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. O zpase. 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. 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. In this special section, we acknowledge a wide range of variability in terms of behavioral interventions typically delivered in nonclinical versus more traditional clinical settings. View details for DOI 10.1001/jama.2014.5616, View details for Web of Science ID 000337301500019. The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. The interpretation of screening results is also affected by several known biases. 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. 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. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. 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. These findings suggest mobility benefit from such a program in vulnerable older adults.clinicaltrials.gov Identifier: NCT01072500. Kaplan, R. M., Glassman, J. R., Millstein, A. Gill, T. M., Pahor, M., Guralnik, J. M., McDermott, M. M., King, A. C., Buford, T. W., Strotmeyer, E. S., Nelson, M. E., Sink, K. M., Demons, J. L., Kashaf, S. S., Walkup, M. P., Miller, M. E. An observational study identifying obese subgroups among older adults at increased risk of mobility disability: do perceptions of the neighborhood environment matter? Results from a five-report case series. 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. Our findings show that the majority of diabetes cases are preventable, and risk reduction strategies can be effectively applied to all racial/ethnic groups. A., Gill, T. M., Marsh, A. P., Hsu, F., Yaghjyan, L., Woods, A. J., Glynn, N. W., King, A. C., Newton, R. L., Fielding, R. A., Pahor, M., Manini, T. M., Guralnik, J. M., Anton, S. D., Buford, T. W., Leeuwenburgh, C., Nayfield, S. G., 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., Joyce, K., Lovato, L., Pierce, J., Roberson, W., Robertson, J., Rushing, J., Rushing, S., Stowe, C. L., Walkup, M. P., Hire, D., Rejeski, W., Katula, J. The average cost/participant was $1134 and $175 for the PA and the comparison interventions, respectively. OBJECTIVES: Depression affects an estimated 7% of the adult population at an estimated cost of over US$200billion/year in the USA. Med Decis Making 2019 10 26;39(7):816-826. A Conversation With Robert Kaplan. Cox proportional hazard models quantified the risk of MMD and PMMD in PA vs HE stratified by baseline fatigue adjusted for covariates.RESULTS: Among those with higher baseline fatigue, PA participants had a 29% and 40% lower risk of MMD and PMMD, respectively, over the trial compared with HE (hazard ratio [HR] for MMD=.71; 95% confidence interval [CI] =.57-.90; P=.004) and PMMD (HR=.60; 95% CI=.44-.82; P=.001). 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. 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) 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. 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. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates. Robert M Kaplan Forensic Psychiatrist, Crime & Medicine Writer, Historian and Speaker at Dr Robert Kaplan Greater Sydney Area 112 followers 97 connections Join to connect Dr Robert. 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. Robert M. Kaplan. In addition, education was associated with having more office visits and outpatient visits and less risk tolerance. Limited evidence suggests that physical activity may prevent frailty and associated negative outcomes in older adults. 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. These null results were accompanied by suggestive evidence that the physical activity program may reduce the rate of fall related fractures and hospital admissions in men.Trial registration ClinicalsTrials.gov NCT01072500. Rochlin, D. H., Lee, C. M., Scheuter, C. n., Platchek, T. n., Kaplan, R. M., Milstein, A. n. Questioning the Benefit of Statins for Low-risk Populations-Medical Misinformation or Scientific Evidence? NIH and American Psychological Association efforts to address this goal are described. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. Rare Classic Car Preview. View details for DOI 10.1073/pnas.2021726118. On the basis of a review of the literature, commercial information, and structured expert interviews, we performed a sensitivity analysis to determine the incremental economic benefit of using modern NEMT. When expanded it provides a list of search options that will switch the search inputs to match the current selection. At a time when women were rare in. 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]). Adam, G. P., Springs, S., Trikalinos, T., Williams, J. W., Eaton, J. L., Von Isenburg, M., Gierisch, J. M., Wilson, L. M., Robinson, K. A., Viswanathan, M., Middleton, J., Forman-Hoffman, V. L., Berliner, E., Kaplan, R. M. AN UPDATE ON THE COST-EFFECTIVENESS WORKING GROUP ON METHODOLOGY, COLLABORATIVE CARE AND DISSEMINATION. 