Hirmas-Adauy Macarena, Castillo-Laborde Carla, Awad Camila, Jasmen Anita, Mattoli Maurizio, Molina Xaviera, Olea Andrea, Matute Isabel, Soto Fernando, Rubilar Paola, Urrejola Oscar, Alfaro Tania, Abusleme Lama María Teresa, Esnouf Sophie
Centro de Epidemiología y Políticas de Salud, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Independent Research Consulting, Santiago, Chile.
Public Health Rev. 2024 Dec 19;45:1607756. doi: 10.3389/phrs.2024.1607756. eCollection 2024.
Comprehensively map and summarize digital health initiatives for the elderly and caregivers.
Scoping review between April and May 2022 based on Joanna Briggs methodology. Databases used included PubMed, Cochrane Library, CINAHL Plus, and Web of Science, along with grey literature and hand searches. Two reviewers independently conducted screening and eligibility phases, with a third resolving disagreements. Data were thematically analyzed.
The review included 421 documents. Most documents were published between 2013 and 2022, with a recent increase. Most studies, originating from high-income countries, focused on home applications and were mainly in the testing and validation stages. Telephones and computers were the predominant devices. Health objectives included monitoring, prevention, and treatment, with interventions utilizing directed communication and personal health monitoring for individuals, and telemedicine and decision support for healthcare providers.
Increasing integration of technology in older adults' lives, along with their increasing proficiency, is driving a significant rise in digital health interventions. Despite this growth, further research in middle- and low-income countries, for caregivers and evaluating effectiveness and feasibility of these technological interventions is needed.
全面梳理和总结针对老年人及照料者的数字健康举措。
基于乔安娜·布里格斯方法于2022年4月至5月进行范围综述。使用的数据库包括PubMed、考克兰图书馆、护理学与健康领域数据库（CINAHL Plus）和科学网，以及灰色文献并进行手工检索。两名评审员独立进行筛选和资格评估阶段，由第三名评审员解决分歧。对数据进行主题分析。
该综述纳入了421份文献。大多数文献发表于2013年至2022年之间，且近期呈增长趋势。大多数研究来自高收入国家，聚焦于家庭应用，且主要处于测试和验证阶段。电话和电脑是主要设备。健康目标包括监测、预防和治疗，干预措施包括针对个人的定向沟通和个人健康监测，以及针对医疗服务提供者的远程医疗和决策支持。
技术在老年人生活中的日益融合以及他们熟练程度的提高，推动了数字健康干预措施的显著增加。尽管有这种增长，但仍需要在中低收入国家开展针对照料者以及评估这些技术干预措施有效性和可行性的进一步研究。
