1 00:00:06,940 --> 00:00:08,341 WE'LL GET STARTED. 2 00:00:08,341 --> 00:00:09,109 WELCOME, GOOD AFTERNOON. 3 00:00:09,109 --> 00:00:11,745 THANK YOU FOR BEING HERE. 4 00:00:11,745 --> 00:00:13,613 I'M DEB TUCCI, DIRECTOR OF THE 5 00:00:13,613 --> 00:00:16,082 NATIONAL INSTITUTE ON DEAFNESSS 6 00:00:16,082 --> 00:00:16,950 AND OTHER COMMUNICATION 7 00:00:16,950 --> 00:00:17,217 DISORDERS. 8 00:00:17,217 --> 00:00:21,921 AND I WANT TO WELCOME YOU TO THE 9 00:00:21,921 --> 00:00:23,656 NIDCD DIRECTOR'S SEMINAR SERIES, 10 00:00:23,656 --> 00:00:26,726 TITLED ADVANCING THE SCIENCE OF 11 00:00:26,726 --> 00:00:27,927 COMMUNICATION TO IMPROVE LIVES. 12 00:00:27,927 --> 00:00:32,298 FOR THOSE OF YOU WHO ARE VIEWING 13 00:00:32,298 --> 00:00:34,701 ON THE NIH VIDEOCAST, PLEASE, IF 14 00:00:34,701 --> 00:00:36,903 YOU NEED CAPTIONS, FOR TODAY'S 15 00:00:36,903 --> 00:00:38,338 PRESENTATION, CLICK ON THE C.C. 16 00:00:38,338 --> 00:00:42,175 BUTTON AT THE BOTTOM OF THE 17 00:00:42,175 --> 00:00:42,809 SCREEN. 18 00:00:42,809 --> 00:00:44,477 THIS ANNUAL SEMINAR SERIES IS 19 00:00:44,477 --> 00:00:46,679 DESIGNED TO ALIGN WITH THE 20 00:00:46,679 --> 00:00:51,117 THEMES AND PRIORITIES OF THE 21 00:00:51,117 --> 00:00:54,087 2023 TO 2027 NIDCD STRATEGIC 22 00:00:54,087 --> 00:00:54,387 PLAN. 23 00:00:54,387 --> 00:00:56,389 OUR GOAL IS TO ADVANCE THE 24 00:00:56,389 --> 00:00:57,891 SCIENCE OF HEARING, BALANCE, 25 00:00:57,891 --> 00:00:59,492 TASTE, SMELL, VOICE, 26 00:00:59,492 --> 00:01:03,930 LANGUAGE, OUR SEVEN MISSION 27 00:01:03,930 --> 00:01:04,130 AREAS. 28 00:01:04,130 --> 00:01:07,333 I'M DELIGHTED TO INTRODUCE TODAY 29 00:01:07,333 --> 00:01:10,503 DR. MEGHAN LANE-FALL, THE 30 00:01:10,503 --> 00:01:12,906 EXECUTIVE DIRECTOR OF THE PENN 31 00:01:12,906 --> 00:01:14,974 IMPLEMENTATION SCIENCE CENTER AT 32 00:01:14,974 --> 00:01:16,409 THE UNIVERSITY OF PENNSYLVANIA, 33 00:01:16,409 --> 00:01:20,180 DR. LANE-FALL IS A B 34 00:01:20,180 --> 00:01:21,347 CERTIFIED ANESTHESIOLOGIST, 35 00:01:21,347 --> 00:01:22,982 SURGICAL IST, MAIN 36 00:01:22,982 --> 00:01:26,252 RESEARCH INTEREST IS IMPROVINGTR 37 00:01:26,252 --> 00:01:27,987 COMMUNICATION AT TIMES OF 38 00:01:27,987 --> 00:01:29,656 TRANSITION OR HANDOFF ACROSS 39 00:01:29,656 --> 00:01:30,824 SITES OF CARE. 40 00:01:30,824 --> 00:01:32,826 AS A SURGEON, FOR MUCH OF MY 41 00:01:32,826 --> 00:01:34,260 CAREER, I UNDERSTAND HOW 42 00:01:34,260 --> 00:01:35,895 IMPORTANT THAT IS. 43 00:01:35,895 --> 00:01:37,097 AND HOW POTENTIALLY FRAUGHT 44 00:01:37,097 --> 00:01:38,598 SITUATIONS CAN BE. 45 00:01:38,598 --> 00:01:41,768 SO THAT'S REALLY, REALLY 46 00:01:41,768 --> 00:01:43,203 IMPORTANT WORK. 47 00:01:43,203 --> 00:01:44,637 SHE EMPLOYS QUALITATIVE AND 48 00:01:44,637 --> 00:01:47,941 MIXED METHODS TO DEVELOP 49 00:01:47,941 --> 00:01:49,342 EFFECTIVE COMMUNICATION 50 00:01:49,342 --> 00:01:50,543 STRATEGIES THAT INCORPORATE 51 00:01:50,543 --> 00:01:52,846 HUMAN FACTORS PRINCIPLES WHILE 52 00:01:52,846 --> 00:01:53,613 COMPLEMENTING CLINICIAN 53 00:01:53,613 --> 00:01:54,280 WORKFLOW. 54 00:01:54,280 --> 00:01:56,883 HER WORK IS BEST CHARACTERIZED 55 00:01:56,883 --> 00:02:00,286 AS HEALTH CARE DELIVERY SCIENCE, 56 00:02:00,286 --> 00:02:01,921 PULLING AT INTERSECTION OF 57 00:02:01,921 --> 00:02:04,357 IMPLEMENTATION SCIENCE AND 58 00:02:04,357 --> 00:02:04,791 IMPROVEMENT SCIENCE. 59 00:02:04,791 --> 00:02:07,293 DR. LANE-FALL IS ALSO INTERESTED 60 00:02:07,293 --> 00:02:09,262 IN BUILDING RESEARCH CAPACITY IN 61 00:02:09,262 --> 00:02:12,132 HEALTH SERVICES RESEARCH AND SHE 62 00:02:12,132 --> 00:02:13,366 MENTORSMERCH FELLOWS, 63 00:02:13,366 --> 00:02:15,335 CLINICAL TRAINEES, AND IS 64 00:02:15,335 --> 00:02:18,204 CO-DIRECTOR OF PENN GRADUATE 65 00:02:18,204 --> 00:02:20,373 LEVEL IMPLEMENTATION SCIENCE 66 00:02:20,373 --> 00:02:20,874 COURSE. 67 00:02:20,874 --> 00:02:22,242 DR. LANE-FALL'S PRESENTATION 68 00:02:22,242 --> 00:02:28,348 WILL PROVIDE AN OVERVIEW OF 69 00:02:28,348 --> 00:02:29,649 IMPLEMENTATION SCIENCE INCLUDING 70 00:02:29,649 --> 00:02:34,254 CURRENT CHALLENGES AND 71 00:02:34,254 --> 00:02:34,587 OPPORTUNITIES. 72 00:02:34,587 --> 00:02:37,223 AFTER HER REMARKS WE'LL HAVE A 73 00:02:37,223 --> 00:02:39,092 PANEL OF THREE NIH SCIENTISTS 74 00:02:39,092 --> 00:02:41,261 WHO WILL PARTICIPATE IN A BRIEF 75 00:02:41,261 --> 00:02:43,029 DISCUSSION AND I'LL INTRODUCE 76 00:02:43,029 --> 00:02:44,097 THEM AT THAT TIME. 77 00:02:44,097 --> 00:02:47,200 NOW I'LL TURN IT OVER TO YOU, 78 00:02:47,200 --> 00:02:50,970 DR. LANE-FALL. 79 00:02:50,970 --> 00:02:53,973 THANK YOU. 80 00:02:53,973 --> 00:02:55,608 >> THANK YOU, DR. TUCCI. 81 00:02:55,608 --> 00:02:58,311 JOINING IN PERSON AND THOSE OF 82 00:02:58,311 --> 00:02:59,579 YOU JOINING ON THE VIDEOCAST. 83 00:02:59,579 --> 00:03:01,915 IT'S MY GREAT PLEASURE TO BE 84 00:03:01,915 --> 00:03:03,349 HERE WITH YOU THIS AFTERNOON AND 85 00:03:03,349 --> 00:03:05,752 TO TALK ABOUT SOMETHING NEAR AND 86 00:03:05,752 --> 00:03:07,387 DEAR TO MY HEART AND HOPEFULLY 87 00:03:07,387 --> 00:03:08,154 SOMETHING I'LL MAKE NEAR AND 88 00:03:08,154 --> 00:03:10,790 DEAR TO YOUR HEARTS IF IT'S NOT 89 00:03:10,790 --> 00:03:12,091 ALREADY, THINKING HOW TO GET 90 00:03:12,091 --> 00:03:13,760 EVIDENCE INTO PRACTICE AND 91 00:03:13,760 --> 00:03:16,596 CHANGE BEHAVIOR IN SERVICE OF 92 00:03:16,596 --> 00:03:20,533 HEALTH.NG OUTCOMES IN POPULATION 93 00:03:20,533 --> 00:03:22,302 ALL RIGHT. 94 00:03:22,302 --> 00:03:24,170 HERE WE GO. 95 00:03:24,170 --> 00:03:30,009 SO, THIS IS MY S PUN FORE NIDCDF 96 00:03:30,009 --> 00:03:30,843 DISSEMINATION AND IMPLEMENTATION 97 00:03:30,843 --> 00:03:31,277 RESEARCH. 98 00:03:31,277 --> 00:03:33,546 I'LL TRY TO GET BETTER WITH THE 99 00:03:33,546 --> 00:03:34,080 PUNS. 100 00:03:34,080 --> 00:03:36,182 SO, IN TERMS OF DISCLOSURES, I 101 00:03:36,182 --> 00:03:37,984 HAVE GRANT FUNDING TO THE 102 00:03:37,984 --> 00:03:40,220 UNIVERSITY OF PENNSYLVANIA FROM 103 00:03:40,220 --> 00:03:41,454 AGENCIES ON THE SCREEN, INDUSTRY 104 00:03:41,454 --> 00:03:42,722 RELATIONSHIPS I WON'T TALK 105 00:03:42,722 --> 00:03:45,425 ABOUT, AND I HAVE THE HONOR OF 106 00:03:45,425 --> 00:03:48,628 SERVING AS CHAIR OF THE STUDY 107 00:03:48,628 --> 00:03:50,196 SECTION, SCIENCE OF 108 00:03:50,196 --> 00:03:51,164 IMPLEMENTATION IN HEALTH AND 109 00:03:51,164 --> 00:03:51,931 HEALTH CARE. 110 00:03:51,931 --> 00:03:53,466 OBJECTIVES FOR THE TIME TODAY 111 00:03:53,466 --> 00:03:56,102 ARE FOR ME TO PROVIDE YOU A 112 00:03:56,102 --> 00:03:57,403 REFRESHER ON IMPLEMENTATION 113 00:03:57,403 --> 00:03:59,706 SCIENCE, I KNOW THAT NIDCD AND 114 00:03:59,706 --> 00:04:01,674 OTHER NIH INSTITUTES HAVE BEEN 115 00:04:01,674 --> 00:04:02,976 INTERESTED IN IMPLEMENTATION 116 00:04:02,976 --> 00:04:03,643 SCIENCE AND ARE INCREASINGLY 117 00:04:03,643 --> 00:04:04,944 HEARING ABOUT IT. 118 00:04:04,944 --> 00:04:06,045 SO I WON'T GO INTO DETAIL. 119 00:04:06,045 --> 00:04:08,248 BUT IT IS USEFUL TO LEVEL-SET SO 120 00:04:08,248 --> 00:04:10,650 I'LL GIVE A LITTLE BIT OF A 121 00:04:10,650 --> 00:04:11,217 REFRESHER FOR FOLKS. 122 00:04:11,217 --> 00:04:13,720 I WANT TO HIGHLIGHT IMPORTANCE 123 00:04:13,720 --> 00:04:15,021 OF EQUITY INFORMED APPROACHES TO 124 00:04:15,021 --> 00:04:18,124 THE WORK I'M GOING TO DISCUSS 125 00:04:18,124 --> 00:04:18,891 ESPECIALLY IN NIDCD-RELEVANT 126 00:04:18,891 --> 00:04:19,225 RESEARCH. 127 00:04:19,225 --> 00:04:21,027 I WANT TO TALK ABOUT SOME 128 00:04:21,027 --> 00:04:23,429 CHALLENGES AND POSSIBLE 129 00:04:23,429 --> 00:04:26,666 SOLUTIONS TO CONDUCTINGEMENESEAT 130 00:04:26,666 --> 00:04:29,402 TO NIDCD MISSION AREAS TO 131 00:04:29,402 --> 00:04:30,937 HOPEFULLY SET US UP FOR THE 132 00:04:30,937 --> 00:04:33,840 PANEL DISCUSSION. 133 00:04:33,840 --> 00:04:36,509 I THANK THE TEAM, DR. TUCCI AND 134 00:04:36,509 --> 00:04:37,844 COLLEAGUES, FOR INVITING ME, 135 00:04:37,844 --> 00:04:39,045 PRIMING ME, HELPING ME 136 00:04:39,045 --> 00:04:41,347 UNDERSTAND ABOUT THE LANDSCAPE 137 00:04:41,347 --> 00:04:43,516 OF IMPLEMENTATION RESEARCH IN 138 00:04:43,516 --> 00:04:45,251 DISORDERS AND OTHER CONDITIONS 139 00:04:45,251 --> 00:04:46,586 RELEVANT TO THE NIDCD, AND MY 140 00:04:46,586 --> 00:04:50,089 PANELISTS THAT I'LL GET TO TALK 141 00:04:50,089 --> 00:04:54,661 WITH AFTER THIS, AFTER THESE 142 00:04:54,661 --> 00:04:54,894 REMARKS. 143 00:04:54,894 --> 00:04:59,365 I'M A QUALITATIVE SCIENTIST, 144 00:04:59,365 --> 00:05:01,167 REOFFER REFLEXIVITY STATEMENTS 145 00:05:01,167 --> 00:05:02,168 TO TALK ABOUT OURSELVES, ONLY A 146 00:05:02,168 --> 00:05:03,703 LITTLE BIT, SO YOU KNOW WHO IS 147 00:05:03,703 --> 00:05:05,738 TALKING TO YOU AND WHAT 148 00:05:05,738 --> 00:05:06,306 PEES THEY ARE B 149 00:05:06,306 --> 00:05:07,974 TO THE WORK. 150 00:05:07,974 --> 00:05:09,709 AS WAS MENTIONED, I'M AN 151 00:05:09,709 --> 00:05:10,610 ANESTHESIOLOGIST, I SPEND TIME 152 00:05:10,610 --> 00:05:12,645 IN THE OPERATING ROOM TRYING TO 153 00:05:12,645 --> 00:05:13,313 KEEP PATIENTS ALIVE WHILE 154 00:05:13,313 --> 00:05:16,449 SURGEONS TRY TO DO THE OPPOSITE. 155 00:05:16,449 --> 00:05:18,751 I ALSO SPEND A LOT OF TIME IN 156 00:05:18,751 --> 00:05:19,952 THE SURGICAL INTENSIVE CARE UNIT 157 00:05:19,952 --> 00:05:23,990 CARING FOR PEOPLE WHO HAVE HAD 158 00:05:23,990 --> 00:05:24,724 SURGERY OR SURGERY-RELATED 159 00:05:24,724 --> 00:05:25,491 CONDITIONS. 160 00:05:25,491 --> 00:05:28,361 I AM A RESEARCHER AND 161 00:05:28,361 --> 00:05:29,796 IMPLEMENTATION SCIENTIST WHO 162 00:05:29,796 --> 00:05:31,431 THINKS ABOUT ICU HANDOFFS AND 163 00:05:31,431 --> 00:05:32,498 OTHER TYPES OF COMMUNICATION, 164 00:05:32,498 --> 00:05:33,933 BUT I THINK A LOT ABOUT 165 00:05:33,933 --> 00:05:34,200 WORKFLOW. 166 00:05:34,200 --> 00:05:36,669 AND ONE OF THE THINGS THAT I'LL 167 00:05:36,669 --> 00:05:37,370 MENTION, HOPEFULLY THAT WILL 168 00:05:37,370 --> 00:05:40,173 COME UP IN THE PANEL, IS AS 169 00:05:40,173 --> 00:05:40,940 WE'RE THINKING ABOUT 170 00:05:40,940 --> 00:05:42,241 IMPLEMENTATION, AS WE'RE 171 00:05:42,241 --> 00:05:43,676 THINKING ABOUT BEHAVIOR CHANGE, 172 00:05:43,676 --> 00:05:45,445 IT'S ALSO REALLY IMPORTANT TO 173 00:05:45,445 --> 00:05:47,280 THINK ABOUT THE WORKFLOW OF THE 174 00:05:47,280 --> 00:05:48,314 PEOPLE WHOSE BEHAVIOR WE'RE 175 00:05:48,314 --> 00:05:49,382 TRYING TO CHANGE. 176 00:05:49,382 --> 00:05:50,917 IT'S VERY DIFFICULT TO GET 177 00:05:50,917 --> 00:05:52,018 PEOPLE TO CHANGE THEIR BEHAVIOR 178 00:05:52,018 --> 00:05:54,120 IF YOU MAKE THEIR JOBS HARDER. 179 00:05:54,120 --> 00:05:54,987 SO THAT'S SOMETHING I THINK 180 00:05:54,987 --> 00:05:57,390 ABOUT A LOT IN MY WORK. 181 00:05:57,390 --> 00:06:00,460 I ALSO AS WAS MENTIONED, THE 182 00:06:00,460 --> 00:06:01,761 EXECUTIVE DIRECTOR OF THE PENN 183 00:06:01,761 --> 00:06:03,830 IMPLEMENTATION SCIENCE CENTER, A 184 00:06:03,830 --> 00:06:05,031 PLACE FOR BUILDING COMMUNITY, 185 00:06:05,031 --> 00:06:06,799 FOR FOLKS INTERESTED IN 186 00:06:06,799 --> 00:06:07,800 IMPLEMENTATION RESEARCH WE HAVE 187 00:06:07,800 --> 00:06:09,669 HUNDREDS OF PEOPLE ON OUR 188 00:06:09,669 --> 00:06:11,604 LISTSERV AT PENN, AROUND THE 189 00:06:11,604 --> 00:06:13,606 COUNTRY, WHO PARTICIPATE INTIUR 190 00:06:13,606 --> 00:06:15,441 EDUCATIONAL OFFERINGS AND 191 00:06:15,441 --> 00:06:16,809 CAPACITY BUILDING EFFORTS. 192 00:06:16,809 --> 00:06:18,311 SO LET'S TALK ABOUT 193 00:06:18,311 --> 00:06:19,278 IMPLEMENTATION SCIENCE. 194 00:06:19,278 --> 00:06:22,448 HOW WE GET PEOPLE AND SYSTEMS TO 195 00:06:22,448 --> 00:06:23,249 CHANGE BEHAVIOR, SPECIFICALLY 196 00:06:23,249 --> 00:06:26,519 RELEVANT TO AREAS OF INTEREST 197 00:06:26,519 --> 00:06:28,154 FOR THE NIDCD. 198 00:06:28,154 --> 00:06:30,256 SO, YOU ALREADY HEARD SOMETHING 199 00:06:30,256 --> 00:06:31,591 ABOUT IMPLEMENTATION SCIENCE. 200 00:06:31,591 --> 00:06:35,194 THERE WAS A D&I SCIENCE AND 201 00:06:35,194 --> 00:06:35,862 COMMUNICATION DISORDERS WORKSHOP 202 00:06:35,862 --> 00:06:36,729 HELD LAST YEAR IN OCTOBER. 203 00:06:36,729 --> 00:06:39,031 I HAD THE OPPORTUNITY TO REVIEW 204 00:06:39,031 --> 00:06:40,666 SOME OF THOSE VIDEOS ONLINE 205 00:06:40,666 --> 00:06:41,501 WHICH ARE PHENOMENAL. 206 00:06:41,501 --> 00:06:42,869 IF YOU HAVEN'T SEEN THEM 207 00:06:42,869 --> 00:06:44,270 ALREADY, I ENCOURAGE YOU TO TAKE 208 00:06:44,270 --> 00:06:47,340 A LOOK AT SOME OF THOSE 209 00:06:47,340 --> 00:06:47,840 PRESENTATIONS. 210 00:06:47,840 --> 00:06:49,108 WE ARE IN THE SEMINAR SERIES 211 00:06:49,108 --> 00:06:50,643 RIGHT NOW TO ADVANCE THE SCIENCE 212 00:06:50,643 --> 00:06:51,744 OF COMMUNICATION TO IMPROVE 213 00:06:51,744 --> 00:06:53,913 LIVES, AND MY UNDERSTANDING IS 214 00:06:53,913 --> 00:06:54,580 THAT IMPLEMENTATION RESEARCH HAS 215 00:06:54,580 --> 00:06:57,650 BEEN AN AREA OF INTEREST FOR 216 00:06:57,650 --> 00:06:58,451 THAT. 217 00:06:58,451 --> 00:06:59,218 AS WAS MENTIONED, IMPLEMENTATION 218 00:06:59,218 --> 00:07:01,521 IS PART OF THE STRATEGIC PLAN 219 00:07:01,521 --> 00:07:02,922 FOR THE NIDCD. 220 00:07:02,922 --> 00:07:03,990 WHICH ALSO IS A LOVELY DOCUMENT, 221 00:07:03,990 --> 00:07:05,558 IF YOU HAVEN'T HAD A CHANCE TO 222 00:07:05,558 --> 00:07:08,194 TAKE A LOOK, IT'S WORTH TAKING A 223 00:07:08,194 --> 00:07:08,528 LOOK AT. 224 00:07:08,528 --> 00:07:09,962 WHEN I REVIEWED THE STRATEGIC 225 00:07:09,962 --> 00:07:16,235 PLAN FOR THE NIDCD I SAW THESE 226 00:07:16,235 --> 00:07:17,069 THEME AREAS, WHICH COVER THE 227 00:07:17,069 --> 00:07:21,040 GEUM 228 00:07:21,040 --> 00:07:21,908 GAMUT. 229 00:07:21,908 --> 00:07:23,009 WHAT DOES IMPLEMENTATION SCIENCE 230 00:07:23,009 --> 00:07:23,209 FIT? 231 00:07:23,209 --> 00:07:24,243 I THINK THERE, RIGHT? 232 00:07:24,243 --> 00:07:28,915 BECAUSE IF YOU WANT TO TRANSLATE 233 00:07:28,915 --> 00:07:32,118 AND IMPLEMENT SCIENTIFIC 234 00:07:32,118 --> 00:07:33,419 ADVANCES, TRYING TO CHANGE 235 00:07:33,419 --> 00:07:35,621 BEHAVIOR OF PEOPLE GIVING 236 00:07:35,621 --> 00:07:36,823 SERVICES, IN A THEORY-DRIVEN WAY 237 00:07:36,823 --> 00:07:37,590 AND RELIABLE WAY. 238 00:07:37,590 --> 00:07:39,992 BUT THEN MAYBE IF WE'RE TRYING 239 00:07:39,992 --> 00:07:41,427 TO PROMOTE PRECISION MEDICINE 240 00:07:41,427 --> 00:07:43,963 WE'RE TRYING TO GET PROVIDERS OF 241 00:07:43,963 --> 00:07:46,699 CARE TO CHANGE THEIR BEHAVIOR. 242 00:07:46,699 --> 00:07:47,333 ACTUALLY IMPLEMENTATION SCIENCE 243 00:07:47,333 --> 00:07:47,867 IS RELEVANT TO THAT. 244 00:07:47,867 --> 00:07:50,036 IF WE'RE TRYING TO GET PEOPLE TO 245 00:07:50,036 --> 00:07:52,138 USE BEST PRACTICES IN BIOMEDICAL 246 00:07:52,138 --> 00:07:53,639 DATA SCIENCE, IT'S ALSO BEHAVIOR 247 00:07:53,639 --> 00:07:56,375 CHANGE. 248 00:07:56,375 --> 00:07:57,276 SO I THINK IMPLEMENT SCIENCE 249 00:07:57,276 --> 00:07:58,144 RELEVANT TO THAT. 250 00:07:58,144 --> 00:07:59,245 IT'S ALL OF THEM ACTUALLY 251 00:07:59,245 --> 00:08:01,647 BECAUSE WE'RE TRYING TO GET 252 00:08:01,647 --> 00:08:03,416 PEOPLE TO CHANGE THEIR BEHAVIOR. 253 00:08:03,416 --> 00:08:05,985 I TEND TO THINK ABOUT 254 00:08:05,985 --> 00:08:13,025 IMPLEMENTATION SCIENCE 1.0 AND 255 00:08:13,025 --> 00:08:16,095 2.0, IMPLEMENTATION 1.0 TO GET 256 00:08:16,095 --> 00:08:17,196 EVIDENCE INTO PRACTICE. 257 00:08:17,196 --> 00:08:20,266 2.0 IS TRYING TO GET ANY PERSON 258 00:08:20,266 --> 00:08:21,634 OR SYSTEM TO CHANGE THEIRNG 259 00:08:21,634 --> 00:08:21,901 BEHAVIOR. 260 00:08:21,901 --> 00:08:25,304 NOW, IF THE BEHAVIOR THAT YOU'RE 261 00:08:25,304 --> 00:08:25,738 INTERESTED IN ISN'T 262 00:08:25,738 --> 00:08:27,907 EVIDENCE-BASED, I THINK IT 263 00:08:27,907 --> 00:08:29,208 BEHOOVES TO YOU MAKE SURE IT 264 00:08:29,208 --> 00:08:30,977 WORKS AND CHECK FOR 265 00:08:30,977 --> 00:08:31,944 EFFECTIVENESS, BUT INCREASINGLY 266 00:08:31,944 --> 00:08:33,479 WE'RE USING TOOLS OF 267 00:08:33,479 --> 00:08:35,548 IMPLEMENTATION SCIENCE FOR 268 00:08:35,548 --> 00:08:37,416 BEHAVIOR CHANGE AT MANY LEVELS 269 00:08:37,416 --> 00:08:41,220 IN CLINICAL SETTINGS, ALSO IN 270 00:08:41,220 --> 00:08:42,555 THE BIOMEDICAL RESEARCH. 271 00:08:42,555 --> 00:08:43,256 CLASSICALLY CONCEIVED 272 00:08:43,256 --> 00:08:45,258 IMPLEMENTATION SCIENCE IS ABOUT 273 00:08:45,258 --> 00:08:46,225 BRIDGING EVIDENCE TO PRACTICE 274 00:08:46,225 --> 00:08:46,425 GAPS. 275 00:08:46,425 --> 00:08:47,827 THERE ARE SOME ESTIMATES THAT IT 276 00:08:47,827 --> 00:08:50,029 MAKES MORE THAN A DECADE 277 00:08:50,029 --> 00:08:51,764 SOMETIMES TWO TO GET EVIDENCE 278 00:08:51,764 --> 00:08:53,533 INTO PRACTICE, AND THAT'S NOT 279 00:08:53,533 --> 00:08:55,935 ALL THE EVIDENCE, JUST SOME. 280 00:08:55,935 --> 00:08:57,236 SO IMPLEMENTATION SCIENCE IS 281 00:08:57,236 --> 00:08:58,771 INSPIRED BY TRYING TO NARROW 282 00:08:58,771 --> 00:09:01,374 THAT GAP TO IMPROVE THE 283 00:09:01,374 --> 00:09:03,442 POTENTIAL OF THOSE INNOVATIONS 284 00:09:03,442 --> 00:09:07,947 THAT THE NIDCD FUNDED AND MANY 285 00:09:07,947 --> 00:09:09,582 OTHER INSTITUTES FUNDED TO 286 00:09:09,582 --> 00:09:10,583 IMPROVE HEALTH. 287 00:09:10,583 --> 00:09:12,518 SO THE OFFICIAL DEFINITION OF 288 00:09:12,518 --> 00:09:13,219 IMPLEMENTATION SCIENCE COMES 289 00:09:13,219 --> 00:09:16,856 FROM THE FIRST EDITION OF THE 290 00:09:16,856 --> 00:09:18,224 FLAGSHIP JOURNAL, IMPLEMENTATION 291 00:09:18,224 --> 00:09:19,892 SCIENCE IN 2006. 292 00:09:19,892 --> 00:09:21,327 THEY CALL IMPLEMENTATION SCIENCE 293 00:09:21,327 --> 00:09:23,629 THE SCIENTIFIC STUDY OF METHODS 294 00:09:23,629 --> 00:09:25,364 TO PROMOTE SYSTEMATIC UPTAKE OF 295 00:09:25,364 --> 00:09:28,334 RESEARCH FINDINGS AND OTHER 296 00:09:28,334 --> 00:09:29,101 EVIDENCE-BASED PRACTICES INTO 297 00:09:29,101 --> 00:09:30,970 ROUTINE PRACTICE AND HENCE TO 298 00:09:30,970 --> 00:09:31,904 IMPROVE QUALITY 299 00:09:31,904 --> 00:09:33,673 EFFECTIVENESS OF HEALTH SERVICES 300 00:09:33,673 --> 00:09:34,540 AND CARE. 301 00:09:34,540 --> 00:09:36,742 IT'S OKAY, I FIND IT A LITTLE 302 00:09:36,742 --> 00:09:39,245 BIT CLUNKY, BUT IT'S OKAY. 303 00:09:39,245 --> 00:09:41,213 MY FAVORITE DEFINITION COMES 304 00:09:41,213 --> 00:09:43,316 FROM ANN SALES, ONE OF THE 305 00:09:43,316 --> 00:09:43,883 THOUGHT LEADERS IN 306 00:09:43,883 --> 00:09:44,850 IMPLEMENTATION SCIENCE. 307 00:09:44,850 --> 00:09:47,053 SHE'S AT THE UNIVERSITY OF 308 00:09:47,053 --> 00:09:47,386 MISSOURI. 309 00:09:47,386 --> 00:09:48,688 SHE CALLS IMPLEMENTATION SCIENCE 310 00:09:48,688 --> 00:09:51,223 THE STUDY OF PLANNED HUMAN 311 00:09:51,223 --> 00:09:52,625 BEHAVIOR CHANGE UNDER 312 00:09:52,625 --> 00:09:53,559 ORGANIZATIONAL CONSTRAINTS. 313 00:09:53,559 --> 00:09:56,329 ONE OF THE REASONS I LOVE THAT 314 00:09:56,329 --> 00:09:57,663 DEFINITION IS IT'S CONCISE. 315 00:09:57,663 --> 00:09:59,532 IT TELLS YOU THAT ANY DISCIPLINE 316 00:09:59,532 --> 00:10:00,833 THAT'S INTERESTED IN HUMAN 317 00:10:00,833 --> 00:10:02,368 BEHAVIOR CHANGE WILL BE RELEVANT 318 00:10:02,368 --> 00:10:03,502 TO IMPLEMENTATION SCIENCE. 319 00:10:03,502 --> 00:10:05,338 AND ANY DISCIPLINE THAT'S 320 00:10:05,338 --> 00:10:06,305 INTERESTED IN ORGANIZATIONAL 321 00:10:06,305 --> 00:10:08,474 BEHAVIOR WILL BE RELEVANT TO 322 00:10:08,474 --> 00:10:08,975 IMPLEMENTATION SCIENCE. 323 00:10:08,975 --> 00:10:12,111 AND SO WHAT WE DO IS COMBINE THE 324 00:10:12,111 --> 00:10:14,947 TRADITIONS FROM THOSE FIELDS, TO 325 00:10:14,947 --> 00:10:16,616 TRY TO DEVICE WAYS TO CHANGE 326 00:10:16,616 --> 00:10:19,752 BEHAVIOR IN SERVICE OF IMPROVING 327 00:10:19,752 --> 00:10:20,186 HEALTH. 328 00:10:20,186 --> 00:10:21,921 SO, AS I'VE SIGN POSTED FOR YOU 329 00:10:21,921 --> 00:10:23,389 IMPLEMENTATION SCIENCE IS A 330 00:10:23,389 --> 00:10:25,725 DISCIPLINE, A BIT OF A MUTT. 331 00:10:25,725 --> 00:10:27,727 IT INCLUDES ALL OF THESE 332 00:10:27,727 --> 00:10:28,928 DISCIPLINES AND MORE. 333 00:10:28,928 --> 00:10:31,998 SOME PEOPLE WILL CALL 334 00:10:31,998 --> 00:10:32,999 IMPLEMENTATION SCIENCE OLD WINE 335 00:10:32,999 --> 00:10:35,468 IN NEW BOTTLES. 336 00:10:35,468 --> 00:10:36,702 I DON'T THINK THAT'S EXACTLY 337 00:10:36,702 --> 00:10:37,703 RIGHT BECAUSE WE'RE COMBINING IN 338 00:10:37,703 --> 00:10:39,772 WAYS THEY HAVE NOT BEEN COMBINED 339 00:10:39,772 --> 00:10:40,339 BEFORE. 340 00:10:40,339 --> 00:10:42,742 BUT WE DO STAND ON THE SHOULDERS 341 00:10:42,742 --> 00:10:44,143 AND TRADITIONS AND FOUNDATIONS 342 00:10:44,143 --> 00:10:45,044 OF THESE FIELDS. 343 00:10:45,044 --> 00:10:48,114 SO MANY OF THE THEORIES WE DRAW 344 00:10:48,114 --> 00:10:48,881 ON IN IMPLEMENTATION SCIENCE 345 00:10:48,881 --> 00:10:51,550 COME FROM THE FIELDS YOU SEE UP 346 00:10:51,550 --> 00:10:53,519 HERE, INCLUDING PUBLIC HEALTH 347 00:10:53,519 --> 00:10:54,887 AND PSYCHOLOGY, AND MANAGEMENT 348 00:10:54,887 --> 00:10:55,521 SCIENCE. 