{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T16:26:26Z","timestamp":1787415986661,"version":"build-2736575974"},"reference-count":56,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det f\u00f6r h\u00e4lsa, arbetsliv och v\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2024-01593"],"award-info":[{"award-number":["2024-01593"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Telehealth is increasingly used to expand access to healthcare, but rapid digitalization risks exacerbating exclusion among frail older adults, who often face intersecting limitations related to health, resources, and digital competence. As this group frequently has complex care needs, mapping their experiences is essential to ensure equitable access to digital care. The aim was to map the challenges frail older adults experience when using telehealth services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review followed Arksey and O\u2019Malley\u2019s framework and PRISMA-ScR guidelines. PubMed, CINAHL, Scopus, and Web of Science were searched for peer-reviewed empirical studies published in English (January 2015\u2013June 2026). Studies were included if they addressed relevant challenges from the perspectives of frail older adults or those with multimorbidity, disability, cognitive impairment, or dependency. Data were charted and analyzed narratively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 7200 studies identified, 22 were included. All of them used qualitative methods and were conducted in Europe, North America, and Asia; only four applied formal frailty assessments. Five domains were identified: 1) digital accessibility, 2) digital skills, 3) health status, 4) digital support, and 5) financial resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>As frail older adults face multiple, interconnected challenges to telehealth use, including technological and environmental constraints, limited digital competence, health-related impairments, insufficient support, and financial challenges, services should be designed to align with their needs and life circumstances. Accessible design, structured support, affordable connectivity, and active involvement of frail older adults are essential to ensure equitable and inclusive digital healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261479799","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:47:37Z","timestamp":1787237257000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Frail older adults\u2019 challenges in using telehealth services: A scoping review"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9019-271X","authenticated-orcid":false,"given":"Kristina","family":"\u00c5hlund","sequence":"first","affiliation":[{"name":"University West"},{"name":"NU-Hospital Group"},{"name":"University of Gothenburg Sahlgrenska Academy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1421-868X","authenticated-orcid":false,"given":"Ann","family":"Svensson","sequence":"additional","affiliation":[{"name":"University West"},{"name":"University of Stavanger"},{"name":"University of G\u00e4vle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilisbeth","family":"Perestelo-Perez","sequence":"additional","affiliation":[{"name":"Canary Islands Health Service (SESCS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0020-1913","authenticated-orcid":false,"given":"\u00c1ngel","family":"Acebes","sequence":"additional","affiliation":[{"name":"University of La Laguna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Hobbelen","sequence":"additional","affiliation":[{"name":"Hanze University of Applied Sciences"},{"name":"University of Groningen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margareta","family":"Karlsson","sequence":"additional","affiliation":[{"name":"University West"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Eurostat. Statistics explained population structure and ageing. accessed 2025\/08\/18.https:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php?title=Population_structure_and_ageing#The_share_of_elderly_people_continues_to_increase (2025)."},{"key":"e_1_3_5_3_2","volume-title":"Clinical Consortium on Healthy Ageing Report of consortium meeting 1-2 December 2016 in Geneva Switzerland","author":"World Health Organization","year":"2017","unstructured":"World Health Organization. Clinical Consortium on Healthy Ageing Report of consortium meeting 1-2 December 2016 in Geneva Switzerland. Report no. Licence: CC BY-NC-SA 3.0 IGO, 2017."},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2301292"},{"key":"e_1_3_5_6_2","volume-title":"Global strategy on digital health 2020-2027 Report no. 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