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Table 1 Included studies of community granting programs

From: Mobilizing community-driven health promotion through community granting programs: a rapid systematic review

Study

Grant program, organization, location, grant size, framework

Focus area, eligible projects, eligible grant recipients

Granting program administration

Granting program components

Outcomes

Sustainability

Study design, quality rating

Abildso, 2019 [45]

Program: The Growing Healthy Community (GHC) Collaborative Grant Program

Organization: Claude Worthington Benedum Foundation and the West Virginia Department of Health and Human Resources

Location: West Virginia, USA

Grant size: Max. $25 000 USD

Framework: None

Focus area: Health promotion

Eligible projects: Projects that provide access to healthy food e.g., community gardens, indoor farmers market, and spaces for physical activity, e.g., walking program, downtown wellness kiosk, often according to The Community Guide to Preventive Services Creating or Improving Places for Physical Activity or the Centers for Disease Control and Prevention’s Recommended Community Strategies and Measurements to Prevent Obesity in the United States

Eligible recipients: Community organizations recognized by state economic development programs (Main Street West Virginia and West Virginia Organization, Training, Revitalization, and Capacity

Not described

Not described

38 projects funded across 24 communities

Limited time to spend funds was a barrier

Centralized resources and technical assistance recommended

Program led to social cohesion within community and increased activity at local businesses

Several project leaders secured additional funding to sustain projects

Study design: Qualitative

Quality rating: High

Alexander, 2020 [46]

Program: Meharry-Vanderbilt Community Engaged Research Core mini grant program

Organization: Meharry-Vanderbilt Community Engaged Research Core (CERC)

Location: USA

Grant size: Max. $10 000 USD

Framework: Patient Centered Outcomes Research Institute (PCORI) Principles of Community Engagement

Focus area: Public health (general)

Eligible projects: Projects that address community-identified needs; examples not provided

Eligible recipients: Community-based organizations, in partnership with academic researchers and/or graduate students

Dissemination: Calls for applications circulated biannually to community-based organizations

Application: Potential applicants submit a letter of intent, then attend an information session. Applications submitted via an online web application. Application required a statement of purpose, potential impact, partner roles, anticipated outcomes, timeline, budget justification and research and dissemination plan. Applications were reviewed by committee of faculty and community members

Reporting: Awardees required to submit mid- and end-of-project reports, share results at a community meeting

Not described

56 projects funded 2008–2018

In response to participant feedback:

• Review committee expanded to include members of different races,

• Application form standardized by adapting National Institutes of Health Research Grant Evaluation Rubric and review criteria,

• Feedback was provided to applicants on applications that were not funded

Program increased skills for awardees, such as evaluation, funding acquisition

Nearly 20 projects resulted in ongoing research partnerships. Preliminary data from granted programs strengthen subsequent applications for additional funds

Study design: Descriptive

Quality rating: Not appraised

Allen, 2017 [47]

Program: Community Health Innovation Awards (CHIA)

Organization: University of Alabama at Birmingham (UAB)

Location: Birmingham, Alabama, USA

Grant size: Max. $25 000 USD

Framework: Community-based participatory research (CBPR) framework

Focus area: Public health (general)

Eligible projects: Program conducted a survey of community members to identify a list of 12 neighbourhood concerns that could be addressed by proposed projects

Eligible recipients: Neighborhood associations and non-profit organizations

Dissemination: Calls for application circulated through mail and organization’s affiliated websites

Application: Applicants first submitted a draft proposal. Applicants with strong draft proposals invited to submit final proposal and deliver 10-min presentation to review committee. Committee scored applications using a customized rubric

Reporting: Not described

Technical Assistance: Program mentors assigned to applicants guided application development

Training: Awardees required to attend 3 workshops on innovative thinking, idea development, grant writing and application process

78 proposals received, and 26 projects funded 2012–2017

Key lessons learned include:

• Engage communities at outset of program development,

• Foster inclusive and participatory environments

Not described

Study design: Descriptive

Quality rating: Not appraised

Baril, 2011 [48]

Program: No formal name

Organization: Boston Public Health Commission’s Center for Health Equity and Social Justice

Location: Massachusetts, Vermont, Connecticut, Rhode Island, and New Hampshire, USA

Grant size: $25–30 000 USD annually for 3 years

Framework: Boston Public Health Commission’s health equity framework and theory of change

Focus area: Social determinants of health

Eligible projects: Projects that address social determinants of health, e.g., improving food environments, employment opportunities in health for youth of colour

Eligible recipients: community-based organizations, educational institutions, community health centres, hospitals, neighbourhood associations, faith-based organizations, public health departments

Dissemination: Not described

Application: Required a comprehensive project plan. Applicants were assessed for history of working with communities of colour, commitment to reducing health inequities and capacity for systems-level change

Reporting: After year 1, required to submit strategic work plan of goals, activities and outputs. During years 2 and 3, required to report progress on objectives and complete Partnership Assessment Tool

Technical Assistance: Regular teleconferences between awardees and expert advisors, and among awardees to share learning. Program staff issued bimonthly email updates. Faculty consultants available to support coalition building, strategic planning, and promotion of antiracist social change

Training: During year 1, awardees provided training on health equity framework, data collection and analysis for health equity, anti-racism. Optional training provided on coalition building, community organizing, community needs and asset assessments, policy advocacy, logical models and evaluation, and framing and communicating racial equity

15 projects funded 2008–2012

Outcomes not available at time of writing

Not described

Study design: Descriptive

Quality rating: Not appraised

Bounds, 2011 [49]

