Healthy Lifestyles in Youth Project; Proposed Single Source Cooperative Agreement With National Congress of American Indians, 41428-41431 [2012-17182]
Download as PDF
<![CDATA[
41428
[FR Doc. 2012–17081 Filed 7–12–12; 8:45 am]
BILLING CODE 4160–01–C
DEPARTMENT OF HEALTH AND
HUMAN SERVICE
Indian Health Services
[HHS–2012–IHS–HLY–0001]
Healthy Lifestyles in Youth Project;
Proposed Single Source Cooperative
Agreement With National Congress of
American Indians
srobinson on DSK4SPTVN1PROD with NOTICES
Application Due Date: August 16,
2012.
Review Date: August 21, 2012.
Earliest Start Date: September 1, 2012.
I. Funding Opportunity Description
The Indian Health Service (IHS)
proposes a single source competing
continuation cooperative agreement
with the National Congress of American
Indians (NCAI) for the purpose of
continued implementation of the
Healthy Lifestyles in Youth Project in
selected Native American Boys and
Girls Clubs of America. This program
promotes healthy lifestyles among
American Indian and Alaska Native (AI/
VerDate Mar<15>2010
17:08 Jul 12, 2012
Jkt 226001
AN) youth using the curriculum
‘‘Together Raising Awareness for Indian
Life’’ (TRAIL) among selected Boys and
Girls Club sites.
This program is authorized under the
authority of the Snyder Act, 25 U.S.C.
13; the Transfer Act, 42 U.S.C. 2001;
and the Public Health Service Act, as
amended, 42 U.S.C. 241(a). Under this
cooperative agreement, IHS proposes to
enter into a collaborative effort/
initiative with NCAI, because of their
unique experience partnering with the
IHS and Boys and Girls Clubs of
America in successfully establishing
this program, as well as, their overall
expertise and experience in addressing
and evaluating healthy lifestyle
techniques in AI/AN youth. This
program is described in the Catalog of
Federal Domestic Assistance (CFDA)
under 93.933.
The focus of the project continues to
be on addressing healthy lifestyle
development, emphasizing nutrition
and physical activity for AI/AN children
and youth 6 through 17 years of age.
The long term goal is to prevent or delay
the onset of obesity and related diseases
such as type 2 diabetes. NCAI will
continue partnering work with selected
PO 00000
Frm 00079
Fmt 4703
Sfmt 4703
Tribal Boys and Girls Club sites to: (a)
Provide health and physical education
programs; (b) help youth achieve and
maintain healthy lifestyles through
participation in fitness programs; (c)
help youth to acquire a range of
physical skills; and (d) help youth
develop a sense of teamwork and
cooperation.
These early intervention strategies
provide evidence based opportunities to
reduce and/or halt the increasing trend
of obesity and diabetes among youth
and young adults. Clubs that develop a
health promotion program that includes
the TRAIL curriculum may help curtail
the effects of unhealthy eating behaviors
and lack of physical activity that can
lead to obesity, diabetes, and other
chronic diseases later in life. The
T.R.A.I.L. curriculum was developed to
provide information on good nutrition
and to promote physical activity among
youth participating in Tribal Boys and
Girls Clubs. T.R.A.I.L. is a three-month
(12 lessons) program that provides
youth with a comprehensive
understanding of healthy lifestyles in
order to prevent diabetes. Woven
throughout the program are self-esteem
and prevention activities. Participants
E:\FR\FM\13JYN1.SGM
13JYN1
EN13JY12.014</GPH>
Federal Register / Vol. 77, No. 135 / Friday, July 13, 2012 / Notices
Federal Register / Vol. 77, No. 135 / Friday, July 13, 2012 / Notices
srobinson on DSK4SPTVN1PROD with NOTICES
draw from tribal traditions and history
to learn about nutrition, healthy food
choices, media influences, and the
impact of diabetes. Clubs also
implement the Nike Let Me Play and
SPARK physical activity programs to
foster Club-wide participation in fun
activities and games for 60 minutes
every day. T.R.A.I.L. emphasizes the
importance of teamwork and
community service. Members engage in
service projects to improve healthy
lifestyles in their communities,
including starting community gardens
to connect youth to their food source
and organizing community-wide
physical fitness events.
This work will continue to support
the IHS mission to improve the health
of AI/AN youth through health
promotion and health education
programs. This work also represents a
significant collaborative endeavor
which is supportive of the IHS
Director’s Healthy Weight for Life
Initiative and the First Lady’s Let’s
Move Indian Country Initiative.
