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Call for Applications: Increasing Healthy Behaviors Among Cancer Survivors in Rural Communities

Call for Applications: Increasing Healthy Behaviors Among Cancer Survivors in Rural Communities
December 2018 – July 2019

 

The National Association of Chronic Disease Directors (NACDD), with funding support from the CDC’s Division of Cancer Prevention and Control, is pleased to announce this opportunity for National Comprehensive Cancer Control Programs (NCCCP) or their designee to apply for funding to support NCCCP grantees efforts to engage with local community-based organizations (CBO) to develop and implement evidence-informed wellness interventions for cancer survivors living in rural communities.  
The purpose of this project is to expand the reach and sustainability of multiple-component survivorship wellness programs in rural communities by building capacity and fostering relationships.  
Project Aims. The project aims to identify the needs of cancer survivors in rural communities and to address those needs through local access to wellness and health education services. Each awardee will work collaboratively with NACDD to engage with local community-based organizations to develop and implement evidence-informed wellness interventions for cancer survivors living in rural communities. A minimum of three evidence-informed wellness interventions within each selected community will be implemented during a 12-month period, selected from among the following cancer survivor health topics:
Physical Activity
Nutrition
Mental Health/Emotional Well-Being
Tobacco Cessation
Vaccinations
Combined Physical Activity and Nutrition

Number of awards.
NACDD will fund approximately five awards at $10,000.00 per award. Grantees are expected to build upon their currently funded health and wellness activities, leveraging resources and concentrating this effort in a defined rural community or geographic region. Funding from NACDD can be used toward staff time, subcontracts (subject to NACDD approval) with CBOs, recruitment and awareness activities (subject to NACDD approval), and reasonable costs for facility rental, local staff travel, data collection, photocopying, and other expenses approved by NACDD. Food costs are not allowed. Use of leveraged resources from state, regional, or local sources are encouraged.  

The expectations for participating awardee teams include:
  1. Attend an NACDD-coordinated webinar training and conduct a needs and resource assessment or use existing data to:
    Identify survivorship needs and resources available at the state level
    Narrow the project scope to focus at the local, community, or regional level
  2. Use the results of the needs assessment to identify evidence-informed interventions that focus on cancer survivor health topics.
  3. Coordinate and leverage local resources and work with the state comprehensive cancer control coalition to support community-based organizations in the implementation of cancer survivor wellness programs.
  4. Engage CBOs in implementing a minimum of three wellness programs.  
    Wellness programs will preferably be led by CBOs. Local efforts should complement the wellness activities funded by the CDC cancer programs and can include non-cancer survivor support systems (family, friends, caregivers, etc.).
  5. Identify training and technical assistance needs to support the implementation of survivorship wellness interventions in rural communities.
    Participate in NACDD-sponsored mentor forums 
  6. Provide evaluation data as outlined by the NACDD project team. 
    Submit project evaluation measures to NACDD for approval.
  7. Use evaluation findings to maintain and sustain program efforts in rural communities.  
    Participate in an exit interview with NACDD at the conclusion of the project to describe technical assistance received, share progress, report successes and challenges, and share lessons learned. 
Expected Outputs and Outcomes:
  • Increased awareness among local partners and knowledge of wellness needs for cancer survivors in rural communities, including:
    • Survivors
    • Primary care provider/hospitals
    • Community service providers
    • Local community funders
  • Improved ability among State Comprehensive Cancer programs to identify and engage appropriate community-based organizations (CBOs) in local implementation of wellness strategies for cancer survivors living in rural communities. Examples:
    • Wellness programs (TOPS, Weight Watchers®)
    • Hospital Rehab – physical activity
  • Improved ability of NCCCP grantees to collect implementation and outcome-related data from funded CBOs
  • Ability of NCCCP grantees to collect information from state programs that provide support to wellness programs, including: 
    •  Tobacco Programs
    • Physical Activity and Nutrition Programs
    • Immunization Programs
    • Mental Health Programs
  • Improved capacity among NCCCP grantees to use implementation and outcome-related data to inform the delivery of Technical Assistance to funded organizations in rural communities and to inform program improvement
  • Improved delivery of wellness programs for cancer survivors (i.e. quality)
  • Increased number of community-based partners implementing wellness strategies for cancer survivors (i.e. reach) in rural communities
  • Improved community-level infrastructure and resources to ensure continued implementation of wellness programs for cancer survivors in rural communities (i.e. sustainability)

