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Jane Armer, PhD, RN, FAAN

Professor
Director, Nursing Research, Ellis Fischel Cancer Center
Co-Director, Health Communication Research Center

Jane Armer

E-mail: armer@missouri.edu
Phone: 573-882-0287
Fax: 573-884-4544

S312 Sinclair School of Nursing
University of Missouri
Columbia, MO 65211

DC 116.05 Suite 408
Ellis Fischel Cancer Center
115 Business Loop 70 W.
Columbia, MO 65203

Nursing specialty

Community Health, Gerontological Nursing, Oncology (Breast Cancer)

Interest area(s)

Measurement and management of post-breast cancer lymphedema; management of chronic illness; health beliefs and behaviors among diverse elders; relocation adjustment of rural elderly; qualitative research methods

Education

  • BSN, Goshen College, Goshen, Ind.
  • MS(N), Northern Illinois University, DeKalb, Ill.
  • PhD, University of Rochester, Rochester, N.Y.
  • Post-Doc, University of Iowa, Iowa, City, IA

Area of doctoral study

Gerontological Nursing

Area of post-doctoral study

Gerontological Nursing, University of Iowa Center on Aging

Program of research

Jane Armer is a professor at the MU Sinclair School of Nursing and Director of Nursing Research at Ellis Fischel Cancer Center. In 2000 she was appointed to the Medical Advisory Committee of the National Lymphedema Network (NLN). She serves on the Board of Directors of the Lymphedema Association of North America (LANA). She is a nurse scientist member of the Alliance, the national medical oncology clinical trials research group, where she is a member of the oncology nursing group and the symptom intervention subcommittee.

Bio/professional experience

Dr. Armer is well known for her extensive research on physiological measurement of limb volume in post-breast cancer lymphedema; signs, symptoms and self-management of lymphedema among women treated for breast cancer and the psychological impact of lymphedema. Armer's program of research focuses on the more-than-two million women who are living with breast cancer in this country today who are at a lifetime risk for lymphedema development. Her earlier work focused on health beliefs and practices of community-dwelling diverse elders and adults, self-management of chronic illness, and relocation adjustment of rural elders.

Selected Grants and Awards

  • Genetic Predisposition to Post-Breast Cancer Lymphedema - Mizzou Advantage - $25,000, 2012-2013
  • Cyber Informatics Tools for Lymphedema Stakeholders - National Library of Medicine G08 Co-PI  (PI Shyu). $450,000. 2010-2013
  • Early identification and treatment of lymphedema in women with breast cancer: Evaluation of early use of compression to prevent progression and its impact on quality of life and arm function. National Institutes of Health; Massachusetts General Hospital. R01.  Consultant (PI Taghian). 2009-2013
  • Genetic Analysis in Secondary Lymphedema - University of Missouri Research Board - $40,000. 2009-2010
  • Aqua Lymphatic Therapy The Tidhar Method ® - Risk Reduction and Overall Well-being for Breast Cancer Survivors -- Susan G. Komen for the Cure - $32,309. 2012-2013
  • 2011 Mid-Missouri Affiliate of Susan G. Komen for the Cure and MU Sinclair School of Nursing Partnership for Breast Cancer Awareness and Survivorship Education - Susan G. Komen for the Cure -  $32,250. 2011-2012
  • Partnership for Breast Cancer Awareness and Survivorship Education — Susan G. Komen Breast Cancer Foundation - Mid Missouri Affiliate, $6,602, 2008-2009
  • Long-Term Breast Cancer Treatment Effects: Limb Changes — National Institutes of Health, $2,255,597, 2006-2010
  • Long-term Breast Cancer Treatment Effects: Limb Changes — MU PRIME, $193,222, 2006-2010
  • Breast Cancer Lymphedema: Studying Feasibility of a Preventive Intervention — Lance Armstrong Foundation, $247,500, 2006-2008
  • Breast Cancer Lymphedema: Studying Feasibility of a Preventive Intervention — MU PRIME, $52,672, 2006-2008
More grants and awards

  

