School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden.
Population Research Center, Urban and Regional Studies Institute, Faculty of Spatial Sciences, University of Groningen, P.O. Box 800, 9700 AV Groningen, The Netherlands.
Int J Environ Res Public Health. 2021 Dec 23;19(1):151. doi: 10.3390/ijerph19010151.
Information and communication technology (ICT) can potentially support older adults in making decisions and increase their involvement in decision-making processes. Although the range of technical products has expanded in various areas of society, knowledge is lacking on the influence that ICT has on older adults' decision-making in everyday situations. Based on the literature, we aimed to provide an overview of the role of ICT in home-dwelling older adults' decision-making in relation to health, and health and social care services. A scoping review of articles published between 2010 and 2020 was undertaken by searching five electronic databases. Finally, 12 articles using qualitative, quantitative, and mixed-method designs were included. The articles were published in journals representing biology and medicine, nursing, informatics, and computer science. A majority of the articles were published in the last five years, and most articles came from European countries. The results are presented in three categories: (i) form and function of ICT for decision-making, (ii) perceived value and effect of ICT for decision-making, and (iii) factors influencing ICT use for decision-making. According to our findings, ICT for decision-making in relation to health, and health and social care services was more implicitly described than explicitly described, and we conclude that more research on this topic is needed. Future research should engage older adults and health professionals in developing technology based on their needs. Further, factors that influence older adults' use of ICT should be evaluated to ensure that it is successfully integrated into their daily lives.
信息和通信技术（ICT）有可能支持老年人做出决策，并增加他们对决策过程的参与度。尽管各种社会领域的技术产品种类不断扩大，但对于 ICT 对老年人在日常情况下的决策的影响，人们的了解还很有限。基于文献，我们旨在概述 ICT 在与健康、健康和社会保健服务相关的居家老年人决策中的作用。通过搜索五个电子数据库，对 2010 年至 2020 年期间发表的文章进行了范围界定审查。最终纳入了 12 篇使用定性、定量和混合方法设计的文章。这些文章发表在代表生物学和医学、护理、信息学和计算机科学的期刊上。大多数文章是在过去五年内发表的，而且大多数文章来自欧洲国家。研究结果分为三类：（i）用于决策的 ICT 的形式和功能，（ii）用于决策的 ICT 的感知价值和效果，以及（iii）影响用于决策的 ICT 使用的因素。根据我们的研究结果，与健康和健康及社会保健服务相关的决策中的 ICT 更多是隐含描述，而不是明确描述，我们得出的结论是，需要对这一主题进行更多的研究。未来的研究应该让老年人和卫生专业人员参与到根据他们的需求开发技术的工作中。此外，还应该评估影响老年人使用 ICT 的因素，以确保其成功融入他们的日常生活。
