Intervention attendance was associated with higher health-related quality of life for both groups. American science produces the bestand most expensivemedical treatments in the world. Cost savings were measured as reduced spending by payers. Jobs People Learning Dismiss Dismiss. OBJECTIVE: Incidence rates of ankylosing spondylitis (AS) among males versus females are poorly understood. A 'safety loop' model postulates risk-related decisions are not based on objective and measurable risks but on the subjective perception of those risks. The company is headquartered in Wollongong, New South Wales, Australia. This multisite RCT compared physical activity to health education among 1,635 randomly assigned sedentary older adults at risk for mobility disability in 2010-2011. Updated: October 4, 2011 . 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. The comparison intervention consisted of weekly education meetings for 24 weeks, and then monthly for 6 months. Costs were estimated from medical records and self-reported health care use. 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. 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. America's medical system is . Dependent variables were blood lipids, fasting glucose, blood pressure, presence of at least 3 metabolic syndrome (MetS) criteria, and other chronic conditions.A significantly higher likelihood of having abdominal obesity criteria in NDYN-NO compared with DYN-NO groups (55.6 vs 45.1%, P.01) was observed. Participants were recruited from urban, suburban, and rural communities at 8 centers throughout the United States. B., Fielding, R. A., Siordia, C., Moore, S., Folta, S., Spring, B., Manini, T., Pahor, M. Effects of a one-year physical activity program on serum C-terminal Agrin Fragment (CAF) concentrations among mobility-limited older adults. We had a great time on holiday in Kwazulu-Natal as well. Robert M. Kaplan, Ph.D. is a Distinguished Professor of the Health Services at UCLA and Distinguished Professor of Medicine at the UCLA David Geffen School of Medicine. Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. View details for Web of Science ID 000431185201257. View details for DOI 10.1176/appi.ps.201900098. This study aimed to evaluate the association of ACE I/D genotypes with changes in physical function among Caucasian older adults (n = 283) following 12 mo of either structured, multimodal physical activity or health education. View details for DOI 10.1093/gerona/glv003. 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. Wilson, D. K., Christensen, A., Jacobsen, P. B., Kaplan, R. M. Cost impact of sobering centers on national health care spending in the United States. By Robert D. Kaplan. 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. 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). Physical activity was measured by step count and minutes of moderate-intensity activity using accelerometers.Main Outcomes and Measures: The primary outcome was change in eGFRCysC. The DHB emphasizes that TRICARE's size and focus on providing quality care at lower cost will incentivize providers to participate in the shift toward value-based care despite the potential challenges in transitioning to this system. Outcomes were expressed in terms of national savings in 2017 U.S. dollars. We investigated whether information in ClinicalTrials.gov would impact the conclusions of five ongoing systematic reviews.We considered five reviews that included 495 studies total. Student Workbook for Kaplan/Saccuzzos Psychological Testing: Principles, Applications, and Issues, 7th by Robert M. Kaplan , Dennis P. Saccuzzo ISBN 9780495597742 (978--495-59774-2) Robert Kaplan is Managing Director of Cape Gate Fence & Wire Works, and is a past president of the Cape Chamber of Industries. 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. He joined the HBS faculty in 1984 after spending 16 years on the faculty of the business school at Carnegie-Mellon University, where he served as Dean from 1977 - 1983. The main effects and interactions in the model remained unchanged. Espeland, M. A., Katula, J. To explore vaccine acceptance decisions, we conducted a national survey of 1,000 people from all US states in August of 2020 and a replication in December of 2020. Run Background Search Optout of Search Copy Link. Moreover, the concept of what constitutes "moderate" exercise or an appropriate volume of work is dictated by the physical capacities of each individual and the level of comfort/stability in actually executing a specific prescription. Follow-up ended in December 2013. OBJECTIVES: Depression affects an estimated 7% of the adult population at an estimated cost of over