Barriers to and Facilitators of Digital Health Technology Adoption Among Older Adults With Chronic Diseases: Updated Systematic Review
Abstract
Background Older adults with chronic diseases are key beneficiaries of digital health technologies, yet adoption remains inconsistent, particularly in rural areas and among certain demographic groups, such as older women. Objective This systematic review aimed to identify barriers to and facilitators of digital health adoption among older adults with chronic diseases, with particular attention to rural-urban differences, co-design, and equity-relevant factors. Methods This updated review built on a previously published review by extending the search to include PsycArticles, Scopus, Web of Science, and PubMed databases for studies published between April 2022 and September 2024. Gray literature from August 2021 onward was also included. Studies were eligible if they reported barriers to or facilitators of digital health adoption among adults aged ≥60 years with chronic diseases. Findings were mapped to the capability, opportunity, and motivation–behavior model and analyzed using the PROGRESS-Plus (place of residence; race, ethnicity, culture, and language; occupation; gender and sex; religion; education; socioeconomic status; and social capital–plus) equity framework. Quality was assessed using the Mixed Methods Appraisal Tool, and all results are reported in line with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results In total, 12 studies from the original review were retained, with 17 new peer-reviewed studies added, yielding…
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