1 00:00:06,005 --> 00:00:08,107 >> GOOD DAY, EVERYONE. 2 00:00:08,107 --> 00:00:08,340 WELCOME. 3 00:00:08,340 --> 00:00:10,776 I'M DR. MONICA WEBB HOOPER, 4 00:00:10,776 --> 00:00:11,710 ACTING DIRECTOR OF THE NATIONAL 5 00:00:11,710 --> 00:00:13,445 INSTITUTE ON MINORITY HEALTH AND 6 00:00:13,445 --> 00:00:14,280 HEALTH DISPARITIES. 7 00:00:14,280 --> 00:00:16,415 LET ME WELCOME YOU TO THE 69th 8 00:00:16,415 --> 00:00:18,584 MEETING OF THE NATIONAL ADVISORY 9 00:00:18,584 --> 00:00:20,886 COUNCIL ON MINORITY HEALTH AND 10 00:00:20,886 --> 00:00:22,121 HEALTH DISPARITIES MEETING, 11 00:00:22,121 --> 00:00:23,188 OFFICIALLY HITTING THE GAVEL TO 12 00:00:23,188 --> 00:00:24,657 CALL THE MEETING TO ORDER. 13 00:00:24,657 --> 00:00:32,731 AND I WILL NOW TURN IT OVER TO 14 00:00:32,731 --> 00:00:33,165 DR. PAUL COTTON. 15 00:00:33,165 --> 00:00:34,166 >> THANK YOU VERY MUCH. 16 00:00:34,166 --> 00:00:34,600 GOOD MORNING. 17 00:00:34,600 --> 00:00:35,868 TODAY'S SESSION OF THIS MEETING 18 00:00:35,868 --> 00:00:40,005 IS OPEN TO THE PUBLIC, BEING 19 00:00:40,005 --> 00:00:41,974 BROADCAST ON NIH VIDEOCAST 20 00:00:41,974 --> 00:00:42,875 NETWORK. 21 00:00:42,875 --> 00:00:45,244 COUNCIL MEMBERS, PLEASE SPEAK 22 00:00:45,244 --> 00:00:47,646 SLOWLY AND DISTINCTIVELY WHEN 23 00:00:47,646 --> 00:00:51,016 YOU'RE REQUESTED OR CALLED ON TO 24 00:00:51,016 --> 00:00:52,318 SPEAK. 25 00:00:52,318 --> 00:00:53,485 THE VIDEOCAST OBSERVERS, 26 00:00:53,485 --> 00:00:55,988 TECHNICAL STAFF AND NOTE TAKERS 27 00:00:55,988 --> 00:00:57,289 WILL BE LISTENING TO NOTE YOUR 28 00:00:57,289 --> 00:00:57,623 COMMENT. 29 00:00:57,623 --> 00:00:59,925 NO NEED TO ASK IF YOU'RE BEING 30 00:00:59,925 --> 00:01:00,259 HEARD. 31 00:01:00,259 --> 00:01:01,927 AFTER YOU'RE RECOGNIZED TO 32 00:01:01,927 --> 00:01:09,802 SPEAK, I WILL PROMPT YOU IF 33 00:01:09,802 --> 00:01:11,103 THERE ARE AUDIO PROBLEMS. 34 00:01:11,103 --> 00:01:13,305 IN AN EFFORT TO CONSERVE 35 00:01:13,305 --> 00:01:14,573 INTERNET BANDWIDTH AND MINIMIZE 36 00:01:14,573 --> 00:01:16,775 BACKGROUND NOISE, I WILL LEAD A 37 00:01:16,775 --> 00:01:24,984 ROLL CALL, PLEASE TURN ON YOUR 38 00:01:24,984 --> 00:01:26,085 CAMERAS, UNMUTE, INTRODUCE 39 00:01:26,085 --> 00:01:26,685 YOURSELF 40 00:01:26,685 --> 00:01:32,191 MAKE A BRIEF STATEMENT, 41 00:01:32,191 --> 00:01:33,459 INSTITUTION, ROLL. 42 00:01:33,459 --> 00:01:34,326 FOLLOWING, TURN OFF YOUR CAMERA, 43 00:01:34,326 --> 00:01:40,666 I WILL MOVE TO THE NEXT PERSON. 44 00:01:40,666 --> 00:01:47,773 SO, I WILL AGAIN THE ROLL CALL. 45 00:01:47,773 --> 00:01:48,374 DR. ADUNYAH. 46 00:01:48,374 --> 00:01:50,175 >> GOOD MORNING, SAMUEL ADUNYAH, 47 00:01:50,175 --> 00:01:52,077 PROFESSOR AND CHAIRMAN OF 48 00:01:52,077 --> 00:01:53,946 DEPARTMENT OF BIOCHEMISTRY, 49 00:01:53,946 --> 00:02:02,321 CANCER BIOLOGY, NEUROSCIENCE AND 50 00:02:02,321 --> 00:02:06,325 PHARMACOLOGY AT MEHARRY MEDICAL 51 00:02:06,325 --> 00:02:08,460 COLLEGE, GLAD TO BE HERE. 52 00:02:08,460 --> 00:02:13,132 >> GOOD MORNING, VALARIE BLUE 53 00:02:13,132 --> 00:02:14,800 BIRD JERNIGAN, PROFESSOR AT 54 00:02:14,800 --> 00:02:16,235 OKLAHOMA STATE UNIVERSITY, 55 00:02:16,235 --> 00:02:17,169 CENTER FOR HEALTH SCIENCES, 56 00:02:17,169 --> 00:02:19,271 WHERE I DIRECT CENTER FOR 57 00:02:19,271 --> 00:02:26,045 INDIGENOUS HEALTH RESEARCH AND 58 00:02:26,045 --> 00:02:26,278 POLICY. 59 00:02:26,278 --> 00:02:28,514 >> DR. BAUERMEISTER. 60 00:02:28,514 --> 00:02:29,381 >> GOOD MORNING, PROFESSOR, 61 00:02:29,381 --> 00:02:32,885 UNIVERSITY OF PENNSYLVANIA, GLAD 62 00:02:32,885 --> 00:02:38,991 TO BE HERE. 63 00:02:38,991 --> 00:02:46,398 >> DR. STONE. 64 00:02:46,398 --> 00:02:48,200 DR. STONE, ARE YOU STILL WITH 65 00:02:48,200 --> 00:02:48,600 US? 66 00:02:48,600 --> 00:02:52,171 I SEE YOU. 67 00:02:52,171 --> 00:02:54,073 YOU'RE NOT -- YOU'RE MUTED IF 68 00:02:54,073 --> 00:02:55,140 YOU'RE SPEAKING. 69 00:02:55,140 --> 00:03:02,047 PLEASE UNMUTE YOURSELF. 70 00:03:02,047 --> 00:03:03,348 WE WILL COME BACK TO DR. STONE. 71 00:03:03,348 --> 00:03:06,385 SHE'S IN THE ROOM. 72 00:03:06,385 --> 00:03:10,289 SHE MAY BE HAVING TECHNICAL 73 00:03:10,289 --> 00:03:10,756 DIFFICULTIES. 74 00:03:10,756 --> 00:03:11,890 >> DR. COTTON, I'M PRESENT. 75 00:03:11,890 --> 00:03:14,460 THANK YOU, YES, I'M HAVING 76 00:03:14,460 --> 00:03:15,394 TECHNICAL DIFFICULTIES, I 77 00:03:15,394 --> 00:03:21,133 APPRECIATE IT. 78 00:03:21,133 --> 00:03:21,800 MY APOLOGIES. 79 00:03:21,800 --> 00:03:24,136 >> WE KNOW THINGS DO HAPPEN. 80 00:03:24,136 --> 00:03:31,777 WE'VE DONE THIS A TIME OR TWO. 81 00:03:31,777 --> 00:03:38,350 DID ANYONE LET IN DR. PENEDO? 82 00:03:38,350 --> 00:03:41,186 OKAY. 83 00:03:41,186 --> 00:03:43,822 AND I KNOW THERE ARE SIMONI IS 84 00:03:43,822 --> 00:03:44,022 HERE. 85 00:03:44,022 --> 00:03:45,824 >> I'M IN TRANSIT, I'LL BE ON A 86 00:03:45,824 --> 00:03:48,560 PLANE FORE FOR PART OF THE 87 00:03:48,560 --> 00:03:52,397 MEETING, ASSOCIATE DIRECTOR FOR 88 00:03:52,397 --> 00:03:53,398 BEHAVIORAL AND SOCIAL SCIENCES 89 00:03:53,398 --> 00:03:58,537 AT NIH, DIRECT THE OFFICE FOR 90 00:03:58,537 --> 00:04:00,539 BEHAVIORAL AND SOCIAL SCIENCES. 91 00:04:00,539 --> 00:04:02,875 >> WE'LL CIRCLE BACK FOR AN 92 00:04:02,875 --> 00:04:06,512 INTRODUCTION LATER UPON THE 93 00:04:06,512 --> 00:04:10,482 ARRIVAL OF OUR OTHER EX OFFICIO 94 00:04:10,482 --> 00:04:13,652 AND VOTING COUNCIL MEMBER. 95 00:04:13,652 --> 00:04:17,256 WE'RE GOING TO GO WITH STAFF IN 96 00:04:17,256 --> 00:04:22,461 THE ROOM. 97 00:04:22,461 --> 00:04:32,838 WE'RE GOING TO START. 98 00:04:33,172 --> 00:04:34,239 >> I'M MARISA VILLASANTA, AT 99 00:04:34,239 --> 00:04:44,650 NIMHD, NICE TO BE HERE. 100 00:04:45,984 --> 00:04:48,820 >> DR. DOSS. 101 00:04:48,820 --> 00:04:55,961 >> RENA DOSS, INTEGRATIVE AND 102 00:04:55,961 --> 00:04:58,130 BEHAVIORAL SCIENCES. 103 00:04:58,130 --> 00:04:59,431 >> REBECCA CORELEO, DIRECTOR OF 104 00:04:59,431 --> 00:05:01,633 OFFICE OF SCIENCE POLICY, 105 00:05:01,633 --> 00:05:05,837 PLANNING, EVALUATION AND 106 00:05:05,837 --> 00:05:08,173 REPORTING AT NIMHD. 107 00:05:08,173 --> 00:05:11,276 >> WE ALSO HAVE DR. STIMSON, 108 00:05:11,276 --> 00:05:15,314 WHEN HE STEPS BACK IN WE'LL HAVE 109 00:05:15,314 --> 00:05:16,181 HIM INTRODUCE HIMSELF. 110 00:05:16,181 --> 00:05:25,157 AND HERE HE COMES RIGHT ON CUE. 111 00:05:25,157 --> 00:05:27,526 >> HI, NATHAN STIMSON, DIRECTOR 112 00:05:27,526 --> 00:05:32,798 OF COMMUNITY HEALTH AND 113 00:05:32,798 --> 00:05:33,966 POPULATION SCIENCE AT NIMHD. 114 00:05:33,966 --> 00:05:37,135 >> DID I MISS ANYBODY? 115 00:05:37,135 --> 00:05:43,041 IF I DID, IT'S NOT INTENTIONAL. 116 00:05:43,041 --> 00:05:43,208 AND. 117 00:05:43,208 --> 00:05:45,510 >> I THINK YOU MIGHT HAVE MISSED 118 00:05:45,510 --> 00:05:46,612 ME, I'M PROFESSOR OF POPULATION 119 00:05:46,612 --> 00:05:52,884 HEALTH IN THE DEPARTMENT OF 120 00:05:52,884 --> 00:05:54,386 POPULATION HEALTH AT NYU. 121 00:05:54,386 --> 00:05:57,089 >> RIGHT, I CHECKED YOU OFF 122 00:05:57,089 --> 00:06:05,964 BECAUSE I SAW YOU, I APOLOGIZE 123 00:06:05,964 --> 00:06:07,266 FOR THAT AGAIN. 124 00:06:07,266 --> 00:06:16,041 NEVER MISS YOU ON PURPOSE. 125 00:06:16,041 --> 00:06:18,410 AND WE HAVE COMPLETED OUR -- 126 00:06:18,410 --> 00:06:19,645 >> I DON'T KNOW, DR. COTTON, IF 127 00:06:19,645 --> 00:06:26,618 YOU WANT ME TO INTRODUCE MYSELF 128 00:06:26,618 --> 00:06:27,853 MARGARITA ALEGRIA, PART OF THE 129 00:06:27,853 --> 00:06:30,589 PRESENTERS BUT NOT PART OF THE 130 00:06:30,589 --> 00:06:33,925 COUNCIL. 131 00:06:33,925 --> 00:06:36,628 >> AND, YES, YOU CAN. 132 00:06:36,628 --> 00:06:38,363 >> MARGARITA ALEGRIA, CHIEF OF 133 00:06:38,363 --> 00:06:41,033 THE DISPARITIES RESEARCH UNIT AT 134 00:06:41,033 --> 00:06:42,934 MASS GENERAL HOSPITAL. 135 00:06:42,934 --> 00:06:47,639 THANKS FOR HAVING ME HERE. 136 00:06:47,639 --> 00:06:49,641 >> THANK YOU FOR JOINING US FOR 137 00:06:49,641 --> 00:06:56,581 THIS PRESENTATION THAT WE WILL 138 00:06:56,581 --> 00:06:57,683 HAVE MOMENTARILY. 139 00:06:57,683 --> 00:07:00,252 WE'RE FOUR MINUTES AHEAD OF 140 00:07:00,252 --> 00:07:02,888 SCHEDULE, UNUSUAL FOR ME. 141 00:07:02,888 --> 00:07:05,957 MONICA, WOULD YOU LIKE TO GO 142 00:07:05,957 --> 00:07:06,658 INTO THE PRESENTATION? 143 00:07:06,658 --> 00:07:07,726 >> SURE. 144 00:07:07,726 --> 00:07:08,360 HAPPY TO. 145 00:07:08,360 --> 00:07:10,128 THANKS, DR. COTTON. 146 00:07:10,128 --> 00:07:13,398 HAPPY TO HAVE OUR FIRST 147 00:07:13,398 --> 00:07:15,701 PRESENTATION FROM OUR COUNCIL'S 148 00:07:15,701 --> 00:07:18,603 WORKING GROUP, WHICH WAS 149 00:07:18,603 --> 00:07:21,473 ESTABLISHED IN THE BEGINNING OF 150 00:07:21,473 --> 00:07:24,209 2024, AND SPENT THE ENTIRE YEAR 151 00:07:24,209 --> 00:07:26,778 WORKING ON A REVIEW OF OUR 152 00:07:26,778 --> 00:07:28,814 EXTRAMURAL DIVISION OF COMMUNITY 153 00:07:28,814 --> 00:07:31,683 HEALTH AND POPULATION SCIENCES. 154 00:07:31,683 --> 00:07:33,418 AND THIS WORKING GROUP CONSISTS 155 00:07:33,418 --> 00:07:35,987 OF MEMBERS OF THE NIMHD COUNCIL 156 00:07:35,987 --> 00:07:39,091 AS WELL AS EXPERTS IN THE FIELD. 157 00:07:39,091 --> 00:07:41,226 THESE ARE INDIVIDUALS WHO HAVE 158 00:07:41,226 --> 00:07:43,762 BEEN LONG FUNDED BY NIH AND HAVE 159 00:07:43,762 --> 00:07:45,697 DEEP EXPERTISE IN THIS AREA AND 160 00:07:45,697 --> 00:07:48,567 HAVE ALSO RECEIVED FUNDING FROM 161 00:07:48,567 --> 00:07:49,935 NIMHD, AND SO I'M DELIGHTED FOR 162 00:07:49,935 --> 00:07:53,705 THEM TO HAVE THE OPPORTUNITY TO 163 00:07:53,705 --> 00:07:56,508 SHARE THE SUMMARY OF THE WORK 164 00:07:56,508 --> 00:07:57,876 THAT THEY EMBARKED UPON AS A 165 00:07:57,876 --> 00:08:01,046 GROUP, AS A VERY ENGAGED GROUP 166 00:08:01,046 --> 00:08:02,681 FOR THE ENTIRE 2024, AND THE 167 00:08:02,681 --> 00:08:05,784 GOAL OF THIS REVIEW REALLY IS TO 168 00:08:05,784 --> 00:08:06,718 THINK AHEAD, HELP THIS DIVISION 169 00:08:06,718 --> 00:08:10,756 THINK ABOUT ITS WORK AND POINT 170 00:08:10,756 --> 00:08:12,524 TO FUTURE DIRECTIONS WITH AN EYE 171 00:08:12,524 --> 00:08:13,558 ON POTENTIAL OPPORTUNITIES BASED 172 00:08:13,558 --> 00:08:16,628 ON WHAT HAS HAPPENED SO FAR. 173 00:08:16,628 --> 00:08:18,697 THE TWO PRESENTERS FOR THIS 174 00:08:18,697 --> 00:08:20,866 MORNING, YOU'VE BEEN INTRODUCED 175 00:08:20,866 --> 00:08:21,099 TO. 176 00:08:21,099 --> 00:08:24,169 OUR CO-PRESENTERS WILL BE DR. 177 00:08:24,169 --> 00:08:26,371 MARGARITA ALEGRIA, ONE OF THE 178 00:08:26,371 --> 00:08:28,440 CO-CHAIRS OF THIS COMMITTEE. 179 00:08:28,440 --> 00:08:30,275 AND JOSE BAUERMEISTER, WHO IS 180 00:08:30,275 --> 00:08:31,643 ONE OF OUR COUNCIL MEMBERS. 181 00:08:31,643 --> 00:08:34,112 AND ALSO A MEMBER OF THIS 182 00:08:34,112 --> 00:08:35,814 WORKING GROUP. 183 00:08:35,814 --> 00:08:38,450 THE OTHER CO-CHAIR OF THIS 184 00:08:38,450 --> 00:08:41,653 WORKING GROUP IS REVEREND DR. 185 00:08:41,653 --> 00:08:42,788 KENDRICK CURRY, WHO SENDS 186 00:08:42,788 --> 00:08:44,356 REGRETS, UNABLE TO BE HERE, I 187 00:08:44,356 --> 00:08:46,258 SEND A SPECIAL AND HUGE THANK 188 00:08:46,258 --> 00:08:47,726 YOU TO REVEREND CURRY FOR HIS 189 00:08:47,726 --> 00:08:47,993 WORK. 190 00:08:47,993 --> 00:08:50,028 HE'S A MEMBER OF OUR COUNCIL AS 191 00:08:50,028 --> 00:08:52,130 WELL, AND FOR HIS WORK WITH THIS 192 00:08:52,130 --> 00:08:53,331 WORKING GROUP. 193 00:08:53,331 --> 00:08:56,935 SO, I WILL TURN IT OVER THEN TO 194 00:08:56,935 --> 00:08:57,369 THE TWO PRESENTERS. 195 00:08:57,369 --> 00:08:58,403 >> THANK YOU SO VERY MUCH. 196 00:08:58,403 --> 00:09:00,772 I'M GOING TO GO AHEAD AND SHARE 197 00:09:00,772 --> 00:09:02,340 OUR SLIDES. 198 00:09:02,340 --> 00:09:03,842 COULD I GET CONFIRMATION THAT 199 00:09:03,842 --> 00:09:07,179 YOU CAN SEE OUR SLIDES? 200 00:09:07,179 --> 00:09:08,013 >> YES. 201 00:09:08,013 --> 00:09:08,513 >> WONDERFUL. 202 00:09:08,513 --> 00:09:10,549 SO, WE'RE GOING TO TAG TEAM THIS 203 00:09:10,549 --> 00:09:10,916 PRESENTATION. 204 00:09:10,916 --> 00:09:11,683 GOOD MORNING, EVERYONE. 205 00:09:11,683 --> 00:09:13,618 IT'S A PLEASURE TO BE WITH YOU 206 00:09:13,618 --> 00:09:13,919 TODAY. 207 00:09:13,919 --> 00:09:19,324 DR. ALEGRIA AND I WILL BE 208 00:09:19,324 --> 00:09:26,832 CHATTING ABOUT THE FINAL REPORT 209 00:09:26,832 --> 00:09:27,899 OUT OF THE DIVISION. 210 00:09:27,899 --> 00:09:30,936 I WANT TO BEGIN BY ACKNOWLEDGING 211 00:09:30,936 --> 00:09:32,137 OUR CO-CHAIRS AND THE WORKING 212 00:09:32,137 --> 00:09:35,006 GROUP MEMBERS FOR THEIR 213 00:09:35,006 --> 00:09:35,707 COMMITMENT, CRITICAL INSIGHT, 214 00:09:35,707 --> 00:09:37,075 UNWAVERING BELIEF THAT HEALTH 215 00:09:37,075 --> 00:09:38,009 DISPARITIES RESEARCH MUST BE 216 00:09:38,009 --> 00:09:39,144 ACCOUNTABLE TO ALL COMMUNITIES 217 00:09:39,144 --> 00:09:40,212 THAT WE SEEK TO SERVE. 218 00:09:40,212 --> 00:09:42,380 I ALSO WANT TO THANK THE NIH 219 00:09:42,380 --> 00:09:47,319 STAFF WHO PROVIDED DATA AND 220 00:09:47,319 --> 00:09:52,491 INSIGHT TO ACCOMPLISHTY WORK. 221 00:09:52,491 --> 00:09:54,993 THE FUNCTIONAL STATEMENT EXAMINE 222 00:09:54,993 --> 00:10:05,504 PUBLISHED FUNDING OPPORTUNITY 223 00:10:06,571 --> 00:10:07,506 ANNOUNCEMENTS, COOPERATIVE 224 00:10:07,506 --> 00:10:09,040 ALIGNMENTS AND TRAINING AWARDS, 225 00:10:09,040 --> 00:10:09,641 EVALUATED ASSIGNMENT WITH THE 226 00:10:09,641 --> 00:10:14,246 STATE OF THE SCIENCE AND NIMHD 227 00:10:14,246 --> 00:10:15,780 STRATEGIC PLAN FROM 2021-2025, 228 00:10:15,780 --> 00:10:18,950 TASKED WITH COMMITTING A REPORT 229 00:10:18,950 --> 00:10:20,385 SUMMARIZING FINDINGS, RESEARCH 230 00:10:20,385 --> 00:10:21,286 GAPS, PROPOSE RECOMMENDATIONS 231 00:10:21,286 --> 00:10:22,020 REGARDING OPPORTUNITIES TO 232 00:10:22,020 --> 00:10:23,855 ADVANCE STATE OF THE KNOWLEDGE, 233 00:10:23,855 --> 00:10:24,489 INTERVENTIONS, TRANSLATION USING 234 00:10:24,489 --> 00:10:27,425 COMMUNITY HEALTH AND POPULATION 235 00:10:27,425 --> 00:10:28,326 SCIENCE APPROACHES. 236 00:10:28,326 --> 00:10:31,196 AS DR. WEBB HOOPER NOTED, THE 237 00:10:31,196 --> 00:10:34,699 PLEBSHIP INCLUDES SELECT COUNCIL 238 00:10:34,699 --> 00:10:36,601 MEMBERS AS WELL AS EXPERTISE 239 00:10:36,601 --> 00:10:38,203 FROM THE EXTRAMURAL COMMUNITY, 240 00:10:38,203 --> 00:10:45,677 CHARGED WITH ADVISING COUNCIL 241 00:10:45,677 --> 00:10:46,278 AND NIMHD DIRECTOR. 242 00:10:46,278 --> 00:10:48,280 AT THE HEART WAS THE COMMUNITY 243 00:10:48,280 --> 00:10:52,417 HEALTH AND POPULATION SCIENCE 244 00:10:52,417 --> 00:10:53,585 GOALS, THREE-FOLD, TO IDENTIFY 245 00:10:53,585 --> 00:10:54,286 EPIDEMIOLOGIC PATTERNS OF 246 00:10:54,286 --> 00:10:56,254 DISEASE AND DISEASE RISK FACTORS 247 00:10:56,254 --> 00:10:57,923 AND UNDERSTUDIED HEALTH 248 00:10:57,923 --> 00:11:00,091 CONDITIONS IN POPULATIONS WITH 249 00:11:00,091 --> 00:11:01,927 HEALTH DISPARITIES. 250 00:11:01,927 --> 00:11:03,895 SECOND TO UNDERSTAND HOW FAMILY, 251 00:11:03,895 --> 00:11:05,797 COMMUNITY, AND SOCIETAL LEVEL 252 00:11:05,797 --> 00:11:07,299 FACTORS INFLUENCE PATTERNS OF 253 00:11:07,299 --> 00:11:08,567 DISEASE RISK FACTORS, INCIDENCE, 254 00:11:08,567 --> 00:11:12,170 QUALITY OF LIFE, MORBIDITY AND 255 00:11:12,170 --> 00:11:13,171 MORTALITY AND LEVERAGING OF 256 00:11:13,171 --> 00:11:13,371 TOOLS. 257 00:11:13,371 --> 00:11:15,006 THIRD TO DEVELOP AND TEST 258 00:11:15,006 --> 00:11:16,107 INTERVENTIONS DELIVERED IN 259 00:11:16,107 --> 00:11:17,409 COMMUNITY SETTINGS OUTSIDE THE 260 00:11:17,409 --> 00:11:18,710 HEALTHCARE SECTOR TO IMPROVE 261 00:11:18,710 --> 00:11:24,950 HEALTH OF INDIVIDUALS, FAMILIES, 262 00:11:24,950 --> 00:11:25,984 COMMUNITIES, AND POPULATIONS. 263 00:11:25,984 --> 00:11:28,119 TO WHAT EXTENT IS THE DIVISION 264 00:11:28,119 --> 00:11:32,724 ACTIVATING GOALS THROUGH 265 00:11:32,724 --> 00:11:33,391 FUNDING, PARTNERSHIPS, 266 00:11:33,391 --> 00:11:34,526 SCIENTIFIC PRIORITIES. 267 00:11:34,526 --> 00:11:38,597 WE ASSESS ACTIVITIES BETWEEN 268 00:11:38,597 --> 00:11:40,932 FISCAL YEAR 2018 AND 2023, 269 00:11:40,932 --> 00:11:43,468 INCLUDING PROBLEMATIC GROWTH BUT 270 00:11:43,468 --> 00:11:46,338 ALSO MAJOR CONTEXTUAL CHALLENGES 271 00:11:46,338 --> 00:11:48,173 INCLUDING COVID PANDEMIC, 272 00:11:48,173 --> 00:11:49,074 HEIGHTENED AWARENESS OF HEALTH 273 00:11:49,074 --> 00:11:50,041 DISPARITIES, INCREASING CALL FOR 274 00:11:50,041 --> 00:11:53,912 NEEDS OF SCIENCE TO BENEFIT ALL 275 00:11:53,912 --> 00:11:54,412 POPULATIONS. 276 00:11:54,412 --> 00:11:56,715 THE REPORT WAS GUIDED BY AN 277 00:11:56,715 --> 00:11:57,983 IMPACT ASSESSMENT FRAMEWORK, 278 00:11:57,983 --> 00:11:59,250 WHICH COVERED THE FOLLOWING 279 00:11:59,250 --> 00:12:01,987 AREAS, WHICH WE'LL SPEAK OF 280 00:12:01,987 --> 00:12:02,520 TODAY. 281 00:12:02,520 --> 00:12:04,189 THOSE INCLUDE SCIENTIFIC 282 00:12:04,189 --> 00:12:06,825 PRIORITIES AND FOCUS, RESEARCH 283 00:12:06,825 --> 00:12:07,792 ALLOCATION, SCIENTIFIC IMPACT, 284 00:12:07,792 --> 00:12:10,362 BREADTH OF THE PORTFOLIO ITSELF, 285 00:12:10,362 --> 00:12:13,064 COLLABORATIONS AND PARTNERSHIPS, 286 00:12:13,064 --> 00:12:14,132 OUTREACH AND COMMUNICATIONS, 287 00:12:14,132 --> 00:12:19,871 CHALLENGES AND FUTURE 288 00:12:19,871 --> 00:12:20,672 DIRECTIONS. 289 00:12:20,672 --> 00:12:23,908 THIS WAS AN AMBITIOUS 290 00:12:23,908 --> 00:12:27,078 UNDERTAKING, 13 MONTHS, BRINGING 291 00:12:27,078 --> 00:12:28,113 PERSPECTIVES FROM MULTIPLE 292 00:12:28,113 --> 00:12:37,522 INSTITUTIONS TO ASSESS 293 00:12:37,522 --> 00:12:41,092 PERFORMANCE AND FUTURE 294 00:12:41,092 --> 00:12:41,793 DIRECTION, WE REQUESTED 295 00:12:41,793 --> 00:12:44,162 SUPPLEMENTAL DATA ON OUTREACH 296 00:12:44,162 --> 00:12:45,664 AND PERFORMANCE MATRIX AND 297 00:12:45,664 --> 00:12:51,436 CONDUCTED FIVE LISTENING 298 00:12:51,436 --> 00:12:56,107 SESSIONS WITH INVESTIGATORS AND 299 00:12:56,107 --> 00:13:05,517 PROGRAMMERS IS, SESSIONS WERE AN 300 00:13:05,517 --> 00:13:07,085 HOUR, TRANSCRIBED AND ANALYZED 301 00:13:07,085 --> 00:13:08,353 PROVIDING CONTEXT FOR THE 302 00:13:08,353 --> 00:13:09,621 WORKING GROUP REVIEW. 303 00:13:09,621 --> 00:13:11,756 IN TOTAL, THE WORKING GROUP 304 00:13:11,756 --> 00:13:13,058 CONVENED OVER 17 VIRTUAL 305 00:13:13,058 --> 00:13:15,360 MEETINGS OF THE FULL GROUP, 15 306 00:13:15,360 --> 00:13:20,131 PLANNING SESSIONS BETWEEN THE 307 00:13:20,131 --> 00:13:24,002 CO-CHAIRS, SYNTHESIZED COMPLEX 308 00:13:24,002 --> 00:13:25,670 INFORMATION, CHALLENGING 309 00:13:25,670 --> 00:13:30,709 ASSUMPTION, REFINED FRAMEWORK. 310 00:13:30,709 --> 00:13:34,412 SUBGROUPS CONTINUED TO INTEGRATE 311 00:13:34,412 --> 00:13:36,581 ASSESSMENTS IN INTEGRATED 312 00:13:36,581 --> 00:13:37,615 FASHION. 313 00:13:37,615 --> 00:13:39,751 ACROSS A 291 COMPETING RESEARCH 314 00:13:39,751 --> 00:13:41,453 PROJECTS FUNDED BETWEEN FISCAL 315 00:13:41,453 --> 00:13:44,856 YEARS 18 AND 23, THE DIVISION 316 00:13:44,856 --> 00:13:46,324 CONTRIBUTED EXTENSIVELY TO SIX 317 00:13:46,324 --> 00:13:47,692 OF THE NINE STRATEGIC PLAN 318 00:13:47,692 --> 00:13:52,931 GROWLS BY BY FOLK -- GOALS BY 319 00:13:52,931 --> 00:13:54,466 FOCUSING ON COMMUNITY 320 00:13:54,466 --> 00:13:55,433 ENGAGEMENT. 321 00:13:55,433 --> 00:13:56,901 THE DIVISION WAS FOCUSED ON 322 00:13:56,901 --> 00:13:59,738 PROGRAMS EXPECTING AND REQUIRING 323 00:13:59,738 --> 00:14:01,072 DIRECT ENGAGEMENT TO ENSURE 324 00:14:01,072 --> 00:14:02,574 RESEARCH WAS CULTURALLY ALIGNED 325 00:14:02,574 --> 00:14:04,209 AND COMMUNITY DIRECTED. 326 00:14:04,209 --> 00:14:05,376 THAT COMMUNITY PARTNERS WERE 327 00:14:05,376 --> 00:14:06,911 ENGAGED IN ALL PHASES OF 328 00:14:06,911 --> 00:14:08,980 RESEARCH TO ENSURE FINDINGS AND 329 00:14:08,980 --> 00:14:12,317 INTERVENTIONS WERE RELEVANT AND 330 00:14:12,317 --> 00:14:13,451 SUSTAINABLE ACROSS OBJECTIVES. 331 00:14:13,451 --> 00:14:15,587 WE WERE DEVELOPING INTERVENTIONS 332 00:14:15,587 --> 00:14:16,221 ADDRESSING SOCIAL DETERMINANTS 333 00:14:16,221 --> 00:14:18,056 OF HEALTH, AND THERE WAS A 334 00:14:18,056 --> 00:14:19,290 FOSTERING OF RESEARCH AND 335 00:14:19,290 --> 00:14:20,925 INTERVENTIONS THAT ADDRESS 336 00:14:20,925 --> 00:14:23,328 VARIOUS LEVELS OF INFLUENCE, 337 00:14:23,328 --> 00:14:23,995 WHETHER INDIVIDUAL, 338 00:14:23,995 --> 00:14:28,800 INTERPERSONAL, COMMUNITY, AND/OR 339 00:14:28,800 --> 00:14:29,567 STRUCTURAL. 340 00:14:29,567 --> 00:14:31,536 OVER THIS PERIOD, THE DIVISION 341 00:14:31,536 --> 00:14:33,071 BUILT A RESEARCH PORTFOLIO 342 00:14:33,071 --> 00:14:35,974 THAT'S NOT JUST SCIENTIFICALLY 343 00:14:35,974 --> 00:14:37,075 ROBUST BUT DEEPLY RESPONSIVE TO 344 00:14:37,075 --> 00:14:40,512 THE CAUSES OF HEALTH 345 00:14:40,512 --> 00:14:41,846 DISPARITIES, DIVISION 346 00:14:41,846 --> 00:14:43,014 PRIORITIZED COMMUNITY ENGAGED 347 00:14:43,014 --> 00:14:44,015 RESEARCH, EPIDEMIOLOGY, REAL 348 00:14:44,015 --> 00:14:45,483 WORLD INTERVENTIONS DESIGNED TO 349 00:14:45,483 --> 00:14:47,519 SCALE AND SUSTAIN IMPACT. 