Since the inception of the program in
2003, T.R.A.I.L. has been implemented
at 79 AI/AN Boys and Girls Club of
America (BGCA) sites located in 17
states. There are currently 35 sites in 15
states participating in the program.
The overall results show
improvement in participant knowledge
of diabetes, health, and healthy food
choices, as well as, improved fitness
and level of physical activity. To
support this project, NCAI will select
and assist 50 Native American Boys and
Girls Club sites to establish and
implement this curriculum project. Boys
and Girl Club sites that are located
outside of Tribal communities will not
be considered by the grantee. The Boys
and Girls Club sites selected by the
grantee may use IHS grant funds to
provide services to members of
Federally-recognized Tribes only. The
grantee will be expected to: provide
technical consultation; train; monitor;
evaluate; as well as provide funds to
support these activities.
II. Award Information
Type of Award: Single Source
Competing Continuation Cooperative
Agreement.
Estimated Funds Available: The IHS
intends to commit $1,000,000 each year.
Anticipated Number of Awards: One
award will be granted from this
announcement.
Project Period: The project period will
be for five years and will run
consecutively from September 1, 2012
to August 31, 2017. The average award
amount will be $1,000,000 annually.
Competing and continuation awards
VerDate Mar<15>2010
17:08 Jul 12, 2012
Jkt 226001
41429
8. Grantee will promote and facilitate
local, state, and national partnerships
for the purpose of establishing or
enhancing program support that
involves increasing physical activity
and good nutrition for the TriballyA. IHS Cooperative Agreement Activities
managed Boys and Girls Club sites. This
1. Identify a core group of IHS staff to includes but is not limited to
work with the grantee in providing
establishing other partners such as
technical assistance and guidance.
American Indian-Alaska Native Program
2. Meet with the grantee to review
Branch (AI–ANPB) of Head Start
grantee work plan and provide guidance Programs, Wings of America, United
on implementation and data collection
National Indian Tribal Youth, Inc.
tools.
(UNITY), Tribal colleges, Boys and Girls
3. Participate in quarterly conference
Club of America, Tribal organizations,
calls. Work with the grantee to
local community health providers and
showcase the results of this project by
other private organizations as
publishing on shared Web sites as well
appropriate.
as in jointly authored publications.
9. Grantee will continue to implement
current evaluation processes in
B. Grantee Cooperative Agreement
consultation for the T.R.A.I.L. project.
Award Activities
At a minimum, the evaluation will
1. Develop a written plan for the
include:
planning, implementation, and
(a) Training attendance (gender, age,
evaluation of this project to include
grade level); and
selection of at least 50 sites as agreed
(b) Pre- and post- tests to assess
upon with the IHS. This task will be
participant knowledge.
completed within 30 days from award
(c) Monthly activity logs from each
and approved by the IHS.
site on the physical activity portion of
2. Develop selection criteria for new
their program. Daily data to be collected
sites, announce, evaluate, and select
includes the date, number of minutes of
sites. Sites must submit documentation
physical activity, and number of
verifying they serve only AI/AN youth
children participating.
from Federally recognized Tribes as a
(d) Information/log on parent and
requirement for selection by the grantee.
family participation in education and
A start-up planning meeting with new
sites will be conducted within 2 months activity programs, community
involvement and partnerships.
of each site’s initial selection and
Submit collated and summarized data
award.
to the IHS. Work with the IHS in
3. Plan and facilitate an orientation
drafting an evaluation summary at the
and training meeting for new sites
end of the project period for
within 2 months of selection. Submit
publication. Submit collated and
agenda, training goals and objectives,
summarized data and project evaluation
and participant list to IHS within 1
month of completion of each orientation summaries to all sites. Provide a
minimum of annual reports (feedback)
session.
to each site on how their data compare
4. Update T.R.A.I.L. curriculum and
to data (mean, median, and range) from
implement use.
other selected sites.
5. Develop, in consultation with the
10. Provide ongoing technical support
IHS, the implementation and technical
to the sites for the duration of the
assistance plan for the coordination of
initiative. Provide training and technical
the 50 sites (35 existing and 15 new).
assistance in all forms, i.e., on-site, onSubmit criteria to the IHS for approval.
