To test whether a long term, structured physical activity program compared with a health education program reduces the risk of serious fall injuries among sedentary older people with functional limitations.Multicenter, single blinded randomized trial (Lifestyle Interventions and Independence for Elders (LIFE) study).Eight centers across the United States, February 2010 to December 2011.1635 sedentary adults aged 70-89 years with functional limitations, defined as a short physical performance battery score 9, but who were able to walk 400 m.A permuted block algorithm stratified by field center and sex was used to allocate interventions. Outcome estimates were determined at year 2, accounting for implementation and steady-state intervention costs.RESULTS: After accounting for implementation and recurring operating costs of approximately $9.5 billion, estimated net cost savings of between $13 and $41 billion can be accomplished concurrently with improvements in quality and experience of coordinated chronic care ($0.01-$6.8 billion), cognitively protective acute care ($8.7-$26.6 billion), timely caregiver support ($4.3-$7.5 billion), and caregiver efficiency ($4.1-$7.2 billion).CONCLUSION: A high-value care model for AD may improve the experience of patients with AD while significantly lowering costs. The mental component summary (MCS) score of the 12-item Short Form (SF-12) was used as a measure of mental health status. The genotype*treatment interaction was statistically significant for both gait speed (P = 0.002) and SPPB (P = 0.020). However, the PE group showed lower basal heart rate and greater chest respiratory amplitude. Epub 2019 Sep 26. Buford, T. W., Hsu, F., Brinkley, T. E., Carter, C. S., Church, T. S., Dodson, J. 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). Fitzgerald, J. D., Johnson, L., Hire, D. G., Ambrosius, W. T., Anton, S. D., Dodson, J. 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 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. The PA program consisted of 50-minute center-based exercise 2 weekly, augmented with home-based activity to achieve a goal of 150min/wk of PA. Health education consisted of weekly workshops for 26 weeks, and monthly sessions thereafter. To advance the field, we need a greater emphasis on evaluations that ask 'Does the treatment work under real-world conditions? 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. 12. Among the 3 criteria of the SOF index, the physical activity intervention was associated with improvement in the inability to rise from a chair (adjusted prevalence difference, -0.050 [CI, -0.081 to -0.020]). The assessment of mobility is essential to both aging research and clinical geriatric practice. Kaplan, R. M., Glassman, J. R., Milstein, A. 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. Measures included demographics; comorbidity; a timed 400-meter walk; the Short Physical Performance Battery; and the Quality of Well-Being Scale (0-1.0 scale). You can use phone number: 8478459477 instead of fax. Schmaling, K., Kaplan, R. M., Porzsolt, F. Questioning the Benefit of Statins for Low-Risk Populations-Medical Misinformation or Scientific Evidence?-Reply. Robert M. Kaplan, Dennis P. Saccuzzo. 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 randomized a total of 412 adults aged 70-89 years at elevated risk for mobility disability to either a physical activity or a successful aging educational control intervention for 12 months. 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. 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. Cox proportional hazards regression was used to estimate intervention effects on time to first occurrence of the composite end point of death plus nonfatal MI. We here illustrate a quantification of the difference between objective and subjective risks.The objective risks (or chances) can be obtained from traditional 22 tables by calculating the positive (+LR) and negative (-LR) likelihood ratios. All titles by Robert M. Kaplan: Handbook of Health Psychology and Behavioral Medicine Edited by Jerry M. Suls, Karina W. Davidson, and Robert M. Kaplan Hardcover Since then Robert has changed 2 companies in the same role. Fields of study that have received more extramural funding are associated with greater growth in faculty and higher faculty salaries. Intervention attendance was associated with higher health-related quality of life for both groups. 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. Although contributions of different risk factors varied slightly by race/ethnicity, most findings were similar across groups, and women who had both a healthy weight and were in the highest tertile of physical activity had less than one-third the risk of diabetes compared with obese and inactive women.Despite large racial/ethnic differences in diabetes incidence, most variability could be attributed to lifestyle factors. 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. Of the 173 total ClinicalTrials.gov records identified across the five projects, between 11 and 43% did not have an associated publication. Each minute per day spent being sedentary was associated with increased HCHD risk among both those with (0.04%, 95% CI 0.02% to 0.05%) and those without (0.03%, 95% CI 0.02% to 0.03%) CVD. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. Participants were recruited from urban, suburban, and rural communities at 8 centers throughout the United States. His Randomized controlled trial research integrates issues from Clinical trial, Intensive care medicine, Pharmacotherapy, Evidence-based practice and Social support. View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. Across 2 years, changes in ABI were not associated with changes in cognitive function.In an older cohort sedentary individuals with dementia and with functional limitations, lower baseline ABI was independently correlated with cognitive function and associated with greater 2-year risk for progression to mild cognitive impairment or probable dementia. We estimate the impact on U.S. health care spending if individuals with uncomplicated, acute alcohol intoxication were treated in sobering centers instead of the emergency department. Laurel office. