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Table 1 Data sources and analytic methods for structuration analysis of diabetes self-management

From: "This does my head in". Ethnographic study of self-management by people with diabetes

Level of analysis Data sources Analytic approach Output
External structures National policy and policy-related documents e.g. public health strategy, NICE guidance, agreements with the
food industry
Publicly accessible data on local demographics, disease patterns (from local public health reports) and built environment (food
outlets, leisure centres)
Index of multiple deprivation
for locality
Field notes on neighbourhoods, homes, workplaces, schools,
food outlets
Thematic analysis of documents
in historical context and texts. Findings drawn together by narrative synthesis to identify overall themes and key changes over time.
'Etic' understanding (from the researchers' perspective) of the wider structural context in which 'self-management' is contemplated and takes place
Internal structures Ethnographic observations and naturalistic interviews with participant, including:
Participant's explanations of
what they were doing and why
Participant's drawing of 'my diabetes'
Participant's spontaneously disclosed beliefs, values and assumptions
Phenomenological analysis.
Where a series of interviews
was obtained from one agent,
these were analysed
longitudinally for change
over time
Hermeneutic understanding of dispositions, perceptions and understandings of the index case and other relevant actors
  Ethnographic observations and naturalistic interviews with other relevant actors e.g.
Parent and teacher (if a child)
Partner or carer
Friends
Adult children
  
Actions Ethnographic observation of
participant in activities of daily living at home, work, school
Meal in a café
Taking exercise (if this occurred)
Visiting a health professional
(if this occurred)
Interpretive analysis of actions in context, drawing on theories of symbolic interactionism and ethnomethodology Understanding of why the agent-in-focus acted in particular ways in particular situations
Outcomes Study of immediate consequences
of action e.g. via direct ethnographic observation
Interpretive analysis of actions in context Understanding of the short-term intended and unintended impact of social action