kristoff@GENBANK.BIO.NET (Dave Kristofferson) (05/31/91)
$$P5 BEGIN PA-91-63 **************************************************** CUTANEOUS MANIFESTATIONS OF HIV INFECTION AND AIDS PA: PA-91-63 P.T. 34; K.W. 0715120, 0715185 National Institute of Arthritis and Musculoskeletal and Skin Diseases The Skin Diseases Program supports research on the structure, function, and diseases of skin. This program announcement is to encourage submission of research grant applications in the area of cutaneous manifestations of human immunodeficiency virus (HIV) infection and diseases, including AIDS, that are caused by HIV infection. Research grant applications may be basic, clinical, or epidemiologic. Research mechanisms to support these studies include investigator-initiated research grants (R01), Clinical Investigator Awards (K08), First Independent Research and Transition (FIRST) Awards (R29), and Individual National Research Service Awards (F32). The vast majority of patients with AIDS manifest cutaneous disease at some time during their illness. Patients with HIV infection not meeting the criteria for the diagnosis of AIDS also frequently manifest cutaneous disease. In addition, an exanthem that is associated with initial HIV infection in humans has been described; it precedes seroconversion to HIV positivity by weeks to months. The skin diseases seen in HIV infection encompass diseases for which the pathogenesis has yet to be elucidated, including psoriasis and seborrheic dermatitis; infectious diseases such as candidiasis and viral and bacterial infections; and malignancies, particularly Kaposi's sarcoma. A previous program announcement (NIH Guide for Grants and Contracts, Vol. 17 No. 11, March 25, 1988) was published to stimulate research in this area. This program announcement is designed to further encourage research grant applications to investigate basic, clinical, and epidemiologic aspects of these diverse cutaneous manifestations of HIV infection. Projects may be oriented specifically towards the cutaneous manifestations of HIV infection. They may also be oriented towards utilizing the high incidence of skin disease in the HIV-infected and AIDS populations to investigate the pathogenesis of the idiopathic skin disease. Thus, we expect to obtain new information relevant to idiopathic skin diseases as well as a better understanding of the coexistence of AIDS and skin disease. Among the broad spectrum of basic research projects encouraged are studies of disease pathophysiology and genetics. Clinical studies may include prevention of morbidity and mortality or amelioration of cutaneous complications. Epidemiologic studies may focus on the etiology, risk factors for disease development and severity, natural history of disease, and prognosis for developing disease. This includes descriptive studies of incidence, prevalence, morbidity, and mortality. SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDY POPULATIONS NIH and ADAMHA policy is that applicants for NIH/ADAMHA 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 is 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 Section 2, A-D of the Research Plan AND summarized in Section 2, E, Human Subjects. Applicants/offerors 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. For foreign awards, the policy on inclusion of women applies fully; since the definition of minority differs in other countries, the applicant must discuss the relevance of research involving foreign population groups to the United States' populations, including minorities. If the required information is not contained within the application, the application will be returned. 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. Investigators are encouraged to work with existing, or proposed, longitudinal data collection resources and cohorts of patients. Populations that may be included are those at increased risk for HIV infection, as well as HIV-positive cohorts who are clearly defined by their source of exposure. Investigators are encouraged to work with existing patient cohorts, such as the Multicenter AIDS Cohort Study (MACS), The HIV Pulmonary Complication Study, and the AIDS Clinical Trials Group. ELIGIBILITY Nonprofit organizations and institutions, governments and their agencies, for-profit organizations, and individuals are eligible to apply. DEADLINE Applications will be accepted in accordance with receipt dates for unsolicitated AIDS R01 and R29 applications: January 2, May 1, and September 1 of each year. AIDS investigator-initiated applications received on these dates by the Division of Research Grants will be subjected to expedited review. Applicants for F32 awards must submit applications to meet the receipt dates listed in the instructions for those mechanisms. REVIEW PROCEDURES AND CRITERIA All applications, except F32s, must be submitted on form PHS 398, rev. 10/88. Form PHS 416-1 must be used to submit F32 applications. Application kits are available at the business or grants and contracts office at most research and academic institutions. Additional application kits may be