Innovations in Adolescent Transitional Health Care

Submit application as onePDF file via email to .

Application Deadline: Friday, Dec. 1, 2017, at 5pm. No late applications accepted.

PART I: PROJECT INFORMATION
James G. Patell Memorial Fund
Innovations in Adolescent Transitional Health Care / LEAVE BLANK – FOR Internal USE ONLY.
Letters of Support / Category / Number
Biosketch or CV / Budget / Date & Time Received
1. TITLE OF PROJECT(Do not exceed 100 characters, including spaces and punctuation.)
2. CATEGORY New Application Resubmission
3. PRINCIPAL INVESTIGATOR (PI) / CO-INVESTIGATORS / Bio / Letter
NAME (Last, first) / NAME:
DEGREE(S) or LICENSES / NAME:
POSITION TITLE / NAME:
DEPARTMENT, DIVISION, UNIT / RESEARCH MENTORS / Bio / Letter
TELEPHONE AND EMAIL ADDRESS / NAME:
TEL: / NAME:
EMAIL: / NAME:
4. HUMAN SUBJECTS RESEARCH? No Yes / 5. PROPOSED PERIOD OF SUPPORT (MM/DD/YY):
IRB Approved? No Yes Pending / From through (Do not exceed 12 months)
6. TOTAL FUNDING REQUESTED / 7. FINANCIAL MANAGER TO BE NOTIFIED IF AWARD IS MADE / 8.STANFORD UNIVERSITY SCHOOL AFFLIATION:
($25K max) / NAME:
EMAIL:
9. PROJECT SUMMARY (200 words maximum)
Summarize your proposed project. Describe the broad, long-term objectives of the proposed project. How does it address the stated Funding Priorities the James G. Patell Fund (if applicable)?

Part II. Project Plan

Instructions

  • You may delete any or all instructional text to meet the page limits. Do not delete section headings.
  • Use Arial 10pt font or larger, 0.75 margins or larger, and standard character spacing.
  • Applications exceeding page limits and/or deviating from font and margin sizes will NOT be reviewed.
  • Follow these page limits:
  • Sections A thru G: 4 pages max
  • Section H: 2 pages max
  • Section I: 2 pages maxper NIH biosketch or CV

A. Purpose

What is the reason for doing this project? Briefly sketch the background leading to your proposal, critically evaluate any existing knowledge, and identify the specific gaps that your project is intended to fill. Clearly state the importance and health relevance of your proposal and relate these specific aims to the broad, long-term objectives. If the aims of your project are achieved, please state how clinical practice in the area of Adolescent Transitional Care will be advanced. Please describe the impact your project will have on patient care and services that comprise the field of transitional care.

B. Specific Aims

Give an exact and concise statement of what you intend to accomplish with this project and how your project will improve patient care at LPCH for adolescent patients? How does your project meet the mission of the Innovations in Adolescent Transitional Health Care Program?

C. Background and Significance

Briefly sketch the background leading to the present application, evaluate existing knowledge, and identify the gaps that the project is intended to fill. Describe the problem that you are addressing. Describe any work you have previously done that is related to this proposal. How is this important to adolescent and young adult health care? What is the current situation within and outside of LPCH? What impact might your project have on the problem? Please describe the design or clinical framework, procedures, and analyses to be used to accomplish the specific aims of your project. If applicable, include how the data will be collected, statistically analyzed, and interpreted. Please describe any novel concepts, approaches, tool, or technologies for the proposed study.

D. Design & Statistical Methods

Please describe the design of your project: Define your study population; describe inclusion and exclusion criteria. How will you recruit and enroll subjects into your project? Clearly describe the procedures or interventions used once a subject is enrolled. Clearly define the measures or interpretive approaches you plan on using. What are your primary outcome variables? Is your sample size large enough to achieve your goals? What other variables (e.g. descriptive, process) will you evaluate?

E. Data Analysis

How will you collect, report, and evaluate the measures? Or if this is a qualitative study, describe what type of analysis will be used regarding the phenomena you are studying.

F. Potential Pitfalls

Please describe the potential pitfalls and limitations for your project such as patient recruitment, limitations to methodology, etc. How will you handle them? Discuss alternative approaches to achieve the project aims. Please note any anticipated HIPAA and IRB compliance issues.

G. Future Steps and Scalability

Lastly, please define your project follow-up work: How you will measure success? Is there long-term sustainability? How will you scale the project to serve others? How this project will lead to new opportunities for research funding

H. Budget and Budget Justification (2 pages max)

Insert a preliminary Budget here.

I. Supporting Documents

Attach the NIH Biosketches, curricula vitae or resumes for the applicant, co-investigators and mentors. Attach all letters of support. List names of co-investigators and research mentors (up to 3 each) in Part I. Limit each NIH Biosketch or CV to 2 pages max. Attach IRB approval here (if applicable).

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