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Journal|[J]Journal of Ideas in HealthVolume 4, Issue 1. 2021. PP 307-320
The use of mHealth solutions in active and healthy ageing promotion: an explorative scoping review
摘要 / Abstract
预计2015 - 2050年,全球60岁及以上人口将从12.0 %增至22.0 %,增长近一倍,这将直接影响各国劳动力市场的构成,增加各国医疗卫生系统的经济压力。解决这些挑战的方法之一是利用移动健康促进积极健康老龄化( AHA )。本研究旨在初步概述当代预防mHealth解决方案在健康、独立的老年人中促进AHA的宽度和深度( 60岁及以上的个人 )。为此,一项探索性范围界定审查被应用于搜索最近研究的在线数据库( 2015年 3月— 2020年 3月 ),以促进针对健康和独立老年人的mHealth解决方案。我们确定了符合纳入标准的出版物31种。他们大多使用移动( n = 25 )和/或可穿戴( n = 11 )设备,mHealth解决方案大多通过针对老年人积极的生活方式或独立性来促进AHA。大多数研究( n = 27 )没有应用mHealth促进的理论框架。当解决方案易于使用时,用户体验为正( n = 12 );当参与者使用设备和/或技术时,用户体验为负( n = 11 )。审查的结论是,mHealth通过关注老年人的生活方式、日常运作和参与,促进AHA,为解决不健康和依赖老龄人口面临的问题提供了机会。未来的研究应采用多学科综合的研究方法和强有力的理论和方法基础,探讨mHealth解决方案对AHA行为改变的影响。
The global population aged 60 years and over is expected to almost double between 2015 and 2050 from 12.0% to 22.0%, which will directly impact countries' labor market composition and increase the economic pressure on their healthcare systems. One way to address these challenges is to promote Active and Healthy Ageing (AHA) using mobile Health (mHealth). This research aims to provide an initial overview of the width and the depth of contemporary preventive mHealth solutions that promote AHA among healthy, independent older adults (individuals aged 60 years and over). To do so, an explorative scoping review was applied to search online databases for recent studies (March 2015 - March 2020) addressing the promotion of mHealth solutions targeting healthy and independent older adults. We identified 31 publications that met the inclusion criteria. Most of them utilized either mobile (n=25) and/or wearable (n=11) devices. mHealth solutions mostly promoted AHA by targeting older adults’ active lifestyles or independence. Most of the studies (n=27) did not apply a theoretical framework on which the mHealth promotion was based. User-experience was positive (n=12) when the solution was easy to use but negative (n=11) when the participants were resistant or faced challenges using the device and/or technology. The review concludes that mHealth offers the opportunity to combat the issues faced by an unhealthy and dependent aging population by promoting AHA through focusing on older adults’ Lifestyle, Daily functioning, and Participation. Future research should use multidisciplinary integrated approaches and strong theoretical and methodological foundations to investigate mHealth solutions' impact on AHA behavioral change.
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