1 00:00:05,105 --> 00:00:08,876 DR. PÉREZ-STABLE: GOOD 2 00:00:08,876 --> 00:00:10,310 AFTERNOON EVERYONE MY NAME IS 3 00:00:10,310 --> 00:00:14,815 ELISEO PÉREZ-STABLE, DIRECTOR, 4 00:00:14,815 --> 00:00:15,349 NIMHD. 5 00:00:15,349 --> 00:00:16,283 THANK YOU FOR JOINING 6 00:00:16,283 --> 00:00:16,884 YESTERDAY'S NIMHD DIRECTOR'S 7 00:00:16,884 --> 00:00:20,354 SEMINAR SERIES. 8 00:00:20,354 --> 00:00:25,259 THIS MONTH WE ARE CELEBRATING 9 00:00:25,259 --> 00:00:33,467 NATIVE AMERICAN HERITAGE MONTH. 10 00:00:33,467 --> 00:00:34,001 WHICH EACH YEAR HONORS THE 11 00:00:34,001 --> 00:00:36,169 DIVERSE TRADITIONS, WHICH 12 00:00:36,169 --> 00:00:36,803 HISTORIES AND CONTRIBUTIONS OF 13 00:00:36,803 --> 00:00:43,443 NATIVE AMERICANS AND THE 14 00:00:43,443 --> 00:00:43,911 INDIGENOUS RESILIENCE 15 00:00:43,911 --> 00:00:46,013 OVERCOMING BARRIERS WHICH ASKS 16 00:00:46,013 --> 00:00:48,482 US TO REFLECT ON THE ENDURING 17 00:00:48,482 --> 00:00:49,149 SPIRIT AND CULTURAL RICHNESS OF 18 00:00:49,149 --> 00:00:55,122 NATIVE AMERICAN COMMUNITIES AND 19 00:00:55,122 --> 00:00:55,756 THEIR ONGOING CONTRIBUTIONS AND 20 00:00:55,756 --> 00:00:56,323 THE STRENGTH THEY BRING TO 21 00:00:56,323 --> 00:00:57,991 SOCIETY AND NIH. 22 00:00:57,991 --> 00:01:01,828 THROUGH ACTIVITIES AND EVENTS, 23 00:01:01,828 --> 00:01:02,362 WE WILL HIGHLIGHT NATIVE 24 00:01:02,362 --> 00:01:02,863 AMERICAN CULTURE WHILE 25 00:01:02,863 --> 00:01:04,831 ADDRESSING CONTEMPORARY ISSUES. 26 00:01:04,831 --> 00:01:07,267 I MENTIONED THAT JUST LAST 27 00:01:07,267 --> 00:01:09,236 MONTH, I WAS IN NORTH DAKOTA. 28 00:01:09,236 --> 00:01:12,706 VISITED TURTLE MOUNTAIN 29 00:01:12,706 --> 00:01:16,376 COLLEGE THERE WITH THE FORMER 30 00:01:16,376 --> 00:01:20,113 TRIBAL HEALTH RESEARCH OFFICE 31 00:01:20,113 --> 00:01:21,248 DIRECTOR DAVID WILSON. AND IT 32 00:01:21,248 --> 00:01:22,416 IS ALWAYS A GOOD EXPERIENCE IN 33 00:01:22,416 --> 00:01:24,117 INDIAN COUNTRY. 34 00:01:24,117 --> 00:01:25,118 I AM PLEASED TODAY TO INTRODUCE 35 00:01:25,118 --> 00:01:28,889 DR. VALARIE BLUE BIRD JERNIGAN 36 00:01:28,889 --> 00:01:32,960 OF OKLAHOMA STATE UNIVERSITY AS 37 00:01:32,960 --> 00:01:33,493 OUR SPEAKER TODAY IN HER 38 00:01:33,493 --> 00:01:34,061 PRESENTATION WILL FOCUS ON 39 00:01:34,061 --> 00:01:36,096 ADDRESSING NUTRITION 40 00:01:36,096 --> 00:01:37,130 DISPARITIES IN NATIVE AMERICAN 41 00:01:37,130 --> 00:01:37,664 COMMUNITIES. RESEARCH AND 42 00:01:37,664 --> 00:01:41,568 ACTION. 43 00:01:41,568 --> 00:01:42,169 VALERIE RECEIVED HER DOCTORATE 44 00:01:42,169 --> 00:01:42,703 IN PUBLIC HEALTH FROM THE 45 00:01:42,703 --> 00:01:44,538 UNIVERSITY OF CALIFORNIA 46 00:01:44,538 --> 00:01:45,439 BERKELEY AND COMPLETED A 47 00:01:45,439 --> 00:01:46,807 POSTDOCTORAL FELLOWSHIP IN 48 00:01:46,807 --> 00:01:47,441 CARDIOVASCULAR VASCULAR DISEASE 49 00:01:47,441 --> 00:01:50,110 RISK REDUCTION AT THE STANFORD 50 00:01:50,110 --> 00:01:53,347 PREVENTION RESEARCH CENTER. TWO 51 00:01:53,347 --> 00:01:53,981 GROUPS AND INSTITUTIONS THAT I 52 00:01:53,981 --> 00:01:57,150 KNOW OF. 53 00:01:57,150 --> 00:01:57,651 SHE HAS PUBLISHED OVER 60 54 00:01:57,651 --> 00:01:58,185 PEER-REVIEWED PAPERS AND 55 00:01:58,185 --> 00:02:00,420 CONTRIBUTED TO SEVERAL 56 00:02:00,420 --> 00:02:01,054 DOCUMENTARY FILM AND MULTIMEDIA 57 00:02:01,054 --> 00:02:02,589 PUBLICATIONS. 58 00:02:02,589 --> 00:02:04,958 VALERIE IS ALSO A MEMBER OF THE 59 00:02:04,958 --> 00:02:07,761 NIMHD ADVISORY COUNCIL. 60 00:02:07,761 --> 00:02:12,099 DR. VALARIE BLUE BIRD JERNIGAN 61 00:02:12,099 --> 00:02:12,666 IS ENROLLED CITIZEN OF THE 62 00:02:12,666 --> 00:02:14,368 CHOCTAW NATION OF OKLAHOMA AND 63 00:02:14,368 --> 00:02:14,868 DIR. FOR THE CENTER OF 64 00:02:14,868 --> 00:02:15,836 INDIGENOUS HEALTH RESEARCH AND 65 00:02:15,836 --> 00:02:17,971 POLICY AND A PROFESSOR OF 66 00:02:17,971 --> 00:02:20,107 MEDICINE AND RURAL HEALTH AT 67 00:02:20,107 --> 00:02:21,141 THE CENTER OF RURAL SCIENCES AT 68 00:02:21,141 --> 00:02:23,076 OKLAHOMA STATE UNIVERSITY. 69 00:02:23,076 --> 00:02:24,778 SHE ALSO DIRECTS THE 70 00:02:24,778 --> 00:02:26,146 UNIVERSITY'S CENTER FOR 71 00:02:26,146 --> 00:02:27,848 INDIGENOUS INNOVATION AND 72 00:02:27,848 --> 00:02:28,982 HEALTH EQUITY. AN ACADEMIC 73 00:02:28,982 --> 00:02:32,085 COMMUNITY PARTNERSHIP WITH 74 00:02:32,085 --> 00:02:33,220 INDIGENOUS PEOPLES, WORKING TO 75 00:02:33,220 --> 00:02:35,489 RESTORE TRADITIONAL FOODS, AND 76 00:02:35,489 --> 00:02:37,724 FOOD PRACTICES TO PROMOTE 77 00:02:37,724 --> 00:02:38,258 HEALTHY DIETS AND REDUCE 78 00:02:38,258 --> 00:02:41,662 CHRONIC DISEASE. 79 00:02:41,662 --> 00:02:42,262 SHE IS A RESEARCHER FOCUSED ON 80 00:02:42,262 --> 00:02:44,031 INDIGENOUS PEOPLES, AND 81 00:02:44,031 --> 00:02:47,367 TRAINING AND INTERVENTION 82 00:02:47,367 --> 00:02:47,901 SCIENCE. SHE HAS BEEN THE 83 00:02:47,901 --> 00:02:48,535 PRINCIPAL INVESTIGATOR FOR MORE 84 00:02:48,535 --> 00:02:51,972 THAN A DOZEN RESEARCH STUDIES, 85 00:02:51,972 --> 00:02:53,273 ON IMPROVING INDIGENOUS FOOD 86 00:02:53,273 --> 00:02:53,874 SYSTEMS, THROUGH POLICY AND 87 00:02:53,874 --> 00:02:56,009 ENVIRONMENTAL INTERVENTIONS. 88 00:02:56,009 --> 00:03:02,883 IN 2011, DR. JERNIGAN BECAME 89 00:03:02,883 --> 00:03:04,117 THE INAUGURAL CHAIR OF THE 90 00:03:04,117 --> 00:03:05,018 CANCER RESEARCH INNOVATIVE 91 00:03:05,018 --> 00:03:05,585 RESEARCH TO IMPROVE NATIVE 92 00:03:05,585 --> 00:03:06,219 AMERICAN HEALTH IN 93 00:03:06,219 --> 00:03:11,658 COLLABORATION WITH 94 00:03:11,658 --> 00:03:12,192 INITIATIVES AND SERVES ON 95 00:03:12,192 --> 00:03:12,759 SEVERAL ADVISORY PANELS ON 96 00:03:12,759 --> 00:03:13,293 BOARD INCLUDING A RECENT 97 00:03:13,293 --> 00:03:15,328 COMPLETION OF BEING A MEMBER OF 98 00:03:15,328 --> 00:03:20,500 THE ENDING UNEQUAL TREATMENT 99 00:03:20,500 --> 00:03:21,101 REPORT THAT NIMHD COMMISSION 100 00:03:21,101 --> 00:03:25,605 AND THE NATIONAL ACADEMIES 101 00:03:25,605 --> 00:03:26,239 PUBLISHED EARLIER THIS YEAR SHE 102 00:03:26,239 --> 00:03:26,873 IS AN ADVISORY COMMITTEE MEMBER 103 00:03:26,873 --> 00:03:28,175 OF THE DIETARY GUIDELINES FOR 104 00:03:28,175 --> 00:03:28,709 AMERICANS FROM THE UNITED 105 00:03:28,709 --> 00:03:29,176 STATES DEPARTMENT OF 106 00:03:29,176 --> 00:03:31,378 AGRICULTURE. 107 00:03:31,378 --> 00:03:32,079 PLEASE JOIN ME IN GIVING A 108 00:03:32,079 --> 00:03:34,281 VIRTUAL WELCOME TO OUR NATIVE 109 00:03:34,281 --> 00:03:36,049 AMERICAN HERITAGE MONTH'S 110 00:03:36,049 --> 00:03:38,018 SPEAKER DR. VALARIE BLUE BIRD 111 00:03:38,018 --> 00:03:40,053 JERNIGAN. VALERIE? 112 00:03:40,053 --> 00:03:41,955 >> DR. JERNIGAN: THANK YOU SO 113 00:03:41,955 --> 00:03:46,126 MUCH ELISEO. I AM GOING TO 114 00:03:46,126 --> 00:03:56,269 SHARE MY SCREEN. 115 00:03:56,269 --> 00:04:02,275 I WANT TO SAY THANK YOU SO MUCH 116 00:04:02,275 --> 00:04:08,281 TO DR. ELISEO PÉREZ-STABLE, AND 117 00:04:08,281 --> 00:04:08,882 THE ORGANIZERS FOR THE NIMHD 118 00:04:08,882 --> 00:04:12,886 DIRECTOR'S SEMINAR SERIES. I 119 00:04:12,886 --> 00:04:13,520 AM SO HUMBLED AND HONORED TO BE 120 00:04:13,520 --> 00:04:14,087 ABLE TO PRESENT TO YOU ALL 121 00:04:14,087 --> 00:04:14,521 TODAY. 122 00:04:14,521 --> 00:04:18,024 I WILL BE SHARING A NUMBER OF 123 00:04:18,024 --> 00:04:20,927 RESEARCH STUDIES, SUPPORTED BY 124 00:04:20,927 --> 00:04:22,562 THE NATIONAL INSTITUTES OF 125 00:04:22,562 --> 00:04:23,196 HEALTH. AND SO I WANT TO HONOR 126 00:04:23,196 --> 00:04:26,766 AND ACKNOWLEDGE THE NIH'S ROLE 127 00:04:26,766 --> 00:04:30,804 AND SUPPORTING MY RESEARCH AND 128 00:04:30,804 --> 00:04:31,972 PARTICULARLY THE INTERVENTION 129 00:04:31,972 --> 00:04:34,207 RESEARCH TO IMPROVE NATIVE 130 00:04:34,207 --> 00:04:39,780 AMERICAN HEALTH, OR IRINAH 131 00:04:39,780 --> 00:04:40,380 FUNDING OPPORTUNITY WHICH HAS 132 00:04:40,380 --> 00:04:43,917 PLAYED A HUGE ROLE IN THE 133 00:04:43,917 --> 00:04:44,518 COMMITTEE-BASED PARTICIPATORY 134 00:04:44,518 --> 00:04:45,085 RESEARCH STUDY DID YOU HEAR 135 00:04:45,085 --> 00:04:46,486 ABOUT TODAY. 136 00:04:46,486 --> 00:04:48,488 I WANT TO ACKNOWLEDGE MY 137 00:04:48,488 --> 00:04:49,389 PARTNERS, THE CHOCTAW NATION OF 138 00:04:49,389 --> 00:04:52,392 OKLAHOMA, OSAGE NATION, THE 139 00:04:52,392 --> 00:04:56,596 CHICKASAW NATION, AND THE 140 00:04:56,596 --> 00:04:57,230 PARTNERING COMMUNITIES WITH THE 141 00:04:57,230 --> 00:04:58,165 CENTER FOR INDIGENOUS 142 00:04:58,165 --> 00:05:00,233 INNOVATION AND HEALTH EQUITY AS 143 00:05:00,233 --> 00:05:02,102 PART OF THE OFFICE OF MINORITY 144 00:05:02,102 --> 00:05:05,839 HEALTH'S FUNDED GRANT, THE 145 00:05:05,839 --> 00:05:08,775 CENTER FOR INDIGENOUS 146 00:05:08,775 --> 00:05:09,376 INNOVATION AND HEALTH EQUITY 147 00:05:09,376 --> 00:05:10,410 AND INDIGENOUS FOOD AND HEALTH 148 00:05:10,410 --> 00:05:12,179 INITIATIVE WHICH HAS SOME 149 00:05:12,179 --> 00:05:15,215 PLUMBING SUPPORTED BY NOVO 150 00:05:15,215 --> 00:05:16,650 NORDISK FOUNDATION AND I WANT 151 00:05:16,650 --> 00:05:19,119 TO THANK THE OSU LEADERSHIP AND 152 00:05:19,119 --> 00:05:20,654 STAFF. I CERTAINLY CANNOT DO 153 00:05:20,654 --> 00:05:23,790 THIS WORK WITHOUT OSU'S 154 00:05:23,790 --> 00:05:25,959 SUPPORT. AND THE AMAZING WORK 155 00:05:25,959 --> 00:05:32,098 THAT IS DONE EVERY DAY AT OSU. 156 00:05:32,098 --> 00:05:34,334 I WOULD LIKE TO SAY I AM 157 00:05:34,334 --> 00:05:35,335 COMMUNITY MADE; NONE OF US 158 00:05:35,335 --> 00:05:36,002 COULD DO THIS WORK WITHOUT EACH 159 00:05:36,002 --> 00:05:44,911 OTHER. SO THANK YOU SO MUCH. 160 00:05:44,911 --> 00:05:45,412 THE CENTER FOR INDIGENOUS 161 00:05:45,412 --> 00:05:49,249 HEALTH RESEARCH AND POLICY AT 162 00:05:49,249 --> 00:05:53,954 OSU, WE LAUNCH THIS CENTER IN 163 00:05:53,954 --> 00:06:01,962 2019. OUR PURPOSE IS RESEARCH, 164 00:06:01,962 --> 00:06:02,596 TRAINING AND CAPACITY BUILDING 165 00:06:02,596 --> 00:06:03,096 AND WE FOCUS ON HEALTH 166 00:06:03,096 --> 00:06:04,231 PROMOTION AND DISEASE 167 00:06:04,231 --> 00:06:12,372 PREVENTION INITIATIVES, DRIVEN 168 00:06:12,372 --> 00:06:12,872 BACK IN PRIORITIES AND 169 00:06:12,872 --> 00:06:14,207 CULTURALLY CENTERED STRATEGIES. 170 00:06:14,207 --> 00:06:20,113 WE CENTER ON CBPR/ TRIBALLY LED 171 00:06:20,113 --> 00:06:24,217 RESEARCH AND CURRENTLY HAVE 172 00:06:24,217 --> 00:06:24,818 MORE THAN 15 ACTIVE RESEARCH 173 00:06:24,818 --> 00:06:28,922 PROJECTS APPLYING INDIGENOUS 174 00:06:28,922 --> 00:06:30,690 METHODOLOGIES AND I WELCOME YOU 175 00:06:30,690 --> 00:06:36,763 TO VISIT A WEBSITE WHICH HAS 176 00:06:36,763 --> 00:06:37,397 LINKS WITH FREE AND OPEN ACCESS 177 00:06:37,397 --> 00:06:40,333 AND DESCRIPTIVE FOR STUDIES. 178 00:06:40,333 --> 00:06:45,505 AND WE HAVE VIDEOS AND 179 00:06:45,505 --> 00:06:46,072 COMMUNITIES AND WEBINAR SO 180 00:06:46,072 --> 00:06:46,673 PLEASE CHECK OUT OUR WEBSITE 181 00:06:46,673 --> 00:06:47,173 AND I HAVE INCLUDED OUR 182 00:06:47,173 --> 00:06:48,108 FACEBOOK PAGE. PLEASE LIKE OUR 183 00:06:48,108 --> 00:06:51,011 FACEBOOK PAGE SO WE CAN BUMP UP 184 00:06:51,011 --> 00:06:53,713 OUR LIKES. THANK YOU VERY MUCH. 185 00:06:53,713 --> 00:06:54,247 I CALLOUT THE INTERVENTION 186 00:06:54,247 --> 00:06:58,718 RESEARCH TO IMPROVE NATIVE 187 00:06:58,718 --> 00:07:00,153 AMERICAN HEALTH FUNDING 188 00:07:00,153 --> 00:07:00,954 MECHANISMS, AS PART OF THIS 189 00:07:00,954 --> 00:07:04,157 PRESENTATION. BECAUSE THIS 190 00:07:04,157 --> 00:07:04,791 GRANT PROGRAM REALLY CAME AT A 191 00:07:04,791 --> 00:07:07,761 TIME WHEN MY CAREER WAS JUST 192 00:07:07,761 --> 00:07:10,497 BEGINNING. AND IT IS FOCUSED ON 193 00:07:10,497 --> 00:07:11,698 DEVELOPING, ADAPTING AND 194 00:07:11,698 --> 00:07:13,033 TESTING CULTURALLY APPROPRIATE 195 00:07:13,033 --> 00:07:16,236 INTERVENTIONS TO IMPROVE HEALTH 196 00:07:16,236 --> 00:07:17,871 OUTCOMES WITHIN NATIVE AMERICAN 197 00:07:17,871 --> 00:07:20,907 COMMUNITIES. AND, USES THE R01, 198 00:07:20,907 --> 00:07:25,645 >> [RECORDING STOPPED]1, AND 199 00:07:25,645 --> 00:07:30,684 R34 GRANT MECHANISMS. REALLY 200 00:07:30,684 --> 00:07:37,691 EMPHASIZE WITH THESE PROGRAMS, 201 00:07:37,691 --> 00:07:38,291 WITH COMMUNITY ENGAGEMENT AND 202 00:07:38,291 --> 00:07:40,527 CULTURALLY RELEVANT APPROACHES, 203 00:07:40,527 --> 00:07:41,027 AND AIMS TO REDUCE THE 204 00:07:41,027 --> 00:07:43,330 MORBIDITY AND MORTALITY WITH 205 00:07:43,330 --> 00:07:45,031 THE NATIVE AMERICAN POPULATION 206 00:07:45,031 --> 00:07:46,533 I REALLY COULD NOT HAVE VENDORS 207 00:07:46,533 --> 00:07:47,267 WORK WITHOUT SUCH GREAT SUPPORT 208 00:07:47,267 --> 00:07:53,039 FROM THE IRIHNA FUNDING 209 00:07:53,039 --> 00:07:54,941 MECHANISM SO THE WORK AND 210 00:07:54,941 --> 00:07:56,109 ADVOCACY THAT WENT ON BEHIND 211 00:07:56,109 --> 00:08:00,113 THE SCENES TO REALLY SUPPORT 212 00:08:00,113 --> 00:08:01,481 AND PROMOTE THE FUNDING 213 00:08:01,481 --> 00:08:05,085 MECHANISM ALONG WITH THE NARCH 214 00:08:05,085 --> 00:08:08,121 FUNDING MECHANISM ALLOWED US TO 215 00:08:08,121 --> 00:08:11,391 DO INDIGENOUS SCIENCE. AND 216 00:08:11,391 --> 00:08:11,991 SUPPORT INITIATIVES THAT MAY 217 00:08:11,991 --> 00:08:14,361 NOT HAVE OTHERWISE BEEN 218 00:08:14,361 --> 00:08:15,362 SUPPORTED AND SO IT HAS BEEN A 219 00:08:15,362 --> 00:08:19,532 REALLY POWERFUL FUNDING 220 00:08:19,532 --> 00:08:20,100 OPPORTUNITY TO SUPPORT THE 221 00:08:20,100 --> 00:08:21,634 DEVELOPMENT OF INDIGENOUS 222 00:08:21,634 --> 00:08:30,276 HEALTH SCIENCE. 223 00:08:30,276 --> 00:08:30,844 THE DISPARITIES IN NUTRITION 224 00:08:30,844 --> 00:08:33,847 AND HEALTH ARE ONGOING AND 225 00:08:33,847 --> 00:08:35,715 PERSISTENT IN THE AMERICAN 226 00:08:35,715 --> 00:08:38,151 INDIAN AND ALASKA NATIVE 227 00:08:38,151 --> 00:08:38,785 POPULATION. MY EARLY WORK FOCUS 228 00:08:38,785 --> 00:08:40,053 ON LIMITED ACCESS TO FRESH 229 00:08:40,053 --> 00:08:43,656 FRUITS AND VEGETABLES. AND MUCH 230 00:08:43,656 --> 00:08:45,258 OF IT STILL DOES. AND FOOD 231 00:08:45,258 --> 00:08:46,393 INSECURITY. 232 00:08:46,393 --> 00:08:49,028 THE 2020 PREVALENCE OF FOOD 233 00:08:49,028 --> 00:08:51,965 INSECURITY WAS ABOUT 10.5% 234 00:08:51,965 --> 00:08:56,102 AMONG US HOUSEHOLDS. AND AMONG 235 00:08:56,102 --> 00:08:58,037 AMERICAN INDIANS AND ALASKA 236 00:08:58,037 --> 00:09:00,673 NATIVES, THIS RATE IS MUCH 237 00:09:00,673 --> 00:09:02,776 GREATER AT ABOUT 45.7%. 238 00:09:02,776 --> 00:09:08,248 IN OKLAHOMA, OUR RESEARCH 239 00:09:08,248 --> 00:09:08,815 SHOWED THAT THE PERCENT OF 240 00:09:08,815 --> 00:09:09,916 AMERICAN INDIANS, ALASKAN 241 00:09:09,916 --> 00:09:12,552 NATIVES SURVEY WORK FOOD 242 00:09:12,552 --> 00:09:14,621 INSECURE. AND AMERICAN INDIANS 243 00:09:14,621 --> 00:09:15,255 AND ALASKA NATIVES ARE NEARLY 3 244 00:09:15,255 --> 00:09:20,093 TAB MORE LIKELY TO HAVE 245 00:09:20,093 --> 00:09:20,560 DIABETES COMPARED TO 246 00:09:20,560 --> 00:09:24,030 NON-HISPANIC WHITES, 2.3 TIMES 247 00:09:24,030 --> 00:09:24,597 MORE LIKELY TO DIE FROM THE 248 00:09:24,597 --> 00:09:25,265 DISEASE AND AMERICAN INDIANS 249 00:09:25,265 --> 00:09:29,335 AND ALASKA NATIVES ARE 50% MORE 250 00:09:29,335 --> 00:09:29,903 LIKELY TO BE DIAGNOSED WITH 251 00:09:29,903 --> 00:09:31,404 CORONARY HEART DISEASE THAN 252 00:09:31,404 --> 00:09:33,673 NON-HISPANIC WHITES. 253 00:09:33,673 --> 00:09:34,274 AND IN THE 20 YEARS THAT I HAVE 254 00:09:34,274 --> 00:09:39,179 BEEN DOING THIS RESEARCH, IT'S 255 00:09:39,179 --> 00:09:39,746 BEEN REALLY CHALLENGING TO 256 00:09:39,746 --> 00:09:44,117 CHANGE THOSE NUMBERS. 257 00:09:44,117 --> 00:09:48,688 I WILL SHARE SOME SELECTED 258 00:09:48,688 --> 00:09:52,459 IRINAH SUPPORTED FOOD SYSTEM 259 00:09:52,459 --> 00:09:53,059 INTERVENTIONS WITH YOU TODAY 260 00:09:53,059 --> 00:09:56,996 THAT ADDRESS NUTRITION 261 00:09:56,996 --> 00:09:58,431 DISPARITIES. AS I HAVE INCLUDED 262 00:09:58,431 --> 00:10:00,700 THIS REALLY EXCELLENT AND 263 00:10:00,700 --> 00:10:01,301 SIMPLE DIAGRAM OR FAILURE OF 264 00:10:01,301 --> 00:10:02,602 THE FOOD SYSTEM. 