I'M PLEASED TO KICK OFF OUR
WORKSHOP WITH OPENING REMARKS
FROM RICHARD HODES DIRECTOR OF
THE NATIONAL INSTITUTE ON AGING
AND IN THE EFFORTS IN MUSIC AND
HEALTH.
DR. HODES.
>> THANK YOU.
HELLO, FRANCIS IT'S AN EXCITING
EVENT.
WE'RE COMMITTED TO HEALTH AND
QUALITY OF LIFE OF INDIVIDUALS
AS THEY PROGRESS THROUGH THE
LIFE COURSE IN OLDER AGE AND
MUSIC IS AN PART AND MUSIC IS AN
IMPORTANT COMPONENT WITHIN THIS.
THE AREAS OF CONNECTIVITY AS A
THEME ARE BROAD AND IMPRESSIVE
AND CONNECTIONS WITH NEURONS AND
UNDERSTANDING WHAT GOES ON IN
THE BRAINS AND NEURONS AND
CONNECTIONS OF ANIMALS AND NOW
HUMANS AND MEASURE THOSE WITH
MUSIC AND CONNECTIONS BETWEEN
AND AMONG PEOPLE AS AN IMPORTANT
PART OF SOCIAL INTERACTION WHICH
IS CRITICAL IN HEALTH AND AGING.
WITH THOSE AREAS MUSIC PLAYS A
CENTRAL ROLE.
ALL OF US HAVE THE EXPERIENCE OF
MUSIC AND RECALLING MEMORIES OF
YEARS PAST, REMOTE AND MORE
RECENT AND THE WAY IT TRIGGERS A
SERIES OF MEMORIES.
THIS IS IMPORTANT IN HEALTH.
IT'S ALSO IMPORTANT IN SOME OF
THE AREAS OF COGNITIVE DECLINE
AND ALZHEIMER'S AND RELATED
DEMENTIA WHERE SOME REMARKABLE
ANECDOTES INDICATE THE PLACE THE
MUSIC AND RECALL CAN PLAY IN AN
INDIVIDUALS OTHERWISE WITH
HIGHLY COMPROMISED ABILITIES TO
RECALL AND THINK AND REASON.
THE ABILITY TO ADDRESS MEMORY
LOSS TO ADDRESS SYMPTOMS SUCH AS
SLEEPLESSNESS, AGITATION,
DEPRESSION, ALL ARE AREAS WE'RE
VER EXCITED TO SEE IN THE
TRANSLATION FROM THE MOST
EXCITING NEUROSCIENCE INTO
CLINICAL INTERVENTIONS.
IT'S A GREAT PRIVILEGE TO BE
PART OF THE IMPORTANT
ENTERPRISE.
I LOOK FORWARD TO DAY TWO AND
THANK YOU FOR A CHANCE TO BE A
PART OF THIS.
>> THANK YOU, DR. HODES.
I'M PLEASED TO WELCOME A
WONDERFUL PARTNER IN THE SOUND
HEALTH INITIATIVE DEB ARE RA
RUTTER WHO WILL WHO WILL
INTRODUCE OUR KEY NOTE SPEAKER
MS. RENEE FLEMING.
>> THANK YOU, THIS HAS BEEN
INCREDIBLE AND STAYING VERY
SPECIFICALLY ON TIME.
THANK YOU TO ALL THE SPEAKERS
YESTERDAY AND THOSE WE ARE ABOUT
TO HEAR.
THIS IS REALLY INSPIRING AND
SPECIAL FOR ME.
SOMEBODY WHOSE WORKED AND
DEDICATED HER LIFE BEING AROUND
ARTISTS AND SHARING THE WORK OF
ARTISTS TO HEAR SCIENTISTS AND
THERAPISTS AND ALL OF YOU WHO
ARE EXPERTS IN SO MANY OTHER
PARTS OF THE WORLD IS REALLY
AFFIRMING WORK AND INSPIRING AND
EXCITING ABOUT WHAT WE HAVE FOR
THE FUTURE.
THE TIME YESTERDAY REALLY PUT A
PIN IN IT FOR ME BECAUSE IT
REMINDS ME THAT OVER THE YEARS
I'VE HAD REALLY AMAZING GOOD
FORTUNE TO SIT IN THE ROOM WITH
ARTISTS OR OBSERVE THEIR WORK AN
DON'T NOAH WILL COME OF COMING
TOGETHER BUT THEY COME TOGETHER
NO GUIDELINES OR ROAD MAP AND
ART HAPPENS.
IT'S THE CREATIVITY OF BEING
TOGETHER, THE INSPIRATION OF
CONVERSATION AND THE OPENNESS
AND IT FEELS LIKE THAT HAS
BEGUN.
I WANT TO SAY THANK YOU TO
FRANCIS WHO HAS REALLY BEEN SO
INSPIRING AND ENTHUSIASTIC ABOUT
LET'S SEE.
LET'S FIND OUT.
LET'S BRING PEOPLE TOGETHER.
SO THIS ENERGY IS PALPABLE AND
EXCITING FOR ME.
I GO BACK TO THE KENNEDY CENTER.
PEOPLE HAVE BEEN FOLLOWING ALONG
ONLINE AND WANT TO SEE IT LATER
AS WELL BECAUSE IT WILL INFORM
SO MUCH OF OUR WORK AND THE WAY
WE TALK ABOUT IT IN PARTICULAR.
WHEN I SAT DOWN WEN -- WITH
RENEE AND WHAT SHE CAN DO AS A
CREATIVE CONSULTANT AND CAME
WITH HER SINGLE PAGE MULTIPLE
PAGES OF IDEAS WHAT WILL THIS BE
AND A COUPLE WEEKS LATER SHE
CAME BACK AND SAID I HAD THE
MOST AMAZING EXPERIENCE WITH
FRANCIS AND THAT IS EXACTLY THE
SAME EXPERIENCE I'VE JUST
DESCRIBED.
YOU DON'T KNOW WHAT WILL HAPPEN
BUT IF YOU LET CREATIVITY GUIDE
YOU AND YOU'RE OPEN AND YOU COME
WITHOUT PRECONCEIVED NOTIONS,
MAGIC WILL HAPPEN.
I WANT TO SAY THAT BECAUSE I
KNOW THAT SCIENTISTS DON'T
REALLY WORK MAYBE IN THE WORLD
OF MAGIC BUT YOU'RE UNCOVERING
THINGS AND FOR ME THAT IS MAGIC.
AND I WANT TO JUST SAY THANK YOU
FOR LOOKING AT THE OTHER ARTISTS
IN THE ROOM.
I BELIEVE THAT YOU KNOW THAT TO
HAVE THE ESSENCE OF WHAT WE'RE
LEARNING AND IT'S AFFIRMING TO
THE WORK YOU DO BECAUSE WE
BELIEVE IN IT AND IT WAS LOVELY
TO HEAR VICTOR SPEAK ABOUT THE
SPIRIT OF MUSIC AND THERE'S
SPIRIT AND SCIENCE AND ALL THAT
MAGIC IN WHO WE ARE AND WHAT
DOES IT MEAN TO BE HUMAN BEING
SO, THANK YOU.
I PROMISE TO DO WHAT I CAN ABOUT
USING THE SOAPBOX OF THE KENNEDY
CENTER AND THE SOAPBOX OF BEING
IN THIS REMARKABLE REGION WHERE
WE HAVE PARTNERS WHO CAN DO THIS
WORK AND WE WILL BE A SOAPBOX.
WE WILL CONTINUE TO BE A SOAPBOX
COLLABORATING WITH OUR FRIENDS
AT THE NEA WITH NEUROARTS PRINT.
WHATEVER WE CAN DO TO TELL THIS
STORY.
THANK YOU FOR YOUR TIME AND
FOCUS AND CARING WHAT WE'RE
DOING.
IT'S IMPORTANT TO US.
I'D NOW LIKE TO JUST INTRODUCE
AND WHY AM I INTRODUCING YOU TO
RENEE FLEMING?
DOES ANYONE NOT KNOW WHO SHE IS?
WE'VE KNOWN EACH OTHER MANY
DECADES AND IT'S BEEN AN
EXTRAORDINARY PLEASURE AND I
PAID HER HUSBAND A LOT OF MONEY
TO CONVINCE HER SHE HAD TO LIVE
HERE AS WELL.
IT'S AN HONOR TO HAVE HER AS A
COLLEAGUE AND ADVOCATE, PERHAPS
THE LEADER IN COMING AROUND,
GOING AROUND THE WORLD TALKING
ABOUT THIS IMPORTANT WORK.
WE HAD SO MUCH FUN JUST A COUPLE
WEEKS AGO CELEBRATING HER AND
YOU WILL HERE ABOUT HER
RELATIONSHIP TO THIS WORK ON
NATIONAL TELEVISION IN A COUPLE
WEEKS WHEN WE CELEBRATE RENEE
FLEMING AS THE 2020 KENNEDY
CENTER HONOREE.
I'M PLEASED TO INTRODUCE SOMEONE
WHO DOESN'T NEED INTRODUCTION,
RENEE FLEMING.
>> SO GOOD MORNING.
I'M EXCITED TO BE WITH YOU ALL
AND THANK YOU, DEBRA, YOU'RE A
FORCE FOR GOOD AND WELCOME TO
DAY TWO OF THE NIH MUSIC AS
MEDICINE WORKSHOP.
SO WHY ARE WE ALL HERE TODAY?
WE'RE ENGAGED IN MAKING
CONNECTIONS.
MY ROLE AS AN ARTIST ESPECIALLY
ONE WHO TOURS ALL THE TIME I HAD
THE OPPORTUNITY TO CONNECT TO A
BROADER GENERAL AUDIENCE AND
CONNECT THEM TO THE AMAZING
DISCOVERIES YOU'RE ALL MAKING.
AND BY JOINING ONLINE PEOPLE
AROUND THE WORLD CAN CONNECT
WITH YOUR WORK THROUGH THIS
EVENT.
WE'RE MAKING OTHER CONNECTIONS
TOO.
THE CLASSIC PERK OF A GATHERING
IS NETWORK.
IT MAY NOT SOUND LIKE THE
HIGHEST PURSUIT BUT I CAN'T HOW
IMPORTANT IT IS FOR THIS FIELD
AT THIS MOMENT WHEN WE'RE
EXPANDING BY LEAPS AND BOUNDS.
THIS WORKSHOP LED BY THE NIH IS
ONE OF MANY CURRENT EFFORTS LIKE
THE SOUND HEALTH NETWORK AND THE
NEURAL ARTS BLUEPRINT TO GIVE
ALL OF YOU DOING THIS WORK MORE
OPPORTUNITY TO CONNECT WITH ONE
ANOTHER.
MORE THAN THAT, AND ABROAD SET,
I HOPE THIS WORKSHOP HELPS YOU
REALIZE YOU ARE SUCH A
REMARKABLE COMMUNITY OF THINK
ERS YOU'RE ALL DARING TO MAKE A
CONNECTION BETWEEN DISCIPLINES.
ON THE ONE HAND THE MUSIC AND
ART THAT DEFINES OUR CULTURE AND
INSPIRE OUR INSTINCTS MOVE US TO
TEARS AND TELL OUR STORIES.
ON THE OTHER HAND PUR SULT OF
GRANULAR KNOWLEDGE UNDERSTANDING
OU HOUR BRAINS FUNCTION AND HOW
TO HEAL AND TREAT DISORDERS OF
OUR MINDS AND BODIES AND HOW WE
CAN ALL BE PHYSICALLY AND
MENTALLY HEALTHY THROUGHOUT OUR
LIFE SPAN.
CAN WE ALL IMAGINE SEEING A
TELEVISION AD THAT ENDS WITH,
ASK YOUR DOCTOR IF MUSIC THERAPY
IS RIGHT FOR YOU.
SIDE EFFECTS INCLUDE BETTER MOOD
AND SOCIAL CONNECTION AND
IMPROVED COGNITION AND
OCCASIONAL EAR WORMS AND IN FINE
PRINT FOR PARKINSON'S DEMENTIA,
BRAIN TRAUMA AND STROKE, ASK
YOUR DOCTOR FOR TURN
INFORMATION.
I'M LOOKING TOWARD THE DAY WHEN
THESE ARE PART OF OUR HEALTH
CARE TOOLBOX.
WE HAVEN'T BROKEN THROUGH IN THE
NATIONAL CONVERSATION IN PRIME
TIME BUT THIS IS OUR FUTURE.
PERHAPS SOON IT WILL BE AN
INSURANCE COMPANY BUYING THE ADD
BECAUSE OF THE COST SAVING
BENEFITS OF WHOLE PERSON
INTEGRATIVE HEALTH.
I'M AT THE PODIUM BECAUSE THE
MUSIC HEALTH CONVENING IN 2017
GAVE ME A PURPOSE AND PASSION
THAT WAS NEW AND THE FIELD HAS
SEEN EXPONENTIAL GROWTH AND
EXCITING RESEARCH AND
COLLABORATION.
YESTERDAY WE HEARD ABOUT THE
BASIC SCIENCE AND ROBUST
CLINICAL EVIDENCE SUPPORTING
MUSIC-BASED INTERVENTIONS AS
WELL AS CRITICAL IMPACTS ON
MUSIC AND EDUCATION AND CHILD
DEVELOPMENT AND TODAY WE'LL LOOK
AT WHERE WE GO NEXT.
I'D LIKE TO START BY SHARING
NOTES FROM THE FIELD AND WHAT
AUDIENCES HAVE RECENTLY FOUND
INSPIRING.
FIRST, SHINING A SPOTLIGHT ON
THE KENNEDY CENTER OUR NATIONAL
CENTER FOR THE ARTS, DEBRA
RUTTER JOINED FRANCIS COLLINS,
NIH AND NIA TO EMBARK ON THIS
JOURNEY SEVEN YEARS AGO AND
BRING ARTS INTO HEALTH CARE AND
HEALTH IN THE ARTS AND DEBRA IS
LEADING THE KENNEDY CENTER TO AN
INCREASED FOCUS ON HEALTH AND
WELLNESS AND A SENSE ARTS
ORGANIZATIONS EVERYWHERE CAN
BEGIN TO ACT AS COMMUNITY
CENTERS FOR US AND OUR FAMILIES.
PROVIDING A RELEASE FROM DAY TO
DAY STRESSORS AND ALSO A SAFE
PLACE TO ADDRESS SOCIAL CHANGE,
CLIMATE AND OTHER SOCIETAL
CONCERNS.
LAST APRIL AT THE MILLENNIUM
STAGE DAVID LEVENTHAL HAD THE
AUDIENCE PARTICIPATE IN A SEATED
EXERCISE, I CALL IT ARM DANCING.
AS HE PLAYED A VARIETY OF
MUSICAL CLIPS AND ASKED HOW THE
EXCERPTS MADE A DIFFERENCE IN
THEIR LEVEL OF INVOLVEMENT AND
FEELING THE END RESULT WAS
PALPABLE JOY AND COMPLETELY
DIFFERENT LEVEL OF ENGAGEMENT.
WE SHOULD HAVE STARTED WITH THIS
TODAY.
WE WENT ON TO LEARN THE BENEFITS
OF DANCE WITH THOSE WITH
PARKINSON'S AND OTHER MOVING
DISORDERS.
AT STATE OF MICHIGAN THERE WAS
ANOTHER STUDY FROM THE
UNIVERSITY PITTSBURGH USING
DANCE DESIGN TO REACH A
SEDENTARY POPULATION IT LED
PARTICIPANTS TO IMPROVED
COGNITION AND WEIGHT LOSS OVER A
10-WEEK PERIOD AND THOSE IN THE
CONTROL GROUP TAKING ACADEMIC
CLASS DISAPPOINTED.
THEY FELT THEY MISSED ON ALL THE
FUN AND DR. LUONGA DEMONSTRATED
DANCE STEPS JUST CLAPPI IPI IPI
RHYTHMS AND I WANTED TO SIGN UP.
A CARDIOLOGIST ALSO AT THE
UNIVERSITY OF MICHIGAN PRESENTED
A STUDY SHOWING MUSIC
IMPROVISATION IMPROVE
HYPERTENSION.
SURPRISINGLY UNAWARE OF THE WORK
ACROSS LAKE MICHIGAN YOU'LL HEAR
ABOUT LATER THIS MORNING.
SHE DISCOVERED SINGING IMPROVED
BIOMARKERS IN CARDIOVASCULAR
PATIENTS BECAUSE SINGING IS
EXERCISE, YES, ESPECIALLY USEFUL
FOR PATIENTS WHO CAN'T GET ON A
TREADMILL.
AND GROUP SINGS HAS SIGNIFICANCE
CANT BENEFITS AND CREATIVE AGING
ARE BECOMING INCREASINGLY
PREVALENT AND A COMMUNITY HAS
SHOWN SINGING IN SUCH CHOIRS
DECREASES LONELINESS FOR OLDER
ADULTS.
ANOTHER REMARKABLE PROGRAM THE
MUSIC AND MOTHERHOOD STUDIO
INITIATED BY THE WORLD HEALTH
ORGANIZATION HAS SHOWN
MEANINGFUL ARE RECOVERY FOR
WOMEN WITH POSTPARTUM DEPRESSION
AFTER JUST 10 WEEKS OF GROUP
SINGING.
THIS ONE SURPRISES ME.
BASED ON THIS STUDY, THEY'LL
PUBLIC A TOOL KIT FOR ADAPTING
ARTS AND HEALTH INTERVENTIONS IN
CULTURALLY RELEVANT WAYS.
SINGING TOGETHER BY ALIGNING OUR
BRAIN WAVES AS WE HEARD
YESTERDAY AND BRAIN WAVES ALSO
ALIGN AMONG MUSICIANS PLAYING
TOGETHER AND BETWEEN AUDIENCES
AND PERFORMERS ON STAGE.
IT CAN ALLEVIATE PAIN AND
ANXIETY AND REDUCE THE NEED FOR
SEDATIVES.
HERE'S A BRIEF VIDEO FROM
CHILDREN'S HOSPITAL IN CHICAGO.
THIS DISTRAUGHT CHILD IS ABOUT
TO ENDURE ANOTHER INDUCED SESURE
TEST.
SEE WHAT HAPPENS WHEN HER MUSIC
THERAPIST ENCOURAGES HER TO
SING.
THINK OF THE DOCTORS AND NURSES
IN THE ROOM AND HOW MUCH EASIER
IT WAS FOR THEM WHETHER IT'S
HELPING WITH LONG COVID OR
INTONATION THERAPY FOR PATIENTS
WITH STROKE OR BRAIN TRAUMA.
EVERY HOSPITAL SHOULD HAVE A
CREATIVE ARTS STUDIO BUILT IN
FROM THE START.
MY SISTER WORKS IN THIS FIELD
AND SHE WENT TO A SUMMIT AND
L.A. OPERA AND EDUCATION IS
PLANNING ITS THIRD ANNUAL ARTS
AND HEALTH WEEK GATHERING POLICY
MAKERS FROM ACROSS THE STATE.
GIVEN CALIFORNIA'S NEW
BILLION-DOLLAR A YEAR FUNDING
FOR ARTS EDUCATION, IMAGINE IF
CREATIVE ARTS THERAPISTS WERE
PART OF THIS AND COULD THEY WORK
SIDE BY SIDE WITH ARTS EDUCATORS
AND SCHOOLS TO HELP MENTAL
HEALTH AND SELF-REGULATION,
SOCIAL BEHAVIORS AND TEACHER
MORALE AND LICENSING FOR THE
THERAPISTS NATIONWIDE.
I WAS ALSO RECENTLY TOLD BY A
WASHINGTON POST REPORTER IN D.C.
TRUANCY IS THE GREATEST
CONTRIBUTOR TO THE UPTAKE IN
TEEN VIOLENCE.
WHEN I WORKED AS A CONSULTANT IN
CHICAGO A VOLUNTEER-BASED ARTS
AND SCHOOLS PROGRAM WE HELPED
FOUND WAS SO SUCCESSFUL AT
REDUCING DROPOUT RATES,
SUPERINTENDENTS BEGAN PAYING FOR
ARTS EDUCATION AGAIN.
A KEY ELEMENT IN ALL THIS IS
HUMAN CONNECTION.
I FIND IT SOBERING TO FIND OUR
DECREASED DEPENDENCE ON SCREENS
AND WITH THE INEVITABLE RELEASE
OF A MORE POWER A.I. WHAT WILL
HAPPEN IN THE SHORT TERM TO OUR
SOCIAL FABRIC?
WE'RE ALREADY FRAYED BY THE
ALGORITHMS AND GIVING US WHAT WE
CRAVE, BAD NEWS.
SCREENS DO NOT BRING US THE
HUMAN CONNECTION WE NEED.
ALL THE MORE REASON TO BRING THE
HUMANIZING EFFECTS OF HEALTH
CARE TO THE FORE.
THERE'S POSITIVE APPLICATIONS OF
TECHNOLOGY WHICH WE'LL SEE EN
OUR NEXT SESSION.
A VIDEO GAME APP IS FDA APPROVED
AND WILL BRING BROADER ACCESS TO
THERAPY AND THE KEY IS
DEMOCRATIZATION MAKING THEM
AVAILABLE TO THE WIDEST
POPULATION.
GIVEN THE GROWING MENTAL HEALTH
CRISIS AROUND THE WORLD, WE NEED
TO LOOK AT NEW WAYS OF USING THE
ARTS.
THE FUNDED RESEARCH ON
SCHIZOPHRENIA WHICH DR. GORDON
SPOKE ABOUT YESTERDAY IS A GREAT
EXAMPLE PATIENTS WRITE MUSIC TO
DISTINGUISH BETWEEN REALITY AND
PSYCHOSIS.
THE GREATEST CONCERN IS THE 30%
INCREASE IN THE WORLDWIDE
PREVALENCE OF DEPRESSION.
FORTUNATELY, HE SPORTS ARTS AND
HEALTH PROGRAM WITH CHRISTOPHER
BAILEY AND AT THE WORLD HEALTH
ASSEMBLY IN GENEVA LAST MAY
TOUTING THE BENEFITS THERE WAS
QUICK CONSENSUS BECAUSE MOST OF
THE WORLD NEVER STOPPED APPLYING
ARTS TO HEALING.
SOCIAL ISOLATION IS MORE
DANGEROUS THAN OBESITY OR
SMOKING.
>> THE NEA SOUND HEALTH NETWORK
AT UCSF IS HELPING AND THE
ORGANIZATION CREATED WEBINARS ON
SUBJECTS SUCH AS GRANT WRITING,
A CLEARING HOUSE OF KEY RESEARCH
AND GREAT NETWORKING
OPPORTUNITIES FOR THE FIELD AND
AN INITIATIVE IS CREATING AN
EXPANSIVE ECO SYSTEM TO
ENCOMPASS EVERY MANNER OF
ARTIS
ARTISTIC IMPULSE AND
INTEGRATING ARTS IN THE
MAINSTREAM MEDICINE AND PUBLIC
HEALTH.
THERE'S BEEN AND THE ARTS AND
RESEARCH LABS ACROSS THE COUNTRY
THE NEA HAS LED CREATIVE FORCES
WITH THE DEPARTMENTS OF DEFENSE
AND VETERANS AFFAIRS.
MENTAL HEALTH AND THE IMPACTS OF
TRAUMA ARE A MAJOR FOCUS AS THEY
WORK WITH VETERANS AND ACTIVE
SERVICE MEMBERS.
AND MOST THE ARMED FORCES
HAVEN'T FULLY DEPLOYED THE
BENEFITS OF CREATIVE ARTS
THERAPIES AND THAT SPEAKS TO A
BROADER ISSUE.
THE NEXT ORGANIZATIONAL FOCUS
COULD BE TO PROMOTE ADVOCACY,
DEVELOPMENT, POLICY AND MORE
COLLABORATION.
WE NEED FUNDING FOR RESEARCH AND
PUBLICITY, CONTINUED
COLLABORATIVE NETWORK AND A
CHORUS OF INFLUENCERS.
THERE'S MUCH MORE INTEREST NOW.
WITH THE EXCEPTION OF A FEW
SUPER STARS ENGAGEMENT WITH LIVE
PERFORMANCE IS DECLINING WITH
COMPETITION FROM STREAMING AND
ALL OF OUR DEVICES.
THE CREATIVE EXPRESSIVE ELEMENTS
OF OUR HUMANITY ARE ESSENTIAL AT
A TIME WHEN THE RATE OF SOCIETAL
CHANGE IS INCREASING ALMOST
BEYOND OUR ABILITY TO COMPREHEND
IT.
THIS IS PRECISELY WHEN WE NEED
THE ELEMENTS AND TOUCH DOWNS TO
ANCHOR US.
I CAN ENVISION AN ARMY OF
PERFORMERS TO THINK ABOUT THEIR
AUDIENCES IN A COMPLETELY NEW
WAY IN THE FUTURE AND CALM IN A
TURBULENT TIME OR ENABLING A
TWO-WAY CONVERSATION WITH THE
AUDIENCE AND THEY'LL HAVE THE
RESEARCH TO BACK UP THEIR
CHOICES.
AND THROUGH THE NOAH, NATIONAL
ORGANIZATION FOR THE ARTS AND
HEALTH THEY'LL HAVE TOOLS AND
CERTIFICATES TO WORK SAFELY IN A
HEALTH CARE SETTING.
WE CAN HELP ARTISTS SEE THE
STAGE AND CONCERT HALL AREN'T
THE ONLY OUTLETS FOR THEIR
GIFTS.
THERE'S A CAREER OPPORTUNITY FOR
TALENTED MUSICIANS AND TO EXPAND
THE CAPACITY OF OUR FIELD WE
NEED MORE COLLEGES AND
UNIVERSITIES TO OFFER MUSIC
THERAPY DEGREE PROGRAMS.
ORE CONSERVATORIES TO PURSUE
THIS FIELD IN ARTS AND HEALTH.
BE ASSERTIVE ABOUT REQUESTING
MUSIC AND ARTS THERAPIES ARE
NESTED INTO LONGITUDINAL STUDIES
AND AN EXCITING DEVELOPMENT THE
NEA HAS BEEN TASKED TO EMBED
ARTS TO OTHER FEDERAL AGENCIES.
ORDER RECOGNIZES THE ARTS AND
HUMANITIES ARE ESSENTIAL TO THE
WELL BEING AND HEALTH, VITALITY
AND FOR OUR NATION LOS ANGELES
COUNTY OF ARTS AND CULTURE IS
WORKING TO EMBED ARTS IN THE
MOST POPULOUS COUNTY IN THE
COUNTRY.
MULTI-SITE COLLABORATIONS BRING
RESEARCHERS AND UNIVERSITIES
TOGETHER TO ACCELERATE PROGRESS
AND THE MUSIC AND HEALTH
RESEARCH NETWORKS ADDRESSING
DEMENTIA, PAIN, AND MECHANISMS
OF MUSIC-BASED INTERVENTIONS
WHICH WILL BE HIGHLIGHTED TODAY.
AND THE WORLD HEALTH
ORGANIZATION AND THE JAMIL ARTS
AND HEALTH LAB HAVE REVIEWING
HEALTH BENEFITS AND NEURO ARTS
FOUNDATION ARE RECENT EXAMPLES.
BUILDING ON THE HEALING
INITIATIVE WITH THE KENNEDY
CENTER AND GOOGLE ARTS AND MOUNT
SINAI, PULL MMONOLOGISTS ARE
WORKING ON A WHITE PAPER
FEATURING REHABILITATION.
THE WHITE PAPER WILL OUTLINE
NEXT STEPS FOR RESEARCH IN THIS
AREA THAT HOPEFULLY ONE OF YOU
WILL CARRY FORWARD.
AND THEY'RE TRANSFORMATIVE AND
IMAGINE IF WE STARTED A NEW
PUBLICATION DEDICATED
INTERDISCIPLINARY ARTS AND
HEALTH COLLABORATION.
MORE CONVENINGS, MORE OFTEN THAN
ONCE EVERY SEVEN YEARS.
I WOULD LIKE TO SUGGEST ALL OF
OUR CONTACT INFORMATION BE
SHARED AFTER THIS WORKSHOP SO WE
CAN OFFER COLLABORATIONS BETWEEN
EACH OTHER AND A NOBEL PRAISE
WINNER IS CHAIR OF ADVISORY
BOARD FOR ALIGNING SCIENCE
ACROSS PARKINSON'S BRINGING
TOGETHER AN INTERNATIONAL TEAM.
WHEN I SPOKE WITH THEM IN 2019
IT WAS EXPLAINED ERS HAVE BEEN
ENCOURAGED TO STAY WITHIN THEIR
ACADEMIC LANE SO ANY SUCCESS
WOULD BRING FUNDING AND
HOPEFULLY GLORY BACK TO THE
UNIVERSITY.
BUT THIS WASN'T WORKING WITH
THIS SPECIALLY DIFFICULT AND
INTRACTABLE DISORDERS AND THIS
WAS BEFORE LEWY BODY DEMENTIA
WAS RECOGNIZED.
I'LL NEVER FORGET AN EXECUTIVE
AT THE HARVARD UCLA MEDICAL
CENTER RELAYED HER AMAZEMENT
ABOUT A CHRONICALLY UNRESPONSIVE
PSYCHIATRIC PATIENT WHO CAME OUT
OF HIS ROOM FOR THE FIRST TIME
TO ENGAGE WITH A LIVE MUSICIAN.
IT WAS A TOTAL BREAKTHROUGH AND
ACROSS THE TABLE AN
ADMINISTRATOR AT CAL STATE
NORTHRIDGE SAID, WE CAN BRING
THIS TO YOU EVERY DAY.
THEY WERE SHOCKED.
CONTACT INFORMATION WAS
EXCHANGED AMONGST THE GROUP AND
MEANINGFUL COLLABORATIONS BEGIN
IN THAT MOMENT.
IT'S THAT SIMPLE.
BRINGING PEOPLE TOGETHER.
SOCIAL PRESCRIBED ARTS
INTEGRATION IS GROWING AND THE
EVIDENCE IS CLARE THERE'S MUCH
TO BE DONE.
ARTS RESOURCE IMPROVE OUR
HEALTH, DANCE CLASSES, COMMUNITY
CHOIRS, CREATIVE ARTS THERAPIES
AND MORE EXIST IN MANY CITIES
AND TOWNS ACROSS THE COUNTRY.
WE COULD CREATE HUBS FOR WHAT
WE'RE CALLING THINKING TO CALL
ART CARE, VIRTUALLY AND IN
RETAIL STORES AND LIBRARIES TO
CONNECT THE PUBLIC WITH EXISTING
LOCALLY AVAILABLE RESOURCES.
RESEARCH RESULTS NEED TO BE MORE
BROADLY AMPLIFIED.
SO MANY HEALTH CARE PROVIDERS
ARE STILL COMPLETELY UNAWARE OF
THE POTENTIAL OF ARTS IN THEIR
WORK.
WHEN I FIRST MET EMILY EDWARDS
SHE SAID HOW DIFFICULT IT IS TO
WIDELY DISSEMINATE RESEARCH
RESULTS THROUGH THE MEDICAL
PROINVESTIGATION IN A WAY THAT
ENSURES THEIR USE.
PUBLICATIONS MOVE THE NEEDLE.
YOUR BRAIN OND ART A NEW YORK
TIMES BEST SELLER.
AND OF SOUND MIND ARE POWERFUL
ADDITIONS TO THE CANNON.
I'M GRATEFUL MANY CONTRIBUTORS
TO MY ANTHOLOGY AND HARNESSING
THE ARTS FOR HEALTH AND WELLNESS
ARE TODAY.
COMING IN APRIL AND THERE'S A
NEW BOOK TITLED A NEURO
SCIENT
SCIENTIST EXPLORES MUSIC AS
MEDICINE AND BECAUSE OF YOUR
DEDICATED WORK THANK YOU.
AS DISCIPLINE TO PERFORMING
ARTS, BIOMARKER RESEARCH AND
HEALTH CARE ARE INCREASINGLY
AWARE OF BETTER SERVING DIVERSE
POPULATIONS THERE'S AN URGENT
NEED TO CONNECT BEYOND WHAT
TRADITIONAL RANDOMIZED CLINICAL
TRIALS ARE STRUCTURED TO DO.
AND THAT WAS AN EMPHASIS ON THE
IMPORTANCE OF MEETING PEOPLE
WHERE THEY ARE IN CHURCH AN
COMMUNITY CENTERS WITH MEDICINE
FOR THE GREATER GOOD.
HE SAID ART IS A CONSTANT
REQUEST AND SOCIAL GROUPS THAT
ALREADY HAVE COMMON SONGS ARE
MORE ENGAGED IN CREATING
POSITIVE HEALTH OUTCOMES.
AND WE SHOULD RETHINK METHODS OF
RESEARCH AND A PUBLIC HEALTH
DIRECTED APPROACH CAN FILL IN
THE SPACE BETWEEN RESEARCH AND
PRACTICE AND THE FIELD.
AS MUSIC AND HEALTH RESEARCH I'M
GLAD TO SEE DRAMA ARTS FOR
TRAUMA AND PTSD, FOR EXAMPLE.
LET'S KEEP EXPANDING.
AND WE ALSO NEED TO CREATE
METRICS IN CLEARER LANGUAGE SO
EXPRESS THE FINANCIAL BENEFITS
OF ARTS AND HEALTH CARE.
THE NEUROARTS BLUEPRINT BEEN
WORKING WITH AARP ON AN ECONOMIC
ANALYSIS ON THE TRUE VALUE OF
MUSIC ON ALZHEIMER'S AND THERE'S
A 3-1 RETURN ON INVESTMENT.
MODELS LIKE THIS CAN MAKE IT
POSSIBLE FOR FUNDING TO COME
FROM INSURANCE COMPANIES AND
GOVERNMENT AGENCIES.
AND SO I WANT TO END BY
ENCOURAGING EACH OF YOU TO
DEVELOP YOUR OWN ELEVATOR PITCH.
EVEN AMONGST OURSELVES WE
STRUGGLE TO MAKE OUR TERMINOLOGY
AND GOALS CLEAR.
IMAGINE HOW THE PUBLIC DIGESTS
THIS AND THE ECO SYSTEM DEFIES
SIMPLE EXPLANATION.
THALIA GOLDSTEIN SAID IT
PERFECTLY, EVERY STUDY IS ONE
PIECE OF A THOUSAND PIECE PUZZLE
AND NOT EVERY PIECE WILL ANSWER
THE QUESTION AND WE IS TO
EXPLAIN THE GRANULARITY TO THE
PUBLIC.
I LEARNED THE HARD WAY LAST
JANUARY YOU NEED A CONCISE
POWERFUL PITCH CITING BENEFITS
MEANINGFUL TO YOUR LISTENER.
THINK SHARK TANK AND I FAILED
MISERABLY BUT I'LL BE READY NEXT
TIME SO IT'S HELPFUL TO PRACTICE
HOW YOU COMMUNITY YOUR SCIENCE
TO A DOCTOR OR EXECUTIVE, YOU'RE
ALL ADVOCATES FOR YOUR WORK.
CAN IT BENEFIT THE HOSPITAL OR
THE WORK SERVE COMMUNITY
PRIORITIES IN A CONGRESSIONAL
DISTRICT.
YOU NEVER KNOW THE DIFFERENCE IT
CAN MAKE.
SO LIFE AS A SINGER HAS BEEN A
PRIVILEGE AND HARD.
THE HOURS OF PRACTICE AND YEARS
OF REJECTION, CRUSHING
PERFORMANCE PRESSURE AND SOMATIC
PAIN I'VE ENDURED BUT A LIFE OF
WORLD TRAVEL AND ENGAGING WITH
300 YEARS OF GREAT MUSIC.
THAT'S WHAT CLASSIC MEANS LIKE
CARS AND ROCK.
AFTER THE KENNEDY CENTER HONORS
THE OTHER NIGHT A WOMAN CAME UP
TO ME AND SAID I DON'T WANT TO
BOTHER YOU BUT A HEARD A MUSIC
IN MIND PRESENTATION OF YOURS A
WHILE AGO AND WE WERE GOING
THROUGH A TERRIBLE TIME WITH MY
FATHER'S ADVANCED DEMENTIA AND A
LIGHT BULB WENT OFF AND HE WAS
ALWAYS AN OPERA LOVER AND WE
STARTED PLAYING OPERA FOR HIM
AND HE REMAINED HAPPY, SMILING
ENGAGED AND CHANGED HIS BEHAVIOR
AND NOW THEY PLAY ALL DAY LONG.
SO THIS GOES TO SHOW THAT YOUR
RESEARCH IS MAKING A DIFFERENCE
IN REAL PEOPLE'S LIVES.
THANK YOU SO MUCH FOR YOUR WORK.
>> WELL, HOW CAN YOU FOLLOW
THAT.
THAT WAS FANTASTIC.
THANK YOU SO MUCH, MS. FLEMING.
WE APPRECIATED YOUR COMMENTS
TODAY AND KEY NOTE WAS
TREMENDOUS.
SO, SOMEONE NEEDS TO FOL JLOW TT
SHOW AND WE HAVE AMY ADAMS THE
DIRECTOR OF THE NATIONAL
INSTITUTE FOR DISORDERS AND
STROKE AND I KNOW SHE'S UP TO
THE TASK.
>> THANK YOU SO MUCH TO SAY.
IT'S SURREAL TO FOLLOW RENEE
FLEMING TALK ABOUT A TOUGH ACT
TO FOLLOW.
I'M HERE TO SHARE THE LONG
STANDING COMMITMENT NINDS HAS TO
THIS IMPORTANT WORK AND WE LOOK
TO SEEK AND SHARE FUNDAMENTAL
KNOWLEDGE WITH THE BRAIN AND
NERVOUS SYSTEM AND USE THAT TO
DEVELOP TECHNOLOGIES, TREATMENTS
AND CURES, HOPEFULLY.
TO IMPROVE THE QUALITY OF LIFE
FOR ALL PEOPLE AFFECTED BY
NEUROLOGICAL DISORDERS.
AS SUCH WE ARE SO APPRECIATIVE
OF THE RESEARCH BEING DONE HERE
TODAY.
I DO WANT TO TAKE A QUICK MOMENT
THOUGH TO ACKNOWLEDGE TWO OF THE
CHAMPIONS OF THIS EFFORT AT
NINDS.
DR. FINKELSTEIN WILL RETIRE AND
HE IS FAMOUS AT LEAST IN OUR
INSTITUTE, FOR URGING
RESEARCHERS TO FOLLOW THEIR
BLISS, TO DO THE RESEARCH THAT
MOST INSPIRES AND CAPTIVATES
THEIR IMAGINATION ESPECIALLY
WHEN THAT CAN LEAD TO NEW
INSIGHTS INTO THE FUNDAMENTAL
WORKINGS OF THE BRAIN.
THIS INITIATIVE IS PROBABLY AS
CLOSE TO BLISS AS ANYTHING AT
NIH CAN BE FOR BOB AND FOR MANY
OF US.
AND THE FASCINATING RESEARCH
THAT HAS EMERGED NOT ONLY POINTS
TO SOME OPPORTUNITIES FOR MUSIC
AS THERAPY BUT I ALSO WANT TO
ACKNOWLEDGE IT CAN PROVIDE NEW
TOOLS TO HELP US UNLOCK SOME OF
THE PERSISTENT MYSTERIES HOW THE
BRAIN WORKS.
HOW DO WE THINK, HOW DO WE FEEL,
HOW DO WE REMEMBER.
AND THAT IS ALSO A CRITICAL
ASPECT OF THIS EXCITING WORK.
I'M ALSO REALLY PROUD OF MANY OF
THE PROJECTS WE HAVE SUPPORTED
THROUGH THE MUSIC AND HEALTH
INITIATIVE AND WANT TO HIGHLIGHT
A COUPLE HERE TODAY.
MUSIC CAN HAVE WIDE RANGING
PHYSICAL, COGNITIVE, PSYCHO AND
SOCIAL BEHAVIORAL IMPACTS AN
BECAUSE IT CAN AFFECT MOTOR
PERFORMANCE AND SPEECH AND
COGNITION AND AID PARKINSON'S
DISEASE AND VARIOUS FORMS OF
DEMENTIA.
THROUGH THIS NESHT WE FUNDED
MANY INNOVATIVE RESEARCH
PROJECTS THAT ALSO TALK ABOUT
HOW THE BRAIN FUNCTIONS.
FOR EXAMPLE, WE'RE EXPLORING THE
AFFECTS OF MUSIC TRAINING ON THE
DEVELOPMENT OF EXECUTIVE
FUNCTION SKILLS IN A POPULATION
OF SCHOOL-AGE CHILDREN FROM
UNDER RESOURCED COMMUNITIES.
AND I THINK IT ALSO POINTS TO
THE POTENTIAL OF MUSIC THERAPY
TO ADDRESS ISSUES OF HEALTH
EQUITY AS ALLUDED TO EARLIER
TODAY.
WE FUNDED PROJECTS THAT HAVE
INVESTIGATED THE RELATIONSHIP
BETWEEN MEMORY AND MUSIC AND
OTHERS INVESTIGATING THE NEURAL
CONSEQUENCES OF EARLY MUSIC
INTERVENTIONS DEEPENING OUR
UNDERSTANDING OF THE GENERAL
DEVELOPMENT OF THE AUDITORY
SYSTEM AND PROCESS.
WE FINDED COLLABORATIONS WITH
TUFT'S UNIVERSITY TO DEVELOP A
SONG BIRD PROGRAM AND HOW DO WE
FEEL THE BEAT AND HOW DO WE HEAR
IT AND USE IT POTENTIALLY TO
COORDINATE MOVEMENT?
SOUNDS BIRDS ARE A COMPLEX
RHYTHMIC VOCAL CONSEQUENCES
DURING A CRITICAL PERIOD AND
PARALLELS HUMAN SPEECH LEARNING.
HOW ARE BASIC PATTERNS
RECOGNIZED MAYBE INDEPENDENT OF
THE SPEED OF THE SONG AND HOW
DOES IT VARY BETWEEN MALE SONG
BIRDS AND FEMALE SONG BIRDS WHO
DO NOT?
THIS COLLABORATION LAID THE
GROUND WORK TO STUDY BEAT
PERCEPTION AND INFORMING
MUSIC-BASED INTERVENTIONS TO
ENHANCE FUNCTION IN NORMAL AND
DISEASED STATE.
I THINK IT'S A FUN AND IMPORTANT
EXAMPLE OF THE TYPE OF CREATIVE
WORK THAT COMES FROM THIS
INITIATIVE.
WITH THAT I'M HAPPY TO TURN THE
TAKE OVER TO THE NEXT PANEL THAT
WILL LOOK AT FUTURE RESEARCH
DIRECTIONS.
THANK YOU.
I'M PLEASED TO INTRODUCE OUR
NEXT PANEL, DR. FINKELSTEEN AND
DR. CHEN AND DR. ZANTO FROM THE
UNIVERSITY OF SAN FRANCISCO.
NOW OVER TO DR. ZANTO AND OUR
PERFORMER.
>> THANK YOU, GOOD MORNING.
I'M TED ZANTO FROM NEUROSCAPE AT
UC
UCSF AND HONORED TO BE HERE TO
INTRODUCE A WONDERFUL SCIENTIST
WHOSE PERFORMANCE I BELIEVE WILL
PERFECTLY CAPTURE THE ESSENCE OF
THIS MORNING'S SESSION, FUTURE
RESEARCH DIRECTIONS.
NOW, WE ALL HAVE EXPECTATIONS
FOR WHAT THE FUTURE MIGHT HOLD
YET WE CAN'T PREDICTION THE
FUTURE.
OUR EXPECTATIONS WILL BE BROKEN
AND MANY ARGUE THE VIOLATION OF
EXPECTATIONS WILL DRAW US TO
MUSIC AS IF WE'RE CELEBRATING
THE UNKNOWN.
I'D LIKE TO LET YOU ROLE PLAY
THROUGH THIS PERFORMANCE TO
VIOLATE WHAT YOUR EXPECTATIONS
OF WHAT MUSIC CAN BE AND DO.
WITHOUT FURTHER ADO I GIVE YOU
THE ASSISTANT PROCESS OF MUSIC
IN THE ATLAS INSTITUTE AT THE
UNIVERSITY OF COLORADO, BOULDER,
GRACE LESLIE.
>> THANK YOU.
IT'S AN HONOR TO BE SHARING MY
WORK WITH YOU ALL TODAY AND
ESPECIALLY TO BE PART OF THIS
NEXT GROUP OF MUSIC
TECHNOLOGISTS HERE.
LIME ALL OF I WEAR MANY HATS AND
TODAY I'M WEARING MY MUSIC
PERFORMANCE HAT LITERALLY.
BUT I ALSO RENT A LAB AT THE
ATLAS INSTITUTE CALLED THE BRAIN
MUSIC LAB AND WE'RE BUSY
DEVELOPING NEW KINDS OF HUMAN
COMPUTER INTERFACES THAT USE
BRAIN AND BODY SIGNALS AND MUSIC
AND DEMONSTRATING THE
APPLICATIONS THEY HAVE TO
CREATIVITY AND HEALTH.
AS A PERFORMING MUSICIAN AND
MUSIC TECHNOLOGIST I HAVE A
PROVOCATION I WANT TO PRESENT
TODAY BOTH IN WORDS AND MY
MUSIC.
OUR FIELD OF MUSIC TECHNOLOGY IS
INCREASINGLY ENABLED MUSIC
EXPERIENCING AND ENABLING MUSIC
EXPERIENCES THAT TREAT MUSIC AS
A DISEMBODIED SENSORY STIMULUS.
AS WE ENTER AGE AGE OF MUSIC AND
ART GENERATED BY ARTIFICIAL
INTELLIGENCE LET US NOT FORGET
MUSIC IS THE COMMUNICATION FROM
ONE HUMAN TO ANOTHER AND THE
HUMAN BODY AND THE SPIRIT ARE
ITS TRANSDUCERS AND ULTIMATELY
CARRY THE RESPONSE ACTAB RESPON
HEALING QUALITIES.
WE HEARD ABOUT CULTURES THAT DO
NOT DISTINGUISH BETWEEN MUSIC
CREATORS AND LISTENERS AND I
BELIEVE THIS MODEL CAPTURES THE
HUMAN EXPERIENCE THAT CAN BE
MODELS AS A TRANSFERENCE OF
ENTEROCEPTION AND BODILY
AWARENESS FROM ONE PERSON TO
ANOTHER.
YESTERDAY FRANCIS COLLINS
HIMSELF THE BOSS, QUOTE THE BOSS
SAYING THE BEST MUSIC IS THERE
TO PROVIDE YOU SOMETHING TO FACE
THE WORLD WITH.
I'D LIKE TO REPEAT THIS WITH A
VARIATION.
IT'S MUSICIANS WHO GIVE OF
THEMSELVES HERE TO FACE THE
WORLD WITH US IN THIS
PERFORMANCE I'M TURNING MY HEART
WAVES AND SOUNDS AS THE EMBODIED
NATURE OF PERFORMANCE AND MY
GOAL IS TO COMMUNICATE MY HUMAN
EXPERIENCE TO PROVIDE YOU ALL
WITH SOMETHING TO FACE THE WORLD
WITH.
THANK YOU.
>> WOW.
THAT WAS GREAT.
WHEN WE HAD THE PANEL DISCUSSION
I WANT YOU TO EXPLAIN A LITTLE
BIT ABOUT WHAT YOU WERE DOING,
GRACE.
I CONSIDER IT THE WARM UP PART
OF THE SHOW, ACTUALLY.
OKAY, SO I'M BOB FINKELSTEIN THE
DIRECTOR OF THE NEUROLOGY
INSTITUTE AND WELCOME TO SESSION
4.
TODAY'S THE DAY WE'RE LOOKING
FORWARD AND IN THIS SESSION
LOOKING TO DEVELOP
RECOMMENDATIONS FOR FUTURE
RESEARCH.
SO WE HAVE A GREAT LINEUP OF
SPEAKERS.
IS THAT ON THE BOARD?
I HAVE IT WRITTEN DOWN HERE.
FIRST IS KEVIN LUI FROM NIDCR
THE NATIONAL INSTITUTE OF DENTAL
AND CRANIOFACIAL RESEARCH AND
ALSO FROM NCCIH AND REINA GORDON
FROM VANDERBILT, TED ZANTO FROM
UCSF, JACKIE KULINSKI FROM THE
MEDICAL COLLEGE OF WISCONSIN AND
CHRISTINA HUGENSCHMIDT AND THE
FIRST TWO TALKS ARE BASIC
MECHANISM TALKS.
THEY'RE CLOSER TO BEING BASIC
RESEARCH.
TED'S TALK IS KIND OF A BRIDGE
BETWEEN BASIC AND APPLIED AND
THE LAST TWO TALKS ARE PRIMARILY
APPLIED RESEARCH.
THAT WILL GIVE YOU A CONTINUUM
FROM BASIC TO APPLIED WHAT WE'RE
DOING.
IS KEVIN HERE?
>> GOOD MORNING, EVERYONE.
FIRST I'M LIKE TO THANK MY
COLLEAGUES AT NIH FOR A GREAT
EVENT ALLOWING ME TO SHARE
RECENT FINDINGS IN BASIC
SCIENCE.
THE TITLE OF MY TALK TODAY IS
SOUND INDUCES ANALGESIA THROUGH
CORTICOTH
CORTICOTHALMIC CIRCUITS.
IT'S BEEN RECOGNIZED CERTAIN
KINDS OF SOUNDS AND DIVERSE
MUSIC AND EVEN SOUNDS OF NATURE
COULD INDUCE PAIN RELIEF IN H
HUMAN BEINGS AND IT WAS
PUBLISHED IN A STUDY OF 5,000
PATIENTS A GROUP OF DENTISTS IN
BOSTON REPORTED WHEN THEY PLAYED
MUSIC FOR PATIENTS DURING
SURGERY AND THE NOISE GENERATED
COULD DRIVE ANALGESIC AFFECTS.
SO INSPIRED BY THIS STUDY IN
HUMANS WE WENT TO THE
INVESTIGATOR TO LOOK AT WHETHER
SOUND CAN PRODUCE ANALGESIC
AFFECTS USING RODENT MODELS.
WE FIRST WE ESTABLISHED AN
INFLAMMATION PAIN MODEL AND USED
A TEST TO MEASURE THE MECHANICAL
PAIN SENSITIVITY.
I HOPE YOU CAN APPRECIATE AS
SHOWN IN THE VIDEO INFLAMMATION
HAS BEEN INDUCTED A GENTLE TOUCH
DELIVERED BY A VARYING EVOKE
LICKING OF THE HIND PAW
INDICATORS OF PAIN SENSITIVITY.
WE ADDED A PIECE OF MUSIC WHEN
WE PERFORMED THE SAME TEST.
IN THIS CASE WE CHOSE A PIECE OF
SYMPHONY.
SO I HOPE YOU CAN APPRECIATE
THAT WHEN THE MUSIC IS PLAYING
AN THIS IS IDENTICAL FOR THE
HIND PAW AND NOW WE HAVE SEEN
THE FLINCHING AND LICKING
DISAPPEARED AND IT FAILED AND
SHOWING PAIN WAS ATTENUATED.
AND MUSIC INDUCED ANALGESIA CAN
LAST FOR TWO DAYS EVEN WITHOUT
MUSIC IF MY EXPOSURE TO THIS
REPEATEDLY FOR THE THREE DAYS.
SO WE WENT FURTHER TO STUDY
WHETHER THIS MUSIC INDUCED
ANALGESIC WAS DUE TO THE MUSIC
WE CHOSE FOR EXAMPLE SOME MICE
MIGHT BEFORE MOZART OR BEETHOVEN
AND DUE TO OTHER PROPERTIES.
TO TEST THIS WE THEN PLAYED TWO
OTHER FORM OF MUSIC.
THE FIRST IS WE SWITCHED AND THE
SECOND IS WHITE NOISE.
WE PLAYED THE TWO TYPES OF MUSIC
AND TO OUR SURPRISE, BOTH TYPES
OF MUSIC CAN EQUALLY NUMB THE
PAIN AND THE BACH DID.
SO WHAT WAS KEY IF IT WAS PLAYED
AT A LEVEL ABOVE THE BACKGROUND
NOISE FIVE DECIBELS ABOVE WE
COULD OBSERVE AN ANALGESIC
AFFECT OF SOUND INTENSITY.
TO STUDY HOW THIS COULD LEAD TO
AN ANALGESIC AFFECT WE FIRST
PROBED THE ACTIVITY OF THE
CORTEX WHERE THE SOUND
INFORMATION IS PROCESSEDA IN THE
CORTEX.
SO OUR RESULTS SHOWS THAT ONLY
THE LOW SIGNAL TO NOISE RATIO OF
FIVE DECIBEL IS ENOUGH BUT NOT
THE HIGHER ONES COULD REDUCE
NEURONAL ACTIVITY WITHIN THE
AUDITORY CORTEX.
MORE IMPORTANTLY THE CHEMO
GENETIC EXCITATORY NEURONS
WITHIN THE AUDITORY CORTEX CAN
ENHANCE THE MECHANIC CAL TLCHT
WHICH WAS SIGNIFICANTLY LOWERED
ON THE INFLAMMATION OF PAIN.
THIS REALLY SUGGESTS THAT THE
AUDITORY CORTEX IS ACTIVELY
INVOLVED IN THE LOW
SOUND-INDUCED ANALGESIA.
WE WENT FURTHER TO IDENTIFY
POTENTIAL DOWN STREAM TARGETS OF
AUDITORY CORTEX THAT MIGHT DRIVE
THIS CROSS-MODEL THE SENSORY
PROCESSING.
TO DO THAT WE INJECTED A VIRUS
INTO THE AUDITORY CORTEX.
