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Incident AS cases were identified using diagnostic codes from electronic medical and administrative records.RESULTS: In contrast to some prior studies, AS incidence was similar among males and females (incidence rate ratio: 1.16, p = 0.23; adjusted odds ratio [aOR] = 0.79, 95% confidence interval: 0.61 - 1.02; p = 0.072). View details for Web of Science ID 000341167700011 Download Record Provide Feedback. Light intensity physical activity and sedentary behavior are potential determinants, but their relations to these outcomes are poorly understood. B., Pellegrini, C. A., Chen, S., Allore, H. G., Miller, M. E. Cost-effectiveness of the LIFE Physical Activity Intervention for Older Adults at Increased Risk for Mobility Disability. The results suggest that a targeted approach to recommending PA therapy for treatment of depression is viable. 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. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. View details for Web of Science ID 000311424100024, View details for PubMedCentralID PMC3476929. Health care has modest effects on the extension of US life expectancy, while behavioral and social determinants may have larger effects. Early diagnosis does not assure application of an intervention that alters the pathway toward demise. Robert M Kaplan Forensic Psychiatrist Clinical Associate Professor Graduate School of Medicine University of Wollongong The success of collaborative care for depression can be viewed as a model for how to promote greater adoption of other interventions, such as psychological therapies for chronic pain and insomnia. 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). 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. America's medical system is . Click a location below to find Robert more easily. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., Pahor, M. A Cost Analysis of a Physical Activity Intervention for Older Adults. 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. View details for DOI 10.2217/cer-2020-0149. 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., Lifestyles Intervention and Independence for Elders Study Investigators. Intervention attendance was associated with higher health-related quality of life for both groups. Espeland, M. A., Katula, J. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. When expanded it provides a list of search options that will switch the search inputs to match the current selection. The ISI includes him in the listing of the most cited authors in . View details for Web of Science ID 000326466800004, View details for PubMedCentralID PMC3775886. Conjoint analysis may be a more robust approach to preference measurement for men at risk for prostate cancer. Before 2011 rates of hospitalization for heart attacks were about the same in San Diego County as they were in the rest of California. 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. 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. To determine the effect of a one-year PA intervention on changes in CAF concentrations and to evaluate baseline and longitudinal associations between CAF concentrations and indices of physical function.Ancillary study to the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P), a multi-site randomized clinical trial designed to evaluate the effects of chronic exercise on the physical function of older adults at risk for mobility disability.Four academic research centers within the U.S.Three hundred thirty three older adults aged 70 to 89 with mild to moderate impairments in physical function.A 12-month intervention of either structured physical activity (PA) or health education promoting successful aging (SA).Serum CAF concentrations and objectives measures of physical function - i.e. 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). 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. Since then Robert has changed 2 companies in the same role. Participants were recruited from urban, suburban, and rural communities at 8 centers throughout the United States. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. 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. The collaborative's goal was to reduce cardiovascular events through the spread of best practices aimed at improving control of hypertension, lipid levels, and blood sugar and through patient and medical community activation. Robert D. Kaplan - Career Reflections Author. We compared the reliability, feasibility, and internal and predictive validity of conjoint scaling methods against better established rating scale and time tradeoff methods for assessing prostate cancer utilities in men at risk for prostate cancer. Lower mental health functioning also had a significant impact on cost. Rejeski, W. J., Axtell, R., Fielding, R., Katula, J., King, A. C., Manini, T. M., Marsh, A. P., Pahor, M., Rego, A., Tudor-Locke, C., Newman, M., Walkup, M. P., Miller, M. E. Determinants of Racial/Ethnic Disparities in Incidence of Diabetes in Postmenopausal Women in the U.S. One In Five Fewer Heart Attacks: Impact, Savings, And Sustainability In San Diego County Collaborative. Associated persons: . Sensitivity analyses indicated that results were relatively robust to varied assumptions.The PA intervention costs and QALYs gained are comparable to those found in other studies. Acute alcohol intoxication is responsible for a sizable share of emergency department visits. Overall support for the partitioned subgroupings was obtained using mixed model regression analysis.The results suggest that, in combination with race/ethnicity, features of the perceived neighborhood built and social environments differentiated distinct groups of vulnerable older adults from different age strata that differed in obesity prevalence. The relationship between race/ethnicity, other potential risk factors, and the risk of incident diabetes was estimated using Cox proportional hazards models from which hazard ratios (HRs) and 95% CIs were computed.Participants were aged 63 years on average at baseline. Robert M. Kaplan is a faculty member at Stanford Medicine's Clinical Excellence Research Center and a distinguished professor emeritus at the UCLA Fielding School of Public Health. The results are preliminary and a longer study is required to fully assess the costs and health benefits of these interventions. He was Chair of the Department of Health Services from 2004 to 2009. Council on Foreign Relations Council on Foreign Relations (CFR), independent nonpartisan think tank and publisher that promotes . Kaplan, R. M., Glassman, J. R., Milstein, A. 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. Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. 