Barriers and facilitators to the use of e-health by older adults: a scoping review
Abstract Background Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. This scoping review sought to address this gap. Methods Databases were searched for papers reporting on the use of...
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doaj-1e27eb988aba4526971150c3d42cfd082021-08-22T11:16:50ZengBMCBMC Public Health1471-24582021-08-0121111210.1186/s12889-021-11623-wBarriers and facilitators to the use of e-health by older adults: a scoping reviewJessica Wilson0Milena Heinsch1David Betts2Debbie Booth3Frances Kay-Lambkin4Centre for Brain and Mental Health Research, University of NewcastleCentre for Brain and Mental Health Research, University of NewcastleSchool of Humanities and Social Science, University of NewcastleUniversity Library, University of NewcastleCentre for Brain and Mental Health Research, University of NewcastleAbstract Background Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. This scoping review sought to address this gap. Methods Databases were searched for papers reporting on the use of e-health services by older adults, defined as being aged 60 years or older, with specific reference to barriers and facilitators to e-health use. Result 14 papers were included and synthesised into five thematic categories and related subthemes. Results are discussed with reference to the Unified Theory of Acceptance and Use of Technology2. The most prevalent barriers to e-health engagement were a lack of self-efficacy, knowledge, support, functionality, and information provision about the benefits of e-health for older adults. Key facilitators were active engagement of the target end users in the design and delivery of e-health programs, support for overcoming concerns privacy and enhancing self-efficacy in the use of technology, and integration of e-health programs across health services to accommodate the multi-morbidity with which older adults typically present. Conclusion E-health offers a potential solution to overcome the barriers faced by older adults to access timely, effective, and acceptable health care for physical and mental health. However, unless the barriers and facilitators identified in this review are addressed, this potential will not be realised.https://doi.org/10.1186/s12889-021-11623-wMobile healthE-mental healthAcceptanceEngagementMultimorbidity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jessica Wilson Milena Heinsch David Betts Debbie Booth Frances Kay-Lambkin |
spellingShingle |
Jessica Wilson Milena Heinsch David Betts Debbie Booth Frances Kay-Lambkin Barriers and facilitators to the use of e-health by older adults: a scoping review BMC Public Health Mobile health E-mental health Acceptance Engagement Multimorbidity |
author_facet |
Jessica Wilson Milena Heinsch David Betts Debbie Booth Frances Kay-Lambkin |
author_sort |
Jessica Wilson |
title |
Barriers and facilitators to the use of e-health by older adults: a scoping review |
title_short |
Barriers and facilitators to the use of e-health by older adults: a scoping review |
title_full |
Barriers and facilitators to the use of e-health by older adults: a scoping review |
title_fullStr |
Barriers and facilitators to the use of e-health by older adults: a scoping review |
title_full_unstemmed |
Barriers and facilitators to the use of e-health by older adults: a scoping review |
title_sort |
barriers and facilitators to the use of e-health by older adults: a scoping review |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2021-08-01 |
description |
Abstract Background Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. This scoping review sought to address this gap. Methods Databases were searched for papers reporting on the use of e-health services by older adults, defined as being aged 60 years or older, with specific reference to barriers and facilitators to e-health use. Result 14 papers were included and synthesised into five thematic categories and related subthemes. Results are discussed with reference to the Unified Theory of Acceptance and Use of Technology2. The most prevalent barriers to e-health engagement were a lack of self-efficacy, knowledge, support, functionality, and information provision about the benefits of e-health for older adults. Key facilitators were active engagement of the target end users in the design and delivery of e-health programs, support for overcoming concerns privacy and enhancing self-efficacy in the use of technology, and integration of e-health programs across health services to accommodate the multi-morbidity with which older adults typically present. Conclusion E-health offers a potential solution to overcome the barriers faced by older adults to access timely, effective, and acceptable health care for physical and mental health. However, unless the barriers and facilitators identified in this review are addressed, this potential will not be realised. |
topic |
Mobile health E-mental health Acceptance Engagement Multimorbidity |
url |
https://doi.org/10.1186/s12889-021-11623-w |
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