Alberta Children’s Hospital Research Institute for Child and Maternal Health and Departments of Community Health Sciences and Paediatrics SPECIAL SEMINAR M SARAH ROSE, PhD MSc Applicant for Health Services and Population Health Researcher “Development and Application of Biostatistical Methodology in Population Health: Allostatic Load, Perinatal Distress and Preterm Birth” In March 2013 a team of Global health Researchers led by Dr. Shahirose Premji of the University of Calgary, submitted a proposal to CIHR. The overall goal of this study is to improve maternal and infant health outcomes in high risk populations by investigating the multidimensional nature of perinatal distress and its influences on preterm birth, and by identifying biomarkers of allostatic load, that will assist in identifying high risk mothers and infants. The termed allostatic load, which refers to the overall wear and tear on the body by repeated stressful events or chronic stress, was coined in 1993 but over 90% of the research in this area has been published in the last 10 years. Statistical methods to capture this concept are as yet inadequate and none have been scientifically validated. We propose an operationalization of the concept in terms of a statistical model and develop a biomarker score to measure allostatic load. Subsequently we propose simulation studies based on pilot study data to validate these methods. Objectives: 1. To operationalize of the concept of allostatic load and perinatal distress in terms of a statistical model to predict preterm birth 2. To describe the development of a biomarker score to measure allostatic load 3. To describe the method of simulation studies in biostatistical research to estimate sample size and validate the above statistical methods This event is a self approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada Date: June 12, 2013 TIME: 12pm-1pm LOCATION: W21C Multi-Purpose Room (TRW Building, G01-G02; next to Security)