{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T15:50:47Z","timestamp":1787932247712,"version":"build-2784847793"},"reference-count":52,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rapid population aging has increased the demand for integrated care for older adults, particularly in rural areas where older adults frequently experience chronic illness, frailty, and limited access to healthcare. Caregivers, both formal and informal, play a central role in supporting the wellbeing of older adults but often face substantial physical, emotional, and financial burdens. Understanding caregiver support is therefore essential to strengthening integrated care for rural older adult populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify factors influencing caregiver support within integrated care for older adults in rural areas and to highlight evidence gaps for future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review was conducted following the Arksey and O\u2019Malley framework. Four databases (PubMed, Scopus, Wiley Online Library, and Taylor &amp;amp; Francis) were searched for English-language studies published between 2014 and 2024. Of 371 records identified, 25 studies met the inclusion criteria and were analyzed by research type, methodology, caregiver type, and caregiver support factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nineteen caregiver support factors were identified and categorized into five domains: social and community, financial, e-health, policy, and spatial. Key challenges included limited education and training opportunities, financial strain, restricted access to telehealth services, inadequate policy support, and transportation barriers. Informal caregivers, primarily family members, predominated in rural settings and experienced greater caregiving burdens due to limited institutional and service support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Caregiver support is a critical component of effective integrated care for older adults in rural areas. Strengthening social and community networks, financial assistance, e-health infrastructure, and policy frameworks is essential to reducing caregiver burden and improving outcomes for older adults. Future research should prioritize context-specific caregiver support strategies tailored to rural settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1801277","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T04:21:07Z","timestamp":1775103667000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors of caregiver support under integrated care for older adults in rural areas: a scoping review"],"prefix":"10.3389","volume":"14","author":[{"given":"Chaolumen","family":"Bao","sequence":"first","affiliation":[{"name":"The Affiliated Hospital of Inner Mongolia Medical University","place":["Hohhot, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haibo","family":"Liu","sequence":"additional","affiliation":[{"name":"The Affiliated Hospital of Inner Mongolia Medical University","place":["Hohhot, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thammarat","family":"Marohabutr","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences and Humanities, Mahidol University","place":["Nakhon Pathom, Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"ref1","volume-title":"World Population Ageing 2013","year":"2013"},{"key":"ref2","year":"2021"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1007\/s12603-021-1595-5","article-title":"Medical and old-age care integration model and implementation of the integrated care of older people (ICOPE) in China: opportunities and challenges","volume":"25","author":"Zhou","year":"2021","journal-title":"J Nutr Health Aging"},{"key":"ref4","volume-title":"What is Integrated 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systematic review of interventions in primary care and community settings","volume":"345","author":"Smith","year":"2012","journal-title":"BMJ"},{"key":"ref10","year":"2016"},{"key":"ref11","volume-title":"Report of Consortium Meeting","year":"2019"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1016\/j.healthpol.2018.05.003","article-title":"A multilevel analysis of the determinants of emergency care visits by the elderly in France","volume":"122","author":"Zeynep","year":"2018","journal-title":"Health Policy"},{"key":"ref13","year":"2023"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"E96","DOI":"10.5888\/pcd13.160233","article-title":"A call to preventive action by health care providers and policy makers to support caregivers","volume":"13","author":"Hoffman","year":"2016","journal-title":"Prev Chronic Dis"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"0046958018775570","DOI":"10.1177\/0046958018775570","article-title":"Population characteristics and needs of informal caregivers associated with the risk of perceiving a high burden: a cross-sectional study","volume":"55","author":"Prevo","year":"2018","journal-title":"Inquiry"},{"key":"ref16","first-page":"1","volume-title":"Encyclopedia of Gerontology and Population Aging","author":"Li","year":"2019"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1111\/ajr.13016","article-title":"Provision of health services for elderly populations in rural and remote areas in Australia: a systematic scoping review","volume":"31","author":"Zheng","year":"2023","journal-title":"Aust J Rural Health"},{"key":"ref18","year":"2023"},{"key":"ref19","volume-title":"The National Family Caregiver Support Program Resource Guide","year":"2022"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1111\/jrh.12309","article-title":"Rural-urban differences in workplace supports and impacts for employed caregivers","volume":"35","author":"Henning-Smith","year":"2019","journal-title":"J Rural Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1111\/jrh.12581","article-title":"Rural-urban differences in informal caregiving and health-related quality of life","volume":"38","author":"Cohen","year":"2022","journal-title":"J Rural Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1177\/0269216319861925","article-title":"Comparison of financial support for family caregivers of people at the end of life across six countries: a descriptive study","volume":"33","author":"Gardiner","year":"2019","journal-title":"Palliat 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eHealthMonitor dementia portal","volume":"5","author":"Schaller","year":"2016","journal-title":"JMIR Res Protoc"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"5873","DOI":"10.3390\/ijerph18115873","article-title":"Caregiver burden and associated factors for the respite care needs among the family caregivers of community-dwelling senior citizens in Chiang Mai, Northern Thailand","volume":"18","author":"Aung","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1186\/s12913-022-07971-x","article-title":"Observations of community-based multidisciplinary team meetings in health and social care for older people with long-term conditions in England","volume":"22","author":"Douglas","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1111\/phn.13485","article-title":"Screening for frailty according to rural and suburban 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