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Qualitative Health Research
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Using Narratives to Understand Older People’s Decision-Making Processes

Josephine Tetley

Open University, Milton Keynes, United Kingdom

Gordon Grant

Sheffield Hallam University, Sheffield, United Kingdom

Susan Davies

University of Sheffield, Sheffield, United Kingdom

Despite the availability of health and social care services designed to support people in their own homes, older people often underuse or refuse these services. It is now acknowledged that this phenomenon contributes to older people being admitted to hospital and long-term care in circumstances that could be avoided. To understand how the uptake of supportive and preventative services can be improved, the first author, supervised by the second and third authors, developed a constructivist inquiry to explore what factors enhance or bar service use. This article describes how narratives were used not only to help identify decision- and choice-making influences, but also as a way of enhancing the hermeneutic processes associated with constructivism.

Key Words: constructivism • health care • decision making • hermeneutics • narrative methods • older people • social services • utilization

This version was published on September 1, 2009

Qualitative Health Research, Vol. 19, No. 9, 1273-1283 (2009)
DOI: 10.1177/1049732309344175
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