WELCOME TO THE 109TH MEETING FOR
NATIONAL ADVISORY COUNCIL FOR
NURSING RESEARCH AND SPECIAL
WELCOME TO COUNCIL MEMBERS AND
TO THE NINR SCIENCE COMMUNITY.
THIS MEETING IS BEING VIDEO CAST
LIVE LAND BE ARCHIVED ON NIH
WEBSITE. THANK YOU FOR JOINING
US ONLINE TODAY. TODAY, WE ARE
WELCOMING DR. BETTY BEKAMYEER
AND SUCHI AYALA. WHO IS
DIRECTOR OF THE UW SCHOOL OF
PUBLIC HEALTHS NORTHWEST CENTER
FOR PUBLIC HEALTH PRACTICE. DR.
AYALA IS PROFESSOR AT SAN DIEGO
STATE UNIVERSITY SCHOOL OF
PUBLIC HEALTH AND IS DIRECTOR
FOR INSTITUTE OF BEHAVIORAL AND
COMMUNITY HEALTH AND DIRECTOR OF
SDSU HEALTH LINK ENDOWMENT AND
CO-DIRECTOR OF SDSU HEALTH LINK
CENTER FOR TRANSDISCIPLINARY
HEALTH DISPARITIES RESEARCH.
BOTH DOCTORS ATTEND THE THE
SEPTEMBER COUNCIL MEETING AT AD
HOC MEMBERS AND THANK YOU FOR
WILLINGNESS TO SERVE ON COUNCIL.
WE ARE THANKING TWO DEPARTING
COUNCIL MEMBERS FOR SERVICE TO
NINR AND TO OUR ADVISORY
COUNCIL. TODAY IS DR. PETER
LEWIN AND DR. JOE AN WOLF AND
UNFORTUNATELY DR. LEWAN WASN'T
ABLE TO JOIN AND I HAVE ENJOY
THE WORKING WITH YOU DR. WOLF AS
WELL AS DR. LEWIN. WE
APPRECIATE YOUR THOUGHTFUL
COUNCIL. LOOKING FORWARD TO
OPPORTUNITIES TO WORK TOGETHER
IN THE FUTURE. THANK YOU FOR
YOUR SERVICE. WE HAVE A LOT TO
COVER TODAY AUTO.
AFTER WE GO OVER MEETING
LOGISTICS I WILL PROVIDE
DIRECTOR'S REPORT AND THERE ARE
UPDATES ON RESEARCH PARTNERSHIPS
AND COLLABORATIONS AND EFFORTS
RELATED TO DIVERSITY, EQUITY,
INCLUSION AND ACCESSIBILITY. I
WILL GO OVER THE NEWS WHAT IS
HAPPENING AT NINR AND AROUND THE
NIH. NOW, I WILL TURN THE
MEETING OVER TO DR. ELIZABETH
TARLOV COUNCIL'S EXECUTIVE
SECRETARY WHO WILL PROCEED WITH
MEETING LOGISTICS.
DR. TARLOV.
>>THANK YOU, DR. ZENK. GOOD
MORNING AND WELCOME. I WILL NOW
DO A ROLL CALL OF COUNCIL
MEMBERS TO ENSURE WE HAVE A
QUORUM FOR TODAY'S MEETING.
PLEASE TURN ON YOUR VIDEO FOR
THE ROLL CALL.
THANK YOU. PLEASE SAY PRESENT
OR HEAR WHEN I CALL YOUR NAME.
DR. ATKINS? IS DR. ATKINS HERE?
DR. AYALA?
>>PRESENT.
>>DR. BECCA MEYER.
>>PRESENT.
>>PROFESSOR DAWS?
>>PRESENT.
>>DR. FITZPATRICK?
>>PRESENT.
>>DR. HOEM BECK?
>>PRESENT.
>>DR. JOHNSON?
>>PRESENT.
>>DR. LEE?
>>PRESENT.
>>DR. LOWE?
>>PRESENT.
>>DR. MONROE?
>>PRESENT.
>>DR. PROVENCE YO VASQUEZ?
>>PRESENT.
>>DR. STONE?
>>PRESENT.
>>DR. WOLF?
>>PRESENT.
>>AND DR. SULLIVAN AS EXOFISH
YO FOR DEPARTMENT OF VETERANS
AFFAIRS.
IS DR. SULLIVAN HERE TODAY?
OKAY. THANK YOU. DR. SDEFRZEN
QUORUM FOR THIS MEETING HAS BEEN
MET. LAST COUNCIL MEETING
MINUTES FOR SEPTEMBER WERE MADE
AVAILABLE TO YOU FOR YOUR
ELECTRONIC COUNCIL BOOK FOR
REVIEW. MAY I HAVE A MOTION TO
APPROVE THE MINUTES, PLEASE.
>>I MOTION TO APPROVE THE
MINUTES.
>>I SECOND.
>>THANK YOU. ANY DISCUSSION ON
THE MINUTES?
OKAY. ANY
OPPOSED?
MOTION CARRIES.
COUNCIL MEMBERS, YOU MAY FEEL
FREE TO TURN OFF YOUR VIDEO NOW.
I'M MEETING LOGISTICS AND FIRST
A REMINDER TO MUTE YOURSELF WHEN
NOT SPEAKING TO ELIMINATE
BACKGROUND NOISE. THIS IS A
ONE-DAY MEETING ONLY. AS
ALWAYS, A RECORDING OF THIS
MEETING WILL BE MADE AVAILABLE
ON THE ADDRESS SHOWN ON THIS
SLIDE. CLOSED SESSION WILL BE
APPROXIMATELY FIVE MINUTES
FOLLOWING END OF SEPARATE
SESSION AND SECOND MEETING WAS
SENT TO COUNCIL MEMBERS AND
APPLICABLE STAFF FOR LOGIN AND
INSTRUCTIONS FOR CLOSED SESSION
AND REMINDER FOR COUNCIL MEMBERS
TO TURN CAMERAS ON DURING
DISCUSSIONS.
NEXT SLIDE, PLEASE.
DATES FOR FUTURE COUNCIL
MEETINGS ARE LISTED ON NINR
COUNCIL WEB PAGES AS WELL AS IN
OPEN SESSION MATERIALS IN
ELECTRONIC COUNCIL BOOK. PLEASE
ADD THE DATES TO YOUR CALENDAR.
NEXT MEETING IS SCHEDULED FOR
MAY 3RD, 2023 IN PERSON IN
BETHESDA. I WANT TO REMIND YOU
THAT A SPECIAL GOVERNMENT
EMPLOYEES, COUNCIL MEMBERS MAY
NOT ENGAGE IN ANY LOBBYING
ACTIVITIES WHILE RECEIVING PAY
FROM THE FEDERAL GOVERNMENT.
FURTHER INFORMATION REGARDING
CONFLICT OF INTEREST AND
CONFIDENTIALITY REQUIREMENTS ARE
POSTED IN THE ELECTRONIC COUNCIL
BOOK.
PLEASE REVIEW IF YOU HAVE NOT
DONE SO ALREADY.
I WILL GIVE MORE SPECIFIC
INSTRUCTIONS ABOUT CONFLICT OF
INTEREST AND CONFIDENTIALITY AT
THE BEGINNING OF THE CLOSED
SESSION THIS AFTERNOON.
NOW, I WILL TURN IT BACK TO DR.
ZENK FOR THE NINR DIRECTOR'S
REPORT.
>>THANK YOU, ELIZABETH. AGAIN,
WELCOME TO EVERYONE. I'M
PLEASED TO NOW SHARE MY
DIRECTOR'S REPORT. SINCE
LAUNCHING THE STRATEGIC PLAN IN
MAY DURING NATIONAL NURSES WEEK,
WE HAVE HAD QUITE A LOT OF
ACTIVITY. AS YOU CAN SEE HERE,
WE FUNDED 109 COMPETING
APPLICATIONS AND CALENDAR YEAR
2022 AND PUBLISHED 7 FUNDING
OPPORTUNITY ANNOUNCEMENTS WHILE
SIGNING ON TO A NUMBER OF OTHERS
ALIGNED WITH OUR PRIORITIES.
I DISCUSSED THE STRATEGIC PLAN
IN MY PRESENTATIONS TO MORE THAN
50 GROUPS AT NIH, HHS, AND
THROUGHOUT THE NURSING SCIENCE
COMMUNITY. OUR WEBSITE HAS HAD
A LOT OF ACTIVITY AS WELL.
PAGES RELATED TO THE STRATEGIC
PLAN ON NINR'S WEBSITE RECEIVED
OV
57,000 VISITS SINCE THE
STRATEGIC PLAN WAS RELEASED IN
MAY AND STRATEGIC PLAN FAQ SHEET
HAS BEEN DOWNLOADED NEARLY 9,000
TIMES.
WE ARE DELIGHTED THERE IS SO
MUCH COMMUNITY INTEREST IN OUR
NEW STRATEGIC DIRECTION.
BEGINNING LAST YEAR, WE FOCUSED
THE DIRECTOR SERIES ON STRATEGIC
PLANNING LENS AND IN OCTOBER WE
FOCUSED ON THE HEALTH EQUITY
LENS.
NEARLY 1500 ATTENDEES JOINED US
FOR THESE VIRTUAL EVENTS.
AGAIN, WE ARE JUST SO EXCITED TO
SEE SO MUCH INTEREST IN THESE
LECTURES RELATED TO THE NEW
STRATEGIC PLAN.
IF YOU MISS THEM, YOU CAN FIND
LINKS ON OUR WEBSITE. OUR
FISCAL YEAR 2023 BUDGET WAS JUST
SIGNED BY PRESIDENT BIDEN LAST
MONTH. IT PROVIDES A 9.3%
INCREASE FOR NINR.
I AM THRILLED TO REPORT THAT
THIS APROPRIATION INCLUDES $10
MILLION TO ENHANCE HEALTH
DISPARITIES RESEARCH AT NINR.
THIS IS A SIGNIFICANT
ACKNOWLEDGMENT OF NURSING
RESEARCH'S EXPERTISE AND
UNDERSTANDING ROOT CAUSES OF
HEALTH DISPARITIES AND IN
IDENTIFYING SOLUTIONS THAT WILL
LEAD TO HEALTH EQUITY.
LATER IN THE MEETING WE WILL
HEAR CONCEPTS THAT WILL
ILLUSTRATE SOME OF THE WAYS THAT
WE THINK WE CAN BEST USE THIS
FUNDING THIS YEAR.
AND NOW, AN UPDATE ON SOME OF
OUR EXTRAMURAL SCIENCE
ACTIVITIES.
SINCE OUR LAST COUNCIL MEETING,
NINR SIGNED ON TO 13 FUNDING
OPPORTUNITIES AND NOTICES.
THESE INCLUDE OPPORTUNITIES TO
PREVENT AND MANAGE CHRONIC PAIN
IN RURAL POPULATIONS AND TO
EXAMINE COMMUNITY-LEVEL
INTERVENTIONS AND FOR PREVENTION
OF VIOLENCE, INJURY, AND
MORTALITY RELAETDED TO FIREARMS
AND OTHER CAUSES AND ADDRESS
MATERNAL MORBIDITY AND MORTALITY
AND WE DISTRESSED INTEREST IN
RECOGNIZING OUTSTANDING
MENTORSHIP IN DEIA AND IN
PROMOTING DIVERSITY IN THE DATA
SCIENCE WORKFORCE.
NINR'S FUNDED RESEARCH CONTINUES
TO YIELD RESULTS, INCLUDING THE
TWO PAP ERRS THAT YOU SEE HERE
THAT WERE PUBLISHED SINCE OUR
LAST COUNCIL MEETING.
NINR-FUNDED RESEARCHER DR. ROBIN
GERSHON IS PI OF A PROJECT
REDUCING COVID HEALTH
DISPARITIES IN MASS TRANSIT
WORKERS AND PUBLISHED FINDINGS
PRO E- VIED INSIGHT INTO HOW AGE
AND RACE OR ETHNICITY CONTRIBUTE
TO VACCINE HESITANCY AMONG
HIGH-RISK SOCIAL WORKERS. FOR
INSTANCE AMONG SAMPLE OF NEW
YORK CITY TRANSIT UNION WORKERS
STUDIED THOSE THAT WERE YOUNGER
OR NON-WHITE WERE MORE LIKELY TO
BE VACCINE HESITANT THAN THOSE
OLDER OR WHITE. UNDERSTAND
FACTORS LEADING TO VACCINE
HESITANCY IS AN IMPORTANT STEP
LEADING FOR POPULATIONS FOR
COVID AND VACCINE HESITANCY
OVERALL AND SUZANNE CARMICHAEL
PI OF TWO NINR PROJECTS ON
SEVERE MORBIDITY AND HER TEAM
EXAMINED ONGOING IMPACT OF
REDLINING MATERNAL MORBIDITY
TODAY. REDLINING IS A
HISTORICAL PRACTICE DESIGNATING
BLACK NEIGHBORHOODS AS
UNDESIRABLE FOR MORTGAGE LOANS
LEADING TO INVESTMENT IN
NEIGHBORHOODS AND THOSE THAT HAD
BEEN HISTORICALLY REDLINED WAS
ASOEZATED -- AFTER ADJUSTING FOR
WIDE VARIETY OF FACTORS
INCLUDING PRESENT DAY
NEIGHBORHOOD DEPRIVATION AND
FINDINGS SERVED AS A REMINDER OF
LEGACY OF STRUCTURAL RACISM IN
ONGOING HEALTH DISPARITIES WE
SEE TODAY.
NINR IS A FOUNDING CO-CHAIR OF
NIH COMPASS PROGRAM THAT IS
INNOVATIVE FOR NIH AND AIMS TO
FUND COMMUNITY ORGANIZATIONS
DIRECTLY TO LEAD THIS RESEARCH
AND ENCOURAGES COMMUNITY
ORGANIZATIONS TO PARTNER WITH
RESEARCHERS AND RELEVANT SECTORS
TO EVALUATE STRUCTURAL
INTERVENTIONS TO IMPROVE HEALTH.
GOALS OF COMPASS ARE BEING
CARRIED OUT THROUGH THREE
INITIATIVES COMMUNITY LED HEALTH
EQUITY STRUCTURAL INTERVENTIONS
RESEARCH HUBS AND COORDINATION
CENTER AND WE RECEIVED AN
OVERWHELMING IS IT RESPONSE OF
LETTERS OF INTENT FROM COMMUNITY
ORGANIZATIONS BY THE NOVEMBER
18TH DEADLINE. IN RESPONSE TO
THE STRUCTURAL INTERVENTION
FUNDING OPPORTUNITY.
FULL APPLICATIONS ARE DUE
FEBRUARY 6TH.
THE COMPASS COORDINATION CENTER
RFA JUST CLOSED ON JANUARY 27TH.
I LOOK FORWARD TO UPDATING YOU
ON AWARDS AND IN AN UPCOMING
COUNCIL MEETING. ONE NINR
INITIATIVE I AM INCREDIBLY PROUD
OF IS ADVANCING INTEGRATIVE
MODELS OF CARE TO IMPROVE
MATERNAL HEALTH OUTCOMES AMONG
WOMAN WHO HAVE PERSISTENT
DISPARITIES FOCUS ON IDENTIFYING
SOLUTIONS TO DEVELOP IMPLEMENT
AND EVALUATE INTEGRATIVE MODELS
OF CARE ADDRESSING STRUCTURAL
EQUITIES TO PREVENT ADVERSE
MATERNAL HEALTH OUTCOMES AND
DISPARITY AND SHARING DETAILS
FOR PROJECTS THAT ARE FUNDED
THROUGH THIS INITIATIVE.
THESE FIRST TWO STUDIES LOOK AT
CARE NAVIGATION. ONE STUDY WILL
CENTER ON BLACK WOMEN THAT ARE
RECEIVING CARE IN PRENATAL
CLINICS OF A SAFETY NET HOSPITAL
SYSTEM IN METRO ATLANTA.
RESEARCHERS ARE TESTING IMPACT
OF INTEGRATING COMMUNITY --
BASED PATIENT NAVIGATION INTO
MATERNAL CARE FOR BLACK WOMEN.
TO IMPROVE MATERNAL HEALTH
OUTCOMES MEETING SOCIAL NEEDS
DECREASING STRESS AND
DISCRIMINATION AND INCREASING
CARE ACCESS AND TIMELY
UTILIZATION.
THE NEXT STUDY IS ADDRESSING
HEALTH DISPARITIES AMONG PACIFIC
ISLANDERS LIVING IN THE US.
TO ADDRESS DISPARITIES
RESEARCHERS AT UNIVERSITY OF
ARKANSAS ADAPT TO EVIDENCE-BASED
GROUP CENTERED PRENATAL
NAVIGATION COUPLED WITH
NAVIGATION TO IMPROVE MATERNAL
HEALTH OUTCOMES AMONG MARTIAL
LEEZ AND OTHER PACIFIC ISLANDERS
AND STUDIES LOOK AT MEDICAID
POLICIES BENEFIT AND
BENEFICIARIES AND FIRST STUDY
TAKES PLACE IN PENNSYLVANIA THEY
TEST EQUITY BASED POLICY CHANGES
TO MEDICAID SYSTEM SPECIFICALLY
FOCUS ON BLACK POPULATIONS AND
POLICY EXPERIMENTS INCLUDE
EVALUATING IMPACT OF HEALTH CARE
QUALITY INTERVENTIONS INCLUDING
EQUITY INCENTIVE PAYMENTS AND
REIMBURSEMENT FOR DUALA SERVICES
ON RACIAL EQUITY AND SEVERE
MATERNAL MORBIDITY AND EXAMINING
PRENATAL CARE COORDINATION
FEE-FOR-SERVICE MEDICAID BENEFIT
AVAILABLE IN SOME STATES HEALTH
CARE COORDINATION SOCIAL SUPPORT
AND FACILITATED ACCESS TO HEALTH
CARE AND SOCIAL SERVICES PROOF
RESEARCHERS PLAN TO DETERMINE
IMPACT OF PRENATAL CARE
COORDINATION OF MATERNAL HEALTH
OUTCOMES INCLUDING INDICATIONS
OF SEVERE MATERNAL MORBIDITY AND
ANOTHER STUDY HOPING TO
UNDERSTAND WHERE TENNESSEE'S
EXPANDED MEDICARE COVERAGE TO
PERSONS UP TO 12 MONTHS
POSTPARTUM LEADING TO
IMPROVEMENTS AND POST NATAL
OUTCOMES FOR MEDICAID RECEIVING
MOTHERS WITH HYPERTENSIVE
DISORDERS OF PREGNANCY.
WE ARE SUPPORTING TWO STUDIES
LOOKING AT THE ROLE OF
TECHNOLOGY IN MATERNAL HEALTH.
STUDY IN NEBRASKA FOCUSES ON
PROTECTIVE ASPECTS OF BLACK
COMMUNITIES.
IT IS TESTING A STRENGTHS-BASED
INTEGRATIVE COMMUNITY CARE AND
MOBILE TECHNOLOGY INTERVENTION
INVOLVING DUALAS AND RESEARCH ON
SEVERE MATERNAL MORBIDITY
MORTALITY EMPLOYEES A DEFICIT
FOCUS AND INTERVENTION SEEKS TO
IMPROVE MATERNAL WELLNESS
REDUCING HEALTH DISPARITIES
THROUGH STRENGTHS-BASED APPROACH
AND BLACK IMMIGRANT WOMEN IN
BROOKLYN WE CARE ABOUT BROOKLYN
INTEGRATES EVIDENCE-BASED
COMMUNITY CENTERED CARE AND
COMMUNITY HEALTH WORKERS TO
SUPPORT FAMILY ENGAGEMENT AND
HEALTH CARE. COMMUNITY HEALTH
WORKERS USE DIGITAL SCREENING
AND SOCIAL SERVICES LINKAGE
SYSTEM TO COMPREHENSIVELY
ADDRESS SOCIAL DETERMINANTS OF
HEALTH REDUCING SEVERE MATERNAL
MORBIDITY. ANOTHER NINR EFFORT
OF NOTE IS A LEADING ROLE IN
INITIATIVE TO EXAMINE IMPACTS OF
CHANGES IN HOUSING FOOD SECURITY
POLICIES AND PROGRAMS ON HEALTH
DISPARITIES AMONG EFFECTED
POPULATIONS.
IN ONE FUNDED STUDY BY EXPLORING
DIFFERENT STATE HOUSING POLICIES
ENACTED DURING THE COVID-19
PANDEMIC INCLUDING EVICTION MORE
ATORE YUCHLS AND EMERGENCY
RENTAL ASSISTANCE AND TENANT
LEGAL REPRESENTATION DURING
EVICTION EXAMINING EFFECTS OF
HOUSING POLICY RATES OF
SUBSTANCE USE TREATMENT ON FATAL
AND NONFATAL DRUG OVERDOSES AND
KNOWLEDGE ABOUT INTERSECTION OF
SUBSTANCE USE DISORDER AND
HOUSING INSECURITY CAN INFORM
POLICY DEVELOPMENT AND
IMPLEMENTATION AND HELP TO
ENHANCE ADDICTION TREATMENT
REDUCING DRUG OVERDOSES.
IN ANOTHER STUDY, RESEARCHERS
ARE EXAMINING IMPACT OF PANDEMIC
EVICTION PREVENTION POLICIES ON
MORBIDITY AND MORTALITY ON
RACIAL AND GENDER INEQUALITIES.
IN RESPONSE TO ECONOMIC
DOWNTURNS ASSOCIATED WITH THE
COVID-19 PANDEMIC, FEDERAL
GOVERNMENT INCREASED PAYMENTS TO
FAMILIES RECEIVING SNAP BY 15%.
WE ARE FUNDING RESEARCHERS TO
EXAMINE THE EFFECT OF THIS
NUTRITIONAL POLICY CHANGE ON
MENTAL HEALTH INCLUDING THE USE
OF AND ADHERENCE TO RECOMMENDED
CARE SERVICES AND RATES OF
ADVERSE OUTCOMES AND COST AMONG
INDIVIDUALS DIAGNOSED WITH
MENTAL HEALTH CONDITIONS.
LASTLY RESEARCHERS ARE USING
DATA FROM VETERAN ADMINISTRATION
AND PREVENTION POLICIES,
HOMELESSNESS AND USE OF ACUTE
HEALTH CARE RESOURCES AND
ASSOCIATED COSTS.
I'M PLEASE TODAY SHARE WITH YOU
SOME INFORMATION ON OUR PR
PARTICIPATION IN NIH INITIATIVE
TO UNDERSTAND IMPACT OF
STRUCTURAL RACISM AND
DISCRIMINATION ON HEALTH
DISPARITIES AND THIS RFA WAS
RELEASED IN JULY OF LAST YEAR TO
ADDRESS INCREASING RECOGNITION
THAT RACISM AND CONTRIBUTION
AROUND OTHER POPULATIONS THAT
EXPERIENCE HEALTH DISPARITIES.
NINR FUNDED 5 OF 37 GRANTS
SUPPORTED THROUGH THIS RFA.
I WILL SHARE A BIT ABOUT NINR
SUPPORTED PROJECTS IN A STUDY
CO-FUNDED WITH NICHD RESEARCHERS
ARE TRYING TO EXPAND EXPERIENCES
OF MULTIPLE GENERATIONS OF BLACK
WOMEN REGARDING SOCIAL RACISM
AND REPRODUCTIVE HEALTH AND THIS
WILL EXAMINE HOW DISCRIMINATORY
POLICIES INFLUENCE MORTALITY
RATES THROUGH RISK FACTORS WITH
EXPERIENCES OF STRESS,
DISCRIMINATION AND POVERTY AS
WELL AS LACK OF ACCESS TO
HEALTHY FOODS AND STABLE HOUSING
AND HEALTH CARE.
IN ANOTHER FUNDED STUDY
RESEARCHERS ARE EXAMINING
NEIGHBORHOOD LEVEL STRUCTURAL
AND RACIAL BARRIERS TO HEALTH
CARE ACCESS AND INDIVIDUALS WITH
ILLNESS AND FAMILY CAREGIVERS
GIVE SPACE AND EXPLORING ISSUE
OF HEALTH CARE ACCESS THROUGH
ILLNESS IN COMMUNITY BASED
MULTILEVEL MIXED METHODS
APPROACH RESEARCHERS HOPE TO
UNTANGLE HOW SEGREGATION,
NEIGHBORHOOD DEPRIVATION AND
LIMITED ACCESS TO HEALTH CARE
FOR SERIOUS ILLNESS LEADS TO
POORER HEALTH OUTCOMES AND
ANOTHER FUNDED STUDY USING
HYBRID EFFECTIVENESS
IMPLEMENTATION MODEL APPROVING
EFFICACY OF SOCIAL DETERMINANTS
OF HEALTH INTERVENTION FOR
CAREGIVERS AND PATIENTS OF CLOFR
AND STUDY APPLIES ANTIRACISM
LENS WITH HEALTH SCREENING AND
REFERALS WITHIN FAMILY MEDICINE
CLINICS.
WE FUNDED TWO STUDIES THAT FOCUS
ON HIV AND AIDS THROUGH A
STRUCTURAL RACISM LENS AND ONE
STUDY AIMS TO TEST AN
INTERVENTION TO IMPROVE
ORGANIZATIONAL BEHAVIOR OF
OUTPATIENT HIV AND AIDS SERVICES
ADDRESSING STRUCTURAL RACISM AND
DISCRIMINATION WITH GOAL OF
INCREASING ANTIRETROVIRAL
THERAPY AMONG AFRICAN AMERICANS
LIVING WITH HIV. SECOND FUNDED
STUDY IS EMPLOYING A NOVEL
INTERVENTION TO TARGET
STRUCTURAL RACISM AND
DISCRIMINATION AGAINST BLACK AND
INDIGENOUS AND PEOPLE OF COLOR
AND LIVING WITH HIV AT
INDIVIDUAL CLINIC LEVEL WHILE
AIMING TO IMPROVE WELLBEING OF
PATIENTS AND HEALTH CARE STAFF
AT FEDERALLY FUNDED HIV AIDS
CLINICS AND INTERVENTION DRAWS
ON EVIDENCE-BASED
STIGMA-REDUCING THEORIES BEING
IMPLEMENTED AND EVALUATED AT
ORGANIZATIONAL AND INDIVIDUAL
PATIENT LEVELS.
AND FINALLY, NINR FUNDED A STUDY
ON FIREARM INJURY RISKS AMONG
ASIAN AMERICANS DURING COVID-19
EPIDEMIC THERE WAS A SHARP
INCREASE IN PURCHASES OF
FIREARMS WITH ASIAN AMERICANS IN
RESPONSE TO INCREASED
EXPERIENCES OF RACISM AND
RESEARCHERS ARE EXAMINING
MULTILEVEL RISKS PROOEND MOTING
RESILIENCE FACTORS WITH
PROMOTING ASH AB AMERICANS AND
NEIGHBORHOOD STRUCTURAL LEVEL
RACISM AND DISCRIMINATION TO
BETTER UNDERSTAND HOW THESE
FACTORS INFLUENCE FIREARM
OUTCOMES.
SO, NOW, I AM PLEASED TO SHARE
AN UPDATE ON OUR INTRAMURAL
ACTIVITIES.
FOR DIR STAFF RECEIVED NIH
DIRECTOR'S AWARD FOR WORK ON NIH
COVID VACCINE AND BOOSTER CLINIC
TEAM AND EXTRAORDINARY EFFORTS
RELATE TODAY IMPLEMENTATION AND
ADMINISTRATION OF NIH COVID
VACCINE CLINICS ARE KATHY
BLUMHERST.
JOY K. AND MARY AND SUZANNE WHO
RETIRED AS DIR CLINICAL DIRECTOR
LAST YEAR. CONGRATULATIONS AND
TURNING ATTENTION TO TWO
RESEARCH PAPERS FROM DIR STAFF
SINCE LAST COUNCIL MEETING.
RESEARCHERS LOOKED AT 12 WEEK
AEROBIC EXERCISE PROGRAM TO
DETERMINE IF IT HELPED WITH
FATIGUE IN WOMEN WITH SYSTEMIC
LUPUS ARIDGEO MAPTOSIS OR SLE.
THOSE WITH SLE IT CAN BE A
DEBILITATING DISEASE.
[INDISCERNIBLE] MAY BE A
CONTRIBUTOR TO THIS FATIGUE.
AUTHORS CONCLUDED THAT THE
EXERCISE PROGRAM IN SINGLE ARM
PILOT STUDY IMPROVED CARDIO
RESPIRATORY FUNCTION R AND DATA
FATIGUE AND SUGGESTED
IMPROVEMENT IN MITOCHONDRIAL
FUNCTION AND LOOK FORWARD TO
FUTURE FINDINGS IN THE TEAM AND
IN THE SECOND PUBLICATION A
SCOPING REVIEW RESEARCHERS
LOOKED AT 95 STUDIES EXAMINING
BLOOD-BASED BIOMARKERS OF
COGNITIVE IMPAIRMENT IN CANCERS
OTHER THAN THOSE OF THE CENTRAL
NERVOUS SYSTEM AND PURPOSE OF
THE REVIEW WAS TO CLARIFY
BIOLOGICAL CORRELATES OF CANCER
RELATED COGNITIVE IMPAIRMENT TO
IDENTIFY GAPS AND INFORM FUTURE
RELATED COGNITIVE IMPAIRMENT
RESEARCH.
AND IN THE SAME DIVISION, DR.
LEE CHEN CHANG NIR RESEARCH
FELLOW DEVELOPED A LOW-COST
INSTRUMENT FREE RAPID MOLECULAR
DIAGNOSTIC DEVICE TO RAPIDLY
TEST STOOL, BLOOD AND URINE FROM
MULTIPLE PATHOGENS INCLUDING
BACTERIA, VIRUSES AND PARASITES
LIKE NORA VIRUS AND GIARDIA AND
DEVICE COMBINED TWO CORE
TECHNOLOGIES SILICCA MICROSPHERE
SAMPLE PREPARATION AND PAPER OR
AGAMI MULTIPLEX CENSOR AND
RECEIVED GLOBAL AND US PATIENTS
IN 2022. TOOL THAT WILL BE USED
IN UNDERDEVELOPED COUNTRIES WILL
HELP TO PROVIDE A QUICK
DIAGNOSIS AND APPROPRIATE
TREATMENT FOR EFFECTIVE
INDIVIDUALS AND FAMILIES.
SO, I'M GOING TO SHIFT NOW. I
WILL PROVIDE AN UPDATE ON OUR
DEIA WORK.
IN NOVEMBER, NINR ALONG WITH
SEVERAL OTHER INSTITUTES,
CENTERS AND OFFICES ISSUED A NO
SEE TO FUND ADMINISTRATIVE
SUPPLEMENTS TO RECOGNIZE
EXCELLENCE IN DIVERSITY, EQUITY,
INCLUSION AND ACCESSIBILITY
MENTORSHIP. SUPPLEMENTS TO
EXISTING NIH AWARDS WILL SUPPORT
SCIENTISTS WHO HAVE DEMONSTRATED
COMPELLING COMMITMENTS AND
CONTRIBUTIONS TO MENTORSHIP AND
ENHANCING DEIA IN BIOMEDICAL AND
BEHAVIORAL SCIENCES.
APPLICATIONS ARE DUE NEXT MONTH
OR THIS MONTH ON FEBRUARY 17TH.
AS YOU KNOW, AT SEPTEMBER'S
COUNCIL MEETING WE HEARD FROM
COUNCIL WORKING GROUPS ON
DIVERSITY OF NINR SUPPORTED
SCIENTIFIC WORKFORCE AND ON
INCLUSION AND NINR SUPPORTED
STUDIES AND FOLLOWING MEETING WE
RECEIVED WORKING GROUP REPORTS
AND RECOMMENDATIONS.
BOTH REPORTS ARE NOW POSTED ON
OUR WEBSITE FOR EVERYONE TO
READ.
WE ARE CAREFULLY REVIEWING ALL
OF THE RECOMMENDATIONS FROM
THOSE REPORTS.
AND WE WILL BE UPDATING YOU AT A
FUTURE COUNCIL MEETING ON HOW WE
ARE IMPLEMENTING THOSE
RECOMMENDATIONS.
I WANT TO REALLY THANK YOU ONCE
AGAIN TO ALL THOSE WHO
PARTICIPATED IN THE WORKING
GROUPS AND FOR YOUR TIME AND FOR
LENDING US YOUR EXPERTISE.
SO, HERE ARE A FEW UPDATES ON
OUR PARTNERSHIPS AND
COLLABORATIONS.
NINR IS A COLEAD FOR NIH'S
TRANSFORMATIVE RESEARCH TO
ADDRESS HEALTH DISPARITIES
ADVANCING COMMON HEALTH PROGRAM
SUPPORT ENNO VATTIVE
TRANSLATIONAL RESEARCH PROJECTS
TO PREVENT OR REDUCE OR
ELIMINATE HEALTH DISPARITY
INEQUITY. WE ARE PLEASED
[INDISCERNIBLE] EARNED A
PRESTIGIOUS NIH AWARD FOR ITS
EFFORT. THANK YOU TO EVERYONE
IN THAT PROGRAM AND
[INDISCERNIBLE] WHO SERVES AS A
WORKING GROUP COORDINATOR. I'M
PLEASED TO ANNOUNCE NINR IS NOW
A CO-CHAIR OF NIH COORDINATING
COMMITTEE FOR MATERNAL MORBIDITY
AND MORTALITY AND CCM3 AS IT IS
KNOWN COORDINATES NIH IMPROVED
INITIATIVE TO ADDRESS HIGH RATES
OF MATERNAL MORBIDITY AND
MORTALITY IN THE UNITED STATES
AND IMPROVES SUPPORTS RESEARCH
TO REDUCE PREVENTABLE CAUSES FOR
MATERNAL DEATHS IMPROVING HEALTH
FOR WOMEN BEFORE AND AFTER AND
DURING PREGNANCY AND DELIVERY
AND SPECIAL EMPHASIS ON HEALTH
DISPARITIES AND POPULATIONS THAT
ARE DISPROPORTIONATELY EFFECTED
AND I'M VERY PROUD TO BRING
NURSING'S PERSPECTIVE TO THIS
IMPORTANT AREA OF RESEARCH I'M
PLEASED TO SHARE I'M JOINED AS
NIH REPRESENTATIVE LEADERSHIP
TEAM HHSWIDE SOCIAL DETERMINANTS
OF HEALTH WORKING GROUP. IN
DECEMBER I WAS PRIVILEGED TO
REPRESENT SO -- AND SHARING WITH
WORKING GROUP NIH'S INTERESTS IN
AND COMMITMENT TOMENT TO SOCIAL
DETERMINANTS OF HEALTH RESEARCH.
