{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:23:15Z","timestamp":1790713395643,"version":"4.1.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T00:00:00Z","timestamp":1664236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Prevention Partnership Centre"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["9100001"],"award-info":[{"award-number":["9100001"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Competitive grant funding is a well-established mechanism for generating activity and interventions in the field of chronic disease prevention. Yet grant competitions may be burdensome for organizations, and money may not be enough to bring about lasting change in communities. In this study, we explore the dynamics of awarding and receiving money in the context of a state-level government grant competition to support community organizations and promote community-driven action for health and well-being in Tasmania, Australia. Drawing on reflections of successful grant recipients and real-time observation of grant decision-making, we consider the role and value of grant competitions both for individual organizations and for generating broader change processes. We found that grant competitions operated according to an \u2018icing-on-the-cake\u2019 approach to funding, whereby money was provided for extra activities and new initiatives. In this way, the grant competition was valuable not only for stimulating new programme activities but also to effect broader organizational change, such as developing planning capacity, igniting new directions and pushing organizations towards \u2018health\u2019-focused activities. But for smaller organizations, grant funding was often stretched to support core work (i.e. cake rather than icing). Grants targeting specific focus areas could be a drain on resources if they diverted staff time away from core activities. We suggest an alternative approach to funding in which grants are able to be more responsive to the needs of community organizations and the support they require, as well as to desired outcomes. We describe the policy response to the results to date.<\/jats:p>","DOI":"10.1093\/heapro\/daac115","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T16:21:49Z","timestamp":1664295709000},"source":"Crossref","is-referenced-by-count":5,"title":["Icing or cake? Grant competitions as a model for funding chronic disease prevention in Tasmania, Australia"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4094-9619","authenticated-orcid":false,"given":"Victoria","family":"Loblay","sequence":"first","affiliation":[{"name":"The Australian Prevention Partnership Centre, based at Menzies Centre for Health Policy and Economics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney , New South Wales , Australia"},{"name":"Youth Mental Health and Technology Team, Brain and Mind Centre, The University of Sydney , Sydney, New South Wales , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Garvey","sequence":"additional","affiliation":[{"name":"Department of Health, Tasmanian Government, Hobart , Tasmania , Australia"},{"name":"School of Psychology and Public Health, La Trobe University , Melbourne, Victoria , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Shiell","sequence":"additional","affiliation":[{"name":"School of Psychology and Public Health, La Trobe University , Melbourne, Victoria , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"School of Health & Social Development, Faculty of Health, Deakin University , Geelong, Victoria , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2397-867X","authenticated-orcid":false,"given":"Penelope","family":"Hawe","sequence":"additional","affiliation":[{"name":"The Australian Prevention Partnership Centre, based at Menzies Centre for Health Policy and Economics, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney , New South Wales , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,9,27]]},"reference":[{"key":"2022101310165743900_CIT0001","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"2022101310165743900_CIT0002","doi-asserted-by":"crossref","first-page":"2","DOI":"10.4087\/FOUNDATIONREVIEW-D-09-00026.1","article-title":"Proving foundation impact on public policy empirically: the case of the Robert Wood Johnson Foundation and consumer choice for adults with developmental disabilities","volume":"1","author":"Breihan","year":"2009","journal-title":"The Foundation Review"},{"key":"2022101310165743900_CIT0003","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1177\/1524839908328996","article-title":"Walk community grants scheme: lessons learned in 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Insights from the Covid-19 pandemic","volume":"32","author":"Loblay","year":"2022","journal-title":"Critical Public Health"},{"key":"2022101310165743900_CIT0014","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1332\/174426408X366649","article-title":"Funding the practice of learning: exploring the relationship between funders and grant recipients","volume":"4","author":"Marsh","year":"2008","journal-title":"Evidence & Policy: A Journal of Research, Debate and Practice"},{"key":"2022101310165743900_CIT0015","volume-title":"Competitive Grant-Making: Lessons for Funders to Help Local Governments Increase Health Coverage. 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It\u2019s about doing something together:\u201d the role of money in a community empowerment initiative and the implications for health and wellbeing","volume":"260","author":"Townsend","year":"2020","journal-title":"Social Science & Medicine"},{"key":"2022101310165743900_CIT0020","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4324\/9781003085188-13","article-title":"Para-ethnography 2.0: an experiment in design anthropological collaboration.","volume-title":"Design Anthropological Futures","author":"Vangkilde","year":"2020"},{"key":"2022101310165743900_CIT0021","first-page":"561","article-title":"The Kaiser Family Foundation Community Health Promotion Grants Program: findings from an outcome evaluation","volume":"35","author":"Wagner","year":"2000","journal-title":"Health Services Research"},{"key":"2022101310165743900_CIT0022","first-page":"e2711706","article-title":"A new model of collaborative research: experiences from one of Australia\u2019s NHMRC Partnership Centres for Better Health","volume":"27","author":"Wutzke","year":"2017","journal-title":"Public Health Res Pract"}],"container-title":["Health Promotion International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/heapro\/article-pdf\/37\/5\/daac115\/46495549\/daac115.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/heapro\/article-pdf\/37\/5\/daac115\/46495549\/daac115.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T10:23:54Z","timestamp":1665656634000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/heapro\/article\/doi\/10.1093\/heapro\/daac115\/6722650"}},"subtitle":[],"editor":[{"given":"Evelyne","family":"de Leeuw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,9,27]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/heapro\/daac115","relation":{},"ISSN":["0957-4824","1460-2245"],"issn-type":[{"value":"0957-4824","type":"print"},{"value":"1460-2245","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,10,1]]},"published":{"date-parts":[[2022,9,27]]},"article-number":"daac115"}}