Full Text ES-93-01 DEVELOPMENT GRANT: ENVIRONMENTAL HEALTH SCIENCES CENTERS NIH GUIDE, Volume 22, Number 10, March 12, 1993 RFA: ES-93-01 P.T. 34 Keywords: Environmental Health Biomedical Research, Multidiscipl National Institute of Environmental Health Sciences Letter of Intent Receipt Date: June 1, 1993 Application Receipt Date: July 28, 1993 PURPOSE The overall intent of this National Institute of Environmental Health Sciences (NIEHS) program is to establish multidisciplinary research programs that utilize state-of-the-art science and address as a primary focus environmentally-related health problems of economically disadvantaged and/or underserved populations. The first step in this process is the current request for applications (RFA) which requests Center Development Grant (P20) applications from institutions or consortia of institutions wishing to develop multi-disciplinary core center (P30) grants with this theme. HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2000," a PHS-led national activity for setting priority areas. This RFA, Developmental Grant: Environmental Health Sciences Centers, is related to the priority area of environmental health. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington DC 20402-9325 (telephone 202-783-3238). ELIGIBILITY Applications may be submitted by domestic for-profit and non- profit organizations, public and private including predominantly minority institutions, individually or as joint efforts of minority institutions and majority institutions. Usually, only one developmental grant will be funded at an institution. Although a single institution must be the applicant, a multi-institutional arrangement (consortium) is possible if there is a compelling reason for it and if there is clear evidence of close interaction among the participants. The NIEHS has a significant commitment to the support of programs designed to increase the number of underrepresented minority scientists participating in biomedical and behavioral research. Therefore, applications from minority individuals and women are encouraged. MECHANISM OF SUPPORT It is important to stress that award of Developmental Grants (P20) will be highly competitive. These awards will be made to only those institutions able to demonstrate to the review committee a high likelihood of success in following the P20 grant period by a competitive core center grant application. Therefore, the requirements established by the NIEHS for its Core Center must be considered attainable by applicants for the P20 award. The NIEHS has available upon request the guidelines for these applications (P30) and potential applicants for the P20 award are encouraged to obtain a copy of them from the Chief, Environmental Health Resources Branch at the address listed below. Approximately $800,000 has been set-aside for this program. The funding level for NIEHS developmental grants will be $175,000 direct costs per year for a maximum of three years. It is important to note that to be eligible for a core center (P30) that would follow after the P20 award period, a minimum of $1,000,000 direct costs of NIH peer reviewed, investigator initiated research support (or its equivalent) must be in place. This research must be directly related to the theme proposed for the Core Center. FUNDS AVAILABLE It is anticipated that one to three developmental grants will be awarded depending upon the appropriation of funds for this purpose and the quality of the applications received. The awards are not renewable and supplements are not allowed. RESEARCH OBJECTIVES Background The Extent of the Problem Most Americans want to live long and healthy lives, and the majority of them achieve that goal. In general, however, members of economically disadvantaged and/or underserved populations are less likely to do so. At every stage of life, these populations suffer disproportionate levels of morbidity and mortality. The socioeconomically disadvantaged suffer the lowest life expectancy and highest adverse health consequences of inadequate access to high-quality health care. Additionally, they are most often the populations with the highest degree of exposure to environmental agents and are frequently the populations with the least information available as to the health consequences of exposure to these agents. Research efforts to identify the sources of hazardous environmental exposures and their effects among minority and underserved populations have been insufficient. Not much is known about the types of environmental agents to which socioeconomically disadvantaged groups within our population are exposed at home and on the job. There has been little research to see how exposure to these agents varies with socioeconomic status. It is reasonable to hypothesize that factors such as malnutrition, health status, socioeconomic status, in combination with behaviors such as smoking, alcohol consumption and drug use play important roles in the dose response, metabolism and health effects of these hazardous agents among these populations. Exposures to harmful environmental agents may be more extensive among the socioeconomically disadvantaged because of the jobs available to them and the conditions in which they work. Occupational exposures vary greatly with job responsibility. The lowest paying jobs in industrial plants are usually the most risky. A high percentage of certain jobs may be held by one racial group. Geographic location also plays an important role in environmental exposure of socioeconomically disadvantaged populations. Inner city poor often live in homes with high lead levels. These populations may also be exposed to higher levels of air pollution. Toxic wastes sites are more frequent in rural, low socioeconomic counties in the US. Nuclear facilities and chemical plants are often located in rural areas. Disadvantaged neighborhoods may rely on well water which may be polluted with toxic chemicals. Medical care is often inadequate or unavailable to