Hawley-Hague Helen, Boulton Elisabeth, Hall Alex, Pfeiffer Klaus, Todd Chris
School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Int J Med Inform. 2014 Jun;83(6):416-26. doi: 10.1016/j.ijmedinf.2014.03.002. Epub 2014 Apr 1.
Over recent years a number of Information and Communication Technologies (ICTs) have emerged aiming at falls prevention, falls detection and alarms for use in case of fall. There are also a range of ICT interventions, which have been created or adapted to be pro-active in preventing falls, such as those which provide strength and balance training to older adults in the prevention of falls. However, there are issues related to the adoption and continued use of these technologies by older adults.
This review provides an overview of older adults' perceptions of falls technologies.
We undertook systematic searches of MEDLINE, EMBASE, CINAHL and PsychINFO, COMPENDEX and the Cochrane database. Key search terms included 'older adults', 'seniors', 'preference', 'attitudes' and a wide range of technologies, they also included the key word 'fall*'. We considered all studies that included older adults aged 50 and above. Studies had to include technologies related specifically to falls prevention, detection or monitoring. The Joanna Briggs Institute (JBI) tool and the Quality Assessment Tool for Quantitative Studies by the Effective Public Health Practice Project (EPHPP) were used.
We identified 76 potentially relevant papers. Some 21 studies were considered for quality review. Twelve qualitative studies, three quantitative studies and 6 mixed methods studies were included. The literature related to technologies aimed at predicting, monitoring and preventing falls suggest that intrinsic factors related to older adults' attitudes around control, independence and perceived need/requirements for safety are important for their motivation to use and continue using technologies. Extrinsic factors such as usability, feedback gained and costs are important elements which support these attitudes and perceptions.
Positive messages about the benefits of falls technologies for promoting healthy active ageing and independence are critical, as is ensuring that the technologies are simple, reliable and effective and tailored to individual need. The technologies need to be clearly described in research and older peoples' attitudes towards different sorts of technologies must be clarified if specific recommendations are to be made.
近年来，出现了许多旨在预防跌倒、检测跌倒以及在跌倒发生时发出警报的信息通信技术（ICT）。此外，还有一系列ICT干预措施，这些措施已被创建或调整以积极预防跌倒，例如为老年人提供力量和平衡训练以预防跌倒的措施。然而，老年人在采用和持续使用这些技术方面存在一些问题。
本综述概述了老年人对跌倒技术的看法。
我们对MEDLINE、EMBASE、CINAHL、PsychINFO、COMPENDEX和Cochrane数据库进行了系统检索。关键检索词包括“老年人”“年长者”“偏好”“态度”以及多种技术，还包括关键词“跌倒*”。我们纳入了所有涉及50岁及以上老年人的研究。研究必须包括与跌倒预防、检测或监测具体相关的技术。使用了乔安娜·布里格斯研究所（JBI）工具和有效公共卫生实践项目（EPHPP）的定量研究质量评估工具。
我们识别出76篇潜在相关论文。约21项研究被纳入质量审查。其中包括12项定性研究、3项定量研究和6项混合方法研究。与旨在预测、监测和预防跌倒的技术相关的文献表明，与老年人围绕控制、独立性以及对安全的感知需求/要求的态度相关的内在因素，对于他们使用和持续使用技术的动机很重要。诸如可用性、获得的反馈和成本等外在因素是支持这些态度和认知的重要因素。
关于跌倒技术对促进健康积极老龄化和独立性的益处的积极信息至关重要，确保技术简单、可靠、有效并根据个人需求进行定制也同样重要。如果要提出具体建议，就需要在研究中清晰描述这些技术，并且必须阐明老年人对不同类型技术的态度。
