CAPABLE Care + Connect: A Qualitative Study to Adapt CAPABLE for Home-Based Primary Care and Foster Social Connection

Fostering social connection among homebound older adults and their care partners presents a distinct challenge. Evidence on strategies to address social isolation and functional impairment for homebound individuals is limited. This study aims to inform adaptation and implementation of the CAPABLE program within a home-based primary care practice. We conducted interviews with older adults, care partners, CAPABLE clinicians, and home-based primary care staff (n = 12). We explored factors influencing social connection and program implementation for a home-based primary care population. We identified facilitators of social connection, barriers to social connection, conditions contributing to social isolation, and strategies to foster social connection for homebound older adults and their care partners. Results will inform CAPABLE adaptation and integration within a home-based primary care setting. An implication of this work is demonstration of the potential impact of CAPABLE on social connection for homebound individuals and care partners.