Araştırma Makalesi
BibTex RIS Kaynak Göster

Yaşlı Yetişkinlerde Dijital Sağlık Teknolojilerinin Kullanımına İlişkin Kolaylaştırıcı ve Zorlaştırıcı Faktörler ile İyileştirme Önerileri: Bir Kapsam İncelemesi

Yıl 2026, Cilt: 26 Sayı: 1, 194 - 210, 28.03.2026
https://doi.org/10.18037/ausbd.1748332
https://izlik.org/JA44CW42MG

Öz

Yaşlı yetişkinlerin mobil sağlık (mHealth), giyilebilir cihazlar, sanal bakım ve diğer dijital sağlık müdahalelerini kullanımı, bu teknolojilerin etkinliği, kullanıcı deneyimi ve benimsenme modelleri üzerine mevcut literatürü sentezlemeyi amaçlamaktadır. Web of Science veri tabanında “dijital sağlık”, “yaşlanma” ve “yaşlılık” anahtar kelimeleri ile 2010-2025 yılları arasında İngilizce dilinde yayınlanmış araştırmalar taranmıştır. Araştırma yaşlı yetişkinlerde dijital sağlık teknolojilerinin kullanımını ele alan hakemli makalelerden oluşan bir kapsam incelemesidir. Dijital sağlık teknolojilerinin yaşlı yetişkinler arasında sağlık sonuçlarını iyileştirme potansiyeline sahip olduğunu, ancak bilişsel, fiziksel, algısal ve motivasyonel engeller, dijital uçurum, gizlilik endişeleri ve teknolojik okuryazarlık eksikliği gibi zorluklarla karşılaşıldığını göstermektedir. Dijital sağlık teknolojileri, yaşlı yetişkinlerin sağlık yönetimi, bağımsız yaşam ve yaşam kalitesini desteklemede giderek daha önemli bir rol oynamaktadır. Bu makale, yaşlı yetişkinlerin ihtiyaçlarına uygun, kullanıcı merkezli ve eşitlik odaklı dijital sağlık çözümlerinin geliştirilmesi için öneriler sunmaktadır.

