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David L. Roth, M.A., Ph.D.

Director, Center on Aging and Health
Professor of Medicine

See Research on Pubmed | See Research on Google Scholar

Male

Titles

  • Director, Center on Aging and Health
  • Professor of Epidemiology
  • Professor of Medicine

Centers & Institutes

  • Center on Aging and Health

Expertise

Behavioral Disorders in Dementia, Behavioral Medicine, Neuropsychology, Stroke, Stroke Prevention, Stroke Rehabilitation

Research Interests

Family caregiving; Stroke recovery

Biography

I am the Director of the Center on Aging and Health and a Professor in the Division of Geriatric Medicine and Gerontology of the Johns Hopkins School of Medicine. I have joint appointments as a Professor in the Department of Epidemiology and the Department of Biostatistics of the Johns Hopkins Bloomberg School of Public Health. Prior to joining the faculty at Johns Hopkins in January of 2012, I was a Professor of Biostatistics in the School of Public Health at the University of Alabama at Birmingham. I have over 25 years of experience as an investigator in the areas of gerontology, behavioral research, and family and social factors as they relate to chronic diseases and their clinical management.  I also have specific expertise and experience in applied, multivariate statistical modeling. My research activities include specific and active interests in the psychosocial aspects of chronic health conditions, both for patients and for their family caregivers. This includes much work on the effects of disabling neurological conditions such as Alzheimer’s disease and stroke on patients and on the family members who provide care for them. I also have considerable experience serving as a senior statistical and methodological co-investigator on epidemiological studies of aging and on clinical trials of complex interventions for older patients and their caregivers. Areas of statistical expertise include longitudinal analysis methods, structural equation modeling techniques, latent variable approaches, psychometric analysis methods, mediation analysis, and the design and analysis of intervention trials.

Languages

  • English

Memberships

American Psychological Association

Gerontological Society of America

Additional Resources +
  • Education +

    Education

    • B.S., University of North Dakota, Grand Forks, ND, 1980, Mathematics and Psychology
    • M.A., University of Kansas, Lawrence, KS, 1983, Psychology
    • Ph.D., University of Kansas, Lawrence, KS, 1986, Psychology
    • Internship Certification, University of Florida, Gainesville, Florida, USA, 1986, Clinical Neuropsychology
  • Research & Publications +

    Selected Publications View all on PubMed

    Peer-Reviewed Original Science Publications:

    1. Tucker, D. M., & Roth, D. L., (1984). Factoring the coherence matrix: Patterning of the frequency-specific covariance in a multichannel EEG. Psychophysiology, 21, 228-236.

    2. Roth, D. L., Hughes, C. W., Monkowski, P. G., & Crosson, B. (1984). Investigation of validity of WAIS-R short forms for patients suspected to have brain impairment. Journal of Consulting and Clinical Psychology, 52, 722-723.

    3. Crosson, B., Hughes, C. W., Roth, D. L., & Monkowski, P. G. (1984). Review of Russell's (1975) norms for the logical memory and visual reproduction subtests of the Wechsler Memory Scale. Journal of Consulting and Clinical Psychology, 52, 635-641.

    4. Roth, D. L., & Ingram, R. E. (1985). Factors in the self-deception questionnaire: Associations with depression. Journal of Personality and Social Psychology, 48, 243-251.

    5. Tucker, D. M., Dawson, S. L., Roth, D. L., & Penland, J. G. (1985). Regional changes in EEG power and coherence during cognition: Intensive study of two individuals. Behavioral Neuroscience, 99, 564-577.

    6. Roth, D. L., & Crosson, B. (1985). Memory span and long-term memory deficits in brain-impaired patients. Journal of Clinical Psychology, 41, 521-527.

    7. Roth, D. L., & Holmes, D. S. (1985). Influence of physical fitness in determining the impact of stressful life events on physical and psychological health. Psychosomatic Medicine, 47, 164-173.

    8. Holmes, D. S., & Roth, D. L. (1985). Association of aerobic fitness with pulse rate and subjective responses to psychological stress. Psychophysiology, 22, 525-529.

    9. Smith, T. W., Ingram, R. E., & Roth, D. L. (1985). Self-focused attention and depression: Self-evaluation, affect, and life stress. Motivation and Emotion, 9, 381-389.

    10. Tucker, D. M., Roth, D. L., & Bair, T. B. (1986). Functional connections among cortical regions: Topography of EEG coherence. Electroencephalography and Clinical Neurophysiology, 63, 242-250.

    11. Embretson, S., Schneider, L. M., & Roth, D. L. (1986). Multiple processing strategies and the construct validity of verbal reasoning tests. Journal of Educational Measurement, 23, 13-32.

    12. Roth, D. L., Snyder, C. R., & Pace, L. M. (1986). Dimensions of favorable self-presentation. Journal of Personality and Social Psychology, 51, 867-874.

    13. Roth, D. L., & Holmes, D. S. (1987). Influence of aerobic exercise training and relaxation training on physical and psychological health following stressful life events. Psychosomatic Medicine, 49, 355-365.

    14. Roth, D. L., Harris, R. N., & Snyder, C. R. (1988). An individual differences measure of attributive and repudiative tactics of favorable self-presentation. Journal of Social and Clinical Psychology, 6, 159-170.

    15. Novack, T. A., Roth, D. L., & Boll, T. J. (1988). Treatment alternatives following mild head injury. Rehabilitation Counseling Bulletin, 31, 313-324.

    16. Holmes, D. S., & Roth, D. L. (1988). Effects of aerobic exercise training and relaxation training on cardiovascular activity during psychological stress. Journal of Psychosomatic Research, 32, 469-474.

    17. Fillingim, R. B., Roth, D. L., & Haley, W. E. (1989). The effects of distraction on the perception of exercise-induced symptoms. Journal of Psychosomatic Research, 33, 241-248.

    18. Roth, D. L., Wiebe, D. J., Fillingim, R. B., & Shay, K. A. (1989). Life events, fitness, hardiness, and health: A simultaneous analysis of proposed stress-resistance effects. Journal of Personality and Social Psychology, 57, 136-142.


    19. Norvell, N., Roth, D. L., Franco, E., & Pepine, C. J. (1989). Cardiovascular reactivity and silent ischemia in response to mental stress in symptomatic and asymptomatic coronary artery disease patients: Results of a pilot study. Clinical Cardiology, 12, 634-638.

