The Digital Engagement of Older People: Systematic Scoping Review Protocol

Kebede, Abraham Sahilemichael; Ozolins, Lise-Lotte; Holst, Hanna; Galvin, Kathleen

doi:10.2196/25616

Cited by 16 publications

(13 citation statements)

References 47 publications

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“…Older adults’ digital technology engagement or disengagement is conceptualized as a 3-staged continuum from technological nonuse and initial adoption to sustained engagement. See the review protocol by Kebede et al [ 19 ] for details of this typology.…”

Section: Introductionmentioning

confidence: 99%

Digital Engagement of Older Adults: Scoping Review

Kebede¹,

Ozolins²,

Holst³

et al. 2022

J Med Internet Res

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Background Digital technologies facilitate everyday life, social connectedness, aging at home, well-being, and dignified care. However, older adults are disproportionately excluded from these benefits. Equal digital opportunities, access, and meaningful engagement require an understanding of older adults’ experience across different stages of the technological engagement life cycle from nonuse and initial adoption to sustained use, factors influencing their decisions, and how the experience changes over time. Objective Our objectives were to identify the extent and breadth of existing literature on older adults’ perspective on digital engagement and summarize the barriers to and facilitators for technological nonuse, initial adoption, and sustained digital technology engagement. Methods We used the Arksey and O’Malley framework for the scoping review process. We searched MEDLINE, PsycINFO, CINAHL, Web of Science, and ACM digital library for primary studies published between 2005 and 2021. The inclusion and exclusion criteria were developed based on the Joanna Briggs Institute (participants, content, and context) framework. Studies that investigated the digital engagement experience as well as barriers to and facilitators of older adults’ digital technology engagement were included. The characteristics of the study, types of digital technology, and digital engagement levels were analyzed descriptively. Content analysis was used to generate tentative elements using a congruent theme, and barriers and facilitators were mapped over the capability, opportunity, and motivation behavior change model (COM-B) and the theoretical domain framework. The findings were reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Results In total, 96 publications were eligible for the final charting and synthesis. Most of the studies were published over the past 5 years, investigated the initial adoption stage of digital engagement, and focused on everyday technologies. The most cited barriers and facilitators across the engagement stages from each COM-B component were capability (eg, physical and psychological changes and lack of skill), opportunity (eg, technological features, environmental context, and resources), and motivation (eg, optimism from perceived usefulness and beliefs about capability). Conclusions The COM-B model and theoretical domain framework provide a guide for identifying multiple and intertwined barriers and facilitators at each stage of digital engagement. There are limited studies looking into the whole spectrum of older adults’ digital technology experience; in particular, studies on technological nonuse and sustained use stages are rare. Future research and practice should focus on tailored interventions accounting for the barriers to older adults’ digital engagement and addressing capabilities, motivation, and opportunities; affordable, usable, and useful digital technologies, which address the changes and capability requirements of older adults and are cocreated with a value framework; and lifelong learning and empowerment to develop older adults’ knowledge and skills to cope with digital technology development. International Registered Report Identifier (IRRID) RR2-10.2196/25616

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Section: Introductionmentioning

confidence: 99%

Digital Engagement of Older Adults: Scoping Review

Kebede¹,

Ozolins²,

Holst³

et al. 2022

J Med Internet Res

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“…Although older people are considered "nondigital natives" and their use of digital technologies is associated with various barriers, such technologies could also facilitate healthy aging via access to health information and the provision of health care [4,5]. A research focus on this population is important to better understand how older people use and engage with digital technologies for healthy aging [6]. For example, access to digital health offers is possible only if older people possess appropriate technological devices, such as tablets or smartphones [7,8].…”

Section: Introductionmentioning

confidence: 99%

Digital Technologies for Health Promotion and Disease Prevention in Older People: Protocol for a Scoping Review

