Background

In September 2017 the National Library of Medicine initiated a 3-year pilot partnership with the NIH All of Us Research Program for the program’s community engagement and training platform through the National Network of Libraries of Medicine (NNLM) UG4 cooperative agreement awards. Based on the results and impact of NNLM pilot activities, this administrative supplement will extend the partnership from May 1, 2020 to April 30, 2021. The focus of the program will be All of Us community engagement through public libraries and other NNLM members. Community engagement activities must include an All of Us awareness or interest component and may address health literacy. The programs will involve support and further development of the NNLM All of Us Community Engagement Network (CEN). The national planning, coordination, and evaluation of these community activities is managed by the NNLM Community Engagement Center (CEC) housed at the NNLM Greater Midwest Region (GMR). The CEC’s work is closely coordinated with the NNLM All of Us Training and Education Center (TEC), which develops and houses training and education content for and about the program, and interacts with All of Us Engagement through a participant engagement lead.

Program Objectives

The project must be designed to accomplish the goals for NNLM’s community engagement for All of Us, which are:

• Engage public libraries in health literacy initiatives that raise awareness of and interest in All of Us across the United States, including hosting the All of Us Journey. Engagement can be accomplished directly (e.g., subawards to public libraries) or indirectly (e.g., hosting the Journey, funding Community Based Organizations and Area Health Education Centers to work in libraries, Wash & Learn partnerships, and working through local, state, and national library organizations, etc.).
• Prioritize those activities with public libraries and NNLM members that involve other All of Us consortium member organizations.
• Support All of Us regional campaigns and All of Us engagement goals by providing funding, training, and connections to public libraries in those regions to support health literacy initiatives and awareness of All of Us.
• Continue to offer existing and develop new training and educational activities to support the capacity of public library staff in community engagement and in carrying out All of Us awareness programming for their communities.

Meeting these goals requires each RML to plan for (a) tailoring engagement for its region, (b) complementing existing consumer health outreach activities with All of Us activities, (c) working closely with the CEC particularly on national CEN goals and working with All of Us consortium members, and (d) focusing on populations underrepresented in biomedical research (UBR) in all activities.

Regional Engagement

NLM seeks innovative approaches for All of Us community engagement that creates new and sustains existing relationships and partnerships to address emerging health information needs within your region.

Your plan for community engagement in your region should include:

• Identifying activities that will increase engagement through libraries for All of Us, including library staff training and capacity-building;
• Discussing approaches for reaching UBR populations; and
• Articulating strategies for building closer relationships with All of Us consortium members.

In your proposal, specifically identify resources that will be used from the TEC and CEC, such as online training or book kits, and resource support, such as participating in trans-NNLM All of Us coordinator meetings.

Consumer Health Coordination

In your proposal, present a plan for reducing redundancy, increasing efficiency, and identifying opportunities within your region to support NNLM All of Us and NNLM consumer health activities. Address how your staff will work cooperatively to ensure NNLM All of Us work is integrated into NNLM consumer health activities. Address how building and maintaining relationship with All of Us consortium members can accomplish the goals of NNLM and All of Us. Describe how you will document projects so they can be accurately communicated to other NNLM All of Us and NNLM consumer health coordinators to support adaptation and reproducibility among NNLM.

Community Engagement Center (CEC) as National Coordinator

The CEC leads and manages the national planning, coordination, and evaluation of the NNLM All of US community engagement activities that are hosted by public libraries and other NNLM members. NNLM regional engagement activities will align with CEC goals. In your proposal, address how the NNLM All of Us engagement coordinator in your region will work with the CEC to ensure they are working collaboratively with CEC and all NNLM All of Us engagement coordinators. Specifically address how each of the following will be met:

• Attendance and participation in CEC and related meetings, such as the NNLM Public Libraries meetings.
• Participation in CEC work which may include: development of trans-NNLM All of Us engagement goals, tools for evaluation, and disseminating CEC developed programs and services in your region.
• Working with the CEC to target at least 3 All of Us consortium members to build and/or maintain a relationship to accomplish joint goals.

