The examples are collaborative care for depression, chronic pain management, and cognitive-behavioral therapy for insomnia. Covid-19 pandemic lessons: uncritical communication of test results can induce more harm than benefit and raises questions on standardized quality criteria for communication and liability. Accelerometer patterns were characterized as bouts of sedentary (<100 counts/min; 1, 10, 30, 60 minute lengths) and activity (100 counts/min; 1, 2, 5, 10 minute lengths) time. View details for DOI 10.1136/bmjebm-2020-111337, View details for DOI 10.1001/jamacardio.2019.5123, View details for Web of Science ID 000526818400020, There are a limited number of studies investigating the relationship between primary care physician (PCP) characteristics and the quality of care they deliver.To examine the association between PCP performance and physician age, solo versus group affiliation, training, and participation in California's Affordable Care Act (ACA) exchange.Observational study of 2013-2014 data from Healthcare Effectiveness Data and Information Set (HEDIS) measures and select physician characteristics.PCPs in California HMO and PPO practices (n=5053) with part of their patient panel covered by a large commercial health insurance company.Hemoglobin A1c testing; medical attention nephropathy; appropriate treatment hypertension (ACE/ARB); breast cancer screening; proportion days covered by statins; monitoring ACE/ARBs; monitoring diuretics. View details for DOI 10.1007/s12603-015-0474-3, View details for Web of Science ID 000364577300008, View details for PubMedCentralID PMC4682669. However, statistical test results were not included in 230 studies (55.3%). These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. The mean DSC task scores were 46.26 points for the physical activity group vs 46.28 for the health education group (mean difference, -0.01 points [95% CI, -0.80 to 0.77 points], P=.97). Designers and architects created the rule 'form follows function (FFF)' for their own profession. Cost savings were measured as reduced spending by payers. The purpose of this paper is to review standardized approaches to cost-effectiveness analysis and to encourage their use for the evaluation of behavioral intervention programs. Behavioral interventions can be offered within a wide range of contexts, including public health, medicine, surgery, physical rehabilitation, nutrition, and other health services. Our guest today is Robert Kaplan. Over the last 50 years, health-related quality of life (HRQoL) research has grown exponentially from 0 to more than 17,000 papers published annually. We compared two groups of older adults with 10 years of mindfulness meditation (integrative body-mind training, IBMT) or physical exercise (PE) experience to demonstrate their effects on brain, physiology and behavior. Robert M. Kaplan, Michael L. Spittel, and Tia L. Zeno Volume 1, Issue 1 https://doi.org/10.1177/2372732214549754 Abstract Tweet Key Points Introduction U.S. Life Expectancy in International Perspective Explanations of the Relationship Between Education and Life Expectancy Relationship Between Education and Changes in Life Expectancy Conclusions Our objective is to examine the resources required to deliver the PA intervention and calculate the incremental cost-effectiveness compared with a health education intervention.The Lifestyle Interventions and Independence for Elders study enrolled 1,635 older adults at risk for mobility disability. Schmaling, K., Kaplan, R. M., Porzsolt, F. Questioning the Benefit of Statins for Low-Risk Populations-Medical Misinformation or Scientific Evidence?-Reply. The SF-12 physical component summary score was a covariate. with Honors and Academic Distinction Psychology Department Special Award for graduation with highest academic View PDF In February of 2011,Robert M. Kaplan, Ph.D. joined the National Institutes of Health (NIH) Office of the Director as Associate Director for Behavioral and Social . AMI hospitalization rates decreased by 22percent in San Diego County versus 8percent in the rest of the state, with an estimated 3,826 AMI hospitalizations avoided and $86million in savings in San Diego. A serious adverse reaction rate of 1/100,000 was more likely to discourage vaccine use in comparison to rates of 1/million or 1/100 million. He was Chair of the Department of Health Services from 2004 to 2009. View details for DOI 10.1016/j.amerpe.2007.04.031, View details for Web of Science ID 000249452700008, View details for PubMedCentralID PMC1995005, President's Award for Career Achievement, International Society for Quality of Life Research (2004), Distinguished Career Service Award, Society of Behavioral Medicine (2005), Elected Member, National