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HELLO, EVERYONE AND WELCOME 

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TO THE DISSEMINATION AND 

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IMPLEMENTATION SCIENCE AND 

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COMMUNICATION DISORDERS A 

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VIRTUAL WORKSHOP.

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I'M HOLLY STORKEL THE PROGRAM 

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FOR LANGUAGE AT NIDCD AND ONE OF

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THE CO-CHAIR FOR THE WORKSHOP.

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I APPRECIATE EVERYONE ATTENDING 

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TODAY AND LOOK FORWARD TO YOUR 

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CONTRIBUTIONS TO THIS DISCUSSION

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THROUGHOUT NEXT FEW DAYS.

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I WANT TO COVER LOGISTICS.

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WE HAVE A NUMBER OF FOLKS ON 

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ZOOM.

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IF YOU'RE WITH US VIA THE ZOOM 

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LINK A COUPLE THINGS TO KNOW.

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FIRST OF ALL, CAPTIONS ARE 

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ENABLED AND YOU CAN TAKE 

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ADVANTAGE OF THAT BY ACCESSING 

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THAT FEATURE ON YOUR CONTROL 

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PANEL.

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IF YOU HAVE ANY DIFFICULTIES, 

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PLEASE PUT A NOTE IN THE CHAT 

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AND SOMEONE WILL HELP YOU.

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WE ALSO HAVE AN ASL INTERPRETER 

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PRESENT AND YOU SHOULD ABLE TO 

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SEE THEM ON YOUR SCREEN NOW.

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LET US KNOW VIA CHAT IF YOU 

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CAN'T.

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PLEASE MUTE YOUR MICROPHONES AT 

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ALL TIMES UNLESS YOUR YOU'RE 

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SPEAKING AND DURING PRESENTATION

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WE ASK YOU TURN OFF YOUR CAMERAS

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TO SAVE BANDWIDTH AND MAKE IT 

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EASIER TO IDENTIFY THE SPEAKERS 

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IN A GIVEN PANEL.

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WE DO HAVE DESIGNATED 

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PARTICIPATION TIMES THROUGHOUT 

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THE DAY.

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DURING A PARTICIPATION TIME 

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THERE WON'T BE ANY ATIME SO AT 

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THAT TIME YOU CAN TURN ON YOUR 

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CAMERAS IF YOU'RE COMFORTABLE 

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DOING SO AND IF THE BANDWIDTH 

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WORKS FOR YOU.

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IF YOU HAVE SOMETHING YOU'D LIKE

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TO SHARE, RAISE YOUR HAND USING 

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THE RAISED HAND FEATURE AND 

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AGAIN USE THE CHAT IF YOU'RE NOT

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SURE WHERE TO FIND THAT AND 

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WE'LL GIVE YOU HELP.

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WAIT TO BE CALLED ON AND GO 

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AHEAD AND UNMUTE YOURSELF AND 

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MAKE YOUR CONTRIBUTION.

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WHEN YOU'RE DONE, GO AHEAD AND 

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REMUTE AND LOWER YOUR HAND.

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AS I INDICATED THE CHAT IS 

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AVAILABLE BUT WE'RE ONLY GOING 

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TO BE USING THAT FOR TECH ISSUES

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EASIER FOR US TO FIND WHO NEEDS 

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HELP.

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AND WE ARE ALSO LIVE STREAMING 

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THIS WORKSHOP VIA VIDEOCAST SO 

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FOLKS ON THE VIDEOCAST CAN SEE 

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AND HEAR US BUT CANNOT SEE THE 

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CHAT SO WE DON'T WANT TO LEAVE 

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ANYONE OUT WITH ANY RESOURCES OR

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QUESTIONS OR THINGS THAT ARE 

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IMPORTANT FOR EVERYONE TO KNOW 

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ABOUT AND YOUR TECH ISSUES ARE 

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NOT IMPORTANT FOR EVERYONE TO 

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KNOW ABOUT SO YOU CAN KEEP THOSE

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IN THE CHAT.

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FOR MORE SUBSTANTIVE 

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CONTRIBUTIONS WAIT UNTIL A TIME 

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WHEN WE CAN HAVE PARTICIPATION.

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ON THE LIVE STREAM WE HAVE 

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CAPTIONS AND THE LIVE STREAM 

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AUDIENCE SHOULD BE ABLE TO SEE 

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THE ASL INTERPRETER.

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WE HAVE SOMEONE MONITORING THE 

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FEED AND KNOW THE TECHNICAL 

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ISSUES ON OUR END ARE GOING 

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WELL.

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SO IF YOU'RE HAVING TECHNICAL 

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ISSUES AND ON THE VIDEOCAST YOU 

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PROBABLY NEED TO PROBLEM SOLVE 

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THIS YOURSELF BECAUSE IT'S 

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PROBABLY ON YOUR END OF THINGS.

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THE LINK WILL SEND TO YOU HELP 

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HOW TO TROUBLE SHOOT ON YOUR OWN

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OR CONTACT THE HELP DESK IF YOU 

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CAN'T FIGURE IT OUT.

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AND OUR TEAM IS MONITORING 

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QUESTIONS AND WE'LL RAISE ISSUES

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OR CONTRIBUTIONS AS THE 

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APPROPRIATE TIME DURING OUR 

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PARTICIPATION PERIOD.

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SO NEXT I'D LIKE TO THANK OUR 

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PLANNING COMMITTEE BEGINNING 

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WITH OUR CO-CHAIRS.

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KATHY BINGER FROM THE UNIVERSITY

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OF NEW MEXICO AND TINA STUDTS 

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FROM THE COLORADO SCHOOL OF 

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MEDICINE.

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THEY'VE BEEN INVALUABLE 

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COLLABORATORS IN THINKING 

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THROUGH THE TOPICS AND SPEAKERS 

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AND ISSUES WE WANT TO BRING UP 

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OVER NEXT COUPLE OF DAYS.

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IT WOULD BE AN UNDERSTATEMENT TO

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SAY WE COULDN'T HAVE DONE IT 

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WITHOUT THEM SO WE APPRECIATE 

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THEIR CONTRIBUTION TO THE 

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WORKSHOP.

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OTHER MEMBERS OF OUR TEAM, KELLY

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KING AND SUSAN SULLIVAN ARE 

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PROGRAM OFFICERS LIKE ME AT 

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NIDCD AND THEY'VE BEEN HELPING 

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WITH THE CONTENT TO MAKE SURE WE

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COVER THE BROAD MISSION AREAS 

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WITHIN NIDCD AND ALSO HELPING US

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WITH LOGISTICS AND SUPPORT 

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JOINEDLY LISA COX WHO WILL ALSO 

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PROVIDE ADDITIONAL HANDS FOR 

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SUPPORT.

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AND LASTLY A BIG THANK YOU TO 

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TANJI JOHNSON OUR PROGRAM 

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ASSISTANT AT NIDCD.

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SHE HAS HANDLED THE ORGANIZATION

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OF ALL THE MEETING LOGISTICS, 

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MAKING SURE THAT WE HAVE ZOOM 

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AND LIVE STREAM AND TECH SUPPORT

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AND ASL INTERPRETERS.

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I WANT TO EXTEND MY GRATITUDE TO

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THE FULL TEAM.

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IT'S TAKEN ALL OF US TO MAKE IS 

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THIS HAPPEN.

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NOW WITH THOSE LOGISTICS OUT OF 

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THE WAY, LET'S MOVE ON TO SOME 

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OF THE CONTENT.

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I STOLE A SLIDE FROM TINA 

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STUDTS.

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SHE WAS NICE ENOUGH TO SHARE 

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SOME OF HER TRIED AND TRUE 

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PRESENTATION SLIDES AS I WAS 

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PREPARING REMARKS I'LL BE MAKING

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AND THIS ONE STOOD OUT TO ME.

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AT THE INTERVENTION WORKS AND 

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NOBODY CAN USE IT, DOES IT STILL

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MAKE AN IMPACT.

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THAT TO ME GOT TO THE HEART OF 

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WHAT WE WANT TO THINK ABOUT AND 

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DO TODAY.

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WE'RE TRYING TO THINK HOW WE 

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MAKE CHANGE SO WE CAN WALK INTO 

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EVERYDAY CLINICAL SETTINGS AND 

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SEE PEOPLE GETTING 

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EVIDENCE-BASED CARE.

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TO GIVE US A BIG PICTURE OF 

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WHAT'S GOING ON IN THE SPACE 

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NIDCD, WE HAVE WITH US 

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DR. DEBORAH -- DEBARA TUCCI AND 

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WE'RE LED BY A DIRECTOR WHO HAS 

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RICH EXPERIENCE AS A CLINICIAN 

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SCIENTIST AND REALLY 

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INFORMATIONS THIS KIND OF ISSUE 

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AND THE IMPORTANCE THIS ISSUE IS

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TO OUR FIELD.

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SHE'LL MAKE REMARKS ABOUT 

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CLINICAL RESEARCH AT NIDCD 

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ESPECIALLY DISSEMINATION AND 

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IMPLEMENTATION.

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>> THANK YOU, HOLLY.

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GOOD MORNING, EVERYONE.

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WELCOME TO THIS WORKSHOP.

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I'M DEB TUCCI THE DIRECTOR OF 

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THE NIDCD AND I'M SO PLEASED TO 

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WELCOME YOU HERE TODAY TO 

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DISCUSS HOW DISSEMINATION AND 

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IMPLEMENTATION RESEARCH CAN 

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BRIDGE THE GAP BETWEEN RESEARCH,

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PRACTICE AND POLICY SO WE CAN 

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BRING SCIENTIFIC DISCOVERIES 

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INTO OUR COMMUNITIES.

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SO WE'VE SEEN OVER THE PAST 

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DECADES -- OVER THE PAST FEW 

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DECADES WE'VE SEEN EVEN WHEN WE 

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HAVE RESEARCH FINDINGS THAT 

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INFORM EVIDENCE-BASED CARE IT 

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TAKES YEARS, TYPICALLY OVER A 

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DECADE, FOR THOSE INTERVENTIONS 

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TO BE WIDELY ADOPTED AND 

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IMPLEMI 

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IMPLEMENTED SO THEY IMPACT 

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INDIVIDUALS.

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BASED THIS REALIZATION RESEARCH,

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DISSEMINATION AND IMPLEMENTATION

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IS CRITICALLY IMPORTANT TO CLOSE

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THE LOOP AND TRANSLATE RESEARCH 

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INTO PRACTICE.

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SO ONE OF THE FIRST THINGS THAT 

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WE DID AFTER I CAME TO NIDCD A 

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LITTLE OVER FOUR YEARS AGO IS TO

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START TO THINK ABOUT A BRAND NEW

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STRATEGIC PLAN.

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WE ENGAGED WITH SCIENTIFIC 

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EXPERTS AND OTHER STAKEHOLDERS, 

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DID A REAL DEEP DIVE USING A 

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GRASSROOTS APPROACH AND WORKED 

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THROUGH A PROCESS TO DEVELOP 

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SCIENTIFIC PRIORITIES THAT WE 

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WOULD HOLD FOR THE NEXT FIVE 

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YEARS.

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AND THIS GRAPHIC ILLUSTRATES THE

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PROCESS THAT WE FOLLOWED TO 

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DEVELOP THAT PLAN.

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WE BEGAN WITH IDEAS FROM OUR 

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SCIENTIFIC COMMUNITY AS WELL AS 

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OTHER STAKEHOLDERS.

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THOSE IDEAS WERE DEBATED AND 

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REFINED AND THEN ORGANIZED INTO 

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GOALS UNDER OVER ARCHING THEMES 

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AND FINALLY METRICS WERE 

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DEVELOPED TO HELP US TO EVALUATE

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OUR PROGRESS OVER THE COMING 

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YEARS.

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AND IT WAS CLEAR FROM THIS 

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PROCESS THAT DISSEMINATION AND 

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IMPLEMENTATION RESEARCH SHOULD 

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BE A SCIENTIFIC PRIORITY AS 

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SHOWN ON THE NEXT SLIDE.

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AND SO THIS SLIDE SHOWS 

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SPECIFICALLY THEME FOUR WHICH 

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ADDRESS THE IMPORTANCE OF 

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TRANSLATING SCIENTIFIC ADVANCES 

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TO DELIVERING BETTER HEALTH TO 

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THE COMMUNITY.

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SPECIFICALLY GOAL 2 WHICH IS TO 

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DEVELOP DISSEMINATE AND 

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IMPLEMENT EVIDENCE-BASED 

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PRACTICES TO IMPROVE 

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HEALTH-RELATED OUTCOMES.

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I LOOK FORWARD TO HEARING THE 

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DISCUSSIONS OVER THE NEXT TWO 

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DAYS TO HEAR ABOUT HOW RESEARCH 

248
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MIGHT CLOSE THE GAP BETWEEN 

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BASIC BEHAVIORAL DISCOVERY AND 

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THE INTERVENTIONS THAT IMPROVE 

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HEALTH CARE DELIVERY, COMMUNITY 

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HEALTH AND PUBLIC HEALTH SO THAT

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ALL POPULATIONS CAN BENEFIT FROM

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THE NATION'S INVESTMENTS IN 

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SCIENTIFIC DISCOVERIES.

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SO FINALLY, I WOULD LIKE TO ECHO

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HOLLY AND EXPRESS MY 

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APPRECIATION FOR ALL THE HARD 

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WORK THAT WENT INTO THE 

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DEVELOPMENT AND EXECUTION OF 

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THIS WORKSHOP.

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SPECIFICALLY FROM THE PLANNING 

263
00:09:49,126 --> 00:09:51,028
COMMITTEE CO-CHAIRS, KATHY 

264
00:09:51,028 --> 00:09:52,563
BINGER AND HOLLY STORKEL AND 

265
00:09:52,563 --> 00:09:55,299
FROM THE PLANNING COMMITTEE 

266
00:09:55,299 --> 00:09:58,736
MEMBERS INCLUDING KELLY LING, 

267
00:09:58,736 --> 00:10:03,907
SUSAN SULLIVAN AND TANJI JOHNSON

268
00:10:03,907 --> 00:10:04,975
AND GRATEFUL WE'RE MOVING 

269
00:10:04,975 --> 00:10:07,011
FORWARD WITH THE WORKSHOP I 

270
00:10:07,011 --> 00:10:08,078
THINK WILL MAKE GREAT 

271
00:10:08,078 --> 00:10:09,580
CONTRIBUTION TO NIDCD'S WORK AND

272
00:10:09,580 --> 00:10:10,948
THE WORK OF THIS FIELD GOING 

273
00:10:10,948 --> 00:10:11,815
FORWARD.

274
00:10:11,815 --> 00:10:13,283
AGAIN, THANK YOU FOR ATTENDING 

275
00:10:13,283 --> 00:10:17,254
AND THANK YOU ALL FOR YOUR 

276
00:10:17,254 --> 00:10:18,122
CONTRIBUTIONS TO THIS WORKSHOP 

277
00:10:18,122 --> 00:10:26,730
AND HOLLY BACK OVER TO YOU.

278
00:10:26,730 --> 00:10:31,135
>> THANKS SO MUCH, DR.
TUCCI.

279
00:10:31,135 --> 00:10:33,003
NEXT I WANT TO TALK ABOUT THE 

280
00:10:33,003 --> 00:10:34,705
GOALS OF THE WORKSHOP AND WHAT 

281
00:10:34,705 --> 00:10:36,273
WE'LL BE DOING OVER NEXT COUPLE 

282
00:10:36,273 --> 00:10:36,507
DAYS.

283
00:10:36,507 --> 00:10:38,542
WE HAVE THREE MAIN GOALS.

284
00:10:38,542 --> 00:10:40,344
OUR FIRST GOAL IS TO UNDERSTAND 

285
00:10:40,344 --> 00:10:43,013
KIND OF WHERE WE'RE AT WITH 

286
00:10:43,013 --> 00:10:45,349
DISSEMINATION AND IMPLEMENTATION

287
00:10:45,349 --> 00:10:47,217
IN OUR MISSION AREAS.

288
00:10:47,217 --> 00:10:48,919
WE'LL SPEND THE FIRST PART OF 

289
00:10:48,919 --> 00:10:50,354
TODAY THINKING ABOUT THAT.

290
00:10:50,354 --> 00:10:53,991
THEN WE WANT TO SPEND MORE OF 

291
00:10:53,991 --> 00:10:56,493
THE BULK OF OUR TIME IDENTIFYING

292
00:10:56,493 --> 00:10:57,594
THE RESEARCH NEEDS AND 

293
00:10:57,594 --> 00:10:57,928
OPPORTUNITIES.

294
00:10:57,928 --> 00:11:00,898
WE WANT TO THINK ABOUT THE 

295
00:11:00,898 --> 00:11:02,800
EXPERIENCE OF YOU ALL AS 

296
00:11:02,800 --> 00:11:05,235
INDIVIDUAL RESEARCHERS WANTING 

297
00:11:05,235 --> 00:11:07,805
TO CONDUCT THE D&I RESEARCH
OR 

298
00:11:07,805 --> 00:11:09,440
MOVE YOUR RESEARCH INTO 

299
00:11:09,440 --> 00:11:10,074
DISSEMINATION AND IMPLEMENTATION

300
00:11:10,074 --> 00:11:12,009
AND WE ALSO WANT TO THINK 

301
00:11:12,009 --> 00:11:14,278
COLLECTIVELY HOW WE CAN WORK 

302
00:11:14,278 --> 00:11:15,946
TOGETHER AS GROUPS OF 

303
00:11:15,946 --> 00:11:19,016
INDIVIDUALS TO DEVELOP CAPACITY 

304
00:11:19,016 --> 00:11:21,151
TO CONDUCT AND SUSTAIN THE
D&I 

305
00:11:21,151 --> 00:11:23,020
RESEARCH AND THE NIDCD MISSION 

306
00:11:23,020 --> 00:11:23,287
AREAS.

307
00:11:23,287 --> 00:11:25,289
IN TERMS OF OUR AGENDA, IT'S 

308
00:11:25,289 --> 00:11:27,391
AVAILABLE AT THE LINK TO THE 

309
00:11:27,391 --> 00:11:30,594
WORKSHOP AND POSSIBLY THAT QR 

310
00:11:30,594 --> 00:11:30,928
CODE WORKS.

311
00:11:30,928 --> 00:11:32,362
WE'LL FIND OUT.

312
00:11:32,362 --> 00:11:34,098
YOU CAN SEE OUR SLATE OF TOPICS 

313
00:11:34,098 --> 00:11:36,233
AND SPEAKERS AND TIMING OF 

314
00:11:36,233 --> 00:11:39,036
BREAKS AND SO ON.

315
00:11:39,036 --> 00:11:41,071
FOR THE FIRST CHUNK OF TODAY 

316
00:11:41,071 --> 00:11:43,507
WE'LL REALLY TALK AT YOU AND 

317
00:11:43,507 --> 00:11:45,275
THIS IS TO SET THE STAGE, SET 

318
00:11:45,275 --> 00:11:48,212
THE FOUNDATION AND MAKE SURE 

319
00:11:48,212 --> 00:11:49,680
WE'RE ALL USING SAME LANGUAGE 

320
00:11:49,680 --> 00:11:51,849
AND PLAY BOOK AS WE'RE THINKING 

321
00:11:51,849 --> 00:11:55,619
ABOUT D&I AND WHERE WE ARE
AS A 

322
00:11:55,619 --> 00:11:57,087
FIELD AND THE SECOND HALF OF THE

323
00:11:57,087 --> 00:11:59,022
DAY WE'LL GET MORE INTERACTIVE 

324
00:11:59,022 --> 00:12:00,424
AND MORE PARTICIPATORY AND HAVE 

325
00:12:00,424 --> 00:12:02,993
MORE PANELS AND MORE TIME FOR 

326
00:12:02,993 --> 00:12:06,930
DISCUSSION AS WE START TO THINK 

327
00:12:06,930 --> 00:12:08,699
ABOUT WHAT INVESTIGATORS NEED TO

328
00:12:08,699 --> 00:12:11,401
BE ABLE TO CONDUCT D&I
RESEARCH.

329
00:12:11,401 --> 00:12:12,336
I'LL ONLY SAY A LITTLE BIT ABOUT

330
00:12:12,336 --> 00:12:14,938
WHAT WILL HAPPEN TOMORROW BUT 

331
00:12:14,938 --> 00:12:17,474
TOMORROW WE WILL WIDEN OUR LENS 

332
00:12:17,474 --> 00:12:19,209
AND THINK BEYOND INDIVIDUALS.

333
00:12:19,209 --> 00:12:22,980
WE'LL THINK MORE ABOUT 

334
00:12:22,980 --> 00:12:24,114
COLLECTIVE ACTION TO BUILD AND 

335
00:12:24,114 --> 00:12:28,085
FURTHER DISSEMINATION AND 

336
00:12:28,085 --> 00:12:28,719
IMPLEMENTATION RESEARCH.

337
00:12:28,719 --> 00:12:29,720
THEN WE'LL CLOSE BY COMING BACK 

338
00:12:29,720 --> 00:12:31,121
TO THE INDIVIDUAL AND HAVING 

339
00:12:31,121 --> 00:12:33,123
PEOPLE THINK ABOUT WHAT MIGHT BE

340
00:12:33,123 --> 00:12:35,959
SOME WAYS THAT YOU COULD GET 

341
00:12:35,959 --> 00:12:37,227
STARTED AS AN INDIVIDUAL 

342
00:12:37,227 --> 00:12:39,029
RESEARCHER IN CONDUCTING D&I

343
00:12:39,029 --> 00:12:40,731
RESEARCH.

344
00:12:40,731 --> 00:12:46,436
AND THAT CONCLUDES MY OPENING 

345
00:12:46,436 --> 00:12:46,670
REMARKS.

346
00:12:46,670 --> 00:12:53,477
TEAM, KELLY, TANJI ANY 

347
00:12:53,477 --> 00:12:54,511
LOGISTICAL ISSUES AND I SEE 

348
00:12:54,511 --> 00:12:55,746
ACTION IN THE CHAT.

349
00:12:55,746 --> 00:12:56,947
ANYTHING WE NEED TO LET ANYONE 

350
00:12:56,947 --> 00:12:58,482
KNOW ABOUT?

351
00:12:58,482 --> 00:12:59,816
>> WE'RE GOOD.

352
00:12:59,816 --> 00:13:00,784
>> OKAY.

353
00:13:00,784 --> 00:13:03,020
THEN WE'LL LAUNCH IN THE FIRST 

354
00:13:03,020 --> 00:13:04,655
OF OUR PLANNED PRESENTATIONS 

355
00:13:04,655 --> 00:13:06,456
TODAY WHICH IS BY ME.

356
00:13:06,456 --> 00:13:10,227
I'M FOCUSSING HERE ON HOW WE 

357
00:13:10,227 --> 00:13:10,761
DEFINE DISSEMINATION AND 

358
00:13:10,761 --> 00:13:11,461
IMPLEMENTATION TO MAKE SURE THAT

359
00:13:11,461 --> 00:13:16,633
WE'RE ALL WORKING FROM THE SAME 

360
00:13:16,633 --> 00:13:20,771
PLAYBOOK AND I WANT TO 

361
00:13:20,771 --> 00:13:24,508
ACKNOWLEDGE TINA AND BORSIKA WHO

362
00:13:24,508 --> 00:13:28,612
PROVIDED SLIDES AND KATHY WHO 

363
00:13:28,612 --> 00:13:29,947
LOOKED AT THE CONTENT ABOUT WHAT

364
00:13:29,947 --> 00:13:33,850
WE WANT TO COVER TO SET THE 

365
00:13:33,850 --> 00:13:34,952
DISCUSSION WE WANT TO HAVE.

366
00:13:34,952 --> 00:13:36,653
FIRST I'M GOING TO BEGIN BY 

367
00:13:36,653 --> 00:13:39,122
GIVING YOU A DEFINITION.

368
00:13:39,122 --> 00:13:43,060
AND THIS COMES FROM ONE OF OUR 

369
00:13:43,060 --> 00:13:45,562
FUNDING OPPORTUNITIES THAT'S 

370
00:13:45,562 --> 00:13:46,396
FOCUSSED ON DISSEMINATION AND 

371
00:13:46,396 --> 00:13:46,763
IMPLEMENTATION.

372
00:13:46,763 --> 00:13:49,800
I'M JUST GOING TO READ IT TO 

373
00:13:49,800 --> 00:13:50,267
YOU.

374
00:13:50,267 --> 00:13:51,001
DISSEMINATION RESEARCH IS 

375
00:13:51,001 --> 00:13:53,737
DEFINED AS SCIENTIFIC STUDY OF 

376
00:13:53,737 --> 00:13:56,406
THE TARGETED DISTRIBUTION OF 

377
00:13:56,406 --> 00:13:59,910
INFORMATION AND INTERVENTION 

378
00:13:59,910 --> 00:14:01,211
MATERIALS TO A SPECIFIC PUBLIC 

379
00:14:01,211 --> 00:14:01,912
HEALTH CLINICAL PRACTICE OR 

380
00:14:01,912 --> 00:14:02,779
POLICY AUDIENCE.

381
00:14:02,779 --> 00:14:05,549
THE INTENT IS TO UNDERSTAND HOW 

382
00:14:05,549 --> 00:14:08,252
BEST TO COMMUNICATE AND 

383
00:14:08,252 --> 00:14:10,020
INTEGRATE KNOWLEDGE IN THE 

384
00:14:10,020 --> 00:14:11,555
ASSOCIATED EVIDENCE-BASED 

385
00:14:11,555 --> 00:14:12,089
INTERVENTIONS.

386
00:14:12,089 --> 00:14:13,590
IN CONTRAST, IMPLEMENTATION 

387
00:14:13,590 --> 00:14:15,959
RESEARCH IS DEFINED AS THE 

388
00:14:15,959 --> 00:14:18,929
SCIENTIFIC STUDY OF THE USE OF 

389
00:14:18,929 --> 00:14:21,665
STRATEGIES TO ADOPT AND 

390
00:14:21,665 --> 00:14:24,201
INTEGRATE EVIDENCE-BASED HEALTH 

391
00:14:24,201 --> 00:14:24,901
INTERVENTIONS INTO CLINICAL AND 

392
00:14:24,901 --> 00:14:26,403
COMMUNITY SETTINGS TO IMPROVE 

393
00:14:26,403 --> 00:14:28,272
INDIVIDUAL OUTCOME AND BENEFIT 

394
00:14:28,272 --> 00:14:31,575
POPULATION HEALTH.

395
00:14:31,575 --> 00:14:33,343
NOW, IF YOU UNDERSTOOD THOSE 

396
00:14:33,343 --> 00:14:34,511
DEFINITIONS PERFECTLY FINE, THE 

397
00:14:34,511 --> 00:14:35,912
REST OF THIS TALK WILL PROBABLY 

398
00:14:35,912 --> 00:14:38,815
BE A REVIEW AND YOU CAN GO GET A

399
00:14:38,815 --> 00:14:40,984
CUP OF COFFEE AND PAY MINOR 

400
00:14:40,984 --> 00:14:42,519
ATTENTION TO IT.

401
00:14:42,519 --> 00:14:44,221
THAT SOUNDED LIKE A LOT OF WORDS

402
00:14:44,221 --> 00:14:45,088
WITHOUT A LOT OF MEANING, THEN 

403
00:14:45,088 --> 00:14:46,990
THE REST OF THIS TALK IS REALLY 

404
00:14:46,990 --> 00:14:47,758
FOR YOU.

405
00:14:47,758 --> 00:14:49,393
I'M GOING TO BREAK THESE THINGS 

406
00:14:49,393 --> 00:14:50,527
DOWN AND TRY TO MAKE THEM MORE 

407
00:14:50,527 --> 00:14:55,866
UNDERSTANDABLE.

408
00:14:55,866 --> 00:15:01,138
I'M GOING TO USE A FRAMEWORK BY 

409
00:15:01,138 --> 00:15:06,610
CURRAN 2020 AND IF YOU GOOGLE 

410
00:15:06,610 --> 00:15:07,511
YOU'LL FIND THE ARTICLE.

411
00:15:07,511 --> 00:15:09,680
I'LL START WITH THE PART YOU'RE 

412
00:15:09,680 --> 00:15:11,481
PROBABLY PRETTY FAMILIAR WITH.

413
00:15:11,481 --> 00:15:13,550
MOST THE FOLKS DRAWN TO THIS 

414
00:15:13,550 --> 00:15:16,420
TOPIC ARE TYPICALLY FOLKS 

415
00:15:16,420 --> 00:15:17,321
ALREADY DOING CLINICAL RESEARCH 

416
00:15:17,321 --> 00:15:21,658
AND SO YOU'RE PROBABLY DOING 

417
00:15:21,658 --> 00:15:24,761
RESEARCH ON INTERVENTION OR 

418
00:15:24,761 --> 00:15:26,430
INNOVATION AND IT'S THE THING 

419
00:15:26,430 --> 00:15:29,599
THAT IMPROVES HEALTH 

420
00:15:29,599 --> 00:15:30,133
COMMUNICATION OR HEALTH 

421
00:15:30,133 --> 00:15:31,501
COMMUNICATION FOR US BECAUSE 

422
00:15:31,501 --> 00:15:34,404
WE'RE INTERESTED IN 

423
00:15:34,404 --> 00:15:35,672
COMMUNICATION DISORDERS OR 

424
00:15:35,672 --> 00:15:37,207
QUALITY OF LIFE.

425
00:15:37,207 --> 00:15:38,742
I'LL OFTEN SAY INNOVATION RATHER

426
00:15:38,742 --> 00:15:39,910
THAN INTERVENTION BECAUSE WE 

427
00:15:39,910 --> 00:15:42,312
WANT TO THINK BROADLY ABOUT THE 

428
00:15:42,312 --> 00:15:46,416
KINDS OF THINGS THAT CAN IMPROVE

429
00:15:46,416 --> 00:15:48,952
COMMUNICATION SO WHEN I SAY THAT

430
00:15:48,952 --> 00:15:50,253
SOME MAY IMMEDIATELY THINK OF 

431
00:15:50,253 --> 00:15:54,524
PROGRAMS WHICH ARE DEFINED AS 

432
00:15:54,524 --> 00:15:55,192
BEHAVIORAL TREATMENT PROGRAMS IN

433
00:15:55,192 --> 00:15:57,127
A LOT OF OUR SPEECH AND LANGUAGE

434
00:15:57,127 --> 00:15:59,229
INTERVENTIONS FALL INTO THAT 

435
00:15:59,229 --> 00:15:59,663
CATEGORY.

436
00:15:59,663 --> 00:16:01,698
OTHERS MIGHT THINK IMMEDIATELY 

437
00:16:01,698 --> 00:16:04,534
ABOUT PRODUCTS SO HEARING AIDS, 

438
00:16:04,534 --> 00:16:09,339
COCHLEAR IMPLANTS, AUGMENTATIVE 

439
00:16:09,339 --> 00:16:10,741
AND COMMUNICATION DEVICES.

440
00:16:10,741 --> 00:16:12,709
YOU MAY THINK ABOUT AND MORE ON 

441
00:16:12,709 --> 00:16:14,111
THE FRINGE THINGS LIKE 

442
00:16:14,111 --> 00:16:15,612
PROCEDURES LIKE UNIVERSAL 

443
00:16:15,612 --> 00:16:17,147
HEARING SCREENING OR YOU MAY 

444
00:16:17,147 --> 00:16:21,284
THINK ABOUT POLICIES LIKE THE 

445
00:16:21,284 --> 00:16:22,152
POLICY CHANGES THAT MAY MAKE IT 

446
00:16:22,152 --> 00:16:23,587
A REALITY.

447
00:16:23,587 --> 00:16:25,522
THERE'S A WHOLE RANGE OF ACTIONS

448
00:16:25,522 --> 00:16:29,092
THAT WE CAN TAKE THAT IMPROVE 

449
00:16:29,092 --> 00:16:29,860
HEALTH COMMUNICATION OR QUALITY 

450
00:16:29,860 --> 00:16:32,062
OF LIFE AND WE WANT TO BE 

451
00:16:32,062 --> 00:16:34,631
THINKING ABOUT THAT BROAD RANGE.

452
00:16:34,631 --> 00:16:37,200
SO NOW WHAT YOU'RE FAMILIAR WITH

453
00:16:37,200 --> 00:16:38,568
WHEN YOU'RE DOING RESEARCH IN 

454
00:16:38,568 --> 00:16:40,303
THE AREA IS YOU START WITH 

455
00:16:40,303 --> 00:16:42,005
DEVELOPING THE THING AND THAT'S 

456
00:16:42,005 --> 00:16:44,908
WHAT WE REFER TO AS OUR EARLY 

457
00:16:44,908 --> 00:16:45,642
PHASE CLINICAL TRIAL.

458
00:16:45,642 --> 00:16:47,010
I'LL GIVE AN EXAMPLE FROM THE 

459
00:16:47,010 --> 00:16:48,645
RESEARCH I USED TO DO.

460
00:16:48,645 --> 00:16:52,182
ONE OF THE THINGS I WAS 

461
00:16:52,182 --> 00:16:54,584
INTERESTED IN WAS DEVELOPING 

462
00:16:54,584 --> 00:16:56,253
BOOK READING PROGRAMS THAT HELP 

463
00:16:56,253 --> 00:16:58,054
CHILDREN LEARN NEW WORDS BY 

464
00:16:58,054 --> 00:17:01,458
HAVING A PERSON READING THE BOOK

465
00:17:01,458 --> 00:17:04,027
ENGAGE IN CERTAIN TEACHING 

466
00:17:04,027 --> 00:17:04,995
TECHNIQUES THAT WOULD HELP A 

467
00:17:04,995 --> 00:17:06,997
CHILD LEARN THE WORDS IN THE 

468
00:17:06,997 --> 00:17:08,832
BOOK.

469
00:17:08,832 --> 00:17:10,867
SO EN OUR EARLY PHASED WORK WE 

470
00:17:10,867 --> 00:17:11,735
HAD TO FIGURE OUT HOW MANY TIMES

471
00:17:11,735 --> 00:17:14,371
DO WE NEED TO READ THE BOOK TO 

472
00:17:14,371 --> 00:17:16,740
HELP A CHILD LEARN THE WORDS.

473
00:17:16,740 --> 00:17:17,941
WHAT SPECIFIC TEACHING 

474
00:17:17,941 --> 00:17:19,209
STRATEGIES DO WE NEED TO USE AND

475
00:17:19,209 --> 00:17:23,013
HOW OFTEN DO WE NEED TO REACH 

476
00:17:23,013 --> 00:17:24,314
THOSE STRATEGY.

477
00:17:24,314 --> 00:17:26,216
THAT'S THE EARLY PHASE WORK.

478
00:17:26,216 --> 00:17:27,751
ONCE YOU HAVE A PROMISING 

479
00:17:27,751 --> 00:17:29,820
INTERVENTION YOU WANT TO TEST 

480
00:17:29,820 --> 00:17:31,555
WHETHER THAT THING WORKS AND 

481
00:17:31,555 --> 00:17:33,723
TYPICALLY THE FIRST TEST OF THAT

482
00:17:33,723 --> 00:17:36,626
STRONG TEST IS EFFICACY TRIAL 

483
00:17:36,626 --> 00:17:39,029
WHERE YOU PROVIDE THAT 

484
00:17:39,029 --> 00:17:40,530
INNOVATION UNDER HIGHLY 

485
00:17:40,530 --> 00:17:41,631
CONTROLLED CONDITIONS.

486
00:17:41,631 --> 00:17:42,933
SO WITH THE BOOK READING 

487
00:17:42,933 --> 00:17:44,367
INTERVENTION WE MIGHT COMPARE A 

488
00:17:44,367 --> 00:17:46,903
GROUP OF KIDS TO OUR WORKING 

489
00:17:46,903 --> 00:17:48,438
WITH GRADUATE RESEARCH ASSISTANT

490
00:17:48,438 --> 00:17:50,807
WHO ARE BEING READ THE SAME 

491
00:17:50,807 --> 00:17:54,578
BOOKS AS THE TREATMENT GROUP BUT

492
00:17:54,578 --> 00:17:56,179
NOT GETTING ANY OF THE HELPFUL 

493
00:17:56,179 --> 00:17:58,281
TEACHING TECHNIQUES AND THEN WE 

494
00:17:58,281 --> 00:17:59,349
MAY HAVE ANOTHER GROUP OF KIDS 

495
00:17:59,349 --> 00:18:01,251
WHO ARE GETTING INTERVENTIONS 

496
00:18:01,251 --> 00:18:03,787
FROM GRADUATE RESEARCH 

497
00:18:03,787 --> 00:18:05,388
ASSISTANTS WHERE THEY'RE USING 

498
00:18:05,388 --> 00:18:06,590
ALL THE HELPFUL TEACHING 

499
00:18:06,590 --> 00:18:07,424
TECHNIQUES AND THEN WHAT WE 

500
00:18:07,424 --> 00:18:12,028
LOOKED AT FOR THE OUTCOMES IS 

501
00:18:12,028 --> 00:18:13,597
HOW MUCH THE INDIVIDUAL IMPROVES

502
00:18:13,597 --> 00:18:15,966
OR HOW MUCH THEY PREVENTED OR 

503
00:18:15,966 --> 00:18:16,700
REDUCED ISSUES, PROBLEMS.

504
00:18:16,700 --> 00:18:19,269
SO FOR MY EXAMPLE, WE MIGHT BE 

505
00:18:19,269 --> 00:18:20,737
LOOKING AT HOW MANY WORDS THE 

506
00:18:20,737 --> 00:18:22,906
CHILDREN ARE LEARNING UNDER EACH

507
00:18:22,906 --> 00:18:24,307
OF THOSE CONDITIONS AND IF WE 

508
00:18:24,307 --> 00:18:25,141
SEE A BIG ENOUGH DIFFERENCE 

509
00:18:25,141 --> 00:18:29,346
BETWEEN THE TWO, WE WOULD THEN 

510
00:18:29,346 --> 00:18:33,216
SAY THAT THE HELPFUL BOOK 

511
00:18:33,216 --> 00:18:34,184
READING INNOVATION IS 

512
00:18:34,184 --> 00:18:34,584
EVIDENCE-BASED.

513
00:18:34,584 --> 00:18:37,654
THERE'S EFFICACY TOWARD IT.

514
00:18:37,654 --> 00:18:40,490
WE ALSO MIGHT HAVE EFFECTIVENESS

515
00:18:40,490 --> 00:18:41,625
TRIALS UNDER THIS LINE OF 

516
00:18:41,625 --> 00:18:43,126
RESEARCH AND THAT'S WHERE WE 

517
00:18:43,126 --> 00:18:45,629
WOULD BE TESTING WHETHER THE 

518
00:18:45,629 --> 00:18:46,930
INNOVATION WORKS OF UNDER LESS 

519
00:18:46,930 --> 00:18:47,397
CONTROLLED REAL WORLD 

520
00:18:47,397 --> 00:18:49,866
CONDITIONS.

521
00:18:49,866 --> 00:18:52,769
SO AT THIS POINT ONCE WE'VE DONE

522
00:18:52,769 --> 00:18:54,271
OUR EFFICACY RESEARCH, ASSUMING 

523
00:18:54,271 --> 00:18:55,906
IT COMES OUT THE WAY WE'RE 

524
00:18:55,906 --> 00:18:58,275
EXPECTING, WE WOULD NOW DECLARE 

525
00:18:58,275 --> 00:18:59,910
WE HAVE AN EVIDENCE-BASED 

526
00:18:59,910 --> 00:19:00,210
INNOVATION.

527
00:19:00,210 --> 00:19:03,013
IN THIS CASE WE SAY THE HELPFUL 

528
00:19:03,013 --> 00:19:05,282
BOOK READING GETS THE GOLD STAR.

529
00:19:05,282 --> 00:19:07,183
SO NOW WE MIGHT THINK, WELL, OUR

530
00:19:07,183 --> 00:19:08,618
JOB IS ALL DONE AS RESEARCHERS.

531
00:19:08,618 --> 00:19:11,588
WE HAVE PROVEN THE THING WORKS 

532
00:19:11,588 --> 00:19:14,057
AND WE CAN SIT BACK.

533
00:19:14,057 --> 00:19:16,960
BUT AS I SAID AT THE BEGINNING, 

534
00:19:16,960 --> 00:19:18,628
OUR IMPACT ON PEOPLE'S LIVES AND

535
00:19:18,628 --> 00:19:20,564
PEOPLE AND PLACES NEED TO DO THE

536
00:19:20,564 --> 00:19:20,764
THING.

537
00:19:20,764 --> 00:19:23,099
AND IT TURNS OUT AS DR. TUCCI 

538
00:19:23,099 --> 00:19:25,535
INDICATED THEY TEND NOT TO DO 

539
00:19:25,535 --> 00:19:25,735
THIS.

540
00:19:25,735 --> 00:19:28,538
SO YOU MIGHT HAVE HEARD SOME OF 

541
00:19:28,538 --> 00:19:30,106
THESE STATISTICS THAT IT TAKES 1

542
00:19:30,106 --> 00:19:32,676
YEARS FOR EFFECTIVE INNOVATION 

543
00:19:32,676 --> 00:19:35,011
TO MOVE FROM RESEARCH STUDIES 

544
00:19:35,011 --> 00:19:38,048
INTO CLINICAL PRACTICE OR PEOPLE

545
00:19:38,048 --> 00:19:39,783
ONLY RECEIVE ABOUT 50% OF 

546
00:19:39,783 --> 00:19:40,317
RECOMMENDED HEALTH CARE 

547
00:19:40,317 --> 00:19:41,985
PROCEDURES AND MAYBE WHEN I SAY 

548
00:19:41,985 --> 00:19:43,353
THE THINGS YOU'RE THINKING, 

549
00:19:43,353 --> 00:19:45,121
WELL, THAT WASN'T EXACTLY FROM 

550
00:19:45,121 --> 00:19:47,591
OUR FIELD OR EXACTLY FROM THE 

551
00:19:47,591 --> 00:19:49,225
AREA I WORK IN BUT I THINK IN 

552
00:19:49,225 --> 00:19:54,164
MOST CASES IF YOU COMPARE A 

553
00:19:54,164 --> 00:19:56,099
SYSTEMATIC REVIEW AND 

554
00:19:56,099 --> 00:19:58,034
SYSTEMICALLY IDENTIFIES THE 

555
00:19:58,034 --> 00:19:58,702
EVIDENCE-BASED INTERVENTION FROM

556
00:19:58,702 --> 00:19:59,803
A PARTICULAR AREA AND THEN LOOK 

557
00:19:59,803 --> 00:20:01,671
AT SURVEY OR INTERVIEW RESEARCH 

558
00:20:01,671 --> 00:20:04,374
THAT ASKS WHAT PROFESSIONALS 

559
00:20:04,374 --> 00:20:06,943
ROUTINE DO IT'S COMMON YOU SEE A

560
00:20:06,943 --> 00:20:08,578
MISMATCH BETWEEN THE TWO THINGS 

561
00:20:08,578 --> 00:20:11,715
AND THAT'S WHAT'S REFERRED TO AS

562
00:20:11,715 --> 00:20:15,018
THE NO-DO GAP OR THE RESEARCH 

563
00:20:15,018 --> 00:20:16,720
PRACTICE GAP.

564
00:20:16,720 --> 00:20:18,188
WE KNOW CERTAIN THINGS ARE 

565
00:20:18,188 --> 00:20:18,822
EFFICACIOUS THROUGHOUT OUR 

566
00:20:18,822 --> 00:20:20,256
RESEARCH BUT DON'T SEE PEOPLE 

567
00:20:20,256 --> 00:20:22,058
AND PLACES DOING THOSE THINGS IN

568
00:20:22,058 --> 00:20:22,993
THEIR CLINICAL PRACTICE.

569
00:20:22,993 --> 00:20:24,694
SO THAT BRINGS US TO REALLY THE 

570
00:20:24,694 --> 00:20:26,997
HEART OF WHAT WE WANT TO LOOK AT

571
00:20:26,997 --> 00:20:29,399
TODAY WHICH IS HOW DO WE HELP 

572
00:20:29,399 --> 00:20:30,634
PEOPLE AND PLACES DO THE THINGS?

573
00:20:30,634 --> 00:20:35,271
HOW DO WE HELP THEM DO THESE 

574
00:20:35,271 --> 00:20:36,906
EVIDENCE-BASED INNOVATIONS?

575
00:20:36,906 --> 00:20:39,442
SO I'LL START WITH OUR CURRENT 

576
00:20:39,442 --> 00:20:40,143
STRATEGY.

577
00:20:40,143 --> 00:20:43,013
WHICH IS WE HOPE THE PEOPLE AND 

578
00:20:43,013 --> 00:20:43,980
PLACES DO THE THING.

579
00:20:43,980 --> 00:20:46,082
AND TECHNICALLY THIS IS REFERRED

580
00:20:46,082 --> 00:20:48,284
TO AS THE PASSIVE UNTARGETED, 

581
00:20:48,284 --> 00:20:50,387
UNPLANNED AND UNCONTROLLED 

582
00:20:50,387 --> 00:20:51,488
APPROACHES FOR SPREADING 

583
00:20:51,488 --> 00:20:52,989
KNOWLEDGE ABOUT EVIDENCE.

584
00:20:52,989 --> 00:20:54,758
AND AS I'VE JUST SHOWN YOU, THIS

585
00:20:54,758 --> 00:20:57,260
NOT A VERY EFFECTIVE STRATEGY.

586
00:20:57,260 --> 00:21:00,664
THIS IS NOT REALLY HOW WE MOVE 

587
00:21:00,664 --> 00:21:02,132
THINGS INTO CLINICAL PRACTICE SO

588
00:21:02,132 --> 00:21:02,999
WE WANT TO CONSIDER OTHER 

589
00:21:02,999 --> 00:21:06,770
OPTIONS.

590
00:21:06,770 --> 00:21:08,538
SO OUR SECOND OPTION IS TO 

591
00:21:08,538 --> 00:21:10,073
ACTIVELY TELL PEOPLE IN PLACES 

592
00:21:10,073 --> 00:21:11,975
TO DO THE THINGS AND THIS IS 

593
00:21:11,975 --> 00:21:16,946
REALLY WHAT DISSEMINATION IS ALL

594
00:21:16,946 --> 00:21:17,147
ABOUT.

595
00:21:17,147 --> 00:21:18,648
DISSEMINATION ARE, IS ACTIVE 

596
00:21:18,648 --> 00:21:19,215
APPROACHES FOR SPREADING 

597
00:21:19,215 --> 00:21:22,786
EVIDENCE TO A TARGETED EVIDENCE 

598
00:21:22,786 --> 00:21:28,692
VIA PREDETERMINED CHANNELS USING

599
00:21:28,692 --> 00:21:29,359
PLANNED STRATEGIES.

600
00:21:29,359 --> 00:21:30,994
WHEN SOMEONE IS DOING 

601
00:21:30,994 --> 00:21:31,828
DISSEMINATION RESEARCH THEY'RE 

602
00:21:31,828 --> 00:21:33,430
TRYING TO UNPACK THE ELEMENTS IN

603
00:21:33,430 --> 00:21:33,930
THE DEFINITION.

604
00:21:33,930 --> 00:21:35,432
THEY'RE TRYING TO UNDERSTAND THE

605
00:21:35,432 --> 00:21:35,699
AUDIENCE.

606
00:21:35,699 --> 00:21:37,867
WHAT DOES THE AUDIENCE WANT TO 

607
00:21:37,867 --> 00:21:38,201
KNOW?

608
00:21:38,201 --> 00:21:39,536
WHAT CHANNELS DO THEY USE?

609
00:21:39,536 --> 00:21:41,705
WHAT INFORMATION DO THEY GET 

610
00:21:41,705 --> 00:21:43,006
FROM DIFFERENT CHANNELS?

611
00:21:43,006 --> 00:21:46,209
WHAT KIND OF TYPES OR MESSAGES 

612
00:21:46,209 --> 00:21:48,078
DO THEY LIKE TO RECEIVE THROUGH 

613
00:21:48,078 --> 00:21:48,645
THOSE CHANNELS?

614
00:21:48,645 --> 00:21:51,181
WHAT SORT OF INFORMATION DO THEY

615
00:21:51,181 --> 00:21:53,850
NEED TO BE ABLE TO ADOPT A 

616
00:21:53,850 --> 00:21:54,984
PARTICULAR PRACTICE?

617
00:21:54,984 --> 00:21:58,722
SO THIS IS A MUCH MORE TAILORED 

618
00:21:58,722 --> 00:21:59,022
APPROACH.

619
00:21:59,022 --> 00:22:00,857
IT'S REALLY ABOUT MEETING THE 

620
00:22:00,857 --> 00:22:02,859
PRACTITIONERS WHERE THEY ARE AND

621
00:22:02,859 --> 00:22:04,260
GIVING THEM THE INFORMATION THEY

622
00:22:04,260 --> 00:22:06,996
REALLY WANT IN THE WAY THEY WANT

623
00:22:06,996 --> 00:22:07,797
TO RECEIVE IT.

624
00:22:07,797 --> 00:22:14,070
IT'S MUCH MORE TARGETED.

625
00:22:14,070 --> 00:22:17,440
I WANTED TO ACKNOWLEDGE IN 

626
00:22:17,440 --> 00:22:18,074
DISSEMINATION AND IMPLEMENTATION

627
00:22:18,074 --> 00:22:20,310
RESEARCH WE DON'T SEE AS MUCH 

628
00:22:20,310 --> 00:22:21,177
ATTENTION TO DISSEMINATION AND 

629
00:22:21,177 --> 00:22:23,813
SHOULD WRITE IT HIT AS A LITTLE 

630
00:22:23,813 --> 00:22:28,184
"D" AND BIG "I" BECAUSE THERE 

631
00:22:28,184 --> 00:22:29,219
ISN'T AS MUCH ACTION IN THE 

632
00:22:29,219 --> 00:22:29,652
DISSEMINATION AREA.

633
00:22:29,652 --> 00:22:32,689
WE WANTED TO MAKE YOU AWARE OF 

634
00:22:32,689 --> 00:22:33,623
WHAT DISSEMINATION RESEARCH IS 

635
00:22:33,623 --> 00:22:35,158
AND WE WON'T BE TALKING A LOT 

636
00:22:35,158 --> 00:22:39,028
ABOUT IT THROUGHOUT THE WORKSHOP

637
00:22:39,028 --> 00:22:40,997
BECAUSE THERE'S LESS INFORMATION

638
00:22:40,997 --> 00:22:45,602
ABOUT IT.

639
00:22:45,602 --> 00:22:48,338
LESS STRATEGIES.

640
00:22:48,338 --> 00:22:50,240
THE THIRD OPTION IS WE CAN DO 

641
00:22:50,240 --> 00:22:55,011
STUFF TO HELP PEOPLE AND PLACES 

642
00:22:55,011 --> 00:22:57,280
DO THE EVIDENCE-BASED 

643
00:22:57,280 --> 00:22:57,614
INTERVENTION.

644
00:22:57,614 --> 00:22:59,949
AND DO STUFF THAT'S VERY BROAD 

645
00:22:59,949 --> 00:23:01,851
WHICH IS WHY I'M SHOWING A LOT 

646
00:23:01,851 --> 00:23:02,585
OF TOOLS.

647
00:23:02,585 --> 00:23:04,254
THERE'S A VARIETY OF THINGS WE 

648
00:23:04,254 --> 00:23:07,957
CAN DO TO HELP PEOPLE AND PLACES

649
00:23:07,957 --> 00:23:11,628
DO THE THING AND THIS IS 

650
00:23:11,628 --> 00:23:12,896
IMPLEMENTATION AND ACTIVE AND 

651
00:23:12,896 --> 00:23:14,998
PLANNED EFFORT TO INTEGRATE 

652
00:23:14,998 --> 00:23:19,002
EVIDENCE INTO PRACTICE.

653
00:23:19,002 --> 00:23:21,771
SO LET'S BREAK THIS DOWN A 

654
00:23:21,771 --> 00:23:22,172
LITTLE BIT MORE.

655
00:23:22,172 --> 00:23:24,641
SO I'M GOING GO BACK TO MY 

656
00:23:24,641 --> 00:23:26,242
HELPFUL BOOK READING STRATEGY 

657
00:23:26,242 --> 00:23:31,247
AND TALK THROUGH THIS SLIDE 

658
00:23:31,247 --> 00:23:31,548
HERE.

659
00:23:31,548 --> 00:23:34,751
SO WE KNOW THAT HELPFUL BOOK 

660
00:23:34,751 --> 00:23:37,220
READING IS A GOOD WAY TO TEACH 

661
00:23:37,220 --> 00:23:38,121
WORDS TO CHILDREN.

662
00:23:38,121 --> 00:23:41,257
SO NOW WE WANT TO GET TEACHERS 

663
00:23:41,257 --> 00:23:42,992
IN SCHOOLS TO DO THE HELPFUL 

664
00:23:42,992 --> 00:23:45,995
BOOK READING PRACTICE.

665
00:23:45,995 --> 00:23:47,330
SO WE NEED TO CONSIDER WHAT WE 

666
00:23:47,330 --> 00:23:48,498
CAN DO TO HELP THEM.

667
00:23:48,498 --> 00:23:49,999
SO ONE THING YOU MIGHT THINK OF 

668
00:23:49,999 --> 00:23:52,268
RIGHT OFF THE BAT IS WE SHOULD 

669
00:23:52,268 --> 00:23:54,470
TEACH THEM HOW TO DO THE 

670
00:23:54,470 --> 00:23:54,737
STRATEGY.

671
00:23:54,737 --> 00:23:55,471
THAT MAKES A LOT OF SENSE.

672
00:23:55,471 --> 00:23:58,308
THAT'S WHAT WE DO AND WE HAVE 

673
00:23:58,308 --> 00:23:59,776
GRADUATE RESEARCH ASSISTANTS DO 

674
00:23:59,776 --> 00:24:01,211
THE PROGRAM SO WE SHOULD 

675
00:24:01,211 --> 00:24:02,178
PROBABLY TEACH THEM.

676
00:24:02,178 --> 00:24:04,013
THAT'S ONE STRATEGY.

677
00:24:04,013 --> 00:24:05,882
WE ALSO MIGHT WANT TO MONITOR 

678
00:24:05,882 --> 00:24:07,784
THEM DOING THE HELPFUL BOOK 

679
00:24:07,784 --> 00:24:10,253
READING PROGRAM AND GIVE THEM 

680
00:24:10,253 --> 00:24:12,288
FEEDBACK ON HOW WELL THEY'RE 

681
00:24:12,288 --> 00:24:14,858
DOING THIS SO THAT'S ANOTHER 

682
00:24:14,858 --> 00:24:16,025
IMPLEMENTATION STRATEGY.

683
00:24:16,025 --> 00:24:18,027
WE MIGHT ALSO THINK ABOUT GIVING

684
00:24:18,027 --> 00:24:20,263
THEM BONUSES IF THEY DO THE 

685
00:24:20,263 --> 00:24:24,934
PROGRAM TO A CERTAIN LEAVE  -- 

686
00:24:24,934 --> 00:24:27,337
CERTAIN LEVEL OF QUALITY THEY 

687
00:24:27,337 --> 00:24:29,639
GET A BUMP IN THEIR PAYCHECK IS 

688
00:24:29,639 --> 00:24:31,374
IS ANOTHER IMPLEMENTATION 

689
00:24:31,374 --> 00:24:31,641
STRATEGY.

690
00:24:31,641 --> 00:24:32,609
THAT FALLS UNDER HELPING THE 

691
00:24:32,609 --> 00:24:34,911
PEOPLE AND PLACES DO THE BOOK 

692
00:24:34,911 --> 00:24:35,144
READING.

693
00:24:35,144 --> 00:24:36,446
NOW WE WANT TO TAKE THIS TO 

694
00:24:36,446 --> 00:24:37,247
RESEARCH SIDE OF THINGS.

695
00:24:37,247 --> 00:24:39,782
WE WANT TO FIGURE OUT FROM THE 

696
00:24:39,782 --> 00:24:40,617
STRATEGIES HOW BEST TO HELP 

697
00:24:40,617 --> 00:24:42,352
PEOPLE AND PLACES DO THE THINGS.

698
00:24:42,352 --> 00:24:44,721
SO WE COULD NOW LOOK AT THOSE 

699
00:24:44,721 --> 00:24:45,255
STRATEGIES INDIVIDUALLY.

700
00:24:45,255 --> 00:24:47,023
WE CAN HAVE A GROUP OF PEOPLE 

701
00:24:47,023 --> 00:24:48,458
WHO GET THE TRAINING BUT NOT THE

702
00:24:48,458 --> 00:24:48,992
OTHER THINGS.

703
00:24:48,992 --> 00:24:52,295
A GROUP OF PEOPLE WHO GET THE 

704
00:24:52,295 --> 00:24:53,329
TRAINING AND THE MONITORING AND 

705
00:24:53,329 --> 00:24:54,998
THE FEEDBACK AND THEN A GROUP OF

706
00:24:54,998 --> 00:24:56,766
TEACHERS WHO ARE GETTING THE 

707
00:24:56,766 --> 00:24:57,834
TRAINING AND MONITORING AND 

708
00:24:57,834 --> 00:25:01,371
FEEDBACK AND THE BONUSES.

709
00:25:01,371 --> 00:25:04,407
NOW, ACROSS THE GROUPS WE COULD 

710
00:25:04,407 --> 00:25:05,842
LOOK AT HOW MUCH AND HOW WELL 

711
00:25:05,842 --> 00:25:07,710
THEY'RE DOING THE THING.

712
00:25:07,710 --> 00:25:09,579
WE WOULD MEASURE THE TEACHERS 

713
00:25:09,579 --> 00:25:12,015
AND HOW WELL THEY ARE DOING THE 

714
00:25:12,015 --> 00:25:13,182
HELPFUL BOOK READING STRATEGY SO

715
00:25:13,182 --> 00:25:15,084
WE CAN LOOK AT THINGS LIKE HOW 

716
00:25:15,084 --> 00:25:17,654
OFTEN THEY'RE READING THE BOOK 

717
00:25:17,654 --> 00:25:18,554
AND HOW MUCH TEACHING TECHNIQUES

718
00:25:18,554 --> 00:25:20,556
THEY'RE USING AND SO ON AND WE 

719
00:25:20,556 --> 00:25:24,093
WOULD USE THAT THEN TO DECIDE 

720
00:25:24,093 --> 00:25:25,428
WHICH OF THOSE GROUPS DID BETTER

721
00:25:25,428 --> 00:25:28,331
IN DOING THE THINGS AND WE COULD

722
00:25:28,331 --> 00:25:30,700
THEN RECOMMEND THAT PACKAGE 

723
00:25:30,700 --> 00:25:32,168
WHATEVER IT IS AS BEING KIND OF 

724
00:25:32,168 --> 00:25:34,871
THE BEST WAY TO IMPLEMENT THE 

725
00:25:34,871 --> 00:25:35,972
BOOK READING PROGRAM AND WE 

726
00:25:35,972 --> 00:25:42,645
COULD TRY TO ROLL THAT OUT TO A 

727
00:25:42,645 --> 00:25:43,212
VARIETY OF DIFFERENT SITES.

728
00:25:43,212 --> 00:25:43,413
OKAY.

729
00:25:43,413 --> 00:25:44,447
SO HOPEFULLY THAT HELPS YOU SEE 

730
00:25:44,447 --> 00:25:45,715
WE HAVE TWO LINES OF RESEARCH 

731
00:25:45,715 --> 00:25:50,720
THAT NEED TO LAP  -- HAPPEN.

732
00:25:50,720 --> 00:25:53,990
A LINE OF RESEARCH ABOUT THE 

733
00:25:53,990 --> 00:25:56,993
EVIDENCE-BASED INTERVENTION AND 

734
00:25:56,993 --> 00:26:00,797
SHOW IT HELP PEOPLE IMPROVE 

735
00:26:00,797 --> 00:26:02,865
THEIR COMMUNICATION AND 

736
00:26:02,865 --> 00:26:04,801
DISSEMINATION ON HOW TO DO THE 

737
00:26:04,801 --> 00:26:05,401
EVIDENCE-BASED INTERVENTION.

738
00:26:05,401 --> 00:26:06,502
WE HAVE DIFFERENT THINGS WE WANT

739
00:26:06,502 --> 00:26:07,870
TO LOOK AT AND DIFFERENT KINDS 

740
00:26:07,870 --> 00:26:15,011
OF RESEARCH STUDIES WE NEED TO 

741
00:26:15,011 --> 00:26:15,311
INCORPORATE.

742
00:26:15,311 --> 00:26:19,015
NOW I'M GOING TO GO INTO MORE 

743
00:26:19,015 --> 00:26:23,686
DETAIL ABOUT THE IMPLEMENTATION 

744
00:26:23,686 --> 00:26:27,857
SCIENCE PART.

745
00:26:27,857 --> 00:26:30,393
I TOLD YOU WE HAD IMPLEMENTATION

746
00:26:30,393 --> 00:26:30,994
STRATEGIES.

747
00:26:30,994 --> 00:26:32,095
THAT WHAT WE'RE DOING WITH 

748
00:26:32,095 --> 00:26:33,830
TEACHERS IN MY EXAMPLE AND TOLD 

749
00:26:33,830 --> 00:26:39,202
YOU WE HAVE OUTCOME MEASURES.

750
00:26:39,202 --> 00:26:41,070
AND MODELS AND FRAMEWORK.

751
00:26:41,070 --> 00:26:44,841
IT TURNS OUT WE CAN USE 

752
00:26:44,841 --> 00:26:46,175
IMPLEMENTATION STUDIES FROM A 

753
00:26:46,175 --> 00:26:49,612
VARIETY OF FIELD TO GET A SENSE 

754
00:26:49,612 --> 00:26:52,415
GENERALLY OF WHAT HELPS PEOPLE 

755
00:26:52,415 --> 00:26:53,549
IMPLEMENT DIFFERENT KINDS OF 

756
00:26:53,549 --> 00:26:55,585
INNOVATION AND THIS GIVES THE 

757
00:26:55,585 --> 00:26:57,353
BODY OF LITERATURE TO DRAW FROM 

758
00:26:57,353 --> 00:27:00,723
SO WE'RE NOT STARTING IN A 

759
00:27:00,723 --> 00:27:02,392
VACUUM WHEN WE'RE DOING OUR 

760
00:27:02,392 --> 00:27:03,026
IMPLEMENTATION RESEARCH.

761
00:27:03,026 --> 00:27:05,828
I'M GOING TO TALK THROUGH ONE 

762
00:27:05,828 --> 00:27:07,530
FRAMEWORK THAT LAYS OUT ALL THE 

763
00:27:07,530 --> 00:27:10,366
DIFFERENT PIECES AND I PICKED 

764
00:27:10,366 --> 00:27:12,535
THIS PARTICULAR ARTICLE BECAUSE 

765
00:27:12,535 --> 00:27:15,038
IT DOES HAVE ALL THREE OF THOSE 

766
00:27:15,038 --> 00:27:16,806
COMPONENTS THAT I JUST SHOWED 

767
00:27:16,806 --> 00:27:19,642
FOR IMPLEMENTATION IN ONE PAPER.

768
00:27:19,642 --> 00:27:21,711
IT'S MORE COMMON TO SEE 

769
00:27:21,711 --> 00:27:23,579
DIFFERENT PAPERS ON DIFFERENT 

770
00:27:23,579 --> 00:27:24,814
TOPICS AND ONE PAPER ON 

771
00:27:24,814 --> 00:27:25,948
STRATEGIES AND ANOTHER ON 

772
00:27:25,948 --> 00:27:27,316
OUTCOMES AND NOT HAVE IT ALL 

773
00:27:27,316 --> 00:27:28,151
BROUGHT TOGETHER.

774
00:27:28,151 --> 00:27:30,453
THIS IS A NICE PAPER TO START 

775
00:27:30,453 --> 00:27:34,891
WITH TO GET THAT COMPREHENSIVE 

776
00:27:34,891 --> 00:27:35,391
LOOK AND UNDERSTANDING.

777
00:27:35,391 --> 00:27:36,392
SO THE FIRST THING I WANT TO 

778
00:27:36,392 --> 00:27:40,163
POINT OUT ARE THE CIRCLES ON THE

779
00:27:40,163 --> 00:27:40,363
SLIDE.

780
00:27:40,363 --> 00:27:45,168
MOST OF THE MODELS AND FRAMEWORK

781
00:27:45,168 --> 00:27:46,836
IN IMPLEMENTATION SCIENCE 

782
00:27:46,836 --> 00:27:50,373
RECOGNIZE IT'S HAPPENING IN REAL

783
00:27:50,373 --> 00:27:51,541
WORLD SETTINGS AN THEY'RE 

784
00:27:51,541 --> 00:27:53,476
COMPLICATE AND MULTI-LEVEL AND 

785
00:27:53,476 --> 00:27:56,446
THE MULTILEVELS MATTER FOR WHAT 

786
00:27:56,446 --> 00:27:59,015
IS GOING TO BE IMPLEMENTED WELL 

787
00:27:59,015 --> 00:28:09,292
AND WHAT ISN'T.

788
00:28:10,059 --> 00:28:14,864
ONE OF THE BUBBLES IS ABOUT THE 

789
00:28:14,864 --> 00:28:16,866
INNOVATION AND THERE'LL BE 

790
00:28:16,866 --> 00:28:17,533
IMPLICATIONS WHETHER AN 

791
00:28:17,533 --> 00:28:19,535
INNOVATION WILL BE ADOPTED.

792
00:28:19,535 --> 00:28:21,137
THIS MODEL IS MEANT FOR SCHOOLS.

793
00:28:21,137 --> 00:28:23,473
IT TALKS ABOUT THE STUDENT OR 

794
00:28:23,473 --> 00:28:28,978
FAMILY WHICH WOULD BE YOUR 

795
00:28:28,978 --> 00:28:39,522
TARGET PERSON YOU'RE TRYING TO 

796
00:28:40,423 --> 00:28:42,425
HELP AND CHARACTERISTICS OF 

797
00:28:42,425 --> 00:28:46,996
TEACHERS AND WHETHER THEY'LL 

798
00:28:46,996 --> 00:28:47,497
IMPLEMENT A PARTICULAR 

799
00:28:47,497 --> 00:28:48,431
INNOVATION.

800
00:28:48,431 --> 00:28:51,000
WE HAVE WORK STUDY REFERRED TO 

801
00:28:51,000 --> 00:28:53,069
AS THE INNER SETTING WHICH MEANS

802
00:28:53,069 --> 00:28:55,571
THE IMMEDIATE WORK ENVIRONMENT.

803
00:28:55,571 --> 00:28:56,772
THAT'S GOING TO EXERT PRESSURES 

804
00:28:56,772 --> 00:28:58,608
ON WHETHER SOMETHING IS 

805
00:28:58,608 --> 00:29:00,943
IMPLEMENTED WELL OR NOT AND THEN

806
00:29:00,943 --> 00:29:03,746
WE ALSO HAVE ANOTHER SETTING 

807
00:29:03,746 --> 00:29:07,016
WHICH IS OTHER ISSUES OUTSIDE OF

808
00:29:07,016 --> 00:29:10,753
THE IMMEDIATE SETTING THAT MIGHT

809
00:29:10,753 --> 00:29:18,995
IMPACT WHAT'S HAPPENING.

810
00:29:18,995 --> 00:29:29,539
WITHIN THE MULTI LAYERS THEY'LL 

811
00:29:29,539 --> 00:29:31,574
IMPEDE OR HELP THE PROGRAM AND 

812
00:29:31,574 --> 00:29:34,577
YOU WANT TO GET YOUR HEAD AROUND

813
00:29:34,577 --> 00:29:35,611
THROUGH THE RESEARCH PROCESS 

814
00:29:35,611 --> 00:29:36,913
WHAT THE FACTORS ARE THAT ARE 

815
00:29:36,913 --> 00:29:37,647
GOING TO MATTER.

816
00:29:37,647 --> 00:29:40,850
FOR EXAMPLE FOR THE INNOVATION, 

817
00:29:40,850 --> 00:29:43,319
THE COST, THE COMPLEXITY OF IT.

818
00:29:43,319 --> 00:29:44,320
HOW MUCH BETTER IT IS THAN THE 

819
00:29:44,320 --> 00:29:46,022
OTHER THINGS THAT ARE OUT THERE.

820
00:29:46,022 --> 00:29:49,592
THOSE ARE THINGS THAT COULD 

821
00:29:49,592 --> 00:29:50,960
POTENTIALLY MATTER FOR WHETHER 

822
00:29:50,960 --> 00:29:52,261
SOMEONE IS GOING TO ADOPT THIS 

823
00:29:52,261 --> 00:29:54,130
NEW PRACTICE.

824
00:29:54,130 --> 00:29:56,432
WHEN WE THINK ABOUT THE EDUCATOR

825
00:29:56,432 --> 00:29:58,100
OR THE PROFESSIONAL, THEY'RE 

826
00:29:58,100 --> 00:29:59,502
KNOWLEDGE AND BELIEFS ABOUT THE 

827
00:29:59,502 --> 00:30:01,637
INTERVENTION OR THEIR OWN 

828
00:30:01,637 --> 00:30:03,005
CAPABILITY MIGHT MATTER FOR 

829
00:30:03,005 --> 00:30:08,911
WHETHER THEY'RE GOING TO WANT TO

830
00:30:08,911 --> 00:30:09,745
ADOPT THIS INNOVATION AND 

831
00:30:09,745 --> 00:30:13,616
LIKEWISE THE CLIMATE AND THEIR 

832
00:30:13,616 --> 00:30:16,986
WORK ENVIRONMENT IS IT TOTAL 

833
00:30:16,986 --> 00:30:18,487
CHAOS OR IS THERE OPENNESS TO 

834
00:30:18,487 --> 00:30:19,889
CHANGE AND STRONG LEADERSHIP TO 

835
00:30:19,889 --> 00:30:20,389
FACILITATE CHANGE?

836
00:30:20,389 --> 00:30:21,757
THESE ARE ALL THINGS YOU WANT TO

837
00:30:21,757 --> 00:30:23,693
FIND OUT EARLY IN YOUR 

838
00:30:23,693 --> 00:30:24,594
IMPLEMENTATION RESEARCH PROCESS 

839
00:30:24,594 --> 00:30:26,662
SO YOU CAN UNDERSTAND THE 

840
00:30:26,662 --> 00:30:28,965
CONTEXT THE INNOVATION WOULD BE 

841
00:30:28,965 --> 00:30:29,565
ADOPTED IN.

842
00:30:29,565 --> 00:30:30,866
SO IN MY BOOK READING PROGRAM, 

843
00:30:30,866 --> 00:30:32,935
FOR EXAMPLE, THINGS THAT MIGHT 

844
00:30:32,935 --> 00:30:34,704
MATTER ARE ONE, THE COMPLEXITY 

845
00:30:34,704 --> 00:30:38,474
OF THE PROGRAM ITSELF AND THE 

846
00:30:38,474 --> 00:30:39,342
COST OF THE PROGRAM AND THE 

847
00:30:39,342 --> 00:30:42,011
SPECIAL SET OF BOOKS OR CAN YOU 

848
00:30:42,011 --> 00:30:43,613
JUST USE WHATEVER BOOKS ARE IN 

849
00:30:43,613 --> 00:30:44,947
THE SCHOOL LIBRARY AND THAT 

850
00:30:44,947 --> 00:30:46,816
MIGHT MATTER.

851
00:30:46,816 --> 00:30:49,719
BOOK READING IS NOT NECESSARILY 

852
00:30:49,719 --> 00:30:51,254
UNIVERSAL OF POP CULTURE.

853
00:30:51,254 --> 00:30:53,222
THERE COULD BE SOME VARIATION 

854
00:30:53,222 --> 00:30:56,726
THERE THAT WOULD BE IMPORTANT TO

855
00:30:56,726 --> 00:30:58,995
KNOW ABOUT.

856
00:30:58,995 --> 00:31:07,003
AND WHEN WE THINK ABOUT 

857
00:31:07,003 --> 00:31:11,007
FACILITATOR.

858
00:31:11,007 --> 00:31:12,808
FOR EXAMPLE VOCABULARY LEARNING 

859
00:31:12,808 --> 00:31:15,011
MAY WANT SOMEBODY WANT TO ADOPT 

860
00:31:15,011 --> 00:31:15,311
INNOVATION.

861
00:31:15,311 --> 00:31:19,949
IN THE OUTER SETTING I USED TO 

862
00:31:19,949 --> 00:31:21,350
THINK BOOK READING WAS INNOCUOUS

863
00:31:21,350 --> 00:31:22,885
AND NOW THERE'S TALK ABOUT 

864
00:31:22,885 --> 00:31:24,453
BANNING BOOKS EVEN FOR YOUNG 

865
00:31:24,453 --> 00:31:25,221
CHILDREN.

866
00:31:25,221 --> 00:31:27,223
MAYBE THAT NOW COULD PLAY INTO 

867
00:31:27,223 --> 00:31:28,357
BEING A POTENTIAL AREA.

868
00:31:28,357 --> 00:31:29,692
AND IT'S NOT THAT WE'RE GOING TO

869
00:31:29,692 --> 00:31:31,160
MAKE ASSUMPTIONS ABOUT THIS.

870
00:31:31,160 --> 00:31:32,962
WE'RE GOING COLLECT DATA TO 

871
00:31:32,962 --> 00:31:34,797
UNDERSTAND THE DIFFERENT FACTORS

872
00:31:34,797 --> 00:31:36,165
AND HOW THEY IMPACT.

873
00:31:36,165 --> 00:31:38,501
AND THEN WHAT WE DO ONCE WE 

874
00:31:38,501 --> 00:31:40,102
UNDERSTAND KIND OF THAT CONTEXT,

875
00:31:40,102 --> 00:31:42,705
THAT'S WHEN WE START DESIGNING 

876
00:31:42,705 --> 00:31:43,739
OUR IMPLEMENTATION STRATEGIES 

877
00:31:43,739 --> 00:31:48,377
AND THE STRATEGIES CAN BE 

878
00:31:48,377 --> 00:31:50,146
DEPLOYED ACROSS ANY OF THESE 

879
00:31:50,146 --> 00:31:51,280
LEVELS AND OFTEN ACROSS MULTIPLE

880
00:31:51,280 --> 00:31:53,849
LEVELS AND THE STRATEGIES HELP 

881
00:31:53,849 --> 00:31:56,018
YOU LEVERAGE THOSE FACILITATORS 

882
00:31:56,018 --> 00:31:58,988
AND TRY TO OVERCOME SOME OF THE 

883
00:31:58,988 --> 00:31:59,455
BARRIERS.

884
00:31:59,455 --> 00:32:01,223
AND THEN WE'RE ALSO GOING TO 

885
00:32:01,223 --> 00:32:02,892
EVALUATE THE OUTCOMES SO 

886
00:32:02,892 --> 00:32:03,526
EVALUATION IS WHAT WE'RE TALKING

887
00:32:03,526 --> 00:32:10,433
ABOUT.

888
00:32:10,433 --> 00:32:11,534
THE NEXT SLIDES I'M NOT GOING 

889
00:32:11,534 --> 00:32:13,869
READ BECAUSE I HOPE HAVE YOU A 

890
00:32:13,869 --> 00:32:18,908
GOOD FEELING FOR WHAT 

891
00:32:18,908 --> 00:32:20,343
IMPLEMENTATION STRATEGIES ARE 

892
00:32:20,343 --> 00:32:21,577
AND THERE'S A WORK SHEET THAT 

893
00:32:21,577 --> 00:32:25,881
HAS A LONG LIST OF I DON'T KNOW 

894
00:32:25,881 --> 00:32:30,986
HOW MANY IMPLEMENTATION S  

895
00:32:30,986 --> 00:32:32,755
STRATEGIES BUT THERE'S A LOT OF 

896
00:32:32,755 --> 00:32:33,823
THEM AND DIVERSE.

