1 00:00:06,149 --> 00:00:07,483 >> SO WE'LL GET STARTED. 2 00:00:07,483 --> 00:00:10,119 LET ME START BY WELCOMING 3 00:00:10,119 --> 00:00:10,753 EVERYBODY. 4 00:00:10,753 --> 00:00:12,055 I'LL OFFICIALLY CALL THE 5 00:00:12,055 --> 00:00:13,056 MEETING, WE'RE OPEN. 6 00:00:13,056 --> 00:00:15,792 WELCOME, EVERYBODY, TO THE 68TH 7 00:00:15,792 --> 00:00:17,360 MEETING OF THE NATIONAL ADVISORY 8 00:00:17,360 --> 00:00:18,528 COUNCIL ON MINORITY HEALTH AND 9 00:00:18,528 --> 00:00:20,730 HEALTH DISPARITIES. 10 00:00:20,730 --> 00:00:22,899 I AM DR. MONICA WEBB HOOPER, AND 11 00:00:22,899 --> 00:00:25,101 I WILL NOW TURN THE MEETING OVER 12 00:00:25,101 --> 00:00:32,542 TO DR. PAUL COTTON. 13 00:00:32,542 --> 00:00:34,610 >> THANK YOU, DR. WEBB HOOPER. 14 00:00:34,610 --> 00:00:38,448 GOOD MORNING AND WELCOME TO THE 15 00:00:38,448 --> 00:00:41,617 68TH MEETING OF THE NATIONAL 16 00:00:41,617 --> 00:00:44,020 INSTITUTE ON MINORITY HEALTH AND 17 00:00:44,020 --> 00:00:46,556 HEALTH DISPARITIES ADVISORY 18 00:00:46,556 --> 00:00:46,856 COUNCIL. 19 00:00:46,856 --> 00:00:48,291 TODAY'S MEETING IS OPEN TO THE 20 00:00:48,291 --> 00:00:50,893 PUBLIC AND BEING BROADCAST ON 21 00:00:50,893 --> 00:00:53,196 NIH VIDEOCAST NETWORK. 22 00:00:53,196 --> 00:00:57,033 THIS IS OUR MAKEUP MEETING FOR 23 00:00:57,033 --> 00:00:59,335 THE JANUARY/FEBRUARY COUNCIL 24 00:00:59,335 --> 00:01:04,674 THAT WAS NOT HELD. 25 00:01:04,674 --> 00:01:06,209 COUNCILMEMBERS, PLEASE SPEAK 26 00:01:06,209 --> 00:01:08,611 SLOWLY AND DISTINCTIVELY WHEN 27 00:01:08,611 --> 00:01:10,913 YOU ARE REQUESTED TO OR CALLED 28 00:01:10,913 --> 00:01:12,882 ON TO SPEAK. 29 00:01:12,882 --> 00:01:16,686 THE VIDEOCAST OBSERVERS, 30 00:01:16,686 --> 00:01:17,820 TECHNICAL STAFF AND NOTE TAKERS 31 00:01:17,820 --> 00:01:19,355 WILL BE LISTENING TO NOTE YOUR 32 00:01:19,355 --> 00:01:20,990 COMMENTS. 33 00:01:20,990 --> 00:01:22,959 THERE IS NO NEED TO ASK IF 34 00:01:22,959 --> 00:01:28,765 YOU'RE BEING HEARD. 35 00:01:28,765 --> 00:01:30,399 I WILL PROMPT YOU IF AUDIO 36 00:01:30,399 --> 00:01:32,034 PROBLEMS ARE DETECTED. 37 00:01:32,034 --> 00:01:36,205 IN AN EFFORT TO CONSERVE THE 38 00:01:36,205 --> 00:01:38,374 INTERNET BANDWIDTH AND MINIMIZE 39 00:01:38,374 --> 00:01:39,575 BACKGROUND NOISE, I WILL LEAD 40 00:01:39,575 --> 00:01:41,444 THE ROLL CALL. 41 00:01:41,444 --> 00:01:45,481 PLEASE TURN ON YOUR CAMERA, 42 00:01:45,481 --> 00:01:47,884 UNMUTE YOURSELF, INTRODUCE 43 00:01:47,884 --> 00:01:49,418 YOURSELF, FIRST NAME/LAST NAME, 44 00:01:49,418 --> 00:01:52,688 AND MAKE A BRIEF STATEMENT, 45 00:01:52,688 --> 00:01:54,123 INSTITUTION, ORGANIZATIONAL 46 00:01:54,123 --> 00:01:55,758 AFFILIATION AND ROLE. 47 00:01:55,758 --> 00:01:57,627 FOLLOWING YOUR INTRODUCTION, 48 00:01:57,627 --> 00:01:59,162 PLEASE MUTE YOURSELF AND TURN 49 00:01:59,162 --> 00:01:59,829 OFF YOUR CAMERA. 50 00:01:59,829 --> 00:02:01,130 I WILL MOVE ON TO THE NEXT 51 00:02:01,130 --> 00:02:05,501 PERSON. 52 00:02:05,501 --> 00:02:12,175 AND NOW WE WILL BEGIN. 53 00:02:12,175 --> 00:02:12,475 DR. ADUNYAH. 54 00:02:12,475 --> 00:02:15,244 >> GOOD MORNING, MY NAME IS 55 00:02:15,244 --> 00:02:19,482 SAMUEL ADUNYAH, DEPARTMENT OF 56 00:02:19,482 --> 00:02:21,918 BIOCHEMISTRY, CANCER BIOLOGY, 57 00:02:21,918 --> 00:02:29,025 NEUROSCIENCE AND PHARMACOLOGY AT 58 00:02:29,025 --> 00:02:30,092 MEHARRY MEDICAL COLLEGE. 59 00:02:30,092 --> 00:02:30,626 THANK YOU. 60 00:02:30,626 --> 00:02:32,728 >> THANK YOU. 61 00:02:32,728 --> 00:02:36,899 >> GOOD MORNING, I'M VALERIE, 62 00:02:36,899 --> 00:02:38,201 PROFESSOR OF MEDICINE AND RURAL 63 00:02:38,201 --> 00:02:39,402 HEALTH AT OKLAHOMA STATE 64 00:02:39,402 --> 00:02:40,703 UNIVERSITY CENTER FOR HEALTH 65 00:02:40,703 --> 00:02:42,104 SCIENCES WHERE I DIRECT THE 66 00:02:42,104 --> 00:02:43,906 CENTER FOR INDIGENOUS HEALTH 67 00:02:43,906 --> 00:02:44,774 RESEARCH AND POLICY. 68 00:02:44,774 --> 00:02:51,347 THANK YOU. 69 00:02:51,347 --> 00:02:54,417 >> DR. BAUERMEISTER. 70 00:02:54,417 --> 00:02:56,152 >> GOOD MORNING. 71 00:02:56,152 --> 00:02:57,620 DR. JOSE BAUERMEISTER, PROFESSOR 72 00:02:57,620 --> 00:02:59,155 OF THE DEPARTMENT OF FAMILY AND 73 00:02:59,155 --> 00:03:04,126 COMMUNITY HEALTH AT UNIVERSITY 74 00:03:04,126 --> 00:03:04,827 OF PENNSYLVANIA. 75 00:03:04,827 --> 00:03:05,428 HAPPY TO BE HERE. 76 00:03:05,428 --> 00:03:08,965 >> DR. STONE. 77 00:03:08,965 --> 00:03:17,473 >DR. STONE. 78 00:03:17,473 --> 00:03:19,008 WE WILL CIRCLE BACK TO 79 00:03:19,008 --> 00:03:24,046 DR. STONE. 80 00:03:24,046 --> 00:03:25,114 DR. PENENDO. 81 00:03:25,114 --> 00:03:27,083 >> GOOD MORNING, EVERYONE. 82 00:03:27,083 --> 00:03:28,517 I'M FRANK PENENDO, PROFESSOR IN 83 00:03:28,517 --> 00:03:29,485 THE DEPARTMENTS OF PSYCHOLOGY 84 00:03:29,485 --> 00:03:32,188 AND MEDICINE AT THE UNIVERSITY 85 00:03:32,188 --> 00:03:38,294 OF MIAMI IN MRNA R. FLO FLORIDA. 86 00:03:39,328 --> 00:03:46,469 >> DR. CHAU TRINH. 87 00:03:46,469 --> 00:03:49,639 >> GOOD MORNING, PROFESSOR OF 88 00:03:49,639 --> 00:03:50,640 POPULATION HEALTH AND MEDICINE 89 00:03:50,640 --> 00:03:53,576 AT THE NYU GROSSMAN SCHOOL OF 90 00:03:53,576 --> 00:03:59,582 MEDICINE. 91 00:03:59,582 --> 00:04:01,117 >> AND I DO BELIEVE WE HAVE A 92 00:04:01,117 --> 00:04:05,688 COUPLE OF OUR EX-OFFICIO MEMBERS 93 00:04:05,688 --> 00:04:09,959 PRESENT. 94 00:04:09,959 --> 00:04:16,866 DR. SHELL? 95 00:04:16,866 --> 00:04:19,035 DR. SIMONI? 96 00:04:19,035 --> 00:04:21,237 IF I CAN HAVE THEM INTRODUCE 97 00:04:21,237 --> 00:04:21,537 THEMSELVES? 98 00:04:21,537 --> 00:04:24,173 >> HI, I'M JANE SIMONI, DIRECTOR 99 00:04:24,173 --> 00:04:25,374 HERE AT THE OFFICE OF BEHAVIORAL 100 00:04:25,374 --> 00:04:29,578 AND SOCIAL SCIENCES RESEARCH. 101 00:04:29,578 --> 00:04:30,413 >> THANK YOU. 102 00:04:30,413 --> 00:04:31,847 I THOUGHT I SAW YOUR NAME IN 103 00:04:31,847 --> 00:04:34,150 THERE. 104 00:04:34,150 --> 00:04:35,785 AND I'M GOING TO LOOK ONE MORE 105 00:04:35,785 --> 00:04:37,753 TIME BEFORE I MOVE TO THE STAFF 106 00:04:37,753 --> 00:04:39,055 AROUND THE TABLE. 107 00:04:39,055 --> 00:04:42,792 LET'S SEE IF WE HAVE DR. SHELL 108 00:04:42,792 --> 00:04:48,230 IN THE ROOM WITH US. 109 00:04:48,230 --> 00:04:49,231 OKAY. 110 00:04:49,231 --> 00:04:50,666 DR. STONE, WOULD YOU LIKE TO 111 00:04:50,666 --> 00:04:51,534 INTRODUCE YOURSELF? 112 00:04:51,534 --> 00:04:53,936 >> YES, GOOD MORNING. 113 00:04:53,936 --> 00:04:56,572 LISA CACARI STONE, PROFESSOR IN 114 00:04:56,572 --> 00:04:57,873 POPULATION HEALTH, UNIVERSITY OF 115 00:04:57,873 --> 00:05:02,712 NEW MEXICO. 116 00:05:02,712 --> 00:05:10,353 >> AND OUR TABLE GUESTS. 117 00:05:10,353 --> 00:05:14,290 >> I'M NATHAN STENSON, DIRECTOR 118 00:05:14,290 --> 00:05:15,157 OF COMMUNITY HEALTH AND 119 00:05:15,157 --> 00:05:18,661 POPULATION SCIENCE. 120 00:05:18,661 --> 00:05:20,463 >> I AM THE DIRECTOR OF THE 121 00:05:20,463 --> 00:05:23,265 DIVISION OF CLINICAL AND -- 122 00:05:23,265 --> 00:05:26,002 SERVICES RESEARCH AT NIMHD. 123 00:05:26,002 --> 00:05:28,771 >> BETH CORLEO, DIRECTOR OF THE 124 00:05:28,771 --> 00:05:30,272 OFFICE OF SCIENCE POLICY, 125 00:05:30,272 --> 00:05:32,775 PLANNING, EVALUATION AND 126 00:05:32,775 --> 00:05:35,044 REPORTING AT NIHD. 127 00:05:35,044 --> 00:05:42,952 >> AND I BELIEVE WE HAVE DR. DAS 128 00:05:42,952 --> 00:05:43,185 ONLINE. 129 00:05:43,185 --> 00:05:44,887 >> DIVISION DIRECTOR FOR THE 130 00:05:44,887 --> 00:05:46,555 DIVISION OF INTEGRATIVE, 131 00:05:46,555 --> 00:05:47,757 BIOLOGICAL AND BEHAVIORAL 132 00:05:47,757 --> 00:05:50,126 SCIENCES. 133 00:05:50,126 --> 00:05:53,996 >> OKAY. 134 00:05:53,996 --> 00:05:59,668 AND IF SHE'S NOT EXCESSIVELY 135 00:05:59,668 --> 00:06:06,342 BUSY, KIMBERLY ALLEN? 136 00:06:06,342 --> 00:06:08,310 AND WE'RE GOING TO CIRCLE BACK 137 00:06:08,310 --> 00:06:10,379 IF WE HAVE ANY OF THE 138 00:06:10,379 --> 00:06:13,682 INDIVIDUALS POP IN THAT WE 139 00:06:13,682 --> 00:06:18,387 MISSED. 140 00:06:18,387 --> 00:06:20,790 I WANT TO COVER THE FUTURE 141 00:06:20,790 --> 00:06:22,091 MEETING DATES. 142 00:06:22,091 --> 00:06:25,161 THEY ARE LISTED ON THE AGENDA. 143 00:06:25,161 --> 00:06:26,262 AFTER REVIEWING THE DATES, 144 00:06:26,262 --> 00:06:28,864 PLEASE LET US KNOW AS SOON AS 145 00:06:28,864 --> 00:06:31,067 POSSIBLE IF THERE IS A DATE THAT 146 00:06:31,067 --> 00:06:35,004 YOU ABSOLUTELY CANNOT MAKE. 147 00:06:35,004 --> 00:06:36,772 IT'S VERY IMPORTANT WE HAVE A 148 00:06:36,772 --> 00:06:38,074 QUORUM OF ADVISORY 149 00:06:38,074 --> 00:06:39,175 COUNCILMEMBERS AT EACH MEETING 150 00:06:39,175 --> 00:06:40,910 TO CONDUCT THE BUSINESS OF THE 151 00:06:40,910 --> 00:06:42,211 INSTITUTE. 152 00:06:42,211 --> 00:06:51,754 THE UPCOMING COUNCIL DATES ARE: 153 00:06:51,754 --> 00:06:55,324 MAY 6, AND YOU ALL PROMISED TO 154 00:06:55,324 --> 00:06:56,559 BE HERE TOMORROW FOR THE MAY 155 00:06:56,559 --> 00:07:03,332 COUNCIL. 156 00:07:03,332 --> 00:07:07,603 SEPTEMBER 5TH, 2025. 157 00:07:07,603 --> 00:07:09,338 FEBRUARY 6TH, 2026. 158 00:07:09,338 --> 00:07:14,176 MAY 19TH, 2026. 159 00:07:14,176 --> 00:07:16,245 AUGUST 11TH, 2026. 160 00:07:16,245 --> 00:07:19,081 PLEASE NOTE THAT IT IS NIH 161 00:07:19,081 --> 00:07:23,352 POLICY THAT A COUNCILMEMBER MAY 162 00:07:23,352 --> 00:07:25,020 HAVE ONE ABSENCE PER CALENDAR 163 00:07:25,020 --> 00:07:25,521 YEAR. 164 00:07:25,521 --> 00:07:27,623 AN INDIVIDUAL CANNOT SERVE ON 165 00:07:27,623 --> 00:07:30,025 ANY NIH PEER REVIEW PANELS WHILE 166 00:07:30,025 --> 00:07:32,761 SERVING AS A COUNCILMEMBER. 167 00:07:32,761 --> 00:07:34,930 I WILL NOW TURN THE MEETING OVER 168 00:07:34,930 --> 00:07:39,001 TO DR. MONICA WEBB HOOPER FOR 169 00:07:39,001 --> 00:07:40,903 THE NIMHD ACTING DIRECTOR'S 170 00:07:40,903 --> 00:07:43,272 REPORT. 171 00:07:43,272 --> 00:07:44,106 >> THANK YOU. 172 00:07:44,106 --> 00:07:45,541 >> EXCUSE ME, A COUPLE PEOPLE 173 00:07:45,541 --> 00:07:46,976 ARE STILL IN THE WAITING ROOM. 174 00:07:46,976 --> 00:07:50,346 SORRY, IT'S SHOWING UP ON MY -- 175 00:07:50,346 --> 00:07:53,349 EXCUSE ME, DR. WEBB. 176 00:07:53,349 --> 00:07:54,783 >> OKAY, WE'LL TAKE CARE OF IT. 177 00:07:54,783 --> 00:07:55,151 THANK YOU. 178 00:07:55,151 --> 00:07:56,919 >> THANK YOU, DR. COTTON, AND 179 00:07:56,919 --> 00:07:58,888 THANKS TO EVERYONE AGAIN FOR 180 00:07:58,888 --> 00:07:59,555 ATTENDING TODAY'S COUNCIL 181 00:07:59,555 --> 00:08:01,190 MEETING. 182 00:08:01,190 --> 00:08:02,958 I'M MONICA WEBB HOOPER. 183 00:08:02,958 --> 00:08:05,027 I'M ACTING DIRECTOR OF NIMHD, 184 00:08:05,027 --> 00:08:08,097 AND FOR THE NEXT 20 TO 30 185 00:08:08,097 --> 00:08:10,032 MINUTES, I WILL HIGHLIGHT A 186 00:08:10,032 --> 00:08:13,869 SELECT SET OF ACTIVITIES AT 187 00:08:13,869 --> 00:08:16,105 NIMHD BETWEEN OUR SEPTEMBER 2024 188 00:08:16,105 --> 00:08:17,806 COUNCIL MEETING AND EARLY 189 00:08:17,806 --> 00:08:21,076 FEBRUARY OF 2025. 