National Institute on Disability and Rehabilitation Research (NIDRR)-Disability and Rehabilitation Research Projects and Centers Program-Disability Rehabilitation Research Project (DRRP)-Reducing Obesity and Obesity-Related Secondary Health Conditions Among Adolescents and Young Adults With Disabilities From Diverse Race and Ethnic Backgrounds, 66307-66310 [E9-29809]
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(1) You must indicate on the envelope
and—if not provided by the Department—in
Item 11 of the SF 424 the CFDA number,
including suffix letter, if any, of the
competition under which you are submitting
your application; and
(2) The Application Control Center will
mail to you a notification of receipt of your
grant application. If you do not receive this
grant notification within 15 business days
from the application deadline date, you
should call the U.S. Department of Education
Application Control Center at (202) 245–
6288.
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V. Application Review Information
Selection Criteria: The selection
criteria for this competition are from 34
CFR 75.210 of EDGAR and are listed in
the application package.
VI. Award Administration Information
1. Award Notices: If your application
is successful, we notify your U.S.
Representative and U.S. Senators and
send you a Grant Award Notification
(GAN). We may notify you informally,
also.
If your application is not evaluated or
not selected for funding, we notify you.
2. Administrative and National Policy
Requirements: We identify
administrative and national policy
requirements in the application package
and reference these and other
requirements in the Applicable
Regulations section of this notice.
We reference the regulations outlining
the terms and conditions of an award in
the Applicable Regulations section of
this notice and include these and other
specific conditions in the GAN. The
GAN also incorporates your approved
application as part of your binding
commitments under the grant.
3. Reporting: At the end of your
project period, you must submit a final
performance report, including financial
information, as directed by the
Secretary. If you receive a multi-year
award, you must submit an annual
performance report that provides the
most current performance and financial
expenditure information as directed by
the Secretary under 34 CFR 75.118. The
Secretary may also require more
frequent performance reports under 34
CFR 75.720(c). For specific
requirements on reporting, please go to
https://www.ed.gov/fund/grant/apply/
appforms/appforms.html.
4. Performance Measures: Under the
Government Performance and Results
Act of 1993 (GPRA), the Department
developed the following performance
measures to evaluate the overall
effectiveness of the HEP: (1) The
percentage of HEP program exiters
receiving a General Education
Development (GED) credential (GPRA
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1), and (2) the percentage of HEP GED
recipients who enter postsecondary
education or training programs,
upgraded employment, or the military
(GPRA 2).
Applicants must propose annual
targets for these measures in their
applications. The national target for
GPRA 1 for FY 2010 is that 69 percent
of HEP program exiters will receive a
GED credential. The national target for
GPRA 2 for FY 2010 is that 80 percent
of HEP GED recipients will enter
postsecondary education or training
programs, upgraded employment, or the
military. The panel readers will score
related selection criteria for applicants,
in part, on the basis of how well an
applicant addresses these GPRA
measures. Therefore, applicants should
consider how they will demonstrate
their capacity to provide reliable data on
these measures, including the project’s
annual performance targets for the
GPRA measures, as required by the
OMB approved annual performance
report that is included in the
application package. All grantees will be
required to submit, as part of their
annual performance report, information
with respect to these GPRA measures.
VII. Agency Contact
FOR FURTHER INFORMATION CONTACT:
David De Soto, U.S. Department of
Education, Office of Migrant Education,
400 Maryland Avenue, SW., Room
3E344, Washington, DC 20202–6135.
Telephone: (202) 260–8103, or by email: david.de.soto@ed.gov, or Tara
Ramsey, U.S. Department of Education,
Office of Migrant Education, 400
Maryland Avenue, SW., Room 3E323,
Washington, DC 20202–6135.
Telephone: (202) 260–2063, or by email: tara.ramsey@ed.gov. If you use a
TDD, call the FRS, toll free, at 1–800–
877–8339.
VIII. Other Information
Accessible Format: Individuals with
disabilities can obtain this document
and a copy of the application package in
an accessible format (e.g., braille, large
print, audiotape, or computer diskette)
on request to the program contact
person listed under FOR FURTHER
INFORMATION CONTACT in section VII of
this notice.
Electronic Access to this Document:
You can view this document, as well as
all other documents of this Department
published in the Federal Register, in
text or Adobe Portable Document
Format (PDF) on the Internet at the
following site: https://www.ed.gov/news/
fedregister. To use PDF you must have
Adobe Acrobat Reader, which is
available free at this site.
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Note: The official version of this document
is the document published in the Federal
Register. Free Internet access to the official
edition of the Federal Register and the Code
of Federal Regulations is available on GPO
Access at: https://www.gpoaccess.gov/nara/
index.html.
Dated: December 10, 2009.
´
Thelma Melendez de Santa Ana,
Assistant Secretary for Elementary and
Secondary Education.
[FR Doc. E9–29807 Filed 12–14–09; 8:45 am]
BILLING CODE 4000–01–P
DEPARTMENT OF EDUCATION
National Institute on Disability and
Rehabilitation Research (NIDRR)—
Disability and Rehabilitation Research
Projects and Centers Program—
Disability Rehabilitation Research
Project (DRRP)—Reducing Obesity
and Obesity-Related Secondary Health
Conditions Among Adolescents and
Young Adults With Disabilities From
Diverse Race and Ethnic Backgrounds
Catalog of Federal Domestic
Assistance (CFDA) Number: 84.133A–7.
AGENCY: Office of Special Education and
Rehabilitative Services, Department of
Education.
ACTION: Notice of proposed priority for
a DRRP.
