Pilot Grant FAQ
You may apply provided your visa immigration status is acceptable and you are employed by a U.S. institution. Individuals who are noncitizens of the U.S. or do not have a Permanent Resident Card should contact the IMPACTcollaboratory@hsl.harvard.edu prior to submitting a Letter of Intent.
Any organization (including for-profit organizations) that has a DUNS number and processes for following federal guidelines/regulations for using research funds meet eligibility criteria for this grant.
The applicant must hold an earned doctorate and may not be a trainee, such as a post-doctoral fellow, and be of sufficient stature to be considered a principal investigator within their organization.
No. Research cannot be performed in study sites outside of the U.S.
Non-domestic (non-U.S.) entities (foreign institutions) are not eligible to apply.
Non-domestic (non-U.S.) components of U.S. organizations are not eligible to apply.
No. Applications may have only one principal investigator.
Yes. LOIs are required and will be reviewed on a rolling basis. Applicants are strongly encouraged to submit their LOI as early as possible, but no later than the LOI deadline.
No, only one LOI is permitted per cycle from each principal investigator.
LOIs will be reviewed on a rolling basis by an interdisciplinary review committee. Applicants may receive a decision on their LOI at any time, but generally within 2 weeks of their submission. LOI decisions may include 1) invited for full proposal for the current cycle, 2) invited for full proposal for a future cycle, and 3) not invited for a full proposal.
The entire process generally takes approximately 6 months from the LOI deadline. The time from submission of the full proposal application and notification is typically 2 months.
Exact timelines will vary. Generally, the timeline from the LOI deadline to project start date is approximately six months. This timeline assumes there are no delays in receiving approvals of the single IRB (sIRB), Data Safety and Monitoring Plan and Data Sharing and Resources Plan.
An embedded pragmatic clinical trial (ePCT) is a trial based on implementing an intervention that can be “embedded” within routine care provided within a healthcare system, agency or organization, or other non-healthcare based organizations. The intervention is implemented in a “real-world” environment by practicing clinicians or non-clinical staff, not interventionists. A core component is that the intervention can be maintained for real-world use and sustained beyond the scope of a trial. ePCTs use a variety of systematic research methods to test the effectiveness of the intervention. Randomization generally occurs at the level of an organization, care team or unit rather than at an individual level, though this is not a hard and fast rule. Most ePCTs utilize data available from electronic health records, administrative data, or claims data to assess effectiveness outcomes.
The NIH Health Care Systems Research Collaboratory Living Textbook of Pragmatic Trials is a helpful resource to learn more about ePCTs. Additional resources include the State of the Science for pragmatic trials for non-pharmacological interventions to improve outcomes among people living with dementia and their caregivers; lessons learned from the NIH Health Care Systems Research Collaboratory; and the process of embedding PCTs in health care systems.
Investigators can use the Readiness Assessment for Pragmatic Trials (RAPT) model to assess an intervention’s readiness for ePCTs.
Research methods used in your pilot proposal may fall along a continuum of less to more pragmatic. The PRECIS-2 model (original paper, model website) can help you to evaluate where your proposed pilot trial lies on this continuum. PRECIS-2 can also help to think through your pragmatic trial design and what is needed to obtain pilot data to develop a strong application to NIH or other organizations for a large-scale ePCT.
Yes, you may use two or more sites within the same healthcare organization, but you must provide the rationale for site selection. You should also address how pilot data from sites within a single organization will prepare you for implementation in a future trial involving more than one organization.
Interventions must be non-pharmacologic in nature and involve people living with dementia or their caregivers. Ideally the intervention (or components thereof) should have some level of evidence supporting its efficacy, and a high potential for implementation in “real world” settings. It may be helpful to consider PCORI Methodology Standards of Complex Interventions.
Ideally, some level of evidence demonstrating efficacy of the intervention (or its components) from a more traditional randomized trial is preferable before pilot testing an ePCT. Evidence may be based on the applicant’s work or the work of others.
Settings that provide care to people living with dementia and/or their caregivers are permissible within this funding mechanism. Most often this will be a health care setting, but residential (e.g., senior housing) or other units (e.g., recreational day program) are also acceptable.
Dementia affects all Americans and disproportionately impacts African Americans. At the same time, disparities in dementia care are well-established. Ensuring the research supported by the IMPACT Collaboratory includes people from diverse backgrounds and culturally-tailored interventions is core to its mission.
No. Diversity and inclusion should be integrated throughout the Research Plan. Rationale should be provided about how aspects of the study design (for example, selection of health care system location, target study population demographics, and/or tailoring of the intervention to different cultures) are and are not, relevant to people from diverse backgrounds. It may not be possible to address all diversity and inclusion considerations within the scope of a pilot study, however at minimum, investigators should describe how the pilot project experience will inform the design of a future large-scale ePCT in terms of its relevance to people from diverse backgrounds who are living with dementia and/or their caregivers. These requirements are in addition to the required NIH Planned Inclusion Enrollment Table(s) and statement about minority representation.
Applicants must specify quarterly milestones as part of the full proposal application. Quarterly milestones are required to ensure that pilot ePCTs are progressing in a timely fashion given the 1-year grant period. Quarterly milestones will also be used to assess feasibility by the reviewers and Pilot Core Executive Committee as part of the application review process.
This pilot funding mechanism follows NIH guidelines in regard to allowable costs and activities.
Yes. Each pilot application may have total costs budget up to $165,000. This amount includes both direct and indirect costs.
No. You do not need to include costs for the single IRB (sIRB) in your budget. These costs will be supported by the IMPACT Collaboratory.
Yes. You will need to include costs for the PI's travel and accommodation to one in-person IMPACT Collaboratory Meeting in Bethesda, MD during the pilot year.
You will be asked to attend and present at a future IMPACT Scientific Meeting in Bethesda, MD, but travel and accommodations for this will be supported by the IMPACT Collaboratory. You do not need to include this in your budget, as it will occur after your pilot project has ended.
Yes. You may have up to 3 Subawards. Each subaward must have at least one Key Personnel. Whenever feasible, purchase of services and consulting agreements are strongly preferred to subawards, and these should be listed within the PI’s main budget. The total costs of the entire award, including subaward agreements, cannot exceed $165,000.
The table below may help to determine whether to use a Subaward or a Consultant/Contractor. Whenever feasible, purchase of services and/or consultant agreements are strongly preferred.
Applicants who are invited for a full proposal will be immediately connected to the IMPACT Collaboratory Investigator Navigation Team. The Navigator will play an active role in linking applicants to appropriate Cores and Teams for support in developing a high-quality full proposal. Applicants will be asked to complete an online needs assessment to help target their needs to the appropriate Cores and Teams.
IMPACT Pilot Program RFA is soliciting pilot studies to enable full-scale embedded clinical trials (ePCTs). In the NIA Stage Model, this aligns with a pilot study for a Stage IV effectiveness trial.
The primary outcome of the pilot study must be the scientific outcome anticipated for the full scale ePCT (e.g., antipsychotic use, hospital transfer rates). We recognize the pilot study may have a single arm or be multi-armed with the later not be powered to detect differences in the primary outcome. Rather, the intent is to ascertain feasibility of collecting the primary outcome under the rubric of an ePCT. Secondary outcomes should also be specified and should include additional scientific outcomes and implementation outcomes (e.g., feasibility, applicability, usability, fidelity).