    20. Roth, D. L. (1989). Acute emotional and psychophysiological effects of aerobic exercise. Psychophysiology, 26, 593-602.

    21. Hagglund, K. J., Roth, D. L., Haley, W. E., & Alarcon, G. S. (1989). Discriminant and convergent validity of self-report measures of affective distress in patients with rheumatoid arthritis. Journal of Rheumatology, 16, 1428-1432.

    22. Crosson, B., Greene, R. L., Roth, D. L., Farr, S. P., & Adams, R. L. (1990). WAIS-R pattern clusters after blunt head injury. The Clinical Neuropsychologist, 4, 253-262.

    23. Roth, D. L., Bachtler, S. D., & Fillingim, R. B. (1990). Acute emotional and cardiovascular effects of stressful mental work during aerobic exercise. Psychophysiology, 27, 694-701.

    24. Roth, D. L., Conboy, T. J., Reeder, K. P., & Boll, T. J. (1990). Confirmatory factor analysis of the Wechsler Memory Scale - Revised in a sample of head-injured patients. Journal of Clinical and Experimental Neuropsychology, 12, 848-856.

    25. Brittain, J. L., La Marche, J. A., Reeder, K. P., Roth, D. L., & Boll, T. J. (1991). Norms for the Paced Auditory Serial Addition Task (PASAT): Significant effects of age and IQ. The Clinical Neuropsychologist, 5, 163-175.

    26. Lechner, D. E., Roth, D. L., & Straaton, K. V. (1991). Functional capacity evaluation in work disability. Work, 1, 37-47.

    27. Shay, K. A., & Roth, D. L. (1992). Association of aerobic fitness and visuospatial performance in healthy older adults. Psychology and Aging, 7, 15-24.

    28. Fillingim, R. B., Roth, D. L., & Cook, E. W. (1992). The effects of aerobic exercise on cardiovascular, facial EMG, and self-report responses to emotional imagery. Psychosomatic Medicine, 54, 109-120.

    29. Goode, K. T., & Roth, D. L. (1993). Factor analysis of cognitions during running: Association with mood change. Journal of Exercise and Sports Psychology, 15, 375-389.

    30. Williams, K. L., Roth, D. L., Kuzniecky, R., Faught, E., & Morawetz, R. (1994). Psychosocial outcome following temporal lobe surgery. Journal of Epilepsy, 7, 144-151.

    31. Roth, D. L., Goode, K. T., Williams, V. L., & Faught, E. (1994). Physical exercise, stressful life experience, and depression in adults with epilepsy. Epilepsia, 35, 1248-1255.

    32. Kessler, H. R., Roth, D. L., Kaplan, R. F., & Goode, K. T. (1994). Confirmatory factor analysis of the Mattis Dementia Rating Scale. The Clinical Neuropsychologist, 8, 451-461.

    33. Lechner, D. E., Jackson, J. R., Roth, D. L., & Straaton, K. V. (1994). The reliability and validity of a newly developed test of physical work performance. Journal of Occupational Medicine, 36, 997-1004.


    34. Hunter, G. R., Treuth, M. S., Weinsier, R. L., Kekes-Szabo, T., Kell, S. H., Roth, D. L., & Nicholson, C. (1995). The effects of strength conditioning on older women's ability to perform daily tasks. Journal of the American Geriatrics Society, 43, 756-760.

    35. Haley, W. E., West, C. A., Wadley, V. G., Ford, G. R., White, F. A., Barrett, J. J., Harrell, L. E., & Roth, D. L. (1995). Psychological, social, and health impact of caregiving: A comparison of Black and White dementia family caregivers and noncaregivers. Psychology and Aging, 10, 540-552.

    36. Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A., Collins, R. P. & Isobe, T. L. (1996). Appraisal, coping, and social support as mediators of well-being in Black and White family caregivers of patients with Alzheimer's disease. Journal of Consulting and Clinical Psychology, 64, 121-129.

    37. Myers, R. S., & Roth, D. L. (1997). Perceived benefits of and barriers to exercise and stage of exercise adoption in young adults. Health Psychology, 16, 277-283.

    38. Goode, K. T., Haley, W. E., Roth, D. L., & Ford, G. R. (1998). Predicting longitudinal changes in caregiver physical and mental health: A stress process model. Health Psychology, 17, 190-198.

    39. Sawrie, S. M., Martin, R. C., Gilliam, F. G., Roth, D. L., Faught, E., & Kuzniecky, R. (1998). Contribution of neuropsychological data to the prediction of temporal lobe epilepsy surgery outcome. Epilepsia, 39, 319-325.

    40. Goode, K. T., Ball, K. K., Sloane, M., Roenker, D. L., Roth, D. L., Myers, R. S., & Owsley, C. (1998). Useful field of view and other neurocognitive indicators of crash risk in older adults. Journal of Clinical Psychology in Medical Settings, 5, 425-440.

    41. Martin, R. C., Sawrie, S. M., Gilliam, F. G., Roth, D. L., Faught, E., Morawetz, R. B., & Kuzniecky, R. (1998). Individual memory change following anterior temporal lobectomy: A base rate analysis employing regression-based outcome methodology. Epilepsia, 39, 1075-1082.

    42. Martin, R. C., Hugg, J. W., Roth, D. L., Bilir, E., Gilliam, F. G., Faught, E., & Kuzniecky, R. (1999). MRI extrahippocampal volumes and visual memory: Correlations independent of MRI hippocampal volumes in temporal lobe epilepsy patients. Journal of the International Neuropsychological Society, 5, 540-548.

    43. McCarty, H. J., Roth, D. L., Goode, K. T., Owen, J. E., Harrell, L., Donovan, K., & Haley, W. E. (2000). Longitudinal course of behavior problems during Alzheimer's disease: Linear versus curvilinear patterns of decline. Journal of Gerontology: Medical Sciences, 55, 200-206.

    44. Goode, P. S., Locher, J. L., Bryant, R. L., Roth, D. L., & Burgio, K. L. (2000). Measurement of postvoid residual urine with portable transabdominal bladder ultrasound scanner and urethral catheterization. International Urogynecology Journal, 11, 296-300.

