Spring 2015 Cycle: Broad PFAs Applicant Town Hall April 6, 2015 - - PowerPoint PPT Presentation

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Spring 2015 Cycle: Broad PFAs Applicant Town Hall April 6, 2015 - - PowerPoint PPT Presentation

Spring 2015 Cycle: Broad PFAs Applicant Town Hall April 6, 2015 Agenda Research Plan Addressing Engagement in your application Completing other required sections of the application The Merit Review Process Questions? Ask a question via the


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Spring 2015 Cycle: Broad PFAs

Applicant Town Hall

April 6, 2015

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Agenda

Research Plan Addressing Engagement in your application Completing other required sections of the application The Merit Review Process Questions?

Ask a question via the chat function. Ask a question via phone (an operator will standby to take your questions).

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Today’s Presenters

Diane E. Bild, MD, MPH Senior Program Officer, Clinical Effectiveness Research Suzanne Schrandt, JD Deputy Director, Patient Engagement Christopher Gayer, PhD Program Officer, Communication and Dissemination Research Beth Kosiak, PhD Program Officer, Improving Healthcare System Soknorntha Prum, MPH Contracts Associate Contracts Management and Administration

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Your letter of intent (LOI) was reviewed and you have been invited to submit a full application……..

CONGRATULATIONS!

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Letter of Intent and Application

You were invited to submit a full application based

  • n the information provided in the LOI; changes

after the LOI require PCORI approval.

Show stoppers include:

Changes to the PI Changes to the Institution Changes to the Study Design Changes in Engagement

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Preparing your application for submission

First things first……. Get prepared

  • Read and review the PCORI Application Guidelines

Document

http://www.pcori.org/sites/default/files/PCORI-PFA-2015-Spring-Application-Guidelines.pdf

  • Re-read the funding announcement for which you are

applying

http://www.pcori.org/funding/opportunities

  • Review the PCORI Research Plan Template
  • Have a copy of your approved LOI readily accessible
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Research Strategy

Dissemination & Implementation Potential

Replication & Reproducibility of Research and Data Sharing

Protection of Human Subjects

Consortium Contractual Arrangements

References Cited

Appendix

Research Plan Template

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Research Strategy

Maximum 20 pages in length Use the Research Plan Template as your guide

  • Background
  • Significance
  • Study Design/Approach
  • Project Milestones/Timeline
  • Patient Population
  • Recruitment Plan
  • Estimated Racial/Ethnic and Gender Enrollment Table
  • Research Team and Environment
  • Engagement Plan

PLEASE provide all the information requested, as outlined in the template.

Page Limit

20

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Research Strategy

Two items to note:

  • Research questions and specific aims MUST be the

same as in the approved LOI unless the applicant has explicit and documented approval from the program to which they will submit.

  • While completing the study design/approach section,

applicants should cite PCORI’s Methodology Standards.

http://www.pcori.org/assets/2013/11/PCORI-Methodology-Report.pdf

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PCORI Monitors Projects

Deliverables: Measurable and verifiable

  • utcomes or objects that a project

team must create and deliver according to the contract terms Milestones: Significant events or accomplishments within the project; may have deliverables associated with them

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Example of Milestone Schedule

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Dissemination & Implementation Potential

Describe the potential for disseminating and implementing the results of this research in other settings. Describe possible barriers to disseminating and implementing the results of this research in other settings. Describe how you will make study results available to study participants after you complete your analyses. PCORI does not expect applicants to disseminate and implement findings at this time.

Page Limit

2

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Replication & Reproducibility of Research and Data Sharing

Describe the ability to reproduce potentially important findings from this research in other data sets and populations. Describe how you will make a complete, cleaned, de- identified copy of the final data set used in conducting the final analyses available within 90 days of the end of the final year of funding, or your data-sharing plan, including the method by which you will make this data set available, if requested. Propose a budget to cover costs of your data-sharing plan, if requested.