265 00:10:02,602 --> 00:10:06,973 THE FOOD SYSTEM-- INCLUDING 266 00:10:06,973 --> 00:10:07,607 FOOD ENVIRONMENTS AND THE FOOD 267 00:10:07,607 --> 00:10:10,443 SUPPLY CHAINS-- HAS REALLY BEEN 268 00:10:10,443 --> 00:10:12,112 WHAT I HAVE FOCUSED ON IN MY 269 00:10:12,112 --> 00:10:15,648 INTERVENTION SCIENCE. I REALLY 270 00:10:15,648 --> 00:10:16,282 LOOK AT THE BIG PICTURE OF 271 00:10:16,282 --> 00:10:19,586 POLICY SYSTEMS, AND 272 00:10:19,586 --> 00:10:20,153 ENVIRONMENTAL CHANGE IN THE 273 00:10:20,153 --> 00:10:20,720 WORK THAT I DO WITH NATIVE 274 00:10:20,720 --> 00:10:22,622 COMMUNITIES. AND YOU HEAR 275 00:10:22,622 --> 00:10:28,995 EXAMPLES OF INTERVENTIONS LET'S 276 00:10:28,995 --> 00:10:32,332 (CORRECTION) THAT SPAN ACROSS 277 00:10:32,332 --> 00:10:34,434 VARIOUS PARTS OF THE FOOD 278 00:10:34,434 --> 00:10:35,001 SYSTEM INCLUDING ACCESS, 279 00:10:35,001 --> 00:10:36,436 AFFORDABILITY, PROMOTION, 280 00:10:36,436 --> 00:10:40,039 ADVERTISING, INCLUDE PRODUCTION 281 00:10:40,039 --> 00:10:40,607 AND AVAILABILITY AS WELL AS 282 00:10:40,607 --> 00:10:42,275 PACKAGING AND PROMOTION, AND 283 00:10:42,275 --> 00:10:46,112 RETAIL AND MARKETS. SO WE 284 00:10:46,112 --> 00:10:46,746 REALLY INTERVENE ACROSS ALMOST 285 00:10:46,746 --> 00:10:49,816 ALL ASPECTS OF THE FOOD SYSTEM. 286 00:10:49,816 --> 00:10:52,118 I WILL SHARE INFORMATION ABOUT 287 00:10:52,118 --> 00:10:56,156 THE THRIVE HEALTHY RETAIL STUDY 288 00:10:56,156 --> 00:10:56,623 WHICH WAS HELD IN THE 289 00:10:56,623 --> 00:10:57,257 CHICKASAW/ CHOCTAW NATIONS OF 290 00:10:57,257 --> 00:11:03,129 OKLAHOMA AND FUNDED BY NHLBI. 291 00:11:03,129 --> 00:11:04,130 AND THE FRESH STUDY WHICH IS A 292 00:11:04,130 --> 00:11:07,166 FARM TO SCHOOL INITIATIVE IN 293 00:11:07,166 --> 00:11:11,871 THE OSAGE NATION FUNDED BY THE 294 00:11:11,871 --> 00:11:12,438 -- AND THE OSAGE INDIGENOUS 295 00:11:12,438 --> 00:11:13,006 SUPPORTED AGRICULTURE STUDY 296 00:11:13,006 --> 00:11:16,242 ALSO FUNDED BY NIMHD, IN THE 297 00:11:16,242 --> 00:11:20,180 CONTINUATION OF THE WORK BUILT 298 00:11:20,180 --> 00:11:23,016 WITHIN THE FRESH STUDY. 299 00:11:23,016 --> 00:11:25,985 SO TO START OUT, I WANT TO 300 00:11:25,985 --> 00:11:33,259 INTRODUCE THE ... 301 00:11:33,259 --> 00:11:35,762 ISSUE OR THE CONCEPT OF 302 00:11:35,762 --> 00:11:37,030 INDIGENOUS FOOD SOVEREIGNTY. 303 00:11:37,030 --> 00:11:38,231 THIS IS OFTEN DEFINED AS THE 304 00:11:38,231 --> 00:11:43,903 RIGHT AND RESPONSIBILITY OF 305 00:11:43,903 --> 00:11:44,504 INDIGENOUS PEOPLE TO HEALTHY 306 00:11:44,504 --> 00:11:45,438 AND CULTURALLY APPROPRIATE 307 00:11:45,438 --> 00:11:50,376 FOODS, PRODUCED THROUGH 308 00:11:50,376 --> 00:11:51,144 TRADITIONAL INDIGENOUS 309 00:11:51,144 --> 00:11:53,379 PRACTICES. 310 00:11:53,379 --> 00:11:53,980 THIS IS NOT SOMETHING THAT CAME 311 00:11:53,980 --> 00:11:56,082 OUT OF THE PUBLIC HEALTH 312 00:11:56,082 --> 00:12:00,086 LEXICON SO TO SPEAK. IT IS 313 00:12:00,086 --> 00:12:02,322 DEFINITELY A COMMUNITY LED 314 00:12:02,322 --> 00:12:03,957 MOVEMENT THAT SUPPORTS 315 00:12:03,957 --> 00:12:04,490 INDIGENOUS COMMUNITIES IN 316 00:12:04,490 --> 00:12:05,124 HAVING GREATER CONTROL OVER THE 317 00:12:05,124 --> 00:12:08,094 LAND AND FOOD SYSTEMS BY 318 00:12:08,094 --> 00:12:10,263 INCREASING AND PROTECTING 319 00:12:10,263 --> 00:12:10,863 TRADITIONAL AND HEALTHY FOODS 320 00:12:10,863 --> 00:12:11,564 AND REDUCING DEPENDENCE ON 321 00:12:11,564 --> 00:12:17,804 PACKAGED AND FAST FOODS. 322 00:12:17,804 --> 00:12:18,404 FOOD SOVEREIGNTY ADDRESSES THE 323 00:12:18,404 --> 00:12:20,239 NEED FOR NUTRITION AND HEALTH 324 00:12:20,239 --> 00:12:22,342 EQUITY APPROACHES THAT ARE 325 00:12:22,342 --> 00:12:22,942 EMBEDDED WITHIN AN INDIGENOUS 326 00:12:22,942 --> 00:12:24,077 CONCEPT OF HEALTH AND WELLNESS. 327 00:12:24,077 --> 00:12:27,814 AND SELF-DETERMINATION. AND 328 00:12:27,814 --> 00:12:28,414 FOOD SOVEREIGNTY BUILDS UPON 329 00:12:28,414 --> 00:12:29,582 COMMUNITY STRENGTHS AND 330 00:12:29,582 --> 00:12:31,484 CULTURAL PRACTICES. 331 00:12:31,484 --> 00:12:37,991 SO THE THRIVE STUDY IS A 332 00:12:37,991 --> 00:12:38,591 CONVENIENCE STORE STUDY THAT 333 00:12:38,591 --> 00:12:39,826 WAS IMPLEMENTED IN 2012-2017. 334 00:12:39,826 --> 00:12:44,797 IT IS AN RCT OF HEALTHY FOOD 335 00:12:44,797 --> 00:12:48,635 MAKEOVERS IN TRIBALLY OWNED 336 00:12:48,635 --> 00:12:49,268 AND OPERATED CONVENIENCE STORES 337 00:12:49,268 --> 00:12:49,802 IN CHICKASAW AND CHOCTAW 338 00:12:49,802 --> 00:12:52,338 NATIONS. 339 00:12:52,338 --> 00:12:52,939 IF YOU LOOK AT THE PICTURES YOU 340 00:12:52,939 --> 00:12:58,311 CAN SEE THESE REALLY AWESOME 341 00:12:58,311 --> 00:13:00,680 CONVENIENCE STORES ALL OVER THE 342 00:13:00,680 --> 00:13:01,214 STATE, ESPECIALLY IN THE 343 00:13:01,214 --> 00:13:04,083 SOUTHEASTERN CORNER OF THE 344 00:13:04,083 --> 00:13:05,284 STATE ABOUT THE (CORRECTION) IN 345 00:13:05,284 --> 00:13:11,357 THE STATE OF OKLAHOMA. I SAY 346 00:13:11,357 --> 00:13:11,958 "AWESOME" BECAUSE THEY REALLY 347 00:13:11,958 --> 00:13:12,558 HELP THE ECONOMIES IN TRIBAL 348 00:13:12,558 --> 00:13:13,993 NATIONS AND THEY PROVIDE A LOT 349 00:13:13,993 --> 00:13:24,237 OF JOBS AND HELP PEOPLE GET 350 00:13:24,237 --> 00:13:24,837 ACCESS TO THEIR FOODS. 60% OF 351 00:13:24,837 --> 00:13:25,438 THE NATIVE PEOPLE HE SURVEYED 352 00:13:25,438 --> 00:13:26,072 REPORTING SHOPPING FOR FOOD AT 353 00:13:26,072 --> 00:13:26,673 THE STORE THREE TIMES OR MORE 354 00:13:26,673 --> 00:13:37,116 PER WEEK, SO WE CHOSE TO 355 00:13:37,884 --> 00:13:40,620 INTERVENE WHERE THE PEOPLE ARE. 356 00:13:40,620 --> 00:13:41,187 AND YOU CAN SEE THE INSIDE OF 357 00:13:41,187 --> 00:13:42,755 ONE OF THE STORES AND IT IS 358 00:13:42,755 --> 00:13:45,958 MOSTLY SHELFSTABLE, PACKAGE 359 00:13:45,958 --> 00:13:46,592 FOODS AND YOU CAN SEE WHERE THE 360 00:13:46,592 --> 00:13:47,694 RED DOTS ARE ON THE OKLAHOMA 361 00:13:47,694 --> 00:13:49,662 MAP. 362 00:13:49,662 --> 00:13:51,898 THAT IS WHERE THE NUMBER OF 363 00:13:51,898 --> 00:13:52,465 STORES WERE WHEN WE STARTED 364 00:13:52,465 --> 00:13:59,439 THIS INITIATIVE BY THEY HAVE 365 00:13:59,439 --> 00:13:59,939 SINCE BUILT A OF EXTRA 366 00:13:59,939 --> 00:14:00,573 ADDITIONAL STORES. SO THERE ARE 367 00:14:00,573 --> 00:14:03,009 MANY STORES NOW. 368 00:14:03,009 --> 00:14:06,045 HERE ARE SOME PICTURES OF THE 369 00:14:06,045 --> 00:14:08,414 INSIDE OF THE STORES WHEN WE 370 00:14:08,414 --> 00:14:10,316 STARTED THE INTERVENTION. ONE 371 00:14:10,316 --> 00:14:10,950 OF THE MOST POPULAR FEATURES OF 372 00:14:10,950 --> 00:14:16,956 THE STORES WAS THE HOTBOX, 373 00:14:16,956 --> 00:14:18,558 WHICH IS DOWN AT THE BOTTOM, 374 00:14:18,558 --> 00:14:19,192 LEFT-HAND CORNER OF THE SLIDE. 375 00:14:19,192 --> 00:14:20,993 AND YOU CAN SEE REALLY A LOT OF 376 00:14:20,993 --> 00:14:24,330 FRIED FOODS, YOU KNOW FOODS ON 377 00:14:24,330 --> 00:14:25,064 THE GO FOR PEOPLE WHO ARE VERY 378 00:14:25,064 --> 00:14:28,568 BUSY, AND TRAVELING. AND IT IS 379 00:14:28,568 --> 00:14:31,571 ALSO, YOU KNOW, SUPPLIED TO THE 380 00:14:31,571 --> 00:14:35,007 LOCAL SCHOOLS. AND SUPPLIED TO 381 00:14:35,007 --> 00:14:37,877 THE FOOTBALL TEAMS. AND OUR 382 00:14:37,877 --> 00:14:40,079 TRIBAL MEMBERS, YOU KNOW, SPENT 383 00:14:40,079 --> 00:14:44,283 A LOT OF TIME IN THE STORES AND 384 00:14:44,283 --> 00:14:46,686 SOME OF THE ELDERS VISIT THERE. 385 00:14:46,686 --> 00:14:47,320 THEY HAVE COFFEE SO IT IS MORE 386 00:14:47,320 --> 00:14:49,055 THAN JUST A STORE. IN MANY 387 00:14:49,055 --> 00:14:51,057 COMMUNITIES THE STORES FUNCTION 388 00:14:51,057 --> 00:14:52,492 AS KIND OF A PLACE TO GATHER 389 00:14:52,492 --> 00:14:57,497 AND SIT, AND MEET FOLKS. 390 00:14:57,497 --> 00:14:58,097 THERE'S EVEN BIRTHDAY PARTIES 391 00:14:58,097 --> 00:14:59,932 HELD THAT THE STORES. 392 00:14:59,932 --> 00:15:02,168 AND YOU CAN SEE AGAIN AT THE 393 00:15:02,168 --> 00:15:02,769 TOP SOME EXAMPLES OF WHAT THE 394 00:15:02,769 --> 00:15:04,837 STORES LOOK LIKE. OUR 395 00:15:04,837 --> 00:15:07,240 INTERVENTION COMPONENTS -- AND 396 00:15:07,240 --> 00:15:09,308 AGAIN WE PUBLISHED ON ALL OF 397 00:15:09,308 --> 00:15:10,510 THESE METHODS AND OUTCOMES SO 398 00:15:10,510 --> 00:15:13,012 THIS IS AVAILABLE TO READ IN 399 00:15:13,012 --> 00:15:14,313 MORE DEPTH. 400 00:15:14,313 --> 00:15:24,757 BUT WE INTERVENED ON THE PPPR 401 00:15:29,962 --> 00:15:30,530 PIECE AS IT IS CALLED, PRODUCT, 402 00:15:30,530 --> 00:15:32,231 PLACEMENT, PROMOTION AND 403 00:15:32,231 --> 00:15:32,765 PRICING. SO WE WANTED TO 404 00:15:32,765 --> 00:15:35,501 CONDUCT ASSESSMENTS ON THE 405 00:15:35,501 --> 00:15:36,135 HEALTH AVAILABILITY OF HEALTHY 406 00:15:36,135 --> 00:15:40,239 FOODS IN THE STORES. 407 00:15:40,239 --> 00:15:40,873 AND SO INTERVENTION COMPONENTS 408 00:15:40,873 --> 00:15:46,546 AS I SAID INCLUDED PRODUCT AND 409 00:15:46,546 --> 00:15:47,180 PLACEMENT PROMOTION AND PRICING 410 00:15:47,180 --> 00:15:47,747 AND YOU CAN SEE SOME OF THE 411 00:15:47,747 --> 00:15:51,017 SHELF DIAGRAMS, HOW WE WE 412 00:15:51,017 --> 00:15:53,386 PLANNED WHAT THE DIFFERENT NEW 413 00:15:53,386 --> 00:15:53,953 OPTIONS ARE GOING TO BE AND 414 00:15:53,953 --> 00:15:54,821 WHERE THEY ARE GOING TO BE SET 415 00:15:54,821 --> 00:15:59,158 UP IN THE STORES. 416 00:15:59,158 --> 00:16:02,762 SOME OF THE STORES HAD A 417 00:16:02,762 --> 00:16:03,396 DIFFICULT TIME OFFERING HEALTHY 418 00:16:03,396 --> 00:16:08,234 OPTIONS. NONE OF THE FOOD THAT 419 00:16:08,234 --> 00:16:09,335 WAS AVAILABLE AT THE STORES MET 420 00:16:09,335 --> 00:16:10,870 SOME OF OUR NUTRITION CRITERIA. 421 00:16:10,870 --> 00:16:14,640 AND SO, IN THE CHOCTAW NATION, 422 00:16:14,640 --> 00:16:16,209 SOME OF THE MORE RURAL STORES 423 00:16:16,209 --> 00:16:20,079 ENDED UP HAVING TO SOME 424 00:16:20,079 --> 00:16:20,746 REMODELING TO EXPAND THEIR 425 00:16:20,746 --> 00:16:22,648 KITCHENS TO BE ABLE TO ACTUALLY 426 00:16:22,648 --> 00:16:26,652 PACKAGE THEIR OWN FOODS, AND 427 00:16:26,652 --> 00:16:28,921 SELL THOSE FOODS TO MEET 428 00:16:28,921 --> 00:16:29,522 CRITERIA FOR THE HEALTHY FOOD 429 00:16:29,522 --> 00:16:32,391 OPTIONS AS PART OF THE STUDY. 430 00:16:32,391 --> 00:16:32,992 WHICH I THINK SHOWS THE LEVEL 431 00:16:32,992 --> 00:16:34,360 OF COMMITMENT THAT THE TRIBAL 432 00:16:34,360 --> 00:16:36,729 LEADERSHIP HAD IN THE SUCCESS 433 00:16:36,729 --> 00:16:40,233 OF THE STUDY. AND IN TAKING 434 00:16:40,233 --> 00:16:41,534 VERY SERIOUSLY THE NEED TO 435 00:16:41,534 --> 00:16:46,973 OFFER HEALTHY OPTIONS. 436 00:16:46,973 --> 00:16:47,573 IF YOU SEE THE BOTTOM LEFT-HAND 437 00:16:47,573 --> 00:16:48,140 CORNER, YOU CAN SEE SOME OF 438 00:16:48,140 --> 00:16:49,041 THOSE HEALTHIER CHOICES THAT 439 00:16:49,041 --> 00:16:51,944 WERE CREATED AS PART OF THE 440 00:16:51,944 --> 00:16:52,578 STUDY. AT THE TOP YOU SEE SOME 441 00:16:52,578 --> 00:16:55,314 OF THE PROMOTIONAL SIGNAGE. 442 00:16:55,314 --> 00:16:59,952 AND SO WE HAD THE LANGUAGE 443 00:16:59,952 --> 00:17:06,959 TRANSLATED FROM ENGLISH TO 444 00:17:06,959 --> 00:17:10,496 CHOCTAW (SPANISH LANGUAGE NAME) 445 00:17:10,496 --> 00:17:14,600 BETTER CHOICES HAVE ARRIVED, 446 00:17:14,600 --> 00:17:15,167 AND YOU CAN SEE SOME OF THE 447 00:17:15,167 --> 00:17:24,076 OTHER SIGNAGE, VALUE CHOICE AND 448 00:17:24,076 --> 00:17:25,244 FRESHER CHOICE. INDIVIDUALS 449 00:17:25,244 --> 00:17:27,546 SURVEYED DOLLARS THE FOOD THAT 450 00:17:27,546 --> 00:17:28,114 WERE IMPORTANT TO THEM AND 451 00:17:28,114 --> 00:17:29,382 THESE WERE SOME OF THE OPTIONS 452 00:17:29,382 --> 00:17:33,886 OFFERED IN THE LARGE WALKAROUND 453 00:17:33,886 --> 00:17:34,487 COOLERS THAT WE INSTALLED AS 454 00:17:34,487 --> 00:17:35,054 PART OF THE HEALTHY RETAIL 455 00:17:35,054 --> 00:17:40,192 MAKEOVERS. 456 00:17:40,192 --> 00:17:40,793 HERE YOU HAVE A TABLE FROM THE 457 00:17:40,793 --> 00:17:45,331 OUTCOMES PAPER, WHICH WAS 458 00:17:45,331 --> 00:17:45,865 PUBLISHED IN THE AMERICAN 459 00:17:45,865 --> 00:17:46,499 JOURNAL FOR PUBLIC HEALTH. AND 460 00:17:46,499 --> 00:17:48,734 YOU CAN READ MORE ABOUT THE 461 00:17:48,734 --> 00:17:49,368 OUTCOMES IN THAT PAPER BUT THIS 462 00:17:49,368 --> 00:17:51,804 IS A TREND ANALYSIS OF 463 00:17:51,804 --> 00:17:52,438 INTERVENTION EXPOSURE BASED ON 464 00:17:52,438 --> 00:17:53,205 FREQUENCY OF SHOPPING. 465 00:17:53,205 --> 00:18:00,713 SO THE THRIVE INCREASE BOTH THE 466 00:18:00,713 --> 00:18:01,347 AVAILABILITY AND THE PURCHASING 467 00:18:01,347 --> 00:18:04,517 OF FRUIT AND VEGETABLES AND 468 00:18:04,517 --> 00:18:07,353 OTHER HEALTHY FOODS IN BOTH 469 00:18:07,353 --> 00:18:09,655 NATIONS. IF YOU LOOK AT THE 470 00:18:09,655 --> 00:18:16,362 LIGHTEST BARS, IS ONE OR -- 471 00:18:16,362 --> 00:18:16,929 TIMES A WEEK AND THE DARKER 472 00:18:16,929 --> 00:18:22,601 BARS ARE TWO TIMES OR MORE. 473 00:18:22,601 --> 00:18:23,202 THE MORE THE PERSON SHOP THAT 474 00:18:23,202 --> 00:18:25,972 THE STORES, THE MORE EXPOSURE 475 00:18:25,972 --> 00:18:26,572 THE HEAD TO THE INTERVENTION 476 00:18:26,572 --> 00:18:27,173 AND THE MORE LIKELY THEY WERE 477 00:18:27,173 --> 00:18:36,148 TO NOTICE THE REACH AND FOOD 478 00:18:36,148 --> 00:18:36,649 COOLERS. AND NOTICE THE 479 00:18:36,649 --> 00:18:40,186 DEFINITION SIGNAGE, AND 480 00:18:40,186 --> 00:18:40,786 PURCHASE FOOD AND VEGETABLES 481 00:18:40,786 --> 00:18:43,956 FROM THE REGION COOLERS. 482 00:18:43,956 --> 00:18:44,457 ONE OF THE MOST IMPORTANT 483 00:18:44,457 --> 00:18:45,024 ASPECTS OF THE STUDY IS THE 484 00:18:45,024 --> 00:18:49,495 POLICY CHANGE THAT OCCURRED AT 485 00:18:49,495 --> 00:18:49,929 THE PROCUREMENT AND 486 00:18:49,929 --> 00:18:51,964 DISTRIBUTION LEVELS. AND THE 487 00:18:51,964 --> 00:18:53,399 STORE LEVELS. 488 00:18:53,399 --> 00:18:58,504 AND SO BECAUSE THE DISTRIBUTION 489 00:18:58,504 --> 00:19:01,107 COMPANIES THAT WORK WITH THE 490 00:19:01,107 --> 00:19:01,741 TRIBAL NATIONS DID NOT WANT TO 491 00:19:01,741 --> 00:19:02,341 LOSE THEIR CONTRACT WITH THE 492 00:19:02,341 --> 00:19:07,713 TRIBES, THEY WERE ABLE TO 493 00:19:07,713 --> 00:19:08,247 SECURE A BROADER SCOPE OF 494 00:19:08,247 --> 00:19:08,848 HEALTHY FOOD CHOICES FOR THE 495 00:19:08,848 --> 00:19:12,618 STUDY. WHICH THEY THEN BECAME 496 00:19:12,618 --> 00:19:16,956 PERMANENT CHANGES TO THEIR FOOD 497 00:19:16,956 --> 00:19:18,524 OFFERINGS. 498 00:19:18,524 --> 00:19:22,094 AND SO, THAT BECAME AVAILABLE 499 00:19:22,094 --> 00:19:23,829 TO BOTH TRIBES NOT JUST IN 500 00:19:23,829 --> 00:19:27,833 THEIR CONVENIENCE STORES. BUT 501 00:19:27,833 --> 00:19:29,502 ALSO ACROSS ALL OF THEIR 502 00:19:29,502 --> 00:19:32,972 BUSINESSES. SO THE HOTELS, THE 503 00:19:32,972 --> 00:19:34,573 CASINOS, THE RESTAURANTS. ALL 504 00:19:34,573 --> 00:19:39,512 OF THOSE SITES HAD BROADER 505 00:19:39,512 --> 00:19:40,012 OFFERINGS THAT INCLUDED 506 00:19:40,012 --> 00:19:45,551 HEALTHCARE FOODS. 507 00:19:45,551 --> 00:19:49,855 I WANT TO NOW TURN TO THE FRESH 508 00:19:49,855 --> 00:19:55,394 FARM-TO HEAD START STUDY, ALSO 509 00:19:55,394 --> 00:19:58,664 AND IRINAH SUPPORTED STUDY, AND 510 00:19:58,664 --> 00:20:04,203 BY THE NIMHD IMPLEMENTED FROM 511 00:20:04,203 --> 00:20:04,770 2016 TO 2021. AND THE STUDY 512 00:20:04,770 --> 00:20:08,374 GOES BEYOND THE RETAIL 513 00:20:08,374 --> 00:20:08,908 ENVIRONMENT TO THE ACTUAL 514 00:20:08,908 --> 00:20:11,711 PRODUCTION OF HEALTHY FOOD. IT 515 00:20:11,711 --> 00:20:12,311 WAS CONDUCTED IN PARTNERSHIP 516 00:20:12,311 --> 00:20:22,855 WITH THE OSAGE NATION. IT IS A 517 00:20:24,790 --> 00:20:25,291 MULTILEVEL FARM TO SCHOOL, 518 00:20:25,291 --> 00:20:28,394 WAIT-LIST CONTROL TRIAL FOR 519 00:20:28,394 --> 00:20:28,994 COMMUNITIES, MATCHED BY SIZE, 520 00:20:28,994 --> 00:20:29,762 DISTANCE INSULTED DEMOGRAPHIC 521 00:20:29,762 --> 00:20:32,231 CHARACTERISTICS. AND INCLUSION 522 00:20:32,231 --> 00:20:32,865 CRITERIA, AMERICAN INDIAN WITH 523 00:20:32,865 --> 00:20:38,437 THE CHILD ENROLLED IN ONE OF 524 00:20:38,437 --> 00:20:39,071 THE HEAD START AGED 3 TO 5 AND 525 00:20:39,071 --> 00:20:39,672 NO PLANS OF MOVING WITHIN THE 526 00:20:39,672 --> 00:20:42,775 NEXT YEAR. 527 00:20:42,775 --> 00:20:43,242 AND THIS WAS A 16 WEEK 528 00:20:43,242 --> 00:20:44,076 INTERVENTION FROM JANUARY 2018 529 00:20:44,076 --> 00:20:50,916 TO DECEMBER, 2018. 