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1

Sun, Xiaocao, Minhui Liu, Christina Miyawaki, et al. "Longitudinal Relationships Between Favorite Activities and Homebound Status in Older Adults." Innovation in Aging 4, Supplement_1 (2020): 496. http://dx.doi.org/10.1093/geroni/igaa057.1603.

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Abstract Favorite activities are usually meaningful to older adults and may influence their homebound status and vice versa. Using Round 1 (R1, in 2011) and Round 5 (R5, in 2015) data from the National Health and Aging Trends Study, we examined the patterns of favorite activity by homebound status and investigated their relationship among community-dwelling older adults (N=3,332). Homebound status (non-homebound, semi-homebound, and homebound) was determined by the frequency, difficulty, and needing help of outdoor mobility. Favorite activities were named by participants verbatim and then were
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Li, Qianyuan, Wenting Peng, Shuomin Wang, Huili Yang, Haihong Zhang, and Minhui Liu. "MOBILITY DEVICE USE MODERATED BIDIRECTIONAL ASSOCIATION OF FEAR OF FALLING WITH HOMEBOUND STATUS." Innovation in Aging 8, Supplement_1 (2024): 74–75. https://doi.org/10.1093/geroni/igae098.0234.

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Abstract Previous studies showed fear of falling (FOF) is associated with homebound status, given that they have shared risk factors such as falls. However, the bidirectional relationship between fear of falling and homebound status and possible moderators remain unknown. Using the Year 2015-2019 waves of the National Health and Aging Trends Study, our sample included 3,983 community-dwelling older adults who had completed data on FOF and homebound status. We aimed to examine 1) whether FOF was associated with homebound status bidirectionally and 2) whether mobility device use moderated this b
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Sheehan, Orla, Karen Bandeen-Roche, Christine Ritchie, et al. "Are all homebound older adults frail?" Innovation in Aging 4, Supplement_1 (2020): 777–78. http://dx.doi.org/10.1093/geroni/igaa057.2812.

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Abstract Seven million adults in the United States are homebound and suffer the negative, powerful synergies of multiple chronic conditions, functional impairment, social stressors, and limited social capital. The prevalence of frailty in this vulnerable homebound population is unknown. Using representative data from the National Health and Aging Trends study (NHATS) study linked to Medicare claims (n=4756) we sought to assess the prevalence of frailty in the homebound population (n=361). Among the homebound, 68.5% met the frailty criteria compared to 12.3% of the non-homebound population. The
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Sun, Xiaocao, Minhui Liu, Christina E. Miyawaki, et al. "The Association Between Personality and Homebound Status in Older Adults: Results From the NHATS." Innovation in Aging 4, Supplement_1 (2020): 233. http://dx.doi.org/10.1093/geroni/igaa057.751.

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Abstract Personality is associated with predictors of homebound status like frailty, incident falls, and depression. It has been rarely investigated whether personality predicts homebound status among older adults. Using the combining cross-sectional data of the Year 2013 and Year 2014 data from the National Health and Aging Trends Study (NHATS), this study examined the association between personality traits and homebound status in a sample of community-dwelling older adults aged 65 years and older (N=2,788). Homebound status (non-homebound, semi-homebound, and homebound) was determined by the
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Chen, Tao, Shuangshuang Wang, and Nengliang (Aaron) Yao. "Mental Health of Homebound Older Adults in China: The Moderating Effect of Loneliness." Innovation in Aging 4, Supplement_1 (2020): 95. http://dx.doi.org/10.1093/geroni/igaa057.313.

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Abstract Homebound older adults are confined to their homes due to physical, mental, or social limitations, which contributes to elevated levels of depression. However, the mental health status of the homebound population in China is relatively overlooked. This study compares mental health status between homebound and non-homebound older adults, and examines the moderation effect of loneliness. The sample consists of 1,301 older adults aged 60 and over (39% homebound, 49% females, mean age = 69) from Shandong Aging and Health Survey, conducted by Shandong Provincial Government in 2019. Mental
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Liu, Minhui, Yuxiao Li, Xiaocao Sun, et al. "Bidirectional Longitudinal Relationships Between Homebound Status and Falls Among Older Adults." Innovation in Aging 4, Supplement_1 (2020): 267–68. http://dx.doi.org/10.1093/geroni/igaa057.856.

