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

Da Eun Kim; Hyang Kim; Junghee Hyun; Hyojin Lee; Hyehyun Sung; Soyoung Bae; Sunghee H Tak; Yeon-Hwan Park; Ju Young Yoon

doi:10.12799/jkachn.2018.29.2.170

Journal List > J Korean Acad Community Health Nurs > v.29(2) > 1100760

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Kim, Kim, Hyun, Lee, Sung, Bae, Tak, Park, and Yoon: Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review

Original Article

J Korean Acad Community Health Nurs 2018;29(2):170-183.

Published online: 12 June 2018

DOI: https://doi.org/10.12799/jkachn.2018.29.2.170

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

Da Eun Kim¹, Hyang Kim¹, Junghee Hyun², Hyojin Lee¹, Hyehyun Sung¹, Soyoung Bae¹, Sunghee H Tak³, Yeon-Hwan Park³, Ju Young Yoon³

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 18 December 2017 Revised 27 April 2018 Accepted 30 April 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

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Figure 1.

Flow diagram for study selection (PRISMA).

Figure 2.

Quality assessment of selected studies.

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