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Centres for Health Research

2019 Metro South HHS - Research Support Scheme

TRAUMA & DISASTER MANAGEMENT PROJECT GRANTS APPLICATION FORM

Applications Close 5pm - 20 August 2018

Background: In 2004 the Royal Darwin Hospital (RDH) was established as the National Critical Care and Trauma Response Centre (NCCTRC) to provide a medical response to incidents of national significance. In 2010 Queensland Health, via the Metro Health South Hospital and Health Service’s Princess Alexandra Hospital (PAH), was recruited to the NCCTRC to provide a primary link in the event the NCCTRC was required to provide a medical response to an incident of national significance.

As a result of this partnership, Princess Alexandra Hospital (PAH) Division of Surgery established a Trauma Research Fund (as agreed with the NCCTRC), to support research studies in trauma and disaster management.

The aims of the research grants are to:

Increase the evidence base of trauma clinical practice

Develop research collaborations between Queensland Hospital and Health Services and Northern Territory Health

Improve trauma patient outcomes through research

TRAUMA & DISASTER MANAGEMENT GRANTS are funded by the PAH Division of Surgery Trauma Research Fund and administered through Centres for Health Research.

Small Grants provide seed funding ($25,000) for projects that have the potential to increase the evidence base of trauma clinical practice. One grant is offered.

Project Grants provides support ($75,000) for a defined project that demonstrates potential for the research outcomes to be translated into improved health outcomes (through evidence based practice) and/or result in future national or international grants. One grant is offered.

Enquiries regarding the Trauma and Disaster Management Grants should be directed to:Centres for Health Research

Email: [email protected]

Phone: 07 3443 8057

mailto:[email protected]

PART A: INSTRUCTIONS AND GENERAL ELIGIBILITY CHECK

1. APPLICATION INSTRUCTIONS

Refer to the Research Support Scheme 2019 Funding Guidelines when preparing your application.

https://metrosouth.health.qld.gov.au/sites/default/files/content/2019-rss-funding-guidelines.pdf

2. SUBMISSION

Applications must be submitted electronically to [email protected] :

i. A signed copy of the application to be submitted as a PDF (electronic signatures accepted)

ii. The application must also be submitted in Word format (signatures not required)

iii. Files should be named using the following naming convention:

Applicant Surname_2019 Funding Type

Eg: Smith_2019_Trauma Small

Or

Smith_2019_Trauma Project

3. DUE DATE

Applications must be received electronically by the Centres for Health Research

No later than 5.00pm, Monday 20 August 2018Late or incomplete applications may not be accepted

4. ENQUIRIES TO:

The Centres for Health Research

Metro South Hospital and Health Service

Email: [email protected]

Phone: 07 3443 8057

V1.0 Effective: June 2018 Review: January 2019

mailto:[email protected]

https://metrosouth.health.qld.gov.au/sites/default/files/content/2019-rss-funding-guidelines.pdf

5. APPLICANT ELIGIBILITY CHECKLIST

To be eligible for a 2019 TRADIM Small or Project Research Grant, the Applicant must be able to answer:

YES to questions 1-4 NO to question 5

YES NO

1 Are you a member of staff of a Queensland Hospital and Health Service, or Northern Territory Health Service?

2 Will your appointment be for the duration of the grant?

3 Will the majority (more than 50%) of the research take place:

i. Within a Queensland Hospital and Health Service? OR

ii. Within a Northern Territory Health Service? OR

iii. In a NCCTRC-approved partnership service facility or organisation within Queensland or the Northern Territory?

If iii, provide details of the NCCTRC-approved partner service facility or organisation in the space provided below.

4 Is at least one member of the investigative team a medical doctor, nurse or allied health professional?

5 Is the proposed research activity currently funded through an award type currently listed on the Australian Competitive Grants Register or international equivalent?https://www.education.gov.au/news/2018-australian-competitive-grants-register-acgr-now-available

Details of NCCTRC-approved partner service facility/organisation

If you answered YES to Question 3iii above, provide details of the NCCTRC-approved partnership service facility or organisation including location, who approved the service facility/organisation and when it was approved (maximum 300 characters including spaces).