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Abstract Research has shown an association between homebound status and falls among older adults. However, this association was primarily drawn from cross-sectional studies. Using the National Health and Aging Trends Study, we examined 1) whether prior-wave falls predicted homebound status in a later wave in 2,916 non-homebound participants in Wave 1 and 2) whether prior-wave homebound status predicted falls in 2,512 participants with no falls in Wave 1. Homebound status (non-homebound and homebound) was determined by the frequency, difficulty, and needing help of outdoor mobility. Falls were
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Ornstein, Katherine, Jennifer Reckrey, Evan Bollens-Lund, et al. "How Long Do Older Adults Remain Homebound in the Community? Implications for Long-Term Services and Support Systems." Innovation in Aging 4, Supplement_1 (2020): 711–12. http://dx.doi.org/10.1093/geroni/igaa057.2504.

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Abstract A large and growing population of older adults with multimorbidity, cognitive impairment, and functional disability live in the community but are homebound (never/rarely leave home). While homebound status is associated with decreased access to medical services and poor health outcomes, it is unclear how long individuals remain homebound. We used the National Health and Aging Trends Study (NHATS), a nationally representative sample of Medicare beneficiaries age 65 and over, with survey weighting to assess duration of homebound status in the community. Among the incident homebound in 2
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Casteel, Carri, Jennifer Jones, Paula Gildner, James M. Bowling, and Susan J. Blalock. "Falls Risks and Prevention Behaviors Among Community-Dwelling Homebound and Non-Homebound Older Adults." Journal of Applied Gerontology 37, no. 9 (2016): 1085–106. http://dx.doi.org/10.1177/0733464816672043.

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The objectives were to examine falls risk factors to determine how the magnitude of risk may differ between homebound and non-homebound older adults, and to describe falls prevention behaviors and participation in falls prevention education. A cross-sectional survey was conducted with convenience samples of community-dwelling older adults recruited through Meals on Wheels programs (homebound, n = 80) and senior centers (non-homebound, n = 84) in North Carolina. Data were collected during home visits and included an interview and medication inventory. Multivariate negative binomial regression w
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Catterson, Thomas M. "HOMEBOUND." Critical Perspectives on Accounting 11, no. 2 (2000): 214. http://dx.doi.org/10.1006/cpac.1999.0402.

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Benjamin, Lawrence N., and Christopher G. Slatore. "Homebound." CHEST 167, no. 5 (2025): 1268–70. https://doi.org/10.1016/j.chest.2025.01.035.

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Black, Erik W., Richard E. Ferdig, April Fleetwood, and Lindsay A. Thompson. "Hospital homebound students and K-12 online schooling." PLOS ONE 17, no. 3 (2022): e0264841. http://dx.doi.org/10.1371/journal.pone.0264841.

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The flexibility afforded by online education may provide opportunities for learners with disability who require absence from traditional learning environments. This study sought to describe how a subset of learners with disability, those with hospital-homebound designation, perform in K-12 online classes, particularly as compared to non-hospital homebound counterparts. A cross-sectional analysis was performed of all Florida Virtual School course enrollments from August 1, 2012 to July 31, 2018. Researchers analyzed 2,534 course enrollments associated with K-12 students who, at the time of thei
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Dostal, Patrick J. "Vulnerability of Urban Homebound Older Adults in Disasters: A Survey of Evacuation Preparedness." Disaster Medicine and Public Health Preparedness 9, no. 3 (2015): 301–6. http://dx.doi.org/10.1017/dmp.2015.50.

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AbstractObjectiveRecent disasters within the United States, such as Hurricanes Katrina and Sandy, have highlighted the vulnerability of older adults, and recent litigation has upheld the responsibility of government in assisting the public during mandatory evacuations. Older adults designated as homebound due to their disabilities are at greatest risk of poor outcomes in disasters. This study aimed at assessing the willingness and ability of homebound older adults to evacuate, as well as categorizing their medical needs in the event they are relocated to an emergency shelter.MethodsFifty-six h
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Sakurai, Ryota, Masashi Yasunaga, Mariko Nishi, et al. "Co-existence of social isolation and homebound status increase the risk of all-cause mortality." International Psychogeriatrics 31, no. 5 (2018): 703–11. http://dx.doi.org/10.1017/s1041610218001047.

