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Robert M Kaplan Catherine M Crespi Ely Dahan Josemanuel D Saucedo Casey Pagan Christopher S Saigal. Outcome assessors were blinded to the intervention assignment. He has homes in Cape Town and Jerusalem. The purpose of health care is to improve the health of populations. View details for Web of Science ID 000337624300008, View details for PubMedCentralID PMC4057978, To evaluate the prevalence of respiratory impairment and dyspnea and their associations with objectively measured physical inactivity and performance-based mobility in sedentary older persons.Cross-sectional.Lifestyle Interventions and Independence for Elders Study.Community-dwelling older persons (n = 1,635, mean age 78.9) who reported being sedentary (<20 min/wk of regular physical activity and <125 min/wk of moderate physical activity in past month).Respiratory impairment was defined as low ventilatory capacity (forced expiratory volume in 1 second less than lower limit of normal (LLN)) and respiratory muscle weakness (maximal inspiratory pressure 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. Looking for books by Robert M. Kaplan? Robert M. Kaplan is a faculty member at Stanford Medical School Clinical Excellence Research Center, a former associate director of the National Institutes of Health and a former chief. Participants were randomized to a structured, moderate intensity physical activity program (n=818) conducted in a center (twice a week) and at home (3-4 times a week) that included aerobic, strength, flexibility, and balance training activities, or to a health education program (n=817) consisting of workshops on topics relevant to older people and upper extremity stretching exercises.Serious fall injuries, defined as a fall that resulted in a clinical, non-vertebral fracture or that led to a hospital admission for another serious injury, was a prespecified secondary outcome in the LIFE Study. We defined incident MMD as the inability to walk 400-m at follow-up visits; PMMD was defined as two consecutive walk failures. PROSPERO REGISTRATION NUMBER: #CRD42019136840. Robert M. Kaplan, Ph.D. is Fred W. and Pamela K. Wasserman Distinguished Professor of the Department of Health Services at UCLA and Distinguished Professor of Medicine at the UCLA David Geffen School of Medicine. Area Handbook for LAOS (DA Pam No. Fragoso, C. A., Hsu, F., Brinkley, T., Church, T., Liu, C. K., Manini, T., Newman, A. Genotype frequencies [II (19.4%), ID (42.4%), DD (38.2%)] were in Hardy-Weinberg equilibrium (P > 0.05). A., Zenoni, M. A., Mignosa, B. M., Williamson, J., Hendrie, H. C., Rapp, S. R., Verghese, J., Woolard, N., Espeland, M., Jennings, J., Wilson, V. K., Pepine, C. J., Ariet, M., Handberg, E., Deluca, D., Hill, J., Szady, A., Chupp, G. L., Flynn, G. M., Hankinson, J. L., Vaz Fragoso, C. A., Groessl, E. J., Kaplan, R. M. THE NEED FOR ADAPTION: A CALL FOR PROMOTING THE VALUE OF BEHAVIORAL SCIENTISTS IN PUBLIC HEALTH CHALLENGES AND POLICIES. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. King, A. C., Salvo, D., Banda, J. However, it is unclear whether these two forms of training share the same underlying mechanisms. Conjoint analysis is widely used in studies of consumer preference but has only recently been applied to measure patient utilities for health outcomes. A., Glynn, N. W., King, A. C., Anton, S. D., Walkup, M., Lu, C., Reid, K., Spring, B., Pahor, M. METHODS FOR QUANTIFYING EFFICACY-EFFECTIVENESS GAP OF RANDOMIZED CONTROLLED TRIALS: EXAMPLES IN ARDS. Each review team conducted a search of ClinicalTrials.gov up to the date of the review's last literature search, screened the records using the review's eligibility criteria, extracted information, and assessed risk of bias and applicability. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Robert D. Kaplan 11 languages Robert David Kaplan (born June 23, 1952) is an American author. To evaluate the prevalence of metabolic syndrome (MetS) and its association with physical capacity, disability, and self-rated health in older adults at high risk of mobility disability, including those with and without diabetes mellitus.Cross-sectional analysis.Lifestyle Interventions and Independence for Elders (LIFE) Study.Community-dwelling sedentary adults aged 70 to 89 at high risk of mobility disability (Short Physical Performance Battery (SPPB) score 9; mean 7.4 1.6) (N = 1,535).Metabolic syndrome was defined according to the 2009 multiagency harmonized criteria; outcomes were physical capacity (400-m walk time, grip strength, SPPB score), disability (composite 19-item score), and self-rated health (5-point scale ranging from excellent to poor).The prevalence of MetS was 49.8% in the overall sample (83.2% of those with diabetes mellitus, 