a significant proportion of the socioeconomically disadvantaged and minority populations in America today. This is in conjunction with the fact that many chronic diseases and other medical problems associated with exposure to environmental agents are highly prevalent in segments of the population which are economically disadvantaged. Lead poisoning and the cognitive and developmental damage associated with exposure to lead occur disproportionately among minority populations. High blood pressure and prostate cancer are very common among Blacks. Low birth weight babies and other problems during pregnancy are common among groups of women who do not have access to good prenatal care. Some of these conditions or other disease may have an environmental component in their etiology. The lack of resources for early identification of the effects of toxic agents in these subgroups may lead to an increased disease burden in a population economically least able to cope with it. Recent progress and opportunities Some work has been done to investigate the effects of pesticides in agricultural workers, PCBs in children in rural areas, and lead exposure in socioeconomically disadvantaged urban children, usually looking at neurological outcomes. The effect of low versus high air pollutant exposure on pulmonary function has been extensively studied. Evidence from the NHANES study has shown that for comparable levels of exposure, different racial groups have different levels of blood lead. Some evidence is also available that suggests the toxic effects of some agents such as lead can be mitigated by good nutrition. Many of these studies have been of underserved populations, but none have focused on the problems from the perspective of identifying issues of highest impact on these populations. Thus, progress has been minimal in most areas due to the lack of well-developed studies targeting socioeconomically disadvantaged populations. More effort must be put into defining disadvantaged populations having high levels of exposure to types of environmental hazards in the home or occupational settings. Comprehensive outcomes to these exposures must be defined and measured. Prevention and treatment of these effects must also be generated. Prominent among the goals of the NIEHS is the achievement of "environmental equity" for all populations, as well as to bring minority populations into the mainstream of biomedical research as scientists. The achievement of both of these goals will benefit the health of the nation and provide a means of encouraging the needs of all populations. As one new aspect of this effort the NIEHS is requesting submission of Center Development Grant applications that focus on the environmentally-related health problems of socioeconomically disadvantaged populations. Objectives and Scope The primary purpose of the NIEHS Center Development Grant (P20) is to provide support for a group of investigators to develop interdisciplinary collaborations and strategies, to obtain preliminary results to demonstrate feasibility and develop a research program focused on the goals of this announcement. The resulting program will then be used as the basis for an application for an NIEHS core center grant (P30). Thus, the components of an NIEHS Center Development Grant may include, but are not limited to: 1. Preliminary or feasibility studies to gather sufficient data to demonstrate the potential of ideas or the validity of approaches, to acquire or demonstrate technical competence, or to evaluate other technical factors involved in the development of projects that addresses the goals of this announcement in conjunction with the goals of the NIEHS Centers Program; 2. Recruitment of new investigators whose expertise would strengthen the center grant application that will be submitted later; 3. Inter- or intra-institutional planning to develop research strategies, including the establishment of a timetable or milestones, for the subsequent center grant application. It is important to note that the award of a developmental grant by the NIEHS does not imply a commitment to future funding of any programs planned with the support of such a grant. Separate applications must be submitted for such programs and such applications will be evaluated on the basis of their own merits. SPECIAL REQUIREMENTS In order to ensure that developmental grants remain focused on appropriate goals and make sufficient progress towards establishing the interdisciplinary effort needed to apply for an NIEHS center, frequent programmatic assessments will be necessary. In addition to yearly staff review through progress reports, the directors of developmental grants will be asked to attend the periodic meetings of the Environmental Health Sciences Center Directors. Elements of a Planning and Development Effort The following elements are essential in the planning and subsequent development of an NIEHS center: 1. Planning grant director: A senior level person competent in administration should be assigned the responsibility for directing the planning and development effort. This person should devote a significant proportion of his/her time to this endeavor. The planning director will be the Principal Investigator of the P20 Center Development Grant application. It is both customary and desirable that the planning director be the proposed founding director of the new center. 2. Planning and advisory committees: An internal planning committee should assist the planning director. Committee members should be selected from within the Institution(s) developing the center. Additional members from the community should also be selected where appropriate. This committee should evaluate scientific, medical, institutional, and regional considerations and should make sure that all available resources are considered in the planning process. It may be advisable for all elements of the institution(s) affected by the center to be represented on this committee. In addition, an external advisory group, consisting of senior individuals who are familiar with the functions and organization of NIEHS designated centers, should be convened periodically to give the planning director knowledgeable advice on the development of a research center as well as unbiased and independent assessments of the center's progress to date and its objectives and plans for the future. 