Aging, Community and Health Research Group (ACHRU)

McMaster University


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Protocol for a program of research from the Aging, Community and Health Research Unit: Promoting optimal aging at home for older adults with multimorbidity by Maureen Markle-Reid, Jenny Ploeg, Ruta Valaitis, Wendy Duggleby, Kathryn Fisher, Kymberlee Fraser, Rebecca Ganann, Lauren Griffith, Andrea Gruneir, Carrie McAiney, Allison Williams (Journal of Comorbidity)

This research program will inform the development of effective and scalable person-centered interventions that are sustainable through interagency and intersectoral partnerships with community-based agencies, policy makers, and other health and social service agencies. Implementation of these interventions has the potential to transform health-care services and systems and improve the quality of life for older adults with multimorbidity and their caregivers.


Key factors to consider when measuring multmorbidity: Results from an expert panel and online survey by Lauren E Griffith, Andrea Gruneir, Kathryn A Fisher, Kathryn Nicholson, Dilzayn Panjwani, Christopher Patterson, Maureen Markle-Reid, Jenny Ploeg, Arlene S Bierman, David B Hogan, Ross Upshur. (Journal of Comorbidity)

The suitability of existing multimorbidity measures for use in a specific research study depends on factors such as the purpose of the study, outcomes examined and preferences of the involved stakeholders. The results of this study suggest that there are areas that require further building out in both the conceptualization and measurement of multimorbidity for the benefit of future clinical, research and policy decisions.


Impact of Internet-based interventions on caregiver mental health: systematic review and meta-analysis by Diana Sherifali, Muhammad Usman Ali, Jenny Ploeg, Maureen Markle-Reid, Ruta Valaitis, Amy Bartholomew, Donna Fitzpatrick-Lewis, Carrie McAiney (Journal of Medical Internet Research)

The review found evidence for the benefit of internet-based intervention programs on mental health for caregivers of adults living with a chronic condition, particularly for the outcomes of caregiver depression, stress and distress, and anxiety. The types of interventions that predominated as efficacious included information and education with or without professional psychological support, and, to a lesser extent, with combined peer and psychological support. Further high-quality research is needed to inform the effectiveness of interactive, dynamic, and multicomponent internet-based interventions.


Web-based intervention for family carers of persons with dementia and multiple chronic conditions (My Tools 4 Care): Pragmatic randomized controlled trial by Wendy Duggleby, Jenny Ploeg, Carrie McAiney, Shelley Peacock, Kathryn Fisher, Sunita Ghosh, Maureen Markle-Reid, Jennifer Swindle, Allison Williams, Jean AC Triscott, Dorothy Forbes, Kathya Jovel Ruiz (Journal of Medical Internet Research)

Despite no significant differences between groups in terms of the primary outcome variable (mental component score), the significant differences in terms of one of the hope factors suggest that MT4C had a positive influence on the lives of participants.


A web-based intervention to help caregivers of older adults with dementia and multiple chronic conditions: A qualitative study by Jenny Ploeg, Carrie McAiney, Wendy Duggleby, Tracey Chambers, Annie Lam, Shelley Peacock, Kathryn Fisher, Dorothy Anne Forbes, Sunita Ghosh, Maureen Markle-Reid, Jean Triscott, Allison Williams (Journal of Medical Internet Research)

Study results indicate that a self-administered psychosocial supportive Web-based resource helps caregivers of community-dwelling older adults with Alzheimer disease and related dementia and multiple chronic conditions with their complex caregiving roles and responsibilities. The use of MT4C also helped caregivers in identifying supports for caring, caring for self, and planning for future caregiving roles and responsibilities. Caregivers shared important recommendations for future development of Web-based supports.


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Published on: September 24, 2018

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