Older Adults’ Use of a Research-Based Web Platform for Social Interaction

Background Most older adults prefer to age at home rather than in residential care, regardless of their health status. Yet this policy‐supported wish increases demand for home care services at a time when many Western countries already face substantial workforce shortages. To balance the supply and demand of care, governments are encouraging self‐management in both care tasks and daily activities. This policy presents issues for care professionals, including balancing client demands, professional standards and organisational boundaries. The aim of this scoping review is to identify factors that promote and impede the implementation of responsible self‐management in home care, both from the perspective of older adults and health professionals. Method We conducted a scoping review following Joanna Briggs Institute guidelines to guide the search, selection and structure of the review. We included studies that examined older adults receiving home care, addressed self‐management in daily activities and explored interactions between health professionals and clients. A literature search (in PubMed, CINAHL and Scopus) was performed from inception up to 10, February 2025, in collaboration with an information specialist. The search yielded 9910 unique titles. After two authors screened titles, abstracts and full texts, a total of 14 articles were included. Included studies spanned eight countries and employed qualitative and mixed‐methods designs. Results The extracted data showed three themes: (1) A dynamic shift in roles and expectations: professionals move towards coaching and activation, while older adults must articulate their needs more clearly, increasing client ownership and reducing professional control. (2) Partnership between professionals and older adults as central to self‐management, calling on professionals to focus on potential and to trust and treat older adults as equal partners. (3) Balancing individual care needs with limited time and resources. When professionals are stretched thin, delivering flexible care becomes significantly harder. Conclusion The willingness to engage in self‐management hinges on the individual’s capacity and their perceptions of home care, shaped by how well care needs can be balanced with limited time and resources. Both sides of the dyad rely on a flexible care system, making a balanced, collaborative approach essential to strengthen self‐management and overall care quality for older adults.