530 00:20:50,916 --> 00:20:51,517 TWO COMMUNITIES WERE RANDOMIZED 531 00:20:51,517 --> 00:20:54,286 TO INTERVENTION GROUP WHICH WAS 532 00:20:54,286 --> 00:20:54,787 FIVE HEAD START AND TWO 533 00:20:54,787 --> 00:20:55,421 COMMUNITIES WERE RANDOMIZED TO 534 00:20:55,421 --> 00:20:58,858 THE CONTROL GROUP WHICH WAS 535 00:20:58,858 --> 00:20:59,458 FOUR OF THE HEAD STARTS. AND 536 00:20:59,458 --> 00:21:02,394 THE TOTAL PARTICIPANTS, 193 537 00:21:02,394 --> 00:21:04,396 CHILDREN AGE 3 TO 5 AND SOME OF 538 00:21:04,396 --> 00:21:07,199 THEM TURNED 6 DURING THE SCHOOL 539 00:21:07,199 --> 00:21:09,802 YEAR. 540 00:21:09,802 --> 00:21:12,638 THE PRIMARY OUTCOMES: INCREASE 541 00:21:12,638 --> 00:21:13,239 VEGETABLE WILLINGNESS TO TRY 542 00:21:13,239 --> 00:21:16,375 AND IN TAKING CHILDREN. AND WE 543 00:21:16,375 --> 00:21:20,946 HAD A FOCUS ON BEANS, SQUASH, 544 00:21:20,946 --> 00:21:22,615 PEPPERS AND SPANISH, THE FOODS 545 00:21:22,615 --> 00:21:30,589 THAT THE TRIBAL NATION GREW. 546 00:21:30,589 --> 00:21:31,190 AND REPRIORITIZE THOSE FOODS 547 00:21:31,190 --> 00:21:31,724 AND INCLUDED THEM IN THE 548 00:21:31,724 --> 00:21:35,194 INTERVENTION AND THAT IS 549 00:21:35,194 --> 00:21:35,794 CHIEF-- STANDING THERE AND I 550 00:21:35,794 --> 00:21:39,098 LOVE THIS PICTURE. BECAUSE HE 551 00:21:39,098 --> 00:21:39,698 WAS STANDING IN FRONT OF THE 552 00:21:39,698 --> 00:21:40,332 LAND THAT WAS BEING REPURPOSED 553 00:21:40,332 --> 00:21:40,933 TO GROW THE FARM. AND I LOVE 554 00:21:40,933 --> 00:21:48,007 THIS PICTURE BECAUSE NOW THE 555 00:21:48,007 --> 00:21:48,574 FARM IS HUGE, AND THERE HAS 556 00:21:48,574 --> 00:21:49,175 BEEN INCREDIBLE WORK THAT HAS 557 00:21:49,175 --> 00:21:50,242 BEEN DONE, AND I STILL HAVE THE 558 00:21:50,242 --> 00:21:50,843 PICTURE OF THE VERY BEGINNING 559 00:21:50,843 --> 00:21:54,246 WHEN ALL OF THIS STARTED. AND 560 00:21:54,246 --> 00:21:55,781 YOU CAN SEE A BEAUTIFUL HARVEST 561 00:21:55,781 --> 00:21:58,017 PLAN LOGO, IN THEIR LANGUAGE, 562 00:21:58,017 --> 00:22:02,154 AT THE BOTTOM OF THE SLIDE. 563 00:22:02,154 --> 00:22:07,259 THE FRESH STUDY METHODS, 564 00:22:07,259 --> 00:22:08,127 ENVIRONMENTAL, DEVELOPMENT OF 565 00:22:08,127 --> 00:22:11,030 TRIBAL FARM HARVEST LAND. 566 00:22:11,030 --> 00:22:12,097 SCHOOL LEVEL WE CHANGE THE 567 00:22:12,097 --> 00:22:15,568 SCHOOL MENU. WE REPLACE CANNED 568 00:22:15,568 --> 00:22:16,168 OR PROCESSED FOODS WITH LOCAL 569 00:22:16,168 --> 00:22:20,172 VEGETABLES. AND CHANGE 570 00:22:20,172 --> 00:22:22,775 DEFEATING PRACTICES TO A 571 00:22:22,775 --> 00:22:26,011 FAMILY-STYLE FEEDING PRACTICE. 572 00:22:26,011 --> 00:22:28,280 WE ALSO BUILT SCHOOL GARDENS AT 573 00:22:28,280 --> 00:22:31,383 EACH HEADSTART. AND WE CREATED 574 00:22:31,383 --> 00:22:32,017 AN ACCOMPANYING CURRICULUM THAT 575 00:22:32,017 --> 00:22:34,587 WAS IN ENGLISH AND THE OSAGE 576 00:22:34,587 --> 00:22:36,922 LANGUAGE. AND IMPLEMENTED 577 00:22:36,922 --> 00:22:39,625 WITHIN THE HEADSTART. 578 00:22:39,625 --> 00:22:41,794 THE FAMILY INTERVENTION 579 00:22:41,794 --> 00:22:42,294 COMPONENT WAS A PASSIVE 580 00:22:42,294 --> 00:22:46,198 INTERVENTION COMPONENT. IT 581 00:22:46,198 --> 00:22:48,400 INCLUDED WEEKLY MEAL KITS WITH 582 00:22:48,400 --> 00:22:49,001 FARM PRODUCE THAT THEY WOULD 583 00:22:49,001 --> 00:22:51,804 TAKE HOME EVERY WEEKEND, AND 584 00:22:51,804 --> 00:22:55,441 PREPARE WITH THEIR FAMILIES. 585 00:22:55,441 --> 00:22:56,775 THERE WAS A WEB-BASED PARENT 586 00:22:56,775 --> 00:22:58,177 CURRICULUM THAT WAS ALSO PART 587 00:22:58,177 --> 00:23:01,180 OF THE FAMILY INTERVENTION. 588 00:23:01,180 --> 00:23:02,881 AND MONTHLY FAMILY NIGHT. 589 00:23:02,881 --> 00:23:05,651 WHERE WE WOULD HOST FAMILIES 590 00:23:05,651 --> 00:23:08,988 AND COMMUNITIES AND COOK FOODS 591 00:23:08,988 --> 00:23:12,358 AND JUST SHARE AND BE IN 592 00:23:12,358 --> 00:23:16,195 COMMUNITY AS PART OF THAT. 593 00:23:16,195 --> 00:23:23,068 THE FRESH STUDY OUTCOMES. IT 594 00:23:23,068 --> 00:23:23,535 WAS VERY EXCITING AND 595 00:23:23,535 --> 00:23:26,839 INTERESTING TO LEARN HOW TO 596 00:23:26,839 --> 00:23:28,340 ASSESS VEGETABLE INTAKE IN 3 TO 597 00:23:28,340 --> 00:23:28,941 5-YEAR-OLD. YOU CAN'T SIMPLY 598 00:23:28,941 --> 00:23:34,113 ASK THEM TO TELL YOU WHAT THEY 599 00:23:34,113 --> 00:23:36,949 ATE THAT DAY. YOU HAVE TO 600 00:23:36,949 --> 00:23:37,483 THINK OF CREATIVE WAYS TO 601 00:23:37,483 --> 00:23:39,852 ASSESS THE INTAKE. SO WE USED 602 00:23:39,852 --> 00:23:44,056 TWO STRATEGIES: WILLINGNESS TO 603 00:23:44,056 --> 00:23:45,157 TRY SCORES. AS WELL AS PLATE 604 00:23:45,157 --> 00:23:48,227 WASTE. 605 00:23:48,227 --> 00:23:50,095 YOU CAN SEE FROM AGAIN 606 00:23:50,095 --> 00:23:52,464 PUBLICATIONS, ALL LISTED ON THE 607 00:23:52,464 --> 00:23:58,003 SLIDE. WE HAVE A TABLE HERE, 608 00:23:58,003 --> 00:23:58,570 DIFFERENCES IN BASELINE AND 609 00:23:58,570 --> 00:23:59,104 FOLLOW-UP MEASUREMENTS OF 610 00:23:59,104 --> 00:24:00,072 OUTCOMES FOR CHILDREN IN THE 611 00:24:00,072 --> 00:24:07,846 FRESH STUDY. 612 00:24:07,846 --> 00:24:08,380 YOU CAN SEE THAT VEGETABLE 613 00:24:08,380 --> 00:24:11,583 INTAKE SIGNIFICANTLY INCREASED 614 00:24:11,583 --> 00:24:12,184 IN THE VEGETABLE CONTROL FOR 615 00:24:12,184 --> 00:24:12,651 SQUASH AND BEANS AND 616 00:24:12,651 --> 00:24:15,554 WILLINGNESS TO TRY SCORES FOR 617 00:24:15,554 --> 00:24:20,526 BEANS AND INTERVENTION TOMATOES 618 00:24:20,526 --> 00:24:21,060 IN BOTH GROUPS AND AGAIN. 619 00:24:21,060 --> 00:24:21,660 POLICY CHANGES HAPPENED AS A 620 00:24:21,660 --> 00:24:23,362 RESULT OF THIS. 621 00:24:23,362 --> 00:24:26,265 THE OSAGE NATION CONGRESS 622 00:24:26,265 --> 00:24:26,832 ADOPTED THE FARM TO SCHOOL 623 00:24:26,832 --> 00:24:30,069 INTERVENTION, AS POLICY ACROSS 624 00:24:30,069 --> 00:24:31,937 ALL OF THE HEAD STARTS. AND 625 00:24:31,937 --> 00:24:32,604 THEY ALSO EXPANDED HARVEST LAND 626 00:24:32,604 --> 00:24:40,079 FOR AN INDIGENOUS SUPPORTED 627 00:24:40,079 --> 00:24:43,515 AGRICULTURE INITIATIVE THAT WE 628 00:24:43,515 --> 00:24:47,720 ARE CURRENTLY IMPLEMENTING. 629 00:24:47,720 --> 00:24:48,253 HERE ARE SOME PHOTOS OF THE 630 00:24:48,253 --> 00:24:51,357 HARVEST LAND NOW. IT IS REALLY 631 00:24:51,357 --> 00:24:53,192 LARGE AND THIS IS OUR RESEARCH 632 00:24:53,192 --> 00:24:56,095 GROUP, PRESENTING AT CONGRESS. 633 00:24:56,095 --> 00:24:58,731 YOU CAN SEE AS IN THE BOTTOM 634 00:24:58,731 --> 00:25:02,234 LEFT-HAND CORNER, AFTER THEY 635 00:25:02,234 --> 00:25:03,635 ADOPTED THE STUDY INTERVENTION 636 00:25:03,635 --> 00:25:07,506 AS POLICY. AND THESE ARE SOME 637 00:25:07,506 --> 00:25:08,440 PHOTOS OF THE FARM, WITH SOME 638 00:25:08,440 --> 00:25:13,712 OF THE HEADSTART KIDS. 639 00:25:13,712 --> 00:25:15,514 I SHOULD ALSO SAY THAT WE MADE 640 00:25:15,514 --> 00:25:16,482 A DOCUMENTARY FILM AS PART OF 641 00:25:16,482 --> 00:25:20,486 THAT. I DID NOT INCLUDE IT IN 642 00:25:20,486 --> 00:25:22,321 THE PICTURE; BUT YOU CAN FIND 643 00:25:22,321 --> 00:25:29,895 THAT DOCUMENTARY LINK ON OUR 644 00:25:29,895 --> 00:25:32,131 WEBSITE. AND WE HAD SOME REALLY 645 00:25:32,131 --> 00:25:32,664 EXCITING OUTCOMES OF THAT 646 00:25:32,664 --> 00:25:35,634 STUDY. ONE OF WHICH IS THE GO 647 00:25:35,634 --> 00:25:37,469 HEALTHY STUDY, OF FOLLOW-UP 648 00:25:37,469 --> 00:25:39,271 STUDY. 649 00:25:39,271 --> 00:25:43,742 ONCE THE HARVEST LAND OSAGE 650 00:25:43,742 --> 00:25:44,376 NATION DECIDED TO EXPAND THEIR 651 00:25:44,376 --> 00:25:45,344 FARM, IT MADE IT POSSIBLE FOR 652 00:25:45,344 --> 00:25:50,916 US TO PROPOSE AN ASSESSMENT OF 653 00:25:50,916 --> 00:25:52,418 A COMMUNITY SUPPORTED 654 00:25:52,418 --> 00:25:54,620 AGRICULTURE INITIATIVE, IN A 655 00:25:54,620 --> 00:25:55,187 TRIBAL NATION WHICH TO OUR 656 00:25:55,187 --> 00:25:55,821 KNOWLEDGE AT THE TIME HAD NEVER 657 00:25:55,821 --> 00:25:56,955 BEEN DONE. AND SO IF YOU ARE 658 00:25:56,955 --> 00:26:01,693 NOT VERY FAMILIAR WITH CSAS, OR 659 00:26:01,693 --> 00:26:02,728 COMMUNITY SUPPORTED AGRICULTURE 660 00:26:02,728 --> 00:26:08,000 INITIATIVES, IT IS BASICALLY A 661 00:26:08,000 --> 00:26:08,600 FOOD-GROWING INITIATIVE THAT 662 00:26:08,600 --> 00:26:11,970 SUPPORTS LOCAL FARMERS TO KEEP 663 00:26:11,970 --> 00:26:13,272 THEIR PRODUCE WITHIN THE 664 00:26:13,272 --> 00:26:16,074 COMMUNITIES WHERE THEY ARE 665 00:26:16,074 --> 00:26:18,277 LOCATED. AND DISTRIBUTE THE 666 00:26:18,277 --> 00:26:23,415 PRODUCE TO THE LOCAL 667 00:26:23,415 --> 00:26:24,016 COMMUNITIES. RATHER THAN SHIP 668 00:26:24,016 --> 00:26:24,583 IT ALL OUT TO KIND OF MAJOR 669 00:26:24,583 --> 00:26:28,754 CITY AREAS. AND IT ELIMINATES 670 00:26:28,754 --> 00:26:29,354 THE MIDDLEMAN SO TO SPEAK. SO 671 00:26:29,354 --> 00:26:32,991 COMMUNITIES CAN BUY IN ADVANCE 672 00:26:32,991 --> 00:26:35,360 SHARES OF THE PRODUCE. AND 673 00:26:35,360 --> 00:26:37,362 THEY ARE ABLE TO ACCESS THE 674 00:26:37,362 --> 00:26:38,931 PRODUCE DIRECTLY FROM THE 675 00:26:38,931 --> 00:26:42,634 FARMER, WITHOUT HAVING TO GO TO 676 00:26:42,634 --> 00:26:43,202 THE GROCERY STORE. IT SAVES 677 00:26:43,202 --> 00:26:48,240 TIME AND MONEY. IT OVERCOMES 678 00:26:48,240 --> 00:26:49,308 TRANSPORTATION BARRIERS, AND 679 00:26:49,308 --> 00:26:52,744 REDUCES COSTS. 680 00:26:52,744 --> 00:26:53,278 SO WE WANT TO ASSESS IF AN 681 00:26:53,278 --> 00:26:57,082 INDIGENOUS SUPPORTED 682 00:26:57,082 --> 00:26:57,716 AGRICULTURAL INITIATIVE, WHICH 683 00:26:57,716 --> 00:27:03,021 IS WHAT WE CALLED THIS, WOULD 684 00:27:03,021 --> 00:27:03,622 BE EFFICACIOUS IN SUPPORTING 685 00:27:03,622 --> 00:27:04,189 SOME OF THE HEALTH OUTCOMES 686 00:27:04,189 --> 00:27:05,257 THAT THE TRIBAL NATION WAS 687 00:27:05,257 --> 00:27:06,558 INTERESTED IN LOOKING AT. 688 00:27:06,558 --> 00:27:09,728 AGAIN THIS WAS SUPPORTED BY 689 00:27:09,728 --> 00:27:11,697 NIMHD; IS CURRENTLY STILL 690 00:27:11,697 --> 00:27:12,297 UNDERWAY AND WILL LAUNCH THIS 691 00:27:12,297 --> 00:27:16,201 IN 2020. AND WE JUST WRAPPED UP 692 00:27:16,201 --> 00:27:18,704 FINAL DATA COLLECTION. WE HAVE 693 00:27:18,704 --> 00:27:22,341 DONE SOME INITIAL ANALYSIS. 694 00:27:22,341 --> 00:27:22,875 AND WE HAVE SOME INITIAL 695 00:27:22,875 --> 00:27:23,375 FINDINGS WHICH ARE VERY 696 00:27:23,375 --> 00:27:24,710 POSITIVE. 697 00:27:24,710 --> 00:27:27,412 YOU CAN SEE THE BEAUTIFUL LOGO 698 00:27:27,412 --> 00:27:32,484 FOR THE ISA, OR INDIGENOUS 699 00:27:32,484 --> 00:27:36,522 SUPPORTED AG. GO HEALTHY IN THE 700 00:27:36,522 --> 00:27:37,322 POSTAGE LIE WITHIN THIS IS A 16 701 00:27:37,322 --> 00:27:43,462 WEEK CT TO TEST THE ISA'S 702 00:27:43,462 --> 00:27:50,002 PROGRAM ON DIET. BLOOD PRESSURE 703 00:27:50,002 --> 00:27:50,636 AND BLOOD LIPIDS, WHICH ARE THE 704 00:27:50,636 --> 00:27:51,203 PRIMARY OUTCOMES AS WELL AS 705 00:27:51,203 --> 00:27:52,404 BODY MASS INDEX, HEMOGLOBIN 706 00:27:52,404 --> 00:27:53,939 A1C, FOOD INSECURITY AND HEALTH 707 00:27:53,939 --> 00:27:54,573 STATUS, WHICH ARE THE SECONDARY 708 00:27:54,573 --> 00:27:59,111 OUTCOMES. 709 00:27:59,111 --> 00:27:59,611 WE ARE ALSO PERFORMING AN 710 00:27:59,611 --> 00:28:00,145 ECONOMIC EVALUATION FOR 711 00:28:00,145 --> 00:28:01,013 INDIVIDUAL, ORGANIZATION, AND 712 00:28:01,013 --> 00:28:07,920 COMMUNITY LEVEL OUTCOMES. AS I 713 00:28:07,920 --> 00:28:10,889 SAID, BEFORE POLICY CHANGES 714 00:28:10,889 --> 00:28:11,490 REALLY WERE SUSTAINABLE OVER 715 00:28:11,490 --> 00:28:13,892 TIME, IF THESE INNOVATIONS ARE 716 00:28:13,892 --> 00:28:14,493 TO BE ADOPTED AS POLICY IT IS 717 00:28:14,493 --> 00:28:16,361 REALLY IMPORTANT TO HAVE 718 00:28:16,361 --> 00:28:16,962 ECONOMIC DATA AS PART OF THIS 719 00:28:16,962 --> 00:28:20,499 WE ALWAYS WORK WITH A HEALTH 720 00:28:20,499 --> 00:28:22,634 ECONOMIST. AND WE INVOLVE THE 721 00:28:22,634 --> 00:28:23,235 TRIBAL LEADERSHIP AT THE VERY 722 00:28:23,235 --> 00:28:23,835 BEGINNING FOR THE PLANNING OF 723 00:28:23,835 --> 00:28:25,037 THESE GRANTS. REALLY TRY TO 724 00:28:25,037 --> 00:28:28,073 UNDERSTAND WHAT THEY WOULD NEED 725 00:28:28,073 --> 00:28:30,809 TO INTEGRATE A SUCCESSFUL 726 00:28:30,809 --> 00:28:32,177 PROGRAM SHOULD IT BE SUCCESSFUL 727 00:28:32,177 --> 00:28:37,282 INTO THEIR OVERALL NATIONS. 728 00:28:37,282 --> 00:28:40,953 AND, WE ARE DOCUMENTING AND 729 00:28:40,953 --> 00:28:41,453 DISSEMINATING THE STUDY 730 00:28:41,453 --> 00:28:42,054 PROCESSES AND FINDINGS USING 731 00:28:42,054 --> 00:28:43,488 PARTICIPATORY VIDEO METHODS. 732 00:28:43,488 --> 00:28:44,556 SO A LOT OF THE COMMUNITY 733 00:28:44,556 --> 00:28:47,659 PARTNERS ARE SHARING VIDEOS OF 734 00:28:47,659 --> 00:28:52,064 THEIR EXPERIENCE. AND WHAT 735 00:28:52,064 --> 00:28:52,998 THEY-- YOU KNOW-- WHAT THEY 736 00:28:52,998 --> 00:28:59,705 HAVE DONE AS PART OF THE STUDY. 737 00:28:59,705 --> 00:29:00,305 THEIR COOKING HABITS AND HOW 738 00:29:00,305 --> 00:29:02,241 THOSE THAT CHANGE AND THE 739 00:29:02,241 --> 00:29:03,642 IMPACT ON THEIR FAMILIES. 740 00:29:03,642 --> 00:29:06,044 AND HERE'S SOME PHOTOS OF THE 741 00:29:06,044 --> 00:29:12,050 ISA. YOU CAN SEE THE HEALTHY 742 00:29:12,050 --> 00:29:16,288 FOOD BOXES ON THE CORNER. AND 743 00:29:16,288 --> 00:29:16,922 THE FACT ALONG THE TRAVEL FARM 744 00:29:16,922 --> 00:29:17,556 COULD GO FROM AN INITIAL STUDY 745 00:29:17,556 --> 00:29:21,593 WHERE THE SUPPLY WAS ONLY TWO 746 00:29:21,593 --> 00:29:24,796 ELDERS, AND TO THE HEADSTARTS, 747 00:29:24,796 --> 00:29:25,430 THE PRIORITY POPULATIONS IT HAS 748 00:29:25,430 --> 00:29:27,966 GOTTEN SO LARGE NOW THAT THEY 749 00:29:27,966 --> 00:29:28,567 CAN SUPPLY THE TRIBAL NATION 750 00:29:28,567 --> 00:29:32,137 WITH THESE FOODS. SO YOU CAN 751 00:29:32,137 --> 00:29:34,239 SEE THE HEALTHY PRODUCE AND 752 00:29:34,239 --> 00:29:36,975 SOME HERBS IN THE BOXES THAT 753 00:29:36,975 --> 00:29:38,944 THEY RECEIVE EVERY WEEK FOR 16 754 00:29:38,944 --> 00:29:44,216 WEEKS. AS WELL AS THE KITCHEN 755 00:29:44,216 --> 00:29:46,151 STARTER KITS THAT WERE OFFERED 756 00:29:46,151 --> 00:29:50,622 AS PART OF THE INTERVENTION. 757 00:29:50,622 --> 00:29:51,189 FOR THE STUDY A PERSON HAD TO 758 00:29:51,189 --> 00:29:56,561 BE 18 TO 75, IDENTIFIED AS 759 00:29:56,561 --> 00:29:58,730 AMERICAN INDIAN OR ALASKA 760 00:29:58,730 --> 00:29:59,264 NATIVE AND IDENTIFIED AS 761 00:29:59,264 --> 00:30:01,466 OVERWEIGHT AND LIVING IN THE 762 00:30:01,466 --> 00:30:04,236 OSAGE NATION ARE NOT PLANNING 763 00:30:04,236 --> 00:30:04,870 TO MOVE IN THE NEXT YEAR AND 764 00:30:04,870 --> 00:30:05,437 NOT PREGNANT OR PLANNING TO 765 00:30:05,437 --> 00:30:06,004 BECOME PREGNANT IN THE NEXT 766 00:30:06,004 --> 00:30:06,638 YEAR. 767 00:30:06,638 --> 00:30:07,205 AND ASSESSES THE INTERVENTION 768 00:30:07,205 --> 00:30:13,278 COMPONENTS: THE ISA PRODUCE 769 00:30:13,278 --> 00:30:13,779 BOX. HEALTHY EATING AND 770 00:30:13,779 --> 00:30:17,883 TRADITIONAL FOOD CURRICULUM 771 00:30:17,883 --> 00:30:18,483 WHICH IS A WEEKLY CURRICULUM 772 00:30:18,483 --> 00:30:20,085 INSIDE THE BOXES AND THEY GOT 773 00:30:20,085 --> 00:30:22,654 THESE BEAUTIFUL RECIPE CARDS 774 00:30:22,654 --> 00:30:23,488 AND THEY HAD A COOKBOOK WHICH 775 00:30:23,488 --> 00:30:28,427 FEATURED STORIES. IT WAS IN 776 00:30:28,427 --> 00:30:29,061 OSAGE LANGUAGE SO THE WORDS FOR 777 00:30:29,061 --> 00:30:33,198 EACH OF FOODS FEATURED EACH 778 00:30:33,198 --> 00:30:33,765 WEEK. AND A KITCHEN STARTER 779 00:30:33,765 --> 00:30:36,368 KIT. HEALTHY EATING AND 780 00:30:36,368 --> 00:30:38,470 TRADITIONAL INDIGENOUS FOODS. 781 00:30:38,470 --> 00:30:40,439 COOKING WORKSHOPS WERE OFFERED. 782 00:30:40,439 --> 00:30:41,673 THOSE WERE OFFERED EVERY MONTH. 783 00:30:41,673 --> 00:30:46,912 AND WE WOULD FEATURE OSAGE 784 00:30:46,912 --> 00:30:48,180 CHEFS COOKING THE FOOD AS PART 785 00:30:48,180 --> 00:30:50,187 OF THE DEMONSTRATIONS. 