4500 02:44:50,313 --> 02:44:52,649 >> NO, THIS IS NCCIH-SPECIFIC, 4501 02:44:52,716 --> 02:44:54,117 SO THIS IS ONLY THESE PARTICULAR 4502 02:44:54,184 --> 02:44:56,286 FUNDING OPPORTUNITIES THAT HAVE 4503 02:44:56,353 --> 02:44:59,022 THESE SPECIFIC REQUIREMENTS, AND 4504 02:44:59,089 --> 02:44:59,990 WITHIN EACH OF THE FUNDING 4505 02:45:00,056 --> 02:45:01,524 OPPORTUNITIES, YOU'LL SEE A LIST 4506 02:45:01,591 --> 02:45:03,793 OF NONRESPONSIVE CRITERIA, AND 4507 02:45:03,860 --> 02:45:04,661 WE'RE TRYING TO MAKE PEOPLE 4508 02:45:04,728 --> 02:45:08,064 AWARE OF THIS BECAUSE IF YOUR 4509 02:45:08,131 --> 02:45:09,599 APPLICATION IS NONRESPONSIVE, IT 4510 02:45:09,666 --> 02:45:10,634 WILL NOT GET REVIEWED. 4511 02:45:10,700 --> 02:45:12,802 AND SO YOU REALLY NEED TO LOOK 4512 02:45:12,869 --> 02:45:15,071 AT EVERY FUNDING OPPORTUNITY YOU 4513 02:45:15,138 --> 02:45:18,108 APPLY TO TO MAKE SURE YOU DON'T 4514 02:45:18,174 --> 02:45:18,875 ACCIDENTALLY FIT ONE OF THOSE 4515 02:45:18,942 --> 02:45:19,209 THINGS. 4516 02:45:19,276 --> 02:45:21,378 I WILL SAY ACROSS THE DIFFERENT 4517 02:45:21,444 --> 02:45:22,912 INSTITUTES AND CENTERS, THERE 4518 02:45:22,979 --> 02:45:25,548 ARE VERY DIFFERENT APPROACHES, 4519 02:45:25,615 --> 02:45:31,021 AND THERE ARE CERTAINLY IN SOME 4520 02:45:31,087 --> 02:45:31,921 CONDITIONS, POTENTIALLY FOR 4521 02:45:31,988 --> 02:45:35,258 EXAMPLE IN RARE CONDITIONS, RARE 4522 02:45:35,325 --> 02:45:36,893 DISEASES AND OTHER PLACES WHERE 4523 02:45:36,960 --> 02:45:39,195 A WAIT LIST CONTROL GROUP MAY BE 4524 02:45:39,262 --> 02:45:40,163 MORE APPROPRIATE OR MORE 4525 02:45:40,230 --> 02:45:43,867 ACCEPTABLE IN CERTAIN SCENARIOS. 4526 02:45:43,933 --> 02:45:45,168 I WOULD ALSO SAY THERE ARE TIMES 4527 02:45:45,235 --> 02:45:47,437 WHEN WE SEE MORE COMPLEX DESIGNS 4528 02:45:47,504 --> 02:45:50,840 THAT MIGHT BE LIKE A STEPPED 4529 02:45:50,907 --> 02:45:53,476 WEDGE ROLLOUT DESIGN WHERE SOME 4530 02:45:53,543 --> 02:45:54,878 PEOPLE MIGHT CALL IT A WAIT LIST 4531 02:45:54,944 --> 02:45:57,247 WHEN IN REALITY, IT'S REALLY 4532 02:45:57,314 --> 02:45:58,648 MORE OF A KIND OF USUAL CARE 4533 02:45:58,715 --> 02:45:59,582 SORT OF AS THEY'RE WAITING TO 4534 02:45:59,649 --> 02:46:00,850 GET IT ROLLED OUT. 4535 02:46:00,917 --> 02:46:02,352 SO I THINK TALKING WITH A 4536 02:46:02,419 --> 02:46:04,321 PROGRAM OFFICER AND MAKING SURE 4537 02:46:04,387 --> 02:46:05,522 THAT YOU'RE USING THE LANGUAGE 4538 02:46:05,588 --> 02:46:07,023 THAT REALLY DESCRIBES WHAT 4539 02:46:07,090 --> 02:46:10,193 YOU'RE DOING IN YOUR TRIAL FOR 4540 02:46:10,260 --> 02:46:11,494 WHEN IT MAKES SENSE TO 4541 02:46:11,561 --> 02:46:12,228 POTENTIALLY DO THAT. 4542 02:46:12,295 --> 02:46:12,696 >> GREAT. 4543 02:46:12,762 --> 02:46:13,530 THANKS SO MUCH. 4544 02:46:13,596 --> 02:46:13,863 >> YEP. 4545 02:46:13,930 --> 02:46:22,872 GREAT QUESTIONS. 4546 02:46:22,939 --> 02:46:27,110 >> I HOPE YOU CAN SEE CERTAINLY 4547 02:46:27,177 --> 02:46:28,578 FROM -- WE SPENT A LOT OF TIME 4548 02:46:28,645 --> 02:46:31,681 THINKING ABOUT HOW TO 4549 02:46:31,748 --> 02:46:32,549 COMMUNICATE INFORMATION ABOUT 4550 02:46:32,615 --> 02:46:34,751 FUNDING OPPORTUNITIES, FOR 4551 02:46:34,818 --> 02:46:37,253 EXAMPLE, ABOUT THINGS LIKE, YOU 4552 02:46:37,320 --> 02:46:40,390 KNOW, RULES AND THINGS TO NOT 4553 02:46:40,457 --> 02:46:42,792 LIST, BECAUSE WE REALIZED HOW 4554 02:46:42,859 --> 02:46:44,794 DIFFICULT IT IS, RIGHT, TO 4555 02:46:44,861 --> 02:46:48,031 NAVIGATE ALL THIS INFORMATION. 4556 02:46:48,098 --> 02:46:50,567 IT IS HARD -- NOT ONLY IS IT 4557 02:46:50,633 --> 02:46:52,736 HARD FROM YOUR -- FROM YOU ALL 4558 02:46:52,802 --> 02:46:54,771 TO UNDERSTAND, IT'S HARD FOR US 4559 02:46:54,838 --> 02:46:58,842 TO GET ALL THAT OUT IN A WAY 4560 02:46:58,908 --> 02:47:01,678 THAT IS -- BECAUSE THERE'S A LOT 4561 02:47:01,745 --> 02:47:03,646 OF COMPLEXITY UNDER THE HOOD IF 4562 02:47:03,713 --> 02:47:06,683 YOU SEE WHAT I MEAN. 4563 02:47:06,750 --> 02:47:08,651 SO WE REALLY WELCOME, RIGHT, 4564 02:47:08,718 --> 02:47:12,789 YOUR FEEDBACK ON THAT, YOU KNOW, 4565 02:47:12,856 --> 02:47:13,890 ESPECIALLY -- AND I THINK THIS 4566 02:47:13,957 --> 02:47:15,825 IS A GREAT EXAMPLE, RIGHT, THAT 4567 02:47:15,892 --> 02:47:18,561 WEBPAGE THAT WENDY JUST 4568 02:47:18,628 --> 02:47:19,796 DESCRIBED, PLEASE GO ON IT. 4569 02:47:19,863 --> 02:47:20,830 YOU ARE OUR COUNCIL, RIGHT? 4570 02:47:20,897 --> 02:47:23,466 WE WOULD LOVE FOR YOU ALL TO 4571 02:47:23,533 --> 02:47:25,368 GIVE US FEEDBACK ON THAT. 4572 02:47:25,435 --> 02:47:26,970 IF YOU LIKE IT OR YOU DON'T LIKE 4573 02:47:27,036 --> 02:47:29,606 IT, YOU KNOW, PLEASE LET US 4574 02:47:29,672 --> 02:47:30,907 KNOW, BECAUSE WE REALLY WANT TO 4575 02:47:30,974 --> 02:47:36,679 MAKE THIS AS USEFUL AS POSSIBLE. 4576 02:47:36,746 --> 02:47:36,880 SO -- 4577 02:47:36,946 --> 02:47:39,082 >> I JUST WENT ON THE WEBSITE. 4578 02:47:39,149 --> 02:47:41,618 IT'S BEAUTIFUL, AND IT'S 4579 02:47:41,684 --> 02:47:45,955 REALLIREALLYEASY TO FOLLOW. 4580 02:47:46,022 --> 02:47:47,390 I REALLY LIKE THE WAY YOU GUYS 4581 02:47:47,457 --> 02:47:48,558 HAVE THOUGHT THROUGH CLINICAL 4582 02:47:48,625 --> 02:47:49,859 TRIALS AND, YOU KNOW, AGAIN, 10 4583 02:47:49,926 --> 02:47:53,129 YEARS AGO, WE DIDN'T DO A LOT OF 4584 02:47:53,196 --> 02:47:54,964 GREAT -- WE DID A LOT OF GREAT 4585 02:47:55,031 --> 02:47:55,832 CLINICAL TRIALS BUT WE DID A LOT 4586 02:47:55,899 --> 02:47:57,600 OF NOT SO GREAT CLINICAL TRIALS 4587 02:47:57,667 --> 02:47:59,469 TOO. 4588 02:47:59,536 --> 02:48:00,970 MAYBE THAT'S THE WORD. 4589 02:48:01,037 --> 02:48:03,373 AND I'M REALLY THANKFUL THAT 4590 02:48:03,440 --> 02:48:04,240 WE'RE NOW THINKING THROUGH THIS, 4591 02:48:04,307 --> 02:48:06,743 AND YES, NOT EVERY INSTITUTE HAS 4592 02:48:06,810 --> 02:48:10,914 REALLY THOUGHT THROUGH THAT -- I 4593 02:48:10,980 --> 02:48:12,182 THINK NIAMS HAS A SIMILAR 4594 02:48:12,248 --> 02:48:13,383 SYSTEM, BUT THEY DON'T ALL, AND 4595 02:48:13,450 --> 02:48:16,119 I THINK IT IS SOMETHING THAT IF 4596 02:48:16,186 --> 02:48:20,023 WE'RE GOING TO REALLY PROMOTE 4597 02:48:20,089 --> 02:48:21,891 HIGHEST RIGOR IS SO NEEDED. 4598 02:48:21,958 --> 02:48:24,294 SO THANK YOU, AND THANK YOU FOR 4599 02:48:24,360 --> 02:48:25,728 ALSO PUTTING TOGETHER THE 4600 02:48:25,795 --> 02:48:27,330 DETAILS OF THAT TOO, BECAUSE I 4601 02:48:27,397 --> 02:48:28,665 THINK THAT'S REALLY HARD FOR 4602 02:48:28,731 --> 02:48:30,934 PEOPLE TO UNDERSTAND WHAT DOES 4603 02:48:31,000 --> 02:48:34,170 THAT MEAN WHEN IT'S FEASIBILITY 4604 02:48:34,237 --> 02:48:36,139 VERSUS JUST A TRIAL OR EVEN JUST 4605 02:48:36,206 --> 02:48:37,240 GETTING TO THE POINT WHERE YOU 4606 02:48:37,307 --> 02:48:38,675 CAN DO FEASIBILITY. 4607 02:48:38,741 --> 02:48:40,176 SO IT IS NICE TO SEE IT ACROSS 4608 02:48:40,243 --> 02:48:42,512 THE BOARD. 4609 02:48:42,579 --> 02:48:44,447 >> YEAH, AND ONE THING THAT 4610 02:48:44,514 --> 02:48:45,849 WE'VE DISCOVERED IS WHAT WE'VE 4611 02:48:45,915 --> 02:48:47,183 HEARD FROM INVESTIGATORS BEFORE 4612 02:48:47,250 --> 02:48:49,652 WE HAD THIS WHOLE SUITE, WAS 4613 02:48:49,719 --> 02:48:51,187 THAT IT WAS HARD TO SORT OF -- 4614 02:48:51,254 --> 02:48:53,823 LIKE YOU COULD FIND FUNDING 4615 02:48:53,890 --> 02:48:55,124 MAYBE SOMEWHERE TO DO A SMALL 4616 02:48:55,191 --> 02:48:55,325 PILOT. 4617 02:48:55,391 --> 02:48:56,426 AND THEN YOU COULD FIND 4618 02:48:56,493 --> 02:48:57,527 FUNDING -- YOU COULD COME IN AND 4619 02:48:57,594 --> 02:49:01,531 GET LIKE AN R01, WHICH MAY NOT 4620 02:49:01,598 --> 02:49:02,665 HAVE BEEN ENOUGH MONEY TO REALLY 4621 02:49:02,732 --> 02:49:05,034 BE REALLY WELL POWERED FOR THAT 4622 02:49:05,101 --> 02:49:07,837 STUDY. 4623 02:49:07,904 --> 02:49:09,305 BUT THE IN BETWEEN WAS MISSING, 4624 02:49:09,372 --> 02:49:10,907 AND SO MANY OF OUR 4625 02:49:10,974 --> 02:49:11,975 INTERVENTIONS, ESPECIALLY ON THE 4626 02:49:12,041 --> 02:49:13,510 MIND AND BODY SIDE, ARE REALLY 4627 02:49:13,576 --> 02:49:17,347 COMPLEX TO DELIVER. 4628 02:49:17,413 --> 02:49:18,848 AND TO DO THE FULLY POWERED 4629 02:49:18,915 --> 02:49:20,149 STUDY, YOU'RE LIKELY GOING TO BE 4630 02:49:20,216 --> 02:49:22,886 NEEDING TO ENROLL ACROSS MANY 4631 02:49:22,952 --> 02:49:23,319 SITES. 4632 02:49:23,386 --> 02:49:25,622 AND SO WE HAVE A SPECIFIC 4633 02:49:25,688 --> 02:49:27,657 R01 THAT'S A SMALLER R01 THAT'S 4634 02:49:27,724 --> 02:49:29,726 MEANT FOR DOING MULTISITE 4635 02:49:29,792 --> 02:49:32,262 FEASIBILITY TO FIGURE OUT HOW DO 4636 02:49:32,328 --> 02:49:33,429 YOU GET ALL OF THE SITE TO 4637 02:49:33,496 --> 02:49:37,166 DELIVER THE INTERVENTION WITH 4638 02:49:37,233 --> 02:49:38,268 FIDELITY ACROSS ALL OF THOSE 4639 02:49:38,334 --> 02:49:40,770 PLACES, BECAUSE IT'S HARD TO DO. 4640 02:49:40,837 --> 02:49:42,171 AND SO WE'VE JUST LEARNED THAT 4641 02:49:42,238 --> 02:49:46,109 WE'VE HAD ENOUGH TRIALS STRUGGLE 4642 02:49:46,175 --> 02:49:47,310 WITH THOSE ACTIVITY THAT WE FELT 4643 02:49:47,377 --> 02:49:49,546 THAT THAT WAS A REALLY IMPORTANT 4644 02:49:49,612 --> 02:49:49,779 ELEMENT. 4645 02:49:49,846 --> 02:49:50,680 THE OTHER THING YOU'LL SEE IN 4646 02:49:50,747 --> 02:49:52,215 OUR SUITE THAT I DIDN'T DRAW OUT 4647 02:49:52,282 --> 02:49:55,685 IS WE HAVE A SPECIFIC FUNDING 4648 02:49:55,752 --> 02:49:58,421 ANNOUNCEMENT FOR VIRTUAL OR 4649 02:49:58,488 --> 02:50:00,290 MHEALTH LIKE APP-DELIVERED 4650 02:50:00,356 --> 02:50:01,691 INTERVENTIONS OR STUDIES THAT DO 4651 02:50:01,758 --> 02:50:05,495 ALL OF THEIR DATA COLLECTION AND 4652 02:50:05,562 --> 02:50:06,462 ENROLLMENT WITHOUT ACTUALLY 4653 02:50:06,529 --> 02:50:08,565 SEEING THE PATIENT. 