INITIATIVES HIGHLIGHTED IN THE
PRESENTATION COMPASS AND HEAL
AND IMPROVE AND TRANSFORMATIVE
HEALTH DISPARITIES RESEARCH
PROGRAM. WE ARE ALSO EXCITED TO
CONTINUE ON THE EXECUTIVE
COMMITTEE OF NIHWIDE CLIMATE
HEALTH INITIATIVE IN FIST KWAL
YEAR 2023 APROPRIATION CONGRESS
COMMITTED $40 MILLION TO NIEHS
TO CLIMATE CHANGE HEALTH
INITIATIVE. PART OF THE
PRESENTATION YOU MIGHT RECALL ON
INITIATIVE IN SEPTEMBER'S
COUNCIL MEETING. INTRODUCING
CLIMATE AND HEALTH SCHOLARS
PROGRAM. RESIDENCY PROGRAM
BRINGING ESTABLISHED SCIENTISTS
WITH CLIMATE EXPERTISES TO NIH
AND PLEASED TO ANNOUNCE 8
SCHOLARS AND PILOT 2023 COHORT
INCLUDING NURSE SCIENCE DR.
PATRICE NICHOLAS HOSTED BY US AT
NINR AND SHE LEADS CENTER FOR
CLIMATE CHANGE AND CLIMATE
JUSTICE HEALTH AT MASSACHUSETTS
GENERAL HOSPITAL INSTITUTE OF
HEALTH PROFESSION AND LOOK
FORWARD TO WELCOMING DR.
NICHOLAS.
IN RECOGNITION OF NINR'S
COMMITMENT ADDRESSING IMPACT OF
CLIMATE CHANGE HEALTH IN
NOVEMBER I WAS PLEASED TO
CO-AUTHOR LANCET COMMENTARY WITH
DIRECTORS NICHD FOGARTY AND
NIMHD AND HOPE YOU CONSIDER
READING COMMENTARY DESCRIBING
THE CLIMATE CHANGE HEALTH AND
STRATEGIC FRAMEWORK.
IN 2020, NINR RELEASED STRAT
SKWIS TO IMPROVE HEALTH OUTCOMES
AND REDUCE DISPARITIES IN RURAL
POPULATIONS AND FUNDING THIS
ANNOUNCEMENT IN OCTOBER NINR
HOSTED A MEETING FOR
PARTICIPANTS TO DISCUSS STATUS
AND NEXT STEPS OF PROJECTS.
ATTENDEES WERE ABLE TO SHARE
RESEARCH FORM COLLABORATIONS AND
LEARN FROM ONE ANOTHER.
IN NOVEMBER WE CELEBRATED
NATIONAL RURAL HEALTH DAY WITH
NIH SEMINAR ORGANIZED BY NIH
RURAL HEALTH INTEREST GROUP AND
I WAS HONORED TO PRESENT OPENING
REMARKS TO ATTENDEES PROVIDING
CONTEXT FOR MEETINGS CENTERED ON
INTERSENSE OF VIERALITY AND
OTHER FACTORS IMPACTING HOW
RESEARCH IS IMPLEMENTED WITH
RURAL POPULATIONS.
WE WILL SOON POST A REQUEST FOR
INFORMATION OR RFI ON VIOLENCE
AGAINST WOMEN. THIS RFI IS
INTENDED TO GATHER PUBLIC INPUT
ON PRIORITY'S SCIENTIFIC
DIRECTIONS ON RESEARCH ON
VIOLENCE AGAINST WOMEN. NINR IS
PARTNERING WITH OFFICE OF
WOMEN'S HEALTH AND SEVERAL NIH
INSTITUTES AND OFFICES ON THIS
RFI THAT IS EXPECTED TO BE
RELEASED IN THE NEXT COUPLE
WEEKS OR SO. PLEASE WATCH THE
WEB SITE FOR INFORMATION ON RFI
AND FEEL FREE TO DISTRIBUTE IT
WIDELY AND CONSIDER ALSO SHARING
YOUR PERSPECTIVES ON THIS
IMPORTANT TOPIC.
NOW, I'M GOING TO SHARE SOME
MORE NEWS FROM NINR.
OUR FIRST DIRECTOR'S LECTURE OF
2023 WILL BE ON FEBRUARY 14TH AT
2 P.M. EASTERN.
THE LECTURE WILL FOCUS ON OUR
RESEARCH LENS OF SYSTEMS AND
MODELS OF CARE AND WILL FEATURE
DR.'S LOOUS EVEN POGOCIAN AND
ELLEN MARIE WELLEN AND THEY ARE
A HEALTH SERVICES RESEARCHER
WHOSE RESEARCH FOCUSES ON
PRIMARY CARE PRACTICES TO
INCREASE CAPACITY AND REDUCE
HEALTH DISPARITIES PRA OF DR.
WELLEN IS CHIEF POPULATION
HEALTH OFFICER AT CENTERS FOR
MEDICARE AND MEDICAID SERVICES
AND SENIOR ADVISOR AT CENTER FOR
MEDICARE AND MEDICAID INNOVATION
AND LEADS DELIVERY SYSTEM REFORM
SUPPORTING STATES TO DESIGN AND
TEST INNOVATIVE CARE DELIVERY
AND PAYMENT MODELS INCLUDING
ADDRESSING SOCIAL DETERMINANTS
OF HEALTH ADVANCING HEALTH
EQUITY. YOU CAN FIND MORE
INFORMATION AND REGISTER FOR
THIS LECTURE ON OUR WEBSITE.
THIS PAST YEAR WE WERE HONORED
TO HAVE TWO CONGRESSIONAL STAFF
DELIGATIONS TO VISIT NINR
RESEARCH PROJECTS IN ANCHORAGE
ALASKA AND NAIROBI KENYA. BOTH
TRIPS ORGANIZED BY STAFF ROY
BLUNT SERVING AS RANKING MEMBER
ON SENATE LABOR HEALTH AND
HEALTH SERVICES APPROPRIATIONS
SUB-COMMITTEE WITH JURISDICTION
ON NIH BUDGET STAFF LEARNED
ABOUT BACK TO BASICS ADDRESSING
CHILD OBESITY THROUGH
TRADITIONAL FOODS IN ALASKA.
DURING VISIT TO ALASKA NATIVE
TRIBAL HEALTH CONSORTIUM.
5-YEAR INTERVENTION INCLUDING
APPROXIMATELY 800 CHILDREN UP TO
5 YEARS OLD AIMS TO REINTRODUCE
TRADITIONAL FOOD FROM THE LAND
AND SEA LIKE SALE MEET, OIL,
MOOSE, SALMON, SMALL MAMMALS,
WILD BERRIES AND GRAINS WITH
HIGH NUTRIENT DENSITIES TO
CHILDREN MORE ACCUSTOMED TO
STORE-BOUGHT GROCERIES. IN
OCTOBER STAFF LEARNED ABOUT TWO
NIH FUNNED RESEARCH STUDIES AT
KENYA MEDICAL RESEARCH INSTITUTE
INCLUDING NINR FUNDED ADAPT FOR
ADOLESCENTS STUDY IMPROVING HIV
TREATMENT OUTCOMES AMONG
ADOLESCENTS IN YOUNG ADULTS AND
LOW RESOURCE SETTINGS IN ADAPT
FOR ADOLESCENT'S STUDY 880 YOUTH
WITH HIV WERE RANDOMIZED TO
EITHER STANDARD CARE OR ADDITION
TO PEER WHO PROVIDES SUPPORT
INFORMATION AND COUNSELING VIA
TELEPHONE AND VIER YOU'LLANT
SUPPRESSION AND COST
EFFECTIVENESS. SEVERAL STAFF
JOINED AT NINR SINCE LAST
COUNCIL MEETING. JACKIE WILSON
IS NEW INFORMATION SYSTEM
SECURITY OFFICER. HOPE MAY
BERRY JOINED OFFICE OF DIRECTOR
AS ADMINISTRATIVE ASSISTANT.
MARY BEAU WEN IS NEW PROGRAM
OFFICER. NISSAN [INDISCERNIBLE]
HAS JOINED AS SCIENTIFIC REVIEW
OFFICER AND TWO PRESIDENTIAL
FELLOWS HAVE JOINED NINR.
[INDISCERNIBLE] THE PMF PROGRAM
DEVELOPS LEADERSHIP SKILLS IN
ADVANCED DEGREE HOLDERS. IT IT
IS A CALL TO SERVICE TO
POTENTIALLY BECOME A FUTURE
LEADER IN GOVERNMENT. WELCOME
TO ALL OUR NEW NINR COLLEAGUES.
AT THE END OF 2022, WE SAID
GOOD-BYE TO TWO LONG-TERM NINR
STAFF MEMBERS. DEBORA JENNINGS
AND MARY KELLY RETIRED AT END OF
DECEMBER AND WANT TO THANK THEM
FOR INCREDIBLE SERVICE TO NINR
AND WISH THEM ALL THE BEST IN
THEIR RETIREMENTS.
IN NOVEMBER NINR HELD A TWO-DAY
WORKSHOP ON POTENTIAL OF
NURSE-LED RESEARCH ON FIREARM
INJURY PREVENTION. AT WORKSHOP
DR. THERESA RICHMAN PROVIDED AN
OVERVIEW WHY THIS TOPIC IS AN
EXCELLENT FIT FOR NINR AND
NURSING RESEARCHES PERSPECTIVE.
FOR INSTANCE, ACCORDING TO 2020
DATA FIREARMS ARE NO. 1 CAUSE OF
DEATH IN THE UNITED STATES FOR
THOSE 20 AND UNDERSTAND. THIS
IS NOT A CRIMINAL JUSTICE
PROBLEM BUT PUBLIC HEALTH
PROBLEM WITH $1 BILLION SPENT
ANNUALLY ON HOSPITAL COSTS
ACCORDING TO GOVERNMENT
ACCOUNTABILITY OFFICE. IT IS
ALSO A HEALTH EQUITY ISSUE.
FIREARM INJURIES AND DEATHS ARE
NOT EVENLY DISTRIBUTED BY RACE,
ETHNICITY AND GENDER AND WANT TO
THANK EVERYONE WHO ATTENDED THE
WORKSHOP FOR THEIR INTEREST IN
LEARNING HOW NURSE-LED RESEARCH
CAN HELP PREVENT FIREARM
INJURIES.
NOW, I STRONGLY BELIEVE IN
POTENTIAL FOR NURSE-LED RESEARCH
IN THIS AREA. IN FACT, IN 2023,
ISSUE OF FIREARM INJURY
PREVENTION WILL BE OUR FIRST
STRATEGIC IMPERATIVE FOR THE
INSTITUTE.
LATER TODAY WE WILL HEAR FROM
DR. CHRISTINE HUNTER ACTING
DIRECTOR OF NIH OFFICE OF
BEHAVIORAL AND SOCIAL SCIENCE
RESEARCH AND DR. THOM YAGS SIMON
SENIOR DIRECTOR FOR SCIENTIFIC
PROGRAMS FOR CDC DIVISION OF
VIOLENCE PREVENTION ON FIREARM
INJURY PREVENTION AND RELATED
RESEARCH ACTIVITIES AND WE WILL
HEAR ALSO SEVERAL CONCEPTS TODAY
FOR COUNCIL'S CONSIDERATION.
THESE CONCEPTS INCLUDE TWO ON
FIREARM INJURY PREVENTION. I
CERTAINLY LOOK FORWARD TO
COUNCIL'S THOUGHTS ON CONCEPTS
DURING THE OPEN DISCUSSION.
I WILL TRANSITION TO SHARING
NEWS FROM NIH. JUST A REMINDER
NEW NIH DATA MANAGEMENT AND
SHARING POLICY IS IN EFFECT FOR
COMPETING APPLICATIONS,
CONTRACTS AND OTHER RESEARCH
PROPOSALS SUBMITTED ON OR AFTER
JANUARY 25TH. WE ENCOURAGE
INVESTIGATORS CHECKING RESOURCES
AVAILABLE THROUGH NIH SCIENTIFIC
DATA SHARING WEBSITE AND REACH
OUT TO PROGRAM OFFICERS WITH
QUESTIONS ABOUT DMS PLANS AND
ONE FUTURE OPTION THAT IS
AVAILABLE TO THE RESEARCH
COMMUNITY FOR DATA STORAGE AND
ANALYTICS IS NIMHD SHARE
PLATFORM. SHARE STANDS FOR
SCIENCE COLLABORATIVE FOR HEALTH
DISPARITIES AND ARTIFICIAL
INTELLIGENCE BIAS REDUCTION.
SHARE IS A CLOUD-BASED RESEARCH
COLLABORATION PLATFORM THAT IS
DEVELOPED BY NIMHD WITH INPUT
FROM NINR AND IN ANTICIPATION OF
THE FINAL ROLLOUT SOMETIME THIS
MONTH, NIMHD WILL OFFER A SERIES
OF SHARE THINK-A-THONS TO
PREPARE RESEARCHERS AND COL
COLLABERS TO USE THE SHARE
RESEARCH PROGRAM. DR. RENÉ
WEGERSON AS FIRST DIRECTOR OF
NEWLY FORMED ARPAH. DR.
WINGERSON WORKED FOR BOTH
ORGANIZATIONS THAT INSPIRED
CREATION OF ARPAH, DARPA AND
INTELLIGENCE ADVANCED RESEARCH
ACTIVITY AND DR. LARRY TAI BECK
PERFORMING DUTIES OF NIH
DIRECTOR SELECTED JONI L RUDER
TO LEAD NATIONAL CENTER FOR
TRANSLATIONAL SCIENCES OR NCATS.
DR. RUDER JOINED NCATS IN 2019
AS DEPUTY DIRECTOR AND SERVES AS
DIRECTOR OF NCATS SINCE APRIL
2021. MONIKA BER CONTINUE OELI
WAS 16TH DIRECTOR OF NATIONAL
CANCER INSTITUTE IN OCTOBER.
PREVIOUSLY AFFILIATED WITH
HARVARD MEDICAL SCHOOL AND DANA
FASHER CANCER INSTITUTE. AND
DR. NINA SHORE IS THE NEW DEPUTY
DIRECTOR OF NIH INTRAMURAL
RESEARCH DIVISION. SHE
PREVIOUSLY SERVED AS DEPUTY
DIRECTOR OF NDIS SINCE 2019 I
CERTAINLY LOOK FORWARD TO
WORKING WITH ALL COLLEAGUES AND
THEIR NEW ROLES AT NINH. DR.
TONI FAUCI AS ALL KNOW BY KNOW
RETIRED FROM FEDERAL SERVICE AT
END OF DECEMBER. DR. FAUCI HAD
OVER 50 YEARS OF SERVICE WITH
THE FEDERAL GOVERNMENT AND
SERVED AS DIRECTOR OF NIAD SINCE
1984. DR. ANDREA NORRIS ALSO
RETIRED AT END OF DECEMBER AS
NIH'S CHIEF INFORMATION OFFICER
AND DIRECTOR OF CENTER FOR
INFORMATION TECHNOLOGY.
EARLIER THIS MONTH ROGER GLASS
STEPPED DOWN FROM HIS POSITIONS
AS DIRECTOR OF FOGARTY NATIONAL
CENTER AND NIH DIRECTOR FOR
INTERNATIONAL RESEARCH. FIN
WILL I DR. JOHN GALON NIH
ASSOCIATE DIRECTOR FOR CLINICAL
RESEARCH AND CHIEF SCIENTIFIC
OFFICER OF NIH CLINICAL CENTER
ANNOUNCED HE WILL RETIRE IN
MARCH OF 2023. I WISH ALL MY
COLLEAGUES THE VERY BEST WITH
THEIR NEXT ENDEAVORS.
WE WILL SHARE UPDATES AT FUTURE
COUNCIL MEETINGS AS PERMANENT
DIRECTORS AS THESE ROLES ARE
SELECTED. AS I WRAP UP I WANT
TO ACKNOWLEDGE JONI DAWSON AND
JOE AN KREBEL FOR WORK
SUPPORTING THIS UPDATE AND
THANKS FOR YOUR SUPPORT ON THE
INSTITUTE AND FEEL FREE TO REACH
OUT TO US AT ANY TIME ON THE
E-MAIL ADDRESS SHOWN HERE.
THANKS SO MUCH.
WE WILL TRANSITION NOW TO THE
NEXT AGENDA ITEM. I WILL
INTRODUCE OUR FIRST GUEST
SPEAKER. FIRST, LET ME CONFIRM
HE IS HERE.
DR. REED, ARE YOU HERE?
>>HE IS NOT HERE YET. WOULD
YOU LIKE TO TAKE A QUICK BREAK?
>>SURE. WHAT DO YOU SUGGEST IN
TERMS OF TIMING?
>>I WOULD SUGGEST A FIVE-MINUTE
BREAK. THEN WE CAN RECONVENE.
>>GREAT. WE CAN ALSO PAUSE TO
JUST SEE IF ANY COUNCIL MEMBERS
HAVE ANY QUESTIONS OR THOUGHTS
THAT ARE BASED ON THAT UPDATE.
>>DR. ZENK, ALL I CAN SAY IS IT
IS AMAZING TO SEE SUCH FOCUS IN
SO MANY DIFFERENT AREAS AROUND
HEALTH DISPARITIES.
IT WARMS MY HEART TO KNOW WHAT
DIRECTION WE ARE GOING. IT IS
GREAT. I LOVE IT. I CAN'T WAIT
TO KNOW WHO WILL GET FUNDED FOR
COMPASS AND I HAVE NO
INVOLVEMENT IN ANY OF THEM AND
LOOKING FORWARD TO CHEERING ON
THOSE WHO GET FUNDED.
>>THANK YOU DR. AYALA. ME TOO.
VERY EXCITED ABOUT COMPASS.
>>AGREE. EXCITING DIRECTIONS
AND LOVE SEEING WHERE NINR IS
GOING.
>>ME TOO, DR. ZENK. I LOVE
FOCUS ON ROLE HEALTH AND FIREARM
PREVENTION, I THINK IT IS SO
TELLING RIGHT NOW. JUST A KIND
OF GREAT PIVOT AND JUST I LOVE
SEEING THAT NURSING GETTING
ENGAGED IN THAT SPACE.
>>ALL RIGHT. ANYTHING ELSE YOU
WANT TO ADD OR QUESTIONS?
THANK YOU DR. DAWES. I SEE YOUR
COMMENT. LET'S TAKE OR GIVE
OURSELVES FIVE MINUTES TO CATCH
OUR BREATH. WE WILL COME BACK
ON AND SEE AND HOPEFULLY BE
JOINED BY DR. REED MAKING IT
11:51 TO BE PRECISE. SEE YOU
ALL THEN. THANKS!
WELCOME BACK AND WOULD LIKE TO
WELCOME COUNCIL MEMBERS DOCTORS
ATKINS AND SULLIVAN WHO HAVE
JOINED US. WELCOME AND MOVING
TO OUR NEXT AGENDA ITEM
INTRODUCING NEXT GUEST SPEAKER
DR. REED. WELCOME, BRUCE. HE
IS CSR'S MISSION THAT IS TO SEE
THAT NIH GRANT APPLICATIONS
RECEIVE FAIR INDEPENDENT EXPERT
AND TIMELY SCIENTIFIC REVIEWS
FREE FROM INAPPROPRIATE
INFLUENCES AND NIH CAN FUND THE
MOST PROMISING RESEARCH AND DR.
REED CAME TO NIH IN 2015 FROM
UNIVERSITY OF CALIFORNIA DAVIS
WHERE HE WAS A PROFESSOR OF
NEUROLOGY. THERE, HIS RESEARCH
FOCUS THE ON INTERACTION BETWEEN
VASCULAR FACTORS AND ALZHEIMER'S
DISEASE PATHOLOGY AND CSR
DIVISION OF NEUROSCIENCE AND
DEVELOPMENT AND AGING BEFORE
BECOMING DEPUTY DIRECTOR AND HAS
BEEN INSTRUMENTAL IN ENHANCING
CSR'S OUTREACH AND DEVELOPING
TRAINING AND POLICY RESOURCES
AND IN AN INITIATIVE TO SIMPLIFY
THE REVIEW CRITERIA FOR RESEARCH
PROJECT GRANTS. MOST RECENTLY
DR. REED LED CSR ADVISORY
COUNCIL WORKING GROUP ON PEER
REVIEW ON NSRA FELLOWSHIP
APPLICATIONS.
HE WILL TALK TO US TODAY ABOUT
THAT WORK. I WILL TURN THE
MEETING OVER TO DR. REED AS HE
GIVES US AN OVERVIEW OF
RECOMMENDATIONS OF THE CSR
ADVISORY COUNCIL WORKING GROUP
ON PEER REVIEW NRSA FELLOWSHIP
APPLICATIONS.
DR. REED, WELCOME.
>>THANK YOU FOR HAVING ME AND A
CHANCE TO TALK ABOUT THIS
INITIATIVE AND LET'S SEE IF I
CAN PASS THE FIRST TEST AND GET
MY SCREENSHARED. SEE MY TITLE
SLIDE?
>>NOT YET.
>>NOPE.
>>WELL, LET'S SEE. IT SAYS I'M
SCREENSHARING.
>>WE SEE YOUR DESKTOP, DR.
REED.
>>LET TRY ANOTHER THEN AND TRY
THAT SHARE AGAIN.
OKAY. SLIDE PRESENTATION.
>>WE SEE IT NOW, DR. REED.
>>OKAY. GREAT. OKAY.
SO, THANKS AGAIN. LY TALK TO YOU
TODAY ABOUT A SET OF IDEAS ABOUT
IMPROVING THE REVIEW OF NRSA
FELLOWSHIP APPLICATIONS.
SO, WHERE DID THESE IDEAS COME
FROM?
SO, MOST BASICALLY CSR IS
COMMITTED TO IMPLEMENTING
CHANGES IN PEER REVIEW PROCESS
AS NEED TODAY MAKE IT MORE FAIR
AND EFFECTIVE AND EFFICIENT AND
THESE IDEAS GREW OUT OF
INITIATIVE FROM CSR THAT IS ONE
OF MULTIPLE INITIATIVES CSR HAS
TAKEN IN PURSUIT OF THIS BASIC
GOAL.
MORE SPECIFICALLY WITH RESPECT
TO FELLOWSHIPS.
NRSA FELLOWSHIPS SUPPORT
INTENSIVE RESEARCH TRAINING FOR
INDIVIDUAL PREDOC AND POST DOC
TRAINEES AND NIH GETS 6500
FELLOWSHIP APPLICATIONS EACH
YEAR AND CSR REVIEWS FOR UP TO
80% OF THEM. WE WERE CONCERNED
WHEN WE HEARD FROM APPLICANT AND
REVIEWERS ALIKE AND CONCERNS
THAT FELLOWSHIP REVIEW PROCESS
MIGHT BE DISADVANTAGING SOME
APPLICATIONS WHO WERE IN FACT
HIGHLY QUALIFIED.
AND SO IN RESPONSE CSR FORM THE
CSR'S COUNCIL FORMED A WORKING
GROUP IN SEPTEMBER OF 2021 OVER
THE NEXT YEAR, THAT WORKING
GROUP GATHERED DATA ON REVIEW
OUTCOMES AND GOT PUBLIC INPUT
AND GOT INPUT FROM ACROSS NIH.
IN SEPTEMBER OF 2022, WE BROUGHT
THE FINAL REPORT AND
RECOMMENDATION TO OUR ADVISORY
COUNCIL. IT ENDORSED THAT
REPORT AND RECOMMENDATIONS AND
THEN OVER THE FOLLOWING THREE
MONTHS IDEAS MADE FAIR WILL I
QUICK ROUNDS WITH NIH VARIOUS
LEADERSHIP GROUPS AND IN
DECEMBER OF 20202, NIH INSTITUTE
DIRECTOR'S APPROVED MAJOR
RECOMMENDATIONS OF THIS WORKING
GROUP AND NIH LEADERSHIP ASKED
THEY BE IMPLEMENTED THAT IS A
SET OF IDEAS THAT WILL BE GOING
FORWARD. NIH WILL WORK TO GET
THESE IN PLACE OVER THE NEXT
COUPLE OF YEARS.
SO, LET ME TELL YOU MORE ABOUT
THESE.
FIRST, THE WORKING GROUP ITSELF.
THERE WERE NIH STAFF AND A
COUPLE MEMBERS OF OUR ADVISORY
COUNCIL. THEN THERE IS A SET OF
AD HOCS THAT WERE ALL VERY
COMMITTED TO FELLOWSHIP REVIEW
AND THEY HAD PERSONAL EXPERIENCE
AND GENERALLY BOTH AS IN
SUBMITTING APPLICATIONS AND IN
THEIR REVIEW.
THEY WERE A DIVERSE GROUP
REPRESENTING RANGE OF CAREER
STAGES AND DIFFERENT TYPES OF
RESEARCH INSTITUTIONS.
THEY BRING A DIVERSE PERSPECTIVE
TO THE PROCESS AND HIGHLIGHTING.
THESE WERE THINGS COMING OUT OF
OUR CONTENT ANALYSIS. FOUR
THINGS, FIRST, THERE WERE
CONCERNS ABOUT BIAS. BIAS THAT
FAVORS BIG NAMED SCHOOL AND BIG
NAMED SPONSORS AND WELL-FUNDED
LABS AND BIAS THAT DISADVANTAGES
AND EARLY CAREER SPONSORS AND
NONELITE SCHOOLS AND WOMEN AND
UNDER-REPRESENTED MINORITIES AND
HEARD REQUESTS TO CHANGE
INFORMATION THAT WAS REQUIRED IN
THE APPLICATION. FOR EXAMPLE,
THE REQUIREMENT THAT APPLICANTS
SUBMIT UNDERGRADUATE GRADES WAS
UNPOPULAR AND THERE WERE
CONCERNS ABOUT THE APPLICATION
ITSELF AND BURDEN OF REVIEW AND
CONCERNS WERE APPLICATION WAS
TOO LONG AND DUPLICATIVE AND
DIDN'T ALIGN WELL WITH REVIEW
CRITERIA AND GOT REQUESTS
ENHANCED TRAINING AND BIAS AND
SO FORTH.
AS I SAY, THE GROUP ALSO GOT
INFORMATION THAT WAS ON REVIEW
OUTCOMES.
SO, WE PULLED DATA FROM 666
FELLOWSHIP APPLICATIONS
SUBMITTED TO NIH IN 20202. I
SHOWED YOU A COUPLE THINGS WITH
RESPECT TO THOSE.
SO, FIRST, YOU SEE THAT
APPLICATIONS ARE HIGHLY
CONCENTRATED IN A SMALL NUMBER
OF INSTITUTIONS.
THAT IS WHAT YOU SEE IN THIS
SKEWED DISTRIBUTION.
SO, INSTITUTIONS ARE DISTRIBUTED
ACCORDING TO THE NUMBER OF
APPLICATIONS THAT THEY SUBMIT IN
A YEAR. BOTTOM NUMBER HERE IS
NUMBER OF APPLICATIONS THAT
SCHOOLS SUBMITTED IN 2022. TOP
NUMBER IS NUMBER OF SCHOOLS THAT
FALL IN THAT BIN.
IF YOU LOOK AT THIS, LOOK FIRST
OUT ON THE RIGHT-HAND SIDE.
WHAT YOU SEE IS THAT THERE WERE
15 SCHOOLS THAT EACH SUBMITTED
OVER 100 FELLOWSHIP
APPLICATIONS.
THESE 15 SCHOOLS ALONE ACCOUNTED
FOR ALMOST 30% OF THE
APPLICATION OF THE FELLOWSHIP
APPLICATIONS THAT NIH GOT.
AT THE OTHER END OF THE RANGE,
YOU SEE THERE WERE OVER 100
SCHOOLS SUBMITTING 1 OR 2
APPLICATIONS THAT YEAR. THERE
WAS ALMOST 1 STOE 0 MORE THAT
SUBMITTED BETWEEN 3 AND 10.
PERHAPS NOT SURPRISINGLY,
APPLICATIONS FROM THOSE
INSTITUTIONS THAT SUBMIT LOW
NUMBERS OF APPLICATIONS HAVE
WORSE REVIEW OUTCOMES. SO, WHAT
YOU ARE LOOKING AT HERE, SCHOOLS
ARE GROUPED ACCORDING TO HOW
MANY APPLICATIONS THAT THEY
SUBMIT. THE LOW SUBMITTERS ARE
ON TOP. THE VERY FREQUENT
SUBMITTERS ARE ON THE BOTTOM
HERE. THEN WE CODE REVIEW
OUTCOMES.
IN YELLOW HERE, THIS IS THE
PROPORTION OF APPLICATIONS THAT
FALL IN THE SCORE OR SCORE IN
THE HIGH-IMPACT RANGE AND IF YOU
COMPARE THOSE THAT SUBMIT FEWEST
AND THOSE THAT SUBMIT THE MOST
YOU SEE A BIG DIFFERENCE. ABOUT
29% OF THE APPLICATIONS FOR
THESE LOW FREQUENCY SUBMITTERS
FALL IN THIS HIGH-IMPACT RANGE
AND OTHER HAND THOSE THAT SUBMIT
THE MOST ALMOST 44% FALL IN THE
HIGH IMPACT RANGE.
ANOTHER THING THAT IS SORT OF
POPPING OUT AT YOU IS JUNIOR
SPONSORS DO POORLY RELATIVE TO
SENIOR SPONSORS AND LOOKING AT
TOP FOUR BARS HERE.
THESE ARE APPLICATIONS WITH
SINGLE SPONSOR. YOU CAN HAVE
MULTIPLE BUT THESE ARE SINGLE
SPONSOR APPLICATIONS AND ON TOP
AND PROFESSORS DOWN HERE AND
THIS OTHER CATEGORY THAT IS
TYPICALLY PRETTY SENIOR PEOPLE
AND DEPARTMENT CHAIRS AND DEANS
AND HAD. HMI INVESTIGATORS.
SO, AGAIN, YOU SEE HOW THE
SUCCESS RATE OR PROPORTION OF
APPLICATIONS FALLING IN THIS
HIGH-IMPACT RANGE INCREASES AS
YOU SORT OF MOVE UP THE FACULTY
LADDER RANKS.
SO, TO SUMMARIZE THE PICTURE
THAT THE GROUP GOT, FIRST OF
ALL, WE HEARD FROM MULTIPLE
SOURCES OF CONCERNS ABOUT
REPUTATIONAL AND CAREER-STAGE
ABOUT I--AS AND HEARD
INFORMATION ABOUT APPLICATIONS
USE TODAY JUDGE APPLICANTS AND
CONCERNS ABOUT THE APPLICATION
ITSELF AND DATA THAT I SHOWED
YOU SHOWS THAT APPLICATIONS ARE
CONCENTRATED IN SMALL NUMBER OF
INSTITUTIONS AND CONCERN IS
KNOWLEDGE AND RESOURCES NEEDED
TO SUPPORT A GOOD FF APPLICATION
ARE VERY EVENLY DISTRIBUTED AND
OF COURSE IS ALSO A CONCERN THAT
APPLICATIONS FROM HIGHLY
RESOURCED SCHOOLS DO BETTER AND
I SHOWED YOU SENIOR SCIENTISTS
DO BETTER THAN EARLIER CAREER.
BOTTOM LINE CONCERN WAS THAT NIH
IS LEAVING OUT HIGHLY PROMISING
POTENTIAL YOUNG SCIENTISTS
BECAUSE OF A PROCESS THAT TOO
HEAVILY RELIES ON EINSTITUTIONS
OR FAVORS EINSTITUTIONS
SCIENTISTS AND SPONSORS AND
OVERLY NARROW EMPHASIS ON
MARKERS OF TRADITIONS OF EARLY
ACADEMIC SUCCESS AND PROBLEM
THAT THE GROUP TRIED OR MADE
RECOMMENDATIONS TO CHANGE.
LET ME 2 OVER RECOMMENDATIONS.
SO, MAKING A COMPREHENSIVE SET
OF RECOMMENDATIONS TO MODIFY
REVIEW CRITERIA AND APPLICATION
ITSELF AND ADDITIONAL
RECOMMENDATIONS ABOUT TRAINING
AND OUTREACH AND REVIEW PROCESS
ITSELF AND A COUPLE OTHER
THINGS.
I WANT TO REALLY FOCUS ON THESE
TWO MAJOR RECOMMENDATIONS.
THIS IS REALLY THE MEAT OF THE
IDE
IDEAS.
TWO RECOMMENDATIONS CHANGE
REVIEW CRITERIA AND FELLOWSHIP
APPLICATION. SPECIFICALLY THERE
IS A FELLOWSHIP SUPPLEMENT FOR
IT THAT YOU FILL OUT WHEN YOU
APPLY AND WHAT THEY RECOMMENDED
CHANGING.
