Review Article

Older Adults’ Experiences of Using Strategies to Maintain and Foster Social Participation: A Systematic Review with Metasynthesis of Qualitative Studies

Table 1

Presentation of studies included.

Authors, year and countryAimParticipantsMethodCASP points

Tyler, M; Simic, V.; De George-Walker, L. (2018) AustraliaTo investigate the conceptualization of digital participation by older adults using a super-user’s conceptIn total (n): 11
Female/male (n): 2/9
Ages (mean): 59–82 (73.3)
Qualitative case study design individual interviews, daily diaries, and photovoice thematic analysis5/10p

Hoyle, M.; Ryan, C.; Gustavsson, L. (2016) AustraliaTo obtain a more comprehensive understanding of the constructs that underpin the definition and experience of community for older AustraliansIn total (n): 32
Female/male (n): 20/12
Ages (mean): 65–94 (77.9)
Cross-sectional phenomenological study design individual semistructured interviews thematic analysis10/10p

Witsø, A.E.; Wik, K.; Ytterhus, B. (2012) NorwayTo illuminate and understand older adults’ experiences of participation in everyday life when living in place and depending on home-based careIn total (n):10
Female/male (n): 8/2
Ages (mean): 72–89 (81.2)
Qualitative study design individual interviews grounded theory analysis6/10p

Palma-Candia, O.; Montoro,C.H.; Martí-García, C. et al. (2019) SpainTo determine the factors that contribute to the occupational adaptation process in older adults in the extreme region of Magallanes (Chile) and identify the signs of success and well-beingIn total (n): 16
Female/male (n): 10/6
Ages (mean): 64–77 (71.2)
Qualitative phenomenological interpretive study design individual semistructured interviews thematic analysis8/10p

Glasier, W. and Arbeau, K.J. (2017) CanadaTo further describe the meaning of the experience of involuntary separation from the perspective of persons in rural Alberta, Canada, who were living the experienceIn total (n): 10
Female/male (n): 7/3
Ages (mean): 70–95 (not stated)
Qualitative phenomenological interpretive study design individual semistructured interviews thematic analysis6/10p

Willis, P.; Vickery, A. (2022) UKExamine older men’s responses to feelings of loneliness and their everyday strategies for coping in the context of living aloneIn total (n): 72
Female/male (n): 0/72
Ages (mean): 65–95 (76)
Cross-sectional qualitative study design individual semistructured interviews thematic analysis8/10p

Waterworth, S.; Raphael, D.; Gott, M. (2019) New ZealandTo explore community‐dwelling older adults’ approaches to enhancing their psychological well‐beingIn total (n): 37
Female/male (n): 21/16
Ages (mean): 66–99 (77.6)
Qualitative study design, use of PERMA-model of well-being individual semistructured interviews (n = 37) and a focus group (n = 11 participants) grounded theory analysis with reference to the PERMA-model7/10p

Thanakwang, K.; Mongkolpraoset, J. (2012) ThailandTo provide an in-depth understanding of the views of healthy aging among elderly Thai adults and to explore the factors that contribute to healthy agingIn total (n): 155
Female/male (n): 95/65
Ages (mean): 60–88 (68.2)
Qualitative study design individual semistructured interviews (n = 32), focus groups (n = 16 groups) grounded theory analysis7/10p

Takashimaid, R.; Onishi, R.; Saeki, K. et al. (2020) JapanTo explore support in the community using social activities more suitable for older men: What are the values of social activities, and what are the meanings for retired older men living in an urban area of Japan?In total (n): 15
Female/male (n): 0/15
Ages (mean): 68–88 (68.2)
Qualitative study design individual semistructured interviews grounded theory analysis8/10p

Sugarhood, P.; Eakin, P.; Summerfield-Mann, L. (2017) UKTo gain a rich understanding of the concept, in particular from those who had not been represented in previous research, those from diverse ethnic and cultural backgrounds, in a variety of home living arrangements and in the older age range of those over 80In total (n): 11
Female/male (n): 5/6
Ages (mean): 81–96 (87.2)
Grounded theory study design individual semistructured interviews grounded theory analysis10/10p

Smith, J. (2012) USATo explore the meaning of loneliness in community-dwelling older adults and to understand their daily practices in coping with loneliness. This study also examined the relationship between loneliness and health and well-being in older adultsIn total (n): 12
Female/male (n): 8/4
Ages (mean): 74–98 (not stated)
Qualitative phenomenological interpretive study design individual multiple structure interviews thematic analysis8/10p

