This FOA has been modified on Monday April 28, 2008: the application deadline date has been extended from
Friday May 2, 2008 to Monday May 5, 2008.
Part I Overview Information
United States Department of Health and Human Services (HHS)
Issuing Organization
Centers for Disease Control and Prevention (CDC) / Office of Public Health Research,
(http://www.cdc.gov/od/science/PHResearch/)
Participating Organizations
Centers for Disease Control and Prevention (CDC) (http://www.cdc.gov/)
Components of Participating
Organizations
Office of Public Health Research (OPHR/CDC), http://www.cdc.gov/od/science/PHResearch/)
Coordinating Office for Terrorism Preparedness and Emergency Response (COTPER/CDC), http://www.cdc.gov/maso/pdf/COTPERfs.pdf
National Center for Injury Prevention and Control (NCIPC/CDC), (http://www.cdc.gov/ncipc/)
National Center for Environmental Health (NCEH/CDC), http://www.cdc.gov/nceh/default.htm
National Center for Health Statistics (NCHS/CDC), http://www.cdc.gov/nchs/
National Center for Health Marketing (NCHM/CDC), http://www.cdc.gov/healthmarketing/
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP/CDC), http://www.cdc.gov/nccdphp/
National Center on Birth Defects and Developmental Disabilities (NCBDDD/CDC), http://www.cdc.gov/ncbddd/
National Center for Immunization and Respiratory Diseases (NCIRD/CDC), http://www.cdc.gov/vaccines/about/default.htm
National Center for Zoonotic, Vector-Borne and Enteric Disease (NCZVED/CDC), http://www.cdc.gov/nczved/
National Center for HIV, Viral Hepatitis, STDs and Tuberculosis Prevention (NCHHSTP/CDC), http://www.cdc.gov/nchhstp/
National Center for Preparedness, Detection and Control of Infectious Diseases (NCPDCID/CDC) http://www.cdc.gov/ncpdcid/
National Institute for Occupational Safety and Health (NIOSH/CDC), http://www.cdc.gov/niosh/homepage.html
Office of Minority Health and Health Disparities (OMHD/CDC), http://www.cdc.gov/omhd/
Office of the Chief of Public Health Practice (OCPHP/CDC), http://www.cdc.gov/od/ocphp/
Title: Elimination of Health Disparities through Translation Research (R18)
The policies, guidelines,
terms, and conditions of the HHS Centers for Disease Control
and Prevention (CDC) stated in this announcement might
differ from those used by the HHS National Institutes of
Health (NIH). If written guidance for completing this
application is not available on the CDC website, then CDC
will direct applicants elsewhere for that information.
Authority:
Section 301 of the Public Health Service Act (42 U.S.C.
Section 241), as amended
and
Sections 317(k)(1)&(2) of
the Public Health Service Act [42 U.S.C. 247b(k)(1)&(2)], as
amended, and
the Occupational Safety
and Health Act of 1970, Section 20(a) and 21(a) (29 USC
669(a) and 29 USC 670).
Announcement Type: New
Instructions for Submission of Electronic Research Applications:
NOTICE: Applications submitted in response to this Funding Opportunity Announcement (FOA) for Federal assistance must be submitted electronically through Grants.gov (http://www.grants.gov) using the SF424 Research and Related (R&R) forms and the SF424 (R&R) Application Guide.
This FOA must be read in conjunction with the application package instructions included with this announcement on Grants.gov/Apply for Grants (hereafter referred to as, Grants.gov/Apply.)
A registration process is necessary before submission, and applicants are strongly encouraged to start the process at least four weeks prior to the grant submission date. See Section IV.
Two steps are required for on time submission:
1) The application must be successfully received by Grants.gov no later than 5:00 p.m. Eastern Standard Time on the application submission receipt date (see “Key Dates” below.)
2) Applicants must complete a verification step in the Electronic Research Administration (eRA Commons) within two business days of notification. Note: Since email can be unreliable, it is the responsibility of the applicant to periodically check on their application status in the eRA Commons.
Funding Opportunity Announcement (FOA) Number: RFA-CD-08-001
Catalog of Federal Domestic Assistance Number(s): 93.061 Innovations in Applied Public Health Research and 93.262 Occupational Safety and Health Program
Key Dates
Release/Posted Date:
February 29, 2008
Letter of Intent Receipt Date: April 2, 2008
Application Submission Receipt Date(s): May 5, 2008
Peer Review Date(s):
June/July 2008
Council Review Date(s): July 2008
Earliest Anticipated Start Date(s): September 2008
Expiration Date:
Due Date for E.O. 12372
Executive Order 12372 does apply to this program.
