Full Text AG-97-002 RESOURCE CENTERS FOR MINORITY AGING RESEARCH NIH GUIDE, Volume 26, Number 1, January 10, 1997 RFA: AG-97-002 P.T. 04, FF Keywords: Aging/Gerontology Disease Prevention+ Health Promotion National Institute on Aging National Institute of Nursing Research Letter of Intent Receipt Date: March 7, 1997 Application Receipt Date: April 18, 1997 PURPOSE The National Institute on Aging (NIA) invites applications from qualified institutions for the creation of Resource Centers for Minority Aging Research (RCMARs). The long-range goal for the RCMARs is to decrease the minority/non-minority differential in health and its social sequelae for older people by focusing research upon health promotion, disease prevention, and disability prevention. More basic or clinical research areas will be considered if there is a clear and compelling rationale that they offer the potential to reduce health status differentials. To meet the long-range goal, RCMARs will create a research infrastructure around three objectives: (1) to establish a mechanism for mentoring researchers for careers in research on the health of minority elders; (2) to enhance diversity in the professional workforce conducting research on the health of minority elders; and (3) to develop and deploy strategies for recruiting and retaining minority group members in epidemiological, psychosocial, and/or biomedical research dealing with the health of the elderly. RCMAR funding is not intended for further description of majority/minority health status or access differentials but for ultimately closing that gap. RCMARs are intended to be broadly multi-disciplinary. Interaction among social, behavioral, and clinical sciences is anticipated and encouraged in order to meet Center objectives. The RCMAR solicitation is intended to meet its objectives by: o increasing learning and mentoring relationships between experienced researchers and researchers without previous funded research on minority health and aging issues; o increasing the research skills and experience of minority faculty at either majority or traditionally minority based institutions (TMBIs) who may not have had opportunities for conducting minority health and aging research; o increasing the cultural awareness, community development techniques, and methodological skills of majority and minority researchers who have limited familiarity with minority populations or with behavioral science/epidemiological research skills in conducting research in minority populations; o supporting research on understanding and reducing health status and access differentials by funding pilot studies which have a high probability of resulting in subsequent independent investigator awards, involving minority researchers as principal investigators (PIs) or major co-investigators; o creating an infrastructure using already tested models for accessing older minority individuals to seek their participation in biomedical, social and behavioral research on aging; o increasing and disseminating knowledge about, and experience with, gaining access to and maintaining populations of various minority group members for aging research; and o creating culturally sensitive strategies and measurement tools for use in older minority populations for aging research. 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. The Request for Applications (RFA), Resource Centers for Minority Aging Research, is related to the priority areas of educational and community-based programs, heart disease and stroke, cancer, diabetes and chronic disabling conditions, and clinical preventive services. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0 or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (telephone 202/512-1800). ELIGIBILITY REQUIREMENTS Applications may be submitted by domestic for-profit and non-profit organizations, public and private, such as universities, colleges, hospitals, laboratories, units of State and Local governments, and eligible agencies of the Federal government. Awards will not be made to foreign institutions. Applications from racial/ethnic minority individuals, women and persons with disabilities are encouraged. Applicants must demonstrate access to and experience working with the selected minority population(s). Applicants can come from either TMBIs or from other institutions that demonstrate a strong, functional and cooperative arrangement with minority researchers and/or minority organizations. Institutions or affiliates should have prior experience in conducting minority research including skills in social survey or qualitative research techniques and methodologies for recruiting, maintaining, and assessing minority populations. At the time of application, institutions participating as part of a proposed center must have among them at least three or more externally funded, current, peer-reviewed projects involving human subjects in the RCMAR-related areas of reducing health differentials, health care access, and/or minority research, as related to aging research. The projects must be expected to continue for at least a year after the time of application. MECHANISM OF SUPPORT This program will be supported by an NIH Core Center Grant (P30). Applicants must request five years of support. Awards may be renewable at the end of five years through submission of a competing continuation application depending upon progress and the availability of funds. FUNDS AVAILABLE The award of Center grants pursuant to this RFA is contingent upon the availability of funds for this purpose. The intent is to fund up to six RCMARs in Fiscal Year (FY) 1997. The specific number awarded will be contingent upon the merit of the proposals. These applications do not compete for funding within the general pool of dollars available for investigator-initiated research proposals. The total cost may not exceed $575,000 per application for the first year (excluding an elective Coordinating Center