Health PromotionExploratoryResearch Grants

Stage 1 – expression of interest(EoI) form

Healthway’s research application process has changed in 2017

Healthway has introduced a two-stage application process in 2017. All applicantsfor Exploratory Research grants must complete an initialEoIusing the attached form and are strongly advised to read the ExploratoryResearchGrant guidelines, Healthway’s Strategic Planand the FAQs before applying.

There are no closing dates for EoIs in 2017.

This EoI template is only for Exploratory Research Grants. Please submit the EoI via email to .

The purpose of the EoI is to:

  • Provide a brief description of the proposed exploratory research project and how it will contribute to the current evidence.
  • Demonstrate the alignment of the research with Heathway’s strategic priorities.
  • Provide a brief translation plan to demonstrate the intent and capacity for the research outcomes to influence health promotion policy and/or practice.
  • Demonstrate a multidisciplinary research team with appropriate expertise to undertake the project.
  • Demonstrate partnerships that will inform the research and facilitatetranslation to practice.

The research proposal does not need to be fully developed at the EoIstage. The research objectives, methods and budget can be draft and indicative.It is not necessary to provide extensive and technical detail on the research design and methodology as these aspects will not be assessed at this stage. Research partnerships can be unconfirmed in the EoI, however must be establishedupon submission of the full application.

Please use Arial 11 font and do not exceed word limits or change the formatting of this form. Additional attachments will not be accepted.

Healthway will acknowledge receipt of EoIs within two working days and complete the initial assessment within four weeks. Please note that not all EoIs will be shortlisted and invited to progress to a full application.

Further information on the requirements of the EoI, assessment process, timelines and Healthway’s priority health areas can be found in the funding guidelines.

If you have any further queries, please contact Candice McKeone, Health Promotion Research and Policy Officer on 08 9476 7022, or

HEALTHWAY HEALTH PROMOTION

EXPLORATORY RESEARCH GRANT

EXPRESSION OF INTEREST

  1. ADMINISTERING INSTITUTION DETAILS

Administering Institution Name (Legal name)
  1. CONTACT PERSON - CHIEF INVESTIGATOR A

Title
Name
Department/School/Faculty/Institution
Telephone
Email
  1. ELIGIBILITY

Please confirm that all of the following eligibility criteria will be met:

☐The research centrally focuses on WA, and majority of the grant monies will be spent in WA

☐The first named Chief Investigator and Administering Organisation are based in WA

☐This EoI, or a similar version has not been previously submitted for an Intervention grant this year.

  1. PROJECT TITLE

Title of project. Be concise but informative. DO NOT exceed 75 characters including spaces.

  1. ALIGNMENT WITH HEALTHWAY PRIORITIES

Select which of Healthway’s priorities the project seeks to address:

☐Reducing smoking and working towards a smoke-free WA

☐Reducing harm from alcohol

☐Promoting good community and individual mental health

☐Physical activity promotion (including reducing sedentary behaviour)

☐Good nutrition promotion

☐Skin cancer prevention

☐Reducing harm from illicit drugs

☐Aboriginal health

  1. PROJECT DESCRIPTION

Please give a brief description of the proposed project, specifically:

6.1 Rationale/justification for the research (100 words)
6.2Describe the proposed research project, clearly stating the main components (200 words)
6.3List the proposed research objectives (150 words)
6.4Briefly describe the research methods (150 words)
6.5Briefly describe the research outcomes and WA communitybenefits (200 words)
  1. PROPOSED TRANSLATION STRATEGIES

Healthway seeks to fund research that has clear potential to directly impact policy and practice and improve health outcomes in WA.Please describe theproposed translation strategy to demonstrate how the research willbe used in the community. For example, if the research aims to influence policy, outline which policy and how the work will inform changes or development of the policy. Identify which stakeholders will be engaged, and howthe collaborationwill achieve policy change.

(300 words)
  1. COLLABORATION AND PARTNER AGENCIES

Partnerships with relevant agencies and organisations are integral to research translation. Please list all of thepartner agencies and organisations, including other funding partners. Specify the nature of the partnership, including the partner’s role in the study, and indicate whether the partnership is currently confirmed or unconfirmed.

Organisation / Name / Expertise / Role in proposed study / Partnership confirmed / unconfirmed
  1. CHIEF INVESTIGATORS AND RESEARCH TEAM

Please list up to four Chief Investigators. Additional investigators can be added if there is justification (see guidelines)

Name / Position / Organisation / Skills and contribution
A
B
C
D

Please list up to six Associate Investigators. Additional investigators can be added if there is justification.

Name / Position / Organisation / Skills and contribution
E
F
G
H
I
J
  1. INDICATIVE BUDGET

COMPONENTS
(1) / PERSONNEL
Outline position, level and period of employment. Please note salary on-costs must not exceed 30% / Salary
Rate pa / $
Year 1 / $
Year 2
Sub total
(2) / EQUIPMENT
Specify Items to be purchased
Please note Healthway does not fund computers or capital items
Sub total
(3) / MAINTENANCE
For example: survey and field expenses, printing and mailing costs.
Please note Healthway does not pay administration or infrastructure
Sub total
Do not include GST / TOTAL $
Maximum $75,000 in total excluding GST

11. DATES

Please allow up to five months for preparation of the full application and Healthway’s review and approval process. Also consider ethics approval processes (see guidelines).

Proposed start date:
Proposed end date:

12.OTHER FUNDING

(a)SUBMISSION OF APPLICATION TO OTHER FUNDERS

Please complete below if you are seeking total funding support for this research from any other funding agency, e.g. NHMRC, WA Health, NHF, ARC, RamaciottiFdn, etc.

Name of Agency:

(b)OTHER FUNDING PARTNERS

Do you intend to approach other partners, in additional to those already listed in section 8 to jointly fund (in kind and/or financial) this research? Please list details below.

13.CERTIFICATION BY CHIEF INVESTIGATORS AND ADMINISTERING INSTITUTION

Chie Investigators, Head of Department Administering Organisation

SIGNATURES OF CHIEF INVESTIGATORS
In signing this page, you certify that all details given in this application are correct.
DATE
A
B
C
D
CERTIFICATION BY THE ADMINISTERING RESEARCH OFFICE
I certify that the project is appropriate to the general facilities available and that I am prepared to have the project carried out strictly in accordance with the current Healthway guidelines for Exploratory Research Grants.
Use Block Letters
SURNAME / TITLE / INITIAL / DEPARTMENT
SIGNATURE / DATE

NOTE: FAILURE TO COMPLETE EACH QUESTIONWILL PREVENT PROCESSING OF THE EXPRESSION OF INTEREST

Exploratory Research Grant – 2017 EOI form