Program: Community Cancer Control in Appalachia Forum

Organization: National Comprehensive Cancer Control Program

Location: Appalachian regions and Tennessee, USA

Grant size: $2500 USD for roundtables or $5000 USD for forums

Framework: Coalition theory

Focus area: Cancer prevention

Eligible projects: Roundtables focused on local cancer risk, incidence, and death rates and introduction of state cancer plans or in-depth forums focused on cancer data, state cancer plans and successful cancer control programs in local communities

Eligible recipients: Community organizations, state or regional cancer coalitions

Dissemination: Call for applications distributed through partner organizations

Application: Description of the proposed event, including agenda, partners, plan to recruit speakers, budget justification, anticipated outcomes using a Give-Get Grid. Applications reviewed by program staff using guidelines approved by partner organizations

Reporting: Final report required

Not described

9 forums and 19 roundtables funded

Short deadline for applications resulted in few applications. The deadline was extended

Program facilitated identification of local partners for cancer coalitions

Some coalitions obtained additional funding to conduct further forums

Study design: Descriptive

Quality rating: Not appraised

Camponeschi, 2017 [50]

Program: No formal name

Organization: Environmental Public Health Tracking Network (EPHTN)

Location: Wisconsin, USA

Grant size: Max. $10 500 USD

Framework: Social Ecological Model of Health

Focus area: Environmental health

Eligible projects: Any environmental health community projects informed by data from the EPHTN’s data portal

Eligible recipients: Local and tribal health departments

Dissemination: Funding opportunity announcement issued to local and tribal health departments

Application: Multiple EPHTN staff members scored applications according to a rubric: identified environmental health issue for target jurisdiction, well-defined project, goals, timeline, work plan, appropriate partners, evaluation plan and budget

Reporting: Mid-project and final reports documenting successes, results and lessons learned

Technical Assistance: Program staff were assigned to each funded project to act as program liaisons. Awardees were offered assistance with materials development, connections to experts, guidance for evaluation planning, and developing a journal manuscript

data collection and interpretation

Networking facilitation: Conference calls were held together for awardees with similar projects

15 proposals received, and 8 projects funded in 9-month period. Staff provided estimated 10–15 h of technical assistance per project

Awardees found technical assistance useful and had minimal suggestions for improving the program

Awardees reported positive public health outcomes resulting from funded projects. Health department communication with communities was strengthened

Not described

Study design: Descriptive

Quality rating: Not appraised

Caperchione, 2010 [51]

Program: Women's Active Living Kits (WALK) Community Grant Scheme

Organization: Australian Office for Women, Department of Families, Community Services and Indigenous Affairs

Location: Australian Capital Territory, Victoria, New South Wales and Queensland, Australia

Grant size: Max. $1500 AUD

Framework: Social Ecological Model of Health

Focus area: Health promotion (physical activity)

Eligible projects: Establish a women’s walking group, support an existing women’s walking group, improve neighbourhood, group or workplace social environment to encourage women’s walking

Eligible recipients: Community organizations, neighbourhood groups, with priority for women’s groups, such as women with young children, women with careers, culturally and linguistically diverse women, Indigenous women

Dissemination: Shared with women’s health networks, local and state community organizations, local and national health departments

Application: A review committee evaluated applications. Committee members included representatives from the Office for Women, health promoters, health department members

Reporting: Final report required, report components not described

Technical Assistance: A telephone support line was available to applicants and awardees

Website: Provided details about program, “what’s new” page, application instructions, discussion board for applicants and awardees, project profiles

Partnerships: Program facilitated partnerships with national stakeholders and a similar national health promotion program for physical activity (10,000 Steps)

Over 100 proposals received, and 48 projects funded in 2-year period

Facilitators:

• Collaboration with 10,000 Steps Program allowed sharing of contacts, cross-promotion, guidance from experienced program staff

• Program-specific website facilitated applications, connection amongst awardees and between awardees and program organizers

• Public agencies and organizations provided access to experts in women’s and multicultural health

Barriers:

• Payment processing delays

Program facilitated contact with priority community groups, e.g., new English speakers

Not described

Study design: Descriptive

Quality rating: Not appraised

Colchamiro, 2015 [52]

Program: The Breastfeeding Continuity-of-Care Team (BCCT) catalyst grant program

Organization: The Massachusetts Department of Public Health

Location: Massachusetts, USA

Grant size: Not reported

Framework: Social Ecological Model of Health

Focus area: Maternal and child health (breastfeeding)

Eligible projects: Projects that support breastfeeding

Eligible recipients:

Municipalities with a higher percentage of low-income, underserved populations

Dissemination: Mailing lists to birthing hospitals, Special Supplemental Nutrition Program for Women, Infants and Children (WIC) clinics, partner organizations

Application: Description of their community and existing capabilities, partnerships with at least 2 community-based organizations, budget, evaluation plan, SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. Applications were reviewed by program team

Reporting: Success indicators tracked monthly, including number of eligible births, number of mothers who received support

Technical Assistance: Provided by University faculty and community-based health professionals. Monthly meetings to help awardees review progress, troubleshoot challenges

Site Visits: Members of the program team visited each site at least once

Conferencing: Meetings to convene all awardees to share successes, best practices

8 proposals received, and 6 projects funded in 10-month period

Facilitators:

• Technical assistance monthly calls and site visits were highly valuable

• Conferencing opportunities with awardees fostered camaraderie and sharing of experiences

• Media attention provided publicity through a grand opening, government representatives)

