The Use of Tablet Technology by Older Adults in Health Care Settings-Is It Effective and Satisfying? A Systematic Review and Meta Analysis

Clin Gerontol. 2019 Jan-Feb;42(1):17-26. doi: 10.1080/07317115.2017.1322162. Epub 2017 Jun 30.

Abstract

Objectives: This systematic review/meta-analysis examines the potential for older people to accept and use tablet technology in clinical settings by assessing satisfaction and effectiveness.

Methods: A comprehensive literature search was conducted of PubMed, SCOPUS, and CINAHL through March 2017. Inclusion criteria included studies with any clinical use of a tablet technology with a median patient age above 65 years.

Results: We included a total of 12 studies (4 randomized controlled trials, 4 cross-sectional studies, and 4 pre/post studies). Interventions included the use of tablet technology for medication self-management, post-surgery education, memory retention, cognitive rehabilitation, and exercise promotion. The use of tablet technology by older people in clinical settings was associated with high satisfaction with a pooled prevalence of satisfaction of 78%; 95% CI 27-100. We did not find evidence for effectiveness in improving clinical or behavioral outcomes.

Conclusions: Older people can use and are satisfied with table technology in clinical settings. More studies are needed to evaluate the effectiveness of tablet technology at promoting health outcomes.

Clinical implications: Clinicians should be encouraged to utilize tablet technology in the care of older patients.

Keywords: Aging; meta-analysis; patient centered care; technology.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / nursing
  • Cognitive Dysfunction / rehabilitation
  • Computers, Handheld / statistics & numerical data*
  • Cross-Sectional Studies
  • Delivery of Health Care / methods*
  • Female
  • Health Promotion / methods
  • Humans
  • Male
  • Patient-Centered Care / methods*
  • Personal Satisfaction
  • Postoperative Period
  • Randomized Controlled Trials as Topic
  • Retention, Psychology / physiology
  • Self Medication / instrumentation
  • Technology / instrumentation*
  • Technology / methods