A5033577510- Balance, Gait, and Falls Prevention
- Musculoskeletal pain and rehabilitation
- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Health disparities and outcomes
- Nutrition and Health in Aging
- Chronic Disease Management Strategies
- Healthcare Systems and Technology
- Patient-Provider Communication in Healthcare
- Physical Activity and Health
- Health and Wellbeing Research
- Frailty in Older Adults
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Literacy and Information Accessibility
- Injury Epidemiology and Prevention
- Electronic Health Records Systems
- Pain Management and Opioid Use
- Patient Satisfaction in Healthcare
- Mobile Health and mHealth Applications
- Health and Well-being Studies
- Dementia and Cognitive Impairment Research
- Oral microbiology and periodontitis research
- Dental Health and Care Utilization
- Pain Mechanisms and Treatments
- Health Systems, Economic Evaluations, Quality of Life
University of Massachusetts Boston
2015-2024
Beth Israel Deaconess Medical Center
2014-2023
Boston University
2004-2023
Harvard University
2012-2022
National Institute on Aging
1997-2020
Spaulding Rehabilitation Hospital
2002-2020
Foundation for Physical Medicine and Rehabilitation
2020
Eunice Kennedy Shriver National Institute of Child Health and Human Development
2020
The University of Texas Health Science Center at San Antonio
2020
VA Boston Healthcare System
2020
Background. Although it has been demonstrated that physical performance measures predict incident disability in previously nondisabled older persons, the available data have not fully developed to create usable methods for determining risk profiles community-dwelling populations. Using several populations and different follow-up periods, this study replicates previous findings by using Established Populations Epidemiologic Study of Elderly (EPESE) battery provides equations prediction...
This article has been corrected. The original version (PDF) is appended to this as a Supplement. Chinese translation Background: Little information exists about what primary care physicians (PCPs) and patients experience if are invited read their doctors' office notes. Objective: To evaluate the effect on doctors of facilitating patient access visit notes over secure Internet portals. Design: Quasi-experimental trial PCPs volunteers in year-long program that provided with electronic links...
Muscle weakness, low body weight, and chronic diseases are often observed in the same people; however, association of muscle strength with mortality, independent disease status has not been elucidated. The aim was to assess hand grip as a predictor all-cause mortality within different levels mass index (BMI) initially disease-free men.Mortality followed prospectively over 30 years. Maximal tests BMI assessments were done at baseline 1965 1970. participants 6040 healthy men aged 45 68 years...
OBJECTIVES: To test whether accelerated sarcopenia in older persons with high interleukin (IL)‐6 serum levels plays a role the prospective association between inflammation and disability found many studies. DESIGN: Cohort study of women moderate to severe disability. PARTICIPANTS: Six hundred twenty from Women's Health Aging Study whom information on baseline IL‐6 level was available. MEASUREMENTS: Self‐report functional status, objective measures walking performance, knee extensor strength...
OBJECTIVES: The purpose of this study was to assess the influence leg power and strength on physical performance community‐dwelling mobility‐limited older people. DESIGN: Cross‐sectional analysis baseline data from a 12‐week randomized controlled exercise‐intervention study. SETTING: Exercise laboratory within Department Health Science an urban university. PARTICIPANTS: Forty‐five people (34 women, 11 men), aged 65 83. MEASUREMENTS: status, depression, cognition, activity, falls efficacy;...
OBJECTIVES: This study examined the effect of depression on incidence physical disability and role confounding explanatory variables in this relationship. METHODS: A cohort 6247 subjects 65 years older who were initially free was followed up for 6 years. Baseline assessed by Center Epidemiological Studies Depression Scale. Disability mobility activities daily living measured annually. RESULTS: Compared with 5751 nondepressed subjects, 496 depressed had a relative risk (95% confidence...
Chronic pain is a major contributor to disability in older adults; however, the potential role of chronic as risk factor for falls poorly understood.To determine whether musculoskeletal associated with an increased occurrence cohort community-living adults.The Maintenance Balance, Independent Living, Intellect, and Zest Elderly (MOBILIZE) Boston Study population-based longitudinal study involving 749 adults aged 70 years older. Participants were enrolled from September 2005 through January...
To estimate the prevalence of physical disability associated with diabetes among U.S. adults > or =60 years age.We analyzed data from a nationally representative sample 6,588 community-dwelling men and women age who participated in Third National Health Nutrition Examination Survey. Diabetes comorbidities (coronary heart disease, intermittent claudication, stroke, arthritis, visual impairment) were assessed by questionnaire. Physical was self-reported ability to walk one-fourth mile, climb...
Background. In a clinical study evaluating the functioning of mobility-limited elders, muscle power accounted for more variation in function than strength did. There was also evidence that power–function relationship may be described as curvilinear. However, these findings have never been confirmed representative population. Methods. An analysis conducted using data from InCHIANTI study, population-based cohort 1032 adults living Italy. To assess relationships between impairments and...
Background Following a 2010-2011 pilot intervention in which limited sample of primary care doctors offered their patients secure Web-based portal access to office visit notes, the participating sites expanded OpenNotes nearly all clinicians care, medical, and surgical specialty practices. Objective The aim this study was examine ongoing experiences perceptions who read ambulatory notes written by broad range doctors, nurses, other clinicians. Methods A total 3 large US health systems...