Eligible applicants for this initiative are State Health Departments or their designee. The applicant organization must be an active member of the state’s Comprehensive Cancer Coalition and collaborate with the state’s comprehensive cancer partnership and cooperative agreement recipient in implementing survivor wellness programs in rural communities. Selection also will include consideration of a final awardee group that represents a variety of experience levels and types of CBO collaboration as well as inclusion of both state and local health departments.

Selection Criteria
Rural community: 
For purposes of this project, rural populations are defined as areas with low population density and built environment infrastructure, i.e., roads and/or housing clusters. States, Tribal Nations, and Pacific Islands are eligible to apply. The following 15 states have more than 50% of residents living in rural areas between 2,500 to 50,000 persons and are eligible to apply:

  • Alaska, Alabama, Arkansas, Iowa, Kentucky, Maine, Mississippi, Montana, New Hampshire, North Dakota, Oklahoma, South Dakota, Vermont, West Virginia, and Wyoming.

The following 19 states have more than 30% of residents living in rural areas between 2,500 to 50,000 and are eligible to apply:

  • Delaware, Georgia, Idaho, Indiana, Kansas, Louisiana, Michigan, Minnesota, Missouri, Nebraska, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Virginia, Wisconsin.

State Comprehensive Cancer Program involvement:

  • Collaboration with state health agency (SHA)
  • Collaboration with the funded state comprehensive cancer program grantee (if not the state health agency)

Applicant agency:

  • State Health Agency or their designee is eligible to apply
  • The State Health Agency must be integrally engaged in the project

State Comprehensive Cancer Coalition:

  • Applicant agency must be an active member of the State Comprehensive Cancer Coalition
  • Applicant should have a current relationship with the health system(s) that serves the rural communities in the proposed geographic region

Experience and demonstrated capacity:

  • The community partners/coalitions named in the proposal have implemented community-level programs within the past five years
    • Types of organizations involved
    • Programs implemented and target populations
    • Role of grantee in planning and implementing the program
    • Experience in measuring success
Support from State Health Programs:
  • Letters of commitment to collaborate from relevant state programs (e.g. physical activity, nutrition, vaccine, mental health, tobacco)
  • An appropriate project lead is designated by the state Chronic Disease Director

 

Timeline
Call for solicitation announced: December 10, 2018
Webinar/informational session: December 18, 2018 
Proposals Due: January 18, 2019
Applicants announced: January 24, 2019
Kick-off meeting (webinar): January 29, 2019
Needs Assessment training: February 12, 2019
Online meetings: December 2018, January, February, March, April, May, June 2019
Exit interviews completed: July 31, 2019

 

Application for funding:

Increasing Healthy Behaviors Among Cancer Survivors in Rural Communities

Please provide complete information as requested below to be considered for funding and technical assistance from the National Association of Chronic Disease Directors.

Proposals should be brief and complete, using the general format indicated below.  Format, spacing, and font is at the discretion of the applicant.

Required Sections: Cover Letter(s), Support of Key Partners, Proposed Approach, Prior Experience, Evaluation, Budget.

 

State/Territory/Tribe:___________________

State/Territory/Tribe Contact:

Name:

Position:

Contact Information:

Email:

Phone:

Mailing Address:

 

 

A. Cover Letter (5 points): The applicant must include a cover letter from the state Chronic Disease Director: include the name of the lead programmatic contact person. If the applicant agency is not the State Health Agency (SHA), Tribe or Territory, the cover letter must designate the applicant agency. The designated agency must indicate their commitment to serve as the applicant agency in their letter of commitment (described in part B).

 

B. Commitment of Key Stakeholders (5 points): Letters of commitment from each proposed partner should be included. Attach letters of commitment from each participating CBO, stating their commitment to participate and describing their role in the project. 