350 00:14:47,519 --> 00:14:48,586 THE MAJORITY OF FUNDED PROJECTS 351 00:14:48,586 --> 00:14:51,823 TACKLED HELD AT THE INDIVIDUAL 352 00:14:51,823 --> 00:14:54,459 AND COMMUNITY LEVELS, WITH 94% 353 00:14:54,459 --> 00:14:55,426 ADDRESSING INDIVIDUAL FACTORS 354 00:14:55,426 --> 00:14:58,163 AND 69% ON COMMUNITY INFLUENCES. 355 00:14:58,163 --> 00:15:01,299 IMPORTANTLY, A GROWING SUBSET OF 356 00:15:01,299 --> 00:15:02,734 WORK IS TURNING UPSTREAM 357 00:15:02,734 --> 00:15:03,268 TARGETING BROADER SOCIAL 358 00:15:03,268 --> 00:15:04,903 DETERMINANTS OF HEALTH INCLUDING 359 00:15:04,903 --> 00:15:06,905 POLICY AND SYSTEM LEVEL DRIVERS. 360 00:15:06,905 --> 00:15:12,977 IN TERMS OF DOMAINS, 85% OF THE 361 00:15:12,977 --> 00:15:14,546 PORTFOLIO EXPLORED BEHAVIORAL 362 00:15:14,546 --> 00:15:17,182 INFLUENCES, TWO-THIRDS ADDRESSED 363 00:15:17,182 --> 00:15:20,451 SOCIAL AND CULTURAL FACTORS. 364 00:15:20,451 --> 00:15:21,986 THE DYE DIVERSITY REFLECTED IN 365 00:15:21,986 --> 00:15:24,022 THE DIVISION'S COMMITMENT TO 366 00:15:24,022 --> 00:15:24,856 TACKLING DISPARITIES WAS NOTED 367 00:15:24,856 --> 00:15:31,696 AS HIGHLIGHT BY THE WORKING 368 00:15:31,696 --> 00:15:32,764 GROUP, ACKNOWLEDGING DIMENSIONS. 369 00:15:32,764 --> 00:15:36,301 IN SHORT THE WORKING GROUP FINDS 370 00:15:36,301 --> 00:15:38,069 THE PORTFOLIO WAS ASSIGNED TO 371 00:15:38,069 --> 00:15:42,974 STUDY DISPARITIES AND ADDRESS 372 00:15:42,974 --> 00:15:44,175 THEM HEAD ON. 373 00:15:44,175 --> 00:15:45,877 OVER FIVE YEARS UNDER REVIEW 374 00:15:45,877 --> 00:15:47,645 DIVISION REVIEWED MORE THAN 375 00:15:47,645 --> 00:15:50,048 2,000 APPLICATIONS, MADE 291 376 00:15:50,048 --> 00:15:53,218 AWARDS, WITH TOTAL INVESTMENT OF 377 00:15:53,218 --> 00:15:56,654 $386 MILLION, THAT FUNDING 378 00:15:56,654 --> 00:15:57,789 BREAKS DOWN TO INCLUDE $319 379 00:15:57,789 --> 00:15:59,858 MILLION TO R01 AND U01 380 00:15:59,858 --> 00:16:01,793 MECHANISM, $2 MILLION TO SMALLER 381 00:16:01,793 --> 00:16:04,629 RESEARCH GRANTS LIKE R03 AND 382 00:16:04,629 --> 00:16:09,200 R21, $17 MILLION TO CAREER 383 00:16:09,200 --> 00:16:10,235 DEVELOPMENT AWARDS, AND $22 384 00:16:10,235 --> 00:16:14,606 MILLION TO SBIRs AND STTRs. 385 00:16:14,606 --> 00:16:17,575 OVER THE PAST FIVE YEARS, THE 386 00:16:17,575 --> 00:16:19,577 DIVISION WAS THOUGHT TO HAVE 387 00:16:19,577 --> 00:16:21,112 FIRMLY ESTABLISHED ITSELF AS A 388 00:16:21,112 --> 00:16:23,147 NATIONAL LEADER IN ADVANCING 389 00:16:23,147 --> 00:16:24,749 MINORITY HEALTH, REDUCING HEALTH 390 00:16:24,749 --> 00:16:26,751 DISPARITIES THROUGH COMMUNITY 391 00:16:26,751 --> 00:16:27,585 ENGAGED SCIENCE. 392 00:16:27,585 --> 00:16:31,189 DIVISION WORK DOESN'T JUST 393 00:16:31,189 --> 00:16:32,757 BENEFIT COMMUNITIES, IT 394 00:16:32,757 --> 00:16:34,359 STRENGTHENS THE ENTIRE SYSTEM, 395 00:16:34,359 --> 00:16:37,896 EVERY TIME WE LEARN FROM A 396 00:16:37,896 --> 00:16:39,631 PROJECT, WE IMPROVE THE NATION'S 397 00:16:39,631 --> 00:16:41,633 ABILITY TO RESPOND TO PANDEMIC, 398 00:16:41,633 --> 00:16:43,735 CHRONIC ILLNESS, FUTURE HEALTH 399 00:16:43,735 --> 00:16:44,102 THREATS. 400 00:16:44,102 --> 00:16:46,004 THAT'S AN INVESTMENT IN ALL OF 401 00:16:46,004 --> 00:16:46,170 US. 402 00:16:46,170 --> 00:16:47,338 CRITICALLY, THE WORKING GROUP 403 00:16:47,338 --> 00:16:57,715 FOUND THE DIVISION HAS 404 00:17:00,418 --> 00:17:01,252 PRIORITIZED TRANSLATIONAL 405 00:17:01,252 --> 00:17:01,753 IMPACTS. 406 00:17:01,753 --> 00:17:08,226 LEADERSHIP DURING THE PANDEMIC, 407 00:17:08,226 --> 00:17:12,497 VIA RADx AND CEAL DEMONSTRATED 408 00:17:12,497 --> 00:17:13,932 AGILITY AND COMMUNITY TRUST. 409 00:17:13,932 --> 00:17:15,667 COMPETING RESEARCH PROJECTS AND 410 00:17:15,667 --> 00:17:17,368 SUBPROJECTS FOCUSED ON PROJECTS 411 00:17:17,368 --> 00:17:18,102 EXPERIENCING HEALTH DISPARITIES 412 00:17:18,102 --> 00:17:22,140 FOUND TO BE BROAD AND INCLUSIVE, 413 00:17:22,140 --> 00:17:23,841 THAT INCLUDES STUDIES ON 414 00:17:23,841 --> 00:17:25,009 DISPARITIES EXPERIENCED BY 415 00:17:25,009 --> 00:17:27,011 RACIAL AND ETHNIC MINORITY 416 00:17:27,011 --> 00:17:28,179 POPULATIONS, POPULATIONS WITH 417 00:17:28,179 --> 00:17:30,448 LOW SOCIOECONOMIC STATUS AND 418 00:17:30,448 --> 00:17:33,484 RURAL POPULATIONS. 419 00:17:33,484 --> 00:17:35,219 AMONG THE R01 EQUIVALENT 420 00:17:35,219 --> 00:17:37,622 APPLICATIONS, 25% FOCUSED ON LOW 421 00:17:37,622 --> 00:17:40,425 SES COMMUNITIES, 18% ON RURAL 422 00:17:40,425 --> 00:17:47,932 POPULATIONS, 89% ON RACIAL AND 423 00:17:47,932 --> 00:17:50,368 ETHNIC MINORITY POPULATIONS. 424 00:17:50,368 --> 00:17:52,036 THE WORKING GROUP ACKNOWLEDGE 425 00:17:52,036 --> 00:17:54,138 THE COMPLEXITY AND RICHNESS OF 426 00:17:54,138 --> 00:17:54,872 ONGOING WORK. 427 00:17:54,872 --> 00:17:56,307 SCIENTIFIC IMPACT ISN'T ALWAYS 428 00:17:56,307 --> 00:17:57,775 IMMEDIATE, ISN'T ALWAYS VISIBLE. 429 00:17:57,775 --> 00:18:00,345 SOMETIMES THE MOST POWERFUL 430 00:18:00,345 --> 00:18:06,050 EFFECTS ARE HAPPENING QUIETLY 431 00:18:06,050 --> 00:18:10,655 LIKE HELPING LEADERS BUILD 432 00:18:10,655 --> 00:18:11,522 HEALTHIER ENVIRONMENTS AND 433 00:18:11,522 --> 00:18:12,457 CHANGE LIVES. 434 00:18:12,457 --> 00:18:15,460 SCIENTISTS AND PROGRAM OFFICERS 435 00:18:15,460 --> 00:18:17,595 ACKNOWLEDGED THAT SCIENTIFIC 436 00:18:17,595 --> 00:18:19,497 IMPACT IS DIFFICULT TO MEASURE, 437 00:18:19,497 --> 00:18:21,866 ESPECIALLY WHEN THE WORK IS 438 00:18:21,866 --> 00:18:23,768 UNFOLDING ACROSS MULTIPLE 439 00:18:23,768 --> 00:18:24,802 STUDIES, OUTCOMES, TIMEFRAMES. 440 00:18:24,802 --> 00:18:26,838 AS NOTED IN THIS QUOTE, THE 441 00:18:26,838 --> 00:18:28,806 CUMULATIVE IMPACT OF THE BODY OF 442 00:18:28,806 --> 00:18:31,042 RESEARCH RATHER THAN A SINGLE 443 00:18:31,042 --> 00:18:32,977 PUBLICATION OR PROJECT IS WHAT 444 00:18:32,977 --> 00:18:34,545 SHIFTS PARADIGMS AND FORMS 445 00:18:34,545 --> 00:18:35,813 POLICY AND TRANSFORMS LIVES. 446 00:18:35,813 --> 00:18:38,316 WE HEARD THROUGH THE LISTENING 447 00:18:38,316 --> 00:18:39,684 SESSIONS OUR CURRENT SYSTEMS 448 00:18:39,684 --> 00:18:40,952 DON'T ALWAYS CAPTURE THE 449 00:18:40,952 --> 00:18:42,854 COMPLEXITY WHEN PEOPLE REPORT 450 00:18:42,854 --> 00:18:46,457 BACK ON THEIR PROJECTS. 451 00:18:46,457 --> 00:18:47,158 STANDARD REPORTING MECHANISMS 452 00:18:47,158 --> 00:18:49,627 OFTEN FALL SHORT IN BEING ABLE 453 00:18:49,627 --> 00:18:50,395 TO PROVIDE SUFFICIENT 454 00:18:50,395 --> 00:18:52,663 INFORMATION AROUND THE RICH 455 00:18:52,663 --> 00:18:57,735 COMMUNITY ENGAGED WORK HAPPENING 456 00:18:57,735 --> 00:19:03,408 AND OFTEN WE'VE ASKED TO 457 00:19:03,408 --> 00:19:04,675 DEMONSTRATE OUTCOMES. 458 00:19:04,675 --> 00:19:06,210 THE WORKING GROUP RECOMMENDS 459 00:19:06,210 --> 00:19:07,979 ADDITIONAL EFFORTS BE UNDERTAKEN 460 00:19:07,979 --> 00:19:09,947 TO BROADER DEFINITION OF IMPACT 461 00:19:09,947 --> 00:19:11,416 ACROSS SCIENCE. 462 00:19:11,416 --> 00:19:14,786 THAT INCLUDES DEVELOPMENT OF NEW 463 00:19:14,786 --> 00:19:15,987 EVIDENCE-BASED INTERVENTIONS 464 00:19:15,987 --> 00:19:17,889 CULTURALLY GROUNDED, INCLUDES 465 00:19:17,889 --> 00:19:18,790 HOW COMMUNITIES PERCEIVE 466 00:19:18,790 --> 00:19:21,159 RELEVANCE AND IMPORTANCE OF THE 467 00:19:21,159 --> 00:19:25,630 WORK SO COMMUNITY PERCEPTION 468 00:19:25,630 --> 00:19:29,200 ISN'T A PERIPHERAL BUT CORE TO 469 00:19:29,200 --> 00:19:29,767 IMPACT. 470 00:19:29,767 --> 00:19:32,737 WE DID HEAR CONTINUED CALL TO 471 00:19:32,737 --> 00:19:34,038 ELEVATE COMMUNITY BASED 472 00:19:34,038 --> 00:19:36,441 PARTICIPATORY RESEARCH, AND TO 473 00:19:36,441 --> 00:19:37,642 RECOGNIZE THAT CBPR APPROACHES 474 00:19:37,642 --> 00:19:39,444 ARE RIGOROUS AS A SCIENCE. 475 00:19:39,444 --> 00:19:41,412 SO IF WE ARE SERIOUS ABOUT 476 00:19:41,412 --> 00:19:43,114 HEALTH DISPARITIES RESEARCH OUR 477 00:19:43,114 --> 00:19:49,620 MEASURES OF IMPACT MUST REFLECT 478 00:19:49,620 --> 00:19:53,024 THESE APPROACHES AND VALUES. 479 00:19:53,024 --> 00:19:55,059 FROM A PORTFOLIO PERSPECTIVE 40% 480 00:19:55,059 --> 00:19:57,361 OF AWARDS FOCUSED ON COMMUNITY 481 00:19:57,361 --> 00:20:01,399 BASED PREVENTION OR HEALTH 482 00:20:01,399 --> 00:20:02,400 PROMOTION, 32% EPIDEMIOLOGIC, 483 00:20:02,400 --> 00:20:03,701 16% EXAMINED POPULATION PATHWAYS 484 00:20:03,701 --> 00:20:05,303 AND DETERMINANTS. 485 00:20:05,303 --> 00:20:07,171 72% OF ALL AWARDS SOUGHT TO 486 00:20:07,171 --> 00:20:08,573 ADVANCE SCIENTIFIC UNDERSTANDING 487 00:20:08,573 --> 00:20:12,543 OF DISPARITIES AND 46% TESTED 488 00:20:12,543 --> 00:20:12,877 INTERVENTIONS. 489 00:20:12,877 --> 00:20:15,279 THIS SIGNALS ALIGNMENT BUT WE 490 00:20:15,279 --> 00:20:16,781 CONTINUE TO SEE UNDERINVESTMENT 491 00:20:16,781 --> 00:20:20,585 IN ENVIRONMENTAL POLICY AND 492 00:20:20,585 --> 00:20:22,186 SYSTEMS RESEARCH. 493 00:20:22,186 --> 00:20:27,492 THE DIVISION DESERVES HUGE 494 00:20:27,492 --> 00:20:28,793 CREDIT FOR EXTENSIVE 495 00:20:28,793 --> 00:20:29,460 COLLABORATIVE INFRASTRUCTURE, 30 496 00:20:29,460 --> 00:20:30,228 NOTICE OF OPPORTUNITIES 497 00:20:30,228 --> 00:20:33,064 CO-DEVELOPED WITH INSTITUTES AND 498 00:20:33,064 --> 00:20:33,931 FEDERAL AGENCIES. 499 00:20:33,931 --> 00:20:37,135 STAFF PARTICIPATED IN MULTIPLE 500 00:20:37,135 --> 00:20:39,737 NIH-WIDE WORK GROUPS AND CO-LED 501 00:20:39,737 --> 00:20:41,005 MAJOR INITIATIVES OVER THE 502 00:20:41,005 --> 00:20:41,439 PERIOD. 503 00:20:41,439 --> 00:20:43,875 ONE OF THE MOST INNOVATIVE 504 00:20:43,875 --> 00:20:45,710 APPROACHES AS OBSERVED BY THE 505 00:20:45,710 --> 00:20:47,445 WORKING GROUP WAS RECOGNIZING 506 00:20:47,445 --> 00:20:48,846 SCIENCE DOESN'T LIVE ONLY IN 507 00:20:48,846 --> 00:20:49,380 LABS. 508 00:20:49,380 --> 00:20:52,150 IT LIVES IN COMMUNITIES. 509 00:20:52,150 --> 00:20:55,453 BY PARTNERING WITH PEOPLE MOST 510 00:20:55,453 --> 00:20:57,421 AFFECTED BY HEALTH DISPARITIES, 511 00:20:57,421 --> 00:21:00,291 WE FOUND EVIDENCE OF CREATING 512 00:21:00,291 --> 00:21:02,360 SOLUTIONS THAT ARE EFFECTIVE, 513 00:21:02,360 --> 00:21:03,027 TRUSTED, ADOPTED, SUSTAINABLE. 514 00:21:03,027 --> 00:21:06,197 IF YOU OR SOMEONE YOU LOVE FACED 515 00:21:06,197 --> 00:21:09,467 BARRIERS TO CARRY BECAUSE OF 516 00:21:09,467 --> 00:21:11,669 POVERTY, GEOGRAPHY, IDENTITY, 517 00:21:11,669 --> 00:21:13,070 THIS DIVISION IS FUNDING 518 00:21:13,070 --> 00:21:17,108 SCIENTIFIC CHALLENGES AND 519 00:21:17,108 --> 00:21:19,410 CHANGES THOSE CONDITIONS. 520 00:21:19,410 --> 00:21:24,982 DIVISION-LED WORKSHOPS WERE WIDE 521 00:21:24,982 --> 00:21:28,152 RANGING, OVER 20 FORUMS ACROSS 522 00:21:28,152 --> 00:21:29,320 TOPICS WERE OBSERVED. 523 00:21:29,320 --> 00:21:32,657 WE ALSO WANT TO COMMEND THE 524 00:21:32,657 --> 00:21:34,025 DIVISION GROWTH AND DIGITAL 525 00:21:34,025 --> 00:21:35,993 OUTREACH WITH WEB TRAFFIC AND 526 00:21:35,993 --> 00:21:39,096 SOCIAL MEDIA ENGAGED INCREASING 527 00:21:39,096 --> 00:21:40,331 SINCE 2022. 528 00:21:40,331 --> 00:21:42,033 INTERESTINGLY, WHEN WE THINK 529 00:21:42,033 --> 00:21:43,668 ABOUT DISSEMINATION OF 530 00:21:43,668 --> 00:21:44,769 SCIENTIFIC WORK WE FOUND THAT 531 00:21:44,769 --> 00:21:47,338 PROJECTS SUPPORTED BY THE 532 00:21:47,338 --> 00:21:48,673 DIVISION PRODUCED 1400 533 00:21:48,673 --> 00:21:49,607 PEER-REVIEWED PUBLICATIONS, AND 534 00:21:49,607 --> 00:21:51,542 TO NOTE THAT'S NOT JUST 535 00:21:51,542 --> 00:21:53,678 PRODUCTIVITY, IT'S INFLUENCE. 536 00:21:53,678 --> 00:21:55,846 FOR EXAMPLE, STUDIES FUNDED 537 00:21:55,846 --> 00:21:57,448 THROUGH R01 EQUIVALENT GRANTS 538 00:21:57,448 --> 00:21:59,584 AVERAGED 18 CITATIONS EACH, WELL 539 00:21:59,584 --> 00:22:01,052 ABOVE THE NORM. 540 00:22:01,052 --> 00:22:03,387 AND STRONG SIGNAL THESE FINDINGS 541 00:22:03,387 --> 00:22:06,390 ARE BEING USED BY OTHER 542 00:22:06,390 --> 00:22:07,291 RESEARCHERS. 543 00:22:07,291 --> 00:22:10,328 NOTABLY CAREER DEVELOPE AND 544 00:22:10,328 --> 00:22:12,630 SMALL BUSINESS GRANTEES 545 00:22:12,630 --> 00:22:14,732 CONTRIBUTED HELPING GROWING 546 00:22:14,732 --> 00:22:15,900 LEADERS AND INNOVATORS BUT THE 547 00:22:15,900 --> 00:22:17,335 WORKING GROUP ACKNOWLEDGED THAT 548 00:22:17,335 --> 00:22:18,803 WHAT MATTERS MOST ISN'T JUST 549 00:22:18,803 --> 00:22:20,938 NUMBERS; IT'S THE SCIENCE THAT 550 00:22:20,938 --> 00:22:21,739 IT REPRESENTS. 551 00:22:21,739 --> 00:22:23,774 THESE ARE NOT THEORETICAL 552 00:22:23,774 --> 00:22:24,842 EXERCISES. 553 00:22:24,842 --> 00:22:26,077 THESE ARE EVIDENCE-BASED WORK 554 00:22:26,077 --> 00:22:30,014 SCIENTISTS MAKE HEALTH CARE MORE 555 00:22:30,014 --> 00:22:30,982 ACCESSIBLE, INTERVENTIONS MORE 556 00:22:30,982 --> 00:22:31,816 GROUNDED AND OUTCOMES MORE 557 00:22:31,816 --> 00:22:32,216 EQUIVALENT. 558 00:22:32,216 --> 00:22:35,286 THIS IS THE KIND OF SCIENCE THAT 559 00:22:35,286 --> 00:22:36,153 MOVES THE NEEDLE. 560 00:22:36,153 --> 00:22:38,422 AND WE'RE PLEASED TO SEE IT. 561 00:22:38,422 --> 00:22:43,427 I'M GROPING -- GOING TO PASS TO 562 00:22:43,427 --> 00:22:47,098 DR. ALEGRIA TO ADDRESS 563 00:22:47,098 --> 00:22:49,000 CHALLENGES AND RECOMMENDATIONS. 564 00:22:49,000 --> 00:22:49,767 MAGGIE? 565 00:22:49,767 --> 00:22:50,434 >> THANK YOU. 566 00:22:50,434 --> 00:22:52,937 THIS IS THE WORK OF, AGAIN, A 567 00:22:52,937 --> 00:22:55,840 WHOLE TEAM THAT WORKED ON THIS 568 00:22:55,840 --> 00:22:57,775 FOR 13 MONTHS, SO I'M VERY 569 00:22:57,775 --> 00:23:00,911 HONORED TO BE PRESENTING IT. 570 00:23:00,911 --> 00:23:02,246 WE FOUND SOME CHALLENGES AND 571 00:23:02,246 --> 00:23:04,849 ALSO WANTED TO TALK A LITTLE BIT 572 00:23:04,849 --> 00:23:06,350 ABOUT FUTURE DIRECTIONS IN THE 573 00:23:06,350 --> 00:23:09,287 SPIRIT OF HOW TO EVEN DO MORE 574 00:23:09,287 --> 00:23:12,490 WITH A DIVISION THAT HAS BEEN, 575 00:23:12,490 --> 00:23:14,892 AS YOU SAW, STELLAR WORK IN THE 576 00:23:14,892 --> 00:23:15,192 PAST. 577 00:23:15,192 --> 00:23:17,361 I THINK STILL THE DIVISION WE 578 00:23:17,361 --> 00:23:19,163 FOUND FACES MANY CHALLENGES AND 579 00:23:19,163 --> 00:23:19,664 BARRIERS. 580 00:23:19,664 --> 00:23:21,666 ONE OF THE THINGS THAT WE 581 00:23:21,666 --> 00:23:25,002 MENTIONED HERE IS THE LOCAL AND 582 00:23:25,002 --> 00:23:26,737 INSTITUTIONAL BARRIERS TO DATA 583 00:23:26,737 --> 00:23:29,040 SHARING THAT CAN REALLY IMPACT 584 00:23:29,040 --> 00:23:31,275 HOW EFFICACIOUS IS THE 585 00:23:31,275 --> 00:23:33,244 CROSS-SECTOR COLLABORATION AND 586 00:23:33,244 --> 00:23:36,047 THE ABILITY TO ENSURE 587 00:23:36,047 --> 00:23:37,081 CONFIDENTIALITY OF PARTICIPANT 588 00:23:37,081 --> 00:23:37,381 DATA. 589 00:23:37,381 --> 00:23:42,353 SO TRYING TO SEE WAYS OF SHARING 590 00:23:42,353 --> 00:23:45,523 DATA STILL REPRESENTS AN 591 00:23:45,523 --> 00:23:46,691 OBSTACLE. 592 00:23:46,691 --> 00:23:47,892 WE FOUND DISPARITIES IN 593 00:23:47,892 --> 00:23:49,927 PARTICIPATION OF INSTITUTIONS 594 00:23:49,927 --> 00:23:52,163 WITH FEWER RESEARCH RESOURCES, 595 00:23:52,163 --> 00:23:54,332 ESPECIALLY LESS RESOURCED 596 00:23:54,332 --> 00:23:56,467 INSTITUTIONS, SO WE FOUND THAT 597 00:23:56,467 --> 00:23:58,069 THERE IS MORE NEED TO TRY TO 598 00:23:58,069 --> 00:24:00,604 BRING UP, YOU KNOW, INSTITUTIONS 599 00:24:00,604 --> 00:24:03,341 THAT HAVE NOT HAD AN OPPORTUNITY 600 00:24:03,341 --> 00:24:05,476 TO BE FUNDED, MAYBE THROUGH 601 00:24:05,476 --> 00:24:06,544 OTHER MECHANISMS. 602 00:24:06,544 --> 00:24:09,280 THERE'S A NEED FOR ALSO GREATER 603 00:24:09,280 --> 00:24:12,650 UNDERSTANDING AND ACCEPTANCE OF 604 00:24:12,650 --> 00:24:13,317 COMMUNITY-ENGAGED RESEARCH, 605 00:24:13,317 --> 00:24:17,755 PARTICULARLY AT THE LEVEL OF 606 00:24:17,755 --> 00:24:18,956 INSTITUTIONS, PROMOTIONS FOR 607 00:24:18,956 --> 00:24:21,425 FACULTY, BECAUSE IT'S ONE OF THE 608 00:24:21,425 --> 00:24:23,027 FUNDAMENTAL METHODOLOGIES THAT'S 609 00:24:23,027 --> 00:24:24,662 NEEDED WITHIN OUR COMMUNITIES. 610 00:24:24,662 --> 00:24:29,967 ALSO MAKING SURE THAT WE HAVE 611 00:24:29,967 --> 00:24:32,169 REPRESENTATION OF MOST RELEVANT 612 00:24:32,169 --> 00:24:32,937 SCIENTIFIC DISCIPLINES. 613 00:24:32,937 --> 00:24:34,605 FOR EXAMPLE, MORE REPRESENTATION 614 00:24:34,605 --> 00:24:37,908 OF PUBLIC HEALTH, MORE 615 00:24:37,908 --> 00:24:40,444 REPRESENTATION OF ENVIRONMENTAL 616 00:24:40,444 --> 00:24:42,513 SCIENCES, ECONOMICS, SOCIOLOGY, 617 00:24:42,513 --> 00:24:44,048 AND DEMOGRAPHY TO ALSO RAMP UP 618 00:24:44,048 --> 00:24:48,185 THE TYPES OF RESEARCH THAT COULD 619 00:24:48,185 --> 00:24:48,652 BENEFIT. 620 00:24:48,652 --> 00:24:52,022 NEXT. 621 00:24:52,022 --> 00:24:53,524 AREAS OF FUTURE FOCUS FOR THE 622 00:24:53,524 --> 00:24:54,792 DIVISION, WE'RE GOING TO MENTION 623 00:24:54,792 --> 00:24:57,595 SOME OF THE ONES THAT WERE 624 00:24:57,595 --> 00:24:59,830 GENERATED BASED ON THE LISTENING 625 00:24:59,830 --> 00:25:02,633 SESSIONS AND ALSO ON THE REVIEW 626 00:25:02,633 --> 00:25:03,667 OF THE DOCUMENTS. 627 00:25:03,667 --> 00:25:05,269 IT WOULD BE BENEFICIAL TO 628 00:25:05,269 --> 00:25:07,271 BROADEN THE RANGE OF 629 00:25:07,271 --> 00:25:10,007 INSTITUTIONS LIKE WE SAID 630 00:25:10,007 --> 00:25:10,508 BEFORE. 631 00:25:10,508 --> 00:25:14,745 PARTICULARLY GRANTS FOCUSING -- 632 00:25:14,745 --> 00:25:18,215 OOPS. 633 00:25:18,215 --> 00:25:20,251 SORRY, I LOST THE SIGNAL. 634 00:25:20,251 --> 00:25:23,487 ON COMMUNITY HEALTH AND 635 00:25:23,487 --> 00:25:25,322 POPULATION SCIENCE IN THESE 636 00:25:25,322 --> 00:25:26,424 INSTITUTIONS. 637 00:25:26,424 --> 00:25:28,092 SO MORE SUPPORT FOR LOW RESOURCE 638 00:25:28,092 --> 00:25:29,727 INSTITUTIONED TO BE ABLE TO DO 639 00:25:29,727 --> 00:25:30,661 THIS WORK. 640 00:25:30,661 --> 00:25:33,364 WE THINK ABOUT THE DEVELOPMENT 641 00:25:33,364 --> 00:25:35,733 OF HUMAN CAPITAL ENSURING THE 642 00:25:35,733 --> 00:25:37,668 FIELD REFLECTS AND RESPONDS TO 643 00:25:37,668 --> 00:25:39,603 THE POPULATION IT AIMS TO SERVE, 644 00:25:39,603 --> 00:25:43,340 THAT WE WOULD WANT TO MAKE SURE 645 00:25:43,340 --> 00:25:44,608 THAT WE'RE REPRESENTATIVE OF ALL 646 00:25:44,608 --> 00:25:47,812 OF THOSE THAT WE WANT TO SERVE 647 00:25:47,812 --> 00:25:48,913 AT THE COMMUNITY AND 648 00:25:48,913 --> 00:25:49,647 INSTITUTIONAL LEVEL. 649 00:25:49,647 --> 00:25:52,583 MAKING SURE THAT WE HAVE A 650 00:25:52,583 --> 00:25:56,187 DEEPER UNDERSTANDING AND BROADER 651 00:25:56,187 --> 00:25:57,688 ACCEPTANCE OF COMMUNITY-ENGAGED 652 00:25:57,688 --> 00:26:00,157 RESEARCH IS SOMETHING WE HEARD 653 00:26:00,157 --> 00:26:02,493 OVER AND OVER AGAIN ABOUT THE 654 00:26:02,493 --> 00:26:06,430 IMPORTANCE OF MAKING SURE THAT 655 00:26:06,430 --> 00:26:10,201 PEOPLE UNDERSTAND THAT THIS A 656 00:26:10,201 --> 00:26:12,436 METHODOLOGY THAT IS VITAL TO 657 00:26:12,436 --> 00:26:15,606 REALLY BE ABLE TO PROVIDE 658 00:26:15,606 --> 00:26:18,108 RESOURCES AND PROVIDE, YOU KNOW, 659 00:26:18,108 --> 00:26:20,110 MORE INFORMATION TO LOCAL 660 00:26:20,110 --> 00:26:21,579 COMMUNITIES AND INSTITUTIONAL 661 00:26:21,579 --> 00:26:21,846 SETTINGS. 662 00:26:21,846 --> 00:26:23,814 AND THEN UNDERSTANDING THE 663 00:26:23,814 --> 00:26:28,953 BENEFITS AND RISKS ASSOCIATED 664 00:26:28,953 --> 00:26:31,322 WITH MACHINE LEARNING AND 665 00:26:31,322 --> 00:26:32,656 ARTIFICIAL INTELLIGENCE WHILE 666 00:26:32,656 --> 00:26:34,992 IMPROVING POPULATION HEALTH AND 667 00:26:34,992 --> 00:26:36,293 REDUCING DISPARITIES. 668 00:26:36,293 --> 00:26:42,399 WE NEED TO UNDERSTAND BETTER HOW 669 00:26:42,399 --> 00:26:45,436 THEY CAN BE A BENEFIT OR RISK TO 670 00:26:45,436 --> 00:26:46,604 OUR COMMUNITIES. 671 00:26:46,604 --> 00:26:47,905 NEXT. 672 00:26:47,905 --> 00:26:51,642 IN TERMS OF RESEARCH 673 00:26:51,642 --> 00:26:52,476 REPRESENTATION, THERE WAS 674 00:26:52,476 --> 00:26:55,279 DISCUSSION AND IMPORTANCE HOW WE 675 00:26:55,279 --> 00:27:03,020 SHOULD BE DISAGGREGATING THE 676 00:27:03,020 --> 00:27:04,221 DATA WITHIN HETEROGENEOUS 677 00:27:04,221 --> 00:27:06,056 GROUPS, FOR EXAMPLE ASIAN 678 00:27:06,056 --> 00:27:12,263 AMERICAN SUBGROUPS OR INDIGENOS 679 00:27:12,263 --> 00:27:13,831 COMMUNITIES, PEOPLE FELT THIS 680 00:27:13,831 --> 00:27:15,432 WAS A MISSED OPPORTUNITY TO 681 00:27:15,432 --> 00:27:16,333 BETTER UNDERSTAND WHAT'S 682 00:27:16,333 --> 00:27:19,537 HAPPENING IN TERMS OF MECHANISMS 683 00:27:19,537 --> 00:27:21,505 OF DISPARITIES. 684 00:27:21,505 --> 00:27:23,173 OUTREACH AND ENGAGEMENT OF LESS 685 00:27:23,173 --> 00:27:24,375 RESOURCED INSTITUTIONS WAS AGAIN 686 00:27:24,375 --> 00:27:28,879 A TOPIC, AS YOU SEE. 687 00:27:28,879 --> 00:27:30,614 TRYING TO ADDRESS UNDERSTUDIED 688 00:27:30,614 --> 00:27:32,316 AREAS IN RESEARCH, ONE AREA WE 689 00:27:32,316 --> 00:27:39,490 FOUND LITTLE IN THE PORTFOLIO 690 00:27:39,490 --> 00:27:40,291 WAS DISABILITY-FOCUSED RESEARCH, 691 00:27:40,291 --> 00:27:42,159 STUDYING HEALTH OF PEOPLE WITH 692 00:27:42,159 --> 00:27:42,593 MULTIPLE IDENTITIES. 