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ABSTRACTBackground:Social isolation and homebound statuses are possible risk factors for increased mortality among older adults. However, no study has addressed the impact of accumulation of these two factors on mortality. The aim of this study was to examine whether such accumulation increased the risk of all-cause mortality.Methods:The analyzed sample was drawn from a mail survey of 1,023 older adults without instrumental activities of daily living disability. Participants were classified into four groups according to the frequency of both face-to-face and non-face-to-face interactions with
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Burgdorf, Julia, and Jennifer Reckrey. "SUBJECTIVE COGNITIVE DECLINE AS A PREDICTOR OF INCIDENT HOMEBOUND STATUS AMONG OLDER ADULTS." Innovation in Aging 6, Supplement_1 (2022): 26. http://dx.doi.org/10.1093/geroni/igac059.096.

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Abstract In the US, over 2 million older adults are homebound, meaning they never or rarely leave their home. Being homebound increases risk for negative outcomes, including depression and mortality. Dementia diagnosis is a risk factor for becoming homebound, but over half of those with dementia do not receive a formal diagnosis. Subjective cognitive decline (SCD)—self-reported increase in memory loss over a given timeframe—is an early indicator of dementia that can be easily determined during routine medical encounters. SCD screening could be a valuable tool for identifying older adults at ri
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Ida, Satoshi, Ryutaro Kaneko, Kanako Imataka, et al. "Factors associated with social isolation and being homebound among older patients with diabetes: a cross-sectional study." BMJ Open 10, no. 11 (2020): e037528. http://dx.doi.org/10.1136/bmjopen-2020-037528.

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ObjectiveWe aimed at investigating factors associated with social isolation and being homebound in older patients with diabetes.DesignCross-sectional study.SettingsThose undergoing outpatient treatments at Ise Red Cross Hospital, Mie Prefecture.ParticipantsPatients with diabetes aged ≥65 years.Primary and secondary outcome measuresSocial isolation was defined as indulging in less than one interaction per week with individuals other than cohabiting family members. We defined homebound as going outside home less than once a day. To identify factors associated with social isolation and being home
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Xiang, Xiaoling, Jieling Chen, and MinHee Kim. "Trajectories of Homebound Status in Medicare Beneficiaries Aged 65 and Older." Gerontologist 60, no. 1 (2019): 101–11. http://dx.doi.org/10.1093/geront/gnz023.

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Abstract Background and Objectives The purpose of this study was to examine the trajectories of homebound status in older adults and to investigate the risk factors in shaping the pattern of these trajectories. Research Design and Methods The study sample was a nationally representative sample of Medicare beneficiaries aged 65 and older (N = 7,607) from the National Health and Aging Trends Study (Round 1–Round 7). Homebound state was defined as never or rarely went out the home in the last month. Homebound trajectories were identified using an enhanced group-based trajectory modeling that acco
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Petit, Constance C., and Philip P. Patterson. "There's No Place Like Home: Training, Practices and Perceptions of Homebound Services." Physical Disabilities: Education and Related Services 33, no. 2 (2014): 36–52. http://dx.doi.org/10.14434/pders.v33i2.13071.

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Homebound services involve the delivery of special education in settings other than school sites. Such settings typically include students’ homes or hospitals. Most often associated with early childhood special education and with students who are medically or physically fragile, homebound services can also be for those in need of interim alternative educational settings (IAES). Although homebound services have been available to some students with disabilities for more than 50 years, little research exists on that delivery model. This study investigated the training, practices and perceptions o
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Benigno, Vincenza, Giovanni Paolo Caruso, Francesca Maria Dagnino, Edoardo Dalla Mutta, and Chiara Fante. "Enhancing Home Education in Italian Context: Teachers’ Perception of a Hybrid Inclusive Classroom." Education Sciences 12, no. 8 (2022): 563. http://dx.doi.org/10.3390/educsci12080563.

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Homebound Education in Italy is based on one-to-one teaching conducted by teachers who visit the sick student at home. This modality does not include interactions between homebound students and classmates, thus inhibiting the educational aspect of peer relationships. With the outbreak of the COVID-19 pandemic and the consequent dispositions of the Ministry of Education regarding remote education and integrated digital didactic (DID), new opportunities became available for homebound students. In this research, we applied and tested in the context of homebound education a model of hybrid inclusi
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Xiang, Xiaoling, Ruopeng An, and Hyunsung Oh. "The Bidirectional Relationship Between Depressive Symptoms and Homebound Status Among Older Adults." Journals of Gerontology: Series B 75, no. 2 (2018): 357–66. http://dx.doi.org/10.1093/geronb/gbx180.

