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HEALTH COMMUNICATION RESEARCH: IMPROVED STRATEGIES
 
RELEASE DATE:  October 28, 2002
 
RFA:  DC-03-001  

National Institute on Deafness and Other Communication Disorders (NIDCD) 
 (http://www.nidcd.nih.gov)

LETTER OF INTENT RECEIPT DATE:  January 14, 2003; January 13, 2004

APPLICATION RECEIPT DATE:  February 14, 2003, February 13, 2004 
 
THIS RFA CONTAINS THE FOLLOWING INFORMATION

o Purpose of this RFA
o Research Objectives
o Mechanism(s) of Support 
o Funds Available
o Eligible Institutions
o Individuals Eligible to Become Principal Investigators
o Special Requirements  
o Where to Send Inquiries
o Letter of Intent
o Submitting an Application
o Peer Review Process
o Review Criteria
o Receipt and Review Schedule
o Award Criteria
o Required Federal Citations:

PURPOSE OF THIS RFA 
 
This Request for Applications (RFA) emphasizes the ongoing commitment 
of the National Institute on Deafness and Other Communication Disorders 
(NIDCD) to support research activities focusing on the development and 
dissemination of health communication information across the 
disciplines of communication sciences and disorders.  

The purpose of this RFA is to encourage the submission of research 
grant applications that investigate the creation, development, and 
evaluation of health information in one or more mission areas of the 
NIDCD: hearing, balance, smell, taste, voice, speech or language.  
Projects should be based on current health communication theory and 
directed to address issues in disease prevention and health promotion.  
The goal is improved public information, based upon scientific 
discovery.  Applications should be from interdisciplinary teams that 
include both health communication experts and scientists knowledgeable 
about normal and disordered processes of human communication.

RESEARCH OBJECTIVES
 
The purpose of this RFA is to encourage the submission of research 
grant applications that investigate the creation, development, and 
evaluation of health information in one or more mission areas of the 
NIDCD: hearing, balance, smell, taste, voice, speech or language.  

The NIDCD seeks research applications that investigate methods to 
inform the public and to be used by public health and professional 
audiences in disseminating information.  These applications should be 
based on current health communication theory and focus on disease 
prevention and/or the promotion of healthy behaviors.  Topic areas 
should be based on contemporary scientific knowledge and current 
research findings in any of the seven mission areas of the NIDCD.  Of 
particular interest are projects that explore new and innovative 
approaches to health communication.  Examples of appropriate projects 
include, but are not limited to, early identification of hearing, 
voice, speech, or language disorders to ensure intervention and 
rehabilitation, prevention of diseases or disorders (e.g. prevention of 
noise-induced hearing loss), and making complex disease issues more 
understandable to the public (e.g. materials to accompany genetic 
counseling in areas of inherited disorders or diseases of human 
communication).

It is expected that applications in response to this RFA will be from 
interdisciplinary teams of health communication experts knowledgeable 
about strategies, tactics, development, dissemination and evaluation of 
health information and scientists knowledgeable about normal and 
disordered processes of human communication.  Applications must 
demonstrate that a functioning partnership will exist between 
communication experts and scientific experts, with a clear description 
of the contribution and nature of each partner's role. 

Proposed projects should be targeted to any (or several) of a variety 
of audiences including patients, families, health care professionals, 
educators, industry, or the general public.  Investigators should 
demonstrate thorough knowledge of the scientific principles of health 
communication, as well as the current state-of-the-science within the 
field chosen. Projects that explore innovative approaches to 
education/health communication are encouraged.

NIDCD will support only projects that include the creation or 
development of new materials as well as a well-defined evaluation plan. 
Investigators should provide evaluation plans for development and 
dissemination of all materials generated.  The project plan should 
include evidence of consideration of the appropriateness of materials 
for women, men, underrepresented minority groups, and/or children.  
Also, attention should be given to key ethnic or cultural groups for 
whom the specific health information is directly relevant.  Projects 
should also demonstrate plans for inclusion of key groups in planning 
materials on culturally sensitive topics or in dissemination efforts 
that involve diverse cultural groups.  Teams should demonstrate 
knowledge of existing materials within the subject area to ensure non-
duplication of effort.  The dissemination strategy must incorporate a 
plan for publicizing the availability of materials to appropriate 
groups, organizations, communities, or health professionals.  

