Evidence map›Paper›PMID 34399716›Full record

ArticleBMC public health2021

Barriers and facilitators to the use of e-health by older adults: a scoping review.

Jessica Wilson, Milena Heinsch, David Betts, Debbie Booth, Frances Kay-Lambkin

2 registry-linked trialsAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 372 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
372citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05891925 naunknown statusnot on this mapstarted 2023, after this paper: background citation

An Audiobook-based Intervention on Community-dwelling Older Adults in Concepción, Chile

TypeinterventionalSponsorUniversidad Católica de la Santísima ConcepciónRan2023 to 2024Enrolled30ConditionsPsychological Well-Being, Mental HealthArmsAudiobook App
NCT06476938 narecruitingnot on this mapstarted 2025, after this paper: background citation

Testing the Efficacy of an eHealth Decision Support Tool to Help Latinx Cancer Patients Make Informed Decisions About Tumor Genomic Testing

TypeinterventionalSponsorFox Chase Cancer CenterRan2025 to 2027Enrolled232ConditionsCancerArmsGene PilotLX
3 · Its place in the literature

Who cites it

372 citing papers in PubMed, 16 syntheses or guidelines pooled it.

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  6. Digital Cognitive Rehabilitation Platforms for Older Adults in Portugal: A Systematic Review.International journal of environmental research and public health · 2026
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  11. Continuous glucose monitoring in type 2 diabetes: a systematic review of barriers and opportunities for care improvement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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  19. Supporting Physical Activity and Quality of Life in Older Adults with Coronary Heart Disease: Development of a Web-Based Nursing Intervention.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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312 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jessica WilsonCentre for Brain and Mental Health Research, University of Newcastle, Callaghan, NSW, 2308, Australia. Jessica.Wilson@newcastle.edu.au.
Milena HeinschCentre for Brain and Mental Health Research, University of Newcastle, Callaghan, NSW, 2308, Australia.
David BettsSchool of Humanities and Social Science, University of Newcastle, Callaghan, NSW, 2308, Australia.
Debbie BoothUniversity Library, University of Newcastle, Callaghan, NSW, 2308, Australia.
Frances Kay-LambkinCentre for Brain and Mental Health Research, University of Newcastle, Callaghan, NSW, 2308, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited 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.

methodsDatabases 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.

result14 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.

conclusionE-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.

Indexed as

Health PromotionTelemedicineAgedHumansMental HealthTechnologyAcceptanceE-mental healthEngagementMobile healthMultimorbidity

Identifiers

PMID34399716
PMCPMC8369710

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.