142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

310899
Impacts of a computer and Internet skills training program on communication and social connectedness among low-income older adults

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 11:00 AM - 11:15 AM

Jinsook Kim, PhD, MPH, DDS , School of Nursing and Health Studies, Northern Illinois University, De Kalb, IL
Jennifer Gray, PhD, MPP , School of Nursing and Health Studies, Department of Public Health, Northern Illinois University, DeKalb, IL
James R. Ciesla, Ph.D. , College of Health and Human Sciences, Northern Illinois University, DeKalb, IL
INTRODUCTION: There is no clear evidence showing that computer and Internet skills training programs affect low-income older adults’ communication and social connectedness. This study examines whether participation in such training influences low-income older adults’ modes of communication and social connectedness. 

METHODS: We used data collected from 79 low-income older adults (65-91 years old; mean=74) who completed surveys both before and after a 6-week training program. A Fisher’s exact test was used to investigate the pre-post difference in the primary mode of communication. We examined the 6-item Lubben Social Network Scale (LSNS-6) score (ranging 0 to 30) for pre-post and subgroup differences in social connectedness using a paired t-test and analysis of variance (ANOVA), respectively.  

RESULTS: The majority of the sample was female (65%) and approximately one-quarter (24%) was African American. Those who used the Internet as the primary communication channel increased from 5% at pre-test to 41% at post-test. The percentage of people who used primarily postal mail and phone calls decreased by 5% and 7%, respectively (p<.001). Women generally had a higher LSNS-6 score than men (p<.05). On average, the LSNS-6 score increased by 4 points between the pre- and post-tests (p<.0001). The increase in the LSNS-6 score was significantly larger among African Americans than Whites (p<.05).

DISCUSSION:  The results indicate an increase in digital communication and improved social connectedness among low-income older adults upon skills training completion. Comparatively more improvement in social connectedness among African Americans suggests greater benefits of such interventions on population groups of disadvantaged background.

Learning Areas:

Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Identify new communication modes that low-income older adults might adopt after taking a computer and Internet skills training. Describe subgroup differences in social connectedness among low-income older adults. Discuss why disadvantaged population groups may gain greater benefits from computer and Internet skills training compared to more advantaged groups.

Keyword(s): Evaluation, Information Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been conducting research on the influence of socio-environmental factors on health behaviors and outcomes particularly among disadvantaged populations. My recent research projects include qualitative and quantitative evaluation of intervention programs for sustained Internet use among low-income older adults.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.