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93.213 Research and Training in Complementary and Alternative Medicine
NATIONAL INSTITUTES OF HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service Act, Sections 222 and 404E; Public Law 103-43, 42 U.S.C. 217a and 283g, as amended; Public Law 92- 463, as amended.
To evaluate alternative, complementary, or unconventional medical treatments. The following objectives support this goal: (1) Coordinate and facilitate the investigation of alternative medical practices through peer-reviewed grant solicitations; (2) Interface with the Center's National Advisory Council; (3) Conduct technology assessment conferences for the purpose of establishing areas of Clinical and Pre-clinical research that need to be further developed within Alternative Medicine; (4) Maintain a comprehensive bibliographic data base in conjunction with the National Library of Medicine; (5) Develop and continue contacts with international programs in complementary and alternative medicine (CAM); and (6) Establish an intra- and extra-mural clinical research fellowship program focusing on broad areas of clinical, scientific, and administrative training in CAM. The major purpose of all of these programs is to foster collaborations between practitioners of CAM and individuals knowledgeable in biomedical research.
TYPES OF ASSISTANCE:
USES AND USE RESTRICTIONS:
Project grants and cooperative agreements may be made to eligible institutions for the support of various projects in CAM. The grants may be used for personnel, consultant costs, equipment, supplies, travel, patient costs, animals miscellaneous items, and indirect costs. For the individual post-doctoral training grant, support is for salary of the trainee, tuition and fees, self-only health insurance, research supplies, equipment, travel to scientific meetings, and related items.
Applicant Eligibility: The awardee will be either a university, college, hospital, public agency, nonprofit research institution, or for-profit organization that submits an application and receives a grant or cooperative agreement for support of research by a named principal investigator.
Pre-application Coordination: No preapplication is required. This program is excluded from coverage under E.O. 12372.
Formula and Matching Requirements: This program has no statutory formula or matching requirements.
POST ASSISTANCE REQUIREMENTS:
Reports: Progress reports are required each year. Annual financial status report is required 90 days after the end of the budget period. Special reports may be requested by the DHHS. Terminal reports are required 6 months after the end of the project.
Account Identification: 75-0896-0-1-552.
In fiscal year 2001, 110 total grants were funded. It is estimated that 117 grants will be funded in fiscal year 2002 and 124 grants in fiscal year 2003. In fiscal year 2001, 16 centers were funded using the Specialized Centers mechanism. Topics for these centers include arthritis, botanicals, cancer, cardiovascular disease, neurology, and pediatrics Several large clinical trials were in progress: Hypericum for Depression; Acupuncture for Symptomatic Relief from Osteoarthritis; Ginkgo biloba for Preventing Dementia; Shark Cartilage as an adjunctive therapy for non-small Cell Lung Cancer; and Glucosamine/Chondroitin for Osteoarthritis. Numerous investigator-initiated research grants were studying the breath of CAM modalities including clinical and basic studies of acupuncture, botanicals, chiropractic, distant healing, homeopathy, massage therapy, magnet therapy and naturopathy to name a few. Finally, individual postdoctoral and predoctoral fellows and two institutional training awards were funded under National Research Service Awards (NRSA).
REGULATIONS, GUIDELINES, AND LITERATURE:
Grants will be available under the authority of and administered in accordance with the PHS Grants Policy Statement and Federal regulations at 42 CFR 52 and 42 U.S.C. 241.
Regional or Local Office: None. Project Grants: Program Analyst; Division of Extramural Research, National Center for Complementary and Integrative Health, National Institutes of Health; 6707 Democracy Blvd, Suite 401, Bethesda, MD, 20892-5475; email: NCCIHDERINQUIRIES@MAIL.NIH.GOV. Small Business Innovation Research Grants Contact: John Williamson PhD; Division of Extramural Research, National Center for Complementary and Integrative Health, National Institutes of Health; 6707 Democracy Blvd, Suite 401, Bethesda, MD, 20892-5475; Telephone: (301) 496-2583. Training Portfolios: John Williamson, Ph.D.; Division of Extramural Research, National Center for Complementary and Integrative Health, National Institutes of Health; 6707 Democracy Blvd, Suite 401, Bethesda, MD, 20892-5475; Telephone: (301) 496-2583.
EXAMPLES OF FUNDED PROJECTS:
The Centers program is supporting a variety of on-going or planned studies including the chiropractic treatment of temporomandibular joint disease and lower back pain, the use of gingko biloba to treat stroke, tibetan medicine for the treatment of metastatic breast cancer, the evaluation of Korean ginseng for chemopreventive activity, a multi-site randomized clinical trial of homeopathy for the treatment of fibromyalgia, a pilot study of Kudzu for the treatment of alcoholism, the efficacy of oral immunotherapy to reduce allergic rhinitis and asthma, music therapy as an adjunct to conventional care for traumatic brain injury, and basic science studies of acupuncture analgesia. Also supported through investigator-initiated grants are basic research investigations of chiropractic and traditional Chinese medicine, clinical applications of alternative medicine for the treatment of alcoholism, allodynia, Alzheimer's disease, attention deficient syndrome, and autism.
CRITERIA FOR SELECTING PROPOSALS:
The major elements in evaluating proposals include assessments of: (1) The scientific merit and general significance of the proposed study and its objectives; (2) the technical adequacy of the experimental design and approach; (3) the competency of the proposed investigator or group to successfully pursue the project; (4) the adequacy of the available and proposed facilities and resources; (5) the necessity of the budget components requested in relation to the proposed project; (6) the relevance and importance to the announced program objectives; and (7) the interfacing of conventional researchers and technology with unconventional/alternative clinicians for the purpose of providing clinical and scientific collaborations when and where appropriate.