Digital technologies-enhanced older adults health management: developing a five-dimensional extension of social learning theory for community settings

This study develops an environmentally adaptive SLT framework centered on older adults. While the model demonstrates strong contextual relevance in Macao, its core mechanisms show potential for adaptation in low- and middle-income countries through localized reinforcement strategies and infrastructure investment. The findings provide theoretical insights into the social mechanisms of digital health adoption and practical guidance for designing inclusive digital health interventions. Future research should explore personalized digital tools and conduct longitudinal studies to evaluate the long-term effectiveness of technological interventions.