NATIONAL CENTER ON SLEEP DISORDERS
RESEARCH NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
Sleep Disorders Research Advisory
Board Meeting Minutes December 5, 2001
The 15th meeting of the Sleep Disorders Research
Advisory Board was convened at 8:40 a.m. on Wednesday, December 5, 2001, in the
Neuroscience Center, 6001 Executive Boulevard, National Institutes of Health
(NIH), Bethesda, Maryland. The meeting wasopen to the public from 8:40 a.m. to
adjournment at 3:00 p.m. Dr. Emmanuel Mignot presided as Chair.
TABLE OF CONTENTS
Attendees Call to Order Approval of
June 26, 2001 Board Meeting Minutes Report
of the NCSDR Director Presentation - The Human
Brain Project Presentation - Sleep, Memory
and Cognition Research Subcommittee
Report Education Subcommittee
Report
Adjournment
Certification
NCSDR Home
Page Sleep
Disorders Research Advisory Board Page
BOARD MEMBERS PRESENT
Dr. Emmanuel Mignot, Chair Dr. Gregory Belenky (ex
officio) Dr. Gene Block Dr. Mary Carskadon Dr. Robert Wolfe-Greene
(ex-officio) Dr. Carl E. Hunt Dr. Carol Landis Dr. Israel
Lederhendler (ex officio) Ms. Sandra McGinnis Dr. Andrew Monjan (ex
officio) Dr. Paul Nichols Dr. Stuart Quan Dr. Clifford Saper
Mr. Phillip Williams Dr. Marian Willinger (ex officio)
LIAISON
MEMBERS PRESENT
Dr. Marguerite Evans Dr. Linda Kennedy Dr.
Mary Leveck Dr. Roger Rosa Dr. Bette Siegel Dr. Ellen Witt
FEDERAL EMPLOYEES PRESENT
Mr. Al Golden, NHLBI Dr. Karin
Helmers, NINR Dr. Stephen Koslow, NIMH Mr. S. Gene Mosley, MAPB Ms.
Sue Rogus, NHLBI Ms. Susan Sagusti, NHLBI Ms. Ellen Sommer, NHLBI
Dr. Michael Twery, NHLBI MEMBERS OF THE PUBLIC PRESENT
Ms. Georgianna Bell, Restless Legs Syndrome Foundation Dr. Robert Basner,
American Thoracic Society Mr. Lance Brink, American Academy of Sleep
Medicine Dr. Sarah Caddick Mr. Bob Cloud, Narcolepsy Network Mr.
Darrell Drobnich, National Sleep Foundation Ms. Christin Engelhart,
American Sleep Apnea Association Ms. Judith Estrin, Prospect Associates
Mr. Dan Foley Mr. Mickey Kalra, Intellect.Com Dr. Edward Haponik
Dr. James Pelstrom, NST Mr. Garrett Randall, APA Dr. Robert Stickgold,
Harvard Medical School Ms. Teresa Wilson, Prospect Associates Dr.
Michael V. Vitiello, Sleep Research Society
Return to Table of Contents
-
- I. CALL TO ORDER - Dr. Emmanuel
Mignot
Dr. Emmanuel Mignot, Sleep Disorders Research Advisory
Board Chair, called the 15th meeting of the Sleep Disorders Research Advisory
Board to order at 8:40 a.m. He welcomed the Board members, members of the
public, and others in attendance.
Return to Table of Contents
II. APPROVAL OF JUNE 26, 2001
BOARD MEETING MINUTES Dr. Emmanuel Mignot
Approval of the minutes was moved, seconded and
approved unanimously without further discussion
Return to Table of Contents
III. REPORT OF THE DIRECTOR,
NCSDR Dr. Carl E. Hunt
- Dr.Hunt welcomed the new Board Members:
Dr. Sarah Caddick Dr. Edward Haponik Dr. Stuart Quan Dr. Clifford
Saper This has been a busy period for the NCSDR. Since our last
meeting in June, 2001, we have participated in a number of workshops, new
initiatives, and public education programs that are briefly summarized below.