    45. Martin, R. C., Sawrie, S. M., Edwards, R., Roth, D. L., Faught, E. Kuzniecky, R. I., Morawetz, R. B., & Gilliam, F. G. (2000). Investigation of executive function change following anterior temporal lobectomy: Selective normalization of verbal fluency. Neuropsychology, 14, 501-508.

    46. Burgio, L. D., Butler, F. R., Roth, D. L., Hardin, J. M., Hsu, C. C., & Ung, K. (2000). Agitation in nursing home residents: The role of gender and social context. International Psychogeriatrics, 12, 495-511.


    47. Roth, D. L., Stewart, K. E., Clay, O. J., van der Straten, A., Karita, E., & Allen, S. (2001). Sexual practices of HIV discordant and concordant couples in Rwanda: Effects of a testing and counseling program for men. International Journal of STD & AIDS, 12, 181-188.

    48. Burgio, K. L., Locher, J. L., Roth, D. L., & Goode, P. S. (2001). Psychological improvements associated with behavioral and drug treatment of urge incontinence in older women. Journal of Gerontology: Psychological Sciences, 56B, 46-51.

    49. Locher, J. L., Goode, P. S., Roth, D. L., Worrell, R. L., & Burgio, K. L. (2001). Reliability assessment of the bladder diary for urinary incontinence in older women. Journal of Gerontology: Medical Sciences, 56A, 32-35.

    50. Roth, D. L., Haley, W. E., Owen, J. E., Clay, O. J., & Goode, K. T. (2001). Latent growth models of the longitudinal effects of dementia caregiving: A comparison of African-American and White family caregivers. Psychology and Aging, 16, 427-436.

    51. Burgio, L. D., Allen-Burge, R., Roth, D. L., Bourgeois, M. S., Dijkstra, K., Gerstle, J., Jackson, E., & Bankester, L. (2001). Come talk with me: Improving communication between nursing assistants and nursing home residents during care routines. The Gerontologist, 41, 449-460.

    52. Czaja, S. J., Sharit, J., Ownby, R., Roth, D. L., & Nair, S. (2001). Examining age differences in performance of a complex information search and retrieval task. Psychology and Aging, 16, 564-579.

    53. Owen, J. E., Roth, D. L., Stevens, A. B., McCarty, H. J., Clay, O. J., Wadley, V. G., Goode, K. T., & Haley, W. E. (2002). Association of life events and psychological distress in family caregivers of dementia patients. Aging and Mental Health, 6, 62-71.

    54. Cotter, E. M., Burgio, L. D., Stevens, A. B., Roth, D. L., & Gitlin, L. N. (2002). Correspondence of the Functional Independence Measure (FIM) self-care subscale with real-time observations of dementia patients' ADL performance in the home. Clinical Rehabilitation, 16, 36-45.

    55. Fisher, S. E., Burgio, L. D., Thorn, B. E., Allen-Burge, R., Gerstle, J., Roth, D. L., & Allen, S. J. (2002). Pain assessment and management in cognitively impaired nursing home residents: Association of certified nursing assistant pain report, minimum data set pain report, and analgesic medication use. Journal of the American Geriatrics Society, 50, 152-156.

    56. Burgio, L. D., Stevens, A. B., Burgio, K. L., Roth, D. L., Paul, P., & Gerstle, J. (2002). Teaching and maintaining behavior management skills in the nursing home. The Gerontologist, 42, 487-496.

    57. Locher, J. L., Burgio, K. L., Goode, P. S., Roth, D. L., & Rodriguez, E. (2002). The effects of age and causal attribution to age on health behaviors related to incontinence. The Gerontologist, 42, 515-521.

    58. Goode, P. S., Burgio, K. L., Locher, J. L., Umlauf, M. G., Lloyd, L. K., & Roth, D. L. (2002). Urodynamic changes associated with behavioral and drug treatment of urge incontinence in older women. Journal of the American Geriatrics Society, 50, 808-816.

    59. Lerman, C., Roth, D. L., Kaufmann, V., Audrain, J., Hawk, L., Liu, A., Niaura, R., & Epstein, L. (2002). Mediating mechanisms of the impact of bupropion in smoking cessation treatment. Drug and Alcohol Dependence, 67, 219-223.


    60. Ebert, S. A., Tucker, D. C., & Roth, D. L. (2002). Psychological resistance factors as predictors of general health status and physical symptom reporting. Psychology, Health, & Medicine, 7, 363-375.

    61. Roth, D. L., Stevens, A. B., Burgio, L. D. & Burgio, K. L. (2002). Timed-event sequential analysis of agitation in nursing home residents during personal care interactions with nursing assistants. Journal of Gerontology: Psychological Sciences, 57B, 461-468.

    62. Burgio, K. L., Goode, P. S., Locher, J. L., Umlauf, M. G., Roth, D. L., Richter, H. E., Varner, R. E., Lloyd, L. K. (2002). Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: A randomized clinical trial. Journal of the American Medical Association, 288, 2293-2299.

    63. Vance, D. E., Burgio, L. D., Roth, D. L., Stevens, A. B., Fairchild, K., & Yurick, A. (2003). Predictors of agitation in nursing home residents. Journal of Gerontology: Psychological Sciences, 58B, P129-P137.

    64. Goode, P. S., Burgio, K. L., Locher, J. L., Umlauf, M., Roth, D. L., Richter, H. E., Varner, R. E., & Lloyd, L. K. (2003). Effects of behavioral training with or without pelvic floor electrical simulation on stress incontinence in women: A randomized controlled trial. Journal of the American Medical Association, 290, 345-352.

    65. Burgio, L.D., Stevens, A., Guy, D., Roth, D. L., & Haley, W. E. (2003). Impact of two psychosocial interventions on White and African American family caregivers of individuals with dementia. The Gerontologist, 43, 568-579.

    66. Roth, D. L., Goode, K. T., Clay, O. J., & Ball, K. K. (2003). Association of physical activity and visual attention in older adults. Journal of Aging and Health, 15, 534-547.

    67. Burgio, K. L., Goode, P. S., Locher, J. L., Richter, H. E., Roth, D. L., Wright, K. C., & Varner, R. E. (2003). Predictors of outcome in the behavioral treatment of urinary incontinence in women. Obstetrics and Gynecology, 102, 940-947.

