The objective of this study is to describe and examine correlates of health-related quality of life in this population subgroup using baseline data from a larger intervention study.The Lifestyle Interventions and Independence for Elders-Pilot study (LIFE-P) was a randomized controlled trial that compared a physical activity intervention to a non-exercise educational intervention among 424 older adults at risk for disability. 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. Kaplan, R. M., Glassman, J. R., Millstein, A. The PA program consisted of center-based exercise sessions 3x weekly for 8 weeks, 2x weekly for weeks 9 to 24 and weekly behavioral counseling for 10 weeks. Robert M. Kaplan | ThatsThem For the next TRICARE contracts which will begin in 2023, the DoD asked its health-focused federal advisory committee, the Defense Health Board (DHB), to recommend how best to assess and prioritize leading value-based healthcare initiatives identified from private, public, and employer-based health plans. Join now Sign in . undertook a large oral history project designed to record the memories of Jews of Lithuanian-origin who settled in South Africa before and after the First World War. Gender, age, and scores on a short physical performance battery did not moderate these effects. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. Treatment of homosexuality in the South African Defence Force during View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. Report. View details for DOI 10.1016/j.jamda.2014.05.008 We compared the reliability, feasibility, and internal and predictive validity of conjoint scaling methods against better established rating scale and time tradeoff methods for assessing prostate cancer utilities in men at risk for prostate cancer. NIH and American Psychological Association efforts to address this goal are described. However, longitudinal and experimental studies are needed to strengthen causal inferences. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults. Cognitive function was reassessed 24 months later (interviewer-administered) and 18 or 30 months later (computer-administered) and central adjudication was used to classify individuals as having mild cognitive impairment, probable dementia, or neither.Lower ABI had a modest independent association with poorer cognitive functioning at baseline (partial r= 0.09; P < .001). Symptoms of lack of positive affect decreased more in men compared to women, particularly in those possessing the 5-HTT L allele, but the effect did not differ by intervention arm. It employs 11-20 people and has $1M-$5M of revenue. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. A., Ahn, D. K., Gill, T. M., Miller, M., Newman, A. Robert Kaplan | The Jewish Agency 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. All interactions between the factors were nonsignificant. The time spent engaging in activities 100 to 499 as well as 500 counts/min was associated with decreased risk among both those with and without CVD (P<0.05). Data were extracted regarding inclusion and exclusion criteria, publications related to the study and specification of hypotheses.RESULTS: 725 studies involving 156634 patients met inclusion criteria. Accelerometry data collected during PA training revealed that the average intensity - 1,555 counts/minute for men and 1,237 counts/minute for women - was well below the cutoff point used to classify exercise as being of moderate intensity or higher for adults. A replication following the announcement that vaccines were 95% effective showed small, but significant increases in the likelihood of taking a vaccine. View details for Web of Science ID 000391236900011. Before 2011 rates of hospitalization for heart attacks were about the same in San Diego County as they were in the rest of California. In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. 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). Among participants aged 79-89 years, the subgroup (of three distinct subgroups identified) with the lowest obesity prevalence (19.4%) consisted of non-African American/Black participants who reported living in neighborhoods with friends or acquaintances similar in demographic characteristics to themselves. . Covariates included clinic site, body mass index, age, sex, baseline score, comorbidity, and use of angiotensin receptor blockers or ACE inhibitors. The primary aim of the current study was to evaluate whether MAT-sf scores can be used to identify risk for major mobility disability (MMD).This article is based on data collected from the Lifestyle Interventions and Independence for Elders study and involved 1,574 older adults between the ages of 70-89. 