Transformative Research to Address Health Disparities and ...

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Transformative Research to Address Health Disparities and Advance Health Equity Common Fund ProgramListening Session – Academic Institutions

Tuesday, October 26, 12:00-1:30pm ET



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Agenda

Brief Welcome and Introduction Overview of Social Determinants, Structural

Interventions, and Health Disparities Charge to the Group Breakout Group Session Breakout Group Reflection Session Closing

Cheryl Boyce, Ph.D., Program LeaderTransformative Research to Address Health Disparities and Advance Health Equity, Common Fund Program



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Welcome from Transformative WG Co-Chairs

Janine Austin Clayton, M.D., FARVOAssociate Director for Research on Women’s HealthDirectorOffice of Research on Women’s HealthDivision of Program Coordination, Planning, and Strategic InitiativesOffice of the Director (OD/NIH)

David R. Wilson, Ph.D.DirectorTribal Health Research OfficeDivision of Program Coordination, Planning, and Strategic InitiativesOffice of the Director (OD/NIH)

Eliseo Perez-Stable M.D.DirectorNational Institute on Minority Health and Health Disparities (NIMHD)

Shannon N. Zenk, Ph.D., M.P.H., RN, FAANDirectorNational Institute of Nursing Research (NINR)



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Transformative Health Disparities Research to Advance Health Equity WorkgroupCommon Fund Program LeaderCheryl Anne Boyce, Ph.D., Office of Strategic Coordination-The Common Fund (OSC), DPCPSI, ODStephanie Courchesne, Ph.D., OSC DPCPSI, OD (until May 2021)

WG Coordinators

Alison Brown, MS, Ph.D., RDN, NHLBINathan Stinson Jr., Ph.D., M.D., M.P.H., NIMHD

Working Group MembersJennifer Alvidrez, Ph.D., ODP, ODJudith A. Arroyo, Ph.D., NIMHLarissa Avilés-Santa, M.D., M.P.H., NIMHDCrystal L. Barksdale, Ph.D., M.P.H., NIMHDRichard T. Benson, M.D., Ph.D., NINDSDara R. Blachman-Demner, Ph.D., OBSSR, ODShalanda Bynum, Ph.D., M.P.H., NINRJessica Bellinger, Ph.D., CSRJuanita J. Chinn, Ph.D., NICHDJudith Cooper, Ph.D., NIDCDSara Dodson, Ph.D., NINDSRegine Douthard, M.D., ORWH, ODMinnjuan Flournoy Floyd, Ph.D., NIDARebecca Goodwin, J.D., NLMChristopher Gordon, Ph.D., NIMHPatricia Jones, DrPH, MPH, MS, NIAEdmund (Ted) Keane, Ph.D., OD, DPCPSI (until 9/2021)

Jacqueline Lloyd, Ph.D., M.S.W., ODP, ODEbony B. Madden, Ph.D., NHGRIGeorge A. Mensah, M.D., FACC, NHLBIDavid M. Murray, OD, Ph.D., DPCPSIKristy Nicks, Ph.D., NIAMSLisbeth Nielsen, Ph.D., NIAMargaret Ochocinska, Ph.D., NHLBI (alternate)April Oh, Ph.D., M.P.H., NCIKaren L. Parker, Ph.D., M.S.W., OD, DPCPSIJonathan Pollock, Ph.D., NIDAAsif Rizwan, Ph.D., NHLBIFabienne Santel, M.D., M.P.H., NIMHDMelissa M. Smarr, Ph.D., NIEHS (alternate)Michael A. Steinmetz, Ph.D., NEIPamela L. Thornton, Ph.D., NIDDKFrederick (Fred) L. Tyson, Ph.D., NIEHSTiffany Wallace, Ph.D., NCIMiya Whitaker, Psy.D., M.A., OD, DPCPSIXinzhi Zhang, NHLBIJulia Zur, Ph.D., M.D., M.P.H., NIDA

Points of ContactEllie Murcia, , M.Ed., OSC, DPCPSI, ODDanyelle Winchester, Ph.D., OSC, DPCSPI, OD



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Welcome from the Common Fund Program

Elizabeth (Betsy) WilderDirectorOffice of Strategic CoordinationDivision of Program Coordination, Planning, and Strategic InitiativesOffice of the Director



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What is the NIH Common Fund?

• Funded by the Office of the Director, managed in partnership with the NIH Institutes and Centers

• Supports a set of trans-NIH scientific programs

• Fosters innovative ideas with the potential for transformative impact

• Intended to benefit the broad biomedical research community


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Mission Forward – Faster The Common Fund Moves the NIHMission Forward - Faster

Supporting bold scientific programs that catalyze discovery across all biomedical and behavioral research

Advances areas of biomedical and behavioral research important to the missions of multiple NIH Institutes and Centers

Spurs subsequent biomedical advances that otherwise would not be possible without an initial strategic investment



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Aligns with the NIH UNITE Initiative

NIH has launched the UNITE initiative to identify actions to end structural racism and racial inequities throughout the biomedical research enterprise.

In support of the UNITE initiative and health equity research, the Common Fund is supporting transformative research to address health disparities and advance health equity.