38.1% of those without). ISBN 10: . For modern NEMT, estimated savings on ride costs varied from 30% to 70%. We performed a budget impact analysis from the perspective of the U.S. health care system based on published and gray literature reports. Department of Urology, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.. Conjoint analysis is widely used in studies of consumer preference but has only recently been applied . We had a great time on holiday in Kwazulu-Natal as well. B., Studenski, S. A., Goodpaster, B. H., Lopez, O., Nadkarni, N. K., Ives, D. G., Newman, M. A., Grove, G., Williams, K., Bonk, J. T., Rush, J., Kost, P., Vincent, P., Gerger, A., Romeo, J. R., Monheim, L. C., Kritchevsky, S. B., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Mautner, R., Huie-White, S. M., Bianco, L., Zocher, J., Wu, K. C., Shepard, D. M., Fennelly, B., Castro, R., Halpin, S., Brennan, M., Barnett, T., Iannone, L. P., Zenoni, M. A., Bugaj, J. A., Goodpaster, B. H., McDermott, M. M., Nicklas, B. J., Yank, V., Johnson, J. View Details. View details for DOI 10.2217/cer-2020-0149. B., Studenski, S. A., Goodpaster, B. H., Glynn, N. W., Lopez, O., Nadkarni, N. K., Williams, K., Newman, M. A., Grove, G., Bonk, J. T., Rushing, J., Kost, P., Ives, D. G., Kritchevsky, S. B., Marsh, A. P., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Gill, T. M., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Wu, K. C., Shepard, D. M., Fennelly, B., Iannone, L. P., Mautner, R., Sweeney Barnett, T., Halpin, S. N., Brennan, M. J., Bugaj, J. He is currently Editor-in-Chief of Health Psychology and is the former Editor-in-Chief of the Annals of Behavioral Medicine. Gill, T. M., Guralnik, J. M., Pahor, M., Church, T., Fielding, R. A., King, A. C., Marsh, A. P., Newman, A. The average cost/participant was $1134 and $175 for the PA and the comparison interventions, respectively. Lower mental health functioning also had a significant impact on cost. Published by Wadsworth Publishing, 2000. We randomized a volunteer sample of 1635 sedentary men and women aged 70 to 89 years who had physical limitations, defined as a score on the Short Physical Performance Battery of 9 or below, but were able to walk 400 m.Participants were randomized to a structured, moderate-intensity physical activity program (n=818) conducted in a center (twice/wk) and at home (3-4 times/wk) that included aerobic, resistance, and flexibility training activities or to a health education program (n=817) consisting of workshops on topics relevant to older adults and upper extremity stretching exercises.The primary outcome was major mobility disability objectively defined by loss of ability to walk 400 m.Incident major mobility disability occurred in 30.1% (246 participants) of the physical activity group and 35.5% (290 participants) of the health education group (hazard ratio [HR], 0.82 [95% CI, 0.69-0.98], P=.03).Persistent mobility disability was experienced by 120 participants (14.7%) in the physical activity group and 162 participants (19.8%) in the health education group (HR, 0.72 [95% CI, 0.57-0.91]; P=.006). Bann, D., Hire, D., Manini, T., Cooper, R., Botoseneanu, A., McDermott, M. M., Pahor, M., Glynn, N. W., Fielding, R., King, A. C., Church, T., Ambrosius, W. T., Gill, T. Association of objectively measured physical activity with cardiovascular risk in mobility-limited older adults. 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. Compared with studies without results, studies with any results were more likely to have hypotheses, include drug treatment conditions, and to have publications related to the study.CONCLUSIONS: Required study registration does not always result in transparent outcome reporting. The goal of TRICARE's move toward value-based care is to leverage its size and focus on prevention of disease and injury to maintain the readiness of the U.S. Armed Forces in addition to delivering great outcomes and value to the DoD's nearly 10 million beneficiaries. OBJECTIVES: Our aim was to examine the impacts of baseline fatigue on the effectiveness of a physical activity (PA) intervention to prevent major mobility disability (MMD) and persistent major mobility disability (PMMD) in participants from the Lifestyle Interventions and Independence for Elders (LIFE) study.DESIGN: Prospective cohort of individuals aged 65years or older undergoing structured PA intervention or health education (HE) for a mean of 2.6years.SETTING: LIFE was a multicenter eight-site randomized trial that compared the efficacy of a structured PA intervention with an HE program in reducing the incidence of MMD.PARTICIPANTS: Study participants (N=1591) at baseline were 78.95.2years of age, with low PA and at risk for mobility impairment.MEASUREMENTS: Self-reported fatigue was assessed