Mapping of technological strategies for reducing social isolation in homebound older adults: A scoping review

Xiang Ren Tan · Ingrid M. Wilson · Peter Kay Chai Tay · Phoo Pyae Sone Win · Cai Feng Song · Shiou Liang Wee

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Technology Use by Older Adults Telemedicine and Telehealth Implementation Aging, Health, and Disability

Abstract

BACKGROUND: Homebound older adults (HOAs) are particularly vulnerable to social isolation and loneliness, which engender a poorer physical and mental health, and greater cognitive decline. The purpose of this review is to map the literature to identify potential technological strategies that reduce social isolation in HOAs, and to understand facilitators and barriers for adoption and implementation. METHODS: Six databases including PubMed (MEDLINE), Google Scholar, Cochrane Database, EBSCOHost, National Library ProQuest, Web of Science, and the Journal of Medical Internet Research were searched for relevant articles. Peer-reviewed literature published in English from Jan 2014 to Feb 2024 that employed technological strategies applicable to HOAs and assessed social isolation or connectedness as an outcome measure were included. RESULTS: 107 studies were reviewed and classified into different technological categories based on their functions and features. A social technology framework encompassing delivery, hardware, software, content, training, and support was conceptualized with core characteristics identified from the reviewed technological strategies. Cost and complexity of technology, and resource commitment were identified as barriers while user-friendliness, content curation and a supportive ecosystem may facilitate the adoption of a technological strategy to address social isolation in HOAs. CONCLUSION: There is a need for early and concerted effort to identify HOAs, provide technology training, and empower them to tap on the digital world to complement and/or supplement social interactions. Development of cost-effective and rapid-to-implement technology is vital for HOAs who are at highest risk to social isolation.

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2009Users of the world, unite! The challenges and opportunities of Social Media 2010Social Relationships and Mortality Risk: A Meta-analytic Review 2016A scoping review on the conduct and reporting of scoping reviews 2020Loneliness and social isolation interventions for older adults: a scoping review of reviews 2017Loneliness and Social Internet Use: Pathways to Reconnection in a Digital World?2016Improving Social Support for Older Adults Through Technology: Findings From the PRISM Randomized Controlled Trial 2017Can Digital Technology Enhance Social Connectedness Among Older Adults? A Feasibility Study 2021The use of digital technology for social wellbeing reduces social isolation in older adults: A systematic review

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