SUMMARY: The Assistant Secretary for
Special Education and Rehabilitative
Services proposes a priority for the
Disability and Rehabilitation Research
Projects and Centers Program
administered by NIDRR. Specifically,
this notice proposes a priority for a
DRRP. The Assistant Secretary may use
this priority for a competition in fiscal
year (FY) 2010 and later years. We take
this action to focus research attention on
areas of national need. We intend this
priority to improve rehabilitation
services and outcomes for individuals
with disabilities.
DATES: We must receive your comments
on or before January 14, 2010.
ADDRESSES: Address all comments about
this proposed priority to Donna Nangle,
U.S. Department of Education, 400
Maryland Avenue, SW., Room 6029,
Potomac Center Plaza (PCP),
Washington, DC 20202–2700.
If you prefer to send your comments
by e-mail, use the following address:
donna.nangle@ed.gov. You must
include the term ‘‘Proposed Priority for
a DRRP on Reducing Obesity’’ in the
subject line of your electronic message.
FOR FURTHER INFORMATION CONTACT:
Donna Nangle. Telephone: (202) 245–
7462 or by e-mail:
donna.nangle@ed.gov.
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If you use a telecommunications
device for the deaf (TDD), call the
Federal Relay Service (FRS), toll free, at
1–800–877–8339.
SUPPLEMENTARY INFORMATION: This
notice of proposed priority is in concert
with NIDRR’s Final Long-Range Plan for
FY 2005–2009 (Plan). The Plan, which
was published in the Federal Register
on February 15, 2006 (71 FR 8165), can
be accessed on the Internet at the
following site: https://www.ed.gov/
about/offices/list/osers/nidrr/
policy.html.
Through the implementation of the
Plan, NIDRR seeks to: (1) Improve the
quality and utility of disability and
rehabilitation research; (2) foster an
exchange of expertise, information, and
training to facilitate the advancement of
knowledge and understanding of the
unique needs of traditionally
underserved populations; (3) determine
best strategies and programs to improve
rehabilitation outcomes for underserved
populations; (4) identify research gaps;
(5) identify mechanisms of integrating
research and practice; and (6)
disseminate findings.
This notice proposes a priority that
NIDRR intends to use for DRRP
competitions in FY 2010 and possibly
later years. However, nothing precludes
NIDRR from publishing additional
priorities, if needed. Furthermore,
NIDRR is under no obligation to make
an award for this priority. The decision
to make an award will be based on the
quality of applications received and
available funding.
Invitation to Comment: We invite you
to submit comments regarding this
proposed priority. To ensure that your
comments have maximum effect in
developing the notice of final priority,
we urge you to identify clearly the
specific topic that each comment
addresses.
We invite you to assist us in
complying with the specific
requirements of Executive Order 12866
and its overall requirement of reducing
regulatory burden that might result from
this proposed priority. Please let us
know of any further ways we could
reduce potential costs or increase
potential benefits while preserving the
effective and efficient administration of
the program.
During and after the comment period,
you may inspect all public comments
about this proposed priority in room
6029, 550 12th Street, SW., Potomac
Center Plaza, Washington, DC, between
the hours of 8:30 a.m. and 4:00 p.m.,
Washington, DC, time, Monday through
Friday of each week except Federal
holidays.
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Assistance to Individuals with
Disabilities in Reviewing the
Rulemaking Record: On request we will
provide an appropriate accommodation
or auxiliary aid to an individual with a
disability who needs assistance to
review the comments or other
documents in the public rulemaking
record for this notice. If you want to
schedule an appointment for this type of
accommodation or auxiliary aid, please
contact the person listed under FOR
FURTHER INFORMATION CONTACT.
Purpose of Program: The purpose of
the Disability and Rehabilitation
Research Projects and Centers Program
is to plan and conduct research,
demonstration projects, training, and
related activities, including
international activities, to develop
methods, procedures, and rehabilitation
technology, that maximize the full
inclusion and integration into society,
employment, independent living, family
support, and economic and social selfsufficiency of individuals with
disabilities, especially individuals with
the most severe disabilities, and to
improve the effectiveness of services
authorized under the Rehabilitation Act
of 1973, as amended.
Program Authority: 29 U.S.C. 762(g) and
764(a).
Applicable Program Regulations: 34
CFR part 350.
Proposed Priority:
This notice contains one proposed
priority.
Reducing Obesity and Obesity-Related
Secondary Conditions Among
Adolescents and Young Adults with
Disabilities from Diverse Race and
Ethnic Backgrounds.
Background: Obesity continues to be
a major public health concern in the
United States (U.S.). Overall, the
prevalence of obesity in the U.S.
doubled among adults between 1980
and 2004. More than a third of adults in
the U.S. meet the criteria for obesity
(Ogden, et al., 2007). Rates of obesity
also increased among children and
adolescents from 11 to 17 percent
during roughly the same time period
(Ogden, et al., 2007).
Recent epidemiological studies
indicate significant differences in
obesity rates among individuals with
and without disabilities (Altman &
Bernstein, 2008; Rimmer, Rowland, &
Yamaki, 2007; Rimmer & Rowland,
2008a). Approximately one-third of all
adults with disabilities were obese
compared with only 19 percent of adults
without disabilities (Altman &
Bernstein, 2008). Children and
adolescents with disabilities are also
more likely than their non-disabled
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counterparts to be classified as being
overweight. Approximately 30 percent
of children between the ages of 6 and 18
who have limitations in walking,
crawling, running, and playing are
overweight, compared to about 16
percent of children in the same age
group who do not have those limitations
(Bandini, et al., 2005).