component; see below). Years two through five may not exceed a three percent per year increase. Contingent upon funds being available and appropriate progress, RCMARs may be renewable after the initial five year period through submission of a competing continuation application. RESEARCH OBJECTIVES Over the last several years NIA has increasingly focused attention upon: enhancing its commitment to research on topics germane to the health and well-being of older minority Americans; involving minority researchers in minority institutions in aging research and training; and encouraging researchers at TMBIs to participate in nationally funded research on aging and health. Research focusing directly and indirectly upon minority/majority differences in health, health care access and the use of preventive services has lead to increased understanding of these differences (Ferraro and Farmer, 1996; Link and Phelan, 1995; Marquis and Long, 1996; Weissman and Epstein, 1994). However, the involvement of minority researchers in independently funded health care and health promotion research and the involvement and maintenance of minority populations in research projects continues to be an NIA priority and major concern in both social and biomedical research concerning the elderly (Harris et al., forthcoming; Prohaska and Walcott-McQuigg, forthcoming). The creation of RCMARs is intended to continue the effort to close the gap between minority and non-minority populations in health status and health care and to improve understanding of disease and health in older minority populations. This long-range goal can be accomplished by enhancing the capacity of minority and non-minority researchers and TMBIs to conduct research among minority groups. RCMARs are also expected to contribute to the creation and dissemination of knowledge regarding the inclusion and continued participation of minority subjects in studies dealing with the RFA's focus. The recruitment and retention of minority subjects in panels for both social science and clinical/biological research is a central objective in this RFA. These objectives will necessitate the creation of culturally sensitive techniques and measurement tools in ethnically and racially diverse populations. SPECIAL REQUIREMENTS The RCMAR proposal may be submitted by a PI from a TMBI or a non-TMBI. If submitted by a non-TMBI, the PI should be able to demonstrate active involvement of minority researchers at the professional level. Applicants are strongly encouraged to include at least one community based, minority oriented organization as a partner in the RCMAR proposal. At least one of the institutions involved in the RCMAR must have prior experience related to aging research on reducing the differential in health status and/or access among minority and majority populations. The RCMAR will be organized around a series of Core activities. The function of each Core is suggested below; the particular organization of the RCMAR and the interaction among Cores should be described and justified in the application. The proposal should present an identifiable and separate budget for each Core and a description of each Core's approach to the activities outlined in the RCMAR RFA. While four Cores are required, each applicant may propose and justify additional Cores. Administrative Core RCMARs must have strong and experienced central leadership to coordinate proposed activities and to keep all RCMAR components informed of important activities and decisions. Critical elements of the Administrative Core follow. o Leadership by an experienced investigator is essential. The PI must possess experience in conducting research with minority elderly populations. He/she should be experienced in mentoring and learning environments that will enhance the inclusion of minority researchers. o The Administrative Core must propose and show evidence of having recruited an Advisory Panel of at least five, and no more than seven, members including at least two from relevant community groups and two researchers on aging, the latter not otherwise affiliated with the RCMAR. The Advisory Panel will meet at least twice yearly to review Center activities and make recommendations to improve RCMAR functions. o The proposal must specify how the Administrative Core will create mechanisms to ensure that RCMAR Cores will interact to maximum benefit. The objectives of that interaction must be specified. o The proposal's Administrative Core component should specify the mechanisms for ensuring that RCMAR researchers will interact with colleagues at the parent institution and at affiliated institutions, including community organizations. These mechanisms are needed to ensure: (1) the practicability of developing connections with minority communities; (2) recruitment and retention of minority subjects; (3) the viability of mentoring and training relationships among affiliated institutions, when appropriate; and (4) the creation of appropriate instruments and techniques for working with different ethnic/racial groups. o The Administrative Core should specify its role in the oversight of the selection of studies for pilot funding made during the conduct of the RCMAR effort. It must specify how it will facilitate and track the evolution of these studies from pilot to independent investigator, R01-type proposals during and following the five years of the RCMAR. o The Administrative Core will select three participants from the RCMAR and prepare for an annual day and a half meeting in the Washington, DC area to discuss progress and common problems in the conduct of the Centers. Travel to these meetings should be budgeted as part of the Administrative Core. Community Liaison Core Experience indicates that intensive effort, specialized skill, and creativity are needed to recruit and retain older minority subjects. To these ends, it is the responsibility of the Community Liaison Core to develop and maintain