Audrey Lavoie is a doctoral student in nursing at Faculty of Nursing of Université de Montreal. She is interested in the development and evaluation of nursing interventions to promote the health of the elderly.
Véronique Dubé is an associate professor and holder of the Chaire de recherche Marguerite-d’Youville d’interventions humanistes en soins infirmiers at the Faculty of Nursing at the University of Montreal. She is also a researcher at the Center hospitalier de l’Université de Montréal research center.
Web-based interventions to promote healthy lifestyle for older adults: Preliminary results of a scoping review
Audrey Lavoie, Université De Montréal, Canada
Véronique Dubé, Université De Montréal, Canada
With the aging of the population and rising rates of chronic diseases, older adults need support to adopt healthy lifestyles. Web-based interventions should be considered for this purpose, since they are easily accessed and can foster healthy lifestyles among older adults. However, the scientific literature on such interventions discusses a variety of components and effects and provides only two syntheses of knowledge with populations aged 50 years and over. The components and effects of web-based interventions for a population of older adults (ie, 65 years and older) may differ due to biological and psychological changes associated with aging. A scoping review is therefore relevant in order to explore the extent of the literature on this subject.
Explore the extent of the available literature on web-based interventions aimed at promoting healthy lifestyles among people aged 65 years and older.
A scoping review has been conducted based on the framework proposed by Levac et al. (2010). Multiple databases (eg, MEDLINE, PsycInfo, Cochrane Database of Systematic Review) had been searched, in addition to the grey literature. Studies were selected for the review by two researchers, working independently. The data were synthesized based on the conceptualization of web-based interventions (ie, behavior change techniques, dispensation modes, and theories). A thematic analysis has been performed to summarize the components of the interventions studied.
Overall, web-based interventions appeared to support behavior change among older adults. The majority of studies focus on increased physical activity, as well as on a population of healthy seniors. Web-based interventions that offer interaction with a coach would be appreciated by older adults, while developing a relationship of trust with him through a first face-to-face meeting would be preferable.
To our knowledge, this is the first scoping review that explore the extent of the literature on web-based interventions to promote healthy lifestyle behaviors among people aged 65 years and older, as well as their components, theories, and effects. This scoping review highlighted the various web-based interventions aimed at helping older adults adopt healthy lifestyles, as well as the components (eg, social interaction, individualized content and goals setting) and effects (eg, increased physical activity) on people aged 65 years and older.
The results of this scoping review may help guide the conduct of new studies on web-based interventions with components adapted to people aged 65 years and older and encourage the integration of these interventions into practice.