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Catalog of Federal Domestic Assistance

Program Descriptions

CATALOG OF FEDERAL DOMESTIC ASSISTANCE

93.213:  Research and Training in Alternative Medicine

Objectives:  To evaluate alternative, complimentary, or unconventional medical treatments. The following objectives support this goal: (1) Coordinate and facilitate the investigation of alternative medical practices through peer-reviewed grant solicitations; (2) Interface with the Center's National Advisory Council; (3) Conduct technology assessment conferences for the purpose of establishing areas of Clinical and Pre-clinical research that need to be further developed within Alternative Medicine; (4) Develop sufficient clinical data bases in conjunction with universities and countries world wide; (6) Develop and continue contacts with international programs in Alternative Medicine; and (7) Establish an intra- and extra-mural clinical research fellowship program focusing on broad areas of clinical, scientific, and administrative training in Alternative Medicine. The major purpose of all of these programs is to foster collaborations between practitioners of alternative medicine and individuals knowledgeable in biomedical research.

PROGRAM AND AWARD FINANCIAL AND INFORMATION CONTACTS
ELIGIBILITY REQUIREMENTS FINANCIAL AND ADMINISTRATIVE INFO.
APPLICATION AND AWARD PROCESS INFORMATION CONTACTS
RELATED PROGRAMS ASSISTANCE CONSIDERATIONS
PROGRAM ACCOMPLISHMENTS POST ASSISTANCE REQUIREMENTS


93.213 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  The awardee will be either a university, college, hospital, public agency, nonprofit research institution, or for-profit organization that submits an application and receives a grant or cooperative agreement for support of research by a named principal investigator. For those Investigators who will submit proposals for training, areas outside of conventional medicine such as acupuncture, chiropractic, or homeopathy can be included.

Beneficiary Eligibility:  Any nonprofit or for-profit organization, company, or institution engaged in biomedical research.

Credentials/Documentation:  For-profit organizations costs are determined by in accordance with 48 CFR, Subpart 31.2 of the Federal Acquisition Regulations. Costs will be determined in accordance with HHS Regulations 45 CFR 74, Subpart Q.

93.213 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  No preapplication is required. This program is excluded from coverage under E.O. 12372.

Application Procedure:  Application form PHS-398 (Rev. May 1995) is the standard form that can be obtained from the Division of Extramural Outreach and Information, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, Phone 301/435-0714, e-mail: grantsinfo@nih.gov and submitted to the Center for Scientific Review, National Institutes of Health, Bethesda, MD 20892. The standard application forms, as furnished by PHS and required by 45 CFR, Part 92 for State and local governments, must be used for this program. For the postdoctoral training program, application form PHS-416-1 (Rev. October 1991) should be used.

Award Procedure:  Award Procedure: All accepted applications are evaluated for scientific and technical merit by an appropriate scientific peer review panel and by a national advisory council or board. All applications receiving a priority score ranging from the best (100) to worst (500) compete for available funds based on scientific merit, program relevance, and program balance and are made annually. Initial award provides funds for the first budget period (usually 12 months) and Notice of Grant Award (Form PHS 1533) indicates support recommended for remainder of project period, allocation of Federal funds by budget categories, and special conditions, if any.

Deadlines:  New Grants and Cooperative Agreements: February 1, June 1, and October 1. Renewals and Supplements: March 1, July 1, and November 1. Postdoctoral Training, April 5, August 5, and December 5.

Range of Approval/Disapproval Time:  Grants and Cooperation Agreement: About 10 months. Training: For 9 months.

Appeals:  A principal investigator (P.I.) may question the substantive or procedural aspects of the review of his/her application by communicating with the staff of the Office. A description of the NIH Peer Review Appeal procedures is available on the NIH homepage grants.nih.gov/grants/peer/peer.htm.

Renewals:  Applications submitted for renewal are reviewed and selected for funding on a competitive basis.

Criteria for Selecting Proposals:  The major elements in evaluating proposals include assessments of: (1) The scientific merit and general significance of the proposed study and its objectives; (2) the technical adequacy of the experimental design and approach; (3) the competency of the proposed investigator or group to successfully pursue the project; (4) the adequacy of the available and proposed facilities and resources; (5) the necessity of the budget components requested in relation to the proposed project; (6) the relevance and importance to the announced program objectives; and (7) the interfacing of conventional researchers and technology with unconventional/alternative clinicians for the purpose of providing clinical and scientific collaborations when and where appropriate.

