User Experience of Older People While Using Digital Health Technologies: A Systematic Review
Open accessAbstract
Digital technologies ranging from biosensors to virtual reality have revolutionized the healthcare landscape by offering innovations that hold great promise in addressing the challenges posed by rapidly aging populations. To optimize healthcare experiences for older people, it is crucial to understand their user experience (UX) with digital health technologies. This systematic review, covering articles published from 2013 to 2023, aimed to explore frequently used questionnaires for assessing digital healthcare UX among older people. The inclusion criteria were original studies assessing UX in digital health for individuals aged ≥65 years. Of 184 articles identified, 17 were selected after rigorous screening. The questionnaires used included the System Usability Scale (SUS), the User Experience Questionnaire (UEQ), and the Post-Study System Usability Questionnaire. Customized questionnaires based on models such as the Technology Acceptance Model and the Almere model were developed in some studies. Owing to its simplicity and effectiveness in assessing digital health UX among older people, the SUS emerged as the go-to tool (52.9%). Combining the SUS with the UEQ provided comprehensive insights into UX. Specialized questionnaires were also used, but further research is needed to validate and adapt these tools for diverse cultural contexts and evolving technologies.
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The SUS mean score exceeded the 70-point acceptability threshold.
“exceeding the 70-point acceptability threshold (Demirelli et al., 2023; Takano et al., 2023)”
From SiKurang: Development and Field Evaluation of an Offline-First mHealth System for Community-Based Stunting Risk Detection and Counselling in Low-Connectivity Primary Care Settings (2026) · cites this paper as Takano et al., 2023
The System Usability Scale is a 10-item Likert tool with well-established reliability (alpha = 0.91) across n = 4,000 studies.
“Usability: System Usability Scale (SUS), a 10-item Likert tool with well-established reliability (α = 0.91) across n = 4,000 studies (Takano et al., 2023).”
From SiKurang: Development and Field Evaluation of an Offline-First mHealth System for Community-Based Stunting Risk Detection and Counselling in Low-Connectivity Primary Care Settings (2026) · cites this paper as Takano et al., 2023
Cites
Perceived usefulness, perceived ease of use, and user acceptance of information technology
Davis, F. D. (1989) · MIS Quarterly · doi:10.2307/249008 · Cited by 68,483 · see citing works
An Empirical Evaluation of the System Usability Scale
Bangor, A., Kortum, P. T., & Miller, J. T. (2008) · International Journal of Human–Computer Interaction · doi:10.1080/10447310802205776 · Cited by 5,181 · see citing works
USEQ: A Short Questionnaire for Satisfaction Evaluation of Virtual Rehabilitation Systems
Gil-Gómez, J.-A., Manzano-Hernández, P., Albiol-Pérez, S., Aula-Valero, C., Gil-Gómez, H., & Lozano-Quilis, J.-A. (2017) · Sensors · doi:10.3390/s17071589 · Cited by 150 · see citing works
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Istambul, M. R., Parlindungan, P., Henry Wijaya, J., Zezarina, R., & Fachrizsal, D. (2026) · Glosains: Jurnal Sains Global Indonesia · doi:10.59784/glosains.v7i2.670
“The System Usability Scale yielded a mean score of 84.2 (SD 6.1), exceeding the 70-point acceptability threshold (Demirelli et al., 2023; Takano et al., 2023).”
Influential
- Authors
- Takano, E., Maruyama, H., Takahashi, T., Mori, K., Nishiyori, K., Morita, Y., Fukuda, T., Kondo, I., & Ishibashi, Y.
- Affiliations
- National Center for Geriatrics and Gerontology (JP)
- Nagoya University (JP)
- Nagoya Institute of Technology (JP)
- Institutes of Innovation for Future Society, Nagoya University (JP)
- Corresponding author
- Takano, Eiko
- Venue
- Applied Sciences
- Publisher
- MDPI AG
- Published
- 2023-11-29
- Volume
- 13
- Issue
- 23
- Pages
- 12815
- ISSN
- 2076-3417 (ISSN-L)
- OpenAlex
- W4389134833
- Cited by
- 29
- References
- 3
- Citations by year
- 2026: 12 · 2025: 13 · 2024: 4
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Applied Sciences (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Knowledge Hub Aichi
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Physical Sciences › Computer Science › Human-Computer Interaction › Usability and User Interface Design
- Keywords
- user experience, older adults, digital health technologies, usability evaluation, System Usability Scale, User Experience Questionnaire, Post-Study System Usability Questionnaire, technology acceptance model, population aging, questionnaire validation
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