BASIC GOAL HERE FOR BOTH CHANGES
WA IMPROVING CHANCES PROMISING
APPLICANTS NO MATTER WHO THEY
WERE OR WHERE THEY WERE BASED
WERE CONSISTENTLY IDENTIFIED IN
PEER REVIEW.
SO, THIS FIRST RECOMMENDATION
WAS TO MODIFY REVIEW CRITERIA.
THERE WERE PROBABLY THREE KEY
IDEAS THAT THE GROUP WAS WORKING
WITH IN MODIFYING CRITERIA.
FIRST, THE IDEA THAT WE OUGHT TO
BETTER FOCUS REVIEWER ATTENTION
ON THREE KEY ASSESSMENTS.
GET REVIEWERS TO FOCUS ON
POTENTIAL OF THE APPLICANT AND
STRENGTH OF SCIENCE AND QUALITY
OF THE TRAINING PLAN.
THESE ARE KEY GENERAL TRIMENTS
REVIEWERS SHOULD BE MAKING AND
THEY BECAME CORE CRITERIA.
SECOND IDEA WAS TO DEFINE
CRITERIA IN A WAY THAT WOULD
GIVE LESS ADVANTAGED APPLICANTS
A BETTER CHANCE WITHOUT
DISADVANTAGING ANYBODY ELSE.
HOW DO YOU DO THIS?
AS ONE MIGHT -- CO-CHAIR
ELIZABETH WOULD PUT IT HOW DO
YOU ALLOW REVIEW PROCESS TO
IDENTIFY DIAMONDS IN THE ROUGH
WITHOUT DISADVANTAGING
TRADITIONAL SORT OF ACADEMIC
STARS?
IDEAS THAT THEY WORKED WITH WERE
TO REVALATE APPLICANT
ACCOMPLISHMENTS AND TRAJECTORY
IN CONTEXT OF OPPORTUNITIES THAT
THEY HAD AND IN ADDITION TO
ACCOMPLISHMENTS TO EVALUATE
PERSONAL CHARACTERISTICS THAT
ALSO CONTRIBUTE TO SUCCESS IN
SCIENCE AND THE THIRD IDEA WAS
TO REDUCE BIAS AND REVIEW BY
REDUCING INAPPROPRIATE
CONSIDERATION SPONSORING
INSTITUTIONAL REPUTATIONS.
SO, INSTEAD REALLY FOCUSING
EVALUATION ON QUALITY OF THE
SCIENCE AND QUALITY OF THE
TRAINING PLAN.
SO, A LITTLE BIT -- HOW DOES
THIS PLAY OUT?
SO, MANY OF YOU WERE PROBABLY
FAMILIAR WITH THE CURRENT
CRITERIA OVER HERE ON THE LEFT
AND IN SORT OF A YELLOWISH TAN
AND FIVE CURRENT CRITERIA ARE
FELLOWSHIP APPLICANT AND
SPONSORS AND RESEARCH TRAINING
PLAN TRAINING POTENTIAL
INSTITUTIONAL ENVIRONMENT.
RECOMMENDED SET IS JUST THREE,
AS I SAID. THOSE BEING THE
SCIENTIFIC POTENTIAL AND GOALS
AND PREPAREDNESS OF THE
APPLICANT AND SCIENCE AND
SCIENTIFIC RESOURCES AND
TRAINING PLAN AND TRAINING
RESOURCES.
YOU SEE RIGHT AWAY THAT THE
GROUP RECOMMENDED DELETING TWO
CURRENT CRITERIA. NOT ALL
CONSIDERATIONS ARE GONE AND
OBVIOUSLY MATTER WHO'S SPONSOR
IS AND IN THE INSTITUTION.
MATTERS IN A PARTICULAR CONTEXT.
THOSE CONSIDERATIONS ARE WOVEN
INTO THESE -- INTO EVALUATION OF
SCIENCE AND SCIENTIFIC RESOURCES
WHAT SPONSOR BRINGS AND WHAT
DOES THE INSTITUTION BRING TO
THE SCIENCE AND THE TRAINING
PLAN?
THE OTHER RECOMMENDATION OF THE
GROUP REGARDING PEER REVIEW
CRITERIA WAS TO ELIMINATE PEER
REVIEW OF FINANCIAL SUPPORT FOR
PROPOSED RESEARCH AND IDEA WHEN
YOU REQUIRE THIS WHAT PEOPLE END
UP BASICALLY DOING IS A LIST OF
HOW MANY RO1S THE SPONSOR HAS
THAT IS A KIND OF INHERENTLY
BIASSING PROCESS NOT REALLY
RELEVANT TO THE QUALITY OF THE
PROPOSAL AND QUALITY OF THE
TRAINING PLAN.
SO, OKAY. SO, THAT IS THE FIRST
RECOMMENDATION TO MODIFY REVIEW
CRITERIA IN THE WAY THAT I JUST
WENT OVER FOR YOU.
SECOND MAJOR RECOMMENDATION WAS
THAT NIH WOULD MODIFY FELLOWSHIP
SPLEMENTAL SECTION OF THE PHS.
IN OTHER WORDS, MODIFY
APPLICATION OR MODIFY WHAT WE
ARE ASKING APPLICANTS TO TELL US
PRINCIPLES HERE WERE THESE FOUR
MODIFYING CONTENT OF APPLICATION
WITH REVIEW CRITERIA TO TRY TO
DISCOURAGE EASY AND OFTEN
INCOMPLETE LEADING INDICATORS.
WHAT ARE EXAMPLES? GRADES THAT
ARE HARD TO GET AHOLD OF AND
LACK CONTEXT AND ARE OFTEN
MISLEADING.
THIRD IDEA IS TO EMPHASIZE
SUBSTANTIVE STATEMENTS PERTINENT
TO THE INDIVIDUAL STUDENT.
TRY TO DISCOURAGE USE OF BOILER
PLATE LANGUAGE AND RESTRUCTURE
THE WHOLE THING IN A SET OF
WORD-LIMITED STATEMENTS. IN SO
DOING YOU CAN CUT THE LENGTH OF
THE APPLICATION BY 2.5 PAGES.
SO, TO SUMMARIZE CHANGES IN THE
APPLICATION, YOU CAN THINK OF
THIS AS SORT OF WHAT IS THE
INFORMATION THAT WE ARE ASKING
PEOPLE FOR?
WHAT IS THE INFORMATION ON WHICH
REVIEWERS ARE SUPPOSED TO MAKE
JUDGMENTS?
SO, CHANGES IN THIS FIRST
ELIMINATE GRADES AND ELIMINATE
REQUIREMENT FOR GRADES.
WHAT COURSES PEOPLE TAKE OR
SUCCESSFULLY IS REVELLENT.
THOSE WOULD BE -- WE WOULD
CONTINUE TO ASK FOR THOSE AND
WOULD REVISE FELLOWSHIP
APPLICATION SECTION. SO, THE
STATEMENT FROM THE APPLICANT
WITH A GOAL OF BETTER ASSESSING
SCIENTIFIC THINKING AND TO GET A
BROADER SORT OF VIEW OF THEIR
QUALIFICATIONS.
WE WOULD REVISE THE SPONSOR AND
COLLABORATORS SECTION WITH A
GOAL OF PUTTING APPROACH TO
TRAINING AND MENTORSHIP IS. HOW
DOES THE PLAN FIT THIS
PARTICULAR STUDENT AND THEIR
GOALS AND NEEDS?
THEN REVISING THE LETTERS OF
REFERENCE AND ASKING QUESTIONS
THAT WILL REQUIRE ANSWERS THAT
ARE VERY SPECIFIC TO THE
PARTICULAR TRAINING AND, AGAIN,
INTENDED TO STS COURAGE BOILER
PLATE MAKING IT EASIER FOR
REVIEWERS TO EVALUATE ACROSS
CANDIDATES. RESEARCH TRAINING
PLAN WOULDN'T CHANGE AND WHERE
YOU FIND SCIENCE AND A 6TH
PROPOSAL WAS TO ALLOW AN
OPTIONAL STATEMENT OF SPECIAL
CIRCUMSTANCE. THIS CAME OUT OF
THE COMMUNITY AND IT WAS AN IDEA
SURFACED IN RESPONSE TO A BLOG
THAT WE PUBLISHED AND IDEA WAS
THERE ARE SITUATIONS IN WHICH
PEOPLE HAVE HAD THEIR CAREER OR
TRAINING DELAY OR DERAIL THE
BECAUSE OF HARASSMENT OR OTHER
PERSONAL CIRCUMSTANCES AND
PEOPLE SHOULD HAVE A CHANCE TO
PROVIDE NIH STATEMENT ABOUT
THAT.
SO, THAT IS THE OVERVIEW OF IT.
I WILL SHOW YOU. I'M NOT GOING
TO READ THROUGH ALL OF THIS. IT
IS IN YOUR SLIDE SET. YOU CAN
LOOK AT IT IN MORE DETAIL IF YOU
WANT. I -- YOU CAN -- WHAT YOU
SEE ON THIS SLIDE, YOU HAVE THE
CURRENT SETUP OF THE APPLICANT
SECTION. THE SPONSOR SECTION
AND LETTERS REFERENCE AND OVER
HERE ON THE RIGHT HOW WE MODIFY
OR HOW THE PROPOSAL WOULD MODIFY
THOSE SECTIONS.
AGAIN, THE RESEARCH PLAN ITSELF
REMAINS THE SAME. SO, THERE IS
SUBSTANTIAL CHANGES IN WHAT WE
WOULD REQUIRE OF APPLICANTS AND
SPONS
SPONSORS.
OKAY. SO, WHERE ARE WE NOW?
WE WILL BE ISSUING A REQUEST FOR
INFORMATION THIS SPRING. THIS
REQUEST FOR INFORMATION WILL
SERVE A COUPLE FUNCTIONS AND,
ONE, COMMUNICATES TO THE
COMMUNITY NIH INTENT TO MAKE
CHANGES THAT ALSO GETS FINAL
COMMUNITY INPUT ON THESE IDEAS.
IT GIVES THE COMMUNITY A CHANCE
TO WEIGH IN ON THINGS THEY MIGHT
LIKE OR THAT THEY FIND UNCLEAR
OR INCONSISTENT OR VARIOUS
CHANGES THEY WOULD LIKE AT THAT
POINT THAT IS A FINAL SORT OF
ITERATIVE REQUEST TO THE
COMMUNITY GIVING A FEEDLACK AS
WE MOVE FORWARD.
THAT IS THIS. THE
IMPLEMENTATION ITSELF THAW
INITIATED PERHAPS IT IS NOT AND
IS A COMPLEX MULTIPRONGED
PROCESS AND LOTS OF THINGS WE
NEED TO CHANGE AND THE
APPLICATION ITSELF NEEDS TO
CHANGE AND FUNDING ANNOUNCEMENTS
NEEDS TO CHANGE AND NIH'S
BUSINESS SYSTEMS HAVE TO CHANGE
TO REFLECT DIFFERENT CRITERIA
AND CONTENT OF APPLICATION AND
INFORMATION RESOURCES PROVIDING
APPLICANT COMMUNITY INTO
REVIEWERS HAS TO ALL CHANGE AND
IS A MAJOR TRAINING AND OUTREACH
EFFORT THAT WE HAVE TO
COMMUNICATE TO REVIEWERS TO
APPLICANTS AND APPLICANT
ORGANIZATIONS AND TO OUR OWN
STAFF.
THERE IS A LOT TO BE DONE THERE.
THIS LOOKING AT A PERIOD OF 1.5
TO 2 YEARS TO GET THIS FINALLY
IN PLACE.
THERE IS A COUPLE LINKS THERE
WHERE YOU CAN GET MORE
INFORMATION. BEFORE WE MOVE TO
DISCUSSION I WANT TO SORT OF
COME BACK TO WHERE I STARTED.
THIS INITIATIVE IS ONE THAT MANY
CSR HAS TAKEN WITH GOAL OF
MAKING PEER REVIEW MORE FAIR AND
EFFECTIVE.
YOU CAN -- I WON'T GO THROUGH
NOW. WE HAVE RESOURCES ON THE
WEBSITE IF YOU WANT TO LEARN
MORE ABOUT THIS.
IF YOU WANT A SENSE OF MULTIPLE
STEPS WE ARE TAKING IN THIS
AREA.
SO, WITH THAT, I WILL PAUSE. I
WILL TAKE DOWN SLIDES AND WE CAN
TALK. SO, THANK YOU SO MUCH.
THANK YOU, BRUCE AND FOR JOINING
US AND FOR THAT OVERVIEW AND
ASKED DR. STONEA COUNCIL MEMBER
TO HELP LEAD US IN DISCUSSION.
DR. STONE, PLEASE PROCEED.
>>WELL, FIRST OF ALL, DR. REED,
THANK YOU AND TO THE WORKING
GROUP.
I THINK THIS IS VERY MUCH NEEDED
AND WE HAVE TO DIVERSIFY OUR
SCIENTIFIC WORKFORCE AND FIND
WAYS TO DO THAT AND AS SOMEBODY
WHO HELPED LOTS OF PEOPLE WITH
F31 AND BEEN ON THE REVIEW
PROCESS I LOVE THE FACT YOU ARE
TAKING UP REPETITIVENESS.
ONE OF THE THINGS THAT I THOUGHT
WAS REALLY GOOD ABOUT
RECOMMENDATIONS AND MANY THINGS
AND INCREASING THE DIVERSITY OF
REVIEWERS TO GET FROM THESE
SCHOOLS THAT DON'T DO IT MUCH
BECOMING EXPERTS IN IT I THINK
WOULD BE REALLY HELPFUL AND
PERSONALLY WAS LESS WORRIED
ABOUT DATA AND SENIOR STAFF
SCIENTISTS AND ROLE IS TO MENTOR
JUNIOR SCIENTISTS SERVING AS
COSPONSOR WITH JUNIOR SCIENTIST
TO GET THEM TO HELP DATA OF 15
UNIVERSITIES WITH MORE THAN
100F3 ONES IS REMARKABLY BAD AND
WE HAVE TO DO SOMETHING. ONE OF
THE THINGS I THINK ABOUT IS HOW
DO YOU ACTUAL ENSURE DIAMONDS IN
THE ROUGH COMING FROM SCHOOLS
THEY CAN AFFORD THAT HAVE
POTENTIAL AND HOW DO WE MAKE
SURE THEY HAVE RESOURCE AND IN
NURSING WE HAVE M-PHD PROGRAMS
IN SCHOOLS WHERE THERE IS NOT
FACULTY WITH PHDS AND RESEARCH
GOING ON AND HEARD IT IS TRIED
BEFORE THINKING ABOUT HOW TO
ENSURE WE ARE SPREADING
RESOURCES AND MAKING WIN/WIN
SITUATIONS TO HELP WE COULD USE
MORE THOUGHT ON THAT. YOU KNOW?
MIGHT BE WAYS TO SHARE
INDIRECTS OR HAVE TWO SCHOOLS
THAT ARE SUPPORTING AN APPLICANT
THAT IS OFF TOP OF MY HEAD AND
THERE IS GOALS THERE SO WORTHY
AND I'M SO GLAD YOU ARE DOING
THIS WORK.
YOU KNOW, I JUST WANT TO MAKE
SURE WE GET RESOURCES SPREAD OUT
TO HELP THESE PEOPLE.
>>THANK YOU FOR SUPPORTIVE
REMARKS THAT IS REALLY A
CHALLENGE. I SORT OF
LIGHT-PEDALLED OUTREACH AND
TRAINING ASPECTS OF GROUPS
RECOMMENDATIONS.
IT IS NOT BECAUSE THEY ARE NOT
IMPORTANT BUT THINK IT IS
BECAUSE THEY ARE
STRAIGHTFORWARD. ONE
RECOMMENDATION IS NIH HAS TO
REALLY TARGET ITS OUTREACH. YOU
KNOW?
AS YOU SAY, ONE CONSEQUENCE OF
THAT SORT OF CONCENTRATION OF
EXPERIENCES IS PEOPLE WITH
TREMENDOUS POTENTIAL AND DON'T
HAVE SOMEBODY THERE THAT CAN
HELP THEM AND GIVE GUIDANCE HOW
DO YOU DO THIS?
HOW DO YOU PUT TOGETHER AN
APPLICATION THAT LOOKS GOOD AND
WHAT THINGS DO REVIEWERS LOOK
FOR?
IN ADDITION TO OUTREACH, I THINK
THAT AS WE DIVERSIFY REVIEW
PANELS WE CAN HAVE SOMEWHAT OF
AN IMPACT. YOU KNOW?
WE HAVE TO HAVE PEOPLE ON REVIEW
PANELS WHO HAVE EXPERIENCE. IT
IS VALUABLE TO HAVE PEOPLE WHO
HAVE A RANGE OF PERSPECTIVES AND
IMPORTANT TO GET REVIEWERS NO
THE JUST FROM ELITE SCHOOLS AND
A BUNCH OF SCHOOLS ARE VERY,
VERY SOLID NOT JUST IN THIS
INNATE GROUP AND THEY HAVE
POTENTIAL GOOD REVIEWERS AND IS
A GROUP WE TRY AND OTHER THINGS
HAVE REALLY FALLEN TO PROGRAM
ABOUT WHAT INCENTIVES AND
STRUCTURES YOU COULD PUT IN
TERMS OF FUNDING ANNOUNCEMENTS
AND PROGRAMS THAT AS YOU SAY
MIGHT HAVE PARTNERSHIPS BETWEEN
SOME LESS RESOURCED SCHOOLS AND
SOME OF THEM MORE.
IT WILL TAKE SUSTAINED EFFORT
OVER A LONG TIME.
>>I AGREE WITH THAT.
ANY OTHER COMMENTS BY ANY OTHER
COUNCIL MEMBERS?
CINDY?
>>THANK YOU.
I WAS REALLY INTERESTED IN THE
IDEA OF ASSESSING SCIENTIFIC
THINKING. LOOKED LIKE THAT KIND
OF LINED UP WITH SELF-ASSESSMENT
AND STATEMENT PERSPECTIVE BY THE
APPLICANT AND WONDERING HOW YOU
DO THAT IN A SHORT AND WRITTEN
PIECE. WHAT IS THE VISION FOR
HOW THAT WOULD INFORM DIAMONDS
IN THE ROUGH.
>>WELL, I THINK YOU DESCRIBED
IT FAIRLY WELL. IT IS A
CHALLENGING ASSIGNMENT; RIGHT?
YOU HAVE A SHORT -- YOU HAVE TO
WRITE A SHORT STATEMENT THAT IS
SORT OF OUTLINING YOUR
SCIENTIFIC VISION AND WHY THIS
PROBLEM IS INTERESTING TO YOU
AND WHAT YOU THINK THE
IMPORTANCE OF IT IS.
THAT IS A TOUGH THING TO PUT
TOGETHER. HOPEFULLY IT GIVES
REVIEWERS A CHANCE TO LOOK AT
HOW THE CANDIDATE DOES THINK
SCIENTIFICALLY. IT IS ONE
INDICATOR AND ONE LOOK.
BUT, IT IS -- AT LEAST IT IS
DIRECTLY RELEVANT TO WHAT WE
WANT.
>>CAN I ASK A FOLLOW UP TO
THAT?
>>YEAH.
>>FOR NURSING ONE TROUBLING
THING IS HOW LATE PEOPLE GET
INTO THEIR F31 GIVEN THERE IS A
PUSH TO MAKE PHD PROGRAMS
SHORTER IT IS A RACE TO GET
FUNDED BEFORE YOU FINISH WITH
THE PROGRAM AND F31 AND
PARTICULARLY FOR F31 STUDENTS,
NOT SURE THEY CAN COHERENTLY
TALK ABOUT GRAND VISION OR
SCIENTIFIC PERSPECTIVE EARLY IN
THEIR PROGRAM. THEY ARE
DEVELOPING SCHOLARS AND MIGHT
WORK BETTER FOR F32.
F31 UNLESS WE WANT THEM TO DELAY
TO VERY END OF PROGRAM WHERE
THEY HAVE THEIR OWN GRAND
PERSPECTIVE MIGHT FURTHER
DISADVANTAGE PEOPLE TO SAY IF
YOU CAN'T ARTICULATE THAT VERY
EARLY YOU ARE PRETTY MUCH OUT OF
THE GAME.
>>I THINK, YOU KNOW, IT IS --
WHAT I WANT TO SAY, THERE -- SO,
IT IS A SITUATION WHERE PEOPLE
ARE COMPETING WITH EACH OTHER AT
THE SAME LEVEL AND TAKE YOUR
POINT THAT SOME PEOPLE COME TO
THAT WITH GREATER ADVANTAGES AND
SOME PEOPLE COME TO IT, YOU
KNOW, THE -- IT IS NOT
NECESSARILY AN ENTIRELY LEVEL
PLAYING FIELD. IT DOES GIVE THE
APPLICANT A CHANCE IN A WAY THAT
YOU KNOW CREDENTIALS AND GRADES
DON'T ALWAYS GIVE AND JUST THE
SCHOOL YOU CAN BE ADMITTED TO OR
CAN AFFORD TAKES THOSE THINGS
OUT AND DOES GIVE AN OPPORTUNITY
FOR REVIEWERS TO HEAR DIRECTLY
FROM THE APPLICANT AND TO GIVE
US A CHANCE TO SEE HOW THEY
THINK ABOUT SCIENCE AND WHAT
DRIVES THEM. SO, IT IS -- AS I
SAY, THEY ARE -- THE REVIEW
COMMITTEES ARE VERY COGNIZANT OF
THE LEVEL OF WHICH THE LEVEL OF
SCIENCE OR TRAINING AND I THINK
THAT AS A TRAINING ISSUE, YOU
DON'T WANT THEM TO EXPECT -- YOU
DON'T WANT THEM TO EXPECT THE
SAME KIND OF THINGS THEY WOULD
EXPECT OUT OF SENIOR FOLKS. YOU
KNOW, THAT IS -- THAT WOULDN'T
BE RIGHT.
>>QUESTION OR COMMENT?
>>YEAH. REALLY QUICK NOT SURE
EXACTLY WHAT IT WOULD LOOK LIKE
AND DON'T THINK YOU MENTIONED
THIS.
STOP ME IF I'M WRONG.
CTSAS DR. REED DID YOU AND YOUR
COMMITTEE THINK AT ALL OR TALK
AT ALL ABOUT LEVERAGING VALUE OF
CTSAS IN TERMS OF PROVIDING
TRAINING AND SUPPORT FOR SOME
SCHOLARS AND INSTITUTIONS WHERE
THEY HAVE LESS RESEARCH SUPPORT?
>>>>NO. WE DIDN'T GET TO THAT
SORT OF IMPLEMENTATION LEVEL.
I THINK IT IS A GOOD IDEA AND
GOOD RESOURCE. ONE THAT NIH
SHOULD THINK ABOUT AS WE TRY TO
IMPLEMENT IDEAS.
I THINK IT IS A GOOD IDEA.
>>THERE IS A HAPPENED RAISED I
WILL BUILD ON THAT AND SIMILAR
QUESTION ASKING, BETTY. LOOKED
TO ME THANK YOU. GREAT TALK AND
REALLY APPRECIATE IT, DR. REED.
LOOKED LIKE PART OF WHAT WE ARE
TRYING TO DO IS NOT HAVE BIAS
TOWARDS INSTITUTION SAN DIEGO
STATE UNIVERSITY NOT RF1 BUT
ACTIVE RESEARCH FACULTY AND PART
OF A U54 CENTER TRYING TO BUILD
THAT INFRASTRUCTURE AND
APPRECIATE LESS FOCUS ON THINGS
WE DON'T HAVE; RIGHT?
MAKING SAME COMMENT AS BETTY
WHAT WE CAN DO TO AUGMENT
FACILITIES AND RESOURCES AND
TRAINING RESOURCES AVAILABLE
STRUCTURALLY SO THEY ARE NOT
CONTINUE TODAY BE DISADVANTAGED?
I'M ALWAYS -- I FREAK OUT SEEING
FACILITIES AND RESEARCH PAGE
FROM R1 INSTITUTION I KNOW
STUDENTS OR FACULTY ARE
COMPETING WITH. U54 THIS IS
WHAT I HAVE TO DO TO TRY TO
BUILD THAT INFRASTRUCTURE FOR
THEM. IS THERE MORE THAT CAN BE
DONE? I DON'T KNOW. I WOULD
LOVE TO TALK MORE ABOUT THAT.
>>I THINK AS I SAID EARLIER
THAT I LIKE PEDAL THOSE
RECOMMENDATIONS AND GROUP DIDN'T
SPEND AND FLESHING OUT AND
NEEDING AND NEED IS REALLY
[INDISCERNIBLE] AND SOMETHING
THAT NIH HAS TO PAY MORE
ATTENTION TO AND THINK ABOUT
OUTREACH AND TRAINING FROM THAT
PERSPECTIVE, WHICH IS TO SAY WE
NEED TO THINK OF PROGRAMS FROM
PERSPECTIVE OF PEOPLE WHO NEED
THEM THE MOST AND THERE IS
INSTITUTIONS THAT DON'T REALLY
NEED IT AND THEY COMPLETELY KNOW
HOW TO DO THIS AT A VERY HIGH
LEVEL AND THERE IS INSTITUTION
WITH REALLY GOOD PEOPLE AND
NEEDING MORE RESOURCES AND THINK
THAT IS SOMETHING THAT WE NEED
TO PUT EFFORT INTO.
>>AGAIN, I JUST THINK IT IS SO
NEEDED.
THANK YOU FOR WHERE WE ARE.
THAT REALLY WAS LOVELY TO HEAR
YOUR PRESENTATION.
>>THANK YOU VERY MUCH.
>>THANK YOU DR. REED FOR
JOINING US AND COUNCIL FOR THAT
RICH DISCUSSION.
WE LOOK FORWARD TO FUTURE
UPDATES ON THIS. THANK YOU, DR.
REED.
>>THANK YOU MUCH.
>>BYE, BYE.
>>BYE NOW.
>>WE WILL MOVE ON TO OUR NEXT
AGENDA ITEM BEFORE LUNCH. WE
WILL HAVE TWO PRESENTATIONS ON
NEW CONCEPTS AND AS YOU KNOW IN
YOUR ADVISORY ROLE TO THE NINR
DIRECTOR YOU ARE NINR'S SOURCE
OF NON-GOVERNMENTALMENTAL ADVICE
ON RESEARCH DIRECTIONS AND
SCIENTIFIC PRIORITIES.
NINR SEEKS COUNCIL'S ADVICE FOR
LONG-TERM PLANNING AT EARLY
STAGE BY PRESENTING CONCEPTS FOR
CLEARANCE AND CONCEPT IS THE
EARLIEST PLANNING STAGE OF
INITIATIVE BEFORE RELEASING NRFA
AND PPNR PROGRAM AND SET ASIDE
FUNDS OR CONTRACT THAT DESCRIBES
BACKGROUND OBJECTIVES OR
POTENTIAL MECHANISMS FOR THE
INITIATIVE. APPROVED CONCEPTS
MAY OR MAY NOT ULTIMATELY BECOME
A FUNDING INITIATIVE BASED ON
ANY NUMBER OF FACTORS INCLUDING
FUND AVAILABILITY.
AT THIS POINT IN THE AGENDA NINR
STAFF WILL PRESENT TWO CONCEPTS
FOR YOUR ADVICE. CONCEPTS WERE
MADE AVAILABLE ON ELECTRONIC
COUNCIL BOOK FOR YOUR REVIEW IN
ADVANCE OF THIS MEETING.
NINR PROGRAM OFFICER DR. CHRIS
BOW AND PRESIDENTIAL MANAGEMENT
FELLOW DR. CHRISTINA ROBERTS
WILL PRESENT A CONCEPT ON
TRAINING IN SOCIAL DETERMINANTS
OF HEALTH RESEARCH AND FOLLOWING
THEIR PRESENTATION COUNCIL
MEMBER DR. ATKINS WILL OFFER
COMMENTS TO OPEN THE DISCUSSION.
DR. BEAU, PLEASE PROCEED.
SFWL IT IS ACTUALLY GOING TO BE
ME. CAN EVERYONE HEAR ME OKAY?
>>I CAN.
>>GREAT. GOOD AFTERNOON,
EVERYONE. I'M CHRISTINA DAN EES
ROBERTS. IT IS A PLEASURE TO BE
AT MY FIRST-EVER COUNCIL MEETING
AND OVER NEXT 10 MINUTES
COLLEAGUE AND I WILL PRESENT OUR
CONCEPT ON EDUCATION AND
TRAINING IN SOCIAL DETERMINANTS
OF HEALTH OR SDOH TO ADVANCE
HEALTH EQUITY. NEXT SLIDE,
PLEASE.
OKAY. I WILL PRESENT THE
BACKGROUND OF THE CONCEPT AND
PASS IT ON TO DR. BOU WHO WILL
TALK ABOUT THE PURPOSE AND
CRITICAL ELEMENTS AND POSSIBLE
INITIATIVES UNDER THIS CONCEPT.
NEXT SLIDE, PLEASE.
THAT ONE. THANK YOU.
FIRST OBJECTIVE IN THE NIHWIDE
STRATEGIC PLAN IS TO PROVIDE
SUPPORT FOR RESEARCH AND
EDUCATIONAL TRAINING ACTIVITIES
THAT ADVANCE BIOMEDICAL AND
BEHAVIORAL SCIENCES AND
SPECIFICALLY UNDERSTANDING
BIOLOGICAL BEHAVIORAL AND SOCIAL
DETERMINANTS OF POPULATION
HEALTH AND ADDITIONALLY A KEY
CROSS-CUTTING THEME OF NIH'S
STRATEGIC PLAN IS FOCUSED ON
INSTITUTES AND CENTERS PROVIDING
SUPPORT FOR RESEARCH AND
EDUCATION AND TRAINING
ACTIVITIES FOCUSED ON IMPROVING
MINORITY HEALTH REDUCING HEALTH
DISPARITIES WITH ULTIMATE GOALS
OF PROMOTING HEALTH EQUITY.
NEXT SLIDE.
AT NINR AS YOU KNOW OUR MISSION
IS TO LEAD NURSING RESEARCH TO
SOLVE PRESSING HEALTH CHALLENGES
INFORMING PRACTICES IN POLICY
OPTIMIZING HEALTH AND ADVANCING
HEALTH EQUITY INTO THE FUTURE.
ACCOMPLISHING THIS MISSION NINR
HAS IDENTIFIED 5 COMPLEMENTARY
AND SYNERGISTIC RESEARCH LENSES
AND BEST LEVERAGE STRENGTHS OF
NURSING RESEARCH PROMOTING
MULTILEVEL APPROACHES ACROSS
DISCIPLINARY AND CROSS-SECTORAL
COLLABORATION AND COMMUNE
ENGAGEMENT AND RESEARCH AND
THESE LENSES ARE HEALTH EQUITY
POPULATION AND COMMUNITY HEALTH
PREVENTION IN HEALTH PROMOTION
AND SYSTEMS IN MODELS OF CARE
AND SOCIAL DETERMINANTS OF
HEALTH. NEXT SLIDE.
AS DEFINE BY HEALTHY PEOPLE
2030, SDOH IS CONDITIONS OF
ENVIRONMENTS WHERE PEOPLE ARE
BORN, LIVE, LEARN, WORK, PLAY,
WORSHIP AND ANL AND EFFECT OF
WIDE RANGE OF HEALTH FUNCTIONING
AND QUALITY OF LIFE OUTCOMES AND
RISK AND EXAMPLES INCLUDE JOB
OPPORTUNITIES, HOUSING,
TRANSPORTATION, EDUCATION,
HEALTHCARE, INCOME AND WEALTH
AND PHYSICAL AND BUILT
ENVIRONMENT AS WELL AS POLICY
SYSTEMS INFLUENCING DISTRIBUTION
OF RESOURCES AND SDOH IS CLOSELY
TIED TO WIDER SET OF ECONOMIC
LEGAL POLITICAL REGULATORY AND
CULTURAL SYSTEMS ENFORCES SUCH
AS PUBLIC INSTITUTIONAL POLICIES
THAT SHAPE DISTRIBUTION OF POWER
RESOURCES AND CONDITIONS OF
DAILY LIFE ACROSS OUR SOCIETY.
SDOH HAS GREATER INFLUENCE ON
HEALTH THAN HEALTH BEHAVIORS OR
CLINICAL CARE AND PLAYS A
CENTRAL ROLE IN CREATING AND
SUSTAINING HEALTH INEQUITIES
LONGSTANDING HEALTH INEQUITIES
RELATED TO RACE ETHNICITY GENDER
ORIENTATION AND DISABLE THE HAVE
PROVEN TO BE RESISTANT TO MOST
INTERVENTION TLANDZ FOR MORE
ATTENTION MUST BE PAID TO SOCIAL
CONDITIONS IMPACTING HEALTH AND
SOCIAL CONDITIONS EFFECT HEALTH
ACROSS DISEASES AND CONDITIONS
AND POPULATION GROUPS AND LIFE
COURSE STAGES.
