1 00:00:06,698 --> 00:00:08,333 GOOD MORNING EVERYONE. 2 00:00:08,333 --> 00:00:11,002 WELCOME TO THE NIH TOOLBOX 3 00:00:11,002 --> 00:00:12,704 ASSESSMENT CONFERENCE. 4 00:00:12,704 --> 00:00:17,542 I'M MOLLY WAGSTER AND I'LL BE 5 00:00:17,542 --> 00:00:22,247 THE MASTER OF CEREMONIES. 6 00:00:22,247 --> 00:00:24,282 WE'RE GOING TO START WITH 7 00:00:24,282 --> 00:00:27,885 OPENING REMARKS FROM LEADERSHIP 8 00:00:27,885 --> 00:00:29,954 OF SOME OF THE INSTITUTES THAT 9 00:00:29,954 --> 00:00:33,458 ARE INVOLVED WITH THE NIH 10 00:00:33,458 --> 00:00:34,626 BLUEPRINT FOR NEUROSCIENCE 11 00:00:34,626 --> 00:00:35,159 RESEARCH SUPPORTING THE 12 00:00:35,159 --> 00:00:37,695 CONFERENCE AND SUPPORTING THE 13 00:00:37,695 --> 00:00:39,030 DEVELOPMENT OF TWO THE 14 00:00:39,030 --> 00:00:41,165 MEASUREMENT SYSTEMS FEATURED IN 15 00:00:41,165 --> 00:00:43,401 THE NEXT TWO DAYS. 16 00:00:43,401 --> 00:00:46,971 IT'S MY PLEASURE TO INTRODUCE 17 00:00:46,971 --> 00:00:49,674 DR. WALTER KOROSHETZ DIRECTOR 18 00:00:49,674 --> 00:00:51,943 THE NATIONAL INSTITUTE OF 19 00:00:51,943 --> 00:00:52,510 NEUROLOGICAL DISORDERS AND 20 00:00:52,510 --> 00:00:56,414 STROKES FOR OPENING REMARKS. 21 00:00:56,414 --> 00:01:06,658 DR. KOROSHETZ. 22 00:01:28,880 --> 00:01:29,113 I'M 23 00:01:29,113 --> 00:01:31,482 >> I'M HERE TO WELCOME TO YOU TO 24 00:01:31,482 --> 00:01:33,251 THE IMPORTANT WORKSHOP AND 25 00:01:33,251 --> 00:01:35,153 SYMPOSIUM AND TALKING ON BEHALF 26 00:01:35,153 --> 00:01:36,087 OF THE BLUEPRINT FOR 27 00:01:36,087 --> 00:01:39,557 NEUROSCIENCE A GROUP OF ABOUT 12 28 00:01:39,557 --> 00:01:46,331 INSTITUTES AND CENTERS AT NIH 29 00:01:46,331 --> 00:01:47,231 INVOLVED IN NEUROSCIENCE 30 00:01:47,231 --> 00:01:52,370 RESEARCH STARTED IN 2004. 31 00:01:52,370 --> 00:01:55,139 IN 2012 THE GROUP DECIDED IT WAS 32 00:01:55,139 --> 00:01:58,643 IMPORTANT FOR ALL INSTITUTES AND 33 00:01:58,643 --> 00:02:02,347 NEUROSCIENCE RESEARCH TO DEVELOP 34 00:02:02,347 --> 00:02:06,017 PSYCHO METRICALLY SOUND POOLS TO 35 00:02:06,017 --> 00:02:08,286 EVALUATE NEURO AND BEHAVIORAL 36 00:02:08,286 --> 00:02:08,553 FUNCTION. 37 00:02:08,553 --> 00:02:11,222 THAT WAS THE BIRTH OF THE 38 00:02:11,222 --> 00:02:17,095 TOOLBOX AND THE TOOLBOX HAS 39 00:02:17,095 --> 00:02:20,264 PROGRESSED SINCE. 40 00:02:20,264 --> 00:02:24,769 YOU'LL HERE THE USES AND IN THE 41 00:02:24,769 --> 00:02:30,641 POPULATIONS AND THE PURPOSES IS 42 00:02:30,641 --> 00:02:33,211 TO DEVELOP A SET OF GRIEF, EASY 43 00:02:33,211 --> 00:02:36,714 TO ADMINISTER TESTS OF MOTOR, 44 00:02:36,714 --> 00:02:38,583 SENSORY AND FUNCTION AND 45 00:02:38,583 --> 00:02:40,084 IMPORTANTLY THESE TOOLS ARE 46 00:02:40,084 --> 00:02:43,721 VALIDATED IN LARGE NUMBERS OF 47 00:02:43,721 --> 00:02:45,923 NORMAL INDIVIDUALS SO THAT WHEN 48 00:02:45,923 --> 00:02:49,394 ONE DOES A STUDY YOU CAN SEE 49 00:02:49,394 --> 00:02:54,832 WHERE YOUR RESULTS FIT ON THE 50 00:02:54,832 --> 00:03:01,839 SPECTRUM OF NORMAL RESULTS OF 51 00:03:01,839 --> 00:03:07,211 NORMAL INDIVIDUALS, AND GIVEN 52 00:03:07,211 --> 00:03:09,147 THE FACT THEY'RE ALL SO WIDELY 53 00:03:09,147 --> 00:03:11,249 USED ONE CAN SEE WHERE YOUR 54 00:03:11,249 --> 00:03:13,985 RESULTS COMPARE TO THOSE OF 55 00:03:13,985 --> 00:03:15,987 OTHERS INVESTIGATED DIFFERENT 56 00:03:15,987 --> 00:03:23,227 POPULATIONS OR EVEN SIMILAR 57 00:03:23,227 --> 00:03:27,498 POPULATIONS. 58 00:03:27,498 --> 00:03:30,635 AND POPULATION VERSUS CONTROL 59 00:03:30,635 --> 00:03:32,370 GROUP YOU DON'T REALLY 60 00:03:32,370 --> 00:03:33,805 UNDERSTAND THE VARIANTS AND 61 00:03:33,805 --> 00:03:36,908 WHETHER YOUR RESULTS ARE REALLY 62 00:03:36,908 --> 00:03:40,244 WITHIN THE NORMAL VARIATION OR 63 00:03:40,244 --> 00:03:40,445 NOT. 64 00:03:40,445 --> 00:03:43,614 BUT THE TOOLBOX IS PARTICULARLY 65 00:03:43,614 --> 00:03:46,017 RELEVANT HERE BECAUSE IT'S 66 00:03:46,017 --> 00:03:47,452 VALIDATED IN LARGE NUMBERS OF 67 00:03:47,452 --> 00:03:48,252 INDIVIDUALS. 68 00:03:48,252 --> 00:03:53,991 WHAT WE THINK IS A CURRENCY 69 00:03:53,991 --> 00:03:55,793 ACROSS NIH RESEARCH AND OTHER 70 00:03:55,793 --> 00:04:01,065 RESEARCH WHERE ONE CAN HAVE A 71 00:04:01,065 --> 00:04:03,734 NORTH STAR FOR THE RESULTS IN 72 00:04:03,734 --> 00:04:07,205 COGNITION, SENSORY AND MOTOR 73 00:04:07,205 --> 00:04:07,472 FUNCTION. 74 00:04:07,472 --> 00:04:12,243 THIS IS BEEN TAKEN UP BY OVER 14 75 00:04:12,243 --> 00:04:14,846 CURRENT SUBSCRIBERS TO THE APP, 76 00:04:14,846 --> 00:04:17,315 900 PUBLICATIONS FROM COME FROM 77 00:04:17,315 --> 00:04:20,117 THE TOOLBOX AND 460 TRIALS AND 78 00:04:20,117 --> 00:04:22,954 CENTRAL TRIALS ARE CURRENTLY 79 00:04:22,954 --> 00:04:29,327 LISTED AS USING THE NIH TOOLBOX. 80 00:04:29,327 --> 00:04:34,632 NOW, ONE APPLICATION OF THESE 81 00:04:34,632 --> 00:04:37,235 TYPES OF TESTING IS IN THE 82 00:04:37,235 --> 00:04:40,204 DETECTION OF COGNITIVE 83 00:04:40,204 --> 00:04:40,505 IMPAIRMENT. 84 00:04:40,505 --> 00:04:41,472 COGNITION IS NOT STATIC. 85 00:04:41,472 --> 00:04:43,207 IT CHANGES OVER THE LIFE SPAN SO 86 00:04:43,207 --> 00:04:45,042 IT'S IMPORTANT TO UNDERSTAND 87 00:04:45,042 --> 00:04:47,378 WHAT IS THE NORMAL VARIATION OF 88 00:04:47,378 --> 00:04:54,452 COGNITION OVER THE LIFE SPAN. 89 00:04:54,452 --> 00:04:55,987 THIS IMPORTANCE IS EMPHASIZED 90 00:04:55,987 --> 00:04:58,389 MORE NOW THAT THERE ARE ADVANCED 91 00:04:58,389 --> 00:05:04,295 IN THE TREATMENT OF DEMENTIA 92 00:05:04,295 --> 00:05:04,829 PARTICULARLY ALZHEIMER'S 93 00:05:04,829 --> 00:05:09,667 DISEASE. 94 00:05:09,667 --> 00:05:11,068 SO THE ALZHEIMER'S AND 95 00:05:11,068 --> 00:05:12,837 ALZHEIMER'S RELATED SUMMITS THAT 96 00:05:12,837 --> 00:05:15,106 GIVE INFORMATION ON PROGRAMS 97 00:05:15,106 --> 00:05:18,609 THAT ARE IMPORTANT TO TRY AND 98 00:05:18,609 --> 00:05:19,844 DEVELOP BETTER TREATMENTS AND 99 00:05:19,844 --> 00:05:23,447 THOUGHT OUT THE NEED FOR TESTING 100 00:05:23,447 --> 00:05:25,983 TO DETECT THE EARLIEST CHANGES 101 00:05:25,983 --> 00:05:33,124 THAT MIGHT BE RELATED SO THE 102 00:05:33,124 --> 00:05:35,259 NEURO DEGENERATIVE CONDITIONS 103 00:05:35,259 --> 00:05:38,229 AND APPLIED TO THESE POPULATIONS 104 00:05:38,229 --> 00:05:40,264 AND YOU'LL HEAR ABOUT MY TIME 105 00:05:40,264 --> 00:05:43,401 COMING TODAY WHICH WAS IN SOME 106 00:05:43,401 --> 00:05:46,571 SENSE BROUGHT TO THE FOREFRONT 107 00:05:46,571 --> 00:05:47,438 BY INVESTIGATORS WHO ARE 108 00:05:47,438 --> 00:05:50,808 INVOLVED IN THE TOOLBOX WHO USES 109 00:05:50,808 --> 00:05:52,476 THE TECHNIQUES AND OTHER GROUPS 110 00:05:52,476 --> 00:05:58,149 ARE WORK ON A SIMILAR TYPE OF 111 00:05:58,149 --> 00:05:59,850 APPLICATIONS TO DETECT COGNITIVE 112 00:05:59,850 --> 00:06:00,484 IMPAIRMENT IN PATIENTS AS THEY 113 00:06:00,484 --> 00:06:07,358 AGE. 114 00:06:07,358 --> 00:06:10,628 I WANT TO THANK ALL THE WORK 115 00:06:10,628 --> 00:06:11,395 DONE BY THE TOOL BOX GROUP OVER 116 00:06:11,395 --> 00:06:15,766 THE DECADE AND A HOPE WE LEARN A 117 00:06:15,766 --> 00:06:17,735 LOT TODAY PARTICULARLY FROM THE 118 00:06:17,735 --> 00:06:19,036 USERS OF THE TOOLBOX TO 119 00:06:19,036 --> 00:06:23,174 CONTINUOUSLY WORK TO MAKE IT A 120 00:06:23,174 --> 00:06:24,308 MORE EFFECTIVE RESOURCE FOR ALL 121 00:06:24,308 --> 00:06:25,610 IN CLINICAL NEUROSCIENCE. 122 00:06:25,610 --> 00:06:27,712 WITH THAT, THANK YOU VERY MUCH 123 00:06:27,712 --> 00:06:30,414 AND I THINK I CAN HAND IT OVER 124 00:06:30,414 --> 00:06:31,315 NOW TO DR. HODES. 125 00:06:31,315 --> 00:06:34,685 >> THANK YOU, WALTER. 126 00:06:34,685 --> 00:06:37,288 I'M RICHARD HODES DIRECTOR OF 127 00:06:37,288 --> 00:06:39,790 THE NATIONAL AGING IN THE LAST 128 00:06:39,790 --> 00:06:42,693 50 YEARS AND NIAA HAS TAKEN THE 129 00:06:42,693 --> 00:06:44,929 LEAD IN GENETIC, MOLECULAR AND 130 00:06:44,929 --> 00:06:47,331 CLINICAL AND SOCIAL ABOUT AGING 131 00:06:47,331 --> 00:06:48,499 AND LIFE COURSE. 132 00:06:48,499 --> 00:06:51,202 IN THAT CONTEXT AS WALTER SO 133 00:06:51,202 --> 00:06:52,269 WELL INTRODUCED THE TOOLBOX HAS 134 00:06:52,269 --> 00:06:54,605 BEEN CRITICAL. 135 00:06:54,605 --> 00:06:58,175 I WAS WITHIN A PART OF THE 136 00:06:58,175 --> 00:06:59,877 NEUROSCIENCE BLUEPRINT WHICH IN 137 00:06:59,877 --> 00:07:01,946 2012 APPROVED, FINALIZED SOME OF 138 00:07:01,946 --> 00:07:03,981 THE WORK ON EMERGING NOW 139 00:07:03,981 --> 00:07:06,384 CONTINUING WORK ON TOOLBOX. 140 00:07:06,384 --> 00:07:08,953 ONE OF THE FIRST PRODUCTS OF 141 00:07:08,953 --> 00:07:09,687 BLUEPRINT. 142 00:07:09,687 --> 00:07:11,589 THIS SERVES ENORMOUSLY IMPORTANT 143 00:07:11,589 --> 00:07:15,626 ROLE IN PROVIDING A COMMON AND 144 00:07:15,626 --> 00:07:17,395 COMPARABLE LANGUAGE FOR A 145 00:07:17,395 --> 00:07:19,030 MULTITUDE OF STUDIES EXAMINING 146 00:07:19,030 --> 00:07:21,265 END POINTS IN THE BEHAVIORAL AND 147 00:07:21,265 --> 00:07:24,268 COGNITIVE AREAS AND ALLOWING 148 00:07:24,268 --> 00:07:27,171 COMPARISONS AND LEVERAGES AND 149 00:07:27,171 --> 00:07:28,272 COMPARABILITY AMONG THEM AND 150 00:07:28,272 --> 00:07:29,840 THERE'S A MOBILE TOOLBOX. 151 00:07:29,840 --> 00:07:32,943 AS WE MOVE FROM PAPER AND PENCIL 152 00:07:32,943 --> 00:07:36,280 TO iPADS AND NOW APPS ON PHONES 153 00:07:36,280 --> 00:07:37,815 INCREASING THE AVAILABILITY OF 154 00:07:37,815 --> 00:07:38,949 BROADER POPULATIONS TO 155 00:07:38,949 --> 00:07:40,551 PARTICIPATE AND HELP IN 156 00:07:40,551 --> 00:07:42,119 GENERATING THE KINDS OF 157 00:07:42,119 --> 00:07:43,487 STANDARDS FOR EVALUATION OF 158 00:07:43,487 --> 00:07:47,491 NORMAL AND ABNORMAL BEHAVIORS 159 00:07:47,491 --> 00:07:49,493 THAT ALLOW EARLY DIAGNOSIS AND 160 00:07:49,493 --> 00:07:50,428 TREATMENT AND INTERVENTION. 161 00:07:50,428 --> 00:07:52,263 I SHARE WITH WALTER A WARM 162 00:07:52,263 --> 00:07:56,100 WELCOME TO ALL OF YOU AND 163 00:07:56,100 --> 00:07:56,901 EXPECTATION OVER THE NEXT COUPLE 164 00:07:56,901 --> 00:08:00,271 DAYS WE'LL LEARN MORE ABOUT THE 165 00:08:00,271 --> 00:08:03,240 EXPERIENCE AND IT WILL CATALYZE 166 00:08:03,240 --> 00:08:04,742 GREATER PENETRATION IN USE OF 167 00:08:04,742 --> 00:08:06,377 THE TOOLBOX SUITE. 168 00:08:06,377 --> 00:08:08,279 I'LL TURN IT OVER TO ALISON 169 00:08:08,279 --> 00:08:08,479 NEXT. 170 00:08:08,479 --> 00:08:09,547 >> THAT'S RIGHT. 171 00:08:09,547 --> 00:08:12,283 THANK YOU, DR. KOROSHETZ AND 172 00:08:12,283 --> 00:08:13,951 DR. HODES. 173 00:08:13,951 --> 00:08:21,692 AND NOW WE HAVE ALISON CERNICH 174 00:08:21,692 --> 00:08:32,203 DEPUTY DIRECTOR OF THE EUNICE 175 00:08:34,638 --> 00:08:35,940 KENNEDY SHRIVER TO TALK MORE 176 00:08:35,940 --> 00:08:36,674 ABOUT THE TOOLBOX. 177 00:08:36,674 --> 00:08:37,842 >> THANK YOU FOR COMING IN 178 00:08:37,842 --> 00:08:42,079 PERSON PAP IT'S EXCITING TO SEE 179 00:08:42,079 --> 00:08:42,713 PEOPLE BACK IN THE CONFERENCE 180 00:08:42,713 --> 00:08:44,215 ROOMS ARE AND TALKING AND 181 00:08:44,215 --> 00:08:47,351 PRESENTING POSTERS AND I'M 182 00:08:47,351 --> 00:08:49,153 LOOKING FORWARD TO BEING HERE 183 00:08:49,153 --> 00:08:52,056 THIS MORNING IN PERSON AND 184 00:08:52,056 --> 00:08:52,890 EXCITED TO JOIN DR. KOROSHETZ 185 00:08:52,890 --> 00:08:56,260 AND HODES IN WELCOMING YOU TO 186 00:08:56,260 --> 00:08:57,895 THE NIH TOOLBOX ASSESSMENT 187 00:08:57,895 --> 00:08:58,262 CONFERENCE. 188 00:08:58,262 --> 00:09:01,132 I THINK THIS AREA OF RESEARCH 189 00:09:01,132 --> 00:09:04,268 HAS A NEURO PSYCHOLOGIST MYSELF 190 00:09:04,268 --> 00:09:07,972 IS INCREDIBLY EXCITING. 191 00:09:07,972 --> 00:09:10,307 I'VE BEEN WORK IN COMPUTERIZED 192 00:09:10,307 --> 00:09:10,975 NEURO PSYCHOLOGICAL ASSESSMENT 193 00:09:10,975 --> 00:09:12,276 MY ENTIRE CAREER AND TO WATCH 194 00:09:12,276 --> 00:09:13,844 THE TOOLS DEVELOP IS THRILLING. 195 00:09:13,844 --> 00:09:16,247 I WANT TO SAY THANKS TO 196 00:09:16,247 --> 00:09:19,049 DR. MOLLY WAGSTER FROM THE 197 00:09:19,049 --> 00:09:20,551 NATIONAL INSTITUTE OF AGE WHO 198 00:09:20,551 --> 00:09:22,486 WILL FIRST CONCEIVED THE 199 00:09:22,486 --> 00:09:23,020 CONFERENCE. 200 00:09:23,020 --> 00:09:27,591 THE NIH BLUEPRINT FOR 201 00:09:27,591 --> 00:09:28,259 NEUROSCIENCE RESEARCH PROGRAM 202 00:09:28,259 --> 00:09:32,029 WHO PROVIDED AND THE TOOLBOX 203 00:09:32,029 --> 00:09:33,430 PLANNING COMMITTEE WHOSE LISTED 204 00:09:33,430 --> 00:09:38,402 MEMBERS ARE TOO MUCH AND I'D BE 205 00:09:38,402 --> 00:09:40,838 REMISS TO NOT MENTION DR. MANN 206 00:09:40,838 --> 00:09:42,706 KEOPKE WHO LEADS THE EFFORT AND 207 00:09:42,706 --> 00:09:44,842 THE DEVELOPERS WHO HAVE BEEN 208 00:09:44,842 --> 00:09:45,843 EXTRAORDINARILY HELPFUL PLANNING 209 00:09:45,843 --> 00:09:47,845 AND PLAYING AN ESSENTIAL ROLE TO 210 00:09:47,845 --> 00:09:48,846 THE TWO-DAY MEETING. 211 00:09:48,846 --> 00:09:50,948 MISSION IS TO LEAD RESEARCH AND 212 00:09:50,948 --> 00:09:53,450 TRAINING TO UNDERSTAND HUMAN 213 00:09:53,450 --> 00:09:55,119 DEVELOPMENT IMPROVE REPRODUCTIVE 214 00:09:55,119 --> 00:09:56,987 HEALTH, IMPROVE THE LIVES OF 215 00:09:56,987 --> 00:10:02,827 CHILDREN AND ADOLESCENTS AND 216 00:10:02,827 --> 00:10:04,161 OPTIMALABILITY AND DEVELOPING 217 00:10:04,161 --> 00:10:05,596 NEW INNOVATIVE MEASUREMENTS, 218 00:10:05,596 --> 00:10:07,031 TOOLS, TECHNOLOGIES AND SYSTEMS 219 00:10:07,031 --> 00:10:08,833 JUST LIKE THE NIH TOOLBOX. 220 00:10:08,833 --> 00:10:11,435 THESE TOOLS CAN HELP SUPPORT A 221 00:10:11,435 --> 00:10:17,341 WIDE VARIETY OF RESEARCH STUDIES 222 00:10:17,341 --> 00:10:21,078 AND HONESTLY MENTIONED BY 223 00:10:21,078 --> 00:10:23,447 DOCTORS HODES AND KOROSHETZ, 224 00:10:23,447 --> 00:10:24,782 LEADERSHIP RECOGNIZE IN THE 225 00:10:24,782 --> 00:10:27,451 BLUEPRINT THE SCIENTIFIC VALUE 226 00:10:27,451 --> 00:10:32,289 OF SHARED MEASURES ACROSS 227 00:10:32,289 --> 00:10:34,358 STUDIES AND WE UNDERSTOOD 228 00:10:34,358 --> 00:10:40,564 EXTRAALLY THE MEASUREMENT FOR 229 00:10:40,564 --> 00:10:42,967 COGNITIVE, EMOTIONAL AND SENSORY 230 00:10:42,967 --> 00:10:45,436 FUNCTION ACROSS THE LIFE SPAN. 231 00:10:45,436 --> 00:10:47,438 FUNDING THE NIH TOOLBOX 232 00:10:47,438 --> 00:10:53,244 ASSESSMENTS FOR AGES 3-85 WAS AN 233 00:10:53,244 --> 00:10:54,812 INITIATIVE TO FIRST ADDRESS 234 00:10:54,812 --> 00:10:55,012 THIS. 235 00:10:55,012 --> 00:10:57,615 WE IN THE PROFIT WE AT NIH AND 236 00:10:57,615 --> 00:10:58,282 YOU IN THE SCIENTIFIC COMMUNITY 237 00:10:58,282 --> 00:11:04,288 WED NEED TO INCORPORATE 238 00:11:04,288 --> 00:11:05,689 ASSESSMENTS FOR YOUNGER CHILDREN 239 00:11:05,689 --> 00:11:07,892 AND WHEN THEY DEVELOPED THE NIH 240 00:11:07,892 --> 00:11:09,860 BABY TOOLBOX AS AN EXTENSION OF 241 00:11:09,860 --> 00:11:12,263 THE NIH TOOLBOX TO FILL THIS 242 00:11:12,263 --> 00:11:12,830 GAP. 243 00:11:12,830 --> 00:11:15,833 AND AS SOMEONE WHO HAS 244 00:11:15,833 --> 00:11:16,700 DEVELOPMENT ASSESSMENTS IN THE 245 00:11:16,700 --> 00:11:18,002 PRESCHOOL SETTING BEFORE I 246 00:11:18,002 --> 00:11:20,104 REALIZED HOW COMPLEX THIS IS. 247 00:11:20,104 --> 00:11:24,275 THE NIH BABY TOOLBOX IS A BRIEF 248 00:11:24,275 --> 00:11:25,943 STANDARDIZED TOOL THAT INCLUDES 249 00:11:25,943 --> 00:11:26,710 NEURO PSYCHOLOGICAL AND 250 00:11:26,710 --> 00:11:27,678 COGNITIVE AND SOCIAL ASSESSMENT 251 00:11:27,678 --> 00:11:31,115 FOR USE WITH INFANTS AND 252 00:11:31,115 --> 00:11:33,517 TODDLERS AGES 1 TO 42 MONTHS AND 253 00:11:33,517 --> 00:11:35,119 THE DEVELOPERS DETERMINED THEIR 254 00:11:35,119 --> 00:11:39,056 NEEDS AND DESIGN THE TOOL IN A 255 00:11:39,056 --> 00:11:40,090 RIGOROUS DEVELOPMENT AND 256 00:11:40,090 --> 00:11:41,892 ASSESSMENT COMPONENTS FOR EACH 257 00:11:41,892 --> 00:11:44,261 TARGETED AGE GROUP WERE TESTED 258 00:11:44,261 --> 00:11:46,297 TO DEMONSTRATE THE RELIABILITY 259 00:11:46,297 --> 00:11:49,833 AND VALIDITY OF THE VALIDITY 260 00:11:49,833 --> 00:11:50,935 COMPONENT AGAINST GOLD STANDARDS 261 00:11:50,935 --> 00:11:53,437 AND CONDUCTING AND PUBLISHING 262 00:11:53,437 --> 00:11:55,439 STUDY TO ENSURE THE MEASURES 263 00:11:55,439 --> 00:11:58,642 PRODUCED VALID AND RELIABLE 264 00:11:58,642 --> 00:11:59,443 DATA. 265 00:11:59,443 --> 00:12:02,646 THE STUDY DATA WILL BE DE POS 266 00:12:02,646 --> 00:12:04,281 PITTED IN A REPOSITORY TO SHIRE 267 00:12:04,281 --> 00:12:06,050 WITH RESEARCHERS FOR SECONDARY 268 00:12:06,050 --> 00:12:08,719 ANALYSIS AND INDEPENDENT 269 00:12:08,719 --> 00:12:10,321 INVESTIGATORS USING TOOLBOX DATA 270 00:12:10,321 --> 00:12:12,456 CAN SHARE WITH THE SAME 271 00:12:12,456 --> 00:12:14,858 REPOSITORY FURTHER AIDING 272 00:12:14,858 --> 00:12:15,192 COLLABORATION. 273 00:12:15,192 --> 00:12:18,529 WHILE THE BABY TOOLBOX WAS A 274 00:12:18,529 --> 00:12:23,367 VITAL THING IT WAS ALSO REALLY 275 00:12:23,367 --> 00:12:25,135 DESIGNED EASY TO BE ADMINISTER 276 00:12:25,135 --> 00:12:27,104 AND OPTIMIZE FOR USE WITH MOBILE 277 00:12:27,104 --> 00:12:27,938 TECHNOLOGIES. 278 00:12:27,938 --> 00:12:29,974 MAKING THE TOOLBOX MORE 279 00:12:29,974 --> 00:12:31,375 ACCESSIBLE AND EASILY 280 00:12:31,375 --> 00:12:34,345 ADMINISTERED IN A VARIETY OF 281 00:12:34,345 --> 00:12:35,379 SETTINGS INCLUDING PARTICIPANTS 282 00:12:35,379 --> 00:12:37,081 HOMES AND FOR ANY OF YOU WHO 283 00:12:37,081 --> 00:12:39,917 HAVE EVER TRIED TO ADMINISTER A 284 00:12:39,917 --> 00:12:42,453 SCREENING IN A PRESCHOOL AND/OR 285 00:12:42,453 --> 00:12:45,155 IN A PEDIATRICIAN'S OFFICE 286 00:12:45,155 --> 00:12:45,756 YOU'LL RECOGNIZE HOW VALUABLE 287 00:12:45,756 --> 00:12:50,494 THAT IS. 288 00:12:50,494 --> 00:12:52,196 I THINK THE OTHER PIECE THAT'S 289 00:12:52,196 --> 00:12:56,567 EXCITING IS WE HAVE THE 290 00:12:56,567 --> 00:12:59,436 PERFORMANCE-BASED MEASURES WITH 291 00:12:59,436 --> 00:13:01,505 COMPUTER ASSISTANCE AND HAVE 292 00:13:01,505 --> 00:13:04,375 UNBIASSED ASSESSMENT AND THIS IS 293 00:13:04,375 --> 00:13:06,076 CRITICAL FOR ASSESSMENT OF 294 00:13:06,076 --> 00:13:07,611 PRE-VERBAL AND NON-VERBAL 295 00:13:07,611 --> 00:13:09,113 ASSESSMENTS AND WE'RE TRYING TO 296 00:13:09,113 --> 00:13:12,483 CUT DOWN THE BURDENS IN SURVEYS. 297 00:13:12,483 --> 00:13:14,118 WE WANT TO BE RESPECTFUL OF 298 00:13:14,118 --> 00:13:15,686 PEOPLE'S TIME. 299 00:13:15,686 --> 00:13:18,722 THIS CAN BE USED IN A LIMITED 300 00:13:18,722 --> 00:13:22,459 TIME FRAME, 30 MINUTES FOR A 301 00:13:22,459 --> 00:13:29,433 1-MONTH-OLD OR 40 MINUTES FOR 302 00:13:29,433 --> 00:13:31,335 OLDER AND THERE'S THE HEALTHY 303 00:13:31,335 --> 00:13:33,470 BRAIN AND CHILD DEVELOPMENT 304 00:13:33,470 --> 00:13:34,505 STUDY BECAUSE OF THE INCREASED 305 00:13:34,505 --> 00:13:34,905 DEFICIENCY. 306 00:13:34,905 --> 00:13:37,041 I'M EXCITED FOR THE TOOLBOX AS A 307 00:13:37,041 --> 00:13:37,241 WHOLE. 308 00:13:37,241 --> 00:13:38,876 THESE TOOLS PROVIDE THE 309 00:13:38,876 --> 00:13:40,244 OPPORTUNITY FOR COMMON DATA 310 00:13:40,244 --> 00:13:43,480 POINTS ACROSS MANY STUDIES 311 00:13:43,480 --> 00:13:44,448 HELPING FACILITATE THE ABILITY 312 00:13:44,448 --> 00:13:45,916 TO AGGREGATE DATA AND COMPARE 313 00:13:45,916 --> 00:13:47,184 THEM INCREASING THE POWER OF 314 00:13:47,184 --> 00:13:49,053 RESEARCH WE CONDUCT. 315 00:13:49,053 --> 00:13:51,755 NOT ONLY THAT, USING 316 00:13:51,755 --> 00:13:52,356 DEVELOPMENTALLY APPROPRIATE 317 00:13:52,356 --> 00:13:53,457 ASSESSMENTS CAN HELP US TAKE IT 318 00:13:53,457 --> 00:13:55,826 TO THE STREETS AS IT WERE. 319 00:13:55,826 --> 00:13:57,628 WE CAN DO REAL TIME DATA CAPTURE 320 00:13:57,628 --> 00:14:00,631 THAT CAN HELP US DO THINGS LIKE 321 00:14:00,631 --> 00:14:03,367 DETECT AND INTERVENE EARLIER FOR 322 00:14:03,367 --> 00:14:04,468 DEVELOPMENT DELAYS IN 323 00:14:04,468 --> 00:14:05,702 DISABILITIES, TRACK DEVELOPMENT 324 00:14:05,702 --> 00:14:07,204 OVER TIME AND UNDERSTAND THE 325 00:14:07,204 --> 00:14:09,873 COMPLEXITIES OF MULTIPLE 326 00:14:09,873 --> 00:14:11,308 MODALITIES WITH GREATER CLARITY 327 00:14:11,308 --> 00:14:13,844 AND NUANCE THAN BEFORE WHILE 328 00:14:13,844 --> 00:14:16,013 LINKING DATA INTO ELECTRONIC 329 00:14:16,013 --> 00:14:19,283 HEALTH RECORD IN A STREAMLINED, 330 00:14:19,283 --> 00:14:20,284 EFFICIENT MANNER MAINTAINING 331 00:14:20,284 --> 00:14:21,385 PRIVACY AND CONFIDENTIALITY. 332 00:14:21,385 --> 00:14:23,454 SO I HAVE LOOKED AT THE AGENDA 333 00:14:23,454 --> 00:14:25,022 TODAY AND WHILE I WON'T BE ABLE 334 00:14:25,022 --> 00:14:27,157 TO BE HERE ALL DAY IN PERSON, 335 00:14:27,157 --> 00:14:28,659 I'M REALLY EXCITED TO WATCH SOME 336 00:14:28,659 --> 00:14:30,260 OF THESE SESSIONS LATER AND I'M 337 00:14:30,260 --> 00:14:32,062 REALLY EXCITE ABOUT THE AMAZING 338 00:14:32,062 --> 00:14:34,498 BEGINNING YOU ALL HAVE MADE AS A 339 00:14:34,498 --> 00:14:38,335 COMMUNITY AND GET EXCITE ABOUT 340 00:14:38,335 --> 00:14:39,470 THE USE OF THE TOOLS LAYING THE 341 00:14:39,470 --> 00:14:41,004 FOUNDATION FOR SCIENCE IN THE 342 00:14:41,004 --> 00:14:41,205 AREA. 343 00:14:41,205 --> 00:14:42,306 THANK YOU FOR ALL YOU'VE DONE 344 00:14:42,306 --> 00:14:43,173 AND ALL YOU'LL CONTINUE TO DO 345 00:14:43,173 --> 00:14:43,774 FROM HERE. 346 00:14:43,774 --> 00:14:44,608 I APPRECIATE YOUR WORK. 347 00:14:44,608 --> 00:14:54,785 THANK YOU. 348 00:15:15,305 --> 00:15:15,772 >> ALL RIGHT. 349 00:15:15,772 --> 00:15:16,907 WE'RE A LITTLE AHEAD OF 350 00:15:16,907 --> 00:15:17,307 SCHEDULE. 351 00:15:17,307 --> 00:15:22,312 THAT'S ALWAYS A GOOD THING IN MY 352 00:15:22,312 --> 00:15:22,513 BOOK. 353 00:15:22,513 --> 00:15:26,316 SO I APPRECIATE THE LEADERSHIP 354 00:15:26,316 --> 00:15:32,890 OF NINDS AND OF NIA AND NICHD 355 00:15:32,890 --> 00:15:34,725 AND IMPORTANT WORDS WE 356 00:15:34,725 --> 00:15:36,293 APPRECIATE IN TERMS OF HOW 357 00:15:36,293 --> 00:15:38,428 IMPORTANT THE MEASURES ARE. 358 00:15:38,428 --> 00:15:40,797 AND THE TIME AND EFFORT THAT IT 359 00:15:40,797 --> 00:15:42,566 TAKES TO GOING INTO THE 360 00:15:42,566 --> 00:15:45,936 DEVELOPMENT OF THEM AND TO 361 00:15:45,936 --> 00:15:47,237 ENSURE SOUND, VALID MEASURES 362 00:15:47,237 --> 00:15:48,338 THAT CAN BE USED IN A VARIETY OF 363 00:15:48,338 --> 00:15:50,607 SETTINGS. 364 00:15:50,607 --> 00:15:53,510 SO WE'RE NOW GOING TO MOVE TO 365 00:15:53,510 --> 00:15:55,879 THE KEYNOTE ADDRESSES. 366 00:15:55,879 --> 00:15:59,316 I'M GOING TO BE INTRODUCING THE 367 00:15:59,316 --> 00:16:01,418 FIRST SPEAKER, THE FIRST TALK ON 368 00:16:01,418 --> 00:16:04,288 THE NIH TOOLBOX AND JUST TO GIVE 369 00:16:04,288 --> 00:16:06,957 YOU BACKGROUND, BACK IN THE 370 00:16:06,957 --> 00:16:11,495 EARLY 2000s, NIA, NIMHD AND 371 00:16:11,495 --> 00:16:14,364 NINDS UNDERTOOK A RESOURCE 372 00:16:14,364 --> 00:16:15,799 BUILDING EFFORT WE DUBBED THE 373 00:16:15,799 --> 00:16:17,067 COGNITIVE AND EMOTIONAL HEALTH 374 00:16:17,067 --> 00:16:26,743 PROJECT OR THE HEALTHY BRAIN TO 375 00:16:26,743 --> 00:16:30,147 LOOK AT DEMOGRAPHIC, SOCIAL AND 376 00:16:30,147 --> 00:16:32,282 BIOLOGIC DETERMINATES OF HEALTH 377 00:16:32,282 --> 00:16:40,257 IN ADULTS AND THE PATHWAYS AND 378 00:16:40,257 --> 00:16:50,701 RE-KIPRY -- RECIPROCALLY 379 00:16:50,968 --> 00:16:56,707 PATHWAYS AND A BLUE RIBBON PANEL 380 00:16:56,707 --> 00:16:57,941 WAS MADE AND THERE WAS A 381 00:16:57,941 --> 00:17:00,277 PUBLICATION OF THEIR FINDINGS IN 382 00:17:00,277 --> 00:17:03,847 THE JOURNAL OF ALZHEIMER'S AND 383 00:17:03,847 --> 00:17:04,715 DEMENTIA IN 2006. 384 00:17:04,715 --> 00:17:06,817 IN THEIR REPORT THEY POST 385 00:17:06,817 --> 00:17:07,517 SEVERAL SUGGESTIONS. 386 00:17:07,517 --> 00:17:10,354 ONE OF WHICH WAS THE CLEAR NEED 387 00:17:10,354 --> 00:17:13,123 FOR DEVELOPMENT OF A STANDARD 388 00:17:13,123 --> 00:17:13,657 QUESTIONNAIRE TO MEASURE 389 00:17:13,657 --> 00:17:16,260 COGNITIVE AND EMOTIONAL HEALTH. 390 00:17:16,260 --> 00:17:19,630 IN THEIR LITERATURE REVIEW, THEY 391 00:17:19,630 --> 00:17:22,666 FOUND IT WAS CLEAR THAT LITTLE 392 00:17:22,666 --> 00:17:24,735 UNIFORMITY CURRENTLY EXISTS IN 393 00:17:24,735 --> 00:17:26,069 MEASURES USED TO CAPTURE 394 00:17:26,069 --> 00:17:26,303 RESULTS. 395 00:17:26,303 --> 00:17:27,738 THIS HINDERS NOT ONLY THE 396 00:17:27,738 --> 00:17:29,873 ABILITY TO SHARE AND INTEGRATE 397 00:17:29,873 --> 00:17:31,675 BUT ALSO TO INTERPRET RESULTS AS 398 00:17:31,675 --> 00:17:34,278 I'M SURE ALL OF YOU KNOW. 399 00:17:34,278 --> 00:17:37,581 SO WITH THE ENCOURAGE OF THE 400 00:17:37,581 --> 00:17:42,719 THREE INSTITUTE DIRECTORS AND 401 00:17:42,719 --> 00:17:51,728 STAFF AND NINDS AND NIMHD 402 00:17:51,728 --> 00:17:53,196 CREATED A TOOL FOR ASSESSING FOR 403 00:17:53,196 --> 00:17:55,098 THE NEUROSCIENCE RESEARCH. 404 00:17:55,098 --> 00:17:59,136 THE SUPPORT FOR THIS CONCEPT WAS 405 00:17:59,136 --> 00:18:00,070 UNANIMOUS AMONG THE INSTITUTE 406 00:18:00,070 --> 00:18:03,273 AND CENTER DIRECTORS AND IN LATE 407 00:18:03,273 --> 00:18:04,675 2006 A CONTRACT WAS ISSUED FOR 408 00:18:04,675 --> 00:18:06,543 THE DEVELOPMENT OF WHAT IS NOW 409 00:18:06,543 --> 00:18:09,546 KNOWN AS THE NIH TOOLBOX. 410 00:18:09,546 --> 00:18:12,249 THE GOALS OF THE TOOLBOX WERE 411 00:18:12,249 --> 00:18:17,821 CLEAR, TO MAXIMIZE THE YIELD 412 00:18:17,821 --> 00:18:20,524 FROM OUR RESEARCH INVESTMENT, 413 00:18:20,524 --> 00:18:22,959 BRIEF, MEASURES WERE NEEDED FOR 414 00:18:22,959 --> 00:18:24,061 DATA COLLECTION AND ADVANCE OUR 415 00:18:24,061 --> 00:18:26,029 KNOWLEDGE OF BRAIN HEALTH AND 416 00:18:26,029 --> 00:18:26,396 NORMAL FUNCTION. 417 00:18:26,396 --> 00:18:29,499 AND AT THE SAME TIME, WE WANTED 418 00:18:29,499 --> 00:18:32,235 TO AVOID THE PITFALL OF WHAT 419 00:18:32,235 --> 00:18:34,771 MANY PEOPLE GOING BEFORE HAD 420 00:18:34,771 --> 00:18:36,673 DONE WHICH WAS RESORT TO THE USE 421 00:18:36,673 --> 00:18:38,842 OF DIAGNOSTIC TOOLS AND 422 00:18:38,842 --> 00:18:40,243 SCREENERS, MEASURES FOR DISORDER 423 00:18:40,243 --> 00:18:43,580 AND DISEASE TO ASSESS HEALTHY 424 00:18:43,580 --> 00:18:44,247 BEHAVIORAL PERFORMANCE. 425 00:18:44,247 --> 00:18:45,682 SO WE WANTED TO PROVIDE 426 00:18:45,682 --> 00:18:47,517 INDIVIDUALS WITH A MEANS WHICH 427 00:18:47,517 --> 00:18:50,754 THEY NO LONGER NEEDED TO RESORT 428 00:18:50,754 --> 00:18:51,788 TO THOSE TYPES OF MEASURES. 429 00:18:51,788 --> 00:18:59,496 12 YEARS AFTER THE ROLLOUT OF 430 00:18:59,496 --> 00:19:05,702 THE NIH TOOLBOX THEY'VE NOT ONLY 431 00:19:05,702 --> 00:19:07,604 STOOD THE TEST OF TIME BUT 432 00:19:07,604 --> 00:19:09,373 EVOLVED TO KEEP THE MEASUREMENT 433 00:19:09,373 --> 00:19:11,508 SYSTEM DYNAMIC AND ABLE TO MEET 434 00:19:11,508 --> 00:19:13,744 THE CHANGING DEMANDS OF 435 00:19:13,744 --> 00:19:14,711 ASSESSMENT AND PROVIDING 436 00:19:14,711 --> 00:19:15,312 CONTINUITY AND COMPARISON OF 437 00:19:15,312 --> 00:19:17,247 DATA. 438 00:19:17,247 --> 00:19:19,683 SO WITH US TODAY TO DESCRIBE THE 439 00:19:19,683 --> 00:19:22,486 DEVELOPMENT AND FEATURES OF THE 440 00:19:22,486 --> 00:19:25,489 NIH TOOLBOX IS DR. RICHARD 441 00:19:25,489 --> 00:19:26,556 GERSHON VICE CHAIR OF RESEARCH 442 00:19:26,556 --> 00:19:27,758 AND PROFESSOR OF THE DEPARTMENT 443 00:19:27,758 --> 00:19:29,526 OF MEDICAL AND SOCIAL SCIENCES 444 00:19:29,526 --> 00:19:32,262 AND PROFESSOR IN PREVENTIVE 445 00:19:32,262 --> 00:19:36,867 MEDICINE, HEALTH AND BIO MEDICAL 446 00:19:36,867 --> 00:19:38,001 INFORMATICS AT THE NORTHWESTERN 447 00:19:38,001 --> 00:19:39,102 UNIVERSITY FEINBERG SCHOOL OF 448 00:19:39,102 --> 00:19:40,303 MEDICINE AND SERVED AS THE 449 00:19:40,303 --> 00:19:41,838 PRINCIPLE INVESTIGATOR FOR THE 450 00:19:41,838 --> 00:19:44,374 CONTRACT TO DEVELOP THE TOOLBOX. 451 00:19:44,374 --> 00:19:54,584 DR. GERSHON. 452 00:20:02,692 --> 00:20:05,429 >> THANK YOU, SO MUCH, MOLLY. 453 00:20:05,429 --> 00:20:12,035 IT'S A PLEASURE BEING HERE. 454 00:20:12,035 --> 00:20:13,570 LOTS OF THES TOWARDS THE END AND 455 00:20:13,570 --> 00:20:15,338 OTHER PLACE TO THANK PEOPLE. 456 00:20:15,338 --> 00:20:20,510 THE 15 INSTITUTES AND CENTERS 457 00:20:20,510 --> 00:20:22,712 FORMED THIS COALITION THE 458 00:20:22,712 --> 00:20:23,313 BLUEPRINT FOR NEUROSCIENCE 459 00:20:23,313 --> 00:20:24,014 RESEARCH. 460 00:20:24,014 --> 00:20:26,650 THE CONTRACT WAS AWARDED TO 461 00:20:26,650 --> 00:20:26,983 NORTHWESTERN. 462 00:20:26,983 --> 00:20:28,518 WE GOT TOGETHER WITH 250 FRIENDS 463 00:20:28,518 --> 00:20:31,488 FROM AROUND THE WORLD IN 80 464 00:20:31,488 --> 00:20:33,957 ACADEMIC INSTITUTIONS TO BE A 465 00:20:33,957 --> 00:20:35,125 WORLDWIDE EFFORT TO DETERMINE 466 00:20:35,125 --> 00:20:37,928 WHAT WE WANTED TO HAVE AND PUT 467 00:20:37,928 --> 00:20:39,362 THE BEST OF PEOPLE FROM AROUND 468 00:20:39,362 --> 00:20:41,198 THE WORLD DEVELOPING THE 469 00:20:41,198 --> 00:20:42,999 INDIVIDUAL MEASURES AND WE 470 00:20:42,999 --> 00:20:45,435 RELEASED ORIGINALLY IN 2012 AT A 471 00:20:45,435 --> 00:20:49,539 MEETING SIMILAR TO THIS AT THE 472 00:20:49,539 --> 00:20:50,474 NEUROSCIENCE CENTER AND THEN 473 00:20:50,474 --> 00:20:53,276 CLOSE TO 10 YEARS LATER, WE 474 00:20:53,276 --> 00:20:54,277 RELEASED VERSION 3 OF THE 475 00:20:54,277 --> 00:20:56,146 TOOLBOX WHICH WAS FULLY UPDATED 476 00:20:56,146 --> 00:20:59,549 AND WE'LL TALK ABOUT THAT IN A 477 00:20:59,549 --> 00:21:05,255 FEW MINUTES. 478 00:21:05,255 --> 00:21:10,560 ORIGINALLY WHEN THE BLUEPRINT 479 00:21:10,560 --> 00:21:13,964 GOT TOGETHER I THINK THERE WAS 480 00:21:13,964 --> 00:21:14,831 THOUGHT WE SHOULDN'T BE 481 00:21:14,831 --> 00:21:16,566 ASSESSING COGNITION WITHOUT 482 00:21:16,566 --> 00:21:20,270 EMOTION AND THERE'S TWO MEANINGS 483 00:21:20,270 --> 00:21:24,274 OF THE WORLD WORD DE 484 00:21:24,274 --> 00:21:29,513 PRESENTATION AND DEPRESSION 485 00:21:29,513 --> 00:21:32,282 DEPRESSES COGNITIVE FUNCTIONING 486 00:21:32,282 --> 00:21:34,451 AND MOTOR WAS ADDED AND WANTED 487 00:21:34,451 --> 00:21:35,485 TO ADD MEASURES. 488 00:21:35,485 --> 00:21:36,786 WE WANTED THINGS TO BE FAMILIAR 489 00:21:36,786 --> 00:21:37,754 TO THE RESEARCH COMMUNITY. 490 00:21:37,754 --> 00:21:40,290 WE WANTED TO AVOID DUPLICATION 491 00:21:40,290 --> 00:21:42,158 OF EFFORT. 492 00:21:42,158 --> 00:21:44,928 WE WOULD DEVELOP NOVEL MEASURES 493 00:21:44,928 --> 00:21:47,531 WHERE NEEDED AND HAVE APPROACHES 494 00:21:47,531 --> 00:21:48,265 AND METHODS. 495 00:21:48,265 --> 00:21:51,701 SO THE FIRST THING WE DID I 496 00:21:51,701 --> 00:21:53,537 THINK WALTER WENT THROUGH AND 497 00:21:53,537 --> 00:21:54,704 DID AN EXPERT SURVEY OF 498 00:21:54,704 --> 00:21:55,939 SELECTION CRITERIA AND WHAT DID 499 00:21:55,939 --> 00:21:57,641 PEOPLE WANT AND HOW LONG DID 500 00:21:57,641 --> 00:21:58,675 PEOPLE WANT TO TEST. 501 00:21:58,675 --> 00:22:01,778 WHAT WERE THE CHARACTERISTICS OF 502 00:22:01,778 --> 00:22:02,913 THE MEASUREMENT AND THEN HAD 503 00:22:02,913 --> 00:22:04,681 FOCUS GROUP INTERVIEWS WITH 504 00:22:04,681 --> 00:22:06,416 PATIENTS, EXPERT INTERVIEWS WITH 505 00:22:06,416 --> 00:22:08,885 PEOPLE WHO HAD USED THE SYSTEM 506 00:22:08,885 --> 00:22:12,255 AND WE DID SURVEYS I THINK 200 507 00:22:12,255 --> 00:22:14,858 PEOPLE TO NOMINATE RANK SUB 508 00:22:14,858 --> 00:22:17,494 DOMAINS AND CONSTRUCTS AND HOW 509 00:22:17,494 --> 00:22:18,628 MUCH WOULD PEOPLE BE WILLING TO 510 00:22:18,628 --> 00:22:19,996 PAY AND HOW LONG WOULD THEY TAKE 511 00:22:19,996 --> 00:22:20,697 TO DO IT. 512 00:22:20,697 --> 00:22:23,667 I THINK TIME CONSTRAINTS ARE 513 00:22:23,667 --> 00:22:25,702 PROBABLY THE NUMBER ONE GUIDANCE 514 00:22:25,702 --> 00:22:28,471 FOR HOW YOU DEVELOP AND PICK A 515 00:22:28,471 --> 00:22:29,539 MEASURE. 516 00:22:29,539 --> 00:22:39,082 WE HAD A CONSENSUS MEETING AND 517 00:22:39,082 --> 00:22:40,617 HAD INSTRUMENT TO INCLUDE IN THE 518 00:22:40,617 --> 00:22:41,051 TOOLBOX. 519 00:22:41,051 --> 00:22:42,986 WE BROKE NA A LOT OF WORKING 520 00:22:42,986 --> 00:22:43,186 TEAMS. 521 00:22:43,186 --> 00:22:46,823 WE HAD NINE DOMAIN TEAMS AND 522 00:22:46,823 --> 00:22:48,992 OTHER WORKING TEAMS AND SPANISH 523 00:22:48,992 --> 00:22:50,827 LANGUAGE AND MULTI-CULTURAL AND 524 00:22:50,827 --> 00:22:51,995 SCORING AND ACCESSIBILITY. 525 00:22:51,995 --> 00:22:54,297 THEY WERE INVOLVED IN THE TEAM'S 526 00:22:54,297 --> 00:22:57,133 CROSS MET TO MAKE SURE THEY WERE 527 00:22:57,133 --> 00:23:00,637 ACROSS AGES 3 TO 85 IS QUITE THE 528 00:23:00,637 --> 00:23:01,371 RANGE. 529 00:23:01,371 --> 00:23:04,374 IT BRINGS US TO TODAY WHERE THE 530 00:23:04,374 --> 00:23:06,977 TOOLBOX IS IN USE IN OVER 1100 531 00:23:06,977 --> 00:23:11,448 IS ITS ON iPADS AND 40 DIFFERENT 532 00:23:11,448 --> 00:23:11,982 COUNTRIES. 533 00:23:11,982 --> 00:23:16,886 AND V3 WE CHANGED HOW THIS 534 00:23:16,886 --> 00:23:17,087 WORKS. 535 00:23:17,087 --> 00:23:19,122 AS AN UPDATE FOR THOSE WHO 536 00:23:19,122 --> 00:23:21,558 HAVEN'T USED THE TOOLBOX IT'S 537 00:23:21,558 --> 00:23:23,126 USEFUL FOR AN UNLIMITED OF 538 00:23:23,126 --> 00:23:23,994 ADMINISTRATIONS AND 50 TESTS 539 00:23:23,994 --> 00:23:25,862 THAT MAKE UP THE TOOLBOX ARE 540 00:23:25,862 --> 00:23:26,529 THERE. 541 00:23:26,529 --> 00:23:28,198 MOST TEST UNDER SEVEN MINUTES. 542 00:23:28,198 --> 00:23:30,100 MANY ARE NOW UNDER 40 SECONDS 543 00:23:30,100 --> 00:23:32,369 AND GET CLINICAL, RELIABILITY IN 544 00:23:32,369 --> 00:23:33,937 CERTAIN AREAS IN 40 SECONDS. 545 00:23:33,937 --> 00:23:37,774 IT'S OFFLINE, WE RENORMED IT FOR 546 00:23:37,774 --> 00:23:38,608 AGES 3 TO 85. 547 00:23:38,608 --> 00:23:40,043 WE'LL TALK ABOUT THAT LATER IN 548 00:23:40,043 --> 00:23:41,544 SESSIONS TODAY. 549 00:23:41,544 --> 00:23:42,612 FLEXIBLE TEST ADMINISTRATION AND 550 00:23:42,612 --> 00:23:44,247 EVERYTHING'S AUTOMATICALLY 551 00:23:44,247 --> 00:23:45,949 SCORED BY THE TIME IT'S OVER. 552 00:23:45,949 --> 00:23:48,184 I'D LIKE TO SPEND TWO HOURS ON 553 00:23:48,184 --> 00:23:49,285 THIS SLIGHT AND I'LL SPEND 30 554 00:23:49,285 --> 00:23:52,255 SECONDS OR A MINUTE BUT THE NIH 555 00:23:52,255 --> 00:23:53,556 TOOLBOX COVERS FOUR DIFFERENT 556 00:23:53,556 --> 00:23:56,559 AREAS, COGNITION, WHICH IS THE 557 00:23:56,559 --> 00:23:58,428 MOST WIDELY USED BATTERY WE 558 00:23:58,428 --> 00:24:01,264 HAVE. 559 00:24:01,264 --> 00:24:03,767 FOLLOWED BY EMOTION WHICH HAS A 560 00:24:03,767 --> 00:24:05,068 SERIES OF MEASURES PEOPLE USE 561 00:24:05,068 --> 00:24:07,837 FOR VARIOUS STUDIES AND HAVE A 562 00:24:07,837 --> 00:24:12,042 VERY RICH MOTOR BATTERY USED 563 00:24:12,042 --> 00:24:16,146 NOWHERE NEAR AS MUCH BUT SPENT 564 00:24:16,146 --> 00:24:24,254 TIME COMING UP WITH MOTOR 565 00:24:24,254 --> 00:24:28,258 FUNCTIONS AND WE HAVE ALL THESE 566 00:24:28,258 --> 00:24:29,526 MEASURES. 567 00:24:29,526 --> 00:24:31,361 AND I'LL SPEND TIME ON THE 568 00:24:31,361 --> 00:24:31,928 COGNITION TEST. 569 00:24:31,928 --> 00:24:35,498 EVERYTHING WE DID WE DECIDED 570 00:24:35,498 --> 00:24:37,100 IT'S A TRADITION IN NEURAL 571 00:24:37,100 --> 00:24:39,769 ASSESSMENT TO UP DATE AND REFORM 572 00:24:39,769 --> 00:24:40,904 TESTS EVERY 10 YEARS. 573 00:24:40,904 --> 00:24:44,741 THE LAST THREE OR FOUR YEARS WE 574 00:24:44,741 --> 00:24:46,176 UPDATED THE TEST AND WENT 575 00:24:46,176 --> 00:24:48,311 THROUGH THE SAMPLE SIZE. 576 00:24:48,311 --> 00:24:49,612 AS A REFRESHER IT'S ONLY 577 00:24:49,612 --> 00:24:51,581 AVAILABLE FOR USE ON THE iPAD. 578 00:24:51,581 --> 00:24:54,451 WHEN I FIRST SAW AN iPAD I 579 00:24:54,451 --> 00:24:55,885 THOUGHT MY GOODNESS IF I 580 00:24:55,885 --> 00:24:57,287 STRUCTURE AND WRITE DOWN WHAT 581 00:24:57,287 --> 00:24:58,855 FEATURES WE'D WANT IN A HARDWARE 582 00:24:58,855 --> 00:25:01,291 DEVICE FOR TESTING THE iPAD WAS 583 00:25:01,291 --> 00:25:01,458 IT. 584 00:25:01,458 --> 00:25:02,826 IT'S A SOLID DEVICE AND MACHINED 585 00:25:02,826 --> 00:25:09,399 FROM A SINGLE PIECE OF ALUMINUM. 586 00:25:09,399 --> 00:25:14,204 IT'S STRONG, IT HAS NEURAL PSYCH 587 00:25:14,204 --> 00:25:16,206 CALVERT TIMERS AND NEW FEATURES 588 00:25:16,206 --> 00:25:17,574 WE'RE ABLE TO TAKE ADVANTAGE OF 589 00:25:17,574 --> 00:25:21,044 BUT OUR TESTS ARE HEAR AND I'LL 590 00:25:21,044 --> 00:25:23,580 EXPLAIN LATER AND WE UPDATED THE 591 00:25:23,580 --> 00:25:30,420 ORAL SYMBOL DIGIT TEST AND 592 00:25:30,420 --> 00:25:32,756 DIMENSIONAL CHANGE AND APPEARS 593 00:25:32,756 --> 00:25:36,126 TO THE TARGET AND AGES FOUR PLUS 594 00:25:36,126 --> 00:25:38,895 AND FOR THE MOST PART THEY'RE 595 00:25:38,895 --> 00:25:41,064 MORE SO USING ALMOST THE EXACT 596 00:25:41,064 --> 00:25:43,666 SAME TESTS FOR 3-YEAR-OLDS AS 597 00:25:43,666 --> 00:25:44,934 WE'RE USING FOR NOW WE 598 00:25:44,934 --> 00:25:46,770 DEMONSTRATED THE MEASURES FOR 599 00:25:46,770 --> 00:25:48,671 USE SUCH AS AGE 95 AND IT ALLOWS 600 00:25:48,671 --> 00:25:50,373 FOR VERY EASY COMPARISONS OF 601 00:25:50,373 --> 00:25:53,076 SCORES AND YOU CAN WATCH 602 00:25:53,076 --> 00:25:53,610 DEVELOPMENT TRAJECTORIES. 603 00:25:53,610 --> 00:25:55,812 IN SOME CASES WE BROUGHT THE 604 00:25:55,812 --> 00:25:59,015 OLDER VERSIONS OF THE TEST DOWN 605 00:25:59,015 --> 00:26:01,151 TO KITS AND WE TOOK THE 606 00:26:01,151 --> 00:26:04,721 THREE-YEAR-OLD VERSION AND NOW 607 00:26:04,721 --> 00:26:10,426 75-YEAR-OLD USING IT. 608 00:26:10,426 --> 00:26:11,528 AND THERE'S STARTING POINTS 609 00:26:11,528 --> 00:26:17,734 DEPENDING ON AGE AND 610 00:26:17,734 --> 00:26:20,703 AVAILABILITY. 611 00:26:20,703 --> 00:26:23,173 AND THERE'S VARIOUS STANDARDS 612 00:26:23,173 --> 00:26:24,874 TESTS OF FUNCTION. 613 00:26:24,874 --> 00:26:28,278 THIS TEST IMPROVED ALL OF OUR 614 00:26:28,278 --> 00:26:32,282 TIME TESTS AND IMPROVED IN V3 615 00:26:32,282 --> 00:26:34,150 BECAUSE THE SENSITIVITY OF THE 616 00:26:34,150 --> 00:26:35,952 TIMER IN THE iPAD IS GREATER 617 00:26:35,952 --> 00:26:37,720 THAN THE ORIGINAL HARDWARE WE 618 00:26:37,720 --> 00:26:38,288 DID THIS ON. 619 00:26:38,288 --> 00:26:40,056 SO WE'RE ABLE TO GET THE 620 00:26:40,056 --> 00:26:41,558 EQUIVALENT OF TESTING WHERE 621 00:26:41,558 --> 00:26:44,027 PEOPLE WERE FASTER THAN SOME OF 622 00:26:44,027 --> 00:26:47,397 US HAD TIMERS THERE AND YOU 623 00:26:47,397 --> 00:26:49,532 COULD PRESS A BUTTON AND GET 624 00:26:49,532 --> 00:26:51,201 FANCY LEVEL TIMING AND THE iPAD 625 00:26:51,201 --> 00:26:53,169 IS DOING THAT SO IT KNOWS 626 00:26:53,169 --> 00:26:54,504 EXACTLY HOW MUCH TIME IT'S TAKEN 627 00:26:54,504 --> 00:26:55,839 AND RECORDS IT WITH EACH ITEM. 628 00:26:55,839 --> 00:26:59,475 THE WORKING MEMORY TEST. 629 00:26:59,475 --> 00:27:01,611 ANOTHER TEST REVISED FOR USE IN 630 00:27:01,611 --> 00:27:02,011 V3. 631 00:27:02,011 --> 00:27:04,714 WE LEARNED OVER TIME WE THOUGHT 632 00:27:04,714 --> 00:27:06,816 WE HAD WHOLE TEAMS THAT 633 00:27:06,816 --> 00:27:10,119 CONCENTRATED ON DIVERSITY AND ON 634 00:27:10,119 --> 00:27:12,088 CULTURAL EQUITY AND NOBODY 635 00:27:12,088 --> 00:27:13,523 SEEMED TO CATCH 12 YEARS AGO A 636 00:27:13,523 --> 00:27:16,926 BLUE BERRY IS AN UNKNOWN FRUIT 637 00:27:16,926 --> 00:27:18,862 OUTSIDE THE UNITED STATES AND NO 638 00:27:18,862 --> 00:27:22,365 ONE KNOWS WHAT SIZE IT IS. 639 00:27:22,365 --> 00:27:24,234 SIMILARLY A PUMPKIN IN THE 640 00:27:24,234 --> 00:27:26,035 UNITED STATES IS THIS BIG BUT IN 641 00:27:26,035 --> 00:27:28,271 EUROPE IT'S THIS BIG AND THINGS 642 00:27:28,271 --> 00:27:30,707 WE REMOVED FROM THE TOOLBOX TO 643 00:27:30,707 --> 00:27:32,275 MAKE IT MORE APPLICABLE 644 00:27:32,275 --> 00:27:32,542 WORLDWIDE. 645 00:27:32,542 --> 00:27:37,714 AND WE HAVE A TEST THAT'S HIGHLY 646 00:27:37,714 --> 00:27:38,815 SENSITIVE TO ASSESSING 647 00:27:38,815 --> 00:27:43,720 ACCOUNTING IMPROVEMENT AND 648 00:27:43,720 --> 00:27:45,922 COGNITIVE DECLINE AND THE 649 00:27:45,922 --> 00:27:47,257 INCREASED IMPROVEMENT IN 650 00:27:47,257 --> 00:27:48,791 SENSITIVITY OF THE TIMER. 651 00:27:48,791 --> 00:27:51,427 WE LOWERED THE FLOOR AND RAISED 652 00:27:51,427 --> 00:27:54,197 THE CEILING ON THESE TESTS. 653 00:27:54,197 --> 00:27:58,268 AND OUR ORAL READING RECOGNITION 654 00:27:58,268 --> 00:28:01,771 TEST CONTINUES TO BE A COMPUTER 655 00:28:01,771 --> 00:28:02,906 ADAPTIVE TEST. 656 00:28:02,906 --> 00:28:04,607 ZEROS IN ON A PERSON'S READING 657 00:28:04,607 --> 00:28:05,808 ABILITY LEVEL IN A COUPLE 658 00:28:05,808 --> 00:28:12,882 MINUTES. 659 00:28:12,882 --> 00:28:15,985 AND OUR VOCABULARY INTELLIGENCE 660 00:28:15,985 --> 00:28:17,220 TEST WE PADDED WORDS AT THE 661 00:28:17,220 --> 00:28:19,522 LOWER END TO USE IT FOR THE BABY 662 00:28:19,522 --> 00:28:23,593 TOOLBOX AS WELL SO WE EXTENDED 663 00:28:23,593 --> 00:28:25,495 THE RANGE. 664 00:28:25,495 --> 00:28:27,597 WE ADDED TEST SENSITIVE SCORES 665 00:28:27,597 --> 00:28:31,601 AND CONTINUES TO BE A HIGHLY 666 00:28:31,601 --> 00:28:32,902 SENSITIVE TEST OF 667 00:28:32,902 --> 00:28:33,736 CRYSTALIZABILITY AND WE DIDN'T 668 00:28:33,736 --> 00:28:35,338 JUST HAVE A DELAYED VERSION. 669 00:28:35,338 --> 00:28:38,541 THIS WAS A SUPPLEMENTAL TEST IN 670 00:28:38,541 --> 00:28:39,275 THE VERSION 3. 671 00:28:39,275 --> 00:28:41,577 IT'S NOW BEEN UPDATED TO GIVE 672 00:28:41,577 --> 00:28:43,546 THE ORIGINAL TEST AND USE IT 673 00:28:43,546 --> 00:28:44,247 WHERE MANY USE IN CLINICAL 674 00:28:44,247 --> 00:28:50,887 STUDIES. 675 00:28:50,887 --> 00:28:53,523 THERE'S A NEW TEST WE'LL TALK 676 00:28:53,523 --> 00:28:54,757 ABOUT LATER AND DEVELOPED BY 677 00:28:54,757 --> 00:28:56,893 GRANTS OUTSIDE THE NIH TOOLBOX 678 00:28:56,893 --> 00:28:58,895 THE LAST THREE YEARS WE ADDED AS 679 00:28:58,895 --> 00:29:01,731 AN EXECUTIVE FUNCTIONING TEST 680 00:29:01,731 --> 00:29:04,300 THAT'S MORE APPLICABLE IN THE 3 681 00:29:04,300 --> 00:29:07,971 TO 6-YEAR-OLD RANK. 682 00:29:07,971 --> 00:29:09,405 -- RANGE AND VISIBLE REASONING 683 00:29:09,405 --> 00:29:11,307 TEST FOR AGES 4 AND UP. 684 00:29:11,307 --> 00:29:13,443 THERE'S A CALL FOR VISUAL 685 00:29:13,443 --> 00:29:14,811 REASONING ON SEVERAL STUDIES AND 686 00:29:14,811 --> 00:29:16,079 WE ADDED IT IN. 687 00:29:16,079 --> 00:29:18,481 THIS LOOKS SO NICE AND EASY BUT 688 00:29:18,481 --> 00:29:20,083 IT'S ACTUALLY ONE OF OUR MORE 689 00:29:20,083 --> 00:29:22,285 DIFFICULT TESTS AND WILL DO A 690 00:29:22,285 --> 00:29:24,954 GOOD JOB OF ASSETING GIFTINESS 691 00:29:24,954 --> 00:29:27,757 EVEN THROUGH 8th GRADE. 692 00:29:27,757 --> 00:29:31,027 AND BASED AND ASSOCIATION MEMORY 693 00:29:31,027 --> 00:29:36,199 TEST FOR TEENS HAVE USED THE 694 00:29:36,199 --> 00:29:40,269 TEST TO AS A DIGITAL BIOMEDICAL 695 00:29:40,269 --> 00:29:41,604 TO ASSESS AMYLOID BUILD UP AND 696 00:29:41,604 --> 00:29:44,240 IT'S AVAILABLE ON NUMEROUS 697 00:29:44,240 --> 00:29:47,410 PLATFORMS AND DOREEN'S TEAM 698 00:29:47,410 --> 00:29:50,847 HELPED AND WE'VE NOW ADDED IT TO 699 00:29:50,847 --> 00:29:52,482 THE TOOLBOX AND I SHOULD PUT OUT 700 00:29:52,482 --> 00:29:57,487 THE DEVELOPMENT OF THE ORIGINAL 701 00:29:57,487 --> 00:29:59,589 NIH TOOLBOX WAS ONLY MEASURES 702 00:29:59,589 --> 00:30:01,758 FOR 3 TO 85 WHICH LEFT SOME 703 00:30:01,758 --> 00:30:03,026 SHALL WE SAY LIGHT AT THE 704 00:30:03,026 --> 00:30:06,929 YOUNGEST AGES BECAUSE WE NEEDED 705 00:30:06,929 --> 00:30:09,832 TESTS THAT WE HAD IN ADULTHOOD 706 00:30:09,832 --> 00:30:13,403 AND AT THE UPPER AGE THE 707 00:30:13,403 --> 00:30:14,404 CONSTRUCTS WEREN'T NEEDED 708 00:30:14,404 --> 00:30:17,140 YOUNGER SO INVERSION 3 WE ADDED 709 00:30:17,140 --> 00:30:20,043 MEASURES OF BOTH ENDS OF THE 710 00:30:20,043 --> 00:30:20,309 SPECTRUM. 711 00:30:20,309 --> 00:30:21,677 I COULD SPEND ONE SLIGHT ON EACH 712 00:30:21,677 --> 00:30:24,313 OF THESE AREAS BUT THIS IS 713 00:30:24,313 --> 00:30:27,350 EMOTIONAL DOMAIN FRAMEWORK. 