6. APPLICANT APPOINTMENT DETAILS

Provide details of your MSH and/or academic partner university appointment(s) (max. 300 characters including spaces) E.g.: Occupational Therapist at PA Hospital; MSH provides UQ with 50% of my salary; QUT

Postgraduate Candidate based at IHBI in the Translational Research Institute

NOTE: N/A (or similar) will not be accepted


https://www.education.gov.au/news/2018-australian-competitive-grants-register-acgr-now-available

7. LOCATION OF RESEARCH ACTIVITY

Provide details of where the majority (more than 50%) of the research activity will take place (maximum 300 characters including spaces)

PART B: GRANT APPLICATION FORM

2019 METRO SOUTH HHS - Research Support Scheme

TRAUMA & DISASTER MANAGEMENT GRANT APPLICATION

1. GRANT APPLICATION TYPE (SELECT ONE)

SMALL GRANT – TRAUMA & DISASTER MANAGEMENT

PROJECT GRANT – TRAUMA & DISASTER MANAGEMENT

2. PROJECT TITLE

(Maximum 300 characters including spaces)

3. INVESTIGATIVE TEAM

The Applicant must be the PI (Principal Investigator).

The maximum number of: Co-Investigators (CIs) = 4; Associate Investigators (AIs) = 2

Title Name Health profession

Organisation

PI Click to choose First name Surname Click to choose Click to choose

CI1 Click to choose First name Surname Click to choose Click to choose





AI1 Click to choose First name Surname Click to choose Type name here

AI2 Click to choose First name Surname Click to choose Type name here

4. ASSESSMENT OF TRAUMA APPLICATIONS WILL BE AGAINST THE CRITERIA LISTED BELOW:

Assessment Criteria 1: Scientific Quality Assessment Criteria 2: Budget Assessment Criteria 3: Clinical Significance Assessment Criteria 4: Originality and Innovation Assessment Criteria 5: Track Record - Relative to Opportunity Assessment Criteria 6: Collaborative Strength / Capacity Building

4.1 ASSESSMENT CRITERIA 1: SCIENTIFIC QUALITY

4.1.1 RESEARCH PROPOSAL

Provide your research proposal on the following pages. Include Applicant’s name, Title of project, Hypothesis, Expected outcomes, Background, Research protocol and references.

Assessment of the scientific quality of the research will be based on:

Definition of project (based on clear articulation of the Hypothesis, Background, Expected outcomes)

Study Design (Based on Methods, Research Protocol) Feasibility (including assessment of Methods and Budget) Whether the proposal would be competitive nationally

Insert your Research Proposal in the box below (You can type directly into the box; cut and paste or insert an embedded PDF. See Instructions – inserting text)


Instructions

1. Research Proposal Format

Maximum 4 pages including references Arial font with a minimum size of 10 point (including tables, table legends and figure legends) Line spacing of 1.5 lines Top and bottom page margins of 2 cm Left and right page margins of 2 cm DO NOT alter headers or footers

2. Inserting Text

Type directly into the text box above, maintaining format as described above; or Cut and paste (e.g. from a previous document) into the text box – note you may lose formatting

if you choose this option; or Embed a PDF document of your complete proposal, maintaining formatting as described below.

- Save your Research Proposal as a PDF document- Place Cursor in the box above- Select “Insert” tab on MSWord Toolbar- Select “Object” and choose “Create from File” from drop down- Browse for your PDF document. Select Insert- Select “Display as Icon”- Click OK- An icon of your Research Proposal content should be displayed in the box above.


4.2 ASSESSMENT CRITERIA 2: BUDGET

4.2.1 BUDGET PROPOSAL

List all items individually (hit enter in the field to add additional lines)N.B. Funds must be expended within 2 years

BUDGET CATEGORIES AMOUNT REQUESTED

Personneli. include type of appointment and on-costs

ii. include the facility institution where this person will undertake the majority of the researchiii. include whether this person is a MSH staff member

Total

Equipmenti. List items costing more than $500 each

ii. Indicate whether they will be procured through MSH

Total

Maintenance / Consumablesi. Include equipment items costing $500 or less each

ii. Identify whether these items will be procured through MSH

Total

Travel / Conferences

Total

Otheri. Note: Computers will not be funded

ii. May also include Biostatistics services; Clinical Research Facility Costs; Biorepository costs; Legal Costs forIntellectual Property Considerations; Pharmacy; Pathology; X-ray costs.