    68. Allen, R. S., Burgio, L. D., Roth, D. L., Ragsdale, R., Gerstle, J., Bourgeois, M. S., Dijkstra, K., & Teri, L. (2003). The Revised Memory and Behavior Problems Checklist -- Nursing Home: Instrument development and measurement of burden among certified nursing assistants. Psychology and Aging, 18, 886-895.

    69. Roth, D. L., Burgio, L. D., Gitlin, L. N., Gallagher-Thompson, D., Coon, D. W., Belle, S. H., Stevens, A. B., & Burns, R. (2003). Psychometric analysis of the Revised Memory and Behavior Problems Checklist: Factor structure of occurrence and reaction ratings. Psychology and Aging, 18, 906-915.

    70. Baños, J. H., Roth, D. L., Palmer, C., Morawetz, R., Knowlton, R., Faught, E., Kuzniecky, R., Bilir, E., & Martin, R. C. (2004). Confirmatory factor analysis of the California Verbal Learning Test in epilepsy patients: Relationship to clinical and neuropathological markers of temporal lobe epilepsy. Neuropsychology, 18, 60-68.

    71. Mittelman, M. S., Roth, D. L., Haley, W. E., & Zarit, S. H. (2004). Effects of a caregiver intervention on negative caregiver appraisals of behavior problems in patients with Alzheimer's disease: Results of a randomized trial. Journal of Gerontology: Psychological Sciences, 59B, P27-P34.

    72. Owen, J. E., Klapow, J. C., Roth, D. L., Nabell, L., & Tucker, D. C. (2004). Improving the effectiveness of adjuvant psychological treatment for women with breast cancer: The feasibility of providing online support. Psycho-Oncology, 13, 281-292.

    73. Mittelman, M. S., Roth, D. L., Coon, D. W., & Haley, W. E. (2004). Sustained benefit of supportive intervention for depressive symptoms in Alzheimer's caregivers. American Journal of Psychiatry, 161, 850-856.

    74. Stevens, A., Owen, J., Roth, D. L., Clay, O. J., Bartolucci, A., & Haley, W. E. (2004). Predictors of time to nursing home placement in White and African American individuals with dementia. Journal of Aging and Health, 16, 375-397.

    75. Jang, Y., Clay, O. J., Roth, D. L., Haley, W. E., & Mittelman, M. S. (2004). Neuroticism and longitudinal change in caregiver depression: Impact of a spouse-caregiver intervention program. The Gerontologist, 44, 311-317.

    76. Mark, V. M., Woods, A. J., Ball, K. K., Roth, D. L., & Mennemeier, M. (2004). Disorganized search on cancellation is not a consequence of neglect. Neurology, 63, 78-84.

    77. Owen, J. E., Klapow, J. C., Roth, D. L., & Tucker, D. C. (2004). Use of the Internet for information and support: Disclosure among persons with breast and prostate cancer. Journal of Behavioral Medicine, 27, 491-505.

    78. Locher, J. L., Ritchie, C. S., Roth, D. L., Baker, P. S., Bodner, E. V., & Allman, R. M. (2005). Social isolation, support, and capital and nutritional risk in an older sample: Ethnic and gender differences. Social Science and Medicine, 60, 747-761.

    79. LoGalbo, A., Sawrie, S., Roth, D. L., Kuzniecky, R., Knowlton, R., Faught, E., & Martin, R. (2005). Verbal memory outcome in patients with normal preoperative verbal memory and left mesial temporal sclerosis. Epilepsy and Behavior, 6, 337-341.

    80. Gitlin, L. N., Roth, D. L., Burgio, L. D., Loewenstein, D. A., Winter, L., Nichols, L., Argüelles, S., Corcoran, M., Burns, R., & Martindale, J. (2005). Caregiver appraisals of functional dependence in individuals with dementia and associated caregiver upset: Psychometric properties of a new scale and response patterns by caregiver and care recipient characteristics. Journal of Aging and Health, 17, 148-171.

    81. Clay, O. J., Wadley, V. G., Edwards, J. D., Roth, D. L., Roenker, D. L., & Ball, K. K. (2005). Cumulative meta-analysis of the relationship between useful field of view and driving performance in older adults: Current and future implications. Optometry and Vision Science, 82, 724-731.

    82. Peel, C., Baker, P. S., Roth, D. L., Brown, C. J., Bodner, E. V., & Allman, R. M. (2005). Assessing mobility in older adults: The UAB Study of Aging Life-Space Assessment. Physical Therapy, 85, 1008-1019.

    83. Owen, J. E., Klapow, J. C., Roth, D. L., Shuster, J. L., Bellis, J., Meredith, R., & Tucker, D. C. (2005). Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer. Annals of Behavioral Medicine, 30, 54-64.

    84. Clark, L. F., Miller, K. S., Nagy, S. S., Avery, J., Roth, D. L., Liddon, N., & Mukherjee, S. (2005). Adult identity mentoring: Reducing sexual risk in African-American seventh grade students. Journal of Adolescent Health, 37, 337.e1-337.e10.

    85. Locher, J. L., Robinson, C. O., Roth, D. L., Ritchie, C. S., & Burgio, K. L. (2005). The effect of presence of others on caloric intake in homebound older adults. Journal of Gerontology: Medical Sciences, 60A, 1475-1478.

    86. Roth, D. L., Mittelman, M. S., Clay, O. J., Madan, A., & Haley, W. E. (2005). Changes in social support as mediators of the impact of a psychosocial intervention for spouse caregivers of persons with Alzheimer's disease. Psychology and Aging, 20, 634-644.

    87. Ball, K. K., Roenker, D. L., Wadley, V. G., Edwards, J. D., Roth, D. L., McGwin, G. Raleigh, R., Joyce, J. J., Cissell, G. M., & Dube, T. (2006). Can high-risk older drivers be identified through performance-based measures in a Department of Motor Vehicles setting? Journal of the American Geriatrics Society, 54, 77-84.

    88. Tucker, J. A., & Roth, D. L. (2006). Extending the evidence hierarchy to enhance evidence-based practice for substance use disorders. Addiction, 101, 918-932.

    89. Drentea, P., Clay, O. J., Roth, D. L., & Mittelman, M. S. (2006). Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease. Social Science and Medicine, 63, 957-967.

