Rights statement: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in The Gerontologist following peer review. Garuth Chalfont, PhD, Céu Mateus, PhD, Sandra Varey, PhD, Christine Milligan, PhD, Self-Efficacy of Older People Using Technology to Self-Manage COPD, Hypertension, Heart Failure, or Dementia at Home: An Overview of Systematic Reviews, The Gerontologist, Volume 61, Issue 6, September 2021, Pages e318–e334, https://doi.org/10.1093/geront/gnaa045 The definitive publisher-authenticated version is available online at: https://academic.oup.com/gerontologist/article-abstract/doi/10.1093/geront/gnaa045/5856419
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Self-efficacy of older people using technology to self-manage COPD, hypertension, heart failure or dementia at home
T2 - An overview of systematic reviews
AU - Chalfont, Garuth
AU - Mateus, Ceu
AU - Varey, Sandra
AU - Milligan, Christine
N1 - This is a pre-copy-editing, author-produced PDF of an article accepted for publication in The Gerontologist following peer review. Garuth Chalfont, PhD, Céu Mateus, PhD, Sandra Varey, PhD, Christine Milligan, PhD, Self-Efficacy of Older People Using Technology to Self-Manage COPD, Hypertension, Heart Failure, or Dementia at Home: An Overview of Systematic Reviews, The Gerontologist, Volume 61, Issue 6, September 2021, Pages e318–e334, https://doi.org/10.1093/geront/gnaa045 The definitive publisher-authenticated version is available online at: https://academic.oup.com/gerontologist/article-abstract/doi/10.1093/geront/gnaa045/5856419
PY - 2021/9/30
Y1 - 2021/9/30
N2 - Background and ObjectivesAlthough telehealth research among the general population is voluminous, study quality is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This paper reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following PRISMA guidelines, this overview of systematic reviews focused on four LTCs and the concept of ‘self-efficacy’. Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesised.Results Five included papers contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease (COPD), hypertension, heart failure or dementia. Evidence for self-care telehealth technology supporting self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and drop-out rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient-activation or mastery.Discussion and ImplicationsFuture research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient-activation, and motivation are critical components to telehealth’s adoption by the patient, and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.
AB - Background and ObjectivesAlthough telehealth research among the general population is voluminous, study quality is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This paper reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following PRISMA guidelines, this overview of systematic reviews focused on four LTCs and the concept of ‘self-efficacy’. Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesised.Results Five included papers contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease (COPD), hypertension, heart failure or dementia. Evidence for self-care telehealth technology supporting self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and drop-out rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient-activation or mastery.Discussion and ImplicationsFuture research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient-activation, and motivation are critical components to telehealth’s adoption by the patient, and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.
KW - telehealth
KW - living at home
KW - long-term conditions
KW - self-care
KW - self-management
U2 - 10.1093/geront/gnaa045
DO - 10.1093/geront/gnaa045
M3 - Journal article
VL - 61
SP - e318-e334
JO - The Gerontologist
JF - The Gerontologist
SN - 0016-9013
IS - 6
ER -