Personal and social goals may be effective in motivating older adults to exercise, according to a study this month in the American Journal of Preventive Medicine from CHIBE researchers Karen Glanz, PhD, MPH and Jason Karlawish, MD. In a 16 week period, both financial incentives and opportunity to donate to charity increased walking in older adults, by 2,348 steps and 2,562 steps per day, respectively.
This study is among the first few studies looking at the effectiveness of financial incentives in improving health behavior in older adults, and helps address some limitations of earlier studies.
In response to the recent change in CVD treatment guidelines, Jason Karlawish authored an Op-Ed in the New York Times, noting that new numerically driven guidelines are "a revolutionary shift. Once upon a time, medicine was a discipline based on the nuanced diagnosis and treatment of sick patients. Now, Big Data, networked computers and a culture obsessed with knowing its numbers have moved medicine from the bedside to the desktop (or laptop). The art of medicine is becoming the science of an insurance actuary. "
Source: Knowledge@Wharton, July 17, 2013
Creators of "connected-health devices" are facing several challenges including FDA guidelines and engagement among high-risk populations. The Way to Health platform, managed by Kevin Volpp and David Asch, has successfully tested several devices to improve engagement among people that are at high risk. Kevin Volpp believes that technology is an enabler, but the key challenge is changing people's behavior.
Investigators from the Roybal Center gathered to discuss behavioral economics and health among aging populations. Featured guest Heather Schofield, from of the Harvard School of Pubic Health, talked about online games and promoting mental acuity. Roybal investigators Jeffery Kullgren, Jason Karlawish, and others presented their research and Kevin Volpp announced an upcoming innovation tournament.
In her review of “Open Wound,” Abigail Zuger, MD comments that in regard to describing the doctor-patient relationship, “…few efforts in recent memory lay out the frustrations and confusions and crystalline moments of grace better than Dr. Jason Karlawish’s marvelous new book…” Karlawish's “Open Wound” is a historical novel, set in the 19th century. It follows the career of Dr. William Beaumont and his relationship with one of his patients, Alexis St. Martin.
In the November 9 issue of the Journal of the American Medical Association (JAMA – subscription required) Jason Karlawish and colleague Zachary Meisel propose that physicians use narrative stories to convey new research findings to patients. Citing widely-disseminated celebrity narratives opposing the MMR vaccine and new guidelines about prostate screening, Karlawish and Meisel suggest that developing counternarratives in support of the prevailing scientific evidence would help to spread the correct message and align with how people process information. They note, “Stories are an essential part of how individuals understand and use evidence."