kristoff@GENBANK.BIO.NET (Dave Kristofferson) (03/01/91)
$$XID RFA NR9102 NR-91-02 P1O1 ***************************************** EXPLORATORY CENTERS FOR HEALTH BEHAVIOR RESEARCH WITH CHILDREN AND ADOLESCENTS RFA AVAILABLE: NR-91-02 P.T. 34, AA; K.W. 0404000, 0715020, 0745035 National Center for Nursing Research National Institute of Child Health and Human Development National Institute of Mental Health Letter of Intent Receipt Date: April 15, 1991 Application Receipt Date: May 20, 1991 PURPOSE The National Center for Nursing Research (NCNR), the National Institute of Child Health and Human Development (NICHD) and the National Institute of Mental Health (NIMH) invite applications from interested institutions to establish multidisciplinary exploratory centers to investigate health behavior development in children and adolescents (ages 8-18). 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, "Exploratory Centers for Health Behavior Research with Children and Adolescents," is related to the priority area of the development of several health promotion behaviors. 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 Recent governmental and non-governmental reports (1-4) highlight the significance of behaviors which compromise health in the short term and have major long-range implications for the onset of chronic diseases including cardiovascular disease and cancer. These patterns of behaviors including diet, physical activity, alcohol and tobacco use, risk taking, and sexual behaviors begin in childhood and adolescence and continue into adulthood. Although the immediate as well as lifelong adverse consequences of adolescent behaviors is well recognized, little is known about the natural history of such behaviors and the specific needs fulfilled by different types of behaviors. Healthy alternatives to meeting the needs of adolescents need to be identified and tested. During the last decade overwhelming improvements in health due to the control of epidemic and endemic infections have led to the emergence of injuries, diseases, and conditions which adversely affect health patterns generated by living and behavioral factors. Of the ten leading causes of death in the United States, each is in part behaviorally determined and can be significantly reduced through changes in behavior. Children and adolescents within our society are of special concern, because this period in life is critical in the development of health compromising and health promoting behaviors. Nurses and other health care providers work with children, adolescents and their families to assist them in achieving essential developmental tasks, providing anticipatory guidance in thinking through difficult situations and implications of high risk behaviors. There has been little work to delineate strategies or environments that foster optimal psychosocial and biological development or that examines successful adaptation and coping with adversity. All of the referral reports 1-4 refer to numerous concerns for the health of children and adolescents. Of high school seniors who smoke, 75 percent report that they smoked their first cigarette by grade 9. Among adolescent boys aged 12-17, nearly 7 percent had used some form of smokeless tobacco within the last month. Although the average age of first use of alcohol and marijuana is 13, pressure to begin use starts at even younger ages. Lifetime diet and exercise patterns are often established in childhood and continue into adolescence and adulthood. Fat makes up more than 36 percent of the calories in the average American diet. A comparison of body composition among children between 1965 and 1985 showed a steady increase in skinfold thickness. Only 32 percent of children in grades 1-6 and 44 percent of those in grades 7-9 participate in daily physical education programs, and only one state requires daily physical education from kindergarten through grade 12. Alcohol is a major contributor to both motor vehicle accidents and other health compromising behaviors. More that 50 percent of young people have already used alcohol before entering high school. In 1989, about 60 percent of high school seniors reported drinking alcohol in the previous month, and 33 percent reported occasions of heavy drinking (having five or more drinks on one occasion in the last 2 weeks). In a 1987 national survey, 28 percent of 8th graders and 38 percent of 10th graders reported multiple occasions of heavy drinking. The risks of early sexual activity include not only unwanted pregnancy but also infection by sexually transmitted diseases. Of the approximately 1.1 million girls aged 15-19 who become pregnant each year, an estimated 84 percent did not intend pregnancies. Only one third of the sexually active adolescents report using contraceptives regularly. Unintentional injuries have now replaced infectious diseases as the cause of greatest morbidity and mortality for children and adolescents. After the first birthday, injuries cause more fatalities than all diseases combined. The highest rate of injuries occur in the teen years when multiple risk behaviors are combined with emerging independence and experimentation. Of special concern are children and adolescents belonging in high risk population groups that experience above average incidences of death, disease, and disability. These include those with low incomes, members of racial or ethnic minority groups, and those with disabilities. SPECIFIC OBJECTIVES AND AREAS OF INTEREST The mission of the NCNR is to support basic and clinical research and research training in patient care relevant to nursing. Nurses work in a variety of settings including the community, clinics, hospitals and schools, where they have the opportunity to influence childhood and adolescent behaviors at critical points in time. This RFA seeks empirically-based research that will form the foundation for nursing interventions in health promotion and disease prevention, and facilitate health-enhancing patterns of behavior in children and adolescents. The mission