Kaynakça

  • Acquisti, A., Brandimarte, L., & Loewenstein, G. (2015). Privacy and human behavior in the age of information. Science, 347(6221), 509–514. https://doi.org/10.1126/science.aaa1465
  • Alruwaili, M. M., Shaban, M., & Elsayed Ramadan, O. M. (2023). Digital health interventions for promoting healthy aging: A systematic review of adoption patterns, efficacy, and user experience. Sustainability, 15(23), Article 16503. https://doi.org/10.3390/su152316503
  • Anderson, M., & Perrin, A. (2017). Tech adoption climbs among older adults. Pew Research Center.
  • Anderson, M., & Perrin, A. (2021). Technology use among seniors. Pew Research Center.
  • Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
  • Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Campbell, L. M., Paolillo, E. W., Heaton, A., et al. (2020). Orta yaşlı ve yaşlı yetişkinlerde mobil bilişsel performansla ilgili günlük aktiviteler: Ekolojik anlık bilişsel değerlendirme çalışması. JMIR mHealth and uHealth, 8(9), Article e19579. https://doi.org/10.2196/19579
  • Chan, S., O'Riordan, A., & Appireddy, R. (2021). Sanal bakımla yaşlı inme hastalarının belirleyicilerini ve deneyimlerini keşfetmek. The Canadian Journal of Neurological Sciences, 48(1), 87–93. https://doi.org/10.1017/cjn.2020.162
  • Chen, Y.-R. R., & Schulz, P. J. (2016). The effect of information communication technology interventions on reducing social isolation in the elderly: A systematic review. Journal of Medical Internet Research, 18(1), Article e18. https://doi.org/10.2196/jmir.4596
  • Christiansen, L., Lindberg, C., Sanmartin Berglund, J., Anderberg, P., & Skär, L. (2020). Mobile health usage and its impact on health-related quality of life: Perceptions of older adults with cognitive impairment. International Journal of Environmental Research and Public Health, 17(8), Article 2650. https://doi.org/10.3390/ijerph17082650
  • Coley, N., Andre, L., Hoevenaar-Blom, M., et al. (2022). Factors predicting engagement of older adults with a coach-supported eHealth intervention promoting lifestyle change. Journal of Medical Internet Research, 24(5), Article e32006. https://doi.org/10.2196/32006
  • Czaja, S. J., Boot, W. R., Charness, N., & Rogers, W. A. (2019). Designing for older adults: Principles and creative human factors approaches (3rd ed.). CRC Press.
  • Czaja, S. J., Charness, N., Fisk, A. D., et al. (2018). Factors influencing the use of technology among older adults. Gerontechnology, 17(2), 67–78.
  • De Santis, K. K., Mergenthal, L., Christianson, L., et al. (2023). Digital technologies for health promotion and disease prevention in older people: Scoping review. Journal of Medical Internet Research, 25, Article e43542. https://doi.org/10.2196/43542
  • Fischer, S. H., David, D., Crotty, B. H., Dierks, M., & Safran, C. (2020). Acceptance and use of health information technology by community-dwelling elders. International Journal of Medical Informatics, 83(9), 624–635. https://doi.org/10.1016/j.ijmedinf.2014.06.005
  • Fisk, A. D., Czaja, S. J., Rogers, W. A., et al. (2020). Designing for older adults: Principles and creative human factors approaches (3rd ed.). CRC Press.
  • Ho, A., & Quick, O. (2018). Leaving patients to their own devices? Smart technology, safety and the ethics of wearable devices. BMC Medicine, 16(1), Article 177. https://doi.org/10.1186/s12916-018-1035-8
  • Kim, T. K., & Choi, M. (2019). Older adults’ willingness to share their personal and health information when adopting healthcare technology and services. International Journal of Medical Informatics, 126, 86–94. https://doi.org/10.1016/j.ijmedinf.2019.03.010
  • Kokorelias, K., Nelson, M., Tang, T., et al. (2022). Inclusion of older adults in digital health technologies to support hospital-to-home transitions: Secondary analysis of a rapid review and equity-informed recommendations. JMIR Aging, 5(2), Article e35925. https://doi.org/10.2196/35925
  • Kraus, M., Saller, M., Baumbach, S., et al. (2022). Prediction of physical frailty in orthogeriatric patients using sensor insole–based gait analysis and machine learning algorithms: Cross-sectional study. JMIR Medical Informatics, 10(1), Article e32724. https://doi.org/10.2196/32724
  • Mair, J., Hayes, L., Campbell, A., et al. (2022). A personalized smartphone-delivered just-in-time adaptive intervention (JitaBug) to increase physical activity in older adults: Mixed methods feasibility study. JMIR Formative Research, 6(4), Article e34662. https://doi.org/10.2196/34662
  • Norman, D. A. (2013). The design of everyday things: Revised and expanded edition. Basic Books.
  • Santini, S., Galassi, F., Kropf, J., & Stara, V. (2020). Emekliliğe geçiş dönemindeki yaşlı yetişkinler arasında sağlıklı yaşlanmayı teşvik eden dijital bir koç: İtalya’da nitel bir çalışmadan elde edilen sonuçlar. Sustainability, 12(18), Article 7400. https://doi.org/10.3390/su12187400
  • Smith, A. C., & Magnani, J. W. (2019). The role of mobile health in the management of cardiovascular disease in older adults. Current Opinion in Cardiology, 34(1), 1–7. https://doi.org/10.1097/HCO.0000000000000577
  • Stara, V., Santini, S., Kropf, J., & D’Amen, B. (2020). Digital health coaching programs among older employees in transition to retirement: Systematic literature review. Journal of Medical Internet Research, 22(9), Article e17809. https://doi.org/10.2196/17809
  • Street, J., Barrie, H., Eliott, J., et al. (2022). Yaşlı yetişkinlerin evde yaşlanmayı destekleyen akıllı teknolojilere ilişkin perspektifleri: Beş dünya kafe forumundan içgörüler. International Journal of Environmental Research and Public Health, 19(13), Article 7817. https://doi.org/10.3390/ijerph19137817
  • Tricco, A. C., Lillie, E., Zarin, W., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
  • Wang, S., Bolling, K., Mao, W., Reichstadt, J., Jeste, D., & Kim, H.-C. (2022). Technology to support aging in place: Older adults’ perspectives. Healthcare, 10(4), Article 656. https://doi.org/10.3390/healthcare10040656
  • Wildenbos, G. A., Peute, L., & Jaspers, M. (2018). Aging barriers influencing mobile health usability for older adults: A literature based framework (MOLD-US). International Journal of Medical Informatics, 114, 66–75. https://doi.org/10.1016/j.ijmedinf.2018.03.012
  • World Health Organization. (2021). Global report on ageism. https://www.who.int/publications/i/item/9789240016866
  • Yan, M., Yin, H., Meng, Q., et al. (2021). A virtual supermarket program for the screening of mild cognitive impairment in older adults: Diagnostic accuracy study. JMIR Serious Games, 9(4), Article e30919. https://doi.org/10.2196/30919
  • Yu, E., & Hagens, S. (2022). Socioeconomic disparities in the demand for and use of virtual visits among senior adults during the COVID-19 pandemic: Cross-sectional study. JMIR Aging, 5(1), Article e35221. https://doi.org/10.2196/35221