As also described below, we have appointed a Task Force to revise the Research
Plan and a Working Group to develop an outcomes evaluation of our sleep
education programs. Recent Initiatives Restless
Legs Syndrome and Periodic Limb Movement Disorders (PA) Sponsored by
NINDS, NHLBI, NIA, NIMH Sleep & Sleep Disorders in Children
(RFA) $12.4 million Sponsored by NHLBI, NIMH, NINR, NICHD
Applications under review Interrelationship Between Sleep and Other
Disorders (RFA) $12 million Sponsored by NHLBI and NIDA
Applications due January 24, 2002 Objectives: Identify measurable
characteristics of sleep useful for study of sleep and sleep disorders, related
to diagnosis, severity, or effectiveness of treatment Interactions
of Genes & Environment in Shaping Risk Factors for Heart, Lung, Blood, or
Sleep Disorders (RFA) $36 million Sponsored by NHLBI Applications
due March 22, 2002 Objectives: - Identify novel genes which interact
with specific environmental exposures to modify risk factors for heart,
lung, blood and sleep disorders - Genetic aspects of responses to
environmental change and related biological mechanisms, using short-term
focused interventions in families - Identify subgroups based on genotype
who are most likely to benefit from targeted environmental interventions to
reduce development or progression of heart, lung, blood, or sleep diseases
Sleep Related Workshops Since June 2001 Bioinformatics
in Neuroscience and Sleep Research Sponsors: American Academy of Sleep
Medicine (AASM), Sleep Research Society (SRS), NHLBI July, 2001
Goals: - Explore opportunities for bioinformatic approaches to
sleep/circadian research Final report pending Neurobiology of
Sleep and Waking: Implications for Insomnia Sponsors: CSDR (NHLBI),
NIMH, NIA, NIDA, NIAAA September, 2001 Co-Chairs: Drs. David Dinges and
Thomas Roth Goals: - Review basic mechanisms for sleep in relation to
insomnia - Identify gaps in understanding of basic mechanisms of insomnia
- Summarize basic science knowledge required for clinical studies or
trials Final report pending Sleep, Fatigue, and Medical
Training: Optimizing Learning and the Patient Care Environment
Sponsors: American Academy of Sleep Medicine; AMA Council on Medical Education;
NCSDR (NHLBI) Sleep Research Society October, 200 Goals: -
Medical errors, safety in workplace, MV injuries, other health issues -
Memory & Cognition - Mood, Attention, Stress Role of NCSDR:
Enhanced knowledge base about sleep and sleep disorders for all stakeholders
and participants in policy development Final report pending
Perspectives on the Role of Sleep in Memory Sponsor: NIMH (Dr.
Lederhendler) December, 200 Goal: - Review relationships between
sleep and sleep loss on memory, learning and cognition
Sleep-Related Consequences of Temporomandibular Disorders (TMD)
Sponsors: NHLBI (NCSDR, Division of Heart and Vascular Disease) December,
2001 Goals: - Review pathophysiology, biomechanics, neurological
integration, and clinical consequences of TMD - Review pathophysiology and
clinical consequences of sleep-disordered breathing NIH National
Sleep Disorders Plan Background: Released in March, 1996
Scope: Basic Science: Regulation and function of sleep Sleep Disorders:
Basic and clinical epidemiology, genetics, and prevalence Effects, cost,
treatments Development of this Research Plan led to substantial growth in
research funding by NIH, with a 62% increase in total grant dollars between
1995-96 and FY 2000. Development of the Research Plan also provided direction
for extensive public health educational and intervention programs related to
sleep and sleep disorders. However, the Research Plan is now more than 5 years
old, and there have been substantial advances since 1996 in many disciplines,
including genetics and bioinformatics. It is therefore now timely to revise and
update the Research Plan Goals: - Review accomplishments since 1996
- Identify goals and objectives not yet achieved - Identify knowledge gaps
and new needs/opportunities - Develop a five-year research plan with
prioritized recommendations related to sleep and sleep disorders Task
Force: Chair: Dr. David White Members: Dr. Thomas
Balkin Dr. Gene Block* Dr. Daniel Buysse Dr. David Dinges Dr.
