PMID- 34399716
OWN - NLM
STAT- MEDLINE
DCOM- 20210914
LR  - 20210914
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Aug 17
TI  - Barriers and facilitators to the use of e-health by older adults: a scoping 
      review.
PG  - 1556
LID - 10.1186/s12889-021-11623-w [doi]
LID - 1556
AB  - 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.
CI  - (c) 2021. The Author(s).
FAU - Wilson, Jessica
AU  - Wilson J
AD  - Centre for Brain and Mental Health Research, University of Newcastle, Callaghan, 
      NSW, 2308, Australia. Jessica.Wilson@newcastle.edu.au.
FAU - Heinsch, Milena
AU  - Heinsch M
AD  - Centre for Brain and Mental Health Research, University of Newcastle, Callaghan, 
      NSW, 2308, Australia.
FAU - Betts, David
AU  - Betts D
AD  - School of Humanities and Social Science, University of Newcastle, Callaghan, NSW, 
      2308, Australia.
FAU - Booth, Debbie
AU  - Booth D
AD  - University Library, University of Newcastle, Callaghan, NSW, 2308, Australia.
FAU - Kay-Lambkin, Frances
AU  - Kay-Lambkin F
AD  - Centre for Brain and Mental Health Research, University of Newcastle, Callaghan, 
      NSW, 2308, Australia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20210817
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Aged
MH  - *Health Promotion
MH  - Humans
MH  - Mental Health
MH  - Technology
MH  - *Telemedicine
PMC - PMC8369710
OTO - NOTNLM
OT  - Acceptance
OT  - E-mental health
OT  - Engagement
OT  - Mobile health
OT  - Multimorbidity
COIS- We have no conflict of interest to declare.
EDAT- 2021/08/18 06:00
MHDA- 2021/09/15 06:00
PMCR- 2021/08/17
CRDT- 2021/08/17 05:41
PHST- 2021/04/29 00:00 [received]
PHST- 2021/08/11 00:00 [accepted]
PHST- 2021/08/17 05:41 [entrez]
PHST- 2021/08/18 06:00 [pubmed]
PHST- 2021/09/15 06:00 [medline]
PHST- 2021/08/17 00:00 [pmc-release]
AID - 10.1186/s12889-021-11623-w [pii]
AID - 11623 [pii]
AID - 10.1186/s12889-021-11623-w [doi]
PST - epublish
SO  - BMC Public Health. 2021 Aug 17;21(1):1556. doi: 10.1186/s12889-021-11623-w.