THIS METHOD ALLOWED US TO TRACE
THE OUTPUT FROM THE EXCITATORY
NEURONS OF THE AUDITORY CORTEX
AND THE PRESYNAPTIC TERMINALS
AND TO OUR SURPRISE WE FOUND
ABUNDANT SIGNALS IN NUCLEI
WITHIN THE THALAMUS THE VENTRAL
POSTERIOR NUCLEUS.
THESE WE CALL NUCLEUS AND REPLAY
FROM THE SPINAL CORD TO THE
SENSORY CORTEX WHERE THE
PERCEPTION IS RECEIVED.
THIS SUGGESTS THE SOMATO SENSORY
THALAMUS MAY FUNCTION FOR THE
SENSORY PROCESSES.
TO TEST THIS HYPOTHESIS, WE
FIRST PROBED THE NEURONAL
ACTIVITY WITHIN THE P.O.
FIRST WE SHOWED THAT AMONG THE
PAIN CONDITION THE NEURONAL
ACTIVITY WAS ENHANCED WITHIN THE
P.O.
MORE IMPORTANTLY, SUCH NEURONAL
ACTIVATION COULD BE REDUCED WHEN
MICE WERE EXPOSED TO THIS LOW
SOUND.
SO TO REALLY FUNCTIONALLY
MANIPULATE THE CORTICO AUDIO TO
THE THALAMIC PATHWAY WE
PERFORMED OPTOGENETICS WHERE THE
LIGHT WAS SHED ON TO THE AXON
TERMINAL AND P.O.s FROM THE
AUDITORY CORTEX.
IN ACTIVATION OF THE PATHWAY
REALLY FEEN PHENOCOPIED THE
SOUND INDUCEMENT AND REDUCED
ACTIVATION WITHIN THE P.O. AND
SECOND, IT COULD ENHANCE THE
MECHANICAL SENSITIVITY LOWERED
FROM THE INFLAMMATION.
IN CONTRAST, THE ACTIVATION OF
THIS PATHWAY CAN BLOCK LOW
INDUCED ANALGESIA.
THIS SUGGESTS THAT SUCH CORTICO
TO SOME OF THE SENSORY THALAMIC
PATH WE IS BOTH REQUIRED AND
SUFFICIENT TO DRIVE LOW SNR
SOUND INDUCED ANALGESIA.
TO SUMMARIZE OUR FINDINGS, OUR
STUDY SHOWED THAT THE AUDITORY
CORTEX COULD IMPACT PAIN
PERCEPTION BY THE AUDITORY
THALAMIC CORTICAL OF THE SENSORY
SIGNALS.
AS OUR FUTURE DIRECTION IT IS
REALLY INSIGHTFUL TO FOCUS ON
THE BRAIN REGIONS WHERE MULTIPLE
SENSORY INFORMATION CONVERGE.
AND ALSO THE ASSOCIATED CORTICO
REGIONS LIKE INSULAR CORTEX AND
I WILL STOP HERE AND THANK MY
WONDERFUL DIVERSE GROUP AND OUR
WONDERFUL COLLABORATORS AND THE
POSTDOC AT THE UNIVERSITY.
THANKS FOR YOUR ATTENTION AND
I'M HAPPY TO COMMUNICATE AFTER
THIS TALK.
>> HERITABILITY IS THE
PROPORTION OF PHENOTYPIC
VARIATION EXPLAINED BY GENETIC
VARIATION.
WE ARE NOT RULING OUT
ENVIRONMENT BECAUSE GENETICS CAN
INFLUENCE THE CULTURAL
EXPERIENCES THAT WE SEEK OUT AND
CREATE AS HUMANS.
IT IS ALL CONNECTED.
SO HERE WE ARE HARNESSING
INDIVIDUAL DIFFERENCES ACROSS
PEOPLE.
NOW, KEEP THAT IDEA IN MIND
BECAUSE IT'S GOING TO BE VERY
IMPORTANT FOR CLINICAL
APPLICATIONS OF MUSIC.
THERE'S WORK IN THIS BETWEEN
REGISTRY MADE POSSIBLE BY THE
FACT THEY'RE INVESTING IN
COLLECTING MANY MUSE MUSICALITY
AND SOME RHYTHMIZATION AND
VARIABILITIES IS IS CORRELATED
WITH GENETIC SIMILARITIES AND
DIFFERENCES.
AND WANTED TO TAP INTO THE
PURPOSE AND I WANT TO EXPRESS MY
GRATITUDE TO NIH FOR THE SUPPORT
AND THROUGH K18 I GOT TRAINING
IN COMPLEX GENETICS AND KEY TO
EVERYTHING I'M PRESENTING TODAY.
IN GWAS TRAITS CAN BE ANY
MEASURABLE PHENOTYPE NOT JUST
CASES AND CONTROLS BUT SCORES ON
A TEST OR QUESTIONNAIRE
RESPONSES AND LOOK AT HOW THE
SCORES CORRELATE WITH GENOTYPES
AND GWAS STRATEGICALLY MEASURE
GENETIC MARKERS ACROSS THE
GENOME AND SMALL EFFECTS THAT
ARE WIDESPREAD ACROSS THE
POPULATION FOR COMPLEX TRAITS
THAT VARY CONTINUOUSLY AND
INVOLVE MANY GENES AND THAT'S
DIFFERENT FROM RARE VARIANTS OR
MUTATIONS YOU MAY HAVE HEARD
ABOUT THAT CAUSE MONOGENIC
DISORDER.
HERE WE NEED LARGE ENDS TO
DETECT THE SMALL EFFECTS AND THE
COMPLEX TRAIT THAT VARIES
CONTINUOUSLY IN THE POPULATION
AND SET OUT TO DO A GWAS OF
RHYTHM AND MET OUR GOAL OF
GETTING TO A LARGE SAMPLE SIZE
BY WORKING WITH PERSONAL
GENETICS COMPANY 23 AND ME.
THEY HAVE GENOTYPE DATA ON A
VAST NUMBER OF PEOPLE WHO ALSO
CONSENTED TO RESEARCH AND IN A
STUDY OVER 600,000 PEOPLE ANSWER
THE SELF-REPORT QUESTION CAN YOU
CLAP IN TIME WITH THE MUSICAL
BEAT.
THE RESPONSES TO THAT QUESTION
BECAME THE PHENOTYPES FOR THE
GWAS STUDY AND I LIKE THIS
QUESTION AS A STARTING PLACE FOR
OUR GENOMIC STUDIES BECAUSE
MOVING IN TIME TO MUSICAL BEAT
IS A COMMON FEATURE ACROSS
CULTURES AND HAS CLINICAL
RELEVANCE.
I'M GOING WALK THROUGH KEY
RESULTS OF THE GWAS STUDY AND
TALK ABOUT HOW IT'S OPENED UP
NEW AVENUES FOR MUSIC AND
RESEARCH.
OF COURSE IF WE'RE USING A
SINGLE ITEM PHENOTYPE IT'S A
PROXY FOR PEOPLE'S RHYTHM
ABILITIES AND I'LL POINT OUT
HIGHLIGHT AND ONE HIGHLIGHT OF
THOSE RESULTS AND HERE WE ASKED
PEOPLE TO TAP IN TIME TO THE
BEAT OF MUSICAL EXCERPTS AND THE
RESULTS HAVE ACCURACY AS THE
STANDARD DEVIATION OF THE A
SYNCHRONY AND PEOPLE WHO
RESPONDED IN YELLOW WERE MORE
ACCURATE TAPPERS THAN PEOPLE WHO
RESPONDED NO AND WE DID OTHER
SENSITIVITY ANALYSES.
ALL TOGETHER THE EXPERIMENT
SHOWED THE SELF-REPORTED BEAT
S
SYNCHRONIZATION AND THIS SHOWS
ASSOCIATIONS WITH THE RESPONSES
TO THE QUESTION.
AND HERE WE FOUND 69 INDEPENDENT
GENOMIC LOCI WITH BEAT
SYNCHRONIZATION.
IT'S HIGHLY POLY GENIC AND
THERE'S NOT A SINGLE GENE FOR
RHYTHM.
THERE'S MANY GENES FOR RHYTHM.
WE WERE ABLE TO DISCOVER THIS
BECAUSE OF THE STATISTICAL POWER
OF THE LARGE STUDY WE DID A
NUMBER OF ADDITIONAL THINGS WITH
THE GWAS DATA SET.
I'LL SHOW HIGHLIGHTS NOW.
WE ASKED CAN THE BEAT
SYNCHRONIZATION FINDINGS HELP US
UNDERSTAND HOW MUSICALITY
RELATES TO HEALTH.
TO DO THIS WE HARNESSED AN OLD
THEORY WITH NEW METHODOLOGICAL
APPROACHES AND THE CONCEPT IS
WHEN A SINGLE GENETIC LOCUS CAN
AFFECT TWO PHENOTYPICALLY
EXCELLENT TRAITS AND CROSS-TRAIT
PHENOTYPIC CORRELATIONS OFTEN
REFLECT UNDERLYING GENETIC
CORRELATIONS DUE TO PLIO TROPHY
AND THERE WERE METHODS THAT GAVE
US A TECHNIQUE FOR TESTING THIS
IN DATA.
AND THE WORLD IS YOUR PLAYGROUND
TO DO BIG DATA AND THE GWAS OF
SUBJECTIVE WELL BEING IS
NEGATIVELY CORRELATED WITH THE
GWAS OF DEPRESSIVE SYSTEMS IS
WHAT YOU WOULD EXPECT BASED ON
THE PHENOTYPIC STUDIES.
SO IN THE NEXT PART OF OUR
RHYTHM GENETIC STUDIES WE TAKE
AN ITERATIVE APPROACH.
WE WANT TO START OUT WITH THE
HYPOTHESES OR ANALYSES AND THOSE
ARE WHAT WE CALL HYPOTHESIS
GENERATING ANALYSES.
I'LL EXPLAIN WHAT WE DO AS NEXT
STEPS.
WE GATHER DATA FROM OVER 60 GWAS
STUDIES AND LOOKED AT THE
OVERLAP WITH SYNCHRONIZATION AND
I'LL HAVE RESULTS ON CIRCADIAN
PHENOTYPES AND THERE'S
EVENINGNESS VERSUS MORNINGNESS
AND OUR FIRST OF ANALYSES IN THE
LEFT SHOWED IT WAS GENETICALLY
CORRELATED WITH EVENING CRONO
TYPE AND IT WAS CORRELATED WITH
LOWER LIKELIHOOD OF SHORTNESS OF
BREATH ON A WALK AND TESTED
MULTIPLE TRAITS IN A MULTIPLE
SAMPLE IN THE TRADITIONAL
PSYCHOLOGY WAY AND FOUND THE
SAME PHENOTYPIC S MIRRORING WHAT
WE FOUND GENETICALLY.
IN THE RIGHT COLUMN BEAT
SYNCHRONIZATION WAS CORRELATED
WITH EVENING CRONO TYPE AND
LIKELIHOOD OF SHORTNESS OF
BREATH AND THIS CAN GENERATE
HYPOTHESIS FOR NEW BEHAVIORAL
STUDIES.
SO THEN WE PERFORMED ADDITIONAL
ANALYSES AND WE IDENTIFIED A
COMMON GENETIC FACTOR AND THAT'S
A VARIABLE WITH A PORTION OF THE
GENETIC VARIATION ASSOCIATED
WITH BEAT SYNCHRONIZATION WAS
RELATED WITH MOTOR AND
PROCESSING AND RESPIRATORY
TRAITS AND THAT'S INTERESTING
BECAUSE THERE WAS LITERATURE
LINKING RESILIENCE AND THE MOTOR
AND RESPIRATORY DOMAINS TO
COGNITIVE RESILIENCE AND LONG
DECLINE PROCEEDED MOTOR DECLINE
AND THIS COULD BE A CO-FACTOR
AND COULD BE BECAUSE OF SHARED
GENETICS.
THAT'S ONE EXAMPLE HOW WE CAN
LINK MUSICALITY AND HEALTH
OUTCOMES USING BIG DATA.
SUMMARIZING KEY POINTS OF THE
STUDY WE SEE BEAT IS ASSOCIATED
WITH MANY GENES AND THE GENETIC
CORRELATIONS LINK BEAT
SYNCHRONIZATION TO HEALTH TRAITS
AND THIS APPROACH CAN LEAD US TO
HOW INDIVIDUAL DIFFERENCES IN
MUSICALITY RELATE TO HEALTH, AND
RESILIENCE.
ARE WE JUST INTERESTED IN THE
GENETICS OF RHYTHM SKILLS?
OF COURSE NOT.
I'M FORTUNATE TO BE A CO-FOUNDER
OF THE MUE CAT GENOMICS
CONSORTIUM AND WE BROUGHT
TOGETHER 40 EXPERTS AROUND THE
WORLD ON MUSICALITY USING
GENOMIC AND LARGE SCALE
POPULATION APPROACHES.
AN EXAMPLE HAS BEEN TO
COORDINATE LARGE-SCALE EXISTING
DATA.
BY JOINING FORCES AND PULLING
SUMMARY DATA WE'RE MEETING
ANALYSIS UP TO 60,000
PARTICIPANTS AND THAT HELPS
ACHIEVE RESULTS THAT WOULD NOT
BE POSSIBLE BY WORKING ALONE.
SO THE NEW STUDY WILL LOOK AT
HOW GENETIC VARIATION IS
ASSOCIATED WITH PEOPLE'S MUSICAL
ACTIVITIES AND INCLUDING HOW
MANY MUSICAL TRAINING PEOPLE
RECEIVE OVER THE LIFE SPAN.
WE'LL THEN DIG DEEP IN THE
RELATIONSHIP BETWEEN THAT
GENETIC SIGNAL AND A WIDE RANGE
OF NEUROLOGICAL AND BEHAVIORAL
TRAITS.
SO FAR WE'VE IDENTIFIED COHORTS
WITH EUROPEAN ANCESTRY DATA AND
WE'RE LOOKING FOR WAYS TO
CONNECT WITH MORE ANCESTRALLY
DIVERSE COHORTS, POTENTIALLY THE
NIH'S ALL OF US STUDY AND ADDING
MUSICALITY PHENOTYPING TO THE
ALL OF US COHORT WOULD BE GAME
CHANGER FOR THE WHOLE RESEARCH
ARENA OF MUSICALITY GENE EM --
GENOMICS AND LOOK AT HEALTH AND
WE CAN SEE A PRECISION MEDICINE
THEME EMERGE.
I SEE A FUTURE FOR
INDIVIDUALIZING MUSIC-BASED
TREATMENTS BASED ON PROFILES OF
INDIVIDUALS AND I THINK MANY
PEOPLE HERE WOULD AGREE THAT
TAKING INDIVIDUAL DIFFERENCES
INTO ACCOUNT IN GENERAL WOULD BE
A KEY STRATEGY FOR DISCOVERING
ROBUST MUSIC TREATMENT EFFICACY
AND WE HEARD ABOUT INDIVIDUAL
VARIATION DURING THE MEETING
FROM OTHERS AND WE HEARD HOW TO
SELECT AND CHARACTERIZE RESEARCH
PARTICIPANTS THROUGHOUT THE
POPULATION AND EVENTUALLY WE
WANT TO KNOW HOW TO TAILOR
INTERVENTIONS TO INDIVIDUALS AND
FIND OUT WHAT WORKS BEST FOR
WHOM.
AND I WAS STRUCK BY COMMENTS
ABOUT DOING THE HARD WORK OF
FIGURING OUT WHO WE ARE AND OUR
GENOMES ARE ONE ASPECT THAT
MAKES EACH OF US INDIVIDUALS.
LET'S LEARN MORE ABOUT THE
BIOLOGY ABOUT INDIVIDUAL
DIFFERENCES IN MUSICALITY EVEN
AT BASELINE AND ASPECTS LIKE
WHAT IS THE BIOLOGY THAT DRIVES
US TO ENGAGE WITH MUSIC.
THIS KNOWLEDGE CAN HELP US TO
STRATEGICALLY PERSONALIZE
INTERVENTIONS.
I THINK THAT WILL HELP WITH OUR
INTERVENTION STUDY DESIGNS.
MY PLEA IS TO THINK OF
INDIVIDUAL DIFFERENCES AND THOSE
MAY GO AS DEEP AS THE GENOME.
BIG DATA CAN HELP US UNRAVEL
SOME OF THE THESE COMPLEXITIES
AND PLEASE COMMUNICATE WITH OUR
COLLEAGUES IN THE POPULATION
HEALTH AND COMPLEX TRAIT
GENETICS FIELD TO STRESS THE
IMPORTANCE OF HUMAN MUSICALITY
AS IT RELATES TO HEALTH SO WE
CAN MAKE THE LARGE SAMPLE SIZES
HAPPEN.
SO THIS WORK IS VASTLY
COLLABORATIVE OF COURSE.
I WANT TO ACKNOWLEDGE THE NIH
SUPPORT THAT'S BEEN SO CRUCIAL
AND ESPECIALLY THE NIDCD AND THE
NIH OFFICE OF THE DIRECTOR FOR
THE SUPPORT OF THE NEW INNOVATOR
AWARD.
THAT SPARK THE HIGH-RISK ASPECTS
OF THE WORK I PREVENTED TODAY.
I ALSO WANT TO THANK THE
INSTITUTE FOR SUPPORTING MY
COLLABORATIONS WITH THE FISHER
LAB AND GRATEFUL FOR MY
WONDERFUL COLLABORATORS AND
TRAINEES IN MY LAB AND THANK YOU
FOR YOUR ATTENTION.
THAT WAS GREAT AND WE'RE A
LITTLE BEHIND AND I HAVE WEN
BREATHING DOWN MY BREAK AND
WE'LL HAVE A 10 MINUTE BREAK AND
COME BACK BY 10:05.
>> THANK YOU.
WELCOME BACK FROM THE BRIEF
BREAK AND BACK TO
DR. FINKELSTEIN.
>> SOMETIMES I'D LIKE TO HAVE A
MEET WHERE IT'S JUST ONE LONG
BREAK AND FOR THIS COMMUNITY
WOULD BE FANTASTIC.
SUN
TED ZANTO IS OUR NEXT SPEAKER
AND I'M SETTING THE WONDERFUL
CLOCK FOR 10 MINUTES.
>> I'M STILL EXCITED TO BE HERE.
I'LL TRY TO SPEAK A LITTLE
FASTER.
I'M HONORED AND EXCITED TO
PRESENT SOME OF THIS WORK I'M
GOING TO BRIEFLY SPEAK ABOUT AN
INTERVENTION WE'VE DONE USING A
DIGITAL RHYTHM TRAINING APP THAT
SHOWED MUSICAL TRAINING HELPS
SENSORY PROCESSING, ATTENTION,
MEMORY AND PROCESSING SPEED AND
WHAT'S COOL IS THAT THAT
INCREASE IN COGNITIVE ABILITIES
CAN FACILITATE TASKS SUCH AS
MUSICAL AND NON-MUSICAL THOUGHT
TO BE FACILITATED BY NEURAL
NETWORKS ENGAGED DURING THE
MUSIC TRAINING OR ANY TASK THAT
ENGAGED FOR EXAMPLE AUDITORY
DISCRIMINATIONABILITIY --
DISCRIMINATION ABILITIES OR
MOTOR NETWORK AND IF ARE WERE TO
ENGAGE IN A MUSICAL INSTRUMENT
AND TRYING TO TRACK THE BAND
MATE THERE'S AUDITORY NETWORKS
AND AUDITORY DISCRIMINATION TO
DISCRIMINATE THE SOUNDS FROM
YOUR OWN AND THE ENVIRONMENT AND
FOCUS ON YOUR TARGET SOUND.
AND WHAT'S INTERESTING IS BY
ENGAGING THE NETWORKS WE BELIEVE
THAT CAN IMPROVE TASKS NON
MUSICAL SUCH AS YOUR ABILITY TO
PERHAPS DETECT SPEECH AND NOISE.
NOW, PRIOR RESEARCH HAS LARGELY
FOCUSSED ON -- THERE'S A LOT OF
NEW RESEARCH OF COURSE THAT'S
INTERVENTION BUT THERE'S A LOT
OF RESEARCH THAT HAS BEEN
FOCUSSED ON THESE
CROSS-SECTIONAL DESIGNS WHICH IS
POWERFUL AND NEEDED AND
NECESSARY AND I LOVE IT BUT AT
THE SAME TIME THERE'S THE
NAYSAYER WHO SAID THERE MAY BE
FUNDAMENTAL BASELINE GROUPS THAT
DRAW THEM TO OR FROM MUSICAL
TRAINING.
AND IT'S RELATIVELY UNCLEAR YET
WHAT ARE THE MECHANISMS THAT MAY
ENABLE MUSICAL TRAINING TO
ENABLE TRANSFER OF BENEFIT TO
NON-MUSICAL TASKS AS WELL AS
IT'S UNKNOWN WHETHER DIGITAL
INTERVENTIONS AND DIGITAL MUSIC
TRAINING MIGHT ALSO BENEFIT
COGNITIVE FUNCTIONS SIMILAR TO
TRADITIONAL MUSICAL INSTRUCTION.
AND THIS IS PARTICULARLY
RELEVANT I BELIEVE BECAUSE OUR
SOCIETY AND WORLD IS SATURATED
WITH TECHNOLOGY FOUND IN YOUR
HOMES, IN OUR POCKETS, AND SO
TODAY I'M GOING TO TALK ABOUT
OUR STUDY THAT WAS A RANDOMIZED
CLINICAL TRIAL.
WE ARE TARGETING OR ASSESSING
POTENTIAL MECHANISMS OF TRANSFER
TO BENEFIT NON-MUSICAL TASKS.
AND WE'RE GOING TO ASSESS THE
POTENTIAL FOR A DIGITAL MUSICAL
TRAINING INTERVENTION.
SPECIFICALLY, WE'RE LOOKING AT
THIS VIDEO GAME THAT WE'VE
DEVELOPED CALLED RHYTHMICITY AND
PLAYED ON AN iPAD SO AS GET
BETTER THE TASKS GET HARDER BUT
IF YOU START TO FALTER AND IT
BECOMES TOO DIFFICULT IT WILL
GET EASIER AND TRY TO KEEP YOU
IN THE SWEET SPOT STAY ENGAGED
AND HAS TIMING AND MEMORY
ABILITIES.
THE OTHER APP IS A WORD SEARCH
TRAINING INTERVENTION THAT WE
CALL WORDER.
IT'S ALSO PLAYED ON A TABLET BUT
NOT ADAPTIVE AND DOES NOT
NOTABLY TAX OR CHALLENGE YOUR
TIMING OR SHORT TERM MEMORY
ABILITIES.
SO WE RECRUITED 46 HEALTHY OLDER
ADULTS NON MUSICIANS AND
RANDOMIZED THEM TO RHYTHM OR
WORD SEARCH TRAINING AS CONTROL.
THE PARTICIPANTS ENGAGED IN
THEIR INTERVENTION AT HOME FOR
EIGHT WEEKS AND CAME INTO THE
LAB PREAND POST INTERVENTION
WHILE WE RECORDED EEG DATA WHILE
ENGAGED IN DIFFERENT COGNITIVE
TASKS.
THEY ASSESSED BEAT BASED TIMING
SUCH AS THE TASK SHOWN IN THE
UPPER LEFT AND ENDOGENOUS TIMING
ABILITY OR DURATION-BASED TIMING
USING A TARGET DISCRIMINATION
TASK AND ASSESSED IN THE UPPER
RIGHT A SHORT-TERM MEMORY
PARADIGM WHICH IS ESSENTIALLY
DELAYED RECOGNITION TASK WE
PRESENT A PICTURE AND ASK A
COUPLE SECONDS LATER IS THIS
WHAT YOU SAW.
IN TERMS OF RESULTS ON THE
EXOGENOUS TIMING TIME WHAT WE
SEE IS RHYTHM TRAINING MADE THEM
MORE RHYTHMIC.
THAT WAS INDEXED BY LOWERED
VARIABILITY AND WHAT'S
INTERESTING TO ME IS THE
DECREASE IN PERFORMANCE
VARIABILITY WAS CORRELATED WITH
A DECREASE IN NEURAL VARIABILITY
INDEXED BY INTRATRIAL COHERENCE
IN THE FREQUENCY BAND AND THIS
WAS LOCALIZED TO A SENSORIMOTOR
NETWORK INCLUDING THE INTERIOR
SIN CINGULATE AND WE USED THE
TASK TO TO THE YOUNG ADULTS CAN
BENEFIT FROM THE CUES TO ORIENT
THEIR ATTENTION WHEN A STIMULUS
WILL OCCUR AND FACILITATE THEIR
RESPONSE TIMES BECAUSE THEY CAN
EXPECT AND OLDER ADULTS DON'T
BENEFIT FROM THE TEMPORAL CUES.
FOLLOWING RHYTHM TRAINING IT DID
NOT IMPROVE THE PERFORMANCE AND
I DIDN'T GIVE DETAILS WITH THE
INTERVENTION BUT IT DIDN'T TAX
ENDOGENOUS TIMING IT'S MORE
EXOGENOUS THE RHYTHM TIMING
GROUP SAW AN IMPROVEMENT IN
THEIR ABILITY TO RECOGNIZE FACES
AND THOSE WHO IMPROVED MOST ON
THE ABILITY TO RECOGNIZE FACES
IMPROVED WITH THEIR ABILITY TO
REMEMBER RHYTHMS.
WE FOCUSSED ON BIOMARKERS A
COUPLE INVOLVED IN TEMPORAL
ATTENTION AND LOOKED AT THE P1
AND N1 OF THE EVENT-RELATED
POTENTIAL AS AN INDEX OF SENSORY
PROCESSING.
WE FOCUSSED ON THESE BECAUSE
THEY'RE KNOWN TO BE INVOLVED IN
FACILITATING MEMORY PROCESSES
AND ALSO KNOWN TO BE CHANGED IN
RESPONSE TO MUSICAL TRAINING.
HOWEVER, FOLLOWING RHYTHM
TRAINING NOTHING HAPPENED.
NEITHER TEMPORAL ATTENTION NOR
TEMPORAL PROCESSING CHANGED AND
WE LOOKED AT THE P3 EVENT
RELATED AND THE INDEX RELATED TO
MEMORY AND CODING.
HERE'S WHERE WE SEE THE
SIGNIFICANT DIFFERENCE.
WE SHOWED A POWER DURING THE P3
AND LOCALIZED TO THE POSTCENTRAL
GYRUS AND RIGHT SUPERIOR
PARIETAL LOBULE AND LOOKED AT
WHERE THEY'RE HOLDING
INFORMATION IN MEMORY.
AND WE SAW POST-RHYTHM TRAINING
WE SAW AN INCREASE ACCURACY AT
THE BEGINNING AND END OF THE
DELAYED PERIOD.
THIS IS WHEN THEY'RE ENCODING
INFORMATION AND RETRIEVING FROM
MEMORY BUT NOT DURING THE
MAINTENANCE PERIOD ITSELF AND
GOES TO THE RIGHT SUPERIOR
PARIETAL LOBULE AND RESEARCH
LOOKED AT THE CONTEXT OF MEMORY
TASKS.
WE INTERPRET THIS AS AN
INDICATION WHEN YOU ENGAGE IN
THIS RHYTHM TRAINING IT'S NOT
TRAINING YOUR ABILITY TO HOLD
MEMORY BUT FACILITATING A
NETWORK OF BRAIN REGIONS LIKELY
INVOLVED IN THE ENCODING AND
RETRIEVAL OF THESE MEMORIES THAT
CAN BE USED IN A DOMAIN GENERAL
MANNER SO YOU CAN REMEMBER NOT
JUST RHYTHMS BUT ALSO FACES.
I BELIEVE IT'S AN EARLY
INDICATOR THAT PERHAPS DIGITAL
RHYTHM TRAINING MAY BE A
FEASIBLE WAY TO IMPROVE VARIOUS
COGNITIVE FUNCTIONS SIMILARLY TO
WHAT WE'VE SEEN THROUGH
TRADITIONAL MUSICAL TRAINING.
THESE IMPROVEMENTS ARE BOTH
DOMAIN SPECIFIC AS WELL AS
DOMAIN GENERAL AND WHAT'S
IMPORTANT IS TO NOTE THAT WHAT
CHANGED FOLLOWING THE TRAINING
WAS WHAT WAS CHALLENGED BY THE
TRAINING.
WE SAW IMPROVEMENTS IN EXOGENOUS
TIMING AND SHORT TERM MEMORY AND
NOT IN ENDOGENOUS TRAINING
ABILITIES.
I WANT TO TAKE A QUICK MINUTE TO
TALK A LITTLE BIT ABOUT SOME
FUTURE RESEARCH DIRECTIONS I
THINK WOULD BE EXCITING FOR THE
FIELD PARTICULARLY BECAUSE
MOBILE DEVICES ARE UBIQUITOUS.
IT'S BEEN ESTIMATED 95% OF
LOW-INCOME HOUSEHOLDS IN THE
U.S. HAVE A SMARTPHONE OR A
TABLET DEVICE.
THIS PRESENTS A GREAT
OPPORTUNITY TO REACH THE VAST
MAJORITY OF MANY UNDER SERVED
POPULATIONS AND THESE DIGITAL
MUSIC-BASED INTERVENTIONS ARE
ADAPTABLE AND CAN BE
REPROGRAMMED AND REPROGRAMMED
AGAIN TO SYSTEMATICALLY ASSESS
COGNITIVE AND SENSORY FUNCTION
AND MOTOR ABILITIES AND
EMOTIONAL STATES AS WELL AS
PERHAPS SOCIAL ENGAGEMENT.
I BELIEVE THE DIGITAL
INTERVENTIONS BECAUSE OF THEIR
ADAPTABILITY COULD BE USED TO
ADAPT SPECIFICALLY TO NEEDS OF
DIFFERENT CLINICAL POPULATIONS
AS WELL.
NOW, BEYOND THE SOFTWARE ADVANCE
MA
-- ADVANCEMENTS THERE'S
COGNITIVE AND VIRTUAL REALITY
AND THERE'S OUR NEXT GENERATION
RHYTHM TRAINING APP WITH
COHERENCE AND A GOOD WAY TO
DEEPLY ENGAGE THE SENSES AND
MOTOR CORTEX AND MOTOR SYSTEM AS
WELL AS COGNITIVE FUNCTIONS FOR
HOPEFULLY THE BENEFIT OF OUR
HEALTH AND GENERAL WELLNESS.
I'D LIKE TO THANK EVERYONE WHOSE
MADE THIS POSSIBLE AND THE
MUSICIANS.
THEY PLAYED AN INSTRUMENTAL ROLE
IN THIS.
THANK YOU.
>> LET'S JUMP IN.
SING FOR CARDIOVASCULAR HEALTH.
CARDIOVASCULAR DISEASE IS THE
NUMBER ONE KILLER OF MEN AND
WOMEN IN THIS COUNTRY AND MOST
OTHER DEVELOPED COUNTRIES.
AND AGE IS A MAJOR RISK FACTOR.
CARDIOVASCULAR REHABILITATION IS
THE CORNERSTONE, A CORNERSTONE
OF TREATMENT.
THE GEOGRAPHY ON THE RIGHT
SHOWED MEDICARE DATA FROM 2016
AND 2017.
BUT WHAT YOU CAN SEE IS WITH
INCREASING AGE FOR BOTH MEN AND
WOMEN PARTICIPATION RATES FOR
CARDIOVASCULAR REHAB ARE
DRASTICALLY REDUCED.
PART OF THE REASON FOR THIS IS
THE PERCEPTION OR INABILITY TO
PARTICIPATE IN THE EXERCISE
PORTION OF CARDIOVASCULAR
REHABILITATION DUE TO FRAILTY
AND OTHER COMORBIDITIES.
HOWEVER, I'D LIKE TO THINK OF
SINGING AS A FORM OF EXERCISE
WHICH WE HEARD ABOUT AND I KNOW
MANY AGREE IN THE CROWD.
PERHAPS SINGING JUST LIKE
EXERCISE COULD BE A PROMISING
ADJUNCT NON-PHARMACOLOGIC
INTERVENTION TO REDUCING
CARDIOVASCULAR DISEASE RISK.
HOWEVER, THERE'S A CURRENT LACK
OF UNDERSTANDING INTO THE
BIOLOGICAL MECHANISMS BY WHICH
SINGING MAY IMPROVE
CARDIOVASCULAR HEALTH.
WHAT ARE VASCULAR ENDOTHELIAL
CELLS?
A SINGLE LAYER OF CELLS THAT
LINE THE INSIDE OF OUR BLOOD
VESSELS AND LYMPHATICS AND HEART
MUSCLE AND IMPORTANT FOR
CARDIOVASCULAR HEALTH AND
HOMEOSTASIS.
ONE THING THEY DO IS PRODUCE
NITRIC OXIDE OR NO.
IT LEADS TO VASO DILATION AND
PREVENTS ATHEROSCLEROSIS FROM
STARTING.
WHEN THE ENDOTHELIUM IS
COMPROMISED, PLAQUE CAN GET IN
THE WALL OF THE ARTERY YOU'RE
NOT AT RISK FOR A CARDIOVASCULAR
EVENT AND AT ARE RISK FOR STROKE
OR FOR ACUTE ISCHEMIA IF IT'S IN
THE LEG.
WE'RE TALKING ABOUT ALL THE
VASCULATURE.
WE KNOW SEVERAL THINGS IMPAIR
VASCULAR ENDOTHELIAL FUNCTION
AND DIABETES AND CHOLESTEROL AND
SEVERAL THINGS IMPROVE BLOOD
PRESSURE AND CHOLESTEROL,
EXERCISE, BUT WHAT ABOUT
SINGING?
YOU CAN MEASURE VASCULAR
ENDOTHELIAL FUNCTION INVASIVELY
AND NON-INVASIVELY.
IN MY LAB WE MEASURE IT
NON-INVASIVELY AND DILATION IN
THE UPPER ARM IS A MEASURE OF
THE LARGER BLOOD VESSELS AND THE
FINGER TIPS MEASURED IS A MARKER
OF MICROVASCULAR FUNCTION.
BOTH ARE IMPORTANT.
WHY THIS IS SUCH AN IMPORTANT
TOOL IN TRANSLATIONAL
CARDIOVASCULAR RESEARCH IS
BECAUSE WE KNOW WE KNOW THAT A
1% INCREASE IN BRACHIAL ARTERY
FLOW MEDIA DILATION IS
ASSOCIATED WITH A LOWER RISKS OF
CARDIOVASCULAR DISEASE.
WE STARTED A PILOT STUDY
BEGINNING FROM MY FELLOW WHO IS
NOW AN INTERVENTIONAL
CARDIOVASCULAR AND WANTED TO
STUDY SING AND HEART HEALTH.
WE OBTAINED PILOT FUNDING FROM
OUR INSTITUTION AND ENROLLED 60
SUBJECTS FROM OUR CARDIOLOGY
CLINIC AND THEY SANG TO A 14
MINUTE PRERECORDED VIDEO
INCLUDING A VOCAL WARM UP AND
SING THE STAR SPANGLED BANNER TO
FULFILL 15 MINUTES AND THIS WAS
RECORDED BY TAWNYA RUCK OUR
PROFESSOR OF VOICE.
AND WE MEASURED BEFORE AND AFTER
ENDOTHELIAL FUNCTION.
WHAT WE SAW WAS AN ACUTE
IMPROVEMENT IN THE FRAMINGHAM
REACTIVE HYPEREMIA IMPACT A
MAKER OF VASCULAR FUNCTION AND
WE GOT A GRANT FROM NIH ON
MARKERS OF CARDIOVASCULAR HEALTH
IN ADULTS WITH CORONARY DISEASE.
WE CHOSE THIS POPULATION BECAUSE
IN THE PILOT STUDY IT WAS THOSE
SUBJECTS THAT HAD WORSE
ENDOTHELIAL FUNCTION AT BASELINE
WHERE SAW THE MOST BENEFIT WITH
SINGING WE HAD AN R61
FEASIBILITY STUDY OF THE DESIGN
AND HERE'S A SCHEMATIC OF THE
MECHANISMS TESTED IN AIMS 2 AND
3.
MEASURING VASCULAR ENDOTHELIAL
FUNCTION AND MARKER OF AUTONOMIC
FUNCTION AND CORTISOL AND MOOD
LEVELS AND I NEEDED A LARGER
MUSICAL TEAM.
WE HAVE TWO PROFESSORS OF VOICE
AND TWO MUSICAL THERAPISTS ON MY
TEAM.
THE TOP RIGHT HERE SHOWS THE
RANDOMIZED CROSSOVER DESIGN OF
OUR STUDY.
THERE'S A REST CONTROL FOR 30
MINUTES.
THEY GET A HEARING TEST DURING
THAT 30 MINUTES AND THEN THERE'S
TWO DIFFERENT SINGING
INTERVENTIONS.
THE FIRST IS VERY SIMILAR TO
THAT OF OUR PILOT STUDY BUT
LONGER.
IT'S 30 MINUTES OF SING.
THE SECOND INTERVENTION IS IN
PERSON WITH A MUSIC THERAPIST.
WE TRIED TO STRUCTURE THE VISITS
SIMILARLY SO WE CAN REPRODUCE
THIS RIGOR AND CLINICAL TRIALS.
SO THE FIRST 10 MINUTES IS A
VOCAL WARM UP FOLLOWED BY TWO
SONG SELECTIONS BASED ON THE
PREFERENCES OF THE SUBJECT.
10 MINUTES EACH FOR THE SONGS.
ONE DIFFERENCE BEING OUR VOICE
PROFESSOR IN THE VIDEO PREFERRED
THE PIANO AND OUR MUSIC
THERAPIST PREFERRED THE GUITAR.
I'M HAPPY TO SAY WE JUST
FINISHED ENROLLMENT.
I HAVE A LITTLE BIT OF DATA TO
SHOW BUT NOT ALL.
THESE ARE THE SUBJECT
DEMOGRAPHICS AVERAGE AGE 68
YEARS, 40% WOMEN, 60% WOMEN.
NOT AS MUCH AS RACIAL DIVERSITY
BUT REPRESENTATIVE OF THE
WISCONSIN POPULATION AS A WHOLE.
ALL OF THEM HAD HISTORY OF
CORONARY DISEASE.
MOST HAD A STENT PLACED OR
HISTORY OF MYOCARDIAL IN
FUNCTION AND A QUARTER HAD
CORONARY GRAFTING SURGERY AND
RISK FACTORS AND 54% REPORTED A
LIMITATION THAT MAY LIMIT THEIR
EXERCISE REHAB.
THE FRAMINGHAM HYPEREMIA INDEX
AND SIGNIFICANT IMPROVEMENTS IN
SINGING INTERVENTION, 57% IN THE
VIDEO AND 41% IN THE IN-PERSON
COACHING VISIT.
AND THIS IS WHY A CONTROL IS
IMPORTANT.
SO RESTING CONTROL.
30% INCREASE IN VASCULAR
FUNCTION.
WHEN WE DO THE CROSSOVER DESIGN
ANALYSIS WE TAKE IN ACCOUNT
SUBJECT COMPARISON SPECIFIC
TREATMENT AND ORDER OF THE
TREATMENTS AND CARRY OVER
EFFECTS.
IT'S A COMPLEX ANALYSIS.
WHEN ALL IS SAID AND DONE THE
VIDEO COMES OUT ON TOP BY 25% IN
IMPROVEMENTS AFTER 30 MINUTES OF
SING.
THERE IS NO CHANGE IN MACRO
VASCULAR ENDOTHELIAL FUNCTION
AND NO CHANGE IN THE BRACHIAL
FUNCTION AND VASCULAR
DYSFUNCTION IS HARDER TO TREAT.
SO IN CONCLUSION WHICH ARE
DIFFICULT TO READ HERE, BUT,
IT'S NOT HOW THEY LOOKED
ORIGINALLY, I PROMISE.
30 MINUTES OF SINGING WITH A
VIDEO VISIT LED TO STATISTICALLY
SIGNIFICANT IMPROVEMENTS IN
CARDIOVASCULAR FUNCTION.
THERE WAS ACTUALLY A SMALL CARRY
OVER AFFECT IN THE VIDEO VISIT.
THAT'S A GOOD DISCUSSION POINT.
AND BOTH SINGING INTERVENTIONS
LED TO IMPROVEMENTS IN VASCULAR
ENDOTHELIAL FUNCTION.
THE IN PERSON MUSIC THERAPY
VISIT DID NOT DIFFER
SIGNIFICANTLY FROM THE CONTROL
VISIT.
BUT IS THERE NOISE THERE?
AND IMPROVEMENT IN THE CONTROL
REST ARM MAY HAVE DILUTED THE
OBSERVED AFFECT OF THE SINGING
INTERVENTIONS.
CONSIDERATIONS AFTER DOING THIS
WORK.
A CONTROL IS IMPORTANT.
BUT WHAT IS THE PROPER CONTROL.
WHAT'S THE RIGHT CONTROL FOR A
SINGING INTERVENTION?
WE CHOSE REST BUT MAYBE THAT'S
NOT THE PROPER CONTROL.
ARE THE TWO SINGING OF
INTERVENTIONS TRULY DIFFERENT
ARE IS THERE CONFOUNDING.
SPEAKING TO SEVERAL EXPERTS IN
THE ROOM, THERE'S SOME THOUGHT
THAT MEETING THE MUSIC
THERAPISTS FOR THE FIRST TIME
AND JUMPING RIGHT INTO SINGING
FOR 30 MINUTES MAY HAVE LED TO A
LITTLE BIT OF ANXIETY PERHAPS.
OR IS IT SOMETHING WITH ONE OF
THE SONG OPTIONS.
VIDEO FORMAT THERE WERE ONLY
FOUR SONG OPTIONS.
THE MUSIC THERAPY VISIT THERE
WERE OPTIONS WITH THE SONGS.
VASCULAREND -- VASCULAR
ENDOTHELIAL IS ONLY ONE ASPECT
AND WHAT ABOUT 30 MINUTES OF
SINGING WHAT THE RIGHT WASH OUT
PERIOD?
CLEARLY 48 HOURS IS NOT ENOUGH.
AND SOME OF THE MUSIC THERAPIES
WERE VIRTUAL DUE TO THE
PANDEMIC.
I'M OUT OF TIME BUT LOOK FOR
ANALYSES TO COME AND MOVING
FORWARD I NEED TO LOOK AT THE
CHRONIC VASCULAR ADAPTATION TO
SINGING.
OVER TIME AND MONTHS I WANT TO
EXPLORE THE DOSE EFFECT.
WHAT'S THE RIGHT FREQUENCY AND
DURATION.
I WANT TO LOOK AT GROUP SINGING
AS WELL AND CONSIDER A VIRTUAL
FORMAT AND PERHAPS DURING THE
PANEL DISCUSSION WE CAN TALK
ABOUT THE HEART FAILURE
POPULATION HAVING TO DO WITH THE
VAGUS NERVE AND LET'S TALK
ABOUT IT DURING THE PANEL.
THANK YOU.
>> YESTERDAY, THALIA GOLDSTEIN
BROUGHT UP THE NEED TO TALK
ABOUT EMBODIMENT AND DANCE AND
NOW WE'RE GOING TO TALK ABOUT
DANCE.
I'D LIKE TO START OFF BY REALLY
QUICKLY THANKING THE ORGANIZERS
OF THIS PARTICULARLY DR. EDWARDS
AND DR. BOB FINKELSTEIN FOR
INVITING US AND TO OUR TEAM
WHICH SPANS EVERYONE FROM
UNDERGRADUATES TO SECTION HEADS.
ALSO WE HAVE INCREDIBLE
COMMUNITY PARTNERS WE'D LIKE TO
THANK AS WELL AS FUND FROM THE
NCCIH AND NIA THAT HAVE BEEN
INSTRUMENTAL TO THE WORK I'M
GOING SHARE WITH YOU.
MUSIC AND DANCE ARE SO CLOSELY
LINKED THAT IN MANY CULTURES
THEY'RE REFERRED TO WITH THE
SAME WORD.
SO THIS EMBODIMENT PIECE IS AN
IMPORTANT PART TO TALK ABOUT AND
I'LL START OFF BY SHOWING YOU A
VIDEO THAT START THE
COLLABORATION BETWEEN MYSELF AND
MY DANCE CO-P.I. WHO IS SITTING
RIGHT THERE AND THIS IS DATA
FROM A PILOT STUDY SHE RAN IN
PARKINSON'S DISEASE.
THE WOMAN YOUR WATCHING
PERFORMED SEVEN WEEKS THREE
TIMES A WEEK OF IMPROVISATIONAL
DANCE MOVEMENT AND THIS STARTED
OUR COLLABORATION TOGETHER.
IT ALSO HAS STARTED AN ONGOING
COMMUNITY CLASS AND THIS PILOT I
THINK WAS IN 2010 AND WE STILL
HAVE AN ONGOING COMMUNITY CLASS
FROM OUR RELATIONSHIPS AND
PROVIDED THE SHARED INQUIRY ON
SONG AND DANCE PEOPLE'S MINDS
AND BODIES.
THIS DIAGRAM IS SIMPLISTIC MODEL
WE STARTED WITH OUR FIRST GRANT
AND STARTED WITH DATA FROM OUR
FIRST PILOT TOGETHER.
THIS WAS LOOKING AT PEOPLE
LIVING WITH DEMENTIA EITHER MILD
COGNITIVE IMPAIRMENT OR EARLY
STAGE DEMENTIA AND THEIR
CAREGIVERS AND PARTICIPATING IN
AN INTERVENTION TOGETHER AND OUR
OVER ALL MECHANISTIC HYPOTHESIS
IS DANCE INCORPORATES TWO
BEHAVIORS WE KNOW ARE IMPORTANT
FOR BRAIN HEALTH AND ENGAGEMENT
AND THE MOVEMENT XHOENTZ OF
DANCE WOULD AND BALANCE IS A
SECONDARY RISK OF DEMENTIA AND
FALL RISK INCREASES AND THEY
OFTEN HAVE DEMENTIA AND APATHY
AND WE PREDICTED IMPROVED
COGNITIVE FUNCTION AND IMPROVE
THE QUALITY OF LIFE.
WE HAD A STUDY CALLED I MOVE AND
SPECIFIED FOR THREE YEARS.
WE DESIGN A FACTORIAL TRIAL TO
TRY TO ADDRESS MECHANISM WHICH
WAS A REQUIREMENT OF THE CALL
FOR GRANTS WITH THE TIGHT TIME
FRAME.
WE HAD THREE ACTIVE INTERVENTION
ARMS.
THERE WAS THE DANCE MOVEMENT
INTERVENTION ARM WHICH WAS
IMPROVISATIONAL MOVEMENT AND
JUST BY WAY OF QUICK EXPLANATION
THIS IS A FORM OF MODERN DANCE
AND IT IS BASICALLY INSTEAD OF
HAVING A SET CHOREOGRAPHY OR
STEPS YOU GIVE PEOPLE A MOVEMENT
PROMPT LIKE MAKE A ROUND SHAPE
WITH YOUR BODY INSTEAD OF FIRST
POSITION OR SOMETHING LIKE THAT.
THIS IS GREAT FOR POPULATIONS
WITH NEURODEGENERATIVE DISEASE
WHO MAY NOT BE ABLE TO REMEMBER
OR ACCURATELY PERFORM CERTAIN
DANCE MOVEMENTS.
PEOPLE DID THIS TWICE A WEEK FOR
AN HOUR FOR 12 WEEKS OR THEY
PARTICIPATED IN A SOCIAL GROUP
OR MOVEMENT ALONE GROUP AS TWO
ADDITIONAL CONTROL CONDITIONS.
IF SOMEONE WAS IN THE USUAL CARE
ARM THEY WERE OFFERED THE DANCE
CLASSES AT THE END OF THE STUDY.
THIS STUDY WAS INTERRUPTED BY
COVID WHICH YOU CAN IMAGINE WAS
DIFFICULT GIVEN THE STUDY
DESIGN.
AFTER HALF OUR RECRUITMENT WAS
DONE WE HAD A NINE-MONTH
SHUTDOWN FOR COVID AND USED A
RAPID DESIGN TO TRANSITION THE
THREE ACTIVE ARMS TO AN
ENVIRONMENT ENVIRONMENT WHICH
WAS PRETTY DIFFICULT BUT WE HAVE
AN AMAZING TEAM AND HAVE SUPPORT
FROM THE NIH IN THE PROCESS.
SO AFTER NINE MONTHS IN DECEMBER
2020 WE RESUMED THE INTERVENTION
VIRTUALLY.
THE INTERRUPTION HAPPENED
HALFWAY THROUGH RECRUITMENT.
WE FINISH THE STUDY WITH 101
DIADS TOTAL AND WE'RE STILL
DIGGING THROUGH RESULTS BECAUSE
IT'S QUITE COMPLICATED GIVEN THE
INTERRUPTION AND STUDY DESIGN
AND I'LL SHOW RESULTS AND TALK
ABOUT LESSONS LEARNED.
I FEEL LIKE IN A LOT OF WAYS
THIS IS A PIONEERING STUDY AND
SOME OF THOSE LESSONS LEARN
READY SOME OF THE MOST IMPORTANT
PIECES OF IT.
WE HYPOTHESIZED CHANGES IN THE
SOM
SOMATO MOTOR AND DEFAULT NOTE
WORK AND LOOK AT SOCIAL AND
MOVEMENT FACTORS AND DID NOT
SHOW SIGNIFICANT RESULT.
WE DID SEE TRENDS IN THE
EXPECTED DIRECTION FOR THE
SOMATO MOTOR REGIONS WHICH WE
FOUND POSITIVE GIVEN THE STUDY
WOUND UP UNDER POWERED AND
VIRTUAL WHICH REDUCED PEOPLE'S
SPACE TO ENGAGE IN MOVEMENT IN
THEIR HOMES THAN WHAT THEY HAD
IN THE DANCE STUDIO.
AS FAR AS LESSONS LEARNED ONE OF
THE MOST IMPORTANT I WANTED TO
START OFF BY SHARING WAS WE HAVE
NOT SO FAR FOUND INTERACTIONS
WITH COVID WHICH IS PRETTY COOL.
THE VIRTUAL INTERVENTIONS WE MAY
BE UNDER POWERED BECAUSE IT WAS
NOT PLANNED TO HAVE HALF
INTERVENTION VIRTUAL AND
INTERRUPTIONS WITH COVID HAVEN'T
BEEN SIGNIFICANT WITH OUTCOMES
BUT INVENTIONS WITH DISEASE
STAGE HAVE AND THERE'S EARLY
STAGE DEMENTIA AND WORKED WITH
OUR ALZHEIMER'S DISEASE RESEARCH
CENTER AND NEVERTHELESS THERE'S
DIFFERENCES IN ASSOCIATIONS WITH
BRAIN NETWORK OUTCOMES IN
BETWEEN BRAIN NETWORKS AND
BEHAVIORS DEPENDING ON WHETHER
SOMEONE HAS NCI OR DEMENTIA.
WE ARE STILL TRYING TO
UNDERSTAND THE IMPACT.
THAT SAID IT'S IMPORTANT FOR THE
AUDIENCE IN DESIGNING A GROUP
INTERVENTION AND HAVING
DIFFERENT DISEASE STAGES WITHIN
THE SAME GROUP AND THE IMPACTS
THAT COULD HAVE ON THE SOCIAL
CONNECTIONS AND ON SOME OF THE
OUTCOMES YOU'RE INTERESTED IN.
ANOTHER THING WE DID NOT EXPECT
WAS WE GOT REALLY POSITIVE
FEEDBACK ON THE MOVEMENT ALONE
GROUP DURING COVID.
PEOPLE WERE DOING THE DANCE
INTERVENTION BUT NOT INTERACTING
WITH OTHERS AND BOTH CAREGIVERS
AND THE PEOPLE WITH DEMENTIA
GAVE US POSITIVE FEEDBACK.
WE HAVE ALSO IN THE MEANTIME
FINISHED A PILOT STUDY TO
CREATED AN IN HEALTH APP TO
FACILITATE DANCE MOVEMENT
BETWEEN CARE PARTNERS AND
HOMEBOUND OLDER ADULTS AND TAKE
THAT FORWARD BUT I THINK THERE'S
A LOT OF OPPORTUNITY HERE EVEN
THOUGH THERE'S SOCIAL CONNECTION
IS AN IMPORTANT PART OF ALL THIS
ARTS-BASED WORK.
HOW DO WE CREATE IN HEALTH
INTERVENTIONS FOR THE SOCIAL
CONNECTIVITY AND LASTLY I'LL
MOVE INTO ISSUES WE CONFRONTED
IN THIS STUDY THAT INFORMED OUR
NEXT STUDY.
THE CURRENT TRIAL WE'RE RUNNING
WE CALL I GROOVE AND THIS STUDY
IS AIMED AT LOOKING AT THE
AFFECTS OF DOSING ON DANCE
SPECIFICALLY THE PRIME TER
FREQUENCY.
WE'RE USING MULTIPLE DIFFERENT
FORM OF DANCE AND THE IDEA IS TO
TASK WHETHER DANCING ONCE, TWICE
OR THREE TIMES A WEEK THE
IMPACTS THAT FREQUENCY HAS ON
CARDIOVASCULAR RESPIRATORY AND
COGNITION DURING THE SIX-MONTH
STUDY.
IN THIS WE ARE WANTING TO LOOK
AT THESE OUTCOMES AND THIS IS
REALLY IMPORTANT PART FOR FUTURE
WORK TO BE ABLE TO UNDERSTAND
THINGS BETTER.
I'D ALSO LIKE TO TRANSITION FROM
THIS MAYBE.
I'M SORRY, CAN YOU ADVANCE?
PEOPLE BROUGHT UP DOSING.
A REGULAR PRACTICE OF DANCE
UNLIKE EXERCISE FOR SOME PEOPLE
BUT FOR LARGE SWATHS OF THE
POPULATION PEOPLE DANCE BECAUSE
THEY WANT TO DANCE.