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Abstract Objectives This study aimed to examine the bidirectional relationship between depressive symptoms and homebound status among older adults. Method The study sample included 7,603 community-dwelling older adults from the National Health and Aging Trends Study. A bivariate latent state-trait model of depressive symptoms and homebound status was estimated via structural equation modeling. Results The model fit the data well (Root Mean Square Error of Approximation = .02, Comparative Fit Index = .97, Standardized Root Mean Square Residual = .06). The relationship between homebound status a
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Adebayo, Christianah, and Alex Bishop. "Exploring Application of Smart Companion Robots to Facilitate Faith-Based Ministries for Older Homebound Adults." Innovation in Aging 4, Supplement_1 (2020): 315–16. http://dx.doi.org/10.1093/geroni/igaa057.1009.

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Abstract This study examined perceptions regarding application of smart robot companions to facilitate homebound religious ministry programming to older adults. A total of N= 7 participants consisting of ministers, pastoral volunteers, and older adult members from Methodist, Presbyterian, and Roman Catholic traditions engaged in a 60-minute focus group. One key goal was to address the question: If you could design a robot for ministry to homebound older adults what would you want it to do? All responses were recorded, transcribed and coded for thematic content. Three core themes emerged relati
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Khan, Shehroz, Can (Shirley) Cui, and Andrea Iaboni. "MACHINE LEARNING TO PREDICT HOMEBOUND STATUS IN OLDER ADULTS USING CANADIAN LONGITUDINAL STUDY ON AGING DATASET." Innovation in Aging 6, Supplement_1 (2022): 764. http://dx.doi.org/10.1093/geroni/igac059.2770.

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Abstract Individuals who are unable to leave their home or with great difficulty are considered homebound or semi-homebound. Homebound status is strongly associated with disability, social isolation, healthcare use and costs, and mortality. Most homebound older adults have multiple chronic conditions and poor health. There is not enough information about homebounded older adults in Canada. The Comprehensive cohort of the Canadian Longitudinal Study on Aging (CLSA) presents an excellent opportunity to study the complex factors associated with homebound status and the interplay between physical,
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Conroy, Karl, Shaun Bhatia, Mohammed Islam, and Leonard A. Jason. "Homebound versus Bedridden Status among Those with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome." Healthcare 9, no. 2 (2021): 106. http://dx.doi.org/10.3390/healthcare9020106.

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Persons living with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) vary widely in terms of the severity of their illness. It is estimated that of those living with ME/CFS in the United States, about 385,000 are homebound. There is a need to know more about different degrees of being homebound within this severely affected group. The current study examined an international sample of 2138 study participants with ME/CFS, of whom 549 were severely affected (operationalized as ‘Homebound’). A subsample of 89 very severely affected participants (operationalized as ‘Homebound-bedridden’)
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Reckrey, Jennifer M., Linda V. DeCherrie, Micheline Dugue, Anna Rosen, Theresa A. Soriano, and Katherine Ornstein. "Meeting the Mental Health Needs of the Homebound: A Psychiatric Consult Service Within a Home-Based Primary Care Program." Care Management Journals 16, no. 3 (2015): 122–28. http://dx.doi.org/10.1891/1521-0987.16.3.122.

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The growing population of homebound adults increasingly receives home-based primary care (HBPC) services. These patients are predominantly frail older adults who are homebound because of multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. To address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16-month pilot, 10% of all enrolled HBPC p
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Peng, Wenting, Christina E. Miyawaki, Safiyyah M. Okoye, et al. "Mediating role of homebound status between depressive symptoms and cognitive impairment among community-dwelling older adults in the USA: a cross-sectional analysis of a cohort study." BMJ Open 12, no. 10 (2022): e065536. http://dx.doi.org/10.1136/bmjopen-2022-065536.

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ObjectiveDepressive symptoms are known modifiable factors of cognitive impairment in older adults. However, the pathway through which depressive symptoms lead to cognitive impairment is not well understood. This study aimed to investigate whether homebound status (defined as usually unable to leave home unassisted) mediates the association between depressive symptoms and cognitive impairment in community-dwelling older adults in the USA.DesignA secondary analysis of cross-sectional data.Setting(s)Communities in the USA.ParticipantsCommunity-dwelling older adults (N=7537) from the 2011 National
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Tubao, Mechelle J., MAT SocStud, and Nancy B. Espacio. "Homebound Instruction and Interpersonal Behavior of Learners with Special Educational Needs (Lsens)." International Journal of Research and Innovation in Social Science IX, no. IV (2025): 1255–88. https://doi.org/10.47772/ijriss.2025.90400098.

