A Qualitative Study of the Social and Lived Experiences of Homebound Older Adults

J Appl Gerontol. 2022 Mar;41(3):744-753. doi: 10.1177/07334648211040383. Epub 2021 Aug 29.

Abstract

Objective: The number of homebound older adults is increasing in the United States. We aimed to examine their social and lived experiences and to understand their perspectives on their situation, feelings, and coping mechanisms.

Methods: We conducted a cross-sectional qualitative study using semi-structured interviews with 18 older homebound individuals in Central Virginia.

Results: Homebound older adults experienced both physical and mental health challenges that restricted their ability to participate in activities of daily living, recreation, and social interactions. Participants often felt dependent, helpless, lonely, and socially isolated. Those who communicated regularly with friends, family, and health care providers reported positive benefits from these interactions.

Discussion: Participants faced challenges to their physical, emotional, and mental well-being. Our findings might help clinicians, policymakers, and community organizations understand how to better support homebound older adults. We should provide educational opportunities, respect their autonomy, and implement initiatives to address their isolation and loneliness.

Keywords: home and community-based care and services; loneliness; self-concept; social support; well-being.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Cross-Sectional Studies
  • Homebound Persons*
  • Humans
  • Loneliness
  • Qualitative Research
  • Social Isolation
  • United States