4654 02:50:08,631 --> 02:50:12,201 AND BECAUSE THE PRACTICALITIES 4655 02:50:12,268 --> 02:50:13,436 OF THAT ARE A LITTLE BIT 4656 02:50:13,503 --> 02:50:14,671 DIFFERENT, AND THEY DON'T 4657 02:50:14,737 --> 02:50:16,172 REQUIRE AN INDEPENDENT DATA 4658 02:50:16,239 --> 02:50:17,473 COORDINATING CENTER, THEY CAN BE 4659 02:50:17,540 --> 02:50:19,208 DONE CENTRALLY WITH SORT OF 4660 02:50:19,275 --> 02:50:20,643 OUTREACH ACROSS THE COUNTRY, AND 4661 02:50:20,710 --> 02:50:23,346 SO WE'VE CREATED A SPECIFIC 4662 02:50:23,413 --> 02:50:27,517 ANNOUNCEMENT FOR THAT AS WELL. 4663 02:50:27,584 --> 02:50:29,152 >> DATA COORDINATING CENTER 4664 02:50:29,218 --> 02:50:29,385 THEN? 4665 02:50:29,452 --> 02:50:30,853 >> WE DO. 4666 02:50:30,920 --> 02:50:34,924 >> TH.THAT WE CAN WORK WITH, NOE 4667 02:50:34,991 --> 02:50:36,159 TO BRING ONE IN, FIND ONE. 4668 02:50:36,225 --> 02:50:37,493 >> WE THOUGHT ABOUT THAT TOO. 4669 02:50:37,560 --> 02:50:38,528 AT THIS POINT, WE STILL ASK 4670 02:50:38,595 --> 02:50:41,264 PEOPLE TO BRING THEIR OWN. 4671 02:50:41,331 --> 02:50:43,299 IF THEY'RE DOING A FULLY POWERED 4672 02:50:43,366 --> 02:50:44,667 MULTISITE EFFICACY TRIAL, WE DO 4673 02:50:44,734 --> 02:50:47,103 ASK FOR A SET OF APPLICATIONS. 4674 02:50:47,170 --> 02:50:48,204 THE CLINICAL COORDINATING CENTER 4675 02:50:48,271 --> 02:50:49,739 AND A DATA COORDINATING CENTER 4676 02:50:49,806 --> 02:50:50,506 THAT'S INDEPENDENT SO THEY KEEP 4677 02:50:50,573 --> 02:50:52,342 ALL OF THE DATA AND CAN DO THE 4678 02:50:52,408 --> 02:50:53,209 SITE MONITORING ACTIVITIES IS 4679 02:50:53,276 --> 02:50:54,944 HOW WE'VE SET IT UP. 4680 02:50:55,011 --> 02:50:56,679 SIMILAR TO MANY OTHER INSTITUTES 4681 02:50:56,746 --> 02:50:58,314 THAT HAVE THAT SORT OF MODEL, 4682 02:50:58,381 --> 02:51:03,353 YEAH. 4683 02:51:03,419 --> 02:51:05,188 >> THANK YOU FOR THAT GREAT 4684 02:51:05,254 --> 02:51:06,556 PRESENTATION, AND I'M REALLY 4685 02:51:06,623 --> 02:51:07,256 LOOKING FORWARD TO GOING AND 4686 02:51:07,323 --> 02:51:09,125 LOOKING AT THAT WEBSITE. 4687 02:51:09,192 --> 02:51:13,129 HI A QUESTION I HAD A QUESTION N 4688 02:51:13,196 --> 02:51:13,997 TRAINING GRANTS THAT MIGHT WANT 4689 02:51:14,063 --> 02:51:15,231 TO DO A CLINICAL STUDY. 4690 02:51:15,298 --> 02:51:16,866 WHAT WOULD YOU ADVISE THEM ABOUT 4691 02:51:16,933 --> 02:51:17,700 WHAT INFORMATION ON THAT WEBSITE 4692 02:51:17,767 --> 02:51:18,901 IS RELEVANT TO THEM? 4693 02:51:18,968 --> 02:51:20,203 AND SHOULD THEY BE LOOKING 4694 02:51:20,269 --> 02:51:22,138 ELSEWHERE AS WELL OR -- BECAUSE 4695 02:51:22,205 --> 02:51:25,642 THE NOFOs THAT YOU MENTIONED 4696 02:51:25,708 --> 02:51:26,609 PROBABLY DON'T APPLY TO THEM. 4697 02:51:26,676 --> 02:51:26,943 >> RIGHT. 4698 02:51:27,010 --> 02:51:28,311 SO WE HAVE A WHOLE SEPARATE 4699 02:51:28,378 --> 02:51:29,579 SUITE OF FUNDING ANNOUNCEMENTS 4700 02:51:29,646 --> 02:51:34,350 THAT ARE NIH-WIDE FOR TRAINEES. 4701 02:51:34,417 --> 02:51:35,551 FELLOWS, POSTDOCTORAL FELLOWS, 4702 02:51:35,618 --> 02:51:38,855 PREDOCTORAL FELLOWS, F31 AND 4703 02:51:38,921 --> 02:51:42,992 F32s BY NIH POLICY CANNOT DO A 4704 02:51:43,059 --> 02:51:44,627 STANDALONE CLINICAL TRIAL. 4705 02:51:44,694 --> 02:51:46,162 THEY SHOULD BE WORKING ON THEIR 4706 02:51:46,229 --> 02:51:47,764 MENTORS OR THEIR SPONSORS' 4707 02:51:47,830 --> 02:51:48,965 ACTIVITIES AND GETTING INVOLVED 4708 02:51:49,032 --> 02:51:50,266 IN CLINICAL RESEARCH. 4709 02:51:50,333 --> 02:51:51,901 BUT THOSE AWARDS JUST DON'T 4710 02:51:51,968 --> 02:51:53,636 PROVIDE FUNDS TO BE ABLE TO 4711 02:51:53,703 --> 02:51:56,039 SUPPORT STANDALONE CLINICAL 4712 02:51:56,105 --> 02:51:56,706 TRIALS. 4713 02:51:56,773 --> 02:52:01,077 THE K AWARDS DO ALLOW FOR THAT. 4714 02:52:01,144 --> 02:52:01,711 WE OFTEN RECOMMEND THAT PEOPLE 4715 02:52:01,778 --> 02:52:03,079 THINK ABOUT SORT OF THE EARLIER 4716 02:52:03,146 --> 02:52:04,147 ALONG IN THE PIPELINE OF THE 4717 02:52:04,213 --> 02:52:06,482 SUITE OF FUNDING ANNOUNCEMENTS, 4718 02:52:06,549 --> 02:52:07,550 SO FOR NATURAL PRODUCTS 4719 02:52:07,617 --> 02:52:08,317 RESEARCH, KIND OF THE SCOPE THAT 4720 02:52:08,384 --> 02:52:10,720 YOU MIGHT SEE IN OUR R61 OR IN 4721 02:52:10,787 --> 02:52:13,556 OUR MECHANISTIC CLINICAL TRIALS, 4722 02:52:13,623 --> 02:52:17,360 AND THEN FOR ON THE MIND AND 4723 02:52:17,427 --> 02:52:21,831 BODY SIDE, IT MIGHT BE THINGS 4724 02:52:21,898 --> 02:52:24,333 LIKE A SINGLE SIDE OR 4725 02:52:24,400 --> 02:52:25,435 POTENTIALLY MULTISITE BUT THOSE 4726 02:52:25,501 --> 02:52:26,769 K AWARDS HAVE VERY LIMITED 4727 02:52:26,836 --> 02:52:28,304 BUDGETS SO SCOPING WHAT CAN BE 4728 02:52:28,371 --> 02:52:29,672 DONE WITHIN THE TIME AND THE 4729 02:52:29,739 --> 02:52:30,673 BUDGET THAT'S AVAILABLE IS THE 4730 02:52:30,740 --> 02:52:33,509 CONVERSATION WE HAVE WITH OUR 4731 02:52:33,576 --> 02:52:36,112 APPLICANTS TO THOSE FUNDING 4732 02:52:36,179 --> 02:52:37,980 MECHANISMS. 4733 02:52:38,047 --> 02:52:38,681 BUT THEN THEY'RE OFTEN SET UP 4734 02:52:38,748 --> 02:52:39,749 WITH THE PRELIMINARY DATA TO 4735 02:52:39,816 --> 02:52:40,950 COME IN FOR THE NEXT ONE, SO 4736 02:52:41,017 --> 02:52:42,919 MAYBE THEY CAN COME IN FOR THE 4737 02:52:42,985 --> 02:52:43,686 MULTISITE FEASIBILITY OR THEY 4738 02:52:43,753 --> 02:52:46,856 CAN COME IN FOR AN R33 ON THE 4739 02:52:46,923 --> 02:52:48,357 NATURAL PRODUCT SIDE AND HAVING 4740 02:52:48,424 --> 02:52:49,358 GATHERED THEIR PRELIMINARY DATA 4741 02:52:49,425 --> 02:52:51,194 IN THEIR K AWARDS. 4742 02:52:51,260 --> 02:52:58,101 YEAH. 4743 02:52:58,167 --> 02:52:58,334 JUDITH. 4744 02:52:58,401 --> 02:52:59,736 >> THANKS, WENDY. 4745 02:52:59,802 --> 02:53:01,037 SO WE HAVE THIS ONGOING 4746 02:53:01,104 --> 02:53:03,339 CONVERSATION, MY COLLEAGUES AND 4747 02:53:03,406 --> 02:53:05,608 I, ABOUT WHETHER OR NOT YOU NEED 4748 02:53:05,675 --> 02:53:09,011 TO DO AN EFFICACY TRIAL BEFORE 4749 02:53:09,078 --> 02:53:12,715 YOU APPLY FOR AN EFFECTIVENESS 4750 02:53:12,782 --> 02:53:14,250 TRIAL. 4751 02:53:14,317 --> 02:53:16,452 SO YOU START WITH THE R34, SO 4752 02:53:16,519 --> 02:53:18,387 YOU HAVE ONE SITE FEASIBILITY 4753 02:53:18,454 --> 02:53:23,025 DATA, AND THEN YOU MOVE TO THE 4754 02:53:23,092 --> 02:53:27,463 R01 WHICH WE CALL THE MINI R01, 4755 02:53:27,530 --> 02:53:28,531 WHERE -- SINCE IT'S NOT MUCH 4756 02:53:28,598 --> 02:53:30,633 MONEY AND YOU HAVE ENOUGH FOR 4757 02:53:30,700 --> 02:53:33,269 FEASIBILITY AT TWO SITES, AND 4758 02:53:33,336 --> 02:53:35,772 THEN YOU MOVE DOWN THE CONTINUUM 4759 02:53:35,838 --> 02:53:39,041 TO THE EFFECTIVENESS TRIAL. 4760 02:53:39,108 --> 02:53:40,777 BUT I HAVE SO MANY COLLEAGUES 4761 02:53:40,843 --> 02:53:42,411 THAT SAY, YOU KNOW WHAT, IF YOU 4762 02:53:42,478 --> 02:53:44,914 DON'T HAVE PRELIMINARY EFFICACY 4763 02:53:44,981 --> 02:53:47,283 DATA, YOU'LL NEVER GET FUNDED ON 4764 02:53:47,350 --> 02:53:50,019 THE EFFECTIVENESS TRIAL. 4765 02:53:50,086 --> 02:53:51,154 SO THEY'RE RETICENT TO GO FROM 4766 02:53:51,220 --> 02:53:55,758 THE R34 TO THE R01 MULTISITE 4767 02:53:55,825 --> 02:53:57,593 FEASIBILITY STUDY BECAUSE 4768 02:53:57,660 --> 02:54:00,329 THEY'RE AFRAID THEY WON'T HAVE 4769 02:54:00,396 --> 02:54:01,664 EFFICACY DATA TO THEN APPLY FOR 4770 02:54:01,731 --> 02:54:04,834 AN EFFECTIVENESS TRIAL. 4771 02:54:04,901 --> 02:54:08,304 >> SO THE FUNDING ANNOUNCEMENT 4772 02:54:08,371 --> 02:54:09,839 THAT SUPPORTS THE EFFECTIVENESS 4773 02:54:09,906 --> 02:54:11,374 STUDIES ALSO SUPPORTS EFFICACY 4774 02:54:11,440 --> 02:54:12,008 TRIALS. 4775 02:54:12,074 --> 02:54:17,380 SO YOU CAN USE THAT UG3UH3 AND 4776 02:54:17,446 --> 02:54:18,447 U24 PAIR FOR EITHER. 4777 02:54:18,514 --> 02:54:19,782 AND WHAT I WOULD SAY IS YOU'VE 4778 02:54:19,849 --> 02:54:23,019 GOT TO MAKE THE CASE TO 4779 02:54:23,085 --> 02:54:24,787 REVIEWERS AND TO THE FUNDER OF 4780 02:54:24,854 --> 02:54:26,556 WHAT IS THE APPROPRIATE QUESTION 4781 02:54:26,622 --> 02:54:29,292 THAT NEEDS TO BE ASKED AND 4782 02:54:29,358 --> 02:54:30,126 WHAT'S THE APPROPRIATE 4783 02:54:30,193 --> 02:54:31,327 COMPARISON GROUP FOR THAT 4784 02:54:31,394 --> 02:54:36,265 RESEARCH QUESTION. 4785 02:54:36,332 --> 02:54:38,234 IF YOUR QUESTION IS IS THIS 4786 02:54:38,301 --> 02:54:39,669 INTERVENTION THAT HAS A SPECIFIC 4787 02:54:39,735 --> 02:54:40,303 EFFECT AND IT'S MORE THAN JUST 4788 02:54:40,369 --> 02:54:41,070 THE TIME AND ATTENTION THE 4789 02:54:41,137 --> 02:54:43,573 INDIVIDUAL IS GETTING, THEN AN 4790 02:54:43,639 --> 02:54:44,207 EFFICACY QUESTION WHERE MAYBE 4791 02:54:44,273 --> 02:54:45,408 IT'S NOT A SHAM INTERVENTION BUT 4792 02:54:45,474 --> 02:54:46,943 MAYBE IT'S A TIME AND ATTENTION 4793 02:54:47,009 --> 02:54:48,811 CONTROL WITH AN EFFICACY DESIGN 4794 02:54:48,878 --> 02:54:51,280 WOULD BE THE APPROPRIATE DESIGN. 4795 02:54:51,347 --> 02:54:54,483 IF YOUR QUESTION IS DOES THIS 4796 02:54:54,550 --> 02:54:55,351 INTERVENTION WORK BETTER THAN 4797 02:54:55,418 --> 02:54:56,986 USUAL CARE, THAN AN 4798 02:54:57,053 --> 02:55:01,791 EFFECTIVENESS DESIGN MAY STILL L 4799 02:55:01,858 --> 02:55:05,161 BE IN A RESEARCH SETTING, NOT IN 4800 02:55:05,228 --> 02:55:06,495 A CLINICAL SEGHT BUT LIKE A 4801 02:55:06,562 --> 02:55:07,496 REGULAR EFFECTIVENESS STUDY 4802 02:55:07,563 --> 02:55:08,364 MIGHT BE THE QUESTION YOU'RE 4803 02:55:08,431 --> 02:55:08,998 TRYING TO ENS A. 4804 02:55:09,065 --> 02:55:10,533 YOU'VE GOT TO MAKE THE 4805 02:55:10,600 --> 02:55:12,301 CONVINCING CASE TO REVIEWERS AND 4806 02:55:12,368 --> 02:55:14,704 TO THE FUNDERS THAT THE QUESTION 4807 02:55:14,770 --> 02:55:17,106 YOU'RE ASKING, THERE'S 4808 02:55:17,173 --> 02:55:18,841 SUFFICIENT PRELIMINARY DATA FOR 4809 02:55:18,908 --> 02:55:20,042 THAT PARTICULAR QUESTION. 4810 02:55:20,109 --> 02:55:21,577 WE HAVE A LIST OF WHAT 4811 02:55:21,644 --> 02:55:23,546 PRELIMINARY DATA IS NEEDED FOR 4812 02:55:23,613 --> 02:55:25,815 EITHER THE EFFICACY OR THE 4813 02:55:25,882 --> 02:55:27,917 EFFECTIVENESS QUESTION IN THAT 4814 02:55:27,984 --> 02:55:29,318 FUNDING ANNOUNCEMENT. 4815 02:55:29,385 --> 02:55:30,186 GREAT QUESTION, THOUGH. 