190 00:08:21,076 --> 00:08:23,612 BEFORE I START, I WANT TO 191 00:08:23,612 --> 00:08:27,216 ACKNOWLEDGE AND THANK DR. ELISEO 192 00:08:27,216 --> 00:08:28,217 PEREZ-STABLE FOR HIS LEADERSHIP 193 00:08:28,217 --> 00:08:33,656 AS THE SECOND NIMHD DIRECTOR. 194 00:08:33,656 --> 00:08:34,790 SO LET'S GO TO MY SLIDES, 195 00:08:34,790 --> 00:08:44,934 PLEASE. 196 00:08:45,634 --> 00:08:55,811 >> ONE MOMENT. 197 00:08:57,780 --> 00:09:08,224 >> WE CAN GO TO THE NEXT ONE. 198 00:09:08,924 --> 00:09:09,858 THANK YOU. 199 00:09:09,858 --> 00:09:11,393 OKAY. 200 00:09:11,393 --> 00:09:14,997 SO THE MISSION OF NIMHD IS TO 201 00:09:14,997 --> 00:09:17,066 LEAD SCIENTIFIC RESEARCH TO 202 00:09:17,066 --> 00:09:21,203 IMPROVE HEALTH AND REDUCE HEALTH 203 00:09:21,203 --> 00:09:23,072 DISPARITIES WITH THE ASPIRATION 204 00:09:23,072 --> 00:09:24,807 TO ASSURE GOOD HEALTH FOR ALL 205 00:09:24,807 --> 00:09:25,407 POPULATIONS. 206 00:09:25,407 --> 00:09:27,443 OUR INSTITUTE CONDUCTS AND 207 00:09:27,443 --> 00:09:29,345 SUPPORTS MULTI-DISCIPLINARY 208 00:09:29,345 --> 00:09:30,446 RESEARCH ACROSS SEVERAL DOMAINS, 209 00:09:30,446 --> 00:09:33,582 THE DOMAINS OF INTEGRATIVE, 210 00:09:33,582 --> 00:09:34,883 BIOLOGICAL AND BEHAVIORAL 211 00:09:34,883 --> 00:09:35,985 SCIENCES, CLINICAL AND HEALTH 212 00:09:35,985 --> 00:09:37,786 SERVICES RESEARCH, AND COMMUNITY 213 00:09:37,786 --> 00:09:41,457 HEALTH AND POPULATION SCIENCE. 214 00:09:41,457 --> 00:09:44,994 THIS MISSION IS SO IMPORTANT. 215 00:09:44,994 --> 00:09:47,029 AND SINCE THE ESTABLISHMENT OF 216 00:09:47,029 --> 00:09:50,332 NIMHD IN 2010, SO WE'RE 217 00:09:50,332 --> 00:09:51,300 CELEBRATING 15 YEARS, WE HAVE 218 00:09:51,300 --> 00:09:54,370 BEEN DEDICATED TO ADDRESSING 219 00:09:54,370 --> 00:09:56,105 CRITICAL GAPS BY APPLYING 220 00:09:56,105 --> 00:09:57,973 SCIENTIFIC METHODS TO GENERATE 221 00:09:57,973 --> 00:10:00,576 KNOWLEDGE AND PROVIDE CRITICAL 222 00:10:00,576 --> 00:10:02,244 EVIDENCE FOR UNDERLYING 223 00:10:02,244 --> 00:10:03,779 CONTRIBUTORS TO HEALTH 224 00:10:03,779 --> 00:10:06,282 DISPARITIES ACROSS POPULATIONS, 225 00:10:06,282 --> 00:10:09,251 DISEASES, AND CONDITIONS. 226 00:10:09,251 --> 00:10:10,552 NIMHD LEADS AND SUPPORTS SCIENCE 227 00:10:10,552 --> 00:10:13,155 THAT IS RESPONSIVE TO POPULATION 228 00:10:13,155 --> 00:10:15,691 NEEDS AND THAT ADVANCES, HE EVER 229 00:10:15,691 --> 00:10:17,760 HAD BASED, CLINICAL AND 230 00:10:17,760 --> 00:10:18,594 COMMUNITY-BASED INTERVENTIONS. 231 00:10:18,594 --> 00:10:21,630 AND IT IS THROUGH THESE EFFORTS 232 00:10:21,630 --> 00:10:24,667 THAT WE WILL CONTINUE TO DRIVE 233 00:10:24,667 --> 00:10:25,868 MEANINGFUL CHANGES TOWARDS 234 00:10:25,868 --> 00:10:26,735 IMPROVING HEALTH AND WELL-BEING, 235 00:10:26,735 --> 00:10:29,038 PAVING THE WAY FOR A HEALTHIER 236 00:10:29,038 --> 00:10:29,705 FUTURE. 237 00:10:29,705 --> 00:10:30,706 AND THERE'S STILL SO MUCH TO 238 00:10:30,706 --> 00:10:33,309 LEARN AND I THINK TO UNDERSTAND 239 00:10:33,309 --> 00:10:36,412 WHY DIFFERENCES IN HEALTH EXIST 240 00:10:36,412 --> 00:10:37,980 AND PERSIST ACROSS GENERATIONS 241 00:10:37,980 --> 00:10:40,616 AND POPULATIONS AND MOST 242 00:10:40,616 --> 00:10:41,383 IMPORTANTLY, WHAT WE CAN DO 243 00:10:41,383 --> 00:10:43,252 ABOUT IT, RIGHT? 244 00:10:43,252 --> 00:10:45,988 I WANT TO GIVE SPECIAL THANKS TO 245 00:10:45,988 --> 00:10:48,724 THE HEROS WHO WORK AT NIH AND 246 00:10:48,724 --> 00:10:51,694 NIMHD TO ADDRESS HEALTH 247 00:10:51,694 --> 00:10:52,261 DISPARITIES. 248 00:10:52,261 --> 00:10:53,862 AND THE SCIENCE TEAMS WHO WORK 249 00:10:53,862 --> 00:10:55,164 TOGETHER ON THE GROUND TO SAVE 250 00:10:55,164 --> 00:10:57,700 LIVES THROUGH RESEARCH BECAUSE 251 00:10:57,700 --> 00:11:00,102 IT IS TRULY HEROIC AND YOUR 252 00:11:00,102 --> 00:11:03,172 COMMITMENT TO THE SCIENCE OF 253 00:11:03,172 --> 00:11:08,410 HEALTH DISPARITIES INSPIRES ME 254 00:11:08,410 --> 00:11:13,449 GREATLY. 255 00:11:13,449 --> 00:11:14,983 SO SEPTEMBER 19TH, 2024 I HAD 256 00:11:14,983 --> 00:11:16,385 THE HONOR TO ATTEND IT REALLY 257 00:11:16,385 --> 00:11:17,920 RYE MARKABLE EVENT ON THE NIH 258 00:11:17,920 --> 00:11:18,387 CAMPUS. 259 00:11:18,387 --> 00:11:23,492 SO DURING THIS EVENT, NIH 260 00:11:23,492 --> 00:11:27,329 DEBUTED A PLAQUE HONORING THE 261 00:11:27,329 --> 00:11:29,732 MEMORY OF THE 625 BLACK AMERICAN 262 00:11:29,732 --> 00:11:32,134 MEN UNETHICALLY TREATED IN THE 263 00:11:32,134 --> 00:11:33,335 U.S. PUBLIC HEALTH SERVICE 264 00:11:33,335 --> 00:11:35,637 UNTREATED SYPHILIS STUDY, WHICH 265 00:11:35,637 --> 00:11:38,374 OCCURRED BETWEEN 1932 AND 1972 266 00:11:38,374 --> 00:11:41,110 IN ALABAMA. 267 00:11:41,110 --> 00:11:43,512 THIS EVENT ALSO RECOGNIZED THE 268 00:11:43,512 --> 00:11:45,414 50TH ANNIVERSARY OF THE NATIONAL 269 00:11:45,414 --> 00:11:47,683 RESEARCH ACT WHICH IS WHAT 270 00:11:47,683 --> 00:11:50,619 CREATED FEDERAL RULES TO PROTECT 271 00:11:50,619 --> 00:11:51,820 HUMAN RESEARCH PARTICIPANTS AND 272 00:11:51,820 --> 00:11:52,921 THIS LAW WAS A DIRECT RESPONSE 273 00:11:52,921 --> 00:11:54,323 TO THE MEN WHO WERE MISTREATED 274 00:11:54,323 --> 00:11:57,726 IN THE STUDY. 275 00:11:57,726 --> 00:11:58,927 THIS REALLY WAS A MOVING 276 00:11:58,927 --> 00:12:00,362 EXPERIENCE FOR ME PERSONALLY, 277 00:12:00,362 --> 00:12:02,231 AND ESPECIALLY HAVING THE 278 00:12:02,231 --> 00:12:04,400 OPPORTUNITY TO MEET VOICES OF 279 00:12:04,400 --> 00:12:06,001 OUR FATHER'S LEGACY FOUNDATION 280 00:12:06,001 --> 00:12:06,268 MEMBERS. 281 00:12:06,268 --> 00:12:09,204 THE FOUNDING MEMBERS, MANY OF 282 00:12:09,204 --> 00:12:11,306 THEM ARE THE DIRECT CHILDREN AND 283 00:12:11,306 --> 00:12:12,641 DESCENDANTS OF THESE MEN. 284 00:12:12,641 --> 00:12:15,577 AND ALSO IN THE PHOTO THAT YOU 285 00:12:15,577 --> 00:12:17,079 SEE HERE ARE NIH LEADERS WHO 286 00:12:17,079 --> 00:12:18,947 GATHERED AROUND THE PLAQUE AT 287 00:12:18,947 --> 00:12:20,115 THE NATIONAL LIBRARY OF MEDICINE 288 00:12:20,115 --> 00:12:21,049 IN THE HERB GARDEN. 289 00:12:21,049 --> 00:12:22,651 SO IT WAS A REALLY, REALLY GREAT 290 00:12:22,651 --> 00:12:26,522 EXPERIENCE. 291 00:12:26,522 --> 00:12:28,824 SO IN TERMS OF NIMHD UPDATES 292 00:12:28,824 --> 00:12:31,026 FOLLOWING OUR SEPTEMBER 2024 293 00:12:31,026 --> 00:12:33,829 COUNCIL AND OUR FEBRUARY 2025 294 00:12:33,829 --> 00:12:35,030 COUNCIL MEETINGS, I HAVE A FEW 295 00:12:35,030 --> 00:12:41,403 THINGS TO SHARE. 296 00:12:41,403 --> 00:12:43,672 AFTER A NATIONAL SEARCH, 297 00:12:43,672 --> 00:12:45,307 DR. KELVIN CHOI WAS SELECTED AS 298 00:12:45,307 --> 00:12:47,509 THE NIMHD SCIENTIFIC DIRECTOR IN 299 00:12:47,509 --> 00:12:49,144 OUR DIVISION OF INTRAMURAL 300 00:12:49,144 --> 00:12:50,145 RESEARCH. 301 00:12:50,145 --> 00:12:51,980 SCIENTIFIC DIRECTOR IS A TOP 302 00:12:51,980 --> 00:12:53,816 FIVE, WHAT'S CALLED THE TOP FIVE 303 00:12:53,816 --> 00:12:55,484 POSITION AT NIH, AND AS OUR 304 00:12:55,484 --> 00:12:58,220 SCIENTIFIC DIRECTOR, DR. CHOI IS 305 00:12:58,220 --> 00:12:59,855 OVERSEEING THE EXECUTIVE 306 00:12:59,855 --> 00:13:01,190 DIRECTION AS WELL AS THE 307 00:13:01,190 --> 00:13:02,391 SCIENTIFIC LEADERSHIP FOR 308 00:13:02,391 --> 00:13:04,460 RESEARCH CONDUCTED WITHIN OUR 309 00:13:04,460 --> 00:13:08,831 INTRAMURAL PROGRAM. 310 00:13:08,831 --> 00:13:10,566 DR. CHOI SERVED AS ACTING 311 00:13:10,566 --> 00:13:11,567 SCIENTIFIC DIRECTOR FROM 312 00:13:11,567 --> 00:13:14,203 MARCH 2023 FOLLOWING THE 313 00:13:14,203 --> 00:13:16,171 RETIREMENT OF ANNA NAPOLES UNTIL 314 00:13:16,171 --> 00:13:18,006 HE WAS APPOINTED OFFICIALLY. 315 00:13:18,006 --> 00:13:27,316 KELVIN JOINED DIR IN 2013 AS A 316 00:13:27,316 --> 00:13:28,417 STADTMAN TENURE TRACK 317 00:13:28,417 --> 00:13:30,152 INVESTIGATOR AND HE IS OUR FIRST 318 00:13:30,152 --> 00:13:32,254 AND ONLY SCIENTIFIC SENIOR 319 00:13:32,254 --> 00:13:35,090 INVESTIGATOR DR. CHOI IS AN 320 00:13:35,090 --> 00:13:36,391 ACCOMPLISHED RESEARCHER IN 321 00:13:36,391 --> 00:13:37,159 COMMERCIAL TOBACCO USE 322 00:13:37,159 --> 00:13:37,926 DISPARITIES AND CONTROL. 323 00:13:37,926 --> 00:13:40,662 I HAVE VERY MUCH ENJOYED 324 00:13:40,662 --> 00:13:41,964 COLLABORATING WITH KELVIN BEFORE 325 00:13:41,964 --> 00:13:44,466 JOINING NIH WHEN I WAS AN 326 00:13:44,466 --> 00:13:45,367 EXTRAMURAL INVESTIGATOR AND HAVE 327 00:13:45,367 --> 00:13:46,735 APPRECIATED WORKING WITH HIM 328 00:13:46,735 --> 00:13:48,003 OVER THE PAST FIVE YEARS SINCE I 329 00:13:48,003 --> 00:13:49,505 HAVE BEEN HERE AT NIMHD AND I'M 330 00:13:49,505 --> 00:13:50,372 DELIGHTED TO CONTINUE WORKING 331 00:13:50,372 --> 00:13:52,341 WITH HIM AS OUR SCIENTIFIC 332 00:13:52,341 --> 00:13:57,079 DIRECTOR. 333 00:13:57,079 --> 00:13:58,714 SO ANOTHER UPDATE. 334 00:13:58,714 --> 00:14:01,316 I WAS FORTUNATE TO RECEIVE THESE 335 00:14:01,316 --> 00:14:05,153 TWO HONORS LATE LAST YEAR AND 336 00:14:05,153 --> 00:14:05,354 2025. 337 00:14:05,354 --> 00:14:08,657 I WAS RECENTLY ELECTED AS AN 338 00:14:08,657 --> 00:14:10,959 ACADEACADEMY OF BEHAVIORAL MEDIE 339 00:14:10,959 --> 00:14:12,060 RESEARCH, WHICH IS AN 340 00:14:12,060 --> 00:14:13,896 ORGANIZATION WITH THE VISION OF 341 00:14:13,896 --> 00:14:15,531 ADVANCING THE HEALTH OF THE 342 00:14:15,531 --> 00:14:17,299 FIELD OF BEHAVIORAL MEDICINE BY 343 00:14:17,299 --> 00:14:19,167 CREATING AND DISSEMINATING 344 00:14:19,167 --> 00:14:19,501 KNOWLEDGE. 345 00:14:19,501 --> 00:14:21,470 IT ALSO FOCUSES ON FOSTERING THE 346 00:14:21,470 --> 00:14:23,872 DEVELOPMENT AND APPLICATION OF 347 00:14:23,872 --> 00:14:26,475 HIGH QUALITY RESEARCH THAT 348 00:14:26,475 --> 00:14:29,545 INTEGRATES BIOMEDICAL AND 349 00:14:29,545 --> 00:14:30,546 BEHAVIORAL SCIENCE IN SERVICE OF 350 00:14:30,546 --> 00:14:31,079 BETTER HEALTH. 351 00:14:31,079 --> 00:14:33,382 WE ARE ALSO FOCUSED ON PROVIDING 352 00:14:33,382 --> 00:14:34,917 A MULTI-DISCIPLINARY FORUM FOR 353 00:14:34,917 --> 00:14:36,885 THE REVIEW OF RESEARCH FINDINGS 354 00:14:36,885 --> 00:14:40,756 AND HOW THEY APPLY, IN ASSESSING 355 00:14:40,756 --> 00:14:43,559 HOW THEY APPLY, TO APPLY THEM TO 356 00:14:43,559 --> 00:14:44,092 PREVENTION, DIAGNOSIS AND 357 00:14:44,092 --> 00:14:45,861 TREATMENT OF ILLNESS, AND ALSO 358 00:14:45,861 --> 00:14:48,463 JUST CULTIVATING DISCOURSE AND 359 00:14:48,463 --> 00:14:49,998 REALLY TRYING TO INSPIRE CHANGE 360 00:14:49,998 --> 00:14:51,433 THAT CULMINATES IN BETTER HEALTH 361 00:14:51,433 --> 00:14:54,603 FOR ALL. 362 00:14:54,603 --> 00:14:56,471 SO I WAS DELIGHTED TO BE ELECTED 363 00:14:56,471 --> 00:14:57,873 BY MY DISTINGUISHED PEERS AND I 364 00:14:57,873 --> 00:15:01,209 WAS ALSO THRILLED TO RECEIVE THE 365 00:15:01,209 --> 00:15:03,011 2025 PEBBLES FAGAN AWARD FROM 366 00:15:03,011 --> 00:15:04,446 THE SOCIETY FOR RESEARCH ON 367 00:15:04,446 --> 00:15:05,547 NICOTINE AND TOBACCO FOR OUR 368 00:15:05,547 --> 00:15:07,082 WORK IN TOBACCO RELATED 369 00:15:07,082 --> 00:15:07,382 DISPARITIES. 