of the NIMH is to support research to increase knowledge and improve research methods on mental and behavioral disorders; to generate information regarding basic biological and behavioral processes underlying these disorders and the maintenance of mental health. This RFA seeks empirically based multidisciplinary research that will form the foundation for biomedical and behavioral interventions to facilitate health- enhancing patterns of behavior in children and adolescents. The mission of the NICHD is to support biomedical and behavioral research and research training programs to increase basic and clinical knowledge and understanding of the biological and behavioral factors that influence and optimize health and development from conception through infancy, childhood, adolescence and parenthood. This RFA seeks empirically based multidisciplinary research that will form the foundation for biomedical and behavioral interventions and prevention strategies with children and adolescents. There is a need for studies that will develop and test theory based interventions critical for health professionals working with children in schools and other settings that encompass knowledge of behavior, learning, and psychological and cognitive development. The implications of these interventions on health status will need to be evaluated. A recent paper on Health and Behavior Research (5) listed three categories of biobehavioral research which provides a useful framework for categorizing questions of interest. Utilizing these categories with child and adolescent populations, applicants are invited to apply for support of projects to address issues including but not limited to: Category 1: Behavioral Epidemiology-Identification and Distribution of Behavioral Risk Factors. o What are the physiological, psychological and social factors which may interact with and modify known risk factors in children and adolescents? o How can one develop and test models of physical, psychological and social determinants of risk behaviors among children and adolescents? o What are the variations in health behaviors and confounding problems related to race, gender, ethnic and cultural groups or socioeconomic status? o What is the relationship of clusters of other behaviors to those that compromise health, and how do they interact? o What are the psychosocial and environmental risk factors and early signal events that convey differential readiness to engage in health compromising or risk behaviors and how do they differ across cultures, ethnic groups and transition periods? Category 2: Establishment, Change and Maintenance of Health Related Behaviors. o What are the antecedent and consequent factors which foster the development, maintenance and modification of health threatening or health promoting behaviors in children and adolescents over time? o What are the mechanisms and strategies by which deleterious behavior patterns associated with risk for disease or injury can be changed or prevented? o How do children and adolescents acquire, comprehend and incorporate health values and health information (including what they see and hear in mass media) into their daily lives? o What are the cognitive, perceptual and physiologic factors that affect health promoting behaviors and how do they differ by culture, gender and ethnicity? o What is the relationship of transition periods of growth to health compromising and health promoting behavior? o How can intervention programs with adolescents accommodate multiple risk behaviors simultaneously and deal with the common function and the linkages between them? o How can alternative strategies (e.g. minimization, substitution, insulation, and delay of onset) acknowledge and be integrated into the experimentation and exploration of risk behaviors that occur as an important part of normal adolescent development? Category 3: Basic Behavioral Biological Mechanisms. o How do behavioral mechanisms or processes in children and adolescents mediate or alter biological processes that produce health or illness outcomes? o What is the neuro-endocrinologic basis of the gendertypic stress response? o How do neuro-hormonal influences interact with environmental socialization? o How can learning and other behavioral factors (e.g. stressors) exert an influence on the adolescents immune system? o How do genetic factors influence or interact with physiologic, behavioral and social development throughout childhood and adolescence? ELIGIBILITY Institutions or consortia of institutions are eligible to apply if they have at least two Principal Investigators with any PHS agency or comparable peer reviewed research project (R01) grants that are currently active. These grants must be in Health and Behavior Research (6). Each application originating from a college or department of nursing must include collaboration with other behavioral and/or clinical scientists in other departments or colleges. Each application originating from behavioral scientists and/or other clinical scientists must include collaboration with nurse scientists. Schools of nursing currently funded for Centers Programs (P50, P20) are not eligible. The NIH Working Group on Health and Behavior has developed the following statement on health and behavior research as a guide. As life style and behavioral factors have been identified as the major causes of death in the U.S. and as the interactions of psychosocial and behavioral variables on biological processes have come to be recognized, social and behavioral sciences are making increasingly important contributions to understanding the promotion of health and effective functioning and the prevention, treatment, and cure of disease. Many medical problems, including heart disease and cancer, appear to be influenced by behavioral and social variables, such as habits of living; by social environments (work, family, community); and by what has been termed "psychosocial stress." Examples of processes linking behavior to physical health are: 1) habits and life styles, such