School of Health Administration, Texas State University, USA.
J Telemed Telecare. 2017 May;23(4):439-451. doi: 10.1177/1357633X16649790. Epub 2016 Jun 1.
Introduction The ubiquitous nature of mobile technology coupled with the acceptance of mobile health (mHealth) among the elderly offers an opportunity to augment the existing medical workforce in long-term care. The objective of this review and narrative analysis is to identify and analyse facilitators and barriers to adoption of mHealth for the elderly. Methods Studies over the last year were identified in multiple database indices, and three reviewers examined abstracts ( k = 0.82) and analysed articles for themes which were tallied in affinity diagrams to identify frequency of occurrence in the literature (n = 36). Results The three facilitators mentioned most often were independence (18%), understanding (13%), and visibility (13%). The three barriers mentioned most often were complexity (21%), limited by users (12%) and ineffective (12%). Discussion and conclusions The reviewers concluded that the work done so far illustrates that mHealth enables a perception of independence. Future research should focus on the barriers of complexity of technology and improving existing medical literacy in order to facilitate further adoption.
简介 移动技术的普及性,加上老年人对移动健康(mHealth)的接受程度,为补充长期护理中现有的医疗劳动力提供了机会。本综述和叙述性分析的目的是确定并分析老年人采用 mHealth 的促进因素和障碍。
方法 在多个数据库索引中确定了去年的研究,三位审阅者检查了摘要( k=0.82)并分析了文章的主题,这些主题在亲和图中进行了汇总,以确定文献中的出现频率(n=36)。
结果 最常提到的三个促进因素是独立性(18%)、理解(13%)和可见性(13%)。最常提到的三个障碍是复杂性(21%)、受用户限制(12%)和无效性(12%)。
讨论与结论 审阅者得出结论,迄今为止所做的工作表明,mHealth 使人们能够感知到独立性。未来的研究应侧重于技术复杂性的障碍,并提高现有的医学文化素养,以促进进一步采用。