Notice Special Interest: Administrative Supplements NIH grants Add Expand Research Focused Maternal Mortality Notice Number: NOT-OD-20-104 Key Dates Release Date: 05, 2020 First Available Due Date: 05, 2020 Expiration Date: June 23, 2020 Related Announcements PA-18-591 - Administrative Supplements Existing NIH Grants Cooperative Agreements Parent Admin Supp Clinical Trial Optional) Issued Office The Director, National Institutes Health OD) National Eye Institute NEI) National Heart, Lung, Blood Institute NHLBI) National Human Genome Research Institute NHGRI) National Institute Aging NIA) National Institute Allergy Infectious Diseases NIAID) National Institute Arthritis Musculoskeletal Skin Diseases NIAMS) Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) National Institute Deafness Other Communication Disorders NIDCD) National Institute Diabetes Digestive Kidney Diseases NIDDK) National Institute Drug Abuse NIDA) National Institute General Medical Sciences NIGMS) National Institute Mental Health NIMH) National Institute Neurological Disorders Stroke NINDS) National Institute Nursing Research NINR) National Institute Minority Health Health Disparities NIMHD) National Library Medicine NLM) National Center Complementary Integrative Health NCCIH) National Center Advancing Translational Sciences NCATS) National Institute Alcohol Abuse Alcoholism NIAAA) - New participating organization of 05/08/2020 due dates on/after 05/08/2020 applications this funding opportunity announcement should fall within mission the Institutes/Centers. following NIH Offices co-fund applications assigned those Institutes/Centers. Division Program Coordination, Planning Strategic Initiatives, Office Disease Prevention ODP) Office Behavioral Social Sciences Research OBSSR) Office Research Women's Health ORWH) Purpose Office the Director the National Institutes Health NIH) announces opportunity investigators relevant active NIH-supported grants the participating Institutes listed above address scientific priorities will lay foundation the Implementing Maternal health PRegnancy Outcomes Vision Everyone IMPROVE), is development. estimated 700 women die year the U.S. conditions related or associated pregnancy childbirth highest rate among developed nations), over 50,000 women experience severe maternal morbidity SMM). response the rising maternal mortality MM) the United States U.S.), IMPROVE initiative support research how mitigate preventable MM, decrease SMM, promote health equity the U.S. IMPROVE aim use integrated approach understand biological, behavioral, sociocultural, structural factors contributing MM/SMM building evidence base improved care outcomes specific populations regions the country. IMPROVE be multipronged, innovative research initiative designed target health disparities populations disproportionately affected MM/SMM, including African American AA), American Indian/Alaskan Native AI/AN), Asian Pacific Islander, Hispanic/Latina, very young women women advanced maternal age, people disabilities. Geographical disparities social determinants health SDoH), including education, racism, socioeconomic standing also addressed the IMPROVE approach. Causes SMM MM multifaceted. the U.S., leading causes cardiovascular disease, hemorrhage, infection. Significant contributing factors include comorbid conditions e.g., diabetes, obesity, mental health issues, substance disorders) structural health care system factors. Therefore, is necessary implement comprehensive strategies address preventable contributors SMM/MM disproportionately affected populations. order rapidly improve our understanding the leading causes pregnancy-related pregnancy-associated morbidity, including SMM, MM during pregnancy, delivery, up one year post-partum to expand research development risk stratification approaches mitigation strategies, NIH soliciting submission applications Administrative Supplements active social, biobehavioral, fundamental science awards. Applicants encouraged incorporate where appropriate community partnerships focus disparities race ethnicity, age, disability status, geographic region within overarching research areas. Projects involve secondary analysis existing data collection new data. Applicants responding this NOSI strongly encouraged describe plans rapid sharing data results well innovative data analytics approaches Goal 3, NIH Strategic Plan Data Science). Applications response this NOSI should aligned one more these equally significant goal Goal 1: Incorporate community partnerships participation domestic MM pregnancy-related pregnancy-associated morbidity research resolve health disparities attain equity maternal health. Goal 2: Expand research the leading causes MM pregnancy-related pregnancy-associated morbidity the U.S. strengthen evidence-based care prevention strategies