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The intent of the FY19 PRARP InCASA is to support innovative research that improves the quality of life and care for individuals living with the common symptoms of TBI and/or AD/ADRD and/or their families and care providers, as related to the PRARP's mission (see Section II.A, Program Description). The proposed work should innovatively challenge existing research paradigms or exhibit high levels of creativity within the contexts of the PRARP's mission and vision. This can include innovations and research for symptom reduction (e.g., cognitive, behavioral, function, mood), resiliency factors, increasing or maintaining independence, and support for families and care providers. The research innovations for the FY19 PRARP InCASA are expected to benefit the military, Veteran, and civilian communities. FY19 PRARP InCASA applications should be Innovation- and Impact-based.

NIHCM Foundation is making up to $150,000 available to support investigator-initiated research with high potential to inform improvements to the U.S. health care system by reducing health spending growth, enhancing quality, and/or expanding access to health insurance and health care services. Projects must advance existing knowledge in the areas of health care financing, delivery, management and/or policy.

The purpose of this initiative is to stimulate research in promoting caregiver health using self-management.  Caregiving is an important science area since the number of people living longer with chronic conditions is growing.  Informal caregivers (lay caregivers) are defined as unpaid individuals (spouses, partners, family members, friends, or neighbors) involved in assisting others with activities of daily living and/or medical tasks.  Formal caregivers are paid, delivering care in one's home or care settings (daycare, residential care facility).  This concept focuses on informal caregivers.

Our nation's health delivery system frequently does not meet the unique needs of older adults. Wide gaps remain between evidence-based approaches, nationally recognized best practices, and how care is currently delivered for many conditions that disproportionately affect this population. Strong leadership is needed to ensure that promising innovations are implemented to improve health and functional outcomes in older adults. The Practice Change Leaders program is a one-year opportunity to gain enhanced leadership skills and content expertise to positively influence care for older adults. Leaders complete a project aimed at integrating improved care for older adults within their organization, allowing them to remain at their full time job throughout the one-year program.

This funding opportunity is for competitive grants to be awarded to support systematic testing and documentation of innovative and promising practices that enhance the quality, effectiveness, and proven outcomes of nutrition programs and services within the aging services network. Innovative and promising practice projects awarded through previous INNU announcements have focused on at least one of the following areas; Creating partnerships between Universities and/or other research organizations in collaboration with aging network organizations to develop or test innovative evidence based programs or practices for senior nutrition; Modernizing the congregate and/or home delivered meal program infrastructure, delivery mechanisms, and/or marketing and outreach that can be used by the national aging network to ensure that States are able to maximize the return on their investment in nutrition programs and expanding the reach of the OAA target populations; Enhancing partnerships with health care partners (e.g. oral health, behavioral health, alternative health, and etc.) to further demonstrate the network's value in solving local and national problems, and/or increasing business acumen opportunities and; Advancing the use of technology within the aging and nutrition network Successful awardees will be expected to focus on outcomes including, but not limited to, methods to improve collaboration with local health care entities, decrease health care costs for a specific population, and/or decrease the incidence of the need for institutionalization among older adults.

This funding opportunity is for competitive grants to be awarded under the OAA Title IV authority to increase the evidenced based knowledge base of nutrition providers, drive improved health outcomes for program recipients by promoting higher service quality, and increase program efficiency through innovative nutrition service delivery models. Funding will support innovative and promising practices that move the aging network towards evidenced based practices that enhance the quality, effectiveness of nutrition services programs or outcomes within the aging services network. Innovation can include service products that appeal to caregivers (such as web-based ordering systems and carryout food products), increased involvement of volunteers (such as retired chefs), consideration of eating habits and choice (such as variable meal times, salad bars, or more fresh fruits and vegetables), new service models (testing variations and hybrid strategies) and other innovations to better serve a generation of consumers whose needs and preferences are different. Innovative and promising practices may include the testing and publishing of positive outcomes in which nutrition programs provide a meaningful role in support of the health and long-term care of older individuals. Outcomes should focus on methods to improve collaboration with local health care entities, decrease health care costs for a specific population or decrease the incidence of the need for institutionalization among older adults. Through this program, funds may be used to help develop and test additional models or to replicate models that have already been tested in other community-based settings.

The purpose of this funding opportunity announcement (FOA) is to encourage interdisciplinary research aimed at promoting health, preventing and limiting symptoms and disease, and reducing health disparities across the lifespan for those living or spending time in non-traditional settings (i.e. playgrounds and nursing homes). These settings result in exposure to environmental pollutants and toxins that result in health risks, symptoms, and other health conditions/diseases; including lower respiratory disease, chronic obstructive pulmonary disease, cardiovascular disease, and complex environmental exposures that may be exacerbated by non-chemical stressors encountered in community settings, physiological function of organs and systems of the fetus/child/adolescence, and lower respiratory disease. Risk identification and symptom management include prevention and behavior changes and actions to maintain health and prevent disease with an emphasis on the individual, family, and community which will advance nursing science. For purposes of this FOA, non-traditional settings include, but are not limited to, places such as community centers; pre-school and non-traditional school environments (e.g., churches, daycare, home-based schools, dormitories, alternative schools, and playgrounds); child and older adult foster care facilities; older adult day care facilities; half-way homes; and assisted living and long-term care facilities.

Through its Another Look: Better Health for Elders in Care Facilities program, the foundation will award grants totaling $750,000 to as many as six projects focused on addressing a particular problem affecting the elderly in care facilities with data that already exists. (New data collection will not be allowed in this program.)