Grantee will continue work with sites to line, by phone, and mail. The planning,
design and delivery of training and
develop and report measurements for
technical assistance will support the
assessment of physical activity and
local organization’s long-term planning
nutrition behaviors among club
and outreach efforts. The training will
participants.
be customized based on sites’ capability
6. Each site will implement the
T.R.A.I.L. program, emphasizing healthy and experience. Technical assistance
will also be provided on program
behaviors such as physical activity and
planning and implementation.
nutrition. Each program plan will also
Collaborate with IHS to provide services
include a parent component describing
approaches for involving the families of to club sites. Maintain records and
reports.
participants.
11. Provide technical consultation to
7. Each site will implement a
the sites in developing a written work
6-minute walk test three times, six to
eight weeks apart. Physical activity data plan, with measurable goals, objectives,
and activities.
will be collected and summarized.
issued under this announcement are
subject to the availability of funds. In
the absence of funding, IHS is under no
obligation to make awards under this
announcement.
PO 00000
Frm 00080
Fmt 4703
Sfmt 4703
E:\FR\FM\13JYN1.SGM
13JYN1
41430
Federal Register / Vol. 77, No. 135 / Friday, July 13, 2012 / Notices
12. Establish a formal agreement with
Tribal Boys and Girls Club sites which
involves minimal fiscal assistance but
substantial technical support to make
sure clubs successfully implement the
T.R.A.I.L. program.
13. Submit to the IHS a written work
plan and report describing each site’s
demographics, information on the
number of youth in the eligible age
range in the catchment area, the number
that attend the Boys and Girls Clubs
regularly, and the number served by this
project, goals, objectives, activities,
partnerships, and proposed outcomes.
14. Provide IHS written quarterly
reports on the evaluation outcomes,
activity reports at each site, any parent
involvement activities and other
participation, description of the
community partnerships, and other
activities as appropriate. Quarterly
reports shall coincide with dates for IHS
quarterly reports to HHS and shall
highlight work supporting Healthy
Weight for Life and Let’s Move Indian
Country.
15. Conduct quarterly conference calls
with IHS to review project status.
C. Continuation of Ongoing and Prior
Activity as a Cooperative Agreement
All of the identified activities are
continuation activities associated with
the previous cooperative agreement.
This collaboration for the
implementation of the T.R.A.I.L.
program at selected sites, along with the
evaluation process and reporting are
deemed very successful and supportive
of ongoing Agency and Administration
activities and initiatives. This agreement
is proposed for the purpose of
continuation of these activities.
III. Justification for Single Source
Award
NCAI is identified as the single source
for the award, based on their successful
record of performance with this project,
their unique relationship and work in
developing and maintaining: (1)
Relationships with the Boys and Girls
Clubs organization and staff, (2) being
able to successfully implement the
T.R.A.I.L. program curriculum, (3) the
project web site information, and (4) the
project data and evaluation systems.
The award is for a continuation of
activities identified. These activities, the
collaboration with the network of Native
American Boys and Girls Clubs, and the
evaluation process have been effectively
undertaken by NCAI for the past 8 years.
The process, as well as, the outcomes
have been deemed very successful and
clearly supportive of Agency initiatives
for youth (including Healthy Weight for
Life), as well as the Administration’s
Let’s Move Indian Country initiative.
The grantee has documented success
in (1) Recruiting and working with sites,
(2) developing and implementing the
T.R.A.I.L. curriculum at the sites, (3)
implementing a method for collecting
data from the sites, (4) fostering
collaboration between sites and their
communities, and (5) collecting and
reporting data that demonstrates
participant increases in health and food
choice knowledge and increases in
participant physical activity and level of
fitness. Some of the data for the current
3 year cooperative agreement (2008–
2011) and 1 year extension (2012) are as
follows:
Year One Data (2008–2009)
# of AI/AN Children Participating in Training ...........................................
Age Range of Children Participating ........................................................
# of Children Participating in the Walk Challenges .................................
Hours of Physical Activity .........................................................................
1691 (811 males/880 females).
ages 4–14 (67% were 8–10 year olds).
668 (542/81% showed improvement).
19,688.
Program test scores indicate: (a) Increased knowledge about diabetes, (b) increased physical activity, and (c) increased ability to identify
healthier food options (increase in post test scores vs. pre test scores).
Year Two Data (2009–2010)
# of AI/AN Children Participating in Training ...........................................
Age Range of Children Participating ........................................................
# of Children Participating in the Walk Challenges .................................
Hours of Physical Activity .........................................................................
1673 (767 males/906 females).
ages 4–14 (72% were 8–10 year olds).
654 (438/67% showed improvement in level of physical activity).
14,527.
