[Federal Register Volume 63, Number 109 (Monday, June 8, 1998)]
[Notices]
[Pages 31221-31224]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-15122]
[[Page 31221]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Program Announcement 98079]
State Grants to Support the Evaluation of 5 A Day Nutrition
Programs
Introduction
The Centers for Disease Control and Prevention (CDC), in
partnership with the National Cancer Institute (NCI), announces the
availability of fiscal year (FY) 1998 funds for grants to support the
evaluation of State and community 5 A Day nutrition intervention
programs. This announcement addresses one required component, which is
the ``5 A Day Evaluation'' for supporting the evaluation of 5 A Day for
Better Health nutrition intervention programs. CDC is committed to
achieving the health promotion and disease prevention objectives of
Healthy People 2000, a national activity to reduce morbidity and
mortality and improve the quality of life. This announcement is related
specifically to the priority area of Nutrition. (For ordering a copy of
Healthy People 2000 see the Section, ``Where to Obtain Additional
Information.'')
Authority
This program is authorized under section 317(k)(2)(42 U.S.C.
247b(k)(2)) of the Public Health Service Act, as amended.
Smoke-Free Workplace
CDC encourages all grant recipients to provide a smoke-free
workplace and promote the nonuse of all tobacco products, and Pub. L.
103-227, the Pro-Children Act of 1994, prohibits smoking in certain
facilities that receive Federal funds in which education, library, day
care, health care, and early childhood development services are
provided to children.
Eligible Applicants
Eligible applicants are the official public health agencies of
States or their bona fide agents. This includes the District of
Columbia, American Samoa, the Commonwealth of Puerto Rico, the Virgin
Islands, the Federated States of Micronesia, Guam, the Northern Mariana
Islands, the Republic of the Marshall Islands, the Republic of Palau,
and federally recognized Indian tribal governments, that have
established, clearly-defined, measurable, long-range 5 A Day for Better
Health projects in a specific community channel.
Availability of Funds
Approximately $450,000 is available in FY 1998 to fund
approximately 6 awards. It is expected that the average award will be
$75,000 ranging from $55,000 to $90,000 for a 5 A Day for Better Health
project in a specific community channel, preferably focusing on
interventions in minority-based population subgroups (i.e. American
Indian, Asian, Pacific Islander, African American, Hispanic, elderly,
low socioeconomic status, or the very young). It is expected that the
awards will begin on or about September 30, 1998, and will be made for
a 12-month budget period within a project period of one year. Funding
estimates may vary and are subject to change. Awards under this
announcement will not be sufficient to fully support an applicant's
proposed activities, but are meant to be used in conjunction with other
resources--whether direct funding or in-kind contributions--that the
applicant may have available.
Restrictions On Lobbying
Applicants should be aware of restrictions on the use of Department
of Health and Human Services (HHS) funds for lobbying of Federal or
State legislative bodies. Under the provisions of 31 U.S.C. section
1352 (which has been in effect since December 23, 1989), recipients
(and their sub-tier contractors) are prohibited from using appropriated
Federal funds (other than profits from Federal contract) for lobbying
Congress or any Federal agency in connection with the award of a
particular contract, grants cooperative agreement, or loan. This
includes grants/cooperative agreements that, in whole or in part,
involve conferences for which Federal funds cannot be used directly or
indirectly to encourage participants to lobby or to instruct
participants on how to lobby. In addition, the FY 1998 Department of
Labor, Health and Human Services, and Education, and Related Agencies
Appropriations Act (Pub. L. 105-78) states in Section 503(a) and (b) no
part of any appropriation contained in this Act shall be used, other
than for normal and recognized executive-legislative relations, for
publicity or propaganda purposes, for the preparation, distribution, or
use of any kit, pamphlet, booklet, publication, radio, television, or
video presentation designed to support or defeat legislation pending
before the Congress or any State legislature, except in presentation to
the Congress or any State legislative body itself. No part of any
appropriation contained in this Act shall be used to pay the salary or
expenses of any grant or contract recipient, or agent acting for such
recipient, related to any activity designed to influence legislation or
appropriations pending before the Congress or any State legislature.
Background
The Surgeon General's Report on Nutrition and Health in 1988 noted
that two-thirds of all deaths are due to diseases associated with diet.
The report also says that the three most important personal habits that
influence health are smoking, alcohol consumption, and diet. For the
two out of three adults who do not drink alcohol excessively or smoke,
the single most important personal choice influencing long-term health
is what they eat. Improving dietary intake and physical activity levels
of minority populations (American Indian, Asian, Pacific Islander,
African American, Hispanic, elderly, low socioeconomic status, or the
very young) could substantially extend productive lives and reduce the
human and financial costs of chronic disease, disability, and premature
death within population subgroups that suffer a disproportionate cancer
burden.