Page Limit

2

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Describe the protection of human subjects who will be involved in your research. Refer to NIH standards for research involving human subjects Page Limit

5

Protection of Human Subjects

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Study Participant Protection

Provide a Data and Safety Monitoring Plan that operates under the auspices of your institution Assure that key personnel are educated on human subjects protections Assure appropriate informed consent Establish procedures to minimize risks to participants Establish procedures to protect privacy and maintain confidentiality If you anticipate seeking waiver of individual informed consent, provide the rationale Refer to NIH standards for research involving human subjects

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Describe the proposed research projects that will be performed by subcontracted organizations; explain the strengths that these partners bring to the overall project. Page Limit

5

Consortium Contractual Arrangement

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References Cited

Following scholarly citation practice, list the source material cited in the Research Plan. Page Limit

10

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Appendix

PCORI applications may include an appendix for additional materials the investigators think may be useful Examples of additional materials are:

– Survey instruments – Papers and publications from members of the research team;

however, reviewers will not be required to include the appendices in the review and assessment of the project

Page Limit

10

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Application Common Mistakes

Inadequate support for the research question based on systematic reviews or identified gaps in clinical guidelines Studies of efficacy, not comparative effectiveness Low likelihood of study impact Limited, inappropriate, or non-specific patient-centered

  • utcomes

Inappropriate use or explanation of usual care as a comparator

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Missing key aspects of scientific design, such as well-justified power calculations Overly optimistic timeframe for enrollment Lack of support for key statements in the Research Plan Inadequately justified budgets Failure to think through complexities of recruitment and enrollment

Application Common Mistakes

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Recruitment

Discuss past experiences with recruitment Provide preliminary evidence of the potential for successful recruitment Consider barriers to recruitment – and how you plan to

  • vercome them

Strategies for successful recruitment – Engaged clinical sites – Clinician advocates for the study – Proactive, experienced research coordinator – Protocol flexibility, within reason

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Addressing engagement in your application

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The Engagement Rubric

Planning the Study Conducting the Study Disseminating the Study Results PCOR Engagement Principles

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Potential activities include

  • Identifying the topic and developing the research question and

comparators to be studied

  • Defining the characteristics of study participants

Examples of how to demonstrate this in your proposal

  • Providing letters of support from patient and stakeholder partners

that clearly describe the origin of the study topic and the role of the patient and stakeholder partners in defining the question,

  • utcomes, comparators, goals and outcomes, and so on

Planning the Study

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Real-World Examples

  • Mental health study: Patient partners and community members

helped craft the study name and materials to reduce the potential for stigma and to reframe the goal of the study as a movement toward emotional well-being rather than away from a mental health challenge.

  • Diabetes study: Clinicians who reviewed the initial study design

indicated that clinical practice is quite variable and suggested that a three-arm approach would be more appropriate for the study. The study design was revised accordingly.

Planning the Study (Cont’d.)

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Potential activities

  • Drafting or revising study materials and protocols
  • Assisting with the recruitment of study participants

Example of how to demonstrate this in your proposal

  • Providing letters of support from patient and stakeholder partners

that clearly describe the role of these partners in conducting and monitoring the study

  • Clearly articulating in the application the roles of the patient and

stakeholder partners in each component of study conduct (e.g., helping draft survey tools and focus group questions, reviewing participant materials for readability), including the dissemination and implementation assessment

Conducting the Study

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Real-World Examples

  • Chronic pain study: The informed consent document was developed

with patient partners to make it understandable to study participants.

  • Preeclampsia study: The study team is recruiting via a national network
  • f local health departments and community health centers, as well as

through a preeclampsia advocacy group’s website and Facebook page.

  • Asthma study: Clinicians and patients both provided guidance on who

should deliver the intervention, when it should be provided during the process of care, and how it should be delivered.

Conducting the Study (Cont’d.)

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Potential activities include

  • Identifying partner organizations for dissemination
  • Planning dissemination efforts

Examples of how to demonstrate this in your proposal

  • Clearly identifying the role of patient and stakeholder

partners in planning the dissemination of the study’s findings

  • Including patient and stakeholder partners on a project

committee that will oversee dissemination

Dissemination the Study Results

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Real-World Examples

  • Trauma study: The research team is convening a policy summit

with relevant professional societies during the third year of the study to focus on identifying ways to speed the implementation of findings into practice.

