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Effects of digital engagement on the quality of life of older people

机译:数字参与对老年人生活质量的影响

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摘要

It is often asserted that older people's quality of life (QOL) is improved when they adopt information and communication technology (ICT) such as the Internet, mobile phones and computers. Similar assumptions are made about older people's use of ICT-based care such as telecare and telehealth. To examine the evidence around these claims, we conducted a scoping review of the academic and grey literature, coving the period between January 2007 and August 2014. A framework analysis approach, based on six domains of QOL derived from the ASCOT and WHOQOL models, was adopted to deductively code and analyse relevant literature. The review revealed mixed results. Older people's use of ICT in both mainstream and care contexts has been shown to have both positive and negative impacts on several aspects of QOL. Studies which have rigorously assessed the impact of older people's use of ICT on their QOL mostly demonstrate little effect. A number of qualitative studies have reported on the positive effects for older people who use ICT such as email or Skype to keep in touch with family and friends. Overall, the review unearthed several inconsistencies around the effects of older people's ICT use on their QOL, suggesting that implicit agreement is needed on the best research methods and instrumentation to adequately describe older people's experiences in today's digital age. Moreover, the available evidence does not consider the large number of older people who do not use ICT and how non-use affects QOL.
机译:人们通常认为,老年人采用诸如互联网,移动电话和计算机之类的信息和通信技术(ICT)可以改善他们的生活质量(QOL)。对于老年人使用基于ICT的护理(例如远程护理和远程医疗)也做出了类似的假设。为了检查围绕这些主张的证据,我们对学术文献和灰色文献进行了范围界定审查,涵盖了2007年1月至2014年8月之间的时间。基于ASCOT和WHOQOL模型的QOL的六个领域,采用了一种框架分析方法,用于演绎编码和分析相关文献。审查显示出好坏参半的结果。事实证明,老年人在主流和护理环境中使用信息通信技术对生活质量有几个方面的正面和负面影响。严格评估老年人使用ICT对他们的QOL的影响的研究大多没有效果。许多定性研究报告了使用ICT的老年人(例如电子邮件或Skype)与家人和朋友保持联系所产生的积极影响。总体而言,该审查发现了老年人使用ICT对其生活质量的影响存在一些不一致之处,这表明,对于最好的研究方法和工具,需要隐含的共识,以充分描述当今数字时代的老年人体验。此外,现有证据并未考虑大量不使用ICT的老年人以及不使用ICT如何影响生活质量。

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