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. The lack of distinguishable characteristics suggests that variably applied terminology may hinder efforts to narrow the gap between research and practice. Baseline gait speed was significantly correlated with baseline CAF level (r = -0.151, p= 0.006), however the association between CAF and SPPB was not significant. PURPOSE: Health care expenditures and biomedical research funding are often justified by the belief that modern health care powerfully improves life expectancy in wealthy countries. PA interventions costs were slightly higher than other recent PA interventions. The purpose of health care is to improve the health of populations. Kaplan, R. M., Crespi, C. M., Dahan, E., Saucedo, J. D., Pagan, C., Saigal, C. S. A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care. Presumed owner of the real estate located at 151 Tremont St #7j, Boston. 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. Mr. Kaplan holds degrees from Cape Town University and Columbia University. View details for Web of Science ID 000391236900011. Rating scales were rated as easiest to use and respondents were more satisfied with rating scales and conjoint in comparison to time tradeoffs. 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. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. View details for DOI 10.1093/gerona/glw001, View details for Web of Science ID 000376398400015. Interview: Robert Kaplan, . According to ZoomInfo records, Robert Kaplan's professional experience began in 1996. Health care remains the most expensive sector in the U.S. economy, now accounting for nearly 1 in every 5 dollars spent. (PsycINFO Database Record (c) 2019 APA, all rights reserved). 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). Several studies have shown that regular physical activity improves functional limitations and intermediate functional outcomes, but definitive evidence showing that major mobility disability can be prevented is lacking. 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). Acute alcohol intoxication is responsible for a sizable share of emergency department visits. Prof. Robert Kaplan is the Baker Foundation Professor at Harvard Business School. No significant differences were found across dynapenia and obesity status for all other metabolic components (P>.05). 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. One potential source of variability is the insertion (I allele) or deletion (D allele) of a 287 bp fragment in intron 16 of the angiotensin-converting enzyme (ACE) gene. He graduated from Chicago College of Osteopathic Medicine in 1973. To examine determinants of racial/ethnic differences in diabetes incidence among postmenopausal women participating in the Women's Health Initiative.Data on race/ethnicity, baseline diabetes prevalence, and incident diabetes were obtained from 158,833 women recruited from 1993-1998 and followed through August 2009. Robert M Kaplan The Maudsley Hospital, reopened in January 1923, became the centre of British psychiatric research and achieved a world-wide reputation. A preliminary cost/effectiveness analysis gauged the cost/disability avoided to be $28,206. Robert M. Kaplan is a forensic psychiatrist, speaker and writer based in Wollongong, Australia. 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. 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. Discover Book Depository's huge selection of Robert M Kaplan books online. View details for DOI 10.1016/j.jamda.2015.03.010, View details for Web of Science ID 000358423400010, View details for PubMedCentralID PMC4516564. At a time when women were rare in. View details for PubMedID 24973990 Methods. 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. 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. 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. 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). avoids the terminology problem and its misleading consequences. Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. Those with less education were also more likely to be uninsured throughout the year. 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. The ICERS are less than many commonly recommended medical treatments. 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. Med Decis Making 2019 10 26;39(7):816-826. Among the studies with both a record and publication, there was also wide variability in the match between published outcomes and those listed in ClinicalTrials.gov. Ma, Y., Hebert, J. R., Manson, J. E., Balasubramanian, R., Liu, S., LaMonte, M. J., Bird, C. E., Ockene, J. K., Qiao, Y., Olendzki, B., Schneider, K. L., Rosal, M. C., Sepavich, D. M., Wactawski-Wende, J., Stefanick, M. L., Phillips, L. S., Ockene, I. S., Kaplan, R. C., Sarto, G. E., Garcia, L., Howard, B. V. The Lifestyle Interventions and Independence for Elders Study: Design and Methods. 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 interpretation of screening results is also affected by several known biases. His office accepts new patients. This button displays the currently selected search type. 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. Patterns of federal funding for research may have a significant influence on scientific disciplines. Additionally, NDYN-O demonstrated higher diastolic blood pressure compared with DYN-O (70.910.1 vs 67.79.7, P.001). OBJECTIVES: Depression affects an estimated 7% of the adult population at an estimated cost of over US$200billion/year in the USA. Wednesday, May 31, 2017. OBJECTIVES: To determine the economic benefit of "modern" nonemergency medical transportation (NEMT) that utilizes digital transportation networks compared with traditional NEMT in the United States.METHODS: We used the National Academies' NEMT cost-effectiveness model to perform a baseline cost savings analysis for provision of NEMT for transportation-disadvantaged Medicaid beneficiaries.