David Gozal Dr. Steve Henriksen Dr. Hannah Kinney Dr. Carol
Landis* Dr. Emmanuel Mignot* Dr. Judith Owens Dr. Jerry Siegel
Dr. Esther Sternberg Dr. Debra Weese-Mayer Dr. Clifford Saper*
(Consultant) *Sleep Disorders Research Advisory Board Member The
Process: Task Force will meet twice, once later this month and again
in the late Spring, 2002.With additional conference calls as needed, the
draft of the revised research plan will be written and distributed for
comments by sleep researchscientists, other sleep-related professional
organizations, and the public The Trans-NIH Sleep Research
Coordinating Committee and the Sleep Disorders Research Advisory Board
will be actively involved in development of the new plan. Final
approval of the new research plan by the Sleep Disorders Research Advisory
Board at its June or December meeting, 2002 Working Group on
Sleepiness and Adolescents Age range 13-22 years
Goals: - Review normal sleep patterns and consequences of sleep
deprivation - Determine the causes of sleepiness in adolescents and young
adults - Develop continuing education strategies for pediatricians and
other pediatric health care providers Plans: - Special Session at
Fall, 2002 annual meeting of American Academy of Pediatrics - Consider
development of a Position Statement in partnership with the American Academy of
Pediatrics related to sleep health in this age group Working
Group: Co-Chairs: Dr. David Kaplan and Dr. Richard Millman
Members: Dr. Mary Carskadon Dr. Ronald Dahl Dr. Barbara
Howard Dr. Judy Owens Dr. Allan Pack Dr.Suzanne Riggs Dr. Steve
Sheldon Dr. Amy Wolfson Staff Support Dr. Carl E.
Hunt Ms. Sue Rogus Tammy Hurley (Manager, AAP Committee on
Adolescence) Feasibility Study for Outcome Evaluation of Sleep
Education Program Questions to Address: - Which program(s)
will be most appropriate for cost-effective outcome assessment? - Which
target audiences? - How to measure baseline knowledge and behavior
regarding healthy sleep? - How to measure extent of program impact and its
sustainability? Working Group: Chair: Dr. Tom Lasater
Members: Dr. Neil Bracht Dr. Mary Carskadon Dr. Bruce
Fuchs Dr. David W. Kaplan Dr. Barry Portnoy Dr. Amalie Ramirez
Dr. Kingman Strohl Dr. Clare Von Secker Staff Support
Dr. Carl E. Hunt Ms. Sue Rogus Mr. Al Golden
Return to Table of Contents
IV. THE HUMAN BRAIN PROJECT Dr. Stephen
Koslow
Dr. Stephen Koslow, director of the Human Brain
Project, National Institute of Mental Health (NIMH), described the Human
Brain Project and how it can advance the field of sleep research. According to
Dr. Koslow, the Project was established to enhance the ability to deal
with the volume, complexity, and diversity of neuroscience data through
cooperative efforts between neuroscience and neuroinformatics (which comprises
computer science, physics, and mathematics). The goal is to produce an Internet
capability for sharing data. Dr. Koslow noted the increasing number
of neuroscientists in many subspecialties, and the wide range of new
technologies (including 3-D brain mapping, electrophysiological studies, and
functional imaging) used to examine the enormous complexity of the brain. He
said that the success of neuroscience research depends on the rapid access to
recent discoveries and the ability to integrate the new Informationwhich
can be enhanced by Web-based research protocols and standards and software to
manipulate, analyze, graph, and compare data. Dr. Koslow traced the
development of the Human Brain Project from a recommendation in the 1991
report, Mapping the Brain and its Function: Integrating Enabling
Technologies into Neuroscience Research, published by the National Academy
Press. This report recommended establishing the Federal Interagency
Coordinating Committee on the Human Brain Project, with members from many
entities of the National Institutes of Health, as well as the National Science
Foundation, National Aeronautics and Space Administration, and Department of
Energy. The Director of NCSDR serves as a member of this Committee and
represents NHLBI. The Human Brain Projects Phase I (feasibility studies)
and Phase II (Beta testing) were launched in 1993 and 1999, respectively. Phase
III will be implemented in the near future. The Federal Interagency
Coordinating Committee meets monthly to examine current funding of research,
and make decisions on grant awards. Projects funded by the Human Brain Project
include studies in diverse species at several levels of
analysismolecular, cellular, systems, and the whole brain. Example grants
include Probabilistic Reference System for the Human Brain (UCLA); Databases
and Data Models Enabling Neuroinformatics (Cornell); and Integration of
Multidisciplinary Sensory Data (Yale).Thirty grants have been awarded totaling
approximately $15 million (awards range from $250,000 to $1 million).
