Aging, Community and Health Research Group (ACHRU)

McMaster University

Studies & Research

Funded by

Study 1

Managing Multiple Chronic Conditions: A Qualitative Study of the Perceptions of Older Adults, Family Caregivers and Healthcare Providers


Little is known about how older adults with multiple chronic conditions (MCC), family caregivers and health care providers manage MCC in Canada. Patients face several challenges in managing MCC, including lack of care coordination; limited resources to support self-management; difficulties in managing multiple, often interacting, medications; and inadequate emotional support. Approaches that incorporate the perspectives of clients, family caregivers and providers can result in better outcomes in managing the complexity of MCC.

This study resulted in a better understanding of how older adults manage MCC; factors influencing their ability to manage; and their preferences for care. The study results also help to guide decision-makers in the design and implementation of community-based primary health-care interventions to support older adults with MCC and their family caregivers, focusing specifically on their preferences for and goals of care.


Publication in BMC Geriatrics


Research Brief



  • 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
  • Nancy Matthew-Maich
    Mohawk College of Applied Arts & Technology
    Health Science Research & Innovation
  • Sharon Kaasalainen
  • Maureen Markle-Reid
  • Nancy Matthew-Maich
  • Carrie McAiney
  • Janice Keefe
  • Anna Emili
  • Ross Upshur
  • Sinéad Dufour
  • Jennifer Plenderleith
  • Laura Cleghorn
  • Jonathan Lai
  • Sandra Foster
  • Madelyn Pellow
  • Anna Garnett
  • Ashley Cornish
  • Hannah O'Rourke
  • Lisa Garland Baird
  • Amina Wu
  • Andrew Perrella
  • Katie Aubrecht

Publications and Activities relating to this study:

Informal Caregivers Need Better Support

Change is urgently needed to better support our caregivers, say Drs. Jenny Ploeg and Maureen Markle-Reid in The Conversation Canada.

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The ACHRU's Recent Article on Multiple Chronic Conditions is in BMC Geriatrics

ACHRU researchers have found there is a large gap between the needs of older adults and caregivers and the ability of health and social care systems to meet those needs.

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Celebrate Nursing Week 2016 by video on ACHRU key research principles

Did you know one of the key principles of ACHRU research is an inter-professional nurse-led team based approach to patient care? Drs. Maureen Markle-Reid and Jenny Ploeg and the ACHRU research team invite you to celebrate Nursing Week 2016 by watching our video on ACHRU key research principles.

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