349 00:10:55,521 --> 00:10:56,889 INCREASINGLY PEOPLE ARE BRINGING 350 00:10:56,889 --> 00:10:58,324 SYSTEMS AND HUMAN FACTORS 351 00:10:58,324 --> 00:10:58,958 ENGINEERING INTO IMPLEMENTATION 352 00:10:58,958 --> 00:10:59,191 SCIENCE. 353 00:10:59,191 --> 00:11:01,927 I HAVE TO GIVE A NOD TO 354 00:11:01,927 --> 00:11:02,895 COMMUNICATION AND DISSEMINATION. 355 00:11:02,895 --> 00:11:04,697 ONE OF THE CONCEPTS THAT CAME UP 356 00:11:04,697 --> 00:11:06,732 IN THE OCTOBER 23 WORKSHOP WAS 357 00:11:06,732 --> 00:11:09,101 THAT THERE'S A LITTLE BIT OF A D 358 00:11:09,101 --> 00:11:12,271 AND BIG I WHEN WE TALK ABOUT 359 00:11:12,271 --> 00:11:13,172 DISSEMINATION AND IMPLEMENTATION 360 00:11:13,172 --> 00:11:13,739 RESEARCH. 361 00:11:13,739 --> 00:11:15,541 PART IS THE DIFFUSION OF 362 00:11:15,541 --> 00:11:16,809 INFORMATION IS OFTEN NOT ENOUGH 363 00:11:16,809 --> 00:11:18,978 TO CHANGE BEHAVIOR, SO THERE'S 364 00:11:18,978 --> 00:11:21,280 BEEN AN UNDERSTANDABLE FOCUS ON 365 00:11:21,280 --> 00:11:22,281 TRYING TO ACTIVELY CHANGE 366 00:11:22,281 --> 00:11:23,349 BEHAVIOR BUT WE HAVE TO 367 00:11:23,349 --> 00:11:24,984 ACKNOWLEDGE THAT IN ORDER TO 368 00:11:24,984 --> 00:11:25,584 CHANGE THAT BEHAVIOR, PEOPLE 369 00:11:25,584 --> 00:11:27,420 HAVE TO KNOW WHAT IT IS. 370 00:11:27,420 --> 00:11:29,588 WE HAVE TO THINK ABOUT 371 00:11:29,588 --> 00:11:30,156 DISSEMINATION AND EFFECTIVE 372 00:11:30,156 --> 00:11:31,991 COMMUNICATION AS PART OF THE 373 00:11:31,991 --> 00:11:33,292 WORK WE DO. 374 00:11:33,292 --> 00:11:34,827 THERE ARE FIVE KEY FEATURES OF 375 00:11:34,827 --> 00:11:35,728 IMPLEMENTATION SCIENCE THAT I 376 00:11:35,728 --> 00:11:37,129 THINK ARE USEFUL TO HIGHLIGHT. 377 00:11:37,129 --> 00:11:40,433 THIS COMES FROM A PAPER THAT WAS 378 00:11:40,433 --> 00:11:43,602 COHORT BY ONE OF MY FORMER 379 00:11:43,602 --> 00:11:44,770 PARTNERS IN CRIME, NOW AT 380 00:11:44,770 --> 00:11:45,571 NORTHWESTERN UNIVERSITY. 381 00:11:45,571 --> 00:11:46,972 THE FIRST KEY FEATURE OF 382 00:11:46,972 --> 00:11:50,376 IMPLEMENTATION SCIENCE IS 383 00:11:50,376 --> 00:11:57,717 THERE'S A THING WE'RE INTERESTED 384 00:11:57,717 --> 00:11:59,752 IN, EVIDENCE-BASED PRACTICE. 385 00:11:59,752 --> 00:12:01,320 CLASSICALLY, WE TALK ABOUT A 386 00:12:01,320 --> 00:12:02,621 THING OR CONCEPT OR PRACTICE 387 00:12:02,621 --> 00:12:05,458 THAT DOES HAVE EVIDENCE BEHIND 388 00:12:05,458 --> 00:12:05,691 IT. 389 00:12:05,691 --> 00:12:07,560 SECOND KEY FEATURE IS THAT WE DO 390 00:12:07,560 --> 00:12:09,395 THIS WORK IN PARTNERSHIP WITH 391 00:12:09,395 --> 00:12:10,396 PEOPLE WHOSE BEHAVIOR WE'RE 392 00:12:10,396 --> 00:12:11,697 TRYING TO CHANGE AND PEOPLE 393 00:12:11,697 --> 00:12:13,432 WHOSE HEALTH MIGHT BE INFLUENCED 394 00:12:13,432 --> 00:12:15,401 BY THE BEHAVIOR WE'RE TRYING TO 395 00:12:15,401 --> 00:12:15,768 FACILITATE. 396 00:12:15,768 --> 00:12:19,472 THAT MEANS WE WORK WITH 397 00:12:19,472 --> 00:12:21,774 PARTNERS, PATIENTS, COMMUNITIES, 398 00:12:21,774 --> 00:12:22,875 FAMILIES, PAYERS, PROVIDERS, 399 00:12:22,875 --> 00:12:25,044 ANYONE WHO IS A PART OF THE MIX 400 00:12:25,044 --> 00:12:25,945 IN TERMS OF CHANGING BEHAVIOR 401 00:12:25,945 --> 00:12:27,379 ARE THE FOLKS WE WORK WITH. 402 00:12:27,379 --> 00:12:28,981 SO, THIS IS A SAMPLING OF SOME 403 00:12:28,981 --> 00:12:31,283 OF THE PEOPLE THAT CAN BE PART 404 00:12:31,283 --> 00:12:32,284 OF AN IMPLEMENTATION TEAM. 405 00:12:32,284 --> 00:12:37,022 BUT ONE OF THE KEY TAKEAWAYS IS 406 00:12:37,022 --> 00:12:38,891 THIS TEAM SCIENCE. 407 00:12:38,891 --> 00:12:39,992 I'VE NEVER SEEN AN 408 00:12:39,992 --> 00:12:40,726 IMPLEMENTATION RESEARCH STUDY 409 00:12:40,726 --> 00:12:41,460 WITH ONE INVESTIGATOR. 410 00:12:41,460 --> 00:12:42,261 IT'S NOT A THING. 411 00:12:42,261 --> 00:12:43,696 WE HAVE TO DO THIS IN 412 00:12:43,696 --> 00:12:43,996 PARTNERSHIP. 413 00:12:43,996 --> 00:12:45,765 IN PART BECAUSE OF THE 414 00:12:45,765 --> 00:12:46,632 METHODOLOGIC COMPLEXITY OF THE 415 00:12:46,632 --> 00:12:50,035 DISCIPLINE, BUT ALSO THE NEED 416 00:12:50,035 --> 00:12:51,337 FOR CONSTANT EXPERTISE AND BRING 417 00:12:51,337 --> 00:12:54,507 LIVED EXPERIENCE TO THE TEAM. 418 00:12:54,507 --> 00:12:56,142 THIRD KEY FEATURE IS OUR 419 00:12:56,142 --> 00:12:57,476 OUTCOMES IN IMPLEMENTATION 420 00:12:57,476 --> 00:12:59,345 SCIENCE ARE DIFFERENT THAN 421 00:12:59,345 --> 00:13:01,180 TRADITIONAL EFFECTIVENESS 422 00:13:01,180 --> 00:13:02,715 OUTCOMES. 423 00:13:02,715 --> 00:13:03,382 SO TRADITIONAL EFFECTIVENESS 424 00:13:03,382 --> 00:13:06,919 OUTCOMES ARE QUALITY OF LIFE, 425 00:13:06,919 --> 00:13:07,887 MORTALITY, HEALTHCARE 426 00:13:07,887 --> 00:13:09,321 UTILIZATION, THESE ARE SORT OF 427 00:13:09,321 --> 00:13:10,623 END OUTCOMES THAT TELL US 428 00:13:10,623 --> 00:13:11,423 WHETHER OUR INTERVENTIONS 429 00:13:11,423 --> 00:13:12,491 ACTUALLY ACHIEVED THE GOALS 430 00:13:12,491 --> 00:13:14,794 WE'RE TRYING TO ACHIEVE. 431 00:13:14,794 --> 00:13:15,594 OUR IMPLEMENTATION OUTCOMES ON 432 00:13:15,594 --> 00:13:17,730 TOP HAVE MORE TO DO WITH HOW 433 00:13:17,730 --> 00:13:20,266 WELL WE DID THE THING THAT 434 00:13:20,266 --> 00:13:22,568 AFFECTS THE OUTCOME. 435 00:13:22,568 --> 00:13:27,072 OUR OUTCOMES TEND TO BE CONCEPTS 436 00:13:27,072 --> 00:13:28,440 LIKE ACCEPTABILITY, 437 00:13:28,440 --> 00:13:29,241 APPROPRIATENESS, COST, 438 00:13:29,241 --> 00:13:29,875 FEASIBILITY, FIDELITY WHICH IS 439 00:13:29,875 --> 00:13:31,577 HOW WELL PEOPLE DO THE THING. 440 00:13:31,577 --> 00:13:33,979 THE WAY I EXPLAIN IT IS THAT THE 441 00:13:33,979 --> 00:13:36,148 IMPLEMENTATION OUTCOMES ARE MORE 442 00:13:36,148 --> 00:13:38,250 PROXIMAL IN CAUSAL MODEL BETWEEN 443 00:13:38,250 --> 00:13:40,853 THE PRACTICE OF INTEREST AND 444 00:13:40,853 --> 00:13:41,620 OUTCOME OF INTEREST. 445 00:13:41,620 --> 00:13:44,056 THE IDEA YOU DON'T GET THE 446 00:13:44,056 --> 00:13:45,124 OUTCOME OF INTEREST UNLESS 447 00:13:45,124 --> 00:13:48,427 PEOPLE DO THE THING. 448 00:13:48,427 --> 00:13:51,163 AND IMPLEMENTATION SCIENCE IS 449 00:13:51,163 --> 00:13:53,032 HOW TO GET PEOPLE DO THE THING, 450 00:13:53,032 --> 00:13:54,333 OUTCOMES ARE HOW WELL THEY DO 451 00:13:54,333 --> 00:13:56,302 THE THING. 452 00:13:56,302 --> 00:13:58,604 FOURTH KEY FEATURE IS CONTEXTUAL 453 00:13:58,604 --> 00:14:00,339 INFORMATIVE AND NOT PROBLEMATIC, 454 00:14:00,339 --> 00:14:03,309 EVERYTHING THAT CREATES 455 00:14:03,309 --> 00:14:03,943 STATISTICAL NOISE IN RCT, 456 00:14:03,943 --> 00:14:04,743 RANDOMIZED CONTROLLED TRIAL, IS 457 00:14:04,743 --> 00:14:05,578 DATA FOR US. 458 00:14:05,578 --> 00:14:07,646 WE WANT TO KNOW WHY SITE 1 DID 459 00:14:07,646 --> 00:14:09,415 WELL AND SITE 3 DIDN'T. 460 00:14:09,415 --> 00:14:11,050 OH, SITE 5 WAS OKAY BUT ONLY 461 00:14:11,050 --> 00:14:12,518 WHEN THEY HIRED A NEW NURSE. 462 00:14:12,518 --> 00:14:14,587 THOSE ARE THE THINGS WE WANT TO 463 00:14:14,587 --> 00:14:17,223 KNOW THAT HELP US UNDERSTAND HOW 464 00:14:17,223 --> 00:14:18,858 TO RELIABLY CHANGE BEHAVIOR IN 465 00:14:18,858 --> 00:14:21,260 THE REAL WORLD. 466 00:14:21,260 --> 00:14:23,796 AND THE FIFTH KEY FEATURE WE USE 467 00:14:23,796 --> 00:14:26,398 SPECIFIC LANGUAGE, METHODS, 468 00:14:26,398 --> 00:14:27,967 THEORIES, FRAMEWORKS, 469 00:14:27,967 --> 00:14:29,101 STRATEGIES, AND THIS IS 470 00:14:29,101 --> 00:14:31,237 IMPORTANT IN CREATING A COMMON 471 00:14:31,237 --> 00:14:32,972 LANGUAGE ACROSS THE FIELD BUT IT 472 00:14:32,972 --> 00:14:34,740 IS ALSO ONE OF THE REASONS THAT 473 00:14:34,740 --> 00:14:36,542 THE BARRIERS TO ENTRY TO 474 00:14:36,542 --> 00:14:37,776 IMPLEMENTATION SCIENCE TEND TO 475 00:14:37,776 --> 00:14:39,445 BE PRETTY HIGH BECAUSE THERE'S A 476 00:14:39,445 --> 00:14:40,546 LOT OF JARGON. 477 00:14:40,546 --> 00:14:42,081 SO PART OF WHAT THE FIELD IS 478 00:14:42,081 --> 00:14:44,149 TRYING TO DO IS MAKE IT EASIER 479 00:14:44,149 --> 00:14:45,584 FOR PEOPLE TO COME IN, TO USE 480 00:14:45,584 --> 00:14:47,319 THE TOOLS, TO USE THE LANGUAGE 481 00:14:47,319 --> 00:14:52,124 SO THEY CAN BE A PART OF THE 482 00:14:52,124 --> 00:14:52,591 GROUP. 483 00:14:52,591 --> 00:14:54,093 I'LL GIVE AN EXAMPLE. 484 00:14:54,093 --> 00:14:57,162 THIS IS A FIGURE FROM NELSON'S 485 00:14:57,162 --> 00:15:01,367 PAPER IN IMPLEMENTATION SCIENCE 486 00:15:01,367 --> 00:15:04,303 APTLY NAMED, THERE ARE WELL OVER 487 00:15:04,303 --> 00:15:05,704 100 THEORIES, MODELS, AND 488 00:15:05,704 --> 00:15:06,572 FRAMEWORKS USED IN 489 00:15:06,572 --> 00:15:09,875 IMPLEMENTATION SCIENCE WHICH IS 490 00:15:09,875 --> 00:15:10,776 A REALLY UNWIELDY NUMBER OF 491 00:15:10,776 --> 00:15:12,478 THINGS TO DEAL WITH WAYS OF 492 00:15:12,478 --> 00:15:13,779 CHANGING BEHAVIOR. 493 00:15:13,779 --> 00:15:15,314 SO ONE OF NELSON'S KEY 494 00:15:15,314 --> 00:15:16,749 CONTRIBUTIONS WAS TO CREATE 495 00:15:16,749 --> 00:15:18,083 TAXONOMY OF THESE THEORIES, 496 00:15:18,083 --> 00:15:19,051 MODELS, FRAMEWORKS. 497 00:15:19,051 --> 00:15:22,321 BUT THIS IS SOME JARGON WE TALK 498 00:15:22,321 --> 00:15:24,723 ABOUT MAKING THE FIELD SEEM LESS 499 00:15:24,723 --> 00:15:25,291 ACCESSIBLE. 500 00:15:25,291 --> 00:15:26,525 I'M GOING TO TALK ABOUT, AT THE 501 00:15:26,525 --> 00:15:28,494 END, HOW WE CAN MAKE THE FIELD 502 00:15:28,494 --> 00:15:32,064 MORE ACCESSIBLE TO FOLKS. 503 00:15:32,064 --> 00:15:33,499 THESE ARE KEY FEATURES. 504 00:15:33,499 --> 00:15:35,901 THERE ARE EMERGING FOCAL AREAS 505 00:15:35,901 --> 00:15:36,769 WITHIN IMPLEMENTATION SCIENCE. 506 00:15:36,769 --> 00:15:38,871 FOR THOSE IN OR AROUND THE D.C. 507 00:15:38,871 --> 00:15:40,940 AREA, NEXT WEEK THERE WILL BE 508 00:15:40,940 --> 00:15:42,675 ANNUAL ACADEMY HEALTH 509 00:15:42,675 --> 00:15:45,277 NIH CONFERENCE ON SCIENCE OF 510 00:15:45,277 --> 00:15:46,078 DISSEMINATION AND IMPLEMENTATION 511 00:15:46,078 --> 00:15:46,612 IN HEALTH. 512 00:15:46,612 --> 00:15:48,047 COME BY, HANG OUT. 513 00:15:48,047 --> 00:15:50,082 IT'S A FRIENDLY CROWD. 514 00:15:50,082 --> 00:15:51,984 YOU'LL SEE PEOPLE THAT HAVE 515 00:15:51,984 --> 00:15:53,719 INTEREST IN THESE VARIOUS FOCAL 516 00:15:53,719 --> 00:15:55,354 AREAS, WHETHER HEALTH EQUITY, 517 00:15:55,354 --> 00:15:57,489 WHETHER IT'S MOBILE HEALTH, 518 00:15:57,489 --> 00:15:58,490 GLOBAL HEALTH, DISSEMINATION, 519 00:15:58,490 --> 00:16:02,494 THERE ARE A LOT OF SORT OF 520 00:16:02,494 --> 00:16:04,229 DIFFERENTIATING BUCKETS WITHIN 521 00:16:04,229 --> 00:16:04,730 IMPLEMENTATION SCIENCE. 522 00:16:04,730 --> 00:16:09,168 SO AS WE THINK ABOUT APPLYING 523 00:16:09,168 --> 00:16:10,703 IMPLEMENTATION SCIENCE TO NIDCD 524 00:16:10,703 --> 00:16:12,338 RELEVANT FOCAL AREAS, THERE'S 525 00:16:12,338 --> 00:16:13,205 CHALLENGES THAT I SEE THAT 526 00:16:13,205 --> 00:16:14,640 HOPEFULLY WE'LL TALK ABOUT MORE 527 00:16:14,640 --> 00:16:15,941 IN THE PANEL DISCUSSION. 528 00:16:15,941 --> 00:16:18,043 THE FIRST IS THINKING ABOUT 529 00:16:18,043 --> 00:16:19,445 STANDARDS OF EVIDENCE, AND 530 00:16:19,445 --> 00:16:20,913 WHETHER PRACTICES OF INTEREST 531 00:16:20,913 --> 00:16:22,948 ARE ACTUALLY READY FOR 532 00:16:22,948 --> 00:16:23,549 IMPLEMENTATION. 533 00:16:23,549 --> 00:16:24,984 SO, I THINK ABOUT AS A 534 00:16:24,984 --> 00:16:26,819 COUNTERPOINT SOME OF THE 535 00:16:26,819 --> 00:16:27,386 EVIDENCE-BASED PRACTICES IN 536 00:16:27,386 --> 00:16:28,354 MENTAL HEALTH. 537 00:16:28,354 --> 00:16:29,922 I THINK ABOUT COGNITIVE 538 00:16:29,922 --> 00:16:31,223 BEHAVIORAL THERAPY. 539 00:16:31,223 --> 00:16:32,758 I'M NOT A PSYCHOLOGIST OR 540 00:16:32,758 --> 00:16:33,859 BEHAVIORAL SCIENTIST BUT I'M 541 00:16:33,859 --> 00:16:36,261 TOLD THERE'S REALLY SOLID 542 00:16:36,261 --> 00:16:39,498 EVIDENCE FOR COGNITIVE 543 00:16:39,498 --> 00:16:40,632 BEHAVIORAL THERAPY TO CHANGE 544 00:16:40,632 --> 00:16:42,267 BEHAVIOR, THERE ARE MULTIPLE 545 00:16:42,267 --> 00:16:42,935 LARGE SCALE RANDOMIZED 546 00:16:42,935 --> 00:16:45,004 CONTROLLED TRIALS, NO QUESTION 547 00:16:45,004 --> 00:16:47,072 ABOUT WHETHER CBT WORKS. 548 00:16:47,072 --> 00:16:49,742 SO MUCH SO THAT WHEN PEOPLE DO 549 00:16:49,742 --> 00:16:50,976 IMPLEMENTATION RESEARCH ON 550 00:16:50,976 --> 00:16:51,677 COGNITIVE BEHAVIORAL THERAPY, 551 00:16:51,677 --> 00:16:53,479 THEY WILL SOMETIMES NOT MEASURE 552 00:16:53,479 --> 00:16:54,980 PATIENT OUTCOMES, THEY WILL JUST 553 00:16:54,980 --> 00:16:55,881 MEASURE IMPLEMENTATION OUTCOMES 554 00:16:55,881 --> 00:16:57,816 BECAUSE EVERYONE KNOWS IT WORKS. 555 00:16:57,816 --> 00:17:00,452 I WOULD ARGUE THAT IN SOME OF 556 00:17:00,452 --> 00:17:03,522 THE NIDCD FOCAL AREAS SOME AREAS 557 00:17:03,522 --> 00:17:06,158 IN MY WORLD, IN THE PERIOP 558 00:17:06,158 --> 00:17:07,126 WORLD, EVIDENCE ISN'T THAT 559 00:17:07,126 --> 00:17:08,193 STRONG. 560 00:17:08,193 --> 00:17:09,661 WE HAVE AN INKLING, THERE MIGHT 561 00:17:09,661 --> 00:17:11,864 BE AN INDICATION THAT IT MIGHT 562 00:17:11,864 --> 00:17:14,266 SHOW EFFICACY IN A PILOT STUDY, 563 00:17:14,266 --> 00:17:16,902 BUT SOMETIMES IT'S HARD TO KNOW 564 00:17:16,902 --> 00:17:18,103 WHETHER THE EVIDENCE IS ACTUALLY 565 00:17:18,103 --> 00:17:18,303 READY. 566 00:17:18,303 --> 00:17:19,638 SO WE HAVE TO MAKE DECISIONS 567 00:17:19,638 --> 00:17:21,707 ABOUT IS IT TIME TO ACTUALLY 568 00:17:21,707 --> 00:17:24,877 STUDY IMPLEMENTATION, HAD YOU WE 569 00:17:24,877 --> 00:17:26,412 BE DOING THE MECHANISTIC WORK OR 570 00:17:26,412 --> 00:17:29,381 IS IT TIME TO TRANSLATE AND LOOK 571 00:17:29,381 --> 00:17:30,082 AT IMPLEMENTATION? 572 00:17:30,082 --> 00:17:31,016 INCREASINGLY WE'RE SEEING PEOPLE 573 00:17:31,016 --> 00:17:33,419 DO WHAT ARE CALLED HYBRID 574 00:17:33,419 --> 00:17:33,986 EFFECTIVENESS IMPLEMENTATION 575 00:17:33,986 --> 00:17:35,187 STUDIES, WHERE THEY ARE DOING 576 00:17:35,187 --> 00:17:37,056 TWO THINGS AT ONCE. 577 00:17:37,056 --> 00:17:38,991 SO YOU'RE ASKING QUESTIONS ABOUT 578 00:17:38,991 --> 00:17:42,594 IS THE INTERVENTION EFFECTIVE AT 579 00:17:42,594 --> 00:17:43,595 IMPROVING PATIENT OUTCOME, ALSO 580 00:17:43,595 --> 00:17:45,564 HOW YOU GOT PEOPLE TO DO IT. 581 00:17:45,564 --> 00:17:46,999 BUT UNDERSTANDING SORT OF WHAT 582 00:17:46,999 --> 00:17:50,269 THE APPROPRIATE STANDARDS OF 583 00:17:50,269 --> 00:17:53,205 EVIDENCE ARE SHOULD BE AN 584 00:17:53,205 --> 00:17:55,074 ON AN 585 00:17:55,074 --> 00:17:56,408 ONGOING DISCUSSION. 586 00:17:56,408 --> 00:17:57,109 IMPLEMENTATION SCIENCE AND 587 00:17:57,109 --> 00:18:00,112 EQUITY IS AN ISSUE FOR ALL OF US 588 00:18:00,112 --> 00:18:01,580 BUT MAY PLAY OUT DIFFERENTLY. 589 00:18:01,580 --> 00:18:03,215 ONE ISSUE I TALKED ABOUT WITH 590 00:18:03,215 --> 00:18:06,585 HOLLY AND PROBABLY WITH DEB AND 591 00:18:06,585 --> 00:18:07,886 ELKE WAS MEETING NEEDS OF 592 00:18:07,886 --> 00:18:09,221 PARENTS AND CHILDREN WITH 593 00:18:09,221 --> 00:18:11,723 DISABILITIES, YOU MAY BE FOCUSED 594 00:18:11,723 --> 00:18:14,159 ON ON CHILDREN WITH DISABILITIES 595 00:18:14,159 --> 00:18:15,661 BUT IF PARENTS OFFERING CONSENT 596 00:18:15,661 --> 00:18:17,429 ALSO HAVE COMMUNICATION 597 00:18:17,429 --> 00:18:19,064 DISORDERS OR OTHER DISABILITIES 598 00:18:19,064 --> 00:18:20,599 HOW DO YOU ENGAGE THEM AND MAKE 599 00:18:20,599 --> 00:18:22,234 SURE YOU'RE DOING THE WORK IN AN 600 00:18:22,234 --> 00:18:25,070 ETHICAL WAY, IN A WAY FULLY 601 00:18:25,070 --> 00:18:26,405 PARTICIPATORY, AND THEN WE HAVE 602 00:18:26,405 --> 00:18:28,907 TO THINK HOW TO ELIMINATE 603 00:18:28,907 --> 00:18:29,775 EVIDENCE TO PRACTICE GAPS, 604 00:18:29,775 --> 00:18:30,909 RATHER THAN RECREATING THEM 605 00:18:30,909 --> 00:18:33,979 WHICH SOMETIMES WE DO WHEN WE DO 606 00:18:33,979 --> 00:18:35,481 RESEARCH AND REALLY WELL 607 00:18:35,481 --> 00:18:36,281 RESOURCED SETTINGS. 608 00:18:36,281 --> 00:18:37,983 I'VE SEEN GREAT EXAMPLES OF 609 00:18:37,983 --> 00:18:39,351 RESEARCH PLAYING OUT IN THE 610 00:18:39,351 --> 00:18:41,186 COMMUNITY AND I'LL GIVE SOME 611 00:18:41,186 --> 00:18:41,887 EXAMPLES OF THOSE. 612 00:18:41,887 --> 00:18:44,189 BUT WE DO HAVE TO THINK WHERE WE 613 00:18:44,189 --> 00:18:46,592 DO THE WORK TO MAKE SURE 245 ALL 614 00:18:46,592 --> 00:18:51,497 OF THE INSIGHTS ARE REACHING 615 00:18:51,497 --> 00:18:54,466 POPULATIONS EQUITABLY. 616 00:18:54,466 --> 00:18:56,335 THE THIRD CHALLENGE IS MULTIPLE 617 00:18:56,335 --> 00:19:01,373 SETTINGS OF INTEREST RELATIVE TO 618 00:19:01,373 --> 00:19:03,008 THE NIDCD SCHOOLS AND OTHER 619 00:19:03,008 --> 00:19:07,279 TYPES OF SETTINGS WHERE CHANGING 620 00:19:07,279 --> 00:19:08,180 BEHAVIOR INVOLVES DIFFERENT 621 00:19:08,180 --> 00:19:09,348 MECHANISMS, STRATEGIES, YOU MAY 622 00:19:09,348 --> 00:19:11,116 HAVE TO INVOLVE POLICYMAKERS IN 623 00:19:11,116 --> 00:19:13,519 A WAY -- A DIFFERENT WAY, 624 00:19:13,519 --> 00:19:15,487 CLINICAL SETTING COMPARED TO 625 00:19:15,487 --> 00:19:17,022 SCHOOL SETTING. 626 00:19:17,022 --> 00:19:19,091 SO LET'S TALK SPECIFICALLY ABOUT 627 00:19:19,091 --> 00:19:21,393 IMPLEMENTATION SCIENCE AND SOME 628 00:19:21,393 --> 00:19:25,364 NIDCD INTEREST AREAS. 629 00:19:25,364 --> 00:19:27,666 THESE ARE AREAS TO KEEP IN MIND. 630 00:19:27,666 --> 00:19:28,867 I THINK I GOT THIS RIGHT. 631 00:19:28,867 --> 00:19:30,402 I WANT YOU TO KEEP THESE IN MIND 632 00:19:30,402 --> 00:19:31,703 AS WE TALK THROUGH. 633 00:19:31,703 --> 00:19:36,408 I'LL GIVE A COUPLE EXAMPLES OF 634 00:19:36,408 --> 00:19:37,176 NIDCD-FUNDED RESEARCHERS DOING 635 00:19:37,176 --> 00:19:37,676 IMPLEMENTATION SCIENCE. 636 00:19:37,676 --> 00:19:39,811 I WANT YOU TO KEEP THESE MISSION 637 00:19:39,811 --> 00:19:40,779 AREAS IN MIND. 638 00:19:40,779 --> 00:19:48,987 I ALSO WANT YOU TO KEEP 639 00:19:48,987 --> 00:19:49,555 EQUITABLE IMPLEMENTATION IN 640 00:19:49,555 --> 00:19:49,755 MIND. 641 00:19:49,755 --> 00:19:51,323 IN THE LAST FIVE YEARS THERE'S 642 00:19:51,323 --> 00:19:53,592 BEEN MORE OF AN EXPLICIT 643 00:19:53,592 --> 00:19:54,459 DISCUSSION ABOUT HOW TO 644 00:19:54,459 --> 00:19:55,794 INCORPORATE EQUITY INTO ALL OF 645 00:19:55,794 --> 00:19:57,529 THE WORK WE DO FROM THE 646 00:19:57,529 --> 00:19:59,598 CONCEPTION OF THE QUESTION TO 647 00:19:59,598 --> 00:20:01,900 FORMATION OF THE TEAM, TO 648 00:20:01,900 --> 00:20:02,568 MEASUREMENT AND DISSEMINATION SO 649 00:20:02,568 --> 00:20:04,736 THAT SHOULD BE SOMETHING WE KEEP 650 00:20:04,736 --> 00:20:05,504 TOP OF MIND. 651 00:20:05,504 --> 00:20:07,940 SO I'M GOING TO WALK YOU THROUGH 652 00:20:07,940 --> 00:20:11,543 TWO EXAMPLES OF APPLYING 653 00:20:11,543 --> 00:20:13,478 IMPLEMENTATION SCIENCE TO 654 00:20:13,478 --> 00:20:15,948 MISSION AREAS. 655 00:20:15,948 --> 00:20:17,683 FIRST IS KEVIN KIRBER'S WORK, 656 00:20:17,683 --> 00:20:19,785 SECOND IS EARLY HEARING 657 00:20:19,785 --> 00:20:20,953 DETECTION AND INTERVENTION FOR 658 00:20:20,953 --> 00:20:22,054 INFANT HEARING LOSS BY MATTHEW 659 00:20:22,054 --> 00:20:24,389 BUSH, TWO OF THE THREE 660 00:20:24,389 --> 00:20:26,692 RESEARCHERS THAT WERE 661 00:20:26,692 --> 00:20:28,327 HIGHLIGHTED IN THE OCTOBER 2023 662 00:20:28,327 --> 00:20:28,894 SEMINAR ON IMPLEMENTATION 663 00:20:28,894 --> 00:20:29,861 SCIENCE BUT ONLY HAD A LITTLE 664 00:20:29,861 --> 00:20:32,164 BIT OF TIME TO TALK ABOUT THEIR 665 00:20:32,164 --> 00:20:33,565 WORK SO I'LL TALK MORE AND IF 666 00:20:33,565 --> 00:20:35,300 THEY ARE LISTENING HOPEFULLY I 667 00:20:35,300 --> 00:20:37,469 GET IT RIGHT. 668 00:20:37,469 --> 00:20:43,642 SO THIS IS KEVIN KERBER FROM THE 669 00:20:43,642 --> 00:20:45,811 OHIO STATE UNIVERSITY, THE "THE" 670 00:20:45,811 --> 00:20:48,780 IS VERY IMPORTANT, STUDYING 671 00:20:48,780 --> 00:20:50,616 PRACTICE OF DIAGNOSIS AND 672 00:20:50,616 --> 00:20:58,857 TREATMENT OF BPPV IN THE 673 00:20:58,857 --> 00:20:59,725 EMERGENCY DEPARTMENT, BENIGN 674 00:20:59,725 --> 00:21:03,395 PAROXYSMAL VERTIGO, THEY ARE 675 00:21:03,395 --> 00:21:04,529 SCARED AND PRESENT TO THE 676 00:21:04,529 --> 00:21:05,731 EMERGENCY DEPARTMENT, TRYING TO 677 00:21:05,731 --> 00:21:06,932 FIGURE OUT WHAT'S HAPPENING AND 678 00:21:06,932 --> 00:21:10,869 HOW TO MAKE IT GO AWAY. 679 00:21:10,869 --> 00:21:15,274 EMERGENCY PHYSICIANS WILL OFTEN 680 00:21:15,274 --> 00:21:17,342 DO IR-- WILL IRRADIATE, CT 681 00:21:17,342 --> 00:21:20,412 SCANS, NON-INDICATED TESTS WHEN 682 00:21:20,412 --> 00:21:22,881 THERE LESS INVASIVE AND MORE 683 00:21:22,881 --> 00:21:24,016 APPROPRIATE TESTS TO DIAGNOSE 684 00:21:24,016 --> 00:21:24,883 AND TREAT. 685 00:21:24,883 --> 00:21:28,487 THE FOCUS OF THIS STUDY, THE 686 00:21:28,487 --> 00:21:32,858 FIRST STUDY WAS DISTINCT ONE, 687 00:21:32,858 --> 00:21:34,826 FIRST IS DISTINCT TWO. 688 00:21:34,826 --> 00:21:38,463 I'LL FOCUSED ON THE ONE 689 00:21:38,463 --> 00:21:42,401 PUBLISHED IN 2020. 