There are also significant and welldocumented disparities in obesity
prevalence based on race and ethnicity
(Altman & Bernstein, 2008; Steinmetz,
2006). For example, in general, a greater
percentage of non-Hispanic blacks and
Mexican-Americans of all ages are obese
compared to non-Hispanic whites
(Ogden, et al., 2006).
Despite these documented disparities
in obesity prevalence between
individuals with and without
disabilities, and by race and ethnicity,
only a few national studies have
examined variations in obesity by the
intersection of both disability and
minority group status. According to
these studies, adults with both disability
and race/ethnic minority status have
significantly higher rates of obesity
compared to individuals with disability
or minority group status only, and
compared to those with neither
disability nor minority status (Jones &
Sinclair, 2008). However, none of these
studies report data specifically for the
cohort of transition-age adolescents and
young adults, approximately 15 to 25
years of age. New analyses of extant data
are needed to determine whether the
patterns that exist for adults similarly
exist for adolescents and young adults
who have disabilities and are from
diverse race/ethnic backgrounds. Filling
this knowledge gap, as well as
identifying other risk factors for obesity
in this population, will allow services
and interventions to be targeted to youth
with disabilities who are most at risk of
obesity or overweight status. Targeting
such services and interventions is
critical for these adolescents and young
adults, as obesity and overweight status
generally continue into adulthood
where they can restrict healthenhancing activities and jeopardize
opportunities for community
participation and employment (Rimmer,
Rowland, & Yamaki, 2007).
Obesity and overweight status can
also have serious health consequences
for adolescents and adults with
disabilities because they can be
precursors to secondary conditions that
can complicate treatment of the original
disabling condition and undermine
functional abilities (Rimmer & Rowland,
2008a; Kinne, Patrick, & Doyle, 2004).
Secondary conditions consist of
additional physical or mental health
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conditions that are directly or indirectly
related to the primary impairment, and
are generally considered preventable
(IOM, 2007). Although numerous
studies have examined the secondary
conditions experienced by adults with
disabilities (Kinne et al., 2004; Drum et
al., 2005; Rimmer, Rowland & Yamaki,
2007), new research is needed to
identify the obesity-related secondary
conditions that are most commonly
experienced by adolescents and young
adults with disabilities, especially those
from minority race/ethnic backgrounds.
New research on this target population
is also needed to highlight variations in
risk factors for obesity and obesityrelated secondary conditions.
To date, NIDRR’s investments in this
area have increased awareness of the
disparities in obesity and obesity-related
secondary conditions between
adolescents and adults with and
without disabilities (Rimmer, Rowland
& Yamaki, 2007; Rimmer & Rowland,
2008b). NIDRR-sponsored researchers
have also piloted a new screening tool
based on total body fat instead of body
mass index (BMI), that more accurately
identifies obesity and overweight status
(Rimmer & Rowland, 2008a; Rimmer,
2008). The work to be conducted by the
DRRP under this priority will build
upon these earlier studies by providing
more detailed information about the
prevalence of obesity, the risk factors for
obesity, and the obesity-related
secondary conditions that are
commonly experienced by adolescents
with disabilities from minority race/
ethnic backgrounds.
The majority of obesity intervention
studies that exist were conducted in
controlled, rather than communitybased, settings where most or all of the
common barriers to participation in
health-promoting activities were
eliminated (Rimmer & Rowland, 2008a).
However, the American Recovery and
Reinvestment Act of 2009 provided
$650 million to the Centers for Disease
Control (CDC), ‘‘to carry out evidencebased clinical and community-based
prevention and wellness strategies
authorized by the Public Health Service
Act that deliver specific, measurable
health outcomes that address chronic
disease rates.’’ The Department of
Health and Human Services (HHS) has
developed an initiative in response to
the Act. The goal of this initiative—
Communities Putting Prevention to
Work—is to reduce risk factors and
prevent/delay chronic disease and
promote wellness in both children and
adults. It is not clear to what extent
models or practices being implemented
by projects such as these have
implications for individuals with
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disabilities. Adequate research is not
available related to this area.
New research is needed to identify
promising, community-based strategies
that are culturally competent and have
potential to be effective in reducing
obesity and obesity-related secondary
conditions among adolescents and
young adults with disabilities from
minority race/ethnic backgrounds.
References:
Altman, B. & Bernstein, A. (2008).
Disability and health in the United
States, 2001–2005. Hyattsville, MD.,
National Center for Health
Statistics.
Bandini, L.G., Curtin, C., Hamad, C.,
Tybor, D.J., & Must, A. (2005).
Prevalence of overweight in
children with developmental
disorders in the continuous
national health and nutrition
examination survey (NHANES)
1999–2002. Journal of Pediatrics,
146, 738–743.
Drum, C.E., Krahn, G., Culley, C., &
Hammond, L. (2005). Recognizing
and responding to the health
disparities of people with
disabilities. Californian Journal of
Health Promotion, 3(3), 29–42.
Institute of Medicine (IOM). (2007). The
Future of Disability in America.
Chapter 5, Secondary Conditions
and Aging with Disability.
Washington, DC: The National
Academies Press.
Jones, G.C. & Sinclair, L.B. (2008).
Multiple health disparities among
minority adults with mobility
limitations: An application of the
ICF framework and codes.
Disability and Rehabilitation,
30(12–13), 901–915.
Kinne, S., Patrick, D.L., & Doyle, D.L.
(2004). Prevalence of Health
Disparities among People with
Disabilities. American Journal of
Public Health, 94(3), 443–445.
Ogden, C.L., Carroll, M.D., McDowell,
M.A., & Flegal, K.M. (2007). Obesity
among adults in the United States—
no change since 2003–2004. NCHS
Data Brief No. 1. Hyattsville, MD:
National Center for Health
Statistics.