Examples of Funded Projects:  The Centers program is supporting a variety of on-going or planned studies including the chiropractic treatment of temporomandibular joint disease and lower back pain, the use of gingko biloba to treat stroke, tibetan medicine for the treatment of metastatic breast cancer, the evaluation of Korean ginseng for chemopreventive activity, a multi-site randomized clinical trial of homeopathy for the treatment of fibromyalgia, a pilot study of Kudzu for the treatment of alcoholism, the efficacy of oral immunotherapy to reduce allergic rhinitis and asthma, music therapy as an adjunct to conventional care for traumatic brain injury, and basic science studies of acupuncture analgesia. Also supported through investigator-initiated grants are basic research investigations of chiropractic and traditional Chinese medicine, clinical applications of alternative medicine for the treatment of alcoholism, allodynia, Alzheimer's disease, attention deficient syndrome, and autism.

Range and Average of Financial Assistance:  From $30,000 for planning grants; $20,000 to $150,000, training; $600,000 to $3,000,000, cooperative agreements; $30,000 to $1,000,000 investigator-initiated grants.

93.213 RELATED PROGRAMS:

None.

93.213 PROGRAM ACCOMPLISHMENTS:

In fiscal year 1999, eight centers were funded using the Specialized Centers mechanism. Two large clinical trials were started: one investigating the efficacy and safety of Ginkgo Biloba, and the other studying the efficacy and safety of glucosamine and chondroitin sulfate in treating osteoarthritis. Four other large clinical trials continued: St. Johns Wort for the treatment of depression, the use of acupuncture to treat symptoms associated with osteoarthritis, the use of shark cartilage for the treatment of cancer, and the use of diet regiments to treat cancer. Numerous investigator-initiated research grants were studying the breath of alternative medicine modalities. Two individual postdoctoral students and one institutional training award were funded under National Research Service Awards (NRSA). Five additional fellows were supported through institutional training grants authorized under the NRSA. An National Center for Complementary and Alternative Medicine (NCCAM) sponsored NIH consensus conference on liver disease was held in August, 1999. In fiscal year 2000, the NCCAM has planned several initiated activities for peer reviewed grants. These are: 1) The establishment of two new centers concentrating on the use of complementary and alternative medicine (CAM) in cancer and asthma; 2) a clinical trial to investigate the efficacy of massage therapy to improve the survival and health of pre-term infants; 3) pilot clinical trials investigating the efficacy of chiropractic and osteopathic manipulation for treating musculoskeletal disorders, diseases and injuries; 4) systematic reviews of the evidence for various alternative medicine therapies; the initial reviews are planned to examine the use of garlic for cardiovascular disease and the use of milk thistle for chronic liver disease; 5) research to standardize natural products for subsequent investigation in clinical research; and 6) studies to identify barriers to the incorporation of CAM into conventional care and evaluations of strategies to overcome these barriers.

93.213 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  NATIONAL INSTITUTES OF HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants (Cooperative Agreements).

Obligations:  (Research Support) FY 99 $29,442,000; FY 00 est $38,881,000; and FY 01 est $43,379,000.

Budget Account Number:  75-0896-0-1-552.

Authorization:  Public Health Service Act, Sections 222 and 404E; Public Law 103-43, 42 U.S.C. 217a and 283g, as amended; Public Law 92-463, as amended.

Regulations, Guidelines, and Literature:  Grants will be available under the authority of and administered in accordance with the PHS Grants Policy Statement and Federal regulations at 42 CFR 52 and 42 U.S.C. 241.

93.213 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Dr. Richard Nahin, National Center for Complementary and Alternative Medicine, National Institutes of Health, Department of Health and Human Services, 9000 Rockville Pike, Building 31, Rm. 5B-38, Bethesda, MD 20892. Phone: (301) 402-2466. Fax: (301) 402-4741.

(See Appendix IV for more contact info.)

93.213 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance:  Grants and cooperative agreements: Average 3 to 4 years, maximum of 5 years. Renewals may be awarded for additional periods of up to 5 years based on competitive peer review. Funds are provided through Monthly Demand Payment System or an Electronic Transfer System.

Uses and Use Restrictions:  Project grants and cooperative agreements may be made to eligible institutions for the support of various projects in Alternative Medicine. The grants may be used for personnel, consultant costs, equipment, supplies, travel, patient costs, animals miscellaneous items, and indirect costs. For the individual post-doctoral training grant, support is for salary of the trainee, tuition and fees, self-only health insurance, research supplies, equipment, travel to scientific meetings, and related items.

93.213 POST ASSISTANCE REQUIREMENTS:

Reports:  Progress reports are required each year. Annual financial status report is required 90 days after the end of the budget period. Special reports may be requested by the DHHS. Terminal reports are required 6 months after the end of the project.

Audits:  In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that receive financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal officials.

Records:  Expenditures and other financial records must be retained for 3 years from the day on which the grantee submits the last financial status report for the report period.

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Last Updated, November, 2000             Comments or Questions?           ©Grant Community.com 2000, All Rights Reserved