Older people going online: its value and before-after evaluation of volunteer support

Ray B Jones, Emily J Ashurst, Jo Atkey, Barbara Duffy, Ray B Jones, Emily J Ashurst, Jo Atkey, Barbara Duffy

Abstract

Background: Although Internet usage can benefit older people by reducing social isolation, increasing access to services, and improving health and well-being, only a minority are online. Barriers to Internet uptake include attitude and a lack of knowledge and help. We have evaluated volunteer support in helping older people go online. Knowing what value the Internet has been to older people who have just gone online should guide how it is "sold" to those remaining offline.

Objective: Objectives of this study are (1) to assess the feasibility of recruiting volunteers aged 50 years and older and supporting them in helping people (ie, beneficiaries) aged 65 years and older go online, (2) to assess the impact of beneficiaries using the Internet on contacts with others, loneliness, and mental health, and (3) to assess the perceived value to beneficiaries of going online.

Methods: Beneficiaries received help in using the Internet from 32 volunteers in one of two ways: (1) one-on-one in their own homes, receiving an average of 12 hours of help over eight visits, or (2) in small group sessions, receiving 12 hours of help over six visits. We assessed, at registration and follow-up, the number of contacts with others, using Lubben's 6-item Lubben Social Network Scale (LBNS-6), loneliness, using De Jong Gierveld's 6-item De Jong Gierveld loneliness scale (DJG-6), and mental well-being, using Tennant's Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). We also assessed how beneficiaries valued going online using a Social Return on Investment (SROI) approach by postal survey.

Results: A total of 144 beneficiaries were recruited with the aim of helping them go online via one-on-one (n=58) or small group (n=86) sessions. Data through to follow-up were available on 76.4% (110/144) of participants. From baseline to follow-up, the number of contacts with others was significantly increased-LBNS-6, mean 13.7 to mean 17.6-loneliness scores were reduced-DJG-6, mean 2.38 to mean 1.80-and mental well-being improved-SWEMWBS, mean 24.06 to mean 24.96. Out of six options, beneficiaries valued better communication with family and friends most and better health care least as a benefit of using the Internet. Out of nine options, having the Internet was valued less than having TV, but more than, for example, having a weekly visit from a cleaner. There were no associations between values placed on Internet use or volunteer help and psychological improvements.

Conclusions: Volunteer help to go online seemed to result in increased social contacts, reduced loneliness, and improved mental well-being and was valued quite highly by beneficiaries. Although the use of the Internet for health care was the least valued, improved social contact can improve health. Contacting family is likely to be the best "selling point" of the Internet for older people.

Keywords: digital inclusion; health informatics; older people; social return on investment.

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Participant recruitment and dropout.