as smoking, heavy drinking, physical or social activity, diet, and hygienic practices that influence health and functioning; 2) reactions to illness by both health care providers and patients (e.g., denying or minimizing the significance of symptoms, delay in medical care, failure to prescribe treatment or to comply with treatment and rehabilitation regimens); 3) direct alterations in tissue function, as through the brain's influence on hormone production, or through physiological responses to psychosocial stimuli (e.g., stress); and 4) influence of health and functioning on psychological, behavioral, and social processes and outcomes. (Revised 3/90) EXPLORATORY CENTER GRANT Description and Goals The Exploratory Center Grant provides an environment which will strengthen the research, increase productivity, assist in the development and application of innovative research methodologies, and generate new ideas through formal interdisciplinary collaborative efforts in health and behavior research targeted at children and adolescents. The focus may be clinical research, basic research or a combination. The implications of these preliminary studies to future interventions needs to be clearly articulated. The goals of the Exploratory Center Grant Program are to encourage groups to: demonstrate the feasibility of developing and initiating multidisciplinary studies of health behavior in children and adolescents; effectively compete for support of multidisciplinary centers if demonstrated to be feasible and monies are available; and/or effectively compete for support for individual research grants of health behavior development in children and adolescents. MECHANISM OF SUPPORT The support mechanism for this RFA is the Exploratory Center Grant (P20). The Exploratory Center Grant should consist of (1) an administrative and planning core providing administrative, coordinating, planning, logistical, and/or methodological (e.g., research design, data analysis) support and (2) small-scale studies. The initial award period is for three years, and the award may not be renewed. Grants will be administered in accordance with the PHS Grants Policy Statement (10/01/90). Applicants for Exploratory Center Grants may request up to three years of support at a maximum of $100,000 dollars total costs for each year. 1 The Administrative and Planning Core The Core manages the overall activities of the Center and should include a specified Center Director and a discrete administrative structure (including an Advisory Committee). The Core may also include the administration of shared resources, such as data sets, community or clinical research facilities, or provide research design and data analysis/statistical services. Each applicant institution should name a Center Director who will be the key figure in the scientific administration and management of the Exploratory Center grant. The Director should be an experienced researcher with demonstrated leadership appropriate to the coordination and development of the Center. The Center's Administrative and Planning Core should accomplish the following: o Coordinate and integrate the Center's activities. o Review the utilization of funds, including funds for the small-scale or pilot studies. o Advise the Center Director on the activities of the Center. This includes providing advice to the Director regarding (a) small-scale studies (see Advisory Committee below) and (b) a long-range research agenda in health behavior research with children and adolescents, and assistance in the preparation of research grant applications to implement this agenda. The application should include an initial description of such a long-range research agenda. While the final administrative structure of the Center will be left up to the discretion of the applicant institution, experience demonstrates that effective development of Center programs requires interaction among the Director, the Principal Investigators of the small- scale studies, appropriate institutional administrative personnel, and the staff of the NIH funding units. Like other multidisciplinary grant programs, the success of the Center is dependent upon the involvement of scientific and professional personnel representing a variety of disciplines who must be willing to relate to and collaborate with each other in order to facilitate the development of new knowledge. Moreover, it is important that a person with institutional management expertise and experience be directly involved with the fiscal aspects of the application and grant. The Advisory Committee should be established to assist the Director in making the scientific and administrative decisions relating to the Center. It will also assist the Director and scientists in the identification and securing of additional funding to promote the collaborative research and teaching activities of the Center. With the Director, the Advisory Committee will be responsible for the allocation of Center funds as well as the identification and selection of personnel, should this be necessary during the grant period. It will have the responsibility of evaluating the small-scale studies proposed in the initial application and to be developed during subsequent years. It may perform other duties as deemed appropriate by the applicant institution. The committee should be composed of scientists and administrators with expertise and experience relevant to the Center's scientific program. Members may be employees of the grantee institution or of other institutions. However, at least one member of this committee must be from outside the Center or college (i.e., either at the applicant institution or another institution). 