using the modified trait version of the Exercise-Induced Feelings Inventory, a six-question scale rating energy levels in the past week. In this report, we offer three examples of how economic data could promote greater adoption of behavioral and psychosocial interventions in clinical settings where primary or specialty medical care is delivered to patients. Robert M Kaplan Boca Raton, FL (Century Village West) AGE 70s AGE 70s Robert M Kaplan Boca Raton, FL (Century Village West) Aliases Bob L Kaplan Phone NumberAddressBackground Report Aliases Bob L Kaplan Addresses Preston a Boca Raton, FL Eagle Creek Ct Boca Raton, FL James St Aledo, TX Relatives He was Chair of the Department of Health Services from 2004 to 2009. The relationship between accelerometry measures and predicted 10-year Hard Coronary Heart Disease (HCHD) risk was modeled by using linear regression, stratified according to CVD history. OBJECTIVE: The authors describe a comprehensive care model for Alzheimer disease (AD) that improves value within 1-3 years after implementation by leveraging targeted outpatient chronic care management, cognitively protective acute care, and timely caregiver support.METHODS: Using current best evidence, expert opinion, and macroeconomic modeling, the authors designed a comprehensive care model for AD that improves the quality of care while reducing total per capita healthcare spending by more than 15%. According to ZoomInfo records, Robert Kaplan's professional experience began in 1996. The subjective perception of objective risks is calculated from the same 22 tables by exchanging the X- and Y-axes. Schaumburg, IL 60194. Zpas Robert Q. vs Dembek M. sa zana 5. View details for DOI 10.1176/appi.ps.701203. The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults.A total of 1453 men and women (age 70years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index. Duration, but not intensity (ie, mean counts/min), of daily PA is inversely associated with HCHD risk score in this population-although the association for intensity may be sex specific among persons without CVD.www.clinicaltrials.gov Unique identifier: NCT01072500. Med Decis Making 2019 10 26;39(7):816-826. The collaborative's goal was to reduce cardiovascular events through the spread of best practices aimed at improving control of hypertension, lipid levels, and blood sugar and through patient and medical community activation. View details for DOI 10.1001/jamainternmed.2022.1449, View details for Web of Science ID 000788118600200. Results of prior research have been mixed, including findings of a 3:1 incidence ratio for males vs. females, but increasing AS rates among females.METHODS: We estimated the incidence of AS in a retrospective cohort study of diverse, working-age US military service members during March 2014 - June 2017 (N = 728,556) who underwent clinical practice guideline-directed screening for chronic back pain. #204. The Coming Anarchy. gait speed and performance on the Short Physical Performance Battery (SPPB).The group*time interaction was not significant for serum CAF concentrations (p=0.265), indicating that the PA intervention did not significantly reduce serum CAF levels compared to SA. Robert D. Kaplan is senior fellow at the Center for a New American Security, national correspondent for the Atlantic, and a member of the U.S.Defense Department's Defense Policy Board. Groessl, E. J., Kaplan, R. M., Rejeski, W. J., Katula, J. A renewed effort to increase the federal investment in behavioral and social sciences research is necessary. The ISI includes him in the listing of the most cited authors in . avoids the terminology problem and its misleading consequences. OBJECTIVES: To evaluate the effect of hospitalizations on patterns of sedentary and physical activity time in mobility-limited older adults randomized to structured physical activity or health education.DESIGN: Secondary analysis of investigator-blinded, parallel-group, randomized trial conducted at 8 U.S. centers between February 2010 and December 2013.PARTICIPANTS: Sedentary men and women aged 70 to 89 at baseline who wore a hip-fitted accelerometer 7 consecutive days at baseline and 6, 12, and 24 months after randomization (N=1,341).MEASUREMENTS: Participants were randomized to a physical activity (PA; n = 669) intervention that included aerobic, resistance, and flexibility training or to a health education (HE; n = 672) intervention that consisted of workshops on older adult health and light upper-extremity stretching. Expected benefit was more influential in respondents' decision making than expected side effects. A newly developed self-report measure of mobility, the mobility assessment tool-short form (MAT-sf), uses video animations as an innovative method to improve measurement accuracy/precision. 