IF THEY HAVE A REGULAR PRACTICE
OF DANCE -- THIS IS COMING FROM
A SENSE OF DESIRE AND THIS TAPS
INTO KNOWN PSYCHOLOGICAL
MECHANISMS OF BEHAVIOR CHANGE
AND THINGS LIKE INTRINSIC
MOTIVATION AND THESE CAUSES OF
THE BEHAVIOR OF DANCE HAVE THEIR
OWN CAUSES LIKE ENGAGING IN
MUSIC AND DOPAMINE RELEASE AND
DIFFERENT BRAIN NETWORKS
ASSOCIATED WITH THE MUSIC AND
MOVEMENT.
THE REGULAR PRACTICE OF
INCORPORATES PHYSICAL ACTIVITY,
COGNITIVE SIMULATION AND SOCIAL
ENGAGEMENT WHICH WE KNOW ARE
IMPORTANT AND THOSE THINGS IN
TURN ARE LINKED TO BIOLOGICAL
FACTORS MECHANISTICALLY RELATED
TO THE OUTCOMES LIKE COGNITIVE
MECHANISMS LIKE CONNECTIVITY
STRUCTURAL AND FUNCTIONAL
CONNECTIVITY AND OUTCOMES
RELATED TO CHANGES IN STRESS AND
SOCIAL INTERACTION.
THINGS WE THINK ARE IMPORTANT,
ONE IS TO LOOK AT STANDARDIZED
OUTCOMES.
OUR GROUP ACROSS DIFFERENT STUDY
OUR GROUP RECENTLY COMPLETED A
SCOPING REVIEW AND WE FOUND OVER
50 DIFFERENT COGNITIVE TESTS AND
STUDIES OF AGING AND 30 WERE
USED IN ONE STUDY.
WHEN YOU THINK WHY.
ONE REASON IS WE DON'T FULLY
UNDERSTAND WHAT COGNITIVE
DOMAINS ARE AFFECTED BY DANCE.
AND WE FOUND SOMETHING SIMILAR
IN PHYSICAL MEASURES AND
MOBILITY OUTCOMES.
I'D RAISE THE POINT WE DON'T
HAVE ANY PHYSICAL OUTCOME TESTS
THAT TEST SOME OF THE UNIQUE
COMPONENTS OF DANCE YOU SAW THE
AFFECTS OF IN THE FIRST VIDEO
THAT CAPTURE THING LIKE FLUIDITY
OF MOTION AND CONFIDENCE AND
MOVEMENT.
WE WOULD LIKE TO MAKE A PITCH
FOR THIS MEETING TO GET INTO
SOME OF THE WORK OF CREATING
STANDARDIZED DATA SETS.
ALSO THERE'S GREAT WORK BEING
DONE WITH PEOPLE IN NORTHERN
EASTERN UNIVERSITY AND
INSTRUMENTING THESE TASKS WILL
HELP US BETTER INFORMATION THE
O
OUTCOMES.
THE NIH HAS GREAT NEUROIMAGING
LIKE IMAGING DURING MOVEMENT AND
MULTIPLE PEOPLE SIMULTANEOUSLY
AND IMAGE PERIPHERAL FUNCTION
AND INTERVENTION MAPPING AND
LONG-TERM AFFECTS OF DANCE AND
REASONS PEOPLE MAINTAIN.
THIS RELATES TO REYNA'S POINT OF
PERSONALIZATION OF DANCE.
ARE THERE FORMS THAT MIGHT BE
BETTER FOR CERTAIN PROPOSITIONS
LIKE IMPROVISATIONAL DANCE FOR
PEOPLE WITH MEMORY PROBLEMS?
AND IF YOU'RE INTERESTED IN
CARDIORESPIRATORY ILLNESSES AND
AN OUTCOME LIKE WEST AFRICAN
DANCE MAY BE MORE ADVANTAGEOUS
AND CERTAIN CULTURAL DANCE
PRACTICES MAY HAVE SPECIFIC
HEALTH BENEFITS AND FINALLY TO
WRAP UP THE IDEA OF THE ROLE OF
MUSIC AND DANCE AND WHAT THAT
MEANS.
THE RELATIONSHIP BETWEEN THE
TWO.
I'D LIKE TO CLOSE WITH A QUOTE
THAT CORE ASPECTS OF MUSICAL
RHYTHM CAN ONLY BE FULLY
UNDERSTAND IN THE CONTEXT OF
THEIR ORIGINS AND PARTICIPATORY
SOCIAL EXPERIENCE OF DANCE.
I'D LIKE TO SAY ON THAT NOTE
WHEN WE TALK ABOUT FUTURE AS
MUSIC OF MEDICINE DANCE MAY BE
ONE OF THE FUTURE DIRECTIONS TO
GO IN.
THANK YOU.
>> THANK YOU TO ALL THE SPEAKERS
PHOR FOR THE WONDERFUL
PRESENTATIONS THAT AND SUPERB ON
TIMING AND THANK YOU FOR YOUR --
I'M SURE MANY HOURS WENT IN FOR
PRACTICE.
THANK YOU.
WE'RE NOW MOVING TO THE PANELIST
DISCUSSION.
I'LL INTRODUCE THE PANELISTS
FIRST AND THEN YOU CAN COME ON
STAGE TO THE PANELIST TABLE.
WE'LL HAVE DR. MARIA GEFFEN FROM
UNIVERSITY OF PENNSYLVANIA AND
THEN WE'LL HAVE SHIHAB SHAMMA
FROM UNIVERSITY OF MARYLAND
COLLEGE PARK AND WON'T HAVE LEE
LINDQUIST WHO COULDN'T JOIN US
DUE TO PERSONAL ILLNESS AS OF
WEDNESDAY SO SHE SENDS HER
REGRET AND WE'LL HAVE TOT
MACHOVER AND LUANA COL OWE CA
FROM UNIVERSITY OF PAIR MAYOR
AND JULIET KING.
PLEASE COME JOIN THE PANELIST
TABLE.
>> WHILE WE'RE WAITING.
THANK YOU AGAIN AND WELL START
WITH YOU.
>> I'D LIKE TO THANK THE
ORGANIZERS FOR INVITING ME TO BE
PART OF THE WORKSHOP.
I'VE BEEN LEARNING SO MUCH.
MY LABORATORY IS FOR AUDITORY
PERCEPTION AND LEARNING.
AND WHAT WE STUDY WHILE WE DON'T
STUDY THE MUSIC DIRECTLY WE
STUDY THE NEURAL MECHANISMS FOR
COMPUTATIONS THE BRAIN PERFORM
FUNDAMENTAL TO OUR UNDERSTANDING
AND OUR PERCEPTION OF LEARNING.
SO THIS WORK YOU CAN HEAR HERE.
THANK YOU.
CAN YOU STOP THIS.
THERE'S FREQUENCY DISCRIMINATION
AND THE BRAIN COMPUTES THE
DIFFERENCE IN THE FREQUENCY AND
ANOTHER ONE IS PATTERN
RECOGNITION AND PATTERN
DETECTION.
WE CAN THINK OF A MELODY IN THE
FORM OF A SEQUENCE PARTICULARLY
SEQUENCE OF NOTES AND YOUR BRAIN
IS DETECTING THAT THOSE PATTERNS
AND THE REGULARITIES AND THE
VIOLATIONS OF THOSE
REGULARITIES.
SO OUR GOAL IS TO UNDERSTAND AT
THE LEVEL OF NEURONAL CIRCUITS
HOW THE BRAIN IS PERFORMING
THOSE AND ALSO MORE COMPLEXITY
COMPUTATIONS.
OF COURSE THOSE COMPUTATION
IMPORTANT NOT JUST FOR MUSIC
PERCEPTION BUT SPEECH
RECOGNITION AND AUDITORY
NAVIGATION AND A NUMBER OF
SOUND-RELATED TASKS.
WE FOCUSSED ON THE AUDITORY
CORTEX BECAUSE WE THINK IT'S
CONSIDERED TO BE THE KEY REGION
WHERE INFORMATION IN THE BRAIN
IS TRANSFORMED FROM REPRESENTING
THE PHYSICAL STRUCTURE OF THE
ACOUSTIC FORM INTO MORE ABSTRACT
MORE COGNITIVE REPRESENTATIONS.
AND AS WE HEARD FROM PREVIOUS
PRESENTATIONS THE AUDITORY
CORTEX COMMUNICATES WITH
EMOTIONAL AND COGNITIVE CENTERS
OF THE BRAIN AND PROVIDES THE
KEY AUDITORY INFORMATION TO
THOSE CENTERS.
'AUDITORY CORTEX IS NOT A MODEL
BUT COMPRISED OF A COMPLEX
NETWORK OF DIFFERENT CELL TYPE
AND THOSE CELL TYPES FORM
FUNDAMENTAL MICROCIRCUITS WHOLE
GOES IS TO PERFORM THE
COMPUTATIONS.
THE MICROSECTORS ARE COMPRISED
OF CELL TYPES EXCITATORY AND
INHIBITORY AND WE FOCUSSED ON
TWO INHIBITORY NEURONS AND WE
HAVE SHOWN THOSE SPECIFIC
INHIBITORY NEURONS ARE KEY TO
PERFORMING THESE COMPUTATIONS,
FREQUENCY DISCRIMINATION AND
PATTERN DETECTION.
WHY IS THIS IMPORTANT?
IT'S IMPORTANT BECAUSE
UNDERSTANDING HOW THE
FUNDAMENTAL COMPUTATIONS ARE
PERFORMED CAN HELP IDENTIFY
TARGETS BOTH FOR MUSIC BASED OR
MORE PHYSICAL OR OCCUPATIONAL
THERAPISTS AND FOR MORPHOLOGICAL
TOOLS AND THEY'RE IMPORTANT IN
AGE-RELATED HEARING LOSS AND
COMMUNICATION DIFFICULTIES
ASSOCIATED WITH NEURAL
DEVELOPMENT DISORDERS OR WITH
AGING.
>> THANK YOU.
WE'RE GOING TO MOVE TO SHIHAB.
>> THANK YOU, MARIA.
LIKE MARIA WE WORK ON THE
AUDITORY CORTEX AND BASICALLY
MUCH TO DO WITH VARIETIES OF
SOUNDS BUT MUSIC IS ONE OF THE
DRIVERS BECAUSE IT AFFECTS
PLASTICITY IN THE BRAIN.
THE DRIVER IS COGNITION AND THE
COGNITIVE FUNCTIONS THAT ALLOW
US TO BEHAVE AND LUCKILY MUSIC
IS INVOLVED IN ALL THE COGNITIVE
FUNCTIONS OF THE BRAIN.
FOR EXAMPLE PERCEPTION IS
OBVIOUS AND ACTION.
WHEN YOU PLAY OR SING AN
INSTRUMENT YOU INVOLVE THE
CORTEX AND VARIETIES OF OTHER
SYSTEMS.
BECAUSE WE'RE TALKING -- THESE
FUNCTIONS ARE HAVE BEEN STUDY
NOW FOR A LONG TIME AND BECAUSE
WE'RE IN A SESSION ABOUT THE
FUTURE I THOUGHT I'D FOCUS ON
ONE COGNITIVE FUNCTION WHICH IS
TRULY FUNDAMENTAL AND THAT IS
IMAGINATION.
ARGUABLY IMAGINATION IS THE MOST
FUNDAMENTAL AND PROBABLY THE
MOST DIFFICULT OF ALL THESE
COGNITIVE FUNCTIONS AND ALSO
CONSEQUENTIAL AND ANY IMAGE YOU
GENERATE COMES FROM THE MIND AND
MEMORY AND THE STUDY OF
IMAGINATION HAS BEEN TOUGH
PARTLY BECAUSE YOU NEED TO
UNDERSTAND THAT WHEN YOU IMAGINE
YOU ACTUALLY GENERATE SIGNALS IN
THE BRAIN AND CAN RECORD THEM
AND THEY'RE INCREDIBLY PRECISE.
THEY'RE SO PRECISE THAT YOU CAN
ASK SUBJECT TO IMAGINE AN AND
TELL WHICH IS THE ONE AND THAT'S
HOW PRECISE THEY CAN BE.
AND THEY ENGAGE ACTIONS AND A
LOT OF CIRCUITS IN YOUR BRAIN TO
THE POINT WE ALL KNOW FROM
PROFESSIONAL FROM PROFESSIONAL
SINGERS OR ATHLETES OR MUSICIANS
YOU CAN DO A LOT OF REHEARSING
WITHOUT HAVING TO MOVE A SINGLE
FINGER OR THAT IS KEY.
ALL OF THAT IS DONE THROUGH
REHEARSAL JAF OF IMAGINATION.
IT'S DIFFICULT TO STUDY.
BECAUSE WHEN YOU STUDY WITH
HUMANS YOU BASICALLY HAVE TO
TRUST THEM.
YOU HAVE TO ASK THEM TO DO WHAT
YOU WANT THEM TO IMAGINE AND
HOPE TO GOD THEY DON'T JUST PICK
UP THEIR CHECK AND LEAVE.
AND LEAVE YOU WITH DATA THAT
DON'T ADD UP TO MUCH.
OF COURSE IT MAY BE DIFFICULT
WITH HUMANS BUT MORE DIFFICULT
WITH ANIMALS WHO COULDN'T GIVE A
HOOT ABOUT WHAT YOU CARE ABOUT
AND SO IT'S TOUGH TO DO ALL OF
THAT AND THE SIGNALS THAT YOU
RECORD ARE INCREDIBLY SMALL.
THEY'RE REAL BUT THEY'RE SMALL
AND THE WE HAVE IS JUST NOT
ADEQUATE TO TAKE CARE OF ALL OF
THAT AND FINALLY THE CONSEQUENCE
S.
AND WE HAVE IMAGINATION AND
INSPIRATION AND ANY OF YOU WHO
HAVE DONE ANY COMPETITION OR
BETWEEN RUNNING OR COMPETITION
IN MUSIC AND ALL THAT STUFF, YOU
IMAGINE THE GOAL AND IF YOU
DON'T YOU'RE REALLY NOT GOING TO
GET VERY FAR.
AND SO FINALLY I JUST WANT TO
SAY THAT I WAS REALLY MYSELF
INSPIRED BY YESTERDAY'S
DEMONSTRATION OF THE PARKINSON'S
PATIENTS WHO COULD INSTEAD OF
BASICALLY PLAYING A TUNE FOR
THEM OR BEAT AND ALL THAT STUFF
TO ACTUALLY MOVE.
THEY CAN BE TRAINED TO IMAGINE
THAT AND TO MOVE AND THAT WOULD
BE ULTIMATELY REALLY WHAT WE
NEED TO DO.
HAVE THEM ALL THE TIME IMAGINING
WHAT THEY NEED TO DO SO THEY CAN
MOVE AND SO THANK YOU FOR THAT
AMAZING DEMONSTRATION YESTERDAY.
>> WE'RE NOW MOVING ON.
>> I THOUGHT THERE'D BE A HUGE
AMOUNT OF CONTINUITY BUT I THINK
THERE'S CONTINUITY.
WE TALKED ABOUT IMAGINATION.
I DO A LOT OF THINGS WITH MUSIC
AND TECHNOLOGY I WANT TO FOCUS
ON CREATIVITY AND COMPOSITION.
AND HOW IMPORTANT IT IS TO
INCLUDE CREATIVITY AND
COMPOSITION AS A CENTRAL PART OF
OUR MUSICAL ACTIVITIES FOR EVERY
POSSIBLE REASON.
TO ME CREATIVITY IS SOMETHING
WHICH IS MISSING ENORMOUSLY IN
OUR SOCIETY AND SOMETHING WE
DON'T CULTIVATE CONSCIOUSLY AND
IMPORTANT TO DO SO AND IT'S THE
MISSING INGREDIENT FOR CREATING
ACTORS IN THE WORLD XHO WHO HAVE
AGENCY AND OPTIMISM AND OPEN
MINDEDNESS AND ABLE TO CONNECT
TO OTHERS.
MUSIC IS A FANTASTIC LABORATORY
FOR BEING CREATIVE.
THE DIFFICULTY IS COMPOSITION'S
HARD.
IT'S NOT ACCESSIBLE TO MOST
PEOPLE.
WE TALKED YESTERDAY ABOUT
IDOLIZING MUSICIANS AND NORMAL
PEOPLE.
I WAS AT THE BOSTON SYMPHONY
HALL WITH ONE GOLD PLAQUE ON TOP
OF THE ORCHESTRA.
DO YOU KNOW WHAT THAT IS?
THERE'S ONLY ONE NAME IN THE
ENTIRE THING WHICH IS BEETHOVEN.
YOU GO THERE AND GROWING UP IN
BOSTON A FRIEND WANTED TO BE A
XOERS AND THOUGHT I CAN'T BE A
XOERS BECAUSE ONLY BEETHOVEN.
HOW DO YOU ALLOW EVERYBODY TO BE
A XOERS THAT'S WHAT I'M
INTERESTED IN REGARDLESS OF AGE
OR BACKGROUND OR HEALTH.
WE HAVE HYPERSCORE SOFTWARE WITH
A LOT OF A.I. TO MAKE MOTIVES,
MELODIES AND TURN THEM INTO
COMPOSITIONS AN MAKE NOTATIONS
AND WE HAVE KIDS WRITE PIECES
FOR THE PHILHARMONIC AND ROCK
BANDS AS WELL.
COMPOSITION IS WHERE YOU PLAN
OUT AND MAKE A PIECE.
I'M LOOKING AT MUSICAL DISCOVERY
AS A NEXT METAPHOR AND LOTS OF
AMAZING SCARY THINGS ABOUT
GENERATIVE A.I.
WE HAD A WHOLE WEEK AT M.I.T.
SANCTIONED BY OUR PRESIDENT IN
WHAT CAN BE DONE AND MUSIC CAN
MAKE A MODEL OF WHAT'S POSITIVE
IN GENERATIVE A.I.
WE NEED SPACES TO TWEAK
SOMETHING AND TAKE A LITTLE
SOMETHING YOU'VE MADE AND HAVE
AN ENVIRONMENT TO PUSH IT IN ONE
DIRECTION AND MOVE IT AND HAVE
RESULTS SIMILAR BUT DIFFERENT
ENOUGH IN AN INTERESTING WAY.
THAT'S HARD BUT REWARDING AND A
STUDENT FILLED THIS WITH SENSORS
TO MEASURE MOVEMENT AND SPEED
AND CONNECTED TO A GENERATIVE
A.I. SYSTEM I FILLED UP WITH
SOUNDS AND DEPENDING ON HOW SHE
MOVES SHE'S NOT COMPOSING SHE'S
EXPLORING AND IN THE CONTEXT
WHERE SHE DISCOVERS LIMITS OF
SPACE AND FINDS HUMAN VOICE
WITHIN THERE AND CREATES A
CHARACTER ON STAGE.
WE'RE WORK BEING WITH THE DALLAS
CENTER WHERE THIS TOOL WILL BE
ALL OVER THE PLACE.
WHEN I WAS AT JULIARD BEETHOVEN
WAS THE MODEL AND IF YOU'RE A
COMPOSER THIS AND FOUND AS A
XOERS IN A PRACTICE ROOM TRYING
OUT A PIECE YOU WRITE IT DOWN
AND THE THINK YOU CANT HEAR IT
AND IT CAN BE A BEAUTIFUL IVE
EXPERIENCES.
WE HAVE CITY ORCHESTRAS AND
PEOPLE CAN COLLABORATE AND MAKE
THIS TOGETHER.
IT'S A FANTASTIC TO BRING OUT
CREATIVITY AND TO HAVE PEOPLE
GET TO KNOW EACH OTHER IN A
CITY.
IT TURNS OUT WE FOUND THEM
AROUND THE WORLD AND DOING ONE
IN BOSTON AND DUBAI AND DOING
ONE CALLED WELL BEING OF THE
WORLD WITH A GROUP IN PARIS WITH
100 SITES AROUND THE WORLD FOR
PEOPLE TO EXPRESS THEMSELVES
THROUGH SOUND WHAT HEALTH AND
WELLNESS IS AND WHAT IT FEELS
LIKE.
ALL THESE LEAD TO A
COLLABORATION WITH RESULTS IN A
PIECE TO PERFORM IN JUNE 2025
AND I BELIEVE IT AFFECTS OUR
WELL BEING IN MANY WAYS.
THANK YOU.
>> THANK YOU, TOD.
NOW MOVING ON TO LUANA AND TWO
MINUTES, IF WE CAN.
THANK YOU.
>> WE STARTED WITH LETS BRING
PEOPLE TOGETHER.
THAT'S HOW WE START AT THE
UNIVERSITY OF MARYLAND.
ONE DAY IN 2018 THE LEADERSHIP
BROUGHT TO MY LAB SEVERAL
PEOPLE.
ONE WAS A SERGEANT FROM A TRAUMA
CENTER AND SHE TOLD ME I TREAT
PATIENT WITH TRAUMA WITH VIRTUAL
REALITY AND USED MUSIC AND THEY
FEEL BETTER BUT WE DON'T KNOW
WHY AND THEN EVENTUALLY THEY
CAME IT THE LAB AND SAID WE ARE
FILMING IN 3-D AND V.R. IN OPERA
WITH THE MAESTRO AND HAVE A
VIOLINIST BUT AGAIN WE THINK
WE'RE DON'T KNOW WHY IT WORKS.
MY LAB WAS SEARCHING PLACEBO AND
MECHANISM TO REDUCE PAIN AND
SOMEHOW I FELT, OH, MY GOD, I
HAVE SOMEONE WITH VIRTUAL
REALITY AND ENGINEER SURGEONS.
THE MY BROTHER WAS AN MUSICIAN
AND ENGINEER AND A SAID WHAT AM
I GOING TO DO NOW.
HE SAID MUSIC HAS POWER YOU
CAN'T IMAGINE.
I DON'T HAVE THAT IN MY SKILLS
BUT I TRUST HIM.
AND WITH MY COLLEAGUES WORKING
WITH ASPECTS RELATED TO PLACEBO
THE FIRST QUESTION WAS OKAY WHAT
IS THE GAP AND WHAT WE NEED TO
DO AND WHERE THE WEAKNESS IN
TERMS OF THE CONTROL.
WE USED THIS VIRTUAL REALITY
WHERE WE DIVIDE BETWEEN NATURE
AND MUSIC VERSUS SOMETHING MORE
COMPLEX, MORE THAN THE OPERA.
AND HAVE A 3-D SOUND THAN WHAT
YOU ARE LISTENING NOW AND ALSO
WE CAN BE IMMERSE D AND IF YOU
COME TO THE LAB YOU WILL
EXPERIENCE A 3-D MUSIC AND
VIDEO.
THIS MESMERIZING JELLY FISH
AFFECT PAIN AND IN OUR LAB WE
WANTED TO KNOW WHY.
WE USED THERMAL STIMULATION AND
HAD MUSIC AND IN THIS CASE --
AND PEOPLE EXPERIENCED DIFFERENT
LEVELS OF ENJOYMENT.
WHEN PEOPLE ENJOY THE MUSIC THEY
HAVE INCREASED PAIN TOLERANCE.
WE SAID YOU CAN STOP THE PAINFUL
STIMULATION WHEN YOU CAN'T
TOLERATE ANYMORE AND WE SAW THEY
WERE EXPERIENCING PAIN BECAUSE
THE SYMPATHETIC ACTIVITY WENT
UP.
AND THE LEVEL OF ENJOYMENT AND
TOLERATION IMPROVED AND WITH
PAIN RELATED IMPROVEMENT
COMPARED TO THE 2-D YOU JUST SAW
AND IT WAS DIFFERENT THAN OUR
CONTROL AND WE LOOK AT THE
MECHANISM TRANSLATING THIS TO
THE BEDSIDE UP OUR LONG LASTING
TRIALS WHERE WE STUDIO IN OUR
CHRONIC PATIENT HOW THEY IMPROVE
OVER MONTHS AND USED MUSIC
THROUGH V.R. AT HOME.
WE WERE ABLE TO BUILD THE LINE
OF RESEARCH OF PROJECTS WHERE
WE'RE MULTI-DISCIPLINARY AND
MUSICIANS AND SURGEONS WORKING
TOGETHER AND OUR TRAINEES OF
COURSE AND PROGRAM OFFICER THAT
IS SUPPORTIVE.
IT'S NOW SOMETHING THAT IS
HELPING US TO STUDY THE
MECHANISM IN THE LAB BUT ALSO TO
TRANSLATE WITH CLINICAL TRIALS.
THANK YOU.
>> WE'RE MOVING ON TO OUR LAST
PANELIST COMMENT.
>> WOW.
>> AN ACTIVITYIVE SAID IF YOU
DON'T HAVE A SEAT AT THE TABLE
BRING A CHAIR.
THANK YOU FOR THIS SEAT AT THIS
TABLE.
IT TRULY IS AN HONOR AND A DREAM
COME TRUE.
WE SURVIVED A GLOBAL PANDEMIC.
NOW WE'RE IN ONE OF SOCIAL
ISOLATION.
SEVERAL COUNTRIES ARE AT WAR THE
SCIENTIFIC EFFORTS FOR WARMING
OF THE CLIMATE IS UNEQUIVOCAL.
ACROSS THE WORLD ADULTS LIVING
WITH DEMENTIA IS EXPECTED TO
TRIPLE FROM 57 MILLION IN 2017
TO 150 MILLION BY 2050 AND MASS
SHOOTINGS IS AN AMERICAN PROBLEM
AND 6 MILLION PEOPLE DIE BECAUSE
OF TRAUMATIC INJURIES WHICH IS
MORE THAN ALL THE CONTAGIOUS
DISEASES PUT TOGETHER SO I
ASSUME EVERYBODY IN THE ROOM
AGREES THAT WE NEED THERAPY OF
ARTS INTERVENTIONS MORE THAN
EVER.
FORTUNATELY, INITIATIVES
COMBINING ARTS AND HEALTH ARE
UNDERWAY AND ADVOCACY GROUP HAVE
PROMOTED THE ARTS IN HEALTH CARE
AND COMMUNITY SETTINGS AADDS --
AS WE SEE HERE AND THERE'S
GLOBAL SUPPORT FROM FUNDING
AGENCIES AND POLICY MAKERS YET
RECENTLY A FEW NOTABLE COGNITIVE
NEUROSCIENTISTS PUBLISHED A
PRE-PRINT IN NATURE PERSPECTIVES
THAT CLAIM SINCE THERE'S NO
COMPELLING EFFORTS FOR THE VALUE
OF ARTS AND HEALING IT IS
UNETHICAL FOR ART THERAPY TO BE
USED WITH PATIENTS.
GRANTED, ART THERAPY WAS ILL
DEFINED AND CONFLATED AMONG ARTS
AND HEALTH PROFESSIONALS.
I'VE BEEN AN ART THERAPIST HALF
MY LIFE AND FAMILIAR WITH THE
CRIT IKDZ AND AS ONE WHO HAS
DEDICATED MY CAREER TO EXPLORING
THE SYSTEMATIC INTEGRATION OF
ART THERAPY AND AWARE OF THE
NECESSITY OF MEASUREMENT TO
ESTABLISH TRUTH.
THEY HAVE QUANTITATIVE METHODS
THAT REQUIRE REPLICATION AND
GENERALIZABILITY BUT FAILED TO
MENTION THAT REGULATED MEDICAL
AND HEALTH CARE PROFESSIONALS
AND MOST APPLIED THERAPEUTIC
ARTS PRACTICES DO NOT RELY
SOLELY ON SCIENTIFIC EVIDENCE TO
ESTABLISH BEST PRACTICE
STRATEGIES THE CONVERGENCE OF
ARTS AND SCIENCES REQUIRES THE
CONSIDERATION OF SENSE-BASED
KNOWLEDGE.
A RANGE OF METHODOLOGIES AND
SHARED LANGUAGE.
WE HAVE AN ETHICAL AN MORAL
OBLIGATION AND THANK YOU,
DR. GERBERDING, A MEDICAL
IMPERATIVE TO UNDERSTAND THE
SCIENCE OF ARTS AND
THERAPEUTICS.
TRANSLATE BEHAVIOR INTO THE LAB
AND THIS IS IS MADE POSSIBLE
WITH IMAGING TECHNOLOGIES THAT
ALLOW FOR THE TRACKING OF BRAIN
AND BODY ACTIVITIES IN THE CHILD
AND IN THE PROCESS UPHOLD AN
ECOLOGICAL VALIDITY WITHIN A
NECESSARY SOCIO CULTURAL
CONTEXT.
TRADITION
TRADITIONALLY AESTHETICS HAS
BEEN FOCUSSED ON TWO DIMENSIONAL
VISUAL ARTWORK.
MOSTLY RECEPT EXPRESSION AND
RECOGNIZING WHAT IS HAPPENING
WITHIN THE AESTHETIC SPACE BUT
MORE RECENTLY NEURAL AESTHETICS
HAS EXPANDED TO DANCE AND MUSIC
AND TO PERFORMANCE ALLOWING US
TO SEE HOW RECEPTIVE AND
EXPRESSIVE CREATIVE PRACTICES
CAN BE EXPLORED AND UNDERSTOOD
WITH SCIENCE WHICH GIVES US
INCREDIBLE INSIGHTS INTO ALL
KINDS OF SYSTEMS AND INVITES THE
EMERGENCE AND CONNECTEDNESS WITH
THE FIELD OF CREATIVITY SCIENCES
AND NETWORK NEUROSCIENCE WHICH
WITHIN AN UNDERSTANDING OF LARGE
SCALE BRAIN NETWORKS WITH AN
UNDERSTANDING OF HOW DIFFERENT
FUNCTIONAL HUBS AND NETWORKS
OPERATE WITHIN OUR BRAINS AND
WHEN WE LEARN MORE HOW THIS
CONTRIBUTES VERY EXPLICITLY TO
POSITIVE HEALTH OUTCOMES.
MOBILE BRAIN BODY IMAGING
INCLUDING EEG, VIRTUAL REALITY,
MAYBE EVEN THE SUNIL 6,000 SKIN
RESPONSE.
TRACKING BIOLOGICAL AND
PHYSIOLOGICAL MEASURES THAT
ALLOW US MORE INFORMATION ABOUT
REWARD SYSTEMS IN THE BRAIN
WHICH ALLOW US TO UNDERSTAND
APPROACH AND AVOIDANCE WITHIN
DIFFERENT ENVIRONMENTAL
SITUATIONS WHICH OF COURSE GIVES
US INSIGHT INTO AROUSAL AND
ENTEROCEPTION CAPTURED IN THE
RESEARCH DOMAIN CRITERIA.
SO WE HAVE AN OPPORTUNITY.
I DON'T THINK THE SCIENTISTS
MEANT TO BE MALICIOUS.
I DON'T THINK THEY'RE INFORMED
WE HAVE AN OPPORTUNITY TO
TRANSCEND OUR SILOS ENGAGE IN
COMMUNITY AND ENGAGE IN DIALOGUE
AND TAKE WE ARE INDIVIDUAL
NEURONS AND AS MS. FLEMING SAID
EARLIER WE ARE EMBODYING
CREATIVITY WITHIN OUR
INTERACTIONS TOGETHER.
THANK YOU.
>> THANK YOU TO ALL THE
PANELISTS FOR YOUR COMMENTS.
I'M HOPING THE NEXT TWO SESSIONS
WILL BE MORE AN TIME.
I'M SORRY NOW CAN WE MOVE TO THE
SLIDES WITH KEY QUESTIONS WE
HAVE 20 MINUTES LEFT FOR
DISCUSSION.
THE CO-CHAIRS CONJURED UP SOME
QUESTIONS HERE.
IF ANY OF THOSE STRIKE ACHORD
WITH YOU GO TO THE MICROPHONE TO
ANSWER SO WE DON'T NEED TO ASK
THEM OURSELVES.
I SEE MOVEMENT ALREADY.
>> THIS IS A QUESTION FOR KEVIN.
I LOVE THIS IDEA THAT YOU'RE
FINDING HOW DIFFERENT ASPECTS OF
SOUND REDUCE PAIN AND I QUESTION
BACH BUT I WONDER IF THERE
SHOULD BE MORE COLLABORATION
WITH COMPOSERS LIKE A CELLIST
WHO HAS MAPPED UP THE AUDIBLE
SPECTO GRAMS OF ANIMAL SPECIES
AND CREATED AN ALBUM CALLED
MUSIC FOR CATS THAT IS FOR CATS
AND I THINK IT'S IMPORTANT
BECAUSE IF WE'RE TRYING TO
UNDERSTAND WHAT THE DIFFERENCES
IS BETWEEN MUSIC AND SOUND WE
NEED TO UNDERSTAND WHAT THE
PURPOSE MIGHT BE IN ANOTHER
SPECIES AND REMINDS ME OF AN
EXPERIMENT PETER GABRIEL DID
WHERE HE WOULD GO AND PLAY HIS
INSTRUMENTS FOR THE VINOVOS AND
THEY JUST WANTED TO LISTEN AND
NOT PLAY WITH HIM.
I THINK WE'D ALL WANT TO LISTEN
TO PETER GABRIEL UNTIL THERE
WITH YOU COMMUNICATION AND THEY
SAID LET'S PLAY A SONG WITH
PETER FOR MOM IN A DIFFERENT
ROOM.
>> WHEN YOU QUESTION TRY TO
LIMIT TO ONE MINUTE AND WHEN YOU
TRY TO ANSWER LIMIT TO TWO
MINUTES.
NOW, KEVIN.
>> THANKS FOR THE QUESTION.
WHEN AND HOW RODENT IS PERCEIVED
IN HUMAN MUSIC IS A BIG QUESTION
TO US AND TO REVIEWERS WHEN WE
TRIED TO SUBMIT THE PAPER.
IT'S STILL DIFFERENT BETWEEN
ANIMAL AND HUMAN BEINGS.
WE HIGHLIGHT IT'S IN THE ONLY
WHAT TYPE OF MUSIC WHICH COULD
HAVE AN ANALGESIC AFFECT BUT THE
KEY IS THE INTENSITY.
LIKE WE MIGHT MISS THAT.
IT'S SLIGHTLY HIGHER THAN
BACKGROUND.
FOR YOUR QUESTION YES, RODENT
ARE QUITE SOCIAL AND VERY
INTERESTINGLY THEY USE BOTH
SOUND AND ULTRASOUND TO
COMMUNICATE.
SO IT'S HARD FOR US TO PREDICT
WHAT TYPE OF RODENT MUSIC.
WE'RE TRYING TO ANALYZE HOW THEY
USE ULTRASOUND TO COMMUNICATE
AND BECAUSE MOUSE CAN
COMMUNICATE WITH SOUND WHICH WE
CAN HEAR AND ULTRASOUND AND A
FRIEND OF OURS IS STARTING LIKE
WHEN AND HOW ULTRASOUND MEANS
ANYTHING.
SO IN FUTURE WE'LL KEEP TRYING
AND TRYING TO FIND BEST MUSIC
FOR RODENTS.
THANK YOU.
>> WE STUDIED FOR A BIT OF TIME
HOW THE BRAIN ENCODES THIS ULTRA
SONIC VOCALIZATIONS AND IN FACT
THERE'S SPECIALIZED NEURONS IN
THE AUDITORY CORTEX THAT ALLOW
MICE TO HEAR AND RATS AND ROW
DEPARTMENTS TO HEAR SPECIFICALLY
THE VOCALIZATIONS.
INTERESTINGLY IT'S VERY
DIFFICULT TO STUDY THE RESPONSES
OF NEURONS IN MICE AND OTHER
RODENTS TO OTHER SPECIES.
THEY'RE INHERENTLY SO FEARFUL IF
WE PLAY BACK, FOR EXAMPLE, A
SOUND OF A PREDATOR WE WERE
AFRAID WE'RE GOING TO LOSE THAT
MOUSE FOR FUTURE EXPERIMENTS.
THAT'S SOMETHING WE THINK ABOUT
IN EXPERIMENTAL DESIGNS.
>> I'LL START BEING BAD COP NEXT
QUESTION QUICKLY.
>> I GET TO WORK WITH CHRISTINA
HUGENSCHMIDT.
I WANTED TO SAY PART OF THE
REASON I'M HERE I THINK IS
BECAUSE I'M CO-P.I. ON AN RO1,
ACTUALLY, TWO.
IT'S RARE.
STARTING WITH ARTISTS ARE
EQUALLY IMPORTANT IN THE
RESEARCH AND THANK YOU PUBLICLY
FOR BELIEVING IN THAT AND
INTERDISCIPLINARY TEAMS ARE
CRITICAL TO THE FUTURE OF
FUNDING AND EDUCATION TOO.
I WONDER IF THOSE OF US IN
POSITIONS AT UNIVERSITIES WHERE
WE'RE IN SCIENCE DEPARTMENTS WE
MIGHT GO TO OUR DEANS ABOUT
POSITIONS THAT ARE ARTISTS IN
THOSE DEPARTMENT AND IN ARTS
DEPARTMENTS WHAT MIGHT IT LOOK
LIKE IF THE NEUROSCIENTIST WAS A
MEMBER OF THE DANCE DEPARTMENT.
HOW TO ORGANIZE THAT IS
INTERESTING TO ME OWNER THING
ARE IMPORTANT ARE REPUBLLICABIL
AND IT'S SOMETHING WE HAVE TO
THINK ABOUT THAT'S NOT
NECESSARILY ALWAYS OUR TRAINING.
HOW DO WE GET LEGAL TEAM ON OUR
TEAMS AND I SEE MY JOB AS BEING
TRANSLATIONAL AND THE WORK I DO
HAS TO REACH COMMUNITY.
HOW DO WE PUT THAT IN OUR
RESEARCH TEAMS AND FORMALLY
WRITE THAT.
>> THANK YOU FOR THAT EXCELLENT
QUESTION.
BRING IT UP AT THE NEXT SESSION.
WE'LL TALK ABOUT THAT
SPECIFICALLY.
THANK YOU.
>> MAYBE WELL MOVE ON TO THE
RIGHT SIDE.
>> THANK YOU FOR YOUR
COOPERATION IN MY MANY E-MAILS.
IF I QUESTION IS TWOFOLD.
THERE'S BEEN EVIDENCE FOR SEX
DIFFERENCES IN PAIN.
HAVE THOSE TRANSLATED TO THE
RESPONSE IN USING MUSIC TO TREAT
PAIN AND FOR DANCE THERE'S A LOT
OF NEGATIVE GENDER BIASSED WITH
DANCE AND MORE MASCULINE AND
FEMININE.
DOES THAT AFFECT DESIGN,
FEASIBILITY AND IMPLEMENTATION
WHEN WHY YOU CARRY OUT STUDIES
ON DANCE?
>> MUSIC DOESN'T HAVE A SEX
PREFERENCE, MEN, WOMEN LIKE
MUSIC.
IN OUR LAB WE SEE LARGER
PREVALENCE OF WOMEN AFFECTED BY
PAIN.
BUT WHEN WE RECRUIT MEN THEY
EQUALLY RESPONDED TO THE BENEFIT
OF MUSIC.
AND WE TENDED TO SEE A
PREFERENCE THAT WORKED BETTER
FOR WOMEN.
MUSIC NO MATTER IF YOU'RE A MAN
OR WOMEN YOU TEND TO LIKE AND
RESPONSE WITH ANALGESIA.
>> AND THANK YOU ALL THE
E-MAILS.
YOU'RE INCREDIBLY ORGANIZED.
>> ON THE DANCE SIDE THERE'S
ISSUES RECRUITING MEN IN DANCE
STUDIES AND THEY'RE HISTORICALLY
HEAVY WOMEN.
THIS BRINGS UP A LARGER POINT WE
WOUND UP TALKING ABOUT AT DINNER
LAST NIGHT NOT JUST THE
DISCUSSION OF WHO THE ARTS-BASED
INTERVENTIONS WORK FOR BUT WHO
THEY DO NOT WORK FOR AND IF WE
THINK ABOUT THIS IN A PUBLIC
HEALTH CONTEXT IT'S IMPORTANT TO
UNDERSTAND THE SOCIAL BARRIERS
TO THE ARTS AND SEXISM AND HOW
THAT PLAYS OUT IN HOW MEN VIEW
THEIR ROLE AND WHAT THEY CAN DO
IN SOCIETAL ACCEPTABLE WAYS IS A
BIG ONE.
>> THANKS TO THE PANEL FOR GREAT
SESSION.
I'M GOING TO DIRECT MY QUESTION
TO THE PAIN RESEARCHERS.
YOU HAD A SHORT AMOUNT OF TIME
SO I REALIZE YOU COULDN'T DIG
INTO MECHANISMS BUT BASED ON
YOUR OWN WORK AND YOUR
UNDERSTANDING OF THE LITERATURE,
CAN YOU SPEAK TO THE BALANCE OF
EFFICACY AND THE USUAL SUSPECTS,
DISTRACTION, REWARD ACTIVATION,
PARASYMPATHETIC ACTIVATION.
WHAT ARE YOU SEEING?
HOW DO THE DIFFERENT ARMS ALL
INFLUENCE THE ANALGESIC AFFECTS
OF MUSIC?
>> MUSIC HAS A LARGER AFFECT
COMPARED TO MERE CONSTRUCTION
AND AUGMENTATION OF DEFECTS AND
THIS IS PROMISING.
WE HAVE A TOOL TO OFFER TO OUR
PATIENT.
AND EVEN WHEN WE USE THE SHAM
V.R. AND MUSIC WITHIN THE SHAM
V.R. WE SEE WE CAN AUGMENT THE
AFFECTS OF MUSIC BY PEOPLE
FOCUSSED.
>> I WANTED TO KNOW A LOT OF
WHAT WE TALKED ABOUT SO FAR
SEEMS TO ME HAS BEEN MUSIC
MOVEMENT WITH OR WITHOUT USED TO
AMELIORATE CONDITIONS.
WHAT ABOUT WHAT HAS BEEN PURSUED
WITH RESEARCH INTO DIAGNOSTIC OR
WHERE MAYBE LISTENING TARGETS
WERE ANOTHER THERAPY OR
INTERVENTION.
MAYBE MORE EFFICACIOUS OR
EFFICACIOUS AND WHETHER THERE'S
ENOUGH RESEARCH ON MUSIC AS A
DIAGNOSTIC OR PERHAPS OTHER TYPE
OF TREATMENTS.
>> THANK YOU -- WAS IT DRIRECTE
TO ME?
THAT'S AN IMPORTANT QUESTION.
I THINK WE'RE STILL AT THE
INITIAL STAGES OF UNDERSTANDING
HOW HUMAN MUSICALITY VARIABLES
HOW HUMAN ENGAGE WITH MUSIC AND
HOW THEY RELATE TO INTERVALS AND
I TALKED ABOUT RISK AND
RESILIENCE.
IT COULD BE UNDERSTANDING THE
BIOLOGICAL BASIS OF MUSIC AND
THE MANY WAYS TO MEASURE
MUSICALITY CAN ADDRESS RISK AND
RESILIENCE FOR A VARIETY OF
HEALTH TRAITS AND DISORDERS AND
CONDITIONS AND THAT REALLY
COULD -- THEY COULD BE
SCREENERS.
AND THE PEOPLE ARE NOT ALWAYS
GETTING SCREAMS.
IN MY LAB WE'RE INTERESTED IN
HOW RHYTHM RELATES TO SPEECH AND
LANGUAGE DISORDER AND COULD
VARIOUS WAYS OF MEASURING
IMPAIRMENT HELP US GET FIND
CHILDREN WHO ARE AT HIGHER RISK
FOR DEVELOPING DEVELOPMENT
SPEECH AND LANGUAGE DISORDER AND
GET THEM INTO TRADITIONAL
TREATMENT BECAUSE WE KNOW
THERE'S A HUGE GAP THERE AND
PERHAPS A SUBSET WOULD RESPOND
WELL TO TREATMENT THAT'S INVOLVE
RHYTHM BUT WE'RE NOT ALWAYS
TRYING TO IMPROVE THE MUSIC
SKILLS AS A WAY TO IMPROVE
THINGS DOWN STREAM.
THERE'S TIMES IT'S APPROPRIATE
AND WHEN IT'S PART OF A LARGER
PICTURE OF CHARACTERIZING THE
PERSON'S HEALTH AND WHY WE NEED
THE BIG DATA WE'RE LOOKING AT
THE RANGE OF HOW HUMANS ENGAGE
WITH MUSIC.
>> A GENERAL OBSERVATION I CAME
HERE WITH THAT THOUGHT AND FEEL
MORE STRONGLY NOW.
FIRST, HOW MUCH INFORMATION IS
EMERGING ABOUT WHAT PHENOMENON
EFFECT AND WHAT IN OUR MUSICAL
BEHAVIOR AND HOW TO MEASURE THAT
AND ALSO HOW HUMBLE WE HAVE TO
BE WITH MUSIC AS INCREDIBLY
COMPLEX AND WHAT WE WANT I THINK
AS A COMPOSER WHAT I WANT IS A
SET OF TOOLS IF I KNOW I WERE TO
MANIPULATE THIS IT WOULD HAVE A
SPECIFIC EFFECT AND WORKING WITH
GAMMA FREQUENCIES AND WE KNOW
THAT ENTRAINS THE BRAIN WHICH
STIMULATES MICROGLIAL CELLS AND
ONE CHALLENGE IS IN MUSIC SCHOOL
WE HAD THE HARMONY BOCK THAT
GAVE THE BASIC RULES OF HARMONY
AND COME UP WITH A HARMONY FOR
HEALTH BOOK THAT WOULD BE --
SPECIFIC THINGS THAT COULD BE
USED AS A TOOL KIT BY CREATORS
AND I THINK THE SAME THING GOES
FOR DIAGNOSIS.
IT'S EXCITING WE'RE HERE BUT
IT'S A LOT OF WORK.
>> I WAS GOING TO CLOSE WITH
RENEE.
>> MY QUESTION IS FOR DR. ZANTO
AND I IMPRESSED WITH FACES BEING
IMPROVED WITH RHYTHM TRAINING
AND THAT SPARKED -- WE'VE BEEN
HEARING MUSIC AS A SOCIAL
CONNECTOR AND GLUE AND I MIGHT
POSIT AND WHAT ABOUT PEOPLE WITH
PROSE PROSOPAGNOSIA.
>> I CAN SPECULATE.
WHAT WE SAW A DOMAIN GENERAL
IMPROVED.
REGARDLESS OF THE PATHWAYS
WHETHER VISUAL OR AUDITORY, I
BELIEVE WHAT HAPPENED WAS AN
INTENTIONAL CONTROL IMPROVEMENT
SO IT'S ALMOST INDEPENDENT OF
THE SENSORY MODALITY.
THE SUPERIOR PARIETAL LOBULE
EXPANDS SEEING OBJECT S AS WELL
AS VERBAL INFORMATION AND NAMES
AN SOUNDS.
IT SEEMS TO BE INDEPENDENT OF
THE SENSORY MODALITY.
>> HELPS SHORT TERM MEMORY
BECAUSE I FORGOT MY QUESTION.
THANK YOU FOR CUEING ME.
THIS IS FOR TOD.
YOU'VE DONE A LOT OF GROUP
COMPOSITIONAL PROJECT FOR CITIES
AND NOW ARE A WORLDWIDE ONE.
AND I WONDER IF THE TECHNOLOGY
WILL ENABLE YOU TO MARKET IT TO
CORPORATIONS AND HAVING A
TENSION BETWEEN REMOTE WORKERS
AND WORKERS THAT WANT TO GO BACK
TO THE OFFICE.
THERE'S SO MANY AREAS OF AID YOU
CAN PROVIDE FOR SOCIAL COHESION
AND IN OUR SYSTEM ALONE HEALTH
CARE WORKERS, SCHOOLS, THE NIH
COULD ALL WORK ON AN COMPOSITION
TOGETHER AND BE MORE INTERESTED
IN ARTS AND HEALTH.
>> I REALIZED THE ONLY WAY TO
GET THE PROJECTS TO WORK IS GET
OUT IN THE CITY AND MEET
HUNDREDS OF PEOPLE AND LEADERS
AND COMMUNITIES.
A LOT OF THESE ARE PERSON TO
PERSON.
THE ONE WE'RE DOING AROUND THE
WORLD WE'RE TRYING SOMETHING
DIFFERENT BECAUSE WE CAN'T GO TO
100 PLACES AROUND THE WORLD.
WE SPENT TIME AND THIS FALL
WE'VE HAD FIVE SITES ON FOUR
CONTINENTS AND SENT THEM THE
CONTEXT AND SENT THEM THE
PROMPTS.
WE TOLD THEM HOW TO SET UP A
BOTH AND ALL HAVE DONE THIS
WITHOUT US.
ALL REMOTELY AND WE'RE
CONNECTING IT.
I THINK THIS IS THE START YOU
MENTIONED NOT JUST ORGANIZATIONS
BUT PEOPLE WORKING REMOTELY.
I THINK IT'S INCREDIBLY
IMPORTANT AND POSSIBLE AND
SOMETHING WE DON'T KNOW HOW TO
DO BUT WE'RE WORKING ON IT RIGHT
NOW.
THANK YOU.
>> I HAVE A COUPLE QUICK THINGS
TO SAY BEFORE WE GO TO LUNCH.
LUNCH FROM 11:30 TO 12:30.
WONDERFUL DISCUSSION.
IT'S FRUSTRATING TO TOUCH ON SO
MANY TOPICS AND NOT HAVE MORE
TIME.
MAYBE WE'LL DIG INTO THEM IN THE
FUTURE.
WE'RE TALKING ABOUT THE FUTURE
TODAY AND MONEY.
I'M FROM NIH.
NIH NOW HAS THE HEAL INITIATIVE,
HELPING END ADDICTION LONG TERM
AND MY INSTITUTE IS GETTING
ROUGHLY $300 MILLION A YEAR FOR
THE PAIN INITIATIVE.
NIDA THE NATIONAL INSTITUTE OF
DRUG ABUSE IS GETTING ABOUT
ANOTHER $900 MILLION AND WE'RE
TRYING TO FIND NON-ADDICTIVE
TREATMENTS FOR PAIN AND THIS
EXACTLY IN THE SPACE.
THE CHALLENGE FOR US AT NIH AND
MAYBE FOR YOU TO HELP US WITH IS
HELP US FRAME INITIATIVES THAT
COULD BRING THIS COMMUNITY IN.
THIS IS A POWERFUL SOURCE OF
FUNDING AND YOU ALL HAVE A
TREMENDOUS AMOUNT TO CONTRIBUTE.
OKAY, LUNCH.
>> THANK YOU TO SESSION 4 AND
WE'LL NOW BREAK FOR BRUNCH
PROMPTLY AT 12:30 PLEASE AND
I'LL BE KICKING THINGS OFF.
THANK YOU.
SEE YOU BACK SOON.
>> WE'RE MOVING INTO SESSION 5
AND IT'S BEING LED BY THREE
WONDERFUL CO-CHAIRS DR. THOMAS
FROM THE INSTITUTE OF MENTAL
HEALTH, MS. CARE LINE LINE SFER
AND I'M INTRODUCE OUR SPEAKERS
AND KICK OFF SESSION 5.
>> I'M PLEASE TO INDUCE OUR
SPEAKERS, CHARLES LIM AND JOKE
BRADT AND JEFFEREY DUSEK AND
DEBRA BURNS AND JULENE JOHNSON.
>> IT'S GREAT TO SEE YOU ALL.
I HAVE TO SAY WHEN I FIRST
WALKED INTO THE ROOM YESTERDAY I
JUST COULD NOT BELIEVE THE
COLLECTIVE BRAIN POWER AND YEARS
OF COMMITMENT AND AND LOVE FOR
THE TOPIC AND CONCERN FOR THE
BUILDING AND WITH THAT THANK YOU
FOR BEING HERE AND I'M CHIEF OF
SURGERY IN UCSF AND A SPEND MY
TIME TRYING TO MAKE PEOPLE HEAR
BETTER OR HEAR AGAIN.
MEDICINE'S WHAT I DO ALL DAY
LONG.
LET ME OFFER A SLIGHTLY
DIFFERENT PERSPECTIVE WHEN WE
TALK ABOUT THE IDEA OF MUSIC AS
MEDICINE MEDICINES DO SOME
THINGS WELL BUT NOT TO BE HAPPY
IN.
YOU DON'T GO TO THE DOCTOR TO
THINK WITH THE THINGS YOU LOVE
BUT TO LIVE AND HAVE BASIC
ARCHITECTURE IN PLACE.
AS SOMEBODY WHO NEVER HAD THE
CONVICTION TO BE AN ARTIST BUT
ALWAYS LOVED MUSIC MORE THAN
ANYTHING ELSE IT DROVE KNOW SEEK
A CAREER IN MEDICINE TO HELP
PEOPLE HEAR AGAIN AND START A
LAB AND TO HELP WITH COLLEAGUES
TO BRING IDEAS TO A LARGER
AUDIENCE.
I'LL TALK ABOUT THE SOUND HEALTH
NETWORK.
MY FIRST OBJECTIVE IS TO CLARIFY
WHAT I'M SURE IS CONFUSING YOU
HEARD THE TERM SOUND HEALTH
INITIATIVE AND YOU HEAR SOUND
HEALTH NETWORK AND THEY ALL
SOUND THE SAME AND NOBODY KNOWS
WHAT IT MEANS ANYMORE.
I'LL TRY TO CLARIFY HOW THEY
CAME TO BE WITH A SHORT HISTORY.
IT'S A PARTNERSHIP AND SUNIL HAS
BEEN THE PERSON WHO MADE THE
NETWORK POSSIBLE.
WE KNOW THE NIH AND UCSF ENTERED
THE FRAY BECAUSE WE ANSWERED THE
CALL FOR PROPOSALS WITH
COLLEAGUES.
THIS IS OUR LEADERSHIP TEAM AND
HELP THE NETWORK BECOME A
REALITY.
THEY REALIZED SCIENTIST AND
ARTISTS CAN HELP IN A WAY THAT'S
VALIDATE AND SCIENTISTS WERE
DOING THE WORK WITHOUT THE
REPRESENTATION OF A LARGE
FUNDING BODY AND DISSEMINATING
THEIR WORK SO SELECTED
INDIVIDUALS BUT NOT A LOT OF
COHESION.
