psychology3 papersavg year 2026weak evidence

The understanding of the structural determinants of digital health service engagement among older adults

Research gap analysis derived from 3 psychology papers in our local library.

The gap

There is a gap in the understanding of the structural determinants of digital health service engagement among older adults. The study aims to address this gap by investigating the role of access barriers, technology anxiety, digital health literacy, facilitating conditions, and social influence in shaping behavioral intention to use digital health services.

Evidence profile

Sourced from the future-work section and stated research gap and abstract of the source papers, classified as general, drawn from work published between 2025 and 2026, spanning 3 journals. Those papers have been cited 7 times in total.

Research trend

Established — well-defined area with open sub-problems.

Supporting evidence — 3 representative gaps

  • Low Digital Engagement, Depressive Symptoms, and Probable Cognitive Impairment Among Community-Dwelling Older Adults in Shanghai: A Cross-Sectional Path Analysis of Self-Perceived Burden, Uselessness, and Loneliness (2026) · Behavioral Sciences · doi

    Longitudinal studies are needed to establish causality and examine the temporal relationships between low digital engagement, self-perceived burden, self-perceived uselessness, loneliness, depressive symptoms, and probable cognitive impairment - Studies should examine the mechanisms by which low digital engagement affects mental and cognitive health - Research should investigate the effectiveness of interventions aimed at increasing digital engagement and reducing self-perceived burden, self-perceived uselessness, and loneliness

    generalfuture-work section
    Keywords: longitudinal studies needed establish causality examine temporal relationships
  • Technology anxiety and digital health literacy as structural determinants of mHealth engagement among older adults: a SEM study in Saudi Arabia (2026) · Frontiers in Public Health · doi

    There is a gap in the understanding of the structural determinants of digital health service engagement among older adults. The study aims to address this gap by investigating the role of access barriers, technology anxiety, digital health literacy, facilitating conditions, and social influence in shaping behavioral intention to use digital health services.

    generalstated research gapevidence 5/5
    Keywords: there gap understanding structural determinants digital health service
  • Digitalization, Psychological Well-Being, and the Third-Level Digital Divide: Survey Study During the COVID-19 Pandemic in China (2025) · Journal of Medical Internet Research · cited 7× · doi

    BACKGROUND: While rapid digitalization has helped society cope with the uncertainty of the COVID-19 pandemic, will it bring health equity to the digitally disadvantaged? Limited studies have explored how individuals' digital activities may impact their psychological well-being during the pandemic and whether these effects vary across different sociodemographic groups.

    generalabstractevidence 5/5
    Keywords: pandemic background rapid digitalization helped society cope uncertainty covid bring health equity digitally disadvantaged limited

Questions about this gap

There is a gap in the understanding of the structural determinants of digital health service engagement among older adults. The study aims to address this gap by investigating the role of access… This is supported by 3 representative gap statements extracted from 3 papers, rated weak evidence.

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