714 00:30:27,350 --> 00:30:31,754 UNDER D3 WE RELEASED THE TESTS 715 00:30:31,754 --> 00:30:33,923 AS FOUR ITEM TEST CLINICAL 716 00:30:33,923 --> 00:30:34,524 RELIABILITY IN THE CLINICAL 717 00:30:34,524 --> 00:30:40,263 RANGE OF INTEREST FOR ALL THESE 718 00:30:40,263 --> 00:30:44,434 TESTS ITEMS 35, 40 SECONDS USING 719 00:30:44,434 --> 00:30:45,001 COMPUTER TEST. 720 00:30:45,001 --> 00:30:47,036 THERE'S SEPARATE TESTS. 721 00:30:47,036 --> 00:30:48,471 THEY'RE SEPARATELY AVAILABLE AT 722 00:30:48,471 --> 00:30:52,275 ANY RED CAP INSTALLATIONS AROUND 723 00:30:52,275 --> 00:30:56,279 THE WORLD. 724 00:30:56,279 --> 00:31:01,451 MOTOR DOMAIN TEST WE DEVELOPED 725 00:31:01,451 --> 00:31:06,355 GRIP TEST STRENGTH AND THEY 726 00:31:06,355 --> 00:31:08,291 REALIZED STAND AND BALANCE TEST 727 00:31:08,291 --> 00:31:11,794 I THINK IS ONE OF THE NEATEST 728 00:31:11,794 --> 00:31:12,462 THINGS WE'VE DONE. 729 00:31:12,462 --> 00:31:15,865 WE DESIGN IT FOR USE WITH AN 730 00:31:15,865 --> 00:31:18,034 iPOD WHICH YOU CAN NO LONGER BUY 731 00:31:18,034 --> 00:31:21,504 AND WE MOVED IT TO THE iPHONE 732 00:31:21,504 --> 00:31:24,841 AND CAN DEVELOP A HIGHLY PRECISE 733 00:31:24,841 --> 00:31:28,778 MEASURE OF BALANCE, SIX, SEVEN 734 00:31:28,778 --> 00:31:29,011 MINUTES. 735 00:31:29,011 --> 00:31:32,381 AND THEN THE TWO-MINUTE TEST 736 00:31:32,381 --> 00:31:33,950 WHICH WAS JUST -- DEVELOPED BY 737 00:31:33,950 --> 00:31:37,053 PEOPLE WHEN USE THE SIX-MINUTE 738 00:31:37,053 --> 00:31:39,188 WALK TEST BUT IN THE EFFORT TO 739 00:31:39,188 --> 00:31:41,624 DECREASE BURDEN WE HAVE 740 00:31:41,624 --> 00:31:45,495 CORRELATION WITH THE 90s IN THE 741 00:31:45,495 --> 00:31:47,997 FOUR METER WALK GAIT TEST AS 742 00:31:47,997 --> 00:31:48,865 WELL. 743 00:31:48,865 --> 00:31:51,300 IN THE SENSATION DOMAIN, WORD OF 744 00:31:51,300 --> 00:31:52,535 NOISE TEST AND AFTER MANY YEARS 745 00:31:52,535 --> 00:31:56,772 WE'VE COME UP AND VALIDATED NEW 746 00:31:56,772 --> 00:31:59,809 TESTS TO INCLUDE THAT AND WE SAW 747 00:31:59,809 --> 00:32:01,511 IDENTIFICATION TESTS WHICH 748 00:32:01,511 --> 00:32:03,379 BECAME POPULAR EARLY IN COVID 749 00:32:03,379 --> 00:32:05,748 WHEN IT WAS THOUGHT THE ONLY WAY 750 00:32:05,748 --> 00:32:09,285 TO GET TEAM BACK TO WORK WAS TO 751 00:32:09,285 --> 00:32:11,220 DETERMINE IF PEOPLE REGAINED 752 00:32:11,220 --> 00:32:15,825 THEIR SENSE OF SMELL AS A WAY OF 753 00:32:15,825 --> 00:32:17,627 DETECTING COVID AND THE SAME 754 00:32:17,627 --> 00:32:19,262 TEST PEOPLE IN THE DEVELOPMENT 755 00:32:19,262 --> 00:32:26,269 TEAM WHO DEVELOPED THE 30 AND 756 00:32:26,269 --> 00:32:30,640 40-DOLLAR TESTS AND THE CARDS 757 00:32:30,640 --> 00:32:34,677 WERE ABOUT $2.50 EARLY IN COVID 758 00:32:34,677 --> 00:32:37,680 AND A GOT A CALL ABOUT WHAT 759 00:32:37,680 --> 00:32:41,050 WOULD IT BE FOR 30 MILLION AND 760 00:32:41,050 --> 00:32:43,052 FOR VISUAL ACUITY WE HAD A 761 00:32:43,052 --> 00:32:48,558 DISTANCE ACUITY TEST AND 762 00:32:48,558 --> 00:32:51,761 RECENTLY ADDED AND TURNS OUT A 763 00:32:51,761 --> 00:32:53,629 LOT OF PEOPLE HAD LESS 764 00:32:53,629 --> 00:32:55,531 PRESCRIPTION SO WE'RE MEASURING 765 00:32:55,531 --> 00:32:56,532 THE COGNITIVE END BUT THEY CAN'T 766 00:32:56,532 --> 00:32:58,000 FOCUS ON THE SCREEN IN FRONT OF 767 00:32:58,000 --> 00:32:59,602 THEM AND THE OTHER TWO 768 00:32:59,602 --> 00:33:04,273 SENSATIONAL DOMAIN TESTS ARE 769 00:33:04,273 --> 00:33:08,277 PAIN INTENSITY SURVEY AND D3 770 00:33:08,277 --> 00:33:14,317 WILL HAVE A GROWING NUMBER OF 771 00:33:14,317 --> 00:33:17,587 COMPOSITE SCORES AND TOTAL 772 00:33:17,587 --> 00:33:20,256 COGNITION COMPOSITE AND THESE 773 00:33:20,256 --> 00:33:21,557 COMPOSITE SCORES SCORE HIGHLY 774 00:33:21,557 --> 00:33:24,260 WITH THE IT VERSION 2 TEST. 775 00:33:24,260 --> 00:33:28,264 SOME OF THE UNDERLYING TESTS WE 776 00:33:28,264 --> 00:33:32,068 IMPROVED -- APPROVED THE TEST 777 00:33:32,068 --> 00:33:33,002 THAT DOESN'T CORRELATE AS WELL 778 00:33:33,002 --> 00:33:35,905 WITH THE OLD TESTS AND LOWERING 779 00:33:35,905 --> 00:33:37,974 THE FLOOR AND RAISING THE 780 00:33:37,974 --> 00:33:39,775 CEILING DON'T CORRELATE AND IT'S 781 00:33:39,775 --> 00:33:42,011 STILL A BETTER TEST AND THE 782 00:33:42,011 --> 00:33:44,046 COMPOSITE'S STILL THERE AND AGES 783 00:33:44,046 --> 00:33:50,786 4 TO 6 COMPOSITE MADE OF A 784 00:33:50,786 --> 00:33:52,255 SHORTER BATTERY. 785 00:33:52,255 --> 00:33:53,289 OUR TRANSLATIONS PERSON DIDN'T 786 00:33:53,289 --> 00:33:57,026 SHOW UP BUT WE CURRENTLY HAVE 787 00:33:57,026 --> 00:33:59,328 FOR VERSION 3 SPANISH ARABIC, 788 00:33:59,328 --> 00:34:03,299 HEBREW, FRENCH AND ITALIAN. 789 00:34:03,299 --> 00:34:07,803 INVERSION 2 WE HAVE SAUDI ARABIA 790 00:34:07,803 --> 00:34:11,641 AND SPANISH AND FRENCH AND 791 00:34:11,641 --> 00:34:14,310 ITALIAN AND WE'RE AWARE PEOPLE 792 00:34:14,310 --> 00:34:16,345 AND PEOPLE ARE USING THE TOOLBOX 793 00:34:16,345 --> 00:34:19,148 WITH THE SOUND TURNED OFF IN 794 00:34:19,148 --> 00:34:20,249 STUDIES AROUND THE WORLD AND 795 00:34:20,249 --> 00:34:23,619 WE'RE TRYING TO ADD LANGUAGE 796 00:34:23,619 --> 00:34:23,986 VERSIONS. 797 00:34:23,986 --> 00:34:27,957 AND FOR THE MOST PART VERY EARLY 798 00:34:27,957 --> 00:34:29,125 INDEBTED TO THE PHARMACEUTICAL 799 00:34:29,125 --> 00:34:35,631 INDUSTRY WHO USE THE TOOLBOX IN 800 00:34:35,631 --> 00:34:37,900 PLACES THROUGHOUT EUROPE TO HAVE 801 00:34:37,900 --> 00:34:38,634 NORMATIVE VALUES. 802 00:34:38,634 --> 00:34:40,636 SO V3 NORMING AND VALIDATION 803 00:34:40,636 --> 00:34:47,009 CLOSE TO 4,000 INDIVIDUALS TOOK 804 00:34:47,009 --> 00:34:52,248 PLACE A YEAR AND A HALF AGO AND 805 00:34:52,248 --> 00:34:57,219 1700 ADULTS AND AND WHILE 806 00:34:57,219 --> 00:35:00,256 THERE'S BEEN HUNDREDS OF 807 00:35:00,256 --> 00:35:03,392 CLINICAL STUDIES WITH THE NIH 808 00:35:03,392 --> 00:35:05,628 TOOLBOX WE THOUGHT TO BRING V3 809 00:35:05,628 --> 00:35:07,663 OUT WE SHOULD CONDUCT STUDIES SO 810 00:35:07,663 --> 00:35:11,200 WE DON'T WAIT FOR THE COMMUNITY 811 00:35:11,200 --> 00:35:14,603 TO DO THAT AND DID THAT IN ADHD 812 00:35:14,603 --> 00:35:16,238 AND LEARNING DISABILITIES IN 813 00:35:16,238 --> 00:35:20,242 LEARNING AND CONCUSSION AND DID 814 00:35:20,242 --> 00:35:26,349 STUDIES COMPARING V2 TO V3 AND 815 00:35:26,349 --> 00:35:27,983 IT WOULD COME OUT FULLY USABLE 816 00:35:27,983 --> 00:35:29,652 AND READY FOR USE. 817 00:35:29,652 --> 00:35:31,120 IN THE PUBLICATIONS DEPARTMENT, 818 00:35:31,120 --> 00:35:33,389 350 PLUS VALIDATION STUDIES. 819 00:35:33,389 --> 00:35:35,591 I WAS ASKED TO SPEAK ABOUT SIX, 820 00:35:35,591 --> 00:35:36,992 SEVEN YEARS AGO, SOMEBODY SAID 821 00:35:36,992 --> 00:35:39,428 COULD YOU SPEAK ABOUT THE 822 00:35:39,428 --> 00:35:41,530 CLINICAL USES AND CLINICAL 823 00:35:41,530 --> 00:35:42,431 VALIDATIONS OF THE TOOLBOX AND A 824 00:35:42,431 --> 00:35:44,300 SAID SURE AND I TURNED TO A 825 00:35:44,300 --> 00:35:47,670 STUDENT AND SAID DO WE HAVE ANY 826 00:35:47,670 --> 00:35:50,373 AND TURNED OUT WE HAD 250 AND WE 827 00:35:50,373 --> 00:35:53,042 USED THEM FOR SMALL STUDIES 828 00:35:53,042 --> 00:35:56,245 INTERNALLY BUT DIFFERENT 829 00:35:56,245 --> 00:35:57,913 SUBPOPULATIONS GET THAT AND AS 830 00:35:57,913 --> 00:35:59,882 DR. KOROSHETZ POINTED OUT WE'RE 831 00:35:59,882 --> 00:36:02,852 IN A LOT OF CLINICAL TRIALS. 832 00:36:02,852 --> 00:36:05,287 THE JOURNAL ARTICLES ARE HALF OF 833 00:36:05,287 --> 00:36:06,689 WHAT'S OUT AND AVAILABLE. 834 00:36:06,689 --> 00:36:07,390 VALIDATION STUDIES IN THE 835 00:36:07,390 --> 00:36:09,959 LITERATURE, I THINK THIS IS 836 00:36:09,959 --> 00:36:10,326 AMAZING. 837 00:36:10,326 --> 00:36:11,994 THESE ARE NOT OURS -- I HAVE 838 00:36:11,994 --> 00:36:16,265 ANOTHER SLIDE ON NEUROLOGICAL 839 00:36:16,265 --> 00:36:18,401 AND PSYCHOLOGICAL DISORDERS AND 840 00:36:18,401 --> 00:36:21,904 ADULT AND PEDIATRIC CANCER AND 841 00:36:21,904 --> 00:36:23,672 TRACKING A CHILD RECOVERING FROM 842 00:36:23,672 --> 00:36:26,776 CANCER IS BROUGHT IN ANNUALLY TO 843 00:36:26,776 --> 00:36:28,144 SEE HAS THEIR COGNITIVE 844 00:36:28,144 --> 00:36:31,313 FUNCTIONING BEEN IMPACTED AND 845 00:36:31,313 --> 00:36:33,649 CARDIOVASCULAR DISEASE AND AUTO 846 00:36:33,649 --> 00:36:36,152 IMMUNE IT'S ACROSS THE GAMUT OF 847 00:36:36,152 --> 00:36:40,256 SCIENTIFIC AREAS AND THE NEURAL 848 00:36:40,256 --> 00:36:42,425 AREA AND EARLY STAGE ALZHEIMER'S 849 00:36:42,425 --> 00:36:44,260 DISEASE AND PARKINSON'S DISEASE, 850 00:36:44,260 --> 00:36:46,896 ALL OVER. 851 00:36:46,896 --> 00:36:48,097 I'VE BEEN COUNTING -- I ALMOST 852 00:36:48,097 --> 00:36:49,398 BROUGHT ANOTHER ARTICLE 853 00:36:49,398 --> 00:36:51,200 PUBLISHED THIS MORNING WE'RE 854 00:36:51,200 --> 00:36:52,902 RUNNING AN ARTICLE AND THREE TO 855 00:36:52,902 --> 00:36:55,237 FOUR A WEEK AT THIS POINT OF 856 00:36:55,237 --> 00:36:57,606 STUDIES USING THE NIH TOOLBOX. 857 00:36:57,606 --> 00:36:59,775 DEVELOPED DURING COVID AND I PUT 858 00:36:59,775 --> 00:37:01,477 LIMITED RELEASE BECAUSE WE'RE 859 00:37:01,477 --> 00:37:02,745 NOT QUITE SURE HOW WIDELY WE 860 00:37:02,745 --> 00:37:04,280 WANT TO SUPPORT THIS BUT WE 861 00:37:04,280 --> 00:37:08,284 NEEDED SOMETHING THAT WOULD 862 00:37:08,284 --> 00:37:11,120 MAINTAIN THE RELIABILITY AND 863 00:37:11,120 --> 00:37:12,988 VALIDITY OF THE TOOLBOX DURING 864 00:37:12,988 --> 00:37:14,123 COVID AND THE CHILD HEALTH 865 00:37:14,123 --> 00:37:16,826 OUTCOMES ECHO STUDY. 866 00:37:16,826 --> 00:37:18,494 WE CREATED A VERSION WHERE YOU 867 00:37:18,494 --> 00:37:20,262 CAN SEE THE PARTICIPANT AND GET 868 00:37:20,262 --> 00:37:21,931 AN iPAD TO THE PARTICIPANT AND 869 00:37:21,931 --> 00:37:25,334 YOU CAN TALK THROUGH THE -- WE 870 00:37:25,334 --> 00:37:27,336 TRIED ZOOM EARLY ON. 871 00:37:27,336 --> 00:37:29,438 THERE'S DELAYS, WE SENT OUT AN 872 00:37:29,438 --> 00:37:32,141 iPAD TO A SUBJECT AND THEY CAN 873 00:37:32,141 --> 00:37:34,844 SEE THE TEST ADMINISTRATOR AND 874 00:37:34,844 --> 00:37:35,678 THEY CAN SEE THEM. 875 00:37:35,678 --> 00:37:37,847 WE LOSE NONE OF THE RELIABILITY 876 00:37:37,847 --> 00:37:39,281 AND THE RESULTS ARE COMMUNICATED 877 00:37:39,281 --> 00:37:44,253 BACK IN REAL TIME TO THE TEST 878 00:37:44,253 --> 00:37:46,388 ADMINISTRATORS iPAD AND THERE'S 879 00:37:46,388 --> 00:37:47,923 NO DATA FLOW AND NIH.org HAS 880 00:37:47,923 --> 00:37:50,259 BEEN OUR WEBSITE FOR A LONG 881 00:37:50,259 --> 00:37:50,459 TIME. 882 00:37:50,459 --> 00:37:56,065 WE HAVE A NEW WEBSITE AND THANKS 883 00:37:56,065 --> 00:37:57,066 TO MANY IN THE ROOM. 884 00:37:57,066 --> 00:37:59,301 THIS IS REALLY THE ADDRESS TO 885 00:37:59,301 --> 00:38:02,872 LEARN ABOUT ALL THE TESTING 886 00:38:02,872 --> 00:38:05,274 SYSTEMS THOUGH THE NIH TOOLBOX 887 00:38:05,274 --> 00:38:07,710 IS THE MOST DEEPLY EMBEDDED AND 888 00:38:07,710 --> 00:38:08,644 TRAINING HOW TO GET THE APP AND 889 00:38:08,644 --> 00:38:10,279 DESCRIPTIONS OF THE MEASURES. 890 00:38:10,279 --> 00:38:12,548 SO THERE'S CURATED CONTENT AND 891 00:38:12,548 --> 00:38:14,149 COMPOSITE SCORES, ETCETERA. 892 00:38:14,149 --> 00:38:16,218 YOU CAN FIND PUBLICATIONS THOUGH 893 00:38:16,218 --> 00:38:17,520 WE'RE TRYING TO LIST ALL OF THEM 894 00:38:17,520 --> 00:38:21,490 AND THEY'RE COMING OUT SO FAST. 895 00:38:21,490 --> 00:38:24,660 GOOGLE IS STILL A GOOD RESOURCE. 896 00:38:24,660 --> 00:38:27,730 WE HAVE WHAT PAPERS AND ALL THE 897 00:38:27,730 --> 00:38:29,732 TRAINING VIDEOS, E-LEARNING, 898 00:38:29,732 --> 00:38:29,999 ETCETERA. 899 00:38:29,999 --> 00:38:34,870 ALL THE FAQs WE ADDED IN 900 00:38:34,870 --> 00:38:35,671 ARTIFICIAL INTELLIGENCE CHAT BOX 901 00:38:35,671 --> 00:38:37,940 AND SEND IN A QUESTION, IF YOU 902 00:38:37,940 --> 00:38:39,441 CAN'T FIND THE ANSWER WE'LL TELL 903 00:38:39,441 --> 00:38:44,280 YOU WHAT THE ANSWER LIKELY IS 904 00:38:44,280 --> 00:38:46,549 AND WHAT I HEAR A HUNDRED TIMES 905 00:38:46,549 --> 00:38:47,583 IN THE LAST FEW MONTHS IS YOU 906 00:38:47,583 --> 00:38:48,651 DIDN'T HAVE TO WAIT FOR SOMEBODY 907 00:38:48,651 --> 00:38:50,786 TO GET BACK TO YOU AND IF SO WE 908 00:38:50,786 --> 00:38:52,087 HAVE SOMEONE TO SEND YOU AN 909 00:38:52,087 --> 00:38:53,188 E-MAIL BACK. 910 00:38:53,188 --> 00:38:55,057 I'D LIKE TO THANK THE ORIGINAL 911 00:38:55,057 --> 00:38:56,258 PROJECT OFFICER TEAM. 912 00:38:56,258 --> 00:38:57,993 SEVERAL HAVE COME BACK AND SOME 913 00:38:57,993 --> 00:38:59,528 HAVE MOVED ON TO OTHER 914 00:38:59,528 --> 00:39:01,830 INSTITUTES AND IT'S A VERY LARGE 915 00:39:01,830 --> 00:39:04,066 TEAM FROM THE NIH THAT 916 00:39:04,066 --> 00:39:05,467 PARTICIPATED IN THE ORIGINAL NIH 917 00:39:05,467 --> 00:39:07,636 TOOLBOX AND MANY STILL CHECK IN 918 00:39:07,636 --> 00:39:09,405 ON A REGULAR BASIS. 919 00:39:09,405 --> 00:39:11,674 CURRENT SCIENTIFIC REVIEW BOARD 920 00:39:11,674 --> 00:39:15,110 AND IN THE INTEREST OF TIME I 921 00:39:15,110 --> 00:39:16,478 WON'T READ ALL THE TIMES BUT 922 00:39:16,478 --> 00:39:17,947 PEOPLE ARE KEEPING US HONEST AND 923 00:39:17,947 --> 00:39:19,415 CHECK IN ON WHAT WE'RE DOING. 924 00:39:19,415 --> 00:39:21,517 THE V3 DEVELOPMENT TEAM. 925 00:39:21,517 --> 00:39:23,953 I REALIZE THE ORIGINAL TEAM WAS 926 00:39:23,953 --> 00:39:25,287 250 SOME ODD PEOPLE. 927 00:39:25,287 --> 00:39:28,190 I THINK WE'RE ROLLING NAMES AND 928 00:39:28,190 --> 00:39:30,025 THANK YOUS TO EVERYBODY ON THE 929 00:39:30,025 --> 00:39:31,193 MEASUREMENT SYSTEMS OVER THE 930 00:39:31,193 --> 00:39:32,628 LUNCH HOUR. 931 00:39:32,628 --> 00:39:34,563 WON'T EAT LUNCH IF YOU SEE EVERY 932 00:39:34,563 --> 00:39:36,265 SINGLE NAME SCROLL BY BUT THE 933 00:39:36,265 --> 00:39:37,299 EFFORTS TAKE A LOT OF EFFORTS 934 00:39:37,299 --> 00:39:38,133 AND MY PERSONAL THANKS TO 935 00:39:38,133 --> 00:39:40,002 EVERYBODY WHO HAS DONE THIS. 936 00:39:40,002 --> 00:39:43,939 IT'S NOT A RICHARD GERSHON 937 00:39:43,939 --> 00:39:47,810 EFFORT IT'S A LOT OF PEOPLE 938 00:39:47,810 --> 00:39:58,354 EFFORT AND THANK YOU VERY MUCH. 939 00:40:14,737 --> 00:40:15,037 >> GOOD MORNING. 940 00:40:15,037 --> 00:40:16,238 I'M HERE TO INTRODUCE DR. MIKE 941 00:40:16,238 --> 00:40:18,273 WOLF TO TALK ABOUT THE 942 00:40:18,273 --> 00:40:20,776 DEVELOPMENT AND FEATURES OF THE 943 00:40:20,776 --> 00:40:22,511 MY COG PROGRAM OF THE NIH 944 00:40:22,511 --> 00:40:23,212 TOOLBOX. 945 00:40:23,212 --> 00:40:26,749 BEFORE TURNING THE STAGE OVER 946 00:40:26,749 --> 00:40:29,652 MIKE I'LL START WITH A BIT OF 947 00:40:29,652 --> 00:40:29,885 CONTEXT. 948 00:40:29,885 --> 00:40:31,553 THE EARLY DETECTION HAS BEEN 949 00:40:31,553 --> 00:40:32,554 SEEN AS A HEALTH CARE PRIORITY 950 00:40:32,554 --> 00:40:34,256 IN THE UNITED STATES. 951 00:40:34,256 --> 00:40:35,724 DETECTING COGNITIVE IMPAIRMENT 952 00:40:35,724 --> 00:40:39,228 IS A REQUIRED COMPONENT OF THE 953 00:40:39,228 --> 00:40:41,163 WELLNESS VISIT AND A NUMBER OF 954 00:40:41,163 --> 00:40:43,365 ASSESSMENT TOOLS ARE ALREADY 955 00:40:43,365 --> 00:40:44,266 READILY AVAILABLE. 956 00:40:44,266 --> 00:40:46,435 HOWEVER, DESPITE THE 957 00:40:46,435 --> 00:40:51,273 AVAILABILITY OF TOOLS, COGNITIVE 958 00:40:51,273 --> 00:40:52,107 IMPAIRMENT REMAIN UNDER 959 00:40:52,107 --> 00:40:54,276 RECOGNIZED AND DIAGNOSED. 960 00:40:54,276 --> 00:40:55,878 THE REASONS ARE MULTIFACTORIAL 961 00:40:55,878 --> 00:40:59,715 AND ONE BARRIER HAS BEEN THE 962 00:40:59,715 --> 00:41:01,950 ABILITY TO INTEGRATE THE 963 00:41:01,950 --> 00:41:03,085 COGNITIVE ASSESSMENT IN THE 964 00:41:03,085 --> 00:41:05,788 PRIMARY HEALTH CARE WORK FLOW 965 00:41:05,788 --> 00:41:07,356 AND ELECTRONIC HEALTH RECORD. 966 00:41:07,356 --> 00:41:10,793 IN 2017 IN DIRECT RESPONSE TO 967 00:41:10,793 --> 00:41:13,328 ALZHEIMER'S DISEASE RELATED 968 00:41:13,328 --> 00:41:15,030 DEMENTIA MILESTONES TO ADDRESS 969 00:41:15,030 --> 00:41:16,932 ALZHEIMER'S DISEASE FOR 970 00:41:16,932 --> 00:41:18,634 DEMENTIAS AND HEALTH 971 00:41:18,634 --> 00:41:19,835 DISPARITIES, NIH ISSUED A 972 00:41:19,835 --> 00:41:21,737 OPPORTUNITY CALLING FOR THE 973 00:41:21,737 --> 00:41:23,405 CREATION OF A RESEARCH 974 00:41:23,405 --> 00:41:24,640 CONSORTIUM TO ESTABLISH TEST AND 975 00:41:24,640 --> 00:41:27,109 VALIDATE PAIR TIMES FOR 976 00:41:27,109 --> 00:41:29,745 DETECTING COGNITIVE IMPAIRMENT 977 00:41:29,745 --> 00:41:32,881 IN DEMENTIA WHEN A PATIENT, 978 00:41:32,881 --> 00:41:35,317 RELATIVE OR CARE PROVIDER 979 00:41:35,317 --> 00:41:37,920 INDICATES CONCERN IN A PRIMARY 980 00:41:37,920 --> 00:41:40,255 CARE SETTING AND EVERYDAY FORMS 981 00:41:40,255 --> 00:41:41,056 OF CLINICAL PRACTICE. 982 00:41:41,056 --> 00:41:43,392 THE VALIDATION OF MY COG WAS ONE 983 00:41:43,392 --> 00:41:47,029 OF THREE AWARDS AS PART OF THE 984 00:41:47,029 --> 00:41:49,865 DETECT CID CONSORTIUM AND IT'S 985 00:41:49,865 --> 00:41:51,533 IN ITS SECOND CYCLE AND BEING 986 00:41:51,533 --> 00:41:53,769 EVALUATED AS A PART OF A 987 00:41:53,769 --> 00:41:55,938 PRAGMATIC CLINICAL TRIAL IN 988 00:41:55,938 --> 00:41:58,407 DETECTING COGNITIVE IMPAIRMENT 989 00:41:58,407 --> 00:42:01,210 IN DEMENTIA IN THOSE IN A 990 00:42:01,210 --> 00:42:03,812 NETWORK OF CLINICS THAT SERVE 991 00:42:03,812 --> 00:42:07,583 PATIENTS OF DIVERSE BACKGROUND 992 00:42:07,583 --> 00:42:09,184 AND NOW DR. WOLF AND THE 993 00:42:09,184 --> 00:42:10,919 DIRECTOR OF THE INSTITUTE FOR 994 00:42:10,919 --> 00:42:12,254 PUBLIC HEALTH AND MEDICINE AT 995 00:42:12,254 --> 00:42:15,624 THE CENTER FOR APPLIED RESEARCH 996 00:42:15,624 --> 00:42:16,058 ON AGING. 997 00:42:16,058 --> 00:42:17,693 HE'LL TELL YOU MORE AND HOW WE 998 00:42:17,693 --> 00:42:20,262 GOT TO WHERE WE ARE TODAY. 999 00:42:20,262 --> 00:42:30,439 THANK YOU. 1000 00:42:34,309 --> 00:42:35,377 >> GOOD MORNING. 1001 00:42:35,377 --> 00:42:41,784 AS SAID I'LL PRESENT ON MY COG 1002 00:42:41,784 --> 00:42:45,320 WE'VE BEEN WORKING ON SINCE 1003 00:42:45,320 --> 00:42:45,754 2017. 1004 00:42:45,754 --> 00:42:51,226 FIRST, I WAS GOING TO TALK ABOUT 1005 00:42:51,226 --> 00:42:59,234 MY COG STORY AND HU -- HOW 1006 00:42:59,234 --> 00:43:02,104 WE'RE RESPONDING AND IS THE 1007 00:43:02,104 --> 00:43:03,972 SUMMIT NINDS PUT ON FOR SOME 1008 00:43:03,972 --> 00:43:06,074 TIME THE WORK CITED IS WHAT MY 1009 00:43:06,074 --> 00:43:07,342 COG IS ONE OF THE THREE AWARDS 1010 00:43:07,342 --> 00:43:10,546 WE'RE TRYING TO TACKLE IN 1011 00:43:10,546 --> 00:43:11,747 UNDRESSING THE PUBLIC HEALTH 1012 00:43:11,747 --> 00:43:13,081 PRIORITY AND LEADING TO PRIORITY 1013 00:43:13,081 --> 00:43:17,719 ONE FOR THE ETIOLOGIES DEMENTIA 1014 00:43:17,719 --> 00:43:18,887 SUBCOMMITTEE FOCUSSED ON 1015 00:43:18,887 --> 00:43:22,925 PRAGMATIC APPROACHES TO DETECT 1016 00:43:22,925 --> 00:43:26,695 COGNITIVE IMPARENT AND LINKING 1017 00:43:26,695 --> 00:43:31,233 TO CARE -- IMPAIRMENT AND 1018 00:43:31,233 --> 00:43:33,468 LINKING TO CARE AND WHEN THERE'S 1019 00:43:33,468 --> 00:43:35,771 A REPORT OF COGNITIVE FUNCTIONS 1020 00:43:35,771 --> 00:43:38,407 IT'S A TOP PRIORITY ISSUED SINCE 1021 00:43:38,407 --> 00:43:39,942 2016 AND CONTINUES TO THE MOST 1022 00:43:39,942 --> 00:43:41,743 RECENT VERSION OF THE SUMMIT IN 1023 00:43:41,743 --> 00:43:44,613 2022. 1024 00:43:44,613 --> 00:43:47,749 AND THAT LED TO THE CONSORTIUM 1025 00:43:47,749 --> 00:43:50,419 THAT REBECCA AND NINDS HAVE LED 1026 00:43:50,419 --> 00:43:51,854 AND WE'VE BEEN FORTUNATE TO BE A 1027 00:43:51,854 --> 00:43:54,223 PART OF SINCE 2017 WHEN IT GOT 1028 00:43:54,223 --> 00:43:58,694 KICKED OFF AND DETECTS THE 1029 00:43:58,694 --> 00:44:00,963 CONSORTIA FOR DETECTION OF 1030 00:44:00,963 --> 00:44:02,664 DEMENTIA HAS BEEN A PARTNERSHIP 1031 00:44:02,664 --> 00:44:03,932 WITH OUR COLLEAGUES AND 1032 00:44:03,932 --> 00:44:05,267 OURSELVES IN TERMS OF EINSTEIN 1033 00:44:05,267 --> 00:44:06,368 AND UCSF. 1034 00:44:06,368 --> 00:44:07,836 I WANT TO HIGHLIGHT THE GREAT 1035 00:44:07,836 --> 00:44:13,208 WORK THEY'RE ALL DOING AS WELL. 1036 00:44:13,208 --> 00:44:14,376 THE JUSTIFICATION FOR THE 1037 00:44:14,376 --> 00:44:17,179 CONSORTIUM IS WE NEED TO FOCUS 1038 00:44:17,179 --> 00:44:18,981 ON MOBILIZING PRIMARY CARE 1039 00:44:18,981 --> 00:44:20,782 SETTINGS BECAUSE THEY'RE WELL 1040 00:44:20,782 --> 00:44:23,418 POSITIONED TO DETECT COGNITIVE 1041 00:44:23,418 --> 00:44:25,020 DECLINE AND PRACTICES INCREDIBLY 1042 00:44:25,020 --> 00:44:26,288 BUSY THAT HAVE LOTS OF TARGETS 1043 00:44:26,288 --> 00:44:27,890 ON THEIR BACK IN TERMS OF WHAT 1044 00:44:27,890 --> 00:44:30,259 ELSE CAN WE BE DOING TO CAPTURE 1045 00:44:30,259 --> 00:44:31,159 NOT JUST COGNITIVE DECLINE BUT 1046 00:44:31,159 --> 00:44:33,929 OTHER FACTORS SINCE THEY'RE ON 1047 00:44:33,929 --> 00:44:35,764 THE FRONT LINES AND THE FOCUS 1048 00:44:35,764 --> 00:44:39,134 HAS BEEN JUSTIFIED THAT THERE'S 1049 00:44:39,134 --> 00:44:40,269 DESPITE THE OPPORTUNITIES OF THE 1050 00:44:40,269 --> 00:44:40,936 ANNUAL WELLNESS VISIT AND WE 1051 00:44:40,936 --> 00:44:43,238 HAVE PATIENTS COMING IN AND 1052 00:44:43,238 --> 00:44:45,540 WHERE THERE'S A COGNITIVE 1053 00:44:45,540 --> 00:44:48,076 ASSESSMENT SINCE 2011 REQUIRED 1054 00:44:48,076 --> 00:44:49,645 TO BE INCLUDE IN THAT VISIT. 1055 00:44:49,645 --> 00:44:55,517 WHAT WE DO KNOW IS PHYSICIANS 1056 00:44:55,517 --> 00:44:56,852 FAIL TO RECOGNIZE COGNITIVE 1057 00:44:56,852 --> 00:44:58,086 DECLINE AND SOME ARE MISSED 1058 00:44:58,086 --> 00:44:59,755 DURING THE VISITS AND THE ROOT 1059 00:44:59,755 --> 00:45:01,957 CAUSES AS YOU'D EXPECT ARE MANY 1060 00:45:01,957 --> 00:45:03,125 INCLUDING MORE IMPORTANTLY 1061 00:45:03,125 --> 00:45:05,761 RESOURCE AND TIME CONSTRAINTS WE 1062 00:45:05,761 --> 00:45:10,799 HEARD QUITE A BIT ABOUT AND LACK 1063 00:45:10,799 --> 00:45:12,000 OF TRAINING ON COGNITIVE 1064 00:45:12,000 --> 00:45:14,536 IMPAIRMENT AND LIMITATIONS OF 1065 00:45:14,536 --> 00:45:15,737 ASSESSMENTS IN THE PRESENCE OF 1066 00:45:15,737 --> 00:45:17,339 COMORBIDITIES AND HOW THAT PLAYS 1067 00:45:17,339 --> 00:45:18,173 INTO IT. 1068 00:45:18,173 --> 00:45:19,908 I WILL SAY DURING THE PAST 1069 00:45:19,908 --> 00:45:22,577 SEVERAL YEARS WORKING ON THE 1070 00:45:22,577 --> 00:45:25,147 PROJECT WE ARE TALKED TO SO MANY 1071 00:45:25,147 --> 00:45:27,716 PRIMARY CARE PHYSICIANS AND ONE 1072 00:45:27,716 --> 00:45:29,785 THING I THOUGHT WAS INTERESTING 1073 00:45:29,785 --> 00:45:33,288 WAS MINI COG AS OTHER TESTS 1074 00:45:33,288 --> 00:45:34,056 COMMONLY USED IN THE PRACTICE 1075 00:45:34,056 --> 00:45:37,559 AND THE ONE THING WE HEARD FROM 1076 00:45:37,559 --> 00:45:39,194 MANY PHYSICIANS IS AS PATIENTS 1077 00:45:39,194 --> 00:45:41,129 LEAVE ANNUAL WELLNESS VISITS AND 1078 00:45:41,129 --> 00:45:43,465 WHAT THEY FIND THEM DOING IN THE 1079 00:45:43,465 --> 00:45:47,836 WAITING AREA IS WHISPERING THE 1080 00:45:47,836 --> 00:45:49,204 RECALL WORDS TO THE PATIENTS 1081 00:45:49,204 --> 00:45:49,438 WAITING. 1082 00:45:49,438 --> 00:45:51,606 THE NOTION OF CHEATING ON THE 1083 00:45:51,606 --> 00:45:52,341 COGNITIVE ASSESSMENT WAS NEW TO 1084 00:45:52,341 --> 00:45:57,913 ME DURING THIS PROCESS. 1085 00:45:57,913 --> 00:46:02,451 THERE'S A NEED FOR BRIEFLY 1086 00:46:02,451 --> 00:46:03,151 ADMINISTRATABLE TOOLS WITH TURN 1087 00:46:03,151 --> 00:46:05,721 KEY RECOMMENDATIONS THE LINK TO 1088 00:46:05,721 --> 00:46:07,723 QUALITY CARE THAT IMPORTANT FOR 1089 00:46:07,723 --> 00:46:08,290 ENSURING FOLLOW-UP AND CARE 1090 00:46:08,290 --> 00:46:12,961 MANAGEMENT. 1091 00:46:12,961 --> 00:46:14,663 FROM OUR COLLEGIATE USF AND 1092 00:46:14,663 --> 00:46:16,531 THERE WAS A GREAT PAPER THAT 1093 00:46:16,531 --> 00:46:22,204 HIGHLIGHTS THERE'S A MAJOR 1094 00:46:22,204 --> 00:46:23,805 EMPHASIS TO NOT FURTHER DRIVE 1095 00:46:23,805 --> 00:46:26,041 HEALTH INEQUITIES AND THERE'S 1096 00:46:26,041 --> 00:46:28,276 DATA FROM CALIFORNIA THAT 1097 00:46:28,276 --> 00:46:31,146 SHOWING ASIAN, BLACK AND LATINO 1098 00:46:31,146 --> 00:46:34,416 RESULT LESS LIKELY TO RECEIVE A 1099 00:46:34,416 --> 00:46:36,985 TIMELY DIAGNOSIS AND ELDERLY 1100 00:46:36,985 --> 00:46:37,886 FEWER EVALUATION ELEMENTS. 1101 00:46:37,886 --> 00:46:39,654 THE IDEA THAT WHEN WE THINK 1102 00:46:39,654 --> 00:46:40,989 ABOUT THE CONSORTIUM AND THE 1103 00:46:40,989 --> 00:46:44,292 WORK WE'RE DOING WE WANT TO 1104 00:46:44,292 --> 00:46:46,428 FOCUS ON HEALTH DISPARATE 1105 00:46:46,428 --> 00:46:52,267 POPULATIONS IS KEY AS WELL. 1106 00:46:52,267 --> 00:46:55,337 THERE'S BEEN THREE PROGRAMS 1107 00:46:55,337 --> 00:46:56,705 MENTIONED INCLUDING 1108 00:46:56,705 --> 00:46:59,207 NORTHWESTERN'S WITH THE GOAL TO 1109 00:46:59,207 --> 00:47:01,143 INCREASE THE QUALITY OF PATIENT 1110 00:47:01,143 --> 00:47:03,211 EVALUATION FOR DETECTING 1111 00:47:03,211 --> 00:47:05,814 IMPAIRMENT AND DEMENTIA IN 1112 00:47:05,814 --> 00:47:08,150 EVERYDAY CLINICAL SETTINGS THINK 1113 00:47:08,150 --> 00:47:10,852 ABOUT AMBULATORY TOOLS AND 1114 00:47:10,852 --> 00:47:14,089 BETTER IDENTIFY PATIENTS AT AN 1115 00:47:14,089 --> 00:47:15,757 EARLIER STAGE OF DISEASE IS 1116 00:47:15,757 --> 00:47:17,859 IMPORTANT AND ADDRESSING 1117 00:47:17,859 --> 00:47:20,429 BARRIERS TO DETECTING IMPAIRMENT 1118 00:47:20,429 --> 00:47:24,766 AND FIDELITY IS HIGHLIGHTED. 1119 00:47:24,766 --> 00:47:26,301 I'LL HIGHLIGHT SOME OF THE 1120 00:47:26,301 --> 00:47:29,738 ISSUES RIGHT NOW IN TERMS OF THE 1121 00:47:29,738 --> 00:47:30,772 THREE SITES. 1122 00:47:30,772 --> 00:47:34,276 I WANT TO ACKNOWLEDGE EINSTEIN 1123 00:47:34,276 --> 00:47:38,413 AND UCSF AND AT NORTHWESTERN WE 1124 00:47:38,413 --> 00:47:39,681 HAVE TWO SPECIFIC ASSESSMENTS 1125 00:47:39,681 --> 00:47:47,722 SEQUENCE OF MEMORY AND 1126 00:47:47,722 --> 00:47:49,524 DEMENTIONAL CARD SCORE AND 1127 00:47:49,524 --> 00:47:50,692 SELF-ADMINISTRATION. 1128 00:47:50,692 --> 00:47:51,860 THE INTERESTING THINGS ABOUT 1129 00:47:51,860 --> 00:47:54,763 THAT IS EXCITING IS THERE'S DATA 1130 00:47:54,763 --> 00:47:56,264 HARMONIZATION OF OUTCOME 1131 00:47:56,264 --> 00:47:56,665 MEASURES. 1132 00:47:56,665 --> 00:48:01,903 WE CAN LOOK ACROSS THE DIFFERENT 1133 00:48:01,903 --> 00:48:05,807 PLATFORMS OF OUR TOOLS NOT JUST 1134 00:48:05,807 --> 00:48:07,075 MY COG BUT WHAT OTHER 1135 00:48:07,075 --> 00:48:08,610 CIRCUMSTANCES AND A PARADIGM OF 1136 00:48:08,610 --> 00:48:09,144 BEING MORE EFFICIENT THAN 1137 00:48:09,144 --> 00:48:12,981 ANOTHER. 1138 00:48:12,981 --> 00:48:17,486 THESE ARE THE MEASURE OF 1139 00:48:17,486 --> 00:48:24,259 FUNCTION AND EPISODIC MEMORY AND 1140 00:48:24,259 --> 00:48:27,762 BEST TO HAVE DETECTION OF 1141 00:48:27,762 --> 00:48:29,798 DEMENTIA AND FACTORING IN A 1142 00:48:29,798 --> 00:48:35,303 TARGET AROUND MCI. 1143 00:48:35,303 --> 00:48:36,771 THEN THINKING ABOUT THE FEATURES 1144 00:48:36,771 --> 00:48:39,007 AND IF WE HAVE AN OPPORTUNITY TO 1145 00:48:39,007 --> 00:48:41,610 THINK ABOUT NEW TESTS, THERE'S 1146 00:48:41,610 --> 00:48:43,912 ALREADY MANY SHORT ABBREVIATED 1147 00:48:43,912 --> 00:48:46,681 SCREENERS OUT THERE SO WHY 1148 00:48:46,681 --> 00:48:49,851 ANOTHER TEST. 1149 00:48:49,851 --> 00:48:52,187 A LOT OF THE WORK EARLY ON WAS 1150 00:48:52,187 --> 00:48:54,856 SPENDING TIME ON ITERATIVE 1151 00:48:54,856 --> 00:48:56,791 DESIGN THINK WHAT COULD BE 1152 00:48:56,791 --> 00:48:58,593 BETTER, HOW COULD THINGS WORK 1153 00:48:58,593 --> 00:49:00,262 EFFICIENTLY FOR INCORPORATING 1154 00:49:00,262 --> 00:49:02,030 TESTS THAT MAY TAKE SOMETHING AS 1155 00:49:02,030 --> 00:49:05,100 BRIEF AS A MINI COG ASSESSMENT. 1156 00:49:05,100 --> 00:49:07,469 THIS WAS A USER CENTER ITERATIVE 1157 00:49:07,469 --> 00:49:08,904 DESIGN APPROACHED INVOLVED 1158 00:49:08,904 --> 00:49:11,439 CLINICIANS AND ADMINISTRATORS 1159 00:49:11,439 --> 00:49:12,874 AND PATIENTS FAMILIAR IN WORKING 1160 00:49:12,874 --> 00:49:16,244 IN PRIMARY CARE CENTERS WORKING 1161 00:49:16,244 --> 00:49:18,947 WITH FEDERALLY QUALIFIED HEALTH 1162 00:49:18,947 --> 00:49:19,614 CENTER NETWORKS IN THE GREATER 1163 00:49:19,614 --> 00:49:22,951 CHICAGO AREA AND ELSEWHERE. 1164 00:49:22,951 --> 00:49:25,954 AS IT'S iPAD BASED AND MANY 1165 00:49:25,954 --> 00:49:32,260 PRACTICES WE'RE WORKING IN 1166 00:49:32,260 --> 00:49:34,162 ESPECIALLY FEDERALLY QUALIFIED 1167 00:49:34,162 --> 00:49:36,865 DON'T HAVE iPADS SO THINKING HOW 1168 00:49:36,865 --> 00:49:38,667 NEW TECHNOLOGY CAN FIT IN THE 1169 00:49:38,667 --> 00:49:41,303 MIX AND HOW IT COULD STREAMLINE 1170 00:49:41,303 --> 00:49:43,872 THEIR PRACTICES AND BE A BENEFIT 1171 00:49:43,872 --> 00:49:44,839 IS IMPORTANT. 1172 00:49:44,839 --> 00:49:46,341 A LOT OF OUR CLINICIANS WE'VE 1173 00:49:46,341 --> 00:49:48,310 BEEN TALKING WITH IN THE PAST 1174 00:49:48,310 --> 00:49:50,245 DECADE ABOUT HOW DO YOU -- THE 1175 00:49:50,245 --> 00:49:52,247 OPPORTUNITIES THERE FOR AN iPAD 1176 00:49:52,247 --> 00:49:53,248 NOT JUST FOR MAYBE A COGNITIVE 1177 00:49:53,248 --> 00:49:54,950 ASSESSMENT BUT THINKING OF 1178 00:49:54,950 --> 00:49:56,284 MEDICATION RECONCILIATION AND 1179 00:49:56,284 --> 00:49:56,818 OTHER TOOLS. 1180 00:49:56,818 --> 00:49:59,821 THERE WAS INTEREST IN FINDING 1181 00:49:59,821 --> 00:50:02,791 WAYS TO EMBED THE TECHNOLOGY 1182 00:50:02,791 --> 00:50:03,792 INTO THEIR PRACTICE. 1183 00:50:03,792 --> 00:50:06,595 AGAIN WITH CERTAIN CAVEATS. 1184 00:50:06,595 --> 00:50:11,032 AND WE HEARD A LOT OVER AND OVER 1185 00:50:11,032 --> 00:50:13,268 AGAIN ABOUT HOW THIS COULD BE 1186 00:50:13,268 --> 00:50:14,636 INCLUDING MY COG IN THE iPAD 1187 00:50:14,636 --> 00:50:16,972 COULD BE OF GREAT VALUE AND 1188 00:50:16,972 --> 00:50:20,508 UTILITY IF IT COULD BE 1189 00:50:20,508 --> 00:50:20,909 SELF-ADMINISTERED. 1190 00:50:20,909 --> 00:50:23,812 I THINK I'D DEFINITELY GIVE A 1191 00:50:23,812 --> 00:50:26,548 LOT OF SHOUT OUT TO RICHARD FOR 1192 00:50:26,548 --> 00:50:29,084 PUSHING US TO THINK ABOUT THIS 1193 00:50:29,084 --> 00:50:30,552 AS SOMETHING THAT IF IT'S NOT 1194 00:50:30,552 --> 00:50:35,156 GOING TO WORK AS AN INTERVIEWER 1195 00:50:35,156 --> 00:50:36,191 OR COGNITIVE ASSESSMENT IT NEEDS 1196 00:50:36,191 --> 00:50:38,159 TO BE SELF-ADMINISTERED WE NEED 1197 00:50:38,159 --> 00:50:41,062 TO TAKE THE TIME TO PIVOT WHICH 1198 00:50:41,062 --> 00:50:42,197 WHICH WE DID. 1199 00:50:42,197 --> 00:50:44,599 IT WAS MEANT TO BE DEFINED TO 1200 00:50:44,599 --> 00:50:46,334 AVOID MANUAL DATA COLLECTION 1201 00:50:46,334 --> 00:50:49,271 FROM AN ASSESSMENT AND EVEN IF 1202 00:50:49,271 --> 00:50:51,873 IT'S A FEW MINUTES LONGER THAN 1203 00:50:51,873 --> 00:50:53,241 CURRENTLY IN PRACTICE WITH THE 1204 00:50:53,241 --> 00:50:54,109 CURRENT STANDARD OF CARE. 1205 00:50:54,109 --> 00:50:57,145 THE IDEA WE COULD SAVE TIME BY 1206 00:50:57,145 --> 00:50:59,814 TETHERING IT TO THE ELECTRONIC 1207 00:50:59,814 --> 00:51:00,949 HEALTH RECORD AND COMMUNICATE 1208 00:51:00,949 --> 00:51:02,517 WITH THE ELECTRONIC HEALTH 1209 00:51:02,517 --> 00:51:04,753 RECORD AND HOW TO DO THAT. 1210 00:51:04,753 --> 00:51:06,655 WE SPENT A GREAT AMOUNT OF TIME 1211 00:51:06,655 --> 00:51:08,690 IN THE NORTHWESTERN TEAMS WHO 1212 00:51:08,690 --> 00:51:10,225 ARE HERE AND I'M HOPING WE'LL BE 1213 00:51:10,225 --> 00:51:12,193 ABLE TO MEET WITH THEM LATER AS 1214 00:51:12,193 --> 00:51:14,763 THEY GIVE A DEEPER DIVE INTO MY 1215 00:51:14,763 --> 00:51:16,865 COG AND SHARE THE INCREDIBLY 1216 00:51:16,865 --> 00:51:17,832 DIFFICULT AND CHALLENGING WORK 1217 00:51:17,832 --> 00:51:19,934 TO MAKE THAT HAPPEN AND 1218 00:51:19,934 --> 00:51:21,970 SUCCESSFULLY AS IT HAS BEEN. 1219 00:51:21,970 --> 00:51:23,938 THE WAY IT WORKS RIGHT NOW WITH 1220 00:51:23,938 --> 00:51:26,274 MY COG IT COMMUNICATES TO THE 1221 00:51:26,274 --> 00:51:27,842 E.H.R. THROUGH A BAR OF QR CODE 1222 00:51:27,842 --> 00:51:30,945 AND THAT ALLOWS THE iPAD AND 1223 00:51:30,945 --> 00:51:32,947 ASSESSMENT WHICH CANNOT MAINTAIN 1224 00:51:32,947 --> 00:51:34,516 PRIVATE INFORMATION IN DATA 1225 00:51:34,516 --> 00:51:35,717 AFTER THE ASSESSMENT IS 1226 00:51:35,717 --> 00:51:36,785 PERFORMED CAN SHARE AND IDENTIFY 1227 00:51:36,785 --> 00:51:37,919 AND DROP OFF THE INFORMATION 1228 00:51:37,919 --> 00:51:40,388 EXACTLY WHERE IT NEEDS TO FOR 1229 00:51:40,388 --> 00:51:40,889 THE PATIENT. 1230 00:51:40,889 --> 00:51:47,495 IT AUTO POPULATED RESULTS WITH A 1231 00:51:47,495 --> 00:51:53,034 RED LIGHT/GREEN LIGHT WITH 1232 00:51:53,034 --> 00:51:56,104 COGNITIVE IMPAIRMENT AND AN EASY 1233 00:51:56,104 --> 00:51:57,405 APPROACH TO DETERMINE 1234 00:51:57,405 --> 00:51:57,806 EFFICIENTLY. 1235 00:51:57,806 --> 00:52:01,409 AND AGAIN WE ALSO DON'T WANT TO 1236 00:52:01,409 --> 00:52:03,078 PROVIDE THE TEST RESULT WITHOUT 1237 00:52:03,078 --> 00:52:05,647 ALSO OFFERING CLINIC TAILORED 1238 00:52:05,647 --> 00:52:07,816 TURN KEY RECOMMENDATIONS IN A 1239 00:52:07,816 --> 00:52:09,584 BEST PRACTICE ALERT THAT CAN 1240 00:52:09,584 --> 00:52:13,455 LINK TO A LIST OF ALL OF THE 1241 00:52:13,455 --> 00:52:14,756 GUIDANCE IN TERMS OF WHAT'S 1242 00:52:14,756 --> 00:52:14,956 NEXT. 1243 00:52:14,956 --> 00:52:17,192 YOU HAVE TO IDENTIFY THE 1244 00:52:17,192 --> 00:52:22,497 COGNITIVE IMPAIRMENT AND THINK 1245 00:52:22,497 --> 00:52:23,498 ABOUT EVERYTHING ABOUT 1246 00:52:23,498 --> 00:52:26,768 REVERSIBLE CAUSES OR LABS OR 1247 00:52:26,768 --> 00:52:27,702 IMAGING AS A RESULT AND WHAT 1248 00:52:27,702 --> 00:52:30,672 OTHER TYPES OF REFERRALS WOULD 1249 00:52:30,672 --> 00:52:32,273 YOU MAKE BEYOND NEURO PSYCH OR 1250 00:52:32,273 --> 00:52:32,540 NEUROLOGY. 1251 00:52:32,540 --> 00:52:35,877 WE'VE BEEN DOING WORK WITH CARE 1252 00:52:35,877 --> 00:52:36,511 COORDINATION AT OUR HEALTH CARE 1253 00:52:36,511 --> 00:52:41,616 SYSTEM. 1254 00:52:41,616 --> 00:52:43,551 AND ANOTHER THING RICHARD 1255 00:52:43,551 --> 00:52:45,053 HIGHLIGHTED WHEN WE SAW THE 1256 00:52:45,053 --> 00:52:46,054 OPPORTUNITY TO WORK WITH MY COG 1257 00:52:46,054 --> 00:52:48,523 IN THIS SPACE WAS THINK OF THE 1258 00:52:48,523 --> 00:52:49,624 VALUE OVER CURRENT COGNITIVE 1259 00:52:49,624 --> 00:52:51,993 SCREENERS AND LOOKING AT NOT 1260 00:52:51,993 --> 00:52:54,963 JUST NORMS OF DECLINE BUT 1261 00:52:54,963 --> 00:52:56,698 RELATIVE DECLINE BY GETTING A 1262 00:52:56,698 --> 00:52:58,666 PATIENT'S BASELINE DROPPED IN 1263 00:52:58,666 --> 00:53:01,936 AND THERE ARE FEATURES ALREADY 1264 00:53:01,936 --> 00:53:05,440 BASICALLY ENDEMIC TO ELECTRONIC 1265 00:53:05,440 --> 00:53:06,074 ELECTRONIC HEALTH RECORDS THAT 1266 00:53:06,074 --> 00:53:11,112 ARE LIKE FLOW SHEET AND YOU CAN 1267 00:53:11,112 --> 00:53:13,114 TRACK PERFORMANCE LIKE WELLNESS 1268 00:53:13,114 --> 00:53:16,251 VISITS AND MAYBE A PATIENT IS 1269 00:53:16,251 --> 00:53:18,787 STARTING AT A HIGHER PLACE LIKE 1270 00:53:18,787 --> 00:53:23,124 HIGHER EDUCATED AND REPORTING 1271 00:53:23,124 --> 00:53:25,293 AND YOU'LL SEE A DROP BECAUSE IT 1272 00:53:25,293 --> 00:53:26,961 FALLS WITHIN THE NORMATIVE RANGE 1273 00:53:26,961 --> 00:53:27,562 OF THE TEST. 1274 00:53:27,562 --> 00:53:29,831 HERE'S SNAP SHOTS OF OUR OWN 1275 00:53:29,831 --> 00:53:30,498 ELECTRONIC HEALTH RECORD OF WHAT 1276 00:53:30,498 --> 00:53:32,267 THE TESTS WOULD LOOK LIKE AND 1277 00:53:32,267 --> 00:53:33,768 TALKING WITH CLINICIANS. 1278 00:53:33,768 --> 00:53:37,739 WE WANTED TO MAKE SURE TO SHARE 1279 00:53:37,739 --> 00:53:39,707 AND IT WASN'T JUST GIVING THEM A 1280 00:53:39,707 --> 00:53:41,476 RED LIGHT GREEN LIGHT BUT 1281 00:53:41,476 --> 00:53:43,645 PROVIDE TEST SCORES FOR THE OVER 1282 00:53:43,645 --> 00:53:47,081 ALL SCORE AND FOR EACH 1283 00:53:47,081 --> 00:53:49,317 INDIVIDUAL SCORE AND WE'D GIVE A 1284 00:53:49,317 --> 00:53:50,418 THRESHOLD AS WELL. 1285 00:53:50,418 --> 00:53:52,253 CLINICIANS WILL SAY I WOULD WANT 1286 00:53:52,253 --> 00:53:54,155 TO KNOW IF THEY'RE ON THE 1287 00:53:54,155 --> 00:53:55,423 THRESHOLD AND MAYBE THEY'RE 1288 00:53:55,423 --> 00:53:57,826 HAVING A BAD DAY AND MAYBE I'LL 1289 00:53:57,826 --> 00:54:01,262 THINK TWICE BEFORE SENDING THEM 1290 00:54:01,262 --> 00:54:03,565 DOWN TO A NEURO PSYCH EVALUATION 1291 00:54:03,565 --> 00:54:04,999 AND MAYBE RECHECK TO HAVE THEM 1292 00:54:04,999 --> 00:54:07,602 COME BACK WITHIN A PERIOD OF 1293 00:54:07,602 --> 00:54:14,776 TIME TO RE-EVALUATE AND HAVE DID 1294 00:54:14,776 --> 00:54:18,513 CONFIDENCE IT'S INDICATIVE OF 1295 00:54:18,513 --> 00:54:20,381 IMPAIRMENT AND NEED TO TRIAGE 1296 00:54:20,381 --> 00:54:20,715 DIFFERENTLY. 1297 00:54:20,715 --> 00:54:25,420 THOSE VALUES ARE THERE. 1298 00:54:25,420 --> 00:54:28,256 AND WE HAVE CLINICAL TRIAL PRAG 1299 00:54:28,256 --> 00:54:31,259 MAT IG TRIAL UNDERWAY EVALUATING 1300 00:54:31,259 --> 00:54:33,695 PRACTICE TO SEE HOW IT WORKS. 1301 00:54:33,695 --> 00:54:35,230 THERE'S TWO WAYS TO TO IMAGINE 1302 00:54:35,230 --> 00:54:40,768 HOW YOU DEPLOY MY COG. 1303 00:54:40,768 --> 00:54:44,772 ONE IS THROUGH THE ANNUAL 1304 00:54:44,772 --> 00:54:46,474 WELLNESS VISIT AND THERE'S VALUE 1305 00:54:46,474 --> 00:54:48,309 ADD IN TERMS OF HAVING AN 1306 00:54:48,309 --> 00:54:50,311 ASSESSMENT IN PRIMARY CARE 1307 00:54:50,311 --> 00:54:55,149 HIGHLY SPECIFIC AND BEING 1308 00:54:55,149 --> 00:54:57,585 ATTENTIVE TO THE FACT OF A 1309 00:54:57,585 --> 00:54:59,888 GUIDANCE THAT'S COUNTER 1310 00:54:59,888 --> 00:55:02,123 INTUITIVE TO THE REQUIREMENT 1311 00:55:02,123 --> 00:55:05,894 SINCE 2011 TO DO COGNITIVE 1312 00:55:05,894 --> 00:55:07,028 ASSESSMENTS AND THERE'S CONCERN 1313 00:55:07,028 --> 00:55:09,030 FOR PSYCHOLOGICAL HARM IF YOU DO 1314 00:55:09,030 --> 00:55:11,266 SCREENING AND WE KNOW PATIENTS 1315 00:55:11,266 --> 00:55:12,367 WILL BE POTENTIALLY GETTING A 1316 00:55:12,367 --> 00:55:14,002 COGNITIVE ASSESSMENT SO WE DO 1317 00:55:14,002 --> 00:55:15,937 SUGGEST WE WOULD PUT MY COG IN 1318 00:55:15,937 --> 00:55:16,604 THAT MIX. 1319 00:55:16,604 --> 00:55:18,373 AND THEN FOR A RAW TEEN VISIT 1320 00:55:18,373 --> 00:55:19,607 ALSO AND AGAIN AS HIGHLIGHTED BY 1321 00:55:19,607 --> 00:55:27,248 THE ADRD SUMMIT RECOMMENDATIONS 1322 00:55:27,248 --> 00:55:29,717 THE PATIENT OR CARE PARTNER 1323 00:55:29,717 --> 00:55:32,687 REPORTS IS A WAY TO DEPLOY MY 1324 00:55:32,687 --> 00:55:32,854 COG. 1325 00:55:32,854 --> 00:55:34,656 IT DOES MEAN FROM AN ELECTRONIC 1326 00:55:34,656 --> 00:55:35,490 HEALTH RECORD STANDPOINT WE 1327 00:55:35,490 --> 00:55:37,992 LEARN THE NATURE OF THE VISIT IF 1328 00:55:37,992 --> 00:55:43,865 IT'S CODEDSS -- CODED AS AN 1329 00:55:43,865 --> 00:55:45,333 ANNUAL WELLNESS AND THE TOOL CAN 1330 00:55:45,333 --> 00:55:47,902 BE DEPLOYED AT ANY TIME A 1331 00:55:47,902 --> 00:55:49,504 CLINICIAN WOULD LIKE TO NOT JUST 1332 00:55:49,504 --> 00:55:51,940 WITH THE ANNUAL WELLNESS VISIT. 1333 00:55:51,940 --> 00:55:53,408 SO AGAIN IN THINKING ABOUT OUR 1334 00:55:53,408 --> 00:55:55,209 ONGOING STUDIES WITH MY COG WE 1335 00:55:55,209 --> 00:55:57,412 HAVE TWO PRAGMATIC TRIALS GOING 1336 00:55:57,412 --> 00:56:01,082 ON ONE FROM NIA AND ONE FROM 1337 00:56:01,082 --> 00:56:01,282 NINDS. 1338 00:56:01,282 --> 00:56:04,218 THE FIRST TRIAL WAS FOCUSSED ON 1339 00:56:04,218 --> 00:56:06,321 ACADEMIC PRACTICES WITH 1340 00:56:06,321 --> 00:56:08,923 REPLICATION SITES AND HAS 40 1341 00:56:08,923 --> 00:56:10,858 PRACTICES IN PLACE RIGHT NOW AND 1342 00:56:10,858 --> 00:56:14,996 THE MY COG TRIAL WHAT WE CALL 1343 00:56:14,996 --> 00:56:16,864 VERSION 2 IS FOCUSSING PRIMARILY 1344 00:56:16,864 --> 00:56:19,667 ON FEDERALLY QUALIFIED HEALTH 1345 00:56:19,667 --> 00:56:20,802 CENTERS SERVING LATINO AND BLACK 1346 00:56:20,802 --> 00:56:22,103 COMMUNITIES EXPERIENCING HEALTH 1347 00:56:22,103 --> 00:56:24,038 DISPARITIES IN ADRD. 1348 00:56:24,038 --> 00:56:26,107 SO THAT IS AGAIN FOCUSSING ON 1349 00:56:26,107 --> 00:56:27,609 WHERE WHAT WE HAVE BEEN ABLE TO 1350 00:56:27,609 --> 00:56:31,045 DO IS REBUILD THE PLATFORM FIRST 1351 00:56:31,045 --> 00:56:31,980 IN THE ELECTRONIC HEALTH RECORD 1352 00:56:31,980 --> 00:56:34,048 WHICH IS AN EXPENSIVE PRODUCT 1353 00:56:34,048 --> 00:56:35,350 FOR HEALTH CARE SYSTEM AND ALSO 1354 00:56:35,350 --> 00:56:37,852 ONE OF THE MORE WIDELY USED 1355 00:56:37,852 --> 00:56:41,923 PLATFORMS AND WE ACTUALLY WANTED 1356 00:56:41,923 --> 00:56:45,259 SPECIFICALLY WITH NINDS TRIAL DE 1357 00:56:45,259 --> 00:56:47,629 SHOW THE T LIGHTNING SCAN STRIKE 1358 00:56:47,629 --> 00:56:55,203 TWO AND'S NOT AGNOSTIC TO ONE 1359 00:56:55,203 --> 00:56:55,837 ELECTRONIC HEALTH RECORD FORM 1360 00:56:55,837 --> 00:56:58,740 AND WE WANTED TO MAKE SURE IT 1361 00:56:58,740 --> 00:57:00,642 WORKED EFFECTIVELY AND TAILORED 1362 00:57:00,642 --> 00:57:01,743 TO THE PLATFORM BY SHOWING IT 1363 00:57:01,743 --> 00:57:05,346 CAN GO TO GREEN WAY AND ANOTHER 1364 00:57:05,346 --> 00:57:08,282 GROUP CALL CANOPY AN ELECTRONIC 1365 00:57:08,282 --> 00:57:09,984 HEALTH RECORD AND USED IN THE 1366 00:57:09,984 --> 00:57:11,285 COMMUNITY HEALTH CENTER SETTING. 1367 00:57:11,285 --> 00:57:13,354 AND THERE'S RATES OF DETECTIVE 1368 00:57:13,354 --> 00:57:14,956 COGNITIVE IMPAIRMENT. 1369 00:57:14,956 --> 00:57:17,225 THE PROPORTION OF DETECTED CASE 1370 00:57:17,225 --> 00:57:21,663 ARE EARLY DETECTED CASES, MCI 1371 00:57:21,663 --> 00:57:23,798 AND FOR THE SPECIFIC FOR THE 1372 00:57:23,798 --> 00:57:24,399 PRAGMATIC TRIAL WE'RE LOOK 1373 00:57:24,399 --> 00:57:30,471 TOWING SEE -- LOOKING TO REDUCE 1374 00:57:30,471 --> 00:57:33,541 DISPARITIES WITHIN SITES. 1375 00:57:33,541 --> 00:57:39,614 AND SECONDARILY ARE RATES OF 1376 00:57:39,614 --> 00:57:42,717 REFERRALS AND DIAGNOSES AND 1377 00:57:42,717 --> 00:57:44,252 DETECT AND MACHINE LEARNING 1378 00:57:44,252 --> 00:57:46,254 LOOKING TO SEE THROUGH NATURAL 1379 00:57:46,254 --> 00:57:47,255 LANGUAGE PROCESSING IF CAREGIVER 1380 00:57:47,255 --> 00:57:49,390 INVOLVEMENT HAS BEEN INCREASED. 1381 00:57:49,390 --> 00:57:51,492 ALL THE OUTCOMES ARE EQUALLY 1382 00:57:51,492 --> 00:57:52,727 IMPORTANT IN THE CASE OF 1383 00:57:52,727 --> 00:57:53,928 PRAGMATIC TRIAL AND LOOKING AT 1384 00:57:53,928 --> 00:57:56,931 COST, WORK FLOW IMPACT AND 1385 00:57:56,931 --> 00:57:57,465 REFERRAL ACCEPTANCE. 1386 00:57:57,465 --> 00:57:59,801 I WANT TO GIVE A SHOUT OUT 1387 00:57:59,801 --> 00:58:02,470 SPECIFICALLY TO A LOT OF GREAT 1388 00:58:02,470 --> 00:58:05,206 WORK HERE AND AGAIN YOU'LL BE 1389 00:58:05,206 --> 00:58:07,308 ABLE TO HEAR MORE TODAY AND 1390 00:58:07,308 --> 00:58:10,278 TOMORROW ABOUT HOW AGAIN TRYING 1391 00:58:10,278 --> 00:58:11,446 TO MEET THE NEEDS OF THE DIVERSE 1392 00:58:11,446 --> 00:58:13,848 HEALTH CARE PRACTICES WE'RE 1393 00:58:13,848 --> 00:58:14,415 WORKING WITH. 1394 00:58:14,415 --> 00:58:17,418 AN EXTENSION OF MY COG HAS BEEN 1395 00:58:17,418 --> 00:58:20,088 MADE TO MY COG MOBILE. 1396 00:58:20,088 --> 00:58:23,224 TO HAVE A SMART PHONE VERSION 1397 00:58:23,224 --> 00:58:26,194 UNTHAT CAN GO UNPROCTORED AS 1398 00:58:26,194 --> 00:58:28,629 ANOTHER WAY TO ADDRESS GETTING 1399 00:58:28,629 --> 00:58:29,797 COGNITIVE ASSESSMENTS BEFORE A 1400 00:58:29,797 --> 00:58:30,364 VISIT. 1401 00:58:30,364 --> 00:58:32,667 RIGHT NOW WE SEE ABOUT IN OUR 1402 00:58:32,667 --> 00:58:34,702 OWN HEALTH CARE SYSTEM STARTED 1403 00:58:34,702 --> 00:58:35,670 OUT WITH ANNUAL WELLNESS VISITS 1404 00:58:35,670 --> 00:58:37,872 WHERE WE KNOW INCREASINGLY WANT 1405 00:58:37,872 --> 00:58:39,741 TO PUSH OUT ANYTHING THAT COULD 1406 00:58:39,741 --> 00:58:41,375 BE COMPLETE THE PATIENT BEFORE A 1407 00:58:41,375 --> 00:58:42,310 VISIT BECAUSE THE ANNUAL 1408 00:58:42,310 --> 00:58:44,145 WELLNESS VISITS ARE PACKED IN. 1409 00:58:44,145 --> 00:58:45,913 SO IF WE CAN DO ANYTHING TO 1410 00:58:45,913 --> 00:58:47,248 REDUCE THAT BURDEN THE BETTER 1411 00:58:47,248 --> 00:58:49,984 BUT ONLY ABOUT 20% OF ADULTS 1412 00:58:49,984 --> 00:58:52,120 OVER 65 WILL GO ON TO THE 1413 00:58:52,120 --> 00:58:53,020 PATIENT PORTAL AND COMPLETE AN 1414 00:58:53,020 --> 00:58:53,821 ASSESSMENT BEFORE HAND. 1415 00:58:53,821 --> 00:58:56,624 THE IDEA WE COULD DO THINGS ON A 1416 00:58:56,624 --> 00:58:59,794 SMART PHONE THAT WOULD BE 1417 00:58:59,794 --> 00:59:00,027 HELPFUL. 