Dismiss. Schmaling, K., Kaplan, R. M., Porzsolt, F. Questioning the Benefit of Statins for Low-Risk Populations-Medical Misinformation or Scientific Evidence?-Reply. View details for DOI 10.2217/cer-2020-0149. 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. 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. and 'is it worth it?') Sensitivity analyses using MCS score as a continuous variable, using a log10 transformation of the cost variable, and focusing only on persons with scores on the extreme low end did not significantly alter the conclusions.CONCLUSIONS: Contrary to expectation, the combination of poor mental functioning and chronic disease diagnosis did not have a strong synergistic effect on cost. Lee, C. M., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. No differences for any other cognitive or composite measures were observed. Comparison of Rating Scale, Time Tradeoff, and Conjoint Analysis Methods for Assessment of Preferences in Prostate Cancer. Mental and general medical conditions appear to have independent effects on health care costs. Dr Robert M Kaplan Profile and History . 1968-1973 PUBLICATIONS BOOKS . Foreign Correspondent. 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. There was no evidence of better activity recovery after hospitalization. The Isaac and Jessie Kaplan Centre for Jewish Studies and Research, . Currently, Robert Kaplan works as a Partner at Jeffer Mangels Butler & Mitchell. We compared two groups of older adults with 10 years of mindfulness meditation (integrative body-mind training, IBMT) or physical exercise (PE) experience to demonstrate their effects on brain, physiology and behavior. All interactions between the factors were nonsignificant. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. View details for DOI 10.1093/gerona/glw001, View details for Web of Science ID 000376398400015. Our guest today is Robert Kaplan. Conjoint analysis is widely used in studies of consumer preference but has only recently been applied to measure patient utilities for health outcomes. 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. From 1997 to 2004 he was Professor and Chair of the Department of Family and Preventive Medicine, at the University of California, San Diego. View details for DOI 10.1016/j.jamda.2015.03.010, View details for Web of Science ID 000358423400010, View details for PubMedCentralID PMC4516564. He serves as Chair of United Jewish Appeal (UIA) South Africa and as Chair of the Keren Hayesod Budget Committee. Also, a sizable subgroup required one or more rest stops. 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. Robert M. Kaplan South Africa . Costs for this PA program for older adults are comparable to those of other PA interventions. 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. To advance the field, we need a greater emphasis on evaluations that ask 'Does the treatment work under real-world conditions? These results were consistent across several subgroups, including sex. Epub 2019 Sep 26. Kaplan, R. M., Glassman, J. R., Milstein, A. View details for DOI 10.1080/21642850.2021.1979407, View details for PubMedCentralID PMC8462930. OBJECTIVES: To evaluate the effect of hospitalizations on patterns of sedentary and physical activity time in mobility-limited older adults randomized to structured physical activity or health education.DESIGN: Secondary analysis of investigator-blinded, parallel-group, randomized trial conducted at 8 U.S. centers between February 2010 and December 2013.PARTICIPANTS: Sedentary men and women aged 70 to 89 at baseline who wore a hip-fitted accelerometer 7 consecutive days at baseline and 6, 12, and 24 months after randomization (N=1,341).MEASUREMENTS: Participants were randomized to a physical activity (PA; n = 669) intervention that included aerobic, resistance, and flexibility training or to a health education (HE; n = 672) intervention that consisted of workshops on older adult health and light upper-extremity stretching. In the 14% of records that contained results, the new data provided in the ClinicalTrials.gov records did not change the results or conclusions of the reviews. Physical activity is an effective means of intervening on self-efficacy and satisfaction with physical function in older adults with impaired lower extremity functioning. View details for DOI 10.1093/gerona/glr123, View details for Web of Science ID 000296102100011. Associated persons: . 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. Incidence of Ankylosing Spondylitis Among Male and Female United States Army Personnel. 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. 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. (PsycINFO Database Record (c) 2019 APA, all rights reserved). 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. 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 10.1001/jamainternmed.2022.1449, View details for Web of Science ID 000788118600200. 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. 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. They also spent 13843 min/day engaging in PA registering 100 to 499 accelerometry counts/min and 5437 min/day engaging in PA 500 counts/min. The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults.A total of 1453 men and women (age 70years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index. 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]. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. View details for DOI 10.1093/milmed/usab271. After checking Hardy-Weinberg equilibrium, we used using linear regression to evaluate the genotype*treatment interaction for each outcome. In addition, enabling widespread access to common measures is necessary to accelerate future progress. 