Challenges facing the Human Brain Project include the complexity of
neuroscience research and the expense of the research. Return to Table of Contents V. SLEEP, MEMORY AND COGNITION Dr. Robert
Stickgold Dr. Robert Stickgold, assistant professor of psychiatry
at Harvard Medical School, provided an overview of research on how sleep or
lack of sleep affects changes in cognitive performance and memory. These
studies range from single-cell recording during sleep to imaging studies of
regional activation during and after sleep and studies of the physiology and
chemistry of brain changes across the brain and across the night. Although more
basic changes in sleep physiology are a function of the sleep cycle, the
significance of such changes remains unknown; But more global changes,
including variations in neuromodulation across the wake/sleep cycle, and shifts
in regional activity during REM and non-REM sleep, suggest a shift from
rational to intuitive/emotional processing. In addition, sleep state-dependent
shifts in patterns of communication suggest that distinct forms of memory
processing occur in different sleep stages. Dr. Stickgold made the
following generalizations based on the results of several studies:
- Sleep can stabilize or enhance memory.
- Sleep enhances perceptual learning and motor learning. -
Sleep preserves performance across the day (when performance might otherwise
worsen across the day). - Sleep deprivation results in learning and
memory impairment. Dr. Stickgold also reviewed studies of cognitive
changes during sleep and studies of the memory systems involved in dreaming.
His research on neurocognitive changes during the sleep cycle is investigating
the types of cognition affected/altered by sleep (e.g., memory processing,
semantic networks); and types of memory affected by sleep (e.g., perceptual and
motor skills, complex procedural cognition, and Piagetian accommodation).
In response to questions, Dr. Stickgold said there are descriptive data
only (no experimental data) on the cellular and network mechanisms underlying
sleep-dependent memory processing. He noted that relevant behavioral research
in animals (rats) is restricted to a few labs in Europe and Canada. He added
that age-dependent reductions in performance are correlated to age-related
reduction in sleep quality. Return to Table of
Contents VI. RESEARCH SUBCOMMITTEE -Dr.
Emmanuel Mignot ; Dr. Carl E. Hunt Sleep Research Workshops and
Related Issues Drs. Hunt and Mignot described a number of
workshops that have been held since the last Advisory Board meeting (see
Directors Report for additional details). Neurobiology of
Sleep and Waking: Implications for Insomnia Workshop: This
workshop was interrupted by the events of September 11 just before the final
presentation and final group discussion. A summary report on the workshop is
being prepared. Recommended priorities for new research support for insomnia
will likely include: better definition of the clinical phenotypes; defining the
interrelationships between insomnia and depression in an epidemiological
setting;a better understanding of the mechanisms involved through basic
research inanimal models; and seeking data on the long-term safety and efficacy
of drug therapy for insomnia. Sleep and Memory Workshop:
This workshop, moderated by Dr. Howard Eichenbaum, concluded that there is
limited research in this area, so new approaches and perspectives are needed.
Although a behavioral science framework for the study of sleep and memory
exists, there is still a need to better understand the interrelationships and
mechanisms related to cognition and sleep. Bioinformatics in
Neuroscience and Sleep Research Workshop: This workshop was
cosponsored by the NCSDR, the Sleep Research Society (SRS), and the American
Academy of Sleep Medicine (AASM), which offered CME credits and published a
short meeting summary in its bulletin. The event was Webcast, and a workshop
report is being written. Dr. Michael Twery reported that participants included
neuroscientists outside the sleep field who discussed neurobiology, genomic
approaches, imaging, and clinical problems.They identified many opportunities
to apply existing technologies to sleep research. Cardiovascular
and Sleep-Related Consequences of Temporomandibular Disorders (TMD)
Workshop: Dr. Quan, a Board member and one of the workshop
participants, reviewed the background for this workshop and the need to better
define possible relationships between TMD, sleep, cardiovascular disease (CVD),
sensory-motor aspects of upper airway muscles as related to TMD, and neuromotor
control of upper airway patency. There are currently no objective data
regarding the epidemiology of CVD and sleep in TMD. Researchers might be able
to apply the same techniques to the study of the muscles affecting TMD and
upper airway patency in sleep apnea. Dr. Hunt noted that there are many
opportunities for collaboration between dental researchers interested in TMD
disorders and researchers interested in sleep and sleep apnea.
