Home, but Not Homebound: A Prospective Analysis of Persons Living With Dementia.
Jennifer M Reckrey, Bruce Leff, Raj G Kumar and 3 others
PMID 35063398WHAT IT FOUND
At newly identified dementia, 20.3% of older adults were homebound, and most were not.
Depression, living in assisted living, and Hispanic ethnicity were linked to becoming homebound over time.
Key findings
01Among 939 community-dwelling persons with newly identified dementia, 20.3% were homebound at identification.
02Homebound individuals had more chronic conditions (mean 4.5 vs 3.7), more depression (53.3% vs 22.47%), and more dependence in three or more ADLs (53.1% vs 16.7%) than nonhomebound individuals.
03Among initially nonhomebound participants with follow-up, 8% to 11% became homebound in a given year; depression, living in assisted living, and Hispanic ethnicity were associated with becoming homebound.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Annual assessments may miss changes in homebound status between interviews. Dementia status was based on study criteria, not a clinical assessment, so some participants may have had transient cognitive impairment rather than dementia. The study is observational, so it cannot show that depression, assisted living, or Hispanic ethnicity caused becoming homebound. Small sample size precluded detailed analysis of the Hispanic subgroup. Homebound status and many characteristics were based on participant or proxy report rather than clinical examination.
Declared interests
The supplied article text does not include a conflict of interest declaration. Publication types list NIH extramural research support.
The easy way to misread this
Do not conclude that most people with newly identified dementia are homebound. Only 20.3% were homebound at identification, and the study reports associations, not proof that depression, assisted living, or Hispanic ethnicity caused becoming homebound.