  • Neurology study: The research team presented at a neurology

patient advocacy conference to inform the community that this research was ongoing and to stay tuned for future results.

Dissemination the Study Results (Cont’d.)

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Six Engagement Principles

  • Partnership
  • Co-learning
  • Reciprocal relationships
  • Trust
  • Transparency
  • Honesty

Engagement Principles

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Real-World Examples

  • Providing financial compensation to patient and stakeholder

partners

  • Providing training opportunities for patient, researcher,

and stakeholder partners

  • Scheduling and locating meetings at mutually accessible

times and locations

Engagement Principles (Cont’d)

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Addressing engagement

Several approaches to engagement can succeed PCORI provides many engagement resources: – PCORI’s “Engagement Rubric”

http://www.pcori.org/sites/default/files/PCORI-Engagement-Rubric-with-Table.pdf

– Sample Engagement Plans

http://www.pcori.org/sites/default/files/announcement-resources/PCORI-Sample- Engagement-Plans.pdf

– Engagement in Research website page

http://www.pcori.org/content/engagement-research

– PCORI’s Methodology Standards PC-1 to PC-4

http://www.pcori.org/assets/PCORI-Methodology-Standards1.pdf

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Putting the application together

pcori.org/apply

Completing other required sections for your application

pcori.org/apply

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PCORI Online: Application

► PI and Contact Information ► Project Information ► Key Personnel ► Milestones ► Templates and Uploads

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Public Abstract

Project Information

Technical Abstract Project Narratives

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Key Personnel

► PI and Contact Information ► Project Information ► Key Personnel ► Milestones ► Templates and Uploads ► Save and Review

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Milestones

► PI and Contact Information ► Project Information ► Key Personnel ► Milestones ► Templates and Uploads ► Save and Review

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Templates and Uploads

► PI and Contact Information ► Project Information ► Key Personnel ► Milestones ► Templates and Uploads ► Save and Review

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People and Places Template - Biosketch

You may use the NIH biosketch or PCORI’s format Biosketches are required for all key personnel List all partners within the Key Personnel section Patient/Stakeholder Biosketch Page Limit

5

Per person

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People and Places Template – Project / Performance Site(s)

Demonstrate that the proposed facilities have the appropriate resources required to conduct the project to plan, within budget, and on time. Provide a description of the facilities that will be used during the project, including capacity, capability, characteristics, proximity, and availability to the

project

Page Limit

15

Professional Profile/Biosketch

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Budget Templates Three budget sections must be submitted as part of the online application process:

Detailed Budget Budget Summary Budget Justification NOTE:

A detailed budget is needed for each year of the

  • project. Complete each budget section for the

prime applicant and any/each subcontractor.

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Detailed Budget

Personnel Consultant Equipment Supplies Travel Other Expenses Consortium/Contractual Direct Costs Prime Indirect Costs Prime Direct Costs

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Budget Justification

Narrative that fully supports and explains the basis for the information in the Budget Detail – Provide sufficient detail to understand the basis for costs, the reason that the costs are necessary, and an explanation for major cost variances – Use the budget template to tell PCORI why the costs are reasonable for the work to be performed Breakdown of costs proposed for each consortia or contractor Must specify any other sources of funding that are anticipated to support the proposed research project Provide quotes, indirect cost rate letter, fringe benefit policy

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Letters of Support

All letters of support should be addressed to the PI to demonstrate the commitment of key personnel and supporting organizations to your proposed project. Letters of support should clearly reflect the substantive involvement and material contribution to be provided by the signatory parties, and are meant to substantiate the commitment

  • f collaboration of all forms.

Letters of support should be organized in the following manner:

  • Letters of organizational support
  • Letters of collaboration
  • Letters confirming access to patient populations, data sets, and additional

resources

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Common Application Submission Errors

Using the wrong browser, access PCORI Online via Chrome or Safari browsers Not entering information into all required fields in the system Having multiple people working on the application at the same time Having the incorrect file extension, only PDF files can be uploaded Not choosing the correct document type from the drop-down menu AO is unable to view the application

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Resources

Refer to the funding opportunities page in our Funding Center (http://www.pcori.org/funding/opportunities) for the following resources:

PFA and Application Guidelines Sample Engagement Plans Applicant Training: http://trainings.pcori.org/applicationtrainingspring2015/story.html General Applicant FAQs: http://bit.ly/applicant_faqs PCORI Online: https://pcori.fluxx.io/ Research Methodology: http://www.pcori.org/node/4020

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What happens to your application after you submit it?

