Review
A scoping review of related factors affecting the participation of the elderly in digital health interventions
Li Zhen, Zhang Yan, Qin Yuelan, Liu Tongbi, Zhang Siqi, Shi Zeya, Tao Meiyi
Published 2023-01-21
Cite as Chin J Prac Nurs, 2023, 39(3): 234-241. DOI: 10.3760/cma.j.cn211501-20211231-03592
Abstract
ObjectiveTo review the scope of related factors that affect the elderly′s participation in digital health intervention, and to provide a certain reference for the application and development of smart elderly technology.
MethodsBased on the scope review guidelines issued by the Joanna Briggs Institute in Australia in 2019, the inclusion and exclusion criteria were determined according to the PCCS principles. Chinese and English literatures were searched in PubMed, Cochrane Library, JBI, CINAHL, Web of Science, Scopus, CNKI, Wanfang database and Chinese biomedical literature database. The search time limit was from the establishment of the database to November 30, 2021. Two researchers independently read, and used EndNoteX9 and Excel tables to extract relevant data from the literature for summary and analysis.
ResultsTotally 20 articles were selected, including 2 mixed studies, 10 cross-sectional studies, 6 qualitative studies, and 2 quasi-experimental studies. Relevant factors affecting the participation of the elderly in digital health interventions involved the developers, users and the user himself of digital health intervention systems, including the degree of system integration of system development, the degree of autonomy of the elderly, the credibility and accessibility of system equipment and ease of use; the degree of compatibility of equipment in the process of use, the degree of digital infrastructure configuration, the degree of Internet penetration, the availability and reliability of health information resources, the degree of training and education, the degree of communication with the elderly in the process of participation, financial payment, etc.; the four inherent factors of the elderly included the cost of technology use, technical anxiety, privacy and safety, and health needs.
ConclusionsThe elderly, medical staff, developers and other stakeholders should jointly participate in decision-making on the development and management of the digital health intervention system for the elderly, especially by inviting and empowering the elderly , and improve the training and feedback of the system application and use process, accelerate the popularization and promotion of technical resources, and increase social capital and financial payment incentives to reduce the burden on the elderly and the medical system.
Key words:
Aged; Influencing factors; Review; Digital health
Contributor Information
Li Zhen
Geriatrics First Ward, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
Zhang Yan
Obstetrical Department, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
Qin Yuelan
Department of Nursing, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
Liu Tongbi
Geriatrics First Ward, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
Zhang Siqi
Orthopedics Second Ward, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
Shi Zeya
Nursing Teaching and Research Section, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
Tao Meiyi
Nursing Teaching and Research Section, Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China