Barriers:

• Short timelines challenged project recruitment, organizational approval to apply

Program staff learned about communities’ unique strengths and barriers

Collaborative relationships that were formed among the community providers outlasted the grant implementation period. Program staff noted the need to apply for additional funding to maintain services

Study design: Descriptive

Quality rating: Not appraised

Coombe, 2023 [53]

Program: Small Planning Grant program and the Community-Academic Research Partnerships Grant Program

Organization: Detroit Community-Academic Urban Research Center

Location: Detroit, Michigan, USA

Grant size: $2000–5000 USD, average $4200 USD

Framework: Community Based Participatory Research Approach

Focus area: Health, public health and social issues (general)

Eligible projects: Projects that support alleviation of poverty, through building equitable partner relationships, exploring collaborative research interests, conducting community assessments, and disseminating and translating research findings

Eligible recipients: Community partners, in partnerships with academic researchers

Dissemination: Shared with community and research mailing lists, University and Community-Academic Research Network and community organization networks

Application: Description of project goals, methods, relevance to poverty alleviation, partners, timeline, budget and letters of support. Applications were rated by committee of academic and community partners. Committee had opportunity to request additional information or suggest modifications prior to final decision

Reporting: Mid-year report provided opportunity to share needs for assistance, and a final report

Technical Assistance: Provided on request by program staff

Training: Workshops providing introduction to community based participatory research, program overview, partnership development and evaluation, and dissemination

Conferencing: Introductory meetings to convene all awardees. Final meeting to share findings and next steps for sustaining efforts

50 projects funded

Facilitators:

• Conferencing time valuable for partnership development, learning from experts, shared learning with other project teams

• Ongoing technical assistance was helpful

Keys to building inclusive, equitable partnerships include providing time and capacity building support to build relationships and power-sharing processes

At 1–3 years following program, nearly half of projects had secured additional funding and were planning additional projects. More than half had established a steering committee or partnership infrastructure

Study design: Qualitative

Quality rating: Moderate

Crespo, 2011 [54]

Program: Appalachian Coalition

Organization: Appalachian Regional Commission

Location: Appalachian counties, USA

Grant size: $10 000 USD

Framework: Rural Appalachian Model, adapted from Model for coalition development

Focus area: Diabetes prevention and management

Eligible projects: Promoting healthy eating, physical activity, chronic disease self-management and awareness building

Eligible recipients: Members of Appalachian communities

Dissemination: Not described

Application: Description of diabetes issues in community. Applications ranked based on applicant group diversity and understanding of public health approach to diabetes

Reporting: Quarterly reports of numbers of participants

Training: 2-day workshop to develop measurable objectives and action plan

Conferencing: Awardees gather annually to present on their projects

Site Visits: Program staff visited project sites

66 projects funded

Facilitators:

• Non-traditional application process where objectives and plan are developed during a workshop increased reach to community partners

• Awarding full amount upfront was helpful for awardees

58 projects have been sustained past initial funding

Study design: Descriptive

Quality rating: Not appraised

Dafilou, 2022 [55]

Program: Community Catalyst Grants

Organization: Lindy Family Foundation through The Philadelphia Collaborative for Health Equity (P-CHE)

Location: Philadelphia, Pennsylvania, USA

Grant size: $50 000 USD

Framework: World Health Organization Social Determinants of Health Framework

Focus area: Mental health and trauma, safety, housing, built environment

Eligible projects: Engage community with at least one of mental health; trauma, safety, and violence, e.g., developing a community-centred trauma training curriculum; housing, e.g., forming a housing trust; and built environment, e.g., building a park

Eligible recipients: Latino community of Philadelphia

Dissemination: Call for applications announced at community photovoice exhibition

Application: Application requirements not described. Panel of unaffiliated grant reviewed ranked applications, prioritizing those which addressed findings at photovoice exhibition

Reporting: Program evaluation not described

Technical assistance: Provided but not described

Training: Policy and advocacy workshop conducted online over 2 weeks

12 projects were funded

Allowing community to determine focus of grant funding lead to community ownership of projects. Planning several steps ahead allowed for community involvement in decision-making at each step

Program staff worked with awardees to secure additional funding to sustain projects

Study design: Descriptive

Quality rating: Not appraised

Goodman, 2018 [56]

Program: Step Up to Leadership

Organization: Missouri Association of Community Action and University of Missouri

Location: Missouri and Illinois, USA

Grant size: Max. $500 USD

Framework: Social Cognitive Theory

Focus area: Health and social issues (general)

Eligible projects: Address community issues, e.g., health fairs, farmers markets, community gardens, car seats for low-income mothers

Eligible recipients: non-profit organizations, business managers, local government officials, church leaders

Dissemination: Not described

Application: Brief description of project and need, expected community impact, budget, list of community partners. Applications reviewed by program staff and board members

Reporting: Summary of accomplishments, benefits to community, lessons learned, and plans to continue project

Training: 12-week leader development program for understanding and embracing diversity, serving on boards of directors, participating in community meetings, and applying for minigrants

18 proposals received, 16 were funded

Participants reported increased skills, e.g., leadership, grant writing, increased self-efficacy, and enhanced community involvement

Support for applicants throughout grant process was critical in developing skills required to plan and lead projects

Participants noted their acquired grant writing skills were transferable to applying for additional grants

Study design: Qualitative

Quality rating: Moderate

Grossman, 2019 [57]

Program: No formal name

Organization: State health departments, funded by Centers for Disease Control and Prevention