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. This pilot work examined associations of brain grey matter volumes (GMV) with perceived fatigability in older adults to elucidate disablement mechanisms. Pending further verification, the results may help to inform subsequent targeting of such subgroups for further investigation.Clinicaltrials.gov Identifier= NCT01072500. The company is headquartered in Wollongong, New South Wales, Australia. Interview: Robert Kaplan, . He has homes in Cape Town and Jerusalem. No significant effect on event-free survival was associated with individual therapy alone. Finally, a large number of published studies were not registered in ClinicalTrials.gov, but many of these were published before ClinicalTrials.gov's inception date of 2000.Improved prospective registration of trials and consistent reporting of results in ClinicalTrials.gov would help make ClinicalTrials.gov records more useful in finding unpublished information and identifying potential biases. 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. 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. Presumed owner of the real estate located at 151 Tremont St #7j, Boston. OBJECTIVE: The study examined whether comorbid low mental health functioning inflates the cost of treating a chronic disease.METHODS: Data were from the 2015 Medical Expenditure Panel Survey (N=33,893). View details for Web of Science ID 000326466800004, View details for PubMedCentralID PMC3775886. All estimates reflect the value in 2015 dollars using a consumer price index inflation calculator. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. 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. Find out more. . 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. 160 likes. Converging evidence suggests that physical activity is an effective intervention for both clinical depression and sub-threshold depressive symptoms; however, findings are not always consistent. In comparison with traditional, modern NEMT was estimated to save $268 per expected user (95% CI=$248, $288 per member per year) and $537 million annually (95% CI=$496 million, $577 million) when scaled nationally.CONCLUSIONS: Modern NEMT has the potential to yield greater cost savings than traditional NEMT while also improving patient experience. 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. 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. 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. Wanigatunga, A. These findings suggest mobility benefit from such a program in vulnerable older adults.clinicaltrials.gov Identifier: NCT01072500. Health care remains the most expensive sector in the U.S. economy, now accounting for nearly 1 in every 5 dollars spent. Robert M. Kaplan in the United States of America. 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'. The Kaplan Centre, working with KAS Media Africa and the Johannesburg Holocaust and . This narrative review explores conceptual issues, and inconsistencies between evidence and opinion about screening.We examined the interpretation of screening studies in relation to three intellectual traditions: (1) The relationship between prevention and cure; (2) Confirmation bias and the challenge of incorporating new data: less care may produce better outcomes than more care; (3) The answers to three structured questions about efficacy, effectiveness, and value of treatments proposed by Sir Archie Cochrane and Sir Austin Bradford Hill.When considering extensions of life expectancy or all-cause mortality, systematic reviews typically show cancer screening to have only small effects and often non-significant effects on all-cause mortality. He is currently Editor-in-Chief of Health Psychology and is the former Editor-in-Chief of the Annals of Behavioral Medicine. B., Kritchevsky, S. B., Myers, V., Manini, T. M., Pahor, M., LIFE Study Grp. Dismiss. Mr. Kaplan holds degrees from Cape Town University and Columbia University. 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. A., Glynn, N. W., King, A. C., Anton, S. D., Walkup, M., Lu, C., Reid, K., Spring, B., Pahor, M. Neural correlates of perceived physical and mental fatigability in older adults: A pilot study, Wasson, E., Rosso, A. L., Santanasto, A. J., Rosano, C., Butters, M. A., Rejeski, W., Boudreau, R. M., Aizenstein, H., Gmelin, T., Glynn, N. W., 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., Katula, J. However, longitudinal and experimental studies are needed to strengthen causal inferences. Schaettle, P. R., Kaplan, R. S., Lee, V. S., Parkinson, M. D., Gorman, G. H., Browne, M. Transparency of results reporting for depression treatment studies in ClinicalTrials.gov: a cross-sectional study. Kaplan is the author or co-author of more than 15 books and approximately 450 articles or chapters. 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. The total time a patient is disabled likely has a greater influence on his or her quality of life than the initial occurrence of disability alone.To compare the effect of a long-term, structured physical activity program with that of a health education intervention on the proportion of patient assessments indicating major mobility disability (MMD) (that is, MMD burden) and on the risk for transitions into and out of MMD.Single-blinded, parallel-group, randomized trial. 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 Call Robert Kaplan at (847) 845-9477 If you are ready to discuss your legal problems and would like to learn about how an experienced attorney can help you resolve them, we encourage you to get in touch with us at the Law Offices of Robert M. Kaplan, P.C., in Schaumburg. A 'safety loop' model postulates risk-related decisions are not based on objective and measurable risks but on the subjective perception of those risks. 