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Application and Extension of the Alcohol Recovery Narratives Conceptual Framework

Subhani, Mohsan; Talat, Usman; Knight, Holly; Morling, Joanne R.; Jones, Katy A.; Aithal, Guruprasad P.; Ryder, Stephen D.; Rennick-Egglestone, Stefan

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Clinical Assistant Professor(Clinical Lecturer in Gastroenterology)

Usman Talat

Senior Research Fellow

Clinical Associate Professor

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Assistant Professor in Applied Psychology

Stephen D. Ryder


Recovery narratives are personal stories of health problems and recovery. A systematic review proposed a conceptual framework characterising alcohol misuse recovery narratives, consisting of eight principal dimensions, each with types and subtypes. The current study aims to apply and extend this preliminary conceptual framework. Semi-structured interviews were conducted to collect alcohol misuse recovery narratives from adult participants. A two-stage inductive and deductive thematic analysis approach was used to assess the relevance of the dimensions and types included in the preliminary conceptual framework and identify new components. The sample consisted of 11 participants from diverse socioeconomic backgrounds who had previously displayed varying degrees of alcohol misuse. All conceptual framework dimensions (genre, identity, recovery setting, drinking trajectories, drinking behaviours and traits, stages, spirituality and religion, and recovery experience) were present in the collected narratives. Three dimensions were extended by adding types and subtypes. Whilst the existing conceptual framework fitted the collected narratives, a new dimension describing the alcohol environment was required to fully characterise narratives. Types included in the alcohol environment dimension were policy and practice and social dynamics. The extended framework could guide the production of resources enabling clinicians to engage with narratives shared by their clients.

Journal Article Type Article
Acceptance Date Jul 21, 2023
Online Publication Date Sep 8, 2023
Publication Date 2023-11
Deposit Date Jul 21, 2023
Publicly Available Date Sep 8, 2023
Journal Qualitative Health Research
Print ISSN 1049-7323
Electronic ISSN 1552-7557
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 33
Issue 13
Pages 1203-1217
Keywords Alcohol misuse; narrative inquiry; Conceptual framework; Recovery narrative; Recovery story; Narrative interviews Methods: Qualitative Methods < Research Design; Life Stories < Biographical Analysis < Research Strategies Regions; Cultures; and Peoples: Eu
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