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 . Systematic standardized methodologies for valuing outcomes are available and are being applied by economists and health services researchers, but are not widely used in our field. B., Rejeski, W. J., Sink, K. M., Williamson, J. D. Sleep-Wake Disturbances in Sedentary Community-Dwelling Elderly Adults with Functional Limitations. He graduated from Chicago College of Osteopathic Medicine in 1973. Although a safe and effective vaccine holds the greatest promise for resolving the COVID-19 pandemic, hesitancy to accept vaccines remains common. In order to make better use of scarce resources, cost-effectiveness methodologies have been developed to evaluate how to produce the most health within the constraints of available resources. One In Five Fewer Heart Attacks: Impact, Savings, And Sustainability In San Diego County Collaborative. Conclusions. March Wunderkammer Auction 9th - 19th March. (PsycINFO Database Record (c) 2019 APA, all rights reserved). Robert M. Kaplan has served as Chief Science Officer at the US Agency for Health Care Research and Quality (AHRQ) and Associate Director of the National Institutes of Health, where he led the behavioral and social sciences programs. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. The outcome was respondents' reported likelihood of receiving a vaccine for the coronavirus. Moreover, among obese older adults, dynapenia was associated with lower risk of meeting MetS criteria for waist circumference and diastolic blood pressure. Systems Delivery Innovation for Alzheimer Disease. Participants were recruited from urban, suburban, and rural communities at 8 centers throughout the United States. B., Sink, K., Gill, T. M., King, A. C., Miller, M. E., Guralnik, J., Katula, J., Church, T., Manini, T., Reid, K. F., McDermott, M. M. The MAT-sf: Identifying Risk for Major Mobility Disability. The interpretation of screening results is also affected by several known biases. View details for DOI 10.1093/gerona/glw001, View details for Web of Science ID 000376398400015. Saab, P. G., Bang, H., Williams, R. B., Powell, L. H., Schneiderman, N., Thoresen, C., Burg, M., Keefe, F. Physical activity in prefrail older adults: Confidence and satisfaction related to physical function. Wednesday, May 31, 2017. View details for DOI 10.1177/0272989X19873667, View details for DOI 10.1007/s11606-019-04998-5, View details for Web of Science ID 000483539200011. Sink, K. M., Espeland, M. A., Castro, C. M., Church, T., Cohen, R., Dodson, J. Optional sessions were offered during maintenance weeks (25-52). APOE status did not affect change in depressive symptoms.Results of this study suggest that the impact of PA on depressive symptoms varies by genotype and sex, and that PA may mitigate somatic symptoms of depression more than other symptoms. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults. Sleep-wake disturbances were evaluated using the Insomnia Severity Index (ISI) (range 0-28; 8 defined insomnia), Epworth Sleepiness Scale (ESS) (range 0-24; 10 defined daytime drowsiness), Pittsburgh Sleep Quality Index (PSQI) (range 0-21; >5 defined poor sleep quality), and Berlin Questionnaire (high risk of sleep apnea).Prevalence rates were 43.5% for slow gait speed and 44.7% for moderate to severe mobility impairment, with 77.0% of accelerometry wear time spent as sedentary time. Adding a variety of variables on health care and attitudes to the models provided no additional explanatory power. To control for confounding of group participation with survival (because individual sessions preceded group), we used risk set sampling to match minimal survival time of those receiving or not receiving group training.Analyses correcting for differential survival among comparison groups showed that group plus individual therapy was associated with a 33% reduction (hazard ratio=0.67; 95% confidence interval, 0.49-0.92, P=.01) in medical outcome compared to usual care. View details for PubMedCentralID PMC3989438, View details for Web of Science ID 000334289900004, View details for PubMedCentralID PMC3989438. The MAT-sf was administered at baseline; MMD, operationalized as failure to complete the 400-m walk 15 minutes, was evaluated at 6-month intervals across a period of 42 months. The objective of this study was to evaluate cross-sectional and longitudinal associations between ankle-brachial index (ABI) and indicators of cognitive function.Randomized clinical trial (Lifestyle Interventions and Independence for Elders Trial).Eight US academic centers.A total of 1601 adults ages 70-89 years, sedentary, without dementia, and with functional limitations.Baseline ABI and interviewer- and computer-administered cognitive function