The R25 Grant is not intended to be used to conduct workshops or 
training sessions, unless they are part of the materials development 
under investigation.  Applicants are encouraged to consider all 
appropriate information delivery systems, including the World Wide Web.

Materials developed under this mechanism must be submitted to the 
Office of Health Communication and Public Liaison at the NIDCD for 
consideration and possible inclusion in the Combined Health Information 
Database (CHID), an annotated resource for finding health materials 
produced with Federal money.
 
MECHANISM OF SUPPORT
 
This RFA will use the NIH R25 award mechanism.  As an applicant you 
will be solely responsible for planning, directing, and executing the 
proposed project.  The anticipated award dates are December 1, 2003, 
and December 1, 2004. 

This RFA uses just-in-time concepts.  It also uses the modular as well 
as the non-modular budgeting formats (see 
http://grants.nih.gov/grants/funding/modular/modular.htm).  
Specifically, if you are submitting an application with direct costs in 
each year of $250,000 or less, use the modular format.  Otherwise 
follow the instructions for non-modular research grant applications.

FUNDS AVAILABLE  
 
It is anticipated that NIDCD will have approximately $750,000 total 
costs available for this initiative in Fiscal Years 2004 and 2005 and 
that up to three (3) awards will be made for each of the two submission 
rounds.  Because the nature and scope of the research proposed may 
vary, it is anticipated that the size of each award will also vary.  
Although the financial plans of the NIDCD provide support for this 
program, awards pursuant to this RFA are contingent upon the 
availability of funds and the receipt of a number of meritorious 
applications.  At this time, it is not known if this RFA will be 
reissued. 
 
ELIGIBLE INSTITUTIONS
 
You may submit an application if your institution has any of the 
following characteristics:  
	
o For-profit or non-profit organizations 
o Public or private institutions, such as universities, colleges, 
hospitals, and laboratories 
o Units of State and local governments
o Eligible agencies of the Federal government  
o Domestic 
o Faith-based or community-based organizations  
 
INDIVIDUALS ELIGIBLE TO BECOME PRINCIPAL INVESTIGATORS   

Any individual with the skills, knowledge, and resources necessary to 
carry out the proposed research is invited to work with their 
institution 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 programs.   

SPECIAL REQUIREMENTS 

Principal investigators should have expertise in either health 
communication theory or normal and disordered processes of human 
communication.
 
Applications should be from interdisciplinary teams that include both 
health communication experts and scientists knowledgeable about normal 
and disordered processes of human communication.  
 
NIDCD will support only projects that have a well-defined evaluation 
plan. 

Applications must demonstrate knowledge of existing materials to ensure 
non-duplication of effort.
 
WHERE TO SEND INQUIRIES

We encourage inquiries concerning this RFA and welcome the opportunity 
to answer questions from potential applicants.  Inquiries may fall into 
three areas:  scientific/research, peer review, and financial or grants 
management issues:

o Direct your questions about scientific/research issues to:

Amy M. Donahue, Ph.D.
Scientific Programs Branch
Division of Extramural Research
National Institute on Deafness and Other Communication Disorders
6120 Executive Boulevard, Room 400C, MSC-7180
Bethesda, MD  20892-7180
Telephone:  301-402-3458
Fax:  301-402-6251
Email:  [email protected]

o Direct your questions about peer review issues to:

Craig Jordan, Ph.D.
Scientific Review Branch
Division of Extramural Research
National Institute on Deafness and Other Communication Disorders
6120 Executive Boulevard, Room 400C, MSC-7180
Bethesda, MD  20892-7180
Telephone:  301-496-8683
Fax:  301-402-6250
Email: [email protected]

o Direct your questions about financial or grants management matters 
to:

Sara Stone 
Grants Management Branch
Division of Extramural Research
National Institute on Deafness and Other Communication Disorders
6120 Executive Boulevard, Room 400B, MSC-7180
Bethesda, MD  20892-7180
Telephone:  301-402-0909
Fax:  301-402-1758
Email:  [email protected] 

LETTER OF INTENT
 
Prospective applicants are asked to submit a letter of intent that 
includes the following information:

o Descriptive title of the proposed research
o Name, address, and telephone number of the Principal Investigator
o Names of other key personnel 
o Participating institutions
o Number and title of this RFA 

Although a letter of intent is not required, is not binding, and does 
not enter into the review of a subsequent application, the information 
that it contains allows NIDCD staff to estimate the potential review 
workload and plan the review.
 