Additional Overview Content
Executive
Summary
Purpose. This funding opportunity announcement (FOA) encourages applicants to submit research grant applications that accelerate the translation of research findings into public health practice through implementation, dissemination, and diffusion research within health disparity populations.
Mechanism of Support. This FOA will use the Research Demonstration and Dissemination Projects (R18) award mechanism.
Funds Available and Anticipated Number of Awards. The participating organizations intend to commit a total of $ 4.5 million via the R18 mechanism for funding to applicants responsive to this announcement and whose projects are of high scientific merit and programmatic importance.
* A Bona Fide Agent is an agency/organization identified by the state as eligible to submit an application under the state eligibility in lieu of a state application. If you are applying as a bona fide agent of a state or local government, you must provide a letter from the state or local government as documentation of your status. Attach this documentation behind the first page of your application form or for electronic applications, use a PDF file and attach as “Other Documents” and label as appropriate.
· Academic and other institutions and organizations that serve racial and ethnic populations as a primary component of their mission or that demonstrate existing collaboration with minority-serving academic and other institutions or organizations are encouraged to apply under this solicitation.
· Note: Applications will not be accepted from foreign institutions.
Funding Opportunity Announcement Glossary: FOA Glossary Terminology
Table of Contents
Part I Overview
Information
Part II Full Text of
Announcement
Section I. Funding
Opportunity Description
1. Research Objectives
Section II. Award
Information
1. Mechanism(s) of
Support
2. Funds Available
Section III. Eligibility
Information
1. Eligible Applicants
A. Eligible
Institutions
2.Cost Sharing or
Matching
3.Other - Special
Eligibility Criteria
Section IV. Application
and Submission Information
1. Request Application
Information
2. Content and Form of
Application Submission
3. Submission Dates
and Times
A. Receipt and
Review and Anticipated Start Dates
1. Letter of
Intent
B. Submitting an
Application to CDC
C. Application
Processing
4. Intergovernmental
Review
5. Funding
Restrictions
6. Other Submission
Requirements
Section V. Application
Review Information
1. Criteria
2. Review and
Selection Process
A. Additional
Review Criteria
B. Additional
Review Considerations
C. Sharing
Research Data
D. Sharing
Research Resources
3. Anticipated
Announcement and Award Dates
Section VI. Award
Administration Information
1. Award Notices
2. Administrative and
National Policy Requirements
A. Cooperative
Agreement
1. Recipient
Rights and Responsibilities
2. HHS/CDC
Responsibilities
3.
Collaborative Responsibilities
3. Reporting
Section VII. Agency
Contact(s)
1. Scientific/Research
Contact(s)
2. Peer Review
Contact(s)
3. Financial/ Grants
Management Contact(s)
4. General Questions
Contact(s)
Section VIII. Other
Information - Required Federal Citations
Part II - Full Text of
Announcement
Section I. Funding Opportunity Description
1. Research Objectives
This funding opportunity announcement (FOA) is intended to solicit applications that support dissemination and implementation of public health research into public health practice activities in health disparity populations and to contribute to achieving the health promotion and disease prevention objectives of "Healthy People 2010" and to measuring program performance as stipulated by the Government Performance and Review Act (GPRA). This FOA addresses “Healthy People 2010” priority area(s) of Prevention Research (Chapter 23, Section 17) and is in alignment with CDC’s performance goal(s) to support prevention research to develop sustainable and transferable community-based behavioral interventions.
Background
Health disparities have been documented for more than a century, yet efforts to eliminate them have been unsuccessful in many instances. The 2006 National Health Disparities Report provides evidence that disparities persist in nearly every aspect of health, including quality of health care, access to care, utilization of health care, clinical conditions including morbidity and mortality, and health care settings (Source: http://www.ahrq.gov/qual/nhdr06/nhdr06.htm). These disparities are evident in a diverse range of subpopulations that include individuals from various race/ethnic, gender, age, socio-economic, education, disability, and geographical regional groups. Despite the fact that these wide-spread health disparities have been documented and researched, there still remain significant improvements to be made in public health practice. This is due, in part, because the multi-factorial causes of these inequalities are inadequately understood and that a gap exists in knowledge as to the rationale for the limited or significantly delayed translation of promising evidence-based interventions that have been shown to be effective. Eliminating health disparities requires a resolute commitment to public health dissemination and implementation research.