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. Effect of structured physical activity on prevention of serious fall injuries in adults aged 70-89: randomized clinical trial (LIFE Study). The comparison intervention consisted of weekly education meetings for 24 weeks, and then monthly for 6 months. Ninety-five percent confidence intervals (CI) were estimated using Monte Carlo modeling with random variation for three variables (cost of an emergency department visit, cost of a sobering center visit, and start-up costs per sobering center visit) and the percentage of cases diverted from emergency departments to sobering centers. A., King, A. C., Fielding, R. A., Glynn, N. W., Pahor, M. The impact of cognitive behavioral group training on event-free survival in patients with myocardial infarction: The ENRICHD experience. Time spent watching television was positively associated with BMI, while reading and computer use were not. NIH and American Psychological Association efforts to address this goal are described. The methods were also evaluated in terms of ease of use and satisfaction. No significant differences were found in 400-m walk time, SPPB score, or disability score between participants with and without MetS, in the overall sample or diabetes mellitus subgroups.Metabolic dysfunction is highly prevalent in older adults at risk of mobility disability, yet consistent associations were not observed between MetS and walking speed, lower extremity function, or self-reported disability after adjusting for known and potential confounders. 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. His Randomized controlled trial research integrates issues from Clinical trial, Intensive care medicine, Pharmacotherapy, Evidence-based practice and Social support. Robert M Kaplan The Maudsley Hospital, reopened in January 1923, became the centre of British psychiatric research and achieved a world-wide reputation. 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. The ICERS are less than many commonly recommended medical treatments. A., Ahn, D. K., Gill, T. M., Miller, M., Newman, A. Better compliance with mandated reporting and improved reporting standards would facilitate a more comprehensive representation of depression treatment research. Patterns of federal funding for research may have a significant influence on scientific disciplines. 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 and Saccuzzo's engaging and thorough text demonstrates how psychological tests are constructed and used, both in a professional setting and in everyday lives. South African Medical Journal March 2001, 90-3;216-217.] 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 Minister's . Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. However, further study is needed to definitively determine the utility of CAF as a biomarker of physical function. Scheuter, C., Rochlin, D. H., Lee, C., Milstein, A., Kaplan, R. M. Contributions of Health Care to Longevity: A Review of 4 Estimation Methods. avoids the terminology problem and its misleading consequences. AMI hospitalization rates decreased by 22percent in San Diego County versus 8percent in the rest of the state, with an estimated 3,826 AMI hospitalizations avoided and $86million in savings in San Diego. Espeland, M. A., Katula, J. Our paper demonstrates thatthis FFF rule applies equally well to the designers of clinical studies. B., Rejeski, W. J., Sink, K. M., Williamson, J. D. Sleep-Wake Disturbances in Sedentary Community-Dwelling Elderly Adults with Functional Limitations. View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. The plethora of HRQoL measures has impeded cumulative science because incomparable measures have been used in different studies. View details for DOI 10.1001/jama.2015.9617, View details for Web of Science ID 000360017200018, View details for PubMedCentralID PMC4698980. Previous observations of male predominance have typically been derived from clinic populations that are less representative of the US race/ethnicity distribution and based on disease ascertainment tools that may have identified subjects later in their disease course. 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. Abramson, J., Kaplan, R. M., Redberg, R. F. Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges. However, variability exists in seniors' responsiveness to training. 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. 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. Pahor, M., Guralnik, J. M., Ambrosius, W. T., Blair, S., Bonds, D. E., Church, T. S., Espeland, M. A., Fielding, R. A., Gill, T. M., Groessl, E. J., King, A. C., Kritchevsky, S. B., Manini, T. M., McDermott, M. M., Miller, M. E., Newman, A. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. Dismiss. 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. His funeral. 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. In the USA, ClinicalTrials.gov increases transparency through mandatory prospective trial registration and outcome reporting. The Pittsburgh Fatigability Scale measured physical and mental fatigability (score 0-50; higher physical fatigability15; higher mental fatigability13). Wilson, D. K., Kaufmann, P., Kaplan, R. M., Davidson, K. NIH behavioral and social sciences research support: 1980-2016. Dismiss. 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%. View details for DOI 10.1136/bmjebm-2020-111641. Incident MCI or dementia occurred in 98 participants (13.2%) in the physical activity group and 91 participants (12.1%) in the health education group (odds ratio, 1.08 [95% CI, 0.80 to 1.46]).Among sedentary older adults, a 24-month moderate-intensity physical activity program compared with a health education program did not result in improvements in global or domain-specific cognitive function.clinicaltrials.gov Identifier: NCT01072500. The group training benefit was reduced to 23% (hazard ratio=0.77; 95% confidence interval: 0.56-1.07, P=.11) in the multivariate-adjusted model.Findings suggest that adding group training to individual therapy may be associated with reduction in the composite end point. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon. 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. Economic arguments supporting modern NEMT are important given decreased support for human services spending. View details for Web of Science ID 000431185201257. Buford, T. W., Hsu, F., Brinkley, T. E., Carter, C. S., Church, T. S., Dodson, J. View details for DOI 10.1001/jama.2014.5616, View details for Web of Science ID 000337301500019. We examined the costs of a physical activity (PA) and an educational comparison intervention. 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.
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