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In the past, homebound instruction was just for special needs students whose physical limitations kept them from school. This included young children, students with illnesses, and those who were physically fragile. But the program has grown to include many other situations and students. Now it can help students on school breaks, those facing suspension or expulsion, or even those waiting for a better learning environment, or those who just struggle in a traditional classroom setting. The study generally aimed to describe homebound instruction and interpersonal behavior of learners with special
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Thomas, Jennifer E., Robin J. Jacobs, Joshua Caballero, et al. "Factors to assess depression in homebound older adults." Mental Health Clinician 6, no. 5 (2016): 236–41. http://dx.doi.org/10.9740/mhc.2016.09.236.

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Abstract Introduction: The number of homebound older adults is expected to increase as the elderly population grows. Many homebound older persons may be at high risk for depression, which has been associated with adverse health outcomes. The objective of this study was to identify selected factors that may predict depression in the homebound older population. Methods: Data from 340 homebound adults, aged 65 and older who were enrolled in Broward Meals on Wheels and who participated in a telephone survey were analyzed. Participants were asked to report demographic information, health status, me
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Fujita, Koji, Sachiko Yamazaki, Hiromi Imuta, Roseline Yong, Hiroko Matsunaga, and Yoshinori Fujiwara. "DEPRESSIVE TENDENCIES AND NEGATIVE LIFE EVENTS AS PREDICTORS OF HOMEBOUND STATUS AMONG OLDER ADULTS IN JAPAN." Innovation in Aging 7, Supplement_1 (2023): 833. http://dx.doi.org/10.1093/geroni/igad104.2687.

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Abstract This study aimed to examine negative life events (NLEs) and depressive tendencies as predictors of homebound status, which poses a risk of long-term frailty in older adults. A population-based cohort study (2018-2020) using self-administered questionnaires was conducted with older adults (65-94 years) in the rural community of Akita Prefecture, Japan. The response rate at the baseline survey in 2018(T1) was 61.5%. About 81.1% (1,048 out of 1,291) of the participants at T1 responded to the follow-up survey in 2020 (T2). Among them, 77.3% (810) were not homebound at T1. After data clean
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Lee, Sun Young, Hyein Chu, and Yu-Mi Kim. "Characteristics of Homebound and Patients with Disability Who Use Home-Based Primary Care in Korea: A Retrospective Study for 2018–2022." Journal of Clinical Medicine 13, no. 6 (2024): 1604. http://dx.doi.org/10.3390/jcm13061604.

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(1) Background and Methods: This study evaluated characteristics of South Korean patients necessitating home-based primary care (HBPC) from 2018 to 2022, distinguishing between homebound individuals with chronic conditions and those with registered disabilities. (2) Result: Among 171 HBPC recipients, 56.1% were homebound, predominantly older with a median age of 81 years (interquartile range (IQR 68.5–86.0)), while 43.9% were disabled, generally younger with a median age of 39 years (IQR, 28–64). Activities of daily living were assessed, revealing a median score of 14 (IQR, 10–19), indicative
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DICICCO-BLOOM, BARBARA, SHARON SPACE, and ROTHLYN P. ZAHOUREK. "THE HOMEBOUND ALCOHOLIC." AJN, American Journal of Nursing 86, no. 2 (1986): 167–70. http://dx.doi.org/10.1097/00000446-198602000-00029.

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Shaefer, Sarah J. M., and Janice M. Emerling. "Homebound Pregnant Adolescents." Home Health Care Management & Practice 9, no. 3 (1997): 23–32. http://dx.doi.org/10.1177/108482239700900308.

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Sterling-Fox, Cynthia. "Access to Five Nonprimary Health Care Services by Homebound Older Adults: An Integrative Review." Home Health Care Management & Practice 31, no. 1 (2018): 55–69. http://dx.doi.org/10.1177/1084822318810384.