To the Editor: The coronavirus disease 2019 (COVID-19) pandemic and social distancing are transforming the way we interact. Before the pandemic, national studies reported 1 in 4 older adults were socially isolated and more than 40% experienced loneliness. Decades of observational studies have demonstrated the long-term negative health outcomes of social isolation and loneliness.1, 2 The COVID-19 crisis has exacerbated these challenges, with worsening social isolation and loneliness among those who live alone or are frail and even declines in the well-being of older adults with previously active or healthy social lives. Community centers for older adults have closed, nursing homes have terminated visitation, and grandparents are unable to visit their grandchildren. Initial hopes that such restrictions would be temporary are now giving way to a need to prepare for managing the unintended consequences of prolonged social distancing and the associated impact on the health and well-being of older adults. We present an approach to identify older adults most at risk during prolonged distancing and suggest strategies that could ameliorate the effects of sustained social distancing. Although the term social distancing has been widely used during the COVID-19 pandemic to describe keeping space between ourselves and others outside of our homes, public health recommendations have increasingly shifted to using the term physical distancing. Regardless of terminology, the impact on well-being among older adults is variable due to differing abilities to maintain social connections while physical distancing. Individuals who are homebound, depressed, or cognitively impaired may struggle to adapt to physical distancing because of reliance on in-person care and interaction. In contrast, many older adults may successfully adjust to this new reality with support from community organizations, friends, family, and/or neighbors. Clinicians should monitor whether or not these support systems are sustained. This is certainly not the time to overhaul clinical measures or deploy lengthy surveys. However, we suggest assessing a few focused measures of social connections in addition to common geriatric assessments to identify individuals at risk who may have increasing difficulty finding help with activities of daily living or instrumental activities of daily living, or even maintaining essential needs (ie, food, water, and shelter). Each domain can be assessed through a single question. First, older adults should be assessed for loneliness. Contrary to common practice, it is best not to ask the direct question "Do you feel lonely?" due to concerns for underreporting and stigma with self-identifying as lonely.3 Instead, individuals should be asked if they feel isolated, they lack companionship, or feel left out, as is done in several loneliness questionnaires. These responses represent an overall indicator of whether social connections are adequate and may predict risks of future psychological distress. Loneliness is frequently unrecognized because it can occur even when older adults are married or surrounded by friends or family. Second, individuals should be assessed for their perceptions of social support by asking, "How many people do you feel you can depend on or feel close to?" Prior research suggests that the perception of social support can reduce stress.4 This may be particularly important during the COVID-19 pandemic to reduce feelings of worry, anxiety, or stress. Notably, only having one person to rely on may be a red flag for increased caregiver burden in the context of prolonged physical distancing. Third, older adults should be assessed for their access to phone or video communication technologies. Notably, access to communication can be augmented by living with individuals who can support their technology use or compensate for vision or hearing impairment to help them communicate with social contacts or healthcare providers. Individuals who feel lonely, perceive low resources for social support, and cannot use alternatives to in-person communication are at increased risk during prolonged physical distancing. Exceptions to physical distancing may exist for high-risk older adults. Geriatricians and families should develop or utilize decision tools to help balance the risk and benefits of physical distancing. Current challenges are increasing our reliance on technology. For example, active and passive technologies (ie, alerts and sensors, respectively) offer unique opportunities. However, many of these solutions need further evaluation and are not available, accessible, or acceptable to many older adults and their families.5 Addressing unmet social needs requires feasible strategies that occur at the person and population level.6 Health systems are increasingly engaging in efforts to address social needs. Telemedicine can provide a safe platform to assess salient geriatric issues (ie, safety, mobility, mood, medications, appetite, or bowel function) or COVID-19 symptoms and provide an avenue for counseling or discussion. Moreover, it can increase access to mental health resources for the lonely or those anxious about the uncertainty related to the duration of home confinement. However, clinicians should recognize that even among older adults capable of using this technology, this communication medium may be insufficient to meet the social needs of this population for prolonged periods. We therefore suggest clinicians take the lead on designating individuals who can visit older adults while balancing the risk of COVID-19 exposure and need for social support. Designated individuals might be people who are tested more frequently (assuming testing becomes more widespread) or who have been verified for appropriate use of personal protective equipment). In addition, connecting older adults with community resources (eg, Meals on Wheels) that have implemented precautions to mitigate viral transmission or that already existed virtually (eg, Friendship Line, Virtual Senior Center) can address certain needs. At the population level, strategies to address social isolation and loneliness is largely underfunded and understudied.1 We unfortunately cannot wait for evidence-based interventions to emerge as this crisis unfolds. However, we can learn from prior natural disasters including the Chicago heat wave of 1995 that took the lives of 465 primarily older mobility-impaired, socially isolated individuals in 1 week.7 Based on this event and existing research, we know strategies should increase awareness about social isolation and loneliness, harness enthusiasm for volunteerism, utilize health record data to target those in need, and support organizations that are meeting the needs of older adults while adapting to physical distancing. Various technologies to address social isolation and loneliness have been tested, although the evidence to support these interventions is largely "inconsistent and weak."1, 8 There is hope. A recently published randomized controlled trial of a video-conferenced behavioral activation intervention facilitated by a lay coach was able to increase social interactions and decrease loneliness among homebound older adults.9 We now have a unique opportunity to develop methods for check-ins by neighbors or to adapt programs akin to the Jersey, British Channel Islands, "Call & Check Visits," where postal workers support older adults on their delivery routes. A knock on the door or hello from a distance from a postal worker may provide an opportunity to monitor and support older adults in the community. In addition, advocating initiatives that promote community cohesion (ie, yard, porch, and balcony or terrace gatherings) could also be beneficial in that it may provide an opportunity for neighbors to monitor the well-being and functional status of older adults from a distance. Efforts akin to the UK "Campaign to End Loneliness" and AARP "Connect2Affect" are also important and can increase awareness and offer resources to support older adults during crisis. Striving for patient-centered solutions that effectively consider benefit and burden can potentially create connections that are sustained even after this crisis. Lastly, providers and policymakers should revisit the Federal Emergency Management Agency's "Whole Community Approach" and find ways for municipal leaders to exchange strategies and align needs with resources. The COVID-19 pandemic is a timely reminder of how social well-being has a powerful impact on health. Identifying older adults at risk for the immediate and unintended health consequences of physical distancing is critical. Comprehensive geriatric and social needs assessments should be a part of the medical record so that practices, health systems, and communities may seamlessly mobilize support for those in need when public health crises occur. Technology undeniably offers novel opportunities as well as nuanced challenges; it should not limit our imagination or constrain how we balance the risk and benefit of in-person interactions. Physicians and health systems in conjunction with public health and policymakers can be positioned to identify and address social needs, optimize health, and flatten the curve of this extraordinary pandemic. Addressing social isolation and loneliness under normal circumstances is challenging; nevertheless, the current constraints of physical distancing offer a unique opportunity to envision, pilot, or implement novel solutions that could have a lasting impact on the health and well-being of older adults. We are sincerely appreciative of Cynthia M. Boyd, MD, MPH, and Thomas E. Finucane, MD, for their critical review and insightful comments. Thomas K.M. Cudjoe was supported by National Institute on Aging (NIA) Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) (R03AG064253). Ashwin A. Kotwal was supported by an NIA GEMSSTAR grant (R03AG064323). The authors have declared no conflicts of interest for this article. Manuscript concept and drafting: Cudjoe and Kotwal. Critical revision of manuscript for important intellectual content: Cudjoe and Kotwal. None.