THEY CAN IMPACT HEALTH FOR
BETTER OR WORSE. THEY CAN SPAN
ACROSS MANY SECTORS INCLUDING
ECONOMIC EDUCATION AND HOUSING
AND TRANSIT. SDOH APPROACH
PROVIDES FRAMEWORK AND SHARED
LANGUAGE NEED TODAY DEVELOP AND
EXPAND RIGOROUS RESEARCH TO
ADDRESS SEEMINGLY ATTRACTABLE
HEALTH INEQUITIES THAT ARE
ACROSS THE HEALTH POPULATION
INNOVATIVE AND RIGOROUS RESEARCH
TO CLARIFY MECHANISMS THAT
IMPACT HAEMWILLING AND IDENTIFY
IMPLEMENT AND DISSEMINATE
EFFECTIVE APPROACHES ADDRESSING
SDOH AND REDUCE AND ELIMINATE
INEQUITIES AND INEQUITABLE
DISTRIBUTION RATHER IS NEED
TODAY REDUCE HEALTH DISPARITIES
ADVANCE HEALTH ED E- EQUITY AND
IMPROVE HEALTH OUTCOMES SDOH HAS
YET TO RECEIVE A FORTUNATE SHARE
OF RESEARCH ATTENTION THAT COULD
BE ATTRIBUTED IN PART AT LEAST
TO A LACK OF TRAINED
RESEARCHERS.
NEXT SLIDE, PLEASE.
SDOH FOCUSED RESEARCH IS
ESSENTIAL PART OF ANY EFFORT TO
ADDRESS MOST PRESSING HEALTH
CHALLENGES WE FACE IN OUR
COUNTRY. IF DONE WELL THIS
RESEARCH CAN HELP INFORM AND
IMPROVE SUCCESSABLE OTHER TYPES
OF RESEARCH DESIGNED TO IMPROVE
HEALTH. NURSING LONG
APPRECIATED THAT HEALTH MUST BE
UNDERSTOOD IN CONTEXT OF
PEOPLE'S LIVES AND LIVING
CONDITIONS AND NURSES INTERACT
WITH INDIVIDUALS AND FAMILIES
MORE CLOSELY THAN OTHER HEALTH
PROFESSIONALS IN MANY CLINICAL
COMMUNITY AND POLICY SETTINGS IN
WHICH THEY WORK AND NURSES HAVE
A DEEP UNDERSTANDING OF PERSONAL
AND SOCIETAL FACTORS THAT LEAD
TO HEALTH AMONG SOME AND ILLNESS
OF OTHERS AND RESEARCH PROVIDES
FRAMEWORK TO UNDERSTAND AND
INTERVENE UPON THE HEALTH OF THE
POPULATION WITH A CRITICAL
EMPHASIS ON HEALTH EQUITY.
NUMEROUS REPORTS HAVE IDENTIFIED
NEED FOR INCORPORATING SDOH
EDUCATION IN NURSING CURRICULA.
HOWEVER, AND THE FUTURE OF
NURSING 2020 TO 2030 REPORT HAS
ARTICULATED A NEED FOR TRAINING
IN SDOH RESEARCH. SPECIFICALLY
AS STATED IN THE REPORT, DESPITE
NUMEROUS CALLS FOR INCLUDING
EQUITY, POPULATION HEALTH AND
SDOH NURSING EDUCATION SDOH
RELATED CONCEPTS ARE NOT
CURRENTLY WELL INTEGRATED INTO
UNDERGRADUATE AND GRADUATE
NURSING EDUCATION. CONSIDERING
BACKGROUND DR. BOWEL WILL NOW
TALK US THROUGH PURPOSE OF THIS
CONCEPT.
>>NEXT SLIDE, PLEASE.
>>SO, THEREFORE IN THE LIGHT --
IN LIGHT OF THIS NEED, THIS
INITIATIVE IS INTENDED TO
PROVIDE SUPPORT FOR DEVELOPMENT
OF EDUCATIONAL AND TRAINING
OPPORTUNITIES THAT WILL EXPAND
CAPACITY OF A DIVERSE SCIENTIFIC
WORKFORCE. ONE THAT IS EQUIPPED
TO CONDUCT RIGOROUS AND
INNOVATIVE SOLUTIONS ORIENTED
NURSING RESEARCH TO ADDRESS SDOH
AND SYSTEMATIC DISTRIBUTION ON
HEALTH AND HEALTH EQUITY THAT
WOULD BE IN ALIGNMENT WITH
AFOREMENTIONED NIH STRATEGIC
GOAL PROVIDING SUPPORT FOR
EDUCATION AND TRAINING
ACTIVITIES ADVANCING BIOMEDICAL
AND BEHAVIORAL SCIENCES
SPECIFICALLY RELATED TO SOCIAL
DETERMINANTS OF POPULATION
HEALTH AND NINR STRATEGIC GOAL
PROVIDING SUPPORT FOR EDUCATION
AND TRAINING IN NEXT GENERATION
OF NURSING SCIENTISTS WHO CAN
UNDERSTAND AND INTERVENE ON
SOCIAL DETERMINANTS OF HEALTH TO
INFORM POLICY AND PRACTICE
TOWARDS LONG-TERM GOAL OF
ELIMINATING HEALTH INEQUITIES.
NEXT SLIDE, PLEASE.
CRITICAL COMPONENTS OF POSSIBLE
FUNDING INITIATIVES WOULD
INCLUDE THE FOLLOWING RELATED
OBJECTIVES.
NO. 1, ENSURING RESEARCHERS HAVE
A STRONG FOUNDATIONAL KNOWLEDGE
ABOUT THE CORE CONCEPTS AND
THEORIES THAT DRIVE CURRENT
UNDERSTANDING OF THAT SDOH AS
WELL AS A SOLID UNDERSTANDING OF
SCIENCE UPON WHICH TO BUILD NEW
KNOWLEDGE.
ADVANCE.
ALSO, TO -- THE TRAINING AND
METHODS AND TOOLS NEEDED TO
ADDRESS CRITICAL GAPS IN
EVIDENCE OF SDOH AND INEQUITABLE
DISTRIBUTION ACROSS POPULATIONS
AND EFFECTIVE SOLUTIONS AS WELL
AS, NEXT.
INCREASING DIVERSITY IN THE
WORKFORCE CONDUCTING THIS
RESEARCH.
NEXT SLIDE, PLEASE.
>>THERE IS SEVERAL TYPES OF
POTENTIAL FUNDING INITIATIVES
THAT COULD BE DEVELOPED UNDER
THIS CONCEPT. FIRST, COURSE
CURRICULUM OR CONFERENCE
INTENDED TO EXPAND KNOWLEDGE
BASE AND RESEARCH SKILLS IN SDOH
RESEARCH SKILLS. A SECOND
EXAMPLE MIGHT BE INSTITUTIONAL
EDUCATIONAL AND TRAINING PROGRAM
FOCUSED ON SDOH RESEARCH THAT
ENGAGES COMMUNITIES IN WHICH FOR
EXAMPLE MENTORING TEAM INCLUDES
COMMUNITY PARTNERS THAT WOULD
LAY GROUNDWORK FOR CAREER IN
COMMUNITY ENGAGED SDOH RESEARCH.
AND/OR IMMERSIVE SUMMER SDOH
EDUCATION TRAINING PROGRAM AT
INSTITUTIONS WITH LARGE
PROPORTIONS OF STUDENT BODY FROM
POPULATIONS UNDER-REPRESENTED IN
NURSING RESEARCH. FOR EXAMPLE,
STEMMING FROM DISCUSSION AROUND
DR. REED'S PRESENTATION EARLIER
SUPPORT FOR POSSIBLE
INSTITUTIONAL R25 GRANTS OR R13
GRANTS MIGHT BE OPPORTUNITY FOR
NIR TO PROVIDE SUPPORT FOR
INSTITUTIONS DEVELOPING
CURRICULA RESEARCH ACTIVITIES OR
EXPANDING RESEARCH ACTIVITIES
FOR RESEARCHERS IT THAT WILL
CONDUCT RESEARCH. NEXT SLIDE,
PLEASE.
AS I WRAP UP, I WOULD LIKE TO
THANK WE WOULD LIKE TO THANK DR.
ELIZABETH TARLOV AND HER WORK
WITH US ON DEVELOPMENT OF THE
CONCEPT AND THANKS FOR YOUR
ATTENTION AND WOULD LIKE TO TAKE
QUESTI
QUESTIONS.
>>GREAT. THANK YOU.
DR. ATKINS?
MIND KICKING US OFF WITH
DISCUSSION?
>>NO. THANK YOU. THANKS FOR
THE PRESENTATION AND FOR THE
OPPORTUNITY TO START OFF THE
CONVERSATION.
I LOVE THE CONCEPT AND LOVE THE
PLAN OF SUPPORTING INCREASED
FOCUS ON SOCIAL DETERMINANTS OF
HEALTH AND FEELS LIKE NATIONAL
INSTITUTES OF RESEARCH IS
LEADING NURSING BACK TO ITS
ROOTS WHERE WE BELONG THINKING
ABOUT COMMUNITY. I LOVE THAT.
I THINK THAT THE FRAMEWORK
PROVIDES A GREAT WAY TO
INTERVENE UPON HEALTH POPULATION
AS DESCRIBED IN THE CONVERSATION
WITH CRITICAL EMPHASIS ON HEALTH
EQUITY. I THINK THAT THIS PLAN
TO PROVIDE SUPPORT FOR
DEVELOPMENT OF EDUCATION
TRAINING OPPORTUNITIES IS GREAT
AND REALLY THINKING ABOUT, YOU
KNOW, A SOLUTIONS ORIENTED
NURSING RESEARCH APPROACH
THINKING ABOUT MALDISTRIBUTION
OF HEALTH INEQUITY AND THINKING
ABOUT RESOURCES.
I REALLY DID NOT COLLABORATE
WITH DR. REED IN ADVANCE OF
THIS. WHERE I SEE OPPORTUNITIES
ARE TO REALLY BE INTENTIONAL AND
DR. BOU BROUGHT UP WITH HIS
PRESENTATION AND BEING REALLY
INTENTIONAL FOCUSING ON
COMMUNITIES OF GREATEST
DISADVANTAGE OR DISINVESTMENT
AND MISSISSIPPI DELTA ARE TRIBAL
LANDS OR NONMETROPOLITAN
COMMUNITIES AND PLACES IN OUR
SOCIAL SCIENCE BIOMEDICAL AND
PHILANTHROPIC BLOOINTD SPOTS
SHAIFER AND COLLEAGUES CREATED
INDEX OF AMERICA'S MOST
DISADVANTAGED COMMUNITIES
THINKING OF INCOME, LIFE
EXPECTANCY AND SOCIAL MOBILITY
AND THINK THIS REALLY CONVERGES
OFF THAT WHICH I THINK IS REALLY
EXCITING AND TO DR. REED'S POINT
AND HIS PRESENTATION WE CAN
REALLY CHANGE THE NARRATIVE BY
CHANGING NARRATORS THAT COULD BE
GREAT TO TARGET SUPPORT TOWARDS
EARLY CAREER RESEARCHERS FROM
INSTITUTIONS WITH LESS CAPACITY
AND LESS INVESTMENT ON MINORITY
SERVING INSTITUTIONS AND
NONELITE INSTITUTIONS THAT
EXPERIENCE PARTNERING IN
COMMUNITIES OF DEEP DISADVANTAGE
AND DISINVESTMENT AND THINK THIS
FOCUS IS REALLY ALIGNING WITH
WHAT DR. REED BROUGHT UP IT THAT
IS TIMELY AND REALLY SMART AND
I'M JUST REALLY EXCITED THAT IS
THE DIRECTION THAT NINR IS
THINKING SO, THANK YOU.
>>THANK YOU, DR. ATKINS.
OTHER COUNCIL MEMBERS WOULD YOU
LIKE TO WEIGH IN?
DR. LOE?
>>THANK YOU VERY MUCH DR.
ROBERTS AND DR. BOU FOR THIS
GREAT PRESENTATION.
VERY PROGRESSIVE FORWARD
THINKING THAT I THINK IS TIMELY.
SO, I AM COMING FROM A PLACE
WHERE I THINK ABOUT THE
DISPARITY OF NURSES IN
PARTICULAR BEING NATIVE AMERICAN
AND HAVING ACROSS SDL
DISCIPLINES THERE IS LESS THAN
100PHDS WHO ARE NATIVE AMERICAN
IN THE US.
IN NURSING, THERE IS
APPROXIMATELY MAYBE 25 OF US AND
MAYBE FOUR OF US HAVE PROGRAMS
IN RESEARCH THAT ARE CURRENTLY
FUNDED OR FUNDED BY NIH.
SO, WE THINK ABOUT THE GAP, THAT
AS A GAP AND THAT AS A DISPARITY
ISSUE AND INEQUITY ISSUE AND WE
ALSO THINK ABOUT THAT AS HOW DO
WE MOVE FORWARD WITH CREATING
ALTERNATIVE AND INNOVATIVE
STRATEGIES TO BE ABLE TO MOVE
THE NEXT GENERATION OF NURSE
SCIENTISTS AND ESPECIALLY NATIVE
AND INDIGENOUS NURSE SCIENTISTS
AND I HAVE GIVEN GREAT THOUGHT
TO THIS.
I THINK ONE OF THE -- ONE OF THE
STRATEGIES COULD BE THAT WE
CREATE A WAY TO BE ABLE TO
ENHANCE NURSE SCIENTISTS WHO ARE
UNDER-REPRESENTED FROM OUR GROUP
ESPECIALLY WHO COULD BE OR
PARTICIPATE AND BE SUPPORTED IN
POST DOCK TORIAL ENHANCED
RESEARCH TRAINING ESPECIALLY
AROUND SOCIAL DETERMINANTS OF
HEALTH AND HOW IT IMPACTS HEALTH
DISPARITIES AND HEALTH
INEQUITIES IN OUR COMMUNITIES
AND MAYBE IN A VERY DIFFERENT
WAY THAN THE TRADITIONAL POST
DOCK TORIAL MECHANISMS THAT HAVE
BEEN IMPLEMENTED AND THAT MAY BE
THROUGH MECHANISMS THAT DON'T
REQUIRE REMOVING AND REPLACING
AND MOVING AWAY FROM AND
RELOCATING AWAY FROM AND GOING
INTO AN IN-RESIDENCY PROGRAM AT
AN INSTITUTION THAT IS FAR FROM
HOME WHERE THERE IS NO RELEVANCY
TO OR APPLICATION TO NEEDS OF
THAT COMMUNITY AND WHICH IS
WHERE ONE WOULD THINK THE PERSON
WOULD LIVE AND BE A MEMBER OF OR
CURRENTLY ARE A MEMBER OF AND
BECOMES MUCH MORE RELEVANT TO
STAY THERE. I'M ENCOURAGED. I
WOULD ENCOURAGE ALSO FOR US TO
THINK ABOUT MECHANISMS --
FUNDING MECHANISMS THAT MAY BE
ON -- THAT WAS MENTIONED LIKE
R25 AND T35 AND NOTED THERE HAS
BEEN ANOTHER MECHANISM AND T37S
THAT HAVE BEEN UTILIZED AND I
WOULD ENCOURAGE THAT AND SO
THANK YOU FOR GIVING ATTENTION
TO THIS. AND ESPECIALLY THE --
BEING TARGETED WITH FOCUS.
THANKS VERY MUCH.
>>IF I COULD ADD ONE THING WE
WERE THINKING ALSO ABOUT AS A
POSSIBILITY. IS FUNDING AN
INSTITUTION TO PERHAPS HOST AN
ANNUAL MEETING AROUND SDOH
RESEARCH?
AND DEVELOPING THAT ANNUAL
MEETING PROVIDING IN A VEHICLE
PROVIDING SUPPORT FOR TRAVEL
AWARDS AND SCHOLARSHIPS FOR
OTHER RESEARCHERS THAT NOT THAT
ARE COMING FROM LESS RESEARCH
INTENSIVE INSTITUTIONS OR
LOCATIONS.
THAT COULD THEN HAVE AN
OPPORTUNITY TO TRAVEL TO THAT
MEETING EVERY YEAR.
IT PRESENTS SOME OF SDERM AND
MENTORING AND NETWORK WITH
RESEARCHERS THAT WOULDN'T
NECESSARILY HAVE ACCESS TO THEIR
INSTITUTION. THAT WOULD BE ONE
STRATEGY TO BRING OR GET
EXPERIENCES THEY CAN THEN TAKE
BACK TO THEIR OWN LAB OR
SETTING.
T35 SUMMER INTENSIVE RESEARCH
PROGRAM YOU JUST MENTION COD BE
SOMETHING THAT FOR EXAMPLE
PREDOC COULD GO GAIN RESEARCH
EXPERIENCE AND TRAINING
EXPERIENCE IN THE SUMMER AND
TAKE IT BACK TO THEM IN THEIR
OWN RESEARCH SETTING.
>>TRIFTA STONE?
>>THANK YOU. I FIND THIS SO --
SO INNOVATIVE AND SUCH A NEEDED
OPPORTUNITY. I LIKE THE IDEA
COMING FROM ONE OF THE R1
UNIVERSITIES AT COLUMBIA. WE
STRUGGLE WITH SOCIAL
DETERMINANTS OF HEALTH AND
STRUGGLE SUPPORTING YOUNG
SCIENTISTS AND EMERGING
SCIENTISTS FROM
UNDERREPRESENTATIVE MINORITIES
ESPECIALLY OF COLOR AND THIS
IDEA OF BRINGING PEOPLE TOGETHER
AND GAINING INCREASING NETWORKS
AND INCREASING KNOWLEDGE ACROSS
UNIVERSITIES.
YOU KNOW, SUPPORTING PEOPLE AT
OTHER UNIVERSITIES OR OTHER
SETTINGS.
JOHN, I HEAR YOU. DON'T MAKE
PEOPLE LEAVE WHERE THEY ARE.
YOU KNOW, BRINGING PEOPLE TO
PLACES WHERE THEY CAN NETWORK
AND DEVELOP, YOU KNOW, NETWORKS
ACROSS SETTINGS I THINK WOULD BE
REALLY -- REALLY BENEFICIAL.
>>THANKS, PAT. OTHER COMMENTS?
ALL RIGHT. CHRIS AND CHRISTINA,
THANK YOU FOR YOUR WORK AND
COUNCIL THANK YOU FOR REALLY
HELPFUL THOUGHTS AND GUIDANCE
THAT WE SO APPRECIATE THAT. WE
LOOK FORWARD TO CIRCLING BACK TO
YOU ON THAT.
WE WILL MOVE ON TO THE SECOND
PRESENTATION BEFORE THE LUNCH
BREAK. DR. SHAL ON DAH WILL
PRESENT A CONCEPT ON HEAL NL
CARE COMMUNITY LINKAGES TO
ADVANCE HEALTH EQUITY.
FOLLOWING THE PRESENTATION
COUNCILMEMBER JOHN LOE WILL OVR
COMMENTS TO OPEN THAT
DISCUSSION. DR. BOOINUM, PLEASE
PROCEED.
>>THANK YOU DR. ZENK. GOOD
AFTERNOON I'M SHALANDA BOOINUM
AND DELIGHTED TO HAVE
OPPORTUNITY TO PRESENT CONCEPT
BRIDGE TO CARE FOCUSED ON
LINKING COMMUNITY ORGANIZATIONS
WITH HEALTHCARE ORGANIZATIONS TO
EFFECTIVELY ADDRESS HEALTH
ADVERSE OUTCOMES.
NEXT SLIDE.
SO, MY COLLEAGUES NICELY LAID
OUT THE IMPACT OF SOCIAL
CONDITIONS ON HELP. I WILL
REINTRODUCE THIS TOPIC IN BRIEF
FOR PURPOSE OF THIS PRESENTATION
AND CLEAR RECOGNITION THAT
HEALTH IS IMPACTED BY FACTORS
WITHIN AND OUTSIDE OF THE HEALTH
CARE SETTING DETERMINANTS BOTH
IN CONDITIONS THAT PEOPLE LIVE
AND INDIVIDUAL AND FAMILY
CIRCUMSTANCES THAT ENCOMPASS A
BROAD RANGE OF FACTORS SUCH AS
THOSE RELATED TO FOOD, HOUSING
AND TRANSPORTATION AND ALL OF
WHICH HAVE PROFOUND AND
SUSTAINED INFLUENCES ON ABILITY
OF POPULATIONS TO REALIZE THEIR
FULL HEALTH POTENTIAL.
GRAPHIC HERE ILLUSTRATES THAT
FACTORS ACCOUNT FOR THE LARGEST
VARIANTS IN HEALTH OUTCOMES
COMBINED WITH PHYSICAL
ENVIRONMENT FACTORS AND THIS
CONTRIBUTION IS EVEN HIGHER.
THE LAST POINT THAT I WANT TO
COMMUNICATE HERE IS THAT
MARGINALIZED POPULATIONS
INCLUDING RACIAL AND ETHNIC
MINORITIES GROUPS HAVE LESS
PRIVILEGED SOCIOECONOMIC GROUPS
AND EXCESS SOCIAL NEEDS AND
CONDITIONS THAT CREATE AND
PERPETUATE HEALTH DISPARITIES.
NEXT SLIDE, PLEASE.
GIVEN WHAT HAS BEEN DISCUSSED
TODAY ABOUT SOCIO FACTORS WE
KNOW HEALTH CARE IS CRITICAL.
IN ISOLATION, INSUFFICIENT TO
ADDRESS FULL RANGE OF
DETERMINANTS THAT INFLUENCE
HEALTH. AS SUCH CURRENT SYSTEMS
AND MODELS OF HEALTH CARE MUST
BE RE-IMAGINED TO MAKE
MEANINGFUL AND SUSTAINED
IMPROVEMENTS IN HEALTH SUGGESTED
BY CENTERS FOR MEDICARE AND
MEDICAID SERVICES TO MORE
EFFECTIVELY ACCOMPLISH THIS
GOAL, HEALTH CARE COMMUNITY
PARTNERSHIPS ARE EMERGING AS
CRITICAL TO ADVANCING HEALTH AND
HEALTH EQUITY. SUCH
PARTNERSHIPS BETTER ENABLE
HEALTHCARE ORGANIZATIONS TO
COMPREHENSIVELY ADDRESS PATIENT
AND COMMUNITY HEALTH OFFERING
SERVICES AND RESOURCES THAT ARE
OTHERWISE UNAVAILABLE WITHIN
HEALTH CARE CONTEXT AND MORE
SPECIFICALLY CLINICAL SETTINGS.
INNOVATING AND RE-IMAGINING HOW
CARE IS DELIVERED IN THE ROLE OF
HEALTH CARE ORGANIZATIONS AND
ADDRESSING COMMUNITY HEALTH
OFFERS A GREATER OPPORTUNITY TO
HOLISTICALLY MEET NEEDS OF
INDIVIDUAL PATIENTS AND THEIR
FAMILIES AND COMMUNITIES THAT
HEALTHCARE ORGANIZATIONS SERVE.
NEXT SLIDE, PLEASE.
WHAT WE KNOW IS A GROWING NUMBER
OF HEALTH CARE ORGANIZATIONS
HAVE ALREADY IMPLEMENTED AND
INCORPORATED SOCIAL NEEDS
SCREENING AND REFERRAL IN TWO
ROUTINE CARE AND THAT PRACTICE
IS LESS PRONOUNCED AND LOW
RESOURCE HEALTH CARE SETTING IS
INCONSISTENTLY IMPLEMENTED AND
DOESN'T DEMONSTRATE MEANINGFUL
PARTNERSHIPS WITH COMMUNITY
ORGANIZATIONS IN EFFORTS TO
BETTER ENSURE NEEDS ARE MET.
THERE IS ALSO AN OPPORTUNITY FOR
HEALTHCARE ORGANIZATIONS TO
ADDRESS COMMUNITIES SOCIAL
CONDITIONS TO MAKE IT EVEN
BROADER IMPACTS ON IMPROVING
HEALTH FOR POPULATIONS THEY
SERVE.
NOW, FOR OPPORTUNITY TO MEET
REALITY AND CONTEXTUALIZING
DELIVERY OF CARE FOR INDIVIDUALS
AND COMMUNITIES GAPS AROUND
SCIENTIFIC KNOWLEDGE OF
IMPLEMENTATION AND EFFECTIVENESS
OF SOCIAL NEEDS AND CONDITIONS
AND INTERVENTIONS MUST BE
CLOSED.
TO FACILITATE THIS, WE NEED A
LARGER BODY OF EVIDENCE ON
EFFECTIVENESS OF ADDRESSING
SOCIAL NEEDS ON HEALTH CARE
SETTINGS AND WE NEED TO EXPAND
UNDERSTANDING OF BEST APPROACHES
TO IMPLEMENTING PROGRAMS TO
ADDRESS SOCIAL NEEDS AND LOW
RESOURCE HEALTH CARE SETTINGS
WHERE A LARGE PROPORTION OF
PATIENTS EXPERIENCING ADVERSE
SOCIAL CIRCUMSTANCES MIGHT SEEK
CARE AND WE NEED TO CULTIVATE
MEANINGFUL CLINICAL COMMUNITY
PARTNERSHIPS STRENGTHENING
ABILITY OF HEALTHCARE
ORGANIZATIONS TO MOVE BEYOND
LIFTS TO INCREASE PROVISION OF
CARE AND WE NEED ADDITIONAL
RESEARCH CONDUCTED IN
PARTNERSHIP WITH COMMUNITY AND
HEALTHCARE ORGANIZATIONS TO
ADDRESS SOCIAL CONDITIONS WITHIN
COMMUNITIES TO BROADEN IMPACT.
NEXT SLIDE, PLEASE.
SO, A PATH FORWARD, BRIDGE TO
CARE IS INTENDED TO FEEL THE
SCIENTIFIC KNOWLEDGE GAPS JUST
DISCUSSED BY SHIFTING FOCUS FROM
CARE THAT IS SOLELY FOCUSED ON
PREVENTION AND TREATMENT OF
DISEASE AND IN THE MEDICAL MODEL
TO ONE THAT INSTANCE OF HEALTH
EQUITY ADDRESSING ADVERSE
CIRCUMSTANCES LIMITING
OPTIMIZATION OF HEALTH.
NEXT SLIDE.
SO, OVERALL PURPOSE OF BRIDGE TO
CARE IS ADVANCING RESEARCH THAT
LINKS CLINICAL CARE WITH
COMMUNITY SERVICES AND RESOURCES
TO ADDRESS UNMET SOCIAL NEEDS OF
INDIVIDUALS AND FAMILIES AND
ADVERSE SOCIAL CONDITIONS IN THE
COMMUNITY AMONG POPULATIONS THAT
ARE EXPERIENCING HEALTH
DISPARITIES THAT HAVE A BROAD
RANGE OF CONDITIONS AND
DISEASES.
NEXT SLIDE, PLEASE.
TO FULFILL THE PURPOSE OF BRIDGE
TO CARE, WE PROPOSE THREE LINES
OF RESEARCH.
AT FIRST FORMATIVE RESEARCH TO
INFORM DEVELOPMENT AND
IMPLEMENTATION OF INTERVENTIONS
THAT BRIDGE CLINICAL CARE WITH
COMMUNITY RESOURCES.
THIS MIGHT INCLUDE IDENTIFYING
BEST APPROACHES FOR INTEGRATING
SOCIAL NEEDS SCREENING AND
SERVICE LINKAGE AND TO
HEALTHCARE SYSTEMS IN
IDENTIFYING OPPORTUNITIES FOR
HEALTHCARE ORGANIZATIONS TO WORK
COLLABORATIVELY WITH COMMUNITY
ORGANIZATIONS.
ANOTHER LINE OF RESEARCH IS
INTERVENTION RESEARCH THAT IS
CONDUCTED IN PARTNERSHIP WITH
HEALTH CARE AND COMMUNITY
ORGANIZATIONS TO ADDRESS SOCIAL
NEEDS AT THE INDIVIDUAL OR
FAMILY LEVEL FOR SOCIAL
CONDITIONS AT THE COMMUNITY
LEVEL.
LASTLY, WE NEED RESEARCH TO
UNDERSTAND HEALTH IMPACT OF
FEDERAL, TRIBAL, STATE, LOCAL OR
ORGANIZATIONAL POLICIES AND
PROGRAMS FOCUSING ON ADDRESSING
STRUCTURAL AND SOCIAL CONDITIONS
AS WELL AS SOCIAL NEEDS.
BRIDGE TO CARE PROPOSES TO FILL
LINES OF RESEARCH TO INCREASE
EFFICIENCY AND EFFECTIVENESS OF
HEALTHCARE ORGANIZATIONS TO
IMPROVE HEALTH AMONG THEIR
POPULATIONS THAT THEY SERVE.
NEXT SLIDE.
THANK YOU SO MUCH FOR LISTENING.
I WELCOME ANY QUESTIONS.
>>THANK YOU. JOHN, FEEL FREE
TO PROCEED WHEN YOU ARE READY.
>>OKAY. THANK YOU DR. BOOIDUM
AND PURPOSE OF THIS CONCEPT IS
TIMELY AND IN RESPONSE TO NINR'S
STRATEGIC PLAN AND VISION FOR
SUPPORTING SCIENCE THAT ADVANCES
MISSION TO SOLVE PRESSING HEALTH
CHALLENGES INFORMING PRACTICE
AND POLICY OPTIMIZING HEALTH
ADVANCING HEALTH EQUITY INTO THE
FUTURE.
THERE IS A ROBUST BODY OF
LITERATURE COMMUNITY STRUCTURAL
SOCIAL POLITICAL ENVIRONMENT AND
CONDITIONS CONTRIBUTING TO
HEALTH INEQUITIES AND ABILITY TO
OBTAIN OPTIMAL HEALTH. CONCEPT
WILL PROVIDE OPPORTUNITIES TO
ADDRESS SOCIAL DETERMINANTS OF
HEALTH REQUIRES BROAD RANGE OF
ACTIONS INVOLVING COLLABORATION
OF MULTIPLE SECTORS WITHIN
COMMUNITIES THAT INCLUDE THOSE
WHO ARE ON OR AT FRONTLINES OF
HEALTH CARE AND NONETHELESS
IMPORTANT PLAYERS IN IMPORTANT
OR POTENTIAL CATALYSTS OF CHANGE
TOWARDS HEALTH EQUITY FOR
COMMUNITIES.
STUDIES NEEDED PROVIDING
EVIDENCE OF THE IMPACT HOW WELL
POSITIONED HEALTHCARE ENTITIES
CAN SUPPORT INDIVIDUAL FAMILY
AND COMMUNITY CLIENTS IN DEALING
WITH SOCIAL CHALLENGES RAISE
AWARENESS OF HUMAN COST AND
SUFFICIENTING RESULTING FROM
ISSUES SUCH AS POVERTY,
DISCRIMINATION, VIOLENCE AND
SOCIAL EXCLUSION AND ADVOCATE
FOR BETTER SOCIAL CONDITIONS TO
REDUCE HEALTH INEQUITIES AND
FORM RESPONSIVE HEALTHCARE AND
SOCIAL SYSTEM TO CARE FOR THOSE
IN NEED. MISSED OPPORTUNITIES
TO ADDRESS HEALTHCARE NEEDS OF
INDIVIDUALS WITHIN THEIR SOCIAL
CONTEXT HAVE BEEN IDENTIFIED AS
MAJOR FACTORS LEADING TO
INEFFICIENCIES IN HEALTH CARE
DLIFY AND GRANT MECHANISMS ARE
NEEDED THAT NOT ONLY SUPPORT
FORMATIVE INTERVENTION AND
EVALUATION STUDIES BUT ALSO
THOSE THAT SUPPORT ENHANCED
RESEARCH TRAINING PROGRAMS
PREPARING COHORTS OF NURSE
SCIENTISTS WITH THE ABILITY TO
CONCEPTUALIZE AND OPERATIONALIZE
CONSTRUCTS OF SOCIAL
DETERMINANTS OF HEALTH WITHIN
THE CONTEXT OF INDIVIDUALS,
ORGANIZATIONS, AND SYSTEMS
WITHIN A COMMUNITY.
THIS IS PARTICULARLY NEEDED FOR
POPULATION SUCH AS RACIAL AND
ETHNIC MINORITY POPULATIONS AND
LESS PRIVILEGED SOCIOECONOMIC
STATUS PROPLATIONS UNDERSERVED
RURAL POPULATIONS AND SEXUAL
GENDER MINORITY POPULATIONS.
THANK YOU .
>>THANK YOU, DR. LOE. COUNCIL,
OTHER THOUGHTS AND REACTIONS?
DR. AYALA?
>>WELL, IF YOU DON'T KNOW ME BY
NOW, I'M SCREAMING JOY AND LOVE
THIS INITIATIVE. THANK YOU.
I'M AT SAN DIEGO STATE
UNIVERSITY AND LED MULTILEVEL OR
MULTISECTOR INTERVENTIONS AND
POTENTIAL TO MINIMIZE DIFFUSION
AND RESPONSIBILITY IN THIS AMONG
PEOPLE WHO HAVE CONTROL OVER
SITUATIONS IS SO WONDERFUL WITH
BRIDGING AND SECT TORIAL TYPES
AND POTENTIAL TO REDUCE
MISCOMMUNICATION IN WHAT PEOPLE
HEAR AS WELL FOR WHAT THEY NEED
TO DO. CONGRATULATIONS. YOU
HAVE LOTS OF WORK AHEAD OF YOU.
THIS IS JUST AMAZING. I HAVE
ONE QUESTION THOUGH OR ONE
COMMENT.
SO, I HAVE PRIVILEGE OF WORKING
WITH NURSES ON A NEW CLINICAL
HEALTH EQUITY CLINICAL RESEARCH
NETWORK FOR HEALTH EQUITY. PART
OF WHAT THEY ARE TRYING TO DO IS
BUILD A RESEARCH DEPARTMENT
WITHIN A HOSPITAL IN A RURAL
SETTING.
ONE THING I WAS REALLY STRUCK
WITH IS NURSING RESEARCHERS AND
THEIR UNDERSTANDING OF FIDELITY
AND I WORKED WITH LOTS OF
RESEARCHERS BUT FIDELITY TO
TREATMENT THEY REALLY GET. EVEN
AFTER ONE DISCUSSION OF PROCESS
EVALUATION AND NEEDING TO ENSURE
THAT WHAT IS DELIVERED IN THIS
TRIAL IS ACTUALLY BEING
DELIVERED. THEY GOT IT. TWO
DAYS LATER THEY ARE ALREADY
SENDING ME PROCESS EVALUATION
DATA.
