This is particularly the case for more vulnerable older adults already showing functional limitations associated with subsequent disability.The Lifestyle Interventions and Independence for Elders (LIFE) trial dataset (n=1600) was used to explore the associations between perceived built environment variables and baseline obesity levels. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. Associated persons: . The Pittsburgh Fatigability Scale measured physical and mental fatigability (score 0-50; higher physical fatigability15; higher mental fatigability13). Jobs People Learning Dismiss Dismiss. Groessl, E. J., Kaplan, R. M., Sweet, C. M., Church, T., Espeland, M. A., Gill, T. M., Glynn, N. W., King, A. C., Kritchevsky, S., Manini, T., McDermott, M. M., Reid, K. F., Rushing, J., Pahor, M. GENETIC MODERATORS OF THE IMPACT OF PHYSICAL ACTIVITY ON DEPRESSIVE SYMPTOMS, Dotson, V. M., Hsu, F. C., Langaee, T. Y., McDonough, C. W., King, A. C., Cohen, R. A., Newman, A. In addition, education was associated with having more office visits and outpatient visits and less risk tolerance. #204. Pending further verification, the results may help to inform subsequent targeting of such subgroups for further investigation.Clinicaltrials.gov Identifier= NCT01072500. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. In adjusted models, measures of mobility and physical inactivity were generally not associated with sleep-wake disturbances, using continuous or categorical variables.In a large sample of sedentary community-dwelling elderly adults with functional limitations, sleep-wake disturbances were prevalent but only mildly severe and were generally not associated with mobility impairment or physical inactivity. Robert M. Kaplan is a forensic psychiatrist, speaker and writer based in Wollongong, Australia. 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. Lower mental health functioning also had a significant impact on cost. Robert M. Kaplan | ThatsThem Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. 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. 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. His office accepts new patients. Prof Robert Kaplan - Business Results Group View details for Web of Science ID 000467759600011, View details for DOI 10.2105/AJPH.2018.304857, View details for Web of Science ID 000457864000048, View details for DOI 10.1016/j.jagp.2018.09.015, View details for Web of Science ID 000455373700006, View details for Web of Science ID 000459714900011. Baseline data (collected in April-December 2004, analyzed in 2006) included demographics, medical history, the Quality of Well-Being Scale (QWB-SA), a timed 400-m walk, and the Short Physical Performance Battery (SPPB). Eight of the ten tests confirmed the induction of 'Perceived Anxiety' with+LRs (range 3.1-5900). 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. South Africa . Robert D. Kaplan - Career Reflections Author. The variables associated with lower HRQOL included white ethnicity, more comorbid conditions, slower 400-m walk times, and lower SPPB balance and chair stand scores.Older adults who are at risk for disability had reduced HRQOL. 416 (57.4%) of the studies posted some results. 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. 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. As the number of older adults in the United States rises, maintaining functional independence among older Americans has emerged as a major clinical and public health priority. Mr. Kaplan holds degrees from Cape Town University and Columbia University. 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., Lifestyles Intervention Independen. 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. Hierarchical linear regression models were used to examine correlates of HRQOL.The mean QWB-SA score for the sample was 0.630 on an interval scale ranging from 0.0 (death) to 1.0 (asymptomatic, optimal functioning). doi:10.2105/AJPH.2018.304857). 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. Rejeski, W. J., King, A. C., Katula, J. Groessl, E. J., Kaplan, R. M., Rejeski, W. J., Katula, J. He serves as Chair of United Jewish Appeal (UIA) South Africa and as Chair of the Keren Hayesod Budget Committee. View details for DOI 10.1016/j.jamda.2016.10.001, View details for Web of Science ID 000398947400007, View details for Web of Science ID 000398947202129, View details for DOI 10.1200/JCO.2016.69.4570, The history of behavioral and social science research funding at the National Institutes of Health (NIH) between 1980 and 2016 is reviewed. 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 424 older adults at risk for mobility disability were randomly assigned to either condition. 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. Robert M. Kaplan combines subjects such as Diabetes mellitus, Psychiatry, Respondent and Emergency medicine with his study of Quality of life. 