62158 Federal Register / Vol. 79, No. 200 / Thursday, October 16, 2014 / Notices 

Æ Parent training (for LOC eating in 

children and adolescents) 

Æ Behavioral weight loss interventions 

Æ Virtual reality therapy 

Æ Nutritional counseling or low-calorie 

diet (or both) 

Æ Exercise 

Æ Health education 

• Complementary and alternative 

medicine (CAM) interventions 

Æ Nutraceuticals and dietary 

supplements 

Æ Acupuncture 

• Combinations of pharmacotherapies; 

combinations of psychological 

interventions; combinations of CAM 

interventions; combinations of 

pharmacotherapy, psychological, 

behavioral, and/or CAM interventions 

• Characteristics of interventions 

Æ Pharmacotherapy and CAM: Dosages, 

duration of treatment 

Æ Psychological or behavioral: Format 

(e.g., individual or group, therapistled or self-help), frequency, duration 

of treatment 

Comparators 

Applies only to KQs on effectiveness 

and harms of BED treatment in adults 

(KQs 1, 2, and 3), LOC treatment in 

bariatric patients (KQs 6, 7, and 8), and 

LOC treatment in children (KQs 11, 12, 

and 13). 

• Placebo or usual care 

• Any active intervention or 

combination of active interventions 

from among those listed above 

Outcomes 

• Intermediate outcomes 

Æ Change in weight or body mass index 

(BMI) (or both) 

Æ Appetite-regulating peptide hormones 

Æ Blood lipids (cholesterol, 

triglycerides) 

Æ Blood glucose, hemoglobin Alc 

Æ Blood pressure 

• Final health outcomes 

Æ Behavioral 

• Binge eating: Frequency of binge 

episodes, frequency of binge days, 

binge abstinence 

• LOC eating: Frequency of LOC eating 

episodes, LOC eating abstinence 

Æ Psychological 

• Shape and weight concerns, restraint, 

hunger, disinhibition 

• Depressive disorders and symptoms 

• Anxiety 

• Substance abuse 

Æ Physical health and functioning 

• BMI, weight status or stabilization 

• Hypertension 

• Type 2 diabetes, impaired glucose 

tolerance, insulin resistance 

• Dyslipidemia 

• Heart disease 

• Gastric reflux (gastroesophageal reflux 

disorder), gastroparesis, other 

gastrointestinal diagnoses or problems 

• Irritable bowel syndrome 

• Menstrual problems (female), 

hormonal problems (male or female) 

• Reproductive function 

Æ Social and occupational functioning 

• Work or school days lost 

• Marital or partner status 

• Quality of life: Health-related quality 

of life or patient-reported outcomes 

not otherwise listed above 

• Harms: Applies only to harms of 

treatment (KQs 2, 7, and 12) 

Æ Pharmacotherapy and CAM: 

Sedation, dry mouth, headache, 

nausea, insomnia, diarrhea, fatigue, 

increased urinary frequency, sexual 

dysfunction, abnormal dreams, 

sweating, palpitations, arrhythmia, 

cramping, diffuse pain, weight gain 

Æ Psychological or behavioral therapy: 

Negative effects of disclosing 

symptoms during initial evaluation or 

therapy 

Æ Worsening of BED or LOC eating (or 

associated symptoms) 

• Health care use and costs 

Æ Use of health care services: 

Emergency room visits, 

hospitalizations (psychiatric 

hospitals, residential institutions, 

general hospitals), ambulatory 

physician visits (medical care, 

psychiatric care), ambulatory visits to 

other health care professionals (e.g., 

clinical psychologists), nutritional 

counseling 

Æ Costs of services: Emergency room 

visits, hospitalizations (psychiatric 

hospitals, residential institutions, 

general hospitals), ambulatory 

physician visits (medical care, 

psychiatric care), ambulatory visits to 

other health care professionals, 

pharmacotherapies, and treatment 

costs for any harms 

Timing 

• Treatment studies: No minimum 

duration 

• Course of illness studies: 1-year 

minimum followup 

Settings 

• Inpatient, including hospitals and 

residential treatment centers 

• Outpatient, including schools and 

homes 

The relationship between the patient 

population, interventions, comparators, 

outcomes and timing of outcomes 

assessment (PICOTs) is depicted for 

each of the treatment KQs (Figure 1 in 

http://effectivehealthcare.ahrq.gov/

search-for-guides-reviews-and-reqorts/

?pageaction=displayproduct&productID

=1942#9028) and each of the course of 

illness KQs (Figure 2 in http://

effectivehealthcare.ahrq.gov/search-forguides-reviews-and-reports/?pageaction

=displayproduct&productID=

1942#9028). 

