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Table 6 Results of individual sources of evidence from Sweden

From: Telehealth and digital developments in society that persons 75 years and older in European countries have been part of: a scoping review

Study Aim of the study Reported outcomes Facilitators Barriers
Magnusson and Hanson 2005 [46] To see whether the use of ICT systems will reduce the potential use of other services Cost savings were achieved. Quality of life of the participants had increased through using the service Contact with call centre enables feeling more secure.
Contact with other families.
Programs help to feel less anxious.
Possibility to learn
It is not comparable with benefits of nursing home.
Difficulties using technology
Nygård and Starkhammar 2007 [47] To identify difficulties in the use of technology by persons with dementia Difficulties with encompassing conditions that interfere with the use of the technology, limitations in the use of instructions and deficiencies in the communication between users and technology Help from family.
Practicing in home environment.
Writing introductions down
Memory deficits.
Deficits in attending to multiple aspects.
Sensitivity to stress.
Appearance of the devises
Rosenberg and Nygård 2011 [48] To capture the experiences of bringing assistive technology into the life of person with dementia Right placement of the device is important.
Support could facilitate the use of the device in itself but user`s maneuverability became so limited that using the device was no longer meaningful.
Persons needed time to try out the devices
Understanding how to use the devices.
The device has a meaning for the user.
Support in using the device. Personal motivation
Using a new device is burdensome.
The possible advantages did not outweigh the effort that would be involved.
Difficulties remembering the instructions
Lind and Karlsson 2014 [49] To describe the experiences in using telehealth system The digital pen was found easy to use, it gave a sense of security. Even the “digitally illiterate” may use the Internet Easy to handle.
Helps to keep track of the patient`s symptoms.
Feeling being closer to the clinic.
Getting help when using it
Technology is “a bit scary”.
No previous experience using similar technology.
Not able to handle the system by themselves.
Lind et al. 2016 [50] To report experiences of the implementation of a home telehealth system System was easy to use and method saved time. The participants felt more secured and involved in their own care. The system helped to prevent hospitalisation It saved time.
Easy to contact clinicians.
Gave sense of security and closeness to the clinic
Being too weak to use the system by himself.
The tool not working
Dahlgren et al. 2017 [45] To describe contact made by older people to Sweden`s nationwide medical helpline The utilisation rate of the service by older people was high. Women had higher incidence rate. The most common reason for contact was drug-related questions Possibility to get answers to health- related questions.
Possibility for administrative procedures (e.g. requesting a copy of their medical record)
Not discussed in the article