obtained from the Office of Grants Inquiries, Division of Research Grants, NIH, Westwood Building, Room 449, Bethesda, MD 20892, telephone (301) 496-7441. The phrase, "Cutaneous Manifestations of HIV Infection and AIDS, PA-91-63" must be typed at item 2 of the first page of the application form 398 or item 3 of the form 416-1. The original and 24 copies of an R01 or R29 application submitted for expedited review, or the original and 2 copies of a fellowship application must be sent to: Application Receipt Office Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** Applications in response to this solicitation will be reviewed on a nationwide basis in competition with other research grant applications in accord with the expedited NIH peer review procedures for AIDS-related research. In order to expedite the review, PHS human subject certifications and animal welfare verifications must be submitted with the applications. Applications will first be reviewed for technical merit by initial review groups and then by the appropriate national advisory council. The review criteria customarily employed by the NIH for research grant applications will prevail. Applicants from institutions that have a General Clinical Research Center (GCRC) funded by the NIH National Center for Research Resources may wish to identify the GCRC as a resource for conducting the proposed research. In such a case, a letter of agreement from the Program Director of the GCRC must be included with the application material. All PHS and NIH grant policies governing research project grants apply to applications received in response to this program announcement. Applications will be referred in accordance with normal procedures of the NIH Division of Research and Grants. For further information contact: Dr. Alan N. Moshell Director, Skin Diseases Program National Institute of Arthritis and Musculoskeletal and Skin Diseases Westwood Building, Room 405 Bethesda, MD 20892 Telephone: (30l) 496-7326 Reva C. Lawrence, M.P.H. Epidemiology/Data Systems Program Officer National Institute of Arthritis and Musculoskeletal and Skin Diseases Building 31, Room 4C13 Bethesda, MD 20892 Telephone: (301) 496-0434 For fiscal and administrative matters, contact: Diane M. Watson Grants Management Officer National Institute of Arthritis and Musculoskeletal and Skin Diseases Westwood Building, Room 407-A Bethesda, MD 20892 Telephone: (301) 496-7495 This program is described in the Catalog of Federal Domestic Assistance No. 93.846, Arthritis, Musculoskeletal and Skin Diseases Research. Awards will be made under the authority of the Public Health Service Act, Title III, Section 301 (Public Law 78-410, as amended; 42 USC 241) and administered under PHS grants policies and Federal Regulations 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. $$P5 END *************************************************************** $$P6 BEGIN PA-91-64 **************************************************** THE HEALTH AND EFFECTIVE FUNCTIONING OF OLDER RURAL POPULATIONS PA: PA-91-64 P.T. 34, 44; K.W. 0710010, 0417000, 0408006, 0414000, 0413001, 0730000 National Institute on Aging I. BACKGROUND The National Institute on Aging (NIA) invites research and research training grant applications on the social, economic, psychological, environmental, and biomedical factors affecting the aging processes and the health and effective functioning of older people in rural areas. Recent governmental and non-governmental reports highlight the special health-care and other services needs of rural people and especially those who are old. People in rural areas are more likely than their urban counterparts to be in fair or poor health, to suffer from chronic or serious illness, to be without a regular source of health care and health insurance. Moreover, a higher proportion of deaths occur among the nonmetropolitan than the metropolitan population over 65 years of age. The U.S. Congress has called for an increased research effort in order to improve the knowledge base necessary for the promotion of health and the prevention of disease among rural older people and for developing and implementing effective, acceptable, and accessible health care and other services. II. SPECIFIC OBJECTIVES A research agenda is needed for examining the life-long experience, the current circumstances, and the special physical and social nature of rural life as they affect the health, well-being, and functioning of nonmetropolitan older people. Although many research topics are worthy of consideration, NIA consultants and staff have identified five as requiring special attention. Applications proposing activities relevant to these broad topics are especially encouraged. (To obtain more detailed information about these topics from NIA Staff, see Section VII.) A) The changing social, economic, demographic, and epidemiologic characteristics of the older rural population In 1980, 25.5 million Americans were 65 or older, and 25 percent of these lived in rural areas. While older people comprised about 11 percent of both the urban and rural populations, several