Aging, Community and Health Research Group (ACHRU)

McMaster University

Funded by

core Study 13

ACHRU Community Partnership Program for Diabetes Self-Management for Older Adults – Canada

This program of research builds on our previous work to refine the Aging, Community and Health Research Unit (ACHRU) Community Partnership Program (ACHRU CPP) for a multi-site randomized controlled trial, to further evaluate its feasibility, acceptability, and outcomes. This new and innovative community-based model for diabetes care, aims to improve diabetes self-management and the quality of care for older adults with diabetes and multiple chronic conditions (MCC). It is being tested in three provinces over four years with future adaptations for implementation across Canada.

The ACHRU CPP, a 6-month community-based intervention, partners a diabetes education centre (DEC) or diabetes education program (DEP) and the YMCA and includes:

  • in-home visits by nurses and dietitians from the DEC or the DEP
  • nurse care coordination
  • monthly group wellness sessions hosted by the YMCA that includes group-based education, exercise, peer support, a meal, and transportation
  • monthly case conferences involving the nurse, dietitian, and YMCA staff to plan the care of study participants


Funder: Canadian Institutes of Health Research Pan-Canadian SPOR Network in Primary and Integrated Health Care Innovations (PIHCI)

Collaborator: Catharine Whiteside, Executive Director, Diabetes Action Canada

Study PartnersDiabetes Action CanadaMcMaster Institute for Research on Aging (MIRA)

Knowledge User Partners

Patrick Dicerni, Principal Knowledge User

Bill Johnson, Principal Knowledge User Patient

Phil Graham, Knowledge User


Related ACHRU News Story: Innovative Community-Based Model for Diabetes Care Moves Forward

  • Jenny Ploeg
    McMaster University School of Nursing
    Department of Health, Aging and Society
  • Maureen Markle-Reid
    Canada Research Chair in Person-Centred Interventions for Older Adults with Multimorbidity and their Caregivers
    Professor, McMaster University School of Nursing
    Department of Health Research Methods, Evidence, and Impact (HEI)
  • Ruta Valaitis
    Dorothy C. Hall Chair in Primary Health Care Nursing
    Professor, McMaster University School of Nursing
    Associate Member, Department of Family Medicine, McMaster University,
  • Andrea Gruneir
  • France Légaré
  • William J. Montelpare
  • Kathryn Fisher
  • Rebecca Ganann
  • Lynn Mansell
  • Patricia Reid
  • Frank Tang
  • Ross Upshur
  • Johanne Blais
  • Ali Ben Charif
  • Dean Eurich
  • Amiram Gafni
  • Gary F. Lewis
  • Lori MacCallum
  • Jean-Sébastien Paquette
  • Janet Pritchard
  • Angela Riveroll
  • Cheryl A. Sadowski
  • Diana Sherifali
  • Lehana Thabane
  • Tyler Williamson

Publications and Activities relating to this study:

We’re Delighted to be a Diabetes Action Canada Goal-Directed Group

Learn more about the launch of our new goal-directed program in the latest issue of the Diabetes Action Canada newsletter.

Read More