4816 02:55:30,253 --> 02:55:37,960 GREAT QUESTION. 4817 02:55:38,027 --> 02:55:38,294 DR. LAVRETSKY. 4818 02:55:38,361 --> 02:55:39,495 >> AFTER SERVING ON THE COUNCIL 4819 02:55:39,562 --> 02:55:40,863 BUT ALSO LEAVING IT, THE 4820 02:55:40,930 --> 02:55:42,865 INSTITUTE HAS MADE AN INVESTMENT 4821 02:55:42,932 --> 02:55:45,067 INTO FEASIBILITY STUDIES OF ALL 4822 02:55:45,134 --> 02:55:46,269 SORTS. 4823 02:55:46,335 --> 02:55:48,638 AND I'M JUST -- AND IT'S 4824 02:55:48,704 --> 02:55:49,739 REASONABLE GIVEN THE STATE OF 4825 02:55:49,805 --> 02:55:50,740 THE FIELD. 4826 02:55:50,806 --> 02:55:54,543 I'M JUST CURIOUS ABOUT THE 4827 02:55:54,610 --> 02:55:57,346 CONVERSION TO R01s OR OTHER -- 4828 02:55:57,413 --> 02:55:59,348 MORE OF THOSE MECHANISMS, DO YOU 4829 02:55:59,415 --> 02:56:02,218 FOLLOW THE RATE OF CONVERSION 4830 02:56:02,285 --> 02:56:05,354 FROM FEASIBILITY TO R01 AND 4831 02:56:05,421 --> 02:56:06,022 EFFECTIVENESS TRIALS. 4832 02:56:06,088 --> 02:56:07,990 >> YEAH, IT'S SOMETHING WE'RE 4833 02:56:08,057 --> 02:56:08,424 TRACKING INTERNALLY. 4834 02:56:08,491 --> 02:56:10,059 IT MIGHT BE SOMETHING WE WANT TO 4835 02:56:10,126 --> 02:56:12,795 BRING AND PRESENT HERE 4836 02:56:12,862 --> 02:56:14,096 EVENTUALLY. 4837 02:56:14,163 --> 02:56:15,765 I THINK WE ARE STARTING TO SEE 4838 02:56:15,831 --> 02:56:18,034 THOSE APPLICATIONS COME IN. 4839 02:56:18,100 --> 02:56:19,669 PEOPLE ARE FINISHING NOW THE 4840 02:56:19,735 --> 02:56:20,636 MULTI-SIDE FEASIBILITY WORK. 4841 02:56:20,703 --> 02:56:21,637 WE'VE GOT OUR FIRST WAVE OF 4842 02:56:21,704 --> 02:56:25,041 THOSE THAT ARE COMPLETING AND WE 4843 02:56:25,107 --> 02:56:26,542 ARE STARTING TO SEE THOSE 4844 02:56:26,609 --> 02:56:26,876 APPLICATIONS. 4845 02:56:26,943 --> 02:56:30,813 WE'RE ALSO STARTING TO SEE THOSE 4846 02:56:30,880 --> 02:56:31,781 INDIVIDUALS GO TO THE HEAL 4847 02:56:31,847 --> 02:56:32,882 INITIATIVE OR OTHER PLACES FOR 4848 02:56:32,949 --> 02:56:33,950 FUNDING OF THE MULTISITE 4849 02:56:34,016 --> 02:56:35,384 EFFICACY STUDIES, BUT WE ARE 4850 02:56:35,451 --> 02:56:38,354 STARTING TO SEE PEOPLE MOVE DOWN 4851 02:56:38,421 --> 02:56:39,221 THAT TRANSITION ALONG THAT PIPE 4852 02:56:39,288 --> 02:56:39,989 LINE. 4853 02:56:40,056 --> 02:56:43,793 THE OTHER THING I WILL SAY IS 4854 02:56:43,859 --> 02:56:46,896 THAT THE LAST TIME H WE REVAMPED 4855 02:56:46,963 --> 02:56:48,731 THESE FUNDING ANNOUNCEMENTS WE 4856 02:56:48,798 --> 02:56:50,132 TRIED TO UPDATE THEM SO PEOPLE 4857 02:56:50,199 --> 02:56:51,567 COULD CITE THE LITERATURE OF 4858 02:56:51,634 --> 02:56:53,069 OTHER FEASIBILITY WORK SO THAT 4859 02:56:53,135 --> 02:56:54,503 YOU DO NOT NEED TO REPEAT 4860 02:56:54,570 --> 02:56:56,038 FEASIBILITY WORK. 4861 02:56:56,105 --> 02:56:57,673 I OFTEN WILL GIVE THE EXAMPLE 4862 02:56:57,740 --> 02:56:58,975 LIKE WE KNOW MOST PEOPLE CAN DO 4863 02:56:59,041 --> 02:57:00,409 YOGA OR MOST PEOPLE CAN 4864 02:57:00,476 --> 02:57:00,776 MEDITATE. 4865 02:57:00,843 --> 02:57:02,678 LIKE YOU DON'T NEED TO SHOW ME 4866 02:57:02,745 --> 02:57:04,413 IN THIS SPECIFIC POPULATION THAT 4867 02:57:04,480 --> 02:57:05,982 PEOPLE CAN DO THIS KIND OF 4868 02:57:06,048 --> 02:57:06,482 THING. 4869 02:57:06,549 --> 02:57:07,950 SO YOU'RE OFTEN ABLE TO CITE THE 4870 02:57:08,017 --> 02:57:09,352 LITERATURE AND MOVE TO THE NEXT 4871 02:57:09,418 --> 02:57:12,388 STAGE WHICH MIGHT BE MULTISITE 4872 02:57:12,455 --> 02:57:13,622 FEASIBILITY OR IT MAY BE GOING 4873 02:57:13,689 --> 02:57:18,194 STRAIGHT TO AN EV EFFICACY OR 4874 02:57:18,260 --> 02:57:18,728 EFFECTIVENESS STUDY. 4875 02:57:18,794 --> 02:57:19,729 WE'RE TRYING TO MAKE SURE PEOPLE 4876 02:57:19,795 --> 02:57:20,763 DON'T HAVE TO GO BACK AND START 4877 02:57:20,830 --> 02:57:23,799 AT THE BEGINNING EVERY SINGLE 4878 02:57:23,866 --> 02:57:24,900 TIME BUT INSTEAD YOU CAN CITE 4879 02:57:24,967 --> 02:57:26,736 THE LITERATURE OF PEOPLE WHO'VE 4880 02:57:26,802 --> 02:57:30,773 DONE SIMILAR WORK WITH A SIMI 4881 02:57:30,840 --> 02:57:32,308 SIMILAR -- OR IN A SIMILAR 4882 02:57:32,375 --> 02:57:34,543 PATIENT POPULATION IS THE WAY WE 4883 02:57:34,610 --> 02:57:38,080 FRAMED IT AS AS PRELIMINARY DATA 4884 02:57:38,147 --> 02:57:38,614 REQUIREMENT. 4885 02:57:38,681 --> 02:57:43,452 GREAT QUESTION. 4886 02:57:43,519 --> 02:57:44,286 >> ONE QUESTION. 4887 02:57:44,353 --> 02:57:46,155 I WAS LOOKING AT THE WEBSITE, AT 4888 02:57:46,222 --> 02:57:49,658 THE MHEALTH ONE FOR EXAMPLE, AND 4889 02:57:49,725 --> 02:57:51,093 SO IT LOOKS LIKE THAT WILL GO TO 4890 02:57:51,160 --> 02:57:52,928 A SPECIAL EMPHASIS PANEL SO THAT 4891 02:57:52,995 --> 02:57:55,765 IT'S ALL ONLINE AND THEY RE -- 4892 02:57:55,831 --> 02:57:56,699 THE REVIEW PANELS UNDERSTAND 4893 02:57:56,766 --> 02:57:56,966 THAT. 4894 02:57:57,033 --> 02:57:58,267 WAS THAT THE LOGIC OR HOW DID 4895 02:57:58,334 --> 02:58:00,569 YOU COME ABOUT CREATING THAT 4896 02:58:00,636 --> 02:58:03,072 RFA, WHY IS THAT NEEDED FOR 4897 02:58:03,139 --> 02:58:04,940 NCCIH SPECIFICALLY AS OPPOSED TO 4898 02:58:05,007 --> 02:58:06,475 THE BROADER RFA? 4899 02:58:06,542 --> 02:58:08,244 >> I FEEL LIKE I SHOULD HAVE MY 4900 02:58:08,310 --> 02:58:09,445 COLLEAGUE DR. MUDD COME UP AND 4901 02:58:09,512 --> 02:58:10,513 ANSWER THIS QUESTION BUT I'LL 4902 02:58:10,579 --> 02:58:15,785 TRY MY BEST. 4903 02:58:15,851 --> 02:58:18,587 WHAT WE IDENTIFIED WAS -- WELL, 4904 02:58:18,654 --> 02:58:19,822 FIRST OF ALL FOR ALL OF THESE 4905 02:58:19,889 --> 02:58:20,689 FUNDING OPPORTUNITY 4906 02:58:20,756 --> 02:58:22,091 ANNOUNCEMENTS THAT I'VE TALKED 4907 02:58:22,158 --> 02:58:24,193 ABOUT TODAY, WE HAVE A SPECIAL 4908 02:58:24,260 --> 02:58:25,728 EMPHASIS PANEL AT NCCIH THAT 4909 02:58:25,795 --> 02:58:28,130 REVIEWS ALL OF THEM, OUR 4910 02:58:28,197 --> 02:58:29,532 CLINICAL TRIAL SUITE. 4911 02:58:29,598 --> 02:58:31,367 AND WE ARE FORTUNATE THAT WE'RE 4912 02:58:31,434 --> 02:58:32,401 ABLE TO WORK WITH OUR COLLEAGUES 4913 02:58:32,468 --> 02:58:34,136 IN REVIEW AND WE ACTUALLY ORIENT 4914 02:58:34,203 --> 02:58:37,073 ALL OF OUR REVIEWERS TO THE 4915 02:58:37,139 --> 02:58:38,841 SPECIAL REVIEW CRITERIA THAT WE 4916 02:58:38,908 --> 02:58:39,809 HAVE ACROSS ALL OF THESE. 4917 02:58:39,875 --> 02:58:42,445 SO WE REALLY TRY HARD TO MAKE 4918 02:58:42,511 --> 02:58:43,979 SURE THAT THE REVIEWERS AREN'T 4919 02:58:44,046 --> 02:58:47,149 GIVING MESSAGES OF WHAT'S NOT 4920 02:58:47,216 --> 02:58:48,984 ALLOWED, SO WE DON'T ALLOW EARLY 4921 02:58:49,051 --> 02:58:50,352 TEST OF EFFICACY SO WE REALLY 4922 02:58:50,419 --> 02:58:51,520 DON'T WANT YOU TO GET A COMMENT 4923 02:58:51,587 --> 02:58:52,955 IN YOUR SUMMARY STATEMENT SAYING 4924 02:58:53,022 --> 02:58:55,891 WHY AREN'T YOU LOOKING AT 4925 02:58:55,958 --> 02:58:56,325 EFFICACY? 4926 02:58:56,392 --> 02:58:58,627 AND IT'S BEEN A GREAT 4927 02:58:58,694 --> 02:58:59,829 COLLABORATION WITH PROGRAM AND 4928 02:58:59,895 --> 02:59:01,597 REVIEW IN THAT WAY. 4929 02:59:01,664 --> 02:59:03,532 WITH THE APPROPRIATE SEPARATION 4930 02:59:03,599 --> 02:59:05,968 THAT WE NEED TO HAVE THERE. 4931 02:59:06,035 --> 02:59:09,238 WHAT WE REALIZED AN THIS WAS 4932 02:59:09,305 --> 02:59:11,841 BEFORE THE PANDEMIC IS WE 4933 02:59:11,907 --> 02:59:13,275 STARTED TO SEE MORE AND MORE 4934 02:59:13,342 --> 02:59:14,376 MHEALTH TYPES OF APPLICATIONS 4935 02:59:14,443 --> 02:59:15,644 WITH APPS AND OTHER THINGS LIKE 4936 02:59:15,711 --> 02:59:18,080 THAT IN OUR EXISTING SUITE OF 4937 02:59:18,147 --> 02:59:20,182 FUNDING OPPORTUNITIES JUST 4938 02:59:20,249 --> 02:59:21,917 DIDN'T FIT, BECAUSE FOR OUR 4939 02:59:21,984 --> 02:59:23,152 LARGER MULTISITE TRIALS, WE WANT 4940 02:59:23,219 --> 02:59:24,653 TO HAVE AN INDEPENDENT DATA 4941 02:59:24,720 --> 02:59:25,855 COORDINATING CENTER AND A 4942 02:59:25,921 --> 02:59:27,356 CLINICAL COORDINATING CENTER. 4943 02:59:27,423 --> 02:59:28,357 AS WE WERE TALKING TO M AL CAN'T 4944 02:59:28,424 --> 02:59:30,659 THAT WERE COMING IN WITH MHEALTH 4945 02:59:30,726 --> 02:59:31,527 APPLICATIONS WE'RE LIKE THIS 4946 02:59:31,594 --> 02:59:32,895 DOESN'T MAKE SENSE, WHY DO I 4947 02:59:32,962 --> 02:59:34,330 HAVE TO HAVE A WHOLE SEPARATE 4948 02:59:34,396 --> 02:59:36,665 GROUP DO THIS WHEN I'M NOT 4949 02:59:36,732 --> 02:59:37,666 DELIVERING CLINICAL CARE AND WHY 4950 02:59:37,733 --> 02:59:39,768 DO I NEED -- LIKE IT JUST DIDN'T 4951 02:59:39,835 --> 02:59:40,536 FIT. 4952 02:59:40,603 --> 02:59:43,272 AND SO THAT'S WHY WE CREATED THE 4953 02:59:43,339 --> 02:59:46,008 SEPARATE ONE FOR THE 4954 02:59:46,075 --> 02:59:47,076 R01 SPECIFICALLY FOR THAT. 4955 02:59:47,143 --> 02:59:49,178 IS THAT IT JUST SEEMED TO FIT 4956 02:59:49,245 --> 02:59:50,312 MUCH BETTER WITH THE KIND OF 4957 02:59:50,379 --> 02:59:51,614 SCIENCE AND THE WAY THAT THOSE 4958 02:59:51,680 --> 02:59:53,582 TRIALS ARE DESIGNED. 4959 02:59:53,649 --> 02:59:56,385 >> WE SHOULD ALSO SPECIFY THIS 4960 02:59:56,452 --> 02:59:58,387 IS NOT AN RFA, RIGHT? 4961 02:59:58,454 --> 03:00:00,156 >> CORRECT. 4962 03:00:00,222 --> 03:00:00,823 THESE ARE -- 4963 03:00:00,890 --> 03:00:01,657 >> THAT'S IMPORTANT TO 4964 03:00:01,724 --> 03:00:02,091 UNDERSTAND. 4965 03:00:02,158 --> 03:00:03,759 ALL THESE ACRONYMS GET VERY 4966 03:00:03,826 --> 03:00:04,026 CONFUSING. 4967 03:00:04,093 --> 03:00:04,560 >> THEY DO. 4968 03:00:04,627 --> 03:00:08,364 >> SO WE TALK NOW ABOUT FUNDI 4969 03:00:08,430 --> 03:00:09,331 FUNDING -- NOTICE OF FUNDING 4970 03:00:09,398 --> 03:00:10,065 OPPORTUNITIES. 4971 03:00:10,132 --> 03:00:13,369 WHEN THERE IS A SETASIDE AMOUNT 4972 03:00:13,435 --> 03:00:16,005 OF MONEY FOR A SPECIFIC SET OF, 4973 03:00:16,071 --> 03:00:19,408 YOU KNOW, AN OPPORTUNITY, THEN 4974 03:00:19,475 --> 03:00:20,709 IT'S AN RFA. 4975 03:00:20,776 --> 03:00:23,012 SO NONE OF THESE ARE RFAs SO 4976 03:00:23,078 --> 03:00:23,579 FAR. 4977 03:00:23,646 --> 03:00:26,315 THAT WE WENDY TALKED ABOUT. 