1418 00:59:00,027 --> 00:59:02,663 AND AGAIN A LOT OF WHAT WE'RE 1419 00:59:02,663 --> 00:59:05,333 TRYING TO CREATE IS REALLY A 1420 00:59:05,333 --> 00:59:06,167 COORDINATED SYSTEMS OF PRODUCTS 1421 00:59:06,167 --> 00:59:08,569 AROUND MY COG. 1422 00:59:08,569 --> 00:59:10,138 IF YOU CAN GET AS MANY PEOPLE 1423 00:59:10,138 --> 00:59:11,439 WILLING TO COMPLETE AN iPAD 1424 00:59:11,439 --> 00:59:13,674 BECAUSE THAT NUMBER OF LESS THAN 1425 00:59:13,674 --> 00:59:16,344 20% JUMPED UP FROM 42% WITH 1426 00:59:16,344 --> 00:59:17,111 INITIATIVES GOING ON. 1427 00:59:17,111 --> 00:59:19,380 SO THE MORE PEOPLE WE CAN BE 1428 00:59:19,380 --> 00:59:20,348 DOING ASSESSMENTS AHEAD OF TIME, 1429 00:59:20,348 --> 00:59:21,449 THE BETTER. 1430 00:59:21,449 --> 00:59:23,384 IF THOSE RESULTS ARE POPULATED 1431 00:59:23,384 --> 00:59:24,752 AND HAVE AN OPPORTUNITY FOR A 1432 00:59:24,752 --> 00:59:26,487 CLINICIAN TO EVEN LOOK AT AND 1433 00:59:26,487 --> 00:59:27,522 KNOW THAT THIS MIGHT BE 1434 00:59:27,522 --> 00:59:28,523 SOMETHING THAT HAS TO BE 1435 00:59:28,523 --> 00:59:29,390 DISCUSSED DURING THE VISIT AND 1436 00:59:29,390 --> 00:59:32,493 TARGETED IS ALL THE BETTER. 1437 00:59:32,493 --> 00:59:34,762 ALSO, HAVING THAT iPAD VERSION 1438 00:59:34,762 --> 00:59:37,398 STILL IN PLAY SO WHEN PATIENTS 1439 00:59:37,398 --> 00:59:40,334 DO COME IN AND HAVEN'T COMPLETED 1440 00:59:40,334 --> 00:59:42,436 IT BY PHONE OR FOR ANYTHING FOR 1441 00:59:42,436 --> 00:59:44,138 THAT MATTER, ANY 1442 00:59:44,138 --> 00:59:45,006 PATIENT-REPORTED OUT ASSESSMENT 1443 00:59:45,006 --> 00:59:46,607 HAVING THE iPADS IN THE PRACTICE 1444 00:59:46,607 --> 00:59:48,676 CAN BE A WAY TO GET AT THE 1445 00:59:48,676 --> 00:59:50,278 PATIENT'S IN THE OTHER MANNER IN 1446 00:59:50,278 --> 00:59:52,814 A MORE EFFECTIVE MEANS. 1447 00:59:52,814 --> 00:59:55,817 SO WHETHER IT BE PRE-VISIT OR 1448 00:59:55,817 --> 00:59:57,785 DOING MORE WORK TO ADDRESS 1449 00:59:57,785 --> 00:59:58,653 MULTIPLE LANGUAGES AND ANOTHER 1450 00:59:58,653 --> 01:00:00,087 ISSUE WE'VE SEEN MORE AND MORE 1451 01:00:00,087 --> 01:00:01,789 THERE OUR HEALTH CARE SYSTEM 1452 01:00:01,789 --> 01:00:04,091 PARTNERS TO MAKE SURE MY COG CAN 1453 01:00:04,091 --> 01:00:05,993 BE AVAILABLE IN ALL THE LANGUAGE 1454 01:00:05,993 --> 01:00:07,328 THEY NEED AND CONSIDERATIONS OF 1455 01:00:07,328 --> 01:00:08,896 OTHER TESTS THAT MIGHT WORK 1456 01:00:08,896 --> 01:00:11,199 BETTER ALSO ESPECIALLY ON THE MY 1457 01:00:11,199 --> 01:00:13,267 COG MOBILE VERSION TO INCREASE 1458 01:00:13,267 --> 01:00:14,569 THE ACCURACY OF THE TESTS ARE 1459 01:00:14,569 --> 01:00:15,169 ALL THINGS WE'RE WORKING ON 1460 01:00:15,169 --> 01:00:17,939 RIGHT NOW. 1461 01:00:17,939 --> 01:00:28,182 AND THANK YOU. 1462 01:01:08,556 --> 01:01:11,192 >> HELLO AGAIN. 1463 01:01:11,192 --> 01:01:13,895 THIS MORNING NAYS PLEASURE TO 1464 01:01:13,895 --> 01:01:16,264 INTRODUCE THE NEXT TALK AND NEXT 1465 01:01:16,264 --> 01:01:18,599 SPEAKER. 1466 01:01:18,599 --> 01:01:20,468 UNFORTUNATELY DR. MELISSA 1467 01:01:20,468 --> 01:01:22,136 TREVINO WHO WAS SUPPOSED TO 1468 01:01:22,136 --> 01:01:24,438 INTRODUCE THE NEXT TALK WASN'T 1469 01:01:24,438 --> 01:01:25,206 ABLE TO BE WITH US THIS MORNING 1470 01:01:25,206 --> 01:01:26,140 SO I HAVE THE HONORS. 1471 01:01:26,140 --> 01:01:28,276 IT'S MY PLEASURE TO INTRODUCE 1472 01:01:28,276 --> 01:01:31,445 THE MOBILE TOOLBOX IN OUR 1473 01:01:31,445 --> 01:01:32,813 SPEAKER, DR. DOREEN RENTZ. 1474 01:01:32,813 --> 01:01:35,983 THE NATIONAL INSTITUTE ON AGING 1475 01:01:35,983 --> 01:01:38,653 RECOGNIZED THE NEED FOR 1476 01:01:38,653 --> 01:01:39,687 INFRASTRUCTURE TO BE ABLE TO 1477 01:01:39,687 --> 01:01:43,658 MONITOR COGNITIVE ABILITIES VIA 1478 01:01:43,658 --> 01:01:45,893 MOBILE DEVICES. 1479 01:01:45,893 --> 01:01:46,560 MOBILE DEVICE ADMINISTRATION HAS 1480 01:01:46,560 --> 01:01:50,031 MANY ADVANTAGES IN TERMS OF 1481 01:01:50,031 --> 01:01:51,299 ACCESSIBILITY, EFFICIENCY AND 1482 01:01:51,299 --> 01:01:52,033 AFFORDABILITY AND MORE PEOPLE 1483 01:01:52,033 --> 01:01:55,703 CAN BE TESTED MORE QUICKLY. 1484 01:01:55,703 --> 01:01:58,005 FURTHERMORE, USE OF MOBILE PHONE 1485 01:01:58,005 --> 01:02:01,075 TECHNOLOGY TO ASSESS COGNITION 1486 01:02:01,075 --> 01:02:03,644 COULD ALLOW EXAMINATION OF THE 1487 01:02:03,644 --> 01:02:07,114 INFLUENCE OF PSYCHOLOGICAL, 1488 01:02:07,114 --> 01:02:09,650 SOMATIC OR CONTEXTUAL STATES 1489 01:02:09,650 --> 01:02:11,519 SUCH AS A SOCIAL ENVIRONMENT 1490 01:02:11,519 --> 01:02:12,286 WITH FRIENDS ON COGNITIVE 1491 01:02:12,286 --> 01:02:16,290 PERFORMANCE IN A REAL-WORLD 1492 01:02:16,290 --> 01:02:17,458 ENVIRONMENT. 1493 01:02:17,458 --> 01:02:20,027 IN 2017 THE NATIONAL INSTITUTE 1494 01:02:20,027 --> 01:02:25,866 ON AGES ISSUED AN RFA AND BEGAN 1495 01:02:25,866 --> 01:02:28,135 FUNDING THE DEVELOPMENT OF THE 1496 01:02:28,135 --> 01:02:29,937 MOBILE TOOLBOX TO CREATE A 1497 01:02:29,937 --> 01:02:33,107 LIBRARY OF COGNITIVE TESTS AND 1498 01:02:33,107 --> 01:02:34,308 SUPPLEMENTAL SCALES THAT ARE 1499 01:02:34,308 --> 01:02:36,277 OPEN SOURCE, VALIDATED AND 1500 01:02:36,277 --> 01:02:40,281 NORMED AND CAN BE ADMINISTERED 1501 01:02:40,281 --> 01:02:41,515 ON MOBILE DEVICES. 1502 01:02:41,515 --> 01:02:44,385 IT DIDN'T TAKE US VERY LONG TO 1503 01:02:44,385 --> 01:02:47,888 APPRECIATE THE URGENT NEED FOR 1504 01:02:47,888 --> 01:02:49,857 DEVELOP ADMINISTERED MEASURES 1505 01:02:49,857 --> 01:02:52,026 DURING THE COVID-19 PANDEMIC WE 1506 01:02:52,026 --> 01:02:54,628 WERE ALL ABLE TO WITNESS FIRST 1507 01:02:54,628 --> 01:02:57,765 HAND HOW IMPORTANT IT IS TO HAVE 1508 01:02:57,765 --> 01:02:59,600 MEASURES ON HAND THAT PSYCH 1509 01:02:59,600 --> 01:03:01,569 METRICALLY SOUND, CAN BE 1510 01:03:01,569 --> 01:03:02,737 ADMINISTERED REMOTELY AND FOR 1511 01:03:02,737 --> 01:03:04,271 WHICH THE INTEGRITY OF THE 1512 01:03:04,271 --> 01:03:11,545 MEASURES CAN BE MAINTAINED. 1513 01:03:11,545 --> 01:03:17,051 DR. DORENE RENTZ HAS 1514 01:03:17,051 --> 01:03:17,918 APPOINTMENTS AT MASS GENERAL 1515 01:03:17,918 --> 01:03:20,654 HOSPITAL AND BRIGHAM AND WOMEN'S 1516 01:03:20,654 --> 01:03:22,156 AND HAS BEEN AN ESSENTIAL FIGURE 1517 01:03:22,156 --> 01:03:23,657 IN THE DEVELOP NEXT TOOLBOX AND 1518 01:03:23,657 --> 01:03:25,326 JOINING US TO SPEAK ABOUT THE 1519 01:03:25,326 --> 01:03:29,063 DEVELOPMENT AND FEATURES OF THE 1520 01:03:29,063 --> 01:03:29,964 MEASUREMENT SYSTEM. 1521 01:03:29,964 --> 01:03:40,141 DR. RENTZ. 1522 01:03:43,444 --> 01:03:45,346 >> THANK YOU, MOLLY. 1523 01:03:45,346 --> 01:03:46,347 GOOD MORNING, EVERYBODY. 1524 01:03:46,347 --> 01:03:47,982 THIS REALLY HAS BEEN A DREAM OF 1525 01:03:47,982 --> 01:03:50,484 MINE TO HAVE REMOTE ASSESSMENTS 1526 01:03:50,484 --> 01:03:52,920 FOR PROBABLY THE LAST 10 YEARS 1527 01:03:52,920 --> 01:03:54,688 SO I'M THRILLED TO TALK ABOUT 1528 01:03:54,688 --> 01:03:57,358 THE DEVELOPMENT AND FEATURES OF 1529 01:03:57,358 --> 01:03:58,859 THE MOBILE TOOLBOX. 1530 01:03:58,859 --> 01:04:02,463 AS YOU KNOW, THIS IS A 1531 01:04:02,463 --> 01:04:04,398 MULTI-SITE EFFORT ACROSS THE 1532 01:04:04,398 --> 01:04:07,735 MTB1 AND 2 AND MANY DIFFERENT 1533 01:04:07,735 --> 01:04:09,804 ACADEMIC INSTITUTIONS ARE 1534 01:04:09,804 --> 01:04:12,807 PARTICIPATING INCLUDING OUR OWN. 1535 01:04:12,807 --> 01:04:16,243 THE MOBILE TOOLBOX IS A SUITE OF 1536 01:04:16,243 --> 01:04:17,778 MOBILE COGNITIVE TESTS DEVELOPED 1537 01:04:17,778 --> 01:04:19,947 AND VALIDATED AGAINST GOLD 1538 01:04:19,947 --> 01:04:21,582 STANDARD IN CLINIC TESTS. 1539 01:04:21,582 --> 01:04:23,818 YOU'LL HEAR MORE ABOUT THAT IN 1540 01:04:23,818 --> 01:04:24,185 SESSION 2. 1541 01:04:24,185 --> 01:04:27,621 THE MOBILE TOOLBOX IS 1542 01:04:27,621 --> 01:04:28,789 ADMINISTERED VIA SMARTPHONE ON 1543 01:04:28,789 --> 01:04:30,191 AN INDIVIDUAL'S OWN DEVICE. 1544 01:04:30,191 --> 01:04:33,727 IT'S IN IOS AND ANDROID. 1545 01:04:33,727 --> 01:04:37,531 AND THE DATA IS ENCRYPTED AND 1546 01:04:37,531 --> 01:04:39,834 UPLOADED TO A SECURE ELECTRONIC 1547 01:04:39,834 --> 01:04:40,968 DATA CAPTURE SYSTEM AND 1548 01:04:40,968 --> 01:04:43,404 INITIALLY IN SAGE AND NOW IN RED 1549 01:04:43,404 --> 01:04:47,575 CAP WHICH IS MORE FAMILIAR TO A 1550 01:04:47,575 --> 01:04:49,777 LOT OF ACADEMIC INSTITUTIONS AND 1551 01:04:49,777 --> 01:04:51,045 INSTANTLY AVAILABLE TO THE 1552 01:04:51,045 --> 01:04:52,246 RESEARCHER WHEN THEY WANT TO 1553 01:04:52,246 --> 01:04:53,981 EXAMINE THE RESULTS. 1554 01:04:53,981 --> 01:04:57,351 THAT'S GOING TO BE TALKED MORE 1555 01:04:57,351 --> 01:04:59,854 EXTENSIVELY IN SESSION 2 AND A 1556 01:04:59,854 --> 01:05:00,354 SPANISH VERSION WILL BE 1557 01:05:00,354 --> 01:05:06,594 AVAILABLE LATER THIS YEAR. 1558 01:05:06,594 --> 01:05:08,329 HOW'S IT WORK? 1559 01:05:08,329 --> 01:05:14,702 AND AN LINK TOION -- TO 1560 01:05:14,702 --> 01:05:17,872 DOWNLOAD TO MY CAP AND CHOOSE TO 1561 01:05:17,872 --> 01:05:21,075 DOWNLOAD IT FROM THE APP STORE 1562 01:05:21,075 --> 01:05:24,512 AT THE IOS AND ANDROID PHONE AND 1563 01:05:24,512 --> 01:05:26,514 THE UNIQUE I.D. 1564 01:05:26,514 --> 01:05:28,249 AND ONCE DOWNLOADED THEY CLICK 1565 01:05:28,249 --> 01:05:33,020 THE BUTTON TO JOIN THE MOBILE 1566 01:05:33,020 --> 01:05:33,654 TOOL BOX STUDY AND ONCE THEY 1567 01:05:33,654 --> 01:05:35,556 COMPLETE THE TEST THEY CAN'T GO 1568 01:05:35,556 --> 01:05:37,825 BACK AND CAN'T DO IT AGAIN. 1569 01:05:37,825 --> 01:05:39,360 THEY CAN'T PRACTICE FOR THE NEXT 1570 01:05:39,360 --> 01:05:39,693 TIME. 1571 01:05:39,693 --> 01:05:44,331 SO IT'S A ONE-TIME CAPTURE OF 1572 01:05:44,331 --> 01:05:50,070 THE COGNITIVE PERFORMANCE. 1573 01:05:50,070 --> 01:05:55,609 AND WHAT DOES IT CONFIDENT OF 1574 01:05:55,609 --> 01:05:56,911 AND THERE'S EIGHT MOBILE TOOLBOX 1575 01:05:56,911 --> 01:05:58,078 CORE MEASURES. 1576 01:05:58,078 --> 01:06:01,348 IT TAKES THE NORM FROM AGES 18 1577 01:06:01,348 --> 01:06:03,350 TO 85 AND TAKES APPROXIMATELY 30 1578 01:06:03,350 --> 01:06:07,288 MINUTES TO ADMINISTER ALL THE 1579 01:06:07,288 --> 01:06:07,488 TESTS. 1580 01:06:07,488 --> 01:06:10,424 THERE'S SIX MEASURES OF FLUID 1581 01:06:10,424 --> 01:06:10,824 COGNITION. 1582 01:06:10,824 --> 01:06:12,293 THEY MEASURE EPISODIC AND 1583 01:06:12,293 --> 01:06:12,860 ASSOCIATE MEMORY. 1584 01:06:12,860 --> 01:06:15,663 I'LL SHOW THE TESTS IN DETAIL IN 1585 01:06:15,663 --> 01:06:16,697 A LITTLE BIT AND MEASURE 1586 01:06:16,697 --> 01:06:18,065 EXECUTIVE FUNCTIONS OF 1587 01:06:18,065 --> 01:06:21,802 INHIBITORY CONTROL, ATTENTION 1588 01:06:21,802 --> 01:06:23,037 AND COGNITIVE FLEXIBILITY AND 1589 01:06:23,037 --> 01:06:24,038 MEASURE WORKING MEMORY AND 1590 01:06:24,038 --> 01:06:28,175 PROCESSING SPEED. 1591 01:06:28,175 --> 01:06:30,811 THEN THERE'S TWO MEASURES OF 1592 01:06:30,811 --> 01:06:31,312 CRYSTALLIZED COGNITION. 1593 01:06:31,312 --> 01:06:33,480 THINGS WELL LEARNED BY THE 1594 01:06:33,480 --> 01:06:35,583 INDIVIDUAL AND WE'LL TALK A 1595 01:06:35,583 --> 01:06:36,717 LITTLE BIT ABOUT THAT AS WELL. 1596 01:06:36,717 --> 01:06:40,287 THE SLIDE ALSO SHOWS YOU HOW IT 1597 01:06:40,287 --> 01:06:44,458 APPEARS ON AN iPHONE AND I HAVE 1598 01:06:44,458 --> 01:06:46,493 TO SAY HAVING DONE COGNITIVE 1599 01:06:46,493 --> 01:06:51,265 ASSESSMENTS FOR A LONG TIME THE 1600 01:06:51,265 --> 01:06:52,266 IMAGES AND EVEN OLDER 1601 01:06:52,266 --> 01:06:54,034 INDIVIDUALS WILL BE ABLE TO SEE 1602 01:06:54,034 --> 01:06:57,204 THEM QUITE CLEARLY. 1603 01:06:57,204 --> 01:06:58,505 HERE'S THE FIRST MEASURE 1604 01:06:58,505 --> 01:07:00,908 ARRANGING PICTURES. 1605 01:07:00,908 --> 01:07:02,643 I THINK RICHARD HAD ALREADY 1606 01:07:02,643 --> 01:07:03,911 TALKED ABOUT THIS AND WHAT 1607 01:07:03,911 --> 01:07:06,914 HAPPENS ON THE iPHONE IS YOU 1608 01:07:06,914 --> 01:07:10,150 HEAR A STORY AND THE PICTURES 1609 01:07:10,150 --> 01:07:12,319 ARE SCATTERED LIKE YOU CAN SEE 1610 01:07:12,319 --> 01:07:13,887 ACROSS A BLACK BOX. 1611 01:07:13,887 --> 01:07:20,961 YOUR JOB IS TO PUT THE PICTURES 1612 01:07:20,961 --> 01:07:22,863 IN ORDER OF STORY AND THERE'S 1613 01:07:22,863 --> 01:07:24,265 PRACTICE SESSION TO EVERY TASK 1614 01:07:24,265 --> 01:07:28,302 AND AN INDICATION THAT YOU'VE 1615 01:07:28,302 --> 01:07:28,936 DONE IT CORRECTLY. 1616 01:07:28,936 --> 01:07:30,871 THEN THERE'S A TEST I HELPED 1617 01:07:30,871 --> 01:07:35,209 DEVELOP WHICH IS ALSO A MEASURE 1618 01:07:35,209 --> 01:07:36,010 OF EPISODIC MEMORY. 1619 01:07:36,010 --> 01:07:39,213 IT'S CALLED FACES AND NAMES IN 1620 01:07:39,213 --> 01:07:42,016 THE MOBILE TOOLBOX AND HERE YOU 1621 01:07:42,016 --> 01:07:47,121 INITIALLY HAVE AN ENCODING TRIAL 1622 01:07:47,121 --> 01:07:50,958 WHERE YOU EXAMINE A PICTURE AND 1623 01:07:50,958 --> 01:07:52,259 IN ORDER TO KNOW WHETHER YOU 1624 01:07:52,259 --> 01:07:54,128 ENCODED IT OR NOT YOU TAP IF 1625 01:07:54,128 --> 01:07:55,362 IT'S EASY IF YOU THINK IT'S 1626 01:07:55,362 --> 01:07:56,930 GOING TO BE EASY TO REMEMBER 1627 01:07:56,930 --> 01:07:59,033 THAT FACE OR HARDER TO REMEMBER 1628 01:07:59,033 --> 01:08:01,035 THAT FACE NAME PAIR. 1629 01:08:01,035 --> 01:08:03,470 AND AFTER THIS TEST, YOU'LL GET 1630 01:08:03,470 --> 01:08:06,006 A WHOLE SERIES OF OTHER MOBILE 1631 01:08:06,006 --> 01:08:08,275 TOOLBOX TESTS AND LATER ON 1632 01:08:08,275 --> 01:08:12,046 YOU'LL HAVE A DELAYED RECALL OF 1633 01:08:12,046 --> 01:08:13,314 FACES AND NAMES. 1634 01:08:13,314 --> 01:08:15,015 SO SIMILAR TO THE NIH TOOLBOX 1635 01:08:15,015 --> 01:08:17,985 YOU HAVE A FLANKER TEST WHICH IS 1636 01:08:17,985 --> 01:08:21,088 ARROW MATCHING AND THEN YOU HAVE 1637 01:08:21,088 --> 01:08:22,823 THE SHAPE COLOR SORTING TEST 1638 01:08:22,823 --> 01:08:24,191 WHERE AGAIN YOU'RE TOLD LOOK FOR 1639 01:08:24,191 --> 01:08:28,362 THE SHAPE. 1640 01:08:28,362 --> 01:08:32,032 YOU HAVE TO MATCH THE NAME OF 1641 01:08:32,032 --> 01:08:36,070 THE DOG TO THE DOING IRRESPECT 1642 01:08:36,070 --> 01:08:42,576 ARE -- IRRESPECTIVE OF THE 1643 01:08:42,576 --> 01:08:46,880 COLOR IT'S IN AND HAVE A DIGITAL 1644 01:08:46,880 --> 01:08:48,015 SEQUENCE SPAN TEST SHOWING 1645 01:08:48,015 --> 01:08:50,718 NUMBERS AND LETTERS AND YOUR JOB 1646 01:08:50,718 --> 01:08:52,953 IS TO REMEMBER THE NUMBERS AND 1647 01:08:52,953 --> 01:08:54,521 LETTERS BUT THEN IN THE NEXT 1648 01:08:54,521 --> 01:08:57,358 SLIDE YOU FIRST HAVE THE LETTERS 1649 01:08:57,358 --> 01:09:00,260 YOU JUST SAW IN ALPHABETICAL 1650 01:09:00,260 --> 01:09:01,662 ORDER AND THE NUMBERS FROM 1651 01:09:01,662 --> 01:09:04,264 SMALLEST TO LARGEST. 1652 01:09:04,264 --> 01:09:07,468 NOT AN EASY TASK AS IT GETS 1653 01:09:07,468 --> 01:09:09,036 LONGER AND LONGER. 1654 01:09:09,036 --> 01:09:11,205 THE OTHER IS THE NUMBER MATCH 1655 01:09:11,205 --> 01:09:15,876 AND HERE AGAIN YOU LOOK AT THE 1656 01:09:15,876 --> 01:09:17,745 SYMBOLS AND THE CORRESPONDING 1657 01:09:17,745 --> 01:09:19,213 NUMBER AND YOU'LL BE SHOWN A 1658 01:09:19,213 --> 01:09:22,182 SYMBOL AND PUT IN THIS CASE THE 1659 01:09:22,182 --> 01:09:23,117 ONE UNDER IT. 1660 01:09:23,117 --> 01:09:25,819 THE OTHER GETS A TWO, THE OTHER 1661 01:09:25,819 --> 01:09:27,221 GETS AN EIGHT. 1662 01:09:27,221 --> 01:09:31,291 AGAIN IT'S LIKE A DIGIT SYMBOL 1663 01:09:31,291 --> 01:09:33,927 TEST MEASURING PROCESSING SPEED. 1664 01:09:33,927 --> 01:09:35,462 AND THEN YOU GET THE DELAYED 1665 01:09:35,462 --> 01:09:37,798 RECALL OF FACES AND NAMES. 1666 01:09:37,798 --> 01:09:40,601 THERE'S PROBABLY ABOUT AN EIGHT 1667 01:09:40,601 --> 01:09:42,736 TO 10-MINUTE DELAY ONCE YOU GET 1668 01:09:42,736 --> 01:09:44,238 THE OTHER MEASURES DONE AND 1669 01:09:44,238 --> 01:09:47,674 THERE'S THREE PHASES OF MEMORY 1670 01:09:47,674 --> 01:09:48,976 IT MEASURES. 1671 01:09:48,976 --> 01:09:50,911 THERE'S FACIAL RECOGNITION, 1672 01:09:50,911 --> 01:09:54,014 SORRY, EMILY DOESN'T APPEAR ON 1673 01:09:54,014 --> 01:09:55,048 THE FACIAL RECOGNITION BUT SHE 1674 01:09:55,048 --> 01:10:01,822 IS THERE AND THEN GET A DELAYED 1675 01:10:01,822 --> 01:10:02,756 RECALL TASK AN IMMEDIATE DELAYED 1676 01:10:02,756 --> 01:10:04,124 RECALL YOU HAVE TO REMEMBER THE 1677 01:10:04,124 --> 01:10:06,827 NAME OF THE FACE AND PUT THE E 1678 01:10:06,827 --> 01:10:08,295 UNDER THAT NAME. 1679 01:10:08,295 --> 01:10:12,232 AND THEN THERE'S ALSO A NAME 1680 01:10:12,232 --> 01:10:13,300 RECOGNITION PHASE. 1681 01:10:13,300 --> 01:10:17,438 ALL THESE TESTS SO FAR GIVE YOU 1682 01:10:17,438 --> 01:10:22,976 AN ACCURACY AND TIME SCORE. 1683 01:10:22,976 --> 01:10:24,244 A PAPER THAT IS ALMOST GETTING 1684 01:10:24,244 --> 01:10:27,981 READY TO GO OUT FOR PUBLICATION 1685 01:10:27,981 --> 01:10:31,318 IS TEST-RETEST RELIABILITY OF 1686 01:10:31,318 --> 01:10:32,953 FACES AND NAMES AND 103 1687 01:10:32,953 --> 01:10:34,922 INDIVIDUALS PARTICIPATED OVER A 1688 01:10:34,922 --> 01:10:36,957 TWO-WEEK INTERVAL AND THERE'S 1689 01:10:36,957 --> 01:10:37,524 PRACTICE EFFECTS. 1690 01:10:37,524 --> 01:10:41,762 IF YOU DO IT FOR A SECOND TIME 1691 01:10:41,762 --> 01:10:43,864 IN NORMALS OVER THE TWO-WEEK 1692 01:10:43,864 --> 01:10:44,097 PERIOD. 1693 01:10:44,097 --> 01:10:48,035 BUT THE ADVANTAGE IS THE FACT 1694 01:10:48,035 --> 01:10:51,171 THAT IF IT'S NOT -- IF YOU DON'T 1695 01:10:51,171 --> 01:10:54,007 NOTICE THAT PRACTICE EFFECT, 1696 01:10:54,007 --> 01:10:56,577 THEN THAT'S A RED FLAG SOMEBODY 1697 01:10:56,577 --> 01:10:58,545 MAY BE HEADED TOWARDS 1698 01:10:58,545 --> 01:10:58,846 IMPAIRMENT. 1699 01:10:58,846 --> 01:11:01,348 THEN HAVE YOU THE SPELLING TEST. 1700 01:11:01,348 --> 01:11:07,488 YOU'LL HEAR A WORD AND THEN YOU 1701 01:11:07,488 --> 01:11:08,856 HAVE TO WRITE THE WORD NEXT TO 1702 01:11:08,856 --> 01:11:11,492 IT AND MEASURES CRYSTALLIZED 1703 01:11:11,492 --> 01:11:13,927 INTELLIGENCE OR SPELLING AND 1704 01:11:13,927 --> 01:11:15,996 FINALLY THERE'S A WORD MEANING 1705 01:11:15,996 --> 01:11:18,098 TEST WHERE YOU ARE PRESENTED 1706 01:11:18,098 --> 01:11:22,436 WITH THE WORD TALK AND YOU FIND 1707 01:11:22,436 --> 01:11:23,770 IN THE MULTIPLE CHOICE THE WORD 1708 01:11:23,770 --> 01:11:31,245 THAT IS CLOSEST TO THE WORD YOUR 1709 01:11:31,245 --> 01:11:39,920 BEING DOED DOUGH FINE FINE -- 1710 01:11:39,920 --> 01:11:41,054 THERE'S PRACTICE SESSIONS AND 1711 01:11:41,054 --> 01:11:43,056 THE TEST ITSELF AND THE 1712 01:11:43,056 --> 01:11:43,690 VOCABULARY AND SPELLING TEST 1713 01:11:43,690 --> 01:11:47,361 GETS HARDER AND HARDER AND IT 1714 01:11:47,361 --> 01:11:48,362 DOESN'T PRODUCE TORTURE. 1715 01:11:48,362 --> 01:11:52,266 IT DOES STOP AT THE RIGHT TIME 1716 01:11:52,266 --> 01:11:57,437 SO YOU DON'T GET DISCOURAGED. 1717 01:11:57,437 --> 01:12:00,707 AND ONE OF THE THINGS WE'VE BEEN 1718 01:12:00,707 --> 01:12:03,243 DOING IS LOOKING AT THE TOOLBOX 1719 01:12:03,243 --> 01:12:04,711 IN RELATIONSHIP TO OTHER PAPER 1720 01:12:04,711 --> 01:12:05,812 AND PENCIL TESTS. 1721 01:12:05,812 --> 01:12:08,515 ONE THING I'M INTERESTED IN IS 1722 01:12:08,515 --> 01:12:09,650 SEEING WHETHER THE MOBILE 1723 01:12:09,650 --> 01:12:12,085 TOOLBOX COULD BE USED IN 1724 01:12:12,085 --> 01:12:16,290 PREVENTIVE TRIALS FOR 1725 01:12:16,290 --> 01:12:22,796 ALZHEIMER'S DISEASE. 1726 01:12:22,796 --> 01:12:24,464 I WANTED TO DEVELOP WHAT WE USED 1727 01:12:24,464 --> 01:12:29,970 IN CLINICAL TRIALS AS A MOBILE 1728 01:12:29,970 --> 01:12:33,941 TOOLBOX EQUIVALENT POT PACC5 A 1729 01:12:33,941 --> 01:12:38,111 COMPOSITE OF THE MEMORY DELAY 1730 01:12:38,111 --> 01:12:40,280 AND SYMBOL AND REMINDING TEST 1731 01:12:40,280 --> 01:12:43,350 AND CATEGORY INFLUENCY TEST. 1732 01:12:43,350 --> 01:12:45,586 THIS SHOWS A HIGH CORRELATION 1733 01:12:45,586 --> 01:12:51,491 EVEN AT BASELINE FOR AMYLOID OR 1734 01:12:51,491 --> 01:12:54,094 TAU DEPOSITION AND WE'RE 1735 01:12:54,094 --> 01:12:57,097 INTERESTED WHETHER THE MOBILE 1736 01:12:57,097 --> 01:13:00,300 TOOLBOX PACC5 COULD SUBSTITUTE 1737 01:13:00,300 --> 01:13:03,704 FOR THE PACC5 IN REMOTE 1738 01:13:03,704 --> 01:13:04,271 ENVIRONMENTS. 1739 01:13:04,271 --> 01:13:10,344 THE ADVANTAGE WOULD BE MORE 1740 01:13:10,344 --> 01:13:16,049 CONSISTENT AND CHANGE OVER TIME 1741 01:13:16,049 --> 01:13:16,650 RATHER THAN AT SIX MONTHS OR 1742 01:13:16,650 --> 01:13:23,023 YEARLY EVALUATIONS. 1743 01:13:23,023 --> 01:13:26,460 AND THE STUDY IS STILL ONGOING. 1744 01:13:26,460 --> 01:13:28,428 ALL PARTICIPANTS HAD AN 1745 01:13:28,428 --> 01:13:31,331 IN-CLINIC PACC5 WITHIN A MAXIMUM 1746 01:13:31,331 --> 01:13:33,200 OF SIX MONTHS AS WELL AS THE 1747 01:13:33,200 --> 01:13:34,301 REMOTE ADMINISTRATION OF THE 1748 01:13:34,301 --> 01:13:37,371 TOOLBOX IN THEIR HOME. 1749 01:13:37,371 --> 01:13:40,073 YOU CAN SEE THERE WERE THE AGE 1750 01:13:40,073 --> 01:13:42,175 OF THE INDIVIDUALS WAS AROUND 1751 01:13:42,175 --> 01:13:42,342 71. 1752 01:13:42,342 --> 01:13:45,212 THERE WERE A MAJORITY OF 1753 01:13:45,212 --> 01:13:45,445 FEMALES. 1754 01:13:45,445 --> 01:13:46,913 THEY WERE HIGHLY EDUCATED. 1755 01:13:46,913 --> 01:13:49,049 WE DID A NICE DISTRIBUTION FOR 1756 01:13:49,049 --> 01:13:52,019 THE BOSTON AREA OF RACE AND 1757 01:13:52,019 --> 01:13:53,086 ETHNICITY AND THEY ALL SCORED IN 1758 01:13:53,086 --> 01:13:56,456 THE NORMAL RANGE ON THE PACC. 1759 01:13:56,456 --> 01:13:59,426 SO WHAT DID WE DO? 1760 01:13:59,426 --> 01:14:01,995 WE DO A CORRELATIONAL ANALYSIS 1761 01:14:01,995 --> 01:14:05,999 TO CONFIRM HYPOTHESIZED 1762 01:14:05,999 --> 01:14:08,502 ASSOCIATIONS WIN THE IN CLINIC 1763 01:14:08,502 --> 01:14:10,137 PACC5 CONTROLLED FOR AGE, SEX 1764 01:14:10,137 --> 01:14:11,238 AND YEARS OF EDUCATION. 1765 01:14:11,238 --> 01:14:17,344 WE DID A LINEAR REGRESSION 1766 01:14:17,344 --> 01:14:18,645 ANALYSES AND THE COMPOSITE 1767 01:14:18,645 --> 01:14:21,114 SCORES PREDICTING STANDARDIZED 1768 01:14:21,114 --> 01:14:23,750 IN CLINIC ASSESSMENTS. 1769 01:14:23,750 --> 01:14:25,419 IN SESSION 2 YOU'LL HEAR ABOUT 1770 01:14:25,419 --> 01:14:28,255 THE ASSOCIATION WITH AMYLOID AND 1771 01:14:28,255 --> 01:14:28,955 TAU DEPOSITION. 1772 01:14:28,955 --> 01:14:32,559 SO WHAT DID WE FIND? 1773 01:14:32,559 --> 01:14:35,429 WE FOUND THERE WERE GOOD 1774 01:14:35,429 --> 01:14:36,263 SIGNIFICANT CORRELATIONS WITH 1775 01:14:36,263 --> 01:14:40,267 THE PACC5. 1776 01:14:40,267 --> 01:14:44,004 THERE WAS CORRELATION WITH THE 1777 01:14:44,004 --> 01:14:45,539 ARRANGE OF PICTURES AND FACES 1778 01:14:45,539 --> 01:14:46,239 AND NAMES TEST. 1779 01:14:46,239 --> 01:14:49,042 THE SEQUENCING TEST AND THE 1780 01:14:49,042 --> 01:14:51,912 NUMBER SYMBOL, DIGIT SYMBOL TEST 1781 01:14:51,912 --> 01:14:54,081 ALL WERE SIGNIFICANT. 1782 01:14:54,081 --> 01:14:57,751 AND EVEN WITH EXECUTIVE 1783 01:14:57,751 --> 01:14:58,018 FUNCTIONS. 1784 01:14:58,018 --> 01:15:02,155 THE ARROW MATCHING TEST AND 1785 01:15:02,155 --> 01:15:02,789 CRYSTALLIZED INTELLIGENCE WITH 1786 01:15:02,789 --> 01:15:04,157 SPELLING AND WORD MEANING. 1787 01:15:04,157 --> 01:15:06,827 WHAT WASN'T CORALED BUT TRENDING 1788 01:15:06,827 --> 01:15:09,129 WAS THE SHAPE COLOR SORTING 1789 01:15:09,129 --> 01:15:09,396 TEST. 1790 01:15:09,396 --> 01:15:14,701 MAYBE IT'S AN EASIER TEST TO DO 1791 01:15:14,701 --> 01:15:18,105 BUT OTHERWISE THERE ARE MANY 1792 01:15:18,105 --> 01:15:20,240 LOVELY CORRELATIONS WITH PAPER 1793 01:15:20,240 --> 01:15:24,511 AND PENCIL PACC5. 1794 01:15:24,511 --> 01:15:28,248 WE WANTED TO DETERMINE WHAT 1795 01:15:28,248 --> 01:15:30,083 WOULD BE THE OF THE MOBILE 1796 01:15:30,083 --> 01:15:31,718 TOOLBOX THAT MATCHES WHAT WE DO 1797 01:15:31,718 --> 01:15:34,020 IN THE PACC5. 1798 01:15:34,020 --> 01:15:37,591 WE PICKED TWO EPISODIC MEMORY 1799 01:15:37,591 --> 01:15:41,728 TESTS WITH THE LOGICAL AND 1800 01:15:41,728 --> 01:15:44,264 SKEWED AND SELECTIVE REMINDING 1801 01:15:44,264 --> 01:15:48,101 AND HAD PICTURES OF FACES AND 1802 01:15:48,101 --> 01:15:52,672 NAMES AND DIGIT SYMBOL TEST AND 1803 01:15:52,672 --> 01:15:54,975 PICKED SYMBOL MATCH AND DIDN'T 1804 01:15:54,975 --> 01:15:58,044 HAVE AN MMSC SO WE USED THE 1805 01:15:58,044 --> 01:15:58,512 VOCABULARY. 1806 01:15:58,512 --> 01:16:01,882 WHAT YOU CAN SEE HERE IS THERE 1807 01:16:01,882 --> 01:16:03,817 WAS A FAIRLY GOOD CORRELATION 1808 01:16:03,817 --> 01:16:10,090 WITH THE PACC5 ALONG WITH THE 1809 01:16:10,090 --> 01:16:13,193 MTB, PACC5 COMPOSITE AND EVEN 1810 01:16:13,193 --> 01:16:14,628 WITH LINEAR REGRESSIONS 1811 01:16:14,628 --> 01:16:15,962 CORRECTING FOR AGE, SEX AND 1812 01:16:15,962 --> 01:16:18,098 YEARS OF EDUCATION. 1813 01:16:18,098 --> 01:16:26,373 SO WE THINK THAT THE REMOTE MTB 1814 01:16:26,373 --> 01:16:28,275 PACC5 MAY BE A GOOD SUBSTITUTE 1815 01:16:28,275 --> 01:16:30,076 FOR CLINICAL TRIALS AND I'M 1816 01:16:30,076 --> 01:16:31,611 EXCITE ABOUT THAT BUT CAN WE GET 1817 01:16:31,611 --> 01:16:33,346 IT DOWN TO FEWER TESTS THE 1818 01:16:33,346 --> 01:16:34,648 INDIVIDUAL HAS TO GIVE? 1819 01:16:34,648 --> 01:16:36,216 LYING THE MY COG WHICH GOT CUT 1820 01:16:36,216 --> 01:16:38,051 DOWN TO TWO TESTS, WE DID A 1821 01:16:38,051 --> 01:16:40,987 STUDY LOOKING AT WHAT IF YOU 1822 01:16:40,987 --> 01:16:44,291 HAVE A THREE-TEST COMPOSITE FOR 1823 01:16:44,291 --> 01:16:47,294 FOUR-TEST COMPOSITE, FIVE, OR 1824 01:16:47,294 --> 01:16:48,995 SIX TEST-COMPOSITE. 1825 01:16:48,995 --> 01:16:50,397 YOU CAN SEE IF YOU DO THREE IT'S 1826 01:16:50,397 --> 01:16:52,766 12 MINUTES, IF YOU DO FOUR IT'S 1827 01:16:52,766 --> 01:16:56,002 15 MINUTES AND IF YOU DO FIVE 1828 01:16:56,002 --> 01:16:57,771 IT'S 18 MINUTES AND IF DO YOU 1829 01:16:57,771 --> 01:16:59,239 SIX IT'S 20 MINUTES. 1830 01:16:59,239 --> 01:17:04,044 SO THE RESEARCHER OR THE 1831 01:17:04,044 --> 01:17:05,579 CLINICAL TRIALIST HAS 1832 01:17:05,579 --> 01:17:07,047 OPPORTUNITIES TO DECIDE WHICH 1833 01:17:07,047 --> 01:17:09,916 TEST THEY THINK WOULD BE LESS 1834 01:17:09,916 --> 01:17:10,483 BURDENED IN THEIR CLINICAL 1835 01:17:10,483 --> 01:17:20,627 TRIALS. 1836 01:17:22,729 --> 01:17:24,431 WITH MORE TESTS HAVE YOU MORE 1837 01:17:24,431 --> 01:17:26,366 CORRELATION AND EVEN THE 12 1838 01:17:26,366 --> 01:17:27,100 MINUTES TEST WAS DECENT FOR YOUR 1839 01:17:27,100 --> 01:17:37,210 CLINICAL TRIAL. 1840 01:17:37,210 --> 01:17:39,145 SO WHAT ARE THE DRAWBACKS NEEDED 1841 01:17:39,145 --> 01:17:42,148 IN DOING THIS REMOTELY? 1842 01:17:42,148 --> 01:17:44,251 WE HAD 88 PARTICIPANTS OF ALL 1843 01:17:44,251 --> 01:17:45,252 AGES. 1844 01:17:45,252 --> 01:17:49,222 SOME GOING UP TO THEIR 80s AND 1845 01:17:49,222 --> 01:17:50,957 PARTICIPANTS THERE WERE 17 OR 1846 01:17:50,957 --> 01:17:53,493 19% OF PARTICIPANTS THAT NEEDED 1847 01:17:53,493 --> 01:17:53,793 ASSISTANCE. 1848 01:17:53,793 --> 01:17:55,362 TROUBLE SHOOTING OVER THE PHONE 1849 01:17:55,362 --> 01:17:59,199 BY A RESEARCH ASSISTANT COMPLETE 1850 01:17:59,199 --> 01:18:00,934 THEIR MTBS ASSESSMENT AND WHAT 1851 01:18:00,934 --> 01:18:02,235 IS THE HELP THEY NEEDED? 1852 01:18:02,235 --> 01:18:06,139 THEY NEEDED HELP IN DOWNLOADING 1853 01:18:06,139 --> 01:18:10,644 THE MTBT APP AND OUT SOME 1854 01:18:10,644 --> 01:18:12,379 LOGGING IN AND NEEDED A LIVE 1855 01:18:12,379 --> 01:18:15,448 PERSON AVAILABLE SHOULD IT BE 1856 01:18:15,448 --> 01:18:15,715 NEEDED. 1857 01:18:15,715 --> 01:18:17,284 THE MAJORITY WERE ABLE TO DO IT 1858 01:18:17,284 --> 01:18:18,551 ON THEIR OWN. 1859 01:18:18,551 --> 01:18:20,520 THOSE WHO NEEDED ASSISTANCE WERE 1860 01:18:20,520 --> 01:18:22,389 OFTEN SIGNIFICANTLY OLDER. 1861 01:18:22,389 --> 01:18:28,261 THEY WERE THE ONES 77 TO 84 1862 01:18:28,261 --> 01:18:28,962 YEARS OF AGE. 1863 01:18:28,962 --> 01:18:34,100 THE YOUNGER PARTICIPANTS NEEDED 1864 01:18:34,100 --> 01:18:35,468 NO ASSISTANCE. 1865 01:18:35,468 --> 01:18:37,637 WE'LL SEE THE MOBILE TOOLBOX AS 1866 01:18:37,637 --> 01:18:40,573 US BABY BOOMERS GET OLDER AND 1867 01:18:40,573 --> 01:18:42,909 OLDER WILL NOT NEED MUCH 1868 01:18:42,909 --> 01:18:44,277 ASSISTANCE AT ALL AND THAT BODE 1869 01:18:44,277 --> 01:18:46,146 WELL FOR THE PRIMARY CARE 1870 01:18:46,146 --> 01:18:47,113 SETTING THAT PEOPLE WILL BE ABLE 1871 01:18:47,113 --> 01:18:49,316 TO DO IT IN THE WAITING ROOM OR 1872 01:18:49,316 --> 01:18:51,418 EVEN AT HOME WITH EASE. 1873 01:18:51,418 --> 01:18:53,653 AND 59% OF OUR PARTICIPANTS 1874 01:18:53,653 --> 01:18:54,821 COMPLETED THEIR ASSESSMENTS 1875 01:18:54,821 --> 01:18:57,524 WITHIN THE TWO-WEEK TIME FRAME. 1876 01:18:57,524 --> 01:18:58,792 YOU HAVE TO TELL PEOPLE AND I 1877 01:18:58,792 --> 01:19:04,898 HAVE TO TELL YOU, ELDERS ARE 1878 01:19:04,898 --> 01:19:05,799 BUSY PEOPLE. 1879 01:19:05,799 --> 01:19:07,634 WE HAD TO REMIND THEM YOU HAVE 1880 01:19:07,634 --> 01:19:09,602 TWO WEEKS TO DO THIS AND MOST OF 1881 01:19:09,602 --> 01:19:12,138 THEM DID IT WITHOUT ANY 1882 01:19:12,138 --> 01:19:12,439 REMINDERS. 1883 01:19:12,439 --> 01:19:14,574 HOWEVER, 41% BECAUSE THEY WERE 1884 01:19:14,574 --> 01:19:19,546 TRAVELLING OR OFF IN FLORIDA OR 1885 01:19:19,546 --> 01:19:21,881 NEEDED CALLS TO COMPLETE THEIR 1886 01:19:21,881 --> 01:19:22,615 ASSESSMENT BEFORE THEIR 1887 01:19:22,615 --> 01:19:24,250 ASSESSMENT EXPIRED AND I HAVE TO 1888 01:19:24,250 --> 01:19:27,387 TELL YOU, ONLY MAYBE 1% OF 1889 01:19:27,387 --> 01:19:29,489 INDIVIDUALS ONCE THEY GOT THE 1890 01:19:29,489 --> 01:19:31,324 REMINDER CALL DIDN'T COMPLETE 1891 01:19:31,324 --> 01:19:31,491 IT. 1892 01:19:31,491 --> 01:19:34,494 HOWEVER, NEEDING ASSISTANCE OR 1893 01:19:34,494 --> 01:19:35,729 REMINDERS WAS NOT ASSOCIATED 1894 01:19:35,729 --> 01:19:40,900 WITH YEARS OF EDUCATION SO IT 1895 01:19:40,900 --> 01:19:43,737 DOESN'T MATTER HOW LONG YOU'VE 1896 01:19:43,737 --> 01:19:45,438 BEEN IN SCHOOL OR HOW SMART YOU 1897 01:19:45,438 --> 01:19:47,440 ARE AND NOT ASSOCIATED WITH 1898 01:19:47,440 --> 01:19:49,542 BASELINE COGNITION. 1899 01:19:49,542 --> 01:19:52,112 I THINK IN CONCLUSION THAT THE 1900 01:19:52,112 --> 01:19:54,681 MOBILE TOOLBOX IS THE NEXT 1901 01:19:54,681 --> 01:19:57,684 GENERATION OF COGNITIVE 1902 01:19:57,684 --> 01:19:58,785 ASSESSMENTS ALONG WITH THE OTHER 1903 01:19:58,785 --> 01:20:00,754 ASSESSMENTS YOU'RE GOING TO SEE. 1904 01:20:00,754 --> 01:20:05,358 I'M GRATEFUL TO THE NIH FOR THIS 1905 01:20:05,358 --> 01:20:08,261 EFFORT AND ALSO FOR MOLLY 1906 01:20:08,261 --> 01:20:10,897 WAGSTER AND RICHARD GERSHON FOR 1907 01:20:10,897 --> 01:20:12,899 LEADING THE EFFORT IN BRINGING 1908 01:20:12,899 --> 01:20:16,269 REMOTE ASSESSMENT TO THE WORLD. 1909 01:20:16,269 --> 01:20:26,613 THANK YOU VERY MUCH. 1910 01:21:09,422 --> 01:21:13,159 >> WE'RE GOING TO GIVE A FEW 1911 01:21:13,159 --> 01:21:15,462 SECONDS TO GET THE SYSTEM SET UP 1912 01:21:15,462 --> 01:21:16,329 BUT I'LL BE INTRODUCING HER 1913 01:21:16,329 --> 01:21:26,539 MOMENTARILY. 1914 01:22:36,776 --> 01:22:37,410 PATIENCE. 1915 01:22:37,410 --> 01:22:39,679 YOU'VE HEARD ABOUT THE BABY 1916 01:22:39,679 --> 01:22:42,949 TOOLBOX THE NIH BABY TOOLBOX BUT 1917 01:22:42,949 --> 01:22:46,085 DR. ADOLPH WILL BE GIVING US A 1918 01:22:46,085 --> 01:22:46,553 PRESENTATION BRIEFLY. 1919 01:22:46,553 --> 01:22:48,788 AND I JUST WANTED TO POINT OUT 1920 01:22:48,788 --> 01:22:52,058 THAT THE BABY TOOLBOX THE NIH 1921 01:22:52,058 --> 01:22:56,729 BABY TOOLBOX HAS SOME UNIQUE 1922 01:22:56,729 --> 01:22:57,597 INNOVATION. 1923 01:22:57,597 --> 01:22:59,966 IN PARTICULAR, OBVIOUSLY YOU 1924 01:22:59,966 --> 01:23:03,369 CAN'T ASK A ONE--MONTH-OLD 1925 01:23:03,369 --> 01:23:05,538 QUESTIONS WHERE YOU EXPECT A 1926 01:23:05,538 --> 01:23:06,172 VERBAL ANSWER. 1927 01:23:06,172 --> 01:23:10,376 YOU NEED TO BE ABLE TO FIND SOME 1928 01:23:10,376 --> 01:23:12,245 INNOVATIVE WAYS TO ASSESS 1929 01:23:12,245 --> 01:23:14,514 INFANTS IN PARTICULAR BUT 1930 01:23:14,514 --> 01:23:16,249 INFANTS IN TODDLER ESPECIALLY 1931 01:23:16,249 --> 01:23:17,684 VERY YOUNG TODDLERS. 1932 01:23:17,684 --> 01:23:25,892 SO THE BABY TOOLBOX WAS THE 1933 01:23:25,892 --> 01:23:28,761 NORTHWESTERN TEAM WERE 1934 01:23:28,761 --> 01:23:30,597 INNOVATIVE IN DEVELOPING THIS 1935 01:23:30,597 --> 01:23:36,002 ESSENTIALLY USING THE iPAD 1936 01:23:36,002 --> 01:23:41,774 SIMILAR TO A SYSTEM FOR 1937 01:23:41,774 --> 01:23:46,079 ASSESSING WITH VIDEO AND THE 1938 01:23:46,079 --> 01:23:47,847 ABILITY TO IDENTIFY EYE TRACKING 1939 01:23:47,847 --> 01:23:50,049 OR GAZE DETECTION. 1940 01:23:50,049 --> 01:23:55,455 IS THIS IS A HIGHLY INNOVATIVE 1941 01:23:55,455 --> 01:23:59,025 ADAPTATION THAT THE CONTRACTOR, 1942 01:23:59,025 --> 01:24:00,860 NORTHWESTERN AND DR. GERSHON AND 1943 01:24:00,860 --> 01:24:04,464 TEAM HAD TO OVERCOME VERY 1944 01:24:04,464 --> 01:24:05,698 QUICKLY ONCE THEY DECIDED -- 1945 01:24:05,698 --> 01:24:07,267 ONCE THEY WERE SELECTED AS THE 1946 01:24:07,267 --> 01:24:08,301 CONTRACTOR FOR THE TOOL. 1947 01:24:08,301 --> 01:24:12,238 SO WE WERE EXCITED WITH OUT OF 1948 01:24:12,238 --> 01:24:16,276 THE BOX STARTING OFF THE TOP 1949 01:24:16,276 --> 01:24:24,284 HIGHLY INNOVATIVE APPROACH TO 1950 01:24:24,284 --> 01:24:28,254 ASSESSING CHILDREN, PARTICULARLY 1951 01:24:28,254 --> 01:24:29,722 INFANTS. 1952 01:24:29,722 --> 01:24:32,625 I WILL SAY DR. ADOLPH HAS BEEN A 1953 01:24:32,625 --> 01:24:37,430 KEY PLAYER IN DEVELOPING MOTOR 1954 01:24:37,430 --> 01:24:39,799 ASSESSMENT IN THE NIH TOOLBOX 1955 01:24:39,799 --> 01:24:41,668 AND THE NIH BABY TOOLBOX. 1956 01:24:41,668 --> 01:24:48,241 SHE'S THE PROFESSOR OF 1957 01:24:48,241 --> 01:24:54,013 PSYCHOLOGY AND NEUROSCIENCE AND 1958 01:24:54,013 --> 01:24:58,284 PROFESSOR OF CHILD AND 1959 01:24:58,284 --> 01:24:59,719 ADOLESCENT PSYCHIATRY IN NEW 1960 01:24:59,719 --> 01:25:01,454 YORK UNIVERSITY AND DIRECT THE 1961 01:25:01,454 --> 01:25:03,022 DATA LIBRARY AND PLAY PROJECT 1962 01:25:03,022 --> 01:25:04,257 WHICH HAS BEEN EXCITING TOE 1963 01:25:04,257 --> 01:25:07,360 WATCH THE PROGRESS OF THOSE TWO 1964 01:25:07,360 --> 01:25:08,261 GRANT AWARDS. 1965 01:25:08,261 --> 01:25:11,264 AND SHE MAINTAINS THE DATA 1966 01:25:11,264 --> 01:25:13,566 VIEWED VIDEO CODING TOOL. 1967 01:25:13,566 --> 01:25:16,736 DR. ADOLPH USES OBSERVABLE MOTOR 1968 01:25:16,736 --> 01:25:18,638 BEHAVIORS IN A VARIETY OF 1969 01:25:18,638 --> 01:25:20,273 TECHNOLOGIES INCLUDING VIDEO, 1970 01:25:20,273 --> 01:25:26,312 MOTION TRACKING, FLOOR, 1971 01:25:26,312 --> 01:25:27,814 INSTRUMENTATION, FLOOR HEAD 1972 01:25:27,814 --> 01:25:30,583 MOUNTING EYE TRACKING, EEG, 1973 01:25:30,583 --> 01:25:31,417 ETCETERA. 1974 01:25:31,417 --> 01:25:33,586 SHE'S BEEN INNOVATIVE IN USING 1975 01:25:33,586 --> 01:25:36,255 EVERYTHING YOU CAN THINK TO TRY 1976 01:25:36,255 --> 01:25:37,323 AND ASSESS PARTICULARLY VERY 1977 01:25:37,323 --> 01:25:40,126 YOUNG CHILDREN AND THEIR MOTOR 1978 01:25:40,126 --> 01:25:40,560 ASSESSMENT. 1979 01:25:40,560 --> 01:25:41,694 SHE'S BEEN A WONDERFUL 1980 01:25:41,694 --> 01:25:42,228 COLLABORATOR. 1981 01:25:42,228 --> 01:25:45,698 SHE'S BEEN ENGAGED IN MANY MANY 1982 01:25:45,698 --> 01:25:47,467 DIFFERENT PROJECTS AND WE'RE 1983 01:25:47,467 --> 01:25:52,138 DELIGHTED TO HAVE HER TODAY 1984 01:25:52,138 --> 01:25:54,240 PRESENTING -- INTRODUCING YOU TO 1985 01:25:54,240 --> 01:25:56,142 THE THE BABY TOOLBOX. 1986 01:25:56,142 --> 01:25:57,243 THANK YOU, KAREN. 1987 01:25:57,243 --> 01:26:07,787 I'LL GO AHEAD AND SIT OFF STAGE. 1988 01:26:57,737 --> 01:26:58,638 >> YEAH. 1989 01:26:58,638 --> 01:27:01,474 NORTHWESTERN, GOT AWARDED THE 1990 01:27:01,474 --> 01:27:03,042 CONTRACT UNDER THE LEADERSHIP OF 1991 01:27:03,042 --> 01:27:06,279 RICHARD GERSHON AND RICHARD 1992 01:27:06,279 --> 01:27:08,181 ASSEMBLED A TEAM OF DOMAIN LEADS 1993 01:27:08,181 --> 01:27:08,781 ACROSS SIX INSTITUTION TO 1994 01:27:08,781 --> 01:27:11,451 DEVELOP THE NEW BATTERY FOR 1995 01:27:11,451 --> 01:27:12,018 YOUNG CHILDREN. 1996 01:27:12,018 --> 01:27:15,221 THE RESULTING DEVELOPMENTAL 1997 01:27:15,221 --> 01:27:16,722 BATTERY IS CALLED THE NIH INFANT 1998 01:27:16,722 --> 01:27:20,259 AND TODDLER TOOLBOX FOR THE BABY 1999 01:27:20,259 --> 01:27:21,994 TOOLBOX FOR SHORT. 2000 01:27:21,994 --> 01:27:26,799 AND CUTTING EDGE ASSESSMENT 2001 01:27:26,799 --> 01:27:29,402 TOOLS FROM 16 DAYS TO 42 MONTHS 2002 01:27:29,402 --> 01:27:32,271 AND WILL BE PUBLICLY AVAILABLE 2003 01:27:32,271 --> 01:27:34,907 IN LATE 2024. 2004 01:27:34,907 --> 01:27:36,676 THE BABY TOOLBOX IS A NEURAL 2005 01:27:36,676 --> 01:27:42,281 PSYCHOLOGICAL BATTERY WITH 2006 01:27:42,281 --> 01:27:45,585 COGNITIVE, PSYCHO AND SOCIAL 2007 01:27:45,585 --> 01:27:47,286 TOOLBOX FOR USE IN CLINICAL 2008 01:27:47,286 --> 01:27:47,687 SETTINGS. 2009 01:27:47,687 --> 01:27:51,858 IT WILL BE AVAILABLE IN ENGLISH 2010 01:27:51,858 --> 01:27:53,392 AND SPANISH AND DIRECT 2011 01:27:53,392 --> 01:27:57,230 ASSESSMENTS AND BEHAVIORAL 2012 01:27:57,230 --> 01:27:58,531 OBSERVATIONS WITH SOME 2013 01:27:58,531 --> 01:27:59,265 SUPPLEMENTATION FROM PARENT 2014 01:27:59,265 --> 01:28:00,700 REPORT MEASURES AND EVERYTHING 2015 01:28:00,700 --> 01:28:03,135 ADMINISTERED ON A DIGITAL TABLET 2016 01:28:03,135 --> 01:28:06,272 LIKE THE NIH TOOLBOX. 2017 01:28:06,272 --> 01:28:08,774 THE BABY TOOLBOX STANDS OUT 2018 01:28:08,774 --> 01:28:12,044 AGAINST COMPETITORS BECAUSE OF 2019 01:28:12,044 --> 01:28:13,913 ITS INNOVATIVE ASSESSMENT 2020 01:28:13,913 --> 01:28:14,213 TECHNOLOGY. 2021 01:28:14,213 --> 01:28:17,817 WE USE REAL-TIME AUTOMATED 2022 01:28:17,817 --> 01:28:21,821 SCORING YOU PUSH A BUTTON AND 2023 01:28:21,821 --> 01:28:23,823 GET THE SCORE AND USE GAZE 2024 01:28:23,823 --> 01:28:25,691 TRACKING TO ENABLE TESTING OF 2025 01:28:25,691 --> 01:28:29,929 YOUNG INFANTS AND VIDEO CAPTURE 2026 01:28:29,929 --> 01:28:32,265 OF BEHAVIOR FOR IMMEDIATE REVIEW 2027 01:28:32,265 --> 01:28:35,735 AND ADAPTATION OF BEHAVIORS TOO 2028 01:28:35,735 --> 01:28:39,338 FAST OR TINY TO BE SEEN WITH THE 2029 01:28:39,338 --> 01:28:41,741 NAKED EYE AND FOR EXPORTS FOR 2030 01:28:41,741 --> 01:28:42,275 LONG TERM STORAGE OF THE 2031 01:28:42,275 --> 01:28:47,580 BEHAVIORS. 2032 01:28:47,580 --> 01:28:50,149 IN CONTRAST ALL THE 2033 01:28:50,149 --> 01:28:51,717 MANIPULATIVES IN THE BABY 2034 01:28:51,717 --> 01:28:52,685 TOOLBOX ARE AVAILABLE THROUGH 2035 01:28:52,685 --> 01:28:53,553 GENERAL PURPOSE. 2036 01:28:53,553 --> 01:28:54,954 USERS DON'T HAVE TO BUY 2037 01:28:54,954 --> 01:28:57,990 EXPENSIVE OR HARD TO FIND ITEMS. 2038 01:28:57,990 --> 01:29:00,793 THIS IS THE BABY TOOLBOX AT A 2039 01:29:00,793 --> 01:29:01,794 GLANCE. 2040 01:29:01,794 --> 01:29:05,831 IT COVERS ALL THE MAJOR NEURO 2041 01:29:05,831 --> 01:29:06,766 PSYCHOLOGICAL DOMAINS IN ENGLISH 2042 01:29:06,766 --> 01:29:09,936 AND SPANISH AND USES A VARIETY 2043 01:29:09,936 --> 01:29:12,271 OF APPROACHES AND VARIETY OF 2044 01:29:12,271 --> 01:29:14,040 TRULY INNOVATIVE TECHNOLOGIES OR 2045 01:29:14,040 --> 01:29:16,275 ASSESSMENT USING ONLY 2046 01:29:16,275 --> 01:29:16,842 MANIPULATIVES YOU CAN FIND 2047 01:29:16,842 --> 01:29:19,579 ANYWHERE. 2048 01:29:19,579 --> 01:29:21,914 THE ORIGINAL CONTRACT IDENTIFIED 2049 01:29:21,914 --> 01:29:24,350 SIX DOMAIN ARE CRITICAL FOR 2050 01:29:24,350 --> 01:29:26,819 EARLY DEVELOPMENT. 2051 01:29:26,819 --> 01:29:29,121 EACH DOMAIN IS LED BY A 2052 01:29:29,121 --> 01:29:30,323 SCIENTIFIC DOMAIN EXPERT AND 2053 01:29:30,323 --> 01:29:33,025 THEN SUPPORTED BY A TEAM OF 2054 01:29:33,025 --> 01:29:35,928 EXPERT CONSULTANTS. 2055 01:29:35,928 --> 01:29:38,364 THE SIX DOMAINS ARE GROUPED INTO 2056 01:29:38,364 --> 01:29:41,033 THE SAME DOMAIN STRUCTURE THAT'S 2057 01:29:41,033 --> 01:29:44,737 USED BY THE NIH TOOLBOX, 2058 01:29:44,737 --> 01:29:48,274 COGNITIVE, SOCIAL EMOTIONAL AND 2059 01:29:48,274 --> 01:29:50,009 MOTOR FUNCTIONS. 2060 01:29:50,009 --> 01:29:51,844 EACH DOMAIN TEAM COLLECTED 2061 01:29:51,844 --> 01:29:53,145 MEASURES THAT WERE APPROPRIATE 2062 01:29:53,145 --> 01:29:56,248 FOR INFANTS FROM 16 DAYS TO 42 2063 01:29:56,248 --> 01:29:58,684 MONTHS. 2064 01:29:58,684 --> 01:30:01,554 THE MEASURE SELECTION WAS 2065 01:30:01,554 --> 01:30:03,322 INFORMED BY AN EXPERT SURVEY 2066 01:30:03,322 --> 01:30:04,523 THAT PROVIDED INFORMATION ABOUT 2067 01:30:04,523 --> 01:30:08,260 WHAT MEASURES WE SHOULD USE AND 2068 01:30:08,260 --> 01:30:09,996 WHAT DOMAINS SHOULD BE IN AND 2069 01:30:09,996 --> 01:30:12,732 WHAT THE COST SHOULD BE AND 2070 01:30:12,732 --> 01:30:14,634 LENGTH OF ADMINISTRATION SHOULD 2071 01:30:14,634 --> 01:30:17,203 BE AND CONDUCTED A SCOPING 2072 01:30:17,203 --> 01:30:21,841 REVIEW BEGINNING WITH 37,000 2073 01:30:21,841 --> 01:30:22,241 TE 2074 01:30:22,241 --> 01:30:24,110 TECHS TO USE THE COMMON MEASURES 2075 01:30:24,110 --> 01:30:25,411 IN THE LITERATURE TO NATURE OUR 2076 01:30:25,411 --> 01:30:26,979 MEASURE SELECTION. 2077 01:30:26,979 --> 01:30:28,247 I WANTED TO SHOW YOU EXAMPLES OF 2078 01:30:28,247 --> 01:30:34,353 SOME OF OUR MEASURES. 2079 01:30:34,353 --> 01:30:37,923 IN THE COGNITIVE DOMAIN WE HAVE 2080 01:30:37,923 --> 01:30:39,992 16 MEASURES PRIMARILY DIRECT AND 2081 01:30:39,992 --> 01:30:40,326 OBSERVATIONAL. 2082 01:30:40,326 --> 01:30:42,795 MANY TESTS INCLUDING TWO 2083 01:30:42,795 --> 01:30:44,764 VERSIONS SO GAZE MEASURES FOR 2084 01:30:44,764 --> 01:30:47,333 BABIES UNDER TWO YEARS OF AGE 2085 01:30:47,333 --> 01:30:49,168 AND THEN TOUCH BASE MEASURES FOR 2086 01:30:49,168 --> 01:30:53,706 CHILDREN OLDER THAN TWO YEARS. 2087 01:30:53,706 --> 01:30:55,408 BEHAVIORAL OBSERVATIONS ARE 2088 01:30:55,408 --> 01:30:57,309 RECORDED BY THE ADMINISTRATOR 2089 01:30:57,309 --> 01:30:59,111 AND THE COGNITION DOMAIN 2090 01:30:59,111 --> 01:31:01,247 INCLUDES A WIDELY USED 2091 01:31:01,247 --> 01:31:02,815 PARENT-REPORT MEASURE FOR TWO OF 2092 01:31:02,815 --> 01:31:09,522 THE SIX LANGUAGE ASSESSMENTS. 2093 01:31:09,522 --> 01:31:12,525 GAZE DETECTION ALLOWS FOR THE 2094 01:31:12,525 --> 01:31:16,228 YOUNGEST BABIES WHO CAN'T TALK 2095 01:31:16,228 --> 01:31:18,731 OR POINT. 2096 01:31:18,731 --> 01:31:23,135 GAZE DETECTION USES THE FRONT 2097 01:31:23,135 --> 01:31:25,037 FACING CAMERA AND THE TECHNOLOGY 2098 01:31:25,037 --> 01:31:27,573 IS CHEAP AND EASY TO USE. 2099 01:31:27,573 --> 01:31:30,142 THE SOFTWARE CAN DETECT FACES 2100 01:31:30,142 --> 01:31:32,111 AND IDENTIFY EYES AND ESTIMATE 2101 01:31:32,111 --> 01:31:35,014 WHERE BABIES ARE LOOKING. 2102 01:31:35,014 --> 01:31:38,551 AND THEN THE RESULTING DATA ARE 2103 01:31:38,551 --> 01:31:40,519 USED TO DISTINGUISH IF THE 2104 01:31:40,519 --> 01:31:42,021 BABY'S LOOKING ON OR OFF THE 2105 01:31:42,021 --> 01:31:43,489 SCREEN AND QUANTIFY THE 2106 01:31:43,489 --> 01:31:47,093 PERCENTAGE OF LOOK TO ONE OF TWO 2107 01:31:47,093 --> 01:31:49,128 IMAGES AND CAN IDENTIFY A LOOK 2108 01:31:49,128 --> 01:31:52,264 THAT CAN TRIGGER GAZE CONTINGENT 2109 01:31:52,264 --> 01:31:54,734 RESPONSES. 2110 01:31:54,734 --> 01:31:57,737 ALL THE GAZE MEASURES FOLLOW THE 2111 01:31:57,737 --> 01:31:59,038 SAME PROCEDURE SO FIRST THE 2112 01:31:59,038 --> 01:32:03,676 ADMINISTRATOR PLACES THE iPAD TO 2113 01:32:03,676 --> 01:32:06,312 TRACK THE CHILD'S FACE THEN WE 2114 01:32:06,312 --> 01:32:07,947 CALIBRATE THE SOFTWARE BY 2115 01:32:07,947 --> 01:32:09,248 LOOKING AT THE FOUR CORNERS OF 2116 01:32:09,248 --> 01:32:11,817 THE SCREEN AND THEN FINALLY WE 2117 01:32:11,817 --> 01:32:15,621 PRESENT THE TEST TIMES FOR THAT 2118 01:32:15,621 --> 01:32:16,088 PARTICULAR TEST. 2119 01:32:16,088 --> 01:32:19,358 I WANT TO SHOW AN EXAMPLE OF AN 2120 01:32:19,358 --> 01:32:21,193 ADMINISTRATOR SETTING UP A GAZE 2121 01:32:21,193 --> 01:32:23,629 MEASURE CALLED LOOKING WHILE 2122 01:32:23,629 --> 01:32:23,896 LISTENING. 