Heatwole Shank, K.; Kenley, B. (2019) USATo examine community navigation using qualitative and GPS methods in order to identify patterns of participation, spatial behavior, and well-being for lower-income older adultsIn total (n): 10
Female/male (n): 8/2
Ages (mean): 67–97 (77.8)
Mixed method observational cohort study design individual semistructured interviews qualitative analysis8/10p

Saunders, M.; Groh, C. (2019) USATo clarify perceptions of widows on their transition from spousal dementia caregiving to widowhoodIn total (n): 22
Female/male (n): 22/0
Ages (mean): Not stated (Rural: 77 urban: 80)
Serial qualitative study design Serial individual semistructured interviews qualitative analysis6/10p

Russo-Netzer, P.; Littman-Ovadia, H. (2019) IsraelTo complement previous knowledge in the field through a “bottom-up,” open-ended exploration of Israeli older adults’ own perspectives regarding the experience and potential resources at this life stageIn total (n): 31
Female/male (n): 14/17
Ages (mean): 60–83 (70.8)
Qualitative phenomenological study design individual semistructured interviews grounded theory analysis10/10p

Riekkola, J.; Rutberg, S.; Lilja, M. et al. (2019) SwedenExplore how elderly couples, who are in need of social services in the community, act and reason over time regarding their everyday togethernessIn total (n): 6
Female/male (n): 3/3
Ages (mean): 66–78 (not stated)
Narrative study design narrative interviews and participant observations paradigmatic analysis10/10p

Papageorgio, N.; Marquis, R.; Dare, J. (2016) AustraliaThe research questions this study aimed to answer were: 1. What factors do older people identify as enabling their participation in community-based activities? 2. What factors do older people identify as barriers to their participation in community-based activities?In total (n): 10
Female/male (n): 9/1
Ages (mean): 64–83 (72)
Constructivist epistemology study design individual interviews thematic analysis10/10p

Ojembe, B.U.; Ebe Kalu, M. (2018) NigeriaTo describe the existence of loneliness among older adults in Nigeria, recognize its factors in order to attempt to identify context-dependent solutions to loneliness within this populationIn total (n): 12
Female/male (n): 7/5
Ages (mean): 62–88 (73.3)
Descriptive phenomenological study design individual semistructured interviews thematic analysis10/10p

Ojembe, B.U.; Ebe Kalu, M. (2019) NigeriaTo explore in detail the experiences of older adults using television, radio, and telephone in reducing lonelinessIn total (n): 15
Female/male (n): 9/6
Ages (mean): 60–88 (79.9)
Phenomenological study design individual semistructured interviews thematic analysis8/10p

Nyman, A.; Isaksson, G. (2015) SwedenTo explore and describe how the internet was experienced as a tool for togetherness in everyday occupations among older adultsIn total (n): 12
Female/male (n): 6/6
Ages (mean): 67–99 (72)
Grounded theory study design focus groups constant comparative analysis9/10p

Nyman A.; Josephsson, S.; Isaksson, G. (2014) SwedenTo explore and enhance the understanding of how togetherness in everyday occupations is experienced and discussed among older adultsIn total (n): 12
Female/male (n): 6/6
Ages (mean): 67–79 (72)
Grounded theory study design focus groups constant comparative analysis9/10p

Nyman, A.; Josephsson, S.; Isaksson, G. (2012) SwedenTo explore how elderly people with depression engage in everyday activities with others, over time, and how this is related to their experience of meaningIn total (n): 5
Female/male (n): 4/1
Ages (mean): 78–85 (not stated)
Narrative study design individual interviews, observations, field notes narrative analysis9/10p

Nordin, T.; Rosenberg, l.; Nilsson, I. (2020) SwedenTo explore the perceptions and experiences of community-dwelling older adults with regard to aspects related to social participation in a home care contextIn total (n): 7
Female/male (n): 5/2
Ages (mean): 79–95 (87.1)
Qualitative study design individual semistructured interviews thematic analysis10/10p

Neville, S.; Russell, J.; Adams, J. et al. (2016) UKExploring how those aged 95 years and older living in their own home remain socially connectedIn total (n): 10
Female/male (n): 8/2
Ages (mean): 96–100 (98)
Qualitative study design individual semistructured interviews thematic analysis9/10p

