title: Exploring the influence of Internet-based caregiver support on experiences of isolation for older spouse caregivers in rural areas: a qualitative interview study.
abstract: BACKGROUND
  Many older spouse caregivers are tied to the home by their caring duties and feel isolated. The values of supporting older caregivers are well known. In rural areas with long distances and decline in essential services, attending caregiver support groups can be difficult. Using Internet-based services can provide an opportunity for rural caregivers to participate in caregiver support, regardless of geographical distances and without the need for physical presence.
  
  
  OBJECTIVE
  This study aimed to explore how Internet-based caregiver support may influence the experience of isolation among older spouse caregivers in rural areas.
  
  
  METHODS
  An intervention study where 63 older rural caregivers received an Internet-based caregiver support service.
  
  
  METHODS
  A qualitative interview study based on 31 interviews with open-ended questions, analysed using latent content analysis.
  
  
  RESULTS
  Two themes represent the findings from the study: Expanding the concept of place and Developing networks. Even though participants still spent their days in the house, they experienced that daily life was being spent in a variety of places, both physically, virtually and emotionally. The Internet-based support service provided them with a tool to reconnect with family and develop new friends.
  
  
  CONCLUSIONS
  Internet-based caregiver support may reduce the experience of isolation for spouse caregivers in rural areas. Nurses played a crucial part in the development, by encouraging, educating and inspiring caregivers and supporting their independence.
  
  
  CONCLUSIONS
  Internet-based services ought to be an option for caregiver support in rural areas as it may reduce feelings of isolation for older spouse caregivers.
authors.affiliation: Department of Research & Development, Association of Local Authorities in Västernorrland County, Härnösand, Sweden.|Department of Nursing, Mid-Sweden University, Campus Sundsvall, Sundsvall, Sweden.
authors.forename: Madeleine
authors.initials: M
authors.lastname: Blusi
authors.affiliation: Department of Nursing, Mid-Sweden University, Campus Sundsvall, Sundsvall, Sweden.
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Kristiansen
authors.affiliation: Department of Nursing, Mid-Sweden University, Campus Sundsvall, Sundsvall, Sweden.
authors.forename: Mats
authors.initials: M
authors.lastname: Jong
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D008297:Male; D036301:Qualitative Research; D012424:Rural Population; D012934:Social Isolation; D012944:Social Support; D018454:Spouses / Q000523:psychology*; D013548:Sweden
keywords: caregiver support; internet; isolation; older people; place; rural nursing