Program test scores indicate: (a) Increased knowledge about diabetes, (b) increased physical activity, and (c) increased ability to identify
healthier food options (increase in post test scores vs. pre test scores).
Year Three Data (2010–2011)
# of AI/AN Children Participating in Training ...........................................
Age Range of Children Participating ........................................................
# of Children Participating in the Walk Challenges .................................
Hours of Physical Activity .........................................................................
1762 (839 males/923 females).
Ages 4–14 (average age was 8.5).
509 (360/71% showed improvement in level of physical activity).
12,150.
srobinson on DSK4SPTVN1PROD with NOTICES
Program test scores indicate: (a) Increased knowledge about diabetes, (b) increased physical activity, and (c) increased ability to identify
healthier food options (increase in post test scores vs. pre test scores).
The T.R.A.I.L. curriculum was
developed by the grantee as a part of the
initial agreement. The requested update
to the curriculum and subsequent
implementation will be more efficiently
and cost effectively performed as the
grantee is very familiar with the existing
curriculum and the implementation.
VerDate Mar<15>2010
17:08 Jul 12, 2012
Jkt 226001
The grantee uses a sub-contractor
(First Pic) to develop and implement the
evaluation and reporting process for
individual sites and for analysis and
reporting of aggregated data. This
unique and program specific evaluation
system has been beneficial to sites and
to IHS. All of the tools for using this
PO 00000
Frm 00081
Fmt 4703
Sfmt 4703
system have been made available via the
Native American Boys and Girls Clubs
Web site—www.naclubs.org/trailCurrent
information about health and fitness
activities is available at—https://
www.naclubs.org/media/pdf/Club
Notes_2012V1.pdf.
The grantee (NCAI) has been effective,
timely, and cooperative, and has
E:\FR\FM\13JYN1.SGM
13JYN1
41431
Federal Register / Vol. 77, No. 135 / Friday, July 13, 2012 / Notices
consistently achieved or exceeded
requirements of the previous agreement.
NCAI and First Pic are uniquely
qualified to continue to receive the
award and provide the identified
program activities based on their history
with this project and project sites, their
evaluation system, their knowledge of
the curriculum, and their documented
performance achievements with the
sites under the previous agreement.
All HHS and IHS policies,
regulations, grants management and
programmatic reporting requirements
from the prior funding segment remain
in effect under this renewal
announcement unless otherwise stated
or modified in the terms and conditions
of the new Notice of Award.
Agency Contacts
1. Questions on the programmatic
issues may be directed to: Lorraine
Valdez, MPA, BSN, RN, Acting Director,
IHS Division of Diabetes Treatment and
Prevention, 5300 Homestead Road NE.,
Albuquerque, NM 87110, 505–248–
4182, s.lorraine.valdez@ihs.gov.
2. Questions on grants management
and fiscal matters may be directed to:
Mr. Andrew Diggs, Grants Management
Specialist, 801 Thompson Avenue, TMP
Suite 360, Rockville, MD 20852, 301–
443–2262, Andrew.diggs@ihs.gov.
Other Information
The Public Health Service strongly
encourages all cooperative agreement
and contract recipients to provide a
smoke-free workplace and promote the
non-use of all tobacco products. In
addition, Public Law 103–227, the ProChildren Act of 1994, prohibits smoking
in certain facilities (or in some cases,
any portion of the facility) in which
regular or routine education, library,
day care, health care, or early childhood
development services are provided to
children. This is consistent with the
HHS mission to protect and advance the
physical and mental health of the
American people.
Dated: June 27, 2012.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2012–17182 Filed 7–12–12; 8:45 am]
BILLING CODE 4165–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; Comment
Request: Impact of Clinical Research
Training and Medical Education at the
Clinical Center on Physician Careers in
Academia and Clinical Research
In compliance with the
requirement of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
for opportunity for public comment on
proposed data collection projects, the
Clinical Center, the National Institutes
of Health (NIH) will publish periodic
summaries of proposed projects to be
submitted to the Office of Management
and Budget (OMB) for review and
approval.
SUMMARY:
Proposed Collection
Title: The Impact of Clinical Research
Training and Medical Education at the
Clinical Center on Physician Careers in
Academia and Clinical Research.
Type of Information Collection
Request: Extension; 0925–0602.
