ABSTRACT
Objective:
To
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.
Methods:
Based 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.
Results:
Totally 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.
Conclusions:
The
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.