4978 03:00:26,382 --> 03:00:27,917 >> IT ALSO MEANS WE HAVE 4979 03:00:27,983 --> 03:00:28,684 MULTIPLE RECEIPT DATES FOR 4980 03:00:28,751 --> 03:00:30,452 THESE, SO WE ACCEPT FOR THAT 4981 03:00:30,519 --> 03:00:33,822 PARTICULAR FUNDING OPPORTUNITY, 4982 03:00:33,889 --> 03:00:35,591 APPLICATIONS EVERY CYCLE. 4983 03:00:35,658 --> 03:00:37,226 AND SO PEOPLE CAN COME IN 4984 03:00:37,293 --> 03:00:40,162 MULTIPLE TIMES AND IT'S -- 4985 03:00:40,229 --> 03:00:42,398 PEOPLE COMPETE FOR THE COMPETING 4986 03:00:42,464 --> 03:00:43,899 LINE AND THEY'RE ALL CONSIDERED 4987 03:00:43,966 --> 03:00:44,767 INVESTIGATOR INITIATED 4988 03:00:44,833 --> 03:00:53,075 APPLICATIONS. 4989 03:00:53,142 --> 03:00:53,642 EXCELLENT DISCUSSION. 4990 03:00:53,709 --> 03:00:55,878 ONE MORE QUESTION? 4991 03:00:55,945 --> 03:00:57,346 >> YOU CAN CUT ME OFF. 4992 03:00:57,413 --> 03:01:01,617 I JUST -- THIS IS ABOUT THE -- I 4993 03:01:01,684 --> 03:01:03,485 GUESS THE MIND-BODY 4994 03:01:03,552 --> 03:01:04,486 INTERVENTIONS, AND I THINK I 4995 03:01:04,553 --> 03:01:08,490 UNDERSTAND KIND OF WHAT'S IN, TA 4996 03:01:08,557 --> 03:01:11,026 CHEE, YOGA, ACUPUNCTURE, 4997 03:01:11,093 --> 03:01:14,663 MEDITATION, BUT I'M NOT CLE SURF 4998 03:01:14,730 --> 03:01:15,664 THERE'S A CLEAR DEFINITION OF 4999 03:01:15,731 --> 03:01:16,298 WHAT'S OUT. 5000 03:01:16,365 --> 03:01:19,134 SO IS THERE SOME NEW VARIANT OF 5001 03:01:19,201 --> 03:01:21,704 CBT, NEUROSTIMULATION -- 5002 03:01:21,770 --> 03:01:28,077 >> YEAH, I MEAN, I THINK 5003 03:01:28,143 --> 03:01:29,712 CERTAINLY IT'S WITHIN THE RANGE. 5004 03:01:29,778 --> 03:01:31,814 I WOULD SAY THINGS THAT ARE -- 5005 03:01:31,880 --> 03:01:33,015 CBT FOR DEPRESSION IS REALLY 5006 03:01:33,082 --> 03:01:35,084 WELL DONE, SO WHAT WOULD BE NEW 5007 03:01:35,150 --> 03:01:39,355 IN THAT SPACE, AND WE ARE OFTEN 5008 03:01:39,421 --> 03:01:40,456 HAVING CONVERSATIONS WITH OUR 5009 03:01:40,522 --> 03:01:41,757 COLLEAGUES ACROSS THE REST OF 5010 03:01:41,824 --> 03:01:43,392 NIH TO SEE WHAT WILL THEY FUND, 5011 03:01:43,459 --> 03:01:45,394 WHAT WON'T THEY FUND, SORT OF 5012 03:01:45,461 --> 03:01:48,130 WHERE WE HAVE OVERLAP WITH OUR 5013 03:01:48,197 --> 03:01:50,866 PARTNERS ACROSS NIH. 5014 03:01:50,933 --> 03:01:52,401 BUT I THINK -- TALK TO US IS 5015 03:01:52,468 --> 03:01:54,470 WHAT I WOULD SAY, AND CONTACT A 5016 03:01:54,536 --> 03:01:56,338 PROGRAM OFFICER IF YOU'RE NOT 5017 03:01:56,405 --> 03:01:57,573 SURE IF IT'S A GOOD FIT. 5018 03:01:57,640 --> 03:02:00,376 I DON'T THINK WE HAVE A VERY 5019 03:02:00,442 --> 03:02:01,010 SPECIFIED DEFINITION POTENTIALLY 5020 03:02:01,076 --> 03:02:02,578 IN SOME WAYS ON OUR WEBSITE BUT 5021 03:02:02,645 --> 03:02:02,845 GO AHEAD. 5022 03:02:02,911 --> 03:02:04,113 >> WE'VE CHANGED OUR LANGUAGE, 5023 03:02:04,179 --> 03:02:04,446 RIGHT? 5024 03:02:04,513 --> 03:02:08,484 WE HAVE CHANGED OUR LANGUAGE, WE 5025 03:02:08,550 --> 03:02:10,119 TALK ABOUT BIG CATEGORIES OF 5026 03:02:10,185 --> 03:02:11,320 NUTRITIONAL, PSYCHOLOGICAL AND 5027 03:02:11,387 --> 03:02:13,622 PHYSICAL AS OPPOSED TO BEFORE WE 5028 03:02:13,689 --> 03:02:18,560 USED TO SAY THE TERM MIND AND 5029 03:02:18,627 --> 03:02:19,895 BODY TO SORT OF REFER TO A 5030 03:02:19,962 --> 03:02:22,164 CERTAIN GROUP OF MOSTLY 5031 03:02:22,231 --> 03:02:22,931 COMPLEMENTARY THERAPIES. 5032 03:02:22,998 --> 03:02:24,233 SINCE THE BEGINNING OF THE 5033 03:02:24,300 --> 03:02:28,170 PREVIOUS STRATEGIC PLAN, WE'VE 5034 03:02:28,237 --> 03:02:29,171 BROADENED THAT. 5035 03:02:29,238 --> 03:02:30,906 SO AN INTERVENTION CAN BE 5036 03:02:30,973 --> 03:02:32,441 PRIMARILY HAVE A PSYCHOLOGICAL 5037 03:02:32,508 --> 03:02:34,943 INPUT AND THAT WOULD INCLUDE 5038 03:02:35,010 --> 03:02:37,046 SOMETHING LIKE CBT, MIGHT ALSO 5039 03:02:37,112 --> 03:02:39,548 INCLUDE MEDITATION, A PROJECT 5040 03:02:39,615 --> 03:02:41,950 MIGHT HAVE A PRIMARY PHYSICAL 5041 03:02:42,017 --> 03:02:44,787 BUT NOT ENTIRELY PHYSICAL LIKE 5042 03:02:44,853 --> 03:02:46,655 MASSAGE FOR EXAMPLE, OR IT COULD 5043 03:02:46,722 --> 03:02:48,524 BE A COMBINATION OF PSY 5044 03:02:48,590 --> 03:02:49,725 PSYCHOLOGICAL AND PHYSICAL. 5045 03:02:49,792 --> 03:02:53,228 YOGA MIGHT FIT NIEZLY IN THERE. 5046 03:02:53,295 --> 03:02:54,229 NICELY IN THERE. 5047 03:02:54,296 --> 03:02:57,266 SO WE'VE KIND OF BROADENED THE 5048 03:02:57,333 --> 03:02:59,702 BOUNDARIES OF IT AND THAT'S 5049 03:02:59,768 --> 03:03:01,236 ACTUALLY IMPORTANT SO PEOPLE 5050 03:03:01,303 --> 03:03:03,105 DON'T FEEL LIKE THERE ARE A 5051 03:03:03,172 --> 03:03:04,473 SPECIFIC LIST OF THINGS THAT I 5052 03:03:04,540 --> 03:03:08,243 WILL FUND OR DON'T FUND. 5053 03:03:08,310 --> 03:03:09,945 >> ONE THING WHICH FALLS INTO 5054 03:03:10,012 --> 03:03:12,147 THIS CATEGORY IS THAT ALL THE 5055 03:03:12,214 --> 03:03:13,015 FUNDING OPPORTUNITIES THAT WENDY 5056 03:03:13,082 --> 03:03:15,884 HAS BEEN TALKING ABOUT ARE 5057 03:03:15,951 --> 03:03:17,753 PARs. 5058 03:03:17,820 --> 03:03:18,954 ONLY NCCIH IS SUPPORTING THEM. 5059 03:03:19,021 --> 03:03:21,223 SO WHAT SHE HAS BEEN MENTIONING 5060 03:03:21,290 --> 03:03:24,093 ABOUT REACHING OUT TO THE 5061 03:03:24,159 --> 03:03:25,294 PROGRAM OFFICER IS REALLY 5062 03:03:25,361 --> 03:03:26,595 CRITICAL, AND IT'S CRITICAL FROM 5063 03:03:26,662 --> 03:03:28,063 A REFERRAL PERSPECTIVE, BECAUSE 5064 03:03:28,130 --> 03:03:31,900 IF YOU APPLY TO A NOFO WHERE 10 5065 03:03:31,967 --> 03:03:33,402 INSTITUTES ARE SIGNED ON TO, IF 5066 03:03:33,469 --> 03:03:36,238 IT'S NOT A GOOD FIT FOR NCCIH, 5067 03:03:36,305 --> 03:03:38,407 IT'S ESSENTIALLY WHAT WE CALL 5068 03:03:38,474 --> 03:03:39,842 SHOP AROUND, THAT ONE OF THE 5069 03:03:39,908 --> 03:03:41,477 OTHER ICs MIGHT FIT IT, BUT 5070 03:03:41,543 --> 03:03:45,414 BECAUSE OF THESE, ONLY NCCIH IS 5071 03:03:45,481 --> 03:03:45,881 PARTICIPATING. 5072 03:03:45,948 --> 03:03:47,850 IF NCCIH LOOKS AT IT AND IT'S 5073 03:03:47,916 --> 03:03:53,222 NOT RESPONSIVE, IT IS BEING -- 5074 03:03:53,288 --> 03:03:54,757 BECAUSE OF THIS, IT'S REALLY 5075 03:03:54,823 --> 03:03:55,290 IMPORTANT IF YOU HAVE ANY 5076 03:03:55,357 --> 03:03:56,658 QUESTIONS OR ARE NOT SURE TO 5077 03:03:56,725 --> 03:03:58,260 TALK TO THE PROGRAM OFFICER 5078 03:03:58,327 --> 03:04:04,533 SIMPLY TO MAKE SURE. 5079 03:04:04,600 --> 03:04:13,041 >> THERE'S A LOT OF DETAIL. 5080 03:04:13,108 --> 03:04:15,644 COMMUNICATING ALL OF THIS STUFF 5081 03:04:15,711 --> 03:04:17,146 IS IMPORTANT. 5082 03:04:17,212 --> 03:04:17,746 AND DIFFICULT. 5083 03:04:17,813 --> 03:04:19,915 SO THIS IS WHY IF YOU HAVE 5084 03:04:19,982 --> 03:04:21,550 SUGGESTIONS TO US AND STUFF THAT 5085 03:04:21,617 --> 03:04:24,319 IS NOT CLEAR OR THAT YOU FIND 5086 03:04:24,386 --> 03:04:26,221 TALKING TO YOUR COLLEAGUES, YOU 5087 03:04:26,288 --> 03:04:28,924 SEE THAT A LOT OF PEOPLE ARE, MY 5088 03:04:28,991 --> 03:04:30,759 BIG PET PEEVE IS ACRONYMS. 5089 03:04:30,826 --> 03:04:34,163 I GET LOST IN THEM ALL THE TIME. 5090 03:04:34,229 --> 03:04:36,932 AND MYSELF, YOU KNOW? 5091 03:04:36,999 --> 03:04:39,301 SO IF YOU FIND THAT THERE ARE 5092 03:04:39,368 --> 03:04:42,371 CERTAIN THINGS THAT YOU FIND 5093 03:04:42,438 --> 03:04:46,208 PARTICULARLY CONFUSING, WE 5094 03:04:46,275 --> 03:04:47,276 REALLY WANT TO HEAR THAT. 5095 03:04:47,342 --> 03:04:49,077 >> I JUST WANTED TO MAKE A QUICK 5096 03:04:49,144 --> 03:04:49,478 COMMENT. 5097 03:04:49,545 --> 03:04:52,881 I THINK YOU DID AN EXCELLENT JOB 5098 03:04:52,948 --> 03:04:54,850 OF ARTICULATING WHY YOU NEEDED 5099 03:04:54,917 --> 03:04:58,120 TO HAVE A TWO-SITE FEASIBILITY 5100 03:04:58,187 --> 03:05:01,723 STUDY VERSUS AN EFFICACY TRIAL 5101 03:05:01,790 --> 03:05:02,524 AT A CERTAIN PHASE. 5102 03:05:02,591 --> 03:05:05,994 THAT WAS VERY HELPFUL. 5103 03:05:06,061 --> 03:05:07,863 I'VE HEARD A LOT OF GREAT 5104 03:05:07,930 --> 03:05:09,064 COMMENTS ABOUT THAT FROM MY 5105 03:05:09,131 --> 03:05:09,364 COLLEAGUES. 5106 03:05:09,431 --> 03:05:10,799 >> MAYBE THAT WILL BE ONE OF OUR 5107 03:05:10,866 --> 03:05:13,869 UPCOMING VIDEOS. 5108 03:05:13,936 --> 03:05:16,939 OF THE IMPORTANCE FOR THAT. 5109 03:05:17,005 --> 03:05:19,575 YEAH. 5110 03:05:19,641 --> 03:05:20,442 THESE CONVERSATIONS WE 5111 03:05:20,509 --> 03:05:21,510 FREQUENTLY HAVE WITH APPLICANTS, 5112 03:05:21,577 --> 03:05:22,411 THOSE ARE THE ONES THAT WE'RE 5113 03:05:22,478 --> 03:05:25,481 TRYING TO, YOU KNOW, GET INTO A 5114 03:05:25,547 --> 03:05:27,149 3 TO 5-MINUTE VIDEO SO PEOPLE 5115 03:05:27,216 --> 03:05:28,016 CAN FIND THAT INFORMATION AND 5116 03:05:28,083 --> 03:05:29,318 FIND IT THEMSELVES AND THAT'S 5117 03:05:29,384 --> 03:05:30,319 WHAT WE'RE HOPING TO PUT IN SOME 5118 03:05:30,385 --> 03:05:31,954 OF THOSE VIDEOS. 5119 03:05:32,020 --> 03:05:34,790 TO MAKE THAT HELPFUL. 5120 03:05:34,857 --> 03:05:36,658 WHY NOT WAIT LIST, YOU KNOW, WHY 5121 03:05:36,725 --> 03:05:37,759 NOT -- SOME OF THOSE DIFFERENT 5122 03:05:37,826 --> 03:05:39,595 QUESTIONS. 5123 03:05:39,661 --> 03:05:42,998 BUT THE MULTISITE FEASIBILITY IS 5124 03:05:43,065 --> 03:05:44,967 A UNIQUE CHALLENGE FOR 5125 03:05:45,033 --> 03:05:45,767 BEHAVIORAL INTERVENTIONS. 5126 03:05:45,834 --> 03:05:47,269 >> ALSO I MIGHT ADD BECAUSE IF 5127 03:05:47,336 --> 03:05:49,238 YOU'VE BEEN FUNDED BY OTHER 5128 03:05:49,304 --> 03:05:49,872 INSTITUTES WHERE, FOR INSTANCE, 5129 03:05:49,938 --> 03:05:52,975 YOU KNOW, I HAD AN R21 WHERE THE 5130 03:05:53,041 --> 03:05:55,811 REVIEWER CAME BACK AND WE WROTE 5131 03:05:55,878 --> 03:05:57,479 IT AS A FEASIBILITY STUDY BUT 5132 03:05:57,546 --> 03:05:58,780 YET THEY'RE LIKE, WELL, WE WANT 5133 03:05:58,847 --> 03:06:00,082 YOU TO ALSO DO BEGINNING 5134 03:06:00,148 --> 03:06:01,416 EFFICACY. 