Social well-being of older adults living in low-income housing was disproportionately affected by the coronavirus disease 2019 pandemic. We explored low-income residents' experiences of social isolation and loneliness and strategies to remain socially connected during the pandemic. As part of a larger, 3-phase user-centered design study, we conducted a qualitative study using focus groups to gain insights into social isolation experiences and the role of information and communication technologies (ICTs), including smart speakers, in social connectedness (N = 25, 76% African American). We also collected survey data to describe social isolation, loneliness, and current ICT use in the sample. Participants included both smart speaker users and nonusers. Experiences of social isolation and loneliness varied by participants' sociodemographic characteristics and previous experiences with smart speakers. Qualitative analysis showed participants demonstrated coping strategies developed during the pandemic to adapt to new norms of connecting with others, including technology-enabled social interactions. Participants expressed a strong desire to build community together in their facilities and highlighted the potential role of smart speakers in making meaningful social connections, encompassing safety checks to have a means for emergencies, and providing a virtual companion. Access, digital literacy, training, security, and privacy issues were discussed as factors affecting their adoption of new ICT for enhanced social connectedness. This study highlights the importance of understanding the unique social isolation experience, demographics, and social determinants of health of low-income residents to develop ICT-based interventions for social connectedness.

Social isolation is a major and prevalent health problem among community-dwelling older adults, leading to numerous detrimental health conditions. With a high prevalence, and an increasing number of older persons, social isolation will impact the health, well-being, and quality of life of numerous older adults now and in the foreseeable future. For this review, a series of literature searches of the CINAHL, PsycINFO, and Medline databases were conducted, using the key words "social isolation," "social networks," "older adults," "elderly," "belonging," "perceived isolation," "social engagement," "social contacts," and "social integration," for the period of 1995-2010. The results show that there is an overabundance of evidence demonstrating numerous negative health outcomes and potential risk factors related to social isolation. However, there is scarce evidence that public health professionals are assessing social isolation in older persons, despite their unique access to very socially isolated, homebound older adults. Additionally, few viable interventions were found; therefore, it is advisable to focus on the prevention of social isolation in older adults. Public health professionals can take steps toward increasing the early assessment of social isolation and referring at-risk individuals to available community resources in order to prevent social isolation or further isolation, which would serve to reduce the numerous negative health outcomes associated with this condition.