The letter of intent is to be sent by the date listed at the beginning 
of this document.  The letter of intent should be sent to:

Amy M. Donahue, Ph.D.
Scientific Programs Branch
Division of Extramural Research
National Institute on Deafness and Other Communication Disorders
6120 Executive Boulevard, Room 400C, MSC-7180
Bethesda, MD  20892-7180
Telephone:  301-402-3458
Fax:  301-402-6251
Email:  [email protected]

SUBMITTING AN APPLICATION

Applications must be prepared using the PHS 398 research grant 
application instructions and forms (rev. 5/2001).  The PHS 398 is 
available at http://grants.nih.gov/grants/funding/phs398/phs398.html in 
an interactive format.  For further assistance contact GrantsInfo, 
Telephone (301) 710-0267, Email: [email protected].
 
SPECIFIC INSTRUCTIONS FOR MODULAR GRANT APPLICATIONS: 
Applications requesting up to $250,000 per year in direct costs must be 
submitted in a modular grant format.  The modular grant format 
simplifies the preparation of the budget in these applications by 
limiting the level of budgetary detail.  Applicants request direct 
costs in $25,000 modules.  Section C of the research grant application 
instructions for the PHS 398 (rev. 5/2001) at 
http://grants.nih.gov/grants/funding/phs398/phs398.html includes step-
by-step guidance for preparing modular grants.  Additional information 
on modular grants is available at 
http://grants.nih.gov/grants/funding/modular/modular.htm.

USING THE RFA LABEL: The RFA label available in the PHS 398 (rev. 
5/2001) application form must be affixed to the bottom of the face page 
of the application.  Type the RFA number on the label.  Failure to use 
this label could result in delayed processing of the application such 
that it may not reach the review committee in time for review.  In 
addition, the RFA title and number must be typed on line 2 of the face 
page of the application form and the YES box must be marked. The RFA 
label is also available at: 
http://grants.nih.gov/grants/funding/phs398/label-bk.pdf.
 
SUBMITTING AN APPLICATION: Submit a signed, typewritten original of the 
application, including the Checklist, and three signed, photocopies, in 
one package to:
 
Center For Scientific Review
National Institutes Of Health
6701 Rockledge Drive, Room 1040, MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express/courier service)
 
At the time of submission, two additional copies of the application and 
all copies of the appendix materials must be sent to:
Chief, Scientific Review Branch
National Institute on Deafness and Other Communication Disorders 
6120 Executive Blvd, Room 400-C, MSC 7180
Bethesda, MD  20892-7180
Rockville, MD 20851 (for express/courier service)

APPLICATION PROCESSING: Applications must be received by the 
application receipt date listed in the heading of this RFA.  If an 
application is received after that date, it will be returned to the 
applicant without review.
 
The Center for Scientific Review (CSR) will not accept any application 
in response to this RFA that is essentially the same as one currently 
pending initial review, unless the applicant withdraws the pending 
application.  The CSR will not accept any application that is 
essentially the same as one already reviewed. This does not preclude 
the submission of substantial revisions of applications already 
reviewed, but such applications must include an Introduction addressing 
the previous critique.

PEER REVIEW PROCESS  
 
Upon receipt, applications will be reviewed for completeness by the CSR 
and responsiveness by the NIDCD. Incomplete and/or non-responsive 
applications will be returned to the applicant without further 
consideration.

Applications that are complete and responsive to the RFA will be 
evaluated for scientific and technical merit by an appropriate peer 
review group convened by the NIDCD in accordance with the review 
criteria stated below.  As part of the initial merit review, all 
applications will:

o Receive a written critique
o Undergo a process in which only those applications deemed to have the 
highest scientific merit, generally the top half of the applications 
under review, will be discussed and assigned a priority score
o Receive a second level review by the NCDC  Advisory Council.
 
REVIEW CRITERIA

The goals of NIH-supported research are to advance our understanding of 
biological systems, improve the control of disease, and enhance health.  
In the written comments, reviewers will be asked to discuss the 
following aspects of your application in order to judge the likelihood 
that the proposed research will have a substantial impact on the 
pursuit of these goals: 

o Significance 
o Approach 
o Innovation
o Investigator
o Environment
  
The scientific review group will address and consider each of these 
criteria in assigning your application's overall score, weighting them 
as appropriate for each application.  Your application does not need to 
be strong in all categories to be judged likely to have major 
scientific impact and thus deserve a high priority score.  For example, 
you may propose to carry out important work that by its nature is not 
innovative but is essential to move a field forward.