Estimated
number of
respondents
Type of respondents
Need and Use of Information
Collection: The information collected
will allow continued assessment of the
value of the training provided by the
Office of Clinical Research Training and
Medical Education (OCRTME) at the
NIH Clinical Center and the extent to
which this training promotes (a) Patient
safety; (b) research productivity and
independence; and (c) future career
development within clinical,
translational, and academic research
settings. The information received from
respondents is presented to, evaluated
by, and incorporated into the ongoing
operational improvement efforts of the
Director of the Office of Clinical
Research Training and Education, and
the Clinical Center Director. This
information will enable the ongoing
operational improvement efforts of the
OCRTME and its commitment to
providing clinical research training and
medical education of the highest quality
to each trainee.
Frequency of Response: Annually.
Affected Public: Former clinical
research trainees at the NIH Clinical
Center.
Type of Respondents: MD’s, MD
trainees, and students.
The annual reporting burden is as
follows:
Estimated Number of Respondents:
825; Estimated Number of Responses
per Respondent: 1; Average Burden
Hours per Response: 0.35; and
Estimated Total Annual Burden Hours
Requested: 289.
There are no Capital Costs, Operating
Costs and/or Maintenance Costs to
report.
Estimated
number of
responses per
respondent
Average
burden hours
per response
Estimated total
annual burden
hours
requested
625
100
100
1
1
1
0.35
0.35
0.35
219
35
35
Total ..........................................................................................................
srobinson on DSK4SPTVN1PROD with NOTICES
Doctoral Level ..................................................................................................
Students ...........................................................................................................
Other ................................................................................................................
........................
........................
........................
289
Request for Comments: Written
comments and/or suggestions from the
public and affected agencies should
address one or more of the following
points: (1) Evaluate whether the
proposed collection of information is
necessary for the proper performance of
the function of the agency, including
whether the information will have
practical utility; (2) Evaluate the
accuracy of the agency’s estimate of the
burden of the proposed collection of
VerDate Mar<15>2010
17:08 Jul 12, 2012
Jkt 226001
information, including the validity of
the methodology and assumptions used;
(3) Enhance the quality, utility, and
clarity of the information to be
collected; and (4) Minimize the burden
of the collection of information on those
who are to respond, including the use
of appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms of
information technology.
PO 00000
Frm 00082
Fmt 4703
Sfmt 4703
To
request more information on the
proposed project or to obtain a copy of
the data collection plans and
instruments, contact:
Contact: Robert M. Lembo, MD.
Address: 10 Center Drive/1N252C,
Bethesda, MD 20892–1352.
Telephone: 301–496–2636.
Fax: 301–435–5275.
Email: robert.lembo@nih.gov.
FOR FURTHER INFORMATION CONTACT:
E:\FR\FM\13JYN1.SGM
13JYN1
]]>Agencies
[Federal Register Volume 77, Number 135 (Friday, July 13, 2012)]
[Notices]
[Pages 41428-41431]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17182]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICE
Indian Health Services
[HHS-2012-IHS-HLY-0001]
Healthy Lifestyles in Youth Project; Proposed Single Source
Cooperative Agreement With National Congress of American Indians
Application Due Date: August 16, 2012.
Review Date: August 21, 2012.
Earliest Start Date: September 1, 2012.
I. Funding Opportunity Description
The Indian Health Service (IHS) proposes a single source competing
continuation cooperative agreement with the National Congress of
American Indians (NCAI) for the purpose of continued implementation of
the Healthy Lifestyles in Youth Project in selected Native American
Boys and Girls Clubs of America. This program promotes healthy
lifestyles among American Indian and Alaska Native (AI/AN) youth using
the curriculum ``Together Raising Awareness for Indian Life'' (TRAIL)
among selected Boys and Girls Club sites.
This program is authorized under the authority of the Snyder Act,
25 U.S.C. 13; the Transfer Act, 42 U.S.C. 2001; and the Public Health
Service Act, as amended, 42 U.S.C. 241(a). Under this cooperative
agreement, IHS proposes to enter into a collaborative effort/initiative
with NCAI, because of their unique experience partnering with the IHS
and Boys and Girls Clubs of America in successfully establishing this
program, as well as, their overall expertise and experience in
addressing and evaluating healthy lifestyle techniques in AI/AN youth.
This program is described in the Catalog of Federal Domestic Assistance
(CFDA) under 93.933.
The focus of the project continues to be on addressing healthy
lifestyle development, emphasizing nutrition and physical activity for
AI/AN children and youth 6 through 17 years of age. The long term goal
is to prevent or delay the onset of obesity and related diseases such
as type 2 diabetes. NCAI will continue partnering work with selected
Tribal Boys and Girls Club sites to: (a) Provide health and physical
education programs; (b) help youth achieve and maintain healthy
lifestyles through participation in fitness programs; (c) help youth to
acquire a range of physical skills; and (d) help youth develop a sense
of teamwork and cooperation.
