Presenter(s):

Peace Kumapayi; Joseph Ogbuniro; Ravjyot Ughra; Benita Ugwu; Michael Kalu, York University, Canada

Abstract

Background
Homebound older adults, defined as individuals (65+) who remain indoors for extended periods without venturing outside experience significant challenges that negatively impact their physical activity, psychological health, and overall quality of life (1,2). Researchers have examined both the unmet and met needs of HB older adults, highlighting the necessity for a synthesis of this evidence. Therefore, this scoping review aims to synthesize existing evidence on the cognitive, environmental, financial, personal, physical, psychological, and social met and unmet needs of HB older adults.

Method
We used Arksey and O’Malley’s (2005) framework to conduct this scoping review. Searches were performed in eight databases (PubMed, Medline, PsycINFO, CINAHL, Web of Science, OVID, ProQuest, APA, PsycINFO), and the reference lists from chosen literature were hand-searched for additional literature. Title, abstract, full text screen were conducted in pairs with a predefine criteria, similarly data extraction, although piloted were conducted in pairs. We employed thematic analysis (in pairs) to identify the met and unmet needs of HB older adults.

Findings
A total of 19 articles were included, of which eleven were quantitative studies, seven were qualitative, one was mixed-method studies. More than half of the included articles (n=12) were conducted in the USA, with the remaining from China (n=2), United Kingdom (n=1), Portugal (n=1), Greece (n=1) and Canada (n=1). Among the included articles, seventeen articles reported unmet needs ranging from cognitive (mild cognitive impairment and executive functioning), personal (lower life satisfaction and racial disparities), physical (functional impairment and oral health), psychological (depression), financial (financial constraints), environmental (housing needs and lack of access to transportation) and social needs (loneliness and social support). Remaining articles (n=2) reported met needs using intervention such as Cognitive behavioral therapy (CBT) combined with Baduanjin qigong that reduced loneliness and Homebound elderly people psychotherapeutic interventions (HEPPI) that improved depression, episodic memory function and attentional control among homebound older adults.

Bio(s):

Peace Kumapayi is a Canadian-trained Kinesiologist with several years of clinical and administrative experience in healthcare settings, particularly in roles involving patient interactions. She is currently pursuing a master’s degree in Kinesiology and Health Science at York University. Her thesis explores the experiences and perceptions of older Adults with mobility limitation in Ontario using telerehabilitation. Peace is a recipient of numerous academic awards, including the York University International Merit Award, the Undergraduate Continuing Scholarship (four consecutive years), the Undergraduate Summer Research Award (URSA), and the Connected Minds Master’s Scholarship. She graduated summa cum laude with consistent Dean’s Honour Roll recognition throughout her undergraduate studies. Beyond academics, Peace is actively engaged in community and student leadership through organizations such as the Black Student Mentorship Program (BSMP), Youth Assisting Youth (YAY), Women’s Mental Health Club, and Kinesiology and Health Science Student Organization (KAHSSO).