370 00:15:07,382 --> 00:15:10,252 AND FOR THIS AWARD, I MUST THANK 371 00:15:10,252 --> 00:15:13,789 THE MANY COMMUNITY PARTNERS, 372 00:15:13,789 --> 00:15:15,724 ACADEMIC COLLABORATORS, 373 00:15:15,724 --> 00:15:16,925 TRAINEES, RESEARCH STAFF MEMBERS 374 00:15:16,925 --> 00:15:18,327 AND OUR COMMITTED PARTICIPANTS 375 00:15:18,327 --> 00:15:19,528 OVER THE YEARS WHO MADE THIS 376 00:15:19,528 --> 00:15:21,496 RECOGNITION POSSIBLE. 377 00:15:21,496 --> 00:15:26,335 SO I WAS VERY GREAT FULL AND GRD 378 00:15:26,335 --> 00:15:28,270 HUMBLED BY BOTH OF THOSE HONORS. 379 00:15:28,270 --> 00:15:29,705 IN TERMS OF CONGRESSIONAL OR 380 00:15:29,705 --> 00:15:31,239 LEGISLATIVE UPDATES, LAST 381 00:15:31,239 --> 00:15:33,442 NOVEMBER, I WAS ABLE TO MEET 382 00:15:33,442 --> 00:15:36,812 WITH CONGRESSMAN TERRI SEWELL TO 383 00:15:36,812 --> 00:15:38,246 DISCUSS UPDATES ON HEALTH 384 00:15:38,246 --> 00:15:39,448 DISPARITIES RESEARCH AT NIMHD 385 00:15:39,448 --> 00:15:41,850 AND NIH, SO THIS IS A PHOTO IN 386 00:15:41,850 --> 00:15:43,051 HER OFFICE. 387 00:15:43,051 --> 00:15:46,021 AND THEN IN DECEMBER, 388 00:15:46,021 --> 00:15:46,755 DR. STINSON MET WITH 389 00:15:46,755 --> 00:15:49,391 REPRESENTATIVES FROM NIGMS AND 390 00:15:49,391 --> 00:15:50,926 NHLBI AND PARTICIPATED IN THE 391 00:15:50,926 --> 00:15:52,361 NIH LUNCH AND LEARN 392 00:15:52,361 --> 00:15:54,863 CONGRESSIONAL WEBINAR, AND 393 00:15:54,863 --> 00:15:56,498 SPECIFICALLY, THIS WEBINAR WAS 394 00:15:56,498 --> 00:15:58,367 FOCUSED ON RURAL HEALTH RESEARCH 395 00:15:58,367 --> 00:16:00,235 AT NIH, AND IT WENT QUITE WELL. 396 00:16:00,235 --> 00:16:03,171 SO WE APPRECIATE DR. STINSON 397 00:16:03,171 --> 00:16:03,739 REPRESENTING NIMHD AND DOING 398 00:16:03,739 --> 00:16:08,744 THAT FOR US. 399 00:16:08,744 --> 00:16:11,580 IN OCTOBER OF LAST YEAR, I WAS 400 00:16:11,580 --> 00:16:13,849 INVITED TO AUTHOR A PIECE FOR 401 00:16:13,849 --> 00:16:15,317 TREND MAGAZINE, WHICH IS 402 00:16:15,317 --> 00:16:17,486 PUBLISHED BY THE PEW CHARITABLE 403 00:16:17,486 --> 00:16:20,122 TRUSTS, AND THE FOCUS WAS ON THE 404 00:16:20,122 --> 00:16:22,090 DECLINES IN TRUST FOR HEALTHCARE 405 00:16:22,090 --> 00:16:23,425 AND SCIENCE, ESPECIALLY IN 406 00:16:23,425 --> 00:16:24,626 RECENT YEARS, ALTHOUGH THERE'S 407 00:16:24,626 --> 00:16:28,430 BEEN A SORT OF DECADE GRADUAL 408 00:16:28,430 --> 00:16:28,764 DECLINE. 409 00:16:28,764 --> 00:16:29,865 IN THIS PIECE I TALKED ABOUT 410 00:16:29,865 --> 00:16:32,167 SOME OF THE REASONS REPORTED FOR 411 00:16:32,167 --> 00:16:33,702 DISTRUST IN SCIENCE AND 412 00:16:33,702 --> 00:16:35,003 MEDICINE, AND I OFFER A FEW 413 00:16:35,003 --> 00:16:37,406 POSSIBLE STRATEGIES FOR DEALING 414 00:16:37,406 --> 00:16:39,374 WITH THIS KEY PSYCHOLOGICAL 415 00:16:39,374 --> 00:16:40,709 CONSTRUCT THAT CAN BE REALLY 416 00:16:40,709 --> 00:16:43,979 CHALLENGING TO MOVE, BUT THE 417 00:16:43,979 --> 00:16:44,613 RECOMMENDATIONS OR REALLY THE 418 00:16:44,613 --> 00:16:45,714 SUGGESTIONS THAT I OFFER IN THIS 419 00:16:45,714 --> 00:16:47,916 PIECE IS THINKING ABOUT HOW WE 420 00:16:47,916 --> 00:16:50,318 CAN MOVE IN A MORE POSITIVE 421 00:16:50,318 --> 00:16:52,020 DIRECTION TOWARDS TRUST AND 422 00:16:52,020 --> 00:16:53,155 CONFIDENCE SINCE WE KNOW IT'S SO 423 00:16:53,155 --> 00:17:00,262 CRITICAL. 424 00:17:00,262 --> 00:17:02,197 SO NIMHD WAS WELL REPRESENTED AT 425 00:17:02,197 --> 00:17:04,332 THE LAST ANNUAL MEETING OF THE 426 00:17:04,332 --> 00:17:06,735 AMERICAN PUBLIC HEALTH 427 00:17:06,735 --> 00:17:08,370 ASSOCIATION, AND INVESTIGATORS 428 00:17:08,370 --> 00:17:12,407 AS WELL AS FELLOWS FROM FIVE 429 00:17:12,407 --> 00:17:13,675 NIMHD INTRAMURAL LABS PRESENTED 430 00:17:13,675 --> 00:17:17,012 THEIR SCIENCE AND DR. ALLANA 431 00:17:17,012 --> 00:17:18,980 FORDE HAD A PANEL FOCUSED ON 432 00:17:18,980 --> 00:17:20,082 CRITICAL ISSUES IN PUBLIC 433 00:17:20,082 --> 00:17:20,515 HEALTH. 434 00:17:20,515 --> 00:17:21,817 NIMHD ALSO HOSTED AN EXHIBIT 435 00:17:21,817 --> 00:17:23,885 BOOTH AND THAT ALLOWS FOR 436 00:17:23,885 --> 00:17:26,088 INTERACTIONS WITH SCIENTISTS AND 437 00:17:26,088 --> 00:17:27,389 TRAINEES ABOUT RESEARCH 438 00:17:27,389 --> 00:17:29,024 OPPORTUNITIES, AND THE EXHIBIT 439 00:17:29,024 --> 00:17:30,459 WAS WELL VISITED AND WE'RE 440 00:17:30,459 --> 00:17:32,527 ALWAYS PLEASED TO HAVE THESE 441 00:17:32,527 --> 00:17:38,767 SORTS OF OPPORTUNITIES. 442 00:17:38,767 --> 00:17:41,069 EACH YEAR, THE NIH HEALTH 443 00:17:41,069 --> 00:17:42,537 DISPARITIES INTEREST GROUP HOSTS 444 00:17:42,537 --> 00:17:45,440 A WORKSHOP DURING THE NIH 445 00:17:45,440 --> 00:17:46,641 RESEARCH FESTIVAL WHICH OCCURS 446 00:17:46,641 --> 00:17:49,177 EVERY FALL, AND THIS WORKSHOP 447 00:17:49,177 --> 00:17:50,479 THIS PAST FALL WAS PART OF THE 448 00:17:50,479 --> 00:17:52,647 NIH HEALTH DISPARITIES INTEREST 449 00:17:52,647 --> 00:17:54,616 GROUP, THEIR COLLABORATIONS, 450 00:17:54,616 --> 00:17:55,183 COLLABORATIVE EFFORT. 451 00:17:55,183 --> 00:17:58,587 THIS WORKSHOP WAS LED BY NICHD 452 00:17:58,587 --> 00:17:59,821 WITH SUPPORT FROM -- WHICH IS 453 00:17:59,821 --> 00:18:02,190 THE CHILD HEALTH INSTITUTE, WITH 454 00:18:02,190 --> 00:18:04,159 SUPPORT FROM NIMHD, AND THE 455 00:18:04,159 --> 00:18:05,794 FOCUS WAS ON ORAL HEALTH 456 00:18:05,794 --> 00:18:06,895 DISPARITIES, AN AREA THAT IS 457 00:18:06,895 --> 00:18:08,730 LESS DISCUSSED BUT VERY 458 00:18:08,730 --> 00:18:09,297 IMPORTANT. 459 00:18:09,297 --> 00:18:11,800 ORAL HEALTH IS A MODIFIABLE RISK 460 00:18:11,800 --> 00:18:13,769 FACTOR FOR MANY NON-COMMUNICABLE 461 00:18:13,769 --> 00:18:16,505 DISEASE PROCESSES, AND THERE ARE 462 00:18:16,505 --> 00:18:18,039 DISPARITIES IN ORAL HEALTH THAT 463 00:18:18,039 --> 00:18:20,008 EXIST ACROSS THE LIFESPAN SHAPED 464 00:18:20,008 --> 00:18:21,877 BY VARIOUS FACTORS. 465 00:18:21,877 --> 00:18:24,813 SO IDENTIFYING AND UNDERSTANDING 466 00:18:24,813 --> 00:18:27,449 HOW SPECIFIC FACTORS SHAPE ORAL 467 00:18:27,449 --> 00:18:29,417 HEALTH MAY HELP INFORM EFFORTS 468 00:18:29,417 --> 00:18:31,253 TO ADDRESS DISPARITIES IN ORAL 469 00:18:31,253 --> 00:18:31,620 HEALTH. 470 00:18:31,620 --> 00:18:33,855 HERE YOU CAN SEE A LIST OF THE 471 00:18:33,855 --> 00:18:35,323 FEATURED SPEAKERS, AND THE 472 00:18:35,323 --> 00:18:37,492 WORKSHOP IS AVAILABLE ON NIH 473 00:18:37,492 --> 00:18:42,531 VIDEOCAST. 474 00:18:42,531 --> 00:18:44,499 SO NOW TO TURN TO JUST A FEW 475 00:18:44,499 --> 00:18:46,368 SCIENCE ADVANCES, IT IS VERY 476 00:18:46,368 --> 00:18:48,537 IMPORTANT THAT WE CONTINUE 477 00:18:48,537 --> 00:18:50,071 CONDUCTING THE SCIENCE NEEDED TO 478 00:18:50,071 --> 00:18:52,374 ADVANCE THE NIH MISSION WITH 479 00:18:52,374 --> 00:18:53,575 CONTRIBUTIONS FROM NIMHD. 480 00:18:53,575 --> 00:18:56,011 AND I'VE SELECTED JUST SIX OF 481 00:18:56,011 --> 00:18:57,746 MANY RECENT NIMHD SUPPORTED 482 00:18:57,746 --> 00:19:04,085 PUBLICATIONS TO SHARE. 483 00:19:04,085 --> 00:19:06,488 SO THIS STUDY EXPLORED THE LINK 484 00:19:06,488 --> 00:19:07,823 BETWEEN RELIGION AND 485 00:19:07,823 --> 00:19:09,891 SPIRITUALITY AND THE RISK OF 486 00:19:09,891 --> 00:19:11,860 ALZHEIMER'S DISEASE AND RELATED 487 00:19:11,860 --> 00:19:13,061 DEMENTIAS FOCUSED ON BLACK 488 00:19:13,061 --> 00:19:14,462 ADULTS IN THE UNITED STATES. 489 00:19:14,462 --> 00:19:15,997 AND BLACK INDIVIDUALS HAVE THE 490 00:19:15,997 --> 00:19:18,200 HIGHEST PREVALENCE OF 491 00:19:18,200 --> 00:19:19,501 ALZHEIMER'S DISEASE AND RELATED 492 00:19:19,501 --> 00:19:21,570 DEMENTIAS COMPARED WITH OTHER 493 00:19:21,570 --> 00:19:23,004 RACIAL AND/OR ETHNIC GROUPS, AND 494 00:19:23,004 --> 00:19:25,073 THESE RESEARCHERS AIM TO 495 00:19:25,073 --> 00:19:26,708 IDENTIFY FACTORS THAT COULD HELP 496 00:19:26,708 --> 00:19:28,577 SLOW THE DISEASE OR IMPROVE 497 00:19:28,577 --> 00:19:29,778 QUALITY OF LIFE. 498 00:19:29,778 --> 00:19:32,080 SO USING DATA FROM THE HEALTH 499 00:19:32,080 --> 00:19:34,716 AND RETIREMENT STUDY, THEY 500 00:19:34,716 --> 00:19:36,885 ANALYZED WHETHER RELIGION AND 501 00:19:36,885 --> 00:19:38,320 SPIRITUALITY INFLUENCES 502 00:19:38,320 --> 00:19:40,188 ALZHEIMER'S DISEASE AND RELATED 503 00:19:40,188 --> 00:19:41,723 DEMENTIA RISK EVEN AFTER 504 00:19:41,723 --> 00:19:43,592 ACCOUNTING FOR FACTORS SUCH AS 505 00:19:43,592 --> 00:19:44,893 HYPERTENSION, WHICH IS A KNOWN 506 00:19:44,893 --> 00:19:46,962 RISK FACTOR FOR DEMENTIA. 507 00:19:46,962 --> 00:19:49,164 SO AMONG THE KEY FINDINGS WERE 508 00:19:49,164 --> 00:19:51,333 THAT BLACK ADULTS WHO NEVER 509 00:19:51,333 --> 00:19:53,535 ATTENDED RELIGIOUS SERVICES HAD 510 00:19:53,535 --> 00:19:55,837 OVER TWICE THE ODDS OF BEING 511 00:19:55,837 --> 00:19:56,705 DIAGNOSED WITH ALZHEIMER'S 512 00:19:56,705 --> 00:19:58,206 DISEASE AND RELATED DEMENTIA 513 00:19:58,206 --> 00:20:00,408 COMPARED WITH THOSE WHO ATTENDED 514 00:20:00,408 --> 00:20:04,813 MORE THAN ONCE PER WEEK. 515 00:20:04,813 --> 00:20:07,949 AND THE MORE FREQU FREQUENTLY 516 00:20:07,949 --> 00:20:08,717 INDIVIDUALS PARTICIPATED IN 517 00:20:08,717 --> 00:20:09,718 RELIGIOUS SERVICES, THERE WAS AN 518 00:20:09,718 --> 00:20:11,820 ASSOCIATION WITH LOWER RISK FOR 519 00:20:11,820 --> 00:20:12,888 ALZHEIMER'S DISEASE AND RELATED 520 00:20:12,888 --> 00:20:14,289 DEMENTIA AND THERE WAS A REALLY 521 00:20:14,289 --> 00:20:15,824 LINEAR DECREASE IN THE RISK, AND 522 00:20:15,824 --> 00:20:17,692 REALLY ASSOCIATED WITH INCREASED 523 00:20:17,692 --> 00:20:20,228 AT10 DANCE. 524 00:20:20,228 --> 00:20:21,529 A -- ATTENDANCE. 525 00:20:21,529 --> 00:20:22,998 SO WHY IS THIS KIND OF STUDY AND 526 00:20:22,998 --> 00:20:23,832 ITS FINDINGS IMPORTANT? 527 00:20:23,832 --> 00:20:25,667 WELL, I THINK THESE RESULTS 528 00:20:25,667 --> 00:20:27,602 HIGHLIGHT THE POTENTIAL ROLE OF 529 00:20:27,602 --> 00:20:29,404 EXISTING CULTURAL NETWORKS SUCH 530 00:20:29,404 --> 00:20:31,907 AS RELIGION AND SPIRITUALITY IN 531 00:20:31,907 --> 00:20:34,109 REDUCING THE PREVALENCE OF 532 00:20:34,109 --> 00:20:35,377 ALZHEIMER'S DISEASE AND RELATED 533 00:20:35,377 --> 00:20:37,178 DEMENTIA IN THIS POPULATION. 534 00:20:37,178 --> 00:20:39,347 AND THE STUDY SUGGESTS THAT 535 00:20:39,347 --> 00:20:42,751 RELIGION AND SPIRITUALITY MAY 536 00:20:42,751 --> 00:20:44,386 POSITIVELY IMPACT THE SYMPTOM 537 00:20:44,386 --> 00:20:46,454 DEVELOPMENT AND PROGRESSION OF 538 00:20:46,454 --> 00:20:47,555 ALZHEIMER'S DISEASE AND OFFER 539 00:20:47,555 --> 00:20:48,990 VALUABLE INSIGHTS INTO 540 00:20:48,990 --> 00:20:51,159 NON-MEDICAL APPROACHES AS WE 541 00:20:51,159 --> 00:20:54,129 THINK ABOUT BRAIN HEALTH. 