Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore; Centre for Behavioural and Implementation Science Interventions, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Lancet Healthy Longev. 2024 Nov;5(11):100638. doi: 10.1016/j.lanhl.2024.08.007. Epub 2024 Oct 24.
This systematic review aimed to synthesise qualitative evidence on the views and experiences of older adults in using digital mental health interventions (DMHIs) for the prevention or self-management of mental disorders. We searched PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, PsycINFO, and the first 100 results of Google Scholar for eligible studies and we included 37 papers reporting 35 studies in this Review. Most DMHIs were delivered using mobile apps (n=11), websites (n=6), and video-conferencing tools (n=6). The use of DMHIs in older adults was affected by negative perceptions about ageing and mental health, the digital divide (eg, insufficient digital literacy), personal factors (eg, motivation) and health status, interpersonal influences (eg, guidance and encouragement), intervention features (eg, pace and content), technology-related factors (eg, accessibility), and the perceived benefits and risks of using DMHIs. Future DMHIs for older adults should involve other stakeholders such as health-care professionals, provide content relevant to the needs of older people, be more accessible, and address concerns about privacy and confidentiality.
本系统评价旨在综合定性证据，了解老年人对数字心理健康干预（DMHI）用于预防或自我管理精神障碍的看法和体验。我们检索了 PubMed、Embase、护理与健康相关文献累积索引、Web of Science、PsycINFO 和 Google Scholar 的前 100 个结果，纳入了 37 篇报告 35 项研究的文献。大多数 DMHI 是通过移动应用程序（n=11）、网站（n=6）和视频会议工具（n=6）提供的。老年人对 DMHI 的使用受到对衰老和心理健康的负面看法、数字鸿沟（例如，数字素养不足）、个人因素（例如，动机）和健康状况、人际影响（例如，指导和鼓励）、干预特征（例如，速度和内容）、技术相关因素（例如，可及性）以及使用 DMHI 的益处和风险感知的影响。未来针对老年人的 DMHI 应涉及其他利益相关者，如医疗保健专业人员，提供与老年人需求相关的内容，提高可及性，并解决对隐私和保密性的担忧。
