A Thematic Analysis of the Older Adults’ Lived Experience in Healthy Ageing

Abstract

With the global rise in the older population, many countries are reassessing approaches to elder care. In Pakistan, family-based care remains culturally embedded, yet shifting social and economic conditions have begun to reshape caregiving structures. This study explores the lived experiences of adults aged 65 and above, focusing on how cultural norms, family dynamics, and personal resources shape perceptions of healthy ageing. A qualitative design was employed using semi-structured interviews with 50 participants, followed by in-depth interviews with 35 individuals selected through multistage sampling. Interviews were conducted in Urdu, transcribed, and analyzed using reflexive thematic analysis guided by Braun and Clarke. Five themes emerged: well-being, familial connectedness, financial stability, maintaining social roles, and resilience and positivity. The findings highlight how older adults emphasize independence, harmonious family relations, economic security, and continued social engagement as markers of ageing well. The study also sheds light on the emotional landscape of ageing in Pakistan, including expectations from adult children, the role of faith, and strategies older adults use to maintain dignity and autonomy. The results underscore the need for culturally sensitive policies that integrate family-centered care with emerging formal support structures. Supporting older adults through social connectivity, emotional reinforcement, and accessible health guidance may strengthen their overall quality of life.