Handberg Charlotte, Thorne Sally, Midtgaard Julie, Nielsen Claus Vinther, Lomborg Kirsten
Aarhus University, Aarhus, Denmark
University of British Columbia, Vancouver, British Columbia, Canada.
Qual Health Res. 2015 Aug;25(8):1023-32. doi: 10.1177/1049732314554231. Epub 2014 Oct 14.
The tight bond between grounded theory (GT) and symbolic interactionism (SI) is well known within the qualitative health research field. We aimed to disentangle this connection through critical reflection on the conditions under which it might add value as an underpinning to studies outside the GT tradition. Drawing on an examination of the central tenets of SI, we illustrate with a field study using interpretive description as methodology how SI can be applied as a theoretical lens through which layers of socially constructed meaning can help surface the subjective world of patients. We demonstrate how SI can function as a powerful framework for human health behavior research through its capacity to orient questions, inform design options, and refine analytic directions. We conclude that using SI as a lens can serve as a translation mechanism in our quest to interpret the subjective world underlying patients' health and illness behavior.
扎根理论（GT）与符号互动论（SI）之间的紧密联系在定性健康研究领域广为人知。我们旨在通过批判性反思这种联系在何种条件下可为GT传统之外的研究提供有价值的支撑，来理清这种关联。通过审视SI的核心信条，我们以一项实地研究为例进行说明，该研究采用解释性描述作为方法，展示了SI如何作为一种理论视角应用，通过它，社会建构意义的各个层面有助于揭示患者的主观世界。我们证明了SI如何通过其引导问题、为设计选项提供信息以及完善分析方向的能力，作为人类健康行为研究的强大框架发挥作用。我们得出结论，将SI用作一种视角可作为一种转换机制，帮助我们解读患者健康与疾病行为背后的主观世界。