aspects of the older rural population reflect its diversity and distinguish it from its urban counterparts. These sources of diversity and distinctiveness need to be considered in regard to their possible effects on aging and the health and effective functioning of older rural residents. B) The occupational and physiochemical environment The exposure of older rural residents to particular physiochemical and occupational environments reflects the wide diversity of aging processes and health in rural areas and also distinguishes them from the experiences of older urban residents. This exposure raises the general question of whether or not the effects are cumulative and whether or not it interacts with aging processes (e.g., accelerates aging). C) The aging population of rural communities Attention needs to be paid not only to the health and well-being of older people, but also to the entire infrastructure of the communities in which older people live. A thorough investigation of the health and socioeconomic circumstances of older rural residents implies a need to study older individuals in the context of their social environment. Currently, many rural communities are undergoing massive changes. Some of these changes are brought on by the significant increases in the proportion of the population that is old--the "aging" of the rural population is exacerbated by either the emigration of younger people or the immigration of older people. As rural communities change, complex interactions--among older people, their families, other individuals in the community, and various community organizations, institutions, and agencies--influence the health and psychological, social, and financial well-being of older rural people. As people grow older and live longer, changes may occur in their relationships with their families, their churches, and their membership in informal social groups. D) The availability, utilization, and quality of health-care and other services Research is needed on the origins and consequences for older rural residents of the relative unavailability of health-care (including disease-preventive services, e.g., for hypertension, smoking, and injuries) and social services in rural communities. E) Aging rural people as resources Aspects of rural physical and social environments that may promote health and effective functioning as people grow older deserve attention. Despite the popular stereotype that "old age means dependency," the overwhelming majority of older people are never institutionalized and lead productive and independent lives. Unfortunately, the substantial societal resource that the growing numbers of older people represent is usually overlooked. Research on aging rural people may be the place to begin the process of recognizing older people as a resource. III. DEFINITION OF RURAL This program announcement follows the Bureau of the Census' definitions of "rural vs. urban," "metropolitan vs. nonmetropolitan," and "farm vs. nonfarm." It recognizes that "rural" or "nonmetropolitan" is not synonymous with "agriculture" and/or that appropriate research populations include people living in small towns engaged in nonagricultural occupations. IV. MECHANISMS OF SUPPORT AND REVIEW CRITERIA Research project grant (R01) and First Independent Research Support and Transition (FIRST) Award (R29) applications, fellowships (F32, F33), research career development awards (K04) accepted in response to this program announcement will be assigned to NIH/ADAMHA Institutes and an Initial Review Group in accordance with standard Referral Guidelines. Applications will be reviewed for scientific and technical merit by an appropriate initial review group. Secondary review will be by the appropriate National Advisory Council. Applications will compete on the basis of scientific merit with all other applications. V. ELIGIBILITY Applications may be submitted by public or private, non-profit or for-profit, organizations such as universities, colleges, hospitals, research institutes and organizations, units of State and local governments, and eligible agencies of the Federal government. Women and minority investigators are encouraged to apply. VI. INCLUSION OF WOMEN AND MINORITIES NIH and ADAMHA policy is that applicants for NIH/ADAMHA clinical research grants 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 is 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, together with a rationale for its choice. 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 Section 2, A-D of the Research Plan AND summarized in Section 2, E, Human Subjects. Applicants/offerors 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 or 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. For foreign awards, the policy on inclusion of women applies fully; since the definition of minority differs in other countries, the applicant must discuss the relevance of research involving foreign population groups to the United States' populations, including minorities. If the required information is not contained within the application, the review will be deferred until the information is provided. 