BACKGROUND
Digital
inclusion
is
considered
a
pivotal
social
determinant
of
health,
particularly
for
older
adults
who
may
face
significant
barriers
to
digital
access
due
physical,
sensory,
and
limitations.
Avatar
Global
Access
Technology
Healthy
Aging
(AGATHA)
virtual
healthy
aging
coach
developed
by
the
World
Health
Organization
address
these
challenges.
Designed
as
comprehensive
coach,
AGATHA
comprises
gamified
platform
that
covers
multiple
health-related
topics
modules
aimed
at
fostering
user
engagement
promoting
aging.
OBJECTIVE
The
aim
this
study
was
explore
perception
experience
Malaysian
in
their
interactions
with
app
its
avatar.
focus
examine
engagement,
usability,
educational
impact
on
health
literacy
skills.
METHODS
We
performed
qualitative
among
60
years
from
suburban
rural
communities
across
six
states
Malaysia.
Participants
were
purposefully
recruited
ensure
representation
various
socioeconomic
cultural
backgrounds.
Each
participant
attended
1-hour
training
session
familiarize
themselves
interface
functionalities
AGATHA.
Subsequently,
all
participants
required
engage
two
three
times
per
week
up
2
weeks.
Upon
completion
trial
phase,
an
in-depth
interview
conducted
gather
detailed
feedback
experiences.
RESULTS
Overall,
found
be
highly
accessible
engaging.
content
reported
have
structure
delivered
easily
understandable
informative
manner.
Moreover,
beneficial
enhancing
understanding
pertaining
issues
Some
key
gathered
highlighted
need
increased
interactive
features
would
allow
interaction
peers,
better
personalization
tailored
individual’s
condition,
improvement
user-experience
design
accommodate
users’
specific
needs.
Furthermore,
enhancements
decision-support
within
suggested
assist
users
making
decisions.
CONCLUSIONS
prototype
coaching
program
well
received
user-friendly
tool
suitable
beginners,
also
perceived
useful
enhance
adults’
confidence.
findings
offer
important
insights
designing
other
tools
interventions
targeting
adults,
highlighting
importance
user-centered
improve
adoption
solutions
adults.
This
serves
starting
point
further
development
refinement
programs
inclusive,
supportive
environment
Journal of Medical Internet Research,
Journal Year:
2023,
Volume and Issue:
25, P. e43542 - e43542
Published: March 23, 2023
Background
Digital
technologies
have
the
potential
to
contribute
health
promotion
and
disease
prevention
in
aging
world.
Objective
This
study
aims
identify
digital
for
that
could
be
used
independently
by
older
people
nonclinical
settings
using
a
scoping
review.
Methods
Through
database
(MEDLINE,
PsycINFO,
CINAHL,
SCOPUS;
March
3,
2022)
manual
searches
(to
June
14,
2022),
90
primary
studies
8
systematic
reviews
were
included
this
The
eligibility
was
based
on
PCC
(Population,
Concept,
Context)
criteria:
(1)
aged
50
years
or
(population),
(2)
any
(health)
technology
(eg,
smartphone
apps,
websites,
virtual
reality;
concept),
(3)
daily
life
noninstitutional
(context).
Data
items
characteristics,
criteria,
opportunities
versus
challenges,
evidence
gaps.
synthesized
descriptive
statistics
narratively
described
identifying
common
themes.
Results
published
2005-2022
originated
predominantly
from
North
America
Europe.
Most
nonrandomized,
reported
quantitative
data,
investigated
effectiveness
feasibility
acceptance
usability)
of
people.
participants
99
years,
female,
affluent
(ie,
with
high
income,
education,
competence),
intended
use
median
3
months
at
home
community
settings.
mobile
nonmobile
reality.
“modern
devices”
smartphones,
wearables,
gaming
consoles)
modern
“older
computers
phones).
users
interacted
via
emails,
text
messages,
Health
targets
mobility,
mental
health,
nutrition,
cognition.
challenges
benefits
unclear
no
some
outcomes,
monitoring
ethical
issues
data
collection
management,
implications
functioning
prolong
independent
living)
application
clinical
management
care,
(4)
tailoring
technical
properties
content
toward
general
use,
(5)
importance
human
support
other
factors
required
improve
feasibility,
(6)
reduction
social
isolation
access
technologies,
(7)
improvement
competence
divide.
Conclusions
Various
prevention.
Future
should
focus
more
diverse
populations
people,
new
(clinical
care)
settings,
outcome
evaluation
enhance
technologies.
International
Registered
Report
Identifier
(IRRID)
RR2-10.2196/37729
JMIR Aging,
Journal Year:
2024,
Volume and Issue:
7, P. e56061 - e56061
Published: May 23, 2024
Abstract
Background
eHealth
literacy
is
an
essential
skill
for
pursuing
electronic
health
information,
particularly
older
people
whose
needs
increase
with
age.
South
Korea
now
at
the
intersection
of
a
rapidly
digitalizing
society
and
increasingly
aged
population.
enables
to
maximize
effective
use
emerging
digital
technology
their
quality
life.
Understanding
Korean
adults
critical
eliminating
gray
divide
inequity
in
information
access.