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. Two different functions (confirmation and exclusion) of both perceptions (Perceived Anxiety and Safety) can be quantified with those calculations.The analysis of six published tests and of one incompletely reported test on COVID-19 polymerase chain reactions (completed by four assumptions on high and low sensitivities and specificities) demonstrated that none of these tests induces 'Perceived Safety'. The absence of interaction effects suggests that respondents consider the side effects and benefits independently. View details for DOI 10.1111/jgs.12738 Each participant's most important attribute was identified and evaluated in relation to age group (age <65, age 65 and older), education (high school, some college, college graduate), race/ethnicity (white, black, Latino), and relationship status (in significant relationship v. not). 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. The mean number of counts per minute of daily PA was not significantly associated with HCHD risk in any model (P>0.05). Importance: Observational evidence suggests that higher physical activity is associated with slower kidney function decline; however, to our knowledge, no large trial has evaluated whether activity and exercise can ameliorate kidney function decline in older adults.Objective: To evaluate whether a moderate-intensity exercise intervention can affect the rate of estimated glomerular filtration rate per cystatin C (eGFRCysC) change in older adults.Design, Setting, and Participants: This ancillary analysis of the Lifestyle Interventions and Independence For Elders randomized clinical trial enrolled 1199 community-dwelling, sedentary adults aged 70 to 89 years with mobility limitations and available blood specimens. by Robert M. Kaplan First published in 1992 3 editions in 1 language 1 previewable Borrow Listen Disease, diagnoses, and dollars: facing the ever-expanding market for medical care by Robert M. Kaplan First published in 2009 2 editions in 1 language Not in Library Viaje a Los Confines de La Tierra Participants were recruited from urban, suburban, and rural communities at 8 centers throughout the United States. This pattern of results persisted even after stratifying on the number of self-reported chronic conditions.Our findings provide no evidence that access to and use of health care explains the education-health gradient. Effect of structured physical activity on prevention of serious fall injuries in adults aged 70-89: randomized clinical trial (LIFE Study). Descriptive health-related quality of life (HRQOL) data are presented. 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]. 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. The interpretation of screening results is also affected by several known biases. Aktulne skre Robert Q. vs Dembek M. a vsledky H2H The average cost/participant was $1134 and $175 for the PA and the comparison interventions, respectively. 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. Epub 2019 Sep 26. 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. PROSPERO REGISTRATION NUMBER: #CRD42019136840. It could be used to clinically identify older adults that are in need of intervention for MMD and provides a simple means for monitoring the status of patients' mobility, an important dimension of functional health. (PsycINFO Database Record, View details for Web of Science ID 000402052300010. Robert M. Kaplan: used books, rare books and new books - BookFinder.com Cost savings were measured as reduced spending by payers. Dr Robert M Kaplan Profile and History . Of the 173 total ClinicalTrials.gov records identified across the five projects, between 11 and 43% did not have an associated publication. Incidence of Ankylosing Spondylitis Among Male and Female United States Army Personnel. He serves as Chair of United Jewish Appeal (UIA) South Africa and as Chair of the Keren Hayesod Budget Committee. Dismiss. View details for Web of Science ID 000311424100024, View details for PubMedCentralID PMC3476929. However, variability exists in seniors' responsiveness to training. His Randomized controlled trial research integrates issues from Clinical trial, Intensive care medicine, Pharmacotherapy, Evidence-based practice and Social support. 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. Biography - University of California, Los Angeles Each team then evaluated the impact of the evidence found in ClinicalTrials.gov on the conclusions in the review.Across the five reviews, the number of studies that had both a registry record and a publication varied widely, from none in one review to 43% of all studies identified in another. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. Although lower baseline ABI was not associated with overall changes in cognitive function test scores, it was associated with higher odds for 2-year progression to a composite of either mild cognitive impairment or probable dementia (odds ratio 2.60 per unit lower ABI; 95% confidence interval 1.06-6.37). In the Lifestyle Interventions and Independence for Elders cohort, their external validity was further demonstrated by associations with other risk factors for cognitive dysfunction: education, hypertension, diabetes, and physical function. The authors wish to acknowledge the support and work done on this project by Christopher Davies Junior. 