Facilitating and Restraining Factors in the Use of Digital Health Technologies by Older Adults, and Improvement Recommendations: A Scope Review

Yıl 2026, Cilt: 26 Sayı: 1, 194 - 210, 28.03.2026
https://doi.org/10.18037/ausbd.1748332
https://izlik.org/JA44CW42MG

Öz

This scoping review aims to comprehensively examine older adults’ use of digital health Technologies including mobile health applications, wearable devices, and virtual care solutions focus-
ing on their effectiveness, user experience, and factors influencing adoption. Guided by the Arksey and O’Malley framework, a systematic search of Web of Science, Scopus, and PubMed data-bases was conducted for peer-reviewed English-language studies published between 2010 and 2025 involving adults aged 55 years and older. Eligible studies were synthesized using thematic analysis. The included studies indicate that digital health technologies can support chronic disease management, enhance physical activity, facilitate cognitive monitoring, and improve access to healthcare among older adults. However, age-related cognitive, physical, and sensory limitations, low digital literacy, the digital divide, and privacy concerns remain significant barriers to sustained use and adoption. Evidence suggests that user-centered, personalized, and supportive interventions improve acceptability and engagement
with digital health solutions. Digital health technologies hold substantial promise for promoting independent living and improving health outcomes in older adults. To fully realize this potential, integrated approaches addressing accessibility, equity, usability, and ethical considerations are essential.