Selected publications

  • Stout, N., Weiss, R., Feldman, J., Stewart, B., Armer, J., Cormier, J. & Shih, Y. (2013). A Systematic Review of Care Delivery Models and Economic Analyses in Lymphedema: Health Policy Impact (2004-2011). Lymphology, 46(1), 27-41.
  • Armer, J. M., Hulett, J. M., Bernas, M., Ostby, P., Stewart, B. R., & Cormier, J. N. (2013). Best-Practice Guidelines in Assessment, Risk Reduction, Management, and Surveillance for Post-Breast Cancer Lymphedema. Current Breast Cancer Reports, 5(2), 134-144.
    Rodrick, J.R., Poage, E., Wanchai, A., Stewart, B. R., Cormier, J.N., & Armer, J. M. (2013). Complementary, Alternative, and Other Non-Complete Decongestive Therapy Treatment Methods in the Management of Lymphedema: A Systematic Search and Review. Physical Medicine & Rehabilitation. doi: 10.1016/j.pmrj.2013.09.008
  • Shigaki, C., Madsen, R., Wanchai, A., Stewart, B., & Armer, J. (2013). Upper extremity lymphedema: Presence and effect on functioning five years after breast cancer treatment. Rehabilitation Psychology, 58(4), 342-349.
  • Wanchai, A., Armer, J.M. & Stewart, B.R. (2013). Complementary and alternative medicine and lymphedema. Seminars in Oncology Nursing, 29(1):41-9. doi: 10.1016/j.soncn.2012.11.006.
  • Wanchai, A., Beck, M., Armer, J.M. & Stewart, B.R. (2013). Management of lymphedema for cancer patients with complex needs. Seminars in Oncology Nursing, 29(1), 61-5.
  • Green, J., Paladugu, S., Armer, J., Stewart B. & Shyu, C.-R. (2012).  Using temporal mining to examine the development of lymphedema in breast cancer survivors. Nursing Research, 62(2):122-129.
  • Armer, J.M., Stewart, B.R., Wanchai, A., Lasinski, B.B., Smith, K., & Cormier, J.N. (2012, invited). Rehabilitation concepts among aging survivors living with and at risk for lymphedema: A framework for assessment, enhancing strengths, and minimizing vulnerability. Topics in Geriatric Rehabilitation, 28(4), 1-9.
  • Fu, M.R., Ridner, S., Hu, S., Stewart, B.R., Cormier, J.N., & Armer, J. (2012). Psychosocial impact of lymphedema: A systematic review of literature from 2004-2011. Psycho-Oncology. Published online ahead of print DOI: 10.1002/pon.3201
  • Wanchai, A., Armer, J.M. & Stewart, B.R. (2012). Performance of care practices in complementary and alternative medicine by Thai breast cancer survivors: An ethnonursing study. Nursing and Health Sciences, 14, 339-344. DOI:10.1111/j.1442-2018.2012.00730x
  • Feldman, J.L., Stout, N.L., Wanchai, A., Stewart, B.R., Cormier, J.N., & Armer, J.M. (2012). Intermittent Pneumatic Compression Therapy: A Systematic Review. Lymphology, 45, 13-25.
  • Lasinski, B.B., Thrift, K.M., Squire, D., Austin, M. K., Smith, K.M., Wanchai, A., Green, J.M., Stewart, J.M., Cormier, J.N., & Armer, J.M. (2012). A systematic review of the evidence for Complete Decongestive Therapy (CDT) from 2004-2011. Physical Medicine and Rehabilitation, 4, 580-601.