Narushima, M.; Kawabata, M. (2020) CanadaTo explore the experiences of aging in place among older Canadian women with physical limitations who live aloneIn total (n): 12
Female/male (n): 12/0
Ages (mean): 65–92 (83.1)
Qualitative study design individual interviews thematic analysis9/10p

Morlett-Paredes, A.; Lee, E.E.; Chik, L. et al. (2021) UKTo describe the experience of loneliness and risk factors for it as well as coping mechanisms employed by these individuals to try to prevent or overcome itIn total (n): 30
Female/male (n): 20/10
Ages (mean): 67–93 (81.6)
Grounded theory study design UCLA Loneliness Scale, individual semistructured interviews coding consensus, cooccurrence, and comparative analysis9/10p

Löfgren, M.; Larsson, E.; Isaksson, G. et al. (2021) SwedenTo explore and describe older adults’ experiences of maintaining social participationIn total (n): 9
Female/male (n): 6/3
Ages (mean): 69–92 (82.5)
Explorative qualitative study design individual semistructured interviews thematic analysis9/10p

Lou, W.Q.V.; Ng, W.J. (2012) ChinaTo investigate resilience factors that help Chinese older adults living alone cope with sense of lonelinessIn total (n): 13
Female/male (n): 8/5
Ages (mean): 62–88 (75.5)
Interpretive hermeneutic study design individual semistructured interviews thematic analysis10/10p

Kharicha, K.; Manthorpe, J.; Iliffe, S. (2021) UKExplore how community-dwelling lonely older people in England manage their experiences of lonelinessIn total (n): 28
Female/male (n): 18/10
Ages (mean): 65–74 (not stated)
Qualitative study design individual semistructured interviews thematic analysis8/10p

Hand, C. (2020) CanadaTo explore older Canadian women’s engagement in community occupations as it occurs over the lifespan and in contextIn total (n): 3
Female/male (n): 3/0
Ages (mean): 74–84 (not stated)
Ethnographic study design narrative interviews, Go-along interviews, activity tracking, Follow-up interviews transactional lens-oriented analysis9/10p

Førsund, L.H.; Kiik, Skovdahl, K. (2016) NorwayTo explore and describe how spouses involve themselves in the relationship with their partners with dementia who live in institutional careIn total (n): 15
Female/male (n): 8/7
Ages (mean): 64–90 (78.8)
Constructivist grounded theory study design individual semistructured interviews and field notes, 6 follow-up interviews thematic analysis10/10p

Davies, N.; Crowe, M.; Whitehead, L. (2016) New ZealandTo explore widows’ and widowers’ experiences of loneliness and how they managed thisIn total (n): 40
Female/male (n): 20/20
Ages (mean): 70–97 (not stated)
Qualitative narrative inquiry study design individual semistructured interviews thematic analysis9/10p

Collins, T. (2017) UKTo gain an in-depth understanding of the personal communities of a group of older men experiencing the transition of later life widowhoodIn total (n): 7
Female/male (n): 0/7
Ages (mean): 71–89 (81.6)
Study design with the qualitative framework of subtle realism individual semistructured interviews thematic analysis8/10p

Ciobanu, R.O.; Fokkema, T. (2020) SwitzerlandEnquiring: Which coping strategies and underlying factors protect Romanian migrants in Switzerland from loneliness in later life?In total (n): 24
Female/male (n): 14/10
Ages (mean): 65–92 (73.3)
Qualitative study design 18 individual and 3 coupled semistructured interviews thematic analysis7/10p

Aw, S.; Koh, G.; Ju Oh, Y. et al. (2017) SingaporeTo inform and educate health policymakers and workers in a resource-poor society about the determinants of successful aging. What does successful aging mean in Bangladesh? Who faces greater barriers in successful aging? What factors contribute to aging successfully? Do men perceive successful aging differently than women?In total (n): 109
Female/male (n): (Total not stated)
Ages (mean): (Total not stated)
Structural ethnographic study design photovoice documentation and discussion groups, go-along interviews, community focus groups thematic analysis8/10p

Amin, I. (2017) BangladeshTo inform and educate health policymakers and workers in a resource-poor society about the determinants of successful agingIn total (n): 12
Female/male (n): 5/7
Ages (mean): 60–90 (not stated)
Grounded theory study designs individual semistructured interviews constantly comparing analysis5/10p