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Globally, the number of homebound older adults is rising exponentially as the aging population increases. Homebound older adults have complex medical and psychological issues for which many receive home-based primary care services. The purpose of this integrative review was to identify, analyze, and synthesize the existing literature regarding homebound older adults’ need for, use of, and access to five nonprimary health care services. They are dental, nutritional, optical, pharmacy, and psychological services. The integrative review was conducted using a database search of CINAHL, Health Sour
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Xiang, Xiaoling, and Jessica Brooks. "Correlates of Depressive Symptoms among Homebound and Semi-Homebound Older Adults." Journal of Gerontological Social Work 60, no. 3 (2017): 201–14. http://dx.doi.org/10.1080/01634372.2017.1286625.

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Leandro, Telma Alteniza, Allana Mirella Alves, Ana Karina Bezerra Pinheiro, Thelma Leite de Araujo, Glauberto da Silva Quirino, and Dayanne Rakelly de Oliveira. "Nurses’ competencies in health promotion for homebound older people." Revista Brasileira de Enfermagem 72, suppl 2 (2019): 311–18. http://dx.doi.org/10.1590/0034-7167-2018-0446.

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ABSTRACT Objective: to identify competencies related to health promotion targeting homebound older people, as they appear in the literature. Method: systematic review using the LILACS, Scopus, CINAHL, PubMed and Cochrane Library databases. The search was performed in November 2017. Selected articles were analyzed according to nine competency domains: enable change; advocate for health; mediate through partnership; communication; leadership; assessment; planning; implementation, and evaluation and research. Results: nine clinical trials were included. All health promotion competency domains wer
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Phanhdone, Tiffany, Patrick Drummond, Talia Meisel, et al. "Barriers to Vaccination Among People with Parkinson’s Disease and Implications for COVID-19." Journal of Parkinson's Disease 11, no. 3 (2021): 1057–65. http://dx.doi.org/10.3233/jpd-202497.

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Background: Patients with Parkinson’s disease (PD) are at higher risk of vaccine-preventable respiratory infections. However, advanced, homebound individuals may have less access to vaccinations. In light of COVID-19, understanding barriers to vaccination in PD may inform strategies to increase vaccine uptake. Objective: To identify influenza and pneumococcal vaccination rates, including barriers and facilitators to vaccination, among homebound and ambulatory individuals with PD and related disorders. Methods: Cross-sectional US-based study among individuals with PD, aged > 65 years, strati
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Niedra, Elizabeth, Travis Van Belle, Emily King, et al. ""No place like home: impact of the House Calls model on ED visits, hospitalizations and time in the community"." International Journal of Integrated Care 25 (April 9, 2025): 228. https://doi.org/10.5334/ijic.icic24104.

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Home-based primary care in Canada is currently greatly under-powered, despite an aging population, an increasing proportion of homebound older adults,1 and 100% of Canadians hoping to age at home.2 Homebound older adults in Canada have increased comorbidities, medications and mental diagnoses compared to their non-homebound peers.3,4 They have difficulty accessing office-based care due to a combination of physical, mental and social frailty, resulting in higher emergency department (ED) visits and hospitalization rates.4 Our team, House Calls, reaches homebound adults with further identities t
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Miura, Hisayuki, and Yuko Goto. "Comparison of the Life-Sustaining Treatment, Cardiopulmonary Resuscitation, and Palliative Care Implementation Rates between Homebound Patients with Malignant and Nonmalignant Disease Who Died in an Acute Hospital Setting: A Single-Center Retrospective Study." Healthcare 12, no. 2 (2024): 136. http://dx.doi.org/10.3390/healthcare12020136.

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Objective: This study investigated and compared the implementation of life-support treatment (LST), cardiopulmonary resuscitation (CPR) implementation rates, and the influence of acute illnesses on the introduction of palliative care (PC) to homebound patients with malignant and nonmalignant disease, who subsequently died in an acute hospital setting. Methods: Among the homebound patients admitted to the ward in our hospital from 2011 to 2018, we investigated and compared the attributes, underlying diseases, causes of death, and rates of implementation of LST, CPR, and PC between patients with
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Schirghuber, Johannes, and Berta Schrems. "Homebound: A concept analysis." Nursing Forum 56, no. 3 (2021): 742–51. http://dx.doi.org/10.1111/nuf.12586.

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STOKER, JEANIE. "The Homebound Issue—Again!" Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 21, no. 11 (2003): 778. http://dx.doi.org/10.1097/00004045-200311000-00015.

