Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review
Abstract Background Research increasingly supports the role of electronic health technology in improving cognitive function. However, individuals with mild cognitive impairment or dementia often show low compliance with electronic health technology. To understand the barriers and facilitators for th...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05645-3 |
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| _version_ | 1846100915534168064 |
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| author | Chunyi Zhou Yating Ai Sixue Wang Yue Yuan Ailin Zhang Hui Hu Yuncui Wang |
| author_facet | Chunyi Zhou Yating Ai Sixue Wang Yue Yuan Ailin Zhang Hui Hu Yuncui Wang |
| author_sort | Chunyi Zhou |
| collection | DOAJ |
| description | Abstract Background Research increasingly supports the role of electronic health technology in improving cognitive function. However, individuals with mild cognitive impairment or dementia often show low compliance with electronic health technology. To understand the barriers and facilitators for this group, this study was conducted. Methods This study used the Joanna Briggs Institute (JBI) umbrella review method, searching relevant English articles in PubMed, Embase, Cochrane, Scopus, MEDLINE, Web of Science, and CINAHL from inception to May 2023. Two researchers independently selected articles based on predefined criteria, assessed study quality using Meta-QAT and A Measurement Tool to Assess Systematic Reviews (AMSTAR), and determined confidence in the evidence using GRADE-CERQual. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was employed to analyze factors related to electronic health technology, and Behavior Change Techniques (BCTs) were used to develop implementation strategies. Results This study included 21 reviews, covering 535 primary studies, identifying 13 factors. The three most impactful factors on engagement were Perceived Behavioral Control, Relative Advantage, and Social Factors. Six implementation strategies were formulated based on BCT: enhancing targeted approaches, adapting to existing contexts, involving care organizations, accommodating family involvement, accessing virtual community resources, and recognizing patient variability. Conclusions This umbrella review underscores the need for a multi-level stakeholder approach and a holistic perspective in developing targeted implementation strategies. Using the UTAUT framework, key influential factors have been identified, offering valuable insights for future interventions and enhancing participation in electronic health interventions. Registration This study was registered with the PROSPERO (CRD42023429410). |
| format | Article |
| id | doaj-art-a450faa8db3b4c2a9cd98f4b6c710105 |
| institution | Kabale University |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj-art-a450faa8db3b4c2a9cd98f4b6c7101052024-12-29T12:46:39ZengBMCBMC Geriatrics1471-23182024-12-0124111710.1186/s12877-024-05645-3Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella reviewChunyi Zhou0Yating Ai1Sixue Wang2Yue Yuan3Ailin Zhang4Hui Hu5Yuncui Wang6School of Nursing, Hubei University of Chinese MedicineSchool of Nursing, Hubei University of Chinese MedicineSchool of Nursing, Hubei University of Chinese MedicineSchool of Nursing, Hubei University of Chinese MedicineSchool of Nursing, Hubei University of Chinese MedicineSchool of Nursing, Hubei University of Chinese MedicineSchool of Nursing, Hubei University of Chinese MedicineAbstract Background Research increasingly supports the role of electronic health technology in improving cognitive function. However, individuals with mild cognitive impairment or dementia often show low compliance with electronic health technology. To understand the barriers and facilitators for this group, this study was conducted. Methods This study used the Joanna Briggs Institute (JBI) umbrella review method, searching relevant English articles in PubMed, Embase, Cochrane, Scopus, MEDLINE, Web of Science, and CINAHL from inception to May 2023. Two researchers independently selected articles based on predefined criteria, assessed study quality using Meta-QAT and A Measurement Tool to Assess Systematic Reviews (AMSTAR), and determined confidence in the evidence using GRADE-CERQual. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was employed to analyze factors related to electronic health technology, and Behavior Change Techniques (BCTs) were used to develop implementation strategies. Results This study included 21 reviews, covering 535 primary studies, identifying 13 factors. The three most impactful factors on engagement were Perceived Behavioral Control, Relative Advantage, and Social Factors. Six implementation strategies were formulated based on BCT: enhancing targeted approaches, adapting to existing contexts, involving care organizations, accommodating family involvement, accessing virtual community resources, and recognizing patient variability. Conclusions This umbrella review underscores the need for a multi-level stakeholder approach and a holistic perspective in developing targeted implementation strategies. Using the UTAUT framework, key influential factors have been identified, offering valuable insights for future interventions and enhancing participation in electronic health interventions. Registration This study was registered with the PROSPERO (CRD42023429410).https://doi.org/10.1186/s12877-024-05645-3BarriersFacilitatorsElectronic healthMild cognitive impairmentDementiaUmbrella review |
| spellingShingle | Chunyi Zhou Yating Ai Sixue Wang Yue Yuan Ailin Zhang Hui Hu Yuncui Wang Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review BMC Geriatrics Barriers Facilitators Electronic health Mild cognitive impairment Dementia Umbrella review |
| title | Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review |
| title_full | Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review |
| title_fullStr | Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review |
| title_full_unstemmed | Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review |
| title_short | Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review |
| title_sort | barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment an umbrella review |
| topic | Barriers Facilitators Electronic health Mild cognitive impairment Dementia Umbrella review |
| url | https://doi.org/10.1186/s12877-024-05645-3 |
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