2123 01:32:23,896 --> 01:32:26,699 THIS TESTS RECEPTIVE LANGUAGE. 2124 01:32:26,699 --> 01:32:28,200 SO THE BABY SEE TWO ITEMS ON THE 2125 01:32:28,200 --> 01:32:30,336 SCENE AND ONE OF THOSE ITEMS IS 2126 01:32:30,336 --> 01:32:40,513 LABELLED. 2127 01:32:54,393 --> 01:33:00,266 >> WHERE IS THE NOSE? 2128 01:33:00,266 --> 01:33:01,033 SEE THE NOSE? 2129 01:33:01,033 --> 01:33:02,067 DO YOU SEE THE CUP? 2130 01:33:02,067 --> 01:33:11,043 LOOK AT THE CUP. 2131 01:33:11,043 --> 01:33:16,282 WHERE IS THE SHOE? 2132 01:33:16,282 --> 01:33:23,055 SEE THE SHOE? 2133 01:33:23,055 --> 01:33:27,226 >> HERE'S AN EXAMPLE OF A 2134 01:33:27,226 --> 01:33:28,894 TOUCH-BASED TASK CALLED VISUAL 2135 01:33:28,894 --> 01:33:29,728 DELAYED RESPONSE. 2136 01:33:29,728 --> 01:33:31,197 IT TESTS ATTENTION, EXECUTIVE 2137 01:33:31,197 --> 01:33:36,435 FUNCTION AND WORKING MEMORY. 2138 01:33:36,435 --> 01:33:40,272 [VIDEO] 2139 01:33:40,272 --> 01:33:44,276 >> LOOK AT THAT. 2140 01:33:44,276 --> 01:33:54,386 [♪] 2141 01:33:57,089 --> 01:34:02,995 WHERE IS IT HIDIHIDING? 2142 01:34:02,995 --> 01:34:04,697 TOUCHED WHERE IT'S HIDING. 2143 01:34:04,697 --> 01:34:07,066 >> WE HAVE A GAZE MEASURE OF THE 2144 01:34:07,066 --> 01:34:09,134 SAME MEASURE WHERE IF THE BABY 2145 01:34:09,134 --> 01:34:12,271 LOOKS AT THE PLACE ON THE SCENE 2146 01:34:12,271 --> 01:34:14,273 THE CREATURE POPS OUT. 2147 01:34:14,273 --> 01:34:16,275 THIS IS AN EXAMPLE OF A 2148 01:34:16,275 --> 01:34:17,643 BEHAVIORAL OBSERVATION CALLED 2149 01:34:17,643 --> 01:34:21,213 OBJECT COUNTING AND ASSESSES 2150 01:34:21,213 --> 01:34:23,382 COUNTING AND CARDINALITY. 2151 01:34:23,382 --> 01:34:25,517 THE CHILD COUNTS A SET NUMBER OF 2152 01:34:25,517 --> 01:34:27,753 OBJECTS AND THE ADMINISTRATOR 2153 01:34:27,753 --> 01:34:33,425 RECORDS THEIR VERBAL RESPONSE. 2154 01:34:33,425 --> 01:34:33,859 [VIDEO 2155 01:34:33,859 --> 01:34:33,993 [ 2156 01:34:33,993 --> 01:34:34,727 >> HOW MANY ARE THERE? 2157 01:34:34,727 --> 01:34:36,729 >> ONE, TWO, THREE, FOUR, 2158 01:34:36,729 --> 01:34:46,872 ELEVEN. 2159 01:34:47,172 --> 01:34:47,373 [SPEAKER] 2160 01:34:47,373 --> 01:34:50,409 >> IN THE SOCIAL EMOTIONAL DE 2161 01:34:50,409 --> 01:34:52,244 MAIN WE GET PARENT REPORTS OF 2162 01:34:52,244 --> 01:34:58,751 THEIR NEGATIVE ASSETS AND 2163 01:34:58,751 --> 01:35:01,420 SELF-REGULATION AND A HIGHLY 2164 01:35:01,420 --> 01:35:06,158 ENGAGING TEST OF PLAY AND PRO 2165 01:35:06,158 --> 01:35:10,562 SOCIAL BEHAVIORS. 2166 01:35:10,562 --> 01:35:11,664 AN EXAMINER'S SCREEN GUIDES THEM 2167 01:35:11,664 --> 01:35:14,800 AND ON THE LEFT ARE THE STEPS 2168 01:35:14,800 --> 01:35:16,268 FOR THE ADMINISTRATOR AND ON THE 2169 01:35:16,268 --> 01:35:18,504 RIGHT ARE THE SCORABLE 2170 01:35:18,504 --> 01:35:20,572 BEHAVIORS. 2171 01:35:20,572 --> 01:35:22,675 SHOWING AN EXAMPLE OF ONE PART 2172 01:35:22,675 --> 01:35:24,376 OF THE INTERACTIVE SOCIAL 2173 01:35:24,376 --> 01:35:27,179 OBSERVATION TEST. 2174 01:35:27,179 --> 01:35:29,548 YOU'LL SEE THE EXAMINER OFFER 2175 01:35:29,548 --> 01:35:31,517 PROMPTS AND SCORE THE BEHAVIORS 2176 01:35:31,517 --> 01:35:41,560 THE CHILD DEMONSTRATED. 2177 01:35:41,560 --> 01:35:41,794 [VIDEO] 2178 01:35:41,794 --> 01:35:42,528 >> LOOK. 2179 01:35:42,528 --> 01:35:43,195 LOOK. 2180 01:35:43,195 --> 01:35:45,831 YOU FOUND THE CAR. 2181 01:35:45,831 --> 01:35:49,301 READY? 2182 01:35:49,301 --> 01:35:51,937 VROOM. 2183 01:35:51,937 --> 01:35:56,208 VROOM, BEEP, BEEP. 2184 01:35:56,208 --> 01:35:56,742 READY? 2185 01:35:56,742 --> 01:35:59,044 HERE IT COMES TO YOU, VROOM. 2186 01:35:59,044 --> 01:36:09,355 GIVING IT TO MAMA. 2187 01:36:15,894 --> 01:36:17,796 [SPEAKER] 2188 01:36:17,796 --> 01:36:18,330 THEY 2189 01:36:18,330 --> 01:36:21,233 >> THEY NOTE THE CHILD RESPOND 2190 01:36:21,233 --> 01:36:22,801 AND SMILED WITHOUT LOOK AND 2191 01:36:22,801 --> 01:36:26,105 SHOWED THE OBJECT TO ITS OTHER. 2192 01:36:26,105 --> 01:36:28,207 IN THE MOTOR DOMAIN, WE HAVE 2193 01:36:28,207 --> 01:36:29,775 THREE MEASURES. 2194 01:36:29,775 --> 01:36:31,343 THEY'RE ALL VIDEO-BASED MEASURES 2195 01:36:31,343 --> 01:36:33,078 AND EACH MEASURE HAS VARIANTS OF 2196 01:36:33,078 --> 01:36:36,949 THE TASK SO IT CAN SPAN THE 2197 01:36:36,949 --> 01:36:37,483 ENTIRE AGE RANGE. 2198 01:36:37,483 --> 01:36:44,289 GET UP AND GO TESTS LOCOMOTION 2199 01:36:44,289 --> 01:36:48,694 AND POSTURAL TRANSMISSIONS AND 2200 01:36:48,694 --> 01:36:49,595 LIFTING THE HEAD WHILE PRONE FOR 2201 01:36:49,595 --> 01:36:53,565 THE YOUNGEST BABIES. 2202 01:36:53,565 --> 01:36:56,301 REACH TO EAT TESTS REACHING AND 2203 01:36:56,301 --> 01:37:00,272 TOOL USE AND PLANNING IN OLDER 2204 01:37:00,272 --> 01:37:01,206 CHILDREN. 2205 01:37:01,206 --> 01:37:03,742 SIT AND STAND TESTS STATIONARY 2206 01:37:03,742 --> 01:37:05,611 POSTURAL CONTROL AND SIMILAR TO 2207 01:37:05,611 --> 01:37:08,280 THE STANDING BALANCE TESTS IN 2208 01:37:08,280 --> 01:37:10,182 THE NIH TOOLBOX. 2209 01:37:10,182 --> 01:37:12,284 I'LL SHOW AN EXAMPLE OF AN 2210 01:37:12,284 --> 01:37:16,288 ORDERLY CHILD DOING GET UP AND 2211 01:37:16,288 --> 01:37:17,689 GO. 2212 01:37:17,689 --> 01:37:17,923 [VIDEO] 2213 01:37:17,923 --> 01:37:18,390 >> READY? 2214 01:37:18,390 --> 01:37:20,292 ONE, TWO, THREE, GO. 2215 01:37:20,292 --> 01:37:25,264 15. 2216 01:37:25,264 --> 01:37:26,698 YAY. 2217 01:37:26,698 --> 01:37:30,135 MAMA'S GOING TO GO HERE. 2218 01:37:30,135 --> 01:37:30,936 OKAY. 2219 01:37:30,936 --> 01:37:31,136 READY? 2220 01:37:31,136 --> 01:37:32,271 GO TO MAMA. 2221 01:37:32,271 --> 01:37:40,279 GO TO MAMA. 2222 01:37:40,279 --> 01:37:41,947 [SPEAKER] 2223 01:37:41,947 --> 01:37:46,285 >> AS SOON AS THE CHILD FINISHES 2224 01:37:46,285 --> 01:37:47,152 THE ADMINISTRATOR RECORDS 2225 01:37:47,152 --> 01:37:48,053 BEHAVIORS BASED ON IMMEDIATE 2226 01:37:48,053 --> 01:37:49,688 REVIEW OF THE VIDEO. 2227 01:37:49,688 --> 01:37:52,157 FOR EXAMPLE, THE ADMINISTRATOR 2228 01:37:52,157 --> 01:37:55,260 RECORDS HOW THE CHILD GOT OFF 2229 01:37:55,260 --> 01:37:55,661 THEIR BACK. 2230 01:37:55,661 --> 01:37:58,530 EACH OPTION IS ACCOMPANIED BY A 2231 01:37:58,530 --> 01:37:58,864 LINE DRAWING. 2232 01:37:58,864 --> 01:38:02,801 SO THE ADMINISTRATOR CAN MATCH 2233 01:38:02,801 --> 01:38:05,938 THE BEHAVIOR TO THE OPTIONS 2234 01:38:05,938 --> 01:38:06,538 ILLUSTRATED IN THE LINE 2235 01:38:06,538 --> 01:38:07,473 DRAWINGS. 2236 01:38:07,473 --> 01:38:08,540 HERE THE CHILD GOT UP WITHOUT 2237 01:38:08,540 --> 01:38:12,611 ROLLING. 2238 01:38:12,611 --> 01:38:13,946 WE SCORED THE MEASURES. 2239 01:38:13,946 --> 01:38:16,281 WE USED THREE DIFFERENT SCORING 2240 01:38:16,281 --> 01:38:18,383 APPROACHES BASED ON THE MEASURES 2241 01:38:18,383 --> 01:38:22,421 AND ON THE DATA. 2242 01:38:22,421 --> 01:38:23,989 THERE'S TRADITIONAL IRT JUST 2243 01:38:23,989 --> 01:38:28,127 LIKE THE SCORES YOU GET FROM THE 2244 01:38:28,127 --> 01:38:30,262 REGULAR NIH TOOLBOX. 2245 01:38:30,262 --> 01:38:33,632 EACH TEST GENERATES ONE SCORE 2246 01:38:33,632 --> 01:38:36,101 AND THE SCORING ACCOUNTS FOR HOW 2247 01:38:36,101 --> 01:38:37,669 STRONGLY IT RELATES TO HOW 2248 01:38:37,669 --> 01:38:40,305 DIFFICULT THE ITEM IS RELATIVE 2249 01:38:40,305 --> 01:38:46,745 TO OTHER ITEMS. 2250 01:38:46,745 --> 01:38:52,251 WE ALSO USE A MAP CALCULATOR. 2251 01:38:52,251 --> 01:38:57,289 LIKE TRADITIONAL IRT IT CAN 2252 01:38:57,289 --> 01:38:59,658 GENERATE MULTI-DIMENSIONAL 2253 01:38:59,658 --> 01:39:00,893 SCORES AND WE USED TRADITIONAL 2254 01:39:00,893 --> 01:39:04,263 SCORING METHODS SUCH AS THE 2255 01:39:04,263 --> 01:39:06,365 NUMBER CORRECT OR RANK BASED 2256 01:39:06,365 --> 01:39:09,535 SCORES USED FOR MEASURES FOR 2257 01:39:09,535 --> 01:39:12,337 WHICH AN IRT MODEL DIDN'T FIT OR 2258 01:39:12,337 --> 01:39:15,674 WAS INAPPROPRIATE. 2259 01:39:15,674 --> 01:39:21,580 THE FINAL DATA ARE NORM SCORES 2260 01:39:21,580 --> 01:39:23,448 AND DOMAIN SCORES AND ITEM LEVEL 2261 01:39:23,448 --> 01:39:27,019 DATA IF THE RESEARCHER WANTS IT. 2262 01:39:27,019 --> 01:39:29,988 LIKE THE NIH TOOLBOX, THE BABY 2263 01:39:29,988 --> 01:39:32,257 TOOLBOX WILL BE AVAILABLE IN 2264 01:39:32,257 --> 01:39:39,665 BOTH ENGLISH AND SPANISH. 2265 01:39:39,665 --> 01:39:41,066 AND ANYTHING THE CHILD OR 2266 01:39:41,066 --> 01:39:44,102 CAREGIVERS SEE AND ALL THE AUDIO 2267 01:39:44,102 --> 01:39:45,804 CONTENT LIKE HOW MANY ARE THERE 2268 01:39:45,804 --> 01:39:48,273 AND WHERE'S THE NOSE? 2269 01:39:48,273 --> 01:39:50,075 WE TRANSLATED ALL THAT INTO 2270 01:39:50,075 --> 01:39:52,244 SPANISH USING A THIRD-PARTY 2271 01:39:52,244 --> 01:39:53,011 VENDOR. 2272 01:39:53,011 --> 01:39:55,047 FORWARD AND BACKWARD 2273 01:39:55,047 --> 01:39:56,682 TRANSLATIONS WERE CONDUCTED BY 2274 01:39:56,682 --> 01:39:57,983 FOUR INDEPENDENT TRANSLATORS TO 2275 01:39:57,983 --> 01:40:00,118 COME UP WITH A FINAL VERSION. 2276 01:40:00,118 --> 01:40:02,154 THE GOAL WAS TO USE A GENERAL 2277 01:40:02,154 --> 01:40:05,657 VERSION OF SPANISH RATHER THAN 2278 01:40:05,657 --> 01:40:06,391 VOCABULARY THAT'S SPECIFIC TO 2279 01:40:06,391 --> 01:40:08,260 CERTAIN COUNTRIES OR TO CERTAIN 2280 01:40:08,260 --> 01:40:11,230 REGIONS. 2281 01:40:11,230 --> 01:40:16,268 NE -- THE TRANSLATIONS WERE 2282 01:40:16,268 --> 01:40:20,272 REVIEWED BY SPANISH SPEAKING 2283 01:40:20,272 --> 01:40:20,806 TOOLBOX STAFF AND CONTENT 2284 01:40:20,806 --> 01:40:28,814 EXPERTS. 2285 01:40:28,814 --> 01:40:33,185 THE SPANISH VERSIONS WERE 2286 01:40:33,185 --> 01:40:35,153 DEVELOPED IN PARALLEL FOR 2287 01:40:35,153 --> 01:40:36,288 LANGUAGE APPROPRIATE RULES AND 2288 01:40:36,288 --> 01:40:39,491 WAS CULTURALLY SENSITIVE. 2289 01:40:39,491 --> 01:40:41,793 FOR EXAMPLE, IN THE LOOKING 2290 01:40:41,793 --> 01:40:43,128 WHILE LISTENING TASK, BOTH 2291 01:40:43,128 --> 01:40:45,897 ENGLISH AND SPANISH VERSIONS 2292 01:40:45,897 --> 01:40:47,566 MATCH ITEMS BASED ON CRITERIA 2293 01:40:47,566 --> 01:40:50,769 LIKE WHEN THE EMERGE IN % 2294 01:40:50,769 --> 01:40:54,373 DEVELOPMENT AND THE STARTING 2295 01:40:54,373 --> 01:40:56,241 CONSONANT SOUND AND WE MATCHED 2296 01:40:56,241 --> 01:41:01,880 ITEMS BASED ON THEIR GENDER 2297 01:41:01,880 --> 01:41:04,883 THOUGH THEY WERE GOOD FOR 2298 01:41:04,883 --> 01:41:07,686 ENGLISH AND SPANISH IT DIDN'T 2299 01:41:07,686 --> 01:41:14,026 WORK BECAUSE NOSE IS FEMME -- 2300 01:41:14,026 --> 01:41:15,927 FEMININE AND BOOK IS MASCULINE. 2301 01:41:15,927 --> 01:41:18,397 >> WHERE IS THE NOSE? 2302 01:41:18,397 --> 01:41:26,872 SEE THE NOSE? 2303 01:41:26,872 --> 01:41:34,880 [SPANISH] 2304 01:41:34,880 --> 01:41:36,214 >> WE'RE IN THE FINAL STAGES FOR 2305 01:41:36,214 --> 01:41:39,484 VALIDATING STUDIES. 2306 01:41:39,484 --> 01:41:42,387 THE INSTRUMENTED WERE NORMED 2307 01:41:42,387 --> 01:41:47,392 WITH A NATIONAL SAMPLE OF 2500 2308 01:41:47,392 --> 01:41:54,333 STUDENTS AND 500 OF WHOM DID THE 2309 01:41:54,333 --> 01:41:56,034 SPANISH VERSION AND WE HAD 2310 01:41:56,034 --> 01:41:59,037 ENROLLMENT TARGETS FOR AGE AND 2311 01:41:59,037 --> 01:42:02,140 GENDER NESTED WITHIN GEOGRAPHIC 2312 01:42:02,140 --> 01:42:05,177 CENSUS REGION AND OTHER RELEVANT 2313 01:42:05,177 --> 01:42:05,744 DEMOGRAPHICS. 2314 01:42:05,744 --> 01:42:12,284 THESE ARE OUR 16 TESTING SITES. 2315 01:42:12,284 --> 01:42:15,954 WE READMINISTER THE TOOLBOX TO A 2316 01:42:15,954 --> 01:42:17,856 SUBSET OF CHILDREN WITHIN SEVEN 2317 01:42:17,856 --> 01:42:20,492 TO 10 DAYS OF THEIR ORIGINAL 2318 01:42:20,492 --> 01:42:21,093 TEST. 2319 01:42:21,093 --> 01:42:24,229 TO EVALUATE CONVERGENT VALIDITY 2320 01:42:24,229 --> 01:42:26,898 WE ADMINISTERED TWO EXTERNAL 2321 01:42:26,898 --> 01:42:28,300 INSTRUMENTS THE AGES AND STAGES 2322 01:42:28,300 --> 01:42:30,736 PARENT REPORT QUESTIONNAIRE AND 2323 01:42:30,736 --> 01:42:35,273 THE BAYLEY SCALES. 2324 01:42:35,273 --> 01:42:37,409 TO EXPLORE CLINICAL FEASIBILITY 2325 01:42:37,409 --> 01:42:38,877 WE COLLABORATED WITH THREE SITES 2326 01:42:38,877 --> 01:42:41,113 WORKING WITH CLINICAL 2327 01:42:41,113 --> 01:42:42,614 POPULATIONS AND EACH SITES IS 2328 01:42:42,614 --> 01:42:44,516 PILOTING A SMALL SET OF 2329 01:42:44,516 --> 01:42:47,085 CHILDREN. 2330 01:42:47,085 --> 01:42:49,054 WE'RE IN THE FINAL STAGES OF 2331 01:42:49,054 --> 01:42:49,788 DATA ANALYSIS. 2332 01:42:49,788 --> 01:42:52,257 OUR FOURTH COMING RESULTS WILL 2333 01:42:52,257 --> 01:42:53,892 INCLUDE THE PSYCHO METRIC 2334 01:42:53,892 --> 01:42:56,027 PROPERTIES OF THE BABY TOOLBOX 2335 01:42:56,027 --> 01:42:58,063 SUCH AS THE CORRELATIONS WITH 2336 01:42:58,063 --> 01:43:00,265 AGE, WITH EXTERNAL MEASURES AND 2337 01:43:00,265 --> 01:43:05,470 THE INTERNAL AND TEST, RETEST 2338 01:43:05,470 --> 01:43:05,771 RELIABILITY. 2339 01:43:05,771 --> 01:43:07,706 A LOT OF THAT DATA IS ALREADY 2340 01:43:07,706 --> 01:43:08,740 ANALYZED AND WILL BE PRESENTED 2341 01:43:08,740 --> 01:43:12,277 IN DETAIL AT OVER PRESENTATIONS 2342 01:43:12,277 --> 01:43:13,678 AT THE CONFERENCE. 2343 01:43:13,678 --> 01:43:16,248 TO LEARN MORE ABOUT THE BABY 2344 01:43:16,248 --> 01:43:19,050 TOOLBOX, PLEASE COME TO SESSION 2345 01:43:19,050 --> 01:43:20,952 1 FROM 1:00 TO 2:00 TODAY. 2346 01:43:20,952 --> 01:43:22,454 THE SESSION DESCRIBES THREE OF 2347 01:43:22,454 --> 01:43:26,458 THE SIX DOMAINS IN MORE DETAIL 2348 01:43:26,458 --> 01:43:28,260 AND INCLUDES IMPLEMENTATION OF 2349 01:43:28,260 --> 01:43:32,431 THE BABY TOOLBOX IN THE HBCD 2350 01:43:32,431 --> 01:43:33,031 STUDY. 2351 01:43:33,031 --> 01:43:35,333 WE HAVE TWO POSTERS AT THE 2352 01:43:35,333 --> 01:43:36,201 POSTER SESSION PRESENTING 2353 01:43:36,201 --> 01:43:36,868 ADDITIONAL DATA FROM THE NORMING 2354 01:43:36,868 --> 01:43:40,272 STUDY. 2355 01:43:40,272 --> 01:43:42,107 AND IN ADDITION TO THE 2356 01:43:42,107 --> 01:43:42,974 SCIENTIFIC TEAMS WHO CONTRIBUTED 2357 01:43:42,974 --> 01:43:45,977 TO EACH DOMAIN, THERE'S A 2358 01:43:45,977 --> 01:43:48,313 FABULOUS AWESOME, MAGNIFICENT 2359 01:43:48,313 --> 01:43:52,417 TEAM AT NORTHWESTERN WHO MADE 2360 01:43:52,417 --> 01:43:53,251 THIS POSSIBLE. 2361 01:43:53,251 --> 01:43:55,253 AND HERE'S THE CONTACT 2362 01:43:55,253 --> 01:43:56,922 INFORMATION FOR RICHARD GERSHON 2363 01:43:56,922 --> 01:44:07,432 THE P.I. OF THE BABY TOOLBOX. 2364 01:44:26,785 --> 01:44:30,755 >> IT'S PROBABLY NOT BEEN LOST 2365 01:44:30,755 --> 01:44:32,891 TO MOST IN THE ROOM WE'RE A FULL 2366 01:44:32,891 --> 01:44:33,325 30 MINUTES AHEAD. 2367 01:44:33,325 --> 01:44:36,761 BUT WE'RE GOING TO TAKE A BREAK 2368 01:44:36,761 --> 01:44:38,930 NOW AND WE'RE GOING TO EXTEND 2369 01:44:38,930 --> 01:44:42,934 THE BREAK AND I WILL ASK THAT 2370 01:44:42,934 --> 01:44:45,537 PEOPLE RETURN AT 11:00 FOR 2371 01:44:45,537 --> 01:44:46,171 ANOTHER TALK BEFORE LUNCH AND 2372 01:44:46,171 --> 01:44:47,539 SOME ANNOUNCEMENTS. 2373 01:44:47,539 --> 01:44:50,408 I JUST WANTED TO REMIND THOSE OF 2374 01:44:50,408 --> 01:44:53,011 YOU IN THE AUDIENCE THAT IF YOU 2375 01:44:53,011 --> 01:44:55,914 DID NOT -- IF YOU WEREN'T ABLE 2376 01:44:55,914 --> 01:44:57,616 TO PICK UP YOUR BADGE ON THE WAY 2377 01:44:57,616 --> 01:45:00,185 IN TO PLEASE DO SO AT BREAK TO 2378 01:45:00,185 --> 01:45:03,488 GET AN ACCOUNTING OF INDIVIDUALS 2379 01:45:03,488 --> 01:45:04,155 WHO ARE HERE. 2380 01:45:04,155 --> 01:45:09,794 ALSO, I THINK MANY OF YOU MAY 2381 01:45:09,794 --> 01:45:16,268 KNOW BY NOW BUT THE NATUR 2382 01:45:16,268 --> 01:45:18,136 CAFETERIA OPEN FOR THE 2383 01:45:18,136 --> 01:45:20,272 CONFERENCE SO IF YOU NEED A CUP 2384 01:45:20,272 --> 01:45:23,475 OF COFFEE OR SOMETHING GO UP TO 2385 01:45:23,475 --> 01:45:27,512 THE CAFETERIA ON THE FIRST 2386 01:45:27,512 --> 01:45:28,046 FLOOR. 2387 01:45:28,046 --> 01:45:29,047 LUNCH WILL BE SERVED THERE AS 2388 01:45:29,047 --> 01:45:30,482 WELL AND WE'LL TAKE A BREAK NOW 2389 01:45:30,482 --> 01:45:31,483 AND THANKS FOR YOUR ATTENTION 2390 01:45:31,483 --> 01:45:33,994 AND WE'LL SEE YOU AT 11:00. 2391 01:45:38,087 --> 01:45:38,587 >> HELLO AGAIN. 2392 01:45:38,587 --> 01:45:41,991 FOR THOSE WHO MAY BE JOINING US 2393 01:45:41,991 --> 01:45:43,425 US VIRTUALLY OR HERE IN THE ROOM 2394 01:45:43,425 --> 01:45:48,264 WHO MAY HAVE JUST JOINED. 2395 01:45:48,264 --> 01:45:51,533 I'M MOLLY WAGSTER WHERE I SERVE 2396 01:45:51,533 --> 01:45:53,469 CHIEF OF THE SYSTEMS NEURAL 2397 01:45:53,469 --> 01:45:54,803 SCIENCE BRANCH IN THE DIVISION 2398 01:45:54,803 --> 01:45:55,671 OF NEURAL SCIENCE. 2399 01:45:55,671 --> 01:45:57,906 I WAS THE LEAD PROJECT OFFICER 2400 01:45:57,906 --> 01:46:00,342 FOR THE NIH TOOLBOX CONTRACT AND 2401 01:46:00,342 --> 01:46:03,345 CONTINUE TO WORK WITH 2402 01:46:03,345 --> 01:46:05,347 NORTHWESTERN UNIVERSITY 2403 01:46:05,347 --> 01:46:06,582 INVESTIGATORS FOR CONTINUED 2404 01:46:06,582 --> 01:46:08,617 OVERSIGHT OF DEVELOPMENT OF THE 2405 01:46:08,617 --> 01:46:10,219 NIH TOOLBOX AND I ALSO SERVE AS 2406 01:46:10,219 --> 01:46:12,454 ONE OF THE PROJECT SCIENTISTS 2407 01:46:12,454 --> 01:46:13,022 FOR THE MOBILE TOOLBOX 2408 01:46:13,022 --> 01:46:16,725 COOPERATIVE AGREEMENT. 2409 01:46:16,725 --> 01:46:18,661 MY PRESENTATION THIS MORNING IS 2410 01:46:18,661 --> 01:46:20,462 AIMED AT HIGHLIGHTING SOME OF 2411 01:46:20,462 --> 01:46:22,965 THE LARGE INITIATIVES THAT HAVE 2412 01:46:22,965 --> 01:46:24,700 OR ARE CURRENTLY COLLECTING 2413 01:46:24,700 --> 01:46:27,369 PHENOTYPIC DATA USING ONE OR 2414 01:46:27,369 --> 01:46:29,238 MORE OF THE MEASUREMENT SYSTEMS 2415 01:46:29,238 --> 01:46:30,472 FEATURED AT THE CONFERENCE. 2416 01:46:30,472 --> 01:46:32,207 THE UPTAKE OF THE MEASURES BY 2417 01:46:32,207 --> 01:46:34,777 THE STUDIES I THINK INDICATES 2418 01:46:34,777 --> 01:46:37,379 THE WIDESPREAD AND GROWING 2419 01:46:37,379 --> 01:46:38,914 ADAPTATION OF THE MEASURES AND 2420 01:46:38,914 --> 01:46:41,884 ILLUSTRATES THE POSITIVE IMPACT 2421 01:46:41,884 --> 01:46:43,419 OF HAVING COMMON MEASURES ACROSS 2422 01:46:43,419 --> 01:46:43,619 STUDY. 2423 01:46:43,619 --> 01:46:47,256 AND RESOURCES FOR SECONDARY DATA 2424 01:46:47,256 --> 01:46:48,924 ANALYTIC STUDIES HAVE BEEN 2425 01:46:48,924 --> 01:46:49,525 GENERATED AND I'LL EXPAND ON 2426 01:46:49,525 --> 01:46:55,097 THESE AS WELL. 2427 01:46:55,097 --> 01:46:58,801 THE TITLE IS USE OF NIH TOOLBOX 2428 01:46:58,801 --> 01:47:01,970 AND RELATED ASSESSMENTS AND 2429 01:47:01,970 --> 01:47:02,805 LARGE INITIATIVES RESOURCES FOR 2430 01:47:02,805 --> 01:47:10,713 RESEARCH. 2431 01:47:10,713 --> 01:47:14,049 AND ASSESSMENT OF NEUROLOGICAL 2432 01:47:14,049 --> 01:47:17,786 AND BEHAVIORAL FUNCTION THE FULL 2433 01:47:17,786 --> 01:47:22,024 NAME WAS DESIGN FOR A STANDARD 2434 01:47:22,024 --> 01:47:23,992 SEFT INSTRUMENTS TO MEASURE 2435 01:47:23,992 --> 01:47:24,960 BEHAVIORAL HEALTH ACROSS THE 2436 01:47:24,960 --> 01:47:27,529 LIFE SPAN WHEN ADOPTED AND USED 2437 01:47:27,529 --> 01:47:29,498 BROADLY WOULD ALLOW FOR 2438 01:47:29,498 --> 01:47:30,566 COMPARISON ACROSS STUDIES AND 2439 01:47:30,566 --> 01:47:34,069 MAXIMIZE UTILITY OF THE DATA. 2440 01:47:34,069 --> 01:47:35,537 THE NIH TOOLBOX, WHICH WAS 2441 01:47:35,537 --> 01:47:36,939 DEVELOPED THROUGH A CONTRACT 2442 01:47:36,939 --> 01:47:40,909 SUPPORTED BY THE NIH BLUEPRINT 2443 01:47:40,909 --> 01:47:43,245 FOR NEUROSCIENCE RESEARCH WAS 2444 01:47:43,245 --> 01:47:45,848 NORMED IN ALMOST 4900 2445 01:47:45,848 --> 01:47:47,416 PARTICIPANTS AT SITES THROUGHOUT 2446 01:47:47,416 --> 01:47:49,718 THE COUNTRY AND REPRESENTATIVE 2447 01:47:49,718 --> 01:47:51,687 OF THE U.S. POPULATION BASED ON 2448 01:47:51,687 --> 01:47:53,355 GENDER, RACE, ETHNICITY AND 2449 01:47:53,355 --> 01:47:55,391 SOCIO ECONOMIC STATUS. 2450 01:47:55,391 --> 01:47:58,794 AS YOU HEARD EARLIER THIS 2451 01:47:58,794 --> 01:48:01,930 MORNING, THE NIH TOOLBOX 2452 01:48:01,930 --> 01:48:03,499 INCLUDES BRIEF PSYCH METRICALLY 2453 01:48:03,499 --> 01:48:06,402 SOUND MEASURES VALIDATE AND 2454 01:48:06,402 --> 01:48:09,204 NORMED IN INDIVIDUALS 3 TO 85 2455 01:48:09,204 --> 01:48:11,940 YEARS OF AGE IN THE DOMAINS OF 2456 01:48:11,940 --> 01:48:16,211 EMOTIONAL, MOTOR, SENSORY AND 2457 01:48:16,211 --> 01:48:17,713 COGNITIVE PERFORMANCE. 2458 01:48:17,713 --> 01:48:19,014 BOTH AND ENGLISH AND SPANISH 2459 01:48:19,014 --> 01:48:20,349 VERSION WAS CREATED AS PART OF 2460 01:48:20,349 --> 01:48:22,217 THE ORIGINAL CONTRACT 2461 01:48:22,217 --> 01:48:22,851 REQUIREMENTS. 2462 01:48:22,851 --> 01:48:25,721 IN PARTICULAR, TO NOTE I THINK, 2463 01:48:25,721 --> 01:48:28,957 ALL 8,459 INDIVIDUALS IN THE 2464 01:48:28,957 --> 01:48:31,593 NORMING STUDY CONTRIBUTED DATA 2465 01:48:31,593 --> 01:48:34,630 FOR ALL MEASURES IN ALL DOMAINS. 2466 01:48:34,630 --> 01:48:37,232 THESE EXTENSIVE AND RICH DATA 2467 01:48:37,232 --> 01:48:40,903 FROM NORMING ARE AVAILABLE FOR 2468 01:48:40,903 --> 01:48:42,671 SECONDARY ANALYSES AND MAY BE 2469 01:48:42,671 --> 01:48:44,506 ACCESSED THROUGH THE HARVARD 2470 01:48:44,506 --> 01:48:49,344 DATA VERSE REPOSITORY. 2471 01:48:49,344 --> 01:48:52,014 THROUGH A SEPARATE AWARD, 2472 01:48:52,014 --> 01:48:54,116 FUNDING WAS SECURED TO COLLECT 2473 01:48:54,116 --> 01:48:55,884 SALIVA SAMPLES FROM OVER HALF 2474 01:48:55,884 --> 01:48:59,154 THE NORMING SAMPLE ALMOST 2700 2475 01:48:59,154 --> 01:49:01,023 INDIVIDUALS ACROSS THE AGE SPAN 2476 01:49:01,023 --> 01:49:01,957 ENROLLED. 2477 01:49:01,957 --> 01:49:04,660 DNA WAS EXTRACTED AND THE 2478 01:49:04,660 --> 01:49:06,528 SAMPLES HAVE BEEN STORED AT THE 2479 01:49:06,528 --> 01:49:08,664 INDIANA UNIVERSITY SCHOOL OF 2480 01:49:08,664 --> 01:49:09,298 MEDICINE AND MAY BE ACCESSED FOR 2481 01:49:09,298 --> 01:49:11,633 RESEARCH. 2482 01:49:11,633 --> 01:49:13,535 SUFFICIENT AMOUNTS OF DNA ARE 2483 01:49:13,535 --> 01:49:16,472 AVAILABLE FOR MULTIPLE TYPES OF 2484 01:49:16,472 --> 01:49:20,309 GENETIC ANALYSES IN CONJUNCTION 2485 01:49:20,309 --> 01:49:22,344 WITH THE PHENOTYPIC DATA 2486 01:49:22,344 --> 01:49:23,011 GATHERED. 2487 01:49:23,011 --> 01:49:24,947 IN THE BOX IN THE BOTTOM OF THE 2488 01:49:24,947 --> 01:49:31,019 SLIDE YOU SEE SLIGHTLY OVER HALF 2489 01:49:31,019 --> 01:49:34,423 THE SAMPLES FROM FEMALES AND 15% 2490 01:49:34,423 --> 01:49:36,825 FROM BLACK. 2491 01:49:36,825 --> 01:49:44,933 THE NUMBERS IN PARENTHESES 2492 01:49:44,933 --> 01:49:46,201 PRESENT THE NUMBER IN THE ACTUAL 2493 01:49:46,201 --> 01:49:46,969 CATEGORIES. 2494 01:49:46,969 --> 01:49:49,538 AGAIN, TO NOTE FOR THE 2495 01:49:49,538 --> 01:49:52,875 INDIVIDUALS WHO CONTRIBUTED DNA 2496 01:49:52,875 --> 01:49:54,042 SAMPLES, THAT WE ASSESSED ON 2497 01:49:54,042 --> 01:49:55,844 EVERY MEASURE IN EVERY DOMAIN OF 2498 01:49:55,844 --> 01:49:57,713 THE NIH TOOLBOX. 2499 01:49:57,713 --> 01:50:00,983 AGAIN, A VERY RICH RESOURCE I 2500 01:50:00,983 --> 01:50:01,550 THINK FOR INVESTIGATORS TO 2501 01:50:01,550 --> 01:50:04,253 EXPLORE. 2502 01:50:04,253 --> 01:50:07,823 IN 2017, THE NATIONAL INSTITUTE 2503 01:50:07,823 --> 01:50:11,226 ON AGING ISSUED A REQUEST FOR 2504 01:50:11,226 --> 01:50:11,994 APPLICATIONS DESIGN TO ESTABLISH 2505 01:50:11,994 --> 01:50:16,899 THE MEASUREMENT PROPERTIES OF 2506 01:50:16,899 --> 01:50:19,501 THE NIH TOOLBOX IN INDIVIDUALS 2507 01:50:19,501 --> 01:50:22,504 WITH COGNITIVE IMPAIRMENT AND 2508 01:50:22,504 --> 01:50:23,906 EARLY STAGE ALZHEIMER'S DISEASE 2509 01:50:23,906 --> 01:50:27,442 AND IN INDIVIDUALS OVER AGE 85. 2510 01:50:27,442 --> 01:50:29,711 SO RECALL THE ORIGINAL CONTRACT 2511 01:50:29,711 --> 01:50:31,847 WAS TO DEVELOP MEASURES FOR THE 2512 01:50:31,847 --> 01:50:34,850 AGE SPAN OF 3 TO 85 YEARS AND IT 2513 01:50:34,850 --> 01:50:36,552 WAS TO DEVELOP MEASURES TO 2514 01:50:36,552 --> 01:50:39,054 ASSESS HEALTH AND NOT TO DEVELOP 2515 01:50:39,054 --> 01:50:46,795 SCREENERS FOR DISEASE. 2516 01:50:46,795 --> 01:50:49,064 IS THE STUDY ADVANCING 2517 01:50:49,064 --> 01:50:50,532 MEASUREMENT IN COGNITIVE DISEASE 2518 01:50:50,532 --> 01:50:55,070 AND GOES BY AN ACRONYM WHICH IS 2519 01:50:55,070 --> 01:50:59,575 SHORTER TO SAY, THE GOAL IS TO 2520 01:50:59,575 --> 01:51:00,976 ESTABLISH A RESEARCH RESOURCE 2521 01:51:00,976 --> 01:51:03,078 THAT FACILITATES DETECTION OF 2522 01:51:03,078 --> 01:51:05,280 DISEASE AT THE EARLIEST STAGES. 2523 01:51:05,280 --> 01:51:07,683 IT CAN DETECT CHANGE IN FUNCTION 2524 01:51:07,683 --> 01:51:10,485 OVER TIME AND COULD BE USED TO 2525 01:51:10,485 --> 01:51:12,955 TRACK SUCCESS OF PREVENTION AND 2526 01:51:12,955 --> 01:51:16,758 THERAPEUTIC INTERVENTIONS. 2527 01:51:16,758 --> 01:51:18,627 CLINICAL TRIALS FOR ALZHEIMER'S 2528 01:51:18,627 --> 01:51:20,896 DISEASE NOW FOCUS ON MUCH 2529 01:51:20,896 --> 01:51:22,297 EARLIER STAGES OF THE DISEASE. 2530 01:51:22,297 --> 01:51:26,134 INCLUDING THE PRE CLINICAL OR 2531 01:51:26,134 --> 01:51:28,437 PRE COGNITIVE IMPAIRMENT STAGE. 2532 01:51:28,437 --> 01:51:31,206 HOWEVER, NOT ALL MEASURES OF 2533 01:51:31,206 --> 01:51:34,843 COGNITION CURRENTLY USED IN 2534 01:51:34,843 --> 01:51:35,444 ALZHEIMER'S DISEASE CLINICAL 2535 01:51:35,444 --> 01:51:37,379 TRIAL SENSITIVE AT THE EARLY 2536 01:51:37,379 --> 01:51:37,613 STAGES. 2537 01:51:37,613 --> 01:51:39,648 IN FACT, PERFORMANCE ON SOME OF 2538 01:51:39,648 --> 01:51:43,185 THE NON-COGNITIVE DOMAINS SUCH 2539 01:51:43,185 --> 01:51:45,087 AS MOTOR PERFORMANCE OR 2540 01:51:45,087 --> 01:51:48,056 EMOTIONAL FUNCTION MAY HAVE TO 2541 01:51:48,056 --> 01:51:51,326 DIFFERENTIATE NORMAL AGE-RELATED 2542 01:51:51,326 --> 01:51:52,961 CHANGE IN COGNITIVE PERFORMANCE 2543 01:51:52,961 --> 01:51:55,631 FROM MILD COGNITIVE IMPAIRMENT 2544 01:51:55,631 --> 01:51:56,732 OR FROM EARLY STAGE ALZHEIMER'S 2545 01:51:56,732 --> 01:51:57,232 DISEASE. 2546 01:51:57,232 --> 01:52:00,602 SO WHILE THIS IS NOT THE ONLY 2547 01:52:00,602 --> 01:52:02,704 EXAMPLE TO DATE OF VALIDATING 2548 01:52:02,704 --> 01:52:04,940 SOME OR ALL THE TOOLBOX MEASURES 2549 01:52:04,940 --> 01:52:09,011 AND DISORDERS IN DISEASE IT'S 2550 01:52:09,011 --> 01:52:10,979 ONE OF THE FIRST. 2551 01:52:10,979 --> 01:52:12,981 BY DESIGN ARMADA WAS CONDUCTED 2552 01:52:12,981 --> 01:52:16,618 IN INDIVIDUALS ENROLLED AT 2553 01:52:16,618 --> 01:52:18,787 ALZHEIMER'S DISEASE CENTERS THE 2554 01:52:18,787 --> 01:52:18,954 U.S. 2555 01:52:18,954 --> 01:52:23,458 THE DATA AMASSED FROM THE 2556 01:52:23,458 --> 01:52:24,926 VALIDATION STUDY AVAILABLE 2557 01:52:24,926 --> 01:52:27,062 THROUGH THE HARVARD DATA VERSE 2558 01:52:27,062 --> 01:52:28,597 REPOSITORY I MENTIONED. 2559 01:52:28,597 --> 01:52:29,998 THIS IS WHAT I UNDERSTAND. 2560 01:52:29,998 --> 01:52:32,734 IT WILL BE LINKED WITH THE 2561 01:52:32,734 --> 01:52:34,169 ACCOMPANYING NEURAL IMAGING, 2562 01:52:34,169 --> 01:52:35,871 GENETIC AND OTHER DATA COLLECTED 2563 01:52:35,871 --> 01:52:39,107 ON THE INDIVIDUALS THROUGH THE 2564 01:52:39,107 --> 01:52:41,677 ALZHEIMER'S DISEASE CENTERS. 2565 01:52:41,677 --> 01:52:43,345 SO ANOTHER I THINK EXCELLENT 2566 01:52:43,345 --> 01:52:44,880 OPPORTUNITY FOR FURTHER 2567 01:52:44,880 --> 01:52:48,917 EXPLORATION GIVEN THE DATA THAT 2568 01:52:48,917 --> 01:52:50,452 IS AVAILABLE. 2569 01:52:50,452 --> 01:52:57,092 THE HUMAN CONNECTOME PROJECT A 2570 01:52:57,092 --> 01:52:58,927 GROUNDBREAKING INITIATIVE, WAS 2571 01:52:58,927 --> 01:53:01,430 UNDERTAKEN TO ELUCIDATE BRAIN 2572 01:53:01,430 --> 01:53:05,500 CONNECTIST IN RELATIONSHIP TO 2573 01:53:05,500 --> 01:53:07,269 BEHAVIORAL AND CONTRIBUTIONS OF 2574 01:53:07,269 --> 01:53:09,104 ENVIRONMENTAL FACTORS TO 2575 01:53:09,104 --> 01:53:10,405 INDIVIDUAL DIFFERENCES IN BRAIN 2576 01:53:10,405 --> 01:53:10,672 CIRCUITRY. 2577 01:53:10,672 --> 01:53:19,948 THE ORIGINAL STUDY FOR THE -- I 2578 01:53:19,948 --> 01:53:22,651 THINK JUMPED AHEAD I'LL COME 2579 01:53:22,651 --> 01:53:23,218 BACK. 2580 01:53:23,218 --> 01:53:25,253 THE ORIGINAL STUDY WAS CONDUCTED 2581 01:53:25,253 --> 01:53:29,825 IN 1200 ADULTS 22 TO 35 YEARS 2582 01:53:29,825 --> 01:53:31,727 FOR THE PHENOTYPIC DATA 2583 01:53:31,727 --> 01:53:34,596 COLLECTION MEASURES FROM ALL 2584 01:53:34,596 --> 01:53:35,597 DOMAIN BATTERIES IN THE NIH 2585 01:53:35,597 --> 01:53:40,335 TOOLBOX MOTOR, SENSORY, EMOTION, 2586 01:53:40,335 --> 01:53:42,704 COGNITION WERE EMPLOYED NOT 2587 01:53:42,704 --> 01:53:44,706 EVERY MEASURE WAS USED IN THE 2588 01:53:44,706 --> 01:53:46,975 ORIGINAL HUMAN CONNECTOME 2589 01:53:46,975 --> 01:53:48,243 PROJECT BUT CERTAINLY MEASURES 2590 01:53:48,243 --> 01:53:49,244 FROM AT LEAST SOME MEASURES FROM 2591 01:53:49,244 --> 01:53:51,413 EACH OF THE BATTERIES WERE USED 2592 01:53:51,413 --> 01:53:55,650 TO COLLECT THE PHENOTYPIC DATA. 2593 01:53:55,650 --> 01:53:58,086 AND FOR THE HUMAN CONNECTOME 2594 01:53:58,086 --> 01:54:01,757 PROJECT WAS LAUNCHED IN 2009 2595 01:54:01,757 --> 01:54:03,158 WITH AWARDS FOLLOWING IN 2010 2596 01:54:03,158 --> 01:54:05,761 FOR THE YOUNG ADULT CONNECTOME 2597 01:54:05,761 --> 01:54:08,029 PROJECT THE ONE I JUST 2598 01:54:08,029 --> 01:54:08,330 MENTIONED. 2599 01:54:08,330 --> 01:54:10,899 THERE'S BEEN 18 ADDITIONAL 2600 01:54:10,899 --> 01:54:12,601 CONNECTOME STUDIES THAT HAVE 2601 01:54:12,601 --> 01:54:13,735 BEEN SUPPORTED. 2602 01:54:13,735 --> 01:54:16,938 FOUR UNDER THE UMBRELLA OF LIFE 2603 01:54:16,938 --> 01:54:19,541 SPAN CONNECTOME PROJECTS AND 14 2604 01:54:19,541 --> 01:54:21,176 UNDER THE UMBRELLA OF CONNECT 2605 01:54:21,176 --> 01:54:29,184 OMS RELATED TO HUMAN DISEASE. 2606 01:54:29,184 --> 01:54:31,019 A FEW ARE REPRESENTED BUT NOT 2607 01:54:31,019 --> 01:54:31,353 ALL 18. 2608 01:54:31,353 --> 01:54:32,954 THEY RANGE IN SIZE FROM 100 TO 2609 01:54:32,954 --> 01:54:43,265 1500 PARTICIPANTS. 2610 01:54:43,832 --> 01:54:48,837 THEY COVER A WIDE RANGE OF AZ 2611 01:54:48,837 --> 01:54:50,305 AZIZ -- DISEASES AND HAVE BEEN 2612 01:54:50,305 --> 01:54:52,941 USED FOR DATA COLLECTION FOR 2613 01:54:52,941 --> 01:54:55,510 MANY IF NOT ALL THE SUBSEQUENT 2614 01:54:55,510 --> 01:54:56,144 CONNECTOME STUDIES. 2615 01:54:56,144 --> 01:54:58,246 DETAILS ABOUT THE STUDIES AND 2616 01:54:58,246 --> 01:55:00,982 HOW TO ACCESS THE DATA FOR 2617 01:55:00,982 --> 01:55:02,784 SECONDARY ANALYSES MAY BE FOUND 2618 01:55:02,784 --> 01:55:08,290 ON THE CONNECTOME COORDINATING 2619 01:55:08,290 --> 01:55:10,625 FACILITY WEB PAGE, THE NIMHD 2620 01:55:10,625 --> 01:55:13,028 DATA ARCHIVE OR KNOWN AS THE 2621 01:55:13,028 --> 01:55:23,405 NDA, HOUSES THE DATA. 2622 01:55:38,587 --> 01:55:39,454 I MUST HAVE TOUCHED A LIVE -- 2623 01:55:39,454 --> 01:55:42,624 THANK YOU. 2624 01:55:42,624 --> 01:55:47,162 ANYWAY, TO REPEAT, THE DATA FROM 2625 01:55:47,162 --> 01:55:49,731 THE ORIGINAL HUMAN CONNECTOME 2626 01:55:49,731 --> 01:55:55,871 PROJECT STUDY IN YOUNG ADULTS AS 2627 01:55:55,871 --> 01:55:58,807 WELL AS THE 18 OTHER CONNECTOME 2628 01:55:58,807 --> 01:56:00,508 PROJECTS THAT HAVE SPUN OFF FROM 2629 01:56:00,508 --> 01:56:03,178 THAT ARE AVAILABLE THROUGH THE 2630 01:56:03,178 --> 01:56:04,946 NIMHD DATA ARCHIVE AND MANY, IF 2631 01:56:04,946 --> 01:56:09,818 NOT ALL THE STUDIES HAVE 2632 01:56:09,818 --> 01:56:11,853 EMPLOYED MEASURES THAT WERE 2633 01:56:11,853 --> 01:56:15,857 PULLED FROM THE NIH TOOLBOX. 2634 01:56:15,857 --> 01:56:18,693 THE GOAL OF THE ADOLESCENT BRAIN 2635 01:56:18,693 --> 01:56:21,563 COGNITIVE DEVELOPMENT STUDY OR 2636 01:56:21,563 --> 01:56:23,298 ABCD, IS TO INCREASE THE 2637 01:56:23,298 --> 01:56:27,202 INFORMATION OF FACTORS THAT CAN 2638 01:56:27,202 --> 01:56:28,937 ENHANCE OR DISRUPT A YOUNG 2639 01:56:28,937 --> 01:56:30,772 PERSON'S LIFE TRAJECTORY. 2640 01:56:30,772 --> 01:56:34,175 THIS LONG-TERM STUDY OF BRAIN 2641 01:56:34,175 --> 01:56:36,278 DEVELOPMENT AND CHILD AND 2642 01:56:36,278 --> 01:56:38,613 ADOLESCENT HEALTH HAS RECRUITED 2643 01:56:38,613 --> 01:56:41,883 OVER 10,000 CHILDREN AGES 9 TO 2644 01:56:41,883 --> 01:56:44,920 10 AND FOLLOWING THEM INTO EARLY 2645 01:56:44,920 --> 01:56:45,287 ADULTHOOD. 2646 01:56:45,287 --> 01:56:48,490 JUST A LONGITUDINAL STUDY. 2647 01:56:48,490 --> 01:56:52,794 ABCD INTEGRATES STRUCTURAL AND 2648 01:56:52,794 --> 01:56:55,730 FUNCTIONAL BRAIN IMAGING, 2649 01:56:55,730 --> 01:56:56,932 NEUROPSYCHOLOGICAL, BEHAVIORAL 2650 01:56:56,932 --> 01:57:00,035 AND OTHER HEALTH ASSESSMENTS 2651 01:57:00,035 --> 01:57:01,970 INCLUDING MEASURES FROM THE NIH 2652 01:57:01,970 --> 01:57:02,771 TOOLBOX. 2653 01:57:02,771 --> 01:57:06,207 DATA COLLECTED THROUGH ABCD 2654 01:57:06,207 --> 01:57:07,842 CURRENTLY IS SHARED THROUGH THE 2655 01:57:07,842 --> 01:57:10,512 NIMHD DATA ARCHIVE AND A LINK IS 2656 01:57:10,512 --> 01:57:12,314 PROVIDED ON THE SLIDE. 2657 01:57:12,314 --> 01:57:14,282 AGAIN, ANOTHER OPPORTUNITY, 2658 01:57:14,282 --> 01:57:15,250 ANOTHER RESOURCE FOR SECONDARY 2659 01:57:15,250 --> 01:57:21,556 DATA ANALYTIC STUDIES. 2660 01:57:21,556 --> 01:57:25,961 THE ENVIRONMENTAL INFLUENCES ON 2661 01:57:25,961 --> 01:57:28,763 CHILD HEALTH OUTCOMES OR ECHO 2662 01:57:28,763 --> 01:57:32,133 STUDY SAY LARGE NIH SUPPORTED 2663 01:57:32,133 --> 01:57:34,636 INITIATIVE THAT INVOLVES 84 2664 01:57:34,636 --> 01:57:36,938 EXISTING LONGITUDINAL COHORT 2665 01:57:36,938 --> 01:57:39,240 STUDIES REPRESENTING 40 STATES 2666 01:57:39,240 --> 01:57:40,909 AND PUERTO RICO AND FOR WHICH 2667 01:57:40,909 --> 01:57:44,646 OVER 64,000 CHILDREN ARE BEING 2668 01:57:44,646 --> 01:57:44,913 FOLLOWED. 2669 01:57:44,913 --> 01:57:46,381 THE GOAL IS TO ADVANCE OUR 2670 01:57:46,381 --> 01:57:48,817 INFORMATION OF THE EFFECTS OF A 2671 01:57:48,817 --> 01:57:51,353 BROAD RANGE OF EARLY 2672 01:57:51,353 --> 01:57:53,922 ENVIRONMENTAL FACTORS AND 2673 01:57:53,922 --> 01:57:55,824 EXPOSURES INCLUDING PHYSICAL AND 2674 01:57:55,824 --> 01:57:59,127 CHEMICAL, PSYCHOSOCIAL, 2675 01:57:59,127 --> 01:58:01,629 BEHAVIORAL, BIOLOGICAL ON HEALTH 2676 01:58:01,629 --> 01:58:03,098 OUTCOMES FOR CHILDREN. 2677 01:58:03,098 --> 01:58:06,468 THE STUDY INCORPORATES NIH 2678 01:58:06,468 --> 01:58:09,471 TOOLBOX MEASURES FOR ASSESSING 2679 01:58:09,471 --> 01:58:11,439 BEHAVIORAL OUTCOMES. 2680 01:58:11,439 --> 01:58:14,309 STARTING IN 2025, THE MOBILE 2681 01:58:14,309 --> 01:58:15,243 TOOLBOX ADDITIONALLY WILL BE 2682 01:58:15,243 --> 01:58:18,613 USED TO CAPTURE DATA REMOTELY 2683 01:58:18,613 --> 01:58:24,019 FROM 40,000 CAREGIVERS INVOLVED 2684 01:58:24,019 --> 01:58:28,423 IN THIS STUDY. 2685 01:58:28,423 --> 01:58:29,391 AS WELL AS ECHO PARTICIPANTS 2686 01:58:29,391 --> 01:58:35,830 TRANSITION FROM ADOLESCENCE TO 2687 01:58:35,830 --> 01:58:42,070 ADULTHOOD ALSO, AN ESTIMATED 2688 01:58:42,070 --> 01:58:43,705 10,000 CHILDREN WILL BE ASSESSED 2689 01:58:43,705 --> 01:58:46,508 USING MEASURES FROM THE NIH BABY 2690 01:58:46,508 --> 01:58:51,513 TOOLBOX AND I WILL BE DISCUSSING 2691 01:58:51,513 --> 01:58:55,150 THAT IN THE NEXT SLIDE. 2692 01:58:55,150 --> 01:58:58,286 SO THE GOAL OF THE NIH INFANT 2693 01:58:58,286 --> 01:58:59,554 AND TODDLER TOOLBOX ALSO 2694 01:58:59,554 --> 01:59:02,323 REFERRED TO AS THE NIH BABY 2695 01:59:02,323 --> 01:59:06,461 TOOLBOX IS TO DEVELOP BRIEF 2696 01:59:06,461 --> 01:59:08,663 STANDARDIZED MEASURES TO ASSESS 2697 01:59:08,663 --> 01:59:09,397 NEURO, PSYCHOLOGICAL AND SOCIAL 2698 01:59:09,397 --> 01:59:12,500 FUNCTION IN INFANTS AND TODDLERS 2699 01:59:12,500 --> 01:59:14,235 AGES 1 TO 42 MONTHS. 2700 01:59:14,235 --> 01:59:16,504 I KNOW MANY THINGS I'M SAYING 2701 01:59:16,504 --> 01:59:19,507 YOU HEARD THIS MORNING BUT BEARS 2702 01:59:19,507 --> 01:59:22,310 REPEATING INGING TO PUT IN THET 2703 01:59:22,310 --> 01:59:25,146 OF THE DATA WE HAVE AVAILABLE. 2704 01:59:25,146 --> 01:59:27,348 SIMILAR TO THE NIH TOOLBOX THE, 2705 01:59:27,348 --> 01:59:28,349 BABY TOOLBOX IS THROUGH CONTRACT 2706 01:59:28,349 --> 01:59:35,323 THROUGH SUPPORTED BY THE NIH 2707 01:59:35,323 --> 01:59:36,958 BLUEPRINT AND BEING LED BIG 2708 01:59:36,958 --> 01:59:38,259 KATHY MANN KEOPKE AS THE LEAD 2709 01:59:38,259 --> 01:59:38,927 PROGRAM OFFICER. 2710 01:59:38,927 --> 01:59:40,962 THE DEVELOPMENT OF THE MEASURES 2711 01:59:40,962 --> 01:59:45,366 WAS CONDUCTED IN OVER 2500 2712 01:59:45,366 --> 01:59:47,769 INFANTS AND TODDLERS PLUS PARENT 2713 01:59:47,769 --> 01:59:48,937 PARTNERS FROM ENGLISH AND 2714 01:59:48,937 --> 01:59:53,475 SPANISH SPEAKING HOUSEHOLDS. 2715 01:59:53,475 --> 01:59:56,010 ALL NORMING DATA WILL BE DEPOSIT 2716 01:59:56,010 --> 01:59:56,945 AND AVAILABLE FOR SECONDARY 2717 01:59:56,945 --> 02:00:00,315 ANALYSES. 2718 02:00:00,315 --> 02:00:01,683 THE LOCATION STILL TO BE 2719 02:00:01,683 --> 02:00:02,917 DETERMINED FOR ANNOUNCEMENT OF 2720 02:00:02,917 --> 02:00:06,254 AVAILABILITY OF THE DATA 2721 02:00:06,254 --> 02:00:08,123 RESOURCE ARE PLEASE CHECK THE 2722 02:00:08,123 --> 02:00:10,692 NIH BLUEPRINT WEBSITE OR THE NIH 2723 02:00:10,692 --> 02:00:13,194 BABY TOOLBOX SITE IN THE COMING 2724 02:00:13,194 --> 02:00:14,395 MONTHS. 2725 02:00:14,395 --> 02:00:15,897 SO ANOTHER GREAT OPPORTUNITY FOR 2726 02:00:15,897 --> 02:00:20,768 SECONDARY DATA ANALYTIC STUDIES. 2727 02:00:20,768 --> 02:00:23,638 FOR A FINAL SPOTLIGHT, THE 2728 02:00:23,638 --> 02:00:25,306 LARGEST LONG TERM STUDY OF EARLY 2729 02:00:25,306 --> 02:00:27,375 BRAIN AND CHILD DEVELOPMENT IN 2730 02:00:27,375 --> 02:00:31,713 THE U.S. THE HEALTHY BRAIN AND 2731 02:00:31,713 --> 02:00:34,716 CHILE DEVELOPMENT OR HBCD STUDY, 2732 02:00:34,716 --> 02:00:36,918 PLANS TO ENROLL APPROXIMATELY 2733 02:00:36,918 --> 02:00:39,954 7500 PARTICIPATING FAMILIES AND 2734 02:00:39,954 --> 02:00:42,157 FOLLOW THEM FROM PREGNANCY 2735 02:00:42,157 --> 02:00:43,224 THROUGH EARLY CHILDHOOD. 2736 02:00:43,224 --> 02:00:46,895 THE GOAL OF HBCD IS TO 2737 02:00:46,895 --> 02:00:48,263 UNDERSTAND HOW THE BRAIN 2738 02:00:48,263 --> 02:00:52,767 DEVELOPS AND IS AFFECTED BY 2739 02:00:52,767 --> 02:00:55,904 EXPOSURES TO OPIOIDS AND OTHER 2740 02:00:55,904 --> 02:01:00,742 SUBSTANCES SUCH AS ALCOHOL, 2741 02:01:00,742 --> 02:01:02,844 TOBACCO AND CANNABIS AND HOW THE 2742 02:01:02,844 --> 02:01:04,846 BRAIN IS AFFECTED BY EXPOSURES 2743 02:01:04,846 --> 02:01:06,581 TO THESE THINGS AND STRESSORS 2744 02:01:06,581 --> 02:01:09,651 AND TRAUMA AND OTHER SIGNIFICANT 2745 02:01:09,651 --> 02:01:11,119 ENVIRONMENTAL INFLUENCES 2746 02:01:11,119 --> 02:01:12,921 INCLUDING THOSE THAT MAY PROMOTE 2747 02:01:12,921 --> 02:01:16,758 RESILIENCE. 2748 02:01:16,758 --> 02:01:18,059 THE STUDY STEMS FROM THE HEAL 2749 02:01:18,059 --> 02:01:19,761 INITIATIVE WHICH STANDS FOR 2750 02:01:19,761 --> 02:01:20,361 HELPING TO END ADDICTION LONG 2751 02:01:20,361 --> 02:01:27,735 TERM. 2752 02:01:27,735 --> 02:01:38,279 COMPOSES THE HEH -- H-E-L PART 2753 02:01:39,047 --> 02:01:39,948 OF THE NAME. 2754 02:01:39,948 --> 02:01:41,516 THROUGH THE PRESENTATION I HOPE 2755 02:01:41,516 --> 02:01:42,383 I'VE BEEN ABLE TO BRING YOUR 2756 02:01:42,383 --> 02:01:44,919 ATTENTION TO THE WIDESPREAD AND 2757 02:01:44,919 --> 02:01:46,354 INCREASING USE OF THE 2758 02:01:46,354 --> 02:01:49,891 MEASUREMENT SYSTEMS FEATURED 2759 02:01:49,891 --> 02:01:51,793 HERE AT THE CONFERENCE IN THESE 2760 02:01:51,793 --> 02:01:54,896 LARGE NIH-SUPPORTED STUDIES AS 2761 02:01:54,896 --> 02:01:57,098 WELL AS THE RICH AND ACCESSIBLE 2762 02:01:57,098 --> 02:02:00,134 RESOURCE ARE BEING CREATED I 2763 02:02:00,134 --> 02:02:01,736 THINK WILL BE VERY INSTRUMENTAL 2764 02:02:01,736 --> 02:02:04,439 FOR US FOR FUTURE EXPLORATION 2765 02:02:04,439 --> 02:02:05,273 AND FOR DISCOVERY. 2766 02:02:05,273 --> 02:02:15,817 SO THANK YOU FOR YOUR ATTENTION. 2767 02:02:34,068 --> 02:02:36,838 I'LL DEAL WITH SOME HOUSEKEEPING 2768 02:02:36,838 --> 02:02:39,607 THINGS FIRST AND THEN GO ON TO 2769 02:02:39,607 --> 02:02:40,008 THE ANNOUNCEMENT. 2770 02:02:40,008 --> 02:02:42,410 SO WE'RE ABOUT TO GO ON LUNCH 2771 02:02:42,410 --> 02:02:43,111 BREAK. 2772 02:02:43,111 --> 02:02:44,445 THAT WILL BE UNTIL 1:00 P.M. 2773 02:02:44,445 --> 02:02:48,916 AT 1:00 P.M. WE'LL START OUR 2774 02:02:48,916 --> 02:02:54,355 CONCURRENT SESSIONS AND I'LL 2775 02:02:54,355 --> 02:02:56,924 ANNOUNCE WHERE THEY'LL BE HELD 2776 02:02:56,924 --> 02:02:57,759 IN A MOMENT. 2777 02:02:57,759 --> 02:02:59,594 FOR THOSE ATTENDING VIRTUALLY, 2778 02:02:59,594 --> 02:03:01,863 YOU'LL BE ABLE TO ACCESS THESE 2779 02:03:01,863 --> 02:03:03,898 CONCURRENT SESSIONS AND LISTEN 2780 02:03:03,898 --> 02:03:06,301 TO THE TALKS AND YOU'LL ALSO BE 2781 02:03:06,301 --> 02:03:09,404 ABLE TO MOVE FROM ROOM TO ROOM 2782 02:03:09,404 --> 02:03:11,139 AS YOU WISH IN ORDER TO HEAR THE 2783 02:03:11,139 --> 02:03:11,339 TALKS. 2784 02:03:11,339 --> 02:03:15,009 FOR THOSE HERE IN PERSON WE CAN 2785 02:03:15,009 --> 02:03:20,915 EASILY MOVE AROUND AND 2786 02:03:20,915 --> 02:03:21,349 PARTICIPATE IN THE 2787 02:03:21,349 --> 02:03:21,783 PRESENTATIONS. 2788 02:03:21,783 --> 02:03:25,420 AS I SAID LUNCH BREAK IS UNTIL 2789 02:03:25,420 --> 02:03:25,853 1:00. 2790 02:03:25,853 --> 02:03:27,588 THE CAFETERIA ON THE FIRST FLOOR 2791 02:03:27,588 --> 02:03:28,890 IS OPEN FOR LUNCH. 2792 02:03:28,890 --> 02:03:31,926 I ALSO WANTED TO BRING TO YOUR 2793 02:03:31,926 --> 02:03:32,960 ATTENTION SNAG IS IN THE PROGRAM 2794 02:03:32,960 --> 02:03:34,329 BUT WE HAVEN'T REALLY DISCUSSED 2795 02:03:34,329 --> 02:03:38,366 YET AT THE CONFERENCE. 2796 02:03:38,366 --> 02:03:40,968 AGAIN, THE CONFERENCE INTENTION 2797 02:03:40,968 --> 02:03:43,438 IS FOR EDUCATION AND 2798 02:03:43,438 --> 02:03:44,539 DISSEMINATION PRIMARILY TO BE 2799 02:03:44,539 --> 02:03:49,410 ABLE TO GET OUT TO THE 2800 02:03:49,410 --> 02:03:50,545 COMMUNITY, THE RESEARCH 2801 02:03:50,545 --> 02:03:52,747 COMMUNITY EXTRAMURAL STAFF SUCH 2802 02:03:52,747 --> 02:03:59,387 AS MYSELF, NIH INTRAMURAL STAFF 2803 02:03:59,387 --> 02:04:01,222 AND THE WIDESPREAD EXTRAMURAL 2804 02:04:01,222 --> 02:04:02,857 COMMUNITY AND CLINICAL COMMUNITY 2805 02:04:02,857 --> 02:04:05,893 AND INDUSTRY AND EVEN 2806 02:04:05,893 --> 02:04:08,329 EDUCATIONAL OUTLETS FOR TRYING 2807 02:04:08,329 --> 02:04:12,500 TO BRING TO YOUR KNOWLEDGE AN 2808 02:04:12,500 --> 02:04:13,034 UNDERSTANDING OF THESE 2809 02:04:13,034 --> 02:04:14,435 MEASUREMENT SYSTEMS, WHAT'S IN 2810 02:04:14,435 --> 02:04:16,237 THEM AND HOW THEY WORK AND HOW 2811 02:04:16,237 --> 02:04:20,108 TO ACCESS THEM AND GET THAT 2812 02:04:20,108 --> 02:04:20,708 INFORMATION OUT. 2813 02:04:20,708 --> 02:04:22,877 SO THIS AFTERNOON DURING THE 2814 02:04:22,877 --> 02:04:24,512 POSTER SESSION AND TOMORROW 2815 02:04:24,512 --> 02:04:26,347 MORNING DURING THE LIVE 2816 02:04:26,347 --> 02:04:28,549 DEMONSTRATIONS THAT WILL BE 2817 02:04:28,549 --> 02:04:30,651 HELD, WE HAVE GROUPS OF 2818 02:04:30,651 --> 02:04:34,389 INDIVIDUALS WHO WILL BE MANNING 2819 02:04:34,389 --> 02:04:35,757 TABLES FOR ASK THE EXPERTS 2820 02:04:35,757 --> 02:04:35,990 SESSION. 2821 02:04:35,990 --> 02:04:37,892 SO THIS WILL BE THIS AFTERNOON 2822 02:04:37,892 --> 02:04:39,594 DURING THE POSTER SESSION AS 2823 02:04:39,594 --> 02:04:40,862 WELL AS TOMORROW MORNING DURING 2824 02:04:40,862 --> 02:04:42,430 THE LIVE DEMONSTRATIONS. 2825 02:04:42,430 --> 02:04:44,966 SO WE ENCOURAGE ANY OF YOU HERE 2826 02:04:44,966 --> 02:04:47,301 IN PERSON TO AVAIL YOURSELVES OF 2827 02:04:47,301 --> 02:04:48,002 THESE INDIVIDUALS. 