Ogden C.L., Carroll, M.D., Curtin, L.R.,
McDowell, M.A., Tabak, C.J., &
Flegal, K.M. (2006). Prevalence of
overweight and obesity in the
United States, 1999–2004. JAMA
295(13), 1549–1555. Retrieved from
www.jama.com.
Rimmer, J.H., Rowland, J.L., & Yamaki,
K. (2007). Obesity and Secondary
Conditions in Adolescents with
Disabilities: Addressing the Needs
of an Underserved Population.
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Journal of Adolescent Health; 41,
224–229.
Rimmer, J.H. & Rowland, J.L. (2008a).
Health promotion for people with
disabilities: Implications for
empowering the person and
promoting disability-friendly
environments. American Journal of
Lifestyle Medicine; 2, 409–420,
originally published by Sage online
May 22, 2008. Retrieved from
https://aji.sagepub.com.
Rimmer, J.H. & Rowland, J.L. (2008b).
Physical Activity for youth with
disabilities: A critical need in an
underserved population.
Developmental Neurorehabilitation,
April–June, 11(2), 141–148.
Rimmer, J.H. (2008). Promoting
inclusive physical activity
communities for people with
disabilities. President’s Council on
Physical Fitness and Sports,
Research Digest, June/July; Series
9(2).
Steinmetz, E. (2004). Americans with
Disabilities: 2002. Current
Population Reports, P70–107, U.S.
Census Bureau, Washington, DC.
Thorpe, K.E., Florence, C.S., Howard,
D.H., and Joski, P. (2004). The
Impact of Obesity on the Rise in
Medical Spending. Health Affairs,
July–December (suppl. web excl.),
W4–480–86.
Wolf, A.M., Manson, J.E., Colditz, G.A.
(2002). The Economic Impact of
Overweight, Obesity and Weight
Loss. In: Eckel, R (Editor). Obesity:
Mechanisms and Clinical
Management. Lippincott, Williams
and Wilkins.
Proposed Priority:
The Assistant Secretary for Special
Education and Rehabilitative Services
proposes a priority for a Disability
Rehabilitation Research Project (DRRP)
on Reducing Obesity and ObesityRelated Secondary Conditions among
Adolescents and Young Adults with
Disabilities from Diverse Race and
Ethnic Backgrounds. The DRRP must
build upon the current research
literature on obesity and secondary
conditions and examine existing
community-based obesity prevention
programs such as the programs being
implemented by the Centers for Disease
Control (CDC) in order to determine
whether practices they are
implementing hold promise for
individuals with disabilities, what
modifications to these practices may be
necessary, and how individuals with
disabilities might be incorporated into
community-based programs serving the
wider community. Applicants must
identify the specific sub-populations of
adolescents and young adults they
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propose to study by type of disability
(e.g., physical, sensory, mental) and by
race/ethnic background. Under this
priority, NIDRR is interested in obesity
as a condition that is experienced
concomitantly with other disabling
conditions, but not as a primary
disabling condition. When identifying
the specific sub-populations by race/
ethnic background, the DRRP must
select from three or more of the
following categories: non-Hispanic
whites, non-Hispanic blacks, American
Indians or Alaskan Natives, Asians or
Pacific Islanders, and individuals of
Hispanic origin.
Under this priority, the DRRP must be
designed to contribute to the following
outcomes:
(a) Enhanced understanding of the
risk factors and health consequences of
obesity and overweight status for
adolescents and young adults with preexisting disabilities from diverse race/
ethnic backgrounds. The DRRP must
contribute to this outcome by
conducting analyses of extant data
sources to identify variations in rates of
obesity and overweight status by race/
ethnicity and other risk factors among
adolescents and young adults with
disabilities approximately 15 to 25 years
of age, as well as variations in obesityrelated secondary conditions.
(b) New knowledge of promising,
community-based and culturally
competent practices for reducing obesity
and obesity-related secondary
conditions among adolescents and
young adults with pre-existing
disabilities. The DRRP must contribute
to this outcome by conducting research
to identify the key elements of
culturally competent, community-based
strategies and programs that show
promise toward reducing obesity and
overweight status for the specific target
populations selected. The DRRP’s work
in this area is intended to identify
potential interventions that can be
tested and implemented in the future in
community-based settings. Applicants
must propose, in their applications, the
specific criteria and methods they will
use to identify culturally competent and
promising community-based strategies
and programs.
(c) Increased translation of research
findings into practice or policy. The
DRRP must contribute to this outcome
by:
(1) Collaborating with stakeholder
groups (e.g., youth and young adults
with disabilities, families, family
surrogates, rehabilitation professionals,
and public health professionals) to
develop, evaluate, or implement
strategies to increase utilization of the
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DRRP’s research findings in programs
targeted to youth with disabilities; and
(2) Coordinating with existing
programs such as those being
implemented by the CDC to obtain and
share information regarding the
applicability of promising practices for
individuals with disabilities.
(2) Conducting dissemination
activities to increase utilization of the
DRRP’s research findings.
Types of Priorities:
When inviting applications for a
competition using one or more
priorities, we designate the type of each
priority as absolute, competitive
preference, or invitational through a
notice in the Federal Register. The
effect of each type of priority follows:
Absolute priority: Under an absolute
priority, we consider only applications
that meet the priority (34 CFR
75.105(c)(3)).
Competitive preference priority:
Under a competitive preference priority,
we give competitive preference to an
application by (1) awarding additional
points, depending on the extent to
which the application meets the priority
(34 CFR 75.105(c)(2)(i)); or (2) selecting
an application that meets the priority
over an application of comparable merit
that does not meet the priority (34 CFR
75.105(c)(2)(ii)).