693 00:27:42,593 --> 00:27:45,296 IN TERMS OF CONTINUING TO INVEST 694 00:27:45,296 --> 00:27:48,399 IN MECHANISMS AND STRATEGIES 695 00:27:48,399 --> 00:27:49,733 THAT ACCELERATE SCIENTIFIC 696 00:27:49,733 --> 00:27:51,435 IMPACT, WE WANTED TO SEE IF 697 00:27:51,435 --> 00:27:56,807 THERE COULD BE MORE ON CREATING 698 00:27:56,807 --> 00:27:58,108 PATHWAYS FOR TRANSING 699 00:27:58,108 --> 00:27:59,977 INVESTIGATORS FROM SMALL 700 00:27:59,977 --> 00:28:02,046 FEASIBILITY GRANTS LIKE R21s 701 00:28:02,046 --> 00:28:03,247 TO LARGER COMPETITIVE GRANTS 702 00:28:03,247 --> 00:28:05,482 LIKE R01s BECAUSE WE SAW SOME 703 00:28:05,482 --> 00:28:07,351 GROUPS THAT ONLY WENT TO THE 704 00:28:07,351 --> 00:28:09,653 R21s BUT THEN WE NEEDED TO 705 00:28:09,653 --> 00:28:13,090 PROVIDE MORE SUPPORT FOR THE 706 00:28:13,090 --> 00:28:13,624 R01s. 707 00:28:13,624 --> 00:28:14,959 DEVELOPING FUNDING MECHANISMS 708 00:28:14,959 --> 00:28:17,861 FOR LONG-TERM MAINTENANCE AND 709 00:28:17,861 --> 00:28:18,562 ADOPTION OF SUCCESSFUL 710 00:28:18,562 --> 00:28:20,164 INTERVENTIONS, ONE OF THE AREAS 711 00:28:20,164 --> 00:28:23,601 WE WANT TO LOOK FOR MORE IS THE 712 00:28:23,601 --> 00:28:25,736 IDEA TO MAKE SURE THAT PEOPLE 713 00:28:25,736 --> 00:28:28,405 ARE NOT ONLY TESTING 714 00:28:28,405 --> 00:28:30,040 INTERVENTIONS BUT ACTUALLY 715 00:28:30,040 --> 00:28:31,742 ADOPTING THEM AND SUSTAINING 716 00:28:31,742 --> 00:28:34,044 THEM AFTER THE RESEARCH HAS BEEN 717 00:28:34,044 --> 00:28:34,545 GONE. 718 00:28:34,545 --> 00:28:36,413 SO MORE APPROACHES AS 719 00:28:36,413 --> 00:28:38,382 IMPLEMENTATION SCIENCE AND 720 00:28:38,382 --> 00:28:39,984 SYSTEM SCIENCE IS NECESSARY. 721 00:28:39,984 --> 00:28:43,754 ALSO TO ENCOURAGE NEW FUNDING 722 00:28:43,754 --> 00:28:46,090 MECHANISMS TO PROMOTE THE 723 00:28:46,090 --> 00:28:47,324 ADAPTATIONS OF EVIDENCE-BASED 724 00:28:47,324 --> 00:28:51,128 INTERVENTIONS TO MEET THE UNIQUE 725 00:28:51,128 --> 00:28:51,996 NEEDS OF POPULATIONS WITH HEALTH 726 00:28:51,996 --> 00:28:52,496 DISPARITIES. 727 00:28:52,496 --> 00:28:56,133 THERE NEEDS TO BE ADAPTATIONS OF 728 00:28:56,133 --> 00:28:57,134 EVIDENCE-BASED INTERVENTIONS TO 729 00:28:57,134 --> 00:28:59,670 MAKE SURE THEY WORK IN DIFFERENT 730 00:28:59,670 --> 00:29:02,740 TYPES OF COMMUNITIES, DIFFERENT 731 00:29:02,740 --> 00:29:05,442 ENVIRONMENTS, WITH DIFFERENT 732 00:29:05,442 --> 00:29:06,076 POPULATIONS. 733 00:29:06,076 --> 00:29:06,310 NEXT. 734 00:29:06,310 --> 00:29:09,747 WE WANT TO ALSO STRENGTHEN 735 00:29:09,747 --> 00:29:10,914 SCIENTIFIC COMMUNITY 736 00:29:10,914 --> 00:29:18,055 PARTNERSHIPS, WE THINK THESE ARE 737 00:29:18,055 --> 00:29:19,289 A STRONG WAY TO BRING EVIDENCE 738 00:29:19,289 --> 00:29:20,290 TO COMMUNITIES. 739 00:29:20,290 --> 00:29:22,893 ONE WAY TO SIMPLIFY THE SUBAWARD 740 00:29:22,893 --> 00:29:26,263 PROCESS IS FOR COMMUNITY-BASED 741 00:29:26,263 --> 00:29:27,965 ORGANIZATIONS TO REDUCE 742 00:29:27,965 --> 00:29:29,066 ADMINISTRATIVE CHALLENGES, 743 00:29:29,066 --> 00:29:32,603 PEOPLE COMPLAIN HOW DIFFICULT IT 744 00:29:32,603 --> 00:29:33,704 WAS TO BILL, DO THE 745 00:29:33,704 --> 00:29:37,107 ACCOUNTABILITY, SO WE NEED TO 746 00:29:37,107 --> 00:29:38,175 PROVIDE FOR SUPPORT FOR 747 00:29:38,175 --> 00:29:38,776 COMMUNITY PARTNERS. 748 00:29:38,776 --> 00:29:41,445 WE NEED TO INCORPORATE 749 00:29:41,445 --> 00:29:42,646 SUSTAINABILITY IN THE FUNDING 750 00:29:42,646 --> 00:29:45,516 MODELS BECAUSE ONE OF THE 751 00:29:45,516 --> 00:29:47,317 CONCERNS COMMUNITIES HAVE ARE 752 00:29:47,317 --> 00:29:50,187 THE ISSUE OF JUST DOING THE 753 00:29:50,187 --> 00:29:51,422 INTERVENTION, LEAVING, AND NOT 754 00:29:51,422 --> 00:29:54,758 BEING ABLE TO SUSTAIN THE 755 00:29:54,758 --> 00:29:56,060 INTERVENTION, ONCE THE RESEARCH 756 00:29:56,060 --> 00:29:56,760 IS GONE. 757 00:29:56,760 --> 00:29:59,797 WE ALSO WANT TO ENSURE BUDGET 758 00:29:59,797 --> 00:30:00,798 TRANSPARENCY AND FLEXIBILITY, 759 00:30:00,798 --> 00:30:05,369 AND MAKING SURE THAT WE GIVE 760 00:30:05,369 --> 00:30:06,670 OPPORTUNITIES FOR COMMUNITY 761 00:30:06,670 --> 00:30:08,472 PARTNERS IN FUNDED PROJECTS, SO 762 00:30:08,472 --> 00:30:09,773 THEY HAVE THEIR VOICE BE 763 00:30:09,773 --> 00:30:12,943 ELEVATED IN TERMS OF THE 764 00:30:12,943 --> 00:30:14,945 RESEARCH THAT'S DONE. 765 00:30:14,945 --> 00:30:17,848 INCREASING ALLOWABLE FUNDS FOR 766 00:30:17,848 --> 00:30:19,283 PRE-DISSEMINATION ACTIVITIES 767 00:30:19,283 --> 00:30:21,919 LIKE RELATIONSHIP BUILDING AND 768 00:30:21,919 --> 00:30:22,886 COMMUNITY MOBILIZATION, GIVING 769 00:30:22,886 --> 00:30:24,521 THAT IT'S IMPORTANT FOR OUR 770 00:30:24,521 --> 00:30:27,825 COMMUNITIES TO REALLY HAVE THE 771 00:30:27,825 --> 00:30:30,127 RESOURCES TO BUILD THE 772 00:30:30,127 --> 00:30:31,862 INFRASTRUCTURE AND TO MOBILIZE 773 00:30:31,862 --> 00:30:34,531 AND BE PART OF THE NOT ONLY 774 00:30:34,531 --> 00:30:38,168 DECISION MAKING BUT ALSO THE 775 00:30:38,168 --> 00:30:38,736 SOLUTION. 776 00:30:38,736 --> 00:30:41,238 ENABLE COMMUNITY PARTNERS TO 777 00:30:41,238 --> 00:30:43,507 LEAD SCALING AND DISSEMINATION 778 00:30:43,507 --> 00:30:46,276 EFFORTS OF SUCCESSFUL 779 00:30:46,276 --> 00:30:46,610 INTERVENTIONS. 780 00:30:46,610 --> 00:30:48,011 THE SUPPORT FOR EARLY-STAGE 781 00:30:48,011 --> 00:30:49,279 INVESTIGATORS, THERE WAS A LOT 782 00:30:49,279 --> 00:30:51,248 OF DISCUSSION ABOUT MAKING SURE 783 00:30:51,248 --> 00:30:52,883 THAT WE PROVIDE MENTORING 784 00:30:52,883 --> 00:30:54,818 PROGRAMS AND ENHANCED SUPPORT 785 00:30:54,818 --> 00:30:58,889 MECHANISMS TO MAKE SURE THAT OUR 786 00:30:58,889 --> 00:31:00,758 EARLY-STAGE INVESTIGATORS ARE 787 00:31:00,758 --> 00:31:02,359 SUPPORTED THROUGHOUT THE CASCADE 788 00:31:02,359 --> 00:31:05,829 OF THEIR TRAJECTORY OF BECOMING 789 00:31:05,829 --> 00:31:06,964 INDEPENDENT INVESTIGATORS. 790 00:31:06,964 --> 00:31:09,066 THIS MEANS BUILDING PATHWAYS FOR 791 00:31:09,066 --> 00:31:11,235 EARLY CAREER RESEARCHERS TO 792 00:31:11,235 --> 00:31:12,603 MENTORSHIP PROGRAMS AND MAKING 793 00:31:12,603 --> 00:31:16,039 SURE THAT WE DEVELOP INTENSIVE 794 00:31:16,039 --> 00:31:20,811 OUTCOME-BASED TRAINING PROGRAMS 795 00:31:20,811 --> 00:31:23,447 FOR THIS RESEARCH AT 796 00:31:23,447 --> 00:31:24,381 LESS-RESOURCED INSTITUTIONS. 797 00:31:24,381 --> 00:31:24,615 NEXT. 798 00:31:24,615 --> 00:31:28,919 I THINK THIS IS MY LAST 799 00:31:28,919 --> 00:31:29,520 RECOMMENDATION. 800 00:31:29,520 --> 00:31:32,122 A KEY RECOMMENDATION FOCUSES ON 801 00:31:32,122 --> 00:31:33,223 ENHANCING RESEARCH FOCUS, 802 00:31:33,223 --> 00:31:34,191 FOSTERING COMMUNITY PARTNERSHIPS 803 00:31:34,191 --> 00:31:36,527 AS WE DISCUSSED IN OUR PREVIOUS 804 00:31:36,527 --> 00:31:39,163 SLIDE, ENSURING THE SCALABILITY 805 00:31:39,163 --> 00:31:40,764 AND SUSTAINABILITY OF IMPACTFUL 806 00:31:40,764 --> 00:31:41,198 INTERVENTIONS. 807 00:31:41,198 --> 00:31:45,035 SO, ONE OF THE THINGS THAT WE 808 00:31:45,035 --> 00:31:47,704 FELT IS AN UNDERSTUDIED AREA 809 00:31:47,704 --> 00:31:50,607 BASED ON THE EXAMINATION OF THE 810 00:31:50,607 --> 00:31:53,076 PORTFOLIO IS DATA SCIENCE AND 811 00:31:53,076 --> 00:31:54,611 HEALTH DISPARITIES, BUT MORE 812 00:31:54,611 --> 00:31:58,348 LOOKING AT THE DATA SCIENCES, 813 00:31:58,348 --> 00:31:59,349 PRIORITIZING RESEARCH THAT IS 814 00:31:59,349 --> 00:32:01,285 BASED ON COMMUNITY STRENGTH AND 815 00:32:01,285 --> 00:32:03,620 ASSETS, NOT SO MUCH ON DEFICIT 816 00:32:03,620 --> 00:32:03,854 MODELS. 817 00:32:03,854 --> 00:32:08,826 SO THAT WE CAN LOOK AT LONG-TERM 818 00:32:08,826 --> 00:32:11,628 SOLUTIONS, AND ALSO UNDERSTAND 819 00:32:11,628 --> 00:32:13,864 WHERE THE COMMUNITY EFFECTS OF 820 00:32:13,864 --> 00:32:15,065 ADVERSE SOCIAL DETERMINANTS, 821 00:32:15,065 --> 00:32:18,468 MAKING SURE THAT WE IMPLEMENT 822 00:32:18,468 --> 00:32:20,604 INTERVENTIONS TO ADDRESS 823 00:32:20,604 --> 00:32:22,773 MULTI-MORBIDITY AND ADDRESSING 824 00:32:22,773 --> 00:32:24,708 OVERLAPPING HEALTH AND SOCIAL 825 00:32:24,708 --> 00:32:30,347 ISSUES THROUGH INTERDISCIPLINARY 826 00:32:30,347 --> 00:32:31,715 STRATEGIES, LEVERAGE INNOVATIVE 827 00:32:31,715 --> 00:32:33,016 METHODOLOGIES LIKE 828 00:32:33,016 --> 00:32:35,152 IMPLEMENTATION SCIENCE, DIGITAL 829 00:32:35,152 --> 00:32:36,587 PHENOTYPING, TO MAKE SURE THAT 830 00:32:36,587 --> 00:32:37,821 -- AND SYSTEM SCIENCE TO MAKE 831 00:32:37,821 --> 00:32:40,557 SURE THAT WE CAN BE CUTTING EDGE 832 00:32:40,557 --> 00:32:44,194 IN TERMS OF IMPROVING THE 833 00:32:44,194 --> 00:32:45,095 OUTCOMES. 834 00:32:45,095 --> 00:32:46,697 AND THEN EMPHASIZING AGAIN CBPR 835 00:32:46,697 --> 00:32:50,667 AS ONE OF OUR MAIN MECHANISMS TO 836 00:32:50,667 --> 00:32:52,169 MAKE SURE THAT THE INFORMATION 837 00:32:52,169 --> 00:32:55,706 STAYS AT THE LEVEL OF THE 838 00:32:55,706 --> 00:32:56,240 COMMUNITY. 839 00:32:56,240 --> 00:32:58,008 NEXT, LET ME SEE, THERE'S ONE 840 00:32:58,008 --> 00:32:58,876 LAST ONE. 841 00:32:58,876 --> 00:33:02,980 OKAY, WE NEED TO EXPAND FOCUS ON 842 00:33:02,980 --> 00:33:03,847 REACHING, IMPLEMENTING, AND 843 00:33:03,847 --> 00:33:04,548 DISSEMINATING THE SCIENCE. 844 00:33:04,548 --> 00:33:07,618 ONE OF THE AREAS THAT WE WANTED 845 00:33:07,618 --> 00:33:08,886 TO EMPHASIZE WAS HOW IMPORTANT 846 00:33:08,886 --> 00:33:11,455 IT IS TO DO THE OUTREACH TO MAKE 847 00:33:11,455 --> 00:33:15,826 SURE THAT THE INFORMATION THAT'S 848 00:33:15,826 --> 00:33:16,994 GENERATED IS EFFECTIVELY 849 00:33:16,994 --> 00:33:18,362 INTEGRATED INTO THE REAL WORLD 850 00:33:18,362 --> 00:33:22,199 SETTINGS. 851 00:33:22,199 --> 00:33:28,639 AND HOW TO HARNESS TECHNOLOGY 852 00:33:28,639 --> 00:33:30,173 AND INNOVATION BY PARTNERING 853 00:33:30,173 --> 00:33:32,576 WITH COMPANIES AND DATA 854 00:33:32,576 --> 00:33:34,111 SCIENTISTS TO MAKE SURE THAT WE 855 00:33:34,111 --> 00:33:38,048 ARE UP TO THE LATEST, APPLYING 856 00:33:38,048 --> 00:33:38,815 ARTIFICIAL INTELLIGENCE, AND 857 00:33:38,815 --> 00:33:40,951 MACHINE LEARNING, TO MAKE SURE 858 00:33:40,951 --> 00:33:43,253 WE CAN UNCOVER HEALTH STRENGTHS, 859 00:33:43,253 --> 00:33:45,756 PREDICT OUTCOMES, AND DEVELOP 860 00:33:45,756 --> 00:33:47,457 CULTURALLY SENSITIVE TOOLS THAT 861 00:33:47,457 --> 00:33:48,458 REDUCE DISPARITIES. 862 00:33:48,458 --> 00:33:52,062 WE ALSO NEED TO COLLABORATE WITH 863 00:33:52,062 --> 00:33:52,996 GENOMIC RESEARCH INSTITUTIONS 864 00:33:52,996 --> 00:33:55,933 AND TELEHEALTH PROVIDERS TO MAKE 865 00:33:55,933 --> 00:33:57,668 SURE THAT WE INTEGRATE PRECISION 866 00:33:57,668 --> 00:33:59,436 MEDICINE AND DIGITAL HEALTH 867 00:33:59,436 --> 00:33:59,703 SOLUTIONS. 868 00:33:59,703 --> 00:34:05,509 AND FINALLY WE NEED TO INVEST IN 869 00:34:05,509 --> 00:34:06,510 LONG-TERM, MULTI-GENERATIONAL, 870 00:34:06,510 --> 00:34:07,911 AND CROSS-SECTOR APPROACHES TO 871 00:34:07,911 --> 00:34:11,214 ADDRESS THE ROOT CAUSES OF 872 00:34:11,214 --> 00:34:11,882 HEALTH DISPARITIES, WHILE 873 00:34:11,882 --> 00:34:13,884 RECOGNIZING COMMUNITY STRENGTHS 874 00:34:13,884 --> 00:34:17,220 AND ASSETS AS CORE TO THE 875 00:34:17,220 --> 00:34:19,122 LONG-TERM HEALTH OUTCOMES. 876 00:34:19,122 --> 00:34:23,126 LET ME SEE THERE'S ONE MORE. 877 00:34:23,126 --> 00:34:23,994 NO THIS IS IT. 878 00:34:23,994 --> 00:34:26,330 THANK YOU FOR THE OPPORTUNITY TO 879 00:34:26,330 --> 00:34:27,798 PRESENT RESULTS, AND THANKS TO 880 00:34:27,798 --> 00:34:30,634 THE DIVISION FOR BEING SUCH A 881 00:34:30,634 --> 00:34:32,803 PARTNER IN BEING ABLE TO EXAMINE 882 00:34:32,803 --> 00:34:34,504 ALL OF THE WORK THEY HAVE BEEN 883 00:34:34,504 --> 00:34:35,772 DOING DURING THIS TIME. 884 00:34:35,772 --> 00:34:40,944 THANK YOU. 885 00:34:40,944 --> 00:34:43,213 >> THANK YOU SO MUCH. 886 00:34:43,213 --> 00:34:44,648 JUMPING IN QUICKLY BEFORE YOU 887 00:34:44,648 --> 00:34:47,384 OPEN IT UP, I WANT TO SAY TO THE 888 00:34:47,384 --> 00:34:48,919 WORKING GROUP BEFORE YOU START 889 00:34:48,919 --> 00:34:51,054 TAKING QUESTIONS AND THERE'S 890 00:34:51,054 --> 00:34:52,723 DISCUSSION, JUST REALLY 891 00:34:52,723 --> 00:34:54,725 EXPRESSING A HUGE THANK YOU. 892 00:34:54,725 --> 00:34:57,394 I MEAN, VERY APPRECIATIVE OF THE 893 00:34:57,394 --> 00:34:57,728 WORK. 894 00:34:57,728 --> 00:34:59,496 AND THAT YOU WORKED ON FOR SO 895 00:34:59,496 --> 00:34:59,963 LONG. 896 00:34:59,963 --> 00:35:02,032 AND THIS IS REALLY AN IMPORTANT 897 00:35:02,032 --> 00:35:03,166 OUTCOME. 898 00:35:03,166 --> 00:35:05,635 YOU CAN SEE JUST BY -- THE 899 00:35:05,635 --> 00:35:07,838 SLIDES ONLY CAPTURE PART OF IT, 900 00:35:07,838 --> 00:35:08,872 COULDN'T CAPTURE EVERYTHING YOU 901 00:35:08,872 --> 00:35:10,707 CAPTURED IN THE FULL REPORT BUT 902 00:35:10,707 --> 00:35:13,243 THIS IS GOING TO BE SO 903 00:35:13,243 --> 00:35:15,445 BENEFICIAL FOR NIMHD AS WE THINK 904 00:35:15,445 --> 00:35:18,315 ABOUT NOT ONLY THIS DIVISION BUT 905 00:35:18,315 --> 00:35:18,782 NIMHD OVERALL. 906 00:35:18,782 --> 00:35:20,817 WE HAVE A LOT TO THINK ABOUT 907 00:35:20,817 --> 00:35:22,486 BASED ON YOUR REVIEW AND YOUR 908 00:35:22,486 --> 00:35:24,087 RECOMMENDATIONS SO I WANT TO 909 00:35:24,087 --> 00:35:27,424 START WITH APPRECIATING THAT. 910 00:35:27,424 --> 00:35:28,358 PAUL? 911 00:35:28,358 --> 00:35:30,060 >> THANK YOU VERY MUCH. 912 00:35:30,060 --> 00:35:31,695 WHAT WE'RE GOING TO DO NOW, 913 00:35:31,695 --> 00:35:35,732 WE'RE GOING TO OPEN THE FLOOR TO 914 00:35:35,732 --> 00:35:39,102 COUNCIL MEMBERS THAT MAY HAVE 915 00:35:39,102 --> 00:35:39,369 QUESTIONS. 916 00:35:39,369 --> 00:35:42,939 TURN YOUR CAMERA ON AND RAISE 917 00:35:42,939 --> 00:35:45,876 YOUR HAND, OR PUT YOUR NAME IN 918 00:35:45,876 --> 00:35:47,611 THE CHAT BOX. 919 00:35:47,611 --> 00:35:57,621 THAT WAY I'LL KNOW THAT WE ARE 920 00:35:57,621 --> 00:35:58,388 RESPONDING. 921 00:35:58,388 --> 00:35:59,923 FIRST WITH THE HAND UP. 922 00:35:59,923 --> 00:36:00,924 >> THANK YOU. 923 00:36:00,924 --> 00:36:03,727 FIRST OFF, I WANT TO THANK DR. 924 00:36:03,727 --> 00:36:05,328 ALEGRIA FOR BEING HERE. 925 00:36:05,328 --> 00:36:06,730 LOVELY TO SEE HER TODAY, THIS 926 00:36:06,730 --> 00:36:09,399 MORNING, AS PART OF THE 927 00:36:09,399 --> 00:36:12,202 COMMITTEE TO PRESENT THE REPORT. 928 00:36:12,202 --> 00:36:14,805 I WANT TO ECHO DR. HOOPERS'S 929 00:36:14,805 --> 00:36:17,941 COMES, THANK THE COMMITTEE FOR 930 00:36:17,941 --> 00:36:20,010 MAKING THIS EXTENSIVE REVIEW AND 931 00:36:20,010 --> 00:36:20,777 ASSESSMENT. 932 00:36:20,777 --> 00:36:22,479 CLEARLY THE DIVISION MADE A 933 00:36:22,479 --> 00:36:23,547 TREMENDOUS IMPACT IN 934 00:36:23,547 --> 00:36:26,917 ACCELERATING SCIENCE AND 935 00:36:26,917 --> 00:36:31,021 RESEARCH TO REDUCE HEALTH 936 00:36:31,021 --> 00:36:33,590 DISAPPEARANCE, DEVELOPING 937 00:36:33,590 --> 00:36:34,357 EVIDENCE-BASED ACROSS 938 00:36:34,357 --> 00:36:36,726 COMMUNITIES INCLUDING LOW INCOME 939 00:36:36,726 --> 00:36:39,029 AND RURAL POPULATIONS AND OTHER 940 00:36:39,029 --> 00:36:40,297 POPULATIONS EXPERIENCING HEALTH 941 00:36:40,297 --> 00:36:41,198 DISPARITIES. 942 00:36:41,198 --> 00:36:44,401 I THINK ONE DIFFICULT ASPECT OF 943 00:36:44,401 --> 00:36:46,970 MEASURING BUT REALLY A TANGIBLE 944 00:36:46,970 --> 00:36:49,239 IMPACT OF SUPPORTED RESEARCH IS 945 00:36:49,239 --> 00:36:52,476 BUILDING TRUST IN SCIENCE, AND 946 00:36:52,476 --> 00:36:54,511 ENSURING RELEVANCE OF END REACH 947 00:36:54,511 --> 00:36:55,745 OF SCIENTIFIC BREAKTHROUGHS FOR 948 00:36:55,745 --> 00:36:57,114 ALL COMMUNITIES ACROSS THE 949 00:36:57,114 --> 00:36:57,747 COUNTRY. 950 00:36:57,747 --> 00:37:01,118 I ALSO WANT TO UNDERSCORE THE 951 00:37:01,118 --> 00:37:02,819 RECOMMENDATION IN TERMS OF NEED 952 00:37:02,819 --> 00:37:04,554 TO STRENGTHEN AND EXPAND 953 00:37:04,554 --> 00:37:05,989 OPPORTUNITIES FOR EARLY-STAGE 954 00:37:05,989 --> 00:37:07,791 INVESTIGATORS TO CONDUCT 955 00:37:07,791 --> 00:37:09,092 RIGOROUS COMMUNITY ENGAGED 956 00:37:09,092 --> 00:37:10,894 RESEARCH, REAL CHALLENGES FOR 957 00:37:10,894 --> 00:37:13,096 JUNIOR SCIENTISTS. 958 00:37:13,096 --> 00:37:14,898 SO THINKING THROUGH WITH NIMHD 959 00:37:14,898 --> 00:37:17,567 AND REALLY THE LARGER NIH ABOUT 960 00:37:17,567 --> 00:37:19,169 WAYS TO CREATE INCENTIVES AT THE 961 00:37:19,169 --> 00:37:22,239 INSTITUTIONAL LEVEL AT ACADEMIC 962 00:37:22,239 --> 00:37:25,675 INSTITUTIONS TO ADVANCE THIS 963 00:37:25,675 --> 00:37:27,043 RESEARCH AND SUPPORT 964 00:37:27,043 --> 00:37:27,811 INVESTIGATORS, CAREERS IN 965 00:37:27,811 --> 00:37:29,212 POPULATION HEALTH AND HEALTH 966 00:37:29,212 --> 00:37:30,280 DISPARITIES RESEARCH IS VITAL TO 967 00:37:30,280 --> 00:37:33,450 ENSURE WE HAVE A STRONG AND 968 00:37:33,450 --> 00:37:34,885 SOLID WORKFORCE. 969 00:37:34,885 --> 00:37:37,721 ONE ADDITIONAL RECOMMENDATION 970 00:37:37,721 --> 00:37:39,956 WAS TOUCHED UPON, TO EXPAND THE 971 00:37:39,956 --> 00:37:41,658 TIMELINE FOR THESE RESEARCH 972 00:37:41,658 --> 00:37:42,492 GRANTS. 973 00:37:42,492 --> 00:37:45,762 I THINK COMMUNITY ENGAGED 974 00:37:45,762 --> 00:37:46,363 RESEARCH IS CHALLENGING. 975 00:37:46,363 --> 00:37:49,332 YOU KNOW, WE'RE BOTH DEVELOPING, 976 00:37:49,332 --> 00:37:50,534 MAINTAINING, SUSTAINING THOSE 977 00:37:50,534 --> 00:37:52,636 RELATIONSHIPS WHILE WORKING IN 978 00:37:52,636 --> 00:37:53,603 PARTNERSHIP WITH COMMUNITY 979 00:37:53,603 --> 00:37:55,639 PARTNERS TO THINK THROUGH HOW TO 980 00:37:55,639 --> 00:37:57,874 ENSURE THAT THE RESEARCH IS 981 00:37:57,874 --> 00:38:00,544 COMMUNITY DRIVEN, THAT THE 982 00:38:00,544 --> 00:38:01,811 FINDINGS HAVE RELEVANCE AND CAN 983 00:38:01,811 --> 00:38:04,114 BE SUSTAINED OVER THE LONG TERM. 984 00:38:04,114 --> 00:38:07,184 AND SO I KNOW THERE HAVE BEEN 985 00:38:07,184 --> 00:38:09,786 STUDENTS TO EXPAND RESEARCH 986 00:38:09,786 --> 00:38:11,821 TIMELINES BEYOND A THREE OR 987 00:38:11,821 --> 00:38:14,724 FIVE-YEAR PERIOD, I WANT TO 988 00:38:14,724 --> 00:38:16,193 UNDERSCORE THAT AS A KEY 989 00:38:16,193 --> 00:38:19,529 RECOMMENDATION THINKING ABOUT 990 00:38:19,529 --> 00:38:21,064 NEW OPPORTUNITIES AND NEW 991 00:38:21,064 --> 00:38:22,065 RESEARCH AND UNDERSCORING NEED 992 00:38:22,065 --> 00:38:24,167 FOR TRAINING PROGRAMS TO HELP 993 00:38:24,167 --> 00:38:26,369 THE COMMUNITY AND TO HELP THE 994 00:38:26,369 --> 00:38:28,905 DEVELOPMENT OF COMMUNITY ENGAGED 995 00:38:28,905 --> 00:38:29,606 RESEARCH. 996 00:38:29,606 --> 00:38:31,041 I WANT TO APPLAUD THE COMMITTEE 997 00:38:31,041 --> 00:38:35,478 IN TERMS OF RECOGNIZING THE NEED 998 00:38:35,478 --> 00:38:37,147 FOR APPLYING SYSTEMS SCIENCE, 999 00:38:37,147 --> 00:38:37,914 ARTIFICIAL INTELLIGENCE, CAUSAL 1000 00:38:37,914 --> 00:38:40,784 INFERENCE AND OTHER DATA SCIENCE 1001 00:38:40,784 --> 00:38:42,786 METHODS AS PART OF THE PACKAGE 1002 00:38:42,786 --> 00:38:45,855 OF HOW DO WE, YOU KNOW, DO 1003 00:38:45,855 --> 00:38:50,694 HEALTH DISPARITIES RESEARCH 1004 00:38:50,694 --> 00:38:52,963 PARTICULARLY RESEARCH THAT 1005 00:38:52,963 --> 00:38:54,497 INTERSECT AT MULTIPLE LEVELS OF 1006 00:38:54,497 --> 00:38:55,265 INFLUENCE. 1007 00:38:55,265 --> 00:38:57,334 A SERIES OF COMMENTS, I WANT TO 1008 00:38:57,334 --> 00:38:58,602 THANK THE COMMITTEE FOR 1009 00:38:58,602 --> 00:39:00,070 RECOMMENDATIONS AND REVIEW AND 1010 00:39:00,070 --> 00:39:04,174 ALSO WANT TO ADD A FEW PLUGS IN 1011 00:39:04,174 --> 00:39:08,178 TERMS OF THE TIMELINE FOR DOING 1012 00:39:08,178 --> 00:39:09,145 GRANTS, WORKING WITH COMMUNITIES 1013 00:39:09,145 --> 00:39:10,480 IN DEVELOPING THE RESEARCH AND 1014 00:39:10,480 --> 00:39:11,748 NEED FOR MORE TRAINING PROGRAMS 1015 00:39:11,748 --> 00:39:15,919 TO HELP THE NEXT GENERATION OF 1016 00:39:15,919 --> 00:39:21,992 RESEARCHERS IN THIS FIELD. 1017 00:39:21,992 --> 00:39:26,730 THANK YOU. 1018 00:39:26,730 --> 00:39:29,899 >> THANK YOU, CHAU. 1019 00:39:29,899 --> 00:39:40,176 >> THANK YOU. 1020 00:39:45,849 --> 00:39:48,685 >> CAN'T HEAR YOU. 1021 00:39:48,685 --> 00:39:51,488 >> PAUL, YOUR VOLUME SEEMED A 1022 00:39:51,488 --> 00:39:56,026 LITTLE LOW. 1023 00:39:56,026 --> 00:39:57,560 1024 00:39:57,560 --> 00:40:02,198 >> IS THAT BETTER? 1025 00:40:02,198 --> 00:40:10,240 OKAY. 1026 00:40:10,240 --> 00:40:11,574 >> THIS IS SAMUEL ADUNYAH. 