WE'RE GRATEFUL THIS HAPPENED.
WITHOUT IT NOTHING WOULD HAVE
COME TO BE.
YOU HEARD ABOUT THE 2017 MEETING
AT THE NIH.
THIS WAS WAS A PIVOTAL MEETING
BECAUSE IT'S THE FIRST TIME THE
NIH CONVENED SCIENTISTS TO SAY,
HEY, TALK TO US ABOUT MUSIC.
AT THAT TIME THE NIH WANTED TO
LEARN THE STATUS OF THE FIELD
AND HOW MUCH HAD BEEN DONE AND
WHAT THE GAPS IN KNOWLEDGE WAS.
THEY REALIZED THERE WERE HUGE
GAPS IN KNOWLEDGE.
AS A FIELD WE'VE DONE A LOT BUT
SO LITTLE.
THAT'S BECAUSE WE'VE BEEN DOING
THESE ON A SHOESTRING BUDGET.
OUT OF THAT AROSE THE PAPER
REVEALING THE KEY FINDINGS OF
THE CONFERENCE AND AFTER THAT
THERE WAS ANOTHER MEETING OF THE
KENNEDY CENTER AND FRANCIS
COLLINS LED THE EFFORT AT THE
NIH TO GET THE NIH TO AGREE TO
FUND MUSIC-BASED RESEARCH.
THIS WAS A PIVOTAL MOMENT FOR
THE FIELD OF RESEARCH.
I COULD NOT BELIEVE THAT
HAPPENED.
THE QUESTION CAME UP CAN MUSIC
BE A FORM OF MEDICINE AND THIS
IS WHERE THE SOUND HEALTH
NETWORK COMES IN.
WE'RE TRYING TO CODIFY THE
INSTITUTIONAL LEVEL TO SAY
EVERYBODY IN THE WORLD SHOULD
UNDERSTAND THERE'S A ROLE FOR
MUSIC AS A FORM OF MEDICINE.
WE DECIDED TO DO OUR LAUNCH AND
COVID HIT AND DECIDED TO DO ALL
THIS VIRTUALLY.
WE HAD WHAT WE THOUGHT WAS A
NICE PROGRAM THAT TALKED ABOUT
OUR MISSION AND GOALS THE
MISSION GOAL IS TO PROMOTE
RESEARCH AND PUBLIC AWARENESS
ABOUT THE IMPACT OF MUSIC ON
HEALTH AND WELLNESS AND ENGAGE A
BROAD RANGE OF MULTIDISCIPLINARY
STAKEHOLDERS WITH MUSIC AND ARTS
ORGANIZATIONS, FUNDERS AND
GENERAL PUBLIC.
ESSENTIALLY ANYBODY WHO CARES
ABOUT THE ARTS OR MUSIC SHOULD
BE PART OF THIS BUT ALSO PEOPLE
THAT DON'T KNOW THEY CARE ABOUT
THE ARTS OR MUSIC UNTIL THEY
LOSE IT SHOULD FEEL THE IMPACT
OF THESE THINGS.
THERE'S THREATS IN PLACE.
MUSICIANS WERE STRUGGLING IN
MANY WAYS AND IT'S OUR DUTY TO
GIVE VOICE FOR ARTISTS AND AS WE
GO THROUGH THE COLLECTIVE
SCIENCE IT'S NOT JUST THE ARTS,
A LOT OF ARTS SPEAK FOR
THEMSELVES AND YOU HAVE OTHER
THINGS TO SAY BESIDES TURNING TO
YOUR ARTWORK WE ROLLED OUT OR
TARGET GROUP AND WE'RE A WORK IN
PROGRESS.
WE'RE BRAND NEW.
WE'RE ALWAYS TRYING TO FIGURE
OUT HOW TO DO THIS BETTER.
SO IF YOU HAVE IDEAS TELL US.
WE ARE NOT STUCK IN OUR WAYS OF
HOW WE ARE DOING THINGS.
WORE HOPING VERSIONS ARE BETTER
AND BETTER AND OFFERING MUSIC
HEALTH CONTENT THAT NEED THAT
AND OFFERING NETWORKING TOOLS
FOR PEOPLE THAT DON'T KNOW HOW
TO REACH ONE ANOTHER AND THEN
OFFERING A RANGE OF DIFFERENT
COMMUNICATIONS.
IF YOU LOOK AT THE RESOURCES AND
OUR WEBSITE IS A GOOD PLACE TO
START.
IT'S GOT A LOT OF WHAT WE CARE
ABOUT.
YOU'LL FIND CLEARING HOUSE OF
DATA AND PUBLICATIONS AND IF
YOU'RE A RESEARCHER AND
EDUCATIONAL WORKSHOP.
GENERAL INFORMATION.
THEN WE OFFER WEBINARS AND
THEY'RE TREMENDOUS AND ALWAYS
THERE TO LOOK AT.
WE HAD ONE THERAPEUTIC
APPLICATIONS OF MUSICAL
IMPROVISATION AND INFANT BONDING
AND TRUE LUMINARIES IN THE
SCIENTIFIC COMMUNITY SPREADING
THESE THINGS AND THEN BEYOND THE
WEBINAR AND DESIGN IN-PERSON
MEETINGS AND THIS WAS CONVENED
WITH THE NIH AND SAME WAY THE
KENNEDY CENTER SPEARHEADED THE
SOUND HEALTH EVENTS.
WHEN THE SOUND HEALTH TEAM
CONVENED WAS THE INITIATIVE TRY
TO BRING SOUND AND HEALTH
TOGETHER.
THE SOUND HEALTH NETWORK WORKS
WITH THE NATIONAL ENDOWMENT FOR
THE ARTS AND HOPEFULLY IT MAKES
SOME SENSE.
WE SENSED THERE WAS A GREAT DEAL
OF MENTAL HEALTH ISSUES AT THE
TAIL END OF THE PANDEMIC AND HAD
A REMARKABLE SYMPOSIUM HOW MUSIC
IMPROVES MENTAL WELL BEING AT
LAST SUMMER AND PICTURES OF THE
ARTIS
ARTISTS WHERE HE HAD DIFFERENT
TOPICS.
IF YOU'VE NEVER BEEN AT A SOUND
HEALTH EVENT AT THE KENNEDY
UNDER THE NEXT TIME MARK YOUR
CALENDARS
IT'S A SPECIAL SERIES OF THINGS
AND THOSE WHO WANT TO NETWORK
BUT CAN'T IN PERSON WE'RE
OFFERING VIRTUAL NETWORKING.
IT'S A PLATFORM YOU CAN AT A SET
TIME WE'LL HAVE A TOPIC AND
EXPERTS AVAILABLE AND YOU'LL
BASICALLY CONVENE IN THIS
VIRTUAL SPACE.
NEED A VIRTUAL MEETING SPACE AND
NICE WAY TO BRING PEOPLE INTO
THE FIELD TO ACCESS THE FIELD
AND EASY TO USE AND AVAILABLE.
FROM A COMMUNICATION PERSPECTIVE
WE ARE ON FACEBOOK AND TWIT
TWITTER/X, INSTAGRAM AND YOUTUBE
AND WE'RE GRATEFUL FOR PEOPLE
WHO OPEN OUR NEWSLETTERS AND
THANK YOU FOR PUTTING EFFORT TO
MAKE IT A MEANINGFUL NEWSLETTER.
IN THE END ONE THING I HOPE IS
OBVIOUS THERE'S A NEED FOR
RIGOROUS SCIENCE FOR THESE
THINGS.
THEY'RE NOT JUST OPINIONS OR
THINGS YOU LOVE.
TO MAKE THIS REAL, IT NEEDS
SCIENCE.
THE WHOLE POINT OF THIS IS TO
BUILD A NEW FORM OF SCIENCE.
NOT THE WAY SCIENTISTS HAVE DONE
THINGS IN THE PAST 100 YEARS BUT
IN THE NEXT 100 YEARS.
THAT'S INTERDISCIPLINARY BY
NATURE AND ASKING QUESTIONS THAT
USED TO BE OFF LIMITS.
OUR GOVERNMENT POLICY LEADERS
NEED THE INFORMATION WE WANT TO
BE THE GLUE THAT BRINGS THIS
FIELD TOGETHER FOR SCIENCE AND
HEALTH AND WELLNESS.
WITH THEY WANT TO THANK YOU.
HELLO.
WE'VE HEARD MANY TIMES YESTERDAY
AND INCLUDING JUST NOW THERE'S A
NEED TO BRING MULTI-DISCIPLINE
TEAM TOGETHER TO TACKLE THE
ISSUES.
THAT'S WHAT IS HAPPENING.
WE HAVE THE SOUND HEALTH NETWORK
WHICH DOES A FANTASTIC JOB AND
NIH FUNDED FOUR MORE NETWORKS,
ONE FOCUSSED FOR PAIN AND ONE
ALSO ON MUSIC FOR ALZHEIMER'S
DISEASE AND ALZHEIMER'S RELATE
DEMENTIA AND THAT WILL HELP MOVE
THE NEEDLE IN OUR UNDERSTANDING
OF THESE TOPICS.
MY RESEARCH FOCUSSED ON THE
DEVELOPMENT AND TESTING OF MUSIC
THERAPY PROTOCOLS FOR CHRONIC
PAIN MANAGEMENT.
I'M A PROFESSOR AT DREXEL
UNIVERSITY AND BOARD CERTIFIED
MUSIC THERAPIST AND HAVE
EXPERIENCE IN WORKING WITH
PEOPLE WIN CHRONIC PAIN AND
INTRODUCED YOU TO THE NEW MUSIC
AND OURS IS BRAND NEW, TWO
MONTHS NEW, MUSIC FOR PAIN
NETWORK RESEARCH NETWORK THAT IS
AIMED AT BRINGING
MULTIDISCIPLINARY RESEARCHERS
TOGETHER TO HELP INCREASE THE
MECHANISTIC UNDERSTANDING OF HOW
MUSIC HELPS WITH PAIN
MANAGEMENT.
LET ME INTRODUCE OUR TEAM.
I'M SORRY.
IF I HAD KNOWN THE SCREEN WOULD
BE SO PEX LATED WE WOULD HAVE
USED LARGER FRONT AND WE HAVE A
REHABILITATION PSYCHOLOGIST WITH
OVER 40 YEARS OF CLINICAL
EXPERIENCE AND RESEARCH
EXPERIENCE IN EVALUATING THE
AFFECTS AND MECHANISMS OF LIKE
PSYCHOLOGICAL PAIN INTERVENTION
AND MECHANISMS FOR PAIN.
DR. ZATORRE AND DR. ROY IS A
NEURO PSYCHOLOGIST AND HIS
RESEARCH AT TO THE FOREFRONT AT
UNDERSTANDING HOW THE BRAIN
ENCODES THE SUBJECTIVE
EXPERIENCE OF PAIN AND
ELUCIDATING THE MEDIATORS OF
PAIN RELIEVING INTERVENTION AND
WE HAVE DR. FINAN FROM UVA AND
LOOKS AT NEUROBIOLOGICAL MODELS
LOOKING AT PROCESSING OF PAIN
MANAGEMENT AND DR. ROBB YOU'LL
HEAR MORE ABOUT HER LATER OR
FROM HER FROM INDIANA UNIVERSITY
AND MUSIC THERAPIST WITH THE
EXPERTISE IN THE DESIGN OF
THERAPY AND INTERVENTION TRIALS
AND CONSIDER THAYER FROM U.C.
IRVINE A PSYCHOLOGIST AND GOOD
JAZZ MUSICIANS WHO SPECIALIZES
IN ASPECTS OF SELF-REGULATION.
AS YOU KNOW CHRONIC PAIN AND
ACUTE PAIN ARE ONE OF THE MOST
COMMON AND COSTLY HEALTH
PROBLEMS OUR SOCIETY FACES.
CHRONIC PAIN ALONE IS ONE OF THE
LEADING CAUSES OF DISABILITY IN
THE U.S.
ABOUT 43% OF U.S. POPULATION
LIVE WITH CHRONIC PAIN AND LEADS
TO HALF A TRILLION DOLLARS
ANNUALLY.
TRADITIONAL TREATMENTS HAVE
ACTUALLY LOW TREATMENT EFFICACY
AND UNDESIRABLE SIDE EFFECTS.
A LOT OF CLINICAL AND LABORATORY
STUDIES HAVE PROVIDED EVIDENCE
OF THE TREATMENT BENEFITS OF
MUSIC-BASED INTERVENTIONS FOR
ACUTE AND CHRONIC PAIN.
SYSTEM REVIEW SHOWING EFFECT
SIZES BETWEEN .6 TO .91 WHICH IS
MODERATE TO LARGE EFFECT SIZES.
THE SYSTEMATIC REVIEWS ALSO
SIGNIFICANT HETEROGENEITY ACROSS
STUDIES.
WE BELIEVE THAT'S PARTLY DUE
BECAUSE WE DON'T UNDERSTAND WHAT
THE UNDERLYING MECHANISMS ARE.
WITHOUT BETTER UNDERSTANDING
CLINICIANS AND RESEARCHERS NEED
TO RELY ON TRIAL AND ERROR TO
TRY TO OPTIMIZE A TREATMENT
BENEFITS OF MUSIC-BASED
INTERVENTIONS.
WITHOUT UNDERSTANDING THE
UNDERLYING MECHANISMS AND LARGER
HETEROGENEITY WE BELIEVE IT MAY
BE ONE OF THE REASONS WHY
THERE'S A RELATIVELY LOW UPTAKE
IN CLINICAL SETTINGS OF
CLINICAL-BASED INTERVENTIONS FOR
PAIN MANAGEMENT AND THEY'LL BE
ESSENTIAL IN MOVING THE NEEDLE
FORWARD.
AND AGAIN I APOLOGIZE FOR THE
SMALL LETTER TYPE.
ALL OF US PRESENTERS HAD TO
SUBMIT THE SLIDES WELL IN
ADVANCE, SO WE HAD NO CHANCE TO
UPDATE IT AFTER WE SAW WHAT THE
SCREEN SITUATION IS SO THAT'S
WHY YOU PROBABLY ARE THINK WHY
ARE THESE PRESENTERS NOT
LEARNING FROM THE MISTAKE OF
PREVIOUS PRESENTERS.
THAT'S WHY.
LET ME READ TO YOU BECAUSE WE
ARE QUITE SMART.
WE DO HAVE GOOD INTELLIGENCE
BUT -- ALREADY.
OKAY.
NOW THAT WE GOT.
AS THE BEEN BOTHERING ME SO MUCH
SO I HAD TO SAY SOMETHING ABOUT
IT.
I'LL READ TO YOU, AIM 1 -- ONE
IS TO BUILD THE NETWORK OF
MULTIDISCIPLINARY RESEARCHERS TO
BRING THE BRIGHTEST MINDS FROM
NEUROPHYSIOLOGY AND TACKLE THE
DIFFICULT QUESTIONS AROUND
MECHANISTIC UNDERSTANDING AND
I'LL SAY MORE ABOUT WHY THIS IS
SO CHALLENGING IN THE NEXT
SLIDE.
WE'VE TRIED TO GET CLARITY
AROUND DEFINITIONS BECAUSE
THERE'S SO MANY CONFUSING TERMS
IN THE LITERATURE.
WE ARE ALSO CONDUCTING SCOPING
REVIEWS TO HELP BETTER
UNDERSTAND WHERE WE ARE
CURRENTLY WITH OUR MECHANISTIC
UNDERSTANDING AND WHERE THE GAP
ARE AND PRIORITIZE WHERE WE NEED
IT GO.
IDENTIFYING CHALLENGES AND
METHODOLOGICAL CHALLENGES AND
TACKLE THEM WITH THE BRIGHT
MINDS IN THE NETWORK AND
IDENTIFY TREATMENT RESPONSE
VARIABLES AND PREDICTIVE
BIOMARKERS AND AN IMPORTANT AIM
IS TO TRAIN YOUNG INVESTIGATORS
NOT ONLY IN MECHANISTIC RESEARCH
BUT GRANT WRITING TO BE
SUCCESSFUL IN GETTING NIH
FUNDING.
TO GIVE YOU AN IDEA AND AGAIN
SORE ARE -- SORRY YOU DON'T
REALLY THIS BUT THIS IS
CONCEPTUAL FRAMEWORK TO BEGIN TO
EXPLAIN THE COMPLEXITY.
THE MECHANISMS WE NEED TO LOOK
AT MAY BE IN DIFFERENT SYSTEMS.
THE REWARD SYSTEM AND MOTOR
SYSTEM AND COGNITIVE MNEMONIC
SYSTEM.
NONE OF NONE OF THESE ACT IN
ISOLATION.
WHAT ADDS TO THAT COMPLEXITY IS
THE COMPLEXITY, THE BEAUTIFUL
COMPLEXITY OF MUSIC.
MUSIC IS SUCH A COMPLEXITY
PHENOMENON AS WE HEARD OVER AND
OVER.
OUR RELATIONSHIP TO THE MUSIC IS
MORE COMPLEX.
WHAT IS MY RELATIONSHIP TO THE
MUSIC AND MEMORIES AND
PREFERENCE?
MY MUSIC TRAINING, FOR EXAMPLE,
AND PUT ON TOP OF THAT THE
COMPLEXITY OF THE PERSON WITH
PAIN.
PAIN ETIOLOGY AND DEMOGRAPHIC
VARIABLES AND THE SOCIAL
COMPONENT.
ARE WE TALKING ABOUT SOMEBODY
ENGAGING WITH MUSIC SOLO OR IN
GROUP, GOING TO A CONCERT,
ACTIVE MUSIC TAKING, RECEPTIVE.
THERE'S SO MANY THINGS WE NEED
TO TAKE IN CONSIDERATION.
FOR EXAMPLE, ALSO WE KNOW REWARD
CIRCUITRY PLAYS BE AN IMPORTANT
ROLE IN PAIN MANAGEMENT AND KNOW
IT GETS ACTIVATED STRONGLY BY
MUSIC.
NOW THERE'S GROWING EVIDENCE HA
SHOWING THE REWARD CIRCUITRY
PROBABLY MRIZ PLAYS A ROLE IN
PAIN MANAGEMENT AND ALMOST ALL
THE RESEARCH HAS BEEN WITH THIL
VOLUNTEERS.
WHAT DOES THE DATA AND FINDINGS
MEAN FOR PEOPLE WITH CHRONIC
PAIN?
WE KNOW CHRONIC PAIN ALTERS YOUR
REWARD CIRCUITRY.
MEANING, PEOPLE WITH CHRONIC
PAIN MIGHT RESPOND DIFFERENTLY
TO REWARDS.
WE KNOW THAT'S TRUE.
WHAT DOES THAT RESEARCH IF WE
ONLY FOCUS ON STUDIES WITH
HEALTHY VOLUNTEERS HOW'S THAT
TRANSLATE TO CLINICAL
POPULATIONS?
THAT RESEARCH NEEDS TO GET
EXPANDED TO THE CLINICAL
POPULATIONS.
WE'LL BE FUNDING PILOT STUDIES
AND I JUST LOST MY THING BUT
IT'S OKAY.
I DON'T NEED IT ANYMORE.
WE'LL BE FUNDING PILOT STUDIES
ONE YEAR IN DURATION AND THE
OTHER NETWORKS WILL BE DOING
THIS AS WELL THAT WILL HOPEFULLY
LEAD TO SUCCESSFUL NIH
APPLICATIONS.
OUR NETWORK WILL ALSO BE FUNDING
SCHOLARS, Ph.D. POSTDOCS,
HOPEFULLY ONE OR TWO A YEAR FOR
SIX OR 12 MONTHS TO GO STUDY IN
THE LABS OF ONE OF OUR CORE
INVESTIGATIVE TEAM MEMBERS.
THAT MIGHT EXPAND TO OTHER LABS
IN THE FUTURE.
IF YOU WOULD LIKE TO JOIN A
NETWORK, TAKE A PICTURE OF OUR
QR CODE.
I HOPE THEY WORK ON THE SCREEN
SO YOU CAN STAY UP TO DATE ABOUT
THE ACTIVITIES THAT WE PUT ON.
WE'LL BE DOING WEBINARS AND BIG
PRESENCE OF LOTS OF
MULTI-DISCIPLINARY CONFERENCES,
WE'LL HAVE YOU FIND
COLLABORATORS.
YOU'LL BE ELIGIBLE TO APPLY FOR
A PILOT FUNDING OR SCHOLAR
PROGRAM IF THAT'S WHAT YOU WOULD
LIKE TO BE PARTICIPATING IN AND
WE WILL ALSO BE SEEKING YOUR
INPUT IN TERMS OF THE RESEARCH
AGENDA CONCEPTUAL FRAMEWORK,
YOUR TRAINING NEEDS OR WEBINAR
TOPICS.
I WANT TO THANK NCCIH AND THE
OFFICE OF THE DIRECTOR FOR THEIR
FUNDING BECAUSE WE ARE JUST
ABSOLUTELY THRILLED TO GET
GOING.
THANK YOU.
I'M JEF DUSEK.
I'VE NEVER HAD MORE FUN
FOLLOWING SOMEONE GIVING A CALL
AND SHE GAVE ALL THE BACKGROUND
I NEEDED INCLUDING THE SLIDES SO
THANK YOU FOR THAT.
I'M GOING TO TALK ABOUT A
DIFFERENT NETWORK.
THE SAME NETWORK BUT THIS IS THE
EFFECTIVE NETWORK TO ADVANCE
SCIENTIFIC EVIDENCE TO
MUSIC-BASED INTERVENTIONS FOR
PAIN AND SUPPORT COLLABORATIVE
EFFORTS AND THAT WAS MADE BY
SAM.
THE STATE OF MUSIC THERAPY
RESEARCH -- YOU HEARD ABOUT THE
WORK BEING DONE.
TO GIVE BACKGROUND, I'M A
NEUROSCIENTIST BY TRAINING AND
STUDY BYPASS STUDY AND YOGA AND
MEDITATION AND REIKI AND I'M
ECLECTIC AND MULTIDISCIPLINARY
AND I CAN NAG PEOPLE TO CONVENE
AND I'M LEARNING ABOUT MUSIC
THERAPISTS ON MY TEAM THERE'S A
LOT OF MECHANISMS WE HEARD ABOUT
AND JOKE MENTIONED SOME IS IN
LABS AND SOME IN OTHER
RANDOMIZED TRIALS.
WE NEED TO THINK ABOUT HOW DO WE
ENGAGE THE RIGHT PEOPLE IN THE
RIGHT ROOMS?
THESE AIMS AND YOU'LL SEE IN A
FEW SECONDS THEY WERE DEVISED
BEFORE I KNEW ALL THE DIFFERENT
INTERVENTIONS AND FOLKS IN THE
ROOM AND WE HAD CERTAIN THINGS
IN RFA WE'D RESPOND TO AND SOME
THINGS YOU'D SAY GEE, JEFF, IT
SOUNDS SIMILAR AND AN UNDERSTAND
BUT WE CAN PIVOT AND LACK OF
INCLUSIVITY AND JOKE DID A
WONDERFUL JOB ON WHY PAIN
RESEARCH IS IMPORTANT.
I'M GOING TO TO AIMS AND TURN
THIS WAY BECAUSE IT'S EASIER.
IS THAT LEGIBLE?
ALL RIGHT.
SEE.
SO OUR ACTIVITIES AND THIS IS
OUR FLOW DIAGRAM.
AIM ONE DEVELOP MEANINGFUL
INCLUSIVE AND INTERDISCIPLINARY
COLLABORATION WITH MUSICIANS AND
PAIN RESEARCHERS AND TO
COLLABORATE.
THE PART I LIKE IS THE
BI-DIRECTIONAL.
BOARD CERTIFIED MUSIC THERAPISTS
ADVISING RESEARCHERS AND VICE
VERSA.
WE WANT EXPERTS ON BOTH SIDES.
SOMEONE WAS TALKING ABOUT THE
DANCE P.I. OR MULTIPLE P.I. WITH
THE Ph.D.
THAT'S THE KIND OF MODEL WE'RE
LOOKING FOR AS WE WANT TO KNOW
EVERYONE HAS THEIR EXPERTISE AND
WANT TO VALUE THAT AND HAVE MOCK
STUDY REVIEWS.
I DO A LOT OF STUDY SECTION
REVIEW FOR NCCIH AND A LOT OF
THE PEOPLE I KNOW THAT ARE
INDIVIDUALS NEVER DO THAT.
THEY DON'T KNOW WHAT HAPPENS.
WE'RE TRYING TO GIVE MOCK SENSE
OF WHAT THAT LOOKS LIKE.
WHEN HAVE YOU 27 PEOPLE IN THE
ROOM, WHAT'S IT LOOK LIKE AND
HOW DO YOU HAVE WRITE YOUR AIMS
AND PRESENTATIONS AND DOING
RESEARCH.
WE'LL HAVE TRAINING AND SUMMER
INSTITUTE.
THERE'S 10 HOSPITALS AND WE HAVE
OTHER MUSIC THERAPY WE'LL HAVE
RESEARCHERS AND INDIVIDUALS
OPPORTUNITIES FOR INTERNSHIPS
FOR THE SUMMER AND ROTATION.
THEY'LL GET A SENSE AM I
INTERESTED IN THIS AND HOW DO
YOU DO THIS IN THE HOSPITAL?
ALL THE GREAT PRESENTATIONS WERE
TALKING ABOUT LAB-BASED WORK.
I WORK IN HOSPITALS.
THAT'S A BIG LAB.
IT'S ALSO A REALLY BIG LAB.
IT'S NOT EASY TO WORK IN
SOMETIMES AND TRYING TO USE
RESEARCH SKILLS IN THE
ENVIRONMENT CAN BE CHALLENGING
AND ALSO FUN.
WE HAVE OUTPUTS AND TRAINING
RESEARC
RESEARCHER AND WE'LL ARRANGE
MEETINGS AND JOANNE IS ONE OF
THE MPIs AND THEY GOT A GREAT
INFRASTRUCTURE AT MOUNT SINAI
AND WE'LL TAKE ADVANTAGE OF THAT
IN THE COMING YEARS.
EVEN THE SKILL SETS OF ALL THE
PEOPLE IN OUR NETWORK.
WE'LL HOST MEETING AND CAPACITY
BUILDING, DATA INFRASTRUCTURE,
FUTURE APPLICATIONS AND THEN
OTHER CLINICIANS.
THAT'S AIM ONE.
AND TAXONOMY WHAT DO YOU MEAN BY
X?
DEB BURNS WILL SAY IT'S A
PROFESSION NOT INTERVENTION GET
IT RIGHT AND, ALL RIGHT.
AND ALL THE DIFFERENT ASPECTS
AND WHAT IT ENTAILS.
WHEN WE DO THE WORK IN
COLLABORATION WE'D LOVE TO
COLLABORATE AND THINK ABOUT THE
TAXONOMY.
I'M A BIG OUTCOMES FAN.
RICHARD GERSHON WILL TALK THIS
AFTERNOON AND THEY HAVE TOOL
KITS AND OUTCOMES ARE CRITICAL.
WE'LL UNDERSTAND THE BEST
PRACTICES FOR PATIENT-REPORTED
OUTCOMES IN THE LAB AND CLINIC
SETTINGS AND RELEVANT GENOMIC
EXPERTS AND HE AND A WORKED
TOGETHER BACK IN 2003 AND 2004
DOING CROSS-SECTIONAL STUDY OF
LONG-TERM MEDITATORS AND NOVICES
AND LOOKING THAT'S GENE
EXPRESSION AND FINDING WHAT WAS
DIFFERENTLY EXPRESSED.
CAN WE USE THE CLUES TO USE
MUSIC UNDERSTAND STRESS AND WE
HAVE MORE SPECIFIC TOOLS.
WE'RE EXCITED ABOUT THE OMICS
OPPORTUNITIES.
AND WE USE THE ELECTRONIC HEALTH
RECORD AS A TOOL.
SAM DEVELOPED A STRATEGY FOR
TAKING WRITTEN NOTES AND USING
THE STRATEGY FOR CHARTING WHAT
WAS DONE IN A MUSIC THERAPY
SESSION WITH A PATIENT.
AND IT'S REALLY LONG BECAUSE
THERE'S A LOT OF ASPECTS.
DATA HARMONIZATION AND NOT IN A
MUSICAL WAY BUT GETTING TOGETHER
AND HOW DO WE HARMONIZE WHAT
HAPPENS IN ONE SETTING AND
RECORDS WITH ANOTHER AND WANT TO
BUILD THE ELECTRONIC DATA MINING
APPROACHES ACROSS MULTIPLE
INSTITUTIONS AND DISSEMINATE ALL
THAT STUFF AND GET THE WORD OUT.
AND WE'LL INITIATE POD STUDIES.
WE HAVE TO SPEND A THIRD TO HALF
OUR BUDGET PER YEAR OWN THESE
AND I'M ASSOCIATE EDITOR FOR
INTEGRATIVE HEALTH AND MEDICINE
AND PAIN MEDICINE.
WE HAVEN'T GOT A LOT OF MUSIC
THERAPY INTERVENTIONS.
WE'RE OPEN TO IT.
IT'S A WHOLE UMBRELLA AND WE'LL
SEND IT OUT FOR REVIEW.
I'M ON THE LEFT.
DR. MALIK AND THE OMICS
GENTLEMEN DR. BHASIN FROM EMORY
AND JOANNE LOEWY IN THE LACK.
I'M AT THE POINT OF MY CAREER I
LIKE PEOPLE WHO ANSWER MY CALLED
AND WILL ANSWER MY TEXTS.
AND THERE'S A FEW MORE CHAIRS OF
THE NETWORK.
WE WERE SAYING YESTERDAY IT
SHOULD BE FUN TO DO AND GET UP
IN THE MORNING HOW CAN WE FIGURE
THIS OUT AND GET THE PASSION.
WE HAVE FOLKS WHO ARE MPIs AND
IF YOU DON'T KNOW SAM HE'S GOT A
MOHAWK AND A DRUMMER AND
BRILLIANT MUSIC THERAPIST AND
GETTING HIS Ph.D. IN CLINICAL
SCIENCE AT CASE WESTERN RESERVE.
HE'S BRILLIANT KNOW THAT.
AND WE HAVE FOLKS FROM MOUNT
SINAI AND KAMAL CHEMALI AND WE
HAVE A SICKLE CELL AND WE'RE
TRYING TO DEEP DIVE ON SICKLE
CELL DISEASE AND WE HAVE A GOOD
EXPERT IN SICKLE CELL.
AND WE HAVE AN EXTERNAL ADVISORY
COMMITTEE.
SO WE ARE REALLY EXCITED TO MOVE
FORWARD.
WE'RE LESS THAN TWO MONTHS OLD
SO WE'RE STILL TODDLERS OR NOT
TODDLERS BARELY OUT OF DIAPERS.
THE BRAND NEW NETWORK IS
INTERPLACED ON TOP OF ANOTHER
NETWORK AND IT WAS DEVELOPED BY
PHILANTHROPIC EFFORTS AND NOW AT
UCI THE FIRST PRACTICE-BASED
NETWORK IN INTEGRATIVE MEDICINE
AND THE CLINICAL NETWORK STARTED
AND UP TO 26 SITES.
WE HAVE A BROAD REACH ACROSS THE
U.S.
IN FACT I HAD A MAP BUT WE ADDED
MEMBERS SO I HAVE WORDS COMING
UP NEXT.
FORGIVE ME.
BEFORE THAT, WHAT HAVE WE DONE
AS A NETWORK?
I'M FINISHING UP AN ACUPUNCTURE
AS A MODEL FOR WHAT WE'LL DO IN
MUSIC THERAPY.
WE HAVE A MUSIC THERAPY FOR
SICKLE CELL JUST FUNDED.
AND ALL THESE PROJECTS WERE FUND
NCCIH AND WE'VE DONE
OBSERVATIONAL RESEARCH AND
ELECTRONIC HEALTH RECORD LIKE
SEVEN DIFFERENT EMRs.
IT IS A PAIN.
THIS WAS A NUMBER OF YEARS AGO
TRYING TO HARMONIZE WAS A PAIN
BUT THE IDEA IS WITH TOGETHER TO
GET 5,000 PATIENTS ENROLLED AND
UNDERSTANDING IN REAL CLINICAL.
MUSIC THERAPY IS NOT SO MUCH IN
THE AMBULATORY SETTINGS BUT
STARTING TO.
SO I FEEL LIKE MUSIC THERAPY
COULD LEARN FROM WHAT WE'VE DONE
WITH INTEGRATIVE HEALTH AND
MEDICINE.
HERE'S THE NETWORK.
UCI IS THE LEAD.
WE HAVE CLEVELAND WHOLE HEALTH
AND MOUNT SINAI ON THE RIGHT AND
YOU CAN SEE ACROSS THE COUNTRY
WE'VE GOT MARYLAND, BOSTON AND
THE IDEA IS WE'RE GOING TO BRING
THIS AT OUR MONTHLY MEETINGS THE
IDEA OF MUSIC THERAPY AND
NETWORK TO OUR ALREADY-EXISTING
MONTHLY MEETINGS AND DEVELOP A
WORK GROUP BASED ON
PARTICIPATING IN THE CLINICAL
AVENUES.
WE'RE NOT STRAIGHT FROM SCRATCH.
WE'RE START FROM A GROUP THAT
WORKED TOGETHER AND HAVE PAPERS
PUBLISHED TOGETHER AND CAN WE
LEVERAGE WHAT WE LEARNED IN
INTEGRATE OF HEALTH AND MEDICINE
AND BRING IT TO THE MUSIC
THERAPY NETWORK AND COLLABORATE
WITH PEOPLE WHO GET THE WORK AND
AN APPRECIATE YOUR QUESTIONS AT
THE END AND THANK YOU FOR YOUR
ATTENTION.
>> I SHOULD HAVE WORN MY HEELDZ.
-- HEELS.
WEN WHEN HE GOT TOGETHER JOKE
SAID SHE WAS GLAD I WAS IN THE
GROUP BECAUSE I LIKE TO SPEAK MY
MIND.
I'M IN A UNIQUE POSITION MY
UNIVERSITY IS DIVORCING AND
INDIANA UNIVERSITY AND PURDUE
AND IT WILL BE TWO SEPARATE
UNIVERSITIES SO WE ARE ON THE IU
SIDE.
THEY'VE GIVEN A BACKGROUND BUT
I'M GOING TO DO IT IN A
DIFFERENT PASSION.
ONE THING ABOUT MUSIC
INTERVENTIONS IS PATIENTS LIKE
THEM.
THEY'RE VERY ACCEPTABLE.
THEORETICALLY HOSPITALS LIKE
USING THEM TOO BECAUSE IT'S
MUSIC AND IT'S HARMLESS AND
PEOPLE ENJOY MUSIC AND THE ARTS.
BUT THEY'RE LOW RISK.
THEY ARE COMPLEX.
AND THEY CAN INCLUDE A WIDE
VARIETY OF COMPONENTS RANGING
FROM RECEPTIVE MUSIC LISTENING
CAN BE COMPLICATED BY PREFERENCE
AND STRUCTURES AND THE
PERFORMANCE AND/OR RECORDING
QUALITY MUSIC INTERVENTION
RESEARCH HAS NOT FOLLOWED THE
PATHWAY BUT OMITTED A CENTRAL
DEVELOPMENT AND OPTIMIZATION
STUDY THAT WOULD CREATE FRAME
WORKS TO GUIDE THE CHOICE OF
INTERVENTION COMPONENTS AND OVER
ALL FORMAT.
AT THIS POINT, WE DON'T REALLY
KNOW HOW RESEARCHERS DECIDE
WHICH COMPONENTS TO INCLUDE IN
MUSIC INTERVENTIONS TO TARGET
PAIN RELATED OUTCOMES.
SECONDLY, MUSIC-BASED
INTERVENTION STUDIES HAVE A HIGH
RATE OF BIAS BECAUSE
OVERRELIANCE ON MEASURES AND
OUTCOME MEASURES ARE THE GOLD
STANDARD FOR PAIN RESEARCH,
THEY'RE MODERATELY RELIABLE AND
CAN BE INFLUENCED BY INDIVIDUAL
AND ENVIRONMENTAL CONTEXTUAL
FACTORS.
THE GOAL IS TO DEVELOP BASIC AND
MECHANISTIC AND TRANSLATIONAL
RESEARCH IN MUSIC TO LINK
MECHANISMS OF MUSIC-BASED
INTERVENTIONS IN THE CONTEXT OF
CHRONIC PAIN.
AT THE SAME TIME, WE WILL BE
IDENTIFYING NOVEL TECHNOLOGIES
THAT WILL ENHANCE AND COMPLEMENT
THE CURRENT GOLD STANDARD IN
PAIN MEASUREMENT WITH OBJECTIVE
MEASURES.
PREVIOUS INTERVENTION BASED
RESEARCH OCCURRED IN SILOS AND
THE LACK OF INTEGRATION LEADS TO
LOW-QUALITY EVIDENCE AND
EQUIVOCAL RESULT.
CROSS-DISCIPLINARY IS REQUIRES
TO UNDERSTAND THE IMPACT MUSIC
INFLUENCES PAIN-RELATED
OUTCOMES.
THE PILOT PROGRAM WILL SPORT THE
DEVELOPMENT OF NEW RESEARCH
TEAMS BRIDGING DISCIPLINARY
BOUNDARIES.
THIS DRAFT CONCEPTUAL FRAMEWORK
SERVES AS A STARTING POINT FOR
IDENTIFYING CURRENT GAPS IN
KNOWLEDGE AND EXPLORING NOVEL
TECHNOLOGIES FOR CHRONIC PAIN
EXPERIENCES.
MUSIC-BASED INTERVENTION
RESEARCH HAS NOT STUDIED HOW IT
MEDIATED PROCESS.
CONNECTING THE BASIC AND
EMPLOYED RESEARCH TO CLINICAL
TRIALS WILL ASSIST IN EXPLAINING
HOW VARIOUS COMPONENTS MEET THE
PSYCHOSOCIAL AND NEURAL
PROCESSES RELATED TO
PAIN-RELATED OUTCOME.
OUR NETWORK TEAM REVIEWED
ARTICLES TO MAP THE SCIENCE TO
REFINE THE DRAFT FRAMEWORK.
DATA EXTRACTION WILL ALSO
PROVIDE THE NEEDED INFORMATION
TO CREATE A PHASED PROCESS FOR
MUSIC INTERVENTION DEVELOPMENT
AND INTERVENTION.
ON THIS FRAMEWORK THE POTENTIAL
MECHANISMS OF MUSIC-BASED
INTERVENTION IDENTIFIED BY THE
ASTERISKS.
TO THE RESULTS LOOK AT PAIN
INTENSITY AND HIGHLY
HETEROGENOUS AND THEY REQUIRE
INTERPRETATION OF THE VOCABULARY
WITHIN THE QUESTIONNAIRE AND
COMPLETING THEM CAN BE TIME
CONSUMING AND LOSS OF IMMEDIACY.
AND DIRECT MEASURES OF
BIOMARKERS AND MEASURE METABOLIC
STRUCTURES AND CAN PROVIDE AN
OBJECTIVE MARKER OF PAIN TO
COMPLEMENT CURRENT PSYCHO
PHYSICAL MEASUREMENTS.
THE COULD ALSO TRACK NEURAL
CHANGES RESULT FROM MUSIC
RESEARCH THAT SHOWS THE CHANGES
AND MECHANISMS AND STRUCTURES
AFTER MUSIC INVOLVEMENT.
TO ILLUSTRATE THE CURRENT STATE
OF THE LITERATURE, THIS DIAGRAM
REPRESENTS THE CO-OCCURRENCE OF
PAIN BIOMARKERS WITH THE TERMS
MUSIC AND PAIN FROM 400 PUB MED
CITATIONS.
THE CIRCLES REPRESENT THE
FREQUENCY MAGNITUDE OF TERMS.
THE LINE THICKNESS REPRESENTS
HOW MANY TIMES THE TERMS APPEAR
TOGETHER.
FOR REFERENCE, SO THERE IS
THERE'S ONLY ONE STUDY THAT
CONNECTS PAIN AND OMIC AND ON
THE LEFT SINCE THE SLIDES ARE
HARD TO READ ON THE LEFT THE
BOTTOM GREEN IS
ELECTROPHYSIOLOGY.
RIGHT ABOVE IT IS IMAGING.
THE TOP BLUE IS BEHAVIOR WHICH
WOULD BE YOUR AUTONOMIC AND
FACES, BEHAVIORAL RESPONSES TO
PAIN AND THE TWO RED ONES THE
TOP RED IS PAIN, THE BOTTOM RED
IS MUSIC.
IT SHOWS THE CONNECTION OF
WHAT'S AVAILABLE IN THE
LITERATURE IF ANYBODY'S
INTERESTED.
THIS IS DONE BY A FREE WARE
PROGRAM CALLED LOST VIEWER AND
IF YOU DO A LITERATURE REVIEW
USE YOUR LIBRARIANS BECAUSE
THEY'LL FIND EVERYTHING.
I TOOK THE SAME 400 PAPERS AND
DID ANALYSIS AND THE FIGURE ON
THE LEFT DEMONSTRATES THE LACK
OF COLLABORATION BETWEEN EXPERTS
WHICH IS A BARRIER TO THE
RESEARCH.
YOU CAN THE SILOED NATURE AND
POCKETS OF PEOPLE DOING THESE
STUDIES.
I THOUGHT IT WAS AN ASSUMPTION I
HAD AND WENT OH, LOOK.
THERE'S THE DATA.
SO MOST OF THESE AUTHORS HAVE
ONLY PUBLISHED A COUPLE STUDIOS
AND THERE'S ONLY FIVE AUTHOR
GROUPS THAT AUTHORED AT LEAST
FIVE PAPERS.
NOT ONLY ARE THERE SILOS BUT A
LACK OF TRAJECTORY OF RESEARCH
WE WOULD LIKE TO SEE.
THE FIGURE ON THE RIGHT IS
ORGANIZATION.
HERE WE HAVE ANOTHER EXAMPLE OF
BEING SILOED BECAUSE
ORGANIZATIONS ARE NOT WORKING
WITH ONE ANOTHER EITHER.
SO TO START THE INTEGRATION OF
EXPERTISE AND TEAM AND
ORGANIZATIONS, WE HAD A TEAM
WHOSE EXPERTISE EXPANDS MUSIC,
MECHANISMS, PAIN, MEASUREMENT
AND MECHANICAL ENGINEERING.
AND INTERVENTION PAIN RESEARCH
AND ENGINEERING EXPERTISE IN
DEVELOPING TECHNOLOGIES TO
MEASURE AND TREAT PAIN-RELATED
CONDITIONS.
THE TWO LABS CONDUCT AND THE
LABS CONDUCT MECHANISTIC AND
INTERVENTION RESEARCH LOOKING AT
COMPUTER SIMULATED AND
DISRUPTIVE TECHNOLOGY AND
QUANTITATIVE SENSORY TESTING AND
QUALITATIVE METHODS AND CLINICAL
DATA CAPTURE.
OUR TEAM FROM UTAH BRINGS
EXPERTISE IN INTERVENTION
DEVELOPMENT FROM BASIC AND
APPLIED SCIENCE RESEARCH,
MOLECULAR TOXICOLOGY AND
GRANTSMANSHIP AND EDUCATION AND
MENTORSHIP.
THEN VANDERBILT AND MARYLAND AND
LUANA AND JOE SCHLESSINGER LOOK
AT COMPUTATIONAL METHODS SUCH AS
MACHINE LEARNING AND THIS CORE
INVESTIGATIVE TEAM WILL WORK TO
BUILD A CROSS-DISCIPLINARY
NETWORK AND LOOK MUSIC'S
CAPACITY TO ALLEVIATE PAIN AND
COMPLEMENT PATIENT-REPORTED
OUTCOME.
THE NETWORK WILL BRING NEW
INVESTIGATORS INTO THE FIELD TO
BRIDGE GAP IN BASIC APPLIED AND
CLINICAL RESEARCH, DISSEMINATE A
CONCEPTUAL FRAMEWORK FOR
UNDERSTANDING THE MECHANISMS AND
MUSIC-BASED INTERVENTIONS AND
GATHER PRELIMINARY DATA FOR
LARGER TRIALS.
THANK YOU.
>> IT'S A LABOR OF LOVE AND
SHOUT OUT TO FRANCIS COLLINS AND
RENEE FLEMING FOR YOUR VISION IN
DOING THIS.
GOOD AFTERNOON.
I'M JOLENE JOHNSON A PROFESSOR
OF COGNITIVE NEUROSCIENCE AT
UNIVERSITY OF CALIFORNIA SAN
FRANCISCO.
I'M HAPPY TO INTRODUCE OUR NEW
U-24 RESEARCH TO ACCELERATE
MECHANISTIC STUDIES OF MUSIC FOR
DEMENTIA.
IT'S DIFFERENT THAN THE OTHER
THREE NETWORKS THAT WERE
PRESENTED.
WE'RE THANKFUL FOR SUPPORT FROM
THE NATIONAL INSTITUTE OF AGING
AND NATIONAL ENDOWMENT FOR THE
ARTS AND MELITA BELGRAVE IN THE
AUDIENCE AND THANK YOU FOR THE
INVITATION.
WE'VE KNOWN FOR DECADES PEOPLE
LIVING WITH DEMENTIA CAN ENGAGE
WITH MUSIC IN MEANINGFUL WAYS
EVEN TO THE LATE STAGES.
IN THE UNITED STATES
APPROXIMATELY 6.7 MILLION
ADULTS AGE 65 AND OVER LIVE WITH
ALZHEIMER'S DISEASE.
THE NUMBER ONLY INCREASES WITH
LEWY BODY AND SOMEONE LIVING
WITH DEMENTIA HAS CHALLENGES.
THERE'S AN URGENT NEED FOR
COST-EFFECTIVE APPROACHES TO
REDUCE THE BURDEN AND IMPROVE
QUALITY OF LIFE FOR PEOPLE
LIVING WITH DEMENTIA.
MUSIC-BASED INTERVENTIONS ARE A
PROMISING APPROACH AND AN
INCREASING NUMBER OF STUDIES
SHOW MUSIC-BASED INTERVENTIONS
CAN LEAD TO IMPROVED QUALITY OF
LIFE AND EMOTIONAL WELL BEING IN
ADDITION TO DECREASING
BEHAVIORAL ISSUES.
THE STUDIES HAVE LIMITATIONS.
THEY TEND TO BE SIMULTANEOUS AND
NEED TO IMPROVE OUR
UNDERSTANDING THE MECHANISM.
OUR GOAL IS TO UNDERSTAND THE
MECHANISMS BY WHICH MUSIC-BASED
INTERVENTIONS AFFECT HEALTH AND
BEING FOR OLDER ADULTS AND THEIR
CARE PARTNERS.
WE'LL BUILD A MULTIDISCIPLINE
AND RESEARCH INSTITUTE OFFERING
PILOT FUNDS AND KEY RESOURCES.
AND WE ARE RESEARCH LED BY
MELITA BELLGRAVE AND JING CHENG
AND MYSELF LOOKING AT DEMENTIA
AND MUSIC.
I'M HONORED TO BE ABLE TO HAVE
THIS OPPORTUNITY.
I FINISHED MY Ph.D. STUDYING THE
PRESERVED MEMORY FOR MUSIC IN
PEOPLE LIVING WITH ALZHEIMER'S
DISEASE SEVERAL DECADES AGO.
IT'S A REAL OPPORTUNITY TO
RETURN TO MY PASSION.
WE ALSO HAVE OTHER CONTRIBUTORS
WHO ARE HERE TODAY.
WE PLAN TO GROW OUR RESEARCH
NETWORK BY ADDING CORES AND
NODES VIA THE PILOT PROGRAM OVER
THE NEXT FIVE YEARS.
OUR PLAN TO BUILD THE
MULTIDISCIPLINARY RESEARCH
NETWORK INCLUDE HOSTING A
RETREAT IN YEAR ONE, OFFERING
PILOT GRANTS AND COHORT BUILDING
AND MENTORING, HOSTING WORKSHOPS
AND TRAINING AND FACILITATING
WORKING GROUPS IN COLLABORATION
WITH THE OTHER NETWORK YOU HEARD
ABOUT RECENTLY.
IN ADDITION MEETING WITH THE
NIH.
OUR RETREAT IS BASED ON THE
PRINCIPLES OF THE CAT FUTURE
INITIATIVES INVOLVING 50 TO 60
STAKEHOLDERS REPRESENTING
MULTIPLE DISCIPLINES HELPING
PREPARE THE TEAMS TO APPLY FOR
PILOT FUNDING AND ULTIMATELY NIH
FUNDING.
WE HAVE A TENNESSEE
TENTATIVE DATE 15 MILES FROM
HERE AND PLAN TWO INTENSIVE DAYS
OF DISCUSSIONS KEY NOTE SPEAKERS
AND BREAKOUTS AND A PUBLIC EVENT
TO HELP SHOWCASE THE
TECHNOLOGIES AND APPROACH AND
INTERDISCIPLINARY NATURE OF OUR
RESEARCH NETWORK.
WE'LL CREATE KEY RESOURCES AND
COLLABORATIVE PUBLICATIONS,
GUIDELINES AND BEST PRACTICES,
ONLINE CATALOG OF MUSIC-BASED
INTERVENTIONS TESTED AND
DEVELOPED AND HOPE TO DECREASE
THE TIME IT TAKES TO DEVELOP A
MUSIC BASED INVENTION AND REFINE
IT AND DISSEMINATE THAT TO
COMMUNITIES FOR BETTER UPTAKE.
WE'LL ALSO WORK WITH MOBILE
BRAIN-BODY TECHNOLOGIES AND
SOCIAL MEDIA AND WEBSITES.
THE NIH STAGE MODEL AND BEHAVIOR
CHANGE METHODS WILL HELP PROVIDE
A FRAMEWORK FOR TESTING
MUSIC-BASED INTERVENTION IN THE
CONTEXT OF DEMENTIA.
MOBILE ESPN ALERT-BRAIN-BODY
IMAGING TECHNOLOGIES WILL LOOK
AT HOW MUSIC-BASED INTERVENTIONS
AFFECT THE BRAIN AND BODY IN
TIME SETTING AND PROMOTE NEURAL
AND NON-NEURAL MECHANISMS FOR
MUSIC-BASED INTERVENTIONS.
WITH THE EXPERTISE OF DR. VIDAL
WILL INTEGRATE THEM WITH THE
PILOTS.
ONE DEDICATED TO OUR RESEARCH
NETWORK AND ADDITIONAL SYSTEMS
AVAILABLE BY THE UNIVERSITY OF
HOUSTON AND NATIONAL SCIENCE
FUNDING BRAIN CENTERS.
IN ADDITION TO FUNDING OUR
NETWORKS WILL FACILITATE
MENTORING AND COHORT BUILDING
FOR THE PILOT STUDY
INVESTIGATORS TO HELP BUILD
COMMUNITY AND SHARE LESSONS
LEARNED.
THE PILOTS WILL HELP US WORK
TOWARDS BUILDING A COMMON DATA
ELEMENTS RELEVANT TO DEVELOPING
AND TESTING MUSIC-BASED
INTERVENTIONS IN THE CONTEXT OF
ALZHEIMER'S DISEASE AND RELATED
DEMENTIAS.
THIS SCHEMATIC ON THE LEFT
ILLUSTRATE THE EARLY THOUGHTS
ABOUT MUSIC AND BRAIN AND WHAT
YOU CAN SEE HERE IN THE LANGUAGE
MODEL THERE'S IS A LINE AND THEY
DIDN'T UNDERSTAND HOW MUSIC WAS
PRO
PROCESSED BY THE BRAIN AND
HOPEFULLY IT WILL IDENTIFY
BIOLOGICAL AND BEHAVIORAL AND
CONSIDERING THE BRAIN NET WORKS
AS WE HOPE TO FOCUS AND
ACCELERATE THE MECHANISTIC
STUDIES.
THANK YOU FOR THE NATIONAL
INSTITUTE OF AGING AND NATIONAL
ENDOWMENT FOR THE ARTS AND WE'RE
ALL EXCITED TO GET STARTED AND
STAY TUNED.
THANK YOU VERY MUCH.
>> THANK YOU.
NOR SPEAKERS AND I'M CAROLINE
SFERRAZZA.
WE HAVE AZA ALLSOP AND
CHRISTOPHER BAILEY.
NICK SKINNER FROM THE BALTIMORE
SIM FONNY AND LOREA REBOUNDS AN
KRISTIN SAKODA AND RUTH ARE
KATZ.
JOIN ME IN WELCOMING THEM TO THE
STAGE.
AZA, TAKE IT AWAY.
>> I'M HONORED AND EXCITED TO BE
HERE I'M A MUSIC ARTIST AND
FORTUNATE TO HAVE BEEN TRAINED
AND WORK AS A NEURO SCIENTIST
AND MUSIC THERAPIST AT HOWARD
AND MY WORK AT THE SOCIAL DOMAIN
IS A POWERFUL LENS FOR US TO
THINK AND RETHINK HOW TO TREAT
MENTAL HEALTH SYSTEMS ON ONE
HAND AND ALSO HOW DO WE EVOLVE
SOCIETY TO BE A MORE COLLECTIVE
SUSTAINABLE ONE.
IN THE LAB WE TAKE A
MULTI-DIMENSIONAL APPROACH
LOOKING AT MODEL SYSTEMS IN
ANIMALS THROUGH HUMANS ASKING
HOW DOES THE BRAIN ENGAGE IN
SOCIAL INFORMATION PROCESSING,
WHAT ARE TOOLS LIKE MUSIC AND
PSYCHEDELICS TO SHIFT THE ARE
REPRESENTATIONS TO DRIVE SOCIAL
BEHAVIOR AND HELP US EVOLVE.