5135 03:06:01,483 --> 03:06:03,051 SO YOU KIND OF HAVE IT HAMMERED 5136 03:06:03,118 --> 03:06:05,020 INTO YOUR MIND ABOUT, YOU KNOW, 5137 03:06:05,087 --> 03:06:08,690 HOW TO APPROACH CERTAIN 5138 03:06:08,757 --> 03:06:10,959 APPLICATIONS AND SO IT'S VERY 5139 03:06:11,026 --> 03:06:11,827 DIFFERENT FOR NCCIH. 5140 03:06:11,894 --> 03:06:14,763 SO THAT'S WHY THE WORK YOU DID 5141 03:06:14,830 --> 03:06:17,065 WITH THE TWO-SITE FEASIBILITY 5142 03:06:17,132 --> 03:06:18,734 STUDY AND THE ONE-SITE 5143 03:06:18,800 --> 03:06:21,470 FEASIBILITY STUDY WAS REALLY SO 5144 03:06:21,537 --> 03:06:24,873 NECESSARY TO SORE MANY FOR SO MY 5145 03:06:24,940 --> 03:06:25,340 INVESTIGATORS. 5146 03:06:25,407 --> 03:06:27,042 >> WE'LL DEFINITELY HAVE A VIDEO 5147 03:06:27,109 --> 03:06:28,310 ABOUT THE PRELIMINARY EFFICACY. 5148 03:06:28,377 --> 03:06:29,278 THIS HAS BEEN AN ONGOING -- I 5149 03:06:29,344 --> 03:06:30,479 THINK IT'S BEEN PROBABLY -- I 5150 03:06:30,546 --> 03:06:32,481 THINK WE'VE BEEN TALKING WITHIN 5151 03:06:32,548 --> 03:06:34,950 OUR GROUP ABOUT 15 TO 20 YEARS 5152 03:06:35,017 --> 03:06:37,486 AS STATISTICIANS OF TRYING TO 5153 03:06:37,553 --> 03:06:38,587 INFORM THE COMMUNITY ABOUT HOW 5154 03:06:38,654 --> 03:06:40,322 LITTLE WE LEARN FROM LOOKING AT 5155 03:06:40,389 --> 03:06:41,990 EFFICACY IN SMALL STUDIES. 5156 03:06:42,057 --> 03:06:43,292 THERE'S AN UNFORTUNATE TERM THAT 5157 03:06:43,358 --> 03:06:46,795 GETS USED SOMETIMES TALKING 5158 03:06:46,862 --> 03:06:51,533 ABOUT SMALL C TRIALS THAT ARE 5159 03:06:51,600 --> 03:06:54,036 OUT THERE AND SO -- AND YET 5160 03:06:54,102 --> 03:06:55,103 FEASIBILITY WORK IF YOU REALLY 5161 03:06:55,170 --> 03:06:56,872 FOCUS ON FEASIBILITY AND, LIKE, 5162 03:06:56,939 --> 03:06:57,873 WILL PEOPLE DO IT, DO THEY STAY 5163 03:06:57,940 --> 03:07:01,577 IN THE TRIAL, CAN YOU ACTUALLY 5164 03:07:01,643 --> 03:07:03,111 RECRUIT, CAN YOU HIT YOUR 5165 03:07:03,178 --> 03:07:03,679 TARGETS. 5166 03:07:03,745 --> 03:07:07,950 GETTING THAT DONE WELL SETS YOU 5167 03:07:08,016 --> 03:07:10,786 UP FOR SUCCESS IN THOSE FUTURE 5168 03:07:10,852 --> 03:07:12,654 STUDIES AND THAT'S REALLY WHAT 5169 03:07:12,721 --> 03:07:13,322 WE'RE TRYING TO GET PEOPLE TO 5170 03:07:13,388 --> 03:07:14,623 FOCUS ON IN THOSE FEASIBILITY 5171 03:07:14,690 --> 03:07:18,927 TRIALS. 5172 03:07:18,994 --> 03:07:22,397 >> DO YOU SEE THIS BEING PICKED 5173 03:07:22,464 --> 03:07:23,065 UP BY OTHER INSTITUTES THIS, 5174 03:07:23,131 --> 03:07:23,832 KIND OF APPROACH? 5175 03:07:23,899 --> 03:07:24,833 BECAUSE I THINK IT'S REALLY 5176 03:07:24,900 --> 03:07:26,802 NICE. 5177 03:07:26,868 --> 03:07:29,871 AND I THINK IT'S SUPER NEEDED. 5178 03:07:29,938 --> 03:07:31,640 >> I JUST WANT TO REFLECT ON A 5179 03:07:31,707 --> 03:07:32,941 COMMENT YOU MADE AT THE 5180 03:07:33,008 --> 03:07:34,710 BEGINNING, WE DID A LOT OF GOOD 5181 03:07:34,776 --> 03:07:36,345 STUDIES, BUT WE DID A LOT OF BAD 5182 03:07:36,411 --> 03:07:38,180 STUDIES EARLY ON AS AN NIH. 5183 03:07:38,246 --> 03:07:41,049 I THINK THE CREDIT THIS TEAM, 5184 03:07:41,116 --> 03:07:42,250 NCCIH, WHAT YOU'VE DONE, WHAT 5185 03:07:42,317 --> 03:07:44,553 THIS TEAM HAS DONE, IS TO PARSE 5186 03:07:44,620 --> 03:07:47,189 OUT WHAT REALLY IT TAKES TO DO A 5187 03:07:47,255 --> 03:07:48,190 GOOD CLINICAL TRIAL AND IT'S NOT 5188 03:07:48,256 --> 03:07:54,763 JUST SUBMITTING AN R01. 5189 03:07:54,830 --> 03:07:57,065 YOU'RE GETTING -- MAYBE SOME OF 5190 03:07:57,132 --> 03:07:59,368 THEM DON'T TRANSITION BUT THAT'S 5191 03:07:59,434 --> 03:08:01,103 A GOOD THING IN A WAY BECAUSE 5192 03:08:01,169 --> 03:08:01,970 WE'VE LEARNED MAYBE THEY 5193 03:08:02,037 --> 03:08:02,304 SHOULDN'T. 5194 03:08:02,371 --> 03:08:04,773 SO WHAT WE'VE DONE IS REALLY 5195 03:08:04,840 --> 03:08:06,041 PARSE OUT WHAT IT MEANS TO DO 5196 03:08:06,108 --> 03:08:07,676 CLINICAL RESEARCH AND NOT JUST 5197 03:08:07,743 --> 03:08:12,080 PUT IT INTO A -- A SQUARE PEG 5198 03:08:12,147 --> 03:08:15,884 INTO A ROUND HOLE AND SAY 5199 03:08:15,951 --> 03:08:16,885 R01 BECAUSE IT DOESN'T WORK. 5200 03:08:16,952 --> 03:08:21,156 ONE OF THE BREAK THROUGHS, WE 5201 03:08:21,223 --> 03:08:22,324 GAVE PEOPLE TIME TO PLAN FOR A 5202 03:08:22,391 --> 03:08:23,558 STUDY, WE DIDN'T JUST EXPECT 5203 03:08:23,625 --> 03:08:25,761 THEM ON DAY ONE UNDER THE R01 TO 5204 03:08:25,827 --> 03:08:26,161 START THE PROJECT. 5205 03:08:26,228 --> 03:08:27,496 WE GAVE A WHOLE YEAR TO PLAN AND 5206 03:08:27,562 --> 03:08:28,830 IF THE PLANNING DOESN'T WORK 5207 03:08:28,897 --> 03:08:30,332 OUT, YOU DON'T COMMIT THE FUNDS 5208 03:08:30,399 --> 03:08:30,732 TO DO THE STUDY. 5209 03:08:30,799 --> 03:08:32,067 SO I THINK IT'S JUST EVOLVING 5210 03:08:32,134 --> 03:08:34,703 AND I THINK NIH -- TO YOUR 5211 03:08:34,770 --> 03:08:37,039 POINT, I THINK OTHER INSTITUTES 5212 03:08:37,105 --> 03:08:39,508 ARE SEEING WHAT WE'RE SEEING. 5213 03:08:39,574 --> 03:08:40,676 WENDY, YOU TRAVEL IN THESE 5214 03:08:40,742 --> 03:08:41,977 CIRCLES OR HELENE, YOU MIGHT 5215 03:08:42,044 --> 03:08:44,546 COMMENT, BUT I THINK -- AND 5216 03:08:44,613 --> 03:08:45,747 CERTAINLY WHAT THE NIH DIRECTOR 5217 03:08:45,814 --> 03:08:48,850 IS TRYING TO DO WITH THE PRIMARY 5218 03:08:48,917 --> 03:08:50,152 CARE NETWORK, I THINK SHE 5219 03:08:50,218 --> 03:08:51,687 PROBABLY COULDN'T PROPOSE THAT 5220 03:08:51,753 --> 03:08:52,988 HAD WE NOT LEARNED A LOT ABOUT 5221 03:08:53,055 --> 03:08:56,591 HOW TO REALLY DO WELL ORGANIZED 5222 03:08:56,658 --> 03:08:59,027 RIGOROUS CLINICAL RESEARCH, SO 5223 03:08:59,094 --> 03:09:00,328 YEAH, WE'VE COME A LOCK WAY, I 5224 03:09:00,395 --> 03:09:03,598 LONG WAY, IGUESS IS THE POINT. 5225 03:09:03,665 --> 03:09:05,934 >> BUT I MUST SAY, IT'S A BIT 5226 03:09:06,001 --> 03:09:07,135 FRUSTRATING TO INVESTIGATORS. 5227 03:09:07,202 --> 03:09:08,470 IT'S SORT OF LIKE WE HAVE TO SIT 5228 03:09:08,537 --> 03:09:10,539 ON YOUR HANDS, RIGHT? 5229 03:09:10,605 --> 03:09:12,407 SO YOU'VE DONE THIS R34 OR THIS 5230 03:09:12,474 --> 03:09:13,709 GREAT FEASIBILITY STUDY, AND 5231 03:09:13,775 --> 03:09:16,678 THEN YOU'RE JUST CHOMPING AT THE 5232 03:09:16,745 --> 03:09:18,113 BIT TO DO AN EFFICACY TRIAL AND 5233 03:09:18,180 --> 03:09:19,748 ALL OF A SUDDEN YOU'VE GOT TO DO 5234 03:09:19,815 --> 03:09:21,850 ANOTHER FEASIBILITY STUDY. 5235 03:09:21,917 --> 03:09:25,754 AND I THINK IT IS A RETRAINING 5236 03:09:25,821 --> 03:09:29,157 OF INVESTIGATORS EN MASSE THAT 5237 03:09:29,224 --> 03:09:32,894 IT'S JUST AS GLORIOUS TO DO A 5238 03:09:32,961 --> 03:09:34,229 TWO-SITE FEASIBILITY STUDY 5239 03:09:34,296 --> 03:09:36,398 VERSUS AN EFFICACY TRIAL. 5240 03:09:36,465 --> 03:09:38,500 IT MUCH MORE FLASHY AND MUCH 5241 03:09:38,567 --> 03:09:40,869 MORE PRESTIGIOUS TO DO AN 5242 03:09:40,936 --> 03:09:43,105 EFFICACY TRIAL. 5243 03:09:43,171 --> 03:09:45,841 OH, NUTS, I'VE GOT TO DO A 5244 03:09:45,907 --> 03:09:46,808 TWO-SITE FEASIBILITY STUDY NOW. 5245 03:09:46,875 --> 03:09:48,610 >> IT DOES TAKE SOME PATIENCE 5246 03:09:48,677 --> 03:09:49,578 AND DISCIPLINE, DOESN'T IT, TO 5247 03:09:49,644 --> 03:09:51,113 FOLLOW THE STEPS, BUT THAT'S WHY 5248 03:09:51,179 --> 03:09:52,714 WE GET FAIRLY GOOD RESULTS, 5249 03:09:52,781 --> 03:09:55,283 RIGHT? 5250 03:09:55,350 --> 03:09:58,120 WE'RE MORE DELIBERATE THAN WE US 5251 03:09:58,186 --> 03:09:59,788 USED TO BE INSTEAD OF JUST JU 5252 03:09:59,855 --> 03:10:04,259 JUMMING INTJUMPING INTO THE DEE. 5253 03:10:04,326 --> 03:10:05,427 >> THANK YOU SO MUCH, WENDY. 5254 03:10:05,494 --> 03:10:06,528 MAYBE WE SHOULD MOVE ON TO THE 5255 03:10:06,595 --> 03:10:08,463 NEXT THING BECAUSE I KNOW SOME 5256 03:10:08,530 --> 03:10:11,133 PEOPLE HAVE PLANES TO CATCH. 5257 03:10:11,199 --> 03:10:18,373 OUR NEXT IS UPDATE ON COP CONCET 5258 03:10:18,440 --> 03:10:20,942 FOR REISSUE OF RESEARCH ACROSS 5259 03:10:21,009 --> 03:10:21,710 COMPLEMENTARY AND INTEGRATIVE 5260 03:10:21,777 --> 03:10:24,112 HEALTH INSTITUTIONS OR REACH 5261 03:10:24,179 --> 03:10:27,816 VIRTUAL R RESOURCE CENTERS. 5262 03:10:27,883 --> 03:10:29,851 >> USUALLY WE VOTE ON CONCEPTS. 5263 03:10:29,918 --> 03:10:31,920 SO YOU ARE HEARING TWO TODAY, 5264 03:10:31,987 --> 03:10:34,289 BOTH OF THEM ARE UPDATES. 5265 03:10:34,356 --> 03:10:36,124 SO BOTH OF THESE CONCEPTS HAVE 5266 03:10:36,191 --> 03:10:39,094 ALREADY RECEIVED COUNCIL 5267 03:10:39,161 --> 03:10:39,961 CLEARANCE, BUT WE WANTED TO 5268 03:10:40,028 --> 03:10:41,997 PROVIDE AN UPDATE HERE, WHY, 5269 03:10:42,063 --> 03:10:43,532 BECAUSE OF WHAT DR. LANGEVIN HAS 5270 03:10:43,598 --> 03:10:45,167 JUST BEEN TALKING ABOUT A COUPLE 5271 03:10:45,233 --> 03:10:47,736 OF MINUTES AGO, THE CONCEPTS 5272 03:10:47,803 --> 03:10:49,704 BECOME FUNDING OPPORTUNITY, THE 5273 03:10:49,771 --> 03:10:51,339 FUNDING OPPORTUNITY RESULT IN 5274 03:10:51,406 --> 03:10:52,440 APPLICATIONS, AND YOU WILL SEE 5275 03:10:52,507 --> 03:10:54,943 THESE APPLICATIONS HERE A SECOND 5276 03:10:55,010 --> 03:10:57,012 LEVEL OF REVIEW, SO WE WANTED TO 5277 03:10:57,078 --> 03:10:58,046 PROVIDE THIS UPDATE TO YOU. 5278 03:10:58,113 --> 03:10:58,647 >> GREAT. 5279 03:10:58,713 --> 03:10:59,915 THANK YOU. 5280 03:10:59,981 --> 03:11:02,317 WE WERE JUST TALKING ABOUT HOW 5281 03:11:02,384 --> 03:11:08,123 DIFFICULT IT IS TO NAVIGATE NIH, 5282 03:11:08,190 --> 03:11:09,424 EVEN AS EXPERIENCED 5283 03:11:09,491 --> 03:11:10,058 INVESTIGATORS WE HAVE A LOT OF 5284 03:11:10,125 --> 03:11:10,959 QUESTIONS SO I'M REALLY PLEASED 5285 03:11:11,026 --> 03:11:12,928 TO PRESENT AN UPDATE ON THIS 5286 03:11:12,994 --> 03:11:15,297 CONCEPT TO REISSUE THESE VIRTUAL 5287 03:11:15,363 --> 03:11:17,599 RESOURCE CENTERS, RESEARCH 5288 03:11:17,666 --> 03:11:19,034 ACROSS COMPLEMENTARY AND 5289 03:11:19,100 --> 03:11:21,036 INTEGRATIVE HEALTH INSTITUTIONS 5290 03:11:21,102 --> 03:11:23,104 OR REACH, AS REALLY OUR OVERALL 5291 03:11:23,171 --> 03:11:24,840 GOAL FOR THESE RESOURCE CENTERS 5292 03:11:24,906 --> 03:11:28,844 IS THAT IT MAKES IT EASIER FOR 5293 03:11:28,910 --> 03:11:29,611 CLINICIAN-SCIENTISTS WHO ARE 5294 03:11:29,678 --> 03:11:31,346 LOCATED AT COMPLEMENTARY AND 5295 03:11:31,413 --> 03:11:33,748 INTEGRATIVE HEALTH INSTITUTIONS 5296 03:11:33,815 --> 03:11:35,050 TO NAVIGATE NIH AND GET FUNDING 5297 03:11:35,116 --> 03:11:38,987 FOR THEIR WORK. 5298 03:11:39,054 --> 03:11:41,056 SO I'M JUST GOING TO DISCUSS THE 5299 03:11:41,122 --> 03:11:45,193 CLEARANCE PROCESS WE USED. 5300 03:11:45,260 --> 03:11:46,461 AND THEN TALK A LITTLE BIT ABOUT 5301 03:11:46,528 --> 03:11:47,462 THE OUT COME OF OUR PREVIOUS 5302 03:11:47,529 --> 03:11:47,996 INITIATIVE. 