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Overview of Social Determinants, Structural Interventions, and Health DisparitiesDara R. Blachman-Demner, Ph.D.Program Director Office of Behavioral and Social Sciences Research Office of the Director



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Social Determinants and Health Disparities

• Reducing health disparities to improve health outcomes is a complex challenge that extends far beyond the reach of traditional health care settings

• Structural conditions in which people are born, live, learn, work, worship, play, and age are recognized as critical determinants of health and health disparities



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Structural Interventions to Address Social Determinants:Examples Relevant to Obesity Prevention

“Structural interventions attempt to change the social, physical, economic, or political environments that may shape or constrain health behaviors and outcomes, altering the larger social context by which health disparities emerge and persist”

-Brown, et al 2019, American Journal of Public Health

Examples of Structural Causes of Obesity: Limited access to fresh fruit and

vegetables Lack of access to safe

recreational spaces for low-income school aged children and their families in poor neighborhoods

Lack of affordability of resources to promote healthy behaviors



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Example of an Academic/Community Partnership: The Center For Health Equity The Flint Center For Health Equity Solutions (FCHES) Model

Debra Furr-Holden, PhDMichigan State UniversityC.S. Mott Endowed Professor of Public HealthAssociate Dean for Public Health IntegrationDirector of the Flint Center for Health Equity Solutions

E. Yvonne Lewis, BBA, BSFounder/CEO, National Center for African American Health ConsciousnessCo-Director, Healthy Flint Coordinating Center



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The Flint Center For Health Equity Solutions (FCHES) Model “At the forefront on the health equity revolution”

1. Community-Partnered• From inception: design, naming

and framing• Community co-leads for each

core and project• Participatory , equity-centered

budgeting• Full transparency and access for

all partners

2. Solutions/action-oriented (versus descriptive) research

• Solutions/interventions designed to match the level of the problem

• Focus on SDoH (versus individual-level determinants)



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3. Study more than just risk• Developed a novel, community-

engaged evaluation framework (Ellington, et al., 2021)

• Developed a novel healthfulness index (Sadler et al., 2021)

• Identified successful strategies for engagement and created a blueprint for the continuum of community engagement in research (CEnR; Key et al., 2019)



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4. Emphasis on Dissemination & Implementation Research

• Plugging the leaky Pipeline

5. Increase the evidence base for the effectiveness of equity-centered, community-engaged research

• Quantified economic impact of the NIH investment (Meghea, et al., 2021)



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Acknowledgements:FCHES funded by National Institute on Minority Health and Health Disparities (U54MD011227)

References:• Graphics available at www.fches.org• Ellington, R., Barajas, C. B., Drahota, A., Meghea, C., Uphold, H., Scott, J. B., Lewis, E. Y.*, Furr-Holden, C. D. M. (2021). An

Evaluation Framework of a Transdisciplinary Collaborative Center for Health Equity Research. In press: American Journal of Evaluation. PMCID: In process.

• Key, K.D, Furr-Holden, C. D., Lewis, E.Y.*, Cunningham, R., Zimmerman, M., Johnson-Lawrence, V., Selig, S. (2019). The Continuum of Community Engagement in Research (CEnR): A Roadmap for Understanding and Assessing Progress. Progress in Community Partnerships 13(4):427-434. PMCID: PMC In Process. DOI: 10.1353/cpr.2019.0064.

• Meghea, C.I., Montgomery, B.W., Ellington, R., Wang, L., Barajas, C., Lewis, E.Y., Yeary, S.T., Van Egeren, L.A., Furr-Holden, C.D. (2021). An NIH Investment in Health Equity - The Economic Impact of the Flint Center for Health Equity Solutions. BMC Public Health 21(1):1774. PMCID: PMC8482639.

• Sadler, R.C., Hippensteel, C., Nelson, V., Greene-Moton, E.*, and Furr-Holden, D. (2018). Community-Engaged Development of a GIS-Based Healthfulness Index to Shape Health Equity Solutions. Social Science and Medicine 227:63-75. PMCID: PMC6339605.

http://www.fches.org/

https://doi.org/10.1353/cpr.2019.0064

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482639/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339605/



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Acknowledgements:FCHES funded by National Institute on Minority Health and Health Disparities (U54MD01122)

Oops…. Something is missing!!

😳😳The messiness of it all … Time to build relationships – identifying community partners Training & Preparation for community and academic partners Learning the language – Academic and funder speaks is not my first language Concern about being refunded – what happens when the efforts do not result in nice frameworks and

models in order to get more funding or what happens when the funding mechanism ends … ????



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Group Charge and Goal

Seek your perspectives on opportunities, challenges, and community needs related to solutions and interventions targeting social factors that influence

health disparities including education, healthcare, financial resources, neighborhood environments, and social context and how NIH can optimally

support this type of research.



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Breakout Group Discussions60 minutes

Cheryl Boyce, Ph.D., Program LeaderTransformative Research to Address Health Disparities and Advance Health EquityCommon Fund Program



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Housekeeping Items for Breakout Groups

Attendees will be placed in their respective breakout rooms

Attendees requiring translation and closed captioning will remain in the main room for their breakout group discussion

Please mute yourself if not speaking

Please turn your video on if you feel comfortable

Use the hand raise feature and the moderator will call on you to share your response

Moderators will guide the conversation and provide more details once in your breakout room



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Breakout Group Reflectionsand

Closing Remarks

Cheryl Boyce, Ph.D., Program LeaderTransformative Research to Address Health Disparities and Advance Health EquityCommon Fund Program



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Thank you for sharing your insightsIf you have additional thoughts, please email [email protected]

mailto:[email protected]



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Oct 28 6:00 – 7:30 pm Non-profit, Community Based Organizations (CBOs), Faith-based OrganizationsNov 2 12:00 – 1:30 pm Foundations, Think Tanks, and Professional SocietiesNov 4 2:00 – 3:30 pm Tribal OrganizationsNov 9 12:00 – 1:30 pm Faith-based OrganizationsNov 10 6:00 – 7:30 pm Academic InstitutionsNov 16 12:00 – 1:30 pm Non-profit, Community Based Organizations (CBOs), Faith-based Organizations Nov 18 6:00 – 7:30 pm Foundations, Thinks Tanks, and Professional Societies

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