Peng Ruotong, Li Xiaoyang, Guo Yongzhen, Ning Hongting, Huang Jundan, Jiang Dian, Feng Hui, Liu Qingcai
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Oceanwide Health Management Institute, Central South University, Changsha, China.
Digit Health. 2024 Mar 4;10:20552076241234628. doi: 10.1177/20552076241234628. eCollection 2024 Jan-Dec.
Electronic mental health interventions are effective but not well promoted currently among older adults. This study sought to systematically review and summarize the barriers and facilitators of accepting and implementing electronic mental health interventions among older adults.
We comprehensively retrieved six electronic databases from January 2012 to September 2022: PubMed, Web of Science, Embase, Scopus, PsycINFO, and CINAHL. The JBI-QARI was used to assess the quality of the research methodology of each publication. Eligible studies underwent data coding and synthesis aligned to inductive and deductive methods. The Consolidated Framework for Implementation Research 2.0 was used as a deductive framework to guide a more structured analysis.
The systematic review screened 4309 articles, 17 of which were included (eight with mixed methods and nine with qualitative methods). We identified and extracted the barriers and facilitators of accepting and implementing electronic mental health interventions among older adults: (1) innovation: technology challenges, optimized functions, and contents, security and privacy; (2) outer setting: community engagement and partnerships, financing; (3) inner setting: leadership engagement, available resources, incompatibility, intergenerational support, training and guidance; (4) individuals: perceptions, capability, motivation of older adults and healthcare providers; and (5) implementation process: recruit, external assistance, and team.
These findings are critical to optimizing, promoting, and expanding electronic mental health interventions among older adults. The systematic review also provides a reference for better evidence-based implementation strategies in the future.
电子心理健康干预措施行之有效，但目前在老年人中推广效果不佳。本研究旨在系统回顾和总结老年人接受和实施电子心理健康干预措施的障碍与促进因素。
我们全面检索了2012年1月至2022年9月期间的六个电子数据库：PubMed、科学网、Embase、Scopus、PsycINFO和CINAHL。采用JBI-QARI评估每篇出版物研究方法的质量。符合条件的研究采用归纳法和演绎法进行数据编码与综合分析。运用实施研究综合框架2.0作为演绎框架，以指导更具结构性的分析。
该系统评价筛选了4309篇文章，其中17篇被纳入（8篇采用混合方法，9篇采用定性方法）。我们识别并提取了老年人接受和实施电子心理健康干预措施的障碍与促进因素：（1）创新：技术挑战、功能与内容优化、安全与隐私；（2）外部环境：社区参与和伙伴关系、资金；（3）内部环境：领导参与、可用资源、不兼容性、代际支持、培训与指导；（4）个人：老年人和医疗服务提供者的认知、能力、动机；（5）实施过程：招募、外部援助和团队。
这些发现对于优化、推广和扩大针对老年人的电子心理健康干预措施至关重要。该系统评价也为未来更好地制定循证实施策略提供了参考。
