为无家可归的老年人提供数字干预:系统范围审查
Emily Adams1, Eddie Donaghy2, Caroline Sanders3
1Advanced Care Research Centre, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
Journal of medical Internet research
|February 21, 2025
概括
数字干预对经历无家可归的老年人来说是有前途的,证明了可行性和可接受性. 然而,需要更多的研究来解决数字化包容性障碍,并为这个弱势群体开发有针对性的支持.
科学领域:
- 老年学是指老年学的学科.
- 数字健康数字健康
- 健康的社会决定因素
背景情况:
- 经历无家可归的老年人表现出由于慢性疾病而加速衰老和过早死亡.
- 数字干预提供了潜在的健康益处,但有可能加剧社会排斥群体的数字不平等.
- 年龄,无家可归和数字排斥的交集是一个独特的挑战,需要进一步调查.
研究的目的:
- 对无家可归的老年人进行数字干预的范围审查.
- 检查可用的数字干预措施的范围和性质,以及这些人群和支持组织的使用情况.
主要方法:
- 遵循阿克西和奥马利的范围审查方法,PRISMA-ScR和乔安娜·布里格斯研究所的指导方针.
- 搜索了14个数据库和灰色文献来源.
- 采用叙事综合和诱导主题分析来确定共同的主题.
主要成果:
- 确定了10篇关于50岁以上参与者的数字干预的文章,主要来自美国.
- 干预措施包括远程医疗,技术分发,文本提醒和医疗服务的数字化提供 (例如戒烟,CBT).
- 证明了可接受性和可行性,据报道,数字包容性和参与度有所改善,但注意到了基础设施和数字素养等重大障碍.
结论:
- 在专门针对无家可归的老年人进行评估的数字干预措施中存在重大差距.
- 现有研究表明,数字干预对这一群体来说是可以接受和可行的.
- 未来的研究和干预必须优先解决数字包容性障碍,并纳入生活经验的观点.
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