I DON'T HAVE TIME TO TELL YOU
ABOUT EVERYTHING BUT
MECHANISTICALLY WE HAVE NOVEL
TWO-PERSON BEHAVIORAL MODELS
LOOKING AT HARMONIC PROGRESSION
AND IF WE SHUFFLE THEM AND
PEOPLE CAN INTERACT OR DON'T
INTERACT WITH EACH OTHER WE CAN
SEE EXCITING THINGS LIKE THE GUY
GYRUS IN THE OVERLAP OF HARMONY
AND SOCIAL INFORMATION
PROCESSING AND IT DOESN'T COME
ONLINE WITH ONLY ONE OR THE
OTHER.
WE THINK THROUGH NEUROSYNCHRONY
AND CAN THAT BE AREAS TO TREAT
WHEN THE GYRUS HAS ACTIVITY AND
SOCIAL ANXIETY DISORDER AND
AUTISM AND WE WORK IN
IMPLEMENTATION DURING COVID-19
WE HAD A VIRTUAL STUDY IN WOMEN
OF AFRICAN DESCENT AND AFTER
HEARING ABOUT THE HORRIBLE
STATISTICS IN MATERNAL OUTCOMES
AND THERE WE PERCEIVED LESS
STRESS IN THOSE WHO PARTICIPATED
AND EXCITE ABOUT THE CENTER AT
COLLECTIVE HEALING WE'RE
INTERESTED IN MULTI-MODAL
LANGUAGES LIKE DANCE AND THEATRE
AND HOW THEY'RE LEVERAGED IN
GROUP-BASED PROTOCOLS NOT ONLY
TO TREAT SOCIAL STRESS BUT
ENHANCE FAMILY AND COUPLE
DYNAMICS AND ENGAGE AND
FACILITATE CLIMATE ACTION AND
WHAT MIGHT BE THE ROLE OF
PROTOCOLS TO HELP ACHIEVE THESE
ENDS.
I WANT SHARE ONGOING STUDY WE
HAVE FOR INSTANCE WE'RE DOING
LIVE MUSIC MINDFULNESS DOING
MUSICIANS VERSUS VIRTUAL AND
GROUP DRUMMING WHERE WE'RE NOT
ONLY ABLE TO SEE EFFECTS ON
ANXIETY AND STUDY IS SYNCHRONY
AND DESYNCHRONY AND ARE KEY FOR
SCALING THE BEAUTIFUL WORK
EVERYONE HAS BEEN TALKING ABOUT.
THANK YOU ALL FOR YOUR
ATTENTION.
>> YOU ARE MY SUNSHINE, MY ONLY
SUNSHINE, YOU MAKE ME HAPPY WHEN
SKIES ARE GRAY, YOU'LL NEVER
KNOW DEAR HOW MUCH I LOVE
YOU, 'TILL YOU TAKE MY SUNSHINE
AWAY.
THE OTHER NIGHT, DEAR, WHILE I
WAS SLEEPING I DREAMT I HELD YOU
IN MY ARMS, WHEN I AWOKE, DEAR I
WAS MISTAKEN SO I HELD MY HEAD
AND I CRIED.
THAT WAS THE SONG MY FATHER SANG
TO ME WHEN I WAS A LITTLE BOY TO
HELP ME GO TO SLEEP AT NIGHT
BECAUSE I WAS AFRAID OF THE
DARK.
WHEN I WAS DIAGNOSED WITH
TERMINAL GLAUCOMA AFTER FORMING
THE PROGRAM AT WHO AND RIGHT
WHEN I FELT I NEEDED TO
ACCELERATE MY INTEREST I BECAME
CONSUMED WITH MY SENSE OF WHAT I
HAD LOST IN THE PAST WITH THE
VISUAL WORLD AND MY SENSE OF THE
FUTURE AND THE ANXIETY AND DREAD
OF THIS WORLD THAT WAS DARK AND
DANGEROUS AND I HAD NO IDEA HOW
I WAS GOING TO FUNCTION IN IT.
THOSE TWIN TECTONIC PLATES OF
PAST AND FUTURE BEGAN TO WEAR
AWAY AT MY CONCEPTION OF THE
PRESENT MOMENT AND TRIED TO
COMPARTMENTALIZE IT AND GO ON
WITH THE WORK AND WITH MY
COLLEAGUES WE FORMED THE JAMIL
ARTS AND HEALTH LAB TO LOOK AT
THE TRIANGLE OF PRACTICE AND
POLICY AND THERE'S BEEN TALK
ABOUT PRACTICE AND RESEARCH BUT
FOR W.H.O. IN PARTICULAR POLICY
IS IMPORTANT TO ENSURE THE
RESEARCH DOES NOT SIT ON THE
SHELF.
IT GETS TO THE MOST NUMBER OF
PEOPLE PARTICULARLY THE EXCLUDED
AND VULNERABLE POPULATIONS.
CERTAINLY OVER THE LAST FEW
YEARS WE'VE SEEN SOME WONDERFUL
POLICY MOVEMENT.
WE'VE SEEN IN AUSTRALIA A
NATIONAL MANDATE TO HAVE ARTS
AND THERAPY AND IN SAUDI ARABIA
AND WE CALL FOR AN ALL
GOVERNMENT APPROACH TO THE ARTS
AND FOR THE HEALTH OF
INDIVIDUALS AND COMMUNITIES.
THERE'S TALK OF PERHAPS JOINING
TOGETHER AND FORMING A
RESOLUTION IN THE WORLD HEALTH
ASSEMBLY TO UNLOCK AN INVESTMENT
IN THE ART WORLD SPECIFICALLY
FOR THE HEALTH OF INDIVIDUALS
AND COMMUNITIES.
SPARK AS RENEE CORRECTLY SAID BY
HER OPENING THE WORLD HEALTH
ASSEMBLY LAST MAY AND IT WASN'T
JUST HER ARTICULATE WORDS THAT
GALVANIZE THE AUDIENCE BUT HER
SONG.
FOR THREE AND A HALF MINUTES THE
WORLD WAS ONE AND REINFORCED OUR
OWN IDEA THAT MERE PRESENTATION
OF THE EVIDENCE IS ESSENTIAL AS
THE COVER CHARGE TO THE
NIGHTCLUB OF POLICY BUT IT IS
NOT THE END OF THE GAME AND WE
HAVE TO TALK ABOUT THE SCIENCE
THAT INVOLVES ALL LEVELS OF
UNDERSTANDING AND NOT JUST OUR
UNDERSTANDING BUT BEING ABLE TO
FEEL THE EXPERIENCE OF WHAT
WE'RE DESCRIBING.
OF COURSE, FOR ME, I FELT AT
THAT TIME THAT IT'S ALL WELL AND
GOOD LIKE DOROTHY THIS BAG OF
TRICKS.
I THOUGHT THERE'S NOTHING IN
THERE THAT WILL HELP ME COME
HOME.
I WAS WRONG.
FOR ME IT WAS MUSIC.
UNLIKE SIGHTED PEOPLE, FOR
PEOPLE VISUALLY IMPAIRED, MUSIC
AND SOUND IS VISIBLE.
IT IS CONCRETE.
IT IS NOT ABSTRACT.
I STARTED USING ORAL INFORMATION
TO GIVE ME A CONCRETE PALPABLE
AND YES, VISIBLE UNDERSTANDING
OF THE PHYSICAL WORLD AROUND ME
WHICH WE CALL ECHO LOCATION.
MY BODY WAS NO LONGER A LIVING
PRISON BUT CONCEIVE IT AS A WOMB
OFFERING ME AN OPPORTUNITY FOR
DEEP CONTEMPLATION WIT
DISTRACTION AND I WOULD LISTEN
TO A MELODY AND HAVE A MEMORY OF
THE NOTE JUST PLAYED AND THE
EXPERIENCE THE NET BEING PLAYED
AND FORM A CHORD, PAST, PRESENT
AND FUTURE BECAME HARMONIZED AND
HEALED MY FRACTURED SENSE OF
TIME AND FOR THE FIRST TIME IN
YEARS I COULD FIND MYSELF LUXURE
IATING IN THE AND LIKE YOU CLOSE
YOUR EYES TO TRACE THE GENTLE
SLOPE OF A LOVER'S FOREARM, SO
TOO DO I ACCEPT THE CLOSING OF
MY EYES TO BETTER SHARE THIS
MOMENT WITH YOU.
THANK YOU.
>> FIRST, ON BEHALF OF THE
BALTIMORE SYMPHONY WE'RE
APPRECIATE THE INVITATION.
MANY UNDER SERVED COMMUNITIES
ACROSS THE COUNTRY HAVE LIMITED
OR NO MUSIC PROGRAM IN THEIR
SCHOOLS.
IN BALTIMORE CITY ONLY 40% OF
SCHOOLS HAVE MUSIC PROGRAMMING.
87% OF SCHOOLS DON'T HAVE ANY
STRUMAL PROGRAMMING AT ALL.
THE LACK OF MUSIC EDUCATION
PERPETUATES A GLARING
INEQUALITY.
THE BALTIMORE SYMPHONY ORCHESTRA
IS PROVIDING BALTIMORE YOUTH
WITH EQUITABLE ACCESS TO
COMMUNITY-BASED MUSIC
INSTRUCTION AND PROGRAMMING THAT
TEACHES MUSIC SKILLS
TRANSFERRABLE TO ALL AREAS OF
THEIR LIVES.
WE'RE SERVING 850 STUDENTS
ACROSS BALTIMORE THROUGH
IN-SCHOOL AND AFTER-SCHOOL
PROGRAMMING AT SEVEN SITES.
DURING THE SUMMER WE HOST SUMMER
PROGRAMMING AT GAUCHER COLLEGE
WITH A FULL THREE WEEK SUMMER
SESSION.
WITH THE MODEL WE CREATE A
MUSICAL PATHWAY FOR STUDENTS
SERVING PRE-K THROUGH 12th GRADE
AND BEYOND.
OUR YOUNGER STUDENTS RECEIVE
MUSIC CLASSES WHICH LAYS THE
MUSICAL FOUNDATION FOR THE AFTER
SCHOOL MODEL WHERE THEY RECEIVE
GROUP INSTRUCTION AND
SECTIONALS, ENSEMBLE REHEARSALS
AND MANY PERFORMANCE
OPPORTUNITIES.
THIS MONTHS ALONE WE'LL HAVE 15
CONCERTS FOR VARIOUS COMMUNITIES
IN BALTIMORE.
THIS PROVIDED AT NO COST TO
STUDENTS AND FAMILIES.
WE PROVIDE SERVICES THAT HELP
REMOVE OBSTACLES THAT STAND IN
THE WAY OF A STUDENT GROWTH AND
SUCCESS.
WE PROVIDE TRANSPORTATION
SUPPORT TO AND FROM PROGRAMMING,
ACCESS TO MENTAL HEALTH
RESOURCES, COORDINATION TO
SERVICE PROVIDERS THAT HELP MEET
THE NEEDS REGARDING LEGAL AND
HEALTH SECURITY ISSUES AND
REMOVE BARRIERS FOR STUDENTS TO
ATTEND SOME OF THE MOST
PRESTIGIOUS INSTITUTIONS.
MUSIC SHOULD RING THROUGH ALL
OUR COMMUNITIES REGARDLESS OF
SOCIO ECONOMIC TECHNOLOGY AND
SHOULD BE A FUNDAMENTAL RIGHT
ALL STUDENTS HAVE PART OF THEIR
EDUCATION AND THE BALTIMORE
ORCHESTRA IS WORKING TO ADDRESS
THESE DISPARITIES.
THANK YOU.
>> ALL RIGHT.
EVERYONE.
I'M LORA ROBINSON AND A
BOARD-CERTIFIED THERAPIST FOR
HOWARD UNIVERSITY.
I'M EXCITED TO SHARE THE
PLATFORM WITH MY FELLOW HOWARD
FACULTY HERE.
WHEN I THINK OF CAPACITY
BUILDING, I THINK OF MY STUDENTS
AND THE FACT THAT HOWARD
UNIVERSITY IS THE ONLY
HISTORICALLY BLACK COLLEGE IS
THE ONLY COLLEGE WITH MUSIC
THERAPY AS A PROGRAM AND WHEN WE
TALK ABOUT NETWORKING AS RENEE
FLEMING SPOKE TO THIS MORNING,
IT'S NOT JUST ABOUT COMING
TOGETHER IN THESE SPACES WITH
FELLOWS THAT ARE INTEGRATED INTO
THE SPACES ALREADY THAT ARE
THINKING ABOUT THESE CONSTANTLY
BUT HOW DO WE REACH THE NEXT
GENERATION OF RESEARCHERS AND
CLINICIAN AND CREATIVE THINKERS?
I REALLY JUST URGE YOU ALL TO
CONSIDER THE FACT THAT THERE ARE
MANY UNTAPPED RESOURCES IN
SPACES SUCH AS HBCUs AND
HISPANIC-SERVING INSTITUTIONS,
ASIAN AMERICAN AND NATIVE
AMERICAN SERVING INSTITUTIONS
THAT HAVE NOT BEEN SOURCED YET
BECAUSE PROGRAMS LIKE MUSIC
THERAPY AND DANCE THERAPY ARE
NOT INTEGRATED INTO THE SPACES.
WHAT I REALLY IMPLORE MY
STUDENTS TO DO IN OUR TIME
TOGETHER AND OUR CLINICAL
SESSIONS AND IN OUR CLASS WORK
IS WHAT RESOURCES DO THEY BRING
TO THE UNIVERSITY WE CANNOT
TEACH THEM.
A LOT OF THESE SPACES S MUSIC IS
EMBEDDED IN THE BACKGROUND AND
LEARN AND FAMILIAL HISTORY AND
WATCHING STUDENTS MAKE CLINICAL
CHOICE ARE ADVANCED REALLY IN
THE SCHEME OF THINGS BECAUSE
THEY'RE INTUITIVE.
THEY'RE INNATE AND EMBEDDED
INSIDE THEM SPIRITUALLY AND
PHYSICALLY FROM THEIR
BACKGROUND.
AS WE CONTINUE TO BUILD AS WE
CONTINUE TO TALK ABOUT THESE
NETWORKS WHICH I'M EXCITED ABOUT
AND WILL BE REACHING OUT TO, TO
CONNECT HOWARD AS WE CONTINUE TO
HAVE THESE INITIATIVES I IMPLORE
YOU ALL THOSE WHO HAVE FUNDING
TO DO SO AND IDEAS TO ALSO
IMPLEMENT THESE INTO THESE
MARGINALIZED AND MINORITY
SERVING INSTITUTIONS BECAUSE
THERE'S A POT OF GOLD THERE THAT
HAS NOT BEEN TAPPED.
THANK YOU.
>> FOR MY SELF-DESCRIPTION I AM
AN AFRICAN AMERICAN WOMAN WITH
LONG AUBURN LOCKS AND BIG
OVERSIZED ARTSY GLASS AND A
SMILE.
AND SOMEONE FOR WHOM ARTS HAS
BEEN PART OF MY LIFE WITH BALLET
AT AGE 4 AND A DANCER AND LAWYER
AND MOTHER OF A MIDDLE SCHOOL
AGE DAUGHTER AND PROUD DAUGHTER
AND MY FATHER WENT TO HOWARD
UNIVERSITY AND HOWARD DENTAL
SCHOOL.
THOUGH I DIDN'T GO THERE I FEEL
I AM THE PRODUCT OF AN HBCU AND
ROOTS IN D.C. I HAVE YET TO ZFR.
-- DISCOVER ALL THAT SAID I'M
SERVING AND HAVE THE HONOR OF
SERVING AS THE FOUNDING DIRECT
OF THE L.A. DEPARTMENT OF ARTS
AND CULTURE ONE OF THE FEW OR
ONLY MUNICIPAL SIDE FOLKS HERE
AS SOME SAID TO ME.
A QUICK MOMENT OF CONTEXT
SETTING.
SIMILAR TO -- I CAN'T COMPARE
MYSELF TO DR. ROSIO JACKSON IN
L.A. BUT OUR LOCAL ART AGENCY
AND WE HAVE A STATE ART AGENCIES
AND THE LOCAL LEVEL AND MINE
REPRESENTS L.A. COUNTY THE
LARGEST COUNTY IN THE UNITED
STATES BY POPULATION.
TO SET THE STAGE HERE AND WE
HAVE OVER 4,000 SQUARE MILES AND
A BELIEVE DEEPLY EVERY PLACE AND
COMMUNITY HAS ARTS AND CULTURE
BUT WE DO KNOW THERE IS INEQUITY
IN ACCESS TO CULTURAL
RESERVESES, INFRASTRUCTURE AND
INVESTMENT.
SO EVERYTHING WE DO WHICH YOU'RE
SEEING ON THE SLIDE ARE CORE
PROGRAMS WE DO WITH THE LENS OF
EQUITY AND ARTS AND CULTURE ARE
A HUMAN RIGHT AND ALSO WE NEED
TO ENSURE THE RESOURCES AND
REFLECTS OUR DIVERSE CULTURES
AND ART FORMS AS WELL AND WE CAN
UTILIZE THIS TO ENHANCE QUALITY
OF LIFE, HEALTHY ECONOMIES AND
DEI, THE ARTS ARE ONE OF THE
MOST POWERFUL DISRUPTORS AND
MOVING TO THE NEXT SLIDE, I WILL
ACKNOWLEDGE MS. RENEE FLEMING
AND THE LAST TWO YEARS WE
INAUGURATED THE L.A. COUNTY ARTS
AND HEALTH WEEK AND A SUMMIT
THAT BROUGHT TOGETHER
PRACTITIONERS IN PHILANTHROPY TO
THE NETWORKS AROUND THIS WORK.
AND THINKING ABOUT THAT AND
SCALE AND ARTS EDUCATION AND
YOUTH DEVELOPMENT WE'RE
PRIORITIZING WITH SYSTEMS
IMPACTED AND EVOLVED.
THOSE IN THE FOSTER SYSTEM AND
THOSE WHOSE COMMUNITIES ARE
IMPACTED AND YOUTH OF COLOR
THERE'S TRAUMA DIRECT OR
INDIRECT AND CIVIC ARTS
ENGAGEMENT THAT'S CULTURALLY
SUSTAINING HAS A ROLE TO PLAY
AND WE'RE DOING THIS IN
PARTNERSHIP ACROSS SECTORS WITH
PRIVATE PARTNERS AND DEVELOPMENT
OF MENTAL HEALTH.
GRANT MAKING, WE'RE FUNDING
HUNDREDS OF ART ORGANIZATIONS
AND NON-ART SOCIAL SERVICE TO
ENSURE ARTS IS IN COMMUNITY AND
THEY'RE LEADING THEIR OWN
HEALTH-RELATED INITIATIVES AS
WELL AS ENSURING ACCESS TO THE
ARTS.
A LOT WE CAN TALK ABOUT THERE.
WE HAVE A CROSS-SECTOR ARTS
SMALL TEAM AND WE'RE WITH
PLACING ARTISTS AND RESIDENTS IN
OTHER DEPARTMENT AND THE NEXT
WILL BE IN THE HOMELESS
INITIATIVE IN L.A.
WITH THAT I'LL END AND BUILDING
NETWORKS LIKE ARTS AND HEALTH.
THE LAST THING I WANT TO SAY AT
THE MOMENT I LOVE CHRISTOPHER'S
WORD AND THE RESEARCH YOU'RE
PR
PRODUCING IS CRITICAL TO HELP US
KNOW WHAT WE KNOW FOR MILLENNIA
AND WHAT ARTISTS KNOW, THE MOVIE
THAT MADE YOU CRY IS BECAUSE THE
PERSON HAS A TECHNIQUE AND KNOW
WHAT THEY'RE DOING AND KNOW HOW
TO UNLOCK YOUR HEART, MIND AND
AND EMPATHY AND HOW DO WE UNLOCK
ADDITIONAL RESOURCES AND
CAPACITY AND RENEE I LOVE YOUR
TALK ABOUT THE ELEVATOR PITCH
NOT ONLY ABOUT THE VALUE OF THE
ARTS BUT ARTISTS BECAUSE
UNFORTUNATELY DATA SHOWS PEOPLE
SAY OF COURSE, MY CHILD,
EVERYBODY SHOULD HAVE ACCESS TO
THE ARTISTS.
DO YOU THINK THEY'RE IMPORTANT
AND SHOULD BE PAID AS MUCH AS AS
DOCTORS AND LAWYERS?
NO, THEY DON'T.
EVERYBODY IN THE ROOM NEEDS TO
MOVE POLICY IN OUR DAY TO DAY
INTERACTIONS WAS RIGHT NOW WE
DON'T HAVE THE CAPACITY OR
FUNDING OR ACCESS TO THE
INFRASTRUCTURE TO BOOST THE
THINGS WE ALREADY KNOW MAKE A
HUGE DIFFERENCE.
>> GOOD AFTERNOON, EVERYBODY.
I'M RUTH KATZ WITH THE ASPEN
INSTITUTE AND WANT TO SPEAK TO
THE TOPIC OF NETWORKS AND
INTEGRATION A BIT MORE BROADLY.
I'M FOLLOWING UP ON WHAT YOU
HEARD FROM A NUMBER OF SPEAKERS
THROUGHOUT THE LAST TWO DAYS
INCLUDING RENEE FLEMING'S
REMARKS THIS MORNING.
I HOPE BUT YOU WOULD AGREE
ULTIMATELY WE WANT TO SEE WHAT
IS HAPPENING WITH MUSIC AS
MEDICINE HAPPENED WITH OTHER ART
FORM.
DANCE WE HEARD ABOUT EARLIER AND
PAINTING AND ARCHITECTURE AND
ALL THE MANY FORMS OF ART
BECAUSE WHAT WE KNOW INTUITIVELY
IS THE ARTS CAN HELP IN
PREVENTING AND MANAGING AND
RECOVERING FROM PHYSICAL AND
MENTAL HEALTH CHALLENGES,
BUILDING MORE EQUITABLE
COMMUNITIES AND FOSTERING WELL
BEING.
TO DO THAT WE NEED THE
SCIENTIFIC RESEARCH WE'VE BEEN
HEARING ABOUT.
WE ALSO NEED THE EXPERIENCE AND
KNOWLEDGE OF ON THE GROUND
PRACTITIONERS.
WE NEED THE EDUCATIONAL AND
CAREER PATHWAYS AND NEED REAL
FUNDING AND STRONG LEADERSHIP.
IT'S ALL PART OF THE BURGEONING
FIELD OF NEURO ARTS AND HAVING
THEM BECOME PART OF A CENTRAL
HEALTH CARE POLICY CHRIS JUST
TALKED ABOUT.
THAT'S OUR ELEVATOR SPEECH.
RENEE FLEMING IS RIGHT WHEN SHE
SAID WE HAVE TO GET ME MESSAGE
DOWN CLEARLY AND SIMPLY SO MORE
THAN JUST US UNDERSTAND ALL
THAT.
THE NORTH STAR IS THE GOAL AND
PURPOSE OF THE BLUEPRINT
INITIATIVE THE PARTNERSHIP YOU
HEARD EARLIER TODAY BETWEEN THE
INTERNATIONAL ARTS AND MY LAB OF
THE JOHNS HOPKINS SCHOOL OF
MEDICINE AND HEALTH MEDICINE
SOCIETY PROGRAM OF THE ASPEN
INSTITUTE.
WE DEFINE NEURO ARTS AS THE
STUDY OF HOW THE ARTS MEASURABLY
CHANGE THE MIND, BODY AND
BEHAVIOR AND HOW IT'S TRANSLATED
TO SPECIFIC PRACTICES THAT
ADVANCE HEALTH AND WELL-BEING.
AND WE LOOK AT TECHNOLOGY AS
EQUAL PARTNERS TO ADVANCE AND I
THAT VIEW BEEN CLEARLY
DEMONSTRATED OVER THE LAST TWO
DAYS.
WE WANT EVEN MORE OF THAT WITH
MUSIC AND WE CERTAINLY WANT TO
SEE THAT KIND OF WORK EXPANDED
TO OTHER ART FORM AS WELL.
THE BLUEPRINT I JUST MENTIONED
PUT FORWARD FIVE CORE
RECOMMENDATIONS FOR THE FIELD OF
NEURO ARTS YOU'LL SEE ON THE
SLIDE.
FIRST WE HAVE TO STRENGTHEN THE
RESEARCH.
SECOND WE NEED TO HONOR AND
SUPPORT THE MANY ARTS PRACTICES
THAT PROMOTE HEALTH AND WELL
BEING AND THIRD WE NEED TO BUILD
AND EXPAND EDUCATIONAL AND
CAREER OPPORTUNITIES.
FOURTH, WE NEED TO GET
SUSTAINABLE FUNDING AND PROMOTE
RELEVANT POLICIES AND BUILD
CAPACITY AND LEADERSHIP WITH
COMMUNICATION STRATEGIES.
WE'RE IN THE PROCESS OF CREATE
VIRTUAL HUB FOR INFORMATION OF
ALL THINGS NEUROARTS AND
CONNECTIONS TO PRACTITIONERS AND
OTHER EXPERTS IN THE FIELD AND
CONFERENCES LIKE THIS ONE AND
OTHER NETWORKING PROGRAMS AND
FUNDING OPPORTUNITIES GOING
FORWARD.
THE TINY PRINT ON THE NEXT SLIDE
GIVES YOU AN IDEA OF THE DEPTH
AND BREADTH OF THE CENTER'S
WORK.
WE EXPECT TO LAUNCH THE CENTER
EARLY IN 2024.
WE EAGERLY AND DESPERATELY WANT
YOU TO SHARE ALL OF YOUR WORK
WITH THE CENTER.
WE VERY MUCH LOOK FORWARD TO
WORKING WITH YOU NOT ONLY TO
BUILD ON THE EXTRAORDINARY
EFFORTS DESCRIBED THROUGHOUT THE
LAST COUPLE OF DAYS BUT ALSO TO
BUILD THIS BURGEONING FIELD OF
NEUROARTS AND HELP ENSURE THE
ARTS IN ALL ITS MANY FORMS
BECOME PART OF MAINSTREAM
MEDICINE AND PUBLIC HEALTH.
THANKS FOR HAVING US HERE.
>> THREW TO -- THANK YOU TO ALL
OUR PANELISTS AND I'D LIKE TO
OPEN IT UP TO QUESTIONS.
>> I APPRECIATED THE
REPRESENTATION OF COUNTY
GOVERNMENT HERE AND MY QUESTION
IS TO THE DIRECTORS OF THE
NETWORKS AND IT SEEMS NOT AS
MUCH AS WITH CITY OR COUNTY
GOVERNMENT AND I'M WONDERING TOE
WHAT EXTENT THAT WAS THOUGHT
ABOUT OR ATTEMPTED AND WHAT THE
OBSTACLES OR PERCEIVED OR REAL
ARE TO NODES TO THAT ALSO.
>> I'M GOING TO JUST SAY
SOMETHING REALLY QUICKLY.
SO AMAZINGLY ABOUT THE TIME THIS
WAS COMING THROUGH THE STATE AND
I'M INDIANA THE STATE OPIOID
RESPONSE TEAM CAME TO ME AND
ASKED IF WE WOULD CREATE A MUSIC
FEASIBILITY STUDY FOR THE OPIOID
USE DISORDER IN THEIR CLINIC.
WE HAVE BEEN WORKING WITH THEM
AS WELL AND SINCE MOST OF THOSE
PATIENTS ARE CHRONIC PAIN
PATIENTS, WE HOPE SOME OF THAT
WILL OVERLAP SO WE'RE ACTUALLY
STARTING TO WORK WITH THE STATE.
WE'LL BE BUILDING THOSE
INTERVENTIONS OUT AND LOOKING
MECHANISTICALLY AND FOLLOWS A
SIMILAR FRAME WOULD WORK WE
PROPOSED IN THE RESEARCH
NETWORK.
SO THANK YOU FOR ASKING THAT
QUESTION.
IT'S KIND OF BY CHANCE THAT
HAPPENED BUT IT'S WORKED OUT
PRETTY WELL.
>> THANK YOU PHOR -- FOR THE
QUESTION, PETER.
WE ONLY HAVE 10 MINUTES AND WE
HAVE AN EMERGING COLLABORATION
WITH AARP I THINK I CAN MENTION
THAT HERE.
THAT'S OUR WHOLE IDEA IS TO WORK
WITH OUR STAKEHOLDER GROUPS AND
COMMUNITIES AND FAMILIES AND
THOSE LIVING WITH DEMENTIA AND
CARING AND BY PROXY THE
GOVERNMENT SYSTEMS.
YES, IT IS PART OF THE DESIGN.
WE HAVE AN EXTERNAL ADVISORY
BOARD PART OF THAT WILL BE BUT
IN OUR RETREAT WE'RE GOING TO BE
INVOLVING OLDER ABUTS LIVING
WITH DEMENTIA.
>> OUR EXEMPLAR CONDITION IS
SICKLE CELL DISEASE IN THE FIRST
TWO YEARS WE ALL HEARD THE GREAT
NEWS ABOUT CRISPR BEING
APPROVED.
I HEARD $3.2 MILLION TO TREAT
ONE PERSON SO THE SCALABILITY
WILL BE CHALLENGING.
WE HAVE A COMMUNITY-BASED
RELATIONSHIP IN SICKLE CELL
DISEASE.
WE'VE NOT GONE THE COMMUNITY
BENEFIT ROUTE BUT THE PATIENT
ROUTE AND CAN'T DO ALL THINGS
FOR ALL PEOPLE BUT WORKING WITH
THE PATIENTS IN NEED AND HAVE
THE DEBILITATING DISEASE AND
PAIN CONDITIONS ARE UNREMITTING.
WE WANT TO WORK WITH PATIENTS
FIRST BUT I THINK IT'S A FINE
IDEA.
THANKS.
>> I WANTED TO ADD IN THINKING
ABOUT THE WAY ALL THESE
DIFFERENT OUTREACH AND ACCESS
POINTS HAPPEN.
I THINK THERE ARE A MILLION
FLOWERS BLOOMING ALL OVER THE
WORLD WITH THE ARTS AND IT'S
SPECTACULAR AND ONE THING WITH
THE GROUP AND OTHERS THINK HOW
DO YOU WE'VE THESE TOGETHER.
THE POINT OF COMMUNITY IS
HYPERLOCAL.
THAT'S WHERE THE ACTION IS AND
THERE'S THE COMMUNITY NEUROARTS
COALITION AND BY THE END OF THIS
COUNT NEXT YEAR IS TO HAVE A
DYNAMIC TOOL KIT WHERE THERE'S
STEPS TO BE ABLE TO ACTIVATE
THEIR GOVERNMENTS, THEIR ARTS
ORGANIZATIONS AND THEIR SOCIAL
ORGANIZATIONS AND ARTISTS AND
RESEARCHERS AND THEY ALSO BECOME
PART OF A LEARNING COMMUNITY.
I THINK WHAT I LOVE ABOUT THIS
COMMUNITY IS THAT WE'RE ALL
LEARNERS.
WE WANT TO LEARN FROM EACH OTHER
BEING ABLE TO FIND WAYS TO COME
TOGETHER AND CONTINUALLY LEARN
WHETHER IT'S IN PERSON OR
DIGITALLY IS VALUABLE.
SO I THINK YOU'LL START TO SEE
MORE HYPERLOCAL COMMUNITIES HAVE
THE STRENGTH OF THOSE LOCAL
ENTITIES AND WHEN YOU CONNECT
ALL THOSE DOTS YOU CREATE THIS
FABRIC THAT STARTS TO COVER THE
PLANET AND WHERE I THINK WE'RE
HEADED.
>> ADD TO ADD TO WHAT SUZANNE
SAID WE HAVE THE SOCIAL
PRESCRIBING HANDBOOK
SPECIFICALLY DESIGN FOR LOCAL
COMMUNITIES.
>> WE WANT POLICY TO BENEFIT THE
WORLD BUT RESOURCES ARE A
DEFINITE PROBLEM.
EVERYONE HERE HAS ALREADY
BROUGHT IN AND WE FEEL GREAT
WHEN WE LEAVE BUT THERE'S A
WHOLE WORLD OF PEOPLE THAT DON'T
NECESSARILY AGREE IT'S A
PRIORITY.
YOU HAVE TO ROLL OUT THESE KINDS
OF OBJECTIVES AND AGENDAS IN A
STRATEGIC PASSION.
AS A PLEDGING GROUP OF NETWORKS
I THINK ALL OF US WITH
ASPIRATION WOULD LOVE THE IDEA
GOVERNMENT OFFICIALS ARE WAITING
TO HEAR WHAT WE HAVE TO TELL
THEM BUT THE TRUTH IS WE HAVE TO
ALSO COME UP WITH THE GOODS.
RIGHT NEW WE'RE ASSEMBLING THE
GOODS AND HAVE TO ORGANIZE THE
WAY TO DISSEMINATE THE
INFORMATION IN A WAY THAT'S
ACTIONABLE.
I THINK IT'S QUITE COMPLICATED.
>> IF I CAN ADD AS A COUNTY
REPRESENTATIVE TO SAY A COUPLE
THINGS.
IN MY OWN DEPARTMENT WE'RE
PARTNERING AND COLLABORATING
WITH A NUMBER OF NETWORKS AND
DIFFERENT FOLKS.
I MENTIONED SOME OF OUR OWN
COUNTY DEPARTMENTS AND WHEN HAVE
YOU THE LARGEST DEPARTMENT OF
PUBLIC HEALTH IN THE COUNTY WE
PARTNER WITH THEM AND INHERENT
IS THE ARTS AND MY WHOLE
DEPARTMENT IS 50 PEOPLE AND
PARTNER WITH A BEHEMOTH LIKE
THAT AND THE CAPACITY IS ALSO
THE CAPACITY IS THE
COLLABORATION AND THE MEETINGS
AND ENSURING THERE IS EQUITABLE
CAPACITY ON THE ARTS SIDE FOR
WHAT THAT IS FOR COLLABORATION
AND WE HAVE COLLABORATIONS WITH
UCLA ARTS AND HEALING IN OUR
YOUTH WORK AS WELL AS WE'VE BEEN
PARTICIPATING IN L.A. COUNTY HAS
A SUICIDE PREVENTION NETWORK.
WE'VE BEEN INTEGRATING THE ARTS
INTO THEIR ANNUAL SUMMIT FOR
PRACTITIONERS KNOWING THAT IS
SOMETHING THAT YOUNG FOLKS CAN
HOLD ON TO.
WE'RE DOING IT IN INFORMAL WAYS
AND EXCITED ABOUT CREATING A
MORE FORMALIZED L.A. HEALTH
ALLIANCE OR NETWORK AND LOOKING
TO BUILD MORE ON THAT.
THANKS.
>> A LISTENED TO SCIENTISTS AND
THEY'RE SITTING THERE TALKING
ABOUT DECADES OF THINGS THEY'VE
DONE AND THE COMMUNITY DOESN'T
KNOW ABOUT, DOESN'T CARE ABOUT
IT OR INVEST IN IT AND THESE ARE
FEDERAL DOLLARS FROM TAXPAYERS
FUNDING THEM.
AND WHAT WE INVESTED AND
DISCUSSED WAS HAVE THEM HIRE
COMMUNITY HEALTH WORKERS.
THE NIEHS SAID USE YOUR CHWs TO
DISSEMINATE THE WORK BUT GET IT
OUT IN THE PUBLIC SPHERE AND HOW
DO YOU GUYS GET YOUR WORK OUT TO
THE COMMUNITY?
>> WE HAVE DIRECT COMMUNICATION
FROM PEOPLE INVOLVED IN OUR
STUDIES.
WE DO FOCUS GROUPS AND ASK THEM
WHAT THEY THINK IS IMPORTANT TO
STUDY IN THE LOCAL COMMUNITY,
SHARE WITH THEM WHAT OUR TOOLS
AND RESOURCES ARE AND GAUGE FROM
THEM DIRECTLY WHAT'S IMPORTANT
TO ASK AND THAT I THINK TAKES
CARE OF A LOT OF THE BACK END
BECAUSE WE KNOW IT'S SOMETHING
THEY'RE INTERESTED IN AND WANT
TO KNOW WHAT THE RESULTS ARE.
WE MEET WITH THEM AND SHARE THAT
DIRECTLY WITH THE PEOPLE WHO ARE
A PART OF WHAT'S GOING ON.
>> IT'S PUBLICATIONS AND
PRESENTATIONS.
SO I THINK MAYBE IT'S ACTUALLY
REVISING AND THEY'LL HELP
DISSEMINATE THE RESULT AND MAKE
THE THING WE'RE FOCUSSING ON
MAKE SENSE TO PATIENTS.
BEFORE WE START THE STUDY WE'LL
TALK TO THEM WHAT IS IMPORTANT.
>> AND COMMUNITY OF VOICES DRIED
AND WE FORMED A COLLABORATION
FROM THE ONSET OF THE STUDY.
WE DID THE SCIENCE WHICH WAS TO
LOOK AT THE IMPACT OF SINGING IN
A CHOIR FOR OLDER ADULTS AND THE
PARTNERSHIP BETWEEN THE
DEPARTMENT OF AGING AND
COMMUNITY CENTER HAS CONTINUED
TO THIS DAY AFTER I THINK EIGHT
YEARS.
THEY'VE EXPANDED THE NUMBER OF
CHOIRS AND NOW OFFER 15 OR 16 IN
ADDITION TO PROVIDE IING AND VO
IN SAN FRANCISCO FOR A DIGNITY
FUND TO FUND THAT AND THAT MODEL
CAN BE REPLICATED GO TO COV.UCSF
AND YOU CAN SEE THAT.
>> IT'S NOT BY DESIGN BUT THE
CULTURE IS DIFFERENT AND HOW
MANY HAVE FAMILY MEMBERS NOT IN
SCIENCE THAT COULD NAME ONE
CITATION IN THE PAST 10 YEARS?
PEOPLE DON'T KNOW WHAT
SCIENTISTS ARE DOING.
WE NEED A NEW LANGUAGE AND NEED
TO TAKE ADVANTAGE OF THE NEW
TECHNOLOGIES NOW PERVASIVE
EVERYWHERE.
THERE'S A BETTER WAY TO
COMMUNICATE OUR FINDINGS AND THE
PURPOSE IS TO BE THE TRANSLATING
MEDIUM TO HELP SCIENTISTS --
THEY'RE IN THE LAB.
THEY'RE NOT TRYING TO FIGURE OUT
AS YOU SAID LEARN HOW TO PUBLIC
SPEAK AND I THINK THE IDEA WE
COULD SPOTLIGHT KEY FINDINGS OR
TRANSLATE THEM SO THEY'RE MORE
DIGESTIBLE AND FIGURE OUT
WHETHER ANYBODY KNOWS WHAT IT
MEANS.
>> THE ONLY THING I WAS GOING TO
ADD IS JUST TO SAY FROM A POLICY
POINT OF VIEW AS A POLICY MAKER
AND SOMEONE WORKING CLOSELY WITH
ELECTED OFFICIALS THEY WANT TO
KNOW YOU KNOW THE RIGOR AND THE
BACKGROUND.
THEY DON'T NEED TO KNOW ALL THAT
AND WILL SOMETIMES SAY STOP.
WE GET IT.
NOW LET'S TALK ABOUT HOW.
HOW CAN WE IMPLEMENT.
I DO ENCOURAGE THAT FROM THE
POLICY MAKING SIDE.
>> I LOVE THIS PANEL.
>> CHARLES, MY MOTHER CITES DARK
CHOCOLATE BEING GOOD FOR YOU ALL
THE TIME.
IT CAN GET DARK UP HERE.
I WANT TO SAY AND I KNOW WE GOT
THIS STREAMING VIDEO HAPPENING I
HEARD TODAY THAT GWENETH PALTROW
HAS INSTAGRAMED OUR MEETING.
SHE MILLIONS AND MILLIONS OF
PEOPLE THAT ARE IN HER NETWORK
AND SO THAT'S AMAZING TO ME,
RIGHT.
IF GWENETH IS LISTENING, SPREAD
THE WORD BECAUSE THAT MAKES A
DIFFERENCE.
SO WE NEED AWARENESS AND WE NEED
ACTION BUT WE REALLY NEED THE
GRASSROOTS GENERAL PUBLIC TO GET
BEHIND THIS BECAUSE THAT'S ALSO
HOW POLICY CHANGES HAPPEN.
I THINK WE'RE ON THE CUSP OF A
CULTURAL REVOLUTION WHERE IT MAY
NOT COME FROM THE TOP DOWN BUT
IT'S COMING FROM ALL OF US AND
ALL THE PEOPLE WE KNOW AND SO
I'M THE GLASS HALF FULL PERSON
IN THE ROOM BUT I THINK IT'S AN
AMAZING TIME.
THANK YOU GWENETH.
>> FAR LEFT AND IN THE INTEREST
OF GET TO THE QUESTIONS WE'LL
HAVE TO GO LIGHTNING ROUND
STYLE.
>> I WAS WANTING TO INTRODUCE
YOUNG ADULTS INTO THE
CONVERSATION.
I WORK ON PROGRAMS AND DO EIGHT
OF INTERVIEWS WITH THEM.
I WOULD SAY WELL OVER HALF OF
THEM WANT TO WORK AT THIS
INTERSECTION.
WELL OVER HALF HAVE
ENTREPRENEURIAL BUSINESSES BUT
WORK IN A LANDSCAPE WHERE THE
ARTS IS NOT OPEN TO THEM BUT WE
HAVE TO FIGURE OUT WHAT THE
OPENINGS ARE TO CAPTURE THAT
ENERGY AND DETERMINATION AND
HIGH SCHOOLS ARE CHANGING THEIR
CURRICULA TO HAVE CREDIT
INTERNSHIPS, PRESSED FOR THAT IN
YOUR COMMUNITIES.
HOST THEM AND ASKED THEM TO JOIN
THE CONVERSATION.
MAYORS IN CITIES FUND YOUTH
EMPLOYMENT PROGRAMS TO THE
GILLS.
MOST OF THEM ARE PUSHING CARTS
AND ANSWERING PHONES.
IT'S UP TO THIS COMMUNITY TO
OPEN UP LABS, MUSEUMS RESEARCH
FACILITIES TO THOSE YOUNG PEOPLE
CONSISTENTLY TO MOVE UP INTO
THIS WORLD.
>> I HAVE TWO THINGS I WANT TO
SAY ABOUT THAT.
MY GRANT JOB AS A DEPARTMENT
CHAIR OF MUSIC AND ARTS
TECHNOLOGY AND SCHOOL OF
ENGINEERING TECHNOLOGY AND EVERY
YEAR I HAVE TO GO TO THE
ACCREDITING BODY MEETING IT'S
THE NATIONAL ASSOCIATION FOR
SCHOOLS OF MUSIC AND THE
CONVERSATION WAS GETTING MORE
PEOPLE INTO THEE ARTS AND MUSIC
SPECIFICALLY SO THERE'S THAT AND
WHAT INDIANA DID THIS YEAR WAS
CREATED A LOVELY PROGRAM CALLED
ONE R.I.P. WHICH WAS A LITTLE
AFRAID UP MEANING RESEARCH
IMMERSION PROGRAM FOR FIRST-YEAR
STUDENTS.
STRAIGHT OUT OF HIGH SCHOOL
STUDENTS.
I HAVE FIVE OF THEM AND THEY'VE
BEEN DOING THE ABSTRACT AND
TITLE REVIEW AND THEY HAVE BEEN
GOING THROUGH AND DOING THIS
WORK AND THEY'RE REALLY SUPER
EXCITED.
THEY'RE LIKE CAN WE KEEP DOING
THIS?
THEY'RE EXCITED TO GET IN THE
RESEARCH AND READ IT AND SEE
WHAT'S POSSIBLE.
THERE'S WAYS WE CAN -- THERE ARE
BROADER COMMUNICATIONS IN THE
ACADEMIC SITUATIONS TRYING TO
BROADEN THE PLANS AND WILL HELP
SOLVE SOME OF THAT.
>> THANK YOU SO MUCH.
IT'S A GREAT PROBLEM TO HAVE
WE'RE GOING TO RUN OUT OF TIME.
BACK TO THE CENTER WE HAVE TIME
FOR ONE OR TWO MORE QUESTIONS.
>> THANK YOU, EVERYONE.
IT'S AN EXCITING PANEL AND ALL
THE DIFFERENT NETWORKS ARE
EXCITING.
WE'VE HEARD A LOT TODAY ON ON
EVERYTHING FROM PERSONALIZED
HEALTH TO INDIVIDUAL
INTERVENTIONS AND LAB-BASED
EXPERIMENTS FOR OUTCOMES AND
THEN WE'VE HEARD ABOUT EXPANDING
OUT INTO OTHER ART FORM.
THE ARTS ARE NOT A MONOLITH AND
MUSIC NOT A MONOLITH, INDIVIDUAL
FORM OF MUSIC LIKELY HAVE
INDIVIDUAL AFFECTS ON INDIVIDUAL
HUMANS AND HOW DO WE THINK WHAT
IS FOUNDATIONAL AND CROSS
CUTTING AND THINK ABOUT
MULTI-ARTS NETWORKS AND
INTERVENTION.
JUST A SMALL QUESTION.
>> IT'S A QUESTION THESE
NETWORKS WILL HELP ANSWER.
WE'RE TALKING ABOUT THE
INDIVIDUALIZED TREATMENTS,
PRECISION MEDICINE AND HOW THAT
WORKS.
HOW WHAT WORKS FOR WHOM WHEN IS
THE QUESTION AND SO I THINK IN
THE LONG TERM AS WE START LAYING
OUT THE FOUNDATIONS THAT WE'LL
BE ABLE TO START ADDRESSING SOME
OF THOSE ISSUES ACROSS.
>> FOR THE LAST QUESTION I'M
SORRY BUT WE'LL GO TO THE RIGHT
HERE.
>> MAGGIE MORE IS FROM NIAD.
GOING BACK TO YOUR QUESTION OR
POINT YESTERDAY ABOUT
COMMUNITY-LEVEL ENGAGEMENT AND
THINKING ABOUT THE CHURCHES BUT
NOT THE INDIVIDUAL CHURCHES.
I'M THINKING GOING TO LIKE THE
PRESBYTERIAN ASSOCIATION OF
MUSICIANS HAS A WORSHIP AND
MUSIC CONCERT EVERY SUMMER AND
OTHER RELIGIONS HAVE THEIR OWN
MUSIC CONFERENCES WHERE YOU
WOULD HAVE A CRITICAL MASS OF
MUSIC DIRECTORS FROM MUSIC
ACROSS THE COUNTRY YOU CAN SHARE
THE NETWORKS WITH AND EXPAND
YOUR REACH BY A TARGETED NOT A
WHOLE LOT OF TIME OUTPUT MAYBE A
WEEK BUT SHARE THE INFORMATION
IN THAT CONTEXT THAT THEY COULD
THEN TAKE BACK TO THEIR
COMMUNITIES AND HOPEFULLY WORK
WITH YOU AND EXPAND THAT REACH
THAT WAY.
>> I AM A LITTLE BABY AT HOWARD.
I'VE ONLY BEEN THERE AT HOWARD'S
A WHILE WITH AND I'VE BEEN ASKED
TO SPEAK AT A CONFERENCE IN
JANUARY AND HAVE SPOKEN THIS
PAST SUMMER AT A SOCIAL WORK AND
SERVICES COORDINATOR, NATIONAL
SERVICES COORDINATOR CONFERENCE
AND THEY'VE INVITED ME BACK TO
SPEAK IN THEIR JULY STREAMING
CONFERENCE AND THERE ARE OPTIONS
OUT THERE.
IT'S REALLY BEING CREATIVE AND
WHO DO WE COLLABORATE WORK AND
BEING SILOED CREATES BURNOUT AND
DISDAIN AND WE DON'T WANT THAT.
WE WANT TO YOU CONTINUE THE WORK
FOR LONGEVITY.
AND EVEN MY UNDER GRADS THEIR
FIRST CLINICAL PLACEMENT IS A
COLLABORATIVE PLACEMENT WITH OUR
SPEECH AND LANGUAGE PATHOLOGY
MASTER STUDENTS.
THEY DO COLLABORATIVE WORK WITH
CLIENTS ON CAMPUS.
THINK OF THE PLACES YOU ARE
WORKING AS PROFESSIONALS AND
GIVE THE OPPORTUNITIES AND REACH
OUT TO THOSE PEOPLE.
THEY RARELY SAY KNOW WHEN YOU
SAY I'M GOING TO DO MUSIC WITH
YOUR MEMBERS.
WE HAD A BUNCH OF NON-MUSICIANS
THAT PROVIDE SERVICES FOR OLDER
ADULTS IN THE COMMUNITY ACROSS
THE COUNTRY USING BOOM ROCKERS
AND SHELLS AND EGG SHAKERS AND
THERE WAS POSITIVITY HOW DO I
GET THIS IN MY SPACE?
IT'S A CONSTANT LAYERING.
IT'S A GREAT IDEA TO SEE WHERE
IS MUSIC INNATE AND WHERE WE CAN
INFILTRATE.
>> I THINK ONE THING THAT WOULD
BE A USEFUL FRAME IS TO THINK
ABOUT OUR WORK AS SYSTEMS
CHANGE.
ESPECIALLY IN THE WORK WE'RE
DOING IN ARTS EDUCATION WE'RE
THINKING ABOUT THE NON-PROFIT
ART SECTOR AND PHILANTHROPY IS A
SYSTEM AND IN ARTS EDUCATION
WE'RE WORKING ON CROSS-LITERALLY
ALMOST 80 SCHOOL DISTRICTS IN
L.A. COUNTY TO REACH AND IMPACT
THE LIVES OF 1.5 MILLION
STUDENTS BUT DON'T DO THAT BY
TALKING TO EVERY STUDENT.
WE DO THAT BY CONVENING THE ARTS
COORDINATORS ACROSS AND PARTNER
WITH THE L.A. COUNTY OF
EDUCATION SO WHEN THEY'RE
CONVENING.
THE SAME THINGS COULD APPLY AND
WHILE I DON'T PARTICULARLY FUND
CHURCHES, FOR EXAMPLE, BUT I SEE
THAT IN LINE WITH WHAT COULD BE
A PUBLIC HEALTH APPROACH TO
ARTS.
YOU HAVE TO MEET PEOPLE WHERE
THEY ARE AND THE ARTS ARE
HAPPENING IN COMMUNITY AND DAILY
LIFE.
>> ONE FINAL COMMENT FROM
CHRISTOPHER.
>> A NUMBER OF PEOPLE INCLUDING
NATE AND EARLIER HAVE MENTIONED
CALLING FOR ACCESS TO THE ARTS,
ARTS EDUCATION AND ARTISTIC
INSTITUTIONS TO CALL FOR IT TO
BE A RIGHT.
IT ALREADY IS A RIGHT IN THE
1949 U.N. CHARTER FOR HUMAN
RIGHTS.
LOOK IT UP AND CITE IT BECAUSE
IT CAN HELP.
>> THANK YOU FOR THE PANELISTS.
IT'S A WONDERFUL CONVERSATION.
HOPEFULLY JUST THE START BECAUSE
WE CLEARLY HAVE SO MUCH MORE TO
TALK ABOUT.
SO NOW I'LL BE TURNING IT OVER
TO SUSAN TO INTRODUCE OUR
PERFORMER.
WE CAN ALL MAKE OUR WAY BACK TO
THE AUDIENCE.
>> I WAS GOING TO SAY WE'LL GO
AHEAD AND MOVE OUT.
SO WHILE WE'RE WAITING FOR
PEOPLE TO MOVE OUT, I WAS
THINKING THIS MORNING HOW
BEAUTIFUL RENEE'S KEY NOTE WAS.
ONE THING WE CAN ALL DO TOMORROW
OR MONDAY OR AS SOON AS WE GET
THE TAPE THAT RENEE WILL EDIT
BEFORE IT GOES OUT IS TO SHARE
THAT KEYNOTE WITH YOUR
COMMUNITIES.
COLLECTIVELY WE HAVE THOUSANDS
AND THOUS ANDS OF PEOPLE WE ALL
REACH AND I THINK THE KEYNOTE
BEAUTIFULLY ILLUSTRATED WHAT
WE'RE ABOUT AND HOPE TO DO.
I'M HOPING WITH NIH'S PER
MISSION WE CAN GET THE KEYNOTE
AND SHARE THAT AND WOULD BE
GREAT NEXT STEP.
I AM SUCH A BEHOLDER AND
GRATEFUL TO BEHOLD THE MEETING
AND BE PART OF IT AND BEEN
HONORED TO DO THAT.
WHEN I WAS ASKED TO INTRODUCE
FRED JOHNSON I WAS HUMBLED
BECAUSE FRED IS A WORLD RENOWNED
JAZZ MUSICIAN AND ALSO SOMEONE
WHO IS THE HEAD OF ARTS AND
HEALTH AT THE STRAZ THEATRE IN
TAMPA, FLORIDA AND AMAZINGLY
BEAUTIFUL HUMAN BEING.
YESTERDAY SOMEONE SHARED THIS
BEAUTIFUL THOUGHT I LOVE SOMEONE
SAID, IF SOMEONE TELLS WHAT YOU
IS GOING TO HAPPEN AND THAT'S
NOT A SURPRISE AND SO I WANT YOU
TO HAVE A PROFOUND EXPERIENCE.
I'M NOT GOING SAY MORE ABOUT
FRED.
OTHER THAN TO SAY THAT I THINK
YOU ARE IN FOR SOMETHING VERY
SPECIAL.
FRED IS ALSO SOMEONE WHO
PRACTICES THE AFRICAN JOLE
TRADITION AND EXCITED TO SAR
THAT WITH YOU AS REREFLECTED ON
THE MEETING IN THE LAST TWO
DAYS.
WITH THAT PLEASE JOIN ME IN
WELCOMING FRED JOHNSON.
BREATHE IN, BREATHE OUT.