Invitational priority: Under an
invitational priority, we are particularly
interested in applications that meet the
priority. However, we do not give an
application that meets the priority a
preference over other applications (34
CFR 75.105(c)(1)).
Final Priority: We will announce the
final priority in a notice in the Federal
Register. We will determine the final
priority after considering responses to
this notice and other information
available to the Department. This notice
does not preclude us from proposing
additional priorities, requirements,
definitions, or selection criteria, subject
to meeting applicable rulemaking
requirements.
Note: This notice does not solicit
applications. In any year in which we choose
to use this priority, we invite applications
through a notice in the Federal Register.
Executive Order 12866: This notice
has been reviewed in accordance with
Executive Order 12866. Under the terms
of the order, we have assessed the
potential costs and benefits of this
regulatory action.
The potential costs associated with
this proposed regulatory action are
those resulting from statutory
requirements and those we have
determined as necessary for
administering this program effectively
and efficiently.
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In assessing the potential costs and
benefits—both quantitative and
qualitative—of this proposed regulatory
action, we have determined that the
benefits of the proposed priority justify
the costs.
Discussion of costs and benefits:
The benefits of the Disability and
Rehabilitation Research Projects and
Centers Programs have been well
established over the years in that similar
projects have been completed
successfully. This proposed priority will
generate new knowledge through
research and development. Another
benefit of this proposed priority is that
the establishment of a new DRRP will
improve the lives of individuals with
disabilities. The new DRRP will
generate, disseminate, and promote the
use of new information that will
improve the options for individuals
with disabilities to perform regular
activities in the community.
Intergovernmental Review
This program is not subject to
Executive Order 12372 and the
regulations in 34 CFR part 79.
Accessible Format: Individuals with
disabilities can obtain this document in
an accessible format (e.g., braille, large
print, audiotape, or computer diskette)
on request to the contact person listed
under FOR FURTHER INFORMATION
CONTACT.
Electronic Access to This Document:
You can view this document, as well as
all other documents of this Department
published in the Federal Register, in
text or Adobe Portable Document
Format (PDF) on the Internet at the
following site: https://www.ed.gov/news/
fedregister.
To use PDF you must have Adobe
Acrobat Reader, which is available free
at this site.
Note: The official version of this document
is the document published in the Federal
Register. Free Internet access to the official
edition of the Federal Register and the Code
of Federal Regulations is available on GPO
Access at: https://www.gpoaccess.gov/nara/
index.html.
Dated: December 10, 2009.
Alexa Posny,
Assistant Secretary for Special Education and
Rehabilitative Services.
[FR Doc. E9–29809 Filed 12–14–09; 8:45 am]
BILLING CODE 4000–01–P
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]]>Agencies
[Federal Register Volume 74, Number 239 (Tuesday, December 15, 2009)]
[Notices]
[Pages 66307-66310]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-29809]
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DEPARTMENT OF EDUCATION
National Institute on Disability and Rehabilitation Research
(NIDRR)--Disability and Rehabilitation Research Projects and Centers
Program--Disability Rehabilitation Research Project (DRRP)--Reducing
Obesity and Obesity-Related Secondary Health Conditions Among
Adolescents and Young Adults With Disabilities From Diverse Race and
Ethnic Backgrounds
Catalog of Federal Domestic Assistance (CFDA) Number: 84.133A-7.
AGENCY: Office of Special Education and Rehabilitative Services,
Department of Education.
ACTION: Notice of proposed priority for a DRRP.
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SUMMARY: The Assistant Secretary for Special Education and
Rehabilitative Services proposes a priority for the Disability and
Rehabilitation Research Projects and Centers Program administered by
NIDRR. Specifically, this notice proposes a priority for a DRRP. The
Assistant Secretary may use this priority for a competition in fiscal
year (FY) 2010 and later years. We take this action to focus research
attention on areas of national need. We intend this priority to improve
rehabilitation services and outcomes for individuals with disabilities.
DATES: We must receive your comments on or before January 14, 2010.
ADDRESSES: Address all comments about this proposed priority to Donna
Nangle, U.S. Department of Education, 400 Maryland Avenue, SW., Room
6029, Potomac Center Plaza (PCP), Washington, DC 20202-2700.
If you prefer to send your comments by e-mail, use the following
address: donna.nangle@ed.gov. You must include the term ``Proposed
Priority for a DRRP on Reducing Obesity'' in the subject line of your
electronic message.
FOR FURTHER INFORMATION CONTACT: Donna Nangle. Telephone: (202) 245-
7462 or by e-mail: donna.nangle@ed.gov.
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If you use a telecommunications device for the deaf (TDD), call the
Federal Relay Service (FRS), toll free, at 1-800-877-8339.
SUPPLEMENTARY INFORMATION: This notice of proposed priority is in
concert with NIDRR's Final Long-Range Plan for FY 2005-2009 (Plan). The
Plan, which was published in the Federal Register on February 15, 2006
(71 FR 8165), can be accessed on the Internet at the following site:
https://www.ed.gov/about/offices/list/osers/nidrr/policy.html.
Through the implementation of the Plan, NIDRR seeks to: (1) Improve
the quality and utility of disability and rehabilitation research; (2)
foster an exchange of expertise, information, and training to
facilitate the advancement of knowledge and understanding of the unique
needs of traditionally underserved populations; (3) determine best
strategies and programs to improve rehabilitation outcomes for
underserved populations; (4) identify research gaps; (5) identify
mechanisms of integrating research and practice; and (6) disseminate
findings.