HOW IS IT OR CAN WE BUILD IN
THAT POTENTIAL MORE WORK IN
THAT? I THINK NINR AND
EXPERIENCE WITH PEOPLE FAIRLY
NEW RESEARCHERS AND ATTRACTION
AND UNDERSTANDING TO THAT HOW
CAN WE BUILD THAT? WE
DEFINITELY NEED IT IN OTHER
AREAS OF HEALTH PROMOTION AND
PUBLIC HEALTH RESEARCH. THANK
YOU.
>>THANK YOU VERY MUCH FOR THOSE
COMMENTS AND YOUR QUESTIONS
COMING FROM A PUBLIC HEALTH
BACKGROUND EVALUATION IS
IMBEDDED; RIGHT IS THIS.
IMPACT AND OUTCOME AND PROCESS
EVALUATION AND THINK FOR THIS
THAT IS PARTICULARLY IMPORTANT
IN TERMS OF BUILDING
EVIDENCE-BASE THAT WE NEED TO
KNOW WHAT WORKS OR DOESN'T WORK
AND ADJUST ALONG THE WAY. SO,
IN TERMS OF EVALUATION THAT IS
IMBEDDED IN THAT PIECE AND THAT
HOPEFULLY WILL PLAY OUT AND
REVIEW AND AGREE IMPORTANT PART
OF IT THAT IS OFTEN MISSED AND
FOLKS FOCUSED ON OUTCOME
EVALUATION AND UNDERSTANDING HOW
PROGRAM WORKS OR DOESN'T WORK IS
IMPORTANT AS WELL.
>>THANK YOU.
>>DR. BOOINUM I WANT TO PROVIDE
COMMENTARY IN STRONG FAVOR OF
THE CONCEPT AND LOVE DETIERING
OF BRIDGES TOO AND PROVIDING
OPPORTUNITIES TO DEVELOP
FUNDAMENTAL WORK ALL THE WAY TO
EVALUATION AND WHAT THIS HELPS
TO OVERCOME IS EXTENSIVE
ENDURING FRAGMENTATION DELIVERY
AND HEALTHCARE VIEWING THAT IS
SEPARATE FROM CARE OF PEOPLE
WHERE THEY ARE AND LIVE AND
PRIVILEGE OF WORKING IN CITY
WITH BEST HEALTH CARE IN THE
WORLD AND PARTICIPANTS LEAD FROM
EXEMPLARY HEALTHCARE BACK INTO
FOOD INSECURITY FOR THEMSELVES
AND OTHER FAMILIES AND OTHER
DIRE CIRCUMSTANCES AND ANY OTHER
OPPORTUNITIES THAT REALLY STEM
FROM THIS CONCEPT THAT HELP TO
BRIDGE SOME OF THAT IS
ABSOLUTELY PHENOMENAL. STRONGLY
IN FAVOR OF THIS INITIATIVE AND
THANKS FOR BRINGING IT TO OUR
COUNCIL'S ATTENTION.
>>THANK YOU DR. LEE FOR
COMMENTS.
YEAH. IT IS KIND OF THE
SCIENTIFIC PREMISE OF IT THAT WE
KNOW THAT HEALTH IS IMPACTED BY
SEVERAL DIFFERENT FACTORS.
HEALTHCARE ORGANIZATIONS THAT
ARE NOW INCORPORATING KIND OF
SOCIAL NEEDS SCREENING IS NOT
DOING IT IN A VERY EFFECTIVE
WAY. IN ORDER FOR PROGRAMS TO
BE SUSTAINED AND IN ORDER FOR
POLICY TO BE INFORMED WE NEED
EVIDENCE AND NEED RIGOROUS
RESEARCH TO BE ABLE TO INFORM
SUSTAINABILITY AND POLICY CHANGE
AT ORGANIZATIONAL OR STATE OR
LOCAL LEVEL, ET CETERA.
THANK YOU FOR THAT.
>>I HAVE A QUESTION. CLINICS
WE KNOW THERE ARE CLINICS IN
THIS COUNTRY THAT ARE OUT IN THE
COMMUNITY AND THINK SOME OR ONE
OF THE GAPS IS LOOKING AT NURSE
SCIENTISTS WORKING CLOSELY WITH
NURSE CLINICS AND ANY THOUGHTS
MAKING THAT PART OF PERHAPS AN
OBJECTIVE?
>>NURSE-LED CLINICS IN TERMS OF
PARTNERSHIPS?
>>YES. THERE ARE CUES THAT ARE
NURSE-LED AND ANY ALIGNMENT
WITHIN A COLLEGE OF NURSING AND
NURSE SCIENTISTS THAT WOULD
REALLY PROMOTE THIS KIND OF
WORK?
>>YEAH. WE -- AS CONCEPTS MOVE
FORWARD WE ARE DEFINITELY
INTERESTED IN ACADEMICS BE IT
MULTISECTORIAL; RIGHT? WE NEED
ACADEMIC RESEARCHERS AND FOLKS
WITHIN THE HEALTH CARE SYSTEMS
AND FOLKS WITHIN COMMUNITY
ORGANIZATIONS AND WE
CONCEPTUALIZE HEALTHCARE
ORGANIZATIONS VERY BROADLY THAT
COULD BE TRADITIONAL KIND OF
HOSPITAL SYSTEMS OR FEDERALLY
QUALIFYING HEALTH CENTERS THAT
COULD BE ANYWHERE IN WHICH CARE
IS RECEIVED AND HOW HEALTHCARE
ORGANIZATIONS THAT IS
CONCEPTUALIZED BROADLY.
WE SEE KIND OF SEVERAL DIFFERENT
PLAYERS THAT ARE BEING IMPORTANT
FOR THIS TYPE OF CONCEPT
SPECIFICALLY.
>>GREAT. THANK YOU.
>>IF I CAN DO A FOLLOW-UP
QUESTION.
DO YOU ENVISION THAT THE
EVIDENCE WOULD BE GATHERED FIRST
AND THEN FROM THE EVIDENCE IT
WOULD PROVIDE INFORMATION TO BE
INFORMATIVE TO WHERE MAYBE THERE
NEEDS TO BE REMEDIATION
TRAINING, ET CETERA OR DO YOU
THINK THAT EVIDENCE IS THERE
THAT THERE IS A GAP AND TRAINING
MAYBE NEEDS TO BE PART OF THE
PROCESS FOR ADDRESSING THIS
ISSUE? THANK YOU.
>>THANK YOU FOR THAT QUESTION.
I THINK WE NEED MORE EVIDENCE.
I SEE IT AS YOUR FIRST STATEMENT
AND BUILDING EVIDENCE TO INFORM
ORGANIZATIONAL CHANGE OR LOCAL
CHANGE IN TERMS OF POLICIES OR
PROGRAMS AND BUILDING EVIDENCE
TO INFORM HOW HOSPITAL SYSTEMS
AND CLINICS, ET CETERA, OPERATE.
AND I WOULD IMAGINE THAT THERE
WOULD NEED TO BE TRAINING AND
OTHER THINGS GOING ON WITHIN
SYSTEMS OF CARE TO BE ABLE TO
EFFECTIVELY IMPLEMENT AT AN
ORGANIZATIONAL LEVEL CHANGE AND
WE NEED EVIDENCE TO SAY, HEY,
THIS IS WORKING.
AND WE NEED THIS TO CONTINUE.
SO, FIENTD WHAT WORKS.
THEN INFORM CHANGE OR PUSH FOR
CHANGE. IT IS HARD FOR SOMEONE
TO ARGUE IF THIS IS WORKING OR
IMPROVING HEALTH IT SHOULDN'T BE
WIDELY IMPLEMENTED.
>>OTHER COMMENTS AS WE WRAP UP?
OKAY. THANK YOU SHALANDA AND
JOHN AND EVERYONE FOR WEIGHING
IN THERE AND CONTRIBUTING THOSE
IDEAS. THANK YOU. ALL RIGHT.
WE HAVE MADE IT TO OUR LUNCH
BREAK. SO, IT IS 1:10 EASTERN.
HOW ABOUT WE RECONVENE AT 1:50
EASTERN? THAT IS 40 MINUTES
FROM NOW. ANY CONCERNS ABOUT
THAT, COUNCILMEMBERS?
I SEE THUMBS UP. ANY THUMBS
DOWN?
OKAY. NO THUMBS DOWN. DON'T
SEE ANY SO FAR. ALL RIGHT.
LET'S GO WITH IT. I WILL SEE
YOU IN 40 MINUTES AT 1:50.
>>WELCOME BACK. IT IS
1:50. THAFRJS FOR THOSE BHO
WHO TURNED ON CAMERAS. I SEE
MORE. WELCOME BACK. GREAT.
LOOKS LIKE WE ARE DOING WELL IN
RECONVENING. AWESOME. I THINK
EVERYBODY IS MOSTLY BACK.
THANKS FOR. THAT WELCOME BACK.
AS I MENTIONED IN MY DIRECTOR'S
UPDATE THE ISSUE OF FIREARM
INJURY PREVENTION IS THE FIRST
STRATEGIC IMPERATIVE FOR THE
INSTITUTE AND PROVIDING CONTEXT
ON HOW OTHERS AND FEDERAL
RESEARCH IS ADDRESSING THIS
ISSUE. WE WILL HEAR FROM
POLYFROM NIH AND THE CDC AND
WILL START WITH CHRISTINA
HUNTER.
>>I AM.
>>GREAT. I WILL GIVE AN
INTRODUCTION AND TURN THE FLOOR
TO YOU. DR. HUVENTER IS ACTING
DIRECTOR FOR BEHAVIORAL AND
SOCIAL SCIENCE RESEARCH. I GOT
THAT WRONG. SORRY, CHRISTINE.
I WILL TRY AGAIN. DR. HUNTER IS
ACTING ASSOCIATE DIRECTOR FOR
BEHAVIORAL AND SOCIAL SCIENCES
RESEARCH AND ACTING DIRECTOR OF
NIH OFFICE OF BEHAVIORAL AND
SOCIAL SCIENCE RESEARCH AND IN
ROLES SHE SUPPORTS OUR OBS
MISSION IMPACTING AND ENHANCING
HEALTH BEHAVIORAL AND SOCIAL
SCIENCES RESEARCH AND
COORDINATING SCIENCES IN LARGER
ROOI SEARCH EBT PRIZE
COMMUNICATED HEALTH RELATED
BEHAVIORAL SOISHL SCIENCE
RESEARCH FINDINGS. SHE IS A
[INDISCERNIBLE] IN US PUBLIC
HEALTH SERVICE AND TURNING
MEETING OVER TO DR. HUNTER AS
SHE GIVES AN OVERVIEW OF NIH
RESEARCH SUPPORT ON FIREARM
INJURY AND MORTALITY PREVENTION.
WELCOME, CHRISTINE.
>>THANK YOU. I WILL SHARE MY
SCR
SCREEN.
>>HOPEFULLY THAT IS GOOD. I'M
PLEASED TO BE WITH YOU ON
FIREARM PREVENTION AND MORTALITY
RESEARCH. LY START WITH
INFORMATION ABOUT OUR OFFICE AND
OFFICE OF BEHAVIORAL AND SOCIAL
SCIENCE RESEARCH AND WHY WE ARE
COORDINATING THIS EFFORT. WE
SIT IN THE OFFICE OF THE
DIRECTOR AND ARE IN DIVISION OF
PROG GROOM COORDINATION PLANNING
AND STRATEGIC INITIATIVES.
FOR OUR OFFICE WE ARE REALLY
THINKING ABOUT THINGS THAT WE
CAN BE ENGAGED IN THAT FOCUS ON
INTEGRATION OF BEHAVIORAL AND
SOCIAL SCIENCE ACROSS THE NIH
FOCUSED ON COORDINATION AND
COLLABORATION WITH THE
INSTITUTES AND CENTERS ON
CROSS-CUTTING HIGH PRIORITY
BEHAVIORAL AND SOCIAL SCIENCE
RESEARCH ACROSS THE NIH AND HELP
TO IDENTIFY AND ADDRESS CRITICAL
CHALLENGES BARRIERS TO
ADVANCEMENT IN THE FIELD AND
FOCUS ON CHALLENGES THAT OUR
OFFICE IS UNIQUELY POSITIONED TO
ADDRESS AND THINK THAT FIREARMS
INJURY AND MORTALITY PREVENTION
CERTAINLY APPLIES TO MANY
INSTITUTES AND CENTERS BUT IS
REALLY A CROSS-CUTTING ISSUE
THAT IS A NICE AREA FOR OUR
OFFICE TO FOCUS ON. SO, I THINK
THAT HOPEFULLY WE CAN ALL AGREE
THAT FIREARM VIOLENCE IN THE US
IS AN URGENT PUBLIC HEALTH
CRISIS WITH TOO MANY ALARMING
HEALTH RELATED STATISTICS TO
REVIEW IN THIS BRIEF
PRESENTATION AND WANT TO
HIGHLIGHT A FEW. IN 20279% OF
HOMICIDES AND 53% OF SUICIDES
INVOLVE FIREARMS BETWEEN 2019
AND 2020 FIREARM INDRAESED AND
IS HIGHEST IN YEARS AND 2020
AGES 1 THROUGH 19 FIREARM
RELATED INJURIES BECAME THE
LEADING CAUSE OF DEATH. LARGE
DISPARITIES EXIST BY RACE,
ETHNICITY AND POVERTY
SIGNIFICANTLY IMPACTING AFRICAN
AMERICANS AND ALASKAN INDIANS
AND NATIVE ALASKAN POPULATION
AND NONFATAL INJURY WITNESSING
VIOLENT VICTIMIZATION INCREASES
RISK FOR ACUTE CHRONIC PHYSICAL
OR MENTAL HEALTH CONDITIONS AND
NIH HAS BEEN AND REMAINS COMMIT
TODAY SUPPORTING SCIENTIFIC
RESEARCH TO ADVANCE
UNDERSTANDING AND PREVENT
FIREARM VIOLENCE AND INJURY
MORTAL
MORTALITY.
THIS GRAPHIC IS TO SHOW SOME
MOST PREVALENT KEYWORDS USING
RCDC IN THE RESEARCH SPACE IN
THE LAST FEW YEARS.
IT ONLY INCLUDES NEW AWARDS THAT
IS BOTH FIREARM SPECIFIC FUNDING
OPPORTUNITIES AND OTHERS.
IT DOES NOT INCLUDE THE FY22
NETWORK FUNDING THAT I WILL TELL
YOU ABOUT IN A FEW MINUTES.
SO, AS I NOTED, NIH HAS ALWAYS
FUNDED SOME RESEARCH IN THIS
AREA. THESE THREE ASSOCIATED
FUNDING OPPORTUNITIES WERE
ISSUED IN FISCAL YEAR '13 AND
EXPIRE THE IN FISCAL YEAR '17
AND FOCUSED ON HEALTH
DETERMINANTS CONSEQUENCES OF
VIOLENCE AND PREVENTION OF
FIREARMS VIOLENCE AND OVER 125
PUBLICATIONS WERE FROM THESE
AWARDS.
THESE GRANTS LISTED HERE ARE
EXAMPLES.
IT WAS REALLY A RANGE OF THINGS
LOOKING AT ALCOHOL, DRUGS AND
PRIOR CRIMES AND RISK OF ARREST
AND LOOKING AT SOCIOLOGICAL AND
SOCIO CONTEXTUAL FACTORS AND GUN
CARRYING AND FIREARM VIOLENCE
THINKING ABOUT EXPOSURE TO
VIOLENCE AND SUBSEQUENT WEAPONS
USE.
MORE EXAMPLES WAS A RANDOMIZED
TRIAL OF ABANDONED HOUSING
REMEDIATION, SUBSTANCE ABUSE AND
VIOLENCE BUILDING RESILIENT
NEIGHBORHOODS AND POSITIVE
SOCIAL NETWORKS IN EFFORT TO
PREVENT GUN VIOLENCE THINKING
ABOUT INTERAGENCY DATABASE
LINKAGE TO UNDERSTAND PRECURSORS
OF FIREARM INJURY AND SUICIDE.
MORE EXAMPLES OF AWARDS THAT
COME FROM A RANGE OF TYPES OF
FUNDING OPPORTUNITIES SO IC-LED
FUNDING OPPORTUNITIES THAT
INCLUDED THINGS WITH A GENERAL
FOCUS ON VIOLENCE, INJURY
PREVENTION OR SUICIDE
PREVENTION. INVESTIGATOR
INITIATED WORK OR NIHWIDE WORK
AND HEALTH DISPARITIES AND
STRUCTURAL -- RANGE OF TOPICS
FROM FIREARM SAFETY AND SHORT
AND LONG-TERM IMPACTS CHILD
EXPOSURE TO VIOLENCE MODIFYING
SOCIAL DETERMINANTS OF HEALTH TO
REDUCE INJURY AND MORTALITY AND
FOCUSING ON RACISM AND FIREARM
RISK AND RESILIENCY AND THINKING
OF NOVEL APPROACHES RESEARCH
TRUSTED RESIDENCE AND HOUSING
ASSISTANCE TO DECREASE VIOLENCE
EXPOSURE.
FY20, CONGRESS APPROPRIATED
FUNDS AND THESE APPROPRIATIONS
PROVIDED $12.5 MILLION OF
FUNDING TO CDC AND NIH AND THIS
FUNDING IS CONTINUED INTO FISCAL
23 AND CONTINUES TO BE 12.5
MILLION A YEAR AND GOAL TO --
THIS INCLUDES CRIME PREVENTION
AND CONGRESSIONAL LANGUAGE
REQUIRES THAT RESEARCH BUT ME
IDEOLOGICALLY POLITICALLY BIASED
AND NO FUNDS TO PROMOTE GUN
CONTROL AND GRANTEES -- AROUND
OPEN DATA PREREGISTRATION, ET
CETERA.
RELATED TO APPROPRIATIONS IN
FISCAL YEARS 2020 AND 2021, WE
ISSUED THESE FUNDING
OPPORTUNITIES TWO-YEAR PILOT R61
AWARDS COMPETITIVE SUPPLEMENTS
AND THREE-YEAR R1 AWARDS PILOT
R2133 AWARDS YOU CAN SEE NUMBERS
AND INSTITUTES THAT ARE LISTED
HERE.
IN FUNDING OPPORTUNITIES WE TOOK
BROAD PUBLIC HEALTH APPROACH
INCLUDING BROAD [INDISCERNIBLE]
SUCH AS THINKING ABOUT RESEARCH
AND HEALTHCARE COMMUNITY
SETTINGS FOCUS ON MULTILEVEL
CONSIDERATIONS AND FOCUS ON
VICTIMIZATION AND PERPTRATION
RISK AND FOCUSED ON WIDE RANGE
OF TYPES OF VIOLENCE AND
POPULATIONS AND EVERYTHING FROM
SUICIDE YOUTH VIOLENCE CHILDHOOD
INJURY INTIMATE PARTNER VIOLENCE
AND JUSTICE INVOLVED AND IN
TERMS OF POPULATIONS INCLUDED A
BREADTH OF POPULATIONS. THESE
ARE EXAMPLES JUST AS INVOLVED
INDIVIDUALS AND PEOPLE WITH
ALZHEIMER'S AND RELATED DEMENTIA
AND VARIETY OF POPULATIONS THAT
EXPERIENCE DISPARITIES.
IN TERMS OF TYPES OF RESEARCH,
WE WANTED TO ALSO FOCUS ON A
RANGE OF TYPES OF RESEARCH.
RISK AND PROTECTIVE FACTORS AT
MULTIPLE LEVELS.
ALSO, REALLY MOVING THE FIELD
TOWARDS DEVELOPING AND PILOT
TESTING TO SCREEN AND PREVENT
FIREARM INJURY AND MORTALITY AND
COVERING SAMPLE AWARDS, AGAIN,
WE WON'T READ EVERYTHING HERE.
IT IS A NICE RANGE THINKING
ABOUT, YOU KNOW, UPSTREAM
SUICIDE PREVENTION AND
ENCOURAGING THROUGH ENCOURAGING
SAFE FIREARM STORAGE AND ALCOHOL
RESTRICTIONS AND FIREARM
PROHIBITIONS BASED ON MENTAL
ILLNESS AND UNDERSTANDING
EFFECTS OF THAT AND LOOKING AT
MECHANISMS UNDERLYING --
VULNERABILITY TO SUICIDE AND
THINKING ABOUT EVALUATION OF
BURNOUT PREVENTION OR OF A
BURNOUT PREVENTION PROGRAM FOR
STAFF AND GUN VIOLENCE
PREVENTION PROGRAM AND STATE
POLICIES ON MATERNAL MORTALITY
AND THINKING ABOUT ONE YEAR
AFTER FIREARMS INJURY AMONG
CHILDREN AND THEIR EMERGENCY USE
OR EMERGENCY ROOM USE IN THE US.
YOU CAN SEE THAT AT THE BOTTOM
THERE IS A FULL LIST OF AWARDS
AT THIS LINK. IF YOU WANT TO
REALLY DIVE INTO WHAT THE
PORTFOLIO HAS BEEN FROM THESE
FUNDING OPPORTUNITIES, THAT IS A
GOOD PLACE TO LOOK.
LAST YEAR AND THIS YEAR, WE --
TWL IS OPEN FUNDING
OPPORTUNITIES TO SEE AT BOTTOM
OF THE SLIDE AND EMPHASIZE
FUNDING OF A NETWORK OF RESEARCH
PROJECTS TO DEVELOP AND TEST
PROSPECTIVE INTERVENTIONS AT
COMMUNITY OR COMMUNITY
ORGANIZATION LEVEL.
WE FELT IT WAS AN IMPORTANT NEXT
STEP TO GO INTO NIH SUPPORT INTO
THIS RESEARCH AREA. ANOTHER
THING WE FEEL IS REALLY
IMPORTANT AND NOVEL THAT WE ARE
REQUIRING COMMUNITY PARTNERS AS
KEY PERSONNEL. THIS IS MORE
THAN JUST ENGAGED RESEARCH. IT
IS TRULY ACTIVE PARTNERS FROM
THE GET-GO. WE BELIEVE IT WILL
BE ESSENTIAL FOR SUCCESS.
YOU CAN SEE THAT THE
PARTICIPATING INSTITUTE CENTERS
AND OFFICES THAT ARE LISTED HERE
IS QUITE A WIDESPREAD OF NIH
THAT HAS BEEN A GREAT TEAM TO
WORK WITH. WE HAD ALSO A FUNDED
COORDINATING CENTER THAT WILL
ACT AS DATA AND COMMUNICATION
RESEARCH FOR NETWORK IN THE
FIELD.
THESE WERE SITES THAT WERE
FUNDED IN FISCAL YEAR 2022.
COORDINATING CENTER AT
UNIVERSITY OF MICHIGAN AND 3,
RESEARCH PROJECT SITES IN
CHICAGO, DC, AND MISSISSIPPI.
IN ADDITION WITH FISCAL YEAR '23
FUNDING OPPORTUNITY WE ARE
HOPING TO GROW THAT RESEARCH AND
SEE THAT NETWORK EXTENDED AND
EXPANDED AND IN ADDITION TO
RESEARCH WE COORDINATED ISSUANCE
OF A FEW OTHER VIOLENCE AND
FIREARMS FUNDING OPPORTUNITIES
NOT DIRECTLY TIED TO
APPROPRIATIONS FUNDING AND THIS
FUNDING OPPORTUNITY THAT YOU SEE
HERE IS FOCUSED ON INCREASING
THE UNDERSTANDING OF IDENTIFYING
THOSE AT RISK FOR FIREARM INJURY
AND DEVELOPING PILOTING AND
TESTING INNERVATETIVE
PREVENTIONS TO PREVENT MORTALITY
AND EXAMINING APPROACHES TO
IMPROVE IMPLEMENTATION OF
EXISTING EVIDENCE-BASED
PREVENTION INTERVENTIONS AND YOU
WILL SEE BROAD INCLUSION OF
VARIOUS SETTINGS AND POPULATIONS
WITH EMPHASIS ON MULTILEVEL
CROSS-SECTOR PARTNERSHIPS WHERE
APPROPRIATE. ONE EXCITING THING
ABOUT THIS FOA IS ALLOWED FOR
INCREASED INTEGRATION OF MORE
TARGETED INSTITUTE CENTER
PRIORITIES AND OUTCOMES AND
REALLY HELPS TO GROW THE NIH
PORTFOLIO BEYOND THE
APPROPRIATIONS-DRIVEN FUNDING
OPPORTUNITIES.
WE HAVE GREATER BREADTH AND
IN-DEPTH IN THE FIELD MOVING
FORWARD.
ANOTHER FUNDING OPPORTUNITY IS
AN EXAMPLE WHERE IT -- THE FOCUS
IS VIOLENCE AND INCLUDES
FIREARMS VIOLENCE AND IS LOOKING
AT EFFECTS ON HEALTH OUTCOMES AS
WELL AS INTEGRATION OF
VIOLENCE-RELATED SCREENING AND
INTERVENTIONS INTO HEALTH CARE
SETTINGS.
VIOLENCE IS BROADLY DEFINED AS
YOU CAN SEE HERE.
HEALTHCARE SETTINGS IS ALSO
BROADLY DEFINED AS ANY
ORGANIZATION WHERE PATIENTS GO
TO GET PHYSICAL OR BEHAVIORAL
HEALTH CARE. EVERYTHING FROM
FEDERALLY QUALIFIED HEALTH CARE
CENTERS COMMUNITY OR
SCHOOL-BASED CLINICS. PRIMARY
CARE VA FACILITIES AND CLINICS
AND ON AND ON AND REALLY
EXCELLENT INSTITUTE CENTER AND
OFFICE PARTICIPATION THAT YOU
CAN SEE AT THE BOTTOM OF THE
SLIDE. THROUGH OUR OFFICE WE
WILL CONTINUE TO PURSUE AND
COORDINATION AND DEVELOPMENT OF
NEW RESEARCH ACTIVITIES AND
ACROSS NIH WAY. WE WILL LEAN
HEAVILY ON THIS NIHWIDE VIOLENCE
WORKING GROUP. THIS WORKING
GROUP IS CO-LED BY STAFF FROM
OUR OFFICE, OBSSR. AND NICHD.
WE BELIEVE THAT THE NIHWIDE
COORDINATION WILL REMAIN REALLY
IMPORTANT IN THIS SPACE. WE ARE
ALSO VERY EXCITED TO SEE THIS
WORK MOVE INTO INCREASED KIND OF
IC-LED OR IC-SPECIFIC
INITIATIVES SUCH AS NI AND NIR
AND WE FEEL THIS IS REALLY THE
WAY TO GROW THE FIELD IN A
MEANINGFUL WAY AND MAKE SURE
THERE IS RESEARCH RELEVANT TO
SPECIFIC IC MISSIONS AND GROW
CAPACITY IN THE FIELD.
OTHER VIELGENCE RESEARCH
COORDINATION ACTIVITIES, EXCUSE
ME. THAT YOU MIGHT BE
INTERESTED IN. THE PAPER AT THE
TOP BULLET HERE IS ONE THAT YOU
MIGHT BE INTERESTED IN LOOKING
AT THAT HIGHLIGHTS FUTURE
DIRECTIONS FOR RESEARCH THAT IS
IN TRANSLATIONAL BEHAVIORAL
MEDICINE.
THERE IS ALSO AN INCREASING
RECOGNITION OF THE ROLE OF
VIOLENCE IN HEALTH-RELATED
OUTCOMES THAT I THINK INCREASED
FOCUS ON STRUCTURAL RACISM AND
BROADER INTEREST OF SOCIAL
DETERMINANTS OF HEALTH REALLY
BRINGS TOGETHER IMPORTANT NEW
DIRECTIONS FOR RESEARCH AT THE
NIH IN THIS SPACE.
THE IMPROVE INITIATIVE FOCUSED
ON MATERNAL TRANSFORMTY AND
HEALTH DISPARITIES PROGRAM
INCLUDE INVESTIGATOR INITIATED
PROJECTS FOCUSED ON VIOLENCE
AND, AGAIN, EXTENDING THE REACH
OF THE PORTFOLIO AT NIH AND
OPPORTUNITIES FOR IMPORTANT
RESEARCH AND EXCITED THAT WE
BELIEVE WE NEED FUTURE FOCUS ON
CAPACITY BUILDING AND TRAINING
SUPPORT IT THAT IS PARTICULARLY
FOR PIS FROM TRADITIONALLY
UNDER-REPRESENTED POPULATIONS.
AS OF YESTERDAY, WE SUCCESSFULLY
PUBLISHED 2K18 FUNDING
OPPORTUNITY ANNOUNCEMENTS AND
ARE REALLY EXCITED TO BE ABLE TO
GET THINGS LAUNCH THE IN THAT
SPACE AS WELL. PRIORITY WILL BE
ONGOING COLLABORATION BOTH
WITHIN THE NIH AND ALSO IN OUR
COLLABORATION THAT IS WITH CDC
AND THE NATIONAL INSTITUTES OF
JUSTICE AND OTHER FEDERAL
PARTNERS TO BE SURE THERE IS NOT
DUPLICATION AND THERE IS SYNERGY
THAT WE ARE STAYING COORDINATED
AND INFORMED OF EACH OTHER'S
EFFORTS.
SO, WITH THAT, AGAIN, AT THE
BOTTOM OF THE SCREEN, YOU CAN
SEE OBSSR VIOLENCE RESEARCH
INITIATIVES WHERE YOU CAN GET
MORE DETAILS AND CLICK ON LINKS
GOING TO REPORTER LINKS SEEING
SPECIFIC AIMS ON VARIOUS
INITIATIVES.
WITH THAT, I WILL STOP SHARING.
I WILL TAKE QUESTIONS.
>>THANK YOU, CHRISTINE. SO, I
HAVE ASKED DR. MONROE TO HELP
LEAD US IN DISCUSSION AND
CHRISTINE, THE FLOOR IS YOURS.
>>THANK YOU. I WANTED TO START
OUT BY SAYING REALLY THANK YOU
DR. HUNTER FOR THAT REALLY
EXCELLENT PRESENTATION. FIREARM
VIOLENCE IS A GREAT CONCERN TO
BE IN PUBLIC AND CONCERN TO
HEALTHCARE PROVIDERS OF BROADER
CONCERN TO THE SCIENTIFIC
COMMUNITY AND IS AN ISSUE
EFFECTING EVERY AREA OF OUR
LIVES. AS YOU NOTED IT HAS
SUBSTANTIAL IMPACT ON HEALTH OF
THE NATION THAT IS RELATED TO
HEALTH DISPARITIES.
SO, UNDERSTANDING THE UNDERLYING
CAUSES AND MULTILEVEL RISK
FACTORS IS KEY TO DEVELOPING
INTERVENTIONS TO PREVENT FIREARM
INJURY AND MORTALITY AND
EFFECTIVE INTERVENTIONS ARE
SDMRAET DESPERATELY NEEDED AND
CONGRESS APPROPRIATED FUNDS
SPECIFIC FOR FIREARM INJURY AND
MORTALITY PREVENTION AND I'M
GRATEFUL FOR LEADERSHIP AND
COOPERATION AMONG MULTIPLE NIH
INSTITUTES AND I NOTED NIOR IS
IN FOAS AND IN SPECIAL INTEREST
ON RESEARCH ADDRESSING VIOLENCE
AND IMPROVING HEALTH OUTCOMES
AND ARE DIRECTIONS FOR NINR AND
OFFERING WORKSHON IN NOVEMBER
2022 FIREARM PREVENTION AND
NURSE LED RESEARCH AND NINR AND
NURSING COMMUNITY HAVE MUCH TO
CONTRIBUTE TO PREVENTION OF
FIREARM AND INJURY MORTALITY.
CONTINUING TRAJECTORY OF THE
RESEARCH IS IMPORTANT AND
ADEQUATE FUNDING STRONG
LEADERSHIP COOPERATION ACROSS
NIH INSTITUTES AMONG CICD AND
OTHER FEDERAL AGENCIES WILL BE
NECESSARY TO MOVE RESEARCH
FORWARD. I'M HEARTENED BY
SEEING ALL THOSE ESSENTIAL
COMPONENTS IN PLACE.
SO, THIS QUESTION MAY BE BEST
ADDRESSED AFTER DR. SIMON'S
PRESENTATION. I WOULD BE
INTERESTED IN YOU TELLING US
ABOUT THE KRURNT AND PLANNED
INTERAGENCY COLLABORATIONS THAT
ARE PARTICULARLY COLLABORATIONS
WITH THE CDC.
>>THANK YOU. YES. NINR IS
DOING WONDERFUL THINGS IN THIS
SPACE AND ABSOLUTELY EXCITING
ROLES FOR NURSING SCIENCE TO
REALLY ADVANCE WHAT WE KNOW AND
INTERVENTIONS IN THIS FIELD.
IN TERMS OF COLLABORATION WE ARE
DOING IT ON MULTIPLE LEVELS
STAYING REGULARLY CONNECTED WITH
NINJ COLLEAGUES AND IS FOCUSED
ON MAKING SURE RESEARCH THAT
EACH AGENCY SUPPORTED WE ARE NOT
DUPLICATING EFFORTS AND THERE IS
SYNERGY IN EFFORTS AND DOESN'T
MEAN THERE WILL BE SIMILARITIES.
