SynthesisBMC geriatrics2024
Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review.
Synthesis in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of acupuncture combined with medication for mild cognitive impairment: a systematic review and meta-analysis protocol.Systematic reviews · 2026Pooled it
- Effect of Digital Health Interventions on the Nutritional Status and Quality of Life of Patients With Colorectal Cancer: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Efficacy of digital cognitive stimulation therapy for people with dementia: a systematic review and meta-analysis.BMC geriatrics · 2026Pooled it
- Impact of mHealth on Medication Adherence in Older Adults with Chronic Diseases Facing Treatment Burden: A Systematic Review.Geriatrics (Basel, Switzerland) · 2026Review
- Digital Assistive Technology Acceptance and Use by Caregivers of Older Adults With Cognitive Impairment: Qualitative Interview Study.JMIR human factors · 2026Article
- Feasibility and Acceptability of a Remote Sleep-Dependent Memory Assessment in Older Adults With Cognitive Concerns: Pilot Cross-Sectional Study.JMIR aging · 2026Article
- Atrial Fibrillation and Cognitive Decline: A Systematic Review of Pathophysiological Mechanisms, Therapeutic Strategies, and Digital Health Technologies in Neuroprotection.Journal of clinical medicine · 2026Review
- Implementation barriers and facilitators of digital health interventions for older adults with multimorbidity: a scoping review.Frontiers in public health · 2026Article
- An international cross-sectional study of dementia researchers' own perspectives on patient and public involvement.Scientific reports · 2025Article
- Co-Designing an Inclusive Stakeholder Engagement Strategy for Rehabilitation Technology Training Using the I-STEM Model.International journal of environmental research and public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundResearch 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.
methodsThis 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.
resultsThis 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.
conclusionsThis 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).
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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.