rivka: (Rivka P.I.)
[personal profile] rivka
...but how to pass up the opportunity?

As part of the economic stimulus package, the Obama administration has set aside $200 million for "challenge grants," two-year NIH research awards that are aimed to hire a bunch of scientists and pump money into the economy. They have to be applied for immediately. (Well, they've been out for a few weeks, but I wasn't really thinking about grants last month.) The application is fairly minimal - you don't have to have "background" and "preliminary studies" sections the way you usually do, just a 12-page argument for what you want to do and why it's important.

The catch is that, whatever your dream research idea, you have to squeeze it so it fits into one of their approved topic areas. I know what I need to do next: take my research about HIV conspiracy theories and develop an intervention to address the problem. It didn't seem to fit into any of the challenge grant topic areas... except that a couple of days ago my RA pointed out that there might be one that kind of, if you cross your eyes a little, sort of fits.

It doesn't cost anything to query, right?

Dear Dr. Liu,

I am interested in applying for an NIH challenge grant under topic 01-TW-101, "Novel strategies to improve health care access for stigma-related conditions," but I am unsure whether my proposed topic would be considered to fall within this topic area. I would be grateful for your opinion.

I am currently studying "conspiracy theories" about the origins and treatment of HIV, and how they may have an impact on patients' willingness to accept antiretroviral therapy for HIV. To date I have found that patients who are on antiretroviral therapy are less likely to endorse conspiracy theories than patients who are not receiving therapy, and I am conducting a prospective study (funded by NINR as an R21) to determine how these beliefs affect untreated patients' responses to offered antiretroviral therapy.

I propose that conspiracy theories (for example, "the U.S. government was involved in starting the HIV epidemic" and "HIV doctors use patients as "guinea pigs," giving them experimental treatments without their consent) can only gain currency in the context of the intense stigma associated with HIV. When a disorder cannot be openly discussed, it is more difficult for patients to obtain and evaluate information; additionally, patients' own opinions and beliefs about the condition are unlikely to be brought out in the open where misconceptions can be identified and corrected. Also, it may seem only natural that a disease perceived as secret and shameful would have secret and shameful origins, or that identified patients would be mistreated by medical providers. Finally, patients may cling to conspiracy theories in order to justify their unwillingness to be tested or receive treatment, thus allowing them to avoid the stigma of HIV.

I would like to use a challenge grant to develop and pilot an intervention to address conspiracy theories about HIV and its treatment among African-Americans who have been diagnosed with HIV, with the aim of increasing these patients' willingness to receive antiretroviral therapy.

In your judgment, would this proposal fall within the category of "improving health care access for stigma-related conditions?" I would deeply appreciate your thoughts.

Sincerely,

Rebecca Wald
Assistant Professor
Institute of Human Virology and
University of Maryland School of Medicine

Date: 2009-04-03 07:07 pm (UTC)
From: [identity profile] xiphias.livejournal.com
Personally, I think that that seems to fit RIGHT in. Maybe not a bullseye, but definitely in the first ring out.

Date: 2009-04-03 07:08 pm (UTC)
ailbhe: (Default)
From: [personal profile] ailbhe
The "guinea pigs" sentence appears to have an odd number of " marks - is this quick enough to be useful?

Date: 2009-04-03 07:10 pm (UTC)
ailbhe: (Default)
From: [personal profile] ailbhe
Have now read for content. I really hope you get funding for this. It seems totally appropriate.

Date: 2009-04-03 07:19 pm (UTC)
From: [identity profile] pbrim.livejournal.com
It seems pretty spot on to me. Good luck!

Date: 2009-04-03 07:22 pm (UTC)
From: [identity profile] baratron.livejournal.com
I think this would fit right in and hope, like all your friends, that you get funding. 'Cos I think you could do a really good job on it.

Date: 2009-04-03 07:32 pm (UTC)
jenett: Big and Little Dipper constellations on a blue watercolor background (Default)
From: [personal profile] jenett
It seems like it fits in for me, too. (And you do a great job of explaining *how* it fits, and the impact on improved health care.)

Date: 2009-04-03 07:47 pm (UTC)

Date: 2009-04-03 07:51 pm (UTC)
From: [identity profile] hobbitbabe.livejournal.com
That's such a *readable* query or short-form proposal or whatever you call it. It seems to fit exactly in that topic as far as I can tell. Good luck!

Date: 2009-04-03 08:06 pm (UTC)
melebeth: (Default)
From: [personal profile] melebeth
It seems to fit really well to me, actually. Go ye, and get money.

Date: 2009-04-03 08:20 pm (UTC)
From: [identity profile] wcg.livejournal.com
Best of luck getting this. I think your research fits into their program. I hope Dr. Liu thinks so too.

Date: 2009-04-03 08:21 pm (UTC)
kate_nepveu: sleeping cat carved in brown wood (Default)
From: [personal profile] kate_nepveu
Good luck!

Date: 2009-04-03 08:27 pm (UTC)
From: [identity profile] jinian.livejournal.com
Your reasoning looks great, and I think it fits well. People get funding for lots of projects that are shoehorned into a category harder than this!

Date: 2009-04-03 08:57 pm (UTC)
From: [identity profile] txanne.livejournal.com
Short and sweet! And I don't think that idea needs a shoehorn. Access = getting people in the door.

Date: 2009-04-03 10:05 pm (UTC)
From: [identity profile] erikted.livejournal.com
Looks good!

Just a small flag -- your institution will let you start this late? Mine is issuing dire warnings about the how hundreds of proposals from across campus are expected and there are huge admin bottlenecks and plus everyone fully expects the NIH computers to struggle on deadline day, so get in early, etc etc etc. We're required to have budgets done pretty much already, and start seeking formal admin approvals next week. Everyone I know at any school who does research administration is already hating their life and trying to persuade their faculty that down to the wire submissions simply will not work this time because the systems are just not set up for the expected volume.

So, no intention to rain on your parade, but do ask what it looks like at your school before you commit.

Me, I'm sitting this one out, partly cuz it's all too crazy and partly cuz there's no money in this for international work.

Date: 2009-04-04 10:51 am (UTC)
From: (Anonymous)
Yep - here in Boston, our institution has said that the entire application has to be to the internal Office of Sponsored Research on April 20 (a full week before the NIH deadline of Apr 27) in order to be submitted. It isn't the 12-page research text that is giving me angina right now, but all the other associated PHS398 forms, assurances, budgets, and etc. Good luck, whatever you decide!

Date: 2009-04-03 10:06 pm (UTC)
From: [identity profile] mjlayman.livejournal.com
I think that's very good. I had two units of blood while in the hospital this month which brings them to 18. The first 14 were before HIV/AIDs was really known about, but I always take the new tests and I'm negative so far.

So, new pictures of Colin while I was having/recovering from my new stroke?

Date: 2009-04-04 04:32 am (UTC)
From: [identity profile] tassie-gal.livejournal.com
Seems to fit perfectly to me. I could see how this could be done too- would be really interesting. (want a nearly finshed Phd to be a post doc???)

Date: 2009-04-05 03:30 pm (UTC)
From: [identity profile] rivka.livejournal.com
If you're serious, send me your vita.

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