assessments were obtained. Losing the ability to walk safely and independently is a major concern for many older adults. B., Pahor, M., Gill, T. M. Respiratory Impairment and Dyspnea and Their Associations with Physical Inactivity and Mobility in Sedentary Community-Dwelling Older Persons. Cape Town, South Africa . These data illustrate that it is not feasible to have a single exercise prescription for older adults with compromised function. Designers and architects created the rule 'form follows function (FFF)' for their own profession. Associated persons: . View details for DOI 10.1016/j.jamda.2015.03.010, View details for Web of Science ID 000358423400010, View details for PubMedCentralID PMC4516564. Three articles address (1) standardizing methods for conducting cost-effectiveness and cost-utility analyses, (2) providing examples to illustrate progress in applying these methods to evaluate interventions delivered in whole or in part in clinical settings, and (3) providing nonclinical intervention examples selected to highlight the challenges and opportunities for evaluating the cost-effectiveness of interventions in more diverse settings. The company is headquartered in Wollongong, New South Wales, Australia. Comparison of Rating Scale, Time Tradeoff, and Conjoint Analysis Methods for Assessment of Preferences in Prostate Cancer. In comparison with traditional, modern NEMT was estimated to save $268 per expected user (95% CI=$248, $288 per member per year) and $537 million annually (95% CI=$496 million, $577 million) when scaled nationally.CONCLUSIONS: Modern NEMT has the potential to yield greater cost savings than traditional NEMT while also improving patient experience. View details for DOI 10.1080/21642850.2021.1979407, View details for PubMedCentralID PMC8462930. 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. 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. 12. Participants in the physical activity intervention had more favorable changes in both outcomes as a result of treatment than those in the successful aging intervention. Rejeski, W. J., Axtell, R., Fielding, R., Katula, J., King, A. C., Manini, T. M., Marsh, A. P., Pahor, M., Rego, A., Tudor-Locke, C., Newman, M., Walkup, M. P., Miller, M. E. Determinants of Racial/Ethnic Disparities in Incidence of Diabetes in Postmenopausal Women in the U.S. Robert D. Kaplan - Career Reflections Author. His Randomized controlled trial research integrates issues from Clinical trial, Intensive care medicine, Pharmacotherapy, Evidence-based practice and Social support. Another 15% . View details for DOI 10.1152/physiolgenomics.00169.2013, View details for Web of Science ID 000332245700001, View details for PubMedCentralID PMC3949106. 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. Robert Kaplan; Found 609 results for. The absence of interaction effects suggests that respondents consider the side effects and benefits independently. View details for Web of Science ID 000282842100012, View details for PubMedCentralID PMC3091594. No differences for any other cognitive or composite measures were observed. Phone Numbers: 419-194-1606. PA interventions costs were slightly higher than other recent PA interventions. View details for DOI 10.1007/s12603-015-0474-3, View details for Web of Science ID 000364577300008, View details for PubMedCentralID PMC4682669. View details for DOI 10.1176/appi.ps.201900098. We used an exploratory alpha level of p, View details for DOI 10.1016/j.exger.2018.12.003, View details for Web of Science ID 000455223100016, View details for PubMedCentralID PMC6331252. Robert M. Kaplan has served as Chief Science Officer at the US Agency for Health Care Research and Quality (AHRQ) and Associate Director of the National Institutes of Health, where he led the behavioral and social sciences programs. Kaplan is a past President of five academic societies. Depression was diagnosed using modified Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria; low perceived social support was determined by the ENRICHD Social Support Instrument. Find out more. Rejeski, W. J., Rushing, J., Guralnik, J. M., Ip, E. H., King, A. C., Manini, T. M., Marsh, A. P., McDermott, M. M., Fielding, R. A., Newman, A. Robert M. Kaplan Curriculum Vitae 9/8/08 2 Honors: A.B. Our findings show that the majority of diabetes cases are preventable, and risk reduction strategies can be effectively applied to all racial/ethnic groups. The odds of having MetS or its individual components were similar in obese and nonobese, combined or not with dynapenia (nonsignificant odds ratio [95% confidence interval]).Nonobese dynapenic older adults had fewer metabolic disease risk factors than nonobese and nondynapenic older adults.

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