Multidimensional factors affecting homebound older adults: A systematic review

Ju Hee Lee, Yujin Suh, Yielin Kim

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Purpose: To systematically identify the multidimensional factors affecting homebound older adults. Design: Systematic review. Methods: We searched PubMed, MEDLINE, Cochrane Library, CINAHL, EMBASE, and PsycINFO from inception to November 15, 2020. This systematic review followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. The Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies was used for quality assessment. Findings: Nineteen studies met the review criteria; the studies were either cross-sectional or longitudinal. Most studies have focused on personal factors affecting homebound older adults. The individual construct consisted of demographic, biological, psychological, functional, and health-related factors. The structural construct included architectural, environmental, community, and social factors. Based on the different definitions of homebound used in the studies, the prevalence of homebound status ranged from 3.5% to 39.8%. Conclusions: The prevalence of homebound status among older adults varied depending on how homebound was defined. Homebound status is the interaction between the individual and structural constructs. Variations in cultural, political, and economic conditions could influence homebound status across countries over time. Comprehensive assessment and interventions for homebound older adults based on multidisciplinary approaches are recommended for nurses. Clinical relevance: This research will impact the development of nursing strategies to screen homebound older adults and provide targeted preventive interventions so that older adults with many risk factors do not become homebound.

Original languageEnglish
Pages (from-to)169-175
Number of pages7
JournalJournal of Nursing Scholarship
Issue number2
Publication statusPublished - 2022 Mar

Bibliographical note

Funding Information:
This study was funded by the Basic Science Research Program through the National Research Foundation of Korea (NRF) from the Ministry of Education (2018R1D1A1A02085559 and 2020R1A6A1A03041989). The funding body had no role in the design of the study; the collection, analysis or interpretation of the data; or the writing of the manuscript.

Publisher Copyright:
© 2021 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.

All Science Journal Classification (ASJC) codes

  • Nursing(all)


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