690 00:21:42,401 --> 00:21:43,502 THEY FOCUSED ON BPPV, 691 00:21:43,502 --> 00:21:45,037 EVIDENCE-BASED PRACTICE, TWO OF 692 00:21:45,037 --> 00:21:50,275 THEM, TESTING FOR THIS VERTIGO 693 00:21:50,275 --> 00:21:55,547 USING DIX-HALLPIKE TEST AND 694 00:21:55,547 --> 00:21:58,183 CANALITH POSITIONING MANEUVER, A 695 00:21:58,183 --> 00:21:59,017 TWO-PART EVIDENCE-BASED 696 00:21:59,017 --> 00:22:00,352 PRACTICE, DIAGNOSIS AND 697 00:22:00,352 --> 00:22:01,320 TREATMENT. 698 00:22:01,320 --> 00:22:04,389 THE SETTING IS AN EMERGENCY 699 00:22:04,389 --> 00:22:04,890 DEPARTMENT. 700 00:22:04,890 --> 00:22:05,791 THIS WAS A STEPPED WEDGE TRIAL, 701 00:22:05,791 --> 00:22:10,128 PLAPS IN -- PERHAPS WE COULD TK 702 00:22:10,128 --> 00:22:11,129 MORE IN THE PANEL. 703 00:22:11,129 --> 00:22:17,436 THEY LOOK GREAT ON PAPER, HARD 704 00:22:17,436 --> 00:22:18,036 TO DO. 705 00:22:18,036 --> 00:22:20,005 I APPLAUD THEM FOR GETTING 706 00:22:20,005 --> 00:22:22,908 THROUGH THE STEPPED WEDGE IN SIX 707 00:22:22,908 --> 00:22:24,743 EMERGENCY DEPARTMENTS, EMPLOYED 708 00:22:24,743 --> 00:22:25,510 COMBINATION IMPLEMENTATION 709 00:22:25,510 --> 00:22:27,479 STRATEGY TO GET EMERGENCY 710 00:22:27,479 --> 00:22:28,980 PHYSICIANS TO USE APPROPRIATE 711 00:22:28,980 --> 00:22:30,849 TEST FOR VERTIGO AND THEN IF IT 712 00:22:30,849 --> 00:22:37,656 WAS POSITIVE TO TREAT IT USING 713 00:22:37,656 --> 00:22:39,991 THE CANALITH REPOSITIONS 714 00:22:39,991 --> 00:22:40,726 MANEUVERS. 715 00:22:40,726 --> 00:22:41,960 IMPLEMENTATION STRATEGIES, THEY 716 00:22:41,960 --> 00:22:44,262 CREATED AND PROVIDING HANDS-ON 717 00:22:44,262 --> 00:22:45,030 EDUCATIONAL SESSIONS, CREATED 718 00:22:45,030 --> 00:22:46,498 DECISION AID FOR THE CLINICIANS 719 00:22:46,498 --> 00:22:48,300 THAT HAD A WEB-BASED COMPONENT 720 00:22:48,300 --> 00:22:49,501 BUT ALSO PRINT MATERIALS THAT 721 00:22:49,501 --> 00:22:50,902 THEY COULD ACCESS A LITTLE BIT 722 00:22:50,902 --> 00:22:52,471 EASIER SORT OF AT THE POINT OF 723 00:22:52,471 --> 00:22:54,573 CARE TO ACCESS. 724 00:22:54,573 --> 00:22:57,075 THEY DESIGNATED LOCAL CHAMPIONS, 725 00:22:57,075 --> 00:22:59,578 CREATED REFERRAL RESOURCE FOR 726 00:22:59,578 --> 00:23:00,712 PATIENTS THAT TESTED POSITIVE, 727 00:23:00,712 --> 00:23:02,914 PARTNER DEVELOPMENT OF THE 728 00:23:02,914 --> 00:23:03,515 STRATEGY. 729 00:23:03,515 --> 00:23:08,019 THIS WAS A PRETTY LARGE TRIAL, 730 00:23:08,019 --> 00:23:09,721 ENROLLED MORE THAN 7 600 731 00:23:09,721 --> 00:23:12,591 PATIENTS ACROSS SIX E.D.s OVER 732 00:23:12,591 --> 00:23:12,858 18 MONTHS. 733 00:23:12,858 --> 00:23:15,026 THIS IS ALL-COMERS OF PEOPLE WHO 734 00:23:15,026 --> 00:23:17,095 PRESENTED TO EMERGENCY 735 00:23:17,095 --> 00:23:18,697 DEPARTMENTS WITH DIZZINESS. 736 00:23:18,697 --> 00:23:22,134 CARED FOR BY 287 PROVIDERS, THAT 737 00:23:22,134 --> 00:23:26,838 INCLUDED PHYSICIANS, ATTENDING 738 00:23:26,838 --> 00:23:28,740 PHYSICIANS, RESIDENTS, ADVANCED 739 00:23:28,740 --> 00:23:31,109 PRACTICE PROVIDERS. 740 00:23:31,109 --> 00:23:38,784 204 ARE THE DIX-HALL PIKE TEST 741 00:23:38,784 --> 00:23:40,185 OR CANALITH MANEUVER. 742 00:23:40,185 --> 00:23:43,255 3.5% OF THE INTERVENTION VISITS 743 00:23:43,255 --> 00:23:45,457 HAD THIS, ODDS RATIO OF THE USE 744 00:23:45,457 --> 00:23:48,326 OF THESE EVIDENCE-BASED 745 00:23:48,326 --> 00:23:50,796 PRACTICES POST-INTERVENTION WAS 746 00:23:50,796 --> 00:23:52,230 2.44, WHICH FAVORABLE 95% 747 00:23:52,230 --> 00:23:53,865 CONFIDENCE INTERVAL SO TAKEAWAY 748 00:23:53,865 --> 00:23:55,934 HERE IS THAT THIS SUITE OF 749 00:23:55,934 --> 00:23:57,269 IMPLEMENTATION STRATEGIES WAS 750 00:23:57,269 --> 00:23:59,004 VERY EFFECTIVE AT CHANGING 751 00:23:59,004 --> 00:24:03,375 BEHAVIOR OF THE CLINICIANS TO 752 00:24:03,375 --> 00:24:05,010 APPROPRIATELY USE THIS 753 00:24:05,010 --> 00:24:05,677 DIAGNOSTIC TREATMENT, DIAGNOSTIC 754 00:24:05,677 --> 00:24:07,546 APPROACH AND TREATMENT FOR 755 00:24:07,546 --> 00:24:07,779 VERTIGO. 756 00:24:07,779 --> 00:24:08,780 THEY LOOKED AT BALANCING 757 00:24:08,780 --> 00:24:10,048 MEASURES OF STROKE BECAUSE THE 758 00:24:10,048 --> 00:24:12,918 CONCERN WOULD BE IF YOU USE 759 00:24:12,918 --> 00:24:14,653 THESE NON-INVASIVE APPROACHES TO 760 00:24:14,653 --> 00:24:15,654 DIAGNOSTIC VERTIGO AND SOMEONE 761 00:24:15,654 --> 00:24:17,389 HAD A STROKE THEY MAY HAVE 762 00:24:17,389 --> 00:24:19,491 UNTOWARD OUTCOMES, THEY DID NOT 763 00:24:19,491 --> 00:24:20,792 SEE INCREASED INCIDENCE OF 764 00:24:20,792 --> 00:24:21,760 MISSED STROKE. 765 00:24:21,760 --> 00:24:23,261 THE SECOND EXAMPLE I WANT TO 766 00:24:23,261 --> 00:24:24,930 TALK ABOUT IS WORK BY MATTHEW 767 00:24:24,930 --> 00:24:26,465 BUSH AND COLLEAGUES FROM 768 00:24:26,465 --> 00:24:27,466 UNIVERSITY OF KENTUCKY. 769 00:24:27,466 --> 00:24:29,100 THIS IS COMMUNITIES HELPING THE 770 00:24:29,100 --> 00:24:31,503 HEARING OF INFANTS BY REACHING 771 00:24:31,503 --> 00:24:32,704 PARENTS THROUGH PATIENT 772 00:24:32,704 --> 00:24:33,038 NAVIGATION. 773 00:24:33,038 --> 00:24:34,239 THIS ONE IS INTERESTING BECAUSE 774 00:24:34,239 --> 00:24:41,012 IT HAS A COUPLE EVIDENCE-BASED 775 00:24:41,012 --> 00:24:43,748 PRACTICES. 776 00:24:43,748 --> 00:24:45,617 SO, THIS CHHIRP JUST WRAPPED, 777 00:24:45,617 --> 00:24:46,718 STILL IN DEVELOPMENT, HAVEN'T 778 00:24:46,718 --> 00:24:48,353 PUBLISHED FINDINGS. 779 00:24:48,353 --> 00:24:49,855 FIRST EVIDENCE-BASED PRACTICE 780 00:24:49,855 --> 00:24:56,127 WAS ALL INFANTS SHOULD HAVE 781 00:24:56,127 --> 00:24:58,964 SCREENING FOR HEARING BY AGE 782 00:24:58,964 --> 00:24:59,631 THREE MONTHS. 783 00:24:59,631 --> 00:25:04,803 WHERE THE PRACTICE FALLS OFF IS 784 00:25:04,803 --> 00:25:07,506 NEWBORNS THAT TEST POSITIVE, 785 00:25:07,506 --> 00:25:08,807 HAVE A POSITIVE SCREEN, AREN'T 786 00:25:08,807 --> 00:25:09,608 NECESSARILY FOLLOWED UP THE WAY 787 00:25:09,608 --> 00:25:10,375 THEY NEED TO BE. 788 00:25:10,375 --> 00:25:14,513 PART OF THE GOAL IS TO MAKE SURE 789 00:25:14,513 --> 00:25:16,047 FOLLOW-UP HAPPENS. 790 00:25:16,047 --> 00:25:17,249 SECONDS IS PATIENT NAVIGATION TO 791 00:25:17,249 --> 00:25:18,550 MAKE SURE IF SOMEONE TESTS 792 00:25:18,550 --> 00:25:19,985 POSITIVE THEY GO THROUGH THE 793 00:25:19,985 --> 00:25:21,419 REST OF THE DIAGNOSTIC PROCESS. 794 00:25:21,419 --> 00:25:24,155 SO THE SETTING IS STATE-FUNDED 795 00:25:24,155 --> 00:25:25,357 EARLY HEARING DETECTION AND 796 00:25:25,357 --> 00:25:26,458 INTERVENTION CLINICS, AND THE 797 00:25:26,458 --> 00:25:29,427 PATIENTS ARE INFANTS WHO 798 00:25:29,427 --> 00:25:32,130 FOLLOWED THIS POSITIVE, THIS 799 00:25:32,130 --> 00:25:32,697 FAILED SCREENING. 800 00:25:32,697 --> 00:25:34,533 SO, WE'LL SEE WHAT HAPPENS BUT I 801 00:25:34,533 --> 00:25:37,302 WANTED TO SHOW AN EXAMPLE OF 802 00:25:37,302 --> 00:25:37,936 APPLYING IMPLEMENTATION SCIENCE 803 00:25:37,936 --> 00:25:41,673 TO AN NIDCD MISSION AREA. 804 00:25:41,673 --> 00:25:44,109 I WAS ASKED TO SORT OF DISTILL 805 00:25:44,109 --> 00:25:46,511 THIS DOWN AND TALK IF YOU DON'T 806 00:25:46,511 --> 00:25:48,046 REMEMBER ANYTHING ELSE, BECAUSE 807 00:25:48,046 --> 00:25:49,147 IMPLEMENTATION SCIENCE DOES HAVE 808 00:25:49,147 --> 00:25:51,449 A LOT OF JARGON, THERE ARE A LOT 809 00:25:51,449 --> 00:25:52,651 OF WORDS, SOCIAL SCIENCE, 810 00:25:52,651 --> 00:25:55,687 SOMETIMES PEOPLE FEEL LIKE IT'S 811 00:25:55,687 --> 00:25:57,656 SQUISHY, WHAT SHOULD YOU TAKE 812 00:25:57,656 --> 00:25:57,989 AWAY? 813 00:25:57,989 --> 00:26:02,160 SO, ONE OF THE KEY TAKEAWAYS IS 814 00:26:02,160 --> 00:26:03,595 THINKING ABOUT DESIGN. 815 00:26:03,595 --> 00:26:05,897 AND I'VE BECOME INCREASINGLY 816 00:26:05,897 --> 00:26:08,300 MINDFUL THAT AS WE DESIGN 817 00:26:08,300 --> 00:26:09,601 INTERVENTIONS, AS WE DESIGN 818 00:26:09,601 --> 00:26:10,468 IMPLEMENTATION STRATEGIES, TO 819 00:26:10,468 --> 00:26:12,437 TRY TO GET PEOPLE TO CHANGE 820 00:26:12,437 --> 00:26:13,438 THEIR BEHAVIOR. 821 00:26:13,438 --> 00:26:15,840 WE NEED TO APPLY DESIGN 822 00:26:15,840 --> 00:26:18,009 PRINCIPLES TO DO THAT. 823 00:26:18,009 --> 00:26:19,544 AND SO I'M SHOWING SOMETHING 824 00:26:19,544 --> 00:26:20,812 CALLED THE DIGITAL ETHICS E 825 00:26:20,812 --> 00:26:22,480 COMPASS FROM THE DANISH DESIGN 826 00:26:22,480 --> 00:26:23,682 CENTER. 827 00:26:23,682 --> 00:26:25,116 FOR THOSE SO INCLINED I'D 828 00:26:25,116 --> 00:26:27,619 ENCOURAGE YOU TO GOOGLE THE 829 00:26:27,619 --> 00:26:29,387 DANISH DESIGN CENTER AS YOU 830 00:26:29,387 --> 00:26:30,522 MIGHT IMAGINE, THE WEBSITE IS 831 00:26:30,522 --> 00:26:32,123 PRETTIER THAN WHAT I CAN SHOW 832 00:26:32,123 --> 00:26:33,558 YOU, BUT THIS COMPASS WHICH I'M 833 00:26:33,558 --> 00:26:35,126 ONLY SHOWING PART OF ACTUALLY 834 00:26:35,126 --> 00:26:36,528 TURNS, IF YOU LOOK ON THE 835 00:26:36,528 --> 00:26:37,128 WEBSITE. 836 00:26:37,128 --> 00:26:38,496 AND THIS IS MEANT TO HELP US 837 00:26:38,496 --> 00:26:41,032 THINK THROUGH LOTS OF PRINCIPLES 838 00:26:41,032 --> 00:26:43,668 THAT MAKE INTERVENTIONS EASY TO 839 00:26:43,668 --> 00:26:43,902 DEPLOY. 840 00:26:43,902 --> 00:26:46,605 SO THERE ARE A FEW KEY 841 00:26:46,605 --> 00:26:47,806 PRINCIPLES TO GIVE YOU HERE. 842 00:26:47,806 --> 00:26:49,774 WE SHOULD BE THINKING ABOUT 843 00:26:49,774 --> 00:26:53,411 PEOPLE AS WE DESIGN OUR 844 00:26:53,411 --> 00:26:54,312 INTERVENTIONS. 845 00:26:54,312 --> 00:26:55,914 AND PART OF THAT WILL HELP US 846 00:26:55,914 --> 00:26:58,216 DEPLOY INTERVENTIONS IN A WAY 847 00:26:58,216 --> 00:26:58,817 THAT'S SUSTAINABLE, RELIABLE, 848 00:26:58,817 --> 00:27:00,619 BUT IT WILL HELP US SUPPORT 849 00:27:00,619 --> 00:27:02,287 EQUITY. 850 00:27:02,287 --> 00:27:05,123 SO, THE ONE TAKEAWAY FROM THE 851 00:27:05,123 --> 00:27:06,758 SLIDE YOU SHOULD PUT PEOPLE THEY 852 00:27:06,758 --> 00:27:07,192 CENTER. 853 00:27:07,192 --> 00:27:08,627 SOUNDS EASY TO SAY BUT WHEN YOU 854 00:27:08,627 --> 00:27:12,330 THINK ABOUT SOME INTERVENTION 855 00:27:12,330 --> 00:27:15,900 TH DO, LET'S THINK ABOUT 856 00:27:15,900 --> 00:27:21,373 THE DIX-HALL TEST AND CANALITH 857 00:27:21,373 --> 00:27:22,340 MANEUVER. 858 00:27:22,340 --> 00:27:24,242 E.D.ES ARE NOT JUST CARING FOR 859 00:27:24,242 --> 00:27:26,411 PEOPLE WITH VERTIGO BUT HEART 860 00:27:26,411 --> 00:27:30,482 ATTACK, PEOPLE WHO MIGHT HAVE 861 00:27:30,482 --> 00:27:34,753 STUBBED A TOE OR BE IN LABOR. 862 00:27:34,753 --> 00:27:36,187 AN IMPLEMENTATION STRATEGY NEEDS 863 00:27:36,187 --> 00:27:37,689 TO WORK FOR THE BEHAVIOR YOU'RE 864 00:27:37,689 --> 00:27:39,457 TRYING TO CHANGE, NOT THE 865 00:27:39,457 --> 00:27:40,659 RESEARCHER, IF YOU'RE WORKING 866 00:27:40,659 --> 00:27:42,627 WITH PARENTS OF INFANTS WHO 867 00:27:42,627 --> 00:27:43,395 FAILED THEIR NEWBORN SCREENING 868 00:27:43,395 --> 00:27:45,030 TEST WHAT IS A STRATEGY THAT 869 00:27:45,030 --> 00:27:46,564 ACTUALLY WORKS FOR THOSE 870 00:27:46,564 --> 00:27:47,032 PARENTS? 871 00:27:47,032 --> 00:27:49,100 SO WE HAVE TO PUT PEOPLE AT THE 872 00:27:49,100 --> 00:27:51,736 CENTER OF WHAT WE DO, IF WE 873 00:27:51,736 --> 00:27:52,937 EXPECT INTERVENTIONS TO WORK, 874 00:27:52,937 --> 00:27:54,239 THAT'S ONE KEY PIECE TO TAKE 875 00:27:54,239 --> 00:27:55,674 AWAY AS YOU THINK ABOUT 876 00:27:55,674 --> 00:27:57,542 IMPLEMENTATION AND WHAT WE CAN 877 00:27:57,542 --> 00:28:01,012 DO TO FOSTER IMPLEMENTATION. 878 00:28:01,012 --> 00:28:03,648 THERE'S SOME OTHER PRINCIPLES 879 00:28:03,648 --> 00:28:05,183 WITH POWER SHARING BUT THE KEY 880 00:28:05,183 --> 00:28:06,718 TAKEAWAY FROM THIS IS PUTTING 881 00:28:06,718 --> 00:28:08,586 PEOPLE AT THE CENTER WHICH WE 882 00:28:08,586 --> 00:28:10,455 DON'T ALWAYS DO IN OUR RESEARCH. 883 00:28:10,455 --> 00:28:11,423 SECOND TAKEAWAY I WOULD OFFER 884 00:28:11,423 --> 00:28:12,957 YOU IS WE NEED TO THINK ABOUT 885 00:28:12,957 --> 00:28:14,726 HOW WE GET THE MESSAGES OUT TO 886 00:28:14,726 --> 00:28:15,694 PEOPLE. 887 00:28:15,694 --> 00:28:17,028 TO THINK ABOUT DISSEMINATION 888 00:28:17,028 --> 00:28:18,329 METHODS AND CHANNELINGS. 889 00:28:18,329 --> 00:28:21,166 THERE'S ACTUALLY A LOT TO LEARN 890 00:28:21,166 --> 00:28:27,505 FROM ADVERTISING. 891 00:28:27,505 --> 00:28:31,009 WHICH SOUNDS FUNNY ADVERTISERS 892 00:28:31,009 --> 00:28:33,311 HAVE BEEN FIGURING OUT HOW TO 893 00:28:33,311 --> 00:28:34,512 REACH GROUPS, SEGMENTING 894 00:28:34,512 --> 00:28:35,113 POPULATIONS. 895 00:28:35,113 --> 00:28:36,715 IF YOU'RE FAMILIAR WITH AUDIENCE 896 00:28:36,715 --> 00:28:37,482 SEGMENTATION TO DELIVER A 897 00:28:37,482 --> 00:28:41,486 MESSAGE TO A BABY BOOMER IT'S 898 00:28:41,486 --> 00:28:44,055 DIFFERENT THAN A GEN XER. 899 00:28:44,055 --> 00:28:45,490 TO AN URBAN POPULATION MIGHT BE 900 00:28:45,490 --> 00:28:46,458 DIFFERENT THAN RURAL. 901 00:28:46,458 --> 00:28:47,859 I WOULD ARGUE IN RESEARCH WE 902 00:28:47,859 --> 00:28:49,828 DON'T ALWAYS THINK HOW TO GET 903 00:28:49,828 --> 00:28:51,062 MESSAGES OUT THERE EFFECTIVELY. 904 00:28:51,062 --> 00:28:52,363 THERE ARE PRINCIPLES OF SOCIAL 905 00:28:52,363 --> 00:28:55,100 MARKETING THAT WE CAN USE TO 906 00:28:55,100 --> 00:28:56,768 CREATE MORE EFFECTIVE MESSAGES. 907 00:28:56,768 --> 00:28:59,237 I'M SHOWING TWO HERE RELEVANT TO 908 00:28:59,237 --> 00:29:01,773 COVID-19 VACCINES, ONE FROM AN 909 00:29:01,773 --> 00:29:02,540 INDIGENOUS PERSPECTIVE, ANOTHER 910 00:29:02,540 --> 00:29:04,642 ONE IS SOMETHING WE CREATED AT 911 00:29:04,642 --> 00:29:06,478 PENN MEDICINE WHERE WE NOTICED 912 00:29:06,478 --> 00:29:08,012 DURING THE COVID-19 PANDEMIC 913 00:29:08,012 --> 00:29:10,882 WHEN WE OFFERED VACCINE TO ALL 914 00:29:10,882 --> 00:29:13,918 OF OUR 40,000 EMPLOYEES, MAYBE 915 00:29:13,918 --> 00:29:16,121 45,000 AT THIS POINT, BLACK 916 00:29:16,121 --> 00:29:16,488 EMPLOYEES WERE 917 00:29:16,488 --> 00:29:17,422 DISPROPORTIONATELY LESS LIKELY 918 00:29:17,422 --> 00:29:18,523 TO GET THE VACCINE. 919 00:29:18,523 --> 00:29:20,291 AND SO A GROUP OF BLACK 920 00:29:20,291 --> 00:29:21,493 PHYSICIANS SAID IF WE PUT OUR 921 00:29:21,493 --> 00:29:24,028 FACES ON THIS AND SAY WE GOT 922 00:29:24,028 --> 00:29:25,230 VACCINATED HERE IS WHY, LET'S 923 00:29:25,230 --> 00:29:28,166 TALK TO PEOPLE AND SHOW THEM 924 00:29:28,166 --> 00:29:28,933 IT'S ACTUALLY OKAY, MAYBE THEY 925 00:29:28,933 --> 00:29:29,467 WILL DO IT. 926 00:29:29,467 --> 00:29:30,568 AND THEY DID. 927 00:29:30,568 --> 00:29:32,203 WE HAD TO THINK ABOUT WHAT WAS 928 00:29:32,203 --> 00:29:34,506 THE MESSAGING TO GET TO SPECIFIC 929 00:29:34,506 --> 00:29:36,407 GROUPS OF PEOPLE THAT WAS 930 00:29:36,407 --> 00:29:37,308 COMPELLING, SALIENT, RELEVANT TO 931 00:29:37,308 --> 00:29:37,909 THEM. 932 00:29:37,909 --> 00:29:40,445 IT'S PART OF WHAT WE NEED TO 933 00:29:40,445 --> 00:29:41,846 THINK ABOUT IN IMPLEMENTATION. 934 00:29:41,846 --> 00:29:44,249 AND THE THIRD THING TO SHARE 935 00:29:44,249 --> 00:29:46,451 IT'S USEFUL TO TAP INTO 936 00:29:46,451 --> 00:29:48,520 IMPLEMENTATION SCIENCE KNOWLEDGE 937 00:29:48,520 --> 00:29:50,155 ACROSS NETWORKS, ACROSS 938 00:29:50,155 --> 00:29:51,055 COMMUNITIES. 939 00:29:51,055 --> 00:29:53,158 AN EXAMPLE OF AN INITIATIVE, NIH 940 00:29:53,158 --> 00:29:58,930 INITIATIVE DOING THAT, THIS IS 941 00:29:58,930 --> 00:30:01,132 THE "IMPROVE" INITIATIVE, AN 942 00:30:01,132 --> 00:30:02,233 NIH-WIDE INITIATIVE ON MATERNAL 943 00:30:02,233 --> 00:30:04,836 HEALTH AND HEALTH EQUITY. 944 00:30:04,836 --> 00:30:07,238 IT'S LED BY NICHD BUT I THINK 945 00:30:07,238 --> 00:30:09,340 JUST EVERY NIH INSTITUTE IS A 946 00:30:09,340 --> 00:30:10,975 PART OF THIS INITIATIVE. 947 00:30:10,975 --> 00:30:12,944 WHAT IMPROVE HAS DONE IS STAND 948 00:30:12,944 --> 00:30:15,547 UP A NUMBER OF PROGRAMS ON 949 00:30:15,547 --> 00:30:16,447 MATERNAL HEALTH EQUITY BUT THE 950 00:30:16,447 --> 00:30:18,316 MOST RECENT IS STANDING UP 951 00:30:18,316 --> 00:30:20,618 CENTERS OF EXCELLENCE DOING 952 00:30:20,618 --> 00:30:22,153 RESEARCH IN PRIORITY 953 00:30:22,153 --> 00:30:22,554 POPULATIONS. 954 00:30:22,554 --> 00:30:23,555 THAT NETWORK OF CENTERS LOOKS 955 00:30:23,555 --> 00:30:24,422 LIKE THIS. 956 00:30:24,422 --> 00:30:26,558 12 OF THEM AROUND THE COUNTRY, 957 00:30:26,558 --> 00:30:29,260 BUT WHAT I WANT TO POINT TO IS 958 00:30:29,260 --> 00:30:30,795 IN THE MIDDLE, TWO HUBSES THAT 959 00:30:30,795 --> 00:30:31,696 SUPPORT THIS RESEARCH NETWORK, 960 00:30:31,696 --> 00:30:33,698 ONE IS DATA INNOVATION AND 961 00:30:33,698 --> 00:30:34,899 COORDINATION HUB, ONE WE LEAD AT 962 00:30:34,899 --> 00:30:36,968 THE UNIVERSITY OF PENNSYLVANIA 963 00:30:36,968 --> 00:30:37,969 IS AN IMPLEMENTATION SCIENCE 964 00:30:37,969 --> 00:30:38,303 HUB. 965 00:30:38,303 --> 00:30:40,171 THE REASON THIS WAS CREATED WAS 966 00:30:40,171 --> 00:30:42,674 THAT THERE IS NOT ENOUGH 967 00:30:42,674 --> 00:30:43,875 IMPLEMENTATION SCIENCE EXPERTISE 968 00:30:43,875 --> 00:30:49,347 IN MATERNAL HEALTH AROUND THE 969 00:30:49,347 --> 00:30:50,114 COUNTRY. 970 00:30:50,114 --> 00:30:52,417 AND THE IMPROVE GROUP 971 00:30:52,417 --> 00:30:54,085 APPROPRIATELY NOTED THEY WANTED 972 00:30:54,085 --> 00:30:54,686 IMPLEMENTATION SCIENCE 973 00:30:54,686 --> 00:30:57,021 INTEGRATED INTO THIS WORK. 974 00:30:57,021 --> 00:30:58,556 HOW DO WE DO THIS? 975 00:30:58,556 --> 00:31:00,625 LET'S CREATE A CENTRAL RESOURCE 976 00:31:00,625 --> 00:31:01,059 FOR THESE FOLKS. 977 00:31:01,059 --> 00:31:05,897 WHAT MY TEAM AND I DO, WE 978 00:31:05,897 --> 00:31:07,632 PROVIDE EXPERTISE TOSE THE NETWK 979 00:31:07,632 --> 00:31:08,833 OF INVESTIGATORS. 980 00:31:08,833 --> 00:31:11,636 THIS IS A POTENTIALLY VERY 981 00:31:11,636 --> 00:31:12,537 EFFECTIVE MODEL THAT COULD BE 982 00:31:12,537 --> 00:31:14,305 USED BY OTHER CENTERS AND 983 00:31:14,305 --> 00:31:15,406 INSTITUTES IF YOU THINK 984 00:31:15,406 --> 00:31:16,107 IMPLEMENTATION SCIENCE IS 985 00:31:16,107 --> 00:31:17,475 SOMETHING THAT WOULD BE USEFUL, 986 00:31:17,475 --> 00:31:18,776 BUT THERE'S NOT ENOUGH FOLKS IN 987 00:31:18,776 --> 00:31:20,411 THE FIELD THAT HAVE THAT 988 00:31:20,411 --> 00:31:20,678 EXPERTISE. 989 00:31:20,678 --> 00:31:26,117 SO THIS IS ONE WAY WE'VE SORT OF 990 00:31:26,117 --> 00:31:26,985 DEMOCRATIZED AND INCREASED 991 00:31:26,985 --> 00:31:27,585 ACCESS TO IMPLEMENTATION 992 00:31:27,585 --> 00:31:28,253 SCIENCE. 993 00:31:28,253 --> 00:31:29,754 WE HAVE A CAPACITY BUILDING 994 00:31:29,754 --> 00:31:31,356 MISSION WHICH MAKES SENSE TOO SO 995 00:31:31,356 --> 00:31:33,124 WE'RE TRYING TO GROW THE C 996 00:31:33,124 --> 00:31:35,159 OF PEOPLEOF T HAVE THIS 997 00:31:35,159 --> 00:31:37,762 EXPERTISE IN MATERNAL HEALTH. 998 00:31:37,762 --> 00:31:39,964 SO, WHAT SHOULD NEWCOMERS NEW 999 00:31:39,964 --> 00:31:41,065 ABOUT IMPLEMENTATION SCIENCE? 1000 00:31:41,065 --> 00:31:42,066 WE'RE REALLY NICE. 1001 00:31:42,066 --> 00:31:42,834 LIKE REALLY, REALLY NICE. 1002 00:31:42,834 --> 00:31:44,903 IF YOU GO TO THE MEETING, YOU'LL 1003 00:31:44,903 --> 00:31:47,505 SEE MANY OF THE LUMINARIES IN 1004 00:31:47,505 --> 00:31:51,175 THE FIELD GOING TO THE MIC, 1005 00:31:51,175 --> 00:31:56,881 PRESENTING POSTESSERS, YOU CAN 1006 00:31:56,881 --> 00:31:57,882 WALK UP TO ANYBODY AND THEY WILL 1007 00:31:57,882 --> 00:31:58,616 TALK TO YOU. 1008 00:31:58,616 --> 00:32:01,019 WE WANT PEOPLE TO USE THIS WORK. 1009 00:32:01,019 --> 00:32:02,587 THE FIELD MAY FEEL INACCESSIBLE 1010 00:32:02,587 --> 00:32:04,522 BECAUSE OF THE JARGON BUT THAT'S 1011 00:32:04,522 --> 00:32:04,889 NOT THE INTENT. 1012 00:32:04,889 --> 00:32:06,257 IF YOU TALK TO ANY OF THESE 1013 00:32:06,257 --> 00:32:07,825 PEOPLE FOR THE MOST PART IF YOU 1014 00:32:07,825 --> 00:32:09,127 E-MAIL ANY OF THESE PEOPLE THEY 1015 00:32:09,127 --> 00:32:11,429 WILL RESPOND TO YOU. 1016 00:32:11,429 --> 00:32:12,964 WE WANT PEOPLE TO USE EVIDENCE 1017 00:32:12,964 --> 00:32:15,633 TO GET IT INTO PRACTICE SO THE 1018 00:32:15,633 --> 00:32:17,368 FIELD IS VERY WELCOMING. 1019 00:32:17,368 --> 00:32:19,504 WE ALSO LIKE ALTERNATIVE 1020 00:32:19,504 --> 00:32:20,972 VIEWPOINTS, AND SO THERE IS A 1021 00:32:20,972 --> 00:32:22,607 GROUP OF PEOPLE WHO ARE THOUGHT 1022 00:32:22,607 --> 00:32:23,608 LEADERS IN THE FIELD, BUT IT 1023 00:32:23,608 --> 00:32:26,177 DOESN'T MEAN THEY HAVE IT RIGHT. 1024 00:32:26,177 --> 00:32:29,414 THERE ARE A LOT OF THEORIES AND 1025 00:32:29,414 --> 00:32:30,214 MODELS AND FRAMEWORKS BUT 1026 00:32:30,214 --> 00:32:32,383 DOESN'T MEAN THEY ARE PERFECT. 1027 00:32:32,383 --> 00:32:33,985 WE WELCOME DISCUSSION. 1028 00:32:33,985 --> 00:32:35,753 WE WELCOME PEOPLE TO CHALLENGE 1029 00:32:35,753 --> 00:32:37,121 THE FIELD. 