Additionally, NNLM All of Us engagement coordinators will contribute to the development and accomplishment of engagement milestones and activities as they relate to the NNLM All of Us National Program (AoUNP) goals as outlined in the NNLM AoUNP Logic Model.

Engagement of Populations Underrepresented in Biomedical Research (UBR)

To support the All of Us mission to provide a diverse and equitable participation in research studies, NLM continues to support engagement with underrepresented biomedical research (UBR) populations through libraries within each region. Working with Minority Serving Institutions (MSIs) and community-based health programs is encouraged. Work with All of Us consortium members to accomplish joint activities with UBR populations in your region. Ensure that funded projects and programs are aware, demonstrate, and provide culturally and linguistically appropriate engagement, and utilize health literacy standards in preparing and delivering health information materials.

NNLM Community Engagement ROI for All of Us

A key component For NNLM All of Us program evaluation will be demonstrating return on investment (ROI) for All of Us from NNLM’s community engagement efforts. The meaningful data for this analysis is represented in the goals described in the Regional Engagement, Consumer Health Coordination, and Community Engagement Center (CEC) as National Coordinator, sections above. Engagement activities will accomplish NNLM All of Us National Program (AoUNP) goals as outlined in the NNLM AoUNP Logic Model.

For library engagement activities, the American Library Association, Public Library Association, Council of Officers of State Library Agencies (COSLA), and other national library groups are engaged in performance measurement initiatives that could be leveraged to determine the scope and depth of impact from public library staff and resource use on All of Us awareness and interest.

Existing tools and resources from the NNLM Evaluation Office (NEO), NNLM Training Office (NTO) and NNLM Web Services Office (NWSO), as well as others developed or recommended by NNLM, NLM or All of Us, will also be used. NIH All of Us Research Program requires reporting which may include advance notice of events and follow-up data collection such as awareness raised from funded NNLM All of Us engagement activities. In your proposal, address your plan to meet NLM and All of Us reporting requirements and help to facilitate the quality of collected data from your sponsored activities. In addition, all engagement activities should accomplish NNLM All of Us National Program (AoUNP) goals as outlined in the NNLM AoUNP Logic Model.

Application and Submission Information

Applications for this initiative must be submitted using the following opportunity .

• PA-18-591 - Administrative Supplements to Existing NIH Grants and Cooperative Agreements (Parent Admin Supp Clinical Trial Optional) or its subsequent reissued equivalent

All instructions in the SF424 (R&R) Application Guide and PA-18-591 must be followed, with the following additions:

• Application Due Date(s) April 30, 2020, by 5:00 PM local time of applicant organization for funding consideration in FY2020.
• Applications must be submitted through standard NIH application process within your Institution.
• For funding consideration, applicants must include NOT-LM-20-005 (without quotation marks) in the Agency Routing Identifier field (box 4B) of the SF424 R&R form. Applications without this information in box 4B will not be considered for this initiative.
• Requests may be for one year of support only. Requested budget period must fall within May 1, 2020 to April 30, 2021.
• Budget: The following is the total amount of administrative supplement funds available for each of the eight NNLM Regions: Greater Midwest Region - $399,328, Middle Atlantic Region - $303,276, Midcontinental Region - $249,491, New England Region - $240,864, Pacific Northwest Region - $225,885, Pacific Southwest Region - $297,299, South Central Region - $292,598, Southeastern / Atlantic Region - $391,259. Requests must reflect the actual needs of the proposed project. Categorical budgets must be used
• Applications can include support for subawards.
• Only existing awardees of NLM's UG4 program are eligible to apply.
• Only one application will be accepted per active UG4 award; multiple applications from the same UG4 award will not be accepted.
• The Research Methods (Program Description) section of the application is limited to 6 pages.
• The process for Streamlined Submissions using the eRA Commons cannot be used for this initiative.