improve outcomes. Goal 3: Develop integrated understanding pregnancy-related pregnancy-associated morbidity MM causes, including underlying comorbidities, mechanisms identify preventable risk factors develop early effective interventions. Areas research interests include are limited the following: Identify determinants risk protection detect most vulnerable populations provide points intervention cardiovascular, stroke, abnormal placentation, hemorrhage, gestational diabetes, infection immunity, mental health, substance abuse research areas. Determine factors related race, ethnicity, age affect underlying leading causes, contributors, mechanisms MM/pregnancy-related pregnancy-associated morbidity. Identify multi-level individual, interpersonal, community, sociocultural) determinants maternal health disparities, well factors contribute optimal maternal outcomes high risk communities. omics other novel technologies existing well-characterized cohorts in clinical trials pregnant women accelerate identification diagnostic, predictive, therapeutic biomarkers including brain structure function alterations) pregnancy-related adverse maternal health outcomes. Determine contribution immune system dysregulation autoimmunity during pregnancy the postpartum period leading poor pregnancy maternal health outcomes. Identify predictors contribution maternal mortality postpartum anxiety depression harmful substance and drug overdoses, including relevant environmental social factors e.g., institutional racism, access care, intimate partner violence, etc.) affect them. Develop and/or test interventions addressing stress, perinatal postpartum depression harmful substance e.g., peer support, complementary health approaches, strategies coordinate integrate OB/GYN mental health substance treatment services) assess impact maternal health outcomes. Develop approaches interventions target pregnancy-related cardiovascular disease and/or underlying cardiovascular risk factors during perinatal postnatal periods assess impact maternal health status. Identify barriers opportunities design strategies implementing clinical guidelines blood pressure management, physical activity, diet tailored high risk communities. Link establish feasibility linking existing MM/pregnancy-related pregnancy-associated morbidity datasets, electronic health records, clinical biomarker data existing national cohorts, biobank data, national surveys registries. Develop tools modify existing tools e.g. Smartwatch ECG, blood pressure, sleep monitor heart rate monitor, devices measure real-time stress level, wearable devices detect postpartum depression, predictive modeling tools, etc.) recognize pregnancy related warning signs. Identify, monitor, target pregnancy-related pregnancy-associated morbidity/MM-related ischemic stroke arterial venous), intra-cerebral hemorrhage, epilepsy, migraine, nervous system infections, headache, encephalopathy syndromes, cognitive impairment. Develop strategies enhancing community partnerships engages women their families, community healthcare providers systems, local governments identify barriers and community-specific opportunities optimal maternal health equity. Design test strategies improve interdisciplinary coordinated care, particularly during transition periods, prenatal one year postpartum prevent mortality adverse health outcomes. Applications incorporate community partnerships interdisciplinary research strongly encouraged. administrative supplements extend work awarded the parent grant, proposal needs be within scope the project is already supported. Supplements awards clinical trials allowed. Supplement applicants must demonstrate the additional NIH funding advance science and/or medicine above current funding level. Application Submission Information Applications this initiative must submitted using following opportunity its subsequent reissued equivalent: PA-18-591 - Administrative Supplements Existing NIH Grants Cooperative Agreements Parent Admin Supp Clinical Trial Optional instructions the SF424 R&R) Application Guide and PA-18-591 (or reissue) must followed, the following additions: Application Due Date(s) June 22, 2020 5:00 PM local time applicant organization. funding consideration, applicants must include NOT-OD-20-104 without quotation marks) the Agency Routing Identifier field box 4B) the SF424 R&R form. Applications without information box 4B not considered this initiative. project budget periods must within currently approved project period the existing parent award. Individual requests be more 150,000 direct costs the entire project period. project period be limited 1 year. Research Strategy section the application limited 6 pages should include following information Discussion the scientific rationale relevance maternal mortality. Administrative