NEEDS REMAIN THE SAME WHETHER
FUNDS FROM CDC OR NIHJ AND
REALLY KEEP ABREAST WHAT EACH
OTHER IS DOG AND WE ARE INVOLVED
IN MULTIPLE WHITE HOUSE AND OSTP
GROUPS THAT HAVE INTERAGENCY
REPRESENTATIVES FOCUSED ON
EVERYTHING FROM GENDER-BASED
VIOLENCE, SCHOOL SAFETY,
POLICING, SOCIAL DETERMINANTS OF
HEALTH. I THINK THERE IS
OPPORTUNITIES FOR US TO ENGAGE
WITH LOTS OF FEDERAL AGENCIES
ABOUT WHAT IS HAPPENING IN THIS
SPACE ON DIFFERENT LEVELS.
SO, AT LEAST IN THAT REALM, I
FEEL WE ARE DOING A PRETTY
DECENT JOB BEING CONNECTED WITH
VARIOUS DIFFERENT AGENCIES. NOT
ALWAYS THE CASE BUT IN THIS
SPACE IT IS PRETTY GOOD.
>>GOOD.
>>I'M INTERESTED IN THE IDEA
THAT THERE ARE SOME
OPPORTUNITIES NOT FUNDED BY
SPECIAL APROPRIATION. ARE THEY
SUBJECT TO SAME CONSTRAINTS OF
APPROPRIATION REPORT LANGUAGE?
>>NOT QUITE AS DIRECTLY. I
MEAN, IN TERMS OF APROPRIATION,
WE TRY TO BE VERY SPECIFIC ABOUT
WHAT THE PRIMARY AIMS ARE.
PRIMARY AIMS, THEY LAL NEED TO
BE FIREARMS INJURY, MORTALITY,
AND PREVENTION. YOU HEAR ME SAY
THAT BECAUSE WE WANT TO BE
FOCUSED ON THAT AND BEING
POLITICALLY UNBIASED AND
IDEOLOGICALLY UNBIASED WILL
REMAIN IMPORTANT ACROSS ALL NIH
FUNDING AND ONE MORE THING
FOCUSING ON FUNDING
OPPORTUNITIES OUTSIDE OF THE
APROPRIATIONS THAT IS EXCITING
IS WE CAN THEN REALLY WEAVE INTO
SPECIFIC AIMS THAT ARE ABOUT
SUBSTANCE USE OR DISEASES.
YOU KNOW, REALLY GETTING AT SOME
OF THE OTHER TARGET OUTCOMES
THAT ARE AS PRIMARY AS WELL.
SO, IT DOES. WE ARE SO HAPPY
WITH APPROPRIATIONS.
SO, I DON'T THINK WE WANT FOR
OUR EFFORTS TO BE LIMITED TO
THAT. WE THINK THERE IS A LOT
TO BE DONE. THIS REALLY TIES
INTO A NUMBER OF IC MISSIONS AND
THIS IS AN OPPORTUNITY TO GROW A
BROADER RANGE OF WITH
APPROPRIATED FUNDS AND REGULAR
NIH FUNDS.
>>THANKS.
DR. JOHNSON HAS HIS HAND UP. I
WILL YIELD TO HIM.
>>I DO. THANK YOU VERY MUCH
DR. HUNTER FOR THAT EXCELLENT
PRESENTATION AND GREAT TO SEE
MOMENTUM BUILDING IN THIS AREA.
I WANTED TO COMMENT ON
APPROPRIATIONS A BIT MORE AND
FIRST BUSH IS EXCITING, 12.5
MILLION. I MENTALLY ZOOMED OUT
OR ZOOMED BACK AND THOUGHT THIS
IS A LEADING CAUSE OF DEATH IN
CHILDREN IN ADOLESCENCE. 12
POINT -- THINKING ABOUT IT
THROUGH THAT LENS, 12.5 MILLION
SEEMS LIKE A TINY DROP IN A
BUCKET. I JUST DIDN'T KNOW IF
YOU HAD COMMENTS ON THE SCALE OF
THE APROBE RATIONS AND YOU WERE
EXCITED ABOUT IT AND AS AM I.
IN TERMS WHAT WE THINK IS NEED
TODAY REALLY GET AT COMPLICATED
SETS OF ISSUES RESULTING IN THIS
BEING THE LEADING CAUSE OF DEATH
IN THIS GROUP.
AM I BEING TOO CRITICAL WHEN I
THINK THAT IS A TINY OR IS A
SMALL RESPONSE?
I DON'T WANT TO REIGN ON
PROGRESS, BUT IT JUST SEEMS NOT
HUGE.
>>SO, MAYBE I WILL ANSWER YOUR
QUESTION. NOT NECESSARILY BY
COMMENTING ON WHETHER THE
ORIGINAL APROPRIATION.
I THINK TO YOUR POINT IS EXACTLY
WHY WE WANTED TO HIGHLIGHT THE
FACT WE HAVE ACTUALLY BEEN
FUNDING WORK IN THIS AREA PRIOR
TO APPROPRIATIONS. THIS IS A
NICE SORT OF SEATING AND
LAUNCHING POINT TO REALLY ENGAGE
MULTIPLE IC PARTNERS THINKING
ABOUT WHERE THEY WANT TO BE IN
THIS SPACE AND MAKE SURE WE WORK
TOGETHER ACROSS NIH.
JUST AS YOU WILL HEAR TODAY AND
HEARD FROM DR. ZENK TO THINK
ABOUT WHERE NON-APPROPRIATED
FUNDS COULD BE COMMITTED IN THIS
AREA. DON'T SEE IT AS A
STOPPING BUT STARTING POINT.
MAKE SENSE?
>>THANK YOU. THAT IS
ENCOURAGING. THANKS.
>>DR.DR.ALA?
>>THANK YOU. IT WAS GREAT TO
UNDERSTAND WHERE INVESTMENTS ARE
BEING MADE. I'M CURIOUS IF YOU
CAN ELABORATE MORE ABOUT THE
TYPES OF COMMUNITY PARTNERS WITH
SOME OF THE FOAS YOU HAVE OUT
THERE. WHAT -- BECAUSE I -- IN
REFLECTING ON SOCIAL
DETERMINANTS DISCUSSION, WE --
AND I WORK IN OBESITY. SO, WE
KNOW THERE IS A LOT OF -- OF
RELATED DETERMINANTS ON BOTH
THESE ISSUES.
SO, WHAT TYPES OF PARTNERS MIGHT
INDIVIDUALS BE WORKING WITH?
>>SO, IN THE FUNDING
OPPORTUNITIES, IT IS PRETTY
BROAD. TO BE FRANK, I THINK WE
ARE INTERESTED IN A RANGE OF --
SO, IT COULD BE, YOU KNOW, CHILD
AND YOUTH PROGRAMS OPERATING IN
THE COMMUNITY AND COULD BE
COMMUNITY-BASED EFFORTS
REINTEGRATING AFTER
INCARCERA
INCARCERATION.
IT COULD BE -- WHAT WE WANT IS
PEOPLE ON THE GROUND THAT ARE
WORKING WITH POPULATIONS AND
THAT KNOW NEEDS TO ADDRESS AND
BE PARTNERS IN WHATEVER RESEARCH
INTERVENTION IS AND DEFINING
WHAT RESEARCH INTERVENTION
SHOULD BE AND HOW WE SHOULD
ENGAGE.
SO, YOU KNOW, IF YOU LOOK AT THE
NETWORK PROJECTS THAT ARE
FUNTDED, THERE ARE ONES THAT I
THINK ARE INVOLVED IN YAR. ONE
IS LOOKING AT --
>>I SAW ONE WAS HOSPITAL-BASED;
RIGHT?
>>RIGHT. RIGHT. IT IS -- SO,
NOW I'M JUST RAMBLING. I DON'T
KNOW EXACT DETAILS BUT DO KNOW.
>>IT IS OKAY. IT IS GOOD TO
KNOW. THANK YOU.
>>IT IS REALLY TO HAVE BROAD
COMMUNITY PARTNERS THAT IS
DEFINED PRETTY WIDE.
>>ARE THERE ANY OTHER QUESTIONS
OR THOUGHTS FOR DR. HUNTER?
OKAY. OH.
>>ALL RIGHT. THANK YOU.
>>ALL RIGHT.
>>THANK YOU, DR. ZENK. I TOO
AM PRETTY PLEASED TO SEE, AGAIN,
THE BREAD THE BR /* /* BREADTH
UNDERSTANDING IT IS A
CROSS-CUTTING ISSUE AND SOO
THINK IT WILL FILL GAPS IN
FIREARM PREVENTION AND FOR
PURPOSES DEVELOPING MODELS OF
CARES AND DEVELOPING MODELS THAT
INCLUDE SOCIAL DETERMINANTS OF
HEALTH. I'M REMINDED. DR.
THATCHER AND I HAD A GREAT
CONVERSATION THIS IS A ISH THU
IS ALL OUR ISSUES. I TOO DR.
AYALA SAID IT IS NOT REALLY MY
EXPERTISE. IT SHOULD BE OUR
EXPERTISE IT IMPACTS EVERYTHING
WE DO. OVER THE YEARS TRYING TO
GET US PREVENTIVE SERVICES
TASKFORCE TO RATE BASICALLY GUN
VIOLENCE COUNSELING AND RESEARCH
AND GUN VIOLENCE COUNSELING AND
INTERVENTIONS AS ARB AND HAVING
TROUBLE THERE GETTING THEM TO
SEE EVIDENCE AND THERE WAS A
DEARTH OF EVIDENCE AND BELIEVE
IT WILL BE CRITICAL IN FILLING
THAT GAP AND ESPECIALLY IN
COMMUNITIES DISPROPORTIONATELY
EFFECTED AND WHAT YOU INTEND TO
DO TO ENSURE A CONNECTION
BETWEEN WORK DONE AND OTHER
AGENCIES THAT ARE
OPERATIONALIZING HEALTH EQUITY.
>>EXCELLENT POINT. I
COMPLETELY AGREE. WE HAVE
OFFICE OF DISEASE PREVENTION
HERE AT NIH.
THEY ARE REGULARLY COORDINATING
WITH BOTH CDC'S COMMUNITY GUIDE
AND THE US PREVENTIVE SERVICES
TASKFORCE.
SO, SO I THINK THAT THOSE LINKS
ARE KIND OF EASILY MADE BETWEEN
RESEARCH IT THAT WE ARE
CONDUCTED AND YOUR POINT IS ALSO
WELL TAKEN THAT FOR LOT OF YEARS
MOST PREVALENT RESEARCH WAS
UNDERSTANDING OF OBSERVATIONAL
TRIALS THAT WE ABSOLUTELY NEED
OBSERVATIONAL TRIALS AND TO
REALLY UNDERSTAND WHAT RISKS AND
CAUSES ARE AND LOOKING AT THAT
LONGITUDINALLY AND CRITICALLY WE
NEED TO BILTD PORTFOLIO OF
PREVENTION AND INTERVENTION
RESEARCH AS WELL. THAT IS WHY
WE HAVE BEEN MOVING INTO
COMMUNITY-BASED NETWORKS FOR THE
LAST TWO YEARS.
>>THANK YOU. OTHER THOUGHTS OR
QUESTIONS FOR DR. HUNTER?
WELL, THANK YOU, CHRISTINE FOR
JOINING US AND EVERYTHING
EVERYONE FOR THOUGHTFUL
DISCUSSION AND APPRECIATE YOU
BEING HERE, CHRISTINE.
>>THANK YOU FOR HAVING ME.
>>LET'S DO A CHECK. I DO SEE
DR. SIMON. WE WILL MOVE ON TO
OUR CDC PARTNER AND PERSPECTIVE.
SO, AS I SAID, DR. THOMAS SIMON
WILL PRESENT TO US ON THE WORK
THAT THE CDC HAS DONE AROUND
FIREARM INJURY PREVENTION.
DR. SIMON IS THE SENIOR DIRECTOR
FOR SCIENTIFIC PROGRAMS AND
DIVISION OF VIOLENCE PREVENTION.
CDC'S NATIONAL CENTER FOR INJURY
PREVENTION AND CONTROL PROVIDING
LEADERSHIP ON SCIENTIFIC POLICY
RESEARCH METHODOLOGY AND
PRIORITIES FOR RESEARCH
ACTIVITIES AND WORK FOCUSES
PRIMARILY ON VIOLENCE WITH YOUNG
PEOPLE AND LINKAGES ACROSS
DIFFERENT FORMS OF VIOLENCE AND
IS PARTICULARLY INTERESTED IN
HOW CHANGES AND PREVENTION
STRATEGIES AND POLICIES CAN
REDUCE RISK FOR MULTIPLE TYPES
OF VIOLENCE AT POPULATION LEVEL.
DR. SIMON, THANK YOU FOR BEING
HERE TODAY. PLEASE FEEL FREE TO
PROCEED.
>>GREAT. THANK YOU SO MUCH.
THANK YOU TO THE COUNCIL FOR
INVITING ME HERE TODAY TO SPEAK.
I WAS VERY PLEASED TO LEARN
ABOUT YOUR INITIATIVE. I'M VERY
HAPPY TO SHARE INFORMATION ABOUT
OUR RESEARCH AND RELATED
ACTIVITIES RELEVANT TO FIREARM
INJURY PREVENTION.
NEXT SLIDE, PLEASE.
SO, AS YOU ALL ARE WELL AWARE,
FIREARM INJURIES ARE SIGNIFICANT
PUBLIC HEALTH PROBLEM EFFECTING
THOUSANDS OF PEOPLE AND FAMILIES
AND SCHOOLS AND COMMUNITIES
EVERY YEAR AND THIS PAST YEAR
CDC RELEASED NEW VITAL SIGNS
REPORT FIRST REPORT ON INJURY
AND PREVENTION AND RELATED
INEQUITIES AND CHRISTINE SHARED
SOME RESULTS. I WILL ADD MOST
RECENT DATA FROM CDC'S LEVEL
STATISTICS SURVEILLANCE SYSTEM
INDICATE THERE IS OVER 57 LIVES
LOST TO FIREARM HOMICIDE EVERY
DAY AND OVER 72 LIVES LOST TO
FIREARM LOSS EVERY DAY AND
SUBSEQUENT ARTICLE THAT WE
DOCUMENTED UNPRECEDENTED 33%
INCREASE IN FIREARM HOMICIDES
BETWEEN 2019 AND 2020 AND
INCREASE IN FIREARM HOMICIDE AND
FIREARM SUICIDE IN 2021 AND
INCREASES RESULT FIREARM HARM
SUICIDE RATES IN 2021 WERE
HIGHEST WE HAVE SEEN IN THE
UNITED STATES SINCE 1990 AND
1993 RESPECTIVELY AND LONG
DISPARITIES THAT HAVE WIDENED IN
THIS TIME PERIOD WITH FIREARM
RATES WITH YOUNG BLACK MALES AND
GAP IS WIDENING AND TALKING
ABOUT ISSUES THAT IS REALLY
IMPORTANT THAT AVOID
CONTRIBUTING TO HARMFUL
NARRATIVES THAT WE ARE REALLY
INTENTIONALLY TRYING TO
ARTICULATE FACT THAT SOCIAL AND
STRUCTURAL CONDITIONS INCLUDING
ECONOMIC CONDITIONS AND
EDUCATION AND HOUSING CONDITIONS
AND ACCESS TO SERVICES ALL
ASSOCIATED WITH RISK FOR
HOMICIDE AND SUICIDE DRIVING
DISPARITIES AND INEQUITIES AND
PANDEMIC COULD WORSEN THESE
DISPARITIES IN RACIAL AND ETHNIC
COMMUNITIES.
NEXT SLIDE, PLEASE.
CDC GOAL IS TO SAVE LIVES AND
MAKE COMMUNITIES SAFER AND DO IT
BY PROVIDING BEST DATA POSSIBLE
BY INFORMING ACTION CONDUCTING
AND FUNDING RESEARCH AND
DISSEMINATING BEST AVAILABLE
INFORMATION AND PROMOTING
COLLABORATION ACROSS SECTORS TO
PROMOTE VIOLENCE AND WILL TOUCH
ON ELEMENTS IN COMMENTS TODAY.
NEXT SLIDE, PLEASE?
SO, AS CHRISTINE MENTIONED IN
FISCAL YEAR 2020 CONGRESS
APPROPRIATED $12.5 MILLION TO
CDC AND NIH TO CONDUCT RESEARCH
ON FIREARM MORTALITY AND
PREVENTION AND FUNDING IS TO
EXAMINE BOTH UNDERLYING CAUSES
OF FIREARM INJURY DEATHS AND
CRIME AS WELL AS IDENTIFY
EVIDENCE-BASED PREVENTION
APPROACHES. CHRISTINE MENTIONED
THIS WAS REALLY LANDMARK FUNDING
FOR US AND FIRST TIME IN 20
YEARS CDC RECEIVED DEDICATED
FUNDING FOR FIREARM PREVENTION.
NEXT SLIDE, PLEASE.
SO, THE NEW APPROPRIATIONS
ALLOWED US TO RELEASE FUNDING
OPPORTUNITIES THAT JUST WOULDN'T
HAVE BEEN POSSIBLE OTHERWISE.
WE USE FUNDS TO ISSUE TWO RO1
RESEARCH GRANT ANNOUNCEMENTS IN
2020. ACTUALLY, THE FIRST WAS
IN 2020. IT SUPPORTED 16
AWARDS. SECOND ONE WAS JUST
RELEASED THIS PAST YEAR AND
SUPPORTED FOUR NEW AWARDS.
I WILL SHARE THAT IN EACH
ANNOUNCEMENT WE PROVIDED TWO
FAIRLY BROAD FUNDING OPTIONS.
FUNDING OPTION A IS FOR PROJECTS
THAT RELY ON EXISTING DATA AND
DO NOT SUPPORT IMPLEMENTATION OF
PREVENTION ACTIVITIES.
THESE PROJECTS WERE FUNDED FOR
UP TO $350,000 PER YEAR FOR UP
TO TWO YEARS.
THE SECOND FUNDING OPTION IS FOR
PROJECTS THAT DO REQUIRE SUPPORT
FOR NEW DATA COLLECTION OR FOR
IMPLEMENTATION OF PREVENTION
ACTIVITIES.
THESE PROJECTS COULD BE FUNDED
AT HIGHER AMOUNTS UP TO $650,000
PER YEAR AND LONGER PERIOD UP TO
THREE YEARS.
NEXT SLIDE, PLEASE.
SO, THE FUNDING ANNOUNCEMENTS
INCLUDED TWO BROAD OBJECTIVES.
THEY SUPPORTED RESEARCH TO
IMPROVE OUR UNDERSTANDING OF
FIREARM RELATED INJURY ACROSS
DIFFERENT TYPES OF FIREARM
INCIDENCE AND IDEOLOGIC TYPES OF
RESEARCH OR RESEARCH TO IDENTIFY
EFFECTIVE STRATEGIES AND
EVALUATION RESEARCH AND FUNDING
OPPORTUNITY ANNOUNCEMENTS WE
HIGHLIGHT HOW OBJECTIVES ALIGN
WITH PUBLISHED RESEARCH
PRIORITIES RELEASED BY INSTITUTE
OF MEDICINE IN COLLABORATION
WITH NATIONAL INSTITUTES OF
ACADEMIES IN SCIENCE AND WILL
SHARE INTEREST IN FUNDING
ANNOUNCEMENTS SUBSTANTIAL IN
BOTH YEARS RECEIVING MORE
APPLICATIONS THAN WE COULD FUND
AND UNDERSCORES IMPORTANCE OF
THE TOPIC AND NUMBER OF STRONG
IDEAS OUT THERE WAITING FOR
SUPPORT.
WHEN WE LOOK AND TAKE A STEP
BACK LOOKING ACROSS PROJECTS WE
FUNDED, THEY DO REPRESENT A GOOD
MIX ACROSS RESEARCH OBJECTIVES
IN GEOGRAPHY AND POPULATIONS.
NEXT SLIDE, PLEASE.
SO, I THOUGHT WE WOULD BRIEFLY
SUMMARIZE TYPES OF STUDIES WE
FUNDED AND PROVIDE A COUPLE
EXAMPLES.
SEVERAL OF THE FUNDED STUDIES
FOCUS ON UNDERSTANDING RISK AND
PROTECTIVE FACTORS ACROSS A
RANGE OF TOPICS INFORMING
PREVENTION THAT INCLUDE RESEARCH
ON FACTORS INFLUENCING FUND
RELATED ATTITUDES BEHAVIORS
ACCESS CARING AND SAFETY
PRACTICES RISK AND PROTECTIVE
FACTORS RELATED TO DIFFERENT
FORMS OF FIREARM INJURY AND
INFORMATION ON NEIGHBORHOOD
EXPOSURES AND RELATED FACTORS
AND EACH OF THE STUDIES ARE
DESIGNED TO ADDRESS SPECIFIC
GAPS AND IN TERMS OF FIRST
EXAMPLE, MOST PEOPLE WHO DIE BY
SUICIDE SEE A HEALTH CARE
PROVIDER SOMETIME IN THE YEAR
PRIOR TO DEATH. THIS GIVES
CLINICAL PROVIDERS AN IMPORTANT
OPPORTUNITY TO INTERVENE WITH
PATIENTS AT RISK WITH FIREARM --
AND LITTLE EVIDENCE TO GUIDE
IMPLEMENTATION CLINICAL
PRACTICES FOR SUICIDE PREVENTION
AND STUDY FUNDING CONDUCTED BY
JULIE RICHARDS AT KAISER
FOUNDATION HOSPITALS. SHE AND
HER TEAM ARE COLLECTING PATIENT
AND LEADER PERSPECTIVES ON
CLINICAL PRACTICES FOR
IDENTIFYING AND ENGAGING
INDIVIDUALS AT RISK OF FIREARM
SUICIDE. THEY ARE IDENTIFYING
OPPORTUNITIES FOR PRACTICE
IMPROVEMENT. THEY WILL
[INDISCERNIBLE] INTERVENTION
STRATEGIES IN THREE HEALTH CARE
SYSTEMS AND RESULTS WILL
HOPEFULLY HELP TO ADDRESS NEED
FOR PATIENT-CENTERED STRATEGIES
TO IDENTIFY ENGAGED PATIENTS AT
RISK OF FIREARM SUICIDE AND
ANOTHER STUDY TO MENTION IS LED
BY JASON GOALED STICK AT
UNIVERSITY OF MICHIGAN. THAT
TEAM IS VALIDATING SAFETY
CLINICAL SCREENING TOOL AND THEY
WILL EXAMINE ABILITY TO PREDICT
YOUTH FIREARM INVOLVEMENT WITHIN
THE SUBSEQUENT YEAR AND WORK TO
PREDICT SUCCESS OF THE TOOL.
EXCITED ABOUT THIS RESULTS COULD
FORM FUTURE RESEARCH AND
ASSESSMENTS FOCUSED ON
IDENTIFYING THE YOUTH MOST IN
NEED OF IDENTIFYING
INTERVENTION.
NEXT SLIDE, PLEASE.
OTHER STUDIES ARE RIGOROUSLY
EVALUATING A RANGE OF PREVENTION
APPROACHES THAT INCLUDE
HOSPITAL-BASED INTERVENTIONS AND
BYSTANDARD APPROACHES AND
INTERVENTIONS ENHANCING SAFETY
DURING TIMES OF ACUTE CRISES AND
FIREARM TO REDUCE INJURIES AMONG
CHILDREN TO GIVE A SENSE OF
DIVERSE TOPICS AND WE ARE
LOOKING AT MULTIPLE BEHAVIORAL
AND INJURY OUTCOMES INCLUDING
UNINTENTIONAL SUICIDE AND
ASSAULT RELATED INTENTS THAT I
WANTED TO SHARE HOSPITAL-BASED
VIOLENCE PREVENTION PROGRAMS
THAT ARE POPULAR BECAUSE OF
SUCCESS ENGAGING INDIVIDUALS IN
RISK AND RESEARCH GAPS AT RISK
AND WILL MENTION A COUPLE DR.
PAT TRICK CARTER AND TEAM ARE
EVALUATING ENTRE ACT
INTERVENTION BEHAVIORS AND
FIREARM VIOLENCE AMONG YOUTHS
AND TREATMENT AND URBAN
EMERGENCY DEPARTMENTS AND IS
INTERESTING THAT STUDY USES
BEHAVIORAL THERAPY SESSIONS AND
TAILORED MESSAGES AND UNIQUE AND
INNOVATIVE APPROACH INVOLVING
GPS NOTIFICATIONS ENTERING AREAS
PREIDENTIFIED PUTTING THEM AT
RISK FOR FIREARM VIOLENCE AND
WILL DETERMINE EFFECTIVENESS IN
TERMS OF REDUCING VIOLENCE AND
COST BENEFITS FOR INTERVENTION
AND POTENTIAL FOR BROADER HEALTH
IMPACT.
ANOTHER STUDY FOCUSED
SPECIFICALLY ON ADULTS THOSE AT
VIRGINIA COMMONWEALTH UNIVERSITY
CONDUCTING RANDOMIZED TRIAL FOR
BRIDGING THE GAP GTG INCLUDING
HOSPITAL-BASED PREVENTION AND
COUNSELING PROGRAM AND CASE
MANAGEMENT FOR VICTIMS OF
VIOLENCE AND STUDY WILL INCLUDE
COST BENEFIT ANALYSIS TO
DETERMINE ECONOMIC BENEFITS AND
RESULTS WE HOPE WILL DETERMINE
EFFECTIVENESS OF BGT FIREARM
INTERVENTION FOR ADULT VICTIMS
OF VIOLENCE.
NEXT SLIDE, PLEASE.
SO, I THOUGHT I WOULD SHARE IN
ADDITION TO THE MORE STANDARD
GRANT OPPORTUNITY ANNOUNCEMENTS
WE ALSO SUPPORTED TWO AWARDS FOR
NEW INVESTIGATORS.
THIS FUNDING SUPPORTS A MENTORED
RESEARCH EXPERIENCE. GOAL HERE
IS TO REALLY HELP TO BILTD THE
NEXT GENERATION OF FIREARM
VIOLENCE PREVENTION RESEARCHERS
AND FEEL THERE IS A GAP TO BE
ADDRESSED GIVEN LACK OF
RESOURCES FOR THIS KIND OF
RESEARCH FOR SO LONG AND ONE
FUNDED PROJECT IS DEVELOPING A
SOCIAL MEDIA INTERVENTION TO
ENHANCE STREET OUTREACH PROGRAMS
TO REDUCE CYBER BANGING
IMPLICATED IN YOUTH FIREARM
VIOLENCE AND SECOND PROJECT
DESCRIBING PROGRAMS AND POLICIES
ACROSS NEIGHBORHOODS IN
CLEVELAND OHIO AND DETROIT,
MICHIGAN IN NEIGHBORHOOD LEVEL
EXPOSURES PREDICTIVE IN FIREARM
VIOLENCE AND SUICIDE. NEXT
SLIDE, PLEASE.
SO, LAST RESEARCH ACTIVITY I
WANTED TO SHARE IS WE JUST
RECENTLY RELEASED TWO NEW
FUNDING ANNOUNCEMENTS FOR FISCAL
YEAR 23.
ESSENTIALLY WE SEPARATED OUT TWO
OBJECTIVES PROVIDING MULTIPLE
ADDITIONAL EXAMPLES.
ONE ANNOUNCEMENT FOCUSES MORE
SPECIFICALLY ON EAT LOGIC
QUESTIONS TO REDUCE FIREARM
VIOLENCE RELATED INJURIES DEATH
OR CRIME SPECIFICALLY IN
POPULATIONS OR SETTINGS
EXPERIENCING ELEVATED RISK.
SECOND IS TO SUPPORT RIGOROUS
EVALUATIONS OF INNOVATIVE AND
PROMISING STRATEGIES PREVENTING
FIREARM VIOLENCE AND INJURIES
AND WE HIGHLIGHT IMPORTANCE OF
LOOKING AT STRATEGIES FOR
DIFFERENT POPULATIONS INCLUDING
CHILDREN AND ACTIVE DUTY
MILITARY AND VETERANS AND RURAL
TRIBAL POPULATIONS AT RISK OF
INVOLVING OTHERS AND POPULATION
RISK ACROSS SETTINGS
NEIGHBORHOOD SETTINGS RURAL AND
URBAN SETTINGS LEVERAGED TO
PREVENT FIREARMS RELATED TO
CRIME AND LOOKING AT INDIVIDUAL
PEER COMMUNITY AND SOCIETAL RISK
AND PROTECTIVE FACTORS AND TRIED
TO EMPHASIZE NEED TO EVALUATE
STRATEGIES ADDRESSING SOCIAL AND
STRUCTURAL CONDITIONS
CONTRIBUTING TO RACIAL
INEQUITIES AND BOTH OF THESE ARE
ON THE STREET AND THEY ARE
CLOSING ON FEBRUARY 16TH AND
LOOKING FORWARD TO HOPEFULLY
GETTING A GOOD RESPONSE TO THOSE
AS WELL.
NEXT SLIDE, PLEASE.
I THOUGHT I WOULD PUT THESE
RESEARCH RELATED INITIATIVES IN
A SLIGHTLY BROADER CONTEXT. ONE
DIMENSION WE ARE USING SOME
FIREARMS FUNDING TO SUPPORT
ADVANCEMENTS AND SURVEILLANCE.
YOU MIGHT BE INTERESTED --
FIREARM INJURIES HAS BEEN A BIT
MORE CHALLENGING AND FASTER
INITIATIVE USES NATIONAL
SYNDROMIC SURVEILLANCE PLATFORM
TO DEVELOP AND DETECT OUTBREAKS
AND CURRENTLY SUPPORTING 10
STATE HEALTH DEPARTMENTS
PROVIDING SURVEILLANCE DATA THAT
IS ESSENTIALLY NEAR ARE REEL
TIME ON EMERGENCY DEPARTMENT
VISITS AND NONFATAL INJURIES AND
THIS FACILITATES DISSEMINATION
OF FUNDINGS TO KEY LOCAL
PARTNERS WORKING TO PREVENT
RESPONSE TO FIREARM INJURIES.
NEXT SLIDE, PLEASE.
AS CHRISTINE MENTIONED IN
LIMITED TIME WE HAVE TODAY, I
HAVE ALSO ONLY PROVIDED
HIGH-LEVEL OVERVIEW IN RELEVANT
INITIATIVES IN SURVEILLANCE
ACTIVITIES AND STUDIES I
MENTIONED AND [INDISCERNIBLE]
ARE AVAILABLE AND DESCRIBED ON
WEBSITE THAT IS SHOWN HERE.
WE HAVE INFORMATION ON PAGE
RELATED TO SURVEILLANCE PROJECTS
AND KEY DEFINITIONAL ISSUES
STATISTICS AND CONSEQUENCES AND
RANGE OF ISSUES TO -- NEXT
SLIDE.
I ALSO JUST WANTED EMPHASIZE
IMPORTANCE OF DOING THIS
RESEARCH IS TO DRIVE DATA TO
ACTION.
AND I WANTED TO MENTION THAT WE
JUST REALLY FOCUS ON URGENCY
PREVENTING FIREARM RELATED
VIOLENCE COMMITTED TO RESEARCH
PREVENTION INTO HANDS OF PUBLIC
AND RESEARCH PREVENTION AND
SHARED THROUGH VARIETY OF
CHANNELS AND WEBSITES AND SOCIAL
MEDIA AND WORKED TO DEVELOP A
SERIES WHAT WE CALLED TECHNICAL
PACKAGES SHOWN ON THIS SLIDE
HERE.
WE JUST RECENTLY EXPANDED THE --
WHAT WAS SUICIDE TECHNICAL
PACKAGE IS SUICIDE PREVENTION
RESOURCE FOR ACTION AND WHAT
EACH OF THE TECHNICAL PACKAGES
DO IS DESCRIBE THE BEST
AVAILABLE EVIDENCE FOR TAKING
ACTION NOW BASED ON RESEARCH.
AND THEY DESCRIBE THE
APPROACHES. EXAMPLES OF
SPECIFIC PROGRAMS AND POLICIES
OR PRACTICES AND WHAT IS KNOWN
ABOUT EVIDENCE FOR THEM. WE
ALSO, YOU KNOW, PROMOTE RESEARCH
RESULTS AND THESE EVIDENCE-BASED
STRATEGIES THROUGH PROGRAMATIC
INITIATIVES LIKE COMPREHENSIVE
SUICIDE PREVENTION PROGRAM AND
INITIATIVE CALLED PREVAIL
STANDING FOR PREVENTING VIOLENCE
EFFECTING YOUNG LIVES AND
INITIATIVES ARE DESCRIBED ON OUR
WEBSITE. SO, NEXT SLIDE.
I JUST WANTED TO END BY, YOU
KNOW, SAYING WE ARE COMMITTED TO
HELP MOVE THE FIELD FORWARD
THROUGH INNOVATIVE RESEARCH AND
DEVELOPING NEW PREVENTION
STRATEGIES AND GRANTEES WE
SUPPORTED ARE STILL FINISHING
PROJECTS WE ARE STARTING TO SEE
SOME FIENTDINGS AND EXPECTING TO
SEE MORE IN THE COMING YEAR AND
BEYOND.
AS WE CERTAINLY AS YOU STARTED
TO TALK ABOUT BEFORE WE JOINED
THERE IS SO MUCH WORK TO DO AND
WE ARE EXCITED TO HAVE COUNCIL
WORKING TO HELP ADVANCE RESEARCH
AND FIREARM PREVENTION AND
APPRECIATE THE OPPORTUNITY TO
TALK WITH YOU TODAY.
THANK YOU.
>>THANK YOU SO MUCH, DR. SIMON
FOR JOINING US AND FOR THAT
PRESENTATION. I HAVE ASKED DR.
BECCA MEYER TO HELP LEAD US IN
DISCUSSION. BETTY, FLOOR IS
YOURS.
