Health information technologies in geriatrics and gerontology: a mixed systematic review

Vedel, Isabelle; Akhlaghpour, Saeed; Vaghefi, Isaac; Bergman, Howard; Lapointe, Liette

doi:10.1136/amiajnl-2013-001705

Cited by 60 publications

(69 citation statements)

References 131 publications

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“…(16) While each of the above subtypes may offer benefits to patients and families, as well as disruption to the current healthcare system, we focus on patient-facing technologies for elders and caregivers in this review of acceptance of technology. (17)…”

Section: Older Adults and Acceptance Of Information Technologymentioning

confidence: 99%

Acceptance and use of health information technology by community-dwelling elders

Fischer

David

Crotty

et al. 2014

International Journal of Medical Informatics

324

259

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Objectives With the worldwide population growing in age, information technology may help meet important needs to prepare and support patients and families for aging. We sought to explore the use and acceptance of information technology for health among the elderly by reviewing the existing literature. Methods Review of literature using PubMed and Google Scholar, references from relevant papers, and consultation with experts. Results Elderly people approach the Internet and health information technology differently than younger people, but have growing rates of adoption. Assistive technology, such as sensors or home monitors, may help ‘aging in place,' but these have not been thoroughly evaluated. Elders face many barriers to using technology for healthcare decision-making, including issues with familiarity, willingness to ask for help, trust of the technology, privacy, and design challenges. Conclusions Barriers must be addressed for these tools to be available to this growing population. Design, education, research, and policy all play roles in addressing these barriers to acceptance and use.

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Section: Older Adults and Acceptance Of Information Technologymentioning

confidence: 99%

Acceptance and use of health information technology by community-dwelling elders

Fischer

David

Crotty

et al. 2014

International Journal of Medical Informatics

324

259

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“…However, there are also reports indicating numerous barriers to implementation of such technology, such as lack of legal guidelines or supporting policies (Vedel et al . , Johnston et al . ).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences of using a smart mobile device application to assist home care for patients with chronic disease: a qualitative study

Chiang

Wang

2016

Journal of Clinical Nursing

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“…One challenge has been to design systems that are accepted and used effectively by older adults, which should include features for ongoing monitoring, interpretation of PHI, and recommendations [9,11-14]. Sociodemographic factors including age, sex, and socioeconomic status [15-24], and a lack of user-friendly interfaces have been identified as key barriers to eHealth uptake in older populations [25]. However, no studies have qualitatively explored the relationship between older individuals’ experiences with the health care system and their needs and preferences for using the Internet and eHealth technologies for managing their health.…”

Section: Introductionmentioning

confidence: 99%

Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults

Ware¹,

Bartlett²,

Paré³

et al. 2017

Interact J Med Res

110

103

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BackgroundThe Internet and eHealth technologies represent new opportunities for managing health. Age, sex, socioeconomic status, and current technology use are some of the known factors that influence individuals’ uptake of eHealth; however, relatively little is known about facilitators and barriers to eHealth uptake specific to older adults, particularly as they relate to their experiences in accessing health care.ObjectiveThe aim of our study was to explore the interests, preferences, and concerns of older adults in using the Internet and eHealth technologies for managing their health in relation to their experiences with the current health care system.MethodsTwo focus groups (n=15) were conducted with adults aged 50+ years. Pragmatic thematic analysis using an inductive approach was conducted to identify the interests, preferences, and concerns of using the Internet and eHealth technologies.ResultsFive themes emerged that include (1) Difficulty in identifying credible and relevant sources of information on the Web; (2) Ownership, access, and responsibility for medical information; (3) Peer communication and support; (4) Opportunities to enhance health care interactions; and (5) Privacy concerns. These findings support the potential value older adults perceive in eHealth technologies, particularly in their ability to provide access to personal health information and facilitate communication between providers and peers living with similar conditions. However, in order to foster acceptance, these technologies will need to provide personal and general health information that is secure, readily accessible, and easily understood.ConclusionsOlder adults have diverse needs and preferences that, in part, are driven by their experiences and frustrations with the health care system. Results can help inform the design and implementation of technologies to address gaps in care and access to health information for older adults with chronic conditions who may benefit the most from this approach.

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Health information technologies in geriatrics and gerontology: a mixed systematic review

Abstract: Our results will help organizations in making decisions regarding the choice, planning and diffusion of GGHIT implemented for the care of older adults.

Cited by 60 publications

References 131 publications

Acceptance and use of health information technology by community-dwelling elders

Acceptance and use of health information technology by community-dwelling elders

Nurses’ experiences of using a smart mobile device application to assist home care for patients with chronic disease: a qualitative study

Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults

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