Dated: October 6, 2014. 

Richard Kronick, 

AHRQ Director. 

[FR Doc. 2014–24507 Filed 10–15–14; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[CFDA Number: 93.508] 

Announcing the Award of Four SingleSource Expansion Supplement Grants 

Under the Tribal Maternal, Infant, and 

Early Childhood Home Visiting 

(MIECHV) Program for the Tribal Early 

Learning Initiative 

AGENCY: Office of Child Care, ACF, 

HHS. 

ACTION: Notice of the award of four 

single-source program expansion 

supplement grants to Tribal Maternal, 

Infant, and Early Childhood Home 

Visiting (MIECHV) grantee participants 

in the Tribal Early Learning Initiative. 

SUMMARY: This announces the award of 

single-source program expansion 

supplement grants to the following 

Tribal Maternal, Infant, and Early 

Childhood Home Visiting (MIECHV) 

grantees to support their ongoing 

participation in the Tribal Early 

Learning Initiative, by the Office of 

Child Care, in the Administration for 

Children and Families (ACF): Choctaw 

Nation of Oklahoma in Durant, OK, 

Pueblo of San Felipe in San Felipe 

Pueblo, NM, Confederated Salish and 

Kootenai Tribes in Pablo, MT, and 

White Earth Band of Chippewa Indians 

in White Earth, MN. 

The program expansion supplement 

awards will support expanded efforts by 

the grantees to identify and analyze 

systems to improve their effectiveness 

and efficiency as models for use across 

early childhood programs; to share their 

action plans to improve outcomes; to 

continue the implementation of, and 

expand the development of, concrete 

community plans; and to develop peer 

learning relationships. 

DATES: The period of support is 

September 30, 2014–September 29, 

2015. 

FOR FURTHER INFORMATION CONTACT: 

Shannon Rudisill, Director, Office of 

Child Care, 901 D Street SW., 

Washington, DC 20447. Telephone: 


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Federal Register / Vol. 79, No. 200 / Thursday, October 16, 2014 / Notices 62159 

(202) 401–6984; Email: 

shannon.rudisill@acf.hhs.gov. 

SUPPLEMENTARY INFORMATION: One of the 

stated goals of the Tribal MIECHV 

program is to support and strengthen 

cooperation and coordination, and 

promote linkages among various 

programs that serve pregnant women, 

expectant fathers, young children, and 

families, resulting in the establishment 

of coordinated and comprehensive early 

childhood systems in grantee 

communities. The Tribal MIECHV 

program expansion supplements for the 

Tribal Early Learning Initiative will 

allow for more integrated and efficient 

activities among the four grantees who 

currently receive grants from the 3 early 

learning programs administered by ACF 

(American Indian/Alaska Native Head 

Start/Early Head Start, Tribal Child Care 

and Development Fund, and Tribal 

MIECHV). 

The continued activities of the four 

grantees are expected to result in 

models for tribal early learning systems 

that can be replicated in other tribal 

communities. In addition, the 

supplements will expand the reach and 

impact of technical assistance efforts by 

supporting and strengthening existing 

coordination and collaboration activities 

and expanding the scope of additional 

such activities in tribal communities. 

A supplemental award of $45,000 is 

made to White Earth Band of Chippewa 

Indians in White Earth, MN, to support 

the building of an early childhood 

system and their focused efforts in 

implementing a cross-tribe care 

coordination data system, known as 

WE–CARE (White Earth Coordinated 

Assessment, Resources, and Education). 

A supplemental award of $35,000 is 

made to Choctaw Nation of Oklahoma 

in Durant, OK, to support the building 

of connections across tribal early 

childhood programs, including the 

development of a tribal resource 

directory for families, and the very large 

service area they are attempting to 

reach. 

Supplemental awards of $25,000 each 

are made to the Confederated Salish and 

Kootenai Tribes in Pablo, MT, and to 

Pueblo of San Felipe in San Felipe, NM, 

to support their continuing efforts to 

build early childhood systems. These 

efforts have included joint professional 

development activities, community 

events to highlight the importance of 

early childhood and the available 

programming, and strong relationshipbuilding across Head Start, child care, 

and home visiting programs. 