897
00:32:33,823 --> 00:32:37,927
YOU HAVE A LOT OF OPTIONS TO 

898
00:32:37,927 --> 00:32:40,062
TAILOR YOUR IMPLEMENTATION 

899
00:32:40,062 --> 00:32:41,297
STRATEGIES TO WHAT YOU'RE 

900
00:32:41,297 --> 00:32:41,964
UNDERSTANDING ABOUT THE CONTEXT 

901
00:32:41,964 --> 00:32:52,274
YOU'RE WORKING IN.

902
00:32:57,580 --> 00:32:59,081
AND THIS ONE LOOKS AT HOW WELL 

903
00:32:59,081 --> 00:33:01,217
THE TEACHERS ARE EM EMPLOYING 

904
00:33:01,217 --> 00:33:02,251
THE INNOVATION AND THERE'S A 

905
00:33:02,251 --> 00:33:03,652
VARIETY OF OTHERS TO LOOK AT.

906
00:33:03,652 --> 00:33:04,587
IN THE BOOK READING IN ADDITION 

907
00:33:04,587 --> 00:33:05,888
TO LOOKING AT HOW WELL THEY'RE 

908
00:33:05,888 --> 00:33:07,323
DOING WE MIGHT WANT TO SEE WHAT 

909
00:33:07,323 --> 00:33:11,293
THEY THINK ABOUT IT.

910
00:33:11,293 --> 00:33:13,662
SO WE MIGHT LOOK AT 

911
00:33:13,662 --> 00:33:14,530
ACCESSIBILITY OR APPROPRIATENESS

912
00:33:14,530 --> 00:33:15,231
TO GET A BETTER SENSE OF THEIR 

913
00:33:15,231 --> 00:33:24,306
PERCEPTION.

914
00:33:24,306 --> 00:33:25,741
THAT IN A NUTSHELL HOPEFULLY 

915
00:33:25,741 --> 00:33:29,111
GIVES YOU AN IDEA OF WHAT THE 

916
00:33:29,111 --> 00:33:29,745
COMPONENTS OF IMPLEMENTATION 

917
00:33:29,745 --> 00:33:30,045
LOOK LIKE.

918
00:33:30,045 --> 00:33:33,249
NOW I WANT TO MOVE INTO THINKING

919
00:33:33,249 --> 00:33:35,651
ABOUT HOW WE PUT THESE TWO LINES

920
00:33:35,651 --> 00:33:38,821
OF RESEARCH TOGETHER.

921
00:33:38,821 --> 00:33:41,390
WE HAVE THE EVIDENCE BASED 

922
00:33:41,390 --> 00:33:42,458
INNOVATION AND RESEARCH AND 

923
00:33:42,458 --> 00:33:44,059
EFFICACY AND EFFECTIVENESS AND 

924
00:33:44,059 --> 00:33:46,495
THEN WE GOT THIS HELPING OTHERS 

925
00:33:46,495 --> 00:33:50,099
DO THE THING, DO THE INNOVATION 

926
00:33:50,099 --> 00:33:52,368
OR IMPLEMENTATION RESEARCH SO 

927
00:33:52,368 --> 00:33:54,069
HOW DO WE BRING THESE TOGETHER 

928
00:33:54,069 --> 00:33:54,837
AND INTEGRATE THEM?

929
00:33:54,837 --> 00:33:59,008
IS THIS ONE IDEA HOW TO DO THIS.

930
00:33:59,008 --> 00:34:01,510
THIS ARTICLE TALKS ABOUT THE 

931
00:34:01,510 --> 00:34:02,478
PRACTICE OF INTEREST.

932
00:34:02,478 --> 00:34:04,113
SO THE INNOVATION AND THEY'RE 

933
00:34:04,113 --> 00:34:07,216
REFERRING TO IT IN GENERIC TERMS

934
00:34:07,216 --> 00:34:08,851
AS THE PRACTICE YOU'LL ASK 

935
00:34:08,851 --> 00:34:11,454
YOURSELF QUESTIONS ABOUT WHAT DO

936
00:34:11,454 --> 00:34:12,621
WE KNOW ABOUT THE PRACTICE.

937
00:34:12,621 --> 00:34:14,990
SO THE FIRST QUESTION TO 

938
00:34:14,990 --> 00:34:18,494
YOURSELF IS HAS EFFICACY BEEN 

939
00:34:18,494 --> 00:34:21,363
DEMONSTRATED FOR THE 

940
00:34:21,363 --> 00:34:21,730
IMPLEMENTATION.

941
00:34:21,730 --> 00:34:25,901
IF NO, YOU SHOULD DO EFFICACY 

942
00:34:25,901 --> 00:34:26,802
AND THAT TAKES YOU THROUGH THE 

943
00:34:26,802 --> 00:34:27,570
RED LINE.

944
00:34:27,570 --> 00:34:31,707
IF YES YOU ASK YOURSELF ANOTHER 

945
00:34:31,707 --> 00:34:32,908
QUESTION, HAS EFFECTIVENESS BEEN

946
00:34:32,908 --> 00:34:34,677
PART OF INNOVATION?

947
00:34:34,677 --> 00:34:36,345
IF NO THEN YOU DO EFFECTIVENESS 

948
00:34:36,345 --> 00:34:36,612
RESEARCH.

949
00:34:36,612 --> 00:34:41,917
THAT'S WHEN WE'RE LOOKING AT THE

950
00:34:41,917 --> 00:34:42,218
INNOVATION.

951
00:34:42,218 --> 00:34:45,821
THEN IF YOU'RE ANSWER IS MAYBE, 

952
00:34:45,821 --> 00:34:47,990
NO OR PARTIAL TO THE 

953
00:34:47,990 --> 00:34:48,791
EFFECTIVENESS, YOU CAN DO THE 

954
00:34:48,791 --> 00:34:53,395
HYBRID TRIALS THAT ABUT YOU -- 

955
00:34:53,395 --> 00:34:54,730
ALLOW YOU TO LOOK AT 

956
00:34:54,730 --> 00:34:55,397
EFFECTIVENESS TOGETHER IN THE 

957
00:34:55,397 --> 00:35:01,103
SAME SETTING AND IF YOU HAVE 

958
00:35:01,103 --> 00:35:06,008
STRONG EFFECTIVENESS DATA THEN 

959
00:35:06,008 --> 00:35:08,777
YOU CAN MOVE INTO AN 

960
00:35:08,777 --> 00:35:09,678
IMPLEMENTATION TRIAL.

961
00:35:09,678 --> 00:35:10,946
HERE WE'RE ONLY LOOKING AT THE 

962
00:35:10,946 --> 00:35:14,984
REAL WORLD SIDE OF THINGS AND 

963
00:35:14,984 --> 00:35:16,585
EFFECTIVENESS AND ORIENTATION IN

964
00:35:16,585 --> 00:35:17,520
THE EFFECTIVENESS TRIAL YOU'RE 

965
00:35:17,520 --> 00:35:19,154
DOING IT AS YOUR PRIMARY THING 

966
00:35:19,154 --> 00:35:20,756
AND NOT REALLY PAYING ATTENTION 

967
00:35:20,756 --> 00:35:22,091
TO THE IMPLEMENTATION SIDE.

968
00:35:22,091 --> 00:35:24,126
THEN WE MOVE TO THE HYBRID 

969
00:35:24,126 --> 00:35:25,227
TRIALS AND YOU CAN SEE WE'RE 

970
00:35:25,227 --> 00:35:29,098
DOING EFFECTIVENESS AND 

971
00:35:29,098 --> 00:35:29,765
IMPLEMENTATION RESEARCH TOGETHER

972
00:35:29,765 --> 00:35:31,000
IN PARALLEL.

973
00:35:31,000 --> 00:35:32,067
WHAT'S VARIED ACROSS THE TYPES 

974
00:35:32,067 --> 00:35:35,004
IS WHICH ONE OF THOSE IS 

975
00:35:35,004 --> 00:35:37,740
IDENTIFIED WHETHER WE HAVE MORE 

976
00:35:37,740 --> 00:35:42,478
EMPHASIS ON THE EFFECTIVENESS AS

977
00:35:42,478 --> 00:35:47,016
IN THE TYPE ONE OR WHETHER WE 

978
00:35:47,016 --> 00:35:48,984
HAVE EQUALNESS ON IMPLEMENTATION

979
00:35:48,984 --> 00:35:53,989
OR MORE ON THE IMPLEMENTATION AS

980
00:35:53,989 --> 00:35:55,524
HYBRID TYPE 3 AND THEN ON 

981
00:35:55,524 --> 00:35:57,893
IMPLEMENTATION TRIAL WE'RE NOT 

982
00:35:57,893 --> 00:35:59,295
REALLY LOOKING AT EFFECTIVENESS 

983
00:35:59,295 --> 00:36:00,229
BUT FOCUSSED ON THE 

984
00:36:00,229 --> 00:36:04,099
IMPLEMENTATION SIDE OF THINGS.

985
00:36:04,099 --> 00:36:07,002
NOW, ONE OF THE THINGS THAT MANY

986
00:36:07,002 --> 00:36:09,004
OF US ARE FRUSTRATED BY WITH 

987
00:36:09,004 --> 00:36:13,208
THESE TYPES OF FRAMEWORKS IS 

988
00:36:13,208 --> 00:36:16,845
THAT IT FEELS VERY STEP WISE, 

989
00:36:16,845 --> 00:36:17,947
VERY LINEAR.

990
00:36:17,947 --> 00:36:21,917
POTENTIALLY VERY LOW  -- SLOW.

991
00:36:21,917 --> 00:36:24,053
I TRIED TO REFLECT ON WHY IS 

992
00:36:24,053 --> 00:36:26,855
THAT AND WHAT IS MISSING FROM 

993
00:36:26,855 --> 00:36:27,456
THE FRAMEWORK?

994
00:36:27,456 --> 00:36:31,160
WHAT I CAME UP WITH IS WE NEED A

995
00:36:31,160 --> 00:36:31,493
DESTINATION.

996
00:36:31,493 --> 00:36:32,661
YOU DON'T TAKE THE SUBWAY TO 

997
00:36:32,661 --> 00:36:33,829
TAKE THE SUBWAY.

998
00:36:33,829 --> 00:36:37,700
IT'S UNDERGROUND.

999
00:36:37,700 --> 00:36:40,235
YOU DON'T JUST RIDE THE RAILS TO

1000
00:36:40,235 --> 00:36:40,836
RIDE THE RAILS.

1001
00:36:40,836 --> 00:36:43,172
YOU WANT TO GO SOMEWHERE.

1002
00:36:43,172 --> 00:36:44,473
SO WHEN WE'RE STARTING OUR 

1003
00:36:44,473 --> 00:36:46,208
RESEARCH EVEN AT THE BEGINNING 

1004
00:36:46,208 --> 00:36:47,676
WHEN WE'RE DEVELOPING AN 

1005
00:36:47,676 --> 00:36:50,279
INNOVATION, WE NEED TO BE 

1006
00:36:50,279 --> 00:36:51,380
THINKING ABOUT THAT END POINT.

1007
00:36:51,380 --> 00:36:54,316
WHO ARE WE SERVING IN THE WORLD.

1008
00:36:54,316 --> 00:36:55,584
WHAT CONTEXT?

1009
00:36:55,584 --> 00:36:57,586
WHO IS GOING TO BE USING THIS 

1010
00:36:57,586 --> 00:37:01,590
INNOVATION AND WE WANT TO AT 

1011
00:37:01,590 --> 00:37:03,258
LEAST SKETCH THAT OUT FROM THE 

1012
00:37:03,258 --> 00:37:04,293
BEGINNING AND CONTINUE TO 

1013
00:37:04,293 --> 00:37:07,529
FULFILL IN DETAIL AS WE GO 

1014
00:37:07,529 --> 00:37:09,665
THROUGH OUR PROCESS AND BECOME 

1015
00:37:09,665 --> 00:37:10,299
MORE KNOWLEDGEABLE HOW THIS 

1016
00:37:10,299 --> 00:37:12,768
COULD BE USED.

1017
00:37:12,768 --> 00:37:14,770
AND SO THEN WHAT I THINK THIS 

1018
00:37:14,770 --> 00:37:22,211
ALLOWS US TO DO IS CREATE A MORE

1019
00:37:22,211 --> 00:37:23,545
EFFICIENT TRACK FROM THE 

1020
00:37:23,545 --> 00:37:26,081
BEGINNING TO THE END POINT AND 

1021
00:37:26,081 --> 00:37:27,082
THIS IS THE D&I BULLET TRAIN

1022
00:37:27,082 --> 00:37:28,784
FROM THE BEGINNING OF OUR COMING

1023
00:37:28,784 --> 00:37:30,919
UP WITH THE IDEA FOR AN 

1024
00:37:30,919 --> 00:37:32,121
INNOVATION TO ACTUALLY HAVING IT

1025
00:37:32,121 --> 00:37:35,924
IN PRACTICE.

1026
00:37:35,924 --> 00:37:37,326
KNOW, WE'RE STILL GOING TO GO 

1027
00:37:37,326 --> 00:37:38,460
THROUGH THESE DIFFERENT STAGES 

1028
00:37:38,460 --> 00:37:40,696
BUT I HOPE WE'LL ABLE TO GO 

1029
00:37:40,696 --> 00:37:41,964
THROUGH THEM A LITTLE MORE 

1030
00:37:41,964 --> 00:37:42,765
EFFICIENTLY BECAUSE WE'LL BE 

1031
00:37:42,765 --> 00:37:44,667
ABLE TO BLUR THE LINES WITH WHAT

1032
00:37:44,667 --> 00:37:45,000
WE'RE DOING.

1033
00:37:45,000 --> 00:37:47,836
FOR EXAMPLE, I TOLD YOU THAT 

1034
00:37:47,836 --> 00:37:49,204
CHARACTERISTICS OF THE 

1035
00:37:49,204 --> 00:37:50,205
INNOVATION CAN MAKE DIFFERENCE 

1036
00:37:50,205 --> 00:37:52,241
FOR WHETHER IT'S GOING TO BE 

1037
00:37:52,241 --> 00:37:53,742
ADOPTED IN THE REAL WORLD.

1038
00:37:53,742 --> 00:37:57,279
SO DOES IT MAKE SENSE TO MAKE AN

1039
00:37:57,279 --> 00:38:00,449
INNOVATION, TEST THE EFFICACY 

1040
00:38:00,449 --> 00:38:01,483
AND THEN PUT IT IN THE REAL 

1041
00:38:01,483 --> 00:38:04,987
WORLD AND FIND OUT THEY TOTALLY 

1042
00:38:04,987 --> 00:38:06,855
HATE IT AND NEVER USE IT?

1043
00:38:06,855 --> 00:38:08,724
IF THAT'S SOMETHING YOU FOUND 

1044
00:38:08,724 --> 00:38:09,792
OUT WE'D HAVE TO REDESIGN THE 

1045
00:38:09,792 --> 00:38:11,894
WHOLE THING AND WOULD HAVE TO GO

1046
00:38:11,894 --> 00:38:13,629
BACK THROUGH OUR INITIAL 

1047
00:38:13,629 --> 00:38:13,862
PROCESS.

1048
00:38:13,862 --> 00:38:15,364
THAT'S NOT VERY EFFICIENT.

1049
00:38:15,364 --> 00:38:17,800
IT WOULD MAKE MORE SENSE TO 

1050
00:38:17,800 --> 00:38:18,634
THINK ABOUT THE REAL WORLD 

1051
00:38:18,634 --> 00:38:21,136
PEOPLE WHO ARE GOING TO USE THE 

1052
00:38:21,136 --> 00:38:22,071
INNOVATION FROM THE VERY 

1053
00:38:22,071 --> 00:38:24,239
BEGINNING AND ENGAGE IN SOME 

1054
00:38:24,239 --> 00:38:25,841
KIND OF CO-DESIGN PROCESS SO 

1055
00:38:25,841 --> 00:38:28,010
THAT WHAT COMES OUT OF OUR 

1056
00:38:28,010 --> 00:38:29,712
EFFICACY RESEARCH IS SOMETHING 

1057
00:38:29,712 --> 00:38:32,614
THAT IS MORE IMMEDIATELY 

1058
00:38:32,614 --> 00:38:36,485
IMPLEMENTABLE OR SOMETHING THE 

1059
00:38:36,485 --> 00:38:39,455
PEOPLE WHO ARE GOING TO ADOPT IT

1060
00:38:39,455 --> 00:38:40,923
WILL USE.

1061
00:38:40,923 --> 00:38:42,524
AND WHAT I'M GETTING AT IS HOW 

1062
00:38:42,524 --> 00:38:45,761
WE THINK ABOUT THE BALANCE OF 

1063
00:38:45,761 --> 00:38:48,831
INTERNAL VALIDITY VERSUS 

1064
00:38:48,831 --> 00:38:52,534
EXTERNAL VALIDITY MOVING THROUGH

1065
00:38:52,534 --> 00:38:53,669
THE PROCESS.

1066
00:38:53,669 --> 00:38:55,003
THAT IS THE GRAPHIC ON THE RIGHT

1067
00:38:55,003 --> 00:38:55,237
SIDE.

1068
00:38:55,237 --> 00:38:59,441
INTERNAL VALIDITY IS THE RIG 

1069
00:38:59,441 --> 00:39:00,576
PERP WE WANT HIGH -- RIGOR.

1070
00:39:00,576 --> 00:39:02,244
WE WANT HIGH RIGOR TO MAKE 

1071
00:39:02,244 --> 00:39:04,546
STRONG STATEMENTS ABOUT OUR 

1072
00:39:04,546 --> 00:39:05,647
INNOVATION CAUSING THE CHANGE IN

1073
00:39:05,647 --> 00:39:08,183
THE PERSON'S BEHAVIOR USUALLY 

1074
00:39:08,183 --> 00:39:09,051
THE PERSON'S COMMUNICATION IS 

1075
00:39:09,051 --> 00:39:14,456
WHAT WE'RE INTERESTED IN.

1076
00:39:14,456 --> 00:39:17,159
EXTERNAL VALIDITY IS THE REAL 

1077
00:39:17,159 --> 00:39:18,360
WORLD GENERALIZABILITY IS WHAT 

1078
00:39:18,360 --> 00:39:20,996
WE WANT WHEN WE'RE IN THE 

1079
00:39:20,996 --> 00:39:22,698
IMPLEMENTATION PHASE WHERE WE 

1080
00:39:22,698 --> 00:39:26,602
WANT TO MAKE SURE THERE'S A HIGH

1081
00:39:26,602 --> 00:39:28,337
DEGREE OF EXTERNAL VALIDITY.

1082
00:39:28,337 --> 00:39:34,009
WE CAN'T GO EXTERNAL AND MAKE A 

1083
00:39:34,009 --> 00:39:36,512
SHIFT AND IT WON'T BE A SMOOTH 

1084
00:39:36,512 --> 00:39:36,745
HANDOFF.

1085
00:39:36,745 --> 00:39:39,047
WE WANT TO THINK HOW WE BALANCE 

1086
00:39:39,047 --> 00:39:42,084
THE INTERNAL AND EXTERNAL 

1087
00:39:42,084 --> 00:39:42,885
VALIDITY THROUGH OUR WHOLE 

1088
00:39:42,885 --> 00:39:43,819
RESEARCH PROCESS SO WE HAVE A 

1089
00:39:43,819 --> 00:39:46,221
TRANSITION FROM ONE TO THE 

1090
00:39:46,221 --> 00:39:46,588
OTHER.

1091
00:39:46,588 --> 00:39:48,490
ON THE LEFT SIDE OF THE SCREEN 

1092
00:39:48,490 --> 00:39:50,893
IS A PARTICULAR FRAMEWORK THAT 

1093
00:39:50,893 --> 00:39:52,094
HELPS YOU THINK THROUGH THIS.

1094
00:39:52,094 --> 00:39:53,929
WHAT THE FOLKS ARE ON THE WHEEL 

1095
00:39:53,929 --> 00:39:57,032
ARE ALL THE ELEMENTS OF YOUR 

1096
00:39:57,032 --> 00:39:59,001
RESEARCH DESIGN WHERE YOU MAKE 

1097
00:39:59,001 --> 00:40:01,236
CHOICES THAT EITHER INCREASE 

1098
00:40:01,236 --> 00:40:04,540
YOUR INTERNAL VALIDITY OR YOUR 

1099
00:40:04,540 --> 00:40:05,274
EXTERNAL VALIDITY AND GIVES YOU 

1100
00:40:05,274 --> 00:40:06,809
A WAY TO THINK THROUGH WHAT IS 

1101
00:40:06,809 --> 00:40:08,076
THE QUESTION YOU'RE TRYING TO 

1102
00:40:08,076 --> 00:40:11,013
ASK AND WHAT IS REALLY THE RIGHT

1103
00:40:11,013 --> 00:40:13,148
BALANCE OF INTERNAL AND EXTERNAL

1104
00:40:13,148 --> 00:40:13,415
VALIDITY.

1105
00:40:13,415 --> 00:40:15,017
THERE'S NOT GOING TO BE A 

1106
00:40:15,017 --> 00:40:17,119
ONE-SIZE FITS ALL ANSWER TO THIS

1107
00:40:17,119 --> 00:40:18,921
PUZZLE BUT I THINK WE REALLY 

1108
00:40:18,921 --> 00:40:20,923
NEED TO GRAPPLE WITH THIS MUCH 

1109
00:40:20,923 --> 00:40:22,524
MORE AS WE GO THROUGH OUR 

1110
00:40:22,524 --> 00:40:32,935
RESEARCH DESIGN PROCESS.

1111
00:40:35,070 --> 00:40:36,672
THIS A FRAMEWORK OF THE ELEMENTS

1112
00:40:36,672 --> 00:40:39,374
AND WE HOPE THIS WILL HELP YOU 

1113
00:40:39,374 --> 00:40:40,943
THINK THROUGH YOUR OWN RESEARCH 

1114
00:40:40,943 --> 00:40:42,711
PROJECTS AND PUT ALL THE 

1115
00:40:42,711 --> 00:40:44,847
ELEMENTS ON ONE SLIDE TO SEE 

1116
00:40:44,847 --> 00:40:46,181
THEM TOGETHER.

1117
00:40:46,181 --> 00:40:48,283
YOU CAN SEE WE WANT YOU TO 

1118
00:40:48,283 --> 00:40:49,952
DEFINE WHAT YOUR EVIDENCE-BASED 

1119
00:40:49,952 --> 00:40:51,086
INNOVATION IS AND WANT YOU TO 

1120
00:40:51,086 --> 00:40:56,992
THINK ABOUT THE DYNAMIC 

1121
00:40:56,992 --> 00:40:58,160
MULTI-LEVEL CONTEXT TO BRING IN 

1122
00:40:58,160 --> 00:41:01,630
WHAT THE DESTINATION IS AND THEN

1123
00:41:01,630 --> 00:41:03,065
OUTLINE YOUR IMPLEMENTATION 

1124
00:41:03,065 --> 00:41:04,700
STRATEGY TO HELP PEOPLE AND 

1125
00:41:04,700 --> 00:41:07,169
PLACES DO YOUR INNOVATION.

1126
00:41:07,169 --> 00:41:08,403
OUTLINE YOUR IMPLEMENTATION 

1127
00:41:08,403 --> 00:41:08,770
OUTCOME.

1128
00:41:08,770 --> 00:41:10,339
HOW WOULD YOU KNOW THE PEOPLE 

1129
00:41:10,339 --> 00:41:12,841
AND PLACES ARE DOING THE 

1130
00:41:12,841 --> 00:41:15,010
INNOVATION AND YOU MIGHT ALSO BE

1131
00:41:15,010 --> 00:41:17,145
LOOKING AT EFFECTIVENESS 

1132
00:41:17,145 --> 00:41:18,113
OUTCOMES WHICH ARE WHAT'S GOING 

1133
00:41:18,113 --> 00:41:21,650
ON WITH YOUR TARGETED INDIVIDUAL

1134
00:41:21,650 --> 00:41:23,151
AND THE PERSON WITH THE 

1135
00:41:23,151 --> 00:41:25,020
COMMUNICATION DISORDER AND HOW 

1136
00:41:25,020 --> 00:41:30,993
THEY'RE OUTCOMES ARE IMPROVING.

1137
00:41:30,993 --> 00:41:32,494
I'LL GOOD BACK TO MY EXAMPLE 

1138
00:41:32,494 --> 00:41:33,795
WHICH I THINK YOU CAN PROBABLY 

1139
00:41:33,795 --> 00:41:36,265
FILL IN THE BUBBLE BUT TO SHOW 

1140
00:41:36,265 --> 00:41:39,968
WE HAVE THIS HELPFUL BOOK 

1141
00:41:39,968 --> 00:41:41,703
READING PROGRAM THE 

1142
00:41:41,703 --> 00:41:43,138
EVIDENCE-BASED INTERVENTION AND 

1143
00:41:43,138 --> 00:41:45,807
THIS HYPOTHETICAL EXAMPLE.

1144
00:41:45,807 --> 00:41:46,975
WHO WILL USING IT?

1145
00:41:46,975 --> 00:41:52,180
WE THINK WE'LL HAVE TEACHERS DO 

1146
00:41:52,180 --> 00:41:55,183
IT IN CLASSROOMS WITH CHILDREN 

1147
00:41:55,183 --> 00:41:57,753
WITH NORMAL LANGUAGE DEVELOPMENT

1148
00:41:57,753 --> 00:42:00,155
AND TALK ABOUT THE BROADER 

1149
00:42:00,155 --> 00:42:01,790
ENVIRONMENT AND MAYBE THE BOOK 

1150
00:42:01,790 --> 00:42:03,959
BANNING PROCESS MAY BE SOMETHING

1151
00:42:03,959 --> 00:42:05,394
THAT MAKES SENSE OF THIS 

1152
00:42:05,394 --> 00:42:10,699
INNOVATION TO APPLY AND WE WANT 

1153
00:42:10,699 --> 00:42:19,007
TO THEN AND MONITORING AND 

1154
00:42:19,007 --> 00:42:23,011
PROVIDING FEEDBACK ON THE FLY.

1155
00:42:23,011 --> 00:42:25,213
INCENTIVES LIKE BONUSES.

1156
00:42:25,213 --> 00:42:28,517
AND BECAUSE I PUT INTO CONTEXT 

1157
00:42:28,517 --> 00:42:31,853
THE BOOK BANNING ISSUE WE MAY 

1158
00:42:31,853 --> 00:42:34,523
WANT TO IDENTIFY THE BOOKS PART 

1159
00:42:34,523 --> 00:42:36,058
OF A PROGRAM TO PICK BOOKS THAT 

1160
00:42:36,058 --> 00:42:37,259
WOULD BE ACCEPTABLE TO THE 

1161
00:42:37,259 --> 00:42:39,061
COMMUNITY.

1162
00:42:39,061 --> 00:42:41,930
SO THOSE WOULD BE ALL THE 

1163
00:42:41,930 --> 00:42:43,465
STRATEGIES THAT WE COULD 

1164
00:42:43,465 --> 00:42:43,832
POTENTIALLY USE.

1165
00:42:43,832 --> 00:42:45,534
THEN WE WOULD MEASURE OUR 

1166
00:42:45,534 --> 00:42:46,168
OUTCOMES.

1167
00:42:46,168 --> 00:42:48,837
HOW WELL ARE THE TEACHERS USING 

1168
00:42:48,837 --> 00:42:49,705
THE HELPFUL BOOK READING 

1169
00:42:49,705 --> 00:42:49,938
PROGRAM.

1170
00:42:49,938 --> 00:42:52,307
WHAT DO THEY THINK ABOUT THE 

1171
00:42:52,307 --> 00:42:54,576
ACCEPTABILITY AND FEASIBILITY OF

1172
00:42:54,576 --> 00:42:56,178
THE PROGRAM AND SO ON.

1173
00:42:56,178 --> 00:42:58,146
FOR AN EFFECTIVENESS OUTCOME WE 

1174
00:42:58,146 --> 00:43:00,115
COULD LOOK AT THE CHILDREN AND 

1175
00:43:00,115 --> 00:43:01,149
HOW MANY WORDS THEY'RE LEARNING 

1176
00:43:01,149 --> 00:43:02,484
AND AGAIN THIS WOULD BE IN THE 

1177
00:43:02,484 --> 00:43:06,588
CONTEXT OF A RESEARCH STUDY SO 

1178
00:43:06,588 --> 00:43:08,523
IF WE'RE ON THE IMPLEMENTATION 

1179
00:43:08,523 --> 00:43:12,461
SIDE WE WOULD BE COMPARING SOME 

1180
00:43:12,461 --> 00:43:14,997
OF THE STRATEGY PACKAGES AND 

1181
00:43:14,997 --> 00:43:20,569
LOOKING AT HOW THAT VARIES THE 

1182
00:43:20,569 --> 00:43:22,070
ACCEPTABILITY AND FEASIBILITY.

1183
00:43:22,070 --> 00:43:24,639
I HOPE THAT WAS A HELPFUL CRASH 

1184
00:43:24,639 --> 00:43:25,974
COURSE IN IMPLEMENTATION SCIENCE

1185
00:43:25,974 --> 00:43:27,009
AND DISSEMINATION.

1186
00:43:27,009 --> 00:43:29,444
WHAT WE'RE GOING TO DO NEXT IS 

1187
00:43:29,444 --> 00:43:33,448
WE HAVE INVITED THREE NIDCD 

1188
00:43:33,448 --> 00:43:36,852
FUNDED INVESTIGATORS WHO HAVE 

1189
00:43:36,852 --> 00:43:38,186
DISSEMINATION AND IMPLEMENTATION

1190
00:43:38,186 --> 00:43:38,820
RESEARCH PROJECTS AND THEY'RE 

1191
00:43:38,820 --> 00:43:41,189
GOING TO KIND OF RAPID FIRE 

1192
00:43:41,189 --> 00:43:41,990
PRESENT THEIR PROJECTS USING 

1193
00:43:41,990 --> 00:43:44,092
THAT FRAMEWORK THAT I JUST 

1194
00:43:44,092 --> 00:43:45,961
SHOWED YOU.

1195
00:43:45,961 --> 00:43:49,164
SO OUR FIRST IS JESSICA CARON 

1196
00:43:49,164 --> 00:43:51,233
FROM PENN STATE UNIVERSITY AND 

1197
00:43:51,233 --> 00:43:52,100
HER PROJECT IS IMPROVING 

1198
00:43:52,100 --> 00:43:55,003
LITERACY OUTCOMES IN CHILDREN 

1199
00:43:55,003 --> 00:43:59,374
WHO USING AUGMENTATIVE AND 

1200
00:43:59,374 --> 00:43:59,908
ALTERNATIVE COMMUNICATION.

1201
00:43:59,908 --> 00:44:02,511
ARE YOU ABLE TO UNMUTE AND TALK 

1202
00:44:02,511 --> 00:44:03,011
THIS THROUGH?

1203
00:44:03,011 --> 00:44:04,513
>> THANKS, HOLLY.

1204
00:44:04,513 --> 00:44:05,480
I'M EXCITED TO BE HERE TO 

1205
00:44:05,480 --> 00:44:09,684
PROVIDE AN EXAMPLE OF OUR 

1206
00:44:09,684 --> 00:44:09,951
RESEARCH.

1207
00:44:09,951 --> 00:44:14,990
SO THE FRAMEWORK JUST SHARED WE 

1208
00:44:14,990 --> 00:44:18,160
AIM TO IMPROVE OUTCOMES FOR 

1209
00:44:18,160 --> 00:44:22,998
CHILDREN WHO USE AUGMENTATIVE 

1210
00:44:22,998 --> 00:44:25,934
AND ALTERNATIVE COMMUNICATION 

1211
00:44:25,934 --> 00:44:32,707
AND INDIVIDUALS WHO USE THIS ARE

1212
00:44:32,707 --> 00:44:35,811
EXTREMELY POOR RESULTING IN A 

1213
00:44:35,811 --> 00:44:41,016
PROBABLE OF LIFE LONG ISSUE AND 

1214
00:44:41,016 --> 00:44:43,018
PROHIBITS INCLUSION OF USE 

1215
00:44:43,018 --> 00:44:44,052
PHONICS CURRICULUMS IN SCHOOLS 

1216
00:44:44,052 --> 00:44:45,287
RIGHT NOW AND SERVICE PROVIDERS 

1217
00:44:45,287 --> 00:44:47,756
ARE THEN REQUIRED TO MAKE 

1218
00:44:47,756 --> 00:44:49,191
ADAPTATIONS TO CURRENT 

1219
00:44:49,191 --> 00:44:50,158
CURRICULUMS WITH LIMITED 

1220
00:44:50,158 --> 00:44:53,495
KNOWLEDGE AND TIME.

1221
00:44:53,495 --> 00:44:55,030
THE ACCESSIBLE LITERACY LEARNING

1222
00:44:55,030 --> 00:44:58,533
APP IS THE INTERVENTION THAT HAS

1223
00:44:58,533 --> 00:44:59,868
POTENTIAL TO IMPROVE EARLY 

1224
00:44:59,868 --> 00:45:03,038
LITERACY SKILLS AND DAILY 

1225
00:45:03,038 --> 00:45:04,673
INSTRUCTION THAT ARE EVIDENCE 

1226
00:45:04,673 --> 00:45:06,074
BASED CAN CHANGE THE POOR 

1227
00:45:06,074 --> 00:45:07,342
OUTCOMES AND LIMITED RESEARCH 

1228
00:45:07,342 --> 00:45:10,278
EXISTS RELATED TO LITERACY 

1229
00:45:10,278 --> 00:45:14,716
INTERVENTIONS THAT INCLUDE 

1230
00:45:14,716 --> 00:45:17,419
PHONICS-BASED TASKS INDIVIDUALLY

1231
00:45:17,419 --> 00:45:21,389
FOR THESE INDIVIDUALS THAT USE 

1232
00:45:21,389 --> 00:45:21,556
PIS.

1233
00:45:21,556 --> 00:45:24,559
THE FIRST IS TO ASSESS THE 

1234
00:45:24,559 --> 00:45:26,027
EFFECTIVENESS FOR INDIVIDUALS 

1235
00:45:26,027 --> 00:45:27,963
WITH DISABILITY WHO'S USE EAC 

1236
00:45:27,963 --> 00:45:33,802
AND THE SECOND AIM IS LOOKING AT

1237
00:45:33,802 --> 00:45:35,770
THE ACCEPTABLITY AND FEASIBILITY

1238
00:45:35,770 --> 00:45:38,106
OF THE LESSONS USING THE 

1239
00:45:38,106 --> 00:45:40,008
TECHNOLOGY AND WE'RE LOOKING AT 

1240
00:45:40,008 --> 00:45:42,644
THIS TO FIGURE OUT WHAT'S BEEN 

1241
00:45:42,644 --> 00:45:44,079
HELPFUL OR HINDERING TO ADOPTION

1242
00:45:44,079 --> 00:45:49,084
OF THE TECHNOLOGY IN THE 

1243
00:45:49,084 --> 00:45:50,986
SCHOOLS.

1244
00:45:50,986 --> 00:45:52,454
SO AGAIN THE EVIDENCE-BASED 

1245
00:45:52,454 --> 00:45:56,992
INTERVENTION IS GOING TO BE THE 

1246
00:45:56,992 --> 00:45:59,594
ACCESSIBILITY LESSON CURRICULUM 

1247
00:45:59,594 --> 00:46:01,163
WITH STIMULI FOR INDIVIDUAL 

1248
00:46:01,163 --> 00:46:03,398
WHO'S USING AAC AND WHEN WE LOOK

1249
00:46:03,398 --> 00:46:05,600
AT THE CONTEXT THERE'S A NUMBER 

1250
00:46:05,600 --> 00:46:08,203
OF FACTORS THAT PLAY.

1251
00:46:08,203 --> 00:46:08,870
THE EVIDENCE-BASED INTERVENTION 

1252
00:46:08,870 --> 00:46:11,540
IS ACTUALLY PRESENTED ON AN iPAD

1253
00:46:11,540 --> 00:46:13,875
SO THERE NEEDS TO BE ACCESS TO 

1254
00:46:13,875 --> 00:46:15,977
iPADS AND PHYSICALLY BEING ABLE 

1255
00:46:15,977 --> 00:46:18,413
TO ACCESS THE iPADS.

1256
00:46:18,413 --> 00:46:19,881
IT'S BEING USED AT SCHOOLS.

1257
00:46:19,881 --> 00:46:23,051
WE HAVE PUBLIC AND PRIVATE 

1258
00:46:23,051 --> 00:46:25,287
SCHOOLS AND THERE'S DIFFERENT 

1259
00:46:25,287 --> 00:46:28,290
CONTEXT DIFFERENCES DEPENDING ON

1260
00:46:28,290 --> 00:46:28,924
THOSE THINGS.

1261
00:46:28,924 --> 00:46:30,592
AND THERE'S CHILDREN WITH 

1262
00:46:30,592 --> 00:46:31,526
DISABILITIES AND WE INCLUDE 

1263
00:46:31,526 --> 00:46:34,129
INDIVIDUALS WITH A RANGE OF 

1264
00:46:34,129 --> 00:46:36,398
DISABILITIES, AUTISM, CEREBRAL 

1265
00:46:36,398 --> 00:46:38,767
PALSY, DOWNS SYNDROME.

1266
00:46:38,767 --> 00:46:40,902
AND IN ADDITION THOSE PROVIDING 

1267
00:46:40,902 --> 00:46:43,038
INSTRUCTION WE DIDN'T LIMIT TO 

1268
00:46:43,038 --> 00:46:47,042
TEACHERS, THEY'RE SLPs, 

1269
00:46:47,042 --> 00:46:49,277
OCCUPATIONAL THERAPISTS AND 

1270
00:46:49,277 --> 00:46:50,445
PARENT EDUCATORS COMING WITH 

1271
00:46:50,445 --> 00:46:52,681
DIFFERENT LENSES AND 

1272
00:46:52,681 --> 00:46:52,981
EXPERIENCES.

1273
00:46:52,981 --> 00:46:55,016
AND THEN THE BROADER ENVIRONMENT

1274
00:46:55,016 --> 00:46:56,284
WE'RE DEALING WITH ATTITUDINAL 

1275
00:46:56,284 --> 00:46:57,953
BARRIERS WHERE A NUMBER OF 

1276
00:46:57,953 --> 00:46:59,888
PEOPLE STILL BELIEVE THESE 

1277
00:46:59,888 --> 00:47:01,289
INDIVIDUALS CAN'T LEARN TO READ 

1278
00:47:01,289 --> 00:47:03,058
OR THEY BELIEVE THEY CAN ONLY 

1279
00:47:03,058 --> 00:47:05,760
LEARN TO READ IN A CERTAIN WAY 

1280
00:47:05,760 --> 00:47:08,330
LIKE MORE OF A SITE WORD 

1281
00:47:08,330 --> 00:47:12,067
APPROACH INSTEAD OF ACCESS TO 

1282
00:47:12,067 --> 00:47:13,335
PHONICS AND BIGGER PICTURE 

1283
00:47:13,335 --> 00:47:15,637
HISTORY THERE'S NO PREVIOUS 

1284
00:47:15,637 --> 00:47:17,872
STUDIES OF ALL BEING USED BY 

1285
00:47:17,872 --> 00:47:19,941
SERVICE PROVIDERS IN SCHOOLS.

1286
00:47:19,941 --> 00:47:21,076
IN TERMS OF IMPLEMENTATION 

1287
00:47:21,076 --> 00:47:21,810
STRATEGIES OR THINGS WE HAVE IN 

1288
00:47:21,810 --> 00:47:24,246
PLACE TO TRY TO GET THE SERVICE 

1289
00:47:24,246 --> 00:47:27,015
PROVIDERS TO USE THIS CURRICULUM

1290
00:47:27,015 --> 00:47:29,517
DAILY, WE PROVIDE TRAINING ON 

1291
00:47:29,517 --> 00:47:31,920
THE APP AND THEN WE PROVIDE AN 

1292
00:47:31,920 --> 00:47:33,622
OVERVIEW TRAINING OF HOW DO YOU 

1293
00:47:33,622 --> 00:47:35,023
IMPLEMENT THE APP LIKE WHAT IS 

1294
00:47:35,023 --> 00:47:37,259
PART OF THE LESSON.

1295
00:47:37,259 --> 00:47:40,829
SO AN EXAMPLE IS OUR LESSON 

1296
00:47:40,829 --> 00:47:42,197
INCLUDES MODELLED GUIDANCE AND 

1297
00:47:42,197 --> 00:47:44,432
UP DEPENDENT PRACTICE AND HOW TO

1298
00:47:44,432 --> 00:47:45,033
DO THAT.

1299
00:47:45,033 --> 00:47:46,768
WE PROVIDE TECHNICAL SUPPORT.

1300
00:47:46,768 --> 00:47:50,338
WE SET THE APP UP FOR THE USER 

1301
00:47:50,338 --> 00:47:51,840
AND IF ANYTHING GOES WRONG 

1302
00:47:51,840 --> 00:47:53,141
THEY'RE SUPPOSED TO FIRST 

1303
00:47:53,141 --> 00:47:55,477
CONTACT US AND LUCKILY WE 

1304
00:47:55,477 --> 00:47:56,077
HAVEN'T HAD A LOT OF ISSUES 

1305
00:47:56,077 --> 00:47:59,047
AROUND THAT AND WE HAVE AUDITING

1306
00:47:59,047 --> 00:48:00,315
WHERE DAILY THEY'RE TO FULL OUT 

1307
00:48:00,315 --> 00:48:02,784
A BINDER OF WHAT THEY'RE TO 

1308
00:48:02,784 --> 00:48:05,153
IMPLEMENT PER LESSON AND THEY'RE

1309
00:48:05,153 --> 00:48:08,089
SUPPOSED TO IMPLEMENT 35 TO 50 

1310
00:48:08,089 --> 00:48:10,825
TRIALS AND WHAT DID YOU GET TO.

1311
00:48:10,825 --> 00:48:12,360
THERE'S FIDELITY CHECKS AND SOME

1312
00:48:12,360 --> 00:48:14,763
ARE SELF-CHECKS AND SOME ARE 

1313
00:48:14,763 --> 00:48:17,165
FIDELITY CHECKS WHERE WE OBSERVE

1314
00:48:17,165 --> 00:48:18,300
EITHER VIA VIDEO OR LIVE HOW 

1315
00:48:18,300 --> 00:48:21,903
THEY'RE IMPLEMENTING THE LESSON.

1316
00:48:21,903 --> 00:48:24,506
AND WE ALSO HAVE FOR EACH SCHOOL

1317
00:48:24,506 --> 00:48:28,343
WE HAVE BIWEEKLY OFFICE HOURS WE

1318
00:48:28,343 --> 00:48:31,046
ENGAGE WITH THE KEY IMPLEMENTERS

1319
00:48:31,046 --> 00:48:33,882
OR DRIVERS AT EACH SCHOOL WHERE 

1320
00:48:33,882 --> 00:48:35,283
WE'RE TRYING TO KEEP IN TOUCH OF

1321
00:48:35,283 --> 00:48:37,285
WHAT'S GOING ON OR ISSUES AND 

1322
00:48:37,285 --> 00:48:40,121
GENERALLY THE INCENTIVES TO 

1323
00:48:40,121 --> 00:48:41,323
PARTICIPATE WOULD BE THEY GET TO

1324
00:48:41,323 --> 00:48:43,024
KEEP THE APP AND GET ACCESS TO 

1325
00:48:43,024 --> 00:48:45,026
THE MATERIALS WE'VE CREATED AND 

1326
00:48:45,026 --> 00:48:45,760
GET AMAZON GIFT CARDS FOR 

1327
00:48:45,760 --> 00:48:48,763
PARTICIPATING.

1328
00:48:48,763 --> 00:48:51,032
IN MATERIALS OF THE 

1329
00:48:51,032 --> 00:48:52,600
IMPLEMENTATION OUTCOMES OR 

1330
00:48:52,600 --> 00:48:55,036
THINGS WE'RE INTERESTED IN TERMS

1331
00:48:55,036 --> 00:48:57,639
OF USE IS WE'RE MEASURING 

1332
00:48:57,639 --> 00:48:58,840
ACCEPTABILITY, FEASIBILITY, 

1333
00:48:58,840 --> 00:49:02,644
ADOPTION AND FIDELITY AND WE'RE 

1334
00:49:02,644 --> 00:49:04,079
MEASURING THE FIRST THREE 

1335
00:49:04,079 --> 00:49:05,980
THROUGH A QUESTIONNAIRE THAT WE 

1336
00:49:05,980 --> 00:49:08,216
CREATED AND WE'VE DEVELOPED IT 

1337
00:49:08,216 --> 00:49:10,452
BASED ON SOME PREVIOUS RESEARCH.

1338
00:49:10,452 --> 00:49:12,053
AND THEY IMPLEMENT THAT 

1339
00:49:12,053 --> 00:49:13,388
QUESTIONNAIRE AT MULTIPLE TIME 

1340
00:49:13,388 --> 00:49:15,023
POINTS AT LATEST FOUR TIME 

1341
00:49:15,023 --> 00:49:17,425
POINTS THROUGHOUT THE STUDY AND 

1342
00:49:17,425 --> 00:49:20,028
ALSO WE DID A FOCUS GROUP AT 

1343
00:49:20,028 --> 00:49:21,963
EACH SCHOOL TO GET A BETTER 

1344
00:49:21,963 --> 00:49:23,732
UNDERSTANDING OF KIND OF 

1345
00:49:23,732 --> 00:49:25,633
BARRIERS OF CURRENT PRACTICE AND

1346
00:49:25,633 --> 00:49:28,336
THEN WE'VE BEEN DOING PRE-POST 

1347
00:49:28,336 --> 00:49:29,537
INTERVIEWS WITH EACH IMPLEMENTER

1348
00:49:29,537 --> 00:49:32,006
TO GET A BETTER SENSE OF WHAT 

1349
00:49:32,006 --> 00:49:34,609
THEY LIKED ABOUT IT AND WHAT WAS

1350
00:49:34,609 --> 00:49:36,444
FEASIBLE AND WHAT WAS HARD AND 

1351
00:49:36,444 --> 00:49:36,745
THE THINGS.

1352
00:49:36,745 --> 00:49:38,747
I'M HOPING OVER THE COURSE OF 

1353
00:49:38,747 --> 00:49:41,049
THE PROJECT OVER THREE YEARS 

1354
00:49:41,049 --> 00:49:42,751
WE'LL BE ABLE TO GET SOME 

1355
00:49:42,751 --> 00:49:43,284
SUSTAINMENT DATA.

1356
00:49:43,284 --> 00:49:44,753
WE DIDN'T BUILD THAT INTO THE 

1357
00:49:44,753 --> 00:49:46,855
GRANT BUT WE'RE REALLY 

1358
00:49:46,855 --> 00:49:47,622
INTERESTED IN SINCE WE HAVE 

1359
00:49:47,622 --> 00:49:50,125
THREE YEARS TO LOOK AT OUR 

1360
00:49:50,125 --> 00:49:51,493
SCHOOLS CONTINUING AFTER WE 

1361
00:49:51,493 --> 00:49:53,895
COLLECTED THE DATA THAT WE'VE 

1362
00:49:53,895 --> 00:49:54,129
NEEDED.

1363
00:49:54,129 --> 00:49:56,865
SO FINALLY, THIS GRANT DID ALSO 

1364
00:49:56,865 --> 00:49:59,033
HAVE EFFECTIVENESS OUTCOMES 

1365
00:49:59,033 --> 00:50:00,935
WHICH IS OUR -- THE AIM 1 

1366
00:50:00,935 --> 00:50:03,705
MEASURE WHERE WE'RE LOOKING AT 

1367
00:50:03,705 --> 00:50:04,372
IMPROVEMENT IN EARLY LITERACY 

1368
00:50:04,372 --> 00:50:06,107
SKILLS OF THE INDIVIDUALS THAT 

1369
00:50:06,107 --> 00:50:07,208
PARTICIPATE WITH THE 

1370
00:50:07,208 --> 00:50:09,144
ALL-CURRICULUM AND WITH THAT 

1371
00:50:09,144 --> 00:50:13,248
WE'RE LOOKING AT THEIR 

1372
00:50:13,248 --> 00:50:14,849
IMPROVEMENT ACROSS SIX DIFFERENT

1373
00:50:14,849 --> 00:50:15,650
EARLY LITERACY SKILLS COVERED IN

1374
00:50:15,650 --> 00:50:18,853
THE INSTRUCTION THEY RECEIVED.

1375
00:50:18,853 --> 00:50:21,089
SO WE'RE GLAD WE WENT WITH MORE 

1376
00:50:21,089 --> 00:50:24,025
OF A HYBRID DESIGN AND THE 

1377
00:50:24,025 --> 00:50:25,260
IMPLEMENTATION OUTCOME DATA HAS 

1378
00:50:25,260 --> 00:50:26,594
BEEN REALLY INTERESTING AND 

1379
00:50:26,594 --> 00:50:29,063
WE'RE DEFINITELY USING THAT AS 

1380
00:50:29,063 --> 00:50:31,266
WE TRY TO SCALE UP FOR OUR NEXT 

1381
00:50:31,266 --> 00:50:31,666
GRANT.

1382
00:50:31,666 --> 00:50:32,367
THANKS.

1383
00:50:32,367 --> 00:50:35,036
>> THANKS, VERY MUCH.

1384
00:50:35,036 --> 00:50:36,805
NEXT WE HAVE MATTHEW BUSH FROM 

1385
00:50:36,805 --> 00:50:39,040
THE UNIVERSITY OF KENTUCKY 

1386
00:50:39,040 --> 00:50:40,475
MEDICAL CENTER AND HIS TALK IS 

1387
00:50:40,475 --> 00:50:42,310
TITLED COMMUNITIES HELPING THE 

1388
00:50:42,310 --> 00:50:44,312
HEARING OF INFANTS BY REACHING 

1389
00:50:44,312 --> 00:50:47,449
PARENTS THE CHHIRP NAVIGATOR 

1390
00:50:47,449 --> 00:50:47,649
TRIAL.

1391
00:50:47,649 --> 00:50:49,284
IF YOU CAN GO AHEAD AND UNMUTE 

1392
00:50:49,284 --> 00:50:50,018
AND TAKE IT AWAY THAT'D BE 

1393
00:50:50,018 --> 00:50:52,287
GREAT.

1394
00:50:52,287 --> 00:50:58,393
>> THANKS, HOLLY.

1395
00:50:58,393 --> 00:50:59,527
GREETINGS, EVERYONE.

1396
00:50:59,527 --> 00:51:01,262
I'M EXCITED TO PARTICIPATE IN 

1397
00:51:01,262 --> 00:51:02,664
THE WORKSHOP.

1398
00:51:02,664 --> 00:51:05,700
IT REPRESENTS EXCITING VISION 

1399
00:51:05,700 --> 00:51:08,269
FOR THE FUTURE HOW WE ADVANCE 

1400
00:51:08,269 --> 00:51:09,304
HEARING HEALTH CARE AND HEALTH 

1401
00:51:09,304 --> 00:51:11,506
CARE THAT IMPACTS THOSE PATIENTS

1402
00:51:11,506 --> 00:51:13,875
AND RESEARCH PARTICIPANTS THAT 

1403
00:51:13,875 --> 00:51:15,577
WE CARE ABOUT AS PART OF THE 

1404
00:51:15,577 --> 00:51:15,777
NIDCD.

1405
00:51:15,777 --> 00:51:17,645
I'M GOING TO TALK TO YOU ABOUT 

1406
00:51:17,645 --> 00:51:21,282
AN RO1 FUNDED STUDY ENTITLED 

1407
00:51:21,282 --> 00:51:23,051
COMMUNITIES HELPING THE HEARING 

1408
00:51:23,051 --> 00:51:24,152
OF INFANTS BY REACHING PARENTS 

1409
00:51:24,152 --> 00:51:30,225
THE CHHIRP NAVIGATOR TRIAL.

1410
00:51:30,225 --> 00:51:37,298
SO, OUR STUDY IS AN R01 STUDY 

1411
00:51:37,298 --> 00:51:39,601
WE'RE IN THE FIFTH YEAR AND 

1412
00:51:39,601 --> 00:51:40,668
RESEARCH IN RURAL POPULATIONS 

1413
00:51:40,668 --> 00:51:43,037
PRIMARILY BUT OVER ALL WITH THE 

1414
00:51:43,037 --> 00:51:45,240
HEART AND SOUL TOWARDS TRYING TO

1415
00:51:45,240 --> 00:51:48,343
ADDRESS HISTORICALLY 

1416
00:51:48,343 --> 00:51:48,877
MARGINALIZED POPULATIONS.

1417
00:51:48,877 --> 00:51:52,514
AND INFANTS THAT HAVE DIFFICULTY

1418
00:51:52,514 --> 00:51:54,849
ACCESSING AND UTILIZING IN A 

1419
00:51:54,849 --> 00:51:57,685
TIMELY MANNER THE EARLY HEARING 

1420
00:51:57,685 --> 00:51:58,853
DETECTION INTERVENTION SYSTEM.

1421
00:51:58,853 --> 00:52:01,289
WE KNOW HEARING LOSS IS A COMMON

1422
00:52:01,289 --> 00:52:04,826
SENSORY CONGENITAL DISORDER AND 

1423
00:52:04,826 --> 00:52:08,496
IT'S TREATABLE AND THE TRUTH IS 

1424
00:52:08,496 --> 00:52:09,864
THAT INFANT HEARING HEALTH CARE 

1425
00:52:09,864 --> 00:52:12,400
IS NOT SIMPLE.

1426
00:52:12,400 --> 00:52:15,036
THERE'S SEVERAL DIAGNOSTIC TEST 

1427
00:52:15,036 --> 00:52:16,738
ARE NECESSARY AND FAMILIES MAY 

1428
00:52:16,738 --> 00:52:18,540
HAVE DIFFICULTY ESPECIALLY THOSE

1429
00:52:18,540 --> 00:52:20,375
FROM RURAL COMMUNITIES MAY HAVE 

1430
00:52:20,375 --> 00:52:22,477
DIFFICULTY IN NAVIGATING THROUGH

1431
00:52:22,477 --> 00:52:23,778
THE HEARING HEALTH CARE SYSTEM.

1432
00:52:23,778 --> 00:52:25,813
BASED ON PRELIMINARY WORK THAT 

1433
00:52:25,813 --> 00:52:28,049
WE'VE DONE PREVIOUSLY, WE HAVE 

1434
00:52:28,049 --> 00:52:31,052
DEMONSTRATED EFFICACY OF A 

1435
00:52:31,052 --> 00:52:34,255
PATIENT NAVIGATION INTERVENTION 

1436
00:52:34,255 --> 00:52:38,560
IN WHICH A PARENT OF A CHILD WHO

1437
00:52:38,560 --> 00:52:39,961
HAS GONE THROUGH THE SYSTEM HAS 

1438
00:52:39,961 --> 00:52:45,199
BEEN RECRUIT AND TRAINED AS AN 

1439
00:52:45,199 --> 00:52:49,304
INTERVENTIONIST TO PROVIDE 

1440
00:52:49,304 --> 00:52:50,438
PATIENT NAVIGATION SUPPORT IT 

1441
00:52:50,438 --> 00:52:52,840
DRAWS FROM THE CANCER FIELD AND 

1442
00:52:52,840 --> 00:52:54,275
ONCOLOGY WORLD TO HELP NAVIGATE 

1443
00:52:54,275 --> 00:52:56,110
CANCER SURVIVORS HELPING OTHER 

1444
00:52:56,110 --> 00:53:01,282
CANCER PATIENTS NAVIGATE THROUGH

1445
00:53:01,282 --> 00:53:02,850
COMPLEX CHEMOTHERAPY OR 

1446
00:53:02,850 --> 00:53:03,952
RADIATION THERAPY AND PROVIDE 

1447
00:53:03,952 --> 00:53:07,655
EDUCATION AND OTHER PSYCHOSOCIAL

1448
00:53:07,655 --> 00:53:08,389
SUPPORT AS WELL AS OTHER 

1449
00:53:08,389 --> 00:53:10,625
LOGISTIC SUPPORT AND CONNECTIONS

1450
00:53:10,625 --> 00:53:12,026
BETWEEN THE PATIENT AND THE 

1451
00:53:12,026 --> 00:53:12,627
HEALTH CARE SYSTEM.

1452
00:53:12,627 --> 00:53:14,796
SO BASED ON SOME WORK WE'VE DONE

1453
00:53:14,796 --> 00:53:20,234
AS WE'VE DEVELOPED THE 

1454
00:53:20,234 --> 00:53:25,840
NAVIGATION SYSTEM FOR THE SYSTEM

1455
00:53:25,840 --> 00:53:27,942
THAT FAIL THE NEW BORB SCREEN WE

1456
00:53:27,942 --> 00:53:30,111
DEMONSTRATE THE ITTISM PROEFDZ 

1457
00:53:30,111 --> 00:53:31,079
THE ADHERENCE OF INFANTS ONCE 

1458
00:53:31,079 --> 00:53:34,649
THEY ARE REFERRED FROM THE 

1459
00:53:34,649 --> 00:53:38,319
NEWBORN NURSERY TO RETURN BACK 

1460
00:53:38,319 --> 00:53:44,892
TO THE AUDIOLOGY CLINIC FOR 

1461
00:53:44,892 --> 00:53:46,828
OTONOMIC TESTING THROUGH A SLEEP

1462
00:53:46,828 --> 00:53:56,471
DEPRIVED ADR AND SHOWING IT'S 

1463
00:53:56,471 --> 00:53:59,040
DECREASED THE TIMING AND THIS 

1464
00:53:59,040 --> 00:54:04,979
MOVE BEYOND THE EFFICACY DRISTU 

1465
00:54:04,979 --> 00:54:06,247
AND I LIKE THE BULLET TRAIN AS 

1466
00:54:06,247 --> 00:54:08,516
THOSE OF US WHO THINK OF 

1467
00:54:08,516 --> 00:54:10,251
PRAGMATIC INTERVENTIONS HOW DO 

1468
00:54:10,251 --> 00:54:13,187
WE MOBILIZE THAT MOVING FORWARD 

1469
00:54:13,187 --> 00:54:16,824
TO EXPEDITE THE IMPLEMENTATION.

1470
00:54:16,824 --> 00:54:19,227
THIS BUILDS ON THE EFFICACY WORK

1471
00:54:19,227 --> 00:54:23,031
AND THE FIRST AIM IS USING A 

1472
00:54:23,031 --> 00:54:23,765
STEP-WEDGE, RANDOMIZED TRIAL 

1473
00:54:23,765 --> 00:54:27,168
DESIGN WE'RE GOING BEYOND A 

1474
00:54:27,168 --> 00:54:29,971
SINGLE SITE OR SMALL ONE OR 

1475
00:54:29,971 --> 00:54:32,306
TWO-SITE STUDY AND EXTENDING 

1476
00:54:32,306 --> 00:54:33,608
THAT TO THE ENTIRE SYSTEM WITHIN

1477
00:54:33,608 --> 00:54:36,878
THE STATE OF KENTUCKY FOR 

1478
00:54:36,878 --> 00:54:38,012
PUBLICLY FUNDED HEARING HEALTH 

1479
00:54:38,012 --> 00:54:39,781
CLINICS TO TEST THE 

1480
00:54:39,781 --> 00:54:41,683
EFFECTIVENESS OF THIS NAVIGATION

1481
00:54:41,683 --> 00:54:43,017
INTERVENTION FOR INFANTS 

1482
00:54:43,017 --> 00:54:46,020
REFERRED ON NEWBORN HEARING 

1483
00:54:46,020 --> 00:54:49,290
SCREENING TO DECREASE THE 

1484
00:54:49,290 --> 00:54:50,758
NON-ADHERENCE OF INFANT 

1485
00:54:50,758 --> 00:54:51,392
DIAGNOSTIC TESTING WITHIN THREE 

1486
00:54:51,392 --> 00:54:53,227
MONTHS AFTER BIRTH.

1487
00:54:53,227 --> 00:54:57,031
THE SECOND AIM IS THEN TO 

1488
00:54:57,031 --> 00:54:57,632
SIMULTANEOUSLY EXPLORE 

1489
00:54:57,632 --> 00:54:59,300
ASSOCIATIONS AMONG 

1490
00:54:59,300 --> 00:55:02,737
IMPLEMENTATION FACTORS OF COURSE

1491
00:55:02,737 --> 00:55:03,237
DERIVE FROM THE FURTHER 

1492
00:55:03,237 --> 00:55:05,973
CONSOLIDATED FRAMEWORK OF 

1493
00:55:05,973 --> 00:55:06,841
IMPLEMENTATION RESEARCH JUST 

1494
00:55:06,841 --> 00:55:09,410
DISCUSSED AND ASSESS THESE 

1495
00:55:09,410 --> 00:55:10,878
IMPLEMENTATION OUTCOMES.

1496
00:55:10,878 --> 00:55:14,982
THOUGH IT'S NOT A SEPARATE 

1497
00:55:14,982 --> 00:55:15,750
IMPLEMENTATION MEASURE OUTCOME 

1498
00:55:15,750 --> 00:55:17,385
IT'S CERTAINLY WITHIN THE 

1499
00:55:17,385 --> 00:55:18,319
IMPLEMENTATION FIELD TO EVALUATE

1500
00:55:18,319 --> 00:55:21,556
COST BUT WE DEVOTED A SEPARATE 

1501
00:55:21,556 --> 00:55:23,691
AIM TO HELP US EVALUATE COST 

1502
00:55:23,691 --> 00:55:25,226
ASSOCIATED WITH THIS INCREMENTAL

1503
00:55:25,226 --> 00:55:26,961
CHANGE IN EFFECTIVENESS FOR THE 

1504
00:55:26,961 --> 00:55:27,595
NAVIGATION COMPARED TO THE 

1505
00:55:27,595 --> 00:55:31,899
STANDARD OF CARE.

1506
00:55:31,899 --> 00:55:32,867
>> ONE MINUTE LEFT, MATT.

1507
00:55:32,867 --> 00:55:33,868
>> THANK YOU.

1508
00:55:33,868 --> 00:55:38,072
SO YOU CAN SEE BASED ON OUR 

1509
00:55:38,072 --> 00:55:40,074
DIAGRAM BASED ON THE STATEMENT 

1510
00:55:40,074 --> 00:55:41,008
FRAMEWORK THAT THE 

1511
00:55:41,008 --> 00:55:45,980
EVIDENCE-BASED INTERVENTION IS 

1512
00:55:45,980 --> 00:55:48,649
NAVIGATION IN TIMELY EHDI 

1513
00:55:48,649 --> 00:55:50,952
APPOINTMENT AND THE INTERVENTION

1514
00:55:50,952 --> 00:55:55,022
IS THE NAVIGATOR AS WELL AS THE 

1515
00:55:55,022 --> 00:55:57,191
PARENTS, INNER SETTING OF THE 

1516
00:55:57,191 --> 00:55:58,559
INDIVIDUAL CLINIC AND CLINIC 

1517
00:55:58,559 --> 00:56:03,965
SYSTEM AND THE OUTER SYSTEM IS 

1518
00:56:03,965 --> 00:56:06,000
WHERE IT'S LOCATE.

1519
00:56:06,000 --> 00:56:08,703
THE DIFFERENT STRATEGIES AND THE

1520
00:56:08,703 --> 00:56:10,371
ADAPTATION OF OUR INTERVENTION 

1521
00:56:10,371 --> 00:56:11,639
TO A BROADER SCALE AND TRAINING 

1522
00:56:11,639 --> 00:56:16,444
OF NAVIGATORS THROUGH DIFFERENT 

1523
00:56:16,444 --> 00:56:16,677
METHODS.

1524
00:56:16,677 --> 00:56:19,013
CAN SEE OUR IMPLEMENTATION 

1525
00:56:19,013 --> 00:56:24,752
OUTCOME IS SIMILAR TO 

1526
00:56:24,752 --> 00:56:25,419
ACCEPTABILITY, ADOPTIVENESS AND 

1527
00:56:25,419 --> 00:56:27,355
FEASIBILITY AND EFFECTIVENESS 

1528
00:56:27,355 --> 00:56:29,190
OUTCOMES OF THE INTERVENTION TO 

1529
00:56:29,190 --> 00:56:32,059
DECREASE NON-ADHERENCE TO 

1530
00:56:32,059 --> 00:56:33,728
NEWBORN HEARING SCREENING AS 

1531
00:56:33,728 --> 00:56:36,697
WELL AS THE TIME IT TAKES FROM 

1532
00:56:36,697 --> 00:56:41,068
BIRTH TO RECEIVE THE DIAGNOSTIC 

1533
00:56:41,068 --> 00:56:41,803
TESTING.

1534
00:56:41,803 --> 00:56:42,436
VERY GOOD.

1535
00:56:42,436 --> 00:56:43,037
THANK YOU VERY MUCH FOR THE 

1536
00:56:43,037 --> 00:56:44,172
OPPORTUNITY TO SHARE OUR WORK.

1537
00:56:44,172 --> 00:56:45,973
>> THANK YOU, MATT.

1538
00:56:45,973 --> 00:56:47,341
OUR THIRD AND FINAL EXAMPLE IS 

1539
00:56:47,341 --> 00:56:52,880
FROM KEVIN KERBER FROM OHIO 

1540
00:56:52,880 --> 00:56:59,287
STATE UNIVERSITY THE DIZZINESS 

1541
00:56:59,287 --> 00:57:00,588
TREATMENT THROUGH IMPLEMENTATION

1542
00:57:00,588 --> 00:57:02,223
AND CLINICAL STRATEGY TACTICS.

1543
00:57:02,223 --> 00:57:02,623
>> GOOD AFTERNOON.

1544
00:57:02,623 --> 00:57:05,893
CAN YOU HEAR IS THE 

1545
00:57:05,893 --> 00:57:06,627
>> YES.

1546
00:57:06,627 --> 00:57:07,628
>> THANK YOU VERY MUCH TO
HOLLY 

1547
00:57:07,628 --> 00:57:10,031
FOR THE INVITATION.

1548
00:57:10,031 --> 00:57:13,301
I'M THRILLED TO GIVE A BRIEF 

1549
00:57:13,301 --> 00:57:17,238
SUMMARY CALLED DIZZINESS 

1550
00:57:17,238 --> 00:57:19,307
TREATMENT THROUGH IMPLEMENTATION

1551
00:57:19,307 --> 00:57:21,375
AND CLINICAL STRATEGY TACTICS.

1552
00:57:21,375 --> 00:57:24,879
THIS STUDY IS PRIMARILY FOCUSSED

1553
00:57:24,879 --> 00:57:28,115
ON ONE CAUSE OF DIZZINESS 

1554
00:57:28,115 --> 00:57:32,520
VERTIGO OR BBPV WHICH ASK OUR 

1555
00:57:32,520 --> 00:57:35,189
LOWEST HANGING FRUIT AND WE HAVE

1556
00:57:35,189 --> 00:57:37,291
EVIDENCE TO SUPPORT A VERY 

1557
00:57:37,291 --> 00:57:39,994
EFFECTIVE METHOD TO IDENTIFY AND

1558
00:57:39,994 --> 00:57:42,129
TREAT BENIGN VERTIGO BUT WE SEE 

1559
00:57:42,129 --> 00:57:45,867
MANY TIMES OVER THAT THIS IS 

1560
00:57:45,867 --> 00:57:47,501
UNDER USED BROADLY BUT FOR THIS 

1561
00:57:47,501 --> 00:57:50,171
PROJECT IT'S SPECIFICALLY 

1562
00:57:50,171 --> 00:57:51,172
FOCUSSED ON THE EMERGENCY 

1563
00:57:51,172 --> 00:57:58,579
DEPARTMENT THAT TESTS FOR BENIGN

1564
00:57:58,579 --> 00:58:01,215
VERTIGO AND AT THE SAME TIME 

1565
00:58:01,215 --> 00:58:02,817
EVER UNNECESSARY TESTS LIKE HEAD

1566
00:58:02,817 --> 00:58:10,057
CTs ARE TYPICALLY OVERUSED AND 

1567
00:58:10,057 --> 00:58:15,029
ONE THING WE USUALLY SAY IS IF 

1568
00:58:15,029 --> 00:58:16,397
YOU HAVE BENIGN VERTIGO AND 

1569
00:58:16,397 --> 00:58:20,434
YOU'RE LIKELY TO GET RADIATE AND

1570
00:58:20,434 --> 00:58:21,035
POISONED THAN ROLLED OVER AND 

1571
00:58:21,035 --> 00:58:26,874
CURED.

1572
00:58:26,874 --> 00:58:30,144
TO EXPRESS THE EXTREMES OF THIS.

1573
00:58:30,144 --> 00:58:31,445
OUR FIRST PROJECT WAS WITH US 

1574
00:58:31,445 --> 00:58:34,248
FOCUSED ON PROVEDERS AND FOUND 

1575
00:58:34,248 --> 00:58:35,583
WITH EDUCATIONAL MATERIALS AND 

1576
00:58:35,583 --> 00:58:37,285
DEVELOPMENT OF LOCAL CHAMPIONS 

1577
00:58:37,285 --> 00:58:38,953
WE WERE ABLE TO INCREASE THE 

1578
00:58:38,953 --> 00:58:41,289
DOCUMENTATION OF THE TEST AND 

1579
00:58:41,289 --> 00:58:43,524
TREATMENT FOR BENIGN POSITIONAL 

1580
00:58:43,524 --> 00:58:45,526
VERTIGO AND HAD AN ASSOCIATION 

1581
00:58:45,526 --> 00:58:47,395
WITH DECREASED HEAD CT AND 

1582
00:58:47,395 --> 00:58:48,663
IMPROVED PROVIDER EXPERIENCES 

1583
00:58:48,663 --> 00:58:51,032
AND TREND TO DECREASE 

1584
00:58:51,032 --> 00:58:52,233
POTENTIALLY MISSED STROKES IN 

1585
00:58:52,233 --> 00:58:52,733
THIS CIRCUMSTANCE.

1586
00:58:52,733 --> 00:58:55,136
AND THE SECOND STUDY IS DESIGN 

1587
00:58:55,136 --> 00:58:57,939
TO EVALUATE A SCALING UP AND 

1588
00:58:57,939 --> 00:59:00,341
ENHANCEMENT OF THE INTERVENTION 

1589
00:59:00,341 --> 00:59:02,243
TO FURTHER INCREASE USE 

1590
00:59:02,243 --> 00:59:04,345
PARTICULARLY IN NON-ACADEMIC 

1591
00:59:04,345 --> 00:59:05,913
SETTINGS TO IMPROVE SCALABILITY 

1592
00:59:05,913 --> 00:59:07,648
AND TO EVALUATE CLINICAL 

1593
00:59:07,648 --> 00:59:09,951
OUTCOME.

1594
00:59:09,951 --> 00:59:13,220
SO OUR AIMS IS AN IMPLEMENTATION

1595
00:59:13,220 --> 00:59:15,022
AIM TO DETERMINE THE IMPACT OF 

1596
00:59:15,022 --> 00:59:18,859
THE ENHANCED INTERVENTION ON THE

1597
00:59:18,859 --> 00:59:27,835
TEST AND POSITION IN DIZZINESS 

1598
00:59:27,835 --> 00:59:29,537
AND THE SECOND IS THE 

1599
00:59:29,537 --> 00:59:31,038
EFFECTIVENESS OUTCOME TO 

1600
00:59:31,038 --> 00:59:32,139
EVALUATE CLINICAL OUTCOMES WHICH

1601
00:59:32,139 --> 00:59:34,709
WE DID NOT DO IN THE FIRST STUDY

1602
00:59:34,709 --> 00:59:36,410
ASSOCIATED WITH THE 

1603
00:59:36,410 --> 00:59:37,011
IMPLEMENTATION STRATEGY.

1604
00:59:37,011 --> 00:59:41,048
WE'RE ENROLLING AND RANDOMIZED 

1605
00:59:41,048 --> 00:59:46,287
PATIENTS TO A PATIENT-DIRECTED 

1606
00:59:46,287 --> 00:59:47,588
SELF-MANAGEMENT INTERVENTION FOR

1607
00:59:47,588 --> 00:59:57,898
THEIR SELF-MANAGEMENT OF BENIGN 

1608
00:59:57,898 --> 01:00:01,102
PARITISMAL  VERTIGO.

1609
01:00:01,102 --> 01:00:07,041
OUR INTERVENTIONS THAT TREST FOR

1610
01:00:07,041 --> 01:00:09,343
BENIGN POSITIONAL VERTIGO AND 

1611
01:00:09,343 --> 01:00:11,012
CONSIDERED CONTEXT LOGISTICS FOR

1612
01:00:11,012 --> 01:00:13,180
BARRIERS AND FACILITATORS TO BE 

1613
01:00:13,180 --> 01:00:14,782
USED IN EMERGENCY ROOM MAINLY 

1614
01:00:14,782 --> 01:00:16,350
TIME AND PRIORITIES.

1615
01:00:16,350 --> 01:00:21,922
OUR IMPLEMENTATION SS -- 

1616
01:00:21,922 --> 01:00:23,524
STRATEGIES ARE FOR PROVIDERS AND

1617
01:00:23,524 --> 01:00:24,992
CHAMPION AND OUR PATIENT-LEVEL 

1618
01:00:24,992 --> 01:00:26,193
INTERVENTION IS A SEPARATE 

1619
01:00:26,193 --> 01:00:29,897
WEBSITE DESIGN FOR PATIENTS TO 

1620
01:00:29,897 --> 01:00:32,066
SELF-DIAGNOSIS AND MANAGE 

1621
01:00:32,066 --> 01:00:33,701
DIZZINESS IN THE TIME AFTER THE 

1622
01:00:33,701 --> 01:00:35,736
ED VISIT AND FOLLOW FOR FOUR 

1623
01:00:35,736 --> 01:00:37,371
WEEKS TO ASSESS OUTCOMES AND 

1624
01:00:37,371 --> 01:00:38,939
IMPLEMENTATION OUTCOMES ARE 

1625
01:00:38,939 --> 01:00:40,541
SIMILAR TO THE FIRST STUDY 

1626
01:00:40,541 --> 01:00:42,676
DOCUMENTATION OF THE TEST AND 

1627
01:00:42,676 --> 01:00:45,846
TREATMENT FOR BENIGN POSITIONAL 

1628
01:00:45,846 --> 01:00:49,083
VERTIGO AND POSITIONAL OUTCOME 

1629
01:00:49,083 --> 01:00:54,188
AND ED AND HOSPITAL ADMISSIONS 

1630
01:00:54,188 --> 01:00:58,492
AND EFFECTIVENESS OUTCOMES IS 

1631
01:00:58,492 --> 01:01:02,163
DIZZINESS SEVERITY THE OTHER 

1632
01:01:02,163 --> 01:01:03,764
OUTCOMES AND GLOBAL POSITION OF 

1633
01:01:03,764 --> 01:01:06,100
CHANGE AND LOGISTICAL OUTCOME 

1634
01:01:06,100 --> 01:01:08,869
SUCH AS DID THEY USE THE TEST OR

1635
01:01:08,869 --> 01:01:10,538
TREATMENT FOR BENIGN POSITIONAL 

1636
01:01:10,538 --> 01:01:11,739
VERTIGO FOR SUBSEQUENT 

1637
01:01:11,739 --> 01:01:14,742
TREATMENTS OR ADVERSE EVENTS.