Healthy People 2010, a comprehensive, national health promotion and disease prevention agenda developed by the U.S. Department of Health and Human Services (HHS), identified eliminating health disparities as a national goal.[1] In an effort to measure progress towards this national goal, Healthy People 2010 identified specific measurable objectives related to eliminating health disparities. A recently completed midcourse review of progress towards the goals and objectives of Healthy People 2010 found that while disparities for some objectives among some populations decreased, in many instances disparities failed to change and in some instances increased (Source: http://www.healthypeople.gov/data/midcourse/html/execsummary/Goal2.htm). This “mixed progress towards the elimination of health disparities by race/ethnicity, income, education, and other social determinants of health during the first half decade magnifies the urgent need for collaborative research to accelerate progress during the remainder of the decade and beyond (Williams, 2005).” (Source: Chapter 8, page 1). This FOA represents a critical step in moving effective interventions into practice and ultimately closing the gap on health disparities.
Through the formation of a Federal Collaboration on Health Disparities Research (FCHDR), CDC has engaged a wide range of federal partners (HHS agencies and non HHS department level agencies) to explore the complex nature of health disparities and the role research could play in accelerating positive impact on many of the long standing health disparities. The purpose of the Federal Collaboration is to reach across governmental agencies to identify the most important research needs, and opportunities, and establish a forum for collaboration that will help accelerate the elimination and prevention of health disparities. This FOA encourages applications focused in these four priority areas and/or one or more of the following additional FCHDR areas that are in support of the U.S. Department of Health and Human Services goals to reduce health disparities: 1) Cardiovascular disease, cancer, and diabetes; 2) Infant mortality, low birth weight, and disabilities; 3) Hepatitis, Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS), Sexually Transmitted Diseases (STDs), and tuberculosis (TB); 4) Immunizations and other Infectious Diseases; 5) Substance abuse and mental health; 6) Environmental health, occupational health; 7) Global health; and 8) Preparedness to achieve broad measurable and sustainable public health improvements. This FOA also solicits applications on specific priority topics of interest to CDC (listed later in this document), that support FCHDR’s overall priority focus on translation research to eliminate health disparities
Clearly, there still remain significant improvements to be made in public health practice and this FOA represents one step in moving effective interventions into practice and ultimately closing the gap on health disparities. The CDC, in an effort to support the goals of the FCHDR, encourages innovative and interdisciplinary grant applications focused on translation research designed to eliminate and prevent health disparities.
Translation Research to Eliminate Health Disparities
Health disparities persist in many areas despite improvements in the health of the Nation as a whole. A critical knowledge base concerning the type and quality of services and programs that health disparity populations continue to receive coupled with socio-cultural differences such as lack of trust, language differences, and differences in attitudes, values, beliefs, and myths are barriers that contribute to the limited adoption of proven evidence-based public health interventions. In order to effectively reduce and/or eliminate these disparities, broad interventions at the systems level that focus on changing conditions at the community level rather than individual level is needed. Lessons learned from understanding and eliminating health disparities and improving health among health disparity populations will likely be applicable to the Nation as a whole.
Translation research broadly studies and examines factors that facilitate efficacious and effective translation of research into everyday public health policies and programs; evaluates the effectiveness of the administrative, management, policy, healthcare and public health practice decisions and/or use of research knowledge; and describes the experience and roles of the stakeholders, practitioners and participants. Previous efforts to accelerate the translation of research into public health practice and policy often fail to characterize the knowledge gap between evidence-based interventions and effective delivery; have not sufficiently evaluated the factors necessary for the successful adaptation of interventions or supporting infrastructure; and typically have not described the requirements for stakeholders’ collaboration to facilitate meaningful adoption by the target population or potential for broader public health uptake. Likewise, dissemination of an intervention alone (e.g. guideline publication) is often insufficient to change practice habits and result in health benefits. However, recent attention and support from several federal agencies (e.g. NIH, AHRQ, CDC, VA) and research foundations (e.g. the Robert Wood Johnson Foundation, William T. Grant Foundation) are helping to build a robust body of evidence in the field of public health translation research that will help fill knowledge gaps and move the field forward.
CDC’s ultimate goal is to increase the spread and usage of effective public health interventions based on “science that works” so that the greatest health impact for an individual, community or nation can be achieved with the greatest efficiency. Likewise, CDC aims to eliminate health disparities for vulnerable populations as defined by race/ethnicity, socio-economic status, geography, gender, age, disability status, risk status related to sex and gender, and among other populations identified to be at-risk for health disparities. Through this FOA, CDC intends to accelerate the translation of research findings into public health practice through dissemination, implementation, and diffusion research to ultimately eliminate health disparities and to inform decision-making at the public health, organization/health care systems, and/or public policy levels.