3. Research program definition and implementation: The research programs which are to comprise the center should be defined in terms of relevance to the problem, productiveness, membership in the center (present and future), peer reviewed grant/contract research base, space needs and utilization, availability of patient resources, etc. The research programs should be multidisciplinary in nature and may focus on basic, clinical or prevention investigations. They should build on the current strengths of the institution. This definition and its subsequent implementation should also include consideration of local, regional, and national needs. Shared resources that will support the peer reviewed research projects of the center programs will also need to be defined. 4. Definition of how research activities will be translated or linked to the patient care, educational and other outreach activities of the center: The relationship between the center's research activities and the patient care, educational (both professional and lay), community outreach and other activities of the center must be defined. Mechanisms should be developed so that the results of research performed at the center and elsewhere can impact quickly and positively on the populations served by the center in its geographic area. Such translational activities are a fundamental aspect of a NIEHS Center. Allowable Components of NIEHS Development Grant (P20) Applications Each applicant should consider the strengths and weaknesses of the planned research group plus the expertise and the preliminary data that would be required to demonstrate the technical competence necessary for a successful interdisciplinary center grant application. 1. Pilot projects/Feasibility studies. Research projects of limited scope to generate data needed to demonstrate technical feasibility such as access to study populations and to validate an experimental approach may be proposed. Costs required for carrying out individual projects may be requested. 2. Organizational development. The goal of the P20 grant is to bring together the individuals and organizational structure that will lead to a successful P30 application. Therefore, partial salary support as an incentive for the recruitment of faculty who will be part of the subsequent P30 application is acceptable. 3. Administrative/Planning core. Each developmental project must designate a director who will be the key figure in the scientific planning and subsequent administration of the proposed NIEHS project. Planning efforts should be described in terms of the necessary feasibility studies, recruitment of new investigators, establishment of new collaborations, development of plans for data release and outreach to the scientific community, and other components that will strengthen and broaden any existing programs in the research area of the proposed project. An internal steering committee is strongly recommended. Funds may be requested for the purpose of obtaining outside advice and for necessary administrative personnel. Costs are allowable in accordance with the cost principles outlined in OMB Circulars A-110, A-21, and A-122, and the provisions in DHHS Administration of Grants Federal Regulations Title 45 Part 74 and the PHS Grant Policy Statement, provided they fall into one of the categories below. It is important to recognize that, even though a cost may be allowable, it is the responsibility of the applicant to adequately justify the inclusion and amounts of all items for which funding is required. Non-allowable Costs for NIEHS Developmental Grants Funds from these grants may not be used to provide salary and support for central institutional administrative personnel usually paid from institutional overhead charges. Generally, funds for renovation of existing facilities or to purchase substantial amounts of equipment will not be allowed. If such requests are made, they must be justified in terms of the critical nature of the equipment for the success of the overall objectives of the developmental grant, rather than for the planned program project or center grant. STUDY POPULATIONS SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDY POPULATIONS NIH policy is that applicants for NIH clinical research grants and cooperative agreements will be required to include minorities and women in study populations so that research findings can be of benefit to all persons at risk of the disease, disorder or condition under study; special emphasis should be placed on the need for inclusion of minorities and women in studies of diseases, disorders and conditions which disproportionately affect them. This policy in intended to apply to males and females of all ages. If women or minorities are excluded or inadequately represented in clinical research, particularly in proposed population-based studies, a clear compelling rationale should be provided. The composition of the proposed study population must be described in terms of gender and racial/ethnic group. In addition, gender and racial/ethnic issues should be addressed in developing a research design and sample size appropriate for the scientific objectives of the study. This information should be included in the form PHS 398 in Sections 1-4 of the Research Plan and summarized in Section 5, Human Subjects. Applicants are urged to assess carefully the feasibility of including the broadest possible representation of minority groups. However, NIH recognizes that it may not be feasible or appropriate in all research projects to include representation of the full array of United States