relationships with individual minority group members and minority community-based organizations (CBOs). Liaison Core staff are encouraged to work with CBOs to foster acceptance in minority communities for participating and remaining in research projects. The Community Liaison Core's role is to facilitate interaction among individual minority community members including formal and informal leaders, as well as with appropriate CBOs, and with researchers planning studies involving minority communities. To this end, the Community Liaison Core will create and maintain an infrastructure of minority group member participants for research involvement among RCMAR and other research projects at their home institution(s). The Community Liaison Core is encouraged to work closely with both the CBOs and the professional staff who plan and conduct research involving community members. In conjunction with the Investigator Development Core (see below), the Community Liaison Core must create and disseminate information regarding techniques for recruitment and retention of minority subjects suitable for investigators at local institutions and nationally. A plan for dissemination of recruitment and retention methods must be included in the application. It may include publications and presentations of information, conferences and symposia, and outreach activities to other institutions conducting clinical, behavioral, and/or social research on aging. Investigator Development Core It is the responsibility of the Investigator Development Core to assure successful mentoring of, and collaboration with, minority researchers. This function has two components: Pilot Studies and Information Transfer Activities. Pilot Studies Each RCMAR must propose two pilot studies for the first year. Each pilot study should be of no more than one year's duration. Each RCMAR should anticipate funding three to four pilot studies during each subsequent year of the project's five year duration and all pilot studies must involve a minority investigator at the professional level (e.g., as PI or major co-investigator). The pilot studies should provide preliminary data on progress toward: (1) developing or testing clinical, social, and/or behavioral interventions for decreasing differentials in health status or access to services among older minority and majority group members; or (2) developing and validating measurement instruments or protocols suitable for use with minority groups; or (3) testing models of recruitment/retention strategies. In the initial RCMAR proposal, a three page summary (maximum) of each selected pilot study should accompany the proposal. Each summary should contain a PHS standard Biographical Sketch for the investigator, a statement of the problem, the methods to be used, the anticipated results, and subsequent planned efforts leading to an independent investigator award. The RCMAR proposal must include the criteria used for selecting the submitted pilot studies and propose a plan for reviewing pilot grant applications in subsequent years. Applicants should also provide a plan for increasing the number of minority researchers receiving support though pilot projects in the out years of the project. A minimum of three and a maximum of four pilot projects may be supported in each of years 02 through 05. Funding for each pilot study may not exceed $20,000 (direct costs) per year. In years 02 through 05, each RCMAR will be responsible for: o selecting and funding (maximum direct cost: $20,000 for each pilot study) a minimum of three and a maximum of four new pilot investigations in each year; and o demonstrating that prior years' pilot studies lead to the submission of R01 or similar independent research proposals. Each RCMAR must develop and specify plans for disseminating information about the availability of pilot funds. If consistent with the overall objectives of the specific RCMAR, the Center may fund researchers who are not members of the original participating institution(s). It is assumed that such pilot projects might bring in new collaborating partners. Proposed pilot projects in out-years must have the approval of the NIA program administrator. Information Transfer Activities Each RCMAR should create a program for disseminating research information regarding techniques used for conducting research involving minority aging populations. The audiences for these activities should include CBOs and researchers at the host institution as well as investigators at other institutions who are in a position to further enhance the inclusion of older minority populations in research addressing the differential in health status and access to care among older minority and majority populations. Information transfer activities may include, but are not limited to activities such as training programs, short courses, distance learning, presentations at professional meetings and publications. The content of these activities are at the discretion of the RCMAR but should include information on: basic research methodologies; recruitment and retention of minority populations; and substantive issues regarding health care differentials among older minority and majority populations. The RCMAR may wish to seek Continuing Health Education credit for participants. The information transfer function of the Investigator Development Core should work closely with the Community Liaison Core on issues of recruitment and retention. Proposals should describe in detail the plan for developing and evaluating information dissemination activities. The Investigator Development Core must also specify a mechanism for assuring the effective mentoring of minority researchers. The RCMAR proposal should contain a plan for, and an evaluation strategy of, the mentoring process to demonstrate its ability and commitment to enhancing diversity in the professional research workforce dealing with the health of the elderly. Measurement Core Each RCMAR