A systematic review investigating the adoption of digital healthcare technology to support self-management for older adults with multimorbidity

Older adults with multimorbidity (OAwM) health conditions face complex self-management challenges for which digital health presents a promis-ing solution. However, older adults are often seen as having lower digital com-petencies, with less engagement with digital health, leading to exclusion from digital health services and widening the digital divide. In investigating this di-vide, this systematic review identified the pre-use stage of using digital technol-ogy as crucial to the design of inclusive digital technology for healthcare man-agement in older adults. The review also systematically analysed barriers from older adults' perspectives, highlighting the need to incorporate their views and involve them in the design process as a means to improve digital health adoption and address their unique health challenges.plied