Clemens Scott Kruse|Joanna Fohn|Nakia Wilson|Evangelina Núñez Patlán|Stephanie Zipp|Michael Mileski
Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review
Texas State University|Texas State University|Texas State University|Texas State University|Texas State University|Texas State University
background rising telehealth capabilities improving access older adults aid improving health outcomes quality life indicators telehealth used ubiquitously present objective review aimed identify barriers prevent ubiquitous use telehealth ways telehealth improves health outcomes quality life indicators older adults methods systematic review conducted reported accordance kruse protocol preferred reporting items systematic reviews metaanalyses prisma guidelines reviewers queried following four research databases cumulative index nursing allied health literature cinahl pubmed medline web science embase science direct reviewers analyzed 57 articles performed narrative analysis identify themes identified barriers reports health outcomes quality life indicators found literature results reviewers analyzed 57 studies across following five interventions telehealth ehealth mobile health mhealth telemonitoring telecare phone telehealth video calls cohen 075 reviewers identified 14 themes barriers common technical literacy 25144 occurrences 17 lack desire 19144 occurrences 13 cost 11144 occurrences 8 reviewers identified 13 medical outcomes associated telehealth interventions common decrease psychological stress 21118 occurrences 18 increase autonomy 18118 occurrences 15 increase cognitive ability 11118 occurrences 9 articles report medical outcomes 1857 32 report barriers 1957 33 conclusions literature suggests elimination barriers could increase prevalence telehealth use older adults increasing use telehealth proximity care longer issue access thereby care reach populations chronic conditions mobility restrictions future research conducted methods personalizing telehealth older adults implementation trial registration prospero crd42020182162 httpswwwcrdyorkacukprosperodisplayrecordphpidcrd42020182162 international registered report identifier irrid rr210219615490