  • Beck, M., Wanchai, A., Stewart, B.R., Cormier, J.N., & Armer, J.M. (2012). Palliative Care for Cancer-Related Lymphedema: A Systematic Review. Journal of Palliative Medicine, 15(7), 1-7.
  • Ridner, S., Fu, M., Wanchai, A., Stewart, B., Armer, J., & Cormier, J. (2012).  Self-management aspects of living with lymphedema: A systematic review in lymphedema (2004-2011). Nursing Research, 61(4), 291-299. DOI: 10.1097/NNR.obo12e21824f82b2.
  • Hayes, S., Johansson, K., Stout, N., Prosnitz, R., Armer, J., Gabram, S., Schmitz, K.  (2012). Upper-body morbidity following breast cancer: Incidence and evidence for evaluation, prevention and management within a prospective surveillance model of care. Cancer, 118(8 Suppl), 2237-2249. DOI: 10.1002/cncr.27467.
  • Mallinckrodt, B., Armer, J. & Heppner, P. (2012). A threshold, multidimensional model of social support and adjustment after breast cancer treatment. Journal of Counseling Psychology, 58, 150-160. DOI: 10.1037/a0026549.
  • Kwan, M., Cohn, J., Armer, J., Stewart, B., & Cormier, J. (2011). Exercise in patients with lymphedema: A systematic review of the contemporary literature. Journal of Cancer Survivorship, 5(4) 320-336. DOI: 10.1007/s11764-011-0203-9
  • Cormier, J., Rourke, L., Crosby, M., Chang, D., & Armer, J.  (2011). The surgical treatment of lymphedema: A systematic review of the contemporary literature (2004-2010). Annals of Surgical Oncology.  DOI: 10.1245/s10434-011-2017-4
  • Wanchai, A., Armer, J., & Stewart, B. (2011). Nonpharmacologic Supportive Strategies to Promote Quality of Life in Patients Experiencing Cancer-Related Fatigue. Clinical Journal of Oncology Nursing, 15(2), 203-214.
  • Wanchai, A., Stewart, B. & Armer, J. (2011). Experiences and management of breast cancer-related lymphoedema:  A comparison between South Africa and the United States of America. International Nursing Review, 1-7. DOI: 10.1111/j.1466-7657.2011.00906.x
  • Armer, J., Brooks, C., & Stewart, B. (2011). Limitations of self-care in reducing the risk of lymphedema: Supportive education systems. Nursing Science Quarterly, 24(1), 57-63. DOI: 10.1177/0894318410389058
  • Matchim, Y., Armer, J.M., & Stewart, B.R. (2011). Mindfulness-Based Stress Reduction (MBSR) among breast cancer survivors: A literature review and discussion. Oncology Nursing Forum, 38(2), E61 – E71.
  • Montgomery, L., Ridner, S., Armer, J., & Stewart, B. (2011). Segmental blood flow and hemodynamic state of lymphedematous and non-lymphedematous arms. Lymphatic Research and Biology, 9(1):31-42. PMD: 21417766.
  • Ridner, S., Dietrich, M., Stewart, B., & Armer, J. (2011). Body mass index and breast cancer-treatment related lymphedema. Supportive Care in Cancer, 19, 853-857. DOI: 10.1007/s00520-011-1089-9.
  • Fu, M., Armer, J., Hurless, V., Thiadens, S., Feldman, J., Weiss, J., Meringer, P., Ridner, S., Meringer, J., & Cormier, J. (2011). Clinicians’ training and interests in lymphedema research. Journal of Lymphoedema, 6(1), 24-29. 
  • More publications 

