2016 WCHRI-CUP Patient and Community Engagement Training Program

2016 WCHRI-CUP Patient and Community Engagement Training Program

Application Deadline May 2, 2016 at 4:00pm

Research Grants Administration, 4-081 Edmonton Clinic Health Academy

The Patient and Community Engagement Training Program (PaCET) prepares trainees to understand the complexity of women and/or children’s health and to navigate stakeholder dynamics in collaborative, transdisciplinary and cross-sectoral projects. The objective of the Program is to build capacity and support practice in non-academic stakeholder (patient/community) engagement in women and/or children’s health research.

The PaCET is structured as a ‘community of practice’, defined as a “group of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly” (Wenger). The PaCET community of practice consists of a cohort of PaCET awardees and the WCHRI Support Platform team (the research coordinator and the academic lead).

Candidate Eligibility

In order to be eligible for the PaCET Program, the candidate must be:

registered in a full-time, PhD or Post-doctoral Fellowship program,
in a health-related discipline at the time of application,
at the University of Alberta, and
a WCHRI member.

Membership is free; complete membership information may be found on our website.

The candidate must be affiliated with a research project directly relevant to women and/or children’s health that aims to engage stakeholders (patient/community) at the mid-high level of engagement. The candidate must have an ongoing, project-specific supervision by a research team, preferably with experience in engagement of non-academic stakeholders in research. Sponsoring supervisors must be WCHRI members.

Application Relevance to WCHRI’s Vision, Mission and Strategic Roadmap

All applications submitted through WCHRI Grants must align with WCHRI's vision, mission and strategic roadmap as well as meet our relevance criteria. Applications that do not present with clear alignment and relevance will not be eligible to hold WCHRI funds (other eligibility criteria must also be met).

WCHRI's stated vision, mission and strategic roadmap are included below and can be found on our website.

Vision

To harness the power of research innovation for a healthy future for children and women

Mission

WCHRI will foster the brightest minds to discover, innovate and ultimately transform the health of children and women through supporting research excellence.

WCHRI’s Strategic Roadmap

WCHRI has developed a five-year (2015-2020) strategic roadmap to focus our support for women and children's health research for maximum impact. The roadmap was created after extensive consultation with our members, partners and funders, and builds upon our past successes. The plan focuses on four strategic areas:

Research-integrated hospitals and communities

Improve health outcomes for children and women through research embedded at the point of care.

Children's health and well-being

Identify effective treatments to address the unique health needs of children; improve our understanding of rare and complex childhood diseases.

Healthy development

Optimize maternal and infant health outcomes; develop early intervention and prevention strategies to reduce the risk for lifelong chronic disease.

Lifelong women's health

Support research that addresses mechanisms related to the unique health needs of women; improve reproductive health outcomes.

To establish relevance, all applications must clearly address the following:

The primary research question must be directly relevant to women and/or children’s health;
The research question should specifically target improving outcomes for women and/or children through health research (i.e. context);
If applicable, the animal model must be clearly justified and provide specific details that include rationale for the chosen model, animal age and sex, and relevance/applicability to the research question;
Methodology, including details of study design sufficient to demonstrate benefit, impact, and/or potential for improved women and/ or children’s health outcomes.

Applicants should note that the above are some common considerations; alternative or additional factors may need to be included depending upon the proposed research. All applications will be screened for relevance and alignment with our vision, mission and strategic roadmap. Applications with low relevance and alignment will not be considered fundable, regardless of scientific merit.

Please review the Guidelines prior to completing this application. Please do not hesitate to contact Tatjana Alvadj, Research Coordinator, for program questions, including application queries, by phone at 780-492-6431 or email at .

For all other queries, including those relating to the application process and administration of the bursaries, please contact the WCHRI Research Grants Administrator at .

Instructions for Completion of Application Form

The only application accepted for this program is the 2016 WCHRI-CUP Patient and Community Engagement Training Program (PaCET) Application Form.

Read the application and guidelines before you start filling out the application.