Objective
This
study
aims
investigate
factors
influencing
its
impact
on
outcomes
use.
Methods
was
cross-sectional
survey.
Community-dwelling
65
years
2
urban
cities
were
included.
measured
by
Literacy
Scale.
Ordinal
logistic
regression
used
analyze
associated
multivariate
ANOVA
Results
In
total,
434
participants
analyzed.
A
total
22.3%
(97/434)
had
high
skills.
Increasing
age,
higher
monthly
income,
time
spent
internet
significantly
(
P
<.001),
social
media
users
3.97
times
(adjusted
odds
ratio
3.97,
95%
CI
1.02‐15.43;
=.04)
more
likely
have
skill.
Higher
better
self-perceived
frequent
technologies
accessing
care
services
<.001).
Conclusions
Disparity
socioeconomic
status
engagement
can
result
different
levels
skills,
which
consequential
impacts
Tailored
interventions,
grounded
determinants
literacy,
could
facilitate
access
among
foster
digitally
inclusive
healthy
aging
community.
JMIR Formative Research,
Journal Year:
2024,
Volume and Issue:
8, P. e54101 - e54101
Published: May 21, 2024
Background
Digital
inclusion
is
considered
a
pivotal
social
determinant
of
health,
particularly
for
older
adults
who
may
face
significant
barriers
to
digital
access
due
physical,
sensory,
and
limitations.
Avatar
Global
Access
Technology
Healthy
Aging
(AGATHA)
virtual
healthy
aging
coach
developed
by
the
World
Health
Organization
address
these
challenges.
Designed
as
comprehensive
coach,
AGATHA
comprises
gamified
platform
that
covers
multiple
health-related
topics
modules
aimed
at
fostering
user
engagement
promoting
aging.
Objective
The
aim
this
study
was
explore
perception
experience
Malaysian
in
their
interactions
with
app
its
avatar.
focus
examine
engagement,
usability,
educational
impact
on
health
literacy
skills.
Methods
We
performed
qualitative
among
60
years
from
suburban
rural
communities
across
six
states
Malaysia.
Participants
were
purposefully
recruited
ensure
representation
various
socioeconomic
cultural
backgrounds.
Each
participant
attended
1-hour
training
session
familiarize
themselves
interface
functionalities
AGATHA.
Subsequently,
all
participants
required
engage
two
three
times
per
week
up
2
weeks.
Upon
completion
trial
phase,
an
in-depth
interview
conducted
gather
detailed
feedback
experiences.
Results
Overall,
found
be
highly
accessible
engaging.
content
reported
have
structure
delivered
easily
understandable
informative
manner.
Moreover,
beneficial
enhancing
understanding
pertaining
issues
Some
key
gathered
highlighted
need
increased
interactive
features
would
allow
interaction
peers,
better
personalization
tailored
individual’s
condition,
improvement
user-experience
design
accommodate
users’
specific
needs.
Furthermore,
enhancements
decision-support
within
suggested
assist
users
making
decisions.
Conclusions
prototype
coaching
program
well
received
user-friendly
tool
suitable
beginners,
also
perceived
useful
enhance
adults’
confidence.
findings
offer
important
insights
designing
other
tools
interventions
targeting
adults,
highlighting
importance
user-centered
improve
adoption
solutions
adults.
This
serves
starting
point
further
development
refinement
programs
inclusive,
supportive
environment
International Journal of Environmental Research and Public Health,
Journal Year:
2025,
Volume and Issue:
22(2), P. 282 - 282
Published: Feb. 14, 2025
Digital
technologies
are
increasingly
being
used
to
promote
effective
health
interventions
in
the
older
adult
population.
This
study
aimed
develop
and
validate
instant
messages
with
educational
content
related
glycemic
control,
delivered
via
an
messaging
application,
as
a
type
2
DM
control
strategy
for
adults.
was
methodological
that
developed
containing
text
images.
The
validation
process
conducted
by
panel
of
experts
composed
nursing,
nutrition,
physical
education
professionals.
SPSS
version
25.0
statistical
analysis.
A
CVI
measure
experts'
agreement
regarding
validity
messages.
An
exact
test
binomial
distribution
p
>
0.05,
indicating
significance,
0.95
proportion
estimate
reliability
CVI.
Sixty-one
were
prepared
illustrations
support,
divided
into
three
themes.
validated
experts,
average
score
above
0.80
all
indicators.
this
considered
relevant
clear
adults
could
be
applied
digital
environment,
objective
helping
manage
DM.
The Neuroscientist,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 19, 2025
The
human
brain
demonstrates
an
exceptional
adaptability,
which
encompasses
the
ability
to
regulate
emotions,
exhibit
cognitive
flexibility,
and
generate
behavioral
responses,
all
supported
by
neuroplasticity.
Brain–computer
interfaces
(BCIs)
employ
adaptive
algorithms
machine
learning
techniques
adapt
variations
in
user’s
activity,
allowing
for
customized
interactions
with
external
devices.
