A5034996737- Hip and Femur Fractures
- Bone health and osteoporosis research
- Frailty in Older Adults
- Nutrition and Health in Aging
- Cardiac Health and Mental Health
- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Cardiac, Anesthesia and Surgical Outcomes
- Physical Activity and Health
- Health disparities and outcomes
- Behavioral Health and Interventions
- Hip disorders and treatments
- Bone fractures and treatments
- Intensive Care Unit Cognitive Disorders
- Bone health and treatments
- Resilience and Mental Health
- Pharmaceutical Practices and Patient Outcomes
- Health and Wellbeing Research
- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Pressure Ulcer Prevention and Management
- Health Policy Implementation Science
- Balance, Gait, and Falls Prevention
- Orthopaedic implants and arthroplasty
- Geriatric Care and Nursing Homes
University of Maryland, Baltimore
2016-2025
University of Maryland, College Park
2004-2023
University of Baltimore
2006-2021
University of Maryland, Baltimore County
2014-2019
Johns Hopkins Medicine
2012
Johns Hopkins University
2012
University of Wisconsin–Madison
2012
St. Hedwig-Krankenhaus
2012
Institute on Aging
2012
National Institute on Aging
2012
Treatment fidelity refers to the methodological strategies used monitor and enhance reliability validity of behavioral interventions. This article describes a multisite effort by Fidelity Workgroup National Institutes Health Behavior Change Consortium (BCC) identify treatment concepts in health behavior intervention research. The work group reviewed practices research literature, identified techniques within BCC, developed recommendations for incorporating these more consistently. cover...
A. Bellg, B. Borrelli, et al. (2004) previously developed a framework that consisted of strategies to enhance treatment fidelity health behavior interventions. The present study used this (a) develop measure and (b) use the evaluate in articles published 5 journals over 10 years. Three hundred forty-two met inclusion criteria; 22% reported maintain provider skills, 27% checking adherence protocol, 35% using manual, 54% none these strategies, 12% all 3 strategies. mean proportion was .55;...
OBJECTIVES To develop an evidence‐based definition of sarcopenia that can facilitate identification older adults at risk for clinically relevant outcomes (eg, self‐reported mobility limitation, falls, fractures, and mortality), the Sarcopenia Definition Outcomes Consortium (SDOC) crafted a set position statements informed by literature review SDOC's analyses eight epidemiologic studies, six randomized clinical trials, four cohort studies special populations, two nationally representative...
The purpose of this study was to develop a measure outcome expectations for exercise specifically the older adult (The Outcome Expectations Exercise [OEE] Scale), and test reliability validity in sample individuals. This scale developed based on Bandura's theory self-efficacy work prior researchers development measures expectations.The OEE scale, which completed during face-to-face interview, tested 175 residents continuing care retirement community.There support internal consistency (alpha...
Possible explanations for the observed gender difference in mortality after hip fracture were examined a cohort of 804 men and women. Mortality during 2 years was identified from death certificates. Men twice as likely women to die, deaths caused by pneumonia/influenza septicemia showed greatest increase.Men are more die than Gender differences predisposing factors causes have not been systematically studied.Participants (173 631 women) Baltimore Hip Studies enrolled 1990 1991, at time...
Abstract Purpose To examine trends and prevalence of prescription psychotropic medication use among noninstitutionalized US adults. Methods Prescription data from the third National Health Nutrition Examination Survey (NHANES; 1988–1994; n = 20 050) 1999–2002 NHANES ( 12 060), two nationally representative cross‐sectional health examination surveys, were examined for persons aged ≥17 years. Results The age‐adjusted increased 6.1% in 1988–1994 to 11.1% p < 0.001). This was due more than a...
Treatment fidelity plays an important role in the research team's ability to ensure that a treatment has been implemented as intended and accurately tested. Developing, implementing, evaluating plan can be challenging. The workgroup within Behavior Change Consortium (BCC) developed guidelines comprehensively evaluate behavior change research. include evaluation of with regard study design, training interventionists, delivery receipt intervention, enactment intervention real-life settings....