    90. Lochman, J. E., Boxmeyer, C., Powell, N., Roth, D. L., & Windle, M. (2006). Masked intervention effects: Analytic methods for addressing low dosage of intervention. New Directions for Evaluation, 110, 19-32.

    91. Burgio, K. L., Goode, P. S., Richter, H. E., Locher, J. L., & Roth, D. L. (2006). Global ratings of patient satisfaction and perceptions of improvement with treatment for urinary incontinence: Validation of three global patient ratings. Neurourology and Urodynamics, 25, 411-417.

    92. Brown, C. J., Roth, D. L., Peel, C., & Allman, R. M. (2006). Predictors of regaining ambulatory ability during hospitalization. Journal of Hospital Medicine, 1, 277-284.

    93. Mittelman, M. S., Haley, W. E., Clay, O. J., & Roth, D. L. (2006). Improving caregiver well-being delays nursing home placement of patients with Alzheimer's disease. Neurology, 67, 1592-1599.

    94. Tucker, J. A., Foushee, H. R., Black, B. C., & Roth, D. L. (2007). Agreement between prospective IVR self-monitoring and structured retrospective reports of drinking and contextual variables during natural resolution attempts. Journal of Studies on Alcohol and Drugs, 68, 538-542.

    95. Mittelman, M. S., Roth, D. L., Clay, O. J., & Haley, W. E. (2007). Preserving health of Alzheimer's caregivers: Impact of a spouse caregiver intervention. American Journal of Geriatric Psychiatry, 15, 780-789.

    96. Locher, J. L., Roth, D. L., Ritchie, C. S., Cox, K., Sawyer, P., Bodner, E. V., & Allman, R. M. (2007). Body mass index, weight loss, and mortality in community-dwelling older adults. Journal of Gerontology: Medical Sciences, 62A, 1289-1292.

    97. Allen, S., Karita, E., Chomba, E., Roth, D. L., Telfair, J., Zulu, I., Clark, L., Kancheya, N., Conkling, M., Stephenson, R., Bekan, B., Kimbrell, K., Dunham, S., Henderson, F., Sinkala, M., Carael, M., & Haworth, A.. (2007). Promotion of couples voluntary counselling and testing for HIV through influential networks in two African capital cities. BMC Public Health, 7, 349.

    98. Roth, D. L., Haley, W. E., Wadley, V. G., Clay, O. J., & Howard, G. (2007). Race and gender differences in perceived caregiver availability for community-dwelling middle-aged and older adults. The Gerontologist, 47, 721-729.

    99. Gaugler, J. E., Roth, D. L., Haley, W. E., & Mittelman, M. S. (2008). Can counseling and support reduce burden and depressive symptoms in caregivers of people with Alzheimer's disease during transition to institutionalization? Results from the New York University Caregiver Intervention Study. Journal of the American Geriatrics Society, 56, 421-428.

    100. Cotter, E. M., Burgio, L. D., Roth, D. L., Gerstle, J., & Richardson, P. (2008). Comparison of caregiver and occupational therapist ratings of dementia patients' performance of activities of daily living. Journal of Applied Gerontology, 27, 215-225.

    101. Ritchie, C. S., Locher, J. L., Roth, D. L., McVie, T., Sawyer, P., & Allman, R. M. (2008). Unintentional weight loss predicts decline in activities of daily living function and life-space mobility over 4 years among community-dwelling older adults. Journal of Gerontology: Medical Sciences, 63A, 67-75.

    102. Locher, J. L., Ritchie, C. S., Robinson, C. O., Roth, D. L., West, D. S., & Burgio, K. L. (2008). A multidimensional approach to understanding under-eating in homebound older adults: The importance of social factors. The Gerontologist, 48, 223-234.

    103. Clay, O. J., Roth, D. L., Wadley, V. G., & Haley, W. E. (2008). Changes in social support and their impact on psychosocial outcome over a 5-year period for African American and White dementia caregivers. International Journal of Geriatric Psychiatry, 23, 857-862.

    104. Roth, D. L., Ackerman, M. L., Okonkwo, O. C., & Burgio, L. D. (2008). The four factor model of depressive symptoms in dementia caregivers: A structural equation model of ethnic differences. Psychology and Aging, 23, 567-576.

    105. Brown, C. J., Roth, D. L., & Allman, R. M. (2008). Validation of use of wireless monitors to measure levels of mobility during hospitalization. Journal of Rehabilitation Research and Development, 45, 551-558.

    106. Haley, W. E., Bergman, E. J., Roth, D. L., McVie, T., Gaugler, J. E., & Mittelman, M. S. (2008). Long-term effects of bereavement and caregiver intervention on dementia caregiver depressive symptoms. The Gerontologist, 48, 732-740.

    107. Tucker, J. A., Roth, D. L., Vignolo, M. J., & Westfall, A. O. (2009). A behavioral economic reward index predicts drinking resolutions: Moderation revisited and compared with other outcomes. Journal of Consulting and Clinical Psychology, 77, 219-228.

    108. Holt, C. L., Clark, E. M., Roth, D. L., Crowther, M., Kohler, C., Fouad, M., Foushee, R., Lee, P. A., & Southward, P. L. (2009). Development and validation of instruments to assess potential religion-health mechanisms in an African American population. Journal of Black Psychology, 35, 271-288.

    109. Brown, C. J., Roth, D. L., Allman, R. M., Sawyer, P., Ritchie, C. S., & Roseman, J. M. (2009). Trajectories of life-space mobility after hospitalization. Annals of Internal Medicine, 150, 372-378.

    110. Haley, W. E., Allen, J. Y., Grant, J. S., Clay, O. J., Perkins, M., & Roth, D. L. (2009). Problems and benefits reported by stroke family caregivers: Results from a prospective epidemiological study. Stroke, 40, 2129-2133.

    111. Clay, O. J., Edwards, J. D., Ross, L. A., Okonkwo, O., Wadley. V. G., Roth, D. L., & Ball, K. K. (2009). Visual function and cognitive speed of processing mediate age-related decline in memory span and fluid intelligence. Journal of Aging and Health, 21, 547-566.

    112. Roth, D. L., Perkins, M., Wadley, V. G., Temple, E. M., & Haley, W. E. (2009). Family caregiving and emotional strain: Associations with quality of life in a large national sample of middle-aged and older adults. Quality of Life Research, 18, 679-688.