The Internet of Things (IoT) and Artificial Intelligence (AI) are promising technologies that can help make the health system more efficient, which concurrently can be particularly useful to help maintain a high quality of life for older adults, especially in light of healthcare staff shortage. Many health issues are challenging to manage both by healthcare staff and policymakers. They have a negative impact on older adults and their families and are an economic burden to societies around the world. This situation is particularly critical for older adults, a population highly vulnerable to diseases that needs more consideration and care. It is, therefore, crucial to improve diagnostic and management as well as proposed prevention strategies to enhance the health and quality of life of older adults. In this study, we focus on detecting symptoms in early stages of diseases to prevent the deterioration of older adults' health and avoid complications. We focus on digestive and urinary system disorders [mainly the Urinary Tract Infection (UTI) and the Irritable Bowel Syndrome (IBS)] that are known to affect older adult populations and that are detrimental to their health and quality of life. Our proposed approach relies on unobtrusive IoT and change point detections algorithms to help follow older adults' health status daily. The approach monitors long-term behavior changes and detects possible changes in older adults' behavior suggesting early onsets or symptoms of IBS and UTI. We validated our approach with medical staff reports and IoT data collected in the residence of 16 different older adults during periods ranging from several months to a few years. Results are showing that our proposed approach can detect changes associated to symptoms of UTI and IBS, which were confirmed with observations and testimonies from the medical staff.

Dispositional optimism has been associated with healthy aging, as well as coping with and making meaning from life challenges. Social support plays a similarly positive role in promoting adaptation in late life and helping individuals feel closer to loved ones. During the pandemic, disruptions in older adults’ social interactions placed a high demand on both of these potential resources, challenging individuals’ ability to derive meaning from these events. Exploring data from a community sample of 136 older adults (M age = 68, range 50-91; 69% females; 93% White) assessed three times over six months during 2021-2022, we examined how optimism and positive and negative social exchanges predicted changes in attitudes about how COVID-19 shaped family life. We found that T1 optimism predicted changes in older adults’ feeling closer to their families and appreciating them more at T2 (3 months later), above and beyond T1 positive social exchanges, which were only marginally associated. Older adults who were more optimistic at T1 also reported greater declines in tension and strain in their family ties due to the pandemic at T2 - but not at T3 (6 months later). However, T2 negative social exchanges did predict increased reports of family tension and strain from T2 to T3. Findings suggest that as new COVID-19 variants emerged, benefits of optimism waned, but costs of negative social exchanges increased. These findings illustrate how personality, micro-level context (i.e., social interactions), and macro-level context may work together to shape older adults’ views of their families during the pandemic.

The identification of altered gait and its progression over time is important to gaining a better understanding of the clinical aspects of mild cognitive impairment (MCI) in older adults. The aim of the present systematic review was to determine changes in gait variables over time among older adults with MCI. The PubMed, Web of Science, Scopus, and Science Direct databases were searched for relevant articles using the following keywords and Medical Subject Headings: Aged AND "Mild cognitive impairment" AND (gait OR locomotion). A hand search was also performed of the reference lists of the selected articles in an attempt to find additional records. The following were the inclusion criteria: longitudinal studies and clinical trials involving a control group without intervention; samples of individuals 65 years or older; and characterization of gait using a single or dual task. The initial search led to the retrieval of 6979 studies, 9 of which met the inclusion criteria. The duration of follow-up among the studies ranged from 6 months to 2 years. Most trials investigated gait speed. Other gait variables were step length, time required to walk a given distance, and mean weekly gait speed. Altered gait progressed in older adults with MCI. The main alterations were gait speed and variability in daily number of steps in follow-up periods lasting more than 1 year. No significant changes in gait variables were found in shorter follow-up periods (up to 6 months). The progression of gait changes in older adults with MCI has been underinvestigated. MCI leads to reduced gait speed in longer follow-up periods. Such information can contribute to the determination of motor interventions for older adults with MCI, especially in the early stages.