racial/ethnic minority populations (i.e., Native Americans (including American Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks, Hispanics). The rationale for studies on single minority population groups should be provided. For the purpose of this policy, clinical research includes human biomedical and behavioral studies of etiology, epidemiology, prevention (and preventive strategies), diagnosis, or treatment of diseases, disorders or conditions, including but not limited to clinical trials. The usual NIH policies concerning research on human subjects also apply. Basic research or clinical studies in which human tissues cannot be identified or linked to individuals are excluded. However, every effort should be made to include human tissues from women and racial/ethnic minorities when it is important to apply the results of the study broadly, and this should be addressed by applicants. If the required information is not contained within the application, the application will be returned to the applicant. Peer reviewers will address specifically whether the research plan in the application conforms to these policies. If the representation of women or minorities in a study design is inadequate to answer the scientific question(s) addressed AND the justification for the selected study population is inadequate, it will be considered a scientific weakness or deficiency in the study design and will be reflected in assigning the priority score to the application. All applications for clinical research submitted to NIH are required to address these policies. NIH funding components will not award grants or cooperative agreements that do not comply with these policies. LETTER OF INTENT Although not a prerequisite for applying, potential applicants are encouraged to submit to NIEHS staff a non-binding letter of intent to apply by June 1, 1993. The letter of intent should include a descriptive title of the proposed research, the name, address, and telephone number of the Principal Investigator, the identities of other key personnel and participating institutions, and the number and title of the RFA in response to which the application may be submitted. The letter of intent neither influences review nor funding decisions, but it enables NIEHS staff to plan the review and to ensure that each potential applicant receives relevant program information prior to preparation of the application. The letter of intent is to be sent to: Chief, Environmental Health Resources Branch National Institute of Environmental Health Sciences Division of Extramural Research and Training P.O. Box 12233 Research Triangle Park, NC 27709 Telephone: (919) 541-7634 INQUIRIES NIEHS staff welcomes the opportunity to clarify any issues or questions from potential applicants. Written and telephone inquiries concerning the objectives, scope and application procedures for this RFA, and inquiries about whether or not specific proposals would be responsive are encouraged and may be directed to: Thorsten A. Fjellstedt, Ph.D. Division of Extramural Research and Training National Institute of Environmental Health Sciences P.O. Box 12233 Research Triangle Park, NC 27709 Telephone: (919) 541-0131 Questions regarding administrative or fiscal matters may be directed to: Mr. David Mineo Division of Extramural Research and Training National Institute of Environmental Health Sciences P.O. Box 12233 Research Triangle Park, NC 27709 Telephone: (919) 541-7628 METHOD OF APPLYING Applicants are to use research grant application form PHS 398 (rev. 9/91) which is available from most institutional offices of sponsored research and from the Office of Grants Inquiries, Division of Research, Grants, National Institutes of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone (301) 496-7441. The RFA label available in the PHS 398 (rev. 9/91) application form must be affixed to the bottom of the face page of the application. 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 2a of the face page of the application form and the YES box must be marked. As a guideline, it is suggested that approximately ten pages will be sufficient to describe the planned mission and structure of the proposed project and three to five pages to describe each feasibility study or other activity. Each project should be presented in the format used for NIH research grant (R01), but in greatly abbreviated form. Although not a prerequisite for applying, applicants are encouraged to consult with NIEHS staff concerning the technical and substantive aspects of preparing the applications is recommended. Applicants may contact NIEHS staff by phone early in the preparation of the application. However, applicants should understand that advice given by staff is independent from the review process. Schedule Letters of Intent Receipt Date: June 1, 1993 Application Receipt Date: July 28, 1993 Initial Scientific Review: Oct/Nov 1993 Advisory Council Review: January 1994 Anticipated Date of Award: April 1, 1994 Mail the complete original application and three copies to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** To expedite review, two copies must also be sent to: Dr. Donald I. McRee Division of Extramural Research & Training National Institute of Environmental Health Sciences P.O. Box 12233 Research Triangle Park, NC 27709 Telephone: (919) 541-7508 All human and animal welfare as well as misconduct assurances must be complete for an application to be reviewed. All follow-up assurances and approvals submitted as pending must be received within 60 days of the application receipt deadline or the application will not be reviewed. The written application is the basis for the merit review. Particular attention should be given to the format of the application. The standard instructions provided with form PHS 398 (rev. 9/91) are designed primarily for applications for single research projects. Developmental Center Grant applications require additional information as outlined below. Page limitations presented