786 00:30:50,187 --> 00:30:54,024 AND SO WE IDENTIFIED A NUMBER 787 00:30:54,024 --> 00:30:57,495 OF PRACTICES. AND I WILL SHARE 788 00:30:57,495 --> 00:31:01,298 A COUPLE OF EXAMPLES. BUT THE 789 00:31:01,298 --> 00:31:03,300 ORIGINAL IDEA FOR THIS WORK IS 790 00:31:03,300 --> 00:31:06,670 REALLY CENTERED IN CEREMONY AND 791 00:31:06,670 --> 00:31:10,541 TRADITION. 792 00:31:10,541 --> 00:31:11,108 AND SO YOU CAN SEE A PICTURE 793 00:31:11,108 --> 00:31:12,643 OF OUR RESEARCH PARTNERS 794 00:31:12,643 --> 00:31:14,645 GATHERING FOR A CROSS-CULTURAL 795 00:31:14,645 --> 00:31:15,913 RESEARCH EXCHANGE WITH PARTNERS 796 00:31:15,913 --> 00:31:19,717 IN HAWAII. AND YOU CAN SEE 797 00:31:19,717 --> 00:31:23,287 MEMBERS OF THE CHEROKEE NATION, 798 00:31:23,287 --> 00:31:26,190 CHOCTAW NATION. WE HAD SOME 799 00:31:26,190 --> 00:31:27,424 MUSCOGEE CREEK NATION FOLKS. 800 00:31:27,424 --> 00:31:30,561 AND SOME MAORI FOLKS FROM NEW 801 00:31:30,561 --> 00:31:40,938 ZEALAND OR ATUROA (PHONETIC), 802 00:31:40,938 --> 00:31:41,539 AND WHO CAME AND PARTICIPATED 803 00:31:41,539 --> 00:31:46,877 AS WELL AND THAT IS THE IDEA 804 00:31:46,877 --> 00:31:47,478 FOR THIS, AND THE TRAINING ON 805 00:31:47,478 --> 00:31:48,279 FOOD SOVEREIGNTY AND HOW AND IN 806 00:31:48,279 --> 00:31:52,616 THE AMERICAN INDIANS AND ALASKA 807 00:31:52,616 --> 00:31:53,484 NATIVES, NATIVE HAWAIIAN 808 00:31:53,484 --> 00:31:56,220 POPULATIONS. 809 00:31:56,220 --> 00:31:56,787 AND SO THERE IS A CENTER HERE 810 00:31:56,787 --> 00:31:57,521 IN OKLAHOMA, AND A CENTER AT 811 00:31:57,521 --> 00:31:59,823 THE UNIVERSITY OF HAWAII. THEN 812 00:31:59,823 --> 00:32:01,625 WE HAVE THIS I THINK PERSONALLY 813 00:32:01,625 --> 00:32:05,095 EXCELLENT FOCUS ISSUE IN HEALTH 814 00:32:05,095 --> 00:32:06,664 PROMOTION PRACTICE THAT WE 815 00:32:06,664 --> 00:32:09,166 PUBLISHED JUST LAST JANUARY. 816 00:32:09,166 --> 00:32:10,601 AND IT TALKS ABOUT ALL THE 817 00:32:10,601 --> 00:32:11,168 DIFFERENT FOOD SOVEREIGNTY 818 00:32:11,168 --> 00:32:12,937 INITIATIVES. IN THE WORK THAT 819 00:32:12,937 --> 00:32:14,572 IS BEING DONE. I INCLUDED THE 820 00:32:14,572 --> 00:32:17,808 LINKS. PLEASE CHECK THAT OUT. 821 00:32:17,808 --> 00:32:18,442 YOU CAN LEARN A LOT MORE ABOUT 822 00:32:18,442 --> 00:32:22,713 THE DIFFERENT PARTNERS. 823 00:32:22,713 --> 00:32:24,748 THESE ARE THE PARTNERS IN THE 824 00:32:24,748 --> 00:32:27,284 CIIHE. THE ORIGINAL PARTNERS 825 00:32:27,284 --> 00:32:33,924 WERE FOUR GROUPS: THE OSAGE 826 00:32:33,924 --> 00:32:34,525 NATION AND THE CHOCTAW NATION 827 00:32:34,525 --> 00:32:38,062 OF OKLAHOMA; AND THE 828 00:32:38,062 --> 00:32:38,662 SOUTH-CENTRAL FOUNDATION AND 829 00:32:38,662 --> 00:32:41,565 THE UNIVERSITY OF ALASKA 830 00:32:41,565 --> 00:32:42,132 FAIRBANKS, IN FAIRBANKS AND 831 00:32:42,132 --> 00:32:44,468 THOSE ARE THE ALASKA PARTNERS. 832 00:32:44,468 --> 00:32:46,837 AND YOU CAN SEE THE YELLOW ARE 833 00:32:46,837 --> 00:32:49,406 THE KIND OF CURRENT PARTNERS, 834 00:32:49,406 --> 00:32:52,509 IN THE FIRST ROUND OF CIIHE. WE 835 00:32:52,509 --> 00:32:58,115 ARE NOW ON ROUND 2 OF CIIHE. 836 00:32:58,115 --> 00:32:58,716 AND WE EXPANDED THAT TO INCLUDE 837 00:32:58,716 --> 00:33:01,085 PARTNERS WITH A GREEN STARS. 838 00:33:01,085 --> 00:33:04,321 TURTLE MOUNTAIN COMMUNITY 839 00:33:04,321 --> 00:33:05,856 COLLEGE, WASHINGTON STATE 840 00:33:05,856 --> 00:33:11,195 UNIVERSITY, THE IROQUOIS TRIBE, 841 00:33:11,195 --> 00:33:20,537 AND THE NOMME ESKIMO COMMUNITY 842 00:33:20,537 --> 00:33:21,405 IN ALASKA. 843 00:33:21,405 --> 00:33:25,342 AND WE HAVE ADDED THE QUAPAW 844 00:33:25,342 --> 00:33:27,277 NATION AND THE MUSKOGEE NATION, 845 00:33:27,277 --> 00:33:31,382 IN CHICKASAW NATION, AND THE 846 00:33:31,382 --> 00:33:34,752 ARIC AND BURNING CEDAR CENTER 847 00:33:34,752 --> 00:33:35,285 IN TULSA OKLAHOMA. 848 00:33:35,285 --> 00:33:39,657 SO THESE ARE THE PARTNER SITES. 849 00:33:39,657 --> 00:33:40,290 THE PURPOSE IS TO IDENTIFY AND 850 00:33:40,290 --> 00:33:40,791 UPLIFT INDIGENOUS FOOD 851 00:33:40,791 --> 00:33:46,497 SOVEREIGNTY INITIATIVES AS I 852 00:33:46,497 --> 00:33:47,297 SAID, USING DECOLONIZED 853 00:33:47,297 --> 00:33:49,333 INDIGENOUS APPROACH TO MEASURE 854 00:33:49,333 --> 00:33:50,100 THE IMPACT OF THE WORK AND THIS 855 00:33:50,100 --> 00:33:52,202 ALLOWS US TO UNDERSTAND 856 00:33:52,202 --> 00:33:54,038 COLLECTIVELY WHAT INDIGENOUS 857 00:33:54,038 --> 00:33:55,572 RESEARCH REALLY LOOKS LIKE. 858 00:33:55,572 --> 00:33:58,642 AND HOW WE WILL ACTUALIZE THAT 859 00:33:58,642 --> 00:34:00,944 IN OUR RESPECTIVE COMMUNITIES. 860 00:34:00,944 --> 00:34:03,047 ONE OF THE KEY TOPICS THAT WE 861 00:34:03,047 --> 00:34:06,316 ARE ADDRESSING CURRENTLY IS THE 862 00:34:06,316 --> 00:34:07,851 PROCESS OF COLLECTING 863 00:34:07,851 --> 00:34:10,387 INTERTRIBAL DATA. 864 00:34:10,387 --> 00:34:12,156 WHEN WE THINK ABOUT DATA 865 00:34:12,156 --> 00:34:12,790 SOVEREIGNTY, AND WE THINK ABOUT 866 00:34:12,790 --> 00:34:16,527 THE VALUE OF DATA ACROSS 867 00:34:16,527 --> 00:34:19,997 MULTIPLE TRIBAL NATIONS DOING 868 00:34:19,997 --> 00:34:23,333 THAT IN A WAY THAT IS 869 00:34:23,333 --> 00:34:25,069 RESPECTFUL AND MAKING SURE TO 870 00:34:25,069 --> 00:34:28,205 GIVE BACK FINDINGS AS WELL AS 871 00:34:28,205 --> 00:34:29,440 BENEFIT TO THE PARTNERING 872 00:34:29,440 --> 00:34:38,048 COMMUNITIES RATHER THAN IN AN 873 00:34:38,048 --> 00:34:38,649 EXTRACTIVE PROCESS SO PART OF 874 00:34:38,649 --> 00:34:40,451 THAT IS TO DEFINE WHAT DOES IT 875 00:34:40,451 --> 00:34:46,790 MEAN TO BE A GOOD RELATIVE IN 876 00:34:46,790 --> 00:34:49,660 RESEARCH PARTNERSHIPS? 877 00:34:49,660 --> 00:34:50,260 AND SO WE USE THAT QUESTION TO 878 00:34:50,260 --> 00:34:53,864 DRIVE THE PROCESSES. AND HOW 879 00:34:53,864 --> 00:34:57,034 WE DETERMINE THE 880 00:34:57,034 --> 00:34:58,736 APPROPRIATENESS OF EACH OF THE 881 00:34:58,736 --> 00:34:59,336 ACTIVITIES THAT WE UNDERTAKE 882 00:34:59,336 --> 00:35:02,406 COLLECTIVELY. 883 00:35:02,406 --> 00:35:07,478 WE ALSO DOCUMENT INDIGENOUS 884 00:35:07,478 --> 00:35:08,011 FOOD SYSTEMS. AS WE KNOW 885 00:35:08,011 --> 00:35:08,579 CLIMATE CHANGE IS IMPACTING 886 00:35:08,579 --> 00:35:13,150 INDIGENOUS FOOD SYSTEMS. IT IS 887 00:35:13,150 --> 00:35:13,784 IMPORTANT TO GET THESE STORIES 888 00:35:13,784 --> 00:35:15,018 AND THE PRACTICES DOCUMENTED TO 889 00:35:15,018 --> 00:35:15,919 SUPPORT THE TRANSMISSION OF 890 00:35:15,919 --> 00:35:19,690 GENERATIONAL KNOWLEDGE. AND 891 00:35:19,690 --> 00:35:20,190 SUPPORT AND STRENGTHEN 892 00:35:20,190 --> 00:35:22,993 PLACE-BASED KNOWLEDGE. 893 00:35:22,993 --> 00:35:23,494 ONE OF THE THINGS I HAVE 894 00:35:23,494 --> 00:35:25,062 LEARNED OVER TIME IS THAT THERE 895 00:35:25,062 --> 00:35:25,529 IS OFTEN A FOCUS ON 896 00:35:25,529 --> 00:35:27,331 DISSEMINATION. AND THAT IS 897 00:35:27,331 --> 00:35:34,071 VERY IMPORTANT, DNI 898 00:35:34,071 --> 00:35:38,442 IMPLEMENTATION AND BEING 899 00:35:38,442 --> 00:35:42,112 BROUGHT TO SCALE POLICY. BUT IT 900 00:35:42,112 --> 00:35:43,447 IS A RISK TO LOSE THE 901 00:35:43,447 --> 00:35:44,982 INDIGENOUS KNOWLEDGE DEVELOPED 902 00:35:44,982 --> 00:35:45,616 OVER CENTURIES AND IT IS REALLY 903 00:35:45,616 --> 00:35:50,087 RELEVANT TO THAT PLACE, MAY NOT 904 00:35:50,087 --> 00:35:51,622 NECESSARILY BE USEFUL IN THE 905 00:35:51,622 --> 00:35:54,258 CONTEXT OF OTHER ENVIRONMENTS, 906 00:35:54,258 --> 00:35:54,825 AND OTHER TRIBAL NATIONS SO 907 00:35:54,825 --> 00:35:56,059 THAT IS A CHALLENGE. 908 00:35:56,059 --> 00:35:58,695 AND SO IT IS ALSO A REALLY 909 00:35:58,695 --> 00:36:07,404 BEAUTIFUL VALLEY OF CIIHE. TO 910 00:36:07,404 --> 00:36:08,038 UNDERSTAND THAT THE IMPORTANCE 911 00:36:08,038 --> 00:36:08,639 OF PLAYSPACE KNOWLEDGE AND TO 912 00:36:08,639 --> 00:36:11,074 SUPPORT IT. 913 00:36:11,074 --> 00:36:11,675 ONE OF THINGS THAT WE DID IS TO 914 00:36:11,675 --> 00:36:13,110 LOOK AT HOW INDIGENOUS FOOD 915 00:36:13,110 --> 00:36:13,844 SOVEREIGNTY IS DIRECTLY RELATED 916 00:36:13,844 --> 00:36:15,212 TO HEALTH FROM THE PERSPECTIVE 917 00:36:15,212 --> 00:36:19,283 OF COMMUNITIES. THIS IS PART 918 00:36:19,283 --> 00:36:21,985 OF THAT FOCUS ISSUE; THE 919 00:36:21,985 --> 00:36:22,619 PUBLICATION THAT ARE SHARED AND 920 00:36:22,619 --> 00:36:25,722 WE LISTED OUT-- IN SPEAKING TO 921 00:36:25,722 --> 00:36:26,356 INDIGENOUS COMMUNITIES-- FOOD 922 00:36:26,356 --> 00:36:28,358 SOVEREIGNTY ACTIVITIES. AND 923 00:36:28,358 --> 00:36:31,061 ONCE WE COMPILED A LIST, WE 924 00:36:31,061 --> 00:36:31,595 BASICALLY ORGANIZED THOSE 925 00:36:31,595 --> 00:36:38,202 ACTIVITIES AT THE INDIVIDUAL, 926 00:36:38,202 --> 00:36:39,336 FAMILY, COMMUNITY AND LAND AND 927 00:36:39,336 --> 00:36:41,505 PLACE LEVELS. 928 00:36:41,505 --> 00:36:42,039 ON THE FAR LEFT YOU CAN SEE 929 00:36:42,039 --> 00:36:43,273 SOME EXAMPLES OF THOSE 930 00:36:43,273 --> 00:36:49,947 ACTIVITIES. CULTURAL TEACHING, 931 00:36:49,947 --> 00:36:50,414 LANGUAGE, RELATIONAL 932 00:36:50,414 --> 00:36:51,048 RESPONSIBILITY, FOOD KNOWLEDGE 933 00:36:51,048 --> 00:36:51,515 SHARING AND STORIES, 934 00:36:51,515 --> 00:36:52,015 SUBSISTENCE KNOWLEDGE, 935 00:36:52,015 --> 00:36:54,518 CEREMONY, CARING FOR LAND, 936 00:36:54,518 --> 00:36:55,452 HUNTING AND FISHING, GATHERING 937 00:36:55,452 --> 00:36:58,121 AND FORAGING AND FARMING AND 938 00:36:58,121 --> 00:36:59,489 CARING FOR RELATIVES AND ANIMAL 939 00:36:59,489 --> 00:37:00,824 AND PLANT RELATIVES. SO THOSE 940 00:37:00,824 --> 00:37:01,358 ARE SOME EXAMPLES OF FOOD 941 00:37:01,358 --> 00:37:04,261 SOVEREIGNTY ACTIVITIES AND THE 942 00:37:04,261 --> 00:37:07,030 PROXIMAL AND DISTAL EFFECTS. 943 00:37:07,030 --> 00:37:11,268 AND SO THESE ACTIVITIES LEAD TO 944 00:37:11,268 --> 00:37:12,703 EXPOSURE TO HEALTHY FOODS, AND 945 00:37:12,703 --> 00:37:13,303 INDIGENOUS FOODS AND CREATING 946 00:37:13,303 --> 00:37:14,438 POSITIVE ATTITUDES TOWARDS 947 00:37:14,438 --> 00:37:17,274 EATING VEGETABLES AND FRUITS. 948 00:37:17,274 --> 00:37:17,908 INCREASING CULTURAL CONNECTION 949 00:37:17,908 --> 00:37:24,548 AND TRAVEL IDENTITY. AND YOU 950 00:37:24,548 --> 00:37:25,148 CAN SEE AGAIN EXAMPLES OF HOW 951 00:37:25,148 --> 00:37:26,283 THESE ACTIVITIES FROM THE 952 00:37:26,283 --> 00:37:27,851 PERSPECTIVE OF INDIGENOUS 953 00:37:27,851 --> 00:37:30,954 COMMUNITIES, AS WELL AS BACKED 954 00:37:30,954 --> 00:37:31,521 WITH THE SCIENTIFIC STUDIES 955 00:37:31,521 --> 00:37:34,091 THAT WE CITE IN THIS PAPER, 956 00:37:34,091 --> 00:37:34,691 REALLY ACCOMPLISH AND ACHIEVE 957 00:37:34,691 --> 00:37:37,961 SOME OF THESE OUTCOMES OR 958 00:37:37,961 --> 00:37:40,130 EFFECTS. AND WE POSIT THAT IN 959 00:37:40,130 --> 00:37:43,166 THIS MECHANISM OF ACTION SO TO 960 00:37:43,166 --> 00:37:45,002 SPEAK. REALLY CONNECTEDNESS; 961 00:37:45,002 --> 00:37:46,436 SUPPORTING CONNECTEDNESS. 962 00:37:46,436 --> 00:37:48,672 ONE OF THE FEW EXAMPLES WE HAVE 963 00:37:48,672 --> 00:37:51,475 OF AN INDIGENOUS THEORY, IN 964 00:37:51,475 --> 00:37:52,509 ADDITION TO KARINA WALTER'S 965 00:37:52,509 --> 00:37:59,549 WORK IS JESSICA ALDRICH'S 966 00:37:59,549 --> 00:38:00,183 (PHONETIC) WORK WHICH INCLUDES 967 00:38:00,183 --> 00:38:00,584 CONNECTEDNESS AND 968 00:38:00,584 --> 00:38:01,985 SELF-DETERMINATION AND CULTURAL 969 00:38:01,985 --> 00:38:03,720 CONTINUITY AS MECHANISMS TO 970 00:38:03,720 --> 00:38:04,288 SUPPORT AND STRENGTHEN AND 971 00:38:04,288 --> 00:38:05,589 PROMOTE HEALTH. 972 00:38:05,589 --> 00:38:11,061 AND SO, WE ARE ASSESSING THE 973 00:38:11,061 --> 00:38:13,630 IMPACT OF THESE ACTIVITIES ON 974 00:38:13,630 --> 00:38:14,164 THE OUTCOMES WITHIN THESE 975 00:38:14,164 --> 00:38:19,536 COMMUNITIES. SO I HAVE A COUPLE 976 00:38:19,536 --> 00:38:20,137 OF EXAMPLES, HERE YOU CAN SEE 977 00:38:20,137 --> 00:38:21,004 THE FIRST EXAMPLE I AM SHARING 978 00:38:21,004 --> 00:38:25,342 IS GROWING HOPE, IMPLEMENTED IN 979 00:38:25,342 --> 00:38:26,643 THE CHOCTAW NATION OF OKLAHOMA, 980 00:38:26,643 --> 00:38:29,212 MY OWN TRIBE. FOCUSING ON 981 00:38:29,212 --> 00:38:31,315 RESTORING TRADITIONAL CHOCTAW 982 00:38:31,315 --> 00:38:34,985 GARDENING BY DISTRIBUTING 983 00:38:34,985 --> 00:38:37,120 TRADITIONAL SEEDS. HEIRLOOM 984 00:38:37,120 --> 00:38:39,256 SEEDS THAT WERE CARRIED FROM 985 00:38:39,256 --> 00:38:40,991 THE ORIGINAL ANCESTORS ACROSS 986 00:38:40,991 --> 00:38:45,562 THE TRAIL OF TEARS. 987 00:38:45,562 --> 00:38:48,131 THESE SEEDS WERE SOWN INTO THE 988 00:38:48,131 --> 00:38:48,732 DRESSES OF THE WOMEN AS THEY 989 00:38:48,732 --> 00:38:51,735 WALKED ACROSS THE TRAIL OF 990 00:38:51,735 --> 00:38:55,339 TEARS TO WHAT IS OKLAHOMA. AND 991 00:38:55,339 --> 00:38:56,807 THEY BROUGHT THE SEEDS WITH 992 00:38:56,807 --> 00:38:58,342 THEM AS PART OF THAT PROCESS. 993 00:38:58,342 --> 00:39:07,684 THOSE SEEDS WERE LOVINGLY CARED 994 00:39:07,684 --> 00:39:10,187 FOR OVER THE GENERATIONS AND 995 00:39:10,187 --> 00:39:10,821 KEPT. IN THEY ARE DISSEMINATED 996 00:39:10,821 --> 00:39:11,888 AS PART OF THIS INITIATIVE TO 997 00:39:11,888 --> 00:39:15,258 TEACH CHOCTAW FAMILIES HOW TO 998 00:39:15,258 --> 00:39:19,262 GROW OUR TRADITIONAL FOODS. AS 999 00:39:19,262 --> 00:39:23,200 WELL AS THE STORIES OF THOSE 1000 00:39:23,200 --> 00:39:23,767 SEEDS, OF THE FAMILIES THAT 1001 00:39:23,767 --> 00:39:26,670 KEPT THEM, THE WAYS THAT WE HAD 1002 00:39:26,670 --> 00:39:27,237 BOTH INDIVIDUAL FAMILY AND 1003 00:39:27,237 --> 00:39:31,408 LARGE COMMUNITY GARDENS. WE ARE 1004 00:39:31,408 --> 00:39:33,143 AN AGRICULTURAL TRIBE. SO OUR 1005 00:39:33,143 --> 00:39:33,777 GARDENS ARE CLOSELY TIED TO OUR 1006 00:39:33,777 --> 00:39:36,646 IDENTITIES. 1007 00:39:36,646 --> 00:39:40,283 AND WE-- THE EXPERIENCE FOR 1008 00:39:40,283 --> 00:39:42,419 MANY CHOCTAW PEOPLE IN OUR 1009 00:39:42,419 --> 00:39:44,855 INITIAL STUDIES HAVE SHOWN THAT 1010 00:39:44,855 --> 00:39:48,025 THIS HAS HAD A TREMENDOUS 1011 00:39:48,025 --> 00:39:58,568 IMPACT ON THEIR PERSPECTIVES OF 1012 00:40:03,473 --> 00:40:04,041 FOOD AND CULTURE AS WELL SO ALL 1013 00:40:04,041 --> 00:40:04,641 OF THE SEEDS COME PACKAGED TO 1014 00:40:04,641 --> 00:40:05,275 YOUR HOME, IN BOTH CHOCTAW AND 1015 00:40:05,275 --> 00:40:07,077 ENGLISH. AND SEED STORIES COME 1016 00:40:07,077 --> 00:40:07,644 AS PART OF THE SEEDS AND WE 1017 00:40:07,644 --> 00:40:08,211 FOLLOW THE FAMILIES AS THEY 1018 00:40:08,211 --> 00:40:11,848 GROW THEIR OWN FOOD IN THEIR 1019 00:40:11,848 --> 00:40:12,482 GARDENS, AND PREPARE THEIR OWN 1020 00:40:12,482 --> 00:40:12,883 RECIPES. 1021 00:40:12,883 --> 00:40:17,954 AND WE HAVE EXPANDED GROWING 1022 00:40:17,954 --> 00:40:20,424 HOPE TO THE JONES ACADEMY, A 1023 00:40:20,424 --> 00:40:20,991 BOARDING SCHOOL AND WE ARE 1024 00:40:20,991 --> 00:40:22,592 GETTING THE YOUTH INVOLVED IN 1025 00:40:22,592 --> 00:40:23,226 TO THE PROGRAM WHICH IS KIND OF 1026 00:40:23,226 --> 00:40:25,262 THE EXPANSION OF THE GROWING 1027 00:40:25,262 --> 00:40:27,831 HOPE INITIATIVE. 1028 00:40:27,831 --> 00:40:31,268 OUTCOMES OF FOOD SECURITY, 1029 00:40:31,268 --> 00:40:33,537 DIETARY INTAKE, BLOOD PRESSURE, 1030 00:40:33,537 --> 00:40:37,340 BLOOD LEVELS, SELF-REPORTED 1031 00:40:37,340 --> 00:40:37,941 HEALTH. AND OTHER QUALITATIVE 1032 00:40:37,941 --> 00:40:38,575 OUTCOMES INCLUDING TRANSMISSION 1033 00:40:38,575 --> 00:40:39,743 OF GENERATIONAL KNOWLEDGE, AND 1034 00:40:39,743 --> 00:40:41,545 CONNECTEDNESS AND OTHER 1035 00:40:41,545 --> 00:40:45,348 MEASURES. 1036 00:40:45,348 --> 00:40:47,317 CHICKASAW NATION IS 1037 00:40:47,317 --> 00:40:48,685 IMPLEMENTING A TRAVELING GARDEN 1038 00:40:48,685 --> 00:40:49,586 MARKET AS PART OF THEIR 1039 00:40:49,586 --> 00:40:51,822 INITIATIVE. FRESH FRUITS AND 1040 00:40:51,822 --> 00:40:55,358 VEGETABLES WILL BE SOURCED FROM 1041 00:40:55,358 --> 00:40:55,992 LOCAL PRODUCERS THAT THEY HAVE 1042 00:40:55,992 --> 00:40:58,462 WITHIN THEIR NATION. AND 1043 00:40:58,462 --> 00:41:01,331 DISTRIBUTED IN EIGHT LOW FOOD 1044 00:41:01,331 --> 00:41:03,033 ACCESS COMMUNITIES. 1045 00:41:03,033 --> 00:41:03,533 AND THEY WILL PILOT THIS 1046 00:41:03,533 --> 00:41:05,502 PROGRAM WITH THE CHICKASAW WIC 1047 00:41:05,502 --> 00:41:07,270 PROGRAM RECIPIENTS. THEY WILL 1048 00:41:07,270 --> 00:41:11,575 ALSO PARTNER WITH SNAP-ED FOR 1049 00:41:11,575 --> 00:41:13,343 ON-SITE NUTRITION EDUCATION AND 1050 00:41:13,343 --> 00:41:14,511 VIRTUAL COOKING DEMONSTRATIONS. 