{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T04:30:12Z","timestamp":1777782612180,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"VA Office of Rural Health-Salt Lake City","award":["008359"],"award-info":[{"award-number":["008359"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>With an aging population and rural workforce shortages, family caregivers face growing demands. Caregivers\u2019 ability to continue providing care depends on their own underlying health and access to home- and community-based services (HCBS). This study examines rural caregiver needs within the Veterans Health Administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a qualitative study using data from family caregivers (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 19). Content analysis was used to identify key themes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key emergent themes included (1) Dyadic health: significant health concerns for both caregiver and Veteran; (2) Tension of pride vs. support needs as a caregiver; and (3) Patchwork of community supports: limited access to healthcare, respite, and transportation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study highlights challenges in supporting rural family caregivers of older Veterans with complex health needs. Addressing transportation burdens, dual caregiver\u2013care recipient needs require innovative, dyad-focused approaches. Future research using dyadic data can deepen understanding and guide community-based, caregiver-informed solutions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261431411","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T19:20:25Z","timestamp":1773256825000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Home and Community-Based Service Needs Among Rural Family Caregivers of Older Adult US Veterans"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9075-7362","authenticated-orcid":false,"given":"Elizabeth","family":"Marfeo","sequence":"first","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Veterans Affairs"},{"name":"Tufts University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Chamberlin","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Veterans Affairs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Venegas","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Veterans Affairs"},{"name":"Boston University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Ngo","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Veterans Affairs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven D.","family":"Shirk","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Veterans Affairs"},{"name":"Tufts University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bret","family":"Hicken","sequence":"additional","affiliation":[{"name":"Veterans Rural Health Resource Center - Salt Lake City"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy","family":"Cruise","sequence":"additional","affiliation":[{"name":"Digital Health Office\/Office of Connected Care\/Telehealth"},{"name":"Stony Brook University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren R.","family":"Moo","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, Veterans Affairs"},{"name":"Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_3_6_2_1","volume-title":"Caregiving in the United States 2020","author":"AARP and National Alliance for Caregiving","year":"2020","unstructured":"AARP and National Alliance for Caregiving. (2020). Caregiving in the United States 2020. Washington, DC: AARP. May. https:\/\/doi.org\/10.26419\/ppi.00103.001"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31817a835d"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.01053"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18307"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464818825050"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2021.1931610"},{"key":"e_1_3_6_9_1","doi-asserted-by":"publisher","DOI":"10.18103\/mra.v10i5.2751"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz138"},{"key":"e_1_3_6_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_719_21"},{"key":"e_1_3_6_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2023.1606060"},{"key":"e_1_3_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045018"},{"key":"e_1_3_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ppar\/prz030"},{"key":"e_1_3_6_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaf090"},{"key":"e_1_3_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbaa121"},{"key":"e_1_3_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08126-2"},{"issue":"1","key":"e_1_3_6_18_1","first-page":"689826","article-title":"Culture, caregiving, and health: Exploring the influence of culture on family caregiver experiences","volume":"2014","author":"Pharr J. R.","year":"2014","unstructured":"Pharr J. R., Dodge Francis C., Terry C., Clark M. C. (2014). Culture, caregiving, and health: Exploring the influence of culture on family caregiver experiences. International Scholarly Research Notices, 2014(1), 689826\u2013689828. https:\/\/doi.org\/10.1155\/2014\/689826","journal-title":"International Scholarly Research Notices"},{"key":"e_1_3_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-4-1"},{"key":"e_1_3_6_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.23.2215"},{"key":"e_1_3_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16767"},{"key":"e_1_3_6_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-05648-9"},{"key":"e_1_3_6_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1405-7"},{"key":"e_1_3_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-9191-0_2"},{"key":"e_1_3_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2020.09.005"},{"key":"e_1_3_6_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz148"}],"container-title":["Journal of Applied Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648261431411","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/07334648261431411","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648261431411","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:34:39Z","timestamp":1777491279000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/07334648261431411"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":25,"alternative-id":["10.1177\/07334648261431411"],"URL":"https:\/\/doi.org\/10.1177\/07334648261431411","relation":{},"ISSN":["0733-4648","1552-4523"],"issn-type":[{"value":"0733-4648","type":"print"},{"value":"1552-4523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]},"article-number":"07334648261431411"}}