1030 00:32:37,121 --> 00:32:38,823 THE RECENT FOCUS ON EQUITY CAME 1031 00:32:38,823 --> 00:32:40,792 ABOUT IN PART BECAUSE PEOPLE WHO 1032 00:32:40,792 --> 00:32:42,327 WERE EQUITY SCHOLARS SAID, HEY, 1033 00:32:42,327 --> 00:32:43,328 THIS ISN'T WORKING WELL. 1034 00:32:43,328 --> 00:32:45,263 A LOT OF THIS KNOWLEDGE IS 1035 00:32:45,263 --> 00:32:46,564 COMING OUT OF THE GLOBAL NORTH, 1036 00:32:46,564 --> 00:32:48,800 OUT OF THE U.S. AND CANADA IN 1037 00:32:48,800 --> 00:32:51,035 PARTICULAR, AND THERE ARE PLACES 1038 00:32:51,035 --> 00:32:52,337 THIS MAKES NO SENSE IN THE 1039 00:32:52,337 --> 00:32:52,537 WORLD. 1040 00:32:52,537 --> 00:32:54,973 HOW DO WE BRING ANOTHER 1041 00:32:54,973 --> 00:32:57,141 PERSPECTIVE AND MAKE SURE THESE 1042 00:32:57,141 --> 00:32:59,444 FINDINGS, THESE APPROACHES AND 1043 00:32:59,444 --> 00:33:00,979 CONCEPTS, WORK FOR EVERYONE? 1044 00:33:00,979 --> 00:33:02,413 SO, COME IN. 1045 00:33:02,413 --> 00:33:03,348 IF YOU HAVE ALTERNATIVE 1046 00:33:03,348 --> 00:33:04,482 VIEWPOINTS WE WANT TO HEAR THEM. 1047 00:33:04,482 --> 00:33:06,985 WE WANT TO MAKE THE SCIENCE 1048 00:33:06,985 --> 00:33:07,552 STRONGER. 1049 00:33:07,552 --> 00:33:08,953 THE THIRD POINT IS THAT 1050 00:33:08,953 --> 00:33:10,388 METHODOLOGISTS ARE USED TO 1051 00:33:10,388 --> 00:33:11,022 WORKING WITH CONTENT EXPERTS SO 1052 00:33:11,022 --> 00:33:12,457 YOU DON'T HAVE TO BE AN EXPERT 1053 00:33:12,457 --> 00:33:13,658 IN BOTH. 1054 00:33:13,658 --> 00:33:16,627 THERE ARE LOTS OF CONTENT 1055 00:33:16,627 --> 00:33:20,565 EXPERTS WHO FIND CONTENT 1056 00:33:20,565 --> 00:33:21,966 AGNOSTIC IMPLEMENTATION TO APPLY 1057 00:33:21,966 --> 00:33:23,601 THE MODEL OR FRAMEWORK OR 1058 00:33:23,601 --> 00:33:26,904 STEPPED WEDGE DESIGN. 1059 00:33:26,904 --> 00:33:28,006 FINAL POINT, IT'S HARD TO GET IN 1060 00:33:28,006 --> 00:33:28,639 THE FIELD. 1061 00:33:28,639 --> 00:33:30,274 IN ADDITION TO US BEING NICE 1062 00:33:30,274 --> 00:33:32,377 WE'VE TRIED TO CREATE ACCESS TO 1063 00:33:32,377 --> 00:33:33,478 INFORMATION ABOUT IMPLEMENTATION 1064 00:33:33,478 --> 00:33:33,745 SCIENCE. 1065 00:33:33,745 --> 00:33:35,980 YOU'LL SEE LOTS OF COURSES IN 1066 00:33:35,980 --> 00:33:37,148 IMPLEMENTATION SCIENCE. 1067 00:33:37,148 --> 00:33:38,383 SOME ARE PAID, MANY ARE NOT. 1068 00:33:38,383 --> 00:33:41,452 THERE ARE A LOT OF FREE 1069 00:33:41,452 --> 00:33:43,988 RESOURCES ONLINE TO CHECK, TO 1070 00:33:43,988 --> 00:33:46,491 SELECT THEORIES MODELS AND 1071 00:33:46,491 --> 00:33:46,791 FRAMEWORKS. 1072 00:33:46,791 --> 00:33:48,359 ALMOST ALL JOURNALS ARE OPEN 1073 00:33:48,359 --> 00:33:48,693 ACCESS. 1074 00:33:48,693 --> 00:33:50,094 WE KNOW IT'S DIFFICULT BUT WE'RE 1075 00:33:50,094 --> 00:33:52,830 TRYING TO MAKE THAT INFORMATION 1076 00:33:52,830 --> 00:33:54,799 AS AVAILABLE AS POSSIBLE. 1077 00:33:54,799 --> 00:33:57,235 SO AS I WRAP UP, I KNOW I'M 1078 00:33:57,235 --> 00:33:59,303 EARLY BUT USUALLY IT'S BETTER TO 1079 00:33:59,303 --> 00:34:00,938 TALK A LITTLE LESS, MAYBE WE CAN 1080 00:34:00,938 --> 00:34:05,543 HAVE MORE DISCUSSION. 1081 00:34:05,543 --> 00:34:06,644 EVIDENCE-BASED INTERVENTIONS IN 1082 00:34:06,644 --> 00:34:09,580 NIDCD RELEVANT TOPIC AREAS NEED 1083 00:34:09,580 --> 00:34:15,186 TO BE EFFECTIVELY IMPLEMENTED TO 1084 00:34:15,186 --> 00:34:18,256 HAVE IMPACT. 1085 00:34:18,256 --> 00:34:19,690 LATE STAGE RESEARCH, T3, T4, 1086 00:34:19,690 --> 00:34:26,330 WE'RE ALL ON THE SAME TEAM EVEN 1087 00:34:26,330 --> 00:34:28,533 DOING BASIC T-0 RESEARCH, THE 1088 00:34:28,533 --> 00:34:30,068 FINDINGS IN YOUR LAB, 1089 00:34:30,068 --> 00:34:31,736 INNOVATIONS YOU CREATE, WILL 1090 00:34:31,736 --> 00:34:33,938 NEVER CHANGE LET UNLESS THERE 1091 00:34:33,938 --> 00:34:34,906 ARE PEOPLE DOING IMPLEMENTATION, 1092 00:34:34,906 --> 00:34:36,207 RIGHT? 1093 00:34:36,207 --> 00:34:37,108 SO, IF YOU'RE A BASIC SCIENTIST 1094 00:34:37,108 --> 00:34:39,077 IT'S NOT THAT YOU HAVE TO BE A 1095 00:34:39,077 --> 00:34:41,612 SOCIAL SCIENTIST ABOUT TO HAVE 1096 00:34:41,612 --> 00:34:43,581 SOME SENSE THAT THIS INNOVATION 1097 00:34:43,581 --> 00:34:45,116 THAT YOU'RE CREATING NEEDS TO BE 1098 00:34:45,116 --> 00:34:46,417 IMPLEMENTED AT SOME LEVEL AND 1099 00:34:46,417 --> 00:34:49,153 HAVE A PARTNERSHIP AT SOME LEVEL 1100 00:34:49,153 --> 00:34:49,787 WITH IMPLEMENTATION SCIENTISTS 1101 00:34:49,787 --> 00:34:50,688 IS USEFUL. 1102 00:34:50,688 --> 00:34:51,589 WE SHOULD BE THINKING ABOUT 1103 00:34:51,589 --> 00:34:53,124 IMPLEMENTATION AT ALL STEPS OF 1104 00:34:53,124 --> 00:34:54,425 THE RESEARCH PROCESS. 1105 00:34:54,425 --> 00:34:56,894 AND THERE'S INCREASING NUMBER OF 1106 00:34:56,894 --> 00:34:58,996 FOLKS LOOKING AT INTEGRATING 1107 00:34:58,996 --> 00:35:01,132 IMPLEMENTATION SCIENCE INTO 1108 00:35:01,132 --> 00:35:02,633 INNOVATION DESIGN. 1109 00:35:02,633 --> 00:35:04,502 THERE'S ONE APPROACH DEVELOPED 1110 00:35:04,502 --> 00:35:06,571 BY COLLINS AT NYU, MULTI-PHASE 1111 00:35:06,571 --> 00:35:07,805 OPTIMIZATION STRATEGY, WHICH IS 1112 00:35:07,805 --> 00:35:09,674 A REALLY INTERESTING WAY OF 1113 00:35:09,674 --> 00:35:12,410 DOING RAPID CYCLE TESTING OF 1114 00:35:12,410 --> 00:35:14,679 INTERVENTION COMPONENTS TO 1115 00:35:14,679 --> 00:35:15,480 CREATE OPTIMALLY IMPLEMENTABLE 1116 00:35:15,480 --> 00:35:17,315 INTERVENTIONS THAT CAN THEN BE 1117 00:35:17,315 --> 00:35:19,283 IMPLEMENTED BUT WE NEED TO START 1118 00:35:19,283 --> 00:35:20,485 THINKING ABOUT IMPLEMENTATION AT 1119 00:35:20,485 --> 00:35:21,919 THE VERY BEGINNING, NOT AT THE 1120 00:35:21,919 --> 00:35:22,253 END. 1121 00:35:22,253 --> 00:35:23,688 SO THAT WE GIVE OURSELVES THE 1122 00:35:23,688 --> 00:35:25,123 BEST CHANCE OF GETTING THESE 1123 00:35:25,123 --> 00:35:26,424 INNOVATIONS INTO PRACTICE. 1124 00:35:26,424 --> 00:35:32,463 AND THEN FOR MAXIMAL IMPACT, 1125 00:35:32,463 --> 00:35:34,966 EQUITY IS NOT JUST RACE AND 1126 00:35:34,966 --> 00:35:37,168 ETHNICITY, IT'S ABILITY, 1127 00:35:37,168 --> 00:35:37,802 DISABILITY, NEURODIVERSITY, 1128 00:35:37,802 --> 00:35:38,569 LOCALITY, ANY DIMENSION OF 1129 00:35:38,569 --> 00:35:39,871 DIFFERENCE YOU CAN THINK ABOUT 1130 00:35:39,871 --> 00:35:42,607 WE HAVE TO THINK ABOUT IT AS WE 1131 00:35:42,607 --> 00:35:44,909 DO IMPLEMENTATION, OTHERWISE WE 1132 00:35:44,909 --> 00:35:45,576 RISK CREATING MORE 1133 00:35:45,576 --> 00:35:46,777 EVIDENCE-TO-PRACTICE GAPS. 1134 00:35:46,777 --> 00:35:47,645 I'LL STOP THERE. 1135 00:35:47,645 --> 00:35:49,080 AND I THINK WE'RE GOING TO MOVE 1136 00:35:49,080 --> 00:35:57,555 TO THE PANEL. 1137 00:35:57,555 --> 00:36:01,092 1138 00:36:01,092 --> 00:36:02,927 >> THANK YOU SO MUCH. 1139 00:36:02,927 --> 00:36:05,363 THAT WAS A REALLY WONDERFUL 1140 00:36:05,363 --> 00:36:05,763 TALK. 1141 00:36:05,763 --> 00:36:09,300 I APPRECIATE VERY MUCH HOW MUCH 1142 00:36:09,300 --> 00:36:10,835 YOU INTEGRATED IMPLEMENTATION 1143 00:36:10,835 --> 00:36:12,570 SCIENCE INTO OUR PORTFOLIO. 1144 00:36:12,570 --> 00:36:15,540 SO IT WAS VERY INTERESTING. 1145 00:36:15,540 --> 00:36:17,942 SO, WE'LL HAVE A PANEL 1146 00:36:17,942 --> 00:36:19,744 DISCUSSION NOW. 1147 00:36:19,744 --> 00:36:21,579 OUR PANELISTS INCLUDE IN 1148 00:36:21,579 --> 00:36:24,081 ADDITION TO DR. LANE-FALL, DR. 1149 00:36:24,081 --> 00:36:26,050 MONICA WEBB HOOPER, WHO IS 1150 00:36:26,050 --> 00:36:27,418 DEPUTY DIRECTOR OF THE NATIONAL 1151 00:36:27,418 --> 00:36:29,120 INSTITUTE ON MINORITY HEALTH AND 1152 00:36:29,120 --> 00:36:30,855 HEALTH DISPARITIES. 1153 00:36:30,855 --> 00:36:32,490 DR. SHANNON ZENK, DIRECTOR OF 1154 00:36:32,490 --> 00:36:34,692 THE NATIONAL INSTITUTE OF 1155 00:36:34,692 --> 00:36:36,327 NURSING RESEARCH. 1156 00:36:36,327 --> 00:36:38,629 AND DR. HOLLY STORKEL, PROGRAM 1157 00:36:38,629 --> 00:36:40,364 OFFICER FOR THE LANGUAGE PROGRAM 1158 00:36:40,364 --> 00:36:41,799 AT NIDCD. 1159 00:36:41,799 --> 00:36:44,969 AND ALL OUR PANELISTS HAVE 1160 00:36:44,969 --> 00:36:45,970 TREMENDOUS EXPERTISE AN 1161 00:36:45,970 --> 00:36:47,471 EXPERIENCE IN IMPLEMENTATION 1162 00:36:47,471 --> 00:36:47,805 SCIENCE. 1163 00:36:47,805 --> 00:36:50,141 SO, I WILL ADDRESS A QUESTION TO 1164 00:36:50,141 --> 00:36:52,210 EACH OF OUR PANELISTS, AND AT 1165 00:36:52,210 --> 00:36:55,913 THE END WE'LL WRAP UP WITH A 1166 00:36:55,913 --> 00:36:58,316 COUPLE OF COMMENTS FROM EACH OF 1167 00:36:58,316 --> 00:36:59,850 THEM. 1168 00:36:59,850 --> 00:37:02,954 I WOULD ALSO STATE THAT I'M 1169 00:37:02,954 --> 00:37:04,121 HAPPY TO HAVE COMMENTS FROM ANY 1170 00:37:04,121 --> 00:37:06,123 OF YOU ON ANY OF THE QUESTIONS. 1171 00:37:06,123 --> 00:37:08,859 WE'LL START WITH A PERSON I 1172 00:37:08,859 --> 00:37:10,461 ADDRESSED THE QUESTION TO. 1173 00:37:10,461 --> 00:37:13,764 TO KICK US OFF, CURRENT RESEARCH 1174 00:37:13,764 --> 00:37:16,167 IS DEVOTED TO DEVELOPING 1175 00:37:16,167 --> 00:37:17,268 EVIDENCE-BASED INNOVATIONS THAT 1176 00:37:17,268 --> 00:37:18,836 IMPROVE A PERSON'S HEALTH AND 1177 00:37:18,836 --> 00:37:20,471 QUALITY OF LIFE. 1178 00:37:20,471 --> 00:37:22,440 AND AS DR. LANE-FALL MENTIONED, 1179 00:37:22,440 --> 00:37:24,742 IT'S ESTIMATED THAT IT TAKES ONE 1180 00:37:24,742 --> 00:37:27,478 TO TWO DECADES FOR FINDINGS FROM 1181 00:37:27,478 --> 00:37:29,880 RESEARCH STUDIES TO BE 1182 00:37:29,880 --> 00:37:31,949 IMPLEMENTED IN CLINICAL CARE. 1183 00:37:31,949 --> 00:37:34,919 MY FIRST QUESTION TO DR. 1184 00:37:34,919 --> 00:37:37,088 LANE-FALL IS THE MOST COMMON 1185 00:37:37,088 --> 00:37:40,157 BARRIERS TO CHANGE TEND TO BE 1186 00:37:40,157 --> 00:37:41,392 TIME AND MONEY. 1187 00:37:41,392 --> 00:37:42,893 YET SOMETIMES ORGANIZATIONS ARE 1188 00:37:42,893 --> 00:37:44,328 SPENDING TIME AND MONEY 1189 00:37:44,328 --> 00:37:47,298 DELIVERING CARE THAT'S KNOWN TO 1190 00:37:47,298 --> 00:37:49,166 BE LESS EFFECTIVE OR 1191 00:37:49,166 --> 00:37:50,001 INEFFECTIVE. 1192 00:37:50,001 --> 00:37:52,570 I THINK YOU ALLUDED TO THIS WHEN 1193 00:37:52,570 --> 00:37:53,771 YOU TALKED ABOUT 1194 00:37:53,771 --> 00:37:55,206 DEIMPLEMENTATION, MAYBE STOPPING 1195 00:37:55,206 --> 00:37:57,808 THE THINGS THAT AREN'T THE BEST 1196 00:37:57,808 --> 00:37:59,010 WAYS TO DELIVER CARE. 1197 00:37:59,010 --> 00:38:01,646 SO, WHAT HAVE BEEN THE MOST 1198 00:38:01,646 --> 00:38:03,848 EFFECTIVE WAYS TO ENCOURAGE 1199 00:38:03,848 --> 00:38:05,149 CLINICIANS TO STOP USING 1200 00:38:05,149 --> 00:38:07,885 INTERVENTIONS THAT WE KNOW DON'T 1201 00:38:07,885 --> 00:38:08,753 WORK? 1202 00:38:08,753 --> 00:38:09,620 >> SO THAT'S A GREAT QUESTION 1203 00:38:09,620 --> 00:38:10,688 AND I APPRECIATE IT. 1204 00:38:10,688 --> 00:38:13,224 NOW, I THINK ABOUT THE SOCIAL 1205 00:38:13,224 --> 00:38:14,859 ECOLOGICAL MODEL A LOT, 1206 00:38:14,859 --> 00:38:15,860 SOMETHING WE USE IN 1207 00:38:15,860 --> 00:38:17,495 IMPLEMENTATION SCIENCE A FAIR 1208 00:38:17,495 --> 00:38:19,263 BIT. 1209 00:38:19,263 --> 00:38:21,766 IT WAS CREATED FIRST BY A CHILD 1210 00:38:21,766 --> 00:38:28,439 LOGISTHO BUT IF YOU'VE SEEN 1211 00:38:28,439 --> 00:38:29,740 THE CONCENTRIC CIRCLES, A 1212 00:38:29,740 --> 00:38:30,408 FAMILY, COMMUNITY, SOCIETY, 1213 00:38:30,408 --> 00:38:33,911 THAT'S WHAT I'M TALKING ABOUT. 1214 00:38:33,911 --> 00:38:35,913 I THINK ABOUT FOMENTING OR 1215 00:38:35,913 --> 00:38:36,681 FACILITATING BEHAVIOR CHANGE I 1216 00:38:36,681 --> 00:38:38,316 THINK ABOUT THAT MODEL. 1217 00:38:38,316 --> 00:38:39,950 WE OFTEN FOCUS ON AN INDIVIDUAL, 1218 00:38:39,950 --> 00:38:41,719 BUT AN INDIVIDUAL IS EMBEDDED 1219 00:38:41,719 --> 00:38:42,353 WITHIN A SYSTEM. 1220 00:38:42,353 --> 00:38:44,889 AND SO IT CAN BE MORE EFFECTIVE 1221 00:38:44,889 --> 00:38:46,524 TO FOCUS ON THE SYSTEM AND 1222 00:38:46,524 --> 00:38:47,958 UNDERSTAND THE CONSTRAINTS ON 1223 00:38:47,958 --> 00:38:50,027 THAT PERSON'S BEHAVIOR AND TO 1224 00:38:50,027 --> 00:38:50,928 ADDRESS THOSE CONSTRAINTS. 1225 00:38:50,928 --> 00:38:54,098 ONE OF THE THINGS I THINK ABOUT 1226 00:38:54,098 --> 00:38:55,666 IN ADDITION IS REL IEE 1227 00:38:55,666 --> 00:38:57,168 OF AUTONOMY OF THE PERSON WHOSE 1228 00:38:57,168 --> 00:38:58,836 BEHAVIOR I'M TRYING TO CHANGE. 1229 00:38:58,836 --> 00:39:00,171 IF YOU HAV AUTONOMOUS ACTOR 1230 00:39:00,171 --> 00:39:01,505 YOU MAY NEED TO CONVINCE THEM TO 1231 00:39:01,505 --> 00:39:02,340 DO THE SAME. 1232 00:39:02,340 --> 00:39:05,209 IF YOU HAVE PEOPLE WHOSE 1233 00:39:05,209 --> 00:39:06,310 BEHAVIOR IS MORE CONTAINED BY 1234 00:39:06,310 --> 00:39:08,579 ENVIRONMENT THAN IF YOU GO TO 1235 00:39:08,579 --> 00:39:09,780 THEIR BOSS, TO THEIR 1236 00:39:09,780 --> 00:39:12,450 ENVIRONMENT, THAT MAY BE MORE 1237 00:39:12,450 --> 00:39:12,917 EFFECTIVE. 1238 00:39:12,917 --> 00:39:15,386 SO, I REALLY TRY TO DECOMPOSE 1239 00:39:15,386 --> 00:39:17,121 THE WORK SYSTEM, THAT'S WHERE 1240 00:39:17,121 --> 00:39:18,656 SOME HUMAN FACTORS ENGINEERING 1241 00:39:18,656 --> 00:39:19,990 PRINCIPLES COME IN. 1242 00:39:19,990 --> 00:39:21,525 AND UNDERSTAND SORT OF WHO IS 1243 00:39:21,525 --> 00:39:22,593 PULLING THE STRINGS. 1244 00:39:22,593 --> 00:39:26,997 AND THEN LOOK AT THAT, AND START 1245 00:39:26,997 --> 00:39:28,532 TO TARGET THOSE, THOSE STRINGS. 1246 00:39:28,532 --> 00:39:29,934 I'M CURIOUS WHAT THE OTHER FOLKS 1247 00:39:29,934 --> 00:39:31,702 THINK ABOUT THAT. 1248 00:39:31,702 --> 00:39:32,937 >> YEAH, YEAH. 1249 00:39:32,937 --> 00:39:38,042 ANY OTHER COMMENTS? 1250 00:39:38,042 --> 00:39:38,876 1251 00:39:38,876 --> 00:39:42,012 SO ONE OF THE THINGS YOU 1252 00:39:42,012 --> 00:39:43,748 MENTIONED, MEGHAN, WAS STUDY 1253 00:39:43,748 --> 00:39:47,151 ABOUT BPPV IN EMERGENCY I E 1254 00:39:47,151 --> 00:39:47,852 SETTINGS. 1255 00:39:47,852 --> 00:39:50,488 TAKE THASELE,KE SAY AFTER 1256 00:39:50,488 --> 00:39:53,657 THE STUDY IS OVER, PHYSICIANS GO 1257 00:39:53,657 --> 00:39:54,959 BACK TO ORDERING CT SCANS WHEN 1258 00:39:54,959 --> 00:39:57,261 SOMEBODY COMES IN WITH 1259 00:39:57,261 --> 00:39:57,528 DIZZINESS. 1260 00:39:57,528 --> 00:39:59,764 HOW WOULD YOU APPROACH THAT 1261 00:39:59,764 --> 00:40:00,030 SITUATION? 1262 00:40:00,030 --> 00:40:02,933 >> SO WHEN I>> THINK ABOUT WHAT 1263 00:40:02,933 --> 00:40:06,437 DRIVES BEHAVIOR, I THINK ABOUT 1264 00:40:06,437 --> 00:40:07,638 INCENTIVES, DISINCENTIVES. 1265 00:40:07,638 --> 00:40:08,973 IF SOMEONE ESPECIALLY LET'S SAY 1266 00:40:08,973 --> 00:40:19,517 SOMEONE WHO KNEW THEY SHOULD BE 1267 00:40:19,917 --> 00:40:22,553 DOING THE DIX HALL AND CANALITH, 1268 00:40:22,553 --> 00:40:24,855 IT'S EASIER TO ORDER THE SCAN 1269 00:40:24,855 --> 00:40:25,256 THAN THE MANEUVER. 1270 00:40:25,256 --> 00:40:26,724 HOW DO YOU MAKE IT EASIER? 1271 00:40:26,724 --> 00:40:30,127 YOU COULD MAKE IT HARDER TO 1272 00:40:30,127 --> 00:40:32,530 ORDER A CT SCAN, IF AN EMERGENCY 1273 00:40:32,530 --> 00:40:34,265 DEPARTMENT YOU DON'T WANT TO DO 1274 00:40:34,265 --> 00:40:35,533 THAT BUT IS THERE AN EASIER WAY 1275 00:40:35,533 --> 00:40:39,303 TO DO THE RIGHT THING, IT'S WHAT 1276 00:40:39,303 --> 00:40:40,905 KIRBER AND COLLEAGUES WERE 1277 00:40:40,905 --> 00:40:41,839 MAKING RESOURCES AVAILABLE AT 1278 00:40:41,839 --> 00:40:43,207 THE POINT OF CARE. 1279 00:40:43,207 --> 00:40:45,609 AS YOU'RE TRYING TO TRANSLATE 1280 00:40:45,609 --> 00:40:46,444 INTO SUSTAINABLE CHANGE, 1281 00:40:46,444 --> 00:40:48,979 YOU WANT TO THINK ABOUT WHAT ARE 1282 00:40:48,979 --> 00:40:49,847 THE STRUCTURAL CHANGES YOU CAN 1283 00:40:49,847 --> 00:40:51,916 MAKE TO MAKE IT EASIER TO DO IT. 1284 00:40:51,916 --> 00:40:53,284 IS IT THAT YOU PUT SOMETHING ON 1285 00:40:53,284 --> 00:40:56,454 A WALL, IS IT THAT YOU DO AUDIT 1286 00:40:56,454 --> 00:40:58,222 AND FEEDBACK, IS IT THAT YOU 1287 00:40:58,222 --> 00:41:00,391 GIVE AN INCENTIVE TO A 1288 00:41:00,391 --> 00:41:03,160 DEPARTMENT WHO PERFORMS WELL? 1289 00:41:03,160 --> 00:41:04,528 DO YOU HAVE A PATIENT TO COME IN 1290 00:41:04,528 --> 00:41:05,963 AND TALK ABOUT THE HARM, HOW 1291 00:41:05,963 --> 00:41:07,498 MUCH THEY WERE CHARGED FOR A CAT 1292 00:41:07,498 --> 00:41:10,334 SCAN THEY DIDN'T NEED? 1293 00:41:10,334 --> 00:41:10,835 LOTS OF OTHER POTENTIAL 1294 00:41:10,835 --> 00:41:13,304 INTERVENTIONS OR STRATEGIES THAT 1295 00:41:13,304 --> 00:41:13,871 YOU COULD USE. 1296 00:41:13,871 --> 00:41:15,606 I WANT TO LOOK AT WHAT IS 1297 00:41:15,606 --> 00:41:17,541 DRIVING THAT BEHAVIOR BECAUSE 1298 00:41:17,541 --> 00:41:18,909 USUALLY THAT'S THE START OF IT, 1299 00:41:18,909 --> 00:41:22,112 THAT'S AT THE ROOT OF IT. 1300 00:41:22,112 --> 00:41:24,782 >> HOLLY WANTED TO SAY 1301 00:41:24,782 --> 00:41:28,252 SOMETHING. 1302 00:41:28,252 --> 00:41:29,253 >> YEAH, NOW MAYBE CHANGED BASED 1303 00:41:29,253 --> 00:41:32,857 ON WHAT YOU SHOULD, TALK ABOUT 1304 00:41:32,857 --> 00:41:33,824 YOU HOW YOU UNDERSTAND THOSE 1305 00:41:33,824 --> 00:41:36,227 SYSTEMS AND HOW YOU HAVE TO 1306 00:41:36,227 --> 00:41:37,895 WORRY ABOUT SYSTEMS BEING 1307 00:41:37,895 --> 00:41:38,762 DIFFERENT IN DIFFERENT SETTINGS 1308 00:41:38,762 --> 00:41:41,499 AND SO ON, AND PART OF THIS 1309 00:41:41,499 --> 00:41:43,801 IS -- WHY I'M ASKING, I THINK WE 1310 00:41:43,801 --> 00:41:45,669 OFTEN FOCUS ON THE INDIVIDUAL IN 1311 00:41:45,669 --> 00:41:47,204 OUR MISSION AREA AND ALWAYS 1312 00:41:47,204 --> 00:41:48,939 THINK, WELL, IF THEY JUST KNEW 1313 00:41:48,939 --> 00:41:50,741 THEY SHOULD DO THAT, THEY WOULD 1314 00:41:50,741 --> 00:41:51,709 DO THAT. 1315 00:41:51,709 --> 00:41:53,677 BUT IT'S WAY MORE COMPLICATED 1316 00:41:53,677 --> 00:41:54,011 THAN THAT. 1317 00:41:54,011 --> 00:41:56,680 SO, I THINK WE'RE ALSO NOT USED 1318 00:41:56,680 --> 00:41:57,982 TO THINKING ABOUT A PERSON 1319 00:41:57,982 --> 00:42:00,718 OPERATING IN A SYSTEM, HOW DO WE 1320 00:42:00,718 --> 00:42:01,652 UNDERSTAND THE SYSDE 1321 00:42:01,652 --> 00:42:03,020 MEOUND LOOKING AT 1322 00:42:03,020 --> 00:42:03,888 UNDERSTANDING THE SYSTEM. 1323 00:42:03,888 --> 00:42:06,056 WHAT CAN YOU TELL US THERE TO 1324 00:42:06,056 --> 00:42:07,291 DIRECT OUR THOUGHTS? 1325 00:42:07,291 --> 00:42:08,926 >> ONE OF MY FAVORITE TOOLS FOR 1326 00:42:08,926 --> 00:42:10,561 LOOKING AT WORK SYSTEMS IS 1327 00:42:10,561 --> 00:42:11,795 SYSTEMS ENGINEERING INITIATIVE 1328 00:42:11,795 --> 00:42:13,531 FOR PATIENT SAFETY MODEL WHICH 1329 00:42:13,531 --> 00:42:16,267 COMES OUT OF THE LAB AT THE 1330 00:42:16,267 --> 00:42:18,269 UNIVERSITY OF WISCONSIN. 1331 00:42:18,269 --> 00:42:19,970 THE SEEPS MODEL DECOMPOSES A 1332 00:42:19,970 --> 00:42:23,507 WORK SYSTEM INTO PEOPLE, TOOLS, 1333 00:42:23,507 --> 00:42:24,575 TECHNOLOGY, ENVIRONMENT, AND I 1334 00:42:24,575 --> 00:42:25,676 THINK POLICIES AND PROCEDURES 1335 00:42:25,676 --> 00:42:27,645 ARE THE FIVE COMPONENTS OF IT. 1336 00:42:27,645 --> 00:42:29,914 THAT'S USUALLY WHERE I START, TO 1337 00:42:29,914 --> 00:42:31,482 DECOMPOSE THE WORK SYSTEM TO 1338 00:42:31,482 --> 00:42:33,017 UNDERSTAND WHO IS WORKING WITHIN 1339 00:42:33,017 --> 00:42:34,752 IT, WHAT TOOLS THEY ARE WORKING 1340 00:42:34,752 --> 00:42:36,053 WITH, WHAT ENVIRONMENT THEY ARE 1341 00:42:36,053 --> 00:42:37,821 IN, AND WHAT POLICIES AND 1342 00:42:37,821 --> 00:42:40,124 PROCEDURES MIGHT GOVERN THEIR 1343 00:42:40,124 --> 00:42:40,391 BEHAVIOR. 1344 00:42:40,391 --> 00:42:41,325 THERE'S USUALLY INSIGHT TO BE 1345 00:42:41,325 --> 00:42:42,326 GAINED IN THAT. 1346 00:42:42,326 --> 00:42:44,061 A LOT OF THIS WORK IS 1347 00:42:44,061 --> 00:42:44,695 QUALITATIVE. 1348 00:42:44,695 --> 00:42:45,596 THERE MAY BE OBSERVATIONAL WORK 1349 00:42:45,596 --> 00:42:46,897 THAT YOU DO. 1350 00:42:46,897 --> 00:42:48,999 I USUALLY LIKE TO COMBINE 1351 00:42:48,999 --> 00:42:49,867 OBSERVATION WITH EITHER 1352 00:42:49,867 --> 00:42:51,602 INTERVIEWS OR FOCUS GROUPS OR 1353 00:42:51,602 --> 00:42:53,771 O THEM. SOMETIMES ALL 1354 00:42:53,771 --> 00:42:55,472 RVATIONS ARE USEFUL 1355 00:42:55,472 --> 00:42:56,140 BECAUSE SOMETIMES PEOPLE DON'T 1356 00:42:56,140 --> 00:42:57,775 HAVE INSIGHT INTO WHAT THEY DO. 1357 00:42:57,775 --> 00:42:59,109 THEY WILL TELL WHAT YOU THEY 1358 00:42:59,109 --> 00:43:00,644 THINK THEY DO BUT THAT'S 1359 00:43:00,644 --> 00:43:02,713 DIFFERENT THAN WHAT THEY 1360 00:43:02,713 --> 00:43:04,448 ACTUALLY DO SO OBSERVATIONS ARE 1361 00:43:04,448 --> 00:43:04,682 HELPFUL. 1362 00:43:04,682 --> 00:43:06,216 INTERVIEWS OR FOCUS GROUPS ARE 1363 00:43:06,216 --> 00:43:07,418 HELPFUL BECAUSE THEN YOU 1364 00:43:07,418 --> 00:43:08,085 UNDERSTAND WHY PEOPLE DO WHAT 1365 00:43:08,085 --> 00:43:09,687 THEY DO AND YOU CAN UNDERSTAND 1366 00:43:09,687 --> 00:43:11,488 THEIR MOTIVATION IN A WAY YOU 1367 00:43:11,488 --> 00:43:12,556 CAN'T ACTUALLY OBSERVE. 1368 00:43:12,556 --> 00:43:14,425 SO THAT'S USUALLY WHERE I'LL 1369 00:43:14,425 --> 00:43:14,625 START. 