Santis¹,

Mergenthal²,

Christianson³

et al. 2022

JMIR Res Protoc

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Background Digital technologies could contribute to health promotion and disease prevention. It is unclear if and how such digital technologies address the health needs of older people in nonclinical settings (ie, daily life). Objective This study aims to identify digital technologies for health promotion and disease prevention that target the needs of older people in nonclinical settings by performing a scoping review of the published literature. The scoping review is guided by the framework of Arksey and O’Malley. Methods Our scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The information sources are bibliographic databases (MEDLINE, PsycINFO, CINAHL, and SCOPUS) and bibliographies of any included systematic reviews. Manual searches for additional studies will be performed in Google Scholar and most relevant journals. The electronic search strategy was developed in collaboration with a librarian who performed the search for studies on digital technologies for health promotion and disease prevention targeting the needs of older people. Study selection and data coding will be performed independently by 2 authors. Consensus will be reached by discussion. Eligibility is based on the PCC (Population, Concept, and Context) criteria as follows: (1) older people (population); (2) any digital (health) technology, such as websites, smartphone apps, or wearables (concept); and (3) health promotion and disease prevention in nonclinical (daily life, home, or community) settings (context). Primary studies with any design or reviews with a systematic methodology published in peer-reviewed academic journals will be included. Data items will address study designs, PCC criteria, benefits or barriers related to digital technology use by older people, and evidence gaps. Data will be synthesized using descriptive statistics or narratively described by identifying common themes. Quality appraisal will be performed for any included systematic reviews, using a validated instrument for this study type (A Measurement Tool to Assess Systematic Reviews, version 2 [AMSTAR2]). Results Following preliminary literature searches to test and calibrate the search syntax, the electronic literature search was performed in March 2022 and manual searches were completed in June 2022. Study selection based on titles and abstracts was completed in July 2022, and the full-text screen was initiated in July 2022. Conclusions Our scoping review will identify the types of digital technologies, health targets in the context of health promotion and disease prevention, and health benefits or barriers associated with the use of such technologies for older people in nonclinical settings. This knowledge could guide further research on how digital technologies can support healthy aging. International Registered Report Identifier (IRRID) PRR1-10.2196/37729

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“…There has been emerging research on digitally administered social activities and exercise for improving strength and reducing falls and loneliness, and studies have shown that uptake was influenced by perceived usefulness, enjoyment, social influence, gender, experience, and ease of use among other factors [ 18 ]. One in two older adults are at risk of social isolation locally but only one in four of our participants were at risk [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

The Acceptability of Digital Technology and Tele-Exercise in the Age of COVID-19: Cross-sectional Study

Ho¹,

Merchant²

2022

JMIR Aging

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Background With the COVID-19 pandemic, telehealth has been increasingly used to offset the negative outcomes of social isolation and functional decline in older adults. Crucial to the success of telehealth is end user adoption. Objective This study aims to investigate perception and acceptability of digital technology among Asian older adults. Methods The Healthy Ageing Promotion Program for You (HAPPY) dual-task exercise was conducted virtually to participants aged ≥60 years. Questionnaires were administered digitally and collected data on demographics, perceptions of digital technology and evaluation of HAPPY, the 6-item Lubben Social Network Scale, intrinsic capacity using the Integrated Care for Older People tool, and a functional screening with the FRAIL scale and five chair rises. Descriptive analysis was used. Results A total of 42 participants were digitally interviewed. The mean age was 69.1 (4.7) years. Hearing, vision, and 3-item recall difficulty were present in 14% (n=6), 12% (n=5), and 24% (n=10) of participants, respectively. Of the participants, 29% (n=12) had possible sarcopenia and 14% (n=6) were prefrail. Around 24% (n=10) were at risk of social isolation. Most of the participants (n=38, 91%) agreed that technology is good, and 79% (n=33) agreed that technology would allow them to be independent for longer. Over three-quarters of participants (n=33, 79%) agreed that they have the necessary knowledge, and 91% (n=38) had technological assistance available. However, 57% (n=24) were still apprehensive about using technology. Despite 71% (n=30) of older adults owning their devices, 36% (n=15) felt finances were limiting. Through digital HAPPY, 45% (n=19) of participants reported feeling stronger, 48% (n=20) had improved spirits, and 40% (n=17) and 38% (n=16) had improved mood and memory, respectively. Conclusions The majority of older adults in this study believed in digital technology and had the necessary knowledge and help, but almost half still felt apprehensive and had financial barriers to adopting technology. A digitally administered exercise program especially in a group setting is a feasible option to enhance intrinsic capacity in older adults. However, more work is needed in elucidating sources of apprehension and financial barriers to adopting technology.

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The Digital Engagement of Older People: Systematic Scoping Review Protocol

Cited by 16 publications

References 47 publications

Digital Engagement of Older Adults: Scoping Review

Digital Engagement of Older Adults: Scoping Review

Digital Technologies for Health Promotion and Disease Prevention in Older People: Protocol for a Scoping Review

The Acceptability of Digital Technology and Tele-Exercise in the Age of COVID-19: Cross-sectional Study

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