1638
01:01:14,742 --> 01:01:15,876
THANK YOU VERY MUCH AND I 

1639
01:01:15,876 --> 01:01:16,477
APPRECIATE THE OPPORTUNITY TO 

1640
01:01:16,477 --> 01:01:17,545
PRESENT THIS.

1641
01:01:17,545 --> 01:01:20,281
>> THANK YOU, KEVIN.

1642
01:01:20,281 --> 01:01:23,484
THAT CONCLUDES THE FIRST SESSION

1643
01:01:23,484 --> 01:01:25,820
ON WHAT IS D&I AND EXAMPLES.

1644
01:01:25,820 --> 01:01:27,555
WE'RE GOING TO KEEP GOING ALONG 

1645
01:01:27,555 --> 01:01:30,391
FOR THE FIRST PART OF THINGS.

1646
01:01:30,391 --> 01:01:32,960
NEXT UP IS OUR NEXT TOPIC WHICH 

1647
01:01:32,960 --> 01:01:37,298
IS WHERE WE ARE AS A FIELD WITH 

1648
01:01:37,298 --> 01:01:41,202
DISSEMINATION AND IMPLEMENTATION

1649
01:01:41,202 --> 01:01:43,437
AND NATALIE DOUGLAS IS OUR FIRST

1650
01:01:43,437 --> 01:01:53,581
SPEAKER.

1651
01:02:11,098 --> 01:02:13,067
>> TO BRIEFLY ORIENT TO
YOU AND 

1652
01:02:13,067 --> 01:02:15,703
WHY THE WORK IS IMPORTANT TO ME.

1653
01:02:15,703 --> 01:02:17,738
I DO A LOT OF WORK IN NURSING 

1654
01:02:17,738 --> 01:02:25,279
HOMES FOR PEOPLE LIVING WITH 

1655
01:02:25,279 --> 01:02:35,456
DEMENTIA.

1656
01:02:40,194 --> 01:02:41,228
AND PEOPLE WOULD BENEFIT FROM 

1657
01:02:41,228 --> 01:02:44,598
THESE TYPES OF INTERVENTIONS ARE

1658
01:02:44,598 --> 01:02:46,700
NOT RECEIVING THEM SO IT'S WHAT 

1659
01:02:46,700 --> 01:02:48,302
SEEMS LIKE VERY BASIC CARE IS 

1660
01:02:48,302 --> 01:02:49,670
NOT HAPPENING ON THE GROUND.

1661
01:02:49,670 --> 01:02:52,640
SO I HOPE TO GIVE YOU THE 

1662
01:02:52,640 --> 01:02:55,309
RESULTS OF OUR SCOPING REVIEW AS

1663
01:02:55,309 --> 01:02:57,311
WELL AS TALK ABOUT THREE 

1664
01:02:57,311 --> 01:02:59,380
PITFALLS OF IMPLEMENTATION 

1665
01:02:59,380 --> 01:03:00,648
SCIENCE THAT HAVE BEEN 

1666
01:03:00,648 --> 01:03:02,416
ELUCIDATED BY SOME OTHER 

1667
01:03:02,416 --> 01:03:04,685
SCHOLARS AS WELL AS PRESENT SOME

1668
01:03:04,685 --> 01:03:05,886
QUESTIONS FOR CONSIDERATION SO 

1669
01:03:05,886 --> 01:03:07,021
MAYBE THINK ABOUT THROUGHOUT THE

1670
01:03:07,021 --> 01:03:09,690
WORKSHOP.

1671
01:03:09,690 --> 01:03:11,992
AND THIS IS THE CITATION FOR THE

1672
01:03:11,992 --> 01:03:13,294
SCOPING REVIEW I'M REFERRING TO.

1673
01:03:13,294 --> 01:03:15,262
I WANT TO ACKNOWLEDGE MY 

1674
01:03:15,262 --> 01:03:19,033
COLLEAGUES IN THIS WORK, 

1675
01:03:19,033 --> 01:03:21,769
DR. FIRESTEIN AND JENNIFER 

1676
01:03:21,769 --> 01:03:26,006
OSHITA AND OUR CENTRAL MICHIGAN 

1677
01:03:26,006 --> 01:03:29,410
UNIVERSITY LIBRARIAN MARGARET 

1678
01:03:29,410 --> 01:03:32,246
DANOWSKI WHO IS SADLY NO LONGER 

1679
01:03:32,246 --> 01:03:34,748
WITH US AND THIS WAS A YEAR'S 

1680
01:03:34,748 --> 01:03:36,150
LONG UNDERTAKING AND WOULD NOT 

1681
01:03:36,150 --> 01:03:37,017
BE POSSIBLE WITHOUT MY 

1682
01:03:37,017 --> 01:03:37,318
COLLEAGUES.

1683
01:03:37,318 --> 01:03:38,752
OUR REVIEW STARTED WITH WHAT WE 

1684
01:03:38,752 --> 01:03:40,821
THOUGHT AT THE TIME WERE 

1685
01:03:40,821 --> 01:03:44,892
RELATIVELY SIMPLE RESEARCH 

1686
01:03:44,892 --> 01:03:45,159
QUESTIONS.

1687
01:03:45,159 --> 01:03:47,294
ONE, WHAT IS THE DISTRIBUTION OF

1688
01:03:47,294 --> 01:03:48,929
IMPLEMENTATION SCIENCE RESEARCH 

1689
01:03:48,929 --> 01:03:49,530
ACTIVITY IN COMMUNICATION 

1690
01:03:49,530 --> 01:03:52,733
SCIENCES AND DISORDERS AND IT 

1691
01:03:52,733 --> 01:03:55,803
WAS BEFORE AND AFTER SOME 

1692
01:03:55,803 --> 01:03:57,938
TARGETED IMPLEMENTATION SCIENCE 

1693
01:03:57,938 --> 01:03:58,606
INITIATIVES IN COMMUNICATION 

1694
01:03:58,606 --> 01:04:09,016
SCIENCES AND DISORDERS.

1695
01:04:14,588 --> 01:04:17,491
AND WHAT ARE THE STUDIES BEING 

1696
01:04:17,491 --> 01:04:18,225
CONDUCTED IN OUR FIELD OF 

1697
01:04:18,225 --> 01:04:19,260
COMMUNICATION SCIENCES AND 

1698
01:04:19,260 --> 01:04:29,436
DISORDERS.

1699
01:04:32,573 --> 01:04:33,941
AND IMPLEMENTATION STUDIES ARE 

1700
01:04:33,941 --> 01:04:34,608
INCREASING RAPIDLY.

1701
01:04:34,608 --> 01:04:37,911
YOU HAVE THE YEAR AND WE HAD OUR

1702
01:04:37,911 --> 01:04:42,583
FIRST INKLINGS OF IMPLEMENTATION

1703
01:04:42,583 --> 01:04:43,917
SCIENCE RESEARCH IN THE EARLY 

1704
01:04:43,917 --> 01:04:47,688
'90s AND MANY PEOPLE WERE 

1705
01:04:47,688 --> 01:04:49,123
THINKING ABOUT DOING 

1706
01:04:49,123 --> 01:04:50,557
IMPLEMENTATION SCIENCE BUT NOT 

1707
01:04:50,557 --> 01:04:51,091
NECESSARILY CALLING IT 

1708
01:04:51,091 --> 01:04:56,063
IMPLEMENTATION SCIENCE AND WE 

1709
01:04:56,063 --> 01:04:59,767
STARTED TO SEE A LARGE INCREASE 

1710
01:04:59,767 --> 01:05:02,202
IN THE STUDIES AFTER 2014.

1711
01:05:02,202 --> 01:05:07,074
I THINK THAT'S CONTINUING TO 

1712
01:05:07,074 --> 01:05:14,415
INCREASE IN THE YEARS FOLLOWING.

1713
01:05:14,415 --> 01:05:15,549
WITH THOUGHT ABOUT HOW WE WANT 

1714
01:05:15,549 --> 01:05:21,855
TO CHARACTERIZE THE STUDIES IN 

1715
01:05:21,855 --> 01:05:22,022
CSD.

1716
01:05:22,022 --> 01:05:23,023
WE DESCRIBED THE NATURE OF 

1717
01:05:23,023 --> 01:05:25,959
STUDIES ACCORDING TO RESEARCH 

1718
01:05:25,959 --> 01:05:28,162
AIMS, PATIENT POPULATION, 

1719
01:05:28,162 --> 01:05:30,831
SETTING, ANY IMPLEMENTATION 

1720
01:05:30,831 --> 01:05:31,432
FRAMEWORK USED AS WELL AS 

1721
01:05:31,432 --> 01:05:33,801
IMPLEMENTATION STRATEGIES AND 

1722
01:05:33,801 --> 01:05:34,234
OUTCOMES.

1723
01:05:34,234 --> 01:05:39,473
I THINK THIS FLOWS REALLY WELL 

1724
01:05:39,473 --> 01:05:43,010
FROM HOLLY'S TALK THE 

1725
01:05:43,010 --> 01:05:45,346
HIGHLIGHTED RESEARCH TALKED WE 

1726
01:05:45,346 --> 01:05:45,813
HEARD ABOUT.

1727
01:05:45,813 --> 01:05:47,247
WHERE ARE THE STUDIES BEING 

1728
01:05:47,247 --> 01:05:47,815
PUBLISHED?

1729
01:05:47,815 --> 01:05:50,284
WE USED A RELATIVELY STANDARD 

1730
01:05:50,284 --> 01:05:53,754
SCOPING REVIEW METHODOLOGY AND 

1731
01:05:53,754 --> 01:05:55,889
I'M HAPPY TO GO OVER THAT OR 

1732
01:05:55,889 --> 01:05:57,925
ANSWER SOME OF THE QUESTIONS 

1733
01:05:57,925 --> 01:05:59,193
THAT YOU MIGHT HAVE ABOUT THAT 

1734
01:05:59,193 --> 01:06:01,729
OFFLINE FOR THE SAKE OF TIME.

1735
01:06:01,729 --> 01:06:04,298
I THOUGHT IT WOULD JUMP INTO THE

1736
01:06:04,298 --> 01:06:04,531
RESULTS.

1737
01:06:04,531 --> 01:06:09,837
SO WHAT YOU CAN SEE HERE IS THE 

1738
01:06:09,837 --> 01:06:13,107
MAJORITY OF OUR STUDIES, BRIEF 

1739
01:06:13,107 --> 01:06:15,209
IMPLEMENTATION SCIENCE AND CSD 

1740
01:06:15,209 --> 01:06:18,178
WE ARE NOT -- WE'RE NOT 

1741
01:06:18,178 --> 01:06:21,048
PUBLISHED IN ASHA JOURNALS.

1742
01:06:21,048 --> 01:06:23,884
THEY WERE PUBLISHED MEANING THE 

1743
01:06:23,884 --> 01:06:26,320
AMERICAN JOURNAL OF SPEECH AND 

1744
01:06:26,320 --> 01:06:31,892
LANGUAGE PATHOLOGY AND AUDIOLOGY

1745
01:06:31,892 --> 01:06:34,495
AND HEARING AND SPEECH IN THE 

1746
01:06:34,495 --> 01:06:36,430
SCHOOLS AND SPEECH AND LANGUAGE 

1747
01:06:36,430 --> 01:06:36,730
RESEARCH.

1748
01:06:36,730 --> 01:06:40,000
THE LARGE MAJORITY WERE 

1749
01:06:40,000 --> 01:06:41,769
PUBLISHED OUTSIDE THE 

1750
01:06:41,769 --> 01:06:42,202
DISCIPLINE.

1751
01:06:42,202 --> 01:06:43,737
THEN THERE WERE A SUBSET OF 

1752
01:06:43,737 --> 01:06:46,073
STUDIES PUBLISHED IN 

1753
01:06:46,073 --> 01:06:49,309
COMMUNICATION SCIENCES AND 

1754
01:06:49,309 --> 01:06:50,911
DISORDERS JOURNALS BUT NOT IN 

1755
01:06:50,911 --> 01:06:53,247
ASHA JOURNALS AND YOU SEE THEM 

1756
01:06:53,247 --> 01:06:54,014
REPRESENTED AS WELL.

1757
01:06:54,014 --> 01:06:56,116
WE FOUND 82 STUDIES TOTAL.

1758
01:06:56,116 --> 01:06:59,753
I SHOULD START BY SAYING THAT.

1759
01:06:59,753 --> 01:07:01,054
YOU'LL SEE OVER A THIRD OF THE 

1760
01:07:01,054 --> 01:07:05,225
STUDIES WERE TESTING 

1761
01:07:05,225 --> 01:07:06,927
IMPLEMENTATION STRATEGIES IN 

1762
01:07:06,927 --> 01:07:07,995
TERMS OF THE RESEARCH NAME.

1763
01:07:07,995 --> 01:07:10,931
IT SHOULD BE NOTED BY AND LARGE 

1764
01:07:10,931 --> 01:07:13,300
THIS MEANT TESTING THE IMPACT OF

1765
01:07:13,300 --> 01:07:16,437
SOME TYPE OF EDUCATION OR 

1766
01:07:16,437 --> 01:07:22,142
TRAINING ON THE INTERVENTION OF 

1767
01:07:22,142 --> 01:07:25,312
THE AND WE HAD A QUARTER CONCEPT

1768
01:07:25,312 --> 01:07:27,681
PAPERS INTRODUCING CONCEPTS TO 

1769
01:07:27,681 --> 01:07:29,683
THE DISCIPLINE OF COMMUNICATION 

1770
01:07:29,683 --> 01:07:33,587
SCIENCES AND DISORDERS AND 

1771
01:07:33,587 --> 01:07:36,223
SIMILARLY ABOUT A QUARTER OF 

1772
01:07:36,223 --> 01:07:37,191
STUDIES USED IMPLEMENTATION 

1773
01:07:37,191 --> 01:07:39,660
SCIENCE TO ASSESS THE CONTEXT OF

1774
01:07:39,660 --> 01:07:40,027
IMPLEMENTATION.

1775
01:07:40,027 --> 01:07:43,030
SO PRIMARILY THIS LOOKS LIKE 

1776
01:07:43,030 --> 01:07:46,133
SURVEYS OR FOCUS GROUPS THAT 

1777
01:07:46,133 --> 01:07:49,736
HIGHLIGHTED BARRIERS OR 

1778
01:07:49,736 --> 01:07:51,038
FACILITATORS TO THE 

1779
01:07:51,038 --> 01:07:51,371
INTERVENTION.

1780
01:07:51,371 --> 01:07:57,611
THERE WERE 11% OF STUDIES THAT 

1781
01:07:57,611 --> 01:07:59,112
AND IMPLEMENTATION STRATEGIES.

1782
01:07:59,112 --> 01:08:03,016
THIS USUALLY WAS SOME TYPE WHERE

1783
01:08:03,016 --> 01:08:06,820
THE RESEARCHER AND COLLABORATING

1784
01:08:06,820 --> 01:08:07,387
PARTNER WOULD COLLABORATE 

1785
01:08:07,387 --> 01:08:09,423
TOGETHER IN ORDER TO TAILOR WHAT

1786
01:08:09,423 --> 01:08:10,757
MIGHT WORK IN THAT PARTICULAR 

1787
01:08:10,757 --> 01:08:11,992
CONTEXT.

1788
01:08:11,992 --> 01:08:13,994
AND THEN THERE WAS ONE 

1789
01:08:13,994 --> 01:08:15,963
SELF-IDENTIFIED HYBRID STUDY.

1790
01:08:15,963 --> 01:08:18,165
AGAIN, WE STOPPED LOOKING AT 

1791
01:08:18,165 --> 01:08:18,398
STUDIES.

1792
01:08:18,398 --> 01:08:20,567
I THINK WE ENDED THE END OF THE 

1793
01:08:20,567 --> 01:08:22,436
YEAR 2021.

1794
01:08:22,436 --> 01:08:30,077
SO WE'RE NOT CAPTURING THE 

1795
01:08:30,077 --> 01:08:34,147
LAT

1796
01:08:34,147 --> 01:08:34,781
LATEST.

1797
01:08:34,781 --> 01:08:39,887
SO APHASIA WAS MOST LOOKED AT IN

1798
01:08:39,887 --> 01:08:41,154
LANGUAGE DISORDERS IN CHILDREN 

1799
01:08:41,154 --> 01:08:42,556
FOLLOWING CLOSELY BEHIND AND 

1800
01:08:42,556 --> 01:08:44,625
SEEING REPRESENTATION FROM THE 

1801
01:08:44,625 --> 01:08:47,027
FIELD OF DISPHASIA, HEARING 

1802
01:08:47,027 --> 01:08:57,538
RELATED OR AUDIOLOGY, AUTISM 

1803
01:08:57,971 --> 01:09:00,207
SPECTRUM AND SPINAL CORD AND 

1804
01:09:00,207 --> 01:09:02,376
THESE ALSO TOOK PLACE IN IN 

1805
01:09:02,376 --> 01:09:04,478
PATIENT, OUT PATIENT OR SOME 

1806
01:09:04,478 --> 01:09:05,812
TYPE OF COMBINATION WHERE THERE 

1807
01:09:05,812 --> 01:09:08,615
WERE MULTIPLE MEDICAL SETTINGS 

1808
01:09:08,615 --> 01:09:09,049
INVOLVED.

1809
01:09:09,049 --> 01:09:10,784
VERY FEW STUDIES HAPPENED IN THE

1810
01:09:10,784 --> 01:09:11,385
SCHOOL SETTING AS YOU CAN SEE 

1811
01:09:11,385 --> 01:09:20,961
HERE.

1812
01:09:20,961 --> 01:09:24,298
SO IS THE LARGE MAJORITY OF 

1813
01:09:24,298 --> 01:09:25,065
STUDIES DOES NOT INCLUDE 

1814
01:09:25,065 --> 01:09:26,233
IMPLEMENTATION SCIENCE FRAMEWORK

1815
01:09:26,233 --> 01:09:27,734
YOU SEE IN THE PIE CHART.

1816
01:09:27,734 --> 01:09:29,603
SOME FRAMEWORKS THAT WERE USED 

1817
01:09:29,603 --> 01:09:31,338
AND I WAS JUST DOING PREPARING 

1818
01:09:31,338 --> 01:09:35,409
FOR THE TALK THEY'RE UP TO 150 

1819
01:09:35,409 --> 01:09:37,811
NOW IMPLEMENTATION SCIENCE FRAME

1820
01:09:37,811 --> 01:09:40,647
WORKS AND HERE'S SOME 

1821
01:09:40,647 --> 01:09:42,950
REPRESENTED IN THE CSD 

1822
01:09:42,950 --> 01:09:47,020
LITERATURE AND CONSOLIDATED 

1823
01:09:47,020 --> 01:09:52,159
FRAMEWORK FOR THE CONSOLIDATION 

1824
01:09:52,159 --> 01:09:54,828
AND IMPLEMENTATION AND HEALTH 

1825
01:09:54,828 --> 01:09:58,632
SERVICES RESEARCH, DIFFUSION AND

1826
01:09:58,632 --> 01:10:01,301
INNOVATION AND OTHER MODELS.

1827
01:10:01,301 --> 01:10:03,036
IF THERE WAS AN IMPLEMENTATION 

1828
01:10:03,036 --> 01:10:07,908
STRATEGY TESTED, IT WAS 

1829
01:10:07,908 --> 01:10:09,443
PRIMARILY IN EDUCATION OR SOME 

1830
01:10:09,443 --> 01:10:11,011
TYPE OF TRAINING STRATEGY YOU 

1831
01:10:11,011 --> 01:10:12,846
SEE HERE.

1832
01:10:12,846 --> 01:10:16,083
THINKING BACK TO HOLLY'S TALK 

1833
01:10:16,083 --> 01:10:17,718
EARLIER TODAY, SOME OF THOSE 

1834
01:10:17,718 --> 01:10:20,821
OTHER STRATEGIES IN TERMS OF 

1835
01:10:20,821 --> 01:10:22,856
FEEDBACK OR OTHER INCENTIVES, 

1836
01:10:22,856 --> 01:10:23,991
STRUCTURAL CHANGES WERE NOT 

1837
01:10:23,991 --> 01:10:25,325
REALLY PRESENT IN OUR 

1838
01:10:25,325 --> 01:10:35,535
LITERATURE.

1839
01:10:38,572 --> 01:10:39,506
WE LOOKED AT IMPLEMENTATION 

1840
01:10:39,506 --> 01:10:41,808
OUT.com AND HOLLY AND OTHERS 

1841
01:10:41,808 --> 01:10:45,946
TALKED ABOUT THE OUTCOMES 

1842
01:10:45,946 --> 01:10:46,847
ALREADY.

1843
01:10:46,847 --> 01:10:50,150
ADOPTION WAS THE OUTOUTCOME 

1844
01:10:50,150 --> 01:10:52,419
STUDIED IN OUR REVIEW AS WELL AS

1845
01:10:52,419 --> 01:10:55,322
ACCESSIBILITY AND FEASIBILITY.

1846
01:10:55,322 --> 01:10:58,158
BUT IMPLEMENTATION OUTCOMES THAT

1847
01:10:58,158 --> 01:10:59,893
MAY BE CONSIDERED LATER IN THE 

1848
01:10:59,893 --> 01:11:03,030
IMPLEMENTATION CYCLE LIKE COST, 

1849
01:11:03,030 --> 01:11:04,297
PENETRATION, SUSTAINABILITY WERE

1850
01:11:04,297 --> 01:11:14,708
REALLY QUITE INFREQUENT.

1851
01:11:17,911 --> 01:11:18,645
OTHER THEN EDUCATION AND 

1852
01:11:18,645 --> 01:11:23,250
TRAINING THERE WERE VERY MINIMAL

1853
01:11:23,250 --> 01:11:24,785
IMPLEMENTATION STRATEGIES 

1854
01:11:24,785 --> 01:11:25,285
STUDIED.

1855
01:11:25,285 --> 01:11:31,024
ADOPTION IS THE MOST FREQUENTLY 

1856
01:11:31,024 --> 01:11:32,426
MEASURED IMPLEMENTATION OUTCOME 

1857
01:11:32,426 --> 01:11:37,230
AND OUTCOMES LIKE COST AND 

1858
01:11:37,230 --> 01:11:39,666
SUSTAINABILITY WERE RARE.

1859
01:11:39,666 --> 01:11:42,202
AND IMPLEMENTATION STUDIES IN 

1860
01:11:42,202 --> 01:11:43,870
CSD ARE INCREASING AT A RAPID 

1861
01:11:43,870 --> 01:11:45,539
RATE SINCE 2014.

1862
01:11:45,539 --> 01:11:47,007
MOST IMPLEMENTATION SCIENCE 

1863
01:11:47,007 --> 01:11:49,376
STUDIES ARE TESTING THE IMPACT 

1864
01:11:49,376 --> 01:11:52,079
OF EDUCATION OR TRAINING ON THE 

1865
01:11:52,079 --> 01:11:54,181
IMPLEMENTATION OF THEIR 

1866
01:11:54,181 --> 01:11:56,450
INTERVENTION AND THE OTHERS 

1867
01:11:56,450 --> 01:12:00,387
MOSTLY ASSESS CONTEXT LIKE 

1868
01:12:00,387 --> 01:12:02,522
BARRIERS AND FACILITATORS AND A 

1869
01:12:02,522 --> 01:12:04,257
VARIETY OF PATIENT POPULATIONS 

1870
01:12:04,257 --> 01:12:05,325
ARE REPRESENTED.

1871
01:12:05,325 --> 01:12:07,127
APHASIA IN MEDICAL SETTINGS ARE 

1872
01:12:07,127 --> 01:12:08,028
THE MOST COMMON.

1873
01:12:08,028 --> 01:12:11,031
SO WHAT NOW?

1874
01:12:11,031 --> 01:12:13,066
SO REFLECTING ON THE IMMENSE 

1875
01:12:13,066 --> 01:12:14,067
OPPORTUNITY OF WHAT IT IS TO BE 

1876
01:12:14,067 --> 01:12:16,369
ABLE TO SPEAK WITH ALL OF YOU, I

1877
01:12:16,369 --> 01:12:19,039
WANTED TO FOCUS LESS ON WHAT WE 

1878
01:12:19,039 --> 01:12:21,108
WROTE IN THE DISCUSSION OF THAT 

1879
01:12:21,108 --> 01:12:24,344
SCOPING REVIEW AND REVISIT THE 

1880
01:12:24,344 --> 01:12:26,446
LITERATURE AND THINK ABOUT WHAT 

1881
01:12:26,446 --> 01:12:28,949
IT THE MOST UPDATED 

1882
01:12:28,949 --> 01:12:29,616
UNDERSTANDING POSSIBLE ADDS TO 

1883
01:12:29,616 --> 01:12:31,551
WHAT IS HAPPENING WITH THE FIELD

1884
01:12:31,551 --> 01:12:32,919
OF IMPLEMENTATION SCIENCE MORE 

1885
01:12:32,919 --> 01:12:33,553
BROADLY.

1886
01:12:33,553 --> 01:12:37,324
SO WHAT I'D LIKE TO DO TO 

1887
01:12:37,324 --> 01:12:39,826
CONCLUDE THIS TALK IS PRESENT 

1888
01:12:39,826 --> 01:12:44,698
THREE PITFALLS OF IMPLEMENTATION

1889
01:12:44,698 --> 01:12:47,033
SCIENCE WITH QUESTIONS FOR 

1890
01:12:47,033 --> 01:12:49,202
CONSIDERATION THROUGHOUT THE 

1891
01:12:49,202 --> 01:12:50,237
WORKSHOP.

1892
01:12:50,237 --> 01:12:55,442
SO, THESE PITT FALLS AS YOU SEE 

1893
01:12:55,442 --> 01:12:59,679
ARE PRESENTED BY DR. BEIDAS AND 

1894
01:12:59,679 --> 01:13:06,319
COLLEAGUES AND PROMISES AND P

1895
01:13:06,319 --> 01:13:07,320
PITFALLS IN IMPLEMENTATION 

1896
01:13:07,320 --> 01:13:11,024
STUDIES AND FUNDED STUDIES ABOUT

1897
01:13:11,024 --> 01:13:11,525
15 YEARS.

1898
01:13:11,525 --> 01:13:13,860
THEY GOT TOGETHER AND BASICALLY 

1899
01:13:13,860 --> 01:13:17,664
HAD A PREMORTEM OF HOW IS THIS 

1900
01:13:17,664 --> 01:13:18,265
IMPLEMENTATION SCIENCE BEEN 

1901
01:13:18,265 --> 01:13:23,570
GOING AND IS IT REALLY MAKING 

1902
01:13:23,570 --> 01:13:29,109
ANY DIFFERENCE?

1903
01:13:29,109 --> 01:13:34,481
SO THEY HAVE SIX PITFALLS IS NOT

1904
01:13:34,481 --> 01:13:35,048
ALIGNING INCENTIVES AND 

1905
01:13:35,048 --> 01:13:36,583
PRIORITIES WITH PARTNERS.

1906
01:13:36,583 --> 01:13:40,887
REFLECTING ON THIS BROUGHT ME TO

1907
01:13:40,887 --> 01:13:44,124
THIS PAPER ABOUT THE 

1908
01:13:44,124 --> 01:13:45,058
INTERSECTION OF RESEARCH USE AND

1909
01:13:45,058 --> 01:13:45,792
IMPLEMENTATION SCIENCE.

1910
01:13:45,792 --> 01:13:48,161
THE STUDY OF RESEARCH USE IS A 

1911
01:13:48,161 --> 01:13:50,831
FIELD THAT SEEKS TO DEEPLY 

1912
01:13:50,831 --> 01:13:53,800
CENTER THE INTENDED USERS OF 

1913
01:13:53,800 --> 01:13:55,335
RESEARCH AND THE CONDITIONS THAT

1914
01:13:55,335 --> 01:13:57,237
FACILITATE THE USE OF RESEARCH.

1915
01:13:57,237 --> 01:14:04,511
SO IN THE STUDY OF RESEARCH USE,

1916
01:14:04,511 --> 01:14:07,314
IT'S COMBINED WITH OTHER FORM OF

1917
01:14:07,314 --> 01:14:08,748
KNOWLEDGE AND THERE IS A SEEKING

1918
01:14:08,748 --> 01:14:11,017
TO UNDERSTAND HOW ALL THE FORMS 

1919
01:14:11,017 --> 01:14:12,719
OF EVIDENCE INTERACT TO SUPPORT 

1920
01:14:12,719 --> 01:14:13,687
DECISION MAKING.

1921
01:14:13,687 --> 01:14:15,655
SO INTERACTIONS BETWEEN 

1922
01:14:15,655 --> 01:14:18,491
RESEARCHERS AND THE USERS OF 

1923
01:14:18,491 --> 01:14:20,060
RESEARCH AND HOW THEY MAKE SENSE

1924
01:14:20,060 --> 01:14:22,462
OF IT AND APPLY IT TO THAT 

1925
01:14:22,462 --> 01:14:23,964
SPECIFIC CONTEXT IS WHAT THIS 

1926
01:14:23,964 --> 01:14:29,502
STUDY OF RESEARCH USE IS ALL 

1927
01:14:29,502 --> 01:14:29,703
ABOUT.

1928
01:14:29,703 --> 01:14:31,104
AND ONE OF THE THINGS THAT'S 

1929
01:14:31,104 --> 01:14:34,374
COME OUT IS HOW RESEARCH IS 

1930
01:14:34,374 --> 01:14:35,942
PRODUCED REALLY INFLUENCES ITS 

1931
01:14:35,942 --> 01:14:36,176
UTILITY.

1932
01:14:36,176 --> 01:14:38,411
SO SOME QUESTIONS THAT MIGHT BE 

1933
01:14:38,411 --> 01:14:42,148
ASKED ARE, WHAT DOES IT MEAN TO 

1934
01:14:42,148 --> 01:14:43,817
USE RESEARCH WELL?

1935
01:14:43,817 --> 01:14:46,486
HOW IS RESEARCH ACTUALLY USED IN

1936
01:14:46,486 --> 01:14:50,523
CONTEXT AS OPPOSED TO HOW 

1937
01:14:50,523 --> 01:14:52,726
RESEARCHERS THINK I SHOULD BE 

1938
01:14:52,726 --> 01:14:52,926
USED?

1939
01:14:52,926 --> 01:14:54,694
HOW DOES RESEARCH INFORM 

1940
01:14:54,694 --> 01:14:57,230
DECISION MAKING AND NOT A 

1941
01:14:57,230 --> 01:14:57,731
DETERMINISTIC RESPONSE?

1942
01:14:57,731 --> 01:14:58,932
I DON'T THINK ANY OF THESE 

1943
01:14:58,932 --> 01:15:01,401
QUESTIONS CAN BE ASKED OUTSIDE 

1944
01:15:01,401 --> 01:15:05,372
OF AUTHENTIC PARTNERSHIPS AMONG 

1945
01:15:05,372 --> 01:15:06,673
RESEARCHERS AND CLINICIANS AND 

1946
01:15:06,673 --> 01:15:11,011
FAMILIES AND THE CLIENTS WHO ARE

1947
01:15:11,011 --> 01:15:11,811
SEEKING OUR SERVICES.

1948
01:15:11,811 --> 01:15:13,013
SO I QUESTION I WOULD LOVE TO 

1949
01:15:13,013 --> 01:15:14,214
ASK ALL OF TO YOU THINK ABOUT IS

1950
01:15:14,214 --> 01:15:15,649
WHAT DOES THE INFRASTRUCTURE 

1951
01:15:15,649 --> 01:15:18,451
LOOK LIKE THAT EQUALLY VALUES 

1952
01:15:18,451 --> 01:15:20,420
MULTIPLE FORMS OF KNOWLEDGE SUCH

1953
01:15:20,420 --> 01:15:23,023
AS THE LIVED EXPERIENCE AND 

1954
01:15:23,023 --> 01:15:23,623
CLINICAL PARTNERSHIPS?

1955
01:15:23,623 --> 01:15:24,758
WHAT MIGHT THAT INFRASTRUCTURE 

1956
01:15:24,758 --> 01:15:25,325
LOOK LIKE?

1957
01:15:25,325 --> 01:15:28,194
WHAT IF WE WERE ABLE TO PAY 

1958
01:15:28,194 --> 01:15:31,031
COMMUNITY ADVISORS MORE THAN $20

1959
01:15:31,031 --> 01:15:31,298
AN HOUR?

1960
01:15:31,298 --> 01:15:33,433
WHAT IF WE WERE ABLE TO PAY 

1961
01:15:33,433 --> 01:15:35,268
TEACHERS OR SPEECH LANGUAGE 

1962
01:15:35,268 --> 01:15:37,337
PATHOLOGISTS OR NURSES THEIR 

1963
01:15:37,337 --> 01:15:39,039
CLINICAL TIME WITHOUT JUMPING 

1964
01:15:39,039 --> 01:15:41,174
THROUGH MULTIPLE LOGISTICAL 

1965
01:15:41,174 --> 01:15:41,474
CHALLENGES?

1966
01:15:41,474 --> 01:15:45,545
WOULD UNIVERSITIES BE ABLE TO 

1967
01:15:45,545 --> 01:15:48,014
PAY CLINICAL FACULTY, PROJECT 

1968
01:15:48,014 --> 01:15:49,683
MANAGERS AND OTHER KEY PERSONNEL

1969
01:15:49,683 --> 01:15:52,686
WHO WE KNOW ARE KEY TO 

1970
01:15:52,686 --> 01:15:54,521
IMPLEMENTATION WITH A SALARY 

1971
01:15:54,521 --> 01:15:57,691
STRUCTURE EQUIVALENT TO SOMEONE 

1972
01:15:57,691 --> 01:15:58,191
WITH A Ph.D.?

1973
01:15:58,191 --> 01:16:00,560
THE NEXT PITFALL, WE DID NOT 

1974
01:16:00,560 --> 01:16:01,194
IMPACT POPULATION HEALTH OR 

1975
01:16:01,194 --> 01:16:02,228
HEALTH EQUITY.

1976
01:16:02,228 --> 01:16:05,966
AGAIN, THESE ARE RESEARCHERS WHO

1977
01:16:05,966 --> 01:16:07,233
SINCE 2006 WERE CONDUCTING 

1978
01:16:07,233 --> 01:16:08,568
IMPLEMENTATION SCIENCE AND 

1979
01:16:08,568 --> 01:16:11,604
THERE'S STILL AT LEAST A 30% TO 

1980
01:16:11,604 --> 01:16:13,473
40% GAP BETWEEN BEST AVAILABLE 

1981
01:16:13,473 --> 01:16:17,077
EVIDENCE AND CLINICAL PRACTICE.

1982
01:16:17,077 --> 01:16:21,948
SO THIS BROUGHT ME TO FIGURE 1 

1983
01:16:21,948 --> 01:16:24,751
AND THIS ARTICLE BY BAUMMANN 

1984
01:16:24,751 --> 01:16:26,619
AROUND AND PRINCIPLES IF YOU 

1985
01:16:26,619 --> 01:16:27,787
WANT TO IMPACT HEALTH EQUITY 

1986
01:16:27,787 --> 01:16:31,057
USING DISSEMINATION AND 

1987
01:16:31,057 --> 01:16:32,258
IMPLEMENTATION SCIENCE.

1988
01:16:32,258 --> 01:16:34,294
SO YOU SEE HERE RACISM MUST BE 

1989
01:16:34,294 --> 01:16:37,330
RECOGNIZED AS A FUNDAMENTAL 

1990
01:16:37,330 --> 01:16:39,165
DRIVER OF HEALTH CARE 

1991
01:16:39,165 --> 01:16:41,334
INEQUITIES, ACTIVE ENGAGEMENT OF

1992
01:16:41,334 --> 01:16:42,168
COMMUNITY MEMBERS AND OTHER 

1993
01:16:42,168 --> 01:16:46,639
RELEVANT PARTNERS AS NECESSARY.

1994
01:16:46,639 --> 01:16:48,008
EQUITABLE HEALTH CARE REQUIRES 

1995
01:16:48,008 --> 01:16:48,708
MULTI-SECTOR PARTNERSHIPS AND 

1996
01:16:48,708 --> 01:16:51,011
CONTEXT IS CENTRAL TO HEALTH 

1997
01:16:51,011 --> 01:16:51,644
CARE EQUITY.

1998
01:16:51,644 --> 01:16:55,015
SO THESE ARE ASPECTS THAT I 

1999
01:16:55,015 --> 01:16:56,316
THINK ARE ESSENTIAL FOR US TO 

2000
01:16:56,316 --> 01:17:00,854
CONSIDER WHEN WE THINK ABOUT THE

2001
01:17:00,854 --> 01:17:01,755
INTERSECTION OF IMPLEMENTATION 

2002
01:17:01,755 --> 01:17:03,323
AND COMMUNICATION SCIENCES AND 

2003
01:17:03,323 --> 01:17:03,757
DISORDERS.

2004
01:17:03,757 --> 01:17:05,058
SO I WOULD REALLY RECOMMEND THAT

2005
01:17:05,058 --> 01:17:09,496
YOU GO TO THIS PAPER BECAUSE 

2006
01:17:09,496 --> 01:17:11,297
ALONG WITH THE GUIDING 

2007
01:17:11,297 --> 01:17:12,732
PRINCIPLES THEY PROVIDE EIGHT 

2008
01:17:12,732 --> 01:17:13,666
SPECIFIC RECOMMENDATIONS WITH 

2009
01:17:13,666 --> 01:17:15,368
MORE THAN 60 ACTION STEPS FOR 

2010
01:17:15,368 --> 01:17:16,569
RESEARCHERS.

2011
01:17:16,569 --> 01:17:19,739
AND THEY ASSERT THAT MANY 

2012
01:17:19,739 --> 01:17:21,307
EVIDENCE-BASED PRACTICES MAY NOT

2013
01:17:21,307 --> 01:17:24,344
EVEN REALLY BE RELEVANT TO 

2014
01:17:24,344 --> 01:17:25,211
HISTORICALLY MARGINALIZED 

2015
01:17:25,211 --> 01:17:27,013
POPULATIONS.

2016
01:17:27,013 --> 01:17:28,048
SO THEY SPEAK HOW TO MANY 

2017
01:17:28,048 --> 01:17:30,750
EVIDENCE-BASED INTERVENTIONS ARE

2018
01:17:30,750 --> 01:17:32,118
PUSHED INTO SYSTEMS BY 

2019
01:17:32,118 --> 01:17:33,787
RESEARCHERS AND IMPLEMENTED 

2020
01:17:33,787 --> 01:17:35,789
WITHOUT ANY CONSIDERATION OF THE

2021
01:17:35,789 --> 01:17:39,059
CONTEXT OR RECIPIENTS INDEED 

2022
01:17:39,059 --> 01:17:40,693
THAT INTERVENTION MIGHT NOT EVEN

2023
01:17:40,693 --> 01:17:43,029
BE NEEDING A NO-NEED IN THE 

2024
01:17:43,029 --> 01:17:44,364
COMMUNITY.

2025
01:17:44,364 --> 01:17:46,232
SO THIS MADE ME THINK OF MY OWN 

2026
01:17:46,232 --> 01:17:49,302
CURRENT PROJECTS WHERE I WAS 

2027
01:17:49,302 --> 01:17:51,438
REMINDED OF THIS MODEL OF CARE 

2028
01:17:51,438 --> 01:17:54,140
THAT IS FREQUENTLY USED.

2029
01:17:54,140 --> 01:17:57,310
HERE YOU SEE TO THE STRUCTURE OR

2030
01:17:57,310 --> 01:17:59,412
THE ORGANIZATIONAL CONTEXT WHERE

2031
01:17:59,412 --> 01:18:02,382
THE HEALTH CARE OCCURS.

2032
01:18:02,382 --> 01:18:04,084
THE PROCESS OR THE ACTIONS 

2033
01:18:04,084 --> 01:18:05,351
COMPLETED DURING THE AND THEN 

2034
01:18:05,351 --> 01:18:06,486
YOU HAVE THE OUTCOME.

2035
01:18:06,486 --> 01:18:09,289
WE'RE ALL HEAR BECAUSE WE WANT 

2036
01:18:09,289 --> 01:18:13,326
TO POSITIVELY IMPACT PATIENTS 

2037
01:18:13,326 --> 01:18:14,994
AND POPULATION HEALTH.

2038
01:18:14,994 --> 01:18:19,365
SO IN MY WORK, I AM DEVELOPING 

2039
01:18:19,365 --> 01:18:23,036
AN INTERVENTION CALLED DEMENTIA 

2040
01:18:23,036 --> 01:18:24,938
COLLABORATIVE COACHING AND THE 

2041
01:18:24,938 --> 01:18:27,340
STRUCTURE WHERE IT'S IMPLEMENTED

2042
01:18:27,340 --> 01:18:29,075
IS NURSING HOMES.

2043
01:18:29,075 --> 01:18:34,781
WHAT I'M REALIZE WOING IN THE WK

2044
01:18:34,781 --> 01:18:39,953
I CAN IMPROVE THE COACHING.

2045
01:18:39,953 --> 01:18:42,655
I COULD MAKE IT MORE TAILORED TO

2046
01:18:42,655 --> 01:18:45,758
THE CONTEXT HOWEVER, I'M 

2047
01:18:45,758 --> 01:18:46,426
RECOGNIZING MORE AND MORE THE 

2048
01:18:46,426 --> 01:18:49,896
ISSUE HAS TO DO WITH THE 

2049
01:18:49,896 --> 01:18:51,531
STRUCTURE OR WHERE THE 

2050
01:18:51,531 --> 01:18:54,968
INTERVENTION IS IMBEDDED.

2051
01:18:54,968 --> 01:18:58,638
IN TO THE OUTCOME OF DECREASED 

2052
01:18:58,638 --> 01:18:59,906
BEHAVIORAL SYSTEMS THERE'S THE 

2053
01:18:59,906 --> 01:19:01,307
ISSUE OF THE STRUCTURE WHERE 

2054
01:19:01,307 --> 01:19:03,009
PEOPLE ARE BEGGING FOR STAFF.

2055
01:19:03,009 --> 01:19:05,812
THERE'S ALL OF THESE OTHER 

2056
01:19:05,812 --> 01:19:07,747
PRESSING ISSUES MORE OF ABOUT 

2057
01:19:07,747 --> 01:19:09,115
THE STRUCTURE AND LESS ABOUT THE

2058
01:19:09,115 --> 01:19:10,717
INTERVENTION.

2059
01:19:10,717 --> 01:19:13,520
SO A QUESTION THAT I HAVE IS IF 

2060
01:19:13,520 --> 01:19:16,322
I WALK AWAY FROM A NURSING HOME 

2061
01:19:16,322 --> 01:19:18,791
THAT'S NOT READY TO IMPLEMENT MY

2062
01:19:18,791 --> 01:19:20,126
INTERVENTION, WHAT IS MY 

2063
01:19:20,126 --> 01:19:21,161
RESPONSIBILITY THERE?

2064
01:19:21,161 --> 01:19:26,699
DO I WAIT UNTIL THE SYSTEM 

2065
01:19:26,699 --> 01:19:29,936
RIGHTS ITSELF BECAUSE IT LIKELY 

2066
01:19:29,936 --> 01:19:30,570
WON'T?

2067
01:19:30,570 --> 01:19:31,738
AND PROVIDERS IN THESE SETTINGS 

2068
01:19:31,738 --> 01:19:36,242
WANT TO PROVIDE BETTER CARE BUT 

2069
01:19:36,242 --> 01:19:37,310
FEEL STUCK AND DON'T KNOW HOW TO

2070
01:19:37,310 --> 01:19:38,678
GET THERE IN THE CURRENT 

2071
01:19:38,678 --> 01:19:38,945
STRUCTURE.

2072
01:19:38,945 --> 01:19:40,580
A QUESTION I'VE BEEN ASKING 

2073
01:19:40,580 --> 01:19:43,049
MYSELF IS ARE WE WORSENING AND 

2074
01:19:43,049 --> 01:19:44,250
CONTRIBUTING TO HEALTH CARE 

2075
01:19:44,250 --> 01:19:51,024
INEQUITIES BY ONLY IMPLEMENTING 

2076
01:19:51,024 --> 01:19:53,493
OUR INTERVENTIONS WITH A LEVEL 

2077
01:19:53,493 --> 01:19:53,993
OF RESOURCE?

2078
01:19:53,993 --> 01:20:00,900
WHEN WE CONSIDER THE 

2079
01:20:00,900 --> 01:20:02,569
INTERVENTIONS WE HAVE TO THINK 

2080
01:20:02,569 --> 01:20:05,738
ABOUT HEALTH EQUITY AND HOW THAT

2081
01:20:05,738 --> 01:20:07,373
WILL IMPACT OUR STUDY DESIGN.

2082
01:20:07,373 --> 01:20:10,977
THE LAST PIECE IS WE RECREATED 

2083
01:20:10,977 --> 01:20:13,046
THE RESEARCH TO PRACTICE GAP.

2084
01:20:13,046 --> 01:20:19,252
WE'VE ALREADY TALKED ABOUT THE 

2085
01:20:19,252 --> 01:20:23,089
MESSAGE AND MESSAGE OF PROMOTE 

2086
01:20:23,089 --> 01:20:27,026
THE ADOPTION AND INTERVENTION 

2087
01:20:27,026 --> 01:20:28,828
PRACTICE INTO ROUTINE CARE.

2088
01:20:28,828 --> 01:20:35,001
NOW WE HAVE A FIELD KNOWN AS 

2089
01:20:35,001 --> 01:20:36,002
IMPLEMENTATION PRACTICE WHERE 

2090
01:20:36,002 --> 01:20:37,303
YOUR TAILORING AND APPLYING 

2091
01:20:37,303 --> 01:20:38,771
APPROACH AND STRATEGY IN 

2092
01:20:38,771 --> 01:20:39,706
DIFFERENT CONTEXTS TO MEET THE 

2093
01:20:39,706 --> 01:20:47,747
NEEDS OF DIFFERENT COMMUNITIES.

2094
01:20:47,747 --> 01:20:50,850
WE HAVE TO WONDER HOW TO NOT 

2095
01:20:50,850 --> 01:20:51,417
RECREATE THE GAP.

2096
01:20:51,417 --> 01:20:58,891
THIS BROUGHT ME TO A FASCINATING

2097
01:20:58,891 --> 01:21:06,699
PAPER WHO MADE THE CASE FOR 

2098
01:21:06,699 --> 01:21:09,969
RETHINKING THE RELATIONSHIP 

2099
01:21:09,969 --> 01:21:10,637
BETWEEN IMPLEMENTATION RESEARCH 

2100
01:21:10,637 --> 01:21:11,704
AND IMPLEMENTATION PRACTICE 

2101
01:21:11,704 --> 01:21:12,972
HIGHLIGHTING THE NEED TO BECOME 

2102
01:21:12,972 --> 01:21:17,543
BETTER AT WORKING WITH CONTEXTS 

2103
01:21:17,543 --> 01:21:18,745
THROUGHOUT THE ENTIRE RESEARCH 

2104
01:21:18,745 --> 01:21:21,381
PROCESS FROM PLANNING TO 

2105
01:21:21,381 --> 01:21:23,449
CONDUCT, ANALYSIS, 

2106
01:21:23,449 --> 01:21:24,917
INTERPRETATION AND DISSEMINATION

2107
01:21:24,917 --> 01:21:25,752
OF RESULTS WHILE MAINTAINING 

2108
01:21:25,752 --> 01:21:28,021
RELEVANCE AND RIGOR AT ALL 

2109
01:21:28,021 --> 01:21:29,188
STAGES.

2110
01:21:29,188 --> 01:21:30,823
SO ONE OF THE THINGS THEY 

2111
01:21:30,823 --> 01:21:33,126
REPORTED ON IN A WELL LAID OUT 

2112
01:21:33,126 --> 01:21:37,964
TABLE IN THIS PAPER IS MOST 

2113
01:21:37,964 --> 01:21:39,032
IMPLEMENTATION TRIALS ARE NUL 

2114
01:21:39,032 --> 01:21:39,666
RESULTS.

2115
01:21:39,666 --> 01:21:44,937
IT'S HARD TO MOVE THE NEEDLE 

2116
01:21:44,937 --> 01:21:45,972
WITH THE PRAGMATIC CLINICAL 

2117
01:21:45,972 --> 01:21:49,208
TRIAL AND NOT BECAUSE THE 

2118
01:21:49,208 --> 01:21:50,610
INTERVENTION DOESN'T WORK OR 

2119
01:21:50,610 --> 01:21:53,513
BECAUSE THE STRATEGY DOESN'T 

2120
01:21:53,513 --> 01:21:54,547
NECESSARILY WORK BUT I THINK 

2121
01:21:54,547 --> 01:21:55,214
BAYS THE CONTEXT WERE SO 

2122
01:21:55,214 --> 01:22:05,391
DIFFERENT.

2123
01:22:16,202 --> 01:22:18,271
IF YOU THINK YOURS IS CONTEXT 

2124
01:22:18,271 --> 01:22:20,206
DEPEND

2125
01:22:20,206 --> 01:22:23,776
DEPENDENT, THESE ALLOW YOU TO BE

2126
01:22:23,776 --> 01:22:25,178
MORE RESPONSIVE ACROSS THE LIFE 

2127
01:22:25,178 --> 01:22:25,878
OF THE STUDY.

2128
01:22:25,878 --> 01:22:27,980
NOT JUST BEGINNING OR END BUT 

2129
01:22:27,980 --> 01:22:30,016
HAVE THE FLEXIBILITY TO RESPOND 

2130
01:22:30,016 --> 01:22:30,650
TO THE CONTEXT IN THE MIDDLE OF 

2131
01:22:30,650 --> 01:22:33,820
THE STUDY AS WELL.

2132
01:22:33,820 --> 01:22:39,592
YOU SEE PARTICIPATORY RESEARCH, 

2133
01:22:39,592 --> 01:22:40,493
REALIST EVALUATION AND QUALITY 

2134
01:22:40,493 --> 01:22:44,430
OR RAPID PSYCHO IMPROVEMENT AT 

2135
01:22:44,430 --> 01:22:46,833
MULTIPLE SITES OR SINGLE SITES.

2136
01:22:46,833 --> 01:22:48,468
>> THAT'S ONE MINUTE LEFT.

2137
01:22:48,468 --> 01:22:50,436
>> THANK YOU, HOLLY.

2138
01:22:50,436 --> 01:22:52,038
THESE ARE DESIGNS LESS 

2139
01:22:52,038 --> 01:22:55,341
RESPONSIVE TO CONTEXT IN A 

2140
01:22:55,341 --> 01:22:55,641
STUDY.

2141
01:22:55,641 --> 01:22:58,644
THESE ARE HYBRID EFFECTIVENESS, 

2142
01:22:58,644 --> 01:23:03,049
IMPLEMENTATION TRIALS, PRAGMATIC

2143
01:23:03,049 --> 01:23:06,052
TRIALS AND PRE AND POST STUDY 

2144
01:23:06,052 --> 01:23:08,087
DESIGN AND INTERRUPTED TIME 

2145
01:23:08,087 --> 01:23:11,591
SERIES AND NATURAL EXPERIENCE.

2146
01:23:11,591 --> 01:23:13,326
THE LAST QUESTION IS WHICH 

2147
01:23:13,326 --> 01:23:15,328
IMPLEMENTATION STUDY DESIGNS 

2148
01:23:15,328 --> 01:23:20,500
WILL WE DEEM TO BE ACCEPTABLE 

2149
01:23:20,500 --> 01:23:21,934
AND FUNDABLE IN OUR COMMUNITY 

2150
01:23:21,934 --> 01:23:23,903
AND CAN CONTINUE TO LEARN FROM 

2151
01:23:23,903 --> 01:23:25,104
THE PEOPLE IN IMPLEMENTATION 

2152
01:23:25,104 --> 01:23:26,839
SCIENCES DOING THIS A LITTLE BIT

2153
01:23:26,839 --> 01:23:27,940
LONGER.

2154
01:23:27,940 --> 01:23:31,577
WITH THAT I'LL STOP SHARING AND 

2155
01:23:31,577 --> 01:23:34,247
TURN IT BACK TO HOLLY.

2156
01:23:34,247 --> 01:23:35,448
>> THANKS SO MUCH.

2157
01:23:35,448 --> 01:23:37,817
THAT WAS VERY THOUGHT PROVOKING.

2158
01:23:37,817 --> 01:23:39,552
MY BRAIN IS PRACTICALLY FULL.

2159
01:23:39,552 --> 01:23:40,720
I DON'T KNOW HOW EVERYONE ELSE 

2160
01:23:40,720 --> 01:23:43,156
IS DOING BUT WE HAVE ONE MORE 

2161
01:23:43,156 --> 01:23:44,290
SHORT PIECE I'LL SHARE WITH YOU 

2162
01:23:44,290 --> 01:23:44,891
AND THEN WE'LL BE TAKING A 

2163
01:23:44,891 --> 01:23:47,794
BREAK.

2164
01:23:47,794 --> 01:23:51,664
SO I'M GOING TO STAY A LITTLE 

2165
01:23:51,664 --> 01:23:55,435
BIT ABOUT D&I AT NIDCD AND 

2166
01:23:55,435 --> 01:23:57,103
WHAT'S HAPPENING NOW.

2167
01:23:57,103 --> 01:23:59,038
THE FIRST THING I WANT TO LOOK 

2168
01:23:59,038 --> 01:24:03,309
AT ARE THE NIH WIDE 

2169
01:24:03,309 --> 01:24:03,943
DISSEMINATION OPPORTUNITIES WITH

2170
01:24:03,943 --> 01:24:05,912
LINKS ON THE SLIDE ARE THE 

2171
01:24:05,912 --> 01:24:07,847
CURRENT VERSIONS.

2172
01:24:07,847 --> 01:24:09,949
THESE ARE BEEN AROUND A LONG 

2173
01:24:09,949 --> 01:24:14,587
TIME AND NIDCD HAS BEEN SIGNED 

2174
01:24:14,587 --> 01:24:15,721
ON SINCE 2006.

2175
01:24:15,721 --> 01:24:18,891
THERE'S A SMALLER VERSION THE 

2176
01:24:18,891 --> 01:24:22,862
R21 AND THE LARGER MULTI-YEAR 

2177
01:24:22,862 --> 01:24:24,764
GRANT AND BOTH HAVE BEEN AROUND 

2178
01:24:24,764 --> 01:24:25,565
A LONG TIME.

2179
01:24:25,565 --> 01:24:28,267
WHAT HAS THAT YIELDED?

2180
01:24:28,267 --> 01:24:29,769
IT TURNS OUT IT HASN'T YIELDED 

2181
01:24:29,769 --> 01:24:31,037
THAT MUCH.

2182
01:24:31,037 --> 01:24:32,338
WHAT I'M SHOWING YOU ARE THE 

2183
01:24:32,338 --> 01:24:35,508
NUMBER OF UNIQUE AWARDS.

2184
01:24:35,508 --> 01:24:36,943
THESE ARE TYPICALLY MULTI-YEAR 

2185
01:24:36,943 --> 01:24:38,511
AWARDS AND I'M SHOWING THEM AS 

2186
01:24:38,511 --> 01:24:38,811
ONE PACKAGE.

2187
01:24:38,811 --> 01:24:40,913
AND WHAT YOU CAN SEE IS WE'VE 

2188
01:24:40,913 --> 01:24:45,117
ONLY MADE FOUR AWARDS TO THIS 

2189
01:24:45,117 --> 01:24:46,352
SPECIFIC FUNDING OPPORTUNITIES 

2190
01:24:46,352 --> 01:24:47,753
OVER THE LIFE COURSE.

2191
01:24:47,753 --> 01:24:49,689
MAYBE IF YOU'RE SUPER OPTIMISTIC

2192
01:24:49,689 --> 01:24:51,557
YOU SAY, WELL, IT'S KIND OF 

2193
01:24:51,557 --> 01:24:52,191
INCREASING.

2194
01:24:52,191 --> 01:24:55,194
WE DIDN'T HAVE ANY AWARDS FROM 

2195
01:24:55,194 --> 01:24:57,296
2006 TO 2012 AND NOW WE'RE 

2196
01:24:57,296 --> 01:25:01,334
STARTING TO SEE SOME AND MOVING 

2197
01:25:01,334 --> 01:25:02,735
FROM THE SMALLER TO LARGER 

2198
01:25:02,735 --> 01:25:02,969
GRANTS.

2199
01:25:02,969 --> 01:25:05,471
I WOULD SAY THAT'S PRETTY 

2200
01:25:05,471 --> 01:25:06,639
OPTIMISTIC.

2201
01:25:06,639 --> 01:25:09,876
YOU ALSO MIGHT BE WONDERING WHAT

2202
01:25:09,876 --> 01:25:10,943
DOES THIS LOOK LIKE?

2203
01:25:10,943 --> 01:25:13,346
WE'RE ONLY LOOKING AT ONE DATA 

2204
01:25:13,346 --> 01:25:15,014
POINT.

2205
01:25:15,014 --> 01:25:17,149
LET'S PUT IT IN CONTEXT.

2206
01:25:17,149 --> 01:25:19,785
WE'RE LOOKING AT THE NUMBER OF 

2207
01:25:19,785 --> 01:25:22,488
UNIQUE AWARDS COUNTING EACH 

2208
01:25:22,488 --> 01:25:23,723
MULTI YEAR AWARD AS ONE THING 

2209
01:25:23,723 --> 01:25:27,059
AND LOOKING AT A THREE-YEAR 

2210
01:25:27,059 --> 01:25:33,065
PERIOD AND ONLY AT THE R01s AND 

2211
01:25:33,065 --> 01:25:35,034
THIS CAPTURES THE TWO UNIQUE 

2212
01:25:35,034 --> 01:25:39,038
AWARDS WE SAW IN THE PRIOR SLIDE

2213
01:25:39,038 --> 01:25:40,840
IN 2020 AND 2022 OR SOMETHING 

2214
01:25:40,840 --> 01:25:41,941
LIKE THAT.

2215
01:25:41,941 --> 01:25:44,110
YOU CAN SEE SOME OTHER 

2216
01:25:44,110 --> 01:25:48,781
INSTITUTES WHO MADE WARDS DURING

2217
01:25:48,781 --> 01:25:50,917
THE TIME PERIOD AND SOME IN THE 

2218
01:25:50,917 --> 01:25:54,353
SAME NUMBER OF AWARDS WITH US.

2219
01:25:54,353 --> 01:25:56,689
THERE'S ALSO OTHERS MAKING MANY 

2220
01:25:56,689 --> 01:25:59,025
MORE AWARDS.

2221
01:25:59,025 --> 01:26:01,360
I'VE HIGHLIGHTED THE NATIONAL 

2222
01:26:01,360 --> 01:26:02,428
CANCER INSTITUTE AND NATIONAL 

2223
01:26:02,428 --> 01:26:03,829
INSTITUTE ON DRUG ABUSE IN BLUE 

2224
01:26:03,829 --> 01:26:06,566
BECAUSE WE HAVE REPRESENTATIVES 

2225
01:26:06,566 --> 01:26:08,234
FROM THE PROGRAMS THAT WILL BE 

2226
01:26:08,234 --> 01:26:09,268
WITH US TOMORROW AND THEY'VE 

2227
01:26:09,268 --> 01:26:13,339
MADE SOME CONCERTED EFFORTS TO 

2228
01:26:13,339 --> 01:26:15,641
INCREASE THEIR D&I RESEARCH
AND 

2229
01:26:15,641 --> 01:26:17,176
HOPE TO LEARN SOME LESSONS FROM 

2230
01:26:17,176 --> 01:26:19,378
THEM AND HOPEFULLY GIVE YOU AN 

2231
01:26:19,378 --> 01:26:21,480
IDEA WHERE THEY ARE RELATIVE TO 

2232
01:26:21,480 --> 01:26:22,915
US IN THE LANDSCAPE.

2233
01:26:22,915 --> 01:26:27,019
SO THIS SUGGESTS THERE'S SOME 

2234
01:26:27,019 --> 01:26:30,556
OPPORTUNITY FOR GROWTH WITHIN 

2235
01:26:30,556 --> 01:26:31,023
NIDCD.

2236
01:26:31,023 --> 01:26:33,492
I DO WANT TO ACKNOWLEDGE THERE 

2237
01:26:33,492 --> 01:26:35,194
ARE CHALLENGES GOING THROUGH 

2238
01:26:35,194 --> 01:26:36,495
THIS D&I PATHWAY AND SOME OF

2239
01:26:36,495 --> 01:26:40,299
THAT WAS ALLUDED TO A LITTLE BIT

2240
01:26:40,299 --> 01:26:41,334
IN THE REVIEW.

2241
01:26:41,334 --> 01:26:43,636
SO WHAT I PULLED ON THE SLIDE 

2242
01:26:43,636 --> 01:26:48,708
WHICH I'M NOW GOING TO READ TO 

2243
01:26:48,708 --> 01:26:52,678
YOU ARE SOME TEXTS TAKEN FROM 

2244
01:26:52,678 --> 01:26:54,647
THE FUNDING OPPORTUNITIES IN 

2245
01:26:54,647 --> 01:26:55,281
DISSEMINATION AND IMPLEMENTATION

2246
01:26:55,281 --> 01:26:55,915
AND HIGHLIGHT SPECIFIC AREAS 

2247
01:26:55,915 --> 01:27:00,686
THAT REALLY NEED TO BE IN 

2248
01:27:00,686 --> 01:27:02,455
ADAPTATION AND FROM WHAT NATALIE

2249
01:27:02,455 --> 01:27:04,690
RECORDED SHE SAW SOME ELEMENTS 

2250
01:27:04,690 --> 01:27:07,960
WERE NOT FREQUENT IN THE 

2251
01:27:07,960 --> 01:27:08,894
PUBLISHED LITERATURE WHICH 

2252
01:27:08,894 --> 01:27:10,029
SUGGESTED THIS MAY BE AN AREA 

2253
01:27:10,029 --> 01:27:11,764
WHERE OUR FIELD IS GROWING AND 

2254
01:27:11,764 --> 01:27:13,332
NEEDS TO GROW FURTHER.

2255
01:27:13,332 --> 01:27:15,034
JUST LOOKING FOR EXAMPLE THE 

2256
01:27:15,034 --> 01:27:18,771
FIRST BULLET, NATALIE TOLD US A 

2257
01:27:18,771 --> 01:27:21,040
LARGE PORTION OF THE 

2258
01:27:21,040 --> 01:27:22,341
PUBLICATIONS DIDN'T NAME THE 

2259
01:27:22,341 --> 01:27:25,344
MODEL OR FRAMEWORK AND THAT'S 

2260
01:27:25,344 --> 01:27:27,013
REQUIRED IN THIS FUNDING 

2261
01:27:27,013 --> 01:27:28,114
OPPORTUNITY CALL.

2262
01:27:28,114 --> 01:27:30,016
NOW, THE OTHER SIDE OF THIS IS 

2263
01:27:30,016 --> 01:27:33,052
TO THINK ABOUT, WELL, SURE THE 

2264
01:27:33,052 --> 01:27:34,220
FUNDING OPPORTUNITY SAYS 

2265
01:27:34,220 --> 01:27:36,656
WHATEVER IT SAYS BUT ARE THE 

2266
01:27:36,656 --> 01:27:37,823
REVIEWERS REALLY LOOKING FOR 

2267
01:27:37,823 --> 01:27:41,794
THAT AND HOLDING TO THAT?

2268
01:27:41,794 --> 01:27:43,829
AND IF YOU LOOK AT THE STUDY 

2269
01:27:43,829 --> 01:27:46,732
SECTIONS THAT TEND TO REVIEW 

2270
01:27:46,732 --> 01:27:47,800
THESE IMPLEMENTATION GRANTS, ONE

2271
01:27:47,800 --> 01:27:49,335
SHOWN ON THE SLIDE AND IF YOU GO

2272
01:27:49,335 --> 01:27:51,270
TO THE LINK YOU'LL SEE SOME OF 

2273
01:27:51,270 --> 01:27:58,577
THE OTHER STUDY SECTION LABELS, 

2274
01:27:58,577 --> 01:28:00,846
YOU'LL SEE VERY DEEP 

2275
01:28:00,846 --> 01:28:01,480
DISSEMINATION AND IMPLEMENTATION

2276
01:28:01,480 --> 01:28:03,282
ON THOSE PANELS AND SO THEY DO 

2277
01:28:03,282 --> 01:28:06,452
TEND TO REALLY HOLD TO WHAT HAS 

2278
01:28:06,452 --> 01:28:08,654
BEEN OUTLINED IN THE FUNDING 

2279
01:28:08,654 --> 01:28:11,223
OPPORTUNITY WHICH IS REALLY BEST

2280
01:28:11,223 --> 01:28:13,426
PRACTICES IN THE FIELD AND SO IT

2281
01:28:13,426 --> 01:28:15,127
REALLY JUST SHOWS THAT TO BE 

2282
01:28:15,127 --> 01:28:17,730
COMPETITIVE IN THIS KIND OF A 

2283
01:28:17,730 --> 01:28:21,901
PATHWAY, IT'S IMPORTANT THAT WE 

2284
01:28:21,901 --> 01:28:25,337
GROW OUR KNOWLEDGE OF 

2285
01:28:25,337 --> 01:28:26,405
DISSEMINATION AND IMPLEMENTATION

2286
01:28:26,405 --> 01:28:29,141
AND THE STRATEGIES AN OUTCOME, 

2287
01:28:29,141 --> 01:28:30,342
ETCETERA, TO BE CONVERSANT WHEN 

2288
01:28:30,342 --> 01:28:33,112
WE TALK ABOUT OUR RESEARCH OR 

2289
01:28:33,112 --> 01:28:33,713
FRAME OUR RESEARCH WITHIN THE 

2290
01:28:33,713 --> 01:28:35,214
FIELD.

2291
01:28:35,214 --> 01:28:38,350
NOW, I WANT TO POINT OUT THIS IS

2292
01:28:38,350 --> 01:28:41,220
NOT THE ONLY PATHWAY 

2293
01:28:41,220 --> 01:28:41,854
DISSEMINATION AND IMPLEMENTATION

2294
01:28:41,854 --> 01:28:42,354
FUNDING OPPORTUNITIES.

2295
01:28:42,354 --> 01:28:45,758
IN FACT, FROM THE THREE PROJECTS

2296
01:28:45,758 --> 01:28:47,827
WE HIGHLIGHTED KEVIN KERBER'S 

2297
01:28:47,827 --> 01:28:49,929
PROJECT WAS SUBMITTED IN 

2298
01:28:49,929 --> 01:28:53,532
RESPONSE TO THE FUNDING 

2299
01:28:53,532 --> 01:28:54,233
OPPORTUNITY FOR EXAMPLE 

2300
01:28:54,233 --> 01:28:57,803
JESSICA'S PROJECT WAS NOT IT WAS

2301
01:28:57,803 --> 01:29:00,306
SUBMITTED TO OUR EARLY CAREER 

2302
01:29:00,306 --> 01:29:03,242
R21 FUNDING OPPORTUNITY UNDER A 

2303
01:29:03,242 --> 01:29:04,009
DIFFERENT TOPIC.

2304
01:29:04,009 --> 01:29:08,447
>> ONE MINUTE LEFT.

2305
01:29:08,447 --> 01:29:12,184
>> SO THERE ARE MANY OTHER

2306
01:29:12,184 --> 01:29:13,853
PATHWAYS ONE CAN COME THROUGH TO

2307
01:29:13,853 --> 01:29:15,721
FUND THEIR RESEARCH SO WHEN WE 

2308
01:29:15,721 --> 01:29:18,324
GO THROUGH THESE OTHER PATHWAYS 

2309
01:29:18,324 --> 01:29:20,860
THAT ARE MAYBE MORE 

2310
01:29:20,860 --> 01:29:21,827
EVIDENCE-BASED 

2311
01:29:21,827 --> 01:29:22,661
INNOVATION-FOCUSSED, WE TEND TO 

2312
01:29:22,661 --> 01:29:24,296
RUN TO THE OPPOSITE PROBLEM 

2313
01:29:24,296 --> 01:29:26,265
WHERE WE'VE GOT PEOPLE WHO ARE 

2314
01:29:26,265 --> 01:29:29,468
REALLY FOCUSSED ON THE INTERNAL 

2315
01:29:29,468 --> 01:29:31,604
VALIDITY AND WE WISH WE HAD SOME

2316
01:29:31,604 --> 01:29:35,007
FOLKS WHO KNEW LET MORE ABOUT 

2317
01:29:35,007 --> 01:29:35,975
EXTERNAL VALIDITY AND 

2318
01:29:35,975 --> 01:29:36,375
DISSEMINATION AND 

2319
01:29:36,375 --> 01:29:36,742
IMPLEMENTATION.

2320
01:29:36,742 --> 01:29:41,280
SO THE FINAL POINT I'LL MAKE LET

2321
01:29:41,280 --> 01:29:43,783
ME MOVE OFF THAT FOOD FOR 

2322
01:29:43,783 --> 01:29:44,049
THOUGHT.

2323
01:29:44,049 --> 01:29:47,052
WHAT I WANTED TO SHARE IS OUR 

2324
01:29:47,052 --> 01:29:48,821
SYSTEM FOR RESEARCH ON DIFFERENT

2325
01:29:48,821 --> 01:29:50,422
TOPICS CALLED THE RESEARCH 

2326
01:29:50,422 --> 01:29:52,925
CONDITION AND SPEECH CATEGORY 

2327
01:29:52,925 --> 01:29:54,894
FOR RCDC.

2328
01:29:54,894 --> 01:29:57,496
THE FIRST PART IS BLANK BECAUSE 

2329
01:29:57,496 --> 01:30:02,001
WE DO NOT HAVE A CODE 

2330
01:30:02,001 --> 01:30:02,635
DISSEMINATION AND IMPLEMENTATION

2331
01:30:02,635 --> 01:30:05,471
BUT NOW WE DO AND THERE'S AROUND

2332
01:30:05,471 --> 01:30:10,209
$1 BILLION BEING SPENT ON 

2333
01:30:10,209 --> 01:30:10,843
DISSEMINATION AND IMPLEMENTATION

2334
01:30:10,843 --> 01:30:12,344
RESEARCH AT NIH BROADLY.

2335
01:30:12,344 --> 01:30:15,514
AND THEN WE CAN ONCE AGAIN LOOK 

2336
01:30:15,514 --> 01:30:17,449
AT WHERE NIDCD FALLS IN RELATION

2337
01:30:17,449 --> 01:30:19,018
TO OTHER INSTITUTES.

2338
01:30:19,018 --> 01:30:24,690
WE CAN SEE WE ARE SORT OF ON THE

2339
01:30:24,690 --> 01:30:26,926
LOWER END AND YOU MIGHT BE 

2340
01:30:26,926 --> 01:30:30,462
THINKING IS THIS A FAIR 

2341
01:30:30,462 --> 01:30:33,532
COMPARISON BECAUSE THERE'S A 

2342
01:30:33,532 --> 01:30:36,202
LARGER BUDGET THAN NIDCD AND ON 

2343
01:30:36,202 --> 01:30:39,171
THE NEXT SLIDE ON THE LEFT ARE 

2344
01:30:39,171 --> 01:30:41,874
THE D&I GRANTS AND ON THE
RIGHT 

2345
01:30:41,874 --> 01:30:43,142
ARE THE TOTAL BUDGET.

2346
01:30:43,142 --> 01:30:47,179
YOU CAN STILL SORT OF SEE THE 

2347
01:30:47,179 --> 01:30:49,515
RELATIVE SPENDING OVER ALL 

2348
01:30:49,515 --> 01:30:51,684
VERSUS THE D&I SPENDING AND 

2349
01:30:51,684 --> 01:30:55,020
STILL SEEMS LIKE THERE'S ROOM 

2350
01:30:55,020 --> 01:30:57,656
FOR GROWTH AT NIDCD.

2351
01:30:57,656 --> 01:30:58,858
NOW, ARE THERE BARRIERS?

2352
01:30:58,858 --> 01:30:59,859
I WOULD SAY NO.

2353
01:30:59,859 --> 01:31:02,761
WE HAVE A SIMPLE FUNDING 

2354
01:31:02,761 --> 01:31:03,596
STRATEGY.

2355
01:31:03,596 --> 01:31:04,396
BASICALLY WE FUND THE BEST 

2356
01:31:04,396 --> 01:31:08,968
GRANTS AND THAT ALLOWS US TO 

2357
01:31:08,968 --> 01:31:10,502
PIVOT AND FUND WHATEVER TOPIC IS

2358
01:31:10,502 --> 01:31:15,875
COMING THROUGH IT TAKE ADVANTAGE

2359
01:31:15,875 --> 01:31:18,310
OF WHATEVER IS IMPORTANT TO THE 

2360
01:31:18,310 --> 01:31:20,846
FIELD IN THE MOMENT WE NEED MORE

2361
01:31:20,846 --> 01:31:21,914
MERITORIOUS D&I
APPLICATIONS.

2362
01:31:21,914 --> 01:31:26,518
THE MONEY IS HERE IN SOME SENSE 

2363
01:31:26,518 --> 01:31:29,521
NIH HAS A COMMITMENT TO D&I
AND 

2364
01:31:29,521 --> 01:31:30,089
NIDCD HAS AS WELL WITH OUR 

2365
01:31:30,089 --> 01:31:36,595
STRATEGIC PLAN.

2366
01:31:36,595 --> 01:31:38,497
WE NEED TO FIGURE OUT HOW TO GET

2367
01:31:38,497 --> 01:31:39,265
MORE APPLICATIONS IN THE SPACE 

2368
01:31:39,265 --> 01:31:40,566
AND MAKE SURE THEY'RE 

2369
01:31:40,566 --> 01:31:41,467
COMPETITIVE IN THE REVIEW 

2370
01:31:41,467 --> 01:31:41,800
PROCESS.

2371
01:31:41,800 --> 01:31:44,036
THAT'S SOMETHING I HOPE WE'LL 

2372
01:31:44,036 --> 01:31:46,639
HAVE TIME TO TALK ABOUT OVER THE

2373
01:31:46,639 --> 01:31:49,308
REST OF THE WORKSHOP DURING SOME

2374
01:31:49,308 --> 01:31:50,109
DISCUSSION PERIODS.

2375
01:31:50,109 --> 01:31:53,245
THAT BRINGS US TO OUR BREAK.

2376
01:31:53,245 --> 01:31:56,882
WE'LL HAVE A BREAK TO 1:45 

2377
01:31:56,882 --> 01:31:57,316
EASTERN.

2378
01:31:57,316 --> 01:32:00,786
EVERYONE CAN TURN OFF MICS AND 

2379
01:32:00,786 --> 01:32:01,020
CAMERAS.

2380
01:32:01,020 --> 01:32:05,824
JOIN US BACK AT 1:45.

2381
01:32:05,824 --> 01:32:07,026
THAT BE THE START OF THE 

2382
01:32:07,026 --> 01:32:17,369
INTERACTIVE SESSION.

2383
01:32:20,442 --> 01:32:22,177
WHAT ARE UNDERINDIVIDUAL 

2384
01:32:22,177 --> 01:32:24,412
NEEDS FOR THE RESEARCH AND KATHY

2385
01:32:24,412 --> 01:32:26,114
WILL BE MODERATING THE SESSION 

2386
01:32:26,114 --> 01:32:32,921
AND INTRODUCE OUR PANELISTS.

2387
01:32:32,921 --> 01:32:41,863
A NOTE, WE'VE BEEN STOPPING THE 

2388
01:32:41,863 --> 01:32:43,632
VIDEO OF THE SLIDES BUT FOR OUR 

2389
01:32:43,632 --> 01:32:45,100
FIRST WE'LL HAVE EVERYBODY ON 

2390
01:32:45,100 --> 01:32:47,102
CAMERA AND SEE HOW THAT LOOKS.