1370 00:43:14,625 --> 00:43:17,394 BUT IN TERMS OF THE STICKINESS 1371 00:43:17,394 --> 00:43:19,563 AND EFFECTIVENESS OF 1372 00:43:19,563 --> 00:43:20,130 INTERVENTIONS, SYSTEMS-BASED 1373 00:43:20,130 --> 00:43:23,534 INTERVENTIONS TEND TO BE MORE 1374 00:43:23,534 --> 00:43:26,203 EFFECTIVE, A BIGGER STICK THAN 1375 00:43:26,203 --> 00:43:31,609 INDIVIDUAL INTERVENTIONS. 1376 00:43:31,609 --> 00:43:33,143 >> I'LL FOLLOW UP ON THE HEALTH 1377 00:43:33,143 --> 00:43:34,778 CARE EXAMPLE A LITTLE BIT MORE. 1378 00:43:34,778 --> 00:43:37,982 SO, YOU TALKED A LITTLE BIT 1379 00:43:37,982 --> 00:43:40,951 ABOUT DATA SCIENCE AN THAT'S 1380 00:43:40,951 --> 00:43:42,353 POTENTIALLY PART OF THE EQUATION 1381 00:43:42,353 --> 00:43:42,886 HERE. 1382 00:43:42,886 --> 00:43:44,321 EVERYONE IS TALKING ABOUT A.I. 1383 00:43:44,321 --> 00:43:47,491 AND HOW A.I. CAN DRIVE CLINICAL 1384 00:43:47,491 --> 00:43:47,825 CARE. 1385 00:43:47,825 --> 00:43:51,028 SO, DO YOU THINK THAT THERE'S A 1386 00:43:51,028 --> 00:43:56,033 ROLE HERE FOR A.I.ELPING TO 1387 00:43:56,033 --> 00:43:57,301 FORMULATE DIAGNOSES AND 1388 00:43:57,301 --> 00:43:57,801 APPROPRIATE TREATMENTS? 1389 00:43:57,801 --> 00:43:59,503 >> I THINK THERE ARE ROLES FOR 1390 00:43:59,503 --> 00:44:02,139 A.I. IN HEA CARE HND RESEARCH 1391 00:44:02,139 --> 00:44:03,674 WE DON'T YET APPRECIATE. 1392 00:44:03,674 --> 00:44:05,209 THERE ARE DEFINITELY ROLES FOR 1393 00:44:05,209 --> 00:44:07,511 A.I. IN TRYING TO FACILITATE 1394 00:44:07,511 --> 00:44:08,579 CLINICAL CARE BUT ONE OF THE 1395 00:44:08,579 --> 00:44:10,547 CHALLENGES TO A.I. IS THAT SOME 1396 00:44:10,547 --> 00:44:12,650 A.I. MODELS ARE NOT EXPLAINABLE. 1397 00:44:12,650 --> 00:44:14,084 SO THERE'S THIS CONCEPT 1398 00:44:14,084 --> 00:44:15,152 EXPLAINABLE A.I., ESPECIALLY 1399 00:44:15,152 --> 00:44:16,453 WHEN YOU'RE DEALING WITH 1400 00:44:16,453 --> 00:44:17,655 PROVIDERS WHO WANT TO UNDERSTAND 1401 00:44:17,655 --> 00:44:20,190 WHAT THE A.I. IS DOING. 1402 00:44:20,190 --> 00:44:21,825 AND THERE CAN BE A HESITATION ON 1403 00:44:21,825 --> 00:44:23,127 THE PART OF PROVIDERS TO USE 1404 00:44:23,127 --> 00:44:24,662 A.I. WHERE THEY DON'T KNOW WHAT 1405 00:44:24,662 --> 00:44:25,996 WENT INTO THE MODEL. 1406 00:44:25,996 --> 00:44:28,165 WE KNOW THAT A.I. MODELS 1407 00:44:28,165 --> 00:44:29,700 ESPECIALLY IF THEY ARE BUILT 1408 00:44:29,700 --> 00:44:30,167 WITH DATA 1409 00:44:30,167 --> 00:44:32,236 AT COME FROM SKEWED 1410 00:44:32,236 --> 00:44:34,638 POPULATIONS CAN PERPETUATE BIAS. 1411 00:44:34,638 --> 00:44:35,639 THERE'S SOME REALLY 1412 00:44:35,639 --> 00:44:36,507 UNDERSTANDABLE HESITANCY ABOUT 1413 00:44:36,507 --> 00:44:36,707 A.I. 1414 00:44:36,707 --> 00:44:38,742 BUT IT IS A VERY, VERY POWERFUL 1415 00:44:38,742 --> 00:44:41,512 TOOL SO I THINK IT DOES PLAY A 1416 00:44:41,512 --> 00:44:41,712 ROLE. 1417 00:44:41,712 --> 00:44:45,149 WHERE A.I. CAN STREAMLINE 1418 00:44:45,149 --> 00:44:48,419 WORKFLOW, THAT CAN HELP. 1419 00:44:48,419 --> 00:44:49,520 IN HANDOFFS AND COMMUNICATION 1420 00:44:49,520 --> 00:44:51,055 WHEN I SAY I'LL MAKE IT EASIER 1421 00:44:51,055 --> 00:44:53,424 FOR SOMEONE TO DO THEIR JOB, 1422 00:44:53,424 --> 00:44:54,491 THEY ARE LISTENING, RIGHT? 1423 00:44:54,491 --> 00:44:56,326 IF YOU DO THE HANDOFF YOU'LL 1424 00:44:56,326 --> 00:44:57,828 SPEND LESS TIME ON THE PHONE, 1425 00:44:57,828 --> 00:44:59,229 LESS TIME TRYING TO FIGURE OUT 1426 00:44:59,229 --> 00:45:00,998 WHAT HAPPENED IN SURGERY. 1427 00:45:00,998 --> 00:45:04,435 THEY GO, OH, THAT SOUNDS GRADE. 1428 00:45:04,435 --> 00:45:05,169 IF -- GREAT. 1429 00:45:05,169 --> 00:45:11,542 IF WE CAN GET A.I. TO MAKE WORK 1430 00:45:11,542 --> 00:45:15,345 EASIER THAT'S A POSSIBILITY. 1431 00:45:15,345 --> 00:45:17,981 THERE'S WORK FOR ANALYZING DATA, 1432 00:45:17,981 --> 00:45:20,617 WE CAN CREATE ENORMOUS DATA 1433 00:45:20,617 --> 00:45:22,920 CORPUSES, LOTS OF QUALITATIVE 1434 00:45:22,920 --> 00:45:27,391 DATA, WE HAVE LOTS OF 1435 00:45:27,391 --> 00:45:27,958 OBSERVATIONS, FIELD NOTES, 1436 00:45:27,958 --> 00:45:29,793 POLICIES, A ROLE FOR A.I. IN 1437 00:45:29,793 --> 00:45:31,562 HELPING MAKE SENSE OF CONTEXT AS 1438 00:45:31,562 --> 00:45:33,530 WELL SO WE CAN DEVICE 1439 00:45:33,530 --> 00:45:34,965 IMPLEMENTATION STRATEGIES MORE 1440 00:45:34,965 --> 00:45:36,467 APPROPRIATE FOR CONTEXT WHICH I 1441 00:45:36,467 --> 00:45:39,770 THINK MAY GET T ONE OF HOLLY 1442 00:45:39,770 --> 00:45:42,606 QUESTIONS THINKING ABOUT WORK 1443 00:45:42,606 --> 00:45:43,040 SYSTEMS DIFFERENTLY, 1444 00:45:43,040 --> 00:45:43,874 UNDERSTANDING CONTEXT IN 1445 00:45:43,874 --> 00:45:46,210 DIFFERENT SYSTEMS CAN GIVE US 1446 00:45:46,210 --> 00:45:47,511 INSIGHT INTO THAT. 1447 00:45:47,511 --> 00:45:48,846 >> YEAH, GREAT, THANKS. 1448 00:45:48,846 --> 00:45:51,682 SO NEXT QUESTION IS FOR DR. 1449 00:45:51,682 --> 00:45:51,882 ZENK. 1450 00:45:51,882 --> 00:45:55,719 THERE ARE A NUMBER OF NIH-WIDE 1451 00:45:55,719 --> 00:45:58,388 PROGRAMS TO HELP ADVANCE 1452 00:45:58,388 --> 00:46:02,192 IMPLEMENTATION AND DISSEMINATION 1453 00:46:02,192 --> 00:46:02,459 RESEARCH. 1454 00:46:02,459 --> 00:46:03,427 HOW, SHANNON, DO YOU THINK 1455 00:46:03,427 --> 00:46:06,930 KNOWLEDGE GAINED CAN HELP 1456 00:46:06,930 --> 00:46:08,031 ADVANCE THE FIELD? 1457 00:46:08,031 --> 00:46:09,333 >> THANK YOU SO MUCH. 1458 00:46:09,333 --> 00:46:12,236 I THINK THIS IS AN EXCITING TIME 1459 00:46:12,236 --> 00:46:16,373 FOR NIH AND FOR THIS AREA OF 1460 00:46:16,373 --> 00:46:16,607 SCIENCE. 1461 00:46:16,607 --> 00:46:19,777 WE DO KNOW THAT NIH AND OTHER 1462 00:46:19,777 --> 00:46:20,644 FEDERAL AGENCIES HAVE INVESTED A 1463 00:46:20,644 --> 00:46:23,380 LOT OF MONEY IN RESEARCH BUT YET 1464 00:46:23,380 --> 00:46:25,582 WE STILL HAVE SUBOPTIMAL HEALTH 1465 00:46:25,582 --> 00:46:27,885 OUTCOMES AND REALLY TREMENDOUS 1466 00:46:27,885 --> 00:46:28,218 DISPARITIES. 1467 00:46:28,218 --> 00:46:30,521 SO, WHERE I SEE THIS FITTING IN 1468 00:46:30,521 --> 00:46:33,824 IS WE CAN'T JUST STOP WITH 1469 00:46:33,824 --> 00:46:35,125 AMAZING DISCOVERIES, WE NEED TO 1470 00:46:35,125 --> 00:46:38,295 TAKE THE NEXT STEP IN TERMS OF 1471 00:46:38,295 --> 00:46:39,797 FIGURING OUT HOW TO MOVE INTO 1472 00:46:39,797 --> 00:46:43,267 PRACTICE AND POLICY. 1473 00:46:43,267 --> 00:46:44,701 I'M ENCOURAGED BY HOW 1474 00:46:44,701 --> 00:46:46,570 IMON SCIENCE IS BEING 1475 00:46:46,570 --> 00:46:49,573 EMBRACED AND INCORPORATED ACROSD 1476 00:46:49,573 --> 00:46:52,342 MULTIPLE ASPECTS OF NIH, AND 1477 00:46:52,342 --> 00:46:55,112 NIDCD'S COMMITMENT AS WELL. 1478 00:46:55,112 --> 00:46:56,413 SO, YOU MENTIONED IMPROVE. 1479 00:46:56,413 --> 00:46:59,917 SO THAT'S AN EXAMPLE OF ONE NIH 1480 00:46:59,917 --> 00:47:03,420 INITIATIVE THAT HAS REALLY 1481 00:47:03,420 --> 00:47:03,987 INCORPORATED IMPLEMENTATION 1482 00:47:03,987 --> 00:47:05,322 SCIENCE ACROSS MULTIPLE PARTS, 1483 00:47:05,322 --> 00:47:09,059 NOT ONLY THE HUB, THE CENTERS OF 1484 00:47:09,059 --> 00:47:10,027 EXCELLENCE, THERE'S COMMUNITY 1485 00:47:10,027 --> 00:47:12,563 IMPLEMENTATION PROJECTS, AND SO 1486 00:47:12,563 --> 00:47:13,664 THERE'S REALLY, AS WE THINK 1487 00:47:13,664 --> 00:47:16,700 ABOUT REALLY MAKING A DENT AND 1488 00:47:16,700 --> 00:47:17,901 IMPROVING MATERNAL HEALTH 1489 00:47:17,901 --> 00:47:18,702 OUTCOMES, IMPLEMENTATION SCIENCE 1490 00:47:18,702 --> 00:47:20,003 IS SEEN AS A CRITICAL PART OF 1491 00:47:20,003 --> 00:47:20,204 THAT. 1492 00:47:20,204 --> 00:47:22,172 SO I THINK IMPROVE IS ONE 1493 00:47:22,172 --> 00:47:24,274 EXAMPLE BUT I THINK THAT'S JUST 1494 00:47:24,274 --> 00:47:24,808 ONE. 1495 00:47:24,808 --> 00:47:27,444 I THINK WE SEE IMPLEMENTATION 1496 00:47:27,444 --> 00:47:29,947 SCIENCE BEING INTEGRATED IN MANY 1497 00:47:29,947 --> 00:47:32,482 OTHER INITIATIVES ACROSS NIH. 1498 00:47:32,482 --> 00:47:35,319 SO TWO OTHER EXAMPLES THAT I'LL 1499 00:47:35,319 --> 00:47:37,721 MENTION, ONE IS CARE FOR HEALTH, 1500 00:47:37,721 --> 00:47:39,423 COMMUNITIES ADVANCING RESEARCH 1501 00:47:39,423 --> 00:47:43,260 EQUITY FOR HEALTH, AND COMPASS, 1502 00:47:43,260 --> 00:47:44,528 COMMUNITY PARTNERSHIPS TO 1503 00:47:44,528 --> 00:47:46,063 ADVANCE SCIENCE FOR SOCIETY. 1504 00:47:46,063 --> 00:47:48,799 I WOULD SAY BOTH OF THOSE ALSO 1505 00:47:48,799 --> 00:47:54,705 REALLY HELP TO GET AT THIS 1506 00:47:54,705 --> 00:47:56,139 REDUCING NO-DO GAP REFERRED TO 1507 00:47:56,139 --> 00:47:58,008 IN IMPLEMENTATION SCIENCE AS 1508 00:47:58,008 --> 00:48:01,178 WELL AS DISPARITIES WE SEE IN 1509 00:48:01,178 --> 00:48:04,648 THAT NO-DO GAP. 1510 00:48:04,648 --> 00:48:06,850 SO FOR ComPASS PROGRAM, A MAIN 1511 00:48:06,850 --> 00:48:10,254 PART IS FUNDING COMMUNE 1512 00:48:10,254 --> 00:48:13,891 ORGANIZATIONS THEMSELVES,, 1513 00:48:13,891 --> 00:48:15,759 DEVELOP, DESIGN, IMPLEMENT 1514 00:48:15,759 --> 00:48:16,960 STRUCTURAL INTERVENTIONS THAT 1515 00:48:16,960 --> 00:48:18,929 WILL ADDRESS SOCIAL DETERMINANTS 1516 00:48:18,929 --> 00:48:20,664 OF HEALTH, REALLY UPSTREAM 1517 00:48:20,664 --> 00:48:22,633 FACTORS THAT AFFECT THE HEALTH 1518 00:48:22,633 --> 00:48:23,667 OF THEIR COMMUNITIES. 1519 00:48:23,667 --> 00:48:25,736 IT SHIFTS THE MODEL OF HOW WE 1520 00:48:25,736 --> 00:48:30,340 TYPICALLY DO RESEARCH TO FUNDING 1521 00:48:30,340 --> 00:48:31,441 COMMUNITY ORGANIZATIONS, TO LEAD 1522 00:48:31,441 --> 00:48:32,009 THIS RESEARCH. 1523 00:48:32,009 --> 00:48:34,378 A LOT OF THOSE INTERVENTIONS THE 1524 00:48:34,378 --> 00:48:37,781 COMMUNITY ARE FOCUSED ON REALLY 1525 00:48:37,781 --> 00:48:41,618 ARE TO SCALE UP AND OPTIMIZE 1526 00:48:41,618 --> 00:48:43,353 EXISTING PROGRAMS, POLICIES, 1527 00:48:43,353 --> 00:48:45,555 PROCEDURES AT THE 1528 00:48:45,555 --> 00:48:47,424 ORGANIZATIONAL, CITY, COUNTY, 1529 00:48:47,424 --> 00:48:48,825 STATE LEVEL. 1530 00:48:48,825 --> 00:48:50,794 SO, YOU KNOW, EVEN THOUGH, YOU 1531 00:48:50,794 --> 00:48:55,065 KNOW, THE STRENGTH OF COMPASS IS 1532 00:48:55,065 --> 00:48:57,167 INTERVENTION SITES ARE ACROSS 1533 00:48:57,167 --> 00:48:59,436 THE COUNTRY, 25 SITES FOCUSED ON 1534 00:48:59,436 --> 00:49:00,437 POPULATIONS THAT EXPERIENCE A 1535 00:49:00,437 --> 00:49:02,172 WIDE VARIETY OF HEALTH 1536 00:49:02,172 --> 00:49:04,374 DISPARITIES BUT REALLY ONE OF 1537 00:49:04,374 --> 00:49:07,377 THE BINDING THREADS OF THAT 1538 00:49:07,377 --> 00:49:09,413 PROGRAM IS THAT THE STRUCTURAL 1539 00:49:09,413 --> 00:49:10,714 INTERVENTION FOCUS, WHICH WILL 1540 00:49:10,714 --> 00:49:12,149 HELP TO PROVIDE NEW KNOWLEDGE 1541 00:49:12,149 --> 00:49:14,584 ABOUT THE METHODS AND BEST 1542 00:49:14,584 --> 00:49:17,754 APPROACHES TO ACTUALLY MOVE 1543 00:49:17,754 --> 00:49:19,289 SCIENCE AND DISCOVERIES INTO 1544 00:49:19,289 --> 00:49:20,724 PRACTICE AND INTO POLICY. 1545 00:49:20,724 --> 00:49:22,559 SO WE'RE JUST AT THE BEGINNING 1546 00:49:22,559 --> 00:49:24,027 OF THIS PROGRAM. 1547 00:49:24,027 --> 00:49:25,529 IT'S A 10-YEAR PROGRAM BUT WE'RE 1548 00:49:25,529 --> 00:49:27,331 GOING TO LEARN I THINK L A LOT 1549 00:49:27,331 --> 00:49:28,765 FROM THAT PROGRAM, INCLUDING IN 1550 00:49:28,765 --> 00:49:31,501 THE AREA OF IMPLEMENTATION 1551 00:49:31,501 --> 00:49:31,868 SCIENCE. 1552 00:49:31,868 --> 00:49:34,171 AND CARE FOROR HEALTH WHICH DR. 1553 00:49:34,171 --> 00:49:36,373 TUCCI KNOWS WELL IS ANOTHER 1554 00:49:36,373 --> 00:49:38,575 NIH-WIDE PROGRAM THAT HAS PAID 1555 00:49:38,575 --> 00:49:42,512 ATTENTION TO AND IS INTEGRATING 1556 00:49:42,512 --> 00:49:44,815 IMPLEMENTATION SCIENCE INTO ITS 1557 00:49:44,815 --> 00:49:45,015 FOCUS. 1558 00:49:45,015 --> 00:49:48,085 SO THE PILOT PROGRAM OF THAT 1559 00:49:48,085 --> 00:49:51,888 CARE FOR HEALTH IS FOCUSED ON 1560 00:49:51,888 --> 00:49:53,657 PRIMARY CARE, RESEARCH NETWORK 1561 00:49:53,657 --> 00:49:56,059 HUBS, DEVELOPING THOSE ACROSS 1562 00:49:56,059 --> 00:49:58,028 THE COUNTRY, INCLUDING TO 1563 00:49:58,028 --> 00:49:59,896 ACCELERATE ADOPTION OF RESEARCH 1564 00:49:59,896 --> 00:50:01,198 ADVANCES INTO PRACTICE. 1565 00:50:01,198 --> 00:50:04,067 SO I THINK THAT'S ANOTHER GOOD 1566 00:50:04,067 --> 00:50:06,903 SIGN THAT THE FUTURE IS BRIGHT 1567 00:50:06,903 --> 00:50:09,840 FONDING, WE HOPE, IN 1568 00:50:09,840 --> 00:50:11,975 TERMS OF IMPLEMENTATION SCIENCE. 1569 00:50:11,975 --> 00:50:14,111 AND THEN THOSE ARE, YOU KNOW, 1570 00:50:14,111 --> 00:50:16,713 REALLY BIG NIH INITIATIVES, BUT 1571 00:50:16,713 --> 00:50:18,915 THERE'S A VARIETY OF FUNDING 1572 00:50:18,915 --> 00:50:20,217 OPPORTUNITIES AVAILABLE TO 1573 00:50:20,217 --> 00:50:22,285 RESEARCHERS, THERE'S A VERY 1574 00:50:22,285 --> 00:50:25,722 IMPLEMENTATION RESEARCH, SO IT'S 1575 00:50:25,722 --> 00:50:29,092 SUPPORTED BY A WIDE VARIETY OF 1576 00:50:29,092 --> 00:50:30,160 INSTITUTES AND CENTERS, 1577 00:50:30,160 --> 00:50:32,829 INCLUDING NIDCD, SO PRETTY MUCH 1578 00:50:32,829 --> 00:50:33,630 ANY TOPIC A RESEARCHER IS 1579 00:50:33,630 --> 00:50:34,564 INTERESTED IN THEY SHOULD BE 1580 00:50:34,564 --> 00:50:36,967 ABLE TO FIND A HOME IN TERMS OF 1581 00:50:36,967 --> 00:50:39,703 FUNDING SUPPORT ACROSS THE NIH. 1582 00:50:39,703 --> 00:50:40,704 >> THANK YOU. 1583 00:50:40,704 --> 00:50:44,574 CAN YOU SAY A LITTLE BIT MORE, 1584 00:50:44,574 --> 00:50:47,177 SHANNON, ABOUT COMPASS AND THE 1585 00:50:47,177 --> 00:50:47,878 STRUCTURAL INTERVENTIONS? 1586 00:50:47,878 --> 00:50:50,047 I THINK THAT'S VERY, VERY 1587 00:50:50,047 --> 00:50:50,647 UNIQUE. 1588 00:50:50,647 --> 00:50:54,084 IT'S NOT THE WAY WE'VE BEEN 1589 00:50:54,084 --> 00:50:54,785 ACCUSTOMED TO DELIVERING 1590 00:50:54,785 --> 00:50:57,788 RESEARCH QUESTIONS IN THE PAST. 1591 00:50:57,788 --> 00:50:58,989 >> YEAH, YEAH, I THINK THE FOLK 1592 00:50:58,989 --> 00:51:01,491 THRUST IS REALLY TO THINK 1593 00:51:01,491 --> 00:51:03,727 UPSTREAM AT FACTORS AT THE 1594 00:51:03,727 --> 00:51:06,363 LEVELS OF SYSTEMS, STRUCTURES, 1595 00:51:06,363 --> 00:51:08,031 POLICIES, AND HOW THEY HAVE 1596 00:51:08,031 --> 00:51:08,799 TREMENDOUS IMPLICATIONS FOR 1597 00:51:08,799 --> 00:51:10,333 HEALTH AND HEALTH DISPARITIES. 1598 00:51:10,333 --> 00:51:12,636 SO TRYING T PUSHVENTIONS 1599 00:51:12,636 --> 00:51:13,737 UPSTREAM FROM WHERE WE OFTEN 1600 00:51:13,737 --> 00:51:17,240 THINK OF IN TERMS OF PROXIMAL 1601 00:51:17,240 --> 00:51:18,642 INTERVENTIONS TO THINKING ABOUT 1602 00:51:18,642 --> 00:51:22,813 THE CAUSES OF THE CAUSES, SO TO 1603 00:51:22,813 --> 00:51:23,814 SPEAK, ADDRESSING THOSE FACTORS. 1604 00:51:23,814 --> 00:51:26,116 THERE AGAIN SOME OF THAT WORK IS 1605 00:51:26,116 --> 00:51:27,350 FOCUSED IN THIS AREA ABOUT 1606 00:51:27,350 --> 00:51:28,652 TAKING WHAT WE KNOW THAT WORKS 1607 00:51:28,652 --> 00:51:30,253 ON A SMALL SCALE AND THEN 1608 00:51:30,253 --> 00:51:34,658 ROLLING IT UP TO HAVE A BROADER 1609 00:51:34,658 --> 00:51:35,659 COMMUNITY OR POPULATION-WIDE 1610 00:51:35,659 --> 00:51:37,194 IMPACT. 1611 00:51:37,194 --> 00:51:38,161 >> GREAT. 1612 00:51:38,161 --> 00:51:38,495 THANK YOU. 1613 00:51:38,495 --> 00:51:40,330 ALL RIGHT. 1614 00:51:40,330 --> 00:51:42,532 SO FOR DR. WEBB HOOPER, TO BUILD 1615 00:51:42,532 --> 00:51:46,369 CAPACITY YOU NEED KEY LEADERS 1616 00:51:46,369 --> 00:51:47,571 WITHIN AN ORGANIZATION, TO BE ON 1617 00:51:47,571 --> 00:51:49,439 BOARD WITH GOALS, AND YOU NEED A 1618 00:51:49,439 --> 00:51:50,407 CRITICAL MASS OF PEOPLE WITHIN 1619 00:51:50,407 --> 00:51:52,175 THE ORGANIZATION WHO CAN MOVE 1620 00:51:52,175 --> 00:51:54,044 THE WORK FORWARD. 1621 00:51:54,044 --> 00:51:57,547 SO, A LOT OF NIH SUPPORT IS 1622 00:51:57,547 --> 00:51:59,282 DIRECTED AT INDIVIDUAL 1623 00:51:59,282 --> 00:52:00,383 INVESTIGATORS. 1624 00:52:00,383 --> 00:52:01,151 FOR EXAMPLE, CAREER DEVELOPMENT, 1625 00:52:01,151 --> 00:52:03,587 RESEARCH GRANTS ARE MADE TO AN 1626 00:52:03,587 --> 00:52:06,857 INDIVIDUAL BUT SOME OF THESE 1627 00:52:06,857 --> 00:52:07,491 CAPACITY-BUILDING PAIN POINTS 1628 00:52:07,491 --> 00:52:09,693 ARE MORE AT THE SYSTEMS LEVEL. 1629 00:52:09,693 --> 00:52:11,895 I THINK WE ALLUDED TO THIS A 1630 00:52:11,895 --> 00:52:13,964 LITTLE BIT A MOMENT AGO. 1631 00:52:13,964 --> 00:52:17,434 WHAT DO YOU THINK THAT NIH AND 1632 00:52:17,434 --> 00:52:21,471 NIDCD CANN DO TO SUPPORT SYSTEMS 1633 00:52:21,471 --> 00:52:22,005 CHANGE? 1634 00:52:22,005 --> 00:52:23,540 >> FIRST I WANT TO THANK YOU FOR 1635 00:52:23,540 --> 00:52:25,509 THE OPPORTUNITY TO BE HERE AND 1636 00:52:25,509 --> 00:52:27,711 PARTICIPATE ON THE PANEL. 1637 00:52:27,711 --> 00:52:29,579 AND THIS IS A REALLY IMPORTANT 1638 00:52:29,579 --> 00:52:31,081 QUESTION THAT YOU ASKED, IN 1639 00:52:31,081 --> 00:52:33,517 TERMS OF THINKING ABOUT MY 1640 00:52:33,517 --> 00:52:35,719 POSITIONALITY IN THIS TOPIC, 1641 00:52:35,719 --> 00:52:37,120 PERSPECTIVE THAT I'M APPROACHING 1642 00:52:37,120 --> 00:52:39,422 THIS IS REALLY FROM MORE THAN 1643 00:52:39,422 --> 00:52:39,856 ONE. 1644 00:52:39,856 --> 00:52:42,926 ONE IS BEFORE I JOINED NIH I WAS 1645 00:52:42,926 --> 00:52:44,995 A PROFESSOR, AND A BEHAVIORAL 1646 00:52:44,995 --> 00:52:45,328 SCIENTIST. 1647 00:52:45,328 --> 00:52:47,197 WHEN YOU MENTIONED COGNITIVE 1648 00:52:47,197 --> 00:52:48,198 BEHAVIORAL, THERAPY, YES, IT 1649 00:52:48,198 --> 00:52:50,700 DOES WORK TO TREAT ALMOST 1650 00:52:50,700 --> 00:52:51,168 EVERYTHING. 1651 00:52:51,168 --> 00:52:56,406 AND SO I WORKED IN CANCER CENTEN 1652 00:52:56,406 --> 00:52:57,607 ATTENDING CLINICAL PSYCHOLOGIST 1653 00:52:57,607 --> 00:52:59,576 AND RESEARCHER. 1654 00:52:59,576 --> 00:53:01,011 WANTING TO BRING EVIDENCE-BASED 1655 00:53:01,011 --> 00:53:02,979 INTERVENTIONS INTO THE ONCOLOGY 1656 00:53:02,979 --> 00:53:03,280 SPACE. 1657 00:53:03,280 --> 00:53:05,282 AND I'LL MENTION TWO SPECIFIC 1658 00:53:05,282 --> 00:53:05,649 EXAMPLES. 1659 00:53:05,649 --> 00:53:06,583 I'LL ANSWER YOUR QUESTION ABOUT 1660 00:53:06,583 --> 00:53:08,251 WHAT I THINK NIH CAN DO BECAUSE 1661 00:53:08,251 --> 00:53:11,521 I THINK ABOUT WHAT NIH DID TO 1662 00:53:11,521 --> 00:53:13,023 HELP FACILITATE THAT WORK AND 1663 00:53:13,023 --> 00:53:14,824 NOW BEING ON THIS SIDE OF NIH, I 1664 00:53:14,824 --> 00:53:17,194 THINK MORE ABOUT WHAT WE CAN DO. 1665 00:53:17,194 --> 00:53:21,031 AND SO ONE EXAMPLE WAS WANTING 1666 00:53:21,031 --> 00:53:25,835 TO BRING -- INCREASE THE 1667 00:53:25,835 --> 00:53:27,871 PREVALENCE OF INCREASE UPTAKE OF 1668 00:53:27,871 --> 00:53:29,739 HPV VACCINATION IN CHILDREN, 1669 00:53:29,739 --> 00:53:32,008 FROM AR PREVENTION SPEER 1670 00:53:32,008 --> 00:53:36,947 TECH -- PERSPECTIVE. 1671 00:53:36,947 --> 00:53:37,414 ALSO PSYCHOLOGICAL AND 1672 00:53:37,414 --> 00:53:39,349 BEHAVIORAL SERVICES FOR PEOPLE 1673 00:53:39,349 --> 00:53:40,784 DIAGNOSED WITH CANCER, ANY 1674 00:53:40,784 --> 00:53:42,319 VARIETY OF CANCERS. 1675 00:53:42,319 --> 00:53:45,488 SO IN BOTH CASES, YOU HAVE 1676 00:53:45,488 --> 00:53:46,223 EVIDENCE-BASED INTERVENTIONS, 1677 00:53:46,223 --> 00:53:47,891 YOU'RE IN LARGE HEALTH SYSTEMS 1678 00:53:47,891 --> 00:53:50,193 THAT I THINK THE PROVIDERS AND 1679 00:53:50,193 --> 00:53:51,828 THE SYSTEM UNDERSTAND THE 1680 00:53:51,828 --> 00:53:53,697 IMPORTANCE OF THESE FACTORS, BUT 1681 00:53:53,697 --> 00:53:54,998 YOU'RE SEEING MINIMAL UPTAKE, 1682 00:53:54,998 --> 00:53:57,067 SEEING VERY FEW SERVICES BEING 1683 00:53:57,067 --> 00:53:59,135 OFFERED, AND YOU'RE SEEING A LOW 1684 00:53:59,135 --> 00:54:00,337 UTILIZATION EVEN WHEN THE 1685 00:54:00,337 --> 00:54:01,004 SERVICES EXIST. 1686 00:54:01,004 --> 00:54:02,772 WE WANT TO ADDRESS THOSE ISSUES. 1687 00:54:02,772 --> 00:54:05,809 SO, ONE OF THE THINGS THAT WE 1688 00:54:05,809 --> 00:54:07,010 BENEFITED FROM WAS NIH SUPPORT 1689 00:54:07,010 --> 00:54:09,212 TO BE ABLE TO CONDUCT THIS WORK. 1690 00:54:09,212 --> 00:54:13,583 I WILL SAY THAT MOST OF THE 1691 00:54:13,583 --> 00:54:15,785 GRANTS, WE THINK ABOUT R01 1692 00:54:15,785 --> 00:54:16,987 EQUIVALENT GRANTS, THOSE MIGHT 1693 00:54:16,987 --> 00:54:19,823 BE FOR AN INVESTIGATOR LEVEL, 1694 00:54:19,823 --> 00:54:22,759 YOU CAN CONDUCT EFFECTIVE 1695 00:54:22,759 --> 00:54:23,893 RIGOROUS DISSEMINATION AND 1696 00:54:23,893 --> 00:54:25,528 IMPLEMENTATION SCIENCE USING AN 1697 00:54:25,528 --> 00:54:25,695 R01. 1698 00:54:25,695 --> 00:54:26,396 WE'VE DONE THAT. 1699 00:54:26,396 --> 00:54:27,731 AND OTHER KINDS OF MECHANISMS 1700 00:54:27,731 --> 00:54:29,532 THAT EVEN THOUGH IT'S FOR, YOU 1701 00:54:29,532 --> 00:54:32,102 KNOW, AN INVESTIGATOR OR A 1702 00:54:32,102 --> 00:54:33,069 MULTIPLE P.I. TEAM, IT'S THAT 1703 00:54:33,069 --> 00:54:34,604 LEVEL OF FUNDING. 1704 00:54:34,604 --> 00:54:35,472 YOU CAN BE SUCCESSFUL. 