1051 00:41:14,511 --> 00:41:22,219 AND THEY HOPE TO ASSESS 1052 00:41:22,219 --> 00:41:22,819 PRE/POST CHANGES AMONG ADULT 1053 00:41:22,819 --> 00:41:23,386 PARTICIPANTS IN DIET, BLOOD 1054 00:41:23,386 --> 00:41:26,823 PRESSURE, HBA1C AMONG DIABETIC 1055 00:41:26,823 --> 00:41:27,424 PARTICIPANTS, FOOD SECURITY, 1056 00:41:27,424 --> 00:41:30,127 AND SELF RATED HEALTH. 1057 00:41:30,127 --> 00:41:32,629 THE SOUTH-CENTRAL FOUNDATION 1058 00:41:32,629 --> 00:41:35,866 HOLTER TRADITIONAL FOOD 1059 00:41:35,866 --> 00:41:36,466 GATHERING, WHICH IS WHAT THEY 1060 00:41:36,466 --> 00:41:37,067 HAVE CHOSEN TO DO AS PART OF 1061 00:41:37,067 --> 00:41:38,435 THIS YOU CAN SEE THE BEAUTIFUL 1062 00:41:38,435 --> 00:41:40,604 ADVERTISEMENT FOR THIS. AND 1063 00:41:40,604 --> 00:41:43,607 ONE OF THEIR PARTICIPANTS. 1064 00:41:43,607 --> 00:41:45,375 THIS IS A GATHERING THAT WAS 1065 00:41:45,375 --> 00:41:50,046 HELD WITH 27 WORKSHOPS HOSTED 1066 00:41:50,046 --> 00:41:52,816 BY 38 SPEAKERS IN THREE 1067 00:41:52,816 --> 00:41:53,416 PARALLEL TRACKS. SO IT WAS A 1068 00:41:53,416 --> 00:41:56,353 HUGE ENDEAVOR. 1069 00:41:56,353 --> 00:41:56,953 VIDEO RECORDINGS WERE CONDUCTED 1070 00:41:56,953 --> 00:41:58,221 OF ALL THE WORKSHOPS OFFERED TO 1071 00:41:58,221 --> 00:42:02,726 REALLY DOCUMENT THE FOOD 1072 00:42:02,726 --> 00:42:03,226 PRACTICES AND CULTURAL 1073 00:42:03,226 --> 00:42:03,727 PRACTICES WITHIN THESE 1074 00:42:03,727 --> 00:42:09,332 COMMUNITIES. AND MOST REGIONS 1075 00:42:09,332 --> 00:42:12,435 OF ALASKA WERE REPRESENTED. 1076 00:42:12,435 --> 00:42:13,003 130 PEOPLE WERE IN ATTENDANCE 1077 00:42:13,003 --> 00:42:14,905 IN THE FIRST YEAR. AND NOW WE 1078 00:42:14,905 --> 00:42:15,505 ARE PLANNING FOR THE SECOND 1079 00:42:15,505 --> 00:42:18,175 YEAR. THEY CONDUCTED PRE-AND 1080 00:42:18,175 --> 00:42:20,343 POST-EVALUATIONS. AND YOU CAN 1081 00:42:20,343 --> 00:42:23,446 READ ABOUT SOME OF THE INITIAL 1082 00:42:23,446 --> 00:42:27,284 FINDINGS IN THIS INITIATIVE. 1083 00:42:27,284 --> 00:42:29,186 THEY ARE NOW OFFERING 1084 00:42:29,186 --> 00:42:29,786 CONTINUING MEDICAL EDUCATION 1085 00:42:29,786 --> 00:42:37,627 CREDITS TO PARTICIPANTS. AND 1086 00:42:37,627 --> 00:42:38,228 THEIR NEXT GATHERING WHICH IS 1087 00:42:38,228 --> 00:42:38,895 AS I SAID, PLANNING IS UNDERWAY 1088 00:42:38,895 --> 00:42:40,664 AND THE OUTCOMES THEY ARE 1089 00:42:40,664 --> 00:42:43,266 LOOKING AT ARE INCREASING 1090 00:42:43,266 --> 00:42:48,171 KNOWLEDGE OF TRADITIONAL FOODS, 1091 00:42:48,171 --> 00:42:48,805 EXPANDED TO FOCUS ON CHANGES IN 1092 00:42:48,805 --> 00:42:50,974 KNOWLEDGE AND PRACTICE. SO NOT 1093 00:42:50,974 --> 00:42:52,542 JUST ONE INITIATIVE BUT TO HAVE 1094 00:42:52,542 --> 00:42:56,780 THIS MULTIPLE TIMES PER YEAR. 1095 00:42:56,780 --> 00:42:57,314 THE OSAGE NATION LAUNCHED A 1096 00:42:57,314 --> 00:42:59,516 MOBILE MARKET. YOU CAN SEE THE 1097 00:42:59,516 --> 00:43:02,285 BOTTOM LEFT-HAND CORNER, THE 1098 00:43:02,285 --> 00:43:04,221 BEAUTIFUL TRUCK WHICH WAS 1099 00:43:04,221 --> 00:43:04,854 REHABILITATED TO BE THIS MOBILE 1100 00:43:04,854 --> 00:43:08,391 MARKET. AND THEY TAKE THE 1101 00:43:08,391 --> 00:43:08,992 HARVEST LAND FOODS YOU HEARD 1102 00:43:08,992 --> 00:43:17,901 ABOUT IN THE FRESH AND ISIS 1103 00:43:17,901 --> 00:43:18,468 STUDY AND THEY SHARED THOSE 1104 00:43:18,468 --> 00:43:19,035 FOODS TO THE MOST RURAL AND 1105 00:43:19,035 --> 00:43:21,638 REMOTE PARTS OF THE 1106 00:43:21,638 --> 00:43:22,239 RESERVATION. FOLKS WHO MAYBE 1107 00:43:22,239 --> 00:43:23,139 AREN'T AS EASILY ABLE TO ATTEND 1108 00:43:23,139 --> 00:43:26,843 THE FARM AND PARTICIPATE IN 1109 00:43:26,843 --> 00:43:34,851 MOST OF THE EVENTS. 1110 00:43:34,851 --> 00:43:35,418 THEY ARE ABLE TO TAKE OUT OUT 1111 00:43:35,418 --> 00:43:39,723 AND OFFER THE PRODUCE OF THOSE 1112 00:43:39,723 --> 00:43:40,257 PLACES AND ASSESS PRE-AND 1113 00:43:40,257 --> 00:43:40,857 POST-CHANGES INCLUDE ACTIVE, 1114 00:43:40,857 --> 00:43:41,958 INTAKE, FOOD SECURITY, AND SELF 1115 00:43:41,958 --> 00:43:46,830 RATED HEALTH. 1116 00:43:46,830 --> 00:43:47,397 AND THEY ARE ADDING CLINICAL 1117 00:43:47,397 --> 00:43:47,964 MEASURES WHICH IS SOMETHING 1118 00:43:47,964 --> 00:43:48,999 VERY IMPORTANT TO THE OSAGE 1119 00:43:48,999 --> 00:43:51,167 NATION TO ASSESS SOME OF THE 1120 00:43:51,167 --> 00:43:52,002 CHANGES IN CLINICAL MEASURES. 1121 00:43:52,002 --> 00:44:02,312 AND THE DENAKKANAAGA CULTURAL 1122 00:44:02,312 --> 00:44:03,280 CAMPS A VERY SPECIAL 1123 00:44:03,280 --> 00:44:05,882 INITIATIVE. IN FAIRBANKS 1124 00:44:05,882 --> 00:44:08,184 ALASKA. WITH THE DENAKKANAAGA 1125 00:44:08,184 --> 00:44:13,290 NONPROFIT ORGANIZATION AND THE 1126 00:44:13,290 --> 00:44:18,161 UNIVERSITY OF ALASKA FAIRBANKS 1127 00:44:18,161 --> 00:44:18,728 AND HE TEACHES TRADITIONAL 1128 00:44:18,728 --> 00:44:19,362 FOODS KNOWLEDGES AND PRACTICES 1129 00:44:19,362 --> 00:44:19,996 WITH AN EMPHASIS ON RESIDENTIAL 1130 00:44:19,996 --> 00:44:22,699 SCHOOL SURVIVORS AND FAMILIES. 1131 00:44:22,699 --> 00:44:23,266 ELDERS WHO DIDN'T REALLY BE 1132 00:44:23,266 --> 00:44:26,336 ABLE TO LEARN THEIR CULTURAL 1133 00:44:26,336 --> 00:44:26,870 PRACTICES DUE TO BOARDING 1134 00:44:26,870 --> 00:44:30,440 SCHOOL ARE BEING TAUGHT THESE 1135 00:44:30,440 --> 00:44:31,074 PRACTICES, AS A WAY TO HEAL AND 1136 00:44:31,074 --> 00:44:37,547 OVERCOME THEIR EXPERIENCES. AND 1137 00:44:37,547 --> 00:44:38,181 ELDERS WHO MAYBE DID NOT GET A 1138 00:44:38,181 --> 00:44:40,517 CHANCE TO TEACH OUR OFFERING 1139 00:44:40,517 --> 00:44:45,555 THE TRADITIONAL KNOWLEDGE. AND 1140 00:44:45,555 --> 00:44:46,122 THE OUTCOMES ARE SOCIAL AND 1141 00:44:46,122 --> 00:44:46,756 EMOTIONAL WELL-BEING, CULTURAL 1142 00:44:46,756 --> 00:44:47,357 CONNECTEDNESS, SELF-REPORTED 1143 00:44:47,357 --> 00:44:50,460 HEALTH, AND DIETARY INTAKE. AND 1144 00:44:50,460 --> 00:44:51,094 THEY ARE ALSO EXPANDING THIS TO 1145 00:44:51,094 --> 00:45:01,638 BE MORE FOR YEAR-ROUND EVENTS. 1146 00:45:01,638 --> 00:45:02,138 THIS IS A SUMMARY OF KEY 1147 00:45:02,138 --> 00:45:05,842 LEARNINGS TO DATE. BOTH IRINAH 1148 00:45:05,842 --> 00:45:10,380 AND CIIHE USES A MECHANISM 1149 00:45:10,380 --> 00:45:14,117 THROUGH AECOLONIZING D APPROACH 1150 00:45:14,117 --> 00:45:16,619 ACCESSING THE PRECOLONIAL MIND, 1151 00:45:16,619 --> 00:45:20,156 A TERM THAT VANESSA WALKS 1152 00:45:20,156 --> 00:45:24,828 (PHONETIC), A CANADIAN USES. 1153 00:45:24,828 --> 00:45:25,328 ALLOWING US TO SPEND THE 1154 00:45:25,328 --> 00:45:25,895 TRADITIONAL PRACTICE AND IN 1155 00:45:25,895 --> 00:45:27,831 THAT PROCESS WE RECONNECT AND 1156 00:45:27,831 --> 00:45:28,398 RESTORE SO MUCH OF WHAT HAS 1157 00:45:28,398 --> 00:45:30,433 BEEN BROKEN IN OUR COMMUNITIES. 1158 00:45:30,433 --> 00:45:33,269 AND STRENGTHEN OUR IDENTITIES 1159 00:45:33,269 --> 00:45:36,573 AND OUR SENSE OF SELF AND 1160 00:45:36,573 --> 00:45:37,073 COMMUNITY, WHICH IS SO 1161 00:45:37,073 --> 00:45:40,043 IMPORTANT TO OUR HEALTH. 1162 00:45:40,043 --> 00:45:43,046 THESE INITIATIVES VALUE STORY 1163 00:45:43,046 --> 00:45:43,546 AS A PRIMARY METHOD FOR 1164 00:45:43,546 --> 00:45:44,414 COLLECTING AND SHARING 1165 00:45:44,414 --> 00:45:46,316 KNOWLEDGE. IN THE CENTER 1166 00:45:46,316 --> 00:45:47,350 SELF-DETERMINATION AS 1167 00:45:47,350 --> 00:45:48,385 FUNDAMENTAL TO THE HEALTH OF 1168 00:45:48,385 --> 00:45:53,022 NATIVE COMMUNITIES. WE KNOW 1169 00:45:53,022 --> 00:45:55,258 FROM YEARS OF RESEARCH IN 1170 00:45:55,258 --> 00:46:00,263 SOCIAL EPIDEMIOLOGY, AND TIMES 1171 00:46:00,263 --> 00:46:01,898 WORK IN THE WORK OF MICHAEL 1172 00:46:01,898 --> 00:46:03,733 MARMA (PHONETIC), YOURSELF 1173 00:46:03,733 --> 00:46:05,702 DETERMINATION AND AUTONOMY AND 1174 00:46:05,702 --> 00:46:06,836 THE ABILITY TO DETERMINE YOUR 1175 00:46:06,836 --> 00:46:13,476 OWN LIFE IS KEY TO HEALTH. 1176 00:46:13,476 --> 00:46:14,043 THAT IS SOMETHING WE REALLY 1177 00:46:14,043 --> 00:46:16,212 CENTER IN THESE INITIATIVES. 1178 00:46:16,212 --> 00:46:22,152 THAT IS MY LAST SLIDE. YAKOKE! 1179 00:46:22,152 --> 00:46:22,719 THANK YOU SO MUCH FOR THIS 1180 00:46:22,719 --> 00:46:24,687 AMAZING OPPORTUNITY, VERY 1181 00:46:24,687 --> 00:46:25,188 HOWLING OPPORTUNITY TO 1182 00:46:25,188 --> 00:46:25,822 PARTICIPATE AS A SPEAKER IN THE 1183 00:46:25,822 --> 00:46:26,356 NIMHD DIRECTOR'S SEMINAR 1184 00:46:26,356 --> 00:46:28,425 SERIES. 1185 00:46:28,425 --> 00:46:31,461 AND I WILL STOP SHARING NOW. 1186 00:46:31,461 --> 00:46:32,061 AND LOOK FORWARD TO HAVING A 1187 00:46:32,061 --> 00:46:35,865 DISCUSSION WITH YOU. THANK YOU. 1188 00:46:35,865 --> 00:46:39,269 >> DR. PÉREZ-STABLE: THAT WAS 1189 00:46:39,269 --> 00:46:42,539 FANTASTIC VALERIE. DON'T SHUT 1190 00:46:42,539 --> 00:46:43,339 OFF YOUR MIC WE ARE GOING TO 1191 00:46:43,339 --> 00:46:46,910 ASK YOU QUESTIONS ABOUT THE 1192 00:46:46,910 --> 00:46:47,544 CONVERSATION. GINA WILL MONITOR 1193 00:46:47,544 --> 00:46:51,347 THE Q&A AND PLEASE THOSE IN THE 1194 00:46:51,347 --> 00:46:51,915 AUDIENCE, DON'T HESITATE TO 1195 00:46:51,915 --> 00:46:55,452 SEND THESE QUESTIONS. AND I 1196 00:46:55,452 --> 00:46:56,085 WILL PASS THEM ON TO VALERIE SO 1197 00:46:56,085 --> 00:46:58,154 SHE CAN ANSWER THEM. 1198 00:46:58,154 --> 00:47:01,191 I HAD A COUPLE OF REACTIONS. 1199 00:47:01,191 --> 00:47:01,825 FIRST I NOTED THAT ONE OF YOUR 1200 00:47:01,825 --> 00:47:10,433 NEW SITES IN CIIHE HIS IN 1201 00:47:10,433 --> 00:47:11,067 TURTLE MOUNTAIN COLLEGE WHICH I 1202 00:47:11,067 --> 00:47:11,701 MENTIONED IN YOUR INTRODUCTION 1203 00:47:11,701 --> 00:47:12,635 THAT I VISITED JUST LAST MONTH 1204 00:47:12,635 --> 00:47:14,504 WHICH IS FANTASTIC. IT BRINGS 1205 00:47:14,504 --> 00:47:20,643 IT ALL HOME. 1206 00:47:20,643 --> 00:47:21,211 I WAS ALSO PLEASED TO SEE HOW 1207 00:47:21,211 --> 00:47:23,446 YOU TRIED TO BLEND IN, NOT ONLY 1208 00:47:23,446 --> 00:47:25,982 THE INDIGENOUS CULTURE, BUT 1209 00:47:25,982 --> 00:47:26,416 RIGOROUS METHODS IN 1210 00:47:26,416 --> 00:47:30,487 IMPLEMENTATION SCIENCE. AND THE 1211 00:47:30,487 --> 00:47:36,459 OUTCOMES THAT SPEAK TO NOT JUST 1212 00:47:36,459 --> 00:47:37,060 PERHAPS SELF-REPORT MEASURES 1213 00:47:37,060 --> 00:47:39,362 WHICH ARE IMPORTANT OF COURSE. 1214 00:47:39,362 --> 00:47:39,863 AFTER ALL WE ARE IN THE 1215 00:47:39,863 --> 00:47:40,997 BUSINESS TO MAKE PEOPLE FEEL 1216 00:47:40,997 --> 00:47:41,531 BETTER. BUT ALSO OUTCOMES 1217 00:47:41,531 --> 00:47:46,102 RELATED TO HEALTH LIKE A1C, 1218 00:47:46,102 --> 00:47:48,571 WHICH ONE WOULD EXPECT WOULD BE 1219 00:47:48,571 --> 00:47:50,273 SENSITIVE TO THE NUTRITIONAL 1220 00:47:50,273 --> 00:47:54,911 INTERVENTION. 1221 00:47:54,911 --> 00:47:57,347 SO WHAT IS... YOU INTRIGUED ME. 1222 00:47:57,347 --> 00:47:59,949 THIS INTERVENTION HAS POSITIVE 1223 00:47:59,949 --> 00:48:04,921 OUTCOMES. DO YOU SEE FROM A 16 1224 00:48:04,921 --> 00:48:05,555 WEEK INTERVENTION IN CHANGES IN 1225 00:48:05,555 --> 00:48:07,357 A1C AND BLOOD PRESSURE? 1226 00:48:07,357 --> 00:48:11,461 >> DR. JERNIGAN: WELL WE HAVE 1227 00:48:11,461 --> 00:48:12,028 NOT ANALYZED A1C AND BLOOD 1228 00:48:12,028 --> 00:48:14,497 PRESSURE YET. BUT WE SAW 1229 00:48:14,497 --> 00:48:20,403 SIGNIFICANT CHANGES AND 1230 00:48:20,403 --> 00:48:23,540 IMPROVEMENTS IN HEALTHY EATING 1231 00:48:23,540 --> 00:48:25,808 INDEXING THE INNOVATION AND 1232 00:48:25,808 --> 00:48:28,344 CONTROL GROUPS. AND WHAT WE 1233 00:48:28,344 --> 00:48:28,978 INITIALLY ANALYZE WHAT THE DIET 1234 00:48:28,978 --> 00:48:35,151 WHICH WAS THE PRIMARY OUTCOME. 1235 00:48:35,151 --> 00:48:35,752 WE HAVE NOT LOOKED AT THE OTHER 1236 00:48:35,752 --> 00:48:37,287 OUTCOMES AS OF YET. THIS IS 1237 00:48:37,287 --> 00:48:38,621 LITERALLY A COUPLE OF HOURS AGO 1238 00:48:38,621 --> 00:48:42,258 THAT WE GOT THE API TABLE IN 1239 00:48:42,258 --> 00:48:44,360 AN EMAIL. 1240 00:48:44,360 --> 00:48:44,928 YOU CAN SEE CHANGES IN BLOOD 1241 00:48:44,928 --> 00:48:47,363 PRESSURE PRETTY QUICKLY. YOU 1242 00:48:47,363 --> 00:48:49,999 MAY OR MAY NOT BE ABLE TO SEE 1243 00:48:49,999 --> 00:48:51,768 A1C CHANGES. AND IT IS REALLY 1244 00:48:51,768 --> 00:48:59,742 TOUGH TO MOVE THE NEEDLE ON BMI 1245 00:48:59,742 --> 00:49:00,343 CHANGES. AS ALL OF THESE YOU 1246 00:49:00,343 --> 00:49:03,813 WELL KNOW. 1247 00:49:03,813 --> 00:49:04,380 THESE ARE INDICATORS THAT WE 1248 00:49:04,380 --> 00:49:05,615 PROPOSE, AND WE OFFER. IN SOME 1249 00:49:05,615 --> 00:49:09,085 OF THE NATIONS ARE VERY 1250 00:49:09,085 --> 00:49:09,986 INTERESTED IN ACCESSING THESE 1251 00:49:09,986 --> 00:49:14,490 OUTCOMES. WITH OTHER 1252 00:49:14,490 --> 00:49:17,594 COMMUNITIES OR NATIONS, IT MAY 1253 00:49:17,594 --> 00:49:22,365 BE INITIALLY SELF-REPORTED TO 1254 00:49:22,365 --> 00:49:22,865 START AND DEPENDING ON 1255 00:49:22,865 --> 00:49:23,800 CAPACITY, THEY MOVE TO THAT 1256 00:49:23,800 --> 00:49:27,236 NEXT, YOU KNOW, STEP OF TAKING 1257 00:49:27,236 --> 00:49:29,639 CLINICAL MEASURES. 1258 00:49:29,639 --> 00:49:31,374 OFTEN IT DEPENDS ON IF THEY 1259 00:49:31,374 --> 00:49:32,609 HAVE ACCESS TO HEALTHCARE 1260 00:49:32,609 --> 00:49:41,751 CLINIC. EITHER IHS OR IF THEY 1261 00:49:41,751 --> 00:49:44,320 HAVE THEIR OWN, AND THEIR OWN 1262 00:49:44,320 --> 00:49:47,624 LAB. WE HAVE SEEN SO MUCH 1263 00:49:47,624 --> 00:49:48,257 DIVERSITY IN TRIBAL NATIONS AND 1264 00:49:48,257 --> 00:49:48,858 WE HAVE SEEN THAT IT HAS BEEN 1265 00:49:48,858 --> 00:49:49,459 REALLY EXCITING FOR ME THAT A 1266 00:49:49,459 --> 00:49:50,126 LOT OF THE NEEDED RESEARCHERS-- 1267 00:49:50,126 --> 00:49:53,363 BECAUSE THE CIIHE IS ALL 1268 00:49:53,363 --> 00:49:53,997 INDIGENOUS RESEARCHERS. WE HAVE 1269 00:49:53,997 --> 00:49:58,134 ENOUGH NATIVE PHD RESEARCHERS 1270 00:49:58,134 --> 00:49:58,635 NOW THAT YOU CAN HAVE A 1271 00:49:58,635 --> 00:50:01,938 NATIONAL CENTER WITH ALL NATIVE 1272 00:50:01,938 --> 00:50:04,007 PHD RESEARCHERS AS THE PIS, 1273 00:50:04,007 --> 00:50:06,175 WHICH IS AMAZING TO ME. 1274 00:50:06,175 --> 00:50:11,147 BUT WHAT I FOUND IS THAT THEIR 1275 00:50:11,147 --> 00:50:12,949 INITIAL STUDIES LOOKED AT SOME 1276 00:50:12,949 --> 00:50:14,851 QUALITATIVE OUTCOMES. BUT A LOT 1277 00:50:14,851 --> 00:50:19,355 OF THESE-- SEVERAL OF THESE 1278 00:50:19,355 --> 00:50:19,922 INDIGENOUS SCHOLARS ARE NOW 1279 00:50:19,922 --> 00:50:20,523 MOVING INTO THE STAGE WHERE 1280 00:50:20,523 --> 00:50:27,063 THEY WANT TO APPLY FOR AND RO1. 1281 00:50:27,063 --> 00:50:27,697 AND THEY WANT TO PROPOSE SOME 1282 00:50:27,697 --> 00:50:28,297 CLINICAL MEASURES AS THE NEXT 1283 00:50:28,297 --> 00:50:30,166 STEP AT THE CIIHE PROJECT AND 1284 00:50:30,166 --> 00:50:33,169 THEY ARE LOOKING TO US TO SAY, 1285 00:50:33,169 --> 00:50:38,041 HOW WOULD WE DESIGN AN RO1 THAT 1286 00:50:38,041 --> 00:50:40,643 BUILDS UPON CIIHE? AND BUILDS 1287 00:50:40,643 --> 00:50:43,413 UPON WHAT WE HAVE DONE AS PART 1288 00:50:43,413 --> 00:50:44,047 OF THIS CULTURE CAMP? HOW DO WE 1289 00:50:44,047 --> 00:50:48,785 EXPAND THAT? 1290 00:50:48,785 --> 00:50:49,385 AND I THINK I SAID IN THE MEET 1291 00:50:49,385 --> 00:50:49,919 AND GREET PRIOR TO THIS, 1292 00:50:49,919 --> 00:50:50,520 FORTUNATELY I GOT SOME GREAT 1293 00:50:50,520 --> 00:50:53,256 MENTORING. SO WRITING RO1 1294 00:50:53,256 --> 00:50:53,856 STUDIES IS SOMETHING I REALLY 1295 00:50:53,856 --> 00:50:58,961 ENJOY. AND WE HELP THEM 1296 00:50:58,961 --> 00:50:59,562 DEVELOP SOME OF THESE DESIGNS 1297 00:50:59,562 --> 00:51:00,129 THAT THEY HAVE BEEN WORKING 1298 00:51:00,129 --> 00:51:04,667 WITH THE COMMUNITY TO REALLY 1299 00:51:04,667 --> 00:51:06,102 TAILOR AND MOVE INTO 1300 00:51:06,102 --> 00:51:11,441 APPLICATIONS FOR RO1S. 1301 00:51:11,441 --> 00:51:14,343 >> DR. PÉREZ-STABLE: I REMEMBER 1302 00:51:14,343 --> 00:51:18,848 THAT YOU ENJOY WRITING RO1S. I 1303 00:51:18,848 --> 00:51:20,983 DON'T RUN INTO THAT TOO OFTEN. 1304 00:51:20,983 --> 00:51:24,220 COMMENTS FROM THE AUDIENCE. 