2391
01:32:47,102 --> 01:32:48,903
IF SOMEONE TURNS ON THE VIDEO 

2392
01:32:48,903 --> 01:32:49,771
LET'S GO WITH IT.

2393
01:32:49,771 --> 01:32:51,273
LET'S START WITH VIDEOS ON AND 

2394
01:32:51,273 --> 01:33:01,583
SEE HOW THAT GOES.

2395
01:33:04,386 --> 01:33:07,222
>> THE TOPIC IS INDIVIDUAL
NEEDS

2396
01:33:07,222 --> 01:33:08,056
IN CONDUCTING DISSEMINATION AND 

2397
01:33:08,056 --> 01:33:18,466
IMPLEMENTATION RESEARCH.

2398
01:33:23,972 --> 01:33:27,275
EVERYONE ON THE PANEL IS DOING 

2399
01:33:27,275 --> 01:33:31,880
DISSEMINATION AND IMPLEMENTATION

2400
01:33:31,880 --> 01:33:41,890
RESEARCH AND WE HAD NOTABLE 

2401
01:33:41,890 --> 01:33:52,434
OVERLAP IN THE TOPICS WE WANTED 

2402
01:33:59,574 --> 01:34:04,612
TO BRING THE VOICES OF THE 

2403
01:34:04,612 --> 01:34:12,053
PEOPLE QUOTE UNQUOTE OF DOING 

2404
01:34:12,053 --> 01:34:13,688
D&I RESEARCH TO SHARE THEIR 

2405
01:34:13,688 --> 01:34:15,223
EXPERIENCE AND HOPEFULLY LATER 

2406
01:34:15,223 --> 01:34:15,824
SPEAKERS WILL ADDRESS ISSUES 

2407
01:34:15,824 --> 01:34:26,067
THAT COME UP.

2408
01:34:32,240 --> 01:34:36,077
I'LL SAY YOUR NAME AND YOUR 

2409
01:34:36,077 --> 01:34:38,046
POSITION AND INSTITUTE.

2410
01:34:38,046 --> 01:34:41,716
>> MY NAME IS CRYSTLE
ALONZO AN 

2411
01:34:41,716 --> 01:34:44,886
ASSISTANT PROFESSOR AT SAN DIEGO

2412
01:34:44,886 --> 01:34:45,520
STATE UNIVERSITY.

2413
01:34:45,520 --> 01:34:47,822
>> JEN OSHITA RESEARCH
ASSOCIATE

2414
01:34:47,822 --> 01:34:54,763
AT THE UNIVERSITY OF COLORADO.

2415
01:34:54,763 --> 01:35:00,568
>> GENESIS ARIZMENDI AT
THE 

2416
01:35:00,568 --> 01:35:01,736
UNIVERSITY OF ARIZONA.

2417
01:35:01,736 --> 01:35:03,671
>> LAURA COCO ASSISTANT 

2418
01:35:03,671 --> 01:35:04,873
PROFESSOR AT SAN DIEGO STATE 

2419
01:35:04,873 --> 01:35:10,478
UNIVERSITY.

2420
01:35:10,478 --> 01:35:13,948
>> MATT BUSH PROFESSOR 

2421
01:35:13,948 --> 01:35:23,258
DEPARTMENT OF LARYNGOLOGY.

2422
01:35:23,258 --> 01:35:27,061
>> I'M MICHELLE ARNOLD IN 

2423
01:35:27,061 --> 01:35:28,863
COMMUNICATION DISORDERS AT THE 

2424
01:35:28,863 --> 01:35:30,198
UNIVERSITY OF SOUTH FLORIDA.

2425
01:35:30,198 --> 01:35:31,833
>> THANK YOU VERY MUCH.

2426
01:35:31,833 --> 01:35:32,867
THE FIRST QUESTION IS ABOUT 

2427
01:35:32,867 --> 01:35:35,737
COMMUNITY BUILDING.

2428
01:35:35,737 --> 01:35:36,471
COMMUNITY BUILDING IS A HUGE 

2429
01:35:36,471 --> 01:35:42,343
COMPONENT OF BEING ABLE TO 

2430
01:35:42,343 --> 01:35:42,811
IMPLEMENT SUCCESSFUL 

2431
01:35:42,811 --> 01:35:45,814
IMPLEMENTATION RESEARCH AND WE 

2432
01:35:45,814 --> 01:35:50,285
DECIDED AS A GROUP TO LEAVE THIS

2433
01:35:50,285 --> 01:35:51,219
FREE FORM.

2434
01:35:51,219 --> 01:35:52,320
RAISE YOUR HAND IF YOU WANT TO 

2435
01:35:52,320 --> 01:36:02,797
ANSWER AND I'LL CALL ON YOU.

2436
01:36:06,000 --> 01:36:12,874
WITH WE CAN START ON COMMUNITY 

2437
01:36:12,874 --> 01:36:15,977
BUILD

2438
01:36:15,977 --> 01:36:16,845
BUILDING.

2439
01:36:16,845 --> 01:36:19,581
>> JEN: MY INTEREST IN
RESEARCH 

2440
01:36:19,581 --> 01:36:20,882
IS IMPROVING HEALTH CARE ACCESS 

2441
01:36:20,882 --> 01:36:22,851
FOR PATIENTS WHO HAVE 

2442
01:36:22,851 --> 01:36:25,119
COMMUNICATION DISABILITY AND 

2443
01:36:25,119 --> 01:36:28,790
THIS TAKES PLACE IN REAL WORLD 

2444
01:36:28,790 --> 01:36:30,058
HEALTH CARE SETTING SO I NEED 

2445
01:36:30,058 --> 01:36:33,795
HEALTH CARE ORGANIZATIONAL 

2446
01:36:33,795 --> 01:36:39,267
PARTNERS AND A NEW RESEARCHER, 

2447
01:36:39,267 --> 01:36:43,771
BUILDING PARTNERSHIPS CAN BE A 

2448
01:36:43,771 --> 01:36:44,739
CHALLENGE YOU CAN IMAGINE WITH 

2449
01:36:44,739 --> 01:36:45,974
THE NATURE OF HEALTH CARE TODAY 

2450
01:36:45,974 --> 01:36:48,309
AND EVER CONSOLIDATING 

2451
01:36:48,309 --> 01:36:50,278
ORGANIZATIONS, THERE'S MANY 

2452
01:36:50,278 --> 01:36:55,783
LEVELS OF LEADERSHIP THAT YOU 

2453
01:36:55,783 --> 01:36:57,886
NEED TO GET THROUGH TO HAVE THAT

2454
01:36:57,886 --> 01:37:00,154
ENGAGEMENT IN PARTNERING AND 

2455
01:37:00,154 --> 01:37:01,556
AGREEING TO IMPLEMENT 

2456
01:37:01,556 --> 01:37:02,957
INTERVENTION IN A BUSY HEALTH 

2457
01:37:02,957 --> 01:37:06,127
CARE SETTING WHICH HAS MANY 

2458
01:37:06,127 --> 01:37:12,166
LAYERS OF FACTORS THAT CAN 

2459
01:37:12,166 --> 01:37:15,503
IMPACT THAT INTERVENTION.

2460
01:37:15,503 --> 01:37:18,740
THE MODEL I THINK OF IN TERMS OF

2461
01:37:18,740 --> 01:37:24,712
NOT RECREATING THE MODEL BUT 

2462
01:37:24,712 --> 01:37:28,016
LOOKING TO NEIGHBORS AND AND 

2463
01:37:28,016 --> 01:37:30,251
WHAT I THOUGHT WAS HELPFUL IS 

2464
01:37:30,251 --> 01:37:31,686
THERE'S A LEARNING RESEARCH 

2465
01:37:31,686 --> 01:37:36,824
NETWORK THAT IS FUNDED BY THE 

2466
01:37:36,824 --> 01:37:47,068
NICHD AND

2467
01:37:52,540 --> 01:37:56,311
LOOK TO PARTNER WITH THE 

2468
01:37:56,311 --> 01:38:00,882
IMPLEMENTATION SCIENCE REALM AND

2469
01:38:00,882 --> 01:38:03,251
CREATE THE PARTNERSHIPS THEN 

2470
01:38:03,251 --> 01:38:04,519
FUND RESEARCHERS WHO WANT TO 

2471
01:38:04,519 --> 01:38:13,227
TAKE PART IN THAT.

2472
01:38:13,227 --> 01:38:14,329
THAT'S AN INSPIRING MODEL I'D 

2473
01:38:14,329 --> 01:38:15,263
LOVE TO SEE MORE OF IN OUR 

2474
01:38:15,263 --> 01:38:25,373
SPACE.

2475
01:38:27,442 --> 01:38:29,577
>> ANY THOUGHTS ON THAT.

2476
01:38:29,577 --> 01:38:33,781
>> CRYSTLE: I THINK
SPECIFICALLY

2477
01:38:33,781 --> 01:38:36,884
MY WORK IS CENTERED IN 

2478
01:38:36,884 --> 01:38:40,989
SCHOOL-BASED SYSTEMS AND SO I 

2479
01:38:40,989 --> 01:38:43,925
THINK TRYING TO BUILD 

2480
01:38:43,925 --> 01:38:45,960
RESEARCHER, PRACTITIONER 

2481
01:38:45,960 --> 01:38:47,061
PARTNERSHIPS IS KEY BUT WE'VE 

2482
01:38:47,061 --> 01:38:50,832
HAD A LOT OF CHALLENGES THAT 

2483
01:38:50,832 --> 01:38:54,369
HAVE HAPPENED WITH THE GLOBAL 

2484
01:38:54,369 --> 01:38:55,236
PANDEMIC, THE WAY SYSTEMS HAVE 

2485
01:38:55,236 --> 01:38:59,474
BEEN IMPACTED.

2486
01:38:59,474 --> 01:39:00,875
BUILDING COMMUNITY TAKES TIME 

2487
01:39:00,875 --> 01:39:02,176
AND TRYING TO FIND PARTNERS AND 

2488
01:39:02,176 --> 01:39:04,579
BUILD THE TRUST IF YOU WANT THEM

2489
01:39:04,579 --> 01:39:10,952
SOB SUSTAINABLE AND AUTHENTIC.

2490
01:39:10,952 --> 01:39:12,286
I THINK THEY'RE ADMIRABLE GOALS 

2491
01:39:12,286 --> 01:39:15,256
FOR OURSELVES BUT ARE CERTAINLY 

2492
01:39:15,256 --> 01:39:19,694
CHALLENGING AND TAKE A LOT OF 

2493
01:39:19,694 --> 01:39:21,262
EFFORT AND SOMETIMES YOU'LL HAVE

2494
01:39:21,262 --> 01:39:22,797
SPENT A LOT OF TIME TRYING TO 

2495
01:39:22,797 --> 01:39:24,365
CULTIVATE CERTAIN RELATIONSHIPS 

2496
01:39:24,365 --> 01:39:28,870
AND THEN BUILD A DIFFERENT TEAM 

2497
01:39:28,870 --> 01:39:31,472
BUT DEPENDING ON HOW PRIORITIES 

2498
01:39:31,472 --> 01:39:35,209
SHIFT OR CHANGE OR MOVEMENT 

2499
01:39:35,209 --> 01:39:37,478
HAPPENS, I THINK THAT CAN THEN 

2500
01:39:37,478 --> 01:39:40,882
YOU'LL HAVE TO START FROM SQUARE

2501
01:39:40,882 --> 01:39:44,352
ONE AGAIN.

2502
01:39:44,352 --> 01:39:45,920
IT CAN BE MY NOT FAVORITE PART 

2503
01:39:45,920 --> 01:39:48,189
TO KEEP GOING AND HAVING 

2504
01:39:48,189 --> 01:39:48,856
MOTIVATION TO CONTINUING TO 

2505
01:39:48,856 --> 01:39:52,126
BUILD COMMUNITY PARTNERSHIPS, 

2506
01:39:52,126 --> 01:39:54,128
ORGANIZATIONAL LEVEL 

2507
01:39:54,128 --> 01:39:56,030
PARTNERSHIPS BUT ALSO FINDING 

2508
01:39:56,030 --> 01:39:56,731
RESEARCHERS WHO WANT TO 

2509
01:39:56,731 --> 01:40:01,636
COLLABORATE WITH YOU TO DO THIS 

2510
01:40:01,636 --> 01:40:04,806
WORK WHEN WE KNOW IT CAN BE A 

2511
01:40:04,806 --> 01:40:05,973
LOT OF EFFORT THAT MAYBE 

2512
01:40:05,973 --> 01:40:07,108
SOMETIMES DOESN'T ALWAYS YIELD 

2513
01:40:07,108 --> 01:40:08,876
THE OUTCOMES WE'RE HOPING FOR.

2514
01:40:08,876 --> 01:40:11,112
I GUESS I'M GOING TO START US 

2515
01:40:11,112 --> 01:40:14,982
OFF THERE.

2516
01:40:14,982 --> 01:40:16,584
>> THE DISCUSSION IS FOR
HELPING

2517
01:40:16,584 --> 01:40:19,454
US TO LAY THE GROUND WORK SO 

2518
01:40:19,454 --> 01:40:20,421
PEOPLE LATER IN THE WORKSHOP CAN

2519
01:40:20,421 --> 01:40:25,927
ANSWER ALL THE QUESTIONS.

2520
01:40:25,927 --> 01:40:27,261
SOLVE ALL THE PROBLEMS.

2521
01:40:27,261 --> 01:40:28,396
CRYSTLE, THAT REMINDED ME 

2522
01:40:28,396 --> 01:40:32,533
SOMEONE ERL TODAY WAS TALKING 

2523
01:40:32,533 --> 01:40:35,103
ABOUT THE LACK OF IS THE LIMBED 

2524
01:40:35,103 --> 01:40:36,604
NUMBER OF EXPERTISE IN 

2525
01:40:36,604 --> 01:40:37,705
COMMUNICATION SCIENCES AND 

2526
01:40:37,705 --> 01:40:39,574
DISORDERS AND THE IMPACT CAN BE 

2527
01:40:39,574 --> 01:40:41,042
A BARRIER AS WELL.

2528
01:40:41,042 --> 01:40:43,344
SOME OTHER THINGS YOU WERE 

2529
01:40:43,344 --> 01:40:44,445
TALKING ABOUT WE'LL GET INTO 

2530
01:40:44,445 --> 01:40:47,749
NEXT WHEN WE GET INTO ACADEMIC 

2531
01:40:47,749 --> 01:40:53,588
BARRIERS THAT ARE IN PLACE.

2532
01:40:53,588 --> 01:40:54,388
MAT

2533
01:40:54,388 --> 01:40:54,589
MATT.

2534
01:40:54,589 --> 01:41:03,231
>> MATT: I FEEL CLINICALLY
AS AN

2535
01:41:03,231 --> 01:41:07,502
OT

2536
01:41:07,502 --> 01:41:08,136
OTTOLARYNGOLOGIST PEOPLE WOULD 

2537
01:41:08,136 --> 01:41:09,504
RATHER TALK ABOUT SURGICAL 

2538
01:41:09,504 --> 01:41:14,442
COMPLICATIONS OR THINGS RELATED 

2539
01:41:14,442 --> 01:41:18,546
TO HEAD AND NECK PROCEDURES.

2540
01:41:18,546 --> 01:41:23,050
I FELT LIKE AN OUTLIER.

2541
01:41:23,050 --> 01:41:24,552
THIS WORKSHOP AND COLLECTION OF 

2542
01:41:24,552 --> 01:41:25,319
BRILLIANT PEOPLE TOGETHER IS A 

2543
01:41:25,319 --> 01:41:26,954
BIT OF THE PRESCRIPTION THE 

2544
01:41:26,954 --> 01:41:27,388
DOCTOR ORDERS.

2545
01:41:27,388 --> 01:41:28,856
THIS IS GOOD.

2546
01:41:28,856 --> 01:41:32,927
GEF GEF  

2547
01:41:32,927 --> 01:41:35,463
I'M THANKFUL NIDCD SEES THE 

2548
01:41:35,463 --> 01:41:37,532
VALUE IN THIS COMMUNITY KOLLING 

2549
01:41:37,532 --> 01:41:39,300
TOGETHER TO TALK ABOUT THINGS 

2550
01:41:39,300 --> 01:41:41,669
AND EVEN THOUGH THERE'S 

2551
01:41:41,669 --> 01:41:42,336
NEGATIVES THERE'S POSITIVES THAT

2552
01:41:42,336 --> 01:41:43,738
CAN COME THROUGH THIS.

2553
01:41:43,738 --> 01:41:46,674
I WANT TO COMMENT ON THE OTHER 

2554
01:41:46,674 --> 01:41:51,279
ASPECT OF BUILDING TEAMS AND 

2555
01:41:51,279 --> 01:41:52,814
TRANS-DISCIPLINARY TEAM AND THE 

2556
01:41:52,814 --> 01:41:57,585
INFANT EARLY DETECTION 

2557
01:41:57,585 --> 01:42:00,755
INTERVENTION PROGRAM WITH PUBLIC

2558
01:42:00,755 --> 01:42:03,257
HEALTH ASPECTS THEY AGREE WITH 

2559
01:42:03,257 --> 01:42:10,498
THE PRINCIPLE OF BEING PATIENT 

2560
01:42:10,498 --> 01:42:12,166
TO BUILD TRUST AMONG 

2561
01:42:12,166 --> 01:42:13,768
STAKEHOLDERS AND THE OVER ALL 

2562
01:42:13,768 --> 01:42:24,078
LONG-TERM IMPACT.

2563
01:42:25,746 --> 01:42:28,349
AND BEING PART OF ACADEMIC 

2564
01:42:28,349 --> 01:42:31,485
ACTIVITIES SUCH AS A KEY PROGRAM

2565
01:42:31,485 --> 01:42:36,858
LEADER IN OUR STATE KENTUCKY, 

2566
01:42:36,858 --> 01:42:39,961
EHDI PROGRAM WE INVITED TO BE 

2567
01:42:39,961 --> 01:42:43,664
PART OF THE RESEARCH TEAM AND 

2568
01:42:43,664 --> 01:42:45,800
PUBLISH WITH US THOUGH SHE 

2569
01:42:45,800 --> 01:42:51,305
MAINTAINS HER POSITION AND EHDI 

2570
01:42:51,305 --> 01:42:54,909
PROGRAM WE'LL PUBLISH TOGETHER 

2571
01:42:54,909 --> 01:42:56,477
AND SHE AS WELL AS OTHERS 

2572
01:42:56,477 --> 01:42:58,779
MAINTAINED KEY AUTHORSHIP ROLES 

2573
01:42:58,779 --> 01:43:00,715
IN THE RESEARCH OUTPUT NOT JUST 

2574
01:43:00,715 --> 01:43:02,149
ACTIVITIES.

2575
01:43:02,149 --> 01:43:03,718
THAT WAS A HELPFUL THING HOPES 

2576
01:43:03,718 --> 01:43:09,357
TO THEN GARNER MORE TRUST AND 

2577
01:43:09,357 --> 01:43:10,825
SUPPORT FOR FURTHER POLICY 

2578
01:43:10,825 --> 01:43:11,058
MAKERS.

2579
01:43:11,058 --> 01:43:13,294
I THINK THAT'S WHERE YOU'LL HAVE

2580
01:43:13,294 --> 01:43:16,864
AN OPPORTUNITY TO TAKE D&I
WORK 

2581
01:43:16,864 --> 01:43:19,367
AND PRAGMATIC CLINICAL RESEARCH 

2582
01:43:19,367 --> 01:43:21,369
INTO POLICY CHANGE IF YOU ALLOW 

2583
01:43:21,369 --> 01:43:23,404
POLICY MAKERS AND INFLUENCES TO 

2584
01:43:23,404 --> 01:43:33,948
BE A PART OF THE INNER WORKINGS.

2585
01:43:39,220 --> 01:43:41,022
>> AND HONORING THE
PARTNERSHIPS

2586
01:43:41,022 --> 01:43:42,123
THROUGH THE PROCESS AND THE 

2587
01:43:42,123 --> 01:43:43,224
IMPORTANCE OF THAT.

2588
01:43:43,224 --> 01:43:45,126
MICHELLE, ONE MORE COMMENT OR 

2589
01:43:45,126 --> 01:43:47,929
QUESTION ON THE TOPIC AND THEN 

2590
01:43:47,929 --> 01:43:51,265
WE'LL GO ON TO THE NEXT SO GO 

2591
01:43:51,265 --> 01:43:52,466
AHEAD, MICHELLE.

2592
01:43:52,466 --> 01:43:53,935
>> MICHELLE: THANKS.

2593
01:43:53,935 --> 01:43:57,672
I WANTED TO ECHO WHAT EVERYONE 

2594
01:43:57,672 --> 01:43:59,240
HAS SAID SO FAR PARTICULARLY 

2595
01:43:59,240 --> 01:44:04,879
SOME THINGS MATT BROUGHT UP IN 

2596
01:44:04,879 --> 01:44:08,416
TERMS OF INCORPORATING COMMUNITY

2597
01:44:08,416 --> 01:44:10,351
MEMBERS FROM STUDY CONCEPTION TO

2598
01:44:10,351 --> 01:44:15,022
DISSEMINATION OF RESULTS.

2599
01:44:15,022 --> 01:44:16,857
I THINK ONE OF THE NEEDS IN 

2600
01:44:16,857 --> 01:44:18,259
HELPING BUILD THE COMMUNITIES 

2601
01:44:18,259 --> 01:44:21,595
WOULD BE A WAY IN WHICH TO 

2602
01:44:21,595 --> 01:44:23,664
REPRESENT THESE INDIVIDUALS IN 

2603
01:44:23,664 --> 01:44:25,499
NOT JUST THE DISSEMINATION 

2604
01:44:25,499 --> 01:44:28,235
EFFORTS BUT IN THE APPLICATION 

2605
01:44:28,235 --> 01:44:29,103
EFFORTS AS WELL.

2606
01:44:29,103 --> 01:44:30,738
SOMETHING OUTSIDE A SIMPLE 

2607
01:44:30,738 --> 01:44:33,274
RECRUITMENT AND RETENTION PLAN 

2608
01:44:33,274 --> 01:44:35,876
WHICH IS NOT TRULY A 

2609
01:44:35,876 --> 01:44:37,111
COMMUNITY-BASED -- JUST WORKING 

2610
01:44:37,111 --> 01:44:39,080
WITHIN A COMMUNITY FOR THE SOLE 

2611
01:44:39,080 --> 01:44:43,784
PURPOSE OF RECRUITING AND 

2612
01:44:43,784 --> 01:44:44,885
RETAINING PARTICIPANTS ISN'T 

2613
01:44:44,885 --> 01:44:50,858
GENUINE COMMUNITY PARTNERSHIP.

2614
01:44:50,858 --> 01:44:53,861
IT WOULD BE WONDERFUL TO SEE THE

2615
01:44:53,861 --> 01:44:54,962
WAY WE'RE SEEING COMMUNITIES 

2616
01:44:54,962 --> 01:44:56,864
REPRESENTED AND ACKNOWLEDGED AND

2617
01:44:56,864 --> 01:44:57,498
VALUED FROM DIFFERENT FUNDING 

2618
01:44:57,498 --> 01:45:03,204
AGENCIES.

2619
01:45:03,204 --> 01:45:04,605
>> GREAT, THANKS,
MICHELLE.

2620
01:45:04,605 --> 01:45:08,275
THAT LEADS TO THE NEXT TOPIC 

2621
01:45:08,275 --> 01:45:14,815
WHICH IS HOW DISSEMINATION AND 

2622
01:45:14,815 --> 01:45:16,250
IMPLEMENTATION IS IN DIFFERENT 

2623
01:45:16,250 --> 01:45:16,851
VENUES.

2624
01:45:16,851 --> 01:45:17,485
WE HAD A LONG CONVERSATION ABOUT

2625
01:45:17,485 --> 01:45:25,960
THIS.

2626
01:45:25,960 --> 01:45:27,995
WE LOOKED AT THE TIME AND BURDEN

2627
01:45:27,995 --> 01:45:32,867
OF COMMUNITY PARTNERSHIPS.

2628
01:45:32,867 --> 01:45:40,908
WOULD YOU LIKE TO SHARE HOW THAT

2629
01:45:40,908 --> 01:45:46,714
FITS IN TO YOUR ACADEMIC 

2630
01:45:46,714 --> 01:45:47,481
INSTITUTION.

2631
01:45:47,481 --> 01:45:49,483
>> LAURA: WE'RE BOTH AT
SAN 

2632
01:45:49,483 --> 01:45:50,384
DIEGO STATE BUT I DON'T THINK 

2633
01:45:50,384 --> 01:45:52,119
IT'S UNIQUE TO OUR INSTITUTION.

2634
01:45:52,119 --> 01:45:53,320
I THINK IT'S PROBABLY COMMON 

2635
01:45:53,320 --> 01:45:56,624
ACROSS ACADEMIA BUT I JUST 

2636
01:45:56,624 --> 01:45:58,793
STARTED HERE LAST YEAR SO I'M 

2637
01:45:58,793 --> 01:46:01,629
STARTING MY SECOND YEAR ON THE 

2638
01:46:01,629 --> 01:46:02,830
TENURE TRACK AND REALIZING MY 

2639
01:46:02,830 --> 01:46:04,899
RESEARCH NOT THE SAME AS 

2640
01:46:04,899 --> 01:46:07,601
EVERYONE ELSE'S AND IT TAKES A 

2641
01:46:07,601 --> 01:46:09,336
LOT TIME TO BUILD COMMUNITY, 

2642
01:46:09,336 --> 01:46:12,873
CRYSTLE MENTIONED, STARTING AT 

2643
01:46:12,873 --> 01:46:16,877
SQUARE 1.

2644
01:46:16,877 --> 01:46:20,614
AT MY PREVIOUS INSTITUTION I HAD

2645
01:46:20,614 --> 01:46:21,282
RELATIONSHIPS ESTABLISHED YEARS 

2646
01:46:21,282 --> 01:46:23,884
PRIOR BY MENTORS I HAD AT THOSE 

2647
01:46:23,884 --> 01:46:28,856
INSTITUTION AND NOW I'M START 

2648
01:46:28,856 --> 01:46:30,858
FROM SCRATCH AND FIGURING OUT 

2649
01:46:30,858 --> 01:46:34,395
WHO I NEED TO CONTRACT AND THE 

2650
01:46:34,395 --> 01:46:36,630
LOCAL POLITICS IN SAN DIEGO AND 

2651
01:46:36,630 --> 01:46:39,567
THE COMMUNITY TO TIE INTO AND 

2652
01:46:39,567 --> 01:46:41,235
TYING INTO THAT ALL TAKES SO 

2653
01:46:41,235 --> 01:46:43,938
MUCH TIME.

2654
01:46:43,938 --> 01:46:44,905
IN THINKING ABOUT PUBLICATION 

2655
01:46:44,905 --> 01:46:47,975
GRANTS APPLICATIONS THE, TENURE 

2656
01:46:47,975 --> 01:46:50,010
CLOCK IT'S EXTENDED FOR FOLKS 

2657
01:46:50,010 --> 01:46:52,880
WHO DO D&I COMMUNITY-BASED 

2658
01:46:52,880 --> 01:46:56,917
RESEARCH BUT WE'RE ALL ON THE 

2659
01:46:56,917 --> 01:46:58,319
SAME CLOCK.

2660
01:46:58,319 --> 01:47:02,857
SO, IT'S IMPORTANT THAT PEOPLE 

2661
01:47:02,857 --> 01:47:08,462
WHO ARE JUDGING TENURE AND 

2662
01:47:08,462 --> 01:47:09,563
PROMOTION AND GRANTS UNDERSTAND 

2663
01:47:09,563 --> 01:47:11,799
THIS TYPE OF WORK IS INCREMENTAL

2664
01:47:11,799 --> 01:47:15,336
AND TAKES A LONG TIME, NOT 

2665
01:47:15,336 --> 01:47:17,671
DECADES HOPEFULLY BUT YOU GET 

2666
01:47:17,671 --> 01:47:20,875
OUT WHAT YOU PUT IN AND NEED TO 

2667
01:47:20,875 --> 01:47:22,543
DEDICATE THAT TIME IN ORDER TO 

2668
01:47:22,543 --> 01:47:26,247
BUILD THE TRUSTING RELATIONSHIPS

2669
01:47:26,247 --> 01:47:32,086
AND TO DO THE PRELIMINARY 

2670
01:47:32,086 --> 01:47:33,354
RESEARCH THAT IS SO IMPORTANT 

2671
01:47:33,354 --> 01:47:38,659
PRIOR TO JUMPING FEET FIRST INTO

2672
01:47:38,659 --> 01:47:38,993
D&I.

2673
01:47:38,993 --> 01:47:40,594
I'M FEELING THAT A LOT AS AN 

2674
01:47:40,594 --> 01:47:41,896
EARLY CAREER INVESTIGATOR WHO IS

2675
01:47:41,896 --> 01:47:47,134
JUST STARTING OUT ON THE TENURE 

2676
01:47:47,134 --> 01:47:48,536
CLOCK BUT WONDER WHAT OTHERS ARE

2677
01:47:48,536 --> 01:47:54,909
THINKING.

2678
01:47:54,909 --> 01:47:58,179
>> AS A FIRST-YEAR
ASSISTANT 

2679
01:47:58,179 --> 01:47:59,680
PROFESSOR COMING IN NOW TOO AND 

2680
01:47:59,680 --> 01:48:03,317
STARTING TO ESTABLISH THOSE 

2681
01:48:03,317 --> 01:48:05,686
CONNECTIONS WITH THE COMMUNITY 

2682
01:48:05,686 --> 01:48:06,854
AND UNDERSTAND WHAT THE NEEDS 

2683
01:48:06,854 --> 01:48:08,155
ARE OF THE COMMUNITY CERTAINLY 

2684
01:48:08,155 --> 01:48:09,089
DOES TAKE TIME.

2685
01:48:09,089 --> 01:48:15,329
FOR THE WORK THAT I DO WITH 

2686
01:48:15,329 --> 01:48:16,864
HISTORICALLY EXCLUDED 

2687
01:48:16,864 --> 01:48:18,465
COMMUNITIES AND MARGINALIZED 

2688
01:48:18,465 --> 01:48:19,767
COMMUNITIES THERE'S A STATE OF 

2689
01:48:19,767 --> 01:48:21,335
DISTRUST BECAUSE ONGOING 

2690
01:48:21,335 --> 01:48:22,469
PARTNERSHIPS HAVEN'T RESULTED IN

2691
01:48:22,469 --> 01:48:25,806
ANYTHING BACK TO THE COMMUNITY.

2692
01:48:25,806 --> 01:48:28,809
AND SO WHAT IS IT WE CAN DO TO 

2693
01:48:28,809 --> 01:48:32,179
BUILD THAT TRUST ESTABLISH THAT 

2694
01:48:32,179 --> 01:48:35,883
TRUST, FOSTER THE LONG TERM 

2695
01:48:35,883 --> 01:48:37,918
COLLABORATION WITH THE COMMUNITY

2696
01:48:37,918 --> 01:48:41,288
AS WELL AS THE NEEDS OF 

2697
01:48:41,288 --> 01:48:44,858
PERSONNEL IN BEING ABLE TO 

2698
01:48:44,858 --> 01:48:50,631
DEVELOP CULTURALLY RESPONSIVE 

2699
01:48:50,631 --> 01:48:52,866
COMMUNICATIONS IF THEY'RE IN A 

2700
01:48:52,866 --> 01:48:54,168
LANGUAGE NOT ENGLISH.

2701
01:48:54,168 --> 01:48:55,736
ALL THE CONSIDERATIONS THAT GO 

2702
01:48:55,736 --> 01:48:57,338
ALONG WITH THE TIME AND 

2703
01:48:57,338 --> 01:48:59,506
INVESTMENT TO BUILD COMMUNITY 

2704
01:48:59,506 --> 01:49:01,108
REALLY DO COME TO THE FOREFRONT 

2705
01:49:01,108 --> 01:49:05,613
AND BALANCING OUT ALL THE OTHER 

2706
01:49:05,613 --> 01:49:08,415
JOBS WITH TEACHING RESEARCH, 

2707
01:49:08,415 --> 01:49:09,917
PUBLICATIONS AND PUBLICATIONS IN

2708
01:49:09,917 --> 01:49:14,521
JOURNALS THAT VALUE THE WORK 

2709
01:49:14,521 --> 01:49:16,023
THAT IS COMING FROM THIS TIME 

2710
01:49:16,023 --> 01:49:19,860
INVESTED IN THE COMMUNITY IS 

2711
01:49:19,860 --> 01:49:24,865
REALLY IMPORTANT TO BRING TO THE

2712
01:49:24,865 --> 01:49:32,673
FOREFRONT.

2713
01:49:32,673 --> 01:49:36,844
>> MICHELLE: I WAS
THINKING HOW 

2714
01:49:36,844 --> 01:49:38,779
INDIVIDUALS ENTRUSTED IN D&I

2715
01:49:38,779 --> 01:49:41,081
WORK ALMOST HAVE TO HAVE ANOTHER

2716
01:49:41,081 --> 01:49:43,751
SET OF TRICKS, RIGHT.

2717
01:49:43,751 --> 01:49:46,086
THEY TEND TO PUBLISH WHILE 

2718
01:49:46,086 --> 01:49:50,791
THEY'RE WORKING ON THE 

2719
01:49:50,791 --> 01:49:56,030
COMMUNITY-BASED WORK OR D&I
WORK

2720
01:49:56,030 --> 01:49:58,198
WHICH TENDS TO BE TIME 

2721
01:49:58,198 --> 01:49:58,832
CONSUMING.

2722
01:49:58,832 --> 01:50:03,904
SOME OF THE POLICY ANALYSIS WORK

2723
01:50:03,904 --> 01:50:09,610
I DO IS EXTREMELY DIFFICULT TO 

2724
01:50:09,610 --> 01:50:18,952
AND IT TAKES A LONG TIMES WHILE 

2725
01:50:18,952 --> 01:50:22,089
YOU READ REGULATIONS AND 

2726
01:50:22,089 --> 01:50:25,225
ALLOWANCES ACROSS 50 STATES AND 

2727
01:50:25,225 --> 01:50:27,361
FOUR TERRITORIES AND ALL 

2728
01:50:27,361 --> 01:50:29,363
DIFFERENT MEDICAID PLANS AND 

2729
01:50:29,363 --> 01:50:32,232
PROGRAMS, YOU STILL HAVE TO BE 

2730
01:50:32,232 --> 01:50:33,667
ABLE TO PUBLISH TO BE 

2731
01:50:33,667 --> 01:50:36,837
COMPETITIVE ARE FOR TENURE AND 

2732
01:50:36,837 --> 01:50:38,706
PROMOTION AND NEW JOB 

2733
01:50:38,706 --> 01:50:41,342
OPPORTUNITIES AND FOR FUNDING 

2734
01:50:41,342 --> 01:50:42,209
OPPORTUNITIES AS WELL TO SUSTAIN

2735
01:50:42,209 --> 01:50:44,878
THE FUNDING ACROSS TIME.

2736
01:50:44,878 --> 01:50:48,315
IT STARTS TO BECOME REALLY 

2737
01:50:48,315 --> 01:50:51,352
DIFFICULT TO JUGGLE LIKE OH, I 

2738
01:50:51,352 --> 01:50:55,589
HAVE TO BE AN EPIDEMIOLOGY TO 

2739
01:50:55,589 --> 01:50:58,525
CREATE THIS DATA AND BE 

2740
01:50:58,525 --> 01:51:02,596
INTERVENTIONIST TO COLLABORATE 

2741
01:51:02,596 --> 01:51:06,767
WITH THIS PROJECT AND OPPOSED TO

2742
01:51:06,767 --> 01:51:17,244
FOCUSSING ON D&I AND ITSELF.

2743
01:51:32,159 --> 01:51:34,094
>> WITHIN HEARING LOSS 

2744
01:51:34,094 --> 01:51:35,295
SPECIFICALLY AGAIN REFERRING TO 

2745
01:51:35,295 --> 01:51:37,865
THE TOPIC EARLIER FEELING LIKE 

2746
01:51:37,865 --> 01:51:43,303
AN OUTSIDER BECAUSE D&I
RESEARCH

2747
01:51:43,303 --> 01:51:44,838
ISN'T WELCOME WITHIN OUR 

2748
01:51:44,838 --> 01:51:45,973
MAINSTREAM JOURNALS AND THAT 

2749
01:51:45,973 --> 01:51:47,841
COULD BE CHALLENGING BECAUSE WE 

2750
01:51:47,841 --> 01:51:50,177
CARE ABOUT COMMUNICATING WITH 

2751
01:51:50,177 --> 01:51:51,945
OUR COMMUNITY PERHAPS COMMUNITY 

2752
01:51:51,945 --> 01:51:53,947
IS NOT QUITE READY TO HEAR THE 

2753
01:51:53,947 --> 01:51:55,549
MESSAGE AND THE THINGS WE'RE 

2754
01:51:55,549 --> 01:52:03,357
LEARNING THROUGH D&I SCIENCE
IS 

2755
01:52:03,357 --> 01:52:04,324
CHALLENGING.

2756
01:52:04,324 --> 01:52:05,426
SOME MAINSTREAM JOURNALS DON'T 

2757
01:52:05,426 --> 01:52:07,661
KNOW WHAT TO DO WITH MIXED 

2758
01:52:07,661 --> 01:52:09,463
METHODS OR QUALITATIVE RESEARCH 

2759
01:52:09,463 --> 01:52:11,532
AND SOMETHING OUR EDITORS AND 

2760
01:52:11,532 --> 01:52:13,233
EDITORIAL STAFF ARE AWARE OF BUT

2761
01:52:13,233 --> 01:52:14,468
TRYING TO BRING THE COMMUNITY 

2762
01:52:14,468 --> 01:52:19,606
FORWARD IS A LITTLE BIT OF A 

2763
01:52:19,606 --> 01:52:19,873
CHALLENGE.

2764
01:52:19,873 --> 01:52:21,341
I'LL SPEAK TO THE SENIOR MEMBERS

2765
01:52:21,341 --> 01:52:22,643
OF THIS PANEL.

2766
01:52:22,643 --> 01:52:27,014
I GUESS I'VE NAVIGATE THROUGH 

2767
01:52:27,014 --> 01:52:35,155
THE SHARK INVEST ED WATERS OF 

2768
01:52:35,155 --> 01:52:45,666
TENURE NO  -- HAVE GIVEN ME A 

2769
01:52:47,601 --> 01:52:48,902
SENSE OF CONTRIBUTING AND VALUE 

2770
01:52:48,902 --> 01:52:51,338
TO MEMBERS OF THE COMMUNITY AND 

2771
01:52:51,338 --> 01:52:52,673
DEMONSTRATE AND WAS EXCITED TO 

2772
01:52:52,673 --> 01:52:56,844
LEARN FROM AND LISTEN TO AND THE

2773
01:52:56,844 --> 01:52:59,613
COLLABORATE WITH PARTNERS IN 

2774
01:52:59,613 --> 01:53:01,215
BEHAVIORAL HEALTH OR OTHER 

2775
01:53:01,215 --> 01:53:02,583
DEPARTMENTS INTERESTED IN 

2776
01:53:02,583 --> 01:53:06,086
SIMILAR CONCEPTS, PRAGMATIC 

2777
01:53:06,086 --> 01:53:08,489
WORK, TRYING TO EXPLORE HYBRID 

2778
01:53:08,489 --> 01:53:08,856
TRIALS.

2779
01:53:08,856 --> 01:53:11,258
SO I THINK I'VE BEEN ABLE TO BE 

2780
01:53:11,258 --> 01:53:14,161
AN AGENT OF CHANGE WITHIN MY 

2781
01:53:14,161 --> 01:53:16,530
INSTITUTION TO TRY TO HELP 

2782
01:53:16,530 --> 01:53:18,265
PREACH THE GOSPEL OF D&I 

2783
01:53:18,265 --> 01:53:20,167
RESEARCH AND THE VALUE THAT IT 

2784
01:53:20,167 --> 01:53:25,172
HAS IN YOUR CAREER TRAJECTORY.

2785
01:53:25,172 --> 01:53:27,341
FOR THOSE WORRIED ABOUT IS
D&I 

2786
01:53:27,341 --> 01:53:30,744
GOING TO TAKE MY CAREER AND 

2787
01:53:30,744 --> 01:53:33,881
SMASH IT AGAINST THE ROCKS, I 

2788
01:53:33,881 --> 01:53:36,750
WOULD HOPE AND PRAY NOT AND MAY 

2789
01:53:36,750 --> 01:53:39,853
BRING YOU TO SAFE HARBOR AND 

2790
01:53:39,853 --> 01:53:41,054
OPPORTUNITY FOR CAREER 

2791
01:53:41,054 --> 01:53:41,355
ADVANCEMENT.

2792
01:53:41,355 --> 01:53:44,391
>> THANK YOU FOR THOSE
WORDS OF 

2793
01:53:44,391 --> 01:53:45,359
WISDOM, MATT.

2794
01:53:45,359 --> 01:53:47,294
THAT ENCOURAGEMENT OF HAVING 

2795
01:53:47,294 --> 01:53:52,399
MADE IT THROUGH AND MADE IT 

2796
01:53:52,399 --> 01:53:54,902
THROUGH THE PROCESS AT A TIME 

2797
01:53:54,902 --> 01:53:55,936
WHEN WE WEREN'T QUITE AS FAR AS 

2798
01:53:55,936 --> 01:53:56,870
ALONG AS WE ARE NOW.

2799
01:53:56,870 --> 01:54:00,007
WE STILL HAVE A LONG WAY TO GO.

2800
01:54:00,007 --> 01:54:02,609
WE'RE HOPEFULLY ON A PATH WHERE 

2801
01:54:02,609 --> 01:54:03,410
THAT GETS EASIER RATHER THAN 

2802
01:54:03,410 --> 01:54:13,720
HARDER FOR PEOPLE.

2803
01:54:17,457 --> 01:54:18,625
 THE CHALLENGES OF TENURE AND 

2804
01:54:18,625 --> 01:54:20,761
FEELING LIKE YOU HAVE TO HAVE 

2805
01:54:20,761 --> 01:54:23,964
MORE THAN ONE LINE OF RESEARCH 

2806
01:54:23,964 --> 01:54:24,865
OR SOMETHING OTHER THAN 

2807
01:54:24,865 --> 01:54:26,600
IMPLEMENTATION SCIENCE TO GET 

2808
01:54:26,600 --> 01:54:28,435
YOU THROUGH IS A REAL CHALLENGE.

2809
01:54:28,435 --> 01:54:31,038
I WONDER IF ANYONE ELSE WANTED 

2810
01:54:31,038 --> 01:54:32,873
TO SAY ANYTHING ELSE ABOUT THAT 

2811
01:54:32,873 --> 01:54:39,012
PARTICULAR ISSUE.

2812
01:54:39,012 --> 01:54:40,747
>> OTHER THINGS WE TALKED
ABOUT 

2813
01:54:40,747 --> 01:54:43,850
WITH HOW D&I IS VALUED IN 

2814
01:54:43,850 --> 01:54:45,352
ACADEMIC AND PUBLIC TEACHING 

2815
01:54:45,352 --> 01:54:45,953
VENUES.

2816
01:54:45,953 --> 01:54:50,958
WE TALKED ABOUT BETTER SUPPORTS 

2817
01:54:50,958 --> 01:54:52,826
FROM ORGANIZATIONS LIKE ASHA THE

2818
01:54:52,826 --> 01:54:54,227
AMERICAN SPEECH, LANGUAGE AND 

2819
01:54:54,227 --> 01:54:55,596
HEARING ASSOCIATION AND THE NEED

2820
01:54:55,596 --> 01:54:58,432
FOR ORGANIZATIONS LIKE THAT TO 

2821
01:54:58,432 --> 01:55:00,367
BE INVOLVED IN D&I WORK AND 

2822
01:55:00,367 --> 01:55:02,436
HEALTH CARE ORGANIZATIONS.

2823
01:55:02,436 --> 01:55:03,337
CAN SOMEBODY ELABORATE OR TALK 

2824
01:55:03,337 --> 01:55:13,614
ABOUT THAT MORE.

2825
01:55:20,921 --> 01:55:23,423
>> GEN: THERE WAS A GRANTS

2826
01:55:23,423 --> 01:55:24,925
WRITING WORKSHOP AND AT THAT 

2827
01:55:24,925 --> 01:55:28,862
CONFERENCE THERE WERE PHYSICAL 

2828
01:55:28,862 --> 01:55:31,331
THERAPISTS, OCCUPATIONAL 

2829
01:55:31,331 --> 01:55:35,535
THERAPISTS AND TWO SLPs OUT OF 

2830
01:55:35,535 --> 01:55:37,437
LIKE 30 PEOPLE AND WE LISTENED 

2831
01:55:37,437 --> 01:55:43,777
TO FUNDING AGENCIES THAT FUND 

2832
01:55:43,777 --> 01:55:44,878
IMPLEMENTATION SCIENCE WORK IN 

2833
01:55:44,878 --> 01:55:47,214
REHABILITATION AND WE LISTENED 

2834
01:55:47,214 --> 01:55:57,758
TO THE ALTA LIKE WHERE'S ASHA OR

2835
01:55:59,826 --> 01:56:00,494
OUR REPRESENTATION.

2836
01:56:00,494 --> 01:56:02,295
WE THOUGHT THAT WAS AN 

2837
01:56:02,295 --> 01:56:03,430
INTERESTING DESCRIPTIVE 

2838
01:56:03,430 --> 01:56:04,865
UNDERSTANDING OF THE SPACE AND 

2839
01:56:04,865 --> 01:56:13,740
FUNDING FOR D&I WORK.

2840
01:56:13,740 --> 01:56:16,143
>> THIS BRINGS UP A THEME
WE 

2841
01:56:16,143 --> 01:56:20,313
TALKED ABOUT BEFORE WHICH IS NOT

2842
01:56:20,313 --> 01:56:21,181
SPECIFIC TO OUR PROFESSIONAL 

2843
01:56:21,181 --> 01:56:24,851
ORGANIZATIONS BUT ALSO I'VE SEEN

2844
01:56:24,851 --> 01:56:28,789
WITH INDIVIDUALS, SLPs, 

2845
01:56:28,789 --> 01:56:30,490
AUDIOLOGISTS WHERE I HAVE TO 

2846
01:56:30,490 --> 01:56:31,425
STAY IN MY LANE.

2847
01:56:31,425 --> 01:56:34,194
D&I IS NOT SOMETHING I DO
AND 

2848
01:56:34,194 --> 01:56:36,363
MAY BE BECAUSE THEY FEEL AS 

2849
01:56:36,363 --> 01:56:43,737
INDIVIDUALS AND PROFESSIONAL 

2850
01:56:43,737 --> 01:56:45,338
ORGANIZATIONS, THEY DON'T HAVE A

2851
01:56:45,338 --> 01:56:47,607
PRE DEFINED LEVEL OF EXPERTISE 

2852
01:56:47,607 --> 01:56:48,875
THEN IT'S SOMEONE ELSE'S ROLE OR

2853
01:56:48,875 --> 01:56:52,846
JOB.

2854
01:56:52,846 --> 01:56:54,114
THAT'S A DANGEROUS PLACE TO BE 

2855
01:56:54,114 --> 01:56:59,386
AND DRET DETRIMENT TO ALL OF US 

2856
01:56:59,386 --> 01:57:01,555
BECAUSE WE ALL NEED TO BE SOME 

2857
01:57:01,555 --> 01:57:04,558
LEVEL OF IMPLEMENTATION 

2858
01:57:04,558 --> 01:57:05,992
SCIENTISTS TO LEARN MORE AND DO 

2859
01:57:05,992 --> 01:57:07,427
BETTER AND HAVE A ROLE TO PLAY 

2860
01:57:07,427 --> 01:57:09,196
IN THIS.

2861
01:57:09,196 --> 01:57:12,866
IN PARTICULAR, ASHA AND OTHER 

2862
01:57:12,866 --> 01:57:16,002
PROFESSIONAL ORGANIZATIONS THAT 

2863
01:57:16,002 --> 01:57:24,044
HAVE SO MUCH AND WE HAVE SO MUCH

2864
01:57:24,044 --> 01:57:28,448
TO BRING TO THE TABLE AND I 

2865
01:57:28,448 --> 01:57:32,652
HEARD THIS FROM PEOPLE WHO SAY 

2866
01:57:32,652 --> 01:57:36,857
THEY DON'T KNOW ANYTHING ABOUT 

2867
01:57:36,857 --> 01:57:40,594
IT OR CONSIDER THEMSELVES TO 

2868
01:57:40,594 --> 01:57:41,895
KNOW ANYTHING ABOUT 

2869
01:57:41,895 --> 01:57:42,929
IMPLEMENTATION SCIENCE BUT IT 

2870
01:57:42,929 --> 01:57:48,001
TURNS OUT THEY'RE DOING A LOT OF

2871
01:57:48,001 --> 01:57:55,308
WHAT IMPLEMENTATION SCIENCE IS.

2872
01:57:55,308 --> 01:57:57,444
AND SOME STARTS WITH THE 

2873
01:57:57,444 --> 01:57:59,646
WORKSHOP WHICH IS FANTASTIC AND 

2874
01:57:59,646 --> 01:58:03,350
MAKING IT A PRIORITY AT NIDCD 

2875
01:58:03,350 --> 01:58:06,353
AND I THINK THERE'S AN 

2876
01:58:06,353 --> 01:58:07,988
ASSUMPTION THAT IT'S AN ELITE 

2877
01:58:07,988 --> 01:58:11,691
CLUB OR PRIVATE CLUB AND SOMEONE

2878
01:58:11,691 --> 01:58:12,959
HAS TO ANOINT YOU FOR YOU TO 

2879
01:58:12,959 --> 01:58:16,263
JOIN BUT THAT'S NOT TRUE.

2880
01:58:16,263 --> 01:58:17,464
>> IT'S INTERESTING ISN'T
IT, 

2881
01:58:17,464 --> 01:58:20,133
ONE THING WE BROUGHT UP THE 

2882
01:58:20,133 --> 01:58:21,735
OTHER DAY IS THERE ARE NO HARD 

2883
01:58:21,735 --> 01:58:25,705
AND FAST CREDENTIALS FOR BEING 

2884
01:58:25,705 --> 01:58:29,543
AN IMPLEMENTATION SCIENTIST.

2885
01:58:29,543 --> 01:58:32,546
I SAID I'M NOT AN IMPLEMENTATION

2886
01:58:32,546 --> 01:58:35,582
SCIENTIST AND THEY SAID NO, YOU 

2887
01:58:35,582 --> 01:58:38,118
ARE AND THAT FELT UNCOMFORTABLE.

2888
01:58:38,118 --> 01:58:40,487
IT'S THE OPPOSITE OF AN ELITE 

2889
01:58:40,487 --> 01:58:41,521
CLUB.

2890
01:58:41,521 --> 01:58:43,256
IT'S A CLUB WE WANT EVERYONE IN 

2891
01:58:43,256 --> 01:58:47,594
AND ALL WANT TO BE A PART OF.

2892
01:58:47,594 --> 01:58:48,962
BEFORE WE MOVE ON TO THE FUNDING

2893
01:58:48,962 --> 01:58:51,331
TOPIC WHICH IS THE NEXT TOPIC 

2894
01:58:51,331 --> 01:58:52,132
THERE'S ONE OTHER COMPONENT OF 

2895
01:58:52,132 --> 01:58:58,171
THIS TOPIC I WANTED TO TALK 

2896
01:58:58,171 --> 01:59:00,874
ABOUT A LITTLE BIT WHICH IS 

2897
01:59:00,874 --> 01:59:03,009
CHALLENGES IN WORKING WITH OVER 

2898
01:59:03,009 --> 01:59:04,311
BURDENED PARTNERS.

2899
01:59:04,311 --> 01:59:05,979
WE HAVEN'T TALKED ABOUT THAT AT 

2900
01:59:05,979 --> 01:59:06,146
ALL.

2901
01:59:06,146 --> 01:59:09,349
IF YOU CAN TALK ABOUT THAT 

2902
01:59:09,349 --> 01:59:11,384
AND/OR EXPERIENCES AND HOW DOES 

2903
01:59:11,384 --> 01:59:15,121
THAT TIE INTO YOUR ACADEMIC -- 

2904
01:59:15,121 --> 01:59:17,057
GO AHEAD, MICHELLE.

2905
01:59:17,057 --> 01:59:19,926
>> MICHELLE: THANK YOU.

2906
01:59:19,926 --> 01:59:23,496
I HAVE SOME EXPERIENCES WORK 

2907
01:59:23,496 --> 01:59:32,873
WITH OVER BURDENED PARTNERS 

2908
01:59:32,873 --> 01:59:43,149
[INAUDIBLE] AND MARGINALIZED 

2909
01:59:43,149 --> 01:59:47,921
UNDER REPRESENTED GROUPS.

2910
01:59:47,921 --> 01:59:50,891
THE ISSUE WHEN IT COMES TO THE 

2911
01:59:50,891 --> 01:59:52,359
TOPIC OF OVER BURDENED IS 

2912
01:59:52,359 --> 01:59:56,730
THERE'S SUCH A LACK OF 

2913
01:59:56,730 --> 01:59:57,964
REPRESENTATION ON INDIVIDUALS 

2914
01:59:57,964 --> 02:00:02,669
FROM THESE DIFFERENT GROUPS IN 

2915
02:00:02,669 --> 02:00:04,504
ACADEMIA AND UP POSITIONS OF 

2916
02:00:04,504 --> 02:00:06,873
LEADERSHIP AND COMMUNITIES AND 

2917
02:00:06,873 --> 02:00:17,350
IF YOU ARE NOT A MEMBER AND 

2918
02:00:17,951 --> 02:00:20,287
DIFFICULT TO RECRUIT OTHER 

2919
02:00:20,287 --> 02:00:24,124
COLLEAGUES WHO ARE INTERESTED IN

2920
02:00:24,124 --> 02:00:26,559
THIS TYPE OF WORK WHO ALSO FUND 

2921
02:00:26,559 --> 02:00:32,866
SOME OF THESE UNDER REPRESENTED 

2922
02:00:32,866 --> 02:00:36,603
GROUPS OR IDENTIFY UNDER 

2923
02:00:36,603 --> 02:00:38,605
REPRESENTED GROUPS GOING BACK TO

2924
02:00:38,605 --> 02:00:39,439
THE CONCEPT OF MISTRUST GENESIS 

2925
02:00:39,439 --> 02:00:43,643
WAS DISCUSSING.

2926
02:00:43,643 --> 02:00:45,345
IT CAN BE DIFFICULT TO BUILD 

2927
02:00:45,345 --> 02:00:47,447
PARTNERSHIPS AND TO DEVELOP 

2928
02:00:47,447 --> 02:00:48,081
RELATIONSHIPS WITH COLLABORATORS

2929
02:00:48,081 --> 02:00:50,817
SO YOU CAN HAVE A DIVERSE 

2930
02:00:50,817 --> 02:00:52,852
COLLABORATIVE GROUP WHICH I 

2931
02:00:52,852 --> 02:00:55,055
VALUE GREATLY AND FIND VERY 

2932
02:00:55,055 --> 02:01:00,026
IMPORTANT BUT EVEN IF YOU LOOK 

2933
02:01:00,026 --> 02:01:03,096
AT SOME OF THE ASHA DEMOGRAPHIC 

2934
02:01:03,096 --> 02:01:06,833
REPORTS LIKE THERE ARE -- 

2935
02:01:06,833 --> 02:01:10,170
THERE'S SUCH A LACK OF 

2936
02:01:10,170 --> 02:01:12,038
AUDIOLOGISTS AND SPEECH 

2937
02:01:12,038 --> 02:01:13,239
PATHOLOGIST THAT ARE NOT 

2938
02:01:13,239 --> 02:01:14,074
HISPANIC PEOPLE.

2939
02:01:14,074 --> 02:01:15,108
IT'S DIFFICULT TO FIND 

2940
02:01:15,108 --> 02:01:16,209
COLLABORATORS AND IT TURNS INTO 

2941
02:01:16,209 --> 02:01:22,148
AN ISSUE WHERE PEOPLE ARE OVER 

2942
02:01:22,148 --> 02:01:22,415
BURDENED.

2943
02:01:22,415 --> 02:01:25,385
I PERSONALLY CAN'T CAN SPEAK 

2944
02:01:25,385 --> 02:01:26,186
FROM THE PERSPECTIVE OF BEING 

2945
02:01:26,186 --> 02:01:30,991
THE OVER BURDENED PARTNER BUT I 

2946
02:01:30,991 --> 02:01:32,092
APPRECIATE IT'S SOMETHING THAT 

2947
02:01:32,092 --> 02:01:40,600
HAPPENS FREQUENTLY.

2948
02:01:40,600 --> 02:01:42,369
>> I WANT TO REITERATE THE

2949
02:01:42,369 --> 02:01:45,772
VARIOUS LEVELS AT WHICH WE CAN 

2950
02:01:45,772 --> 02:01:56,316
DO THIS WORK AND HOW WE CAN HAVE

2951
02:02:16,936 --> 02:02:19,072
AND BRIDGING THE RESEARCH GAP 

2952
02:02:19,072 --> 02:02:21,541
AND WHAT DOES YOUR PRACTICE LOOK

2953
02:02:21,541 --> 02:02:24,844
LIKE AND WHAT ADAPTIONS ARE YOU 

2954
02:02:24,844 --> 02:02:35,388
MAKING CAN LEAD TO THEM AND WHEN

2955
02:03:00,180 --> 02:03:01,514
AN APPROACH THEY WANT TO KNOW 

2956
02:03:01,514 --> 02:03:01,815
THE ASK.

2957
02:03:01,815 --> 02:03:03,917
I'M LIKE I DON'T HAVE AN ASK 

2958
02:03:03,917 --> 02:03:04,084
YET.

2959
02:03:04,084 --> 02:03:05,385
I'M TRYING TO LEARN MORE ABOUT 

2960
02:03:05,385 --> 02:03:07,187
WHAT THEY'RE HAPPENING HERE AND 

2961
02:03:07,187 --> 02:03:08,855
THEY'RE SOMETIMES SO OVER 

2962
02:03:08,855 --> 02:03:10,390
BURDENED BY RESEARCHERS WHO IN 

2963
02:03:10,390 --> 02:03:11,624
THE PAST HAVE HISTORICALLY COME 

2964
02:03:11,624 --> 02:03:16,162
THROUGH AND BEEN CAN YOU PASS 

2965
02:03:16,162 --> 02:03:20,133
OUT FLYERS OR HELP US RECRUIT 

2966
02:03:20,133 --> 02:03:21,768
AND THEIR IMMEDIATE RESPONSE IS 

2967
02:03:21,768 --> 02:03:24,104
ON THE DEFENSIVE OF LIKE WHAT DO

2968
02:03:24,104 --> 02:03:27,273
YOU MEAN AND WHY ARE YOU HERE?

2969
02:03:27,273 --> 02:03:29,776
TO THEM WHICH IS STRANGE.

2970
02:03:29,776 --> 02:03:32,245
I DON'T HAVE TIME -- I GOT FIRES

2971
02:03:32,245 --> 02:03:34,347
TO PUT OUT.

2972
02:03:34,347 --> 02:03:37,250
I HAVE ADMINISTRATIVE BURDENS.

2973
02:03:37,250 --> 02:03:39,352
THINKING AT ALL THE LEVELS OF 

2974
02:03:39,352 --> 02:03:39,919
ORGANIZATIONAL COMMUNITIES.

2975
02:03:39,919 --> 02:03:43,957
IT'S CHALLENGING TO THINK ABOUT 

2976
02:03:43,957 --> 02:03:49,162
WHERE TO INSERT OURSELVES OR 

2977
02:03:49,162 --> 02:03:52,098
MAKE OURSELVES BE KNOWN TO HELP 

2978
02:03:52,098 --> 02:03:56,169
AT ALL LEVELS AND IT GOES BACK 

2979
02:03:56,169 --> 02:04:00,874
TO THINKING ABOUT OUR CARD 

2980
02:04:00,874 --> 02:04:04,677
CARRYING IMPLEMENTATION 

2981
02:04:04,677 --> 02:04:06,513
SCIENTISTS AND I'M JUST TRYING 

2982
02:04:06,513 --> 02:04:07,380
TO AND USED TO BE A CLINICIAN 

2983
02:04:07,380 --> 02:04:12,185
AND HAVE CLINICAL QUESTIONS.

2984
02:04:12,185 --> 02:04:13,987
IT'S A CHALLENGE AT ALL THE 

2985
02:04:13,987 --> 02:04:19,058
LEVELS THAT PERHAPS NOT EVERYONE

2986
02:04:19,058 --> 02:04:26,599
SEES OR ENTRY POINT 

2987
02:04:26,599 --> 02:04:28,201
>> CATHY: AS AN ACADEMIC 

2988
02:04:28,201 --> 02:04:32,872
STARTING OUT WILL THE TIME 

2989
02:04:32,872 --> 02:04:39,345
INVESTMENT PAY OFF IN TERMS OF 

2990
02:04:39,345 --> 02:04:44,117
THE CURRENCY VALUED IN ACADEMIA 

2991
02:04:44,117 --> 02:04:47,053
AND FINDING WAYS TO COPE AND 

2992
02:04:47,053 --> 02:04:49,355
KEEP GOING BECAUSE YOU'RE ALL 

2993
02:04:49,355 --> 02:04:49,989
PASSIONATE ABOUT DOING RELEVANT 

2994
02:04:49,989 --> 02:05:00,099
WORK.

2995
02:05:02,702 --> 02:05:04,871
>> GEN: THAT RESONATES
WITH ME 

2996
02:05:04,871 --> 02:05:06,639
KNOWING WE WORK IN THE SCHOOL 

2997
02:05:06,639 --> 02:05:08,875
SYSTEMS AND THEY'RE STILL TRYING

2998
02:05:08,875 --> 02:05:11,544
TO RECOVER AFTER THE LAST TWO 

2999
02:05:11,544 --> 02:05:16,216
YEARS OF TEACHER STAFF TURNOVER,

3000
02:05:16,216 --> 02:05:17,317
ADMINISTRATIVE TURNOVER.

3001
02:05:17,317 --> 02:05:18,585
THINKING ABOUT ALL THE DIFFERENT

3002
02:05:18,585 --> 02:05:20,853
WAYS WE NIGHT BE ABLE TO 

3003
02:05:20,853 --> 02:05:22,288
ESTABLISH AN OPEN LINE OF 

3004
02:05:22,288 --> 02:05:27,393
COMMUNICATION WITH OUR COMMUNITY

3005
02:05:27,393 --> 02:05:30,863
PARTNERS BUT ALSO HAVE THAT OPEN

3006
02:05:30,863 --> 02:05:32,098
LINE OF COMMUNICATION WHILE 

3007
02:05:32,098 --> 02:05:34,200
STILL ATTENDING TO OTHER PARTS 

3008
02:05:34,200 --> 02:05:37,403
OF OUR PRACTICE AND RESEARCH AND

3009
02:05:37,403 --> 02:05:43,509
READING AND WRITING AND HOW WE 

3010
02:05:43,509 --> 02:05:47,714
CAN UTILIZE THE PARTNERSHIPS TO 

3011
02:05:47,714 --> 02:05:49,249
UNDERSTAND THERE'S A NEW WAY OF 

3012
02:05:49,249 --> 02:05:53,119
APPROACHING WHAT WE'RE 

3013
02:05:53,119 --> 02:05:54,120
ATTEMPTING TO WORK WITH THE 

3014
02:05:54,120 --> 02:05:55,755
COMMUNITY PARTNERS.

3015
02:05:55,755 --> 02:05:57,056
I'M IN THE HERE TO JUST HAVE YOU

3016
02:05:57,056 --> 02:05:58,691
DISTRIBUTE THE FLYERS, I WANT TO

3017
02:05:58,691 --> 02:06:00,026
KNOW WHAT YOUR NEEDS ARE AND SEE

3018
02:06:00,026 --> 02:06:01,694
WHAT I CAN DO TO ADDRESS THOSE 

3019
02:06:01,694 --> 02:06:04,063
NEEDS OR WORK WITH YOU TO 

3020
02:06:04,063 --> 02:06:06,566
ADDRESS THOSE NEEDS BUT THAT'S 

3021
02:06:06,566 --> 02:06:14,574
ALSO A LEARNING PROCESS TOO WITH

3022
02:06:14,574 --> 02:06:16,075
PREVIOUS EXPERIENCES WITH OTHER 

3023
02:06:16,075 --> 02:06:16,442
RESEARCH TEAMS.

3024
02:06:16,442 --> 02:06:16,943
LOTS OF RESONANCE THERE.

3025
02:06:16,943 --> 02:06:21,347
THANK YOU.

3026
02:06:21,347 --> 02:06:22,448
>> CATHY: LAURA?

3027
02:06:22,448 --> 02:06:26,119
>> LAURA: I'M GOING TO
ECHO WHAT

3028
02:06:26,119 --> 02:06:27,587
CRYSTLE AND GENESIS SAID AND IN 

3029
02:06:27,587 --> 02:06:31,958
KEEPING WITH THE THEME OF TIME, 

3030
02:06:31,958 --> 02:06:33,493
THE TIME IT TAKES SAY YOU'RE 

3031
02:06:33,493 --> 02:06:35,928
PLANNING AND SUBMITTING A GRANT 

3032
02:06:35,928 --> 02:06:38,031
IN ORDER TO GET RESOURCES TO 

3033
02:06:38,031 --> 02:06:40,900
TEST THE IMPLEMENTATION OF THIS 

3034
02:06:40,900 --> 02:06:44,871
INTERVENTION IN A COMMUNITY AND 

3035
02:06:44,871 --> 02:06:48,675
YOU'VE DONE YOUR GROUND WORK AND

3036
02:06:48,675 --> 02:06:49,809
RESEARCH AND COMMUNITY BUILDING 

3037
02:06:49,809 --> 02:06:52,545
IT TAKES BUT THE TIME LINE FOR A

3038
02:06:52,545 --> 02:06:53,846
GRANT IS SO LONG.

3039
02:06:53,846 --> 02:06:57,383
COMMUNICATING THAT BACK TO THE 

3040
02:06:57,383 --> 02:06:58,551
COMMUNITY AND MAINTAINING THE 

3041
02:06:58,551 --> 02:06:59,752
RELATIONSHIP FOR THE TIME IT 

3042
02:06:59,752 --> 02:07:02,789
TAKES TO WRITE THE GRANT, SUBMIT

3043
02:07:02,789 --> 02:07:06,926
IT, REVISE IT, RESUBMIT IT AND 

3044
02:07:06,926 --> 02:07:08,728
GET THE FUNDS THAT TIME LINE IS 

3045
02:07:08,728 --> 02:07:09,195
SO LONG.

3046
02:07:09,195 --> 02:07:12,865
THAT'S OFTEN A CONFLICT WITH 

3047
02:07:12,865 --> 02:07:15,368
COMMUNITY NEEDS AND PRIORITIES 

3048
02:07:15,368 --> 02:07:18,471
AND ONCE YOU'VE INTERVIEWED AND 

3049
02:07:18,471 --> 02:07:20,039
AGREED UPON IT WITH THE 

3050
02:07:20,039 --> 02:07:21,074
COMMUNITY IT'S LIKE SAYING OKAY,

3051
02:07:21,074 --> 02:07:22,842
NOW IN TWO YEARS IT WILL 

3052
02:07:22,842 --> 02:07:23,509
ACTUALLY HAPPEN.

3053
02:07:23,509 --> 02:07:27,513
I'M STILL GETTING A FEEL FOR 

3054
02:07:27,513 --> 02:07:29,349
WHAT THAT PROCESS IS LIKE.

3055
02:07:29,349 --> 02:07:30,483
>> CATHY: THAT'S A GOOD
POINT, 

3056
02:07:30,483 --> 02:07:32,785
LAURA, AND THE NEED TO LOOK AT 

3057
02:07:32,785 --> 02:07:34,420
MULTIPLE LEVELS OF FUNDING 

3058
02:07:34,420 --> 02:07:35,788
MECHANISMS, INTERNAL MECHANISMS 

3059
02:07:35,788 --> 02:07:37,924
FOR THE SHORTER TERM WORK WHILE 

3060
02:07:37,924 --> 02:07:39,692
YOU'RE GATHERING THE DATA TO GET

3061
02:07:39,692 --> 02:07:42,795
THE LONGER TERM MECHANISM BIGGER

3062
02:07:42,795 --> 02:07:44,030
FUNDING KIND OF THINGS OR 

3063
02:07:44,030 --> 02:07:48,868
FOUNDATION MONEY AND ALL OF THAT

3064
02:07:48,868 --> 02:07:50,103
AND FIGURING THAT OUT.

3065
02:07:50,103 --> 02:07:55,074
SOME OF THIS GOES BACK TO 

3066
02:07:55,074 --> 02:07:56,242
MENTORSHIP AND FOR THOSE START 

3067
02:07:56,242 --> 02:07:58,144
OUGHT TO HAVE GOOD MENTORSHIP IN

3068
02:07:58,144 --> 02:08:00,847
PLACE TO HELP YOU SORT THROUGH 

3069
02:08:00,847 --> 02:08:02,348
THOSE THINGS BECAUSE YOU'RE 

3070
02:08:02,348 --> 02:08:05,218
TRYING TO BUILD IT SOMETIMES IT 

3071
02:08:05,218 --> 02:08:06,819
FEELS LIKE ON YOUR OWN.

3072
02:08:06,819 --> 02:08:10,656
SOME OF THAT TAKES US NICELY TO 

3073
02:08:10,656 --> 02:08:19,365
OUR NEXT MAJOR MEATY TOPIC, 

3074
02:08:19,365 --> 02:08:19,632
M-E-A-T-Y.

3075
02:08:19,632 --> 02:08:20,867
WE HAD A LIVELY DISCUSSION ABOUT

3076
02:08:20,867 --> 02:08:23,469
FUNDING CHALLENGES AND THE NEED 

3077
02:08:23,469 --> 02:08:27,039
FOR FUNDING AND REVIEW MECHANISM

3078
02:08:27,039 --> 02:08:28,074
SUPPORT D&I WORK.

3079
02:08:28,074 --> 02:08:31,544
ONE THING I WANTED TO START OFF 

3080
02:08:31,544 --> 02:08:32,612
SAYING WAS SOMETHING MAYBE MATT 

3081
02:08:32,612 --> 02:08:34,247
CAN TALK ABOUT IS THE 

3082
02:08:34,247 --> 02:08:35,982
APPRECIATION FOR CURRENT NIDCD 

3083
02:08:35,982 --> 02:08:37,116
CULTURE AND THE LEADERSHIP 

3084
02:08:37,116 --> 02:08:37,617
THAT'S IN PLACE.

3085
02:08:37,617 --> 02:08:39,452
IF YOU WANT TO TALK ABOUT THAT A

3086
02:08:39,452 --> 02:08:42,655
LITTLE BIT, MATT, BEFORE WE GET 

3087
02:08:42,655 --> 02:08:46,692
INTO THE CHALLENGES.

3088
02:08:46,692 --> 02:08:48,127
>> MATT: WE LOVE THE
NIDCD.

3089
02:08:48,127 --> 02:08:50,730
THEY HAVE A PASSION FOR THE 

3090
02:08:50,730 --> 02:08:52,865
THINGS WE CARE ABOUT.

3091
02:08:52,865 --> 02:08:56,402
WE HAVE THE GOOD FORTUNE TO HAVE

3092
02:08:56,402 --> 02:08:59,906
A LOT OF BRILLIANT SCIENTISTS 

3093
02:08:59,906 --> 02:09:02,508
AND LEADERS IN RESEARCH AT THE 

3094
02:09:02,508 --> 02:09:05,611
HELM FOR THE NIDCD.

3095
02:09:05,611 --> 02:09:06,779
THE CAN'T CHAMPION THE WORK 

3096
02:09:06,779 --> 02:09:08,748
WITHOUT THE MERITORIOUS 

3097
02:09:08,748 --> 02:09:09,549
APPLICATIONS THAT WERE CLEARLY 

3098
02:09:09,549 --> 02:09:09,816
DESCRIBED.

3099
02:09:09,816 --> 02:09:11,951
THE ONUS IS ON US IN THE 

3100
02:09:11,951 --> 02:09:14,854
RESEARCH COMMUNITY TO REALLY 

3101
02:09:14,854 --> 02:09:17,390
BRING THE HEAT AND BRING QUALITY

3102
02:09:17,390 --> 02:09:19,826
APPLICATIONS AND REALLY BE 

3103
02:09:19,826 --> 02:09:20,693
COLLABORATIVE AND INNOVATIVE 

3104
02:09:20,693 --> 02:09:23,529
ABOUT WHAT WE DO.

3105
02:09:23,529 --> 02:09:28,334
I'M HOPEFUL EVEN AS A RESULT OF 

3106
02:09:28,334 --> 02:09:29,735
THIS WORKSHOP WE'LL HAVE CHATTER

3107
02:09:29,735 --> 02:09:31,137
AND COMMUNICATION BACK AND FORTH

3108
02:09:31,137 --> 02:09:32,738
ABOUT YOU DO THIS AND I'M 

3109
02:09:32,738 --> 02:09:33,639
INTERESTED IN THIS AS WELL.

3110
02:09:33,639 --> 02:09:35,975
COULD WE FIND WAYS TO PUT 

3111
02:09:35,975 --> 02:09:36,943
SOMETHING TOGETHER EVEN IF OUR 

3112
02:09:36,943 --> 02:09:38,578
EXPERTISE IS VERY DIFFERENT.

3113
02:09:38,578 --> 02:09:41,747
THAT'S ACTUALLY THE GREATEST 

3114
02:09:41,747 --> 02:09:44,217
OPPORTUNITY FOR COLLABORATION.

3115
02:09:44,217 --> 02:09:48,387
ONE THING I'LL SAY IS INSTEAD OF

3116
02:09:48,387 --> 02:09:51,357
VERY SUPPORTIVE INSTITUTION, WE 

3117
02:09:51,357 --> 02:09:52,859
STILL MAY HAVE VERY CHALLENGING 

3118
02:09:52,859 --> 02:09:54,427
SECTIONS TO NAVIGATE THROUGH.

3119
02:09:54,427 --> 02:09:57,396
I HAVE FOUND THE STUDY SECTION 

3120
02:09:57,396 --> 02:09:58,598
THAT REVIEWS A LOT OF D&I 

3121
02:09:58,598 --> 02:10:01,367
RESEARCH IS REALLY LOOKING FOR 

3122
02:10:01,367 --> 02:10:04,871
SOME VERY HARDCORE COMPLEX 

3123
02:10:04,871 --> 02:10:06,739
INNOVATIVE METHODS AND 

3124
02:10:06,739 --> 02:10:08,074
ADVANCEMENTS WITHIN D&I
SCIENCE 

3125
02:10:08,074 --> 02:10:12,845
AND THAT MAY BE A LITTLE BIT 

3126
02:10:12,845 --> 02:10:16,449
CHALLENGING TO JUST TAKE YOUR 

3127
02:10:16,449 --> 02:10:19,685
CLINICAL QUESTION AND APPLY CFOR

3128
02:10:19,685 --> 02:10:20,853
AND EVALUATE IMPLEMENTATION 

3129
02:10:20,853 --> 02:10:23,756
OUTCOME MAY NOT BE ADEQUATE TO 

3130
02:10:23,756 --> 02:10:26,792
NAVIGATE THROUGH THE STUDY 

3131
02:10:26,792 --> 02:10:29,562
SECTION WITH A FUNDABLE SCORE.