Academy of Medicine (2005), Astra ZenecaPrize for Best Original Research Article, Astra Zeneca (2006), Outstanding Research Mentor Award, Society of Behavioral Medicine (2006), List of Most Cited Authors, Institute for Scientific Information (2006-present), C Tracy Orleans Award, Society of Behavioral Medicine (2011), Health Policy Scientist of the Year, American Sociological Association (2012), Presidential Citation for Outstanding Contribution, American Psychological Association (2012), Nathan Perry Award for Distinguished Service, Society for Health Psychology (2017), Elizabeth Fries Award, CDC Foundation (2020), President, American Psychological Association, Division of Health Psychology (1991 - 1992), President, International Society for Quality of Life Research (1995 - 1996), President, Society of Behavioral Medicine (1996 - 1997), Chair, Behavioral Science Council, American Thoracic Society (2001 - 2003), President, Academy of Behavioral Medicine Research (2002 - 2003), Co-Chair, BSE Subcommittee, White House National Committee on Science and Technology Policy (2011 - 2015), Member, National Committee for Vital and Health Statistics, National Center for Health Statistics (2011 - 2015), Member, Social, Behavioral, and Economic Sciences Advisory Committee, National Science Foundation (2011 - 2015), Department: Med/Primary Care and Population Health. Fielding, R. A., Rejeski, W. J., Blair, S., Church, T., Espeland, M. A., Gill, T. M., Guralnik, J. M., Hsu, F., Katula, J., King, A. C., Kritchevsky, S. B., McDermott, M. M., Miller, M. E., Nayfield, S., Newman, A. Robert Kaplan; Found 609 results for. View details for Web of Science ID 000341167700011 The Minister's . View details for PubMedCentralID PMC4145029, View details for DOI 10.1016/j.jamda.2014.05.008, View details for Web of Science ID 000341167700011, View details for PubMedCentralID PMC4145029. Professor Robert S. Kaplan and Senior Researcher Ricardo Reisen de Pinho of the Latin America Research Center prepared this case with guidance and assistance from Professor Krishna Palepu. Epidemiological evidence suggests that physical activity benefits cognition, but results from randomized trials are limited and mixed.To determine whether a 24-month physical activity program results in better cognitive function, lower risk of mild cognitive impairment (MCI) or dementia, or both, compared with a health education program.A randomized clinical trial, the Lifestyle Interventions and Independence for Elders (LIFE) study, enrolled 1635 community-living participants at 8 US centers from February 2010 until December 2011. Kaplan, R. M., Johnson, S. B., Kobor, P. C. Effect of Structured Physical Activity on Overall Burden and Transitions Between States of Major Mobility Disability in Older Persons Secondary Analysis of a Randomized Trial. He is also a Distinguished Emeritus Professor of Health Services and Medicine at UCLA, where he led the UCLA/RAND AHRQ health services training program and the UCLA/RAND CDC Prevention Research Center. A., Pahor, M. Performance of a computer-based assessment of cognitive function measures in two cohorts of seniors. . Cost estimates were derived from medical literature and national databases, including both public and private U.S. payers. Incident MCI or dementia occurred in 98 participants (13.2%) in the physical activity group and 91 participants (12.1%) in the health education group (odds ratio, 1.08 [95% CI, 0.80 to 1.46]).Among sedentary older adults, a 24-month moderate-intensity physical activity program compared with a health education program did not result in improvements in global or domain-specific cognitive function.clinicaltrials.gov Identifier: NCT01072500. We examined the costs of a physical activity (PA) and an educational comparison intervention. View details for Web of Science ID 000255893500005, View details for Web of Science ID 000261185300136. 1968-1973 PUBLICATIONS BOOKS . The results suggest that a targeted approach to recommending PA therapy for treatment of depression is viable. View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. In the Lifestyle Interventions and Independence for Elders cohort, their external validity was further demonstrated by associations with other risk factors for cognitive dysfunction: education, hypertension, diabetes, and physical function. View Details. In 2011 a multistakeholder population health collaborative consisting of partners at the federal, state, and local levels launched Be There San Diego. Sensitivity analyses using MCS score as a continuous variable, using a log10 transformation of the cost variable, and focusing only on persons with scores on the extreme low end did not significantly alter the conclusions.CONCLUSIONS: Contrary to expectation, the combination of poor mental functioning and chronic disease diagnosis did not have a strong synergistic effect on cost. Additionally, neither baseline nor the change in CAF concentrations strongly predicted the change in either performance measure following the PA intervention.In summary, the present study shows that a one-year structured PA program did not reduce serum CAF levels among mobility-limited older adults. All participants were included in the analysis.Over a median follow-up of 2.6 years, a serious fall injury was experienced by 75 (9.2%) participants in the physical activity group and 84 (10.3%) in the health education group (hazard ratio 0.90, 95% confidence interval 0.66 to 1.23; P=0.52). All interactions between the factors were nonsignificant. Physical activity is an effective means of intervening on self-efficacy and satisfaction with physical function in older adults with impaired lower extremity functioning. PA interventions costs were slightly higher than other recent PA interventions. The Nothing That Is A Natural History Of Zero Robert M Kaplan is available in our digital library an online access to it is set as public Exercise improved gait speed by 0.06 0.01 m/sec and SPPB score by 0.72 0.16 points among those with at least one D allele (ID/DD carriers), but function was not improved among II carriers. South Africa . Participants were recruited from urban, suburban, and rural communities at 8 centers throughout the United States. We examined the hypothesis that physical activity will have favorable effects on measures of self-efficacy for a 400-m walk and satisfaction with physical functioning in older adults 70+ years of age who have deficits in mobility. Zpas Robert Q. vs Dembek M. sa zana 5. Systems Delivery Innovation for Alzheimer Disease. Kaplan is a past President of five academic societies. You can use phone number: 8478459477 instead of fax. Computer-administered assessment of cognitive function is being increasingly incorporated in clinical trials; however, its performance in these settings has not been systematically evaluated.The Seniors Health and Activity Research Program pilot trial (N = 73) developed a computer-based tool for assessing memory performance and executive functioning. 2021-04-13 . INTRODUCTION: Older adults are a rapidly growing segment of the U.S.POPULATION: Mobility problems that lead to further disability can be addressed through physical activity interventions. Thus, ACE I/D genotype appears to play a role in modulating functional responses to exercise training in seniors. Robert Kaplan Finance Director at Pensana Plc City of Johannesburg, Gauteng, South Africa 364 followers 352 connections Join to view profile Pensana Plc University of the Witwatersrand. You can email or call Law Offices of Robert M. Kaplan to arrange a meeting with a lawyer in one of their offices at 1535 W Schaumburg Rd. Cox proportional hazard models quantified the risk of MMD and PMMD in PA vs HE stratified by baseline fatigue adjusted for covariates.RESULTS: Among those with higher baseline fatigue, PA participants had a 29% and 40% lower risk of MMD and PMMD, respectively, over the trial compared with HE (hazard ratio [HR] for MMD=.71; 95% confidence interval [CI] =.57-.90; P=.004) and PMMD (HR=.60; 95% CI=.44-.82; P=.001). Physical inactivity was defined according to sedentary time, as a percentage of accelerometry wear time with activity of <100 counts/min; participants in the top quartile of sedentary time were classified as having a high sedentary time. Incident AS cases were identified using diagnostic codes from electronic medical and administrative records.RESULTS: In contrast to some prior studies, AS incidence was similar among males and females (incidence rate ratio: 1.16, p = 0.23; adjusted odds ratio [aOR] = 0.79, 95% confidence interval: 0.61 - 1.02; p = 0.072). Health care remains the most expensive sector in the U.S. economy, now accounting for nearly 1 in every 5 dollars spent. Data for this study were analyzed from March 29, 2021, to February 28, 2022.Interventions: Structured, 2-year, partially supervised, moderate-intensity physical activity and exercise (strength, flexibility) intervention compared with a health education control intervention with 2-year follow-up. Health services researchStudies on the cost and quality of health careHealth outcome measurementSocial determinants of health. This is particularly the case for more vulnerable older adults already showing functional limitations associated with subsequent disability.The Lifestyle Interventions and Independence for Elders (LIFE) trial dataset (n=1600) was used to explore the associations between perceived built environment