The views and experiences of older adults regarding digital mental health interventions: a systematic review of qualitative studies

Ruoyu Yin · Laura Martinengo · Helen Elizabeth Smith · Mythily Subramaniam · Konstadina Griva · Lorainne Tudor Car

44 citations0/0 files storedThe Lancet Healthy Longevity

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Digital Mental Health Interventions Telemedicine and Telehealth Implementation Technology Use by Older Adults

Abstract

This systematic review aimed to synthesise qualitative evidence on the views and experiences of older adults in using digital mental health interventions (DMHIs) for the prevention or self-management of mental disorders. We searched PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, PsycINFO, and the first 100 results of Google Scholar for eligible studies and we included 37 papers reporting 35 studies in this Review. Most DMHIs were delivered using mobile apps (n=11), websites (n=6), and video-conferencing tools (n=6). The use of DMHIs in older adults was affected by negative perceptions about ageing and mental health, the digital divide (eg, insufficient digital literacy), personal factors (eg, motivation) and health status, interpersonal influences (eg, guidance and encouragement), intervention features (eg, pace and content), technology-related factors (eg, accessibility), and the perceived benefits and risks of using DMHIs. Future DMHIs for older adults should involve other stakeholders such as health-care professionals, provide content relevant to the needs of older people, be more accessible, and address concerns about privacy and confidentiality.

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References

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2025Barriers and Facilitators of Digital Mental Health Use in Regional, Rural, and Remote Australia: A Comparison of Clinician and Consumer Perspectives 2025Comparative effectiveness of digitally delivered psychological therapies for depression and anxiety symptoms in older adults: A systematic review and network meta-analysis 2025The effects of delivery format on the effectiveness and acceptability of self-guided interventions for depression in older adults: A systematic review and meta-analysis

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