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Health technologies for older adults face significant barriers and facilitators across individual, unit, site, and system levelsIdentifying barriers to health technology use for older adults

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Key Takeaway
Note that while individual-level factors are well-documented, systemic barriers to health technology adoption remain under-researched.

This scoping review synthesized 45 publications to identify facilitators, barriers, and strategies for implementing health technologies, such as synchronous video, asynchronous telehealth, wearable sensors, and mobile health devices, among older adults. The scope included an analysis of how these technologies are integrated into care and the specific challenges faced during adoption.

The synthesis revealed that while 100.0% (45/45) of the reviewed studies addressed individual-level factors, there was significantly less focus on broader organizational levels. Specifically, only 17.8% (8/45) of studies focused on unit or team levels, 11.1% (5/45) focused on site or facility levels, and 17.8% (8/45) addressed system-level factors. These findings highlight a concentration on individual user experience rather than systemic integration.

The authors noted specific gaps in addressing multi-level implementation challenges. While the review identifies best practices for technology adoption, the limited focus on site and system levels suggests that broader infrastructure requirements are not yet fully explored in the literature. Clinical application of these findings is currently limited by these identified gaps in multi-level research.

Technology can be a lifeline for older adults, but it is not always easy to adopt. From wearable sensors to mobile health devices and video calls, these tools are becoming common ways to manage health. However, making sure they actually reach the people who need them most requires understanding what makes the process difficult.

A review of 45 publications looked at how these technologies are used by older adults. The research found that while almost every study focused on individual challenges, far fewer looked at broader issues like team-level support or facility-wide systems. This means we know a lot about personal hurdles, but we still have less information on the bigger organizational barriers.

The findings point toward specific gaps in how we implement these tools. While there is a growing body of work, more research is needed to address multi-level challenges. By identifying these gaps, providers can better create inclusive strategies that ensure technology works for everyone, regardless of their technical experience.

What this means for you:
While individual hurdles are well known, we need more focus on team and system levels to help seniors use health tech.

Common questions

What types of technology are being used for older adults?

The review looked at several different technologies. These include synchronous video calls, asynchronous telehealth, wearable sensors, and mobile health devices. These tools are designed to help older adults manage their health more effectively through various digital platforms.

What were the main challenges in using these technologies?

The review identified both facilitators and barriers to adoption. While all 45 studies focused on individual-level hurdles, there are still gaps in understanding multi-level implementation challenges. This means we need more information on how teams and facilities can better support seniors.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedAug 2026
View Original Abstract ↓
The present study undertakes a scoping review of research on the intersection of age, health technologies, and the digital divide, with a specific focus on identifying facilitators and barriers to adoption, and strategies for inclusive implementation. A scoping review of literature from ten databases was used to identify papers published 2010–2024, from which we selected 45 publications that focused on older adults, technology, and health care. Technologies included synchronous video, asynchronous telehealth, wearable sensors, mobile health devices, and other health technologies across four areas of impact: individual, clinic, hospital, and system or organizational levels. Qualitative content, framework analyses, and subject matter expert discussion were used to analyze data and identify best practices in implementation. Of the 4,368 potential literature references, 264 were duplicates, and our review of the title and abstracts of 4,104 (93.9%) found that 3,692 (90.0%) were irrelevant. A full-text review of 412 studies revealed that 83 (20.1%) studies met all the criteria related to technology and health care, and 38 (45.7%) were removed (17 search terms were mentioned yet not a focus of the research, 12 included methods not sufficiently geared to assess outcomes, 5 were non-peer reviewed literature and 4 had the wrong publication type (e.g., commentary, editorial)). This resulted in 45 articles from seven countries and one global/multinational study ranging from 2017 to 2024. All studies addressed the individual level (n = 45, 100.0%). Focus areas of articles were individual (n = 45, 100%), unit/team level (n = 8, 17.8%), site/facility level (n = 5, 11.1%), and system level (n = 8, 17.8%), with studies increasing focus on multiple areas over time. This scoping review highlights a growing body of literature exploring the intersection of aging, healthcare, and digital technology, but also reveals gaps in addressing multi-level implementation challenges.
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