title: Potential caregivers for homebound elderly: more numerous than supposed?
abstract: BACKGROUND
  This qualitative study examined the experiences and perspectives of caregivers of homebound elderly patients.
  
  
  METHODS
  We performed in-depth, semistructured interviews with 22 caregivers (average age 59 years) of homebound elderly patients and analyzed them to determine major themes. The homebound patients were part of a house call program of a US academic medical center in Baltimore, Maryland.
  
  
  RESULTS
  Caregiver relationships in our study were diverse: 41% were spouses or children, and 41% were unrelated to the homebound patient; 36% were male. We identified 3 themes: (1) caregiving has both positive and negative aspects, (2) caregiver motivation is heterogeneous, and (3) caregivers sometimes undergo transformation as a result of their caregiving experience.
  
  
  CONCLUSIONS
  Caregiver experience is varied. Interviewees reported a variety of motivations for becoming caregivers and both positive and negative aspects of the experience. Caregivers in this study were diverse with respect to sex and relationship to the patient, suggesting the pool of potential caregivers may be larger than previously thought.
authors.affiliation: Johns Hopkins Bayview Medical Center, 5501 Hopkins Bayview Circle, Room 1B.45, Baltimore, MD 21224, USA. lhanyok2@jhmi.edu
authors.forename: Laura A
authors.initials: LA
authors.lastname: Hanyok
authors.forename: Jamie
authors.initials: J
authors.lastname: Mullaney
authors.forename: Thomas
authors.initials: T
authors.lastname: Finucane
authors.forename: Joseph
authors.initials: J
authors.lastname: Carrese
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015577:Geriatric Assessment; D006701:Home Nursing / Q000592:standards* / Q000639:trends; D018577:Homebound Persons / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D011788:Quality of Life; D018570:Risk Assessment; D012737:Sex Factors; D013315:Stress, Psychological