School of Sport and Health Sciences, University of Brighton, Brighton, United Kingdom.
Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
J Med Internet Res. 2022 Dec 7;24(12):e40192. doi: 10.2196/40192.
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.
背景:数字技术使日常生活、社交联系、居家养老、幸福感和有尊严的护理变得更加便利。然而,老年人却被不成比例地排除在这些好处之外。实现平等的数字机会、获取机会和有意义的参与需要了解老年人在技术参与生命周期的不同阶段的体验,包括从不使用和初始采用到持续使用,影响他们决策的因素,以及体验随时间的变化。
目的:我们的目标是确定现有关于老年人对数字参与的看法的文献的广度和深度,并总结技术不使用、初始采用和持续数字技术参与的障碍和促进因素。
方法:我们使用 Arksey 和 O'Malley 框架进行范围综述。我们在 MEDLINE、PsycINFO、CINAHL、Web of Science 和 ACM 数字图书馆中搜索了 2005 年至 2021 年期间发表的原始研究。纳入和排除标准是基于 Joanna Briggs 研究所(参与者、内容和背景)框架制定的。纳入了调查老年人数字参与体验以及数字技术使用障碍和促进因素的研究。对研究的特征、数字技术类型和数字参与水平进行了描述性分析。使用一致主题生成临时元素的内容分析,并使用能力、机会和动机行为改变模型(COM-B)和理论领域框架映射障碍和促进因素。研究结果按照 PRISMA-ScR(系统评价和荟萃分析扩展的首选报告项目)进行报告。
结果:共有 96 篇出版物符合最终图表和综合分析的条件。大多数研究都是在过去 5 年发表的,调查了数字参与的初始采用阶段,并且侧重于日常技术。从每个 COM-B 组件的参与阶段中,最常被引用的障碍和促进因素是能力(例如,身体和心理变化以及缺乏技能)、机会(例如,技术特征、环境背景和资源)和动机(例如,对有用性和能力信念的乐观态度)。
结论:COM-B 模型和理论领域框架为确定数字参与各个阶段的多个相互交织的障碍和促进因素提供了指导。很少有研究关注老年人数字技术体验的全貌;特别是关于技术不使用和持续使用阶段的研究很少。未来的研究和实践应关注针对老年人数字参与障碍的定制干预措施,并解决能力、动机和机会;负担得起、可用和有用的数字技术,这些技术解决了老年人的变化和能力要求,并与价值框架共同创建;以及终身学习和赋权,以发展老年人应对数字技术发展的知识和技能。
国际注册报告标识符(IRRID):RR2-10.2196/25616。
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