Total

GRAND TOTAL

Budget justification


4.3 ASSESSMENT CRITERIA 3: CLINICAL SIGNIFICANCE

Assessment of the significance of the proposed research will be on the basis of:

The Clinically significance of the research proposal How it addresses clinical delivery of trauma care or trauma system management The translational significance of the research proposal

4.3.1 RESEARCH SIGNIFICANCE

Why is this research clinically significant? (Maximum of 750 characters including spaces)

4.3.2 CLINICAL DELIVERY OF TRAUMA CARE OR TRAUMA SYSTEM MANAGEMENT

Describe how this project will address and improve the clinical delivery of trauma care or trauma system management (maximum ½ an A4 page))

4.3.3 TRANSLATIONAL ASPECTS OF THE RESEARCH PROPOSAL

What is the translational aspect of your project? (Select one box)

T0 – Identification of opportunities and approaches to a health problem (basic research)

T1 – Findings from basic research tested for clinical effect and/or applicability (Phase I and II clinical trials; observational studies)

T2 – Health application to evidence based practice guidelines (Phase III clinical trials; observational studies; evidence synthesis and guidelines development)

T3 – Practice guidelines to health practices (dissemination research; implementation research; diffusion research; Phase IV clinical trials)

T4 – Practice to population health (outcomes research; population monitoring of morbidity, mortality, benefits and risk studies)

Not applicable

Definitions taken from UC San Diego Clinical and Translational Research Institute


4.4 ASSESSMENT CRITERIA 4: CLINICAL ORIGINALITY AND INNOVATION

Describe how your proposal is clinically original and / or innovative ? (maximum of ½ an A4 page)

4.5 ASSESSMENT CRITERIA 5: TRACK RECORD - RELATIVE TO OPPORTUNITY

4.5.1 PRINCIPAL INVESTIGATOR (APPLICANT)

PI CONTACT DETAILS

Applicant name Click to choose First Name Surname

Position

Organisational department Department name

Phone number(s) Primary: Secondary:

Email address

P1 ACADEMIC QUALIFICATIONS & APPOINTMENTS

Academic QualificationsEg: MBBS:

Academic AppointmentsEg: Senior Lecturer, XXDept, UQ :

PI RESEARCH TIME

Expected 2019 time allocation to: This study (hr/wk): Other studies (hr/wk):

Do you expect to have an extended period of absence during 2019? Yes No

If Yes, provide expected dates DD/MM/YEAR - DD/MM/YEAR

Reason(¼ A4 page or less)

PI PUBLICATIONS

List your publications produced in the last 5 years which have the most relevance to the study proposed in this application with ALL authors provided) Press <Enter> after each publication to maintain the numbering system

1.


PI GRANTSProvide details of research funding received in the last 5 years and indicate whether the funding relates to the proposed research of this application. If more than 8 please eliminate least applicable to this research proposal.

Funding body and type Start dateEnd date

Amount Relevant to this application?

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

[DD/MM/YYYY]

[DD/MM/YYYY]

$ Yes

No

PI RESEARCH PERFORMANCE RELEVANT TO OPPORTUNITY

Are there any disruptions to your career (greater than 28 calendar days) that may have impacted on your research performance that you would like to have taken into consideration?

Please outline in the section below in ¼ of an A4 page or less.

1.


4.6 ASSESSMENT CRITERIA 6: COLLABORATIVE STRENGTH

4.6.1 CO-INVESTIGATOR 1 (CI1)

CI1 CONTACT DETAILS

CI1 name Click to choose First Name Surname

Position

MSH site Click to choose


Phone number

Email address

CI1 ACADEMIC QUALIFICATIONS & APPOINTMENTS


Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ :

CI1 RESEARCH TIME


Does CI1 expect to have an extended period of absence during 2019? Yes No



CI1 PUBLICATIONS

List publications produced in the last 5 years which have the most relevance to the study proposed in this application with ALL authors provided

Press <Enter> after each publication to maintain the numbering system

1.



CI2 CONTACT DETAILS


Position



Phone number

Email address

CI2 ACADEMIC QUALIFICATIONS & APPOINTMENTS


Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ :

CI2 RESEARCH TIME





CI2 PUBLICATIONS



1.



CI3 CONTACT DETAILS


Position



Phone number

Email address

CI3 ACADEMIC APPOINTMENTS


Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ

CI3 RESEARCH TIME





CI3 PUBLICATIONS



1.



CI4 CONTACT DETAILS


Position



Phone number

Email address

CI4 ACADEMIC APPOINTMENTS


Academic AppointmentsEg: Senior Lecturer, XX Dept, UQ:

CI4 RESEARCH TIME





CI4 PUBLICATIONS



1.