should specify strategies for identifying, cataloging, distributing and/or creating culturally sensitive epidemiologic, or psychosocial measurement tools. Centers should develop and test strategies for enhancing cultural sensitivity in collecting clinical, behavioral, and social science data (e.g., drawing blood; collecting urine; assessing socioeconomic status; conducting qualitative research). It is the responsibility of the Measurement Core to create, identify, catalogue, and disseminate information in its domain. The RCMAR proposal should specify methodologies for these activities. Optional Coordinating Center Each applicant is invited to submit as part of his/her response to the RCMAR RFA, a section proposing a Coordinating Center (CC). A maximum budget for this effort is $150,000 per year (total costs) or should the number of RCMARs funded by less than six, the total budget for the CC will be $25,000 times the number of funded Centers, but not less than $100,000. The selection of the CC will be made by the NIA program administrator based on the recommendations of the Initial Review Group responsible for peer review of the proposals. The CC will fulfill the following functions. Coordinating Center: Logistic Support The CC will provide logistic support to the NIA program administrator and to the RCMARs. It will make all arrangements for a yearly RCMAR meeting in the Washington, DC area (see below), prepare minutes, and in coordination with NIA Program Staff, create the agenda for that meeting. It will also have the responsibility of preparing a yearly progress report for the program. Additionally it will foster communication among Centers, including the NIA. The CC will collect and summarize Advisory Panel minutes from each Center and share those with other sites. Coordinating Center: Data Collection and Dissemination Support The CC will facilitate the sharing of scientific information, techniques, and measurement tools among the Centers. By means of a clearinghouse mechanism, the CC will collect and disseminate these items and encourage shared activities among the Centers including, but not limited to: distance learning, training seminars, dissemination strategies and resources, works-in-progress and techniques for recruitment and retention of aging minority population members. Coordinating Center: Summary Report The CC will work with the NIA program administrator and each Center in preparing a document near the conclusion of the first four years of RCMAR experience summarizing similarities and differences among the Centers. The document will contain, but not be limited to: Center descriptions; common themes; findings regarding the training and recruitment of minority investigators; and findings regarding the recruitment and retention of minority subjects. In addition, the CC will work with the NIA program administrator in planning a national symposium based upon the findings and experience of the RCMAR program. Budget Considerations All RCMAR applicants should request and provide justification for five years of support. The total costs for the first year of support may not exceed $575,000 and years 02 through 05 may not exceed a three percent per year increase. The distribution of funds within the RCMAR to each Core is at the discretion of the applicant institution and must be justified by the activities of each Core. Support for secretarial and administrative staff may be provided to the extent that their activities relate to meeting RCMAR's specified objectives. Similarly, domestic and foreign travel by project personnel must be justified as meeting project objectives. Travel and per diem for three persons to attend an annual day and a half meeting in the Washington, DC area should be included in the budget. Consultants' costs are allowed if evidence is presented that the services are required by the RCMAR's objectives and are not otherwise available. Pilot studies may not exceed $20,000 per pilot, direct costs. The cost justification for each pilot study should be contained in the Investigator Development Core budget. For awarded grants, applications for years 02 through 05 must contain the cost justification for each of the selected pilot studies in the renewal application budget. Funding for specific out-year pilot studies must be approved by the NIA program administrator. INCLUSION OF WOMEN AND MINORITIES It is the policy of the NIH that women and members of minority groups and their subpopulations be included in all NIH supported biomedical and behavioral research projects involving human subjects, unless a clear and compelling rationale and justification is provided that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. This policy resulted from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43) and supersedes and strengthens the previous policies (Concerning the Inclusion of Women in Study Populations, and Concerning the Inclusion of Minorities in Study Populations), which have been in effect since 1990. All investigators proposing research involving human subjects should read the "NIH Guidelines For Inclusion of Women and Minorities as Subjects in Clinical Research," published in the Federal Register of March 28, 1994 (FR 59, 14508-14513), and reprinted in the NIH Guide for Grants and Contracts, Volume 23, Number 11, MARCH 18, 1994. Investigators also may obtain copies of the policy from the program staff listed under INQUIRIES. LETTER OF INTENT Prospective applicants are asked to submit, by March 7, 1997, a letter of intent that includes a descriptive title of the proposed RCMAR, the name, address, phone number(s), fax number, and E-mail address of the Principal Investigator, if possible, the identities and professional affiliation(s) of key personnel likely to assume leadership roles of the Cores, and the number and title of this RFA. The letter of intent is not binding and will not enter into consideration in this or subsequent applications. The