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PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE
August 2012
Patient-Centered Outcomes Research Institute (PCORI)
Reviewer Live Webinar Training
2
Housekeeping – Presentation Mode
Attendee phone lines are muted Questions may be submitted via
Chat in the lower right hand of your screen
Please send your questions as they
occur to you. Questions will be answered at the end of the session as time permits
Press “0” on the phone for a private help session with the operator
1. Type your question here.
2. Click Send
3
Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
4
Polling Question
Please respond to the following:
A. Call for reviewers e-mail from PCORI
B. PCORI website
C. College
D. Twitter
E. I already knew about PCORI
How did you find out about and sign up to be a PCORI Reviewer?
5
Our SROs
Parag Aggarwal, Ph.D.
Howard Underwood, MD, MBA, MS Jessica Nadler, Ph.D.
Assessment of Prevention, Diagnosis, and Treatment Options
Lev Nevo, MD Sabina I. Robinson, Ph.D.
Improving Healthcare Systems
Kimberly A. Marschhauser, Ph.D.
Marianne H. Alciati, Ph.D.
Communication and Dissemination Research
Addressing Disparities
6
Announcements
Open session to any pertinent announcements
Notification of assignment to Phase I or Phase II in Cycle I – by August 10th Reviewer trainings – August 13th to August 21st Release of applications for review – by August 24th Phase I application reviews due – September 28th Phase II review panels – November 15th (in Washington, D.C.)
Key Dates
7
Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
8
PCORI Mission and PCOR
PCORI Mission Statement
PCORI helps people make informed
healthcare decisions and improves
healthcare delivery and outcomes by
producing and promoting high integrity,
evidence-based information that comes
from research guided by patients,
caregivers, and the broader health care
community
PCORI is a non-governmental, non-profit organization founded by the Patient Protection and Affordable Healthcare Act of 2010
PCORI aims to fund patient-
centered research that will improve healthcare outcomes for patients, their caregivers, and other stakeholders
Patient-centered outcomes
research (PCOR) helps people and their caregivers communicate and make informed healthcare decisions, allowing their voices to be heard in assessing the value of healthcare options
For more information on PCOR, please reference the PCORI Methodology report at: http://pcori.org/assets/MethodologyReport-Comment.pdf
9
PFAs
The current funding cycle has four issued PFAs:
Assessment of Prevention, Diagnosis, and Treatment Options
Improving Healthcare
Systems
Communication and Dissemination Research
Addressing Disparities
PCORI Funding Announcements (PFAs) are
Accelerating Patient-Centered Outcomes
Research and Methodological
Research
And coming this fall 2012:
the mechanisms by which PCORI gives out research funding
10
Polling Question
Please respond to the following:
A. Yes
B. No
C. Undecided
Would you be interested in serving as a Reviewer for the new PFA this
fall: Accelerating Patient-Centered Outcomes Research and Methodological
Research?
11
Why is PCORI unique?
PCORI is unique because: (a) it requires stakeholder engagement
throughout the research project, and (b) it is specifically focused on
patient-centered outcomes
• Projects must include stakeholders as partners with significant involvement at all
appropriate stages of the research project
• Tangible, meaningful outcomes are the ultimate goal of all funded research
Who are Stakeholders?
• Patients and caregivers
• Patient and caregiver organizations
• Clinician and clinician organizations
• Organizational Providers
• Purchasers
• Payers
• Industry
• Researchers
• Policymakers
• Training institutions
• Others who can bring insight
12
Stakeholder Engagement
PCORI is seizing the opportunity to engage stakeholders in unprecedented ways
To create more relevant decision-making tools to
assure better patient outcomes
Why Engage Stakeholders?
