Enhancing Participation of People Aged 75+ in Clinical and Applied Health Research Through Inclusive, Technology-Enabled Methodologies
DOI:
https://doi.org/10.67265/jsrd.v1.i2.01Keywords:
older adults, inclusive research, technology-enabled methodsAbstract
Older adults, aging 75 years and older are barely represented in clinical and applied health research because of health-related limitations, barriers to digital access, and methodological approaches. This study sought to co-design, trial and evaluate inclusive, digital ways to support the participation of older adults in health research. A mixed methods design was employed, comprising a quantitative phase (N = 50) followed by qualitative interviews (n = 12). The quantitative part highlighted that 66% of participants had access to a digital device whereas 48% of participants reported low confidence in their ability to use devices. Age sub-group analysis indicated that participants aged 80+ years, indicated significantly lower confidence and willingness to participate compared to those aged 75-79 years. The qualitative part revealed four themes: barriers vs facilitators to digital participation, importance of human support, trust and motivation, and preference for hybrid approaches. These findings demonstrate the need for practical, feasible and scalable strategies including caregiver supported digital participation, an emphasis on simplified technologies and flexible hybrid recruitment strategies. This study contributes to an emerging body of literature on inclusive methods and practical recommendations for enhancing the relevance and accessibility of health research for and with older adults.
References
Boman, M. J., Berglund, C., Lundberg, E., Gillsjö, C., Palmér, C., Nilsson, M., Mårtensson, C., & Rydwik, E. (2023). Co-creating a digital life-integrated self-assessment for older adults: User experience study. JMIR Aging, 6, e46738. https://doi.org/10.2196/46738
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Chadwick, H., Laverty, L., Finnigan, R., Elias, R., Farrington, K., Caskey, F. J., & van der Veer, S. N. (2024). Engagement with digital health technologies among older people living in socially deprived areas: Qualitative study of influencing factors. JMIR Formative Research, 8, e60483. https://doi.org/10.2196/60483
Good Things Foundation. (2024). Digital Nation UK 2024: What the main UK datasets tell us about digital inclusion. https://www.goodthingsfoundation.org/
Gyorffy, Z., Boros, J., Döbrössy, B., & Girasek, E. (2023). Older adults in the digital health era: Insights on the digital health-related knowledge, habits and attitudes of the 65-year-and-older population. BMC Geriatrics, 23, 779. https://doi.org/10.1186/s12877-023-04437-5
Kebede, A. S., Finda, M., & Smith, J. (2022). Digital engagement of older adults: A scoping review. Journal of Medical Internet Research, 24(12), e40192. https://doi.org/10.2196/40192
Knotnerus, H. R., Ngo, H. T. N., Maarsingh, O. R., van Vugt, V. A., & Clohessy, S. (2024). Understanding older adults' experiences with a digital health primary care service: Barriers and facilitators. JMIR Aging, 7, e59168. https://doi.org/10.2196/59168
National Institute for Health and Care Research. (2025). Statement of intent: Integrating older age into health and care research. https://www.nihr.ac.uk/
National Institutes of Health. (2019). Inclusion across the lifespan in human subjects research. https://grants.nih.gov/policy-and-compliance/policy-topics/inclusion/lifespan
Nocivelli, B., Shepherd, V., Hood, K., Wallace, C., & Wood, F. (2023). Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: A scoping review. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04126-3
Reyes, E. P. G., & Kukucka, S. (2023). Understanding older adults' experiences with technologies supporting their health: A mixed-methods study. JMIR Aging, 6(1), e43197. https://doi.org/10.2196/43197
Schroeder, T., Bergschöld, J. M., & Kebede, A. S. (2023). Older adults and new technology: A mapping review of the literature. JMIR Aging, 6(2), e44564. https://doi.org/10.2196/44564
UK Research and Innovation. (2025). Guidance for inclusive research and innovation practice. https://www.ukri.org/manage-your-award/good-research-resource-hub/guidance-for-equality-diversity-and-inclusion/
Viklund, E. W., Nilsson, I., Hägglund, S., Nyholm, L., & Forsman, A. K. (2023). The perks and struggles of participatory approaches: Exploring older persons' experiences of participating in designing and developing an application. Gerontechnology, 22(1), 1–12. https://doi.org/10.4017/gt.2023.22.1.816.03
Zhao, Y., Stegner, M., & Neves, B. B. (2023). Sociotechnical approaches to older adults and digital health: Concepts and methods. Journal of Aging & Social Policy, 35(4), 421–438. https://doi.org/10.1080/08959420.2023.2197824
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Journal of Social Research Dynamics

This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
This license allows anyone to:
-
Share — copy and redistribute the material in any medium or format
-
Adapt — remix, transform, and build upon the material for any purpose, even commercially
Under the following terms:
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
Full license details: https://creativecommons.org/licenses/by/4.0/
Authors retain copyright of their work and grant the journal the right of first publication.