Aging, Community and Health Research Group (ACHRU)

McMaster University


Research Overview

Research Goal

To promote optimal aging at home for older adults with multiple chronic conditions (MCC) and to support their family caregivers. To this end, the program will design, evaluate and translate new and innovative interprofessional community-based interventions to improve access to health care, health-related quality of life, and health outcomes in this population, while reducing costs.


Identifying effective interventions to improve quality of life for older adults is a public health priority because of the unprecedented aging of the population. Older adults with MCC are most likely to benefit from such interventions. People with MCC account for 40 per cent of reported health care use among seniors in Canada, and the intensity of health care use increases as the number of chronic conditions increases. Little is known about effective community-based primary health care interventions for older adults with MCC as they are often excluded from community-based trials. Moreover, recent Canadian evidence identifies important gaps in the delivery of chronic disease prevention and management strategies in this population.

Potential Impact of the Program

The research program has been developed through extensive collaboration with local, provincial and national decision-makers, providers and patient and caregiver groups. Their commitment to the program will enhance the ability to scale up the results. This research program will result in knowledge that can be used to guide health services policy decisions and the allocation of resources in community-based primary health care for older adults with MCC across Canada. Ultimately, this research will develop a model for incorporating effective and efficient chronic disease prevention and management practices that are sustainable through partnerships with community partners and knowledge users.

Training opportunities will be provided for trainees, new investigators, health professionals, and all team members. Five integrated knowledge translation events will be held and other collaborative knowledge translation strategies will be used to share study results with key stakeholders and to plan ways to implement successful programs more widely.