• Partners in the research project enterprise
• View stakeholders as equal partners in research
review
• Leverage their value, including wisdom and unique
expertise
• Socialize a traditional health research culture to
recognize and value stakeholders as equal
research partners
• Increase the relevance and impact of research by integrating multiple stakeholders
into the process
• Create forums and other venues where patients meet with clinicians, providers,
caregivers, and others to identify shared priorities and goals
• Environments that facilitate cross-fertilization and novel collaborations
13
Application and Review Process Summary
Application Merit
Review Approval
• LOI submission via PCORI Online
• Application submission via PCORI Online
• Internal quality control
• Phase I: Scientific/ Technical Review
• Phase II: Impact Review
• PCORI Business Review and Balance Analysis
• Board of Governors Approval
14
The Merit Review Process
The process by which applications for research
funding are evaluated
Phase I
• Each application is assigned to a pre-determined set number of reviewers
• Phase I Reviewers have scientific expertise and assess the application for scientific rigor and research approach
• Reviewers assign an initial priority score of 1 to 9 based on PCORI-provided review criteria
• Scores are compiled
• Top scoring applications proceed to phase II
Phase II
In-person panel convenes for impact review
15
Merit Review Phase I End-to-End
As a Reviewer, you are responsible for assessing and
appropriately scoring your assigned applications
Obtain Assigned Applications
Score and Generate Critiques
Submission
Key Tasks
Raise issues, risks, and request support as needed
1. Access assigned applications in PCORI Online 2. Ensure there are no conflicts of interest 3. Assign numerical criterion scores (1-9) 4. Assign an overall application score (also 1-9) 5. Draft a written critique that corresponds with and justifies assigned
scores (identifies three specific strengths, three weaknesses, plus a narrative)
6. Submit via PCORI Online 7. Re-submit criterion if SROs request update
All submissions must be high quality and
adhere to the three-bullet
and narrative format
16
Reviewer Guidance & Scoring Chart
scoring chart below provides a descriptive guide of how strengths and weaknesses
are considered in a rating:
Impact Score Descriptor Additional Guidance on Strengths/Weaknesses
1 Exceptional Exceptionally strong with essentially no weaknesses
2 Outstanding Extremely strong with negligible weaknesses
3 Excellent Very strong with only some minor weaknesses
4 Very Good Strong but with numerous minor weaknesses
5 Good Strong but with at least one moderate weakness
6 Satisfactory Some strengths but also some moderate weakness
7 Fair Some strengths but with at least one major weakness
8 Marginal A few strengths and a few major weaknesses
9 Poor Very few strengths and numerous major weaknesses
High
Medium
Low
For the application score and individual criterion
scores, the far right column in the
17
Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
18
Origin of the Review Criteria
The Patient Protection and
Affordable Care Act described
important characteristics of
the type of research PCORI
was created to promote
These characteristics are
reflected in PCORI’s 8
Merit Review Criteria
Applicants must respond to
each of the 8 criteria and
explain how the proposed
research question, study
population, analytic methods,
and dissemination plan align
with the criteria.
The 8 Merit Review Criteria:
1. Impact of the Condition
2. Innovation/Potential for
Improvement
3. Impact on Healthcare
Performance
4. Patient-Centeredness
5. Rigorous Research Methods
6. Inclusiveness of Different
Populations
7. Team and Environment
8. Efficient Use of Resources
19
Guidance on types of studies
Responsive Non-responsive
Studies that include patient and stakeholders as partners in the research enterprise
Studies that include patient-centered outcomes
Research that has significant patient and stakeholder involvement in the conception, design, conduct and dissemination of the results
Research involving any disease and condition, including chronic diseases and conditions
Research that includes patients with multiple conditions, and/or rare diseases
Studies which are comparative Systematic reviews, clinical trials and
observational studies addressing comparative questions.
