Opportunity Information: Apply for PA 18 474

The NIH funding opportunity "Self-Management for Health in Chronic Conditions (R15 Clinical Trial Not Allowed)" (PA-18-474) is a discretionary grant program designed to strengthen the scientific foundation of self-management for people living with chronic illnesses and long-term health conditions. The central idea is to move self-management beyond a set of practical tips or programmatic tools and instead build it as a mainstream, evidence-driven area of research that can meaningfully reduce the burden of chronic disease. Projects supported under this announcement are expected to advance knowledge about how individuals manage symptoms, treatments, lifestyle changes, and the day-to-day demands of chronic conditions, with the larger goal of improving health outcomes and quality of life while potentially reducing healthcare utilization and associated costs.

This opportunity uses the NIH R15 mechanism, which is commonly associated with the Academic Research Enhancement Award (AREA) program. In practice, that means it is structured to support smaller-scale research projects that are often well-suited for institutions that may have more limited NIH research funding histories and that can also involve students and early-stage investigators in meaningful research experiences. The FOA is explicitly labeled "Clinical Trial Not Allowed," so applicants must design studies that do not meet NIH's definition of a clinical trial (for example, they cannot prospectively assign human participants to an intervention to evaluate effects on health-related outcomes). That said, many kinds of rigorous, human-centered research can still fit, such as observational studies, secondary analyses of existing datasets, measurement development and validation, qualitative and mixed-methods research, or studies aimed at understanding mechanisms, behaviors, contexts, and implementation-related factors without assigning participants to an intervention.

From an administrative standpoint, the program is offered by the National Institutes of Health and is categorized under education and health-related funding activities. It is associated with CFDA numbers 93.361 and 93.866. The funding instrument is a grant, and the listed award ceiling is $300,000, which signals the maximum amount that can be requested under the terms summarized in the source information. The original closing date shown in the provided record is January 7, 2021, and the record creation date is December 18, 2017, which is useful context if someone is trying to track down the status of the announcement or locate any reissued or updated versions.

Eligibility is broad and includes many types of U.S.-based organizations and government entities. Examples include state, county, and city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; public housing authorities and Indian housing authorities; and Native American tribal organizations that are not federally recognized tribal governments. The opportunity is also open to nonprofits both with and without 501(c)(3) status (as long as they are not institutions of higher education, since those are listed separately), for-profit organizations that are not small businesses, and small businesses. In addition, the FOA highlights several "other eligible applicants" that NIH is explicitly encouraging or recognizing, including Alaska Native and Native Hawaiian Serving Institutions; Asian American Native American Pacific Islander Serving Institutions (AANAPISIs); Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Tribally Controlled Colleges and Universities (TCCUs); faith-based or community-based organizations; regional organizations; eligible federal agencies; Indian/Native American tribal governments that are not federally recognized; and U.S. territories or possessions.

Foreign eligibility is handled with specific constraints. Non-domestic (non-U.S.) entities, including foreign organizations and foreign institutions, are not eligible to apply directly, and non-domestic components of U.S. organizations are not eligible to apply. However, "foreign components" as defined in the NIH Grants Policy Statement are allowed, meaning a U.S. applicant organization can include certain foreign activities or collaborations when they meet NIH's definition and justification requirements. This distinction matters for applicants planning international data sources, collaborations, or specialized analyses that require work to be performed outside the U.S., because it affects how the project must be structured and who can serve as the applicant organization.

Taken together, the FOA is aimed at building stronger, more generalizable scientific knowledge about self-management in chronic conditions while keeping the work within a non-clinical-trial research framework. It provides a moderate funding cap, accommodates a wide range of applicant types (including community-based and minority-serving institutions), and allows some international collaboration through permitted foreign components, while still requiring that the applicant organization itself be U.S.-based.

  • The National Institutes of Health in the education, health sector is offering a public funding opportunity titled "Self-Management for Health in Chronic Conditions (R15 Clinical Trial Not Allowed)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.361, 93.866.
  • This funding opportunity was created on 2017-12-18.
  • Applicants must submit their applications by 2021-01-07. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $300,000.00 in funding.
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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Frequently Asked Questions (FAQs)

What is the name and number of this NIH funding opportunity?

The funding opportunity is titled "Self-Management for Health in Chronic Conditions (R15 Clinical Trial Not Allowed)" and the FOA number is PA-18-474.

What is the main purpose of PA-18-474?

The purpose is to strengthen the scientific foundation of self-management for people living with chronic illnesses and long-term health conditions. The focus is on building self-management as a mainstream, evidence-driven area of research that can reduce the burden of chronic disease by improving health outcomes and quality of life, and potentially reducing healthcare utilization and associated costs.

What does "self-management" mean in the context of this opportunity?

In this context, self-management refers to how individuals manage symptoms, treatments, lifestyle changes, and the day-to-day demands of living with chronic conditions. The FOA emphasizes moving beyond practical tips or program tools and instead advancing generalizable scientific knowledge about self-management.

