Scoping Review of Digitally Delivered Physical Activity and Exercise Programs for Older Adults

Physical inactivity among older adults is a major public health concern linked to various chronic conditions. Digitally delivered physical activity (PA) programs offer a promising solution to overcome traditional barriers. This scoping review aimed to explore the feasibility, acceptability, and engagement factors of these programs for older adults. A comprehensive search was conducted on PubMed, Embase (OVID), and Scopus on 22 May 2024, adhering to PRISMA guidelines. Inclusion criteria targeted older adults (≥60 years) engaged in healthy digital PA interventions. Data analysis was guided by the FAME Framework, TSQ, and the COM-B model. A total of 16 studies met the inclusion criteria, involving 901 older adults. Most studies reported moderate to high adherence rates with programs being well-received. However, several implementation challenges were found, such as inadequate digital literacy, concerns regarding program quality, participant safety, and lack of perceived relevance. Despite these implementation challenges, they may be overcome using the TAM and UTAUT frameworks for technology acceptance and usage to address digital literacy, ensuring high-quality interactions and participant safety, and incorporating social support. Future interventions should leverage similar theoretical frameworks to enhance design and implementation.