Kaynakça

  • Acquisti, A., Brandimarte, L., & Loewenstein, G. (2015). Privacy and human behavior in the age of information. Science, 347(6221), 509–514. https://doi.org/10.1126/science.aaa1465
  • Alruwaili, M. M., Shaban, M., & Elsayed Ramadan, O. M. (2023). Digital health interventions for promoting healthy aging: A systematic review of adoption patterns, efficacy, and user experience. Sustainability, 15(23), Article 16503. https://doi.org/10.3390/su152316503
  • Anderson, M., & Perrin, A. (2017). Tech adoption climbs among older adults. Pew Research Center.
  • Anderson, M., & Perrin, A. (2021). Technology use among seniors. Pew Research Center.
  • Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
  • Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Campbell, L. M., Paolillo, E. W., Heaton, A., et al. (2020). Orta yaşlı ve yaşlı yetişkinlerde mobil bilişsel performansla ilgili günlük aktiviteler: Ekolojik anlık bilişsel değerlendirme çalışması. JMIR mHealth and uHealth, 8(9), Article e19579. https://doi.org/10.2196/19579
  • Chan, S., O'Riordan, A., & Appireddy, R. (2021). Sanal bakımla yaşlı inme hastalarının belirleyicilerini ve deneyimlerini keşfetmek. The Canadian Journal of Neurological Sciences, 48(1), 87–93. https://doi.org/10.1017/cjn.2020.162
  • Chen, Y.-R. R., & Schulz, P. J. (2016). The effect of information communication technology interventions on reducing social isolation in the elderly: A systematic review. Journal of Medical Internet Research, 18(1), Article e18. https://doi.org/10.2196/jmir.4596
  • Christiansen, L., Lindberg, C., Sanmartin Berglund, J., Anderberg, P., & Skär, L. (2020). Mobile health usage and its impact on health-related quality of life: Perceptions of older adults with cognitive impairment. International Journal of Environmental Research and Public Health, 17(8), Article 2650. https://doi.org/10.3390/ijerph17082650
  • Coley, N., Andre, L., Hoevenaar-Blom, M., et al. (2022). Factors predicting engagement of older adults with a coach-supported eHealth intervention promoting lifestyle change. Journal of Medical Internet Research, 24(5), Article e32006. https://doi.org/10.2196/32006
  • Czaja, S. J., Boot, W. R., Charness, N., & Rogers, W. A. (2019). Designing for older adults: Principles and creative human factors approaches (3rd ed.). CRC Press.
  • Czaja, S. J., Charness, N., Fisk, A. D., et al. (2018). Factors influencing the use of technology among older adults. Gerontechnology, 17(2), 67–78.
  • De Santis, K. K., Mergenthal, L., Christianson, L., et al. (2023). Digital technologies for health promotion and disease prevention in older people: Scoping review. Journal of Medical Internet Research, 25, Article e43542. https://doi.org/10.2196/43542
  • Fischer, S. H., David, D., Crotty, B. H., Dierks, M., & Safran, C. (2020). Acceptance and use of health information technology by community-dwelling elders. International Journal of Medical Informatics, 83(9), 624–635. https://doi.org/10.1016/j.ijmedinf.2014.06.005
  • Fisk, A. D., Czaja, S. J., Rogers, W. A., et al. (2020). Designing for older adults: Principles and creative human factors approaches (3rd ed.). CRC Press.
  • Ho, A., & Quick, O. (2018). Leaving patients to their own devices? Smart technology, safety and the ethics of wearable devices. BMC Medicine, 16(1), Article 177. https://doi.org/10.1186/s12916-018-1035-8
  • Kim, T. K., & Choi, M. (2019). Older adults’ willingness to share their personal and health information when adopting healthcare technology and services. International Journal of Medical Informatics, 126, 86–94. https://doi.org/10.1016/j.ijmedinf.2019.03.010
  • Kokorelias, K., Nelson, M., Tang, T., et al. (2022). Inclusion of older adults in digital health technologies to support hospital-to-home transitions: Secondary analysis of a rapid review and equity-informed recommendations. JMIR Aging, 5(2), Article e35925. https://doi.org/10.2196/35925