Rigorous methods are critical Rapid potential for implementation and
dissemination once results are available
Creation of a registry without comparative research reporting on patient-centered outcomes
Development, testing, and validation of instruments or tests as stand-alone research projects with no comparative element
Studies including cost-effectiveness analyses Any proposal that is not comparative
We are only looking to fund responsive studies. Examples include -
20
Grant Review: PCORI-Unique Elements
The 8 Merit Review Criteria:
1. Impact of the Condition
2. Innovation/Potential for
Improvement
3. Impact on Healthcare
Performance
4. Patient-Centeredness
5. Rigorous Research Methods
6. Inclusiveness of Different
Populations
7. Team and Environment
8. Efficient Use of Resources
2. Research will change practice; Dissemination and implementation
4. Patient centeredness as a criterion is unique and absolutely central to PCORI
7. Patient and other stakeholder engagement is also key
Human Subjects
Data Sharing
Other Distinguishing Attributes
For additional guidance, please refer to the PFAs and application guidelines for information and vignettes
21
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
Criterion 1: Impact of the Condition on the Health of Individuals and Populations
Does the application specify the burden of the disease or area
under consideration, with a preference for the U.S. population,
including:
The frequency of the disease/condition,
Expected mortality and burden of suffering from symptoms,
Complications or other consequences of the disease/condition,
The frequency with which the intervention or treatment would apply,
Costs to the US population (healthcare services utilization), and to individual patients (out-of-pocket and intangible costs).
Primary emphasis is on chronic conditions, as well as prevention
and treatment of common acute events that may have long-term
consequences.
Studies that are relevant to patients with two or more conditions
are also of interest. Also of interest are rare diseases.
22
Criterion 1: Examples
PCORI Considerations
• Population affected (prevalence and incidence)
• Quality of life (morbidity and mortality)
• Impact on healthcare system (healthcare services use)
High Impact End-Stage Renal Disease
High prevalence with high mortality and high patient
burden
Low Impact
Common Cold in Healthy Adults
High prevalence with low risk of significant
morbidity/mortality
Impact of the Condition on the Health of Individuals and Populations
23
Criterion 2: Innovation and Potential for Improvement
Through Research
How will the research influence current practice and lead to
meaningful improvement in patient health, well-being, or
quality of care?
Does the research involve a novel intervention or employ an
innovative approach in terms of analytics, study population, or
research team that makes it more likely to change practice?
Does preliminary data suggest that the comparison will show
large differences in effectiveness?
Does the research question address a critical gap in current
knowledge? Has it been identified as important by patient,
caregiver, or clinician groups? Have other agencies identified
this topic as a priority?
How quickly could positive findings be disseminated to affect
changes in current practice? How will the research findings
support improved decision-making for patients?
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
24
Criterion 2: Examples
High Score
Prostate Cancer
Comparison of long-term sequelae of various treatments
for localized prostate cancer
Low Score
Proton Pump Inhibitor (or Statin)
Comparison of outcomes for a newly marketed proton pump
inhibitor (or statin) to previously available agents, when
preliminary data suggests little difference in efficacy or
safety
PCORI Considerations
• Innovation - in ways that are likely to change practice?
• Potential for improvement (will findings improve patient well-being or quality of care?)
Innovation and Potential for Improvement Through Research
25
Criterion 3: Impact on Healthcare Performance
What is the impact of the proposed research on the
efficiency of patient care, for individual patients or for
patient populations?
For example, do the findings lead to better outcomes for a
given investment of time, personnel, or other resources? Or
does the research promise potential improvements in
convenience or elimination of wasted resources, while
maintaining or improving patient outcomes?
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
26
Criterion 3: Examples
High Score
Clinical Decision Support Tool
Potentially large increases in efficiency and patient safety
compared to current practice, while reducing requirements
for follow-up patient visits
Low Score
Automated Appointment Reminder
Applicant question is whether the automated appointment
reminder delivered by phone for a large specialty practice
leads to lower appointment "no-shows" if the recorded voice
is that of the physician instead of the receptionist.
PCORI Considerations
• Addresses all three efficiency factors significantly (time, effort, other resources)
• Extraordinary efficiencies in one area
• Impact of efficiency on patient experience is high
Impact on Healthcare Performance
27
Criterion 4: Patient-Centeredness
Is the proposed research focused on questions and outcomes of
specific interest to patients and their caregivers? Patient-
centeredness is a perspective on health that is derived
from and directly relevant to the patient’s experience of
illness and of care.
