Aging, Community and Health Research Group (ACHRU)

McMaster University

Studies & Research

Funded by

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 multiple chronic conditions (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 evaluated 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 informed 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)

Publication in BMC Geriatrics

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
    Professor and Canada Research Chair in Person Centred Interventions for Older Adults with Multimorbidity and their Caregivers
    McMaster University School of Nursing
    Scientific Co-Lead, MIRA Collaborative for Health and Aging (OSSU SPOR Research Centre)
  • Jenny Ploeg
    Professor Emeritus
    McMaster University School of Nursing
    Department of Health, Aging and Society
  • Kimberly Fraser
    Retired Associate Professor
    University of Alberta
    Faculty of Nursing
  • Sharon Kaasalainen
  • Amiram Gafni
  • Noori Akhtar-Danesh
  • Andrea Gruneir
  • Duane Bender
  • Cheryl A. Sadowski
  • Rebecca Ganann
  • Jean A.C. Triscott
  • Holly Reimer
  • Lehana Thabane
  • 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:

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.

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Dr. Maureen Markle-Reid is Building a Brighter World

Dr. Markle-Reid is profiled on McMaster University’s website for research that improves the quality of life for both patients and their caregivers.

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Innovative Community-Based Model for Diabetes Care Moves Forward

Drs. Jenny Ploeg, Maureen Markle-Reid, and Ruta Valaitis are pleased to receive $1.8 million in funding from the Canadian Institutes of Health Research (CIHR), in partnership with Diabetes Action Canada (DAC) and the McMaster Institute for Research on Aging (MIRA) to test their community-based diabetes self-management program.

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