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. VII. METHOD OF APPLYING For further information, contact NIA staff in advance of submission. Basic Aging Program H. Warner Telephone: (301) 496-6402 Behavioral and Social Research Program R. P. Abeles Telephone: (301) 496-3136 Geriatrics Program S. Slater Telephone: (301) 496-6761 Neuroscience and Neuropsychology of Aging Program T. S. Radebaugh Telephone: (301) 496-9350 Address financial management questions to: J. Ellis Grants and Contracts Management Office National Institute on Aging Building 31, Room 5C07 Bethesda, MD 20892 Telephone: (301) 496-1472 For information about the coordinated program of the National Center on Nursing Research (NCNR), see "Rural Health Care Research: Impacting Vulnerable Populations," NIH Guide to Grants and Contracts, Vol. 20, No. 6, February 8, 1991, and/or contact Dr. P. Moritz, NCNR, telephone (301) 496-0523. Applicants must use the grant application form PHS 398 (rev. 10/88) and fellowship application forms PHS 416-1 (rev. 7/88), which are available at the applicant's institutional Application Control Office and from: Office of Grants Inquiries Division of Research Grants National Institute of Health Westwood Building, Room 449 Bethesda, MD 20892 Telephone: (301) 496-7441 Check the box on the application face sheet indicating that the application is in response to this announcement and print on line 2 "HEF of Older Rural Populations, PA-91-64." The standard receipt dates for applications by the Division of Research Grants apply (for R01, R29, P01, and K04: February 1, June 1, and October 1; for T32, F32, and F33: January 10, May 10, and September 10 of each year). Mail the complete original application and the appropriate number of copies to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** This program is described in the Catalog of Federal Domestic Assistance No. 93.866. Agency Research Awards will be made under the authority of the Public Health Service Act, Title III, Section 301 (Public Law 78-410, as amended; 42 USC 241 and 41 USC 289) and be subject to PHS Grants Policies and Federal Regulations 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to Health Systems Agency review or Executive Order 12372. $$P6 END *************************************************************** FULL TEXT OF RFAs FOR ONLINE ACCESS $$XID RFA DKHD9113 DKHD-91-13 P1O1 ************************************* RESEARCH TRAINING AND CAREER DEVELOPMENT AWARDS IN NUTRITION AND OBESITY RFA: DKHD-91-13 P.T. 34, 44; K.W. 0710095, 0765020, 0715145, 072005 National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Child Health and Human Development Application Receipt Date: September 18, 1991 The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the National Institute of Child Health and Human Development (NICHD) invite applications for research training and for career development (T32, F32, K08, K11) for physicians and basic scientists in the areas of nutrition and obesity-related research. The intent of this Request for Applications (RFA) is to provide research training and career development support to persons who have a commitment to and an aptitude for research in nutrient metabolism, obesity, eating disorders, and/or energy regulation, as well as maternal-fetal, infant, and childhood nutrition. The NIDDK and NICHD as part of the Public Health Service (PHS) are 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 is related to the priority area of nutrition and obesity as targeted by that document. 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, D.C. 20402-9325 (telephone 202-783-3238). BACKGROUND The Nutritional Sciences Program of the Division of Digestive Diseases and Nutrition (DDDN), NIDDK, supports research, research training, and career development programs on nutrient metabolism, obesity, eating disorders, and energy regulation. NICHD supports similar activities in the nutrition of low-birth-weight infants, nutrient metabolism as related to growth and development, nutritional antecedents of adult disease, and dietary therapy of inborn errors of metabolism. Nutrition and obesity-related research needs and opportunities in the early decades of the next century will require an increased number of physicians and basic scientists with nutrition sciences training that can be related to clinical nutrition problems falling within the DDDN and NICHD program areas. The number of awards for training support aimed at supplying this cohort of qualified scientists has declined over the past decade. In particular, the K award mechanism has been under-utilized, and more applications from promising candidates for this type of award are encouraged. This RFA is directed to strengthening the national capacity for nutrition and obesity-related research. OBJECTIVE AND SCOPE The objective of this solicitation is to increase the number of physicians and basic scientists who can conduct high quality research in the area of nutrition and obesity, compete for NIH grant support, and provide leadership in the