Mechanisms for Disseminating Workshop Results. The Board
discussed the need for enhanced dissemination of workshop results to the
scientific community. Some workshop summaries are published in scientific or
organization journals, though there is often a time lag. Dr. Hunt will continue
to send each workshop summary to the Advisory Board members as soon as possible
after each workshop. Some workshops are Webcast and archived, others are live
Webcast only, and still others are not Webcast, depending on possible copyright
issues and on costs or other relevant issues. As an additional point of
information, it was confirmed that workshop summaries will also be placed on
the NCSDR Web page and through the Sleep RFA listserv. This listserv can be
accessed at http://list.nih.gov/archives/sleeprfa-l.html or through the NCSDR
Web site. Future Workshops Dr. Mignot asked Board
members to suggest topics for future workshops. Two topics were suggested: (1)
sleep and circadian rhythms and (2) mechanisms of sleep-disordered breathing.
In addition, other topics for workshops were discussed during the next session
(Update on Revision of the NCSDR Sleep Research Plan). Dr. Mignot reported that
2 workshops will likely be held between early spring and the end of September,
FY 2002 at the end of September: Topics being considered include: -
Mechanisms for CVD complications of Sleep Apnea - Effects of Sleep
Disorders on Adherence to CVD Treatment Recommendations - Cognitive
Sequelae of Risk Factors for CVD In response to a question about how
proposals for workshops are generated, Dr. Hunt said that the process may be
initiated by one or more of the Institute representatives on the Trans-NIH
Sleep Research Coordinating Committee, or may be in response to input from the
research community or from the Advisory Board. The revised Research Plan now in
process will likely also play an important role in identifying high priority
topics for workshops during the next several years. Workshop
Outcomes Dr. Mignot noted three possible outcomes: (1) generation
of interest/synergy by participants not previously familiar with relevant work
in related disciplines, (2) Program Announcements (PAs), and (3) Requests for
Applications (RFAs). One success story is the 1999 Dopamine Connection
Workshop, which led to a PA and a number of subsequent grant applications.
The following new RFAs/PAs were released since the last Board meeting:
- Interaction of Genes and Environment in Shaping Risk Factors for Heart,
Lung, Blood, and Sleep Disorders - Interrelationship Between Sleep and
Heart, Lung, and Blood Diseases - Cell-based Therapies for Heart, Lung,
Blood, and Sleep Disorders and Diseases. Update on Revision of
NCSDR Sleep Research Plan Dr. Mignot Dr. Mignot summarized
the need to revise the first NCSDR Sleep Research Plan that was released in
March, 1996.That plan was of critical importance in identifying new research
priorities that have since been implemented as a direct result of the
plans recommendations. Since the plan is now more than 5 years old,
however, it does not adequately represent new opportunities based on new
advances; for example, new directions in research at the genetic level related
to sleep and to sleep disorders. Theinterdisciplinary task force charged with
revising the plan will review, plan, and draft a new research plan that may be
ready for final approval as early as the June 2002 Sleep Disorders Advisory
Board meeting. Dr. Mignot asked Board members for their help, and
listed the following recent ideas for research, stating the need to prioritize
these topics and identify gaps in knowledge: - Creation of a
repository of mice models with sleep abnormalities for distribution -
Creation of a repository of techniques for sleep disorder researchers (e.g.,
software) for distribution - Definition of normal sleep in humans across
the life span - Stimulate the development of novel techniques to measure
alertness in humans - Normal values of the Multiple Sleep Latency Test
(MSLT) across the life span - Effect of chronic sleep deprivation or
circadian disruption on general physiology - Relationship between sleep and
other diseases - Chronic use of hypnotics - Neuroendocrine aspects of
sleep and disorders - Lipid, obesity and sleep disorders - Gender gaps
in sleep disorders (e.g. OSA and insomnia) - Imaging the airway in OSA
- Impact of drugs on sleep and sleep disorders - Sleep and learning -
Restless legs syndrome, genetic and pathophysiology - Insomnia research in
general and clinical cohort trials - Relationship between insomnia and
depression/other psychiatric disorders - Impact of the use of OTC/non
controlled drugs in the treatment of sleep disorders During further
discussion about the revision of the Research Plan, Board members made the
following additional suggestions for research priorities: - Support a
merger between sleep and epilepsy research because both focus on circuits.
- Obtain support for research initiatives that provide integration (via
collaborative groups) to address cross-cutting issues such as lifespan
developmental issues.(A recent RFA for pediatric research networks requests
cross-disciplinary researchers.) - Support research on the link between
sleep-disordered breathing and CVD. - Focus on the need for
performance-related alertness, such as in shift work and driving. - Provide
guidance on the treatment of chronic insomnia (the last guidance dates from
1993). - Integrate the research plan with research training. - Obtain
input from patients as well as biomedical scientists. - Issue draft reports
of the research plan revision so that the Board can provide ongoing input.