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. Robert M Kaplan (1965 - 2002) - Wantagh, NY 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., 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., 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. Lives in New York, NY. He is a senior fellow at the Center for a New American Security and a contributing editor at The Atlantic, where his work has appeared for three decades. The beneficial effect of physical activity on the incidence of MMD did not differ between frail and nonfrail participants.National Institute on Aging, National Institutes of Health. Laurel office. Espeland, M. A., Newman, A. 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 Structured, Moderate Exercise on Kidney Function Decline in Sedentary Older Adults: An Ancillary Analysis of the LIFE Study Randomized Clinical Trial. OBJECTIVES: Depression affects an estimated 7% of the adult population at an estimated cost of over US$200billion/year in the USA. Analyses were conducted from a health system perspective, with a 2.6-year time horizon.The average cost per participant over 2.6 years was US$3,302 and US$1,001 for the PA and health education interventions, respectively. 416 (57.4%) of the studies posted some results. See all books authored by Robert M. Kaplan, including Psychological Testing: Principles, Applications, and Issues, and More Than Medicine: The Case for Social Investment to Improve America's Health, and more on ThriftBooks.com. Robert D. Kaplan Dr. Duyeon Kim Dr. Daniel Kliman Michael Kofman Christopher D. Kolenda Margarita "Rita" Konaev Steven Kosiak Dr. Andrew F. Krepinevich, Jr. Peter L. Levin Jennifer McArdle Brendan McCord Dr. ED McGrady Jack Midgley J Travis Mosier Dr. Go Myong-Hyun Catherine A. Novelli Dr. John Park Ben Renda Elina Ribakova Diem Salmon Mr. Kaplan holds degrees from Cape Town University and Columbia University. However, formal medical care is one of many alternatives for improving health. Implementing sobering centers as a treatment alternative for individuals with uncomplicated acute alcohol intoxication could yield substantial cost savings for the U.S. health care system. According to ZoomInfo records, Robert Kaplan's professional experience began in 1996. 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. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. doi:10.2105/AJPH.2018.304857). 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 Dr. Robert Kaplan, DO - Healthgrades Older people who lose mobility are less likely to remain in the community; demonstrate higher rates of morbidity, mortality, and hospitalizations; and experience a poorer quality of life. A., Bailey, C., Charpentier, P., Hawthorne-Jones, G., Mignosa, B., Lewis, L., 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., Fragoso, C., Groessl, E. J., Kaplan, R. M., LIFE Study Grp. 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]. Wilson, D. K., Kaplan, R. M., Jacobsen, P., Riley, W. Effect of Physical Activity on Frailty Secondary Analysis of a Randomized Controlled Trial, Trombetti, A., Hars, M., Hsu, F., Reid, K. F., Church, T. S., Gill, T. M., King, A. C., Liu, C. K., Manini, T. M., McDermott, M. M., Newman, A. Zpas Robert Q. vs Dembek M. sa zana 5. Standardized cost-effectiveness methodologies are now commonly used in the evaluation of medical therapies and new technologies. 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. Partitioning the MAT-sf into four groups revealed that persons with scores <40, 40-49, 50-59, and 60+ had failure rates across 42 months of follow-up of 66%, 52%, 35%, and 22%, respectively.The MAT-sf is a quick and efficient way of identifying older adults at risk for MMD. The main effects and interactions in the model remained unchanged. 2018 o 8:00 UTC na Court 2, Stellenbosch, South Africa. In the Monte Carlo modeling, we found annual national savings of $99.02 million (95% CI: $95.89-$102.19 million), $792.34 million (95% CI: $767.09-$817.58 million), and $1,185.51 million (95% CI: $1,150.64-$1,226.37 million) with diversion rates of 5%, 40%, and 60%, respectively. Robert D. Kaplan is a senior fellow at the Center for a New American Security and a . Robert D. Kaplan is the bestselling author of sixteen books on foreign affairs and travel translated into many languages, including In Europe's Shadow, Asia's Cauldron, The Revenge of Geography, Monsoon, The Coming Anarchy, and Balkan Ghosts. (PsycINFO Database Record (c) 2019 APA, all rights reserved). Conclusions. 