2 Small-scale Studies The small-scale studies consist of pilot topics in two of the three categories, or preliminary research relevant to the three broad topic areas (categories) described in Section III. While an application cannot address all topic areas, it should include at least two of them. This funding mechanism is intended to furnish modest support that will allow an institution the opportunity to develop preliminary data sufficient to provide the basis for applications for independent research through conventional granting mechanisms. Small-scale studies are typically limited to a nonrenewable period of one to two years. Applications submitted in response to this RFA must propose a minimum of two, (but three is encouraged) small- scale studies to be supported during at least the first year of the award. Subsequent preliminary research projects (a minimum of two on-going each year) may be developed during the course of the award and must be submitted to the Advisory Group for approval and discussed as part of the annual continuation application and progress report. The research plan and results of each small-scale study must be reported in the Center's annual progress reports to the specific NIH ICD. Basic psycho-social, demographic, behavioral, and biobehavioral research may be supported to the extent that it is relevant to the study of Health Promotion/Disease Prevention or the interrelation between health behavior development in children and adolescents. Some, but not all of the proposed research, may address the translation of existing and resulting research findings into applied intervention and demonstration programs for improving the health, effective functioning, and well-being of children and adolescents through the promotion of health as well as the prevention of disease. Consortium Arrangements If consortium arrangements are contemplated, the following information should be provided in the application: o A list of all proposed performance sites both at the applicant institution and at the collaborating institutions: o A separate, detailed budget for the initial and future years for each institution and, where appropriate, for each unit of activity at each institution; o A composite budget for all units of activity at each institution for each year, as well as a composite budget for the total proposed budget for each year; and o An explanation of the programmatic, fiscal, and administrative arrangements made between the grantee institution and the collaborating institutions. o Signature of both the Principal Investigator(s) and business representative(s) of the consortia applicants indicating agreement with preliminary arrangements. Institutions with General Clinical Research Centers o Applicants from institutions which 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 either the GCRC Program Director or Principal Investigator should be included with the application. INCLUSION OF MINORITIES AND WOMEN 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 and 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 populations 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 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 and 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 the NIH are required to address these policies. NIH funding components will not award grants or cooperative agreements that do not comply with these policies. METHOD OF APPLYING Pre-Application Process Prior to submission of the formal application, consultation with NCNR, NICHD or NIMH staff concerning the technical and substantive aspects of preparing the application is recommended. Applicants should contact staff by phone early in the preparation of the application. However, applicants should understand that advice given by staff is independent from and has no influence on the review process. Potential applicants are encouraged to submit to designated staff a non-binding letter of intent by April 15, 1991. The letter of intent neither influences review nor funding decisions, but it enables the staff to plan the review and to ensure that each potential applicant receives relevant program information prior to preparation of the application. Letters of intent should be directed to: NCNR John Chah, Ph.D. Executive Secretary, Nursing Science Review Committee National Center for Nursing Research, NIH Building 31, Room 5B19 Bethesda, MD 20892 Inquiries should be directed to: NCNR Sharlene M. Weiss, Ph.D., R.N. Chief, Health Promotion/Disease Prevention Branch National Center for Nursing Research, NIH Building 31, Room 5B09 Bethesda, MD 20892 Telephone: (301) 496-0523 NICHD Peter Scheidt, M.D., M.P.H. Medical Officer Human Learning and Behavior Branch National Institute of Child Health and Human Development 9000 Rockville Pike, EPN Bethesda, MD 20892 Telephone: (301) 496-6591 NIMH Leonard Mitnick, Ph.D. Chief, Basic Prevention and Behavioral Medicine Research Branch National Institute of Mental Health Parklawn Building, Room 11C-06 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 443-4337 For fiscal and administration matters, contact: Sally A. Nichols Grants Management Officer Office of Administrative Management National Center for Nursing Research Building 31, Room 5B06 Bethesda, MD 20892 Telephone: (301) 496-0523 Application Procedures The application must be submitted on PHS Form 398 (revised 10/88). Application kits (Form 398) may be obtained from institutional offices of grants and contracts and from: Office of Grants Inquiries DRG, NIH Westwood Building, Room 449 5333 Westbard Avenue Bethesda, MD 20892 The receipt date for applications by the NIH Division of Research Grants is May 20, 1991. Mail the complete original application and four copies to: DRG, NIH Westwood Building, Room 240 Bethesda, MD 20892** To expedite review, two copies should also be sent to: Executive Secretary, NRRC, NCNR, NIH Building 31, Room 5B19 Bethesda, MD 20892 All human subjects, animal welfare and misconduct assurances must be complete for a proposal 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. Special Application Instructions 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 are designed primarily for applications for single research projects. Exploratory Center Grant applications require additional information as outlined below. Page limitations presented in the Form 398 Instructions should be followed closely unless otherwise noted. 