2828 02:04:48,002 --> 02:04:50,438 THEY'LL BE SET UP BY MEASUREMENT 2829 02:04:50,438 --> 02:04:52,006 SYSTEM AND WE'LL BE HAPPY TO 2830 02:04:52,006 --> 02:04:53,608 ANSWER YOUR QUESTIONS OR IF THEY 2831 02:04:53,608 --> 02:04:54,709 DON'T HAVE THE ANSWER READY, 2832 02:04:54,709 --> 02:04:58,579 THEY WILL BE TAKING DOWN THE 2833 02:04:58,579 --> 02:04:59,547 QUESTION AND WE'LL GET BACK TO 2834 02:04:59,547 --> 02:05:01,349 YOU AFTER THE MEETING. 2835 02:05:01,349 --> 02:05:04,318 ALSO, AND I DON'T BELIEVE IT HAS 2836 02:05:04,318 --> 02:05:06,020 BEEN DISPLAYED AND I KNOW IT'S 2837 02:05:06,020 --> 02:05:07,321 NOT ON THE NEXT SLIDE SO I WON'T 2838 02:05:07,321 --> 02:05:10,725 PUT THAT UP HERE BUT ALSO WE 2839 02:05:10,725 --> 02:05:12,894 HAVE AN E-MAIL ADDRESS FOR WHICH 2840 02:05:12,894 --> 02:05:17,865 ONE IS ABLE TO SUBMIT ANY 2841 02:05:17,865 --> 02:05:20,468 QUESTIONS FOR SPECIFIC SPEAKERS 2842 02:05:20,468 --> 02:05:21,502 OR JUST IN GENERAL. 2843 02:05:21,502 --> 02:05:23,538 FROM THE VIRTUAL ATTENDEES AS 2844 02:05:23,538 --> 02:05:26,240 WELL AS FOR THOSE WHO ARE HERE 2845 02:05:26,240 --> 02:05:26,808 IN THE AUDIENCE. 2846 02:05:26,808 --> 02:05:37,218 THAT E-MAIL ADDRESS IS 2847 02:05:41,022 --> 02:05:41,823 NIHMEASURESCONF@MAIL.NIH.gov. 2848 02:05:41,823 --> 02:05:43,791 LATER TODAY AND THIS AFTERNOON 2849 02:05:43,791 --> 02:05:48,930 WE'LL BE DISPLAYING THAT E-MAIL 2850 02:05:48,930 --> 02:05:49,397 ADDRESS ON THE SLIDES. 2851 02:05:49,397 --> 02:05:50,965 I WANTED TO BRING THAT TO YOUR 2852 02:05:50,965 --> 02:05:52,266 ATTENTION SO THERE ARE AGAIN YOU 2853 02:05:52,266 --> 02:05:54,335 KNOW THERE ARE AMPLE 2854 02:05:54,335 --> 02:05:55,803 OPPORTUNITIES FOR YOU TO 2855 02:05:55,803 --> 02:05:56,771 INTERACT, ASK QUESTIONS AND GET 2856 02:05:56,771 --> 02:06:02,677 YOUR QUESTIONS ANSWERED. 2857 02:06:02,677 --> 02:06:08,316 QUESTIONS WILL PROBABLY NOT BE 2858 02:06:08,316 --> 02:06:09,016 ADDRESSED DURING THE MEETING 2859 02:06:09,016 --> 02:06:10,585 UNLESS YOU'RE TALKING BIG THE 2860 02:06:10,585 --> 02:06:11,786 ASK THE EXPERTS BUT THOSE 2861 02:06:11,786 --> 02:06:15,556 QUESTIONS GOING TO THE E-MAIL 2862 02:06:15,556 --> 02:06:17,825 ADDRESS WILL BE ANSWERED AND 2863 02:06:17,825 --> 02:06:20,294 TAKEN CARE OF AFTER THE MEETING 2864 02:06:20,294 --> 02:06:21,696 IS OVER IN THE DAYS AND MAYBE A 2865 02:06:21,696 --> 02:06:22,730 COUPLE WEEKS TO COME AFTER THE 2866 02:06:22,730 --> 02:06:25,266 MEETING IS OVER BUT WE DO INTENT 2867 02:06:25,266 --> 02:06:27,869 TO ANSWER EACH OF THESE 2868 02:06:27,869 --> 02:06:31,005 INDIVIDUALLY. 2869 02:06:31,005 --> 02:06:32,006 THIS IS SOMETHING I KNOW HAS 2870 02:06:32,006 --> 02:06:33,241 BEEN WEIGHING ON EVERYONE'S 2871 02:06:33,241 --> 02:06:33,508 MIND. 2872 02:06:33,508 --> 02:06:35,643 I WANT TO MAKE SURE YOU 2873 02:06:35,643 --> 02:06:36,944 UNDERSTAND WE HAVE TIMED THIS 2874 02:06:36,944 --> 02:06:41,782 CONFERENCE SO THAT YOU WILL HAVE 2875 02:06:41,782 --> 02:06:43,885 AMPLE OPPORTUNITY TO PARTICIPATE 2876 02:06:43,885 --> 02:06:49,423 IN THE SOLAR ECLIPSE. 2877 02:06:49,423 --> 02:06:50,458 [APPLAUSE] 2878 02:06:50,458 --> 02:06:50,825 >> THANK YOU. 2879 02:06:50,825 --> 02:06:53,528 THIS IS THE ONLY WAY I CAN GET 2880 02:06:53,528 --> 02:06:55,263 APPLAUSE. 2881 02:06:55,263 --> 02:06:57,698 TODAY MARKS SOLAR ECLIPSE WHICH 2882 02:06:57,698 --> 02:07:01,936 IN BETHESDA IS 39% OF TOTALITY. 2883 02:07:01,936 --> 02:07:03,104 I'VE BEEN SPENDING TIME GOOGLING 2884 02:07:03,104 --> 02:07:04,639 THIS SO I THINK I HAVE ALL THE 2885 02:07:04,639 --> 02:07:04,939 FACTS. 2886 02:07:04,939 --> 02:07:08,309 IT WILL BEGIN HERE IN BETHESDA 2887 02:07:08,309 --> 02:07:10,745 AT 2:04 P.M. 2888 02:07:10,745 --> 02:07:12,914 WHILE WE'RE IN THE CONCURRENT 2889 02:07:12,914 --> 02:07:14,015 SESSION. 2890 02:07:14,015 --> 02:07:16,918 THE MAXIMUM WILL BE AT 3:20 P.M. 2891 02:07:16,918 --> 02:07:17,885 WHILE WE'LL BE ON BREAK BEFORE 2892 02:07:17,885 --> 02:07:20,922 WE GO TO THE POSTER SESSIONS SO 2893 02:07:20,922 --> 02:07:25,393 FEEL FREE TO GO TO THE ATRIUM 2894 02:07:25,393 --> 02:07:27,695 LEVEL WHERE THE POSTERS AND ASK 2895 02:07:27,695 --> 02:07:29,163 THE EXPERTS WILL BE AND EVEN 2896 02:07:29,163 --> 02:07:30,531 OUTSIDE IF YOU WISH. 2897 02:07:30,531 --> 02:07:35,937 THE ECLIPSE ENDS AT 4:32 P.M. 2898 02:07:35,937 --> 02:07:37,772 THIS WILL BE WHILE WE'RE IN THE 2899 02:07:37,772 --> 02:07:38,673 POSTER SESSION BUT IF YOU 2900 02:07:38,673 --> 02:07:40,341 HAVEN'T BEEN ON THE ATRIUM LEVEL 2901 02:07:40,341 --> 02:07:41,943 IT'S FLOOR TO CEILING WINDOWS. 2902 02:07:41,943 --> 02:07:45,446 YOU CAN EASILY ACCESS THE 2903 02:07:45,446 --> 02:07:45,713 OUTSIDE. 2904 02:07:45,713 --> 02:07:47,148 IT WILL BE PERFECT VIEWING AT 2905 02:07:47,148 --> 02:07:48,749 LEAST IF YOU DON'T LOOK DIRECTLY 2906 02:07:48,749 --> 02:07:57,525 AT THE SUN FOR THE ECLIPSE. 2907 02:07:57,525 --> 02:08:01,662 >> WILL YOU HAVE GLASSES? 2908 02:08:01,662 --> 02:08:05,967 >> THAT WASN'T ANYTHING IN THE 2909 02:08:05,967 --> 02:08:07,768 NIH BUDGET FOR THAT BUT YOU'LL 2910 02:08:07,768 --> 02:08:09,637 HAVE TO CREATE YOUR OWN PIN HOLE 2911 02:08:09,637 --> 02:08:13,040 I GUESS, BRUNO, AND LOOK AT IT 2912 02:08:13,040 --> 02:08:13,307 THAT WAY. 2913 02:08:13,307 --> 02:08:16,444 ALL RIGHT. 2914 02:08:16,444 --> 02:08:19,347 SO I DID WANT TO MAKE AN 2915 02:08:19,347 --> 02:08:21,582 IMPORTANT ANNOUNCEMENT. 2916 02:08:21,582 --> 02:08:23,718 SO AS WE WERE PUTTING TOGETHER 2917 02:08:23,718 --> 02:08:26,988 THIS CONFERENCE WE WANTED TO 2918 02:08:26,988 --> 02:08:29,523 ACKNOWLEDGE THE OPPORTUNITY TO 2919 02:08:29,523 --> 02:08:30,825 BRING IN MORE JUNIOR 2920 02:08:30,825 --> 02:08:31,926 INVESTIGATORS, PEOPLE WHO MAY BE 2921 02:08:31,926 --> 02:08:33,828 USING SOME OF THESE MEASUREMENT 2922 02:08:33,828 --> 02:08:36,163 SYSTEMS IN THEIR WORK BUT SORT 2923 02:08:36,163 --> 02:08:37,231 OF STARTING OUT IN THEIR CAREER. 2924 02:08:37,231 --> 02:08:43,437 WE HAD THE OPPORTUNITY TO MAKE 2925 02:08:43,437 --> 02:08:47,074 TRAVEL GRANTS AWARDS WHO 2926 02:08:47,074 --> 02:08:48,909 SUBMITTED AN ABSTRACT FOR A 2927 02:08:48,909 --> 02:08:50,044 POSTER SESSION OR PLATFORM 2928 02:08:50,044 --> 02:08:51,812 MEANING ONE OF THE CONCURRENT 2929 02:08:51,812 --> 02:08:52,947 SESSIONS TO DATE. 2930 02:08:52,947 --> 02:08:54,248 I WANTED TO TAKE A MOMENT TO 2931 02:08:54,248 --> 02:08:55,716 RECOGNIZE THESE INDIVIDUALS WHO 2932 02:08:55,716 --> 02:08:57,018 HAVE COME FROM FAR AND WIDE AND 2933 02:08:57,018 --> 02:09:01,022 WE REALLY APPRECIATE THEM BEING 2934 02:09:01,022 --> 02:09:03,991 HERE AND PARTICIPATING AND BRING 2935 02:09:03,991 --> 02:09:05,026 THEIR INFORMATION AND KNOWLEDGE 2936 02:09:05,026 --> 02:09:09,864 TO THIS MEETING. 2937 02:09:09,864 --> 02:09:19,940 WE HAVE DR. AOKO. 2938 02:09:19,940 --> 02:09:23,611 CALLIE TYNER FROM UNIVERSITY OF 2939 02:09:23,611 --> 02:09:24,478 DELAWARE. 2940 02:09:24,478 --> 02:09:27,848 KELLY WATSON FROM VANDERBILT 2941 02:09:27,848 --> 02:09:34,255 UNIVERSITY MEDICAL CENTER. 2942 02:09:34,255 --> 02:09:36,691 CAN CALLIE STAND UP? 2943 02:09:36,691 --> 02:09:39,026 THERE SHE IS. 2944 02:09:39,026 --> 02:09:40,928 AMANDA COOK MAHER FROM 2945 02:09:40,928 --> 02:09:45,499 UNIVERSITY OF MICHIGAN. 2946 02:09:45,499 --> 02:09:47,935 GAIL HARMATA FROM UNIVERSITY OF 2947 02:09:47,935 --> 02:09:48,936 IOWA. 2948 02:09:48,936 --> 02:09:56,744 THANKS. 2949 02:09:56,744 --> 02:10:00,981 JO 2950 02:10:00,981 --> 02:10:03,718 JODI CHARVIS. 2951 02:10:03,718 --> 02:10:08,956 LINDSEY BECKER FROM OHIO STATE 2952 02:10:08,956 --> 02:10:11,859 UNIVERSITY. 2953 02:10:11,859 --> 02:10:14,095 I'M MISSING HER. 2954 02:10:14,095 --> 02:10:16,931 THERE'S BRIGHT LIGHTS IN MY 2955 02:10:16,931 --> 02:10:17,131 EYES. 2956 02:10:17,131 --> 02:10:18,899 AMANDA FLAGG FROM UNIVERSITY OF 2957 02:10:18,899 --> 02:10:20,935 ALBANY STATE UNIVERSITY OF NEW 2958 02:10:20,935 --> 02:10:25,940 YORK. 2959 02:10:25,940 --> 02:10:31,312 SHREYA ARUN FROM VIRGINIA 2960 02:10:31,312 --> 02:10:32,646 COMMONWEALTH UNIVERSITY. 2961 02:10:32,646 --> 02:10:37,351 AND LIJUAN YIN FROM UNIVERSITY OF CHICAGO. 2962 02:10:37,351 --> 02:10:38,252 THANK YOU SO MUCH. 2963 02:10:38,252 --> 02:10:38,904 2964 02:10:38,904 --> 02:10:40,940 ALL RIGHT. SO BEFORE WE BREAK FOR LUNCH I 2965 02:10:40,940 --> 02:10:42,241 JUST WANTED TO ANNOUNCE OR 2966 02:10:42,241 --> 02:10:45,077 REMIND YOU IT SHOULD BE IN YOUR 2967 02:10:45,077 --> 02:10:47,613 PROGRAM BUT THE CONCURRENT 2968 02:10:47,613 --> 02:10:49,315 SESSIONS WHICH WILL START AT 2969 02:10:49,315 --> 02:10:51,717 1:00 SESSION 1 ON THE NIH BABY 2970 02:10:51,717 --> 02:10:53,152 TOOLBOX WILL BE HELD HERE IN THE 2971 02:10:53,152 --> 02:10:56,555 MAIN AUDITORIUM WHERE WE ARE 2972 02:10:56,555 --> 02:10:56,822 RIGHT NOW. 2973 02:10:56,822 --> 02:10:59,425 SESSION 2 WHICH IS ON THE MOBILE 2974 02:10:59,425 --> 02:11:01,427 TOOLBOX WILL BE HELD IN BALCONY 2975 02:11:01,427 --> 02:11:05,464 A YOU CAN ACCESS THROUGH THE 2976 02:11:05,464 --> 02:11:09,935 ATRIUM LEVEL AND SESSION 3 WHICH 2977 02:11:09,935 --> 02:11:12,304 IS FOCUSSED ON MY COG WHICH IS 2978 02:11:12,304 --> 02:11:14,940 ALSO ONE FLOOR UP AT THE ATRIUM 2979 02:11:14,940 --> 02:11:19,178 LEVEL IN BALCONY B. 2980 02:11:19,178 --> 02:11:21,046 SO I HOPE EVERYONE ENJOYS THEIR 2981 02:11:21,046 --> 02:11:21,247 LUNCH. 2982 02:11:21,247 --> 02:11:23,482 LOOK FORWARD TO SEEING YOU BACK 2983 02:11:23,482 --> 02:11:26,585 IN THE CONCURRENT SESSIONS AT 2984 02:11:26,585 --> 02:11:29,688 1:00 AND IF WE MISS EACH OTHER 2985 02:11:29,688 --> 02:11:30,889 FOR SOME REASON SEE YOU TOMORROW 2986 02:11:30,889 --> 02:11:32,458 FOR THE DEMONSTRATIONS AND THE 2987 02:11:32,458 --> 02:11:32,958 REST OF THE PROGRAMMING. 2988 02:11:32,958 --> 02:11:35,354 THANK YOU. 2989 02:12:12,775 --> 02:12:17,747 I'M KATHY MANN KEOPKE A PROGRAM 2990 02:12:17,747 --> 02:12:20,416 DIRECTOR AT NICHD. 2991 02:12:20,416 --> 02:12:23,719 AND I ALSO AM THE CONTRACT 2992 02:12:23,719 --> 02:12:36,531 OFFICER 2993 02:12:36,531 --> 02:12:46,908 I WILL INTRODUCE YOU. 2994 02:12:48,543 --> 02:12:51,546 DR. HAN COMPLETED HER Ph.D. AT 2995 02:12:51,546 --> 02:12:53,047 NORTHWESTERN UNIVERSITY IN 2996 02:12:53,047 --> 02:12:57,885 COGNITIVE PSYCHOLOGY IN 2023. 2997 02:12:57,885 --> 02:13:01,723 SO SHE IS A NEW POSTDOC. 2998 02:13:01,723 --> 02:13:06,728 SHE'S NOW A POSTDOCTORAL SCHOLAR 2999 02:13:06,728 --> 02:13:08,062 AT NORTHWESTERN UNIVERSITY. 3000 02:13:08,062 --> 02:13:13,034 SHE HAS BEEN AN ACTIVE MEMBER OF 3001 02:13:13,034 --> 02:13:15,770 THE NORTHWESTERN UNIVERSITY NIH 3002 02:13:15,770 --> 02:13:17,038 BABY TOOLBOX TEAM. 3003 02:13:17,038 --> 02:13:19,540 AND SPECIFICALLY WORKING ON 3004 02:13:19,540 --> 02:13:21,042 EXECUTIVE FUNCTION AND COGNITIVE 3005 02:13:21,042 --> 02:13:21,309 MEASURES. 3006 02:13:21,309 --> 02:13:25,179 WELCOME. 3007 02:13:25,179 --> 02:13:29,150 THREW -- THANK YOU FOR BEING 3008 02:13:29,150 --> 02:13:29,651 HERE. 3009 02:13:29,651 --> 02:13:33,054 >> THANKS, KATHY. 3010 02:13:33,054 --> 02:13:43,364 HAPPY TO BE HERE. 3011 02:13:50,705 --> 02:13:53,074 HI, I'M CAT HAN A POSTDOC AT 3012 02:13:53,074 --> 02:13:55,410 NORTHWESTERN AND HAVE BEEN 3013 02:13:55,410 --> 02:13:59,881 PRIVILEGED TO WORK ON THE BABY 3014 02:13:59,881 --> 02:14:00,248 TOOLBOX. 3015 02:14:00,248 --> 02:14:02,784 WE'LL FOCUS ON PROGRESS AND 3016 02:14:02,784 --> 02:14:04,118 UPDATES SPECIFIC TO THE 3017 02:14:04,118 --> 02:14:07,388 EXECUTIVE FUNCTION AND COGNITION 3018 02:14:07,388 --> 02:14:07,622 DOMAIN. 3019 02:14:07,622 --> 02:14:13,027 SO EXECUTIVE FUNCTION AND 3020 02:14:13,027 --> 02:14:16,330 COGNITION COVERS TOP DOWN GOAL 3021 02:14:16,330 --> 02:14:17,131 DIRECTED COGNITION. 3022 02:14:17,131 --> 02:14:22,470 THIS IS A SUPER IMPORTANT IN 3023 02:14:22,470 --> 02:14:25,039 DELAYS IN DEVELOPMENT HAVE BEEN 3024 02:14:25,039 --> 02:14:28,009 LINKED TO ADHD AND CONDUCT 3025 02:14:28,009 --> 02:14:30,545 DISORDER AND OTHER PSYCHIATRIC 3026 02:14:30,545 --> 02:14:30,845 CONDITIONS. 3027 02:14:30,845 --> 02:14:34,582 FOR OUR PURPOSES EF COG MEASURES 3028 02:14:34,582 --> 02:14:36,718 IN THE BABY TOOLBOX TO ASSESS 3029 02:14:36,718 --> 02:14:38,686 THE DOMAIN AND MEASURE SELECTION 3030 02:14:38,686 --> 02:14:41,456 AND SOME POLITICAL RESULTS IS 3031 02:14:41,456 --> 02:14:44,058 WHAT I'LL COVER FROM A NORMING 3032 02:14:44,058 --> 02:14:46,861 STUDY FROM RECRUITED INFANTS 3033 02:14:46,861 --> 02:14:48,696 ACROSS THE U.S. 3034 02:14:48,696 --> 02:14:50,198 IN TERMS OF MEASURE SELECTION 3035 02:14:50,198 --> 02:14:55,203 AND ADMINISTRATION, A LOT OF 3036 02:14:55,203 --> 02:14:58,306 WORK WAS PUT INTO TASK SELECTION 3037 02:14:58,306 --> 02:15:00,641 WITH A SCOPING REVIEW AND LANDED 3038 02:15:00,641 --> 02:15:02,310 ON A FEW TASKS. 3039 02:15:02,310 --> 02:15:06,447 WE SPLIT THIS INTO GAZE-BASED 3040 02:15:06,447 --> 02:15:08,683 MEASURES FOR 6 TO 21-MONTH-OLD 3041 02:15:08,683 --> 02:15:11,119 AND TOUCH BASED MEASURES FOR THE 3042 02:15:11,119 --> 02:15:12,987 OLDER 22 TO 42 MONTH CHILDREN. 3043 02:15:12,987 --> 02:15:18,526 THESE PARADIGMS FOR GAZE BASE IS 3044 02:15:18,526 --> 02:15:20,495 FOLLOWS A PARADIGM AND VISUAL IT 3045 02:15:20,495 --> 02:15:25,032 DELAYED RESPONSE AND FOR THE 3046 02:15:25,032 --> 02:15:26,834 TOUCH BASED TASK MEMORY RESPONSE 3047 02:15:26,834 --> 02:15:28,870 IN THE GOAL OF ASSESSING 3048 02:15:28,870 --> 02:15:29,871 CONSTRUCTS OF EXECUTIVE 3049 02:15:29,871 --> 02:15:31,706 FUNCTION, LEARNING AND MEMORY AS 3050 02:15:31,706 --> 02:15:37,078 WELL AS TRYING TO DO THIS IN 3051 02:15:37,078 --> 02:15:47,588 CHILDREN IN ABOUT 10 MINUTES. 3052 02:15:47,822 --> 02:15:49,157 THE CHILDREN SEE EIGHT SECOND 3053 02:15:49,157 --> 02:15:55,196 TRIALS LIKE THIS ANIMAL IMAGE 3054 02:15:55,196 --> 02:15:59,200 AND NOVELTY IS ASSESSED FROM 3055 02:15:59,200 --> 02:16:01,002 PRESENTING THE OLD ITEM THE DOG 3056 02:16:01,002 --> 02:16:01,636 AND CAT. 3057 02:16:01,636 --> 02:16:03,271 AND EXPECT CHILDREN SHOULD PAY 3058 02:16:03,271 --> 02:16:05,039 ATTENTION TO THE NEW ITEM, THE 3059 02:16:05,039 --> 02:16:12,113 CAT. 3060 02:16:12,113 --> 02:16:16,784 WE HAVE THE VDR TASK AND HERE AN 3061 02:16:16,784 --> 02:16:18,986 ANIMATED CREATURE POPS UP AND 3062 02:16:18,986 --> 02:16:19,620 HIDES BEHIND TWO BOXES ON THE 3063 02:16:19,620 --> 02:16:24,025 SCREEN. 3064 02:16:24,025 --> 02:16:25,893 AND THEY HIDE THE CURTAIN CLOSES 3065 02:16:25,893 --> 02:16:27,929 FOR A CERTAIN AMOUNT OF TIME AND 3066 02:16:27,929 --> 02:16:29,497 THAT DELAY IS AGE BASED. 3067 02:16:29,497 --> 02:16:30,665 SHORTER TIMES FOR THE YOUNGER 3068 02:16:30,665 --> 02:16:32,733 CHILDREN AND LONGER TIMES FOR 3069 02:16:32,733 --> 02:16:33,835 THE OLDER CHILDREN TO SCALE THE 3070 02:16:33,835 --> 02:16:37,705 TASK IN TERMS OF DIFFICULTY. 3071 02:16:37,705 --> 02:16:39,473 FOR THE GAZE-BASED VERSION THE 3072 02:16:39,473 --> 02:16:42,243 GOAL IS TO LOOK AT THE BOX AND 3073 02:16:42,243 --> 02:16:43,578 REVIEW THE CREATURE THAT'S 3074 02:16:43,578 --> 02:16:44,812 HIDDEN AND IN THE TOUCH BASED 3075 02:16:44,812 --> 02:16:49,016 VERSION TO TOUCH THE BOX TO 3076 02:16:49,016 --> 02:16:51,185 REVEAL THE CREATURE. 3077 02:16:51,185 --> 02:16:53,387 FINALLY WE HAVE THE MEMORY TASK 3078 02:16:53,387 --> 02:16:55,489 FOR THE TOUCH BASED VERSION. 3079 02:16:55,489 --> 02:16:57,024 IT FOLLOWS THE NARRATIVE THE 3080 02:16:57,024 --> 02:16:59,193 CHILDREN SHOULD FEED THE HUNGRY 3081 02:16:59,193 --> 02:17:00,928 ANIMAL TO HELP WITH ENCODING THE 3082 02:17:00,928 --> 02:17:01,462 ANIMALS ON THE SCREEN. 3083 02:17:01,462 --> 02:17:03,598 TWO ANIMALS ARE PRESENTED ON THE 3084 02:17:03,598 --> 02:17:04,932 LEFT AND RIGHT SIDES OF THE 3085 02:17:04,932 --> 02:17:05,666 SCREEN AT A TIME. 3086 02:17:05,666 --> 02:17:07,201 ONCE THE ANIMAL IS TOUCHED, THE 3087 02:17:07,201 --> 02:17:09,103 NEW ANIMAL OF THE TWO IS NO 3088 02:17:09,103 --> 02:17:15,109 LONGER HUNGRY. 3089 02:17:15,109 --> 02:17:18,679 CHILDREN DO 11 TRAILS AND THE 3090 02:17:18,679 --> 02:17:19,847 ENCODING PORTION HAS THE RULE TO 3091 02:17:19,847 --> 02:17:22,183 TOUCH THE NOVEL ANIMAL. 3092 02:17:22,183 --> 02:17:24,952 AFTER THE EIGHT TO TEN-MINUTE 3093 02:17:24,952 --> 02:17:26,487 DELAY THERE'S A PORTION 3094 02:17:26,487 --> 02:17:27,822 INCLUDING 22 TRIALS INCLUDING 3095 02:17:27,822 --> 02:17:29,056 IMAGES ALREADY PRESENT WITHIN 3096 02:17:29,056 --> 02:17:30,858 ENCODING. 3097 02:17:30,858 --> 02:17:35,062 AND THIS ALSO CONTAINS WHAT WE 3098 02:17:35,062 --> 02:17:37,198 CALL DIAD ITEMS THAT WERE 3099 02:17:37,198 --> 02:17:37,899 PRESENT IN THE FIRST HALF OF THE 3100 02:17:37,899 --> 02:17:40,301 TEST MAKE AN APPEARANCE IN THE 3101 02:17:40,301 --> 02:17:43,571 SECOND HALF AND THIS IS DONE TO 3102 02:17:43,571 --> 02:17:45,973 ENSURE THE CHILD ISN'T 3103 02:17:45,973 --> 02:17:49,043 FORGETTING OR GUESSING ON THESE 3104 02:17:49,043 --> 02:17:50,978 ITEMS. 3105 02:17:50,978 --> 02:17:53,714 SO FOR MEASURING WE DEVELOPED 3106 02:17:53,714 --> 02:17:54,815 SCORING MODELS AND BEFORE THAT 3107 02:17:54,815 --> 02:17:55,850 I'LL GO INTO OUR APPROACH INTO 3108 02:17:55,850 --> 02:18:00,655 MEASUREMENT. 3109 02:18:00,655 --> 02:18:01,822 THIS SPANS MOST MEASURES THAT 3110 02:18:01,822 --> 02:18:04,325 UTILIZE IRT NOT JUST COG. 3111 02:18:04,325 --> 02:18:06,961 WE ASPIRE TO A MEASUREMENT 3112 02:18:06,961 --> 02:18:09,030 SYSTEM THAT SHOULD BE 3113 02:18:09,030 --> 02:18:16,037 COMPREHENSIVE AND METHODOL 3114 02:18:16,037 --> 02:18:17,538 METHODOLOGICALLY SOUND AND ALLOW 3115 02:18:17,538 --> 02:18:19,140 FOR MEANINGFUL COMPARISONS AND 3116 02:18:19,140 --> 02:18:20,608 SENSITIVE ACROSS STAGES. 3117 02:18:20,608 --> 02:18:23,244 WITH THE GOAL IN MIND WE ASSESS 3118 02:18:23,244 --> 02:18:25,046 AT DIFFERENT AGES UNDER THE IDEA 3119 02:18:25,046 --> 02:18:29,050 THEY CAN BE ALL MEASURED UNDER A 3120 02:18:29,050 --> 02:18:31,452 SINGLE LATENT VARIABLE. 3121 02:18:31,452 --> 02:18:34,155 AND WE USE IRT OR ITEM RESPONSE 3122 02:18:34,155 --> 02:18:35,790 THEORY SCORE THE MODELS. 3123 02:18:35,790 --> 02:18:38,192 HERE IN THE NEXT FEW SLIDES I'LL 3124 02:18:38,192 --> 02:18:40,428 PRESENT THE RESULTS FROM SCORING 3125 02:18:40,428 --> 02:18:42,797 MODELS FOR SPECIFICALLY THE 3126 02:18:42,797 --> 02:18:44,565 TOUCH BASED MEASURES AND USE A 3127 02:18:44,565 --> 02:18:46,600 PARTIAL DATA SET FROM THE 3128 02:18:46,600 --> 02:18:48,736 NORMING SAMPLE OF ABOUT 2500 3129 02:18:48,736 --> 02:18:49,570 INFANTS RECRUITED. 3130 02:18:49,570 --> 02:18:51,739 SO FOR THE EF COG SCORES WE FIND 3131 02:18:51,739 --> 02:18:54,408 FOR BOTH MEMORY TASK AND TOUCH 3132 02:18:54,408 --> 02:18:56,510 PORTION AS WELL AS THE VDR TASK 3133 02:18:56,510 --> 02:18:59,113 THE TOUCH PORTION THESE SCORES 3134 02:18:59,113 --> 02:19:00,481 WE GENERATED USING IRT CORRELATE 3135 02:19:00,481 --> 02:19:02,350 WELL WITH AGE AND AS EXPECTED 3136 02:19:02,350 --> 02:19:03,417 WITH AGE. 3137 02:19:03,417 --> 02:19:05,553 AND THE MEMORY TASKS 3138 02:19:05,553 --> 02:19:07,888 SPECIFICALLY WE USE THE TASK 3139 02:19:07,888 --> 02:19:08,422 PORTION. 3140 02:19:08,422 --> 02:19:10,691 ITEMS ARE CAT CATEGORIZED AS 3141 02:19:10,691 --> 02:19:12,159 SELECT IF THE SCORE THE ITEM FOR 3142 02:19:12,159 --> 02:19:15,162 BOTH ITEMS IN THE DIAD. 3143 02:19:15,162 --> 02:19:16,297 THE FIRST HALF AND SECOND HALF 3144 02:19:16,297 --> 02:19:21,035 AND FOR VDR TOUCH, ITEMS ARE 3145 02:19:21,035 --> 02:19:22,436 CATEGORIZED AS CORRECT OR 3146 02:19:22,436 --> 02:19:24,205 INCORRECT IF THEY SELECT THE 3147 02:19:24,205 --> 02:19:26,307 SIDE FOR WHICH THE CREATURE HID. 3148 02:19:26,307 --> 02:19:29,043 I HAVE PRELIMINARY RESULTS ON 3149 02:19:29,043 --> 02:19:31,345 EXTERNAL VALIDITY WE HAD DONE 3150 02:19:31,345 --> 02:19:31,712 WITH OUR SCORES. 3151 02:19:31,712 --> 02:19:35,783 SO A SUBSET OF INFANTS CAME BACK 3152 02:19:35,783 --> 02:19:37,651 TO COMPLETE THE BAYLEY FOURTH 3153 02:19:37,651 --> 02:19:40,888 EDITION KNOWN TO BE A GOLD 3154 02:19:40,888 --> 02:19:41,422 STANDARD PAPER AND PENCIL 3155 02:19:41,422 --> 02:19:42,490 ASSESSMENT OF INFANT 3156 02:19:42,490 --> 02:19:42,790 DEVELOPMENT. 3157 02:19:42,790 --> 02:19:45,760 120 INFANTS WERE RECRUITED AND A 3158 02:19:45,760 --> 02:19:50,164 PARTIAL DATA SET ARE USED 3159 02:19:50,164 --> 02:19:51,966 COMPARE THE GROWTH VALUE SCORES. 3160 02:19:51,966 --> 02:19:54,969 ON THE Y AXIS YOU CAN SEE OUR 3161 02:19:54,969 --> 02:19:57,038 LATENT TRAIT SCORES FROM IRT FOR 3162 02:19:57,038 --> 02:19:59,206 EACH OF THE EF COG TOUCH 3163 02:19:59,206 --> 02:19:59,473 MEASURES. 3164 02:19:59,473 --> 02:20:02,676 YOU CAN SEE FOR VDR TOUCH AND 3165 02:20:02,676 --> 02:20:04,078 MEMORY TASK TOUCH VERSION THESE 3166 02:20:04,078 --> 02:20:05,546 SCORES CORRELATE WITH THE BAYLEY 3167 02:20:05,546 --> 02:20:09,016 AS EXPECTED SHOWING CONVERGENT 3168 02:20:09,016 --> 02:20:11,886 VALIDITY WITH THIS EXTERNAL 3169 02:20:11,886 --> 02:20:12,753 MEASURE. 3170 02:20:12,753 --> 02:20:13,454 THIS CONCLUDES OUR PRELIMINARY 3171 02:20:13,454 --> 02:20:16,824 RESULT AND PROGRESS FOR THE EF 3172 02:20:16,824 --> 02:20:20,428 COG DOMAIN FOR THE COOL BOX. 3173 02:20:20,428 --> 02:20:22,129 AND THE NEXT STEPS INCLUDE 3174 02:20:22,129 --> 02:20:23,264 CONFIRMING THE SCORING MODEL 3175 02:20:23,264 --> 02:20:25,299 WITH THE FULL SAMPLE INCLUDING 3176 02:20:25,299 --> 02:20:27,368 BOTH ENGLISH AND SPANISH 3177 02:20:27,368 --> 02:20:30,104 SPEAKING PARTICIPANTS AND PLAN 3178 02:20:30,104 --> 02:20:31,439 TO DO FURTHER VALIDITY ANALYSES 3179 02:20:31,439 --> 02:20:34,075 WITH THE AGES AND STAGES 3180 02:20:34,075 --> 02:20:36,377 QUESTIONNAIRE WHICH IS A VERY 3181 02:20:36,377 --> 02:20:37,178 SHORT VALIDATED CAREGIVER 3182 02:20:37,178 --> 02:20:37,645 SCREENING REPORT. 3183 02:20:37,645 --> 02:20:41,882 WE ALSO PLAN TO CONDUCT 3184 02:20:41,882 --> 02:20:45,319 TEST/RETEST RELIABILITY WITH 228 3185 02:20:45,319 --> 02:20:48,289 CHILDREN TO COMPLETE THE BABY 3186 02:20:48,289 --> 02:20:50,424 TOOLBOX MEASURES ABOUT 7 TO 10 3187 02:20:50,424 --> 02:20:51,725 DAYS AFTER THE FIRST SESSION. 3188 02:20:51,725 --> 02:20:55,129 AND WE PLAN TO CONDUCT VALIDITY 3189 02:20:55,129 --> 02:20:57,031 ANALYSIS WITH THE FULL SAMPLE 3190 02:20:57,031 --> 02:21:00,367 AND REWEIGHT THE SAMPLE TO MATCH 3191 02:21:00,367 --> 02:21:03,237 THE 2022 AMERICAN COMMUNITY 3192 02:21:03,237 --> 02:21:04,638 SURVEY TO CREATE NORM ADJUSTED 3193 02:21:04,638 --> 02:21:04,872 SCORES. 3194 02:21:04,872 --> 02:21:07,108 I'D LIKE TO THANK OUR AMAZING EF 3195 02:21:07,108 --> 02:21:08,242 COG TEAM. 3196 02:21:08,242 --> 02:21:10,644 THIS WAS TRULY A TEAM EFFORT TO 3197 02:21:10,644 --> 02:21:12,179 MAKE ALL THIS HAPPEN NOT JUST 3198 02:21:12,179 --> 02:21:13,547 FOR EF COG BUT ACROSS THE 3199 02:21:13,547 --> 02:21:15,182 DOMAINS AND MEASURES. 3200 02:21:15,182 --> 02:21:21,889 I'D LIKE TO ALSO THANK THE 3201 02:21:21,889 --> 02:21:24,425 TOOLBOX TEAM AND OUR SAGO 3202 02:21:24,425 --> 02:21:26,460 PARTNERS WHO HELPED COLLECT DATA 3203 02:21:26,460 --> 02:21:36,937 AND OUR FUNDING SOURCE, NIH. 3204 02:21:43,878 --> 02:21:45,379 >> OKAY. 3205 02:21:45,379 --> 02:21:47,181 SO, I'M GOING TO SIT OVER HERE 3206 02:21:47,181 --> 02:21:52,119 TO BE OUT OF THE WAY. 3207 02:21:52,119 --> 02:21:58,959 I FOR GET TO MENTION WHEN I WAS 3208 02:21:58,959 --> 02:22:01,662 INTRODUCING DR. HAN OUR FIRST 3209 02:22:01,662 --> 02:22:03,197 TWO SPEAKERS ARE FROM 3210 02:22:03,197 --> 02:22:04,999 NORTHWESTERN UNIVERSITY AND HAVE 3211 02:22:04,999 --> 02:22:05,933 BEEN SIGNIFICANT CONTRIBUTORS TO 3212 02:22:05,933 --> 02:22:06,667 THE MEASURES THEY'LL BE 3213 02:22:06,667 --> 02:22:06,967 DISCUSSING. 3214 02:22:06,967 --> 02:22:11,005 I WOULD LIKE TO INTRODUCE OUR 3215 02:22:11,005 --> 02:22:21,382 NEXT SPEAKER DR. SARA 3216 02:22:40,634 --> 02:22:42,403 PILA-LEIDERMAN AND HOLDS A 3217 02:22:42,403 --> 02:22:44,505 MASTER'S OF ARTS IN CHILD 3218 02:22:44,505 --> 02:22:47,908 STUDIES AND HUMAN DEVELOPMENT 3219 02:22:47,908 --> 02:22:58,452 FROM THE ELLIOTT PEARSON CLICK 3220 02:23:01,088 --> 02:23:02,423 IN AND STUDIES IN EARLY 3221 02:23:02,423 --> 02:23:05,025 CHILDHOOD EDUCATION. 3222 02:23:05,025 --> 02:23:12,800 THANK YOU. 3223 02:23:12,800 --> 02:23:13,801 >> THANK YOU. 3224 02:23:13,801 --> 02:23:15,402 I'M VERY EXCITED TO TALK TO YOU 3225 02:23:15,402 --> 02:23:19,840 TODAY ABOUT WORK THAT I'M DOING 3226 02:23:19,840 --> 02:23:21,508 AT NORTHWESTERN WITH NUMERACY 3227 02:23:21,508 --> 02:23:23,277 AND EARLY MATH DOMAIN. 3228 02:23:23,277 --> 02:23:27,314 WHEN I TALK ABOUT EARLY MATH AND 3229 02:23:27,314 --> 02:23:28,549 NUMERACY WE'RE TALKING ABOUT SUB 3230 02:23:28,549 --> 02:23:33,053 DOMAINS OF SHAPE AND SPATIAL 3231 02:23:33,053 --> 02:23:34,421 RELATIONS, APPROXIMATE NUMBER 3232 02:23:34,421 --> 02:23:36,457 SYSTEM AND NUMBER RECOGNITION. 3233 02:23:36,457 --> 02:23:38,259 WE ALSO TALK ABOUT ADDICTION AND 3234 02:23:38,259 --> 02:23:40,394 SUB DISTRACTION OR ARITHMETIC. 3235 02:23:40,394 --> 02:23:41,028 WE KNOW THEY'RE IMPORTANT 3236 02:23:41,028 --> 02:23:43,797 BECAUSE THEY'RE PREDICTIVE OF 3237 02:23:43,797 --> 02:23:46,567 LATER ACADEMIC ACHIEVEMENT AND 3238 02:23:46,567 --> 02:23:47,468 ALSO SPECIFICALLY MATHEMATICAL 3239 02:23:47,468 --> 02:23:49,770 ACADEMIC PERFORMANCE. 3240 02:23:49,770 --> 02:23:52,206 SO AGAIN, TODAY I'LL DESCRIBE 3241 02:23:52,206 --> 02:23:54,074 THE DEVELOPMENT CORRELATIONS 3242 02:23:54,074 --> 02:23:55,876 WITH AGE AND EXTERNAL VALIDITY 3243 02:23:55,876 --> 02:23:56,944 OF THE MEASURES WE DEVELOPED 3244 02:23:56,944 --> 02:24:00,581 THAT ASSESS THE MATH DOMAIN. 3245 02:24:00,581 --> 02:24:04,151 SO WE SELECTED TASKS FROM OUR 3246 02:24:04,151 --> 02:24:07,288 DOMAIN EXPERTS, DOUGLAS CLEMENS 3247 02:24:07,288 --> 02:24:10,557 AND JULIE SAROMA AND SCOPING 3248 02:24:10,557 --> 02:24:10,791 REVIEW. 3249 02:24:10,791 --> 02:24:13,027 WE LANDED ON THAT WOULD FIT 3250 02:24:13,027 --> 02:24:16,363 WITHIN OUR TIME FRAME THAT WERE 3251 02:24:16,363 --> 02:24:17,064 DEVELOPMENTALLY APPROPRIATE AND 3252 02:24:17,064 --> 02:24:18,365 COULD FEASIBLY CREATE. 3253 02:24:18,365 --> 02:24:21,368 THESE TURNED INTO FOUR TOUCH OR 3254 02:24:21,368 --> 02:24:23,771 VERBAL RESPONSE-BASED MEASURES 3255 02:24:23,771 --> 02:24:25,039 COUNTING, ARITHMETIC AND WHO HAS 3256 02:24:25,039 --> 02:24:27,741 MORE. 3257 02:24:27,741 --> 02:24:30,744 THESE ARE FOR CHILDREN OVER 24 3258 02:24:30,744 --> 02:24:31,879 MONTHS AND THE GAZE-BASED 3259 02:24:31,879 --> 02:24:33,180 MEASURES TRYING TO GET AT THE 3260 02:24:33,180 --> 02:24:36,784 SAME THING, NUMERICAL CHANGE 3261 02:24:36,784 --> 02:24:37,885 DETECTION AND SPATIAL CHANGE 3262 02:24:37,885 --> 02:24:39,687 DETECTION FOR THOSE UNDER 24 3263 02:24:39,687 --> 02:24:41,322 MONTHS AND I'LL TALK ABOUT THESE 3264 02:24:41,322 --> 02:24:42,323 IN TURN. 3265 02:24:42,323 --> 02:24:44,224 FIRST OUR COUNTING MEASURE IS 3266 02:24:44,224 --> 02:24:45,659 MADE UP OF TWO DIFFERENT PARTS. 3267 02:24:45,659 --> 02:24:47,795 IN THE FIRST PART, PART 1, 3268 02:24:47,795 --> 02:24:48,862 VERBAL COUNTING, CHILDREN ARE 3269 02:24:48,862 --> 02:24:50,764 ASKED BY THE ADMINISTRATOR TO 3270 02:24:50,764 --> 02:24:53,334 COUNT AS HIGH AS THEY CAN 3271 02:24:53,334 --> 02:24:53,667 SEQUENTIALLY. 3272 02:24:53,667 --> 02:24:55,402 THE ADMINISTRATOR WILL SAY HOW 3273 02:24:55,402 --> 02:25:00,774 HIGH CAN YOU COUNT, PLEASE START 3274 02:25:00,774 --> 02:25:03,577 AT ONE AND SHOW ME AND WHAT THEY 3275 02:25:03,577 --> 02:25:04,878 COUNT TO AND THE ADMINISTRATOR 3276 02:25:04,878 --> 02:25:08,115 WILL STOP THEM WHEN THEY FINISH 3277 02:25:08,115 --> 02:25:10,284 SOMETHING, HERE ARE THE HIGHER 3278 02:25:10,284 --> 02:25:12,252 COUNTS RECEIVE HIGHER SCORES AS 3279 02:25:12,252 --> 02:25:12,853 EXPECTED. 3280 02:25:12,853 --> 02:25:13,921 AND THEN IN VERBAL COUNTING 3281 02:25:13,921 --> 02:25:15,155 WHICH YOU MAY HAVE SEEN EARLIER 3282 02:25:15,155 --> 02:25:19,493 THIS MORNING, IS A SET OF ONE TO 3283 02:25:19,493 --> 02:25:21,962 EIGHT ITEMS ACROSS SIX DIFFERENT 3284 02:25:21,962 --> 02:25:24,832 TRIALS WHERE THE iPAD WILL SAY 3285 02:25:24,832 --> 02:25:28,335 HOW MANY ARE THERE, WHEN THE 3286 02:25:28,335 --> 02:25:30,037 CAMERA APPEARS THE CHILD WILL 3287 02:25:30,037 --> 02:25:31,505 RESPOND IN TURN, THE 3288 02:25:31,505 --> 02:25:32,206 ADMINISTRATOR WILL RECORD THEIR 3289 02:25:32,206 --> 02:25:34,174 RESPONSE AND THE NEXT ITEM WILL 3290 02:25:34,174 --> 02:25:34,408 APPEAR. 3291 02:25:34,408 --> 02:25:36,210 HOW MANY ARE THERE WITH TWO 3292 02:25:36,210 --> 02:25:37,811 TREES FOR EXAMPLE AND THEN 3293 02:25:37,811 --> 02:25:41,014 MOVING FORWARD TO THREE APPLES 3294 02:25:41,014 --> 02:25:41,448 SO ON AND SO FORTH. 3295 02:25:41,448 --> 02:25:43,917 EACH TRIAL HERE IS SCORED AS 3296 02:25:43,917 --> 02:25:47,921 CORRECT OR INCORRECT AND THE TWO 3297 02:25:47,921 --> 02:25:49,123 TOGETHER USE A SPECIAL MAP 3298 02:25:49,123 --> 02:25:51,058 GENERATOR TO GET AT SCORES FOR 3299 02:25:51,058 --> 02:25:53,026 VERBAL COUNTING AND OBJECT 3300 02:25:53,026 --> 02:26:03,470 COUNTING INTO ONE MEASURE. 3301 02:26:05,072 --> 02:26:08,842 SUBATIZING IS TOO SHORT FOR A 3302 02:26:08,842 --> 02:26:11,712 NUMBER TO COUNT BUT GET AT THE 3303 02:26:11,712 --> 02:26:13,947 NUMBER RECOGNITION AND THE IED. 3304 02:26:13,947 --> 02:26:15,682 ASKED HOW MANY DID YOU SEE AND 3305 02:26:15,682 --> 02:26:16,316 CHILDREN RESPOND ARE HOW MUCH 3306 02:26:16,316 --> 02:26:18,218 THEY SAW AND THE ADMINISTRATOR 3307 02:26:18,218 --> 02:26:20,587 INPUTS THAT RESPONSE AND THEN WE 3308 02:26:20,587 --> 02:26:21,221 MOVE ON. 3309 02:26:21,221 --> 02:26:25,025 THERE ARE FOUR ITEMS OF 3310 02:26:25,025 --> 02:26:27,661 DIFFERENT SMALL QUANTITIES ONE 3311 02:26:27,661 --> 02:26:28,462 TO FOUR. 3312 02:26:28,462 --> 02:26:34,034 EACH SCORED AT CORRECT AND 3313 02:26:34,034 --> 02:26:43,243 INCORRECT AS WELL. 3314 02:26:43,243 --> 02:26:44,678 AND ADDITION AND SUBTRACTION 3315 02:26:44,678 --> 02:26:45,345 QUESTIONS AND THE ADMINISTRATE 3316 02:26:45,345 --> 02:26:47,548 IR WILL SAY IF I HAVE TWO BLOCKS 3317 02:26:47,548 --> 02:26:49,016 AND FIND ANOTHER HOW MANY DO I 3318 02:26:49,016 --> 02:26:50,451 HAVE NOW. 3319 02:26:50,451 --> 02:26:53,520 THE CHILD CAN RESPOND AND HAVE 3320 02:26:53,520 --> 02:26:56,089 THE OPPORTUNITY TO USE BLOCKS AS 3321 02:26:56,089 --> 02:26:57,891 MANIPULATIVES TO HELP BUT THE 3322 02:26:57,891 --> 02:26:59,226 ADMINISTRATOR DOES NOT DO THEM 3323 02:26:59,226 --> 02:27:01,028 THAT FOR THEM. 3324 02:27:01,028 --> 02:27:03,030 AGAIN, EACH TRIAL IS SCORED AS 3325 02:27:03,030 --> 02:27:04,665 CORRECT OR INCORRECT TO THESE 3326 02:27:04,665 --> 02:27:07,968 SIMPLE ADDITION AND SUBTRACTION 3327 02:27:07,968 --> 02:27:15,008 QUESTIONS. 3328 02:27:15,008 --> 02:27:17,811 IN WHO HAS MORE CHILDREN ARE 3329 02:27:17,811 --> 02:27:20,013 ASKED TO TOUCH THE BIRD WITH 3330 02:27:20,013 --> 02:27:21,582 MORE OBJECTS. 3331 02:27:21,582 --> 02:27:24,251 A BIRD APPEARS AND CHILDREN ARE 3332 02:27:24,251 --> 02:27:26,053 ASKED TO TOUCH AFTER THE iPAD 3333 02:27:26,053 --> 02:27:27,955 SAYS WHO HAS MORE. 3334 02:27:27,955 --> 02:27:30,491 THERE'S A DEMONSTRATION ITEM 3335 02:27:30,491 --> 02:27:32,059 WHERE THE ADMINISTRATOR SHOWS 3336 02:27:32,059 --> 02:27:35,062 THEM WHAT'S EXPECTED AND A 3337 02:27:35,062 --> 02:27:36,663 PRACTICE ITEM FOR CHILDREN TO 3338 02:27:36,663 --> 02:27:37,297 PRACTICE THE TOUCHING COMPONENT 3339 02:27:37,297 --> 02:27:39,633 OF WHO HAS MORE. 3340 02:27:39,633 --> 02:27:42,169 THEN THERE ARE 22 LIVE ITEMS IN 3341 02:27:42,169 --> 02:27:44,004 WHICH EACH ONE IS SCORED AS 3342 02:27:44,004 --> 02:27:47,307 CORRECT OR INCORRECT WITH A 3343 02:27:47,307 --> 02:27:50,844 FIXED TRIAL ORDER ON HOW MANY OR 3344 02:27:50,844 --> 02:27:53,046 WHAT RATIO SHOULD APPEAR AT ANY 3345 02:27:53,046 --> 02:27:54,681 GIVEN TIME. 3346 02:27:54,681 --> 02:27:56,183 OUR GAZE MEASURES FOR NUMERICAL 3347 02:27:56,183 --> 02:27:57,985 CHANGE DETECTION, CHILDREN ARE 3348 02:27:57,985 --> 02:28:00,220 SHOWN TWO STREAMS OF IMAGES ON 3349 02:28:00,220 --> 02:28:02,122 THE LEFT AND RIGHT AND THESE 3350 02:28:02,122 --> 02:28:04,791 BASICALLY DIFFER IN TERMS OF 3351 02:28:04,791 --> 02:28:05,926 SAME, DIFFERENT, SAME, 3352 02:28:05,926 --> 02:28:07,694 DIFFERENT, PATTERNS OF DOTS YOU 3353 02:28:07,694 --> 02:28:07,861 SEE. 3354 02:28:07,861 --> 02:28:10,797 FOR EXAMPLE IF, THE RATIO IS ONE 3355 02:28:10,797 --> 02:28:13,433 TO THREE YOU'LL HAVE FOUR AND 3356 02:28:13,433 --> 02:28:14,735 TWELVE BUT WILL ALWAYS HAVE AT 3357 02:28:14,735 --> 02:28:18,005 LEAST ONE STREAM THAT HAS FOUR. 3358 02:28:18,005 --> 02:28:20,574 AND THEN SAME, DIFFERENT, SAME. 3359 02:28:20,574 --> 02:28:22,676 THIS IS USING OUR EYE TRACKING 3360 02:28:22,676 --> 02:28:25,045 AND GAZE-BASED SOFTWARE TO 3361 02:28:25,045 --> 02:28:25,979 UNDERSTAND WHERE CHILDREN ARE 3362 02:28:25,979 --> 02:28:28,982 LOOK ON THE SCREEN AS YOU CAN 3363 02:28:28,982 --> 02:28:32,152 SEE IN OUR AR KIT THESE CAPTURE 3364 02:28:32,152 --> 02:28:34,221 HERE. 3365 02:28:34,221 --> 02:28:37,090 THIS IS OUR SPATIAL CHANGE 3366 02:28:37,090 --> 02:28:39,760 DETECTION WHERE THERE ARE TWO 3367 02:28:39,760 --> 02:28:44,231 STREAMS OF GEOMETRIC SHAMES -- 3368 02:28:44,231 --> 02:28:47,601 SHAPES IN TWO OF THE STREAMS AND 3369 02:28:47,601 --> 02:28:50,304 A THIRD HAS ONE TARGET ON THE Y 3370 02:28:50,304 --> 02:28:50,871 AXIS. 3371 02:28:50,871 --> 02:28:53,040 I'LL BRIEFLY SHOW WHAT YOU THAT 3372 02:28:53,040 --> 02:28:55,976 LOOKS LIKE IN PRACTICE AND HAS A 3373 02:28:55,976 --> 02:29:01,048 LAST CLIP OF CALIBRATION YOU'VE 3374 02:29:01,048 --> 02:29:11,291 SEEN. 3375 02:29:11,291 --> 02:29:13,026 THERE'S MUSIC THAT HAPPENS IN 3376 02:29:13,026 --> 02:29:15,495 THE BACKGROUND AS WELL. 3377 02:29:15,495 --> 02:29:17,598 IN TERMS OF OUR NORMING STUDY 3378 02:29:17,598 --> 02:29:20,300 AND MEASURE SCORING, WE FOUND IN 3379 02:29:20,300 --> 02:29:24,137 GENERAL FOR THE FOUR TOUCH AND 3380 02:29:24,137 --> 02:29:26,106 VERBAL-BASED RESPONSE OPTIONS, 3381 02:29:26,106 --> 02:29:27,307 THAT CHILDREN DO PERFORM BETTER 3382 02:29:27,307 --> 02:29:30,644 AS THEY AGE WHICH IS AS 3383 02:29:30,644 --> 02:29:31,078 EXPECTED. 3384 02:29:31,078 --> 02:29:33,113 THESE RESULTS ARE FROM A SUBSET 3385 02:29:33,113 --> 02:29:35,382 OF OUR PARTICIPANTS WHO 3386 02:29:35,382 --> 02:29:37,818 COMPLETED THE NORMING STUDY TO 3387 02:29:37,818 --> 02:29:39,586 START WITH BUT I'LL TELL YOU 3388 02:29:39,586 --> 02:29:40,887 NEXT STEPS WE'RE LOOKING FOR TO 3389 02:29:40,887 --> 02:29:43,890 GO TO THE ENTIRE SAMPLE SOON. 3390 02:29:43,890 --> 02:29:46,860 AND THEN WE USE THE PARTIAL DATA 3391 02:29:46,860 --> 02:29:49,162 SET FOR OUR SCORING MODEL 3392 02:29:49,162 --> 02:29:51,999 GENERATION AND AS YOU CAN SEE, 3393 02:29:51,999 --> 02:29:52,599 GOOD CORRELATION WITH AGE FOR 3394 02:29:52,599 --> 02:29:56,136 THESE ITEMS. 3395 02:29:56,136 --> 02:30:00,574 AND IN TERMS OF EXTERNAL 3396 02:30:00,574 --> 02:30:02,175 VALIDITY, SIMILARLY WE THAT'D 3397 02:30:02,175 --> 02:30:04,244 SAME SUBSET AND HAD PEOPLE 3398 02:30:04,244 --> 02:30:08,115 COMPLETE THE BAYLEY 4 AND WHILE 3399 02:30:08,115 --> 02:30:09,516 THERE'S NO EXACT COMPARABLE 3400 02:30:09,516 --> 02:30:13,020 MEASURE FOR NUMERACY OR MATH WE 3401 02:30:13,020 --> 02:30:14,921 USED THE COGNITIVE GLOBAL SCALE 3402 02:30:14,921 --> 02:30:17,324 COMPOSITE TO THE GSV AS WELL TO 3403 02:30:17,324 --> 02:30:22,429 MAP AND IT DOES APPEARS TO HAVE 3404 02:30:22,429 --> 02:30:23,597 GOOD CORRELATIONS WITH OUR 3405 02:30:23,597 --> 02:30:26,199 MEASURES VERBAL AND OBJECT 3406 02:30:26,199 --> 02:30:29,603 COUNTING AND SUBITZING AND 3407 02:30:29,603 --> 02:30:32,973 COUNTING AND ARITHMETIC EVEN IF 3408 02:30:32,973 --> 02:30:34,374 IT'S NOT ONE FOR ONE 3409 02:30:34,374 --> 02:30:34,741 CORRESPONDENCE. 3410 02:30:34,741 --> 02:30:36,643 IN TERMS OF NEXT STEPS WE'RE 3411 02:30:36,643 --> 02:30:37,411 LOOKING TO CONFIRM THE SCORING 3412 02:30:37,411 --> 02:30:40,614 MODEL WITH THE FULL SAMPLE 3413 02:30:40,614 --> 02:30:44,184 INCLUDING ENGLISH AND SPANISH 3414 02:30:44,184 --> 02:30:45,886 SPEAKING PARTICIPANTS AS DESIGN 3415 02:30:45,886 --> 02:30:47,921 IN BOTH LANGUAGE. 3416 02:30:47,921 --> 02:30:49,022 WE'LL PERFORM FURTHER VALIDITY 3417 02:30:49,022 --> 02:30:50,223 ANALYSES WITH THE SAMPLE AND 3418 02:30:50,223 --> 02:30:53,026 THOSE WHO COMPLETED OUR AGES AND 3419 02:30:53,026 --> 02:30:54,294 STAGES QUESTIONNAIRE AND PLAN TO 3420 02:30:54,294 --> 02:30:59,700 REWEIGHT THE SAMPLE TO MATCH THE 3421 02:30:59,700 --> 02:31:00,834 2022 AMERICAN COMMUNITY SURVEY 3422 02:31:00,834 --> 02:31:02,669 AND CREATE THE AGE-ADJUSTED NORM 3423 02:31:02,669 --> 02:31:06,506 SCORES AND FINALLY CONDUCT 3424 02:31:06,506 --> 02:31:07,174 TEST-RETEST RELIABILITY ON THOSE 3425 02:31:07,174 --> 02:31:11,044 WHO TOOK THE BABY TOOLBOX AND 3426 02:31:11,044 --> 02:31:12,779 RETURN ARED SEVEN TO 10 DAYS 3427 02:31:12,779 --> 02:31:13,346 LATER TO COMPLETE. 3428 02:31:13,346 --> 02:31:14,214 ANOTHER BIG THANK YOU TO THOSE 3429 02:31:14,214 --> 02:31:16,049 WHO WORKED ON THIS AND I'LL BE 3430 02:31:16,049 --> 02:31:18,618 AT THE DEMO SESSIONS FOR BABY 3431 02:31:18,618 --> 02:31:21,021 TOOLBOX TOMORROW SO HAPPY TO 3432 02:31:21,021 --> 02:31:24,024 ANSWER QUESTIONS LATER AND LET 3433 02:31:24,024 --> 02:31:25,258 YOU GET TO PLAY AROUND WITH 3434 02:31:25,258 --> 02:31:27,294 THESE MEASURES. 3435 02:31:27,294 --> 02:31:32,099 THANK YOU. 3436 02:31:32,099 --> 02:31:33,967 >> THANK YOU. 3437 02:31:33,967 --> 02:31:36,203 THANK YOU, SARAH, WHY DON'T YOU 3438 02:31:36,203 --> 02:31:38,171 STAY AT THE TABLE AND CATHERINE. 3439 02:31:38,171 --> 02:31:41,007 THANK YOU. 3440 02:31:41,007 --> 02:31:44,177 SO OUR NEXT PRESENTER IS 3441 02:31:44,177 --> 02:31:47,814 DR. JULIE KABLE. 3442 02:31:47,814 --> 02:31:49,015 SHE IS AN ASSOCIATION PROFESSOR 3443 02:31:49,015 --> 02:31:50,183 OF BOTH THE DEPARTMENT OF 3444 02:31:50,183 --> 02:31:53,887 PSYCHIATRY AND BEHAVIORAL 3445 02:31:53,887 --> 02:31:56,857 SCIENCES AND THE DEPARTMENT OF 3446 02:31:56,857 --> 02:31:58,258 PEDIATRICS DIVISION OF AUTISM 3447 02:31:58,258 --> 02:32:02,195 AND RELATED DEVELOPMENTAL AND 3448 02:32:02,195 --> 02:32:05,031 THE ASSOCIATE DIRECTOR OF THE 3449 02:32:05,031 --> 02:32:08,935 EXPOSURE CLINIC AT THE SCHOOL OF 3450 02:32:08,935 --> 02:32:10,403 MEDICINE AND MARKUS AUTISM 3451 02:32:10,403 --> 02:32:12,472 CENTER CHILDREN'S HEALTH ATLANTA 3452 02:32:12,472 --> 02:32:16,409 AT EMORY UNIVERSITY. 3453 02:32:16,409 --> 02:32:19,880 HER RESEARCH THAT INCLUDES 3454 02:32:19,880 --> 02:32:20,547 INTERVENTION RESEARCH AS WELL AS 3455 02:32:20,547 --> 02:32:23,016 BASIC CLINICAL SCIENCE HAS 3456 02:32:23,016 --> 02:32:29,055 FOCUSSED ON THE IMPACT OF 3457 02:32:29,055 --> 02:32:33,727 PRENATAL TERATTOGENS SUCH AS 3458 02:32:33,727 --> 02:32:35,495 ALCOHOL, CIGARETTES AND COCAINE 3459 02:32:35,495 --> 02:32:37,564 ON FUNCTIONING THROUGHOUT THE 3460 02:32:37,564 --> 02:32:38,665 LIFE SPAN. 3461 02:32:38,665 --> 02:32:41,968 DR. KABLE DID NOT SIGNIFICANTLY 3462 02:32:41,968 --> 02:32:43,670 CONTRIBUTE TO THE NIH BABY 3463 02:32:43,670 --> 02:32:46,640 TOOLBOX BUT SHE AND OTHER HBCD 3464 02:32:46,640 --> 02:32:53,046 SITES CHOSE TO USE PARTS OF THE 3465 02:32:53,046 --> 02:32:55,916 BABY TOOLBOX AND WERE HAPPY TO 3466 02:32:55,916 --> 02:32:59,820 HAVE THEM AS EARLY ADOPTERS WHO 3467 02:32:59,820 --> 02:33:00,887 PROVIDED INFORMATION AND 3468 02:33:00,887 --> 02:33:01,221 FEEDBACK. 3469 02:33:01,221 --> 02:33:03,890 >> I'M JUST A REPRESENTATIVE ARE 3470 02:33:03,890 --> 02:33:07,594 OF THE INFANT ASSESSMENT CORE 3471 02:33:07,594 --> 02:33:09,830 AND IT'S NOT ALL MY WORK AND MY 3472 02:33:09,830 --> 02:33:10,997 COLLEAGUES ARE IN THE AUDIENCE 3473 02:33:10,997 --> 02:33:13,533 HERE WHO HELPED WITH ALL THIS. 3474 02:33:13,533 --> 02:33:17,037 SO HBCD HEALTHY BRAIN CHILD 3475 02:33:17,037 --> 02:33:20,607 DEVELOPMENT STUDY TO UNDERSTAND 3476 02:33:20,607 --> 02:33:22,809 THE NORMATIVE DEVELOPMENT OF 3477 02:33:22,809 --> 02:33:24,945 INDIVIDUALS FROM BIRTH TO 9 TO 3478 02:33:24,945 --> 02:33:26,179 10 YEARS OF AGE. 3479 02:33:26,179 --> 02:33:28,448 WE'RE RECRUITING IN PREGNANCY 3480 02:33:28,448 --> 02:33:29,482 AND FOLLOWING THE PROSPECTIVELY 3481 02:33:29,482 --> 02:33:30,016 OVER TIME. 3482 02:33:30,016 --> 02:33:32,219 THERE'S TWO MAIN GOALS OF OUR 3483 02:33:32,219 --> 02:33:34,688 STUDY TO ADDRESS OUR GAP IN 3484 02:33:34,688 --> 02:33:36,590 KNOWLEDGE ABOUT ENVIRONMENTAL 3485 02:33:36,590 --> 02:33:37,190 EXPOSURES PARTICULARLY OPIATE 3486 02:33:37,190 --> 02:33:39,826 AND OTHER DRUG USE AND HOW THAT 3487 02:33:39,826 --> 02:33:41,561 IMPACTS INFANT AND CHILD 3488 02:33:41,561 --> 02:33:41,862 DEVELOPMENT. 3489 02:33:41,862 --> 02:33:47,100 AND ALSO TO IMPROVE OUR 3490 02:33:47,100 --> 02:33:47,834 INFORMATION OF NORMAL COGNITIVE 3491 02:33:47,834 --> 02:33:50,136 SOCIAL FUNCTION FROM THE 3492 02:33:50,136 --> 02:33:52,072 PRENATAL PERIOD THROUGH EARLY 3493 02:33:52,072 --> 02:33:54,741 CHILDHOOD WITH THE FOCUS ON 3494 02:33:54,741 --> 02:33:56,343 NEUROIMAGING PIECES. 3495 02:33:56,343 --> 02:34:01,047 WE'RE FUNDING BY A VARIETY OF 3496 02:34:01,047 --> 02:34:06,486 AGENCIES AND THERE WAS MANY AND 3497 02:34:06,486 --> 02:34:07,988 THE HEAL FUNDING HELPS SUPPORT 3498 02:34:07,988 --> 02:34:08,421 THE PROJECT. 3499 02:34:08,421 --> 02:34:10,156 WE WANT TO ACKNOWLEDGE THEIR 3500 02:34:10,156 --> 02:34:12,726 SUPPORT AND TELL THEM WE'RE VERY 3501 02:34:12,726 --> 02:34:13,093 GRATEFUL. 3502 02:34:13,093 --> 02:34:18,131 THE HBCD STUDY SPANS OUR 3503 02:34:18,131 --> 02:34:18,398 CONTINENT. 3504 02:34:18,398 --> 02:34:20,400 SO IN GREEN YOU CAN SEE THE 3505 02:34:20,400 --> 02:34:22,068 DIFFERENT SITES INVOLVED IN DATA 3506 02:34:22,068 --> 02:34:24,070 COLLECTION FOR THE STUDY. 3507 02:34:24,070 --> 02:34:27,340 AND THE PURPLISH FUCHSIA COLOR 3508 02:34:27,340 --> 02:34:31,444 IS OUR ADMIN CENTER AT 3509 02:34:31,444 --> 02:34:32,112 CALIFORNIA UNIVERSITY SAN DIEGO 3510 02:34:32,112 --> 02:34:34,414 AND IN YELLOW IS OUR DATA 3511 02:34:34,414 --> 02:34:34,881 COORDINATING CENTER. 3512 02:34:34,881 --> 02:34:37,550 EACH SITE IS RESPONSIBLE FOR 3513 02:34:37,550 --> 02:34:39,252 ENROLLING 300 PARTICIPANTS. 3514 02:34:39,252 --> 02:34:42,422 WE ARE CHALLENGED WITH 3515 02:34:42,422 --> 02:34:43,957 RECRUITING SAMPLE THAT'S 3516 02:34:43,957 --> 02:34:46,426 CONSISTENT WITH OUR U.S. CENSUS 3517 02:34:46,426 --> 02:34:46,860 DATA. 3518 02:34:46,860 --> 02:34:48,828 THERE ARE METRICS A DASHBOARD 3519 02:34:48,828 --> 02:34:50,230 WE'RE TRYING TO MEET. 3520 02:34:50,230 --> 02:34:55,068 50% OF OUR SAMPLE IS ENROLLED 3521 02:34:55,068 --> 02:34:56,202 FROM GENERAL POPULATION AND 3522 02:34:56,202 --> 02:34:58,471 SHOULD MATCH THESE METRICS THAT 3523 02:34:58,471 --> 02:35:02,208 ARE ESTABLISHED FOR US AND THEN 3524 02:35:02,208 --> 02:35:04,577 25% HAVE A SUBSTANCE USE 3525 02:35:04,577 --> 02:35:06,713 DISORDER AND THEN ANOTHER 25 ARE 3526 02:35:06,713 --> 02:35:11,251 DESIGN TO MATCH THE SOCIO 3527 02:35:11,251 --> 02:35:14,220 ECONOMIC CHARACTERISTICS OF THE 3528 02:35:14,220 --> 02:35:18,591 SUBSTANCE ABUSING SAMPLE. 3529 02:35:18,591 --> 02:35:21,361 WE'RE INTERESTED IN A VARIETY OF 3530 02:35:21,361 --> 02:35:25,031 FACTORS IN HOW THEY AFFECT 3531 02:35:25,031 --> 02:35:26,599 NEURAL DEVELOPMENTAL TRAJECTORY 3532 02:35:26,599 --> 02:35:29,202 AND LOOKING AT THINGS RELATED TO 3533 02:35:29,202 --> 02:35:32,305 THE MATERNAL CAREGIVER AND 3534 02:35:32,305 --> 02:35:34,174 COGNITIVE FACTORS AND GENETIC 3535 02:35:34,174 --> 02:35:37,077 FACTORS AND PSYCHOSOCIAL FACTOR. 3536 02:35:37,077 --> 02:35:38,611 WE HAVE VARIOUS WORK GROUPS WHO 3537 02:35:38,611 --> 02:35:40,714 TACKLE THESE DOMAINS AND DEVELOP 3538 02:35:40,714 --> 02:35:43,283 BATTERIES THAT GO THROUGH THE 3539 02:35:43,283 --> 02:35:44,017 NEURAL DEVELOPMENTAL STAGES. 