OUTLINE FOR RESEARCH PROPOSAL SYNOPSIS Title Acronym Principal Investigator / Coordinating Investigator Participating Partners / Recruiting Centres Duration Funding volume Keywords Summary 1 A. RELEVANCE, AIMS AND NOVELTY 1. RELEVANCE 2. AIM(S) AND NOVELTY 3. STATE-OF-THE-ART AND EVIDENCE 4. COLLABORATION Interdisciplinary collaboration Participatory approaches International collaborations 5. GENDER ISSUES B. DESIGN AND RESEARCH METHODS 1. STUDY DESIGN AND INTERVENTIONS 2. TARGET / STUDY POPULATION 3. ENDPOINTS 4. FIELD ACCESS AND FEASIBILITY 2 5. DATA COLLECTION 6. METHODS OF DATA ANALYSIS 7. QUALITY ASSURANCE AND SAFETY C. WORK SCHEDULE, TIME FRAME AND MILESTONES D. DISSEMINATION AND IMPLEMENTATION 1. 2. SCIENTIFIC DISSEMINATION PUBLIC DISSEMINATION, TRANSFER AND IMPLEMENTATION E. ETHICAL AND LEGAL CONSIDERATIONS F. STUDY PARTICIPANTS 1. PARTICIPANTS # Affiliation Name Declaration of (only institution and Responsibility / Task city, no complete commitment (see appendix no. address) 3.1, 3.2) Principal / Coordinating Investigator … 3 …. Responsible for study statistics Recruiting centres (e.g. hospitals, nursing homes, network of health care providers) Study-supporting facilities / institutions (e.g. sickness funds) Responsible for quality assurance / data management Support- and advocacy organisations of patients (if applicable) …. …. …. …. G. FINANCIAL DETAILS 1. FINANCIAL SUMMARY Position PM Personnel X Sum € Scientific € Non-scientific € Other € Consumables X € Equipment X € Travel costs X € Subcontracts X € Case payment X € Overhead / lump sum* X € Total amount x € PM: Person Months, indicate full-time equivalents *if applicable, academic institutions (universities and universities of applied sciences) and can apply for a lump sum up to 20% of total for indirect costs Comments: 4 2. 3. CO-FINANCING BY THIRD PARTIES OTHER FUNDING H. APPENDICES 1. REFERENCES 2. CURRICULA VITAE OF ACADEMIC STAFF 3. DECLARATION OF COMMITMENTS 3.1 DECLARATION OF COMMITMENT OF RECRUITING CENTRES AND PARTICIPATING PARTNERS 3.2 DECLARATION OF COMMITMENT OF SICKNESS FUNDS OR OTHER INSTITUTIONS PROVIDING DATA 3.3 FINANCE COMMITMENT OF THIRD PARTIES 5