3132
02:10:29,562 --> 02:10:35,134
I HAD AN APPLICATION THAT WAS 

3133
02:10:35,134 --> 02:10:38,037
REVIEWED THROUGH COMMUNITY LEVEL

3134
02:10:38,037 --> 02:10:38,938
HEALTH PROMOTION OR CLIP.

3135
02:10:38,938 --> 02:10:42,775
THAT NO LONGER EXISTS NOW BUT I 

3136
02:10:42,775 --> 02:10:44,610
THINK WE NEED TO BE 

3137
02:10:44,610 --> 02:10:45,678
COMMUNICATIVE AND OPEN ABOUT 

3138
02:10:45,678 --> 02:10:47,013
WHERE WE MAY SEE CHALLENGES IN 

3139
02:10:47,013 --> 02:10:50,783
SOME OF THE STUDY SECTIONS WHERE

3140
02:10:50,783 --> 02:10:55,821
WE FEEL LIKE THIS IS A SECTION 

3141
02:10:55,821 --> 02:10:58,558
THAT DIDN'T HAVE A STUDY SECTION

3142
02:10:58,558 --> 02:11:00,860
IN D&I SCIENCE VERSUS THE
BEST 

3143
02:11:00,860 --> 02:11:02,228
OF THE BEST IN THE WORLD IN DIBE

3144
02:11:02,228 --> 02:11:04,163
RESEARCH THAT WE REALLY MAY NOT 

3145
02:11:04,163 --> 02:11:06,265
BE BRINGING THE HEAT AS I SAY.

3146
02:11:06,265 --> 02:11:09,168
THESE ARE CHALLENGES AND THOUGHT

3147
02:11:09,168 --> 02:11:12,838
I HAD.

3148
02:11:12,838 --> 02:11:13,005
>> 

3149
02:11:13,005 --> 02:11:13,873
>> CATHY: I TOOK A NOTE
WHILE 

3150
02:11:13,873 --> 02:11:16,876
YOU WERE TALKING AND IT SEEMED 

3151
02:11:16,876 --> 02:11:19,445
THERE'S A GAP BETWEEN THE
D&I 

3152
02:11:19,445 --> 02:11:20,913
STUDY SECTION AS YOU SAID THAT'S

3153
02:11:20,913 --> 02:11:24,016
LOOKING FOR THE ELITE D&I
AND 

3154
02:11:24,016 --> 02:11:26,085
THEN WE'RE JUST TRYING TO GET 

3155
02:11:26,085 --> 02:11:29,188
STARTED AND SO WE'RE NOT TO BE 

3156
02:11:29,188 --> 02:11:31,657
PUSHING THE D&I METHODOLOGY.

3157
02:11:31,657 --> 02:11:33,926
WE'RE TRYING TO BRING THE
D&I 

3158
02:11:33,926 --> 02:11:35,127
METHODOLOGY TO OUR OWN SCIENCE.

3159
02:11:35,127 --> 02:11:38,197
SO WHERE TO GO AND HOW TO FRAME 

3160
02:11:38,197 --> 02:11:40,833
THAT CAN BE A CHALLENGE.

3161
02:11:40,833 --> 02:11:45,638
I SEE SOME HEAD NODS.

3162
02:11:45,638 --> 02:11:48,441
>> I HAVE SOME SPECIAL
EMPHASIS 

3163
02:11:48,441 --> 02:11:49,241
PANELS MAY BE SOMETHING THAT WE 

3164
02:11:49,241 --> 02:11:52,845
COULD EXPLORE THAT MAY ALLOW A 

3165
02:11:52,845 --> 02:11:53,779
PLACE OF SAFETY WITHIN 

3166
02:11:53,779 --> 02:11:54,814
COMMUNICATION SCIENCE DISORDERS.

3167
02:11:54,814 --> 02:11:59,018
THAT'S MY THOUGHT.

3168
02:11:59,018 --> 02:12:03,055
I'M SURE MY COLLEAGUES -- 

3169
02:12:03,055 --> 02:12:05,992
>> CATHY: IF WE GET AN
AVALANCHE

3170
02:12:05,992 --> 02:12:07,126
OF APPLICATIONS MAYBE WE CAN GET

3171
02:12:07,126 --> 02:12:08,861
THAT GOING.

3172
02:12:08,861 --> 02:12:10,730
ANYONE WANT TO ADD ANYTHING TO 

3173
02:12:10,730 --> 02:12:15,234
THAT TOPIC?

3174
02:12:15,234 --> 02:12:15,434
OKAY.

3175
02:12:15,434 --> 02:12:16,869
I'LL MOVE US ON.

3176
02:12:16,869 --> 02:12:18,337
SOMETHING WE TALKED ABOUT WAS 

3177
02:12:18,337 --> 02:12:21,240
CATCH 22.

3178
02:12:21,240 --> 02:12:22,842
THE NEED FOR BUILDING COMMUNITY 

3179
02:12:22,842 --> 02:12:24,877
IN ORDER TO GET FUNDING AND YOU 

3180
02:12:24,877 --> 02:12:26,579
NEED FUNDING TO GET COMMUNITY.

3181
02:12:26,579 --> 02:12:27,880
THAT'S COME UP A LITTLE BIT 

3182
02:12:27,880 --> 02:12:28,814
ALREADY TODAY.

3183
02:12:28,814 --> 02:12:30,249
ANYBODY WANT IT TALK ABOUT THAT 

3184
02:12:30,249 --> 02:12:32,551
A LITTLE BIT MORE FROM THE 

3185
02:12:32,551 --> 02:12:33,786
FUNDING PERSPECTIVE AND ANY 

3186
02:12:33,786 --> 02:12:44,296
CHALLENGES YOU HAD WITH THAT?

3187
02:12:49,869 --> 02:12:50,670
THERE'S COMMUNITY BASED THINGS 

3188
02:12:50,670 --> 02:12:55,441
THAT YOU MIGHT WANT TO PUT INTO 

3189
02:12:55,441 --> 02:12:58,044
GRANT APPLICATIONS LIKE PAYING 

3190
02:12:58,044 --> 02:13:01,013
FOR CARD TABLES AND CHAIRS AND 

3191
02:13:01,013 --> 02:13:02,748
THINGS TO DO COMMUNITY EVENTS.

3192
02:13:02,748 --> 02:13:03,816
THOSE ARE HARD TO PUT INTO GRANT

3193
02:13:03,816 --> 02:13:10,790
APPLICATIONS SOMETIMES.

3194
02:13:10,790 --> 02:13:16,028
>> I CAN SPEAK ON THIS.

3195
02:13:16,028 --> 02:13:18,931
SO THERE ARE SOME RESTRICTIONS 

3196
02:13:18,931 --> 02:13:23,969
TO SOME OF THE FUNDING THAT'S 

3197
02:13:23,969 --> 02:13:26,772
AVAILABLE TO US THAT DEFINITELY 

3198
02:13:26,772 --> 02:13:28,507
ALLOW FOR THE TYPES OF RECEIVERS

3199
02:13:28,507 --> 02:13:33,646
YOU NEED TO BUILD A COMMUNITY OR

3200
02:13:33,646 --> 02:13:35,848
TO BUILD COMMUNITY PARTNERSHIPS 

3201
02:13:35,848 --> 02:13:40,886
AND THINGS YOU WERE SAYING.

3202
02:13:40,886 --> 02:13:43,022
A COMMUNITY PARTNER AND THERE'S 

3203
02:13:43,022 --> 02:13:48,861
NOT VALUE IF YOU'RE BRINGING 

3204
02:13:48,861 --> 02:13:53,966
LIKE A BUNCH OF MISMATCHED STUFF

3205
02:13:53,966 --> 02:13:59,271
TO THE EVENT AND NOT ABLE TO 

3206
02:13:59,271 --> 02:14:00,573
PURCHASE LIKE LUNCHES FOR 

3207
02:14:00,573 --> 02:14:02,274
EXAMPLE FOR COMMUNITY PARTNERS 

3208
02:14:02,274 --> 02:14:08,881
OR THINGS TO SET UP EVENTS TO 

3209
02:14:08,881 --> 02:14:12,852
ENGAGE COMMUNITY PARTNERS YET 

3210
02:14:12,852 --> 02:14:14,954
THERE ARE BUDGET LINE THAT CAN 

3211
02:14:14,954 --> 02:14:17,656
COST THOUSANDS OF DOLLARS AND 

3212
02:14:17,656 --> 02:14:19,892
IT'S LIKE WELL, I JUST NEED $50 

3213
02:14:19,892 --> 02:14:22,094
FOR PIZZA BUT I HAVE TO PAY FOR 

3214
02:14:22,094 --> 02:14:23,429
THAT OUT OF MY OWN POCKET 

3215
02:14:23,429 --> 02:14:24,864
BECAUSE THERE'S NOT A BUDGET 

3216
02:14:24,864 --> 02:14:29,268
LINE THAT ALLOWS ME TO BRING 

3217
02:14:29,268 --> 02:14:34,373
PIZZA TO MY COMMUNITY PARTNERS 

3218
02:14:34,373 --> 02:14:41,580
TO COLLECT FEEDBACK ON MATERIALS

3219
02:14:41,580 --> 02:14:44,183
I'M DEVELOPING.

3220
02:14:44,183 --> 02:14:46,118
I DON'T KNOW IF ANYONE WANTS TO 

3221
02:14:46,118 --> 02:14:52,858
OFFER THEIR EXPERIENCES WITH 

3222
02:14:52,858 --> 02:15:01,500
THAT.

3223
02:15:01,500 --> 02:15:04,203
>> GEN: PARALLEL TO WHAT 

3224
02:15:04,203 --> 02:15:07,873
MICHELLE WAS SAYING IN THE 

3225
02:15:07,873 --> 02:15:09,475
HEALTH CARE WORLD WHICH MICHELLE

3226
02:15:09,475 --> 02:15:12,845
IS IN THE HEALTH CARE WORLD THE 

3227
02:15:12,845 --> 02:15:17,349
PATIENT CENTERED PCORI 

3228
02:15:17,349 --> 02:15:27,660
ENGAGEMENT AWARD.

3229
02:15:41,707 --> 02:15:45,845
THE PATIENT-CENTERED OUTCOMES 

3230
02:15:45,845 --> 02:15:51,383
INSTITUTE HAS PATIENT ENGAGEMENT

3231
02:15:51,383 --> 02:15:52,852
AWA

3232
02:15:52,852 --> 02:15:57,790
AWARD DEDICATED TO THAT AND 

3233
02:15:57,790 --> 02:16:08,234
GREAT TO SEE MORE OF THAT.

3234
02:16:09,335 --> 02:16:12,872
>> CATHY: AND THE ABILITY
TO BUY

3235
02:16:12,872 --> 02:16:15,407
A COPY MACHINE OR THE THINGS 

3236
02:16:15,407 --> 02:16:15,975
VALUABLE FOR TRUE COMMUNITY 

3237
02:16:15,975 --> 02:16:26,185
ENGAGEMENT.

3238
02:16:50,943 --> 02:16:54,780
>> I'M AT 

3239
02:16:59,551 --> 02:17:03,322
>> CHRIS 

3240
02:17:04,924 --> 02:17:06,892
>> CRYSTLE: I THOUGHT IT
WAS 

3241
02:17:06,892 --> 02:17:08,360
LIKE SO LONG AS I'VE LISTED IT 

3242
02:17:08,360 --> 02:17:09,461
IN THE BUDGET AND YOU APPROVED 

3243
02:17:09,461 --> 02:17:15,301
IT I CAN GO FORTH AND PURCHASE 

3244
02:17:15,301 --> 02:17:23,275
BUT THE $50 COFFEE MACHINE CAN'T

3245
02:17:23,275 --> 02:17:24,677
BE PURCHASED.

3246
02:17:24,677 --> 02:17:31,317
MY CURRENCY HERE IS WITH TRYING 

3247
02:17:31,317 --> 02:17:41,860
TO I DON'T NEED AN MRI MACHINE 

3248
02:17:46,465 --> 02:17:49,134
AND I THINK I GOT STRANGE LOOKS 

3249
02:17:49,134 --> 02:17:50,669
LIKE WHY ARE YOU HIRING A 

3250
02:17:50,669 --> 02:17:51,236
MARKETING BRANDING PERSON?

3251
02:17:51,236 --> 02:17:54,540
WHY DO YOU WANT TO HAVE A COFFEE

3252
02:17:54,540 --> 02:17:54,840
MAKER?

3253
02:17:54,840 --> 02:17:56,875
I'M LIKE BECAUSE I HOPE TO BRING

3254
02:17:56,875 --> 02:17:58,644
COMMUNITY MEMBERS HERE AND HOPE 

3255
02:17:58,644 --> 02:18:02,514
TO GO OUT TO THE COMMUNITY AND 

3256
02:18:02,514 --> 02:18:03,816
HAVE A PRESENCE AND BUILD A 

3257
02:18:03,816 --> 02:18:05,551
WEBSITE AND THINGS THAT ARE 

3258
02:18:05,551 --> 02:18:10,556
DIFFERENT AND STRANGE FROM WHAT 

3259
02:18:10,556 --> 02:18:17,129
IN THEIR MIND IS RESEARCH AND I 

3260
02:18:17,129 --> 02:18:20,866
WAS A CHEAP HIRE IN TERMS OF 

3261
02:18:20,866 --> 02:18:22,901
STARTING FUNDS AND I THINK IT'S 

3262
02:18:22,901 --> 02:18:26,872
INTERESTING IN TERMS OF 

3263
02:18:26,872 --> 02:18:27,773
EVENTUALLY AFTER MANY 

3264
02:18:27,773 --> 02:18:30,442
CONVERSATIONS AND TALKING TO 

3265
02:18:30,442 --> 02:18:32,211
FOLKS IT'S GETTING THINGS 

3266
02:18:32,211 --> 02:18:36,181
APPRESSED AND DONE AND ALSO 

3267
02:18:36,181 --> 02:18:38,851
REALIZIING A LOT OF THIS IS 

3268
02:18:38,851 --> 02:18:39,151
CONSUMABLE.

3269
02:18:39,151 --> 02:18:41,587
AT LEAST WHEN I SPEND $45,000 ON

3270
02:18:41,587 --> 02:18:44,523
THE FANCY MACHINE AND BELONGS TO

3271
02:18:44,523 --> 02:18:48,027
THE UNIVERSITY EVEN IF YOU 

3272
02:18:48,027 --> 02:18:48,327
LEAVE.

3273
02:18:48,327 --> 02:18:50,095
SO THAT HAS BEEN AN INTERESTING 

3274
02:18:50,095 --> 02:18:56,001
WAY TO THINK OF HOW TO PRESENT 

3275
02:18:56,001 --> 02:19:01,173
THIS WORK AND IT'S IMPORTANCE 

3276
02:19:01,173 --> 02:19:05,511
AND SAME BUDGETARY LINES AND 

3277
02:19:05,511 --> 02:19:07,046
GRANT FUNDING.

3278
02:19:07,046 --> 02:19:11,683
IT GOES BACK TO THE VALUE THAT 

3279
02:19:11,683 --> 02:19:13,318
IS SEEN FROM THIS WORK I THINK 

3280
02:19:13,318 --> 02:19:14,953
ACROSS WHERE WE MIGHT BE GETTING

3281
02:19:14,953 --> 02:19:16,855
THIS MONEY FROM.

3282
02:19:16,855 --> 02:19:19,792
I JUST WANTED TO REITERATE THAT.

3283
02:19:19,792 --> 02:19:21,326
IT'S POSSIBLE.

3284
02:19:21,326 --> 02:19:21,660
A POSITIVE.

3285
02:19:21,660 --> 02:19:24,863
>> CATHY: THAT MAKES ME
THINK OF

3286
02:19:24,863 --> 02:19:28,967
HOW WE HAVE TO BE GOOD WE HAVE 

3287
02:19:28,967 --> 02:19:29,601
TO BE ABLE TO CONVEY THE 

3288
02:19:29,601 --> 02:19:31,236
IMPORTANCE OF OUR WORK IN ALL 

3289
02:19:31,236 --> 02:19:36,241
KINDS OF VENUES LIKE WITHIN OUR 

3290
02:19:36,241 --> 02:19:39,178
INSTITUTIONS, OUTSIDE OF OUR 

3291
02:19:39,178 --> 02:19:40,579
INSTITUTIONS AND GRANT WRITING.

3292
02:19:40,579 --> 02:19:42,614
ALL THESE THINGS ARE AN 

3293
02:19:42,614 --> 02:19:44,850
IMPORTANT PIECE OF CONTINUING TO

3294
02:19:44,850 --> 02:19:48,153
GROW THE D&I WORLD.

3295
02:19:48,153 --> 02:19:51,790
ONE MORE SUBTOPIC THAT CAME UP 

3296
02:19:51,790 --> 02:19:54,059
THAT IS SOMETHING I WOULD HAVE 

3297
02:19:54,059 --> 02:19:59,431
NEVER THOUGHT OF WAS FUNDING AT 

3298
02:19:59,431 --> 02:20:00,766
INSTITUTES LIKE THEY FOCUS ON 

3299
02:20:00,766 --> 02:20:03,469
CLINICAL POPULATIONS BUT THERE'S

3300
02:20:03,469 --> 02:20:04,703
CRITICAL D&I WORK THAT
FOCUSES 

3301
02:20:04,703 --> 02:20:10,776
ON NON-CLINICAL OR NON-PATIENT 

3302
02:20:10,776 --> 02:20:13,412
POPULATI

3303
02:20:13,412 --> 02:20:15,614
POPULATIONS THAT WAS A HARD AND 

3304
02:20:15,614 --> 02:20:16,882
FAST FUNDING ISSUE THAT IS 

3305
02:20:16,882 --> 02:20:18,083
IMPORTANT WE TALK ABOUT IN THE 

3306
02:20:18,083 --> 02:20:18,283
ISSUE.

3307
02:20:18,283 --> 02:20:21,053
>> I THINK THAT WAS ME.

3308
02:20:21,053 --> 02:20:22,087
I WAS WONDERING HOW TO WORK THAT

3309
02:20:22,087 --> 02:20:26,859
IN.

3310
02:20:26,859 --> 02:20:31,697
I'M WRITING A GRANT AND THINKING

3311
02:20:31,697 --> 02:20:35,134
HOW TO THEY LINE WITH NIDCD IT'S

3312
02:20:35,134 --> 02:20:38,003
HONESTLY KIND OF A STRUGGLE 

3313
02:20:38,003 --> 02:20:40,606
BECAUSE I DO FEEL -- I'M AN 

3314
02:20:40,606 --> 02:20:40,906
AUDIOLOGIST.

3315
02:20:40,906 --> 02:20:45,377
I FEEL AT HOME AT THE NIDCD AND 

3316
02:20:45,377 --> 02:20:46,245
THIS WAS COMMUNITY BASED AND 

3317
02:20:46,245 --> 02:20:48,213
COMMUNITY ENGAGED AND SO I'M 

3318
02:20:48,213 --> 02:20:50,682
VERY PROUD TO BE SUPPORTED BY 

3319
02:20:50,682 --> 02:20:56,722
THE NIDCD BUT IN LOOKING AT THE 

3320
02:20:56,722 --> 02:20:58,357
STRATEGIC PLAN IT FEELS 

3321
02:20:58,357 --> 02:20:58,657
BIOMEDICAL.

3322
02:20:58,657 --> 02:21:00,826
I DONT SEE HOW MY RESEARCH HAS 

3323
02:21:00,826 --> 02:21:06,565
ANY SPECIFIC PLACE THERE BECAUSE

3324
02:21:06,565 --> 02:21:08,066
EVEN A D&I STRATEGIC AIM IS 

3325
02:21:08,066 --> 02:21:11,036
FOCUSSED ON CLINICAL POPULATION.

3326
02:21:11,036 --> 02:21:15,440
AND FOR AUDIOLOGY THIS MAYBE 

3327
02:21:15,440 --> 02:21:17,109
RELEVANT FOR SPEECH PATHOLOGY 

3328
02:21:17,109 --> 02:21:23,215
AND WE HAVE SUCH A LIMITED 

3329
02:21:23,215 --> 02:21:24,116
WORKFORCE RECENTLY WE'RE LOOKING

3330
02:21:24,116 --> 02:21:28,720
FOR NON-CLINICIANS TO PART UNDER

3331
02:21:28,720 --> 02:21:30,923
WITH AND EXPAND RESOURCES SO 

3332
02:21:30,923 --> 02:21:35,894
WE'RE ABLE TO REACH A GREATER 

3333
02:21:35,894 --> 02:21:37,896
POPULATION AND DECREASE 

3334
02:21:37,896 --> 02:21:38,197
INEQUITIES.

3335
02:21:38,197 --> 02:21:39,998
SOME OF THE D&I WORK THAT'S 

3336
02:21:39,998 --> 02:21:42,334
GOING TO BE DONE CURRENTLY AND 

3337
02:21:42,334 --> 02:21:43,902
IN THE FUTURE DOESN'T HAVE TO 

3338
02:21:43,902 --> 02:21:46,205
DO -- NOT IS SET IN A CLINIC.

3339
02:21:46,205 --> 02:21:49,608
DOESN'T HAVE TO DO WITH 

3340
02:21:49,608 --> 02:21:49,875
PATIENTS.

3341
02:21:49,875 --> 02:21:52,844
SO I WOULD HOPE IN THE FUTURE WE

3342
02:21:52,844 --> 02:21:56,582
COULD HAVE A MORE EXPANDED 

3343
02:21:56,582 --> 02:22:00,852
DEFINITION OF WHAT D&I IS
AND 

3344
02:22:00,852 --> 02:22:02,221
WHAT AUDIOLOGY IS IT DOESN'T 

3345
02:22:02,221 --> 02:22:05,857
ALWAYS HAPPEN IN THE CLINIC.

3346
02:22:05,857 --> 02:22:08,860
AND TO ENCOURAGE RESEARCH THAT 

3347
02:22:08,860 --> 02:22:12,998
IS ALL ENCOMPASSING BUT RELEVANT

3348
02:22:12,998 --> 02:22:18,470
TO THE NIDCD.

3349
02:22:18,470 --> 02:22:19,972
>> CATHY: AND YOUR
PARTICIPANTS 

3350
02:22:19,972 --> 02:22:21,773
ARE PER SE COMMUNITY WORKERS AND

3351
02:22:21,773 --> 02:22:22,541
ALL OF PEOPLE.

3352
02:22:22,541 --> 02:22:27,346
OTHER THING THAT WAS PREVENTION 

3353
02:22:27,346 --> 02:22:28,080
WORK SOMEONE BROUGHT UP 

3354
02:22:28,080 --> 02:22:29,047
CONVENTION WORK AND THE 

3355
02:22:29,047 --> 02:22:30,749
CHALLENGES OF FUNDING WITH THAT 

3356
02:22:30,749 --> 02:22:32,818
AND I DON'T REMEMBER IF THAT WAS

3357
02:22:32,818 --> 02:22:33,485
YOU OR SOMEBODY ELSE THAT 

3358
02:22:33,485 --> 02:22:40,359
BROUGHT THAT UP.

3359
02:22:40,359 --> 02:22:41,760
THOSE INDIVIDUALS ARE NOT 

3360
02:22:41,760 --> 02:22:42,127
PATIENTS.

3361
02:22:42,127 --> 02:22:44,496
THAT'S NOT HAPPENING IN THE 

3362
02:22:44,496 --> 02:22:44,863
CLINIC.

3363
02:22:44,863 --> 02:22:50,102
SO IT'S SEMANTICS BUT WHEN YOUR 

3364
02:22:50,102 --> 02:22:52,537
WRITING A GRANT THAT'S ALL IT IS

3365
02:22:52,537 --> 02:22:53,538
FOCUSSED ON THE SPECIFIC WORDS 

3366
02:22:53,538 --> 02:22:55,607
AND TRYING TO ALIGN THEM WITH 

3367
02:22:55,607 --> 02:22:58,977
THE STRATEGIC PLAN SO STUDY 

3368
02:22:58,977 --> 02:23:00,112
SECTION GREEN LIGHTS EVERYTHING 

3369
02:23:00,112 --> 02:23:02,381
YOU'RE DOING AND IS ON BOARD 

3370
02:23:02,381 --> 02:23:03,649
WITH WHAT YOU'RE TRYING TO SAY.

3371
02:23:03,649 --> 02:23:07,753
IN MY MIND AND IN MY HEART I 

3372
02:23:07,753 --> 02:23:09,087
KNOW THIS IS WHAT THE NIDCD 

3373
02:23:09,087 --> 02:23:13,425
WANTS TO FUND BUT MAKING THAT 

3374
02:23:13,425 --> 02:23:14,626
CONNECTION IS SOMETIMES 

3375
02:23:14,626 --> 02:23:15,160
CHALLENGING BETWEEN THE 

3376
02:23:15,160 --> 02:23:18,797
STRATEGIC PLAN IS WRITTEN SO IN 

3377
02:23:18,797 --> 02:23:21,099
MY READING OF IT IT READS AS 

3378
02:23:21,099 --> 02:23:23,201
PRETTY BIOMEDICAL.

3379
02:23:23,201 --> 02:23:25,070
>> THAT MAY TAKE US NICELY
INTO 

3380
02:23:25,070 --> 02:23:29,875
THE LAST TOPIC WHICH IS TRAINING

3381
02:23:29,875 --> 02:23:31,777
AND I DON'T KNOW THIS IS THE 

3382
02:23:31,777 --> 02:23:32,744
WHOLE SOLUTION BUT PERHAPS PART 

3383
02:23:32,744 --> 02:23:34,246
OF THE SOLUTION IS BEING ABLE TO

3384
02:23:34,246 --> 02:23:40,619
WORK WITH SOMEBODY WHO HAS MORE 

3385
02:23:40,619 --> 02:23:41,853
D&I FUNDING EXPERIENCE AND 

3386
02:23:41,853 --> 02:23:44,523
SUCCESSFULLY FUNDED WITH THE 

3387
02:23:44,523 --> 02:23:46,024
POPULATIONS TO HELP GUIDE THE 

3388
02:23:46,024 --> 02:23:48,093
WAY AND SO THE LAST BIG TOPIC 

3389
02:23:48,093 --> 02:23:52,097
THAT CAME UP WHEN WE TALKED WAS 

3390
02:23:52,097 --> 02:23:55,267
THIS LACK OF D&I EXPERTISE
IN 

3391
02:23:55,267 --> 02:23:57,736
COMMUNE SCIENCES AND DISORDERS.

3392
02:23:57,736 --> 02:23:59,738
ANYBODY WHO WANTS TO TALK ABOUT 

3393
02:23:59,738 --> 02:24:00,839
THAT TOPIC A LITTLE BIT WOULD 

3394
02:24:00,839 --> 02:24:01,406
LOVE TO HEAR YOU FROM ABOUT 

3395
02:24:01,406 --> 02:24:11,516
THAT.

3396
02:24:12,784 --> 02:24:18,223
>> I HAVE A RECENT
EXPERIENCE.

3397
02:24:18,223 --> 02:24:24,863
LAURA AND I SUBMITTED AN R01 

3398
02:24:24,863 --> 02:24:26,531
TOGETHER AND A CRIT D&I
WORK.

3399
02:24:26,531 --> 02:24:30,669
-- CONSIDER IT D&I WORK.

3400
02:24:30,669 --> 02:24:36,808
A COUPLE MONTHS LATER I GOT AN 

3401
02:24:36,808 --> 02:24:38,677
E-MAIL INVITING ME TO BE PART OF

3402
02:24:38,677 --> 02:24:47,252
THE STUDY SECTION I WAS EXCITED 

3403
02:24:47,252 --> 02:24:51,356
AND I HAVE A GRANT BEING 

3404
02:24:51,356 --> 02:24:54,993
REVIEWED DURING THE SAME TIME 

3405
02:24:54,993 --> 02:24:57,963
PERIOD AND I DIDN'T FIND THAT 

3406
02:24:57,963 --> 02:24:59,631
UNTIL SHE DISINVITED ME BECAUSE 

3407
02:24:59,631 --> 02:25:00,699
THEY WERE REVIEWING THE GRANT.

3408
02:25:00,699 --> 02:25:02,801
I HAVE A PRETTY GOOD FEELING THE

3409
02:25:02,801 --> 02:25:05,137
REASON SHE INVITED ME TO ARE 

3410
02:25:05,137 --> 02:25:08,807
REVIEW REVIEW THE GRANT AND 

3411
02:25:08,807 --> 02:25:09,441
DIDN'T REALIZE I WAS THE P.I. OF

3412
02:25:09,441 --> 02:25:15,180
THE GRANT.

3413
02:25:15,180 --> 02:25:18,483
AND ASKING ME TO REVIEW LAURA 

3414
02:25:18,483 --> 02:25:19,985
AND THE GRANT WHO ELSE ARE THEY 

3415
02:25:19,985 --> 02:25:21,186
GOING TO ASK?

3416
02:25:21,186 --> 02:25:23,255
I'M THE ONE THEY REACHED OUT TO 

3417
02:25:23,255 --> 02:25:24,423
REVIEW WHO ELSE ARE THEY GOING 

3418
02:25:24,423 --> 02:25:31,263
TO ASK TO REVIEW IT.

3419
02:25:31,263 --> 02:25:32,230
THE HYPOTHESIS COULD BE 

3420
02:25:32,230 --> 02:25:38,637
INCORRECT BUT SEEMS LIKE A 

3421
02:25:38,637 --> 02:25:44,009
STRANGE COINCIDENCE THAT'S A 

3422
02:25:44,009 --> 02:25:45,310
FUNNY AND RECENT STORY.

3423
02:25:45,310 --> 02:25:46,111
>> CATHY: THANKS,
MICHELLE.

3424
02:25:46,111 --> 02:25:47,746
HAVE THE REST OF YOU HAD 

3425
02:25:47,746 --> 02:25:50,615
CHALLENGES WITH FINDING PEOPLE 

3426
02:25:50,615 --> 02:25:51,383
WHO HAVE D&I EXPERTISE?

3427
02:25:51,383 --> 02:25:52,551
MORE EXPERTISE THAN YOU FEEL 

3428
02:25:52,551 --> 02:25:55,921
LIKE YOU DO TO HELP YOU PUTTING 

3429
02:25:55,921 --> 02:25:56,922
TOGETHER GRANT PROPOSALS AND 

3430
02:25:56,922 --> 02:26:07,232
THINGS LIKE THAT?

3431
02:26:07,833 --> 02:26:12,771
GO AHEAD, GEN, YOU'RE UNMUTED.

3432
02:26:12,771 --> 02:26:17,409
>> GEN: WHEN I WAS GETTING
MY PD

3433
02:26:17,409 --> 02:26:22,547
DOESN'T HAVE ANYONE IN MY 

3434
02:26:22,547 --> 02:26:26,651
UNIVERSITY THAT WAS IN THIS 

3435
02:26:26,651 --> 02:26:28,053
HEALTH SERVICES RESEARCH SO 

3436
02:26:28,053 --> 02:26:30,288
REACHING OUT ACROSS INSTITUTIONS

3437
02:26:30,288 --> 02:26:34,059
AND FOUND DR. MORRIS AND I WANT 

3438
02:26:34,059 --> 02:26:37,262
TO MAKE A PLUG FOR HEALTH 

3439
02:26:37,262 --> 02:26:40,699
SERVICES RESEARCH THAT I THINK 

3440
02:26:40,699 --> 02:26:42,868
WAS KIND OF LIKE THE SEED OF 

3441
02:26:42,868 --> 02:26:43,902
PLANT OF IMPLEMENTATION SCIENCE 

3442
02:26:43,902 --> 02:26:48,707
AND IT'S THE STUDY OF ALL THE 

3443
02:26:48,707 --> 02:26:56,281
STRUCTURES AND CONTEXT NATALIE 

3444
02:26:56,281 --> 02:26:58,683
WAS TALKING ABOUT LIKE THERE'S 

3445
02:26:58,683 --> 02:27:02,554
ONLY SO FAR YOU CAN GO WITH 

3446
02:27:02,554 --> 02:27:09,828
LIMITATIONS AND THAT'S ANOTHER 

3447
02:27:09,828 --> 02:27:17,903
VACUUM IN OUR FIELD SERVICE USES

3448
02:27:17,903 --> 02:27:22,274
THE SAME E.H.R. DATA AND 

3449
02:27:22,274 --> 02:27:23,909
POPULATION LEVEL DATA MIXED 

3450
02:27:23,909 --> 02:27:26,811
METHODS AND BECAUSE WE DON'T 

3451
02:27:26,811 --> 02:27:30,215
HAVE THAT HISTORY OF THOSE REAL 

3452
02:27:30,215 --> 02:27:32,851
WORLD DATA TYPES I THINK WE'RE 

3453
02:27:32,851 --> 02:27:35,754
STARTING FROM SCRATCH KIND OF 

3454
02:27:35,754 --> 02:27:38,056
WHEREAS OTHER FIELDS HAVE 

3455
02:27:38,056 --> 02:27:40,825
STARTED TO BUILD THE FOUNDATION 

3456
02:27:40,825 --> 02:27:42,594
WITH THE HEALTH SERVICES 

3457
02:27:42,594 --> 02:27:44,863
RESEARCH AND HAVE TOOLS TO USE 

3458
02:27:44,863 --> 02:27:48,066
AND GO AND IMPLEMENT WITHIN A 

3459
02:27:48,066 --> 02:27:50,368
REAL-WORLD SETTING BECAUSE THE 

3460
02:27:50,368 --> 02:27:52,671
HEALTH CARE RESEARCH IS LIKE 

3461
02:27:52,671 --> 02:27:56,441
REAL WORLD RESEARCH METHODS YOU 

3462
02:27:56,441 --> 02:28:00,078
NEED TO STUDY REAL WORLD 

3463
02:28:00,078 --> 02:28:00,779
OUTCOME.

3464
02:28:00,779 --> 02:28:04,549
>> GO AHEAD, MATT.

3465
02:28:04,549 --> 02:28:07,719
>> SO TWO OF THE
INDIVIDUALS A 

3466
02:28:07,719 --> 02:28:11,022
PART OF THIS WORKSHOP ARE KEY 

3467
02:28:11,022 --> 02:28:12,857
COLLABORATORS OR CO-P.I.s WITH 

3468
02:28:12,857 --> 02:28:20,031
WORK I'VE DONE.

3469
02:28:20,031 --> 02:28:21,967
AS FAR AS SUCCESS STORIES I'M 

3470
02:28:21,967 --> 02:28:22,667
HOPEFUL WE'RE REALIZING WHERE 

3471
02:28:22,667 --> 02:28:24,669
SOME OF OUR CHALLENGES ARE AND 

3472
02:28:24,669 --> 02:28:26,938
THAT MAYBE WE CAN SEE WHAT'S THE

3473
02:28:26,938 --> 02:28:32,844
OUTPUT OF THIS WORKSHOP BUT 

3474
02:28:32,844 --> 02:28:36,147
MAYBE AS WE'RE OFTEN ABLE TO 

3475
02:28:36,147 --> 02:28:37,515
NETWORK WITH PEOPLE IN PERSON.

3476
02:28:37,515 --> 02:28:39,050
OF COURSE WE'RE MAKING THE MOST 

3477
02:28:39,050 --> 02:28:42,454
OF THE TIME AND RESOURCES WE 

3478
02:28:42,454 --> 02:28:45,523
HAVE BY DOING THIS VIRTUALLY BUT

3479
02:28:45,523 --> 02:28:46,891
IF WE CAN NETWORK AFTER THE 

3480
02:28:46,891 --> 02:28:48,193
WORKSHOP I'D WELCOME IT.

3481
02:28:48,193 --> 02:28:51,396
I'D LOVE TO HAVE A FRESH 

3482
02:28:51,396 --> 02:28:53,598
PERSPECTIVE AND SOME ONGOING AND

3483
02:28:53,598 --> 02:28:54,599
NEW OPPORTUNITIES FOR 

3484
02:28:54,599 --> 02:28:58,837
COLLABORATION.

3485
02:28:58,837 --> 02:29:03,041
I WOULD WELCOME IT AND LOOKING 

3486
02:29:03,041 --> 02:29:04,342
AT WHY THERE ARE AREAS OF 

3487
02:29:04,342 --> 02:29:06,511
STRENGTHS ARE HELPFUL.

3488
02:29:06,511 --> 02:29:08,647
I KNOW -- I FEEL IN SPIED OF THE

3489
02:29:08,647 --> 02:29:12,984
MIXED METHODOLOGY PART OF MY 

3490
02:29:12,984 --> 02:29:15,387
RESEARCH GRANTS I FEEL VERY 

3491
02:29:15,387 --> 02:29:19,124
UNSETTLED ABOUT MY QUALITATIVE 

3492
02:29:19,124 --> 02:29:20,225
RESEARCH EXPERTISE AND LEARNING 

3493
02:29:20,225 --> 02:29:27,365
FROM PARTNERS AND COLLEAGUES WHO

3494
02:29:27,365 --> 02:29:36,508
DO WORK METHODOLOGICALLY AND 

3495
02:29:36,508 --> 02:29:38,143
QUALITATIVE STRAINS AND A PART 

3496
02:29:38,143 --> 02:29:39,944
OF IMPLEMENTATION OUTCOMES IS 

3497
02:29:39,944 --> 02:29:41,746
SOMETHING I COULD DO AND I WOULD

3498
02:29:41,746 --> 02:29:42,981
SAY LET'S TALK.

3499
02:29:42,981 --> 02:29:53,525
LET'S FIND WAYS TO PUT TOGETHER 

3500
02:29:53,525 --> 02:29:55,894
AND ME AS AN OLD SCHOOL 

3501
02:29:55,894 --> 02:29:57,362
QUANTITATIVE RESEARCH EVER I 

3502
02:29:57,362 --> 02:29:58,396
VALUE THE MIXED METHOD APPROACH 

3503
02:29:58,396 --> 02:30:08,940
BECAUSE I DON'T FIND IT IN OT

3504
02:30:25,490 --> 02:30:31,096
OTTO -- OTOLARYNGOLOGY.

3505
02:30:31,096 --> 02:30:32,864
>> CATHY: WE'VE HAD A
SUCCESS 

3506
02:30:32,864 --> 02:30:35,233
STORY OF COMMUNITY BUILDING OUR 

3507
02:30:35,233 --> 02:30:36,534
OWN RESEARCH COMMUNITY TO HELP 

3508
02:30:36,534 --> 02:30:37,802
OURSELVES THROUGH THE PROCESS.

3509
02:30:37,802 --> 02:30:40,638
SO GO AHEAD, CRYSTLE AND WE'LL 

3510
02:30:40,638 --> 02:30:42,407
WRAP UP AND START TAKING 

3511
02:30:42,407 --> 02:30:43,041
QUESTIONS AND ANSWERS FROM THE 

3512
02:30:43,041 --> 02:30:43,241
CROWD.

3513
02:30:43,241 --> 02:30:48,680
GO AHEAD.

3514
02:30:48,680 --> 02:30:51,282
I WAS GOING TO DO THE ISSG SHOUT

3515
02:30:51,282 --> 02:30:51,549
OUT.

3516
02:30:51,549 --> 02:30:55,120
IT LEADS TO THE TOPIC OF LACK OF

3517
02:30:55,120 --> 02:30:55,854
D&I EXPERTISE.

3518
02:30:55,854 --> 02:30:58,890
WE HAD TO SEEK IT OUT OURSELVES 

3519
02:30:58,890 --> 02:31:03,728
AND FOUND OUR EXPERTS AND I FEEL

3520
02:31:03,728 --> 02:31:09,367
LIKE THEY'RE ALSO OVER BURDENED 

3521
02:31:09,367 --> 02:31:14,706
AND I WORRY ABOUT THEY'RE 

3522
02:31:14,706 --> 02:31:17,609
CONSTANTLY REACHED OUT AND WE 

3523
02:31:17,609 --> 02:31:19,511
HAVE SO FEW ALWAYS ON THE PANELS

3524
02:31:19,511 --> 02:31:22,180
OR ALWAYS ON THE IS FOR ALL 

3525
02:31:22,180 --> 02:31:22,480
CONFERENCE.

3526
02:31:22,480 --> 02:31:24,849
THEY'RE THE ONES WHO ARE ALSO 

3527
02:31:24,849 --> 02:31:26,851
BEING ASKED TO BE KEY NOTES.

3528
02:31:26,851 --> 02:31:28,987
WE'RE CONSTANTLY SEEKING THEM 

3529
02:31:28,987 --> 02:31:30,722
OUT AND THEY'RE SO WONDERFUL AND

3530
02:31:30,722 --> 02:31:34,125
GREAT AND WANTING TO SHARE THAT 

3531
02:31:34,125 --> 02:31:35,727
KNOWLEDGE AND EXPERTISE BUT I DO

3532
02:31:35,727 --> 02:31:38,229
ALSO THINK ABOUT THIS FROM A 

3533
02:31:38,229 --> 02:31:41,166
PERSPECTIVE OF TRYING TO PUT 

3534
02:31:41,166 --> 02:31:42,967
TOGETHER A K AWARD OF WHAT WILL 

3535
02:31:42,967 --> 02:31:47,605
THE STUDY SECTIONS OR REVIEW 

3536
02:31:47,605 --> 02:31:48,873
MECHANISMS THINK WHEN IT'S THE 

3537
02:31:48,873 --> 02:31:50,542
SAME FEW PEOPLE BEING ASKED TO 

3538
02:31:50,542 --> 02:31:53,411
KIND OF MENTOR BUT MATT WAS JUST

3539
02:31:53,411 --> 02:31:54,946
SAYING ADJACENT LIKE WORK IN 

3540
02:31:54,946 --> 02:31:57,382
NURSING HOMES AND I WANT TO DO 

3541
02:31:57,382 --> 02:32:01,452
STUFF IN SCHOOLS AND SO LIKE IS 

3542
02:32:01,452 --> 02:32:05,156
THAT EXPERTISE FOR MENTORING AND

3543
02:32:05,156 --> 02:32:08,860
TRAINING OB A TRAINING GRANT 

3544
02:32:08,860 --> 02:32:09,794
GOING TO BE SEEN AS APPROPRIATE 

3545
02:32:09,794 --> 02:32:17,135
OR REACHING OUT TO THE 

3546
02:32:17,135 --> 02:32:19,337
CARD-CARRYING D&I SCIENTISTS
AND

3547
02:32:19,337 --> 02:32:21,906
SAYING SO YOU DO WORK IN 

3548
02:32:21,906 --> 02:32:23,107
COMMUNITY AND CLINIC SETTINGS 

3549
02:32:23,107 --> 02:32:25,810
BUT I WANT TO DO THIS IN SCHOOLS

3550
02:32:25,810 --> 02:32:28,513
AND THEY'RE STILL HESITANT OF 

3551
02:32:28,513 --> 02:32:30,815
SAYING YOU HAVE TO FIND THE 

3552
02:32:30,815 --> 02:32:31,449
INTERVENTION EXPERTISE MENTOR 

3553
02:32:31,449 --> 02:32:32,851
WHO WILL BE PRIMARY.

3554
02:32:32,851 --> 02:32:34,786
I CAN CONSULT ON SOME FRAMEWORKS

3555
02:32:34,786 --> 02:32:37,555
OR SOME METHODS IF THAT'S WHAT 

3556
02:32:37,555 --> 02:32:41,159
YOU NEED BUT IT IS CHALLENGING, 

3557
02:32:41,159 --> 02:32:43,061
WHERE'S MY QUALITATIVE 

3558
02:32:43,061 --> 02:32:43,428
METHODOLOGISTS.

3559
02:32:43,428 --> 02:32:46,097
I NEED THAT PERSON AND HOW DO I 

3560
02:32:46,097 --> 02:32:48,967
FIND THEM WHEN I HAVE NO IDEA 

3561
02:32:48,967 --> 02:32:49,601
WHERE TO START?

3562
02:32:49,601 --> 02:32:53,371
IT'S BEEN A CHALLENGE FOR ME AS 

3563
02:32:53,371 --> 02:32:58,142
WELL AS REACHING OUT AND THEN 

3564
02:32:58,142 --> 02:32:59,277
HEARING NOTHING BACK.

3565
02:32:59,277 --> 02:33:00,478
LAURA CAN TALK ABOUT THAT AND MY

3566
02:33:00,478 --> 02:33:02,113
WORK MAY NOT BE INTERESTING FOR 

3567
02:33:02,113 --> 02:33:08,319
THEM TO ADD ON TO THEIR C.V. AS 

3568
02:33:08,319 --> 02:33:11,422
SOMETHING THEY'D WANT TO START A

3569
02:33:11,422 --> 02:33:13,625
LINE FOR BECAUSE IT'S SO FAR TO 

3570
02:33:13,625 --> 02:33:14,826
THE LEFT FOR THEM.

3571
02:33:14,826 --> 02:33:15,793
THAT HAS BEEN CHALLENGING.

3572
02:33:15,793 --> 02:33:17,528
IT'S LIKE SHOULD I GO GET 

3573
02:33:17,528 --> 02:33:24,035
TRAINED IN QUAL TASTIVE ME IIVE 

3574
02:33:24,035 --> 02:33:24,602
QUALITATIVE METHODS?

3575
02:33:24,602 --> 02:33:25,837
THAT'S.

3576
02:33:25,837 --> 02:33:26,971
I DON'T WANT TO DO THAT.

3577
02:33:26,971 --> 02:33:28,873
I WOULD LIKE TO FIND A 

3578
02:33:28,873 --> 02:33:30,074
COLLABORATOR TO DO THAT.

3579
02:33:30,074 --> 02:33:33,411
THAT FOR ME HAS BEEN I THINK A 

3580
02:33:33,411 --> 02:33:38,416
CHALLENGE TO TRYING TO FIND 

3581
02:33:38,416 --> 02:33:40,752
THESE LEADERS INTERESTED IN THE 

3582
02:33:40,752 --> 02:33:42,954
WORK I WANT TO DO.

3583
02:33:42,954 --> 02:33:44,455
>> AS WE'RE IN THE INTERIM

3584
02:33:44,455 --> 02:33:46,324
PERIOD OF TRYING TO BUILD THIS 

3585
02:33:46,324 --> 02:33:50,929
BUT WE DON'T HAVE THE LEADERSHIP

3586
02:33:50,929 --> 02:33:56,100
AND ALL OF YOU ARE GOING TO 

3587
02:33:56,100 --> 02:33:57,435
BECOMING THOSE PEOPLE AND GET 

3588
02:33:57,435 --> 02:33:59,037
FROM HERE TO THERE AND PUT THE 

3589
02:33:59,037 --> 02:34:00,905
PIECES TOGETHER AND HOW DO YOU 

3590
02:34:00,905 --> 02:34:04,876
SELL AN APPLICATION WHEN THE 

3591
02:34:04,876 --> 02:34:08,880
METHODOLOGY TO BE FRONT AND 

3592
02:34:08,880 --> 02:34:09,113
CENTER.

3593
02:34:09,113 --> 02:34:11,582
THAT'S DIFFERENT TOO.

3594
02:34:11,582 --> 02:34:12,450
NEEDING THE EXPERTISE AND THOSE 

3595
02:34:12,450 --> 02:34:16,521
ARE INTERESTING CHALLENGES.

3596
02:34:16,521 --> 02:34:22,994
THAT WRAPS UP OUR CATHY BINGER 

3597
02:34:22,994 --> 02:34:24,262
GUIDED REVIEW OF SOME TOPICS WE 

3598
02:34:24,262 --> 02:34:26,798
HAVE AND I THINK WE'RE READY TO 

3599
02:34:26,798 --> 02:34:37,208
GO INTO OUR Q&A SECTION.

3600
02:34:38,176 --> 02:34:40,111
>> WE HAVE SOME IN THE
CHAT AND 

3601
02:34:40,111 --> 02:34:41,646
IF YOU'RE WILLING TO SAY THEM 

3602
02:34:41,646 --> 02:34:45,416
OUT LOUD RAISE YOUR HAND.

3603
02:34:45,416 --> 02:34:46,884
AND CATHY WILL MODERATE THIS 

3604
02:34:46,884 --> 02:34:52,023
PART AND WE'LL CALL ON FOLKS 

3605
02:34:52,023 --> 02:34:55,259
WITH THEIR HANDS UP.

3606
02:34:55,259 --> 02:34:56,160
JILL YOUR FIRST.

3607
02:34:56,160 --> 02:34:59,564
>> HI, THANKS SORE THE
GREAT 

3608
02:34:59,564 --> 02:35:01,032
BEGINNING OF THE MEETING.

3609
02:35:01,032 --> 02:35:03,534
IT'S REALLY GREAT.

3610
02:35:03,534 --> 02:35:08,873
AND IT'S SO LOVELY TO HAVE THIS 

3611
02:35:08,873 --> 02:35:11,242
NICE YOUNG PANEL AS I FACED THE 

3612
02:35:11,242 --> 02:35:16,014
END OF MY CAREER I'VE BEEN DOING

3613
02:35:16,014 --> 02:35:17,148
IMPLEMENTATION SCIENCE RELATED 

3614
02:35:17,148 --> 02:35:18,616
RESEARCH FOR ABOUT 30 YEARS 

3615
02:35:18,616 --> 02:35:23,521
WITHOUT KNOWING THAT'S WHAT I 

3616
02:35:23,521 --> 02:35:26,758
WAS DOING.

3617
02:35:26,758 --> 02:35:28,893
AND IT'S HARTENING TO SEE THE 

3618
02:35:28,893 --> 02:35:32,897
NEW GENERATION OF PEOPLE VERY 

3619
02:35:32,897 --> 02:35:35,333
INTERESTED.

3620
02:35:35,333 --> 02:35:37,835
AS I FACED SO MANY SO MUCH 

3621
02:35:37,835 --> 02:35:41,639
DISCOURAGEMENT OVER THE YEAR IN 

3622
02:35:41,639 --> 02:35:42,874
TRYING TO GET HEALTH SYSTEMS 

3623
02:35:42,874 --> 02:35:44,742
INTERESTED IN MY WORK AND HAD 

3624
02:35:44,742 --> 02:35:49,981
PEOPLE WHO WORK IN HEALTH 

3625
02:35:49,981 --> 02:35:51,749
SYSTEMS AND IT SEEMS TO ME AND I

3626
02:35:51,749 --> 02:35:53,084
WANT TO KNOW IF I'M RIGHT ON 

3627
02:35:53,084 --> 02:35:57,055
THIS OR NOT THAT COUNTRIES THAT 

3628
02:35:57,055 --> 02:35:59,757
HAVE NATIONAL HEALTH SYSTEMS IN 

3629
02:35:59,757 --> 02:36:00,691
WHICH PRACTICE ARE BASED ON 

3630
02:36:00,691 --> 02:36:04,062
EVIDENCE SEEM TO HAVE MORE 

3631
02:36:04,062 --> 02:36:06,030
SUCCESSFUL IN DOING D&I
RESEARCH

3632
02:36:06,030 --> 02:36:12,570
AND GETTING AND THEN 

3633
02:36:12,570 --> 02:36:15,273
IMPLEMENTING NEW EVIDENCE-BASED 

3634
02:36:15,273 --> 02:36:16,808
PRACTICES INTO THE SYSTEM.

3635
02:36:16,808 --> 02:36:18,376
I WANT TO KNOW IF I'M RIGHT ON 

3636
02:36:18,376 --> 02:36:21,345
THAT.

3637
02:36:21,345 --> 02:36:23,848
RELATED TO THAT, THE V.A. SYSTEM

3638
02:36:23,848 --> 02:36:26,651
SEEMS THE CLOSEST WE HAVE TO 

3639
02:36:26,651 --> 02:36:32,857
THAT AND IT DOES SEEMS LIKE IT 

3640
02:36:32,857 --> 02:36:33,891
HAS BEEN EASIER TO GET D&I 

3641
02:36:33,891 --> 02:36:38,863
RESEARCH IMPLEMENTED THERE AND 

3642
02:36:38,863 --> 02:36:40,631
THEN MY FINAL HAVE VERY DE 

3643
02:36:40,631 --> 02:36:44,435
PRESSING THOUGHT IS HERE WE ARE 

3644
02:36:44,435 --> 02:36:46,637
IN 2023 IN THE U.S. HEALTH CARE 

3645
02:36:46,637 --> 02:36:49,340
SYSTEM WHERE PRACTICES AND 

3646
02:36:49,340 --> 02:36:52,110
HOSPITALS ARE BEING BROUGHT BY 

3647
02:36:52,110 --> 02:36:53,811
PRIVATE EQUITY WHO JUST WANT TO 

3648
02:36:53,811 --> 02:36:57,081
MAKE MONEY AND THEN GET RID OF 

3649
02:36:57,081 --> 02:36:59,350
IT.

3650
02:36:59,350 --> 02:37:01,419
HOW DO WE START GETTING -- 

3651
02:37:01,419 --> 02:37:03,121
IMPLEMENTING EVIDENCE-BASED 

3652
02:37:03,121 --> 02:37:04,255
PRACTICES IN THE U.S. HEALTH 

3653
02:37:04,255 --> 02:37:05,523
SYSTEM WHEN THIS IS WHAT'S 

3654
02:37:05,523 --> 02:37:05,823
HAPPENING?

3655
02:37:05,823 --> 02:37:08,893
THANK YOU AND SORRY FOR BEING SO

3656
02:37:08,893 --> 02:37:16,634
DE PRESSING.

3657
02:37:16,634 --> 02:37:19,203
>> CATHY: ANYBODY WANT TO
TACKLE

3658
02:37:19,203 --> 02:37:25,343
ANY OR ALL OF JILL'S THOUGHTS OR

3659
02:37:25,343 --> 02:37:26,777
QUESTIONS?

3660
02:37:26,777 --> 02:37:31,249
>> I CAN RELATE MY
RESEARCH IS 

3661
02:37:31,249 --> 02:37:32,517
VERY MUCH MEETING THE HEALTH 

3662
02:37:32,517 --> 02:37:34,785
ORGANIZATIONAL PARTNERSHIP AND 

3663
02:37:34,785 --> 02:37:38,189
SPEAKING TO YOUR QUESTION OF HOW

3664
02:37:38,189 --> 02:37:39,824
TO GET HEALTH CARE ORGANIZATIONS

3665
02:37:39,824 --> 02:37:43,861
WHICH ARE VERY VERTICALLY 

3666
02:37:43,861 --> 02:37:46,797
ALIGNED THESE DAYS INTERESTED IN

3667
02:37:46,797 --> 02:37:49,066
BEING PARTNERS THE WAY THAT -- 

3668
02:37:49,066 --> 02:37:53,571
TE ONLY WAY I UNDERSTAND IT WITH

3669
02:37:53,571 --> 02:37:58,809
THE INCENTIVES THAT HEALTH CARE 

3670
02:37:58,809 --> 02:38:00,444
ORGANIZATIONS ARE BEING DRIVEN 

3671
02:38:00,444 --> 02:38:02,513
BY THESE DAYS IS YOU HAVE TO 

3672
02:38:02,513 --> 02:38:04,582
ALIGN YOUR OUTCOMES WITH WHAT 

3673
02:38:04,582 --> 02:38:06,350
THEIR INTERESTED IN WHICH IS NOT

3674
02:38:06,350 --> 02:38:09,787
SOMETHING WE'VE TRADITIONALLY 

3675
02:38:09,787 --> 02:38:13,324
DONE SO THOSE ORGANIZATIONAL 

3676
02:38:13,324 --> 02:38:16,127
OUTCOMES LIKE PREVENTIVE CARE OR

3677
02:38:16,127 --> 02:38:19,096
REDUCTION OF E.D. VISITS OR 

3678
02:38:19,096 --> 02:38:22,466
LENGTH OF STAY REDUCTION, THAT'S

3679
02:38:22,466 --> 02:38:24,869
LIKE THE BOTTOM LINE FOR HEALTH 

3680
02:38:24,869 --> 02:38:30,341
CARE OHS AND I THINK THAT THAT 

3681
02:38:30,341 --> 02:38:32,877
AGAIN IS WHERE WHERE MY HEALTH 

3682
02:38:32,877 --> 02:38:34,045
RESEARCH SERVICES HAT COMES IN 

3683
02:38:34,045 --> 02:38:40,818
WHERE WE DON'T HAVE ALL THOSE 

3684
02:38:40,818 --> 02:38:42,019
METHODS AND EXPERTS IN MEASURING

3685
02:38:42,019 --> 02:38:48,192
THOSE TYPES OF OUTCOMES AND THE 

3686
02:38:48,192 --> 02:38:49,527
DATA CAPACITY RIGHT THERE FOR US

3687
02:38:49,527 --> 02:38:51,562
TO MEASURE THE OUTCOMES THAT 

3688
02:38:51,562 --> 02:38:52,697
ORGANIZATIONS ARE INTERESTED IN 

3689
02:38:52,697 --> 02:38:54,966
AND WE CAN SHOW OUR 

3690
02:38:54,966 --> 02:38:56,267
INTERVENTIONS IMPROVE YOUR 

3691
02:38:56,267 --> 02:38:57,969
BOTTOM LINE AND THE OUTCOMES 

3692
02:38:57,969 --> 02:38:59,237
YOU'RE INTERESTED IN IN 

3693
02:38:59,237 --> 02:39:00,871
PARTNERING TOGETHER BUT IT'S A 

3694
02:39:00,871 --> 02:39:02,006
CHICKEN AND EGG THING BECAUSE WE

3695
02:39:02,006 --> 02:39:04,075
DON'T YET HAVE THAT AND THE LAST

3696
02:39:04,075 --> 02:39:08,412
THING IS THAT I KNOW BACK TO 

3697
02:39:08,412 --> 02:39:09,280
THAT LEARNED HEALTH SYSTEMS 

3698
02:39:09,280 --> 02:39:10,948
NETWORK THEY'RE TRYING TO DO 

3699
02:39:10,948 --> 02:39:21,792
THAT WITH BUILDING  INROADS AND 

3700
02:39:30,067 --> 02:39:30,301
GET ACCESS.

3701
02:39:30,301 --> 02:39:31,669
>> THERE'S A LOT OF GOOD 

3702
02:39:31,669 --> 02:39:34,438
QUESTIONS AND I'M NOT GOING TO 

3703
02:39:34,438 --> 02:39:36,073
TRY TO ANSWER THE SECOND 

3704
02:39:36,073 --> 02:39:36,674
QUESTION BUT IT'S SOMETHING 

3705
02:39:36,674 --> 02:39:38,075
GREAT TO THINK ABOUT.

3706
02:39:38,075 --> 02:39:39,043
THE FIRST QUESTION I THINK 

3707
02:39:39,043 --> 02:39:44,882
YOU'RE TOTALLY ON THE RIGHT 

3708
02:39:44,882 --> 02:39:48,519
TRACK AND I'M A TELEHEALTH 

3709
02:39:48,519 --> 02:39:52,890
RESEARCHER AND IT'S BEEN 

3710
02:39:52,890 --> 02:39:56,227
CHALLENGING TO IMPLEMENT 

3711
02:39:56,227 --> 02:39:59,163
TELEHEALTH AND SPEECH 

3712
02:39:59,163 --> 02:40:02,933
PATHOLOGISTS ARE WAY AHEAD OF US

3713
02:40:02,933 --> 02:40:04,802
BUT IN THE V.A. THEY IMPLEMENTED

3714
02:40:04,802 --> 02:40:08,239
IT BETTER AND IT'S A COORDINATED

3715
02:40:08,239 --> 02:40:11,509
HEALTH SYSTEM INTO FUNDING AS 

3716
02:40:11,509 --> 02:40:14,912
NOT AS MUCH OF AN ISSUE IN THE 

3717
02:40:14,912 --> 02:40:20,184
V.A. AND THEIR AUDIOLOGISTS WILL

3718
02:40:20,184 --> 02:40:24,455
PROVIDE TELEHEALTH BECAUSE IT'S 

3719
02:40:24,455 --> 02:40:27,391
BUILT INTO THEIR SYSTEM AND A 

3720
02:40:27,391 --> 02:40:37,802
GREAT POINT TO BRING UP.

3721
02:40:38,803 --> 02:40:44,375
>> JARRAD: I WANTED TO
THROW MY 

3722
02:40:44,375 --> 02:40:48,879
HAD IN AND SAY REINFORCE SOME OF

3723
02:40:48,879 --> 02:40:52,616
THE BARRIERS I'VE EXPERIENCED 

3724
02:40:52,616 --> 02:40:55,319
LIKE THE FUNDING ASPECT AND I 

3725
02:40:55,319 --> 02:40:59,290
AGREE THE FUNDING FOR D&I
WORK 

3726
02:40:59,290 --> 02:41:00,891
PRIMARILY GOES THROUGH THE PAR 

3727
02:41:00,891 --> 02:41:04,795
AND WHILE IT'S AN OPTION AND 

3728
02:41:04,795 --> 02:41:09,400
NIDCD IS ON IT IT GOES THROUGH 

3729
02:41:09,400 --> 02:41:12,103
D&I HARDCORE PEOPLE.

3730
02:41:12,103 --> 02:41:13,637
WE WANT TO SEE D&I PUSH
AHEAD 

3731
02:41:13,637 --> 02:41:16,073
THE TECHNIQUES AND MAY NOT 

3732
02:41:16,073 --> 02:41:17,908
ALWAYS BE SOMETHING THAT RIGHT 

3733
02:41:17,908 --> 02:41:23,614
NOW OUR FIELD IS READY FOR BUT 

3734
02:41:23,614 --> 02:41:27,752
WE CAN USE THE TOOLS ALREADY 

3735
02:41:27,752 --> 02:41:30,454
THERE OR SOMETHING THAT IS
D&I 

3736
02:41:30,454 --> 02:41:32,890
SPECIFIC WOULD BE A GOOD WAY TO 

3737
02:41:32,890 --> 02:41:35,192
FUND WORK THAT'S D&I AND
BUILD 

3738
02:41:35,192 --> 02:41:36,427
CAPACITY AND BE COMPETITIVE FOR 

3739
02:41:36,427 --> 02:41:37,661
THAT STUFF IN THE FUTURE.

3740
02:41:37,661 --> 02:41:40,898
THERE'S ALSO THE D&I PEOPLE
I 

3741
02:41:40,898 --> 02:41:45,870
TALK TO IN THE PANEL SAYING 

3742
02:41:45,870 --> 02:41:48,339
WHERE PEOPLE DIE OR GET SICK AND

3743
02:41:48,339 --> 02:41:50,141
COMMUNICATION AND REHAB IN 

3744
02:41:50,141 --> 02:41:52,143
GENERAL TENDS TO LOOK LOWER ON 

3745
02:41:52,143 --> 02:41:54,278
THE SIGNIFICANCE LEVEL ON THE 

3746
02:41:54,278 --> 02:41:56,881
PANEL.

3747
02:41:56,881 --> 02:42:02,887
AND ASHA I AGREE THERE WOULD BE 

3748
02:42:02,887 --> 02:42:04,422
MORE TO SUPPORT IT MAYBE A SIG 

3749
02:42:04,422 --> 02:42:05,956
OR SOMETHING BASED ON THAT 

3750
02:42:05,956 --> 02:42:08,092
BECAUSE AT THE AMERICAN CONGRESS

3751
02:42:08,092 --> 02:42:10,861
OF REIMPLEMENTATION MEDICINE 

3752
02:42:10,861 --> 02:42:12,396
THERE'S GROUP SURROUNDING JUST 

3753
02:42:12,396 --> 02:42:13,697
D&I.

3754
02:42:13,697 --> 02:42:17,635
IT'S BROUGHT A BUNCH OF 

3755
02:42:17,635 --> 02:42:18,469
MULTI-DISCIPLINARY PEOPLE 

3756
02:42:18,469 --> 02:42:18,736
TOGETHER.

3757
02:42:18,736 --> 02:42:20,604
I JUST WANTED TO FLUSH OUT SOME 

3758
02:42:20,604 --> 02:42:21,205
THINGS FROM MY EXPERIENCE ON 

3759
02:42:21,205 --> 02:42:31,315
THAT.

3760
02:42:32,716 --> 02:42:34,885
>> AND START A SIG AND
PUSHING 

3761
02:42:34,885 --> 02:42:36,887
FORWARD AND TRYING TO WORK ON A 

3762
02:42:36,887 --> 02:42:40,124
SIG AND SASHA ON IMPLEMENTATION 

3763
02:42:40,124 --> 02:42:40,357
SCIENCE.

3764
02:42:40,357 --> 02:42:41,559
MAYBE THAT'S SOMETHING WE NEED 

3765
02:42:41,559 --> 02:42:42,259
TO COME BACK TO AGAIN.

3766
02:42:42,259 --> 02:42:52,503
GOOD THOUGHTS.

3767
02:43:00,411 --> 02:43:03,414
AND I REMEMBER WHAT YOU GAVE AT 

3768
02:43:03,414 --> 02:43:05,683
THE CONFERENCE THAT STARTED MANY

3769
02:43:05,683 --> 02:43:07,952
INTEREST AT THE ASHA FOUNDATION 

3770
02:43:07,952 --> 02:43:08,419
WONDERFUL CONFERENCE.

3771
02:43:08,419 --> 02:43:15,392
IT WAS NICE TO SEE YOU.

3772
02:43:15,392 --> 02:43:16,494
>> THANK YOU.

3773
02:43:16,494 --> 02:43:18,095
I GUESS I AM THE OLD GUY IN THE 

3774
02:43:18,095 --> 02:43:19,230
GROUP BECAUSE THERE WAS NO 

3775
02:43:19,230 --> 02:43:21,265
IMPLEMENTATION SCIENCE WHEN WE 

3776
02:43:21,265 --> 02:43:23,434
STARTED MUCH OF THE WORK IN 

3777
02:43:23,434 --> 02:43:30,441
PEDIATRIC HEARING LOSS.

3778
02:43:30,441 --> 02:43:34,311
THERE WERE NO SYSTEMS DEVELOPED 

3779
02:43:34,311 --> 02:43:38,749
AND 142 HADN'T BEEN PASSED EVEN 

3780
02:43:38,749 --> 02:43:39,617
EARLY CHILDHOOD SPECIAL ED 

3781
02:43:39,617 --> 02:43:50,127
WASN'T PASSED UNTIL THE 1980s.

3782
02:43:53,097 --> 02:43:55,699
AND THEY DIDN'T HAVE MONEY 

3783
02:43:55,699 --> 02:43:56,934
ATTACHED TO IT AND THE SYSTEMS 

3784
02:43:56,934 --> 02:43:58,002
WERE BUILT THAT WAY BECAUSE AS 

3785
02:43:58,002 --> 02:44:01,672
YOU KNOW ONCE THE PUBLIC LAWS 

3786
02:44:01,672 --> 02:44:04,108
CAME IN AND EVERYTHING WAS 

3787
02:44:04,108 --> 02:44:05,609
LOCALLY BASED, EVERY SCHOOL 

3788
02:44:05,609 --> 02:44:08,646
DISTRICT CAN DECIDE ON THEIR OWN

3789
02:44:08,646 --> 02:44:11,148
NOT -- THEY DON'T HAVE TO WORK 

3790
02:44:11,148 --> 02:44:11,815
WITH ANYBODY ELSE.

3791
02:44:11,815 --> 02:44:15,586
THEY CAN JUST MAKE THEIR OWN 

3792
02:44:15,586 --> 02:44:17,054
DECISIONS OR ANYTHING IN SPECIAL

3793
02:44:17,054 --> 02:44:17,621
ED.

3794
02:44:17,621 --> 02:44:18,322
NOW, PERHAPS BECAUSE WHAT WE 

3795
02:44:18,322 --> 02:44:21,392
WERE WORKING ON WAS A 

3796
02:44:21,392 --> 02:44:23,694
LOW-INCIDENCE DISABILITY AND 

3797
02:44:23,694 --> 02:44:24,895
DEAFNESS WAS SOMETHING ALL THE 

3798
02:44:24,895 --> 02:44:28,666
DISTRICTS ESPECIALLY THE SMALL 

3799
02:44:28,666 --> 02:44:30,334
DISTRICTS STRUGGLED WITH, IT WAS

3800
02:44:30,334 --> 02:44:32,603
GOOD AND EASY RELATIVELY EASY TO

3801
02:44:32,603 --> 02:44:35,172
GET ALL 52 SCHOOL DISTRICTS IN 

3802
02:44:35,172 --> 02:44:36,874
THE STATE TO VOLUNTARILY 

3803
02:44:36,874 --> 02:44:39,276
COOPERATE IN A STATE-WIDE 

3804
02:44:39,276 --> 02:44:39,510
SYSTEM.

3805
02:44:39,510 --> 02:44:43,280
THAT STARTED UNTIL EARLY 1970s 

3806
02:44:43,280 --> 02:44:48,886
AND IT WAS VOLUNTARY IN 1970 AND

3807
02:44:48,886 --> 02:44:50,621
VOLUNTARY IN 2023.

3808
02:44:50,621 --> 02:44:52,656
WE STILL HAVE A STATEWIDE SYSTEM

3809
02:44:52,656 --> 02:44:53,691
IN WHICH TO DISSEMINATE 

3810
02:44:53,691 --> 02:44:57,027
INFORMATION AND ROLL OUT 

3811
02:44:57,027 --> 02:44:59,263
INTERVENTIONS AND COLLECT DATA 

3812
02:44:59,263 --> 02:45:01,999
MANAGEMENT FROM VIRTUALLY EVERY 

3813
02:45:01,999 --> 02:45:03,400
TITLE IN THE POPULATION OF 

3814
02:45:03,400 --> 02:45:06,270
COLORADO THAT IS DEAF AND HARD 

3815
02:45:06,270 --> 02:45:06,637
OF HEARING.

3816
02:45:06,637 --> 02:45:09,473
ALL THE WORK WHICH IS COMMUNITY 

3817
02:45:09,473 --> 02:45:12,910
BUILDING HAPPENED BEFORE THERE 

3818
02:45:12,910 --> 02:45:17,348
WAS ANY TECHNOLOGY TO DO 

3819
02:45:17,348 --> 02:45:20,184
ANYTHING WITH DEAF AND HARD AND 

3820
02:45:20,184 --> 02:45:20,417
HEARING.

3821
02:45:20,417 --> 02:45:22,987
COLORADO THE MOST SOCIALIZED 

3822
02:45:22,987 --> 02:45:24,254
SYSTEM ANYWHERE IN THE WORLD 

3823
02:45:24,254 --> 02:45:25,589
FROM BIRTH THROUGH 18 YEARS OF 

3824
02:45:25,589 --> 02:45:27,291
ABLE AND WANTED TO COMMENT ON 

3825
02:45:27,291 --> 02:45:28,058
JILL'S COMMENTS.

3826
02:45:28,058 --> 02:45:29,860
I WORKED WITH SYSTEMS ALL OVER 

3827
02:45:29,860 --> 02:45:33,897
THE WORLD, MANY OF THEM DIVERSE 

3828
02:45:33,897 --> 02:45:35,799
SOCIALIZED SYSTEMS AND WOULD NOT

3829
02:45:35,799 --> 02:45:38,235
SAY IT'S EASIER TO IMPLEMENT.

3830
02:45:38,235 --> 02:45:41,305
THERE ARE SOME THINGS EASIER TO 

3831
02:45:41,305 --> 02:45:43,474
IMPLEMENT IN SOCIALIZED SYSTEMS 

3832
02:45:43,474 --> 02:45:48,012
BUT THEY'RE ALSO FRAGMENTED AND 

3833
02:45:48,012 --> 02:45:49,413
IT DOESN'T WORK WITH EARLY 

3834
02:45:49,413 --> 02:45:50,848
INTERVENTION OR WITH THE SCHOOL 

3835
02:45:50,848 --> 02:45:51,081
SYSTEMS.

3836
02:45:51,081 --> 02:45:54,752
THEY'RE ALL LOCALLY BASED.

3837
02:45:54,752 --> 02:45:55,753
THEY MAY BE ABLE TO ROLL 

3838
02:45:55,753 --> 02:45:59,289
SOMETHING OUT IN ONE SEGMENT BUT

3839
02:45:59,289 --> 02:46:01,125
EVERY SYSTEM THAT I'VE WORKED 

3840
02:46:01,125 --> 02:46:05,996
WITH HAS HAD PROBLEMS BECAUSE 

3841
02:46:05,996 --> 02:46:09,233
THEY TRIED TO PUSH SOMETHING 

3842
02:46:09,233 --> 02:46:10,601
DOWN FROM THE TOP WITHOUT HAVING

3843
02:46:10,601 --> 02:46:16,306
THE BUY IN FROM THE BOTTOM.

3844
02:46:16,306 --> 02:46:24,248
YOU CAN REP ANY SYSTEM BUT IF 

3845
02:46:24,248 --> 02:46:26,216
YOU DON'T FOLLOW THE SYSTEM YOU 

3846
02:46:26,216 --> 02:46:29,620
DON'T GET PAID SO THERE'S HIGH 

3847
02:46:29,620 --> 02:46:30,721
INCENTIVE AND IF THEY'RE NOT 

3848
02:46:30,721 --> 02:46:32,623
BROUGHT IN AND DON'T BELIEVE IN 

3849
02:46:32,623 --> 02:46:34,425
WHAT YOU'RE DOING OR AGREE WITH 

3850
02:46:34,425 --> 02:46:35,759
WHAT YOU'RE DOING, THERE'S ALL 

3851
02:46:35,759 --> 02:46:39,430
KINDS OF PROBLEMS THAT CAN 

3852
02:46:39,430 --> 02:46:41,999
DEVELOP BECAUSE OF THAT SO WHAT 

3853
02:46:41,999 --> 02:46:43,267
YOU'RE TALKING ABOUT MAKES ME 

3854
02:46:43,267 --> 02:46:45,969
EXCITED BECAUSE I HAD A VERY 

3855
02:46:45,969 --> 02:46:48,939
HARD TIME WHEN WE WERE APPLYING 

3856
02:46:48,939 --> 02:46:52,509
FOR RESEARCH GRANTS OR SYSTEMS 

3857
02:46:52,509 --> 02:46:53,877
DEVELOPMENT GRANTS GETTING 

3858
02:46:53,877 --> 02:46:56,880
COMMUNITY PARTNERS AS STAFF IN 

3859
02:46:56,880 --> 02:46:59,450
THOSE GRANT PROPOSALS BECAUSE WE

3860
02:46:59,450 --> 02:47:01,485
HAD DEAF AND HEARD OF HEARING 

3861
02:47:01,485 --> 02:47:02,686
LETTERS AND HAD PARENTS THAT 

3862
02:47:02,686 --> 02:47:03,954
DEVELOPED PARENT SUPPORT.

3863
02:47:03,954 --> 02:47:05,689
WE WERE WORKING ON RESERVATIONS 

3864
02:47:05,689 --> 02:47:11,829
AND WORKING ON INNER CITIES AND 

3865
02:47:11,829 --> 02:47:13,964
IN THE RURAL AREAS THEY HAVE 

3866
02:47:13,964 --> 02:47:14,998
TOTALLY DIFFERENT COMMUNITY 

3867
02:47:14,998 --> 02:47:15,365
SYSTEMS.

3868
02:47:15,365 --> 02:47:18,368
IT MAKE ME EXCITED TO HEAR 

3869
02:47:18,368 --> 02:47:28,212
THAT'S A BASIC PART OF ALL THE 

3870
02:47:28,212 --> 02:47:29,113
IMPLEMENTATION SCIENCE AND WE 

3871
02:47:29,113 --> 02:47:32,883
HAD TO REACH OUT TO OTHER 

3872
02:47:32,883 --> 02:47:36,120
PARTNERS LIKE PETE TRICKS AND --

3873
02:47:36,120 --> 02:47:41,725
PEDIATRICS AND NURSING AND EAR 

3874
02:47:41,725 --> 02:47:52,269
NOSE AND THROAT THEY HELPED US 

3875
02:48:03,147 --> 02:48:04,515
AND THE FORMULA HAS WORKED IN 

3876
02:48:04,515 --> 02:48:06,784
EVERY COUNTRY WE PROVIDED 

3877
02:48:06,784 --> 02:48:10,521
SUPPORT FOR UNIVERSAL INFANT 

3878
02:48:10,521 --> 02:48:10,788
SCREENING.

