Opportunity Information: Apply for RFA CE 23 008

This funding opportunity (RFA CE 23 008) comes from the Centers for Disease Control and Prevention (CDC), within the National Center for Injury Prevention and Control (NCIPC). It supports investigator-initiated research to build and test a practical prognostic tool that helps clinicians identify which adolescents, ages 11 to 17, are most likely to develop mental health problems after a traumatic brain injury (TBI), or to experience a worsening of pre-existing mental health conditions. The CDC is looking for a well-designed longitudinal study conducted within one or more large pediatric health care systems that serve a diverse patient population, so the resulting tool is grounded in real-world clinical care and is relevant across different communities.

A central emphasis of the opportunity is health equity and representation. Proposals are especially encouraged when they focus on adolescent groups that either experience higher rates of TBI or are more likely to have poor outcomes after injury. The notice specifically highlights Black and Hispanic youth, adolescents living in rural areas, and youth who are uninsured, reflecting a priority to ensure the tool works for populations that are often underrepresented in research and may face barriers to follow-up care, mental health services, or consistent access to specialty evaluation.

The project has three main scientific objectives that build on each other. First, applicants are expected to identify risk and protective factors that can be captured in the acute care setting and that predict whether an adolescent will develop new mental health sequelae or see a worsening of existing mental health conditions within three months after the TBI. This means the research should focus on information that is realistically available at or soon after the injury visit (for example, clinical characteristics, injury context, patient history, and other measurable factors) and then follow patients over time to observe mental health outcomes. Second, using those empirically derived factors, the study must develop a new prognostic tool that can be used in clinical settings to flag higher-risk patients and support earlier intervention, monitoring, or referral. Third, the tool must be validated, meaning the research design needs to show that the tool can accurately predict which adolescents go on to experience mental health sequelae or worsening symptoms, rather than simply describing associations.

Beyond the core research aims, the CDC also lists several secondary outcomes that reflect implementation and impact. These include producing publications and conference presentations to share findings, and potentially informing new or revised recommendations connected to pediatric mild TBI (mTBI) guidelines. The opportunity also calls for practical recommendations to improve the feasibility of implementing the prognostic tool within a health care system, which can include workflow considerations, staffing implications, and how the tool would be used during clinical decision-making. In addition, applicants are encouraged to develop and promote communication products tied to the tool, which could include materials for clinicians, patients, and caregivers. Finally, there is interest in a potential software module or application based on the tool that is compatible with and interoperable across multiple electronic health record (EHR) vendors, signaling a preference for solutions that can be scaled and integrated into routine care rather than remaining a standalone research product.

Administratively, this is a discretionary grant issued as a cooperative agreement (U01), which typically means the CDC expects substantial involvement during the project period, such as collaboration on technical direction, data considerations, dissemination, and alignment with public health priorities. The program sits under the health funding activity category and is listed under CFDA 93.136. Eligibility is broad and includes many entity types such as state and local governments, tribal governments and tribal organizations, public and private institutions of higher education, nonprofit organizations (with or without 501(c)(3) status), for-profit organizations (including small businesses), school districts, special districts, and public housing authorities, among others.

The award information provided indicates an award ceiling of $550,000, with an expectation of making two awards. The posting notes a creation date of November 16, 2022, and an original application due date of January 24, 2023, with electronic submissions required by 11:59 pm Eastern Time on the deadline. Overall, the opportunity is aimed at producing a clinically usable, validated risk prediction tool that helps pediatric systems identify adolescents at heightened risk for post-TBI mental health challenges early enough to improve follow-up, support timely care, and ultimately reduce longer-term harm.

  • The Department of Health and Human Services, Centers for Disease Control and Prevention - ERA in the health sector is offering a public funding opportunity titled "Research Grants to Develop and Validate a Prognostic Tool of Mental Health Sequelae After Traumatic Brain Injury for Adolescent Patients (U01)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.136.
  • This funding opportunity was created on Nov 16, 2022.
  • Applicants must submit their applications by Jan 24, 2023 Electronically submitted applications must be submitted no later than 1159 pm ET on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $550,000.00 in funding.
  • The number of recipients for this funding is limited to 2 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification), Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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Frequently Asked Questions (FAQs)

What is the name and number of this funding opportunity?

This opportunity is CDC RFA CE 23 008.

Which agency is offering this grant?

The funder is the Centers for Disease Control and Prevention (CDC), within the National Center for Injury Prevention and Control (NCIPC).

What type of award is this?

This is a discretionary grant issued as a cooperative agreement (U01), which typically involves substantial CDC involvement during the project period.