  • Kraus, M., Saller, M., Baumbach, S., et al. (2022). Prediction of physical frailty in orthogeriatric patients using sensor insole–based gait analysis and machine learning algorithms: Cross-sectional study. JMIR Medical Informatics, 10(1), Article e32724. https://doi.org/10.2196/32724
  • Mair, J., Hayes, L., Campbell, A., et al. (2022). A personalized smartphone-delivered just-in-time adaptive intervention (JitaBug) to increase physical activity in older adults: Mixed methods feasibility study. JMIR Formative Research, 6(4), Article e34662. https://doi.org/10.2196/34662
  • Norman, D. A. (2013). The design of everyday things: Revised and expanded edition. Basic Books.
  • Santini, S., Galassi, F., Kropf, J., & Stara, V. (2020). Emekliliğe geçiş dönemindeki yaşlı yetişkinler arasında sağlıklı yaşlanmayı teşvik eden dijital bir koç: İtalya’da nitel bir çalışmadan elde edilen sonuçlar. Sustainability, 12(18), Article 7400. https://doi.org/10.3390/su12187400
  • Smith, A. C., & Magnani, J. W. (2019). The role of mobile health in the management of cardiovascular disease in older adults. Current Opinion in Cardiology, 34(1), 1–7. https://doi.org/10.1097/HCO.0000000000000577
  • Stara, V., Santini, S., Kropf, J., & D’Amen, B. (2020). Digital health coaching programs among older employees in transition to retirement: Systematic literature review. Journal of Medical Internet Research, 22(9), Article e17809. https://doi.org/10.2196/17809
  • Street, J., Barrie, H., Eliott, J., et al. (2022). Yaşlı yetişkinlerin evde yaşlanmayı destekleyen akıllı teknolojilere ilişkin perspektifleri: Beş dünya kafe forumundan içgörüler. International Journal of Environmental Research and Public Health, 19(13), Article 7817. https://doi.org/10.3390/ijerph19137817
  • Tricco, A. C., Lillie, E., Zarin, W., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
  • Wang, S., Bolling, K., Mao, W., Reichstadt, J., Jeste, D., & Kim, H.-C. (2022). Technology to support aging in place: Older adults’ perspectives. Healthcare, 10(4), Article 656. https://doi.org/10.3390/healthcare10040656
  • Wildenbos, G. A., Peute, L., & Jaspers, M. (2018). Aging barriers influencing mobile health usability for older adults: A literature based framework (MOLD-US). International Journal of Medical Informatics, 114, 66–75. https://doi.org/10.1016/j.ijmedinf.2018.03.012
  • World Health Organization. (2021). Global report on ageism. https://www.who.int/publications/i/item/9789240016866
  • Yan, M., Yin, H., Meng, Q., et al. (2021). A virtual supermarket program for the screening of mild cognitive impairment in older adults: Diagnostic accuracy study. JMIR Serious Games, 9(4), Article e30919. https://doi.org/10.2196/30919
  • Yu, E., & Hagens, S. (2022). Socioeconomic disparities in the demand for and use of virtual visits among senior adults during the COVID-19 pandemic: Cross-sectional study. JMIR Aging, 5(1), Article e35221. https://doi.org/10.2196/35221
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlıkta Bilgi İşleme, Sağlık Ekonomisi, Sağlık Politikası, Sağlık Sosyolojisi
Bölüm Araştırma Makalesi
Yazarlar

Kader Gerçeker 0000-0002-9908-3488

Ramazan Erdem 0000-0001-6951-3814

Gönderilme Tarihi 23 Temmuz 2025
Kabul Tarihi 3 Şubat 2026
Yayımlanma Tarihi 28 Mart 2026
DOI https://doi.org/10.18037/ausbd.1748332
IZ https://izlik.org/JA44CW42MG
Yayımlandığı Sayı Yıl 2026 Cilt: 26 Sayı: 1

Kaynak Göster

APA Gerçeker, K., & Erdem, R. (2026). Yaşlı Yetişkinlerde Dijital Sağlık Teknolojilerinin Kullanımına İlişkin Kolaylaştırıcı ve Zorlaştırıcı Faktörler ile İyileştirme Önerileri: Bir Kapsam İncelemesi. Anadolu Üniversitesi Sosyal Bilimler Dergisi, 26(1), 194-210. https://doi.org/10.18037/ausbd.1748332