3879
02:48:10,788 --> 02:48:14,224
THERE'S SOMETHING ABOUT THE 

3880
02:48:14,224 --> 02:48:15,959
U.S. SYSTEM THAT REINFORCES 

3881
02:48:15,959 --> 02:48:20,531
CREATIVITY TO BUILD SYSTEMS THAT

3882
02:48:20,531 --> 02:48:22,099
CAN BE DISSEMINATED NOT ONLY 

3883
02:48:22,099 --> 02:48:23,667
THROUGHOUT THE UNITED STATES BUT

3884
02:48:23,667 --> 02:48:24,101
GLOBALLY.

3885
02:48:24,101 --> 02:48:26,470
IT WASN'T A QUESTION BUT A 

3886
02:48:26,470 --> 02:48:30,541
RESPONSE MAINLY TO JILL'S.

3887
02:48:30,541 --> 02:48:35,679
ONE OTHER COMMENT AND THAT IS 

3888
02:48:35,679 --> 02:48:38,582
THAT ALL OF YOU HAVE SAID PEOPLE

3889
02:48:38,582 --> 02:48:44,054
HAVE TOLD ME DON'T DO THIS AND 

3890
02:48:44,054 --> 02:48:47,791
MY CAREER THEY'VE TOLD ME DON'T 

3891
02:48:47,791 --> 02:48:49,626
DO TEACHING GRANTS AND I'VE 

3892
02:48:49,626 --> 02:48:52,196
IGNORED IT AND ALL THE PIECES 

3893
02:48:52,196 --> 02:48:53,630
MADE IT POSSIBLE TO BUILD THE 

3894
02:48:53,630 --> 02:48:56,900
SYSTEMS AND WITHOUT THOSE PIECES

3895
02:48:56,900 --> 02:49:02,239
IT WOULDN'T HAVE HAPPENED.

3896
02:49:02,239 --> 02:49:07,177
>> I WAS TOLD NOT TO DO 

3897
02:49:07,177 --> 02:49:08,245
INTERVENTION RESEARCH OR YOU 

3898
02:49:08,245 --> 02:49:10,747
WON'T GET TENURE AND I SAID I 

3899
02:49:10,747 --> 02:49:12,516
WILL AND I'LL GET TENURE.

3900
02:49:12,516 --> 02:49:12,883
WATCH ME.

3901
02:49:12,883 --> 02:49:14,184
THE INITIAL STAGES ARE SIMILAR 

3902
02:49:14,184 --> 02:49:22,526
AND STILL TAKES SOME OF THAT 

3903
02:49:22,526 --> 02:49:23,894
CHUTZPAH TO BUILD THE SYSTEM AS 

3904
02:49:23,894 --> 02:49:34,238
WE MOVE ALONG HERE.

3905
02:49:34,805 --> 02:49:37,040
>> I HAVE ONE QUICK
COMMENT AND 

3906
02:49:37,040 --> 02:49:38,575
I'LL TRY TO BE BRIEF.

3907
02:49:38,575 --> 02:49:42,079
AS I WAS LISTENING ONE THING 

3908
02:49:42,079 --> 02:49:46,483
THAT CAME TO MIND AS WE CONSIDER

3909
02:49:46,483 --> 02:49:50,153
D&I RESEARCH AND I'M NOT AN 

3910
02:49:50,153 --> 02:49:51,188
EXPERT BUT TYING EVIDENCE WITH 

3911
02:49:51,188 --> 02:49:55,559
LEVEL 1 EVIDENCE ALLOWS FOR CMS 

3912
02:49:55,559 --> 02:49:57,895
CLAIMS TO BE MADE.

3913
02:49:57,895 --> 02:50:00,898
THERE'S A MEDICARE COVERAGE 

3914
02:50:00,898 --> 02:50:02,699
PROCESS OR THE NATIONAL 

3915
02:50:02,699 --> 02:50:04,868
DETERMINATION NCD WHETHER IT'S 

3916
02:50:04,868 --> 02:50:06,670
MEDICARE OR MEDICAID THAT ALLOWS

3917
02:50:06,670 --> 02:50:08,472
FOR THE IMPLEMENTATION OF 

3918
02:50:08,472 --> 02:50:13,677
PROCEDURES TO BE DONE IN A WAY 

3919
02:50:13,677 --> 02:50:14,778
THAT'S AVAILABLE.

3920
02:50:14,778 --> 02:50:16,513
IT'S LIKELY GOING TO BE COVERED 

3921
02:50:16,513 --> 02:50:19,082
BASEBALL THE INSURANCE PAYERS 

3922
02:50:19,082 --> 02:50:20,584
AND THERE'S A LOWER LIKELIHOOD 

3923
02:50:20,584 --> 02:50:21,718
IT WILL BE BUILD FOR AND WITHOUT

3924
02:50:21,718 --> 02:50:24,788
THE ABILITY TO BILL FOR IT 

3925
02:50:24,788 --> 02:50:25,455
REDUCES THE FACT PEOPLE WILL 

3926
02:50:25,455 --> 02:50:30,127
HAVE TIME TO DO IT.

3927
02:50:30,127 --> 02:50:34,264
SO THIS IS ALSO TO EMPHASIS THE 

3928
02:50:34,264 --> 02:50:38,735
NEED FOR LEVEL 1 EVIDENCE AND 

3929
02:50:38,735 --> 02:50:40,003
THE PHASED 1 OR CLASSIC EVIDENCE

3930
02:50:40,003 --> 02:50:42,239
SOMETIMES NOT THE SEXIEST ONE 

3931
02:50:42,239 --> 02:50:45,876
BUT ON THE INITIAL TRIAL THEY'RE

3932
02:50:45,876 --> 02:50:47,210
NECESSARILY WITHOUT THOSE WE 

3933
02:50:47,210 --> 02:50:50,247
CAN'T GET ACCREDITATION AND 

3934
02:50:50,247 --> 02:50:51,081
BUILD OR IMPLEMENT.

3935
02:50:51,081 --> 02:50:52,382
I'M SURE YOU GUYS HAVE MORE 

3936
02:50:52,382 --> 02:50:53,684
EXPERIENCE THAN I HAVE WITH THIS

3937
02:50:53,684 --> 02:50:57,087
BUT THOUGHT I'D PUT IT OUT 

3938
02:50:57,087 --> 02:51:01,992
THERE.

3939
02:51:01,992 --> 02:51:02,693
>> ANYONE HAVE THOUGHTS OR

3940
02:51:02,693 --> 02:51:05,829
RESPONSES TO THAT?

3941
02:51:05,829 --> 02:51:07,731
I THINK THAT WAS MORE A COMMENT.

3942
02:51:07,731 --> 02:51:15,939
MEGAN, GO AHEAD.

3943
02:51:15,939 --> 02:51:19,076
JESS, DID YOU HAVE YOUR HAND UP?

3944
02:51:19,076 --> 02:51:22,245
>> JESS: I DID BUT I DON'T
HAVE 

3945
02:51:22,245 --> 02:51:22,946
A VOICE.

3946
02:51:22,946 --> 02:51:26,950
CAN YOU HEAR IS THE 

3947
02:51:26,950 --> 02:51:30,053
>> CATHY: WE CAN HEAR YOU.

3948
02:51:30,053 --> 02:51:32,422
>> JESS: CANADA HAS
PARTNERSHIPS

3949
02:51:32,422 --> 02:51:35,826
WITH PEOPLE IN CANADA, U.S., 

3950
02:51:35,826 --> 02:51:41,732
FRANCE ALL AROUND AND IT'S 

3951
02:51:41,732 --> 02:51:43,133
DEVELOPING THAT EVIDENCE THAT 

3952
02:51:43,133 --> 02:51:47,738
WAS TALKED ABOUT TO HAVE SOCIAL 

3953
02:51:47,738 --> 02:51:49,039
PRESCRIPTIONS FOR THESE 

3954
02:51:49,039 --> 02:51:49,373
INTERVENTIONS.

3955
02:51:49,373 --> 02:51:55,979
THE WAY THEY'RE TRYING TO GO 

3956
02:51:55,979 --> 02:51:58,015
ABOUT THEIR RESEARCH IS LINKED 

3957
02:51:58,015 --> 02:51:59,282
TO WHAT WE'RE TALKING ABOUT HERE

3958
02:51:59,282 --> 02:52:03,553
AND SORRY ABOUT THE VOICE.

3959
02:52:03,553 --> 02:52:06,957
>> CATHY: THANKS FOR
CHIMING IN.

3960
02:52:06,957 --> 02:52:08,725
MEGAN, GO AHEAD.

3961
02:52:08,725 --> 02:52:11,294
>> MEGAN: I WANTED TO
RETURN TO 

3962
02:52:11,294 --> 02:52:13,463
THE ACADEMIC OR STRUCTURAL 

3963
02:52:13,463 --> 02:52:17,234
BARRIERS MANY OF US FEEL LIKE 

3964
02:52:17,234 --> 02:52:18,368
YEAR UP AGAINST AND MANY 

3965
02:52:18,368 --> 02:52:20,871
DESCRIBED YOU HAVE TO DEVELOP 

3966
02:52:20,871 --> 02:52:24,374
THESE TWO LINES.

3967
02:52:24,374 --> 02:52:26,710
ONE TO GET YOU TO TENURE AND 

3968
02:52:26,710 --> 02:52:28,879
BUILD ON THE COMMUNITY 

3969
02:52:28,879 --> 02:52:31,815
RELATIONSHIPS AND EVENTUALLY DO 

3970
02:52:31,815 --> 02:52:34,484
THE D&I WORK AND WHY ARE WE 

3971
02:52:34,484 --> 02:52:35,952
DOING THAT?

3972
02:52:35,952 --> 02:52:41,558
HAVE YOU GIVEN THOUGHT OR TRIED 

3973
02:52:41,558 --> 02:52:42,692
STRATEGIES YET DOCUMENTING WHAT 

3974
02:52:42,692 --> 02:52:46,430
YOU'RE DOING IN THAT PROCESS 

3975
02:52:46,430 --> 02:52:47,731
THAT PUTTING OTHER THINGS INTO 

3976
02:52:47,731 --> 02:52:49,966
PLACE THAT COULD BE USED INSTEAD

3977
02:52:49,966 --> 02:52:51,234
OF THE CURRENT OCCURRENCE OF 

3978
02:52:51,234 --> 02:52:53,470
GRANTS AND PUBLICATIONS TO 

3979
02:52:53,470 --> 02:52:55,405
DOCUMENT THE WORK WE ARE DOING 

3980
02:52:55,405 --> 02:52:56,973
IN DISSEMINATION AND 

3981
02:52:56,973 --> 02:53:04,114
IMPLEMENTATION.

3982
02:53:04,114 --> 02:53:05,816
>> GREAT QUESTION AND A
STARTED 

3983
02:53:05,816 --> 02:53:08,351
APPROACHING A LOT OF THE THINGS 

3984
02:53:08,351 --> 02:53:12,389
I DO VERY QUANTITATIVELY.

3985
02:53:12,389 --> 02:53:14,458
IN REACHING OUT TO THE SCHOOL 

3986
02:53:14,458 --> 02:53:16,760
PARTNERS AND PRINCIPLES, 

3987
02:53:16,760 --> 02:53:18,261
ADMINISTRATION, I LOG WHEN I 

3988
02:53:18,261 --> 02:53:20,831
REACHED OUT, WHO I REACHED OUT 

3989
02:53:20,831 --> 02:53:22,766
TO, WHAT THEIR POSITION IS, DID 

3990
02:53:22,766 --> 02:53:26,436
I GET A RESPONSE, WHAT DID THE 

3991
02:53:26,436 --> 02:53:27,604
RESPONSE LOOK LIKE AND IT COULD 

3992
02:53:27,604 --> 02:53:31,208
BE YES, NO, YES, NO, YES, NO.

3993
02:53:31,208 --> 02:53:35,045
WHAT'S THE SAMPLE OF FOLKS I 

3994
02:53:35,045 --> 02:53:36,713
REACHED OUT TO THAT CAN GIVE US 

3995
02:53:36,713 --> 02:53:38,215
MORE INFORMATION AS TO WHAT THE 

3996
02:53:38,215 --> 02:53:44,121
BARRIERS ARE IN ESTABLISHING THE

3997
02:53:44,121 --> 02:53:48,892
PARTNERSHIPS AND RESPONSE RATE 

3998
02:53:48,892 --> 02:53:59,369
AND I'VE CONTINUED TO THINK 

3999
02:54:06,743 --> 02:54:09,446
BEFORE WHERE I'M INVESTING MY 

4000
02:54:09,446 --> 02:54:12,883
TIME AND HOW IT CAN LEAD TO MORE

4001
02:54:12,883 --> 02:54:15,218
INFORMATION FOR THE FIELD.

4002
02:54:15,218 --> 02:54:18,822
>> THANKS, GENESIS.

4003
02:54:18,822 --> 02:54:19,022
MATT.

4004
02:54:19,022 --> 02:54:21,391
>> MATT: JUST WANTED TO
COMMENT 

4005
02:54:21,391 --> 02:54:23,226
WITH THE PROMOTION AND TENURE 

4006
02:54:23,226 --> 02:54:23,460
PROCESS.

4007
02:54:23,460 --> 02:54:27,397
WHEN YOU'VE SEEN ONE 

4008
02:54:27,397 --> 02:54:29,399
UNIVERSITY'S SYSTEM FOR APT 

4009
02:54:29,399 --> 02:54:30,467
YOU'VE SEEN ONE UNIVERSITY 

4010
02:54:30,467 --> 02:54:31,668
SYSTEM AND THEY'RE ALL DIFFERENT

4011
02:54:31,668 --> 02:54:36,840
AND ALL OF US ON THIS PART OF 

4012
02:54:36,840 --> 02:54:38,441
THE CALL'S PATH OF SUCCESS IS 

4013
02:54:38,441 --> 02:54:39,176
VERY DIFFERENT.

4014
02:54:39,176 --> 02:54:43,813
I'VE SURFED ON THE APT COMMITTEE

4015
02:54:43,813 --> 02:54:46,283
FOR OUR INSTITUTION AND MANY OF 

4016
02:54:46,283 --> 02:54:48,385
THESE PRACTICE PLANS AND 

4017
02:54:48,385 --> 02:54:52,389
PROMOTION LINES FOR DEPARTMENTS 

4018
02:54:52,389 --> 02:54:54,891
AND COLLEGES ARE BASED ON 

4019
02:54:54,891 --> 02:54:58,061
REGIONAL AND NATIONAL PROMINENCE

4020
02:54:58,061 --> 02:54:59,996
AND SO THIS IS WHERE YOU CAN 

4021
02:54:59,996 --> 02:55:04,334
DEMONSTRATE AND SOMETIMES 

4022
02:55:04,334 --> 02:55:05,602
REGIONAL IS DEFINED BY WITHIN 

4023
02:55:05,602 --> 02:55:08,872
THE UNIVERSITY OUTSIDE OF YOUR 

4024
02:55:08,872 --> 02:55:12,475
DEPARTMENT.

4025
02:55:12,475 --> 02:55:14,144
SOMETIMES IT'S WITHIN A CERTAIN 

4026
02:55:14,144 --> 02:55:18,348
REGION OF THE STATE YOU MIGHT BE

4027
02:55:18,348 --> 02:55:22,519
IN BUT IF YOU CAN DOCUMENT OR 

4028
02:55:22,519 --> 02:55:25,522
HAVE LETTERS OF RECOMMENDATION 

4029
02:55:25,522 --> 02:55:27,090
FROM COMMUNITY ADVISORY BOARDS 

4030
02:55:27,090 --> 02:55:30,360
AS WELL AS PARTNERS IN DATA AND 

4031
02:55:30,360 --> 02:55:32,429
EDUCATIONAL ORGANIZATIONS THAT 

4032
02:55:32,429 --> 02:55:36,199
IN A SENSE CAN REPRESENT EITHER 

4033
02:55:36,199 --> 02:55:38,868
PROXIES OR AS ATTESTATIONS TO 

4034
02:55:38,868 --> 02:55:41,204
THE WORK THAT YOU'VE DONE TO 

4035
02:55:41,204 --> 02:55:44,874
TAKE RESEARCH AND TRANSLATIONAL 

4036
02:55:44,874 --> 02:55:47,277
WAY DEMONSTRATING TRANSLATIONAL 

4037
02:55:47,277 --> 02:55:48,778
VALUE, THAT HAS SAT VERY WELL AT

4038
02:55:48,778 --> 02:55:52,949
LEAST IN OUR APT COMMITTEE AND 

4039
02:55:52,949 --> 02:55:54,317
DEMONSTRATES IT DOESN'T JUST 

4040
02:55:54,317 --> 02:55:55,218
HAVE TO BE A CLINICIAN SEEING 

4041
02:55:55,218 --> 02:55:56,453
PATIENTS FROM OTHER PART OF THE 

4042
02:55:56,453 --> 02:56:02,692
STATE OR FROM OTHER STATE TO 

4043
02:56:02,692 --> 02:56:03,360
DEMONSTRATE THAT RECOGNITION AND

4044
02:56:03,360 --> 02:56:10,667
NAME BUT AS A RESEARCHER AND 

4045
02:56:10,667 --> 02:56:12,168
ACADEMICITION YOU DEVELOPED 

4046
02:56:12,168 --> 02:56:12,535
THAT.

4047
02:56:12,535 --> 02:56:15,105
>> I THINK TINA HAS
SOMETHING TO

4048
02:56:15,105 --> 02:56:16,106
SHARE TOO.

4049
02:56:16,106 --> 02:56:19,009
>> TINA: I WAS GOING TO
POP IN 

4050
02:56:19,009 --> 02:56:21,378
ABOUT PROMOTION AND TENURE AND 

4051
02:56:21,378 --> 02:56:22,178
DEMONSTRATING THE VALUE OF THE 

4052
02:56:22,178 --> 02:56:22,912
WORK YOU DID.

4053
02:56:22,912 --> 02:56:24,881
I DIDN'T WANT TO PUT IT IN THE 

4054
02:56:24,881 --> 02:56:26,349
CHAT BECAUSE PEOPLE ON THE 

4055
02:56:26,349 --> 02:56:28,084
VIDEOCAST CAN'T SEE THE CHAT.

4056
02:56:28,084 --> 02:56:30,820
FOR PEOPLE SHARING RESOURCES, I 

4057
02:56:30,820 --> 02:56:33,657
JUST WANT TO MENTION NO ONE CAN 

4058
02:56:33,657 --> 02:56:36,826
SEE IT EXCEPT FOR THE ZOOM 

4059
02:56:36,826 --> 02:56:37,360
AUDIE

4060
02:56:37,360 --> 02:56:39,396
AUDIENCE AND SOME WE'LL SHARE 

4061
02:56:39,396 --> 02:56:41,598
LATER IN THE WEBINAR AND THERE'S

4062
02:56:41,598 --> 02:56:43,333
THE TOOL CALLED THE 

4063
02:56:43,333 --> 02:56:44,868
TRANSLATIONAL SCIENCE BENEFITS 

4064
02:56:44,868 --> 02:56:48,438
MODEL AND IF YOU GOOGLE 

4065
02:56:48,438 --> 02:56:50,674
TRANSLATIONAL SCIENCE MODEL IT 

4066
02:56:50,674 --> 02:56:53,777
WAS DEVELOPED BY DOUG LUKE AT 

4067
02:56:53,777 --> 02:56:55,412
WASH U WILL BE A PANELIST IN THE

4068
02:56:55,412 --> 02:56:56,813
SESSION TOMORROW.

4069
02:56:56,813 --> 02:56:59,816
IT'S A WAY -- THIS PRETTY COOL 

4070
02:56:59,816 --> 02:57:01,351
FRAMEWORK WITH AN INTERACTIVE 

4071
02:57:01,351 --> 02:57:02,385
TOOL TO DEMONSTRATE.

4072
02:57:02,385 --> 02:57:08,992
YOU CAN BASICALLY TACK TAKE A 

4073
02:57:08,992 --> 02:57:12,896
PROJECT YOU DID AND LOOK AT HOW 

4074
02:57:12,896 --> 02:57:16,433
MANY PEOPLE RECEIVED THIS AND 

4075
02:57:16,433 --> 02:57:19,536
ACCESSIBILITY AND IF YOU HAVE A 

4076
02:57:19,536 --> 02:57:21,404
SCHOOL THAT ADOPTED A PROGRAM 

4077
02:57:21,404 --> 02:57:23,973
YOU DID AND THAT'S A REAL WORLD 

4078
02:57:23,973 --> 02:57:25,275
IMPACT MOST OF OUR RESEARCH 

4079
02:57:25,275 --> 02:57:26,643
NEVER ACHIEVE.

4080
02:57:26,643 --> 02:57:28,078
ALL THE STUFF THAT HOLLY 

4081
02:57:28,078 --> 02:57:31,781
PRESENTED IN THE BEGINNING GOES 

4082
02:57:31,781 --> 02:57:32,882
INTO JOURNALS AND THE SITS ON 

4083
02:57:32,882 --> 02:57:34,684
THE LAB LIKE IT'S NOT IN THE 

4084
02:57:34,684 --> 02:57:35,418
LIBRARY ANY MORE.

4085
02:57:35,418 --> 02:57:38,421
IT'S JUST SITTING THERE FOR NO 

4086
02:57:38,421 --> 02:57:40,457
ONE TO READ OR DO ANYTHING 

4087
02:57:40,457 --> 02:57:40,657
ABOUT.

4088
02:57:40,657 --> 02:57:42,325
IT'S A COOL WEBSITE I RECOMMEND 

4089
02:57:42,325 --> 02:57:43,793
BECAUSE THERE ARE PLACES AND 

4090
02:57:43,793 --> 02:57:45,395
PEOPLE WHO ARE MAKING ARGUMENTS 

4091
02:57:45,395 --> 02:57:46,930
THAT THIS IS THE TYPE OF STUFF 

4092
02:57:46,930 --> 02:57:49,799
THAT SHOULD BE ABOUT LIKE IN OUR

4093
02:57:49,799 --> 02:57:51,935
ANNUAL EVALUATION OR REVIEWS.

4094
02:57:51,935 --> 02:57:53,570
IT'S NOT PUBLICATION AND GRANTS.

4095
02:57:53,570 --> 02:57:56,206
IT'S DOING THIS STUFF WHICH IS 

4096
02:57:56,206 --> 02:57:58,341
KIND OF THE GOAL OF ALL OF
D&I 

4097
02:57:58,341 --> 02:58:00,176
AND TRANSLATIONAL SCIENCE.

4098
02:58:00,176 --> 02:58:01,644
IF YOU HAVEN'T SEEN IT TAKE A 

4099
02:58:01,644 --> 02:58:04,114
PEEK AT IT.

4100
02:58:04,114 --> 02:58:09,285
>> THANKS, CATHY.

4101
02:58:09,285 --> 02:58:12,122
>> CATHY: THANK YOU, TINA.

4102
02:58:12,122 --> 02:58:12,389
STEVEN.

4103
02:58:12,389 --> 02:58:13,923
>> IT'S BEEN A GREAT
SESSION.

4104
02:58:13,923 --> 02:58:15,492
I LEARNED A HUGE AMOUNT AND 

4105
02:58:15,492 --> 02:58:20,964
WANTED TO POP IN AND REPRESENT 

4106
02:58:20,964 --> 02:58:27,404
ANOTHER NIDCD FAMILY THE SENSORY

4107
02:58:27,404 --> 02:58:31,674
PEOPLE AND WE ARE FAR BEHIND 

4108
02:58:31,674 --> 02:58:33,576
WHERE THINGS ARE IN AUDITORY 

4109
02:58:33,576 --> 02:58:35,879
RESEARCH AND SPEECH LANGUAGE.

4110
02:58:35,879 --> 02:58:38,982
I CAN'T THINK OF A PERSON IN OUR

4111
02:58:38,982 --> 02:58:39,616
FIELD DOING D&I RESEARCH BUT

4112
02:58:39,616 --> 02:58:44,454
IT'S GOING TO BE COMING DOWN THE

4113
02:58:44,454 --> 02:58:48,792
PIKE FOR US.

4114
02:58:48,792 --> 02:58:57,167
AS A MATTER OF FACT, THERE'S A 

4115
02:58:57,167 --> 02:58:59,702
CONFERENCE FOR HOW TO GET THE 

4116
02:58:59,702 --> 02:59:01,070
TESTING INTO THE U.S. AND 

4117
02:59:01,070 --> 02:59:03,206
SCHOOLS AND OTHER LOCATIONS 

4118
02:59:03,206 --> 02:59:08,745
WHERE WE CAN START TO ASSESS 

4119
02:59:08,745 --> 02:59:11,815
THIS AND RIDE THE WAY TO CHEMO 

4120
02:59:11,815 --> 02:59:12,882
SENSORY DISORDERS THAT HAVE COME

4121
02:59:12,882 --> 02:59:18,254
UP WITH COVID.

4122
02:59:18,254 --> 02:59:20,356
TRYING TO BETTER UNDERSTAND 

4123
02:59:20,356 --> 02:59:23,927
WHAT'S NEEDED TO GET INSURANCE 

4124
02:59:23,927 --> 02:59:25,395
COVERAGE FOR CHEMO SENSORY 

4125
02:59:25,395 --> 02:59:30,433
TESTING AND ALL THE ISSUES 

4126
02:59:30,433 --> 02:59:37,040
BROUGHT UP AND BRING THEM TO THE

4127
02:59:37,040 --> 02:59:40,810
FORE FOR SMELL AND TASTE 

4128
02:59:40,810 --> 02:59:43,980
RESEARCH AND DISORDERS WELL.

4129
02:59:43,980 --> 02:59:45,782
I THINK HOPEFULLY MORE PEOPLE IN

4130
02:59:45,782 --> 02:59:48,351
OUR FIELD WILL BE JUMPING IN.

4131
02:59:48,351 --> 02:59:51,855
AND I WANT TO BRIEFLY BRING UP I

4132
02:59:51,855 --> 02:59:56,659
WOULD LIKE TO REITERATE ON PUT 

4133
02:59:56,659 --> 03:00:01,664
IN MY BID FOR NIDCD SUPPORT 

4134
03:00:01,664 --> 03:00:04,300
BEING AN INSTITUTE SPECIFIC FOA 

4135
03:00:04,300 --> 03:00:06,703
IN TERMLY REVIEWED AND SPECIAL 

4136
03:00:06,703 --> 03:00:10,406
SECTION WITHIN DCD.

4137
03:00:10,406 --> 03:00:16,613
I DON'T THINK FROM EVERYTHING 

4138
03:00:16,613 --> 03:00:22,352
THERE'LL BE A SUBSTANTIVE 

4139
03:00:22,352 --> 03:00:29,792
MOVEMENT IN THE CARDIO WORLD OR 

4140
03:00:29,792 --> 03:00:30,460
WHATNOT.

4141
03:00:30,460 --> 03:00:33,830
IT WON'T BE AS PROGRESSIVE AS IT

4142
03:00:33,830 --> 03:00:36,900
IS IN OTHER FIELD.

4143
03:00:36,900 --> 03:00:42,539
THAT'S IT, THANKS.

4144
03:00:42,539 --> 03:00:44,741
>> WE'RE RUNNING OUT OF
TIME.

4145
03:00:44,741 --> 03:00:45,909
THIS IS GOING SO FAST BUT WE 

4146
03:00:45,909 --> 03:00:48,044
HAVE TIME FOR TEDDY.

4147
03:00:48,044 --> 03:00:49,946
>> THANK YOU FOR ALLOWING
ME TO 

4148
03:00:49,946 --> 03:00:51,414
BE PART OF THIS WONDERFUL PANEL.

4149
03:00:51,414 --> 03:00:53,583
I THINK THERE'S A LOT OF PEOPLE 

4150
03:00:53,583 --> 03:00:56,886
HERE ON THE EARLY STAGES OF 

4151
03:00:56,886 --> 03:00:57,487
CONSIDERING IMPLEMENTATION 

4152
03:00:57,487 --> 03:01:04,861
RESEARCH AND THE FEAR OF 

4153
03:01:04,861 --> 03:01:07,463
ENTERING THE AREA AND YOU'RE ALL

4154
03:01:07,463 --> 03:01:08,731
EXPERTS IN THE FIELD.

4155
03:01:08,731 --> 03:01:10,366
MY QUESTION TO ANYONE IS WHAT 

4156
03:01:10,366 --> 03:01:13,136
ARE THE FIRST STEPS YOU TOOK TO 

4157
03:01:13,136 --> 03:01:14,203
GET INVOLVED IN D&I RESEARCH
AND

4158
03:01:14,203 --> 03:01:15,338
WHAT DID YOU FIND TO BE THE MOST

4159
03:01:15,338 --> 03:01:25,481
HELPFUL?

4160
03:01:30,887 --> 03:01:32,889
>> THE FIRST REALIZATION I
HAVE 

4161
03:01:32,889 --> 03:01:39,429
I WAS ENTRUSTED IN DIP --
D&I 

4162
03:01:39,429 --> 03:01:41,064
WORK WAS WORKING IN THE CLINIC.

4163
03:01:41,064 --> 03:01:42,966
I'M A LICENSED AUDIOLOGIST AS 

4164
03:01:42,966 --> 03:01:44,667
WELL AND DOING COMMUNITY-BASED 

4165
03:01:44,667 --> 03:01:46,703
EVENT AND PARTICIPATING IN OUR 

4166
03:01:46,703 --> 03:01:48,871
BRIDGE CLINIC WHICH PROVIDES 

4167
03:01:48,871 --> 03:01:50,440
LOGISTIC AND REFERRAL AND SOME 

4168
03:01:50,440 --> 03:01:54,611
TREATMENT SERVICES TO IN UNSURED

4169
03:01:54,611 --> 03:01:56,346
ADULTS AND GETTING INVOLVED WITH

4170
03:01:56,346 --> 03:01:58,815
THOSE GROUPS AND LIKE MINDED 

4171
03:01:58,815 --> 03:02:03,920
PEOPLE INTERESTED IN WORKING 

4172
03:02:03,920 --> 03:02:06,589
WITHIN THE COMMUNITY AND 

4173
03:02:06,589 --> 03:02:07,256
IMPROVING CLINICAL OUTCOMES.

4174
03:02:07,256 --> 03:02:09,826
I DON'T KNOW IF THAT'S A GREAT 

4175
03:02:09,826 --> 03:02:12,261
ANSWER BUT HOW I GOT STARTED AND

4176
03:02:12,261 --> 03:02:14,430
I WAS LIKE OH, I REALLY LIKE 

4177
03:02:14,430 --> 03:02:14,631
THIS.

4178
03:02:14,631 --> 03:02:16,065
I WONDER IF ANYONE'S RESEARCHED 

4179
03:02:16,065 --> 03:02:18,635
ON THIS AND IT'S LIKE, WELL THEY

4180
03:02:18,635 --> 03:02:20,870
HAVEN'T.

4181
03:02:20,870 --> 03:02:23,272
I'M GOING GET A Ph.D. AND I'M 

4182
03:02:23,272 --> 03:02:25,608
GOING TO WRITE A BOOK AND THEN 

4183
03:02:25,608 --> 03:02:29,012
ANOTHER GRANT AND ASK THIS 

4184
03:02:29,012 --> 03:02:31,814
PERSON TO ASK THIS PERSON TO 

4185
03:02:31,814 --> 03:02:35,852
HELP ME WRITE A GRANT BUT IT 

4186
03:02:35,852 --> 03:02:38,154
STARTED IN THE COMMUNITY 

4187
03:02:38,154 --> 03:02:38,488
PROGRAMS.

4188
03:02:38,488 --> 03:02:41,357
>> CATHY: THANKS, ANYBODY
ELSE?

4189
03:02:41,357 --> 03:02:51,334
>> MATT: I'LL SAY I
ATTENDED 

4190
03:02:51,334 --> 03:02:53,569
TIDAR WORK TRAINING PROGRAMS.

4191
03:02:53,569 --> 03:02:55,772
THAT WAS MY BAPTISM INTO D&I

4192
03:02:55,772 --> 03:03:01,010
SCIENCE AND THE FIELD AND 

4193
03:03:01,010 --> 03:03:02,745
METHODS AND THE GRANTS AND WAYS 

4194
03:03:02,745 --> 03:03:09,419
TO GET CLEARER SENSE OF WHAT IT 

4195
03:03:09,419 --> 03:03:10,453
IS AND ISN'T AND FORMALIZED 

4196
03:03:10,453 --> 03:03:16,292
TRAINING WAS HELPFUL.

4197
03:03:16,292 --> 03:03:16,893
 

4198
03:03:16,893 --> 03:03:18,061
>> CATHY: GREAT.

4199
03:03:18,061 --> 03:03:23,599
I THINK WE'LL HEAR ABOUT MORE 

4200
03:03:23,599 --> 03:03:24,467
OPPORTUNITIES THERE'S A NUMBER 

4201
03:03:24,467 --> 03:03:25,868
OF D&I ONLINE AND TRAINING 

4202
03:03:25,868 --> 03:03:26,636
OPPORTUNITIES OUT THERE.

4203
03:03:26,636 --> 03:03:28,104
ANYONE ELSE HAVE ANY QUICK 

4204
03:03:28,104 --> 03:03:32,875
STORIES TO SHARE HOW YOU GOT 

4205
03:03:32,875 --> 03:03:40,183
STARTED?

4206
03:03:40,183 --> 03:03:44,887
 WHEN JOE MENTIONED SHE'S BEEN 

4207
03:03:44,887 --> 03:03:49,225
DOING D&I RESEARCH 30 YEARS
AND 

4208
03:03:49,225 --> 03:03:50,526
DIDN'T REALIZE IT AND I HAVEN'T 

4209
03:03:50,526 --> 03:03:52,829
BEEN DOING IT THAT LONG BUT IN 

4210
03:03:52,829 --> 03:03:54,731
GRADUATE SCHOOL I WAS USING 

4211
03:03:54,731 --> 03:03:56,299
TELEHEALTH.

4212
03:03:56,299 --> 03:03:59,268
THAT WAS D&I AND IN MY Ph.D.

4213
03:03:59,268 --> 03:04:04,540
PROGRAM I STARTED TO LEARN ABOUT

4214
03:04:04,540 --> 03:04:05,174
COMMUNITY-BASED PARTICIPATORY 

4215
03:04:05,174 --> 03:04:09,412
RESEARCH AND LATER I STARTED TO 

4216
03:04:09,412 --> 03:04:14,350
LEARN ABOUT FROM FOLKS IN AND 

4217
03:04:14,350 --> 03:04:15,985
OUT SIDE THE FORMAL STRUCTURE OF

4218
03:04:15,985 --> 03:04:17,653
DAYNE AND HELPED ME REFLECT ON 

4219
03:04:17,653 --> 03:04:20,690
WHAT I HAD BEEN DOING AND WHAT 

4220
03:04:20,690 --> 03:04:25,995
MY MENTORS HAD BEEN DOING IN THE

4221
03:04:25,995 --> 03:04:31,200
PAST AND HELPED STRUCTURE AND 

4222
03:04:31,200 --> 03:04:32,735
LEARN WHERE THE GAPS WERE AND 

4223
03:04:32,735 --> 03:04:35,104
LEARNING ABOUT D&I FOR THE 

4224
03:04:35,104 --> 03:04:35,338
FUTURE.

4225
03:04:35,338 --> 03:04:35,671
>> THANK YOU.

4226
03:04:35,671 --> 03:04:38,674
IT'S ABOUT TIME FOR A BREAK.

4227
03:04:38,674 --> 03:04:40,910
SORRY, I DIDN'T GET TO ALL YOUR 

4228
03:04:40,910 --> 03:04:43,246
QUESTION AND A REMINDER FOR 

4229
03:04:43,246 --> 03:04:44,881
THOSE ON THE ZOOM THE CHAT IS 

4230
03:04:44,881 --> 03:04:47,683
JUST FOR A SMALL GROUP OF PEOPLE

4231
03:04:47,683 --> 03:04:51,154
AS TINA SAID.

4232
03:04:51,154 --> 03:04:52,889
IT'S NOT FOR EVERYONE WHO IS OUT

4233
03:04:52,889 --> 03:04:57,460
THERE LISTENING TO LET YOU KNOW 

4234
03:04:57,460 --> 03:04:58,995
IT'S ONLY A SMALLER SUBSET OF 

4235
03:04:58,995 --> 03:05:00,329
PEOPLE SEEING WHAT'S GOING ON IN

4236
03:05:00,329 --> 03:05:01,831
THE CHAT SECTION.

4237
03:05:01,831 --> 03:05:04,367
HOLLY DO YOU WANT TO INTRODUCE 

4238
03:05:04,367 --> 03:05:05,601
THE BREAK?

4239
03:05:05,601 --> 03:05:11,874
>> WE'LL BE ON BREAK TO
3:30 

4240
03:05:11,874 --> 03:05:12,108
EASTERN.

4241
03:05:12,108 --> 03:05:12,909
TAKE A BREAK.

4242
03:05:12,909 --> 03:05:15,578
IF YOU HAVE QUESTIONS WRITE THEM

4243
03:05:15,578 --> 03:05:16,979
DOWN BEFORE THE BREAK BECAUSE 

4244
03:05:16,979 --> 03:05:19,081
THE NEXT SESSION WILL CONTINUE 

4245
03:05:19,081 --> 03:05:20,249
ON THE THEME.

4246
03:05:20,249 --> 03:05:21,250
THEY'LL BE AN APPROPRIATE TIME 

4247
03:05:21,250 --> 03:05:22,919
TO ASK THOSE QUESTIONS OR MAKE 

4248
03:05:22,919 --> 03:05:25,555
COMMENTS IN OUR NEXT SEGMENT FOR

4249
03:05:25,555 --> 03:05:26,055
AUDIENCE PARTICIPATION.

4250
03:05:26,055 --> 03:05:37,196
THANKS SO MUCH EVERYONE.

4251
03:05:37,196 --> 03:05:38,697
LET'S GO AHEAD AND GET 

4252
03:05:38,697 --> 03:05:40,332
STARTED AND WE INVITED FOUR 

4253
03:05:40,332 --> 03:05:42,868
FOLKS TO TALK BRIEFLY ABOUT SOME

4254
03:05:42,868 --> 03:05:53,349
OF THE RESEARCH THEY'RE DOING IN

4255
03:05:53,349 --> 03:05:55,985
THE CONTEXT OF HOW THEY HAVE 

4256
03:05:55,985 --> 03:05:58,087
OVERCOME SOME OF THE CHALLENGES 

4257
03:05:58,087 --> 03:05:59,855
THAT THEY'VE FACED IN DOING THIS

4258
03:05:59,855 --> 03:06:02,358
TYPE OF WORK AND WE'RE HOPING 

4259
03:06:02,358 --> 03:06:03,426
THIS WILL BE A LITTLE BIT OF A 

4260
03:06:03,426 --> 03:06:04,960
RESPONSE TO SOME OF THE THINGS 

4261
03:06:04,960 --> 03:06:09,365
WE JUST HEARD IN THE LAST PANEL.

4262
03:06:09,365 --> 03:06:11,500
SO EACH SPEAKER WILL HAVE ABOUT 

4263
03:06:11,500 --> 03:06:16,205
10 MINUTES TO DO A PRESENTATION.

4264
03:06:16,205 --> 03:06:17,640
I'LL GIVE YOU A TIME CHECK AT 10

4265
03:06:17,640 --> 03:06:19,442
MINUTES BECAUSE WE'RE NOT 

4266
03:06:19,442 --> 03:06:20,876
PRESSED FOR TIME SO WHEN I GIVE 

4267
03:06:20,876 --> 03:06:22,878
YOU THE TIME CHECK YOU CAN HAVE 

4268
03:06:22,878 --> 03:06:24,947
A COMFORTABLE ONE TO TWO MINUTES

4269
03:06:24,947 --> 03:06:26,849
TO WRAP UP YOUR FINAL THOUGHTS.

4270
03:06:26,849 --> 03:06:28,784
ONCE THE PRESENTERS ARE DONE, 

4271
03:06:28,784 --> 03:06:29,752
WE'LL SEE WHERE WE ARE.

4272
03:06:29,752 --> 03:06:32,588
WE DIDN'T GET TO ALL THE 

4273
03:06:32,588 --> 03:06:34,156
QUESTIONS IN THE LAST SECTION SO

4274
03:06:34,156 --> 03:06:36,559
WE MIGHT OPEN UP OUR AUDIENCE 

4275
03:06:36,559 --> 03:06:37,326
PRESENTATION A LITTLE BIT EARLY 

4276
03:06:37,326 --> 03:06:39,328
OR I MAY TAKE A MOMENT TO ASK 

4277
03:06:39,328 --> 03:06:41,864
OUR PANELISTS SOME QUESTION CAME

4278
03:06:41,864 --> 03:06:43,566
UP IN THE LAST SEGMENT.

4279
03:06:43,566 --> 03:06:45,134
WE'LL SEE HOW THAT GOES.

4280
03:06:45,134 --> 03:06:46,469
WE'LL HAVE ANOTHER CHANCE FOR 

4281
03:06:46,469 --> 03:06:49,271
AUDIENCE PARTICIPATION AT THE 

4282
03:06:49,271 --> 03:06:52,608
END OF ALL THIS.

4283
03:06:52,608 --> 03:06:54,243
WE'LL BE FOLLOWING THE ORDER IN 

4284
03:06:54,243 --> 03:06:55,277
THE AGENDA.

4285
03:06:55,277 --> 03:07:02,384
THE FIRST PRESENTER WILL BE 

4286
03:07:02,384 --> 03:07:07,022
MEGAN MORRIS.

4287
03:07:07,022 --> 03:07:17,366
>> MEGAN: THANK YOU.

4288
03:07:21,670 --> 03:07:26,375
THANK YOU FOR INVITING ME AND 

4289
03:07:26,375 --> 03:07:33,282
GIVE A BRIEF OVERVIEW OF THE 

4290
03:07:33,282 --> 03:07:34,049
RESEARCH ARENA.

4291
03:07:34,049 --> 03:07:38,954
I'M A RESEARCHER AT IN COLORADO 

4292
03:07:38,954 --> 03:07:40,556
AND SLP BY TRAINING BUT SIT IN 

4293
03:07:40,556 --> 03:07:42,157
INTERNAL MEDICINE AND THE AIM OF

4294
03:07:42,157 --> 03:07:44,593
MY RESEARCH IS ADVANCING 

4295
03:07:44,593 --> 03:07:45,494
EQUITABLE HEALTH CARE FOR PEOPLE

4296
03:07:45,494 --> 03:07:52,201
WITH COMMUNICATION DISABILITIES.

4297
03:07:52,201 --> 03:07:53,068
I'LL START BROAD.

4298
03:07:53,068 --> 03:07:56,805
THIS WAS SOME OF MY FIRST 

4299
03:07:56,805 --> 03:08:02,545
RESEARCH IN THE AREA THAT WE I 

4300
03:08:02,545 --> 03:08:05,214
PARTNERS WITH SOMEONE WITH 

4301
03:08:05,214 --> 03:08:07,783
EPIDEMIOLOGICAL SKILLS AND 

4302
03:08:07,783 --> 03:08:10,686
LOOKED AT LARGE DATABASES AND 

4303
03:08:10,686 --> 03:08:12,421
I'M SHOWING DATA FROM THOSE WITH

4304
03:08:12,421 --> 03:08:14,456
SPEECH, LANGUAGE OR VOICE 

4305
03:08:14,456 --> 03:08:15,925
DISABILITY ACROSS A WIDE RANGE 

4306
03:08:15,925 --> 03:08:18,160
OF HEALTH CONDITIONS ARE MORE 

4307
03:08:18,160 --> 03:08:20,229
LIKELY TO HAVE CHRONIC 

4308
03:08:20,229 --> 03:08:20,863
CONDITIONS.

4309
03:08:20,863 --> 03:08:23,666
AND NOT ONLY DO THEY HAVE HIGHER

4310
03:08:23,666 --> 03:08:28,938
RATES OF CHRONIC CONDITIONS BUT 

4311
03:08:28,938 --> 03:08:30,406
THEY ALSO HAVE MORE DIFFICULTY 

4312
03:08:30,406 --> 03:08:31,574
FINDING A PROVIDER WILLING TO 

4313
03:08:31,574 --> 03:08:31,974
SEE THEM.

4314
03:08:31,974 --> 03:08:38,013
WE FOUND THIS  IS A POPULATION 

4315
03:08:38,013 --> 03:08:39,982
WITH HIGH RATES OF INSURANCE BUT

4316
03:08:39,982 --> 03:08:42,184
HAVE DIFFICULTY FINDING A 

4317
03:08:42,184 --> 03:08:44,219
PROVIDE WITH SPEECH, LANGUAGE 

4318
03:08:44,219 --> 03:08:45,888
AND VOICE DISABILITIES ARE THREE

4319
03:08:45,888 --> 03:08:47,656
TIMES MORE LIKELY TO REPORT 

4320
03:08:47,656 --> 03:08:49,758
HAVING TROUBLE FINDING A 

4321
03:08:49,758 --> 03:08:52,061
PROVIDER AS OPPOSED TO THOSE 

4322
03:08:52,061 --> 03:08:53,228
WITHOUT COMMUNICATION 

4323
03:08:53,228 --> 03:08:56,432
DISABILITIES.

4324
03:08:56,432 --> 03:08:59,668
MYSELF AND MANY OTHERS HAVE 

4325
03:08:59,668 --> 03:09:02,204
EXPLORED THIS FURTHER.

4326
03:09:02,204 --> 03:09:04,440
MOSTLY THROUGH QUALITATIVE 

4327
03:09:04,440 --> 03:09:09,211
RESEARCH AND COMMUNICATION 

4328
03:09:09,211 --> 03:09:10,312
DISABILITIES.

4329
03:09:10,312 --> 03:09:13,749
WHAT, FYI, MY VIDEO STOPPED 

4330
03:09:13,749 --> 03:09:18,387
BECAUSE THE HOST DISABLED THAT.

4331
03:09:18,387 --> 03:09:19,188
PATIENTS WITH DISABILITY 

4332
03:09:19,188 --> 03:09:21,190
DISORDERS REPORT EXPERIENCES OF 

4333
03:09:21,190 --> 03:09:24,093
BEING EXCLUDED FROM DECISIONS 

4334
03:09:24,093 --> 03:09:26,929
ABOUT THEIR CARE ABOUT 

4335
03:09:26,929 --> 03:09:27,630
ASSUMPTIONS BEING MADE ABOUT 

4336
03:09:27,630 --> 03:09:29,698
THEIR COGNITIVE ABILITIES AND 

4337
03:09:29,698 --> 03:09:35,137
THIS IS INCREDIBLY FRUSTRATING 

4338
03:09:35,137 --> 03:09:38,641
FOR PATIENTS.

4339
03:09:38,641 --> 03:09:44,613
AND BEING UNCERTAIN HOW IT BEST 

4340
03:09:44,613 --> 03:09:46,181
COMMUNICATE WITH PATIENTS WITH 

4341
03:09:46,181 --> 03:09:48,050
DISABILITIES AND IT'S LIKELY 

4342
03:09:48,050 --> 03:09:50,019
CONTRIBUTING TO THE POOR HEALTH 

4343
03:09:50,019 --> 03:09:53,288
AND HEALTH CARE OUTCOMES WITH 

4344
03:09:53,288 --> 03:09:55,457
PEOPLE WITH DISABILITIES.

4345
03:09:55,457 --> 03:10:01,196
YOU MAY NOT BE AWARE THERE'S 

4346
03:10:01,196 --> 03:10:03,065
MULTIPLE FEDERAL LAWS THAT 

4347
03:10:03,065 --> 03:10:04,566
REQUIRE HEALTH CARE TEAMS TO 

4348
03:10:04,566 --> 03:10:06,602
PROVIDE ACCESSIBLE CARE TO 

4349
03:10:06,602 --> 03:10:08,404
PEOPLE WITH DISABILITIES 

4350
03:10:08,404 --> 03:10:09,772
GENERALLY AND ALSO THOSE WITH 

4351
03:10:09,772 --> 03:10:11,840
COMMUNICATION DISABILITY.

4352
03:10:11,840 --> 03:10:15,177
I PULLED OUT HERE SECTION 1557 

4353
03:10:15,177 --> 03:10:17,279
OF AFFORDABLE CARE ACT WHICH 

4354
03:10:17,279 --> 03:10:19,481
REQUIRES HEALTH CARE TEAMS TO 

4355
03:10:19,481 --> 03:10:23,519
PROVIDE EFFECTIVE COMMUNICATION 

4356
03:10:23,519 --> 03:10:25,788
WHICH INCLUDES PROVISION OF 

4357
03:10:25,788 --> 03:10:29,291
SERVICES AND THE NUMBER ONE ADA 

4358
03:10:29,291 --> 03:10:30,025
LAWSUIT IN THE HEALTH CARE 

4359
03:10:30,025 --> 03:10:33,595
SETTING IS DUE TO A LACK OF 

4360
03:10:33,595 --> 03:10:35,698
PROVISION OF EFFECTIVE 

4361
03:10:35,698 --> 03:10:36,265
COMMUNICATION.

4362
03:10:36,265 --> 03:10:41,303
WE HAVE THIS GAP OF OKAY, WE 

4363
03:10:41,303 --> 03:10:44,206
KNOW PATIENTS WITH DISABILITY 

4364
03:10:44,206 --> 03:10:45,507
HAVING POORER EXPERIENCES AND 

4365
03:10:45,507 --> 03:10:49,578
POORER OUTCOMES AND OUR HEALTH 

4366
03:10:49,578 --> 03:10:51,714
CARE TEAMS AREN'T AWASH OF HOW 

4367
03:10:51,714 --> 03:10:57,219
BEST TO COMMUNICATE BUT YET HAVE

4368
03:10:57,219 --> 03:11:00,956
LAWS AND POLICIES REQUIRING 

4369
03:11:00,956 --> 03:11:05,461
EQUITABLE CARE.

4370
03:11:05,461 --> 03:11:11,400
WE HAVE DONE TWO IMPLEMENT 

4371
03:11:11,400 --> 03:11:14,069
STUDIES AREA AND I FIRST WANT TO

4372
03:11:14,069 --> 03:11:20,676
MENTION THE FIRST STUDY THAT WE 

4373
03:11:20,676 --> 03:11:27,249
ARE COMPETING WHICH IS A STUDY 

4374
03:11:27,249 --> 03:11:35,257
FUNDED BY PCORI AND THIS WAS A 

4375
03:11:35,257 --> 03:11:36,792
TYPE 1 EFFECTIVENESS HYBRID 

4376
03:11:36,792 --> 03:11:37,726
IMPLEMENTATION TRIAL.

4377
03:11:37,726 --> 03:11:41,330
IT THE AIM OF THE STUDY WAS TO 

4378
03:11:41,330 --> 03:11:43,198
INCREASE PRIMARY CARE PROVIDER'S

4379
03:11:43,198 --> 03:11:45,868
USE OF EFFECTIVE COMMUNICATION 

4380
03:11:45,868 --> 03:11:47,002
STUDIES THROUGH PRIMARY CARE 

4381
03:11:47,002 --> 03:11:49,271
ENCOUNTERS WITH PATIENTS WITH 

4382
03:11:49,271 --> 03:11:51,306
ALL KINDS OF COMMUNICATION 

4383
03:11:51,306 --> 03:11:54,643
DISORDERS THE INTERACT TRIAL.

4384
03:11:54,643 --> 03:11:58,680
AND I'LL GIVE A SHOUT OUT TO OUR

4385
03:11:58,680 --> 03:12:01,717
IMPLEMENTATION SCIENCE ON THE 

4386
03:12:01,717 --> 03:12:05,287
TRIAL WAS DR. GLASGOW WHO WILL 

4387
03:12:05,287 --> 03:12:09,324
BE SPEAKING AS PART OF THIS 

4388
03:12:09,324 --> 03:12:11,860
WORKSHOP.

4389
03:12:11,860 --> 03:12:21,136
AND JUST AGAIN TO PCORII IS 

4390
03:12:21,136 --> 03:12:26,809
WHERE AS THE FUNDED AND CONCLUDE

4391
03:12:26,809 --> 03:12:33,248
THE STUDY AND THERE'S A NEXT 

4392
03:12:33,248 --> 03:12:35,851
LEVEL OF RESEARCH.

4393
03:12:35,851 --> 03:12:38,287
IF YOU HAVE A COMPARATIVE 

4394
03:12:38,287 --> 03:12:39,888
DEAFNESS TRIALS THE NEXT STAGE 

4395
03:12:39,888 --> 03:12:50,465
IS AN IMPLEMENTATION TRIAL WE'RE

4396
03:12:50,465 --> 03:12:53,302
THINKING ABOUT IMPLEMENTATION 

4397
03:12:53,302 --> 03:12:54,970
WHICH WILL BE MORE IN THE HYBRID

4398
03:12:54,970 --> 03:12:59,541
TYPE 3 RANGE.

4399
03:12:59,541 --> 03:13:10,085
TODAY I WANT TO SPEND TIME ON AN

4400
03:13:24,499 --> 03:13:34,676
RO 1 FUNDED TRIAL AND LOOKING AT

4401
03:13:34,676 --> 03:13:35,844
IMPLEMENTATION HEALTH AND THE 

4402
03:13:35,844 --> 03:13:46,355
D&I STUDY SECTION AT NIH AND

4403
03:13:49,358 --> 03:13:52,427
FOCUS ON COMMUNICATION 

4404
03:13:52,427 --> 03:13:53,295
DISABILITIES FUNDED THROUGH 

4405
03:13:53,295 --> 03:13:53,929
REVIEWED POSITIVELY BY THE STUDY

4406
03:13:53,929 --> 03:13:57,132
SECTION.

4407
03:13:57,132 --> 03:14:07,643
I JUST WANTED TO GIVE A WIDE 

4408
03:14:08,443 --> 03:14:09,411
TIME LINE TO IT'S THE A FEW 

4409
03:14:09,411 --> 03:14:14,983
PIECES.

4410
03:14:14,983 --> 03:14:16,351
IT DID TAKE TIME AND HIGHLIGHT 

4411
03:14:16,351 --> 03:14:18,020
HOW WE'VE ENGAGED STAKEHOLDERS 

4412
03:14:18,020 --> 03:14:22,424
ALONG THE WAY.

4413
03:14:22,424 --> 03:14:25,294
11 YEARS AGO I STARTED THINKING 

4414
03:14:25,294 --> 03:14:28,196
ABOUT DOCUMENTING DISABILITY 

4415
03:14:28,196 --> 03:14:30,599
STATUS PARTICULARLY PATIENT'S 

4416
03:14:30,599 --> 03:14:32,100
COMMUNICATION DISABILITY STATUS 

4417
03:14:32,100 --> 03:14:32,801
IN THE ELECTRONIC HEALTH RECORD 

4418
03:14:32,801 --> 03:14:35,437
AND WHY I WAS DOING THIS WAS 

4419
03:14:35,437 --> 03:14:38,907
RECOGNIZING THAT I WAS 

4420
03:14:38,907 --> 03:14:39,975
INTERESTED IN TRACKING THE 

4421
03:14:39,975 --> 03:14:41,910
QUALITY OF CARE AND MAKING SURE 

4422
03:14:41,910 --> 03:14:43,979
PEOPLE WITH COMMUNICATION 

4423
03:14:43,979 --> 03:14:44,880
DISABILITIES RECEIVE EQUITABLE 

4424
03:14:44,880 --> 03:14:46,381
CARE BUT YOU CAN'T LOOK AT THAT 

4425
03:14:46,381 --> 03:14:48,350
ORGANIZATION LEVEL IF YOU DON'T 

4426
03:14:48,350 --> 03:14:52,020
KNOW WHO HAS THE COMMUNICATION 

4427
03:14:52,020 --> 03:14:52,387
DISABILITY.

4428
03:14:52,387 --> 03:14:54,790
WE NEED TO BEING DOCUMENTING 

4429
03:14:54,790 --> 03:14:57,225
THIS CONSISTENTLY IN THE 

4430
03:14:57,225 --> 03:15:01,830
ELECTRONIC HEALTH RECORD OR 

4431
03:15:01,830 --> 03:15:02,664
E.H.R.

4432
03:15:02,664 --> 03:15:06,868
AND SO IN 2012 I STARTED WRITING

4433
03:15:06,868 --> 03:15:10,272
THE ISSUE AND DID MY FIRST 

4434
03:15:10,272 --> 03:15:11,773
UNFUNDED STUDY LOOKING AT 

4435
03:15:11,773 --> 03:15:15,077
CURRENT DOCUMENT AND THE LACK OF

4436
03:15:15,077 --> 03:15:19,448
THAT IN THE E.H.R. AND I WILL 

4437
03:15:19,448 --> 03:15:25,287
TELL YOU I WORKED WITH A 

4438
03:15:25,287 --> 03:15:28,223
CLINICAL INFORMATICISTS AND SAID

4439
03:15:28,223 --> 03:15:30,892
SOME TODAY WE'LL HAVE DISABILITY

4440
03:15:30,892 --> 03:15:31,793
STATUS IN THE E.H.R. AND HE 

4441
03:15:31,793 --> 03:15:34,396
LAUGHED BUT I DECIDED IT'S THE 

4442
03:15:34,396 --> 03:15:35,530
MOUNTAIN TO STAND ON.

4443
03:15:35,530 --> 03:15:44,473
IN 2013 I LOOKED AT WHAT 

4444
03:15:44,473 --> 03:15:49,444
DISABILITY QUESTION WE SHOULD BE

4445
03:15:49,444 --> 03:15:55,650
ASKING BUT PATIENT'S ATTITUDE 

4446
03:15:55,650 --> 03:15:56,318
DISORDER DISCLOSING DISABILITY 

4447
03:15:56,318 --> 03:15:58,987
TO HEALTH CARE TEAM AND IT'S 

4448
03:15:58,987 --> 03:16:00,789
IMPORTANT TO NOTE I FELT VERY 

4449
03:16:00,789 --> 03:16:04,960
STRONGLY ABOUT THE TOPIC AREA 

4450
03:16:04,960 --> 03:16:06,628
PARTLY BECAUSE ONE THE STANDARDS

4451
03:16:06,628 --> 03:16:11,133
FOR HOW WE LOOK AT POPULATION 

4452
03:16:11,133 --> 03:16:12,768
ESTIMATES OF DISABILITY DO NOT 

4453
03:16:12,768 --> 03:16:14,636
INCLUDE A COMMUNICATION.

4454
03:16:14,636 --> 03:16:17,272
YOU LOOK AT THE CENSUS 

4455
03:16:17,272 --> 03:16:19,141
PERCENTAGE OF PEOPLE WITH 

4456
03:16:19,141 --> 03:16:20,409
DISABILITIES, THAT DOESN'T 

4457
03:16:20,409 --> 03:16:22,210
INCLUDE THOSE WITH COMMUNICATION

4458
03:16:22,210 --> 03:16:23,111
DISABILITIES BECAUSE PEOPLE WITH

4459
03:16:23,111 --> 03:16:24,846
COMMUNICATION DISABILITIES 

4460
03:16:24,846 --> 03:16:25,447
AREN'T INCLUDED.

4461
03:16:25,447 --> 03:16:28,650
THAT'S NOT A QUESTION THERE.

4462
03:16:28,650 --> 03:16:32,054
SO THAT'S WHY I WANTED TO MAKE 

4463
03:16:32,054 --> 03:16:33,688
SURE HOW DO WE AT A HEALTH CARE 

4464
03:16:33,688 --> 03:16:35,023
ORGANIZATION LEVEL MAKE SURE 

4465
03:16:35,023 --> 03:16:37,292
PEOPLE WITH COMMUNICATION 

4466
03:16:37,292 --> 03:16:41,129
DISABILITIES DON'T GET LEFT OUT?

4467
03:16:41,129 --> 03:16:48,103
THEN BETWEEN 2014 AND 2019 I 

4468
03:16:48,103 --> 03:16:53,775
APPLIED LOOK AT MECHANISMS 

4469
03:16:53,775 --> 03:16:56,745
WITHOUT A WHOLE LOT OF SUCCESS 

4470
03:16:56,745 --> 03:16:59,781
AND IN 2018 I STARTED GETTING 

4471
03:16:59,781 --> 03:17:04,019
CALLS FROM HEALTH CARE SYSTEMS 

4472
03:17:04,019 --> 03:17:06,521
AROUND THE COUNTRY INTERESTED IN

4473
03:17:06,521 --> 03:17:08,256
TERMS OF DOCUMENTING DISABILITY 

4474
03:17:08,256 --> 03:17:09,558
AND HEALTH SYSTEMS WERE WANTING 

4475
03:17:09,558 --> 03:17:11,093
TO IMPLEMENT COLLECTION OF 

4476
03:17:11,093 --> 03:17:13,295
DISABILITY STATUS IN THEIR 

4477
03:17:13,295 --> 03:17:14,830
E.H.R. BUT WEREN'T QUITE SURE HU

4478
03:17:14,830 --> 03:17:16,998
TO DO IT.

4479
03:17:16,998 --> 03:17:22,037
SO WE'RE HAVING CONVERSATIONS 

4480
03:17:22,037 --> 03:17:31,379
AND THEN I THOUGHT ABOUT 

4481
03:17:31,379 --> 03:17:36,818
LESSONED LEARNED AND IN 2019 WE 

4482
03:17:36,818 --> 03:17:37,853
RECEIVED SOME FUNDING TO DEVELOP

4483
03:17:37,853 --> 03:17:40,856
A COLLABORATIVE AROUND THIS.

4484
03:17:40,856 --> 03:17:45,327
IN 2019 I ED INTERNAL FUNDING TO

4485
03:17:45,327 --> 03:17:49,998
IMPLEMENT COLLECTION IN THE 

4486
03:17:49,998 --> 03:17:52,934
E.H.R. HEALTH SYSTEM HERE AND IN

4487
03:17:52,934 --> 03:18:01,276
MARCH OF 2022 WE RESUBMITTED THE

4488
03:18:01,276 --> 03:18:05,647
RO1 AND WE RESUBMITTED IN MARCH 

4489
03:18:05,647 --> 03:18:08,950
OF LAST YEAR AND IN APRIL I GOT 

4490
03:18:08,950 --> 03:18:10,552
A CALL FROM THE OFFICE FROM THE 

4491
03:18:10,552 --> 03:18:12,554
FEDERAL BODY THAT OVERSEES 

4492
03:18:12,554 --> 03:18:15,323
E.H.R.s AND THEY WERE 

4493
03:18:15,323 --> 03:18:18,593
CONSIDERING CREATING A STANDARD 

4494
03:18:18,593 --> 03:18:21,296
FOR DOCUMENTING DISABILITY 

4495
03:18:21,296 --> 03:18:24,032
STATUS IN THE E.H.R.

4496
03:18:24,032 --> 03:18:28,837
I WAS ABLE TO SHARE MY RESEARCH 

4497
03:18:28,837 --> 03:18:30,438
THUS FAR AND IN JULY 2022 THEY 

4498
03:18:30,438 --> 03:18:33,275
PASSED A STANDARD AND WE WORKED 

4499
03:18:33,275 --> 03:18:36,311
WITH THE NATIONAL COLLABORATIVE 

4500
03:18:36,311 --> 03:18:41,049
INCLUDING EPIC THE LARGEST 

4501
03:18:41,049 --> 03:18:46,221
VENDOR FOR E.H.R.s AND AS OF 

4502
03:18:46,221 --> 03:18:49,658
NOVEMBER ALL EPIC USERS IN THE 

4503
03:18:49,658 --> 03:18:51,927
COUNTRY NOW HAVE STANDARDIZED 

4504
03:18:51,927 --> 03:18:53,862
HAVE DISABILITY ELEMENTS 

4505
03:18:53,862 --> 03:18:56,164
INCLUDING THE COMMUNICATION 

4506
03:18:56,164 --> 03:18:56,464
QUESTION.

4507
03:18:56,464 --> 03:18:58,533
I'LL PAUSE AND HAPPY TO TALK 

4508
03:18:58,533 --> 03:19:01,836
FURTHER ABOUT OUR SUCCESS AND 

4509
03:19:01,836 --> 03:19:03,572
CHALLENGES BUT I WANTED TO 

4510
03:19:03,572 --> 03:19:08,610
HIGHLIGHT HOW TO THIS IS A 

4511
03:19:08,610 --> 03:19:09,844
LONG-TERM PROCESS AND WE'VE 

4512
03:19:09,844 --> 03:19:11,880
ENGAGED LOTS OF STAKEHOLDERS 

4513
03:19:11,880 --> 03:19:16,484
ALONG THE WAY.

4514
03:19:16,484 --> 03:19:18,753
>> IT POINTS TO
PERSEVERANCE AND

4515
03:19:18,753 --> 03:19:22,157
HAVING THE STRUCTURE TO GET THE 

4516
03:19:22,157 --> 03:19:23,458
CRITICAL DATA YOU NEED 

4517
03:19:23,458 --> 03:19:29,197
>> NEXT UP IS MOLLY
RAMONO.

4518
03:19:29,197 --> 03:19:31,700
START SHARING YOUR SLIDES.

4519
03:19:31,700 --> 03:19:34,970
>> MOLLY: HI, EVERYBODY.

4520
03:19:34,970 --> 03:19:36,871
THANK YOU FOR FOR HAVING ME.

4521
03:19:36,871 --> 03:19:37,939
I'M AN ASSOCIATE PROFESSOR AT 

4522
03:19:37,939 --> 03:19:40,542
FLORIDA STATE UNIVERSITY IN THE 

4523
03:19:40,542 --> 03:19:42,377
SCHOOL OF COMMUNICATION SCIENCE 

4524
03:19:42,377 --> 03:19:44,145
DISORDERS AND DIRECTOR OF THE 

4525
03:19:44,145 --> 03:19:45,213
COMMUNICATION EARLY CHILDHOOD 

4526
03:19:45,213 --> 03:19:47,249
PRACTICE AND RESEARCH CENTER.

4527
03:19:47,249 --> 03:19:48,817
I'LL GO QUICKLY THROUGH HOW I 

4528
03:19:48,817 --> 03:19:54,522
GOT INTO D&I AS A LINE OF 

4529
03:19:54,522 --> 03:19:54,789
RESEARCH.

4530
03:19:54,789 --> 03:20:05,300
I FEEL LIKE A MAYBE RARE DUCK 

4531
03:20:10,338 --> 03:20:11,840
AND JULIE IS ONE OF THOSE 

4532
03:20:11,840 --> 03:20:14,943
DESPITE HER YEARS IN RESEARCH 

4533
03:20:14,943 --> 03:20:16,177
NEVER LEFT BEHIND HER CLINICIAN 

4534
03:20:16,177 --> 03:20:16,411
HAT.

4535
03:20:16,411 --> 03:20:18,847
I GOT TO SEE HER FORMING 

4536
03:20:18,847 --> 03:20:19,581
PARTNERSHIPS WITH LOCAL 

4537
03:20:19,581 --> 03:20:22,284
INTERVENTION AGENCIES, SEEING 

4538
03:20:22,284 --> 03:20:25,287
HOW SHE STRUCTURED PROFESSIONAL 

4539
03:20:25,287 --> 03:20:28,256
DEVELOPMENT APPROACHES AND WOVE 

4540
03:20:28,256 --> 03:20:29,224
THE TWO TOGETHER AND I WAS 

4541
03:20:29,224 --> 03:20:30,825
FORTUNATE TO HAVE THAT ADDS A 

4542
03:20:30,825 --> 03:20:32,360
FOUNDATION TO CONTINUE ON BUT 

4543
03:20:32,360 --> 03:20:33,161
THEN ALSO BRANCH OUT INTO NEW 

4544
03:20:33,161 --> 03:20:35,530
DIRECTIONS AS WELL.

4545
03:20:35,530 --> 03:20:41,870
BUT REGARDLESS OF THE WORK WE DO

4546
03:20:41,870 --> 03:20:43,672
WE'RE GUIDED BY A SINGULAR 

4547
03:20:43,672 --> 03:20:45,507
VISION THAT TODDLERS AND THEIR 

4548
03:20:45,507 --> 03:20:47,542
FAMILIES PARTICIPATE IN SERVICES

4549
03:20:47,542 --> 03:20:49,544
THAT ENGAGE CAREGIVERS AS 

4550
03:20:49,544 --> 03:20:52,514
EXPERTS AND PARTNERS AND LEADERS

4551
03:20:52,514 --> 03:20:56,351
IN INTERVENTION AND REFLECT THE 

4552
03:20:56,351 --> 03:20:59,854
VALUES WHILE ENHANCING THE 

4553
03:20:59,854 --> 03:21:01,289
OUTCOMES.

4554
03:21:01,289 --> 03:21:07,128
AND IF WE WERE TO BREAK THEM A 

4555
03:21:07,128 --> 03:21:12,434
PART WE CAN SEE THERE'S LOTS OF 

4556
03:21:12,434 --> 03:21:15,670
PIECES THERE AND REQUIRING 

4557
03:21:15,670 --> 03:21:17,172
PRACTITIONERS IN THE FIELD 

4558
03:21:17,172 --> 03:21:17,906
PARTICULARLY FROM FIELD ACROSS 

4559
03:21:17,906 --> 03:21:23,244
THE LIFE SPAN AND WORK ACROSS 

4560
03:21:23,244 --> 03:21:25,280
THE BIG NINE HAVING THE SPECIFIC

4561
03:21:25,280 --> 03:21:33,288
INTERVENTION MAY NOT BE AT THE 

4562
03:21:33,288 --> 03:21:34,856
FOREFRONT.

4563
03:21:34,856 --> 03:21:38,326
THERE'S GAPS IN RESEARCH AND 

4564
03:21:38,326 --> 03:21:38,593
PRACTICE.

4565
03:21:38,593 --> 03:21:40,195
AS WE THINK ABOUT THESE AS THEY 

4566
03:21:40,195 --> 03:21:41,296
RELATE TO EARLY INTERVENTION WE 

4567
03:21:41,296 --> 03:21:42,697
LIKE TO FRAME AND THINK OF THE 

4568
03:21:42,697 --> 03:21:44,532
GAPS NOT SO MUCH AS A RESEARCH 

4569
03:21:44,532 --> 03:21:45,967
TO PRACTICE GAP BUT GAPS IN 

4570
03:21:45,967 --> 03:21:47,902
RESEARCH AND PRACTICE THAT SORT 

4571
03:21:47,902 --> 03:21:50,305
OF GO BI-DIRECTIONALLY.

4572
03:21:50,305 --> 03:21:52,107
THERE'S REALLY OBVIOUS WAYS 

4573
03:21:52,107 --> 03:21:54,976
WHERE OUR RESEARCH SPACE IS 

4574
03:21:54,976 --> 03:21:55,210
LACKING.

4575
03:21:55,210 --> 03:21:56,945
FOR US SPECIFICALLY A LOT OUR 

4576
03:21:56,945 --> 03:21:58,780
RESEARCH AND WIDE BODY OF 

4577
03:21:58,780 --> 03:22:00,248
CAREGIVER IMPLEMENTED 

4578
03:22:00,248 --> 03:22:03,385
INTERVENTIONS THAT DO ENGAGE 

4579
03:22:03,385 --> 03:22:04,219
CAREGIVERS ARE DOING IT WITH 

4580
03:22:04,219 --> 03:22:06,621
MORE RESEARCH-BASED STAFF AND 

4581
03:22:06,621 --> 03:22:08,223
NOT EARLY INTERVENTIONISTS OF 

4582
03:22:08,223 --> 03:22:09,290
THE COMMUNITY.

4583
03:22:09,290 --> 03:22:13,561
BY NATURE THAT MEANS WE ARE 

4584
03:22:13,561 --> 03:22:17,298
CREATING THAT DISCONNECT THAT IS

4585
03:22:17,298 --> 03:22:19,300
LEADING TO PERHAPS INTERVENTIONS

4586
03:22:19,300 --> 03:22:20,869
THAT DON'T TRANSLATE IMMEDIATELY

4587
03:22:20,869 --> 03:22:25,273
INTO COMMUNITY-BASED SETTINGS 

4588
03:22:25,273 --> 03:22:27,409
AND WE HAVE A REAL 

4589
03:22:27,409 --> 03:22:29,277
REPRESENTATION ISSUE WHERE 

4590
03:22:29,277 --> 03:22:32,147
STUDIES LOOKING TO INVESTIGATE 

4591
03:22:32,147 --> 03:22:34,849
CAREGIVER COACHING MODELS ARE 

4592
03:22:34,849 --> 03:22:35,583
SOMEWHAT MONOLITHIC IN TERMS OF 

4593
03:22:35,583 --> 03:22:37,452
THE FAMILIES ENGAGED IN RESEARCH

4594
03:22:37,452 --> 03:22:40,422
AND ALSO PROVIDERS.

4595
03:22:40,422 --> 03:22:42,924
WE TEND TO BEING QUITE OVER 

4596
03:22:42,924 --> 03:22:45,360
REPRESENTED IN TERMS OF RACE AND

4597
03:22:45,360 --> 03:22:47,862
ETHNICITY AND PROVIDERS AND 

4598
03:22:47,862 --> 03:22:49,798
FAMILIES, RACE, ETHNICITY, HOME 

4599
03:22:49,798 --> 03:22:53,301
LANGUAGE AND STRUCTURE IN MANY 

4600
03:22:53,301 --> 03:22:54,436
DIMENSIONS.

4601
03:22:54,436 --> 03:22:55,503
THOSE ARE AREAS THE RESEARCH 

4602
03:22:55,503 --> 03:22:56,805
COMMUNITY NEEDS TO FOCUS ON AND 

4603
03:22:56,805 --> 03:22:57,372
OF COURSE WE HAVE GAPS IN 

4604
03:22:57,372 --> 03:23:04,879
PRACTICE TOO.

4605
03:23:04,879 --> 03:23:05,847
PROVIDERS COMING THROUGH 

4606
03:23:05,847 --> 03:23:09,284
TRAINING PROGRAMS WHERE THEY'VE 

4607
03:23:09,284 --> 03:23:11,753
BEEN TOLD THEIR ROLE IS AN SLP 

4608
03:23:11,753 --> 03:23:15,857
IS TO WORK WITH THE CHILD 

4609
03:23:15,857 --> 03:23:18,927
DIRECTLY TO INCREASE LANGUAGE 

4610
03:23:18,927 --> 03:23:23,097
STILLS HAS A BIG TASK AHEAD IN 

4611
03:23:23,097 --> 03:23:25,300
RECONCEPTUALIZING THE ROLE AND 

4612
03:23:25,300 --> 03:23:27,135
CHANGING THE PERCEPTION AS THEIR

4613
03:23:27,135 --> 03:23:31,573
ROLE AS A COACH TO THE 

4614
03:23:31,573 --> 03:23:31,840
CAREGIVER.

4615
03:23:31,840 --> 03:23:35,410
THE SYSTEM OF INTERVENTION IS 

4616
03:23:35,410 --> 03:23:36,044
COMPLEX LIKE HEALTH CARE SYSTEMS

4617
03:23:36,044 --> 03:23:39,080
ARE AS WELL.