supplement applications PA-18-591 must the application form package the Competition ID contains FORMS-E-ADMINSUPP. FOA be reissued application form packages containing FORMS-F-ADMINSUPP May 25, 2020. Submissions the reissued FOA be accepted or after 25, 2020 through expiration date this Notice. process Streamlined Submissions using eRA Commons cannot used this initiative. Applicants strongly encouraged notify program contact the Institute supporting parent award a request been submitted response this FOA order facilitate efficient processing the request Review Process IC conduct administrative reviews applications will be prioritized NIH staff the Maternal Mortality Task Force. Criteria: Priority be given projects incorporate community needs perspectives that focus a population disproportionately affected MM/SMM. NIH staff review following: Does work proposed address or of goals defined earlier this notice NOT-OD-20-104)? the project designed advance our understanding the mechanisms, interventions, risk profiles pregnancy-related pregnancy-associated morbidity/MM the U.S.? Does supplement propose address or of leading preventable causes pregnancy-related pregnancy-associated morbidity/MM the U.S. outlined this notice NOT-OD-20-104)? not, there strong justification addressing preventable causes? the proposal address pregnancy-related pregnancy-associated morbidity/MM one more high risk populations based race/ethnicity, age, geographic region? the work proposed within scope the active parent award? the parent award progressing satisfactorily/according planned timeline milestones? the proposed project technically feasible within supplement budget funding period? the overall strategy, methodology, analyses proposed the supplement application well-reasoned appropriate accomplish activities the proposed project period? Inquiries Please direct inquiries to: Nahida Chakhtoura Eunice Kennedy Shriver National Institute Child Health Human Development NICHD)National Institute Child Health Human Development Telephone: 301-435-6872 Email:
nahida.chakhtoura@nih.gov Soju Chang National Center Advancing Translational Sciences NCATS) Telephone: 301-827-9206 Email:
soju.chang@nih.gov Della White National Center Complementary Integrative Health Telephone: 301-827-6358 Email:
whitede@mail.nih.gov Lisa Neuhold National Eye Institute Telephone: 301-451-2020 Email:
lneuhold@nei.nih.gov Jyoti Dayal National Human Genome Research Institute Telephone: 301-480-2307 Email:
jyotig@mail.nih.gov NHLBI IMPROVE Initiative National Heart, Lung, Blood InstituteEmail:
NHLBI_IMPROVEinitiative@nhlbi.nih.gov Rosaly Correa-de-Araujo National Institute Aging Telephone: 301-496-6762 Email:
rosaly.correa-de-araujo@nih.gov Juliane Caviston National Institute Allergy Infectious Diseases Telephone: 301-761-5094 Email:
juliane.caviston@nih.gov Marisol Espinoza-Pintucci National Institute Arthritis Musculoskeletal Skin Diseases Telephone: 301-827-6959 Email:
marisol.espinoza-pintucci@nih.gov Minki Chatterji National Institute Drug Abuse Telephone: 301-827-5435 Email:
minki.chatterji@nih.gov Trinh T. Ly National Institute Deafness Other Communication Disorders Telephone: 301-435-4085 Email:
trinh.ly@nih.gov Christine Maric-Bilkan National Institute Diabetes Digestive Kidney Diseases Telephone: 301-435-0486 Email:
christine.maric-bilkan@nih.gov Zuzana Justinova National Institute General Medical Sciences Email:
zuzana.justinova@nih.gov Lauren D. Hill National Institute Mental Health Telephone: 301-443-2638 Email:
hillla@mail.nih.gov Jennifer Alvidrez National Institute Minority Health Health Disparities Telephone: 301-594-9567 Email:
jennifer.alvidrez@nih.gov Adam Hartman National Institute Neurological Disorders StrokeScientific/Research Contact Telephone: 301-496-9135 Email:
adam.hartman@nih.gov Richard T. Benson National Institute Neurological Disorders StrokeScientific/Research Contact Telephone: 301-827-9071 Email:
richard.benson@nih.gov Chief Grants Management Officer National Institute Neurological Disorders StrokeFinancial/Grants Management Contact Email:
ChiefGrantsManagementOfficer@ninds.nih.gov Sung Sug Sarah) Yoon National Institute Nursing Research Telephone: 301-402-6959 Email:
sungsug.yoon@nih.gov Hua-Chuan Sim National Library Medicine Telephone: 301-594-4882 Email:
simh@mail.nlm.nih.gov Erica Spotts Office Behavioral Social Sciences Research Telephone: 301-594-2105 Email:
spottse@mail.nih.gov Courtney Coombes Office the Director Telephone: 301-827-2408 Email:
courtney.coombes@nih.gov Elizabeth Neilson Office Disease Prevention Telephone: 301-827-5578 Email:
neilsone@mail.nih.gov Dave Thomas Office Research Womens Health Telephone: 301-435-1313 Email:
david.thomas@nih.gov Deidra Roach, M.D. National Institute Alcohol Abuse Alcoholism NIAAA) Telephone: 301-443-5820 Email:
droach@mail.nih.gov