(1) SIGNIFICANCE:  Does your study address an important problem? If the 
aims of your application are achieved, how do they advance scientific 
knowledge?  What will be the effect of these studies on the concepts or 
methods that drive this field? Does your application demonstrate 
knowledge of existing materials to ensure non-duplication of effort?

(2) APPROACH:  Are the conceptual framework, design, methods, and 
analyses adequately developed, well integrated, and appropriate to the 
aims of the project in the areas of health communication as well as the 
scientific field chosen? Do you acknowledge potential problem areas and 
consider alternative tactics? Does your project have a well-defined 
evaluation plan for development and dissemination of all materials 
generated?

(3) INNOVATION:  Does your project employ novel concepts, approaches or 
methods? Are the aims original and innovative?  Does your project 
challenge existing paradigms or develop new methodologies or 
technologies? 

(4) INVESTIGATOR(S): Are you appropriately trained and well suited to 
carry out this work?  Is the work proposed appropriate to your 
experience level as the principal investigator and to that of other 
researchers (if any)? Is your application from an interdisciplinary 
team that includes both health communication experts and scientists 
knowledgeable about normal and disordered processes of human 
communication? Does your application provide a clear description of the 
contribution and nature of each partner's role? 
  
(5) ENVIRONMENT:  Does the scientific environment in which your work 
will be done contribute to the probability of success?  Do the proposed 
experiments take advantage of unique features of the scientific 
environment or employ useful collaborative arrangements?  Is there 
evidence of institutional support?

ADDITIONAL REVIEW CRITERIA: In addition to the above criteria, your 
application will also be reviewed with respect to the following:

o PROTECTIONS:  The adequacy of the proposed protection for humans, 
animals, or the environment, to the extent they may be adversely 
affected by the project proposed in the application.

o INCLUSION:  The adequacy of plans to include subjects from both 
genders, all racial and ethnic groups (and subgroups), and children as 
appropriate for the scientific goals of the research.  Plans for the 
recruitment and retention of subjects will also be evaluated. (See 
Inclusion Criteria included in the section on Federal Citations, below)

o BUDGET:  The reasonableness of the proposed budget and the requested 
period of support in relation to the proposed research.

RECEIPT AND REVIEW SCHEDULE

Letter of Intent Receipt Date:     January 14, 2003     January 13, 2004
Application Receipt Date:          February 14, 2003    February 13, 2004
Peer Review Date:                  June 2003            June 2004
Council Review:                    September 2003       September 2004
Earliest Anticipated Start Date:   December 1, 2003     December 1, 2004

AWARD CRITERIA

Award criteria that will be used to make award decisions include:

o Scientific merit (as determined by peer review)
o Availability of funds
o Programmatic priorities.
 
INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH:  It is the 
policy of the NIH that women and members of minority groups and their 
sub-populations must be included in all NIH-supported clinical research 
projects unless a clear and compelling justification is provided 
indicating that inclusion is inappropriate with respect to the health of 
the subjects or the purpose of the research. This policy results from 
the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43).

All investigators proposing clinical research should read the AMENDMENT 
"NIH Guidelines for Inclusion of Women and Minorities as Subjects in 
Clinical Research - Amended, October, 2001," published in the NIH Guide 
for Grants and Contracts on October 9, 2001 
(http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-001.html); a 
complete copy of the updated Guidelines are available at 
http://grants.nih.gov/grants/funding/women_min/guidelines_amended_10_2001.htm.   
The amended policy incorporates: the use of an NIH definition 
of clinical research; updated racial and ethnic categories in 
compliance with the new OMB standards; clarification of language 
governing NIH-defined Phase III clinical trials consistent with the new 
PHS Form 398; and updated roles and responsibilities of NIH staff and 
the extramural community.  The policy continues to require for all NIH-
defined Phase III clinical trials that: a) all applications or 
proposals and/or protocols must provide a description of plans to 
conduct analyses, as appropriate, to address differences by sex/gender 
and/or racial/ethnic groups, including subgroups if applicable; and b) 
investigators must report annual accrual and progress in conducting 
analyses, as appropriate, by sex/gender and/or racial/ethnic group 
differences.

INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN 
SUBJECTS:  The NIH maintains a policy that children (i.e., individuals 
under the age of 21) must be included in all human subjects research, 
conducted or supported by the NIH, unless there are scientific and 
ethical reasons not to include them. This policy applies to all initial 
(Type 1) applications submitted for receipt dates after October 1, 
1998.

All investigators proposing research involving human subjects should 
read the "NIH Policy and Guidelines" on the inclusion of children as 
participants in research involving human subjects that is available at 
http://grants.nih.gov/grants/funding/children/children.htm. 

REQUIRED EDUCATION ON THE PROTECTION OF HUMAN SUBJECT PARTICIPANTS: NIH 
policy requires education on the protection of human subject 
participants for all investigators submitting NIH proposals for research 
involving human subjects.  You will find this policy announcement in the 
NIH Guide for Grants and Contracts Announcement, dated June 5, 2000, at 
http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html.

PUBLIC ACCESS TO RESEARCH DATA THROUGH THE FREEDOM OF INFORMATION ACT: 
The Office of Management and Budget (OMB) Circular A-110 has been 
revised to provide public access to research data through the Freedom of 
Information Act (FOIA) under some circumstances.  Data that are (1) 
first produced in a project that is supported in whole or in part with 
Federal funds and (2) cited publicly and officially by a Federal agency 
in support of an action that has the force and effect of law (i.e., a 
regulation) may be accessed through FOIA.  It is important for 
applicants to understand the basic scope of this amendment.  NIH has 
provided guidance at 
http://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm.

Applicants may wish to place data collected under this PA in a public 
archive, which can provide protections for the data and manage the 
distribution for an indefinite period of time.  If so, the application 
should include a description of the archiving plan in the study design 
and include information about this in the budget justification section 
of the application. In addition, applicants should think about how to 
structure informed consent statements and other human subjects 
procedures given the potential for wider use of data collected under 
this award.

URLs IN NIH GRANT APPLICATIONS OR APPENDICES: All applications and 
proposals for NIH funding must be self-contained within specified page 
limitations. Unless otherwise specified in an NIH solicitation, Internet 
addresses (URLs) should not be used to provide information necessary to 
the review because reviewers are under no obligation to view the 
Internet sites.   Furthermore, we caution reviewers that their anonymity 
may be compromised when they directly access an Internet site.

HEALTHY PEOPLE 2010: The Public Health Service (PHS) is committed to 
achieving the health promotion and disease prevention objectives of 
"Healthy People 2010," a PHS-led national activity for setting priority 
areas. This RFA is related to one or more of the priority areas. 
Potential applicants may obtain a copy of "Healthy People 2010" at 
http://www.health.gov/healthypeople.

HP2010 includes chapter 28 on "Vision and Hearing" that addresses 
specific areas of disease prevention and health promotion related to 
early identification of infant hearing impairment, otitis media and 
prevention of noise-induced hearing loss and chapter 11 related to 
"Health Communication", in which there are specific objectives related 
disease prevention and health promotion.  These chapters may be 
obtained at: 
http://www.health.gov/healthypeople/Document/HTML/Volume2/28Vision.htm
http://www.health.gov/healthypeople/document/HTML/Volume1/11HealthCom.htm

AUTHORITY AND REGULATIONS: This program is described in the Catalog of 
Federal Domestic Assistance No. 93.173, and is not subject to the 
intergovernmental review requirements of Executive Order 12372 or 
Health Systems Agency review.  Awards are made under authorization of 
Sections 301 and 405 of the Public Health Service Act as amended (42 
USC 241 and 284and administered under NIH grants policies described at 
http://grants.nih.gov/grants/policy/policy.htm and under Federal 
Regulations 42 CFR 52 and 45 CFR Parts 74 and 92. 

The PHS strongly encourages all grant recipients to provide a smoke-
free workplace and discourage the use of all tobacco products.  In 
addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits 
smoking in certain facilities (or in some cases, any portion of a 
facility) in which regular or routine education, library, day care, 
health care, or early childhood development services are provided to 
children.  This is consistent with the PHS mission to protect and 
advance the physical and mental health of the American people.



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