US$200billion/year in the USA. Fragoso, C. A., Hsu, F., Brinkley, T., Church, T., Liu, C. K., Manini, T., Newman, A. The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. In total, 194 men who were biopsy negative for prostate cancer were randomly assigned to complete 2 preference assessment modules, either conjoint analysis and a rating scale module or conjoint analysis and a time tradeoff module. View details for DOI 10.1186/s12966-015-0322-1, View details for Web of Science ID 000366820000001, View details for PubMedCentralID PMC4683911. MetS was associated with stronger grip strength (mean difference () = 1.2 kg, P = .01) in the overall sample and in participants without diabetes mellitus and with poorer self-rated health ( = 0.1 kg, P < .001) in the overall sample only. 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. 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. Work Experience T2 Hospitality 1996- Education Bachelor of Science - Physics Stony Brook University Doctor of Jurisprudence Na naej strnke tenisovho podujatia . A/Professor Robert Kaplan . 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. Incidence of Ankylosing Spondylitis Among Male and Female United States Army Personnel. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. Currently, Robert Kaplan works as a Partner at Jeffer Mangels Butler & Mitchell. A poll completed in August 2020 showed that about 20% of the population reported they were very unlikely to take a vaccine even if the evidence suggested it was safe and effective. The mean number of counts per minute of daily PA was not significantly associated with HCHD risk in any model (P>0.05). (PsycINFO Database Record. Light intensity physical activity and sedentary behavior are potential determinants, but their relations to these outcomes are poorly understood. These differing services compete for the same resources and it is difficult to compare their value. Looking for books by Robert M. Kaplan? Estimates of the effect of behavioral factors ranged from 16% to 65%.CONCLUSIONS: The results converge to suggest that restricted access to medical care accounts for about 10% of premature death or other undesirable health outcomes. View details for DOI 10.1073/pnas.2021726118. 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. TRICARE follows the predominant payment model in the USA-fee-for-service-although the Department of Defense (DoD) and Congress encourage and mandate a move toward alternative payment models-mainly, fee-for-value. He failed to recognize the innovativeness of man to overcome challenges. The University of Wollongong expert, who is well known for his work studying the Spanish Flu and Encephalitis lethargica epidemics, fears another epidemic is just around the corner. However, these methods have rarely been employed for the evaluation of behavioral interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved). 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). Dismiss. Also, a sizable subgroup required one or more rest stops. Those with less education were also more likely to be uninsured throughout the year. Find out more. View details for DOI 10.1016/j.amepre.2018.09.006, View details for Web of Science ID 000453383700020, View details for Web of Science ID 000498593400292. Primary Residence: New York, NY. Gill, T. M., Guralnik, J. M., Pahor, M., Church, T., Fielding, R. A., King, A. C., Marsh, A. P., Newman, A. Discover Book Depository's huge selection of Robert M Kaplan books online. 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). We examined the costs of a physical activity (PA) and an educational comparison intervention. Rating scales and conjoint analysis exercises offer greater ease of use and higher satisfaction when measuring patient preferences in men biopsied for prostate cancer in comparison to time tradeoff exercises. 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 . Kaplan, R. M., Glassman, J. R., Millstein, A. Genealogy profile for Robert Roman Kaplan. Lastly, the IBMT group had stronger brain connectivity between the dorsal anterior cingulate cortex (dACC) and the striatum at resting state, as well as greater volume of gray matter in the striatum. Porzsolt, F. n., Matosevic, R. n., Kaplan, R. M. Long-Term Physical Exercise and Mindfulness Practice in an Aging Population. The results suggest that a targeted approach to recommending PA therapy for treatment of depression is viable. The Diplomat 's Justin McDonnell spoke with Robert D. Kaplan, American journalist, Chief Geopolitical Analyst for Stratfor, and correspondent for The Atlantic regarding his upcoming book Asia . The 3 methods were similar in terms of predictive validity, but conjoint analysis outperformed the rating scale method when patients were presented with novel combinations of attribute levels (68% correct v. 43%, P = 0.003). Rapid eGFRCysC decline was defined by the high tertile threshold of 6.7%/y.Results: Among the 1199 participants in the analysis, the mean (SD) age was 78.9 (5.2) years, and 800 (66.7%) were women. 