4618
03:23:39,080 --> 03:23:41,549
IT INTERFACES WITH HEALTH CARE 

4619
03:23:41,549 --> 03:23:42,784
SYSTEMS AS WELL BECAUSE IT'S 

4620
03:23:42,784 --> 03:23:43,952
ADMINISTERED BY DEPARTMENTS OF 

4621
03:23:43,952 --> 03:23:45,286
HEALTH AND DEPARTMENTS OF 

4622
03:23:45,286 --> 03:23:50,525
EDUCATION IN OTHERS.

4623
03:23:50,525 --> 03:23:53,294
THERE'S COMPLEX ARTH CASELOADS 

4624
03:23:53,294 --> 03:23:58,166
AND STRUCTURES OR NOT THAT WE 

4625
03:23:58,166 --> 03:24:00,335
DON'T KNOW ABOUT IF WE'RE NOT 

4626
03:24:00,335 --> 03:24:00,935
ENGAGING THE COMMUNITY-BASED 

4627
03:24:00,935 --> 03:24:07,909
PROVIDERS.

4628
03:24:07,909 --> 03:24:16,985
OVER THE YEARS I'VE BEEN ABLE TO

4629
03:24:16,985 --> 03:24:19,053
PARTICIPATE ALONG SIDE HER AND 

4630
03:24:19,053 --> 03:24:19,988
WE HAVE PROVIDERS SHARING IN THE

4631
03:24:19,988 --> 03:24:23,858
VISION OF WHAT IT WOULD LOOK 

4632
03:24:23,858 --> 03:24:27,161
LIKE TO CHANGE THE SYSTEM SO 

4633
03:24:27,161 --> 03:24:29,297
EVERY CHILD NO MATTER THE STATE 

4634
03:24:29,297 --> 03:24:32,700
THEY LIVE IN OR ANTIBODY IS 

4635
03:24:32,700 --> 03:24:34,402
INTERACTING WITH AN EARLY 

4636
03:24:34,402 --> 03:24:35,837
INTERVENTION PROVIDER WHO SEES 

4637
03:24:35,837 --> 03:24:42,410
THE STRENGTHS IN THE FAMILY AND 

4638
03:24:42,410 --> 03:24:44,379
COLLABORATES AND BUILDS ON THE 

4639
03:24:44,379 --> 03:24:44,946
FAMILY'S NATURAL ASSETS AND 

4640
03:24:44,946 --> 03:24:55,089
CULTURE.

4641
03:24:55,557 --> 03:24:57,458
STATE LEVEL PARTNERSHIPS IS 

4642
03:24:57,458 --> 03:24:59,360
DIFFICULT TO THINK ABOUT 

4643
03:24:59,360 --> 03:25:03,698
STARTING IN D&I RESEARCH AND

4644
03:25:03,698 --> 03:25:05,033
WANT TO KEEP THE BIG PICTURE 

4645
03:25:05,033 --> 03:25:06,000
VISION IN MIND BUT DO IT 

4646
03:25:06,000 --> 03:25:10,505
LOCALLY.

4647
03:25:10,505 --> 03:25:13,174
A SINGLE SCHOOLED OR NURSING 

4648
03:25:13,174 --> 03:25:15,777
FACILITY WITHIN A HOSPITAL OR 

4649
03:25:15,777 --> 03:25:21,115
HANDFUL OF PROVIDERS OR WHATEVER

4650
03:25:21,115 --> 03:25:23,685
YOUR AREA IS DOESN'T HAVE TO BE 

4651
03:25:23,685 --> 03:25:24,586
LARGE TO BE IMPORTANT AND 

4652
03:25:24,586 --> 03:25:25,620
SOMETHING WE TO REMIND OURSELVES

4653
03:25:25,620 --> 03:25:27,622
AGAIN AND AGAIN WHEN WE TALK 

4654
03:25:27,622 --> 03:25:28,890
ABOUT SUCCESSFULLY FUNDED 

4655
03:25:28,890 --> 03:25:29,624
RESEARCH.

4656
03:25:29,624 --> 03:25:31,025
TYPICALLY THOSE GROW TO BE QUITE

4657
03:25:31,025 --> 03:25:33,294
LARGE BUT I PROMISE MOST OF THEM

4658
03:25:33,294 --> 03:25:36,364
STARTED VERY SMALL.

4659
03:25:36,364 --> 03:25:38,499
THINKING LOCALLY AND BUILDING 

4660
03:25:38,499 --> 03:25:41,302
PARTNERSHIPS LIKE WE TALKED 

4661
03:25:41,302 --> 03:25:49,043
ABOUT EARLIER IS KEY.

4662
03:25:49,043 --> 03:25:51,012
TO GIVE EXAMPLES HOW THE 

4663
03:25:51,012 --> 03:25:54,749
RESEARCH GOT TRANSLATED TO 

4664
03:25:54,749 --> 03:25:55,016
PRACTICE.

4665
03:25:55,016 --> 03:25:57,151
I'LL GIVE A FEW EXAMPLES BASED 

4666
03:25:57,151 --> 03:25:58,786
ON SOME OF JULIAN WOODS' WORK 

4667
03:25:58,786 --> 03:26:01,289
HAD A DEVELOPMENT AND INNOVATION

4668
03:26:01,289 --> 03:26:05,827
GRANT CALLED EPIC IN 2014 OR SO 

4669
03:26:05,827 --> 03:26:11,232
THAT BUILD OR PRIOR MODELS THAT 

4670
03:26:11,232 --> 03:26:12,800
TESTED THE PROFESSIONAL 

4671
03:26:12,800 --> 03:26:15,536
DEVELOPMENT SEQUENCE WITHIN THE 

4672
03:26:15,536 --> 03:26:16,904
SCOPE OF THE DEVELOPMENT AND 

4673
03:26:16,904 --> 03:26:20,541
INNOVATION PROJECT AND THEN IN 

4674
03:26:20,541 --> 03:26:21,309
SUBSEQUENT YEARS THE STATE OF 

4675
03:26:21,309 --> 03:26:22,377
THERE ARE A SITE THAT 

4676
03:26:22,377 --> 03:26:25,246
PARTICIPATED IN THE STUDY 

4677
03:26:25,246 --> 03:26:30,418
DECIDED, WE'RE BEING ASKED TO 

4678
03:26:30,418 --> 03:26:32,420
MAKE CHANGES AND AND MAKE 

4679
03:26:32,420 --> 03:26:34,188
PROGRESS ON CHILD OUTCOMES AND 

4680
03:26:34,188 --> 03:26:36,524
SEE WE NEED TO MAKE TRACTION FOR

4681
03:26:36,524 --> 03:26:38,059
CAREGIVER COACHING AND WANT TO 

4682
03:26:38,059 --> 03:26:38,726
PARTNER WITH YOU.

4683
03:26:38,726 --> 03:26:43,665
WE STARTED A CONTRACT WITH PAT 

4684
03:26:43,665 --> 03:26:46,734
SNIDER ON THE EPIC GRANT TO 

4685
03:26:46,734 --> 03:26:49,804
TRANSLATE THAT WORK INTO A STATE

4686
03:26:49,804 --> 03:26:51,606
DEVELOPMENT MODEL CALLED FLORIDA

4687
03:26:51,606 --> 03:26:51,806
EPIC.

4688
03:26:51,806 --> 03:26:57,145
THEN AFTER YEARS OF THAT MODEL 

4689
03:26:57,145 --> 03:26:59,847
ROLLING OUT AND SCALING UP WE 

4690
03:26:59,847 --> 03:27:05,286
THEN APPLIED FOR A LARGER GRANT 

4691
03:27:05,286 --> 03:27:09,090
AN EFFICACY TRIAL TO EXAMINE THE

4692
03:27:09,090 --> 03:27:10,692
PROFESSIONAL DEVELOPMENT USED IN

4693
03:27:10,692 --> 03:27:11,125
THE STATE.

4694
03:27:11,125 --> 03:27:12,927
WE STARTED RESEARCH TO PRACTICE 

4695
03:27:12,927 --> 03:27:14,228
TO RESEARCH.

4696
03:27:14,228 --> 03:27:15,897
YOU CAN IMAGINE IT CONTINUING 

4697
03:27:15,897 --> 03:27:23,004
ONWARD FROM THERE.

4698
03:27:23,004 --> 03:27:26,140
TO OUR EARLIER POINT WE CAN TAKE

4699
03:27:26,140 --> 03:27:30,645
IDEAS USED IN PRACTICE AND TEST 

4700
03:27:30,645 --> 03:27:34,115
THEM AND SEE WHETHER IT'S 

4701
03:27:34,115 --> 03:27:36,684
SOMETHING WE WANT TO DEIMPLEMENT

4702
03:27:36,684 --> 03:27:39,554
OR INCREASE IMPLEMENTATION OF WE

4703
03:27:39,554 --> 03:27:41,556
CAN TAKE THE COMMON PRACTICES 

4704
03:27:41,556 --> 03:27:42,256
AND TEST THEM AS WELL.

4705
03:27:42,256 --> 03:27:45,760
THIS IS WHERE WE PICK UP IN IOWA

4706
03:27:45,760 --> 03:27:47,662
BASED ON THE MODEL THAT STANLEY 

4707
03:27:47,662 --> 03:27:51,933
GUIDED ROUTINE BASED 

4708
03:27:51,933 --> 03:27:53,868
INTERVENTION WHERE FOLKS IN IOWA

4709
03:27:53,868 --> 03:27:56,437
AND ATHEIR PROGRAM THEIR EARLY 

4710
03:27:56,437 --> 03:27:58,573
INTERVENTION PROGRAM LEADERS 

4711
03:27:58,573 --> 03:28:04,879
IDENTIFIED THIS AS THE MODEL TO 

4712
03:28:04,879 --> 03:28:06,647
IMPLEMENT STATEWIDE AND 

4713
03:28:06,647 --> 03:28:08,116
CONTRACTED WITH US TO INSTALL 

4714
03:28:08,116 --> 03:28:10,918
AND SCALE UP THAT MODEL BY USING

4715
03:28:10,918 --> 03:28:13,521
A DISTANT COACHING MODEL AS AN 

4716
03:28:13,521 --> 03:28:14,956
IMPLEMENTATION STRATEGY.

4717
03:28:14,956 --> 03:28:17,391
SO HOW DO WE GET PROVIDERS THERE

4718
03:28:17,391 --> 03:28:18,860
AND THEN WE THOUGHT, WELL, WE'RE

4719
03:28:18,860 --> 03:28:20,728
DOING THIS AND KNOW IT WORKS 

4720
03:28:20,728 --> 03:28:24,832
BASED ON INTERNAL PROGRAM 

4721
03:28:24,832 --> 03:28:28,703
EVALUATION DATA AND THE EVIDENCE

4722
03:28:28,703 --> 03:28:30,138
WE SEE BUT WOULDN'T IT BE COOL 

4723
03:28:30,138 --> 03:28:31,839
TO GET EXPERIMENTAL DATA.

4724
03:28:31,839 --> 03:28:34,041
WE GOT THIS FROM IES AND 

4725
03:28:34,041 --> 03:28:35,777
EVALUATION GRANT WHERE WE DID A 

4726
03:28:35,777 --> 03:28:38,312
SERIES OF SINGLE CASE 

4727
03:28:38,312 --> 03:28:41,282
EXPERIMENTAL DESIGNS TO SEE 

4728
03:28:41,282 --> 03:28:47,722
WHETHER THE COACHING PIECE 

4729
03:28:47,722 --> 03:28:47,955
WORKED.

4730
03:28:48,489 --> 03:28:52,860
THINK OF IMPLEMENT STRATEGIES 

4731
03:28:52,860 --> 03:28:56,063
AND DOES PEER COACHING HELP AND 

4732
03:28:56,063 --> 03:28:57,665
THE WORK SHIFTS BACK TO THE 

4733
03:28:57,665 --> 03:29:05,273
PROGRAM ITSELF THE EARLY ACCESS 

4734
03:29:05,273 --> 03:29:15,817
PROGRAM AN WHAT TAKES TO SUSTAIN

4735
03:29:18,186 --> 03:29:22,190
THE SCALE AND HAVE A STATEWIDE 

4736
03:29:22,190 --> 03:29:23,057
PROGRAM TO HAVE THE CAPACITY TO 

4737
03:29:23,057 --> 03:29:27,929
KEEP IT GOING.

4738
03:29:27,929 --> 03:29:29,831
THE LARGE SCALE STUDIES DON'T 

4739
03:29:29,831 --> 03:29:33,301
ALWAYS HAVE TO BE THE STARTING 

4740
03:29:33,301 --> 03:29:39,507
PLACE AND HEADING INTO NEW 

4741
03:29:39,507 --> 03:29:39,774
FRONTIERS.

4742
03:29:39,774 --> 03:29:43,044
I'LL JUST HIT ON THESE BRIEFLY.

4743
03:29:43,044 --> 03:29:48,082
THERE'S WORK ON GOING WITH EMILY

4744
03:29:48,082 --> 03:29:51,185
WIN USING SFRGI AS A FRAMEWORK 

4745
03:29:51,185 --> 03:29:56,090
ON AN R21 AND WE ALSO HAVE NEW 

4746
03:29:56,090 --> 03:29:57,658
WORK PIGGYBACKING ON THE FOLKS 

4747
03:29:57,658 --> 03:29:59,660
THAT SAY MAKE USE OF YOUR 

4748
03:29:59,660 --> 03:30:04,332
INTERNAL FUNNEL  FUNDING AND 

4749
03:30:04,332 --> 03:30:05,867
CAREGIVER COACHING WITHIN AN 

4750
03:30:05,867 --> 03:30:09,303
INFANT FEEDING PROGRAM AND 

4751
03:30:09,303 --> 03:30:14,475
PUTTING TOES IN THE WATER ON 

4752
03:30:14,475 --> 03:30:16,577
WHAT A THINK OF IS SOCIAL MEDIA 

4753
03:30:16,577 --> 03:30:19,347
AS AN AVENUE FOR CAREGIVERS AND 

4754
03:30:19,347 --> 03:30:21,282
PREVENTIVE APPROACH TO SUPPORT 

4755
03:30:21,282 --> 03:30:25,186
CHILD OUTCOMES AS WELL.

4756
03:30:25,186 --> 03:30:27,421
WE USED A RANGE OF METHODOLOGIES

4757
03:30:27,421 --> 03:30:32,793
AND I KNOW WE TALKED ABOUT THAT 

4758
03:30:32,793 --> 03:30:35,296
EARLIER TODAY TOO THAT YOU DON'T

4759
03:30:35,296 --> 03:30:38,299
HAVE TO BE A JACK OF ALL TRADES 

4760
03:30:38,299 --> 03:30:40,968
AND MASTER OF NONE BUT A POSTURE

4761
03:30:40,968 --> 03:30:41,869
OF BEING WILLING TO TRY 

4762
03:30:41,869 --> 03:30:42,737
DIFFERENT METHODS IS IMPORTANT 

4763
03:30:42,737 --> 03:30:44,138
AND YOU CAN MAKE FRIENDS WITH 

4764
03:30:44,138 --> 03:30:45,506
PEOPLE WHO DO DO THOSE THINGS 

4765
03:30:45,506 --> 03:30:46,440
AND I KNOW SOMETIMES THEY'RE 

4766
03:30:46,440 --> 03:30:50,378
HARD TO FIND BUT THEY'RE OUT 

4767
03:30:50,378 --> 03:30:50,578
THERE.

4768
03:30:50,578 --> 03:30:53,281
THERE'S ROOM FOR TRADITIONAL 

4769
03:30:53,281 --> 03:30:55,283
QUANTITATIVE METHODS AND MORE 

4770
03:30:55,283 --> 03:30:57,184
AREAS TO LEARN ABOUT LIKE COST 

4771
03:30:57,184 --> 03:30:59,921
ANALYSES TO DEEP EN OUR WORK.

4772
03:30:59,921 --> 03:31:02,023
POTHOLES AND BARRIERS WE FOUND.

4773
03:31:02,023 --> 03:31:04,959
WE'LL CONTINUALLY STRUGGLE WITH 

4774
03:31:04,959 --> 03:31:07,328
RECRUITMENT IN A POST COVID 

4775
03:31:07,328 --> 03:31:08,562
WORLD I THINK BECAUSE EARLIER 

4776
03:31:08,562 --> 03:31:09,797
INTERVENTION WE'RE BUILDING BACK

4777
03:31:09,797 --> 03:31:14,936
THE WORKFORCE THAT TOOK A HIT 

4778
03:31:14,936 --> 03:31:20,474
DURING COVID AND HOW AS THE DEAL

4779
03:31:20,474 --> 03:31:22,109
WITH CONSTRAINTS AND EARLY 

4780
03:31:22,109 --> 03:31:24,845
INVENTION LIKE IN FLORIDA PEOPLE

4781
03:31:24,845 --> 03:31:26,514
MOONLIGHT AS EARLY INVENTIONISTS

4782
03:31:26,514 --> 03:31:28,282
OUTSIDE OF SCHOOL HOURS AND HAD 

4783
03:31:28,282 --> 03:31:29,283
TO THINK OF CASE LOAD 

4784
03:31:29,283 --> 03:31:33,921
CONSIDERATIONS AND HOW MUCH IS 

4785
03:31:33,921 --> 03:31:35,256
ENOUGH TO PARTICIPATE AND KEEP 

4786
03:31:35,256 --> 03:31:37,491
ON TOP OF POLICY CHANGES THAT 

4787
03:31:37,491 --> 03:31:39,527
MAY IMPACT US.

4788
03:31:39,527 --> 03:31:40,628
A STATE OF FLORIDA POLICY THAT'S

4789
03:31:40,628 --> 03:31:47,601
NOW INCENTIVIZING THE FLORIDA 

4790
03:31:47,601 --> 03:31:49,203
EPIC PROJECT HAD AN INTERESTING 

4791
03:31:49,203 --> 03:31:50,738
TIMING AND INCENTIVIZING PEOPLE 

4792
03:31:50,738 --> 03:31:53,074
TO DO IT STATEWIDE BUT THEY CAN 

4793
03:31:53,074 --> 03:31:54,842
DO IT SOONER AND GET AN INCREASE

4794
03:31:54,842 --> 03:31:56,811
IN THEIR HOURLY RATE IF THEY GO 

4795
03:31:56,811 --> 03:31:58,045
AHEAD AND DO THE PROFESSIONAL 

4796
03:31:58,045 --> 03:31:59,847
DEVELOPMENT EARLIER RATHER THAN 

4797
03:31:59,847 --> 03:32:09,957
LATER.

4798
03:32:11,625 --> 03:32:14,829
IT COULD BE TOUGH WAITING ON A 

4799
03:32:14,829 --> 03:32:16,030
PAY INCREASE AND PARTNERING WITH

4800
03:32:16,030 --> 03:32:21,068
THE ADMINISTRATORS TO EVERYBODY 

4801
03:32:21,068 --> 03:32:28,142
HAS AN INVESTMENT AND SO 

4802
03:32:28,142 --> 03:32:31,946
UNDERSTAND THE CONTEXT AND I A 

4803
03:32:31,946 --> 03:32:32,613
BI-DIRECTIONAL WAY WE'RE SHARING

4804
03:32:32,613 --> 03:32:33,047
RESEARCH DESIGN AND 

4805
03:32:33,047 --> 03:32:36,417
CONSIDERATIONS.

4806
03:32:36,417 --> 03:32:38,853
THESE PROVIDERS PEOPLE IN IOWA 

4807
03:32:38,853 --> 03:32:40,821
CAN EXPLAIN SINGLE CASE DESIGN 

4808
03:32:40,821 --> 03:32:42,890
AND KNOW MORE ABOUT RANDOMIZED 

4809
03:32:42,890 --> 03:32:43,557
CONTROL TRIALS THAN ANY PROVIDER

4810
03:32:43,557 --> 03:32:45,960
ON THE STREET WHICH IS SO COOL 

4811
03:32:45,960 --> 03:32:51,599
AND DO HELP EXECUTE IT.

4812
03:32:51,599 --> 03:32:54,301
OTHER CONSIDERATIONS IS FINDING 

4813
03:32:54,301 --> 03:32:56,137
MEASURES THAT MATTER IN THE REAL

4814
03:32:56,137 --> 03:32:58,005
WORLD EASY ENOUGH TO IMPLEMENT 

4815
03:32:58,005 --> 03:33:00,741
AND GET CHILD DATA IN A WAY THAT

4816
03:33:00,741 --> 03:33:02,777
ISN'T TOO BURDENSOME TO DO BUT 

4817
03:33:02,777 --> 03:33:03,411
STILL MEANINGFUL AND THAT'S BEEN

4818
03:33:03,411 --> 03:33:09,016
TOUGH FOR US.

4819
03:33:09,016 --> 03:33:15,923
CON SUFLTING AT -- CONSULTING AT

4820
03:33:15,923 --> 03:33:17,858
THE PLANNING PHASES DURING COVID

4821
03:33:17,858 --> 03:33:20,995
AND IT UPEND THE WAYS WE WERE 

4822
03:33:20,995 --> 03:33:21,662
DOING MEASUREMENT AND LEARNING 

4823
03:33:21,662 --> 03:33:23,431
ABOUT TOOLS AND RELATED 

4824
03:33:23,431 --> 03:33:25,232
DISCIPLINES THAT CAN APPLY TO 

4825
03:33:25,232 --> 03:33:25,933
OUR WORK.

4826
03:33:25,933 --> 03:33:28,169
THERE'S SO MUCH TO BE LEARN FROM

4827
03:33:28,169 --> 03:33:30,304
RELATED FIELD AND CERTAINLY 

4828
03:33:30,304 --> 03:33:35,709
MEASUREMENT IS ONE WAY AND 

4829
03:33:35,709 --> 03:33:42,850
METHODOLOGY AND CONTENT TOO.

4830
03:33:42,850 --> 03:33:47,822
THANK YOU FOR JOINING US TODAY 

4831
03:33:47,822 --> 03:33:51,826
AND FOR CONSIDERING AN OPTIMIST 

4832
03:33:51,826 --> 03:33:53,727
IB VIEW WHERE TO TAKE YOUR
D&I 

4833
03:33:53,727 --> 03:33:57,298
RESEARCH AND WE HAVE 2,000 

4834
03:33:57,298 --> 03:34:03,070
PROVIDERS WITH OVER 100 COACHES 

4835
03:34:03,070 --> 03:34:04,438
ACROSS THE STATES AND SOME AT 

4836
03:34:04,438 --> 03:34:05,806
THE IT TIPPING POINT AND SOME 

4837
03:34:05,806 --> 03:34:08,042
STARTING BUT AT THE END OF THE 

4838
03:34:08,042 --> 03:34:15,983
DAY KEEPING OUR EYES ON THE 

4839
03:34:15,983 --> 03:34:16,484
PRO

4840
03:34:16,484 --> 03:34:18,452
PRIZE ENSURING FAMILIES GET THE 

4841
03:34:18,452 --> 03:34:20,287
SERVICE THEY DESERVE IS ONE THAT

4842
03:34:20,287 --> 03:34:26,727
KEEPS US GOING DAY TO DAY.

4843
03:34:26,727 --> 03:34:34,602
THANK YOU VERY MUCH.

4844
03:34:34,602 --> 03:34:36,237
>> THANKS, MOLLIE.

4845
03:34:36,237 --> 03:34:37,538
THAT WAS INSPIRING SEE THE 

4846
03:34:37,538 --> 03:34:39,206
VARIETY OF PARTNERSHIPS AND 

4847
03:34:39,206 --> 03:34:43,277
LEVERAGE OVER TIME.

4848
03:34:43,277 --> 03:34:45,279
NEXT IS BRIAN BOYD.

4849
03:34:45,279 --> 03:34:55,523
TAKE IT AWAY.

4850
03:34:58,626 --> 03:35:00,294
>> BRIAN: I'M GOING TO
TALK 

4851
03:35:00,294 --> 03:35:02,630
ABOUT THE ACTUAL IMPLEMENTATION 

4852
03:35:02,630 --> 03:35:05,299
STRATEGIES WE'VE USED WITHIN THE

4853
03:35:05,299 --> 03:35:10,070
CONTEXT OF SCHOOL-BASED RESEARCH

4854
03:35:10,070 --> 03:35:11,972
WE DO FOCUS ON AUTISTIC STUDENTS

4855
03:35:11,972 --> 03:35:13,607
BECAUSE SCHOOLS ARE UNIQUE 

4856
03:35:13,607 --> 03:35:14,808
ORGANIZATIONAL UNITS WITHIN A 

4857
03:35:14,808 --> 03:35:16,177
BROADER EDUCATIONAL SYSTEM.

4858
03:35:16,177 --> 03:35:20,848
THEY FACE SOME PARTICULAR 

4859
03:35:20,848 --> 03:35:22,416
CHALLENGES AND SUCCESSES RELATED

4860
03:35:22,416 --> 03:35:22,950
TO IMPLEMENTATION WORK.

4861
03:35:22,950 --> 03:35:29,290
I'LL SHARE EXAMPLES OF RESEARCH 

4862
03:35:29,290 --> 03:35:30,224
WE'VE DONE AND SOME STRATEGIES 

4863
03:35:30,224 --> 03:35:31,926
USED AND WHAT'S BEEN HELPFUL AND

4864
03:35:31,926 --> 03:35:36,730
NOT HELPFUL DOING THE WORK.

4865
03:35:36,730 --> 03:35:37,831
FIRST I'LL PROVIDE CONTEXT 

4866
03:35:37,831 --> 03:35:39,600
BECAUSE I'M ASSUMING NOT 

4867
03:35:39,600 --> 03:35:41,702
EVERYONE DOES SCHOOL-BASED OR 

4868
03:35:41,702 --> 03:35:43,470
WORK WITH STUDENTS WITH AUTISM 

4869
03:35:43,470 --> 03:35:45,739
AND BRIEF CONTEXT TO UNDERSTAND 

4870
03:35:45,739 --> 03:35:47,241
THE WORK WE'RE EMBARKING UPON 

4871
03:35:47,241 --> 03:35:52,980
AND TALK ABOUT TWO SPECIFIC 

4872
03:35:52,980 --> 03:35:53,280
STUDIES.

4873
03:35:53,280 --> 03:36:00,487
ONE THAT WAS WIN -- WITH 

4874
03:36:00,487 --> 03:36:02,223
EFFICACY SUPPORT AND ONE IS 

4875
03:36:02,223 --> 03:36:04,058
HYBRID WITH IMPLEMENTATION 

4876
03:36:04,058 --> 03:36:05,125
OUTCOMES AS WELL AS 

4877
03:36:05,125 --> 03:36:06,527
STUDENT-LEVEL OR CHILD-LEVEL 

4878
03:36:06,527 --> 03:36:07,194
OUTCOMES WITHIN THE CONTEXT OF 

4879
03:36:07,194 --> 03:36:13,133
THE TRIAL.

4880
03:36:13,133 --> 03:36:14,435
WITH THE FOCUS ON THE 

4881
03:36:14,435 --> 03:36:15,536
IMPLEMENTATION STRATEGIES WITHIN

4882
03:36:15,536 --> 03:36:17,438
THE STUDIES AND WHAT WAS 

4883
03:36:17,438 --> 03:36:21,742
HELPFUL.

4884
03:36:21,742 --> 03:36:22,776
CONTEXT HERE, THERE'S FEDERAL 

4885
03:36:22,776 --> 03:36:25,279
LEGISLATION THAT CALLED FOR THE 

4886
03:36:25,279 --> 03:36:30,517
USE OF SCIENTIFICALLY BASED 

4887
03:36:30,517 --> 03:36:31,785
RESEARCH SUCH AS THE INDIVIDUAL 

4888
03:36:31,785 --> 03:36:32,419
WITH DISABILITIES AND EDUCATION 

4889
03:36:32,419 --> 03:36:34,688
ACT IN THE SUPPLEMENT.

4890
03:36:34,688 --> 03:36:36,924
WE ALSO WITHIN THE CONTEXT OF 

4891
03:36:36,924 --> 03:36:40,127
SPECIAL EDUCATION DEAL WITH HIGH

4892
03:36:40,127 --> 03:36:41,495
RATES OF TEACHER BURNOUT AND 

4893
03:36:41,495 --> 03:36:43,430
ATTRITION AND AFFECTS OUR 

4894
03:36:43,430 --> 03:36:45,733
ABILITY TO DO CAPACITY BUILDING 

4895
03:36:45,733 --> 03:36:51,405
WITH INTERVENTIONS WITHIN THE 

4896
03:36:51,405 --> 03:37:01,915
CONTEXT OF SCHOOL SYSTEMS AND 

4897
03:37:04,151 --> 03:37:09,290
LOOK AT CAPACITY AND LOOK AT 28 

4898
03:37:09,290 --> 03:37:12,893
PRACTICES FOR CHILDREN BETWEEN 

4899
03:37:12,893 --> 03:37:21,268
THREE AND  21 RECEIVING SERVICES

4900
03:37:21,268 --> 03:37:25,272
AND THAT'S A LOT OF SCHOOL-BASED

4901
03:37:25,272 --> 03:37:28,942
PRACTITIONERS POTENTIALLY HAVE 

4902
03:37:28,942 --> 03:37:29,510
TO LEARN AND IMPLEMENT AND 

4903
03:37:29,510 --> 03:37:35,582
SUSTAIN.

4904
03:37:35,582 --> 03:37:37,217
THE OTHER THING IN THINKING 

4905
03:37:37,217 --> 03:37:40,821
ABOUT SCHOOLS, THEY'RE SITUATED 

4906
03:37:40,821 --> 03:37:47,194
IN SYSTEMS AND OFTEN REQUIRE 

4907
03:37:47,194 --> 03:37:51,031
MULTIPLE LEVELS OF BUY IN AND 

4908
03:37:51,031 --> 03:37:56,770
YOU CAN'T SAY I WANT YOU TO 

4909
03:37:56,770 --> 03:37:58,038
IMPLEMENT THIS THEY NEED 

4910
03:37:58,038 --> 03:38:02,776
PERMISSION HAVE PRINCIPLES AND 

4911
03:38:02,776 --> 03:38:04,445
OFFICIALS HIGHER UP IN THE 

4912
03:38:04,445 --> 03:38:08,449
SCHOOL DISTRICT IN ORDER TO JUST

4913
03:38:08,449 --> 03:38:09,783
HAVE PERMISSION TO WORK TO 

4914
03:38:09,783 --> 03:38:10,951
IMPLEMENT A PARTICULAR PRACTICE 

4915
03:38:10,951 --> 03:38:12,586
AND THERE'S APPROVAL OF ACQUIRE 

4916
03:38:12,586 --> 03:38:13,887
AND WE KNOW BECAUSE OF THE WAY 

4917
03:38:13,887 --> 03:38:17,291
SCHOOLS ARE FUNDED WITHIN THE 

4918
03:38:17,291 --> 03:38:19,426
U.S. THERE'S INEQUITABLE ACCESS 

4919
03:38:19,426 --> 03:38:21,628
TO RESOURCES AND FUNDING AND THE

4920
03:38:21,628 --> 03:38:24,732
ABILITY TO TRAIN PROVIDERS TO 

4921
03:38:24,732 --> 03:38:26,166
HAVE TIME FOR PROFESSIONAL 

4922
03:38:26,166 --> 03:38:27,534
DEVELOPMENT TO DEVELOP AN 

4923
03:38:27,534 --> 03:38:30,070
INTERVENTION CAN DIFFER BECAUSE 

4924
03:38:30,070 --> 03:38:30,437
OF THE ISSUES.

4925
03:38:30,437 --> 03:38:34,775
AND RELATED TO FUNDING WE CAN 

4926
03:38:34,775 --> 03:38:40,547
SEE DIFFERENCES IN COMPETENCIES 

4927
03:38:40,547 --> 03:38:42,249
AND SCHOOL STAFF SO THEIR 

4928
03:38:42,249 --> 03:38:43,984
CAPACITY THEIR KNOWLEDGE BASE 

4929
03:38:43,984 --> 03:38:45,419
CAN BE QUITE DIFFERENT ACROSS 

4930
03:38:45,419 --> 03:38:49,790
CON SCHOOLS.

4931
03:38:49,790 --> 03:38:52,226
-- ACROSS SCHOOLS.

4932
03:38:52,226 --> 03:38:53,861
WITHIN THAT LENS WE LOOKED AT 

4933
03:38:53,861 --> 03:38:55,696
THE INNOVATION GRANTS.

4934
03:38:55,696 --> 03:38:59,166
THIS IS ONE FUNDING MECHANISM 

4935
03:38:59,166 --> 03:38:59,933
DUE TO THE THIS INSTITUTE OF 

4936
03:38:59,933 --> 03:39:01,802
SCIENCES TO ALLOW YOU TO HAVE 

4937
03:39:01,802 --> 03:39:05,339
TIME AND SPACE TO DEVELOP AN 

4938
03:39:05,339 --> 03:39:06,440
INTERVENTION AS WELL AS COLLECT 

4939
03:39:06,440 --> 03:39:08,909
PILOT DATA IN PREPARATION FOR A 

4940
03:39:08,909 --> 03:39:15,382
LARGER-SCALE EFFICACY TRIAL.

4941
03:39:15,382 --> 03:39:18,051
WE HAD A GRANT CALLED ADVANCING 

4942
03:39:18,051 --> 03:39:19,987
SOCIAL COMMUNICATION AND PLAY 

4943
03:39:19,987 --> 03:39:23,257
FOR PRE-SCHOOL AGED AUTISTIC 

4944
03:39:23,257 --> 03:39:24,224
CHILDREN IMPLEMENTED WITHIN THE 

4945
03:39:24,224 --> 03:39:29,263
CONTEXT OF THEIR CLASSROOMS.

4946
03:39:29,263 --> 03:39:30,030
THIS INTERVENTION THOUGH WAS 

4947
03:39:30,030 --> 03:39:33,767
BASED ON PRIOR EFFICACY TRIAL 

4948
03:39:33,767 --> 03:39:36,603
CONDUCTED AT UCLA.

4949
03:39:36,603 --> 03:39:38,639
THERE WAS EXISTING EVIDENCE FOR 

4950
03:39:38,639 --> 03:39:41,275
THE INTERVENTION WE WERE GOING 

4951
03:39:41,275 --> 03:39:43,911
TO MANUALIZE.

4952
03:39:43,911 --> 03:39:46,413
THE ORIGINAL STUDY WAS WITHIN 

4953
03:39:46,413 --> 03:39:46,947
CLINIC STUDIES.

4954
03:39:46,947 --> 03:39:49,683
WE WERE ADOPTING THE 

4955
03:39:49,683 --> 03:39:53,153
INTERVENTION TO BE IMPLEMENTED 

4956
03:39:53,153 --> 03:39:57,991
WITHIN THE CONTEXT OF CLASS

4957
03:39:57,991 --> 03:39:58,292
CLASSROOMS.

4958
03:39:58,292 --> 03:39:59,693
WHAT WERE PRE-IMPLEMENTATION 

4959
03:39:59,693 --> 03:40:00,894
STRATEGIES AS PART OF THE 

4960
03:40:00,894 --> 03:40:02,262
DEVELOPMENT PROCESS?

4961
03:40:02,262 --> 03:40:05,866
THERE WAS A SCHOOL-BASED 

4962
03:40:05,866 --> 03:40:06,467
PSYCHOLOGIST IN THE SCHOOL 

4963
03:40:06,467 --> 03:40:10,604
SYSTEM WHERE WE'D DO THE 

4964
03:40:10,604 --> 03:40:11,438
DEVELOPMENT WORK.

4965
03:40:11,438 --> 03:40:14,374
AND SHE WE INCLUDED HER AS THE 

4966
03:40:14,374 --> 03:40:16,610
RESEARCH TEAM AND INVOLVED IN 

4967
03:40:16,610 --> 03:40:21,348
DECISIONS AND SELECTING 

4968
03:40:21,348 --> 03:40:23,350
CLASSROOMS AND TEACHERS TO 

4969
03:40:23,350 --> 03:40:27,654
PARTICIPATE AND WE CHOSE HER 

4970
03:40:27,654 --> 03:40:29,022
BECAUSE SHE WAS QUITE WELL 

4971
03:40:29,022 --> 03:40:30,257
RESPECTED WITHIN TEACHERS WITHIN

4972
03:40:30,257 --> 03:40:31,792
THIS PARTICULAR SCHOOL DISTRICT.

4973
03:40:31,792 --> 03:40:34,461
WE ALSO DID LOTZ OF FOCUS GROUPS

4974
03:40:34,461 --> 03:40:37,064
AND INTERVIEWS WITH SCHOOL STAFF

4975
03:40:37,064 --> 03:40:39,833
TO DEVELOP THE MANUAL AND I'M 

4976
03:40:39,833 --> 03:40:41,301
HAPPY TO TALK ABOUT WHAT WE 

4977
03:40:41,301 --> 03:40:42,336
LEARNED FROM DOING THAT 

4978
03:40:42,336 --> 03:40:43,904
PROFESSION AND HOW IT ALL FED 

4979
03:40:43,904 --> 03:40:49,276
INTO THE MANUAL BUT THOSE ARE 

4980
03:40:49,276 --> 03:40:50,744
PRE-IMPLEMENTATION STRATEGIES 

4981
03:40:50,744 --> 03:40:57,284
AND THE ACTUAL IMPLEMENTATION 

4982
03:40:57,284 --> 03:41:00,020
STRATEGIES IMPLEMENTING THE 

4983
03:41:00,020 --> 03:41:03,357
INTERVENTION I'LL FOCUS ON THE 

4984
03:41:03,357 --> 03:41:04,458
COACHING AND IT'S AN EFFECTIVE 

4985
03:41:04,458 --> 03:41:06,360
IMPLEMENTATION STRATEGY AND WE 

4986
03:41:06,360 --> 03:41:07,995
DID IT DIFFERENTLY SINCE IT WAS 

4987
03:41:07,995 --> 03:41:13,333
WITHIN THE SCHOOL TEAM AND 

4988
03:41:13,333 --> 03:41:17,871
CLASSROOMS ASAP IS A TEAM-BASED 

4989
03:41:17,871 --> 03:41:22,509
APPROACH.

4990
03:41:22,509 --> 03:41:25,312
IN ORDER TO BE IN THE STUDY 

4991
03:41:25,312 --> 03:41:27,814
THERE HAD TO BE AT LEAST ONE 

4992
03:41:27,814 --> 03:41:32,519
TEACHER OR CO-TEACHER AND ONE 

4993
03:41:32,519 --> 03:41:33,887
OCCUPATIONAL PROVIDER OR SPEECH 

4994
03:41:33,887 --> 03:41:39,626
LANGUAGE PATHOLOGIST AND AGREED 

4995
03:41:39,626 --> 03:41:46,667
TO FORM A TEAM TO BE COTRAINED 

4996
03:41:46,667 --> 03:41:50,938
AND A TRAINING FOR THE CONTENT 

4997
03:41:50,938 --> 03:41:52,406
AND BOOSTER TRAINING AFTER THE 

4998
03:41:52,406 --> 03:41:57,578
HOLIDAYS BECAUSE THERE'S OFTEN A

4999
03:41:57,578 --> 03:42:01,281
BREAK FOR STUDENTS AND STAFF AND

5000
03:42:01,281 --> 03:42:02,749
WANTED TO BOOST THEM FOR THE 

5001
03:42:02,749 --> 03:42:04,651
IMPLEMENTATION.

5002
03:42:04,651 --> 03:42:06,219
WE WANTED TO HAVE A CRITICAL 

5003
03:42:06,219 --> 03:42:11,625
MASS IN THOSE TRAINED WITHIN THE

5004
03:42:11,625 --> 03:42:13,594
CONTEXT OF INTERVENTIONS WITHIN 

5005
03:42:13,594 --> 03:42:14,795
SCHOOLS AND WE KNOW IT DOESN'T 

5006
03:42:14,795 --> 03:42:20,133
WORK FOR CAPACITY BUILDING.

5007
03:42:20,133 --> 03:42:22,169
HAVING A TEAM WE CAN BUILD 

5008
03:42:22,169 --> 03:42:22,869
CRITICAL MASS.

5009
03:42:22,869 --> 03:42:25,038
WE ALSO WANTED TO REDUCE THE 

5010
03:42:25,038 --> 03:42:29,276
BURDEN OF THE TEACHER TO HAVE 

5011
03:42:29,276 --> 03:42:31,678
MULTIPLE ROLES.

5012
03:42:31,678 --> 03:42:34,982
OFTEN TIMES THEY HAVE TO BE THE 

5013
03:42:34,982 --> 03:42:36,183
INFORMER OR TRAINER IN THE 

5014
03:42:36,183 --> 03:42:40,420
SCHOOL TO LET THEM KNOW ABOUT 

5015
03:42:40,420 --> 03:42:42,756
THE INTERVENTION WE WERE TAKING 

5016
03:42:42,756 --> 03:42:47,327
THE BURDEN OFF THE TEACHER IT 

5017
03:42:47,327 --> 03:42:57,738
PLAY THE MULTIPLE ROLES.

5018
03:42:59,172 --> 03:43:00,941
AND WE KNOW IN GENERAL AUTISTIC 

5019
03:43:00,941 --> 03:43:04,244
STUDENTS OFTEN RECEIVE SERVICES 

5020
03:43:04,244 --> 03:43:06,079
FROM MULTIPLE PROVIDERS SO THIS 

5021
03:43:06,079 --> 03:43:09,182
SHOULD FIT IN WITH A TEAM-BASED 

5022
03:43:09,182 --> 03:43:10,217
APPROACH FOR SERVICES STUDENTS 

5023
03:43:10,217 --> 03:43:11,852
WERE ALREADY RECEIVING.

5024
03:43:11,852 --> 03:43:15,555
WHAT WERE SOME CHALLENGES AND 

5025
03:43:15,555 --> 03:43:15,889
SUCCESSES?

5026
03:43:15,889 --> 03:43:17,591
WE KNOW STAFF TURNOVER DID 

5027
03:43:17,591 --> 03:43:17,858
OCCUR.

5028
03:43:17,858 --> 03:43:23,296
PEOPLE LEAVE THE CLASSROOM FOR A

5029
03:43:23,296 --> 03:43:28,135
VARIETY OF REASONS YOU HAD TO 

5030
03:43:28,135 --> 03:43:31,972
AGREE TO DO THIS AS A TEAM AND 

5031
03:43:31,972 --> 03:43:33,273
THAT CREATED CHALLENGES.

5032
03:43:33,273 --> 03:43:35,108
IF THEY WEREN'T WELL FUNCTIONING

5033
03:43:35,108 --> 03:43:38,178
OR COHESIVE AT THE BEGINNING 

5034
03:43:38,178 --> 03:43:39,646
THAT CAN AFFECT THEIR 

5035
03:43:39,646 --> 03:43:40,013
IMPLEMENTATION.

5036
03:43:40,013 --> 03:43:40,514
HOW DO WE ADDRESS THE 

5037
03:43:40,514 --> 03:43:47,154
CHALLENGES?

5038
03:43:47,154 --> 03:43:48,655
WE DEVELOPED MICRO TRAINING TO 

5039
03:43:48,655 --> 03:43:55,062
GET NEW TEAM MEMBERS UP TO SPEED

5040
03:43:55,062 --> 03:43:56,730
INSTEAD OF THE INITIAL TRAINING 

5041
03:43:56,730 --> 03:43:58,131
WITH EVERYONE AND DEVELOPED THE 

5042
03:43:58,131 --> 03:43:59,866
TERMS OF REFERENCE DOCUMENT I 

5043
03:43:59,866 --> 03:44:02,335
CAN ON THE NEXT SLIDE TO SPELL 

5044
03:44:02,335 --> 03:44:04,938
OUT THE ROLE AND 

5045
03:44:04,938 --> 03:44:05,605
RESPONSIBILITIES FOR EACH TEAM 

5046
03:44:05,605 --> 03:44:08,108
MEMBER AND AT THE MONTHLY 

5047
03:44:08,108 --> 03:44:11,778
COACHING MEETING ANY TEAM MEMBER

5048
03:44:11,778 --> 03:44:13,480
CAN SAY LET'S REVISIT BECAUSE 

5049
03:44:13,480 --> 03:44:18,985
THE CASE LOAD OR SCHEDULE HAS 

5050
03:44:18,985 --> 03:44:21,288
CHANGED.

5051
03:44:21,288 --> 03:44:24,791
I NEED TO LOOK AT WHAT I CAN DO 

5052
03:44:24,791 --> 03:44:27,761
AND LOOK AT THE SCHOOL-BASED 

5053
03:44:27,761 --> 03:44:30,597
ADVISORS TO ATTEND THE MONTHLY 

5054
03:44:30,597 --> 03:44:31,264
MEETINGS TO TEAM AND PLAN AND 

5055
03:44:31,264 --> 03:44:36,536
WORK TOGETHER.

5056
03:44:36,536 --> 03:44:40,507
THIS IS WHAT IT LOOKED LIKE AND 

5057
03:44:40,507 --> 03:44:45,278
LOOKED AT THE RESPONSIBILITIES 

5058
03:44:45,278 --> 03:44:52,986
WITH IMPLEMENTATION AND DOING 

5059
03:44:52,986 --> 03:44:57,557
ONE-ON-ONE INTERVENTION AND WHO 

5060
03:44:57,557 --> 03:44:58,892
WILL BE INVOLVED IN COLLECTING 

5061
03:44:58,892 --> 03:45:01,428
DATA FOR THE PARTICULAR STUDENT.

5062
03:45:01,428 --> 03:45:02,863
THIS IS SOMETHING THE TEAM CAN 

5063
03:45:02,863 --> 03:45:07,300
VERY VISIT AT ANY POINT IN TIME.

5064
03:45:07,300 --> 03:45:10,237
>> THAT'S THE 10-MINUTE
MARK.

5065
03:45:10,237 --> 03:45:19,880
>> SO WE STILL HAVE 
TRIUMPHS OF

5066
03:45:19,880 --> 03:45:26,987
AND THE SERVICE PROVIDERS LIKED 

5067
03:45:26,987 --> 03:45:37,531
THIS AND THE OTHER IS AND THESE 

5068
03:45:42,569 --> 03:45:42,903
YFG

5069
03:45:42,903 --> 03:45:44,204
INTERVENTIONS HAVE BEEN TESTED 

5070
03:45:44,204 --> 03:45:46,940
WITHIN THE MULTIPLE RANDOMIZED 

5071
03:45:46,940 --> 03:45:49,276
CONTROL TRIAL AND USING THE TOOL

5072
03:45:49,276 --> 03:45:51,077
KIT TO SUPPORT THE 

5073
03:45:51,077 --> 03:45:51,611
SUSTAINABILITY WITHIN THE 

5074
03:45:51,611 --> 03:45:59,386
CONTEXT.

5075
03:45:59,386 --> 03:46:00,720
SOMEONE FROM OUR TEAM MEETS FROM

5076
03:46:00,720 --> 03:46:04,324
A SCHOOL TEAM LEADER AND WHO 

5077
03:46:04,324 --> 03:46:05,692
SHOULD BE PART OF THE PARLIAMENT

5078
03:46:05,692 --> 03:46:16,369
TEAM TO FORM THE SCHOOL TEAM AND

5079
03:46:16,369 --> 03:46:18,405
IDENTIFIES WHO SHOULD BE ON THE 

5080
03:46:18,405 --> 03:46:18,605
TEAM.

5081
03:46:18,605 --> 03:46:21,641
THOSE IN THE NETWORK RESPOND TO 

5082
03:46:21,641 --> 03:46:23,810
IT AND CAN EITHER ASKED TO 

5083
03:46:23,810 --> 03:46:25,278
PROVIDE SURVEY QUESTIONS AND CAN

5084
03:46:25,278 --> 03:46:29,282
DECLINE TO PARTICIPATE ON THE 

5085
03:46:29,282 --> 03:46:30,450
IMPLEMENTATION TEAM BUT MAY 

5086
03:46:30,450 --> 03:46:35,856
NOMINATE OTHERS AND ONES WE HAVE

5087
03:46:35,856 --> 03:46:40,060
AN IMPLEMENT TEAM WE HAVE THE 

5088
03:46:40,060 --> 03:46:42,162
IDEA THAT THERE BE A TAKEOVER IN

5089
03:46:42,162 --> 03:46:47,434
FACILITATOR AND TRAINER AND TAKE

5090
03:46:47,434 --> 03:46:50,904
ON THE IMPLEMENTATION SUPPORT SO

5091
03:46:50,904 --> 03:46:51,605
CREATING A SYSTEM AROUND THE 

5092
03:46:51,605 --> 03:46:52,172
IMPLEMENTATIONS WITHIN THE 

5093
03:46:52,172 --> 03:47:02,315
SCHOOLS.

5094
03:47:03,583 --> 03:47:04,885
WE'RE MEASURING AND MONITORING 

5095
03:47:04,885 --> 03:47:07,187
OUTCOMES WITH THE GOAL OF STAGE 

5096
03:47:07,187 --> 03:47:13,193
8 BEING SUSTAINED INTERVENTION.

5097
03:47:13,193 --> 03:47:15,562
SOME OF THE ISSUES HERE IS 

5098
03:47:15,562 --> 03:47:19,065
POSTCOVID THERE'S LOTS OF SCHOOL

5099
03:47:19,065 --> 03:47:22,135
STAFF SHORTAGES AND SOMETIME LOW

5100
03:47:22,135 --> 03:47:25,572
RESPONSE RATES FROM SOCIAL 

5101
03:47:25,572 --> 03:47:27,240
NETWORKS AND FORMING 

5102
03:47:27,240 --> 03:47:28,775
IMPLEMENTATION TEAMS IS HARDER 

5103
03:47:28,775 --> 03:47:30,810
WITHIN SMALLER SCHOOLS BUT 

5104
03:47:30,810 --> 03:47:35,649
ANECDOTALLY THIS A TRIAL STILL 

5105
03:47:35,649 --> 03:47:35,882
ONGOING.

5106
03:47:35,882 --> 03:47:37,317
ONCE THEY FORM THE TEAM THEY 

5107
03:47:37,317 --> 03:47:38,752
FIND IT QUITE BENEFICIAL TO HAVE

5108
03:47:38,752 --> 03:47:42,088
THE EXTRA LAYER OF SUPPORT.

5109
03:47:42,088 --> 03:47:43,456
THIS IS THE LAST SLIDE AND WE 

5110
03:47:43,456 --> 03:47:48,662
PUT TOGETHER A FRAMEWORK USING 

5111
03:47:48,662 --> 03:47:52,198
THE HOLD HOW YOU THINK THROUGH 

5112
03:47:52,198 --> 03:47:53,266
THE IMPLEMENTATION GOALS ACROSS 

5113
03:47:53,266 --> 03:47:55,502
THE PHASES AND WHAT ARE 

5114
03:47:55,502 --> 03:47:56,770
ACTIVITIES AND STRATEGIES WE 

5115
03:47:56,770 --> 03:48:00,440
NEED TO ACCOMPLISH WITHIN THAT 

5116
03:48:00,440 --> 03:48:01,675
PARTICULAR PHASE AND POTENTIAL 

5117
03:48:01,675 --> 03:48:03,109
OUTCOMES YOU SHOULD BE 

5118
03:48:03,109 --> 03:48:04,444
MONITORING AS PART OF THAT 

5119
03:48:04,444 --> 03:48:04,711
PHASE.

5120
03:48:04,711 --> 03:48:10,717
THIS IS PART OF THE STUDY WE DID

5121
03:48:10,717 --> 03:48:12,319
WE USED AUTISM AS THE CASE 

5122
03:48:12,319 --> 03:48:16,389
EXAMPLE BUT THE FRAMEWORK HAS 

5123
03:48:16,389 --> 03:48:18,558
BEEN USED BEYOND THIS AND I WANT

5124
03:48:18,558 --> 03:48:20,193
TO ACKNOWLEDGE SOME PEOPLE AND 

5125
03:48:20,193 --> 03:48:21,194
I'LL STOP THERE.

5126
03:48:21,194 --> 03:48:22,729
>> THANK YOU, BRIAN.

5127
03:48:22,729 --> 03:48:25,265
OUR NEXT AND FINAL SPEAKER IS 

5128
03:48:25,265 --> 03:48:27,634
SUSAN EMMETT.

5129
03:48:27,634 --> 03:48:29,269
YOU CAN START SHARING YOUR 

5130
03:48:29,269 --> 03:48:35,842
SLIDES.

5131
03:48:35,842 --> 03:48:38,578
>> SUSAN: I'M AN ASSOCIATE

5132
03:48:38,578 --> 03:48:41,681
PROFESSOR AT THE UNIVERSITY OF 

5133
03:48:41,681 --> 03:48:43,283
ARKANSAS OF OTOLARYNGOLOGY AND 

5134
03:48:43,283 --> 03:48:48,855
LEAD THE CENTER FOR HEARING 

5135
03:48:48,855 --> 03:48:50,623
HEALTH EQUITY AND WITH OTHERS ON

5136
03:48:50,623 --> 03:48:51,791
THE WEBINAR TODAY.

5137
03:48:51,791 --> 03:48:58,365
OUR OVER ARCHING GOAL IS TO 

5138
03:48:58,365 --> 03:48:59,866
ADDRESS HEARING LOSS RELATED TO 

5139
03:48:59,866 --> 03:49:03,837
POLICY CHANGE.

5140
03:49:03,837 --> 03:49:09,209
WE DO THAT THROUGH RESEARCH 

5141
03:49:09,209 --> 03:49:15,515
DRIVE EN AND PUBLIC HEALTH 

5142
03:49:15,515 --> 03:49:18,351
DRIVEN AND HOW DOES D&I FIT
INTO

5143
03:49:18,351 --> 03:49:18,818
THIS?

5144
03:49:18,818 --> 03:49:22,689
D&I RESEARCH HELPS BRIDGE
THE 

5145
03:49:22,689 --> 03:49:24,324
GAP BETWEEN EFFECTIVENESS 

5146
03:49:24,324 --> 03:49:25,692
STUDIES AND POLICY CHANGE AND 

5147
03:49:25,692 --> 03:49:26,092
ULTIMATE IMPACT.

5148
03:49:26,092 --> 03:49:30,430
THAT'S HOW WE AS A GROUP GOT 

5149
03:49:30,430 --> 03:49:31,464
INVOLVED IN D&I RESEARCH.

5150
03:49:31,464 --> 03:49:33,266
I'M GOING TO WALK THROUGH AN 

5151
03:49:33,266 --> 03:49:35,035
EXAMPLE OF SOME EARLY WORK THAT 

5152
03:49:35,035 --> 03:49:40,173
WE DID THAT LED US TO D&I
AND 

5153
03:49:40,173 --> 03:49:41,274
THEN TALK ABOUT TWO NIDCD FUNDED

5154
03:49:41,274 --> 03:49:45,745
STUDIES IN THE AREA.

5155
03:49:45,745 --> 03:49:51,351
WE ALL KNOW ON THE WEBINAR 

5156
03:49:51,351 --> 03:49:53,286
HEARING LOSS HAS A SIGNIFICANT 

5157
03:49:53,286 --> 03:49:56,122
LIFE LONG IMPACT AND THE W.H.O. 

5158
03:49:56,122 --> 03:49:57,590
ESTIMATES 75% OF HEARING LOSS IN

5159
03:49:57,590 --> 03:50:03,329
UNDER SERVED COMMUNITIES IS 

5160
03:50:03,329 --> 03:50:03,630
PREVENTIBLE.

5161
03:50:03,630 --> 03:50:09,269
THIS IS SOMETHING THAT SPEAKS TO

5162
03:50:09,269 --> 03:50:12,238
THE CORE WHERE WE WANT TO CHANGE

5163
03:50:12,238 --> 03:50:13,673
THE LANDSCAPE OF HEARING LOSS IN

5164
03:50:13,673 --> 03:50:15,942
CHILDREN AND NEED A BETTER WAY 

5165
03:50:15,942 --> 03:50:17,310
TO IDENTIFY CHILDREN WITH 

5166
03:50:17,310 --> 03:50:18,244
UNDIAGNOSED HEARING LOSS AND 

5167
03:50:18,244 --> 03:50:24,417
ENSURE THEY HAVE ACCESS TO CARE.

5168
03:50:24,417 --> 03:50:27,087
MUCH OF THE FOUNDATIONAL WORK 

5169
03:50:27,087 --> 03:50:29,122
HAS BEEN IN RURAL ALASKA WHERE 

5170
03:50:29,122 --> 03:50:31,491
THE PREVALENCE OF CHILDHOOD 

5171
03:50:31,491 --> 03:50:33,293
HEARING LOSS IS SIX TO NINE 

5172
03:50:33,293 --> 03:50:35,028
TIMES HIGHER THAN THE GENERAL 

5173
03:50:35,028 --> 03:50:35,662
U.S. POPULATION.

5174
03:50:35,662 --> 03:50:36,963
THIS IS REALLY ALL DRIVEN BY EAR

5175
03:50:36,963 --> 03:50:42,435
INFECTIONS.

5176
03:50:42,435 --> 03:50:43,803
THEY CAN START AS EARLY AS ONE 

5177
03:50:43,803 --> 03:50:45,872
MONTH OF AGE IN THIS POPULATION.

5178
03:50:45,872 --> 03:50:49,075
WE KNOW THERE'S SIGNIFICANT 

5179
03:50:49,075 --> 03:50:53,279
BARRIERS OF CARE IN ALASKA FIRST

5180
03:50:53,279 --> 03:50:55,815
BECAUSE OF THE SIZE OF THE STATE

5181
03:50:55,815 --> 03:51:03,189
EQUIVALENT TO THE ENTIRE EASTERN

5182
03:51:03,189 --> 03:51:05,425
SEABOARD.

5183
03:51:05,425 --> 03:51:08,128
AND FOR OUR PURPOSES THIS 

5184
03:51:08,128 --> 03:51:18,838
CONNECTS OT OWE  -- OTT -- 

5185
03:51:20,740 --> 03:51:22,609
OTOLARYNGOLOGISTS AND WE KNOW 

5186
03:51:22,609 --> 03:51:23,843
IT'S PREVENTIVE HEALTH CARE FOR 

5187
03:51:23,843 --> 03:51:26,713
RURAL CHILDREN AND EVEN FOR 

5188
03:51:26,713 --> 03:51:28,715
CHILDREN IDENTIFIED WITH 

5189
03:51:28,715 --> 03:51:30,183
SCHOOL-BASED SCREENING NEARLY 

5190
03:51:30,183 --> 03:51:31,951
THREE-QUARTERS ARE LOST TO 

5191
03:51:31,951 --> 03:51:32,685
FOLLOW-UP BEFORE EVER RECEIVING 

5192
03:51:32,685 --> 03:51:32,986
CARE.

5193
03:51:32,986 --> 03:51:35,755
WE ASKED THE QUESTION OF CAN 

5194
03:51:35,755 --> 03:51:38,324
TELEMEDICINE HELP OVERCOME THESE

5195
03:51:38,324 --> 03:51:40,193
BARRIERS TO SPECIALTY CARE?

5196
03:51:40,193 --> 03:51:40,827
SPECIFICALLY USING THE MODEL OF 

5197
03:51:40,827 --> 03:51:45,665
HEARING SCREENING.

5198
03:51:45,665 --> 03:51:48,668
WE DID THIS THROUGH A PCORI 

5199
03:51:48,668 --> 03:51:51,471
FUNDED TRIAL THE LARGEST IN THIS

5200
03:51:51,471 --> 03:51:53,273
REGION OF NORTHWEST ALASKA AND 

5201
03:51:53,273 --> 03:51:54,674
ENROLLED ABOUT 1500 CHILDREN AND

5202
03:51:54,674 --> 03:51:58,244
15 RURAL COMMUNITIES.

5203
03:51:58,244 --> 03:52:01,447
THIS WAS A CLUSTER RANDOMIZED 

5204
03:52:01,447 --> 03:52:04,017
TRIAL WHERE WE COMPARED A 

5205
03:52:04,017 --> 03:52:05,285
TELEMEDICINE SPECIAL MEDICINE 

5206
03:52:05,285 --> 03:52:08,021
REFERRAL PATHWAY TO STANDARD 

5207
03:52:08,021 --> 03:52:09,689
PRIMARY CARE PATHWAY TO 

5208
03:52:09,689 --> 03:52:13,560
DETERMINE THE BEST WAY TO ENSURE

5209
03:52:13,560 --> 03:52:14,194
FOLLOW-UP AFTER SCHOOL HEARING 

5210
03:52:14,194 --> 03:52:18,698
SCREENING.

5211
03:52:18,698 --> 03:52:21,000
THE RESULTS WERE REMARKABLE.

5212
03:52:21,000 --> 03:52:23,069
WE FOUND CHILDREN IN COMMUNITIES

5213
03:52:23,069 --> 03:52:25,271
RANDOMIZED TO TELEMEDICINE WERE 

5214
03:52:25,271 --> 03:52:27,140
TWICE AS LIKELY TO RECEIVE 

5215
03:52:27,140 --> 03:52:31,044
FOLLOW-UP CARE AND CARE HAPPENED

5216
03:52:31,044 --> 03:52:33,012
OVER 17 TIMES FASTER.

5217
03:52:33,012 --> 03:52:38,918
THESE ARE ASTOUNDING RESULTS 

5218
03:52:38,918 --> 03:52:40,353
THAT ULTIMATELY COULD CHANGE THE

5219
03:52:40,353 --> 03:52:42,155
LANDSCAPE OF PREVENTIBLE 

5220
03:52:42,155 --> 03:52:43,156
CHILDHOOD HEARING LOSS BUT THE 

5221
03:52:43,156 --> 03:52:45,291
CHALLENGE IS HOW DO WE TAKE THIS

5222
03:52:45,291 --> 03:52:46,693
WORK AND ENSURE THAT IF WE MAKE 

5223
03:52:46,693 --> 03:52:51,130
IT ALL THE WAY TO THE FINISH 

5224
03:52:51,130 --> 03:52:52,932
LINE WHERE WE ARE ACTUALLY 

5225
03:52:52,932 --> 03:52:56,469
PUSHING TOWARDS POLICY CHANGE 

5226
03:52:56,469 --> 03:52:57,971
AND ULTIMATE IMPACT AND 

5227
03:52:57,971 --> 03:52:59,105
SUSTAINED CHANGE IN COMMUNITIES?

5228
03:52:59,105 --> 03:53:04,877
AND THE ANSWER TO THAT REALLY 

5229
03:53:04,877 --> 03:53:06,913
LIES IN D&I WORK BECAUSE
THAT 

5230
03:53:06,913 --> 03:53:08,481
PROVIDE THE BRIDGE FROM EFFICACY

5231
03:53:08,481 --> 03:53:09,482
STUDIES TO POLICY CHANGE AND 

5232
03:53:09,482 --> 03:53:16,189
IMPACT.

5233
03:53:16,189 --> 03:53:21,294
FROM THE PCORI TRIAL WE'RE RUNG 

5234
03:53:21,294 --> 03:53:22,762
TWO NIDCD STUDIES GEARED TOWARDS

5235
03:53:22,762 --> 03:53:24,330
BRIDGING THE GAP.

5236
03:53:24,330 --> 03:53:28,534
THE FIRST IS THE NORTH STAR 

5237
03:53:28,534 --> 03:53:29,269
TRIAL.

5238
03:53:29,269 --> 03:53:32,438
THIS IS A HYBRID STEP 1 

5239
03:53:32,438 --> 03:53:33,640
RANDOMIZED TRIAL WITH NEARLY 

5240
03:53:33,640 --> 03:53:35,842
5,000 STUDENTS IN 25 SCHOOLS.

5241
03:53:35,842 --> 03:53:41,814
THE GOAL OF THIS STUDY IS TO 

5242
03:53:41,814 --> 03:53:45,718
DEVELOP A MODEL FOR SCHOOL-BASED

5243
03:53:45,718 --> 03:53:46,686
TELEHEALTH THAT COULD BE SCALED 

5244
03:53:46,686 --> 03:53:49,088
ACROSS THE STATE OF ALASKA.

5245
03:53:49,088 --> 03:53:52,959
WE HAVE HAD KEY INITIATIVES 

5246
03:53:52,959 --> 03:53:54,694
HAPPENING.

5247
03:53:54,694 --> 03:53:57,030
THE FIRST IS SHIFT FROM 

5248
03:53:57,030 --> 03:53:58,064
TELEMEDICINE IN CLINICS TO ONE 

5249
03:53:58,064 --> 03:53:59,165
DIRECTLY LOCATED IN SCHOOLS.

5250
03:53:59,165 --> 03:54:06,572
THIS WAS DRIVEN BY OUR 

5251
03:54:06,572 --> 03:54:07,674
STAKEHOLDERS IN THE INITIAL 

5252
03:54:07,674 --> 03:54:08,708
PCORI FUNDED TRIAL.

5253
03:54:08,708 --> 03:54:13,846
WE RECOGNIZED WE WERE ABLE TO 

5254
03:54:13,846 --> 03:54:17,617
MOVE THE NEEDLE IN THE NUMBER OF

5255
03:54:17,617 --> 03:54:20,920
KIDS GETTING FOLLOW-UP AND WENT 

5256
03:54:20,920 --> 03:54:22,722
FROM TWO-THIRDS WITH THE GOAL OF

5257
03:54:22,722 --> 03:54:24,590
100% OF CHILDREN AND WE NEED TO 

5258
03:54:24,590 --> 03:54:27,527
DO THIS IN THE MOST CHILD 

5259
03:54:27,527 --> 03:54:28,795
CENTRIC WAY POSSIBLE AND BRING 

5260
03:54:28,795 --> 03:54:36,703
THE TOOLS DIRECTLY INTO SCHOOLS.

5261
03:54:36,703 --> 03:54:40,306
THIS SUPPORTS THE MODEL BETWEEN 

5262
03:54:40,306 --> 03:54:41,841
THE SYSTEM WHICH IS UNIQUE WHERE

5263
03:54:41,841 --> 03:54:44,377
IT'S ALREADY STANDARD OF CARE 

5264
03:54:44,377 --> 03:54:48,648
BUT NOT TRULY OF ALL OF RURAL 

5265
03:54:48,648 --> 03:54:49,716
ALASKA IN GENERAL.

5266
03:54:49,716 --> 03:54:54,887
ANOTHER PIECE OF THIS STUDY THAT

5267
03:54:54,887 --> 03:55:05,431
WAS IMPORTANT IS THREE REGIONS 

5268
03:55:12,105 --> 03:55:15,575
CHOSEN TO REPRESENT THE BREADTH 

5269
03:55:15,575 --> 03:55:17,276
AND VARIETY OF LANDSCAPE IN THE 

5270
03:55:17,276 --> 03:55:17,610
STATE.

5271
03:55:17,610 --> 03:55:19,045
AND THIRD AND MOST IMPORTANT IS 

5272
03:55:19,045 --> 03:55:21,280
THE FOCUS ON SUSTAINABILITY IN 

5273
03:55:21,280 --> 03:55:24,283
THE TRIAL.

5274
03:55:24,283 --> 03:55:26,352
THE GOAL IS TO SCALE STATEWIDE 

5275
03:55:26,352 --> 03:55:28,421
AT THE CONCLUSION OF THE RO1.

5276
03:55:28,421 --> 03:55:31,924
THAT MEANS EVERYTHING WE DO IS 

5277
03:55:31,924 --> 03:55:33,292
THROUGH A LENS ON 

5278
03:55:33,292 --> 03:55:43,569
SUSTAINABILITY.

5279
03:55:43,970 --> 03:55:47,874
THE SECOND IS THE APPALACHIAN 

5280
03:55:47,874 --> 03:55:50,610
STAR TRIAL.

5281
03:55:50,610 --> 03:55:59,552
THIS TRIAL IS AN EXCITING STUDY 

5282
03:55:59,552 --> 03:56:01,287
FROM A TRANSFORMATIVE HEALTH 

5283
03:56:01,287 --> 03:56:03,356
DISPARITIES NESHT 

5284
03:56:06,759 --> 03:56:08,628
INITIATIVE THAT STARTED IN THE 

5285
03:56:08,628 --> 03:56:10,763
OFFICE OF THE DIRECTOR TO 

5286
03:56:10,763 --> 03:56:11,731
TRANSLATE AND SUSTAIN POLICY 

5287
03:56:11,731 --> 03:56:14,066
CHANGE AND IMPACT.

5288
03:56:14,066 --> 03:56:15,034
SOMETHING THAT WE ARE 

5289
03:56:15,034 --> 03:56:17,870
PARTICULARLY EXCITED ABOUT WITH 

5290
03:56:17,870 --> 03:56:25,278
THIS WORK IS WE ARE REALLY 

5291
03:56:25,278 --> 03:56:27,613
TRYING TO EMBRACE THE RAPID 

5292
03:56:27,613 --> 03:56:29,182
TRANSLATION AND THERE'S A LOT OF

5293
03:56:29,182 --> 03:56:31,484
INNOVATIONS IN THE TRIAL BEING 

5294
03:56:31,484 --> 03:56:32,185
CRAMMED INTO A FIVE-YEAR PERIOD 

5295
03:56:32,185 --> 03:56:35,888
WHEN NORMALLY LIKE WE HEARD 

5296
03:56:35,888 --> 03:56:38,691
EARLIER IN THE WEBINAR I WOULD 

5297
03:56:38,691 --> 03:56:40,526
SEE A METH OL CAL STEP WISE 

5298
03:56:40,526 --> 03:56:45,798
APPROACH THAT TAKES MANY YEARS 

5299
03:56:45,798 --> 03:56:50,436
TO GO FROM EFFICACY TO PRACTICE 

5300
03:56:50,436 --> 03:56:51,804
AND WE'RE TRYING TO DO OVER THE 

5301
03:56:51,804 --> 03:56:53,873
COURSE OF A FIVE-YEAR PERIOD AND

5302
03:56:53,873 --> 03:56:56,108
IT'S LARGE AND INVOLVED OVER 

5303
03:56:56,108 --> 03:56:58,578
14,000 CHILDREN IN 64 SCHOOLS IN

5304
03:56:58,578 --> 03:56:59,512
RURAL KENTUCKY.

5305
03:56:59,512 --> 03:57:01,280
WE ARE DEVELOPING TECH 

5306
03:57:01,280 --> 03:57:02,048
NOVEATIONS IN THE MIDST OF THIS 

5307
03:57:02,048 --> 03:57:03,216
TRIAL -- INNOVATIONS IN THE 

5308
03:57:03,216 --> 03:57:05,284
MIDST OF THE TRIAL TO FACILITATE

5309
03:57:05,284 --> 03:57:10,923
THE WORK INCLUDING A REALLY 

5310
03:57:10,923 --> 03:57:14,660
EXCITING INNOVATION CALLED TRIO 

5311
03:57:14,660 --> 03:57:15,661
CONNECT FACILITATING 

5312
03:57:15,661 --> 03:57:16,562
COMMUNICATION BETWEEN SCHOOLS, 

5313
03:57:16,562 --> 03:57:21,267
HEALTH CARE AND FAMILIES TO 

5314
03:57:21,267 --> 03:57:23,002
REALLY ENSURE EVERY CHILD WHO 

5315
03:57:23,002 --> 03:57:25,605
NEEDS HEARING CARE HAS ACCESS TO

5316
03:57:25,605 --> 03:57:27,240
THAT CARE.

5317
03:57:27,240 --> 03:57:31,210
THERE ARE DEFINITELY CHALLENGES 

5318
03:57:31,210 --> 03:57:32,278
IN TRANSITIONING INTO D&I
WORK 

5319
03:57:32,278 --> 03:57:35,515
AND OVERCOMING THOSE I WOULD SAY

5320
03:57:35,515 --> 03:57:38,718
MY NUMBER ONE TWO AND THREE 

5321
03:57:38,718 --> 03:57:40,620
PIECE OF ADVICE HERE IS CALENDAR

5322
03:57:40,620 --> 03:57:43,422
RATE, COLLABORATE.

5323
03:57:43,422 --> 03:57:45,658
FIND THE D&I EXPERTS WITHIN
YOUR

5324
03:57:45,658 --> 03:57:52,532
NETWORK OR BEYOND YOUR NETWORK 

5325
03:57:52,532 --> 03:57:54,500
OF COLLABORATORS AND THEY CAN 

5326
03:57:54,500 --> 03:57:59,739
BRING A NEW LEVEL OF EXPERTISE 

5327
03:57:59,739 --> 03:58:03,075
TO YOUR TEAM.

5328
03:58:03,075 --> 03:58:04,277
WE HAVE TWO IMPLEMENTATION 

5329
03:58:04,277 --> 03:58:05,244
SCIENTISTS PART OF OUR TEAM FOR 

5330
03:58:05,244 --> 03:58:06,178
BOTH THE PROJECTS.

5331
03:58:06,178 --> 03:58:11,884
THE SECOND AREA IS PARTNERSHIP 

5332
03:58:11,884 --> 03:58:13,085
WITH STATE LEADERSHIP.

5333
03:58:13,085 --> 03:58:16,222
WE ALL THINK A LOT ABOUT OUR 

5334
03:58:16,222 --> 03:58:17,089
COMMUNITY PARTNERS AND 

5335
03:58:17,089 --> 03:58:18,424
STAKEHOLDERS AND IN THOSE 

5336
03:58:18,424 --> 03:58:22,461
RELATIONSHIPS ARE REALLY 

5337
03:58:22,461 --> 03:58:23,763
CRITICAL AND FUNDAMENTAL TO THE 

5338
03:58:23,763 --> 03:58:24,797
WORK WE'RE DOING IN THE 

5339
03:58:24,797 --> 03:58:25,064
PROJECTS.

5340
03:58:25,064 --> 03:58:26,566
I WOULD SAY EQUALLY IMPORTANT IS

5341
03:58:26,566 --> 03:58:34,140
OUR PARTNERSHIP WITH POLICY 

5342
03:58:34,140 --> 03:58:34,440
MAKERS.

5343
03:58:34,440 --> 03:58:37,276
WHEN WE THINK OF CHANGING OUR 

5344
03:58:37,276 --> 03:58:39,211
LANDSCAPE AND LEADING TO POLICY 

5345
03:58:39,211 --> 03:58:40,646
CHANGE WITH ULTIMATE IMPACT WE 

5346
03:58:40,646 --> 03:58:45,151
NEED TO WORK WITH LEADERSHIP 

5347
03:58:45,151 --> 03:58:47,887
FROM THE BEGINNING FROM NO 

5348
03:58:47,887 --> 03:58:53,893
CONCEPTION THROUGH TO ACCELERATE

5349
03:58:53,893 --> 03:58:59,298
CHANGE.

5350
03:58:59,298 --> 03:59:02,935
THIS HAS BEEN TOUCHED ON IS 

5351
03:59:02,935 --> 03:59:03,469
PERSEVERANCE.

5352
03:59:03,469 --> 03:59:04,003
THIS ISN'T EASY.

5353
03:59:04,003 --> 03:59:05,905
CONTINUING TO STICK WITH THE 

5354
03:59:05,905 --> 03:59:11,143
WORK YOU'RE DOING, RECOGNIZING 

5355
03:59:11,143 --> 03:59:16,649
THAT IT'S REALLY IMPORTANT IS 

5356
03:59:16,649 --> 03:59:16,849
VAUBL.

5357
03:59:16,849 --> 03:59:17,583
AND LASTLY TO TOUCH ON EARLY 

5358
03:59:17,583 --> 03:59:18,684
SUCCESSES WITH THE WORK.

5359
03:59:18,684 --> 03:59:21,287
FIRST IS IN THE AREA OF PRIVACY 

5360
03:59:21,287 --> 03:59:26,192
PRESERVING DATA LINKAGE.