Location: California, Florida, Illinois, New Hampshire, Oregon and Wisconsin, USA

Grant size: $7700- 28 500 USD annually

Framework: Centers for Disease Control and Prevention’s (CDC’s) Building Resilience Against Climate Effects (BRACE) framework

Focus area: Environmental health (climate change preparedness)

Eligible projects: Improving community resilience to climate change, extreme weather; response to health consequences of climate change

Eligible recipients: Local health departments

Dissemination: Request for proposals shared with local health departments

Application: Requirements not described. Selection based on capability to implement proposed projects

Reporting: Quarterly and final reports of successes, challenges and recommendations for future programs

Technical Assistance: Guidance for accessing and summarizing data on health, social vulnerability and health

Training: Webinars and in-person workshops were provided

18 projects were funded

Awardees reported that training increased knowledge and skill for partnership development, planning and vulnerability assessment

Barriers:

• Awardees found planning difficult due to uncertainty of continued funding

Awardees noted the 1-to 2-year grant duration was insufficient to demonstrate impact that would help secure additional funding

Study design: Cross-sectional

Quality rating: Moderate

Hickey, 2015 [58]

Program: Literacivic

Organization: Youngballymun

Location: Ballymun, Northern Dublin, Ireland

Grant size: €200–4000 EUR, depending on project type

Framework: None

Focus area: Youth wellbeing and learning

Eligible projects: Capacity building for leadership, communications, advocacy; community celebrations or events

Eligible recipients: Neighbourhood groups, services and organizations

Dissemination: Posters and brochures distributed locally

Application: Written proposal, reviewed by an independent committee

Reporting: Not described

Not described

42 proposals received; 24 projects were funded

Awardees reported that funding developed personal skills, community involvement and helped increase access to available services

Barriers:

• Funding likely inaccessible to some potential applicants

• Lack of guidance for application

Not described

Study design: Qualitative

Quality rating: Moderate

Honeycutt, 2012 [59]

Program: Nutrition Programs that Work

Organization: The Emory Cancer Prevention and Control Research Network (CPCRN)

Location: Georgia, USA

Grant size: $4000 USD

Framework: RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance)

Focus area: Health promotion (nutrition)

Eligible projects: 1 of 2 programs, Body & Soul for churches and Treatwell 5-a-Day for workplaces

Eligible recipients: Churches and workplaces

Dissemination: Distributed to eligible organizations locally

Application: Requirements not described. Committee of Community Advisory Board members rated applications according to fidelity to the program, organizational capacity for implementation, and diversity of the organization

Reporting: Not described

Technical Assistance: Bi-monthly teleconferences between program staff and awardees. Email and telephone support provided as requested

Networking Facilitation: Partnerships with Community Advisory Board members

17 proposals received; 7 projects were funded

Facilitators:

• Technical assistance was necessary and found helpful by awardees

• Aligning projects to eligible organizations’ mission statements

All awardees reported intent to continue at least some activities. Several were interested in expanding

Sustainability was associated with adaptability of projects, having project champions, alignment with organization’s mission, perceived benefits and stakeholder support

Study design: Qualitative

Quality rating: High

Kegler, 2015 [60]

Program: Cancer Prevention and Control Research Networks (CPCRN) Mini-Grants Program

Organization: Centers for Disease Control and Prevention and National Cancer Institute

Location: Georgia, South Carolina and Texas, USA

Grant size: $1000–10 000 USD, average $6250 USD

Framework: Interactive Systems Framework

Focus area: Cancer prevention

Eligible projects: Adaptations of evidence-based interventions for cancer prevention listed on Research-Tested Intervention Programs database or from research literature

Eligible recipients: Community-based organizations, faith-based organizations, schools, worksites

Dissemination: Not described

Application: Included organizational capacity to implement project, including leadership and experience. Proposals assessed according to fidelity of work plan to original evidence-based intervention, plans for adaptations, community needs and potential impact, budget justifications and evaluation plan

Reporting: Final reports required but not described

Technical Assistance: Research fellows supported application development. Fellows convened with awardees monthly for guidance with administrative of budget challenges and implementing and adapting interventions

Training: Workshops provided to potential applicants on finding, selecting, adapting evidence-based interventions. Workshops provided to awardees on implementing and sustaining projects

105 proposals received; 44 projects were funded 2007–2014

Most proposals were based on selected interventions featured on the Research-Tested Intervention Programs database, rather than from other research literature

None of the awardees conducted evaluations as described by selected interventions. This limited evaluation of effectiveness, especially when interventions were adapted to different contexts or populations

Awardees were most successful in sustaining projects when they were able to establish new partnerships. In several cases, partners continued projects after the grant period

Study design: Descriptive

Quality rating: Not appraised

Main, 2012 [61]

Program: Community Engagement Pilot Grants Program

Organization: University of Colorado Denver

Location: Colorado, USA

Grant size: $10 000 or $30 000 USD, depending on project type

Framework: None

Focus area: Health (general)

Eligible projects: Address priority health issues, e.g., childhood chronic conditions, social and emotional health, or cardiovascular disease prevention

Eligible recipients: Community representatives, academic researchers

Dissemination: Through university partners and community partners identified by The Partnership of Academicians and Communities for Translation Council

Application: Key sections included project focus, outcomes, partnerships, community engagement plan and budget. Dyad of community and academic representatives scored applications. Nonfunded applications were provided feedback and encouraged to reapply

Reporting: 6-month and final report describing partnerships, community engagement, results, lessons learned and future plants. Awardees also regularly reported on their budget