areas of clinical nutrition/obesity research. Of particular importance is an increase in the number of underrepresented minority persons who are supported on NIH nutrition/obesity research training and career development awards. The award mechanisms offered to achieve this are: 1. The National Research Service Award Institutional Training Grant (T32) 2. The National Research Service Award Individual Postdoctoral Fellowship (F32) 3. The Physician Scientist Award (K11) 4. The Clinical Investigator Award (K08) Potential applicants are encouraged to read the guidelines* for each mechanism to identify the mechanism most appropriate to their needs. In the case of the Institutional Training Grant, both new and competing renewal applications are encouraged. Further, although predoctoral traineeships may be sought in these applications, there is a particular need for the research training of M.D.s and Ph.D.s. Thus, postdoctoral traineeships are encouraged on Institutional Training Grant applications. ELIGIBILITY REQUIREMENTS Physician Research Training and Career Development: Physicians receiving support under any of the award mechanisms offered in this RFA also may be enrolled in a medical or surgical subspecialty training program that relates to the nutrition/obesity program of DDDN and NICHD. However, a full-time commitment to research training is required: grant funds are for research training and career development only, and may not be used for the support of clinical training or clinical services. Such clinical subspecialty activities must be supported from other funding sources. The following requirements apply to physician research training and career development and are in addition to the standard eligibility criteria* for these PHS award mechanisms and apply to these awards under this RFA. In addition, the following applies: 1. Institutional Training Grant (T32): The applicant organization must be or must be associated with a major medical institution and must have or be able to develop a potential basic science training staff who have NIH or other competitively awarded research support. M.D. trainees must have completed a residency in internal medicine, surgery, or pediatrics. Ph.D. trainees are also eligible; consultation with DDDN staff is important to the potential applicant. * General guidelines and eligibility requirements: for the Institutional Training Grant see the NIH Guide for Grants and Contracts, Vol. 16, No. 20, June 12, 1987; for the Individual Postdoctoral Fellowship see the NIH Guide for Grants and Contracts, Vol. 17, No. 3, January 22, 1988, and "NIH National Research Service Awards", DRG, NIH, November 1, 1988; for the Physician Scientist and Clinical Investigator Awards see "The K Awards", Division of Research Grants, NIH, October 15, 1990. If not available at your institution, all of these documents are available from the NIH Office of Grants Inquiries, Westwood Building, Room 449, National Institutes of Health, Bethesda, MD 20892 (telephone 301-496-7441). 2. Physician Scientist Award (K11) and Clinical Investigator Award (K08): The applicant must have completed, by the time an award would be activated, a residency in internal medicine, surgery, or pediatrics. 3. Individual Postdoctoral Fellowship (F32): The applicant must have received the Ph.D., M.D., or equivalent degree prior to the beginning date of the appointment. DURATION OF SUPPORT AND BUDGET 1. The National Research Service Award (NRSA) Institutional Training Grant is a five-year renewable award providing trainee stipends, tuition and fees (including medical insurance), travel allowances, and $2,500 per year per trainee for institutional costs. Trainees can be appointed for up to three years, with waivers of this restriction considered for persons needing four or five years of research training. 2. The NRSA Individual Postdoctoral Fellowship permits initial requests for up to three years of support, with waivers of this limit possible for persons who find that a total of four or five years of research training support is needed. The award provides a stipend plus an institutional allowance of up to $3,000. 3. The Physician Scientist Award and the Clinical Investigator Award each provides five years of research career development support. These awards provide salary support of up to $50,000 per year, fringe benefit costs, and allowances specific to each of the two award mechanisms. TERMS OF THE AWARDS AND AVAILABILITY OF FUNDS Physician trainees supported by the Institutional Training Grant are expected to pursue a minimum of three continuous years of research training, at least one of which is supported on the Institutional Training Grant. The grantee institution must have a commitment to each trainee for the support necessary to complete research training if resources other than the Institutional Training Grant are to be used. Preferably, physician trainees will be engaged in a Ph.D. or equivalent program. Basic scientist postdoctoral trainees are expected to complete at least one year of research training supported by the Institutional