♪ THEY TELL US IT'S SONG OF THE
BREATH.
A MOMENT WE ALL SING TOGETHER
THE MOMENT WE COME INTO THIS
LIVING PLACE UNTIL WE TRANSC
TRANSC
TRANSCEND ♪
♪ WHAT WE HAVE IS A GREAT
OPPORTUNITY AS WE BUILD A BRIDGE
BETWEEN WHAT YOU KNOW AND WHAT
WE DO AS ARTISTS AND ♪
♪ LONG AGO ♪
♪ I'VE TAKEN NOTES AND NOTES AND
IT'S ALL AMAZING ♪
♪ WHAT YOU GIVE US IS AN
UNDERSTANDING ♪
♪ WE AS ARTISTS CAN TAKE
SOMETHING WE'VE KNOWN WAY DEEP
IN SIDE OF US ♪
♪ WE CAN NOW TALK ABOUT IN A
DIFFERENT WAY ♪
♪ EACH AND EVERY DAY THOUSANDS
AND THOUSANDS OF PEOPLE GOING
INTO THE THEATRE AND THEN TO
CONCERT HALLS TO HEAR AND FEEL
MUSIC, MUSIC OF THE SYMPHONY ♪
♪ MUSIC OF THE DRUM, OH ♪
♪ WHAT WE CAN DO IS HELP THEM
REALIZE THAT MUSIC IS NOT ONLY
ENTERTAINMENT BUT IT'S A WAY FOR
YOU TO AWAKEN THE NATURAL
MEDICINES DEEP INSIDE THE BODY ♪
♪ AND I KNOW THAT SEROTONIN AND
DOPAMINE AND CORTISOL IS THE WAY
TO GO ♪
♪ I'M RECOGNIZING THAT THERE'S
NO MUSIC AREA IN THE BRAIN BUT
WHEN YOU MERGE MUSIC AND MERGE
SPEECH ♪
♪ SPEECH CHANGES AND FEEL IT IN
A DIFFERENT WAY ♪
♪ THE PITCH AND WAVE FORMS THAT
MUSIC CREATES ♪
♪ HELPS MUSIC TO EVOKE MEMORY ♪
♪ WHOA, THERE'S ALSO AUTO
BIOGRAPHICAL TRYIIGGERS THAT
AFFECT US IN SO MANY WAYS ♪
♪ THE BRAIN, THE BODY AND MENTAL
HEALTH ARE ALL A PART OF CYCLE
OF HEALING ♪
♪ MUSIC AS MEDICINE, MUSIC AS
MEDICINE, MUSIC AS MEDICINE ♪
♪ HELPING US TO HEAL BUT WITHOUT
THE DATA IT'S HARD TO TELL THE
STORY CAUSE PEOPLE WILL SAY OH,
THAT'S JUST WHAT YOUR SAYING
BECAUSE YOU'RE AN ARTIST ♪
♪ YOU GET UP ON THE STAGE AND
MAKE PEOPLE STYLE BUT WE CAN NOW
TELL THEM THAT IT'S MEDICINE ALL
THE WHILE ♪
♪ IT'S HELPING TO HEAL, HELPING
TO HEAL, HELPING US TO
UNDERSTAND THAT ALL OF THE
RESEARCH THAT YOU DO ♪
♪ ALL THE TRIALS AND
TRIBULATIONS HELP US TO KNOW
THAT MUSIC AND ART IN ALL OF ITS
FORMS ♪
♪ CAN HELP US TO HEAL AND THE
WORLD TRANSFORM INTO A MORE
LOVING PLACE ♪
♪ A MORE HEALTHY PLACE ♪
♪ A PLACE WHERE DOCTORS AND
NURSES AND RESEARCHERS AND
DRUMMERS LIKE ME ARE SPEAKING
THE SAME LANGUAGE ♪
♪ MUSIC AS MEDICINE, THAT'S THE
WAY WE HEAL ♪
♪ MUSIC ADDS MEDICINE, THAT'S
HOW WE HEAL ♪
♪ TAKING THE BEST OF SCIENCE,
TAKING THE BEST OF RESEARCH,
TAKING THE BEST OF CULTURE,
TAKING THE BEST OF HISTORY ♪
♪ AND BRINGING IT ALL TOGETHER
LIKE VICTOR SAID, WHAT IF WE
ACTUALLY ASKED MUSIC WHAT DO YOU
THINK SHE'D TELL US US, I
IMAGINE SHE'S TELL US TO KEEP
DOING WHAT WE'RE DOING ♪
♪ I IMAGINE SHE'D TELL US, TO
KEEP USING YOUR MINDS ♪
♪ I IMAGINE SHE'D TELL US TO
OPEN UP OUR HEARTS AND REALIZE
THAT TOGETHER WE'RE STRONGER ♪
♪ TOGETHER WE'RE WISE AND THE
MESSAGE WE'RE SHARING CAN COME
TO LIFE WHEN SPEAKING AS ONE WE
TOUCH THE WHOLE WORLD ♪
♪ HELPING TO ARE REMEMBER THAT
CREATIVITY IS A HEALING THING ♪
♪ MUSIC AND ART CAN HELP US TO
BE FROM THE INSIDE-OUT MORE
ALIVE ♪
♪ SO THAT YOU FOR ALL YOU DO MY
FRIENDS AND I COMMIT MYSELF TO
SPREADING THE MESSAGE SO SOME
DAY FOR SURE YOU'LL WALK UP TO
THE CLINIC AND WALK UP TO THE
THEATRE AND WALK UP TO YOUR
FRIENDS IN THE NEIGHBORHOOD ♪
♪ AND KNOW SOME DAY, SOME DAY,
SOMEONE WILL SAY, ASK YOUR
DOCTOR IF MUSIC THERAPY IS RIGHT
FOR YOU ♪
♪
>> WELL, WE'VE HAD SOME TOUGH
ACTS TO FOLLOW AND THANK YOU,
DR. JOHNSON.
BUT, WE HAVE ANOTHER WONDERFUL
NI HER RIGHT HERE, DR. DEBORAH
TUCCI THE DIRECTOR OF THE
NATIONAL INSTITUTE ON DEAFNESS
AND OTHER COMMUNICATION
DISORDERS AND SHE'S GOING TO
SHARE SOME SPECIAL REMARKS AS WE
KIND OF COME OFF THE HIGH OF
THAT MOMENT AND I TURN IT OVER
TO YOU, DR. TUCCI.
>> THANK YOU.
WHEN I WAS INVITED TO COME HERE
TODAY AND PRESENT A COUPLE OF
REMARKS I HAD NO IDEA I WAS IN
FOR SUCH A TREAT.
THANK YOU FOR PUTTING ON THE
WONDERFUL PROGRAM.
I'VE LOVED IT.
WE HEARD MUCH TODAY AND
YESTERDAY ABOUT THE BENEFITS OF
MUSIC FOR HEALTH.
IT ADDS COLOR AND RICHNESS TO
LIFE AND CONNECTS US THROUGH OUR
SHARED PASSION AND
APPRECIATIONS.
NOW I ASK YOU TO IMAGINE TO
THINK WHAT IT WOULD BE LIKE NOT
TO HEAR MUSIC EITHER DEAF FROM
BIRTH OR THE MUSIC YOU ENJOYED
IS SLOWLY SLIPPING AWAY AND THE
LITTLE YOU'RE ABLE TO HEAR IS
DISTORTED BEYOND RECOGNITION.
FOR THOSE WITH SEVERE HEARING
LOSS, HEARING AVED -- AIDS AND
COCHLEAR IMPLANTS CAN HELP BUT
MUSIC WITHTHE THTHE THTHESE --
DEVICES LEAVES THEM LACKING AND
WITH OTHER MECHANISMS THE
NATIONAL INSTITUTE ON DEAFNESS
AND OTHER COMMUNICATION DISORDER
S FUNDED RESEARCH AND EXAMPLES
OF RESEARCH SUPPORTED BY NIDCD
SUCH AS THE STUDY OF
NEUROSCIENCE AND ANALYZE COMPLEX
SOUNDS INCLUDING MUSIC.
WE HEARD ABOUT THE USE OF MUSIC
AND IMPROVING TREATMENT AND
MUSIC AND RHYTHM TO TREAT
ATYPICAL LANGUAGE DEVELOPMENT
AND IMPROVE HEARING AID AND
COCHLEAR IMPLANT FOR HEARING
PERCEPTION AND NIDCD SUPPORTS
TRAINING IN VARIOUS TYPE OF
MUSIC RESEARCH.
ONE EXAMPLE IS FOR A PROJECT
CALLED MUSICALITY AND HEARING
AND GENETIC PROJECT.
IT INVESTIGATES MUSICAL APTITUDE
AND OLDER ADULTS USING
COMPUTATIONAL GENOMICS AND
HEALTH BIO BANKS AND HUMAN
MUSICALITY TRAITS IN LARGE
COHORTS OF ADULTS HAVE YOU FOR
THE OPPORTUNITY TO MAKE A FEW
COMMENTS AND BE PART OF THIS
EXCITING INITIATIVE AND I LOOK
FORWARD TO THE REST OF THE
PROGRAM.
>> THE NEXT PERSON WHO IS GOING
TO OFFER A FEW REMARKS IS
DR. WOYCHIK THE DIRECTOR OF THE
NATIONAL INSTITUTE OF
ENVIRONMENTAL HEALTH SCIENCES SO
PLEASE WELCOME TO THE STAGE,
DR. WOYCHIK
>> IT'S A REAL HONOR AND I'M THE
DIRECTOR OF THE INSTITUTE YOU
JUST HEARD ABOUT IN DURHAM.
I WANT TO MAKE A FEW COMMENTS
ABOUT COMMUNITY ENGAGEMENT BUT
LET ME GO WITH HE PREPARED
REMARKED.
THE ENVIRONMENT HEALTH SCIENCES
OUR MISSION IS TO DISCOVER HOW
THE ENVIRONMENT AFFECTS PEOPLE
AND PROMOTE HEALTHIER LIVES.
WE DO STUDY THE SOURCES OF
POTENTIAL TOXIN IN THE AIR WE
BREATHE AND WATER WE DRINK AND
TOXINS WE CONSUME AND THESE ARE
ALL HAVING VERY IMPORTANT
IMPACTS OF HEALTH.
INCREASINGLY WE'RE LOOKING THE
EXPOSURES AND GENERAL BANNER OF
SOCIAL DETERMINATES OF HEALTH
AND FACTORING IN PSYCHOSOCIAL
STRESS, STRESS, LACK OF SLEEP OR
POOR DIET.
HOW THEY IMPACT HUMAN HEALTH AND
MORE IMPORTANT WE'RE BEGINNING
TO FOCUS ON THE ENVIRONMENTAL
EXPOSURES THAT CAN POSITIVELY
IMPACT HEALTH LIKE GOOD DIET AND
PLENTY OF EXERCISE AND MUSIC.
OVER THE PAST COUPLE YEARS NIEHS
HOST THE MUSIC AND HEALTH AND WE
BROUGHT IN MUSICIANS TO LOOK AT
MUSIC AS THERAPY FOR A VARIETY
OF CONDITIONS.
WE KNOW WE NEED TO LOOK AT MUSIC
AS A POSITIVE PLAY IN GOOD
HEALTH AND MAY MEDIATE EXPOSURES
THAT COMPROMISE HUMAN HEALTH AND
CONSIDERING HOW WE MIGHT COMBINE
MUSIC THERAPY WITH PHARMACOLOGIC
INTERVENTION AND PARKINSON'S
DISEASE THAT ARE LINKED TO
ENVIRONMENTAL EXPOSURES.
MY WIFE AND I HAVE SUBSCRIPTION
TO THE SYMPHONY AND MY WIFE WILL
SAY WHAT DO YOU THINK ABOUT THAT
DOSE OF MENTAL FLOSS?
I'VE COME TO SEE THE POWER OF
MUSIC AND I USE AN APP ON MY
iPHONE CALLED ROCK YOUR RUN.
IT PLAYS MUSIC TO THE BEAT
MATCHES THE PACE AT WHICH I'M
PEDALLING.
AS SOON AS IT MATCHING THE MUSIC
IT'S A THOUSAND TIMES EASE ERTO
PEDAL THE BICYCLE AND IN THE END
I GET A BETTER WORKOUT AND AT
THE END I'M NOT ONLY SWEATY BUT
HAVE A BIG SMILE ON MY FACE.
I'M COMING TO UNDERSTAND
APPARENTLY IT'S BEEN SHOWN THE
RHYTHMIC STIMULATION CAN REDUCE
PERCEIVED EXERTION WHICH MAKES
THE EXERCISE SESSION MORE
ENJOYABLE AND IMPACTFUL.
MUSIC CAN GET US MOVING BUT CAN
IT IMPROVE YOUR HEALTH?
IF IT CAN'T, HOW DO WE MEASURE
THIS WITH RIGOR AND REPRODUCE ?
WHAT THE COMMON DATA ELEMENTS
AND THE FRAMEWORK FOR LOOKING AT
MUSIC OVER THE LIFE COURSE AND
STUDYING THE IMPACT OF MUSIC IN
HUMAN HEALTH AND WELL BEING.
I'M INTRIGUED OF THE CONCEPT BY
THE MUSIC-BASED INVENTION TOOL
KIT AND YOU'LL HEAR FROM
DR. EDWARDS DURING THE NEXT
SESSION AFTER THE BREAK.
I DON'T WANT TO GO INTO TOO MUCH
BETRAYAL BUT -- DETAIL AND
THEY'RE DOING THE QUESTIONS I
OPPOSED AND OVER ALL THE BOTTOM
LINE IT'S TIME TO INTEGRATE THIS
INTO STUDYING IN THE ONLY THE
ENVIRONMENTAL HEALTH RESEARCH
AND INTEGRATE THIS ACROSS INTO
THE FABRIC OF THE WAY WE DO
BIOMEDICAL RESEARCH AND THANK
YOU FOR THE OPPORTUNITY TO BE
HERE AND I WANT TO COMMENT THAT
IF YOU REALLY WANT TO GET OUT
AND DO NEED TO DO COMMUNITY
ENGAGEMENT.
DR. COLLINS KNOWS WE'VE LEARNED
A LOT ABOUT DURING THE RAD X AND
COVID-19.
THE KEY THING IS IF YOU'RE GOING
TO ENGAGE COMMUNITIES AND IF
YOU'RE AN ACADEMIC YOU DON'T
LECTURE TO THE COMMUNITIES YOU
LISTEN TO THE COMMUNITIES AND
YOU ENGAGE THE COMMUNITIES IN A
COLLABORATIVE EFFORT THEY FEEL
THEY'RE PART OF THE RESEARCH
THAT'S BEING DONE AND THEY CAN
THEN TAKE THE MESSAGE OUT IN A
VERY PROFOUND WAY TO THEIR
COMMUNITY GROUPS.
SO THERE'S A LOT TO BE LEARNED
ABOUT COMMUNITY ENGAGEMENT.
I ENCOURAGE YOU AND EVERY CENTER
AT THE NIEHS HAS A COMMUNITY
ENGAGEMENT CORPS AND I'M
REWARDING COLLABORATIONS WITH
COMMUNITY PARTNERS.
THANK YOU.
>> THANK YOU, NOW COMMENTS FROM
NORAH VOLKOW TO OFFER REMARKS.
>> I WANT TO THANK FRANCIS FOR
INVITING ME TO GIVE THE REMARKS
AND SORRY I HAVEN'T BEEN ABLE TO
BE IN THE MEETING I HAVE TWO
THINGS AT THE SAME TIME BUT
DELIGHTED IT'S BEING VIDEO
TAPED.
I DIRECT THE NATIONAL INSTITUTE
ON DRUG ABUSE AND WE SEE IN OUR
NATION AND IT'S EVIDENT FROM
LOOKING AT THE PROGRAM AND I WAS
DOING ALL MY HOME WORK OVER THE
WEEKEND TO TRY TO UNDERSTAND
WHERE WE ARE WITH THE SCIENCE ON
NEUROSCIENCE.
IT'S CLEAR MUSIC IS VERY
RELEVANT FOR DRUG USE AND IN
MANY WAYS.
THE MOST OBVIOUS ONE FROM THE
NEURAL BIOLOGY PERSPECTIVE IS
THE SYSTEMS THAT MOTIVATE OUR
ACTIONS.
THOSE ARE THE WINDS HIJACKED BY
DRUG.
IT'S NOT THAT MUSIC IS TAKING
OFFER THE CIRCUITRY DRUG
ACTIVATE BUT THE OTHER WAY
AROUND.
WHY IS THAT IMPORTANT?
IT'S IMPORTANT BECAUSE IT HAS
DIRECT IMPLICATIONS WITH RESPECT
TO TREATMENT AND RESPECT TO
PREVENTION.
WE THINK ABOUT THE TREATMENT OF
DRUG ADDICTION WHICH IS ONE OF
THE MOST DEVASTATING MEDICAL
CONDITIONS AND CHRONIC DISEASE
AND IT'S LETHAL THESE DAYS.
WE HAVE HIGH RATES OF MORTALITY.
ONE OF THE ASPECTS THAT HAPPENS
WHEN PEOPLE BECOME ADDICTED IS
THEY LOSE THE ABILITY TO
PERCEIVE REWARD AND
REINFORCEMENT.
AS A RESULT OF THAT THEY ARE ARE
CORNERED BECAUSE THEY DON'T HAVE
ALTERNATIVE AND TO PROVIDE MUSIC
IS AN INVENTION THAT COULD BE
AVAILABLE AND SHOULD BE MADE
AVAILABLE SO FROM THE
PERSPECTIVE IT'S A NO-BRAINER
AND WE'RE LEADING THE WORSE
OVERDOSE CRISIS OUR COUNTRY AS
SEEN.
LAST YEAR THERE WERE MORE THAN
110,000 PEOPLE DIED FROM
OVERDOSES.
NONE SHOULD HAVE HAPPENED
BECAUSE THEY'RE PREVENTIBLE.
MY QUESTION IS WE NEED TO
PROVIDE TREATMENT AND NEED TO
ADDRESS WHAT IS MAKING OUR
COUNTRY VULNERABLE TO DRUGS AND
ADDICTION AND OVERDOSE DEATHS.
I THINK MANY ASPECTS PLAY INTO
THAT AND A CRUCIAL IS THE SENSE
OF ISOLATION, LONELINESS AND TO
ME THIS IS WHERE MUSIC CAN HAVE
THE MOST IMPACTFUL EFFECT.
WE SPEAK ABOUT THE POWER OF
MUSIC AS A MEDICAL INTERVENTION,
A HEALING.
I ALSO SEE IT AS A HEALING FOR
THE COMMUNITY.
WE ARE SPEAKING ABOUT THE
DISEASES OF DISTRESS IN OUR
COUNTRY COSTING AN INCREASE IN
MORTALITY FROM OVERDOSES, FROM
SUICIDES FROM CIRRHOSIS AND
METABOLIC DISEASES ASSOCIATED
WITH OBESITY AND THEY'RE NOT
DRIVEN NOT BY SOCIAL
DETERMINATES OF HEALTH THAT
MAXIMIZE THE SENSE OF ISOLATION.
AND ALL THE ARGUMENTS MADE IN
THE PRIOR PANEL SORT OF SUGGEST
IT'S ABOUT HUMAN EXPERIENCE BUT
WHAT'S UNIQUE ABOUT MUSIC AND I
THINK WHAT IS AND I LOVE ALL THE
ARTS BUT WHAT I THINK THAT IS
UNIQUE ABOUT MUSIC AT LEAST IN
MY BRAIN IS THAT IT CAN MAKE US
ALL AT THE SAME TIME HAVE THE
SAME MENTAL STATE AND THAT
UNIFIES US.
AND WHAT MORE POWERFUL WAY OF
BRINGING US ALL TOGETHER THAN
THROUGH A MUSIC INTERVENTION.
I THINK IT WAS A POINT ONE OF
OUR BIGGEST CHALLENGES WE HAVE
ON BRINGING TREATMENT TO PEOPLE
IS THEY DO NOT FEEL EMPATHY FOR
PEOPLE ADDICTED.
THEY'RE STIGMATIZED AND MUSIC
CAN MAKE US UNDERSTAND.
AS I WAS LISTENING I WOULD SAY
FRED SAID WHAT A WANTED TO SAY
IN WORDS BUT IN A MORE POWERFUL
WAY BECAUSE HE MADE US
EXPERIENCE IT.
TO THE EXTENT WE CAN BRING
TOGETHER THE ARTS INCLUDING
MUSIC AND SCIENCE, FIRST OF ALL
WE WOULD BE BETTER ABLE TO
COMMUNICATE IT AND WOULD BE MORE
LIKELY TO CHANGE CULTURE AND
INCLUDE AND ADDRESS THE NEEDS
INDIVIDUALS NEED.
AND I THINK IT'S SOMETHING WE
NEED TO WORK TOGETHER.
WE ALL ARE CONVINCED HOW DO WE
MAKE THAT INTO A PLATFORM
SUSTAINABLE AND HAVE THE
RESOURCE TO MAKE THAT HAPPEN?
AND I THINK THAT'S WHERE THE
COLLABORATIONS BECOME IMPORTANT.
WHAT WE CAN DO TO DOCUMENT IN
ECONOMIC TERMS THE VALUE OF
MUSIC.
THAT INSEWER -- INSURERS WILL
CREATE SUSTAINABILITY TREATMENT
AND PREVENTION OF DISEASES AND
EXTRAORDINARY GIVEN FOR
IMPROVING THE WELL BEING OF
EVERY SINGLE INDIVIDUAL.
THANK YOU VERY MUCH.
>> THANK YOU, DR. VOLKOW AND TO
DR. TUCCI AND DR. WOYCHIK AS
WELL.
I'M GOING TO GIVE A HUGE THANKS
TO OUR SESSION 5 CO-CHAIRS,
PANELISTS, WONDERFUL.
NOW WE'LL MOVE TO -- WE'RE
COMING BACK AT 3:00 P.M. SHARP.
WE WILL BE IN SESSION 6 THE
INTEGRATION OF MUSIC -BASED
INTERVENTIONS INTO HEALTHCARE
SYSTEMS.
THIS SESSION IS BEING LED BY 3
WONDERFUL COCHAIRS.
DR. EDWARDS FROM NATIONAL CENTER
FOR COMPLEMENTARY INTEGRATIVE
HEALTH.
DR. CLARK FROM NATIONAL
INSTITUTE OF AGING.
AND THEY HAVE WORKED A LONG TIME
ON THE MUSIC AND HEALTH
INITIATIVE AND WE ARE SO PLEASED
TO BE A PART OF THIS WHOLE EVENT
SO WE WILL TURN IT OVER TO
INTRODUCE OUR PERFORMER AND TAKE
IT FROM HERE.
>> GOOD AFTERNOON.
WE ARE IN THE HOME STRETCH.
THERE IS A PART OF ME THAT DOES
NOT WANT TO -- -- IS NOT WANT
THIS TO END.
MAYBE WE NEED HER OWN MEDICINE
IS MUSIC SOUNDTRACK.
JUST MY THINKING.
IN THE FINAL SESSION WE WILL
DISCUSS POTENTIAL STRATEGIES AND
CONSIDERATIONS WITH THE
IMPLEMENTATION OF MUSIC -BASED
INTERVENTIONS INTO HEALTHCARE
SETTINGS.
TO HAVE A VERY SPECIAL GUEST TO
KICK THINGS OFF.
A SINGER AND SONGWRITER AND
GUITARIST REFERRED TO BY "THE
NEW YORK TIMES" AS A ONE-MAN
BAND WHO TURNS A GUITAR INTO AN
ORCHESTRA AND HIS VOICE INTO A
CHORUS.
SINCE HIS DEBUT ALBUM STATE OF
MIND IN 2006 WITH 11 SOLO ALBUMS
AND NUMEROUS COLLABORATIONS WITH
MUSICIANS SUCH AS BILL
WITHERS, STEVIE WONDER AND SNOOP
DOGG.
ALSO A TWO-TIME GRAMMY NOMINEE
AND A DISABILITY RIGHTS
AMBASSADOR.
[APPLAUSE]
♪
[APPLAUSE]
THANK YOU SO MUCH.
IT IS REALLY QUITE AN HONOR TO
BE HERE.
I HAVE SOME MORE ANECDOTAL
THINGS TO SAY WE HAVE A BUNCH OF
RESEARCHERS AND SCIENTIST HERE
AND AS A CREATOR OF MUSIC, I
HAVE FOUND ALL KINDS OF WAYS
THAT MUSIC IS PROFOUNDLY
APPEALING FOR ME.
AND JUST TO GIVE A LITTLE
PERSPECTIVE I TRAVEL THE WORLD
AND AS A BLIND PERSON WHEN I GET
TO THE HOTEL COURSE OF NEVER
BEEN THERE BEFORE AND I LEAVE
THE NEXT DAY SO IT TAKES ME SOME
TIME TO FIGURE OUT WHERE THINGS
ARE.
IT CAN BE SOMETHING TOO BUSY AND
THAT I JUST WALKED AROUND THE
ROOM AND I A M BASED ON THE
DRONE THAT'S 1 OF THE THINGS
THAT I DO.
SOME OTHER THINGS, MUSIC CREATES
FEELINGS IN THE BODY.
AND ALSO VERY MUCH IS INTERESTED
ME BECAUSE I CAN GO TO THE
COUNTRY WERE ALMOST NO ENGLISH
IS SPOKEN AT ALL AND GET UP ON
STAGE AND PLAY AND PEOPLE STILL
REACT.
WHAT THEY ARE REACTING TO IS THE
FEELING OF MUSIC.
THEY DON'T UNDERSTAND WORDS BUT
THEY REACT TO THE FEELING.
IT IS FASCINATING TO ME.
EVEN IN THIS SONG IF I WOULD DO
THIS.
♪
THAT FEELS REALLY DIFFERENT IT'S
SO MUCH SADDER.
THOSE ARE BASIC THINGS BUT IT
DOES CREATE A DIFFERENT FEEL I
HAVE ANOTHER LITTLE STORY TO
SHARE.
BEFORE HE PLAYED MY LAST SON
SONG, BEFORE I WAS MARRIED I
WENT TO MY GIRLFRIENDS HOUSE AND
STAYED OVERNIGHT AND SHE LEFT
THE NEXT DAY FOR WORK.
I WALKED OUT TO THE PATIO AND
CLOSE THE DOOR AND FOUND I WAS
LOCKED OUT.
I COULD NOT GET BACK INTO THE
HOUSE.
I DID NOT HAVE A CELL PHONE.
I WAS IN A NEIGHBORHOOD I DID
NOT KNOW AND I DIDN'T EVEN HAVE
MY KEY PROGRAM LOCKED OUT OF THE
HOUSE THE ONLY RECOURSE I HAD
WAS JUST TO LISTEN FOR SOMEBODY
TO COME OUT OF THEIR HOUSE AND
SAY I'M SORRY BUT I NEED TO USE
YOUR PHONE.
I WOULD SAY 3 PEOPLE THAT I
ASKED ALL OF THEM TURNED ME DOWN
WHICH IS AMAZING.
I HAVE TO GO TO WORK.
I'M LATE FOR WORK.
WHAT AM I GONNA DO SHE'S NOT
COMING BACK UNTIL 5 OR
6:00 O'CLOCK AND I'M STANDING
OUT HERE BY MYSELF.
FINALLY SOMEBODY COMES OUT AND
THEY SAY I KNOW THIS IS WEIRD
BUT I NEED TO USE YOUR PHONE TO
CALL A CAB.
SHE IS VERY RELUCTANT BUT SHE
LETS ME IN BUT YOU CAN JUST FEEL
THE TENSION TO LET THIS STRANGER
INTO THE HOUSE.
HER SON IS THERE.
I HEAR A LITTLE RESIDENCE IN THE
CORNER AND I HEAR A GUITAR.
YOU HAVE A GUITAR QUIRKS YES.
MY SON PLAYS.
CAN I CHECK IT OUT?
AND A STAR TO PLAY THE GUITAR
AND THE TENSION MELTS AWAY.
THEN I CALL A CAB AND I GET BACK
TO MY HOUSE.
BUT THAT IS A CRAZY AND
SERENDIPITOUS THING THAT HAPPENS
WITH MUSIC IT CAN RELIEVE AND
HEAL AND RELIEVE ALL KINDS OF
TENSION TO CROSS ALL
BOUNDARIES, LANGUAGE, BORDERS.
THERE YOU GO.
THIS IS A SONG COMING OUT ON MY
RECORD COMING OUT IN MARCH AND
MY SINGLE IS COMING OUT I DID IT
YESTERDAY ON THE JENNIFER HUDSON
SHOW.
SO I AM STILL JETLAGGED.
THIS IS A SONG CALLED KEEP ON
KEEPING ON.
♪
[APPLAUSE]
THANK YOU SO MUCH.
THANK YOU THIS WAS AMAZING ME
WILL KEEP ON STAYING ON TRACK
NEXT I WILL INVITE OUR SPEAKERS
FROM NCCI EACH AND
>> GOOD AFTERNOON I'M
OVERWHELMED BY THE ENERGY IN THE
ROOM WITH THAT ARE PARTICIPATING
AND ENJOYING THE MEETING SO IT
IS ABOUT INTEGRATION MUSIC
-BASED INTERVENTION AND TO
CHOOSE THOSE 2 THAT ARE QUITE
APPROPRIATE SUDDENLY WE ARE
TALKING TOGETHER AND WE WILL
KEEP ON KEEPING ON I DON'T NEED
TO INTRODUCE MYSELF REALLY WE
HAVE SUCH A BROAD MISSION AND WE
ARE DOING SOME COOL STUFF AND
I'M HAPPY TO BE THERE.
I HAVE NOTHING TO DISCLOSE AND
HOW WE WANT TO ENCOURAGE THAT
HEALING STRATEGY AND HOW WE ARE
TRYING TO GET THERE.
ACTUALLY THIS WAS SET UP VERY
NICELY BECAUSE FOR THE PAST 3
YEARS IT HAS ENGAGED AND AS A
CONTINUUM NOT ONLY LOOKING AT
THE INDIVIDUAL BUT FAMILY AND
COMMUNITY AND THE POPULATION AS
A WHOLE AND DOING THAT AND
VARIOUS INTERCONNECTED DOMAINS
SUCH AS BIOLOGICAL SOCIAL AND
ENVIRONMENTAL.
AND FOR INTEGRATED HEALTH TO
BRING THOSE APPROACHES TOGETHER
IN A COORDINATED WAY FOCUSING ON
THE WHOLE PERSON WITH A
COMBINATION OF NUTRITIONAL AND
PSYCHOLOGICAL AND INPUT THAT
INCLUDES MUSIC SO WHAT WE DO FOR
WHAT WE ARE TALKING ABOUT.
SO IT IS A PLEASURE TO SEE OVER
THE YEARS THERE IS AN
INTEGRATION OF ARTS AND HEALTH
AT NIH AND IT IS PERMEATING THE
CURRENT STRATEGIC PRIORITIES FOR
NIH AS A WHOLE IT IS THE WHOLE
PERSON AND INTEGRATED HEALTH AND
CONNECTEDNESS OF BRAIN AND
BODY.
TO EXTEND PUBLIC-PRIVATE
PARTNERSHIP TO IMPACT ARTS AND
HEALTH.
WITH THE TYPES OF MODALITIES TO
EMPHASIZE THOSE PSYCHOLOGICAL
AND PHYSICAL SO ART AND MUSIC
AND DANCE REALLY STRADDLE THE
PSYCHOLOGICAL AND THE PHYSICAL.
I KNOW YOU HAVE SEEN THIS
PICTURE SO MANY TIMES TODAY BUT
THIS IS MY OPPORTUNITY TO SAY
THANK YOU FOR BEING OUR
CHAMPIONS I DON'T THINK WE COULD
DO THIS WITHOUT YOU WE
APPRECIATE YOU.
AND YOUR VISION HAS BEEN FUNDED
REALLY WOULD NOT HAVE HAPPENED
AND STARTING TO PAY DIVIDENDS TO
HAVE A BETTER UNDERSTANDING BUT
STARTING TO GET A GLIMPSE OF HOW
WE COULD POTENTIALLY USE MUSIC
AS A HEALING STRATEGY TO
AMELIORATE VARIOUS DISORDERS
ESPECIALLY BRAIN DISORDERS OF
AGING THAT WE TALKED ABOUT IN
VARIOUS TALKS THE PAST FEW
DAYS.
'S WE HAVE KNOWN FOR A LONG TIME
THIS IS A FAMOUS PAINTINGS AND
HE HAD MENTAL ISSUES AND IS 1 OF
THE STRATEGIES THAT WAS BEING
USED TO AMELIORATE HIS
SYMPTOMS.
WE HAVE KNOWN THIS FOR MANY
YEARS AS A VIEW FROM THE PAST
AND THAT'S WHAT WE ARE STRIVING
FOR WE WANT TO INTEGRATE MUSIC
THERAPY INTO THE WHOLE TOOLKIT
OF THE CONVENTIONAL MEDICAL
SYSTEM.
SO WE HEARD YESTERDAY AND TODAY
MANY CHALLENGES REMAIN.
BUT I WILL FOCUS MY REMARK ON
MUSIC INTERVENTION BECAUSE EVEN
THOUGH WE HEARD RESEARCH
PROJECTS ONGOING WE WERE WORRIED
A LOT OF THE PROJECT THAT CAME
TO NIH WERE NOT DOING WELL AND
REVIEW.
WHEN WE DIG DEEPER WE REALIZE
SOME OF THE REASON THE STUDIES
WERE NOT DESIGNED IN A WAY TO BE
VERY RIGOROUS SO WE WANT TO MAKE
SURE WE DON'T WANT TO BE TOO
PRESCRIPTIVE THAT ALIGN THE
RESEARCH TO THE NIH POLICY FOR
RIGOR AND REPRODUCIBILITY.
YOU HAVE SEEN THE SLIDE
DR. COLLINS TALKS ABOUT THE
WORKSHOPS WE ORGANIZE IN 2021.
WHAT I WANT TO STRESS IS THOSE
WORKSHOPS WE PLAY -- -- PAY
CLOSE ATTENTION ALL THE
COMMUNITIES THAT ARE HERE TODAY
NEUROSCIENTIST, RESEARCHERS
FOCUSED ON DEVELOPING BEHAVIORAL
INTERVENTION, CLINICAL
TRIALS, MUSIC THERAPIES PATIENT
ADVOCATES AND PATIENT GROUPS IT
WAS A COMING TOGETHER WORKING
FOR A WHOLE YEAR ON THOSE 3
WORKSHOPS ALONG WITH NIH WORKING
FOR MUSIC AND HEALTH SO WITH A
SERIES OF WORKSHOPS FUNDED BY
THE FLEMING FOUNDATION THANK
YOU.
WE ACTUALLY DEVELOPED A SET OF
GUIDELINES.
I WANT TO MAKE SURE IT IS
UNDERSTOOD WE ARE NOT TRYING TO
TELL THE COMMUNITY HOW TO DO
THEIR WORK OR WHAT TO DO BUT TO
GIVE THEM SOME GUIDANCE TO
IMPROVE THE QUALITY OF THE
RESEARCH.
AND 2023, EARLY THIS YEAR NIH
TOOLKIT WAS PUBLISHED IN JOURNAL
OF NEUROLOGY ESSENTIALLY A
TOOLKIT A WEB RESOURCE THAT WE
FELT BY EMBEDDING THE TOOLKIT
THAT THIS WOULD ACTUALLY
INCREASE THE POTENTIAL OF
INVESTIGATORS TO GIVE FUNDING AT
NIH.
WE WERE WORRIED LOOKING AT THE
COMMENTS MADE BY THE REVIEWERS
THE STUDIES WERE TOO SMALL THERE
WAS VERY LITTLE ATTENTION PAID
TO THE WHOLE MECHANISTIC
GROUNDING AND THINGS WERE NOT
EXPLAINED WELL AND NOT DEVELOPED
IN A WAY THAT WOULD ALLOW FOR
REPRODUCIBILITY.
THAT WAS THE PURPOSE OF THE TALK
AND IT IS THE WEB RESOURCE YOU
CAN ACCESS FREELY AVAILABLE
ESSENTIALLY IT IS A PRIMER OF
HOW TO DO THIS.
I WILL TELL YOU A LITTLE BIT OF
WHAT IS INCLUDED.
THE FIRST THING WE WANT TO
ENCOURAGE IS TO GROUND RESEARCH
INTO A CONCEPTUAL MODEL OR
FRAMEWORK TO GUIDE THE DESIGN OF
THE INTERVENTION.
THE SECOND THING IS TO HAVE A
CLEAR RESEARCH QUESTION AND HAVE
SUPPORTING EVIDENCE TO SUPPORT
THE HYPOTHESIS AND ALSO BE
MINDFUL TO HAVE COMMON DATA
ELEMENTS EVEN WITH SMALL STUDIES
THEY CAN BE AGGREGATED AS YOU
CAN GET SOME SOLID EVIDENCE
NEEDED IF WE WENT TO EVENTUALLY
MOVE INTO HEALTHCARE.
SOMETIMES WE DON'T PAY ATTENTION
CLOSELY TO HOW WE DESCRIBE THE
INTERVENTION IT IS CRITICAL TO
GIVE THE DETAILS OF THE
INTERVENTION AND OF THE PROTOCOL
USED WHEN YOU DELIVER THE
INTERVENTION.
VERY IMPORTANT TO CHOOSE THE
APPROPRIATE CONTROL I THINK YOU
HEARD YESTERDAY A LOT OF THE
POINTS WERE MADE ALONG THE WAY
WHERE PEOPLE TALKED ABOUT RIGOR
AND REPRODUCIBILITY WITH THE
RIGHT CONTROL AND THOSE ARE A
GUIDING PRINCIPLE FOR ANYONE
WITH THE INTERVENTION TO
ACTUALLY PAY ATTENTION.
SO TO DRILL DOWN A LITTLE BI
BIT, TALK ABOUT THE CONCEPTUAL
MODEL, WE WANT TO MAKE SURE WE
ARE NOT VERY PRESCRIPTIVE WITH
MULTIPLE EXAMPLES THIS COULD BE
A MECHANISTIC FRAMEWORK TO
ADDRESS THE TARGET.
YOU COULD ALSO HAVE A MUSIC
THERAPY FRAMEWORK WHERE WE HEARD
THE IMPORTANCE OF THE
THERAPIES, THE SUBJECT IN THE
THERAPEUTIC ALLIANCE THAT IS SO
IMPORTANT IN THAT CONTEXT SO
WHATEVER YOUR CONCEPTUAL MODEL
OF FRAMEWORK IS YOU NEED TO BE
CLEAR AND HOW THAT HELPS YOU
DESIGN.
SECOND WAS HAVING A GOOD
RESEARCH QUESTION AND THE
SUPPORTING DATA.
YOU NEED TO PAY ATTENTION TO THE
PRIOR STUDIES AND TO MAKE USEFUL
THE LITERATURE THE BASIC
RESEARCH TO INFORM YOUR MODEL.
DO THE RESEARCH ON CLINICAL
RESEARCH IN THE AREA AND PAY
ATTENTION OF THE MUSICAL
ELEMENTS OF THE INTERVENTION.
WE HEARD ABOUT THAT WE STILL
DON'T KNOW A WHOLE LOT ABOUT
POTENTIALLY THE DIFFERENCES THAT
COULD OCCUR.
IT IS VERY IMPORTANT AND WE
HEARD THAT THE RESEARCH
PRACTICES NEED TO TALK TO EACH
OTHER SO PRACTICE CAN INFORM THE
RESEARCH AND HOW IT'S BEING
DONE.
SO WE HAVE THIS LITTLE DIAGRAM
THAT WE USE WHEN WE ACTUALLY
HAVE OR FRAMEWORK AND
ESSENTIALLY CALLING THOSE THE
BUILDING BLOCK ALL THE
INGREDIENTS THAT IS ESSENTIAL TO
INCLUDE.
TALK ABOUT INTERVENTION.
AND TO TALK ABOUT THE
INTERVENTION STRATEGY
MULTIDISCIPLINARY RESEARCH AND
THE TYPE OF PARTICIPANTS
INVOLVED, INCLUDING PATIENT AND
CAREGIVER WITH THAT COMMUNITY
ENGAGEMENT PIECE WE JUST TALKED
ABOUT.
STUDY DESIGN RECRUITMENT AND HOW
YOU DO ABOUT THE TOOLKIT GIVE
SPECIFIC DETAILS HOW TO DO THIS.
FINALLY DR. COLLINS MENTIONED
THAT AT SOME POINT WE HAVE TO
ACTUALLY THINK IN THE FUTURE OF
IMPLEMENTATION SCIENCE AND 1 OF
OUR SPEAKERS IT WILL BE VERY
IMPORTANT TO DESIGN THE
INTERVENTION TO START THINKING
HOW YOU CAN SCALE THEM UP AT
SOME POINT AND NOT WAIT UNTIL
THE END TO DO THIS.
IN ADDITION TO THE BUILDING
BLOCK WE HAVE A SERIES OF
GUIDING PRINCIPLES FOR
INVESTIGATORS.
NOT BEING TOO PRESCRIPTIVE BUT
TO GIVE THEM A LIST OF POTENTIAL
OUTCOME MEASURES THEY COULD LOOK
AT AND BIOMARKERS WE FOCUSED OUR
INTEREST ON THE BRAIN DISORDERS
OF AGING BECAUSE AT THE TIME WE
FELLED -- -- WE FELT THIS IS THE
AREA WE HAD THE MOST INFORMATION
AND I THINK THIS IS NOT TO SAY
THE TOOLKIT IS ONLY BASED ON
BRAIN DISORDERS OF AGING BUT WE
DO HOPE THIS WOULD BE EXTENDED.
WITH THAT WAS OUR START.
WHAT ARE WE DOING?
WE ARE ENCOURAGING THE CROSS
BETWEEN MUSIC THERAPY IN
MEDICINE AND NEUROSCIENCE.
AND PROVIDE INVESTIGATORS WITH A
GUIDELINE RECOMMENDATION THAT I
THINK WOULD BE VERY HELPFUL AND
THEN TO SUBMIT APPLICATION TO
THE NIH TO BE IN LINE WITH THE
POLICY.
CURRENTLY WE DO HAVE A FUNDING
OPPORTUNITY ONGOING WE JUST
DECIDED TO HAVE VISIBILITY
TRIALS BUT TESTING THE VALIDITY
OF THE GUIDELINES IN THE
TOOLKIT.
THIS IS CURRENTLY ONGOING WE SEE
THAT IS IN FEBRUARY AND
CURRENTLY GETTING A LOT OF
INTEREST SO IF YOU DID NOT KNOW
ABOUT THAT THE NEXT LIGHT IS
DETAILED.
WHAT ARE WE LOOKING FOR ONCE
THIS IS OVER?
WE WANT ENOUGH INFORMATION TO
REFINE THE TOOLKIT AND PLAYING
FOR -- -- PLAN FOR LARGE-SCALE
EFFICACY AND LOOKING AT THE
PALLET DATA TO GENERATE
LARGE-SCALE STUDIES.
PERK GO -- .
>> SO YOU HAVE TIME THIS COMING
MONDAY THERE IS A TECHNICAL
ASSISTANCE WEBINAR ON THIS
FUNDING OPPORTUNITY SO JOIN US
TO HEAR MORE DETAILS AND HOW WE
WOULD LIKE TO SEE AN APPLICATION
COME IN TO TEST THE VALIDITY.
THIS IS FOR MY BLUE SKY IDEA WE
NEED SOME PRESCRIPTION OF THE
FUTURE BUT THINKING THAT WE HAVE
TO REMEMBER AND STAY CLOSE TO
THE SCIENTIFIC METHOD.
DYNAMIC RELATIONSHIP BETWEEN
PRACTICE AND RESEARCH AND STUDY
THE RELATIONSHIP BETWEEN
PSYCHOPATHOLOGY AND TREATMENT
AND SOMETHING RESEARCHERS DON'T
PAY ATTENTION TO IS WHO WILL PAY
FOR THIS?
WE HAVE TO THINK ABOUT WHAT THE
INSURANCE COMPANIES WOULD BE
INTERESTED IN.
[APPLAUSE]
JUST TO SAY I TALK ABOUT HOW TO
DO IT AND NOW WE WILL TALK ABOUT
HOW TO REPORT THE DATA.
>> THIS AFTERNOON WITH THE
DEVELOPMENT AND VALIDATION OF
REPORTING GUIDELINES FOR MUSIC
-BASED INTERVENTIONS.
ABOUT 15 YEARS AGO I GOT
INTERESTED IN THE TOPIC OF
REPORTING QUALITY AND PUBLISHED
RESEARCH AND WHY THAT'S
IMPORTANT AND THIS LED TO
PUBLICATION OF THE FIRST SET OF
REPORTING GUIDELINES FOR MUSIC
-BASED INTERVENTIONS 2011 AND
WHAT I WILL TALK ABOUT IS A
JOURNEY THROUGH THE PUBLICATION
AND THE WORK WE JUST FINISHED UP
TO LOOK AT THE GUIDELINES
PUBLISHED IN 2011 THE VALIDATION
THROUGH THE INTERDISCIPLINARY
GROUP OF RESEARCHERS.
DR. ALTMAN WAS AN ENGLISH
STATISTICIAN BEST KNOWN FOR HIS
WORK WITH THE RELIABILITY AND
REPORTING OF MEDICAL RESEARCH
AND PLAYED A CENTRAL ROLE IN
ESTABLISHING BETTER STANDARDS OF
GUIDANCE FOR WHAT INVESTIGATORS
SHOULD INCLUDE IN THE PUBLISHED
REPORTS.
IN THE EIGHTIES DR. ALTMAN
IDENTIFIED PROBLEMS AND
INCONSISTENCIES OF HOW RESEARCH
WAS REPORTED.
SO WE KNOW WELL-DESIGNED
PROPERLY EXECUTED STUDIES
PROVIDE EVIDENCE WE NEED TO
SUPPORT DEVELOPMENT AND USE OF
HEALTHCARE INTERVENTIONS.
AND PUBLISHED STUDIES DON'T
REPORT INFORMATION OF THE
CONDUCT OF THE TRIAL, THE RESULT
CAN BE BIASED FINDINGS OR
EXAGGERATED TREATMENT EFFECTS SO
REPORT STARTED TO EMERGE IN THE
EIGHTIES WITH GROWING AWARENESS
OF DEFICIENCIES AND REPORTS OF
CLINICAL TRIALS IN PARTICULAR
FOR RANDOMIZED CONTROLLED TRIALS
A GROWING NUMBER OF PUBLICATIONS
DOCUMENTING IN ACCURATE
INFORMATION IN THOSE REPORTS SO
IN 1982 A GROUP OF SCHOLARS
SUGGESTED EDITORS OF JOURNALS
COULD GREATLY IMPROVE REPORTING
OF CLINICAL TRIALS BY HAVING A
CHECKLIST OF ITEMS EXPECTED TO
STRICTLY ADHERE TO.
IN THE 1990S 2 DIFFERENT GROUPS
OF EDITORS GOT TOGETHER AND
BEGAN TO ESTABLISH GUIDELINES
FOR WHAT SHOULD BE INCLUDED IN
THE PUBLICATION AND CAME
TOGETHER AND WHAT RESULTED WAS
THE CONSORT STATEMENT.
IN 2000 FOR THE TRAN STATEMENT
FOR NONRANDOMIZED CONTROL
DESIGNS WAS PUBLISHED AND WE
HAVE STARTED TO SEE PUBLICATIONS
TALKING ABOUT HOW THESE
GUIDELINES WERE GREAT FOR
METHODOLOGY BUT NOT PROVIDING A
LOT OF GUIDANCE ON ACTUAL
INTERVENTION SO THERE IS A
SINGLE LINE ITEM THAT TALKS
ABOUT DESCRIBING THE
INTERVENTION TO BE REPLICATED
SOUL FOR BEHAVIOR INTERVENTIONS
WE START TO SEE THE EMERGENCE OF
MANY DIFFERENT REPORTS
DISCUSSING A GREATER GUIDANCE.
WE JUST WANT TO DRILL DOWN ON
WHY THIS MATTERS AND BECAUSE
WITHOUT CLEAR DESCRIPTIONS OF
THE ACTUAL INTERVENTION IT MAKES
IT VERY DIFFICULT TO DO CROSS
STUDY COMPARISONS AND HINDERS
INTERDISCIPLINARY COMMUNICATION
AND HARD TO IDENTIFY THE
MECHANISMS OF ACTION AND HOW IN
THE WORLD DO CLINICIANS
INTEGRATE WHAT IS PUBLISHED IN
THOSE REPORTS INTO CLINICAL
PRACTICE?
WE STARTED TO SEE REVIEWS FROM
MUSIC -BASED INTERVENTIONS AND
WHAT WAS REPORTED IN THOSE
FINDINGS WERE PROBLEMS REPORTING
MUSIC -BASED INTERVENTION.
GIVEN THE GROWTH OF INTEREST AND
THE LACK OF SPECIFICITY HOW THEY
WERE REPORTED WE DECIDED TO
CONDUCT A LARGE SYSTEMATIC
REVIEW WHAT ARE THE GAPS FOR
MUSIC -BASED INTERVENTIONS AND
WHAT ARE THE PROBLEMS WE SEE AND
TERMINOLOGY?
AS YOU KNOW MUSIC INTERVENTIONS
ARE ESPECIALLY COMPLEX AND
DIFFICULT TO DESCRIBE WITH THE
INHERENT COMPLEXITY OF THE MUSIC
ITSELF AND THE MANY WAYS IN
WHICH MUSIC EXPERIENCES ARE USED
FOR THERAPEUTIC BENEFIT.
SO CONSISTENT WITH THOSE REVIEWS
WE FOUND A HIGH LEVEL OF
VARIATION IN MUSIC INTERVENTION
REPORTING SUPPORTING THE NEED
FOR MUSIC -BASED INTERVENTION
AND REPORTING GUIDELINES.
IN 2011 WE PUBLISHED GUIDELINES
FOR MUSIC -BASED INTERVENTIONS.
OPEN ACCESS PUBLISHED ACROSS 2
DIFFERENT JOURNALS.
AND ARE AVAILABLE.
BEFORE MOVING FORWARD IS
IMPORTANT TO UNDERSTAND WHAT
THEY INTENDED TO DO A REPORTING
GUIDELINE IS A MINIMUM LIST OF
INFORMATION WITH THE EMPHASIS ON
MINIMUM TO ENSURE A PUBLISHED
MANUSCRIPT COULD BE
UNDERSTOOD, REPLICATED USED TO
INFORM CLINICAL DECISIONS WITH
SYSTEMATIC REVIEWS.
THE 2011 GUIDELINES SPECIFIED 7
AREAS OF REPORTING.
THE SCIENTIFIC RATIONALE THAT
SUPPORTS THE INTERVENTION UNDER
INVESTIGATION.
ACTUALLY 5 ITEMS RELATED TO
CONTENT WHAT ABOUT THE MUSIC
INTERVENTION TO BE DESCRIBED AND
INCLUDED THE DELIVERY SCHEDULE
THE BACKGROUND, TRAINING AND
CREDENTIALS OF THE PERSON
DELIVERING THE INTERVENTION
FACTORS FOR TREATMENT FIDELITY
THE SETTING AND UNIT DELIVERY.
THE FOCUS OF THE DESCRIPTION OF
THE MUSIC INTERVENTION IS A
FOCUS OF THESE REPORTING
GUIDELINES ARE NOT METHODOLOGY
THE INTENT IS THEY ARE USED IN
CONJUNCTION WITH METHODS
SPECIFIC.
THOSE WERE PUBLISHED 2011 SO AND
2018 WE WANT TO TAKE A LOOK HAS
INTERVENTION QUALITY GOTTEN
BETTER CRACKS IN 2018 THE TEAM
PUBLISHED A REVIEW OF RESEARCH
PUBLISHED IN HEALTHCARE.
WE FOUND OVERALL REPORTING
CONTINUED TO BE POOR AND WE DID
A MUCH DEEPER DIVE INTO PROBLEMS
WITH CONSISTENT LANGUAGE AND
TERMINOLOGY.
WITH A WIDE RANGE OF PUBLISH --
-- PROFESSIONALS SO WAS EASY TO
UNDERSTAND HOW THINGS ARE TALK
ABOUT AND DESCRIBED IN 2021
PUBLISHING A REVIEW AND
REPORTING SIMILAR PROBLEMS AFTER
READING THE 2021 REVIEW AND
TALKING ABOUT PROBLEMS WITH
REPORTING QUALITY, THE
AUTHORSHIP TEAM FROM THE REVI
REVIEW, WE SAID CAN WE HAVE AN
INTERDISCIPLINARY GROUP COME
TOGETHER LOOK AT THE 2011
GUIDELINES CRACKS WE NEED TO
VALIDATE AND LOOK AT A MORE
VIGOROUS WAY.
WE BEGAN INITIATION TO VALIDATE
THE REPORTING GUIDELINES.
OUR GOAL IS TO ENSURE VALIDITY
OF THE CURRENT CHECKLIST AND
ALSO WITH AN EYE TO IMPROVING
UPTAKE WE NEED TO INCLUDE A
BROAD RANGE OF PEOPLE INTO THAT
SPACE TO VALIDATE SO THEY ARE
USEFUL TO BROAD RANGE OF
INVESTIGATORS SO WITH A 3 STAGE
PROCESS TO DO THE WORK SO
BRIEFLY THE FIRST STAGE OF THE 3
STAGE PROCESSES THE APPEAL SCAN
SO JESSICA MCLEAN A DOCTORAL
STUDENT CONDUCT OF THE SCAN
LOOKING AT SYSTEMATIC REVIEWS
AND THEN TO GATHER RECENT
INFORMATION OF QUALITY TO
ACTUALLY INFORM THE DELPHI
SURVEY PROCESS.