In response to a question about whether there has been an outcome
evaluation of the original research plan, Dr. Mignot commented that recent
annual reports of the Trans-NIH Sleep Research Coordinating Committee provide
an excellent overview of sleep research initiatives and activities since
release of the first research plan in 1996. Return to
Table of Contents VII. EDUCATION
SUBCOMMITTEE Dr. Edward Haponik, Ms. Sue Rogus, Ms. Ellen Sommer
Dr. Haponik introduced this session, noting that the Education
Subcommittee is concerned with translating research into improved care and
clinical outcomes. Update on the NCSDR Education Initiatives
Ms. Rogus Ms. Rogus provided information about several
NCSDR education initiatives The Garfield Star Sleeper
Campaign, Sleep Well, Do Well. The audience for this campaign, now in
its second year, includes children, teachers, parents, and schools. Campaign
elements include school activities, partnerships, an expanded Web page, and
media outreach. Partners include the American Academy of Pediatrics (AAP),
National Association of Elementary School Principals (NAESP), American
Association of Sleep Medicine (AASM), National Association of School Nurses
(NASN), National Science Foundation (NSF), and PAWS, Inc. (the studio of
Garfield creator Jim Davis), and others. The Garfield Web page, to be
implemented in 2002, includes four doors for: (1) children in
grades 2-3, (2) teachers, principals, and schools, (3) parents, and (4)
pediatricians and other health care providers. Ms. Sandra McGinnis, a Board
member, coordinated a special Sleep Well, Do Well campaign that targeted 900
third-grade children in the Duluth, Minnesota, school district. This campaign
included classroom activities incorporating sleep education, a press release,
videotaped activities in the schools, sleep diaries, and a Garfield contest
with Garfield making an appearance to present awards to winners. The successful
Duluth program received significant media coverage and can serve as a model for
expanding the program to other areas.Communities interested in launching a
similar program are encouraged to contact Ms. Rogus through the NCSDR.
High School Supplemental Curriculum on the Biology of Sleep This
5-day curriculum covers sleep, sleep disorders, and biological rhythms. The
curriculum has been field-tested at 8 sites and will be implemented in the fall
of 2002. It is designed to help students understand the important connection
between sleep and health, and the consequences of lack of sleep. It also
provides experience with the scientific process and conveys the importance of
science research. The curriculum is based on national science education
standards, is integrated with other subjects, includes Web-based technology
components, and provides professional development opportunities. The
curriculum, which includes 6 lessons (5 in-class and 1 pre-lesson sleep diary,
was developed by the NHLBI and the NIH Office of Science Education with the
assistance of an external panel of sleep experts, and by a science curriculum
training contractor. It will be distributed free of charge to interested
science teachers reached, and teacher training in using the supplemental
curriculum will be conducted in Spring, 2002: Physician Education
Activities A Working Group on Sleepiness and Adolescents will meet for
the first time on February 4, 2002, to examine the science in biological and
social aspects of sleep and sleepiness in adolescents ages 1322, thereby
encompassing both high and college students. Key messages for physicians will
be related to the etiology, consequences, recognition and treatment of
sleepiness in this age group, and the role of the physician. The
American Academy of Pediatrics (AAP) convention in October 2002 will feature a
2-hour CME session on Sleepiness and the Adolescent. In addition, a
CenterNet/NHLBI CME video on sleep apnea will be produced in February 2002. The
1-hour video has had multiple satellite airings to more than 1,700 hospitals
during 2002. Latino Sleep Education Activities.> Dr.
