Advancing Health Disparities Interventions through Community-Based Participatory Research (U01)

 

Limited Submission Funding Opportunity for Texas A&M Faculty and PIs

NIH

http://grants.nih.gov/grants/guide/rfa-files/RFA-MD-15-010.html

 

Limited Submission Program (LSP): This funding opportunity and the Limited Submission Program (LSP) is open to all Texas A&M University faculty and principal investigators who meet the eligibility requirements. Texas A&M and The Texas A&M University System agencies jointly administer this process to select the proposal(s) that will be submitted to the sponsor in response to this solicitation.

 

Institutional Eligibility:  Only one application per institution (normally identified by having a unique DUNS number or NIH IPF number) is allowed.

 

The NIH will not accept duplicate or highly overlapping applications under review at the same time.  This means that the NIH will not accept:

  • A new (A0) application that is submitted before issuance of the summary statement from the review of an overlapping new (A0) or resubmission (A1) application.
  • A resubmission (A1) application that is submitted before issuance of the summary statement from the review of the previous new (A0) application.
  • An application that has substantial overlap with another application pending appeal of initial peer review.

 

Institutions of Higher Education and research organizations are required to partner with at least one community-based organization (or American Indian Tribal Government). Community-based organizations/ American Indian Tribal Governments are not required to partner with higher education institutions or research organizations.  

 

PI Eligibility:  Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with his/her organization to develop an application for support. Individuals from underrepresented racial and ethnic groups as well as individuals with disabilities are always encouraged to apply for NIH support.

 

The proposal will be prepared and submitted by Sponsored Research Services (SRS).

 

Proposal Limit: 1

 

Summary:  The overarching goals of the NIMHD Community-Based Participatory Research (CBPR) Program are to enhance community capacity in research for which they will directly benefit; support collaborative intervention projects addressing health disparities; and accelerate the translation of findings into improved health and health outcomes.  The purpose of this FOA is to support promising community interventions using CBPR principles and approaches aimed at reducing and eventually eliminating health disparities.

 

Dramatic advances in the past decade have resulted in escalating growth in knowledge of the complexity of the interactive factors influencing health across the life course.  There is extensive research evidence that still shows poorer health outcomes for socially disadvantaged populations, including low-income and racial and ethnic groups.  As such, identifying effective interventions to address these health disparities is important.  Despite recommendation for tailored and multilevel interventions, many community health promotion and disease prevention programs fail for various reasons that include the lack of a participatory approach or cultural sensitivity.

 

The rationale for this program is two-fold: (1) To address the need for improved transdisciplinary and intervention research methods and approaches addressing health disparities; and (2) To strengthen the science of community engagement in addressing health disparities in socially disadvantaged population groups.  Effective research intervention science approaches require a comprehensive framework for planning, developing conceptual models, identifying theory-based or evidence-based measures and implementing strategies for change.  It also requires an iterative participatory process in all phases of the intervention. There is a relative paucity of effective intervention research methods and participatory approaches addressing population health and disparities.  Given current understanding of the determinants of health, (e.g. social, environmental and behavioral) and the biological mechanisms that these determinants operate to influence health status, an elaborate intervention research framework and phased structure are being sought to accomplish the goals of this CBPR Intervention Phase program.

 

The following describes elements of the research plan approaches required to achieve the following Specific Research Objectives: 

1) Establishment of the health issue, disease or condition or related problem as a need in the community and amenable to the study intervention.  The intervention design should include consideration of community preferences, and draw on community strengths, knowledge, resources and capacities.  A consideration of the economic costs and benefits to the community is also of importance.   

2) Development of an intervention research framework informed by a conceptual or theory-based model of health and synthesis of the evidence supporting the framework.  The framework ensures that supporting conceptual and theory-based models guide the intervention in these areas: (a) documentation of the potential cause or etiology for the poor health status or outcomes; (b) identification of biological, behavioral, social and environmental determinants related to the target problem for action, where relevant; and (c) selection of the important and actionable health determinants and community attributes to inform the research design and methodology.

