EXPIRED
May 26, 2023
National Institute on Minority Health and Health Disparities (NIMHD)
This Notice of Special Interest (NOSI) invites applications for competitive revisions from the National Institute on Minority Health and Health Disparities (NIMHD) Multiple Chronic Disease Centers established under RFA-MD-21-007, Centers for Multiple Chronic Diseases Associated with Health Disparities: Prevention, Treatment, and Management (P50 Clinical Trial Required) as result of a Congressional earmark. The FY 2023 Omnibus Appropriations provided the specific language below.
Chronic Disease Centers - In fiscal year 2021, NIMHD undertook an initiative to support regional comprehensive research and coordinating centers on the prevention, treatment, and management of multiple chronic diseases associated with health disparities. The agreement includes an additional $11,000,000 for NIMHD to provide supplemental grants to the l l Centers, with a focus on developing and delivering emerging therapeutic interventions addressing the disproportionate burden of disease.
Research Objectives
The prevalence of multiple chronic conditions (MCCs) is increasing in the United States and worldwide. Chronic diseases account for a considerable proportion of the United States' health care services utilization, cost, and early mortality. However, most research on chronic conditions focuses on individual conditions, in isolation from chronic comorbidities. Consequently, research results often have limitations on the improvement of overall health outcomes in individuals with multiple chronic diseases. Health disparities exist among the common chronic diseases, such as hypertension, diabetes mellitus, HIV/AIDS, cancer, cardiovascular disease, and obesity, with racial/ethnic minorities and those who are financially disadvantaged having higher incidence or worse outcomes. Strategies to eliminate these disparities in chronic diseases require a transdisciplinary framework and interventions on health determinants beyond the individual level, at the interpersonal, family, organizational, neighborhood, community, and societal levels (see NIMHD Research Framework). Tackling the complex drivers of health disparities requires strong collaborations between researchers, community organizations, clinicians, health care delivery organizations, public health agencies, policymakers, and patients to ensure that relevant, contextually appropriate research is conducted and, more importantly, that findings can be translated into sustainable community and system-level changes that promote health equity.
This NOSI seeks to support the development of innovative interventions to address MCCs and its consequences. Intervention research supported by this initiative should be designed to study: (1) mechanisms or pathways that prevent MCCs, including the identification of early biomarkers, behavioral pathways, and individual and contextual risk factors and interactions that contribute to the development of common MCCs; (2) targeted therapies and management, including self-management, of MCCs to delay progression and prevent onset of new diseases; and (3) innovative health care models for managing or treating MCCs.
Appropriate topics for investigation include, but are not limited to:
Application and Submission Information
Submit applications for this initiative using the following notice of funding opportunity (NOFO) with a receipt date of July 21, 2023 and an expiration date of July 22, 2023.
All instructions in the SF424 (R&R) Application Guide and the notice of funding opportunity used for submission must be followed, with the following additions:
Applications nonresponsive to terms of this NOSI will not be considered for the NOSI initiative.
Please direct all inquiries to the contacts in Section VII of the listed notice of funding opportunity with the following additions/substitutions:
Scientific/Research Contact(s)
Nathan Stinson, Jr., PhD, MD, MPH
National Institute on Minority Health and Health Disparities (NIMHD)
Telephone: 301-594-8704
Email: [email protected]
Peer Review Contact(s)
Yujing Liu, MD, PhD
National Institute on Minority Health and Health Disparities (NIMHD)
Telephone: 301-827-7815
Email: [email protected]
Financial/Grants Management Contact(s)
Priscilla Grant, JD
National Institute on Minority Health and Health Disparities (NIMHD)
Telephone: 301-594-8412
Email: [email protected]