3540 02:35:44,017 --> 02:35:46,486 THIS IS A GRAPHIC WE USE TO 3541 02:35:46,486 --> 02:35:48,088 COMMUNICATE OUR TIME LINE OF 3542 02:35:48,088 --> 02:35:50,657 EVENTS IN HBCD. 3543 02:35:50,657 --> 02:35:52,759 YOU'LL SEE VISIT ONE IS WHEN WE 3544 02:35:52,759 --> 02:35:55,862 ARE SEEING PEOPLE PRENATALLY IN 3545 02:35:55,862 --> 02:35:56,629 ENROLLING THEM AND AT THAT POINT 3546 02:35:56,629 --> 02:35:59,199 WE DO QUESTIONNAIRES AND COLLECT 3547 02:35:59,199 --> 02:36:02,235 BIO SPECIMENS AND WHEN THE 3548 02:36:02,235 --> 02:36:03,903 BABY'S BORN 0 TO 1 MONTH AT 3549 02:36:03,903 --> 02:36:07,173 VISIT TWO WE CONTINUE TO COLLECT 3550 02:36:07,173 --> 02:36:10,043 QUESTIONNAIRES AND BIO SPES 3551 02:36:10,043 --> 02:36:12,846 MAN'S AND START -- SPECIMENS AND 3552 02:36:12,846 --> 02:36:14,247 BEGIN INFORMATION ON THE MOTHER 3553 02:36:14,247 --> 02:36:14,981 AND BABY. 3554 02:36:14,981 --> 02:36:17,584 WE THEN ARE ABLE TO FOLLOW AND 3555 02:36:17,584 --> 02:36:19,986 CONTINUE THOSE AT VISITS THREE 3556 02:36:19,986 --> 02:36:23,857 AND NINE MONTHS, VISITS FOUR 9 3557 02:36:23,857 --> 02:36:26,226 TO 15 MONTHS AND THIS 3558 02:36:26,226 --> 02:36:30,363 DEVELOPMENT WINDOW OF 15 TO 48 3559 02:36:30,363 --> 02:36:31,064 MONTHS AND BELIEVE IT WILL BE 3560 02:36:31,064 --> 02:36:32,499 CUT INTO BUT WE CAN'T SAY UNTIL 3561 02:36:32,499 --> 02:36:35,001 WE MOVE TO THE NEXT FUNDING 3562 02:36:35,001 --> 02:36:35,502 PERIOD. 3563 02:36:35,502 --> 02:36:37,871 IT'S AROUND THIS PERIOD AROUND 3564 02:36:37,871 --> 02:36:39,906 VISIT THREE WHEN WE START DOING 3565 02:36:39,906 --> 02:36:41,141 INFANT ASSESSMENT PIECE. 3566 02:36:41,141 --> 02:36:43,309 IN ADDITION TO THESE WINDOWS OF 3567 02:36:43,309 --> 02:36:45,512 ASSESSMENT WE'RE ALSO DOING 3568 02:36:45,512 --> 02:36:49,015 VISITS AT FIVE, 10 TO 17 MONTHS, 3569 02:36:49,015 --> 02:36:53,019 VISIT SEVEN, AND EIGHT, 36 TO 60 3570 02:36:53,019 --> 02:36:58,425 MONTHS AND THOSE ARE REMOTE 3571 02:36:58,425 --> 02:37:00,326 VISITS. 3572 02:37:00,326 --> 02:37:02,896 OUR SAMPLING PROCEDURE'S DESIGN 3573 02:37:02,896 --> 02:37:06,166 TO COVER THE ENTIRE 3574 02:37:06,166 --> 02:37:06,766 DEVELOPMENTAL SPAN. 3575 02:37:06,766 --> 02:37:08,868 WE'RE DOING JITTERED VISIT 3576 02:37:08,868 --> 02:37:10,036 WINDOWS WHERE THEY'RE ASSIGNED 3577 02:37:10,036 --> 02:37:11,571 TO ONE POCKET AND YOU'LL SEE IF 3578 02:37:11,571 --> 02:37:13,306 A BABY'S ASSIGNED TO THE TOP 3579 02:37:13,306 --> 02:37:15,842 LEVEL SO THERE'LL BE SEEN IN THE 3580 02:37:15,842 --> 02:37:18,244 3 TO 8 MONTH WINDOW IN THE TIME 3581 02:37:18,244 --> 02:37:19,879 PERIOD AND THESE ARE ASSIGNED AT 3582 02:37:19,879 --> 02:37:21,281 BIRTH AND THEN BE SEEN AT AN 3583 02:37:21,281 --> 02:37:24,517 EARLY WINDOW FOR THE 9 TO 14 3584 02:37:24,517 --> 02:37:27,320 MONTH VISIT AND RANDOMLY TO THE 3585 02:37:27,320 --> 02:37:30,056 OTHER COMPONENTS FOR THE 15 TO 3586 02:37:30,056 --> 02:37:31,691 47 AND SIMILARLY ALONG THE LINES 3587 02:37:31,691 --> 02:37:33,560 FOR THAT ONE OPPOSED TO THIS 3588 02:37:33,560 --> 02:37:35,762 PERSON WHO IS AT THE LATER PART 3589 02:37:35,762 --> 02:37:38,631 OF THE THREE-DAY MONTH WINDOW 3590 02:37:38,631 --> 02:37:41,034 THEN THE 9 TO 14 MONTH AND THEN 3591 02:37:41,034 --> 02:37:42,802 RANDOMLY ASSIGNED TO ONE OF 3592 02:37:42,802 --> 02:37:44,204 THESE SLOTS ALONG THE PATH. 3593 02:37:44,204 --> 02:37:48,475 SO THE NICE PART ABOUT THAT IS 3594 02:37:48,475 --> 02:37:50,276 IT ALLOWS US TO SAMPLE A BROAD 3595 02:37:50,276 --> 02:37:51,211 RANGE OF DEVELOPMENT. 3596 02:37:51,211 --> 02:37:53,880 WE HAVE TO HAVE DEVELOPMENT 3597 02:37:53,880 --> 02:37:54,981 BATTERIES THAT BECAUSE OF THE 3598 02:37:54,981 --> 02:37:55,748 DEVELOPMENT CHANGES ARE NOT 3599 02:37:55,748 --> 02:37:59,119 GOING TO BE EXACTLY THE SAME AT 3600 02:37:59,119 --> 02:38:01,054 DIFFERENT LEVELS. 3601 02:38:01,054 --> 02:38:05,358 AND THE WORK GROUP THE COGNITIVE 3602 02:38:05,358 --> 02:38:09,796 AND LANGUAGE WORK GROUP HAD 3603 02:38:09,796 --> 02:38:10,930 REPRESENTATION OF THE DOMAINS 3604 02:38:10,930 --> 02:38:12,799 PROCESSING, MEMORY AND EXECUTIVE 3605 02:38:12,799 --> 02:38:15,969 FUNCTION AND NEURAL MOTOR 3606 02:38:15,969 --> 02:38:19,072 FUNCTION AND LANGUAGE NUMERACY 3607 02:38:19,072 --> 02:38:20,140 AND ADAPTIVE FUNCTION. 3608 02:38:20,140 --> 02:38:23,576 WE OPTED TO USE THE BABY TOOLBOX 3609 02:38:23,576 --> 02:38:25,311 OF THE NIH INFANT AND TODDLER 3610 02:38:25,311 --> 02:38:28,381 TOOLBOX BECAUSE WE WANTED TO 3611 02:38:28,381 --> 02:38:30,116 TAKE ADVANTAGE OF THE 3612 02:38:30,116 --> 02:38:30,683 DEVELOPMENTAL NEUROSCIENCE 3613 02:38:30,683 --> 02:38:31,718 THAT'S GONE INTO THE DEVELOPMENT 3614 02:38:31,718 --> 02:38:33,887 OF THE INSTRUMENT. 3615 02:38:33,887 --> 02:38:35,788 AND WE THOUGHT IT WOULD MAP WELL 3616 02:38:35,788 --> 02:38:41,027 OR DOVETAIL WELL INTO THE ABCD 3617 02:38:41,027 --> 02:38:42,228 EFFORT TO MAP NEURAL COGNITIVE 3618 02:38:42,228 --> 02:38:44,030 FUNCTION TO BRING AS WE PROGRESS 3619 02:38:44,030 --> 02:38:45,598 FORWARD IN THE STUDY THAT'S 3620 02:38:45,598 --> 02:38:49,235 GOING TO MOVE TO 9 TO 12 YEARS 3621 02:38:49,235 --> 02:38:50,603 OF AGE. 3622 02:38:50,603 --> 02:38:52,839 IN ADDITION, WE'RE COLLECTING 3623 02:38:52,839 --> 02:38:55,775 OTHER MEASURES AND SO WHEN YOU 3624 02:38:55,775 --> 02:38:56,843 THINK ABOUT POTENTIAL VALIDITY 3625 02:38:56,843 --> 02:38:59,379 STUDIES FOR THE BABY TOOLBOX I 3626 02:38:59,379 --> 02:39:01,047 THINK YOU CAN TAP ON TO OUR 3627 02:39:01,047 --> 02:39:02,682 MEASURES WE'RE COLLECTING. 3628 02:39:02,682 --> 02:39:04,817 WE'RE DOING THE BAYLEY SCALES OF 3629 02:39:04,817 --> 02:39:08,087 INFANT AND TODDLER DEVELOPMENT 3630 02:39:08,087 --> 02:39:10,657 AT THE FOURTH EDITION AT VISIT 3631 02:39:10,657 --> 02:39:12,692 FOUR BETWEEN 9 TO 14 MONTHS. 3632 02:39:12,692 --> 02:39:14,360 WE'RE DOING SENSORY PROCESSING 3633 02:39:14,360 --> 02:39:20,600 MEASURES AT VISIT THREE AND 3634 02:39:20,600 --> 02:39:20,800 FIVE. 3635 02:39:20,800 --> 02:39:31,344 THE McCARTHER-BATES INVENTORY 3636 02:39:31,611 --> 02:39:33,846 AND DEFERRED VISITATION AT SIX 3637 02:39:33,846 --> 02:39:35,815 AND DIVIDE IT INTO SOMETHING 3638 02:39:35,815 --> 02:39:37,217 REASONABLE AT SOME POINT AND THE 3639 02:39:37,217 --> 02:39:38,418 BEHAVIOR SCALES WE'RE DOING AT 3640 02:39:38,418 --> 02:39:42,455 VISIT FIVE AND SEVEN. 3641 02:39:42,455 --> 02:39:44,257 THIS IS A MAP SHOWING EACH OF 3642 02:39:44,257 --> 02:39:45,592 THE DEVELOPMENT POCKETS WE'RE 3643 02:39:45,592 --> 02:39:47,627 DOING EACH OF THESE. 3644 02:39:47,627 --> 02:39:49,462 WE'RE DOING THE MULLEN 3645 02:39:49,462 --> 02:39:50,730 EXPRESSIVE AND RECEMENTIVE 3646 02:39:50,730 --> 02:39:53,700 MEASURES AT VISIT THREE AND THEN 3647 02:39:53,700 --> 02:39:56,202 AT VISIT SIX AND THEN VISIT SIX 3648 02:39:56,202 --> 02:39:58,137 OR EIGHT AGAIN. 3649 02:39:58,137 --> 02:40:00,373 THE VISUAL RECEPTION AT VISIT 3650 02:40:00,373 --> 02:40:02,842 SIX AND EIGHT AND THE GAZE TASKS 3651 02:40:02,842 --> 02:40:05,044 LOOKING WHILE LISTENING WHICH 3652 02:40:05,044 --> 02:40:08,214 WILL TRANSITION TO PICTURE 3653 02:40:08,214 --> 02:40:11,818 VOCABULARY AND NUMERICAL CHANGE 3654 02:40:11,818 --> 02:40:14,287 DETECTION STARTING AT VISIT 3655 02:40:14,287 --> 02:40:15,888 THREE THROUGHOUT VISIT FOUR AND 3656 02:40:15,888 --> 02:40:20,293 VISIT SIX AND MOVE INTO THE 3657 02:40:20,293 --> 02:40:21,160 TOUCH TASKS. 3658 02:40:21,160 --> 02:40:23,596 I HERE'S A TIME LINE OF OUR. 3659 02:40:23,596 --> 02:40:27,834 WE STARTED IN JULY OF LAST YEAR 3660 02:40:27,834 --> 02:40:32,672 AND MARION NOVAK TRAINED OUR 3661 02:40:32,672 --> 02:40:34,741 MEASURE EXPERTS AND THEY WENT 3662 02:40:34,741 --> 02:40:36,109 BACK AND TRAINED THEIR STAFF. 3663 02:40:36,109 --> 02:40:40,780 WE THEN DID AN OVER ALL HBCD 3664 02:40:40,780 --> 02:40:51,457 STAFF TRAINING VEIA ZOOM AND THY 3665 02:40:51,457 --> 02:40:54,027 HELPED WITH CERTIFICATION FOR 3666 02:40:54,027 --> 02:40:54,894 THE ENTIRE STAFF. 3667 02:40:54,894 --> 02:40:59,265 SO ALL HBCD STAFF WERE ABLE TO 3668 02:40:59,265 --> 02:41:01,000 SUBMIT CERTIFICATION VIA VIDEO 3669 02:41:01,000 --> 02:41:03,403 IN SEPTEMBER 2023 AND THEN IN 3670 02:41:03,403 --> 02:41:06,239 NOVEMBER, 2023 WE HAD OUR FIRST 3671 02:41:06,239 --> 02:41:08,341 V3 PILOT WHEN WE INITIATED 3672 02:41:08,341 --> 02:41:10,943 INFANT ASSESSMENTS AND AS OF 3673 02:41:10,943 --> 02:41:12,478 MARCH 14 WHEN I HAD TO SUBMIT 3674 02:41:12,478 --> 02:41:14,347 THE SLIDES OR NEAR THE DATA I 3675 02:41:14,347 --> 02:41:17,784 HAD TO SUBMIT THE SLIDES WE HAD 3676 02:41:17,784 --> 02:41:19,485 27 PEOPLE CERTIFIED ACROSS 23 3677 02:41:19,485 --> 02:41:20,253 SITES. 3678 02:41:20,253 --> 02:41:21,988 TWO SITES PASSED THE ADULT 3679 02:41:21,988 --> 02:41:23,156 PROTOCOL BUT STILL HAD TO WORK 3680 02:41:23,156 --> 02:41:25,024 ON THE CHILD ASSESSMENT 3681 02:41:25,024 --> 02:41:25,591 PROTOCOL. 3682 02:41:25,591 --> 02:41:27,827 I'LL SHARE WITH YOU SOME OF OUR 3683 02:41:27,827 --> 02:41:28,695 TRAINING COMPONENTS. 3684 02:41:28,695 --> 02:41:30,997 PART OF THE TRAINING IS TO FIRST 3685 02:41:30,997 --> 02:41:32,298 GET CHECKED DOING THE MULLEN 3686 02:41:32,298 --> 02:41:35,368 ITEMS WITH AN ADULT TO SHOW YOU 3687 02:41:35,368 --> 02:41:37,003 KNOW HOW TO ADMINISTER THE 3688 02:41:37,003 --> 02:41:37,370 ITEMS. 3689 02:41:37,370 --> 02:41:40,273 SECOND IS THE MULLEN AND GAZE 3690 02:41:40,273 --> 02:41:41,374 MEASURES WITH AN ACTUAL CHILD. 3691 02:41:41,374 --> 02:41:44,310 YOU CAN SEE THE PASS RATES ARE 3692 02:41:44,310 --> 02:41:46,079 RELATIVELY HIGH, 69.8% FOR THE 3693 02:41:46,079 --> 02:41:48,314 ADULT TECHNIQUE. 3694 02:41:48,314 --> 02:41:51,084 AND IT GOES DOWN TO 52.8 FOR THE 3695 02:41:51,084 --> 02:41:56,322 CHILD AND WE THINK THERE IS A 3696 02:41:56,322 --> 02:41:59,425 HEAVY BURDEN POSTBACCALAUREATE 3697 02:41:59,425 --> 02:42:01,027 INDIVIDUALS MAKING UP OUR 3698 02:42:01,027 --> 02:42:02,328 RESEARCH ASSISTANTS AND 3699 02:42:02,328 --> 02:42:03,963 STRUGGLING IN DEALING WITH 3700 02:42:03,963 --> 02:42:05,998 INFANT ASSESSMENT AND MANAGING 3701 02:42:05,998 --> 02:42:06,833 BEHAVIOR THROUGH THE PROTOCOL. 3702 02:42:06,833 --> 02:42:09,235 BUT WE DO WANT TO POINT OUT THE 3703 02:42:09,235 --> 02:42:11,571 BAYLEY 4 WENT THROUGH A SIMILAR 3704 02:42:11,571 --> 02:42:12,972 PROCEDURE AND THEIR SUCCESS RATE 3705 02:42:12,972 --> 02:42:15,208 IS 36.5%. 3706 02:42:15,208 --> 02:42:17,610 WE HAVE A SLIGHT ADVANTAGE OVER 3707 02:42:17,610 --> 02:42:19,178 THE BAYLEY AND TRAINING PROCESS. 3708 02:42:19,178 --> 02:42:20,346 WHEN WE LOOK AT AVERAGE NUMBER 3709 02:42:20,346 --> 02:42:23,449 OF VIDEOS IT TAKES TO GET 3710 02:42:23,449 --> 02:42:25,551 CERTIFIED, FOR ADULT IT'S 1.24, 3711 02:42:25,551 --> 02:42:29,021 FOR A CHILD 1.64. 3712 02:42:29,021 --> 02:42:31,290 SO YOU CAN SEE DOING THAT 3713 02:42:31,290 --> 02:42:31,958 THERE'S STILL THE ADDITIONAL 3714 02:42:31,958 --> 02:42:33,025 ELEMENT OF MANAGING THE BABY 3715 02:42:33,025 --> 02:42:36,963 THROUGH THE PROCEDURE. 3716 02:42:36,963 --> 02:42:38,264 ADDITION TO THE TRAININGS WE'RE 3717 02:42:38,264 --> 02:42:39,966 DOING UPDATES ON CALL AND WHERE 3718 02:42:39,966 --> 02:42:42,402 WE SEE A PROBLEM, WE GO TO THE 3719 02:42:42,402 --> 02:42:46,172 WHOLE RA GROUP ON A WEEKLY BASIS 3720 02:42:46,172 --> 02:42:47,273 AND SAY HERE'S THE PROBLEMS. 3721 02:42:47,273 --> 02:42:49,776 WATCH OUT FOR THIS SO YOU DON'T 3722 02:42:49,776 --> 02:42:51,544 FAIL YOUR ASSESSMENT. 3723 02:42:51,544 --> 02:42:52,812 WE DO NEURAL COGNITIVE OFFICE 3724 02:42:52,812 --> 02:42:54,113 HOURS EVERY THURSDAY SO THE 3725 02:42:54,113 --> 02:42:55,214 THREE OF US STAFF THAT 3726 02:42:55,214 --> 02:42:55,782 PERIODICALLY. 3727 02:42:55,782 --> 02:42:58,117 YOU MAY NOT HAVE EVERYBODY, 3728 02:42:58,117 --> 02:42:59,852 EVERY DAY BUT ONE OF US IS THERE 3729 02:42:59,852 --> 02:43:02,355 EVERY THURSDAY AND WE ANSWER THE 3730 02:43:02,355 --> 02:43:07,360 QUESTIONS FROM THE RAS FROM THE 3731 02:43:07,360 --> 02:43:07,560 SITES. 3732 02:43:07,560 --> 02:43:10,129 WE GENERATE TIPS FOR FUSSY 3733 02:43:10,129 --> 02:43:10,363 BABIES. 3734 02:43:10,363 --> 02:43:12,398 THAT'S AN ONGOING AREA OF 3735 02:43:12,398 --> 02:43:14,367 DEVELOPMENT FOR THOSE WHO DON'T 3736 02:43:14,367 --> 02:43:17,570 HAVE INFANT ASSESSMENT 3737 02:43:17,570 --> 02:43:20,373 EXPERIENCE NEED SUPPORT IN AND 3738 02:43:20,373 --> 02:43:22,208 GO ONE-ON-ONE TRAINING WITH 3739 02:43:22,208 --> 02:43:24,644 STAFF AS NEEDED AND LOOK AT 3740 02:43:24,644 --> 02:43:25,812 FIDELITY AND RELIABILITY OVER 3741 02:43:25,812 --> 02:43:32,218 THE COURT -- COURSE OF THIS 3742 02:43:32,218 --> 02:43:35,388 STUDY AND CHECKING THE 10th 3743 02:43:35,388 --> 02:43:37,723 VIDEO AND MONITOR FOR SITE 3744 02:43:37,723 --> 02:43:39,258 PROBLEMS AND ASSESSOR PROBLEMS 3745 02:43:39,258 --> 02:43:41,594 AND ITEM LEVEL PROBLEMS WHERE 3746 02:43:41,594 --> 02:43:47,333 THE WHOLE STAFF NEED TO BE 3747 02:43:47,333 --> 02:43:49,001 RETRAINED BECAUSE OF FREQUENT 3748 02:43:49,001 --> 02:43:50,336 ERRORS AND YOU JUST NEED TO 3749 02:43:50,336 --> 02:43:53,039 UNDERSTAND THE PUBLIC ACCESS AT 3750 02:43:53,039 --> 02:43:55,074 THE END IN THE PINKISH COLOR 3751 02:43:55,074 --> 02:43:55,341 AREA. 3752 02:43:55,341 --> 02:43:57,443 THIS IS OPEN SCIENCE. 3753 02:43:57,443 --> 02:43:58,811 ALL OUR RESEARCH WILL BE 3754 02:43:58,811 --> 02:44:00,746 AVAILABLE FOR PEOPLE TO 3755 02:44:00,746 --> 02:44:01,314 DOWNLOAD. 3756 02:44:01,314 --> 02:44:04,884 OUR FIRST ANTICIPATED AVAILABLE 3757 02:44:04,884 --> 02:44:07,153 DATA IS EARLY NEXT YEAR. 3758 02:44:07,153 --> 02:44:09,822 I DON'T ANTICIPATE A LOT OF 3759 02:44:09,822 --> 02:44:11,424 INFANT ASSESSMENT MATERIAL IN 3760 02:44:11,424 --> 02:44:13,426 THAT BECAUSE WE'RE LOCK THE DATA 3761 02:44:13,426 --> 02:44:14,694 AS OF JULY AND THERE'S NOT A LOT 3762 02:44:14,694 --> 02:44:20,366 OF V 3 STUFF YET. 3763 02:44:20,366 --> 02:44:24,837 THAT'S IT. 3764 02:44:24,837 --> 02:44:26,372 >> THANK YOU VERY MUCH. 3765 02:44:26,372 --> 02:44:28,841 WE REALLY APPRECIATED HAVING 3766 02:44:28,841 --> 02:44:39,385 SOMEONE WHO WAS NOT ONE OF THE 3767 02:44:41,087 --> 02:44:44,557 TOOL BUILDERS BUT BEING AN EARLY 3768 02:44:44,557 --> 02:44:49,028 ADOPTER IS AN IMPORTANT COHORT 3769 02:44:49,028 --> 02:44:59,572 IN TOOL MEASUREMENT DEVELOPMENT. 3770 02:45:03,809 --> 02:45:05,611 DR. KAREN ADOLPH IS THE 3771 02:45:05,611 --> 02:45:07,947 PROFESSOR OF APPLIED PSYCHOLOGY 3772 02:45:07,947 --> 02:45:12,885 AND THE CHILD AND ADOLESCENT 3773 02:45:12,885 --> 02:45:14,353 PSYCHIATRY AND PROFESSOR OF 3774 02:45:14,353 --> 02:45:17,690 CHILD AND ADOLESCENT PSYCHIATRY 3775 02:45:17,690 --> 02:45:20,359 AT NEW YORK CENTER AND DIRECTS 3776 02:45:20,359 --> 02:45:24,363 THE VIDEO LIBRARY AND PLAY 3777 02:45:24,363 --> 02:45:25,932 PROJECT AND MAINTAINS THE DAY TO 3778 02:45:25,932 --> 02:45:29,902 VIEW VIDEO CODING TOOL AND USES 3779 02:45:29,902 --> 02:45:31,470 OBSERVABLE MOTOR BEHAVIORS AND A 3780 02:45:31,470 --> 02:45:35,341 VARIETY OF TECHNOLOGIES 3781 02:45:35,341 --> 02:45:37,076 INCLUDING VIDEO, MOTION TRACKING 3782 02:45:37,076 --> 02:45:39,145 AND INSTRUMENT OF FLOORS, HEAD 3783 02:45:39,145 --> 02:45:41,013 MOUNTED EYE TRACKING AND EEG 3784 02:45:41,013 --> 02:45:43,583 AMONG OTHER MEASURES. 3785 02:45:43,583 --> 02:45:47,820 AS A DEVELOPMENTAL TO STUDY THE 3786 02:45:47,820 --> 02:45:48,287 DEVELOPMENT PROCESSES. 3787 02:45:48,287 --> 02:45:51,390 AS I MENTIONED EARLIER TODAY AND 3788 02:45:51,390 --> 02:45:53,025 AS YOU'LL HEAR AGAIN NOW, 3789 02:45:53,025 --> 02:45:55,261 DR. ADOLPH HAS BEEN A KEY PLAYER 3790 02:45:55,261 --> 02:45:58,664 IN DEVELOPING ALL THE MOTOR 3791 02:45:58,664 --> 02:46:01,834 ASSESSMENTS IN BOTH NIH BABY 3792 02:46:01,834 --> 02:46:05,204 TOOLBOX AS WELL AS THE NIH 3793 02:46:05,204 --> 02:46:05,438 TOOLBOX. 3794 02:46:05,438 --> 02:46:09,041 DR. ADOLPH HAS BEEN A VALUABLE 3795 02:46:09,041 --> 02:46:13,012 ASSET TO THE BABY TOOLBOX AND 3796 02:46:13,012 --> 02:46:17,383 WE'RE BLOOD GLOOD HAD TO HAVE H 3797 02:46:17,383 --> 02:46:17,617 PRESENT. 3798 02:46:17,617 --> 02:46:21,821 >> THANK YOU, KATHY. 3799 02:46:21,821 --> 02:46:23,289 I'LL TALK ABOUT ASSESSMENT FOR 3800 02:46:23,289 --> 02:46:25,024 THE MOTOR DEVELOPMENT FOR THE 3801 02:46:25,024 --> 02:46:28,527 BABY TOOLBOX. 3802 02:46:28,527 --> 02:46:30,496 EXISTING METHODS OF MEASURING 3803 02:46:30,496 --> 02:46:32,031 MOTOR DEVELOPMENT IN CHILDREN 3804 02:46:32,031 --> 02:46:33,032 RELY ON SUBJECTIVE ASSESSMENTS 3805 02:46:33,032 --> 02:46:36,268 FROM EXPERTS WHO HAVE EXTENSIVE 3806 02:46:36,268 --> 02:46:38,437 TRAINING OR THEY REQUIRE 3807 02:46:38,437 --> 02:46:41,007 EXTENSIVE AND CUMBERSOME 3808 02:46:41,007 --> 02:46:44,310 RECORDING TECHNOLOGIES TO TRACK 3809 02:46:44,310 --> 02:46:45,211 CHILDREN'S MOVEMENT. 3810 02:46:45,211 --> 02:46:52,752 WE CAME UP FOR A WAY WITH TO 3811 02:46:52,752 --> 02:46:53,919 ASSESS MOTOR DEVELOPMENT USING 3812 02:46:53,919 --> 02:46:59,659 JUST AN iPAD AND COMMON ITEMS 3813 02:46:59,659 --> 02:47:00,726 LIKE A MEASURING CUP. 3814 02:47:00,726 --> 02:47:04,363 WE LEVERAGED THE VIDEO 3815 02:47:04,363 --> 02:47:05,931 CAPABILITIES OF THE iPAD TO 3816 02:47:05,931 --> 02:47:07,199 RECORD AND CODE CHILDREN'S 3817 02:47:07,199 --> 02:47:08,200 BEHAVIORS IN REAL TIME. 3818 02:47:08,200 --> 02:47:11,437 THE USE OF THE VIDEO IS SUPER 3819 02:47:11,437 --> 02:47:13,973 COOL BECAUSE ADMINISTRATORS CAN 3820 02:47:13,973 --> 02:47:15,541 CAPTURE BEHAVIORS THAT ARE 3821 02:47:15,541 --> 02:47:18,244 HAPPENING TOO FAST FOR THEM TO 3822 02:47:18,244 --> 02:47:20,513 SEE WITH THEIR NAKED EYE AND CAN 3823 02:47:20,513 --> 02:47:22,214 QUANTIFY THE TIMING AND SPEED OF 3824 02:47:22,214 --> 02:47:24,817 THE MOVEMENTS AND THEY CAN 3825 02:47:24,817 --> 02:47:25,418 EXPORT THE VIDEOS FOR FURTHER 3826 02:47:25,418 --> 02:47:30,790 ANALYSES. 3827 02:47:30,790 --> 02:47:35,227 FIRST I'LL SHOW UP THE GET UP 3828 02:47:35,227 --> 02:47:38,497 AND GO TASK OF LOCOMOTION AND 3829 02:47:38,497 --> 02:47:40,733 THE GET OUT PART LOOKS AT 3830 02:47:40,733 --> 02:47:43,302 TRANSITIONS AND THE GO PART 3831 02:47:43,302 --> 02:47:45,271 TESTS LOCOMOTION. 3832 02:47:45,271 --> 02:47:47,339 THIS IS AN EXAMPLE OF GET UP AND 3833 02:47:47,339 --> 02:47:51,410 GO BEING RECORDED ON THE iPAD IN 3834 02:47:51,410 --> 02:47:53,979 A HOME AND FOR BABIES WHO CAN 3835 02:47:53,979 --> 02:47:55,681 CRAWL OR WALK THE ADMINISTRATOR 3836 02:47:55,681 --> 02:47:57,850 PUTS THEM ON THEIR BACKS AND 3837 02:47:57,850 --> 02:47:59,518 ENCOURAGES THEM TO GET UP AND GO 3838 02:47:59,518 --> 02:48:02,588 TO THEIR CAREGIVER. 3839 02:48:02,588 --> 02:48:07,793 AND THEN THEY'LL GO UP AND THEN 3840 02:48:07,793 --> 02:48:09,528 GET DOWN FROM A STAIR HEIGHT 3841 02:48:09,528 --> 02:48:10,196 PLATFORM. 3842 02:48:10,196 --> 02:48:12,765 THEN THE APP PROMPTS THE 3843 02:48:12,765 --> 02:48:14,266 ADMINISTRATOR THROUGH A SERIES 3844 02:48:14,266 --> 02:48:16,202 OF QUESTIONS ABOUT EACH BEHAVIOR 3845 02:48:16,202 --> 02:48:18,204 IN SEQUENCE LIKE HOW DID THIS 3846 02:48:18,204 --> 02:48:20,606 CHILD GET OFF THEIR BACK? 3847 02:48:20,606 --> 02:48:22,274 THE ADMINISTRATOR CAN SCROLL 3848 02:48:22,274 --> 02:48:24,276 THROUGH THE VIDEO TO SEE WHAT 3849 02:48:24,276 --> 02:48:25,611 THE CHILD DID TO KNOW HOW THEY 3850 02:48:25,611 --> 02:48:28,114 SHOULD ANSWER. 3851 02:48:28,114 --> 02:48:30,149 EVERY ANSWER HAS A LINE DRAWING 3852 02:48:30,149 --> 02:48:31,984 THAT REMINDS THE ADMINISTRATOR 3853 02:48:31,984 --> 02:48:33,252 WHAT THE BEHAVIORS ARE. 3854 02:48:33,252 --> 02:48:35,221 SO IT ALLOWS YOU TO MATCH THE 3855 02:48:35,221 --> 02:48:37,089 VIDEO THAT YOU'RE LOOKING AT 3856 02:48:37,089 --> 02:48:38,657 DIRECTLY TO THE PICTURE THAT 3857 02:48:38,657 --> 02:48:42,194 YOU'RE SEEING. 3858 02:48:42,194 --> 02:48:44,196 IF THE CHILD TRAVELED THREE 3859 02:48:44,196 --> 02:48:46,499 METERS WITHOUT STOPPING, THEN 3860 02:48:46,499 --> 02:48:48,868 THE APP CAPITALIZES ON THE iPAD 3861 02:48:48,868 --> 02:48:53,038 FUNCTIONALITY TO FIND THE SPEED 3862 02:48:53,038 --> 02:48:55,407 OF THEIR WALK OR CRAWL BASED ON 3863 02:48:55,407 --> 02:48:56,208 THE START AND END TIMES TO GO 3864 02:48:56,208 --> 02:49:00,713 THREE METERS. 3865 02:49:00,713 --> 02:49:03,816 THE CAN SCROLL BACK AND FORTH 3866 02:49:03,816 --> 02:49:05,050 UNTIL THEY FIND THE EXACT START 3867 02:49:05,050 --> 02:49:08,788 AND END TIMES. 3868 02:49:08,788 --> 02:49:12,057 WE HAVE VERSIONS OF THE TASK FOR 3869 02:49:12,057 --> 02:49:14,627 CHILDREN WITH DIFFERENT SKILL 3870 02:49:14,627 --> 02:49:16,862 LEVELS INCLUDING BABIES WHO 3871 02:49:16,862 --> 02:49:19,865 CANNOT YET CRAWL OR WALK OR 3872 02:49:19,865 --> 02:49:20,065 ROLL. 3873 02:49:20,065 --> 02:49:22,067 THE APP GUIDES THE ADMINISTRATOR 3874 02:49:22,067 --> 02:49:23,469 BASED ON QUESTIONS TO THE PARENT 3875 02:49:23,469 --> 02:49:25,571 AND GUIDES THEM THROUGH 3876 02:49:25,571 --> 02:49:27,740 IDENTIFYING AND TIMING THE 3877 02:49:27,740 --> 02:49:32,278 SKILLS THAT THE CHILD DISPLAYED. 3878 02:49:32,278 --> 02:49:34,380 REACH TO EAT ASSESSES MANUAL 3879 02:49:34,380 --> 02:49:37,216 SKILLS AND TOOL USE. 3880 02:49:37,216 --> 02:49:40,519 THIS IS AN OLDER CHILD DOING THE 3881 02:49:40,519 --> 02:49:43,756 REACH TO EAT TASK. 3882 02:49:43,756 --> 02:49:46,192 OLDER CHILDREN REACH FOR SMALL 3883 02:49:46,192 --> 02:49:48,394 CHEERIOS AS AN UPSIDE-DOWN 3884 02:49:48,394 --> 02:49:50,229 AMERICA CUP AND DO THE TOOL USE 3885 02:49:50,229 --> 02:49:52,865 TASK WITH A SPOON. 3886 02:49:52,865 --> 02:49:56,802 FIRST YOU'LL SEE THE EASY 3887 02:49:56,802 --> 02:49:58,537 VERSION WHERE THE CHILD PICK UP 3888 02:49:58,537 --> 02:50:00,973 THE SPOON AND THE MORE 3889 02:50:00,973 --> 02:50:01,974 CHALLENGING VERSION WHERE THE 3890 02:50:01,974 --> 02:50:02,842 SPOON HANDLE IS POINTING THE 3891 02:50:02,842 --> 02:50:08,080 WRONG WAY FOR THAT HAND. 3892 02:50:08,080 --> 02:50:11,917 AUTO HERE'S WHERE THE VIDEO PLAY 3893 02:50:11,917 --> 02:50:14,954 PLAYBACK REALLY SHINES. 3894 02:50:14,954 --> 02:50:20,826 WHICH DID THE CHILD USE TO GRASP 3895 02:50:20,826 --> 02:50:22,461 THE CHEERIOS. 3896 02:50:22,461 --> 02:50:24,964 THEY CAN USE THE VIDEO PLAY BACK 3897 02:50:24,964 --> 02:50:26,665 TO SCORE IMPORTANT AND PRECISE 3898 02:50:26,665 --> 02:50:29,134 BEHAVIORS LIKE GRIPS. 3899 02:50:29,134 --> 02:50:33,038 USING THE VIDEO PLAY BACK THE 3900 02:50:33,038 --> 02:50:34,273 ADMINISTRATOR CAN SLOW DOWN, 3901 02:50:34,273 --> 02:50:36,909 BACK UP AND FREEZE THE FRAME ON 3902 02:50:36,909 --> 02:50:46,051 THE EXACT MOMENT OF THE GRASP. 3903 02:50:46,051 --> 02:50:47,620 REACH TO EAT IS ADAPTIVE. 3904 02:50:47,620 --> 02:50:50,356 ALL THE TASKS ARE ADAPTIVE. 3905 02:50:50,356 --> 02:50:52,591 THIS BABY CAN'T GRAB IT FROM THE 3906 02:50:52,591 --> 02:50:54,159 SMALL BASE AND KNOCKED IT TO THE 3907 02:50:54,159 --> 02:50:57,229 SMALL TABLE AND INSTEAD OF 3908 02:50:57,229 --> 02:50:58,864 MOVING TO THE MORE ADVANCED TASK 3909 02:50:58,864 --> 02:51:01,000 THE APP PROMPT THE ADMINISTRATOR 3910 02:51:01,000 --> 02:51:02,668 TO TEST GRASPING WITH THE LARGE 3911 02:51:02,668 --> 02:51:04,637 BASE AND NOW THAT CHILD CAN 3912 02:51:04,637 --> 02:51:09,708 GRASP JUST FINE. 3913 02:51:09,708 --> 02:51:12,678 FOR THE YOUNGEST CHILDREN WHO 3914 02:51:12,678 --> 02:51:15,748 ARE NOT YET EATING SOLID FOODS 3915 02:51:15,748 --> 02:51:17,016 LIKE CHEERIOS THEY DO A SIMILAR 3916 02:51:17,016 --> 02:51:23,022 TASK WITH A BLOCK. 3917 02:51:23,022 --> 02:51:25,591 SIT AND STAND MEASURES 3918 02:51:25,591 --> 02:51:26,592 STATIONARY POSTURAL CONTROL. 3919 02:51:26,592 --> 02:51:30,162 AS ALWAYS, THERE'S A DIFFICULT 3920 02:51:30,162 --> 02:51:31,597 COMPONENT FOR EACH TASK FOR EACH 3921 02:51:31,597 --> 02:51:33,432 AGE GROUP SO THEY'RE NEVER AT 3922 02:51:33,432 --> 02:51:33,799 CEILING. 3923 02:51:33,799 --> 02:51:36,502 THIS OLDER CHILD IS TRAINED TO 3924 02:51:36,502 --> 02:51:38,103 DO A TANDEM STAND WITH ONE FOOT 3925 02:51:38,103 --> 02:51:39,705 IN FRONT OF THE OTHER. 3926 02:51:39,705 --> 02:51:40,272 IT'S REALLY DIFFICULT. 3927 02:51:40,272 --> 02:51:42,107 EVEN FOR THE OLDER CHILD IT'S 3928 02:51:42,107 --> 02:51:47,346 STILL A CHALLENGE. 3929 02:51:47,346 --> 02:51:49,782 USING THE APP WE CAN GO BACK AND 3930 02:51:49,782 --> 02:51:52,117 FORTH TO FRAME THE EXACT START 3931 02:51:52,117 --> 02:51:54,753 AND STOP TIME THAT WILL REVEAL 3932 02:51:54,753 --> 02:51:58,857 HOW LONG THE CHILD HELD POSTURE 3933 02:51:58,857 --> 02:52:01,026 AND FIND THE MOMENT THE CHILD 3934 02:52:01,026 --> 02:52:06,665 STEPPED OUT OF THE STAND. 3935 02:52:06,665 --> 02:52:07,967 FOR YOUNGER CHILDREN WE ASSESS 3936 02:52:07,967 --> 02:52:11,236 BASIC SITTING AND STANDING. 3937 02:52:11,236 --> 02:52:14,073 HERE'S AN INFANT ATTEMPTING TO 3938 02:52:14,073 --> 02:52:15,975 DO A FEET A PART STAND. 3939 02:52:15,975 --> 02:52:17,009 CAN'T QUITE HOLD IT VERY LONG 3940 02:52:17,009 --> 02:52:20,646 AND THE BABY DOING THE 3941 02:52:20,646 --> 02:52:22,181 INDEPENDENT SITTING TASK. 3942 02:52:22,181 --> 02:52:24,984 WHICH POSTURES YOU TEST ARE 3943 02:52:24,984 --> 02:52:26,485 DICTATED BY QUESTIONS TO THE 3944 02:52:26,485 --> 02:52:28,754 PARENTS AND THE APP GUIDES YOU 3945 02:52:28,754 --> 02:52:32,791 THROUGH WHAT TO ADMINISTER AND 3946 02:52:32,791 --> 02:52:34,226 HOW TO CODE IT. 3947 02:52:34,226 --> 02:52:36,962 FINALLY FOR THE YOUNGEST BABIES 3948 02:52:36,962 --> 02:52:39,832 WHO CAN'T SIT WE TEST HEAD 3949 02:52:39,832 --> 02:52:41,000 CONTROL CALLED PULLED TO SHUT. 3950 02:52:41,000 --> 02:52:42,534 WE'RE STILL IN THE PROCESS OF 3951 02:52:42,534 --> 02:52:44,670 DEVELOPING THE FINAL SCORES SO 3952 02:52:44,670 --> 02:52:46,772 FAR WE'VE ANALYZED ABOUT 3953 02:52:46,772 --> 02:52:49,008 TWO-THIRDS OF THE DATA. 3954 02:52:49,008 --> 02:52:52,211 WE'LL HAVE GROSS AND FINE MOTOR 3955 02:52:52,211 --> 02:52:55,147 COMPOSITE SCORES AND SCORES FOR 3956 02:52:55,147 --> 02:52:56,482 SUB DOMAINS THAT INCLUDE 3957 02:52:56,482 --> 02:53:00,319 POSTURAL CONDITIONS, LOCOMOTION 3958 02:53:00,319 --> 02:53:01,487 AND MANUAL DEXTERITY AND 3959 02:53:01,487 --> 02:53:01,754 PLANNING. 3960 02:53:01,754 --> 02:53:03,489 WE'LL HAVE FULL SCORES FOR GET 3961 02:53:03,489 --> 02:53:05,758 UP AND GO AND REACH TO EAT BUT 3962 02:53:05,758 --> 02:53:09,028 FOR SIT AND STAND THERE WERE 3963 02:53:09,028 --> 02:53:10,729 ISSUES IN ADMINISTRATION AND 3964 02:53:10,729 --> 02:53:13,032 CHILDREN'S COMPLIANCE SO WE'RE 3965 02:53:13,032 --> 02:53:19,972 RECOMMEND ARE -- RECOMMENDING 3966 02:53:19,972 --> 02:53:24,009 IT'S USED AS A SUPPLEMENTAL AND 3967 02:53:24,009 --> 02:53:27,746 WE'RE SEEING VARIABILITY WITHIN 3968 02:53:27,746 --> 02:53:31,483 EACH AGE GROUP AND LEERS THE 3969 02:53:31,483 --> 02:53:32,785 CORRELATION BETWEEN THE GROSS 3970 02:53:32,785 --> 02:53:33,619 MOTOR COMPOSITE SCORE AND 3971 02:53:33,619 --> 02:53:35,421 CHILDREN'S AGE. 3972 02:53:35,421 --> 02:53:37,589 THOUGH ONLY A SMALL SUBSET 3973 02:53:37,589 --> 02:53:39,558 RETURN TO COMPLETE THE BAYLEY 3974 02:53:39,558 --> 02:53:41,860 SCALES WE ALSO FIND STRONG 3975 02:53:41,860 --> 02:53:44,763 CORRELATIONS BETWEEN THE GROSS 3976 02:53:44,763 --> 02:53:47,266 MOTOR COMPOSITE SCORE AND THE 3977 02:53:47,266 --> 02:53:49,034 GROSS ON THE BAYLEY. 3978 02:53:49,034 --> 02:53:52,371 SIMILARLY, THE BABY TOOLBOX FINE 3979 02:53:52,371 --> 02:53:55,507 MOTOR COMPOSITE SCORE IS WELL 3980 02:53:55,507 --> 02:53:58,510 WITH CHILDREN'S AGE AND THE FINE 3981 02:53:58,510 --> 02:54:00,312 MOTOR COMPOSITE SCORE IS 3982 02:54:00,312 --> 02:54:01,046 CORRELATED WITH FINE MOTOR ON 3983 02:54:01,046 --> 02:54:04,483 THE BAILEY. 3984 02:54:04,483 --> 02:54:06,585 -- BAYLEY AND FOR THE BABY 3985 02:54:06,585 --> 02:54:09,021 TOOLBOX WE DEVELOPED A WAY FOR 3986 02:54:09,021 --> 02:54:13,058 NON-EXPERTS TO OBTAIN DETAILED 3987 02:54:13,058 --> 02:54:16,962 QUANTITATIVE ASSESSMENTS BASED 3988 02:54:16,962 --> 02:54:18,097 ON DIRECTLY OBSERVED BEHAVIORS 3989 02:54:18,097 --> 02:54:21,533 IN A SHORT AMOUNT OF TIME. 3990 02:54:21,533 --> 02:54:24,403 AND EVERY 10 MINUTES YOU CAN 3991 02:54:24,403 --> 02:54:29,675 MEASURE A SUITE OF LOCO MOTOR 3992 02:54:29,675 --> 02:54:33,745 SCORES AND IMPLICATIONS FOR 3993 02:54:33,745 --> 02:54:34,046 DAILY LIFE. 3994 02:54:34,046 --> 02:54:36,915 EACH TASK IS ADAPTIVE SO THAT 3995 02:54:36,915 --> 02:54:39,551 MEANS FROM THE VERY FIRST CLUMSY 3996 02:54:39,551 --> 02:54:48,127 MOVEMENT IN A ONE-MONTH-OLD TO 3997 02:54:48,127 --> 02:54:50,095 SKILLED EFFICIENT MOVEMENT IN 3998 02:54:50,095 --> 02:54:51,797 4-MONTH-OLDS AND THEY CAN BE 3999 02:54:51,797 --> 02:54:52,831 ADMINISTERED OUTSIDE THE LAB 4000 02:54:52,831 --> 02:54:54,066 SETTING BECAUSE THE ONLY TOOLS 4001 02:54:54,066 --> 02:54:58,103 YOU NEED ARE THE iPAD AND A FEW 4002 02:54:58,103 --> 02:55:01,073 COMMON OBJECTS LIKE MEASURING 4003 02:55:01,073 --> 02:55:01,907 CUPS AND A SPOON. 4004 02:55:01,907 --> 02:55:04,443 THE BIG INNOVATION IS OUR USE OF 4005 02:55:04,443 --> 02:55:08,280 THE iPAD'S VIDEO CAPABILITIES TO 4006 02:55:08,280 --> 02:55:10,883 FACILITATE CODING DURING THE 4007 02:55:10,883 --> 02:55:11,450 SESSION. 4008 02:55:11,450 --> 02:55:13,185 PRECISE VIDEO PLAY BACK AND SIDE 4009 02:55:13,185 --> 02:55:14,920 BY SIDE COMPARISONS TO DRAWINGS 4010 02:55:14,920 --> 02:55:17,689 OF THE TARGET BEHAVIORS ALLOW 4011 02:55:17,689 --> 02:55:20,125 FOR QUICK AND ACCURATE CODING OF 4012 02:55:20,125 --> 02:55:21,093 EVEN FINE DETAILS OF MOTOR 4013 02:55:21,093 --> 02:55:25,030 BEHAVIOR. 4014 02:55:25,030 --> 02:55:27,599 AND THE VIDEOS CAN BE EXPORTED 4015 02:55:27,599 --> 02:55:29,501 TO BE ANALYZED FURTHER. 4016 02:55:29,501 --> 02:55:32,905 THEY CAN BE SHARED ON DATA AND 4017 02:55:32,905 --> 02:55:34,640 REUSED AND SHOWN TO CLINICIANS 4018 02:55:34,640 --> 02:55:37,009 IF PARENTS ARE CONCERNED. 4019 02:55:37,009 --> 02:55:39,878 AND I WANT TO ACKNOWLEDGE ALL 4020 02:55:39,878 --> 02:55:41,480 THE RESEARCHERS AND WONDERFUL 4021 02:55:41,480 --> 02:55:43,882 STAFF AT NORTHWESTERN AND AT NYU 4022 02:55:43,882 --> 02:55:47,419 WHO HELPED US PUT THIS TOGETHER 4023 02:55:47,419 --> 02:55:50,822 AND BABIES WHO LET US TRY OUT 4024 02:55:50,822 --> 02:55:51,957 OUR IDEAS DURING COVID WHEN WE 4025 02:55:51,957 --> 02:55:53,025 WERE TRYING TO DO IT ALL ON 4026 02:55:53,025 --> 02:56:03,135 ZOOM. 4027 02:56:35,400 --> 02:56:37,069 >> SO, THANK YOU VERY MUCH ALL 4028 02:56:37,069 --> 02:56:39,638 OUR SPEAKERS FOR THIS SESSION. 4029 02:56:39,638 --> 02:56:42,908 A WONDERFUL SESSION. 4030 02:56:42,908 --> 02:56:46,311 I'LL SAY THAT IT WAS A NICE 4031 02:56:46,311 --> 02:56:50,816 BLEND IN MY OPINION OF THE TEST 4032 02:56:50,816 --> 02:56:52,851 DEVELOPERS AND THEIR ANALYSIS OF 4033 02:56:52,851 --> 02:56:59,424 THE TEST TO THIS POINT AS WELL 4034 02:56:59,424 --> 02:57:03,495 AS EARLY ADOPTERS AND 4035 02:57:03,495 --> 02:57:04,229 SCIENTISTS. 4036 02:57:04,229 --> 02:57:05,030 WE WERE DOING A LOT OF THE 4037 02:57:05,030 --> 02:57:09,434 INITIAL DEVELOPMENT OF THE TEST 4038 02:57:09,434 --> 02:57:11,770 DURING COVID-19 AND NOT WANTING 4039 02:57:11,770 --> 02:57:14,940 TO EXPOSE YOUNG CHILDREN AND 4040 02:57:14,940 --> 02:57:20,279 INFANTS WE HAD SCIENTISTS AND 4041 02:57:20,279 --> 02:57:21,847 THANK GOD A LOT OF POSTDOCS HAD 4042 02:57:21,847 --> 02:57:22,247 KIDS. 4043 02:57:22,247 --> 02:57:26,818 SO WE HAVE SAMPLE FOR ALL THE 4044 02:57:26,818 --> 02:57:30,088 MEASURES TO DEVELOP THE 4045 02:57:30,088 --> 02:57:30,422 MEASURES. 4046 02:57:30,422 --> 02:57:33,492 THAT'S NOT AN INCONSEQUENTIAL 4047 02:57:33,492 --> 02:57:34,793 THING. 4048 02:57:34,793 --> 02:57:36,395 MEASUREMENT IS A DETAILED AND 4049 02:57:36,395 --> 02:57:37,062 LENGTHY EFFORT. 4050 02:57:37,062 --> 02:57:39,364 I THINK IT'S IMPORTANT TO 4051 02:57:39,364 --> 02:57:42,868 RECOGNIZE ALL THE WORK THAT 4052 02:57:42,868 --> 02:57:44,736 EVERYONE THAT'S SITTING UP HERE 4053 02:57:44,736 --> 02:57:48,740 TODAY HAS PUT INTO MAKING THIS A 4054 02:57:48,740 --> 02:57:53,011 REALITY, A USABLE TOOL FOR 4055 02:57:53,011 --> 02:57:53,512 SCIENTISTS EVERYWHERE. 4056 02:57:53,512 --> 02:58:01,653 I ALSO WANT TO ACKNOWLEDGE THAT 4057 02:58:01,653 --> 02:58:03,755 ALL THE PRESENTATIONS WE'RE 4058 02:58:03,755 --> 02:58:06,258 WORKING WITH DATA BEFORE WE HAVE 4059 02:58:06,258 --> 02:58:08,960 FINALIZED THE NORMING SCORES FOR 4060 02:58:08,960 --> 02:58:13,699 THE MEASURES. 4061 02:58:13,699 --> 02:58:22,908 SO SPEAKING ABOUT THE NORMATIVE 4062 02:58:22,908 --> 02:58:24,710 VALUES IS DIFFICULT BECAUSE THE 4063 02:58:24,710 --> 02:58:26,978 PROCESS ALSO IS A LENGTHY AND 4064 02:58:26,978 --> 02:58:29,047 VERY INVOLVED PROCESS OF 4065 02:58:29,047 --> 02:58:37,689 DEVELOPING THOSE NORM SCORES. 4066 02:58:37,689 --> 02:58:39,558 SO WE ARE MOVING QUICKLY FORWARD 4067 02:58:39,558 --> 02:58:40,792 BUT THERE'S STILL WORK TO BE 4068 02:58:40,792 --> 02:58:41,793 DONE BEFORE WE'RE READY TO 4069 02:58:41,793 --> 02:58:44,262 RELEASE THE TOOL TO THE PUBLIC. 4070 02:58:44,262 --> 02:58:50,969 THE OTHER THING I WANT TO 4071 02:58:50,969 --> 02:58:54,439 MENTION ASIDE FROM ALL THE WORK 4072 02:58:54,439 --> 02:58:55,574 DURING COVID WHICH IS INCREDIBLE 4073 02:58:55,574 --> 02:59:00,746 WORK DESPITE THE CHALLENGES OF 4074 02:59:00,746 --> 02:59:09,020 COVID IS THAT WE ESSENTIALLY 4075 02:59:09,020 --> 02:59:17,028 HAVE EYE LARGE SAMPLE AND 4076 02:59:17,028 --> 02:59:19,197 VALIDATED IT AND HAVE 4077 02:59:19,197 --> 02:59:24,202 RELIABILITY TESTING AND YOU'LL 4078 02:59:24,202 --> 02:59:26,938 HEAR ALL THAT ONCE ALL THE 4079 02:59:26,938 --> 02:59:28,573 SCORING AND WASN'T REPORTED IN 4080 02:59:28,573 --> 02:59:29,975 PART BECAUSE IT'S STILL BEING 4081 02:59:29,975 --> 02:59:32,277 ANALYZED RIGHT NOW. 4082 02:59:32,277 --> 02:59:35,781 IMPORTANT PART OF MAKING A 4083 02:59:35,781 --> 02:59:40,419 USEFUL TOOL. 4084 02:59:40,419 --> 02:59:49,027 FINALLY, I WOULD SAY SO ONE OF 4085 02:59:49,027 --> 02:59:51,630 THE TOOLS OF DEVELOPING THE NIH 4086 02:59:51,630 --> 02:59:56,968 BABY TOOLBOX WAS TO MAKE IT EASY 4087 02:59:56,968 --> 03:00:05,110 TO ADMINISTER, HIGHLY MOBILE AND 4088 03:00:05,110 --> 03:00:13,018 NOT RIVER MENTION THE NUMBER 4089 03:00:13,018 --> 03:00:15,220 PERIPHERAL MEASURES AND ONE 4090 03:00:15,220 --> 03:00:17,923 THING CHALLENGE IS TO KEEP THE 4091 03:00:17,923 --> 03:00:19,024 ITEMS LIMITED AND THE TIME 4092 03:00:19,024 --> 03:00:20,992 REQUIRED TO ADMINISTER THE TEST 4093 03:00:20,992 --> 03:00:24,629 LIMITED AND THE EXPERTISE TO 4094 03:00:24,629 --> 03:00:25,096 ADMINISTER THE TESTS. 4095 03:00:25,096 --> 03:00:28,433 SO ALL OF THOSE THINGS WERE 4096 03:00:28,433 --> 03:00:31,203 UNIQUE CONTRIBUTIONS THAT THE 4097 03:00:31,203 --> 03:00:36,274 BABY TOOLBOX OFFERS. 4098 03:00:36,274 --> 03:00:41,179 IN THAT PROCESS THOUGH A LOT OF 4099 03:00:41,179 --> 03:00:43,949 PEOPLE SAY CAN ANYBODY OFF THE 4100 03:00:43,949 --> 03:00:45,417 STREET START ADMINISTERING THE 4101 03:00:45,417 --> 03:00:47,018 TESTS AND THE ANSWER IS NO FOR 4102 03:00:47,018 --> 03:00:49,788 SEVERAL REASONS. 4103 03:00:49,788 --> 03:00:55,927 ONE IS IT'S A CLASS B MEASURE 4104 03:00:55,927 --> 03:01:02,634 WHICH MEANS THAT YOU HAVE TO 4105 03:01:02,634 --> 03:01:03,301 DEMONSTRATE THE REASON YOU WANT 4106 03:01:03,301 --> 03:01:05,437 TO ADMINISTER THE TEST BECAUSE 4107 03:01:05,437 --> 03:01:07,706 WHEN YOU MAKE A TEST WIDELY 4108 03:01:07,706 --> 03:01:13,011 AVAILABLE TO THE GENERAL PUBLIC 4109 03:01:13,011 --> 03:01:16,414 YOU HAVE A LOT OF PEOPLE 4110 03:01:16,414 --> 03:01:18,083 PRACTICING SO THEY SCORE WELL. 4111 03:01:18,083 --> 03:01:19,885 HARD TO DO WITH AN INFANT BUT 4112 03:01:19,885 --> 03:01:20,986 EVEN WITH AN INFANT YOU CAN BIAS 4113 03:01:20,986 --> 03:01:23,054 THE VALUES. 4114 03:01:23,054 --> 03:01:27,592 THE OTHER REASON THAT WE DON'T 4115 03:01:27,592 --> 03:01:29,661 DO ANYBODY ON THE STREET CAN 4116 03:01:29,661 --> 03:01:32,731 ADMINISTER THE TEST BUT WE DON'T 4117 03:01:32,731 --> 03:01:39,004 REQUIRE AN ADVANCED DEGREE IS 4118 03:01:39,004 --> 03:01:40,906 ESSENTIALLY IT'S USEFUL AS WE 4119 03:01:40,906 --> 03:01:46,645 SAW FOR SOME OF THE VIDEO, THANK 4120 03:01:46,645 --> 03:01:48,713 YOU, KAREN THAT HAVING SOME 4121 03:01:48,713 --> 03:01:52,384 EXPERIENCE WITH YOUNG CHILDREN 4122 03:01:52,384 --> 03:01:54,185 AND BEING ABLE TO MANAGE THEIR 4123 03:01:54,185 --> 03:01:54,920 BEHAVIOR IN A TEST ENVIRONMENT 4124 03:01:54,920 --> 03:02:03,361 IS VERY HELPFUL. 4125 03:02:03,361 --> 03:02:05,063 THE OTHER ITEM I WANT TO MEASURE 4126 03:02:05,063 --> 03:02:10,268 IN REGARD TO THE MEASUREMENT 4127 03:02:10,268 --> 03:02:17,008 TOOLS IS ESSENTIAL LY WE NEED 4128 03:02:17,008 --> 03:02:25,016 PEOPLE WHO CAN DEMONSTRATE THAT 4129 03:02:25,016 --> 03:02:26,351 THEY ADMINISTERED THE TEST 4130 03:02:26,351 --> 03:02:30,188 CORRECTLY AND IN DOING THAT THE 4131 03:02:30,188 --> 03:02:37,062 NORTHWESTERN TEAM HAS USED THE 4132 03:02:37,062 --> 03:02:41,399 TRAIN THE TRAINER MODEL. 4133 03:02:41,399 --> 03:02:47,505 THAT MEANS THE EFFORT FOR THE 4134 03:02:47,505 --> 03:02:49,007 NORTHWESTERN TEAM IS LOWER BUT 4135 03:02:49,007 --> 03:02:51,509 THEY WILL FACILITATE MAKING SURE 4136 03:02:51,509 --> 03:02:53,011 THAT THOSE FOLKS THAT YOU TRAIN 4137 03:02:53,011 --> 03:02:56,181 TO ADMINISTER THE TEST ARE IN 4138 03:02:56,181 --> 03:02:58,450 FACT PREPARED TO ADMINISTER THE 4139 03:02:58,450 --> 03:02:59,317 TEST CORRECTLY. 4140 03:02:59,317 --> 03:03:03,021 ALL OF THOSE PIECES ARE CRITICAL 4141 03:03:03,021 --> 03:03:05,023 TO MEASUREMENT DEVELOPMENT AND 4142 03:03:05,023 --> 03:03:08,994 MAKING AN EFFECTIVE USEFUL AND 4143 03:03:08,994 --> 03:03:09,861 RELIABLE MEASURE. 4144 03:03:09,861 --> 03:03:13,565 SO I WOULD DELIGHTED WE SAW ON 4145 03:03:13,565 --> 03:03:15,533 ALL OF THE SLIDES THAT PROVIDED 4146 03:03:15,533 --> 03:03:18,670 DATA THAT WE HAVE A HIGH DEGREE 4147 03:03:18,670 --> 03:03:20,005 OF VALIDITY AT LEAST. 4148 03:03:20,005 --> 03:03:21,840 WE ALSO HAVE DATA THAT THERE'S A 4149 03:03:21,840 --> 03:03:23,141 HIGH DEGREE OF RELIABILITY. 4150 03:03:23,141 --> 03:03:27,679 SO WITH THAT, I WOULD LIKE TO 4151 03:03:27,679 --> 03:03:29,681 OPEN UP THE TIME TO QUESTIONS 4152 03:03:29,681 --> 03:03:31,583 BUT BEFORE I DO THAT, I JUST 4153 03:03:31,583 --> 03:03:38,490 WANT TO MENTION THAT IF YOU 4154 03:03:38,490 --> 03:03:41,026 AREN'T ABLE TO GET YOUR QUESTION 4155 03:03:41,026 --> 03:03:43,795 ANSWERED RIGHT NOW YOU'LL HAVE 4156 03:03:43,795 --> 03:03:45,563 SEVERAL OTHER OPPORTUNITIES. 4157 03:03:45,563 --> 03:03:47,699 THERE'S AN ASK THE EXPERT 4158 03:03:47,699 --> 03:03:49,034 SESSION THIS AFTERNOON AS WELL 4159 03:03:49,034 --> 03:03:52,170 AS TOMORROW MORNING SO YOU CAN 4160 03:03:52,170 --> 03:03:53,571 ASK QUESTIONS AND FOR THOSE 4161 03:03:53,571 --> 03:03:56,808 ONLINE YOU CAN SEND YOUR 4162 03:03:56,808 --> 03:04:07,118 QUESTIONS TO THE 4163 03:04:10,822 --> 03:04:13,058 NIHMEASURESCONFERENCE@MAIL.NIH. 4164 03:04:13,058 --> 03:04:23,134 gov. 4165 03:04:27,772 --> 03:04:29,274 WITH THAT I WILL IT UP FOR 4166 03:04:29,274 --> 03:04:38,049 QUESTIONS. 4167 03:04:38,049 --> 03:04:39,317 >> HI, THANKS ALL OF YOU. 4168 03:04:39,317 --> 03:04:42,153 IT'S GREAT TO SEE WHAT'S 4169 03:04:42,153 --> 03:04:44,923 HAPPENING WITH BABY TOOLBOX. 4170 03:04:44,923 --> 03:04:47,125 I WONDERED IF ANYONE CAN SPEAK 4171 03:04:47,125 --> 03:04:48,960 TO THE MULLEN COMPONENTS OF THE 4172 03:04:48,960 --> 03:04:49,527 BABY TOOLBOX AND HOW THAT'S 4173 03:04:49,527 --> 03:04:59,637 GOING. 4174 03:05:04,676 --> 03:05:07,779 >> WE'RE DEVELOPING MODELS FOR 4175 03:05:07,779 --> 03:05:13,017 EXPRESSIVE AND WE RECEIVE THE 4176 03:05:13,017 --> 03:05:14,285 COMPLETE DATA SET AND SCORING IS 4177 03:05:14,285 --> 03:05:16,154 STILL IN PROGRESS FOR ALL THREE 4178 03:05:16,154 --> 03:05:17,021 MEASURES. 4179 03:05:17,021 --> 03:05:25,997 RESULTS SOON TO COME. 4180 03:05:25,997 --> 03:05:27,232 >> HI. 4181 03:05:27,232 --> 03:05:29,801 I'M A PEDIATRICIAN, PHYSICIAN 4182 03:05:29,801 --> 03:05:31,503 SCIENTIST FROM COLUMBIA AND I'M 4183 03:05:31,503 --> 03:05:35,640 REALLY HERE TO SEE IF I CAN 4184 03:05:35,640 --> 03:05:37,175 UTILIZE THIS RESOURCE FOR MY 4185 03:05:37,175 --> 03:05:37,442 RESEARCH. 4186 03:05:37,442 --> 03:05:41,813 SO ONE OF THE -- LISTENING TO 4187 03:05:41,813 --> 03:05:43,715 HBCD STUDY, THAT WAS VERY 4188 03:05:43,715 --> 03:05:46,551 INSIGHTFUL TO THINK OF HOW TO 4189 03:05:46,551 --> 03:05:50,121 PLAN FOR IT AND THE QUESTION 4190 03:05:50,121 --> 03:05:53,024 THAT COMES TO MY MIND IS WHAT IS 4191 03:05:53,024 --> 03:05:56,528 THE LONG-TERM PLAN OF 4192 03:05:56,528 --> 03:05:57,362 MAINTAINING THE TRAINABILITY FOR 4193 03:05:57,362 --> 03:05:59,831 THESE MEASURES AS YOU MENTIONED, 4194 03:05:59,831 --> 03:06:04,068 IT'S NOT SOMETHING WE CAN GIVE 4195 03:06:04,068 --> 03:06:09,007 TO RESEARCH ASSISTANTS OR 4196 03:06:09,007 --> 03:06:11,876 RESEARCH COORDINATORS WHO ARE 4197 03:06:11,876 --> 03:06:13,178 GOING TO BE COLLEGE GRADUATES OR 4198 03:06:13,178 --> 03:06:15,113 FRESH OUT OF COLLEGE AND NEED TO 4199 03:06:15,113 --> 03:06:17,982 BE ABLE TO USE THE DATA 4200 03:06:17,982 --> 03:06:19,984 CORRECTLY WE NEED TO HAVE 4201 03:06:19,984 --> 03:06:22,153 VALIDITY AND STANDARDIZED 4202 03:06:22,153 --> 03:06:22,720 ETCETERA. 4203 03:06:22,720 --> 03:06:24,823 IS THERE A PLAN -- LONG-TERM 4204 03:06:24,823 --> 03:06:27,692 PLAN WHEN THE DEVELOPMENT PART 4205 03:06:27,692 --> 03:06:29,027 IS DONE. 4206 03:06:29,027 --> 03:06:33,031 IS THERE A PLAN BY NIH, ANYBODY 4207 03:06:33,031 --> 03:06:34,799 ELSE? 4208 03:06:34,799 --> 03:06:36,935 >> SO I DON'T KNOW IF ANY OF YOU 4209 03:06:36,935 --> 03:06:38,136 WANT TO ANSWER THAT QUESTION. 4210 03:06:38,136 --> 03:06:41,339 I HAVE SOME ANSWER BUT GO AHEAD. 4211 03:06:41,339 --> 03:06:43,608 >> I'LL ONLY JUST MENTION AS 4212 03:06:43,608 --> 03:06:44,876 SOMEONE ON THE TRAINING TEAM 4213 03:06:44,876 --> 03:06:47,011 THAT WE ARE THINKING ABOUT THESE 4214 03:06:47,011 --> 03:06:49,147 THINGS THROUGHOUT THE COURSE OF 4215 03:06:49,147 --> 03:06:50,181 CREATING TRAINING MATERIALS AND 4216 03:06:50,181 --> 03:06:54,853 THEN DISSEMINATING THEM AS WELL. 4217 03:06:54,853 --> 03:06:56,821 >> SO THERE'S A LOT OF EFFORT 4218 03:06:56,821 --> 03:06:58,823 THAT'S GOING INTO DEVELOPING 4219 03:06:58,823 --> 03:07:03,094 TRAINING MATERIALS INCLUDING 4220 03:07:03,094 --> 03:07:07,332 VIDEO, PAPER, THE LIKE. 4221 03:07:07,332 --> 03:07:09,000 NORTHWESTERN SHOULDN'T BEING THE 4222 03:07:09,000 --> 03:07:10,735 PERMANENT CERTIFIER BUT THEY 4223 03:07:10,735 --> 03:07:13,004 WILL PROBABLY DEVELOP SOME 4224 03:07:13,004 --> 03:07:13,605 SYSTEM FOR CERTIFYING IF YOU 4225 03:07:13,605 --> 03:07:18,509 WANT. 4226 03:07:18,509 --> 03:07:21,846 THAT WOULD NOT BE OFFERING 4227 03:07:21,846 --> 03:07:23,615 EVERYBODY ON YOUR TEAM 4228 03:07:23,615 --> 03:07:23,982 THROUGHOUT TIME. 4229 03:07:23,982 --> 03:07:29,988 TRAINING. 4230 03:07:29,988 --> 03:07:31,489 AGAIN, WE WOULD EXPECT THE TRAIN 4231 03:07:31,489 --> 03:07:36,728 THE TRAINER KIND OF MODEL. 4232 03:07:36,728 --> 03:07:42,500 THE GOAL IS IS THE INPUT FROM 4233 03:07:42,500 --> 03:07:43,902 NORTHWESTERN ONCE THE TOOL IS 4234 03:07:43,902 --> 03:07:46,504 RELEASED TO THE PUBLIC IS THAT 4235 03:07:46,504 --> 03:07:52,310 THERE WILL BE DIMINISHING OVER 4236 03:07:52,310 --> 03:07:57,715 TIME BUT NOT NOTHING AND 4237 03:07:57,715 --> 03:07:59,517 DEVELOPING TOOLS TO PROVIDE 4238 03:07:59,517 --> 03:08:01,019 TRAINING PEOPLE CAN DO IN 4239 03:08:01,019 --> 03:08:11,396 ADVANCE ON THEIR OWN. 4240 03:08:17,936 --> 03:08:20,505 SITES OF DATA COLLECTION AND 45 4241 03:08:20,505 --> 03:08:26,411 SITES OF DATA ANNOTATION FOR THE 4242 03:08:26,411 --> 03:08:29,047 NIH PLAY PROJECT AND I THINK 4243 03:08:29,047 --> 03:08:32,417 IT'S IMPORTANT TO ENSURE YOU 4244 03:08:32,417 --> 03:08:33,084 HAVE FIDELITY TO THE PROTOCOL 4245 03:08:33,084 --> 03:08:34,452 ALL THE WAY THROUGH. 