2Despite the availability of health and social care services designed to support people in their own homes, older people often under-use or refuse these. 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. In order to understand how the uptake of supportive and preventative services can be improved the first author (JT), supervised by GG and SD, developed a constructivist inquiry to explore what factors enhance or bar service use. This paper describes how narratives were used not only to help indentify decision-and choice-making influences, but also as a way of enhancing the hermeneutic processes associated with constructivism.Keywords: constructivism; health care; decision-making; hermeneutics; narrative methods; older people; social services, utilization 3 Older people often underuse or refuse to use health and social care services designed to support them in their own homes (Joseph Rowntree Foundation, 2004). This has contributed to increased pressure on acute hospital services as older people are being admitted to hospital or long-term institutional care, which might otherwise have been avoided (Health and Social Care Change Agent Team, 2004). Consequently, current UK government policy continues to focus on developing services to support older people in the community and on reducing the numbers of older people in hospital and long-term care (Department of Health, 2006a;2006b).Despite this investment and commitment to improving care and services, previous studies of the uptake of health and social care services indicated that more research was required to understand how local authority budget constraints, pressure on hospital beds, mental capacity issues, individual financial resources and the cultural sensitivity of mainstream services might affect older people's decision-and choice-making processes (Atkin, 1998;Kane & Kane, 2001;Tanner, 2001;Wenger, 1999).There has also been increased demand for user involvement in research and practice development (Nolan, Hanson, Grant, & Keady, 2007). However, some groups in society do not have the same opportunities to influence service development because meaningful participation is affected by a range of issues, including cultural divisions, language barriers, gender, ill health, time and resources (Boote, Telford, & Cooper, 2002;Fudge, Wolfe, & McKevitt, 2007). This paper describes how narratives were used with older people, often excluded from mainstream consultation processes, to engage them in research and to evaluate the hermeneutic processes associated with constructivism.For researchers seeking to gain insights into people's experiences of a particular issue, a constructivist methodology is particularly useful as this approach acknowledges that peoples' 4 understandings of their lives and situations are multiple and complex (Guba & Lincoln, 1989). In order to appreciate how personal understandings and life experiences shape individual's actions constructiv...