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      “Kicking and Screaming” or “Gracefully Conceding”: Creative Nonfiction Stories of Aging With Multiple Sclerosis

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          Abstract

          Aging with multiple sclerosis (MS) is a complex phenomenon. Some individuals report physical and cognitive dysfunctions regarding these combined experiences, whereas others report perceived improvements in quality of life. Beyond this, little is known regarding how people make sense of, and come to embody, negative or positive experiences of MS. Thus, our objectives were to (a) explore how people made sense of aging with MS and (b) present this in an artful, engaging, transformative way. To achieve this, we conducted 40 semi-structured interviews with older adults who had MS, analyzed data using pluralistic narrative analyses, and presented results through two creative nonfictions. We detail our process of creating the nonfictions before presenting the different stories of aging with MS, namely “Kicking and Screaming” and “Gracefully Conceding.” We then offer recommendations and implications for using these stories as knowledge translation devices, and further critique the limitations of these stories in practice.

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          Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research.

          Purposeful sampling is widely used in qualitative research for the identification and selection of information-rich cases related to the phenomenon of interest. Although there are several different purposeful sampling strategies, criterion sampling appears to be used most commonly in implementation research. However, combining sampling strategies may be more appropriate to the aims of implementation research and more consistent with recent developments in quantitative methods. This paper reviews the principles and practice of purposeful sampling in implementation research, summarizes types and categories of purposeful sampling strategies and provides a set of recommendations for use of single strategy or multistage strategy designs, particularly for state implementation research.
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            A Theory of Social Comparison Processes

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              Chronic illness as biographical disruption.

              M Bury (1982)
              The paper is based on semi-structured interviews with a series of rheumatoid arthritis patients. Chronic illness is conceptualised as a particular type of disruptive event. This disruption highlights the resources (cognitive and material) available to individuals, modes of explanation for pain and suffering, continuities and discontinuities between professional and lay thought, and sources of variation in experience.
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                Author and article information

                Journal
                Qual Health Res
                Qual Health Res
                QHR
                spqhr
                Qualitative Health Research
                SAGE Publications (Sage CA: Los Angeles, CA )
                1049-7323
                1552-7557
                30 April 2021
                August 2021
                : 31
                : 10
                : 1861-1874
                Affiliations
                [1 ]University of Worcester, Worcester, United Kingdom
                [2 ]University of Alabama at Birmingham, Birmingham, Alabama, USA
                Author notes
                [*]Emma V. Richardson, WB142, School of Sport and Exercise, St John’s Campus University of Worcester, Worcester WR2 6AJ, UK. Email: e.richardson@ 123456worc.ac.uk
                Author information
                https://orcid.org/0000-0001-7409-778X
                Article
                10.1177_10497323211009864
                10.1177/10497323211009864
                8446897
                33926326
                b0e6fec8-a525-428c-9975-c65c23e80e08
                © The Author(s) 2021

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: university of alabama at birmingham, FundRef https://doi.org/10.13039/100008333;
                Award ID: 000518032
                Categories
                Research Articles
                Custom metadata
                ts1

                Medicine
                aging,multiple sclerosis,experiences,qualitative,chronic illness,pluralistic analysis,creative nonfiction,united states

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