5303 03:11:48,063 --> 03:11:51,700 THIS IS A REISSUE OF THE REACH 5304 03:11:51,766 --> 03:11:52,801 CENTER PROGRAM, AND THEN I'LL 5305 03:11:52,868 --> 03:11:54,236 GIVE A FULL OVERVIEW OF WHAT 5306 03:11:54,302 --> 03:11:59,241 REACH CENTERS ARE. 5307 03:11:59,307 --> 03:12:02,410 AS MARTINA SAID, WE DID ALREADY 5308 03:12:02,477 --> 03:12:04,679 OBTAIN COUNCIL CLEARANCE TO 5309 03:12:04,746 --> 03:12:06,548 REISSUE THE REACH CENTER 5310 03:12:06,615 --> 03:12:09,084 INITIATIVE IN MARCH. 5311 03:12:09,150 --> 03:12:12,220 WE MOVED FORWARD WITH THAT VIA 5312 03:12:12,287 --> 03:12:13,288 EARLY CONCURRENCE, AND REALLY 5313 03:12:13,355 --> 03:12:16,024 THE GOAL OF REISSUING THIS 5314 03:12:16,091 --> 03:12:18,260 INITIATIVE IS TO CREATE A 5315 03:12:18,326 --> 03:12:19,794 NETWORK OF REACH CENTERS THAT 5316 03:12:19,861 --> 03:12:21,196 CAN BETTER SUPPORT A DIVERSE 5317 03:12:21,263 --> 03:12:24,566 ARRAY OF RESEARCH ACTIVITIES AND 5318 03:12:24,633 --> 03:12:27,202 TRAININGS FOR 5319 03:12:27,269 --> 03:12:27,736 CLINICIAN-SCIENTISTS. 5320 03:12:27,802 --> 03:12:31,339 AND SO OUR PREVIOUS INITIATIVE 5321 03:12:31,406 --> 03:12:33,575 WAS IN FY 23, AND WE WERE ABLE 5322 03:12:33,642 --> 03:12:36,311 TO FUND ONE CENTER OUT OF THAT 5323 03:12:36,378 --> 03:12:37,746 INITIATIVE AT THE RAND 5324 03:12:37,812 --> 03:12:40,882 CORPORATION LED BY DRS. PATRICIA 5325 03:12:40,949 --> 03:12:44,152 HERMAN AND ANNE COULTER. 5326 03:12:44,219 --> 03:12:46,454 IN THAT APPLICATION, THEY 5327 03:12:46,521 --> 03:12:49,791 PARTNERED WITH 13 COMPLEMENTARY 5328 03:12:49,858 --> 03:12:50,292 AND INTEGRATIVE HEALTH 5329 03:12:50,358 --> 03:12:51,426 INSTITUTIONS AND PROPOSED A 5330 03:12:51,493 --> 03:12:54,462 COMPREHENSIVE RESOURCE CENTER TO 5331 03:12:54,529 --> 03:12:56,164 SUPPORT CLINICIAN, SCIENTISTS 5332 03:12:56,231 --> 03:12:57,699 FACULTY LOCATED AT ALL OF THOSE 5333 03:12:57,766 --> 03:12:58,033 INSTITUTIONS. 5334 03:12:58,099 --> 03:12:59,868 I'VE INCLUDED THE WEBSITE TO 5335 03:12:59,935 --> 03:13:01,736 THEIR CENTER HERE SO YOU CAN 5336 03:13:01,803 --> 03:13:02,704 LEARN MORE ABOUT ALL OF THE 5337 03:13:02,771 --> 03:13:03,672 DIFFERENT RESOURCES THAT THEY 5338 03:13:03,738 --> 03:13:04,873 HAVE UP AND RUNNING. 5339 03:13:04,940 --> 03:13:08,777 THIS CENTER STARTED IN AUGUST OF 5340 03:13:08,843 --> 03:13:14,683 LAST YEAR, AND YOU CAN SEE HERE 5341 03:13:14,749 --> 03:13:16,985 A LAUNCH WEBINAR THAT WE 5342 03:13:17,052 --> 03:13:18,286 PARTICIPATED IN JOINTLY. 5343 03:13:18,353 --> 03:13:25,961 I THINK ONE MORE CLICK. 5344 03:13:26,027 --> 03:13:27,262 SO I WANTED TO PROVIDE AN 5345 03:13:27,329 --> 03:13:28,229 OVERVIEW OF THE REACH CENTER 5346 03:13:28,296 --> 03:13:28,563 PROGRAM. 5347 03:13:28,630 --> 03:13:31,166 AS I SAID WE WANTED TO EXPAND A 5348 03:13:31,232 --> 03:13:37,439 NETWORK OF THESE RECH CENTE REAS 5349 03:13:37,505 --> 03:13:39,174 THAT CAN BE FOCUSED IN DIFFERENT 5350 03:13:39,240 --> 03:13:40,809 AREAS OF SCIENCE BUT ALSO USE 5351 03:13:40,875 --> 03:13:43,211 DIFFERENT METHODS TO PROVIDE 5352 03:13:43,278 --> 03:13:45,113 THESE DIFFERENT RESOURCES. 5353 03:13:45,180 --> 03:13:46,081 REALLY TO BACK UP AND PROVIDE A 5354 03:13:46,147 --> 03:13:47,916 LITTLE BIT OF THE RATIONALE 5355 03:13:47,983 --> 03:13:49,217 HERE, THIS ALIGNS VERY WELL WITH 5356 03:13:49,284 --> 03:13:52,921 OUR STRATEGIC PLAN TO ENHANCE 5357 03:13:52,988 --> 03:13:55,790 THE COMPLEMENTARY AND 5358 03:13:55,857 --> 03:13:56,992 INTEGRATIVE HEALTH RESEARCH 5359 03:13:57,058 --> 03:13:57,592 WORKFORCE. 5360 03:13:57,659 --> 03:13:59,227 UNDER THAT STRATEGIC PRIORITY WE 5361 03:13:59,294 --> 03:14:00,195 HAVE TWO DIFFERENT STRATEGIES 5362 03:14:00,261 --> 03:14:01,096 FIRST TO SUPPORT TRAINING AND 5363 03:14:01,162 --> 03:14:02,497 CAREER DEVELOPMENT AT THE 5364 03:14:02,564 --> 03:14:03,598 INDIVIDUAL LEVEL TO INCREASE THE 5365 03:14:03,665 --> 03:14:05,734 DIVERSITY AND NUMBER OF 5366 03:14:05,800 --> 03:14:07,168 INDIVIDUALS WHO ARE CONDUCTING 5367 03:14:07,235 --> 03:14:08,703 RIGOROUS COMPLEMENTARY AND 5368 03:14:08,770 --> 03:14:10,138 INTEGRATIVE HEALTH RESEARCH, AND 5369 03:14:10,205 --> 03:14:13,308 WE REALLY FOCUSED ON A FEW 5370 03:14:13,375 --> 03:14:15,877 SPECIFIC POPULATIONS AND GROUPS 5371 03:14:15,944 --> 03:14:17,679 INCLUDING CLINICIAN-SCIENTISTS, 5372 03:14:17,746 --> 03:14:19,848 WHICH IS THE FOCUS OF THIS 5373 03:14:19,914 --> 03:14:21,683 INITIATIVE, AND ALSO AS A SECOND 5374 03:14:21,750 --> 03:14:25,487 STRATEGY, WE ARE SEEKING TO 5375 03:14:25,553 --> 03:14:26,688 FOSTER INTERDISCIPLINARY 5376 03:14:26,755 --> 03:14:27,655 COLLABORATIONS NOT ONLY AT THE 5377 03:14:27,722 --> 03:14:29,424 INDIVIDUAL LEVEL BUT ALSO AT THE 5378 03:14:29,491 --> 03:14:30,392 INSTITUTIONAL LEVEL, WHICH AGAIN 5379 03:14:30,458 --> 03:14:31,793 IS THE FOCUS OF THE REACH 5380 03:14:31,860 --> 03:14:32,894 CENTERS. 5381 03:14:32,961 --> 03:14:35,730 SO NEXT SLIDE, WHY DO WE FEEL 5382 03:14:35,797 --> 03:14:36,398 THESE INSTITUTIONAL PARTNERSHIPS 5383 03:14:36,464 --> 03:14:38,466 ARE REALLY NECESSARY? 5384 03:14:38,533 --> 03:14:43,371 WELL, IF WE JUST THINK ABOUT THE 5385 03:14:43,438 --> 03:14:45,140 DIFFERENT TYPES OF ENVIRONMENTS 5386 03:14:45,206 --> 03:14:46,207 THAT ARE AVAILABLE AT THESE 5387 03:14:46,274 --> 03:14:48,376 DIFFERENT TYPES OF INSTITUTIONS, 5388 03:14:48,443 --> 03:14:50,712 WE THINK ABOUT RESEARCH 5389 03:14:50,779 --> 03:14:52,747 INTENSIVE INSTITUTIONS TYPICALLY 5390 03:14:52,814 --> 03:14:54,449 YOU SEE STRONG RESEARCH 5391 03:14:54,516 --> 03:14:57,952 INFRASTRUCTURE AVAILABLE, 5392 03:14:58,019 --> 03:14:59,154 GRANTSMANSHIP COURSES, RESEARCH 5393 03:14:59,220 --> 03:15:00,955 TRAINING COURSES, THE EXISTENCE 5394 03:15:01,022 --> 03:15:02,991 ALREADY OF INTERDISCIPLINARY 5395 03:15:03,058 --> 03:15:04,192 NETWORKS, AND A LOT OF PIs 5396 03:15:04,259 --> 03:15:06,127 THAT HAVE A HISTORY OF NIH 5397 03:15:06,194 --> 03:15:08,196 FUNDING THAT REALLY HELP PEOPLE 5398 03:15:08,263 --> 03:15:09,831 NAVIGATE HOW TO FIND FUNDING 5399 03:15:09,898 --> 03:15:11,032 OPPORTUNITIES AND APPLY TO THEM, 5400 03:15:11,099 --> 03:15:13,501 ET CETERA. 5401 03:15:13,568 --> 03:15:14,936 HOWEVER, OFTENTIMES, THESE 5402 03:15:15,003 --> 03:15:16,805 RESEARCH INTENSIVE INSTITUTIONS 5403 03:15:16,871 --> 03:15:19,207 LACK A STRONG PRESENCE OF 5404 03:15:19,274 --> 03:15:20,508 CLINICIAN-SCIENTISTS WHO'VE BEEN 5405 03:15:20,575 --> 03:15:22,243 TRAINED IN COMPLEMENTARY AND 5406 03:15:22,310 --> 03:15:23,078 INTEGRATIVE HEALTH DISCIPLINES 5407 03:15:23,144 --> 03:15:24,646 THAT CAN INFORM IMPORTANT 5408 03:15:24,712 --> 03:15:26,081 RESEARCH QUESTIONS. 5409 03:15:26,147 --> 03:15:30,218 ON THE OTHER HAND, IF WE LOOK AT 5410 03:15:30,285 --> 03:15:31,086 COMPLEMENTARY AND INTEGRATIVE 5411 03:15:31,152 --> 03:15:31,953 HEALTH CLINICAL INSTITUTIONS 5412 03:15:32,020 --> 03:15:33,688 HERE, WE SEE A CONCENTRATION OF 5413 03:15:33,755 --> 03:15:34,556 THESE CLINICIAN-SCIENTISTS WHO 5414 03:15:34,622 --> 03:15:36,191 HAVE THAT TYPE OF TRAINING TO 5415 03:15:36,257 --> 03:15:38,893 INFORM THE RESEARCH QUESTIONS, 5416 03:15:38,960 --> 03:15:40,762 AND THERE'S A STRONG TRAINING 5417 03:15:40,829 --> 03:15:43,598 ENVIRONMENT TO CONTRIBUTE TO 5418 03:15:43,665 --> 03:15:45,233 KNOWLEDGE GENERATION, BUT THEY 5419 03:15:45,300 --> 03:15:48,069 OFTEN LACK RESEARCH 5420 03:15:48,136 --> 03:15:48,937 INFRASTRUCTURE IN THAT 5421 03:15:49,003 --> 03:15:50,338 ENVIRONMENT AND TRAINING TO 5422 03:15:50,405 --> 03:15:51,706 SUPPORT CLINICIAN-SCIENTISTS' 5423 03:15:51,773 --> 03:15:51,973 CAREERS. 5424 03:15:52,040 --> 03:15:54,042 SO REALLY THE RATIONALE BEHIND 5425 03:15:54,109 --> 03:15:56,478 THE REACH RESOURCE CENTERS IS TO 5426 03:15:56,544 --> 03:15:57,545 COMBINE THE STRENGTHS OF THESE 5427 03:15:57,612 --> 03:16:02,150 DIFFERENT TYPES OF INSTITUTIONS. 5428 03:16:02,217 --> 03:16:03,718 SO HERE YOU CAN SEE THE OVERALL 5429 03:16:03,785 --> 03:16:05,186 STRUCTURE OF THE REACH RESOURCE 5430 03:16:05,253 --> 03:16:07,255 CENTERS, WHICH WOULD BE LOCATED 5431 03:16:07,322 --> 03:16:10,391 WITHIN A RESEARCH-INTENSIVE 5432 03:16:10,458 --> 03:16:11,793 ENVIRONMENT, AND THEY WOULD BE 5433 03:16:11,860 --> 03:16:13,461 SCIENTIFIC HUBS THAT WOULD 5434 03:16:13,528 --> 03:16:15,096 FOSTER INSTITUTIONAL 5435 03:16:15,163 --> 03:16:18,266 PARTNERSHIPS WITH THE CLINICAL 5436 03:16:18,333 --> 03:16:19,534 COMPLEMENTARY AND INTEGRATIVE 5437 03:16:19,601 --> 03:16:19,968 HEALTH INSTITUTIONS. 5438 03:16:20,034 --> 03:16:21,369 THE REACH CENTER WILL PROVIDE 5439 03:16:21,436 --> 03:16:24,005 RESEARCH ACTIVITIES AND TRAINING 5440 03:16:24,072 --> 03:16:26,074 FOR FACULTY WHO ARE LOCATED AT A 5441 03:16:26,141 --> 03:16:28,176 CLINICAL INSTITUTION. 5442 03:16:28,243 --> 03:16:29,711 AND REALLY THE FOCUS HERE IS TO 5443 03:16:29,777 --> 03:16:31,646 PROVIDE RESOURCES TO CONDUCT 5444 03:16:31,713 --> 03:16:33,014 CLINICAL RESEARCH THAT IS WELL 5445 03:16:33,081 --> 03:16:37,719 ALIGNED WITH OUR STRATEGIC PLAN. 5446 03:16:37,785 --> 03:16:39,420 THE VIRTUAL RESOURCES, AND I 5447 03:16:39,487 --> 03:16:40,755 WANT TO EMPHASIZE THAT WE HAVE 5448 03:16:40,822 --> 03:16:42,290 SET THIS UP AS A VIRTUAL 5449 03:16:42,357 --> 03:16:44,125 RESOURCE CENTER TO HAVE THE 5450 03:16:44,192 --> 03:16:47,061 WIDEST REACH POSSIBLE TO AS MANY 5451 03:16:47,128 --> 03:16:49,364 DIFFERENT CLINICAL INSTITUTIONS 5452 03:16:49,430 --> 03:16:49,931 AS POSSIBLE. 