Proposed health disparity translation research studies should identify one or more of the following: 1) factors that inhibit or facilitate the translation of evidence-based public health interventions, policies, recommendations, etc.; 2) methods and tools for the successful translation of evidence-based programs, practices, or policies that retain fidelity, and achieve positive outcomes for target populations; and 3) optimal strategies to enhance the widespread adoption and institutionalization of effective public health intervention programs, including the adaptability of interventions to other and larger health disparity populations. Applicants should focus on the translation of existing evidenced-based programs, practices, policies, recommendations, tools, and/or strategies and are encouraged to use existing resources of proven effective interventions such as “The Guide to Community Preventive Services (The Community Guide)” and the “Guide to Clinical Preventive Services”. Wherever possible, studies that are interdisciplinary and include collaborations with traditional and non-traditional stakeholders that serve health disparity populations as a primary component of their mission are encouraged.
Definition of Terms
For information of translation research terminology relevant to the FOA, please see the section called Definition of Terms under Research Objectives at the following link: http://grants.nih.gov/grants/guide/rfa-files/RFA-CD-07-005.html
CDC Coordinating Office, National Center, or Institute (CO/NC/I) Research Priorities
Listed below are specific priority topics of interest to CDC that support FCHDR’s overall priority focus on translation research to eliminate health disparities. Applications submitted in response to this funding announcement must identify the FCHDR and Coordinating Office, National Center, or Institute (CO/NC/I) priority area(s) the application is responding to. Each application will compete for available funds with all other eligible applications. Applications that do not identify and align with any of the FCHDR and CO/NC/I priorities and do not address the submission requirements in Section IV.3.C. will be considered non-responsive.
The mission of the National Center for Injury Prevention and Control (NCIPC) is to save lives and reduce the number and severity of unintentional and violence related injuries. The CDC Injury Research Agenda (http://www.cdc.gov/ncipc/) encompasses: acute injury care, disability and rehabilitation; prevention of home, sports, transportation and community injuries; and prevention of youth violence, intimate partner and sexual violence, child maltreatment and suicidal behavior. Disparities in risk of injury and severity of outcome, the latter often related to timely access to quality acute care, vary across many causes of injury and at-risk populations. Those listed below are injury topics with known effective interventions and thus of highest priority to NCIPC.
· Child Maltreatment or Youth Violence Prevention: Child maltreatment affects 14% of U.S. children and highest rates occur among African –Americans, American Indians or Alaskan Natives, and Pacific Islanders. Youth violence is the second leading cause of death for ages 10-24. Priorities include studies aimed at identifying and evaluating efficient and effective methods for the dissemination and implementation of evidence-based interventions, programs, and policies to prevent either the perpetration of or victimization from child maltreatment or youth violence. To accelerate the widespread use of effective programs in populations disproportionately impacted by child maltreatment or youth violence, research may: examine the optimal ways to synthesize, translate, and package effective prevention approaches; address impediments and facilitators to program adoption and sustained use; examine ways to build individual and organizational capacities to use effective approaches (i.e., understanding the type and quality of technical assistance – training, coaching, monitoring – necessary to support effective implementation); study how individual, organizational and community characteristics influence the adoption and effective use of empirically-supported violence prevention approaches; and once an effective approach is adopted, understanding the effects of implementing the program, policy, or practice as originally developed (i.e., with “fidelity”), as opposed to changing the content or delivery format (i.e., “adapting”).
· Translating Alcohol-Related Preventive Clinical Services into Routine Emergency Care: Risky drinking is now the leading risk factor for serious injury in the United States, and the third leading cause of preventable death. It accounts for more than $180 billion annually. Higher rates of drunk driving are associated with lower per capita income households. Brief screening and counseling interventions in emergency departments and trauma centers has been effective in decreasing excessive drinking, impaired driving, and hospital admissions. Research is needed to determine the barriers and facilitators to implementing effective brief alcohol screening and interventions in areas with lower income in order to achieve maximum results and determine whether targeting or intensifying training in impoverished neighborhoods would achieve a greater reduction in drunk driving.
· Community Interventions to reduce motor vehicle injuries: Several known effective community interventions to decrease alcohol impaired driving face barriers to effective implementation. Research is needed to identify a) the most effective means of disseminating research findings about effectiveness to groups that want to implement interventions and b) the role community coalitions can play in removing barriers to implementing these interventions. Research is needed to address barriers impeding effective implementation of seat belt use interventions, including but not limited to determining a) how communities can increase public acceptance of primary safety belt laws and b) whether enhanced enforcement programs divert police from other crimes.