This notice proposes a priority that NIDRR intends to use for DRRP
competitions in FY 2010 and possibly later years. However, nothing
precludes NIDRR from publishing additional priorities, if needed.
Furthermore, NIDRR is under no obligation to make an award for this
priority. The decision to make an award will be based on the quality of
applications received and available funding.
Invitation to Comment: We invite you to submit comments regarding
this proposed priority. To ensure that your comments have maximum
effect in developing the notice of final priority, we urge you to
identify clearly the specific topic that each comment addresses.
We invite you to assist us in complying with the specific
requirements of Executive Order 12866 and its overall requirement of
reducing regulatory burden that might result from this proposed
priority. Please let us know of any further ways we could reduce
potential costs or increase potential benefits while preserving the
effective and efficient administration of the program.
During and after the comment period, you may inspect all public
comments about this proposed priority in room 6029, 550 12th Street,
SW., Potomac Center Plaza, Washington, DC, between the hours of 8:30
a.m. and 4:00 p.m., Washington, DC, time, Monday through Friday of each
week except Federal holidays.
Assistance to Individuals with Disabilities in Reviewing the
Rulemaking Record: On request we will provide an appropriate
accommodation or auxiliary aid to an individual with a disability who
needs assistance to review the comments or other documents in the
public rulemaking record for this notice. If you want to schedule an
appointment for this type of accommodation or auxiliary aid, please
contact the person listed under FOR FURTHER INFORMATION CONTACT.
Purpose of Program: The purpose of the Disability and
Rehabilitation Research Projects and Centers Program is to plan and
conduct research, demonstration projects, training, and related
activities, including international activities, to develop methods,
procedures, and rehabilitation technology, that maximize the full
inclusion and integration into society, employment, independent living,
family support, and economic and social self-sufficiency of individuals
with disabilities, especially individuals with the most severe
disabilities, and to improve the effectiveness of services authorized
under the Rehabilitation Act of 1973, as amended.
Program Authority: 29 U.S.C. 762(g) and 764(a).
Applicable Program Regulations: 34 CFR part 350.
Proposed Priority:
This notice contains one proposed priority.
Reducing Obesity and Obesity-Related Secondary Conditions Among
Adolescents and Young Adults with Disabilities from Diverse Race and
Ethnic Backgrounds.
Background: Obesity continues to be a major public health concern
in the United States (U.S.). Overall, the prevalence of obesity in the
U.S. doubled among adults between 1980 and 2004. More than a third of
adults in the U.S. meet the criteria for obesity (Ogden, et al., 2007).
Rates of obesity also increased among children and adolescents from 11
to 17 percent during roughly the same time period (Ogden, et al.,
2007).
Recent epidemiological studies indicate significant differences in
obesity rates among individuals with and without disabilities (Altman &
Bernstein, 2008; Rimmer, Rowland, & Yamaki, 2007; Rimmer & Rowland,
2008a). Approximately one-third of all adults with disabilities were
obese compared with only 19 percent of adults without disabilities
(Altman & Bernstein, 2008). Children and adolescents with disabilities
are also more likely than their non-disabled counterparts to be
classified as being overweight. Approximately 30 percent of children
between the ages of 6 and 18 who have limitations in walking, crawling,
running, and playing are overweight, compared to about 16 percent of
children in the same age group who do not have those limitations
(Bandini, et al., 2005).
There are also significant and well-documented disparities in
obesity prevalence based on race and ethnicity (Altman & Bernstein,
2008; Steinmetz, 2006). For example, in general, a greater percentage
of non-Hispanic blacks and Mexican-Americans of all ages are obese
compared to non-Hispanic whites (Ogden, et al., 2006).
Despite these documented disparities in obesity prevalence between
individuals with and without disabilities, and by race and ethnicity,
only a few national studies have examined variations in obesity by the
intersection of both disability and minority group status. According to
these studies, adults with both disability and race/ethnic minority
status have significantly higher rates of obesity compared to
individuals with disability or minority group status only, and compared
to those with neither disability nor minority status (Jones & Sinclair,
2008). However, none of these studies report data specifically for the
cohort of transition-age adolescents and young adults, approximately 15
to 25 years of age. New analyses of extant data are needed to determine
whether the patterns that exist for adults similarly exist for
adolescents and young adults who have disabilities and are from diverse
race/ethnic backgrounds. Filling this knowledge gap, as well as
identifying other risk factors for obesity in this population, will
allow services and interventions to be targeted to youth with
disabilities who are most at risk of obesity or overweight status.
Targeting such services and interventions is critical for these
adolescents and young adults, as obesity and overweight status
generally continue into adulthood where they can restrict health-
enhancing activities and jeopardize opportunities for community
participation and employment (Rimmer, Rowland, & Yamaki, 2007).
Obesity and overweight status can also have serious health
consequences for adolescents and adults with disabilities because they
can be precursors to secondary conditions that can complicate treatment
of the original disabling condition and undermine functional abilities
(Rimmer & Rowland, 2008a; Kinne, Patrick, & Doyle, 2004). Secondary
conditions consist of additional physical or mental health
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conditions that are directly or indirectly related to the primary
impairment, and are generally considered preventable (IOM, 2007).
Although numerous studies have examined the secondary conditions
experienced by adults with disabilities (Kinne et al., 2004; Drum et
al., 2005; Rimmer, Rowland & Yamaki, 2007), new research is needed to
identify the obesity-related secondary conditions that are most
commonly experienced by adolescents and young adults with disabilities,
especially those from minority race/ethnic backgrounds. New research on
this target population is also needed to highlight variations in risk
factors for obesity and obesity-related secondary conditions.
