Climate change adaptation planning requires the integration of disciplines, stakeholders, different modelling approaches, treatment options, and scales of analysis. An integrated stepwise planning approach is a critical requirement for effective climate change adaptation in the context of small island developing states and coastal communities. To address this need, this paper reports on a systematic review of 116 research papers from an initial set of around 650 academic peer-reviewed papers. These papers were assessed and categorised based on their planning framework or the approach utilised, measured climate change impacts, employed methods and tools, and recommended adaptation strategies or options. This study identified three important dimensions of a fully integrated climate change adaptation planning process, namely, integration in assessment, integration in modelling, and integration in adaptive responses. Moreover, it resulted in the formulation of a novel multi-layered integrative climate change adaptation planning approach. Adopting this holistic and integrative approach is more likely to yield better climate change adaptation in planning outcomes over the long term.