1027 00:40:11,574 --> 00:40:19,416 I WANT TO ADD MY VOICE AND 1028 00:40:19,416 --> 00:40:20,583 COMMENDING THE COMMITTEE 1029 00:40:20,583 --> 00:40:22,152 MEMBERS, OBVIOUSLY FOR STRONG 1030 00:40:22,152 --> 00:40:24,954 EVIDENCE OF COLLABORATIVE WORK 1031 00:40:24,954 --> 00:40:25,922 WHICH HAS PRODUCED THESE 1032 00:40:25,922 --> 00:40:27,957 RESULTS, AND THANK THE SPEAKERS 1033 00:40:27,957 --> 00:40:30,527 OR THE PRESENTERS FOR A 1034 00:40:30,527 --> 00:40:31,861 WONDERFUL JOB. 1035 00:40:31,861 --> 00:40:37,334 AND TO ALSO MENTION THE 1036 00:40:37,334 --> 00:40:40,403 COMMITTEE OBVIOUSLY LOOKS AT THE 1037 00:40:40,403 --> 00:40:42,238 HBCUS AND MINORITY-SERVING 1038 00:40:42,238 --> 00:40:48,178 INSTITUTIONS BECAUSE AS YOU KNOW 1039 00:40:48,178 --> 00:40:53,917 NOT EVERY -- IF YOU LOOK AT, FOR 1040 00:40:53,917 --> 00:40:58,588 EXAMPLE, THE UNIVERSITY FOCUSING 1041 00:40:58,588 --> 00:41:01,658 ON GRADUATE STUDENTS, IT'S VERY 1042 00:41:01,658 --> 00:41:02,826 IMPORTANT THAT THIS COMMITTEE 1043 00:41:02,826 --> 00:41:05,528 THEN PUTS ALL THOSE INTO 1044 00:41:05,528 --> 00:41:07,430 CONSIDERATION AND OBVIOUSLY ALSO 1045 00:41:07,430 --> 00:41:09,532 MAKING SURE THAT HEALTH 1046 00:41:09,532 --> 00:41:10,100 DISPARITIES CONTINUES. 1047 00:41:10,100 --> 00:41:11,434 AND THANK YOU VERY MUCH FOR THE 1048 00:41:11,434 --> 00:41:21,711 WONDERFUL JOB. 1049 00:41:29,753 --> 00:41:30,687 >> DR. STONE. 1050 00:41:30,687 --> 00:41:33,323 >> PAUL, WE CAN BARELY HEAR YOU. 1051 00:41:33,323 --> 00:41:33,690 >> DR. STONE? 1052 00:41:33,690 --> 00:41:34,824 >> THANK YOU, DR. COTTON. 1053 00:41:34,824 --> 00:41:37,927 I WANT TO COMMEND DR. ALEGRIA, 1054 00:41:37,927 --> 00:41:40,663 ALWAYS A PLEASURE TO HAVE YOU 1055 00:41:40,663 --> 00:41:43,433 LEAD AND DR. REVEREND CURRY AS 1056 00:41:43,433 --> 00:41:43,967 WELL. 1057 00:41:43,967 --> 00:41:45,668 AND JOSE, DR. JOSE BAUERMEISTER, 1058 00:41:45,668 --> 00:41:47,137 THANK YOU FOR JUMPING IN. 1059 00:41:47,137 --> 00:41:48,171 I REALLY APPRECIATE, I WANT TO 1060 00:41:48,171 --> 00:41:50,039 SAY YOUR COMMENT ON THE SCIENCE 1061 00:41:50,039 --> 00:41:53,276 DOESN'T ALWAYS LIVE IN LABS, BUT 1062 00:41:53,276 --> 00:41:54,878 IN COMMUNITIES, IS REALLY 1063 00:41:54,878 --> 00:41:55,545 TELLING. 1064 00:41:55,545 --> 00:41:58,915 I THINK THE FINDINGS CAME AT A 1065 00:41:58,915 --> 00:42:00,650 REALLY INSTRUMENTAL MOMENT FOR 1066 00:42:00,650 --> 00:42:02,552 US, AND THE INSIGHTS ON HOW FAR 1067 00:42:02,552 --> 00:42:05,955 WE HAVE COME IN THE ROLE OF 1068 00:42:05,955 --> 00:42:07,557 POPULATION HEALTH, COMMUNITY 1069 00:42:07,557 --> 00:42:08,992 HEALTH, POPULATION SCIENCE HAS 1070 00:42:08,992 --> 00:42:15,331 TAKEN OVER MANY DECADES, SPEAKS 1071 00:42:15,331 --> 00:42:16,733 TO, AS A COMMITTEE MEMBER 1072 00:42:16,733 --> 00:42:18,435 SERVING ON THIS, LISTENING 1073 00:42:18,435 --> 00:42:20,203 SESSIONS THERE WAS DEEPER 1074 00:42:20,203 --> 00:42:24,040 INSIGHT AND ALIGNMENT BETWEEN 1075 00:42:24,040 --> 00:42:25,775 THE NIH PROGRAM OFFICERS, EARLY 1076 00:42:25,775 --> 00:42:28,111 STAGE INVESTIGATORS AND LATER 1077 00:42:28,111 --> 00:42:28,645 STAGE SENIOR SCHOLARS. 1078 00:42:28,645 --> 00:42:30,847 IN TERMS OF AGREEING MORE TIME 1079 00:42:30,847 --> 00:42:33,583 IS NEEDED TO GENERATE THIS TYPE 1080 00:42:33,583 --> 00:42:36,453 OF WORK, TO MAKE TRUE IMPACT ON 1081 00:42:36,453 --> 00:42:37,921 REDUCING HEALTH DISPARITIES AS 1082 00:42:37,921 --> 00:42:39,622 YOU SAID, JOSE, MOVING THE 1083 00:42:39,622 --> 00:42:41,591 NEEDLE NOT JUST ON WORKFORCE 1084 00:42:41,591 --> 00:42:44,461 DEVELOPMENT, THE STATE OF 1085 00:42:44,461 --> 00:42:45,895 SCIENCE AND HEALTH DISPARITIES 1086 00:42:45,895 --> 00:42:48,198 AROUND THE ETIOLOGY AS WELL OF 1087 00:42:48,198 --> 00:42:48,565 THE SOLUTIONS. 1088 00:42:48,565 --> 00:42:51,801 I THINK BUILDING ON COMMUNITY 1089 00:42:51,801 --> 00:42:52,135 ASSETS. 1090 00:42:52,135 --> 00:42:54,304 ONE THING THAT WASN'T MENTIONED 1091 00:42:54,304 --> 00:42:55,839 BUT WORTH CONSIDERING THAT 1092 00:42:55,839 --> 00:42:57,774 I'M -- THAT'S BEING DISCOVERED 1093 00:42:57,774 --> 00:43:02,512 IN OUR COMMUNITY ENGAGEMENT 1094 00:43:02,512 --> 00:43:03,646 ALLIANCE WORK, WITH THE 21 1095 00:43:03,646 --> 00:43:05,849 STATES, IS IMPACT OF BUILDING 1096 00:43:05,849 --> 00:43:08,685 SCIENCE AND SCHOLARS WITH 1097 00:43:08,685 --> 00:43:09,853 COMMUNITY PARTNERS AS 1098 00:43:09,853 --> 00:43:11,588 CO-INVESTIGATORS AND PRINCIPAL 1099 00:43:11,588 --> 00:43:11,921 INVESTIGATORS. 1100 00:43:11,921 --> 00:43:13,890 THERE'S BEEN REALLY AN 1101 00:43:13,890 --> 00:43:18,127 UNCOVERING OF I WOULD CALL THE 1102 00:43:18,127 --> 00:43:18,995 BEAUTIFICATION OF SCHOLARS 1103 00:43:18,995 --> 00:43:27,704 UNFOLDING WITH PROMONTORAS, 1104 00:43:27,704 --> 00:43:29,405 PRINCIPAL INVESTIGATORS WHO 1105 00:43:29,405 --> 00:43:30,840 LAUNCHED MINORITY SERVING 1106 00:43:30,840 --> 00:43:36,012 CBOs, IN COMMUNITIES RURAL 1107 00:43:36,012 --> 00:43:36,679 FRONTIER AND TRIBAL WHERE 1108 00:43:36,679 --> 00:43:38,081 COMMUNITY-BASED ORGANIZATIONS 1109 00:43:38,081 --> 00:43:40,316 ARE NOT FLOURISHING BUT MOVING 1110 00:43:40,316 --> 00:43:41,451 TO LAUNCH LLCs AND 1111 00:43:41,451 --> 00:43:46,623 NON-PROFITS, FOR EXAMPLE THE AND 1112 00:43:46,623 --> 00:43:46,990 -- 1113 00:43:46,990 --> 00:43:48,358 THE NAVAJO NATION, THE OTHER 1114 00:43:48,358 --> 00:43:49,459 IMPACT THAT GOES UNTOLD. 1115 00:43:49,459 --> 00:43:52,095 I JUST WANT TO MENTION THAT AS 1116 00:43:52,095 --> 00:43:53,897 POTENTIAL FUTURE DIRECTIONS. 1117 00:43:53,897 --> 00:43:56,199 AGAIN, I COMMEND, I'M SO 1118 00:43:56,199 --> 00:43:59,702 IMPRESSED WITH HOW THE FINDINGS 1119 00:43:59,702 --> 00:44:01,404 AND TAKEAWAYS YOU PRESENTED CAME 1120 00:44:01,404 --> 00:44:01,771 TOGETHER. 1121 00:44:01,771 --> 00:44:04,140 I'M GOING TO SAVOR THIS BECAUSE 1122 00:44:04,140 --> 00:44:07,010 I THINK IT SPEAKS TO POSITIVE 1123 00:44:07,010 --> 00:44:07,810 FUTURE OUTLOOKS AND DIRECTIONS, 1124 00:44:07,810 --> 00:44:10,280 AND THE FACT THAT WE HAVE BUILT 1125 00:44:10,280 --> 00:44:14,817 SO MANY DECADES OF WORK HERE 1126 00:44:14,817 --> 00:44:17,654 THAT CANNOT BE OVERSHADOWED 1127 00:44:17,654 --> 00:44:19,188 REGARDLESS OF ANY FUNDING 1128 00:44:19,188 --> 00:44:22,091 DIRECTIONS OR POLICY CHANGES. 1129 00:44:22,091 --> 00:44:24,027 THANK YOU. 1130 00:44:24,027 --> 00:44:29,165 >> THANK YOU. 1131 00:44:29,165 --> 00:44:31,868 >> ARE THERE ADDITIONAL 1132 00:44:31,868 --> 00:44:36,439 QUESTIONS?? 1133 00:44:36,439 --> 00:44:39,976 >> I HAVE ONE, JUST IF YOU 1134 00:44:39,976 --> 00:44:42,545 MIGHT REFLECT, YOU KNOW, 1135 00:44:42,545 --> 00:44:43,513 MARGARITA, JOSE, AND OTHER 1136 00:44:43,513 --> 00:44:44,881 WORKING GROUP MEMBERS WHO ARE 1137 00:44:44,881 --> 00:44:48,184 PRESENT, ONE OF THE AREAS THAT 1138 00:44:48,184 --> 00:44:49,919 YOU SPENT A LOT OF TIME THINKING 1139 00:44:49,919 --> 00:44:52,221 ABOUT AND STRUGGLING WITH HOW TO 1140 00:44:52,221 --> 00:44:53,856 PRESENT, HOW TO REVIEW, WAS THE 1141 00:44:53,856 --> 00:44:57,427 IMPACT OF THE SCIENCE AND THE 1142 00:44:57,427 --> 00:44:58,227 DIVISION BECAUSE THE -- YOU 1143 00:44:58,227 --> 00:45:00,863 KNOW, WHEN YOU FUND A PROJECT, 1144 00:45:00,863 --> 00:45:03,466 IF IT'S A FIVE-YEAR PROJECT, IT 1145 00:45:03,466 --> 00:45:05,368 WILL BE YEARS, AT LEAST FIVE, 1146 00:45:05,368 --> 00:45:07,236 SIX, SEVEN YEARS, BEFORE YOU SEE 1147 00:45:07,236 --> 00:45:08,638 FOR EXAMPLE INTERVENTION STUDY 1148 00:45:08,638 --> 00:45:10,673 IN PRINT OR EVEN STUDIES THAT 1149 00:45:10,673 --> 00:45:12,775 MIGHT BE OBSERVATIONAL. 1150 00:45:12,775 --> 00:45:14,410 SO CAN YOU TALK ABOUT -- I THINK 1151 00:45:14,410 --> 00:45:16,980 IT WILL BE INFORMATIVE AS WE GO 1152 00:45:16,980 --> 00:45:18,081 FORWARD WITH REVIEWS FOR FUTURE 1153 00:45:18,081 --> 00:45:20,817 DIVISION HOW WE MIGHT THINK 1154 00:45:20,817 --> 00:45:23,519 ABOUT OUR IMPACT. 1155 00:45:23,519 --> 00:45:24,621 >> YEAH, ABSOLUTELY, VERY GLAD, 1156 00:45:24,621 --> 00:45:25,989 DR. HOOPER, THAT YOU ASKED THAT 1157 00:45:25,989 --> 00:45:29,392 BECAUSE ONE OF THE THINGS WE 1158 00:45:29,392 --> 00:45:30,927 DEFINITELY WOULD RECOMMEND IS 1159 00:45:30,927 --> 00:45:33,796 THAT THE FORMS THAT PEOPLE 1160 00:45:33,796 --> 00:45:36,766 REPORT ON BE BROADER THAN JUST 1161 00:45:36,766 --> 00:45:38,468 PUBLICATIONS AND GRANTS THAT 1162 00:45:38,468 --> 00:45:41,404 PEOPLE DO BUT ARE ACTUALLY, YOU 1163 00:45:41,404 --> 00:45:44,173 KNOW, RELATIONSHIPS WITH THE 1164 00:45:44,173 --> 00:45:46,109 COMMUNITY THAT THEY WOULD ADD ON 1165 00:45:46,109 --> 00:45:48,478 WITH THE IMPACT THAT'S BEEN DONE 1166 00:45:48,478 --> 00:45:49,512 ON THE IN THE COMMUNITY BECAUSE 1167 00:45:49,512 --> 00:45:53,082 WE HEARD IN THE LISTENING 1168 00:45:53,082 --> 00:45:56,185 SESSIONS HOW PEOPLE ACTUALLY -- 1169 00:45:56,185 --> 00:45:57,453 LISA CACARI STONE MENTIONED 1170 00:45:57,453 --> 00:45:59,155 SOME, THERE ARE A LOT OF IMPACTS 1171 00:45:59,155 --> 00:46:01,391 PEOPLE TALK ABOUT HAVING THE 1172 00:46:01,391 --> 00:46:02,325 RESEARCH BEING PARTNERSHIP WITH 1173 00:46:02,325 --> 00:46:04,661 COMMUNITY SO I WOULD ADD MORE 1174 00:46:04,661 --> 00:46:05,595 INFORMATION ABOUT THAT. 1175 00:46:05,595 --> 00:46:08,898 I ALSO THINK IT WOULD BE IDEAL 1176 00:46:08,898 --> 00:46:10,633 TO COLLECT DATA, NOT ONLY AT THE 1177 00:46:10,633 --> 00:46:14,070 END OF THE FIVE OR SIX YEARS 1178 00:46:14,070 --> 00:46:16,773 THAT THIS STUDY IS RUN BUT MAYBE 1179 00:46:16,773 --> 00:46:19,909 ALSO ASKED TO COLLECT DATA AT A 1180 00:46:19,909 --> 00:46:24,614 LATER PERIOD OF TIME, IN SOME 1181 00:46:24,614 --> 00:46:26,449 INSTITUTIONS FOR EXAMPLE THEY 1182 00:46:26,449 --> 00:46:27,984 HAVE ACTUALLY BY ARTIFICIAL 1183 00:46:27,984 --> 00:46:30,953 INTELLIGENCE THEY ACTUALLY LOOK 1184 00:46:30,953 --> 00:46:33,222 AT THE PORTFOLIO OF 1185 00:46:33,222 --> 00:46:34,657 INVESTIGATORS AND THEN THEY 1186 00:46:34,657 --> 00:46:36,693 BRING UP ALL THE PUBLICATIONS 1187 00:46:36,693 --> 00:46:38,394 THAT HAVE BEEN DONE, AND I THINK 1188 00:46:38,394 --> 00:46:42,065 WE NEED TO DO MORE OF THAT, NOT 1189 00:46:42,065 --> 00:46:46,769 ONLY AT THE FIVE-YEAR END PERIOD 1190 00:46:46,769 --> 00:46:50,206 BUT ACTUALLY AT THE TEN-YEAR END 1191 00:46:50,206 --> 00:46:52,341 PERIOD BECAUSE A LOT OF THE 1192 00:46:52,341 --> 00:46:53,776 PAPERS COME OUT AFTER THE REPORT 1193 00:46:53,776 --> 00:46:56,679 HAS BEEN DONE AND WE MESS UP ON 1194 00:46:56,679 --> 00:46:58,314 THAT. 1195 00:46:58,314 --> 00:46:59,482 I THINK JOSE MENTIONED 17 1196 00:46:59,482 --> 00:46:59,882 PUBLICATIONS. 1197 00:46:59,882 --> 00:47:02,351 I THINK WOULD YOU HAVE A LOT 1198 00:47:02,351 --> 00:47:04,287 MORE OF THE PUBLICATIONS, AND A 1199 00:47:04,287 --> 00:47:07,523 LOT OF THE -- IT TAKES A YEAR AT 1200 00:47:07,523 --> 00:47:08,691 LEAST TO GET A GOOD PUBLICATION 1201 00:47:08,691 --> 00:47:11,260 OUT SO I THINK WE WOULD SEE A 1202 00:47:11,260 --> 00:47:13,329 LOT MORE PRODUCTIVITY. 1203 00:47:13,329 --> 00:47:15,565 AND FINALLY I THINK THERE'S A 1204 00:47:15,565 --> 00:47:18,701 LOT THAT COULD BE ALSO 1205 00:47:18,701 --> 00:47:20,169 COLLECTED, BASED ON PEOPLE'S 1206 00:47:20,169 --> 00:47:20,937 CAREER TRAJECTORIES. 1207 00:47:20,937 --> 00:47:24,607 I THINK WE DON'T HAVE ENOUGH 1208 00:47:24,607 --> 00:47:26,175 DATA COLLECTED AFTER PEOPLE HAVE 1209 00:47:26,175 --> 00:47:29,045 GONE THROUGH THE PROCESS ABOUT 1210 00:47:29,045 --> 00:47:30,012 THEIR CAREER TRAJECTORY BECAUSE 1211 00:47:30,012 --> 00:47:32,582 I MEAN WHEN I WAS IN COUNCIL I 1212 00:47:32,582 --> 00:47:35,985 SAW PEOPLE GO ALL THE WAY FROM, 1213 00:47:35,985 --> 00:47:39,155 YOU KNOW, OUR VERY R21s THAT 1214 00:47:39,155 --> 00:47:43,860 MOVED TO BECOME REALLY SENIOR 1215 00:47:43,860 --> 00:47:44,627 INVESTIGATORS, VERY SUCCESSFUL 1216 00:47:44,627 --> 00:47:46,395 AND WE DON'T CAPTURE THAT SO I 1217 00:47:46,395 --> 00:47:50,099 THINK WE NEED MORE OF THAT TO 1218 00:47:50,099 --> 00:47:52,001 SHOW THIS IS VERY WORTH THE 1219 00:47:52,001 --> 00:47:52,368 INVESTMENT. 1220 00:47:52,368 --> 00:47:53,803 >> THANK YOU. 1221 00:47:53,803 --> 00:47:54,570 THAT'S VERY HELPFUL. 1222 00:47:54,570 --> 00:48:01,644 >> I WILL JUMP IN AND JUST SAY 1223 00:48:01,644 --> 00:48:04,447 THAT ONE OF THE THINGS I TAKE 1224 00:48:04,447 --> 00:48:06,849 AWAY FROM LISTENING SESSIONS, 1225 00:48:06,849 --> 00:48:08,050 VERY RICH, NOT NIMHD SPECIFIC 1226 00:48:08,050 --> 00:48:09,685 BUT NIH SPECIFIC IN REPORTING, 1227 00:48:09,685 --> 00:48:12,121 IS THAT WE NOW HAVE A SECTION 1228 00:48:12,121 --> 00:48:14,624 FOR TECHNOLOGY BEING DEVELOPED 1229 00:48:14,624 --> 00:48:15,925 AS PART OF SPONSORED RESEARCH, 1230 00:48:15,925 --> 00:48:18,027 AND WHAT WE HEARD FROM BOTH 1231 00:48:18,027 --> 00:48:19,829 EARLY STAGE INVESTIGATORS AND 1232 00:48:19,829 --> 00:48:22,131 SEASONED INVESTIGATORS IS COULD 1233 00:48:22,131 --> 00:48:23,866 THERE BE A COMMUNITY IMPACT 1234 00:48:23,866 --> 00:48:28,838 SECTION FOR INVESTIGATORS TO 1235 00:48:28,838 --> 00:48:29,605 WRITE ON. 1236 00:48:29,605 --> 00:48:31,474 ARE SMALL BUSINESSES BEING 1237 00:48:31,474 --> 00:48:32,742 DEVELOPED, ARE THERE NEW 1238 00:48:32,742 --> 00:48:33,676 TECHNOLOGIES OR PROGRAMS BEING 1239 00:48:33,676 --> 00:48:35,378 DEVELOPED BY COMMUNITIES OWNED 1240 00:48:35,378 --> 00:48:37,113 BY THEM AND NOT -- KIND OF 1241 00:48:37,113 --> 00:48:38,748 ANCILLARY TO THE SCIENCE THAT'S 1242 00:48:38,748 --> 00:48:42,018 BEING DONE BUT IT EVOKES NEW 1243 00:48:42,018 --> 00:48:43,085 THINKING, NO PARTNERSHIPS, SO 1244 00:48:43,085 --> 00:48:45,221 HOW DO WE REALLY CAPTURE THE 1245 00:48:45,221 --> 00:48:47,490 FACT THE INVESTMENTS WE'RE DOING 1246 00:48:47,490 --> 00:48:52,161 THROUGH SCIENCE HAS SPILLOVER 1247 00:48:52,161 --> 00:48:53,696 EFFECTS TO BETTER ALL SORTS OF 1248 00:48:53,696 --> 00:48:55,932 COMMUNITIES THROUGHOUT THE 1249 00:48:55,932 --> 00:48:56,265 COUNTRY. 1250 00:48:56,265 --> 00:48:57,900 I'M TRYING TO THINK AS AN 1251 00:48:57,900 --> 00:48:59,635 INVESTIGATOR HOW I WOULD WRITE 1252 00:48:59,635 --> 00:49:00,403 THAT IN MY PROGRESS REPORTS 1253 00:49:00,403 --> 00:49:00,970 RIGHT NOW. 1254 00:49:00,970 --> 00:49:03,973 AS WE THINK ABOUT IMPACT THERE 1255 00:49:03,973 --> 00:49:06,108 ARE NON-SCIENTIFIC TANGIBLES 1256 00:49:06,108 --> 00:49:07,710 THAT HAPPEN WHEN WE INVEST IN 1257 00:49:07,710 --> 00:49:10,479 COMMUNITIES WE CAN DO A BETTER 1258 00:49:10,479 --> 00:49:13,449 JOB AT CAPTURING. 1259 00:49:13,449 --> 00:49:20,223 >> GREAT, THANK YOU. 1260 00:49:20,223 --> 00:49:23,192 SINCE I DON'T SEE ANYONE ELSE 1261 00:49:23,192 --> 00:49:24,794 I'LL JUMP IN WITH ANOTHER 1262 00:49:24,794 --> 00:49:25,695 THOUGHT. 1263 00:49:25,695 --> 00:49:29,031 I WANTED TO COMMEND YOU ON THE 1264 00:49:29,031 --> 00:49:30,399 APPROACH THAT YOU TOOK WITH THIS 1265 00:49:30,399 --> 00:49:32,969 REVIEW IN TERMS OF IT BEING VERY 1266 00:49:32,969 --> 00:49:34,170 MIXED METHOD. 1267 00:49:34,170 --> 00:49:35,338 SO YOU DID RECEIVE A LOT OF 1268 00:49:35,338 --> 00:49:38,641 INFORMATION IN TERMS OF NUMBERS 1269 00:49:38,641 --> 00:49:40,877 AND DATA FROM NIMHD AND NIMHD 1270 00:49:40,877 --> 00:49:42,311 STAFF AND OFFICES, BUT IT WAS 1271 00:49:42,311 --> 00:49:43,846 VERY IMPORTANT TO YOU, AND I 1272 00:49:43,846 --> 00:49:46,215 KNOW MAGGIE WAS A MAJOR CHAMPION 1273 00:49:46,215 --> 00:49:48,684 TO SAY WE NEED TO HEAR FROM 1274 00:49:48,684 --> 00:49:49,785 INVESTIGATORS WHO HAVE NIMHD 1275 00:49:49,785 --> 00:49:51,087 PROJECTS, TO HEAR ABOUT THEIR 1276 00:49:51,087 --> 00:49:52,221 PROJECTS, WHAT THEIR CHALLENGES 1277 00:49:52,221 --> 00:49:55,057 ARE, WHAT KIND OF WORK THEY ARE 1278 00:49:55,057 --> 00:49:57,026 FOCUSED ON, ITS IMPORTANCE AND 1279 00:49:57,026 --> 00:50:00,196 IMPACT, AND THEN YOU ALSO 1280 00:50:00,196 --> 00:50:02,598 LISTENED TO NIMHD STAFF IN THE 1281 00:50:02,598 --> 00:50:03,933 DIVISION. 1282 00:50:03,933 --> 00:50:05,401 SO I THINK THAT WAS A REALLY 1283 00:50:05,401 --> 00:50:06,769 IMPORTANT PART OF THE PROCESS, 1284 00:50:06,769 --> 00:50:08,671 AND SO I COMMEND YOU FOR 1285 00:50:08,671 --> 00:50:09,906 THINKING OF IT, AND WE WERE 1286 00:50:09,906 --> 00:50:11,107 HAPPY TO SUPPORT IT BECAUSE I 1287 00:50:11,107 --> 00:50:13,910 THINK THAT AS YOU MENTIONED, 1288 00:50:13,910 --> 00:50:21,183 JOSE, VERY RICH DISCUSSION THAT 1289 00:50:21,183 --> 00:50:23,219 ADDED CONTEXT, WHEN WE TALK 1290 00:50:23,219 --> 00:50:24,020 ABOUT MIXED METHODS RESEARCH 1291 00:50:24,020 --> 00:50:25,655 THESE ARE THE METHODS YOU APPLY 1292 00:50:25,655 --> 00:50:26,956 THROUGH THIS PROCESS AS WELL. 1293 00:50:26,956 --> 00:50:28,224 >> THANKS, MONICA. 1294 00:50:28,224 --> 00:50:32,161 IT WAS A REAL PLEASURE AND I 1295 00:50:32,161 --> 00:50:34,463 COULDN'T SAY HOW EXCITED THE 1296 00:50:34,463 --> 00:50:35,932 RESEARCHERS WERE THAT WE WERE 1297 00:50:35,932 --> 00:50:38,067 ASKED TO HEAR WHAT THEY HAD TO 1298 00:50:38,067 --> 00:50:39,869 SAY IN THOSE PRESENTING 1299 00:50:39,869 --> 00:50:40,536 SESSIONS. 1300 00:50:40,536 --> 00:50:43,706 SO PEOPLE WERE TAKING TIME OFF 1301 00:50:43,706 --> 00:50:48,511 AND SPENDING ENORMOUS AMOUNTS OF 1302 00:50:48,511 --> 00:50:51,480 TIME PARTICIPATING IN LISTENING 1303 00:50:51,480 --> 00:50:52,181 SESSIONS BECAUSE THEY 1304 00:50:52,181 --> 00:50:53,582 APPRECIATED WE WANTED TO HEAR 1305 00:50:53,582 --> 00:51:03,960 WHAT THEY HAD TO SAY. 1306 00:51:04,527 --> 00:51:08,431 >> ONE MORE AND I'LL STOP AND WE 1307 00:51:08,431 --> 00:51:11,200 CAN MOVE FOR THE COUNCIL TO VOTE 1308 00:51:11,200 --> 00:51:13,936 ON THE REPORT. 1309 00:51:13,936 --> 00:51:16,772 YOU GATHERED SO MUCH 1310 00:51:16,772 --> 00:51:17,707 INFORMATION. 1311 00:51:17,707 --> 00:51:19,709 IF YOU HAD TO MAKE -- IF YOU HAD 1312 00:51:19,709 --> 00:51:21,210 TO THINK ABOUT THE PRIORITY OF 1313 00:51:21,210 --> 00:51:22,411 THE RECOMMENDATIONS THAT YOU HAD 1314 00:51:22,411 --> 00:51:24,180 AND WHERE WE MIGHT START, WHERE 1315 00:51:24,180 --> 00:51:26,248 WE MIGHT THINK ABOUT BASED ON 1316 00:51:26,248 --> 00:51:28,017 THE MULTIPLE TYPES OF 1317 00:51:28,017 --> 00:51:28,884 RECOMMENDATIONS THAT YOU 1318 00:51:28,884 --> 00:51:31,187 OFFERED, COULD YOU THINK ABOUT 1319 00:51:31,187 --> 00:51:32,388 WHAT YOU MIGHT PRIORITIZE, WHAT 1320 00:51:32,388 --> 00:51:34,123 WE MIGHT PRIORITIZE AS THE FIRST 1321 00:51:34,123 --> 00:51:37,026 THING BASED ON YOUR REVIEW? 1322 00:51:37,026 --> 00:51:38,995 THAT'S A TOUGH QUESTION, I 1323 00:51:38,995 --> 00:51:39,528 REALIZE. 1324 00:51:39,528 --> 00:51:40,429 >> IT'S A REALLY TOUGH 1325 00:51:40,429 --> 00:51:41,630 QUESTIONS, IT'S LIKE WHICH OF 1326 00:51:41,630 --> 00:51:43,599 YOUR CHILDREN DO YOU LIKE THE 1327 00:51:43,599 --> 00:51:43,899 MOST. 1328 00:51:43,899 --> 00:51:47,436 BUT I WOULD SAY I WOULD INVEST 1329 00:51:47,436 --> 00:51:50,339 IN THE EARLY CAREER 1330 00:51:50,339 --> 00:51:50,773 INVESTIGATORS. 1331 00:51:50,773 --> 00:51:54,944 I THINK IT'S AN AREA THAT IS 1332 00:51:54,944 --> 00:51:56,379 SUFFERING BECAUSE OF SO MANY 1333 00:51:56,379 --> 00:52:00,783 THINGS, AND I THINK WE NEED TO 1334 00:52:00,783 --> 00:52:02,818 MAKE SURE THAT THE -- THAT WE 1335 00:52:02,818 --> 00:52:04,787 DON'T LOSE THE CADRE OF 1336 00:52:04,787 --> 00:52:07,556 INVESTIGATORS THAT ARE POISED TO 1337 00:52:07,556 --> 00:52:13,496 BE THE INHERITORS OF ALL OF THIS 1338 00:52:13,496 --> 00:52:14,597 WEALTH OF -- INTELLECTUAL 1339 00:52:14,597 --> 00:52:16,298 WEALTH, THAT WE DON'T LET THEM 1340 00:52:16,298 --> 00:52:19,802 FALL THROUGH THE CRACKS SO I 1341 00:52:19,802 --> 00:52:20,736 WOULD INVEST IN EARLY-CAREER 1342 00:52:20,736 --> 00:52:22,605 INVESTIGATORS, THAT WOULD BE MY 1343 00:52:22,605 --> 00:52:25,674 NUMBER ONE TOP CHOICE. 1344 00:52:25,674 --> 00:52:27,910 >> I WILL SECOND THAT, WITH AN 1345 00:52:27,910 --> 00:52:29,678 ADDENDUM, WHICH IS I THINK OF 1346 00:52:29,678 --> 00:52:31,614 EARLY STAGE INVESTIGATORS AS 1347 00:52:31,614 --> 00:52:32,681 INNOVATORS, AND SO MUCH OF WHAT 1348 00:52:32,681 --> 00:52:37,319 WE HEARD AROUND DATA SCIENCE, 1349 00:52:37,319 --> 00:52:38,854 ARTIFICIAL INTELLIGENCE, WILL 1350 00:52:38,854 --> 00:52:39,855 REQUIRE NEW VOICES AND 1351 00:52:39,855 --> 00:52:42,658 PERSPECTIVES, HOW TO MAKE SURE 1352 00:52:42,658 --> 00:52:43,759 WE'RE BRINGING COMMUNITY VOICE 1353 00:52:43,759 --> 00:52:45,194 INTO THE TECH SECTOR. 1354 00:52:45,194 --> 00:52:48,364 THAT BRIDGING OF MAKING SURE 1355 00:52:48,364 --> 00:52:49,932 THAT THERE ARE -- EVERYBODY IS 1356 00:52:49,932 --> 00:52:52,068 AROUND THE TABLE AS WE THINKING 1357 00:52:52,068 --> 00:52:53,369 ABOUT HUGE DATA STREAMS AND 1358 00:52:53,369 --> 00:52:55,037 WE'RE MAKING SENSE OF THESE NEW 1359 00:52:55,037 --> 00:52:58,340 ALGORITHMS WILL BE REALLY 1360 00:52:58,340 --> 00:53:02,111 IMPORTANT, SO FULLY AGREE WITH 1361 00:53:02,111 --> 00:53:04,280 DR. ALEGRIA BUT PLUGGING IN 1362 00:53:04,280 --> 00:53:05,481 TECHNICAL EXPERTISE ALSO ON DATA 1363 00:53:05,481 --> 00:53:07,716 SCIENCE AS A PRIORITY FOR ME. 1364 00:53:07,716 --> 00:53:10,086 >> AND I MEAN, I WOULD ADD MY 1365 00:53:10,086 --> 00:53:12,922 ADDENDUM WOULD BE TO MAKE SURE 1366 00:53:12,922 --> 00:53:16,192 THAT WE ARE EXPANSIVE ON THE 1367 00:53:16,192 --> 00:53:16,525 DISCIPLINES. 