4246 03:08:34,452 --> 03:08:37,522 IF IT WERE MY STUDY, I WOULD 4247 03:08:37,522 --> 03:08:37,956 WANT THAT. 4248 03:08:37,956 --> 03:08:41,960 THE MOTOR MEASURES, EVERYTHING'S 4249 03:08:41,960 --> 03:08:42,994 ON VIDEO. 4250 03:08:42,994 --> 03:08:46,030 IT'S REALLY EASY TO DETERMINE 4251 03:08:46,030 --> 03:08:50,034 YOUR OWN QUALITY ACRITERIA AND 4252 03:08:50,034 --> 03:08:50,768 CHECK WHETHER PEOPLE ARE MEETING 4253 03:08:50,768 --> 03:08:53,304 IT OR NOT AND FOR THE OTHER 4254 03:08:53,304 --> 03:08:58,276 MEASURES IT'S ALSO PRETTY EASY 4255 03:08:58,810 --> 03:09:01,279 PUT A VIDEO CAMERA ON WHAT'S 4256 03:09:01,279 --> 03:09:03,114 HAPPENING AND HAVE FIDELITY OF 4257 03:09:03,114 --> 03:09:04,315 THE PROTOCOL BECAUSE YOU LOOK AT 4258 03:09:04,315 --> 03:09:08,920 THE RAW DATA BEFORE IT TURNED 4259 03:09:08,920 --> 03:09:11,489 INTO A SCORE AND THEN CAN 4260 03:09:11,489 --> 03:09:13,524 DECIPHER BASED ON YOUR QUALITY 4261 03:09:13,524 --> 03:09:14,058 ASSURANCE CRITERIA. 4262 03:09:14,058 --> 03:09:17,028 >> I'LL ADD FOR HBCD WE'RE 4263 03:09:17,028 --> 03:09:21,199 TRAINING INDIVIDUALS WHO ARE 4264 03:09:21,199 --> 03:09:23,801 MOSTLY POST-BACS AND HAVE NO 4265 03:09:23,801 --> 03:09:25,069 EXPERIENCE WITH INFANT 4266 03:09:25,069 --> 03:09:25,370 ASSESSMENT. 4267 03:09:25,370 --> 03:09:26,637 I WOULD SAY THERE'S VARIABILITY. 4268 03:09:26,637 --> 03:09:28,573 YOU'LL ALWAYS FIND YOU NEED THE 4269 03:09:28,573 --> 03:09:29,841 RIGHT PERSON WITH THE RIGHT 4270 03:09:29,841 --> 03:09:31,442 PERSONAL WILL DO A BETTER JOB 4271 03:09:31,442 --> 03:09:33,845 THAN MAYBE SOMEONE NOT AT VERSED 4272 03:09:33,845 --> 03:09:34,979 AND COMFORTABLE WITH DEALING 4273 03:09:34,979 --> 03:09:35,413 WITH BABIES. 4274 03:09:35,413 --> 03:09:39,117 THERE'S SOME ELEMENT OF THAT. 4275 03:09:39,117 --> 03:09:41,586 AND WE HAVE BEEN ABLE TO PUT 4276 03:09:41,586 --> 03:09:43,654 PEOPLE THROUGH THOSE TRAINING 4277 03:09:43,654 --> 03:09:46,224 EXPERIENCES AND IT'S A 4278 03:09:46,224 --> 03:09:47,458 RELATIVELY SHORT FOUR HOURS 4279 03:09:47,458 --> 03:09:48,192 TOTAL OR THE INITIAL TRAINING 4280 03:09:48,192 --> 03:09:49,093 AND ACCESS TO MATERIALS AND 4281 03:09:49,093 --> 03:09:50,895 THEY'VE BEEN ABLE TO SUBMIT A 4282 03:09:50,895 --> 03:09:53,031 VIDEO AND BEEN ABLE TO BE 4283 03:09:53,031 --> 03:09:54,432 COMPLIANT AND REACH THE CRITERIA 4284 03:09:54,432 --> 03:09:55,900 THAT WERE ESTABLISHED BY 4285 03:09:55,900 --> 03:09:57,869 NORTHWESTERN WE WERE TAUGHT TO 4286 03:09:57,869 --> 03:10:01,039 BE ABLE TO GET RELIABILITY AND 4287 03:10:01,039 --> 03:10:05,410 THEN WE'RE ADDING IN THAT PEER 4288 03:10:05,410 --> 03:10:06,978 MENTORING MODEL AND WANT THAT TO 4289 03:10:06,978 --> 03:10:08,413 BE PART OF THE ACTIVE LEARNING 4290 03:10:08,413 --> 03:10:10,114 PROCESS SO THEY'RE LOOKING AT 4291 03:10:10,114 --> 03:10:13,051 SOMEONE ELSE'S VIDEO WHILE 4292 03:10:13,051 --> 03:10:15,119 THEY'RE VIDEO'S BEING LOOKED AT 4293 03:10:15,119 --> 03:10:17,021 AND MONITORING THAT TO MAKE SURE 4294 03:10:17,021 --> 03:10:19,257 WE'RE ADHERING TO GOOD FIDELITY 4295 03:10:19,257 --> 03:10:22,493 TO WHAT WE'RE DOING IN THE FIELD 4296 03:10:22,493 --> 03:10:24,695 BECAUSE IT DEPENDS ON WHAT YOU 4297 03:10:24,695 --> 03:10:27,031 WANT OR HOW YOU WANT TO 4298 03:10:27,031 --> 03:10:28,132 ORCHESTRATE IT BUT IT'S A GREAT 4299 03:10:28,132 --> 03:10:30,868 MODEL TO MAKE SURE YOU HAVE GOOD 4300 03:10:30,868 --> 03:10:32,036 ASSESSMENTS FROM THE BEGINNING 4301 03:10:32,036 --> 03:10:33,037 TO THEN OF THE STUDY. 4302 03:10:33,037 --> 03:10:35,840 >> NEW. 4303 03:10:35,840 --> 03:10:37,308 -- THANK YOU. 4304 03:10:37,308 --> 03:10:39,944 >> WE'RE ACTUALLY PAST 2:00 AND 4305 03:10:39,944 --> 03:10:41,679 SO WE NEED TO STOP. 4306 03:10:41,679 --> 03:10:45,016 WE HOPE THOSE WHO HAD QUESTIONS 4307 03:10:45,016 --> 03:10:46,951 THAT WERE QUEUEING UP WILL COME 4308 03:10:46,951 --> 03:10:49,020 TO THE ASK THE EXPERTS. 4309 03:10:49,020 --> 03:10:49,620 THANK YOU VERY MUCH EVERYONE. 4310 03:10:49,620 --> 03:10:51,389 VERY GLAD TO HAVE YOU HERE 4311 03:10:51,389 --> 03:10:53,842 TODAY. GREAT JOB, LADIES. 4312 03:10:57,862 --> 03:11:08,172 4313 03:10:58,242 --> 03:10:58,475 HI, FOLKS. 4314 03:10:58,475 --> 03:11:01,178 WE'RE GOING TO GET STARTED. 4315 03:11:01,178 --> 03:11:03,413 I NAME IS MATT SUTTERER WITH THE 4316 03:11:03,413 --> 03:11:04,948 NATIONAL INSTITUTE ON AGE AND 4317 03:11:04,948 --> 03:11:07,518 I'LL BE MODERATING THE NIH 4318 03:11:07,518 --> 03:11:09,520 TOOLBOX ACROSS THE LIFE SPAN AND 4319 03:11:09,520 --> 03:11:12,189 IN CLINICAL POPULATIONS. 4320 03:11:12,189 --> 03:11:14,091 AND FIRST SPEAKER IS CALLIE 4321 03:11:14,091 --> 03:11:16,994 TYNER FROM THE UNIVERSITY OF 4322 03:11:16,994 --> 03:11:19,263 DELAWARE WITH THE NEW TB VISUAL 4323 03:11:19,263 --> 03:11:29,540 REASONING TESTS. 4324 03:11:34,645 --> 03:11:36,146 >> HELLO. 4325 03:11:36,146 --> 03:11:43,787 HOPEFULLY YOU GUYS CAN HEAR ME? 4326 03:11:43,787 --> 03:11:44,254 SPEAK LOUDER? 4327 03:11:44,254 --> 03:11:45,722 I'LL WORK ON THAT. 4328 03:11:45,722 --> 03:11:45,989 ADVANCING. 4329 03:11:45,989 --> 03:11:47,691 THERE WE GO. 4330 03:11:47,691 --> 03:11:47,925 OKAY. 4331 03:11:47,925 --> 03:11:52,029 SO I'M KALLIE TYNER FROM THE 4332 03:11:52,029 --> 03:11:53,931 UNIVERSITY OF DELAWARE AND 4333 03:11:53,931 --> 03:11:55,265 EXCITED TO BE SHARING 4334 03:11:55,265 --> 03:11:56,366 INFORMATION FROM NEW TESTS ON 4335 03:11:56,366 --> 03:11:58,602 THE TOOLBOX I DEVELOP AS PART OF 4336 03:11:58,602 --> 03:12:01,338 A TEAM CALLED THE REASONABLE 4337 03:12:01,338 --> 03:12:03,006 REASONING TASK OR VR. 4338 03:12:03,006 --> 03:12:04,675 I'LL DESCRIBE THE IMPETUS AND 4339 03:12:04,675 --> 03:12:06,977 THE APPROACH FOR DEVELOPING IT 4340 03:12:06,977 --> 03:12:08,946 AND SOME INFORMATION ON THE 4341 03:12:08,946 --> 03:12:09,980 PSYCHO METRIC PROPERTIES. 4342 03:12:09,980 --> 03:12:12,182 SO WHY DID WE DEVELOP THE NEW 4343 03:12:12,182 --> 03:12:14,518 TASK FOR THE NIH TOOLBOX? 4344 03:12:14,518 --> 03:12:18,388 AREN'T THERE ENOUGH TESTS 4345 03:12:18,388 --> 03:12:18,855 ALREADY? 4346 03:12:18,855 --> 03:12:19,222 NO. 4347 03:12:19,222 --> 03:12:20,991 THERE'S THE LARGE ECHO STUDY 4348 03:12:20,991 --> 03:12:25,596 THAT USES THE TOOLBOX AND THE 4349 03:12:25,596 --> 03:12:26,463 STAKEHOLDERS WERE ASKED FOR 4350 03:12:26,463 --> 03:12:28,198 FEEDBACK AND WE LOOKED AT THE 4351 03:12:28,198 --> 03:12:32,736 FEEDBACK AND REALIZED THE TEST 4352 03:12:32,736 --> 03:12:34,338 OF ABSTRACT REASONABLE ARE 4353 03:12:34,338 --> 03:12:35,906 REASONING WAS MISSING FOR THE 4354 03:12:35,906 --> 03:12:37,574 CURRENT TESTS AVAILABLE FOR 4355 03:12:37,574 --> 03:12:37,841 CHILDREN. 4356 03:12:37,841 --> 03:12:40,978 SO YOU MAY BE AWARE VISUAL 4357 03:12:40,978 --> 03:12:46,450 REASON ARING -- REASON ARING 4358 03:12:46,450 --> 03:12:51,054 MEASURES ARE GOOD OR ABSTRACT 4359 03:12:51,054 --> 03:12:52,122 AND RELATED TO COGNITIVE ABILITY 4360 03:12:52,122 --> 03:12:55,459 AND COULD BE A NICE TEST IN THE 4361 03:12:55,459 --> 03:12:56,994 TOOLBOX THAT ARE OTHER VERBAL 4362 03:12:56,994 --> 03:12:58,762 TESTS LIKE LIST SORTING, WORKING 4363 03:12:58,762 --> 03:13:00,998 MEMORY AND OVER THINGS LIKE 4364 03:13:00,998 --> 03:13:04,167 PICTURE VOCABULARY THAT ARE 4365 03:13:04,167 --> 03:13:05,035 VERBAL. 4366 03:13:05,035 --> 03:13:07,771 IT ALSO COULD BE HELPFUL FOR 4367 03:13:07,771 --> 03:13:10,240 CHILDREN ESPECIALLY YOUNGER KIDS 4368 03:13:10,240 --> 03:13:12,009 WHO DON'T HAVE THE SKILLS OF 4369 03:13:12,009 --> 03:13:13,844 READING OR WRITING ABILITY TO BE 4370 03:13:13,844 --> 03:13:15,579 ABLE TO EVALUATE THEM IN A 4371 03:13:15,579 --> 03:13:16,413 NON-VERBAL WAY. 4372 03:13:16,413 --> 03:13:17,948 AND WE WANTED TO SEE IF WE CAN 4373 03:13:17,948 --> 03:13:21,652 DEVELOP A TEST THAT WOULD WORK 4374 03:13:21,652 --> 03:13:22,819 FOR CHILDREN AS YOUNG AS 3. 4375 03:13:22,819 --> 03:13:30,060 SO WHAT WAS OUR DEVELOPMENT 4376 03:13:30,060 --> 03:13:30,360 APPROACH? 4377 03:13:30,360 --> 03:13:32,896 A MAJOR FACTOR WAS TIMING AND 4378 03:13:32,896 --> 03:13:34,898 DOESN'T WANT TO INCREASE THE 4379 03:13:34,898 --> 03:13:36,199 TIME BURDEN OR LENGTHY TEST TOO 4380 03:13:36,199 --> 03:13:36,400 MUCH. 4381 03:13:36,400 --> 03:13:39,603 OUR GOAL WAS A TEST THAT WOULD 4382 03:13:39,603 --> 03:13:41,605 TAKE MIGHT TO SEVEN MINUTES TO 4383 03:13:41,605 --> 03:13:42,839 COMPLETE. 4384 03:13:42,839 --> 03:13:44,441 GENERALLY WE TRIED TO FOLLOW THE 4385 03:13:44,441 --> 03:13:47,978 DESIGN PRINCIPLES OF THE NIH 4386 03:13:47,978 --> 03:13:48,879 TOOLBOX FREE OF INTELLECTUAL 4387 03:13:48,879 --> 03:13:51,415 PROPERTY CONCERNS AND ABLE TO BE 4388 03:13:51,415 --> 03:13:52,916 ADMINISTERED ON THE iPAD WITH 4389 03:13:52,916 --> 03:13:55,652 MULTIPLE CHOICE RESPOND ARING 4390 03:13:55,652 --> 03:13:57,421 AND REQUIRE LIMITED EXAMINER 4391 03:13:57,421 --> 03:13:57,721 INVOLVEMENT. 4392 03:13:57,721 --> 03:13:59,956 WE ALSO HAD A GOAL FOR LIFE SPAN 4393 03:13:59,956 --> 03:14:00,257 ASSESSMENT. 4394 03:14:00,257 --> 03:14:02,092 WE WANTED IT TO BE APPROACHABLE 4395 03:14:02,092 --> 03:14:04,628 FOR KIDS OF PRESCHOOL AGE AND 4396 03:14:04,628 --> 03:14:04,828 OLDER. 4397 03:14:04,828 --> 03:14:07,864 WE ALSO WANTED IT TO BE 4398 03:14:07,864 --> 03:14:12,269 SENSITIVE TO COGNITIVE DEFICITS 4399 03:14:12,269 --> 03:14:14,738 AND WANTED IT TO BE FREE OF 4400 03:14:14,738 --> 03:14:15,872 POTENTIAL COMPOUNDS THAT MIGHT 4401 03:14:15,872 --> 03:14:16,239 INTERFERE. 4402 03:14:16,239 --> 03:14:17,841 LET ME REVIEW A FEW OF THE 4403 03:14:17,841 --> 03:14:19,443 CHALLENGES WE FACED WHEN 4404 03:14:19,443 --> 03:14:19,810 DEVELOPING THIS. 4405 03:14:19,810 --> 03:14:23,013 ONE THING WE THOUGHT ABOUT OFTEN 4406 03:14:23,013 --> 03:14:24,214 WAS TIMING. 4407 03:14:24,214 --> 03:14:29,019 WE WANTED TO KEEP IT BRIEF TO 4408 03:14:29,019 --> 03:14:30,353 AVOID INCREASING THE BURDEN AND 4409 03:14:30,353 --> 03:14:33,023 IF YOU HAVE GIVEN A TEST OF 4410 03:14:33,023 --> 03:14:34,491 VISUAL REASONING BEFORE YOU MAY 4411 03:14:34,491 --> 03:14:36,693 BE AWARE THEY COULD BE TIME 4412 03:14:36,693 --> 03:14:38,495 INTENSIVE AND OFTEN TAKE 10 4413 03:14:38,495 --> 03:14:40,197 MINUTES OR SOMETIMES MORE LIKE 4414 03:14:40,197 --> 03:14:43,300 20 OR 30 MINUTES DEFENDING ON 4415 03:14:43,300 --> 03:14:51,274 THE DEVELOINDIVIDUAL AND YOU MAK 4416 03:14:51,274 --> 03:14:53,844 IMPOSING A TIME LIMIT WOULD KEEP 4417 03:14:53,844 --> 03:14:56,279 IT BRIEF BUT DOESN'T WANT TO 4418 03:14:56,279 --> 03:14:59,549 IMPOSE MEMORY OR PROCESSING 4419 03:14:59,549 --> 03:15:00,951 SPEED TO COMPLETE THE TEST. 4420 03:15:00,951 --> 03:15:03,920 WE WORKED TO DEVELOP THE TEST AS 4421 03:15:03,920 --> 03:15:06,389 A COMPUTERIZED ADAPTIVE TEST AS 4422 03:15:06,389 --> 03:15:08,458 A WAY OF BALANCING BREVITY WITH 4423 03:15:08,458 --> 03:15:11,027 THE GOALS OF HIGHER RELIABILITY. 4424 03:15:11,027 --> 03:15:11,728 ANOTHER MAJOR CHALLENGE WE 4425 03:15:11,728 --> 03:15:13,396 CONSIDERED WAS THE FACT THAT 4426 03:15:13,396 --> 03:15:15,365 THIS WITH US GOING TO BE A 4427 03:15:15,365 --> 03:15:16,833 VISUAL TEST AND IDEALLY MORE OF 4428 03:15:16,833 --> 03:15:18,435 A NON-VERBAL TEST. 4429 03:15:18,435 --> 03:15:20,871 SO WE WANTED THE TEST TO BE FREE 4430 03:15:20,871 --> 03:15:23,273 OR INDEPENDENT FROM VERBAL 4431 03:15:23,273 --> 03:15:29,946 SKILLS LIKE READING, SPEECH, 4432 03:15:29,946 --> 03:15:34,618 LISTENING, SOMANTIC NONL AND 4433 03:15:34,618 --> 03:15:37,020 LOOK AT HOW WE TAUGHT THE TEST 4434 03:15:37,020 --> 03:15:40,590 AND HOW PEOPLE WOULD RESPOND TO 4435 03:15:40,590 --> 03:15:41,491 THE TEST. 4436 03:15:41,491 --> 03:15:43,426 FOR TEACHING THE TEST WE 4437 03:15:43,426 --> 03:15:44,728 DEVELOPED ANIMATIONS SHOWN IN 4438 03:15:44,728 --> 03:15:46,496 THE APP WHEN SOMEONE IS LEARNING 4439 03:15:46,496 --> 03:15:47,998 THE TEST. 4440 03:15:47,998 --> 03:15:50,133 ANIMATIONS ARE PLAYED WHILE THEY 4441 03:15:50,133 --> 03:15:51,134 HEAR THE INSTRUCTIONS 4442 03:15:51,134 --> 03:15:52,969 PRERECORDED AND THE INSTRUCTIONS 4443 03:15:52,969 --> 03:15:55,005 ARE ALSO WRITTEN ON TE SCREEN. 4444 03:15:55,005 --> 03:15:57,040 AND I'M HESITANT TO CALL IT A 4445 03:15:57,040 --> 03:15:58,508 PURELY NON-VERBAL TEST BECAUSE 4446 03:15:58,508 --> 03:16:01,011 THERE'S STILL INSTRUCTION ARE 4447 03:16:01,011 --> 03:16:03,814 VERBAL AND ADDING THE ANIMATIONS 4448 03:16:03,814 --> 03:16:05,649 LOWERS THE DEMANDS OF THE TEST 4449 03:16:05,649 --> 03:16:08,785 AND MAKES IT MORE NON VERBAL. 4450 03:16:08,785 --> 03:16:11,321 ALSO FOR RESPONDING PARTICIPANTS 4451 03:16:11,321 --> 03:16:12,989 JUST TAP AN IMAGE ON THE SCREEN 4452 03:16:12,989 --> 03:16:16,393 SO THERE'S NO NEED TO NAME THE 4453 03:16:16,393 --> 03:16:19,429 ITEM THEY SEE OR GIVE ANY KIND 4454 03:16:19,429 --> 03:16:20,564 OF SPOKEN RESPONSE. 4455 03:16:20,564 --> 03:16:22,799 THE THIRD CHALLENGE THAT WE FACE 4456 03:16:22,799 --> 03:16:24,100 THAT WAS IMPORTANT FOR THIS TEST 4457 03:16:24,100 --> 03:16:26,903 WAS THE FACT THERE ARE A LOT OF 4458 03:16:26,903 --> 03:16:28,572 COMMON SENSORY VISUAL PROBLEMS 4459 03:16:28,572 --> 03:16:29,706 THAT COULD INTERFERE WITH 4460 03:16:29,706 --> 03:16:30,674 PERFORMANCE ON THE VISUAL TEST 4461 03:16:30,674 --> 03:16:34,778 WE DIDN'T WANT TO INTERFERE. 4462 03:16:34,778 --> 03:16:38,481 SO THINGS LIKE COLOR PERCEPTION 4463 03:16:38,481 --> 03:16:40,450 OR COLOR-BLINDNESS, VISUAL ACUTE 4464 03:16:40,450 --> 03:16:45,689 TI VARY AND APPEAR FREQUENTLY IN 4465 03:16:45,689 --> 03:16:47,157 THE POPULATION. 4466 03:16:47,157 --> 03:16:51,428 WE WORK TO AVOID THEM BY -- 4467 03:16:51,428 --> 03:16:52,829 AVOIDING FINE DETAILS BEING 4468 03:16:52,829 --> 03:16:54,097 CRITICAL FOR RESPONDING. 4469 03:16:54,097 --> 03:16:55,432 DIFFICULT TO PERCEIVED 4470 03:16:55,432 --> 03:16:58,068 DIFFERENCES IN SHADING THAT MAY 4471 03:16:58,068 --> 03:17:01,805 REQUIRE HIGHER LEVEL OF CONTRAST 4472 03:17:01,805 --> 03:17:05,375 SENSITIVITY AND AVOID COLOR 4473 03:17:05,375 --> 03:17:12,983 COMBINATIONS LIKE RED/GREEN OR 4474 03:17:12,983 --> 03:17:17,587 BL 4475 03:17:17,587 --> 03:17:20,991 BLUE/PURPLE AND LOOKED AT 4476 03:17:20,991 --> 03:17:22,993 DISCRIMINATION, REASONING, 4477 03:17:22,993 --> 03:17:24,127 SERIAL REASONING AND SPATIAL 4478 03:17:24,127 --> 03:17:27,397 VISUALIZATION AND MENTAL 4479 03:17:27,397 --> 03:17:30,233 ROTATION WERE THE DIFFERENT 4480 03:17:30,233 --> 03:17:31,301 COGNITIVE SKILLS INVOLVED. 4481 03:17:31,301 --> 03:17:33,336 THESE ARE NOT REAL ITEMS AND 4482 03:17:33,336 --> 03:17:34,404 THEY SEEM VERY EASY BECAUSE 4483 03:17:34,404 --> 03:17:36,806 THESE ARE EXAMPLES OF SOME OF 4484 03:17:36,806 --> 03:17:37,908 THE EASIEST TYPES OF ITEMS 4485 03:17:37,908 --> 03:17:38,675 DEVELOPED FOR YOUNG CHILDREN. 4486 03:17:38,675 --> 03:17:44,981 THE TWO ON THE TOP ARE THE 4487 03:17:44,981 --> 03:17:48,151 PATTERN COMPLETION ITEMS AND 4488 03:17:48,151 --> 03:17:50,854 BOTTOM LEFT SERIAL AND RIGHT IS 4489 03:17:50,854 --> 03:17:52,856 ANALOG REASONING TYPE OF ITEM. 4490 03:17:52,856 --> 03:17:55,425 WE NEXT MOVED THESE ITEMS INTO 4491 03:17:55,425 --> 03:17:56,826 SEVERAL PHASES OF TESTING. 4492 03:17:56,826 --> 03:17:59,129 WE FIRST CONDUCTED AN ITEM TRIAL 4493 03:17:59,129 --> 03:18:01,131 AND IN TWO PILOTS. 4494 03:18:01,131 --> 03:18:02,966 OUR GOALS WERE FIRST TO IDENTIFY 4495 03:18:02,966 --> 03:18:06,503 CONCERNS WITH ANY OF THE ITEMS 4496 03:18:06,503 --> 03:18:09,239 THINGS LIKE ITEMS THAT WERE 4497 03:18:09,239 --> 03:18:12,342 CONFUSING OR TOOK TOO LONG FOR 4498 03:18:12,342 --> 03:18:16,446 PEOPLE TO RESPOND OR A PLAUSIBLE 4499 03:18:16,446 --> 03:18:18,448 ANSWER OTHER THAN OUR DIRECT 4500 03:18:18,448 --> 03:18:19,883 RESPONSE AND GAUGED THE 4501 03:18:19,883 --> 03:18:21,584 FEASIBILITY, PARTICULARLY THE 4502 03:18:21,584 --> 03:18:23,586 FEASIBILITY FOR YOUNGER KIDS 4503 03:18:23,586 --> 03:18:24,721 RESPONDING TO THE TEST AND ALSO 4504 03:18:24,721 --> 03:18:25,522 THE TIME REQUIRED FOR ADULTS TO 4505 03:18:25,522 --> 03:18:27,557 TAKE IT. 4506 03:18:27,557 --> 03:18:29,025 THOSE WERE THE THINGS THAT WERE 4507 03:18:29,025 --> 03:18:30,827 ON OUR MIND. 4508 03:18:30,827 --> 03:18:33,029 SO FIRST WE DID AN ITEM TRIAL 4509 03:18:33,029 --> 03:18:36,967 WITH 95 PEOPLE IN PERSON AND 23 4510 03:18:36,967 --> 03:18:39,102 PEOPLE AFTER THAT TOOK A 4511 03:18:39,102 --> 03:18:41,104 POST-TEST COGNITIVE DE BRIEFING 4512 03:18:41,104 --> 03:18:44,240 INTERVIEW TO DETECT 4513 03:18:44,240 --> 03:18:45,008 UNINTENTIONAL CHALLENGES OR 4514 03:18:45,008 --> 03:18:47,677 PROBLEMS WITH TE ITEMS AND NEXT 4515 03:18:47,677 --> 03:18:49,913 COMPLETED TWO CALIBRATION 4516 03:18:49,913 --> 03:18:50,146 PILOTS. 4517 03:18:50,146 --> 03:18:51,881 ONE IN PERSON AND ONE WITH 4518 03:18:51,881 --> 03:18:52,916 ANOTHER RESEARCH PANEL. 4519 03:18:52,916 --> 03:18:56,453 BASED ON THE ITEM TRYOUTS IN THE 4520 03:18:56,453 --> 03:18:59,723 PILOTS WE DID REMOVE, MODIFY AND 4521 03:18:59,723 --> 03:19:01,558 DEVELOPED AN IF YOU NEW ITEMS TO 4522 03:19:01,558 --> 03:19:02,192 FILL MEASUREMENT GAPS. 4523 03:19:02,192 --> 03:19:05,095 WE LEARNED FROM THE RESULT ARE 4524 03:19:05,095 --> 03:19:07,464 CHILDREN WERE ABLE TO COMPLETE 4525 03:19:07,464 --> 03:19:09,966 THE TASKS SUCCESSFULLY AND DID 4526 03:19:09,966 --> 03:19:10,800 FIND THOUGH CHILDREN YOUNGER 4527 03:19:10,800 --> 03:19:15,105 THAN 5 STRUGGLED WITH THE MORE 4528 03:19:15,105 --> 03:19:16,773 COMPLEX ITEM TIMES EXCEPT FOR 4529 03:19:16,773 --> 03:19:18,375 THE SIMPLE COMPARISON TYPE OF 4530 03:19:18,375 --> 03:19:19,709 ITEM AN EXAMPLE OF WHICH IS ON 4531 03:19:19,709 --> 03:19:22,178 THE SCREEN. 4532 03:19:22,178 --> 03:19:24,748 SO WE'RE ADDING TIMING. 4533 03:19:24,748 --> 03:19:26,549 CHILDREN RESPONDED FASTER THAN 4534 03:19:26,549 --> 03:19:30,553 ADULTS AND FOR ADULTS SLOWER 4535 03:19:30,553 --> 03:19:32,022 RESPONDING WAS ASSOCIATED WITH 4536 03:19:32,022 --> 03:19:34,124 BETTER PERFORMANCE WHICH 4537 03:19:34,124 --> 03:19:35,992 REINFORCED WHAT WE KNEW ABOUT 4538 03:19:35,992 --> 03:19:38,528 VISUAL REASONING TESTS WHERE 4539 03:19:38,528 --> 03:19:41,664 THEY CAN BE QUITE LENGTHY. 4540 03:19:41,664 --> 03:19:44,234 NEXT WE PREPARED FOR CALIBRATION 4541 03:19:44,234 --> 03:19:45,635 AND VISUAL REASONING WAS 4542 03:19:45,635 --> 03:19:47,203 INCLUDED IN THE V3 STUDY AND THE 4543 03:19:47,203 --> 03:19:48,671 DATA FROM THAT WERE USED TO 4544 03:19:48,671 --> 03:19:53,009 CALIBRATE THE ITEMS AND DEVELOP 4545 03:19:53,009 --> 03:19:53,910 NORMS. 4546 03:19:53,910 --> 03:19:58,581 THE STUDY INCLUDED TEST 4547 03:19:58,581 --> 03:20:01,017 ARE-RETEST RELIABILITY AND 4548 03:20:01,017 --> 03:20:03,553 ASSESSMENT AND USING THE MATRIX 4549 03:20:03,553 --> 03:20:04,854 TEXT FROM THE WEXLER SKILLS AS 4550 03:20:04,854 --> 03:20:06,423 THE GOLD STANDARD OF THE 4551 03:20:06,423 --> 03:20:06,990 CONSTRUCT. 4552 03:20:06,990 --> 03:20:10,960 CALIBRATION ANA 4553 03:20:10,960 --> 03:20:11,628 CALIBRATION ANALYSES RESULT ARED 4554 03:20:11,628 --> 03:20:13,963 IN A BANK OF 180 ITEMS FROM THE 4555 03:20:13,963 --> 03:20:15,265 CALIBRATION DATA SET IT WAS 4556 03:20:15,265 --> 03:20:16,166 DECIDED TO NORM THE TEST FOR 4557 03:20:16,166 --> 03:20:17,967 AGES 4 AND UP. 4558 03:20:17,967 --> 03:20:21,004 AND WE WERE ABLE TO CALIBRATE 4559 03:20:21,004 --> 03:20:22,038 THE TEST AS A CAT. 4560 03:20:22,038 --> 03:20:24,140 BASED ON SIMULATIONS FROM THE 4561 03:20:24,140 --> 03:20:25,475 STUDY IT WILL TAKE TWO TO FIVE 4562 03:20:25,475 --> 03:20:27,610 MINUTES FOR CHILDREN TO COMPLETE 4563 03:20:27,610 --> 03:20:29,012 THE CAT AND FOUR TO NINE MINUTES 4564 03:20:29,012 --> 03:20:33,550 FOR ADULTS WITH MOST ADULTS 4565 03:20:33,550 --> 03:20:34,751 COMPLETING IN LESS THAN SEVEN 4566 03:20:34,751 --> 03:20:38,555 MINUTES AND TEST-RETEST 4567 03:20:38,555 --> 03:20:40,290 RELIABILITY WAS CONSISTENT WITH 4568 03:20:40,290 --> 03:20:41,291 OTHER TOOLBOX FLUID COGNITION 4569 03:20:41,291 --> 03:20:41,658 TEST. 4570 03:20:41,658 --> 03:20:44,160 THIS IS A GRAPH OF A PLOT OF THE 4571 03:20:44,160 --> 03:20:45,962 SCORES ON VR BY AGE. 4572 03:20:45,962 --> 03:20:49,399 AND WE FOUND THAT FOR 3 TO 4573 03:20:49,399 --> 03:20:51,935 11-YEAR-OLDS, AGE WAS MODERATELY 4574 03:20:51,935 --> 03:20:53,470 STRONGLY CORRELATED WIN SCORES 4575 03:20:53,470 --> 03:20:54,304 IN THE POSITIVE DIRECTION. 4576 03:20:54,304 --> 03:20:56,439 THE ASSOCIATION WITH AGE WAS 4577 03:20:56,439 --> 03:20:58,308 SMALLER FOR AGES 12 TO 17 4578 03:20:58,308 --> 03:20:59,776 SUGGESTING THAT'S THE AGE RANGE 4579 03:20:59,776 --> 03:21:02,212 FOR THE CONSTRUCT STARTS TO 4580 03:21:02,212 --> 03:21:06,316 STABILIZE AND FOR ADULTS, VR 4581 03:21:06,316 --> 03:21:07,484 SCORES WERE NEGATIVELY 4582 03:21:07,484 --> 03:21:09,853 CORRELATED WITH AGE CONSISTENT 4583 03:21:09,853 --> 03:21:13,423 WITH OTHER FLUID COGNITIVE TEST 4584 03:21:13,423 --> 03:21:15,525 PEAK AROUND 85 AND DELINE WITH 4585 03:21:15,525 --> 03:21:15,692 AGE. 4586 03:21:15,692 --> 03:21:17,794 LOOKING AT THE ASSOCIATIONS WITH 4587 03:21:17,794 --> 03:21:21,431 A VALIDATION MEASURES THE WEXLER 4588 03:21:21,431 --> 03:21:24,334 REASONING TEST IT WAS SUPPORTED 4589 03:21:24,334 --> 03:21:24,901 FOR VR. 4590 03:21:24,901 --> 03:21:27,504 WE HYPOTHESIZED A CORRELATION OF 4591 03:21:27,504 --> 03:21:29,806 .5 OR GREATER USED WHEN 4592 03:21:29,806 --> 03:21:31,474 DEVELOPING OTHER TOOLBOX 4593 03:21:31,474 --> 03:21:35,311 COGNITIVE TESTS AND THAT WAS 4594 03:21:35,311 --> 03:21:38,882 FOUND FOR ADULTS ON THE WAYS 4595 03:21:38,882 --> 03:21:40,250 THOUGH SLIGHTLY WEAKER FOR 4596 03:21:40,250 --> 03:21:46,523 CHILDREN 3 TO 5 WHO TOOK THE 4597 03:21:46,523 --> 03:21:47,524 WHIPSY. 4598 03:21:47,524 --> 03:21:48,992 WE CONSIDERED VR WITH MORE 4599 03:21:48,992 --> 03:21:50,093 GENERAL MEASURES OF COGNITIVE 4600 03:21:50,093 --> 03:21:52,795 FUNCTIONING AND THE WEXLER FULL 4601 03:21:52,795 --> 03:21:57,000 SCALE I.Q. OFFER FS I.Q. AND THE 4602 03:21:57,000 --> 03:21:57,901 TOOLBOX COMPOSITES. 4603 03:21:57,901 --> 03:21:59,402 VR APPEARS TO BE A STRONG PROXY 4604 03:21:59,402 --> 03:22:01,204 FOR GENERAL INTELLIGENCE AND 4605 03:22:01,204 --> 03:22:02,639 COGNITION WHICH HAS BEEN 4606 03:22:02,639 --> 03:22:04,574 OBSERVED WITH OTHER SIMILAR 4607 03:22:04,574 --> 03:22:06,276 TESTS AND THIS WAS ESPECIALLY 4608 03:22:06,276 --> 03:22:09,679 TRUE FOR SCHOOL-AGED CHILDREN 4609 03:22:09,679 --> 03:22:13,116 WHERE THE CORRELATION OF VR WITH 4610 03:22:13,116 --> 03:22:16,686 FULL SCALE I.Q. WAS NEARLY 4611 03:22:16,686 --> 03:22:18,488 IDENTICAL TO THE TOTAL COGNITION 4612 03:22:18,488 --> 03:22:19,489 COMPOSITE. 4613 03:22:19,489 --> 03:22:22,325 THESE RESULTS ALSO SUPPORTED 4614 03:22:22,325 --> 03:22:27,764 CONSIDERING VR AS A FLUID 4615 03:22:27,764 --> 03:22:30,934 COGNITIVE TEST FOR ADULTS AND 4616 03:22:30,934 --> 03:22:32,602 THE DISTINCTION WASN'T PRESENT 4617 03:22:32,602 --> 03:22:33,369 FOR CHILDREN WHICH IS CONSISTENT 4618 03:22:33,369 --> 03:22:36,439 WITH WHAT WE KNOW ABOUT THE 4619 03:22:36,439 --> 03:22:41,044 TRAJECTORIES OF FLUID AND 4620 03:22:41,044 --> 03:22:43,580 COGNITION SIMILAR FOR CHILDREN. 4621 03:22:43,580 --> 03:22:44,981 LATER TEEN YEARS. 4622 03:22:44,981 --> 03:22:48,351 IN SUMMARY, VISUAL REASON ARING 4623 03:22:48,351 --> 03:22:50,086 WAS DEVELOPED DE NOVO AND GIVEN 4624 03:22:50,086 --> 03:22:53,089 AS A CAT AND RELEASED NOW IN V3 4625 03:22:53,089 --> 03:22:56,893 VIA THE iPAD APP FOR THE NIH 4626 03:22:56,893 --> 03:22:58,461 TOOLBOX AND EXPANDS THE 4627 03:22:58,461 --> 03:23:00,897 COGNITION DOMAIN TO BE MORE 4628 03:23:00,897 --> 03:23:02,365 INCLUSIVE OF VISUAL AND SPATIAL 4629 03:23:02,365 --> 03:23:03,866 REASONING SKILLS AND WE'VE SEEN 4630 03:23:03,866 --> 03:23:06,569 MODERATE TO STRONG CORRELATIONS 4631 03:23:06,569 --> 03:23:08,638 WITH MATRIX REASONING, FULL 4632 03:23:08,638 --> 03:23:11,040 SCALE I.Q. AND TOOLBOX XOT 4633 03:23:11,040 --> 03:23:11,307 COMPOSITE. 4634 03:23:11,307 --> 03:23:14,244 WE THINK WE'D LIKE TO STUDY WITH 4635 03:23:14,244 --> 03:23:16,846 MORE RESEARCH VR COULD PERHAPS 4636 03:23:16,846 --> 03:23:19,382 BE COMBINED WITH A PICTURE 4637 03:23:19,382 --> 03:23:20,783 VOCABULARY TO FORM A TRUE SUB 4638 03:23:20,783 --> 03:23:21,918 TEST I.Q. ESTIMATE AND SOMETHING 4639 03:23:21,918 --> 03:23:23,119 WE'LL LOOK AT FURTHER. 4640 03:23:23,119 --> 03:23:25,088 PLEASE CHECK OUT THE TOOLBOX 4641 03:23:25,088 --> 03:23:27,323 WEBSITE OR REACH OUT BY EMAIL IF 4642 03:23:27,323 --> 03:23:28,558 YOU WOULD LIKE TO ASK ANY 4643 03:23:28,558 --> 03:23:28,825 QUESTIONS. 4644 03:23:28,825 --> 03:23:38,968 THANKS. 4645 03:23:41,571 --> 03:23:43,473 >> THANK YOU. 4646 03:23:43,473 --> 03:23:46,676 NEXT SPEAKER IS GOING TO BE GAIL 4647 03:23:46,676 --> 03:23:48,111 HARMATA FROM THE UNIVERSITY OF 4648 03:23:48,111 --> 03:23:49,579 IOWA LOOKING AT ASSOCIATIONS 4649 03:23:49,579 --> 03:23:52,815 BETWEEN NIH TOOLBOX AND 4650 03:23:52,815 --> 03:23:55,585 EMOTIONAL BATTERY MEASURES AND 4651 03:23:55,585 --> 03:23:57,487 PREVIOUS SUICIDE AT THE SAME 4652 03:23:57,487 --> 03:24:07,897 TIME IN BIPOLAR TYPE 1. 4653 03:24:11,501 --> 03:24:13,002 >> ALL RIGHT. 4654 03:24:13,002 --> 03:24:15,338 LET'S GET STARTED. 4655 03:24:15,338 --> 03:24:17,006 SO UNFORTUNATELY, BIPOLAR 4656 03:24:17,006 --> 03:24:21,010 DISORDER IS A SEVERE PSYCHIATRIC 4657 03:24:21,010 --> 03:24:23,680 ILLNESS CHARACTERIZED BY MOOD 4658 03:24:23,680 --> 03:24:24,547 SWINGS WHICH INCLUDE DEPRESSION 4659 03:24:24,547 --> 03:24:24,981 AND MANIA. 4660 03:24:24,981 --> 03:24:27,517 THERE ARE TWO SUBTYPE HAVE 4661 03:24:27,517 --> 03:24:30,353 DIFFERENT PROFILES OF HOW THOSE 4662 03:24:30,353 --> 03:24:30,820 MOOD SWINGS LOOK LIKE. 4663 03:24:30,820 --> 03:24:33,022 WE HAVE TYPE 1 CHARACTERIZED BY 4664 03:24:33,022 --> 03:24:36,225 ONE FULL MANIC EPISODE AND TYPE 4665 03:24:36,225 --> 03:24:40,496 2 MORE FOCUSSED ON DEPRESSIVE 4666 03:24:40,496 --> 03:24:42,598 AND HYPOMANIA AS NOT SEVERE 4667 03:24:42,598 --> 03:24:43,232 MANIA SYSTEMS. 4668 03:24:43,232 --> 03:24:46,302 FOR THE PURPOSE OF TODAY'S TALK 4669 03:24:46,302 --> 03:24:47,970 OUR SAMPLE INCLUDED PEOPLE WITH 4670 03:24:47,970 --> 03:24:49,405 TYPE 1. 4671 03:24:49,405 --> 03:24:53,009 INDIVIDUALS WITH BIPOLAR 4672 03:24:53,009 --> 03:24:55,578 DISORDER ARE 30 TO 60 TIMES MORE 4673 03:24:55,578 --> 03:24:57,013 LIKELY TO ATTEMPT SUICIDE AND 4674 03:24:57,013 --> 03:25:01,017 OVER THEIR LIFE TIME UP TO 50% 4675 03:25:01,017 --> 03:25:04,087 OF AFFECTED INDIVIDUALS WILL 4676 03:25:04,087 --> 03:25:06,489 ATTEMPT SUICIDE AND UP SOME WILL 4677 03:25:06,489 --> 03:25:08,124 DIE AND BETTER UNDERSTANDING OF 4678 03:25:08,124 --> 03:25:10,393 RISK FACTORS WILL HELP PREDICT 4679 03:25:10,393 --> 03:25:14,497 AND PREVENT SUICIDE ATTEMPTS IN 4680 03:25:14,497 --> 03:25:15,365 THE POPULATION. 4681 03:25:15,365 --> 03:25:17,500 THERE'S MANY RISK FACTORS 4682 03:25:17,500 --> 03:25:18,901 IDENTIFIED FOR SUICIDAL BEHAVIOR 4683 03:25:18,901 --> 03:25:20,269 AND BIPOLAR DISORDER. 4684 03:25:20,269 --> 03:25:26,809 ONE IS PAST SUICIDE ATTEMPT 4685 03:25:26,809 --> 03:25:28,811 PREDICTIVE FUTURE SUICIDE AT THE 4686 03:25:28,811 --> 03:25:29,579 SAME TIME HISTORY OF ATTEMPT OR 4687 03:25:29,579 --> 03:25:33,049 MOOD DISORDERS IS PREDICTIVE 4688 03:25:33,049 --> 03:25:35,084 FUTURE ATTEMPTS AND ASSOCIATED 4689 03:25:35,084 --> 03:25:37,019 WITH SUICIDAL BEHAVIOR. 4690 03:25:37,019 --> 03:25:38,187 HAVING AN ALCOHOL OR SUBSTANCE 4691 03:25:38,187 --> 03:25:40,323 USE DISORDER AND GENDER WHICH IS 4692 03:25:40,323 --> 03:25:43,025 INTEREST IN THAT FEMALES ARE 4693 03:25:43,025 --> 03:25:44,927 MORE LIKELY TO OR WOMEN ARE MORE 4694 03:25:44,927 --> 03:25:46,028 LIKELY TO AT THE SAME TIME 4695 03:25:46,028 --> 03:25:48,297 SUICIDE BUT MEN ARE MORE LIKELY 4696 03:25:48,297 --> 03:25:50,199 TO DIE BY SUICIDE. 4697 03:25:50,199 --> 03:25:53,002 POSSIBLY IN PART EXPLAINED BY 4698 03:25:53,002 --> 03:25:55,571 THE LETHAL METHOD USED FOR 4699 03:25:55,571 --> 03:25:58,674 LETHALITY OF THE METHOD BUT NOT 4700 03:25:58,674 --> 03:26:00,543 COMPLETELY WHICH IS AN 4701 03:26:00,543 --> 03:26:02,412 INTERESTING QUESTION. 4702 03:26:02,412 --> 03:26:04,680 CONTINUING ON, OTHER SOCIO 4703 03:26:04,680 --> 03:26:10,486 DEMOGRAPHIC FACTORS MAY INCLUDE 4704 03:26:10,486 --> 03:26:11,654 FAMILY STRUCTURE, SOCIO ECONOMIC 4705 03:26:11,654 --> 03:26:12,889 STATUS PAST HISTORY OF ABUSE. 4706 03:26:12,889 --> 03:26:15,558 WE HAVE A VARIETY OF DIFFERENT 4707 03:26:15,558 --> 03:26:18,094 CONSTRUCTS AND EXPERIENCES THAT 4708 03:26:18,094 --> 03:26:20,997 ARE CONTRIBUTING TO RISK FOR 4709 03:26:20,997 --> 03:26:22,465 SUICIDAL BEHAVIOR. 4710 03:26:22,465 --> 03:26:24,567 THERE'S PSYCHO, SOCIAL AND 4711 03:26:24,567 --> 03:26:25,001 EMOTIONAL FACTORS. 4712 03:26:25,001 --> 03:26:27,370 SO THINGS LIKE SADNESS, 4713 03:26:27,370 --> 03:26:30,139 PERCEIVED QUALITY OF LIFE, 4714 03:26:30,139 --> 03:26:33,810 HOPELESSNESS, THESE DIMENSIONS 4715 03:26:33,810 --> 03:26:35,645 OF EMOTIONAL EXPERIENCE AND THEN 4716 03:26:35,645 --> 03:26:38,614 ALSO THE CHARACTERISTIC OF AN 4717 03:26:38,614 --> 03:26:40,183 INDIVIDUAL'S PSYCHIATRIC SYMPTOM 4718 03:26:40,183 --> 03:26:42,652 PROFILE WHERE A PERSON WITH 4719 03:26:42,652 --> 03:26:45,021 SEVERE DES PRESSIVE OR CURRENT 4720 03:26:45,021 --> 03:26:45,888 DEPRESSIVE EPISODE AND PEOPLE 4721 03:26:45,888 --> 03:26:48,925 WITH MORE RAPID CYCLING AND 4722 03:26:48,925 --> 03:26:50,693 EARLIER AGE OF ONSET AND DELAY 4723 03:26:50,693 --> 03:26:52,995 OF INITIAL TREATMENT ARE ALL 4724 03:26:52,995 --> 03:26:53,996 FACTORS THAT CONTRIBUTE TO 4725 03:26:53,996 --> 03:26:55,731 GREATER RISK FOR SUICIDAL 4726 03:26:55,731 --> 03:26:56,999 BEHAVIOR. 4727 03:26:56,999 --> 03:26:59,268 SO A BIG QUESTION HERE IS CAN WE 4728 03:26:59,268 --> 03:27:01,003 BETTER UNDERSTAND HOW SOME OF 4729 03:27:01,003 --> 03:27:03,940 THESE SOCIAL AND EMOTIONAL 4730 03:27:03,940 --> 03:27:05,441 FUNCTIONING CONSTRUCTS RELATE 4731 03:27:05,441 --> 03:27:12,949 ARE TO SUICIDE ATTEMPTS IN 4732 03:27:12,949 --> 03:27:13,583 BIPOLAR DISORDER. 4733 03:27:13,583 --> 03:27:15,184 WE CHOSE THE NIH TOOLBOX AS A 4734 03:27:15,184 --> 03:27:19,589 WAY OF LOOKING AT THIS THAT HAD 4735 03:27:19,589 --> 03:27:21,057 SEVERAL ADVANTAGES. 4736 03:27:21,057 --> 03:27:22,458 WE ALREADY DISCUSSED THIS 4737 03:27:22,458 --> 03:27:27,663 THROUGHOUT THE DAY HOW IT'S A 4738 03:27:27,663 --> 03:27:28,998 SINGLE AND BRIEF ASSESSMENT AND 4739 03:27:28,998 --> 03:27:32,235 WE ZOOMED IN ON THE EMOTION 4740 03:27:32,235 --> 03:27:34,136 TOOLBOX AND BATTERY. 4741 03:27:34,136 --> 03:27:35,838 THIS BATTERY COVERS A VARIETY OF 4742 03:27:35,838 --> 03:27:37,673 CONSTRUCTS WHICH WE'LL GO OVER 4743 03:27:37,673 --> 03:27:41,644 IN A BIT AND WELL VALIDATED AND 4744 03:27:41,644 --> 03:27:42,945 SELF-ADMINISTERED AND DOES NOT 4745 03:27:42,945 --> 03:27:45,882 REQUIRE CLINICAL INTERVIEW. 4746 03:27:45,882 --> 03:27:49,685 SOME ASSAYS COLLECTED WERE 4747 03:27:49,685 --> 03:27:52,021 CLINICIAN OR EXPERIMENTAL 4748 03:27:52,021 --> 03:27:53,556 DELIVERED AND THIS WAS 4749 03:27:53,556 --> 03:27:53,956 SELF-ADMINISTERED. 4750 03:27:53,956 --> 03:27:55,992 IN TERMS OF HOW IT'S BEEN USED 4751 03:27:55,992 --> 03:27:57,460 PREVIOUSLY IN SUICIDE RESEARCH, 4752 03:27:57,460 --> 03:27:59,128 THE NIH TOOLBOX HAS BEEN 4753 03:27:59,128 --> 03:28:00,963 EMPLOYED IN AT LEAST TWO STUDIES 4754 03:28:00,963 --> 03:28:04,800 RELATED TO SUICIDAL IDEATION BUT 4755 03:28:04,800 --> 03:28:07,103 NOT IN TERMS OF ATTEMPT. 4756 03:28:07,103 --> 03:28:07,803 IT'S IMPORTANT TO DISTINGUISH 4757 03:28:07,803 --> 03:28:11,307 THESE AS CONCEPTS BECAUSE THE 4758 03:28:11,307 --> 03:28:12,775 VAST MAJORITY OF PEOPLE WITH 4759 03:28:12,775 --> 03:28:14,777 SUICIDAL IDEATION DO NOT GO ON 4760 03:28:14,777 --> 03:28:16,312 TO HAVE AN ATTEMPT. 4761 03:28:16,312 --> 03:28:17,313 THAT'S ANOTHER QUESTION WE MIGHT 4762 03:28:17,313 --> 03:28:18,648 END UP LOOKING INTO BUT FOR 4763 03:28:18,648 --> 03:28:20,983 PURPOSES OF TODAY WE'RE LOOKING 4764 03:28:20,983 --> 03:28:24,987 AT HISTORY OF ACTUAL ATTEMPT. 4765 03:28:24,987 --> 03:28:28,991 SO WE USED VERSION 2 OF THE 4766 03:28:28,991 --> 03:28:29,258 TOOLBOX. 4767 03:28:29,258 --> 03:28:30,226 SO IT WILL BE A LITTLE BIT 4768 03:28:30,226 --> 03:28:31,127 DIFFERENT FROM WHAT WAS 4769 03:28:31,127 --> 03:28:32,828 DESCRIBED IN THE EARLIER TALK IN 4770 03:28:32,828 --> 03:28:34,263 TERMS OF THE EMOTION SUB 4771 03:28:34,263 --> 03:28:35,865 DOMAINS. 4772 03:28:35,865 --> 03:28:40,970 SO IN DOMAIN 1 WE HAVE 4773 03:28:40,970 --> 03:28:42,371 PSYCHOLOGICAL WELL BEING AND 4774 03:28:42,371 --> 03:28:43,606 SATISFACTION AND MEANING AND 4775 03:28:43,606 --> 03:28:45,007 PURPOSE IN LIFE AND FOR THE 4776 03:28:45,007 --> 03:28:47,777 SOCIAL RELATIONSHIPS DOMAIN WE 4777 03:28:47,777 --> 03:28:49,011 HAVE EMOTIONAL SUPPORT, 4778 03:28:49,011 --> 03:28:50,479 INSTRUMENTAL SUPPORT, 4779 03:28:50,479 --> 03:28:53,583 FRIENDSHIP, LONELINESS, 4780 03:28:53,583 --> 03:28:55,318 PERCEIVED REJECTION AND 4781 03:28:55,318 --> 03:28:59,021 HOSTILITY IN DOMAIN 3 STRESS AND 4782 03:28:59,021 --> 03:29:01,023 SELF-EFFICACY AND IN DOMAIN 4 WE 4783 03:29:01,023 --> 03:29:07,463 HAVE NEGATIVE AFFECT. 4784 03:29:07,463 --> 03:29:13,002 FEAR, AFFECT AND SADNESS AND 4785 03:29:13,002 --> 03:29:14,670 ANGER INCLUDING AFFECT, 4786 03:29:14,670 --> 03:29:16,272 HOSTILITY AND PHYSICAL GRESSION. 4787 03:29:16,272 --> 03:29:21,010 THE PEOPLERY PURPOSE WAS TO 4788 03:29:21,010 --> 03:29:24,614 COLLECT MRI OF THE BRAINS OF 4789 03:29:24,614 --> 03:29:26,649 INDIVIDUALS WITH BIPOLAR TYPE 1 4790 03:29:26,649 --> 03:29:28,351 AND INCLUDED MEASURES. 4791 03:29:28,351 --> 03:29:33,022 SO WE RECRUITED PEOPLE AND WITH 4792 03:29:33,022 --> 03:29:35,391 AND WITHOUT BIPOLAR TYPE 1 AND 4793 03:29:35,391 --> 03:29:37,293 DIAGNOSIS WAS CONFIRMED WITH THE 4794 03:29:37,293 --> 03:29:40,396 DIAGNOSTIC INTERVIEW AND AT THE 4795 03:29:40,396 --> 03:29:44,233 SAME TIMES INCLUDED THE 4796 03:29:44,233 --> 03:29:49,005 MONTGOMERY ASPERG SCALE AND 4797 03:29:49,005 --> 03:29:51,240 COLUMBIA SUICIDE SEVERITY RATING 4798 03:29:51,240 --> 03:29:51,440 SCALE. 4799 03:29:51,440 --> 03:29:55,511 OF THE STUDY WE STARTED AND 4800 03:29:55,511 --> 03:29:59,181 DECIDED TO ADD THE NIH TOOLBOX 4801 03:29:59,181 --> 03:30:02,351 IN AND 148 COMPLETED THE EMOTION 4802 03:30:02,351 --> 03:30:05,054 COMPONENT OF THE TOOLBOX. 4803 03:30:05,054 --> 03:30:13,629 HERE'S A TRUNCATED VERSION YOU 4804 03:30:13,629 --> 03:30:18,634 CAN SEE CONTROLS AND BIPOLAR 4805 03:30:18,634 --> 03:30:19,602 DISORDER TYPE 1 WITHOUT AN 4806 03:30:19,602 --> 03:30:24,807 ATTEMPT HISTORY AND WITHOUT. 4807 03:30:24,807 --> 03:30:35,284 WE HAVE NO DIFFERENT IN THE 4808 03:30:35,751 --> 03:30:38,688 DISTRIBUTION ABOUT THE THE 4809 03:30:38,688 --> 03:30:47,196 SELF-REPORT SOCIO ECONOMIC 4810 03:30:47,196 --> 03:30:57,673 STATUS AND THE ANXIETY WERE 4811 03:30:57,973 --> 03:30:59,742 DIFFERENCES AND WE SAW SOCIO 4812 03:30:59,742 --> 03:31:00,376 ECONOMIC DIFFERENCES BUT THOUGHT 4813 03:31:00,376 --> 03:31:08,417 IT WAS INTERESTING TO NOTE. 4814 03:31:08,417 --> 03:31:12,121 DOES THE NO. EMOTIONAL BATTERY 4815 03:31:12,121 --> 03:31:13,956 CORRELATE WITH THE SYSTEM SCALES 4816 03:31:13,956 --> 03:31:14,256 COLLECTED? 4817 03:31:14,256 --> 03:31:20,429 WE SAW BELIEVABLE RESULT ARE. 4818 03:31:20,429 --> 03:31:27,169 WE SAW AND CORRELATION 4819 03:31:27,169 --> 03:31:29,305 COEFFICIENT AND WE HAVE THE 4820 03:31:29,305 --> 03:31:31,040 CLINICAL ASSESSMENT SCALES AND 4821 03:31:31,040 --> 03:31:33,008 THEN WE HAVE EACH OF THE 4822 03:31:33,008 --> 03:31:36,512 DIFFERENT SUB DOMAINS OF THE 4823 03:31:36,512 --> 03:31:38,414 EMOTION BATTERIES IN THE COLUMNS 4824 03:31:38,414 --> 03:31:41,016 AND THE THINGS YOU EXPECT TO BE 4825 03:31:41,016 --> 03:31:45,955 MORE ADAPTIVE ARE USUALLY 4826 03:31:45,955 --> 03:31:47,256 NEGATIVELY CORRELATED WITH THE 4827 03:31:47,256 --> 03:31:51,794 SYMPTOM RATING SCALES AND THINGS 4828 03:31:51,794 --> 03:31:54,697 THAT ARE THINGS YOU WOULD WANT 4829 03:31:54,697 --> 03:31:56,999 TO BE ADAPTIVE ARE NEGATIVELY 4830 03:31:56,999 --> 03:31:59,602 AND LESS ADAPTIVE ARE POSITIVELY 4831 03:31:59,602 --> 03:32:01,203 CORRELATED. 4832 03:32:01,203 --> 03:32:06,308 FOR EXAMPLE, ONE WOULD EXPECT 4833 03:32:06,308 --> 03:32:07,576 SADNESS FROM THE TOOLBOX TO BE 4834 03:32:07,576 --> 03:32:11,247 HIGHLY CORRELATED WITH THE 4835 03:32:11,247 --> 03:32:12,982 DEPRESSION SCORE AND WE SEE THAT 4836 03:32:12,982 --> 03:32:16,085 AND IT IMPORTANT TO CAPTURE 4837 03:32:16,085 --> 03:32:16,986 CLINICALLY RELEVANT INFORMATION 4838 03:32:16,986 --> 03:32:18,220 WITH THE TOOLBOX. 4839 03:32:18,220 --> 03:32:23,926 AND WE ALSO HAVE A MORE DETAILED 4840 03:32:23,926 --> 03:32:27,363 BREAKDOWN BY QUESTIONS OF THE 4841 03:32:27,363 --> 03:32:28,831 ASSESSMENTS BUT FOR PURPOSES OF 4842 03:32:28,831 --> 03:32:33,769 TIME WE WON'T GO INTO THAT. 4843 03:32:33,769 --> 03:32:36,639 OUR PRIMARY QUESTION IS DOES 4844 03:32:36,639 --> 03:32:39,875 SUICIDE HISTORY RELATE TO 4845 03:32:39,875 --> 03:32:40,643 RESPONSES ON BATTERY? 4846 03:32:40,643 --> 03:32:42,845 AND IN ORDER TO AVOID YOU HAVING 4847 03:32:42,845 --> 03:32:45,981 TO LOOK AT 17 DIFFERENT GRAPHS, 4848 03:32:45,981 --> 03:32:48,984 I SUMMARIZED FROM THE SLIDE THAT 4849 03:32:48,984 --> 03:32:51,387 INDEED WE SEE NUMEROUS DOMAINS 4850 03:32:51,387 --> 03:32:53,355 ARE DIFFERENT BETWEEN THE TWO 4851 03:32:53,355 --> 03:32:54,490 GROUPS OF BIPOLAR DISORDER 4852 03:32:54,490 --> 03:32:55,090 PARTICIPANTS. 4853 03:32:55,090 --> 03:32:59,495 WE SEE HERE IN BLUE THAT WE HAVE 4854 03:32:59,495 --> 03:33:02,064 THE INDIVIDUALS THAT DO HAVE A 4855 03:33:02,064 --> 03:33:05,034 PRIOR SUICIDE ATTEMPT OF LOWER 4856 03:33:05,034 --> 03:33:06,936 REPORTED RANKINGS ON THESE 4857 03:33:06,936 --> 03:33:07,136 ITEMS. 4858 03:33:07,136 --> 03:33:12,174 WE HAVE LIFE SATISFACTION AND 4859 03:33:12,174 --> 03:33:15,411 EMOTIONAL SUPPORT AND 4860 03:33:15,411 --> 03:33:16,545 SELF-EFFICACY ALOWER AND 4861 03:33:16,545 --> 03:33:18,247 LONELINESS AND PERCEIVED SADNESS 4862 03:33:18,247 --> 03:33:21,917 AND ANGER AND HOSTILITY ARE 4863 03:33:21,917 --> 03:33:24,353 HIGHER IN THIS GROUP. 4864 03:33:24,353 --> 03:33:30,059 WE NOTED DIFFERENCES BETWEEN 4865 03:33:30,059 --> 03:33:34,763 CONTROL GROUPS AND OUR PRIMARY 4866 03:33:34,763 --> 03:33:36,198 TARGET OF INTEREST. 4867 03:33:36,198 --> 03:33:37,700 ALL THIS MAKE SENSE AND THEN 4868 03:33:37,700 --> 03:33:39,869 WERE INTERESTED IN CAN WE 4869 03:33:39,869 --> 03:33:43,205 COMBINE ALL THE INFORMATION 4870 03:33:43,205 --> 03:33:46,008 TOGETHER TO IDENTIFY WHICH GROUP 4871 03:33:46,008 --> 03:33:46,709 AN INDIVIDUAL BELONGED INTO 4872 03:33:46,709 --> 03:33:49,712 BASED ON THE MEASURES ALONE. 4873 03:33:49,712 --> 03:33:53,582 SO IF WE CAN, WHICH ARE THE MOST 4874 03:33:53,582 --> 03:33:56,118 IMPORTANT IN THE CLASSIFICATION. 4875 03:33:56,118 --> 03:33:57,553 WE DEVELOPED A MACHINE LEARNING 4876 03:33:57,553 --> 03:33:59,521 MODEL AND SELECTED A RANDOM 4877 03:33:59,521 --> 03:34:04,693 FOREST TO ALLOW FOR INHERENT 4878 03:34:04,693 --> 03:34:07,663 VARIABLE AND WE USED FIVE-FOLD 4879 03:34:07,663 --> 03:34:09,031 ACROSS VALIDATION AND THIS IS 4880 03:34:09,031 --> 03:34:10,499 IMPORTANT BECAUSE OUR RELATIVELY 4881 03:34:10,499 --> 03:34:13,068 SMALL DATA SET WE WANTED TO 4882 03:34:13,068 --> 03:34:15,437 IMPROVE RIGOR AND REDUCIBILITY. 4883 03:34:15,437 --> 03:34:18,007 THE 19 FEATURES INCLUDED IN THE 4884 03:34:18,007 --> 03:34:20,242 MODEL WERE THE 17 SUBDOMAIN 4885 03:34:20,242 --> 03:34:22,278 RATINGS AS SEEN IN THE GRAPHIC 4886 03:34:22,278 --> 03:34:25,014 BEFORE AND AGE AND SELF-REPORTED 4887 03:34:25,014 --> 03:34:26,849 SEX. 4888 03:34:26,849 --> 03:34:28,550 THE OUTCOME WAS BINARY AND 4889 03:34:28,550 --> 03:34:32,855 REMOVED THE CONTROL GROUP FROM 4890 03:34:32,855 --> 03:34:37,026 THIS AND LOOKED WITHIN BIPOLAR 4891 03:34:37,026 --> 03:34:38,928 DISORDER PARTICIPANTS AND 4892 03:34:38,928 --> 03:34:40,195 COMPUTED WHEN THE VARIABLE WAS 4893 03:34:40,195 --> 03:34:42,331 PER MUTED AND YOU CAN SEE THE 4894 03:34:42,331 --> 03:34:44,033 RESULT ARE HERE THAT OVER ALL 4895 03:34:44,033 --> 03:34:49,004 THE MODEL WAS ABLE TO PREDICT 4896 03:34:49,004 --> 03:34:51,140 GROUP MEMBERSHIP WITH AROUND 70% 4897 03:34:51,140 --> 03:34:52,908 ACCURACY AND IN BACK WE HAVE 4898 03:34:52,908 --> 03:34:55,711 MEAN DECREASE IN ACCURACY WITH 4899 03:34:55,711 --> 03:34:56,011 PERMUTATION. 4900 03:34:56,011 --> 03:34:57,546 SO WHEN HAVE YOU A BIGGER NUMBER 4901 03:34:57,546 --> 03:35:04,053 THAT MEANS THE ACCURACY OF THE 4902 03:35:04,053 --> 03:35:07,723 MODEL'S HURT THE MOST WHEN IT 4903 03:35:07,723 --> 03:35:17,733 WAS PERMUTED AND WE HAVE ANGER, 4904 03:35:17,733 --> 03:35:19,501 PERCEIVED STRESS AND 4905 03:35:19,501 --> 03:35:22,171 SELF-EFFICACY AND PERCEIVED 4906 03:35:22,171 --> 03:35:24,440 REJECTION AND CAN INDICATE THE 4907 03:35:24,440 --> 03:35:26,408 DIRECTIONALITY OF THE EFFECT 4908 03:35:26,408 --> 03:35:27,977 CORRESPONDING WITH THE PREVIOUS 4909 03:35:27,977 --> 03:35:29,712 SLIDE AND THIS ALL MAKES SENSE 4910 03:35:29,712 --> 03:35:31,714 IN THE WAYS YOU WOULD EXPECT 4911 03:35:31,714 --> 03:35:33,615 SUCH AS LONELINESS BEING HIGHER 4912 03:35:33,615 --> 03:35:34,416 AND ALL THAT. 4913 03:35:34,416 --> 03:35:37,086 THE EMOTIONAL SUPPORT WAS THE 4914 03:35:37,086 --> 03:35:38,620 ONE IN THE LEAD. 4915 03:35:38,620 --> 03:35:42,624 SO JUST TO WRAP THIS UP, WE 4916 03:35:42,624 --> 03:35:43,726 DEFINITELY OBSERVED THAT MOOD 4917 03:35:43,726 --> 03:35:46,295 AND EMOTIONAL CONSTRUCTS ARE 4918 03:35:46,295 --> 03:35:48,998 BEING CAPTURED IN WAYS WE WOULD 4919 03:35:48,998 --> 03:35:50,566 EXPECT BY THE TOOLBOX. 4920 03:35:50,566 --> 03:35:54,269 AND THIS WAS RELATED TO SUICIDE 4921 03:35:54,269 --> 03:35:55,704 ATTEMPT HISTORY WITHIN BIPOLAR 4922 03:35:55,704 --> 03:35:56,271 DISORDER PARTICIPANTS. 4923 03:35:56,271 --> 03:35:58,607 THE MACHINE LEARNING MODEL WE 4924 03:35:58,607 --> 03:36:01,543 USED HAD ACCURACY AND 4925 03:36:01,543 --> 03:36:02,845 DISTINGUISHED THE TOP 4926 03:36:02,845 --> 03:36:03,812 DISTINGUISHING FEATURES AND BY 4927 03:36:03,812 --> 03:36:07,716 IDENTIFYING THE TOP FEATURES WE 4928 03:36:07,716 --> 03:36:10,185 CAN POTENTIALLY GUIDE FUTURE 4929 03:36:10,185 --> 03:36:11,787 TREATMENT OR INTERVENTION 4930 03:36:11,787 --> 03:36:12,021 OPTIONS. 4931 03:36:12,021 --> 03:36:13,655 SO FOR EXAMPLE, IF THERE WERE 4932 03:36:13,655 --> 03:36:15,090 MORE POLICIES TO INCREASE THE 4933 03:36:15,090 --> 03:36:18,160 AVAILABILITY OF EMOTIONAL 4934 03:36:18,160 --> 03:36:20,996 SUPPORT SO MAYBE THERAPIES OR 4935 03:36:20,996 --> 03:36:23,465 PROMOTE ANOTHER TYPE OF 4936 03:36:23,465 --> 03:36:24,566 INTERVENTION PROVIDING PEOPLE 4937 03:36:24,566 --> 03:36:26,568 AND SOMEONE TO TALK TO, ALSO 4938 03:36:26,568 --> 03:36:28,704 STRESS REDUCTION IN MANAGEMENT 4939 03:36:28,704 --> 03:36:28,971 METHODS. 4940 03:36:28,971 --> 03:36:31,740 ALL THESE THINGS COULD LEAD TO 4941 03:36:31,740 --> 03:36:34,276 CHANGES IN TREATMENT AND WARRANT 4942 03:36:34,276 --> 03:36:35,911 FURTHER STUDY. 