PHASE 2 A 2 ROUND SURVEY PROCESS
WHEN WE GOT THE SURVEY DATA BACK
ABOUT WHAT WAS MISSING WE TAKE
IT TO AN EXPERT PANEL AND MOVE
THROUGH A PROCESS OF UPDATING
AND VALIDATING AND CURRENTLY IN
THE DISSEMINATION PHASE WHERE
THE EXPERT PANEL IS IN THE
PROCESS OF WRITING AND
ELABORATION DOCUMENT SO I JUST
WANT TO ACKNOWLEDGE THE MEMBERS
OF THE EXPERT PANEL IN THE ROOM
TODAY THEY GOT TOGETHER OVER
MULTIPLE MEETINGS TO REVIEW THE
DATA AND COME TO CONSENSUS WITH
A BRAND-NEW SET OF GUIDELINES.
WE ARE SET TO PUBLISH THOSE
GUIDELINES IN THE NEW YEAR ALONG
WITH THE ELABORATION AND
DOCUMENTS AND WE LOOK FORWARD TO
SHARING.
[APPLAUSE]
>> I WOULD ALSO LIKE TO REVISE
MY SLIDES AFTER WHAT WE LEARNED
THE LAST COUPLE OF DAYS.
I WILL TALK ABOUT LESSONS
LEARNED.
THESE ARE PROBABLY NOT READABLE
FROM WHERE YOU'RE SITTING OUR
WORK FROM WHERE I AM STANDING
EITHER.
SPONSORING A LOT OF CROSS
DIVISIONAL PROJECTS IN THE GOAL
HAS BEEN TO AID RESEARCH ACROSS
VARIOUS INSTITUTES TO EXEMPLARS
WHAT IS INFORMATION SYSTEM AND
THESE ARE BOTH DESIGNED WITH
CROSS DIVISIONAL FUNDING THAT
WOULD ENABLE PEOPLE TO USE
STUDIES AND THEN CLINICAL USE.
THE TOOLKIT SPONSORS YOU HEARD A
COUPLE USES OF THAT AND TO
LEVERAGE THE LESSONS WE HAVE
LEARNED BOTH TO HELP WITH
DISSEMINATION AND SPREAD
WIDESPREAD ADOPTION SO MANY OF
THE TOOLS ARE THE SAME BUT
DIFFERENT AND NETWORK IT WAS PUT
TOGETHER UNDER NIH FUNDING TO
DISTRIBUTE THE 4 MEASUREMENT
SYSTEMS WHICH WERE ALL
INITIATIVES ALL OWNED BY THE US
DEPARTMENT OF HEALTH AND HUMAN
SERVICES SO WHAT IS COMMON TO
ALL OF THESE APPLICABLE THE
TOOLKIT WAS DESIGNED FOR USE IN
AGING ALL THAT I AM PRESENTING
TODAY ARE CURRENTLY AVAILABLE
AND ACTUALLY THE EFFORTS ARE NOW
UNDERWAY TO BRING THEM DOWN
WITHIN 1 MONTH OF AGE.
CREATED WITHOUT INTELLECTUAL
PROPERTY CONCERNS INEXPENSIVE TO
ADMINISTER PSYCHOMETRICALLY
SOUND AND MANY TOOLS PEOPLE
CITED WERE DEVELOPED FOR A
PERSON COMPLETELY UNRELATED TO
WHAT YOU ARE STUDYING AND
THEREFORE PROBABLY NOT VALID
WITH HIDDEN REVIEW.
AND WITH THAT CLINICAL LEVEL
RELIABLE DEPRESSION IN 40
SECONDS.
AND THEN IN 2 THROUGH 5 MINUTES
WE CUT DOWN ON THE BURDEN FOR
THE SUBJECT AND ALSO COVER THE
FULL RANGE OF A TRAIT AND THAT'S
RARE THAT MEANS WE GO REALLY LOW
AND THEN ALSO GO REALLY HIGH.
AND WITH THE MEASUREMENT
INFORMATION SYSTEM ON THOSE
PROPOSALS FOR INNOVATIVE
APPROACHES WITHOUT PUT MEASURES
TO MEET THE NEEDS OF CLINICAL
RESEARCHERS PROMISES 1 OF THE
MEASUREMENT SYSTEMS MENTIONED IN
THE TOOLKIT.
YOU SHOULD BE INTERESTED FOR 2
REASONS TO HELP TO DIFFERENTIATE
YOUR SAMPLE.
NO LONGER ASSESS FUNCTIONING
WITHOUT ASSESSING DEPRESSION.
IF YOU HAVE A DEPRESSED PATIENT
THEY WILL BE DEPRESSED AS WELL.
NOTHING TO DO WITH INTERVENTION
AND YOU COULD BE IN TROUBLE IF
YOU DON'T TAKE INTO
CONSIDERATION.
CREATE DATABANKS THIS IS A TEST
THAT ALLOWS US TO GET RAPIDLY
INTO A PERSON'S LEVEL.
AND ALSO CREATE A PUBLICLY
AVAILABLE SYSTEM TO ADMINISTER.
THAT WAS THE GOAL FROM 20 YEARS
AGO IT'S BEEN A LONG TIME.
SO AT THIS POINT THE MEASURES
CAN USE BOTH IN GENERAL
POPULATION WITH NUMEROUS -- --
NUMEROUS DISEASE BASE GROUPS
TRANSLATED INTO 93 LANGUAGES.
ENGLISH IS NO LONGER THE NATIVE
LANGUAGE IF YOU DON'T INCLUDE
PEOPLE WHO DON'T SPEAK ENGLISH
THEY ARE MISSING DATA AND A LOT
OF THINGS.
THEY ARE AVAILABLE AND 65.
AND THEN SO FAR DOWNLOADED
700,000 TIMES JUST TO GET PAPER
COPIES OF THESE MEASURES UNDER
CONTRACT IN 2006 TO DEVELOP A
COMMON SET OF MEASURES TO SERVE
AS A COMMON CURRENCY'S EVERYBODY
IS NOT USING A DIFFERENT OUTCOME
MEASURE FOR EVERY STUDY.
TODAY THE ASSESSMENTS IT HAS
BEEN USED IN PUBLISHED STUDIES
300 TIMES CURRENTLY AND OVER
1000 RESEARCH STUDIES, 12 YEARS
OF RESEARCH ADMINISTERED
1.5 MILLION TEST IS ACTUALLY A
SMALL NUMBER IS IN THE RESEARCH
WE ARE DOING TODAY SO THE
TOOLKIT ITSELF LOOKING AT FROM 2
PERSPECTIVES 1 IS YOU COULD USE
IT TO CHARACTERIZE SAMPLES BUT
ALSO TALK ABOUT THE LESSONS
LEARNED WHAT WE LEARN FROM
DISSEMINATION AND HOW TO THOSE
SYSTEMS GET TO BE USED?
I STARTED MY CAREER AS THE
OPPOSITE IN THE FOR-PROFIT WORLD
AND WENT TO NONPROFIT AND
DECIDED I WON'T DEVELOP
SOMETHING THAT WILL NOT BE
DISSEMINATED SO AS ACADEMICS
WERE NOT INCENTIVIZED.
PART OF IT IS NO 1 KNOWS ABOUT
IT WHO GOT FUNDING BUT NOBODY
KNOWS AND THE NEXT PART IN ALL
MY GRANTS, WHAT IS THE NEXT STEP
CRACKS FOR MOST PEOPLE TO
PARTNER WITH SOMEBODY ELSE FOR
PROFIT OR NONPROFIT IF I GOT THE
RESULTS I WANTED SOMEONE HAS TO
USE IT.
PROBABLY NOT MY EXPERTISE.
FIND SOMEBODY WHO CAN.
WHY DID THEY PROMISE EVERY
OUTCOME SPECIFIED ALMOST ANY
PART EXCEPT BIOMARKERS IS NOT A
COINCIDENCE NIH SAW THE NEED FOR
A COMMON MEASUREMENT SYSTEM THEY
SURVEYED HUNDREDS OF RESEARCHERS
WHAT DO YOU NEED, WHAT DO YOU
WANT CRACKS LO AND BEHOLD
PROBABLY COVERS 90 PERCENT OF
THE OUTCOMES THAT YOU NEED OR
WANT.
THE DIFFERENCES THEY ARE
VALIDATED AND RELIABLE TO FIND
REFERENCES FOR THEM AND EASY TO
USE ALL OF THESE MEASURES ARE
VALIDATED PARKINSON'S STROKE
PLUS A FEW HUNDRED OTHERS AND
REVIEWERS TYPICALLY REVIEW BY
DISEASE AND I SHOULD POINT OUT I
SUPPORT OTHER MEASUREMENT
SYSTEMS I'VE BEEN HONORED TO
LEAD THE EFFORTS THE NIH TOOL
BOX IS BY 250 SCIENTIST PER
QUITE A KNOW HOW TO COUNT THAT
NUMBER OF PEOPLE.
WHAT MAKES A SUCCESSFUL?
PLUS THEY WORK THE TOOLKIT WILL
WORK AND REDUCE SUBJECT BURDEN
AND RESEARCHER BURDEN THAT'S A
REALLY BIG POINT IF YOU COST
MORE TIME AND ENERGY THEY WON'T
USE IT.
FOR INSURANCE COMPANIES THEY
WILL USE IT IF YOU SAVE THE
MONEY.
SOME OF THE THINGS WE SAW WILL
SAVE THEM MONEY BECAUSE
SOMETHING CAN BE CURED WITHOUT
SOMETHING THAT COST MORE MONEY.
THEY BECAME WELL-KNOWN WE
PUBLISH ARTICLES ABOUT THEIR
DEVELOPMENT ALSO ARTICLES OF
THEIR USE THAT HAVE BEEN
PUBLISHED OVER 4000 TIMES.
1 MORE THING THE NIH ACTIVELY
PROMOTED THEIR USE WITH THE NIH
TOOLBOX REQUIRED THE USE OR TO
SAY WHY YOU DID NOT USE IT.
THEY WERE NOT DICTATING THE
MEASURE BUT YOU HAD TO LOOK AT
IT.
NOT THAT I COULD DICTATE TO NIH
BUT I WOULD SUGGEST THE SAME
THING WITH THE TOOLKIT OTHERWISE
PEOPLE DON'T LOOK IN YOU SEE THE
RESULTS THEY COME UP WITH THINGS
THAT WILL NOT PASS REVIEW WHICH
IS UNFORTUNATE PEOPLE SPEND TIME
DOING THAT.
IT CAN BE WELL KNOWN IT'S VERY
HARD TO FIND RESEARCHERS PUT IT
IN THE BACK OF JOURNALS DO
ROADSHOWS THANK YOU VERY MUCH.
[APPLAUSE]
>> GOOD AFTERNOON IT IS MY
PLEASURE TO TALK ABOUT AND
INTERVENTION OF AN EXERCISE
PROGRAM DEVELOPED INITIALLY AND
SUBSEQUENTLY HAS NOW BEEN
IMPLEMENTED UP 30 SITES WITHIN
THE V.A.
I'M TALKING ABOUT THIS BECAUSE
THE MODEL WHOLE HEALTH CAN
INFORM THE IMPLEMENTATION OF
MUSIC -BASED INTERVENTIONS AND
HEALTHCARE SYSTEMS.
I HAVE NO DISCLOSURES TO MAKE
OTHER THAN THE FACT THEY PLAY
SEVERAL MUSICAL INSTRUMENT OF BE
BETTER AT THE PIANO THAN OVER
HERE.
BRIEFLY TALKING ABOUT THE V.A.
AND WHOLE HEALTH AND FOCUS MORE
ON THE IMPLEMENTATION.
THE SPEAKER AFTER ME WILL TALK
IN GREATER DETAIL ABOUT
IMPLEMENTATION AND SCIENCE AND
TALK ABOUT LESSONS LEARNED AND
HOW THIS CAN INFORM THE MUSIC
-BASED INTERVENTIONS AS YOU ARE
ALL AWARE THE LARGEST HEALTHCARE
SYSTEM IN THE UNITED STATES OVER
170 MEDICAL CENTERS AND
OUTPATIENT CLINICS AND AGAIN THE
VALUE IS THE NETWORK EFFECTS TO
PROMOTE COLLABORATION AND
COORDINATION IN ADDITION THE
V.A. HAS A NUMBER OF CENTERS OF
EXCELLENCE THERE ARE CENTERS OF
MENTAL HEALTH PARKINSON'S
DISEASE AND MSN ELSEWHERE AND
AGAIN THE CENTERS SERVE AS
INCUBATORS FOR INNOVATION.
AGAIN PUSHING STROKE THE NETW
NETWORK.
IT ALSO HAS A STUDIES PROGRAM TO
FUND MULTICENTER TRIALS.
THE CIRCLE OF WHOLE HEALTH IS
SHOWN UP HERE AS OTHERS HAVE
COMMENTED.
I WISH I COULD READ IT FROM OVER
HERE BUT WHEN THEY PUSHED OUT
WHOLE HEALTH WITH THE
MINDFULNESS AND MANY SERVICES
GIVEN TO THE PATIENTS THOSE WHO
PARTICIPATED IN WHOLE HEALTH AND
GREATER IMPROVEMENTS THE PATIENT
CENTERED CARE AND IMPROVEMENTS
OF ENGAGEMENT AND QUALITY OF
LIFE SHOW THERE ARE BENEFITS
FROM THESE TYPES OF
INTERVENTIONS OFFERED THROUGHOUT
THE V.A. CURRENTLY.
NOW I WILL HAVE IT.
STARTING BACK IN 1986 IS CENTER
-BASED EXERCISE PROGRAM FOR
OLDER PEOPLE THAN IN 2014 THE
V.A. PUT OUT A PROPOSAL TO
PROMOTE PATIENT CENTERED HEALTH
TO KEEP PEOPLE FROM GOING INTO
NURSING HOMES GEROFIT IS BEING
RAN AT THE TIME AND SAID LET ME
DO A MULTICENTER IMPLEMENTATION
STUDY OF GEROFIT SOLICITED 4 OF
THE SITES WITH BALTIMORE BEING 1
OF THEM AND FOLLOWING
REPRODUCIBILITY, PROTOCOL
MANUALS DEVELOP, TRAINING, AND
COMMON DATA ELEMENTS OBTAIN
OBTAINED, AND AGAIN A TOOLKIT
FOR SOME OF THE MEASURES.
SO THIS SLIDE SHOWS HOW TO
IMPLEMENT.
FIRST WITH EXTENSIVE TRAINING
AND PLANNING TO DEVELOP TOOLS
AND INSTRUMENTS AND
DOCUMENTATION.
TRAINING OF THE STAFF.
DEVELOPMENT OF A DATABASE.
AND EACH OF THE SITES, PHONE
CALLS AND COMMUNICATIONS THEN WE
START ENROLLMENT TRAINING AND
CALLS AND THEN A DATABASE TO PUT
COMMON DATA ELEMENTS SO LOOK AT
THE RESULTS ACROSS DIFFERENT
SITES THE GOAL WAS TO MAKE
EXERCISE A PART OF USUAL CARE IN
THE V.A.
THIS IS AN EXAMPLE SOME OF THE
STUFF DONE IN BALTIMORE WE HAD
GROUP EXERCISE SESSIONS SHOWN
HERE AND WHAT TYPE OF MUSIC WAS
BEING PLAYED BUT AGAIN YOU CAN
SEE IT WAS GROUP DYNAMICS AND
SOCIAL ENGAGEMENT PREVENTING
LONELINESS CAUSING A BIGGER PUSH
OUT I KNOW YOU CANNOT READ THE
SMALL PRINT 6 MINUTE WALK
DISTANCE.
AND THEN TO CLICK SIMILAR DATA
AND RESULTS ACROSS THE CENTERS.
THEN TO PUSH THIS OUT TO THE
LARGER GROUP AT THE LESSONS
LEARNED AND WE PUBLISH THIS IT
IS CLEAR WE NEED TO LEVERAGE
BECAUSE THIS WAS EXPENSIVE WITH
$300,000 WORTH OF EQUIPMENT IN
PLACE FOR RESEARCH GEMS WE
BENEFITED FROM THIS EQUIPMENT.
LEADERSHIP LOCALLY AND BUY-IN
FROM YOUR DIRECTORS BECAUSE THIS
COST TIME AND EFFORT.
WE WERE FORTUNATE THEY ALREADY
HAD THE PROGRAM AND WE USE THE
MODEL OF GOOD COMMUNICATION.
A NUMBER OF BARRIERS HIRING IS
HORRIBLE AND TAKES A LONG TIME
TO GET PEOPLE ON BOARD SO YOU
MUST HAVE STAFF AND THEN HAVE
EQUIPMENT AND ALL THE OTHER
THINGS TO BE SUCCESSFUL.
SO NOW WE SHOWED WE CAN DO THIS
AT 5 SITES WE WANT TO IMPROVE
ACCESS OF CARE.
AND NOW OPERATING AT 31 SITES
WITH DUKE AND DURHAM BEING THE
LEAD OF GEROFIT SITES ACROSS THE
COUNTRY AND MANY OTHER PROGRAMS
OF RECREATIONAL THERAPY AND
CREATIVE ARTS THE PATIENT IS IN
THE MIDDLE AND YOU CAN SEE THE
VARIOUS SERVICES USE IT THERAPY
IS OFFERED AT NUMEROUS SITES AND
PARTNERSHIP WITH THE AMERICAN
THERAPY ASSOCIATION AND THESE
INTERVENTIONS ARE BOTH ACTIVE
AND RECEPTIVE APPROACHES.
THESE ARE SOME OF THE PROGRAMS
OFFERED LOCALLY AT MY V.A. DUE
TO THE RECOVERY CENTER IT IS
VIRTUAL SHOWN ON THE RIGHT IT
WAS A PATIENT LED PROGRAM BUT
WAS REALLY POPULAR REGARDING
WHOLE HEALTH.
INCLUDING GUITAR.
SOME THE OTHER PROGRAMS
CONDUCTED NOT ALL INCLUSIVE.
SURE MANY PEOPLE WERE INVOLVED
WITH SOME OF THESE PROGRAMS.
YOU CAN SEE THEY ARE RECEPTIVE
AND ACTIVE TYPES OF
INTERVENTION.
GUITARS SEEM TO BE PARTICULARLY
POPULAR AS AN INTERVENTION.
WHAT ARE SOME OF THE LESSONS
LEARNED FROM GEROFIT AND OTHER
INTERVENTIONS TO HAVE
IMPLICATIONS FOR IMPLEMENTATION
OF INTERVENTIONS WITH MUSIC?
FIRST THE SYSTEM AS A WHOLE MUST
ENCOURAGE, COLLABORATION AND
INTERVENTION.
I HAVE BEEN FORTUNATE THE V.A.
ENCOURAGES COLLABORATION AND
COORDINATION.
AS MENTIONED YOU MUST HAVE A
STANDARDIZED WELL DESCRIBED
INTERVENTION, A PLUG FOR THE
TOOLKIT EACH OF THESE MUST BE
TAILORED TO LOCAL NEEDS AND MUST
IDENTIFY LOCAL CHAMPIONS WHO ARE
ENGAGED AND WANT TO DO THIS.
SEED MONEY IS CRUCIAL TO GET
ANYTHING DONE.
AS A POSITION ANY TIME TO DO MY
WORK AND TO SEE PATIENTS TO DO
THINGS LIKE GEROFIT.
SUSTAINABILITY ALWAYS A
CHALLENGE.
EVERYBODY ALWAYS LOOKS TO
COMPETE FOR RESOURCES YOU MUST
SHOW THIS HAS VALUES.
SO TO DEMONSTRATE THIS IS
IMPORTANT YOU MUST COLLECT GOOD
DATA DEMONSTRATING THIS IS
VALUABLE TO INFORM THE DECISION
TO CONTINUE THESE INTERVENTIONS.
AGAIN THE NEXT SPEAKER AFTER ME
GOES INTO GREATER DEPTH.
I PLAYED EUPHONIUM.
I PICKED THAT MORE THAN 50 YEARS
AGO MY ONLY REGRET IS I
SHOULD'VE PICKED UP A LIGHTER
INSTRUMENT.
[LAUGHTER]
THANK YOU.
[APPLAUSE]
>> GOOD TO BE HERE.
THANK YOU FOR ALL THE INCREDIBLE
WORK YOU DO.
DISSEMINATION OF IMPLEMENTATION
RESEARCH IS TO MAKE SURE THE
INCREDIBLE DISCOVERIES MADE
ACTUALLY MAKE THEIR WAY TO THE
PEOPLE WHO CAN BENEFIT AS MUCH
AS POSSIBLE AND AT THE SAME TIME
IT'S REALLY ABOUT TRYING TO TEST
THE ASSUMPTIONS THAT AT TIMES WE
IN THE SCIENTIFIC COMMUNITY HOLD
DEAR BUT DO NOT ALWAYS HOLD THE
FIRST BEING WE PUBLISH THE WORLD
CHANGES FOR THE BETTER AND WE
KNOW THAT WE LOSE SO MUCH VALUE
IN THE OUTCOMES OF RESEARCH AND
NEVER MAKE IT TO
IMPLEMENTATION.
IT ALSO TAKES AN AWFUL LONG TIME
TO GET THERE.
JUST BY SHOW OF HANDS HAS ANYONE
SEEN IT TAKES THIS CHART CRACKS
THE SHOULD NOT BE OKAY SO
DISSEMINATION IMPLEMENTATION
RESEARCH IS ABOUT BUILDING A
KNOWLEDGE BASE TO CHANGE THAT
FACTOID THAT SAYS WE DO BETTER
AND MORE EFFICIENTLY GETTING THE
WONDERFUL DISCOVERIES WHEREVER
WE ARE IN WHENEVER WE NEED.
WHATEVER ASSUMPTION WE MAKE THE
INNOVATIONS AND INTERVENTIONS
ARE THAT EVERYBODY IS CLAMORING
IF YOU SAW FIELD OF DREAMS YOU
KNOW THAT A VOICE CAN COME AND
SAY IF THEY BUILD IT THEY WILL
COME TOO OFTEN THEY DO NOT THERE
ARE A LOT OF WAYS INNOVATIONS
ARE NOT NECESSARILY PUT INTO THE
BEST POSSIBLE SHAPE SO PEOPLE
CAN BENEFIT.
LET'S SAY YOU ARE A MUSICIAN WHO
IS CREATING TO GET YOUR MUSIC
ACROSS.
TOO MANY PEOPLE SAY I DON'T EVEN
HAVE A CD PLAYER ANYMORE.
THE WORLD CHANGES IN TOO OFTEN
WE ON THE SCIENTIFIC AND DON'T
KEEP UP OR THINK AHEAD HOW
MESSAGES AND EVIDENCE-BASED
INTERVENTIONS GET TO WHERE WE
WANT THEM TO GO.
IF WE HAVE THAT INTERVENTION
IT'S ONLY SO GOOD NOT JUST THAT
IT HAS THE EVIDENCE BASE BUT IF
IT'S ADOPTED WITHIN DIFFERENT
SYSTEMS.
NOT JUST THAT, PROVIDERS IN A
POSITION TO BE TRAINED.
NOT JUST THAT BUT CONTINUING
EDUCATION DOESN'T YIELD PRACTICE
CHANGES.
THERE ARE THEY IN A POSITION OR
ABLE TO INCORPORATE THOSE
INTERVENTIONS CRACKS NOT JUST
THAT WE CAN HAVE A TRAINED
WORKFORCE IF WE DON'T IDENTIFY
WHO CAN BENEFIT THEN WE WILL NOT
DO VERY WELL.
THAT 17 YOUR 14 PERCENT HAS A
THIRD NUMBER OF THE THRESHOLD
FOR SUCCESS.
50 PERCENT WE WERE JUST AS
LIKELY AND THAT IS NOT
SUFFICIENT.
IF WE ASSUME 50 PERCENT AT ANY
STEP AROUND ADOPTION, TRAINING
OR INCORPORATING TO GET A
50 PERCENT OF PEOPLE TO BENEFIT
IS BETTER THAN NOTHING.
IF WE DISCOUNT AROUND ACCESS AND
ENGAGEMENT WITH THE DOSAGE
STAYING OVER TIME WERE DOWN AT
THE FRACTION OF THE BENEFIT WE
THOUGHT WE HAD WHEN WE COMPLETED
THE TRIAL WITH EVIDENCE-BASED
INTERVENTION.
WE NEED TO DO BETTER.
WE MADE A LOT OF PROGRESS.
IS NOT THE ENDPOINT REALIZING
REAL-WORLD EFFECTIVENESS BUT WE
ALSO KNOW OTHER THINGS THAT WE
NEED TO FIGURE OUT HOW BEST TO
SUPPORT THE ADOPTION OF
INTERVENTIONS, IMPLEMENTATION TO
PRACTICE SETTINGS AND NOT THAT
THIS IS THE DAY 1 SOLUTION AND
NEVER AGAIN BUT MAINTAIN THOSE
RESULTS AND SUSTAIN THEM AS
PREVIOUS SPEAKER SPOKE ABOUT.
RE- AIM IS A WAY TO THINK ABOUT
THE BROAD OPTIMAL IMPACT OF
INTERPRET -- -- INTERVENTIONS
FOR PUBLIC HEALTH.
NOT JUST EFFICACY OR
EFFECTIVENESS BUT ALL THE
DIMENSIONS THAT WE CARE ABOUT
THOSE THAT WANT TO OPTIMIZE.
HARD TO SEE I RECOGNIZE NOT
KNOWING WHAT THIS WOULD LOOK
LIKE COMING FROM THE NATIONAL
INSTITUTE FROM A FEW YEARS AGO
THAT SAYS THE STARTING POINT IS
WE HAVE THESE INNOVATIONS WITH
TOOLS AND DEVICES WE OFTEN HAVE
A PROBLEM IF THEY ARE UNDERUSED
OR NOT IS HOPEFUL THAT ARE
OVERUSED.
WE TRY TO RECOGNIZE THIS IS A
CHALLENGE AT EVERY LEVEL OF THE
SYSTEM.
WHAT HELPS FAMILIES AND SUPPORTS
CLINICIANS, HELPING HOSPITALS
AND COMMUNITIES AND THE BROADER
ECOLOGICAL SYSTEMS.
AND TO IMPROVE THE
IMPLEMENTATION AND SOLVE THOSE
CHALLENGES.
THE WAY WE TRY A TO DO IT IS
THINK OF STRATEGIES TO EASE IN
THE UPTAKE AND SUPPORT
SUSTAINABILITY HOW WE CUSTOMIZE
INTERVENTIONS OVER TIME.
WE DON'T JUST HAVE THE HEALTH
OUTCOMES AT THE END THE SPECIFIC
IMPLEMENTATION OUTCOMES WE CARE
ABOUT.
THE LEVEL OF UPTAKE.
CAN WE SUSTAIN THESE OVERTIME
CRACKS WHAT DOES IT COST AND CAN
WE AFFORD TO DELIVER THESE
INTERVENTIONS QUIRKS IF WE GET
BEYOND THE WHAT WE THINK MUCH
MORE OF THE KNOWLEDGE BASE OF
HOW WE GET THEM TO BE OPTIMALLY
USED WITH MUCH GREATER BENEFIT
TO THE POPULATION PUBLIC ALSO
THOSE IMPLEMENTATION STRATEGIES
OVER THE DECADE HOW DO WE ENGAGE
CONSUMERS OR PROVIDE TECHNICAL
ASSISTANCE OR THINK ABOUT
FINANCIAL STRATEGIES OVER THE
WAYS WE NEED TO TAILOR OUR
INTERVENTIONS THESE ARE THE CORE
OF THE STUDIES THAT WE ARE
SUPPORTING TO MAKE SURE THAT
QUESTION GETS THE SAME IMPACT
WHAT IS THE INTERVENTION THAT
MIGHT BE HELPFUL CRACKS A LOT OF
THIS IS ABOUT CHALLENGING
TRADITIONAL ASSUMPTIONS.
HOW MANY AGREE WITH THE
FOLLOWING STATEMENTS?
EVIDENCE-BASED PRACTICES ARE
STATIC CRACKS ONCE FORMED THEY
SHOULD NEVER CHANGE?
WHAT ABOUT SYSTEMS ARE STATIC
THEY WILL NEVER CHANGE?
THE IMPLEMENTATION OF THE
REAL-WORLD SETTINGS 1 PRACTICED
1 TEST INTERVENTION AT A TIME?
HEALTH IF YOU THINK PATIENCE AND
EVERYBODY IS THE SAME?
SOME OF YOU BELIEVE THE ONLY
REASON WHY SOMEBODY DOESN'T USE
AN INTERVENTION AS THEY ARE
HOPELESSLY IRRATIONAL?
ASKING THESE BECAUSE MOST OF OUR
STUDIES STILL HOLD TO THESE
ASSUMPTIONS WE TAKE
INTERVENTIONS AND SAY DON'T MESS
WITH THEM AND WE KNOW THEM
ENOUGH AND WE PRAYED NOTHING
HAPPENS TO CHANGE THAT.
100 PERCENT UPTAKE EVEN WHILE
NOT THINKING OF THE FIT.
WE CAN DO BETTER AND THESE ARE
THE THINGS WE NEED TO CONTINUE.
SO FIDELITY THE QUALITY OF
INTERVENTION IS IMPORTANT AT THE
SAME TIME ADAPTATION WILL HAPPEN
IF WE LIKE IT OR NOT.
ALL IT'S GREAT TO THINK OF THE
ORIGINAL VERSION OF KNOCKING ON
HEAVENS DOOR I WOULD ARGUE THE
BENEFIT OF ALL THE DIFFERENT
ADAPTATIONS HAS GROWN TO USE TO
BENEFIT IS NOT CONTINGENT IF YOU
LIKE A CERTAIN VOICE OR
INSTRUMENTATION BUT WHETHER YOU
LIKE THE BENEFIT FROM THE
UNDERLYING INTERVENTION.
WE KNOW THERE ARE VARIABLE USES
OF INTERVENTIONS AND THINK ABOUT
THEM VARIABLY AS TO JUST HOLDING
TRUE TO THE ONE-SIZE-FITS-ALL.
A LOT OF DIFFERENT WAYS WE KNOW
WE NEED TO ADAPT FOR DIFFERENT
INTERVENTIONS TO EVOLVE OVER
TIME AND THIS IS A DIFFERENT
OPPORTUNITY TO LEARN FROM THE
WORK YOU ARE DOING TO MAKE THOSE
ADAPTATIONS.
THE ENCOURAGEMENT AS TO SAY
LET'S TAKE THE KNOWLEDGE BASE
AND TURN IT SO IT IS ACCESSIBLE
SEE DON'T HAVE TO MAKE IT UP AS
YOU GO ALONG.
WE RECOGNIZE OVER TIME THE
FORMAT THAT WE SCALE UP CHANGES.
WE HAVE SEEN AN EVOLUTION THE
WAY PEOPLE LISTEN TO MUSIC OVER
TIME AND THE SAME 8 TRACK TAPE
IS NOT AS USEFUL AS IT WAS IN
ITS DAY.
THE SAME TIME IT'S NOT ALWAYS A
LINEAR PATHWAY.
VINYL HAS COME BACK AS A MUCH
MORE CELEBRATED WAY TO LISTEN TO
MUSIC.
WE NEED TO THINK ABOUT WHAT IT
IS WE ARE SCALING UP, HOW WE'RE
TRYING IS IT ASKED FOR OR
DEMANDED CRACKS NOT JUST
SUPPLYING BUT WHAT WE UNDERSTAND
ABOUT THE DEMAND.
WHAT IS CURRENTLY USED AND IS IT
PREFERRED TO WHAT WE THINK IT
SHOULD BE CRACKS AT THE SAME
TIME IT IS NOT A DAY NUMBER 1
ISSUE BUT OVER TIME HOW CAN WE
MAKE THE BENEFIT CRACKS WHO
KNOWS WHAT THIS IS A PICTURE ON
THE LEFT?
THANK YOU THE BEATLES HAIRCUT
THE FACIAL HAIR AND EYEWEAR IT
SAYS TO ME THEY CHANGED AND
EVOLVED OVER TIME IF ANYBODY
KNOWS THE FIRST RECORD THEY WERE
FEATURED ON I BELIEVE IT WAS MY
BONNIE LIES OVER THE OCEAN AS A
BACKUP PLAN FOR SHERIDAN THEY
WOULD SAY IS IS NOT AS GOOD AS
IT GOT SOME OF THE BEATLES CAN
EVOLVE OVER TIME SHOULD IN OUR
INTERVENTIONS CRACKS AND HOW DO
WE PLAN FOR THE INTERVENTION AND
INCORPORATE THAT INTO THE DESIGN
AND DEAL WITH THAT INEVITABILITY
OF EVOLUTION CRACKS I WOULD
GUESS MOST ARE PART OF THE
INHERENT PROPERTY.
WHEN WE THINK ABOUT
SUSTAINABILITY COMING FROM THE
FRAMEWORK OF 10 YEARS AGO THINK
OF INTERVENTIONS AS A PUZZLE
PIECE CHANGING OVER TIME.
THE CONTEXT IS LIKE THE RECEPTOR
SITE.
IF WE OPTIMIZE FIT THEN MIGHT WE
BE BETTER OFF CRACKS HOW DO WE
MAKE SURE CHANGES FROM WHAT WE
DO CRACKS IF YOU ARE NOT IN THAT
PURPLE CIRCLE AND DEVELOPING
DIFFERENT INTERVENTIONS, PLEASE
LOOK AT EARLIER STAGES OF WORK
AND WE CAN FOCUS ON WHO WILL
DELIVER MY INTERVENTION CRACKS
WITH THE ULTIMATE PATIENT
POPULATION AND HOW DO WE LEARN
ABOUT SUPPORTING OUR CLINICIANS
AND PATIENTS AND ENGAGE CRACKS
HOW DO WE THINK BOTH ABOUT
ASKING QUESTIONS ABOUT WHAT WITH
THE HOW DO WE GET THESE TO USE
IN THE CONTEXT OF A TRIAL SO IT
IS HELPFUL TO DO IT IN THE
CONTEXT OF REAL-LIFE.
JUST SO YOU KNOW IT IS AN ACTIVE
AREA OF NIH WE ARE PASSIONATE
ABOUT ADVANCING.
RESEARCH QUESTIONS WE WANT TO
ANSWER.
YOU CAN SEE FROM THIS VANTAGE
POINT ALL OF THE INSTITUTES AND
CENTERS TO ASK THE QUESTION FROM
THE SETTINGS IN INTERVENTION TO
IMPROVE HEALTH.
SO EVERY FEW YEARS WE COME OUT
WITH UPDATES THIS IS WHY WE
THINK ABOUT SUSTAINABILITY AND
THE IMPLEMENTATION.
WE KNOW WHAT HAPPENS ON DAY 1 IS
NOT THE BEST.
WE HAVE
RESOURCES, CONFERENCES, 1500
PEOPLE EARLIER THIS WEEK TO
THINK THROUGH HOW WE CAN DO
BETTER BUT WHAT ARE THE
CHALLENGES AND THE ASSUMPTIONS
CRACKS IF ANYONE IS INTERESTED
PLEASE JOIN THE CAT WITH GUITAR
FOLLOW UP WITH ME.
IT HAS BEEN A PLEASURE AND THANK
YOU FOR THE OPPORTUNITY TO CHAT
WITH YOU.
[APPLAUSE]
>> SO TO OFFER A DIFFERENT
PERSPECTIVE THE WHOLE CONCEPT
AND TO INTEGRATE INTO HEALTHCARE
SYSTEM.
WE WILL HEAR PERSPECTIVE FROM
POLICYMAKERS MUSIC THERAPY
ASSOCIATION, THE PUBLIC.
AND ALSO ORGANIZATION.
HERE WE HAVE MEDSTAR HEALTH
HEALTH, FLORIDA GULF COAST
UNIVERSITY, A MTA, AARP, NCCI
AGE TO FOCUS ON HER INTERACTION
WITH CMS AND UNIVERSITY OF
FLORIDA.
>> I WILL START.
GOOD AFTERNOON.
I AM AND ALL OF THE WORK THAT IS
BEING DONE IN THIS DISCIPLINE.
I NEED TO SHARE WITH UI AM ALSO
VERY EMBARRASSED.
I WAS UNAWARE.
I AM THE EXECUTIVE AT MEDSTAR
DEALING WITH THE PAIRS AND ALSO
A LOT OF POPULATION HEALTH
RESPONSIBILITIES.
SO WHEN I GOT THE INVITATION TO
THIS I LEARNED A LOT ABOUT WHAT
OUR OWN SYSTEM IS OFFERING.
I'M STILL TRYING TO PROCESS
THAT.
BECAUSE A LOT OF THE
SERVICES, THE GREAT WORK BEING
DONE WITH STROKE PATIENTS AT
MEDSTAR REHAB HOSPITAL OR THE
THERAPIES DONE AT THE CANCER
CENTER IN GEORGETOWN A LOT OF
THAT IS THROUGH GRANTS.
SO MY TEAM IS NOT INVOLVED.
WE HAVE A LOT OF WORK TO DO.
WE ALL KNOW WHEN IT WAS SAID
EARLIER THAT PROVIDERS CANNOT BE
ALL THINGS TO ALL PATIENTS AND
CLEARLY PAYERS CANNOT PAY FOR
EVERYTHING THAT MIGHT BENEFIT
THEIR MEMBERS BUT AGAIN THE
REIMBURSEMENT IS SO SPARSE ON
THE COMMERCIAL SIDE ESPECIALLY.
IT APPEARS ONLY A STATE MANDATE
FOR COVERAGE SO WHY AM I
OPTIMISTIC CRACKS BECAUSE OF ALL
THE WORK THAT IS DONE HERE WITH
THE TOOLKIT AND REPORTING WITH
OUTCOMES AND QUALITY THOSE ARE
ESSENTIAL ELEMENTS TO GET THOSE
MOVED FROM THE EXPERIMENTAL
INVESTIGATIVE CATEGORY IN TERMS
OF THE PAYERS.
I AM OPTIMISTIC BECAUSE AS YOU
KNOW THERE'S A BIG COMMITMENT ON
THE PART OF THE GOVERNMENTAL AND
COMMERCIAL PAYERS FOR MORE
POPULATION -BASED PAYMENTS THAT
IS MY RESPONSIBILITY AT MEDSTAR
WITH A PLAN TO WORK CLOSELY WITH
THE STATE OF MARYLAND WITH THE
PRIMARY CARE PROGRAM.
WE'VE HAD A LOT OF SUCCESS WITH
COMMERCIAL PAYERS AND WE AGREE
WE WILL NOT LET BENEFIT DESIGN
GET WHAT IS RIGHT FOR THE
PATIENT SO I WOULD URGE YOU YES
WE HAVE TO GO THROUGH THE
PROCESS AND TALK ABOUT THE
TRADITIONAL SYSTEM APPROACH I
THINK NOW IS THE TIME FOR THIS
WORK TO BE ACCELERATED ANY
ADVOCACY TO BE ACCELERATED.
PROVIDER SYSTEMS AND PAYERS LOOK
FOR SOLUTIONS.
THE THINGS I HAVE LEARNED THE
LAST 2 DAYS, MAKE IT NOT ONLY
GOOD FOR THE PATIENT AND CARE
AND QUALITY OF LIFE BUT
ABSOLUTELY MAKES GOOD FINANCIAL
SENSE.
THANK YOU FOR THE INVITATION TO
BE HERE.
I HAVE NEVER BEEN ALMOST OF MY
FOR DECADES ATTENDED A MEETING
SO HEAVY ON MY HEAD AND HEART AT
THE SAME TIME.
IT HAS BEEN AN ABSOLUTE PLEASURE
I LEAVE INSPIRED TO BE 1 OF THE
ADVOCATES FOR THIS SERVICE FOR
SURE.
[APPLAUSE]
>> THANK YOU IT IS A PRIVILEGE
TO BRING THIS PERSPECTIVE OF THE
PUBLIC TO THE CONVERSATION.
I COME TO THE SPACE IS A
BOARD-CERTIFIED MUSIC THERAPIST
AND I REFERENCE MUSIC IN THE
COMMENTS BUT AS MENTIONED BY
SEVERAL OTHERS TODAY MY COMMENTS
EXTEND TO THE ARTS IN GENERAL.
I INVITE YOU TO USE YOUR
CREATIVE IMAGINATION TO THINK OF
THE ARTS WHEN I SAY MUSIC.
WHERE DOES THE PUBLIC COME INTO
PLAY IN THESE CONVERSATIONS?
THERE ARE SEVERAL POSSIBLE
AVENUES TO EXPLORE BUT I WANT TO
FOCUS ON ACCESS.
MORE SPECIFICALLY INCREASED
ACCESS TO SAFE EVIDENCE
SUPPORTED AND COST-EFFECTIVE
WAYS OF EXPERIENCING MUSIC AS AN
INTERVENTION AND AS A RESOURCE
TO SUPPORT HEALTH AND WELLNESS
AND SOCIAL CONNECTION.
THE IDEA OF ACCESS CAN PRESENT
IN MANY WAYS ACCESS TO QUALIFIED
PROVIDERS EQUIPPED WITH THE
SKILLS AND KNOWLEDGE AND
EXPERIENCE TO PROVIDE SAFE MUSIC
AND MUSIC EXPERIENCES TO SUPPORT
A PARTICULAR PUBLIC GROUP WITH
WHOM THEY ARE WORKING THE
PRACTITIONER CAN INCLUDE BUT NOT
LIMITED TO BOARD CERTIFIED MUSIC
THERAPIST, TEACHERS EDUCATOR
EDUCATORS, BEHAVIORAL HEALTH
PROVIDERS AND CARE PARTNERS AND
LOVED ONES.
AS MENTIONED YESTERDAY ACCESS
CAN ALSO MEAN ACCESSIBILITY.
REDUCING BARRIERS TO INCLUSION.
ACCESS CAN ALSO PRESENT TO
INCREASE FUNDING SOURCES FOR
MUSIC THERAPY AND INTERVENTION
AND RESOURCE OPTIONS.
SHARED YESTERDAY INCREASED
FUNDING TO SUPPORT MUSIC AND
HEALTH RESEARCH 35 MILLION I
BELIEVE WHICH IS INCREDIBLE AND
IMPORTANT AS IS TO SUPPORT THE
ACCESS TO OTHER INTERVENTIONS AS
A THERAPEUTIC OPTION NOT TO SAY
MUSIC IS THE BEST OPTION OR THE
RIGHT CHOICE IN ALL SITUATIONS
WE JUST WANT TO MAKE IT A CHOICE
WITH OTHER FUNDING BODIES
BECAUSE IT IS A SOUND INVEST
INVESTMENT.
ACCESS CAN BE THOUGHT OF HOW WE
CAN MAKE PROCESS MORE
STREAMLINED IT EASIER FOR THE
PUBLIC TO NAVIGATE HEALTHCARE
AND SYSTEMS CAN BE DIFFICULT AND
CONFUSING AND COMPLEX AND
ADDITIONALLY AS A MUSIC
THERAPIST THE INDIVIDUALS AND
THERAPIES ARE IN A CHALLENGING
VULNERABLE AND STRESSFUL
SITUATION.
FROM THE ACCESS PERSPECTIVE IS
THERE ANYTHING WE CAN DO TO HELP
SHAPE SYSTEMS TO MAKE THIS MORE
EQUITABLE AND LESS DIFFICULT?
AND FINALLY ACCESS REQUIRES
ENHANCED AWARENESS OF MUSIC
BASED OPTIONS THIS INCLUDES
AWARENESS OF EFFICACY OF
RESEARCH AND FEWER THAN 17 YEARS
I HOPE SO ADMINISTERS AGENCY
OFFICIALS AND PAYERS CAN MAKE
INFORMED POLICY AND FUNDING
DECISIONS AWARENESS THE MUSIC
BASE SUPPORT SO COLLEAGUES CAN
MAKE INFORMED REFERRALS AND
AWARENESS MUSIC THERAPY AND
INTERVENTION AND EDUCATION
OPTIONS EVEN EXIST SO THE PUBLIC
FEELS MORE EMPOWERED TO MAKE
INFORMED DECISIONS ABOUT THEIR
OWN HEALTH AND EDUCATION.
THANK YOU.
[APPLAUSE]
>> THANK YOU FOR THIS
OPPORTUNITY.
MY ROLE AT A MTA AS A DIRECTOR
OF GOVERNMENT RELATIONS I
FREQUENTLY RESPOND TO SERVICE
ACCESS CHALLENGES ENCOUNTERED BY
CONSUMERS AND PROFESSIONALS
DESPITE MORE THAN 70 YEARS OF
CLINICAL HISTORY ADVOCACY FOR
INCREASED ACCESS IS A CONTINUOUS
PROCESS JUST BECAUSE FEDERAL AND
STATE GOVERNMENT AGENCIES MIGHT
CLARIFY MUSIC THERAPY IS AN
ALLOWABLE SERVICE EVEN INCLUDED
IN SOME REIMBURSEMENT SYSTEMS
, IT DOES NOT ALWAYS TRANSLATE
INTO THE SUCCESSFUL
IMPLEMENTATION WITH AN
INDIVIDUAL PROGRAM'S ABILITIES.
ASSOCIATION AND INITIATIVES OVER
THE PAST 20 YEARS HAVE RAISED
AWARENESS OF A STRONG
RELATIONSHIPS BETWEEN RESEARCH
AND STATE RECOGNITION AND
REIMBURSEMENT THEY IMPACT IN
SIGNIFICANT WAYS.
POLICY STAKEHOLDERS REQUEST
SUPPORTING EVIDENCE OF TREATMENT
BENEFITS AND COST EFFECTIVENESS
OF MUSIC THERAPY FOR A DIAGNOSIS
OR HEALTHCARE FACILITIES AND
FUNCTIONAL OUTCOMES ARE CLEARLY
DEFINED AND COST SAVINGS
REALIZED BY A CONSTITUENT OR
FACILITY IS EXPLAINED IN DOLLARS
AND CENTS.
1 MIGHT ASSUME THE NEED FOR THIS
LEVEL OF EVIDENCE IS LIMITED TO
JUSTIFYING REIMBURSEMENT FROM
PUBLIC/PRIVATE PAYERS.
BUT THESE ISSUES ARE PERVASIVE
IN ALL DISCUSSIONS INCLUDING THE
ONES THAT SEEK REGULATORY
RECOGNITION AND NATIONAL BOARD
CERTIFICATION TO GIVE AN EXAMPLE
OF WHERE WE ARE, THE DARK GREEN
STATES ON THE MAP SHOW WHERE THE
CREDENTIAL IS REQUIRED BY LAW
THE LIGHT GREEN STATE SHOWS
EDUCATION ADVOCACY LIKE BLUE
SHOWS ADDITIONAL RECOGNITION
EFFORTS THE ONLY 2 STATES ARE
ALASKA AND MONTANA WE DON'T HAVE
A TASK FORCE.
IT HAS BEEN AN ACTIVE PROCESS
OVER THE LAST 18 YEARS AND WE
ARE EXCITED EVEN THIS YEAR THE
STATE OF WASHINGTON, OHIO AND
CONNECTICUT PAST THERAPY.
SEEKING CONCLUSION IS A VALID
AND ACCEPTED TREATMENT OPTIONS
REQUIRING ATTENTION FOR
POLICYMAKERS AND CAN HELP FOCUS
THE NEEDS FOR FUTURE STUDIES.
IS IMPORTANT TO UNDERSTAND THE
RESEARCH AND RECOGNITION AND
REIMBURSEMENT AND THE IMPACT ON
POLICY AND PRACTICE.
RESEARCH LEADS TO IMPROVED
PRACTICE AND CAN INFLUENCE
POLICY, RECOGNITION ACCESS AND
REIMBURSEMENT WE MUST SEE POLICY
IMPACTS SUSTAINABLE PRACTICE.
THANK YOU.
[APPLAUSE]
>> HIGH.
I AM FROM THE COUNTRY'S LARGEST
NONPROFIT NONPARTISAN MEMBERSHIP
ORGANIZATION WHOSE MISSION IS TO
EMPOWER PEOPLE TO CHOOSE HOW
THEY WILL LIVE AS THEY AGE.
WHY AM I HERE?
BECAUSE PEOPLE CANNOT CHOOSE HOW
THEY WILL LIVE IF THEIR BRAINS
ARE NOT HEALTHY.
I RUN A SMALL DEPARTMENT THAT
AARP CALLED POLICY AND BRAIN
HEALTH.
AND I THINK THAT MUSIC IS THE
SPARK FROM MY LITTLE DEPARTMENT.
I WILL TELL YOU MY MISSION IS TO
SPARK A LIFETIME OF HEALTHIER
BRAINS AND TO DISRUPT DEMENTIA
AND I THINK MUSIC IS THE KEY TO
DOING BOTH OF THOSE.
SO WE ARE ALL DRINKING FROM A
FIREHOSE TODAY AND IT HAS BEEN
AMAZING I HAVE AN ASK OF THE
ORGANIZERS WHICH IS IS THERE A
WAY WE CAN ALL SHARE OUR CONTACT
WITH INFORMATION TO STAY IN
CONTACT WITH EACH OTHER TO KEEP
THIS COMMUNITY GOING AND GET THE
SLIDES?
SOME OF THOSE WE COULD NOT SEE
NO MATTER WHAT AGE WE ARE.
MUSIC WE HAVE HEARD TODAY HAS
POWER YOU CANNOT IMAGINE CAN AND
CONQUER AGEISM THAT IS THE ONLY
ACCEPTABLE -ISM AROUND THAT
DOESN'T GET PUSHBACK BUT IT
CROSSES ALL BARRIERS AND IT
KNOWS NO LANGUAGE DISTINCTION.
SO IF I ASK MUSIC ABOUT THAT HAS
VICTOR CHALLENGED US TO DO I BUT
SHE WAS A PIECE OF CAKE.
I HAVE DONE IT ALREADY YOU HAVE
HEARD OVER AND OVER AGAIN THAT
FROM THE FETUS THROUGH THE YEAR
OF HER STUDIES AT 85 THAT MUSIC
HELPS PEOPLE OF ALL AGES NO
MATTER WHERE THEY ARE.
NOW I HAVE HEARD A REFRAIN THAT
WE ALL NEED AND WANT MORE
RESOURCES.
NOW I AM A TRAINED LAWYER ACTING
AS YOUR COUNSELOR FOR A MOMENT
TO ADVISE YOU ON THAT.
THE AMOUNT OF RESOURCES IN THIS
ROOM IS STUNNING NIH HAS SENT
THEIR FINEST MINDS AND DEVOTED
RESOURCES AND TIME AND ATTENTION
NATIONAL ENDOWMENT FOR THE ARTS
TO PUT THEIR RESOURCES AND
BODIES AND BRAINS ON THE LINE TO
MAKE THIS HAPPEN.
WE HAVE A LOT OF RESOURCES
ALREADY.
BUT AS A LAWYER WHAT IS THE KEY
FOR ME CRACKS I WOULD SAY WHAT
IS THE STANDARD TO UNLOCK THOSE
RESOURCES?
MEDICARE IS A LARGEST SINGLE
HEALTHCARE PAYER IN THIS COUN
COUNTRY.
MEDICARE STANDARDS IS THE
COVERAGE LIMITED TO ITEMS THAT
ARE MEDICALLY NECESSARY DEFINED
AS WHAT IS REASONABLE AND
NECESSARY FOR THE DIAGNOSIS OR
TREATMENT OF AN ILLNESS OR
INJURY.
YOU ARE DEVELOPING THAT EVIDENCE
CREATING THE STANDARD OF WHAT IS
REASONABLE AND NECESSARY WE JUST
NEED TO INTEGRATE SO PEOPLE
UNDERSTAND IT IS REASONABLE AND
NECESSARY.
SO YOUR EVIDENCE THE HEALTH
INTERVENTION IS BETTER THAN A
PLACEBO AND IS SAFE IS
CRITICALLY IMPORTANT TO
UNLOCKING THE STANDARD.
AS HARD AS AARP HAS PUSHED IS A
PREVENTION PAYER AND WE MADE
PROGRESS WITH THE AFFORDABLE
CARE ACT OVER TIME TO HAVE THAT
BE TRUE THE REAL LOVERS THAT WE
NEED FOR RISK REDUCTION NOT JUST
TREATMENT OF DISEASE BUT TO
PREVENT THIS IS WE NEED THE CDC
AND ALL STATE AND LOCAL PUBLIC
HEALTH OFFICIALS AS PART OF THIS
CONVERSATION.
THEY ARE THE INSTITUTIONAL
SYSTEMIC WAYS TO DRIVE THESE
CHANGES OF EVERY COMMUNITY
WHETHER RURAL OR URBAN.
THEY ARE THE PEOPLE TO TRANSLATE
SOLUTIONS INTO SYSTEMIC WAYS TO
RAISE OUR HEALTH.
IT'S NOT JUST THEM BUT THE
INSURANCE COMPANIES OR
INTEGRATED HEALTH SYSTEMS LIKE
THE V.A. OR MANAGED-CARE LIKE
KAISER.
THESE ARE THE PEOPLE THAT WILL
ECONOMICALLY STAND TO BENEFIT
FROM THE VALUE YOU ARE OFFERING.
AS LESLIE SAYS WHAT IS THE VALUE
TO THEM?
AND THEN WE CAN IMPLEMENT THIS
EVERYWHERE.
I AM RUNNING OUT OF TIME BUT IF
3 QUICK ASKS.
FIRST, IF YOU HAVE RESEARCH
SUPPORTED BY THE NIH YOU ARE
REQUIRED BY LAW TO SHARE THE
DATA.
IF YOU ARE INTERESTED IN THAT
PLEASE CONTACT ME.
I HAVE BEEN WORKING WITH THE
GATES FOUNDATION AND MANY OTHERS
TO MAKE A DATA PLATFORM
AVAILABLE TO MAKE IT EASIER FOR
ALL OF YOU TO SHARE THE DATA YOU
ARE COLLECTING AND THEN USE
OTHER DATA OTHER PEOPLE HAVE
COLLECTED SO WE CAN SPEED
DISCOVERY.
