Abstract
BackgroundBy 2035, older adults will outnumber children for the first time in the United States (US). In light of its aging population, the US has supported services focused on enabling older adults to continue living in their current homes, a model commonly described as “aging in place.” The lived experience of aging in place is not well documented in existing systematic reviews. The aims of this systematic review are to synthesize and evaluate the existing qualitative evidence on experiences of aging in place in the US and identify knowledge gaps and directions for future studies.MethodsSix electronic bibliographic databases (PubMed, PsycINFO, CINAHL, Web of Science, EMBASE, and Sociological s) will be searched. Studies presenting qualitative data on the experiences of older adults currently aging in place in the US will be included. Covidence software will be used to screen studies and extract data. The Joanna Briggs Institute checklist for qualitative research will be used to assess quality and risk of bias of included studies. We will use meta-ethnography, following the method described by Noblit and Hare, to synthesize and evaluate the results of the included studies.DiscussionTo the best of our knowledge, this is the first systematic review to integrate and synthesize the findings of qualitative studies of aging in place focusing on older adults in the US. The findings of this review will provide in-depth knowledge on lived experiences of aging in place and address important gaps in existing work.Systematic review registrationInternational Prospective Register of Systematic Reviews (PROSPERO): CRD42018102847
Highlights
By 2035, older adults will outnumber children for the first time in the United States (US)
With increasing levels of loneliness reported among older people, as well as our growing understanding of the seriousness of the health consequences associated with social isolation [14], a systematic review of the available qualitative evidence is needed to ensure the voices of those with lived experience of aging in place in the US are heard
Phase 1: Getting started AR-M identified the focus of the meta-ethnography, and a review of qualitative research was deemed the most appropriate approach to gain a rich understanding of the lived experience of aging in place
Summary
This systematic review has been registered with the International Prospective Register of Systematic Reviews (PROSPERO): registration number CRD42018102847. Meta-ethnography will be used to synthesize and evaluate the results of the included studies, following the method outlined by Noblit and Hare [16] with reference to Schutz’s conceptualization of first- and second-order constructs [17, 18]. This approach was selected in light of its suitability for studying complex social phenomena and experiences, through generating new interpretations and theoretical models (i.e., going beyond the categorization or aggregation of existing findings) [16, 17]. Two members of the research team will independently assess the quality of each included study using the checklist; any differences of opinion will be
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