1705 00:54:35,472 --> 00:54:37,474 HOWEVER, YOU WILL HAVE TO OBTAIN 1706 00:54:37,474 --> 00:54:40,543 THE BUY-IN OF PEOPLE WITHIN THE 1707 00:54:40,543 --> 00:54:41,845 SYSTEM AT MULTIPLE LEVELS BEFORE 1708 00:54:41,845 --> 00:54:43,613 THE PROJECT IS EVEN SUBMITTED. 1709 00:54:43,613 --> 00:54:45,782 YOU'RE DOING, YOU KNOW, THINGS 1710 00:54:45,782 --> 00:54:46,283 LIKE QUALITY IMPROVEMENT 1711 00:54:46,283 --> 00:54:49,519 PROJECTS, THINGS YOU CAN DO 1712 00:54:49,519 --> 00:54:51,288 WITHIN THE SYSTEM TO GAIN 1713 00:54:51,288 --> 00:54:53,590 PROOF-OF-CONCEPT FOR YOUR WORK 1714 00:54:53,590 --> 00:54:56,092 AND GENERATE INITIAL DATA ON THE 1715 00:54:56,092 --> 00:54:57,427 PROCESS VARIABLES, YOUR ABILITY 1716 00:54:57,427 --> 00:54:58,728 TO ENGAGE WITH PARTNERS IN THE 1717 00:54:58,728 --> 00:54:59,162 SYSTEM. 1718 00:54:59,162 --> 00:55:00,897 WE DID BOTH OF THOSE THINGS IN 1719 00:55:00,897 --> 00:55:03,099 TERMS OF ENGAGEMENT WITH THE 1720 00:55:03,099 --> 00:55:04,934 SYSTEM, WE KNEW WE HAD TO NOT 1721 00:55:04,934 --> 00:55:07,270 ONLY THINK ABOUT THE END USER SO 1722 00:55:07,270 --> 00:55:09,105 WOULD THE CHILDREN BE 1723 00:55:09,105 --> 00:55:10,640 VACCINATED, WOULD THE PEOPLE WHO 1724 00:55:10,640 --> 00:55:11,441 HAVE BEEN DIAGNOSED WITH CANCER 1725 00:55:11,441 --> 00:55:12,709 WHO HAVE A TOBACCO HISTORY, 1726 00:55:12,709 --> 00:55:15,612 WOULD THEY BE WILLING TO ENGAGE 1727 00:55:15,612 --> 00:55:17,247 IN COGNITIVE BEHAVIORAL THERAPY, 1728 00:55:17,247 --> 00:55:18,648 FOR OTHER ADDICTIONS, WE ALSO 1729 00:55:18,648 --> 00:55:20,317 HAD TO WORK WITH PROVIDERS, WORK 1730 00:55:20,317 --> 00:55:23,386 WITH CLINICIANS WHO WOULD BE, 1731 00:55:23,386 --> 00:55:25,121 YOU KNOW, IN THE ROOMS TALKING 1732 00:55:25,121 --> 00:55:26,122 WITH PATIENTS AND ENCOURAGING 1733 00:55:26,122 --> 00:55:27,657 THEM TO PARTICIPATE. 1734 00:55:27,657 --> 00:55:30,293 SO, THERE WAS YEARS OF WORK THAT 1735 00:55:30,293 --> 00:55:32,796 WENT INTO THE ENTIRE PROJECT. 1736 00:55:32,796 --> 00:55:33,863 WE WERE ULTIMATELY SUCCESSFUL 1737 00:55:33,863 --> 00:55:36,399 BUT I THINK WHAT NIH CAN DO TO 1738 00:55:36,399 --> 00:55:39,569 FACILITATE THATTA IS TO MAKE 1739 00:55:39,569 --> 00:55:40,603 EXPLICIT THE INTERESN THIS 1740 00:55:40,603 --> 00:55:42,806 KIND OF WORK. 1741 00:55:42,806 --> 00:55:44,674 WE KNOW THE CURRENCY FOR 1742 00:55:44,674 --> 00:55:46,609 ACADEMIC CENTERS AND 1743 00:55:46,609 --> 00:55:47,944 RESEARCHERS ARE PUBLICATIONS AND 1744 00:55:47,944 --> 00:55:48,678 NUMBER OF GRANTS. 1745 00:55:48,678 --> 00:55:52,482 AND SO I THINK IF NIH CAN BE 1746 00:55:52,482 --> 00:55:55,452 MORE EXPLICIT AND NIDCD CAN BE 1747 00:55:55,452 --> 00:55:57,087 EXPLICIT THAT WOULD BE ONE 1748 00:55:57,087 --> 00:55:57,821 THING. 1749 00:55:57,821 --> 00:56:00,590 WE SAW THIS EVEN WHEN WE LOOKED 1750 00:56:00,590 --> 00:56:03,560 AT -- WHEN THE PANDEMIC STARTED. 1751 00:56:03,560 --> 00:56:06,629 THERE WAS THIS INFLUX OF 1752 00:56:06,629 --> 00:56:07,831 INTEREST IN COMMUNITY ENGAGED 1753 00:56:07,831 --> 00:56:08,465 SCIENCE. 1754 00:56:08,465 --> 00:56:09,232 IT HAD ALREADY BEEN A PART OF 1755 00:56:09,232 --> 00:56:11,968 NIH IN THE PAST BUT YOU REALLY 1756 00:56:11,968 --> 00:56:14,504 SAW AN ELEVATED AMOUNT OF 1757 00:56:14,504 --> 00:56:16,005 ATTENTION TO COMMUNITY ENGAGED 1758 00:56:16,005 --> 00:56:16,339 SCIENCE. 1759 00:56:16,339 --> 00:56:18,608 WITH THAT MANY INSTITUTES 1760 00:56:18,608 --> 00:56:21,144 AND CENTERS WITHIN NOTICES OF 1761 00:56:21,144 --> 00:56:22,779 FUNDING OPPORTUNITY INCLUDING AN 1762 00:56:22,779 --> 00:56:24,314 INTEREST IN PROJECTS THAT WOULD 1763 00:56:24,314 --> 00:56:25,181 BE COMMUNITY ENGAGED SCIENCE AND 1764 00:56:25,181 --> 00:56:28,685 AS A RESULT WE SAW THREE, 1765 00:56:28,685 --> 00:56:30,019 FOUR-FOLD INCREASES IN THE 1766 00:56:30,019 --> 00:56:32,188 NUMBER OF APPLICATIONS THAT CAME 1767 00:56:32,188 --> 00:56:34,391 IN FOCUSED ON COMMUNITY ENGAGED 1768 00:56:34,391 --> 00:56:35,492 SCIENCE TOPICS. 1769 00:56:35,492 --> 00:56:37,560 I THINK NIH MAKING THAT CLEAR, I 1770 00:56:37,560 --> 00:56:39,195 THINK PROGRAM OFFICIALS AND 1771 00:56:39,195 --> 00:56:39,829 OTHERS DEVELOPING RESEARCH 1772 00:56:39,829 --> 00:56:41,865 CONCEPTS WHEN THEY ARE THINKING 1773 00:56:41,865 --> 00:56:44,134 ABOUT THAT, THEY CAN INTEGRATE A 1774 00:56:44,134 --> 00:56:46,536 SYSTEMS LEVEL FOCUS AND SOME 1775 00:56:46,536 --> 00:56:47,871 TOPICS LISTED OFNTEREST TO THE 1776 00:56:47,871 --> 00:56:50,140 INSTITUTE I THINK WOULD BE 1777 00:56:50,140 --> 00:56:50,740 IMPORTANT. 1778 00:56:50,740 --> 00:56:54,177 WITH THAT, SOMETIMES IT DOES 1779 00:56:54,177 --> 00:56:55,912 REQUIRE REVISING OR MAKING SURE 1780 00:56:55,912 --> 00:56:58,214 THERE ARE SPECIFIC REVIEW 1781 00:56:58,214 --> 00:57:00,383 CRITERIA, SO REVIEWERS PICK UP 1782 00:57:00,383 --> 00:57:01,484 AND UNDERSTAND THE DIFFERENCES 1783 00:57:01,484 --> 00:57:03,920 BETWEEN THE KINDS OF PROJECTS 1784 00:57:03,920 --> 00:57:10,326 THAT WOULD BE DISSEMINATION 1785 00:57:10,326 --> 00:57:11,194 IMPLEMENTATION SCIENCE, HYBRID 1786 00:57:11,194 --> 00:57:11,928 EFESS IMPLEMENTATION 1787 00:57:11,928 --> 00:57:14,030 STUDIES THAT MAY NOT BE ON THE 1788 00:57:14,030 --> 00:57:16,099 RADAR OF REVIEWERS, SO THEY MAY 1789 00:57:16,099 --> 00:57:18,168 HAVE, YOU KNOW, LOWER IMPACT 1790 00:57:18,168 --> 00:57:18,735 SCORES OVERALL. 1791 00:57:18,735 --> 00:57:20,904 I THINK HAVING SOME EXPLICIT 1792 00:57:20,904 --> 00:57:22,238 CRITERIA AROUND WHAT RIG 1793 00:57:22,238 --> 00:57:24,507 PROJECTS LOOK LIKE WOULD BE ALSO 1794 00:57:24,507 --> 00:57:26,476 SOMETHING TO CONSIDER. 1795 00:57:26,476 --> 00:57:30,747 AND THEN OF COURSE I THINK 1796 00:57:30,747 --> 00:57:32,348 ENCOURAGING PROJECTS THAT REALLY 1797 00:57:32,348 --> 00:57:34,350 ARE FOCUSED ON CENTERING 1798 00:57:34,350 --> 00:57:35,852 PARTNERSHIPS, AT ANY LEVEL OF 1799 00:57:35,852 --> 00:57:38,288 ANY SYSTEM YOU'RE GOING TO NEED 1800 00:57:38,288 --> 00:57:38,621 PARTNERS. 1801 00:57:38,621 --> 00:57:39,923 SO I THINK REQUIRING 1802 00:57:39,923 --> 00:57:40,490 INVESTIGATORS TO DEMONSTRATE 1803 00:57:40,490 --> 00:57:42,091 THAT THEY HAVE DONE THE LEG WORK 1804 00:57:42,091 --> 00:57:44,060 PRIOR TO SUBMITTING TO DEVELOP 1805 00:57:44,060 --> 00:57:46,596 THOSE PARTNERSHIPS WOULD BE 1806 00:57:46,596 --> 00:57:46,896 IMPORTANT. 1807 00:57:46,896 --> 00:57:48,698 INVESTIGATORS AND SYSTEMS EYE 1808 00:57:48,698 --> 00:57:49,532 LIKE RESPOND TO NIH AND TO 1809 00:57:49,532 --> 00:57:51,701 RESPOND TO THE THINGS THAT NIH 1810 00:57:51,701 --> 00:57:53,036 DOES THAT WE'RE INTERESTED IN. 1811 00:57:53,036 --> 00:57:55,538 SO I THINK MAKING THAT EXPLICIT 1812 00:57:55,538 --> 00:57:57,841 IN WHAT WE'RE DOING, PROVIDING 1813 00:57:57,841 --> 00:57:59,943 THE MECHANISMS AND RESOURCES TO 1814 00:57:59,943 --> 00:58:02,245 DO IT WHETHER A SPECIFIC RFA ON 1815 00:58:02,245 --> 00:58:04,214 THIS TOPIC OR IF IT'S 1816 00:58:04,214 --> 00:58:07,183 INCORPORATING IT INTO, YOU KNOW, 1817 00:58:07,183 --> 00:58:09,352 THE PARENT DISSEMINATION AND 1818 00:58:09,352 --> 00:58:10,887 IMPLEMENTATION SCIENCE PAR THAT 1819 00:58:10,887 --> 00:58:11,988 DR. ZENK MENTIONED, I THINK ALL 1820 00:58:11,988 --> 00:58:15,592 THOSE CAN BE IMPORTANT. 1821 00:58:15,592 --> 00:58:20,730 >> DO YOU KNOW OF EXAMPLES OF 1822 00:58:20,730 --> 00:58:22,365 D&I RESEARCH THAT TAKES PLACE IN 1823 00:58:22,365 --> 00:58:25,268 A HEALTH SYSTEM OR IN A 1824 00:58:25,268 --> 00:58:27,303 COMMUNITY THAT THEN ESTABLISHES 1825 00:58:27,303 --> 00:58:28,838 AN ONGOING RELATIONSHIP? 1826 00:58:28,838 --> 00:58:32,342 SO ONE OF THE CHALLENGES I THINK 1827 00:58:32,342 --> 00:58:35,311 IS DEVELOPING ALL OF THESE 1828 00:58:35,311 --> 00:58:36,112 PARTNERS, YOU KNOW, AND 1829 00:58:36,112 --> 00:58:37,947 DEVELOPING TRUST, AND I THINK 1830 00:58:37,947 --> 00:58:40,483 THE CARE FOR HEALTH PROGRAM THAT 1831 00:58:40,483 --> 00:58:41,784 SHANNON ALLUDED TO ATTEMPTS TO 1832 00:58:41,784 --> 00:58:45,288 GO INTO A COMMUNITY AND NOT JUST 1833 00:58:45,288 --> 00:58:47,357 HAVE A FIVE-YEAR FUNDING CYCLE, 1834 00:58:47,357 --> 00:58:48,791 BUT SOMETHING THAT'S ONGOING. 1835 00:58:48,791 --> 00:58:51,661 SO IT SEEMS LIKE ONGOING 1836 00:58:51,661 --> 00:58:53,730 RELATIONSHIPS ARE IMPORTANT FOR 1837 00:58:53,730 --> 00:58:55,565 D&RCH TO CHANGE THE WAY 1838 00:58:55,565 --> 00:58:57,867 THAT HEALTH SYSTEMS WORK. 1839 00:58:57,867 --> 00:59:01,037 SO, ARE WE DOING THAT 1840 00:59:01,037 --> 00:59:01,404 EFFECTIVELY? 1841 00:59:01,404 --> 00:59:04,340 ARE THERE WAYS WE COULD DO IT 1842 00:59:04,340 --> 00:59:07,710 BETTER WITHIN THE TRADITIONAL 1843 00:59:07,710 --> 00:59:08,378 R01 MODEL? 1844 00:59:08,378 --> 00:59:10,914 >> I THINK AS I'LL TAKE THE 1845 00:59:10,914 --> 00:59:12,582 FIRST STAB AT THIS, I THINK 1846 00:59:12,582 --> 00:59:13,950 WE'RE NOT DOING AS WELL AS WE 1847 00:59:13,950 --> 00:59:15,285 COULD BUT I DON'T THINK IT'S ALL 1848 00:59:15,285 --> 00:59:17,453 ON THE PART OF NIH. 1849 00:59:17,453 --> 00:59:22,292 I THINK INVESTIGATORS WHO ARE 1850 00:59:22,292 --> 00:59:23,560 DEVELOPING INTERVENTIONS AND 1851 00:59:23,560 --> 00:59:25,361 TREATMENTS SHOULD THINK AT THE 1852 00:59:25,361 --> 00:59:26,729 OUTSET IF I DEVELOP SOMETHING 1853 00:59:26,729 --> 00:59:29,966 EFFECT 1854 00:59:29,966 --> 00:59:33,036 EFFECTIVE WHERE DO I WANT IT TO 1855 00:59:33,036 --> 00:59:35,872 GO, NOT THE ENDPOINT THE PEER 1856 00:59:35,872 --> 00:59:37,941 REVIEWED PEER 1857 00:59:37,941 --> 00:59:38,942 REVIEWED PUBLISH CASE IN THE 1858 00:59:38,942 --> 00:59:40,209 GH E JOURNAL. 1859 00:59:40,209 --> 00:59:41,377 BRINGING PARTNERS IN AT THE 1860 00:59:41,377 --> 00:59:43,112 BEGINNING SO IF SUCCESSFUL YOU 1861 00:59:43,112 --> 00:59:44,981 HAVE BUY IN, IF THIS IS 1862 00:59:44,981 --> 00:59:51,754 SUCCESSFUL THEY WOULD 1863 00:59:51,754 --> 00:59:52,288 IMPLEMENTING. 1864 00:59:52,288 --> 00:59:54,390 YOU WANT THE INTERVENTION THEN 1865 00:59:54,390 --> 00:59:57,026 WELL INTEGRATED INTO AN EXISTING 1866 00:59:57,026 --> 00:59:57,260 SYSTEM. 1867 00:59:57,260 --> 01:00:04,867 AN EXAMPLE I DEVELOP A TOBACCO 1868 01:00:04,867 --> 01:00:07,203 CESSATION INTERVENTIONCECULTURAN 1869 01:00:07,203 --> 01:00:07,503 ADULTS. 1870 01:00:07,503 --> 01:00:08,871 IF EFFECTIVE, I WANTED TO MAKE 1871 01:00:08,871 --> 01:00:10,607 SURE IT COULD BE DISSEMINATED AS 1872 01:00:10,607 --> 01:00:12,375 WIDELY AS POSSIBLE, NOT SIT ON 1873 01:00:12,375 --> 01:00:18,881 THE SHELF OR JUSTING IN -- JUT 1874 01:00:18,881 --> 01:00:19,682 BE IN A JOURNAL. 1875 01:00:19,682 --> 01:00:22,952 WHAT MIGHT BE IT SYSTEM TO HAVE 1876 01:00:22,952 --> 01:00:23,853 THE INFRASTRUCTURE TO 1877 01:00:23,853 --> 01:00:24,520 DISSEMINATE IF SUCCESSFUL, I 1878 01:00:24,520 --> 01:00:25,622 THOUGHT ABOUT THAT AT THE 1879 01:00:25,622 --> 01:00:29,659 BEGINNING, BROUGHT IN THOSE 1880 01:00:29,659 --> 01:00:30,526 PARTNERS, CHOSE TO ENGAGE THE 1881 01:00:30,526 --> 01:00:32,195 QUIT LINE. 1882 01:00:32,195 --> 01:00:33,096 THERE'S A TOBACCO QUIT LINE IN 1883 01:00:33,096 --> 01:00:34,831 EVERY STATE. 1884 01:00:34,831 --> 01:00:37,000 THERE ARE TWO COMPANIES WHO 1885 01:00:37,000 --> 01:00:38,401 OPERATE ABOUT 80% OF THE 1886 01:00:38,401 --> 01:00:41,137 COUNTRY'S QUIT LINES. 1887 01:00:41,137 --> 01:00:42,138 IF WE CAN DEVELOP AN 1888 01:00:42,138 --> 01:00:43,439 INTERVENTION WE WANT THEM EARLY 1889 01:00:43,439 --> 01:00:46,175 AND WANT TO DISCUSS WITH THEM 1890 01:00:46,175 --> 01:00:47,477 THE POTENTIAL OF INTEGRATING 1891 01:00:47,477 --> 01:00:48,911 THIS INTO THEIR MODEL OF CARE. 1892 01:00:48,911 --> 01:00:51,981 SO WE DID THAT AT THE VERY 1893 01:00:51,981 --> 01:00:52,448 BEGINNING BEFORE WE 1894 01:00:52,448 --> 01:00:52,582 NTED 1895 01:00:52,582 --> 01:00:54,651 BE INTERVENTIONVE WHICH WAS A 1896 01:00:54,651 --> 01:00:55,752 VIDEO-BASED INTERVENTION AND 1897 01:00:55,752 --> 01:01:00,790 TRANSLATED INTO A MOBILE HEALTH 1898 01:01:00,790 --> 01:01:03,760 FORMAT ONCE WE DEMONSTRATED IN A 1899 01:01:03,760 --> 01:01:06,929 LARGE TRIAL, WE HAVE A PILOT 1900 01:01:06,929 --> 01:01:08,464 FEASIBILITY, CONDUCTED ON PILOT 1901 01:01:08,464 --> 01:01:11,634 FUNDS, TO DEMONSTRATE THAT THIS 1902 01:01:11,634 --> 01:01:12,935 COULD WORK. 1903 01:01:12,935 --> 01:01:14,137 AND THEN WE INTEGRATED THROUGH 1904 01:01:14,137 --> 01:01:16,639 FUNDING INTO A QUIT LINE, TESTED 1905 01:01:16,639 --> 01:01:19,075 IT, AFTER EFFECTIVE AND 1906 01:01:19,075 --> 01:01:19,876 DEMONSTRATED TO BE EFFICACIOUS 1907 01:01:19,876 --> 01:01:21,477 BOTH OF THE LARGEST QUIT LINES 1908 01:01:21,477 --> 01:01:23,846 PICKED THAT INTERVENTION UP. 1909 01:01:23,846 --> 01:01:25,415 IT'S NOW INTEGRATED INTO 80% OF 1910 01:01:25,415 --> 01:01:28,317 THE COUNTRY'S QUIT LINES,SOMEONY 1911 01:01:28,317 --> 01:01:30,053 AS BEING BLACK OR AFRICAN 1912 01:01:30,053 --> 01:01:32,021 AMERICAN, THEY HAVE THE OPTION 1913 01:01:32,021 --> 01:01:33,990 OF RECEIVING THIS INTERVENTION. 1914 01:01:33,990 --> 01:01:36,092 THAT'S MY BIGGEST MOST PROUD AS 1915 01:01:36,092 --> 01:01:37,160 AN INTERVENTIONIST, THAT'S WHAT 1916 01:01:37,160 --> 01:01:39,028 YOU WANT, YOU WANT YOUR 1917 01:01:39,028 --> 01:01:40,463 INTERVENTION TO REACH PEOPLE. 1918 01:01:40,463 --> 01:01:42,632 WE'RE ABLE TO GENERATE AND THEY 1919 01:01:42,632 --> 01:01:45,134 ARE ABLE TO GENERATE THEIR OWN 1920 01:01:45,134 --> 01:01:47,770 DATA ON UTILIZATION, ARE PEOPLE 1921 01:01:47,770 --> 01:01:51,474 INTERESTED, PICKING IT UP, WHAT 1922 01:01:51,474 --> 01:01:53,242 ARE THE OUTCOMES, AND COMPARE TO 1923 01:01:53,242 --> 01:01:54,911 PEOPLE WHO ELECTED NOT TO 1924 01:01:54,911 --> 01:01:55,778 RECEIVE BECAUSE IT'S OPTIONAL. 1925 01:01:55,778 --> 01:01:58,948 I THINK AT THE BEGINNING YOU 1926 01:01:58,948 --> 01:02:00,483 WANT TO THINK ABOUT THE LONG 1927 01:02:00,483 --> 01:02:01,818 GAME, IF YOU SOMETHING EFFECTIVE 1928 01:02:01,818 --> 01:02:06,622 WHERE IS IT GOING NEXT? 1929 01:02:06,622 --> 01:02:07,590 >> THANK YOU. 1930 01:02:07,590 --> 01:02:09,792 >> THERE ARE A COUPLE PLACES 1931 01:02:09,792 --> 01:02:12,128 WHERE THE NIH STRUGGLES TO 1932 01:02:12,128 --> 01:02:13,730 SUPPORT TEAMS THAT WANT TO 1933 01:02:13,730 --> 01:02:14,630 INCORPORATE COMMUNITIES. 1934 01:02:14,630 --> 01:02:16,032 ONE IS THAT IF YOU HAVE AN 1935 01:02:16,032 --> 01:02:17,233 INTERVENTION IN MIND IT'S GREAT 1936 01:02:17,233 --> 01:02:19,535 TO GO TO A COMMUNITY AND PARTNER 1937 01:02:19,535 --> 01:02:23,039 WITH THEM. 1938 01:02:23,039 --> 01:02:23,673 SOMETIMES COMMUNITIES RESME 1939 01:02:23,673 --> 01:02:25,842 PRIORITIESESRE NOT THE 1940 01:02:25,842 --> 01:02:26,809 SAME AS THE INVESTIGATOR, 1941 01:02:26,809 --> 01:02:28,544 THERE'S SOME INVESTMENT REQUIRED 1942 01:02:28,544 --> 01:02:29,312 TO ESTABLISH THE RELATIONSHIP IN 1943 01:02:29,312 --> 01:02:30,113 THE FIRST PLACE. 1944 01:02:30,113 --> 01:02:32,181 IT'S NOT CLEAR WHETHER THAT'S 1945 01:02:32,181 --> 01:02:33,716 RESPONSIBILITY OFIL THE 1946 01:02:33,716 --> 01:02:34,383 INVESTIGATORS AND INSTITUTIONS 1947 01:02:34,383 --> 01:02:36,119 OR WHETHER THE NIH SHOULD PLAY A 1948 01:02:36,119 --> 01:02:38,387 ROLE IN THAT BUT THERE'S NO 1949 01:02:38,387 --> 01:02:41,657 MECHANISM TO START TO ESTABLISH 1950 01:02:41,657 --> 01:02:43,726 THOSE RELATIONSHIPS. 1951 01:02:43,726 --> 01:02:44,327 SOMETIMES WHEN RELATIONSHIPS 1952 01:02:44,327 --> 01:02:46,462 ALREADY EXIST THEY CAN BE 1953 01:02:46,462 --> 01:02:47,263 LEVERAGED SUCCESSFULLY TO WRITE 1954 01:02:47,263 --> 01:02:49,532 A GRANT BUT IT'S HARDER WHEN 1955 01:02:49,532 --> 01:02:51,934 YOU'RE AT EARLIER STAGE. 1956 01:02:51,934 --> 01:02:53,236 ANOTHER ISSUE WE'VE ENCOUNTERED 1957 01:02:53,236 --> 01:02:55,238 AS PART OF THE IMPLEMENTATION 1958 01:02:55,238 --> 01:02:56,539 SCIENCE HUB AND IMPROVE 1959 01:02:56,539 --> 01:02:58,508 INITIATIVE IS THAT THE 1960 01:02:58,508 --> 01:03:01,811 STRUCTURES IN THE NIH, YOU COULD 1961 01:03:01,811 --> 01:03:03,446 SAY CREATING A BIOSKETCH, AS WE 1962 01:03:03,446 --> 01:03:11,320 PUT TOGETHER OUR IMPLEMENTATION 1963 01:03:11,320 --> 01:03:15,258 HUB, A PARTNER SAID IS THAT? 1964 01:03:15,258 --> 01:03:16,692 WE HAD TO WRITE IT. 1965 01:03:16,692 --> 01:03:18,861 OTHER CENTERS IN THE INITIATIVE 1966 01:03:18,861 --> 01:03:20,163 WHERE THEY HAD TO PUT TOGETHER 1967 01:03:20,163 --> 01:03:22,598 TEN OR FIFTEEN OR TWENTY 1968 01:03:22,598 --> 01:03:23,366 BIOSKETCHES BECAUSE THEY 1969 01:03:23,366 --> 01:03:25,434 COULDN'T SUBMIT THE APPLICATION 1970 01:03:25,434 --> 01:03:26,636 WITHOUT A DOCUMENT, RIGHT? 1971 01:03:26,636 --> 01:03:28,070 THERE WASN'T A WAY TO SAY THIS 1972 01:03:28,070 --> 01:03:30,606 IS A COMMUNITY PARTNER, THEY 1973 01:03:30,606 --> 01:03:32,141 DON'T HAVE A BIOSKETCH, CAN WE 1974 01:03:32,141 --> 01:03:33,876 STILL MOVE FORWARD, SO THERE'S 1975 01:03:33,876 --> 01:03:36,078 STRUCTURAL THINGS THAT COULD 1976 01:03:36,078 --> 01:03:37,346 CHANGE TO HELP. 1977 01:03:37,346 --> 01:03:40,750 AND THE LENGTH OF FUNDING 1978 01:03:40,750 --> 01:03:42,418 MECHANISMS YOU'VE HEARD ABOUT. 1979 01:03:42,418 --> 01:03:43,920 SOMETIMES MAKE IT DIFFICULT FOR 1980 01:03:43,920 --> 01:03:46,122 SUSTAINMENT BUT I THINK THERE 1981 01:03:46,122 --> 01:03:47,290 ARE POTENTIALLY SOME MECHANISMS, 1982 01:03:47,290 --> 01:03:48,090 WHETHER COMPETING RENEWALS OR 1983 01:03:48,090 --> 01:03:52,929 OTHERS THAT MIGHT HELP, BUT THE 1984 01:03:52,929 --> 01:03:54,130 FIVE-YEAR FOUR-TO FIVE-YEAR 1985 01:03:54,130 --> 01:03:56,532 TIMELINE CAN BE CHALLENGING FOR 1986 01:03:56,532 --> 01:03:56,966 COMMUNITIES. 1987 01:03:56,966 --> 01:03:59,936 >> IT'S ONE THING THE CARE FOR 1988 01:03:59,936 --> 01:04:03,439 HELP INITIATIVE IS HOPING TO 1989 01:04:03,439 --> 01:04:05,675 ADDRESS BUT THAT'S ONE PROBLEM. 1990 01:04:05,675 --> 01:04:10,479 >> HOLLY? 1991 01:04:10,479 --> 01:04:15,852 >> EVERYONE COVERED THAT WELL. 1992 01:04:15,852 --> 01:04:17,153 >> WE DO HAVE AN INTRAMURAL 1993 01:04:17,153 --> 01:04:18,020 PROGRAM AS WELL. 1994 01:04:18,020 --> 01:04:21,290 ONE OF THE STRENGTHS OR 1995 01:04:21,290 --> 01:04:23,059 ADVANTAGES IS WE'RE NOT RELIANT 1996 01:04:23,059 --> 01:04:24,493 ON THESE FIVE-YEAR FUNDING 1997 01:04:24,493 --> 01:04:24,827 CYCLES. 1998 01:04:24,827 --> 01:04:26,329 WE'RE ACCOUNTABLE AT THE BACK 1999 01:04:26,329 --> 01:04:27,096 END. 2000 01:04:27,096 --> 01:04:30,066 SO WE HAVE THE CAPACITY TO 2001 01:04:30,066 --> 01:04:31,367 DEVELOP LONGSTANDING 2002 01:04:31,367 --> 01:04:33,569 RELATIONSHIPS AND SEE OUR 2003 01:04:33,569 --> 01:04:34,237 DISCOVERIES THROUGH TO 2004 01:04:34,237 --> 01:04:35,972 IMPLEMENTATION SO I THINK 2005 01:04:35,972 --> 01:04:37,506 THINKING ABOUT HOW THE 2006 01:04:37,506 --> 01:04:38,374 INTRAMURAL PROGRAM, RIGHT, CAN 2007 01:04:38,374 --> 01:04:40,576 ADVANCE THE FIELD IS IMPORTANT 2008 01:04:40,576 --> 01:04:42,178 AS WELL. 2009 01:04:42,178 --> 01:04:43,512 >> GREAT POINT. 2010 01:04:43,512 --> 01:04:45,715 NEXT QUESTION IS FOR DR. 2011 01:04:45,715 --> 01:04:46,382 STORKEL. 2012 01:04:46,382 --> 01:04:48,217 A KEY CHALLENGE FOR 2013 01:04:48,217 --> 01:04:48,784 COMMUNICATION DISORDERS 2014 01:04:48,784 --> 01:04:52,388 RESEARCHERS WHO WANT TO ENGAGE 2015 01:04:52,388 --> 01:04:53,589 IN DISSEMINATION AND 2016 01:04:53,589 --> 01:04:55,458 IMPLEMENTATION RESEARCH IS 2017 01:04:55,458 --> 01:04:58,194 BUILDING THESE PARTNERSHIPS WITH 2018 01:04:58,194 --> 01:05:00,263 D&I EXPERTS, COMMUNITY MEMBERS, 2019 01:05:00,263 --> 01:05:01,230 PROFESSIONALS, SYSTEM LEADERS 2020 01:05:01,230 --> 01:05:03,566 LIKE THOSE IN SCHOOLS AND 2021 01:05:03,566 --> 01:05:04,200 HOSPITALS. 2022 01:05:04,200 --> 01:05:06,269 TIME AND EFFORT ARE NEEDED TO 2023 01:05:06,269 --> 01:05:08,371 ESTABLISH THESE RELATIONSHIPS AS 2024 01:05:08,371 --> 01:05:11,240 WE'VE JUST DISCUSSED, AND 2025 01:05:11,240 --> 01:05:12,642 POTENTIAL PARTNERS FACE 2026 01:05:12,642 --> 01:05:13,743 CHALLENGES PARTICIPATING IN 2027 01:05:13,743 --> 01:05:15,211 COLLABORATIONS, PARTICULARLY DUE 2028 01:05:15,211 --> 01:05:17,747 TO HEAVY DEMANDS FOR THEIR TIME. 2029 01:05:17,747 --> 01:05:19,148 SO, DR. STORKEL, WHAT ADVICE DO 2030 01:05:19,148 --> 01:05:21,651 YOU HAVE FOR RESEARCHERS WHO ARE 2031 01:05:21,651 --> 01:05:25,588 LOOKING TO ESTABLISH THESE 2032 01:05:25,588 --> 01:05:27,924 RELATIONSHIPS AND BUILD 2033 01:05:27,924 --> 01:05:28,491 COMPETENCIES FOR 2034 01:05:28,491 --> 01:05:29,458 MULTI-DISCIPLINARY TEAM? 2035 01:05:29,458 --> 01:05:30,426 >> WE'VE COVERED A LOT OF GOOD 2036 01:05:30,426 --> 01:05:31,727 POINTS, REALLY GOOD CHALLENGES. 2037 01:05:31,727 --> 01:05:33,062 ONE OF THE THINGS YOU HEAR IS 2038 01:05:33,062 --> 01:05:34,563 YOU HAVE TO START BUILDING THAT 2039 01:05:34,563 --> 01:05:36,565 PARTNERSHIP BEFORE YOU REALLY 2040 01:05:36,565 --> 01:05:38,200 NEED IT. 2041 01:05:38,200 --> 01:05:44,774 IN SOME WAYS A DATING ANALOGY 2042 01:05:44,774 --> 01:05:48,077 WORKS, SECOND DATE ISN'T GETTING 2043 01:05:48,077 --> 01:05:49,712 THERE,NTING GOING ZERO 2044 01:05:49,712 --> 01:05:51,714 TO A HUNDRED, YOU HAVE TO BUILD 2045 01:05:51,714 --> 01:05:52,348 UP RELATIONSHIP AND 2046 01:05:52,348 --> 01:05:53,616 UNDERSTANDING, HOW DOES THAT 2047 01:05:53,616 --> 01:05:53,816 START? 