5361
03:59:26,192 --> 03:59:29,662
THERE ARE A LOT OF CHALLENGES 

5362
03:59:29,662 --> 03:59:34,333
TRYING TO NAVIGATE THE LANDSCAPE

5363
03:59:34,333 --> 03:59:39,505
OF HIPAA AND OTHERS TO ENSURE 

5364
03:59:39,505 --> 03:59:45,277
HEALTH COMMUNICATION AGENCIES 

5365
03:59:45,277 --> 03:59:50,116
CAN COMMUNICATE WITHOUT LOSING 

5366
03:59:50,116 --> 03:59:52,551
INFORMATION AND A SECOND AREA IS

5367
03:59:52,551 --> 03:59:54,253
EXCITEMENT IN OTHER REGIONS OF 

5368
03:59:54,253 --> 03:59:56,022
ALASKA FOR THE NORTH STAR TRIAL 

5369
03:59:56,022 --> 03:59:57,289
WHERE WE'VE BEEN APPROACHED BY 

5370
03:59:57,289 --> 03:59:59,191
OTHER REGIONS WHO WANT TO JOIN 

5371
03:59:59,191 --> 04:00:04,697
IN THE RANDOMIZED TRIAL AND 

5372
04:00:04,697 --> 04:00:08,034
THAT'S SO EXCITING.

5373
04:00:08,034 --> 04:00:14,040
IT SPEAKS TO OUR GOAL OF SCALE 

5374
04:00:14,040 --> 04:00:20,212
UP AND LAST LY IN THE APPALACHIN

5375
04:00:20,212 --> 04:00:21,914
STAR TRIAL WE WERE ABLE TO 

5376
04:00:21,914 --> 04:00:25,017
FACILITATE THE FIRST EVER 

5377
04:00:25,017 --> 04:00:26,385
AGREEMENT FOR DATA SHARING 

5378
04:00:26,385 --> 04:00:31,290
ACROSS EDUCATION AND HEALTH 

5379
04:00:31,290 --> 04:00:35,895
ENTITIES AND THIS SPEAKS TO 

5380
04:00:35,895 --> 04:00:37,229
SUSTAINED PARTNERSHIP AND 

5381
04:00:37,229 --> 04:00:38,698
PERSEVERANCE OF FINDING A WAY TO

5382
04:00:38,698 --> 04:00:45,204
GET TO YES AND WORKING WITH 

5383
04:00:45,204 --> 04:00:52,244
LEGAL COUNSELS  -- COUNCILS TO 

5384
04:00:52,244 --> 04:00:53,846
MAKE THIS HAPPEN AND WILL 

5385
04:00:53,846 --> 04:00:55,681
HOPEFULLY WAIVE THE WAY FOR THIS

5386
04:00:55,681 --> 04:00:59,151
WORK IN OTHER STATES AND LOOK AT

5387
04:00:59,151 --> 04:01:04,790
LONGITUDINAL OUTCOME FOR 

5388
04:01:04,790 --> 04:01:06,192
CHILDREN GOING THROUGH THESE 

5389
04:01:06,192 --> 04:01:07,793
SCREENING AND TELEHEALTH 

5390
04:01:07,793 --> 04:01:08,194
INTERVENTIONS.

5391
04:01:08,194 --> 04:01:09,261
I'LL STOP THERE AND APPRECIATE 

5392
04:01:09,261 --> 04:01:19,538
EVERYONE'S TIME.

5393
04:01:43,329 --> 04:01:45,264
IF YOU HAVE A QUESTION PLEASE 

5394
04:01:45,264 --> 04:01:46,966
RAISE YOUR HAND I'LL CALL ON YOU

5395
04:01:46,966 --> 04:01:50,302
AND IF NO ONE HAS A QUESTION 

5396
04:01:50,302 --> 04:01:52,071
I'LL GOOD AHEAD AND JUMP IN WITH

5397
04:01:52,071 --> 04:01:53,639
MY QUESTION.

5398
04:01:53,639 --> 04:01:55,741
I'LL GIVE A MINUTE FOR ANYONE 

5399
04:01:55,741 --> 04:01:56,842
WHO NEEDS TO FIND THEIR RAISE 

5400
04:01:56,842 --> 04:02:02,615
HAND FEATURE.

5401
04:02:02,615 --> 04:02:04,550
I'LL ASK MY FIRST QUESTION.

5402
04:02:04,550 --> 04:02:05,417
I HEARD A LOT ACROSS THE TRUCKS 

5403
04:02:05,417 --> 04:02:07,219
ABOUT DIFFERENT PARTNERSHIPS AND

5404
04:02:07,219 --> 04:02:11,123
THOUGH WE TALKED ABOUT 

5405
04:02:11,123 --> 04:02:12,224
PARTNERSHIPS BEFORE WITH WHAT 

5406
04:02:12,224 --> 04:02:13,993
STRUCK ME WAS THERE WERE 

5407
04:02:13,993 --> 04:02:15,861
PARTNERSHIPS AT MULTIPLE LEVELS 

5408
04:02:15,861 --> 04:02:18,631
AND GOING BACK TO MY EARLY TALK 

5409
04:02:18,631 --> 04:02:19,865
AS THE REAL WORLD SYSTEM AND ALL

5410
04:02:19,865 --> 04:02:21,133
SORTS OF LEVELS.

5411
04:02:21,133 --> 04:02:24,570
I WONDER IF ANY OF YOU COULD 

5412
04:02:24,570 --> 04:02:25,538
COMMENT ON HOW YOU BUILD 

5413
04:02:25,538 --> 04:02:27,573
PARTNERSHIPS AT DIFFERENT LEVELS

5414
04:02:27,573 --> 04:02:29,241
AND HOW IT WAS DIFFERENT TO 

5415
04:02:29,241 --> 04:02:34,213
NAVIGATE DEPENDING ON WHICH 

5416
04:02:34,213 --> 04:02:41,420
LEVEL YOU WERE AT AND WORKING 

5417
04:02:41,420 --> 04:02:43,522
THROUGH THAT PARTNERSHIP.

5418
04:02:43,522 --> 04:02:45,257
GO AHEAD, MOLLIE.

5419
04:02:45,257 --> 04:02:50,496
>> MOLLIE: TO SUSAN'S
POINT OF 

5420
04:02:50,496 --> 04:02:52,765
STATE LEVEL LEADERSHIP I AGREE 

5421
04:02:52,765 --> 04:02:54,500
IT'S CRITICAL FOR MOST THE WORK 

5422
04:02:54,500 --> 04:02:57,269
WE'RE TRYING TO DO IN DIFFERENT 

5423
04:02:57,269 --> 04:03:00,039
DISCIPLINES.

5424
04:03:00,039 --> 04:03:01,607
IT WOULD BE A BALANCE TO 

5425
04:03:01,607 --> 04:03:04,210
MAINTAIN AT A STATE LEVEL AND 

5426
04:03:04,210 --> 04:03:07,279
LOCAL LEVEL AND INDIVIDUAL LEVEL

5427
04:03:07,279 --> 04:03:12,318
AT ONCE BUT IT'S KEY.

5428
04:03:12,318 --> 04:03:17,790
BOTH FOR THE CONDUCT OF RESEARCH

5429
04:03:17,790 --> 04:03:19,525
AND UNDERSTANDING THE ROLE IN 

5430
04:03:19,525 --> 04:03:21,427
THE STUDY IS SO WE ON THE 

5431
04:03:21,427 --> 04:03:22,962
RESEARCH SIDE UNDERSTAND THE 

5432
04:03:22,962 --> 04:03:26,432
CONSTRAINTS FROM EACH OF THOSE 

5433
04:03:26,432 --> 04:03:31,604
VANTAGE POINTS AND WE CAN 

5434
04:03:31,604 --> 04:03:34,773
CONNECT AND UNDERSTAND WITH THE 

5435
04:03:34,773 --> 04:03:36,275
CHALLENGE AND OPPORTUNITIES EACH

5436
04:03:36,275 --> 04:03:36,976
STAKEHOLDER HAS IT'S DIFFICULT 

5437
04:03:36,976 --> 04:03:38,544
TO MAKE IT WORK.

5438
04:03:38,544 --> 04:03:41,380
WE CAN HAVE A STRONG STATE-LEVEL

5439
04:03:41,380 --> 04:03:42,948
PARTNERSHIP THAT DOESN'T REFLECT

5440
04:03:42,948 --> 04:03:45,784
THE REALITY ON THE BOOTS TONE 

5441
04:03:45,784 --> 04:03:47,720
GROUND FOR US IN D&I WHICH
WOULD

5442
04:03:47,720 --> 04:03:51,490
MAKE IT COLLAPSE OR WE COULD BE 

5443
04:03:51,490 --> 04:03:53,158
RESPONSIVE TO E.I. NEEDS BUT 

5444
04:03:53,158 --> 04:03:57,363
IGNORE THE POLICY CONTEXT AND IT

5445
04:03:57,363 --> 04:03:58,731
WOULD ALSO FALL.

5446
04:03:58,731 --> 04:04:01,400
HAVING OUR EYES SET AT EVERY 

5447
04:04:01,400 --> 04:04:06,605
LEVEL AND NOT NEGLECTING THE 

5448
04:04:06,605 --> 04:04:08,908
LEADERS IN THE MIDDLE TOO ARE 

5449
04:04:08,908 --> 04:04:09,975
IMPORTANT TOO.

5450
04:04:09,975 --> 04:04:11,877
WHATEVER IS THAT MIDDLE LEVEL 

5451
04:04:11,877 --> 04:04:17,549
LEADER IS IN YOUR PROGRAMS ARE 

5452
04:04:17,549 --> 04:04:19,652
IMPORTANT FOR INFLUENCING 

5453
04:04:19,652 --> 04:04:20,920
UPWARDS AND BACKWARDS REGARDLESS

5454
04:04:20,920 --> 04:04:31,297
OF WHO SURROUNDS THEM.

5455
04:04:36,869 --> 04:04:40,139
>> MEGAN: WHAT ARE THE
OUTCOMES 

5456
04:04:40,139 --> 04:04:43,976
MORE VALUABLE TO THEM AND THEIR 

5457
04:04:43,976 --> 04:04:51,550
METRICS AND HOW DO WE ALIGN THE 

5458
04:04:51,550 --> 04:04:56,789
WORK TO MAKE THEM REALIZE THEY 

5459
04:04:56,789 --> 04:04:59,858
WANTED TO DO AND THAT WAS REALLY

5460
04:04:59,858 --> 04:05:03,762
KEY THAT LISTENING TO WHAT ARE 

5461
04:05:03,762 --> 04:05:10,536
THE OUTCOMES AND METRICS THAT 

5462
04:05:10,536 --> 04:05:17,276
ARE MOST IMPORTANT TO THEM.

5463
04:05:17,276 --> 04:05:21,013
>> SUSAN: LISTENING TO
WHAT YOUR

5464
04:05:21,013 --> 04:05:24,550
PARTNERS WANT AND VALUE SHOWS 

5465
04:05:24,550 --> 04:05:28,620
YOUR VALUING THOSE 

5466
04:05:28,620 --> 04:05:28,954
RELATIONSHIPS.

5467
04:05:28,954 --> 04:05:31,290
SOME OF THE WORK I DID IS FROM 

5468
04:05:31,290 --> 04:05:33,158
WHAT PARTNERS WANTED.

5469
04:05:33,158 --> 04:05:33,826
THE DEPARTMENT OF EDUCATION IN 

5470
04:05:33,826 --> 04:05:35,327
KENTUCKY WANTS TO BE ABLE TO 

5471
04:05:35,327 --> 04:05:38,030
LOOK AT OUTCOMES OF WHAT IS 

5472
04:05:38,030 --> 04:05:40,566
HAPPENING BECAUSE OF THESE 

5473
04:05:40,566 --> 04:05:43,068
SCREENING PROGRAMS WHICH LED TO 

5474
04:05:43,068 --> 04:05:46,438
DEVELOPMENT WITH A STATEWIDE 

5475
04:05:46,438 --> 04:05:49,274
AGENCY AND LED TO A YEAR'S WORTH

5476
04:05:49,274 --> 04:05:50,642
OF DISCUSSIONS WITH LEGAL 

5477
04:05:50,642 --> 04:05:53,278
COUNCILS TO ALLOW THE 

5478
04:05:53,278 --> 04:06:03,822
STATE-LEVEL AND SOME SUCCESS IS 

5479
04:06:11,397 --> 04:06:14,500
BECAUSE OF WHAT OUR PARTNERS 

5480
04:06:14,500 --> 04:06:15,901
WANT AND NEED AND SOMETIMES IT 

5481
04:06:15,901 --> 04:06:16,735
TAKES US IN A DIFFERENT 

5482
04:06:16,735 --> 04:06:18,404
DIRECTION AND WE PLAN A CERTAIN 

5483
04:06:18,404 --> 04:06:20,372
ROAD MAP AND SOMETIMES THERE'S 

5484
04:06:20,372 --> 04:06:21,807
ADDITIONS TO THAT ROAD MAP 

5485
04:06:21,807 --> 04:06:23,375
BECAUSE OF NEW THINGS THAT 

5486
04:06:23,375 --> 04:06:24,810
EVOLVE IN THESE RELATIONSHIPS 

5487
04:06:24,810 --> 04:06:26,979
AND THAT'S OKAY BECAUSE THAT'S 

5488
04:06:26,979 --> 04:06:29,281
PART OF THIS WORK AND PART OF 

5489
04:06:29,281 --> 04:06:39,558
THE VALUE OF IT.

5490
04:06:41,293 --> 04:06:47,900
>> HOLLY: I DIDN'T HEAR
ANYTHING

5491
04:06:47,900 --> 04:06:49,301
ABOUT INCENTIVES TO GET CUs 

5492
04:06:49,301 --> 04:06:51,670
WITHOUT PAYING FOR THEM SINCE 

5493
04:06:51,670 --> 04:06:53,472
THEY'RE ALL REQUIRED TO DO 

5494
04:06:53,472 --> 04:06:55,140
CONTINUING EDUCATION FOR 

5495
04:06:55,140 --> 04:06:55,507
RECERTIFICATION.

5496
04:06:55,507 --> 04:06:57,009
ANOTHER TYPE OF INCENTIVE WE 

5497
04:06:57,009 --> 04:06:59,578
TALKED ABOUT MONEY AND HEARD 

5498
04:06:59,578 --> 04:07:01,113
ABOUT THAT IN TALKS AND ADDING 

5499
04:07:01,113 --> 04:07:03,816
IN OTHER TYPE OF INCENTIVES THAT

5500
04:07:03,816 --> 04:07:05,484
HELP PEOPLE MEET THEIR 

5501
04:07:05,484 --> 04:07:06,418
CERTIFICATION GOALS.

5502
04:07:06,418 --> 04:07:09,588
ANYONE HAVE A FURTHER COMMENT ON

5503
04:07:09,588 --> 04:07:15,661
THAT?

5504
04:07:15,661 --> 04:07:17,863
>> BRIAN: WHAT ARE THE 

5505
04:07:17,863 --> 04:07:19,231
APPROPRIATE REWARDS AND 

5506
04:07:19,231 --> 04:07:20,032
RECOGNITIONS FOR PARTICIPATING 

5507
04:07:20,032 --> 04:07:23,469
IN THIS WORK AND THINKING ABOUT 

5508
04:07:23,469 --> 04:07:24,269
SUSTAINMENT.

5509
04:07:24,269 --> 04:07:26,405
WHEN WE'VE BEEN TRYING TO FORM 

5510
04:07:26,405 --> 04:07:27,473
THE SCHOOL-BASED IMPLEMENTATION 

5511
04:07:27,473 --> 04:07:29,775
TEAMS HOW DO THESE FOLKS GET 

5512
04:07:29,775 --> 04:07:31,043
RECOGNIZED AND REWARDED FOR 

5513
04:07:31,043 --> 04:07:33,912
WORKING AT THE SCHOOL LEVEL?

5514
04:07:33,912 --> 04:07:38,350
THEY'RE DOING SOMETHING BEYOND 

5515
04:07:38,350 --> 04:07:41,253
GENERAL SCOPE OF PRACTICE AND 

5516
04:07:41,253 --> 04:07:41,887
SOMETIMES WE'VE OFFERED 

5517
04:07:41,887 --> 04:07:43,589
CERTIFICATE OF COMPLETION FOR 

5518
04:07:43,589 --> 04:07:47,593
TRAINING OR OTHER THINGS AND 

5519
04:07:47,593 --> 04:07:49,261
WORK WITH THE SPECIAL EDUCATION 

5520
04:07:49,261 --> 04:07:50,195
TEACHER, ADMINISTRATOR OR 

5521
04:07:50,195 --> 04:07:55,467
BUILDING PRINCIPLE TO THINK 

5522
04:07:55,467 --> 04:07:59,071
ABOUT WHAT ARE TO RECOGNIZE AND 

5523
04:07:59,071 --> 04:07:59,905
REWARD THE WORK.

5524
04:07:59,905 --> 04:08:01,507
IT'S ANOTHER PLACE WHERE 

5525
04:08:01,507 --> 04:08:02,508
PARTNERSHIPS ARE IMPORTANT AND 

5526
04:08:02,508 --> 04:08:05,010
FIGURE OUT HOW TO PUT IN A 

5527
04:08:05,010 --> 04:08:06,278
STRUCTURE THAT'S IMPORTANT FOR 

5528
04:08:06,278 --> 04:08:08,780
THAT PARTICULAR CONTEXT.

5529
04:08:08,780 --> 04:08:13,652
I THINK CEUs ARE A GREAT IDEA WE

5530
04:08:13,652 --> 04:08:15,587
JUST HAVEN'T DONE THAT.

5531
04:08:15,587 --> 04:08:16,655
>> HOLLY: THANKS, BRIAN.

5532
04:08:16,655 --> 04:08:20,492
COME ON AND ASK A QUESTION OR 

5533
04:08:20,492 --> 04:08:22,528
COMMENT.

5534
04:08:22,528 --> 04:08:29,902
>> AMY: I WAS GOING BACK
TO CEUs

5535
04:08:29,902 --> 04:08:35,107
I WITH YOU INVOLVED IN AN EARLY 

5536
04:08:35,107 --> 04:08:37,109
STUDY INTERVENTION AND A 

5537
04:08:37,109 --> 04:08:46,185
CLINICIAN AND WE COULD GET ASHA 

5538
04:08:46,185 --> 04:08:48,687
CEUs OR GET UNIVERSITY CREDIT 

5539
04:08:48,687 --> 04:08:50,522
AND THAT'S WHAT THE SLPs CHOSE 

5540
04:08:50,522 --> 04:08:52,958
TO GET AS PART OF BEING IN THE 

5541
04:08:52,958 --> 04:08:55,928
INTERVENTION STUDY BECAUSE IT 

5542
04:08:55,928 --> 04:08:58,964
WOULD MOVE THEM UP ON THE PAY 

5543
04:08:58,964 --> 04:08:59,231
SCALE.

5544
04:08:59,231 --> 04:09:00,999
A PERSONAL EXPERIENCE HOW THAT 

5545
04:09:00,999 --> 04:09:02,067
COULD LOOK.

5546
04:09:02,067 --> 04:09:02,568
>> HOLLY: THANKS.

5547
04:09:02,568 --> 04:09:05,003
I WANT TO TOUCH ON SOMETHING 

5548
04:09:05,003 --> 04:09:10,509
SUSAN HINTED AT WHICH I THINK I 

5549
04:09:10,509 --> 04:09:12,110
HEARD THREADS ACROSS PEOPLE'S 

5550
04:09:12,110 --> 04:09:13,278
TALKS AND THAT'S THE ADAPTATION 

5551
04:09:13,278 --> 04:09:15,013
THAT HAPPENS.

5552
04:09:15,013 --> 04:09:18,217
WHEN YOU DO THE WORK YOU'RE 

5553
04:09:18,217 --> 04:09:22,321
DOING IT IN THE REAL WORLD AND 

5554
04:09:22,321 --> 04:09:23,889
REAL CRISES HAPPEN AND 

5555
04:09:23,889 --> 04:09:25,991
OPPORTUNITIES HAPPEN AND HAVE 

5556
04:09:25,991 --> 04:09:28,327
YOU THE GRANTS GO OUT THE WINDOW

5557
04:09:28,327 --> 04:09:29,895
WHEN YOU'RE WORKING IN THE REAL 

5558
04:09:29,895 --> 04:09:30,629
WORLD LIKE THIS.

5559
04:09:30,629 --> 04:09:32,331
I WONDER IF YOU ALL CAN TALK A 

5560
04:09:32,331 --> 04:09:35,801
LITTLE BIT ABOUT THE ADAPTATIONS

5561
04:09:35,801 --> 04:09:37,769
THAT OCCUR AND HOW YOU HANDLE 

5562
04:09:37,769 --> 04:09:39,438
THAT AND HOW YOU ALSO DOCUMENT 

5563
04:09:39,438 --> 04:09:41,607
THAT AND HANDLE IT MORE FOR THE 

5564
04:09:41,607 --> 04:09:44,009
RIGOR AND REPRODUCIBILITY OF 

5565
04:09:44,009 --> 04:09:46,612
YOUR TRIAL BUT YET ALSO BE 

5566
04:09:46,612 --> 04:09:47,446
RESPONSIVE TO WHAT'S HAPPENING 

5567
04:09:47,446 --> 04:09:48,046
BECAUSE YOU STILL WANT IT TO 

5568
04:09:48,046 --> 04:09:53,752
KIND OF WORK.

5569
04:09:53,752 --> 04:09:54,186
>> 

5570
04:09:54,186 --> 04:09:59,558
>> I CAN SPEAK TO THAT
BRIEFLY.

5571
04:09:59,558 --> 04:10:00,959
SOMETHING THAT WE WISH WE HAD 

5572
04:10:00,959 --> 04:10:07,766
DONE WHEN RUNNING THE PCORI 

5573
04:10:07,766 --> 04:10:09,801
TRIAL IS BUILD IN TIME FOR 

5574
04:10:09,801 --> 04:10:11,003
ADAPTATION BECAUSE WE RECOGNIZED

5575
04:10:11,003 --> 04:10:11,903
IN THE MIDST OF THE TRIAL THERE 

5576
04:10:11,903 --> 04:10:13,639
WERE BIG CHANGES THAT NEEDED TO 

5577
04:10:13,639 --> 04:10:16,208
HAPPEN AND WE WEREN'T SET UP TO 

5578
04:10:16,208 --> 04:10:19,778
ACCOMMODATE THAT SCIENTIFICALLY.

5579
04:10:19,778 --> 04:10:24,016
ONE KEY ELEMENT WAS 

5580
04:10:24,016 --> 04:10:25,384
TRANSITIONING TELEHEALTH FROM 

5581
04:10:25,384 --> 04:10:27,552
THE CLINIC SETTING TO SCHOOL 

5582
04:10:27,552 --> 04:10:28,287
SETTING BECAUSE THE TECHNOLOGY 

5583
04:10:28,287 --> 04:10:29,288
BECAME AVAILABLE WHILE IN THE 

5584
04:10:29,288 --> 04:10:34,192
MIDDLE OF THE CHILD AND WEREN'T 

5585
04:10:34,192 --> 04:10:35,694
SET UP TO RESPOND IN REAL TIME 

5586
04:10:35,694 --> 04:10:39,698
TO OUR STAKEHOLDERS' GUIDANCE.

5587
04:10:39,698 --> 04:10:42,834
WE DID THINGS DIFFERENTLY FOR 

5588
04:10:42,834 --> 04:10:45,704
NEXT TWO STUDIES AND HAVE 

5589
04:10:45,704 --> 04:10:48,974
PURPOSEFUL TIME POINTS TO MAKE 

5590
04:10:48,974 --> 04:10:53,278
TRANSITIONS AND ADAPTATIONS.

5591
04:10:53,278 --> 04:10:57,249
THAT TOOK GROWTH AND ADJUSTMENT 

5592
04:10:57,249 --> 04:10:57,482
FROM US.

5593
04:10:57,482 --> 04:11:07,793
THIS IS DIFFERENT.

5594
04:11:14,700 --> 04:11:17,269
WE LOOKED AT WHAT IMPLEMENTATION

5595
04:11:17,269 --> 04:11:18,370
PARTNERS BROUGHT TO GUIDE RIGOR 

5596
04:11:18,370 --> 04:11:22,174
WHILE IT'S NEW TO US IS WELL 

5597
04:11:22,174 --> 04:11:25,410
ESTABLISHED IN THE FIELD.

5598
04:11:25,410 --> 04:11:26,011
LEANING ON THE EXPERTS IN THE 

5599
04:11:26,011 --> 04:11:36,254
TEAM CAN HELP.

5600
04:11:39,791 --> 04:11:41,526
THERE'S THE FRAMEWORK FOR 

5601
04:11:41,526 --> 04:11:45,530
ADAPTATIONS THAT CAN BE HELPFUL 

5602
04:11:45,530 --> 04:11:46,765
TO USE BECAUSE THEY'RE ALMOST 

5603
04:11:46,765 --> 04:11:48,333
INEVITABLE WITHIN CONTEXT.

5604
04:11:48,333 --> 04:11:52,938
IT'S HELPFUL TO KNOW THE ACTIVE 

5605
04:11:52,938 --> 04:11:54,306
INGREDIENTS OF YOUR PARTICULAR 

5606
04:11:54,306 --> 04:11:55,774
IMPLEMENTATION AND WHAT ARE THE 

5607
04:11:55,774 --> 04:11:57,376
PERIPHERY COMPONENTS THAT CAN BE

5608
04:11:57,376 --> 04:11:59,211
ADAPTED OR EXPECTED TO BE 

5609
04:11:59,211 --> 04:12:04,483
ADAPTED TO BETTER FIT THAT 

5610
04:12:04,483 --> 04:12:07,953
PARTICULAR CONTEXT AND SO TAY 

5611
04:12:07,953 --> 04:12:09,321
CAN UNDERSTAND THE ADAPTATIONS 

5612
04:12:09,321 --> 04:12:15,494
AND CHANGING POINTS.

5613
04:12:15,494 --> 04:12:18,163
>> IT'S AN ACRONYM FOR THE

5614
04:12:18,163 --> 04:12:21,299
REGULAR FRAME F-R-A-M-E BUT THE 

5615
04:12:21,299 --> 04:12:25,637
"A" IS ADAPTATION.

5616
04:12:25,637 --> 04:12:28,373
IF YOU GOOGLE FRAME ADAPTATION 

5617
04:12:28,373 --> 04:12:30,275
SCIENCE YOU'LL FIND WHAT WE'RE 

5618
04:12:30,275 --> 04:12:31,109
TALKING ABOUT.

5619
04:12:31,109 --> 04:12:34,379
MEGAN, I SAW YOU UNMUTE.

5620
04:12:34,379 --> 04:12:43,155
>> MEGAN: I SECOND THE
FRAME 

5621
04:12:43,155 --> 04:12:46,591
HAVING AN UP-TO-DATE ON YOUR 

5622
04:12:46,591 --> 04:12:48,160
PRAGMATIC TRIAL DESIGNS AND HAVE

5623
04:12:48,160 --> 04:12:53,465
A SKILLED BIO STATISTICIAN TO 

5624
04:12:53,465 --> 04:13:03,975
HELP YOU ALONG THE WAY AND WE 

5625
04:13:04,843 --> 04:13:06,445
HAD A LOT OF DISCUSSIONS SAYING 

5626
04:13:06,445 --> 04:13:07,946
WE HAD TO ADJUST THIS AND HOW 

5627
04:13:07,946 --> 04:13:09,080
DOES THIS CHANGE THE 

5628
04:13:09,080 --> 04:13:19,291
CALCULATIONS AND THAT WAS KEY.

5629
04:13:19,291 --> 04:13:21,059
>> HOLLY: THAT CAME UP IN
THE 

5630
04:13:21,059 --> 04:13:23,328
OTHER SESSION OF HOW DO YOU FIND

5631
04:13:23,328 --> 04:13:27,399
THESE TEAM MEMBERS AND BUILD THE

5632
04:13:27,399 --> 04:13:30,535
PARTNERSHIPS AND ENTICE SOMEONE 

5633
04:13:30,535 --> 04:13:40,979
TO BE PART OF YOUR TRIAL.

5634
04:13:44,950 --> 04:13:46,218
WHAT WAS YOUR EXPERIENCE LIKE?

5635
04:13:46,218 --> 04:13:50,789
YOU CAN COME IN AND ASK 

5636
04:13:50,789 --> 04:13:52,090
QUESTIONS TOO.

5637
04:13:52,090 --> 04:13:54,326
IT'S NOT JUST ME.

5638
04:13:54,326 --> 04:13:57,262
WE'RE OPEN TO AUDIENCE 

5639
04:13:57,262 --> 04:14:05,770
QUESTIONS.

5640
04:14:05,770 --> 04:14:16,014
>> MY RO1 WITH TINA STUDST
WAS 

5641
04:14:16,014 --> 04:14:17,282
OUR IMPLEMENTATION SCIENTIST AND

5642
04:14:17,282 --> 04:14:20,418
I HAVE AN MPH WITH HEALTH 

5643
04:14:20,418 --> 04:14:22,420
SERVICES AND SITUATE MYSELF IN 

5644
04:14:22,420 --> 04:14:23,889
HEALTH SERVICES RESEARCH WITHIN 

5645
04:14:23,889 --> 04:14:28,093
OUR MEDICAL SCHOOL.

5646
04:14:28,093 --> 04:14:31,796
ONE THING I FOUND THAT I HAVE 

5647
04:14:31,796 --> 04:14:33,398
SKILLS IN QUALITATIVE RESEARCH.

5648
04:14:33,398 --> 04:14:37,969
I FOR A WHILE A LOT OF WHAT I 

5649
04:14:37,969 --> 04:14:39,604
DID WAS BE ON OTHER GRANTS AS A 

5650
04:14:39,604 --> 04:14:45,043
QUALITATIVE RESEARCHER AND 

5651
04:14:45,043 --> 04:14:48,079
ASSIST THEY WILL IN THEIR 

5652
04:14:48,079 --> 04:14:49,281
STUDIES INCLUDING IMPLEMENTATION

5653
04:14:49,281 --> 04:14:50,115
TRIALS.

5654
04:14:50,115 --> 04:14:52,183
IT GAVE ME A FRONT SEAT IN 

5655
04:14:52,183 --> 04:14:54,452
LEARNING HOW OTHER PEOPLE WERE 

5656
04:14:54,452 --> 04:14:56,254
DESIGNING AND IMPLEMENTING THE 

5657
04:14:56,254 --> 04:14:58,423
TRIALS BUT IT ALSO WENT IT CAME 

5658
04:14:58,423 --> 04:15:01,393
AROUND TIME FOR -- I NEEDED 

5659
04:15:01,393 --> 04:15:02,761
CO-INVESTIGATORS AND WOULD SAY, 

5660
04:15:02,761 --> 04:15:04,796
HEY, WE ALREADY WORKED TOGETHER 

5661
04:15:04,796 --> 04:15:08,400
ON THIS OR WOULD YOU MIND BEING 

5662
04:15:08,400 --> 04:15:09,568
ON MY PROJECT.

5663
04:15:09,568 --> 04:15:12,571
THAT HAS BEEN SUCCESSFUL FOR ME.

5664
04:15:12,571 --> 04:15:15,740
I WOULD SAY A LOT OF PEOPLE THAT

5665
04:15:15,740 --> 04:15:18,610
ARE MY CO-INVESTIGATORS ON MY 

5666
04:15:18,610 --> 04:15:23,748
GRANTS DON'T HAVE A DISABILITY 

5667
04:15:23,748 --> 04:15:26,318
OR DISABILITY BACKGROUND BUT 

5668
04:15:26,318 --> 04:15:32,424
THEY KNOW ME AS A RESEARCHER AND

5669
04:15:32,424 --> 04:15:38,129
I'VE SLOWLY INDOCTRINATED THEM 

5670
04:15:38,129 --> 04:15:41,900
TO THE AREA.

5671
04:15:41,900 --> 04:15:47,372
>> MOLLIE: I'VE HOOD TO DO
HEAD 

5672
04:15:47,372 --> 04:15:50,742
HUNTING TO BE RESPONSIVE TO SOME

5673
04:15:50,742 --> 04:15:51,643
GRANTS INCLUDING COST ANALYSIS 

5674
04:15:51,643 --> 04:15:55,714
NOT REQUIRED ON THE IES SIDE AND

5675
04:15:55,714 --> 04:15:56,915
A LOT OF ASKING AROUND 

5676
04:15:56,915 --> 04:15:58,783
PARTICULARLY WITH PEOPLE FUNDED 

5677
04:15:58,783 --> 04:16:04,155
IN THE SAME MECHANISM LED US TO 

5678
04:16:04,155 --> 04:16:07,192
FIND NEW PARTNERS THAT I HAD 

5679
04:16:07,192 --> 04:16:09,260
NEVER MET BEFORE AND IT WAS A 

5680
04:16:09,260 --> 04:16:13,465
GREAT OPPORTUNITY TO BUILD OUT 

5681
04:16:13,465 --> 04:16:16,167
THAT TEAM INTO NEW AREAS AND ON 

5682
04:16:16,167 --> 04:16:20,038
A RECENT SUBMISSION WE WERE 

5683
04:16:20,038 --> 04:16:22,474
LOOKING FOR A METHODOLOGIST WITH

5684
04:16:22,474 --> 04:16:24,776
MORE OF AN EQUITY FOCUS AND WERE

5685
04:16:24,776 --> 04:16:26,111
ABLE TO FIND SOMEBODY UP AND 

5686
04:16:26,111 --> 04:16:26,745
COPPING.

5687
04:16:26,745 --> 04:16:28,146
THE DESIGN WE WERE THINKING 

5688
04:16:28,146 --> 04:16:33,118
ABOUT WAS NOT PARTICULARLY 

5689
04:16:33,118 --> 04:16:38,657
COMPLEX BUT I THINK HIS FOCUS ON

5690
04:16:38,657 --> 04:16:40,992
EQUITY ISSUES WAS JUST SO GREAT 

5691
04:16:40,992 --> 04:16:43,995
TO HAVE HIS PERSPECTIVE AND WAS 

5692
04:16:43,995 --> 04:16:51,936
ANOTHER WORD OF MOUTH FIND.

5693
04:16:51,936 --> 04:16:53,271
>> SOMETHING WE'VE DONE IS
TAKE 

5694
04:16:53,271 --> 04:16:58,376
A TEAM-BASED APPROACH WE'RE 

5695
04:16:58,376 --> 04:16:59,911
OFTEN LOOKING TO HAVE 

5696
04:16:59,911 --> 04:17:01,179
PARTICULARLY INDIVIDUALS OF 

5697
04:17:01,179 --> 04:17:05,684
DIFFERENT LEVELS OF EXPERIENCE 

5698
04:17:05,684 --> 04:17:08,119
AND WHO BRING DIFFERENT ASPECTS 

5699
04:17:08,119 --> 04:17:11,890
OF EXPERTISE SO WE HAVE A 

5700
04:17:11,890 --> 04:17:14,392
SLIGHTLY MORE JUNIOR SCIENTIST 

5701
04:17:14,392 --> 04:17:16,461
WHO HAS EXPERIENCE IN 

5702
04:17:16,461 --> 04:17:18,430
SCHOOL-BASED WORK AND A MORE 

5703
04:17:18,430 --> 04:17:19,764
SENIOR ONE WHO HAS A 

5704
04:17:19,764 --> 04:17:24,536
RELATIONSHIP WITH OUR TEAM FROM 

5705
04:17:24,536 --> 04:17:27,572
OTHER WORK OFTEN I THINK FINDING

5706
04:17:27,572 --> 04:17:29,407
PEOPLE SAY RELATIONSHIP THING.

5707
04:17:29,407 --> 04:17:31,609
IT'S BUILDING ON EXISTING 

5708
04:17:31,609 --> 04:17:35,313
RELATIONSHIPS AND COLLEAGUES AND

5709
04:17:35,313 --> 04:17:36,715
COLLEAGUES AND TRYING TO PIECE 

5710
04:17:36,715 --> 04:17:37,649
TOGETHER THE RIGHT PEOPLE FOR 

5711
04:17:37,649 --> 04:17:38,550
EACH PROJECT.

5712
04:17:38,550 --> 04:17:40,785
I DON'T THINK THERE'S A SECRET 

5713
04:17:40,785 --> 04:17:42,821
SAUCE IN HOW TO DO THAT BUT HAS 

5714
04:17:42,821 --> 04:17:44,189
WORKED WELL FOR US TO HAVE MORE 

5715
04:17:44,189 --> 04:17:46,725
THAN ONE PERSON BECAUSE YOU GET 

5716
04:17:46,725 --> 04:17:47,358
MULTIPLE PERSPECTIVES AND THAT'S

5717
04:17:47,358 --> 04:17:54,032
BEEN HELPFUL.

5718
04:17:54,032 --> 04:17:56,835
>> HOLLY: THANKS FOR THE 

5719
04:17:56,835 --> 04:17:59,604
ANSWERS.

5720
04:17:59,604 --> 04:18:03,775
>> JARRAD: IT'S GREAT TO
SEE THE

5721
04:18:03,775 --> 04:18:05,143
PROJECTS THAT HAVE SUCCESSFULLY 

5722
04:18:05,143 --> 04:18:06,711
USED ALL THIS IN OUR FIELD.

5723
04:18:06,711 --> 04:18:08,747
THE QUESTION I STRUGGLED WITH A 

5724
04:18:08,747 --> 04:18:11,116
LOT AND WONDERING YOUR THOUGHTS 

5725
04:18:11,116 --> 04:18:20,391
ON IS IN REHAB THERE'S NOT A LOT

5726
04:18:20,391 --> 04:18:23,361
OF THEORY-DRIVEN FRAMEWORKS AND 

5727
04:18:23,361 --> 04:18:24,963
IN D&I THERE'S SO MANY AND
HOW 

5728
04:18:24,963 --> 04:18:30,034
DID YOU CHOOSE THE ONES YOU 

5729
04:18:30,034 --> 04:18:34,906
CHOSE DID YOU HAVE EXPERTS?

5730
04:18:34,906 --> 04:18:35,907
I'M CURIOUS HOW YOU WENT ABOUT 

5731
04:18:35,907 --> 04:18:42,847
IT.

5732
04:18:42,847 --> 04:18:47,886
>> YOU CAN FIND THE ONE
THAT 

5733
04:18:47,886 --> 04:18:51,523
FITS YOUR NEEDS.

5734
04:18:51,523 --> 04:18:57,262
WE OFTEN USE THE FS FRAMEWORK OR

5735
04:18:57,262 --> 04:19:00,832
THE ONE DEVELOPED THROUGH THE 

5736
04:19:00,832 --> 04:19:05,270
NATIONAL IMPLEMENTATION RESEARCH

5737
04:19:05,270 --> 04:19:08,039
NETWORK AWE USED THOSE WITHIN 

5738
04:19:08,039 --> 04:19:12,043
THE CONTEXT OF AUTISM.

5739
04:19:12,043 --> 04:19:14,245
THERE'S PRIOR STUDIES THAT 

5740
04:19:14,245 --> 04:19:15,046
APPLIED THOSE FRAME WORKS WITHIN

5741
04:19:15,046 --> 04:19:19,717
MY FIELD.

5742
04:19:19,717 --> 04:19:27,125
SO WE KNOW THEY TELL US ABOUT 

5743
04:19:27,125 --> 04:19:27,959
THE IMPLEMENTATION OUTCOME AND 

5744
04:19:27,959 --> 04:19:29,260
THEY SUPPORT THE STUDENT 

5745
04:19:29,260 --> 04:19:31,229
OUTCOMES.

5746
04:19:31,229 --> 04:19:34,465
I LEANED" PRIOR RESEARCH IN MY 

5747
04:19:34,465 --> 04:19:37,235
PARTICULAR FIELD OF STUDY AND 

5748
04:19:37,235 --> 04:19:38,403
THAT IS WHY I'VE GONE ALONG AND 

5749
04:19:38,403 --> 04:19:39,571
CONTINUED TO USE SOME OF THOSE 

5750
04:19:39,571 --> 04:19:41,272
PARTICULAR FRAME WORKS IN MY 

5751
04:19:41,272 --> 04:19:45,276
WORK.

5752
04:19:45,276 --> 04:19:51,049
THERE'S QUITE A LIST.

5753
04:19:51,049 --> 04:19:53,518
>> MOLLIE: FOR OUR
PARTNERS SOME

5754
04:19:53,518 --> 04:19:58,656
WERE FAMILIAR WITH IT AND THAT 

5755
04:19:58,656 --> 04:19:59,490
FAMILIARITY THEY HAD HAT HEARD 

5756
04:19:59,490 --> 04:20:06,631
OF THE FRAMEWORK AND WERE USED 

5757
04:20:06,631 --> 04:20:10,034
TO THE VOCABULARY AND MADE IT 

5758
04:20:10,034 --> 04:20:15,607
USEFUL AND A NATURAL FIT FOR US.

5759
04:20:15,607 --> 04:20:17,809
IN GENERAL FINDING FRAME WORKS 

5760
04:20:17,809 --> 04:20:23,047
THAT FIT THE BILL ARE BECAUSE 

5761
04:20:23,047 --> 04:20:27,018
IT'S ANOTHER WAY OUR PARTNERS IF

5762
04:20:27,018 --> 04:20:30,154
THEY CAN UNDERSTAND THE LOGIC 

5763
04:20:30,154 --> 04:20:31,556
THEY'LL KEEP USING IT AND COOL 

5764
04:20:31,556 --> 04:20:36,961
TO SEE THE TERMS ENTER IN THE 

5765
04:20:36,961 --> 04:20:39,464
VOCABULARY OF THEIR WORK HEARING

5766
04:20:39,464 --> 04:20:43,334
THEM TALK ABOUT COMPETENCY 

5767
04:20:43,334 --> 04:20:48,439
DRIVERS AND ALL THOSE DRIVERS 

5768
04:20:48,439 --> 04:20:53,878
FROM THE FRAMEWORK GIVES 

5769
04:20:53,878 --> 04:20:57,048
GROUNDING I THINK BUT SOMETIMES 

5770
04:20:57,048 --> 04:20:59,350
I WONDER IF I'M HAVING TROUBLE 

5771
04:20:59,350 --> 04:21:00,285
UNDERSTANDING THE COMPLEX ONES.

5772
04:21:00,285 --> 04:21:01,953
I'M NOT SURE I CAN EXPLAIN IT 

5773
04:21:01,953 --> 04:21:10,995
AND HOW THAT MAY HIT.

5774
04:21:10,995 --> 04:21:14,599
FOR ME SIMPLICITY IS KEY AND IN 

5775
04:21:14,599 --> 04:21:15,366
THE RESEARCH.

5776
04:21:15,366 --> 04:21:18,736
>> A COUPLE CLARIFICATIONS
HERE.

5777
04:21:18,736 --> 04:21:21,372
WHEN THEY'RE SAYING NURN THEY'RE

5778
04:21:21,372 --> 04:21:25,043
PROVIDING AN ACROMIM N-I-R-M FOR

5779
04:21:25,043 --> 04:21:26,711
THE NATIONAL IMPLEMENT RESEARCH 

5780
04:21:26,711 --> 04:21:30,214
NETWORK AND YOU CAN FIND THAT.

5781
04:21:30,214 --> 04:21:32,116
THEY HAVE ONLINE RESOURCES ABOUT

5782
04:21:32,116 --> 04:21:32,717
THE FRAMEWORK.

5783
04:21:32,717 --> 04:21:36,554
SOMEBODY ELSE PUT IN THE CHAT 

5784
04:21:36,554 --> 04:21:41,592
THERE'S A TOOL FOR SELECTING 

5785
04:21:41,592 --> 04:21:44,329
FRAMEWORK.

5786
04:21:44,329 --> 04:21:46,831
DISSEMINATION IMPLEMENTATION.org

5787
04:21:46,831 --> 04:21:50,268
IT TAKES YOU TO A DATABASE AND 

5788
04:21:50,268 --> 04:21:55,073
PUT IN FILTERS AND START TO SEE 

5789
04:21:55,073 --> 04:21:57,275
FRAME WORKS THAT MATCH UP AND IS

5790
04:21:57,275 --> 04:21:59,410
THAT WHAT YOU WERE GOING TO 

5791
04:21:59,410 --> 04:22:03,081
COMMENT ON?

5792
04:22:03,081 --> 04:22:08,419
>> TINA: THIS IS PROBABLY
THE 

5793
04:22:08,419 --> 04:22:09,821
MOST COMMON QUESTION IF YOU'RE 

5794
04:22:09,821 --> 04:22:11,889
AN IMPLEMENTATION SCIENCE PERSON

5795
04:22:11,889 --> 04:22:13,291
AND CONSULTING THIS IS THE FIRST

5796
04:22:13,291 --> 04:22:14,058
QUESTION PEOPLE HAVE BECAUSE 

5797
04:22:14,058 --> 04:22:15,693
THEY'VE SEEN THE TOOL OR BEEN 

5798
04:22:15,693 --> 04:22:21,299
READING AND OVERWHELMED BY TO 

5799
04:22:21,299 --> 04:22:22,467
THE MODELS AND THEORIES AND 

5800
04:22:22,467 --> 04:22:23,668
BEFORE YOU CAN USE THEM TOGETHER

5801
04:22:23,668 --> 04:22:29,340
AND WHICH ONE IS THE BEST ONE WE

5802
04:22:29,340 --> 04:22:31,442
TEACH AN INTER-D&I CLASS
WHERE I

5803
04:22:31,442 --> 04:22:33,277
AM AND WE SPEND PROBABLY THE 

5804
04:22:33,277 --> 04:22:37,115
FIRST THREE WEEKS OF THIS CLASS 

5805
04:22:37,115 --> 04:22:39,350
TRYING TO ALLEVIATE ANXIETY 

5806
04:22:39,350 --> 04:22:40,952
ABOUT ONE FRAMEWORK THE ONE YOU 

5807
04:22:40,952 --> 04:22:43,721
SHOULD BE USING BECAUSE REALLY 

5808
04:22:43,721 --> 04:22:45,790
WHAT BRIAN AND MOLLY SAID IF 

5809
04:22:45,790 --> 04:22:47,692
SOMEONE KNOWS SOMETHING ABOUT A 

5810
04:22:47,692 --> 04:22:52,997
FRAMEWORK AND IT'S GOT THE STUFF

5811
04:22:52,997 --> 04:22:56,300
IN IT YOU NEED LIKE OUTCOMES OR 

5812
04:22:56,300 --> 04:22:59,904
CONTEXT AND LEVELED AND WHAT MAY

5813
04:22:59,904 --> 04:23:01,739
BE AFFECTING IMPLEMENTATION IS A

5814
04:23:01,739 --> 04:23:03,641
GOOD PLACE TO START.

5815
04:23:03,641 --> 04:23:06,577
IF YOU HAVE NO ONE THAT KNOWS 

5816
04:23:06,577 --> 04:23:09,013
ANYTHING ABOUT FRAMEWORK GO IN 

5817
04:23:09,013 --> 04:23:11,482
THE IMPLEMENTATION LITERATURE 

5818
04:23:11,482 --> 04:23:20,391
YOUR AREA LIKE BRIAN SAID IPIS 

5819
04:23:20,391 --> 04:23:26,597
IS A GOOD ONE AND DEVELOPERS 

5820
04:23:26,597 --> 04:23:29,934
HAVE TOOLS AND ARTICLES TO 

5821
04:23:29,934 --> 04:23:31,402
REFERENCE.

5822
04:23:31,402 --> 04:23:34,806
EPIS HAS ONE AND ONE MENTIONED 

5823
04:23:34,806 --> 04:23:37,308
EARLIER I THINK BY MATT WHICH IS

5824
04:23:37,308 --> 04:23:40,945
USUALLY JUST CALLED CFOR HAS A 

5825
04:23:40,945 --> 04:23:42,180
NEW VERSION OUT LIKE IF YOU KNEW

5826
04:23:42,180 --> 04:23:43,514
THE OLD VERSION IT'S FRUSTRATING

5827
04:23:43,514 --> 04:23:45,216
TO HAVE TO LEARN A NEW VERSION 

5828
04:23:45,216 --> 04:23:46,918
BUT IT'S A NEW VERSION THAT'S 

5829
04:23:46,918 --> 04:23:50,721
ADDRESSING ISSUES WITH OLD 

5830
04:23:50,721 --> 04:23:53,291
VERSIONS.

5831
04:23:53,291 --> 04:23:57,161
IT'S PROGRESSING AND ADAPTING 

5832
04:23:57,161 --> 04:23:59,831
AND THE REACH EFFECTIVENESS 

5833
04:23:59,831 --> 04:24:04,735
MAINTENANCE FRAMEWORK HAS A HUGE

5834
04:24:04,735 --> 04:24:05,937
WEBSITE CALLED PRISM.

5835
04:24:05,937 --> 04:24:10,274
THE BEST WAYS TO CHOOSE A 

5836
04:24:10,274 --> 04:24:11,476
FRAMEWORK ARE IT MAKES SENSE TO 

5837
04:24:11,476 --> 04:24:16,647
YOU AND THE PEOPLE YOU'RE 

5838
04:24:16,647 --> 04:24:20,318
WORKING WITH AND THING IN IT TOO

5839
04:24:20,318 --> 04:24:21,219
BECAUSE SOMETIMES THEY DON'T 

5840
04:24:21,219 --> 04:24:23,287
HAVE EVERYTHING YOU NEED AND IF 

5841
04:24:23,287 --> 04:24:24,789
IT'S USED IN YOUR AREA AND YOU 

5842
04:24:24,789 --> 04:24:30,027
CAN GET LOTS OF GOOD EXAMPLES 

5843
04:24:30,027 --> 04:24:33,197
AND THE LAST ONE IS GONE.

5844
04:24:33,197 --> 04:24:35,399
IF IT MEETS YOUR NEEDS AND IF 

5845
04:24:35,399 --> 04:24:36,767
THERE'S TOOLS.

5846
04:24:36,767 --> 04:24:39,470
SO THIS IS WHY THE ONES USED THE

5847
04:24:39,470 --> 04:24:42,673
MOST PROBABLY ARE USED THE MOST 

5848
04:24:42,673 --> 04:24:45,309
THEY'RE DEVELOPERS HAVE MADE IT 

5849
04:24:45,309 --> 04:24:47,912
EASY.

5850
04:24:47,912 --> 04:24:49,280
MY GREATEST WISH IS ALL PEOPLE 

5851
04:24:49,280 --> 04:24:52,116
LET GO OF THE HANG UP OF I'M 

5852
04:24:52,116 --> 04:24:55,253
USING PRISM BUT SHOULD I BE 

5853
04:24:55,253 --> 04:25:02,493
USING FEFER OR EPIS AND YOU FIND

5854
04:25:02,493 --> 04:25:05,296
THE ONE THAT'S THE BEST FIT FOR 

5855
04:25:05,296 --> 04:25:05,463
YOU.

5856
04:25:05,463 --> 04:25:11,869
>> GREAT DISCUSSION.

5857
04:25:11,869 --> 04:25:13,104
LOOKING ON THE WEBSITE AND 

5858
04:25:13,104 --> 04:25:16,541
SEEING THE TOOL AND THERE'S 

5859
04:25:16,541 --> 04:25:17,175
INTERVUSZ QUESTIONS BUILT OFF 

5860
04:25:17,175 --> 04:25:18,910
THE FRAMEWORK AND YOU START 

5861
04:25:18,910 --> 04:25:20,645
READING THOSE AND YOU ARE LIKE 

5862
04:25:20,645 --> 04:25:22,113
THOSE ARE THE QUESTIONS I WANT 

5863
04:25:22,113 --> 04:25:23,514
THE ANSWER TO AND YOU'LL GET 

5864
04:25:23,514 --> 04:25:24,949
MILEAGE AND THAT'S WHAT THE 

5865
04:25:24,949 --> 04:25:28,553
FRAMEWORK IS THERE FOR TO GIVE 

5866
04:25:28,553 --> 04:25:30,221
YOU THE MILEAGE AND STARTING 

5867
04:25:30,221 --> 04:25:33,291
POINT SO YOU'RE NOT BEGINNING 

5868
04:25:33,291 --> 04:25:37,962
FROM SCRATCH.

5869
04:25:37,962 --> 04:25:39,830
GREAT QUESTION.

5870
04:25:39,830 --> 04:25:42,200
ANOTHER SLIGHTLY DIFFERENT 

5871
04:25:42,200 --> 04:25:44,001
DIRECTION, SEVERAL OF YOU BRIAN 

5872
04:25:44,001 --> 04:25:47,738
AND MOLLY TALKED ABOUT THE 

5873
04:25:47,738 --> 04:25:49,307
INSTITUTE FOR IMPLEMENTATION 

5874
04:25:49,307 --> 04:25:51,442
SCIENCE FUNDING AND WE HEARD 

5875
04:25:51,442 --> 04:25:53,844
ABOUT PCORI TOO AND WONDER IF 

5876
04:25:53,844 --> 04:25:55,413
FOLKS CAN TALK WITH THE GRANT 

5877
04:25:55,413 --> 04:25:57,315
MECHANISMS AVAILABLE THERE AND 

5878
04:25:57,315 --> 04:26:01,485
WHAT THEY ALLOW TO YOU DO MAY 

5879
04:26:01,485 --> 04:26:02,887
HELP PEOPLE THINK HOW TO BRING A

5880
04:26:02,887 --> 04:26:05,289
LARGE PROJECT INTO A STARTING 

5881
04:26:05,289 --> 04:26:06,691
POINT AND WHAT MIGHT BE SOME 

5882
04:26:06,691 --> 04:26:08,893
GOOD STARTING POINTS AND GOOD 

5883
04:26:08,893 --> 04:26:11,696
END POINTS TO GET A SMALL PIECE 

5884
04:26:11,696 --> 04:26:15,132
GOING THAT THAN CAN LEAD TO A 

5885
04:26:15,132 --> 04:26:16,567
LARGER PIECE AND ANOTHER WAY FOR

5886
04:26:16,567 --> 04:26:17,301
PEOPLE TO KNOW WHAT'S AVAILABLE 

5887
04:26:17,301 --> 04:26:19,637
OUT IN FUNDING BECAUSE WE TALKED

5888
04:26:19,637 --> 04:26:21,539
ABOUT NIH BUT WE DIDN'T TALK 

5889
04:26:21,539 --> 04:26:27,311
ABOUT ANYTHING ELSE AND NIH 

5890
04:26:27,311 --> 04:26:28,946
ISN'T THE ONLY THING IN TOWN.

5891
04:26:28,946 --> 04:26:29,380
SO COMMENTS ON THE 

5892
04:26:29,380 --> 04:26:34,785
OPPORTUNITIES?

5893
04:26:34,785 --> 04:26:40,458
 I THINK MOLLY WAS NOMINATING 

5894
04:26:40,458 --> 04:26:41,125
BRIAN.

5895
04:26:41,125 --> 04:26:46,163
>> HE DID A SPIEL ON THE
ARTIST 

5896
04:26:46,163 --> 04:26:47,732
FORMALLY KNOWN AS INNOVATION.

5897
04:26:47,732 --> 04:26:49,433
>> YOU MAY BE MORE
FAMILIAR WITH

5898
04:26:49,433 --> 04:26:53,304
IT THAN I AM RIGHT NOW.

5899
04:26:53,304 --> 04:27:00,778
YOU CAN DO SOME ANALOGY EQU

5900
04:27:00,778 --> 04:27:02,647
EQUIVALENT TO AN R21.

5901
04:27:02,647 --> 04:27:08,452
I THINK THE FUNDING LEVEL MAY BE

5902
04:27:08,452 --> 04:27:11,155
SLIGHTLY HIGHER TO COLLECT 

5903
04:27:11,155 --> 04:27:13,024
INTERVENTION AND DATA AND APPLY 

5904
04:27:13,024 --> 04:27:18,629
FOR THE EFFICACY TRIAL WHICH IS 

5905
04:27:18,629 --> 04:27:21,732
THE NEXT GRANT AND THEY HAVE AN 

5906
04:27:21,732 --> 04:27:23,934
EFFICACY EFFECTIVENESS TRIAL YOU

5907
04:27:23,934 --> 04:27:26,170
CAN APPLY FOR BUT IT DOES GIVE 

5908
04:27:26,170 --> 04:27:28,673
PILOT LEVEL FUNDING.

5909
04:27:28,673 --> 04:27:29,974
OFTEN PEOPLE PLAN A SERIES OF 

5910
04:27:29,974 --> 04:27:35,946
STUDIES AND I DO BELIEVE NOW 

5911
04:27:35,946 --> 04:27:36,480
THEY'VE LOOKED FOR 

5912
04:27:36,480 --> 04:27:38,316
IMPLEMENTATION OUTCOMES AS PART 

5913
04:27:38,316 --> 04:27:40,584
OF THOSE STUDIES BECAUSE THEY'RE

5914
04:27:40,584 --> 04:27:41,919
ING YOU SHOULD BE PROBABLY 

5915
04:27:41,919 --> 04:27:45,756
ASKING SOME OF THOSE QUESTIONS 

5916
04:27:45,756 --> 04:27:47,491
WHILE YOU'RE DEVELOPING THE 

5917
04:27:47,491 --> 04:27:48,893
INTERVENTION BECAUSE YOU'RE 

5918
04:27:48,893 --> 04:27:51,629
THINKING IT'S GOING TO BE 

5919
04:27:51,629 --> 04:27:52,363
IMPLEMENTING IN A PARTICULAR 

5920
04:27:52,363 --> 04:27:54,665
CONTEXT WITHIN THE EFFICACY 

5921
04:27:54,665 --> 04:27:55,933
STUDY THAT FOLLOWS.

5922
04:27:55,933 --> 04:27:58,803
THINK ABOUT IT AS AN R21, R01 

5923
04:27:58,803 --> 04:28:00,171
BUT THERE'S DEVELOPMENT AND 

5924
04:28:00,171 --> 04:28:01,238
INNOVATION AND 

5925
04:28:01,238 --> 04:28:11,048
EFFICACY/EFFECTIVENESS TRIALS.

5926
04:28:11,048 --> 04:28:16,253
>> HOLLY: MEGAN UNMUTED
FOR 

5927
04:28:16,253 --> 04:28:17,288
PCORI I HOPE.

5928
04:28:17,288 --> 04:28:19,724
>> MEGAN: THERE'S
ENGAGEMENT 

5929
04:28:19,724 --> 04:28:21,292
AWARDS WHICH I THINK WAS 

5930
04:28:21,292 --> 04:28:25,496
IMPORTANT FOR ME IN MY EARLY 

5931
04:28:25,496 --> 04:28:26,831
WORK AND CONTINUES TO BE 

5932
04:28:26,831 --> 04:28:28,366
IMPORTANT WITH THE WORK WE ARE 

5933
04:28:28,366 --> 04:28:31,001
CONTINUING TO DID BASED OFF THAT

5934
04:28:31,001 --> 04:28:32,336
ENGAGEMENT AWARD.

5935
04:28:32,336 --> 04:28:33,871
BUT THIS ALLOWS YOU TO BRING 

5936
04:28:33,871 --> 04:28:37,508
YOUR STAKEHOLDERS TOGETHER.

5937
04:28:37,508 --> 04:28:40,077
START TO BUILD PARTNERSHIPS 

5938
04:28:40,077 --> 04:28:42,179
WHICH IS CHALLENGES SOMETIMES TO

5939
04:28:42,179 --> 04:28:43,781
GET FUNDING FOR.

5940
04:28:43,781 --> 04:28:47,184
SO THAT'S A GREAT INTRODUCTORY 

5941
04:28:47,184 --> 04:28:48,419
MECHANISM AGAIN YOUR ACTUALLY 

5942
04:28:48,419 --> 04:28:50,287
NOT TO DO RESEARCH.

5943
04:28:50,287 --> 04:28:52,623
YOU'RE SUPPOSED TO ENGAGE 

5944
04:28:52,623 --> 04:28:53,290
STAKEHOLDERS AND THERE'S 

5945
04:28:53,290 --> 04:28:55,793
DIFFERENT FLAVORS OF THAT.

5946
04:28:55,793 --> 04:28:59,930
AND THEN THE LARGER AWARDS ARE 

5947
04:28:59,930 --> 04:29:01,732
THERE COMPARATIVE EFFECTIVENESS 

5948
04:29:01,732 --> 04:29:05,202
RESEARCH AWARDS AND THIS IS A 

5949
04:29:05,202 --> 04:29:06,504
LITTLE BIT DIFFERENT.

5950
04:29:06,504 --> 04:29:08,939
ONE OF THE THINGS THAT'S 

5951
04:29:08,939 --> 04:29:12,309
CHALLENGING IS IT'S COMPARATIVE 

5952
04:29:12,309 --> 04:29:14,812
EFFECTIVENESS OF TWO 

5953
04:29:14,812 --> 04:29:19,517
INTERVENTIONS IN AND SOME OF US 

5954
04:29:19,517 --> 04:29:21,452
WORK IN AREAS WHERE THERE'S NOT 

5955
04:29:21,452 --> 04:29:26,557
A LOT OF RESEARCH OR EVIDENCE 

5956
04:29:26,557 --> 04:29:28,993
BUT YOU CAN ADAPT INTERVENTIONS 

5957
04:29:28,993 --> 04:29:29,960
FROM OTHER DISCIPLINES AND 

5958
04:29:29,960 --> 04:29:32,530
FIELDS TO APPLY TO YOUR AREA.

5959
04:29:32,530 --> 04:29:35,933
SO THOSE ARE AGAIN THE TWO MAIN 

5960
04:29:35,933 --> 04:29:40,304
MECHANISMS.

5961
04:29:40,304 --> 04:29:44,041
THEY HAVE A SPECIFIC PRIORITY 

5962
04:29:44,041 --> 04:29:45,910
AREA ON DEVELOPMENT AND 

5963
04:29:45,910 --> 04:29:46,577
INTELLECTUAL DISABILITY AND THEY

5964
04:29:46,577 --> 04:29:47,178
ARE ALWAYS LOOKING FOR 

5965
04:29:47,178 --> 04:29:55,753
APPLICATIONS IN THAT AREA.

5966
04:29:55,753 --> 04:30:01,292
>> HOLLY: THE NEXT TOPIC I
THINK

5967
04:30:01,292 --> 04:30:02,660
MOLLIE HINTED AT WAS BUILDING 

5968
04:30:02,660 --> 04:30:04,628
CAPACITY AND KNOWLEDGE BASE OF 

5969
04:30:04,628 --> 04:30:05,429
YOUR PARTNERS.

5970
04:30:05,429 --> 04:30:06,864
WE TALKED ABOUT WANTING TO 

5971
04:30:06,864 --> 04:30:11,936
INVOLVE PEOPLE IN PARTNERSHIP 

5972
04:30:11,936 --> 04:30:14,705
AND WANTING TO WELL I'M GOING 

5973
04:30:14,705 --> 04:30:16,407
INTERVIEW YOU AND TAKE YOUR DATA

5974
04:30:16,407 --> 04:30:22,079
AS A PRCHT BUT HAVING THE FULL 

5975
04:30:22,079 --> 04:30:24,415
PARTNERSHIP -- AND INTERPRETING 

5976
04:30:24,415 --> 04:30:26,116
THE DATA AND SO ON BUT MANY 

5977
04:30:26,116 --> 04:30:28,018
PARTNERS DON'T HAVE A BACKGROUND

5978
04:30:28,018 --> 04:30:29,653
AND MOLLIE WAS SAYING NOW WE 

5979
04:30:29,653 --> 04:30:32,556
HAVE ALL THESE PRACTITIONERS WHO

5980
04:30:32,556 --> 04:30:33,858
KNOW SINGLE-SUBJECT DESIGN AND 

5981
04:30:33,858 --> 04:30:34,825
STUFF LIKE THAT.

5982
04:30:34,825 --> 04:30:36,460
I'M WONDERING THAT PROCESS.

5983
04:30:36,460 --> 04:30:37,862
HOW DO YOU BUILD THAT CAPACITY 

5984
04:30:37,862 --> 04:30:42,399
IN YOUR PARTNERS SO THEY CAN BE 

5985
04:30:42,399 --> 04:30:46,637
FULL PARTNERS AND IS THAT 

5986
04:30:46,637 --> 04:30:48,439
SOMETHING SOME WANT OR LESS?

5987
04:30:48,439 --> 04:30:49,940
ANYONE WHO WOULD LIKE TO TALK 

5988
04:30:49,940 --> 04:30:50,774
ABOUT THAT PIECE.

5989
04:30:50,774 --> 04:30:54,745
WHO DOESN'T WANT TO LEARN 

5990
04:30:54,745 --> 04:30:55,513
SINGLE-SUBJECT DESIGN?

5991
04:30:55,513 --> 04:30:59,917
>> AN AREA THEY NEVER KNEW
THEY 

5992
04:30:59,917 --> 04:31:03,254
NEEDED.

5993
04:31:03,254 --> 04:31:07,525
I CAN TALK ABOUT IT A LITTLE 

5994
04:31:07,525 --> 04:31:07,958
BIT.

5995
04:31:07,958 --> 04:31:10,027
I FEEL LIKE WE STILL HAVE GROWTH

5996
04:31:10,027 --> 04:31:11,262
TO DOWN TERMS OF A CHOICE OF 

5997
04:31:11,262 --> 04:31:20,404
RESEARCH DESIGN.

5998
04:31:20,404 --> 04:31:23,107
AND WHEN WE DID A SERIES OF 

5999
04:31:23,107 --> 04:31:23,974
SINGLE CASE BEFORE WE WROTE THE 

6000
04:31:23,974 --> 04:31:26,277
GRANT THE WAY WE DID, WE DID 

6001
04:31:26,277 --> 04:31:28,412
CHECK IN WITH THE LOCAL LEVEL 

6002
04:31:28,412 --> 04:31:29,813
COACH TO EXPLAIN WHAT IT IS.

6003
04:31:29,813 --> 04:31:33,017
THERE'S GOING TO BE A GROUP OF 

6004
04:31:33,017 --> 04:31:33,817
PROVIDERS WHO YOUR COACHING 

6005
04:31:33,817 --> 04:31:34,718
HANGING ON IN BASELINE FOR A 

6006
04:31:34,718 --> 04:31:35,753
LONG TIME.

6007
04:31:35,753 --> 04:31:37,454
THAT MEANS FOR US THEY'RE 

6008
04:31:37,454 --> 04:31:40,958
RECORDING THEIR HOME VISITS WEEK

6009
04:31:40,958 --> 04:31:42,793
IN AND WEEK OUT IN WHAT CAN FEEL

6010
04:31:42,793 --> 04:31:44,528
LIKE A LONG TIME AND THAT'S AN 

6011
04:31:44,528 --> 04:31:45,696
IMPORTANT CONSIDERATION FOR 

6012
04:31:45,696 --> 04:31:46,130
THEM.

6013
04:31:46,130 --> 04:31:48,532
THEY'LL FEEL LIKE WHY AM I DOING

6014
04:31:48,532 --> 04:31:48,832
THIS?

6015
04:31:48,832 --> 04:31:49,967
MAKING SURE THAT THEY THOUGHT 

6016
04:31:49,967 --> 04:31:53,103
THAT WAS SOMETHING THAT THEY 

6017
04:31:53,103 --> 04:31:57,274
COULD EFFECTIVE COMMUNICATE AND 

6018
04:31:57,274 --> 04:31:59,977
HELPING THEM TO UNDERSTAND THAT 

6019
04:31:59,977 --> 04:32:01,946
THE STAGGER IN MULTIPLE BASELINE

6020
04:32:01,946 --> 04:32:04,949
IS WHAT GIVES US THE 

6021
04:32:04,949 --> 04:32:08,886
EXPERIMENTAL CONTROL WITHIN A 

6022
04:32:08,886 --> 04:32:10,921
SMALL GROUP SO THAT MEANT THEY 

6023
04:32:10,921 --> 04:32:15,559
NEEDED TO CONSIDER AND COME UP 

6024
04:32:15,559 --> 04:32:16,827
WITH WAYS THEY THOUGHT IT 

6025
04:32:16,827 --> 04:32:21,298
COULD -- THEY COULD ACCIDENTALLY

6026
04:32:21,298 --> 04:32:23,801
SORT OF CONTAMINATE THAT PHASE.

6027
04:32:23,801 --> 04:32:26,270
SO THEY'RE SUPPOSED TO START AT 

6028
04:32:26,270 --> 04:32:26,704
DIFFERENT TIMES.

6029
04:32:26,704 --> 04:32:32,242
SUSIE IS STARTING AT A SEPARATE 

6030
04:32:32,242 --> 04:32:35,846
POINT THAN JENNEY AND DIFFERENT 

6031
04:32:35,846 --> 04:32:39,083
THAN TASHA.

6032
04:32:39,083 --> 04:32:43,621
HOW DO WE MAKE SURE SHE DOESN'T 

6033
04:32:43,621 --> 04:32:45,422
COMMUNICATE WHAT SHE'S LEARNING 

6034
04:32:45,422 --> 04:32:49,293
AND THEY KNOW WHEN THE GROUP OF 

6035
04:32:49,293 --> 04:32:50,060
THREE PROVIDERS WILL BE TOGETHER

6036
04:32:50,060 --> 04:32:53,130
AND HELPING EXPLAIN FROM THE 

6037
04:32:53,130 --> 04:32:54,264
OUTSET THE POTENTIAL FACTORS 

6038
04:32:54,264 --> 04:32:56,266
THAT COULD INTERRUPT THE DESIGN 

6039
04:32:56,266 --> 04:32:58,669
AND HAVE THEM GENERATE IDEAS FOR

6040
04:32:58,669 --> 04:33:01,805
OKAY SO HOW CAN WE PLAN FOR HOW 

6041
04:33:01,805 --> 04:33:05,309
DO WE GET AROUND THAT AND WHAT'S

6042
04:33:05,309 --> 04:33:07,978
FEASIBLE TO GET AROUND AND WHAT 

6043
04:33:07,978 --> 04:33:08,545
ISN'T?

6044
04:33:08,545 --> 04:33:12,416
AND THE RANDOMIZED TRIALS THAT A

6045
04:33:12,416 --> 04:33:14,218
SIMILAR SITUATION AND I GUESS IT

6046
04:33:14,218 --> 04:33:17,187
IS A CHALLENGE.

6047
04:33:17,187 --> 04:33:21,125
ANYTIME YOU HAVE A WAIT LIST 

6048
04:33:21,125 --> 04:33:22,993
GROUP HOW WILL WE HANDLE THAT 

6049
04:33:22,993 --> 04:33:24,561
FOR FOLKS WAITING.

6050
04:33:24,561 --> 04:33:26,397
WILL IT BE FEASIBLE LIKE IN THE 

6051
04:33:26,397 --> 04:33:28,966
CONTEXT WHERE PEOPLE GOING 

6052
04:33:28,966 --> 04:33:30,701
THROUGH A TRAINING FIRST ARE 

6053
04:33:30,701 --> 04:33:33,003
GETTING -- THEY'RE GETTING AN 

6054
04:33:33,003 --> 04:33:37,341
ADDED STIPEND FIRST SO 

6055
04:33:37,341 --> 04:33:38,842
PARTNERING WITH THEM TO COME UP 

6056
04:33:38,842 --> 04:33:40,110
WITH WORK AROUNDS AND HELP THEM 

6057
04:33:40,110 --> 04:33:44,915
UNDERSTAND THE REASON.

6058
04:33:44,915 --> 04:33:53,257
I FOUND OUR PARTNERS THEY'RE 

6059
04:33:53,257 --> 04:33:56,660
AMAZING AND ONCE THEY UNDERSTAND

6060
04:33:56,660 --> 04:34:00,864
THE LOGIC THEY'LL CARRY THE 

6061
04:34:00,864 --> 04:34:02,833
TORCH FOR WHATEVER THOSE DESIGN 

6062
04:34:02,833 --> 04:34:05,302
CONSTRAINTS ARE WHEN THEY 

6063
04:34:05,302 --> 04:34:07,905
UNDERSTAND IT AND IT CLICKS.

6064
04:34:07,905 --> 04:34:09,740
THEY DON'T ALWAYS HAVE A CHOICE 

6065
04:34:09,740 --> 04:34:12,509
OF DESIGN NECESSARILY BUT MAKING

6066
04:34:12,509 --> 04:34:13,444
SURE THAT IT'S FEASIBLE AND THEY

6067
04:34:13,444 --> 04:34:17,081
UNDERSTAND WHAT THE IMPLICATIONS

6068
04:34:17,081 --> 04:34:18,449
MAY BE BECAUSE SEEING THEM BRAIN

6069
04:34:18,449 --> 04:34:20,184
STORM AND WALK THROUGH THAT 

6070
04:34:20,184 --> 04:34:21,485
PROCESS HELPS US UNDERSTAND WHAT

6071
04:34:21,485 --> 04:34:23,454
SORT OF LITTLE SAFEGUARDS WE MAY

6072
04:34:23,454 --> 04:34:24,288
NEED IN PLACE AS WELL TO PROTECT

6073
04:34:24,288 --> 04:34:29,927
THAT DESIGN.

6074
04:34:29,927 --> 04:34:30,928
>> 

6075
04:34:30,928 --> 04:34:35,299
>> HOLLY: THANKS VERY
MUCH.

6076
04:34:35,299 --> 04:34:37,034
WE'RE AND THE OF OUR TIME AND 

6077
04:34:37,034 --> 04:34:39,069
THANK YOU TO OUR PANELISTS AND 

6078
04:34:39,069 --> 04:34:41,238
SUSAN, BRIAN, MEGAN AND MOLLIE.

6079
04:34:41,238 --> 04:34:42,706
THIS IS THE END OF DAY ONE.

6080
04:34:42,706 --> 04:34:45,476
I WANT TO THANK ALL OF YOU FOR 

6081
04:34:45,476 --> 04:34:49,313
THE WONDERFUL TALKS AND 

6082
04:34:49,313 --> 04:34:49,913
WONDERFUL PARTICIPATION AND 

6083
04:34:49,913 --> 04:34:53,016
GREAT QUESTIONS AND ANSWERS.

6084
04:34:53,016 --> 04:34:55,753
IT'S BEEN VERY GENERATIVE.

6085
04:34:55,753 --> 04:34:57,187
I'VE LEARNED A LOT AND HAVE A 

6086
04:34:57,187 --> 04:34:58,655
LOT I'LL BE THINKING ABOUT 

6087
04:34:58,655 --> 04:34:58,922
OVERNIGHT.

6088
04:34:58,922 --> 04:35:02,159
TOMORROW WE'LL BE BACK TOMORROW 

6089
04:35:02,159 --> 04:35:03,494
STARTING AT 12:00 EASTERN.

6090
04:35:03,494 --> 04:35:04,895
TOMORROW WE'LL START TO WIDEN 

6091
04:35:04,895 --> 04:35:06,764
OUR LENS AND THINK BEYOND THE 

6092
04:35:06,764 --> 04:35:07,931
INDIVIDUAL AND REALLY BE 

6093
04:35:07,931 --> 04:35:11,401
THINKING ABOUT HOW WE CAN WORK 

6094
04:35:11,401 --> 04:35:12,803
COLLECTIVELY TO BUILD CAPACITY 

6095
04:35:12,803 --> 04:35:13,937
AND OVERCOME SOME OF THE 

6096
04:35:13,937 --> 04:35:14,571
CHALLENGES THAT WE TALKED ABOUT 

6097
04:35:14,571 --> 04:35:17,841
TODAY.

6098
04:35:17,841 --> 04:35:19,376
SO, EVERYONE HAVE A WONDERFUL 

6099
04:35:19,376 --> 04:35:20,144
EVENING AND THANKS FOR BEING 

6100
04:35:20,144 --> 04:35:21,411
HERE AND I LOOK FORWARD TO 

6101
04:35:21,411 --> 04:35:31,411
SEEING YOU TOMORROW.