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O’Brien, Katherine, Sara Bradley, Vanessa Ramirez-Zohfeld, and Lee Lindquist. "Stressors Facing Home-Based Primary Care Providers." Geriatrics 4, no. 1 (2019): 17. http://dx.doi.org/10.3390/geriatrics4010017.

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The numbers of homebound patients in the United States are increasing. Home-based primary care (HBPC) is an effective model of interdisciplinary care that has been shown to have high patient satisfaction rates and excellent clinical outcomes. However, there are few clinicians that practice HBPC and clinicians that do face additional stressors. This study sought to better understand the stressors that HBPC providers face in caring for homebound patients. This was a cross-sectional qualitative survey and analysis of HBPC providers. Responses were categorized into four themes: The patient in the
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Lou, Bowen. "Practices and Reflections on Homebound Education of Disabled Children." International Journal of Education and Humanities 15, no. 2 (2024): 187–89. http://dx.doi.org/10.54097/15rd6f38.

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Homebound Education of Disabled Children is a way to ensure that children with severe disabilities receive appropriate education. The target group of Homebound Education of Disabled Children is children and with disabilities who, for various reasons, are unable to receive compulsory education in ordinary schools or special education schools. Homebound Education of Disabled Children is an important way of ensuring equal access to compulsory education for children and adolescents with disabilities, and it plays an indispensable role in promoting the integration of children with disabilities into
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Kulshreshtha, Ambar, Joseph C. Kvedar, Abhinav Goyal, Elkan F. Halpern, and Alice J. Watson. "Use of Remote Monitoring to Improve Outcomes in Patients with Heart Failure: A Pilot Trial." International Journal of Telemedicine and Applications 2010 (2010): 1–7. http://dx.doi.org/10.1155/2010/870959.

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Remote monitoring (RM) of homebound heart failure (HF) patients has previously been shown to reduce hospital admissions. We conducted a pilot trial of ambulatory, non-homebound patients recently hospitalized for HF to determine whether RM could be successfully implemented in the ambulatory setting. Eligible patients from Massachusetts General Hospital () were randomized to a control group () or to a group that was offered RM (). The participants transmitted vital signs data to a nurse who coordinated care with the physician over the course of the 6-month study. Participants in the RM program h
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Choi, Namkee. "ADDRESSING THE MENTAL HEALTH NEEDS OF HOMEBOUND OLDER ADULTS IN AGING SERVICE SETTINGS." Innovation in Aging 6, Supplement_1 (2022): 97. http://dx.doi.org/10.1093/geroni/igac059.386.

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Abstract Despite significant and urgent mental health needs among low-income homebound older adults, the existing mental health service systems’ reach for these older adults is almost nonexistent. Given the current and projected geriatric mental health workforce shortages, innovative approaches are needed to better serve these underserved older adults. This presentation will focus on a series of randomized clinical trials that tested acceptable and feasible mental health service delivery models for homebound older adults who are served by aging service network agencies that provide hot meals a
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E.C. "Homebody." Scientific American 261, no. 4 (1989): 77–78. http://dx.doi.org/10.1038/scientificamerican1089-77.

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Goldfine, Shayna, and Meredith Mclnturff. "Mass Vaccination for All: Increasing Inclusivity of Point of Dispensing Plans in New Orleans." Prehospital and Disaster Medicine 38, S1 (2023): s209. http://dx.doi.org/10.1017/s1049023x23005344.

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Introduction:In January 2021, the State of Louisiana approved COVID-19 vaccine distribution to elderly and immunocompromised persons. From annual hurricane planning assessments, the city of New Orleans recognized medical and transportation barriers would prevent some eligible residents from accessing vaccines at public point of dispensing (POD) sites. A new vaccine distribution system was needed for homebound individuals and their caregivers. By February, the city developed and implemented a homebound vaccination plan under the direction of New Orleans Emergency Medical Services (NOEMS) and th
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Lai, Patrick Ho Lam, Xiaoling Xiang, Yihang Sun, Joseph Himle, and Ho Lam Lai. "Recruitment of Hard-to-Reach Older Adults in Technology-Based Mental Health Services Studies: Lessons Learned." Innovation in Aging 4, Supplement_1 (2020): 412. http://dx.doi.org/10.1093/geroni/igaa057.1328.