Student mentoring projects

Life Sciences Undergraduate Research Opportunity Program (LSUROP); McNair Scholar; Essig Undergradute Nursing Research; EXPRESS; PhD mentor; Master’s mentor; Post-doc mentor for NHB&L PRIDE program; lymphedema/breast cancer outreach in minority and rural areas of Missouri

Presentations

  • Armer, J.M. & Stewart, B.R. (2012, September). 84-Month Trends and Patterns in Post-Breast Cancer Lymphedema Occurrence. Paper presented at the 2012 National Lymphedema Network Conference: Research Round-Up, Dallas, TX.  
  • *Armer, J.M., Feldman, J.L., Fu, M.R., Paskett, El., Stewart, B.R. & Cormier, J.N. (2012, September). A 2011 ALFP Survey of Lymphedema Practitioners Across the US. Poster presented at the 2012 National Lymphedema Network Conference: Research Round-Up, Dallas, TX.  
  • Armer, J.M., Feldman, J.L., Stewart, B.R. & Cormier, J.N. (2012, September). Update on the American Lymphedema Framework Project (ALFP) Systematic Reviews for the Update of Best Practices in Lymphedema Management.  Poster presented at the 2012 National Lymphedema Network Conference: Research Round-Up, Dallas, TX. 
  • Xu, S., Armer, J.M., Stewart, B.R. & Shyu, CR. (2012, September). Integrating Smartphone Technology for Lymphedema Patients.  Poster presented at the 2012 National Lymphedema Network Conference: Research Round-Up, Dallas, TX.
  • Armer, J.M. (2012, June). American Lymphedema Framework Project Update on the Systematic Review. Invited keynote presented at the International Lymphoedema Framework 4th Annual Meeting. Montpelier, FR. 
  • Armer, J.M., Feldman, J.L., & Cormier, J.N. (2012, June). American Lymphedema Framework Project Open Space Stakeholders Meeting. Invited paper presented at the International Lymphoedema Framework 4th Annual Meeting. Montpelier, FR.
  • Shyu, C.-R., Armer, J.M., & Stewart, B.R. (2012, June). ALFP Minimum Data Set-- Moving forward. Invited keynote presented at the International Lymphoedema Framework 4th Annual Meeting. Montpelier, FR.  
  • Armer, J.M. (2012, July). Findings from 7-Year Study of Breast Cancer Survivorship: Results and Implications for Researchers and Clinicians. Lectureship, invited paper presented at the New York University College of Nursing.
  • Armer, J.M. (2012, August). Findings and Reflections from a Decade of Study in Breast Cancer Survivorship: Implications for Patients and Health Care Professionals. Invited paper presented at the Lymphedema Educational Summit: What do we know and where do we go from here? Ohio State University, Columbus, OH. (national)
  • Armer, J.M. (2012, August).  American Lymphedema Framework Project Update: Systematic Reviews. Invited paper presented at the Lymphedema Educational Summit: What do we know and where do we go from here? Ohio State University, Columbus, OH.  
  • Stewart, B.R., Shyu, C-R., Armer, J.M. (2012, August).  Standardized Data Collection and Analysis to Assess the Magnitude of the Lymphedema Problem. Invited paper presented at the Lymphedema Educational Summit: What do we know and where do we go from here? Ohio State University, Columbus, OH.  
  • Armer, J.M. (2012, August). Breast Cancer Survivorship and Lymphedema. Invited paper presented at the 12th Annual Horizon of Hope® Breast Cancer Awareness Luncheon and Fundraiser. Chesterfield, MO. 
  • Remy, L., Armer, J.M., Stewart, B.R., Reisenleiter, M. & Wanchai, A. (2012, April). Staging and Treatment of Breast Cancer in Patients Residing in Rural Versus Urban Locations in Mid-Missouri. Poster presented at the Undergraduate Research and Creative Achievements Forum, Columbia, MO.
  •  Wanchai, A., Armer, J.M., Stewart, B.R., Breier, S. & McDaniel, R.W. (2012, April). Care Practices in Complementary and Alternative Medicine (CAM) in Thai Breast Cancer Survivors. Paper presented at the Midwest Nursing Research Society, Dearborn, MI. 
  •  Armer, J., Feldman, J., Cormier, J., Austin, M. & Stewart, B. (2011, September). ALFP Therapist Survey: Patient Characteristics and Treatment Options Reported by Therapists in United States. Paper presented at The 23rd International congress of Lymphology, Malmo, Sweden.
  •  Xu, S., Shyu, CR. Stewart, B. & Armer, J. (2011, September). Association Between Measurement Data and Lymphedema Patient Information Using Temporal Mining Technique. Paper presented at The 23rd International congress of Lymphology, Malmo, Sweden. 
  • Reneker, J. & Armer, J. (2011, September). Development of a Minimum Data Set to Assist in International Collaborative Lymphedema Studies. Paper presented at The 23rd International Congress of Lymphology, Malmo, Sweden.
  • Xu, S., Shyu, CR., Stewart, B. & Armer, J. (2011, September). Discovering Distributions of Trained Lymphedema Therapists, Treatment Centers, and Lymphedema Patients Using Geographic Information System. Paper presented at The 23rd International congress of Lymphology, Malmo, Sweden. 
  • Armer, J. (2011, September). An Innovative Approach to Examining Lymphedema Occurrence: Trajectories and Area Under the Curve. Poster presented at The 23rd International Congress of Lymphology, Malmo, Sweden. 
  • Armer, J . Stewart, B., Heppner, P. & Wanchai, A. (2011, September). Role of Problem solving in Coping Successfully with Lymphedema. Paper presented at The 23rd International congress of Lymphology, Malmo, Sweden.  
  • Cormier, J.M., Chiang, Y., Hyngstrom, J.R., Xing, Y., Mungovan, K., Taylor, S., Lee, J.E., Gershenwald, J.E., Armer, J., & Ross, M.I. (2011, September). Prospective Assessment of Lymphedema following Lymph Node surgery for Melanoma.  Paper presented at The 23rd International Congress of Lymphology, Malmo, Sweden.  
  • Reneker, J., Armer, J., Stewart, B. & Shyu, CR. (2011, September). Developing a Middle ware to Collect Minimum Data Set for Cross-Institutional Lymphedema Research.  Poster presented at The 23rd International Congress of Lymphology, Malmo, Sweden.  
  • Xu, S., Shyu, C., Armer, J. & Stewart, B. (2011, September). Integrating a Web-based Geographic Information System for Lymphedema Stakeholders.  Poster presented at The 23rd International Congress of Lymphology, Malmo, Sweden. 