Background and objectives: Exerkines are signalling factors that are released from organs throughout the body during physical exercise (El-Sayes et al., 2019). Some of these exerkines are thought to contribute to the well-documented benefits of exercise on brain health and cognitive function, potentially delaying age-related cognitive decline (Erickson et al., 2011). However, research is still far from establishing a mechanism-based, evidence-driven exercise programme to prevent such decline. To date, most studies have focused on endurance training, leaving other training modalities underexplored. Moreover, few studies have simultaneously examined exercise-induced effects on blood, brain, and cognitive domains, limiting more holistic understanding of the underlying mechanisms. Research has also primarily involved healthy adults, whereas older adults at risk of Mild Cognitive Impairment (MCI) are less frequently studied. Importantly, the effects of exercise on cognition have never been investigated in persons with Spinal Cord Injury (SCI), a population with an elevated risk of age-related cognitive decline and dementia. The primary objective of the dissertation was therefore to gain a more comprehensive understanding of the mechanisms underlying the beneficial effects of exercise training, specifically resistance exercise in older adults and Neuromuscular Electrical Stimulation (NMES) in individuals with SCI, on brain health and cognitive function, with a particular focus on the role of exerkines in (exercise-induced) neuroplasticity. Methods: Eleven studies were conducted. Study 1 was a literature review describing exerkine release following acute and chronic endurance or resistance exercise and their effects on neuroplasticity via long-term synaptic potentiation. Study 2 summarised the findings from transcriptome and secretome studies identifying muscle-derived exerkines (myokines). Studies 3 and 4 were cross-sectional studies in older adults (n = 74) investigating the relationships between participant characteristics, blood (inflammatory and neurotrophic) and brain biomarkers (neurometabolites, regional grey matter volumes), and cognitive function. Studies 5–8 evaluated the effect of a single bout (n = 37) and a 12-week resistance exercise programme (n = 74) on blood and brain biomarkers and cognitive function in older adults. Studies 6 and 7 further compared outcomes between cognitively healthy older adults and those at elevated risk of MCI (based on the Montreal Cognitive Assessment). Study 9 systematically reviewed evidence on the effects of exercise interventions on cognitive performance in individuals with SCI and highlighted factors underlying their elevated risk of cognitive decline. Study 10 tested the effect of a single bout of NMES on exerkines and cognitive performance in persons with SCI. Study 11 described the protocol of a 12-week NMES intervention in individuals with SCI to examine the effect on exerkines and cognitive outcomes. Results: Study 1 identified 16 exerkines with known (in)direct effects on long-term synaptic potentiation. Study 2 reported 1,126 putative myokines, most with still unknown effects on the brain and body. Study 3 found associations between the circulating inflammatory marker kynurenine and signs of neuroinflammation and neurodegeneration in older adults. Study 4 showed that older adults with normal-to-slightly-elevated body weight and greater handgrip strength maintained larger brain volumes. Study 5 demonstrated improved working memory performance in older adults immediately after a single session of resistance exercise training compared to control group. Study 6 suggested hippocampal volume preservation over time in the resistance exercise group, and Study 7 revealed executive function improvements in older adults at elevated risk of MCI after 12 weeks of resistance training compared with control group. Study 8 demonstrated neurometabolic changes in older adults who contracted COVID-19 during participation. Study 9 confirmed that no prior studies have investigated exercise effects on cognitive function in individuals with SCI. Study 10 found increases in lactate levels, but no changes in cognitive performance after a single NMES session in persons with SCI. Study 11 described the design for a future 12-week NMES intervention study for individuals with SCI. Conclusions: The dissertation advances the understanding of exercise effects on brain health and cognition in older adults and individuals with SCI, providing a neurobiological basis for future research. Kynurenine levels, handgrip strength, and a healthy body weight emerged as potential biomarkers of brain health for older adults. The findings underscore the importance of monitoring cognitive functioning in persons with SCI. Although further research is needed to clarify the effect of different exercise modalities across populations with varying cognitive risk profiles, the present evidence reinforces the notion that physical exercise benefits brain function. A multimodal, enjoyable, and sustainable exercise programme maintained throughout life is likely to be the most effective strategy to mitigate or delay age-related cognitive decline. Keywords: aging, cognition, myokines, exercise, spinal cord injury