Patient advocates and safety experts encourage adoption of transparent health records, but sceptics worry that shared notes may offend patients, erode trust or promote defensive medicine. As electronic records disseminate, such disparate views fuel policy debates about risks benefits sharing visit with patients through portals.Presurveys postsurveys from 99 volunteer doctors at three US sites who participated in OpenNotes 4592 read least one note submitted a survey.Patients to be better...
<h3>Importance</h3> As health information transparency increases, patients more often seek their data. More than 44 million in the US can now readily access ambulatory visit notes online, and practice is increasing abroad. Few studies have assessed documentation errors that identify how these may inform patient engagement safety strategies. <h3>Objective</h3> To assess frequency types of identified by who read open notes. <h3>Design, Setting, Participants</h3> In this survey study, a total...
This study examines, in initially nondisabled older persons, the impact of reduced lower extremity performance on subsequent hospitalizations.
OBJECTIVES. Because preventing disability and falls in older adults is a national priority, randomized controlled trial was conducted to test multicomponent intervention program. METHODS. From random sample of health maintenance organization (HMO) enrollees 65 years older, 1559 ambulatory seniors were one three groups: nurse assessment visit follow-up interventions targeting risk factors for (group 1, n = 635); general promotion 2, 317); usual care 3, 607). Data collection consisted baseline...
The purpose of this study was to estimate the prevalence having no disability in year prior death very old age and examine factors associated with outcome. Participants were men women aged 65 years older who followed prospectively between 1981 1991 from three communities: New Haven, Connecticut; Iowa Washington counties, Iowa; East Boston, Massachusetts. Persons died late known status within 15 months (n = 1,097) studied for predictors dying without at last follow-up interview death....
The effect of smoking and physical activity on active disabled life expectancy was estimated using data from the Established Populations for Epidemiologic Studies Elderly (EPESE). Population-based samples persons aged >65 years East Boston, Massachusetts, New Haven, Connecticut, Iowa sites EPESE were assessed at baseline between 1981 1983 followed mortality disability over six annual follow-ups. A total 8,604 without classified as "ever" or "never" smokers doing "low," "moderate," "high"...
BACKGROUND : Effective new strategies that complement primary care are needed to reduce disability risks and improve self‐management of chronic illness in frail older people living the community. OBJECTIVE To evaluate impact a 1‐year, senior center‐based prevention program on health, functioning, healthcare utilization adults. DESIGN A randomized controlled trial. SETTING large center located northeast Seattle suburb. The trial was conducted collaboration with providers two managed...
Objectives.This study examined sex differences in the prevalence of mobility disability older adults according to influences three components prevalence: incidence, recovery from disability, and mortality.Methods.Participants a population-based communities United States (N= 10,263) were studied for up 7 years.Life table methods used estimate influence each women men.Sex probabilities transition states measured by relative risks derived single model using Markov chain approach.Results.The...
To determine whether musculoskeletal pain increased risk for falls in older women with disabilities.Prospective population-based cohort study.The city and county of the eastern area Baltimore.One thousand two aged 65 older, participants Women's Health Aging Study, representing one-third who were living at home disabilities, followed semiannually 3 years beginning 1991.Pain was categorized into four groups according to severity location. Widespread defined as upper lower extremities axial...
OBJECTIVES : The purpose of this study was to determine whether walking is associated with a reduced risk cardiovascular disease hospitalization and death in community‐dwelling older men women. DESIGN A prospective study, follow‐up time 4 5 years (average 4.2 years). SETTING western Washington health maintenance organization. PARTICIPANTS Men women aged 65 from random sample HMO enrollees invited by mail participate promotion intervention trial (36% accepted the invitation completed...
Older drivers have the second highest risk for motor vehicle collisions of any age group, after adolescents. Psychoactive medications may place older at increased injurious collisions. We conducted a population-based matched case-control study who were involved in crashes during 1987 and 1988. The 234 cases 447 controls members large Seattle-based health maintenance organization. Use antidepressants opioid analgesics by was associated with Compared non-users, current users cyclic had an...
Severe disabilities are common among older people who have impairments in a range of physiologic systems. It is not known, however, whether the presence multiple impairments, or coimpairments, associated with increased risk developing new disability. The aim this study was to determine combined effects two decreased knee-extension strength and poor standing balance, on severe walking disability older, moderately-to-severely disabled women did at baseline.The Women's Health Aging Study 3-year...
Background: Widespread musculoskeletal pain is a poorly understood but common problem in older adults. Little known about the progression of disability related to this condition. Objective: To determine whether widespread increases risk for worsening women with disabilities. Design: Prospective cohort study. Setting: The Women's Health and Aging Study. Participants: 1002 community-dwelling 65 years age or disability. Measurements: was defined as upper lower extremities axial moderate severe...
This article has been corrected. The original version (PDF) is appended to this as a supplement. Background: Little known about what primary care physicians (PCPs) and patients would expect if were invited read their doctors' office notes. Objective: To explore attitudes toward potential benefits or harms PCPs offered ready access visit Design: completed surveys before joining voluntary program that provided electronic links Setting: Primary practices in 3 U.S. states. Participants:...