To date, NIDRR's investments in this area have increased awareness
of the disparities in obesity and obesity-related secondary conditions
between adolescents and adults with and without disabilities (Rimmer,
Rowland & Yamaki, 2007; Rimmer & Rowland, 2008b). NIDRR-sponsored
researchers have also piloted a new screening tool based on total body
fat instead of body mass index (BMI), that more accurately identifies
obesity and overweight status (Rimmer & Rowland, 2008a; Rimmer, 2008).
The work to be conducted by the DRRP under this priority will build
upon these earlier studies by providing more detailed information about
the prevalence of obesity, the risk factors for obesity, and the
obesity-related secondary conditions that are commonly experienced by
adolescents with disabilities from minority race/ethnic backgrounds.
The majority of obesity intervention studies that exist were
conducted in controlled, rather than community-based, settings where
most or all of the common barriers to participation in health-promoting
activities were eliminated (Rimmer & Rowland, 2008a). However, the
American Recovery and Reinvestment Act of 2009 provided $650 million to
the Centers for Disease Control (CDC), ``to carry out evidence-based
clinical and community-based prevention and wellness strategies
authorized by the Public Health Service Act that deliver specific,
measurable health outcomes that address chronic disease rates.'' The
Department of Health and Human Services (HHS) has developed an
initiative in response to the Act. The goal of this initiative--
Communities Putting Prevention to Work--is to reduce risk factors and
prevent/delay chronic disease and promote wellness in both children and
adults. It is not clear to what extent models or practices being
implemented by projects such as these have implications for individuals
with disabilities. Adequate research is not available related to this
area.
New research is needed to identify promising, community-based
strategies that are culturally competent and have potential to be
effective in reducing obesity and obesity-related secondary conditions
among adolescents and young adults with disabilities from minority
race/ethnic backgrounds.
References:
Altman, B. & Bernstein, A. (2008). Disability and health in the United
States, 2001-2005. Hyattsville, MD., National Center for Health
Statistics.
Bandini, L.G., Curtin, C., Hamad, C., Tybor, D.J., & Must, A. (2005).
Prevalence of overweight in children with developmental disorders in
the continuous national health and nutrition examination survey
(NHANES) 1999-2002. Journal of Pediatrics, 146, 738-743.
Drum, C.E., Krahn, G., Culley, C., & Hammond, L. (2005). Recognizing
and responding to the health disparities of people with disabilities.
Californian Journal of Health Promotion, 3(3), 29-42.
Institute of Medicine (IOM). (2007). The Future of Disability in
America. Chapter 5, Secondary Conditions and Aging with Disability.
Washington, DC: The National Academies Press.
Jones, G.C. & Sinclair, L.B. (2008). Multiple health disparities among
minority adults with mobility limitations: An application of the ICF
framework and codes. Disability and Rehabilitation, 30(12-13), 901-915.
Kinne, S., Patrick, D.L., & Doyle, D.L. (2004). Prevalence of Health
Disparities among People with Disabilities. American Journal of Public
Health, 94(3), 443-445.
Ogden, C.L., Carroll, M.D., McDowell, M.A., & Flegal, K.M. (2007).
Obesity among adults in the United States--no change since 2003-2004.
NCHS Data Brief No. 1. Hyattsville, MD: National Center for Health
Statistics.
Ogden C.L., Carroll, M.D., Curtin, L.R., McDowell, M.A., Tabak, C.J., &
Flegal, K.M. (2006). Prevalence of overweight and obesity in the United
States, 1999-2004. JAMA 295(13), 1549-1555. Retrieved from
www.jama.com.
Rimmer, J.H., Rowland, J.L., & Yamaki, K. (2007). Obesity and Secondary
Conditions in Adolescents with Disabilities: Addressing the Needs of an
Underserved Population. Journal of Adolescent Health; 41, 224-229.
Rimmer, J.H. & Rowland, J.L. (2008a). Health promotion for people with
disabilities: Implications for empowering the person and promoting
disability-friendly environments. American Journal of Lifestyle
Medicine; 2, 409-420, originally published by Sage online May 22, 2008.
Retrieved from https://aji.sagepub.com.
Rimmer, J.H. & Rowland, J.L. (2008b). Physical Activity for youth with
disabilities: A critical need in an underserved population.
Developmental Neurorehabilitation, April-June, 11(2), 141-148.
Rimmer, J.H. (2008). Promoting inclusive physical activity communities
for people with disabilities. President's Council on Physical Fitness
and Sports, Research Digest, June/July; Series 9(2).
Steinmetz, E. (2004). Americans with Disabilities: 2002. Current
Population Reports, P70-107, U.S. Census Bureau, Washington, DC.
Thorpe, K.E., Florence, C.S., Howard, D.H., and Joski, P. (2004). The
Impact of Obesity on the Rise in Medical Spending. Health Affairs,
July-December (suppl. web excl.), W4-480-86.
Wolf, A.M., Manson, J.E., Colditz, G.A. (2002). The Economic Impact of
Overweight, Obesity and Weight Loss. In: Eckel, R (Editor). Obesity:
Mechanisms and Clinical Management. Lippincott, Williams and Wilkins.