1 Face Page To identify the application as being in response to this RFA, check YES on item 2 of page 1 of the Form 398 and enter the title ("Exploratory Centers..."). The RFA label available in the PHS 398 kit 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 in time for review. This is page 1 of the application; all succeeding pages should be numbered consecutively. 2 Description and Key Personnel (PHS 398, page 2) This section should concisely state the overall goals of the entire Exploratory Center and clearly state the contribution of each component to the overall goals. Key personnel for the entire Exploratory Center, including consultants and consortium collaborators, if any, should be listed alphabetically. 3 Detailed Budget for First 12-Month Period (PHS 398, page 4) Present a detailed composite budget for all requested support for the first year. In addition, provide separate budgets in the same format and budget justifications for each component of the Center. If collaborative efforts involving other institutions or organizations are anticipated, itemize all costs associated with such third- party participation, including any applicable indirect costs on a separate budget page and enter the total under the "Consortium/Contractual Costs" direct costs budget category of the composite budget. (See "Policy for Establishing Consortium Grants," NIH Guide for Grants and Contracts, Vol. 14, No. 7, June 21, 1985.) The annual budget (direct and indirect costs combined) for the first year of requested support may not exceed $100,000. 4 Budget Estimate for Each Year of Requested Support (PHS 398, page 5) Generally, future years should be limited to increments of 4 percent. Include estimates for future small-scale studies. 5 Biographical Sketches (PHS 398, Form Page "Biographical Sketch" and Continuation Page) Biographical sketches for each professional personnel, as per PHS 398 instructions, must not exceed two pages. Therefore, cite only the most relevant publications. Sketches are required for all professional personnel participating in the Administrative and Planning Core the small-scale studies and for all consultants. 6 Summary of Other Sources of Support (PHS 398, Other Support) Follow instructions of PHS 398. 7 Program Narrative (PHS 398, Continuation Pages) The narrative should provide the required information in the order noted below: o Goals: Present the general program area to be addressed and overall long-term objectives. o Specified Area of Research: This section should establish the programmatic theme and address the issue of the integration of components, demonstrating how each individual component will benefit from and/or contribute to the overall Center. o Description and Plan: This section should include an overall description of the programs and plans for the Center as well as a description of each of the Center components. This section should describe (a) the Administrative and Planning Core, including the Advisory Committee (ten pages maximum); (b) an initial long-range research agenda and the planning procedures for its elaboration and specification (5 pages maximum); and (c) the small-scale studies proposed for the first year (at least two, three is recommended, 10 pages per study, 30 pages maximum total for (c). 8 Resources and Environment Briefly describe the institutional environment and resources that are relevant to effective implementation of the Center. This may include statements about clinical, laboratory, field, or survey facilities, participating and affiliated units, patient or other subject populations, geographic distribution of space and personnel, consultative resources, computational facilities, etc. 9 Appendices Follow instructions on page 23 of PHS 398. BUDGETARY CONSIDERATIONS Level and Duration of Support Subject to the availability of funds, NCNR, NICHD, and NIMH anticipate making approximately 6 awards under this RFA. The maximum amount per award will be $100,000.00 (direct and indirect costs) per year for three years with the intent that the majority of the funds under this RFA be devoted to the Small-scale Studies. The Administrative and Planning Core should not exceed 20 percent of the amount requested. Allowable Costs Unless otherwise indicated, allowable costs and policies governing the research grant program of the NIH will prevail. Overlapping support between the Exploratory Center grant and other NIH grants and contracts to the applicant institution will be administratively reviewed and, if appropriate, will be adjusted to avoid duplication of funding. Support may be requested for salaries of professional, technical, and support personnel within the Center who contribute to allowable activities of the Center. The salaries derived from the Center grant will depend on the effort provided and institutional salary policies. Salaries of personnel engaged in research activities supported by small-scale funds are allowable cost items as are salaries of personnel in the Administrative and Planning Core. Stipends for research fellows/trainees are not allowable. No overlap of time or effort between the Center and other separately funded projects is permitted. Support for secretarial and administrative staff may be provided to the extent that their activities relate to administrative management of the Center's activities, providing these costs have not been included in the institution's indirect cost pool. Expenditures for major equipment under this RFA will be considered only under exceptional circumstances. The application must document what is already available and provide clear justification in terms of use by investigators in more than one small-scale study and/or in terms of need for implementing the institution's long- range research agenda. General purpose equipment needs may be included and justified only after surveying the availability of such items within the institution. Consumable supplies directly related to the operation of the Center are allowed. These