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. 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. Robert M. Kaplan Curriculum Vitae 9/8/08 2 Honors: A.B. National Institutes of Health Director Francis S. Collins, M.D., Ph.D., announced today the appointment of Robert M. Kaplan, Ph.D., as Director, Office of Behavioral and Social Sciences Research (OBSSR) and NIH Associate Director for Behavioral and Social Sciences Research. For those with lower baseline fatigue, no group differences in MMD (P=.36) or PMMD (P=.82) were found. Developed under the prevailing zeitgeist of the biomedical model, behavioral and social science has often been underfunded at NIH. 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. 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. Glynn, N. W., Gmelin, T., Santanasto, A. J., Lovato, L. C., Lange-Maia, B. S., Nicklas, B. J., Fielding, R. A., Manini, T. M., Myers, V. H., de Rekeneire, N., Spring, B. J., Pahor, M., King, A. C., Rejeski, W. J., Newman, A. 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. Another 15% . Using data from the nationally representative Medical Expenditures Panel Survey (MEPS), we explored the extent to which health care utilization and health risk-taking, together with previously examined mediators, can explain the education-health gradient above and beyond what can be explained by previously examined mediators such as age, race, and poverty status.Health was measured using the Physical Component Score (PCS) from the Medical Outcomes Study 12-Item Short Form (SF-12). 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. This was evident using objective measures of lower-light intensity, and both objective and self-reported measures of higher-light intensity activity. Jobs People Learning Dismiss Dismiss. (PsycINFO Database Record, View details for Web of Science ID 000402052300010. Expected benefit was more influential in respondents' decision making than expected side effects. Kaplan and Saccuzzo's engaging and thorough text demonstrates how psychological tests are constructed and used, both in a professional setting and in everyday lives. Longitudinal studies are needed to investigate whether MetS accelerates declines in functional status in high-risk older adults and to inform clinical and public health interventions aimed at preventing or delaying disability in this group. ICCs among clinics were at least as low (ICC < 0.013) as for interviewer measures (ICC < 0.023), reflecting good standardization. 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. View details for Web of Science ID 000334289900004 View details for DOI 10.1001/jama.2014.5616, View details for Web of Science ID 000337301500019. 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 also represents insurance carriers . 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. View details for DOI 10.3389/fpsyg.2020.00358, View details for DOI 10.1177/0033354920954496, View details for DOI 10.1001/jamacardio.2019.5117. View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. But that's where the good news ends. In a multistate model, the hazard ratios for comparisons of physical activity with health education were 0.87 (CI, 0.73 to 1.03) for the transition from no MMD to MMD; 0.52 (CI, 0.10 to 2.67) for no MMD to death; 1.33 (CI, 0.99 to 1.77) for MMD to no MMD; and 1.92 (CI, 1.15 to 3.20) for MMD to death.The intention-to-treat principle was maintained for MMD burden and first transition out of no MMD, but not for subsequent transitions.A structured physical activity program reduced the MMD burden for an extended period, in part through enhanced recovery after the onset of disability and diminished risk for subsequent disability episodes.National Institute on Aging, National Institutes of Health. View details for DOI 10.1001/jamainternmed.2022.1449, View details for Web of Science ID 000788118600200. Intoxicated individuals without other medical needs may not require the high level of care provided by an emergency department. in terms of outcomes that are meaningful to patients. These results are consistent with the hypothesis that replacing sedentary activities with light intensity activities could lead to lower BMI levels and obesity prevalence among the population of older adults. The November 2020 report, 'Modernization of the TRICARE Benefit', specifies a rubric to evaluate these value-based care initiatives not only in traditional measures of effectiveness but also in terms of the Defense Health Agency's Quadruple Aim with its focus on readiness. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. Join now Sign in . A subsample (n=29; age=77.25.5; 86% female) of participants from the Lifestyle Interventions and Independence for Elders (LIFE) Study was utilized to quantify GMV for regions of interest in the basal ganglia and limbic system normalized to intracranial volume. (PsycINFO Database Record (c) 2019 APA, all rights reserved). The original trial was conducted across 8 academic centers in the US from February 2010 through December 2013. These mixed results might reflect heterogeneity in response to physical activity, with some subgroups of individuals responding positively, but not others.1) To examine the impact of genetic variation and sex on changes in depressive symptoms in older adults after a physical activity (PA) intervention, and 2) to determine if PA differentially improves particular symptom dimensions of depression.Randomized controlled trial.Four field centers (Cooper Institute, Stanford University, University of Pittsburgh, and Wake Forest University).396 community-dwelling adults aged 70-89 years who participated in the Lifestyle Interventions and Independence for Elders Pilot Study (LIFE-P).12-month PA intervention compared to an education control.Polymorphisms in the serotonin transporter (5-HTT), brain-derived neurotrophic factor (BDNF), and apolipoprotein E (APOE) genes; 12-month change in the Center for Epidemiologic Studies Depression Scale total score, as well as scores on the depressed affect, somatic symptoms, and lack of positive affect subscales.Men randomized to the PA arm showed the greatest decreases in somatic symptoms, with a preferential benefit in male carriers of the BDNF Met allele. View details for DOI 10.1093/milmed/usab271. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. Multivariate regression analysis suggested that adjustment for age, race, poverty status and marital status explained part, but not nearly all, of the relationship between education and health. Using hospital discharge data for the period 2007-16, we compared acute myocardial infarction (AMI) hospitalization rates in San Diego County and the rest of the state before and after the demonstration project started. Prof. Robert Kaplan will be presenting LIVE in South Africa on 17 September 2015, delivering his world renowned lecture on Strategy Execution. The racial/ethnic distribution was 84.1% non-Hispanic white, 9.2% non-Hispanic black, 4.1% Hispanic, and 2.6% Asian. 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. View details for DOI 10.1377/hlthaff.2018.0443, View details for Web of Science ID 000463962900016. Previous studies have shown that physical exercise and mindfulness meditation can both lead to improvement in physical and mental health. Prevalence rates were 33.0% for insomnia, 18.1% for daytime drowsiness, 47.8% for poor sleep quality, and 32.9% for high risk of sleep apnea. B., Studenski, S. A., Goodpaster, B. H., Lopez, O., Glynn, N. W., 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. The mean HVLT-R delayed recall scores were 7.22 for the physical activity group vs 7.25 for the health education group (mean difference, -0.03 words [95% CI, -0.29 to 0.24 words], P=.84). 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. Outcome assessors were blinded to the intervention assignment. He serves as Chair of United Jewish Appeal (UIA) South Africa and as Chair of the Keren Hayesod Budget Committee. avoids the terminology problem and its misleading consequences. In addition, enabling widespread access to common measures is necessary to accelerate future progress. However, in analyses that were not prespecified, sex specific differences were observed for rates of all serious fall injuries (rate ratio 0.54, 95% confidence interval 0.31 to 0.95 in men; 1.07, 0.75 to 1.53 in women; P=0.043 for interaction), fall related fractures (0.47, 0.25 to 0.86 in men; 1.12, 0.77 to 1.64 in women; P=0.017 for interaction), and fall related hospital admissions (0.41, 0.19 to 0.89 in men; 1.10, 0.65 to 1.88 in women; P=0.039 for interaction).In this trial, which was underpowered to detect small, but possibly important reductions in serious fall injuries, a structured physical activity program compared with a health education program did not reduce the risk of serious fall injuries among sedentary older people with functional limitations. 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.
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