Jose Laredo made a presentation on sleep at the August 2001 conference of
Promotores in San Diego, with the goal of having these lay workers incorporate
sleep education in their activities. In addition, the NCSDR Facts About Sleep
Apnea publication has been translated into Spanish. Media Outreach
Activities - Ms. Ellen Sommer Ms. Sommer provided an update on the
media component of the Garfield Sleep Well, Do Well Star Sleeper media
campaign, pointing out that the campaigns goal is to maintain an ongoing
presence in the media by promoting individual activities and taking advantage
of seasonal events to obtain coverage. The February 2001 press conference that
launched the campaign resulted in a total of 70 million audience
impressions (the potential audience for the messages) and was covered by
USA Today, CNN, Univision, Good Morning America, and the CBS Early Show, as
well as 210 television stations in 39 States, including the top10 media
markets. Extensive online coverage was also achieved. A Back-to-School
Campaign conducted during summer 2001 resulted in more than 45 million audience
impressions. It was picked up by Reuters wire service; major newspapers,
including the New York Times, the Washington Post, and the Los Angeles Times,
16 television stations in 14 states, radio stations in 5 of the top 10 media
markets, and several national and regional parenting magazines. A TV PSA was
also released in June, and as of November, it had resulted in 197 million
audience impressions., In addition, two matte (drop in) feature articles were
distributed one for the general population and one for the African
American population, resulting in 29 and 20 million audience impressions,
respectively. A print PSA was also released, but results are not avail able
yet. A Daylight Savings Time Campaign was launched in October 2001 and
resulted in 8 million audience impressions through print coverage as well as 13
million through television and 6 million through radio. Ms. Sommer
reported that ongoing media outreach includes highly targeted efforts for each
priority audience aimed at the top-tier media, as well as seasonal and special
outreach to the mass media. A New Years Resolution Campaign is planned.
Presentations are planned for meetings of the AAP and NAESP, and at community
events. Comments and Member Organization Updates In
response to Dr. Haponiks invitation for comments, a number of
representatives provided updates. - The American Sleep Apnea
Association (ASAA) sent a media alert to organizations and members to put in
their newsletters. The representative noted that a brochure that pediatricians
could give to parents would be useful. Parents also need to be educated about
the effects of sleepiness on themselves. The ASAA has two new publications: (1)
Sleep Apnea and Body Mass Index (which refutes the myth that people with
sleep apnea are always obese, and (2) If the Patient Is Not Complying with
CPAP. Both publications will be on the ASAA Web site. In addition, Sleep
Apnea and Driving has been revised, and the Sleep Apnea and Surgery
statement will be reexamined. - The American Academy of Sleep Medicine
(AASM) has stressed the need to provide training for sleep scientists through
the K-23 and related awards. The Sleep Research Society (SRS) also stresses the
importance of training; 300 of its 800 members are trainees. - The
National Sleep Foundation (NSF) will sponsor National Sleep Awareness Week, to
be held April 17, 2002. Thisevent will include a gala, symposium, and
Sleep Summit. - The Restless Legs Syndrome Foundation (RLSF) reported
excellent exposure from two recent articles on RLS in the New York Daily
News and The New York Times. The RLSFhas received 21 applications
for a diagnostic evaluation study in its small grant program. It will hold a
workshop on RLS in the spring or summer of 2002, in collaboration with the
International RLS Study Group, NIA, and other members of the Trans-NIH Sleep
Research Coordinating Committee. - The AAP has a new cultural
competence component and suggests including an anthropologist on its Board.
- The American Thoracic Society (ATS) is involved in training and
credentialing pulmonologists. It will produce a related position statement in
March 2002. The ATS annual meeting in May will include the topic of respiratory
neurobiology and a roundtable on genetic disorders. - Two meetings of
the Working Group on Sleepiness and Adolescents/Young Adults will be held
February 4 and April 22, 2002, near the Baltimore-Washington Airport in
Baltimore. In closing this session, Dr. Hunt thanked Board members and
guests for their participation. He asked them to e-mail Dr. Mignot or him with
their comments and suggestions for future meetings and in regard to the process
of revising the sleep research plan. Return to Table of
Contents VIII. ADJOURNMENT Dr.
Mignot In closing this Board meeting, Drs.Mignot and Hunt thanked
Board members and guests for their participation. Members are requested to
contact Dr. Mignot with their comments and suggestions for future meetings and
in regard to the process of revising the sleep research plan. Being no further
business, the meeting was adjourned at 3:00 pm. Return to Table of Contents IX. FUTURE SLEEP
DISORDERS RESEARCH ADVISORY BOARD MEETINGS: Wednesday, June 26,
2002 Wednesday, December 11, 2002 Wednesday, June 25, 2003 Tuesday,
December 9, 2003 X. CERTIFICATION We
certify that, to the best of our knowledge, the foregoing minutes are accurate
and complete. Emmanuel Mignot M.D., Chair Sleep Disorders Research
Advisory Board Carl E. Hunt, M.D., Executive Secretary
Sleep Disorders Research Advisory Board Return to Table of Contents
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