Statutory Authority: Awards are supported 

by section 511(h)(2)(A) of Title V of the 

Social Security Act, as added by Section 

2951 of the Patient Protection and Affordable 

Care Act, Pub. L. 111–148, also known as the 

Affordable Care Act (ACA). 

Melody Wayland, 

Senior Grants Policy Specialist, Office of 

Administration, Office of Financial Services, 

Division of Grants Policy. 

[FR Doc. 2014–24554 Filed 10–15–14; 8:45 am] 

BILLING CODE 4184–43–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[CFDA Number: 93.676] 

Announcement of the Award of Two 

Single-Source Program Expansion 

Supplement Grants To Support Legal 

Services to Refugees Under the 

Unaccompanied Alien Children’s 

Program 

AGENCY: Office of Refugee Resettlement, 

ACF, HHS. 

ACTION: The Administration for Children 

and Families (ACF), Office of Refugee 

Resettlement (ORR), announces the 

award of two single-source program 

expansion supplement grants to the 

United States Conference of Catholic 

Bishops in Washington, DC, and to the 

U.S. Committee for Refugees and 

Immigrants in Arlington, VA, under the 

Unaccompanied Alien Children’s (UAC) 

Program to support post-release legal 

services. 

SUMMARY: The Administration for 

Children and Families (ACF), Office of 

Refugee Resettlement (ORR) announces 

the award of two single-source program 

expansion supplement grants totaling of 

$4,261,268. The expansion supplement 

grants will support the need for legal 

services by unaccompanied alien 

children released from the custody of 

ORR. 

FOR FURTHER INFORMATION CONTACT: 

Jallyn Sualog, Director, Division of 

Children’s Services, Office of Refugee 

Resettlement, 901 D Street SW., 

Washington, DC 20447, Telephone (202) 

401–4997. Email: jallyn.sualog@

acf.hhs.gov 

SUPPLEMENTARY INFORMATION: The 

Unaccompanied Alien Children’s 

program ensures the appropriate 

placement of all Department of 

Homeland Security (DHS) UAC referrals 

within specified timeframes and 

requires that a range of custodial/

residential shelter care and services are 

provided to the minor detainees and, in 

certain cases, continued services are 

authorized after a child is released from 

ORR residential shelter care. The 

supplemental awards will support and 

expand direct legal representation 

services for unaccompanied minor 

children after their release from ORR 

custody. 

As part of this administration-wide 

effort, HHS is proposing a $9 million 

direct legal representation project that 

will provide representation to 2,600 

unaccompanied children throughout 

their immigration proceedings. In order 

to implement this Departmental 

priority, ORR is awarding supplemental 

funds totaling $4,261,268 in FY 2014 to 

provide direct representation to 1,222 

children and plans to provide the 

remaining funds for this project in FY 

2015. The initial program will address 

legal services to post-release alien minor 

children in Los Angeles, CA; Houston, 

TX; Miami, FL; Baltimore, MD; 

Arlington, VA; Dallas, TX; Memphis, 

TN; New Orleans, LA; and Phoenix, AZ. 

Recognizing that this will cover only a 

portion of children released to sponsors 

in these cities, HHS is committed to 

continuing to work with DHS and the 

Department of Justice (DOJ) to 

determine how best to prioritize the use 

of these 2,600 slots in the provision of 

legal services to this vulnerable 

population. 

Under the FY 2014 supplemental 

awards, the United States Conference of 

Catholic Bishops in Washington, DC, 

will receive a supplemental award of 

$2,226,513 and to the U.S. Committee 

for Refugees and Immigrants in 

Arlington, VA, will receive a 

supplemental award of $2,034,755. 

DATES: Supplemental award funds 

will support activities from September 

30, 2014 through September 29, 2015. 

Statutory Authority: This program is 

authorized by— 

(A) Section 462 of the Homeland 

Security Act of 2002, which in March 

2003, transferred responsibility for the 

care and custody of Unaccompanied 

Alien Children from the Commissioner 

of the former Immigration and 

Naturalization Service (INS) to the 

Director of ORR of the Department of 

Health and Human Services (HHS). 

(B) The Flores Settlement Agreement, 

Case No. CV85–4544RJK (C. D. Cal. 

1996), as well as the William 

Wilberforce Trafficking Victims 

Protection Reauthorization Act of 2008 

(Pub. L. 110–457), which authorizes 

post release services under certain 

conditions to eligible children. All 

programs must comply with the Flores 

Settlement Agreement, Case No. CV85– 

4544–RJK (C.D. Cal. 1996), pertinent 


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