1368 00:53:16,525 --> 00:53:18,994 I THINK WE NEED TO BRING 1369 00:53:18,994 --> 00:53:20,463 BUSINESS PEOPLE WITH BUSINESS 1370 00:53:20,463 --> 00:53:21,130 ACUMEN. 1371 00:53:21,130 --> 00:53:24,633 I THINK WE NEED TO BRING PEOPLE 1372 00:53:24,633 --> 00:53:26,869 OF DEMOGRAPHY BECAUSE SO MUCH OF 1373 00:53:26,869 --> 00:53:29,171 THE DATA ON GEOGRAPHY IS SO 1374 00:53:29,171 --> 00:53:32,608 CENTRAL, SO I THINK WE NEED TO 1375 00:53:32,608 --> 00:53:37,713 EXPAND THE DISCIPLINES THAT HAVE 1376 00:53:37,713 --> 00:53:39,982 BEEN FUNDED AT NIMHD. 1377 00:53:39,982 --> 00:53:40,616 >> THANK YOU. 1378 00:53:40,616 --> 00:53:44,220 THANK YOU FOR THOSE SUGGESTIONS. 1379 00:53:44,220 --> 00:53:53,162 APPRECIATE THAT. 1380 00:53:53,162 --> 00:53:58,467 >> THANK YOU VERY MUCH FOR THE 1381 00:53:58,467 --> 00:53:59,235 PRESENTATIONS. 1382 00:53:59,235 --> 00:54:01,871 WE'RE GOING TO REQUEST THAT DR. 1383 00:54:01,871 --> 00:54:03,572 BAUERMEISTER THAT THE COUNCIL 1384 00:54:03,572 --> 00:54:08,310 ACCEPT THE REPORT OF THE WORKING 1385 00:54:08,310 --> 00:54:08,644 GROUP. 1386 00:54:08,644 --> 00:54:09,678 >> SO MOVED. 1387 00:54:09,678 --> 00:54:12,982 >> CAN I GET A COUNCIL MEMBER TO 1388 00:54:12,982 --> 00:54:16,252 SECOND? 1389 00:54:16,252 --> 00:54:17,353 >> SECOND IT. 1390 00:54:17,353 --> 00:54:19,655 >> THANK YOU VERY MUCH. 1391 00:54:19,655 --> 00:54:21,757 NOW, COUNCIL MEMBERS, IN YOUR 1392 00:54:21,757 --> 00:54:24,894 INFINITE WISDOM, IF YOU AGREE TO 1393 00:54:24,894 --> 00:54:28,397 THIS PLEASE TYPE Y OR YES IN THE 1394 00:54:28,397 --> 00:54:29,565 CHAT BOX. 1395 00:54:29,565 --> 00:54:32,368 AND OF COURSE YOU HAVE THE 1396 00:54:32,368 --> 00:54:33,602 OPPORTUNITY TO TYPE NO IF YOU DO 1397 00:54:33,602 --> 00:54:40,676 NOT ACCEPT THE REPORT. 1398 00:54:40,676 --> 00:54:48,617 SO, WE'LL GIVE YOU A FEW SECONDS 1399 00:54:48,617 --> 00:54:58,894 TO ENTER YOUR -- 1400 00:55:01,263 --> 00:55:01,730 OKAY. 1401 00:55:01,730 --> 00:55:05,568 WE HAVE 100% AGREEMENT THAT THIS 1402 00:55:05,568 --> 00:55:07,870 WONDERFUL REPORT WILL BE 1403 00:55:07,870 --> 00:55:09,605 ACCEPTED BY THE COUNCIL, SO THE 1404 00:55:09,605 --> 00:55:20,149 WORK OF THIS PARTICULAR WORKING 1405 00:55:22,384 --> 00:55:23,052 GROUP IS DONE. 1406 00:55:23,052 --> 00:55:24,086 THANK YOU VERY MUCH. 1407 00:55:24,086 --> 00:55:25,120 WE'RE AHEAD OF TIME. 1408 00:55:25,120 --> 00:55:28,424 WHAT I WANT TO DO IS MAKE SURE 1409 00:55:28,424 --> 00:55:30,125 THAT COUNCIL MEMBERS KNOW ABOUT 1410 00:55:30,125 --> 00:55:36,265 OUR FUTURE DATES FOR COUNCIL 1411 00:55:36,265 --> 00:55:37,233 MEETINGS. 1412 00:55:37,233 --> 00:55:40,669 SEPTEMBER 5, 2025. 1413 00:55:40,669 --> 00:55:43,439 FEBRUARY 6, 2026. 1414 00:55:43,439 --> 00:55:47,376 MAY 19, 2026. 1415 00:55:47,376 --> 00:55:51,447 AND AUGUST 11, 2026. 1416 00:55:51,447 --> 00:55:53,115 AND AS YOU'RE AWARE, WE'D LIKE 1417 00:55:53,115 --> 00:55:57,086 YOU TO REVIEW THE DATES, MAKE 1418 00:55:57,086 --> 00:56:02,057 SURE YOU HAVE THEM AVAILABLE IF 1419 00:56:02,057 --> 00:56:03,192 AT ALL POSSIBLE AND COUNCIL 1420 00:56:03,192 --> 00:56:05,894 MEMBERS ARE ALLOWED TO HAVE ONE 1421 00:56:05,894 --> 00:56:07,796 ABSENCE PER CALENDAR YEAR, AND 1422 00:56:07,796 --> 00:56:09,231 AN INDIVIDUAL CANNOT SERVE ON 1423 00:56:09,231 --> 00:56:13,002 PEER REVIEW PANEL WHILE SERVING 1424 00:56:13,002 --> 00:56:14,937 AS A MEMBER OF COUNCIL. 1425 00:56:14,937 --> 00:56:17,406 WITH THAT, WE'RE ACTUALLY AT 1426 00:56:17,406 --> 00:56:20,276 11:00 A.M., WE'RE ABOUT 15 1427 00:56:20,276 --> 00:56:22,177 MINUTES AHEAD OF OUR NEXT 1428 00:56:22,177 --> 00:56:22,478 PRESENTER. 1429 00:56:22,478 --> 00:56:24,513 WE COULD EITHER JUMP RIGHT IN OR 1430 00:56:24,513 --> 00:56:26,382 WE CAN TAKE A 15-MINUTE BREAK. 1431 00:56:26,382 --> 00:56:34,423 I WILL LET THE PRESENTER MAKE 1432 00:56:34,423 --> 00:56:36,692 THAT DECISION. 1433 00:56:36,692 --> 00:56:39,295 >> I'M THE NEXT PRESENTER. 1434 00:56:39,295 --> 00:56:41,030 I AM READY OR WE CAN TAKE A 1435 00:56:41,030 --> 00:56:41,463 BREAK. 1436 00:56:41,463 --> 00:56:42,831 IT'S UP TO THE COUNCIL IF YOU 1437 00:56:42,831 --> 00:56:43,699 NEED A BREAK. 1438 00:56:43,699 --> 00:56:45,467 OTHERWISE WE CAN GO INTO -- I 1439 00:56:45,467 --> 00:56:46,935 CAN TELL YOU MY REPORT AND 1440 00:56:46,935 --> 00:56:53,742 DISCUSSION WILL NOT BE AN HOUR. 1441 00:56:53,742 --> 00:56:57,212 >> DO WE NEED A BREAK OR READY 1442 00:56:57,212 --> 00:56:59,148 TO MOVE FORWARD? 1443 00:56:59,148 --> 00:57:03,185 >> MOVE ON. 1444 00:57:03,185 --> 00:57:06,555 >> MOVE ON. 1445 00:57:06,555 --> 00:57:08,590 >> YEAH, MOVE FORWARD. 1446 00:57:08,590 --> 00:57:09,091 >> OKAY. 1447 00:57:09,091 --> 00:57:19,568 SO LET'S GET THE SLIDES UP. 1448 00:57:22,271 --> 00:57:22,571 >> GREAT. 1449 00:57:22,571 --> 00:57:23,505 SO THANK YOU, DR. COTTON. 1450 00:57:23,505 --> 00:57:26,975 AGAIN, THANKS TO THE WORKING 1451 00:57:26,975 --> 00:57:28,277 GROUP FOR THAT AMAZING WORK. 1452 00:57:28,277 --> 00:57:30,779 I ALSO WANT TO THANK EVERYONE 1453 00:57:30,779 --> 00:57:33,015 AGAIN FOR ATTENDING OUR MAY 2025 1454 00:57:33,015 --> 00:57:34,483 COUNCIL MEETING. 1455 00:57:34,483 --> 00:57:37,252 SO, FOR THE NEXT 20, 30 MINUTES 1456 00:57:37,252 --> 00:57:40,923 I WILL HIGHLIGHT A SELECT SET OF 1457 00:57:40,923 --> 00:57:43,325 ACTIVITIES AT NIH AND NIMHD OVER 1458 00:57:43,325 --> 00:57:52,601 THE PAST FEW MONTHS. 1459 00:57:52,601 --> 00:57:53,602 NEXT SLIDE. 1460 00:57:53,602 --> 00:57:55,404 THIS IS A BRIEF HISTORY OF 1461 00:57:55,404 --> 00:57:55,704 NIMHD. 1462 00:57:55,704 --> 00:57:58,974 I SHARE THIS TO MAKE TWO 1463 00:57:58,974 --> 00:58:00,175 OVERARCHING POINTS. 1464 00:58:00,175 --> 00:58:02,244 FIRST, WE RECENTLY ACHIEVED A 1465 00:58:02,244 --> 00:58:05,981 MILESTONE OF 15 YEARS AS AN NIH 1466 00:58:05,981 --> 00:58:06,348 INSTITUTE. 1467 00:58:06,348 --> 00:58:10,152 NIMHD STARTED AS AN OFFICE IN 1468 00:58:10,152 --> 00:58:11,987 1990, BECAME A CENTER IN 2000, 1469 00:58:11,987 --> 00:58:15,023 AND WAS ESTABLISHED AS AN 1470 00:58:15,023 --> 00:58:16,125 INSTITUTE IN 2010. 1471 00:58:16,125 --> 00:58:19,194 I THINK IT'S IMPORTANT TO 1472 00:58:19,194 --> 00:58:20,396 ACKNOWLEDGE THIS MILESTONE. 1473 00:58:20,396 --> 00:58:22,297 BUT REALLY 15 YEARS IS NOT A 1474 00:58:22,297 --> 00:58:26,869 LONG TIME. 1475 00:58:26,869 --> 00:58:28,103 MY OLDEST CHILD TURNED 14, 1476 00:58:28,103 --> 00:58:32,708 SEEMED LIKE HE GOT HERE 1477 00:58:32,708 --> 00:58:33,308 YESTERDAY. 1478 00:58:33,308 --> 00:58:33,842 RESEARCH INVESTMENTS HAVE 1479 00:58:33,842 --> 00:58:35,411 INCREASED OVER THE TIME IN THIS 1480 00:58:35,411 --> 00:58:37,713 AREA BUT THERE ARE BROAD 1481 00:58:37,713 --> 00:58:39,248 QUESTIONS THAT NEED TO BE 1482 00:58:39,248 --> 00:58:44,019 INVESTIGATED, MORE TO LEARN TO 1483 00:58:44,019 --> 00:58:45,788 UNDERSTAND MULTI FACETED NATURE 1484 00:58:45,788 --> 00:58:47,289 OF WHY HEALTH DISPARITIES 1485 00:58:47,289 --> 00:58:48,624 PERSIST ACROSS GENERATIONS AND 1486 00:58:48,624 --> 00:58:51,693 POPULATIONS, MOVING TO THE NEXT 1487 00:58:51,693 --> 00:58:52,394 PHASE WITH URGENCY, DETERMINING 1488 00:58:52,394 --> 00:58:54,496 WHAT WE CAN DO TO ADDRESS THEM 1489 00:58:54,496 --> 00:58:58,200 IN SUSTAINABLE WAYS. 1490 00:58:58,200 --> 00:58:59,435 NEXT SLIDE. 1491 00:58:59,435 --> 00:59:01,003 AND WITH THAT, OUR MISSION 1492 00:59:01,003 --> 00:59:03,138 REMAINS STRONG AND THAT IS TO 1493 00:59:03,138 --> 00:59:04,773 LEAD SCIENTIFIC RESEARCH AIMED 1494 00:59:04,773 --> 00:59:09,545 AT IMPROVING HEALTH AND REDUCIG 1495 00:59:09,545 --> 00:59:10,746 HEALTH DISPARITIES, COORDINATE 1496 00:59:10,746 --> 00:59:12,281 WITH THE ULTIMATE GOAL OF 1497 00:59:12,281 --> 00:59:16,385 ENSURING GOOD HEALTH FOR ALL 1498 00:59:16,385 --> 00:59:16,785 POPULATIONS. 1499 00:59:16,785 --> 00:59:19,521 OUR INSTITUTION CONDUCTS AND 1500 00:59:19,521 --> 00:59:20,489 SUPPORTS MULTI-DISCIPLINARY 1501 00:59:20,489 --> 00:59:22,257 RESEARCH SPANNING INTEGRATIVE 1502 00:59:22,257 --> 00:59:23,192 BIOLOGICAL AND BEHAVIORAL 1503 00:59:23,192 --> 00:59:24,626 SCIENCES, CLINICAL AND HEALTH 1504 00:59:24,626 --> 00:59:25,861 SERVICES RESEARCH, AS YOU HEARD 1505 00:59:25,861 --> 00:59:28,564 COMMUNITY HEALTH AND POPULATION 1506 00:59:28,564 --> 00:59:29,198 SCIENCE. 1507 00:59:29,198 --> 00:59:32,501 OUR SCIENCE IS DEDICATED TO 1508 00:59:32,501 --> 00:59:34,436 ADDRESSING CRITICAL RESEARCH 1509 00:59:34,436 --> 00:59:36,638 GAPS BY APPLYING RIGOROUS 1510 00:59:36,638 --> 00:59:38,307 SCIENTIFIC METHODS TO GENERATE 1511 00:59:38,307 --> 00:59:42,211 KNOWLEDGE NEEDED AND TO PROVIDE 1512 00:59:42,211 --> 00:59:43,378 ESSENTIAL EVIDENCE AROUND THE 1513 00:59:43,378 --> 00:59:44,146 UNDERLYING CONTRIBUTORS TO 1514 00:59:44,146 --> 00:59:45,380 HEALTH DISPARITIES. 1515 00:59:45,380 --> 00:59:48,951 WE DO THIS THINKING ABOUT ACROSS 1516 00:59:48,951 --> 00:59:49,818 POPULATIONS, ACROSS DISEASES, 1517 00:59:49,818 --> 00:59:52,488 ACROSS CONDITIONS. 1518 00:59:52,488 --> 00:59:55,123 WE ARE ALSO RESPONDING TO 1519 00:59:55,123 --> 00:59:56,992 POPULATION NEEDS AND ADVANCING 1520 00:59:56,992 --> 00:59:58,560 EVIDENCE-BASED CLINICAL AND 1521 00:59:58,560 --> 00:59:59,728 COMMUNITY INTERVENTIONS, I WANT 1522 00:59:59,728 --> 01:00:03,232 TO PAUSE HERE JUST TO EXPRESS MY 1523 01:00:03,232 --> 01:00:05,067 DEEP GRATITUDE TO STAFF MEMBERS 1524 01:00:05,067 --> 01:00:08,971 AT NIH, NIMHD, AND THE SCIENCE 1525 01:00:08,971 --> 01:00:09,638 TEAMS INCLUDING COMMUNITY 1526 01:00:09,638 --> 01:00:12,708 PARTNERS ACROSS THE COUNTRY 1527 01:00:12,708 --> 01:00:14,910 WORKING TO REDUCE DISPARITIES, I 1528 01:00:14,910 --> 01:00:15,944 APPLAUD YOUR UNWAVERING 1529 01:00:15,944 --> 01:00:18,647 DEDICATION TO SCIENCE OF HEALTH 1530 01:00:18,647 --> 01:00:19,681 DISPARITIES, HEALTH PROMOTION, 1531 01:00:19,681 --> 01:00:23,318 SAVING LIVES THROUGH THIS 1532 01:00:23,318 --> 01:00:24,419 RESEARCH. 1533 01:00:24,419 --> 01:00:26,889 NEXT SLIDE PLEASE. 1534 01:00:26,889 --> 01:00:31,093 NEXT I HAVE TWO IMPORTANT NIH 1535 01:00:31,093 --> 01:00:31,426 UPDATES. 1536 01:00:31,426 --> 01:00:31,860 NEXT SLIDE. 1537 01:00:31,860 --> 01:00:40,168 FIRST NIH HAS A NEW DIRECTOR, HE 1538 01:00:40,168 --> 01:00:42,304 BEGAN HIS TENURE ON APRIL 1, WAS 1539 01:00:42,304 --> 01:00:46,375 CONFIRMED BY THE U.S. SENATE ON 1540 01:00:46,375 --> 01:00:52,581 MARCH 25, BACHELOR AND MASTER'S 1541 01:00:52,581 --> 01:00:55,217 DEGREES FROM STANFORD, MEDICAL 1542 01:00:55,217 --> 01:00:57,052 SCHOOL, AND Ph.D. IN ECONOMICS 1543 01:00:57,052 --> 01:00:59,855 AT STANFORD UNIVERSITY, HE IS A 1544 01:00:59,855 --> 01:01:01,890 SCIENTIST AND HEALTH ECONOMIST 1545 01:01:01,890 --> 01:01:07,629 WHO HELD TENURED PROFESSOR AT 1546 01:01:07,629 --> 01:01:10,098 STANFORD, RESEARCH HAS FOCUSED 1547 01:01:10,098 --> 01:01:12,267 ON POPULATION AGING AND CHRONIC 1548 01:01:12,267 --> 01:01:14,636 DISEASES, PARTICULARLY ON THE 1549 01:01:14,636 --> 01:01:16,705 HEALTH OF AND WELL-BEING OF 1550 01:01:16,705 --> 01:01:17,205 VULNERABLE POPULATIONS. 1551 01:01:17,205 --> 01:01:19,975 SO WE WELCOME HIM. 1552 01:01:19,975 --> 01:01:21,777 NEXT SLIDE. 1553 01:01:21,777 --> 01:01:22,911 AND HERE ARE HIS INITIAL 1554 01:01:22,911 --> 01:01:25,180 PRIORITIES WHICH HE HAS 1555 01:01:25,180 --> 01:01:27,215 DISCUSSED PUBLICLY, FIRST IS 1556 01:01:27,215 --> 01:01:29,318 FOCUS ON IMPROVING POPULATION 1557 01:01:29,318 --> 01:01:31,219 HEALTH, WHETHER THROUGH BASIC 1558 01:01:31,219 --> 01:01:32,921 RESEARCH OR APPLIED STUDIES, THE 1559 01:01:32,921 --> 01:01:34,923 WORK OF NIH IS HERE TO ADDRESS 1560 01:01:34,923 --> 01:01:36,792 THE REAL AND PRESSING HEALTH 1561 01:01:36,792 --> 01:01:39,194 CHALLENGES OF OUR NATION, 1562 01:01:39,194 --> 01:01:40,095 PARTICULARLY THE CHRONIC 1563 01:01:40,095 --> 01:01:43,131 DISEASES THAT AFFECT MILLIONS OF 1564 01:01:43,131 --> 01:01:43,365 LIVES. 1565 01:01:43,365 --> 01:01:47,202 SO, THE RESEARCH MUST BE 1566 01:01:47,202 --> 01:01:48,036 PURPOSEFUL, ENSURING DISCOVERIES 1567 01:01:48,036 --> 01:01:49,471 TRANSLATE INTO BETTER CARE, 1568 01:01:49,471 --> 01:01:52,074 PREVENTION, AND TREATMENTS FOR 1569 01:01:52,074 --> 01:01:52,507 ALL. 1570 01:01:52,507 --> 01:01:56,244 NEXT IS REPRODUCIBILITY AND 1571 01:01:56,244 --> 01:01:59,181 RIGOR, SCIENCE MUST BE RIGOROUS 1572 01:01:59,181 --> 01:02:01,817 AND HE EMPHASIZES RESPONSIBILITY 1573 01:02:01,817 --> 01:02:03,185 TO INCREASE REPRODUCIBILITY IN 1574 01:02:03,185 --> 01:02:05,287 THE BIOMEDICAL SCIENCES AND 1575 01:02:05,287 --> 01:02:07,155 ENSURE THAT THE FINDINGS WE 1576 01:02:07,155 --> 01:02:09,625 PRODUCE STAND THE TEST OF TIME 1577 01:02:09,625 --> 01:02:10,158 AND SCRUTINY. 1578 01:02:10,158 --> 01:02:12,160 THE OTHER PIECE OF THIS IS 1579 01:02:12,160 --> 01:02:13,895 INNOVATION AND COLLABORATION, IN 1580 01:02:13,895 --> 01:02:15,764 TERMS OF HIS PRIORITIES, HE 1581 01:02:15,764 --> 01:02:18,800 STATED WE MUST EMBRACE NEW 1582 01:02:18,800 --> 01:02:20,469 TECHNOLOGIES, FRESH IDEAS, 1583 01:02:20,469 --> 01:02:23,305 AROUND PIONEERING APPROACHES TO 1584 01:02:23,305 --> 01:02:24,740 OUR OLD CHALLENGES AND THIS 1585 01:02:24,740 --> 01:02:26,942 PROGRESS WOULD COME WHEN WE 1586 01:02:26,942 --> 01:02:28,110 BREAK BARRIERS AND PUSH 1587 01:02:28,110 --> 01:02:30,779 BOUNDARIES AND WORK TOGETHER 1588 01:02:30,779 --> 01:02:31,980 ACROSS DISCIPLINES. 1589 01:02:31,980 --> 01:02:32,914 RESEARCH SAFETY AND 1590 01:02:32,914 --> 01:02:34,683 TRANSPARENCY, DIRECTOR WANTS TO 1591 01:02:34,683 --> 01:02:36,018 ENSURE THAT EXPERIMENTS 1592 01:02:36,018 --> 01:02:39,588 SUPPORTED BY NIH POSE NO RISK OF 1593 01:02:39,588 --> 01:02:40,822 HARM TO HUMAN POPULATIONS AS 1594 01:02:40,822 --> 01:02:44,760 WELL AS MEET THE HIGHEST ETHICAL 1595 01:02:44,760 --> 01:02:45,227 STANDARDS. 1596 01:02:45,227 --> 01:02:46,828 FINALLY WITH RESPECT TO ACADEMIC 1597 01:02:46,828 --> 01:02:49,031 FREEDOM HE IS SEEKING TO 1598 01:02:49,031 --> 01:02:51,400 CULTIVATE AT NIH AND BROADER 1599 01:02:51,400 --> 01:02:52,768 SCIENTIFIC COMMUNITY AN 1600 01:02:52,768 --> 01:02:53,802 ENVIRONMENT WHERE DIFFERENT 1601 01:02:53,802 --> 01:02:56,538 PERSPECTIVES ARE NOT JUST 1602 01:02:56,538 --> 01:02:58,440 WELCOMED BUT ENCOURAGED, AND HE 1603 01:02:58,440 --> 01:02:59,808 TALKS ABOUT THAT THE IMPORTANCE 1604 01:02:59,808 --> 01:03:02,878 OF HAVING BOLD IDEAS AND HOW WE 1605 01:03:02,878 --> 01:03:03,879 CAN THRIVE WHEN SCIENTISTS ARE 1606 01:03:03,879 --> 01:03:06,148 FREE TO ASK HARD QUESTIONS AND 1607 01:03:06,148 --> 01:03:07,516 CHALLENGE ASSUMPTIONS. 1608 01:03:07,516 --> 01:03:08,583 THESE ARE HIS STARTING POINTS. 1609 01:03:08,583 --> 01:03:11,653 THEY SEEM TO BE FORMING THE 1610 01:03:11,653 --> 01:03:12,854 BACKBONES OF HIS INITIAL 1611 01:03:12,854 --> 01:03:15,957 PRIORITIES, WE MAY SEE THEM 1612 01:03:15,957 --> 01:03:16,591 EVOLVE OVER TIME. 1613 01:03:16,591 --> 01:03:26,301 I WANTED TO SHARE THAT WITH YOU. 1614 01:03:26,301 --> 01:03:28,003 NEXT SLIDE. 1615 01:03:28,003 --> 01:03:30,372 NIH IS CURRENTLY ACCEPTING 1616 01:03:30,372 --> 01:03:30,739 APPLICATIONS. 1617 01:03:30,739 --> 01:03:32,774 PLEASE NOTE THAT SOME FUNDING 1618 01:03:32,774 --> 01:03:34,142 OPPORTUNITIES HAVE CLOSED AND 1619 01:03:34,142 --> 01:03:36,344 OTHERS HAVE BEEN UPDATED TO 1620 01:03:36,344 --> 01:03:38,246 ALIGN WITH AGENCY PRIORITIES. 1621 01:03:38,246 --> 01:03:41,116 SO I WOULD ENCOURAGE APPLICANTS, 1622 01:03:41,116 --> 01:03:43,285 POTENTIAL APPLICANTS TO CAREFUL 1623 01:03:43,285 --> 01:03:44,953 REVIEW FUNDING OPPORTUNITIES FOR 1624 01:03:44,953 --> 01:03:46,688 CHANGES, TO PRIOR SUBMISSIONS, 1625 01:03:46,688 --> 01:03:50,325 AND TO ADJUST APPLICATIONS 1626 01:03:50,325 --> 01:03:50,759 ACCORDINGLY. 1627 01:03:50,759 --> 01:03:52,661 I ALSO ENCOURAGE POTENTIAL 1628 01:03:52,661 --> 01:03:55,030 APPLICANTS TO REVIEW THE NIH 1629 01:03:55,030 --> 01:03:58,734 POLICIES AND COMPLIANCE WEB PAGE 1630 01:03:58,734 --> 01:04:00,502 FOR CHANGES, A WEB PAGE YOU CAN 1631 01:04:00,502 --> 01:04:03,605 GOOGLE AND GO TO AND CHECK FOR 1632 01:04:03,605 --> 01:04:06,408 KEY CHANGES TO POLICY 1633 01:04:06,408 --> 01:04:07,275 STATEMENTS, REQUIREMENTS, AND 1634 01:04:07,275 --> 01:04:07,542 REPORTING. 1635 01:04:07,542 --> 01:04:12,147 I ENCOURAGE YOU TO DO THAT AND 1636 01:04:12,147 --> 01:04:13,849 CHECK BACK AS NEEDED. 1637 01:04:13,849 --> 01:04:14,483 NEXT SLIDE. 1638 01:04:14,483 --> 01:04:15,550 THOSE ARE THE TWO MAJOR UPDATES 1639 01:04:15,550 --> 01:04:17,385 AT THE NIH LEVEL. 1640 01:04:17,385 --> 01:04:19,755 NOW I'LL TURN TO A FEW NIMHD 1641 01:04:19,755 --> 01:04:20,889 SCIENCE ADVANCES BECAUSE IT'S 1642 01:04:20,889 --> 01:04:22,691 VERY IMPORTANT WE CONTINUE 1643 01:04:22,691 --> 01:04:24,459 TALKING ABOUT SCIENCE AND 1644 01:04:24,459 --> 01:04:26,595 CONDUCTING THE SCIENCE NEEDED TO 1645 01:04:26,595 --> 01:04:29,498 ADVANCE THE NIH MISSION WITH 1646 01:04:29,498 --> 01:04:30,866 CONTRIBUTIONS FROM NIMHD. 1647 01:04:30,866 --> 01:04:34,536 I HAVE SELECTED SIX OF MANY 1648 01:04:34,536 --> 01:04:35,737 RECENT NIMHD-SUPPORTED 1649 01:04:35,737 --> 01:04:36,872 PUBLICATIONS TO SHARE. 1650 01:04:36,872 --> 01:04:37,539 NEXT SLIDE. 1651 01:04:37,539 --> 01:04:40,342 BEFORE I REALLY GET INTO THESE 1652 01:04:40,342 --> 01:04:41,643 ADVANCES I WANT TO HIGHLIGHT 1653 01:04:41,643 --> 01:04:42,978 SOMETHING WE JUST HEARD A BIT 1654 01:04:42,978 --> 01:04:45,881 ABOUT, THAT IS THE ROLE OF 1655 01:04:45,881 --> 01:04:47,282 INTERDISCIPLINARY RESEARCH, AT 1656 01:04:47,282 --> 01:04:49,251 THE HEART OF OUR RESEARCH 1657 01:04:49,251 --> 01:04:52,154 EFFORTS AT NIMHD TO UNDERSTAND 1658 01:04:52,154 --> 01:04:53,288 AND ELIMINATE HEALTH 1659 01:04:53,288 --> 01:04:54,856 DISPARITIES. 1660 01:04:54,856 --> 01:04:55,657 HEALTH DISPARITIES ARE RARELY 1661 01:04:55,657 --> 01:04:59,327 THE RESULT OF A SINGLE FACTOR; 1662 01:04:59,327 --> 01:05:02,130 THEY ARE INFLUENCED BY THE 1663 01:05:02,130 --> 01:05:03,031 INTERPLAY OF BIOLOGICAL 1664 01:05:03,031 --> 01:05:04,566 BEHAVIORAL, SOCIAL AND 1665 01:05:04,566 --> 01:05:08,003 ENVIRONMENTAL FACTORS, AND SO 1666 01:05:08,003 --> 01:05:09,337 ADDRESSING THESE ISSUES 1667 01:05:09,337 --> 01:05:14,242 EFFECTIVELY REQUIRES INTEGRATING 1668 01:05:14,242 --> 01:05:19,147 KNOWLEDGE AND METHODS FROM 1669 01:05:19,147 --> 01:05:28,256 MULTIPLE DISCIPLINES, PLACING 1670 01:05:28,256 --> 01:05:29,491 EMPHASIS ON INTERDISCIPLINARY 1671 01:05:29,491 --> 01:05:32,160 RESEARCH, DR. BAUERMEISTER WAS 1672 01:05:32,160 --> 01:05:33,028 TALKING ABOUT CROSS-SECTOR 1673 01:05:33,028 --> 01:05:35,130 PARTNERSHIPS IN THE A.I., ML, 1674 01:05:35,130 --> 01:05:36,631 AND TEST SPACE. 1675 01:05:36,631 --> 01:05:40,101 AS AN EXAMPLE WE CAN CREATE MORE 1676 01:05:40,101 --> 01:05:42,270 TARGETED HOLISTIC AND IMPACTFUL 1677 01:05:42,270 --> 01:05:44,840 HEALTH INTERVENTIONS. 1678 01:05:44,840 --> 01:05:46,041 WE ALSO KNOW INTERDISCIPLINARY 1679 01:05:46,041 --> 01:05:48,376 TEAMS ARE PRIMED TO DEVELOP 1680 01:05:48,376 --> 01:05:49,811 INNOVATIVE INTERVENTIONS AND 1681 01:05:49,811 --> 01:05:51,146 POLICIES BRINGING THEIR VARIED 1682 01:05:51,146 --> 01:05:51,780 PERSPECTIVES. 1683 01:05:51,780 --> 01:05:53,949 WHEN THE RESEARCH WE'RE 1684 01:05:53,949 --> 01:05:55,183 CONDUCTING HAS IMPLICATIONS FOR 1685 01:05:55,183 --> 01:05:56,985 PROMISING OR BEST PRACTICES WE 1686 01:05:56,985 --> 01:05:59,654 SHOULD ALSO BE THINKING ABOUT 1687 01:05:59,654 --> 01:06:02,624 THE TRANSLATION OF RESEARCH INTO 1688 01:06:02,624 --> 01:06:03,892 PRACTICE, INTO EVIDENCE-BASED 1689 01:06:03,892 --> 01:06:05,694 COMMUNITY PROGRAMS, IN HEALTH 1690 01:06:05,694 --> 01:06:08,263 SETTINGS, RELATED POLICIES. 1691 01:06:08,263 --> 01:06:09,998 SO, AS I GO THROUGH THE ADVANCES 1692 01:06:09,998 --> 01:06:13,768 YOU WILL SEE CLEAR EXAMPLES OF 1693 01:06:13,768 --> 01:06:15,370 BOTH MULTI-DISCIPLINARY AND 1694 01:06:15,370 --> 01:06:16,538 INTERDISCIPLINARY SCIENCE AND 1695 01:06:16,538 --> 01:06:18,807 GREAT EXAMPLES OF TEAM SCIENCE 1696 01:06:18,807 --> 01:06:21,009 AND RESEARCH METHODS THAT 1697 01:06:21,009 --> 01:06:24,012 INCLUDE COMMUNITY ENGAGED 1698 01:06:24,012 --> 01:06:24,412 PRINCIPLES. 1699 01:06:24,412 --> 01:06:24,813 NEXT SLIDE. 1700 01:06:24,813 --> 01:06:27,415 SO YOU WILL HEAR ABOUT THIS 1701 01:06:27,415 --> 01:06:29,050 STUDY LATER DURING DR. CHOI'S 1702 01:06:29,050 --> 01:06:30,585 PRESENTATION BUT I DID WANT TO 1703 01:06:30,585 --> 01:06:33,355 TALK ABOUT IT BECAUSE OF HOW 1704 01:06:33,355 --> 01:06:34,756 INTERDISCIPLINARY AND HOW 1705 01:06:34,756 --> 01:06:36,191 IMPACTFUL THIS PROJECT CONTINUES 1706 01:06:36,191 --> 01:06:36,591 TO BE. 1707 01:06:36,591 --> 01:06:39,127 THIS IS THE GLOBAL BURDEN OF 1708 01:06:39,127 --> 01:06:41,863 DISEASE PROJECT, LED BY THE 1709 01:06:41,863 --> 01:06:45,033 INSTITUTE FOR HEALTH METRICS AND 1710 01:06:45,033 --> 01:06:46,468 EVALUATION, IHME, AT THE 1711 01:06:46,468 --> 01:06:47,302 UNIVERSITY OF WASHINGTON SCHOOL 1712 01:06:47,302 --> 01:06:48,603 OF MEDICINE. 