What NIH grant mechanism does this FOA use?

This opportunity uses the NIH R15 mechanism, commonly associated with the Academic Research Enhancement Award (AREA) program.

What is the R15/AREA mechanism generally intended to support?

Based on the information provided, the R15/AREA structure is intended to support smaller-scale research projects that can be well-suited for institutions with more limited NIH research funding histories and that can involve students and early-stage investigators in meaningful research experiences.

Are clinical trials allowed under PA-18-474?

No. The FOA is explicitly labeled "Clinical Trial Not Allowed," so applicants must design studies that do not meet NIH's definition of a clinical trial.

What is an example of a study design that would not be allowed because it is a clinical trial?

The provided description indicates that applicants cannot prospectively assign human participants to an intervention to evaluate effects on health-related outcomes.

What types of research may fit if clinical trials are not allowed?

The information provided suggests that many rigorous, human-centered approaches may fit, including observational studies, secondary analyses of existing datasets, measurement development and validation, qualitative research, mixed-methods research, and studies focused on understanding mechanisms, behaviors, contexts, and implementation-related factors without assigning participants to an intervention.

What kinds of outcomes or impacts is this FOA trying to achieve?

The larger goals described include improving health outcomes and quality of life for people with chronic conditions and potentially reducing healthcare utilization and associated costs by advancing evidence-driven knowledge about self-management.

Who is the funding agency for this opportunity?

The funding agency is the National Institutes of Health (NIH).

How is this opportunity categorized?

It is categorized under education and health-related funding activities.

What is the funding instrument type?

The funding instrument is a grant.

What is the maximum award amount (award ceiling) listed?

The listed award ceiling is $300,000, described as the maximum amount that can be requested under the terms summarized in the provided information.

What CFDA numbers are associated with this opportunity?

The opportunity is associated with CFDA numbers 93.361 and 93.866.

What was the closing date shown in the provided record?

The original closing date shown is January 7, 2021.

When was the record created?

The record creation date shown is December 18, 2017.

Why do the record creation date and closing date matter?

They provide context for someone trying to track the status of the announcement or locate reissued or updated versions of the FOA, since the dates suggest the listing may be historical.

What types of U.S. government entities are eligible to apply?

Examples listed include state governments, county governments, city or township governments, special district governments, and independent school districts.

Are colleges and universities eligible?

Yes. The eligibility list includes public and state-controlled institutions of higher education as well as private institutions of higher education.

Are Native American tribal governments or tribal organizations eligible?

Yes. Eligibility examples include federally recognized Native American tribal governments. The FOA also highlights Indian/Native American tribal governments that are not federally recognized and Native American tribal organizations that are not federally recognized tribal governments.

Are nonprofits eligible to apply?

Yes. The opportunity is open to nonprofits with 501(c)(3) status and nonprofits without 501(c)(3) status, as long as they are not institutions of higher education (which are listed separately).

Are for-profit organizations eligible to apply?

Yes. The eligibility list includes for-profit organizations that are not small businesses, and it also separately indicates that small businesses are eligible.

Are public housing authorities eligible?

Yes. The eligibility examples include public housing authorities and Indian housing authorities.

Which institutions and organizations are explicitly highlighted as "other eligible applicants"?

The FOA highlights Alaska Native and Native Hawaiian Serving Institutions; Asian American Native American Pacific Islander Serving Institutions (AANAPISIs); Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Tribally Controlled Colleges and Universities (TCCUs); faith-based or community-based organizations; regional organizations; eligible federal agencies; Indian/Native American tribal governments that are not federally recognized; and U.S. territories or possessions.

Can foreign (non-U.S.) organizations apply directly as the applicant?

No. Non-domestic (non-U.S.) entities, including foreign organizations and foreign institutions, are not eligible to apply directly.

Can a non-domestic component of a U.S. organization apply?

No. Non-domestic components of U.S. organizations are not eligible to apply.

Are any international activities allowed at all?

Yes, with constraints. "Foreign components" (as defined in the NIH Grants Policy Statement) are allowed, meaning a U.S. applicant organization can include certain foreign activities or collaborations when they meet NIH's definition and justification requirements.

What is the practical difference between a foreign organization applying directly and an allowed "foreign component"?

Based on the description provided, a foreign organization cannot be the applicant organization. However, a U.S.-based applicant may structure the project to include certain foreign activities or collaborations as a foreign component, if it fits NIH policy definitions and is properly justified.

What should applicants keep in mind if they want to use international data sources or collaborators?

The description notes that this distinction affects how the project must be structured and who can serve as the applicant organization. International work must be included as a permitted foreign component under NIH policy rather than as a direct foreign applicant or non-domestic component applying.

What is the overall takeaway about what NIH is trying to fund here?

The FOA aims to build stronger, more generalizable scientific knowledge about self-management in chronic conditions, while keeping the research within a non-clinical-trial framework. It also accommodates a wide range of U.S.-based applicant types and permits certain international collaborations through allowed foreign components.

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