Aging, Community and Health Research Group (ACHRU)

McMaster University

Studies and Research

Funded by

core Study 6

A Client-Driven Intervention to Support Self-Management among Community-Living Older Adults with Type 2 Diabetes Mellitus and Multiple Chronic Conditions

Community-living older adults with Type 2 diabetes mellitus (T2DM) and MCC have poorer health-related quality of life (HRQOL), higher risk for the development of diabetes complications, and higher use of health services than those with T2DM only. Comorbid health conditions can also impair clients’ ability to self-manage their diabetes and to adhere to treatment, which increases the probabilities of adverse outcomes. Most diabetes disease management programs and guidelines in Canada are entirely focused on diabetes only and do not address the challenges to patients and providers of managing related conditions.

This pragmatic mixed methods randomized controlled trial will evaluate the effectiveness of a newly developed health promotion intervention on self-management, HRQOL, diabetes complications and the costs of use of health services for older adults with T2DM and MCC. The results will inform the development and dissemination of a new and innovative community-based model for diabetes care that can be adapted and implemented for older adults with T2DM and MCC across Canada.

We would like to acknowledge the support of the Labarge Optimal Aging Initiative, funder of the 2013 pilot study.


Pilot Study Publication in Pilot and Feasibility Studies

Publication in Trials

Publication in Journal of the American Geriatrics Society (JAGS)

Research Brief

Research Summary

Self-Management Among Older Adults with Type 2 Diabetes Mellitus and MCC Video

Community Partnership (Self-Managed Diabetes) Program Video



  • Maureen Markle-Reid
    Associate Professor
    McMaster University School of Nursing
    Department of Health Research Methods, Evidence, and Impact (HEI)
  • Jenny Ploeg
    McMaster University - School of Nursing
    Department of Health, Aging and Society
  • Sharon Kaasalainen
  • Amiram Gafni
  • Noori Akhtar-Danesh
  • Andrea Gruneir
  • Duane Bender
  • Cheryl A. Sadowski
  • Rebecca Ganann
  • Jean A.C. Triscott
  • Holly Reimer
  • Lehana Thabane
  • Kimberly Fraser
  • Ross Upshur
  • Maggie Gibson
  • Amy Bartholomew
  • John Miklavcic
  • Sue Bookey-Bassett
  • Rebecca Ganann
  • Anna Garnett
  • David Kanters
  • Rey Omar Mina

Publications and Activities relating to this study:

New JAGS Article: Community-Based Program Improves Quality of Life for Older Adults with Diabetes and Other Chronic Conditions

Older adults with diabetes and other chronic conditions, who participated in the ACHRU’s community-based program, had improved quality of life, reduced depressive symptoms and better self-management with no extra healthcare cost compared to usual care.

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The ACHRU’s Latest Article is on Our Self-Managed Community Diabetes Program vs. Usual Care

ACHRU researchers are examining the effectiveness of the Aging, Community and Health Research Unit-Community Partnership Program (ACHRU-CPP), a new 6-month nurse-led program that promotes self-management for older adults with diabetes and other chronic conditions.

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Canada Research Chair Seminar: Rapid Review Approaches for Synthesizing Diabetes Care Evidence

Dr. Diana Sherifali, Co-Director, of the McMaster Evidence Review and Synthesis Centre, will present the next Canada Research Chair Seminar on Monday March 6, 2017, 12:00-1:00 p.m.

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