Using effective nutrition education strategies to reach under
served minority populations in order to initiate successful behavior
change are critical since healthy eating practices are more likely to
be obtained with well-developed, culturally-sensitive, linguistically
appropriate intervention methods that are effective in reaching the
targeted audience and assist in transforming the local environment.
Modifications in the environment help promote, support, and
institutionalize healthy eating practices, and as this transformation
occurs in various channels, community norms will be transformed also.
Culturally sensitive and linguistically appropriate interventions
combined with environmental support can promote lifelong healthy eating
practices. The Healthy People 2000 national objectives include an
objective intended to reduce the current high burden of chronic disease
and premature death: increase fruit and vegetable intake (from 2.5 to 5
servings per day). To date, progress is slow achieving this objective
through culturally specific, linguistically appropriate interventions
and environmental community approaches, especially among minorities and
economically disadvantaged Americans who are at increased risk for many
chronic diseases. The 5 A Day for Better Health Program is a nationwide
effort, lead by the National Cancer Institute (NCI), to achieve the
Healthy People
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2000 objective for five or more servings per day of fruits and
vegetables. The CDC is collaborating with NCI to support the activities
of State health departments in the implementation and evaluation of the
State 5 A Day activities.
Purpose
These awards will support State efforts to evaluate 5 A Day
nutrition intervention programs. Emphasis will be placed on:
(1) Evaluation of a community intervention's impact on knowledge,
attitude, awareness and behavioral change in minority-based population
groups (such as elderly, young children or low-income groups, and
ethnic groups such as, but not exclusive to, American Indians, Asians,
Pacific Islanders, African Americans or Hispanics) which have low fruit
and vegetable intakes or have a disproportionately greater risk for
cancer;
(2) Testing the effects of culturally sensitive and linguistically
appropriate strategies within a community intervention designed to
increase the consumption of fruits and vegetables in minority
population subgroups and promote other related lifestyle behaviors
which are recognized covariates that influence fruit and vegetable
consumption; or
(3) Evaluation of communication channels (radio, tv, print media)
which target the specific minority population subgroups identified as
part of 5 A Day-based community intervention campaigns.
Program Requirements
Applicants should propose an evaluation plan for a clearly defined,
established, long-range effort in one or more specific community
channels in accordance with the following definitions:
A. Clearly Defined
Intervention objectives are clearly stated; activities necessary to
accomplish objectives are described, to include who is responsible for
each activity and when they will be accomplished; and work is done
within a specific channel with a defined targeted audience.
B. Established
The applicant is licensed with NCI and has developed an ongoing 5 A
Day Program. Evaluating pretested or piloted interventions is
desirable.
C. Evaluation Plan
Clear, measurable evaluation objectives and expected outcomes are
defined with appropriate statistical power. Use of current theoretical
frameworks to guide the evaluation study is desirable. A combination of
process and impact objectives is also desirable, with outcome
objectives where feasible. In designing the study, consideration should
be given to the number of individuals or groups needed to detect
realistic changes in post-intervention outcome measures when compared
with pre-intervention measures. Sample sizes should give adequate power
(80 percent) to detect these changes. If the appropriate design
expertise does not exist within the State health department, inclusion
of an organization with the necessary design expertise on the project
team, such as a university affiliate, is recommended.
D. Long Range
The program is not just a single activity at one point in time, but
a sustained effort involving appropriate behavior change strategies.
Programs including environmental approaches, such as administrative
changes, are encouraged.
Technical Reporting Requirements
An original and two copies of a final progress report and financial
status report are required no later than 90 days after the end of the
budget/project period. Final financial and performance reports are
required no later than 90 days after the end of the budget/project
period. All reports are submitted to the Grants Management Branch,
Procurement and Grants Office, CDC.
The progress reports must include the following for each program,
function, or activity involved: (1) A comparison of the actual
accomplishments to the goals established for the period; (2) the
reasons for slippage if established goals were not met; and (3) other
pertinent information including, when appropriate, analysis and
explanation of unexpectedly high costs for performance.
Application Content
Applications must be developed in accordance with Form PHS-5161-1
(Revised May 1996, OMB Number 0937-0189), information contained in this
program announcement, and instructions provided in this section.
A 10-page narrative, excluding the budget and attachments, is
required and must contain the following information:
A. Background
Provide a brief but clear description of a current long-range
project in one or more specific community channels including project
goals and objectives, target group, methodology of intervention, and
length of time of the current project.