What is the main purpose of the project?

The project supports investigator-initiated research to build, test, and validate a practical prognostic tool that helps clinicians identify which adolescents (ages 11 to 17) are most likely to develop mental health problems after a traumatic brain injury (TBI), or to experience worsening of pre-existing mental health conditions.

Who is the target patient population for the prognostic tool?

The tool is intended for adolescents ages 11 to 17 who experience a TBI.

What outcomes is the tool meant to predict?

The tool is meant to predict whether an adolescent will develop new mental health sequelae or experience worsening of existing mental health conditions following a TBI.

What kind of study design does CDC want for this research?

CDC is looking for a well-designed longitudinal study conducted within one or more large pediatric health care systems serving a diverse patient population, with follow-up to observe mental health outcomes after injury.

Why is the longitudinal design important in this opportunity?

The opportunity calls for following patients over time so the study can observe post-injury mental health outcomes and support development and validation of a prognostic (risk prediction) tool rather than only describing associations at one point in time.

What is the timeframe mentioned for assessing post-TBI mental health outcomes?

The notice specifies predicting mental health sequelae or worsening symptoms within three months after the TBI.

What kinds of predictors should be considered in the tool?

Applicants are expected to identify risk and protective factors that can be captured in the acute care setting and that predict mental health outcomes. Examples described include clinical characteristics, injury context, patient history, and other measurable factors available at or soon after the injury visit.

What are the three main scientific objectives of the project?

The project has three linked objectives: (1) identify acute-care-capturable risk and protective factors that predict post-TBI mental health sequelae or worsening within three months; (2) develop a new prognostic tool using those empirically derived factors; and (3) validate the tool to demonstrate it can accurately predict which adolescents experience those outcomes.

What does CDC mean by validating the prognostic tool?

Validation means the research design must show the tool can accurately predict which adolescents go on to experience mental health sequelae or worsening symptoms, not just identify statistical associations.

Is health equity a priority in this opportunity?

Yes. A central emphasis is health equity and representation, with a stated priority to ensure the tool is relevant across different communities and works for populations often underrepresented in research.

Which adolescent groups are specifically highlighted for emphasis and representation?

The notice specifically highlights Black and Hispanic youth, adolescents living in rural areas, and youth who are uninsured. Proposals are especially encouraged when focusing on groups with higher rates of TBI or poorer outcomes after injury.

Where should the research be conducted?

The CDC is looking for the study to be conducted within one or more large pediatric health care systems that serve a diverse patient population, so the tool is grounded in real-world clinical care.

What kinds of additional (secondary) outcomes or deliverables does CDC mention beyond the core research aims?

CDC lists several secondary outcomes, including publications and conference presentations; potential contributions to new or revised recommendations related to pediatric mild TBI (mTBI) guidelines; practical recommendations to improve feasibility of implementing the tool within a health care system (including workflow, staffing, and clinical decision-making use); and communication products for clinicians, patients, and caregivers.

Is there interest in developing software related to the tool?

Yes. There is interest in a potential software module or application based on the tool that is compatible with and interoperable across multiple electronic health record (EHR) vendors, reflecting a preference for scalable, integrable solutions.

How does the cooperative agreement (U01) structure affect the relationship with CDC?

Because this is a cooperative agreement, the description notes that CDC typically expects substantial involvement during the project period, such as collaboration on technical direction, data considerations, dissemination, and alignment with public health priorities.

What is the CFDA number for this program?

The program is listed under CFDA 93.136.

Who is eligible to apply?

Eligibility is broad and includes state and local governments, tribal governments and tribal organizations, public and private institutions of higher education, nonprofit organizations (with or without 501(c)(3) status), for-profit organizations (including small businesses), school districts, special districts, public housing authorities, and other entity types listed in the notice.

How many awards does CDC expect to make?

The opportunity indicates an expectation of making two awards.

What is the maximum award amount (award ceiling)?

The award ceiling listed is $550,000.

When was this opportunity created?

The posting notes a creation date of November 16, 2022.

What was the original application due date and submission deadline time zone?

The original application due date was January 24, 2023, with electronic submissions required by 11:59 pm Eastern Time.

Are applications required to be submitted electronically?

Yes. The posting states that electronic submissions are required.

What is the overall intended impact of the funded work?

The opportunity aims to produce a clinically usable, validated risk prediction tool that helps pediatric systems identify adolescents at heightened risk for post-TBI mental health challenges early enough to improve follow-up, support timely care, and reduce longer-term harm.

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