    113. Locher, J. L., Ritchie, C. S., Roth, D. L., Sen, B., Douglas, K. V., & Vailas, L. I. (2009). Food choice among homebound older adults: Motivations and perceived barriers. The Journal of Nutrition, Health and Aging, 13, 659-664.

    114. Edwards, J. D., Lunsman, M., Perkins, M., Rebok, G. W., & Roth, D. L. (2009). Driving cessation and health trajectories in older adults. Journal of Gerontology: Medical Sciences, 64A, 1290-1295.

    115. Haley, W. E., Roth, D. L., Howard, G., & Safford, M. M. (2010). Caregiving strain and estimated risk for stroke and coronary heart disease among spouse caregivers: Differential effects by race and sex. Stroke, 41, 331-336.

    116. Szychowski, J. M., Roth, D. L., Clay, O. J., & Mittelman, M. S. (2010). Patient death as a censoring event or competing risk event in models of nursing home placement. Statistics in Medicine, 29, 371-381.

    117. Sun, Y., Roth, D. L., Ritchie, C. S., Burgio, K. L., & Locher, J. L. (2010). Reliability and predictive validity of caloric intake measures from the 24-hour dietary recalls of homebound older adults. Journal of the American Dietetic Association, 110, 773-778.

    118. Burgio, K. L., Johnson, T. M., Goode, P. S., Markland, A. D., Richter, H. E., Roth, D. L., Sawyer, P., & Allman, R. M. (2010). Prevalence and correlates of nocturia in community-dwelling older adults. Journal of the American Geriatrics Society, 58, 861-866.

    119. Okonkwo, O. C., Roth, D. L., Pulley, L., & Howard, G. (2010). Confirmatory factor analysis of the validity of the SF-12 for persons with and without a history of stroke. Quality of Life Research, 19, 1323-1331.

    120. Holt, C. L., Clark, E. M., Roth, D. L., Crowther, M., Kohler, C., Fouad, M., Foushee, R., Lee, P. Al, & Southward, P. L. (2010). Development and validation of an instrument to assess perceived social influence on health behaviors. Journal of Health Psychology, 15, 1225-1235.

    121. Goode, P. S., Burgio, K. L., Johnson, T. M., Clay, O. J., Roth, D. L., Markland, A. D., Burkhardt, J. H., Issa, M. M., & Lloyd, L. K. (2011). Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: A randomized controlled trial. Journal of the American Medical Association, 305, 151-159.

    122. Roth, D. L., Haley, W. E., Clay, O. J., Perkins, M., Grant, J. S., Rhodes, J. D., Wadley, V. G., Kissela, B., & Howard, G. (2011). Race and gender differences in one-year stroke outcomes for community-dwelling stroke survivors with family caregivers. Stroke, 42, 626-631.

    123. Schwebel, D. C., Roth, D. L., Elliott, M. N., Windle, M., Grunbaum, J. A., Low, B., Cooper, S. P., & Schuster, M. A. (2011). The association of activity level, parent mental distress, and parental involvement and monitoring with unintentional injury risk in fifth graders. Accident Analysis and Prevention, 43, 848-852.

    124. Locher, J. L., Bonner, J. A., Carroll, W. R., Caudell, J. J., Keith, J. N., Kilgore, M. L., Ritchie, C. S., Roth, D. L., Tajeu, G., & Allison, J. J. (2011). Prophylactic percutaneous endoscopic gastrostomy tube use in head and neck cancer patients: A comprehensive review and call for evidence-based medicine. Journal of Parenteral and Enteral Nutrition, 35, 365-374.

    125. Yang, Y., Brown, C. J., Burgio, K. L., Kilgore, M. L., Ritchie, C. S., Roth, D. L., West, D. S., & Locher, J. L. (2011). Undernutrition at baseline and health services utilization and mortality over a 1-year period in older adults receiving Medicare home health services. Journal of the American Medical Director Association, 12, 287-294.

    126. Gaugler, J. E., Roth, D. L., Haley, W. E., & Mittelman, M. S. (2011). Modeling trajectories and transitions: Results from the New York University caregiver intervention. Nursing Research, 60, S28-S37.

    127. Halanych, J. H., Shuaib, F., Parmar, G., Tanikella, R., Howard, V. J., Roth, D. L., Prineas, R. J., & Safford, M. M. (2011). Agreement on cause of death between proxies, death certificates, and clinician adjudicators in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study. American Journal of Epidemiology, 173, 1319-1326.

    128. Haley, W. E., Roth, D. L., Kissela, B., Perkins, M., & Howard, G. (2011). Quality of life after stroke: A prospective longitudinal study. Quality of Life Research, 20, 799-806.

    129. Clay, O. J., Roth, D. L., Safford, M. M., Sawyer, P. L., & Allman, R. M. (2011). Predictors of overnight hospital admission in older African American and Caucasian Medicare beneficiaries. Journal of Gerontology: Medical Sciences, 66A, 910-916.

    130. Locher, J. L., Bales, C. W., Ellis, A. C., Lawrence, J. C., Newton, L., Ritchie, C. S., Roth, D. L., Buys, D. L., & Vickers, K. S. (2011). A theoretically-based behavioral nutrition intervention for community elders at high risk: the B-NICE randomized controlled clinical trial. Journal of Nutrition in Gerontology and Geriatrics, 30, 394-402.

    131. Brown, T. M., Parmar, G., Durant, R. W., Halanych, J. H., Hovater, M., Muntner, P., Prineas, R. J., Roth, D. L., Samdarshi, T. E., & Safford, M. M. (2011). Health professional shortage areas, insurance status, and cardiovascular disease prevention in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study. Journal of Health Care for the Poor and Underserved, 22, 1179-1189.

    132. Ritchie, C.S., Roth, D. L., & Allman, R. M. (2011). Living with an aging parent: “It was a beautiful invitation.” Journal of the American Medical Association, 306, 746-753.

    133. Schwebel, D. C., Roth, D. L., Elliott, M. N., Visser, S. N., Toomey, S. L., Shipp, E. M, Grunbaum, J. A., & Schuster, M. A. (2011). Association of externalizing behavior disorder symptoms and injury among fifth graders. Academic Pediatrics, 11, 427-431.

