Aging, Community and Health Research Group (ACHRU)

McMaster University


Catch Up On Our Publications

Our latest publications are listed below. Read the highlights or click on the title to read more.


Experiences of community-dwelling older adults living with multiple chronic conditions: A qualitative study by Jenny Ploeg, Marta Canesi, Kimberly Fraser, Carrie McAiney, Sharon Kaasalainen, Maureen Markle-Reid, Sinead Dufour, Lisa Garland Baird, Tracey Chambers. (BMJ Open) The aim of the study was to understand the experiences of living with multiple chronic conditions (MCC) from the perspective of community-living older adults with MCC. The experience of living with MCC in the community was complex and multi-faceted. The need for a person-centred and family-centred approach to care in the community, which includes the coordination of health and social services that are tailored to the needs of older adults and their informal caregivers, was underscored. Such an approach would facilitate improved information sharing and discussion of care management options between health professionals and their patients, enable older adults with MCC to actively engage in priority-setting and decision-making and may result in improved health and quality of life for older adults with MCC.


Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol by Maureen Markle-Reid, Ruta Valaitis, Amy Bartholomew, Kathryn Fisher, Rebecca Fleck, Jenny Ploeg, Jennifer Salerno, Lehana Thabane. (Journal of Comorbidity) Stroke is the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population.


Caregivers of older adults with dementia and multiple chronic conditions: Exploring their experiences with significant changes by Jenny Ploeg, Melissa Northwood, Wendy Duggleby, Carrie McAiney, Tracey Chambers, Shelley Peacock, Kathryn Fisher, Sunita Ghosh, Maureen Markle-Reid M, Jennifer Swindle, Alison Williams, Jean Triscott. (Dementia) This qualitative descriptive study was part of a larger mixed methods randomized controlled trial evaluating a web-based caregiver support toolkit. Multiple semi-structured phone interviews were conducted with caregivers of older adults with dementia and multiple chronic conditions. Study results indicate that caregivers of older adults with dementia and multiple chronic conditions experienced many changes in their caregiving journey resulting in increasing complexity as they tended to the care recipients’ declining health and well-being. These caregivers used several creative strategies to cope with these changes. Health care providers should consider both the caregiver and care recipient as clients in the circle of care, and facilitate their linkage with health and community support services to help address the increasing complexity of care needs.


Caregiver-focused, web-based interventions: systematic review and meta-analysis (Part 2) by Jenny Ploeg, Muhammad Usman Ali, Maureen Markle-Reid, Ruta Valaitis, Amy Bartholomew, Donna Fitzpatrick-Lewis, Carrie McAiney, Diana Sherifali. (Journal of Medical Internet Research) Approaches to support the health and well-being of family caregivers of adults with chronic conditions are increasingly important given the key roles caregivers play in helping family members to live in the community. The review found evidence for the positive effects of Web-based intervention programs on self-efficacy, self-esteem, and strain of caregivers of adults living with a chronic condition. Further high-quality research is needed to inform the effectiveness of specific types of Web-based interventions on caregiver outcomes.


Promoting cross-jurisdictional primary health care research: Developing a set of common indicators across 12 community based primary health care teams in Canada by Sabrina Wong, Julia Langton, Alan Katz, Martin Fortin, Marsha Godwin, Michael Green, Eva Grunfeld, Kasra Hassani, Claire Kendall, Clare Liddy, Jenny Ploeg, Walter Wodchis W, Jeannie Haggerty. (Primary Health Care Research & Development) A pan-Canadian mechanism for common measurement of the impact of primary care innovations across Canada is lacking. The Canadian Institutes for Health Research and its partners funded 12 teams to conduct research and collaborate on development of a set of commonly collected indicators. Nineteen common indicators within the core dimensions of primary care were identified: access, comprehensiveness, coordination, effectiveness, and equity.


Assessment of scalability of evidence-based innovations in community-based primary health care: a cross-sectional study by Ali Ben Charif, Kasra Hassani, Sabrina Wong, Hervé Tchala Vignon Zomahoun, Martin Fortin, Adriana Freitas, Alan Katz, Claire Kendall, Clare Liddy, Kathryn Nicholson, Bojana Petrovic, Jenny Ploeg, France Légaré. (CMAJ Open) In 2013, the Canadian Institutes of Health Research funded 12 community-based primary health care research teams to develop evidence-based innovations. We aimed to explore the scalability of these innovations. Scalability varied among innovations, which suggests that readiness for scale up was suboptimal for some innovations. Coverage remained largely unaddressed; further investigation of this critical dimension is necessary.


Trainee publication

Healthcare professionals’ perceptions of P.I.E.C.E.S. education in supporting care delivery for older adults with responsive behaviours of dementia in acute care by Marie-Lee Yous, Jenny Ploeg, Sharon Kaasalainen, Lori Schindel Martin. (Gerontology and Geriatrics Education) In acute care settings persons with dementia often use responsive behaviours such as yelling and hitting as a meaningful mode of communication. Staff dementia care education programs such as P.I.E.C.E.S. may help to address these gaps in care. P.I.E.C.E.S. is a holistic clinical assessment framework that focuses on Physical, Intellectual, and Emotional health, Capabilities of an individual, and the living Environment of a person and the Social being. Findings indicate the need for educational reinforcements and sustainability strategies for dementia care programs in acute care settings. Organizations should implement regular interdisciplinary meetings to provide opportunities for staff to apply P.I.E.C.E.S.


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Published on: April 4, 2019

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