2048 01:05:53,816 --> 01:05:55,084 MUCH LIKE DATING YOU HAVE TO GO 2049 01:05:55,084 --> 01:05:56,752 WHERE THE PEOPLE ARE YOU WANT TO 2050 01:05:56,752 --> 01:05:57,153 COLLABORATE WITH. 2051 01:05:57,153 --> 01:05:59,021 THEY ARE NOT GOING TO KNOCK ON 2052 01:05:59,021 --> 01:06:00,456 YOUR DAY, HEY, WERE YOU THINKING 2053 01:06:00,456 --> 01:06:01,590 ABOUT DOING A RESEARCH PROJECT? 2054 01:06:01,590 --> 01:06:03,059 I MIGHT BE INTO THAT. 2055 01:06:03,059 --> 01:06:04,760 YOU'VE GOT TO GO TO WHERE THE 2056 01:06:04,760 --> 01:06:05,294 PEOPLE ARE. 2057 01:06:05,294 --> 01:06:09,265 YOU NEED TO FIGURE OUT WHERE ARE 2058 01:06:09,265 --> 01:06:10,132 THE PRACTITIONERS, THE PATIENTS, 2059 01:06:10,132 --> 01:06:12,001 AND GO TO THEM AND LISTEN TO 2060 01:06:12,001 --> 01:06:14,070 THEM, FIND OUT WHAT IT IS THAT 2061 01:06:14,070 --> 01:06:16,839 THEY ARE TALKING ABOUT THAT THEY 2062 01:06:16,839 --> 01:06:18,040 ARE CONCERNED ABOUT. 2063 01:06:18,040 --> 01:06:20,543 YOU CAN ALSO CREATE EVENTS TO 2064 01:06:20,543 --> 01:06:24,613 ATTRACT THE PARTNERS TO YOU. 2065 01:06:24,613 --> 01:06:27,183 SO, FOR EXAMPLE, IF YOUR 2066 01:06:27,183 --> 01:06:29,618 PRACTITIONER BASE NEEDS TO DO 2067 01:06:29,618 --> 01:06:30,386 PROFESSIONAL DEVELOPMENT HOURS, 2068 01:06:30,386 --> 01:06:31,387 CONTINUING EDUCATION, YOU CAN 2069 01:06:31,387 --> 01:06:32,455 OFFER THAT ACTIVITY FOR FREE SO 2070 01:06:32,455 --> 01:06:34,323 THEY WILL COME TO YOU AND YOU 2071 01:06:34,323 --> 01:06:36,192 CAN FIND OUT MORE ABOUT WHAT 2072 01:06:36,192 --> 01:06:37,960 THEY ARE DOING. 2073 01:06:37,960 --> 01:06:40,029 I SAW ON SOCIAL MEDIA ONE OF OUR 2074 01:06:40,029 --> 01:06:42,331 P.I.s HAD AN OPEN LAB, INVITED 2075 01:06:42,331 --> 01:06:43,632 REFERRAL SOURCES AND 2076 01:06:43,632 --> 01:06:44,600 PARTICIPANTS TO COME AND FIND 2077 01:06:44,600 --> 01:06:46,135 OUT WHAT THEY HAD BEEN DOING 2078 01:06:46,135 --> 01:06:46,936 RESEARCH ON. 2079 01:06:46,936 --> 01:06:48,771 L ATTENDED. 2080 01:06:48,771 --> 01:06:51,240 PEOPLE CAME AND SEEMED REALLY 2081 01:06:51,240 --> 01:06:53,109 INTERESTED TO LEARN MORE WHAT 2082 01:06:53,109 --> 01:06:54,844 WAS HAPPENING. 2083 01:06:54,844 --> 01:06:57,913 I ALSO ENCOURAGE SOME LEGAL 2084 01:06:57,913 --> 01:06:58,881 CYBER STALKING. 2085 01:06:58,881 --> 01:07:00,216 PEOPLE HAVE LOTS OF INFORMATION 2086 01:07:00,216 --> 01:07:01,851 ON THEIR WEB PAGE AND PEOPLE 2087 01:07:01,851 --> 01:07:04,153 RARELY TAKE ADVANTAGE OF IT. 2088 01:07:04,153 --> 01:07:07,323 BUT THERE'S STRATEGIC PLANS, 2089 01:07:07,323 --> 01:07:08,624 ANNUAL REPORTS, THERE'S MINUTES 2090 01:07:08,624 --> 01:07:09,959 FROM MEETINGS THAT CAN START TO 2091 01:07:09,959 --> 01:07:11,794 HELP YOU UNDERSTAND LIKE WHAT IS 2092 01:07:11,794 --> 01:07:12,895 THIS GROUP INTERESTED IN, AND 2093 01:07:12,895 --> 01:07:15,865 YOU MIGHT NOT FIND A GROUP WHO 2094 01:07:15,865 --> 01:07:17,266 IS NECESSARILY SPECIFICALLY 2095 01:07:17,266 --> 01:07:19,235 INTERESTED IN HEARING AN OLDER 2096 01:07:19,235 --> 01:07:21,170 ADULT BUT MIGHT BE INTERESTED IN 2097 01:07:21,170 --> 01:07:25,474 OLDER ADULT ADULTS AND THERE ME 2098 01:07:25,474 --> 01:07:26,342 COMMON GROUND. 2099 01:07:26,342 --> 01:07:28,644 YOU HAVE TO TAKE THAT TIME TO 2100 01:07:28,644 --> 01:07:31,047 GET TO KNOW PEOPLE. 2101 01:07:31,047 --> 01:07:32,581 AND WHEN YOU'RE STARTING TO WANT 2102 01:07:32,581 --> 01:07:33,783 TO ACTUALLY COLLABORATE, YOU 2103 01:07:33,783 --> 01:07:38,921 ALSO WANT TO THINK OF A 2104 01:07:38,921 --> 01:07:40,456 CONTINUUM OF ENGAGEMENT. 2105 01:07:40,456 --> 01:07:42,224 YOUR SECOND DATE ISN'T GETTING 2106 01:07:42,224 --> 01:07:42,625 MARRIED. 2107 01:07:42,625 --> 01:07:44,326 IT'S MORE LET'S MEET IN A PUBLIC 2108 01:07:44,326 --> 01:07:50,599 PLACE, DO AN EVENT THAT TAKES 2109 01:07:50,599 --> 01:07:53,235 EXACTLY ONE HOUR SO WE'RE 2110 01:07:53,235 --> 01:07:54,303 INVESTING THIS MUCH TIME, GETS 2111 01:07:54,303 --> 01:07:58,574 TO THE ISSUE OF TIME MANAGEMENT 2112 01:07:58,574 --> 01:08:02,445 YOUR PARTNERS NOT BE READY TO 2113 01:08:02,445 --> 01:08:04,547 JUMP ON BOARD, GRANT 2114 01:08:04,547 --> 01:08:05,514 APPLICATION, CREATING 2115 01:08:05,514 --> 01:08:07,149 BIOSKETCHES. 2116 01:08:07,149 --> 01:08:08,584 THINK ABOUT DIFFERENT WAYS YOU 2117 01:08:08,584 --> 01:08:09,452 CAN INVOLVE POTENTIAL PARTNERS 2118 01:08:09,452 --> 01:08:13,022 IN A WAY THAT PROTECTS THEIR 2119 01:08:13,022 --> 01:08:14,824 TIME, THAT LETS THEM GET TO KNOW 2120 01:08:14,824 --> 01:08:15,124 YOU. 2121 01:08:15,124 --> 01:08:16,892 SO, FOR EXAMPLE, A COMMUNITY 2122 01:08:16,892 --> 01:08:19,295 ADVISORY BOARD IS ONE WAY THAT 2123 01:08:19,295 --> 01:08:21,263 IS A PRETTY LIGHT LIFT FOR OTHER 2124 01:08:21,263 --> 01:08:22,798 MEMBERS TO HAVE INVOLVEMENT IN 2125 01:08:22,798 --> 01:08:23,999 YOUR RESEARCH. 2126 01:08:23,999 --> 01:08:25,134 THAT'S USUALLY SET UP ASAL 2127 01:08:25,134 --> 01:08:26,502 SOMETHING LIKE A MONTHLYEETING 2128 01:08:26,502 --> 01:08:27,803 THAT'S ONLY AN HOUR LONG WITH A 2129 01:08:27,803 --> 01:08:29,338 LITTLE BIT OF PREP BEFORE, A 2130 01:08:29,338 --> 01:08:30,372 LITTLE AFTER. 2131 01:08:30,372 --> 01:08:32,475 SO IT'S VERY TIME LIMITED, THIS 2132 01:08:32,475 --> 01:08:34,710 IS WHAT THE TIME IS THAT I'M 2133 01:08:34,710 --> 01:08:35,478 ASKING OF YOU. 2134 01:08:35,478 --> 01:08:37,213 AND Y OFOURSE THE TOPIC 2135 01:08:37,213 --> 01:08:39,381 NEEDS TO BE SPECIFIED. 2136 01:08:39,381 --> 01:08:42,351 BUT THERE'S STILL FLEXIBILITY IN 2137 01:08:42,351 --> 01:08:43,752 THAT TOO WHERE YOU CAN BRING 2138 01:08:43,752 --> 01:08:44,920 THINGS TO THE COMMUNITY ADVISORY 2139 01:08:44,920 --> 01:08:46,088 BOARD AND MIGHT FIND OUT THEY 2140 01:08:46,088 --> 01:08:47,423 DON'T HAVE THOUGHTS ABOUT THAT 2141 01:08:47,423 --> 01:08:49,625 OR I DIDN'T PRESENT THAT IN A 2142 01:08:49,625 --> 01:08:53,996 YOU START TO LEARN THA L CAPACIY 2143 01:08:53,996 --> 01:08:56,198 BUILDING PART OF WHAT DO THEY 2144 01:08:56,198 --> 01:08:58,467 KNOW ABOUT RESEARCH, A LOT OF 2145 01:08:58,467 --> 01:08:59,802 TIMES WE MAKE ASSUMPTIONS THAT 2146 01:08:59,802 --> 01:09:00,903 EVERYONE KNOWS HOW RESEARCH 2147 01:09:00,903 --> 01:09:03,072 WORKS OR EVERYONE IS ON THE SAME 2148 01:09:03,072 --> 01:09:04,507 PAGE, SO YOU START TO LEARN THE 2149 01:09:04,507 --> 01:09:08,310 KINDS OF THINGS THAT YOU NEED TO 2150 01:09:08,310 --> 01:09:09,845 HELP YOUR PARTNERS UNDERSTAND 2151 01:09:09,845 --> 01:09:12,148 AND BE READY TO PARTICIPATE IN 2152 01:09:12,148 --> 01:09:14,783 AND WHAT'S REALISTIC IN THAT 2153 01:09:14,783 --> 01:09:15,117 REGARD. 2154 01:09:15,117 --> 01:09:18,621 THE OTHER THING THAT'S COME UP 2155 01:09:18,621 --> 01:09:21,824 HERE IS CURRENCY. 2156 01:09:21,824 --> 01:09:23,192 SO CURRENCY IS REALLY IMPORTANT 2157 01:09:23,192 --> 01:09:24,693 THAT YOUR PARTNERS NEED TO GET 2158 01:09:24,693 --> 01:09:25,794 SOMETHING OUT OF THIS. 2159 01:09:25,794 --> 01:09:28,497 THEY ARE NOT JUST HELPING YOU. 2160 01:09:28,497 --> 01:09:29,398 THAT'S NOT A PARTNERSHIP. 2161 01:09:29,398 --> 01:09:30,699 THEY DO THINGS FOR YOU AND YOU 2162 01:09:30,699 --> 01:09:32,768 GET A LOT OUT AND THEY GET 2163 01:09:32,768 --> 01:09:33,002 NOTHING. 2164 01:09:33,002 --> 01:09:33,903 EVERYONE HAS TO GET SYO 2165 01:09:33,903 --> 01:09:34,904 OUT OF IT. 2166 01:09:34,904 --> 01:09:36,672 THERE HAS TO BE SOME EQUITY 2167 01:09:36,672 --> 01:09:39,408 IN WHAT YOU'RE GETTING. 2168 01:09:39,408 --> 01:09:40,709 SO CURRENCY GETS AT WHAT DO YOU 2169 01:09:40,709 --> 01:09:42,878 GET OUT OF THIS THAT YOU CAN 2170 01:09:42,878 --> 01:09:44,747 SPEND THAT IS USEFUL TO YOU? 2171 01:09:44,747 --> 01:09:46,849 FOR SOME PARTNERS MAYBE THAT'S 2172 01:09:46,849 --> 01:09:47,716 PUBLICATIONS AND GRANTS. 2173 01:09:47,716 --> 01:09:50,319 FOR A LOT OF PARTNERS THAT'S NOT 2174 01:09:50,319 --> 01:09:51,987 IT AT ALL. 2175 01:09:51,987 --> 01:09:53,956 THEY WANT TO MAYBE BRING ON A 2176 01:09:53,956 --> 01:09:56,225 NEW SERVICE THEY CAN BILL FOR, 2177 01:09:56,225 --> 01:09:57,159 FOR EXAMPLE. 2178 01:09:57,159 --> 01:09:58,861 WE SHOULDN'T IGNORE THE FACT 2179 01:09:58,861 --> 01:10:01,263 THAT THERE ARE FINANCIAL 2180 01:10:01,263 --> 01:10:02,164 PRESSURES AND DIFFERENT 2181 01:10:02,164 --> 01:10:03,799 ENVIRONMENTS THAT DRIVE SOME OF 2182 01:10:03,799 --> 01:10:05,000 WHAT HAPPENS. 2183 01:10:05,000 --> 01:10:06,769 THEY MIGHT BE MOTIVATED BY 2184 01:10:06,769 --> 01:10:08,370 YUTCOMES OR BY BETTER USE 2185 01:10:08,370 --> 01:10:09,572 OF THEIR WORKFORCE AND THINGS 2186 01:10:09,572 --> 01:10:10,339 LIKE THAT. 2187 01:10:10,339 --> 01:10:12,575 SO YOU REALLY NEED TO UNDERSTAND 2188 01:10:12,575 --> 01:10:14,276 WHAT IT IS THAT MOTIVATES THEM 2189 01:10:14,276 --> 01:10:16,345 AND MAKE SURE THAT THEY ARE ABLE 2190 01:10:16,345 --> 01:10:17,780 TO GET THEIR CURRENCY OUT OF THE 2191 01:10:17,780 --> 01:10:20,182 PARTNERSHIP AND THAT YOU'RE NOT 2192 01:10:20,182 --> 01:10:22,384 JUST TAKING, YOU'RE GIVING, AND 2193 01:10:22,384 --> 01:10:25,020 THERE'S SOME RECIPROCITY BETWEEN 2194 01:10:25,020 --> 01:10:25,487 THE 2195 01:10:25,487 --> 01:10:25,621 WO. 2196 01:10:25,621 --> 01:10:27,590 THE LAST THING I WANT TO TALK 2197 01:10:27,590 --> 01:10:29,225 ABOUT TOO IS I THINK SOMETIMES 2198 01:10:29,225 --> 01:10:33,195 YOU CAN FIND PEOPLE IN AN 2199 01:10:33,195 --> 01:10:33,862 ORGANIZATION THAT RESONATE WITH 2200 01:10:33,862 --> 01:10:35,764 YOU AND ARE ON BOARD WITH DOING 2201 01:10:35,764 --> 01:10:37,833 SOME TYPE OF A PROJECT. 2202 01:10:37,833 --> 01:10:39,468 WE'VE ALSO MENTIONED HERE 2203 01:10:39,468 --> 01:10:39,902 SYSTEMS. 2204 01:10:39,902 --> 01:10:42,871 YOU NEED MORE THAN JUST A 2205 01:10:42,871 --> 01:10:43,105 PERSON. 2206 01:10:43,105 --> 01:10:44,506 YOU NEED SYSTEMS INVOLVED. 2207 01:10:44,506 --> 01:10:47,476 SO, IT IS IMPORTANT TO HAVE FACE 2208 01:10:47,476 --> 01:10:49,878 TIME WITH LEADERSHIP AND TO 2209 01:10:49,878 --> 01:10:52,414 BUILD TRUST WITH PEOPLE IN 2210 01:10:52,414 --> 01:10:54,049 LEADERSHIP POSITIONS, NOT JUST 2211 01:10:54,049 --> 01:10:55,317 MAYBE THE FRONTLINE WORKERS WHO 2212 01:10:55,317 --> 01:10:59,855 MAY BE VERY MUCH MOTIVATED TO 2213 01:10:59,855 --> 01:11:01,490 SEE CHANGE IN THEIR PATIENTS AND 2214 01:11:01,490 --> 01:11:02,391 IMPROVE OUTCOMES. 2215 01:11:02,391 --> 01:11:05,094 YOU ALSO NEED TO GET THE BUY-IN 2216 01:11:05,094 --> 01:11:07,096 FROM HIGHER UP SO YOU NEED THINK 2217 01:11:07,096 --> 01:11:09,164 ABOUT THAT MULTIPLE LEVELS OF 2218 01:11:09,164 --> 01:11:11,767 ENGAGEMENT AND, AGAIN, A 2219 01:11:11,767 --> 01:11:13,435 DIFFERENT MAYBE CONTINUUM OF 2220 01:11:13,435 --> 01:11:13,736 ENGAGEMENT. 2221 01:11:13,736 --> 01:11:14,370 MAYBE THE CHAMPION IS SOMEONE 2222 01:11:14,370 --> 01:11:16,705 WHO IS GOING TO GIVE A LOT MORE 2223 01:11:16,705 --> 01:11:18,807 TIME AND BE VERY INVOLVED, BUT 2224 01:11:18,807 --> 01:11:20,342 YOU STILL NEED AT LEAST A LITTLE 2225 01:11:20,342 --> 01:11:21,977 BIT OF RELATIONSHIP WITH SOME 2226 01:11:21,977 --> 01:11:23,712 HIGHER-UP PEOPLE WHO ARE THE 2227 01:11:23,712 --> 01:11:26,282 ONES WHO ARE GOING TO APPROVE 2228 01:11:26,282 --> 01:11:27,783 YOUR CHAMPION'S TIME TOWARDS THE 2229 01:11:27,783 --> 01:11:29,118 PROJECT AND THINGS LIKE THAT. 2230 01:11:29,118 --> 01:11:31,287 SO YOU HAVE TO REALLY BUILD THAT 2231 01:11:31,287 --> 01:11:34,256 WHOLE SUPPORT AND TRUST WITHIN 2232 01:11:34,256 --> 01:11:36,458 THE ORGANIZATION AND NOT JUST AN 2233 01:11:36,458 --> 01:11:37,559 INDIVIDUAL PERSON. 2234 01:11:37,559 --> 01:11:39,828 >> I WOULD ADD ONE MORE THING TO 2235 01:11:39,828 --> 01:11:40,763 HOLLY'S COMMENTS, WHICH I AGREE 2236 01:11:40,763 --> 01:11:43,465 W WHEN WE'RE THINKING ABOUT 2237 01:11:43,465 --> 01:11:45,000 ENGAGING COMMUNITIES, SOME 2238 01:11:45,000 --> 01:11:47,970 INSTITUTIONS HAVE HISTORIES OF 2239 01:11:47,970 --> 01:11:49,405 EXTRACTIVE OR TRANSACTIONAL 2240 01:11:49,405 --> 01:11:50,272 RELATIONSHIPS WITH COMMUNITIES, 2241 01:11:50,272 --> 01:11:51,473 SO INVESTIGATORS ARE GOING INTO 2242 01:11:51,473 --> 01:11:52,207 COMMUNITIES THEY NEED TO 2243 01:11:52,207 --> 01:11:52,908 RECOGNIZE THAT. 2244 01:11:52,908 --> 01:11:56,278 IF THERE'S A HISTORY OF 2245 01:11:56,278 --> 01:11:57,680 INSTITUTION EXPLOITING A GIVEN 2246 01:11:57,680 --> 01:11:58,681 COMMUNITY, THAT PROBABLY NEEDS 2247 01:11:58,681 --> 01:12:01,317 TO BE RECOGNIZED AT SOME LEVEL, 2248 01:12:01,317 --> 01:12:03,619 OR IF INSTITUTIONS THEMSELVES 2249 01:12:03,619 --> 01:12:04,386 HAVE ADVERSARIAL RELATIONSHIPS 2250 01:12:04,386 --> 01:12:06,021 THAT MAY NEEDS TO BE 2251 01:12:06,021 --> 01:12:07,990 ACKNOWLEDGED AS PRECURSOR TO 2252 01:12:07,990 --> 01:12:10,192 DEVELOPING A PRODUCTIVE 2253 01:12:10,192 --> 01:12:10,492 PARTNERSHIP. 2254 01:12:10,492 --> 01:12:12,061 >> GREAT POINTS. 2255 01:12:12,061 --> 01:12:14,797 DR. LANE-FALL, SINCE YOU I THINK 2256 01:12:14,797 --> 01:12:18,167 CHAIR ONE OF THE STUDY SECTIONS 2257 01:12:18,167 --> 01:12:20,102 SIDERS THESE 2258 01:12:20,102 --> 01:12:25,207 APPLICATIONS, WHAT ARE IN THE 2259 01:12:25,207 --> 01:12:26,642 REVIEW PROCESS, AS, REVIEWERS AE 2260 01:12:26,642 --> 01:12:31,547 CONSIDERING PROPOSAL WHAT ARE 2261 01:12:31,547 --> 01:12:36,585 SOME MAJOR THINGS THAT TRIP UP 2262 01:12:36,585 --> 01:12:37,019 APPLICANTS? 2263 01:12:37,019 --> 01:12:39,421 >> ON BEHALF OF MYSELF AND NOT 2264 01:12:39,421 --> 01:12:49,164 THE NIH A PAPER WAS SPEAR NEEDED 2265 01:12:49,164 --> 01:12:51,233 BY ENOLA PROCTOR, IS THERE A 2266 01:12:51,233 --> 01:12:52,568 TEAM CAPABLE OF DOING THE WORK, 2267 01:12:52,568 --> 01:12:55,170 SOMEONE ON THE TEAM THAT'S AN 2268 01:12:55,170 --> 01:12:56,372 IMPLEMENTATION SCIENTIST THAT 2269 01:12:56,372 --> 01:12:58,674 DEMONSTRATED THEY ARE ABLE TO 2270 01:12:58,674 --> 01:13:00,109 ENGAGE IN THAT FIELD, 2271 01:13:00,109 --> 01:13:01,543 PUBLICATIONS, THEY HAVE GRANTS, 2272 01:13:01,543 --> 01:13:03,946 THEY HAVE SOME SORT OF 2273 01:13:03,946 --> 01:13:04,613 DEMONSTRATED ABILITY TO ENGAGE 2274 01:13:04,613 --> 01:13:05,914 WITH THE FIELD. 2275 01:13:05,914 --> 01:13:06,615 THEY DON'T NECESSARILY NEED TO 2276 01:13:06,615 --> 01:13:09,051 BE THE P.I. BUT THERE DOES NEED 2277 01:13:09,051 --> 01:13:10,386 TO BE SOMEONE STRONG IN 2278 01:13:10,386 --> 01:13:11,687 IMPLEMENTATION SCIENCE ON THE 2279 01:13:11,687 --> 01:13:14,857 TEAM WHO UNDERSTANDS THE FIELD. 2280 01:13:14,857 --> 01:13:15,924 YOU WANT TO MAKE SURE THAT THE 2281 01:13:15,924 --> 01:13:19,094 THING THAT'S GOING TO BE 2282 01:13:19,094 --> 01:13:20,362 IMPLEMENTED IS READY, THERE'S 2283 01:13:20,362 --> 01:13:21,997 SOME JUSTIFICATION THAT COMES IN 2284 01:13:21,997 --> 01:13:23,098 SIGNIFICANCE, RIGHT? 2285 01:13:23,098 --> 01:13:24,733 SHOULD THIS BE DONE, CAN IT BE 2286 01:13:24,733 --> 01:13:28,003 DONE, CAN IT BE DONE WELL? 2287 01:13:28,003 --> 01:13:32,074 BUT SHOULD IT BE DONE NEEDS TO 2288 01:13:32,074 --> 01:13:33,275 BE ADDRESSED EXPLICITLY. 2289 01:13:33,275 --> 01:13:34,443 ALSO THE PARTNERSHIP, COMMUNITY 2290 01:13:34,443 --> 01:13:36,345 PARTNERSHIP, WE WANT TO KNOW 2291 01:13:36,345 --> 01:13:40,282 TEAM B ENTIR OFT JUST RESEARCH J 2292 01:13:40,282 --> 01:13:41,417 STAKEHOLDERS THAT MIGHT BE 2293 01:13:41,417 --> 01:13:43,085 ENGAGED OR PART OF THIS. 2294 01:13:43,085 --> 01:13:46,054 THERE'S ACIFIC APPROACH TO 2295 01:13:46,054 --> 01:13:47,456 ENTS, SPECIFIC APPROACH 2296 01:13:47,456 --> 01:13:49,625 TO UNDERSTANDING THREATS TO 2297 01:13:49,625 --> 01:13:49,892 INFERENCE. 2298 01:13:49,892 --> 01:13:51,593 IT'S VERY COMMON TO SEE MIXED 2299 01:13:51,593 --> 01:13:56,832 METHODS, A REALLY E PUT OUT 2300 01:13:56,832 --> 01:13:58,467 ON QUALITATIVE METHODS AN 2301 01:13:58,467 --> 01:14:01,303 IMPLEMENTATION SCIENCE, I FORGET 2302 01:14:01,303 --> 01:14:05,374 WHICH INSTITUTE, IT'S HARD JUST 2303 01:14:05,374 --> 01:14:06,241 WITH NUMBERS. 2304 01:14:06,241 --> 01:14:08,010 IF PEOPLE AREN'T TALKING TO 2305 01:14:08,010 --> 01:14:09,411 FOLKS GETTING MORE RICH INSIGHT 2306 01:14:09,411 --> 01:14:10,846 THAT'S SOMETHING THAT CAN TRIP 2307 01:14:10,846 --> 01:14:11,613 FOLKS UP. 2308 01:14:11,613 --> 01:14:13,449 I'D SAY IT'S THOSE THINGS THAT 2309 01:14:13,449 --> 01:14:17,753 COME UP, BUT IT'S ALL CONTENT 2310 01:14:17,753 --> 01:14:20,122 AREAS, IT'S ALL HEALTH CARE 2311 01:14:20,122 --> 01:14:20,389 SETTINGS. 2312 01:14:20,389 --> 01:14:21,990 IT'S A REALLY INTERESTING SORT 2313 01:14:21,990 --> 01:14:25,394 OF SWATH OF STUDIES WE SEE. 2314 01:14:25,394 --> 01:14:28,230 I'LL OFTEN SEND PEOPLE TO NIH 2315 01:14:28,230 --> 01:14:29,865 REPORTER TO THE MATCHMAKER, TYPE 2316 01:14:29,865 --> 01:14:31,967 IN IMPLEMENTATION SCIENCE, CLICK 2317 01:14:31,967 --> 01:14:33,569 ON SIHH, STUDY SECTION, OR DIRH 2318 01:14:33,569 --> 01:14:34,470 IS THE OLD ONE. 2319 01:14:34,470 --> 01:14:37,439 YOU CAN SEE WHAT'S BEEN FUNDED. 2320 01:14:37,439 --> 01:14:40,275 IT'S JUST ACROSS THE BOARD CLEAN 2321 01:14:40,275 --> 01:14:43,145 COOK STOVES IN INDIA, IT'S, YOU 2322 01:14:43,145 --> 01:14:45,414 KNOW, GUN SAFETY, ACTUALLY NINR 2323 01:14:45,414 --> 01:14:46,882 WAS JUST FUNDED AT UNIVERSITY OF 2324 01:14:46,882 --> 01:14:49,084 PENNSYLVANIA, IT'S GUN SAFETY 2325 01:14:49,084 --> 01:14:49,718 AND KIDS. 2326 01:14:49,718 --> 01:14:51,587 IT'S ACROSS THE BOARD. 2327 01:14:51,587 --> 01:14:52,221 >> GREAT. 2328 01:14:52,221 --> 01:14:52,488 THANK YOU. 2329 01:14:52,488 --> 01:14:56,124 SO I THINK WE HAVE TIME FOR ONE 2330 01:14:56,124 --> 01:14:58,260 LAST QUESTION. 2331 01:14:58,260 --> 01:15:01,997 AND MEGHAN, WEKED ABOUTALS 2332 01:15:01,997 --> 01:15:02,231 EARLIER. 2333 01:15:02,231 --> 01:15:04,600 THIS HASRL TO DO WITH PROCESS AD 2334 01:15:04,600 --> 01:15:06,034 PROCEDURE AROUND PROMOTION AND 2335 01:15:06,034 --> 01:15:08,203 TENURE, EVALUATION OF PUBLISHING 2336 01:15:08,203 --> 01:15:08,537 AND FUNDING. 2337 01:15:08,537 --> 01:15:12,808 A LOT OF THIS IS GEARED MORE 2338 01:15:12,808 --> 01:15:13,408 TOWARDS TRADITIONAL RESEARCH 2339 01:15:13,408 --> 01:15:15,644 APPROACHES, NOT SO MUCH 2340 01:15:15,644 --> 01:15:16,845 IMPLEMENTATION SCIENCE. 2341 01:15:16,845 --> 01:15:19,715 SO, THIS IS A DISADVANTAGE, AND 2342 01:15:19,715 --> 01:15:21,316 THAT CAN DETERHERS, I, 2343 01:15:21,316 --> 01:15:23,919 THINK YOU ALLUDED TO THAT. 2344 01:15:23,919 --> 01:15:28,190 D&I CHAMPIONS ARE NEEDED TO 2345 01:15:28,190 --> 01:15:29,825 CHANGE EXISTING PROCESSES AND 2346 01:15:29,825 --> 01:15:32,127 PROCEDURES, TO BE MORE INCLUSIVE 2347 01:15:32,127 --> 01:15:34,096 OF D&I RESEARCH, EXAMPLES FROM 2348 01:15:34,096 --> 01:15:35,797 OTHER FIELDS THAT ARE 2349 01:15:35,797 --> 01:15:39,101 ENGAGED IN D&I RESEARCH CAN BE 2350 01:15:39,101 --> 01:15:44,239 USED TO IDENTIFY SPECIFIC 2351 01:15:44,239 --> 01:15:46,975 CHANGES THAT SUPPORT 2352 01:15:46,975 --> 01:15:54,750 INVESTIGATORS AND RESEARCH 2353 01:15:54,750 --> 01:15:56,018 ENDEAVORS, HOW CANUPPORT H 2354 01:15:56,018 --> 01:15:57,052 THIS? 2355 01:15:57,052 --> 01:15:58,921 >> I APPRECIATE THE QUESTION. 2356 01:15:58,921 --> 01:15:59,888 I'LL ASK MY PANELISTS TO 2357 01:15:59,888 --> 01:16:00,589 ABO TOO. 2358 01:16:00,589 --> 01:16:04,560 THE FUNDING IS PART OF IT, 2359 01:16:04,560 --> 01:16:05,394 RIGHT? 2360 01:16:05,394 --> 01:16:06,962 I'M AN ANESTHESIOLOGIST, MANY 2361 01:16:06,962 --> 01:16:08,630 RESEARCHERS IN ANESTHESIOLOGY 2362 01:16:08,630 --> 01:16:14,336 ARE IN BASIC SCIENCE, STUDYING 2363 01:16:14,336 --> 01:16:15,404 MECHANISMS OF ANESTHESIA. 2364 01:16:15,404 --> 01:16:17,773 BUT WHEN I SHOWED UP WITH MY 2365 01:16:17,773 --> 01:16:20,509 INTERVIEW GUIDE TO MY CHAIR, 2366 01:16:20,509 --> 01:16:21,577 VICE CHAIR FOR RESEARCH, THEY GO 2367 01:16:21,577 --> 01:16:22,578 WHAT IS THIS? 2368 01:16:22,578 --> 01:16:24,646 NIH FUNDS IT. 2369 01:16:24,646 --> 01:16:25,514 OH, THAT'S INTERESTING. 2370 01:16:25,514 --> 01:16:26,848 SO EVEN JUST FUNDING THE WORK I 2371 01:16:26,848 --> 01:16:28,917 THINK IS PART OF IT. 2372 01:16:28,917 --> 01:16:31,320 PUTTING OUT SPECIFIC CALLS FOR F 2373 01:16:31,320 --> 01:16:32,688 FUNDING OPPORTUNITIES, BUT THE 2374 01:16:32,688 --> 01:16:34,122 TRAINING COMMUNITIES THE NIH HAS 2375 01:16:34,122 --> 01:16:35,724 CREATEDR TIME ARE REALLY 2376 01:16:35,724 --> 01:16:39,661 PORTANT TOO. 2377 01:16:39,661 --> 01:16:41,763 ONE EXAMPLE WAS TIDRH, TRAINING 2378 01:16:41,763 --> 01:16:43,899 INSTITUTE ON RESEARCH AND 2379 01:16:43,899 --> 01:16:45,367 IMPLEMENTATION RESEARCH, I 2380 01:16:45,367 --> 01:16:47,235 FORGET WHAT IT STANDS FOR, A 2381 01:16:47,235 --> 01:16:50,172 TRAINING INSTITUTE ON 2382 01:16:50,172 --> 01:16:50,672 IMPLEMENTATION SCIENCE. 