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Fig 1.

The cumulative complexity model [25,28].

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Fig 1 Expand

Fig 2.

Description of analysis process.

All data underwent initial framework analysis using the two categories of NPT and BREWS. We then returned to the raw data to record experiences of multimorbidity. Finally, analyses were combined to identify multimorbidity data that was relevant either to burden or capacity.

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Fig 2 Expand

Table 1.

Coding domains for capacity (BREWS).

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Table 1 Expand

Table 2.

Coding domains for burden (NPT).

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Table 2 Expand

Table 3.

Characteristics of study participants.

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Table 3 Expand

Table 4.

The relationship of multimorbidity to capacity domains.

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Table 4 Expand

Fig 3.

Interacting capacities.

Functional impairment leads to loss of income, biographical difficulties and psychological stress. Loss of income affects biography, psychology and work realisation. Psychological stress affects biography, physical capacity and work realisation.

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Fig 3 Expand

Table 5.

The relationship of multimorbidity to burden domains.

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Table 5 Expand