information is helpful in planning for the review of the applications. It allows NIA staff to estimate the potential review workload, to select reviewers appropriately and to avoid conflicts of interest in the selection of reviewers. The letter of intent is to be sent to Dr. Stahl at the address listed under INQUIRIES. APPLICATION PROCEDURES The application should be prepared using instructions in this RFA and those in supplementary instructions for preparation of multi-component applications available from the program staff listed under INQUIRIES. Prior to submission of the formal application, consultation with NIA Program Staff concerning the technical aspects of preparing the application is strongly encouraged. The research grant application form PHS 398 (rev. 5/95) is to be used in applying for these grants. Applications kits are available at most institutional offices of sponsored research and may be obtained from the Office of Extramural Outreach and Information Resources, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/710-0267, email: ASKNIH@odrockm1.od.nih.gov. To identify these applications as being in response to the RFA, check "YES" on item 2 of the face page of the application and enter the RFA number and the title: "RESOURCE CENTERS FOR MINORITY AGING RESEARCH." The RFA label available with the application form PHS 398 must be affixed to the bottom of the face page. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee on time for review. Submit a signed, original of the application, including the Checklist, and three signed, exact photocopies, in one package to: DIVISION OF RESEARCH GRANTS 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 must be sent to: Chief, Scientific Review Office National Institute on Aging Gateway Building, Room 2C212 7201 Wisconsin Avenue MSC 9205 Bethesda, MD 20892-9205 Applications must be received by April 18, 1997. If an application is received after that date, it will be returned to the applicant without review. Page Limitation: Applications may not exceed a total of 25 pages for Items a-d of each core. REVIEW CONSIDERATIONS Upon receipt, applications will be reviewed for completeness by the Division of Research Grants (DRG) and for responsiveness by NIA. Incomplete applications will be returned to the applicant without further consideration. If NIA staff find that the application is not responsive (i.e., fails to include all required components, or requests amounts that exceed allowable limits, or is not directed to the goals of this RFA) it will be returned 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 NIA. As part of this merit review, a streamlined review process may be used in which applications will be determined to be competitive or non-competitive based on their merit relative to other applications received in response to the RFA. Applications judged to be competitive will be reviewed in detail by an initial peer review group and also receive a second level of review by the National Advisory Council on Aging. Applications determined to be "non-competitive for funding" will be so designated, and an abbreviated summary report noting the major weaknesses will be sent to the principal investigator and the application withdrawn. Each application must be thorough and complete enough to stand on its own and should be prepared as if no site visit will occur. Additional materials or revisions will not be accepted after the receipt date. It is strongly recommended that Institutional Review Board (IRB) approval be secured prior to submission. Otherwise, it is the applicant's responsibility to ensure these certifications are sent to the Scientific Review Office, NIA, within 60 days of the proposal's receipt date. Applications failing to comply with this requirement will be returned without review. There will be no further notification on this issue. Review criteria Applicants should demonstrate that the following general criteria can be met for this solicitation. o Evidence of experience with, and a commitment to, fostering working relationships with minority populations. o Evidence of the inclusion of minority researchers in the RCMAR proposal. o Evidence of prior research in the areas addressed by this RFA as they relate to minority elderly populations. o Evidence of existing linkages, or a reasonable expectation of such linkages, with minority institutions or community organizations. o Appropriateness of the proposed budget. The initial review group will also examine the provisions for the protection of human and animal subjects and the safety of the research environment. The following criteria will be used in judging the adequacy of the administration of the proposed RCMAR. o Evidence of the scientific, leadership, and administrative ability of the RCMAR Director and his/her staff and a commitment to devote adequate time to program management. o Evidence that the organization and processes proposed for internal communication and cooperation between and among the Cores and community groups will function to meet RCMAR objectives. o Evidence that the mechanisms for review and administration of the pilot studies will function to produce studies that meet substantive objectives and have a reasonable expectation of subsequent independent funding. o Evidence that the Advisory Panel is well linked to the minority population(s) served and to the broader gerontologic research community and is committed to the success of the RCMAR. The following criteria will be used to evaluate the commitment of the host institution(s) to RCMAR objectives. o Evidence that the academic environment(s) and its/their resources, including space, equipment, and facilities, are adequate to meet the RCMAR's objectives. o Evidence that the host institution is sufficiently flexible to foster multi-disciplinary interaction between its administrative units and with organizations external to the university (e.g., CBOs). The following