{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T03:48:49Z","timestamp":1791517729499,"version":"4.3.4"},"reference-count":170,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults who are homebound, defined as individuals who rarely or never leave their homes without assistance, represent a vulnerable and growing population with complex social and medical needs. Despite their significant healthcare utilization and unmet care needs, research on this group is fragmented and has not been comprehensively synthesized. This scoping review aimed to summarize the determinants, characteristics, and outcomes of being homebound to identify care gaps and propose directions for future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This review followed the PRISMA\u2010ScR framework, conducting systematic searches in PubMed, Embase, Web of Science, and CINAHL using terms such as \u201chomebound,\u201d \u201chousebound,\u201d and \u201chome\u2010limited.\u201d Eligible studies were peer\u2010reviewed, community\u2010based, and written in English. Data extracted included demographics, health outcomes, care gaps, and interventions. Results were categorized into three themes: Risk Factors, Problems and Needs, and Implications of Being Homebound.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of homebound sample populations ranged from 4.2% to 65%, stratified by factors such as age, gender, socioeconomic status, and the presence of chronic conditions. Studies highlighted a need to address dental care, nutrition, and fall prevention among individuals who are homebound. Cognitive impairment (31.7%\u201348%) and mental health conditions, particularly depression (present among up to 43.9%), were highly prevalent, yet access to neuropsychology services remained limited. Frailty and functional dependence were pervasive, contributing to undesired healthcare utilization, including emergency department visits and hospitalizations. Care gaps in advance care planning, social support, and rehabilitation were identified as critical barriers to improving quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older adults who are homebound face multifaceted challenges that require integrated, multidisciplinary, home\u2010based care approaches. Expanding home\u2010based primary and palliative care, addressing unmet care needs, and providing caregiver support are critical priorities among countries with aging populations. Future research should focus on home\u2010based healthcare delivery models and targeted interventions to address gaps in mental health services, cognitive assessment and management, and physical rehabilitation for older adults who are homebound.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19620","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T16:46:49Z","timestamp":1753807609000},"page":"3562-3576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Shedding Light on an Invisible Population in Geriatric Medicine: A Scoping Review of Older Adults Who Are Homebound"],"prefix":"10.1111","volume":"73","author":[{"given":"Caoimhe","family":"McManus","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine Connolly Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin 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