1713 01:06:48,603 --> 01:06:50,906 THIS IS A LARGE SCALE 1714 01:06:50,906 --> 01:06:52,641 COLLABORATIVE EFFORT INVOLVING 1715 01:06:52,641 --> 01:06:54,276 RESEARCHERS FROM OVER 150 1716 01:06:54,276 --> 01:06:56,811 COUNTRIES WITHIN THE U.S., THE 1717 01:06:56,811 --> 01:06:57,646 U.S. HEALTH DISPARITIES 1718 01:06:57,646 --> 01:07:00,749 COLLABORATORS AT NIH ARE KEY 1719 01:07:00,749 --> 01:07:03,952 COMPONENT WORKING IN PARTNERSHIP 1720 01:07:03,952 --> 01:07:06,388 WITH IHME TO INVESTIGATE AND 1721 01:07:06,388 --> 01:07:07,822 QUANTIFY HEALTH DISPARITIES 1722 01:07:07,822 --> 01:07:08,523 ACROSS DIFFERENT POPULATIONS AND 1723 01:07:08,523 --> 01:07:10,892 GEOGRAPHIC AREAS IN THE U.S. 1724 01:07:10,892 --> 01:07:13,862 SO, THIS NEW PUBLICATION IS ONE 1725 01:07:13,862 --> 01:07:17,198 PART OF AN ONGOING SERIES OF 1726 01:07:17,198 --> 01:07:19,434 U.S. COUNTY-LEVEL ANALYSES OVER 1727 01:07:19,434 --> 01:07:21,403 TIME BY RACE AND ETHNICITY. 1728 01:07:21,403 --> 01:07:23,271 I THINK IT'S IMPORTANT BECAUSE 1729 01:07:23,271 --> 01:07:24,739 LOCAL LEVEL GEOGRAPHIC DATA ARE 1730 01:07:24,739 --> 01:07:26,775 NEEDED TO UNCOVER WHAT WE SEE AT 1731 01:07:26,775 --> 01:07:27,809 THE NATIONAL LEVEL. 1732 01:07:27,809 --> 01:07:29,411 AND ALSO TO ADDRESS SORT OF THE 1733 01:07:29,411 --> 01:07:31,313 ROOT CAUSES OF HEALTH 1734 01:07:31,313 --> 01:07:32,047 DISPARITIES AMONG DIFFERENT 1735 01:07:32,047 --> 01:07:34,316 POPULATION GROUPS IN THE U.S. 1736 01:07:34,316 --> 01:07:35,450 SO YOU'LL HEAR ABOUT, REALLY 1737 01:07:35,450 --> 01:07:39,187 WHAT I WANT TO POINT TO THAT 1738 01:07:39,187 --> 01:07:41,756 THIS STUDY WAS LOOKING AT 1739 01:07:41,756 --> 01:07:43,391 EDUCATIONAL DISPARITIES AND LIFE 1740 01:07:43,391 --> 01:07:45,327 EXPECTANCY ACROSS U.S. COUNTIES, 1741 01:07:45,327 --> 01:07:47,362 HIGHLIGHTING HOW THESE 1742 01:07:47,362 --> 01:07:48,763 DIFFERENCES IN EDUCATION LEVELS 1743 01:07:48,763 --> 01:07:50,031 IMPACT OUR LIFESPAN. 1744 01:07:50,031 --> 01:07:52,167 AND WE'VE SEEN NATIONAL TRENDS 1745 01:07:52,167 --> 01:07:53,935 ABOUT THE RELATIONSHIP BETWEEN 1746 01:07:53,935 --> 01:07:55,904 EDUCATION AND LIFE EXPECTANCY 1747 01:07:55,904 --> 01:07:57,305 BUT HERE THESE RESEARCHERS AIM 1748 01:07:57,305 --> 01:08:00,175 TO PROVIDE A MORE DETAILED 1749 01:08:00,175 --> 01:08:02,777 COUNTY-LEVEL ANALYSIS TO LOOK AT 1750 01:08:02,777 --> 01:08:04,713 POPULATIONS THAT MAY BENEFIT 1751 01:08:04,713 --> 01:08:07,816 FROM THINGS LIKE IMPROVED ACCESS 1752 01:08:07,816 --> 01:08:10,452 TO HEALTH CARE IN CERTAIN AREAS. 1753 01:08:10,452 --> 01:08:17,025 SO, I WANT TO POINT OUT IT'S SO 1754 01:08:17,025 --> 01:08:18,960 IMPORTANT THAT WHEN WE THINK 1755 01:08:18,960 --> 01:08:21,763 ABOUT LIFE EXPECTANCY OVER TIME, 1756 01:08:21,763 --> 01:08:25,600 THIS STUDY LOOKS AT BETWEEN 2000 1757 01:08:25,600 --> 01:08:30,472 AND 2019 FINDING WIDESPREAD AND 1758 01:08:30,472 --> 01:08:31,740 INCREASING EDUCATION 1759 01:08:31,740 --> 01:08:32,607 DISPARITIES, VARIATION ACROSS 1760 01:08:32,607 --> 01:08:34,409 TIME AND LOCATION BUT OVERALL 1761 01:08:34,409 --> 01:08:35,677 LIFE EXPECTANCY AMONG PEOPLE WHO 1762 01:08:35,677 --> 01:08:37,445 DIDN'T COMPLETE HIGH SCHOOL WAS 1763 01:08:37,445 --> 01:08:39,180 MARKEDLY LOWER THAN AMONG PEOPLE 1764 01:08:39,180 --> 01:08:43,718 WHO COMPLETED LEDGE. -- COLLEGE. 1765 01:08:43,718 --> 01:08:47,055 WHEN WE THINK ABOUT AN 8-YEAR 1766 01:08:47,055 --> 01:08:49,224 LIFE EXPECTANCY DIFFERENCE FROM 1767 01:08:49,224 --> 01:08:50,859 2000, 11 YEARS IN 2019, OVER A 1768 01:08:50,859 --> 01:08:53,695 DECADE IN TERMS OF YEARS OF 1769 01:08:53,695 --> 01:08:53,962 LIFE. 1770 01:08:53,962 --> 01:08:55,296 SO, WHY IS THIS IMPORTANT TO 1771 01:08:55,296 --> 01:08:56,064 KNOW ABOUT? 1772 01:08:56,064 --> 01:08:59,100 ONE REASON IS THAT THIS RESEARCH 1773 01:08:59,100 --> 01:09:00,602 TELLS THAT COMPELLING AND 1774 01:09:00,602 --> 01:09:01,770 LONGITUDINAL STORY ABOUT 1775 01:09:01,770 --> 01:09:03,171 EDUCATION BASED DISPARITIES, WE 1776 01:09:03,171 --> 01:09:05,140 OFTEN THINK ABOUT AND STUDY 1777 01:09:05,140 --> 01:09:09,244 HEALTH DISPARITIES USING A 1778 01:09:09,244 --> 01:09:12,647 RACIAL AND/OR ETHNIC LENS BUT 1779 01:09:12,647 --> 01:09:14,849 HOW EDUCATION IS IMPORTANT AS A 1780 01:09:14,849 --> 01:09:16,785 VARIABLE, AS WE MOVE FORWARD A 1781 01:09:16,785 --> 01:09:19,354 GREATER FOCUS ON EDUCATION AS 1782 01:09:19,354 --> 01:09:26,394 RELIABLE SES INDICATOR IS 1783 01:09:26,394 --> 01:09:29,030 WARRANTED AND ADDRESSING GAPS 1784 01:09:29,030 --> 01:09:30,398 MAY HELP CLOSE THEM. 1785 01:09:30,398 --> 01:09:33,001 THIS IS A STUDY IN THE PRIMARY 1786 01:09:33,001 --> 01:09:34,269 CARE SETTING. 1787 01:09:34,269 --> 01:09:36,404 WE KNOW THAT EXPERIENCING 1788 01:09:36,404 --> 01:09:39,107 POVERTY AS A CHILD IS RELATED TO 1789 01:09:39,107 --> 01:09:42,410 ADVERSE DEVELOPMENTAL AND HEALTH 1790 01:09:42,410 --> 01:09:42,844 OUTCOMES. 1791 01:09:42,844 --> 01:09:44,145 THERE'S EVIDENCE HAVING A 1792 01:09:44,145 --> 01:09:44,612 POSITIVE PARENT-CHILD 1793 01:09:44,612 --> 01:09:46,347 RELATIONSHIP CAN BE A PROTECTIVE 1794 01:09:46,347 --> 01:09:50,051 FACTOR FOR CHILD DEVELOPMENT. 1795 01:09:50,051 --> 01:09:52,987 SO, VIDEO INTERACTION PROJECT, 1796 01:09:52,987 --> 01:09:55,356 VIP PROGRAM, WAS OFFERED THROUGH 1797 01:09:55,356 --> 01:09:57,692 PEDIATRIC HEALTH CARE SETTINGS 1798 01:09:57,692 --> 01:09:59,194 THAT HELP PARENTS SUPPORT YOUNG 1799 01:09:59,194 --> 01:10:00,161 CHILDREN'S DEVELOPMENT. 1800 01:10:00,161 --> 01:10:02,197 THEY USED SHORT VIDEOS OF 1801 01:10:02,197 --> 01:10:04,165 PARENTS PLAYING OR READING WITH 1802 01:10:04,165 --> 01:10:05,733 THEIR CHILDREN, KIDS UP TO 3 1803 01:10:05,733 --> 01:10:08,803 YEARS OF AGE, TO GIVE FAMILIES 1804 01:10:08,803 --> 01:10:11,840 HELPFUL REALTIME FEEDBACK. 1805 01:10:11,840 --> 01:10:13,842 AND THIS RESEARCH CONTROLS -- 1806 01:10:13,842 --> 01:10:16,878 WAS A RESEARCH CONTROLLED STUDY 1807 01:10:16,878 --> 01:10:20,048 AND SHOWED BASICALLY THAT VIP 1808 01:10:20,048 --> 01:10:21,449 IMPROVED POSITIVE PARENTING 1809 01:10:21,449 --> 01:10:22,016 BEHAVIOR. 1810 01:10:22,016 --> 01:10:23,485 AND OTHER STUDIES HAVE SHOWN 1811 01:10:23,485 --> 01:10:24,886 THAT BUT UNCLEAR HOW MANY 1812 01:10:24,886 --> 01:10:26,454 SESSIONS ARE NEEDED TO MAKE A 1813 01:10:26,454 --> 01:10:28,156 DIFFERENCE WHEN USED IN EVERYDAY 1814 01:10:28,156 --> 01:10:29,624 HEALTHCARE SETTINGS. 1815 01:10:29,624 --> 01:10:34,162 SO HERE THESE RESEARCHERS 1816 01:10:34,162 --> 01:10:35,163 FOLLOWED THESE PARENT-CHILD 1817 01:10:35,163 --> 01:10:37,265 PAIRS, 183 PAIRS, AT A PUBLIC 1818 01:10:37,265 --> 01:10:38,633 HOSPITAL THAT MOSTLY SERVED LOW 1819 01:10:38,633 --> 01:10:41,336 INCOME FAMILIES OR FAMILIES WHO 1820 01:10:41,336 --> 01:10:42,804 WERE UNDERINSURED OR DID NOT 1821 01:10:42,804 --> 01:10:44,973 HAVE INSURANCE AND MEASURED 1822 01:10:44,973 --> 01:10:46,841 PARENTING BEHAVIORS DURING PLAY, 1823 01:10:46,841 --> 01:10:47,642 DURING READING, THEY DID THAT AT 1824 01:10:47,642 --> 01:10:49,944 THE START OF THE STUDY AND THEN 1825 01:10:49,944 --> 01:10:52,747 AFTER ONE OR TWO OF THESE VIP 1826 01:10:52,747 --> 01:10:53,348 SESSIONS. 1827 01:10:53,348 --> 01:10:55,383 AND THE RESULTS FOUND THAT EVEN 1828 01:10:55,383 --> 01:10:59,387 JUST ONE VIP SESSION LED TO THIS 1829 01:10:59,387 --> 01:11:01,022 NOTICEABLE IMPROVEMENT IN 1830 01:11:01,022 --> 01:11:01,856 RESPONSIVE PARENTING. 1831 01:11:01,856 --> 01:11:03,658 SO THAT'S HOW WELL THE PARENT 1832 01:11:03,658 --> 01:11:06,261 NOTICES AND RESPONDS TO THEIR 1833 01:11:06,261 --> 01:11:07,729 CHILD'S SIGNAL, AND EFFECT GREW 1834 01:11:07,729 --> 01:11:09,531 EVEN STRONGER AFTER THE SECOND 1835 01:11:09,531 --> 01:11:10,064 SESSION. 1836 01:11:10,064 --> 01:11:11,666 THIS MEANS PARENTS BECAME MORE 1837 01:11:11,666 --> 01:11:12,967 ENGAGED AND MORE SUPPORTIVE 1838 01:11:12,967 --> 01:11:15,270 DURING PLAYING AND READING WITH 1839 01:11:15,270 --> 01:11:16,771 THEIR CHILD AFTER ONLY ONE OR 1840 01:11:16,771 --> 01:11:17,238 TWO VISITS. 1841 01:11:17,238 --> 01:11:19,707 I THINK THIS IS IMPORTANT 1842 01:11:19,707 --> 01:11:21,676 BECAUSE IT DEMONSTRATES THAT 1843 01:11:21,676 --> 01:11:24,579 JUST ONE OF THE VIDEO 1844 01:11:24,579 --> 01:11:25,513 INTERACTION PROJECT SESSIONS 1845 01:11:25,513 --> 01:11:27,415 DELIVERED DURING A REGULAR WELL 1846 01:11:27,415 --> 01:11:28,750 CHILD VISIT CAN MAKE A 1847 01:11:28,750 --> 01:11:30,118 MEANINGFUL DIFFERENCE IN 1848 01:11:30,118 --> 01:11:31,920 PARENTING AND HAS IMPLICATIONS 1849 01:11:31,920 --> 01:11:32,554 FOR FACILITATING TYPICAL 1850 01:11:32,554 --> 01:11:34,556 DEVELOPMENT IN THEIR CHILDREN. 1851 01:11:34,556 --> 01:11:36,391 AND THIS WORK ALSO SUPPORTS 1852 01:11:36,391 --> 01:11:38,226 MAKING THE PROGRAM AVAILABLE TO 1853 01:11:38,226 --> 01:11:41,396 MORE FAMILIES, EVEN IF THEY 1854 01:11:41,396 --> 01:11:46,801 CAN'T ATTEND EVERY SESSION. 1855 01:11:46,801 --> 01:11:48,603 NEXT SLIDE. 1856 01:11:48,603 --> 01:11:50,738 THIS STUDY EXPLORED A NEW MENTAL 1857 01:11:50,738 --> 01:11:52,173 HEALTH RISK SCREENING TOOL. 1858 01:11:52,173 --> 01:11:56,778 THIS IS ALSO IN THE HEALTH CARE 1859 01:11:56,778 --> 01:11:57,979 SETTING, IT'S DESIGNED FOR 1860 01:11:57,979 --> 01:11:59,247 PATIENTS HOSPITALIZED AFTER 1861 01:11:59,247 --> 01:12:01,282 EMERGENCY CARE WHO ARE AT 1862 01:12:01,282 --> 01:12:03,351 HEIGHTENED RISK FOR ANXIETY, 1863 01:12:03,351 --> 01:12:05,320 DEPRESSION, PTSD. 1864 01:12:05,320 --> 01:12:06,654 SO GIVEN NATIONAL GUIDELINES 1865 01:12:06,654 --> 01:12:08,089 REQUIRING TRAUMA CENTERS TO 1866 01:12:08,089 --> 01:12:10,124 SCREEN HIGH RISK PATIENTS, THESE 1867 01:12:10,124 --> 01:12:11,559 RESEARCHERS SOUGHT TO DEVELOP A 1868 01:12:11,559 --> 01:12:13,194 TOOL THAT HOPEFULLY WOULD 1869 01:12:13,194 --> 01:12:15,096 GENERALIZE ACROSS POPULATIONS SO 1870 01:12:15,096 --> 01:12:16,731 THEY INCLUDED ALL FIVE RACIAL 1871 01:12:16,731 --> 01:12:20,535 AND/OR ETHNIC POPULATIONS IN THE 1872 01:12:20,535 --> 01:12:21,436 STUDY, INCLUDED OVER 1300 1873 01:12:21,436 --> 01:12:23,371 PATIENTS WORKING AT THREE 1874 01:12:23,371 --> 01:12:25,173 HOSPITALS THAT SERVE COMMUNITIES 1875 01:12:25,173 --> 01:12:29,944 WITH RESIDENTS OF VARIOUS 1876 01:12:29,944 --> 01:12:30,745 RACIAL, ETHNIC, SOCIOECONOMIC 1877 01:12:30,745 --> 01:12:33,381 BACKGROUNDS AND IDENTIFIED RISK 1878 01:12:33,381 --> 01:12:34,649 FACTORS AND LATER MEASURED 1879 01:12:34,649 --> 01:12:37,986 MENTAL HEALTH SYMPTOMS. 1880 01:12:37,986 --> 01:12:40,255 SO AFTER TESTING PREDICTORS 1881 01:12:40,255 --> 01:12:43,625 FOUND THAT 10 SCREENS ITEMS 1882 01:12:43,625 --> 01:12:45,159 IDENTIFIED 75% OF PATIENTS WHO 1883 01:12:45,159 --> 01:12:46,594 WOULD BE LIKELY TO DEVELOP 1884 01:12:46,594 --> 01:12:49,497 MENTAL HEALTH SYMPTOMS LATER ON, 1885 01:12:49,497 --> 01:12:52,400 WHILE COMPLETELY RULING OUT 1886 01:12:52,400 --> 01:12:54,936 CORRECTLY 71% OF OTHERS, HIGH 1887 01:12:54,936 --> 01:12:56,304 SENSITIVITY, AND HIGH 1888 01:12:56,304 --> 01:12:58,573 SPECIFICITY OF THIS SCREENER. 1889 01:12:58,573 --> 01:12:59,540 IMPORTANTLY THE SCREENER 1890 01:12:59,540 --> 01:13:02,243 PERFORMED WELL ACROSS ALL FIVE 1891 01:13:02,243 --> 01:13:07,215 RACIAL AND ETHNIC SUBGROUPS 1892 01:13:07,215 --> 01:13:09,250 DEMONSTRATING BROAD 1893 01:13:09,250 --> 01:13:10,685 EFFECTIVENESS AND 1894 01:13:10,685 --> 01:13:11,753 GENERALIZABILITY. 1895 01:13:11,753 --> 01:13:13,755 ANY IS CALLED THE HOSPITAL 1896 01:13:13,755 --> 01:13:16,057 MENTAL HEALTH RISK SCREEN, 1897 01:13:16,057 --> 01:13:16,991 EFFECTIVELY PREDICTED RISKS 1898 01:13:16,991 --> 01:13:18,593 ACROSS POPULATIONS THAT MAKES IT 1899 01:13:18,593 --> 01:13:21,062 A PROMISING TOOL FOR TRAUMA 1900 01:13:21,062 --> 01:13:22,730 CENTERS AND VALIDATED IN FUTURE 1901 01:13:22,730 --> 01:13:25,233 STUDIES THE IDEA IS THAT THIS 1902 01:13:25,233 --> 01:13:27,201 SCREENING METHOD COULD BE WIDELY 1903 01:13:27,201 --> 01:13:28,936 USED TO REDUCE DISPARITIES IN 1904 01:13:28,936 --> 01:13:31,239 REFERRALS AS WELL AS ACCESS TO 1905 01:13:31,239 --> 01:13:35,376 MENTAL HEALTH CARE, COULD ALSO 1906 01:13:35,376 --> 01:13:37,945 IMPROVE OUTCOMES AND SUPPORT 1907 01:13:37,945 --> 01:13:40,181 PREVENTIVE CARE, AND ALSO THINGS 1908 01:13:40,181 --> 01:13:41,516 LIKE ENHANCING EARLY 1909 01:13:41,516 --> 01:13:46,621 INTERVENTION EFFECT FOR PATIENTS 1910 01:13:46,621 --> 01:13:48,489 RECOVERING FROM EMERGENCY CARE. 1911 01:13:48,489 --> 01:13:49,324 NEXT SLIDE. 1912 01:13:49,324 --> 01:13:53,928 I WANT TO START HERE BY 1913 01:13:53,928 --> 01:13:55,229 CREDITING FOR THIS PHOTO A 1914 01:13:55,229 --> 01:13:59,667 PROGRAM OFFICIAL AT NIMHD FOR 1915 01:13:59,667 --> 01:14:02,904 THE COOL PHOTO EXAMINING A 1916 01:14:02,904 --> 01:14:03,705 FAMILY-BASED COMMUNITY-DRIVEN 1917 01:14:03,705 --> 01:14:06,341 INTERVENTION, AIMED AT 1918 01:14:06,341 --> 01:14:07,608 ADDRESSING HEALTH DISPARITIES 1919 01:14:07,608 --> 01:14:11,546 AMONG NATIVE HAWAIIANS WITH A 1920 01:14:11,546 --> 01:14:12,380 SOPHISTICATED FOOD SYSTEM 1921 01:14:12,380 --> 01:14:16,584 FACILITATING LOCAL FOOD 1922 01:14:16,584 --> 01:14:16,918 PRODUCTION. 1923 01:14:16,918 --> 01:14:18,319 CURRENTLY FACE DISPARITIES DUE 1924 01:14:18,319 --> 01:14:19,487 TO LIMITED ACCESS TO HEALTHY 1925 01:14:19,487 --> 01:14:24,225 FOOD THAT USED TO BE PRESENT. 1926 01:14:24,225 --> 01:14:26,861 SO THIS TEACHES FAMILIES HOW TO 1927 01:14:26,861 --> 01:14:31,366 BUILD AND USE BACK YARD 1928 01:14:31,366 --> 01:14:34,335 AQUAPONICS TO GROW THEIR OWN 1929 01:14:34,335 --> 01:14:36,771 FOOD FOR HEALTHIER EAT BE 1930 01:14:36,771 --> 01:14:37,605 HABITS. 1931 01:14:37,605 --> 01:14:41,142 THERE WERE 21 PARTICIPANTS, 10 1932 01:14:41,142 --> 01:14:42,643 FAMILIES, COMPLETED THIS 1933 01:14:42,643 --> 01:14:46,080 THREE.MONTH CURRICULUM, HANDS 1934 01:14:46,080 --> 01:14:47,482 ON, WORKSHOPS FOCUSED ON 1935 01:14:47,482 --> 01:14:49,450 AQUAPONICS AND NUTRITION, AND 1936 01:14:49,450 --> 01:14:52,019 FOUND ENGAGEMENT WAS HIGH, NO 1937 01:14:52,019 --> 01:14:54,055 PARTICIPANTS DROPPED OUT OF THE 1938 01:14:54,055 --> 01:14:55,223 INTERVENTION PROGRAM. 1939 01:14:55,223 --> 01:14:56,657 RESULTS WERE POSITIVE, THIS IS A 1940 01:14:56,657 --> 01:15:00,094 PILOT STUDY BUT DID FIND THAT 1941 01:15:00,094 --> 01:15:01,129 FRUIT CONSUMPTION SIGNIFICANTLY 1942 01:15:01,129 --> 01:15:03,264 INCREASED FROM TWO SERVES BEFORE 1943 01:15:03,264 --> 01:15:05,466 THE INTERVENTION TO THREE 1944 01:15:05,466 --> 01:15:07,668 SERVINGS AFTERWARD AND DID 1945 01:15:07,668 --> 01:15:10,371 MEASURE BMI, WAIST TO HIP RATIO, 1946 01:15:10,371 --> 01:15:11,339 DIDN'T FIND SIGNIFICANT CHANGES 1947 01:15:11,339 --> 01:15:12,273 THERE WHICH WASN'T REALLY 1948 01:15:12,273 --> 01:15:14,976 EXPECTED WITH A SMALL SAMPLE BUT 1949 01:15:14,976 --> 01:15:19,714 DID SEE POSITIVE TRENDS IN BLOOD 1950 01:15:19,714 --> 01:15:22,817 PRESSURE, MANAGEMENT REDUCTION, 1951 01:15:22,817 --> 01:15:25,052 FISH CONSUMPTION, VEGETABLE 1952 01:15:25,052 --> 01:15:26,421 INTAKE, NOTEWORTHY THAT 1953 01:15:26,421 --> 01:15:27,088 PARTICIPANTS IN THIS 1954 01:15:27,088 --> 01:15:30,091 INTERVENTION FUND IT TO BE 1955 01:15:30,091 --> 01:15:31,959 HIGHLY CULTURALLY ACCEPTABLE AND 1956 01:15:31,959 --> 01:15:32,894 RECOGNIZE MULTIPLE BENEFITS FROM 1957 01:15:32,894 --> 01:15:34,495 THIS TYPE OF PROGRAM. 1958 01:15:34,495 --> 01:15:37,165 SO, THIS IS AN EXAMPLE OF 1959 01:15:37,165 --> 01:15:38,900 COMMUNITY DRIVEN SOLUTIONS THAT 1960 01:15:38,900 --> 01:15:40,768 CAN OFFER A PROMISING APPROACH 1961 01:15:40,768 --> 01:15:42,904 TO IMPROVING HEALTH AND REDUCING 1962 01:15:42,904 --> 01:15:44,972 DISPARITIES IN THIS POPULATION. 1963 01:15:44,972 --> 01:15:47,108 CLEARLY A LARGER STUDY OF FULLY 1964 01:15:47,108 --> 01:15:52,513 POWERED DESIGN WOULD BE NEEDED 1965 01:15:52,513 --> 01:15:55,883 TO CAN NUTRITION OVER TIME AND 1966 01:15:55,883 --> 01:15:58,019 HEALTH OUTCOMES BY THESE KINDS 1967 01:15:58,019 --> 01:16:01,722 OF INTERVENTIONS CAN HELP TO 1968 01:16:01,722 --> 01:16:02,924 COMBAT NUTRITIONAL DISPARITIES 1969 01:16:02,924 --> 01:16:09,063 AND PROMOTE SUSTAINABLE AND 1970 01:16:09,063 --> 01:16:10,164 CULTURALLY RELEVANT 1971 01:16:10,164 --> 01:16:10,498 INTERVENTIONS. 1972 01:16:10,498 --> 01:16:10,798 NEXT SLIDE. 1973 01:16:10,798 --> 01:16:14,402 THIS IS GOING A LITTLE DIFFERENT 1974 01:16:14,402 --> 01:16:14,902 DIRECTION. 1975 01:16:14,902 --> 01:16:16,137 EMERGING RESEARCH AREA THAT I 1976 01:16:16,137 --> 01:16:18,139 THINK IS REALLY IMPORTANT, WE 1977 01:16:18,139 --> 01:16:21,776 KNOW FROM PREVIOUS RESEARCH THAT 1978 01:16:21,776 --> 01:16:22,510 PERCEIVED DISCRIMINATION 1979 01:16:22,510 --> 01:16:23,911 SIGNIFICANTLY IMPACTS HEALTH 1980 01:16:23,911 --> 01:16:29,550 LEADING TO BOTH MENTAL AND 1981 01:16:29,550 --> 01:16:30,952 PHYSICAL HEALTH DISPARITIES, 1982 01:16:30,952 --> 01:16:31,752 BROADLY DISCRIMINATION FOR A 1983 01:16:31,752 --> 01:16:36,424 NUMBER OF REASONS BUT PERCEPTION 1984 01:16:36,424 --> 01:16:41,529 OF INTERPERSONAL DISCRIMINATION 1985 01:16:41,529 --> 01:16:43,264 IS LINKED, ASSOCIATED WITH 1986 01:16:43,264 --> 01:16:44,966 PHYSICAL HEALTH OUTCOMES LIKE 1987 01:16:44,966 --> 01:16:47,068 HYPERTENSION, AND CARDIOVASCULAR 1988 01:16:47,068 --> 01:16:48,002 DISEASE. 1989 01:16:48,002 --> 01:16:51,439 SO, THIS PUBLICATION EXAMINED 1990 01:16:51,439 --> 01:16:51,973 HOW EXPERIENCING PERCEIVED 1991 01:16:51,973 --> 01:16:53,374 DISCRIMINATION MIGHT AFFECT A 1992 01:16:53,374 --> 01:16:58,412 PERSON'S GUT HEALTH BY EXAMINING 1993 01:16:58,412 --> 01:17:00,815 THE GUT MICROBIOME AND CHANGES. 1994 01:17:00,815 --> 01:17:03,184 THE GUT MICROBIOME IS THE 1995 01:17:03,184 --> 01:17:04,819 COMMUNITY OF TRILLIONS OF 1996 01:17:04,819 --> 01:17:05,520 BACTERIA AND OTHER 1997 01:17:05,520 --> 01:17:08,422 MICROORGANISMS THAT LIVE IN THE 1998 01:17:08,422 --> 01:17:11,158 DIGESTIVE SYSTEM, AND THEY PLAY 1999 01:17:11,158 --> 01:17:12,627 KEY ROLE IN DIGESTION, IMMUNE 2000 01:17:12,627 --> 01:17:15,630 FUNCTION, EVEN MENTAL HEALTH. 2001 01:17:15,630 --> 01:17:17,298 SO CHANGES IN THE MICROBIOME 2002 01:17:17,298 --> 01:17:19,166 HAVE BEEN LINKED TO STRESS AND A 2003 01:17:19,166 --> 01:17:22,837 VARIETY OF CHRONIC CONDITIONS. 2004 01:17:22,837 --> 01:17:23,871 THESE RESEARCHERS STUDIED ADULTS 2005 01:17:23,871 --> 01:17:25,139 AND DIVIDED THEM INTO GROUPS 2006 01:17:25,139 --> 01:17:29,143 BASED ON HOW THEY REPORTED 2007 01:17:29,143 --> 01:17:29,877 PERCEPTIONS OF DISCRIMINATION 2008 01:17:29,877 --> 01:17:36,851 USING A STANDARD QUESTIONNAIRE 2009 01:17:36,851 --> 01:17:39,820 AND ASSESSED PERCEIVED STRESS, 2010 01:17:39,820 --> 01:17:41,055 DIET, EMOTIONAL HEALTH, 2011 01:17:41,055 --> 01:17:43,024 PARTICIPANTS PROVIDED STOOL 2012 01:17:43,024 --> 01:17:43,958 SAMPLES FOR GUT MICROBIOME 2013 01:17:43,958 --> 01:17:45,993 ANALYSIS AND GENE EXPRESSION 2014 01:17:45,993 --> 01:17:46,227 TESTING. 2015 01:17:46,227 --> 01:17:48,029 RESULTS SHOWED PEOPLE WHO 2016 01:17:48,029 --> 01:17:50,331 REPORTED HIGH LEVELS OF 2017 01:17:50,331 --> 01:17:51,566 PERCEIVED DISCRIMINATION HAD 2018 01:17:51,566 --> 01:17:57,305 MORE TYPES OF GUT MICROBES 2019 01:17:57,305 --> 01:17:58,472 OVERALL, GREATER SPECIES 2020 01:17:58,472 --> 01:17:59,407 RICHNESS BUT OVERALL GUT 2021 01:17:59,407 --> 01:18:00,641 COMMUNITY WAS DIFFERENT FROM 2022 01:18:00,641 --> 01:18:03,511 THOSE WHO REPORTED LOW 2023 01:18:03,511 --> 01:18:04,211 DISCRIMINATION, AND SPECIFICALLY 2024 01:18:04,211 --> 01:18:08,249 TWO IMPORTANT TYPES OF GUT 2025 01:18:08,249 --> 01:18:17,124 BACTERIA, ONE AFFECT ENERGY 2026 01:18:17,124 --> 01:18:18,025 PRODUCTION, INFLAMMATION, IMMUNE 2027 01:18:18,025 --> 01:18:18,926 REGULATION FOUND IN LOWER 2028 01:18:18,926 --> 01:18:20,962 AMOUNTS IN PEOPLE WHO 2029 01:18:20,962 --> 01:18:22,563 EXPERIENCED MORE DISCRIMINATION. 2030 01:18:22,563 --> 01:18:24,899 THESE INDIVIDUALS ALSO REPORTED 2031 01:18:24,899 --> 01:18:27,234 HIGHER LEVELS OF DEPRESSION, 2032 01:18:27,234 --> 01:18:28,002 ANXIETY, STRESS, SENSITIVITY IN 2033 01:18:28,002 --> 01:18:30,037 THE BODY. 2034 01:18:30,037 --> 01:18:31,639 THEY ALSO CONDUCTED GENE 2035 01:18:31,639 --> 01:18:32,940 EXPRESSION ANALYSES AND FOUND 2036 01:18:32,940 --> 01:18:35,176 THEIR BIOLOGICAL DIFFERENCES IN 2037 01:18:35,176 --> 01:18:36,243 THE WAY CELLS FUNCTIONED 2038 01:18:36,243 --> 01:18:38,879 INCLUDING GENES RELATED TO 2039 01:18:38,879 --> 01:18:41,616 SENSING THE ENVIRONMENT AND 2040 01:18:41,616 --> 01:18:43,784 METABOLISM, APPLIED A MACHINE 2041 01:18:43,784 --> 01:18:44,819 LEARNING MODEL, RANDOM FOREST, 2042 01:18:44,819 --> 01:18:47,521 COMBINED ALL OF THE BIOLOGICAL 2043 01:18:47,521 --> 01:18:49,824 MARKERS TO ACCURATELY IDENTIFY 2044 01:18:49,824 --> 01:18:51,459 PEOPLE WHO HAD EXPERIENCED LOW 2045 01:18:51,459 --> 01:18:52,994 VERSUS HIGH DISCRIMINATION AND 2046 01:18:52,994 --> 01:18:54,862 FOUND VERY HIGH ACCURACY WITH 2047 01:18:54,862 --> 01:18:55,363 THIS MODEL. 