{
  "abstract": "Background Digital exclusion is a super social determinant of health as it can affect many areas of life that influence health and wellbeing (e.g. making appointments, banking, contacting family). Older people, for whom the inability to engage in these activities can have the most negative impact (e.g. loneliness, poor housing, poor health), are the group most often digitally excluded, with over 79% of digital exclusion occurring amongst those aged 65+. Support and training are available to increase digital inclusion, but usually offered when people come into contact with services, rather than systematically. Thus, some older people who might benefit from support are not offered it, and we don’t know what support is best for them. The INCLUDE study aims to develop a robust, replicable method for identifying digitally excluded older adults, and refine and test an intervention(s) to meet their needs. Here we report findings from interviews with older people undertaken as part of the INCLUDE study.Aim To explore factors that influence older people’s digital engagement.Methods 20 participants were selected through purposive sampling to ensure involvement of a wide range of participants across multiple demographic criteria: gender, age, socioeconomic deprivation, living status, internet usage, ethnicity, and level of frailty.Semi-structured interviews were conducted using a topic guide informed by the COM-B model (capability, opportunity, motivation, behaviour). To explore factors that influence older people’s digital engagement. Interviews were audio recorded and transcribed. Transcripts were analysed using a thematic approach.Results Analysis is ongoing, with initial findings indicating confusion about what constitutes being online. Participants reported strong views about not using the internet at all, yet regularly reported using YouTube, catch up TV, and various other apps. The main analysis produced six main themes: 1) General perceptions about the internet (positive/negative), 2) The extent older people feel digitally excluded, 3) Impact of previous work experience/hobbies on internet usage, 4) Barriers to using the internet, 5) The impact of social support on internet usage, and 6) What a digital intervention should look like. Within the above themes, common barriers were: concerns about scams, staying safe online, a lack of desire to use the internet if other methods are available, and concerns about doing things wrong when using technology.Conclusion Together with outcomes from other INCLUDE study workstreams, findings are contributing to case scenarios for co-production workshops, in which we are developing an intervention to support digitally excluded older people.",
  "authors": [
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"
      ],
      "name": "Thomas Atkinson"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"
      ],
      "name": "Caroline Brundle"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Leeds, UK"
      ],
      "name": "Kate Best"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Leeds, UK"
      ],
      "name": "Jessica Johansson"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Leeds, UK"
      ],
      "name": "Andrew Clegg"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Leeds, UK"
      ],
      "name": "Anne Forster"
    },
    {
      "affiliations": [
        "PPI Co-applicant, Hull, UK"
      ],
      "name": "Marilyn Foster"
    },
    {
      "affiliations": [
        "Bradford District and Craven Health and Care Partnership, Bradford, UK"
      ],
      "name": "Sarah Humphrey"
    },
    {
      "affiliations": [
        "North East Yorkshire Region Office for Health Improvement and Disparities, Department of Health and Social Care, London, UK"
      ],
      "name": "Alison Iliffe"
    },
    {
      "affiliations": [
        "Age UK Leeds, Leeds, UK"
      ],
      "name": "Claire Walker"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Leeds, UK"
      ],
      "name": "Liz Graham"
    }
  ],
  "title": "P97 Understanding the digital experience of older people: an analysis of qualitative interviews with INCLUDE study participants",
  "uid": "2b79ca34-d886-576f-b5c8-c584f1fe77e2"
}