Deliberative methods offer means to gain insight into patient and public views that can inform and improve clinical, program, and policy decisions in health care. The purpose of this FOA is to use deliberative methods to understand and clarify important public or patient values and concerns that affect the implementation of specific interventions, programs or policies to improve health care or research.

The Environment of Elder Care Nursing Research Grant co-sponsored by Hill-Rom will advance the science of nursing through research focused on critical aspects of elder care including clear lungs, no falls, safe skin, patient comfort and ease-of-use. Applications from novice researchers who have received no other national research funds are encouraged. Preference will be given to Sigma Theta Tau International members, other qualifications being equal.

The purpose of this research is to investigate models for linking community pharmacists (e.g., independent, chain, franchise, mail order, retail) to primary care providers to enhance medication review and management in older adults, and examine the potential health benefits of primary care-pharmacy linkages.

This Funding Opportunity Announcement (FOA) invites applications focused on interpersonal processes in the context of triadic interactions in clinical contexts involving caregivers, individuals with Alzheimer's disease and Alzheimer's disease related dementias (AD/ADRD), and health care practitioners and the impact of those processes on patient outcomes. The goal of this initiative is to support research that can lead to the development of interventions for optimizing communication among patients, caregivers, and healthcare practitioners and for preserving strong and supportive caregiving relationships throughout disease progression along the continuum of care for people with AD/ADRD. To these ends, basic research and translational research is solicited in two high-priority areas: (1) effective communications and relationships among patients, healthcare practitioners, and caregivers; and (2) associations between close relationship processes and health in caregiving relationships.

This FOA encourages exploratory and developmental research applications for research on hearing health care in adults in support of improving access and affordability. Further research is needed to strengthen the evidence base with a goal of delivering better health care outcomes in adults.

This Funding Opportunity Announcement (FOA) solicits Edward R. Roybal Centers for translational intervention development research for Alzheimers Disease and Alzheimers Disease related dementias care provider support. The purpose of the Roybal Centers is to develop behavioral interventions that improve the health, well-being and/or capacity of individuals and/or systems that provide care to persons with AD-ADRD. Roybal Centers will conduct Stage 0 through IV pilot studies in accordance with the multidirectional, translational NIH Stage Model, to produce potent and implementable principle-driven behavioral interventions.

The purpose of this funding opportunity announcement (FOA) is to encourage research grant applications to: (1) assess and describe the current state of oral anticancer medication utilization, delivery, and adherence; (2) identify structural, systemic, and psychosocial barriers to adherence; and (3) develop models and strategies to improve safe and effective delivery of these agents so that clinical outcomes are optimized. Applications should focus research questions on at least one of the following: specific cancer type; class of drugs; and/or groups subject to disparities (e.g., elderly populations, members of low socioeconomic groups, racial/ethnic minorities). Research may be focused at the patient (pediatric, adolescent, or adult), patient-caregiver, provider, health care team, or health care delivery system level, and may include intervention studies, observational studies, or mixed-methods studies. Observational studies should emphasize modifiable risk factors for future intervention research.

As the population of older adults continues to increase, the prevalence of diseases and conditions common in aging is expected to rise. Cardiovascular diseases, cancer, chronic lung diseases, dementia, and chronic kidney disease will likely continue to be the greatest sources of morbidity and mortality, as well as the costliest conditions to healthcare systems. However, older Americans infrequently have just one chronic health condition. In 2010, over two-thirds of Medicare beneficiaries had more than one chronic condition, and 14% had 6 or more chronic conditions. Disability and greater care needs associated with these conditions is leading to an increase in residence in nursing homes and other long-term care facilities. Healthcare costs will continue to grow, with health-related spending expected to top 20% of gross domestic product by 2025.

With this FOA, AHRQ is investing in the adaptation, refinement or development of research methods that will enhance our understanding of how to provide high-quality health care for patients with MCC.   Applicants must: 1.  Propose an adaptation or refinement to existing methodology or propose the development of a new methodology for studying people with MCC 2.  Validate and assess the proposed methodology  Examples of potential methodological projects include, but are not limited to: developing and using clear conceptual models to conduct foundational research into health and health care for people with MCC, developing and validating relevant outcomes for this priority population group, specifying combinations of chronic conditions that are of clinical interest and relevance, accurately measuring co-morbidities and stratifying by disease severity status, addressing issues related to  quasi experimental design with large sample sizes for  understanding the heterogeneity of treatment effects.

To promote the development of successful independent researchers working to improve the care of patients with serious illness, the NPCRC is requesting applications for its Transition to Independence Award (TIA). The aim of the TIA is to expand the cadre of palliative care researchers by extending research support to promising investigators completing a federal career development award whom have not yet achieved independence as measured by successful receipt of an NIH R01 award or equivalent. The TIA assures a continuum of support for turning promising junior investigators into independent researchers.  

This FOA encourages Exploratory/ Developmental Research Project (R21) applications for design and development of novel technologies to monitor health or deliver care in a real-time, accessible, effective, and minimally obtrusive way. These may be novel sensor or monitoring systems, home-use point-of-care devices, home or mobile therapy or rehabilitation tools, or information systems and should have the goal of fostering healthy and independent living. The development of such technologies has the potential to significantly improve the quality of life for people with disabilities, people aging with mild impairments, as well as individuals with chronic conditions.  

This FOA encourages Research Project Grant (R01) applications for research and development of technologies that monitor health or deliver care in a real-time, accessible, effective, and minimally obtrusive way. These systems are expected to integrate, process, analyze, communicate, and present data so that the individuals are engaged and empowered in their own healthcare with reduced burden to care providers. The development of these technology systems has the potential to significantly improve the quality of life for people with disabilities, people aging with mild impairments, as well as individuals with chronic conditions.