Technical Assistance: Webinar for potential applicants on proposal requirements

Training: Awardees attended 8-h workshop on community engagement

36 projects were funded

Initially, projects could address any health topic. Projects eligibility was revised to priority topics to maximize potential impact

Following challenges during the first funding cycle, the application period was extended and additional technical assistance was provided to applicants to facilitate the application process

The initial investment of $272 742 led to over $2.8mil in new funding to several awardees

Study design: Descriptive

Quality rating: Not appraised

Mayberry, 2009 [62]

Program: Pfizer Foundation Southern HIV/AIDS Prevention Initiative

Organization: Pfizer Foundation contracted with Morehouse School of Medicine Prevention Research Center

Location: Southern USA

Grant size: Not reported

Framework: Empowerment Evaluation Framework

Focus area: HIV prevention

Eligible projects: HIV education and prevention programs

Eligible recipients: Community-based organizations in multicultural, urban and rural communities

Dissemination: Not described

Application: Not described

Reporting: Not described

Technical assistance: Phone calls and site visits from program staff helped guide awardees

Training: Initial focus for training was on developing logic models and measurable objectives. Subsequent workshops focused on skills for planning, implementing and evaluating projects. Feedback was gathered from awardees to inform focus of workshop sessions

69 projects were funded

Facilitators:

• Initial needs assessment and ongoing solicitation of feedback from awardees ensured technical assistance met each team’s needs

• Regular communication allowed for targeted learning opportunities

Regular interactions allowed integration of evaluation into activities

Increased capacity of awardees to implement and evaluate projects contributed to project sustainability

Study design: Single group pre-post

Quality rating: High

McCracken, 2013 [63]

Program: Community Health Intervention Program (CHIP) mini-grants initiative

Organization: South Carolina Cancer Prevention and Control Research Network (SC-CPCRN)

Location: South Carolina, USA

Grant size: $10 000 USD

Framework: None

Focus area: Cancer prevention

Eligible projects: Adaptations of evidence-based interventions for cancer prevention listed on Research-Tested Intervention Programs database

Eligible recipients: Community-based organizations

Dissemination: Not described

Application: Requirements not described. Panel of faculty, staff and community partners rated applications according to how well the proposal, evaluation and timeline aligned with the original evidence-based intervention. Applicant interest and experience, support from leadership, community need and diversity were considered

Reporting: Regular updates and reports to program liaisons. A mini-grant report template was developed to capture quantitative and qualitative information. Awardees presented findings at a program event

Technical assistance: In-person and virtual sessions for potential applicants. Program staff provided ongoing guidance and oversight

12 proposals received; 3 projects were funded

Facilitators:

• Collaboration, communication and trust between program staff and awardees

• Community engagement

Barriers:

• Competing priorities for community needs vs. research and evaluation processes

Not described

Study design: Descriptive

Quality rating: Not appraised

Nieves, 2020 [64]

Program: Health in Action Project

Organization: New York State Health Foundation and Mount Sinai Health System

Location: East Harlem, New York, USA

Grant size: $25 000 USD

Framework: Health Department’s framework for community engagement

Focus area: Health, public health and social issues (general)

Eligible projects: Designed to improve community health

Eligible recipients: Non-profit and community organizations

Dissemination: Request for proposals shared with local non-profit and community organizations

Application: Requirements not described. Panel of community members assessed proposals. Panel members required to describe interest in participation and thoughts on local health issues. Panel chose short list of proposals, which were presents to the public. Successful applicants selected by vote

Reporting: Mid-year and final reports of project metrics, successes, challenges, lessons learned, partnerships

Training: Workshops on community advocacy, civic engagement. Quarterly capacity building activities

Conferencing: Awardees convened quarterly to network, share successes and challenges

20 proposals were received, 16 were selected for short list, 11 projects were funded

Barriers:

• Challenging to implement a process that was new for both program staff and community members

• Time allotted for proposals and award selection, training, was insufficient

• Health impact of funded projects was not evaluated

Establishing new and strengthening existing partnerships facilitated connection to communities. Funding to support organizational capacity building expanded awardees’ reach within communities

Partnerships between awardees and other organizations expected to help sustain projects

Study design: Qualitative

Quality rating: High

Paberzs, 2014 [65]

Program: Community–University Research Partnership (CURES) Award

Organization: Michigan Institute for Clinical and Health Research (MICHR) Community Engagement Program

Location: Michigan, USA

Grant size: Max. $25 000 USD

Framework: None

Focus area: Health (general)

Eligible projects: Projects designed to improve health outcomes in at-risk populations

Eligible recipients: Dyads of an academic teams and a community based organization

Dissemination: Not described

Application: Research plan outlining objectives, study design, methods and potential significance, as well as description of partnership, dissemination plan and community need. Applications scored by Scientific Review Committee for significance, investigators, innovation, approach, environment and overall impact, and by Community Engagement Coordinating Council using 9-point National Institutes of Health scoring scale. Scores were averaged in final decision. Nonfunded applications were provided feedback and encouraged to reapply

Reporting: Not described

Technical Assistance: Potential applications could receive consultations to support application development. Program staff available to awardees to guide partnership development and adherence to ethics board requirements,

50 proposals received; 16 projects were funded

Application review procedures were adjusted over time. Changes included assigning community members, in addition to faculty members, as lead reviewers. A formal process to report and manage conflicts of interest was established. Definitions of terms and criteria were clarified. Most reviewers agreed that piloting the review process would have been beneficial