Complete the application form using Arial font size of 10 point.

Do not exceed the space provided except where it has been indicated that additional pages may be appended. Appended material must be provided in the same font and font size as stated above.

Do not submit photo-reduced, double-sided or stapled application material.

Do not forward or send transcripts, letters of reference or other supporting documentation directly to WCHRI. All supporting documentation must accompany your application.

All applicants must provide a letter of reference from their proposed Supervisor. The letter of reference should detail the applicant’s aptitude and qualities that would lend to success in this training opportunity. Additional information that is requested in the letter of reference includes the supervisor’s involvement in the development of the research plan, engagement in the applicant’s research experience and fostering of the applicant’s research competencies and skills over the period of the award.

All applicants must provide a letter of support from the stakeholder/partner. The letter should detail the rationale for pursing investigation of the research, provide a commitment to support the project through to completion and outline potential outcomes of the research (i.e. change to current practice/ policy or guidelines).

The complete, original, signed application must be received by WCHRI on, or before, the deadline with:

one up-to-date copy of the applicant’s official transcripts, received in a sealed envelope,
one original, signed copy of the stakeholder/partner’s letter of support,
a copy of the Supervisor’s CV, and
an original, signed letter of reference from the Supervisor, received with the application in a signed, sealed envelope.

Evaluation Criteria

All applications will be reviewed by the WCHRI-CUP Patient and Community Engagement Training Advisory Committee, chaired by Dr. Maria Mayan, and ranked according to merit. Awards will be adjudicated based on the following criteria:

The strength and quality of the applicant’s previous research training and experience,
The applicant’s learning objectives related to patient/community engagement in research,
The strength and quality of the applicant’s understanding of stakeholder (patient/community) engagement in health research,
The level and relevance of stakeholder (patient/community) engagement in the proposed research study, and
The level of supervisor’s experience with stakeholder engagement in research.

WCHRI-CUP PaCET 12016

2016 WCHRI-CUP Patient and Community Engagement Training Program

Application Deadline May 2, 2016 at 4:00pm

Research Grants Administration, 4-081 Edmonton Clinic Health Academy

Candidate Name: Last Name, First Name, Middle Initial(s)
University of Alberta Email Address:

WCHRI supports the University of Alberta's efforts to ensure the highest standards of research and scholarship practice and behaviour. By signing below, each candidate and their supervisor(s) asserts that this application adheres to all research policies and procedures in place at the University of Alberta. WCHRI reserves the right to request institutional confirmation of assertions contained within this application.

Misrepresentations of authorship, credentials or research support may result in disqualification of the candidate from this competition. Further actions may include: disqualifying the candidate or supervisor(s) from future competitions for a time period determined solely by WCHRI, withdrawal of any remaining installments of support for any existing WCHRI grant or award for which misrepresentation appears in the submission, and seeking partial or full repayment of any past financial support under any WCHRI grant or award for which misrepresentation appears in the submission.

Further information on research and scholarship integrity, the University of Alberta's governance policies may be found at:

SIGNATURES

The undersigned agree to abide by UAPPOL and the general conditions governing any award made pursuant to the sponsorship of this application.

Required Signatures / Printed Name / Date (day/month/year)
Candidate: / dd/mm/yy
Supervisor: / dd/mm/yy
Supervisor's Department Chair: / dd/mm/yy
Supervisor's Faculty Dean: / dd/mm/yy

NAME OF CANDIDATE: Last Name, First Name, Middle Initial

CANDIDATE’S CONFIRMATION OF WCHRI MEMBERSHIP: YES NO

If you are not a member, please complete membership at before submitting this application.

RESEARCH RELEVANCE

Indicate whether your research is relevant to children’s or women’s health. If your research is relevant to both children’s and women’s research, check both boxes.