criteria will be used to evaluate the investigators. o Evidence of sustained research and prior successful mentoring experience. o Evidence of commitment to furthering RCMAR objectives through prior professional activity in each of the following areas: (1) creating an infrastructure for increasing minority researcher mentoring; (2) successfully maintaining recruitment goals for minority subjects in prior funded research; (3) conducting research addressing strategies for decreasing minority/non-minority health and/or access differentials in older populations; and (4) development of culturally sensitive assessment methods and tools. Each Core should demonstrate evidence that its functions address the objectives of the proposed RCMAR. The review criteria for the Administrative Core are those of overall program administration and are listed above. The following criterion will be used for evaluating the Community Liaison Core. o Evidence of an ongoing relationship or a reasonable expectation of the ability to create a relationship with minority community groups. The Investigator Development Core will be evaluated using the following criteria. o Evidence of the scientific adequacy, appropriateness (to meet RCMAR objectives), and feasibility of the proposed pilot studies. o Evidence of the intention and likelihood that the proposed pilot studies will result in the submission of a competitive, investigator initiated, independent research award, such as an R01. o Evidence that during the out-years of the Center, there is a sufficient pool of researchers to submit excellent pilot study applications. o Evidence that out-year pilot study selection will provide scientifically rigorous and potentially fundable projects. o Evidence of the ability to disseminate through professional and less formal mechanisms, information learned about recruiting and retaining minority population members in research on health and access of older minority populations. o Evidence that the mentoring strategy is likely to produce and retain minority professionals in aging research. The Measurement Core will be evaluated based upon the following criterion. o Evidence of prior experience in the creation and/or use of culturally sensitive and specific measurement tools. Should the RCMAR choose to apply for the Coordinating Center, it should meet the following criteria. o Evidence of experience with, or a reasonable expectation of success in, providing diverse sites with logistic support in arranging for annual meetings and in preparing pre- and post-meeting materials. o Evidence that the CC will be able to foster interaction between all sites for sharing developments and findings such as mentoring progress, new research tools, recruitment and retention strategies that work/do not work, etc. o Evidence that the CC can draft an annual progress report, serve the clearinghouse function, and create a summary report near the conclusion of the first four years of RCMAR experience. AWARD CRITERIA The anticipated date of award will be September 1997. Funding criteria will be scientific merit (based on the Review Criteria), availability of funds, and program priorities. Among those priorities is representation from African American, Hispanic, Asian, and Native American Indian populations among the selected RCMARs. Therefore, final selection will take into account racial and ethnic variation both within and between proposals to select a balance among the most qualified of the RCMAR proposals. INQUIRIES Inquiries are encouraged. The opportunity to clarify issues or answer questions from potential applicants is welcome. Inquiries regarding programmatic issues and the application process, as well as letters of intent, may be directed to: Sidney M. Stahl, Ph.D. Behavioral and Social Research Program National Institute on Aging 7201 Wisconsin Avenue, Suite 533 Bethesda, MD 20892-9205 Telephone: (301) 402-4156 FAX: (301) 402-0051 Email: Sidney_Stahl@nih.gov J. Taylor Harden, Ph.D. Extramural Programs National Institute of Nursing Research 45 Center Drive, Room 3AN-12, MSC 6300 Bethesda, MD 20892-6300 Telephone: (301) 594-6906 FAX: (301) 480-8260 Email: THarden@ep.ninr.nih.gov Direct inquires regarding fiscal matters to: David Reiter Grants Management Office National Institute on Aging 7201 Wisconsin Avenue, Suite 2N212 Bethesda, MD 20892-9205 Telephone: (301) 496-1472 FAX: (301) 402-3672 Email: DR36T@nih.gov AUTHORITY AND REGULATIONS This program is described in the Catalog of Federal Domestic Assistance No. 93.866, 93.361. Awards are made under authorization of the Public Health Service Act, Title IV, Part A (Public Law 78-410, as amended by Public Law 99-158, 42 USC 241 and 285) and administered under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. The PHS strongly encourages all grant and contract recipients to provide a smoke-free workplace and promote the non-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. References Ferraro, Kenneth F. and Melissa M. Farmer. 1996. Double Jeopardy to Health Hypothesis for African Americans: Analysis and Critique." Journal of Health and Social Behavior 37:27-43. Harris, Yvonne, Philip Gorelick, Patricia Samuels and Isaac Bempong. (forthcoming). "Why African Americans May Not be Participating in Clinical Trials." Journal of the National Medical Association 88. Link, Bruce G. And Jo Phelan. 1995. "Social Conditions as Fundamental Causes of Disease." Journal of Health and Social Behavior (Extra Issue):80-94. Marquis, M. Susan and Stephen H. Long. 1996. "Reconsidering the Effect of Medicaid on Health care Services Use." Health Services Research 30:791-808. Prohaska, T. and J. Walcott-McQuigg. (forthcoming). "Recruitment of Older African Americans. A Focus Group Approach. Journal of Aging and Ethnicity. Weissman, Joel S. And Arnold M. Epstein. 1994. Falling through the Safety Net. Baltimore: The Johns Hopkins University Press. .
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