in the form PHS 398 (rev. 9/91) instructions should be followed closely. REVIEW CONSIDERATIONS Review will be carried out by the NIEHS Scientific Review Branch, Division of Extramural Research and Training. Applications will be screened by staff for responsiveness to the RFA. Those considered unresponsive will be returned to the applicant without review. Responsive applications will be reviewed by either the Environmental Health Sciences Review Committee or a review committee empaneled by the Scientific Review Branch staff. Site visits as part of the initial review of applications are not planned. Therefore, it is imperative that the application be complete and stand on its own merits. If a large number of applications are received, the NIEHS will utilize a triage process whereby the applications are given a preliminary scientific review by scientific peers in order to identify the most meritorious applications. Those applications identified as highly meritorious will be given a full scientific review and a complete and detailed summary statement will be prepared. Those applications not achieving these qualification will not be given a full review and an abbreviated summary statement listing the reasons for this decision will be prepared. Review Criteria A major review criterion is the likelihood of success in following the P20 grant period by a competitive core center grant application (P30). The following is not a complete listing of the Core Center requirements but, rather, is meant to highlight the major requirements for applicants for P30 programs. o A minimum of $1,000,000 direct costs of NIH peer reviewed, investigator initiated research support (or its equivalent) that is directly related to the Core Center and to the mission of the NIEHS. o A demonstrated institutional commitment to the core center. o A program cohesiveness that clearly indicates that the presence of the Core Center makes a significant difference to the individual research projects by providing and fostering a high degree of synergy among the various research projects. The major review factors listed below will be used in the evaluation of the applications for NIEHS Center Development Grants: I. Overall Program A. The ability to demonstrate a high likelihood of success in following the P20 grant period by a competitive core center grant application (P30). B. The scientific merit of the program as a whole and the development of a well-defined central focus of clear importance and relevance to the goals and mission of the NIEHS. C. The significance of the overall program goals and responsiveness to the goals of this initiative. D. The balance of administrative and planning expenses in comparison to those for conducting the small-scale studies. II. Administration and Planning Core A. The scientific and administrative leadership ability and experience of the Center Director and his/her commitment and ability to devote adequate time to the effective management of the Center. B. The proposed administrative organization to conduct the following: 1. Organize and maintain internal communication and cooperation among the investigators involved in the Center. 2. Establish a management structure that includes fiscal administration, procurement, property and personnel management, planning budgets, etc. 3. Develop mechanism for selecting or replacing professional or technical personnel within the Center. 4. Develop an appropriate and adequate review committee to assess the scientific merit of the proposed pilot project/feasibility studies. 5. Institute a mechanism for reviewing the use of and administration of funds for the proposed pilot project/feasibility studies. 6. Appropriateness and adequacy of the multidisciplinary teams constituting Center's members. 7. Adequacy of the initial research agenda and of the planning mechanism for elaborating a long-term research agenda for the institution. 8. The appropriateness of the budgets for the various components of the application. III. Pilot/Feasibility Studies A. The balance in coverage of the topics identified as the goals and scope of this initiative. B. The scientific and technical quality of the proposed pilot project/feasibility studies. (Note: Reviewers will not vote on the merit of each study. The overall quality of the proposed pilot project/feasibility studies will be taken into account in arriving at an evaluation of the application). IV. Institutional Commitment A. The institutional adequacy of the lines of responsibility for the Center and the institution's contribution to the management capabilities of the Center. B. The academic environment and resources in which the activities will be conducted, including the availability of space, equipment, and facilities, and the potential for interaction with scientists from other departments and schools. D. The institutional commitment to any newly recruited individuals responsible for conducting essential Center functions and activities. AWARD CRITERIA The following will be considered in making funding decisions: o Quality of the proposed applications as determined by peer review. o Responsiveness to the goals of this RFA and the mission of the NIEHS. o Availability of funds. Although this program is provided for in the financial plans of the NIEHS, awards pursuant to this RFA are contingent upon the availability of funds for this purpose. Funding beyond the first and subsequent years of the award will be contingent upon satisfactory progress during the preceding year and upon availability of funds. AUTHORITY AND REGULATIONS This program is described in the Catalog of Federal Domestic Assistance Number 93.894. Awards are made under authorization of the Public Health Service Act, Title IV, Part A (Public Law 100-607) and administered under PHS grant policies and Federal Regulations 42 CFR Part 52 and 45 CFR Part 74. The program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. .
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