542 00:20:54,129 --> 00:20:57,966 LET'S GO TO ANOTHER EXAMPLE. 543 00:20:57,966 --> 00:20:59,801 SO TOBACCO SMOKING REMAINS THE 544 00:20:59,801 --> 00:21:01,069 SINGLE MOST IMPORTANT BEHAVIOR 545 00:21:01,069 --> 00:21:03,204 THAT IS RELATED TO MORBIDITY AND 546 00:21:03,204 --> 00:21:04,439 MORTALITY IN THE UNITED STATES, 547 00:21:04,439 --> 00:21:06,574 EVEN THOUGH WE'VE BEEN 548 00:21:06,574 --> 00:21:09,110 SUCCESSFUL IN OVER THE DECADES 549 00:21:09,110 --> 00:21:11,279 HAVING SIGNIFICANT DECLINES IN 550 00:21:11,279 --> 00:21:12,280 PARTICULARLY COMBUSTIBLE TOBACCO 551 00:21:12,280 --> 00:21:12,514 USE. 552 00:21:12,514 --> 00:21:16,418 THIS STUDY SUPPORTED BY NIMHD 553 00:21:16,418 --> 00:21:17,652 EXAMINED SMOKING CESSATION 554 00:21:17,652 --> 00:21:19,821 EFFORTS IN RURAL AMERICAN 555 00:21:19,821 --> 00:21:20,789 COMMUNITIES WHERE TOBACCO 556 00:21:20,789 --> 00:21:22,457 RELATED DISPARITIES ARE A 557 00:21:22,457 --> 00:21:24,192 SIGNIFICANT CONCERN. 558 00:21:24,192 --> 00:21:26,728 THESE RESEARCHERS ANALYZE DATA 559 00:21:26,728 --> 00:21:27,929 FROM A LARGE NATIONAL HEALTH 560 00:21:27,929 --> 00:21:31,099 STUDY TO UNDERSTAND HOW OFTEN 561 00:21:31,099 --> 00:21:33,368 RURAL ADULTS WHO SMOKE DAILY 562 00:21:33,368 --> 00:21:36,137 ATTEMPT TO QUIT, AND WHAT 563 00:21:36,137 --> 00:21:37,005 FACTORS INFLUENCE THESE 564 00:21:37,005 --> 00:21:37,839 ATTEMPTS. 565 00:21:37,839 --> 00:21:40,508 AND SO WHAT THEY FOUND WAS THAT 566 00:21:40,508 --> 00:21:43,345 ONLY ABOUT 25% OF RURAL ADULTS 567 00:21:43,345 --> 00:21:44,879 WHO SMOKE MADE AN ATTEMPT TO 568 00:21:44,879 --> 00:21:46,614 QUIT OVER THE PAST YEAR. 569 00:21:46,614 --> 00:21:48,917 SO ALMOST 75% DID NOT ATTEMPT TO 570 00:21:48,917 --> 00:21:49,117 QUIT. 571 00:21:49,117 --> 00:21:50,452 AND THEY LOOKED AT THE FACTORS 572 00:21:50,452 --> 00:21:52,654 THAT ARE RELATED TO INCREASING 573 00:21:52,654 --> 00:21:53,855 THE LIKELIHOOD OF TRYING TO QUIT 574 00:21:53,855 --> 00:21:57,025 AND WHAT THEY FOUND WAS 575 00:21:57,025 --> 00:21:58,326 POSITIVELY RELATED TO TRYING TO 576 00:21:58,326 --> 00:21:59,828 QUIT INCLUDING HIGHER EDUCATION, 577 00:21:59,828 --> 00:22:03,365 THE USE OF E-CIGARETTES, IF 578 00:22:03,365 --> 00:22:05,000 FAMILY AND FRIENDS DISAPPROVED 579 00:22:05,000 --> 00:22:06,968 OF SMOKING, IF THE PERSON 580 00:22:06,968 --> 00:22:07,869 REPORTED FREQUENT THOUGHTS ABOUT 581 00:22:07,869 --> 00:22:10,238 THE HARMS OF TOBACCO USE, IF 582 00:22:10,238 --> 00:22:12,207 THEY REPORTED POOR PHYSICAL 583 00:22:12,207 --> 00:22:14,743 HEALTH, AND IF THEY HAD RECEIVED 584 00:22:14,743 --> 00:22:16,978 A DOCTOR'S ADVICE TO QUIT 585 00:22:16,978 --> 00:22:19,881 SMOKING. 586 00:22:19,881 --> 00:22:22,817 ON THE OTHER HAND, WHO SMOKED 587 00:22:22,817 --> 00:22:25,887 MORE CIGARETTES MORE OFTEN WERE 588 00:22:25,887 --> 00:22:28,490 LESS LIKELY TO TRY TO QUIT. 589 00:22:28,490 --> 00:22:29,491 WHAT'S BEING ADVISED BY A 590 00:22:29,491 --> 00:22:30,759 CLINICIAN TO QUIT WAS RELATED TO 591 00:22:30,759 --> 00:22:32,127 GREATER ODDS OF ATTEMPTING TO 592 00:22:32,127 --> 00:22:33,862 QUIT, BUT FEWER THAN HALF OF 593 00:22:33,862 --> 00:22:36,398 PARTICIPANTS REPORTED RECEIVING 594 00:22:36,398 --> 00:22:38,566 THAT ADVICE TO QUIT SMOKING. 595 00:22:38,566 --> 00:22:39,901 SO WHY IS A STUDY LIKE THIS 596 00:22:39,901 --> 00:22:41,436 IMPORTANT? 597 00:22:41,436 --> 00:22:43,505 TO EVER SUCCEED AT BECOMING 598 00:22:43,505 --> 00:22:44,372 SMOKE-FREE, YOU HAVE TO FIRST 599 00:22:44,372 --> 00:22:46,875 TRY TO QUIT. 600 00:22:46,875 --> 00:22:47,976 AND SMOKING RATES IN RURAL 601 00:22:47,976 --> 00:22:49,177 COMMUNITIES ARE GREATER THAN THE 602 00:22:49,177 --> 00:22:49,844 NATIONAL AVERAGE, SO THIS KIND 603 00:22:49,844 --> 00:22:52,247 OF STUDY HIGHLIGHTS THE URGENT 604 00:22:52,247 --> 00:22:54,549 NEED FOR TARGETED INTERVENTIONS 605 00:22:54,549 --> 00:22:56,184 IN RURAL COMMUNITIES WHERE 606 00:22:56,184 --> 00:22:58,553 ACCESS TO CESSATION PROGRAMS, 607 00:22:58,553 --> 00:23:00,121 ACCESS TO MEDICATIONS, 608 00:23:00,121 --> 00:23:01,990 HEALTHCARE PROFESSIONALS REMAINS 609 00:23:01,990 --> 00:23:04,059 LIMITED IN CERTAIN AREAS. 610 00:23:04,059 --> 00:23:05,693 AND PUBLIC HEALTH EFFORTS SHOULD 611 00:23:05,693 --> 00:23:07,395 THUS FOCUS ON TRAINING 612 00:23:07,395 --> 00:23:08,963 HEALTHCARE PROVIDERS TO ADVISE 613 00:23:08,963 --> 00:23:10,832 PATIENTS EFFECTIVELY, AND TO 614 00:23:10,832 --> 00:23:12,467 ADDRESS CHALLENGES THAT MIGHT BE 615 00:23:12,467 --> 00:23:14,135 ASSOCIATED WITH, FOR EXAMPLE, 616 00:23:14,135 --> 00:23:16,404 USING MULTIPLE TOBACCO PRODUCTS. 617 00:23:16,404 --> 00:23:19,607 I THINK IN ADDITION, THIS KINE 618 00:23:19,607 --> 00:23:21,042 OF WORK POINTS TO FUTURE 619 00:23:21,042 --> 00:23:22,877 RESEARCH DIRECTIONS SUCH AS 620 00:23:22,877 --> 00:23:23,945 STUDYING STRATEGIES AND 621 00:23:23,945 --> 00:23:26,047 INTERVENTIONS TO ELIMINATE 622 00:23:26,047 --> 00:23:26,548 TOBACCO RELATED HEALTH 623 00:23:26,548 --> 00:23:27,882 DISPARITIES AND SUPPORT PEOPLE 624 00:23:27,882 --> 00:23:29,884 WHO SMOKE IN RURAL COMMUNITIES 625 00:23:29,884 --> 00:23:36,858 IF THEY WISH TO QUIT. 626 00:23:36,858 --> 00:23:38,193 SPEAKING OF INTERVENTION 627 00:23:38,193 --> 00:23:39,594 STRATEGIES, SO SMOKING CESSATION 628 00:23:39,594 --> 00:23:40,795 INTERVENTIONS ARE CRITICAL FOR 629 00:23:40,795 --> 00:23:43,098 POPULATIONS EXPERIENCING HEALTH 630 00:23:43,098 --> 00:23:43,731 DISPARITIES, PARTICULARLY AMONG 631 00:23:43,731 --> 00:23:46,501 LOW INCOME INDIVIDUALS WHO MAY 632 00:23:46,501 --> 00:23:49,137 BENEFIT FROM TARGETED SUPPORT. 633 00:23:49,137 --> 00:23:52,073 HOWEVER, THE EFFECTIVENESS OF 634 00:23:52,073 --> 00:23:53,274 DIFFERENT INTERVENTION FORMATS 635 00:23:53,274 --> 00:23:54,375 REMAINS UNCLEAR. 636 00:23:54,375 --> 00:23:55,043 PARTICULARLY THIS IS IMPORTANT 637 00:23:55,043 --> 00:23:56,878 TO THINK ABOUT AS VIRTUAL AND 638 00:23:56,878 --> 00:23:59,848 HYBRID MODELS HAVE GAINED 639 00:23:59,848 --> 00:24:00,949 POPULARITY AND WILL CONTINUE 640 00:24:00,949 --> 00:24:02,250 LIKELY TO BE POPULAR. 641 00:24:02,250 --> 00:24:04,319 SO THIS STUDY EXAMINED DIFFERENT 642 00:24:04,319 --> 00:24:05,954 APPROACHES TO HELP LOWER INCOME 643 00:24:05,954 --> 00:24:08,389 INDIVIDUALS QUIT SMOKING, AND SO 644 00:24:08,389 --> 00:24:10,492 THE RESEARCHERS COMPARED THREE 645 00:24:10,492 --> 00:24:11,659 TYPES OF INTERVENTION PROGRAMS, 646 00:24:11,659 --> 00:24:15,697 A SELF-HELP GROUP IS ONE, AN 647 00:24:15,697 --> 00:24:16,664 IN-PERSON SUPPORT GROUP WAS A 648 00:24:16,664 --> 00:24:17,465 SECOND AND THEN THERE WAS A 649 00:24:17,465 --> 00:24:20,301 VIRTUAL OR HYBRID PROGRAM. 650 00:24:20,301 --> 00:24:22,137 THE STUDY WAS CONDUCTED IN 651 00:24:22,137 --> 00:24:24,572 COMMUNITY SETTINGS AND RANDOMLY 652 00:24:24,572 --> 00:24:25,773 ASSIGNED PARTICIPANTS TO 653 00:24:25,773 --> 00:24:26,307 DIFFERENT GROUPS. 654 00:24:26,307 --> 00:24:27,509 AND THE MAIN GOAL WAS TO TEST 655 00:24:27,509 --> 00:24:28,943 WHICH APPROACH LED TO THE 656 00:24:28,943 --> 00:24:29,811 HIGHEST SUCCESS IN QUITTING 657 00:24:29,811 --> 00:24:30,678 SMOKING. 658 00:24:30,678 --> 00:24:32,547 AND THE RESULTS SHOWED THAT THE 659 00:24:32,547 --> 00:24:33,515 IN-PERSON SUPPORT GROUP WAS THE 660 00:24:33,515 --> 00:24:36,351 MOST EFFECTIVE. 661 00:24:36,351 --> 00:24:37,585 SIGNIFICANTLY INCREASING THE 662 00:24:37,585 --> 00:24:38,887 CHANCES OF QUITTING COMPARED 663 00:24:38,887 --> 00:24:40,221 WITH PARTICULARLY THE SELF-HELP 664 00:24:40,221 --> 00:24:41,523 APPROACH. 665 00:24:41,523 --> 00:24:43,291 HOWEVER, THE VIRTUAL OR HYBRID 666 00:24:43,291 --> 00:24:45,226 GROUP DID NOT SHOW A MAJOR 667 00:24:45,226 --> 00:24:46,427 IMPROVEMENT OVER THE SELF-HELP 668 00:24:46,427 --> 00:24:47,729 METHOD. 669 00:24:47,729 --> 00:24:49,497 SO THESE FINDINGS SUGGESTED THAT 670 00:24:49,497 --> 00:24:51,566 LOW INCOME ADULTS WHO WISH TO 671 00:24:51,566 --> 00:24:53,201 QUIT SMOKING MAY BENEFIT MORE 672 00:24:53,201 --> 00:24:54,769 FROM IN-PERSON SUPPORT PROGRAMS 673 00:24:54,769 --> 00:24:56,938 THAT OFFER PEER MOTIVATION, 674 00:24:56,938 --> 00:24:58,940 STRUCTURED GUIDANCE. 675 00:24:58,940 --> 00:25:00,175 THE FINDINGS ALSO SUGGEST THAT 676 00:25:00,175 --> 00:25:01,743 LOW INCOME ADULTS SEEKING HELP 677 00:25:01,743 --> 00:25:03,511 QUITTING MAY NOT FULLY BENEFIT 678 00:25:03,511 --> 00:25:04,913 FROM A VIRTUAL APPROACH TO 679 00:25:04,913 --> 00:25:06,114 INTERVENTION. 680 00:25:06,114 --> 00:25:07,215 THAT FORMAT. 681 00:25:07,215 --> 00:25:09,184 OR MAYBE IT'S THAT THE CURRENT 682 00:25:09,184 --> 00:25:10,385 CURRICULUM MAY NEED TO BE 683 00:25:10,385 --> 00:25:11,853 ADAPTED TO BETTER SERVE THE 684 00:25:11,853 --> 00:25:13,588 NEEDS IN A VIRTUAL FORMAT. 685 00:25:13,588 --> 00:25:15,089 SO I THINK THE IMPORTANCE OF 686 00:25:15,089 --> 00:25:17,825 THIS KIND OF STUDY, WE 687 00:25:17,825 --> 00:25:19,894 DEFINITELY APPRECIATE 688 00:25:19,894 --> 00:25:20,762 INTERVENTION RESEARCH, AND IT 689 00:25:20,762 --> 00:25:22,764 HIGHLIGHTS THE IMPORTANCE OF 690 00:25:22,764 --> 00:25:23,932 TAILORING SMOKING CESSATION 691 00:25:23,932 --> 00:25:26,234 PROGRAMS OR TARGETING THEM TO 692 00:25:26,234 --> 00:25:27,669 ENSURE THAT THEY WORK FOR ALL 693 00:25:27,669 --> 00:25:29,537 COMMUNITY, ESPECIALLY THOSE 694 00:25:29,537 --> 00:25:30,405 FACING LIMITED HEALTHCARE 695 00:25:30,405 --> 00:25:37,612 ACCESS. 696 00:25:37,612 --> 00:25:40,582 SO THIS STUDY EXAMINED HOW WELL 697 00:25:40,582 --> 00:25:42,984 DOCTORS FOLLOW GUIDELINES WHEN 698 00:25:42,984 --> 00:25:44,185 PRESCRIBING BLOOD PRESSURE 699 00:25:44,185 --> 00:25:45,720 MEDICATIONS TO PATIENTS WHO HAVE 700 00:25:45,720 --> 00:25:47,689 EXPERIENCED A STROKE. 701 00:25:47,689 --> 00:25:49,991 AND SINCE GUIDELINE CONCORDANT 702 00:25:49,991 --> 00:25:50,758 HYPERTENSION MANAGEMENT IS 703 00:25:50,758 --> 00:25:52,493 CRUCIAL FOR PREVENTING FUTURE 704 00:25:52,493 --> 00:25:54,262 STROKES, THIS GROUP OF 705 00:25:54,262 --> 00:25:56,097 RESEARCHERS ANALYZED TRENDS IN 706 00:25:56,097 --> 00:25:58,399 MEDICATION CHOICES OVER A 707 00:25:58,399 --> 00:26:00,134 10-YEAR PERIOD USING DATA FROM 708 00:26:00,134 --> 00:26:01,569 THE FLORIDA STROKE REGISTRY. 709 00:26:01,569 --> 00:26:03,538 AND THEY ASSESSED WHETHER 710 00:26:03,538 --> 00:26:05,807 CLINICIANS ADHERED TO 711 00:26:05,807 --> 00:26:08,476 RECOMMENDED TREATMENT GUIDELINES 712 00:26:08,476 --> 00:26:11,212 SUCH AS USING SPECIFIC 713 00:26:11,212 --> 00:26:13,047 MEDICATIONS FOR DIABETIC 714 00:26:13,047 --> 00:26:13,715 PATIENTS OR PATIENTS WITH 715 00:26:13,715 --> 00:26:15,550 DIABETES AND FOR BLACK PATIENTS 716 00:26:15,550 --> 00:26:17,218 TO OPTIMIZE THEIR CARE. 717 00:26:17,218 --> 00:26:18,419 THINGS LIKE PRESCRIBING 718 00:26:18,419 --> 00:26:19,287 BETA-BLOCKERS ONLY WHEN 719 00:26:19,287 --> 00:26:20,922 NECESSARY FOR THOSE WITH AN 720 00:26:20,922 --> 00:26:24,425 EXISTING HEART CONDITION. 