Have changes in Internet use during the COVID-19 pandemic affected older adults’ self-rated health? A cross-sectional study of young-old and old-old populations in Korea

We assessed beliefs about adult children’s responsibilities to financially assist parents and stepparents following later-life divorce and remarriage using a multiple-segment factorial vignette with a national sample (N = 1,121). Ordered logistic regression analyses indicated that beliefs about financial responsibilities to older adults declined after marital transitions, and responsibilities to assist stepparents were more tenuous than to parents. Beliefs about intergenerational responsibilities were affected by adult children’s financial resources and by changes in older adults’ marital statuses. Kinship obligation norms, the adult children’s financial resources, and reciprocity norms were the most common reasons used to explain beliefs about responsibilities to financially assist older parents and stepparents, but these reasons became less salient following divorce and remarriage of the older adult. After marital transitions, beliefs about intergenerational financial responsibilities were more often based on the older adult’s culpability for being in a position of need, relationship quality, and diminished kinship obligations.

"Museums and Older Adults Education Programs for Older Adults Sensory Changes in Older Adults: Implications for Museums." Roundtable Reports, 9(4), p. 1

Internet of Things (IoT) home care technologies have great potential to support older adults’ everyday activities and compensate for age-related changes. This study aims to explore older adults’ preferences for IoT home care technologies and factors influencing their acceptance from different perspectives. A total of 19 participants were purposively recruited, including 12 community-dwelling and nursing home older adults (74.8 ± 8.7 years), three adult children (48.3 ± 11.9 years), and four caregivers (43.8 ± 9.4 years). Their experiences and attitudes were explored through semi-structured interviews, assessing their general opinions toward IoT home care technologies and exploring what factors may hinder or facilitate their use. Twenty-two IoT home care services were included and the interview data were analyzed using thematic analysis. The results revealed that community-dwelling older participants preferred entertainment services, while the nursing home group preferred safety services. Eight factors affecting older adults’ acceptance of IoT home care technologies were extracted: personality traits, self-health assessment, adult children support, roommate influence, affordability, credibility, compatibility, and substitutability. The impact of generational thrifty personality, adult children’s support, and service credibility are highlighted in the Chinese cultural context. Promotion of and education on using IoT services among older adults’ and their children is recommended.

Objective:To explore barriers towards mental health services for older adults with symptoms of depression and/or anxiety in a low-resource community in Lima, Peru. We explored these barriers from the perspective of older adults and health providers.Methods:We conducted an interview-based qualitative study. The first set of interviews was carried out between October 2018 and February 2019, and the second, between January 2022 and September 2022. In the first sample, we interviewed 38 older adults ≥60 years with symptoms of depression (Patient Health Questionnaire-9 ≥ 10), anxiety (Beck Anxiety Inventory ≥ 16), or those who had previous experience using formal mental health care irrespective of current symptoms. In the second sample, we included 20 health providers (8 psychologists, 2 general practitioners, 2 nurses, 4 psychiatrists, 4 social workers). We used an inductive thematic data analysis.Results:We identified two main barriers: stigma towards mental health conditions and care, and ageism. Stigma and ageism interacted with each other and exacerbated other barriers to mental health services. Stigma led to negative labels for people with mental health conditions and shame among older adults to disclose their feelings to health providers. Looking at the health system, health care facilities were described as not being age friendly. Additionally, aside from psychologists and psychiatrists, most providers mentioned little previous training in mental health care, but even less about the nuances of treating mental health challenges in old age. Among older adults, other important barriers were the accumulated mistrust towards health professionals and lack of knowledge about existing services and how they work. Importantly, older adults mentioned competing priorities, for example, not having time to seek care because they needed to work to obtain food. Other barriers included hidden costs incurred for transportation to health centers or to obtain medications. For older adults with diminished physical mobility, lack of accompaniment to attend health appointments was another important barrier.Conclusions:Community-based mental health interventions towards older adults need to address ageism and mental health stigma to improve access to care. Furthermore, training for health providers must be improved and expanded to prioritize older adult mental health care.