The National Center for Environmental Health (NCEH), http://www.cdc.gov/nceh/default.htm, plans, directs, and coordinates a national program to maintain and improve the health of the American people by promoting healthy environments and by preventing premature death and avoidable illness and disability caused by non-infectious, non-occupational environmental and related factors. The following topics are of the highest priority to NCEH:
· Healthy Homes and Communities: Certain populations face a disproportionate risk for exposures to environmental hazards in their homes and/or in the communities where they live. Interventions are needed to address disparities in health outcomes related to living conditions at the scale of homes (e.g., vector control, lead paint removal, mold control, carbon monoxide detectors, and fall hazard abatement) and/or communities (e.g., exposures to environmental substances or other environmental hazards, mixed land use, activity centers, pedestrian infrastructure, appropriate residential density, greenspace, mass transit). Priorities include:
o Research to translate facilitators of evidence-based interventions to address disparities in health outcomes related to environmental conditions in the home and/or communities.
o Research to adapt knowledge about the interactions between genetic variations and environmental factors for reducing morbidity and mortality in populations with disproportionate risk for exposures to environmental hazards.
· Climate Change: Climate change affects public health directly through the propagation of extreme temperatures, in particular heat waves. Research is needed to identify facilitators and impediments to applying proven existing mitigation and adaptation interventions more broadly in public and private sectors, and to develop strategies to reach populations with disproportionate risks for climate-related adverse health outcomes. Priorities include:
o Research to reduce the potential for heat-related deaths and illnesses among communities with disproportionate risks using established models of the distribution of heat-related mortality applied in the context of the built environment (e.g., urban heat islands, land use, ground cover, building stock), and
o Research to translate proven marketing messages for effecting appropriate behavioral change and prevention of heat-related illness among vulnerable populations, especially the elderly.
· Asthma: Research has shown that ethnic and/or low-income populations have an increased risk for morbidity and mortality from asthma and asthma-related conditions. Research is needed to translate proven interventions for improved asthma management to reduce disparate outcomes among at-risk population. Priority research topics that address disparities in asthma management include:
o Access to health care services
o Use of emergency department facilities for acute asthma exacerbation
o Asthma hospitalization
o Appropriate use of NAEPP guidelines for physician management of asthma
o Patient/guardian attitudes toward use of inhaled corticosteroids
The National Center for Immunization and Respiratory Diseases (NCIRD), http://www.cdc.gov/vaccines/about/default.htm, prevents disease, disability, and death through immunization and by control of respiratory and related diseases. Projects should focus on the following priority:
· Translate and implement evidence-based interventions to control respiratory and related diseases and reduce vaccine preventable disease in populations and in settings where health disparities in vaccination persist.
The National Center for Zoonotic, Vector-Borne, and Enteric Diseases (NCVZED), http://www.cdc.gov/nczved/, maximizes public health and safety nationally and internationally through the prevention and control of disease, disability, and death caused by zoonotic, vector-borne, foodborne, waterborne, mycotic, and related infections. Projects should focus on the following priority:
· Develop and evaluate strategies to translate and implement evidenced-based tick and animal control programs in American Indian and Alaska Native communities; and identify and characterize the facilitators and impediments for the successful implementation in these communities.
The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), http://www.cdc.gov/nchhstp/, maximizes public health and safety nationally and internationally through the elimination, prevention, and control of disease, disability, and death caused by Human Immuno-deficiency Virus Infection/Acquired Immunodeficiency Syndrome, Non-HIV Retroviruses, Viral Hepatitis, other Sexually Transmitted Diseases, Tuberculosis, and Non-Tuberculosis Mycobacteria. Projects should focus on the following priority:
· Implement and disseminate evidence-based interventions to reduce HIV, other STDs, viral hepatitis, and TB, and assess the affect of social determinants of health on the implementation and dissemination of interventions among health disparity populations.
The National Center for Preparedness, Detection, and Control of Infectious Diseases (NCPDCID), http://www.cdc.gov/ncpdcid/, protects populations domestically and internationally through leadership, partnerships, epidemiologic and laboratory studies, and the use of quality systems, standards, and practices. NCPDCID collaborates with the Coordinating Center for Infectious Diseases (CCID), CDC, and the agency’s national and global partners to conduct, coordinate, and support infectious disease surveillance, research, and prevention. Projects should focus on the following priority:
· Translate and implement evidence-based interventions to control and reduce Methicillin-Resistant S. Aureus (MRSA) in populations and in settings where recognized racial and ethnic disparities in the incidence of either or both hospital-associated infections or community-associated MRSA disease exist.
The mission of the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), http://www.cdc.gov/nccdphp/, is to prevent death and disability from chronic diseases; to promote maternal, infant, and adolescent health; to promote healthy personal behaviors; and to accomplish these goals in partnership with health and education agencies, voluntary associations, the private sector, and other federal agencies. NCCDPHP places high priority on chronic diseases and conditions and reproductive health outcomes that have the greatest impact on health, longevity, and quality of life, especially those related to gender, age, race/ethnicity, geography, sexual orientation, socioeconomic status, disability, and special needs.