Older
adults
may
experience
decline,
could
affect
learn
new
technologies
such
as
BCIs,
but
both
(human
BCI)
demonstrate
adaptability
their
responses.
is
skilled
at
quickly
switching
between
tasks
regulating
while
BCIs
can
modify
signal-processing
accommodate
changes
activity.
Furthermore,
BCI
participate
knowledge
acquisition;
first
one
strengthens
abilities
through
exposure
experiences,
second
improves
performance
ongoing
adjustment
improvement.
Current
research
seeks
incorporate
emotional
states
into
systems
improve
user
experience,
despite
regulation
of
brain.
implementation
older
be
more
effective,
inclusive,
beneficial
improving
quality
life.
This
review
aims
understanding
brain–machine
implications
mental
health
adults.
Revista Brasileira de Enfermagem,
Journal Year:
2025,
Volume and Issue:
78(2)
Published: Jan. 1, 2025
RESUMO
Objetivo:
Sumarizar
as
produções
científicas
da
Enfermagem
que
utilizaram
o
Modelo
de
Promoção
Saúde
Nola
Pender
na
Atenção
Primária.
Método:
Revisão
integrativa,
realizada
nas
bases
dados
Embase,
Elsevier’s
Scopus,
Biblioteca
Virtual
em
Saúde,
Medline
via
PubMed,
Web
of
Science
e
Ovid,
março
2023.
Resultados:
Foram
identificados
660
artigos,
dos
quais
oito
compuseram
a
amostra
final.
As
evidências
destacaram
aplicabilidade
do
diversas
condições:
comportamentos
alimentares
pessoas
com
hipertensão;
envelhecimento
saudável;
aleitamento
materno
primíparas;
programas
educação
para
melhora
comportamento
aumento
conhecimento
vivendo
HIV.
Conclusões:
A
síntese
das
Primária
apontou
referido
modelo
oferece
subsídios
implementação
intervenções
enfermagem
enfoque
promotores
saúde
no
engajamento
indivíduo
sua
própria
saúde.
Revista Brasileira de Enfermagem,
Journal Year:
2025,
Volume and Issue:
78(2)
Published: Jan. 1, 2025
ABSTRACT
Objective:
To
summarize
the
scientific
literature
in
nursing
that
has
utilized
Nola
Pender’s
Health
Promotion
Model
primary
care.
Method:
An
integrative
review
conducted
March
2023,
using
databases
such
as
Embase,
Elsevier’s
Scopus,
Biblioteca
Virtual
em
Saúde,
Medline
via
PubMed,
Web
of
Science,
and
Ovid.
Results:
A
total
660
articles
were
identified,
with
eight
included
final
sample.
The
evidence
highlighted
applicability
various
contexts:
dietary
behaviors
individuals
hypertension,
healthy
aging,
breastfeeding
first-time
mothers,
educational
programs
aimed
at
improving
behavior
increasing
knowledge
living
HIV.
Conclusions:
synthesis
applied
care
demonstrated
model
provides
a
valuable
framework
for
implementing
interventions
focused
on
health-promoting
individuals’
engagement
their
own
health
JMIR Research Protocols,
Journal Year:
2022,
Volume and Issue:
11(7), P. e37729 - e37729
Published: July 21, 2022
Background
Digital
technologies
could
contribute
to
health
promotion
and
disease
prevention.
It
is
unclear
if
how
such
digital
address
the
needs
of
older
people
in
nonclinical
settings
(ie,
daily
life).
Objective
This
study
aims
identify
for
prevention
that
target
by
performing
a
scoping
review
published
literature.
The
guided
framework
Arksey
O’Malley.
Methods
Our
follows
PRISMA-ScR
(Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
Extension
Scoping
Reviews)
guidelines.
information
sources
are
bibliographic
databases
(MEDLINE,
PsycINFO,
CINAHL,
SCOPUS)
bibliographies
any
included
systematic
reviews.
Manual
searches
additional
studies
will
be
performed
Google
Scholar
most
relevant
journals.
electronic
search
strategy
was
developed
collaboration
with
librarian
who
on
targeting
people.
Study
selection
data
coding
independently
2
authors.
Consensus
reached
discussion.
Eligibility
based
PCC
(Population,
Concept,
Context)
criteria
as
follows:
(1)
(population);
(2)
(health)
technology,
websites,
smartphone
apps,
or
wearables
(concept);
(3)
(daily
life,
home,
community)
(context).
Primary
design
reviews
methodology
peer-reviewed
academic
journals
included.
Data
items
designs,
criteria,
benefits
barriers
related
technology
use
people,
evidence
gaps.
synthesized
using
descriptive
statistics
narratively
described
identifying
common
themes.
Quality
appraisal
reviews,
validated
instrument
this
type
(A
Measurement
Tool
Assess
Reviews,
version
[AMSTAR2]).
Results
Following
preliminary
literature
test
calibrate
syntax,
March
2022
manual
were
completed
June
2022.
titles
abstracts
July
2022,
full-text
screen
initiated
Conclusions
types
technologies,
targets
context
prevention,
associated
settings.
knowledge
guide
further
research
can
support
healthy
aging.
International
Registered
Report
Identifier
(IRRID)
PRR1-10.2196/37729