2048 01:18:55,363 --> 01:18:59,166 I THINK THIS RESEARCH IS NOVEL, 2049 01:18:59,166 --> 01:19:00,668 INNOVATIVE, SHOWS AND THIS IS 2050 01:19:00,668 --> 01:19:02,069 ALSO CRITICAL THAT 2051 01:19:02,069 --> 01:19:08,409 DISCRIMINATION IS NOT JUST A 2052 01:19:08,409 --> 01:19:10,878 SOCIAL OR PSYCHOLOGICAL ISSUE 2053 01:19:10,878 --> 01:19:13,614 BUT HAS EFFECT, MAY CONTRIBUTE 2054 01:19:13,614 --> 01:19:15,516 TO LONG-TERM HEALTH PROBLEMS. 2055 01:19:15,516 --> 01:19:17,018 SO UNDERSTANDING THESE 2056 01:19:17,018 --> 01:19:18,819 CONNECTIONS CAN HELP RESEARCHERS 2057 01:19:18,819 --> 01:19:21,355 DEVELOP NEW WAYS TO PREVENT OR 2058 01:19:21,355 --> 01:19:24,091 REDUCE HARMFUL EFFECTS OF JUST 2059 01:19:24,091 --> 01:19:24,792 PERCEIVED DISCRIMINATION, 2060 01:19:24,792 --> 01:19:26,994 ESPECIALLY IN COMMUNITIES WHO 2061 01:19:26,994 --> 01:19:31,999 REPORT THESE EXPERIENCES MOST 2062 01:19:31,999 --> 01:19:33,334 OFTEN. 2063 01:19:33,334 --> 01:19:33,734 NEXT. 2064 01:19:33,734 --> 01:19:34,769 THE FINAL THAT I WANT TO MENTION 2065 01:19:34,769 --> 01:19:37,371 HERE IN TERMS OF ADVANCES, THIS 2066 01:19:37,371 --> 01:19:40,174 IS A STUDY CONDUCTED BY PROGRAM 2067 01:19:40,174 --> 01:19:42,677 OFFICIALS IN OUR DIVISION OF 2068 01:19:42,677 --> 01:19:44,178 CLINICAL HEALTH SERVICES 2069 01:19:44,178 --> 01:19:45,680 RESEARCH, WE'RE EXCITED ABOUT 2070 01:19:45,680 --> 01:19:47,848 THIS REVIEW, A SCOPING REVIEW. 2071 01:19:47,848 --> 01:19:49,784 NEARLY HALF OF ADULTS IN THE 2072 01:19:49,784 --> 01:19:51,318 U.S. LIVE WITH MULTIPLE CHRONIC 2073 01:19:51,318 --> 01:19:53,554 HEALTH CONDITIONS, SUCH AS 2074 01:19:53,554 --> 01:19:55,056 DIABETES, HEART DISEASE, 2075 01:19:55,056 --> 01:19:55,890 DEPRESSION. 2076 01:19:55,890 --> 01:19:57,358 THESE CONDITIONS ARE ESPECIALLY 2077 01:19:57,358 --> 01:20:00,294 COMMON AMONG MIDDLE AGED ADULTS, 2078 01:20:00,294 --> 01:20:02,129 FROM RACIAL AND ETHNIC MINORITY 2079 01:20:02,129 --> 01:20:02,630 GROUPS. 2080 01:20:02,630 --> 01:20:04,065 HOWEVER, THERE IS LITTLE 2081 01:20:04,065 --> 01:20:06,333 RESEARCH ON WHICH HEALTH CARE 2082 01:20:06,333 --> 01:20:08,202 DELIVERY MODELS WORK BEST FOR 2083 01:20:08,202 --> 01:20:09,503 HELPING MANAGE THESE POPULATIONS 2084 01:20:09,503 --> 01:20:11,572 TO MANAGE THEIR MULTIPLE CHRONIC 2085 01:20:11,572 --> 01:20:12,506 CONDITIONS EFFECTIVELY. 2086 01:20:12,506 --> 01:20:16,677 SO WITH THAT THIS STUDY REVIEWED 2087 01:20:16,677 --> 01:20:19,880 RESEARCH LOOKING FROM 2016 2088 01:20:19,880 --> 01:20:20,681 THROUGH 2023 TO BETTER 2089 01:20:20,681 --> 01:20:22,216 UNDERSTAND WHAT HEALTH CARE 2090 01:20:22,216 --> 01:20:23,484 MODELS HAVE BEEN TESTED IN THE 2091 01:20:23,484 --> 01:20:26,754 UNITED STATES FOR ADULTS WITH 2092 01:20:26,754 --> 01:20:33,928 2004 OR MORE -- TWO OR MORE 2093 01:20:33,928 --> 01:20:34,462 CHRONIC CONDITIONS, THEY 2094 01:20:34,462 --> 01:20:35,896 REVIEWED OVER 9500 RECORDS AND 2095 01:20:35,896 --> 01:20:38,432 FOUND ONLY 17 STUDIES MET ALL OF 2096 01:20:38,432 --> 01:20:40,034 THE CRITERIA FOR INCLUSION, AND 2097 01:20:40,034 --> 01:20:44,538 OF THOSE JUST 5 WERE RIGOROUS 2098 01:20:44,538 --> 01:20:46,207 RANDOMIZED CONTROLLED TRIALS. 2099 01:20:46,207 --> 01:20:48,075 MOST FOCUSED ON TREATING MENTAL 2100 01:20:48,075 --> 01:20:49,543 HEALTH AND PHYSICAL HEALTH 2101 01:20:49,543 --> 01:20:50,711 CONDITIONS TOGETHER. 2102 01:20:50,711 --> 01:20:52,580 THEY ALSO FOUND THAT THE MOST 2103 01:20:52,580 --> 01:20:56,884 FREQUENTLY USED CARE MODEL WAS 2104 01:20:56,884 --> 01:21:00,087 THE PATIENT CENTERED MEDICAL 2105 01:21:00,087 --> 01:21:02,523 HOME THAT EMPHASIZE TEAM BASED 2106 01:21:02,523 --> 01:21:03,691 COORDINATED CARE CENTERED ON THE 2107 01:21:03,691 --> 01:21:04,391 PATIENT'S NEEDS. 2108 01:21:04,391 --> 01:21:06,627 MOST OF THE RESEARCH TOOK PLACE 2109 01:21:06,627 --> 01:21:08,329 IN CLINICAL SETTINGS, PRIMARY 2110 01:21:08,329 --> 01:21:09,730 CARE, SPECIALTY CARE, BEHAVIORAL 2111 01:21:09,730 --> 01:21:11,198 HEALTH CLINICS, ALL STUDIED 2112 01:21:11,198 --> 01:21:13,234 REPORTED POSITIVE OUTCOMES FOR 2113 01:21:13,234 --> 01:21:13,801 PATIENTS. 2114 01:21:13,801 --> 01:21:15,202 AND THESE OUTCOMES INCLUDED 2115 01:21:15,202 --> 01:21:18,038 BETTER USE OF HEALTH CARE 2116 01:21:18,038 --> 01:21:19,640 SERVICE, IMPROVEMENT IN HEALTH 2117 01:21:19,640 --> 01:21:20,508 MEASUREMENTS LIKE BLOOD 2118 01:21:20,508 --> 01:21:23,110 PRESSURE, BLOOD SUGAR, AND ALSO 2119 01:21:23,110 --> 01:21:24,845 SOME REDUCTIONS IN HEALTHCARE 2120 01:21:24,845 --> 01:21:25,446 COST. 2121 01:21:25,446 --> 01:21:27,047 HOWEVER, WE WILL NOTE THE REVIEW 2122 01:21:27,047 --> 01:21:29,083 FOUND EVEN THOUGH THE CHRONIC 2123 01:21:29,083 --> 01:21:30,951 CARE MODEL IS WELL KNOWN 2124 01:21:30,951 --> 01:21:34,155 FRAMEWORK EXISTED FOR DECADES, 2125 01:21:34,155 --> 01:21:36,090 VERY FEW STUDIES HAD TESTED USE 2126 01:21:36,090 --> 01:21:37,658 SPECIFICALLY AMONG POPULATIONS 2127 01:21:37,658 --> 01:21:38,526 WHO EXPERIENCED HEALTH 2128 01:21:38,526 --> 01:21:40,361 DISPARITIES AND HAD MULTIPLE 2129 01:21:40,361 --> 01:21:41,262 CHRONIC CONDITIONS. 2130 01:21:41,262 --> 01:21:44,865 SO I THINK THIS KIND OF STUDY IS 2131 01:21:44,865 --> 01:21:45,800 IMPORTANT TO HIGHLIGHT, BECAUSE 2132 01:21:45,800 --> 01:21:47,468 THIS IS REVIEW AND SHOWS THERE'S 2133 01:21:47,468 --> 01:21:50,437 A MAJOR GAP IN RESEARCH ON 2134 01:21:50,437 --> 01:21:51,906 EFFECTIVE CARE MODELS FOR PEOPLE 2135 01:21:51,906 --> 01:21:54,308 WHO HAVE MULTIPLE CHRONIC 2136 01:21:54,308 --> 01:21:56,177 ILLNESSES AND FACE SYSTEMIC 2137 01:21:56,177 --> 01:21:56,610 HEALTH DISPARITIES. 2138 01:21:56,610 --> 01:21:59,947 AND SO TO IMPROVE OUTCOMES FOR 2139 01:21:59,947 --> 01:22:00,514 THESE INDIVIDUALS, AND 2140 01:22:00,514 --> 01:22:02,183 POPULATIONS, MORE WORK IS NEEDED 2141 01:22:02,183 --> 01:22:04,919 TO CREATE AS WELL AS TEST HEALTH 2142 01:22:04,919 --> 01:22:07,888 CARE STRATEGIES THAT ARE 2143 01:22:07,888 --> 01:22:09,056 EVIDENCE-BASED, THAT ARE 2144 01:22:09,056 --> 01:22:10,591 PATIENT-CENTERED AND THAT ARE 2145 01:22:10,591 --> 01:22:13,027 DESIGNED WITH ADDRESSING HEALTH 2146 01:22:13,027 --> 01:22:13,327 DISPARITIES. 2147 01:22:13,327 --> 01:22:19,600 LET'S GO TO THE NEXT SLIDE. 2148 01:22:19,600 --> 01:22:23,003 SO, I THINK NIMHD IS A VERY 2149 01:22:23,003 --> 01:22:24,004 IMPORTANT INSTITUTE, HAS MADE 2150 01:22:24,004 --> 01:22:26,407 SIGNIFICANT PROGRESS OVER THE 2151 01:22:26,407 --> 01:22:29,343 PAST 15 YEARS, STARTED 35 YEARS 2152 01:22:29,343 --> 01:22:33,113 AGO TO BE EXACT BUT THERE'S MOE 2153 01:22:33,113 --> 01:22:33,814 TO LEARN. 2154 01:22:33,814 --> 01:22:35,115 THERE WERE MANY MORE RECENT 2155 01:22:35,115 --> 01:22:36,884 STUDIES I COULD HAVE HIGHLIGHTED 2156 01:22:36,884 --> 01:22:40,321 BUT DECIDED TO GO WITH BREVITY. 2157 01:22:40,321 --> 01:22:42,823 STUDIES SUMMARIZED HERE TODAY 2158 01:22:42,823 --> 01:22:43,724 REPRESENT INTERDISCIPLINARY 2159 01:22:43,724 --> 01:22:45,659 SCIENCE, ASKING A RANGE, RIGHT, 2160 01:22:45,659 --> 01:22:47,761 OF EMPIRICAL QUESTIONS FROM A 2161 01:22:47,761 --> 01:22:49,463 RANGE OF PERSPECTIVES AND 2162 01:22:49,463 --> 01:22:50,598 METHODOLOGIES CONDUCTED IN 2163 01:22:50,598 --> 01:22:52,099 VARIOUS PARTS OF THE COUNTRY, 2164 01:22:52,099 --> 01:22:54,101 AND WITH PEOPLE FROM DIFFERENT 2165 01:22:54,101 --> 01:22:56,403 BACKGROUNDS, ALL WHO ARE SEEKING 2166 01:22:56,403 --> 01:22:57,504 TO OPTIMIZE THEIR HEALTH AND 2167 01:22:57,504 --> 01:22:57,905 WELL-BEING. 2168 01:22:57,905 --> 01:22:59,573 AND THAT'S WHY WE DO THIS WORK 2169 01:22:59,573 --> 01:23:00,641 EVERY DAY. 2170 01:23:00,641 --> 01:23:02,843 THIS IS THE SCIENCE THAT SERVES 2171 01:23:02,843 --> 01:23:04,678 COMMUNITIES, TO UNDERSTAND AND 2172 01:23:04,678 --> 01:23:06,513 ADDRESS THESE LARGELY 2173 01:23:06,513 --> 01:23:09,083 PREVENTIBLE AND MODIFIABLE 2174 01:23:09,083 --> 01:23:09,617 DIFFERENCES IN POPULATION 2175 01:23:09,617 --> 01:23:11,385 HEALTH, WHAT WE REFER TO AS 2176 01:23:11,385 --> 01:23:13,087 HEALTH DISPARITIES. 2177 01:23:13,087 --> 01:23:15,322 SO WE ENCOURAGE INVESTIGATORS TO 2178 01:23:15,322 --> 01:23:16,757 SHARE YOUR PUBLICATIONS, WE 2179 01:23:16,757 --> 01:23:18,492 INVITE YOU TO SHARE RECENT 2180 01:23:18,492 --> 01:23:22,363 PUBLICATIONS WITH OUR PROGRAM 2181 01:23:22,363 --> 01:23:23,264 OFFICIALS. 2182 01:23:23,264 --> 01:23:31,038 WE'RE DELIGHTED TO RECEIVE NIMHD 2183 01:23:31,038 --> 01:23:32,640 SUPPORTED PUBLICATIONS FOR OUR 2184 01:23:32,640 --> 01:23:33,073 IMPACT. 2185 01:23:33,073 --> 01:23:33,841 I'LL STOP THERE. 2186 01:23:33,841 --> 01:23:37,611 I'M HAPPY TO TAKE QUESTIONS, 2187 01:23:37,611 --> 01:23:40,981 I'LL HOPEFULLY BE ABLE TO ANSWER 2188 01:23:40,981 --> 01:23:44,151 THEM. 2189 01:23:44,151 --> 01:23:46,820 >> WE'LL USE THE SAME PROCEDURE. 2190 01:23:46,820 --> 01:23:49,123 TURN YOUR CAMERA ON, COUNCIL 2191 01:23:49,123 --> 01:23:50,658 MEMBERS, IF YOU WANT TO MAKE A 2192 01:23:50,658 --> 01:23:53,661 COMMENT OR ASK A QUESTION. 2193 01:23:53,661 --> 01:24:00,901 RAISE YOUR HAND. 2194 01:24:00,901 --> 01:24:05,005 OR PUT YOUR -- WE HAVE OUR FIRST 2195 01:24:05,005 --> 01:24:05,572 QUESTION. 2196 01:24:05,572 --> 01:24:05,940 >> OR COMMENT. 2197 01:24:05,940 --> 01:24:07,741 WE'LL SEE. 2198 01:24:07,741 --> 01:24:09,276 >> OR COMMENT. 2199 01:24:09,276 --> 01:24:11,145 >> THANK YOU SO MUCH, DR. 2200 01:24:11,145 --> 01:24:12,579 HOOPER. 2201 01:24:12,579 --> 01:24:15,783 A COMMENT AND QUESTION. 2202 01:24:15,783 --> 01:24:16,383 TERRIFIC PRESENTATION OVERALL, 2203 01:24:16,383 --> 01:24:19,153 GREAT TO SEE NOT ONLY THE 2204 01:24:19,153 --> 01:24:20,587 HISTORY, BUT ALSO THE WORK 2205 01:24:20,587 --> 01:24:23,657 THAT'S BEEN DONE OVER THE COURSE 2206 01:24:23,657 --> 01:24:24,558 OF THIS PERIOD. 2207 01:24:24,558 --> 01:24:31,398 IT'S REALLY -- IT'S REALLY 2208 01:24:31,398 --> 01:24:32,433 APPRECIATED HIGHLIGHTS, 2209 01:24:32,433 --> 01:24:34,034 EMPHASIZING FAMILY CENTERED 2210 01:24:34,034 --> 01:24:36,036 INTERVENTIONS IN THE CONTEXT OF 2211 01:24:36,036 --> 01:24:38,539 INDIVIDUAL BUT ALSO AT THE 2212 01:24:38,539 --> 01:24:40,007 COMMUNITY LEVEL. 2213 01:24:40,007 --> 01:24:40,941 REGARDING THE VIP PARENTING 2214 01:24:40,941 --> 01:24:43,177 INTERVENTION, CAN YOU SHARE A 2215 01:24:43,177 --> 01:24:46,680 LITTLE BIT MORE ABOUT THE MENTAL 2216 01:24:46,680 --> 01:24:48,082 HEALTH AND PHYSICAL HEALTH 2217 01:24:48,082 --> 01:24:54,888 OUTCOMES ASSESSED IN THERE'S 2218 01:24:54,888 --> 01:24:56,523 EVIDENCE IMPROVING PARENTS CAN 2219 01:24:56,523 --> 01:24:57,925 IMPROVE CHILDREN'S MENTAL 2220 01:24:57,925 --> 01:25:00,027 HEALTH, IN MANY WAYS PARENTING 2221 01:25:00,027 --> 01:25:04,531 INTERVENTIONS HAVE POTENTIAL TO 2222 01:25:04,531 --> 01:25:06,133 NOT ONLY BUFFER AND PARTICULARLY 2223 01:25:06,133 --> 01:25:08,002 FOR LOW INCOME AND POOR 2224 01:25:08,002 --> 01:25:09,870 FAMILIES, BUT ALSO TO STRENGTHEN 2225 01:25:09,870 --> 01:25:11,472 NOT ONLY THE PARENT AND FAMILY 2226 01:25:11,472 --> 01:25:13,707 OUTCOMES BUT ALSO THE LONGER 2227 01:25:13,707 --> 01:25:15,075 TERM OUTCOMES FOR CHILDREN. 2228 01:25:15,075 --> 01:25:18,779 SO JUST I DIDN'T KNOW IF YOU -- 2229 01:25:18,779 --> 01:25:21,181 HOW VERSED YOU WERE IN TERMS OF 2230 01:25:21,181 --> 01:25:25,252 THAT STUDY, BUT ALSO JUST MAYBE 2231 01:25:25,252 --> 01:25:26,787 EVEN LESS SO IN TERMS OF 2232 01:25:26,787 --> 01:25:28,822 THINKING THROUGH BUT JUST SORT 2233 01:25:28,822 --> 01:25:29,990 OF IMPLICATIONS OF EXPANDING 2234 01:25:29,990 --> 01:25:33,927 THAT KIND OF WORK IN THE CONTEXT 2235 01:25:33,927 --> 01:25:35,129 OF OTHER AREAS. 2236 01:25:35,129 --> 01:25:36,397 >> YEAH, GOOD QUESTION. 2237 01:25:36,397 --> 01:25:39,800 SO, WHAT THEY USED IN THIS 2238 01:25:39,800 --> 01:25:40,768 STUDY, THEIR PRIMARY MEASURES 2239 01:25:40,768 --> 01:25:44,805 WERE KIND OF COACH COMPLETED 2240 01:25:44,805 --> 01:25:45,439 OBSERVATIONAL PARENTING BEHAVIOR 2241 01:25:45,439 --> 01:25:46,974 CHECK LIST, AND SO THE 2242 01:25:46,974 --> 01:25:48,275 CHECKLISTS WERE USED IN REAL 2243 01:25:48,275 --> 01:25:51,478 TIME SO AS THEY WENT THROUGH THE 2244 01:25:51,478 --> 01:25:53,847 COACHES FOR VIP WHILE THEY 2245 01:25:53,847 --> 01:25:57,151 COMPLETED THE CHECKLIST WHILE 2246 01:25:57,151 --> 01:25:58,585 PARENT INTERACTIONS WERE BEING 2247 01:25:58,585 --> 01:25:59,820 RECORDED, I THINK UP TO 20 2248 01:25:59,820 --> 01:26:02,656 BEHAVIORS THAT THEY WERE RATING 2249 01:26:02,656 --> 01:26:04,725 LIKE WHETHER OR NOT THE -- HOW 2250 01:26:04,725 --> 01:26:07,428 THE PARENT RESPONDED TO THE 2251 01:26:07,428 --> 01:26:08,829 CHILD'S VOCALIZATION, THEIR 2252 01:26:08,829 --> 01:26:09,163 WORDS. 2253 01:26:09,163 --> 01:26:10,397 THEY LOOKED AT WHETHER OR NOT 2254 01:26:10,397 --> 01:26:14,468 THE CHILD WAS GIVEN THE 2255 01:26:14,468 --> 01:26:15,869 OPPORTUNITY TO ACTIVELY -- FOR 2256 01:26:15,869 --> 01:26:16,837 THE BOOKS AND THINGS THEY WERE 2257 01:26:16,837 --> 01:26:19,506 PLAYING WITH, SO THAT WAS HOW 2258 01:26:19,506 --> 01:26:20,574 THEY KIND OF MEASURED THE 2259 01:26:20,574 --> 01:26:23,577 BEHAVIORS THAT WERE GOING ON IN 2260 01:26:23,577 --> 01:26:26,180 THE CONTEXT OF THIS STUDY. 2261 01:26:26,180 --> 01:26:28,449 I COULD LOOK BACK AND SEE OTHER 2262 01:26:28,449 --> 01:26:30,284 MEASURES BUT IT WAS POSITIVE 2263 01:26:30,284 --> 01:26:33,587 PARENTING BEHAVIORS THEY MOSTLY 2264 01:26:33,587 --> 01:26:34,822 FOCUSED ON. 2265 01:26:34,822 --> 01:26:35,489 >> VERY HELPFUL AND INTERESTING 2266 01:26:35,489 --> 01:26:37,224 TO SEE THAT EVEN JUST ONE DOSE 2267 01:26:37,224 --> 01:26:42,763 OF THAT COULD HAVE AN IMPACT ON 2268 01:26:42,763 --> 01:26:43,630 IMPROVING PARENTING OUTCOMES. 2269 01:26:43,630 --> 01:26:53,807 THANK YOU. 2270 01:26:55,776 --> 01:27:06,220 >> ANY ADDITIONAL COMMENTS OR 2271 01:27:07,087 --> 01:27:08,722 QUESTIONS FROM COUNCIL MEMBERS? 2272 01:27:08,722 --> 01:27:10,124 I DON'T SEE ANY. 2273 01:27:10,124 --> 01:27:16,630 OH, HERE WE GO. 2274 01:27:16,630 --> 01:27:17,998 DR. CACARI STONE. 2275 01:27:17,998 --> 01:27:20,400 >> YES, THANK YOU, DR. HOOPER. 2276 01:27:20,400 --> 01:27:25,372 I 2277 01:27:25,372 --> 01:27:33,247 I THINK YOUR FOCUSED AND 2278 01:27:33,247 --> 01:27:34,581 COMPREHENSIVE PRESENTATION 2279 01:27:34,581 --> 01:27:36,783 FOCUSED ACROSS GEOGRAPHIES, AND 2280 01:27:36,783 --> 01:27:39,253 ALSO REPRESENTS AND DEMONSTRATES 2281 01:27:39,253 --> 01:27:42,122 ROBUST PORTFOLIO OF NIMHD AT ANY 2282 01:27:42,122 --> 01:27:45,792 GIVEN TIME AND ALIGNS WITH THE 2283 01:27:45,792 --> 01:27:48,595 NIH DIRECTOR'S PRIORITY 2284 01:27:48,595 --> 01:27:51,431 REFLECTING RIGOROUS SCIENTIFIC 2285 01:27:51,431 --> 01:27:51,965 METHODS THAT SPANS 2286 01:27:51,965 --> 01:27:53,267 MULTI-DISCIPLINES, I WANT TO 2287 01:27:53,267 --> 01:27:54,368 APPRECIATE WHAT YOU PRESENTED. 2288 01:27:54,368 --> 01:27:54,868 THANK YOU. 2289 01:27:54,868 --> 01:27:55,602 >> THANK YOU. 2290 01:27:55,602 --> 01:28:05,946 I APPRECIATE THAT. 2291 01:28:08,282 --> 01:28:12,219 >> AT THIS MOMENT THAT APPEARS 2292 01:28:12,219 --> 01:28:18,358 TO BE THE LAST COMMENT OR 2293 01:28:18,358 --> 01:28:20,427 QUESTION REGARDING YOUR 2294 01:28:20,427 --> 01:28:24,665 PRESENTATION. 2295 01:28:24,665 --> 01:28:28,835 AND OUR NEXT SCHEDULED PRESENTER 2296 01:28:28,835 --> 01:28:31,972 IS SCHEDULED FOR 12:15. 2297 01:28:31,972 --> 01:28:39,813 SO, WE HAVE A WONDERFUL 2298 01:28:39,813 --> 01:28:41,982 OPPORTUNITY FOR LUNCH. 2299 01:28:41,982 --> 01:28:44,384 I WOULD RECOMMEND LOGGING BACK 2300 01:28:44,384 --> 01:28:46,353 IN IF YOU'RE LOGGING OUT OR YOU 2301 01:28:46,353 --> 01:28:50,057 DON'T HAVE TO LOG IN, JUST TURN 2302 01:28:50,057 --> 01:28:51,825 OFF -- YOU DON'T HAVE TO LOG 2303 01:28:51,825 --> 01:28:53,227 OUT, JUST TURN OFF YOUR CAMERA 2304 01:28:53,227 --> 01:28:54,995 AND MIC, IF YOU THINK THERE MAY 2305 01:28:54,995 --> 01:28:59,233 BE A PROBLEM GETTING BACK IN. 2306 01:28:59,233 --> 01:29:04,605 AND WE WILL RECOMMEND THAT YOU 2307 01:29:04,605 --> 01:29:06,041 COME BACK ONLINE AT 12:10. 2308 01:29:07,932 --> 01:29:09,300 I DON'T EXPECT YOU TO READ 2309 01:29:09,300 --> 01:29:10,434 EVERYTHING THAT I'M GOING TO 2310 01:29:10,434 --> 01:29:15,105 SHOW YOU, JUST GOING TO PREFACE 2311 01:29:15,105 --> 01:29:16,006 ON THAT. 2312 01:29:16,006 --> 01:29:17,508 WE PUT THESE FACTORS NAMED BY 2313 01:29:17,508 --> 01:29:21,412 COMMUNITY PARTNERS AND ACADEMIC 2314 01:29:21,412 --> 01:29:27,117 PARTNERS INTO A CAUSAL LOOP 2315 01:29:27,117 --> 01:29:32,856 DIAGRAM TO DRIVE DISPARITY IN 2316 01:29:32,856 --> 01:29:37,428 HEALTH OUTCOMES, FACTORS ARE 2317 01:29:37,428 --> 01:29:39,663 INTERRELATED AND THAT SUSTAIN 2318 01:29:39,663 --> 01:29:40,564 THIS PERSISTENT WORSE HEALTH 2319 01:29:40,564 --> 01:29:42,633 OUTCOME IN THE AREA. 2320 01:29:42,633 --> 01:29:44,468 THAT'S ALSO WHY SOMETIMES WHEN 2321 01:29:44,468 --> 01:29:47,471 WE INTERVENE ON A SYSTEM LIKE 2322 01:29:47,471 --> 01:29:50,674 THEY WE DON'T ALWAYS SEE RESULTS 2323 01:29:50,674 --> 01:29:53,577 AND DECLINE IN DISPARITY BECAUSE 2324 01:29:53,577 --> 01:29:56,447 SYSTEM IS TRYING TO RESIST 2325 01:29:56,447 --> 01:29:57,815 CHANGES WE PUT IN PLACE. 2326 01:29:57,815 --> 01:29:59,650 WE'VE ALSO IDENTIFIED WITH 2327 01:29:59,650 --> 01:30:03,754 COMMUNITY PARTNERS WHAT ARE 2328 01:30:03,754 --> 01:30:05,990 POTENTIAL INTERVENTIONS THAT 2329 01:30:05,990 --> 01:30:06,690 THEY WOULD LIKE TO SEE 2330 01:30:06,690 --> 01:30:07,758 IMPLEMENTED IN THE COMMUNITY. 2331 01:30:07,758 --> 01:30:11,829 WE'RE GOING BACK TO NORFOLK NEXT 2332 01:30:11,829 --> 01:30:13,297 WEEK TO FIGURE OUT WHAT WOULD BE 2333 01:30:13,297 --> 01:30:14,231 THE INTERVENTIONS THAT THEY 2334 01:30:14,231 --> 01:30:18,202 WOULD LIKE TO SEE IMPLEMENTED, 2335 01:30:18,202 --> 01:30:19,603 HOW WE ADVANCE IN INTERVENTION 2336 01:30:19,603 --> 01:30:21,271 AND IMPLEMENT IN THE LOCAL 2337 01:30:21,271 --> 01:30:23,374 SETTING AND EVALUATE THE IMPACT 2338 01:30:23,374 --> 01:30:33,350 OF THESE INTERVENTIONS ON HEALTH 2339 01:30:33,350 --> 01:30:33,951 DISPARITIES. 2340 01:30:33,951 --> 01:30:35,719 THIS ALSO INVOLVES SPEARHEADING 2341 01:30:35,719 --> 01:30:38,355 THE PROMOTING HEALTH DISPARITY 2342 01:30:38,355 --> 01:30:41,358 RESEARCH AT THE NIH THROUGH ITS 2343 01:30:41,358 --> 01:30:43,694 SUPPORT ON THE HEALTH DISPARITY 2344 01:30:43,694 --> 01:30:44,061 INTEREST GROUP. 2345 01:30:44,061 --> 01:30:46,330 ON THE INTRAMURAL SIDE OF NIH WE 2346 01:30:46,330 --> 01:30:47,498 HAVE THESE SCIENTIFIC INTEREST 2347 01:30:47,498 --> 01:30:49,299 GROUPS THAT FOCUS ON DIFFERENT 2348 01:30:49,299 --> 01:30:50,567 SCIENTIFIC AREAS, AND THIS IS 2349 01:30:50,567 --> 01:30:54,938 THE ONE THAT WE FOUNDED IN 2014, 2350 01:30:54,938 --> 01:30:56,573 WHICH AIMS TO FACILITATE 2351 01:30:56,573 --> 01:30:58,275 DISCUSSION TO ADVANCE 2352 01:30:58,275 --> 01:30:59,176 BIOLOGICAL, CLINICAL, 2353 01:30:59,176 --> 01:31:01,111 BEHAVIORAL, SOCIAL, AND 2354 01:31:01,111 --> 01:31:02,446 POPULATION SCIENCES RESEARCH TO 2355 01:31:02,446 --> 01:31:04,214 UNDERSTAND MECHANISMS OF HEALTH 2356 01:31:04,214 --> 01:31:05,315 DISPARITIES AND DEVELOP 2357 01:31:05,315 --> 01:31:09,687 INTERVENTIONS TO ELIMINATE THEM. 2358 01:31:09,687 --> 01:31:11,588 WE HAVE THREE TO FOUR SEMINARS 2359 01:31:11,588 --> 01:31:13,524 EVERY YEAR AND ALSO CONDUCT A 2360 01:31:13,524 --> 01:31:14,925 WORKSHOP DURING THE NIH RESEARCH 2361 01:31:14,925 --> 01:31:16,193 FESTIVAL AND WE ACTUALLY HAVE 2362 01:31:16,193 --> 01:31:21,165 ONE COMING UP THAT FOCUSES ON 2363 01:31:21,165 --> 01:31:21,765 RURAL HEALTH DISPARITY. 2364 01:31:21,765 --> 01:31:24,268 IN TERMS OF MEASURING THE NEXT 2365 01:31:24,268 --> 01:31:28,238 GENERATION OF HEALTH DISPARITY 2366 01:31:28,238 --> 01:31:31,241 RESEARCHERS, WE HAVE ESTABLISHED 2367 01:31:31,241 --> 01:31:33,310 THE COLEMAN RESEARCH AWARD NAMED 2368 01:31:33,310 --> 01:31:35,479 AFTER OUR FIRST PERMANENT 2369 01:31:35,479 --> 01:31:37,548 SCIENTIFIC DIRECTOR, DR. 2370 01:31:37,548 --> 01:31:41,452 COLLMAN, A COMPETITIVE INTERNAL 2371 01:31:41,452 --> 01:31:44,621 FUNDING MECHANISM FOR JUNIOR 2372 01:31:44,621 --> 01:31:46,290 SCIENTISTS SLOWING POSTDOCTORAL 2373 01:31:46,290 --> 01:31:46,924 FELLOWS, SCIENTISTS, CLINICIANS 2374 01:31:46,924 --> 01:31:49,059 NOT JUST WIN THE NIMHD BUT 2375 01:31:49,059 --> 01:31:50,394 ACROSS THE NIH INTRAMURAL 2376 01:31:50,394 --> 01:31:51,395 PROGRAM. 