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Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review

Article information

Res Community Public Health Nurs. 2018;29(2):170-183
Publication date (electronic) : 2018 June 12
doi : https://doi.org/10.12799/jkachn.2018.29.2.170
Da Eun Kim1, Hyang Kim1, Junghee Hyun2, Hyojin Lee1, Hyehyun Sung1, Soyoung Bae1, Sunghee H Tak3, Yeon-Hwan Park3, Ju Young Yoon,3
1College of Nursing, Seoul National University, Seoul, Korea
2Centers for Disease Control & Prevention, Cheongju, Korea
3Research Institute of Nursing Science, Seoul National University, Seoul, Korea
Corresponding author: Yoon, Ju Young College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8817, Fax: +82-2-766-1852, E-mail: yoon26@snu.ac.kr
Received 2017 December 18; Revised 2018 April 27; Accepted 2018 April 30.

Abstract

Abstract

Purpose

Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents.

Methods

Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997-2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents.

Results

A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service.

Conclusion

This review demonstrates that incorporating technologies into nursing home care have positive effects on residents’ psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

Keywords: Technology; Nursing homes; Aged; Review
Figure 1.

Flow diagram for study selection (PRISMA).

Figure 2.

Quality assessment of selected studies.

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Figure 1.

Figure 1.

Flow diagram for study selection (PRISMA).

Figure 2.

Figure 2.

Quality assessment of selected studies.