Training Grant. Under this RFA, depending on the availability of funds and the receipt of meritorious applications: 1) the NIDDK plans to award at least: one Institutional Training Grant (the actual number depending upon the pool of competing renewal applications), two Physician Scientist and/or Clinical Investigator Awards, and four Individual Postdoctoral Fellowship Awards; 2) the NICHD plans to award at least two Physician Scientist and/or Clinical Investigator Awards. The earliest possible award date is January 1, 1992 for the Individual Postdoctoral Fellowship applications and April 1, 1992 for the Institututional Training Grant, Physician Scientist Award, and Clinical Investigator Award applications. SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDY POPULATIONS NIH and ADAMHA policy is that applicants for NIH/ADAMHA 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 is 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 Section 2, A-D of the Research Plan AND summarized in Section 2, E, Human Subjects. Applicants/offerors 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. For foreign awards, the policy on inclusion of women applies fully; since the definition of minority differs in other countries, the applicant must discuss the relevance of research involving foreign population groups to the United States' populations, including minorities. If the required information is not contained within the application, the application will be returned. 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. APPLICATION PROCEDURE Use the Public Health Service Grant/Award application kits (PHS 398, rev. 10/88 for Institutional Training Grant, Physician Scientist Award, and Clinical Investigator Award applications. Use the PHS Individual National Research Service Award application kit PHS 416-1, rev. 7/88, for the Individual Postdoctoral Fellowship). Write "NIDDK-NICHD Nutrition RFA DKHD-91-13" on line 2 of the PHS 398 form, and on line 3 of the PHS 416-1 form. One copy of the RFA label available in the PHS 398 application kit must be stapled to bottom of the face page of the original application. Failure to use these identifying labels could result in delayed processing of your application such that it may not reach the review committee in time for review. Applicants for the Institutional Training Grant should follow special guidelines, "NIDDK Suggestions to National Research Service Award Institutional Training Grant Applicants," available from the Research Training and Career Development Program, DDDN, NIDDK, see below. The original and six copies (if using the PHS 398) or two copies (if using the PHS 416-1) must be submitted to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** REVIEW PROCEDURES Upon receipt, applications will be examined by the NIH Division of Research Grants for completeness. Incomplete applications will be returned to the applicant without further consideration. Evaluation for responsiveness to the program requirements and criteria stated in the RFA will be performed by NIDDK and NICHD staff. Applications that are judged nonresponsive will be returned to the applicant without further review. Such applications may be submitted as investigator-initiated applications at the next appropriate receipt date. Initial review for scientific and technical merit is conducted by a group of predominantly non-Federal scientists convened by the NIDDK. A second level review is conducted by the National Advisory Diabetes and Digestive and Kidney Diseases Council or the National Advisory Child Health and Human Development Council, or, in the case of the Individual Postdoctoral Fellowship, by an NIDDK inhouse committee. TIMETABLE Application receipt date: September 18, 1991 Initial review date: January 1992 Advisory Council review date: May 1992 Anticipated award date: July 1, 1992 (F32s: May 1, 1992) INQUIRIES For further information please contact: Judith M. Podskalny, Ph.D. Director, Research Training and Career Development Program Division of Digestive Diseases and Nutrition National Institute of Diabetes and Digestive and Kidney Diseases Westwood Building, Room 3A15 National Institutes of Health Bethesda, MD 20892 Telephone: (301) 496-7455 or Ephraim Y. Levin, M.D. Medical Officer National Institute of Child Health and Human Development Executive Plaza North, Room 637 National Institutes of Health Bethesda, MD 20892 Telephone: (301) 496-5593 For information on fiscal matters and payback requirements contact: Mrs. Nancy Dixon Supervising Grants Management Specialist DDN/KUH Team Leader National Institute of Diabetes and Digestive and Kidney Diseases Westwood Building, Room 649 Bethesda, MD 20892 Telephone: (301) 496-7467 This program is described in the Catalog of Federal Domestic Assistance No. 93.848. Awards will be made under the authority of the Public Health Service Act, Section 301 (Public Law 78-410, as amended 42 USC 241) and administered under PHS grants policies and Federal regulations, most specifically 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or to Health Systems Agency review.