721 00:26:24,425 --> 00:26:25,760 AND CHOOSING THE RIGHT FIRST 722 00:26:25,760 --> 00:26:27,061 LINE MEDICATION FOR THE GENERAL 723 00:26:27,061 --> 00:26:27,729 STROKE POPULATION. 724 00:26:27,729 --> 00:26:29,998 THESE ARE SORT OF GUIDELINE 725 00:26:29,998 --> 00:26:30,999 CONCORDANT CARE METRICS THAT 726 00:26:30,999 --> 00:26:32,967 THEY WERE LOOKING AT. 727 00:26:32,967 --> 00:26:35,136 AND THEY INCLUDED IN THEIR 728 00:26:35,136 --> 00:26:38,373 ANALYSES OVER 265,000 PEOPLE WHO 729 00:26:38,373 --> 00:26:40,308 HAD A STROKE, AND THEY FOUND 730 00:26:40,308 --> 00:26:42,577 THAT ADHERENCE TO THESE 731 00:26:42,577 --> 00:26:44,412 GUIDELINES RANGED FROM ABOUT 48 732 00:26:44,412 --> 00:26:48,283 TO 74% WHICH IS BELOW THE 80% 733 00:26:48,283 --> 00:26:51,019 QUALITY STANDARD. 734 00:26:51,019 --> 00:26:52,553 THEY ALSO FOUND FOLLOWING THE 735 00:26:52,553 --> 00:26:53,621 GUIDELINES OR THAT STANDARD OF 736 00:26:53,621 --> 00:26:54,956 CARE WAS LOWER WHEN THE PATIENTS 737 00:26:54,956 --> 00:26:56,924 WERE BLACK INDIVIDUALS OR WHEN 738 00:26:56,924 --> 00:26:59,594 THE PATIENT WERE INDIVIDUALS 739 00:26:59,594 --> 00:27:01,095 DIAGNOSED WITH ATRIAL 740 00:27:01,095 --> 00:27:02,163 FIBRILLATION, ALSO PATIENTS WHO 741 00:27:02,163 --> 00:27:05,233 WERE DIAGNOSED WITH DIABETES. 742 00:27:05,233 --> 00:27:06,868 SO THESE FINDINGS HAVE IMPORTANT 743 00:27:06,868 --> 00:27:07,969 IMPLICATIONS AS WELL FOR 744 00:27:07,969 --> 00:27:09,737 ADDRESSING HEALTH DISPARITIES. 745 00:27:09,737 --> 00:27:11,572 THEY INDICATE THAT WHILE WE HAVE 746 00:27:11,572 --> 00:27:13,641 MADE SOME PROGRESS, THERE'S 747 00:27:13,641 --> 00:27:16,177 STILL SIGNIFICANT ROOM TO 748 00:27:16,177 --> 00:27:17,912 IMPROVE ADHERENCE TO 749 00:27:17,912 --> 00:27:18,479 HYPERTENSION TREATMENT 750 00:27:18,479 --> 00:27:22,083 GUIDELINES FOR ALL PATIENTS. 751 00:27:22,083 --> 00:27:23,618 THESE RESEARCHERS EMPHASIZED THE 752 00:27:23,618 --> 00:27:25,153 NEED FOR BETTER MONITORING AND 753 00:27:25,153 --> 00:27:26,220 INTERVENTIONS TO ENSURE THAT 754 00:27:26,220 --> 00:27:29,090 STROKE SURVIVORS, ALL STROKE 755 00:27:29,090 --> 00:27:31,125 SURVIVORS RECEIVE OPTIMAL BLOOD 756 00:27:31,125 --> 00:27:32,260 PRESSURE MANAGEMENT TO REDUCE 757 00:27:32,260 --> 00:27:34,228 THEIR RISK OF FUTURE HEALTH 758 00:27:34,228 --> 00:27:41,336 COMPLICATIONS. 759 00:27:41,336 --> 00:27:45,473 SO IN AUGUST 2023, THE ISLAND OF 760 00:27:45,473 --> 00:27:48,009 MOWRY IN H HAWAII HAD A WILDFIRE 761 00:27:48,009 --> 00:27:49,444 THAT DISPLACED TENS OF THOUSANDS 762 00:27:49,444 --> 00:27:50,411 OF PEOPLE AND THAT RESULTED IN 763 00:27:50,411 --> 00:27:52,246 AT LEAST 100 DEATHS. 764 00:27:52,246 --> 00:27:57,185 AND SINCE THE WILDFIRE, MAUI 765 00:27:57,185 --> 00:27:58,186 REMAINS IN A MENTAL HEALTH 766 00:27:58,186 --> 00:27:58,720 CRISIS. 767 00:27:58,720 --> 00:28:00,922 BEFORE THE WILDFIRE IN JULY OF 768 00:28:00,922 --> 00:28:03,324 2022, THE 988 SUICIDE AND CRISIS 769 00:28:03,324 --> 00:28:05,727 LIFE LINE, IT'S CALLED 770 00:28:05,727 --> 00:28:07,362 988 LIFELINE WAS LAUNCHED TO 771 00:28:07,362 --> 00:28:08,996 PROVIDE REALTIME PSYCHOSOCIAL 772 00:28:08,996 --> 00:28:09,664 SUPPORT AND MENTAL HEALTH 773 00:28:09,664 --> 00:28:12,600 SERVICES FOR THE COMMUNITY. 774 00:28:12,600 --> 00:28:15,136 SO IN THIS ANALYSIS THEY 775 00:28:15,136 --> 00:28:16,003 COMPARED HAWAII WITH OTHER 776 00:28:16,003 --> 00:28:18,172 STATES AND TERRITORIES AND THEY 777 00:28:18,172 --> 00:28:20,141 ANALYZED 988 LIFELINE DATA -- 778 00:28:20,141 --> 00:28:21,676 CALL DATA, CALLS THAT CAME IN 779 00:28:21,676 --> 00:28:23,644 BEFORE AND AFTER THE WILDFIRE TO 780 00:28:23,644 --> 00:28:25,179 REALLY LOOK AT THE ASSOCIATION 781 00:28:25,179 --> 00:28:28,249 WITH CALL VOLUME, WHICH WOULD 782 00:28:28,249 --> 00:28:29,951 THEN REFLECT THE DEMAND FOR 783 00:28:29,951 --> 00:28:31,619 MENTAL HEALTH SERVICES AND YIELD 784 00:28:31,619 --> 00:28:35,456 WHAT THEY LOOKED AT IN IN-STATE 785 00:28:35,456 --> 00:28:36,324 CALL ANSWER RATE AND THOUGHT 786 00:28:36,324 --> 00:28:38,326 ABOUT THAT AS A MEASURE OF 787 00:28:38,326 --> 00:28:42,263 QUALITY AND SERVICE CAPACITY. 788 00:28:42,263 --> 00:28:45,199 SO THEY GATHERED DATA FROM THE 789 00:28:45,199 --> 00:28:47,301 988 SUICIDE AND CRISIS LIFELINE 790 00:28:47,301 --> 00:28:49,704 CALLS FROM JULY 2022 THROUGH 791 00:28:49,704 --> 00:28:51,139 AUGUST 2024, AND THEY COMPILED 792 00:28:51,139 --> 00:28:52,540 THESE DATA FROM PUBLICLY 793 00:28:52,540 --> 00:28:54,308 AVAILABLE STATE-BASED AND 794 00:28:54,308 --> 00:28:56,377 NETWORK MONTHLY REPORTS, AND 795 00:28:56,377 --> 00:28:57,779 THEIR PRIMARY OUTCOME WAS THE 796 00:28:57,779 --> 00:29:01,416 CALL RATE PER 100,000 PERSONS IN 797 00:29:01,416 --> 00:29:02,049 THE POPULATION. 798 00:29:02,049 --> 00:29:05,219 AND THEY FOUND THAT THE CRISIS 799 00:29:05,219 --> 00:29:07,321 LIFE LINE CALL RATE INCREASED 800 00:29:07,321 --> 00:29:11,893 FROM A MONTHLY MEAN OF ABOUT 97, 801 00:29:11,893 --> 00:29:14,295 98 CALLS PER 100,000 HAWAII 802 00:29:14,295 --> 00:29:16,164 RESIDENTS DURING THE 803 00:29:16,164 --> 00:29:20,334 PRE-WILDFIRE PERIOD TO 137 CALLS 804 00:29:20,334 --> 00:29:21,636 PER 100 RESIDENTS IN THE 805 00:29:21,636 --> 00:29:23,805 POPULATION IN THE POST WILDFIRE 806 00:29:23,805 --> 00:29:24,839 PERIOD. 807 00:29:24,839 --> 00:29:26,574 BUT THEY ALSO OBSERVED A 808 00:29:26,574 --> 00:29:27,909 DECREASE IN CALL ANSWER RATES 809 00:29:27,909 --> 00:29:33,114 OVER THAT TIME FROM ABOUT 90% OF 810 00:29:33,114 --> 00:29:35,550 CALLS BEING ANSWERED TO 77%. 811 00:29:35,550 --> 00:29:36,017 WHY IS THIS IMPORTANT? 812 00:29:36,017 --> 00:29:37,418 I THINK THERE ARE MANY REASONS 813 00:29:37,418 --> 00:29:39,821 BUT NOTABLY THE INCREASE IN 814 00:29:39,821 --> 00:29:42,223 CALLS TO THE 988 LIFELINE 815 00:29:42,223 --> 00:29:43,691 HIGHLIGHTED THE HIGH DEMAND FOR 816 00:29:43,691 --> 00:29:45,059 MENTAL HEALTH SERVICES AFTER THE 817 00:29:45,059 --> 00:29:47,261 WILDFIRE, WHICH SIGNALS A MARKED 818 00:29:47,261 --> 00:29:47,895 PUBLIC HEALTH CONCERN. 819 00:29:47,895 --> 00:29:51,432 AND THE PEOPLE OF MAUI IN THE 820 00:29:51,432 --> 00:29:52,600 DIRECT AREA OF THE WILDFIRE AND 821 00:29:52,600 --> 00:29:54,769 THE ENTIRE ISLAND ARE IN THE 822 00:29:54,769 --> 00:29:56,804 MIDST STILL OF DEALING WITH THIS 823 00:29:56,804 --> 00:29:58,172 DISASTER, WHICH SEEMS ONLY TO 824 00:29:58,172 --> 00:29:59,707 HAVE EXACERBATED THE EXISTING 825 00:29:59,707 --> 00:30:01,576 NEED FOR SERVICES IN MENTAL 826 00:30:01,576 --> 00:30:01,909 HEALTH. 827 00:30:01,909 --> 00:30:03,878 AND THESE AUTHORS NOTE THAT 828 00:30:03,878 --> 00:30:05,513 MENTAL HEALTH PROFESSIONALS FROM 829 00:30:05,513 --> 00:30:07,281 NEIGHBORING ISLANDS AND OUTSIDE 830 00:30:07,281 --> 00:30:10,551 OF HAWAII HAVE REALLY HELPED 831 00:30:10,551 --> 00:30:12,086 STEP IN TO HELP MEET THE DEMAND, 832 00:30:12,086 --> 00:30:13,855 BUT IT'S REALLY IMPORTANT THAT 833 00:30:13,855 --> 00:30:15,823 WE HAVE ON-ISLAND MENTAL 834 00:30:15,823 --> 00:30:17,091 HEALTHCARE CAPACITY AS IT'S VERY 835 00:30:17,091 --> 00:30:19,594 CRITICAL FOR THE LONG TERM 836 00:30:19,594 --> 00:30:22,163 MENTAL HEALTH NEEDS OF 837 00:30:22,163 --> 00:30:24,332 RESIDENTS. 838 00:30:24,332 --> 00:30:25,533 I HAVE TWO MORE HIGHLIGHTS I 839 00:30:25,533 --> 00:30:27,168 WANT TO SHARE. 840 00:30:27,168 --> 00:30:29,370 SO THIS STUDY IS IN THE SPACE OF 841 00:30:29,370 --> 00:30:31,639 BREAST CANCER, AND THEY EXAMINED 842 00:30:31,639 --> 00:30:33,641 HOW BREAST CANCER SURVIVORS 843 00:30:33,641 --> 00:30:35,910 COMPARED WITH WOMEN WITHOUT 844 00:30:35,910 --> 00:30:38,012 CANCER, HOW THEY METAPHYSICAL 845 00:30:38,012 --> 00:30:38,813 ACTIVITY GUIDELINES IN THE 846 00:30:38,813 --> 00:30:43,251 UNITED STATES. 847 00:30:43,251 --> 00:30:44,552 WHILE STAYING ACTIVE IS 848 00:30:44,552 --> 00:30:46,087 IMPORTANT FOR OVERALL HEALTH, 849 00:30:46,087 --> 00:30:47,388 PREVIOUS RESEARCH HAS DOCUMENTED 850 00:30:47,388 --> 00:30:49,056 THAT CANCER SURVIVORS OFTEN HAVE 851 00:30:49,056 --> 00:30:50,258 LOWER PARTICIPATION RATES IN 852 00:30:50,258 --> 00:30:50,591 EXERCISE. 853 00:30:50,591 --> 00:30:52,126 AND SO USING DATA FROM THE 854 00:30:52,126 --> 00:30:54,962 NATIONAL HEALTH INTERVIEW SURVEY 855 00:30:54,962 --> 00:30:57,365 BETWEEN 2004 AND 18, THESE 856 00:30:57,365 --> 00:30:59,567 RESEARCHERS ANALYZED PHYSICAL 857 00:30:59,567 --> 00:31:01,269 ACTIVITY LEVELS AMONG WOMEN AGED 858 00:31:01,269 --> 00:31:03,137 35 AND OLDER TO IDENTIFY 859 00:31:03,137 --> 00:31:06,107 PATTERNS BASED ON DEMOGRAPHIC 860 00:31:06,107 --> 00:31:07,208 AND SOCIOECONOMIC FACTORS AND 861 00:31:07,208 --> 00:31:10,378 THEY FOCUSED ON WHETHER 862 00:31:10,378 --> 00:31:11,913 PARTICIPANTS MET RECOMMENDED 863 00:31:11,913 --> 00:31:13,147 GUIDELINES FOR AEROBIC EXERCISE, 864 00:31:13,147 --> 00:31:15,750 WHICH IS ABOUT 150 MINUTES PER 865 00:31:15,750 --> 00:31:16,284 WEEK. 866 00:31:16,284 --> 00:31:19,353 THEY ALSO LOOKED AT MUSCLE 867 00:31:19,353 --> 00:31:20,721 STRENGTHENING EXERCISES ABOUT 868 00:31:20,721 --> 00:31:22,957 TWO SESSIONS PER WEEK AND THEY 869 00:31:22,957 --> 00:31:24,392 INCLUDED ALMOST 6,000 BREAST 870 00:31:24,392 --> 00:31:26,193 CANCER SURVIVORS AND OVER 160 871 00:31:26,193 --> 00:31:27,094 WOMEN WITHOUT CANCER. 872 00:31:27,094 --> 00:31:31,933 AND WHAT THEY FOUND WAS THAT 873 00:31:31,933 --> 00:31:33,901 ONLY ABOUT 38% OF BREAST CANCER 874 00:31:33,901 --> 00:31:36,304 SURVIVORS MET AEROBIC EXERCISE 875 00:31:36,304 --> 00:31:37,838 GUIDELINES COMPARED TO ABOUT 41% 876 00:31:37,838 --> 00:31:41,776 OF WOMEN WITHOUT CANCER. 877 00:31:41,776 --> 00:31:43,844 AND MUSCLE STRENGTHENING, THE 878 00:31:43,844 --> 00:31:44,946 PARTICIPATION IN THE MUSCLE 879 00:31:44,946 --> 00:31:46,347 STRENGTHENING EXERCISES WAS EVEN 880 00:31:46,347 --> 00:31:48,783 LOWER ACROSS BOTH GROUPS. 881 00:31:48,783 --> 00:31:50,084 THERE WERE DISPARITIES THAT WERE 882 00:31:50,084 --> 00:31:52,153 EVIDENT HERE SO BREAST CANCER 883 00:31:52,153 --> 00:31:53,588 SURVIVORS WHO WERE BLACK OR 884 00:31:53,588 --> 00:31:55,990 LATINA OR LOW INCOME WERE LESS 885 00:31:55,990 --> 00:31:57,625 LIKELY TO MEET THESE EXERCISE 886 00:31:57,625 --> 00:31:58,826 RECOMMENDATIONS. 887 00:31:58,826 --> 00:32:02,430 THOSE WHO WERE YOUNGER THAN 50, 888 00:32:02,430 --> 00:32:03,965 WHO WORKED FULL TIME, WHO RENTED 889 00:32:03,965 --> 00:32:05,266 THEIR HOME, THESE WERE GROUPS 890 00:32:05,266 --> 00:32:08,002 THAT WERE ALSO LESS LIKELY TO 891 00:32:08,002 --> 00:32:10,538 MEET THE EXERCISE 892 00:32:10,538 --> 00:32:10,972 RECOMMENDATIONS. 