variables and baseline obesity levels. The role of economic analyses in promoting adoption of behavioral and psychosocial interventions in clinical settings. The outcome of interest was the first occurrence of MMD or incident MMD.After controlling for age, sex, clinic site, and treatment arm, baseline MAT-sf scores were found to be effective in identifying risk for MMD (p < .0001). Our results indicate that mindfulness meditation and physical exercise function in part by different mechanisms, with PE increasing physical fitness and IBMT inducing plasticity in the central nervous systems. #204. View details for Web of Science ID 000467759600011, View details for DOI 10.2105/AJPH.2018.304857, View details for Web of Science ID 000457864000048, View details for DOI 10.1016/j.jagp.2018.09.015, View details for Web of Science ID 000455373700006, View details for Web of Science ID 000459714900011. A., King, A. C., Frierson, G., Hsu, F., Walkup, M., Pahor, M. Health-related quality of life in older adults at risk for disability. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. View details for DOI 10.1093/gerona/glv003. This was evident using objective measures of lower-light intensity, and both objective and self-reported measures of higher-light intensity activity. Educational attainment was self-reported and categorized as 1 (less than high school), 2 (high school graduate or GED), 3 (some college), 4 (bachelor's degree), and 5 (graduate degree).In bivariate analysis, we found systematic graded relationships between educational attainment and health including, SF-12 PCS scores, self-rated health, and activity limitations. Contributions of Health Care to Longevity: A Review of 4 Estimation Methods. Fragoso, C. A., Beavers, D. P., Hankinson, J. L., Flynn, G., Berra, K., Kritchevsky, S. B., Liu, C. K., McDermott, M., Manini, T. M., Rejeski, W. J., Gill, T. M. Genetic influence on exercise-induced changes in physical function among mobility-limited older adults. Biography ID: 12846404 . Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates. A., Rushing, J., Kramer, A. F., Jennings, J. M., Sink, K. M., Nadkarni, N. K., Reid, K. F., Castro, C. M., Church, T., Kerwin, D. R., Williamson, J. D., Marottoli, R. A., Rushing, S., Marsiske, M., Rapp, S. R. Promoting physical activity for elders with compromised function: the Lifestyle Interventions and Independence for Elders (LIFE) Study physical activity intervention. Investigators and advocates are encumbered by an over focus on studies designed to determine if a treatment can work under ideal circumstances. Boston. We provide an overview of generic HRQoL measures used widely in epidemiological studies, health services research, population studies, and randomized clinical trials [e.g., Medical Outcomes Study SF-36 and the Patient-Reported Outcomes Measurement Information System (PROMIS)-29]. Health care has modest effects on the extension of US life expectancy, while behavioral and social determinants may have larger effects. Laurel office. Robert M. Kaplan is highly experienced in all aspects of family law and will counsel you on possible approaches to your case as well as potential outcomes so that you can make informed decisions. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults. Descriptive health-related quality of life (HRQOL) data are presented. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017.RESULTS: The sample had an overall mean Quality of Well-Being score of 0.613. Fragoso, C. A., Miller, M. E., Fielding, R. A., King, A. C., Kritchevsky, S. B., McDermott, M. M., Myers, V., Newman, A. March Wunderkammer Auction 9th - 19th March. Fremont, A., Kim, A. Y., Bailey, K., Hanley, H., Thorne, C., Dudl, R., Kaplan, R. M., Shortell, S. M., DeMaria, A. N. Does information from ClinicalTrials.gov increase transparency and reduce bias? Bondoc, I., Cochrane, S. K., Church, T. S., Dahinden, P., Hettwer, S., Hsu, F., Stafford, R. S., Pahor, M., Buford, T. W. Effect of a 24-Month Physical Activity Intervention vs Health Education on Cognitive Outcomes in Sedentary Older Adults The LIFE Randomized Trial. Robert M. Kaplan. Gill, T. M., Pahor, M., Guralnik, J. M., McDermott, M. M., King, A. C., Buford, T. W., Strotmeyer, E. S., Nelson, M. E., Sink, K. M., Demons, J. L., Kashaf, S. S., Walkup, M. P., Miller, M. E. An observational study identifying obese subgroups among older adults at increased risk of mobility disability: do perceptions of the neighborhood environment matter? Bott, N. T., Sheckter, C. C., Yang, D., Peters, S., Brady, B., Plowman, S., Borson, S., Leff, B., Kaplan, R. M., Platchek, T., Milstein, A. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon.
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