Does the research address one or more of the key questions
mentioned in PCORI’s definition of patient-centered outcomes
research?
Are the outcomes proposed of importance to patients? Is the
absence of any particularly important outcomes discussed?
Patient engagement in the research team is distinct and
discussed in Criterion 7, Team and Environment.
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
28
Criterion 4: Examples
High Score
Prostate Cancer Treatment Decision Tool
Patient understands treatment options and how they relate
to his/her preferences for functional outcome, and is
comfortable with his/her final treatment decision based on
the output of the tool
Low Score
Hemoglobin A1C Levels
Levels are difficult to relate to outcomes meaningful to
patients
PCORI Considerations
• Focus on questions and outcomes of specific interest to patients and their caregivers
• Clear link and relevance to patient experiences
Patient-Centeredness
29
Criterion 5: Rigorous Research Methods
Does the research use appropriate and rigorous research
methods to generate patient-centered evidence?
Applicants are encouraged to refer to the contents of
the first draft of the PCORI Methodology Report, at
http://www.pcori.org/what-we-do/methodology, in
developing their research plan. Because the draft report
will not have been finalized with the benefit of public
comment before the July 31st, 2012 application
deadline, adherence to the Report’s standards will not
be a required element of applications for this funding
cycle.
How likely is it that the proposed study population,
study design, and available sample size will yield
generalizable information with sufficient precision to be
useful and reliable for patients, their caregivers, and
clinicians?
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
30
Dissemination and Implementation Assessment
PCORI is interested in funding studies with a high likelihood that results will be disseminated and incorporated into practice, if study findings warrant. To that end, it is important that key stakeholders are engaged early and throughout the research process, and that potential facilitators and barriers to dissemination and incorporation into practice are assessed and anticipated. The dissemination assessment should include:
Identification of key stakeholders
Description of engagement frequency
Description of engagement type
Governance plan
Resource sharing
Barriers assessment
Merit Review Criteria
This plan should be used to assist with scoring Criterion 5, Rigorous Research Methods
31
Criterion 5: Examples
PCORI Considerations
• Appropriate methods used
• Study population size
• Refer to Methodology report
• Yield generalizable information with sufficient precision
High Score
High quality randomized control or observational trial with an
appropriate sample size for comparator groups (e.g. Drug 1 vs.
Drug 2), with access to a large patient population; utilizes
appropriate statistical methods and references standards from
the PCORI Methodology Report
Low Score
Trial with inadequate sample size and no comparison group(s);
without appropriate statistical methods
Rigorous Research Methods
32
Criterion 6: Inclusiveness of Different Populations
Does the research include diverse populations with respect
to age, gender, race, ethnicity, geography, or previously
understudied populations for whom effectiveness
information is particularly needed? Is the study population
representative of the full population of interest?
How does the proposed research enable a more personalized
approach to decision-making based on a patient’s unique
biological, clinical, or socio-demographic characteristics?
Does the study provide sample size calculations that will
describe the power available to evaluate possible differences
in effectiveness in different groups, or the precision available
for estimating effectiveness in a specific previously
understudied population?
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
33
Criterion 6: Examples
High Score
Comparative study of a new patient decision support tool versus
usual care (no decision support tool) used in a diverse
population stratified by age, race/ethnicity, and literacy
Low Score
Study of an intervention in a homogenous population that is not
understudied
Poorly defined study population
Inclusiveness of Different Populations
PCORI Considerations
• Diverse and understudied populations
• Study population representative of the target populations
34
Criterion 7: Team and Environment
Are the investigators appropriately trained and experienced
to carry out the planned studies? Is the work proposed
appropriate to the experience level of the principal
investigator?
Does the study team have complementary and integrated
expertise; is their leadership approach, governance, and
organizational structure appropriate for the project?
Are relevant patients and other key stakeholders of the
study information appropriately included on the team?
Do the experiments proposed take advantage of unique
features of the scientific environment or employ useful
collaborative arrangements?