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Abstract Homebound older adults are a hard-to-reach population with a high burden of depression and face substantial access barriers to mental health treatments. Internet-based psychotherapy is a promising strategy to address this persistent treatment gap, but older adults are severely underrepresented in internet-based psychotherapy trials. One challenge to advance this area of research and practice is the recruitment and retention of homebound older adults in clinical trials. Previous research has discussed the challenges of recruiting older adults in behavioral interventions and offered use
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Zhou, Rui, Joyce Cheng, Shuangshuang Wang, and Nengliang (Aaron) Yao. "A Qualitative Study of Healthcare Experience Among Chinese Homebound Adults Receiving Home-Based Medical Care." Innovation in Aging 4, Supplement_1 (2020): 48. http://dx.doi.org/10.1093/geroni/igaa057.157.

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Abstract Home-based medical care (HBMC) is emerging in China, but research understanding the efficiency and effectiveness of this new care model is rare. In this study, researchers interviewed 17 Chinese homebound adults aged 45 and older (53% females, mean age=76) who have received HBMC, and collected detailed information regarding their experiences and attitudes toward HBMC. Participants were recruited from healthcare institutions in Shanghai, Jinan, and Zhangqiu of China. The evaluation of patients’ experiences with HBMC yielded both positive and negative aspects. Positive experiences inclu
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Weaver, France, Sarah Walsh, and Jennifer Chubinski. "MEALS ON WHEELS UTILIZATION AND THE RISK OF HOSPITALIZATION AMONG MEDICARE ENROLLEES OVER TIME." Innovation in Aging 6, Supplement_1 (2022): 184. http://dx.doi.org/10.1093/geroni/igac059.735.

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Abstract Meals on Wheels (MOW) services provide nutritional and social support for clients and may influence acute care use as a result. This study estimates the associations between MOW utilization and the risk of hospitalization for Medicare enrollees aged 65 and over, according to the degree of home-boundness (an eligibility criterion for MOW access). Attention is paid to the heterogenous role of MOW according to gender, race, and ethnicity. The analysis uses the 2014-2020 National Health and Aging Trends Study (NHATS) and includes 17,345 person-year observations. The study uses longitudina
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Grain, Madeleine. "Control Beliefs of the Frail Elderly: Assessing Differences Between Homebound and Nursing Home Residents." Care Management Journals 3, no. 1 (2001): 42–46. http://dx.doi.org/10.1891/1521-0987.3.1.42.

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Previous age-related sense of control studies have largely focused on active, community-dwelling aged individuals and have excluded elderly persons who are frail. This study compares sense of control and life satisfaction as determined through rating scale administration between two frail, dependent samples: nursing home residents and homebound elderly. Differences in control scores were statistically significant for those who were homebound expressing higher perceived personal control than nursing home residents (p < .001). Sense of control has no correlation with either life satisfaction
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Li, Lydia. "Pre-Pandemic Social Isolation: Protection or Vulnerability in the Time of COVID?" Innovation in Aging 5, Supplement_1 (2021): 39. http://dx.doi.org/10.1093/geroni/igab046.146.

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Abstract How do older adults at risk of social isolation before the pandemic fare during the COVID-19 outbreak? Using data from two waves (Round 9 [2019] and COVID-19 Supplement) of the National Health and Aging Trend Study (NHATS), we examined the relationship between pre-pandemic social isolation and psychological distress during the outbreak among community-living older adults (age 65+). Results show that the most socially integrated respondents had more PTSD (β=1.47, SE=.37, p<.001) and depression/anxiety (β=.34, SE=.11, p=.002) symptoms than the most isolated. Older adults who were
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Xiang, Xiaoling, Jay Kayser, Yihang Sun, and Joseph Himle. "Internet-Based Psychotherapy Intervention for Depression Among Older Adults Receiving Home Care: Qualitative Study of Participants’ Experiences." JMIR Aging 4, no. 4 (2021): e27630. http://dx.doi.org/10.2196/27630.

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Background Depression is common among homebound older adults. Internet-based cognitive behavioral therapy (iCBT) is a promising but understudied approach for treating depression among older adults with disabilities. Objective This study aims to understand the experiences of homebound older adults who participated in a pilot feasibility trial of an iCBT for depression. Methods The participants included 21 homebound older adults who participated in a generic iCBT program that was not specifically designed for older adults and 8 home care workers who assisted in the iCBT program. Informants compl
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