These early intervention strategies provide evidence based
opportunities to reduce and/or halt the increasing trend of obesity and
diabetes among youth and young adults. Clubs that develop a health
promotion program that includes the TRAIL curriculum may help curtail
the effects of unhealthy eating behaviors and lack of physical activity
that can lead to obesity, diabetes, and other chronic diseases later in
life. The T.R.A.I.L. curriculum was developed to provide information on
good nutrition and to promote physical activity among youth
participating in Tribal Boys and Girls Clubs. T.R.A.I.L. is a three-
month (12 lessons) program that provides youth with a comprehensive
understanding of healthy lifestyles in order to prevent diabetes. Woven
throughout the program are self-esteem and prevention activities.
Participants
[[Page 41429]]
draw from tribal traditions and history to learn about nutrition,
healthy food choices, media influences, and the impact of diabetes.
Clubs also implement the Nike Let Me Play and SPARK physical activity
programs to foster Club-wide participation in fun activities and games
for 60 minutes every day. T.R.A.I.L. emphasizes the importance of
teamwork and community service. Members engage in service projects to
improve healthy lifestyles in their communities, including starting
community gardens to connect youth to their food source and organizing
community-wide physical fitness events.
This work will continue to support the IHS mission to improve the
health of AI/AN youth through health promotion and health education
programs. This work also represents a significant collaborative
endeavor which is supportive of the IHS Director's Healthy Weight for
Life Initiative and the First Lady's Let's Move Indian Country
Initiative.
Since the inception of the program in 2003, T.R.A.I.L. has been
implemented at 79 AI/AN Boys and Girls Club of America (BGCA) sites
located in 17 states. There are currently 35 sites in 15 states
participating in the program.
The overall results show improvement in participant knowledge of
diabetes, health, and healthy food choices, as well as, improved
fitness and level of physical activity. To support this project, NCAI
will select and assist 50 Native American Boys and Girls Club sites to
establish and implement this curriculum project. Boys and Girl Club
sites that are located outside of Tribal communities will not be
considered by the grantee. The Boys and Girls Club sites selected by
the grantee may use IHS grant funds to provide services to members of
Federally-recognized Tribes only. The grantee will be expected to:
provide technical consultation; train; monitor; evaluate; as well as
provide funds to support these activities.
II. Award Information
Type of Award: Single Source Competing Continuation Cooperative
Agreement.
Estimated Funds Available: The IHS intends to commit $1,000,000
each year.
Anticipated Number of Awards: One award will be granted from this
announcement.
Project Period: The project period will be for five years and will
run consecutively from September 1, 2012 to August 31, 2017. The
average award amount will be $1,000,000 annually. Competing and
continuation awards issued under this announcement are subject to the
availability of funds. In the absence of funding, IHS is under no
obligation to make awards under this announcement.
A. IHS Cooperative Agreement Activities
1. Identify a core group of IHS staff to work with the grantee in
providing technical assistance and guidance.
2. Meet with the grantee to review grantee work plan and provide
guidance on implementation and data collection tools.
3. Participate in quarterly conference calls. Work with the grantee
to showcase the results of this project by publishing on shared Web
sites as well as in jointly authored publications.
B. Grantee Cooperative Agreement Award Activities
1. Develop a written plan for the planning, implementation, and
evaluation of this project to include selection of at least 50 sites as
agreed upon with the IHS. This task will be completed within 30 days
from award and approved by the IHS.
2. Develop selection criteria for new sites, announce, evaluate,
and select sites. Sites must submit documentation verifying they serve
only AI/AN youth from Federally recognized Tribes as a requirement for
selection by the grantee. A start-up planning meeting with new sites
will be conducted within 2 months of each site's initial selection and
award.
3. Plan and facilitate an orientation and training meeting for new
sites within 2 months of selection. Submit agenda, training goals and
objectives, and participant list to IHS within 1 month of completion of
each orientation session.
4. Update T.R.A.I.L. curriculum and implement use.
5. Develop, in consultation with the IHS, the implementation and
technical assistance plan for the coordination of the 50 sites (35
existing and 15 new). Submit criteria to the IHS for approval. Grantee
will continue work with sites to develop and report measurements for
assessment of physical activity and nutrition behaviors among club
participants.