Is there evidence of institutional or other support?
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
35
Criterion 7: Examples
PCORI Considerations
• Investigators trained
• Study team expertise
• Plan for leadership and governance
• Robust patient and stakeholder engagement plan
• Institutional or other relevant organizational support
High Score
Integrated research team where researchers and stakeholders,
including patients, are jointly engaged in the design, execution,
and dissemination of the research project
Low Score
Patients or stakeholders only superficially involved, not involved,
or involvement is not adequately described in the application
Investigators are not qualified or supported to perform research
Team and Environment
36
Criterion 8: Efficient Use of Research Resources
Does the budget appear to be reasonable in relation to the
potential contribution of the research?
Does the justification address the efficiency with which
PCORI resources would be used? Are there opportunities to
make the study more efficient?
Are there additional benefits to a PCORI investment in this
study through the creation of common data or infrastructure
that could support future research?
Merit Review Criteria
• Impact of the Condition
• Innovation/ Potential for Improvement
• Impact on Healthcare Performance
• Patient-Centeredness
• Rigorous Research Methods
• Inclusiveness of Different Populations
• Team and Environment
• Efficient Use of Resources
37
Criterion 8: Examples
PCORI Considerations
• Reasonable budget for the research
• Opportunities for improving study efficiency
• Address the efficiency with which resources will be used
High Score
Strong justification of all costs; generates a large data set that
answers specific questions at the conclusion of the study; data
set has potential to be used to answer additional questions in
the future; evidence of non-duplication of current research
Low Score
No justification of cost; large capital expense with little option
for reuse; PI has not considered alternative approaches that
might reduce cost
Efficient Use of Research Resources
38
Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
39
Phase 1: Scoring System
Utilizes a 9-point scale
• A score of 1 indicates an exceptionally
strong application
• A score of 9 indicates an application
with serious and substantive
weaknesses
• 5 is considered an average score
Ratings are in whole numbers only (no
decimals)
Scores of 1 and 9 are expected to be
used less frequently than other scores
Reviewer Assignments
• A pre-determined set number of Reviewers
with appropriate scientific and technical
expertise are assigned to each application
• As a Reviewer you will read and assess
your assigned application(s)
• Subsequently, you will prepare a written
critique based upon the selection criteria in
the three-bulleted and narrative format*
• Once a score and critique are
submitted, they can not be edited or
altered
*Flawed critiques will be returned to Reviewers for correction by their SROs
40
PCORI Criterion Scoring Guidance
The eight PCORI Merit Review Criteria serve
as basis for the criterion score • Criterion scores are intended to
convey how each assigned Reviewer
weighed the strengths and
weaknesses of each section
• Equal weights are assigned to all
criterion
• Technical expertise is highly
prioritized in the evaluation of
applications
• The assessment of the reviewer
should be reflected in the
strengths/weaknesses and scores
• Scores without correlated comments
in the written critique will be returned
for revision
1
2
3
4
5
6
7
8
Impact of the Condition
Innovation/Potential for Improvement
Impact on Healthcare Performance
Patient-Centeredness
Rigorous Research Methods
Inclusiveness of Different Populations
Team and Environment
Efficient Use of Resources
41
Reviewer Guidance
Impact is the project’s likelihood to have a sustained, powerful influence on the
research field(s) involved
Additional reviewer scoring guidance -
Minor Weakness: Easily addressable, does not substantially lessen impact
Moderate Weakness: Lessens impact
Major Weakness: Severely limits impact
Moderate Impact 4 through 6
Low Impact 7 through 9
High Impact 1 through 3
42
Application Scoring
Applications also receive a preliminary overall application score from
Reviewers
• Using the same numerical 1 – 9 scoring system
• This score is reflective of the project’s likelihood to have a sustained,
powerful influence on knowledge and change/enhance clinical
practice/implementation/fields involved
• The application score for an application is not intended to be an average of
the criterion scores
43
Score Correspondence
• As a result, a Reviewer may give only moderate scores to some of the review criteria but still
a high overall application score because the one review criterion critically important to said
Reviewer is rated highly
• An application does not need to be strong in all categories to
be judged likely to have a major impact
• E.g., a project that by its nature is not innovative may
be essential to advance a field
• Make sure to utilize the full range of scores 1-9
It is critical that the assigned score corresponds to your written critique
• Your description of the strengths and weaknesses of a specific Merit Review Criterion must