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Administrative Screening

Applicants must follow administrative requirements set in PCORI’s Application Guidelines.

► Exceeding page limits, budget, or time limitations ► Not using PCORI’s required templates ► Submitting incomplete sections or applications

Missing the Mark

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Review of Full Applications

pcori.org/content/merit-review-process

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How Are Applications Reviewed?

Impact of the condition on the health of individuals/populations Potential for the study to improve healthcare and outcomes Technical merit Patient-centeredness Patient and stakeholder engagement

Applications are reviewed against five criteria:

  • Applications are reviewed

by a panel of two scientists, one patient, and one other stakeholder.

  • PCORI’s Board of

Governors makes funding decisions based on merit review and staff recommendations.

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Impact of the condition on the health of individuals and populations

Is the condition or disease associated with a significant burden in the US population, in terms of prevalence, mortality, morbidity, individual suffering,

  • r loss of productivity?

Alternatively, does the condition or disease impose a significant burden on a smaller number of people who have a rare disease? Does the proposal include a particular emphasis on patients with one or more chronic condition?

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Potential for the study to improve healthcare and outcomes

Does the research question address a critical gap in current knowledge as noted in systematic reviews, guideline development efforts, or previous research prioritizations? Has it been identified as important by patient, caregiver, or clinician groups? Do wide variations in practice patterns suggest current clinical uncertainty? Is the research novel or innovative in its methods or approach, in the population being studied, or in the intervention being evaluated in ways that make it likely to improve care? Do preliminary studies indicate potential for a sizeable benefit of the intervention relative to current practice? How likely is it that positive findings could be disseminated and implemented quickly, resulting in improvements in practice and patient outcomes?

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Technical Merit

Does the proposal delineate a clear conceptual framework/theory/model that anchors the background literature and informs the design, key variables, and relationships being tested? Are the comparison interventions realistic options that exist in current practice? Are sample size and power estimates presented that are based on realistic and careful evaluations of the anticipated effect size? Is the project timeline realistic, including specific scientific and engagement milestones? Does the research team have the necessary expertise to conduct the project? Is the organizational structure and are the described resources appropriate to carry out the project? Is there a diverse study population with respect to age, gender, race, ethnicity, and clinical status, appropriate for the proposed research?

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Patient-centeredness

Is the research focused on questions that affect outcomes of interest to patients and their caregivers? Does the research address one or more of the key questions mentioned in PCORI’s definition of patient-centered outcomes research?

– “Given my personal characteristics, conditions, and preferences, what should I expect will happen to me?” – “What are my options, and what are the potential benefits and harms of those

  • ptions?”

– “What can I do to improve the outcomes that are most important to me?” – “How can clinicians and the care delivery systems they work in help me make the best decisions about my health and health care?”

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Patient and stakeholder engagement

Are patients and stakeholders engaged in:

  • Formulating research questions
  • Defining essential characteristics of study participants, comparators, and outcomes
  • Identifying and selecting outcomes that the population of interest notices and

cares about (e.g., survival function, symptoms, health-related quality of life) and that inform decision making relevant to the research topic

  • Monitoring study conduct and progress
  • Designing/suggesting plans for dissemination and implementation activities

Are the roles and the decision making authority of all research partners clearly stated? Does the proposal demonstrate the principles of reciprocal relationships, co-learning, partnership, trust, transparency, and honesty?

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Multi-phase process for review

Preliminary review In-Person review Post-Panel review

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Submission and Key Dates

What When Application Deadline May 5, 2015 by 5:00pm ET Merit Review Dates August 6-7, 2015 Awards Announced September 30, 2015 Earliest Start Date November 2015

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Questions?

For Programmatic Inquiries… Phone: 202.627.1884 Email: sciencequestions@pcori.org For Administrative/Technical Inquiries… Phone: 202.627.1885 Email: pfa@pcori.org