NCCDPHP is interested in research that develops and tests models for translation, dissemination, and implementation of effective programs/policies that utilize a community-partnered approach to promote health and prevent disease and eliminate health disparities. Research projects should identify methods that can be implemented at the individual, family, community, and organizational levels that will accelerate the adoption of programs, policies, and behaviors aimed at reducing chronic diseases and conditions and adverse reproductive health outcomes. Projects should focus on the following priorities:
· Strategies to translate and implement evidence-based interventions to promote health and prevent disease in populations and in settings where health disparities persist.
· Characteristics of effective delivery systems and factors that affect acceptability and adoption of health promotion and disease prevention interventions among high risk populations.
· Strategies to sustain community changes that reduce chronic diseases and improve reproductive health outcomes in diverse, high-risk, and hard-to-reach populations that utilize partnerships and collaborations.
The National Center on Birth Defects and Developmental Disabilities (NCBDDD), http://www.cdc.gov/ncbddd/, promotes the health of babies, children, and adults, and enhances the potential for full, productive living. Projects should focus on translation research related to the following priorities:
· Characterize the facilitators and impediments for the successful implementation of evidence-based interventions recommended by CDC for preconception health and health care, in an applied community or clinical setting, with particular emphasis on those recommendations with evidence-based interventions for improving outcomes (e.g., alcohol, folic acid, smoking, diabetes, and HIV/STD screening prior to pregnancy), and develop implementation strategies based on this knowledge.
· Develop and evaluate strategies to translate and implement evidenced-based interventions that reduce health disparities and promote the health and well-being of people with disabilities. NCBDDD is interested in projects that address physical activity, overweight and obesity, cancer screening, tobacco use, depression, violence, and access to quality health care services.
The National Center for Health Statistics (NCHS), http://www.cdc.gov/nchs/, supports statistical and epidemiological activities for the purpose of improving the effectiveness, efficiency, and quality of health services for populations at risk in the United States. This includes collecting statistics on illness and disability of the population and its impact on population well-being, e.g. the U. S. economy; health resources, including health professionals and services; utilization of health care and facilities; health care costs and financing, including trends in prices and cost, sources of payments, and governmental expenditures; family formation, growth, and dissolution.
NCHS continues to be interested in the use of NCHS data sets to explore the disparities in the penetration of health policies and recommendations through a variety of population subgroups including various minority groups, rural populations and economically disadvantaged populations. NCHS data can provide information on diseases or conditions found in the priority areas of:
· Cardiovascular disease, cancer, and diabetes
· Infant mortality, low birth weight, and disabilities
· Hepatitis, Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS), Sexually Transmitted Diseases (STDs), and tuberculosis (TB)
· Immunizations and other Infectious Diseases
· Substance abuse and mental health
· Environmental health, occupational health, and injuries
· Global health
· Preparedness to achieve broad measurable and sustainable public health improvements
The mission of the National Center for Health Marketing (NCHM),
http://www.cdc.gov/healthmarketing/, is to protect and promote health and advance CDC’s goals through innovative health marketing programs, products, and services that are customer-centered, high-impact, and science-based. Health marketing and communication is an emerging field that draws from traditional marketing theories and principles. Health marketing is defined as creating, communicating and delivering health information and interventions using customer-centered and science based strategies to protect and promote the health of diverse populations. NCHM helps define the future of health marketing within CDC, the federal sector and beyond.
The following topics are of the highest priority to NCHM:
· Study the use of proven health marketing tools in the dissemination and implementation of evidence based programs, etc., among health disparity and vulnerable populations.
· Identify appropriate and effective technological communication channels to enhance the widespread adoption and institutionalization of effective public health interventions.
· Study the use of proven health marketing tools in the dissemination and implementation of evidence based programs, etc., among populations disproportionately affected by emergency situations.
Coordinating Office for Terrorism Preparedness and Emergency Response (COTPER)
The Coordinating Office for Terrorism Preparedness and Emergency Response (COTPER), http://www.cdc.gov/maso/pdf/COTPERfs.pdf, has primary oversight and responsibility for all programs that comprise CDC's terrorism preparedness and emergency response portfolio. Through an all-hazards approach to preparedness that focuses on threats from natural, biological, chemical, nuclear, and radiological events, COTPER helps the nation prepare for and respond to urgent threats to the public's health. COTPER’s mission is to prevent death, disability, disease and injury associated with urgent health threats by improving preparedness of the public health system, the healthcare delivery system and the public through excellence in science and services.
