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让认知障碍老年人参与数字健康技术:一项范围综述的方案

Engaging Older Adults With Cognitive Impairment in Digital Health Technologies: Protocol for a Scoping Review.

作者信息

Da Sié Mathieu Aymar Romaric, Sasseville Maxime, Hardy Marie-Soleil, Beogo Idrissa, Gogovor Amédé, Amil Samira, Yameogo Achille R, Bergeron Frédéric, Giguere Anik, LeBlanc Annie, Plaisimond James, Rivard-Lacroix Carole, Gagnon Marie-Pierre

机构信息

Faculty of Nursing Sciences, Laval University, Quebec, QC, Canada.

Library Advisory Services Department, Laval University, Quebec, QC, Canada.

出版信息

JMIR Res Protoc. 2025 Jun 3;14:e65515. doi: 10.2196/65515.

DOI:10.2196/65515
PMID:40460431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12174866/
Abstract

BACKGROUND

The aging of the population is a major issue in Canada, particularly in Quebec. For people older than the age of 65 years, aging is often associated with both mild and severe cognitive impairment. The management of these disorders increases the pressure on health care systems. Digital health technologies could be used to promote the cognitive health of older people living with cognitive disorders. However, to reap the full benefits of using digital health technologies, it is critical that older people with cognitive disorders engage with these technologies. A dose-response relationship has been demonstrated between the level of engagement with digital health technologies and the effectiveness of interventions in older people. It is thus important to understand how older people with cognitive impairment engage with digital health technologies and how this engagement can influence the success of digital health interventions.

OBJECTIVE

This study aims to describe how the engagement of older adults with cognitive impairment with digital health technologies is conceptualized and assessed, and how this engagement relates to the effectiveness of digital health interventions.

METHODS

We will use the scoping review method outlined by Arksey and O'Malley. We will apply a systematic approach following the Joanna Briggs Institute guidelines and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist to ensure reproducibility of the scoping review. A search strategy, created with a medical information specialist, will be applied to MEDLINE, Embase, CINAHL, Web of Science, and Google Scholar, without time restrictions. Two reviewers will independently select titles, abstracts, and full texts. Data extraction will be conducted by the research team and validated by a senior member, resolving disagreements by consensus or a third party if necessary. Descriptive analyses will be done using concept mapping for a narrative synthesis of the results by themes related to the research questions.

RESULTS

The development of the search strategy and the completion of the selection phases of the review were completed in July 2024. Data extraction and analysis began in August 2024, and results are expected to be available in November 2024.

CONCLUSIONS

The results of this scoping review will provide a comprehensive overview of the different conceptualizations of engagement with digital health technologies in older people with cognitive impairment, as well as the tools to measure it. This will contribute to a better understanding of the relationships between levels of engagement and the effectiveness of digital health interventions in older people living with neurocognitive disorders.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/65515.

摘要

背景

人口老龄化是加拿大的一个主要问题,在魁北克尤其如此。对于65岁以上的人群,衰老往往与轻度和重度认知障碍相关。这些疾病的管理给医疗保健系统带来了更大压力。数字健康技术可用于促进患有认知障碍的老年人的认知健康。然而,为了充分利用数字健康技术带来的益处,患有认知障碍的老年人参与使用这些技术至关重要。数字健康技术的参与程度与老年人干预措施的有效性之间已证实存在剂量反应关系。因此,了解患有认知障碍的老年人如何参与数字健康技术以及这种参与如何影响数字健康干预的成功非常重要。

目的

本研究旨在描述患有认知障碍的老年人对数字健康技术的参与是如何被概念化和评估的,以及这种参与与数字健康干预的有效性之间的关系。

方法

我们将采用Arksey和O'Malley概述的范围综述方法。我们将遵循乔安娜·布里格斯研究所指南和PRISMA-ScR(系统评价和Meta分析扩展的范围综述的首选报告项目)清单应用系统方法,以确保范围综述的可重复性。与医学信息专家共同制定的检索策略将应用于MEDLINE、Embase、CINAHL、科学引文索引和谷歌学术,无时间限制。两名评审员将独立筛选标题、摘要和全文。数据提取将由研究团队进行,并由一名高级成员进行验证,如有必要,通过共识或第三方解决分歧。描述性分析将使用概念图对与研究问题相关的主题结果进行叙述性综合。

结果

检索策略的制定和综述筛选阶段的完成于2024年7月完成。数据提取和分析于2024年8月开始,预计结果将于2024年11月公布。

结论

本范围综述的结果将全面概述患有认知障碍的老年人对数字健康技术参与的不同概念化方式以及测量工具。这将有助于更好地理解参与程度与患有神经认知障碍的老年人数字健康干预有效性之间的关系。

国际注册报告识别号(IRRID):PRR1-10.2196/65515。

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