    134. McKnight, K. K., Wellons, M. F., Sites, C. K., Roth, D. L., Szychowski, J. M., Halanych, J. H., Cushman, M. & Safford, M. M. (2011). Racial and regional differences in age at menopause in the United States: Findings from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. American Journal of Obstetrics and Gynecology, 205, 353.e1-353.e8.

    135. Tucker, J. A., Blum, E., Xie, L., Roth, D. L., & Simpson, C. (2012). Interactive voice response self-monitoring to assess risk behaviors in rural substance users living with HIV/AIDS. AIDS and Behavior, 16, 432-440.

    136. Locher, J. L., Bonner, J. A., Carroll, W. R., Caudell, J. J., Kilgore, M. L., Ritchie, C. S., Roth, D. L., Tajeu, G. S., Yuan, Y., & Allison, J. J. (2012). Gastrostomy tube placement and use in patients with head and neck cancer. Head & Neck, 34, 422-428.

    137. Debnam, K. J., Holt, C. L., Clark, E. M., Roth, D. L., & Southward, P. (2012). Relationship between religious social support and general social support with health behaviors in a national sample of African Americans. Journal of Behavioral Medicine, 35, 175-189.

    138. Schwebel, D. C., Roth, D. L., Elliott, M. N., Chien, A. T., Mrug, S., Shipp, E., Dittus, P., Klomke, K., & Schuster, M. A. (2012). Marital conflict and fifth-graders risk for injury. Accident Analysis and Prevention, 47, 30-35.

    139. Debnam, K. J., Holt, C. L., Clark, E. M., Roth, D. L., Foushee, H. R., Crowther, M., Fouad, M., & Southward, P. L. (2012). Spiritual health locus of control and health behaviors in African Americans. American Journal of Health Behavior, 36, 360-372.

    140. Roth, D. L., Mwase, I., Holt, C. L., Clark, E. M., Lukwago, S. N., & Kreuter, M. W. (2012). Religious involvement measurement model in a national sample of African Americans. Journal of Religion and Health, 51, 567-578.

    141. Salanitro, A. H., Ritchie, C. S., Hovater, M., Roth, D. L., Sawyer, P., Locher, J. L., Bodner, E., Brown, C. J., & Allman, R. M. (2012). Inflammatory biomarkers as predictors of hospitalization and death in community-dwelling older adults. Archives of Gerontology and Geriatrics, 54, e387-e391.

    142. Tucker, J. A., Roth, D. L., Huang, J., Crawford, M. S., & Simpson, C. A. (2012). Effects of interactive voice response self-monitoring on natural resolutions of drinking problems: Utilization and behavioral economic factors. Journal of Studies on Alcohol and Drugs, 73, 686-698.

    143. Shuaib, F. M, Durant, R. W., Parmar, G., Brown, T. M., Roth, D. L., Hovater, M., Halanych, J. H., Shikany, J. M., Howard, G., & Safford, M. M. (2012). Awareness, treatment, and control of hypertension, diabetes, and hyperlipidemia and area-level mortality regions in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study. Journal of Health Care for the Poor and Underserved, 23, 903-921.

    144. Salanitro, A. H., Hovater, M., Hearld, K. R., Roth, D. L., Sawyer, P., Locher, J. L., Bodner, E., Brown, C. J., Allman, R. M., & Ritchie, C. S. (2012). Symptom burden predicts hospitalization independent of comorbidity in community-dwelling older adults. Journal of the American Geriatrics Society, 60, 1632-1637.

    145. Simpson, C. A., Huang, J., Roth, D. L., Chandler, S. D., & Tucker, J. A. (2012). Predictors of utilization of an IVR self-monitoring program by problem drinkers with recent natural resolutions. Drug and Alcohol Dependence, 126, 111-117.

    146. Durant, R. W., Parmar, G., Shuaib, F., Le, A., Brown, T. M., Roth, D. L., Hovater, M., Halanych, J. H., Shikany, J. M., Prineas, R. J., Samdarshi, T. J., & Safford, M. M. (2012). Awareness and management of chronic disease, insurance status, and health professional shortage areas in the Reasons for Gerographic and Racial Differences in Stroke (REGARDS): A cross-sectional study. BMC Health Services Research, 12, 208.

    147. Hunter, S. M., Langemo, D., Thompson, P., Hanson, D., Anderson, J., Oh, I. E., Paulson, R., Rustvang, D., Dorman, S., & Roth, D. L. (2013). Observations of periwound skin protection in venous ulcers: A comparison of treatments. Advances in Skin & Wound Care, 26, 62-66.

    148. Tucker, J. A., Simpson, C. A., Huang, J., Roth, D. L., & Stewart, K.E. (2013). Utility of an interactive voice response system to assess anti-retroviral pharmacotherapy adherence among substance users living with HIV/AIDS in the rural south. AIDS Patient Care and STDs, 27, 280-286.

    149. Grant, J. S., Clay, O. J., Keltner, N. L., Haley, W. E., Wadley, V. G., Perkins, M. M., & Roth, D. L. (2013). Does caregiver well-being predict stroke survivor depressive symptoms? A mediation analysis. Topics in Stroke Rehabilitation, 20, 44-51.

    150. Clay, O. J., Grant, J. S., Wadley, V. G., Perkins, M. M., Haley, W. E., & Roth, D. L. (2013). Correlates of health-related quality of life in African American and Caucasian stroke caregivers. Rehabilitation Psychology, 58, 28-35.

    151. Perkins, M., Howard, V. J., Wadley, V. G., Crowe, M., Safford, M. M., Haley, W. E., Howard, G., & Roth, D. L. (2013). Caregiving strain and all-cause mortality: Evidence from the REGARDS study. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 68, 504-512.

    152. Gaugler, J. E., Hovater, M., Roth, D. L., Johnston, J. A., Kane, R. L., & Sarsour, K. (2013). Analysis of cognitive, functional, health service use, and cost trajectories prior to and following memory loss. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 68, 562-567.

    153. Locher, J. L., Bonner, J. A., Carroll, W. R., Caudell, J. J., Allison, J. J., Kilgore, M. L., Ritchie, C. S., Tajeu, G. S., Yuan, Y., & Roth, D. L. (2013). Patterns of prophylactic gastrostomy tube placement in head and neck cancer patients: A consideration of the significance of social support and practice variation. Laryngoscope, 123, 1918-1925.

