Preprint Article Version 1 This version is not peer-reviewed

Illness Narrative Master Plots Following Musculoskeletal Trauma and How They Change Over Time, a Secondary Analysis of Data

Version 1 : Received: 31 July 2024 / Approved: 1 August 2024 / Online: 2 August 2024 (10:38:23 CEST)

How to cite: Soundy, A.; Moffatt, M.; Yip, N. (.; Heneghan, N.; Rushton, A.; Falla, D.; Silvester, L.; Middlebrook, N. Illness Narrative Master Plots Following Musculoskeletal Trauma and How They Change Over Time, a Secondary Analysis of Data. Preprints 2024, 2024080079. https://doi.org/10.20944/preprints202408.0079.v1 Soundy, A.; Moffatt, M.; Yip, N. (.; Heneghan, N.; Rushton, A.; Falla, D.; Silvester, L.; Middlebrook, N. Illness Narrative Master Plots Following Musculoskeletal Trauma and How They Change Over Time, a Secondary Analysis of Data. Preprints 2024, 2024080079. https://doi.org/10.20944/preprints202408.0079.v1

Abstract

Introduction; to the best of the authors knowledge no past research has established how illness narrative master plots are expressed initially, and then if, and how they change longitudinally following musculoskeletal trauma. The aim of the current research was able to consider how specific master plots were expressed, interact and change across time following musculoskeletal trauma. Methods; a narrative analysis was undertaken that included individuals who had experienced a musculoskeletal traumatic injury. Individuals were included if they were an inpatient within 4 weeks of the first interview had mental capacity to participate and were able to communicate in English. Three interviews were undertaken (within 4 weeks of injury, 6 and 12 months). A 5-stage categorical form type narrative analysis was performed. Results; Twelve individuals (49.9±17.5 years; 7 male, 5 female) completed interviews at three time points following the trauma event (<4 weeks months, 6 months and 12 months). Three main narratives that appeared to work together to facilitate a positive accommodation of the trauma event into the individual’s life were presented. These included the resumption narrative, the activity narrative and quest narrative. Finally, less often regressive narratives were identified although these narratives were, at times, actively avoided. Discussion; The current results provide important consideration for how narratives are used within clinical practice, in particular the value of how these three narratives could be access and promoted.

Keywords

illness narratives; Master plots; Quest; Chaos; Restitution; Trauma; Qualitative

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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