PRINCIPAL INVESTIGATOR (LAST, FIRST, MIDDLE):

LETTER OF INTENT TEMPLATE: COMMUNICATIONANDDISSEMINATION RESEARCH

Please provide the information requested. Statements in gray italics denote how each response will be evaluated. Replace the italicized gray text with your response. Please note that the total word count may not exceed 1,500 words, and enter the final word count into the box at the end of the template. References are not included in the word count. We recognize that you will not be able to include many details. NOTE: This Letter of Intent (LOI)Template is for screening purposes only. If you are invited to submit an application, other criteria are required and will be reviewed.

TITLE OF PROPOSED STUDY

BACKGROUND
State the problem or question the research is designed to address and indicate to which specific topic in the funding announcement this research responds. Describe why this is of interest to patients,caregivers, and/or decision makers. Include a brief study rationale and how it ties to the conceptual/theoretical framework guiding your proposed study.

OBJECTIVES

Briefly describe the specific aims of the study, including specific research question(s) and long-term objectives.

METHODS

Provide a concise description of the study design (including theoretical or conceptual framework), study population (including inclusion/exclusion criteria), sample size, and analytic methods that will be employed.Clearly describe the proposed comparators and provide evidence of their previously demonstrated efficacy.

PATIENT OUTCOMES (PROJECTED)
Specify the study outcomes, and state briefly why they are important to patients.

PATIENT AND STAKEHOLDER ENGAGEMENT

Provide a clear and concise justification of how patients, family members, caregivers, and the organizations thatrepresent them, as well as any other relevant stakeholders, will be engaged in study activities. Describe how patients and stakeholders will be involved in planning the study, conducting the study, and disseminating study results.

ANTICIPATED IMPACT

Briefly describe your dissemination plan, including how your study findings will be used in healthcare decision making and the anticipated impact of your research findings. Please describe how this anticipated impact will help to advance PCORI’s mission.

IMPORTANT TO NOTE: This LOI Template is for screening purposes only. If you are invited to submit an application, other criteria are required and will be reviewed.

WORD COUNT: ____ (Must be 1,500 words in total.)

References: (not included in word count)

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PCORI Letter of Intent Template