Getting Your D&I Grant Funded

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Getting Your D&I Grant Funded 2016 Dissemination and Implementation Short Course October 10-11, 2016 Madison, WI Ross C. Brownson Washington University in St. Louis

Objectives 1. Understand some key issues leading to success in grant writing/funding. 2. Provide section-by-section advice on writing a high quality D&I grant application.

What s inside the Black Box??

Success in grant writing What are two key ingredients for a successful grant application?

Two sets of information 12 competencies from our card sorting exercise classified beginner, intermediate, advanced Musings from study section veterans Also see: Brownson RC, Colditz GA, Dobbins M, Emmons KM, Kerner JF, Padek M, et al. Concocting that Magic Elixir: Successful Grant Application Writing in Dissemination and Implementation Research. Clin Transl Sci 2015;8(6):710-6

Competency examples Approach Utilize an appropriate D&I model or framework to organize a proposal and integrate research questions with clear and measurable study objectives; aims; measures, and analysis strategies. Identify measures that clearly assess the constructs of interest in the proposed study and are practical to apply in the proposed settings. Create a strategic dissemination plan for various target audiences that goes beyond the traditional publications and presentation at meetings.

What gets you funded?

Specific aims/hypotheses The first part read (you have one chance for a first impression!!) Include 2-5 realistic aims Address these throughout the proposal (esp. in measures/analyses)

The Essence of Specific Aims This is where reviewers decide whether they like your application (or not) Set up the general problem and your specific take on it Sell the Sizzle What is your unique contribution to new knowledge on an important problem? 2-4 realistic aims That grandma would understand That lay out what the project is about That relate & follow a logical order but still can be accomplished independently 1-2 lines (Not a paragraph! Not how you will accomplish them, but what you will accomplish) Sell the Steak How you will accomplish your aims, in broad brush strokes Bring it home Implications How the world will be a better place after your project is accomplished

Context: Tips How will a reviewer encounter this application? Heavy load of applications to review, not enough time, tight timeline, working on weekends/night If your application is difficult to understand, boring, or doesn t seem important, you have no chance. And Aims is the first thing reviewers will read. But, if they pick it up, and after the aims say to themselves Oh, that s interesting. And if the reading doesn t make them have to re-read any lines, but just draws them into a compelling story, you are halfway there. Audience: Depending on where you submit, reviewers may know a lot about your topic or relatively little. The way you write in those situations is quite different. To a familiar audience, don t belabor things that will be obvious to them; For reviewers from another discipline, explain your ideas and work in plain language and not in the jargon of your discipline.

Tips Aesthetics: An Aims page that is dense, wall-to-wall single spaced text looks overwhelming and uninviting. Use a more journalistic style with smaller chunks separated by space. Organization: Recognize that the structure and order of your Aims dictates how the approach section will be written. Think about what a logical flow and order would be, and make sure that later sections of the application follow what you ve established on the Aims page.

Strong focus on the approach Make this the core of your application Design Design rigor matches the research questions Address key threats to internal validity Address external validity (often ignored)

Approach (continued) Conceptual framework/theory Have a framework Be sure it fits your aims Many to choose from (over 60) Avoid inventing a new one unless absolutely necessary (see Tabak RG et al., in AJPM 2012) Link with aims, activities, measures, analyses

Approach (continued) Settings, recruitment & sampling Why these settings? How to recruit Experience reaching the population Partnership with/ engagement of stakeholders Issues of external validity Pilot data are often important for an R01

Approach (continued) Specify a measure or procedure for measuring each variable and document: feasibility, reliability and validity of each measure Suitability for the population(s) studied including respondent burden How new/adapted measures were pretested and whether they are psychometrically sound

Approach (continued) Analytic methods Link well with aims Include estimates of power if appropriate For qualitative work, show rationale for sample size and methods for analyzing and interpreting data For mixed methods projects indicate: how the data are to be integrated and by whom the integration will be achieved

Approach (continued) External validity Particularly important for D&I grants Often missing in the literature Thoughtful approach for collecting EV data Costs, adaptation, sustainability Who participates or not, at multiple levels

Approach (continued) Management & Dissemination plan (D4D) Describe how you will manage the project Include a time line Describe the uses of your findings Can you design for dissemination? (later) Sustainability

Significance Scope of the problem (keep it brief) Attributable risk (better yet, prevented fraction) The meaning of scale up Careful (not exhaustive) review of key literature to set up your study Needs in D&I research Gaps in literature (the scientific premise)

Defining what evidence-based means

Innovation In the eye of the beholder? What makes your study innovative? Study population (esp. disparities) New method of adaptation Applying a new method (systems, CBPR, network analysis) Using a non-health theory

For CBPR/PCORI approaches Think about framing as stakeholder engagement A nice theme for framing D4D Useful in adaptation of evidencebased approaches

Overarching issues & tips Read the funding announcement carefully Smaller grants = easier to get funded Think like a reviewer (busy, quick reaction, easily irritated, may be novices to D&I research or your content area) Match the grant type to your project/aims Discuss your idea with the program officer Turn to your institution for pilot funding to build the foundation for a larger grant

Overarching issues & tips Use tables/figures effectively Write, re-write, budget plenty of time to present your best work Unlike a journal article, a grant application should be as close to perfect as possible Hold a pre (mock) study section (seek out brutal reviewers) Participate in a review (may be ECR) Just like the best baseball players have a short memory at the plate; top scientists need to learn from rejection, build on it and move on.

And decision points are not always clear

Resources Proctor et al- Ten Tips on getting your IS grant funded Impl. Science, 2012, 7:96 Brownson et al successful D&I grant writing http://onlinelibrary.wiley.com/doi/10.1111/cts.12356 /abstract;jsessionid=fa1d95861e426b4bf527efa722 EFFA2B.f03t04 NCI website- Content analysis of funded grants: http://cancercontrol.cancer.gov/is/pdfs/dandi-par- Grant-FundedContentAnalysis.pdf UNC D&I website containing successful grant applications http://impsci.tracs.unc.edu/

It won t always seem fair.

With the right preparation, opportunity, and hard work

THANKS to Russ Glasgow, Matt Kreuter, Kurt Stange!!

Questions