References

    1. . London, UK: Cabinet Office; 2015. Mar 27, [2014-10-13]. Government Digital Strategy: reports and research .
    1. Dutton WH, Blank G. Next Generation Users: The Internet in Britain. Oxford Internet Survey 2011. Oxford, UK: Oxford Internet Institute, University of Oxford; 2011. [2015-05-11]. .
    1. Jones R. Development of a questionnaire and cross-sectional survey of patient eHealth readiness and eHealth inequalities. Med 2 0. 2013;2(2):e9. doi: 10.2196/med20.2559.
    1. Helsper EJ, Reisdorf BC. A quantitative examination of explanations for reasons for Internet nonuse. Cyberpsychol Behav Soc Netw. 2013 Feb;16(2):94–99. doi: 10.1089/cyber.2012.0257.
    1. Morris A. E-literacy and the grey digital divide: a review with recommendations. Journal of Information Literacy. 2007;1(3):13–28. doi: 10.11645/1.3.14.
    1. Choudrie J, Ghinea G, Songonuga VN. Silver surfers, e-government and the digital divide: An exploratory study of UK local authority websites and older citizens. Interact Comput. 2013;25(6):417–442.
    1. Fokkema T, Knipscheer K. Escape loneliness by going digital: a quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults. Aging Ment Health. 2007 Sep;11(5):496–504. doi: 10.1080/13607860701366129.
    1. Cotten SR, Anderson WA, McCullough BM. Impact of Internet use on loneliness and contact with others among older adults: cross-sectional analysis. J Med Internet Res. 2013;15(2):e39. doi: 10.2196/jmir.2306.
    1. Sum S, Mathews RM, Hughes I, Campbell A. Internet use and loneliness in older adults. Cyberpsychol Behav. 2008 Apr;11(2):208–211. doi: 10.1089/cpb.2007.0010.
    1. Findlay RA. Interventions to reduce social isolation amongst older people: where is the evidence? Ageing Soc. 2003;23:647–658.
    1. Erickson J, Johnson GM. Internet use and psychological wellness during late adulthood. Can J Aging. 2011 Jun;30(2):197–209. doi: 10.1017/S0714980811000109.
    1. Shapira N, Barak A, Gal I. Promoting older adults' well-being through Internet training and use. Aging Ment Health. 2007 Sep;11(5):477–484. doi: 10.1080/13607860601086546.
    1. Milligan C, Passey D. Ageing and the Use of the Internet--Current Engagement and Future Needs: State-of-the-Art Report. Oxford, UK: Nominet Trust; 2011.
    1. Layton J. Daily Mirror (via Paperboy) 2014. Apr 7, [2014-10-13]. OAP's Dignitas suicide: I'd sooner die than live in age of the email .
    1. Windle K, Francis J, Coomber C. Social Care Institute for Excellence. London, UK: Social Care Institute for Excellence; 2011. Oct, Preventing loneliness and social isolation: interventions and outcomes; pp. 1–16.
    1. Office for National Statistics Internet Access - Households and Individuals, 2013. 2013. Aug 08, [2014-10-13]. .
    1. Turner P, Turner S, Van de Walle G. How older people account for their experiences with interactive technology. Behaviour & Information Technology. 2007 Jul;26(4):287–296.
    1. van Deursen A, Courtois C, van Dijk J. Internet skills, sources of support, and benefiting from Internet use. Int J Hum Comput Interact. 2014 Mar 07;30(4):278–290. doi: 10.1080/10447318.2013.858458.
    1. Ramon-Jeronimo MA, Peral-Peral B, Arenas-Gaitan J. Elderly Persons and Internet Use. Soc Sci Comput Rev. 2013 Feb 07;31(4):389–403. doi: 10.1177/0894439312473421.
    1. Rogers EM. Diffusion of Innovations. 4th edition. New York, NY: The Free Press; 1995.
    1. Tinder Foundation: Annual Review 2013-2014. [2014-10-13]. The UK online centres network .
    1. Xie B, Bugg JM. Public library computer training for older adults to access high-quality Internet health information. Libr Inf Sci Res. 2009 Sep 1;31(3):155. doi: 10.1016/j.lisr.2009.03.004.
    1. Xie B. Effects of an eHealth literacy intervention for older adults. J Med Internet Res. 2011;13(4):e90. doi: 10.2196/jmir.1880.
    1. Chu A, Huber J, Mastel-Smith B, Cesario S. "Partnering with Seniors for Better Health": computer use and Internet health information retrieval among older adults in a low socioeconomic community. J Med Libr Assoc. 2009 Jan;97(1):12–20. doi: 10.3163/1536-5050.97.1.003.
    1. Peel NM, Warburton J. Using senior volunteers as peer educators: What is the evidence of effectiveness in falls prevention? Australas J Ageing. 2009 Mar;28(1):7–11. doi: 10.1111/j.1741-6612.2008.00320.x.
    1. Gardner R, Smith N, Scott L, Diep M, Frost S. Silver Dreams Fund Learning and Evaluation Contract: Final Report. Rotterdam, The Netherlands: Ecorys; 2014. Jun, [2015-05-07]. .
    1. Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, Stuck AE. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006 Aug;46(4):503–513.
    1. De Jong Gierveld J, Van Tilburg T. A 6-item scale for overall, emotional, and social loneliness - Confirmatory tests on survey data. Res Aging. 2006 Sep;28:582–598.
    1. Stewart-Brown S. Warwick Medical School. Coventry, UK: Warwick Medical School; 2014. [2015-05-07]. SWEMWBS conversion table
    1. Stewart-Brown S, Tennant A, Tennant R, Platt S, Parkinson J, Weich S. Internal construct validity of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS): a Rasch analysis using data from the Scottish Health Education Population Survey. Health Qual Life Outcomes. 2009;7:15. doi: 10.1186/1477-7525-7-15.
    1. Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, Parkinson J, Secker J, Stewart-Brown S. The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007;5:63. doi: 10.1186/1477-7525-5-63.
    1. Office for National Statistics . First Annual ONS Experimental Subjective Well-being Results. London, UK: Office for National Statistics; 2012. Jul 24, [2015-05-11]. .
    1. Coast J, Flynn TN, Natarajan L, Sproston K, Lewis J, Louviere JJ, Peters TJ. Valuing the ICECAP capability index for older people. Soc Sci Med. 2008 Sep;67(5):874–882. doi: 10.1016/j.socscimed.2008.05.015.
    1. Nicholls J, Lawlor E, Neitzert E, Goodspeed T. A Guide to Social Return on Investment. Haddington, UK: The SROI Network; 2012. [2015-05-11]. .
    1. Arvidson M, Lyon F, McKay S, Moro D. Third Sector Research Centre: Working Paper 49. Birmingham, UK: Third Sector Research Centre; 2010. Dec, [2014-10-13]. The ambitions and challenges of SROI .
    1. Scholten P. The SROI Network International Conference, Slides From Workshop 4. Haddington, UK: The SROI Network; 2012. Feb 16, [2015-05-11]. Tools for SROI - The Value Game .
    1. Giraldez-Garcia C, Forjaz MJ, Prieto-Flores ME, Rojo-Perez F, Fernandez-Mayoralas G, Martinez-Martin P. Individual's perspective of local community environment and health indicators in older adults. Geriatr Gerontol Int. 2013 Jan;13(1):130–138. doi: 10.1111/j.1447-0594.2012.00872.x.
    1. La Grow S, Neville S, Alpass F, Rodgers V. Loneliness and self-reported health among older persons in New Zealand. Australas J Ageing. 2012 Jun;31(2):121–123. doi: 10.1111/j.1741-6612.2011.00568.x.
    1. Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010 Jul;7(7):e1000316. doi: 10.1371/journal.pmed.1000316.
    1. Perissinotto CM, Stijacic CI, Covinsky KE. Loneliness in older persons: a predictor of functional decline and death. Arch Intern Med. 2012 Jul 23;172(14):1078–1083. doi: 10.1001/archinternmed.2012.1993.
    1. Brubaker T, Kinsel BI. Who is responsible for household tasks in long term marriages of the "young-old" elderly? Lifestyles. 1985;7(4):238–247. doi: 10.1007/BF00997104.
    1. Coventry University Students' Union. [2014-10-13]. UK youth - Gen2Gen project

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