2383 01:16:50,672 --> 01:16:51,707 THERE'S AN OFFSHOOT, RUN OUT OF 2384 01:16:51,707 --> 01:16:54,910 WASHINGTON UNIVERSITY IN 2385 01:16:54,910 --> 01:16:57,279 ST. LOUIS, FOCUSED ON CANCER, 2386 01:16:57,279 --> 01:16:57,846 NIH PARTNERED WITH ACADEMY 2387 01:16:57,846 --> 01:17:02,017 HEALTH TO PUT ON THE CONFERENCE, 2388 01:17:02,017 --> 01:17:05,821 THE D&I CONFERENCE, THE 2389 01:17:05,821 --> 01:17:06,088 MOUTHFUL. 2390 01:17:06,088 --> 01:17:08,924 NHLBI HAS FUNDED A PROGRAM 2391 01:17:08,924 --> 01:17:10,659 CALLED RISE UNDER THE UMBRELLA 2392 01:17:10,659 --> 01:17:12,527 OF PRIDE PROGRAM TO INCREASE 2393 01:17:12,527 --> 01:17:14,930 REPRESENTATION FROM PEOPLE IN 2394 01:17:14,930 --> 01:17:15,631 HISTORICALLY DISADVANTAGED 2395 01:17:15,631 --> 01:17:17,165 BACKGROUNDS, THAT'S AN 2396 01:17:17,165 --> 01:17:18,266 IMPLEMENTATION SCIENCE TRAINING 2397 01:17:18,266 --> 01:17:19,901 PROGRAM OVER TWO YEARS, 2398 01:17:19,901 --> 01:17:21,003 PARTIALLY IN PERSON, PARTIALLY 2399 01:17:21,003 --> 01:17:21,436 REMOTE. 2400 01:17:21,436 --> 01:17:24,172 BUT THERE HAVE BEEN A NUMBER OF 2401 01:17:24,172 --> 01:17:25,140 DIFFERENT TRAINING OPPORTUNITIES 2402 01:17:25,140 --> 01:17:27,643 THE NIH HAS CREATED WHICH HAVE 2403 01:17:27,643 --> 01:17:29,077 SIGN-POSTED THE IMPORTANCE OF 2404 01:17:29,077 --> 01:17:30,646 THE FIELD TO THE NIH. 2405 01:17:30,646 --> 01:17:34,049 AND SO I THINK FROM THE FUNDING 2406 01:17:34,049 --> 01:17:34,916 OPPORTUNITIES, TRAINING 2407 01:17:34,916 --> 01:17:35,617 OPPORTUNITIES, HAVING 2408 01:17:35,617 --> 01:17:38,920 CONFERENCES LIKE THIS ONE, IT'S 2409 01:17:38,920 --> 01:17:40,856 REALLY ABOUTERATINGEN 2410 01:17:40,856 --> 01:17:42,057 CONVERSATION TO SHOWCASE T 2411 01:17:42,057 --> 01:17:42,958 IMPORTANCE OF IMPLEMENTATION 2412 01:17:42,958 --> 01:17:44,159 SCIENCE TO THE FIELD. 2413 01:17:44,159 --> 01:17:47,529 BUT WHERE CAN YOU GO FROM HERE? 2414 01:17:47,529 --> 01:17:48,630 I THINK IMPLEMENTATION SCIENCE 2415 01:17:48,630 --> 01:17:51,166 IS A SET OF TOOLS THAT'S GOING 2416 01:17:51,166 --> 01:17:52,501 TO BE USEFUL IN REALIZING THE 2417 01:17:52,501 --> 01:17:53,902 PROMISE OF INNOVATIONS THE NIH 2418 01:17:53,902 --> 01:17:54,336 HAS FUNDED. 2419 01:17:54,336 --> 01:17:56,738 AND ONE OF THE THINGS THAT I 2420 01:17:56,738 --> 01:17:58,140 TALK ABOUT, THAT I'VE TALKED 2421 01:17:58,140 --> 01:17:59,474 ABOUT RECENTLY, IS THAT JUST AS 2422 01:17:59,474 --> 01:18:01,777 EVERY CLINICAL TRIAL SHOULD HAVE 2423 01:18:01,777 --> 01:18:02,444 A BIOSTATISTICIAN, I BELIEVE 2424 01:18:02,444 --> 01:18:04,846 EVERY CLINICAL TRIAL SHOULD HAVE 2425 01:18:04,846 --> 01:18:05,580 AN IMPLEMENTATION SCIENTIST. 2426 01:18:05,580 --> 01:18:07,482 EVERY CLINICAL TRIAL SHOULD HAVE 2427 01:18:07,482 --> 01:18:08,917 SOMEONE THINKING ABOUT HOW DOES 2428 01:18:08,917 --> 01:18:10,018 THIS ACTUALLY GET INTO THE REAL 2429 01:18:10,018 --> 01:18:11,687 WORLD, EVEN IF THAT'S NOT THE 2430 01:18:11,687 --> 01:18:13,355 MAIN FOCUS OF THE TRIAL, IT 2431 01:18:13,355 --> 01:18:14,923 SHOULD BE A THOUGHT. 2432 01:18:14,923 --> 01:18:16,992 IT SHOULD BE PART OF THE 2433 01:18:16,992 --> 01:18:17,893 DISSEMINATION PROCESS, PART OF 2434 01:18:17,893 --> 01:18:19,528 THE PLANS FOR FUTURE RESEARCH, 2435 01:18:19,528 --> 01:18:20,662 SHOULD BEHINKING ABOUT 2436 01:18:20,662 --> 01:18:21,263 IMPLEMENTATION. 2437 01:18:21,263 --> 01:18:23,632 SO I THINK ONE OF THE THINGS THE 2438 01:18:23,632 --> 01:18:27,903 NIH COULD DO IS REALLY ASK 2439 01:18:27,903 --> 01:18:28,570 INVESTIGATORS TO CONSIDER 2440 01:18:28,570 --> 01:18:29,971 IMPLEMENTATION IMPLICATIONS OF 2441 01:18:29,971 --> 01:18:32,708 THE WORK THEY PROPOSE EVEN IF 2442 01:18:32,708 --> 01:18:33,275 IT'S THEORETICAL, MAYBE 2443 01:18:33,275 --> 01:18:34,376 SPECULATIVE, BUT AT LEAST THINK 2444 01:18:34,376 --> 01:18:35,243 ABOUT IT. 2445 01:18:35,243 --> 01:18:36,211 I'M REALLY EXCITED ABOUT WHAT 2446 01:18:36,211 --> 01:18:39,081 THE NIH HAS DONE SO FAR AND I 2447 01:18:39,081 --> 01:18:40,482 THINK THERE'S ADDITIONAL STEPS 2448 01:18:40,482 --> 01:18:42,117 THE NIH COULD TAKE TO SUPPORT 2449 01:18:42,117 --> 01:18:43,652 PEOPLE TRYING TO SORT OF BUILD 2450 01:18:43,652 --> 01:18:46,822 THEIR CAREERS ON THIS FIELD. 2451 01:18:46,822 --> 01:18:48,023 >> GREAT POINTS. 2452 01:18:48,023 --> 01:18:49,491 ANY OTHER COMMENTS? 2453 01:18:49,491 --> 01:18:52,060 >> YEAH, I ENDORSE ALL OF A THA. 2454 01:18:52,060 --> 01:18:53,395 I'D SAY FROM A PERSONAL 2455 01:18:53,395 --> 01:18:55,697 EXPERIENCE WE'VE PUT OUT NOW 2456 01:18:55,697 --> 01:18:58,233 SOME FUNDING OPPORTUNITIES THAT 2457 01:18:58,233 --> 01:18:59,835 HAVE REQUIRED COMMUNITY 2458 01:18:59,835 --> 01:19:00,769 ENGAGEMENT, UIRED 2459 01:19:00,769 --> 01:19:01,970 QUALITATIVE METHODS, HAVE GONE 2460 01:19:01,970 --> 01:19:04,473 TO PANELS THAT HAVEN'T TYPICALLY 2461 01:19:04,473 --> 01:19:05,006 LIKED THOSE THINGS. 2462 01:19:05,006 --> 01:19:06,541 WHEN YOU SAY YOU HAVE TO HAVE 2463 01:19:06,541 --> 01:19:09,077 THAT AS AN ENTRY INTO THIS 2464 01:19:09,077 --> 01:19:10,445 COMPETITION, PEOPLE DO IT AND 2465 01:19:10,445 --> 01:19:12,781 THAT THE STAMP OF 2466 01:19:12,781 --> 01:19:13,548 APPROVAL. 2467 01:19:13,548 --> 01:19:15,650 IT SORT OF SAYS NIH WANTS THIS. 2468 01:19:15,650 --> 01:19:17,619 AND THERE'S LOTS IN THE FIELD, 2469 01:19:17,619 --> 01:19:19,054 MANY ORGANIZATIONS HAVE BEEN 2470 01:19:19,054 --> 01:19:20,455 TALKING ABOUT THE IMPORTANCE OF 2471 01:19:20,455 --> 01:19:21,690 IMPLEMENTATION SCIENCE BUT I DO 2472 01:19:21,690 --> 01:19:24,960 THINK IT CARRIES MORE WEIGHT 2473 01:19:24,960 --> 01:19:26,394 WHEN NIH OR NIDCD ENDORSES 2474 01:19:26,394 --> 01:19:28,230 SOMETHING BECAUSE IT'S NOT ONLY 2475 01:19:28,230 --> 01:19:29,331 THIS IS IMPORTANT BUT WE'LL PAY 2476 01:19:29,331 --> 01:19:30,332 FOR IT. 2477 01:19:30,332 --> 01:19:32,934 BUT WE'LL PAY FOR IT IS THAT, 2478 01:19:32,934 --> 01:19:34,803 OH, THIS IS SERIOUS. 2479 01:19:34,803 --> 01:19:36,071 THEY MEAN BUSINESS. 2480 01:19:36,071 --> 01:19:37,539 SO I THINK IT IS EVERYTHING YOU 2481 01:19:37,539 --> 01:19:38,607 SAID. 2482 01:19:38,607 --> 01:19:41,910 I THINK IT'S ABSOLUTELY RIGHT, 2483 01:19:41,910 --> 01:19:44,112 IT ELEVATES THESE METHODS THAT 2484 01:19:44,112 --> 01:19:46,414 MAYBE HAVEN'T BEEN MAINSTREAM 2485 01:19:46,414 --> 01:19:48,183 AND START TO BRING THEM IN THE 2486 01:19:48,183 --> 01:19:49,284 MAINSTREAM GIVING THEM THIS 2487 01:19:49,284 --> 01:19:50,819 STAMP OF APPROVAL THAT'S VERY 2488 01:19:50,819 --> 01:19:53,555 MUCH RECOGNIZED. 2489 01:19:53,555 --> 01:19:54,756 >> THIS HAS BEEN A REALLY, 2490 01:19:54,756 --> 01:19:56,391 REALLY RICH DISCUSSION. 2491 01:19:56,391 --> 01:19:58,260 I APPRECIATE ALL OF THESE 2492 01:19:58,260 --> 01:19:58,693 COMMENTS. 2493 01:19:58,693 --> 01:20:01,129 SO WHAT WE'LL DO NOW IS JUST, 2494 01:20:01,129 --> 01:20:04,266 YOU KNOW, GIVE EACH OF YOU THE 2495 01:20:04,266 --> 01:20:04,933 OPPORTUNITY TO MAKE ANY FINAL 2496 01:20:04,933 --> 01:20:07,569 COMMENTS THAT YOU WOULD LIKE TO 2497 01:20:07,569 --> 01:20:10,405 MAKE STARTING WITH YOU, DR. 2498 01:20:10,405 --> 01:20:10,705 LANE-FALL. 2499 01:20:10,705 --> 01:20:12,707 >> SO FIRST I'LL THANK DR. 2500 01:20:12,707 --> 01:20:14,409 TUCCI, THANK THE PANELISTS. 2501 01:20:14,409 --> 01:20:16,244 THIS HAS BEEN A ROUSING 2502 01:20:16,244 --> 01:20:17,445 DISCUSSION, I APPRECIATE THE 2503 01:20:17,445 --> 01:20:18,613 OPPORTUNITY SS YOU. 2504 01:20:18,613 --> 01:20:20,482 I THINK MY BIG TAKEAWAY POINT IS 2505 01:20:20,482 --> 01:20:22,117 A SIMPLE ONE WHICH IS THAT WE 2506 01:20:22,117 --> 01:20:24,986 HAVE TO THINK ABOUT HOW TO GET 2507 01:20:24,986 --> 01:20:26,788 OUR INNOVATIONS AND PRACTICES OF 2508 01:20:26,788 --> 01:20:28,023 INTEREST INTO THE REAL WORLD. 2509 01:20:28,023 --> 01:20:29,758 WE HAVE TO THINK ABOUT IT AS 2510 01:20:29,758 --> 01:20:31,092 EVERY LEVEL, IT'S NOT THAT EVERY 2511 01:20:31,092 --> 01:20:32,994 SCIENTIST ISS GOING TONG BE FOCD 2512 01:20:32,994 --> 01:20:34,396 F IMPLEMENTATION BUT WE HAVE TO 2513 01:20:34,396 --> 01:20:36,264 THINK ABOUT THAT SORT OF LAST 2514 01:20:36,264 --> 01:20:38,667 MILE DELIVERY OF THE SCIENCE 2515 01:20:38,667 --> 01:20:41,503 THAT WE CREATE IF WE WANT TO 2516 01:20:41,503 --> 01:20:42,270 REALIZE AN IMPACT. 2517 01:20:42,270 --> 01:20:45,540 SO MY PUSH, MY SOAP BOX WOULD BE 2518 01:20:45,540 --> 01:20:46,208 PLEASE JUST CONSIDER 2519 01:20:46,208 --> 01:20:47,309 IMPLEMENTATION AND IF IT'S 2520 01:20:47,309 --> 01:20:48,410 SOMETHING YOU'RE INTERESTED IN, 2521 01:20:48,410 --> 01:20:50,679 YOU KNOW, TALK TO ME, TALK TO 2522 01:20:50,679 --> 01:20:52,647 THE FIELD. 2523 01:20:52,647 --> 01:20:57,152 WE'RE HAPPY TO HAVE YOU. 2524 01:20:57,152 --> 01:20:58,386 >> DR. WEBB HOOPER? 2525 01:20:58,386 --> 01:21:00,789 >> THANK YOU AGAIN FOR HAVING 2526 01:21:00,789 --> 01:21:00,989 ME. 2527 01:21:00,989 --> 01:21:03,525 FOR ALL OF YOU BEING HERE AND 2528 01:21:03,525 --> 01:21:05,293 PAYING ATTENTION. 2529 01:21:05,293 --> 01:21:07,596 MY TAKEHOME MESSAGE IS THAT THIS 2530 01:21:07,596 --> 01:21:09,564 IS JUST A REALLY GREAT 2531 01:21:09,564 --> 01:21:11,900 OPPORTUNITY TO TALK ABOUT THIS 2532 01:21:11,900 --> 01:21:12,434 CRITICAL TOPIC. 2533 01:21:12,434 --> 01:21:15,503 WE WANT TO MAKE SURETHA 2534 01:21:15,503 --> 01:21:16,438 END USERS OF WHATEVER 2535 01:21:16,438 --> 01:21:18,173 INTERVENTION WE'RE WORKING ON 2536 01:21:18,173 --> 01:21:19,341 HAVE THE OPPORTUNITY TO BENEFIT 2537 01:21:19,341 --> 01:21:20,008 FROM IT. 2538 01:21:20,008 --> 01:21:22,177 AND WE WANT TO MAKE SURE THAT 2539 01:21:22,177 --> 01:21:23,845 BENEFIT IS REALIZED IN AN 2540 01:21:23,845 --> 01:21:26,581 EQUITABLE WAY SO NO POPULATIONS 2541 01:21:26,581 --> 01:21:28,216 ARE LEFT BEHIND. 2542 01:21:28,216 --> 01:21:29,918 AND SO IMPLEMENTATION SCIENCE IS 2543 01:21:29,918 --> 01:21:31,386 OFTEN THOUGHT ABOUT AT THE END. 2544 01:21:31,386 --> 01:21:33,455 AND SO I AGREE FULLY THAT HAVING 2545 01:21:33,455 --> 01:21:35,257 SOMEONE ON THE TEAM TO CONTINUE 2546 01:21:35,257 --> 01:21:38,293 TO BRING THAT TO THE FOREFRONT 2547 01:21:38,293 --> 01:21:40,061 AND TO REMIND INVESTIGATORS AND 2548 01:21:40,061 --> 01:21:41,263 RESEARCH TEAMS AND ALL PARTNERS 2549 01:21:41,263 --> 01:21:42,564 THAT THIS IS SOMETHING THAT WE 2550 01:21:42,564 --> 01:21:43,765 WANT TO THINK ABOUT. 2551 01:21:43,765 --> 01:21:46,301 WE DO TALK ABOUT SCALABILITY AND 2552 01:21:46,301 --> 01:21:46,902 SUSTAINABILITY. 2553 01:21:46,902 --> 01:21:50,872 WHICH ARE IN THE REALM OF 2554 01:21:50,872 --> 01:21:51,539 DISSEMINATION IMPLEMENTATION 2555 01:21:51,539 --> 01:21:52,507 SCIENTISTS. 2556 01:21:52,507 --> 01:21:56,444 I THINK THERE'S STILL RELATIVELY 2557 01:21:56,444 --> 01:21:58,113 FEW CARD-CARRYING D&I 2558 01:21:58,113 --> 01:22:00,081 SCIENTISTS, SO THERE MIGHT BE A 2559 01:22:00,081 --> 01:22:03,418 NEED TO HAVE MORE IN TERMS OF 2560 01:22:03,418 --> 01:22:05,453 NG PROGRAMS, THOSE THAT 2561 01:22:05,453 --> 01:22:07,756 REALLY FACILITATE AND REQUEST OR 2562 01:22:07,756 --> 01:22:11,626 AT LEAST STRONGLY ENCOURAGE 2563 01:22:11,626 --> 01:22:13,261 CROSS-DISCIPLINARY MENTORING 2564 01:22:13,261 --> 01:22:13,828 TEAMS. 2565 01:22:13,828 --> 01:22:16,231 SO, SOMETIMES THE MENTOR MAY NOT 2566 01:22:16,231 --> 01:22:18,233 HE -- IMPLEMENTATION SCIENCE 2567 01:22:18,233 --> 01:22:19,668 MENTOR MAY NOT BE AT THE 2568 01:22:19,668 --> 01:22:20,969 INSTITUTION OF THE INVESTIGATORS 2569 01:22:20,969 --> 01:22:22,404 BECAUSE THEY MAY NOT HAVE 2570 01:22:22,404 --> 01:22:22,938 SOMEONE THERE. 2571 01:22:22,938 --> 01:22:24,673 THEY CAN'T GO TO THE BIOSTATS 2572 01:22:24,673 --> 01:22:25,707 DEPARTMENT, THERE'S NOT SOMEONE 2573 01:22:25,707 --> 01:22:26,841 THERE SOMETIMES THOSE PROJECTS 2574 01:22:26,841 --> 01:22:28,710 CAN BE REVIEWED IN A LESS 2575 01:22:28,710 --> 01:22:30,345 FAVORABLE WAY IF A MENTOR IS NOT 2576 01:22:30,345 --> 01:22:32,280 ON SITE, WITH THE IDEA THAT HOW 2577 01:22:32,280 --> 01:22:34,749 CAN THEY, YOU KNOW, REALLY 2578 01:22:34,749 --> 01:22:35,817 MENTOR THE TRAINEE. 2579 01:22:35,817 --> 01:22:37,018 I THINK NOW WITH THE, YOU KNOW, 2580 01:22:37,018 --> 01:22:39,487 WITH THE WAY WE DO SO MUCH ON 2581 01:22:39,487 --> 01:22:41,189 ZOOM THAT HAS CHANGED IN TERMS 2582 01:22:41,189 --> 01:22:42,390 OF PEOPLE THINKING ABOUT HOW 2583 01:22:42,390 --> 01:22:42,924 THAT COULD HAPPEN. 2584 01:22:42,924 --> 01:22:45,026 BUT I THINK WE NEED TO BE 2585 01:22:45,026 --> 01:22:46,761 CONSIDERATE OF THE FACT THAT OUR 2586 01:22:46,761 --> 01:22:49,197 TRAINEES MAY NOT HAVE ACCESS TO 2587 01:22:49,197 --> 01:22:52,167 SOMEONE WHO IS AT THEIR -- IN 2588 01:22:52,167 --> 01:22:53,902 THEIR DEPARTMENT OR EVEN THEIR 2589 01:22:53,902 --> 01:22:56,972 INSTITUTION TO DO THIS WORK. 2590 01:22:56,972 --> 01:22:59,607 WE NEED TO ENCOURAGE THAT. 2591 01:22:59,607 --> 01:23:01,476 I AGREE ABOUT ASKING 2592 01:23:01,476 --> 01:23:04,479 INVESTIGATORS WHEN 2593 01:23:04,479 --> 01:23:06,214 USTAINABILITY, TO THINK 2594 01:23:06,214 --> 01:23:09,584 ABOUT MORE IN TERMS OF 2595 01:23:09,584 --> 01:23:10,385 DISSEMINATION AND IMPLEMENTATION 2596 01:23:10,385 --> 01:23:12,354 SCIENCE FRAMEWORK. 2597 01:23:12,354 --> 01:23:13,989 WE WANT TO ENCOURAGE HOLISTIC 2598 01:23:13,989 --> 01:23:15,590 RESEARCH WHERE PEOPLE ARE NOT 2599 01:23:15,590 --> 01:23:18,693 THINKING ABOUT JUST, YOU KNOW, A 2600 01:23:18,693 --> 01:23:20,128 MOLECULE OR A SET OF ORGANS BUT 2601 01:23:20,128 --> 01:23:22,063 WANT PEOPLE TO THINK ABOUT THE 2602 01:23:22,063 --> 01:23:23,431 WHOLE PERSON AND I THINK THIS IS 2603 01:23:23,431 --> 01:23:26,034 PART OF THINKING ABOUT THE WHOLE 2604 01:23:26,034 --> 01:23:27,469 INTERVENTION AND WHOLE TREATMENT 2605 01:23:27,469 --> 01:23:29,871 TO THINK ABOUT HOW IT WILL 2606 01:23:29,871 --> 01:23:30,772 ULTIMATELY BE IMPL 2607 01:23:30,772 --> 01:23:33,675 I THINK WE CAN GET THERE. 2608 01:23:33,675 --> 01:23:35,310 >> DR. ZENK? 2609 01:23:35,310 --> 01:23:36,811 >> YEAH, THANKS SO MUCH. 2610 01:23:36,811 --> 01:23:38,246 I REALLY ENJOYED THIS AND HAVE 2611 01:23:38,246 --> 01:23:39,481 LEARNED A LOT. 2612 01:23:39,481 --> 01:23:41,216 I GUESS THERE'S A FEW THINGS I 2613 01:23:41,216 --> 01:23:43,184 WOULD EMPHASIZE. 2614 01:23:43,184 --> 01:23:46,021 ONE IS JUST ENCOURAGING THAT 2615 01:23:46,021 --> 01:23:47,689 EQ LENSEQLLYEAINGEA 2616 01:23:47,689 --> 01:23:49,491 ATTENTION TO EQUITY AT EVERY 2617 01:23:49,491 --> 01:23:51,026 STEP ALONG THE PROCESS. 2618 01:23:51,026 --> 01:23:53,428 THINKING ABOUT ALL TYPES OF 2619 01:23:53,428 --> 01:23:56,965 SETTINGS, YOU TACKED TALKED ABT 2620 01:23:56,965 --> 01:23:58,366 AT THE BEGINNING, HOSPITAL 2621 01:23:58,366 --> 01:24:00,668 CLINICS, WORK SITES, SCHOOLS. 2622 01:24:00,668 --> 01:24:02,203 IT'S JUST -- YOU KNOW, CRIMINAL 2623 01:24:02,203 --> 01:24:05,673 LEGAL SETTINGS, SO MANY MORE 2624 01:24:05,673 --> 01:24:08,243 WHERE WE NEED TO MOVE DISCOVERY 2625 01:24:08,243 --> 01:24:09,210 INTO PRACTICE. 2626 01:24:09,210 --> 01:24:10,945 AND THEN YOU MIGHT GUESS THAT 2627 01:24:10,945 --> 01:24:12,247 I'M FROM THE NURSING INSTITUTE 2628 01:24:12,247 --> 01:24:14,449 AND SO I AM GOING TO EMPHASIZE 2629 01:24:14,449 --> 01:24:19,054 HOW IMPORTANT IT IS TO BRING 2630 01:24:19,054 --> 01:24:21,022 NURSES INTO THE CONVERSATION, 2631 01:24:21,022 --> 01:24:22,157 NOT ONLY TO LEAD RESEARCH BUT BE 2632 01:24:22,157 --> 01:24:23,858 INVOLVED IN ANY OF THE PROJECTS 2633 01:24:23,858 --> 01:24:24,893 YOU'RE TALKING ABOUT. 2634 01:24:24,893 --> 01:24:27,262 NURSES ARE IN ALL OF THESE 2635 01:24:27,262 --> 01:24:28,663 SETTINGS AND PLAY SUCH A 2636 01:24:28,663 --> 01:24:31,766 CRITICAL ROLE IN THEIR SUCCESS. 2637 01:24:31,766 --> 01:24:33,201 YOU WILL HAVE FEWER HEADACHES 2638 01:24:33,201 --> 01:24:35,303 AND MUCH MORE LIKELIHOOD OF 2639 01:24:35,303 --> 01:24:38,907 SUCCESS IF YOU ENGAGE NURSES IN 2640 01:24:38,907 --> 01:24:40,642 YOUR TEAMS EARLY ON. 2641 01:24:40,642 --> 01:24:41,209 >> GREAT POINTS. 2642 01:24:41,209 --> 01:24:41,910 >> WONDERFUL. 2643 01:24:41,910 --> 01:24:43,745 I HATE TO BE LAST HERE. 2644 01:24:43,745 --> 01:24:45,613 EVERYONE HAD SUCH GOOD COMMENTS. 2645 01:24:45,613 --> 01:24:49,451 I THINK I'LL PULL THAT TOGETHER 2646 01:24:49,451 --> 01:24:52,520 THAT GOING BACK TO WHERE MEGHAN 2647 01:24:52,520 --> 01:24:53,388 STARTED US, HAVING PARTNERS, 2648 01:24:53,388 --> 01:24:54,689 THINKING FROM THE VERY BEGINNING 2649 01:24:54,689 --> 01:24:56,257 WHAT DOES THIS LOOK LIKE IN THE 2650 01:24:56,257 --> 01:24:57,859 END, HOW DO WE REALLY GET THERE. 2651 01:24:57,859 --> 01:25:00,061 SO TO BE MORE CONCRETE ABOUT 2652 01:25:00,061 --> 01:25:02,030 THAT, WHAT I WOULD ENCOURAGE IS, 2653 01:25:02,030 --> 01:25:04,666 YOU KNOW, AS YOU'RE DEVELOPING 2654 01:25:04,666 --> 01:25:05,967 YOUR INTERVENTION, MAYBE STILL 2655 01:25:05,967 --> 01:25:07,735 WORKING ON THE MECHANISMS OF HOW 2656 01:25:07,735 --> 01:25:09,370 THINGS WORK, YOU HAVE TO FIGURE 2657 01:25:09,370 --> 01:25:10,572 OUT WHAT DOES THE REAL WORLD 2658 01:25:10,572 --> 01:25:11,239 LOOK LIKE. 2659 01:25:11,239 --> 01:25:12,440 MOST OF US DON'T WORK IN THE 2660 01:25:12,440 --> 01:25:13,408 REAL WORLD. 2661 01:25:13,408 --> 01:25:15,176 WE WORK IN LABS. 2662 01:25:15,176 --> 01:25:17,345 AND SO THAT IS A GOOD STARTING 2663 01:25:17,345 --> 01:25:18,446 POINT FOR THINKING ABOUT WHAT 2664 01:25:18,446 --> 01:25:20,315 DOES THE END LOOK LIKE AS 2665 01:25:20,315 --> 01:25:21,783 GETTING THOSE PARTNERSHIPS ON 2666 01:25:21,783 --> 01:25:23,918 BOARD, STARTING TO DO SOME OF 2667 01:25:23,918 --> 01:25:25,653 THAT CONTEXT MAPPING TO SORT OF 2668 01:25:25,653 --> 01:25:28,289 UNDERSTAND LIKE HOW LONG IS A 2669 01:25:28,289 --> 01:25:29,524 PRIMARY CARE APPOINTMENT? 2670 01:25:29,524 --> 01:25:32,026 WHAT HAPPENS DURING THIS PRIMARY 2671 01:25:32,026 --> 01:25:32,427 CARE APPOINTMENT? 2672 01:25:32,427 --> 01:25:33,561 WHO DOES WHAT? 2673 01:25:33,561 --> 01:25:36,564 THE NURSE DOES SOMETHING, THE 2674 01:25:36,564 --> 01:25:38,333 DOCTOR DOES SOMETHING, SO ON. 2675 01:25:38,333 --> 01:25:41,369 THIS GIVES CONTEXT OF WHAT IS MY 2676 01:25:41,369 --> 01:25:42,904 VISION FOR HOW MY INTERVENTION 2677 01:25:42,904 --> 01:25:43,905 OR DIAGNOSTIC TEST OR WHATEVER 2678 01:25:43,905 --> 01:25:47,308 IT IS, HOW DOES IT FIT INTO THAT 2679 01:25:47,308 --> 01:25:47,842 PICTURE? 2680 01:25:47,842 --> 01:25:49,377 AS OPPOSED TO NOT HAVING THAT AT 2681 01:25:49,377 --> 01:25:52,113 ALL AND JUST MAKING THIS TOTALLY 2682 01:25:52,113 --> 01:25:53,481 PUZZLE O PICTURE OVER 2683 01:25:53,481 --> 01:25:55,550 HERE WITH YOUR INTERVENTION 2684 01:25:55,550 --> 01:25:56,985 WHERE THERE'S NO KNOWLEDGE OF 2685 01:25:56,985 --> 01:25:58,520 HOW IT COULD POSSIBLY FIT IN AT 2686 01:25:58,520 --> 01:25:59,854 THE END. 2687 01:25:59,854 --> 01:26:01,656 THAT'S A STARTING POINT TO THINK 2688 01:26:01,656 --> 01:26:03,558 ABOUT HOW WOULD I DO THIS IF I'M 2689 01:26:03,558 --> 01:26:04,726 NOT READY TO DO THE CLINICAL 2690 01:26:04,726 --> 01:26:06,194 TRIAL YET, WHAT WOULD IT LOOK 2691 01:26:06,194 --> 01:26:07,495 LIKE TO S BUILDING THAT 2692 01:26:07,495 --> 01:26:08,930 VISION SO THAT'S WHAT I WOULD 2693 01:26:08,930 --> 01:26:10,431 ENCOURAGE TO REALLY THINK ABOUT 2694 01:26:10,431 --> 01:26:12,100 THE REAL WORLD AND LEARN ABOUT 2695 01:26:12,100 --> 01:26:14,169 THE REAL WORLD WITH THOSE 2696 01:26:14,169 --> 01:26:17,338 PARTNERS AS YOU'RE STARTING YOUR 2697 01:26:17,338 --> 01:26:19,641 ENDEAVORS. 2698 01:26:19,641 --> 01:26:21,042 >> THANK YOU ALL. 2699 01:26:21,042 --> 01:26:24,445 WE'RE AT TIME BUT THIS HAS BEEN 2700 01:26:24,445 --> 01:26:27,115 SUCH A MEANINGFUL, MEATY, 2701 01:26:27,115 --> 01:26:29,717 THOUGHT-PROVOKING DISCUSS. 2702 01:26:29,717 --> 01:26:30,919 THANK YOU, DR. LANE-FALL FOR 2703 01:26:30,919 --> 01:26:32,220 COMING AND LEADING THE 2704 01:26:32,220 --> 01:26:33,321 DISCUSSION AND YOUR 2705 01:26:33,321 --> 01:26:33,755 PRESENTATION. 2706 01:26:33,755 --> 01:26:34,355 REALLY, REALLY APPRECIATE IT. 2707 01:26:34,355 --> 01:26:37,358 THANK YOU TO ALL OF OUR 2708 01:26:37,358 --> 01:26:37,859 PANELISTS. 2709 01:26:37,859 --> 01:26:42,430 THIS HAS BEEN BEEN JUST GREAT. 2710 01:26:42,430 --> 01:26:48,102 IVE ENJOYED EVERY MAN, THANK --Y 2711 01:26:48,102 --> 01:26:48,336 MINUTE. 2712 01:26:48,336 --> 01:26:50,772 IF YOU CAN STAY AROUND WE HAVE 2713 01:26:50,772 --> 01:26:52,140 REFRESHMENTS AND WE WELCOME 2714 01:26:52,140 --> 01:26:52,440 DISCUSSION. 2715 01:26:52,440 --> 01:26:53,074 THANK YOU ALL VERY MUCH. 2716 01:26:53,074 --> 01:26:55,710 [END OF PROGRAM] 2717 01:26:55,710 --> 01:27:01,749 2718 01:27:01,749 --> 01:27:11,793