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Acceptance Factors and Barriers to the Implementation of Digital Interventions in Older People with Dementia and/or Their Caregivers: An Umbrella Review
Ricardo Madeira, Dulce Esteves, Nuno Pinto, Alessandro Vercelli, Maria Vaz Pato. Journal of Clinical Medicine, 2025-11-10
Topic: Risk, prevention and care in population studies
Frequently reported factors included self-management support, information access, and enhanced communication, although these were not consistently addressed across all reviews. The most significant barrier was a lack of technical knowledge, which hindered effective use. This gap in knowledge could compromise self-management and potentially increase burden on caregivers. In conclusion, digital interventions offer significant benefits in addressing accessibility challenges and are generally well-received by people with dementia, their caregivers, and healthcare providers. However, addressing the lack of technological proficiency is crucial to ensuring these interventions are effective and do not inadvertently create additional challenges. Practical strategies should include tailored digital literacy training for older adults and caregivers, simplified user interfaces, and ongoing technical support to enhance engagement and long-term adherence.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Madeira, R., Esteves, D., Pinto, N., Vercelli, A., & Pato, M. V. (2025). Acceptance Factors and Barriers to the Implementation of Digital Interventions in Older People with Dementia and/or Their Caregivers: An Umbrella Review. Journal of Clinical Medicine. https://doi.org/10.3390/jcm14227974
Vancouver
Madeira R, Esteves D, Pinto N, Vercelli A, Pato MV. Acceptance Factors and Barriers to the Implementation of Digital Interventions in Older People with Dementia and/or Their Caregivers: An Umbrella Review. Journal of Clinical Medicine. 2025. doi:10.3390/jcm14227974. PMID: 41303010.
BibTeX
@article{madeira2025-41303010,
author = {Madeira, Ricardo and Esteves, Dulce and Pinto, Nuno and Vercelli, Alessandro and Pato, Maria Vaz},
title = {{Acceptance Factors and Barriers to the Implementation of Digital Interventions in Older People with Dementia and/or Their Caregivers: An Umbrella Review}},
journal = {Journal of Clinical Medicine},
year = {2025},
doi = {10.3390/jcm14227974},
pmid = {41303010},
url = {https://doi.org/10.3390/jcm14227974}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Frequently reported factors included self-management support, information access, and enhanced communication, although these were not consistently addressed across all reviews.
- The most significant barrier was a lack of technical knowledge, which hindered effective use.
- This gap in knowledge could compromise self-management and potentially increase burden on caregivers.
- In conclusion, digital interventions offer significant benefits in addressing accessibility challenges and are generally well-received by people with dementia, their caregivers, and healthcare providers.
- However, addressing the lack of technological proficiency is crucial to ensuring these interventions are effective and do not inadvertently create additional challenges.
Why it matters
This umbrella review found that digital interventions for older people with dementia and their caregivers are generally well received, but lack of technical knowledge was the most significant barrier to use. It addresses implementation of digital tools and does not test any treatment, cure, or prevention for Alzheimer's disease.
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Study details
- Study designumbrella review
- Participants279
- Evidence strengthLow
How this study scored 43/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Clinical Medicine) |
| Journal's citation record | 2 / 4 | Journal of Clinical Medicine: journal h-index 188 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | Design recorded as “umbrella review”, which our rubric does not rank (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 279 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 6 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 4 / 6 | Cited 13.9× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 6 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Maria Vaz Pato: h-index 15 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | University of Beira Interior: institution h-index 277 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41303010) |
| Free to read | 2 / 2 | Free to read |
| Total | 43 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.3390/jcm14227974
- PubMed: 41303010
- Original source →
- Free full text: Journal of Clinical Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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