align with the score you assign
• I.e., a score of 4 would have both strengths and weaknesses listed while a score of 1 would
have only minor or no weaknesses
Please write constructive feedback, bearing in mind comments and critiques will be re-
distributed to applicants
Each review criterion should be assessed
based on how important it is to the work
being proposed
44
Score Distributions
• The scoring system is meant to
normalize scores across the board
• Reviewers should use the full range of
the scoring scale and spread their
scores to better distinguish between
applications
• Scores of 1 and 9 should occur far less
frequently than mid-range scores (of 4-
6)
• Thus, it is important that as a Reviewer
you carefully assess every application
for its individual strengths and
weaknesses as well as alignment with
Merit Review Criteria and overall impact
Scores 4-6
1-3 7-9
45
Written Critique
• These critiques provide insight to the Phase II panel for conducting their review, as well as
to applicants looking to improve their application
• Due to the small number of applications assigned to each Reviewer we expect high-quality,
thorough critiques
• Make sure to especially highlight patient and stakeholder-centeredness in applications
• Ensure that you are writing critiques, not a summary
• Critical feedback is essential
• Avoid being subjective in your critiques without substantiation
The written critique with three strengths and three weaknesses listed is very important
46
Written Critique: Strengths and Weaknesses
strengths and three weaknesses in the comments field provided*
*If you cannot identify or adequately speak to 3 strengths and 3 weaknesses, please reach out to your SRO
Example: Strengths
• The budget indicates that a community patient representative will be recruited and will
participate in the focus group discussions
• A patient advocate will contribute curricula and review results and participate in project
discussion on a monthly basis
• The application states that patients will be solicited for input on dissemination of results
Example: Weaknesses
• Patient engagement is not strong overall in this proposal. It is unclear whether they were
involved in the proposal or how they will be involved in the research process
• This work is not likely to make a unique contribution to learning about engagement of
patients and stakeholders
• There is no evidence of how these findings could be integrated into routine clinical care
For each criterion and for the overall application score, you must provide a bulleted list of three
47
Written Critiques: Examples
Weak Critiques Lack of substantive information: • The application states that patients will be
solicited for input.
• This work is not likely to make a unique
contribution.
• Patient engagement is not strong in this
proposal.
Lack of clarity/not concise: • The budget indicates that a community
patient representative will be recruited and
will participate in the focus group
discussions. Additionally, the budget
indicates attendance to a conference with
multiple members of the research team
who will be presenting at the conference.
Consultants are also listed in the budget at
a fixed fee, however, is unclear the role of
the listed consultants as well as the
duration of their role during the research.
Correction Examples Provide substantive information: • The application states that patients will be involved as
stakeholders through X, Y, Z…
• This work is not likely to make a unique contribution
because…
• Patient engagement is not strong in this proposal
because/due to…
Utilize bullets: The budget indicates:
• A community patient representative will be
recruited and will participate in the focus group
discussions
• Multiple research team members will attend and
present at a conference
• Consultants are also listed in the budget at a fixed fee
• However, it is unclear the role of the listed
consultants as well as the duration of their role
during the research
48
Scoring: Written Narrative
This addresses, in four brief parts (can also be bullets):
1. Specific criterion focal point from the application
1. E.g. “I am addressing Merit Review Criterion number 4…in relation to X section
of this application”
2. Your critical assessment
3. Suggestion and/or feedback as a Reviewer
4. A summary
In addition to the strengths and weaknesses bullets, you must provide
a written narrative:
49
Written Critiques: Examples
“This application does not adequately incorporate patients and stakeholders
into the research team. The application states that one representative of
each stakeholder group will be a member of the planning group; and it is
not clear how many of these individuals will be participants or continue
providing input as the research progresses. Further, it is not clear as to how
and whether this research will integrate patients into the clinical
environment. There is little discussion of how the results of this science will
advance clinical practice and improve patient outcomes. The application
could be strengthened by clearly describing the role and participation of the
patients and stakeholders involved and other aspects of the research such
as the communication and dissemination of results.”
