van Acker Justine, Maenhout Laura, Compernolle Sofie
Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Innov Aging. 2023 Jan 30;7(2):igad007. doi: 10.1093/geroni/igad007. eCollection 2023.
The aging population places increasing demands on our healthcare system. Mobile health offers the potential to reduce this burden. The aim of this systematic review is to thematically synthesize qualitative evidence of older adults' user engagement toward mobile health, and to generate relevant recommendations for intervention developers.
A systematic literature search was performed in Medline, Embase, and Web of Science electronic databases from inception until February 2021. Papers on qualitative and mixed-methods studies that investigated older adults' user engagement with a mobile health intervention were included. Relevant data were extracted and analyzed using thematic analysis. The Critical Appraisal Skills Program Qualitative Checklist was used to assess the quality of the included studies.
Thirty-two articles were deemed eligible for inclusion in the review. Three overarching analytical themes emerged from the 25 descriptive themes generated by the line-by-line coding: the limited capabilities, the prerequisite of motivation, and the importance of social support.
Successful development and implementation of future mobile health intervention for older adults will be challenging given the physical and psychological limitations and motivational barriers that older adults experience. Design adaptations and well-thought-out blended alternatives (i.e., combining mobile health with face-to-face support) might be potential solutions to improve older adults' user engagement with mobile health interventions.
人口老龄化对我们的医疗保健系统提出了越来越高的要求。移动健康有望减轻这一负担。本系统评价的目的是对老年人参与移动健康的定性证据进行主题综合，并为干预措施开发者提出相关建议。
在Medline、Embase和Web of Science电子数据库中进行了系统的文献检索，检索时间从数据库建立至2021年2月。纳入了关于定性和混合方法研究的论文，这些研究调查了老年人对移动健康干预措施的用户参与情况。使用主题分析法提取并分析相关数据。采用批判性评价技能计划定性检查表评估纳入研究的质量。
32篇文章被认为符合纳入本评价的条件。在逐行编码生成的25个描述性主题中出现了三个总体分析主题：能力有限、动机前提和社会支持的重要性。
鉴于老年人所经历的身体和心理限制以及动机障碍，未来为老年人成功开发和实施移动健康干预措施将具有挑战性。设计调整和精心考虑的混合替代方案（即将移动健康与面对面支持相结合）可能是提高老年人对移动健康干预措施用户参与度的潜在解决方案。