4.6.5 ASSOCIATE INVESTIGATOR 1Outline the role of AI1 in the broad research plan proposed in this application and indicate why AI1 has been included within the research team (maximum ½ an A4 page)

4.6.6 ASSOCIATE INVESTIGATOR 2

Outline the role of AI2 in the broad research plan proposed in this application and indicate why AI2 has been included within the research team (maximum ½ an A4 page)

4.7 OTHER SUBMITTED GRANT APPLICATIONS

Provide details of grant applications related to this study submitted to other funding bodies in the current year

Funding body and type Project title Budget

$

$

$

$

$

$


4.8 NOMINATION OF EXPERTSAs outlined in the 2019 Funding Guidelines (section 7.4.1 ), three experts must be nominated. These experts may be contacted by the MSH Review panel for further advice. For nominations to be eligible, the Applicant must be able to answer Yes to all questions.

YES NO

1 Are all nominated experts external to the service facilities/organisations with which the investigative team are associated?

2 Is at least one nominated expert from interstate or overseas?

3 Are all three nominated experts acknowledged experts in the field (i.e. publication track record, PhD or equivalent research experience)?

4 Are all three nominated experts completely independent of the investigative team and without conflict of interest?

5 Have all three nominated experts agreed to be available September to October 2018 to assess your application?

PLEASE NOTE: When contacting your experts please advise them of the name of the Principal Investigator and the name and title of the application and advise them they may be called upon for expert input into the review process.

4.8.1 EXTERNAL EXPERT 1

Name Click to choose First Name Surname

Health profession Click to choose

Organisation/Institution Organisation/Institution name

Department Department name

Phone number: Email:

Availability confirmed? Yes No

Comments (¼ A4 page or less)

Who contacted this expert?




















4.8.4 EXCLUDED EXPERTS

If relevant, list details of up to two experts you would like excluded from assessing your application and provide justification for their exclusion

EXCLUDED EXPERT 1





Justification Provide details

EXCLUDED EXPERT 2





Justification Provide details


5 AGREEMENTS AND CERTIFICATION OF SUPPORT

CERTIFICATION BY THE PRINCIPAL INVESTIGATORPlease carefully read each criterion and ensure the application complies. Marking each box indicates your certification of each criterion. Incomplete applications may be deemed ineligible.

I, [First Name, Surname], certify that:

Written agreement (such as an email) has been obtained from all investigators named in this Research Support application and that all details provided are correct.

I understand that should this application be successful, all named Co-Investigators on this application will be required to sign the Acceptance of Offer.

On behalf of the investigative team, we accept and agree to comply with the ethical standards as set out by the National Health and Medical Research Council, and any additional standards required by the appropriate Human Research/Animal Ethics Committee (including, but not limited to the National Statement on Ethical Conduct in Human Research and Australian Code for the Responsible Conduct of Research).

Research will not commence until all ethical clearances and site specific approvals (SSAs), if required, have been obtained.

The research team meets the relevant eligibility criteria for the Trauma and Disaster Management Grants and all questions have been answered.

Progress reports (Ethics and Projects) must be provided annually and / or a final report must be provided at the end of the support period

On behalf of the investigative team, we accept and agree to comply with Metro South Health. Policies and Procedures and requests from the Centres for Health Research – Metro South Health in the management of these grants.

Name of Principal Investigator SignatureDigital signatures will be accepted

DD/MM/

YEAR

Date:


6 CERTIFICATION BY HEAD OF DEPARTMENT / DIVISION

I certify that:

The proposed research is appropriate to the general facilities in my Division/Department and that I am prepared to have the project carried out in my Division/Department.

Experiments involving humans/animals (will) conform to the general principles set out in the National Health and Medical Research Committee’s National Statement on Ethical Conduct in Human Research/Australian Code of Practice for the Care and Use of Animals for Scientific Purposes

For Collaborative Projects ensure that the Head of Department from each Facility completes the below section

Name of Head of Department/Division SignatureDigital signatures will be accepted

DD/MM/YEAR

Date:

Position

Name of MSH site/university school

Name of Head of Department/Division SignatureDigital signatures will be accepted

DD/MM/YEAR

Date:

Position

Name of MSH site/university school

NOTE: If the Head of Department is also the Principal Investigator then he/ she cannot provide certification. Certification must then be given by the Head of Department’s supervisor.


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