3) Design of an intervention mapping tool, i.e. a phased intervention structure that charts the stages of the intervention (from conception-evidence synthesis to the project design, conduct, analysis, interpretation, conclusions, and communication of results).  The phased intervention map should be informed by the intervention research framework and enable the community and research team to build iteratively on findings from each stage and guide subsequent stages of the research.  A participatory approach allows for an iterative process and flexibility throughout the implementation process.   Preliminary studies demonstrating initial feasibility, acceptability, and efficacy of the intervention in the target community are required to include in the structure.  Projects are expected to utilize rigorous research methods to determine intervention impact, including but not limited to randomized designs and quasi-experimental designs using appropriate comparison communities or populations, where relevant.

4) Establishment of a community coalition and Community Advisory Board that includes community members, researchers and other stakeholders with relevant expertise to inform the intervention process.  

5) While intervention targets may include outcomes for health knowledge change in addition to health behaviors and environmental change, projects that use health knowledge as the sole outcome will be considered non-responsive to this FOA.

 

Projects are required to involve at least one community-based organization, either as the applicant organization or a partner organization.  The individual or representative of the community organization will be named as key personnel in the Notice of Grant award.  Projects that involve American Indian Tribal Governments instead of or in addition to community-based organizations are also acceptable. Additional collaborations with other types of partners, including but not limited to academic organizations, healthcare providers, school districts, and Federal or local government agencies, are strongly encouraged. 

 

For the purposes of this FOA, interventions include health promotion programs, policies, services or resource provision that have the potential to impact a population group by changing the underlying conditions of increased risk or vulnerability.  Examples of interventions include the implementation of organizational policies to support wellness and workplace safety, school-based policies to encourage physical activity, implementation of prevention programs, and environmental change approaches that address health disparities. It involves the use of current scientific data to inform interventions that may operate within or outside the health sector, but have the potential to impact health at the population level.  Appropriate research intervention topics include, but are not limited to the following:

  • Interventions to promote healthy lifestyle behaviors (e.g., physical activity, healthy diets) to prevent or reduce overweight/obesity and obesity-related complications (e.g., cardiovascular diseases, diabetes) 
  • Interventions that address adversity and chronic stress
  • Interventions focusing on the prevention or cessation of tobacco use and substance abuse
  • Interventions that  promote healthy sexual behaviors that prevent or reduce the transmission of HIV/AIDS and other sexually-transmitted infections
  • Interventions preventing or reducing intentional (e.g., suicide) or unintentional injuries and violence
  • Interventions to promote preventive behaviors (e.g., vaccinations, health screenings) that lead to the early detection or prevention of diseases/conditions such as colon cancer, prostate cancer, cervical cancer, influenza and other vaccine-preventable diseases.

 

Dates:

 

June 1, 2015

Deadline for an email of intent including the title of the internal proposal and a one to three sentence description of the project. 

 

Send email of intent to limitedsubmissions@tamu.edu

June 8, 2015

Deadline to submit an internal proposal.

 

All proposals for the LSP must be submitted electronically using the e-proposal on-line application system.

 

Be prepared to upload your internal proposal. The sections will include a one-three page research plan summary, two-page bio-sketch, and preliminary budget.

 

The e-proposal site is password protected. Texas A&M principal investigators may use their NetID and password to access the system. If you do not have a NetID, click HERE for help to activate your NetID. You will need your UIN and your date of birth.


If you have any questions, please contact:

 shelly.martin@tamu.edu  or 979.862.2233.

 

June 29, 2015

Target date for the notifications to PIs of the result of the internal competition.

August 3, 2015

Sponsor deadline for the full proposal (due by 5:00 p.m. proposer’s local time).

 

 

Internal Selection Procedures:

Texas A&M has established a procedure to identify limited submission opportunities and internally select proposals for Texas A&M submissions.  Please contact us if you have any questions about the limited submission process.

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