1305 00:51:24,220 --> 00:51:24,821 FANTASTIC PRESENTATION AND IS 1306 00:51:24,821 --> 00:51:26,656 THERE A PLANT COLLECT DATA ON 1307 00:51:26,656 --> 00:51:28,057 THE LONG-TERM OUTCOMES ON THIS 1308 00:51:28,057 --> 00:51:30,793 INTERVENTION? NOT SURE WHICH 1309 00:51:30,793 --> 00:51:33,196 ONE. YOU TALKED ABOUT SEVERAL. 1310 00:51:33,196 --> 00:51:33,730 WILL YOU BE MEASURING ANY 1311 00:51:33,730 --> 00:51:34,931 SPILLOVER EFFECTS? ARE THERE 1312 00:51:34,931 --> 00:51:35,531 OPPORTUNITIES TO ENHANCE THIS 1313 00:51:35,531 --> 00:51:37,834 WITH ADDITIONAL HEALTH LITERACY 1314 00:51:37,834 --> 00:51:41,571 INTERVENTIONS? FROM VJ -- AT 1315 00:51:41,571 --> 00:51:43,139 NIH. 1316 00:51:43,139 --> 00:51:48,845 >> DR. JERNIGAN: AT THIS POINT 1317 00:51:48,845 --> 00:51:51,981 DON'T KNOW IF I HAVE ANY 1318 00:51:51,981 --> 00:51:52,615 LONG-TERM DATA COLLECTION PLAN 1319 00:51:52,615 --> 00:51:53,216 FOR ANY OF THE INTERVENTIONS 1320 00:51:53,216 --> 00:51:56,052 THAT I SHARED. ALTHOUGH IT IS 1321 00:51:56,052 --> 00:51:56,652 DEFINITELY SOMETHING THAT I 1322 00:51:56,652 --> 00:52:00,490 THOUGHT ABOUT. ESPECIALLY WITH 1323 00:52:00,490 --> 00:52:02,492 THE CHICKASAW AND CHOCTAW 1324 00:52:02,492 --> 00:52:02,959 NATIONS. BECAUSE OUR 1325 00:52:02,959 --> 00:52:04,293 PARTNERSHIPS WITH THEM ARE NOW 1326 00:52:04,293 --> 00:52:07,964 10+ YEARS. WE HAVE DONE SO 1327 00:52:07,964 --> 00:52:12,201 MANY PROJECTS TOGETHER THAT IS 1328 00:52:12,201 --> 00:52:12,802 NOT WERE SOMETHING THAT THEY 1329 00:52:12,802 --> 00:52:14,704 REALLY WANTED, IT WOULD BE 1330 00:52:14,704 --> 00:52:16,439 SOMETHING THAT WE COULD STUDY. 1331 00:52:16,439 --> 00:52:22,912 ESPECIALLY GIVEN THE 1332 00:52:22,912 --> 00:52:23,412 INVESTMENT, THE INITIAL 1333 00:52:23,412 --> 00:52:30,720 INVESTMENT THAT THE NIH MADE TO 1334 00:52:30,720 --> 00:52:31,354 SEE IF THESE LONG-TERM CHANGES 1335 00:52:31,354 --> 00:52:40,096 HAVE HAPPENED. 1336 00:52:40,096 --> 00:52:40,563 BOTH TRIBAL NATIONS ARE 1337 00:52:40,563 --> 00:52:41,631 EXCELLENT AND COMFORTABLE WITH 1338 00:52:41,631 --> 00:52:42,131 TAKING CLINICAL MEASURE 1339 00:52:42,131 --> 00:52:42,698 OUTCOMES. SOMETHING IN THE 1340 00:52:42,698 --> 00:52:45,902 INITIAL THRIVE STUDY AND WE 1341 00:52:45,902 --> 00:52:50,072 WERE CAUTIOUS BECAUSE THE STUDY 1342 00:52:50,072 --> 00:52:50,673 WAS IMPLEMENTING CONVENIENCE 1343 00:52:50,673 --> 00:52:51,274 STORES. THERE WAS NOT ENOUGH 1344 00:52:51,274 --> 00:52:51,808 SPACE TO DO A LOT OF DATA 1345 00:52:51,808 --> 00:52:53,176 COLLECTION THERE. 1346 00:52:53,176 --> 00:52:53,776 WE HAVE SUBSEQUENTLY GONE ON TO 1347 00:52:53,776 --> 00:52:58,247 DO -- WE DID ANOTHER 1348 00:52:58,247 --> 00:52:59,615 IRINAH-SUPPORTED STUDY THAT DID 1349 00:52:59,615 --> 00:53:00,082 NOT MENTIONED IN THIS 1350 00:53:00,082 --> 00:53:05,922 PRESENTATION. BUT IT WAS 1351 00:53:05,922 --> 00:53:10,393 LOOKING AT ADAPTING THE DASH 1352 00:53:10,393 --> 00:53:10,860 DIET TO BE CULTURALLY 1353 00:53:10,860 --> 00:53:11,394 APPROPRIATE IN CHICKASAW 1354 00:53:11,394 --> 00:53:13,830 NATION. THAT ONE HAPPENED 1355 00:53:13,830 --> 00:53:16,899 RIGHT AT THE BEGINNING OF 1356 00:53:16,899 --> 00:53:17,533 COVID. SO WE HAD TO MODIFY IT A 1357 00:53:17,533 --> 00:53:22,138 LITTLE BIT. BUT THAT ONE WAS A 1358 00:53:22,138 --> 00:53:25,641 VERY SUCCESSFUL INTERVENTION. 1359 00:53:25,641 --> 00:53:26,275 IN CLINICAL MEASURES WERE TAKEN 1360 00:53:26,275 --> 00:53:27,276 AS PART OF THAT AND WE SAW THE 1361 00:53:27,276 --> 00:53:29,779 REDUCTION IN BLOOD PRESSURE. 1362 00:53:29,779 --> 00:53:33,049 WE ALSO SAW A LOT OF COST 1363 00:53:33,049 --> 00:53:33,683 SAVINGS. I CAN PROBABLY INCLUDE 1364 00:53:33,683 --> 00:53:36,652 THE LINK TO THAT BUT THERE WAS 1365 00:53:36,652 --> 00:53:37,220 A HEALTHY ECONOMIC ANALYSIS 1366 00:53:37,220 --> 00:53:44,060 DONE AS PART OF THAT SO THE 1367 00:53:44,060 --> 00:53:44,694 HIGHER SOMEONE'S BLOOD PRESSURE 1368 00:53:44,694 --> 00:53:45,228 WAS, THE HIGHER THE COST 1369 00:53:45,228 --> 00:53:46,062 SAVINGS FOR THE TRIBAL NATION. 1370 00:53:46,062 --> 00:53:48,431 SO THAT STUDY ENDED UP BEING 1371 00:53:48,431 --> 00:53:58,875 REALLY COST-EFFECTIVE FOR 1372 00:54:00,977 --> 00:54:01,510 SOMEBODY WHOSE BLOOD PRESSURE 1373 00:54:01,510 --> 00:54:02,078 WAS IN HIGHEST QUADRANTS OF 1374 00:54:02,078 --> 00:54:04,080 THAT, OF THOSE ASSESSMENTS. 1375 00:54:04,080 --> 00:54:08,251 AS FAR AS SPILLOVER, WHAT YOU 1376 00:54:08,251 --> 00:54:08,818 MEAN IN THAT QUESTION? NOT 1377 00:54:08,818 --> 00:54:09,285 REALLY SURE. 1378 00:54:09,285 --> 00:54:13,990 >> DR. PÉREZ-STABLE: WE HAVE TO 1379 00:54:13,990 --> 00:54:14,624 INTERPRETED AS YOU WISH BECAUSE 1380 00:54:14,624 --> 00:54:15,358 WE DO NOT HAVE MEMBERS LIVE. I 1381 00:54:15,358 --> 00:54:19,161 SUPPOSE UNEXPECTED BENEFITS. 1382 00:54:19,161 --> 00:54:23,766 >> DR. JERNIGAN: WILL FOR SURE, 1383 00:54:23,766 --> 00:54:24,800 THESE ARE RELATIVELY SMALL 1384 00:54:24,800 --> 00:54:27,270 COMMUNITIES. GOING BACK TO THE 1385 00:54:27,270 --> 00:54:30,406 THRIVE CONVENIENCE STORE STUDY 1386 00:54:30,406 --> 00:54:31,374 WE GOT A LOT OF COMPLAINTS MADE 1387 00:54:31,374 --> 00:54:37,046 STUDY BECAUSE PEOPLE WERE 1388 00:54:37,046 --> 00:54:39,649 DRIVING ALL OVER THE NATION AND 1389 00:54:39,649 --> 00:54:43,452 SEEING A LOT OF THE INNOVATION 1390 00:54:43,452 --> 00:54:44,053 STORE HAD A LOT OF DIFFERENT 1391 00:54:44,053 --> 00:54:44,687 FOODS AND THEY WERE 1392 00:54:44,687 --> 00:54:45,254 COMPLAINING, WHY DON'T THE 1393 00:54:45,254 --> 00:54:46,722 LOCAL STORES HAVE THAT? WHEN 1394 00:54:46,722 --> 00:54:49,725 ARE WE GETTING THESE FOODS? 1395 00:54:49,725 --> 00:54:50,326 THERE WASN'T A LOT OF VARIETY 1396 00:54:50,326 --> 00:54:52,128 OR OPTIONS AVAILABLE TO THEM. 1397 00:54:52,128 --> 00:54:53,596 AND AS A NATIVE TRIBAL MEMBER I 1398 00:54:53,596 --> 00:54:58,301 WOULD LIKE LESS GIVEN THE FOOD. 1399 00:54:58,301 --> 00:54:58,935 THIS IS GREAT AND THIS IS WHAT 1400 00:54:58,935 --> 00:54:59,368 THEY WANT. AND THE 1401 00:54:59,368 --> 00:55:01,504 EPIDEMIOLOGISTS WOULD GO NO, 1402 00:55:01,504 --> 00:55:03,706 THAT WILL CONTAMINATE THE 1403 00:55:03,706 --> 00:55:05,975 STUDY. IT IS AWFUL! IT MADE HER 1404 00:55:05,975 --> 00:55:06,542 SKIN CRAWL TO EVEN PROPOSE 1405 00:55:06,542 --> 00:55:08,878 THAT. 1406 00:55:08,878 --> 00:55:10,513 SO THERE'S A LOT OF BENEFIT IN 1407 00:55:10,513 --> 00:55:11,147 DOING THIS WORK IN SMALL TRIBAL 1408 00:55:11,147 --> 00:55:15,851 COMMUNITIES. CAN I WOULD SAY 1409 00:55:15,851 --> 00:55:16,485 SOMETHING THAT THE OSAGE NATION 1410 00:55:16,485 --> 00:55:23,192 TOLD US WHEN WE LAUNCHED FRESH. 1411 00:55:23,192 --> 00:55:23,759 FROM OUR PERSPECTIVE AND HIS 1412 00:55:23,759 --> 00:55:25,861 LEADERSHIP IN THE OSAGE NATION, 1413 00:55:25,861 --> 00:55:26,429 THE STUDY HAS ALREADY BEEN 1414 00:55:26,429 --> 00:55:28,431 SUCCESSFUL BECAUSE OF THE TIME 1415 00:55:28,431 --> 00:55:31,367 AND PLANNING AND LOVE AND CARE 1416 00:55:31,367 --> 00:55:33,369 THAT HAS TAKEN TO DEVELOP THE 1417 00:55:33,369 --> 00:55:33,836 FARM, AND TO DO THIS 1418 00:55:33,836 --> 00:55:36,772 INTERVENTION WE HAVE ALREADY 1419 00:55:36,772 --> 00:55:37,373 SHOWN THE INVESTMENT IN THESE 1420 00:55:37,373 --> 00:55:41,711 CHILDREN. AND THAT IN AND OF 1421 00:55:41,711 --> 00:55:42,545 ITSELF IS A POSITIVE OUTCOME OF 1422 00:55:42,545 --> 00:55:45,848 THE STUDY THAT WE WANT. 1423 00:55:45,848 --> 00:55:47,249 AND SO I TAKE THOSE OUTCOMES TO 1424 00:55:47,249 --> 00:55:50,052 HEART. BECAUSE WHEN YOU GET 1425 00:55:50,052 --> 00:55:51,354 FEEDBACK LIKE THAT, MEAN THAT 1426 00:55:51,354 --> 00:55:59,261 IS WHAT YOU REALLY LOVE AS A 1427 00:55:59,261 --> 00:56:05,334 NATIVE RESEARCHER. SO WE GET A 1428 00:56:05,334 --> 00:56:05,935 LOT OF FEEDBACK LIKE THAT. I 1429 00:56:05,935 --> 00:56:06,569 THINK THERE'S A LOT OF POSITIVE 1430 00:56:06,569 --> 00:56:07,203 SPILLOVER IS THAT IS WHAT THEY 1431 00:56:07,203 --> 00:56:07,536 MEANT. 1432 00:56:07,536 --> 00:56:09,238 >> DR. PÉREZ-STABLE: WHEN I 1433 00:56:09,238 --> 00:56:09,839 FIRST HEARD ABOUT YOUR STORE 1434 00:56:09,839 --> 00:56:13,943 STUDY BEFORE I GOT TO THE NIH, 1435 00:56:13,943 --> 00:56:14,543 I THOUGHT IT WAS BRILLIANT A 1436 00:56:14,543 --> 00:56:21,384 THING ABOUT DOING A STRUCTURAL 1437 00:56:21,384 --> 00:56:22,018 INTERVENTION TO ALTER PEOPLE'S 1438 00:56:22,018 --> 00:56:22,651 BEHAVIOR. LIKE PUTTING IN EASY 1439 00:56:22,651 --> 00:56:23,452 ACCESS STAIRS FOR PEOPLE TO BE 1440 00:56:23,452 --> 00:56:26,055 ABLE TO GO UP ONE FLOOR INSTEAD 1441 00:56:26,055 --> 00:56:32,661 OF TAKING THE ELEVATOR. AND I 1442 00:56:32,661 --> 00:56:33,229 THINK THAT WE JUST NEED TO 1443 00:56:33,229 --> 00:56:36,098 DISSEMINATE MORE OF THAT AND AT 1444 00:56:36,098 --> 00:56:36,732 THE COMMUNITY LEVEL SINCE IT IS 1445 00:56:36,732 --> 00:56:37,299 NOT GOING TO HAPPEN AT THE 1446 00:56:37,299 --> 00:56:39,235 MACROLEVEL. WE SEE IT ALL THE 1447 00:56:39,235 --> 00:56:39,835 TIME THE WAY THE MARKETS ARE, 1448 00:56:39,835 --> 00:56:46,375 AND HOW MARKETING OF ULTRA 1449 00:56:46,375 --> 00:56:49,345 PROCESSED, DENSE FOODS; 1450 00:56:49,345 --> 00:56:49,979 INEXPENSIVE AND THEY ARE RIGHT 1451 00:56:49,979 --> 00:56:50,579 THERE IN YOUR FACE AS YOU ARE 1452 00:56:50,579 --> 00:56:52,081 CHECKING OUT. IT IS REALLY, 1453 00:56:52,081 --> 00:56:54,650 PEOPLE PICK THEM UP. AND SO I 1454 00:56:54,650 --> 00:56:56,786 APPLAUD YOU FOR THAT. 1455 00:56:56,786 --> 00:56:59,455 DID YOU EVER USE THE TECHNIQUE 1456 00:56:59,455 --> 00:57:02,291 OF PHOTO VOICE IN ANY OF YOUR 1457 00:57:02,291 --> 00:57:03,492 WORK? JUST CURIOUS. 1458 00:57:03,492 --> 00:57:07,696 >> DR. JERNIGAN: I WENT TO FILM 1459 00:57:07,696 --> 00:57:10,499 SCHOOL AS PART OF MY POSTDOC. 1460 00:57:10,499 --> 00:57:13,469 AND I DID THAT BECAUSE I WOULD 1461 00:57:13,469 --> 00:57:14,036 DO PHOTO VOICE WITH NATIVE 1462 00:57:14,036 --> 00:57:18,741 COMMUNITIES. AND THE POWER OF 1463 00:57:18,741 --> 00:57:21,143 STORY-- WHICH I KNEW JUST FROM 1464 00:57:21,143 --> 00:57:26,582 MY OWN CHILDHOOD AND GROWING 1465 00:57:26,582 --> 00:57:27,149 UP-- BUT WHEN I DID IT AS A 1466 00:57:27,149 --> 00:57:27,783 PUBLIC HEALTH PROFESSIONAL, AS 1467 00:57:27,783 --> 00:57:31,353 A COMMUNITY MEMBER, AS AN 1468 00:57:31,353 --> 00:57:35,324 ACTIVIST AND AN ACADEMIC, AND 1469 00:57:35,324 --> 00:57:37,493 AN ADVOCATE, FOR THEM TO SEE 1470 00:57:37,493 --> 00:57:39,261 THEMSELVES REPRESENTED BACK IT 1471 00:57:39,261 --> 00:57:40,830 WAS A VERY HEALING EXPERIENCE. 1472 00:57:40,830 --> 00:57:44,300 AND PEOPLE WOULD SAY, WE HAVE 1473 00:57:44,300 --> 00:57:47,636 EVIDENCE THAT WE HAVE DONE THIS 1474 00:57:47,636 --> 00:57:51,140 WORK FOR FUTURE GENERATIONS. 1475 00:57:51,140 --> 00:57:51,707 AND SO YES I'VE DONE A LOT OF 1476 00:57:51,707 --> 00:58:00,483 PHOTO VOICE. WE HAVE DONE VIDEO 1477 00:58:00,483 --> 00:58:01,050 VOICE SO WE GIVE CAMERAS TO 1478 00:58:01,050 --> 00:58:03,018 COMMITTEE MEMBERS AND HAVE THEM 1479 00:58:03,018 --> 00:58:03,486 SHARE STORIES AND THE 1480 00:58:03,486 --> 00:58:04,019 PERSPECTIVE OF WHAT THEIR 1481 00:58:04,019 --> 00:58:05,521 EXPERIENCES LIKE AS PART OF 1482 00:58:05,521 --> 00:58:06,922 THESE INTERVENTIONS. 1483 00:58:06,922 --> 00:58:09,525 WE FILM ALL OF OUR MEETINGS. 1484 00:58:09,525 --> 00:58:12,294 SO WE HAVE THE PROCESS OF, YOU 1485 00:58:12,294 --> 00:58:14,063 KNOW, HOW DO DECISIONS GET MADE 1486 00:58:14,063 --> 00:58:16,432 FROM THE HIGHEST LEVEL IN 1487 00:58:16,432 --> 00:58:19,602 TRIBAL GOVERNMENT LEADERSHIP? 1488 00:58:19,602 --> 00:58:21,137 YOU KNOW? 1489 00:58:21,137 --> 00:58:24,173 IN RIB, I FILMED MYSELF 1490 00:58:24,173 --> 00:58:26,642 RESENTED TO THE CHOCTAW RIB, 1491 00:58:26,642 --> 00:58:30,880 AND WHAT THAT IS LIKE. TO THE 1492 00:58:30,880 --> 00:58:31,447 LEVELS OF LIKE DEBATING AND 1493 00:58:31,447 --> 00:58:33,048 DISCUSSING WHAT QUESTIONS 1494 00:58:33,048 --> 00:58:37,119 SHOULD BE ADDED IN A SURVEY. 1495 00:58:37,119 --> 00:58:40,322 YOU KNOW, SO WHAT THOSE THEN 1496 00:58:40,322 --> 00:58:43,325 SERVE TO PROVIDE US WITH, IS 1497 00:58:43,325 --> 00:58:48,097 ALMOST LIKE A MANUAL FOR HOW WE 1498 00:58:48,097 --> 00:58:50,566 DID THIS. AND MAYBE THIS WILL 1499 00:58:50,566 --> 00:58:52,401 HELP YOU IMPLEMENT SOMETHING 1500 00:58:52,401 --> 00:58:56,372 SIMILAR IF YOU HAVE THAT 1501 00:58:56,372 --> 00:58:57,006 DESIRE, WITHIN YOUR OWN TRIBAL 1502 00:58:57,006 --> 00:58:59,408 NATION. 1503 00:58:59,408 --> 00:59:01,243 BUT I THINK STORY IS A REALLY 1504 00:59:01,243 --> 00:59:02,811 POWERFUL WAY TO SHARE 1505 00:59:02,811 --> 00:59:06,482 KNOWLEDGE. OBVIOUSLY THAT IS 1506 00:59:06,482 --> 00:59:09,518 WHAT WE DO, AS NATIVE PEOPLE. 1507 00:59:09,518 --> 00:59:12,288 BUT, YES. VERY MUCH SO. 1508 00:59:12,288 --> 00:59:14,690 >> DR. PÉREZ-STABLE: THANK YOU 1509 00:59:14,690 --> 00:59:18,394 AND I SHOULD PUT THOSE TWO 1510 00:59:18,394 --> 00:59:18,894 TOGETHER; THAT YOU WERE 1511 00:59:18,894 --> 00:59:21,163 INVOLVED IN FILM, AND WENT TO 1512 00:59:21,163 --> 00:59:21,730 FILM SCHOOL. IT WOULD MAKE 1513 00:59:21,730 --> 00:59:26,335 SENSE. THAT IS FANTASTIC. I 1514 00:59:26,335 --> 00:59:27,436 WILL HAVE TO ASK YOU ABOUT THAT 1515 00:59:27,436 --> 00:59:30,472 AT COUNCIL. 1516 00:59:30,472 --> 00:59:31,273 SO I HAVE ANOTHER QUESTION FROM 1517 00:59:31,273 --> 00:59:41,083 THE AUDIENCE. THANKING YOU FOR 1518 00:59:41,083 --> 00:59:41,684 VERY IMPORTANT AND INSPIRING 1519 00:59:41,684 --> 00:59:42,284 WORK USING FOOD AND COVERING 1520 00:59:42,284 --> 00:59:47,256 THE LENS. IN THE THRIVE STUDY, 1521 00:59:47,256 --> 00:59:49,491 OUR STORE SELECTED? WERE 1522 00:59:49,491 --> 00:59:50,092 BUSINESSES PROVIDED INCENTIVE 1523 00:59:50,092 --> 00:59:51,327 FOR FUNDING TO SUPPORT THE 1524 00:59:51,327 --> 00:59:53,829 IMPLEMENTATION OF THE 1525 00:59:53,829 --> 00:59:55,531 INTERVENTION? AND FINDINGS ON 1526 00:59:55,531 --> 00:59:56,999 BUSINESS SATISFACTION, FINDINGS 1527 00:59:56,999 --> 01:00:00,970 ON HOW DID THE CHANGES AFFECT 1528 01:00:00,970 --> 01:00:01,604 PROFITABILITY, SUSTAINABILITY? 1529 01:00:01,604 --> 01:00:03,072 THIS IS COMING FROM PAUL BURNS 1530 01:00:03,072 --> 01:00:05,074 AT NIMHD, ONE OF OUR PROGRAM 1531 01:00:05,074 --> 01:00:06,041 OFFICIALS. 1532 01:00:06,041 --> 01:00:07,910 >> DR. JERNIGAN: THE STORES 1533 01:00:07,910 --> 01:00:12,448 WERE MATCHED BY SIZE AND 1534 01:00:12,448 --> 01:00:19,955 CHARACTERISTICS OF THE LOCAL 1535 01:00:19,955 --> 01:00:21,123 TOWNS. I THINK WE HAD 20 1536 01:00:21,123 --> 01:00:24,460 STORES. THERE WERE A LOT OF 1537 01:00:24,460 --> 01:00:25,728 STORES. SO WE INTERVENE IN 1538 01:00:25,728 --> 01:00:28,264 EIGHT STORES. FOUR WERE CONTROL 1539 01:00:28,264 --> 01:00:37,139 AND FOUR WERE INTERVENTION 1540 01:00:37,139 --> 01:00:37,773 STORES. SO THEY WERE MATCHED BY 1541 01:00:37,773 --> 01:00:40,009 SIZE OF THE TOWNS. AN INCOME 1542 01:00:40,009 --> 01:00:40,643 AND DEMOGRAPHIC CHARACTERISTICS 1543 01:00:40,643 --> 01:00:43,879 OF THE TOWNS AND THE TRIBES. 1544 01:00:43,879 --> 01:00:45,281 AND AS FAR AS INCENTIVES GO, 1545 01:00:45,281 --> 01:00:50,052 ONE OF THOSE FOUR PS THAT YOU 1546 01:00:50,052 --> 01:00:52,788 SAW WAS PRICING. AND SO ONE OF 1547 01:00:52,788 --> 01:00:53,722 THE THINGS THAT HAPPENED AS 1548 01:00:53,722 --> 01:00:56,659 PART OF THE THRIVE STUDY IS 1549 01:00:56,659 --> 01:00:58,727 THAT WE SAID, WE ARE GOING TO 1550 01:00:58,727 --> 01:01:02,064 OFFER ADDITIONAL FOODS. WE ARE 1551 01:01:02,064 --> 01:01:02,631 NOT GOING TO TAKE ANY FOODS 1552 01:01:02,631 --> 01:01:05,000 AWAY. WE UNDERSTAND HOW 1553 01:01:05,000 --> 01:01:10,439 IMPORTANT THESE STORES ARE TO 1554 01:01:10,439 --> 01:01:10,973 TRIBAL ECONOMIES. I KNOW 1555 01:01:10,973 --> 01:01:11,774 RELATIVES WHO WORK IN THESE 1556 01:01:11,774 --> 01:01:15,611 STORES. AND THEY ARE IMPORTANT. 1557 01:01:15,611 --> 01:01:16,278 AND WE DON'T WANT TO HAVE THIS 1558 01:01:16,278 --> 01:01:20,916 BE A PENALIZING INTERVENTION. 1559 01:01:20,916 --> 01:01:21,517 THIS IS SOMETHING THAT OFFERS 1560 01:01:21,517 --> 01:01:22,117 NEW AND DIFFERENT VARIETY AND 1561 01:01:22,117 --> 01:01:24,353 OPTIONS. 