A description of project sustainability was required for the application and scored by reviewers

Study design: Descriptive

Quality rating: Not appraised

Pearson, 2020 [66]

Program: Shaheed DuBois Community Grant Program

Organization: HERCULES Exposome Research Center

Location: Atlanta, Georgia, USA

Grant size: $2500 USD

Framework: None

Focus area: Environmental health

Eligible projects: Any environmental health-focused project, e.g., pollution, social stressors, built environment, healthy food access, water pollution, and waste disposal or illegal dumping

Eligible recipients: Smaller, neighbourhood-level grassroots organizations

Dissemination: Not described

Application: Statement of community need, description of project and how it meets community need, project timeline, budget, leadership support and resources available. Scored according to a rubric by one community and one academic representative

Reporting: Quarterly, then revised to biannual standard report forms documenting activities, outcomes, successes, challenges and needed support. Awardees present accomplishments and next steps at annual program event

Technical assistance: Support provided during application process and project implementation, both through regularly scheduled calls and site visits and as requested. A sample invoice was provided to guide awardees through invoicing

Networking facilitation: Program staff connected awardees to available partners and experts

Training: Workshops for program implementations, evaluation, budgets and invoicing

13 projects were funded

Awardees valued technical assistance provided. Some awardees noted they were unaware of types of support technical assistance could provide

Awardees valued opportunities to meet other awardees

All awardees planned to continue or expand their projects. Several had secured additional funding and established partnerships to support sustaining projects

Study design: Qualitative

Quality rating: Moderate

Ramanathan, 2018 [44]

Tamminen, 2014 [67]

Program: Teen Challenge Program

Organization: ParticipACTION, supported by Coca-Cola

Location: Canada

Grant size: Max. $500 CAD

Framework: None

Focus area: Health promotion (physical activity)

Eligible projects: Physical activity programs for adolescents, e.g., costs associated with facilities, equipment, instruction, uniforms, prizes or promotional materials

Eligible recipients: Community organizations

Dissemination: Online ads; shared with provincial and territorial program coordinators, and schools

Application: Demonstrate capacity to promote or support physical activity for adolescents. Reviewed by provincial and territorial program coordinators

Reporting: Annual survey of provincial and territorial program coordinators, annual survey and database of awardees

Website: Provided tools and resources, e.g., physical activity statistics, guidance for engaging adolescents, infographics and promotional posters for download

Approximately 75% of proposals were funding. In total, 3128 projects were funded

Facilitators:

• Flexibility of funding allocation

• Funded status increased perceived credibility and facilitated partnerships

Barriers:

• Applicants found the online registration process difficult

For many funded projects, the purchase of equipment will allow projects to continue

Study design: Qualitative

Quality rating: Moderate

Schmidt, 2009 [68]

Program: No formal name

Organization: The Hague Municipal Health Services

Location: The Hague, Netherlands

Grant size: €500–3500 EUR

Framework: None

Focus area: Health promotion (physical activity, nutrition)

Eligible projects: Innovative projects related to physical activity or nutrition

Eligible recipients: Community organizations, resident groups

Dissemination: Not described. Most awardees were members of the program panel

Application: Requirements not described. Reviewed by neighbourhood panels consisting of health services staff and community workers, e.g., librarians, dietitians, community centre staff, youth health care nurses, etc

Reporting: Standardized report describing the project, its progress and outcomes

Conferencing: Most awardees were members of program panels that met regularly

61 projects were funded

Facilitators:

• Neighbourhood panels facilitated access to “hard-to-reach” community members

• Experienced moderators chaired panel discussions

Barriers:

• Application review guidelines were vague and review panels applied criteria inconsistently, e.g., sustainability ratings were based on neighbourhood empowerment for some applications and financial stability for others

Public participation in projects was limited

At least 26 projects were sustained, most through participation fees

Study design: Qualitative

Quality rating: Moderate

Sharpe, 2015 [69]

Program: Community Advocacy and Leadership Program

Organization: Prevention Research Center

Location: South Carolina, USA

Grant size: $5000 USD

Framework: None

Focus area: Built environment

Eligible projects: Changes to build environment to support physical activity, e.g., building walking track or playground

Eligible recipients: Community organizations in priority areas

Dissemination: Call for proposals shared with community organizations in priority areas

Application: Letters of intent approved prior to full application. Application included project description, team experience and plans to involve the community. Additional $1250 in funding required. Program leadership reviewed and ranked applications, interviewed applicants

Reporting: Documentation of spending and final report that included photos

Technical assistance: Program staff met with awardees monthly to problem solve, identify resources or referrals

Training: 8 workshops for applicants and awardees. Topics included grant writing, leadership, advocacy sustainability, strategic planning

Networking facilitation: Awardees were connected with community organizations

2 projects were funded

Workshops provided networking opportunities for applicants and awardees

Applicants and awardees had limited writing and computer skills

Facilitators:

• Accommodated limitations in discreet manner

Not described

Study design: Mixed methods

Quality rating: Low

Smallwood, 2015 [70]

Program: Community Empowerment Center Funded Mini Grant Project

Organization: Community Empowerment Center

Location: Columbia, South Carolina, USA

Grant size: Max. $12 000 USD

Framework: None

Focus area: Social issues

Eligible projects: Any projects that address community social issues

Eligible recipients: Local public health units, residents

Dissemination: Not described

Application: Letters of intent approved prior to full application. Application included plans to sustain project beyond funded period. Graduate students reviewed applications and convened a panel to select successful applications