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. View details for DOI 10.1161/JAHA.114.001288. View details for Web of Science ID 000349893300002, View details for PubMedCentralID PMC4333053, Because they are potentially modifiable and may coexist, we evaluated the combined occurrence of a reduced forced expiratory volume in 1 second (FEV1) and peripheral artery disease (PAD), including its association with exertional symptoms, physical inactivity, and impaired mobility, in sedentary elders with functional limitations.Cross sectional.Lifestyle Interventions and Independence in Elder (LIFE) Study.A total of 1307 sedentary community-dwelling persons, mean age 78.9, with functional limitations (Short Physical Performance Battery [SPPB] <10).A reduced FEV1 was defined by a z-score less than -1.64 ( 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. Previous studies have shown that physical exercise and mindfulness meditation can both lead to improvement in physical and mental health. A Conversation With Robert Kaplan. B., Pellegrini, C. A., Chen, S., Allore, H. G., Miller, M. E. Cost-effectiveness of the LIFE Physical Activity Intervention for Older Adults at Increased Risk for Mobility Disability. 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. Last updated 4 months ago. Robert Kaplan; Found 609 results for. B., Rejeski, W. J., Sink, K. M., Williamson, J. D. Sleep-Wake Disturbances in Sedentary Community-Dwelling Elderly Adults with Functional Limitations. The Lifestyle Interventions and Independence for Elders (LIFE) Study is a Phase III randomized controlled clinical trial (Clinicaltrials.gov identifier: NCT01072500) that will provide definitive evidence regarding the effect of physical activity (PA) on major mobility disability in older adults (70-89 years old) who have compromised physical function. Those with less education were also more likely to be uninsured throughout the year. Kaplan was elected to the National Academy of Medicine (formerly the Institute of Medicine) in 2005. Kaplan, R. M., Gold, M., Duffy, S. Q., Miller, N., Glassman, J. R., Chambers, D. A., Ganiats, T. G., Berndt, S., Wilson, D. K. Standards for economic analyses of interventions for the field of health psychology and behavioral medicine. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. At a time when women were rare in. Sensitivity analyses indicated that results were relatively robust to varied assumptions.The PA intervention costs and QALYs gained are comparable to those found in other studies. Na naej strnke tenisovho podujatia . Robert Joubert on LinkedIn: It's time to say goodbye to 'Agents' in the Schmaling, K., Kaplan, R. M., Porzsolt, F. Questioning the Benefit of Statins for Low-Risk Populations-Medical Misinformation or Scientific Evidence?-Reply. The 22 table with inverted axes starts with the communication of a test result and presumes that the communication of bad news (whether right or false) will induce 'Perceived Anxiety' while good news will induce 'Perceived Safety'. 1974 Medical School . My wife, Jackie, and I were briefly in South Africa just last month, mainly to visit my 98-year-old mother who is barely hanging on in Knysna. Whites, blacks, and Hispanics with all factors (i.e., weight, physical activity, dietary quality, and smoking) in the low-risk category had 60, 69, and 63% lower risk for incident diabetes. robert m kaplan south africa - santaclara.org There was no evidence of recovery to prehospitalization levels (time effect p >.41). 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. We had a great time on holiday in Kwazulu-Natal as well. Dismiss. His office accepts new patients. Phone Numbers: 419-194-1606. Limited evidence suggests that physical activity may prevent frailty and associated negative outcomes in older adults. However, further study is needed to definitively determine the utility of CAF as a biomarker of physical function. Developed under the prevailing zeitgeist of the biomedical model, behavioral and social science has often been underfunded at NIH. This strategy is presented. (PDF) The Neuropsychiatry of Shamanism | Robert Kaplan - Academia.edu These differing services compete for the same resources and it is difficult to compare their value. 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. The Lifestyle Interventions and Independence for Elders study recently demonstrated that a physical activity (PA) intervention can delay the onset of major mobility disability. and 'is it worth it?') Public Health Implications: Barriers to NEMT are a health risk affecting high-need, economically disadvantaged patients. The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. A consequence of neglecting to employ standardized cost-effectiveness analysis is that behavioral, psychological, and environmental interventions may be left out of resource allocation discussions. The success of collaborative care for depression can be viewed as a model for how to promote greater adoption of other interventions, such as psychological therapies for chronic pain and insomnia. No differences for any other cognitive or composite measures were observed. However, a significant interaction was observed between sex and count frequency (P=0.036) for those without CVD, as counts per minute was related to HCHD risk in women (=-0.94, -1.48 to -0.41; P<0.001) but not in men (=-0.14, -0.59 to 0.88; P=0.704).Daily time spent being sedentary is positively associated with predicted 10-year HCHD risk among mobility-limited older adults. Porzsolt, F. n., Matosevic, R. n., Kaplan, R. M. Long-Term Physical Exercise and Mindfulness Practice in an Aging Population. O zpase. 