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. Moreover, among obese older adults, dynapenia was associated with lower risk of meeting MetS criteria for waist circumference and diastolic blood pressure. View Details. Exercise improved gait speed by 0.06 0.01 m/sec and SPPB score by 0.72 0.16 points among those with at least one D allele (ID/DD carriers), but function was not improved among II carriers. The Coming Anarchy. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon. 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. View details for DOI 10.1161/JAHA.114.001288. Covariates included clinic site, body mass index, age, sex, baseline score, comorbidity, and use of angiotensin receptor blockers or ACE inhibitors. Tertiary outcomes included global and executive cognitive function and incident MCI or dementia at 24 months.At 24 months, DSC task and HVLT-R scores (adjusted for clinic site, sex, and baseline values) were not different between groups. 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. Physical activity is an effective means of intervening on self-efficacy and satisfaction with physical function in older adults with impaired lower extremity functioning. Tang, Y., Fan, Y., Lu, Q., Tan, L., Tang, R., Kaplan, R. M., Pinho, M. C., Thomas, B. P., Chen, K., Friston, K. J., Reiman, E. M. Health Care Is Failing the Most Vulnerable Patients: Three Underused Solutions. All cognitive measures loaded onto the first principal component (global cognitive function), which accounted for 40% of the overall variance.Our results support the use of computer-based tools for assessing cognitive function in multicenter clinical trials of older individuals. Robert Kaplan. 1968-1973 PUBLICATIONS BOOKS . The Tragic Mind Fear, Fate and the Burden of Power Kissinger "A moving culmination by one of America's most thoughtful observers of international trends." - Dr. Henry Kissinger Amazon | Barnes & Noble | Indiebound Robert D. Kaplan: Writing Career Reflections No significant effect on event-free survival was associated with individual therapy alone. Intoxicated individuals without other medical needs may not require the high level of care provided by an emergency department. The Lifestyle Interventions and Independence for Elders investigators incorporated this battery in a full-scale multicenter clinical trial (N = 1635). 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]. Our study population also differed in being subject to organized screenings for musculoskeletal complaints. 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. View details for DOI 10.1146/annurev-publhealth-052120-012811. A renewed effort to increase the federal investment in behavioral and social sciences research is necessary. Definitive data from large long-term randomized trials are lacking.To determine whether a long-term, structured, moderate-intensity physical activity program is associated with a lower risk for frailty and whether frailty status alters the effect of physical activity on the reduction in major mobility disability (MMD) risk.Multicenter, single-blind, randomized trial.8 centers in the United States.1635 community-dwelling adults, aged 70 to 89 years, with functional limitations.A structured, moderate-intensity physical activity program incorporating aerobic, resistance, and flexibility activities or a health education program consisting of workshops and stretching exercises.Frailty, as defined by the SOF (Study of Osteoporotic Fractures) index, at baseline and 6, 12, and 24 months, and MMD, defined as the inability to walk 400 m, for up to 3.5 years.Over 24 months of follow-up, the risk for frailty (n= 1623) was not statistically significantly different in the physical activity versus the health education group (adjusted prevalence difference, -0.021 [95% CI, -0.049 to 0.007]). Robert Q. v Dembek M. je sasou turnaja South Africa F3, Singles. PA participants had less sedentary time in bouts of less than 30 minutes than HE participants (-8 to -10 min/d) and more total activity (+3 to +6 min/d), although hospital-related changes were similar between the intervention groups (interaction effect p >.26).CONCLUSION: Participating in a PA intervention before hospitalization had expected benefits, but participants remained susceptible to hospitalization's detrimental effects on their daily activity levels. Dismiss. Appointments with Robert M. Kaplan can be arranged at two locations in NSW; other venues by arrangement: Wollongong (332 Crown St) Sydney (16 Vernon St, Bondi Junction) Interstate (eg., Melbourne, Hobart and Brisbane) He is an elected member of the National Academy of Medicine. View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. The Neuropsychiatry of Shamanism Robert M Kaplan Graduate School of Medicine, Building 28, University of Wollongong, NSW, 2522, Australia rob.liaison@gmail.com Keywords Shamanism, neuropsychiatry, hallucinations, altered states of consciousness, trance state, schizophrenia, epilepsy, laterality Abstract The shamanic state is a human constant, In 2011 a multistakeholder population health collaborative consisting of partners at the federal, state, and local levels launched Be There San Diego. This button displays the currently selected search type. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults, Wanigatunga, A. Robert Kaplan; Found 609 results for. (PsycINFO Database Record, View details for Web of Science ID 000402052300010. Our findings suggest that sex may not predict AS incidence in the US population. Download Record Provide Feedback. Participants with insomnia had a mean ISI score of 12.1, those with daytime drowsiness had a mean ESS score of 12.5, and those with poor sleep quality had a mean PSQI score of 9.2. Thus, ACE I/D genotype appears to play a role in modulating functional responses to exercise training in seniors. View details for DOI 10.1093/gerona/glr123, View details for Web of Science ID 000296102100011. 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. Surprisingly, however, mobility was a stronger correlate of HRQOL than an index of comorbidity, suggesting that interventions addressing mobility limitations may provide significant health benefits to this population. Lee, C. M., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. Robert David Kaplan (born June 23, 1952 in New York City) is an American author of many books on politics primarily foreign affairs and travel, whose work over three decades has appeared in The Atlantic, The Washington Post, The New York Times, The New Republic, The National Interest, Foreign Affairs and The Wall Street Journal, among other Jacobsen, P. B., Prasad, R., Villani, J., Lee, C., Rochlin, D., Scheuter, C., Kaplan, R. M., Freedland, K. E., Manber, R., Kanaan, J., Wilson, D. K. Economic analysis in behavioral health: Toward application of standardized methodologies. 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. Robert M. Kaplan in the United States of America. 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. However, it is unclear whether these two forms of training share the same underlying mechanisms. In 1990, the Senate Appropriations Committee, recognizing that behavior may contribute to about half of all premature deaths, recommended that funding for behavioral and social sciences research should be about 10% of the NIH budget. Follow-up ended in December 2013. In comparison with PE, we found significantly higher ratings for the IBMT group on dimensions of life quality. Biography ID: 12846404 . 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. Fragoso, C. A., Miller, M. E., Fielding, R. A., King, A. C., Kritchevsky, S. B., McDermott, M. M., Myers, V., Newman, A. 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. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. Measures of physical function included usual-paced gait speed and performance on the Short Physical Performance Battery (SPPB). Click a location below to find Robert more easily. Porzsolt, F., Wiedemann, F., Phlippen, M., Weiss, C., Weiss, M., Schmaling, K., Kaplan, R. M. Efficacy and effectiveness studies of depression are not well-differentiated in the literature: a systematic review. A., Guralnik, J., Hendrie, H. C., Jennings, J., Katula, J., Lopez, O. L., McDermott, M. M., Pahor, M., Reid, K. F., Rushing, J., Verghese, J., Rapp, S., Williamson, J. D. Associations Between Ankle-Brachial Index and Cognitive Function: Results From the Lifestyle Interventions and Independence for Elders Trial. A., Goodpaster, B. H., McDermott, M. M., Nicklas, B. J., Yank, V., Johnson, J. 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. Eight of the ten tests confirmed the induction of 'Perceived Anxiety' with+LRs (range 3.1-5900). doi:10.2105/AJPH.2018.304857). 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. Kaplan is a former Editor-in-Chief of Health Psychology and of the Annals of Behavioral Medicine. From 1997 to 2004 he was Professor and Chair of the Department of Family and Preventive Medicine, at the University of California, San Diego. The incremental cost-effectiveness ratios were US$42,376/major mobility disability prevented and US$49,167/QALY. Schmaling, K. B., Landon, H. S., Nguyen, T. B., Kaplan, R. M. Influence of a COVID-19 vaccine's effectiveness and safety profile on vaccination acceptance. There was no evidence of better activity recovery after hospitalization. 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? 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.
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