Research on Improving Health Care for Obese Patients (R01) | Apply Online

Opportunity Summary:

The National Institutes of Health (NIH) funding opportunity titled "Research on Improving Health Care for Obese Patients (R01)" (Funding Opportunity Number PA-07-013) supports Research Project Grant (R01) applications focused on making health care work better for obese patients. The central idea is not to fund weight-loss interventions for their own sake, but to fund research that identifies why obese patients often do not receive optimal care and then tests practical changes to health care delivery that improve patient health outcomes even when weight loss does not occur. In other words, the emphasis is on quality of care, access, patient experience, clinical decision-making, and outcomes that can be improved through better systems, practices, and clinical processes rather than relying on weight reduction as the primary lever.

Projects funded under this announcement are expected to do two main things. First, they should help determine the barriers that prevent obese patients from receiving the best possible care. Those barriers could involve clinical factors (such as diagnostic overshadowing where symptoms are incorrectly attributed to weight), provider factors (such as implicit bias, communication problems, inadequate training, or inconsistent adherence to guidelines), health system factors (such as facility limitations, lack of appropriate equipment, scheduling and workflow issues, or referral patterns), and patient-level factors (such as prior negative experiences in health care settings, stigma, or reduced trust). Second, applicants are encouraged to design and test innovations or modifications in care delivery that directly address these barriers. This could include changes in clinical workflows, redesigned care pathways, improved screening and preventive service delivery, tailored patient-provider communication approaches, team-based care models, decision support tools, or other practice and system-level interventions intended to improve outcomes for obese patients independent of weight loss.

The mechanism of support is the NIH R01, meaning it is intended for substantial, hypothesis-driven research projects with clearly defined aims, rigorous methods, and measurable outcomes. As with other R01s, projects can potentially be renewed by competing for additional project periods, which signals that NIH anticipated that some lines of work funded here could mature into longer-term research programs if they show strong promise and productivity.

Funding levels and the number of awards are not fixed in the announcement. Instead, NIH indicates that awards depend on the availability of funds and the receipt of a sufficient number of high-quality, meritorious applications. This is a common structure for NIH program announcements and means that applicants should not assume a guaranteed number of awards in any given cycle. The FOA lists multiple receipt dates, rather than a single deadline, so submissions were accepted on recurring application dates during the active period of the announcement, with exact dates referenced in the full NIH posting.

Eligibility is broad and includes a wide range of organizations and governments. Eligible applicants include small businesses and other for-profit organizations, nonprofit organizations (including both 501(c)(3) and non-501(c)(3) entities), public and private institutions of higher education, independent school districts, and various governmental entities such as state governments, county governments, city or township governments, and special district governments. Tribal governments (federally recognized) and tribal organizations (not federally recognized) are also eligible, as are public housing authorities/Indian housing authorities. The announcement also states that foreign institutions may apply, eligible federal agencies may apply, and faith-based or community-based organizations are permitted to apply as well. There is no cost sharing or matching requirement, which reduces the need for applicants to bring non-federal funds to the table as a condition of award.

From a subject-matter standpoint, the FOA sits at the intersection of health services research, clinical outcomes research, and care delivery improvement, with connections to multiple NIH-aligned areas reflected in the listed CFDA numbers. These include research on health care costs, quality, and outcomes (93.226), nursing research (93.361), cardiovascular diseases research (93.837), child health and human development extramural research (93.865), and aging research (93.866). That mix signals that NIH viewed the topic as relevant across populations and conditions, including chronic disease management, maternal/child health considerations, older adults, and the broader health system performance issues that influence outcomes for obese patients.

Administratively, the opportunity was posted on November 20, 2006, with the record creation date noted as December 5, 2008, and it carried multiple receipt dates during its active window. The archive date is April 5, 2010, indicating the announcement is no longer active in its original form, though similar topics may appear in newer NIH funding announcements. For the official full announcement, NIH provided a link to the NIH grants guide page (http://grants.nih.gov/grants/guide/pa-files/PA-07-013.html). For technical issues accessing the announcement, the NIH Office of Extramural Research (OER) webmaster contact was provided (FBOWebmaster@OD.NIH.GOV).

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