Ricardo Madeira, Dulce Esteves, Nuno Pinto, Alessandro Vercelli, Maria Vaz Pato
Background/Objectives: Digital interventions are essential for dementia care, particularly for older and isolated populations, and provide valuable support for caregivers. This umbrella review aimed to evaluate the acceptability and barriers to implementing the use of digital tools for health monitoring and management in older people with dementia and/or their caregivers. Methods: The review included studies assessing acceptability factors and barriers related to technology use in these groups. A total of 612 studies were identified across three databases. After removing duplicates, 400 articles remained. Following title and abstract screening, thirty articles were selected for full-text evaluation and five met the eligibility criteria for inclusion in this review. These systematic reviews collectively covered 93 primary studies, encompassing 12 to 279 participants with dementia and 11 to 2761 caregivers. Results: Frequently reported factors included self-management support, information access, and enhanced communication, although these were not consistently addressed across all reviews. The most significant barrier was a lack of technical knowledge, which hindered effective use. This gap in knowledge could compromise self-management and potentially increase burden on caregivers. Conclusions: In conclusion, digital interventions offer significant benefits in addressing accessibility challenges and are generally well-received by people with dementia, their caregivers, and healthcare providers. However, addressing the lack of technological proficiency is crucial to ensuring these interventions are effective and do not inadvertently create additional challenges. Practical strategies should include tailored digital literacy training for older adults and caregivers, simplified user interfaces, and ongoing technical support to enhance engagement and long-term adherence.