Children’s Health Women’s Health

LOCATION OF PROPOSED RESEARCH

Complete Mailing Address
Department of / Faculty of
Room Number & Building:

ACADEMIC/ TRAINING RECORD

Provide a complete listing of current and completed degree, diploma and specialization programs. Graduate studies or and/or Post-doctoral training must be included, beginning with your current program. A current, official University of Alberta transcript must be provided with this application. Additional pages may be used.

Degree/Diploma/Specialization / Enrollment Dates / University/ Institution
Start date / End date
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy

ACADEMIC ACHIEVEMENTS

List all academic achievements (i.e. prizes, honors, awards, distinctions, citations, etc.). Do not list extra-curricular activities or accomplishments. Additional pages may be used.

Prize/Honor/Award / Period of Support
Start date End date / Value of Award / Awarding Organization
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy

Candidate Name: Last Name, First Initial

CANDIDATE'S RESEARCH PUBLICATIONS

Provide a list of your scientific publications. List only papers and abstracts that are in press or accepted for publication. Additional pages may be used.

RESEARCH & WORK EXPERIENCE

List your relevant research and work experience. Additional pages may be used.

Position / Institution or Company
City and Country / Supervisor’s Name / Effective dates
Start date / End date
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
mm/yy / mm/yy
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mm/yy / mm/yy

Candidate Name: Last Name, First Initial

RESEARCH EXPERIENCE

In the space below, describe the research skills you have obtained to date. Do not exceed the space provided.

ACADEMIC INTERRUPTION

If there has been an interruption in your academic career, please provide a brief explanation. Indicate the period and the reason(s) for the interruption below.

Candidate Name: Last Name, First Initial

UNDERSTANDING OF STAKEHOLDER (PATIENT/COMMUNITY) ENGAGEMENT IN HEALTH RESEARCH

In the space below, please describe your current knowledge of stakeholder engagement in research.

LEARNING OBJECTIVES

In the space below, detail 3-4 learning objectives or skills you hope to gain through the PaCET program.

Candidate Name: Last Name, First Initial

RESEARCH PROJECT

Please outline your research project and expected outcomes; you must include your references. Research projects must be relevant to women and/or children’s health. Do not exceed the space provided.

PROJECT TITLE:

Candidate Name: Last Name, First Initial

ROLE OF APPLICANT

Please describe your role in the proposed research project. Do not exceed the space provided.

SUPERVISOR INFORMATION

All proposed supervisors must be WCHRI members at the time of application.

Supervisor’s Name
/ Confirmation of WCHRI membership
Yes No

SUPERVISOR’S EXPERIENCE WITH STAKEHOLDER ENGAGEMENT IN RESEARCH

Please detail, in the section below, supervisor experience with stakeholder engagement in research.

PROPOSED STAKEHOLDER/PARTNER INFORMATION

Identification of Stakeholder/Partner / Primary Contact Name & Title
Complete Mailing Address / Contact Information
Telephone: (780)
Fax: (780)
Email:

Candidate Name: Last Name, First Initial

ROLE OF THE STAKEHOLDER (patients/community groups/organizations) in the Study

In the space below, please describe the stakeholder’s level of engagement.

RELEVANCE OF STAKEHOLDER (COMMUNITY/PATIENT) ENGAGEMENT IN THE CONTEXT OF RESEARCH TO THE WCHRI VISION, MISSION & STRATEGIC ROADMAP

Please describe the relevance of stakeholder (community/patient) engagement to the WCHRI Vision, Mission and Strategic Roadmap in the proposed research project. For further information on our Vision, Mission and Strategic Roadmap, visit our website at: . Do not exceed the space provided.

APPENDICES

Ensure that all required appendices are included with the submission of the application. Applications that are submitted without the required appendices may be submitted to the review committee incomplete or may not be reviewed.

REQUIRED APPENDICES

Attach the following appendices to this application:

A current, official University of Alberta transcript;
Stakeholder partner’s letter(s) of support;
Supervisor’s letter of reference (provided with the completed application form in a signed/ sealed envelope);
Supervisor’s CV that underlines projects with stakeholder engagement

WCHRI-CUP PaCET 12016