Identifying subgroups that succeed or fail with three levels of physical activity intervention: the Activity Counseling Trial.

The authors used recursive partitioning methods to identify combinations of baseline characteristics that predict 2-year physical activity success in each of 3 physical activity interventions delivered in the multisite Activity Counseling Trial. The sample consisted of 874 initially sedentary primary care patients, ages 35-75 years, who were at risk for cardiovascular disease. Predictors of 2-year success were specific to each intervention and represented a range of domains, including physiological, demographic, psychosocial, health-related, and environmental variables. The results indicate how specific patient subgroups (e.g., obese, unfit individuals; high-income individuals in stable health) may respond differently to varying levels and amounts of professional assistance and support. The methods used provide a practical first step toward identifying clinically meaningful patient subgroups for further systematic investigation.     

TWO STRAINS IN BUDDHIST CAUSALITY

This essay will focus on the Buddhist metaphysics of experience which is generally glossed over due to the excessive concern for the ultimate goal in Buddhism, nirvīna , and in consequence of which the emphasis has been on the practice of; meditative discipline in aspiration for that goal. Yet neither nirvana nor meditative discipline can be understood properly without examining the full dimension of our ordinary experience. Such an examination should reveal to us the unique ways in which the Buddhist refers to the bounded and unbounded conditions of existence. All this is novel insofar as metaphysics goes and indeed it would have to be a unique form of metaphysics in order to accommodate the dual aspect of existence. The key to this metaphysics lodges in the Buddhist concept of experiential process,¹ technically known as pratītyasamutpāda which is variously translated as relational origination, interrelational origination or dependent origination. It refers to the Buddhist concept of causality but, as we shall see, it is a unique concept with more than the usual Western connotation.