BUILDING PRIMARY CARE RESEARCH INFRASTRUCTURE AT YOUR COMMUNITY HEALTH CENTER Harvard Catalyst Community Health Innovation and Research Program Grant # 1 UL1 RR025758-04 First Edition 1
Editors Shalini A. Tendulkar, ScD, ScM LeRoi Hicks, MD, MPH Karen Hacker, MD, MPH Harvard Catalyst Staff Karen Emmons, PhD Jonathan Finkelstein, MD, MPH Kerry Foley Evan Kutsko Contributors Safety-net Infrastructure Initiative Staff Nazmim Bhuiya, MPH Jocelyn Chu, ScD, MPH Alice Knowles, MS Anne Shila Waritu, MPH Kelly Washburn, MPH 2
Toolkit Overview This toolkit is designed to provide Community Health Centers with the elements needed to build a primary care research infrastructure. The toolkit is organized in eight easilynavigated, interactive, stand-alone modules. 3
Contents Module 1: Quality Improvement and Research Module 2: Building Primary Care Research Infrastructure Module 3: Data Module 4: Study Design and Methods Overview Module 5: Dissemination and Action Module 6: Funding your Research Module 7: Partnerships for Research Module 8: Ethics and the Institutional Review Board 4
Module 6 Funding your Research 5
Module 6 Learning Objectives After completing this module, participants will be able to: 1. Identify funding sources to support research/ QI 2. Describe the key components of each section of a grant proposal 6
7 Funding sources Federal funding sources (www.grants.gov) National Institutes of Health (NIH) Centers for Disease Control (CDC) Agency for Healthcare Research and Quality (AHRQ) Maternal and Child Health Bureau (MCHB) Professional organizations (e.g. American Academy of Pediatrics) Foundations (e.g. Robert Wood Johnson) Local and state departments of health Academic institutions Pilot grants Research fellowships
Grant Proposal Overview Click on the sections below to learn more about the various sections of a grant proposal: Cover Letter Abstract Specific Aims Background Preliminary Data Methods Analysis Limitations Budget Attachments TIP: Read the grant proposal guidance carefully for the specific sections required. 8
Cover Letter Introduction to the proposal Should be written to the program officer, the funder, the grants management person, etc. Provides information on: Study title 1-2 sentence summary of the research Principal Investigator s contact information 9
Abstract A concise summary of the research Background, aims, methods, results, discussion and implications Keep it short (e.g. 250 words) TIP: The abstract is often the first thing reviewers read so it should be engaging but concise. 10
Specific Aims Statement of the proposed research/ objectives/brief theoretical narrative introducing the issue/problem being addressed 1-2 pages in length Can include hypotheses TIP: Be engaging, persuasive, comprehensive and concise. 11
Background Describes the issue/problem Includes a literature review and relevant citations Include enough information to support the specific aims 12 TIP: Build the argument for why your research is important, innovative and necessary.
Preliminary Data Summarizes data collected in previous studies that helps build the case for this new proposed research. Describes team including who they are, their expertise and role and how their qualifications add value to the research Describes the intervention if relevant TIP: Make a strong case for why your research is feasible. 13
Methods Describes the research design, sampling strategy, inclusion/exclusion criteria, research setting Describes the study measures to be used including the outcome variables, other key variables (e.g. confounders). Describes the data collection procedures (e.g. who, what, when, where, how) 14 TIP: Break up the text with tables and figures.
Analysis Describes the plan to analyze the data Provide citations for software use Includes power calculations to explain the proposed sample size. 15
Limitations Describes the shortcomings or limitations of the research TIP: Try and frame each limitation as a strength or propose future research to address the limitation. 16
Budget Costs associated with the grant Personnel (salaries, stipends) Equipment Travel Training Materials and supplies Indirect costs (administrative overhead) TIP: Develop your budget early in the process of grant writing! 17
Attachments Letters of support Previous publications Copies of instruments Biosketches for key personnel Job descriptions 18
Grant Proposal Overview Click on the sections below to learn more about the various sections of a grant proposal: Cover Letter Abstract Specific Aims Background Preliminary Data Methods Analysis Limitations Budget Attachments TIP: Read the grant proposal guidance carefully for the specific sections required. 19
Discussion Questions To what extent have providers or staff engaged in grant writing at your organization? What have been their experiences? If providers or staff have not participated in grant writing, what are some barriers to their involvement in grant writing? How can you address some of these barriers? 20
Please do not reprint or distribute any of the materials in this module without permission. For permission, please contact: Karen Hacker, MD, MPH Executive Director of Institute for Community Health Director of Harvard Catalyst Safety-net Infrastructure Project, CHIRP KHacker@challiance.org This module contains images from the Microsoft Office Online ClipArt Gallery. 21