2377 01:31:51,395 --> 01:31:54,231 THE AIM OF THIS AWARD AS IN THE 2378 01:31:54,231 --> 01:31:57,434 NAME IS TO SUPPORT INNOVATIVE 2379 01:31:57,434 --> 01:32:00,070 RESEARCH TO UNDERSTAND AND 2380 01:32:00,070 --> 01:32:01,572 REDUCE HEALTH DISPARITY, AND 2381 01:32:01,572 --> 01:32:02,706 WITH THESE SMALL INVESTMENT WHAT 2382 01:32:02,706 --> 01:32:05,843 WE HOPE TO ALSO ACHIEVE IS TO 2383 01:32:05,843 --> 01:32:07,745 GENERATE PILOT DATA FOR 2384 01:32:07,745 --> 01:32:10,080 LONGITUDINAL STUDIES AND CAREER 2385 01:32:10,080 --> 01:32:13,016 PROGRESSION OF THESE JUNIOR 2386 01:32:13,016 --> 01:32:14,551 SCIENTISTS. 2387 01:32:14,551 --> 01:32:17,421 SINCE 2017, WE ESTABLISHED THE 2388 01:32:17,421 --> 01:32:22,860 AWARD, WE HAVE MADE 54 AWARDS, 2389 01:32:22,860 --> 01:32:23,794 TOTAL OF OVER $800,000 2390 01:32:23,794 --> 01:32:24,328 INVESTMENT. 2391 01:32:24,328 --> 01:32:28,699 SO THIS IS A VERY SUCCESSFUL 2392 01:32:28,699 --> 01:32:29,566 INITIATIVE THAT HAS PUT 2393 01:32:29,566 --> 01:32:31,568 RESOURCES IN THE HANDS OF JUNIOR 2394 01:32:31,568 --> 01:32:34,238 INVESTIGATORS FOR THEM TO 2395 01:32:34,238 --> 01:32:35,839 DEVELOP THEIR RESEARCH PORTFOLIO 2396 01:32:35,839 --> 01:32:37,474 AND CAREER. 2397 01:32:37,474 --> 01:32:40,010 HERE ARE SOME EXAMPLES OF THE 2398 01:32:40,010 --> 01:32:42,446 PREVIOUSLY AWARDED COLEMAN 2399 01:32:42,446 --> 01:32:46,884 RESEARCH INNOVATION AWARD. 2400 01:32:46,884 --> 01:32:51,755 THE TOPICS COVER NEIGHBORHOOD 2401 01:32:51,755 --> 01:32:53,123 DISADVANTAGE, PREGNANCY, AWARDED 2402 01:32:53,123 --> 01:32:55,859 TO A POSTDOC AT NIEHS, WE ALSO 2403 01:32:55,859 --> 01:32:58,228 HAVE AWARDED A PROJECT LOOKING 2404 01:32:58,228 --> 01:33:01,965 AT MODIFYING ROLE OF CHRONIC 2405 01:33:01,965 --> 01:33:03,133 PSYCHOSOCIAL AND ENVIRONMENTAL 2406 01:33:03,133 --> 01:33:05,435 STRESS ON NATURAL KILLER CELL 2407 01:33:05,435 --> 01:33:14,845 FUNCTION, AWARDED TO A POSTDOC 2408 01:33:14,845 --> 01:33:19,082 IN NHLBI, AND A MITOCHONDRIAL 2409 01:33:19,082 --> 01:33:21,151 DNA HAPLOGROUPS, MITOCHONDRIAL 2410 01:33:21,151 --> 01:33:24,588 FUNCTION, HOW IT'S RELATED TO 2411 01:33:24,588 --> 01:33:25,422 OXIDATIVE STRESS, INFLAMMATION, 2412 01:33:25,422 --> 01:33:25,756 HYPERTENSION. 2413 01:33:25,756 --> 01:33:29,693 OR COURSE WE SUPPORTED OUR OWN 2414 01:33:29,693 --> 01:33:31,628 POSTDOC AT NIMH THROUGH THIS 2415 01:33:31,628 --> 01:33:33,564 AWARD. 2416 01:33:33,564 --> 01:33:38,202 THESE ARE ALL REVIEWED BY 2417 01:33:38,202 --> 01:33:39,069 INVESTIGATORS, REVIEWED AND 2418 01:33:39,069 --> 01:33:41,104 SCORE WELL TO RECEIVE THESE 2419 01:33:41,104 --> 01:33:41,338 AWARDS. 2420 01:33:41,338 --> 01:33:44,708 THE ONE BY THE POSTDOC IN NIMHD 2421 01:33:44,708 --> 01:33:47,277 FOCUSES ON FACTORS INFLUENCING 2422 01:33:47,277 --> 01:33:49,213 PHYSICAL ACTIVITY AMONG 2423 01:33:49,213 --> 01:33:50,314 MEDICALLY UNDERSERVED AND 2424 01:33:50,314 --> 01:33:50,981 UNDERREPRESENTED FEMALE BREAST 2425 01:33:50,981 --> 01:33:57,554 CANCER SURVIVORS IN THE UNITED 2426 01:33:57,554 --> 01:33:57,788 STATES. 2427 01:33:57,788 --> 01:33:59,256 IN ADDITION TO THE COLEMAN AWARD 2428 01:33:59,256 --> 01:34:02,359 WE HAVE A FELLOWSHIP PROGRAM TO 2429 01:34:02,359 --> 01:34:04,561 SUPPORT THE YOUNG INVESTIGATOR 2430 01:34:04,561 --> 01:34:05,629 OR YOUNG SCIENTISTS AT DIFFERENT 2431 01:34:05,629 --> 01:34:07,064 STAGES OF THEIR CAREER. 2432 01:34:07,064 --> 01:34:17,507 WE HAVE POSTDOCTORAL AND 2433 01:34:17,808 --> 01:34:21,245 PRE-DOCTORAL FELLOWSHIP, A 2434 01:34:21,245 --> 01:34:27,050 FOUR-YEAR MENTORED RESEARCH BY 2435 01:34:27,050 --> 01:34:28,886 INVESTIGATOR FOR POSTDOCTORAL 2436 01:34:28,886 --> 01:34:29,486 STUDENT. 2437 01:34:29,486 --> 01:34:32,556 WE SUPPORT MEDICAL RESEARCH 2438 01:34:32,556 --> 01:34:38,061 SCHOLAR PROGRAM, WHICH IS RUN BY 2439 01:34:38,061 --> 01:34:39,663 THE CLINICAL CENTER, MEDICAL 2440 01:34:39,663 --> 01:34:41,899 STUDENTS TAKE ONE YEAR OFF, COME 2441 01:34:41,899 --> 01:34:44,935 TO NIH TO CONDUCT RESEARCH WITH 2442 01:34:44,935 --> 01:34:46,236 VARIOUS INSTITUTES, INTRAMURAL 2443 01:34:46,236 --> 01:34:46,803 PROGRAM. 2444 01:34:46,803 --> 01:34:50,274 WE HAVE A POST BACCALAUREATE 2445 01:34:50,274 --> 01:34:52,242 FELLOWSHIP PROGRAM WHICH SUPPORT 2446 01:34:52,242 --> 01:34:54,444 PEOPLE OF RECENTLY GRADUATED 2447 01:34:54,444 --> 01:34:57,447 WITH BACHELOR'S DEGREE AND 2448 01:34:57,447 --> 01:34:58,148 INTERESTED IN BIOMEDICAL 2449 01:34:58,148 --> 01:35:01,151 RESEARCH, PROVIDE TWO YEARS OF 2450 01:35:01,151 --> 01:35:02,653 MENTORED RESEARCH OPPORTUNITY BY 2451 01:35:02,653 --> 01:35:03,787 INVESTIGATORS AND THEY GET A 2452 01:35:03,787 --> 01:35:06,223 SENSE OF WHETHER THEY ARE 2453 01:35:06,223 --> 01:35:07,658 INTERESTED IN DOING RESEARCH AS 2454 01:35:07,658 --> 01:35:09,626 THEIR FUTURE CAREER AND WHAT 2455 01:35:09,626 --> 01:35:11,428 KIND OF RESEARCH THEY ARE 2456 01:35:11,428 --> 01:35:14,998 INTERESTED IN PURSUING AS THEIR 2457 01:35:14,998 --> 01:35:18,802 CAREER IN BIOMEDICAL RESEARCH. 2458 01:35:18,802 --> 01:35:22,706 LASTLY, A SUMMER 8 WEEK 2459 01:35:22,706 --> 01:35:24,508 INTERNSHIP PROGRAM, BRINGING IN 2460 01:35:24,508 --> 01:35:26,243 8 TO 10, SOMETIMES 12 SUMMER 2461 01:35:26,243 --> 01:35:27,678 INTERNS EVERY YEAR, AND GIVE 2462 01:35:27,678 --> 01:35:31,048 THEM OPPORTUNITY TO HAVE A TASTE 2463 01:35:31,048 --> 01:35:33,216 OF DOING BIOMEDICAL RESEARCH AT 2464 01:35:33,216 --> 01:35:35,252 THE NIH. 2465 01:35:35,252 --> 01:35:37,688 SO SINCE 2017, OUR DIVISION 2466 01:35:37,688 --> 01:35:39,723 PROVIDED FELLOWSHIP TO 129 2467 01:35:39,723 --> 01:35:42,359 TRAINEES AND MANY, MANY OF THESE 2468 01:35:42,359 --> 01:35:44,328 TRAINEES AFTER THEY GRADUATED 2469 01:35:44,328 --> 01:35:45,996 FROM THE FELLOWSHIP THEY BECAME 2470 01:35:45,996 --> 01:35:49,700 FACULTY MEMBERS AT A UNIVERSITY, 2471 01:35:49,700 --> 01:35:52,102 THEY BECAME GRADUATE STUDENTS, 2472 01:35:52,102 --> 01:35:53,937 OR MEDICAL STUDENTS, IN 2473 01:35:53,937 --> 01:35:56,606 PRESTIGIOUS MEDICAL SCHOOL AND 2474 01:35:56,606 --> 01:35:57,507 GRADUATE SCHOOL, AND PURSUING 2475 01:35:57,507 --> 01:35:59,609 RESEARCH CAREER THAT WAY. 2476 01:35:59,609 --> 01:36:02,312 WE'RE PROUD OF TRAINEES THAT 2477 01:36:02,312 --> 01:36:05,916 GRADUATED FROM THE PROGRAM. 2478 01:36:05,916 --> 01:36:08,618 SO, IN CONCLUSION, I WANT TO 2479 01:36:08,618 --> 01:36:11,688 REITERATE THE NIMHD DIVISION OF 2480 01:36:11,688 --> 01:36:13,023 INTRAMURAL RESEARCH CONDUCTS 2481 01:36:13,023 --> 01:36:15,525 RESEARCH TO UNDERSTAND HEALTH 2482 01:36:15,525 --> 01:36:17,260 DISPARITY, PARTNER WITH 2483 01:36:17,260 --> 01:36:19,496 COMMUNITIES AND ACADEMIC 2484 01:36:19,496 --> 01:36:21,698 INSTITUTIONS TO REDUCE HEALTH 2485 01:36:21,698 --> 01:36:24,134 DISPARITY, AND TRAIN THE NEXT 2486 01:36:24,134 --> 01:36:25,869 GENERATION OF RESEARCHERS 2487 01:36:25,869 --> 01:36:26,603 FOCUSED ON HEALTH DISPARITY AND 2488 01:36:26,603 --> 01:36:28,338 WANT TO ACHIEVE THE GOALS OF 2489 01:36:28,338 --> 01:36:30,340 NIMHD WHICH IS TO ENSURE THAT 2490 01:36:30,340 --> 01:36:32,342 EVERYONE IN THE UNITED STATES 2491 01:36:32,342 --> 01:36:33,543 CAN ACHIEVE THEIR OPTIMAL 2492 01:36:33,543 --> 01:36:33,944 HEALTH. 2493 01:36:33,944 --> 01:36:34,845 THANK YOU. 2494 01:36:34,845 --> 01:36:38,849 AND I WILL STOP AND TAKE 2495 01:36:38,849 --> 01:36:48,191 QUESTIONS. 2496 01:36:48,191 --> 01:36:53,463 >> THANK YOU VERY MUCH FOR THE 2497 01:36:53,463 --> 01:36:54,297 PRESENTATION ABOUT DIR 2498 01:36:54,297 --> 01:36:54,631 SPECIFICALLY. 2499 01:36:54,631 --> 01:36:57,034 IT'S IMPORTANT FOR THE COMMUNITY 2500 01:36:57,034 --> 01:36:58,769 TO HEAR ABOUT OUR DIVISION OF 2501 01:36:58,769 --> 01:36:59,503 INTRAMURAL RESEARCH BECAUSE I 2502 01:36:59,503 --> 01:37:01,605 DON'T KNOW IF EVERYONE KNOWS, 2503 01:37:01,605 --> 01:37:03,073 IT'S LIKE A WELL-KEPT SECRET. 2504 01:37:03,073 --> 01:37:04,207 I THINK THE INTRAMURAL PROGRAM 2505 01:37:04,207 --> 01:37:06,543 AT NIH OVERALL IS SORT OF A 2506 01:37:06,543 --> 01:37:08,545 REALLY WELL-KEPT SECRET BUT THEN 2507 01:37:08,545 --> 01:37:11,014 SPECIFICALLY WHAT WE HAVE. 2508 01:37:11,014 --> 01:37:12,682 CAN YOU TALK ABOUT SOME OF THE 2509 01:37:12,682 --> 01:37:14,017 OTHER PROJECTS THAT ARE 2510 01:37:14,017 --> 01:37:18,055 HAPPENING WITHIN DIR FROM SOME 2511 01:37:18,055 --> 01:37:18,789 OF THE INVESTIGATORS? 2512 01:37:18,789 --> 01:37:20,690 >> YEAH, CERTAINLY. 2513 01:37:20,690 --> 01:37:25,228 SO WE HAVE RIGHT NOW SIX 2514 01:37:25,228 --> 01:37:27,497 INVESTIGATORS IN OUR DIVISION, I 2515 01:37:27,497 --> 01:37:29,132 TALKED IN MY PRESENTATION, MY 2516 01:37:29,132 --> 01:37:30,700 WORK ON TOBACCO YOUTH DISPARITY 2517 01:37:30,700 --> 01:37:33,336 AND TOBACCO CONTROL. 2518 01:37:33,336 --> 01:37:34,538 WE HAVE INVESTIGATORS THAT LOOK 2519 01:37:34,538 --> 01:37:37,240 AT FOR EXAMPLE DIABETES 2520 01:37:37,240 --> 01:37:38,909 DISPARITY, SPECIFIC INVESTIGATOR 2521 01:37:38,909 --> 01:37:45,749 THAT LOOK AT HOW PERCEIVED 2522 01:37:45,749 --> 01:37:48,885 NEIGHBORHOOD DRIVE PSYCHOLOGICAL 2523 01:37:48,885 --> 01:37:51,588 STRESS AND THEN IN TURN 2524 01:37:51,588 --> 01:37:52,856 INFERENCE INFLAMMATORY MARKER IN 2525 01:37:52,856 --> 01:37:54,157 THE BODY, PAVING WAY TO 2526 01:37:54,157 --> 01:37:56,059 DEVELOPMENT OF DIABETES. 2527 01:37:56,059 --> 01:37:59,162 WHAT YOU CALL THE ENVIRONMENTAL 2528 01:37:59,162 --> 01:38:01,164 CYCLE, PHYSIOLOGICAL PATHWAY TO 2529 01:38:01,164 --> 01:38:01,531 DIABETES. 2530 01:38:01,531 --> 01:38:03,300 WE ALSO HAVE ANOTHER 2531 01:38:03,300 --> 01:38:07,337 INVESTIGATOR LOOKING AT HOW 2532 01:38:07,337 --> 01:38:08,405 LIVED EXPERIENCE INFERENCE 2533 01:38:08,405 --> 01:38:10,507 HYPERTENSION DISPARITY, AND THEN 2534 01:38:10,507 --> 01:38:11,541 WE HAVE ANOTHER INVESTIGATOR 2535 01:38:11,541 --> 01:38:15,011 LOOKING AT MENTAL HEALTH 2536 01:38:15,011 --> 01:38:16,246 DISPARITY WITHIN THE POPULATION 2537 01:38:16,246 --> 01:38:17,881 WITH ANOTHER INVESTIGATOR 2538 01:38:17,881 --> 01:38:20,083 LOOKING AT DIGITAL HEALTH AND 2539 01:38:20,083 --> 01:38:23,086 THINKING ABOUT HOW PEOPLE 2540 01:38:23,086 --> 01:38:25,122 INTERACT WITH THE, FOR EXAMPLE, 2541 01:38:25,122 --> 01:38:26,723 HEALTH PORTAL THAT WE USE, SOME 2542 01:38:26,723 --> 01:38:29,993 OF US USE, SOME OF US DON'T. 2543 01:38:29,993 --> 01:38:32,062 AND DISPARITY IN ACCESSING AND 2544 01:38:32,062 --> 01:38:34,731 USING AND HOW THAT ACTUALLY CAN 2545 01:38:34,731 --> 01:38:35,832 HELP PEOPLE BETTER MANAGE AND 2546 01:38:35,832 --> 01:38:38,635 KEEP TRACK OF THEIR HEALTH. 2547 01:38:38,635 --> 01:38:41,738 ALSO DEVELOPING SOME OF THE 2548 01:38:41,738 --> 01:38:42,806 JUST-IN-TIME MOBILE-BASED 2549 01:38:42,806 --> 01:38:44,941 INTERVENTION TO HELP PEOPLE, YOU 2550 01:38:44,941 --> 01:38:47,844 KNOW, ACHIEVE BETTER HEALTH 2551 01:38:47,844 --> 01:38:49,479 THROUGH, YOU KNOW, REDUCING THE 2552 01:38:49,479 --> 01:38:50,480 BEHAVIOR, FOR EXAMPLE, AND 2553 01:38:50,480 --> 01:38:53,016 ANOTHER INVESTIGATOR LOOKING AT 2554 01:38:53,016 --> 01:38:54,918 BREAST CANCER SURVIVORSHIP 2555 01:38:54,918 --> 01:38:55,418 DISPARITY, PARTICULARLY 2556 01:38:55,418 --> 01:38:58,121 UNDERSTANDING HOW WE CAN 2557 01:38:58,121 --> 01:38:59,956 ACTUALLY IMPROVE SURVIVORSHIP IN 2558 01:38:59,956 --> 01:39:04,027 POPULATION THAT HAVE KNOWN TO 2559 01:39:04,027 --> 01:39:05,395 HAVE SHORTER SURVIVORSHIP AFTER 2560 01:39:05,395 --> 01:39:08,198 THE CANCER DIAGNOSIS AND 2561 01:39:08,198 --> 01:39:08,732 TREATMENT. 2562 01:39:08,732 --> 01:39:10,367 AND SHE'S DEVELOPING SIMULATION 2563 01:39:10,367 --> 01:39:13,270 MODELS TO REALLY GIVE PEOPLE THE 2564 01:39:13,270 --> 01:39:14,905 PRECISE INFORMATION BASED ON THE 2565 01:39:14,905 --> 01:39:17,407 CLINICAL CAREERS, IF THEY ENGAGE 2566 01:39:17,407 --> 01:39:19,643 IN CERTAIN ACTIVITIES THIS WOULD 2567 01:39:19,643 --> 01:39:20,477 INCREASE THEIR LIFE EXPECTANCY 2568 01:39:20,477 --> 01:39:22,078 BY SO MANY YEARS. 2569 01:39:22,078 --> 01:39:24,915 SO I THINK THOSE INFORMATION 2570 01:39:24,915 --> 01:39:28,151 GIVEN TO PATIENTS THROUGH THEIR 2571 01:39:28,151 --> 01:39:29,019 CONVERSATION WITH PRACTITIONER 2572 01:39:29,019 --> 01:39:34,224 CAN MOTIVATE THEM TO ACHIEVE A 2573 01:39:34,224 --> 01:39:35,125 BETTER ADHERENCE TO GUIDELINES 2574 01:39:35,125 --> 01:39:39,996 AND IMPROVE THEIR HEALTH 2575 01:39:39,996 --> 01:39:41,331 OUTCOMES. 2576 01:39:41,331 --> 01:39:41,631 >> GREAT. 2577 01:39:41,631 --> 01:39:42,799 EXCELLENT PRESENTATION. 2578 01:39:42,799 --> 01:39:44,201 COUNCIL MEMBERS, I INVITE YOU TO 2579 01:39:44,201 --> 01:39:48,138 TURN YOUR CAMERA ON AND ENGAGE 2580 01:39:48,138 --> 01:39:58,415 WITH DR. CHOI. 2581 01:39:58,715 --> 01:40:00,250 >> I HAVE A QUICK QUESTION AND 2582 01:40:00,250 --> 01:40:00,750 COMMENT. 2583 01:40:00,750 --> 01:40:03,853 DR. CHOI, THANK YOU SO MUCH. 2584 01:40:03,853 --> 01:40:04,955 TERRIFIC PRESENTATION. 2585 01:40:04,955 --> 01:40:06,022 ALSO, CONGRATULATIONS ON YOUR 2586 01:40:06,022 --> 01:40:06,456 APPOINTMENT. 2587 01:40:06,456 --> 01:40:10,026 WE'RE VERY FORTUNATE TO HAVE YOU 2588 01:40:10,026 --> 01:40:13,630 IN THIS ROLE. 2589 01:40:13,630 --> 01:40:16,166 YOU PRESENT COMPELLING EVIDENCE 2590 01:40:16,166 --> 01:40:19,903 TO DOCUMENT HEALTH DISPARITY 2591 01:40:19,903 --> 01:40:21,504 ACROSS COMMUNITIES AND 2592 01:40:21,504 --> 01:40:22,305 GEOGRAPHY, HOW IMPORTANT TO 2593 01:40:22,305 --> 01:40:23,540 UNDERSTAND IMPACT OF LOCAL 2594 01:40:23,540 --> 01:40:26,343 CONTEXT SHAPING RISKS OR 2595 01:40:26,343 --> 01:40:28,011 DIFFERENCES IN VARIOUS OUTCOMES. 2596 01:40:28,011 --> 01:40:29,546 I'M JUST CURIOUS IS IT POSSIBLE 2597 01:40:29,546 --> 01:40:33,049 TO OVERLAY THE DATA THAT YOU 2598 01:40:33,049 --> 01:40:33,950 SHARED AND EXAMINED HOW 2599 01:40:33,950 --> 01:40:35,285 DIFFERENT SOCIAL AND HEALTH 2600 01:40:35,285 --> 01:40:37,320 POLICIES ARE ASSOCIATED WITH 2601 01:40:37,320 --> 01:40:38,788 REGIONAL AND GEOGRAPHIC 2602 01:40:38,788 --> 01:40:39,289 DIFFERENCES? 2603 01:40:39,289 --> 01:40:40,757 AND SECONDLY, HOW MIGHT OTHER 2604 01:40:40,757 --> 01:40:43,126 EARLY CAREER INVESTIGATORS BE 2605 01:40:43,126 --> 01:40:45,595 ABLE TO DO SIMILAR STUDIES LIKE 2606 01:40:45,595 --> 01:40:46,129 THAT? 2607 01:40:46,129 --> 01:40:47,998 SHOULD THEY BE CONNECTED OR TRY 2608 01:40:47,998 --> 01:40:50,734 TO CONNECT WITH I THINK IT WAS 2609 01:40:50,734 --> 01:40:51,701 INSTITUTES OF HEALTH METRICS 2610 01:40:51,701 --> 01:40:54,571 EVALUATION OR WITH YOU OR OTHERS 2611 01:40:54,571 --> 01:40:57,507 AT NIH TO DO SOMETHING SIMILAR? 2612 01:40:57,507 --> 01:41:03,046 >> SO, THANK YOU FOR THE 2613 01:41:03,046 --> 01:41:03,980 QUESTIONS. 2614 01:41:03,980 --> 01:41:06,716 SO, AS I MENTIONED, I DID 2615 01:41:06,716 --> 01:41:07,550 TOBACCO RESEARCH, POLICY, ONE OF 2616 01:41:07,550 --> 01:41:09,085 THE THINGS WE LOOK AT QUITE A 2617 01:41:09,085 --> 01:41:09,286 BIT. 2618 01:41:09,286 --> 01:41:12,622 AND THAT IS SOMETHING THAT WE 2619 01:41:12,622 --> 01:41:13,456 LOOK FORWARD TO DO. 2620 01:41:13,456 --> 01:41:15,091 IT'S IMPORTANT TO SEE WHAT ARE 2621 01:41:15,091 --> 01:41:17,460 THE THINGS THAT WE HAVE DONE IN 2622 01:41:17,460 --> 01:41:20,830 TERMS OF POLICY OR EVEN 2623 01:41:20,830 --> 01:41:21,264 NON-POLICY BUT LOCAL 2624 01:41:21,264 --> 01:41:23,500 INTERVENTIONS THAT MIGHT HAVE 2625 01:41:23,500 --> 01:41:25,268 CONTRIBUTED TO REDUCING 2626 01:41:25,268 --> 01:41:26,002 DISPARITIES ACROSS DIFFERENT 2627 01:41:26,002 --> 01:41:26,736 COMMUNITIES. 2628 01:41:26,736 --> 01:41:28,371 AND SO I THINK THE EFFORT MOVING 2629 01:41:28,371 --> 01:41:32,208 FORWARD IS TO FIGURE OUT HOW TO 2630 01:41:32,208 --> 01:41:33,877 COLLECT THAT INFORMATION AT 2631 01:41:33,877 --> 01:41:35,412 THE -- EITHER THE NATIONAL SCALE 2632 01:41:35,412 --> 01:41:37,447 OR EVEN THE LOCAL, STATE LEVEL, 2633 01:41:37,447 --> 01:41:39,582 THERE STILL MAY BE VARIATION IN 2634 01:41:39,582 --> 01:41:41,284 SOME IMPLEMENTATION OF THESE 2635 01:41:41,284 --> 01:41:42,185 DIFFERENT POLICIES AND PROGRAMS 2636 01:41:42,185 --> 01:41:44,521 THAT WE CAN OVERLAY THAT 2637 01:41:44,521 --> 01:41:46,923 INFORMATION ON THE DATA THAT WE 2638 01:41:46,923 --> 01:41:49,859 HAVE BY COUNTY AND THEN WE CAN 2639 01:41:49,859 --> 01:41:52,896 SEE, OH, MAYBE WITH THIS SET OF 2640 01:41:52,896 --> 01:41:54,664 PARTICULAR INTERVENTIONS WE DO 2641 01:41:54,664 --> 01:41:56,433 SEE IN SOME PLACES WHERE 2642 01:41:56,433 --> 01:41:58,168 DISPARITIES IS DECREASING OVER 2643 01:41:58,168 --> 01:41:58,368 TIME. 2644 01:41:58,368 --> 01:41:59,636 I THINK THAT WOULD BE SOMETHING 2645 01:41:59,636 --> 01:42:01,805 VERY, VERY INTERESTING TO DO. 2646 01:42:01,805 --> 01:42:04,307 FOR THE SECOND QUESTION ABOUT, 2647 01:42:04,307 --> 01:42:04,941 YOU KNOW, EARLY STAGE 2648 01:42:04,941 --> 01:42:08,812 INVESTIGATE -- INVESTIGATORS GT 2649 01:42:08,812 --> 01:42:10,413 INVOLVED, THE DATA WILL BE MADE 2650 01:42:10,413 --> 01:42:12,382 PUBLICLY AVAILABLE LATER AS WE 2651 01:42:12,382 --> 01:42:14,551 FINALIZE THE DATA AND ALL THAT. 2652 01:42:14,551 --> 01:42:16,519 BUT IF ANYBODY IS INTERESTED IN, 2653 01:42:16,519 --> 01:42:18,421 YOU KNOW, TAKING A PEEK AND 2654 01:42:18,421 --> 01:42:20,090 WORKING ON THE PROJECT, THEY ARE 2655 01:42:20,090 --> 01:42:21,424 MORE THAN WELCOME TO JUST E-MAIL 2656 01:42:21,424 --> 01:42:23,460 ME AND THEY CAN CERTAINLY FIND 2657 01:42:23,460 --> 01:42:27,464 ME ON THE NIMHD WEBSITE AND I'M 2658 01:42:27,464 --> 01:42:28,698 MORE THAN HAPPY TO TALK TO 2659 01:42:28,698 --> 01:42:30,800 EARLY-STAGE INVESTIGATORS WILL 2660 01:42:30,800 --> 01:42:31,601 THIS. 2661 01:42:31,601 --> 01:42:32,869 ANY INVESTIGATOR FOR THAT 2662 01:42:32,869 --> 01:42:33,103 MATTER. 2663 01:42:33,103 --> 01:42:39,442 >> THAT'S TERRIFIC. 2664 01:42:39,442 --> 01:42:48,685 THANK YOU. 2665 01:42:48,685 --> 01:42:59,262 >> OTHER COMMENTS OR QUESTIONS? 2666 01:43:03,967 --> 01:43:07,871 PAUL, YOUR VOLUME IS KIND OF 2667 01:43:07,871 --> 01:43:08,104 LOW. 2668 01:43:08,104 --> 01:43:09,806 >> I DO NOT SEE ANY ADDITIONAL 2669 01:43:09,806 --> 01:43:20,350 HANDS OR ANYTHING IN THE CHAT. 2670 01:43:23,887 --> 01:43:27,357 SO WE WILL VOTE AGAIN, TWICE, 2671 01:43:27,357 --> 01:43:29,526 THREE TIMES, AND WE'LL MOVE ON. 2672 01:43:29,526 --> 01:43:33,630 THANK YOU VERY MUCH. 2673 01:43:33,630 --> 01:43:34,397 EXCELLENT AND INFORMATIVE 2674 01:43:34,397 --> 01:43:34,731 PRESENTATION. 2675 01:43:34,731 --> 01:43:35,899 >> THANK YOU FOR THE 2676 01:43:35,899 --> 01:43:36,633 OPPORTUNITY. 2677 01:43:36,633 --> 01:43:37,801 LOOKING FORWARD TO WORKING WITH 2678 01:43:37,801 --> 01:43:40,904 ALL OF YOU. 2679 01:43:40,904 --> 01:43:48,678 >> THANK YOU, KELVIN. 2680 01:43:48,678 --> 01:43:51,748 >> WE WILL NEXT MOVE TO DR. 2681 01:43:51,748 --> 01:43:53,183 MONICA WEBB HOOPER'S CLOSING 2682 01:43:53,183 --> 01:43:56,719 REMARKS TO THE OPEN SESSION AND 2683 01:43:56,719 --> 01:43:57,053 ADJOURN. 2684 01:43:57,053 --> 01:44:00,123 >> WELL, I WANT TO THANK 2685 01:44:00,123 --> 01:44:01,825 EVERYONE FOR A SUCCESSFUL MAY 2686 01:44:01,825 --> 01:44:02,058 COUNCIL. 2687 01:44:02,058 --> 01:44:04,060 THANK YOU FOR YOUR FLEXIBILITY 2688 01:44:04,060 --> 01:44:05,528 IN SCHEDULING AND MAKING SURE 2689 01:44:05,528 --> 01:44:07,263 THAT YOU WERE ABLE TO BE HERE. 2690 01:44:07,263 --> 01:44:08,932 WE REALLY APPRECIATE THAT. 2691 01:44:08,932 --> 01:44:10,433 AND THANKS TO THE COUNCIL 2692 01:44:10,433 --> 01:44:12,602 WORKING GROUP FOR THE REVIEW OF 2693 01:44:12,602 --> 01:44:14,437 OUR DIVISION OF COMMUNITY HEALTH 2694 01:44:14,437 --> 01:44:17,507 AND POPULATION SCIENCE, REALLY 2695 01:44:17,507 --> 01:44:18,741 STELLAR WORK, THAT WILL BE VERY 2696 01:44:18,741 --> 01:44:21,144 HELPFUL TO NIMHD SO WE'LL TAKE 2697 01:44:21,144 --> 01:44:23,046 THE RECOMMENDATION FROM COUNCIL 2698 01:44:23,046 --> 01:44:24,247 WHO ACCEPTED THE REPORT AND 2699 01:44:24,247 --> 01:44:25,381 WE'LL BEGIN TO DELVE IN AND TAKE 2700 01:44:25,381 --> 01:44:27,150 A LOOK AT WHAT SOME OF THE 2701 01:44:27,150 --> 01:44:28,685 PRIORITY AREAS MIGHT BE THAT 2702 01:44:28,685 --> 01:44:29,652 MIGHT BE ACTIONABLE. 2703 01:44:29,652 --> 01:44:31,821 SO THANK YOU FOR THAT. 2704 01:44:31,821 --> 01:44:34,023 AND AS ALWAYS, THANK YOU FOR 2705 01:44:34,023 --> 01:44:37,794 YOUR SUPPORT OF NIMHD AND SO WE 2706 01:44:37,794 --> 01:44:39,562 WILL HEREBY CLOSE THIS MEETING. 2707 01:44:39,562 --> 01:44:41,097 HERE IS THE GAVEL. 2708 01:44:41,097 --> 01:44:42,198 IT'S STRANGE HITTING THE GAVEL 2709 01:44:42,198 --> 01:44:43,700 ON A DESK WITH NOBODY HERE BUT 2710 01:44:43,700 --> 01:44:44,400 IT'S FINE. 2711 01:44:44,400 --> 01:44:45,802 THERE'S THE GAVEL. 2712 01:44:45,802 --> 01:44:49,539 THE MEETING IS ADJOURNED. 2713 01:44:49,539 --> 01:44:52,308 THANK YOU, EVERYONE. 2714 01:44:52,308 --> 01:44:54,277 >> PLEASE HOLD ON FOR THE CLOSED 2715 01:44:54,277 --> 01:45:04,277 SESSION.