    154. Bentley, J. P., Brown, C. J., McGwin, G., Sawyer, P., Allman, R. M., & Roth, D. L. (2013). Functional status, life-space mobility, and quality of life: A longitudinal mediation analysis. Quality of Life Research, 22, 1621-1632.

    155. Ritchie, C. S., Hearld, K. R., Gross, A., Allman, R. M., Sawyer, P., Sheppard, K., Salanitro, A., Locher, J. L., Brown, C., & Roth, D. L. (2013). Measuring symptoms in community-dwelling older adults: The psychometric properties of a brief symptom screen. Medical Care, 51, 949-955.

    156. Sheppard, K. D., Brown, C. J., Hearld, K. R., Roth, D. L., Sawyer, P., Locher, J. L., Allman, R. M., & Ritchie, C. S. (2013). Symptom burden predicts nursing home admissions among older adults. Journal of Pain and Symptom Management, 46, 591-597.

    157. Roth, D. L., Haley, W. E., Hovater, M., Perkins, M., Wadley, V. G., & Judd, S. (2013). Family caregiving and all-cause mortality: Findings from a population-based propensity-matched analysis. American Journal of Epidemiology, 178, 1571-1578.

    158. Locher, J. L., Vickers, K. S., Buys, D. R., Ellis, A., Lawrence, J. C., Newton, L. E., Roth, D. L., Ritchie, C. S., & Bales, C. W. (2013). A randomized controlled trial of a theoretically-based behavioral nutrition intervention for community elders: Lessons learned from the behavioral nutrition intervention for community elders study. Journal of the American Academy of Nutrition and Dietetics, 113, 1675-1682

    159. Ball, K. K., Ross, L. A., Roth, D. L., & Edwards, J. D. (2013). Speed of processing training in the ACTIVE study: How much is needed and who benefits? Journal of Aging and Health, 25, 65S-84S.

    160. Kertesz, S. G., Holt, C. L., Steward, J. L., Jones, R. N., Roth, D. L., Stringfellow, E., Gordon, A. J., Kim, T. W., Austin, E. L., Henry, S. R., Johnson, N. K., Granstaff, U. S., O’Connell, J. J., Golden, J. F., Young, A. S., Davis, L. L., & Polio, D. E. (2013). Comparing homeless persons’ care experiences in tailored versus nontailored primary care programs. American Journal of Public Health, 103, S331-S339.

    161. Gaugler, J. E., Ascher-Svanum, H., Roth, D. L., Fafowora, T., Siderowf, A., & Beach, T. G. (2013). Characteristics of patients misdiagnosed with Alzheimer’s disease and their medication use: An analysis of the NACC-UDS database. BMC Geriatrics, 13, 137.

    162. Holt, C. L., Roth, D. L., Clark, E. M., & Debnam, K. (2014). Positive self-perceptions as a mediator of religious involvement and health behaviors in a national sample of African Americans. Journal of Behavioral Medicine, 37, 102-112.

    163. Gaugler, J. E., Hovater, M., Roth, D. L., Johnston, J. A., Kane, R. L., & Sarsour, K. (2014). Depressive, functional status, and neuropsychiatric symptom trajectories before an Alzheimer’s disease diagnosis. Aging and Mental Health, 18, 110-116.

    164. Holt, C. L., Clark, E. M., Debnam, K., & Roth, D. L. (in press). Religion and health in African Americans: The role of religious coping. American Journal of Health Behavior.

    165. Wolff, J. L., Roter, D. L., Barron, J., Boyd, C. M., Leff, B., Finucane, T. F., Gallo, J. J., Rabins, P. V., Roth, D. L., & Gitlin, L. N. (in press). A tool to strengthen the older patient-companion partnership in primary care: Results from a pilot study. Journal of the American Geriatrics Society.

    166. Holt, C. L., Clark, E. M., & Roth, D. L. (in press). Positive and negative religious beliefs that explain the religion-health connection among African Americans. International Journal for the Psychology of Religion.

    167. Buys, D. R., Roth, D. L., Ritchie, C., Sawyer, P., Allman, R. M., Funkhouser, E. M., Hovater, M., & Locher, J. L. (in press). Nutritional risk and body mass index predict hospitalization, nursing home admissions, and mortality in community-dwelling older adults: Results from the UAB Study of Aging with 8.5 years of follow-up. Journal of Gerontology: Medical Sciences.

    168. Gitlin, L. N., Roth, D. L., & Huang, J. (in press). Mediators of the impact of a home-based intervention (beat the blues) on depressive symptoms among older African Americans. Psychology and Aging.

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    Member of the editorial board of Psychology and Aging.

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    Lectures and Presentations

    1. Roth, D. L. (March, 2005).  Longitudinal models of psychosocial processes associated with family caregiving.  Applied Statistics Seminar Series, Department of Information Sciences, Statistics, and Management Science, University of Alabama, Tuscaloosa, AL. 
    1. Roth, D. L., & Howard, G. W. (April, 2005).  Random error, confounding, and effect modification. Pre-conference workshop for the annual meeting of the American Academy of Neurology.  Miami, FL. 
    1. Roth, D. L. (July, 2007).  Multivariate models of family caregiving adjustment.  College of Nursing Colloquium Series, University of North Dakota, Grand Forks, ND. 
    1. Roth, D. L. (September, 2007).  Modeling longitudinal trajectories of emotional distress in dementia caregivers.  Minnesota Center for Health Trajectory Research Seminar Series, School of Nursing, University of Minnesota, Minneapolis, MN. 
    1. Roth, D. L. (April, 2008).  Principles of structural equation modeling:  Examples using Mplus.  College of Nursing Colloquium Series, University of North Dakota, Grand Forks, ND. 
    1. Roth, D. L. (June, 2008).  Design and analysis strategies for building fundable research programs.   College of Nursing Colloquium Series, University of North Dakota, Grand Forks, ND. 
    1. Roth, D. L. (June, 2011).  Refining causal models with baseline adjustments, mediation mechanisms, and latent variable approaches.  Keynote address of the 7th annual Mechanisms of Behavior Change Conference sponsored by the Research Society on Alcoholism, Atlanta, GA. 
    1. Roth, D. L. (March, 2013).  Upgrading randomized trials using latent variable innovations.  University of Miami Center on Aging Scientific Lecture Series, Miami, FL. 

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