5453 03:16:49,998 --> 03:16:51,566 THESE VIRTUAL RESOURCES WILL 5454 03:16:51,633 --> 03:16:53,034 REALLY BE CENTERED AROUND 5455 03:16:53,101 --> 03:16:55,336 SUPPORTING DEVELOPMENT, 5456 03:16:55,403 --> 03:16:56,871 SUBMISSION AND MANAGEMENT OF 5457 03:16:56,938 --> 03:16:58,740 FEDERAL RESEARCH GRANT 5458 03:16:58,806 --> 03:17:01,309 APPLICATIONS FOR INVESTIGATORS 5459 03:17:01,376 --> 03:17:03,845 THAT ARE INTERESTED IN CLINICAL 5460 03:17:03,912 --> 03:17:06,347 RESEARCH ON HEALTH PROMOTION AND 5461 03:17:06,414 --> 03:17:08,583 RESTORATION, RESILIENCE, DISEASE 5462 03:17:08,650 --> 03:17:09,784 PREVENTION, SYMPTOM MANAGEMENT 5463 03:17:09,851 --> 03:17:11,653 INCLUDING PAIN, AND/OR WHOLE 5464 03:17:11,719 --> 03:17:12,754 PERSON HEALTH. 5465 03:17:12,820 --> 03:17:14,789 AND THE RESOURCES NEED TO BE 5466 03:17:14,856 --> 03:17:16,324 BASED ON THE NEEDS OF THE 5467 03:17:16,391 --> 03:17:17,425 PARTNERING CLINICAL INSTITUTIONS 5468 03:17:17,492 --> 03:17:20,428 BUT THEY MUST COVER ALL FIVE OF 5469 03:17:20,495 --> 03:17:21,629 THE CATEGORIES LISTED ON THE 5470 03:17:21,696 --> 03:17:23,164 SLIDE. 5471 03:17:23,231 --> 03:17:25,233 ADMINISTRATIVE SUPPORT, RESEARCH 5472 03:17:25,300 --> 03:17:28,203 SUPPORT, GRANTSMAN SHIP, 5473 03:17:28,269 --> 03:17:32,907 MENTORSHIP, AND TEAM BUILDING. 5474 03:17:32,974 --> 03:17:35,643 THE PARTNERSHIP ASPECT IS 5475 03:17:35,710 --> 03:17:37,245 CRITICAL TO THE SUCCESS OF THIS 5476 03:17:37,312 --> 03:17:37,912 PROGRAM SO WE ARE REQUIRING THAT 5477 03:17:37,979 --> 03:17:39,881 REACH CENTERS PARTNER WITH AT 5478 03:17:39,948 --> 03:17:41,649 LEAST THREE ACCREDITED U.S. 5479 03:17:41,716 --> 03:17:42,717 DOMESTIC COMPLEMENTARY AND 5480 03:17:42,784 --> 03:17:44,586 INTEGRATIVE HEALTH INSTITUTIONS 5481 03:17:44,652 --> 03:17:46,888 FROM A BREADTH OF CLINICAL 5482 03:17:46,955 --> 03:17:49,257 DISCIPLINES, AND THAT THE 5483 03:17:49,324 --> 03:17:49,924 PARTNERING INSTITUTIONS 5484 03:17:49,991 --> 03:17:51,559 DEMONSTRATE A WILLINGNESS TO 5485 03:17:51,626 --> 03:17:53,194 ENGAGE IN THESE ACTIVITIES AND 5486 03:17:53,261 --> 03:17:56,965 COMMIT TO SUPPORTING AT LEAST 5487 03:17:57,031 --> 03:17:59,033 20% PROTECTED TIME FOR FACULTY 5488 03:17:59,100 --> 03:18:00,602 TO PARTICIPATE IN THE RESEARCH 5489 03:18:00,668 --> 03:18:02,203 TRAINING ACTIVITIES. 5490 03:18:02,270 --> 03:18:04,505 AND WE ALSO WANT TO SEE THAT 5491 03:18:04,572 --> 03:18:08,009 THEY INCLUDE PLANS TO EXPAND TO 5492 03:18:08,076 --> 03:18:08,943 ADDITIONAL PARTNERSHIPS OVER 5493 03:18:09,010 --> 03:18:11,279 TIME. 5494 03:18:11,346 --> 03:18:13,014 SO REALLY OUR GOAL IS THAT BY 5495 03:18:13,081 --> 03:18:15,183 EXPANDING THIS INTO A NETWORK OF 5496 03:18:15,250 --> 03:18:17,619 CENTERS, WE WILL BE ABLE TO 5497 03:18:17,685 --> 03:18:19,687 IMPROVE THE QUALITY AND QUANTITY 5498 03:18:19,754 --> 03:18:21,222 OF FEDERAL RESEARCH GRANT 5499 03:18:21,289 --> 03:18:22,290 APPLICATIONS THAT GET SUBMITTED 5500 03:18:22,357 --> 03:18:25,159 BY FACULTY AT THESE 5501 03:18:25,226 --> 03:18:26,027 COMPLEMENTARY AND INTEGRATIVE 5502 03:18:26,094 --> 03:18:28,096 HEALTH INSTITUTIONS, THAT WE 5503 03:18:28,162 --> 03:18:31,799 WILL AID IN THE FORMATION OF 5504 03:18:31,866 --> 03:18:32,700 INTERDISCIPLINARY PARTNERSHIPS, 5505 03:18:32,767 --> 03:18:34,902 AND REALLY HELP TO ENHANCE THE 5506 03:18:34,969 --> 03:18:36,170 RESEARCH ENVIRONMENT AT THESE 5507 03:18:36,237 --> 03:18:38,339 CLINICAL INSTITUTIONS, AND 5508 03:18:38,406 --> 03:18:42,510 OVERALL SUPPORT A PIPELINE FOR 5509 03:18:42,577 --> 03:18:44,445 CLINICIAN-SCIENTISTS. 5510 03:18:44,512 --> 03:18:46,981 SO HERE IS THE INFORMATION WE 5511 03:18:47,048 --> 03:18:50,818 HAVE TO DATE ON OUR PROGRESS 5512 03:18:50,885 --> 03:18:52,420 TOWARDS REISSUING THIS 5513 03:18:52,487 --> 03:18:52,720 INITIATIVE. 5514 03:18:52,787 --> 03:18:55,223 WE HAVE PUBLISHED A NOTICE OF 5515 03:18:55,290 --> 03:18:56,557 INTENT TO PUBLISH A FUNDING 5516 03:18:56,624 --> 03:18:58,826 OPPORTUNITY, SO THIS IS LIKE A 5517 03:18:58,893 --> 03:19:00,995 PREVIEW OF THE MOVIE. 5518 03:19:01,062 --> 03:19:02,997 AND SO THERE'S ACTUALLY QUITE A 5519 03:19:03,064 --> 03:19:04,432 LOT OF DETAIL WITHIN THAT 5520 03:19:04,499 --> 03:19:06,901 NOTICE, SO YOU CAN READ MORE 5521 03:19:06,968 --> 03:19:07,101 THERE. 5522 03:19:07,168 --> 03:19:08,803 AND YOU CAN SEE OUR ESTIMATED 5523 03:19:08,870 --> 03:19:10,471 DATES OF WHEN WE ANTICIPATE 5524 03:19:10,538 --> 03:19:12,473 THINGS TO MOVE FORWARD. 5525 03:19:12,540 --> 03:19:15,977 WE DO ANTICIPATE SEEING THE FULL 5526 03:19:16,044 --> 03:19:18,579 RFA COME OUT SOON, HOPEFULLY BY 5527 03:19:18,646 --> 03:19:21,416 THE END OF THE MONTH, AND 5528 03:19:21,482 --> 03:19:23,151 EXCITINGLY, I'M HAPPY TO 5529 03:19:23,217 --> 03:19:24,452 ANNOUNCE THAT WE HAVE A 5530 03:19:24,519 --> 03:19:27,388 TECHNICAL ASSISTANCE AND TEAMING 5531 03:19:27,455 --> 03:19:30,224 WEBINAR PLANNED FOR JUNE 18TH, 5532 03:19:30,291 --> 03:19:32,427 AND THIS WILL REALLY PROVIDE AN 5533 03:19:32,493 --> 03:19:33,294 OVERVIEW OF THE FUNDING 5534 03:19:33,361 --> 03:19:34,162 OPPORTUNITY AND WHAT ALL IS 5535 03:19:34,228 --> 03:19:36,130 REQUIRED BUT ALSO PROVIDE 5536 03:19:36,197 --> 03:19:38,433 DEDICATED TIME FOR POTENTIAL 5537 03:19:38,499 --> 03:19:41,903 APPLICANTS FROM RESEARCH 5538 03:19:41,969 --> 03:19:43,004 INTENSIVE INSTITUTIONS TO MEET 5539 03:19:43,071 --> 03:19:44,739 WITH POTENTIAL PARTNERS FROM 5540 03:19:44,806 --> 03:19:45,940 CLINICAL INSTITUTIONS. 5541 03:19:46,007 --> 03:19:48,343 SO YOU CAN REGISTER TO ATTEND 5542 03:19:48,409 --> 03:19:51,179 THAT AND I'M HAPPY TO TAKE ANY 5543 03:19:51,245 --> 03:19:51,446 QUESTIONS. 5544 03:19:51,512 --> 03:20:00,221 THANK YOU. 5545 03:20:00,288 --> 03:20:01,756 AND I WILL NOTE THAT COUNCIL 5546 03:20:01,823 --> 03:20:03,958 PROVIDED A ROBUST DISCUSSION AS 5547 03:20:04,025 --> 03:20:05,193 WE WENT THROUGH THE CLEARANCE 5548 03:20:05,259 --> 03:20:06,694 PROCESS IN MARCH. 5549 03:20:06,761 --> 03:20:09,130 I REALLY APPRECIATED ALL OF THE 5550 03:20:09,197 --> 03:20:10,465 INPUT RECEIVED THEN, AND I WANT 5551 03:20:10,531 --> 03:20:11,899 TO THANK EVERYONE FOR THE 5552 03:20:11,966 --> 03:20:14,302 UNANIMOUS APPROVAL OF REISSUING 5553 03:20:14,369 --> 03:20:16,304 THIS CONCEPT. 5554 03:20:16,371 --> 03:20:17,205 >> GREAT. 5555 03:20:17,271 --> 03:20:22,577 WELL, THANK YOU, LANAY. 5556 03:20:22,643 --> 03:20:25,213 GIVEN THAT LOOKS LIKE PEEL ARE 5557 03:20:25,279 --> 03:20:27,181 PEELING OFF, THANK YOU, WE'VE 5558 03:20:27,248 --> 03:20:30,718 ALREADY BEEN DISCUSSED SO THIS 5559 03:20:30,785 --> 03:20:31,486 IS WONDERFUL. 5560 03:20:31,552 --> 03:20:33,588 LET'S MOVE ON TO THE UPDATE ON 5561 03:20:33,654 --> 03:20:35,423 CONCEPT FOR HEAL RESEARCH 5562 03:20:35,490 --> 03:20:37,291 ENHANCEMENT AWARD PROGRAM. 5563 03:20:37,358 --> 03:20:39,026 SO HOPEFULLY, ALEX, YOU CAN GIVE 5564 03:20:39,093 --> 03:20:41,295 US A SHORT VERSION OF THAT. 5565 03:20:41,362 --> 03:20:42,730 >> IT'S ALWAYS HARD BEING THE 5566 03:20:42,797 --> 03:20:48,069 LAST ACT IN THE SHOW. 5567 03:20:48,136 --> 03:20:49,470 WELL THANK YOU, AND GOOD 5568 03:20:49,537 --> 03:20:50,872 AFTERNOON, COUNCILMEMBERS. 5569 03:20:50,938 --> 03:20:53,474 ALEX TUTTLE. 5570 03:20:53,541 --> 03:20:55,343 THE PROGRAM LEAD FOR COUNCIL'S 5571 03:20:55,410 --> 03:20:56,844 NEXT AGENDA ITEM. 5572 03:20:56,911 --> 03:20:57,812 THIS PROPOSED CONCEPT IS CALLED 5573 03:20:57,879 --> 03:20:59,347 THE HEAL RESEARCH ENHANCEMENT 5574 03:20:59,414 --> 03:20:59,781 AWARD PROGRAM. 5575 03:20:59,847 --> 03:21:01,315 BECAUSE THE CONCEPT WAS 5576 03:21:01,382 --> 03:21:02,617 PREVIOUSLY PRESENTED AND 5577 03:21:02,683 --> 03:21:04,919 APPROVED BY THE NINDS'S FEBRUARY 5578 03:21:04,986 --> 03:21:08,089 ADVISORY COUNCIL AS AN EN BLOC 5579 03:21:08,156 --> 03:21:12,126 PROCESS, MY PRESENTATION TODAY 5580 03:21:12,193 --> 03:21:14,929 IS INFORMATIONAL. 5581 03:21:14,996 --> 03:21:16,564 I'D LIKE TO START BY DESCRIBING 5582 03:21:16,631 --> 03:21:18,766 RESEARCH PRIORITIES IN THE HEAL 5583 03:21:18,833 --> 03:21:20,401 INITIATIVE, AND THEN DETAIL THE 5584 03:21:20,468 --> 03:21:22,136 PURPOSE OF NIH'S ACADEMIC 5585 03:21:22,203 --> 03:21:23,371 RESEARCH ENHANCEMENT AWARD 5586 03:21:23,438 --> 03:21:23,838 PROGRAMS. 5587 03:21:23,905 --> 03:21:25,072 FINALLY I'LL DESCRIBE THE 5588 03:21:25,139 --> 03:21:26,240 PROPOSED INITIATIVE CONCEPT 5589 03:21:26,307 --> 03:21:28,643 WHICH IS LESS FURTHER ALONG THAN 5590 03:21:28,709 --> 03:21:30,945 LANAY'S PREVIOUS CONCEPT SO WE 5591 03:21:31,012 --> 03:21:32,747 DON'T HAVE AS MUCH DETAIL BUT WE 5592 03:21:32,814 --> 03:21:37,018 ARE CURRENTLY WRITING A NOFO. 5593 03:21:37,084 --> 03:21:38,419 THE HEAL INITIATIVE HAS 5594 03:21:38,486 --> 03:21:41,355 PRIORITIZED BUILDING OUT A PRO 5595 03:21:41,422 --> 03:21:43,324 BUST PAIN RESEARCH WORKFORCE AND 5596 03:21:43,391 --> 03:21:44,826 INCREASING WORKFORCE EQUITY 5597 03:21:44,892 --> 03:21:46,060 INCLUSION AND DIVERSITY AS 5598 03:21:46,127 --> 03:21:52,366 CROSS-CUTTING RESEARCH GOALS. 5599 03:21:52,433 --> 03:21:53,968 CURRENTLY TWO CRUCIAL GAPS EXIST 5600 03:21:54,035 --> 03:21:55,203 IN THE WORKFORCE DEVELOPMENT 5601 03:21:55,269 --> 03:21:56,137 PROGRAM. 5602 03:21:56,204 --> 03:21:57,004 THE FIRST IS LACK OF SUFFICIENT 5603 03:21:57,071 --> 03:21:58,639 NUMBER OF INVESTIGATORS FROM 5604 03:21:58,706 --> 03:22:00,408 SMALL OR GEOGRAPHICALLY DIVERSE 5605 03:22:00,475 --> 03:22:01,375 INSTITUTIONS. 5606 03:22:01,442 --> 03:22:02,743 AS WELL THERE'S A LACK OF 5607 03:22:02,810 --> 03:22:03,978 SUFFICIENT NUMBER OF 5608 03:22:04,045 --> 03:22:05,480 INVESTIGATORS FROM PROFESSIONAL 5609 03:22:05,546 --> 03:22:07,882 SCHOOLS OR COLLEGES. 