893 00:32:10,972 --> 00:32:11,973 SO WHY IS THIS RESEARCH 894 00:32:11,973 --> 00:32:12,506 IMPORTANT? 895 00:32:12,506 --> 00:32:13,407 WHAT DOES IT TELL US? 896 00:32:13,407 --> 00:32:14,875 WELL, BREAST CANCER IS ONE OF 897 00:32:14,875 --> 00:32:18,079 THE MOST COMMON TYPES AMONG 898 00:32:18,079 --> 00:32:20,381 FEMALES AND FIVE YEAR AND LONGER 899 00:32:20,381 --> 00:32:23,117 SURVIVAL CAN BE IMPROVED WITH 900 00:32:23,117 --> 00:32:24,318 LIFESTYLE CHANGES SUCH AS ECKER 901 00:32:24,318 --> 00:32:30,424 SEISEXERCISE AND THESE SUGGEST T 902 00:32:30,424 --> 00:32:31,692 BREAST CANCER SURVIVORS 903 00:32:31,692 --> 00:32:32,727 EXPERIENCE CHALLENGES 904 00:32:32,727 --> 00:32:33,828 PARTICULARLY FROM THOSE SPECIFIC 905 00:32:33,828 --> 00:32:36,230 GROUPS SO KNOWING WHO THESE 906 00:32:36,230 --> 00:32:37,765 SURVIVORS ARE HELPS US, IT MAKES 907 00:32:37,765 --> 00:32:39,734 US MORE LIKELY TO UNDERSTAND THE 908 00:32:39,734 --> 00:32:41,035 NEEDS AROUND TARGETED 909 00:32:41,035 --> 00:32:43,037 INTERVENTIONS TO INCREASE 910 00:32:43,037 --> 00:32:44,338 EXERCISE PARTICIPATION AMONG 911 00:32:44,338 --> 00:32:48,142 THESE CANCER SURVIVORS AND TO 912 00:32:48,142 --> 00:32:49,810 ADDRESS DISPARITIES IN ACCESS, 913 00:32:49,810 --> 00:32:50,878 FOR EXAMPLE, TO FITNESS 914 00:32:50,878 --> 00:32:51,212 OPPORTUNITIES. 915 00:32:51,212 --> 00:32:54,849 SO WE'LL KEEP TRACKING THAT. 916 00:32:54,849 --> 00:32:56,717 SO THIS IS THE LAST SCIENCE 917 00:32:56,717 --> 00:32:57,785 ADVANCE THAT I WANTED TO SHARE 918 00:32:57,785 --> 00:32:58,419 TODAY. 919 00:32:58,419 --> 00:33:00,721 AS MANY OF YOU KNOW, THE 920 00:33:00,721 --> 00:33:07,094 ALL-OF-US RESEARCH PROGRAM I 921 00:33:07,094 --> 00:33:08,396 ADVANCES RESEARCH ON 922 00:33:08,396 --> 00:33:10,364 PERSONALIZED MEDICINE THROUGH 923 00:33:10,364 --> 00:33:13,868 THE COLLECTION OF DATA FROM 924 00:33:13,868 --> 00:33:14,735 VOLUNTEER PARTICIPANTS WHO 925 00:33:14,735 --> 00:33:15,603 RESIDE IN THE U.S. 926 00:33:15,603 --> 00:33:17,605 THE PROGRAM HAS REALLY 927 00:33:17,605 --> 00:33:18,673 EMPHASIZED RECRUITING 928 00:33:18,673 --> 00:33:19,874 PARTICIPANTS ACROSS DEMOGRAPHIC 929 00:33:19,874 --> 00:33:24,045 CATEGORIES TO MAKE THIS COHORT 930 00:33:24,045 --> 00:33:25,780 UNIQUE AND TO MAKE ALL-OF-US AN 931 00:33:25,780 --> 00:33:26,981 EFFECTIVE PLATFORM FOR 932 00:33:26,981 --> 00:33:27,448 INVESTIGATING HEALTH 933 00:33:27,448 --> 00:33:27,748 DISPARITIES. 934 00:33:27,748 --> 00:33:33,320 IN THIS PAPER, THE REACHERS 935 00:33:33,320 --> 00:33:35,289 ANALYZED PARTICIPANTS EHL, 936 00:33:35,289 --> 00:33:36,624 ELECTRONIC HEALTH RECORD DATA TO 937 00:33:36,624 --> 00:33:38,459 IDENTIFY DISEASES AND CATEGORIES 938 00:33:38,459 --> 00:33:39,694 IN THE ALL-OF-US COHORT FOR 939 00:33:39,694 --> 00:33:42,196 WHICH RACIAL AND/OR ETHNIC 940 00:33:42,196 --> 00:33:43,064 PREVALENCE DISPARITIES CAN BE 941 00:33:43,064 --> 00:33:43,397 OBSERVED. 942 00:33:43,397 --> 00:33:45,266 SO IN CONJUNCTION WITH THE 943 00:33:45,266 --> 00:33:47,435 ANALYSES, THEY DEVELOPED A 944 00:33:47,435 --> 00:33:48,769 BROWSER AND IT'S CALLED THE U.S. 945 00:33:48,769 --> 00:33:50,838 HEALTH DISPARITIES BROWSER. 946 00:33:50,838 --> 00:33:53,240 IT AN INTERACTIVE WEB 947 00:33:53,240 --> 00:33:55,209 APPLICATION THAT THEY DEVELOPED 948 00:33:55,209 --> 00:33:56,844 THAT ENABLES USERS TO VISUALIZE 949 00:33:56,844 --> 00:33:59,246 DIFFERENCES IN RACE AND/OR 950 00:33:59,246 --> 00:34:00,881 ETHNIC GROUP-SPECIFIC PREVALENCE 951 00:34:00,881 --> 00:34:04,285 ESTIMATES AND THEY HAVE OVER 952 00:34:04,285 --> 00:34:05,052 1700 DIFFERENT DISEASES IN THE 953 00:34:05,052 --> 00:34:07,021 BROWSER. 954 00:34:07,021 --> 00:34:08,656 SO I LOOKED AT IT, AND WHEN YOU 955 00:34:08,656 --> 00:34:11,192 VISIT THE SITE, THE EP WEB 956 00:34:11,192 --> 00:34:12,393 APPLICATION HAS A CATALOG OF THE 957 00:34:12,393 --> 00:34:13,427 DISEASES THAT ARE REPRESENTED IN 958 00:34:13,427 --> 00:34:14,795 THE BROWSER, AND THEN YOU CAN 959 00:34:14,795 --> 00:34:16,664 CLICK AND SORT, IT'S VERY 960 00:34:16,664 --> 00:34:17,531 USER-FRIENDLY AND YOU CAN LOOK 961 00:34:17,531 --> 00:34:18,833 AT THE OVERALL PREVALENCE AS 962 00:34:18,833 --> 00:34:20,568 WELL AS THE PREVALENCE AND HOW 963 00:34:20,568 --> 00:34:22,436 IT VARIES ACROSS RACIAL AND 964 00:34:22,436 --> 00:34:22,870 ETHNIC GREUNS. 965 00:34:22,870 --> 00:34:26,807 SO GROUPS.THIS IS ANOTHER RESOUE 966 00:34:26,807 --> 00:34:27,742 SPECIFICALLY FROM ALL-OF-US DATA 967 00:34:27,742 --> 00:34:30,478 THAT CAN BE EXPLORED TO IDENTIFY 968 00:34:30,478 --> 00:34:31,512 HEALTH DISPARITIES AS WELL AS 969 00:34:31,512 --> 00:34:32,713 GENERATE IDEAS FOR RESEARCH TO 970 00:34:32,713 --> 00:34:38,953 UNDERSTAND AND ADDRESS THEM. 971 00:34:38,953 --> 00:34:40,588 LAST BUT NOT LEAST, I WANT TO 972 00:34:40,588 --> 00:34:43,657 CONGRATULATION THE RECIPIENTS OF 973 00:34:43,657 --> 00:34:46,727 THE 2025 WILLIAM G. COLEMAN JR. 974 00:34:46,727 --> 00:34:47,928 PH.D. MINORITY HEALTH AND HEALTH 975 00:34:47,928 --> 00:34:50,698 DISPARITIES RESEARCH INNOVATION 976 00:34:50,698 --> 00:34:51,098 AWARD. 977 00:34:51,098 --> 00:34:53,834 THIS COMPETITIVE AWARD PROGRAM 978 00:34:53,834 --> 00:34:54,835 HONORS DR. COLEMAN, A 979 00:34:54,835 --> 00:34:57,138 DISTINGUISHED MEMBER OF THE 980 00:34:57,138 --> 00:34:58,572 SCIENTIFIC COMMUNITY AND THE 981 00:34:58,572 --> 00:35:00,074 FIRST SCIENTIFIC DIRECTOR OF 982 00:35:00,074 --> 00:35:01,408 NIMHD'S INTRAMURAL RESEARCH 983 00:35:01,408 --> 00:35:04,545 PROGRAM WHO DEDICATED HIMSELF TO 984 00:35:04,545 --> 00:35:05,780 MENTORING AND TRAINING FUTURE 985 00:35:05,780 --> 00:35:06,914 SCIENTISTS IN THIS RESEARCH 986 00:35:06,914 --> 00:35:07,314 DISCIPLINE. 987 00:35:07,314 --> 00:35:10,684 SO THIS PROGRAM SUPPORTS ONE 988 00:35:10,684 --> 00:35:11,886 YEAR INNOVATIVE RESEARCH 989 00:35:11,886 --> 00:35:14,088 PROJECTS CONDUCTED BY 990 00:35:14,088 --> 00:35:15,723 POSTDOCTORAL FELLOWS, STAFF 991 00:35:15,723 --> 00:35:17,358 SCIENTISTS AND CLINICIANS WITHIN 992 00:35:17,358 --> 00:35:19,493 THE NIH INTRAMURAL RESEARCH 993 00:35:19,493 --> 00:35:20,094 PROGRAM. 994 00:35:20,094 --> 00:35:21,195 PRODUCTS ARE SELECTED THAT HAVE 995 00:35:21,195 --> 00:35:23,597 HYPOTENSION FOR IMPACT THROUGH 996 00:35:23,597 --> 00:35:24,365 THEIR HEALTH DISPARITIES 997 00:35:24,365 --> 00:35:25,032 RESEARCH. 998 00:35:25,032 --> 00:35:28,302 SO CONGRATULATIONS TO ALL OF THE 999 00:35:28,302 --> 00:35:37,278 FELLOWS. 1000 00:35:37,278 --> 00:35:39,046 SO NOW WE CAN OPEN THE FLOOR IF 1001 00:35:39,046 --> 00:35:39,814 THERE ARE ANY COMMENTS OR 1002 00:35:39,814 --> 00:35:40,581 QUESTIONS FROM OUR 1003 00:35:40,581 --> 00:35:50,858 COUNCILMEMBERS. 1004 00:35:52,359 --> 00:35:54,228 >> RAISE YOUR HAND AND TURN YOUR 1005 00:35:54,228 --> 00:35:55,729 CAMERA ON OR PUT A MESSAGE IN 1006 00:35:55,729 --> 00:35:56,764 THE CHAT BOX THAT YOU HAVE A 1007 00:35:56,764 --> 00:36:03,771 QUESTION. 1008 00:36:03,771 --> 00:36:05,039 CHAU TRINH-SHEVRIN IS OUR FIRST 1009 00:36:05,039 --> 00:36:05,306 QUESTION. 1010 00:36:05,306 --> 00:36:07,808 >> FIRST OF ALL, I JUST WANT TO 1011 00:36:07,808 --> 00:36:11,846 CONGRATULATE MONICA AND OTHERS. 1012 00:36:11,846 --> 00:36:12,847 WONDERFUL TO SEE THE WRECK 1013 00:36:12,847 --> 00:36:17,751 FLITION ARECOGNITIONAND THE AWA. 1014 00:36:17,751 --> 00:36:18,085 WONDERFUL. 1015 00:36:18,085 --> 00:36:19,520 JUST A GENERAL COMMENT, I THINK 1016 00:36:19,520 --> 00:36:21,922 YOU UNDERSCORE HOW REALLY 1017 00:36:21,922 --> 00:36:23,023 IMPORTANT IT IS TO GET THAT 1018 00:36:23,023 --> 00:36:24,658 INFORMATION CONTEXTUALLY ACROSS 1019 00:36:24,658 --> 00:36:25,960 DIFFERENT SUBGROUPS ACROSS 1020 00:36:25,960 --> 00:36:28,829 POPULATIONS IN ORDER TO REALLY 1021 00:36:28,829 --> 00:36:30,130 OPTIMIZE EFFECTIVENESS AND THE 1022 00:36:30,130 --> 00:36:31,332 REACH OF DIFFERENT 1023 00:36:31,332 --> 00:36:32,533 EVIDENCE-BASED INTERVENTIONS, SO 1024 00:36:32,533 --> 00:36:34,401 I THINK THE EXAMPLES THAT YOU 1025 00:36:34,401 --> 00:36:35,603 SHARED WERE JUST REALLY 1026 00:36:35,603 --> 00:36:36,070 TREMENDOUS. 1027 00:36:36,070 --> 00:36:37,071 SO WONDERFUL WORK. 1028 00:36:37,071 --> 00:36:41,108 THANK YOU. 1029 00:36:41,108 --> 00:36:42,509 >> THANKS FOR BEING HERE, 1030 00:36:42,509 --> 00:36:52,920 APPRECIATE YOUR SUPPORT. 1031 00:36:55,289 --> 00:36:56,790 >> LOOKING AT THE CHAT, DO WE 1032 00:36:56,790 --> 00:36:59,426 HAVE ANY OTHER COUNCILMEMBERS 1033 00:36:59,426 --> 00:37:07,902 THAT HAVE A QUESTION? 1034 00:37:07,902 --> 00:37:13,941 GOING TWICE. 1035 00:37:13,941 --> 00:37:17,111 I SEE NO RAISED HANDS. 1036 00:37:17,111 --> 00:37:22,816 I SEE NOTHING IN THE CHAT BOX. 1037 00:37:22,816 --> 00:37:23,651 DR. MONICA WEBB HOOPER, I WANT 1038 00:37:23,651 --> 00:37:25,319 TO THANK YOU VERY MUCH FOR A 1039 00:37:25,319 --> 00:37:27,054 WONDERFUL PRESENTATION. 1040 00:37:27,054 --> 00:37:27,955 AND WE'RE GOING TO KEEP MOVING 1041 00:37:27,955 --> 00:37:30,157 ON. 1042 00:37:30,157 --> 00:37:36,397 >> THANK YOU. 1043 00:37:36,397 --> 00:37:40,301 >> OUR NEXT PRESENTER WILL BE 1044 00:37:40,301 --> 00:37:46,540 DR. NATHAN STINSON. 1045 00:37:46,540 --> 00:37:47,408 >> THANK YOU. 1046 00:37:47,408 --> 00:37:57,851 CAN WE PULL UP THE SLIDES? 1047 00:38:29,383 --> 00:38:32,152 I'M GOING TO GIVE THE TRIENNIAL 1048 00:38:32,152 --> 00:38:34,989 REPORT ON INCLUSION IN CLINICAL 1049 00:38:34,989 --> 00:38:36,957 RESEARCH FOR NIMHD. 1050 00:38:36,957 --> 00:38:42,529 IT COVERS THE YEARS OF 2022 TO 1051 00:38:42,529 --> 00:38:52,639 2024. 1052 00:38:57,711 --> 00:38:58,312 HISTORY AND GOALS. 1053 00:38:58,312 --> 00:39:01,949 THE PURPOSE OF NIH INCLUSION 1054 00:39:01,949 --> 00:39:04,318 POLICIES ARE TO ENSURE THE 1055 00:39:04,318 --> 00:39:05,853 DISTRIBUTION OF STUDY 1056 00:39:05,853 --> 00:39:07,388 PARTICIPANTS BY SEX, RACE, 1057 00:39:07,388 --> 00:39:11,992 ETHNICITY AND AGE REFLECT THES E 1058 00:39:11,992 --> 00:39:13,427 POPULATION NEEDED TO ACCOMPLISH 1059 00:39:13,427 --> 00:39:14,495 THE SCIENTIFIC GOALS, RATHER 1060 00:39:14,495 --> 00:39:18,032 THAN MEETING A PARTICULAR NUMBER 1061 00:39:18,032 --> 00:39:21,001 OF PARTICIPANTS IN A PROJECT. 1062 00:39:21,001 --> 00:39:22,703 THE INCLUSION SHOULD BE 1063 00:39:22,703 --> 00:39:23,370 SCIENTIFICALLY APPROPRIATE AND 1064 00:39:23,370 --> 00:39:25,339 REALISTIC. 1065 00:39:25,339 --> 00:39:28,409 YOU NEED TO CONSIDER EXTERNAL 1066 00:39:28,409 --> 00:39:29,943 VALIDITY, AND EVERY STUDY DOES 1067 00:39:29,943 --> 00:39:33,013 NOT NECESSARILY NEED TO INCLUDE 1068 00:39:33,013 --> 00:39:34,648 EVERY GROUP, AND THE DATA THAT 1069 00:39:34,648 --> 00:39:37,384 IS PRESENTED IN THE TRIENNIAL 1070 00:39:37,384 --> 00:39:39,153 REPORT IS ONLY PROSPECTIVE. 