Ann A. Hertzler Research Grant
2010 Application
This research grant provides funding for research that implements ADA’s Research
Agenda for Dietetics. ADA's Research Agenda for Dietetics presents numerous
research needs. A topic or topics for the Hertzler Grant will be selected by the ADA
Research Committee. Only proposals addressing the selected topic(s) will be
considered for funding. $5,000 is available, but half will be awarded only after a
satisfactory final report has been submitted to ADAF and the ADA Research
Committee.
2008-2012 Research Topic:
The research proposal should address the nutrition care for treatment of children who are
overweight. The seed grant is intended to gather preliminary data to enable further funding.
Projects should focus on implementation of the Evidence-Based Pediatric Weight
Management Nutrition Practice Guidelines. Examples of projects might include (1)
Development and testing supplemental educational/counseling materials (2) Determining
feasibility of use of EBG in diverse populations or settings (3) Focus groups for identification and
evaluation of barriers to implement EBG in a variety of settings, or (4) Development and testing
performance improvement protocols evaluating the implementation of the EBG. As background
information to help frame a potential research project, the applicant should reference the
Evidence-Based Pediatric Weight Management Nutrition Practice Guidelines. The link
to the EAL is located at http://www.adaevidencelibrary.com/default.cfm?auth=1.
The application should also state precisely how this preliminary data will be used to pursue
additional research funds and indicate the specific funding agency and the research concept of
the larger grant to be pursued.
Applicant requirements:
The principal investigator must be an RD or a DTR and a member of ADA.
Instructions:
The following requirements govern the submission of all proposals:
1. The proposed research project must be accomplished within a 12 to 18 month
period.
2. The proposal must include the following components within five single-spaced
pages: introduction, problem statement with reference to the evidence based
analysis library, objectives of the study, procedures, data analysis plan including
statistics beyond percentages, description of available facilities and resources,
timeline and references.
Ann A. Hertzler Research Grant
2010 Application
3. The five-page limit must include any additional sections not listed above that the
applicant may submit, such as appendices or tabular materials.
4. Use the attached forms for the application page, biographical sketch and budget.
The applicant may attach up to two additional pages to each biographical sketch.
The application page, biographical sketch pages and budget page are not
counted in the five-page limit. Additional materials such as letters of
recommendation will not be considered and should not be submitted.
5. Five copies of the proposal must be submitted to the American Dietetic
Association Foundation, Grants Program Manager, 120 South Riverside Plaza,
Suite 2000, Chicago, IL 60606-6995. Any questions may be directed to Beth
Labrador at 800/877-1600, ext. 4821 or blabrador@eatright.org .
6. Proposals will be treated as privileged communication. No copies of the proposal
will be returned to the applicant.
7. The completed proposal must be received on or before December 1, 2009.
Applications postmarked by December 1st will be accepted. Proposals will
not be accepted via fax or e-mail.
Scoring:
Proposals will be selected using the following criteria and will be scored based on the
percentage indicated for each criterion:
1. Understanding the research problem, clear problem statement/hypothesis, plan
for using results and likelihood of publication in the Journal of the American
Dietetic Association (20%)
2. Appropriateness of research design, data variable, data collection and analysis
including statistical analysis (30%) and support/relation to evidence based library.
3. Feasibility of conducting research (20%)
4. Appropriateness of budget (10%)
5. Capability of the principal investigator/co-investigators (20%)
Ann A. Hertzler Research Grant
2010 Application
Name of Principal Investigator:
ADA Member #:
Name and address of institutional affiliation:
Title of Position:
Degrees (held and anticipated):
Phone:
E-mail:
Title of Proposal:
Proposed project start date:
Proposed end date:
Names of Co-Investigators:
I, the undersigned, certify that the statements are true and complete to the best of my
knowledge and accept, as to any grant awarded, the obligation to comply with terms
and conditions in effect at the time of the award. I agree to accept responsibility for the
scientific conduct of the project and to provide the required reports if a grant is awarded
for this proposal.
Signature of Principal Investigator
Date
Ann A. Hertzler Research Grant
2010 Application
To be completed by responsible official at affiliated institution:
Name of Official:
Title:
Address:
Telephone:
E-mail:
I, the undersigned, certify that the statements are true and complete to the best of my
knowledge and accept, as to any grant awarded, the obligation to comply with terms
and conditions in effect at the time of the award.
Signature of Responsible Official:
Date
Ann A. Hertzler Research Grant
2010 Application
Biographical Sketch:
Give the following information for the principal investigator and co-investigators listed on
the application page. Photocopy this page for each person.
Name:
Title of Position:
ADA Member #:
Educational History: (include institute, location, degree earned, year conferred and field
of study)
Research and/or Professional Experience: (describe your knowledge and experience
relevant to the project. List all publications pertinent to the project)
In addition to this form, do not exceed 2 pages per person.
Ann A. Hertzler Research Grant
2010 Application
Budget:
Budget should not exceed $5,000 and must include justification of items requested.
Indirect/overhead costs will not be paid by the ADA Foundation.
Category
Amount
Personnel
Supplies
Equipment
Travel
Computer Costs
Other (please specify)
Total:
List other sources of funding:
Ann A. Hertzler Research Grant
2010 Application
(Not to exceed 5 pages single spaced)
Introduction
(Background literature and demonstrated use of ADA Evidence Analysis Library content)
Problem Statement/Hypothesis and objectives of the study
(Identify a testable hypothesis or problem statement)
Research Design, Intervention (as appropriate) Data Variables (as appropriate), Data
Collection Methodology and Data Analysis Plan
Description of available facilities and resources
Timeline for study completion
(Normally not more than 18 months)
Plans for publication of results
(Be specific and include proposed journals where research manuscript will be submitted)
How results will be used to pursue additional research funds,
(include specific funding agency and concept of future research grants).
References
Ann A. Hertzler Research Grant
2010 Application
Award Check Payment Form
I,
, the applicant for the Research Award
provided by the American Dietetic Association Foundation and funded by the Ann A.
Hertzler Research Grant, and the principal investigator for the research authorized
thereunder, hereby stipulate to the payment of the award in the amount of $5,000
($2,500 initially and $2,500 after a satisfactory final report) as follows (check one):
 To the principal investigator, who will be responsible to use the funds according to
the terms and conditions of the award, and is responsible for all applicable taxes.
*Be advised that awards to individuals are considered taxable income.
 To the affiliated institution or organization listed below, in whose name the application
was made. This organization will be responsible to use the funds to support the
research efforts of the principal investigator, in accordance with the terms and
conditions of the award. This organization will also be responsible for any applicable
taxes. No amount of this award may be used for overhead cost charged by the intuition
or organization.
Institution name
FEIN #
Contact person
Title
Address: (where check will be sent)
Phone
E-mail
Website
I, the undersigned, accept, as to any grant awarded, the obligation to comply with these
representations and the terms and conditions in effect at the time of the award.
Signature of Check Recipient
Date