ASK NUMBER 1.
NUMBER TO JOIN US IN THE EFFORTS
TO BUILD BETTER BRAIN HEALTH
CRACKS I WANT TO DO WHATEVER I
CAN TO HELP ALL OF YOU AS WE
COLLABORATE.
BUT I BELIEVE MUSIC IS THE TOOL
TO SPARK BRAIN HEALTH ACTION AND
ACTIVITY NOT JUST WORDS BUT
ACTION AND THIRD LET'S NOT BE
TOO PRECIOUS IN HER EFFORTS.
THERE ARE NOT ENOUGH MUSIC
THERAPIST IN THIS COUNTRY OR
GERIATRICIAN OR PRIMARY CARE
PROVIDERS TO BRING THESE
RESOURCES TO EVERYBODY WHO NEEDS
THEM SO IN YOUR SOLUTIONS YES
THERE ARE PLACES FOR ALL OF THE
THERAPISTS AND PEOPLE TO DEAL
BUT THINK OF SOLUTIONS GETTING
TO EVERYBODY NO MATTER IF YOU
HAVE HEALTHCARE DOLLARS TO PAY
FOR IT HOW DO YOU LET EVERYBODY
BE A COMPOSER?
YOU HAVE TO BE RENÉE FLEMING TO
GET THE BENEFITS BUT SOMEHOW
PEOPLE ARE AFRAID IF YOU CANNOT
SING THEN YOU DON'T HAVE A
VOICE?
THAT IS WHAT WE HAVE TO DO LET'S
NOT BE TOO PRECIOUS TO GET
PEOPLE TO SEEING OUT LOUD.
SOMEBODY SAID WHAT DOES HEALTH
SOUND LIKE?
I THINK IT SOUNDS LIKE DANCING
IN THE STREETS.
THINK ABOUT MARTHA AND THE VAN
DOLLARS.
MAY BE THIS IS A COPYRIGHT
VIOLATION SOMEWHERE.
BUT MAYBE IT'S NOT.
SOMEBODY SAID IF YOU GO TO
CHURCHES AND UNIONS THERE IS A
SONG PEOPLE JOIN TOGETHER.
WHAT WILL BE OUR ANTHEM?
I DON'T KNOW BUT YOUTUBE SOUNDS
PRETTY GOOD TO ME.
THOSE ADVERTISEMENTS.
DANCING IN THE STREETS.
♪
STAND UP.
COME ON.
♪
YOU GET THE IDEA.
THANK YOU.
[APPLAUSE]
>> .
>> THANK YOU FOR THAT.
I GET TO WORK WITH MANY OF THE
PEOPLE YOU HAVE MET OVER THE
LAST COUPLE OF DAYS I WAS ASKED
TO TALK A LITTLE BIT ABOUT MY
EXPERIENCE WORKING WITH
DIFFERENT PAYERS AND INSURERS TO
INCLUDE COLLABORATIVE EFFORTS AT
CMS.
THE WAY I GOT INVOLVED TO
COLLABORATE WITH CMS IN
PARTICULAR IS OUR ACTIVITIES
WITH PRAGMATIC TRIALS IN
HEALTHCARE SETTINGS WHERE THE
PATIENTS ARE SEEN WITH REAL LIFE
CONDITIONS AND LOTS OF
MEDICATIONS THEY ARE ON AND
TYPICALLY NOT INVOLVED IN
RESEARCH STUDIES PERK WE TOOK ON
A CHALLENGE OF HOW DO WE DO
RESEARCH WITH THE ACTUAL HEALTH
CARE SETTINGS WITH THOSE WHO
RECEIVED CARE AND DO THE
IMPLEMENTATION AND CHALLENGE TO
PUT THOSE INTERVENTIONS INTO
THOSE SETTINGS AND HAVE THE
PROVIDERS THEY ARE DELIVER THOSE
INTERVENTIONS CRACKS WE HAVE
LEARNED A LOT AND LEARNING WITH
OUR COLLEAGUES THE LEGISLATION
THAT DRIVES FOR MEDICARE CAN
COVER BY LAW.
IT IS DIFFERENT THAN OTHER
INSURANCE COMPANIES WHAT THEY
CAN COVER IS LITERALLY LAW.
NOW THERE IS INTERPRETATION OF
THE LAW BUT THEY DO HAVE A
CHARACTERISTIC WE TALKED ABOUT
REASONABLE AND NECESSARY AND
SOMETIMES WHAT YOU WILL SEE AND
PARENTHESES IS ALSO WITH IN A
SCOPE OF THE MEDICARE BENEFIT
CATEGORY FOR MUSIC AND MUSIC
THERAPY THAT IS 1 OF THE
CHALLENGES THERE IS A LOT OF
DIFFERENT THERAPEUTIC SERVICES
AND OTHER FORMS LOSE ARE ALL
RECOGNIZED INDIVIDUAL SERVICE
PROVIDERS RECOGNIZED BY MEDICARE
THAT'S A CHALLENGE.
I CANNOT SOLVE THAT IT IS UP TO
CONGRESS SO YOUR LOBBY EFFORTS
AND YOUR ACTIVITY WITH EVERYONE
ON THE HELL IS IMPORTANT TO MAKE
THAT TYPE OF CHANGE.
BUT THERE ARE OTHER WAYS
MEDICARE HAS A PLACE.
THEY LOOK AT THE EVIDENCE IN THE
RESEARCH AND IN OUR
CONVERSATIONS WITH THEM LOOKING
AT STUDIES WE ARE FUNDING
THROUGH THE HEAL INITIATIVE TO
END ADDICTION AND LONG-T
LONG-TERM, MOSTLY IN THE AREA OF
PAIN RESEARCH STUDIES, THEY HAVE
COME TO TELL US THERE ARE 3 KEY
THINGS THEY LOOK FOR IN
EVIDENCE.
AND THIS GENERALIZES TO ALL
INSURERS WHAT TO RECOVER AND NOT
COVER CRACKS WE HEARD A LOT
ABOUT THE QUALITY OF THE
EVIDENCE AND THE EFFICACY SHOW
ME THAT IT WORKS BETTER THAN A
PLACEBO CONTROL.
IDEALLY WOULD EVEN SHOW ME WITH
REAL-WORLD PATIENTS IT WORKS
BETTER AND IMPROVES OUTCOMES IN
THOSE COMPLEX PATIENTS.
SO THE EFFECTIVENESS PIECE IS
IMPORTANT.
ALSO LOOK AT OUTCOMES THAT
MATTER TO PATIENTS WE WOULD HEAR
THAT CONSISTENTLY FROM OUR
COLLEAGUES AT CMS THEY DON'T
JUST WANT TO KNOW CHANGES OF
BIOMARKER THAT IS IMPORTANT FOR
ESTABLISHING ACTIVE -- --
EFFICACY FOR DRUGS AND DEVICES
WITH FDA BUT ALSO IT MAKES THE
DIFFERENCE TO PATIENTS.
THE OTHER THING THEY TELL US IS
THEY WANT TO SEE THE RESULTS IN
THE STUDIES HAVE BEEN DONE IN
PATIENTS SIMILAR TO THE
BENEFICIARIES OF THE SERVICES
PROVIDING.
MEANING WHO ARE YOUR
PARTICIPANTS IN YOUR STUDIES TO
THE REFLECT THE DIVERSITY OF
INDIVIDUALS WHO ARE THE MEDICARE
AND MEDICAID BENEFICIARIES?
RACE, ETHNICITY
RACE, ETHNICITY, SEX, AGE, LIFEG
ABOUT 85.
THEY WANT TO KNOW ABOUT THE
OLDEST OLD AND WILL IT WORK FOR
THOSE INDIVIDUALS.
BUT CMS IS NOT ONLY MEDICARE BUT
ALSO MEDICAID TALKING ABOUT
INFANTS AND CHILDREN AND
PREGNANT WOMEN HAVING CHILDREN
AND SERVICES TO THOSE
INDIVIDUALS.
YOU MENTIONED THE COMPLEXITY OF
CONDITIONS SO OFTEN THEY ARE
DOING IN NARROW POPULATIONS THAT
EXCLUDE PEOPLE DOING A STUDY ON
INDIVIDUALS WITH HIGH BLOOD
PRESSURE BUT WHAT ABOUT THOSE
WITH DIABETES THERE IS SO MUCH
OVERLAP WITH THOSE CONDITIONS IT
MAKES IT HARD FOR THOSE
INDIVIDUALS IN THE ORGANIZATIONS
TO DECIDE ABOUT COVERAGE WHEN
YOU EXCLUDED A LARGE NUMBER OF
THE PEOPLE THAT COULD
POTENTIALLY HAVE THE TREATMENT
AND THE OTHER THING IS THAT ARE
YOU DELIVERING INTERVENTION A
VARIETY OF DIFFERENT SETTINGS?
RURAL, URBAN, TO MAKE SURE THESE
INTERVENTIONS WILL WORK AND ALL
THOSE DIFFERENT PLACES BECAUSE
THEY DO COVER SO MANY PEOPLE IT
CAN'T ONLY BE DELIVERED IN AN
ACADEMIC SETTING THAT'S FOR THE
IMPLEMENTATION AND RESEARCH
TALKED ABOUT BY DAVID CHAMBERS
AND IN THE PRAGMATIC TRIALS THAT
CAN BE EFFECTIVE TO ADD TO THE
EVIDENCE TO DEMONSTRATE THE
INTERVENTIONS WORK WITH REAL
PEOPLE IN A VARIETY OF DIFFERENT
SETTINGS AND THAT CAN BE
COMPELLING WHEN THEY MAKE
COVERAGE DECISIONS.
I WILL STOP THERE AND I'M HAPPY
TO ANSWER QUESTIONS.
[APPLAUSE]
>> GOOD AFTERNOON.
I AM DELIGHTED TO PROVIDE THE
LAST 2 MINUTE PRESENTATION TODAY
TALK ABOUT SOCIAL PRESCRIBING
WHICH WE HEARD A LITTLE BIT
ABOUT IT IS A MEANS FOR
CONNECTING PEOPLE TO NONCLINICAL
AND COMMUNITY-BASED RESOURCES
AND ARTS, CULTURE, SOCIAL OR --
-- SOCIAL IN NATURE ACTIVITIES
AND IMPORTANTLY A CO- PRODUCTION
OF A PATHWAY TOWARD HEALTH AND
WELLNESS BASED ON WHAT MATTERS
MOST TO PEOPLE.
IT'S MEANT TO FILL A GAP OF
WELLNESS AND PREVENTION AS WELL
TO HELP AVOID UNNECESSARY HIGH
RISK AND HIGH COST MEDICAL
INTERVENTIONS NOT NECESSARY YET
ALSO TO ADDRESS SOCIAL
DETERMINANTS AND DRIVERS OF
HEALTH AND TO EXPAND THE TOOLKIT
OF WHAT CARE PROVIDERS CAN OFFER
PATIENTS TO ADDRESS NEEDS TO
WHAT MATTER MOST TO THEM.
IT EXPLICITLY RECOGNIZES THE
IMPORTANCE OF SOCIAL CONNECTION
AND THE RISK OF LONELINESS AND
SOCIAL ISOLATION WE HAVE BEEN
THINKING A LOT ABOUT THE LAST 2
DAYS.
INCLUDING IN THE US THERE ARE AT
LEAST 28 PILOT PROGRAMS SOME
TALK ABOUT LINKING SPECIFICALLY
TO ARTS AND CULTURE OR ARTS ON
PRESCRIPTION PROGRAMS.
SOCIAL PRESCRIBING HAS BEEN IN
PLACE FOR MORE THAN A DECADE
WITH SIGNIFICANT INVESTMENTS AND
WITH NHS THE DOCUMENTED IMPACT
OF HEALTHCARE COST WE SEE
INCREASING INTEREST IN THE
UNITED STATES NOT ONLY IN
DEVELOPMENT OF PROGRAMMING BEEN
AROUND THE POTENTIAL FOR POLICY.
SO IN THE RESEARCH LAB I HAD THE
PLEASURE OF DIRECTING ME STUDIES
SOCIAL PRESCRIBING THROUGH
MULTI- FACETED AGENDA YOU CAN
SEE OUTLINED ON THE SCREENS WE
CONDUCTED 17 LARGE COHORT
STUDIES SO FAR ASSOCIATED
PARTICIPATION WITH A WIDE ARRAY
OF MENTAL HEALTH OUTCOMES AND
FOUND IN THE US OLDER ADULTS
THAT PARTICIPATE IN THE ARTS
JUST ONCE A MONTH OR MORE
20 PERCENT LESS LIKELY TO BE
DEPRESSED.
WE ALSO FOUND A RANGE OF
DOSE-RESPONSE RELATIONSHIPS AND
MULTIPLE DIMENSIONS OF
WELL-BEING AND HEALTH BEHAVIORS
FOR YOUNG PEOPLE AND BASED ON
THE STUDIES MANY OF WHICH WE
HAVE HEARD OF FROM YOU, WE
ASSERT ARTS PARTICIPATION AS A
HEALTH BEHAVIOR AND ESPECIALLY
AS STUDIES OF FIRM THE
PERSISTENT SOCIAL GRADIENT AND
DISPARITIES OF ARTS
PARTICIPATION THAT ACCESS TO THE
ARTS IS A SOCIAL DETERMINANTS OF
HEALTH WE KNOW THE PEOPLE WHO
HAVE ACCESS TO THE ARTS OF
OPPORTUNITIES FOR BETTER HEALTH
AND WELL-BEING CONDUCTING
IMPLEMENTATION SCIENCE STUDIES
IN CASE STUDIES OF MORE THAN US
PILOTS AND DEVELOPING RESOURCES
INCLUDING CORE OUTCOME SETS AND
REPORTING GUIDELINES TO ADVANCE
THE QUALITY OF RESEARCH AS WELL
AS ENABLE EVIDENCE SYNTHESIS
FROM EVIDENCE-BASED PRACTICE
POLICY AND INVESTMENTS MAY FEEL
IT'S CRITICALLY IMPORTANT TO
GROUND THE CURRENT EVIDENCE AND
SOCIAL PRESCRIBING HIGH-QUALITY
RESEARCH TO GUIDE EVIDENCE-BASED
AFTER SOME POLICY AND ENABLE
SOCIAL PRESCRIBING TO HELP MOVE
THE NEEDLE ON HEALTH AND HEALTH
EQUITY.
WE KNOW THAT SOCIAL PRESCRIBING
IS A COMPONENT BUT NOT THE ONLY
ONES.
TO BUILD UNDERSTANDING WITH THE
GENERAL PUBLIC JUST LIKE
EXERCISE AND GOOD
NUTRITION, REGULAR ARTS
PARTICIPATION CAN CONTRIBUTE
SIGNIFICANTLY TO HEALTH AND
WELL-BEING.
WANT TO LIFT UP THE IMPORTANCE
OF TRANSLATING OUR RESEARCH AND
INSIGHTS TO PEOPLE AND
POPULATIONS AND THE POPULATIONS
WE SERVE I'M GLAD THIS IS COME
UP AS A SIGNIFICANT TOPIC.
THE POINTS WE ARE ALL AIMING AT
TO MAKE MUSIC AND THE ARTS MORE
AVAILABLE AS A HEALTH RESOURCE
ARE A PART OF THE SOCIAL
MOVEMENT AND A PARADIGM SHIFT.
WE NEED GENERAL PUBLIC AWARENESS
AND PARTICIPATION TO MAKE THAT
HAPPEN.
THANK YOU.
[APPLAUSE]
>> WE HAVE ABOUT 13 MESSAGE --
-- MINUTES FOR QUESTIONS.
>> YOU APPRECIATED YOUR MUSIC
ORIENTED APPROACH TO PRESENT
IMPLEMENTATION SCIENCE.
BUT A QUESTION TAKING THE
TERMINOLOGY OF QUALITY OF
EVIDENCE AND MEDICARE, IS THERE
A THRESHOLD OR QUALITY OF
EVIDENCE OR A GENERAL RULE OF
THUMB TO GET COMPETITIVE
APPLICATIONS FOR SCIENCE THAT
CALLS FOR FUNDING?
FOR CLINICAL TRIALS DOES THAT
ASSUME THEY WOULD HAVE ALREADY
DONE PROSPECTIVE STUDIES?
I AM ASKING ON BEHALF OF THOSE
RESEARCHERS THAT ARE ASKING.
>> .
>> THE SIMPLE ANSWER IS OF
COURSE IT DEPENDS -- -- IT
DEPENDS.
NOT SATISFYING THAT IT DEPENDS
ON PART OF THE DECISION-MAKING
AROUND ENABLING MANY PEOPLE TO
GET A PARTICULAR IF THE RESEARCH
TEAM IS IN THE POSITION TO SAY
THIS IS READY TO BE
IMPLEMENTED, THEN THEY ARE
JUSTIFYING THE PRIOR EVIDENCE.
THERE ARE TIMES WE CAN LEARN SO
MUCH FROM EXISTING PRACTICE AND
IN THAT CASE WE ARE NOT MAKING
THE DECISION THAT INTERVENTION
IS DELIVERED.
IN SOME CASES WE WANT TO LEARN
ABOUT THE INTERVENTION WHILE
MAKING ITS WAY.
THAT'S WHY IT DEPENDS SO IF WE
SAY IT IS BENEFICIAL HOW DO WE
KNOW?
THE RISE OF SUPPLEMENTATION AND
STUDIES SHARES THE OPPORTUNITY
TO THINK ABOUT THE WHAT AND HOW
WITHIN THE SAME STUDY.
A GREAT QUESTION.
>> WHAT POLICIES SHOULD THERE BE
OR WHAT STRATEGIES SHOULD WE
TAKE FOR MUSIC AS PREVENTION TO
BECOME MORE MAINSTREAM?
>> WHAT POLICIES SHOULD WE KEEP
IN MIND?
I DON'T KNOW THE ANSWER TO THAT
IMMEDIATELY BUT WHAT I WOULD
THINK THROUGH IS WHAT CAN WE
SHOW ABOUT THE SAVINGS TO THE
COST OF SYSTEMS THAT WHATEVER
YOUR INTERVENTIONS WORD SHOW AND
FIGURE OUT WHO WOULD BENEFIT
FROM THOSE SAVINGS AND WORK WITH
THOSE ORGANIZATIONS OR
INSTITUTIONS TO MOVE IN THE
DIRECTION TO HELP IMPLEMENT
THEM.
PUBLIC HEALTH SYSTEMS WILL LATCH
ON IMMEDIATELY AND THEIR SOMEONE
FROM L.A. WHO CAN PROBABLY
ADDRESS THIS WORKING FOR THE
COUNTY BUT LATCH ON TO THIS
BECAUSE IT WILL EVOLVE PEOPLE
AND BRING THEM TO THE TABLE
IMMEDIATELY BECAUSE IT IS
COMPELLING AND INTERESTING AND
BRINGING PEOPLE TO YOU.
SO I WANT TO THINK THROUGH THAT
MORE.
>> IT IS A COMPLEX QUESTION I
WOULD ADD A COUPLE THINGS.
POLICY MEANS A RANGE OF THINGS.
LAWS AND FUNDING STRATEGIES.
SORRY REDUNDANT AND GOVERNMENTAL
GUIDELINES TO A SMALL P POLICY
LIKE THE NORMS AND CULTURAL
NORMS AND PRACTICES.
I SAID SOCIAL PRESCRIBING
BECAUSE 1 COMPONENT IS SOCIAL
PRESCRIBING WITH POLICY
IMPLEMENTATION ENABLE FUNDING
AND THE PRESCRIBING LIKE CARE
PROVIDERS TO REFER PEOPLE TO
SERVICES AND TO BE
INFRASTRUCTURES TO MAKE THOSE
CONNECTIONS OR PAYMENT
STRUCTURES TO SUPPORT THOSE
ACTIVITIES.
THAT IS 1 SORT OF ARENA OF THE
POLICY AREA AND NEEDS TO WORK IN
TANDEM WITH THE NORMS THAT WE
RECOGNIZE THAT IF WE KNOW
ENGAGING IN THE ARTS IS GOOD FOR
MY HEALTH, I CAN MAKE AN EFFORT
TO GO TO CHURCH AND ENJOY MY
CHOIR.
TAKE PART OF THE FESTIVALS IN MY
COMMUNITY AND RECOGNIZE IN THE
MORNING BEAUTY AND CREATIVITY IS
A HEALTH RESOURCE THAT WE CAN
UTILIZE ALL OF THOSE AVENUES.
I HAVE SOME CONCERN IN THE
UNITED STATES SOCIAL PRESCRIBING
POLICY TO MOVE TOO QUICKLY AND
THEN TO ENABLE ACCESS TO THE
ARTS COULD MOVE TOO QUICKLY TO
CREATE A SYSTEM THAT ALLOWS
ACCESS FOR CERTAIN PEOPLE AND
NOT ALL PEOPLE.
WE HAVE TO TAKE REALLY GOOD CARE
WITH POLICY AROUND SOCIAL
PRESCRIBING NOT TO CREATE MORE
RACIST AND EXCLUSIVE SYSTEMS AND
BARRIERS BUT CREATE VERY
DIFFERENT SYSTEMS TO SERVE IN
THE WAYS THAT WE SEEK TO SERVE.
>> A VERY INTERESTING PANEL.
THE TOOLKIT IS EXCITING.
I WANTED TO SAY THAT QUICKLY.
HOPEFULLY PEOPLE WILL TAKE
ADVANTAGE OF THAT AND THAT WOULD
MAKE MY JOB EASIER.
HAVE A QUESTION FOR DAVID ABOUT
IMPLEMENTATION OF SCIENCE.
WE HAVE NOTICED AT THE LANCET WE
HARDLY EVER GET IMPLEMENTATION
SCIENCE PAPERS AND CLINICAL
TRIALS RESEARCH I DON'T KNOW IF
THAT IS SET -- -- SELF-SELECTING
EVEN THEY THINK WE ARE NOT
INTERESTED.
BUT IT'S SO IMPORTANT DO YOU
HAVE ANY INSIGHT AROUND THAT AND
HOW THE MEDICAL JOURNALS COULD
HELP WITH IMPROVING ACCESS?
>> THANK YOU FOR OFFERING.
HISTORICALLY, THERE HAS BEEN
LESS FAMILIARITY THAT THESE ARE
RESEARCH QUESTIONS.
AND INSTEAD THINGS THAT WE DO.
BUT IN AND INCREASING NUMBER OF
JOURNALS WHETHER VIEWPOINTS OR
EMPIRICAL WORK, HAVE EMBRACED
THESE ARE QUESTIONS WE ARE
EMPIRICALLY ASKING AND
ANSWERING.
OVER THE LAST FEW YEARS THERE
HAS BEEN A RISE OF JOURNALS
SPECIFICALLY CONCENTRATING ON
IMPLEMENTATION SCIENCE.
COMMUNICATION AND RESEARCH AND
PRACTICE BUT THE OPPORTUNITY
STILL TO TRY TO COEXIST WITHIN
THE HIGH IMPACT JOURNALS IS
STILL SOMETHING WE CAN PURSUE.
WE HAVE MEET THE EDITORS
SESSIONS AT DIFFERENT
CONFERENCES AND OPPORTUNITIES TO
COME AND SPEAK EXACTLY TO WHAT
THEY ARE LOOKING FOR.
1500 PEOPLE WHO WOULD'VE LOVE TO
HEAR THE MESSAGE THAT THE LANCET
IS EXCITED.
OR THAT THE COMMISSIONS ARE
CLEARLY INTERESTED IN THIS
AREA.
HAPPY TO TALK FURTHER.
>> AND IF I CAN ADD ON THE OTHER
END OF THE INTERVENTION
DEVELOPMENT SPECTRUM.
SOMETIMES IT'S DIFFICULT AS A
RESEARCHER AND PUBLISHER AND
EDITOR TO HAVE JOURNALS
INTERESTED THAT EVEN UNDERSTAND
THE DIFFERENT PHASES OF USING
THE RESEARCH AND WHAT NIH
PROPOSES AS GUIDELINES AND THE
PILOT STUDY WE SEE THAT ON THE
OTHER END AS WELL WITH
DISSEMINATION.
JUST IN ANOTHER WAY.
>> THE LAST QUESTION.
PLEASE MAKE IT QUICK BECAUSE WE
HAVE TO HEAR FROM DR. COLLINS AT
THE END.
>> I WILL MAKE THIS QUICK.
AND LOOKING FOR ANSWERS TO
STUDIES, IT SEEMS LIKE IT MIGHT
BE POSSIBLE TO FIND ANSWERS.
AS SOON AS WE HEARD RAUL PLA
PLAY, THE FLUTE AND THE BULL AS
SOON AS WE HEAR IT, THAT IS IT.
IS IT POSSIBLE TO TAKE A
POSSIBLE STUDIES AND LIST A
TOURING MUSICIAN THAT HAS BEEN
STUDYING ON PEOPLE.
RAUL TOLD ME DOESN'T MATTER THE
LANGUAGE AND HAS THE SAME EFF
EFFECT.
I BET IF WE SAY WHAT LOWERS OUR
HEART RATE?
SO I WILL COULD TELL YOU.
THAT WOULD BE MY GUESS.
BUT WHAT WOULD HAPPEN IF AN
ORGANIZATION WHO WANTS TO DO A
STUDY IS IT POSSIBLE SOMEBODY
LIKE THAT COULD PARTNER WITH THE
MUSICIAN IN FRONT OF SUBJECTS
EVERY NIGHT AND FIND A STUDY
THAT COULD HAPPEN ALMOST EVERY
NIGHT?
SOME OF ITS POSSIBLE OR EVEN
LEGAL.
[LAUGHTER]
BUT WE ARE DOING STUDIES
LITERALLY EVERY NIGHT HE
REARRANGES THE SET LIST.
HE KNOWS WHAT HE WILL DO ACTORS
DO THE SAME THING IF YOU SCORE A
MOVIE YOU KNOW WHAT THE SOUND
WILL DO TO THEM LISTENING.
DANCER KNOWS.
WHAT IF THERE WAS A PARTNERSHIP?
IT SEEMS LIKE IT COULD BE A LESS
EXPENSIVE WAY FOR SOMEONE TO DO
A STUDY AND A WAY FOR AN ARTIST
TO GET FUNDED.
IS THAT POSSIBLE?
[APPLAUSE]
>> THIS IS RAUL.
SOMETHING OCCURRED TO ME AS A
PERFORMING MUSICIAN.
WE HEAR AND MOST OF US
EXPERIENCE MUSIC THERAPY IN SOME
WAY OR OTHER WITH OURSELVES OR
WITH EACH OTHER.
AND MOST OF US HAVE PLAYED TO
AUDIENCES AND OLDER AUDIENCES.
IT'S AMAZING WHAT MUSIC DOES TO
PEOPLE WHO DEAL WITH SOMETHING.
SO IT OCCURRED TO ME THERE IS A
LIE THE STUDIES AND MEDICAL
JOURNALS PEOPLE DON'T HEAR THEM
OR READ THEM.
WEST IF THERE WAS A WAY MONTH
MONTHLY, A SYNDICATED RADIO
PROGRAM THAT COMBINES MUSIC WITH
PEOPLE THAT ARE DOING THIS KIND
OF RESEARCH TELLING STORIES HOW
MUSIC THERAPY AND MUSIC HAS
HELPED THEM?
BECAUSE THIS MEANS THE ACCESS
PROBLEM IS NOT THERE.
WHAT ABOUT SOMETHING LIKE THAT?
[APPLAUSE]
>> I LOVE THAT IDEA WITH 2 QUICK
COMMENTS AND I LOVE THE QUESTION
IT IS ANOTHER WAY TO SHARE THE
STORY OF RESEARCH TO MAKE IT
STICKY AND THEN THE OTHER
THOUGHT IT'S NOT MY EXPERTISE
BUT THERE IS METHODOLOGY OF ARTS
-BASED RESEARCH AND PART OF THAT
INCLUDES DISSEMINATING THROUGH
THE ARTS PLATFORM AND USING THE
INFORMATION GENERATED
INTERACTION TO HELP AS PART OF
THE DATA COLLECTION AND ANALYSIS
PROCESS THAT METHODOLOGY HAVE
NEVER DONE BEFORE BUT IT
REMINDED ME OF THAT.
>> IT IS AN IMPORTANT MOMENT TO
VALUE THE WISDOM AND THE
KNOWLEDGE OF ARTIST WHAT THEY
SEE AND UNDERSTAND AND
EXPERIENCE IS VALID AND
IMPORTANT AND HAS A PLACE IN THE
CANONS SO THAT BROADENING WAYS
OF KNOWING IS CRITICALLY
IMPORTANT.
>> THIS WILL BE A COMPLETELY
BUREAUCRATIC COMMENT BUT BACK TO
THE ISSUE OF HOW YOU CAN BEST
CONVINCE CMS SOMETHING IS WORTH
REIMBURSING THERE IS ANOTHER
PIECE WHICH IS THE UNITED STATES
PREVENTIVE SERVICES TASK FORCE
BUT BASICALLY THIS IS THE
ORGANIZATION THAT LOOKS AT
SOMETHING THAT MIGHT BE USEFUL
FOR PREVENTION AND EVALUATE THE
LITERATURE OUT THERE.
DOES IT WORK OR NOT CRACKS AND
THEN THEY GIVE A SCORE IF IT
WORKS FOR EVERYBODY.
IF RIGHT NOW WERE TO LOOK AT THE
EVIDENCE FOR MUSICAL
INTERVENTIONS SOMETHING CMS
WOULD CARE ABOUT LIKE TO MENT
MENTION, I AM AFRAID THEY WOULD
GIVE IT THE LETTER I CANNOT SEE
YOU THERE IS NOT ENOUGH RIGOROUS
WELL-CONTROLLED STUDIES TO SHOW
IT AND IMPROVES OUTCOMES
ALTHOUGH IT WILL NOT CONVINCE
THEM SO THEY ARE GOLDEN IF IT
GETS THE A CMS ALMOST HAS TO SAY
WE WILL NOW GIVE THIS NATIONAL
COVERAGE DETERMINATION.
TO SEE WHAT THE STANDARDS ARE
THAT IS A GOOD THING TO
INCORPORATE IN WHATEVER WE TRIED
TO DO TO GET THIS TYPE OF
WONDERFUL THERAPEUTIC EFFORTS IN
PLACE WHERE IT ISN'T JUST
LOWBALLED AND UNDERAPPRECIATED.
>> COMING OUT WITH A GUIDE MODEL
ON DEMENTIA COULD THAT BE AN
OPPORTUNITY CRACKS AS A PART OF
CMS THAT LOOKS AT POSSIBLE AREAS
THAT MAY BE WORTH INVESTING IN
ITS PILOTS BUT NOT QUICK.
TAKES A COUPLE OF YEARS ALTHOUGH
THE EYE IS INNOVATION.
[LAUGHTER]
THE BEST THEY CAN DO.
IS NOT A BAD IDEA TO MAKE A
PROPOSAL.
BECAUSE THEN THAT MAY GENERATE
MORE DATA.
>> I WOULD LIKE TO COMMENT ON
THE POINTS VERY QUICKLY.
THE GESTALT PSYCHOLOGIST EVERY
INTRODUCTORY PSYCHOLOGY BOOK AS
EXAMPLES OF THE SOLUTION OR THE
DARK THAT IS A RABBIT THEY WENT
LIKE THIS AND DEMONSTRATIONS AND
WE CONSIDER THAT SCIENCE.
THINK VICTOR IS ONTO SOMETHING
AND WITH RESPECT TO REMOVAL AND
THE RADIO SHOW THAT'S A
FANTASTIC IDEA AND IN CANADA A
GRANT PROGRAM WAS KNOWLEDGE
DISSEMINATION.
KNOW IF NIH OR NSF AS SUCH A
THING.
[LAUGHTER]
BUT IF NIH HAD PROGRAM FOR
KNOWLEDGE DISSEMINATION WITH A
GREAT COMMUNICATOR ON THE RADIO
THAT IS A WIN ALL THE WAY
AROUND.
THAT'S ALL I HAVE TO SAY.
[APPLAUSE]
>> THANK YOU FOR YOUR
PARTICIPATION.
>> WE WILL HEAD INTO OUR FINAL
CLOSE SESSION.
THANK YOU TO EVERYBODY AND
SESSION 6.
A WONDERFUL JOB.
[APPLAUSE]
MOVING INTO THIS CLOSING SESSION
THEN YOU WILL SEE SOME FOLKS
MOVING BEHIND THEM WAS STAGE SET
UP AND SOUND EQUIPMENT TO
INDICATE THERE COULD BE SOME
MUSIC THAT WILL HAVE BEEN
QUIETLY WILL THEY SHARE SOME
REFLECTIONS AND THOUGHTS AND OF
COURSE WE ARE SO PLEASED TO HAVE
FRANCIS AND RENÉ ESTEEM COCHAIRS
TO GUIDE US IN THE GENERAL
DISCUSSION OF
QUESTION-AND-ANSWER SESSION AND
THEN MUSIC WILL HAPPEN.
SO IT DID SEEM IT WOULD BE GOOD
AFTER AMAZING COUPLE OF DAYS
INCREDIBLY AN INTERESTING
DIVERSE PRESENTATIONS TO TRY TO
TAKE A MOMENT TO SAY WHERE ARE
WE AND WHAT SHOULD WE THINK
ABOUT WE HAVE LEARNED FROM THIS
AND WHAT KINDS OF THINGS WE WANT
TO THINK ABOUT GOING FORWARD?
I HAVE TO SAY TODAY BEGAN WITH A
TOUR DE FORCE PRESENTATION ABOUT
THAT VERY TOPIC AND STILL
REFLECTING ON THE THINGS THAT
YOU SAID AND TO HAVE A ROSTER
HERE OF IDEAS BUT THIS IS
SUPPOSED TO BE INTERACTIVE.
>> I WANT YOUR IDEAS AND TO TAKE
DOWN SOME OF YOUR THOUGHTS.
MANY OF YOU HAVE BEEN LISTENING
OVER 2 DAYS.
I WANT TO START BY SAYING THANK
YOU.
[APPLAUSE]
AND ALSO KATHERINE.
[APPLAUSE]
SESSION COCHAIR AND THE WORKSHOP
PLANNING COMMITTEE I KNOW BEING
IN THE MEETING SINCE FEBRUARY IT
WAS A HEAVY LIFT TO GET YOU ALL
HERE AND HAVE SUCH AN EXPANSIVE
ORGANIZATION OF GREAT MINDS FOR
EVERY SINGLE TOPIC.
BEAUTIFULLY PLANNED WANT TO
THINK THE ARTIST.
[APPLAUSE]
EVERYONE CAN YOU TO TOUR WITH ME
JUST LIKE THE JONI MITCHELL
PROGRAM.
PHENOMENAL.
>> I THINK MOST HAVE NOW
DEPARTED TO THE INSTITUTE
DIRECTORS TO THE NIH TO CAME AND
SPOKE THAT WAS THE TOP
LEADERSHIP OF THE
46 BILLION-DOLLAR PER YEAR
ORGANIZATION WHO FOUND TIME TO
THE ADVISORY COMMITTEE TO SNEAK
OVER HERE AND TO LISTEN TO THE
PRESENTATIONS THAT MAKES ME FEEL
LIKE THERE IS A REAL MOMENTUM
WITH NIH INTEREST TO SEE WHAT IS
HAPPENED OVER THE LAST 7 YEARS
GO FORWARD AND WE HOPE THAT WILL
TRANSLATE INTO ADDITIONAL IDEAS
WHICH I'M NOT THE DIRECTOR
ANYMORE SO I JUST HAVE TO
ENCOURAGE BUT THEY DO STILL
ANSWER MY E-MAIL SO FAR.
[LAUGHTER]
BUT IN THAT REGARD BE AWARE IT
IS NOT CLEAR THE BUDGET FOR NIH
WILL BE IN A VERY GOOD PLACE WE
ARE WAITING TO SEE IF THERE WILL
BE A CUT OR JUST CR FOR THE
WHOLE YEAR.
EVERYBODY WILL FEEL IN A TOUGH
SPOT FOR THINGS THAT ARE
BRAND-NEW AND EXPENSIVE.
IT'S NOT A BAD IDEA TO DIVERS
DIVERSIFY.
ALSO THE NATIONAL ENDOWMENT FOR
THE ARTS HAS BEEN SUCH AN
INCREDIBLE PARTNER.
[APPLAUSE]
AND I HOPE YOU LISTEN TO JULIE
LAST NIGHT WITH HER 3 INCREDIBLE
POINTS AT THE END OF THE DAY.
THE CEO AT THE FOUNDATION OF NIH
AND REALLY INTERESTED IN THIS.
MAYBE THERE ARE OPPORTUNITIES
THERE AS WELL TO FIND OTHER WAYS
TO TAP INTO THE PHILANTHROPY
THAT IS OUT THERE BUT NOT FIGURE
OUT.
>> SHE NAILED IT.
ABSOLUTELY AND WE ALL HAVE OUR
TAKEAWAYS.
I KNOW I WAS SHOCKED TO HEAR
ABOUT THE SINGING FOR
PARKINSON'S THEN SOMEONE SAID
THAT'S IDEATION WE HAVE KNOWN
ABOUT THAT FOREVER WHICH
UNDERLINES THE NEED FOR
CONNECTION BETWEEN THE
PRACTITIONERS AND RESEARCHERS
AND COMMON TERMINOLOGY.
>> 1 OF THE THINGS I SAW IS THE
OTHER RESEARCH EFFORTS THAT ARE
NOT AS WELL-CONNECTED AS THEY
COULD BE CONSIDERING WHAT IS
HAPPENING WITH MUSIC AS MEDICINE
HAS SHOWN US MENTIONING THE
BRAIN INITIATIVE IT MADE ME EVEN
MORE ANXIOUS TO SEE THE
INITIATIVE OF 700 AND
RESEARCHERS HALF FOR ENGINEERS
TO FIGURE OUT HOW DO THE
CIRCUITS IN THE BRAIN DO WHAT
THEY DO?
AND THEN TO TRIGGER CERTAIN
RESPONSES.
IF YOU HAVEN'T BEEN TRACKING
WITH THE BRAIN INITIATIVE IS
DOING AND THAT IS WHAT THE CELLS
ARE ON THE BRAIN WITH THE 14 OR
15 TYPES AND THEN DOING ALL
SORTS OF INTERESTING THINGS AND
BEGINNING TO MAKE SENSE AND JUST
TO BE SURE TO BUILD A LINK I
LOVE THE EXPERIMENTS TO TALK
ABOUT DOING MEASUREMENTS AND
REAL-TIME WITH A SURGICAL
OPERATION AND THOSE KINDS OF
EXPERIMENTS WE SHOULD MAKE THE
MOST OF BECAUSE THAT'S PROBABLY
OUR BEST OPPORTUNITY WITH A
CHANCE TO SEE WHAT'S HAPPENING
AS SOMEONE HAS A REAL-TIME
EXPERIENCE.
>> I LOVE THE BASIC SCIENCE
WITHOUT EXTRAORDINARY
NITTY-GRITTY AND VARIOUS
RESEARCH.
WITH THOSE BUILDING BLOCKS -- --
THE BUILDING BLOCKS.
>> AND WHAT HAS BEEN FUNDED BY
THE NIH COMMON FUND THERE'S
SOMETHING CALLED SPARK TO
STIMULATE PERIPHERAL ACTIVITY TO
RELIEVE CONDITIONS.
THE PERIPHERAL ACTIVITY IS THE
PERIPHERAL NERVOUS SYSTEM
INCLUDING PARASYMPATHETIC.
PHASE I TRY TO MAP OUT THE
AUTONOMIC NERVOUS SYSTEM.
GUESS WHAT PHASE 2 WAS ABOUT?
THE VAGUS NERVE.
THAT CAME UP SEVERAL TIMES.
I WAS NOT CLEAR THERE WAS A
CONNECTION THERE.
AND PART OF CLINICAL TRIALS.
AND THEN TO REACH OUT FOR WHAT
COULD BE DONE.
>> ALSO TALKED ABOUT HEALING
ADDICTION LONG-TERM WHICH IS A
HUGE INVESTMENT OF PAIN RESEARCH
AND TO COME UP WITH OBJECTIVE
MEASURES WITH THE 1 THROUGH 10
SCALE THAT WE ARE USED TO BUT
WITH LIMITATIONS.
AND THEN THAT IS ANOTHER GOOD
1.
WE SHOULD FIGURE OUT A WAY TO
HAVE THE LEADERSHIP MORE AWARE
WHAT'S GOING ON HERE THAT
ELEGANT WORK WITH MUSIC AS A
MEANS TO ALLEVIATE PAIN.
AND THE INTEGRATION OF
DISCIPLINES BETWEEN THE PROJECTS
BUT IN TERMS OF DISCIPLINES AND
IS STILL NOT LINKING UP THE WAY
YOU MAY HOPE HELP -- -- HOP.
I HAVE BEEN SCIENTIST TO
DISCOVER THINGS AND I CAN TELL
YOU MOST OF THE THINGS THAT WERE
SPECTACULAR BECAUSE THEY HAPPEN
QUICKLY WAS BECAUSE 2
DISCIPLINES GOT TO GATHER AT
FIRST AS LIKE I CAN UNDERSTAND
WHAT THEY ARE TALKING ABOUT.
WHY DO YOU SAY THINGS THAT WAY?
WHY DO YOU USE THAT TECHNOLOGY
CRACKS THEN THE LIGHTBULB GOES
ON AND THE SKILLS OF THE 2
DIFFERENT DISCIPLINES CREATE
SOMETHING THAT IS MUCH GREATER
THAN EITHER THOUGHT WOULD BE THE
CASE.
AND THEN THINGS HAPPEN VERY FA
FAST.
IT DOESN'T FEEL LIKE WE HAVE
CATALYZED THAT INTERDISCIPLINARY
WONDERFUL BREAKING FORWARD WITH
NEW INSIGHTS.
PARTICULARLY I WOULD LOVE TO SEE
SINCE THE VERY BEGINNING OF THIS
PROJECT TO BRING THE MUSIC
THERAPIST TO HAVE SO MUCH
KNOWLEDGE ABOUT WHAT REALLY
HAPPENS IS MUSIC IS PUT FORWARD
IN THE PATIENT IS REACTING WITH
THE NEUROSCIENTIST TO HAVE SO
MUCH LEARNING HOW THE BRAIN
WORKS, IT FEELS LIKE THEY ARE A
LITTLE TENTATIVE WITH EACH OTH
OTHER.
LOVE TO SEE THAT WE, MUCH MORE
VIGOROUS WAY TO UNDERSTAND
DISCIPLINES AND DO SOMETHING
EXCITING TOGETHER.
NIH MAY TRY TO HELP.
IF YOU REALLY WANT TO BE
FUNDED, BRING PSALM DISCIPLINES
TOGETHER WITH WHAT YOUR IDEA IS
AND WE WILL LOVE IT EVEN MORE.
>> I THOUGHT THE OUTREACH
CONVERSATION IS IMPORTANT TO
THINK ABOUT THE PATIENT AND WHO
YOU ARE SERVING WHEN YOU PUT THE
STUDY TOGETHER IS IMPORTANT.
TALKING ABOUT WHERE TO GO NEXT
WITH A GATHERING SHOULD BE
ANNUAL PUBLICATION?
CONNECT WITH OTHER ESTABLISHED
PUBLICATIONS QUESTIONS ALSO
CONNECT WITH ESTABLISH
CONFERENCES THAT EXIST LIKE
NARROW SCIENCE?
WE HAVE TO KEEP THE MOMENTUM
GOING.
>> MAYBE WE SHOULD STOP A MINUTE
AND TALK ABOUT THAT TOPIC.
WE WOULD LOVE TO GET YOUR INPUT.
SHOULD WE START A SOCIETY OR
HAVE A JOURNAL OR AN ANNUAL
MEETING?
SHOULD BE GET THE PRIZE?
AREA THE POINT WHERE THIS
DEVELOPMENT WOULD PROVIDE
ADDITIONAL EXCITEMENT AND
OPPORTUNITY FOR TRAINEES TO SAY
THAT THE FIELD I WANT TO GET
INTO?
NOT HAPPENING EVERY 7 YEARS BUT
MORE OFTEN.
>> THE ANSWER IS YES TO ALL OF
THE ABOVE.
CERTAIN NEUROSCIENCE IS A GREAT
FORUM FOR THIS.
THAT WOULD HAVE A TREMENDOUS
IMPACT IT HAS BEEN INTERESTING
THINGS AT THE MEETING TODAY THE
SINGLE THING THAT MOVED ME THE
MOST OF THE ENTIRE 2 DAYS WAS
THE VIDEO THAT RENÉ SHOWED OF
THE KID OPERATE ON FOR
EPILEPSY.
THAT JUST, WOW.
THERE IS A MESSAGE THERE IT WAS
INTENSELY MOVING.
JUST TO SEE WHAT THEIR OWN EYES
WHO WOULD NOT WANT MORE MUSIC
THERAPY IF THEY SEE THAT?
>> EVERYBODY CRIED WHEN WE FIRST
SOUGHT.
>> WE CRY TODAY.
>> IT IS ON THE WEBSITE.
YOU CAN SEE IT THAT TENURE WAS
MENTIONED TWICE THOUGHT THAT WAS
INTERESTING PERK I'M SORRY THAT
IS A CONSIDERATION.
MY SISTER IS IN DEEP IN HER
THIRD OR FOURTH YEAR.
BUT THEN TO CONVINCE HIM THAT
HAS TO BE A PUBLIC FACING
INITIATIVE.
AND HOW THEY CHANGE SOCIETY AND
THEY CAN HELP.
THAT THEY COULD SHARE WITH
ADMINISTRATORS.
>> I THINK ACADEMIA HAS GETTING
THE IDEA INTERDISCIPLINARY WORK
IS IMPORTANT.
MAYBE IT DOESN'T MATTER QUITE AS
MUCH AS IT USED TO IF YOU ARE
THE FIRST OR LAST AUTHOR AS LONG
AS YOU CAN SAY WHAT YOU DID.
MANY PAPERS IN THE SCIENCE I
WORK IN OF GENOMICS HAS DOZENS
OF AUTHORS.
PEOPLE SEEM TO BE RECOGNIZED AS
LONG AS THEY CAN SAY THEIR PART.
THAT SPILLED OVER INTO THE
HUMANITIES AS WELL AS SCIENCES.
WE HAVE WORK TO DO THERE.
NOT TO BE ACHIEVABLE AND WILL
TAKE LEADERSHIP OF ACADEMIC
LEADERS MAY BE START TO SEE THIS
AS A GOOD THING TO BROADEN.
>> BUT MAYBE LIKE A GOOD IN
CONFERENCE HAPPENS EVERY OTHER
YEAR AND STARTS WITH THE FIRST
DAY OF TRAINEES, GRADUATE
STUDENTS, POSTDOCS MUSIC
THERAPIST, AND THEN 4 OR 5 DAYS
OF THE CONFERENCE WERE THERE IS
A LOT OF BUILT-IN ROOM FOR
DISCUSSION.
EVERY SERIES OF TALKS HAS AN
EQUAL AMOUNT OF TIME FOR
DISCUSSION.
>> A GREAT IDEA.
>> WE WILL SHARE EVERYBODY'S
CONTACT INFORMATION UNLESS YOU
TELL US YOU DO NOT WANT TO.
>> I THINK A DEEP DIVE AT THE
CONFERENCE THAT IS WONDERFUL.
THE SOCIETY FOR NEUROSCIENCE.
[LAUGHTER]
THAT IS WHERE YOUR BROADENED.
A LOT OF PEOPLE HAVE 0 AWARENESS
OF THIS IN THE NEUROSCIENCE
COMMITTEE AND A TWIN
PRESENTATION BY A NEUROSCIENTIST
AND RENÉ WOULD BE A SHOWCASE
OPPORTUNITY.
>> AS OPPOSED TO LET'S CREATE.
>> MAYBE BOTH.
>> A BRIEF COMMENT TO MAKE A
PLUG FOR WHAT HAS COME UP AGAIN
AND AGAIN AROUND DIVERSIFYING
WHILE MAINTAINING THE FOCUS OF
MUSIC IN MEDICINE, HOW DO WE
CREATE ROOM AND THE NEW
CONFERENCE SPACE OR OTHER FUTURE
INITIATIVES?
>> A VERY IMPORTANT COMMENT.
I THINK WE HAVE ALREADY SEEN
THAT IS PART OF THIS EFFORT HAS
BECOME VERY MUCH IT WAS FEATU
FEATURED.
WE TALKED ABOUT THIS FROM THE
BEGINNING.
THEY HAVE TO SAY JUST BE BASED
ON MUSIC SO WE DON'T GET
CONFUSED BUT DANCE FOUND ITS WAY
REGARDLESS BECAUSE IT MADE SO
MUCH SENSE MAYBE WE SHOULD JUST
ADMIT.
>> AND THE NARROW STATICS MODEL
THAT EVERYTHING THAT HAS BEAUTY
TO US NATURE IS IMPORTANT.
WORKING WITH NATIONAL GEOGRAPHIC
FOR THE NEXT YEAR AND A HALF TO
2 OR MUSIC THAT ILLUSTRATES OUR
CONNECTION TO NATURE 100 YEARS
AGO AND NOW.
I WILL PUT HEALTH INFORMATION
ABOUT THE EFFECTS OF CLIMATE AND
WHAT THE ARTS MIGHT DO TO
MITIGATE THAT.
HOWEVER WE CAN GET THE MESSAGE
OUT IS CRUCIAL.
ESPECIALLY EDUCATION THEY MAKE
NEW MODELS FOR FORWARD THINKING
INNOVATIVE MODELS THAT DO NOT
INCLUDE ANYTHING ARTISTIC.
CRAZY.
>> THANK YOU TO BOTH OF YOU.
1 OF THE THINGS THAT HAS BECOME
CLEAR IS THAT WE'VE SEEN A
NUMBER OF DIFFERENT MODELS.
THIS IS INTERESTING BECAUSE IT'S
NIH SPONSORED AND SCIENCE
CENTRIC EVENT BE YET THOSE AT
KENNEDY CENTER MORE OUTWARD
FACING AND MORE POPULAR SCIENCE
FOR A LAY AUDIENCE.
THERE'S AN IMPORTANT ROLE FOR
ALL OF IT BUT I THINK INTERNALLY
HAVING CONVERSATIONS ABOUT WHAT
SORT OF CONVENING DO WE WANT TO
TRY TO REPRESENT OUR GROUP AND
IN THE EFFORTS OF OUR GROUP?
IN THE END SOMETHING TRULY
INTERDISCIPLINARY IS A SWEET
SPOT NOT PURELY SCIENCE A RELAY
EVENT.
MAYBE WHAT MAKES SENSE AS A
ROTATION LIKE A SCHEDULE.
WE'VE ALWAYS DONE THIS
HAPHAZARDLY BUT MAYBE 1 YEAR NIH
CAN MEANS FOR MORE SIGNS THAT
ARE MAYBE NEXT YEAR KENNEDY AND
THEN A THIRD YEAR OR
INTERDISCIPLINARY TO DO A DEEPER
DIVE INTO THESE TOPICS.
BUT I DO LIKE THE IDEA OF A
TRULY INTERDISCIPLINARY JOURNAL.
IS NOT QUITE CLEAR IF THOSE
MODELS MAKE SENSE TODAY.
ON THE OTHER HAND THERE HAS TO
BE A WAY TO PUBLISH THE WORK
THAT DOES NOT FIND FAVOR AND A
LOT OF TRADITIONAL JOURNALS.
>> THANK YOU.
>> THERE HAS NOT BEEN ANY
RESEARCH WITH THE BULLS IN 20
YEARS AND AS FAR AS I KNOW.
AND WHAT WE SEE WAS STUDENTS AND
WORKING IN THE FIELD THERE HAS
BEEN SO MUCH THAT JUST WARMS
YOUR HEART THAT HAS SHIFTED FOR
PEOPLE IN THE LOVE TO CONTINUE
TO SEE THE COLLABORATION AND
THOSE MUSICIANS IN FRONT OF THE
PUBLIC.
THAT WOULD BE INCREDIBLE.
>> CALLING OF HER RESEARCH FOR
THE BULLS.
IT'S AN OLD PRACTICE.
A VERY OLD PRACTICE.
>> I BOUGHT MINE IN THAILAND.
>> YOU JUST MENTIONED
EDUCATION.
I AM ALMOST WRAPPING UP MY PHD
IN TRANSLATIONAL HEALTH
SCIENCES.
THAT'S RAINY YOUR NAME.
BUT TRANSLATIONAL HEALTH
SCIENCES ARE NOT TYPICALLY IN
DOCTORAL PROGRAMS.
I'M IN 1 OF THE FIRST ONES.
THEY ARE USUALLY INSTITUTES.
SO HOUSING OPPORTUNITIES FOR
EDUCATION AND RESEARCH
INTERDISCIPLINARY, COLLABORATIVN
WILL BE REALLY IMPORTANT WITH
THESE EDUCATIONAL PROGRAMS AND
INSTITUTES.
NOW WE HAVE FLAGSHIP PROGRAMS
LIKE UNIVERSITY OF FLORIDA
DEALING WITH THIS KIND OF WORK.
BUT THERE IS A GAP IN SEVERAL
AREAS OF THE MARKET.
TO THE POINT OF SHARING
INFORMATION AND CREATING A
COLLABORATIVE CARBON
NETWORK, PERHAPS IT COULD GO
THROUGH THE NARROW ARTS
BLUEPRINT BUT THERE IS A NEED TO
ESTABLISH MORE COMMUNICATIONS
AMONGST US.
SOMETIMES THOSE DATABASES ARE SO
LARGE IT IS DIFFICULT TO KNOW
WHERE TO GO OR WHO TO CONNECT
WITH.