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. 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. OBJECTIVE: Incidence rates of ankylosing spondylitis (AS) among males versus females are poorly understood. (PsycINFO Database Record (c) 2019 APA, all rights reserved). Our findings show that the majority of diabetes cases are preventable, and risk reduction strategies can be effectively applied to all racial/ethnic groups. (PsycINFO Database Record. doi:10.2105/AJPH.2018.304857). Refine Your Search Results All Filters 1 Robert D Kaplan Resides in Lenox, MA Related To Ava Kaplan, Edith Kaplan, Albert Kaplan, Daniel Kaplan, Tamar Kaplan Includes Address (1) Phone (2) See Results In the Monte Carlo modeling, we found annual national savings of $99.02 million (95% CI: $95.89-$102.19 million), $792.34 million (95% CI: $767.09-$817.58 million), and $1,185.51 million (95% CI: $1,150.64-$1,226.37 million) with diversion rates of 5%, 40%, and 60%, respectively. View details for DOI 10.1136/bmjebm-2020-111641. We examined 4 different methods of estimating the effect of health care on health outcomes.METHODS: We reviewed the contributions of medical care to health outcomes using 4 methods: (1) analyses by McGinnis and Schroeder, (2) Wennberg and colleagues' studies of small area variation, (3) Park and colleagues' analysis of County Health Rankings and Roadmaps, and (4) the RAND Health Insurance Experiment.RESULTS: The 4 methods, using different data sets, produced estimates ranging from 0% to 17% of premature mortality attributable to deficiencies in health care access or delivery. Adibuzzaman, M., Jung, Y., Bareinboim, E., Griffin, P., Kethireddy, S., Bikak, M., Kaplan, R. Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability. 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. 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. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates. 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. However, the interaction between mental health functioning and chronic disease diagnoses was statistically significant for only three conditions and accounted for only a small variation in cost. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. The mean of 0.630 is 0.070 lower than a comparison group of healthy older adults. Groessl, E. J., Kaplan, R. M., Castro 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. Cost-effectiveness of the LIFE Physical Activity Intervention for Older Adults at Increased Risk for Mobility Disability. For those with lower baseline fatigue, no group differences in MMD (P=.36) or PMMD (P=.82) were found. Public Health Implications: Barriers to NEMT are a health risk affecting high-need, economically disadvantaged patients. Updated: October 4, 2011 . There was no evidence of recovery to prehospitalization levels (time effect p >.41). Porzsolt, F. n., Matosevic, R. n., Kaplan, R. M. Long-Term Physical Exercise and Mindfulness Practice in an Aging Population. 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). Linking among different measures and consensus on standard HRQoL measurement should now be prioritized. 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. 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. 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. A general linear model estimated costs with fixed effects for chronic disease (present or absent) and mental health functioning (lowest, middle, and highest MCS score tertiles indicating low, middle, and high levels of mental health functioning, respectively). Bondoc, I., Cochrane, S. K., Church, T. S., Dahinden, P., Hettwer, S., Hsu, F., Stafford, R. S., Pahor, M., Buford, T. W. Effect of a 24-Month Physical Activity Intervention vs Health Education on Cognitive Outcomes in Sedentary Older Adults The LIFE Randomized Trial. 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. Those with less education were also more likely to be uninsured throughout the year. A., Goodpaster, B. H., McDermott, M. M., Nicklas, B. J., Yank, V., Johnson, J. Losing the ability to walk safely and independently is a major concern for many older adults. To date, physical exercise is the only intervention consistently demonstrated to attenuate age-related declines in physical function. Lives in New York, NY. 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). 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. Collaborative care has been widely studied from an economic perspective, with most studies demonstrating its relative cost-effectiveness per quality-adjusted life year (QALY) and some studies demonstrating its potential for cost neutrality or cost savings. 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. No significant differences were found across dynapenia and obesity status for all other metabolic components (P>.05). A., Ahn, D. K., Gill, T. M., Miller, M., Newman, A. The mental component summary (MCS) score of the 12-item Short Form (SF-12) was used as a measure of mental health status. Developed by Harvard Professor, Robert Kaplan and Dr. Dave Norton, the Balanced Scorecard is widely considered as the definitive model for translating strategy into action. Accelerometer patterns were characterized as bouts of sedentary (<100 counts/min; 1, 10, 30, 60 minute lengths) and activity (100 counts/min; 1, 2, 5, 10 minute lengths) time. 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. University of Cape Town, Cape Town South Africa. (Am J Public Health. Looking for books by Robert M. Kaplan? View details for DOI 10.1001/jama.2015.9617, View details for Web of Science ID 000360017200018, View details for PubMedCentralID PMC4698980. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. 1974 Medical School . Robert M. Kaplan is a forensic psychiatrist, speaker and writer based in Wollongong, Australia. 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. 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. Expected benefit was more influential in respondents' decision making than expected side effects. Economic arguments supporting modern NEMT are important given decreased support for human services spending. We examined the hypothesis that physical activity will have favorable effects on measures of self-efficacy for a 400-m walk and satisfaction with physical functioning in older adults 70+ years of age who have deficits in mobility. 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 Baseline frailty status did not modify the effect of physical activity on reducing incident MMD (P for interaction= 0.91).Frailty status was neither an entry criterion nor a randomization stratum.A structured, moderate-intensity physical activity program was not associated with a reduced risk for frailty over 2 years among sedentary, community-dwelling older adults.