B. Program Plan
Provide a realistic, time phased, and specific work plan including
evaluation goals, objectives, methods, and outcomes to be achieved
during the 12-month period; and a clear plan to evaluate the current
long-range effort in a particular channel or channels and assess the
impact of those activities with measures of process and outcomes
related to the targeted audience. Examples of potential evaluation
projects might include but are not limited to the following:
a. Evaluation of the process and impact of instituting a community
neighborhood 5 A Day project targeting for example minority, elderly,
youth, or low-income groups and its effect on perceived barriers,
attitudes, beliefs, dietary behaviors and fruit and vegetable
consumption.
b. Evaluation of innovative measurement techniques appropriate for
targeted minority audiences and their perceptions/response to the
current 5 A Day Program recommendations of 5 to 9 servings of fruits
and vegetables daily.
c. Evaluate the impact of a 5 A Day media and/or education campaign
on knowledge, attitudes, and behaviors of targeted minority community
members, with a focus on issues of awareness translating to action/
behavioral stages of change and changes in fruit and vegetable
consumption. (e.g. food assistance program like Women Infant Children
(WIC) or other community-based program combined with a media
intervention).
d. Evaluate an intervention that promotes healthy dietary choices
(5 A Day) and physical activity in a defined community setting with a
focus on the effect of affiliated environmental change(s) on behavior.
C. Capacity
Document the expertise of the evaluation team by including the
curriculum vitae (limited to 1 page attachment per person) for key
members of the team. If sufficient evaluation expertise is not
available in the State health department, States are strongly
encouraged to work with an academic institution in the design, data
collection, and analysis activities for this evaluation. For
interventions involving
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administrative changes, describe the infrastructure that is or will be
in place to support the administrative change once made in the defined
setting.
D. Human Subjects
Documentation that human subject assurances are met, either through
copies of approved protocols or notation of the institutional review
committee that will review the project, particularly if the
intervention targets children or pregnant women. Should human subjects
review be required, the proposed work plan should incorporate time
lines for such development and review activities.
E. Budget
Provide a detailed budget and line-item justification that is
consistent with the stated objectives, purpose, and planned activities
of the project. (Not to be counted as part of the 10 page narrative.)
An original and two copies of the application are required. Pages
should be numbered, and an index to the application and appendix must
be included. The original and each copy of the application must be
submitted unstapled and unbound. All materials must be typewritten,
single-spaced, with unreduced type on 8\1/2\'' by 11'' paper, with at
least 1'' margins, headers and footers, and printed on one side only.
Materials that should be part of the basic plan will not be accepted if
placed in the appendix. Appendix material should not exceed 25 pages.
Please do not include reports (or portions thereof), journal articles,
mass media articles, or presentations of national statistical data.
Evaluation Criteria (100 Points)
Applications will be reviewed and evaluated according to the
following criteria:
A. Background: (25 Points)
The degree to which the applicant clearly describes a long-range,
clearly defined, measurable project, including a description of the
intervention targeted population, method, and community channel(s).
B. Program Plan: (45 Points)
The adequacy of the applicant's plan to carry out the evaluation
within the 12-month time period, including the specific objectives,
methods, and measures to be used in the evaluation.
C. Capacity: (30 Points)
The capabilities of the personnel (including consultants where
appropriate) to carry out the evaluation.
D. Human Subjects: (Not Weighted)
Whether or not exempt from the Department of Health and Human
Services (HHS) regulations, are procedures adequate for the protection
of human subjects? Recommendations on the adequacy of protections
include: (1) Protections appear adequate and there are no comments to
make or concerns to raise, (2) protections appear adequate, but there
are comments regarding the protocol, (3) protections appear inadequate
and there are concerns related to human subjects, or (4) disapproval of
the application is recommended because the research risks are
sufficiently serious and protection against the risks are inadequate as
to make the entire application unacceptable.
E. Budget: (Not Weighted)
The extent to which the applicant provides a detailed budget and
line-item justification that is consistent with the evaluation plan.
Executive Order 12372 Review
Applications are subject to Intergovernmental Review of Federal
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets
up a system for State and local government review of proposed Federal
assistance applications. Applicants (other than Federally recognized
Indian tribal Governments) should contact their State Single Point of
Contact (SPOC) as early as possible to alert them to the prospective
applications and receive any necessary instructions on the State
process. For proposed projects serving more than one State, the
applicant is advised to contact the SPOC of each affected State. A
current list of SPOCs is included in the application kit. If SPOCs have
any State process recommendations on applications submitted to CDC,
they should send them to Sharron P. Orum, Grants Management Officer,
Grants Management Branch, Procurement and Grants Office, Centers for
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,
Room 314, Mailstop E-18, Atlanta, Georgia 30305, no later than 30 days
after the application deadline. The Program Announcement Number and
Program Title should be referenced on the document. The granting agency
does not guarantee to ``accommodate or explain'' State process
recommendations it receives after that date. Indian tribes are strongly
encouraged to request tribal government review of the proposed
application. If tribal governments have any tribal process
recommendations on applications submitted to CDC, they should forward
them to Sharron P. Orum, Grants Management Office, Grants Management
Branch, Centers for Disease Control and Prevention (CDC), 255 East
Paces Ferry Road, NE., Room 314, Mailstop E-18, Atlanta, Georgia 30305.