Reporting: Weekly progress updates, monthly reflection on successes and barriers, monthly financial report, and final report

Technical assistance: Two sessions for applicants to receive help developing application

Training: Workshops on implementation of community change interventions. Additional “power up” skill-building sessions on specific topics

Conferencing: Program staff met monthly with awardees to discuss strategies for community engagement

Website: Mentioned as tool to establish community presence, but not described further

10 letters of intent received, 6 full proposals received, 3 projects were funded

It was valuable for awardees to meet monthly and learn from others’ successes and challenges. Awardees with later start dates benefitted from learning from awardees who were further along with projects

Additional training for project management and evaluation needed

1 project continued past the funding period, although at a reduced capacity. Awardees reported difficulty sustaining project when funding ended

Study design: Descriptive

Quality rating: Not appraised

Soares, 2014 [71]

Program: Community Access to Child Health (CATCH) Program

Organization: American Association of Pediatrics Division of Community-based Initiatives

Location: USA

Grant size: Average $10 213 USD

Framework: None

Focus area: Health (general)

Eligible projects: Planning or implementation of projects to improve child health at community level

Eligible recipients: Pediatricians

Dissemination: Not described

Application: Description of community and proposed intervention. Applications scored by 3 program staff

Reporting: Routine progress updates and follow-up to assess sustainment at 2-years post-award

Technical Assistance: Guidance provided on to conducting a needs assessment, community asset mapping, developing resources, community coalition building, and project evaluation

Website: Web-based application facilitated application process and ongoing data collection. A public-facing site provides information about the granting program and previous projects

731 proposals received; 201 projects were funded

87% of awardees obtained technical assistance. Most (63% received grant writing support or obtained information/materials (44%)

Many partnerships were sustained 2 years after funding period, and many new partnerships had been formed

Study design: Qualitative

Quality rating: Moderate

Tendulkar, 2011 [72]

Program: Harvard Catalyst Community Based Participatory Research Partnership Program

Organization: Harvard Clinical and Translational Science Awards

Location: Massachusetts, USA

Grant size: Max. $50 000 USD

Framework: None

Focus area: Public health and health (general)

Eligible projects: Any projects related to health, such as nutrition, cancer screening, youth sex education, air quality, etc

Eligible recipients: Community organizations

Dissemination: Request for proposals shared with networks of community partners

Application: Written proposal required. Reviewed by researcher and community partner

Reporting: Not described

Technical Assistance: Information session provided to applicants to review proposals and provide feedback

Training: Workshops on negotiating equitable community-research partnerships, research ethics

10 proposals received; 4 projects were funded

Lessons learned included allowing sufficient time to develop partnerships and proposals, and to solicit and respond to feedback from awardees

Not described

Study design: Descriptive

Quality rating: Not appraised

Thompson, 2010 [73]

Program: No formal name

Organization: Hispanic Community Network to Reduce Health Disparities

Location: Lower Yakima Valley, Washington, USA

Grant size: $2500–3500 USD

Framework: None

Focus area: Cancer prevention

Eligible projects: Any projects related to cancer prevention

Eligible recipients: Community groups or organizations

Dissemination: Request for proposals shared with community organizations

Application: Statement of work, contribution of project to program goals, applicant qualifications, evaluation plan, and budget. Panel of community advisory board scored applications according to scientific merit, applicant capability, project contributions, adequacy of evaluation, and suitability of budget

Reporting: Not described

Technical Assistance: 4-h session to assist with application process

12 proposals received; 10 projects were funded

The application process was challenging for most applicants due to language and education barriers

Sustainability was a challenge for many projects

Study design: Qualitative

Quality rating: Moderate

Tompkins, 2022 [74]

Program: No formal name

Organization: West Virginia state health department

Location: West Virginia, USA

Grant size: $196 369 USD was dispersed to 65 organization

Framework: Social Ecological Model and the Health Impact Pyramid

Focus area: Health promotion (physical activity, nutrition)

Eligible projects: Interventions that address policy, systems, and environmental changes

Eligible recipients: Non-profit and private organizations, schools, local health departments

Dissemination: Not described

Application: Description of change strategies, how they will address inequities, partnership with Health Connection organization, planning for sustainability. Application review process not described

Reporting: Not described

Technical Assistance: Assistance and resources provided but not described

Website: Contained request for proposals and resources for applicants and awardees

65 projects were funded

Evaluation of project outcomes was challenging due to heterogeneity of settings, activities, timelines and project foci

Structural capacity of organizations varied, many awardees were not trained in public health or related fields

Early and ongoing communication with awardees was valuable

Sustainability addressed by most awardees. Many applied for additional funding. Some integrated project activities into existing practices

Study design: Descriptive

Quality rating: Not appraised

Vanderpool, 2011 [75]

Program: Appalachia Community Cancer Network (ACCN) grant program

Organization: National Cancer Institute (NCI)

Location: Appalachian region, USA

Grant size: $3500 USD

Framework: None

Focus area: Cancer education

Eligible projects: Evidence-based cancer prevention intervention

Eligible recipients: Community organizations, local coalitions, faith-based organizations, social service agencies, health clinics

Dissemination: Not described

Application: Narrative statement of need, work plan, evaluation plan, budget with justification. Formal review of applications not described

Reporting: Final report required

Technical Assistance: Support for proposal development and program implementation

Training: Workshops based on NCI’s curriculum, Using What Works: Adapting Evidence-Based Programs to Fit Your Needs, to help awardees identify, adapt and implement evidence-based interventions