Abstract Background Lack of consensus on how to diagnose sarcopenia has limited the ability this condition and hindered drug development. The Sarcopenia Definitions Outcomes Consortium (SDOC) was formed develop evidence-based diagnostic cut points for lean mass and/or muscle strength that identify people at increased risk mobility disability. We describe here proceedings a meeting SDOC other experts discuss strategic considerations in development definition. Methods Presentations panel...
Treatment fidelity refers to the methodological strategies used monitor and enhance reliability validity of behavioral interventions. Assuring optimal treatment also may decrease costs a study help research team explain findings.The Behavioral Change Consortium developed comprehensive model that incorporates 5 areas: (a) design, (b) training providers, (c) delivery treatment, (d) receipt (e) enactment skills. The definitions these areas case example (Testing Effectiveness Exercise Plus...
Background: Hip fracture affects more than 1.6 million persons worldwide and causes substantial changes in body composition, function, strength.Usual care (UC) has not successfully restored function to most patients, prior research identified an effective restorative program.Our objective was determine whether a yearlong home-based exercise program initiated following UC could be administered older patients with hip improve outcomes.Methods: A randomized controlled trial of 180 community...
<h3>Importance</h3> Disability persists after hip fracture in older persons. Current rehabilitation may not be sufficient to restore ability walk the community. <h3>Objective</h3> To compare a multicomponent home-based physical therapy intervention (training) with an active control on <h3>Design, Setting, and Participants</h3> Parallel, 2-group randomized clinical trial conducted at 3 US centers (Arcadia University, University of Connecticut Health Center, Maryland, Baltimore). Randomization...
The purpose of this study was to test the relationship among social supports related exercise (family, friends, and expert support), self-efficacy expectations, outcome behavior in a sample older adults living continuing care retirement community. included 74 with mean age 85.6±5.5. Path analysis using Amos 4.0 done. model fit data (chi-square = 4.6, df 3, p .21, normed index .99, relative .98, root square error approximation .08) explained 53% variance behavior. Five seven hypothesized...
Purpose: The purpose of this study was to describe the Medication Management Instrument for Deficiencies in Elderly (MedMaIDE) and provide results reliability validity testing. Design Methods:Participants were 50 older adults, aged 65 older, who lived community, took at least one prescription medication, then self-medicating. Nonmedical staff assessed participants their homes baseline 1 week, a pharmacist conducted pill counts 30 days. MedMaIDE covers three domains important ensuring...
Background: Exercise is an important strategy with potential to improve recovery in older adults following a hip fracture. Purpose: The purpose of this study was test the impact self-efficacy based intervention, Plus Program, and different components on self-efficacy, outcome expectations, exercise behavior among women post-hip Methods: Participants were randomized one four groups: plus, only, plus only (i.e., motivation), or routine care. Data collection done at baseline (within 22 days...
OBJECTIVES: To identify care settings associated with greater pressure ulcer risk in elderly patients hip fracture the postfracture period. DESIGN: Prospective cohort study. SETTING: Nine hospitals that participate Baltimore Hip Studies network and 105 postacute facilities to which from these were discharged. PARTICIPANTS: aged 65 older who underwent surgery for fracture. MEASUREMENTS: A full‐body skin examination was conducted at baseline (as soon as possible after hospital admission)...
Objectives To determine the stability of psychomotor subtypes delirium over time and identify characteristics associated with in individuals undergoing surgical repair hip fracture. Design Prospective cohort study. Setting The Transfusion Trigger Trial for Functional Outcomes Cardiovascular Patients Undergoing Surgical Hip Fracture Repair Cognitive Ancillary Study was conducted at 13 participating sites from 2008 to 2009. Participants Individuals who had undergone fracture (N = 139)....
Background. Hip fracture is a significant health problem for men and women; between 25 30 percent of all hip fractures are sustained by men. Relatively little known about gender differences in functional outcomes after fracture. The purpose the current study to compare post-hip recovery women.