1562 01:01:24,353 --> 01:01:32,227 IF THE FOODS ARE INCLUDED AS 1563 01:01:32,227 --> 01:01:32,828 PART OF THE INTERVENTION, SO 1564 01:01:32,828 --> 01:01:33,362 THERE WERE FIVE NEW MEALS 1565 01:01:33,362 --> 01:01:33,996 OFFERED AND 10 NEWSMAX OFFERED 1566 01:01:33,996 --> 01:01:41,537 IN EACH OF THE INTERVENTION 1567 01:01:41,537 --> 01:01:42,104 STORES AND THEY MET CERTAIN 1568 01:01:42,104 --> 01:01:42,705 NUTRITIONAL CRITERIA THAT WE 1569 01:01:42,705 --> 01:01:43,339 SHARED AND PUBLISHED, IF THEY 1570 01:01:43,339 --> 01:01:47,109 DON'T SELL, THE GRANT COVERS 1571 01:01:47,109 --> 01:01:49,345 THE COST OF THOSE FOODS. SHOULD 1572 01:01:49,345 --> 01:01:53,015 THEY NOT SELL. 1573 01:01:53,015 --> 01:01:53,615 AND THE TRIBE SAID GREAT. THAT 1574 01:01:53,615 --> 01:01:59,288 IS FINE. WE WILL START 1575 01:01:59,288 --> 01:02:00,856 PRESSING THEM AT THE SUGGESTED 1576 01:02:00,856 --> 01:02:01,457 RETAIL PRICE. BECAUSE WE HAVE 1577 01:02:01,457 --> 01:02:04,226 TO ESTABLISH BASELINE. 1578 01:02:04,226 --> 01:02:06,595 BUT, FROM THERE, IF THEY DON'T 1579 01:02:06,595 --> 01:02:07,563 SELL WE WILL REDUCE PRICING 1580 01:02:07,563 --> 01:02:13,569 UNTIL THEY DO. WE NEVER 1581 01:02:13,569 --> 01:02:19,341 ACTUALLY EVEN HAD TO REDUCE THE 1582 01:02:19,341 --> 01:02:19,975 SUGGESTED RETAIL PRICE, BECAUSE 1583 01:02:19,975 --> 01:02:20,576 ALL THE FOOD SOLD OUT WITHIN 1584 01:02:20,576 --> 01:02:21,143 THE FIRST FEW WEEKS OF THE 1585 01:02:21,143 --> 01:02:26,181 INTERVENTION. AND, THEY WERE 1586 01:02:26,181 --> 01:02:26,882 NOT ABLE TO KEEP THEM IN STOCK 1587 01:02:26,882 --> 01:02:28,217 IN BOTH TRIBES. 1588 01:02:28,217 --> 01:02:32,221 SO THAT TOLD US THAT, YOU KNOW, 1589 01:02:32,221 --> 01:02:32,855 THIS WAS SOMETHING THAT CLEARLY 1590 01:02:32,855 --> 01:02:36,959 PEOPLE WANTED. AND, THEY KNEW 1591 01:02:36,959 --> 01:02:44,833 THAT KEEPING THESE AS POLICY-- 1592 01:02:44,833 --> 01:02:52,040 BOTH OF THE STORES STILL HAVE 1593 01:02:52,040 --> 01:02:52,674 THESE SECTIONS IN THERE TODAY. 1594 01:02:52,674 --> 01:02:53,275 SO THAT IS WHAT WENT ON WITH 1595 01:02:53,275 --> 01:02:55,477 THE STORES. 1596 01:02:55,477 --> 01:02:56,745 WE DID HAVE TO COMPETE WITH BIG 1597 01:02:56,745 --> 01:03:07,322 FOOD MANUFACTURERS LIKE TO READ 1598 01:03:07,322 --> 01:03:07,923 DORITOS AND CHEETOS, AND THEY 1599 01:03:07,923 --> 01:03:14,663 DO OFFER INCENTIVES. BUT BOTH 1600 01:03:14,663 --> 01:03:15,230 DRIVERS MADE IT A POLICY TO 1601 01:03:15,230 --> 01:03:17,433 CENTER AROUND THE LARGE 1602 01:03:17,433 --> 01:03:19,535 WALKAROUND COOLERS AND MOVE THE 1603 01:03:19,535 --> 01:03:21,937 HOT BOXES BEHIND THE CASH 1604 01:03:21,937 --> 01:03:22,438 REGISTER AND SOME OTHER 1605 01:03:22,438 --> 01:03:24,106 PHYSICAL CHANGES TO THE STORES 1606 01:03:24,106 --> 01:03:33,515 THAT THEY MADE AS PART OF THIS. 1607 01:03:33,515 --> 01:03:34,016 SO THAT IS PART OF THE 1608 01:03:34,016 --> 01:03:34,550 INTERVENTION IS PERMANENT 1609 01:03:34,550 --> 01:03:37,953 CHANGES. 1610 01:03:37,953 --> 01:03:39,154 I SHOULD ALSO SAY ONE MORE 1611 01:03:39,154 --> 01:03:43,158 THING TO THIS QUESTION. AS 1612 01:03:43,158 --> 01:03:43,792 PART OF THIS INITIATIVE, IT IS 1613 01:03:43,792 --> 01:03:47,062 IMPORTANT TO EMPHASIZE, BECAUSE 1614 01:03:47,062 --> 01:03:47,830 IT IS COMMUNITY-BASED 1615 01:03:47,830 --> 01:03:49,531 PARTICIPATORY RESEARCH 1616 01:03:49,531 --> 01:03:51,266 INITIATIVE THAT IS SO 1617 01:03:51,266 --> 01:03:54,837 INCREDIBLY TRIBALLY DRIVEN, WE 1618 01:03:54,837 --> 01:03:55,437 HAD FULL ACCESS TO ALL SALES 1619 01:03:55,437 --> 01:04:00,609 DATA IN ALL OF THE STORES. WE 1620 01:04:00,609 --> 01:04:01,243 GOT-- WE PUBLISHED A PAPER AND 1621 01:04:01,243 --> 01:04:03,145 AGAIN IT IS ON OUR WEBSITE, BUT 1622 01:04:03,145 --> 01:04:06,815 IT BASICALLY SHORES THAT NOT 1623 01:04:06,815 --> 01:04:07,449 ONLY DID THEY NOT LOSE REVENUE, 1624 01:04:07,449 --> 01:04:08,383 BUT THEY ACTUALLY INCREASE 1625 01:04:08,383 --> 01:04:11,453 THEIR SALES. SO IT WASN'T AN 1626 01:04:11,453 --> 01:04:13,055 INITIATIVE THAT CONTAINED ANY 1627 01:04:13,055 --> 01:04:15,624 KIND OF FINANCIAL RISK TO THE 1628 01:04:15,624 --> 01:04:16,725 TRIBAL NATIONS. 1629 01:04:16,725 --> 01:04:20,529 >> DR. PÉREZ-STABLE: FANTASTIC. 1630 01:04:20,529 --> 01:04:26,835 AND ULTIMATELY, IF WE ARE 1631 01:04:26,835 --> 01:04:27,269 WORKING WITH THESE 1632 01:04:27,269 --> 01:04:27,870 ORGANIZATIONS THAT'S GOING TO 1633 01:04:27,870 --> 01:04:28,470 BE A CRITICAL COMPONENT THAT 1634 01:04:28,470 --> 01:04:31,607 THEY NEED TO ACCEPT. OTHERWISE, 1635 01:04:31,607 --> 01:04:32,207 THEY MAY NOT ACCEPT IT OR IT 1636 01:04:32,207 --> 01:04:37,179 WON'T LAST. 1637 01:04:37,179 --> 01:04:38,113 I HAVE ANOTHER QUESTION FROM 1638 01:04:38,113 --> 01:04:47,756 THE AUDIENCE. DID NEW RECIPES 1639 01:04:47,756 --> 01:04:48,357 DETERMINED SIMILAR FOODS THAT 1640 01:04:48,357 --> 01:04:49,691 WERE NEW FOODS-- I AM NOT SURE 1641 01:04:49,691 --> 01:04:51,560 I UNDERSTAND THAT-- HOW DID THE 1642 01:04:51,560 --> 01:04:55,297 PROCESS GO WHERE THE ADDED 1643 01:04:55,297 --> 01:04:56,999 TRADITIONAL FOODS, AND THE 1644 01:04:56,999 --> 01:05:01,703 PERSON, YOWA IFATEIO 1645 01:05:01,703 --> 01:05:06,041 (PHONETIC), NO AFFILIATION. 1646 01:05:06,041 --> 01:05:11,346 >> DR. JERNIGAN: BOTH OF THE 1647 01:05:11,346 --> 01:05:18,854 RO1S HAD TO CHANGES. IN THE 1648 01:05:18,854 --> 01:05:19,388 STORE SETTINGS FOODS WERE 1649 01:05:19,388 --> 01:05:19,988 IDENTIFIED BY THE NUTRITIONAL 1650 01:05:19,988 --> 01:05:21,290 CRITERIA WE ESTABLISHED, BASED 1651 01:05:21,290 --> 01:05:21,757 ON THE GREAT DIETARY 1652 01:05:21,757 --> 01:05:24,459 GUIDELINES. 1653 01:05:24,459 --> 01:05:27,796 AND THEN WHAT THE DISTRIBUTORS 1654 01:05:27,796 --> 01:05:31,033 SOURCE LISTINGS HAD AS PART OF 1655 01:05:31,033 --> 01:05:38,740 THEIR FULL OFFERINGS, AND SO WE 1656 01:05:38,740 --> 01:05:40,108 GOT COPIES OF ALL OF THE LOCAL 1657 01:05:40,108 --> 01:05:43,345 DISTRIBUTORS THAT SUPPLIED THE 1658 01:05:43,345 --> 01:05:45,347 STORES WITH THEIR FOODS. AND WE 1659 01:05:45,347 --> 01:05:47,249 BASICALLY WENT THROUGH AND LOOK 1660 01:05:47,249 --> 01:05:49,151 AT THE NUTRITIONAL CONTENT OF 1661 01:05:49,151 --> 01:05:52,120 ALL THE FOODS AVAILABLE. 1662 01:05:52,120 --> 01:05:52,721 SOME OF THOSE FOODS WERE BEING 1663 01:05:52,721 --> 01:05:56,124 CARRIED BY SOME OF THE STORES. 1664 01:05:56,124 --> 01:05:56,758 BUT MOST OF THE FOODS WERE NOT 1665 01:05:56,758 --> 01:05:59,895 BEING CARRIED BY MOST OF THE 1666 01:05:59,895 --> 01:06:02,130 STORES. AND THERE WERE OPTIONS 1667 01:06:02,130 --> 01:06:03,465 THAT WERE HEALTHY, THAT COULD 1668 01:06:03,465 --> 01:06:06,368 EASILY BE ADDED. HOWEVER, SOME 1669 01:06:06,368 --> 01:06:10,138 OF THE MORE REMOTE, RURAL 1670 01:06:10,138 --> 01:06:14,009 STORES, THAT WOULD THEN MEAN 1671 01:06:14,009 --> 01:06:14,643 THAT THE TRUCK HAD TO VISIT THE 1672 01:06:14,643 --> 01:06:17,112 STORES TWICE A WEEK, RATHER 1673 01:06:17,112 --> 01:06:18,380 THAN ONCE A WEEK AND SO ON AND 1674 01:06:18,380 --> 01:06:20,782 SO FORTH. SO WITH THIS 1675 01:06:20,782 --> 01:06:21,350 INFORMATION, WE THEN HAD TO 1676 01:06:21,350 --> 01:06:25,887 MAKE DECISIONS AROUND ... YOU 1677 01:06:25,887 --> 01:06:26,521 KNOW SHOULD WE USE A DIFFERENT 1678 01:06:26,521 --> 01:06:27,556 DISTRIBUTOR? 1679 01:06:27,556 --> 01:06:32,260 SHOULD WE INCORPORATE NEW 1680 01:06:32,260 --> 01:06:32,861 PRODUCERS THAT ARE LOCAL THAT 1681 01:06:32,861 --> 01:06:35,330 COULD SUPPLY THESE FOODS? 1682 01:06:35,330 --> 01:06:35,864 ULTIMATELY THAT IS A CHOICE 1683 01:06:35,864 --> 01:06:37,366 THAT WAS MADE. BUT THE 1684 01:06:37,366 --> 01:06:42,371 DECISION WAS TOGETHER PRODUCE 1685 01:06:42,371 --> 01:06:43,005 AND THEN PACKAGED FOODS INSIDE 1686 01:06:43,005 --> 01:06:44,673 THE STORES IN AN EXPANDED 1687 01:06:44,673 --> 01:06:49,277 KITCHEN. SO I MEAN THAT WAS A 1688 01:06:49,277 --> 01:06:50,112 HUGE INVESTMENT THAT I DID NOT 1689 01:06:50,112 --> 01:06:53,949 EXPECT TO HAPPEN AS A RESULT OF 1690 01:06:53,949 --> 01:06:55,384 THE INTERVENTION BUT I THINK 1691 01:06:55,384 --> 01:06:56,618 CHOCTAW NATION-- WHICH IS THE 1692 01:06:56,618 --> 01:06:58,020 TRIBE WROTE THAT THIS-- SAW 1693 01:06:58,020 --> 01:07:00,188 THAT THIS WAS A DEMAND. SAW 1694 01:07:00,188 --> 01:07:03,358 THAT THE TRIBE POPULATION WAS 1695 01:07:03,358 --> 01:07:03,925 EATING AT THESE STORES AND 1696 01:07:03,925 --> 01:07:07,629 REALLY WANTED THERE TO BE FOOD 1697 01:07:07,629 --> 01:07:10,599 THERE THAT WAS HEALTHY. AND SO 1698 01:07:10,599 --> 01:07:11,166 THE CHANGES THAT HAVE TO BE 1699 01:07:11,166 --> 01:07:14,102 MADE WERE MADE. AND THAT IS 1700 01:07:14,102 --> 01:07:15,437 KIND OF THE PROCESS THAT WE 1701 01:07:15,437 --> 01:07:18,173 WENT THROUGH IN DETERMINING 1702 01:07:18,173 --> 01:07:19,741 WHICH FOODS. 1703 01:07:19,741 --> 01:07:25,914 >> DR. PÉREZ-STABLE: LET ME SEE 1704 01:07:25,914 --> 01:07:34,056 IF AN OVER INTERPRETING THE 1705 01:07:34,056 --> 01:07:34,656 COMMENT. IN THE TRADITIONAL 1706 01:07:34,656 --> 01:07:35,290 FOOD APPROACH, ARE THERE NEW 1707 01:07:35,290 --> 01:07:38,026 INGREDIENTS? LIKE I DON'T KNOW, 1708 01:07:38,026 --> 01:07:39,895 THINGS THAT WE LEARNED; OR 1709 01:07:39,895 --> 01:07:43,298 LET'S SAY, INDIGENOUS OR 1710 01:07:43,298 --> 01:07:45,634 TRADITIONAL FOODS FROM OTHER 1711 01:07:45,634 --> 01:07:46,201 CULTURES THAT WE NOW HIGHLY 1712 01:07:46,201 --> 01:07:51,206 VALUE. WHETHER THEY BE 1713 01:07:51,206 --> 01:07:54,509 AVOCADOS OR WHATEVER. I DON'T 1714 01:07:54,509 --> 01:08:00,115 KNOW. IS THAT SOMETHING THAT 1715 01:08:00,115 --> 01:08:00,682 WENT INTO THE FORMULA WHEN 1716 01:08:00,682 --> 01:08:02,217 YOU'RE THINKING ABOUT THIS? OR 1717 01:08:02,217 --> 01:08:02,851 WHEN THE COMMUNITY IS THINKING 1718 01:08:02,851 --> 01:08:03,285 ABOUT THIS? 1719 01:08:03,285 --> 01:08:07,355 >> DR. JERNIGAN: FOR THRIVE WE 1720 01:08:07,355 --> 01:08:09,091 HAVE TO LOOK AT WHAT WAS 1721 01:08:09,091 --> 01:08:09,658 POSSIBLE BEFORE WE PROMISED 1722 01:08:09,658 --> 01:08:14,463 ANYTHING BECAUSE WE KNEW THAT 1723 01:08:14,463 --> 01:08:18,734 WE ENCOURAGED THE TASTE TEST. 1724 01:08:18,734 --> 01:08:19,334 WITH THE TASTE TESTS. AND WE 1725 01:08:19,334 --> 01:08:19,968 WOULD INVITE TRIBAL MEMBERS TO 1726 01:08:19,968 --> 01:08:29,945 COME TO THE PARKING SYMBOLS 1727 01:08:29,945 --> 01:08:30,545 FOR WHERE WE HAD THESE TASTE 1728 01:08:30,545 --> 01:08:31,713 TESTS, AND CLICKER POLES. WHAT 1729 01:08:31,713 --> 01:08:32,481 WOULD YOU THINK ABOUT DIFFERENT 1730 01:08:32,481 --> 01:08:35,450 FOODS? HOW MUCH WOULD YOU BUY? 1731 01:08:35,450 --> 01:08:40,355 HOW MUCH WOULD YOU PAY? AND 1732 01:08:40,355 --> 01:08:40,989 EACH OF THE QUESTIONS WOULD POP 1733 01:08:40,989 --> 01:08:42,023 UP AND PEOPLE WOULD VOTE AND WE 1734 01:08:42,023 --> 01:08:43,225 WOULD SAY WELL WHICH OBLIGES 1735 01:08:43,225 --> 01:08:49,397 OVER A HOT DOG? HOW MUCH WOULD 1736 01:08:49,397 --> 01:08:50,031 IT HAVE TO COST? AND SO WE ALL 1737 01:08:50,031 --> 01:08:50,999 BECAME THESE WEIRD EXPERTS IN 1738 01:08:50,999 --> 01:08:52,834 CONSUMER SCIENCE. 1739 01:08:52,834 --> 01:08:55,437 AND SO YOU KNOW, WE HAD REALLY 1740 01:08:55,437 --> 01:08:57,706 FUNNY EXPERIENCES. LIKE TRYING 1741 01:08:57,706 --> 01:09:00,575 HUMMUS. PEOPLE DID NOT KNOW AT 1742 01:09:00,575 --> 01:09:09,918 THE TIME WHAT HUMMUS WAS. ONE 1743 01:09:09,918 --> 01:09:13,622 OF THE POTENTIAL OFFERINGS. OH, 1744 01:09:13,622 --> 01:09:18,360 IT IS LIKE BEAN DIP. SO 1745 01:09:18,360 --> 01:09:19,694 SOMETHING THEY COULD RELATE TO 1746 01:09:19,694 --> 01:09:22,464 ABOUT WHAT IT WAS. 1747 01:09:22,464 --> 01:09:24,866 WE DEFINITELY WANTED TO OFFER 1748 01:09:24,866 --> 01:09:25,500 FOODS THAT WE KNEW HAD A CHANCE 1749 01:09:25,500 --> 01:09:26,001 OF BEING SUCCESSFUL IN 1750 01:09:26,001 --> 01:09:28,670 COMMUNITIES. THAT THEY WANTED 1751 01:09:28,670 --> 01:09:30,739 AND WERE OPEN TO TRYING. AND 1752 01:09:30,739 --> 01:09:31,306 THE SAME WAS TRUE WITH THE 1753 01:09:31,306 --> 01:09:35,277 OSAGE NATION WITH FRESH. WE HAD 1754 01:09:35,277 --> 01:09:38,046 TO LOOK AT WHAT FOODS COULD 1755 01:09:38,046 --> 01:09:45,187 GROW. WHAT FOODS PEOPLE MOSTLY 1756 01:09:45,187 --> 01:09:45,787 ATE. AND WHAT FOODS THEY WERE 1757 01:09:45,787 --> 01:09:48,256 LESS LIKELY TO TRY. WE HAD TO 1758 01:09:48,256 --> 01:09:48,824 CONSIDER ALL OF THIS IN THE 1759 01:09:48,824 --> 01:09:53,895 FOOD INTERVENTIONS, AND THAT 1760 01:09:53,895 --> 01:09:54,429 INVOLVES LOTS AND LOTS OF 1761 01:09:54,429 --> 01:09:55,831 ROUNDS OF DISCUSSION AND 1762 01:09:55,831 --> 01:09:56,464 UNDERSTANDING WHAT PEOPLE WOULD 1763 01:09:56,464 --> 01:09:57,065 HAVE THE CAPACITY TO COOK AND 1764 01:09:57,065 --> 01:09:57,699 TO PREPARE. 1765 01:09:57,699 --> 01:09:59,167 AND SO YES, ON ALL OF THE 1766 01:09:59,167 --> 01:10:03,171 THINGS. AND I THINK THAT PART 1767 01:10:03,171 --> 01:10:07,676 OF THE REASON WHY THE CHILDREN 1768 01:10:07,676 --> 01:10:12,781 HAD PLEASANT CHANGES IN THE 1769 01:10:12,781 --> 01:10:13,348 BEAN INTAKE AND THE SQUASH 1770 01:10:13,348 --> 01:10:14,049 INTAKE WAS BECAUSE OF THE 1771 01:10:14,049 --> 01:10:16,484 CULTURAL TRADITIONS AROUND THE 1772 01:10:16,484 --> 01:10:19,054 THREE SISTERS, AND NATIVE 1773 01:10:19,054 --> 01:10:21,122 AGRICULTURAL PRACTICE. AND THAT 1774 01:10:21,122 --> 01:10:21,623 WAS KEY IN ALL OF THE 1775 01:10:21,623 --> 01:10:24,025 INTERVENTIONS. 1776 01:10:24,025 --> 01:10:26,428 THE FOODS THAT HAVE DEEPER 1777 01:10:26,428 --> 01:10:28,697 MEANING, DEEPER RELEVANCE TO 1778 01:10:28,697 --> 01:10:30,866 COMMUNITIES, ARE ALWAYS THE 1779 01:10:30,866 --> 01:10:31,433 FOODS THAT TEND TO DO MUCH 1780 01:10:31,433 --> 01:10:36,738 BETTER. THERE IS A BIG 1781 01:10:36,738 --> 01:10:37,372 DIFFERENCE BETWEEN TRADITIONAL 1782 01:10:37,372 --> 01:10:38,440 INDIGENOUS FOODS AND HEALTHY 1783 01:10:38,440 --> 01:10:47,082 WESTERN FOODS. AND SO 1784 01:10:47,082 --> 01:10:47,649 INDIGENOUS FOOD SOVEREIGNTY 1785 01:10:47,649 --> 01:10:48,149 INTERVENTION THERE IS A 1786 01:10:48,149 --> 01:10:50,452 DISTINCTION BETWEEN THAT. BUT 1787 01:10:50,452 --> 01:10:51,052 PEOPLE ALSO LOOK TO OUR FROM 1788 01:10:51,052 --> 01:10:51,653 THE GROCERY STORE THE NEED TO 1789 01:10:51,653 --> 01:10:54,990 INCREASE THE SUPPLY OF FOOD, 1790 01:10:54,990 --> 01:10:56,658 AND FOOD THEY CAN ACCESS 1791 01:10:56,658 --> 01:10:59,494 QUICKLY FROM THE POTENTIALLY 1792 01:10:59,494 --> 01:11:03,565 LOCAL FARM. AND SO THEY PLAN 1793 01:11:03,565 --> 01:11:07,369 THOSE ASPECTS AS WELL. 1794 01:11:07,369 --> 01:11:11,139 >> DR. PÉREZ-STABLE: THAT HELPS 1795 01:11:11,139 --> 01:11:15,010 ALSO TALKING CIRCLES TO TASTE 1796 01:11:15,010 --> 01:11:15,610 FOOD. I HAVE A COMMENT ABOUT 1797 01:11:15,610 --> 01:11:16,211 PRAISING YOUR PRESENTATION IN 1798 01:11:16,211 --> 01:11:17,545 VOLUNTEERING TO HELP. I DON'T 1799 01:11:17,545 --> 01:11:21,516 KNOW THIS ORGANIZATION -- WOULD 1800 01:11:21,516 --> 01:11:23,318 LOVE TO HELP WITH DATA 1801 01:11:23,318 --> 01:11:25,153 COLLECTION AND DIESEL HEALTH 1802 01:11:25,153 --> 01:11:26,154 LITERACY AND PATIENT EDUCATION. 1803 01:11:26,154 --> 01:11:29,958 I AM SURE GINA CAN GET THESE 1804 01:11:29,958 --> 01:11:31,092 COMMENTS. 1805 01:11:31,092 --> 01:11:32,360 A QUESTION AND COMMENT FROM 1806 01:11:32,360 --> 01:11:37,432 KAREEM BAKER FROM NIMHD, ON OUR 1807 01:11:37,432 --> 01:11:39,567 STAFF AND I WONDER IF THERE ANY 1808 01:11:39,567 --> 01:11:40,135 EXPENSES OR MEMORIES BY THE 1809 01:11:40,135 --> 01:11:42,871 KIDS WHO WERE PART OF THE FRESH 1810 01:11:42,871 --> 01:11:45,006 STUDY THAT STAND OUT TO YOU? 1811 01:11:45,006 --> 01:11:45,573 AND SHE ALSO PRAISED YOUR 1812 01:11:45,573 --> 01:11:46,341 PRESENTATION. 1813 01:11:46,341 --> 01:11:53,348 >> DR. JERNIGAN: HMM... YOU 1814 01:11:53,348 --> 01:11:56,551 KNOW? THERE ARE SO MANY. I 1815 01:11:56,551 --> 01:11:59,354 THINK PROBABLY ONE OF THE 1816 01:11:59,354 --> 01:12:03,725 THINGS THAT I THINK WAS MOST 1817 01:12:03,725 --> 01:12:06,962 EXCITING WAS TO SEE THE KIDS, 1818 01:12:06,962 --> 01:12:07,495 THEY WOULD TAKE HOME THE 1819 01:12:07,495 --> 01:12:08,463 TAKE-HOME MEALS, AND THEY WOULD 1820 01:12:08,463 --> 01:12:08,964 PREPARE THEM WITH THEIR 1821 01:12:08,964 --> 01:12:10,699 FAMILIES. AND THEY WOULD POST 1822 01:12:10,699 --> 01:12:12,867 THEM ON FACEBOOK. AND IT WAS 1823 01:12:12,867 --> 01:12:15,937 REALLY SWEET. 