1071 00:39:39,153 --> 00:39:41,321 THERE'S NO EXISTING DATA. 1072 00:39:41,321 --> 00:39:43,724 SO SECONDARY STUDIES THAT MAY BE 1073 00:39:43,724 --> 00:39:48,862 SUPPORTED BY NIH ARE NOT 1074 00:39:48,862 --> 00:39:50,631 INCLUDED IN THE ENROLLMENT 1075 00:39:50,631 --> 00:39:51,398 INFORMATION BECAUSE MANY OF 1076 00:39:51,398 --> 00:39:52,933 THESE STUDIES ARE VERY, VERY 1077 00:39:52,933 --> 00:39:53,367 LARGE. 1078 00:39:53,367 --> 00:39:56,103 THEY WOULD TEND TO SKEW THE 1079 00:39:56,103 --> 00:40:00,574 NUMBER OF PARTICIPANTS IN NIH 1080 00:40:00,574 --> 00:40:03,110 RESEARCH. 1081 00:40:03,110 --> 00:40:04,978 A COUPLE OF IMPORTANT MILESTONES 1082 00:40:04,978 --> 00:40:07,147 WHEN YOU THINK ABOUT THE 1083 00:40:07,147 --> 00:40:08,882 INCLUSION, THE NIH 1084 00:40:08,882 --> 00:40:14,788 REVITALIZATION ACT OF 1993 1085 00:40:14,788 --> 00:40:16,223 REALLY PROVIDED UNDERPINNINGS 1086 00:40:16,223 --> 00:40:18,625 FOR THE REQUIREMENT OF INCLUSION 1087 00:40:18,625 --> 00:40:21,261 OF WOMEN AND RACIAL/ETHNIC 1088 00:40:21,261 --> 00:40:24,098 MINORITIES IN NIH SUPPORTED 1089 00:40:24,098 --> 00:40:25,299 CLINICAL RESEARCH IN A MANNER 1090 00:40:25,299 --> 00:40:27,267 THAT IS APPROPRIATE TO THE 1091 00:40:27,267 --> 00:40:29,336 SCIENTIFIC QUESTION. 1092 00:40:29,336 --> 00:40:31,238 ALSO PHASE III CLINICAL TRIALS 1093 00:40:31,238 --> 00:40:33,607 SHOULD BE DESIGNED TO PRODUCE 1094 00:40:33,607 --> 00:40:36,043 ESTIMATES OF DIFFERENCES IN 1095 00:40:36,043 --> 00:40:41,281 OUTCOMES BASED ON SEX AND RACE. 1096 00:40:41,281 --> 00:40:47,855 SO CALLED VALID ANALYSIS. 1097 00:40:47,855 --> 00:40:52,726 THE 21ST CENTURY CURES ACT OF 1098 00:40:52,726 --> 00:40:56,396 2016 ALSO PROVIDED THE 1099 00:40:56,396 --> 00:40:58,232 REQUIREMENT THAT VALID ANALYSIS 1100 00:40:58,232 --> 00:41:00,000 FOR PHASE III CLINICAL TRIALS BE 1101 00:41:00,000 --> 00:41:05,472 REPORTED IN CLINICALTRIALS.GOV. 1102 00:41:05,472 --> 00:41:07,341 ALSO THE PUBLICATION OF SEX, 1103 00:41:07,341 --> 00:41:09,776 RACE, AND ETHNICITY INCLUSION 1104 00:41:09,776 --> 00:41:14,915 DATA IN NIH'S RESEARCH, 1105 00:41:14,915 --> 00:41:15,983 CONDITION AND DISEASE 1106 00:41:15,983 --> 00:41:18,752 CLASSIFICATION ALSO KNOWN AS 1107 00:41:18,752 --> 00:41:19,953 RCDC STATISTICS REPORT AND ALSO 1108 00:41:19,953 --> 00:41:23,323 REVISIONS TO THE INCLUSION OF 1109 00:41:23,323 --> 00:41:24,658 CHILDREN POLICY IN NIH FUNDED 1110 00:41:24,658 --> 00:41:32,432 RESEARCH. 1111 00:41:32,432 --> 00:41:36,570 THE NIH INCLUSION ACROSS THE 1112 00:41:36,570 --> 00:41:39,973 LIFESPAN POLICY REQUIRED 1113 00:41:39,973 --> 00:41:41,074 INDIVIDUALS FOR ALL AGES TO BE 1114 00:41:41,074 --> 00:41:43,710 INCLUDED IN NIH HUMAN SUBJECT 1115 00:41:43,710 --> 00:41:45,879 RESEARCH UNLESS THERE WAS A 1116 00:41:45,879 --> 00:41:47,214 SCIENTIFIC OR AN ETHICAL REASON 1117 00:41:47,214 --> 00:41:49,516 NOT TO DO SO, AND ALSO REQUIRED 1118 00:41:49,516 --> 00:41:51,151 THE SUBMISSION OF INDIVIDUAL 1119 00:41:51,151 --> 00:41:53,253 LEVEL DATA ON THE PARTICIPANT 1120 00:41:53,253 --> 00:41:57,691 AGE AT ENROLLMENT IN SUBSEQUENT 1121 00:41:57,691 --> 00:42:06,700 PROGRESS REPORTS. 1122 00:42:06,700 --> 00:42:08,669 THE 21ST CENTURY CURES ACT ALSO 1123 00:42:08,669 --> 00:42:10,871 REQUIRED THE INSTITUTES AND 1124 00:42:10,871 --> 00:42:18,545 CENTERS AT NIH TO REPORT DATA ON 1125 00:42:18,545 --> 00:42:19,646 INCLUSION TRIENNIALLY. 1126 00:42:19,646 --> 00:42:21,715 THE REPORTS ARE INCLUDED IN THE 1127 00:42:21,715 --> 00:42:22,816 NIH DIRECTOR'S REPORT TO 1128 00:42:22,816 --> 00:42:25,252 CONGRESS AND AS I MENTIONED 1129 00:42:25,252 --> 00:42:26,887 EARLIER, THIS CURRENT REPORT 1130 00:42:26,887 --> 00:42:30,490 INCLUDES DATA FOR FISCAL YEARS 1131 00:42:30,490 --> 00:42:36,863 2022, 2023 AND 2024. 1132 00:42:36,863 --> 00:42:40,801 SO I'M GOING TO TALK ABOUT -- OR 1133 00:42:40,801 --> 00:42:43,737 I'VE KIND OF SEPARATED THE DATA 1134 00:42:43,737 --> 00:42:44,938 IN TWO SEPARATE AREAS. 1135 00:42:44,938 --> 00:42:47,241 ONE IS TALKING ABOUT THE 1136 00:42:47,241 --> 00:42:49,209 INCLUSION RECORDS, THINK ABOUT 1137 00:42:49,209 --> 00:42:51,011 THEM AS ENROLLMENT TABLES. 1138 00:42:51,011 --> 00:42:52,446 IT'S A NUMBER OF STUDIES THAT 1139 00:42:52,446 --> 00:42:54,748 ARE REALLY SUPPORTED BY NIMHD, 1140 00:42:54,748 --> 00:42:56,383 AND THEN I'M GOING TO TALK ABOUT 1141 00:42:56,383 --> 00:43:01,321 THE ACTUAL ENROLLMENT OF 1142 00:43:01,321 --> 00:43:06,460 PARTICIPANTS. 1143 00:43:06,460 --> 00:43:08,695 ADDITIVE DATA FOR FISCAL 2022 TO 1144 00:43:08,695 --> 00:43:09,763 2024 IS PROVIDED TO THE 1145 00:43:09,763 --> 00:43:11,198 INSTITUTES AND CENTERS BY THE 1146 00:43:11,198 --> 00:43:14,134 NIH OFFICE OF EXTRAMURAL 1147 00:43:14,134 --> 00:43:16,436 RESEARCH THROUGH THE HUMAN 1148 00:43:16,436 --> 00:43:17,437 SUBJECTS SYSTEM. 1149 00:43:17,437 --> 00:43:21,074 THE HUMAN SUBJECTS SYSTEM IS 1150 00:43:21,074 --> 00:43:22,809 NIH'S CENTRALIZED DATABASE FOR 1151 00:43:22,809 --> 00:43:25,078 COLLECTING AND STORING 1152 00:43:25,078 --> 00:43:27,180 INFORMATION RELEVANT TO THEIR 1153 00:43:27,180 --> 00:43:28,148 HUMAN SUBJECTS RESEARCH THAT 1154 00:43:28,148 --> 00:43:34,421 THEY'RE SUPPORTING. 1155 00:43:34,421 --> 00:43:41,395 SO THIS FIRST TABLE IS THE TOTAL 1156 00:43:41,395 --> 00:43:42,396 INCLUSION RECORDS FOR BOTH 1157 00:43:42,396 --> 00:43:45,232 EXTRAMURAL AND INTRAMURAL 1158 00:43:45,232 --> 00:43:49,603 RESEARCH SUPPORTED BY NIMHD. 1159 00:43:49,603 --> 00:43:52,272 YOU CAN SEE THE TOTAL NUMBER OF 1160 00:43:52,272 --> 00:43:53,674 RECORDS INCREASED STEADILY OVER 1161 00:43:53,674 --> 00:43:55,542 THE THREE-YEAR PERIOD. 1162 00:43:55,542 --> 00:44:00,580 THIS MAY BE REFLECTIVE TO THE 1163 00:44:00,580 --> 00:44:02,983 INCREASE IN THE NIH'S BUDGET -- 1164 00:44:02,983 --> 00:44:05,519 EXCUSE ME -- IN THE NIMHD BUDGET 1165 00:44:05,519 --> 00:44:07,020 OVER THAT PARTICULAR TIME 1166 00:44:07,020 --> 00:44:16,330 PERIOD. 1167 00:44:16,330 --> 00:44:21,401 THIS SHOWS THE STUDY RECORDS FOR 1168 00:44:21,401 --> 00:44:25,172 NIMHD SUPPORTED PHASE THREE 1169 00:44:25,172 --> 00:44:25,772 CLINICAL TRIALS. 1170 00:44:25,772 --> 00:44:29,476 THE NUMBER OF RECORDS FLUCTUATED 1171 00:44:29,476 --> 00:44:35,615 SOMEWHAT FROM 9 IN 2022 TO 23 IN 1172 00:44:35,615 --> 00:44:44,157 2023, AND 13 IN 2024. 1173 00:44:44,157 --> 00:44:47,761 AS I MENTIONED, NIH POLICIES 1174 00:44:47,761 --> 00:44:48,895 ALSO REQUIRE VALID ANALYSIS, 1175 00:44:48,895 --> 00:44:50,397 WHERE IT'S IMPORTANT TO THE 1176 00:44:50,397 --> 00:44:53,033 PARTICULAR HEALTH OUTCOMES, AND 1177 00:44:53,033 --> 00:44:55,435 THIS CHART SHOWS THAT THE VAST 1178 00:44:55,435 --> 00:45:01,041 MAJORITY ANYWHERE FROM, YOU 1179 00:45:01,041 --> 00:45:05,846 KNOW, 74% TO 100% OVER THE YEARS 1180 00:45:05,846 --> 00:45:09,649 OF THE NIMHD SUPPORTED PHASE 1181 00:45:09,649 --> 00:45:11,218 THREE CLINICAL TRIALS REQUIRED A 1182 00:45:11,218 --> 00:45:21,728 VALID ANALYSIS. I'M GOING TO 1183 00:45:22,596 --> 00:45:26,333 TALK ABOUT ENROLLMENT. 1184 00:45:26,333 --> 00:45:28,835 THIS IS KIND OF A BUSY SLIDE. 1185 00:45:28,835 --> 00:45:30,904 IT'S DIFFICULT TO GET ALL THE 1186 00:45:30,904 --> 00:45:37,944 INFORMATION ON TO A SINGLE SLIDE 1187 00:45:37,944 --> 00:45:40,213 BASED ON THE REPORTS THAT COME 1188 00:45:40,213 --> 00:45:43,183 OUT OF THE HSS SYSTEM BUT I 1189 00:45:43,183 --> 00:45:45,051 WANTED TO MAKE SEVERAL VERY 1190 00:45:45,051 --> 00:45:45,919 SPECIFIC POINTS. 1191 00:45:45,919 --> 00:45:50,524 FIRST, THE TOTAL ENROLLMENT IN 1192 00:45:50,524 --> 00:45:53,927 NIMHD SUPPORTED STUDIES 1193 00:45:53,927 --> 00:46:04,471 INCREASED FROM 66,407 IN FY 2022 1194 00:46:09,543 --> 00:46:15,148 TO 164,000 IN 2024. 1195 00:46:15,148 --> 00:46:17,150 AFRICAN AMERICANS IS THE MOST 1196 00:46:17,150 --> 00:46:19,753 PREVALENT GROUP THAT 1197 00:46:19,753 --> 00:46:24,691 PARTICIPATED IN THE CLINICAL 1198 00:46:24,691 --> 00:46:25,659 RESEARCH. 1199 00:46:25,659 --> 00:46:26,760 IT'S ALSO NOTED IN THE CHART 1200 00:46:26,760 --> 00:46:28,094 THAT THERE IS A SIGNIFICANT 1201 00:46:28,094 --> 00:46:30,063 INCREASE IN THE NUMBER OF 1202 00:46:30,063 --> 00:46:32,466 PARTICIPANTS WITH UNKNOWN 1203 00:46:32,466 --> 00:46:34,901 INFORMATION, AND THIS MAY BE DUE 1204 00:46:34,901 --> 00:46:37,170 TO THE INCREASING USE OF 1205 00:46:37,170 --> 00:46:39,039 INTERNET-BASED STUDIES OR 1206 00:46:39,039 --> 00:46:40,807 STUDIES USING THE ELECTRONIC 1207 00:46:40,807 --> 00:46:43,543 HEALTH RECORDS WHERE 1208 00:46:43,543 --> 00:46:47,147 PARTICIPANTS MAY NOT PROVIDE 1209 00:46:47,147 --> 00:46:51,585 ACTUAL INFORMATION ON RACE. 1210 00:46:51,585 --> 00:46:57,724 WITH THE EXCEPTION OF FY 22, 1211 00:46:57,724 --> 00:47:02,195 ENROLLMENT OF WOMEN WAS ALMOST 1212 00:47:02,195 --> 00:47:07,601 TWO TIMES THAT OF MEN. 1213 00:47:07,601 --> 00:47:09,135 ONE OF THE OTHER THINGS I WANTED 1214 00:47:09,135 --> 00:47:13,840 TO NOTE WAS THAT THE ENROLLMENT 1215 00:47:13,840 --> 00:47:16,243 OF AMERICAN INDIAN ALASKA NATIVE 1216 00:47:16,243 --> 00:47:19,112 AND NATIVE HAWAIIAN AND PACIFIC 1217 00:47:19,112 --> 00:47:21,982 ISLANDERS INCREASED TWO TO THREE 1218 00:47:21,982 --> 00:47:25,352 TIMES OVER THE THREE-YEAR 1219 00:47:25,352 --> 00:47:26,786 PERIOD. 1220 00:47:26,786 --> 00:47:28,188 SIGNIFICANTLY, THERE WAS A VERY 1221 00:47:28,188 --> 00:47:31,191 LARGE INCREASE IN THE ENROLLMENT 1222 00:47:31,191 --> 00:47:33,159 OF NATIVE HAWAIIAN PACIFIC 1223 00:47:33,159 --> 00:47:38,064 ISLANDERS BETWEEN 2023 TO 2024, 1224 00:47:38,064 --> 00:47:42,602 ALMOST A DOUBLING OF THAT 1225 00:47:42,602 --> 00:47:49,142 PARTICULAR POPULATION. 1226 00:47:49,142 --> 00:47:51,678 WHEN WE LOOK AT HISPANIC 1227 00:47:51,678 --> 00:47:53,213 ENROLLMENT, THE OVERALL 1228 00:47:53,213 --> 00:47:56,383 PERCENTAGE OF MINORITY 1229 00:47:56,383 --> 00:47:57,817 ENROLLMENT IN THE INSTITUTE 1230 00:47:57,817 --> 00:47:59,452 STUDIES WAS PRETTY STEADY, 1231 00:47:59,452 --> 00:48:03,189 SOMEWHERE BETWEEN 60 AND 70% 1232 00:48:03,189 --> 00:48:03,423 RANGE. 1233 00:48:03,423 --> 00:48:07,894 THE HISPANIC ENROLLMENT AVERAGED 1234 00:48:07,894 --> 00:48:08,895 APPROXIMATELY 24%, WHICH WAS 1235 00:48:08,895 --> 00:48:12,065 ONLY SLIGHTLY LOWER THAN THE 1236 00:48:12,065 --> 00:48:15,468 PERCENTAGE OF AFRICAN AMERICANS 1237 00:48:15,468 --> 00:48:22,042 IN CLINICAL RESEARCH. 1238 00:48:22,042 --> 00:48:25,211 AS FAR AS THE PHASE III CLINICAL 1239 00:48:25,211 --> 00:48:30,483 TRIALS ARE CONCERNED, THE TOTAL 1240 00:48:30,483 --> 00:48:32,018 ENROLLMENT INCREASED -- EXCUSE 1241 00:48:32,018 --> 00:48:37,791 ME -- DECREASED IN FY 2023 WHERE 1242 00:48:37,791 --> 00:48:43,930 IT WAS 690 TO 535 IN FY 2024, 1243 00:48:43,930 --> 00:48:47,233 BUT THE PERCENTAGE OF WOMEN 1244 00:48:47,233 --> 00:48:50,303 SIGNIFICANTLY INCREASED FROM 1245 00:48:50,303 --> 00:48:52,205 APPROXIMATELY 58% IN PHASE III 1246 00:48:52,205 --> 00:49:02,616 CLINICAL TRIALS TO 84%. 