Example of a strong, well-written narrative:
50
Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
51
Patient members of the research
team are not subject to IRB
Human Subjects
Federal regulations for the protection of human research subjects
(45 CFR 46) require that the evaluation of research applications
• You will determine whether the protections of human subjects is acceptable or not
• If unacceptable, please select ‘No’ in the Human Subjects section of PCORI Online and indicate why in the written critique
• Your assessment of human subjects should factor into your overall assessment and score of the impact of an application, as PCORI will only support research that has adequate human subjects protections and minimal risks
• Particularly if the applicant does not describe a plan to adequately protect human subjects and the proposed research may impose risks to participants
If more information is needed, please refer to the Supplemental Instructions for Preparing the Protection
of Human Subjects Section of the Research Plan in Part II -
www.grants.nih.gov/grants/funding/phs398/phs398.doc
If the proposed research will involve human subjects –
that involve human subjects take into consideration the risk to subjects, adequacy of protection against risk,
potential benefits of the research, and the importance of knowledge to be gained.
• If acceptable, select ‘Yes’ and describe the safeguards in place in the written critique
52
Conflicts of Interest
What is a conflict of interest?
As defined by PCORI’s establishing legislation, a conflict of interest is any “association, including a financial or personal association; that has the potential to bias or have the appearance of biasing an individual’s decisions in matters related to the Institute or the conduct of activities”. Conflicts of interest will be considered and prohibited throughout every step of the review and selection process, including but not limited to: the technical and programmatic reviews, the selection and assignment of scientific and stakeholder reviewers, Board of Governors deliberations, and post-award
negotiations and monitoring.
More information is included in the PCORI Online confidentiality and conflict of interest document that you must agree to in order to access your applications.
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Conflicts of Interest
Key Personnel 1) I co-authored 3 publications in the last year with one of the co-investigators, but not with the PI. 2) In the early 90’s I co-authored a couple of publications with one of the collaborators for this application, but we have not written any papers together since. Primary Organization 3) I am currently on faculty at Northwestern University and the PI is an associate professor in the same department at Northwestern. Affiliated Organization 4) I serve on the Board for the subcontractor’s organization. 5) I used to work at UC Berkeley and the PI is currently on faculty there. I left the institution recently, but our time at the institution overlapped. PI 6) I served on the PI’s dissertation committee, but it was 10 years ago and we have not been in contact since.
Can I review the application if…?
CONFLICT
NOT CONFLICT
CONFLICT
CONFLICT
NOT CONFLICT
NOT CONFLICT
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Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
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Reviewer Guidelines and Information
For more information regarding compensation, review assignment timeline, and due dates, please refer to the Community Reviewer Site at: http://www.pcori.org/get-involved/become-scientific-reviewer/
Any inadequate reviews will be returned – please follow scoring guidelines covered in this training closely
Always immediately escalate issues or conflicts of interest to your SRO
Communicate with and answer emails from your SRO in a timely manner
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Polling Question
Please respond to the following:
A. Live session
B. Pre-recorded
C. Indifferent
Would you prefer a live session, or pre-recorded trainings in the
future?
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Agenda
1. Introduction and Announcements
2. Background
5. Human Subjects and Conflicts of Interest
6. Reviewer Guidelines
7. Q&A
3. Merit Review Criteria
4. Scoring And Critiques
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Q&A
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Wrap-Up
This concludes today’s session. We hope you found this live webinar helpful
and informative.
Thank you again for your commitment to PCORI.
If any questions remain unanswered at this point, please email them to