1824 01:12:15,937 --> 01:12:18,807 BECAUSE I THINK IN A LOT OF 1825 01:12:18,807 --> 01:12:20,608 THESE COMMUNITIES, IT WAS TIME 1826 01:12:20,608 --> 01:12:26,414 OF HELLO FRESH, AND THOSE WHO 1827 01:12:26,414 --> 01:12:28,350 ARE POPULAR AND PEOPLE ORDERING 1828 01:12:28,350 --> 01:12:30,452 THOSE AT HOME FOOD KITS. BUT 1829 01:12:30,452 --> 01:12:32,487 THOSE WERE OUT OF REACH OF A 1830 01:12:32,487 --> 01:12:33,121 LOT OF NATIVE FAMILIES WHO DID 1831 01:12:33,121 --> 01:12:35,423 NOT HAVE THE MONEY TO DO THAT. 1832 01:12:35,423 --> 01:12:36,057 BUT THIS WAS A VERSION OF THAT 1833 01:12:36,057 --> 01:12:38,059 THAT THEY COULD SHARE, AND POST 1834 01:12:38,059 --> 01:12:38,893 ONLINE ENACTING IT WAS REALLY 1835 01:12:38,893 --> 01:12:49,437 MOVING TO SEE THESE KIDS. AND 1836 01:12:53,875 --> 01:12:54,376 THEY WERE EATING THIS FOOD 1837 01:12:54,376 --> 01:12:55,010 BECAUSE I GREW UP IN OKLAHOMA. 1838 01:12:55,010 --> 01:12:57,846 I AND FROM OKLAHOMA AND WE ATE 1839 01:12:57,846 --> 01:12:58,480 COMMODITY FOODS, AND SOLD THAT 1840 01:12:58,480 --> 01:12:59,180 A LOT OF PARENTS WHO WERE PART 1841 01:12:59,180 --> 01:13:09,691 OF THE FRESH STUDY. AND I DID 1842 01:13:10,191 --> 01:13:10,759 NOT TASTE FRESH VEGETABLE UNTIL 1843 01:13:10,759 --> 01:13:14,062 I WAS 24 YEARS OLD. 1844 01:13:14,062 --> 01:13:17,632 AND SO WE BECOME REAL PARTNERS 1845 01:13:17,632 --> 01:13:19,634 WITH OUR COMMUNITIES. WE GET 1846 01:13:19,634 --> 01:13:23,705 TO KNOW THE FAMILIES. AND SO, 1847 01:13:23,705 --> 01:13:24,272 WE HAVE SEEN A LOT OF THESE 1848 01:13:24,272 --> 01:13:30,378 KIDS GROW UP. THAT IS BEING 1849 01:13:30,378 --> 01:13:31,079 REALLY LUCKY WITH MY JOB. 1850 01:13:31,079 --> 01:13:34,749 >> DR. PÉREZ-STABLE: I CAN SAY 1851 01:13:34,749 --> 01:13:36,651 THAT EVEN FOR ME, GROWING UP AS 1852 01:13:36,651 --> 01:13:41,890 A CHILD IN CUBA, IN THE 1960S, 1853 01:13:41,890 --> 01:13:42,490 I DON'T THINK I HAD ANY FRESH 1854 01:13:42,490 --> 01:13:44,826 VEGETABLES UNTIL I WAS MAYBE 1855 01:13:44,826 --> 01:13:51,166 NOT 24, BUT AN ADULT. SO IT 1856 01:13:51,166 --> 01:13:55,203 USED TO BE A COMMON PATTERN, 1857 01:13:55,203 --> 01:13:55,804 EATING PROCESSED FOODS. THAT 1858 01:13:55,804 --> 01:13:57,372 WAS MORE PREDOMINANT. 1859 01:13:57,372 --> 01:13:59,574 ONE LAST QUESTION I HAVE HERE. 1860 01:13:59,574 --> 01:14:02,510 ELEVATED CO2 LEVELS CAN RESULT 1861 01:14:02,510 --> 01:14:04,045 IN DECREASED NUTRITIONAL 1862 01:14:04,045 --> 01:14:06,114 QUALITY OF CROPS. I ASSUME 1863 01:14:06,114 --> 01:14:06,681 THEY ARE REFERRING TO THE 1864 01:14:06,681 --> 01:14:10,919 CLIMATE. ESPECIALLY FOR 1865 01:14:10,919 --> 01:14:11,519 PROTEIN, IRON AND ZINC AMONG 1866 01:14:11,519 --> 01:14:12,854 OTHER NUTRIENTS. ESSENTIAL 1867 01:14:12,854 --> 01:14:18,259 ELEMENTS. HOW MIGHT THESE 1868 01:14:18,259 --> 01:14:18,827 IMPACTS FROM CLIMATE CHANGE 1869 01:14:18,827 --> 01:14:19,661 INTERACT WITH FOOD SOVEREIGNTY 1870 01:14:19,661 --> 01:14:20,228 INITIATIVES? THIS IS COMING 1871 01:14:20,228 --> 01:14:22,697 FROM CAROL AT ALLEGHENY 1872 01:14:22,697 --> 01:14:25,433 COLLEGE. 1873 01:14:25,433 --> 01:14:29,204 >> DR. JERNIGAN: WELL, THAT IS 1874 01:14:29,204 --> 01:14:33,975 A GREAT QUESTION. I DO NOT 1875 01:14:33,975 --> 01:14:36,544 KNOW... YOU KNOW? I DON'T 1876 01:14:36,544 --> 01:14:37,112 REALLY KNOW MUCH ABOUT THE 1877 01:14:37,112 --> 01:14:38,346 IMPACT OF CLIMATE CHANGE ON THE 1878 01:14:38,346 --> 01:14:41,983 NUTRITIONAL QUALITY OF CROPS. 1879 01:14:41,983 --> 01:14:44,619 I AM NOT A CLIMATE SCIENTIST. I 1880 01:14:44,619 --> 01:14:45,086 AM A PUBLIC HEALTH 1881 01:14:45,086 --> 01:14:49,824 INTERVENTIONIST. BUT I DO KNOW 1882 01:14:49,824 --> 01:14:53,795 THAT A BIG ISSUE FOR THE NATIVE 1883 01:14:53,795 --> 01:14:54,395 POPULATIONS THAT I HAVE BEEN 1884 01:14:54,395 --> 01:14:55,230 WORKING WITH AS PART OF CIIHE 1885 01:14:55,230 --> 01:15:00,602 IS THE SHIPPPING OF FOOD FROM 1886 01:15:00,602 --> 01:15:03,938 ONE PLACE TO ANOTHER. AND THERE 1887 01:15:03,938 --> 01:15:05,573 IS A CULTURAL PERSPECTIVE THAT 1888 01:15:05,573 --> 01:15:09,577 THE FOOD LOSES ITS NUTRIENTS. 1889 01:15:09,577 --> 01:15:14,182 AND IT LOSES ITS ABILITY TO 1890 01:15:14,182 --> 01:15:15,416 BASICALLY FUNCTION AS A FOOD AS 1891 01:15:15,416 --> 01:15:19,888 MEDICINE. IT ALSO LOSES THE 1892 01:15:19,888 --> 01:15:20,522 CONNECTEDNESS THAT A PERSON HAS 1893 01:15:20,522 --> 01:15:22,824 AS THEY GROW IT. AND THE 1894 01:15:22,824 --> 01:15:24,392 COMMUNITY HAS AS PART OF EATING 1895 01:15:24,392 --> 01:15:26,060 THEIR FOODS THAT THEY GROW ON 1896 01:15:26,060 --> 01:15:29,397 THEIR OWN LAND. 1897 01:15:29,397 --> 01:15:31,933 FROM THAT PERSPECTIVE, WHICH I 1898 01:15:31,933 --> 01:15:32,534 GUESS WOULD BE AN INDIGENOUS 1899 01:15:32,534 --> 01:15:38,206 SCIENCE PERSPECTIVE, THERE IS A 1900 01:15:38,206 --> 01:15:38,773 SENSE THAT THE NUTRITIONAL 1901 01:15:38,773 --> 01:15:43,077 QUALITY DIFFERS WITHIN LOCAL 1902 01:15:43,077 --> 01:15:43,711 FOOD EATEN VERY FRESH AND FOODS 1903 01:15:43,711 --> 01:15:44,212 THAT HAVE TRAVELED LONG 1904 01:15:44,212 --> 01:15:46,814 DISTANCES. AND SO THAT WILL BE 1905 01:15:46,814 --> 01:15:48,149 AN INTERESTING QUESTION TO LOOK 1906 01:15:48,149 --> 01:15:50,418 AT, AS FAR AS YOU KNOW, THE 1907 01:15:50,418 --> 01:15:54,222 ELEVATED CO2 LEVELS AND 1908 01:15:54,222 --> 01:15:55,223 POTENTIAL IMPACT THAT SOME OF 1909 01:15:55,223 --> 01:15:56,057 THEIR CONCERNS WOULD HAVE ON 1910 01:15:56,057 --> 01:15:59,093 THAT. 1911 01:15:59,093 --> 01:16:02,096 WE DO PLAN ON INCORPORATING A 1912 01:16:02,096 --> 01:16:02,630 CLIMATE SCIENTIST INTO A 1913 01:16:02,630 --> 01:16:06,201 RESEARCH AS PART OF CIIHE. 1914 01:16:06,201 --> 01:16:07,435 BECAUSE SOME OF THESE QUESTIONS 1915 01:16:07,435 --> 01:16:12,407 LIKE THAT QUESTION, SOME OF THE 1916 01:16:12,407 --> 01:16:17,378 COMMUNITIES HAVE POSTS. AND 1917 01:16:17,378 --> 01:16:18,012 WHEN THAT HAPPENS IT IS A GREAT 1918 01:16:18,012 --> 01:16:19,280 OPPORTUNITY FOR US TO 1919 01:16:19,280 --> 01:16:20,415 INCORPORATE SCIENTISTS WHO 1920 01:16:20,415 --> 01:16:20,982 REALLY ARE ABLE TO ADDRESS 1921 01:16:20,982 --> 01:16:22,684 COMMUNITY PRIORITIES. SO THAT 1922 01:16:22,684 --> 01:16:24,352 IS KIND OF ONE PHASE THAT IS 1923 01:16:24,352 --> 01:16:27,555 HAPPENING THIS YEAR. BECAUSE 1924 01:16:27,555 --> 01:16:28,156 WE ARE ADDING CLIMATE CHANGE 1925 01:16:28,156 --> 01:16:30,992 QUESTIONS ON TO OUR INTERTRIBAL 1926 01:16:30,992 --> 01:16:33,061 DATA QUESTION SURVEY. I HOPE WE 1927 01:16:33,061 --> 01:16:33,761 MAY HAVE ANSWERS TO THAT. 1928 01:16:33,761 --> 01:16:38,166 >> DR. PÉREZ-STABLE: THEY TALK 1929 01:16:38,166 --> 01:16:38,700 ABOUT THE WHOLE FIELD OF 1930 01:16:38,700 --> 01:16:40,835 ADAPTATION INTERVENTIONS. AND 1931 01:16:40,835 --> 01:16:44,172 ADAPTATION RESEARCH. I WOULD 1932 01:16:44,172 --> 01:16:46,808 THINK PROBABLY MORE TANGIBLE 1933 01:16:46,808 --> 01:16:49,377 EFFECTS ARE DROUGHT, WHICH WERE 1934 01:16:49,377 --> 01:16:50,645 EXPERIENCING THROUGHOUT THE 1935 01:16:50,645 --> 01:16:51,346 COUNTRY, IN MOST OF THE COUNTRY 1936 01:16:51,346 --> 01:16:52,747 ANYWAY. AND SO THAT WILL 1937 01:16:52,747 --> 01:16:59,454 IMPACT THE CROPS. 1938 01:16:59,454 --> 01:17:01,256 AND THE NOTION THAT FOOD THAT 1939 01:17:01,256 --> 01:17:04,125 YOU SOURCED FROM A LOCAL FARM 1940 01:17:04,125 --> 01:17:04,726 WILL TASTE BETTER THAN THINGS 1941 01:17:04,726 --> 01:17:10,898 THAT ARE SHIPPED ACROSS THE 1942 01:17:10,898 --> 01:17:11,466 COUNTRY OR ACROSS THE WORLD 1943 01:17:11,466 --> 01:17:12,967 EVEN, IS COMMON SENSE IN MANY 1944 01:17:12,967 --> 01:17:14,202 WAYS AND WE CAN TEST THAT EVERY 1945 01:17:14,202 --> 01:17:21,075 DAY. YOU EAT AN APPLE FROM THE 1946 01:17:21,075 --> 01:17:21,709 FARMERS MARKET VERSUS ONE THAT 1947 01:17:21,709 --> 01:17:22,343 GOT SHIPPED OVER FROM THE STATE 1948 01:17:22,343 --> 01:17:27,815 OF WASHINGTON OR SOMETHING. 1949 01:17:27,815 --> 01:17:29,284 I LIED, THERE IS ONE MORE 1950 01:17:29,284 --> 01:17:33,321 QUESTION. AND THEN WILL WIND 1951 01:17:33,321 --> 01:17:33,755 DOWN. THANK YOU FOR 1952 01:17:33,755 --> 01:17:34,389 REPRESENTATION IN GREAT TO HEAR 1953 01:17:34,389 --> 01:17:36,624 ABOUT INDIGENOUS GARDEN 1954 01:17:36,624 --> 01:17:37,125 TRADITIONS AND STUDIES 1955 01:17:37,125 --> 01:17:37,759 INVOLVING COMMUNITIES AND LOCAL 1956 01:17:37,759 --> 01:17:41,029 SHOPS. CAN DR. JERNIGAN COMMENT 1957 01:17:41,029 --> 01:17:44,399 ON THE FOOD AND INDIGENOUS 1958 01:17:44,399 --> 01:17:49,771 GATHERING TRADITIONS? AND WHAT 1959 01:17:49,771 --> 01:17:50,305 DATA ON HEALTHY EATING IS 1960 01:17:50,305 --> 01:17:51,272 NEEDED UNLESS I? ARE THERE ANY 1961 01:17:51,272 --> 01:17:53,374 ONGOING STUDIES? FROM TATIANA-- 1962 01:17:53,374 --> 01:17:59,981 AT NIH. SHE IS REFERRING TO 1963 01:17:59,981 --> 01:18:09,590 INDIGENOUS GATHERINGS. 1964 01:18:09,590 --> 01:18:15,296 >> DR. JERNIGAN: DATA IS 1965 01:18:15,296 --> 01:18:15,897 CHANGING OVER TIME IN NATIVE 1966 01:18:15,897 --> 01:18:16,497 COMMUNITIES IN A POSITIVE WAY 1967 01:18:16,497 --> 01:18:17,131 THAT I'VE SEEN OVER 20 YEARS. 1968 01:18:17,131 --> 01:18:19,600 ONE OF MY FRIENDS PUT IT THIS 1969 01:18:19,600 --> 01:18:20,268 WAY. WHEN I WAS GROWING UP HE 1970 01:18:20,268 --> 01:18:21,869 USED TO SEE A NATIVE PERSON AT 1971 01:18:21,869 --> 01:18:23,805 A POWWOW STUMBLING. THEY WERE 1972 01:18:23,805 --> 01:18:27,442 DRUNK. AND WE WOULD SAY OH, 1973 01:18:27,442 --> 01:18:31,279 THAT'S FUNNY. WE WOULD LAUGH. 1974 01:18:31,279 --> 01:18:35,483 AND HE WAS LIKE, OVERTIME WE 1975 01:18:35,483 --> 01:18:36,050 DON'T LAUGH AT THAT NOW. WE 1976 01:18:36,050 --> 01:18:37,452 LOOK AT THAT AND WE SAY, OH, 1977 01:18:37,452 --> 01:18:43,825 THAT'S SAD. YOU KNOW? 1978 01:18:43,825 --> 01:18:46,461 THE THINGS THAT I HAVE SEEN 1979 01:18:46,461 --> 01:18:47,028 OVER THE 20 YEARS THAT I'VE 1980 01:18:47,028 --> 01:18:48,730 BEEN DOING THIS WORK IS THAT 1981 01:18:48,730 --> 01:18:51,065 THERE HAS BEEN A HUGE SHIFT IN 1982 01:18:51,065 --> 01:18:53,301 CELEBRATING INDIGENOUS FOODS. 1983 01:18:53,301 --> 01:18:55,269 AND YOU SEE THAT IN GATHERINGS. 1984 01:18:55,269 --> 01:18:59,507 YOU SEE PEOPLE THAT HAVE THE 1985 01:18:59,507 --> 01:19:00,108 TRADITIONAL FOODS OFFERED AS 1986 01:19:00,108 --> 01:19:01,642 PART OF THEIR CONFERENCES FOR 1987 01:19:01,642 --> 01:19:05,713 THE GATHERINGS. AND WHEN THEY 1988 01:19:05,713 --> 01:19:06,381 DO THAT, IT CREATES A 1989 01:19:06,381 --> 01:19:06,848 COMPLETELY DIFFERENT 1990 01:19:06,848 --> 01:19:11,252 ENVIRONMENT AND SPIRIT THAN IF 1991 01:19:11,252 --> 01:19:13,855 YOU WERE TO PROVIDE THE 1992 01:19:13,855 --> 01:19:18,025 STANDARD CONFERENCE FOOD. OR 1993 01:19:18,025 --> 01:19:20,361 THE STANDARD GATHERING FOOD 1994 01:19:20,361 --> 01:19:21,062 FROM FAST FOOD OR FROM THE 1995 01:19:21,062 --> 01:19:24,065 GROCERY STORE. 1996 01:19:24,065 --> 01:19:25,299 AND SO THE EXPECTATIONS FOR 1997 01:19:25,299 --> 01:19:27,635 THAT HAVE CHANGED. AND, YOU 1998 01:19:27,635 --> 01:19:31,773 KNOW, SO THAT HAS BEEN A 1999 01:19:31,773 --> 01:19:33,307 REALLY POSITIVE DEVELOPMENT. 2000 01:19:33,307 --> 01:19:38,179 YOU ALSO SEE LASHAWN SHERMAN 2001 01:19:38,179 --> 01:19:38,746 (PHONETIC) AND SOME OF THE 2002 01:19:38,746 --> 01:19:41,282 TRADITIONAL FOODS COOKING. OUR 2003 01:19:41,282 --> 01:19:41,916 FOODS ARE GETTING THE ATTENTION 2004 01:19:41,916 --> 01:19:44,519 THEY DESERVE. THEY ARE GETTING 2005 01:19:44,519 --> 01:19:47,221 A NATIONAL STAGE. PEOPLE ARE 2006 01:19:47,221 --> 01:19:47,855 FINALLY STARTING TO COME AROUND 2007 01:19:47,855 --> 01:19:51,459 AND UNDERSTAND THE CONTINENT, 2008 01:19:51,459 --> 01:19:52,093 AND ALL THE ABUNDANT FOODS THAT 2009 01:19:52,093 --> 01:19:53,461 WE HAVE AVAILABLE THAT ARE 2010 01:19:53,461 --> 01:19:57,498 INDIGENOUS TO THIS LAND. AND SO 2011 01:19:57,498 --> 01:19:58,099 I HAVE SEEN IT REALLY CHANGE 2012 01:19:58,099 --> 01:19:59,901 OVER TIME. 2013 01:19:59,901 --> 01:20:06,707 AS FAR AS GATHERINGS, YOU KNOW, 2014 01:20:06,707 --> 01:20:07,275 OFTENTIMES THERE ARE STILL 2015 01:20:07,275 --> 01:20:08,409 GATHERINGS WITH THE NATIVE 2016 01:20:08,409 --> 01:20:10,011 COMMUNITIES, ESPECIALLY REALLY 2017 01:20:10,011 --> 01:20:14,282 SMALL, LOCAL GATHERINGS. WHERE 2018 01:20:14,282 --> 01:20:18,119 THERE ARE PACKAGED FOODS AND 2019 01:20:18,119 --> 01:20:18,719 FOODS THAT ARE NOT SINCERELY 2020 01:20:18,719 --> 01:20:19,587 VERY HEALTHY. USUALLY AN 2021 01:20:19,587 --> 01:20:20,521 AFFORDABILITY ISSUE. 2022 01:20:20,521 --> 01:20:24,525 SO TYPICALLY, YOU KNOW, THAT IS 2023 01:20:24,525 --> 01:20:26,494 NOT SOMETHING THAT PEOPLE 2024 01:20:26,494 --> 01:20:31,766 NECESSARILY SEE AS A BAD THING. 2025 01:20:31,766 --> 01:20:32,400 BECAUSE GETTING TOGETHER ABOVE 2026 01:20:32,400 --> 01:20:36,437 AND BEYOND IS MOST IMPORTANT. 2027 01:20:36,437 --> 01:20:43,644 BUT I DO THINK OVERALL, I KNOW 2028 01:20:43,644 --> 01:20:46,180 WHEN THE NATIVE NUTRITION 2029 01:20:46,180 --> 01:20:46,681 CONFERENCE, AT AT OTHER 2030 01:20:46,681 --> 01:20:48,216 CONFERENCES WE SEE FOODS 2031 01:20:48,216 --> 01:20:48,816 CENTERED ON INDIGENOUS FOODS 2032 01:20:48,816 --> 01:20:51,786 AND PEOPLE WEARING THE RIBBON 2033 01:20:51,786 --> 01:20:52,286 SKIRTS, AND WEARING THE 2034 01:20:52,286 --> 01:20:58,025 TRADITIONAL REGALIA. AND SO 2035 01:20:58,025 --> 01:20:58,526 THERE IS AN EMBRACE OF 2036 01:20:58,526 --> 01:20:59,660 INDIGENOUS CULTURE THAT HAS 2037 01:20:59,660 --> 01:21:00,161 BECOME REALLY BEAUTIFUL 2038 01:21:00,161 --> 01:21:04,966 OVERTIME TO SEE OVER TIME. 2039 01:21:04,966 --> 01:21:05,433 PEOPLE RELEARNING THEIR 2040 01:21:05,433 --> 01:21:06,868 LANGUAGE, RELEARNING THE 2041 01:21:06,868 --> 01:21:07,468 CULTURAL TRADITIONS; THAT HAS 2042 01:21:07,468 --> 01:21:08,936 BEEN A HUGE POSITIVE FOR ME. 2043 01:21:08,936 --> 01:21:13,140 >> DR. PÉREZ-STABLE: SO WITH 2044 01:21:13,140 --> 01:21:13,741 THAT, I WILL CLOSE AND THANK 2045 01:21:13,741 --> 01:21:15,076 YOU SO MUCH FOR A WONDERFUL 2046 01:21:15,076 --> 01:21:16,711 PRESENTATION. 2047 01:21:16,711 --> 01:21:22,116 I LEARNED SO MUCH. WE HAVE A 2048 01:21:22,116 --> 01:21:22,717 TRADITION; I THINK ABOUT THE 2049 01:21:22,717 --> 01:21:24,585 FOOD THAT IS NATIVE TO THE 2050 01:21:24,585 --> 01:21:29,857 AMERICAS. AND WHAT WOULD 2051 01:21:29,857 --> 01:21:32,493 CERTAIN CULTURES OR FOODS IN 2052 01:21:32,493 --> 01:21:36,664 EUROPE BE WITHOUT THESE? ONE IS 2053 01:21:36,664 --> 01:21:39,901 A TOMATO, THE POTATO, MAIZ, AND 2054 01:21:39,901 --> 01:21:47,241 OF COURSE CHOCOLATE. AND SO, 2055 01:21:47,241 --> 01:21:47,875 THESE ARE THINGS THAT CAME OUT 2056 01:21:47,875 --> 01:21:51,345 OF INDIGENOUS CULTURES IN THE 2057 01:21:51,345 --> 01:21:52,747 AMERICANS AND PEOPLE-- THESE 2058 01:21:52,747 --> 01:21:55,583 THINGS GET FORGOTTEN. 2059 01:21:55,583 --> 01:21:56,183 BUT THIS WAS REALLY A WONDERFUL 2060 01:21:56,183 --> 01:21:58,753 PRESENTATION VALERIE. I LOOK 2061 01:21:58,753 --> 01:21:59,387 FORWARD TO CONTINUING TO LEARN 2062 01:21:59,387 --> 01:22:02,456 FROM YOU. AND WE WILL MAKE SURE 2063 01:22:02,456 --> 01:22:08,863 YOU GET SOME FEEDBACK. AND THE 2064 01:22:08,863 --> 01:22:09,463 LINK TO THE VIDEO, SO YOU CAN 2065 01:22:09,463 --> 01:22:10,064 PUT IT ON YOUR WEBSITE IF YOU 2066 01:22:10,064 --> 01:22:11,532 WOULD LIKE. 2067 01:22:11,532 --> 01:22:13,768 >> DR. JERNIGAN: THANK YOU VERY 2068 01:22:13,768 --> 01:22:14,302 MUCH THIS IS SUCH A GREAT 2069 01:22:14,302 --> 01:22:14,869 OPPORTUNITY FOR ME AND I'M 2070 01:22:14,869 --> 01:22:16,637 GRATEFUL. I LOVED IT. I REALLY 2071 01:22:16,637 --> 01:22:17,371 APPRECIATE THIS OPPORTUNITY. 2072 01:22:17,371 --> 01:22:19,340 >> DR. PÉREZ-STABLE: THANKS 2073 01:22:19,340 --> 01:22:20,575 BYE-BYE. 2074 01:22:20,575 --> 01:22:25,780 >> DR. JERNIGAN: THANK YOU 2075 01:22:25,780 --> 01:22:35,780 BYE-BYE.