Special consideration will be given to funding research that develops and tests models for translation, dissemination, and institutionalization of best practices and evidence-based practices within health disparity populations and that addresses the following priority:
· Translation studies of scientifically-based strategies that incorporate risk factors, risk appraisal frameworks, predictive models, and systems solutions that mitigate the health vulnerabilities of subsets of the population during emergency events.
National Institute for Occupational Safety and Health (NIOSH)
The U.S. workforce is becoming increasingly diverse due to the changing demographic characteristics of the country. One out of two new U.S. workers in the past decade was born outside the country. Many of these foreign-born workers are immigrants with modest educational backgrounds and low English proficiency. These demographic changes in the U.S. workforce have been accompanied by a reduction in job security and an expansion of contingent1 employment, including temporary and part-time employment. Current research indicates that these demographic and workplace changes have created health disparities among foreign-born and contingent workers in the rates of work-related illnesses and injuries. These disparities are due in part to the expansion of low-income and racial and ethnic minority workers in the most hazardous industries and occupations. While proven occupational safety and health interventions exist, their penetration into certain at-risk worker populations has not been adequately realized, particularly into populations of foreign-born workers and contingent workers. Consequently, NIOSH is interested in research that addresses the dissemination, implementation, and diffusion of proven interventions (e.g., best practices, programs, policies, and behaviors) that reduce or prevent occupational injuries and illnesses among populations of contingent workers, as well as foreign-born workers. This interest is consistent with the framework of CDC's Healthy Workplace goal and the National Occupational Research Agenda (NORA).
For this announcement, NIOSH solicits translation research applications that address health disparities among either foreign-born or contingent workers in the following NORA industrial sectors (http://www.cdc.gov/NIOSH/NORA/sector.html):
· Agriculture, Forestry, and Fishing
· Construction
· Services (specifically accommodations and food service)
1Contingent Worker: A temporary or part-time worker, usually one working under contract for a fixed period or a specific project. This includes day laborers, migrant agricultural workers, fast food service workers, and housekeeping services workers.
Office of Minority Health and Health Disparities (OMHD)
The Office of Minority Health and Health Disparities (OMHD), www.cdc.gov/omhd/, in collaboration with CDC’s National Centers aims to accelerate health impact in the U.S. population and to eliminate health disparities for vulnerable populations as defined by race/ethnicity, socio-economic status, geography, gender, age disability status, risk status related to sex and gender, and among other populations identified to be at-risk for health disparities. Some key OMHD activities include 1) developing CDC-wide health disparities elimination strategies, policies, goals, and programs; 2) supporting partnerships to advance the science, practice, and workforce for eliminating health disparities; and 3) synthesizing, disseminating, and encouraging the use of scientific evidence about effective interventions to achieve health disparities elimination outcomes. OMHD is interested in translation research that can improve the health of minority or other populations experiencing health disparities and can eliminate health disparities in the United States.
The following topics are of the highest priority to OMDH:
· Conduct research which characterizes the facilitators and impediments, and defines strategies for the successful dissemination, implementation or diffusion of proven public health interventions in minority or other populations experiencing health disparities. Priority areas for this research include:
o Systems approaches for addressing obesity
o Access to culturally appropriate mental health care services
o Quality of care for persons with multiple chronic conditions
o Built environment and health of vulnerable populations
Office of the Chief of Public Health Practice
The Office of the Chief of Public Health Practice (OCPHP), http://www.cdc.gov/od/ocphp/index.htm,
provides leadership to ensure that the public health system, i.e., the "practice of public health", is strengthened through performance improvement at the federal, tribal, state, and local levels in order to meet current and emerging health protection and promotion priorities. OCPHP is the hub of the scientific effort to improve performance in the practice of public health (by CDC and by a wide spectrum of extramural organizations). Special consideration will be given to the following research priority:
· Identify public health laws, regulations, and ordinances, especially at the state, tribal, and local levels, that contribute to improved prevention--for at-risk populations--of any of the following: 1) cardiovascular disease, cancer, and diabetes; 2) infant mortality and disabilities; 3) hepatitis, HIV/AIDS, STDs, and tuberculosis; 4) immunization-preventable and other infectious diseases; and 5) conditions associated with environmental and occupational health and with injury. Conduct research to identify key factors that facilitate translation of knowledge about those measures' efficacy into broad adoption, effective implementation, and consequent reduction in health disparities among at-risk populations.
See
Section VIII, Other Information - Required Federal Citations,
for policies related to this announcement.