4943 03:36:35,911 --> 03:36:39,048 IT'S POSSIBLE THE BATTERY COULD 4944 03:36:39,048 --> 03:36:40,783 HAVE CLINICAL SCREEN TOOL FOR 4945 03:36:40,783 --> 03:36:41,917 FUTURE SUICIDE RISK BUT AGAIN 4946 03:36:41,917 --> 03:36:44,053 IT'S A CROSS-SECTIONAL STUDY SO 4947 03:36:44,053 --> 03:36:45,020 WE'D NEED FURTHER STUDIES TO 4948 03:36:45,020 --> 03:36:47,156 ASSESS THIS. 4949 03:36:47,156 --> 03:36:50,993 AND WE ARE HOPING TO COMBINE OUR 4950 03:36:50,993 --> 03:36:54,129 CURRENT WORK IN THE MRI IMAGING 4951 03:36:54,129 --> 03:36:55,030 WITH THIS WORK TO END REPORT ON 4952 03:36:55,030 --> 03:36:56,165 THE RESULTS IN THE FUTURE. 4953 03:36:56,165 --> 03:37:06,508 THANK YOU VERY MUCH. 4954 03:37:14,983 --> 03:37:20,889 >> SO NEXT UP WE HAVE LEILA 4955 03:37:20,889 --> 03:37:23,459 GACHECHILADZE FROM THE 4956 03:37:23,459 --> 03:37:34,002 UNIVERSITY OF MARYLAND IN HIRN 4957 03:37:37,139 --> 03:37:37,706 TOOL BOOCHL ASSESSMENT IN 4958 03:37:37,706 --> 03:37:43,479 PATIENTS WITH DRUG RESISTANT 4959 03:37:43,479 --> 03:37:45,080 TEMPORAL LOBE EPILEPSY 4960 03:37:45,080 --> 03:37:45,681 UNIVERSITIES CONTROLS. 4961 03:37:45,681 --> 03:37:54,156 >> I'M HAPPY TO TALK ABOUT THE 4962 03:37:54,156 --> 03:37:55,757 NIH TOOLBOX ASSESSMENT IN 4963 03:37:55,757 --> 03:38:00,162 PATIENTS WITH DRUG RESISTANT 4964 03:38:00,162 --> 03:38:03,132 TEMPORAL LOBE EPILEPSY VERSUS 4965 03:38:03,132 --> 03:38:03,398 CONTROLS. 4966 03:38:03,398 --> 03:38:05,534 BEFORE WE DIVE INTO THE DETAILS, 4967 03:38:05,534 --> 03:38:07,369 LET ME SET THE STAGE BY SHOWING 4968 03:38:07,369 --> 03:38:08,670 THE BACKGROUND STORY OF THE 4969 03:38:08,670 --> 03:38:09,071 PROJECT. 4970 03:38:09,071 --> 03:38:12,074 THE PRIMARY WAY TO MEASURE 4971 03:38:12,074 --> 03:38:13,742 COGNITIVE FUNCTIONING IN 4972 03:38:13,742 --> 03:38:16,512 PATIENTS WITH DRUG RESISTANT 4973 03:38:16,512 --> 03:38:18,480 TEMPORAL LOBE EPILEPSY IS 4974 03:38:18,480 --> 03:38:20,983 THROUGH THE NEURAL PSYCHOLOGICAL 4975 03:38:20,983 --> 03:38:25,454 ASSESSMENT CONSIDERED TO BE GOLD 4976 03:38:25,454 --> 03:38:26,722 STANDARD TEST. 4977 03:38:26,722 --> 03:38:28,991 THE ASSESSMENT HAS MANY 4978 03:38:28,991 --> 03:38:29,625 ADVANTAGES. 4979 03:38:29,625 --> 03:38:32,995 IT PROVIDES DETAILED INFORMATION 4980 03:38:32,995 --> 03:38:34,062 REGARDING PERFORMANCE AN VARIETY 4981 03:38:34,062 --> 03:38:39,801 OF COGNITIVE DOMAINS AND ASSISTS 4982 03:38:39,801 --> 03:38:43,739 IN SURGICAL PREDICTION OF THE 4983 03:38:43,739 --> 03:38:46,508 POSTSURGICAL OUTCOMES IN THE 4984 03:38:46,508 --> 03:38:47,009 PATIENT POPULATION. 4985 03:38:47,009 --> 03:38:49,745 WHILE THE NEURO PSYCHOLOGICAL 4986 03:38:49,745 --> 03:38:51,346 TESTING YIELDS RICH INFORMATION 4987 03:38:51,346 --> 03:38:52,814 FOR CLINICAL AS WELL AS RESEARCH 4988 03:38:52,814 --> 03:38:55,784 PURPOSES, THERE ARE SEVERAL 4989 03:38:55,784 --> 03:39:01,023 CHALLENGES WHEN USING THIS 4990 03:39:01,023 --> 03:39:01,456 MEASURES. 4991 03:39:01,456 --> 03:39:08,463 IT NEEDS TO BE INTERPRETED BY A 4992 03:39:08,463 --> 03:39:13,569 NEUROPSYCHOLOGIST AND EXTENSIVE 4993 03:39:13,569 --> 03:39:14,803 TEST THAT LIMITS AND SAYS AND 4994 03:39:14,803 --> 03:39:15,938 REQUIRES TIME TO ADMINISTER AS 4995 03:39:15,938 --> 03:39:20,642 WELL AS SCORE. 4996 03:39:20,642 --> 03:39:25,013 WITH THAT IN MIND LET'S TALK 4997 03:39:25,013 --> 03:39:35,390 ABOUT THE NIH TOOLBOX. 4998 03:39:41,096 --> 03:39:45,234 AND EXECUTING AND TREND OVER 4999 03:39:45,234 --> 03:39:55,744 TIME AND NO STUDIES HAVE BEEN 5000 03:39:57,779 --> 03:40:01,016 PUBLISHED WITH DRUG RESISTANT 5001 03:40:01,016 --> 03:40:03,619 EPILEPSY AND WE KNOW THEY'LL 5002 03:40:03,619 --> 03:40:04,820 SCORE WORSE THAN CONTROLS AND 5003 03:40:04,820 --> 03:40:06,755 BUILDING ON THAT IDEA IN THE 5004 03:40:06,755 --> 03:40:09,024 STUDY WE AIM TO DEMONSTRATE THE 5005 03:40:09,024 --> 03:40:10,959 NIH TOOLBOX COGNITIVE BATTERY IS 5006 03:40:10,959 --> 03:40:13,795 SENSITIVE ENOUGH TO IDENTIFY 5007 03:40:13,795 --> 03:40:15,998 COGNITIVE DIFFERENCES AGAIN 5008 03:40:15,998 --> 03:40:21,803 PATIENTS WITH DRUG RESISTANT 5009 03:40:21,803 --> 03:40:24,072 TEMPORAL LOBE EPILEPSY VERSES 5010 03:40:24,072 --> 03:40:25,007 CONTROLS. 5011 03:40:25,007 --> 03:40:28,477 THE PATIENTS WITH TEMPORAL LOBE 5012 03:40:28,477 --> 03:40:29,111 EPILEPSY AT THE CENTER WERE 5013 03:40:29,111 --> 03:40:31,446 SCREENED AND THIS IS THE 5014 03:40:31,446 --> 03:40:33,048 INCLUSION CRITERIA THAT WE USED 5015 03:40:33,048 --> 03:40:37,019 PATIENTS WITH AGE MORE THAN 18 5016 03:40:37,019 --> 03:40:46,261 CONFIRMED TEMPORAL LOBE EPILEPSY 5017 03:40:46,261 --> 03:40:47,929 WITH WORK UP WERE INCLUDED. 5018 03:40:47,929 --> 03:40:53,001 DRUG RESISTANT MEANS ALL 5019 03:40:53,001 --> 03:41:03,445 PATIENTS CONTINUE TO HAVE SE -- 5020 03:41:03,445 --> 03:41:05,881 SEIZURES WITH THERAPEUTIC DOSES 5021 03:41:05,881 --> 03:41:07,716 AND THOSE WITHOUT CONSENT WERE 5022 03:41:07,716 --> 03:41:07,949 EXCLUDE. 5023 03:41:07,949 --> 03:41:09,885 WE MATCHED A HEALTHY CONTROL 5024 03:41:09,885 --> 03:41:12,120 SUBJECT BASED ON AGE AND GENDER 5025 03:41:12,120 --> 03:41:16,124 AND THEN COLLECTED AND 5026 03:41:16,124 --> 03:41:17,826 DEIDENTIFIED PATIENT INFORMATION 5027 03:41:17,826 --> 03:41:22,064 INCLUDING AGE, RACE, GENDER AND 5028 03:41:22,064 --> 03:41:25,000 EPILEPSY AND THEY ALL UNDERWENT 5029 03:41:25,000 --> 03:41:26,068 COGNITION BATTERY TESTING. 5030 03:41:26,068 --> 03:41:29,271 ONCE THEY UNDERWENT THE TESTING 5031 03:41:29,271 --> 03:41:33,075 WE USED THE FULLY CORRECTED T 5032 03:41:33,075 --> 03:41:34,609 SCORE FROM EACH TEST FOR 5033 03:41:34,609 --> 03:41:38,313 COMPARISON AND WE ANALYZED THE 5034 03:41:38,313 --> 03:41:40,849 DATA BY USING A TEST. 5035 03:41:40,849 --> 03:41:42,884 WHY WE USED THE FULLY CORRECTED 5036 03:41:42,884 --> 03:41:43,885 T SCORE WE'LL COVER THAT IN MORE 5037 03:41:43,885 --> 03:41:51,793 DETAIL LATER ON. 5038 03:41:51,793 --> 03:41:52,994 LET'S DELVE IN THE 5039 03:41:52,994 --> 03:41:54,796 CHARACTERISTICS OF THE PATIENTS 5040 03:41:54,796 --> 03:41:55,530 AT BASELINE. 5041 03:41:55,530 --> 03:41:56,998 WE HAD TOTAL 33 SUBJECTS 5042 03:41:56,998 --> 03:42:01,236 RECRUITED AND FROM THE 33, 15 5043 03:42:01,236 --> 03:42:06,608 WERE TEMPORAL LOBE EPILEPSY 5044 03:42:06,608 --> 03:42:09,177 PATIENTS AND MEAN AGE OF 38 FROM 5045 03:42:09,177 --> 03:42:11,346 TEMPORAL LOBE EPILEPSY GROUP WE 5046 03:42:11,346 --> 03:42:16,418 HAD SEVEN WITH DOMINANT LOBE 5047 03:42:16,418 --> 03:42:19,588 EPILEPSY MEANING LANGUAGE 5048 03:42:19,588 --> 03:42:21,823 DOMINANCE AND TWO WITH 5049 03:42:21,823 --> 03:42:23,091 BITEMPORAL EPILEPSY. 5050 03:42:23,091 --> 03:42:24,359 THE MAIN NOTABLE DIFFERENCE 5051 03:42:24,359 --> 03:42:27,062 BETWEEN THE TLE AND CONTROL 5052 03:42:27,062 --> 03:42:31,233 GROUP WAS IN RACE AND EDUCATION. 5053 03:42:31,233 --> 03:42:33,769 SO IN TEMPORAL LOBE EPILEPSY 5054 03:42:33,769 --> 03:42:35,036 PATIENT WE HAD ALMOST EQUAL 5055 03:42:35,036 --> 03:42:35,871 NUMBER OF WHITE AND BLACK 5056 03:42:35,871 --> 03:42:38,473 POPULATION WHILE IN CONTROLS THE 5057 03:42:38,473 --> 03:42:40,575 MAJORITY WERE WHITE. 5058 03:42:40,575 --> 03:42:42,277 EDUCATION WISE IN TEMPORAL LOBE 5059 03:42:42,277 --> 03:42:43,845 EPILEPSY PATIENTS MOST HAD HIGH 5060 03:42:43,845 --> 03:42:46,114 SCHOOL OR COLLEGE DEGREE WHILE 5061 03:42:46,114 --> 03:42:48,984 IN CONTROLS MAJORITY OF PATIENTS 5062 03:42:48,984 --> 03:42:52,654 HAD MASTERS AND BEYOND. 5063 03:42:52,654 --> 03:42:54,556 CONSIDERING THIS DIFFERENCE IN 5064 03:42:54,556 --> 03:42:56,158 RACE AND EDUCATION THIS PROMPTED 5065 03:42:56,158 --> 03:42:59,394 US TO USEFULLY CORRECTED T SCORE 5066 03:42:59,394 --> 03:43:01,930 INSTEAD OF AGE CORRECTED T SCORE 5067 03:43:01,930 --> 03:43:05,033 AS ADJUSTED BASED ON AGE, 5068 03:43:05,033 --> 03:43:05,634 GENDER, EDUCATION AS WELL AS 5069 03:43:05,634 --> 03:43:06,768 RACE. 5070 03:43:06,768 --> 03:43:09,638 NOW THAT WE HAVE COVERED THE 5071 03:43:09,638 --> 03:43:10,572 BASELINE CHARACTERISTICS LET'S 5072 03:43:10,572 --> 03:43:13,308 DISCUSS THE RESULTS. 5073 03:43:13,308 --> 03:43:17,712 SO THESE ARE THE DOMAINS 5074 03:43:17,712 --> 03:43:19,581 ASSESSED BY THE NIH TOOLBOX 5075 03:43:19,581 --> 03:43:20,849 BATTERY AND THE MEASURES USED TO 5076 03:43:20,849 --> 03:43:23,385 ASSESS THOSE DOMAINS. 5077 03:43:23,385 --> 03:43:28,990 WE HAVE TWO MEASURES FROM NIH 5078 03:43:28,990 --> 03:43:32,360 TOOLBOX FOR EXECUTIVE TWO 5079 03:43:32,360 --> 03:43:34,596 MEASURES FOR LANGUAGE AND ONE 5080 03:43:34,596 --> 03:43:37,365 FROM THE NIH TOOLBOX. 5081 03:43:37,365 --> 03:43:39,468 IN MOST COGNITIVE DOMINANCE 5082 03:43:39,468 --> 03:43:43,839 THESE ARE THE T SCORES IN 5083 03:43:43,839 --> 03:43:44,706 TEMPORAL LOBE EPILEPSY GROUP AND 5084 03:43:44,706 --> 03:43:48,009 IN CONTROLS AND THIS IS THE P 5085 03:43:48,009 --> 03:43:48,977 VALUES. 5086 03:43:48,977 --> 03:43:51,012 SO IN MOST COGNITIVE DOMAINS 5087 03:43:51,012 --> 03:43:53,849 ASSESSED BY THE COGNITION 5088 03:43:53,849 --> 03:43:54,983 BATTERY BEING ATTENTION AND 5089 03:43:54,983 --> 03:43:56,518 EXECUTIVE FUNCTION AND WORKING 5090 03:43:56,518 --> 03:43:58,220 MEMORY AND PROCESSING SPEED. 5091 03:43:58,220 --> 03:44:00,121 CONTROL GROUP SCORED 5092 03:44:00,121 --> 03:44:01,523 SIGNIFICANTLY HIGHER THANK THE 5093 03:44:01,523 --> 03:44:02,390 TEMPORAL LOBE EPILEPSY GROUP 5094 03:44:02,390 --> 03:44:12,934 WITH A P VALUE LESS THAN 50 AS 5095 03:44:13,869 --> 03:44:14,236 EXP 5096 03:44:14,236 --> 03:44:16,171 -- 05 AND WE DIDN'T SEE A 5097 03:44:16,171 --> 03:44:19,741 DIFFERENCE IN EPISODIC MEMORY. 5098 03:44:19,741 --> 03:44:21,042 AND NOW LET'S SHIFT OUR FOCUS TO 5099 03:44:21,042 --> 03:44:23,979 THE LIMITATIONS OF THE STUDY. 5100 03:44:23,979 --> 03:44:26,948 SO THE FIRST THE SAMPLE SIZE IS 5101 03:44:26,948 --> 03:44:27,883 PRETTY SMALL AND THIS MIGHT BE 5102 03:44:27,883 --> 03:44:31,887 THE REASON WHY WE DIDN'T SEE 5103 03:44:31,887 --> 03:44:33,021 STATISTICAL SIGNIFICANCE 5104 03:44:33,021 --> 03:44:35,657 DIFFERENCE IN EPISODIC MEMORY 5105 03:44:35,657 --> 03:44:39,528 AND LANGUAGE AS WE HAD TO 5106 03:44:39,528 --> 03:44:40,829 COMBINE ALL EPILEPSY PATIENTS 5107 03:44:40,829 --> 03:44:46,835 TOGETHER WITH DOMINANT AND 5108 03:44:46,835 --> 03:44:49,871 NON-DOMINANT TEMPORAL LOBE 5109 03:44:49,871 --> 03:44:51,006 EPILEPSY PATIENTS AND TO 5110 03:44:51,006 --> 03:44:53,008 OVERCOME THE CONTROLS WE USED 5111 03:44:53,008 --> 03:45:00,382 FULLY CORRECTED T SCORE. 5112 03:45:00,382 --> 03:45:01,883 WE IDENTIFIED THE CONTROL 5113 03:45:01,883 --> 03:45:04,085 PARTICIPANTS PERFORMED 5114 03:45:04,085 --> 03:45:06,721 SIGNIFICANTLY BETTER THAN THE 5115 03:45:06,721 --> 03:45:08,123 TEMPORAL LOBE EPILEPSY PATIENTS 5116 03:45:08,123 --> 03:45:08,924 ACROSS DOMAINS INCLUDING 5117 03:45:08,924 --> 03:45:12,060 ATTENTION, WORKING MEMORY, 5118 03:45:12,060 --> 03:45:13,028 PROCESSING SPEED AND EXECUTIVE 5119 03:45:13,028 --> 03:45:14,930 FUNCTION AND OUR RESULT ARE 5120 03:45:14,930 --> 03:45:16,998 SUGGEST THE NIH TOOLBOX BATTERY 5121 03:45:16,998 --> 03:45:19,901 CAN BE USED AS AN ADJUNCT TEST 5122 03:45:19,901 --> 03:45:22,504 IN PATIENTS WITH DRUG RESISTANT 5123 03:45:22,504 --> 03:45:23,038 TEMPORAL LOBE EPILEPSY. 5124 03:45:23,038 --> 03:45:26,708 WE FEEL IT WILL BE PARTICULARLY 5125 03:45:26,708 --> 03:45:28,310 USEFUL ASSESSMENT TOOL TO ASSESS 5126 03:45:28,310 --> 03:45:29,778 COGNITIVE TRENDS OVER TIME IN 5127 03:45:29,778 --> 03:45:30,712 THE POPULATION. 5128 03:45:30,712 --> 03:45:34,783 ESPECIALLY IF THE PATIENT IS 5129 03:45:34,783 --> 03:45:36,217 UNDERGOING SURGERY OR NEURO 5130 03:45:36,217 --> 03:45:37,018 STIMULATION DOWN THE ROAD. 5131 03:45:37,018 --> 03:45:38,420 MOVING FORWARD WE'RE WORKING ON 5132 03:45:38,420 --> 03:45:41,022 HAVING A BIGGER SAMPLE TO BE 5133 03:45:41,022 --> 03:45:43,224 ABLE TO CLASSIFY PATIENTS BASED 5134 03:45:43,224 --> 03:45:46,761 ON THEIR EPILEPSY DIAGNOSIS AND 5135 03:45:46,761 --> 03:45:49,931 WE'LL ALSO LOOK TO COMPARE THE 5136 03:45:49,931 --> 03:45:53,001 NIH TOOLBOX WITH NEURO PSYCH 5137 03:45:53,001 --> 03:46:01,009 ASSESSMENT AND SEE IF THE SCORES 5138 03:46:01,009 --> 03:46:01,276 CORRELATE. 5139 03:46:01,276 --> 03:46:09,117 THANK YOU. 5140 03:46:09,117 --> 03:46:11,252 >> THANK YOU. 5141 03:46:11,252 --> 03:46:20,996 SO OUR LAST SPEAKER ACTUALLY IS 5142 03:46:20,996 --> 03:46:30,438 FIRUZE OGUZE AND LOOKING AT 5143 03:46:30,438 --> 03:46:31,373 INDIVIDUAL PSYCHOLOGICAL TRAITS 5144 03:46:31,373 --> 03:46:34,709 PREDICT THE ACTIVITY OF LIMBIC 5145 03:46:34,709 --> 03:46:35,844 AND PREFRONTAL AREAS. 5146 03:46:35,844 --> 03:46:41,950 CAN YOU HEAR US? 5147 03:46:41,950 --> 03:46:42,517 >> HELLO. 5148 03:46:42,517 --> 03:46:44,486 FIRST THANK YOU FOR HAVING ME 5149 03:46:44,486 --> 03:46:44,686 TODAY. 5150 03:46:44,686 --> 03:46:49,924 I'M HAPPY TO BE PART OF THIS 5151 03:46:49,924 --> 03:46:50,258 ORGANIZATION. 5152 03:46:50,258 --> 03:46:55,930 FIR FIRUZE A MASTER STUDENT IN 5153 03:46:55,930 --> 03:47:01,469 THE NEUROSCIENCE FIELD AAND TALK 5154 03:47:01,469 --> 03:47:04,439 OF MY DRIED OF INDIVIDUAL 5155 03:47:04,439 --> 03:47:07,942 PSYCHOLOGICAL TRAITS PREDICT THE 5156 03:47:07,942 --> 03:47:13,014 ACTIVITY OF LIMBIC AND 5157 03:47:13,014 --> 03:47:16,217 PREFRONTAL AREAS. 5158 03:47:16,217 --> 03:47:18,553 I'D LIKE TO START WITH EMOTIONAL 5159 03:47:18,553 --> 03:47:20,989 COGNITION THE MOST APPEAL AND 5160 03:47:20,989 --> 03:47:24,993 WELL KNOWN TOPIC IN THE 5161 03:47:24,993 --> 03:47:27,829 PSYCHOLOGY WHEN WHEN IT COMES TO 5162 03:47:27,829 --> 03:47:31,966 DIVERSION OF THE EMOTION 5163 03:47:31,966 --> 03:47:32,701 PROCESSING. 5164 03:47:32,701 --> 03:47:33,935 RESEARCHERS WHEN THEY 5165 03:47:33,935 --> 03:47:35,570 INVESTIGATE THESE TOPIC 5166 03:47:35,570 --> 03:47:37,939 RESEARCHERS MOSTLY USE FACIAL 5167 03:47:37,939 --> 03:47:39,240 EXPRESSIONS OR BASIC EMOTIONS 5168 03:47:39,240 --> 03:47:42,510 WHICH WE ALL KNOW AS HAPPY, 5169 03:47:42,510 --> 03:47:46,648 SURPRISED, ANGRY, FEAR, DISGUST. 5170 03:47:46,648 --> 03:47:50,318 AND THEY USE FACIAL EXPRESSIONS 5171 03:47:50,318 --> 03:47:54,189 BECAUSE IT'S PROVEN MODERATION 5172 03:47:54,189 --> 03:47:56,624 IN RELEVANCE TO RESPOND EVEN 5173 03:47:56,624 --> 03:47:58,693 THOUGH THERE IS NO EXISTING 5174 03:47:58,693 --> 03:48:02,831 EMOTIONAL CONTACT. 5175 03:48:02,831 --> 03:48:05,033 AS NEGATIVE EMOTIONS, ANGER AND 5176 03:48:05,033 --> 03:48:08,703 FEAR IS WELL KNOWN WITH A LIMBIC 5177 03:48:08,703 --> 03:48:10,939 AREA ACTIVATION IN THE 5178 03:48:10,939 --> 03:48:12,807 NEUROSCIENCE FIELD. 5179 03:48:12,807 --> 03:48:16,544 HOWEVER, LIMBIC SYSTEM IS ALSO 5180 03:48:16,544 --> 03:48:20,982 KNOWN AS IN COGNITIVE TRAITS 5181 03:48:20,982 --> 03:48:22,016 SUCH AS INTELLIGENCE AND 5182 03:48:22,016 --> 03:48:27,756 FUNCTION AND ORIENTATION AND TAN 5183 03:48:27,756 --> 03:48:38,299 BE LOOKED AT FOR EMOTIONS IS A 5184 03:48:41,336 --> 03:48:42,170 TOPIC IN THE NEURO PSYCH FIELD 5185 03:48:42,170 --> 03:48:45,540 NOWADAYS. 5186 03:48:45,540 --> 03:48:47,609 TO INVESTIGATE, WE WOULD LIKE TO 5187 03:48:47,609 --> 03:48:49,611 POINT THE RELATIONS FOR 5188 03:48:49,611 --> 03:48:51,246 COGNITIVE AND EMOTIONAL TRAITS 5189 03:48:51,246 --> 03:48:52,981 DURING THE EMOTIONAL PROCESSING 5190 03:48:52,981 --> 03:49:03,491 AND WORKING FROM MEMORY TASK. 5191 03:49:05,393 --> 03:49:08,029 LOOKED AT ACTIVATION LOOKING TO 5192 03:49:08,029 --> 03:49:12,867 EMOTIONAL AND COGNITIVE FACTORS. 5193 03:49:12,867 --> 03:49:16,104 THE QUESTION IS HOW DID WE 5194 03:49:16,104 --> 03:49:16,471 INVESTIGATE. 5195 03:49:16,471 --> 03:49:20,875 TO MAKE THE STUDY POSSIBLE WE 5196 03:49:20,875 --> 03:49:25,046 USED THE HUMAN CONNECTOME 5197 03:49:25,046 --> 03:49:26,347 PROJECT BY WASHINGTON UNIVERSITY 5198 03:49:26,347 --> 03:49:33,021 AND RECRUITED 894 PARTICIPANTS 5199 03:49:33,021 --> 03:49:43,565 FOR BOTH FMRI DATA A TASK FOR 5200 03:49:43,965 --> 03:49:45,567 DIFFERENT SHAPES. 5201 03:49:45,567 --> 03:49:49,237 FOR WORKING MEMORY TASKS WE 5202 03:49:49,237 --> 03:49:58,079 EMBED TASKS WITH PROCESSORS AND 5203 03:49:58,079 --> 03:50:04,485 NOR MEASURES NIH TOOLBOX TOOK A 5204 03:50:04,485 --> 03:50:15,029 BIG ROLE IN OUR PROCESSING TASK 5205 03:50:20,134 --> 03:50:23,638 AND A DOMAIN FOR FEAR AND 5206 03:50:23,638 --> 03:50:27,342 SOMATIC AROUSAL. 5207 03:50:27,342 --> 03:50:32,013 WE USED PENNSYLVANIA UNIVERSITY 5208 03:50:32,013 --> 03:50:33,781 PSYCHOLOGICAL TEST MODULE WHICH 5209 03:50:33,781 --> 03:50:41,856 IS TASK AND LINE ORIENTATION 5210 03:50:41,856 --> 03:50:44,025 TASK AND RECOGNITION. 5211 03:50:44,025 --> 03:50:49,063 FOR ALL TASKS WE USED AN 5212 03:50:49,063 --> 03:50:50,265 ADJUSTED SCALE. 5213 03:50:50,265 --> 03:50:51,799 FOR THE STATISTICAL ANALYSES WE 5214 03:50:51,799 --> 03:50:56,037 WOULD LIKE TO SIMPLIFY THE DATA 5215 03:50:56,037 --> 03:50:58,806 REFERRED TO ANALYSIS. 5216 03:50:58,806 --> 03:51:01,376 WE DID DID ANALYSIS BY AIM OF 5217 03:51:01,376 --> 03:51:05,346 MEASURES AND AT THE END WE 5218 03:51:05,346 --> 03:51:07,248 OBTAINED SPATIAL ORIENTATION, 5219 03:51:07,248 --> 03:51:08,616 EXECUTIVE FUNCTION FOR COGNITION 5220 03:51:08,616 --> 03:51:10,118 AND FOR EMOTION WE HAD NEGATIVE 5221 03:51:10,118 --> 03:51:18,593 EFFECTS. 5222 03:51:18,593 --> 03:51:22,230 FOR FMRI ANALYSIS WE DEFINED 5223 03:51:22,230 --> 03:51:25,633 CONTRAST AND THEN WE HAD OUR ONE 5224 03:51:25,633 --> 03:51:26,267 SAMPLE T TEST TO OBSERVE OUR 5225 03:51:26,267 --> 03:51:28,803 SIGNIFICANT AREAS. 5226 03:51:28,803 --> 03:51:32,040 YOU CAN SEE ON THE RIGHT IMAGE 5227 03:51:32,040 --> 03:51:33,641 WE HAVE OUR SIGNIFICANT AREAS 5228 03:51:33,641 --> 03:51:35,476 FOR THE WORKING MEMORY TASK AND 5229 03:51:35,476 --> 03:51:38,046 ON THE LEFT IMAGE WE HAVE OUR 5230 03:51:38,046 --> 03:51:42,083 SIGNIFICANT AREAS FOR EMOTIONAL 5231 03:51:42,083 --> 03:51:42,483 PROCESSING TASKS. 5232 03:51:42,483 --> 03:51:48,122 IN THE LAB YOU CAN SEE EMOTION 5233 03:51:48,122 --> 03:51:51,392 AND ON THE RIGHT ZERO BACK 5234 03:51:51,392 --> 03:51:51,960 CONTRAST. 5235 03:51:51,960 --> 03:51:55,663 TO DO OUR PHOTO ANALYSIS WE 5236 03:51:55,663 --> 03:51:57,632 EXTRACT OUR REGIONAL DATA WITH 5237 03:51:57,632 --> 03:52:01,002 ANALYSIS AND HAVE OUR REGIONS OF 5238 03:52:01,002 --> 03:52:05,073 INTEREST. 5239 03:52:05,073 --> 03:52:08,042 OUR REGIONS OF INTEREST WERE 5240 03:52:08,042 --> 03:52:13,014 LIMBIC AREA, DORSE LATERAL CORE 5241 03:52:13,014 --> 03:52:16,551 TEXT FOR COGNITIVE AREAS AND 5242 03:52:16,551 --> 03:52:18,987 TOOK WHAT HAS THE PEAK 5243 03:52:18,987 --> 03:52:20,054 ACTIVATION SINCE WE HAD FACE 5244 03:52:20,054 --> 03:52:22,991 MASK TASK. 5245 03:52:22,991 --> 03:52:24,492 -- MATCHING TASK. 5246 03:52:24,492 --> 03:52:26,661 AT THEN TO OBSERVE THE 5247 03:52:26,661 --> 03:52:28,997 INTERACTION TO OBSERVE OUR 5248 03:52:28,997 --> 03:52:33,101 HYPOTHESIS RESULTS WE LOOKED AT 5249 03:52:33,101 --> 03:52:36,237 OUR ACTION BETWEEN REGION OF 5250 03:52:36,237 --> 03:52:40,875 INTEREST AND BEHAVIORAL FACTORS. 5251 03:52:40,875 --> 03:52:45,279 TO SUM UP, OUR MULTIPLE ANALYSIS 5252 03:52:45,279 --> 03:52:50,051 WERE CONDUCTED TO OBSERVE THE 5253 03:52:50,051 --> 03:52:52,153 INTERACTION BETWEEN REGION OF 5254 03:52:52,153 --> 03:52:58,960 INTEREST HYPOTHALAMUS AMYGDALA 5255 03:52:58,960 --> 03:53:01,496 HIPPOCAMPUS AND THE VENTRAL 5256 03:53:01,496 --> 03:53:08,036 LATERAL AND PREFRONTAL CORTEX 5257 03:53:08,036 --> 03:53:11,873 AND FACTORS LIKE INTELLIGENCE, 5258 03:53:11,873 --> 03:53:15,943 EXECUTIVE FUNCTION AND NEGATIVE 5259 03:53:15,943 --> 03:53:16,177 EFFECTS. 5260 03:53:16,177 --> 03:53:20,982 THERE WERE RESULTS WE OBSERVED 5261 03:53:20,982 --> 03:53:23,151 HIGHER INTELLIGENCE SCORES 5262 03:53:23,151 --> 03:53:25,520 ASSOCIATED WITH DORSAL LATERAL 5263 03:53:25,520 --> 03:53:28,222 AND PREFRONTAL CORTEXES DURING 5264 03:53:28,222 --> 03:53:32,226 WORKING MEMORY TASK. 5265 03:53:32,226 --> 03:53:34,896 AND AS A SUPPORTIVE EVIDENCE WE 5266 03:53:34,896 --> 03:53:36,631 HAVE OUR LIMBIC AREA ACTIVATION 5267 03:53:36,631 --> 03:53:41,002 DURING THE WORKING MEMORY 5268 03:53:41,002 --> 03:53:44,972 ASSOCIATED WITH SPECIAL 5269 03:53:44,972 --> 03:53:45,706 ORIENTATION FACTOR. 5270 03:53:45,706 --> 03:53:49,043 AND AGAIN AS A SUPPORTIVE 5271 03:53:49,043 --> 03:53:51,245 EVIDENCE WE HAVE OUR DORSAL 5272 03:53:51,245 --> 03:53:53,714 LATERAL AND PREFRONTAL CORTEX 5273 03:53:53,714 --> 03:53:56,384 ACTIVATION DURING WORKING MEMORY 5274 03:53:56,384 --> 03:53:56,984 WHICH IS ASSOCIATED WITH 5275 03:53:56,984 --> 03:54:05,226 EXECUTIVE FUNCTION. 5276 03:54:05,226 --> 03:54:08,996 WE HAVE OUR DORSAL LATERAL 5277 03:54:08,996 --> 03:54:11,799 CORTEX ACTIVATION WITH NO 5278 03:54:11,799 --> 03:54:13,868 SIGNIFICANT RELATION ARE FOUND 5279 03:54:13,868 --> 03:54:16,370 DURING THE EMOTION TASK. 5280 03:54:16,370 --> 03:54:22,143 TO SUM UP WE CAN SEE THE RESULTS 5281 03:54:22,143 --> 03:54:23,444 AS A MULTI-DIRECTIONAL 5282 03:54:23,444 --> 03:54:28,983 INTERPRETATION FOR CLINICAL 5283 03:54:28,983 --> 03:54:31,252 STUDIES FOR EXAMPLE INDIVIDUAL 5284 03:54:31,252 --> 03:54:34,555 DIFFERENCES OR NEUROSCIENCE 5285 03:54:34,555 --> 03:54:39,427 LIMBIC AND PREFRONTAL AREA IN 5286 03:54:39,427 --> 03:54:45,032 IMPORTANCE DURING OVERRIDING FOR 5287 03:54:45,032 --> 03:54:49,470 BEHAVIORAL FACTORS AND ALSO IT'S 5288 03:54:49,470 --> 03:54:54,609 AN INNOVATIVE TOOL TO BRING 5289 03:54:54,609 --> 03:55:00,581 MODELS TO ELEVATE OUR 5290 03:55:00,581 --> 03:55:04,685 STATISTICAL ANALYSIS AND I CAN 5291 03:55:04,685 --> 03:55:08,089 SAY WE CAN CALL MOST THE 5292 03:55:08,089 --> 03:55:10,825 ACQUIRED DATA LIMITATION FOR THE 5293 03:55:10,825 --> 03:55:14,729 STUDY AS FUTURE DIRECTIONS WE 5294 03:55:14,729 --> 03:55:19,534 CAN USE MORE SENSITIVE PSYCHO 5295 03:55:19,534 --> 03:55:24,505 PHYSIOLOGICAL MEASURES SUCH AS 5296 03:55:24,505 --> 03:55:26,073 MEASURE 5297 03:55:26,073 --> 03:55:30,978 MEASURIE IING NEGATIVE EMOTIONS 5298 03:55:30,978 --> 03:55:33,114 THE COLLABORATION OF PREFRON CAL 5299 03:55:33,114 --> 03:55:36,684 CORTEX ACTIVATION AND LIMBIC 5300 03:55:36,684 --> 03:55:40,521 AREA ACTIVATION REMIND ARE ME TO 5301 03:55:40,521 --> 03:55:41,255 FUNCTIONAL CONNECTIVE STUDIES 5302 03:55:41,255 --> 03:55:46,794 AND HOW TO ELEVATE THE PROJECT. 5303 03:55:46,794 --> 03:55:47,595 THANK YOU FOR LISTENING. 5304 03:55:47,595 --> 03:55:58,139 I'LL BE AWAITING YOUR QUESTIONS. 5305 03:55:58,773 --> 03:56:00,208 >> THANK YOU. 5306 03:56:00,208 --> 03:56:02,109 WE ARE NOW AT Q&A IF I CAN GET 5307 03:56:02,109 --> 03:56:05,680 THE OTHER SPEAKERS TO COME UP ON 5308 03:56:05,680 --> 03:56:08,182 STAGE AND BRUCE, IF YOU CAN STAY 5309 03:56:08,182 --> 03:56:16,524 ON THE LINE. 5310 03:56:16,524 --> 03:56:17,391 -- FIRUZE STAY ON THE LINE. 5311 03:56:17,391 --> 03:56:20,094 >> OKAY. 5312 03:56:20,094 --> 03:56:21,729 >> AND FOR THOSE LISTENING 5313 03:56:21,729 --> 03:56:23,331 ONLINE, IF YOU HAVE QUESTIONS 5314 03:56:23,331 --> 03:56:33,874 SEND THEM TO THE MAILBOX AT THE 5315 03:56:35,476 --> 03:56:36,811 E-MAIL AND WE CAN RESPOND. 5316 03:56:36,811 --> 03:56:37,845 >> HI, EVERYONE. 5317 03:56:37,845 --> 03:56:38,980 VERY NICE TALKS. 5318 03:56:38,980 --> 03:56:40,281 THANK YOU VERY MUCH. 5319 03:56:40,281 --> 03:56:43,951 I WAS INTERESTED IN THE ONE WITH 5320 03:56:43,951 --> 03:56:46,621 INTEROPERABLE EPILEPSY AND 5321 03:56:46,621 --> 03:56:49,056 WONDERING, YOU ARE USING THE NIH 5322 03:56:49,056 --> 03:56:52,660 TOOLBOX FOR PRESURGERY. 5323 03:56:52,660 --> 03:56:53,427 HAVE YOU USED IT POST SURGICALLY 5324 03:56:53,427 --> 03:57:00,101 AND WHAT RESULTS ARE YOU SEEING? 5325 03:57:00,101 --> 03:57:08,676 >> SO, THIS IS LIKE THE FIRST 5326 03:57:08,676 --> 03:57:10,511 PART OF THE STUDY AND THIS IS 5327 03:57:10,511 --> 03:57:14,515 THE DATA THAT WE ANALYZED AS OF 5328 03:57:14,515 --> 03:57:14,682 NOW. 5329 03:57:14,682 --> 03:57:18,786 BUT WE ALSO COLLECTED THE DATA 5330 03:57:18,786 --> 03:57:20,488 IN PATIENTS AFTER RNS PLACEMENT 5331 03:57:20,488 --> 03:57:22,590 AND AFTER SURGERY. 5332 03:57:22,590 --> 03:57:28,296 SO OUR PLAN STO IS TO COMPARE 5333 03:57:28,296 --> 03:57:29,897 DATA AND RNS AND WE'RE WORKING 5334 03:57:29,897 --> 03:57:31,599 ON THAT BUT WE DON'T HAVE 5335 03:57:31,599 --> 03:57:32,633 RESULTS AS OF NOW. 5336 03:57:32,633 --> 03:57:33,601 >> PERFECT. 5337 03:57:33,601 --> 03:57:36,003 I'D BE INTERESTING TO SEE IF 5338 03:57:36,003 --> 03:57:37,938 YOUR SCORES HAVE IMPROVED 5339 03:57:37,938 --> 03:57:40,141 BECAUSE THEY NO LONGER HAVE 5340 03:57:40,141 --> 03:57:40,541 EPILEPSY ANYMORE. 5341 03:57:40,541 --> 03:57:41,142 THANK YOU VERY MUCH. 5342 03:57:41,142 --> 03:57:44,278 >> WE HAVE A GOOD AMOUNT OF 5343 03:57:44,278 --> 03:57:48,683 PATIENTS WHO ARE UNDERGOING THE 5344 03:57:48,683 --> 03:57:53,554 RNS THERAPY AND UNDERGOING NEURO 5345 03:57:53,554 --> 03:57:54,889 STIMULATION AND MEANING IT 5346 03:57:54,889 --> 03:57:56,624 PROVIDES AND STIMULATES YOUR 5347 03:57:56,624 --> 03:58:02,096 BRAIN AND IT HELPS TO PREVENTHE 5348 03:58:02,096 --> 03:58:08,602 S 5349 03:58:08,602 --> 03:58:10,104 SEE -- SEIZURES AND MAY AFFECT 5350 03:58:10,104 --> 03:58:11,238 THE PATIENT GROUP. 5351 03:58:11,238 --> 03:58:12,807 THERE'S DECENT AMOUNT OF 5352 03:58:12,807 --> 03:58:15,676 PATIENTS WHO HAVE THE RNS IN 5353 03:58:15,676 --> 03:58:19,113 PLACE AND ARE UNDERGOING NIH 5354 03:58:19,113 --> 03:58:20,648 TOOLBOX TESTING EVERY LIKE SIX 5355 03:58:20,648 --> 03:58:21,782 MONTHS AND WE'RE WORKING ON THAT 5356 03:58:21,782 --> 03:58:22,116 DATA TOO. 5357 03:58:22,116 --> 03:58:32,526 >> FABULOUS, THANK YOU. 5358 03:58:35,496 --> 03:58:36,997 >> I'LL TAKE A MODERATOR 5359 03:58:36,997 --> 03:58:38,799 PREROGATIVE HERE. 5360 03:58:38,799 --> 03:58:41,535 I'M WONDERING IF YOU CAN SPEAK 5361 03:58:41,535 --> 03:58:43,404 MORE ABOUT YOUR EXPERIENCE USING 5362 03:58:43,404 --> 03:58:46,240 THE EMOTION BATTERY FOR THE 5363 03:58:46,240 --> 03:58:46,807 TOOLBOX. 5364 03:58:46,807 --> 03:58:48,509 WE HAVEN'T HAD -- WE HEARD ABOUT 5365 03:58:48,509 --> 03:58:50,578 COGNITION BATTERY AND YOUR 5366 03:58:50,578 --> 03:58:53,013 EXPERIENCES USING THE EMOTION 5367 03:58:53,013 --> 03:58:54,648 BATTERY AND VIS A VIS THE 5368 03:58:54,648 --> 03:58:55,116 CLINICAL ASSESSMENTS. 5369 03:58:55,116 --> 03:58:56,083 >> THAT'S A GREAT QUESTION. 5370 03:58:56,083 --> 03:58:57,985 I WILL SAY I'M NOT THE PERSON 5371 03:58:57,985 --> 03:59:00,888 WHO IS ADMINISTERING IT SO I 5372 03:59:00,888 --> 03:59:03,324 DON'T WANT TO OVERLY INTERPRET 5373 03:59:03,324 --> 03:59:05,593 THIS BUT MY UNDERSTANDING IS 5374 03:59:05,593 --> 03:59:08,396 IT'S BEEN SIMPLE TO IMPLEMENT. 5375 03:59:08,396 --> 03:59:10,097 I THINK IT WILL HAVE PEOPLE WHO 5376 03:59:10,097 --> 03:59:11,699 ASK QUESTIONS HOW SHOULD I 5377 03:59:11,699 --> 03:59:12,800 ANSWER THIS AND THEY WAFFLE 5378 03:59:12,800 --> 03:59:14,101 AROUND ABOUT THINGS AND THAT MAY 5379 03:59:14,101 --> 03:59:17,238 BE RELATED IF THEY'RE IN A MANIC 5380 03:59:17,238 --> 03:59:19,373 STATE TO BE A LITTLE MORE CHATTY 5381 03:59:19,373 --> 03:59:20,841 ABOUT THINGS BUT OVER ALL IT'S 5382 03:59:20,841 --> 03:59:22,943 BEEN A GOOD EXPERIENCE. 5383 03:59:22,943 --> 03:59:25,546 I THINK IN TERMS OF LENGTH THE 5384 03:59:25,546 --> 03:59:27,515 REST OF THE TOOLBOX TAKES LONGER 5385 03:59:27,515 --> 03:59:30,851 THAN THIS PART BUT WE PRIORITIZE 5386 03:59:30,851 --> 03:59:32,887 THE EMOTION BATTERY BECAUSE OF 5387 03:59:32,887 --> 03:59:34,622 OUR COHORT. 5388 03:59:34,622 --> 03:59:36,457 BUT, YEAH, WE'RE INTERESTED IN 5389 03:59:36,457 --> 03:59:37,057 IMPLEMENTING THE REST OF THE 5390 03:59:37,057 --> 03:59:43,998 TOOLBOX AS WELL. 5391 03:59:43,998 --> 03:59:45,032 >> THIS ONE IS FROM THE 5392 03:59:45,032 --> 03:59:53,007 AUDIENCE. 5393 03:59:53,007 --> 04:00:02,783 >> THIS QUESTION IS FOR CALLIE. 5394 04:00:02,783 --> 04:00:05,753 I WAS WONDERING IN GENERAL, I 5395 04:00:05,753 --> 04:00:07,421 KNOW THAT YOUR VISUAL TASK AND 5396 04:00:07,421 --> 04:00:08,456 REASON ARING TASK HAD MULTIPLE 5397 04:00:08,456 --> 04:00:10,858 KINDS OF QUESTIONS LIKE THE 5398 04:00:10,858 --> 04:00:12,426 ANALOG AND SERIAL, WAS THERE 5399 04:00:12,426 --> 04:00:13,894 MOTIVATION FOR MAKING THAT 5400 04:00:13,894 --> 04:00:15,162 DIFFERENCE FROM WHAT THE WAYS 5401 04:00:15,162 --> 04:00:16,997 DOES, FOR EXAMPLE, LIKE THERE 5402 04:00:16,997 --> 04:00:21,001 WORE TWO ENTIRELY QUESTION TYPES 5403 04:00:21,001 --> 04:00:23,604 WITH I THINK THE COMPLETION 5404 04:00:23,604 --> 04:00:23,938 VERSION OF IT. 5405 04:00:23,938 --> 04:00:28,509 >> I THINK YOUR TALKING ABOUT 5406 04:00:28,509 --> 04:00:29,777 THE WAYS THAT EXPLAIN THAT 5407 04:00:29,777 --> 04:00:31,645 YOU'RE LOOKING AT A GRID OF FOUR 5408 04:00:31,645 --> 04:00:33,147 OR NINE AND YOU'RE LOOKING FOR 5409 04:00:33,147 --> 04:00:36,183 SOMETHING THAT'S MISSING. 5410 04:00:36,183 --> 04:00:37,751 OR THERE'S LIKE A SERIES OF 5411 04:00:37,751 --> 04:00:41,021 PICTURES AND YOU HAVE TO DETECT 5412 04:00:41,021 --> 04:00:42,089 THE PATTERN. 5413 04:00:42,089 --> 04:00:44,859 SO WE DID USE BOTH OF THOSE KIND 5414 04:00:44,859 --> 04:00:49,029 OF TYPES SO EITHER A GRID OF 5415 04:00:49,029 --> 04:00:52,099 EITHER FOUR OR SIX OR NINE 5416 04:00:52,099 --> 04:00:53,667 THINGS WITH SOMETHING THAT'S 5417 04:00:53,667 --> 04:00:54,468 SAYING SOMETIMES WE HAVE MORE 5418 04:00:54,468 --> 04:00:57,371 THAN ONE THING IS MISSING. 5419 04:00:57,371 --> 04:01:01,008 AND THEN WE USE THE SERIES AND 5420 04:01:01,008 --> 04:01:03,177 WE EXPANDED IT BEYOND THAT -- 5421 04:01:03,177 --> 04:01:04,912 BEYOND THOSE TWO ITEM TIMES TO 5422 04:01:04,912 --> 04:01:06,914 INCLUDE I THINK I HAD AN EXAMPLE 5423 04:01:06,914 --> 04:01:08,749 OF A SIMPLE COMPARISON. 5424 04:01:08,749 --> 04:01:12,019 SO REALLY FOR THE YOUNGEST KIDS 5425 04:01:12,019 --> 04:01:14,288 THAT WAS THE ITEM TYPE THAT WAS 5426 04:01:14,288 --> 04:01:15,556 THE MOST CONSISTENT THEY COULD 5427 04:01:15,556 --> 04:01:17,024 ANSWER IS LOOKING FOR THE 5428 04:01:17,024 --> 04:01:19,260 STIMULUS IN ONE OF THE RESPONSE 5429 04:01:19,260 --> 04:01:20,261 CHOICES AS A BASIC LEVEL. 5430 04:01:20,261 --> 04:01:21,529 YOUR QUESTION, I WANT TO MAKE 5431 04:01:21,529 --> 04:01:27,334 SURE TO ANSWER YOUR QUESTION IS 5432 04:01:27,334 --> 04:01:31,071 WHY WE ELABORATED. 5433 04:01:31,071 --> 04:01:33,941 >> WHY DID YOU MIX THEM TOGETHER 5434 04:01:33,941 --> 04:01:36,477 LIKE IN TERMS OF THE THIRD TYPE 5435 04:01:36,477 --> 04:01:37,344 YOU JUST SPOKE ABOUT. 5436 04:01:37,344 --> 04:01:39,313 >> WELL, A LOT OF IT HAS TO DO 5437 04:01:39,313 --> 04:01:40,581 WITH OUR INTEREST IN EXPANDING 5438 04:01:40,581 --> 04:01:41,148 THE AGE RANGE. 5439 04:01:41,148 --> 04:01:43,450 SO WE WERE TRYING TO DEVELOP 5440 04:01:43,450 --> 04:01:48,022 ITEMS THAT WOULD WORK FOR KIDS 5441 04:01:48,022 --> 04:01:49,356 AS YOUNG AS 3 WHICH IS A HARD 5442 04:01:49,356 --> 04:01:51,559 AGE TO DEVELOP COMPLEX ITEMS FOR 5443 04:01:51,559 --> 04:01:52,426 BECAUSE WE'RE TALKING ABOUT KIDS 5444 04:01:52,426 --> 04:01:53,661 WHERE EVEN THE QUESTION 5445 04:01:53,661 --> 04:01:55,963 ANSWERING PROCESS IS CHALLENGING 5446 04:01:55,963 --> 04:01:56,997 FOR THEM. 5447 04:01:56,997 --> 04:01:58,399 SITTING IN FRONT OF THE iPAD, 5448 04:01:58,399 --> 04:02:01,101 UNDERSTANDING THEY NEED TO PICK 5449 04:02:01,101 --> 04:02:01,635 A RESPONSE. 5450 04:02:01,635 --> 04:02:02,770 THAT'S REALLY CHALLENGING SO 5451 04:02:02,770 --> 04:02:07,908 THAT WAS A BIG PART OF WHY WE 5452 04:02:07,908 --> 04:02:13,080 TRIED THOSE OUT AND THEY WORKED 5453 04:02:13,080 --> 04:02:16,984 AND YOU KNOW, WE THERE'S BEEN A 5454 04:02:16,984 --> 04:02:18,485 LOT OF DIFFERENT VISUAL 5455 04:02:18,485 --> 04:02:20,054 REASONING TEST AND THE REASONING 5456 04:02:20,054 --> 04:02:22,289 FOR THE WEXLER IS PARTICULARLY 5457 04:02:22,289 --> 04:02:24,992 POPULAR RIGHT NOW BUT THERE'S 5458 04:02:24,992 --> 04:02:30,264 OTHER TESTS LIKE THE RAVEN'S 5459 04:02:30,264 --> 04:02:33,500 MATRICES USED SINCE THE 30 AND 5460 04:02:33,500 --> 04:02:34,868 THE NON-VERBAL INTELLIGENCE. 5461 04:02:34,868 --> 04:02:36,070 THERE'S DIFFERENT TESTS THAT GET 5462 04:02:36,070 --> 04:02:41,008 TO THE VISUAL ABSTRACT REASONING 5463 04:02:41,008 --> 04:02:42,643 AND WE USED THE WEXLER VERSION 5464 04:02:42,643 --> 04:02:44,144 AS OUR GOLD STANDARD BECAUSE 5465 04:02:44,144 --> 04:02:44,712 IT'S WELL ESTABLISHED AND 5466 04:02:44,712 --> 04:02:49,850 POPULAR RIGHT NOW. 5467 04:02:49,850 --> 04:02:53,020 I THINK WHAT WE CONCEPTUALIZE 5468 04:02:53,020 --> 04:02:55,723 THE CONSTRUCT AND ABSTRACT 5469 04:02:55,723 --> 04:02:59,360 REASONING WE WANTED TO TRY TO BE 5470 04:02:59,360 --> 04:03:00,995 INCLUSIVE PARTICULARLY BECAUSE 5471 04:03:00,995 --> 04:03:11,071 IT IS GIVEN AS A CAT. 5472 04:03:11,071 --> 04:03:12,306 WE NEEDED A GOOD RANGE OF 5473 04:03:12,306 --> 04:03:13,140 DIFFICULTIES TO MEASURE PEOPLE 5474 04:03:13,140 --> 04:03:17,177 AND ON THE WEXLER IT'S NOT A CAT 5475 04:03:17,177 --> 04:03:19,046 SO THEY GET A RAW SCORE BASED ON 5476 04:03:19,046 --> 04:03:20,247 HOW MANY ITEMS THEY COMPLETE. 5477 04:03:20,247 --> 04:03:23,717 WITH OUR TEST WE NEEDED THEM TO 5478 04:03:23,717 --> 04:03:27,821 BE ABLE TO JUMP IN WITH 5479 04:03:27,821 --> 04:03:28,389 DIFFICULT ITEMS. 5480 04:03:28,389 --> 04:03:30,858 >> IF YOU HAVE TIME FOR A 5481 04:03:30,858 --> 04:03:31,492 FOLLOW-UP QUESTIONS I WAS 5482 04:03:31,492 --> 04:03:32,393 WONDERING AT THE BEGINNING OF 5483 04:03:32,393 --> 04:03:34,395 YOUR TALK YOU WERE TALKING ABOUT 5484 04:03:34,395 --> 04:03:35,929 HOW YOU WANTED TO CREATE A 5485 04:03:35,929 --> 04:03:38,165 VISUAL ANALOG TO SOME THINGS 5486 04:03:38,165 --> 04:03:39,233 THAT EXIST IN THE TOOLBOX. 5487 04:03:39,233 --> 04:03:42,603 AND I WAS WONDERING, YOU EVEN 5488 04:03:42,603 --> 04:03:46,206 CITED I THINK THE LIST WORKING 5489 04:03:46,206 --> 04:03:46,573 MEMORY TASK. 5490 04:03:46,573 --> 04:03:48,142 WAS THERE ANY INTEREST IN DOING 5491 04:03:48,142 --> 04:03:50,678 A VISUAL WORKING MEMORY TASK AND 5492 04:03:50,678 --> 04:03:52,980 HOW DID YOU END UP ON VISUAL 5493 04:03:52,980 --> 04:03:54,715 REASONING OPPOSED TO ANY OTHER 5494 04:03:54,715 --> 04:03:56,150 ANALOG DOMAIN? 5495 04:03:56,150 --> 04:03:58,385 >> THERE'S A NUMBER OF VISUAL -- 5496 04:03:58,385 --> 04:04:00,988 I WOULD THINK LIKE SPEEDED 5497 04:04:00,988 --> 04:04:03,824 MATCHING FOR KIDS IS KIND OF A 5498 04:04:03,824 --> 04:04:05,659 PROCESSING SPEED, WORKING MEMORY 5499 04:04:05,659 --> 04:04:07,027 FOR KIDS. 5500 04:04:07,027 --> 04:04:09,763 I FEEL LIKE THE NIH TOOLBOX 5501 04:04:09,763 --> 04:04:12,332 ALREADY HAS A LOT OF WORKING 5502 04:04:12,332 --> 04:04:16,503 MEMORY FOCUSSED THINGS LIKE 5503 04:04:16,503 --> 04:04:16,737 FLANKER. 5504 04:04:16,737 --> 04:04:18,505 I ALWAYS BLANK WHEN I'M TRYING 5505 04:04:18,505 --> 04:04:24,044 TO THINK OF OTHER EXAMPLE TESTS. 5506 04:04:24,044 --> 04:04:24,912 JUST BY NATURAL WITH COGNITIVE 5507 04:04:24,912 --> 04:04:27,314 ASSESSMENT I THINK IT'S EASY TO 5508 04:04:27,314 --> 04:04:28,982 DEFAULT TO MORE VERBAL TESTS 5509 04:04:28,982 --> 04:04:30,984 BECAUSE IT'S A REALLY HELPFUL 5510 04:04:30,984 --> 04:04:32,686 WAY TO EVALUATE SOMEONE IS TO 5511 04:04:32,686 --> 04:04:34,388 TALK TO THEM AND GIVE THEM 5512 04:04:34,388 --> 04:04:38,792 INSTRUCTIONS, HAVE THEM PROVIDE 5513 04:04:38,792 --> 04:04:39,393 A RESPONSE. 5514 04:04:39,393 --> 04:04:44,231 BUT I THINK THAT'S WHAT WAS 5515 04:04:44,231 --> 04:04:46,233 MISSING TO FILL IN A GAP WAS 5516 04:04:46,233 --> 04:04:48,235 SOMETHING MORE VERBAL AND I HAVE 5517 04:04:48,235 --> 04:04:49,503 AN INTEREST IN EVALUATING THE 5518 04:04:49,503 --> 04:04:52,072 PERFORMANCE ON THE TEST FOR 5519 04:04:52,072 --> 04:04:54,174 PEOPLE WHO ARE MAYBE HAVE A 5520 04:04:54,174 --> 04:04:55,342 CLINICAL CONDITION THAT'S 5521 04:04:55,342 --> 04:04:58,045 LEADING THEM TO BE IN A MORE 5522 04:04:58,045 --> 04:04:59,913 NON-VERBAL CATEGORY LIKE AN 5523 04:04:59,913 --> 04:05:01,915 AUTISM SPECTRUM DISORDER BUT WE 5524 04:05:01,915 --> 04:05:02,583 HAVEN'T DONE THOSE ANALYSES YET. 5525 04:05:02,583 --> 04:05:12,826 >> THANK YOU. 5526 04:05:13,427 --> 04:05:16,997 >> THIS ONE IS ALSO FOR 5527 04:05:16,997 --> 04:05:18,065 DR. TYNER. 5528 04:05:18,065 --> 04:05:22,603 I'M A RECENT ADOPTER OF THE 5529 04:05:22,603 --> 04:05:23,337 TOOLBOX CLINICALLY IN THE 5530 04:05:23,337 --> 04:05:24,838 COMMUNITY AND HAD OCCASION TO 5531 04:05:24,838 --> 04:05:28,742 WORK WITH A 68-YEAR-OLD WOMAN 5532 04:05:28,742 --> 04:05:31,445 RECENTLY WHO WAS EXPERIENCING 5533 04:05:31,445 --> 04:05:33,981 POTENTIAL EARLY DEMENTIA SIGNS 5534 04:05:33,981 --> 04:05:34,982 DECLINE AND WITH A LOT OF 5535 04:05:34,982 --> 04:05:38,252 ANXIETY AND THIS IS MORE OF A 5536 04:05:38,252 --> 04:05:40,154 CLINICAL OBSERVATION, I REALLY 5537 04:05:40,154 --> 04:05:42,356 LIKE PROGRESS MATRICES SO I LIKE 5538 04:05:42,356 --> 04:05:44,992 YOUR TEST BUT THIS ONE WOMAN HER 5539 04:05:44,992 --> 04:05:46,593 ANXIETY SPIKED THROUGH THE 5540 04:05:46,593 --> 04:05:48,996 CEILING WHEN SHE TOOK THE TEST. 5541 04:05:48,996 --> 04:05:51,832 AS SOMEBODY STILL NEW TO 5542 04:05:51,832 --> 04:05:57,671 ADMINISTERING BATTERY I 5543 04:05:57,671 --> 04:05:59,740 STRUGGLED WITH HOW MUCH TO SAY 5544 04:05:59,740 --> 04:06:03,410 TO KEEP TRYING AND KEEPER HER 5545 04:06:03,410 --> 04:06:04,978 FROM GETTING FRUSTRATED WITH I'M 5546 04:06:04,978 --> 04:06:06,647 JUST GOING GUESS. 5547 04:06:06,647 --> 04:06:08,515 THERE'S THE OBSERVATION OF THE 5548 04:06:08,515 --> 04:06:09,817 REACTION THIS ONE INDIVIDUAL HAD 5549 04:06:09,817 --> 04:06:11,118 FOR WHAT IT'S WORTH. 5550 04:06:11,118 --> 04:06:13,153 >> THANK YOU FOR SHARING THAT. 5551 04:06:13,153 --> 04:06:14,254 IT'S NICE TO HEAR IT'S BEING 5552 04:06:14,254 --> 04:06:16,423 USED IN THE FIELD. 5553 04:06:16,423 --> 04:06:21,361 THANK YOU. 5554 04:06:21,361 --> 04:06:24,998 >> TRYING TO FORMULATE THAT TO 5555 04:06:24,998 --> 04:06:29,870 EXTRAPOLATE IN DEVELOPING THESE 5556 04:06:29,870 --> 04:06:32,573 TESTS DID YOU ENCOUNTER IN TERMS 5557 04:06:32,573 --> 04:06:36,710 OF USER ACCEPTANCE TRAINING OR 5558 04:06:36,710 --> 04:06:39,146 SIMILAR ASPECTS OF EXPERIENCES 5559 04:06:39,146 --> 04:06:41,014 SIMILAR OR DISTINCT FROM THAT 5560 04:06:41,014 --> 04:06:42,916 YOU MAY FILTER IN? 5561 04:06:42,916 --> 04:06:45,152 >> I THINK ONE AREA THAT CAME TO 5562 04:06:45,152 --> 04:06:48,155 MIND WAS I ALLUDED TO THIS A FEW 5563 04:06:48,155 --> 04:06:50,057 TIMES IN MY PRESENTATION WE DOES 5564 04:06:50,057 --> 04:06:52,993 DID HAVE TO BALANCE THE PRESSURE 5565 04:06:52,993 --> 04:06:54,561 OF THE TEST NOT ADDING 5566 04:06:54,561 --> 04:06:56,263 SIGNIFICANT TIME BURDEN TO THE 5567 04:06:56,263 --> 04:06:58,031 TOOLBOX. 5568 04:06:58,031 --> 04:07:00,734 DESPITE THE FACT IT CAN TAIN 5569 04:07:00,734 --> 04:07:01,869 TAKE A LONG TIME FOR PEOPLE TO 5570 04:07:01,869 --> 04:07:08,976 DO VISUAL REASON ARIE IIE IING 5571 04:07:08,976 --> 04:07:11,545 REASONING TEST, FROM MY OWN 5572 04:07:11,545 --> 04:07:12,946 EXPERIENCE I'VE TAKEN 30 MINUTES 5573 04:07:12,946 --> 04:07:14,147 FOR MATRIX REASONING 5574 04:07:14,147 --> 04:07:15,849 PARTICULARLY IF THEY'RE HIGH 5575 04:07:15,849 --> 04:07:17,885 FUNCTIONING OR HAVE ANXIETY 5576 04:07:17,885 --> 04:07:19,353 ABOUT PICKING THE WRONG ANSWER 5577 04:07:19,353 --> 04:07:22,356 AND WANTING TO CHECK AND RECHECK 5578 04:07:22,356 --> 04:07:23,924 THEIR WORK BEFORE GIVING A 5579 04:07:23,924 --> 04:07:24,191 RESPONSE. 5580 04:07:24,191 --> 04:07:28,061 THE PRESSURE EXISTS AND ON THE 5581 04:07:28,061 --> 04:07:30,297 OTHER HAND WE WANTED TO KEEP THE 5582 04:07:30,297 --> 04:07:31,164 TEST BRIEF. 5583 04:07:31,164 --> 04:07:35,002 CAT WAS THE SOLUTION WE CAME TO 5584 04:07:35,002 --> 04:07:38,305 BUT I HAVE WONDERED IF BECAUSE 5585 04:07:38,305 --> 04:07:39,606 THE CAT WILL START WITH 5586 04:07:39,606 --> 04:07:42,276 DIFFERENT ITEMS DEPENDING ON THE 5587 04:07:42,276 --> 04:07:45,012 PERSON'S AGE AND EDUCATION, I 5588 04:07:45,012 --> 04:07:48,048 HAVE WONDERED IF IT'S MISSING 5589 04:07:48,048 --> 04:07:49,750 PERHAPS KIND OF THE BUILD UP YOU 5590 04:07:49,750 --> 04:07:53,754 GET FROM A NON-CAT TEST WHERE 5591 04:07:53,754 --> 04:07:56,990 THE FIRST DOZEN ITEMS ARE VERY 5592 04:07:56,990 --> 04:07:59,493 EASY AND HELPS SOMEONE BUILD 5593 04:07:59,493 --> 04:08:00,994 CONFIDENCE WITH THE TEST AND 5594 04:08:00,994 --> 04:08:04,298 SOMETHING WE SHOULD PROBABLY 5595 04:08:04,298 --> 04:08:06,033 CONSIDER AND LOOK AT MORE BUT 5596 04:08:06,033 --> 04:08:08,335 IT'S THE NATURE OF NEEDING TO 5597 04:08:08,335 --> 04:08:11,738 MANAGE THE TIME CONSTRAINTS BY 5598 04:08:11,738 --> 04:08:13,040 REMOVING THAT BUILD UP PERIOD 5599 04:08:13,040 --> 04:08:16,410 AND BRINGING SOMEONE INTO THE 5600 04:08:16,410 --> 04:08:17,844 CAT ENVIRONMENT WHERE PERHAPS IF 5601 04:08:17,844 --> 04:08:19,947 THEY GET THE FIRST ITEM RIGHT 5602 04:08:19,947 --> 04:08:20,981 THEY'RE GIVEN MORE AND MORE 5603 04:08:20,981 --> 04:08:23,650 DIFFICULT ITEMS VERY QUICK FL 5604 04:08:23,650 --> 04:08:24,618 FLIP -- QUICKLY. 5605 04:08:24,618 --> 04:08:25,252 THANK YOU FOR THE QUESTION AND 5606 04:08:25,252 --> 04:08:33,694 OBSERVATION. 5607 04:08:33,694 --> 04:08:35,762 >> DOES IT HAVE AN ADAPTIVE 5608 04:08:35,762 --> 04:08:35,996 DESIGN? 5609 04:08:35,996 --> 04:08:37,397 ARE YOU TORTURING PEOPLE OVER 5610 04:08:37,397 --> 04:08:39,132 SEVEN MINUTES OR DOES IT END? 5611 04:08:39,132 --> 04:08:42,269 >> IT DOES END. 5612 04:08:42,269 --> 04:08:45,238 IT'S COMPUTER-ADAPTIVE TEST SO I 5613 04:08:45,238 --> 04:08:48,976 THINK IT CAPS -- I THINK IT'S 20 5614 04:08:48,976 --> 04:08:50,377 TO 35 ITEMS. 5615 04:08:50,377 --> 04:08:53,747 IT WOULD END AT 35 ITEMS BEFORE 5616 04:08:53,747 --> 04:08:56,183 OR AFTER A CERTAIN STANDARD AREA 5617 04:08:56,183 --> 04:08:59,786 IS REACHED AFTER A MINIMUM OF 20 5618 04:08:59,786 --> 04:08:59,987 ITEMS. 5619 04:08:59,987 --> 04:09:01,088 I WON'T FORCE PEOPLE AND FORCE 5620 04:09:01,088 --> 04:09:03,724 THEM TO DO THOSE ITEMS BUT IT 5621 04:09:03,724 --> 04:09:05,993 GIVES A NUMBER OF ITEMS AND I 5622 04:09:05,993 --> 04:09:08,328 THINK FOR ADULTS MOST PEOPLE 5623 04:09:08,328 --> 04:09:10,263 WERE DONE IN SEVEN MINUTES. 5624 04:09:10,263 --> 04:09:13,000 BUT A FEW PEOPLE TOOK UP TO NINE 5625 04:09:13,000 --> 04:09:17,671 IN THE SIMULATION. 5626 04:09:17,671 --> 04:09:18,238 >> ALL RIGHT. 5627 04:09:18,238 --> 04:09:19,806 WE'RE ABOUT AT TIME AND DON'T WA 5628 04:09:19,806 --> 04:09:20,974 TO KIND THOSE IN THE AUDIENCE 5629 04:09:20,974 --> 04:09:23,076 FROM GOING OUT AND SEEING THE 5630 04:09:23,076 --> 04:09:24,978 PARTIAL ECLIPSE WE GET HERE IN 5631 04:09:24,978 --> 04:09:25,479 BETHESDA. 5632 04:09:25,479 --> 04:09:28,982 I JUST WANT TO THANK ALL OF OUR 5633 04:09:28,982 --> 04:09:30,584 SPEAKERS AND LET FOLKS KNOW IN 5634 04:09:30,584 --> 04:09:32,986 PERSON THAT THE POSTER SESSION 5635 04:09:32,986 --> 04:09:38,158 THE EXPERT SESSION WILL BEGIN AT 5636 04:09:38,158 --> 04:09:41,028 3:45 IN THE ATRIUM AND BALCONIES 5637 04:09:41,028 --> 04:09:42,029 A AND B. 5638 04:09:42,029 --> 04:09:43,563 FOR THE VIRTUAL AUDIENCE THIS IS 5639 04:09:43,563 --> 04:09:45,432 THEN OF OUR VIRTUAL CONTENT FOR 5640 04:09:45,432 --> 04:09:47,434 TODAY AND RESUME THE CONFERENCE 5641 04:09:47,434 --> 04:09:50,237 VIDEOCAST TOMORROW APRIL 9 AT 5642 04:09:50,237 --> 04:09:50,670 11:15 A.M. 5643 04:09:50,670 --> 04:09:51,838 THAT'S A SEPARATE LINK THAN THE 5644 04:09:51,838 --> 04:09:53,240 ONE YOU WATCHED TODAY BUT YOU 5645 04:09:53,240 --> 04:09:55,308 SHOULD HAVE THOSE DETAILS AT 5646 04:09:55,308 --> 04:09:56,410 HOME. 5647 04:09:56,410 --> 04:10:06,720 I THANK EVERYONE.