@文章{信息:doi/10.2196/40192，作者=“Kebede, Abraham sahilemmichael and Ozolins, Lise-Lotte and Holst, Hanna and Galvin, Kathleen”，标题=“老年人数字参与:范围审查”，期刊=“J Med Internet Res”，年=“2022”，月=“12”，日=“7”，卷=“24”，号=“12”，页=“e40192”，关键词=“数字鸿沟”;数字接触;老年人;老年人;持续参与;技术验收;背景:数字技术促进了日常生活、社会联系、家庭老龄化、福祉和有尊严的护理。然而，老年人被不成比例地排除在这些福利之外。平等的数字机会、获取和有意义的参与需要了解老年人在技术参与生命周期的不同阶段的经历，从不使用和最初采用到持续使用，影响他们决策的因素，以及经验如何随着时间的推移而变化。目的:我们的目标是确定现有文献关于老年人数字参与观点的范围和广度，并总结技术不使用、初始采用和持续数字技术参与的障碍和促进因素。 Methods: We used the Arksey and O'Malley framework for the scoping review process. We searched MEDLINE, PsycINFO, CINAHL, Web of Science, and ACM digital library for primary studies published between 2005 and 2021. The inclusion and exclusion criteria were developed based on the Joanna Briggs Institute (participants, content, and context) framework. Studies that investigated the digital engagement experience as well as barriers to and facilitators of older adults' digital technology engagement were included. The characteristics of the study, types of digital technology, and digital engagement levels were analyzed descriptively. Content analysis was used to generate tentative elements using a congruent theme, and barriers and facilitators were mapped over the capability, opportunity, and motivation behavior change model (COM-B) and the theoretical domain framework. The findings were reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Results: In total, 96 publications were eligible for the final charting and synthesis. Most of the studies were published over the past 5 years, investigated the initial adoption stage of digital engagement, and focused on everyday technologies. The most cited barriers and facilitators across the engagement stages from each COM-B component were capability (eg, physical and psychological changes and lack of skill), opportunity (eg, technological features, environmental context, and resources), and motivation (eg, optimism from perceived usefulness and beliefs about capability). Conclusions: The COM-B model and theoretical domain framework provide a guide for identifying multiple and intertwined barriers and facilitators at each stage of digital engagement. There are limited studies looking into the whole spectrum of older adults' digital technology experience; in particular, studies on technological nonuse and sustained use stages are rare. Future research and practice should focus on tailored interventions accounting for the barriers to older adults' digital engagement and addressing capabilities, motivation, and opportunities; affordable, usable, and useful digital technologies, which address the changes and capability requirements of older adults and are cocreated with a value framework; and lifelong learning and empowerment to develop older adults' knowledge and skills to cope with digital technology development. International Registered Report Identifier (IRRID): RR2-10.2196/25616 ", issn="1438-8871", doi="10.2196/40192", url="//www.mybigtv.com/2022/12/e40192", url="https://doi.org/10.2196/40192", url="http://www.ncbi.nlm.nih.gov/pubmed/36477006" }