>>GREAT. THANKS VERY MUCH FOR
HAVING ME. I HOPE THAT MY
INTERNET CONNECTION WORKS OKAY.
I HAVE HAD PROBLEMS AND WILL
TAKE MYSELF OFF THE VIDEO IF
NEED BE. THANK YOU FOR THAT DR.
SIMON AND DR. HUNTER. THE --
I'M THRILLED ABOUT THIS AREA OF
RESEARCH WITH SO MUCH RELEVANCE
TO NURSING SCIENCE AND THINK IN
TERMS WHERE WE CAN MAKE BIGGEST
IMPACT FROM UPSTREAM
PERSPECTIVE. SO, I THINK ABOUT
HOW THIS RELATES SO MUCH TO WORK
THAT WE DO IN NURSING AROUND
TRAUMA-INFORMED CARE AROUND ASIS
AND SAFE COMMUNITIES ADDRESSING
DISPARITIES AND SYSTEMIC RACISM
THAT ARE ALL RELATED TO THIS
AREA OF WORK.
YOU KNOW, WHEN I THINK ABOUT
STUDYING THIS KIND OF -- THIS
AREA OF RESEARCH, I WOULD LIKE
TO THINK THAT WE CAN -- WHAT WE
FUND THROUGH NINR CAN IDEALLY DO
AS MUCH AS WE CAN TO FUND THAT
WHICH IS REALLY ON THE
PREVENTION END OF GUN VIOLENCE.
I WOULD LIKE TO HEAR MAYBE YOU,
DR. SIMON, AND DR. HUNTER, IF
YOU CAN TALK A LITTLE BIT ABOUT
WHAT MIGHT BE POSSIBLE IN THE
AREA OF POLICY-RELATED RESEARCH.
THE -- IN THE NINR'S PRIORITIES
AND AREA OF FOCUS WE LOOK WHERE
NURSES WORK IN TERMS OF JUSTICE,
SCHOOLS AND HOMES. I THINK
THERE IS A LOT WE CAN BE DOING
RELEVANT TO THOSE AREAS EVEN
MORESO THAN SOME OTHER AREAS WE
LIST AROUND HEALTHCARE AND
CLINICS, ET CETERA, THAT FEEL A
LITTLE MORE DOWNSTREAM. I THINK
IN TERMS OF NINR PRIORITIES
AROUND SOCIAL INSTITUTES OF
HEALTH PREVENTION HEALTH
PROMOTION THESE ARE PERFECT FIT.
THINGS IF FOLKS COULD TALK ABOUT
A LITTLE BIT IS -- IS FOR ONE
THING THIS POLICY AREA. YOU
BROUGHT UP DEVELOPING AND
TESTING EFFECTIVE STRATEGIES AND
INTERVENTIONS AND COULD IT
INCLUDE POLICY RESEARCH?
>>I'M HAPPY TO START AND THINK
IT IS A GREAT POINT. TO ANSWER
YOUR QUESTION, YES.
OUR FUNDING OPPORTUNITY
ANNOUNCEMENTS EXPLICITLY DO
INCLUDE POLICY EVALUATION
RESEARCH.
>>OF -- OF GUNS?
>>OF ANY TYPE OF POLICY.
I WAS JUST ABOUT TO SAY.
>>OKAY.
>>WHEN LOOKING AT OPPORTUNITIES
TO ADDRESS UPSTREAM DRIVERS OF
HOMICIDE AND SUICIDE AS WELL AS
RACIAL DISPARITIES AND OTHER
DISPARITIES IMPORTANT TO
CONSIDER UNDERLYING CONDITIONS
AND OPPORTUNITIES TO EVALUATE
POLICIES RELATED TO HOUSING AND
EDUCATION AND RELATED TO
EMPLOYMENT AND RELATED TO
ECONOMIC SUPPORTS AND SUPPORTED
EVALUATIONS TO EARNED INCOME TAX
CREDITS FOR EXAMPLE SHOWING
SUBSTANTIAL BENEFITS IN TERMS OF
REDUCTION OF RISK AND
INTERPERSONAL VIOLENCE AND
SUICIDE AND POLICIES RELATED TO
FIREARMS ARE SPECIFICALLY
MENTIONED IN [INDISCERNIBLE] AND
COULD BE APPROPRIATE FOR
FUNDING.
THIS LAST CYCLE THAT I MENTIONED
IN 2022, WE ARE SUPPORTING
EVALUATION RELATED TO FERPA LAWS
EXTREME PROTECTION FOCUS LAWS
AND LOGIC THAT IS MORE AROUND
UNDERSTANDING HOW TO BETTER
IMPLEMENT FERPA LAWS IN STATES
ASSOCIATION WITH IMPLEMENTATION
AND FOLKS ON THAT TEAM ARE
LOOKING FOR WAYS TO ENHANCE
FERPO IMPLEMENTATION IN STATES
THAT HAVE THOSE LAWS.
I AGREE WITH YOU THAT, YOU KNOW,
THERE IS SOME REAL BENEFITS IN
TERMS OF RIGOROUSLY EVALUATING
POLICIES BECAUSE THEY CAN HAVE
BENEFITS AT THE POPULATION
LEVEL. IN PARTICULAR, BENEFITS
FOR ADDRESSING UNDERLYING
DRIVERS AND REDUCING INEQUITIES.
>>GREAT. GREAT. SEEMS WE JUST
SAW IN CALIFORNIA AS A EXAMPLE
CALIFORNIA HAS SOME OF THE
STRICTEST GUN LAWS HAD A RECENT
BIG MASS SHOOTINGS AND CLEARLY
THERE IS MORE TO KNOW WHAT
POLICIES WORK UNDER WHAT
CONDITIONS, ET CETERA.
FABULOUS TO HEAR.
THE -- ANOTHER THOUGHT I HAD AND
THIS IS MORE FOR US. IT IS AS
THE -- AS THE COUNCIL. THEN I
HAVE ONE MORE QUESTION FOR YOU.
DR. SIMON.
BUT A THOUGHT FOR US AS COUNCIL
AS WE THINK ABOUT THIS AND DOING
MORE IN THE AREA OF AS MUCH
UPSTREAM PREVENTION AS NECESSARY
AND POSSIBLE WE HAVE TO THINK
ALSO ABOUT HAVING REVIEWERS THAT
ARE SKILLED IN REVIEWING THESE
KINDS OF PROPOSALS THAT WILL BE
FAR LESS LIKELY TO BE MORE
BIOMEDICAL OR MORE DOWNSTREAM
HEALTHCARE ORIENTED.
SO, REVIEWERS AND GROWING
REVIEWERS THAT CAN ADEQUATELY
REVIEW THESE KIND OF PROPOSALS
IS A THOUGHT FOR US, I THINK, AS
A COUNCIL. ONE MORE KIND OF
TECHNICAL QUESTION WHICH DR.
HUNTER KIND OF ELUDED OR
MENTIONED THIS TOO.
BOTH MENTIONED THAT SUICIDES AND
HOMICIDES ARE HIGHEST NOW AS
THEY WERE IN EARLY 90S.
SO, DO WE HAVE ANY KIND OF -- DO
WE HAVE ANY -- WHY DO THEY COME
-- WHAT BROUGHT THEM DOWN AFTER
THAT PERIOD?
WHAT DO WE KNOW ABOUT WHAT MADE
THEM HIGH EVENT AND WHAT BROUGHT
THEM DOWN AFTERWARDS THAT WE CAN
LEARN FROM THAT PERIOD IN THE
EARLY 90S?
I WILL STOP THERE.
>>I CAN START.
I MEAN, I THINK THAT ONE KEY
ISSUE IS THIS INCREASE AS DR.
HUNTER MENTIONED AND I MENTIONED
WE SAW BETWEEN 2019 AND 2020 IS
AT A LEVEL THAT WE HAVE NEVER
SEEN BEFORE IN TERMS OF THE
FIREARM HOMICIDE RATES AND 35%
INCREASE IN ONE YEAR WE HAVE
NEVER SEEN A JUMP UP LIKE THAT.
SO, THAT MAKES US REALLY WANT TO
UNDERSTAND WHAT WAS IT ABOUT THE
CONDITIONS AND CIRCUMSTANCES
UNDER COVID THAT SO DRAMATICALLY
INFLUENCED THOSE RATES?
YOU KNOW, WHEN -- WHEN LOOKING
AT THAT AND EXPLANATIONS THAT
HAVE BEEN OFFERED FOR THE
INCREASE, YOU KNOW, PEOPLE TALK
ABOUT THE CHALLENGES THAT WERE
RELATED TO MAINTAINING SOCIAL
CONNECTIONS AND CHALLENGES
RELATED TO ECONOMIC STRESSORS
AND CHALLENGES RELATE TODAY
ACCESSING SERVICES AND SAME TIME
AS A COUNTRY WE SAW SUBSTANTIAL
CONCERNS ABOUT LAW ENFORCEMENT
USE OF FORCE IN COMMUNITIES AND
WE SAW MULTIPLE PROTESTS RELATED
TO THAT IN MANY COMMUNITIES LAW
ENFORCEMENT WAS STRUGGLING
BECAUSE OF THE ISSUES THAT WERE
AROUND COVID AND MAINTAINING
APPROPRIATE REATE SAFETY
PROTOCOLS RELATED TO COVID AND
THERE WAS SIGNIFICANT DISTRUST
ON PART OF THE COMMUNITY BECAUSE
OF THE EXAMPLES OF INAPPROPRIATE
USE OF FORCE.
THERE WERE CHALLENGES RELATED TO
TRADITIONAL ASPECTS OF
COMMUNITY-ORIENTED POLICING THAT
IN MANY WAYS SOME PEOPLE HAVE
ATTRIBUTED DECLINE TALKING ABOUT
OVER TIME IN HOMICIDE RATES
SUBSEQUENT TO MID-1990S TO A
VARIETY OF THINGS AND IN MID
1990S LAST SAW PEAK IN HOMICIDE
RATES CRACK OF PANDEMIC AND
FIREARMS INTO HANDS OF YOUNG
PEOPLE AND BOYS AND YOUNG
AMERICAN IN URBAN COMMUNITIES IN
PARTICULAR THAT WAS ASSOCIATED
WITH INCREASED IN FIREARM RATES
AND SAW IMPROVEMENTS IN LAW
ENFORCEMENT TO SOME EXTENT AND
COMMUNITIES THAT ALSO RECOGNIZE
THE AND BEGAN TO TACKLED
INTERPERSONAL VIOLENCE AND
HOMICIDE AS PUBLIC ISSUE THROUGH
COMPREHENSIVE APPROACHES AND ALL
THOSE FACTORS HAVE BEEN
COMBINING TO RESULTS IN
REDUCTIONS WE HAVE SEEN AND NOW
THAT WE ARE SEEING INCREASE
UNDER COVID CAUSES US TO TAKE A
STEP BACK AND REFLECT ON
ADDITIONAL RESEARCH IS NEEDED TO
MORE FULLY UNDERSTAND WHAT
EXACTLY HAPPENED DURING THIS
RESULT IN SUCH AN UNPRECEDENTED
INCREASE. I WILL STOP THERE.
>>PROFESSOR DAWES?
>>THANK YOU. DR. SIMON THANK
YOU AND DR. HUNTER FOR INCITEFUL
PRESENTATION AND IF YOU CAN
SHARE INSIGHT INTO THAT AND
TALKED ABOUT FACT THERE ARE 10
STATES SHARING DATA RIGHT NOW.
I WANTED TO KNOW IF MORE STATES
AND WHO ARE 10 STATE MOORNDZ
STATES IN HEALTH DEPARTMENTS
THAT IF IN PARTICULAR ARE BEING
APPROACHED AND SHOWING INTEREST
IN PARTICIPATING IN PROGRAM AND
SHARING THAT DATA?
>>GREAT QUESTION. WHAT I WILL
DO IS PUT IN THE CHAT THE LINK
TO THE PAGE, THE SPECIFIC PAGE
THAT LISTS GRANTEES.
AND WE ARE VERY EXCITED ABOUT
[INDISCERNIBLE] AND WE THINK THE
SYNDROMIC PLATFORM IS SUCH A
GREAT WAY TO GET NEAR REAL-TIME
ACCESS TO NONFATAL VISITS FOR
FIREARM RELATED INJURIES AND WE
RELEASED AN NOFO OR ARE IN THE
PROCESS OF RELEASING AN NOFO
THAT EXPANDS THAT FOCUS BEYOND
FIREARM INJURIES TO INCLUDE
OTHER FORMS OF INTERPERSONAL
VIOLENCES AS WELL. WITH
ADDITIONAL FUNDS RIGHT NOW FUNDS
ARE NOT AVAILABLE WITH
ADDITIONAL FUNDS WE HOPE IN THE
FUTURE TO BE ABLE TO EXPAND THE
NUMBER OF SITES AND FUNDING IS
BASICALLY ALLOWING THE STATES TO
APPLY SYNDROMIC DEFINITIONS THAT
TAKE ADVANTAGE OF A VARIETY OF
SEARCH STRATEGIES WITHIN A
RECORD TO IDENTIFY CASES THAT
MEET A PARTICULAR DEFINITION.
IN THIS CASE IT IS FIREARM
INJURY.
AND TO BE ABLE TO DESCRIBE
THOSE, THEY SHARE THEM IN
AGGREGATE. YOU KNOW, WITHIN THE
COMMUNITY AND THEY CAN DETECT
INCREASES MUCH MORE QUICKLY AS A
RESULT OF BEING ABLE TO ACCESS
DATA.
FUNDING IS ALLOWING THEM TO
APPLY DEFINITIONS AND UNDERSTAND
PATTERNS AND DISSEMINATE IT
LOCALLY.
>>CAN I JUST FOLLOWUP ONE MORE?
I WANT TO ASK ONE MORE QUICK
THING AND I UNDERSTAND THE
FUNDING IS LIMITED.
IS THIS SOMETHING THAT PERHAPS A
CDC FOUNDATION WOULD BE ABLE TO
HELP WITH?
I'M JUST CURIOUS IN TERMS OF
PRIVATE FUNDING.
>>YEAH. WE -- GREAT QUESTION.
WE ARE ACTIVELY ENGAGED WITH CDC
FOUNDATION ON MULTIPLE PROJECTS
AND ACTIVITIES.
WE WORK WITH THEM TO UNDERSTAND
WHAT GAPS AND OPPORTUNITIES THE
CDC SEES THAT WOULD RESONATE
MOST WITH THEM AND WITH
FOUNDATIONS THAT THEY WORK WITH.
WE ARE IN ONGOING CONVERSATIONS
WITH THEM ABOUT THOSE TYPES OF
ACTIVITIES.
>>THANK YOU.
>>DR. LOE?
>>YES. THANK YOU. THANK YOU,
DR. HUNTER AND DR. SIMON FOR
BRINGING THIS TO OUR FOCUS AND
ATTENTION TODAY.
I -- BEING NATIVE AMERICAN.
THIS MAY BE A LITTLE SHIFT AWAY
FROM YOUR STRATEGIC TARGET
FOCUS.
BUT, WE ARE -- SINCE A LOT OF
OUR POPULATION IS RURAL AND
GIVEN SOME ECONOMIC CHALLENGES,
FOOD INSECURITIES, WE ARE SEEING
AN INCREASE IN THE USE OF
FIREARMS AND ESPECIALLY FOR
HUNTING.
SO, ONE THING THAT IS COMING TO
OUR ATTENTION IS THAT THERE ARE
MAYBE UNINTENTIONAL INJURIES.
THERE ARE OTHER TYPES OF
INJURIES THAT ARE LIKE
NOISE-INDUCED HEARING LOSS
BECAUSE OF NON-PROTECTION.
YOU KNOW, WHEN USING FIREARMS,
ET CETERA.
SO, IT IS -- IT IS QUITE
ASTOUNDING SP INCREASES WE ARE
SEEING AS A SHARP INCLINE.
SO, I'M JUST CURIOUS TO SEE IF
SOME OF THE INITIATIVES WOULD
THIS FOCUS FOR PREVENTION.
THERE IS REALLY NO REAL GOOD
EVIDENCE-BASED PREVENTION FOR
THE ISSUE.
ESPECIALLY AMONG NATIVE
POPULATIONS.
SO, I'M JUST CURIOUS TO LEARN IF
SOME OF THE INITIATIVES WOULD
HELP, YOU KNOW, TO BE ABLE TO
EITHER TEST OR DEVELOP
PREVENTION OR INTERVENTIONS, ET
CETERA?
THANK YOU.
>>I'M HAPPY TO START.
THANK YOU FOR SHARING THAT.
YOU KNOW, IT IS INTERESTING. I
-- THERE HAVE BEEN SEVERAL
STUDIES THAT HAVE DESCRIBED
INCREASES IN FIREARM PURCHASES
IN THE RECENT PAST AND CURIOUS
TO KNOW IF YOU ARE -- IF IT HAS
BEEN DOCUMENTED IN TRIBAL
POPULATIONS AS WELL SEEING
INCREASES AND MIGHT EXPLAIN SOME
INCREASES THAT YOU JUST
DESCRIBED.
IN TERMS OF RESEARCH, SEVERAL
PROJECTS WE ARE FUNDING RIGHT
NOW ARE NOT SPECIFIC TO TRIBAL
POPULATIONS BUT THEY ARE
SPECIFIC TO YOUNG PEOPLE AND TO
RURAL POPULATIONS THAT MIGHT BE
RELEVANT IN ORDER TO -- THEY ARE
FOCUSED ON EDUCATING STRATEGIES
TO BETTER EDUCATE AND SUPPORT
YOUNG PEOPLE AROUND FIREARM
SAFETY. ONE OF THE PROJECTS I
WILL MENTION IS AT THE
UNIVERSITY OF WASHINGTON, THEY
ARE LOOKING AT CULTURE,
LONGITUDINAL PATTERNS AND SAFETY
PREVENTION OF HAND GUN CARRYING
AROUND RURAL ADOLESCENCE IN
PREVENTION FOR INJURY PREVENTION
AND A PROJECT IT HAS FOCUSED
MORE ON YOUNG PEOPLE IN
BYSTANDARD INTERVERNNTIONS AND
INTERESTING. THEY ARE WORKING
WITH 54H SHOOTING SPORTS CLUBS
WORKING TO ENHANCE FIREARM
SAFETY PRACTICES AMONG YOUNG
PEOPLE AND HELP YOUNG PEOPLE
FEEL EMPOW EARED THEY KNOW WHAT
APPROPRIATE FIREARM STORAGE AND
SAFETY PRACTICES ARE AND CAN
INTERVENE AND HELP YOUNG PEOPLE
TO BE SAFE WITH FIREARMS AS WELL
AND SPECIFIC EXAMPLES AND MIGHT
HAVE RELEVANT TYPES OF ISSUES
YOU WERE DESCRIBING.
>>IF I CAN JUMP IN. I WILL SAY
THAT ABSOLUTELY I THINK THAT
MANY FUNDING OPPORTUNITIES, YOU
KNOW, THIS WOULD BE SPOT ON. WE
TALKED ABOUT SUICIDE AND
HOMICIDE AND INTIMATE PARTNER
VIOLENCE.
WE ARE DEFINITELY LOOKING ALSO
AT UNINTENTIONAL INJURY
PREVENTION. FIREARM SAFETY AND
SAFE STORAGE AND ALL THINGS ARE
Y
YOU TALKING ABOUT THAT ARE WELL
ALIGNED AND IMPORTANT AND SOME
UNINTENDED CONSEQUENCES YOU SAID
HEARING DAMAGE AND THAT IS --
THOSE HEALTH OUT COMES ARE
SQUARELY WITHIN THE NIH'S
INTEREST. I THINK THIS WOULD BE
VERY WELL COMED.
LIKE DR. SIMON SAID WE HAVE A
RANGE OF PROJECTS THAT TOUCH ON
THESE ISSUES. WE WOULD LIKE TO
CONTINUE TO GROW THAT PORTFOLIO
IN ALL -- IN MANY POPULATIONS
INCLUDING TRIBAL POPULATIONS.
THANKS FOR YOUR QUESTION.
>>THANK YOU. ANY LAST BURNING
QUESTIONS OR COMMENTS?
IT HAS BEEN A REALLY HELPFUL
DISCUSSION.
THANK YOU.
OKAY. WITH THAT, I WANT TO
THANK TOM AND BETTY AND
EVERYONE, AGAIN, FOR THAT REALLY
GREAT DISCUSSION. OF COURSE,
CHRISTINE AS WELL. THANK YOU
FOR JOINING US. IT IS NOW 2:54
EASTERN. LET'S TAKE A BREAK AND
GO TO 3:05 EASTERN. THAT ALL
RIGHT?
ANY CONCERNS ABOUT THAT?
PERFECT. LET'S DO IT. SEE YOU
AT 305. THANK YOU.
I WILL START INTRODUCING OUR
LAST AGENDA ITEM REALLY OF THE
DAY BEFORE WE GO INTO CLOSED
SESSION.
SO, NEXT WE WILL PRESENT TO YOU
SOME CONCEPTS FOR FUTURE NINR
RESEARCH OPPORTUNITIES WITHIN
FIREARM PREVENTION STRATEGIC
IMPERATIVE. NINR STAFF TRIPLE S
FELLOW AND PROGRAM OFFICERS DR.
KAREN HUSK AND KAREN KEEL WILL
PRESENT A CONCEPT ON FIREARM
INJURY PREVENTION IN COMMUNITY
HEALTHCARE SETTINGS FOLLOWING
THEIR PRESENTATION COUNCIL
MEMBER DR. JOHNSON WILL OFFER
COMMENTS TO OPEN THE SESSION.
DR. SING, PLEASE PROCEED.
>>THANK YOU DR. ZENK. AND TO
THE COUNCIL FOR ALLOWING US TO
PRESENT THIS CONCEPT.
I AM DR. SING AND ALONG WITH MY
COLLEAGUES DR. KAREN HUSK AND
DR. KAREN CALE WILL PRESENT THIS
CONCEPT ON FIREARM INJURY
PREVENTION AND COMMUNITY
HEALTHCARE SETTINGS. NEXT
SLIDE, PLEASE. FIREARM INJURY
AND DEATHS --
FIGURES WILL BE INTENTIONAL AND
UNINTENTIONAL INJURIES CAUSE THE
BY FIREARMS ALARMINGLY RESULTS
COMPRISE 70% OF ALL MEDICALLY
TREATED FIREARM INJURIES AND DR.
HUNTER MENTIONED EARLIER
FIREARMS ARE USED IN MORE THAN
HALF OF ALL SUICIDES IN THE
UNITED STATES. SUICIDAL ACTS
USING FIREARMS HAVE HIGHEST
FATALITY RATE WITH NEARLY 90%
ENDING IN DEATH. NEXT SLIDE.
DISPROPORTIONATELY IMPACTING
MARGINALIZED POPULATIONS.
LACK OF INDIVIDUALS HAVE FIREARM
HOMICIDE RATES 10 TIMES GREATER
THAN WHITE INDIVIDUALS ACCORDING
TO RECENT DATA COMPARED TO
NONAESTHETIC WHITE MEN HOMICIDES
WERE UP TO 22.5 TIMES HIGHER
AMONG NON-HISPANIC BLACK MEN AND
3.6 TIMES HIGHER AMONG HISPANIC
MEN. AS YOU CAN SEE ON THE
RIGHT THERE IS NOTABLE
DIFFERENCES IN POVERTY LEVEL OF
THE COMMUNITY WITH HIGHEST
HOMICIDE AND SUICIDE RATES BEING
WITH COMMUNITIES OF HIGHEST
POVERTY LEVELS.
NEXT SLIDE, PLEASE.
FIREARM INJURIES AND DEATHS VARY
GEOGRAPHICALLY AS WELL.
ACCORDING TO CDC, FIREARM
RELATED DEATH RATES IN RURAL
COMMUNITIES WERE 20% HIGHER THAN
IN URBAN DUE TO HIGHER RATES OF
SUICIDES IN RURAL COMMUNITIES
AND EXAMPLE OF URBAN RULE
DISPARITY SEEN IN
HOSPITALIZATIONS FOR FIREARM
INJURY AND IN CHILDREN LOWER FOR
URBAN AND RURAL WITH 5 TO 9 YEAR
OLDS AND IT ENTO 14 YEAR OLDS
AND UNINTENTIONAL FIREARMS ARE
COMMON AMONG THOSE IN THESE AGE
GROUPS. NEXT SLIDE, PLEASE.
FIREARM INJURIES HAVE
RAMIFICATIONS WITH THE
INDIVIDUAL AND INCLUDING IMPACTS
ON FAMILY AND COMMUNITIES
SUBSTANTIAL LOSS RELATED TO CARE
LOST INCOME AND LEGAL SYSTEM
FIREARM VIOLENCE IS COMPLEX
PROBLEM REQUIRING ATTENTION TO
CONTEXT THAT INDIVIDUALS LIVE
LEARN WORK PLAY WORSHIP AND ANL.
IN OTHER WORDS REQUIRES
ATTENTION TO SOCIAL DETERMINANTS
OF HEALTH CONTRIBUTING TO
FIREARM RELATED INJURY.
REDUCING THREAT IS NORMALIZATION
OF FIREARM PREVENTION PRACTICES
ROUTINE HEALTH CARE AND
COMMUNITY INTERVENTION.
NEXT SLIDE, PLEASE.
>>THESE DATA SHOWS THAT THE
PROBLEM WITH FIREARM INJURY IN
DEATHS ARE CONTACT DEPENDENT AND
RESEARCH TO APPROVE PRIMARY AND
SECONDARY PREVENTION IN THE
HEALTH CARE SETTING SHOULD
PRIORITIZE MOST PRESSING LOCAL
NEEDS AND IMPROVE MEANINGFUL AND
SUSTAINED COMMUNITY ENGAGEMENT
TO ACHIEVE MEASURABLE MEANINGFUL
AND SUSTAINABLE RESULTS AT THE
POPULATION LEVEL. NEXT SLIDE,
PLEASE.
THE PURPOSE OF THIS CONCEPT IS
ADVANCING RESEARCH TO REDUCE
FIREARM INJURY AND RELATED
HEALTH SEC WELLA THROUGH
DEVELOPMENT AND EVALUATION AND
TRANSLATION INTO ROUTINE
PRACTICE OF PRIMARY AND
SECONDARY PREVENTIVE
INTERVENTIONS IN COMMUNITY
HEALTHCARE SETTINGS AND
PREVENTION INTERVENTIONS ARE
NEEDED TO ADDRESS FIREARM
MORBIDITY AND MORTALITY DUE TO
INTENTIONAL INJURY INCLUDING
SUICIDE AND UNINTENTIONAL
INJURY. UNDER THIS INITIATIVE,
NINR IS INTERESTED IN MODEL
APPROACHES TO FIREARM
INTERVENTION DIRECTED ALONG
MULTIPLE POINTS ALONG PRIMARY
AND SECONDARY PREVENTION
CONTINUUM RISK FACTORS EXPOSURE
IN INDIVIDUALS FAMILIES AND
POPULATIONS PREVENTING INJURY
AND REOCCURRENCE OF INJURY IN
ALIGNMENT WITH FOCUS OF HOLISTIC
CONTEXTUALIZED APPROACH
OPTIMIZING HEALTH WITH ALL
PEOPLE NINR PRIORITIZES RESEARCH
MEANINGFULLY INCORPORATING
SOCIAL DETERMINANTS OF HEALTH AS
PRIMARY DRIVERS OF HEALTH
EFFECTIVE AND SUSTAINABLE
SOLUTIONS TO CHALLENGES AND
FIREARM PREVENTION IN HEALTHCARE
SETTINGS WILL DEMAND INTEGRATION
OF SOCIAL DETERMINANTS OF HEALTH
PERSPECTIVE. NEXT SLIDE,
PLEASE.
NURSING CONTRIBUTION TO
PREVENTION SETTING -- IN THIS
CONCEPT COMMUNITY HEALTH CARE
WORKERS ARE INCLUDING BUT NOT
LIMITED TO PRIMARY CARE CENTERS
INCLUDING FEDERALLY QUALIFIED
CENTERS NONHOSPITAL WALK IN AND
SAME DAY HEALTH SERVICES SCHOOLS
AND PHARMACIES AND PHARMACY
BASED CLINICS AND VACCINATION
CLIN
CLINICS.
NEXT SLIDE, PLEASE.
SOME RESEARCH QUESTIONS TO BE
ADDRESSED INCLUDE WHAT
SCREENINGS AND DIRECTED
ASSESSMENTS AND BRIEF EDUCATION
INTERVENTIONS CAN BE CUSTOMIZED
FOR YOU TO USE SPECIFIC
COMMUNITY HEALTHCARE SETTINGS
AND WHAT MODELS OF CARE BEST
LEVERAGE NURSES UNIQUE SKILLS
PERSPECTIVES AND RELATIONSHIPS
WITH PEOPLE AND ORGANIZATIONS
WITH WHOM THEY INTERACT TO
NORMALIZE FIREARM PREVENTION
OPPORTUNITIES IN COMMUNITY
HEALTH CARE SETTINGS AND SOCIAL
DETERMINANTS OF HEALTH EFFECT
EFFICACY OR EFFECTIVENESS OF
FIREARM INJURY PREVENTION
PROGRAMS IMPLEMENTATION AND
ROUTINE PRACTICE IN
SUSTAINABILITY AND MY COLLEAGUE
WILL SHARE EXAMPLES.
>>NEXT SLIDE, PLEASE.
THANK YOU. SO, SOME OF THE
EXAMPLES OF PROJECTS OR
INITIATIVES MIGHT INCLUDE
INITIAL TESTING OF FEASIBILITY,
ACCEPTABILITY AND EFFICACY OF A
UNIVERSAL SCREENING APPROACH TO
IDENTIFY AT-HOME RISK HOME
ENVIRONMENTS AND EXAMPLE TESTING
PREVENTIONS FROM HEALTH MODELS
THAT HAVE BEEN SUCCESSFULLY
INTEGRATED INTO PRACTICE SUCH AS
THOSE ADDRESSING SEATBELT USE,
SMOKING CESSATION AND RISK
FACTORS FOR ALCOHOL ABUSE AND
BREAST CANCER SCREENINGS AND
OTHERS IMPLEMENTATION
EFFECTIVENESS AND PRAGMATIC
TRIALS FOCUSING ON
SUSTAINABILITY OF INTERVENTION
MIGHT BE ANOTHER OPTION AS WOULD
BE DEVELOPING AND TESTING
INTEGRATED MODELS OF PREVENTIVE
CARE THAT SPAN HEALTHCARE TO THE
COMMUNITY A COUPLE EXAMPLES OF
POSSIBLE PROJECTS MIGHT BE
NURSES SCREENING FOR FIREARM
EXPOSURE IN THE HOME AT
VACCINATION CLINIC IMPLEMENTING
ASSESSMENT FOR FIREARM KNOWLEDGE
IN PRIMARY CARE VISITS AT
FEDERALLY QUALIFIED HEALTHCARE
CENTERS.
NEXT SLIDE, PLEASE.
THIS INITIATIVE ALIGNS WITH NINR
GUIDING PRINCIPLES ADDRESSING
TODAY'S PRESSING HEALTH
CHALLENGES BEING BETTER PREPARED
FOR THE FUTURE. THE CONCEPT
REALLY DOES UTILIZE ALL NINR
RESEARCH LENSES FOCUSING ON MANY
COMMUNITY SETTINGS WHERE NURSES
WORK AND PEOPLE RECEIVE
HEALTHCARE.
AS YOU HEARD THIS ADDRESSES
HEALTH EQUITY AND SOCIAL
DETERMINANTS OF HEALTH AND
ADDRESSES POPULATION IN
COMMUNITY IN A COUPLE OF WAYS.
FIRST PROJECTS HAVE A
MULTI-LEVEL FOCUS OR COMMUNITY
LEVEL AND ALL PROJECTS SHOULD
INCORPORATE COMMUNITY
ENGAGEMENT. OVERALL, PROJECT IS
FOCUSED ON PREVENTION OF FIREARM
INJURIES.
WE WANTED TO ALSO BRING IN
SYSTEMS OF MODEL OF CARE LENS.
WE SEE THERE IS A REAL NEED TO
IMPLEMENT AND EVALUATE
INTERVENTIONS AND PROGRAMS
ADDRESSING PREVENTION OF FIREARM
INJURY THAT IS IMBEDDED IN
EXISTING MODELS OF HEALTHCARE
AND THAT OFFER NEW MODELS OF
CARE IN SETTINGS WHERE PEOPLE
ARE ALREADY RECEIVING
HEALTHCARE.
WE KNOW THAT THERE ARE SEVERAL
OTHER FIREARM INJURIES AND
VIOLENCE INITIATIVES AND FUNDING
OPPORTUNITIES AS YOU HEARD TODAY
FROM DR. HUNTER AND SIMON AND
NIR IS PARTICIPATING IN SEVERAL
OF THESE DEVELOPING CONCEPT
ROOEZ VIEWING THESE AND FEDERAL
FIREARM INITIATIVES VERY
CAREFULLY LOOKING AT AREAS NINR
COULD MAKE UNIQUE CONTRIBUTION
-- AND WITH INCLUSION OF
UNINTENTIONAL FIREARM INJURIES
AND THIS CONCEPT FOCUSES ON
COMMUNITY HEALTH CARE SETTINGS
WHERE PEOPLE INTERACT WITH
NURSES AND DAILY LIVES AND
CAPITALIZED ON PUBLIC -- WE WANT
TO POINT OUT CONKRECHT FITS WELL
IN NINR RESEARCH FRAMEWORK WITH
FOCUS ON SETTINGS WHERE NURSES
WORK AND USING MULTIPLE RESEARCH
LENSES SEEKING TO IMPACT POLICY
AND PRACTICE. NEXT SLIDE,
PLEASE.