5610 03:22:07,949 --> 03:22:08,549 OUR PROPOSED INITIATIVE WILL 5611 03:22:08,616 --> 03:22:09,417 ADDRESS BOTH OF THESE GAPS. 5612 03:22:09,484 --> 03:22:10,952 ONE WAY TO ADDRESS THE GAPS IS 5613 03:22:11,018 --> 03:22:12,453 USING THE NIH RESEARCH 5614 03:22:12,520 --> 03:22:13,654 ENHANCEMENT AWARD PROGRAM AS A 5615 03:22:13,721 --> 03:22:15,723 GUIDE OR FRAMEWORK. 5616 03:22:15,790 --> 03:22:18,092 THESE REA PROGRAMS ARE DESIGNED 5617 03:22:18,159 --> 03:22:19,093 TO SUPPORT MERITORIOUS RESEARCH 5618 03:22:19,160 --> 03:22:20,528 PROJECTS PROPOSED BY RESEARCHERS 5619 03:22:20,595 --> 03:22:22,463 FROM ELIGIBLE UNDERREPRESENTED 5620 03:22:22,530 --> 03:22:23,531 U.S. ACADEMIC INSTITUTIONS. 5621 03:22:23,598 --> 03:22:25,500 THE REA PROGRAM WILL HOPEFULLY 5622 03:22:25,566 --> 03:22:26,167 PROVIDE AN OPPORTUNITY FOR THE 5623 03:22:26,234 --> 03:22:27,668 HEAL INITIATIVE TO INCREASE 5624 03:22:27,735 --> 03:22:28,870 SCIENTIFIC DIVERSITY IN ITS OWN 5625 03:22:28,936 --> 03:22:30,505 FUNDED PROGRAMS. 5626 03:22:30,571 --> 03:22:31,706 THE PURPOSE OF NIH'S CURRENT 5627 03:22:31,772 --> 03:22:33,207 SUITE OF RESEARCH ENHANCEMENT 5628 03:22:33,274 --> 03:22:35,176 AWARDS IS TO SUPPORT SMALL SCALE 5629 03:22:35,243 --> 03:22:36,611 RESEARCH GRANTS AT INSTITUTIONS 5630 03:22:36,677 --> 03:22:38,312 THAT DO NOT RECEIVE SUBSTANTIAL 5631 03:22:38,379 --> 03:22:39,213 FUNDING FROM THE NIH WITH AN 5632 03:22:39,280 --> 03:22:40,414 EMPHASIS ON PROVIDING BRY OWE 5633 03:22:40,481 --> 03:22:42,049 MEDICAL RESEARCH EXPERIENCE 5634 03:22:42,116 --> 03:22:43,885 PRIMARY FOR HEALTH PROFESSIONAL, 5635 03:22:43,951 --> 03:22:44,752 UNDERGRADUATE AND GRADUATE 5636 03:22:44,819 --> 03:22:48,389 STUDENTS WHILE ENHANCING THE 5637 03:22:48,456 --> 03:22:50,525 RESEARCH ENVIRONMENT AT 5638 03:22:50,591 --> 03:22:51,959 APPLICANT INSTITUTIONS. 5639 03:22:52,026 --> 03:22:53,160 SUPPORT MERITORIOUS RESEARCH AT 5640 03:22:53,227 --> 03:22:54,128 INSTITUTIONS THAT HAVE RECEIVED 5641 03:22:54,195 --> 03:22:55,897 LESS THAN $6 MILLION OF NIH 5642 03:22:55,963 --> 03:22:57,365 FUNDING AND FOR THE PAST SEVEN 5643 03:22:57,431 --> 03:22:57,598 YEARS. 5644 03:22:57,665 --> 03:23:00,101 FROM A PF I THAT DOES NOT HAVE 5645 03:23:00,167 --> 03:23:01,402 ANOTHER ACTIVE NIH RESEARCH -- 5646 03:23:01,469 --> 03:23:03,738 NIH GRANT AT THE TIME OF AWARD. 5647 03:23:03,804 --> 03:23:05,039 THE SECOND GOAL IS TO EXPOSE 5648 03:23:05,106 --> 03:23:06,407 STUDENTS TO HANDS-ON RESEARCH 5649 03:23:06,474 --> 03:23:10,144 AND A THIRD IMOAL GOAL IS TO 5650 03:23:10,211 --> 03:23:12,413 STRENGTHEN AT AWARD E ELIGIBLE 5651 03:23:12,480 --> 03:23:13,147 INSTITUTION. 5652 03:23:13,214 --> 03:23:14,715 THE NIH CURRENTLY SUPPORTS TWO 5653 03:23:14,782 --> 03:23:15,383 SUCH PROGRAMS. 5654 03:23:15,449 --> 03:23:17,084 THE FIRST IS THE AREA PROGRAM 5655 03:23:17,151 --> 03:23:18,185 THAT EMPHASIZES SMALL SCALE 5656 03:23:18,252 --> 03:23:19,186 RESEARCH PROJECTS TO PROVIDE 5657 03:23:19,253 --> 03:23:20,488 RESEARCH EXPERIENCE TO 5658 03:23:20,555 --> 03:23:21,689 UNDERGRADUATE STUDENTS 5659 03:23:21,756 --> 03:23:23,090 PRIMARILY, AS WELL AS REAP 5660 03:23:23,157 --> 03:23:27,595 AWARDS THAT EXPOSE UNDERGRAD -- 5661 03:23:27,662 --> 03:23:30,331 TO RESEARCH EXPERIENCES. 5662 03:23:30,398 --> 03:23:31,766 SO AGAIN USING THESE TWO 5663 03:23:31,832 --> 03:23:33,100 PROGRAMS AS A GUIDE, OUR 5664 03:23:33,167 --> 03:23:34,468 PROPOSED INITIATIVE IS INTENDED 5665 03:23:34,535 --> 03:23:37,939 TO SUPPORT PAIN RESEARCHERS AT 5666 03:23:38,005 --> 03:23:39,140 UNDERREPRESENTED INSTITUTIONS BY 5667 03:23:39,206 --> 03:23:41,876 ACCOMPLISHING THREE KEY GOALS. 5668 03:23:41,943 --> 03:23:42,977 THOSE THREE GOALS ARE NOW 5669 03:23:43,044 --> 03:23:43,411 LISTED. 5670 03:23:43,477 --> 03:23:45,446 THE FIRST IS TO SUPPORT ELIGIBLE 5671 03:23:45,513 --> 03:23:46,847 RECIPIENTS FROM UNDERREPRESENTED 5672 03:23:46,914 --> 03:23:47,648 INSTITUTIONS TO BUILD 5673 03:23:47,715 --> 03:23:49,050 COLLABORATIVE TEAMS FROM 5674 03:23:49,116 --> 03:23:49,917 PARTNERS INSTITUTION. 5675 03:23:49,984 --> 03:23:50,551 THE SECOND GOAL OF THE PROGRAM 5676 03:23:50,618 --> 03:23:53,087 IS TO PRIORITIZE SUPPORT OF PAIN 5677 03:23:53,154 --> 03:23:54,889 RESEARCH AT UNDERREPRESENTED 5678 03:23:54,956 --> 03:23:55,556 U.S. INSTITUTIONS AND THIRD GOAL 5679 03:23:55,623 --> 03:23:56,958 OF THIS PROGRAM IS TO ENHANCE 5680 03:23:57,024 --> 03:23:58,526 THE INSTITUTIONAL RESEARCH 5681 03:23:58,593 --> 03:24:00,761 ENVIRONMENT THAT STUDENTS FROM 5682 03:24:00,828 --> 03:24:01,896 RECIPIENT INSTITUTIONS WILL 5683 03:24:01,963 --> 03:24:04,599 BENEFIT FROM EXPOSURE TO AND 5684 03:24:04,665 --> 03:24:05,566 PARTICIPATION IN PAIN RESEARCH. 5685 03:24:05,633 --> 03:24:06,534 THANK YOU VERY MUCH FOR YOUR 5686 03:24:06,601 --> 03:24:06,801 ATTENTION. 5687 03:24:06,867 --> 03:24:07,835 HAPPY TO RECEIVE YOUR COMMENTS 5688 03:24:07,902 --> 03:24:08,936 AND ANSWER ANY QUESTIONS YOU 5689 03:24:09,003 --> 03:24:12,673 HAVE ABOUT THIS PROGRAM. 5690 03:24:12,740 --> 03:24:15,042 I GUESS THAT'S -- OKAY, SORRY. 5691 03:24:15,109 --> 03:24:16,444 >> OH, MY GOD. 5692 03:24:16,510 --> 03:24:18,613 THAT WAS A RECORD. 5693 03:24:18,679 --> 03:24:25,019 SPEED RECORD. 5694 03:24:25,086 --> 03:24:26,120 ANY QUESTIONS, COMMENTS ABOUT 5695 03:24:26,187 --> 03:24:26,554 THIS? 5696 03:24:26,621 --> 03:24:29,724 EVERYBODY LOVES IT, RIGHT? 5697 03:24:29,790 --> 03:24:29,890 YEA. 5698 03:24:29,957 --> 03:24:32,827 >> THANK YOU. 5699 03:24:32,893 --> 03:24:35,630 >> WONDERFUL. 5700 03:24:35,696 --> 03:24:36,030 WELL, THANK YOU. 5701 03:24:36,097 --> 03:24:37,999 WE HAVE A FEW PEOPLE LEFT HERE. 5702 03:24:38,065 --> 03:24:40,768 MARTINA. 5703 03:24:40,835 --> 03:24:43,104 >> FEW DETAILS I NEED TO GO 5704 03:24:43,170 --> 03:24:43,738 OVER. 5705 03:24:43,804 --> 03:24:47,675 OKAY. 5706 03:24:47,742 --> 03:24:48,776 SO THANK YOU SO MUCH SH 5707 03:24:48,843 --> 03:24:49,043 EVERYBODY. 5708 03:24:49,110 --> 03:24:51,479 SO THE LAST AGENDA ITEM FOR OUR 5709 03:24:51,545 --> 03:24:54,649 OPEN SESSION TODAY IS THE PUBLIC 5710 03:24:54,715 --> 03:24:55,716 COMMENT SESSION. 5711 03:24:55,783 --> 03:24:57,551 SO A REMINDER THAT ANY MEMBER OF 5712 03:24:57,618 --> 03:24:59,387 THE PUBLIC WHO WISHES TO MAKE A 5713 03:24:59,453 --> 03:25:02,356 COMMENT MAY DO SO BY SENDING ME 5714 03:25:02,423 --> 03:25:05,860 YOUR WRITTEN COMMENTS NO LATER 5715 03:25:05,926 --> 03:25:07,495 THAN 15 DAYS BEFORE THE COUNCIL 5716 03:25:07,561 --> 03:25:08,562 MEETING IS BEING HELD. 5717 03:25:08,629 --> 03:25:10,398 THE COMMENTS YOU ARE SENDING TO 5718 03:25:10,464 --> 03:25:14,835 ME EITHER VIA EMAIL OR HARD COPY 5719 03:25:14,902 --> 03:25:16,570 LETTER, THESE COMMENTS SHOULD BE 5720 03:25:16,637 --> 03:25:18,773 LESS THAN 700 WORDS IN LENGTH, 5721 03:25:18,839 --> 03:25:20,307 WHICH IS CONSISTENT WITH AROUND 5722 03:25:20,374 --> 03:25:23,310 A FIVE-MINUTE ORAL PRESENTATION, 5723 03:25:23,377 --> 03:25:24,545 AND YOUR WRITTEN COMMENTS WILL 5724 03:25:24,612 --> 03:25:27,815 BE PRESENTED TO THE MEMBERS OF 5725 03:25:27,882 --> 03:25:29,383 COUNCIL VIA OUR ELECTRONIC 5726 03:25:29,450 --> 03:25:30,017 COUNCIL BOOK IN ADVANCE OF THE 5727 03:25:30,084 --> 03:25:30,618 NEXT MEETING. 5728 03:25:30,685 --> 03:25:33,020 AND I WILL ACKNOWLEDGE THE 5729 03:25:33,087 --> 03:25:34,121 RECEIPT OF THESE COMMENTS DURING 5730 03:25:34,188 --> 03:25:36,157 THE OPEN SESSION. 5731 03:25:36,223 --> 03:25:37,792 NOW FOR THIS MEETING, WE DID NOT 5732 03:25:37,858 --> 03:25:39,093 RECEIVE ANY PUBLIC COMMENTS 5733 03:25:39,160 --> 03:25:44,031 TODAY. 5734 03:25:44,098 --> 03:25:45,433 SO, AND WITH THIS, AS THE 5735 03:25:45,499 --> 03:25:46,600 MEETING IS DRAWING TO CLOSE, I 5736 03:25:46,667 --> 03:25:51,305 WOULD LIKE TO OFFER MY SINCERE 5737 03:25:51,372 --> 03:25:53,074 THANKS TO NCCIH STAFF, WHOSE 5738 03:25:53,140 --> 03:25:57,611 HELP AND WORK MAKES THIS MEETING 5739 03:25:57,678 --> 03:25:59,914 POSSIBLE, AND HONESTLY, EVERY 5740 03:25:59,980 --> 03:26:01,949 TIME I'M JUST BLOWN AWAY ABOUT 5741 03:26:02,016 --> 03:26:03,651 HOW MUCH WORK GOES INTO 5742 03:26:03,718 --> 03:26:04,351 ORGANIZING THIS AND HOW MANY 5743 03:26:04,418 --> 03:26:06,220 PEOPLE ARE BEING INVOLVED. 5744 03:26:06,287 --> 03:26:07,621 IF YOU ARE NOT IN THE MIDDLE OF 5745 03:26:07,688 --> 03:26:09,090 THIS, IT'S REALLY HARD TO EVEN, 5746 03:26:09,156 --> 03:26:10,958 YOU KNOW, UNDERSTAND WHAT'S ALL 5747 03:26:11,025 --> 03:26:12,059 GOING IN THERE. 5748 03:26:12,126 --> 03:26:14,628 SO I'M REALLY GRATEFUL FOR 5749 03:26:14,695 --> 03:26:15,429 EVERYBODY WHO IS WORKING HERE ON 5750 03:26:15,496 --> 03:26:16,831 THE TEAM DOING THIS. 5751 03:26:16,897 --> 03:26:19,033 AND I WOULD ALSO LIKE TO THANK 5752 03:26:19,100 --> 03:26:21,936 ALL COUNCILMEMBERS FOR JOINING 5753 03:26:22,002 --> 03:26:23,137 US, THE MEETING TODAY, AND FOR 5754 03:26:23,204 --> 03:26:26,006 ALL THE ADVICE THEY OFFER NCCIH, 5755 03:26:26,073 --> 03:26:30,211 AND FOR THIS, I INVITE THIS OVER 5756 03:26:30,277 --> 03:26:32,613 TO DR. LANGEVIN FOR HER 5757 03:26:32,680 --> 03:26:33,147 CONCLUDING REMARKS. 5758 03:26:33,214 --> 03:26:34,448 >> I'M GOING TO SAY THANK YOU 5759 03:26:34,515 --> 03:26:36,951 FOR THOSE OF YOU WHO ARE STILL 5760 03:26:37,017 --> 03:26:38,052 HERE FOR HANGING ON UNTIL THE 5761 03:26:38,119 --> 03:26:38,586 VERY END. 5762 03:26:38,652 --> 03:26:40,855 HAVE A SAFE TRIP HOME, AND WE 5763 03:26:40,921 --> 03:26:42,156 LOOK FORWARD TO SEEING YOU IN 5764 03:26:42,223 --> 03:26:43,791 SEPTEMBER. 5765 03:26:43,858 --> 03:26:51,365 BYE. 5766 03:26:51,432 --> 03:26:54,135 >> THE NEXT MEETING IS SEPTEMBEF 5767 03:26:54,201 --> 03:26:56,470 THERE ARE NO FURTHER COMMENTS, 5768 03:26:56,537 --> 03:26:57,872 THEN I'M GETTING TO DO THIS 5769 03:26:57,938 --> 03:27:00,374 AGAIN SO THIS MEANS THE 87TH 5770 03:27:00,441 --> 03:27:01,909 MEETING OF THE ADVISORY COUNCIL 5771 03:27:01,976 --> 03:27:02,877 IS ADJOURNED. 5772 03:27:02,943 --> 03:27:13,120 THANK YOU.