Clinical gerontologist · 2026
Technophobia Among Older Adults in the Context of Smart Healthcare: A Scoping Review.
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Shen Yi, Chen Muzi, Wang Xinyi, Qi Zhihui, Qiu Xiuyue
Аннотация
OBJECTIVES: This scoping review synthesizes research on technophobia among older adults in smart healthcare, clarifying its assessment tools, prevalence, influencing factors, and interventions.
METHODS: Following Arksey and O'Malley's framework and PRISMA-ScR guidelines, we searched five English and four Chinese databases (inception to January 13, 2026). Eligibility followed the Population-Concept-Context framework, and two reviewers independently extracted data and assessed quality.
RESULTS: Thirty-five studies were included. Four validated scales (Technology Anxiety Scale [TAS], Technophobia Scale, TechPH, and Technophobia and Technophilia Questionnaire) and five self-developed scales were used; the TAS was most common but showed limited smart-healthcare specificity. Mean TAS scores across 22 studies ranged from 28.85 to 45.24 (range 13-65). Influencing factors fell into six domains: demographic, socioeconomic, health-related, psychological, social, and technology-use. Five intervention studies reported benefits but had short durations, limited follow-up, and underrepresented high-risk groups.
CONCLUSIONS: Technophobia is a prevalent psychological barrier to smart healthcare adoption among older adults. Current assessment tools lack context-specificity, and available interventions are limited in quality and generalizability.
CLINICAL IMPLICATIONS: Frontline providers should routinely identify and address technophobia, both to improve adoption and to protect mental health, given its links with social isolation, depression, and reduced access to digital mental-health services.
METHODS: Following Arksey and O'Malley's framework and PRISMA-ScR guidelines, we searched five English and four Chinese databases (inception to January 13, 2026). Eligibility followed the Population-Concept-Context framework, and two reviewers independently extracted data and assessed quality.
RESULTS: Thirty-five studies were included. Four validated scales (Technology Anxiety Scale [TAS], Technophobia Scale, TechPH, and Technophobia and Technophilia Questionnaire) and five self-developed scales were used; the TAS was most common but showed limited smart-healthcare specificity. Mean TAS scores across 22 studies ranged from 28.85 to 45.24 (range 13-65). Influencing factors fell into six domains: demographic, socioeconomic, health-related, psychological, social, and technology-use. Five intervention studies reported benefits but had short durations, limited follow-up, and underrepresented high-risk groups.
CONCLUSIONS: Technophobia is a prevalent psychological barrier to smart healthcare adoption among older adults. Current assessment tools lack context-specificity, and available interventions are limited in quality and generalizability.
CLINICAL IMPLICATIONS: Frontline providers should routinely identify and address technophobia, both to improve adoption and to protect mental health, given its links with social isolation, depression, and reduced access to digital mental-health services.