This should be done no later than 30 days after the application
deadline. The granting agency does not guarantee to ``accommodate or
explain'' for tribal process recommendations it receives after that
date.
Public Health System Reporting Requirements
This program is not subject to the Public Health System Reporting
Requirements.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance Number is 93.283.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by the cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.
Human Subjects
If the proposed project involves research on human subjects, the
applicant must comply with the Department of Health and Human Services
Regulations, 45 CFR part 46, regarding the protection of human
subjects. Assurance must be provided to demonstrate that the project
will be subject to initial and continuing review by an appropriate
institutional review committee. In addition to other applicable
committees, Indian Health Service (IHS) institutional review committees
also must review the project if any component of IHS will be involved
or will support the research. If any American Indian community is
involved, its tribal government must also approve that portion of the
project applicable to it. The applicant will be responsible for
providing assurance in accordance with the appropriate guidelines and
form provided in the application kit. Should human subjects review be
required, the proposed work plan should incorporate time lines for such
development and review activities.
Women, Racial and Ethnic Minorities
It is the policy of the CDC to ensure that women and racial and
ethnic groups will be included in CDC-supported research projects
involving
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human subjects, whenever feasible and appropriate. Racial and ethnic
groups are those defined in OMB Directive No. 15 and include American
Indian or Alaskan Native, Asian, Black or African American, Native
Hawaiian or Other Pacific Islander, and Hispanic or Latino. Applicants
shall ensure that women and racial and ethnic minority populations are
appropriately represented in applications for research involving human
subjects. Where clear and compelling rationale exist that inclusion is
not feasible, this situation must be explained as part of the
application. In conducting the review of applications for scientific
merit, review groups will evaluate proposed plans for inclusion of
minorities and both sexes as part of the scientific assessment and
assigned score. This policy does not apply to research studies when the
investigator cannot control the race, ethnicity and/or sex of subjects.
Further guidance to this policy is contained in the Federal Register,
Vol. 60, No. 179, Friday, September 15, 1995, pages 47947-47951.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1
(Revised 5/96, OMB Number 0937-0189) must be submitted to Sharron P.
Orum, Grants Management Officer, Grants Management Branch, Procurement
and Grants Office, Centers For Disease Control and Prevention (CDC),
255 East Paces Ferry Road, NE., Room 314, Mailstop E-18, Atlanta, GA
30305, on or before July 1, 1998.
1. Deadline: Applications shall be considered as meeting the
deadline if they are either:
(a) Received on or before the deadline date; or
(b) Sent on or before the deadline date and received in time for
submission to the objective review group. (Applicants must request a
legibly dated U.S. Postal Service postmark or obtain a legibly dated
receipt from a commercial carrier or U.S. Postal Service. Private
metered postmarks shall not be accepted as proof of timely mailing.)
2. Late Applications: Applications that do not meet the criteria in
1.(a) or 1.(b) above are considered late applications. Late
applications will not be considered and will be returned to the
applicant.
Where To Obtain Additional Information
To receive additional written information, call (888) 472-6874. You
will be asked to leave your name, address, and telephone number. Please
refer to Announcement 98079. You will receive a complete program
description, information on application procedures, and application
forms. If you have questions after reviewing the contents of all the
documents, business management technical assistance may be obtained
from Sheryl L. Heard, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 314, Mail Stop
E-18, Atlanta, GA 30305, telephone (404) 842-6802; electronic mail at
slh3@cdc.gov.
Programmatic technical assistance may be obtained from Sarah
Kuester, MS, RD, Division of Nutrition and Physical Activity, National
Center for Chronic Disease Prevention and Health Promotion, Centers for
Disease Control and Prevention (CDC), 4770 Buford Highway, NE., Mail
Stop K-26, Atlanta, GA 30341-3724, telephone (770) 488-6019, fax (770)
488-6000, or Internet or CDC WONDER electronic mail at sak2@cdc.gov.
You may obtain this announcement from CDC's homepage at http://
www.cdc.gov.
Please refer to Program Announcement 98079 when requesting
information and submitting an application.
Potential applicants may obtain a copy of Healthy People 2000 (Full
Report; Stock No. 017-001-00474-0) or Healthy People 2000 (Summary
Report; Stock No. 017-001-00473-1) referenced in the ``Introduction''
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325, telephone (202) 512-1800.
Dated: June 1, 1998.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control
and Prevention (CDC).
[FR Doc. 98-15122 Filed 6-5-98; 8:45 am]
BILLING CODE 4163-18-P