Section II. Award Information
1. Mechanism(s) of Support
This FOA will use the Research Demonstration and Dissemination Projects (R18) award mechanism.
The R18 mechanism provides support to develop, test, and evaluate health service activities, and to foster the application of existing knowledge for the control of categorical diseases.
2. Funds Available
The CDC intends to commit approximately $4.5 million in total cost dollars in FY2008 to fund approximately 9 applications. The average award amount will be approximately $350,000-$450,000 including direct and indirect costs per 12 month budget period (e.g., direct and indirect costs). An applicant may request a project period of up to 3 years. An applicant may request up to $450,000 including direct and indirect costs for each budget year. The approximate range for total project period (3 years) is $1,050,000 to $1,350,000 including direct and indirect costs. The anticipated start date for new awards is September 2008.
All estimated funding amounts are subject to availability of funds.
If an applicant requests a funding amount greater than the ceiling of the award range, HHS/CDC will consider the application non-responsive, and it will not enter into the review process. HHS/CDC will notify the applicant that the application did not meet the submission requirements.
Because the nature and scope of the proposed research will vary from application to application, it is anticipated that the size and duration of each award will also vary. Although the financial plans of the CIO (s) provide support for this program, awards pursuant to this funding opportunity are contingent upon the availability of funds and the receipt of a sufficient number of meritorious applications.
Section III. Eligibility
Information
1. Eligible
Applicants
1.A. Eligible Institutions
You may submit an application(s) if your organization has any of the following characteristics:
A Bona Fide Agent is an agency/organization identified by the state as eligible to submit an application under the state eligibility in lieu of a state application. If you are applying as a bona fide agent of a state or local government, you must provide a letter from the state or local government as documentation of your status. Attach this documentation behind the first page of your application form or for electronic applications, use a PDF file and attach as “Other Documents” and label as appropriate.
Note: Applications will not be accepted from foreign institutions. Applicants wishing to form foreign collaborations may do so as long as the primary domestic grant recipient performs a substantive role in the project and is not acting solely as a conduit to another party.
2. Cost Sharing or Matching
This program does not require cost sharing or matching.
3. Other-Special Eligibility
Criteria
Note: Title 2 of the
United States Code Section 1611 states that an organization
described in Section 501(c)(4) of the Internal Revenue Code
that engages in lobbying activities is not eligible to
receive Federal funds constituting an award, grant, or loan.
Section IV. Application and Submission Information
To download a SF424 (R&R) Application Package and SF424 (R&R) Application Instructions for completing the SF424 (R&R) forms for this FOA, link to http://www.grants.gov/Apply/ and follow the directions provided on that Web site.
A one-time registration is required for institutions/organizations at the following:
· Grants.gov, http://www.grants.gov/GetStarted
· eRA Commons, http://era.nih.gov/ElectronicReceipt/preparing.htm
PD/PIs should work with their institutions/organizations to make sure they are registered in the eRA Commons.
Several additional actions are required before an applicant institution/organization can submit an electronic application, as follows:
1) Organizational/Institutional Registration in Grants.gov/Get Started
2) Organizational/Institutional Registration in the eRA Commons
3) Project Director/Principal Investigator (PD/PI) Registration in the eRA Commons: Refer to the NIH eRA Commons System (COM) Users Guide.
Note that if a PD/PI is also an HHS peer-reviewer with an Individual DUNS and CCR registration, that particular DUNS number and CCR registration are for the individual reviewer only. These are different than any DUNS number and CCR registration used by an applicant organization. Individual DUNS and CCR registration should be used only for the purposes of personal reimbursement and should not be used on any grant applications submitted to the Federal Government.
Several of the steps of the registration process could take four weeks or more. Therefore, applicants should immediately check with their business official to determine whether their organization/institution is already registered in both Grants.gov and the eRA Commons. The HHS/CDC strongly encourages applicants to use the Grants.gov electronic applications process and have organizations and PD/PIs complete all necessary registrations.
1. Request
Application Information
Applicants must download
the SF424 (R&R) application forms and SF424 (R&R)
Application Guide for this FOA through
Grants.gov/Apply.
Note: Only the forms
package directly attached to a specific FOA can be used. You
will not be able to use any other SF424 (R&R) forms (e.g.,
sample forms, forms from another FOA), although some of the
"Attachment" files may be useable for more than one FOA.
For further assistance,
contact PGO TIMS: Telephone 770-488-2700, Email:
PGOTIM@cdc.gov.
HHS/CDC
Telecommunications for the
hearing impaired: TTY 770-488-2783.
2. Content and
Form of Application Submission
Prepare all applications using the SF424 (R&R) application forms and in accordance with the SF424 (R&R) Application Guide (