6. Each site will implement the T.R.A.I.L. program, emphasizing
healthy behaviors such as physical activity and nutrition. Each program
plan will also include a parent component describing approaches for
involving the families of participants.
7. Each site will implement a 6-minute walk test three times, six
to eight weeks apart. Physical activity data will be collected and
summarized.
8. Grantee will promote and facilitate local, state, and national
partnerships for the purpose of establishing or enhancing program
support that involves increasing physical activity and good nutrition
for the Tribally-managed Boys and Girls Club sites. This includes but
is not limited to establishing other partners such as American Indian-
Alaska Native Program Branch (AI-ANPB) of Head Start Programs, Wings of
America, United National Indian Tribal Youth, Inc. (UNITY), Tribal
colleges, Boys and Girls Club of America, Tribal organizations, local
community health providers and other private organizations as
appropriate.
9. Grantee will continue to implement current evaluation processes
in consultation for the T.R.A.I.L. project. At a minimum, the
evaluation will include:
(a) Training attendance (gender, age, grade level); and
(b) Pre- and post- tests to assess participant knowledge.
(c) Monthly activity logs from each site on the physical activity
portion of their program. Daily data to be collected includes the date,
number of minutes of physical activity, and number of children
participating.
(d) Information/log on parent and family participation in education
and activity programs, community involvement and partnerships.
Submit collated and summarized data to the IHS. Work with the IHS
in drafting an evaluation summary at the end of the project period for
publication. Submit collated and summarized data and project evaluation
summaries to all sites. Provide a minimum of annual reports (feedback)
to each site on how their data compare to data (mean, median, and
range) from other selected sites.
10. Provide ongoing technical support to the sites for the duration
of the initiative. Provide training and technical assistance in all
forms, i.e., on-site, on-line, by phone, and mail. The planning, design
and delivery of training and technical assistance will support the
local organization's long-term planning and outreach efforts. The
training will be customized based on sites' capability and experience.
Technical assistance will also be provided on program planning and
implementation. Collaborate with IHS to provide services to club sites.
Maintain records and reports.
11. Provide technical consultation to the sites in developing a
written work plan, with measurable goals, objectives, and activities.
[[Page 41430]]
12. Establish a formal agreement with Tribal Boys and Girls Club
sites which involves minimal fiscal assistance but substantial
technical support to make sure clubs successfully implement the
T.R.A.I.L. program.
13. Submit to the IHS a written work plan and report describing
each site's demographics, information on the number of youth in the
eligible age range in the catchment area, the number that attend the
Boys and Girls Clubs regularly, and the number served by this project,
goals, objectives, activities, partnerships, and proposed outcomes.
14. Provide IHS written quarterly reports on the evaluation
outcomes, activity reports at each site, any parent involvement
activities and other participation, description of the community
partnerships, and other activities as appropriate. Quarterly reports
shall coincide with dates for IHS quarterly reports to HHS and shall
highlight work supporting Healthy Weight for Life and Let's Move Indian
Country.
15. Conduct quarterly conference calls with IHS to review project
status.
C. Continuation of Ongoing and Prior Activity as a Cooperative
Agreement
All of the identified activities are continuation activities
associated with the previous cooperative agreement. This collaboration
for the implementation of the T.R.A.I.L. program at selected sites,
along with the evaluation process and reporting are deemed very
successful and supportive of ongoing Agency and Administration
activities and initiatives. This agreement is proposed for the purpose
of continuation of these activities.
III. Justification for Single Source Award
NCAI is identified as the single source for the award, based on
their successful record of performance with this project, their unique
relationship and work in developing and maintaining: (1) Relationships
with the Boys and Girls Clubs organization and staff, (2) being able to
successfully implement the T.R.A.I.L. program curriculum, (3) the
project web site information, and (4) the project data and evaluation
systems. The award is for a continuation of activities identified.
These activities, the collaboration with the network of Native American
Boys and Girls Clubs, and the evaluation process have been effectively
undertaken by NCAI for the past 8 years. The process, as well as, the
outcomes have been deemed very successful and clearly supportive of
Agency initiatives for youth (including Healthy Weight for Life), as
well as the Administration's Let's Move Indian Country initiative.
The grantee has documented success in (1) Recruiting and working
with sites, (2) developing and implementing the T.R.A.I.L. curriculum
at the sites, (3) implementing a method for collecting data from the
sites, (4) fostering collaboration between sites and their communities,
and (5) collecting and reporting data that demonstrates participant
increases in health and food choice knowledge and increases in
participant physical activity and level of fitness. Some of the data
for the current 3 year cooperative agreement (2008-2011) and 1 year
extension (2012) are as follows:
------------------------------------------------------------------------
------------------------------------------------------------------------
Year One Data (2008-2009)
------------------------------------------------------------------------
of AI/AN Children 1691 (811 males/880 females).