Honors and awards

  • Extraordinary Faculty, University of Western Cape, RSA (January 2010- present)
  • Connie H. Yarbro Oncology Mentoring, Oncology Nursing Society (May 2009)
  • Margaret Allen Outstanding Researcher, Sigma Theta Tau, Alpha Iota (April 1993, April 1996, April 2009)
  • Outstanding Contribution to Research, Int’l Lymphoedema Framework (March 2009)
  • Fellow, American Academy of Nursing (November 2008 -present)
  • National Lymphedema “D” Day Award for leadership in Lymphedema Awareness, National Lymphedema Network (March 2001; March 2005; March 2007) (Medical Advisory Committee)
  • Recipient, Graduate Nurses Association Award for Most Supportive Graduate Faculty (May 1995, 1998)
  • Honoree, 1995 Missouri Tribute to Nurses, Education/Research (May 1995)
  • Recipient, Sinclair School of Nursing Outstanding Faculty Research Award (April 1995, 1999, 2012)
  • Honoree, Honor-A-Researcher program, Midwest Nursing Research Society (April 1995)

Memberships

  • Lymphology Association of North America (LANA): Board of Directors (2001-present)
  • Alliance national cooperative group oncology clinical trial group: oncology nursing committee member; symptom management committee member (2011-present; Co-investigator, breast cancer lymphedema intervention protocol (2004-present); Co-investigator, breast cancer lymphedema epidemiological protocol (2012-present) 
  • Cancer and Leukemia Group B: oncology nursing committee core member; symptom management liaison (April 2003); Co-investigator, breast cancer lymphedema intervention protocol (2004-present); CALGB Symptom intervention subcommittee vice-chair (June 2005-2011)
  • International Society of Lymphology (ISL) (2002-present)
  • National Lymphedema Network (1998-present): National Lymphedema Network (NLN) Medical Advisory Council (MAC) (2001-present); NLN MAC Research Committee, Chair (2001-2010); Editorial committee member (2006-present)
  • Oncology Nursing Society (2000-present): Member, Central Missouri Oncology Nursing Society Chapter (2001-present); Immediate Past President, Central Missouri Oncology Nursing Society Chapter (2002-present); National Research Advisory Committee member (appointed) (2004-2006; 2008-2010); National ONS Lymphedema PEP card resource team, nurse researcher role (2007-2008; 2012-present)