The views and experiences of older adults regarding digital mental health interventions: a systematic review ofqualitative studies.

IF 13.4 Q1 GERIATRICS & GERONTOLOGY Lancet Healthy Longevity Pub Date : 2024-10-24 DOI:10.1016/j.lanhl.2024.08.007

Ruoyu Yin, Laura Martinengo, Helen Elizabeth Smith, Mythily Subramaniam, Konstadina Griva, Lorainne Tudor Car

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Abstract

This systematic review aimed to synthesise qualitative evidence on the views and experiences of older adults in using digital mental health interventions (DMHIs) for the prevention or self-management of mental disorders. We searched PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, PsycINFO, and the first 100 results of Google Scholar for eligible studies and we included 37 papers reporting 35 studies in this Review. Most DMHIs were delivered using mobile apps (n=11), websites (n=6), and video-conferencing tools (n=6). The use of DMHIs in older adults was affected by negative perceptions about ageing and mental health, the digital divide (eg, insufficient digital literacy), personal factors (eg, motivation) and health status, interpersonal influences (eg, guidance and encouragement), intervention features (eg, pace and content), technology-related factors (eg, accessibility), and the perceived benefits and risks of using DMHIs. Future DMHIs for older adults should involve other stakeholders such as health-care professionals, provide content relevant to the needs of older people, be more accessible, and address concerns about privacy and confidentiality.

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老年人对数字心理健康干预措施的看法和经验：定性研究的系统回顾。

本系统性综述旨在综合老年人在使用数字心理健康干预措施（DMHIs）预防或自我管理精神障碍方面的观点和经验的定性证据。我们检索了 PubMed、Embase、Cumulative Index to Nursing and Allied Health Literature、Web of Science、PsycINFO 和 Google Scholar 的前 100 条结果，以查找符合条件的研究。大多数 DMHI 使用移动应用程序（11 篇）、网站（6 篇）和视频会议工具（6 篇）提供。影响老年人使用 DMHIs 的因素包括：对老龄化和心理健康的负面看法、数字鸿沟（如数字素养不足）、个人因素（如动机）和健康状况、人际影响（如指导和鼓励）、干预特点（如节奏和内容）、技术相关因素（如可及性）以及使用 DMHIs 的感知收益和风险。未来针对老年人的 DMHI 应让其他利益相关者（如医疗保健专业人员）参与进来，提供与老年人需求相关的内容，使其更易于使用，并解决隐私和保密问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lancet Healthy Longevity GERIATRICS & GERONTOLOGY-

CiteScore

16.30

自引率

2.30%

发文量

192

审稿时长

12 weeks

期刊介绍： The Lancet Healthy Longevity, a gold open-access journal, focuses on clinically-relevant longevity and healthy aging research. It covers early-stage clinical research on aging mechanisms, epidemiological studies, and societal research on changing populations. The journal includes clinical trials across disciplines, particularly in gerontology and age-specific clinical guidelines. In line with the Lancet family tradition, it advocates for the rights of all to healthy lives, emphasizing original research likely to impact clinical practice or thinking. Clinical and policy reviews also contribute to shaping the discourse in this rapidly growing discipline.