THANK YOU VERY MUCH FOR YOUR
ATTENTION TO THE CONCEPT AND
LETTING US PRESENT IT. WE LOOK
FORWARD TO THE DISCUSSION.
>>GREAT. THANK YOU SO MUCH,
DR. JENSON.
>>HI. THANK YOU SO MUCH FOR
THAT EXCELLENT PRESENTATION AND
FOR THIS TOPIC THAT IS CLEAR
THAT A LOT OF THOUGHT HAS GONE
INTO. IT IS REALLY -- IT IS
REALLY EXCITING TO SEE WHERE
THIS ALIGNS WITH NINR'S
STRATEGIC PLAN AND IN SPECIFIC
AREAS OF EXPERTISE AND REALLY
APPRECIATE THE WIDE RANGE OF
SETTINGS INCLUDED IN THIS
INITIATIVE. SO, THE -- THE
DEFINITION OF COMMUNITY
HEALTHCARE SETTINGS TO INCLUDE
SCHOOLS PHARMACIES MOBILE HEALTH
UNITS AND WORKPLACES TO CAST A
WIDE NET AND DOES REALLY AS YOU
MENTIONED IN ONE OF YOUR LAST
COMMENTS REALLY DOES ILLUSTRATE
A GAP THAT IS A UNIQUE
OPPORTUNITY FOR NINR FOCUSED
SCIENCE TO CONTRIBUTE AND HAVE
AN IMPACT AND REALLY WELL-DONE
CRAFTING OF THIS. I ALSO REALLY
LIKE FOCUS ON NORMALIZING
PREVENTION SCREENING AND
INTERVENTIONS IN SETTINGS THAT
WOULD BE CRITICAL AND READING
THROUGH CONCEPT AND BEFORE
HEARING ANY PRESENTATIONS TODAY,
I KEPT THINKING ABOUT
POLITICALIZATION AND
POLARIZATION AND IN SOCIETY
RIGHT NOW ON SO MANY DIFFERENT
LEVELS AND CERTAINLY ON -- I
KNOW WE ARE NOT SUPPOSED TO SAY
GUN CONTROL BUT FIREARM
MORTALITY AND MORBIDITY
PREVENTION IS RIGHT THERE WITH
IT. JUST THINKING THROUGH AS
THIS RESEARCH GOES FORWARD AND
NINR IN PARTICULAR.
HOW TO -- HOW TO BOTH CONDUCT
THIS RESEARCH AND CONTEXTUALIZE
RESEARCH IN SUCH A DIVIDED SOCIO
POLITICAL CLIMATE AND ACROSS
DIFFERENT -- ACROSS DIFFERENT
SETTINGS AND DIFFERENT AREAS,
URBAN VERSUS RURAL AND REGIONAL
AND THINKING THROUGH HOW THAT
WILL PLAY OUT. AND -- AND I --
ALSO, IN THINKING THROUGH -- YOU
MENTIONED THE OTHER PRIOR PUBLIC
HEALTH INITIATIVES THAT MAY HAVE
GRAPPLED WITH SOME OF THE SAME
THINGS, SEATBELTS IN PARTICULAR
WHERE -- WHERE THE PUBLIC HEALTH
PROFESSIONALS AND OTHERS ARE
REQUIRING SAFETY PRECAUTIONS
THAT MAY COME AT ODDS WITH
SOMEONE'S INDIVIDUAL SENSE OF
FREE WILL AND WHAT THEY WANT TO
DO. SO, LEARNING FROM THOSE AS
WELL AS SMOKING IN PUBLIC PLACES
AND IN OTHER AREAS, THESE OTHER
THINGS, WHAT LESSONS COULD BE
LEARNED FROM THOSE EXPERIENCES
TO PLAY OUT THERE. I DO THINK
THIS IS GOING TO BE AS CRITICAL
AS IT IS. IT IS GOING TO BE
WALKING A FEW TIGHT ROPES IN
TERMS HOW DIFFERENT POPULATIONS
REACT TO IT.
I ALSO THOUGHT THAT THIS IS A
GREAT OPPORTUNITY TO LEARN IN
THESE VARIOUS SETTINGS AND WITH
VARIOUS POPULATIONS WHO ARE
TRUSTED MESSENGERS AND ONES THAT
WILL BE -- THAT THE PUBLIC IS
GOING TO BE OKAY WITH DOING THE
SCREENING AS WELL AS WHATEVER
INTERVENTIONS ARE APPROPRIATE.
THIS IS A GREAT CONCEPT TO BEGIN
TO FLESH THAT OUT MORE. ALSO,
REALLY LEARNING FROM -- TO DO
SCREENING FOR THIS AND IN THESE
DIFFERENT SETTINGS.
WHAT APPROACHES TO SCREENING
HAVE YIELDED IN OTHER -- FOR
OTHER TOPICS THAT HAVE YIELDED
OR WERE LIABLE AND VALID DATA
AND HOW CAN WE MOVE FORWARD WITH
MAKING SURE THAT WHEN -- IF
THERE IS UNIVERSAL SCREENING
ACROSS SETTINGS HOW IT IS ASKED
IN A WAY THAT GETS VALID ANSWERS
AND DATA WILL BE CRITICAL.
ALSO, IN THINKING THROUGH
DEVELOPMENTALLY APPROPRIATE
APPROACHES TO BOTH SCREENING AND
INTERVENTION ACROSS THESE.
SO, IF PART OF THIS IS WORKING
WITH CHILDREN AND ADOLESCENTS
VERSUS ADULTS AND OLDER
INDIVIDUALS, WHAT SORTS OF
APPROACHES NEED TO BE TAKEN THAT
ARE DEVELOPMENTALLY APPROPRIATE?
THIS CONCEPT LENDS ITSELF
NICELY TO THAT. YOU KNOW, THERE
WAS ONLY A TWO-PAGE DOCUMENT.
GOT ME REALLY -- PROVOKED A LOT
OF INTEREST IN LOTS OF THE
DIFFERENT INTERSECTIONS OF
FIREARM SAFETY, SCREENING,
INTERVENTION WITH IPV AND
SUBSTANCE USE AND MENTAL HEALTH
AND EXISTING RED FLAG LAWS THAT
THERE ARE SO MANY DIFFERENT
OPPORTUNITIES IT THAT I THINK
THIS OPENS THE DOOR TO HELP
UNDERSTAND THIS REALLY CRITICAL
AND URGENT PUBLIC HEALTH ISSUE
THAT AS WE HAVE SEEN THROUGH
DATA TODAY THAT IS GETTING WORSE
VERY QUICKLY.
SO, THOSE ARE SOME INITIAL
REACTIONS AND I'M EXCITED TO SEE
THIS GO FORWARD.
THANK YOU FOR SHARING IT.
>>THANK YOU. OTHERS?
I KNOW IT HAS BEEN A LONG DAY.
OKAY. I REALLY APPRECIATE YOUR
COMMENTS, MALORIE AND THANKS TO
NINR COLLEAGUES. WE HAVE ONE
LAST PRESENTATION AND TIME FOR
DISCUSSION. SO, NEXT UP IS DR.
TARLOV WHO WILL PRESENT A
CONCEPT ON EDUCATION AND
TRAINING IN FIREARM INJURY
PREVENTION AND RESEARCH AND
FOLLOWING THAT DR. FITZPATRICK
WILL OPEN CONVERSATION FOR
QUESTIONS.
>>THANK YOU I'M EXCITED TO
PRESENT THIS CONCEPT ADDRESSING
TRAINING AND FIREARM INJURY
PREVENTION RESEARCH LIKE ALL
CONCEPTS REPRESENTS THE IDEAS
AND EFFORTS OF A WHOLE TEAM OF
PEOPLE. NEXT SLIDE, PLEASE.
AS DR. ZENK MENTIONED ISSUE OF
FIREARM INJURY PREVENTION WILL
BE FIRST STRATEGIC PREVENTION
IMPERATIVE FOR NINR AND TO
IMPLEMENT IN OUR STRATEGIC PLAN.
THAT IS BECAUSE WE BELIEVE THIS
IS NOT JUST A CRIMINAL JUSTICE
PROBLEM BUT PUBLIC HEALTH
PROBLEM AND HEALTH EQUITY
PROBLEM AND BELIEVE IN POTENTIAL
FOR NURSE LED RESEARCH IN THIS
AREA TO MAKE A DIFFERENCE. AS
YOU HEARD FROM EARLIER
PRESENTERS FIREARM INJURY IS A
MAJOR CAUSE OF MORBIDITY AND
MORTALITY AND NOT ONLY VICTIMS
OF FIREARMS THAT SUFFER FROM
FIREARM VIOLENCE BUT FAMILIES
AND BYSTANDERS AND COMMUNITIES
EXPERIENCING LONG-TERM EFFECTS
AS WELL AND HIGHLIGHTED IN
PREVIOUS PRESENTATIONS THAT IN
ORDER TO PREVENT FIREARM INJURY
TO INDIVIDUALS AND FAMILIES AND
COMMUNITIES RESEARCH IS NEEDED
ON VIABLE STRATEGIES TO MITIGATE
THE RISK OF FIREARM INJURY AND
ITS SEQUELA. TO CONDUCT
RESEARCH WELL-TRAINED
INTEGRATIVE AND COLLABORATIVE
RESEARCH WORKFORCE IS NEEDED.
THIS IS ONE THING THAT CAME UP
AS A RECOMMENDATION AMONGST
PANELISTS IN THE WORKSHOP IN
NOVEMBER. NURSE SCIENTISTS ARE
WELL POISED TO STAND UP TO THE
FOREFRONT OF THIS FIREARM INJURY
PREVENTION RESEARCH AND PURPOSE
OF THIS CONCEPT IS TO BUILD
CAPACITY FOR THIS RESEARCH.
NEXT SLIDE, PLEASE.
THE OVERALL GOAL IS CREATING
EDUCATIONAL TRAINING INITIATIVES
PREVENTING FIREARM INTERVENTION
RESEARCH APPLYING HOLISTIC
CONTEXTUALIZED PERSPECTIVE AND
NINR'S RESEARCH LENS AND
ADDRESSING DISPARITIES IN
FIREARM INJURY AND RELATED
HEALTH SEQUELA AND INCLUDING
CONTENT AND EXPERIENCES
PREPARING INDIVIDUALS TO DESIGN
AND CONDUCT RIGOROUS RESEARCH
THAT BUILDS ON EXISTING
KNOWLEDGE.
EQUALLY IMPORTANT IS EMPHASIS ON
PARTNERSHIPS WITH OTHER
DISCIPLINES AND COMMUNITIES.
NEXT SLIDE.
THIS CONCEPT PROVIDES THE
FLEXIBILITY TO BUILD NURSING
SCIENTIST CAPACITY FOR FIREARM
INJURY PREVENTION RESEARCH
THROUGH MULTIPLE INITIATIVES AND
WE ENVISION BUILDING THIS
CAPACITY THROUGH PROGRAMS THAT
WILL EQUIP NURSING RESEARCHERS
WITH TOOLS, METHODS AND
KNOWLEDGE OF FIREARM INJURY
PREVENTION AND BUILD COHORTS AND
DEVELOP PARTNERSHIPS TO CONDUCT
INNOVATIVE, COLLABORATIVE AND
STRATEGIC-DRIVEN RESEARCH AND
ADDRESS HEALTH DISPARITIES AND
SEQUELI OF FIREARMS INJURY
INCLUDING WHERE NURSES PRACTICE
LIKE HOMES, SCHOOLS, WORKPLACES,
CLINICS, JUSTICE SETTINGS IN THE
COMMUNITY AS WELL AS HOSPITALS.
NEXT SLIDE.
THESE GOALS OF BUILDING CAPACITY
FOR FIREARM INJURY PREVENTION
RESEARCH ARE OVERLAPPING AND
SYNERGISTIC.
WE ARE ANTICIPATING THAT
SPECIFIC INITIATIVES DEVELOPED
FROM THIS CONCEPT WILL BE
DESIGNED TO ACCOMPLISH MULTIPLE
AIMS.
FOR EXAMPLE, AN INITIATIVE THAT
IS INVOLVING TRAINING GRANTS FOR
FIREARM INJURY PREVENTION
RESEARCH, WE WOULD EXPECT A
COHORT OF TRAINEES AND MEN TORS
WOULD SHARE KNOWLEDGE AND
STRATEGIES AND TRAINING COULD
INCLUDE METHODS OR OTHER SKILLS
AND INSTRUCTION FOR TACKLING
HEALTH DISPARITIES IN THIS FIELD
AS WELL. OR ESTABLISHING A
SHORT COURSE ON METHODS AND
DESIGN TO TACKLE FIREARM INJURY
PREVENTION WOULD NOT ONLY BE
RIGHT TO BUILD COHORTS OF
STUDENTS AND FACULTY AND ALSO
FOR DEVELOPING PARTNERSHIP
ACROSS DISCIPLINES TO BRING
DIVERSE PERSPECTIVES ON SEQUELI
OF FIREARM STRATEGIES AND
FACILITATING JOINT WITH OTHER
NIH FUNDED RESEARCH PROGRAMS IN
FIREARM INJURY PREVENTION OR
HEALTH DISPARITIES ENHANCE
TRAINING OF NURSING SCIENTISTS
AND DEVELOPING INITIATIVES TO
TRAIN NURSE SCIENTISTS IN
CONJUNCTION WITH ONGOING
CLINICAL FIREARM INJURY
PREVENTION RESEARCH THAT WOULD
BE A TERRIFIC WAY TO INCORPORATE
THE NURSING PERSPECTIVE INTO
OTHER PROGRAMS AND ENHANCE
TRAINING, ESPECIALLY IF RESEARCH
SETTINGS ARE THE PLACES WHERE
NURSES PRACTICE.
NEXT SLIDE, PLEASE.
GETTING NURSING RESEARCHERS
TRAINED AND IN THE FOREFRONT OF
THIS FIELD IS THE OVERALL
OBJECTIVE OF THIS CONCEPT.
I HOPE THAT I HAVE CONVEYED A
VARIETY OF POSSIBILITIES FOR
TRAINING, KNOWLEDGE BUILDING AND
PARTNERSHIP FOR NURSING
RESEARCHERS.
WE WELCOME YOUR COMMENTS.
>>INDEED. THANKS, ELIZABETH.
DR. FITZPATRICK? TRY TO UNMUTE,
ANNE.
>>OKAY. LET'S TRY THIS AGAIN.
SO, THANK YOU. I ECHO COMMENTS
OF EVERYONE ELSE TODAY ON HOW
TIMELY AND IMPORTANT THIS ISSUE
S IT IS REALLY EXCITING TO SEE
ALL THESE INITIATIVES COME
FORWARD.
I CAN TELL YOU AT THE CHILDREN'S
HOSPITAL I'M AFFILIATED WITH IS
ON THE FOREFRONT OF EVERY
FRONTLINE MEDICAL PROVIDERS.
WHAT I'M SEEING IS A REALLY
INTERESTING TREND IN OUR
TRAINEES THAT ARE VERY
INTERESTED IN THIS ISSUE. SO,
WHEN THIS ACTUALLY ROLLS OUT,
YOU WILL HAVE TREMENDOUS
ENTHUSIASM AND SUPPORT FOR THIS
TRAINING.
I WAS ALSO THINKING ABOUT
COMMENTS FROM EARLIER TODAY
ABOUT THE T32 MECHANISMS AND
SOME BIASES THAT WE HAVE. IT
WOULD ALSO ENCOURAGE YOU AS YOU
ROLL OUT INITIATIVES TO NOT JUST
FOCUS ON ADDITIONAL T32 TRAINING
SLOTS ABOUT YOU REALLY THINK
ABOUT HOW TO TARGET PEOPLE THAT
WOULDN'T NECESSARILY BE INCLUDED
BY MECHANISMS AND SOUNDS LIKE
YOU HAVE MANY IDEAS, CONFERENCES
AND SO FORTH. I THINK THIS IS
WONDERFUL WORK. I THANK YOU FOR
YOUR EFFORTS.
>>THANK YOU, ANNE.
OTHER QUESTIONS OR COMMENTS?
>>YEAH. NO. THIS IS GREAT.
THANK YOU, ELIZABETH. I'M
LOOKING FORWARD TO SEEING SORT
OF OUTCOMES OF THIS. IT SEEMS
AS THOUGH BUILDING ON SOCIAL
DETERMINANTS AND REALLY TEACHING
THEM HOW TO ADDRESS SOME OF
THOSE WILL BE A POTENTIAL
OUTCOME OF THIS. FOR ME, THE
POTENTIAL TRANSLATION TO OTHER
TRAININGS AND OTHER AREAS.
SO, IT WILL BE INTERESTING TO
LOOK AT THAT.
THANK YOU.
>>YEAH. I DO THINK IT IS
INTERESTING AS WELL. THIS IS A
VERY POLITICIZE THE ISSUE THAT
WAS ELUDED TO EARLIER. HAVING A
GROUP OF COHORT OF TRAINEES WHO
CAN GET TOGETHER AND REALLY TALK
THROUGH SOME POLITICS THAT THEY
ARE FACING SOUNDS LIKE THERE
WILL BE A TREMENDOUS EXPLOSION
OF KNOWLEDGE THAT WE DESCRIBE
THE PROBLEM AND NEXT IS FOCUSED
ON TRAINING AND IMPLEMENTATION
AND RESEARCHERS WILL HAVE SOME
POLITICAL BARRIERS IF YOU WILL
WHERE INSTITUTIONS MAY NOT
COMPETELY BE ON BOARD. I REALLY
LIKE THE COHORT MENTALITY. I
THINK THERE WILL BE STRENGTH IN
NUMBERS TO MAKE CHANGE.
>>I'M HOPEFUL THAT MAYBE YOU
MENTIONED THIS THAT THERE ARE
TRAINEES THAT ARE JUST BASED ON
WHAT JOHN WAS MENTIONING EARLIER
IN TERMS OF TRENDS HE IS SEEING
IN HISSED COMMUNITY AND TRAINEES
FROM THE COMMUNITIES AS WELL AS
SOME RURAL COMMUNITIES THAT ARE
REFLECTING ON SOME THINGS I HAVE
HEARD FROM FAMILIES AS WELL.
>>>>CAT?
>>THANK YOU. THIS IS SUCH AN
IMPORTANT AREA.
I THINK WE ALL AGREE ON THAT AND
IS AN AREA THAT NATIONAL ACADEMY
OF MEDICINE IS FOCUSING ON THIS
YEAR, FIREARM SAFETY.
I JUST WANTED, YOU KNOW, WITH
THE OFFICE OF BEHAVIORAL SCIENCE
AND I PROBABLY COULD GO THROUGH
CLIFT YOOIN /* /* -- CHRISTINE
HUNTER'S OFFICE AND SO MUCH
INTEREST IN THIS. YOU KNOW, I
THINK THE PARTNERSHIPS ARE
CRITICAL. YOU KNOW, THAT NINR
DOESN'T WANT TO LOSE SOME OF THE
OTHER PLACES WHERE THEY ARE
CLAIMING THEIR OWN AND WE SHOULD
BE LEADERS IN THIS. IT IS A
PROBLEM THAT IS FACING SOCIETY.
NOBODY COULD DOUBT THAT. YOU
KNOW?
I MEAN, IT IS ON THE NEWS. WE
HAVE MORE MASS SHOOTINGS. YOU
KNOW, AND DAYS IN A YEAR. IT IS
CLEARLY A PROBLEM.
BUT, YOU KNOW, I'M JUST -- THERE
IS A LOT OF HOW WE PARTNER AND
WORK WITH OTHERS IN THIS BIG
SPACE. I THINK IT WILL BE
IMPORTANT SO THAT WE CONTINUE TO
HAVE THINGS THAT ARE
SPECIFICALLY NURSING SCIENCE.
IS THAT RESONATING WITH ANYBODY?
UNDERSTAND WHAT I'M SAYING?
YOU KNOW, SOME OF THE STUFF WE
ARE DOING, WE NEED TO JUST MAKE
SURE WE ARE ALSO LEADERS IN THIS
AND WE ARE PARTICIPATING IN
COLLABORATORS NOT JUST LEADING
BUT WE MAINTAIN LEADERSHIP IN
OTHER AREAS.
>>THANK YOU FOR SHARING THAT.
ANYONE ELSE WANT TO ADD? JOHN?
>>I COULD PICK UP A LITTLE ON
THAT, PAT, IN THE SENSE THAT,
YOU KNOW, NURSES ESPECIALLY IN
TRIBAL COMMUNITIES ARE VERY
RESPECTED AND VERY LOOKED TO
WHETHER YOU ARE NATIVE OR NOT
NATIVE AND TO BRINGING A HEALTH
CARE PERSPECTIVE BECAUSE OF THE
HOLISTIC SOCIALIZATION AND
NURSES ARE USUALLY PROVIDED IN
FORMATIVE EDUCATION PROCESS, ET
CETERA.
IN SAYING THAT, NURSE SCIENTISTS
ARE ALSO RESPECTED IN NATIVE AND
TRIBAL COMMUNITIES.
AND SO -- AND -- AND THE PROBLEM
IS THAT WE ARE SO LIMITED.
ESPECIALLY IF YOU ARE NATIVE SO
LIMITED AND ALSO OTHERS AND WE
CAN PROVIDE ENTRAY FOR OTHER
SCIENTISTS AND NEUROSCIENTISTS
ESPECIALLY AND KNOW WHEN I GO
INTO A TRIBAL COMMUNITY THAT I
MIGHT NOT BE KNOWN. I ALWAYS
INTRODUCE MYSELF FIRST AS A
NURSE THEN AS A RESEARCHER.
SO, IT OPENS UP A LOT OF DOORS.
IN SAYING THAT, I THINK THERE
ARE SO MANY PLACES FOR NURSE
SCIENTISTS TO BE IN THIS SPACE
OF FIREARM PREVENTION AND IN
COMMUNITIES AND TRIBAL
COMMUNITIES AND ONE AREA
THINKING OF SCHOOL SETTINGS THAT
ARE JUST ONE OF THE GREATEST
PLACES AND SPACES TO BE AND DO A
LOT OF THIS WORK AND ESPECIALLY
IN TRIBAL COMMUNITIES AND
REACHING, YOU KNOW, A POPULATION
AND MULTIPLE AGES THAT ARE
SCHOOL-AGED.
SO, I'M EXCITED ABOUT THIS.
THANK YOU FOR WORK BEING DONE TO
BRING THIS TO FOCUS AND LOOKING
FORWARD TO YOU KNOW SEEING
INITIATIVES AND MECHANISMS TO
WHERE WE CAN, YOU KNOW,
HOPEFULLY DO THE -- DO THE
NEEDED WORK. THANK YOU.
>>YEAH. NO. I AGREE. I THINK
THERE ARE SO MANY OTHER PLACES
THAT, YOU KNOW, I THINK OF HOME
HEALTH AND IF THIS COULD BE PART
OF A SAFETY AND IN-HOME HEALTH,
YOU DO SAFETY CHECKS ABOUT
WHETHER THERE IS RUGS, YOU KNOW,
THAT SOMEBODY WILL TRIP ON.
MAYBE IT IS ALSO ABOUT FIREARMS
AND FIREARMS SAFETY AND SO MANY
PLACES THAT NURSES AND NURSE
SCIENTISTS CAN TAKE LEADERSHIP
IN THIS. I JUST I GUESS WORRY
ABOUT PALLIATIVE CARE AND END OF
LIFE ISSUES AND SOME OF THE
OTHER AREAS THAT WE HAVE BEEN
KNOWN FOR THAT I STILL THINK I
WANT TO OR WE NEED TO INVEST IN
IS WHAT I WAS THINKING NOW.
>>THANK YOU, PAT. CINDY, I SEE
YOUR HAND.
>>YEAH. I WILL CHIME IN. I
WILL AGREE WITH PAT THAT I THINK
THAT THIS IS CRUCIALLY
IMPORTANT.
BUT, I'M NOT SURE THAT IT CAN BE
THE SINGLE FOCUS AND BECAUSE WE
ARE HOLISTIC, WE NEED TO BE
THINKING ABOUT SOCIAL
DETERMINANTS OF HEALTH AND
LIFESPAN IN A MUCH BROADER WAY
OF SAYING THAT WE WILL SOLVE THE
FIREARM PROBLEM THAT IS OUR
ENTIRE REASON FOR DOING NURSING
SCIENCE.
SO, I WILL JUST AGREE WITH HER.
I THINK THIS IS CRUCIALLY
IMPORTANT. I WOULD NOT WANT IT
TO ERODE THE OTHER REALLY STRONG
PIECES OF THE PORTFOLIO. I
WOULDN'T WANT IT TO HAPPEN BUT
DON'T WANT OTHER AREAS OF THE
PORTFOLIO TO SUFFER IN ORDER TO
MAKE IT HAPPEN.
THE IDEA THAT NINR NOW HAS MORE
MONEY IN THIS YEAR'S
APROPRIATION GIVES ME SOME HOPE
THAT WE HAVE THE EXPANDED
CAPACITY TO BE ABLE TO DO MORE
THAN ONE FOCUS.
>>THANK YOU. OTHERS WANT TO
ADD?
>>I GUESS I WOULD ADD TO THAT.
I WOULD SAY THAT, I DON'T KNOW.
YES, AND, PERHAPS, THAT THIS
COULD BE AN AREA OF FIREARM
PREVENTION RESEARCH AND IT COULD
BE AN AREA UPON WHICH WE CAN
LEARN MORE AND GET BETTER AT
GETTING MORE UPSTREAM IN ALL
THESE AREAS OF OUR PORTFOLIO AND
IN NURSING SCIENCE.
IT COULD BE -- IT -- YOU KNOW,
IT COULD BE AN AMAZING STARTING
PLACE THAT WOULD BE RELEVANT FOR
A NUMBER OF OTHER KIND OF MORE
UPSTREAM AREAS.
>>THAT IS EXACT GOSH USE SO
BEAUTIFULLY, YEAH. I WAS
THINKING THAT TOO AND TRYING TO
GET TO THAT GENERALIZABILITY. I
WAS STARTING TO FEEL THAT WAY
MYSELF. WAIT. WHOA!
THERE IS SO MUCH. I THINK
LEARNING AND I HAVE LEARNED SO
MUCH EVEN TODAY WITH ALL THESE
PRESENTATIONS AND ALL OF THE
RELEVANCE TO SO MANY OTHER
HEALTH ISSUES.
>>THANK YOU.
>>SO, THIS WAS A REALLY HELPFUL
DISCUSSION. I REALLY APPRECIATE
ALL OF THESE IDEAS AND PEOPLE'S
REFLECTIONS AND PEOPLE'S, YEAH.
THOUGHTS AS WE MOVE FORWARD.
YEAH. TO CLARIFY FIREARM INJURY
PREVENTION IS, YOU KNOW, OUR
FIRST STRATEGIC IMPERATIVE THAT
IS NOT INTENDED TO BE THE ENTIRE
NINR PORTFOLIO THAT IS A
STRATEGIC IMPERATIVE.
SO, WHICH WE, AGAIN, THINK IT IS
REALLY IMPORTANT. I THINK WE
THINK THAT NURSE SCIENCE CAN
MAKE A HUGE DIFFERENCE GIVEN
PERSPECTIVE WE BRING AND IS
CONSISTENT WITH LENS AND
STRATEGIC PLAN AND MISSION AND
IS STRATEGIC IMPERATIVE AND IS
NOT INTENDED TO BE THE ENTIRE
PORTFOLIO AND THANK YOU FOR
RAISING THAT, PAT, AND FOR
EVERYONE JUMPING IN THERE. WITH
THAT, IT HAS BEEN AN EXCITING
DAY AND WE ARE GETTING ON IN THE
DAY. THANK YOU, ELIZABETH AND
ANNE AND EVERYONE ELSE FOR
CONTRIBUTING TO THAT
CONVERSATION.
SO, THAT DOES CONCLUDE OUR
PRESENTATIONS.
BEFORE WE WRAP UP OPEN SESSION,
WE WOULD LIKE TO OPEN THE FLOOR
FOR ADDITIONAL QUESTIONS AND
COMMENTS AND ANNOUNCEMENTS FROM
COUNCIL. SO, THE FLOOR IS
YOURS.
ANYTHING THAT YOU WOULD LIKE TO
SHARE?
>>I WOULD LIKE TO SHARE ONE
THING. ONE THING I HAVE HEARD
FROM PEOPLE AND GIVEN IT THOUGHT
BUT NOT DEEPLY.
PEOPLE WISH TO HAVE CENTERS THAT
WAS ELITIST UNIVERSITIES IT THAT
HAD THEM AND R ONES, WITHOUT A
DOUBT. THEY -- YOU KNOW, THEY
MISSED THE COLLABORATION THAT,
THAT BROUGHT.
IT BROUGHT ACROSS UNIVERSITIES.
AND WITH THE FOCUS ON INCREASING
DIVERSITY OF THE WORKFORCE AND
SOCIAL DETERMINANTS OF HEALTH
THROUGH T32S OR SOMETHING LIKE
THAT, I DON'T KNOW IN PARTNERING
WITH PEOPLE WHO DON'T HAVE T32S,
YOU KNOW?
I THINK THERE IS SOMETHING THAT
NINR COULD DO.
I DON'T KNOW WHAT THE ANSWER IS
BUT TO HELP BUILD COLLABORATIONS
ACROSS UNIVERSITIES AND WITH
RESOURCES AND THOSE
UNDERRESOURCED AND SERVING UNRM
STUDENTS AND IT IS JUST AN IDEA
THAT IS NOT REALLY THOUGHT
THROUGH AND I THINK IF THERE IS
A WAY TO DO THAT IT COULD BE
HELPFUL.
>>THANK YOU FOR SHARING THAT.
OTHER -- DO PEOPLE HAVE THOUGHTS
ABOUT THAT?
ANY REACTIONS?
>>ARE YOU FAMILIAR WITH RCMI
PROGRAM THAT NIMHD FUNDS?
>>RCMI?
>>RCMI.
I PUT IT IN THE CHAT. SO, YEAH.
I DON'T KNOW HOW THIS WORKS.
IT WOULD BE AWESOME IF NINR
COULD DO SOMETHING LIKE THAT AND
ESTABLISH THESE TYPES OF
CENTERS.
THESE ARE AT -- WE HAVE ONE OF
THEM. WE JOINED THE NETWORK
ABOUT 4.5 YEARS AGO.
IT IS DIFFERENT TYPES OF
FUNDING. IT IS U54 FUNDING AND
DON'T QUITE UNDERSTAND ALL OF IT
BUT IT IS SORT OF WHAT YOU
DESCRIBE IN TERMS OF, YOU KNOW,
IT IS NOT R1 TRYING TO GIVE
INFRASTRUCTURE.
>>YEAH. I HEARD THAT YEARS AGO
THERE WAS FUNTDING FOR LIKE
RESEARCH AND FOR BRIDGING
FUNDING AND SOMEBODY TOLD ME
UCSF, ACTUALLY, DID IT WITH A
UNIVERSITY IN PUERTO RICO AND
SOME PEOPLE SAID IT DIDN'T WORK.
I DON'T KNOW WHAT THE LESSONS
ARE BUT KNOW SOME OF THE PEOPLE
I COULD TALK TO ABOUT WHAT THE
LESSONS ARE, YOU KNOW?
IN SOME WAY TO HELP SHARE
RESOURCES AND INCREASE
COLLABORATION I THINK WOULD BE
GOOD.
>>ONE THING ABOUT THAT
MECHANISM I'M IN NO WAY TRYING
TO PUT ANYBODY DOWN THAT IS AN
R1, GOODNESS, GRACIOUS. NO.
WITH ONE LEVERAGE WE HAD AT SAN
DIEGO STATE WE DO WITH LOTS OF
PARTNERSHIPS AT UCSD AND OTHERS
IN THE AREA.
WE VERY MUCH APPRECIATE AND WITH
THAT FUNDING WE WEREN'T ALLOWED
TO ESTABLISH ANY PARTNERSHIP
WITH THEM. IT REALLY FORCED --
IT SORT OF GAVE US FREEDOM TO
SAY WE ARE NOT ALLOWED TO DO IT.
FUNDING IS STAYING HERE AND NOW
WHAT IS HAPPENING IS A LOT IS
GOING TO COMMUNITY PARTNERS THAT
IS REALLY GREAT. THEY ARE
GETTING A LITTLE UPSET ABOUT IT.
THAT IS THE OTHER UNIQUE THING
ABOUT THAT MECHANISM. YOU
COULDN'T GIVE IT TO THE R1
INSTITU
INSTITUTION.
>>YEAH. NO. THANK YOU FOR
RAISING THAT, PAT. IT IS AN
IMPORTANT ISSUE AND WE ARE HAPPY
TO THINK MORE ABOUT IT. IF YOU
HAVE -- YOU KNOW, OR ANYONE ON
COUNCIL HAS ADDITIONAL THOUGHTS,
PLEASE FEEL FREE TO REACH OUT
AND I'M HAPPY TO TALK MORE ABOUT
IT. WE WILL CERTAINLY CONSIDER
THAT AS WE GO FORWARD.
THANK YOU FOR SHARING THAT.
ANYTHING ELSE BEFORE WE END OPEN
SESSION? OKAY. WELL, THANK YOU
TO EVERYONE FOR YOUR ATTENTION
AND PARTICIPATION TODAY. IT HAS
BEEN A REALLY EXCITING DAY. WE
REALLY APPRECIATE YOUR
ENGAGEMENT, IDEAS, FEEDBACK AND
SUPPORT. OPEN SESSION IS NOW ENDED.