Website: Web portal provided links to sources of research-tested interventions, guidance on program development

13 proposals received; all 13 projects were funded

Most applications used Cancer Control P.L.A.N.E.T. website to identify evidence-based interventions

Awardees found technical assistance and training helpful

Some awardees felt that evidence-based interventions did not fit their local needs or found the process overwhelming

Interventions adapted by adjusting timelines, tailoring materials, planning additional activities, combining multiple programs, and modifying evaluation plans

Projects were not sustained in their entirety, but 4 awardees continued to use materials for other health-related activities

Study design: Qualitative

Quality rating: High

Vines, 2011 [76]

Program: Carolina Community Network (CCN)

Organization: Community Network Program (CNP)

Location: North Carolina, USA

Grant size: Max. $10 000 USD

Framework: Community Grants Program (CGP) model

Focus area: Cancer prevention

Eligible projects: Cancer education or evidence-based intervention for cancer prevention

Eligible recipients: Community organizations, faith-based organizations, health care agencies

Dissemination: E-mail distribution lists, information sessions in community

Application: Description of project and evaluation plan. Pairs of community representatives and researchers scored applications. Score, project type, geographic region and potential impact considered in choosing awardees

Reporting: 6-month progress report and 12-month final reports required

Technical Assistance: Start-up meetings upon awardee selection, to address issues raised by review committee, orient funding processes, and potential collaboration with other awardees

Training: Session to orient applicants to the Community Grants Program model and application review process

Conferencing: Monthly calls between awardees and program staff

Networking facilitation: Program staff connected awardees with similar projects

36 proposals received; 15 projects were funded

Lessons learned:

• Power imbalance between academic researchers and community organizations managed by giving organizations ability to choose projects and strategies, more information on academic finances

Approaches to partnerships must be tailored to diverse needs to community organizations

3 projects were funded again through re-application for a grant

Study design: Descriptive

Quality rating: Not appraised

Washington, 2022 [77]

Program: No formal name

Organization: National Center on Health Physical Activity and Disability

Location: Birmingham, Alabama, USA

Grant size: Max. $20 000 USD

Framework: None

Focus area: Health promotion (general)

Eligible projects: Inclusive neighbourhood programs for people with disabilities and broader community

Eligible recipients:

Neighbourhood groups

Dissemination: Promoted through organization’s website and social media, asked partners to promote to their networks

Application: Description of planned program, plans to include people with disabilities, partnerships supporting implementation. Scored by graduate students according to statement of need, program description, experience, partnerships, organizational capacity, evaluation plan. Scores were averages across reviewers

Reporting: Not described

Technical assistance: Interested communities were provided with virtual sessions to discuss granting program

Training: Mandatory 1.5-h community engagement workshop focused on innovative community engagement strategies, community strategies, engaging people with disabilities. Training was recorded and made available to awardees

Website: Information about the program posted on the funding organization’s website

5 projects were selected but 2 awardees declined their awards due to funding requirements. 3 projects received funding

Awardees shared expertise and experiences in working with people with disabilities

Partnerships were seen as the sustainable component of the program

Study design: Descriptive

Quality rating: Not appraised

Wingfield, 2012 [78]

Program: SUCCEED Legacy Grant Program

Organization: Racial and Ethnic Approaches to Community Health (REACH)

Location: Georgia, North Carolina and South Carolina, USA

Grant size: $20 000 USD

Framework: None

Focus area: Cancer prevention

Eligible projects: Evidence-based breast and cervical cancer interventions with focus on reducing health inequities for Black women

Eligible recipients: Community organizations, faith-based organizations

Dissemination: Not described

Application: Written proposals scored by review committee according to overview of community needs, organizational capacity, program description, partnerships, evaluation plan, budget and justification. Nonfunded applications were provided feedback and encouraged to reapply

Reporting: Semi-annual and year-end reports on progress toward objectives, technical assistance received, recommendations for the granting program

Technical Assistance: Annual webinars share information about the grant program and application process. Ongoing support provided to awardees for evaluation planning, implementing work plans, and developing reports

Training: Workshops provided but not described

Networking facilitation: Program staff connected awardees with relevant community organizations

9 projects were funded

Awardees found that program staff provided critical support in identifying resources and opportunities

On-going training with awardees was required as projects progressed

Face-to-face interactions between awardees and program staff facilitated trust

Proposed timelines were difficult for many awardees to follow

Awardees were supported in applying for additional funding to sustain projects

Study design: Descriptive

Quality rating: Not appraised

Wyatt, 2011 [79]

Program: Somos Fuertes: Strong Women Making Healthy Choices

Organization: Not described

Location: Southwestern USA

Grant size: $600 USD

Framework: Social Learning Theory, Role Theory, and Diffusion of Innovations

Focus area: HIV prevention

Eligible projects: HIV education events

Eligible recipients: Registered university student organizations

Dissemination: Applications distributed to student organization mailboxes and e-mail addresses. Ad posted in student newsletter

Application: Proposed activities, signed agreements to fulfill grant requirements, answers to questions about HIV knowledge and education on campus. Applications reviewed by program directors

Reporting: Results of survey of project participants’ pre- and post-activity HIV knowledge

Training: Train-the-trainer workshop on effective HIV education, HIV characteristics

Materials: Evidence-based fact sheets and hand-outs on HIV statistics, condom effectiveness and usage

5 proposals were selected, 4 completed requirements to receive full funding amount

Some positive increases in participants’ HIV knowledge and planned safe behaviours

Not described

Study design: Single group pre-post

Quality rating: Low