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%. When expanded it provides a list of search options that will switch the search inputs to match the current selection. 424 older adults at risk for mobility disability were randomly assigned to either condition. 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. Fields of study that have received more extramural funding are associated with greater growth in faculty and higher faculty salaries. Early diagnosis does not assure application of an intervention that alters the pathway toward demise. Because of our experience in family law, you can rely on us to do the right thing. Our findings suggest that sex may not predict AS incidence in the US population. 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. 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? Robert M Kaplan - Forensic Psychiatrist, Crime & Medicine Writer A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care. The Coming Anarchy. Russell Kaplan Auctioneers Last updated 4 months ago. The absence of interaction effects suggests that respondents consider the side effects and benefits independently. To evaluate sleep-wake disturbances in sedentary community-dwelling elderly adults with functional limitations.Cross-sectional.Lifestyle Interventions and Independence in Elder (LIFE) Study.Community-dwelling persons (mean age 78.9) who spent fewer than 20 min/wk in the previous month engaged in regular physical activity and fewer than 125 min/wk of moderate physical activity, and had a Short Physical Performance Battery (SPPB) score of <10 (N = 1,635).Mobility was evaluated according to 400-m walk time (slow gait speed defined as <0.8 m/s) and SPPB score ( 7 defined moderate to severe mobility impairment). His 20 books and over 560 articles or chapters have been cited more than 55,000 times (H-index>100) and the ISI includes him in the listing of the most cited authors in his field (defined as above the 99.5th percentile). Studies identified as effectiveness, efficacy, or both differed on three outcome measures: the inclusion criteria were lengthier for efficacy than for effectiveness studies; efficacy studies were more likely to have a placebo control condition than effectiveness studies; and the journal impact factor was lower for effectiveness studies than for studies from the efficacy search or studies identified by both searches.CONCLUSIONS: Efficacy and effectiveness research hypothetically use different methodologies, but the efficacy and effectiveness literatures in the treatment of depression were comparable for most of the coded characteristics. Robert M. Kaplan is a forensic psychiatrist, speaker and writer based in Wollongong, Australia. Dismiss. You can use phone number: 8478459477 instead of fax. Robert D. Kaplan - Career Reflections Author. Each participant was categorized as having 0, 1 to 3, or 4 or more cumulative hospital days before each accelerometer assessment.RESULTS: Hospitalization increased sedentary time similarly in both intervention groups (8 min/d for 1-3 cumulative hospital days and 16 min/d for 4 cumulative hospital days). Baseline characteristics including younger age, fewer comorbid conditions, non-white ethnicity, and faster 400-meter walk times were also associated with higher health-related quality of life over time.CONCLUSIONS: Declining mobility measured by physical performance is associated with lower quality of life in sedentary older adults. Book Robert M. Kaplan | Speakers Bureau | Booking Agent Info When expanded it provides a list of search options that will switch the search inputs to match the current selection. However, evidence is inconclusive regarding the influence of this polymorphism on older adults' functional responses to exercise. 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. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. Behavioral interventions often use measures that are not generally applied in other areas of health outcomes research. Total score was calculated by averaging across questions; baseline fatigue was based on the median split: 2 or higher=more fatigue (N=856) and lower than 2=less fatigue (N=735). Lawyer Robert M. Kaplan, graduated from Rutgers University, B.A., 1977 Rutgers University Law School, J.D., 1980, is now employed by Margolis Edelstein at 100 Century Parkway, Suite 200 Mount Laurel, NJ 08054. Robert D. Kaplan 11 languages Robert David Kaplan (born June 23, 1952) is an American author.
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