J Korean Acad Community Health Nurs.  2018 Jun;29(2):170-183. 10.12799/jkachn.2018.29.2.170.

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

• Kim DE
• Kim H
• Hyun J
• Lee H
• Sung H
• Bae S
• Tak SH
• Park YH
• Yoon JY

• KMID: 2415575
• DOI: http://doi.org/10.12799/jkachn.2018.29.2.170

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.

Keyword

Technology; Nursing homes; Aged; Review

MeSH Terms

Adult*
Behavioral Symptoms
Cognition
Decision Support Systems, Clinical
Humans
Long-Term Care*
Nursing Homes

Figure

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  Figure 1. Flow diagram for study selection (PRISMA).

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  Figure 2. Quality assessment of selected studies.

Reference

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