Exploring Home and Community-Based Service Needs Among Rural Family Caregivers of Older Adult US Veterans

Abstract

Objectives

With an aging population and rural workforce shortages, family caregivers face growing demands. Caregivers’ ability to continue providing care depends on their own underlying health and access to home- and community-based services (HCBS). This study examines rural caregiver needs within the Veterans Health Administration.

Methods

We conducted a qualitative study using data from family caregivers (N = 19). Content analysis was used to identify key themes.

Results

Key emergent themes included (1) Dyadic health: significant health concerns for both caregiver and Veteran; (2) Tension of pride vs. support needs as a caregiver; and (3) Patchwork of community supports: limited access to healthcare, respite, and transportation.

Discussion

This study highlights challenges in supporting rural family caregivers of older Veterans with complex health needs. Addressing transportation burdens, dual caregiver–care recipient needs require innovative, dyad-focused approaches. Future research using dyadic data can deepen understanding and guide community-based, caregiver-informed solutions.

Keywords

caregiving rural health qualitative healthcare access Geriatrics

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