While some studies have found that older adults’ use of information and communications technology (ICT) contributes to their positive emotions, others have not. According to previous research, basic psychological needs satisfaction may help us explore the relationships between older adults’ ICT usage and their emotional experience. This study aimed to investigate the moderation effect of older adults’ basic psychological needs satisfaction on the relationship between ICT usage and emotional experience using the experience sampling method via the communication application, Line. At the first phase of the study, we surveyed each participant’s age, gender and satisfaction with basic psychological needs, and afterward, each participant needed to complete their current situation each day throughout the 10-day period. A total of 788 daily experiences of 32 participants (Mage = 63.13; SDage = 5.97, ranging from 52 to 75; 81% women) were collected, and hierarchical linear modeling (HLM) was conducted. Results revealed that ICT usage generally enhanced older adults’ positive emotional experience. Those with satisfied competence needs had stable and positive emotional experiences with or without using ICT, while those without could further promote their positive emotional experience by using ICT. Those with satisfied relatedness needs had more positive emotional experiences when using ICT, while those without had similar emotional experiences with or without ICT.

BACKGROUND Age-related physiological changes in older adults involve a rapid decline in motor exercise ability; some older adults may also experience difficulties in maintaining focus, memory loss, and a decline in reaction time, which consequently impair their ability to perform dual tasks. Motor-cognitive training (MCT) refers to a blend of motor activity and cognitive training that occurs simultaneously and can assist older adults in enhancing their physical function, cognitive abilities, and dual-task performance. In recent years, the use of technology for delivering MCT has become increasingly popular in research. This has been achieved through various technologies that simplify MCT for older adults. OBJECTIVE This study aimed to systematically examine the feasibility and effectiveness studies on technology-assisted MCT among older adults. METHODS This rapid review was conducted following the updated PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 standards, and the Synthesis Without Meta-analysis (SWiM) in systematic reviews reporting guideline. Four databases were searched, including CINAHL, Embase, PubMed, and Scopus, from January 2013 to March 2025. Search strategies were constructed based on three main topics: (1) older adults, (2) MCT, and (3) technology. Inclusion criteria followed the population, intervention, comparator, outcome, and study design framework as follows: older adults (population); technology-assisted MCT (intervention); standard treatment control, active control, partial intervention control, placebo control, and dose-response control (comparator); various measures of physical, cognitive, and dual-task performance (outcome); and randomized controlled trials (RCTs) and pilot RCTs (study design). The Cochrane Risk of Bias Tool was applied for quality appraisal of the included studies. The feasibility of the included studies was assessed using completion rates and attrition rates. Descriptive statistics were used to describe the demographic and clinical characteristics of the groups, while narrative methods were used to categorize and synthesize their effectiveness. RESULTS In total, 20 studies were included, comprising 16 RCTs and 4 pilot RCTs, most of which were conducted within a 6-week period. Each session typically lasted between 10 and 30 minutes and was held 2 to 3 times per week. Feasibility analysis showed that technology-assisted MCT was generally feasible. While the workload was high, the perceived usability was also high, with a considerable amount of positive feedback and very few reported adverse events. The types of MCT varied in terms of components, duration, and frequency. The majority of studies (18/20, 90%) demonstrated statistically significant improvements in physical, cognitive, and dual-task performance because of technology-assisted MCT. CONCLUSIONS The feasibility of technology-assisted MCT among older adults was high regardless of the perceived high workload, and most studies showed statistical effectiveness in improving physical, cognitive, and dual-task performance. CLINICALTRIAL Open Science Foundation (OSF) Registries 10.17605/OSF.IO/5SRCQ; https://osf.io/5srcq