 

C. Proposed Approach (30 points): Use the table provided below to respond to each expected activity by answering yes or no to the question, “Can your team accomplish this activity?” and providing the name and contact information for the organization that will take the lead on this activity. Letters of commitment from each partner designated to lead a specific activity should confirm their agreement to lead the activity (as noted in section B above). Instruction for a short narrative description of the project follows the table.  

 

Activity

We are committed to completing this activity: “yes” or “no”

Name and contact information of organization that will assume the lead

1. Conduct a needs and resource assessment to identify survivorship needs and gaps related to wellness program services in the defined target area/population after attending an NACDD-conducted training webinar.

 

 

2. Use the results of the needs assessment to identify evidence-informed interventions that focus on cancer survivor health topics.

 

 

3. Coordinate and leverage local resources and engage the state comprehensive cancer control coalition in supporting community-based organizations in the implementation of cancer survivor wellness programs.

 

 

4. Engage CBOs in implementing a minimum of three wellness programs, collecting and reporting on a set of pre-determined measures.

 

 

5. Identify training and technical assistance needs to support the implementation of survivorship wellness interventions in rural communities and participate in NACDD webinars and mentor forums to address those training and technical assistance needs.

 

 

6. Provide evaluation data as outlined and approved by the NACDD project team.

 

 

7. Use evaluation findings to maintain and sustain program efforts in rural communities in which you implemented the activities.

 

 

8. Complete evaluation template and participate in exit interviews with NACDD representatives describing technical assistance received, sharing progress, reporting successes and challenges, and sharing lessons learned.

 

 

 

Please provide a brief statement of the proposed interventions and project, including description of the size of the geographic area, size of population to be served, description of population centers (incorporated and unincorporated towns) in the geographic area served; estimated number of healthcare providers and healthcare facilities in the area served (primary care physicians, advance registered Nurse Practitioners (ARNPs), specialist physicians, mental health professionals, registered dietitians, dentists, hospitals, clinics, FQHCs).  If no providers or healthcare facilities are located in the rural area served, described the distance residents have to drive to access healthcare. (Limit to 200 words.)  

 

Prior Experience and Performance (10 points): Describe prior experience and quality of performance in recent work focused on implementing health and wellness programs for cancer survivors. Include information about capacity to engage CBOs in leading implementation of evidence-informed interventions for the health and wellness topics that you propose to address. Describe how this will correlate with overall state health and wellness activities of the state comprehensive cancer program. (No more than 150 words expected.)

Prior Experience:

 

 

 

D.  Evaluation (20 points):

Applicants (National Comprehensive Cancer grantee or their designee) should be prepared to work with CBOs to collect and report information on wellness program implementation, including measures of reach (e.g. referrals, enrollment and program attendance), participant characteristics, and barriers and facilitators to program implementation. Measures will align with those collected as part of the state’s Comprehensive Cancer Program activities for survivorship. Applicants will be expected to work closely with NACDD to develop monitoring and evaluation measures appropriate to their unique program implementation context.

Please list the evaluation measures that your comprehensive cancer program is monitoring for currently approved activities in the 1701 Cooperative Agreement awarded to your state:

Measure

Data source

Frequency with which new data point is available (monthly, quarterly, annually)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E. Proposed Budget

Please complete a budget indicating proposed use of funding that includes the following elements:

Budget category

Unit cost

In kind contribution

Requested funds

Personnel:

Include name and title of staff to be paid

Percent time, hourly, or monthly cost for each designated staff.

$

$

Operations:

Include rental, copying, data costs, local staff travel

Per unit costs

$

$

Other costs

will require pre-approval from NACDD.

 

$

$

Total budget

$

$

 

Submission Information

The deadline for the application is Jan. 18, 2018. Please send application to pclayton@chronicdisease.org. Incomplete applications or applications received after the deadline will not be considered. For more information about the RFP as well as to answer any applicant questions, a webinar/conference call will be held on Dec. 18, 2018, at 4:00 P.M. ET. The webinar/conference call will be recorded and posted to the NACDD website. Please register for this webinar/conference call at: https://attendee.gotowebinar.com/register/2584125399539160323

National Association of Chronic Disease Directors
325 Swanton Way
Decatur, GA 30030
info@chronicdisease.org
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