Participating in Training.
Age Range of Children Participating.... ages 4-14 (67% were 8-10 year
olds).
of Children Participating in 668 (542/81% showed
the Walk Challenges. improvement).
Hours of Physical Activity............. 19,688.
------------------------------------------------------------------------
Program test scores indicate: (a) Increased knowledge about diabetes,
(b) increased physical activity, and (c) increased ability to identify
healthier food options (increase in post test scores vs. pre test
scores).
------------------------------------------------------------------------
Year Two Data (2009-2010)
------------------------------------------------------------------------
of AI/AN Children 1673 (767 males/906 females).
Participating in Training.
Age Range of Children Participating.... ages 4-14 (72% were 8-10 year
olds).
of Children Participating in 654 (438/67% showed improvement
the Walk Challenges. in level of physical
activity).
Hours of Physical Activity............. 14,527.
------------------------------------------------------------------------
Program test scores indicate: (a) Increased knowledge about diabetes,
(b) increased physical activity, and (c) increased ability to identify
healthier food options (increase in post test scores vs. pre test
scores).
------------------------------------------------------------------------
Year Three Data (2010-2011)
------------------------------------------------------------------------
of AI/AN Children 1762 (839 males/923 females).
Participating in Training.
Age Range of Children Participating.... Ages 4-14 (average age was
8.5).
of Children Participating in 509 (360/71% showed improvement
the Walk Challenges. in level of physical
activity).
Hours of Physical Activity............. 12,150.
------------------------------------------------------------------------
Program test scores indicate: (a) Increased knowledge about diabetes,
(b) increased physical activity, and (c) increased ability to identify
healthier food options (increase in post test scores vs. pre test
scores).
------------------------------------------------------------------------
The T.R.A.I.L. curriculum was developed by the grantee as a part of
the initial agreement. The requested update to the curriculum and
subsequent implementation will be more efficiently and cost effectively
performed as the grantee is very familiar with the existing curriculum
and the implementation.
The grantee uses a sub-contractor (First Pic) to develop and
implement the evaluation and reporting process for individual sites and
for analysis and reporting of aggregated data. This unique and program
specific evaluation system has been beneficial to sites and to IHS. All
of the tools for using this system have been made available via the
Native American Boys and Girls Clubs Web site--www.naclubs.org/
trailCurrent information about health and fitness activities is
available at--https://www.naclubs.org/media/pdf/ClubNotes_2012V1.pdf.
The grantee (NCAI) has been effective, timely, and cooperative, and
has
[[Page 41431]]
consistently achieved or exceeded requirements of the previous
agreement. NCAI and First Pic are uniquely qualified to continue to
receive the award and provide the identified program activities based
on their history with this project and project sites, their evaluation
system, their knowledge of the curriculum, and their documented
performance achievements with the sites under the previous agreement.
All HHS and IHS policies, regulations, grants management and
programmatic reporting requirements from the prior funding segment
remain in effect under this renewal announcement unless otherwise
stated or modified in the terms and conditions of the new Notice of
Award.
Agency Contacts
1. Questions on the programmatic issues may be directed to:
Lorraine Valdez, MPA, BSN, RN, Acting Director, IHS Division of
Diabetes Treatment and Prevention, 5300 Homestead Road NE.,
Albuquerque, NM 87110, 505-248-4182, s.lorraine.valdez@ihs.gov.
2. Questions on grants management and fiscal matters may be
directed to: Mr. Andrew Diggs, Grants Management Specialist, 801
Thompson Avenue, TMP Suite 360, Rockville, MD 20852, 301-443-2262,
Andrew.diggs@ihs.gov.
Other Information
The Public Health Service strongly encourages all cooperative
agreement and contract recipients to provide a smoke-free workplace and
promote the non-use of all tobacco products. In addition, Public Law
103-227, the Pro-Children Act of 1994, prohibits smoking in certain
facilities (or in some cases, any portion of the facility) in which
regular or routine education, library, day care, health care, or early
childhood development services are provided to children. This is
consistent with the HHS mission to protect and advance the physical and
mental health of the American people.
Dated: June 27, 2012.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2012-17182 Filed 7-12-12; 8:45 am]
BILLING CODE 4165-16-P
