Publications by authors named "Micah Aaron"

3 Publications

  • Page 1 of 1

Spending and Out-of-Pocket Prices for Brand-Name Drugs Among Commercially Insured Individuals in Massachusetts, 2015-2017.

JAMA Netw Open 2021 03 1;4(3):e213252. Epub 2021 Mar 1.

Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

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http://dx.doi.org/10.1001/jamanetworkopen.2021.3252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7994951PMC
March 2021

Impact of Goal Setting and Goal Attainment Methods on Asthma Outcomes.

Health Educ Behav 2017 02 9;44(1):103-112. Epub 2016 Jul 9.

1 University of Michigan, Ann Arbor, MI, USA.

Optimal use of goal-setting strategies in self-management efforts with high-risk individuals with asthma is not well understood. This study aimed to describe factors associated with goal attainment in an asthma self-management intervention for African American women with asthma and determine whether goal attainment methods proved beneficial to goal achievement and improved asthma outcomes. Data came from 212 African American women in the intervention arm of a randomized clinical trial evaluating a telephone-based asthma self-management program. Telephone interview data were collected to assess goals and goal attainment methods identified, asthma symptoms, asthma control, and asthma-related quality of life at baseline and 2-year follow-up. Generalized estimating equations were used to assess the long-term impact of goal setting and goal attainment methods on outcomes. The average age of the sample was 42.1 years ( SD = 14.8). Factors associated with goal attainment included higher education ( p < .01) and fewer depressive symptoms ( p < .01). Using a goal attainment method also resulted in more goals being achieved over the course of the intervention (Estimate [ SE] = 1.25 [0.18]; p < .001) when adjusted for clinical and demographic factors. Use of and types of goal attainment methods and goals were not found to significantly affect asthma control, quality of life, or frequency of nighttime asthma symptoms at follow-up. Using a method to achieve goals led to greater goal attainment. Goal attainment alone did not translate into improved asthma outcomes in our study sample. Further studies are warranted to assess the challenges of self-management in chronic disease patients with complex health needs and how goal setting and goal attainment methods can be strategically integrated into self-management efforts to improve health endpoints.
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http://dx.doi.org/10.1177/1090198116637858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004531PMC
February 2017

The influence of spatial working memory on ipsilateral remembered proprioceptive matching in adults with cerebral palsy.

Exp Brain Res 2012 Nov 14;223(2):259-69. Epub 2012 Sep 14.

Sensory-Motor and Rehabilitative Technology Laboratory, School of Exercise and Nutritional Sciences, College of Health and Human Services, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-7251, USA.

Somatosensation is frequently impaired in individuals with Cerebral Palsy (CP). This includes the sense of proprioception, which is an important contributor to activities of daily living. One means of determining proprioceptive deficits in CP has been use of an Ipsilateral Remembered (IR) position matching test. The IR test requires participants to replicate, without vision, memorized joint/limb positions previously experienced by the same (i.e. ipsilateral) effector. Given the memory component inherent to this task, the present study sought to determine the extent to which IR proprioceptive matching might be influenced by known spatial working memory deficits. Eleven adults with CP underwent IR elbow position matching, where blindfolded individuals were given either a short (2 s) or long (15 s) duration to memorize the target elbow angle. A standard clinical measure of spatial working memory (i.e. Corsi block-tapping task) was also administered. The results showed that the directional (i.e. constant) error produced across trials did not differ between the short and long target duration conditions. However, it was found that participants were significantly more consistent in their matches (i.e. had smaller variable errors) when given more time to encode proprioceptive targets in the long duration condition. The benefit of having more time was greatest for those individuals with the highest variable errors in the short target condition, and a significant association was seen between improvements in variable error and greater performance on 4/5 spatial working memory measures. These findings provide the best evidence to date that IR position matching tests are influenced by spatial working memory.
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http://dx.doi.org/10.1007/s00221-012-3256-8DOI Listing
November 2012
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