Using Qualitative Assessment and Review Instrument software to synthesise studies on older people's views and experiences of falls prevention.

Aim  To report on the experiences of using software (Qualitative Assessment and Review Instrument (QARI)) specifically designed to synthesise qualitative research studies. Background  The synthesis of qualitative research using a systematic review process is somewhat contentious and at present a variety of approaches exists. One approach is the QARI tool from the Joanna Briggs Institute (JBI) which provides a structured process to qualitative synthesis for appraising, extracting and synthesizing qualitative research that is considered more aggregative than interpretative. The process shares similarities with the methods of quantitative systematic review although the analysis stage is grounded in qualitative methodology. QARI provides a means for accumulating and synthesizing qualitative-based knowledge on the view and experiences of healthcare users and staff that can be used alongside systematic reviews of effectiveness to supply information on barriers and facilitators to adopting an intervention. The synthesis of qualitative research on older people's experiences of falls is used as the focus in this paper. Conclusions  In common with other qualitative synthesis methodologies, there remain important areas for debate. These relate to the process and outcomes of: quality assessment, extracting findings from primary studies, the creation of categories (themes, metaphors), the expression of the synthesis and the credibility of an iterative review process.