Longevidad y revolución digital. Contribucion de las tecnologías de la información y de la comunicacion al envejecimiento saludable / Longevity and digital revolution. The contribution of information and communication technologies to healthy aging

OBJETIVO: Sintetizar el conocimiento disponible sobre la contribución de las tecnologías de la información y de la comunicación al envejecimiento activo y saludable. METODOLOGÍA: En la primera fase de búsqueda se utilizó la base de datos GERION de la Biblioteca Virtual del Sistema Sanitario Público Andaluz (SSPA). En la segunda fase se realizó una búsqueda en Cochrane Library, PubMed, EMBASE, Medline, SciELO, MedlinePlus y ScienceDirect. Se utilizaron descriptores de lenguaje natural y lenguaje controlado. Se incluyeron estudios publicados en castellano e inglés en el período comprendido entre enero de 2013 y enero de 2018. Se realizó una metasíntesis cualitativa. RESULTADOS: Se seleccionaron 262 estudios; se excluyeron 240: por estar duplicados, por no cumplir con los criterios de inclusión, por no disponer del texto completo y por no guardar relación con el objeto de estudio. Se incluyeron 22 estudios en la síntesis cualitativa. A partir de la identificación de temas emergentes y su agrupación en categorías, se construyó un modelo conceptual que explica la relación entre envejecimiento activo y saludable e innovación tecnológica. CONCLUSIONES: Las tecnologías de la información y de la comunicación contribuyen al empoderamiento de las personas para el autocuidado; mejoran su autoeficacia y ayudan a mantener su autonomía en la toma de decisiones; favorecen su participación efectiva en los sistemas sanitarios y de cuidados, y contribuyen a la democratización de la salud. Su utilización está condicionada por el compromiso y la implicación de las personas mayores en su diseño, la adaptación a los entornos y preferencias de la persona usuaria, su simplicidad, comprensibilidad, utilidad percibida y facilidad de uso

OBJECTIVE: synthesize the available knowledge on the contribution of information and communication technologies to active and healthy ageing. METHODOLOGY: GERION database from the Virtual Library of the Public Health System of Andalusia was used in the first search phase. In the second phase, a search was performed using Cochrane Library, PubMed, EMBASE, MEDLINE, SciELO, MedlinePlus, and Science Direct. Natural language and controlled language descriptors were used. Studies published in Spanish and English in the period January 2013 to January 2018 were included. Qualitative meta-synthesis was carried out. RESULTS: 262 studies were selected; 240 were excluded due to: duplication, not meeting the inclusion criteria, missing the full text, or not related to the object of study.22 studies were included in the qualitative synthesis. From the identification of emerging issues and their grouping into categories, a conceptual model was constructed that explains the relationship between active and healthy ageing and technological innovation. CONCLUSIONS:Information and communication technologies contribute to the empowerment of people for self-care; improve their self-efficacy; help maintain their autonomy in decision-making; favor their effective participation in health and care systems; and contribute to the democratization of health. Its use is conditioned by the commitment and involvement of older people in its design, adaptation to the environments and preferences of the user, its simplicity, comprehensibility, perceived utility and ease of use

Creation Process of the Digital Platform to Foster Healthy and Active Aging: enbuenaedad.

Andalusia is a region in the south of Spain with 8,4 million inhabitants of which 1,3 million are over 65 years old. Andalusia has been recognized as Reference Site by the European Commission within the European Innovation Partnership on Active and Healthy Aging. The Regional Ministry of Health of Andalusia has put in place strategies to promote healthy and active aging. One of these strategies is enbuenaedad, a digital platform which main aim is to foster active and healthy aging. The target audience is people over 55 years old, caregivers of older adults, as well as health and other key professionals who work with this population. Content sections are inspired in the three pillars of the World Health Organization (WHO) policy framework for active and healthy aging: health, participation, and security, but introducing an additional one which is lifelong learning. One of the strengths of this platform is the creation process. Using a co-thinking design, all target groups get voice under the umbrella of empathy and are empowered by providing support, training, knowledge, and best practices. For its development, dissemination, maintenance, and improvement, the project advocates the unavoidable participation of key stakeholders representing all sectors involved: The Senior Council of Andalusia; Primary Health Care professionals; local authorities; Guadalinfo agents; Permanent Adult Education; and Active Participation Centers. Quantitative and qualitative data obtained within the process support this project. Since its launching, 10,779 users have registered to the platform with more than 157,000 visits. Focusing on WHO four pillars on active and healthy aging Enbuenaedad is based on, preliminary results show effectiveness regarding participation and social interaction. Furthermore, achieving high participation coverage is a necessary but not sufficient input to the provision of adequate approach to older people. More comprehensive evaluation of the four pillars must be taken to ensure a holistic approach. A challenge is a cooperation between three traditionally independent sectors, cooperative work between health, social services, and education is crucial for the future sustainability of this intervention.