Grant Number:	5R01CA078975-10 Interpret this number
Primary Investigator:	Deimling, Gary
Organization:	Case Western Reserve University
Project Title:	Quality of Life of Older Adult Long-Term Cancer Survivor
Fiscal Year:	2007

DESCRIPTION (provided by applicant): This application requests a five-year renewal of our project entitled "The Quality of Life of Older Adult Long-term Cancer Survivors" (R01-CA78975), originally funded as a five-year, longitudinal study. The primary aim is to determine the long-term (5 or more years post-treatment) physiological, psychological, social, and spiritual effects of surviving cancer on older adults (age 60+). This competing renewal responds to the NIA's (Yancik at al., 2001) and the NCI's (Meadows et al., 1998) reports that call for long-term follow-up of older cancer survivors. A comprehensive cancer survivorship model focusing on quality of life (QOL) is framed in the stress and coping perspective. Physical health QOL outcomes include health appraisal, physical and cognitive functioning, and disability burden. Important aims are to distinguish the effects of cancer and its treatment from those of other co-morbid health problems and to document trajectories in health effects and their causes. Psychological outcomes include psychological distress (e.g., anxiety and depression), PTSD symptoms, cancer-related health worries, life satisfaction, and post-traumatic growth. Social outcomes include identity relevant characteristics such as self-esteem, body image, survivor identity, and the ability to maintain valued roles and activities. Spiritual outcomes include religious and spiritual activities and life purpose. The model includes ameliorative resources such as coping style, health beliefs, health promotion, and marshalling health care support. The proposed renewal study will include 320 survivors who have been treated at the Ireland Cancer Center of University Hospitals Health System of Cleveland, an NIH Clinical Cancer Center. The sample will continue to be stratified to include survivors of the most common survivable cancers among older adults, colorectal, prostate, and breast cancers, allowing for the examination of gender differences in the context of gender common and gender specific cancers. African-Americans will continue to be over-sampled to provide the analytic power to identify racial differences in response to cancer. In addition to three annual waves of interviews, event response interviews will document the effects of significant health/illness changes or personal/social losses that occur between annual interviews and identify the transitory/episodic effects of these changes. Analysis will include multivariate analysis such as regression, structural equation modeling, and growth curve analysis. Specific comparative analyses are planned with age, gender, racial, and cancer type subgroups.




Beyond the treatment: The role of race, sex, and education in health trajectories between cancer survivors and noncancer older adults.
Authors: Ye M. , Kahana E. , Deimling G. , Perzynski A. , Stange K. .
Source: Journal Of Geriatric Oncology, 2023 Jun; 14(5), p. 101532.
EPub date: 2023-05-23 00:00:00.0.
PMID: 37229884
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The Landscape of Perception: Racial Differences in How Disability Is Viewed Among Older-Adult Cancer Survivors.
Authors: Ciaralli S. , Deimling G.T. , Burnham D.L. .
Source: International Journal Of Aging & Human Development, 2022 03; 94(2), p. 138-153.
EPub date: 2021-06-23 00:00:00.0.
PMID: 34162239
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Cancer disclosure, stigma and identity: Racial differences among older adult, cancer survivors.
Authors: Ciaralli S.R. , Deimling G.T. , Phelps E.K. , Beck G.L. .
Source: Journal Of Geriatric Oncology, 2021 07; 12(6), p. 888-893.
EPub date: 2021-04-02 00:00:00.0.
PMID: 33820737
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Life satisfaction among older adult, long-term cancer survivors: A comparison of Black with White survivors.
Authors: Deimling G. , Phelps E.K. , Gilbert M. , Ciaralli S. .
Source: Psycho-oncology, 2019-04-10 00:00:00.0; , .
EPub date: 2019-04-10 00:00:00.0.
PMID: 30970159
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Factors Affecting Perceptions of Disability and Self-Rated Health Among Older Adult, Long-Term Cancer Survivors.
Authors: Deimling G.T. , Pappada H. , Ye M. , Nalepa E. , Ciaralli S. , Phelps E. , Burant C.J. .
Source: Journal Of Aging And Health, 2019 04; 31(4), p. 667-684.
EPub date: 2017-12-06 00:00:00.0.
PMID: 29254449
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Personality and psychological distress among older adult, long-term cancer survivors.
Authors: Deimling G.T. , Albitz C. , Monnin K. , Renzhofer Pappada H.T. , Nalepa E. , Boehm M.L. , Mitchell C. .
Source: Journal Of Psychosocial Oncology, 2017 Jan-Feb; 35(1), p. 17-31.
EPub date: 2016-08-19 00:00:00.0.
PMID: 27541961
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Determinants of altered life perspectives among older-adult long-term cancer survivors.
Authors: Kahana B. , Kahana E. , Deimling G. , Sterns S. , VanGunten M. .
Source: Cancer Nursing, 2011 May-Jun; 34(3), p. 209-18.
PMID: 21522060
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Primary care physicians' involvement in the cancer care of older long-term survivors.
Authors: Bowman K.F. , Rose J.H. , Deimling G.T. , Kypriotakis G. , O'Toole E.E. .
Source: Journal Of Aging And Health, 2010 Aug; 22(5), p. 673-86.
PMID: 20595104
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Cancer survivorship and identity among long-term survivors.
Authors: Deimling G.T. , Bowman K.F. , Wagner L.J. .
Source: Cancer Investigation, 2007 Dec; 25(8), p. 758-65.
PMID: 17952742
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Functioning and activity participation restrictions among older adult, long-term cancer survivors.
Authors: Deimling G.T. , Sterns S. , Bowman K.F. , Kahana B. .
Source: Cancer Investigation, 2007 Mar; 25(2), p. 106-16.
PMID: 17453822
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Appraisal of the cancer experience by family members and survivors in long-term survivorship.
Authors: Bowman K.F. , Rose J.H. , Deimling G.T. .
Source: Psycho-oncology, 2006 Sep; 15(9), p. 834-45.
PMID: 16521175
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Cancer-related health worries and psychological distress among older adult, long-term cancer survivors.
Authors: Deimling G.T. , Bowman K.F. , Sterns S. , Wagner L.J. , Kahana B. .
Source: Psycho-oncology, 2006 Apr; 15(4), p. 306-20.
PMID: 16041841
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Coping among older-adult, long-term cancer survivors.
Authors: Deimling G.T. , Wagner L.J. , Bowman K.F. , Sterns S. , Kercher K. , Kahana B. .
Source: Psycho-oncology, 2006 Feb; 15(2), p. 143-59.
PMID: 15880638
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Families of long-term cancer survivors: health maintenance advocacy and practice.
Authors: Bowman K.F. , Rose J.H. , Deimling G.T. .
Source: Psycho-oncology, 2005 Dec; 14(12), p. 1008-17.
PMID: 15818596
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The health of older-adult, long-term cancer survivors.
Authors: Deimling G.T. , Sterns S. , Bowman K.F. , Kahana B. .
Source: Cancer Nursing, 2005 Nov-Dec; 28(6), p. 415-24.
PMID: 16330962
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Appraisal of the cancer experience by older long-term survivors.
Authors: Bowman K.F. , Deimling G.T. , Smerglia V. , Sage P. , Kahana B. .
Source: Psycho-oncology, 2003 Apr-May; 12(3), p. 226-38.
PMID: 12673807
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Cancer survivorship and psychological distress in later life.
Authors: Deimling G.T. , Kahana B. , Bowman K.F. , Schaefer M.L. .
Source: Psycho-oncology, 2002 Nov-Dec; 11(6), p. 479-94.
PMID: 12476430
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