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. A replication following the announcement that vaccines were 95% effective showed small, but significant increases in the likelihood of taking a vaccine. Last updated 4 months ago. Secondary analyses classified intervention participants into two subgroups, (1) individual therapy only or (2) group training (i.e., coping skills training) plus individual therapy, to determine whether medical outcomes differed in participants who received the combination of group training and individual therapy compared to participants who received individual therapy only or usual care.Secondary analyses of 1243 usual care, 781 individual therapy only, and 356 group plus individual therapy myocardial infarction (MI) patients were performed. Participants performed a usual-paced 400-m walk every 6months. 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. B., Lifestyle Interventions and Independence for Elders Study Group, Pahor, M., Guralnik, J. M., Anton, S. D., Buford, T. W., Leeuwenburgh, C., Nayfield, S. G., Manini, T. M., Caudle, C., Crump, L., Holmes, L., Lee, J., Lu, C., Miller, M. E., Espeland, M. A., Ambrosius, W. T., Applegate, W., Beavers, D. P., Byington, R. P., Cook, D., Furberg, C. D., Harvin, L. N., Henkin, L., Hepler, J., Hsu, F., Joyce, K., Lovato, L., Pierce, J., Roberson, W., Robertson, J., Rushing, J., Rushing, S., Stowe, C. L., Walkup, M. P., Hire, D., Rejeski, W. J., Katula, J. The traditional 22 table starts with the hypothesis, uses a test and a gold standard to confirm or exclude the investigated condition. Council on Foreign Relations Council on Foreign Relations (CFR), independent nonpartisan think tank and publisher that promotes . Free delivery worldwide on over 20 million titles. Kaplan was elected to the National Academy of Medicine (formerly the Institute of Medicine) in 2005. 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. Biography. 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. Genealogy for Robert Roman Kaplan (1908 - 1978) family tree on Geni, with over 240 million profiles of ancestors and living relatives. We considered subject inclusion and exclusion criteria; numbers of subjects enrolled and the proportion in the primary analyses; inclusion of a Consolidated Standards of Reporting Trials (CONSORT) flow diagram; use of random assignment; use of placebo control conditions; lengths of treatment and follow-up; primary outcome variable; trial registration; journal impact factor.STUDY SELECTION: Studies indexed as efficacy AND 'real-world' AND depression or effectiveness AND 'real-world' AND depression in PubMed up to 18 May 2019.FINDINGS: 27 studies met the inclusion criteria: 13 effectiveness studies, 6 efficacy studies and 8 studies indexed as both effectiveness and efficacy. With support from the Society for Health Psychology, the National Cancer Institute (NCI), and the Office for Behavioral and Social Sciences Research (OBSSR) at the National Institutes of Health, two working group meetings were held to consider the use of well-established cost-effectiveness methodologies for the evaluation of behavioral and public health interventions. Computer-administered assessment of cognitive function is being increasingly incorporated in clinical trials; however, its performance in these settings has not been systematically evaluated.The Seniors Health and Activity Research Program pilot trial (N = 73) developed a computer-based tool for assessing memory performance and executive functioning. 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. Behavioral interventions often use measures that are not generally applied in other areas of health outcomes research. To advance the field, we need a greater emphasis on evaluations that ask 'Does the treatment work under real-world conditions? He also represents insurance carriers . These interventions illustrate differences in the availability of cost and cost-effectiveness data and in the extent of intervention adoption and integration into routine delivery of medical care. INTRODUCTION: Older adults are a rapidly growing segment of the U.S.POPULATION: Mobility problems that lead to further disability can be addressed through physical activity interventions. Mendel Kaplan, a prominent leader of the South African Jewish community, died in South Africa on Thursday evening at the age of 73 after suffering a massive stroke on Tuesday. 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. The ability of our field to communicate cost-effectiveness data to policy makers, employers, and insurers that incorporates implementation costs is central to the likelihood of our interventions being adopted by practitioners and reimbursed by payers. This strategy is presented. Robert M Kaplan South African Journal of Psychiatry | Vol 9, No 2 | a137 | DOI: https://doi.org/10.4102/sajpsychiatry.v9i2.137 | 2003 Robert M Kaplan | This work is licensed under CC Attribution 4.0 Submitted: 11 August 2008 | Published: 01 September 2003 About the author (s) Robert M Kaplan, HMPG, South Africa View details for DOI 10.1176/appi.ps.701203. Acute alcohol intoxication is responsible for a sizable share of emergency department visits. in terms of outcomes that are meaningful to patients. PA participants accrued 0.047 per person more Quality-Adjusted Life-Years (QALYs) than health education participants. 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