supplies include office materials as well as scientific supplies, but should not provide supplements to the general supply category of separately funded individual projects. Research patient care costs (both inpatient and outpatient expenses) will be considered in the context of other existing institutional clinical resources. Attempts should be made by the applicant institution to utilize existing clinical facilities, such as General Clinical Research Centers and individually supported beds. The Center is not intended to be a facility for health care delivery. Only those research patient costs directly related to research activities may be charged to the Center. While funds for alteration and renovation of an existing structure to provide suitable core facilities for the Center are allowable under current PHS guidelines, such request are not encouraged due to the overall budgetary level of support available. Domestic and foreign travel of Center personnel directly related to the activities of the Center is allowable. In addition to travel expenses associated with administrative, planning, and research activities, travel plans should include one professional or scientific meeting per year for the Center Director and other scientific personnel and must include one trip to NIH for a Research Workshop with other participating exploratory centers. Costs for consultant services (consultation fees, per diem, travel) may be included. Costs associated with consultation or scientific or technical assistance, evaluation of Center activities, review of small-scale studies, and/or small workshops, and the workshop to develop a long-range research agenda are allowable. Costs for telephone, photocopying, computer time, and publication related to the activities of the Center, including the small-scale studies, are permitted. REVIEW OF APPLICATIONS Review Procedures Applications will be received by the NIH Division of Research Grants and assigned to an NCNR ad hoc Review Group. Applications judged by program staff to be nonresponsive will not be accepted. If necessitated by a large number of applications, responsive applications may be subjected to triage by a peer-review group to determine their scientific merit relative to the other applications received. Applications judged to be noncompetitive will be returned to the applicant. Those applications judged to be competitive will be fully reviewed for scientific and technical merit by an ad hoc review group established by the NCNR, NICHD and NIMH. Following review, applications will be evaluated by the respective ICD National Advisory Council. Review Criteria The major review factors listed below will be used in the evaluation of the applications for Exploratory Center Grants: 1 Overall Program o The scientific merit of the program as a whole. The significance of the overall program goals and the development of a well-defined central focus. o The potential of the identified participants to develop multidisciplinary research programs of high merit as evidenced by previous accomplishments. o The balance of administrative and planning expenses in comparison to those for conducting the small-scale studies. 2 Administration and Planning Core o 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. o The proposed administrative organization to conduct the following: Maintenance of internal communication and cooperation among the investigators involved in the Center. Management that includes fiscal administration, procurement, property and personnel management, and planning budgets etc. Mechanism for selecting or replacing professional or technical personnel within the Center. Adequacy of the review committee to assess the scientific merit of the proposed small-scale studies. Mechanism for reviewing the use of administration of funds for small-scale studies. Appropriateness and adequacy of the multidisciplinary teams collaboration with the Center's members. o Adequacy of the initial research agenda and of the planning mechanism for elaborating a long-term research agenda for the institution. o The appropriateness of the Center budgets for the various components of the Center. 3 Small-scale Studies o The balance in coverage of the topics identified in Section III. Competitive applications will discuss the implications for nursing and/or other clinical interventions that will be tested in future studies. o The scientific and technical quality of the initial small-scale studies. (Note: Unlike a program project application, reviewers will not vote on the merit of each study. The overall quality of the proposed small-scale studies will be taken into account in arriving at an evaluation of the application.) 4 Institutional Commitment o The institutional commitment to the program, including lines of responsibility for the Center, and the institution's contribution to the management capabilities of the Center. o The degree of institutional contributions for the Administrative and Planning Core and/or to the Small-scale Studies. o The academic research 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. o The institutional commitment to any newly recruited individuals responsible for conducting essential Center functions and activities. 1 U.S. Department of Health and Human Services (1990). Healthy People 2000: National Health Promotion and Disease Prevention Objectives. (Conference Edition) Washington, D.D.: DHHS. (pages 1-53). 2 Carnegie Corporation of New York (1990). Adolescence: Path to a productive life or a diminished future? Carnegie Quarterly, XXXV, 1-13. 3 Feldman, S. Shirley and Glen Elliot (1990). At the Threshold: The Developing Adolescent. Cambridge, Mass: Harvard University Press. 640 pages. 4 U.S. Congress, Office of Technology Assessment (Forthcoming 1991). Adolescent Health. Overview of the Adolescent Population and Health. Washington, D.C. 5 Krasnegor, NA. Health and Behavior: A Perspective on Research Supported by the National Institutes of Health, Annals of Behavioral Medicine. Vol. 12, No.2, 1990 (pp. 72-78).