PDF(Pubmed)
Abstract：
BACKGROUND: In recent years, healthcare systems have progressively adopted several technologies enhancing access to healthcare for older adults and support the delivery of efficient and effective care for this specific population. These technologies include both assistive technologies designed to maintain or improve the independence, social participation and functionality of older people at home, as well as health information technology developed to manage long-term conditions. Examples of such technologies include telehealth, wearable devices and mobile health. However, despite the great promise that health technology holds for promoting independent living among older people, its actual implementation remains challenging.
METHODS: This study aimed to conduct an integrative systematic review of the research evidence on the factors that facilitate or hinder the adoption of different types of technology by older individuals with chronic diseases. For this purpose, four electronic databases (PsycArticles, Scopus, Web of Science and PubMed) were queried to search for indexed published studies. The methodological quality of the selected papers has been assessed using the Mixed Methods Appraisal Tool (MMAT).
RESULTS: Twenty-nine articles were selected, including 6.213 adults aged 60 or older. The studies have been synthesised considering the types of technological interventions and chronic diseases, as well as the main barriers and facilitators in technology acceptance. The results revealed that the majority of the selected articles focused on comorbid conditions and the utilisation of telemedicine tools. With regard to hindering and facilitating factors, five main domains were identified: demographic and socioeconomic, health-related, dispositional, technology-related and social factors.
CONCLUSIONS: The study results have practical implications not only for technology developers but also for all the social actors involved in the design and implementation of healthcare technologies, including formal and informal caregivers and policy stakeholders. These actors could use this work to enhance their understanding of the utilisation of technology by the ageing population. This review emphasises the factors that facilitate technology adoption and identifies barriers that impede it, with the ultimate goal of promoting health and independent living.
METHODS: This study aimed to conduct an integrative systematic review of the research evidence on the factors that facilitate or hinder the adoption of different types of technology by older individuals with chronic diseases. For this purpose, four electronic databases (PsycArticles, Scopus, Web of Science and PubMed) were queried to search for indexed published studies. The methodological quality of the selected papers has been assessed using the Mixed Methods Appraisal Tool (MMAT).
RESULTS: Twenty-nine articles were selected, including 6.213 adults aged 60 or older. The studies have been synthesised considering the types of technological interventions and chronic diseases, as well as the main barriers and facilitators in technology acceptance. The results revealed that the majority of the selected articles focused on comorbid conditions and the utilisation of telemedicine tools. With regard to hindering and facilitating factors, five main domains were identified: demographic and socioeconomic, health-related, dispositional, technology-related and social factors.
CONCLUSIONS: The study results have practical implications not only for technology developers but also for all the social actors involved in the design and implementation of healthcare technologies, including formal and informal caregivers and policy stakeholders. These actors could use this work to enhance their understanding of the utilisation of technology by the ageing population. This review emphasises the factors that facilitate technology adoption and identifies barriers that impede it, with the ultimate goal of promoting health and independent living.
摘要：
背景：近年来，医疗保健系统已逐步采用几种技术，以增强老年人获得医疗保健的机会，并支持为这一特定人群提供高效和有效的护理。这些技术包括旨在维持或提高独立性的辅助技术，老年人在家中的社会参与和功能，以及为管理长期状况而开发的健康信息技术。这些技术的例子包括远程医疗，可穿戴设备和移动健康。然而,尽管健康技术对促进老年人的独立生活有着巨大的希望，其实际实施仍然具有挑战性。
方法：本研究旨在对研究证据进行综合系统评价，研究证据涉及促进或阻碍患有慢性疾病的老年人采用不同类型技术的因素。为此,四个电子数据库(Psycarticles，Scopus,WebofScience和PubMed）被查询以搜索索引已发表的研究。已使用混合方法评估工具（MMAT）评估了所选论文的方法学质量。
结果：选择了29篇文章，包括6.213名60岁或以上的成年人。这些研究是综合考虑了技术干预和慢性病的类型，以及技术接受的主要障碍和促进者。结果表明，大多数选定的文章都集中在合并症条件和远程医学工具的使用上。关于阻碍和促进因素，确定了五个主要领域：人口统计学和社会经济，健康相关,性格,技术相关和社会因素。
结论：研究结果不仅对技术开发人员，而且对参与医疗技术设计和实施的所有社会行为者都具有实际意义。包括正式和非正式的照顾者和政策利益相关者。这些行为者可以利用这项工作来增强他们对人口老龄化对技术利用的理解。这篇综述强调了促进技术采用的因素，并确定了阻碍技术采用的障碍，以促进健康和独立生活为最终目标。
方法：本研究旨在对研究证据进行综合系统评价，研究证据涉及促进或阻碍患有慢性疾病的老年人采用不同类型技术的因素。为此,四个电子数据库(Psycarticles，Scopus,WebofScience和PubMed）被查询以搜索索引已发表的研究。已使用混合方法评估工具（MMAT）评估了所选论文的方法学质量。
结果：选择了29篇文章，包括6.213名60岁或以上的成年人。这些研究是综合考虑了技术干预和慢性病的类型，以及技术接受的主要障碍和促进者。结果表明，大多数选定的文章都集中在合并症条件和远程医学工具的使用上。关于阻碍和促进因素，确定了五个主要领域：人口统计学和社会经济，健康相关,性格,技术相关和社会因素。
结论：研究结果不仅对技术开发人员，而且对参与医疗技术设计和实施的所有社会行为者都具有实际意义。包括正式和非正式的照顾者和政策利益相关者。这些行为者可以利用这项工作来增强他们对人口老龄化对技术利用的理解。这篇综述强调了促进技术采用的因素，并确定了阻碍技术采用的障碍，以促进健康和独立生活为最终目标。