Proposed Priority:
The Assistant Secretary for Special Education and Rehabilitative
Services proposes a priority for a Disability Rehabilitation Research
Project (DRRP) on Reducing Obesity and Obesity-Related Secondary
Conditions among Adolescents and Young Adults with Disabilities from
Diverse Race and Ethnic Backgrounds. The DRRP must build upon the
current research literature on obesity and secondary conditions and
examine existing community-based obesity prevention programs such as
the programs being implemented by the Centers for Disease Control (CDC)
in order to determine whether practices they are implementing hold
promise for individuals with disabilities, what modifications to these
practices may be necessary, and how individuals with disabilities might
be incorporated into community-based programs serving the wider
community. Applicants must identify the specific sub-populations of
adolescents and young adults they
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propose to study by type of disability (e.g., physical, sensory,
mental) and by race/ethnic background. Under this priority, NIDRR is
interested in obesity as a condition that is experienced concomitantly
with other disabling conditions, but not as a primary disabling
condition. When identifying the specific sub-populations by race/ethnic
background, the DRRP must select from three or more of the following
categories: non-Hispanic whites, non-Hispanic blacks, American Indians
or Alaskan Natives, Asians or Pacific Islanders, and individuals of
Hispanic origin.
Under this priority, the DRRP must be designed to contribute to the
following outcomes:
(a) Enhanced understanding of the risk factors and health
consequences of obesity and overweight status for adolescents and young
adults with pre-existing disabilities from diverse race/ethnic
backgrounds. The DRRP must contribute to this outcome by conducting
analyses of extant data sources to identify variations in rates of
obesity and overweight status by race/ethnicity and other risk factors
among adolescents and young adults with disabilities approximately 15
to 25 years of age, as well as variations in obesity-related secondary
conditions.
(b) New knowledge of promising, community-based and culturally
competent practices for reducing obesity and obesity-related secondary
conditions among adolescents and young adults with pre-existing
disabilities. The DRRP must contribute to this outcome by conducting
research to identify the key elements of culturally competent,
community-based strategies and programs that show promise toward
reducing obesity and overweight status for the specific target
populations selected. The DRRP's work in this area is intended to
identify potential interventions that can be tested and implemented in
the future in community-based settings. Applicants must propose, in
their applications, the specific criteria and methods they will use to
identify culturally competent and promising community-based strategies
and programs.
(c) Increased translation of research findings into practice or
policy. The DRRP must contribute to this outcome by:
(1) Collaborating with stakeholder groups (e.g., youth and young
adults with disabilities, families, family surrogates, rehabilitation
professionals, and public health professionals) to develop, evaluate,
or implement strategies to increase utilization of the DRRP's research
findings in programs targeted to youth with disabilities; and
(2) Coordinating with existing programs such as those being
implemented by the CDC to obtain and share information regarding the
applicability of promising practices for individuals with disabilities.
(2) Conducting dissemination activities to increase utilization of
the DRRP's research findings.
Types of Priorities:
When inviting applications for a competition using one or more
priorities, we designate the type of each priority as absolute,
competitive preference, or invitational through a notice in the Federal
Register. The effect of each type of priority follows:
Absolute priority: Under an absolute priority, we consider only
applications that meet the priority (34 CFR 75.105(c)(3)).
Competitive preference priority: Under a competitive preference
priority, we give competitive preference to an application by (1)
awarding additional points, depending on the extent to which the
application meets the priority (34 CFR 75.105(c)(2)(i)); or (2)
selecting an application that meets the priority over an application of
comparable merit that does not meet the priority (34 CFR
75.105(c)(2)(ii)).
Invitational priority: Under an invitational priority, we are
particularly interested in applications that meet the priority.
However, we do not give an application that meets the priority a
preference over other applications (34 CFR 75.105(c)(1)).
Final Priority: We will announce the final priority in a notice in
the Federal Register. We will determine the final priority after
considering responses to this notice and other information available to
the Department. This notice does not preclude us from proposing
additional priorities, requirements, definitions, or selection
criteria, subject to meeting applicable rulemaking requirements.
Note: This notice does not solicit applications. In any year in
which we choose to use this priority, we invite applications through
a notice in the Federal Register.
Executive Order 12866: This notice has been reviewed in accordance
with Executive Order 12866. Under the terms of the order, we have
assessed the potential costs and benefits of this regulatory action.
The potential costs associated with this proposed regulatory action
are those resulting from statutory requirements and those we have
determined as necessary for administering this program effectively and
efficiently.
In assessing the potential costs and benefits--both quantitative
and qualitative--of this proposed regulatory action, we have determined
that the benefits of the proposed priority justify the costs.
Discussion of costs and benefits:
The benefits of the Disability and Rehabilitation Research Projects
and Centers Programs have been well established over the years in that
similar projects have been completed successfully. This proposed
priority will generate new knowledge through research and development.
Another benefit of this proposed priority is that the establishment of
a new DRRP will improve the lives of individuals with disabilities. The
new DRRP will generate, disseminate, and promote the use of new
information that will improve the options for individuals with
disabilities to perform regular activities in the community.
Intergovernmental Review
This program is not subject to Executive Order 12372 and the
regulations in 34 CFR part 79.
Accessible Format: Individuals with disabilities can obtain this
document in an accessible format (e.g., braille, large print,
audiotape, or computer diskette) on request to the contact person
listed under FOR FURTHER INFORMATION CONTACT.
Electronic Access to This Document: You can view this document, as
well as all other documents of this Department published in the Federal
Register, in text or Adobe Portable Document Format (PDF) on the
Internet at the following site: https://www.ed.gov/news/fedregister.
To use PDF you must have Adobe Acrobat Reader, which is available
free at this site.
Note: The official version of this document is the document
published in the Federal Register. Free Internet access to the
official edition of the Federal Register and the Code of Federal
Regulations is available on GPO Access at: https://www.gpoaccess.gov/nara/.
Dated: December 10, 2009.
Alexa Posny,
Assistant Secretary for Special Education and Rehabilitative Services.
[FR Doc. E9-29809 Filed 12-14-09; 8:45 am]
BILLING CODE 4000-01-P