1247 00:49:05,685 --> 00:49:08,922 THIS CHART HERE SHOWS THE 1248 00:49:08,922 --> 00:49:11,891 ENROLLMENT IN PHASE III CLINICAL 1249 00:49:11,891 --> 00:49:18,598 TRIALS BY ETHNICITY AND THE 1250 00:49:18,598 --> 00:49:21,301 POINT OF NOTE ON THIS CHART IS 1251 00:49:21,301 --> 00:49:26,539 THAT THE NUMBER OF HISPANICS 1252 00:49:26,539 --> 00:49:27,807 PARTICIPATING IN PHASE III 1253 00:49:27,807 --> 00:49:30,777 CLINICAL TRIALS INCREASED FROM 1254 00:49:30,777 --> 00:49:35,448 41 IN 2023 TO 118 IN 2024. 1255 00:49:35,448 --> 00:49:38,518 I THINK I HAVE ONE LAST SLIDE. 1256 00:49:38,518 --> 00:49:40,553 I JUST WANTED TO PUT THIS ONE 1257 00:49:40,553 --> 00:49:42,989 LAST SLIDE HERE. 1258 00:49:42,989 --> 00:49:46,192 THIS IS U.S. ENROLLMENT OF NIH 1259 00:49:46,192 --> 00:49:49,329 FUNDED CLINICAL RESEARCH, NIMHD 1260 00:49:49,329 --> 00:49:53,199 IN COMPARISON TO NIH. 1261 00:49:53,199 --> 00:49:59,339 AS YOU CAN SEE BY THE CHART, THE 1262 00:49:59,339 --> 00:50:03,910 ENROLLMENT BY THE DIFFERENT 1263 00:50:03,910 --> 00:50:04,844 RACIAL/ETHNIC GROUPS IS HIGHER 1264 00:50:04,844 --> 00:50:07,781 THAN IT IS FOR NIH AS A WHOLE. 1265 00:50:07,781 --> 00:50:10,950 I DON'T THINK THAT'S SURPRISING 1266 00:50:10,950 --> 00:50:12,686 TO ANYBODY UNDERSTANDING OUR 1267 00:50:12,686 --> 00:50:15,355 MISSION AND OUR GOALS AND 1268 00:50:15,355 --> 00:50:16,556 OBJECTIVES AND THE TYPE OF 1269 00:50:16,556 --> 00:50:23,463 RESEARCH THAT WE SUPPORT. 1270 00:50:23,463 --> 00:50:24,431 THANK YOU VERY MUCH, AND I'M 1271 00:50:24,431 --> 00:50:29,069 HAPPY TO ANSWER ANY QUESTIONS. 1272 00:50:29,069 --> 00:50:31,171 >> OKAY, COUNCILMEMBERS, WE'RE 1273 00:50:31,171 --> 00:50:33,006 GOING TO USE THE SAME PROCEDURE. 1274 00:50:33,006 --> 00:50:38,378 YOU HAVE A QUESTION REGARDING TO 1275 00:50:38,378 --> 00:50:41,781 THE TRIENNIAL COLLUSION REPORT, 1276 00:50:41,781 --> 00:50:44,517 PLEASE TURN YOUR CAMERA ON, 1277 00:50:44,517 --> 00:50:49,556 RAISE YOUR HAND, AND/OR PUT A 1278 00:50:49,556 --> 00:50:51,725 MESSAGE IN THE CHAT THAT YOU 1279 00:50:51,725 --> 00:50:53,159 HAVE A QUESTION. 1280 00:50:53,159 --> 00:50:54,360 YOU DON'T HAVE TO WRITE THE 1281 00:50:54,360 --> 00:51:02,836 QUESTION DOWN. 1282 00:51:02,836 --> 00:51:06,039 I SEE NO HANDS. 1283 00:51:06,039 --> 00:51:12,879 I SEE NO CAMERAS COMING ON. 1284 00:51:12,879 --> 00:51:13,213 TWICE. 1285 00:51:13,213 --> 00:51:16,883 THREE TIMES. 1286 00:51:16,883 --> 00:51:17,217 MOVING ON. 1287 00:51:17,217 --> 00:51:18,418 THANK YOU VERY MUCH, 1288 00:51:18,418 --> 00:51:21,121 DR. STINSON. 1289 00:51:21,121 --> 00:51:26,426 NOW, COUNCILMEMBERS, I COME TO 1290 00:51:26,426 --> 00:51:28,161 YOU WITH A REQUEST. 1291 00:51:28,161 --> 00:51:34,934 WITH YOUR APPROVAL, THE NATIONAL 1292 00:51:34,934 --> 00:51:35,935 ADVISORY COUNCIL ON MINORITY 1293 00:51:35,935 --> 00:51:38,037 HEALTH DISPARITIES WILL CONVENE 1294 00:51:38,037 --> 00:51:39,472 A WORKING GROUP CHARGED WITH 1295 00:51:39,472 --> 00:51:42,208 CONDUCTING A COMPREHENSIVE 1296 00:51:42,208 --> 00:51:44,978 FORWARD LOOKING REVIEW OF THE 1297 00:51:44,978 --> 00:51:48,148 DIVISION OF CLINICAL AND HEALTH 1298 00:51:48,148 --> 00:51:52,185 SERVICES RESEARCH AT NIMHD 1299 00:51:52,185 --> 00:51:53,486 SUPPORTS A COMPREHENSIVE RANGE 1300 00:51:53,486 --> 00:51:56,256 OF CLINICAL RESEARCH AND HEALTH 1301 00:51:56,256 --> 00:51:58,424 SERVICES RESEARCH TO GENERATE 1302 00:51:58,424 --> 00:52:00,627 NEW KNOWLEDGE TO IMPROVE HEALTH, 1303 00:52:00,627 --> 00:52:02,262 CLINICAL OUTCOMES, AND QUALITY 1304 00:52:02,262 --> 00:52:07,100 OF HEALTHCARE FOR POPULATIONS 1305 00:52:07,100 --> 00:52:09,869 THAT EXPERIENCE HEALTH AND 1306 00:52:09,869 --> 00:52:12,138 HEALTHCARE DISPARITIES. 1307 00:52:12,138 --> 00:52:14,474 THE REVIEW WILL EXAMINE 1308 00:52:14,474 --> 00:52:16,643 PUBLISHED FUNDING OPPORTUNITY 1309 00:52:16,643 --> 00:52:19,946 ANNOUNCEMENTS ON KEY SCIENTIFIC 1310 00:52:19,946 --> 00:52:20,380 AREAS. 1311 00:52:20,380 --> 00:52:23,349 THE FUNDED RESEARCH PORTFOLIO, 1312 00:52:23,349 --> 00:52:24,784 IE, EXTRAMURAL GRANTS, 1313 00:52:24,784 --> 00:52:25,652 COOPERATIVE AGREEMENTS AND 1314 00:52:25,652 --> 00:52:29,255 TRAINING AWARDS OVER THE PAST 1315 00:52:29,255 --> 00:52:32,225 FIVE YEARS AS WELL AS ASSESSING 1316 00:52:32,225 --> 00:52:33,459 THE POTENTIAL IMPACTS OF 1317 00:52:33,459 --> 00:52:38,832 RESEARCH FINDINGS AND 1318 00:52:38,832 --> 00:52:39,566 DISSEMINATION EFFORTS. 1319 00:52:39,566 --> 00:52:41,801 THE REVIEW WILL ALSO EVALUATE 1320 00:52:41,801 --> 00:52:44,304 ALIGNMENT WITH THE STATE OF THE 1321 00:52:44,304 --> 00:52:46,739 SCIENCE, THE GOALS INCLUDED IN 1322 00:52:46,739 --> 00:52:48,708 THE NATIONAL INSTITUTE OF 1323 00:52:48,708 --> 00:52:50,243 MINORITY HEALTH AND HEALTH 1324 00:52:50,243 --> 00:52:52,545 DISPARITIES STRATEGIC PLAN 2021 1325 00:52:52,545 --> 00:52:55,281 TO 2025. 1326 00:52:55,281 --> 00:52:57,951 GOAL ONE, TO EXPAND KNOWLEDGE OF 1327 00:52:57,951 --> 00:53:01,321 THE FACTORS THAT INFLUENCE 1328 00:53:01,321 --> 00:53:02,422 HEALTHCARE IN POPULATIONS WITH 1329 00:53:02,422 --> 00:53:04,724 HEALTH DISPARITIES INCLUDING 1330 00:53:04,724 --> 00:53:06,593 ETIOLOGIES OF DISPARITIES IN 1331 00:53:06,593 --> 00:53:09,996 HEALTH CAROL OR CLINICAL 1332 00:53:09,996 --> 00:53:13,499 OUTCOMES AND THEIR REDUCTION. 1333 00:53:13,499 --> 00:53:16,169 GOAL TWO, TO FACILITATE RESEARCH 1334 00:53:16,169 --> 00:53:21,207 ON EFFECTIVE PREVENTION, 1335 00:53:21,207 --> 00:53:21,941 DIAGNOSTIC MANAGEMENT AND 1336 00:53:21,941 --> 00:53:23,943 TREATMENT STRATEGIES THAT BRIDGE 1337 00:53:23,943 --> 00:53:25,245 INDIVIDUALS, POPULATIONS, 1338 00:53:25,245 --> 00:53:27,881 CLINICAL PRACTICE AND HEALTHCARE 1339 00:53:27,881 --> 00:53:29,849 SYSTEM FACTORS. 1340 00:53:29,849 --> 00:53:33,786 GOAL THREE, TO PROMOTE RESEARCH 1341 00:53:33,786 --> 00:53:35,121 TO UNDERSTAND AND IMPROVE 1342 00:53:35,121 --> 00:53:37,223 QUALITY OF CARE, QUALITY OF 1343 00:53:37,223 --> 00:53:39,092 LIFE, AND PATIENT SAFETY AMONG 1344 00:53:39,092 --> 00:53:40,059 POPULATIONS WITH HEALTHCARE 1345 00:53:40,059 --> 00:53:45,865 DISPARITIES. 1346 00:53:45,865 --> 00:53:47,433 IF APPROVED, THIS WORKING GROUP 1347 00:53:47,433 --> 00:53:48,601 WILL SUBMIT A REPORT SUMMARIZING 1348 00:53:48,601 --> 00:53:51,804 THE FINDINGS OF THE REVIEW, 1349 00:53:51,804 --> 00:53:52,672 RESEARCH GAPS AND 1350 00:53:52,672 --> 00:53:54,674 RECOMMENDATIONS REGARDING 1351 00:53:54,674 --> 00:53:55,942 OPPORTUNITIES TO ADVANCE THE 1352 00:53:55,942 --> 00:53:57,644 STATE OF THE KNOWLEDGE 1353 00:53:57,644 --> 00:54:00,813 INTERVENTIONS AND TRANSLATION, 1354 00:54:00,813 --> 00:54:01,481 CLINICAL, HEALTH SERVICE 1355 00:54:01,481 --> 00:54:05,451 RESEARCH APPROACHES. 1356 00:54:05,451 --> 00:54:07,520 WORKING GROUP MEMBERS WILL 1357 00:54:07,520 --> 00:54:10,323 INCLUDE SELECTED COUNCILMEMBERS 1358 00:54:10,323 --> 00:54:13,126 AS WELL AS INDIVIDUALS WITH 1359 00:54:13,126 --> 00:54:14,227 APPROPRIATE EXPERTISE FROM THE 1360 00:54:14,227 --> 00:54:20,033 EXTRAMURAL COMMUNITY. 1361 00:54:20,033 --> 00:54:23,102 THE WORKING GROUP WILL ADVISE 1362 00:54:23,102 --> 00:54:24,537 THE ADVISORY COUNCIL AND THE 1363 00:54:24,537 --> 00:54:28,908 NIMHD DIRECTOR. 1364 00:54:28,908 --> 00:54:31,010 COUNCILMEMBERS, IF YOU APPROVE 1365 00:54:31,010 --> 00:54:36,249 THE FORMATION OF THIS WORKING 1366 00:54:36,249 --> 00:54:38,484 GROUP, PLEASE PUT "YES" IN THE 1367 00:54:38,484 --> 00:54:42,088 CHAT. 1368 00:54:42,088 --> 00:54:43,823 IF YOU DO NOT APPROVE, PLEASE 1369 00:54:43,823 --> 00:54:45,892 PUT "NO" IN THE CHAT. 1370 00:54:45,892 --> 00:54:48,661 IF YOU HAVE QUESTIONS, NOW IS 1371 00:54:48,661 --> 00:54:53,166 THE TIME TO -- OKAY -- TO ASK 1372 00:54:53,166 --> 00:55:03,710 ANY QUESTIONS THAT YOU MAY HAVE. 1373 00:55:21,995 --> 00:55:24,464 WE HAVE FIVE OF OUR SIX VOTING 1374 00:55:24,464 --> 00:55:26,099 MEMBERS HAVE APPROVED THE 1375 00:55:26,099 --> 00:55:31,804 FORMATION OF THE WORKING GROUP. 1376 00:55:31,804 --> 00:55:34,874 SO WE HAVE BEEN APPROVED TO FORM 1377 00:55:34,874 --> 00:55:43,316 A WORKING GROUP. 1378 00:55:43,316 --> 00:55:44,317 THANK YOU VERY MUCH FOR YOUR 1379 00:55:44,317 --> 00:55:47,353 APPROVAL. 1380 00:55:47,353 --> 00:55:51,224 NOW I'M GOING TO TURN THE 1381 00:55:51,224 --> 00:55:55,828 MEETING BACK OVER TO DR. MONICA 1382 00:55:55,828 --> 00:55:57,697 WEBB FOR HER CLOSING REMARKS AND 1383 00:55:57,697 --> 00:56:04,170 ADJOURNMENT OF THE OPEN SESSION. 1384 00:56:04,170 --> 00:56:04,937 >> THANK YOU, PAUL. 1385 00:56:04,937 --> 00:56:05,671 CAN YOU SEE ME? 1386 00:56:05,671 --> 00:56:06,773 >> I CAN SEE YOU. 1387 00:56:06,773 --> 00:56:07,440 >> OKAY. 1388 00:56:07,440 --> 00:56:09,008 FOR SOME REASON IT'S JUST ON MY 1389 00:56:09,008 --> 00:56:10,209 END THEN. 1390 00:56:10,209 --> 00:56:15,148 WELL, I WANT TO, BEFORE WE CLOSE 1391 00:56:15,148 --> 00:56:16,382 MEETING, JUST THANK YOU ALL FOR 1392 00:56:16,382 --> 00:56:17,583 ATTENDING AND FOR BEING WILLING 1393 00:56:17,583 --> 00:56:19,886 TO ADJUST YOUR SCHEDULES AND FOR 1394 00:56:19,886 --> 00:56:21,087 APPROVING THE FORMATION OF THIS 1395 00:56:21,087 --> 00:56:22,321 NEW WORKING GROUP WHICH WE THINK 1396 00:56:22,321 --> 00:56:26,692 WILL BE REALLY IMPORTANT FOR 1397 00:56:26,692 --> 00:56:29,562 REVIEWING OUR DIVISION OF HEALTH 1398 00:56:29,562 --> 00:56:30,063 SERVICES RESEARCH. 1399 00:56:30,063 --> 00:56:31,531 SO WE LOOK FORWARD TO WORKING ON 1400 00:56:31,531 --> 00:56:36,669 THAT IN THE DAYS TO COME, AND I 1401 00:56:36,669 --> 00:56:39,038 WILL OFFICIALLY ADJOURN THE 1402 00:56:39,038 --> 00:56:41,107 MEETING, HERE'S MY GAVEL, HIT 1403 00:56:41,107 --> 00:56:42,742 THE GAVEL, AND THE MEETING IS 1404 00:56:42,742 --> 00:56:43,009 ADJOURNED. 1405 00:56:43,009 --> 00:56:43,810 THANK YOU, EVERYONE. 1406 00:56:43,810 --> 00:56:46,145 >> THANK YOU VERY MUCH. 1407 00:56:46,145 --> 00:56:47,814 WE WILL TAKE A 30-MINUTE BREAK 1408 00:56:47,814 --> 00:56:49,916 AND WE WILL COME BACK FOR THE 1409 00:56:49,916 --> 00:56:53,252 CLOSED SESSION OF THE ADVISORY 1410 00:56:53,252 --> 00:57:02,528 COUNCIL. 1411 00:57:02,528 --> 00:57:03,496 WE WILL REMOVE INDIVIDUALS FROM 1412 00:57:03,496 --> 00:57:05,298 THE MEETING BEFORE WE START THE 1413 00:57:05,298 --> 00:57:06,866 CLOSED SESSION IF YOU HAVE NOT 1414 00:57:06,866 --> 00:57:09,268 REMOVED YOURSELF. 1415 00:57:09,268 --> 00:57:11,671 AND YOU ARE NOT PART OF THE 1416 00:57:11,671 --> 00:57:12,305 CLOSED SESSION MEETING. 1417 00:57:12,305 --> 00:57:16,209 THANK YOU. 1418 00:57:16,209 --> 00:57:26,552 >> THANK YOU, PAUL.