Text in English / Born at a time of abundance of technology, including new media, e-teens have their lives woven around the use of new media technologies to the extent that they virtually do everything with the aid of these technologies, including learning, playing, socialising and communicating. E-teens, besides, demonstrate marked expertise in the use of these technologies. Although there have been various studies done on this group of users supported by models and theories on the use, gratifications and appropriation of new media technologies, the premise of this study was on two assumptions. First, there are limited studies that have been conducted in the sub-Saharan African context, especially, Ghana. Second, most available theories and models that guide the study of e-teens’ use, appropriation and the use of new media technologies are generalized and do not sufficiently highlight the unique attributes and gratification needs that are tied to their developmental stage. In light of these assumptions, the study was undertaken to provide empirical evidence on the types of new media e-teens have access to; the types of new media used by e-teens in their scheme of things and e-teens’ purposes for using new media. It also sought to find out the gratifications sought and obtained from the use of new media technologies by e-teens; the key features of new media appropriation and experience among e-teens and to identify the features of new media technologies which are most appealing to e-teens. The other objective, which serves as the main contribution of this study, was to develop a conceptual model representing new media use and appropriation among e-teens, thereby filling the theoretical or conceptual gap that exists in this context. The study adopted a quantitative approach whereby data was collected using close-5ended questionnaires. The target population were teens from age 13 to 19 in senior high schools in the Greater Accra region of Ghana, selected using a simple random sampling. The results of the study show that, overall, the most popular new media technology that e-teens had access to and owned was the smartphone. Leading among the apps that e-teens found to be appealing were educational, entertainment and information/news, with communicative and participatory features of new media technologies appealing to e-teens highly. Also, educational, sociability and social inclusion, respectively, were the most popular gratifications sought and obtained by e-teens. It is submitted that social inclusion, educational and sociability gratifications are considered to be directly in line with the unique developmental needs of e-teens. However, it is recommended, among other things, that educational use of new media, which was one of the strong points for new media use, should be further encouraged as new media provides borderless opportunities for learning. The researcher believes that the conceptual model for e-teen use and appropriation of new media technologies provide a firm ground for further research on topics related to this subject matter. To provide support and substance to the e-teen model, other researchers are encouraged to test and extend it where necessary. In conclusion, the findings provide evidence that new media technologies are highly appropriated by e-teens because the technologies help them meet their unique gratification needs. Therefore, the study recommends that, although new media use among e-teens can be encouraged, it is important to ensure proper usage, which will not be detrimental to them. / Communication Science / D. Litt. et Phil. (Communication)

Bakgrund: Nationellt eftersträvas en digital omställning där digital och fysisk vård integreras inom hälso- och sjukvården. Incitament för denna omställning är att ge invånare ökad tillgänglighet till vård men också att nå en ökad delaktighet för invånare. Den digitala omställningen av vården och därmed integrering av digitala vårdkontakter är inom regionalt driven psykiatri ännu i sin linda. Detta trots växande evidens, framsteg i utveckling och tillgång till digitala verktyg, en pandemi som forcerat barriärer och ökad samhällelig acceptans för vård på distans. En förutsättning för att digitala vårdtjänster integreras som en legitim del av vård och behandling vid psykisk ohälsa är att vårdpersonal integrerar digitala arbetssätt och vårdkontakter i yrkesvardagen.  Idag är lite känt om hur vårdpersonal inom specialiserad öppenvårdspsykiatri i Sverige uppfattar en sådan omställning.   Syfte: Studiens huvudsyfte är att undersöka möjligheter och hinder som vårdpersonal inom regionalt driven öppenvårdspsykiatri upplever vid omställning där patienter erbjuds kombination av fysisk och digital vård.  Metod: Ett webbaserat frågeformulär med öppna och slutna frågor utformades. Insamlade data analyserades med kvalitativ innehållsanalys utifrån en deduktiv ansats utifrån Theoretical Domains Framework (TDF). Deltagare i studien var vårdpersonal verksamma i regionalt driven psykiatrisk öppenvård för vuxna i en region i Södra Sverige. Resultat: Baserat på TDF ramverket identifierades områden som påverkar vårdpersonalen genom att utgöra möjligheter eller hinder för att använda digitala vårdformer som arbetssätt.  Resultatets höga överensstämmelse med tidigare forskning antyder att identifierade TDF- domäner kan användas för att stärka acceptansen och implementeringen av digitala vårdformer inom ramen för psykiatrisk öppenvård. / Background:  In Sweden, a digital transition is sought where digital and physical care, Digi-physical healthcare, are integrated into public health care. A digital transition is one approach to meet the increasing need for health services that significantly challenges the health system but also aims to achieve increased patient participation. The digital transformation of care and the integration of e-mental health is still in its infancy in public psychiatry. This is despite growing evidence, progress in development, and access to digital tools, a pandemic that has pushed through barriers and increased acceptance of Digi-physical healthcare. A prerequisite for the integration of Digi-physical healthcare as a routine in public psychiatry depends on the acceptance of health care professionals. Aim: This study aims to investigate barriers and facilitators, as perceived by health care professionals, for implementing a combination of physical and digital care in Swedish public psychiatry.   Methods: Participants were health care professionals active in public outpatient psychiatry in a region in Southern Sweden. A web-based questionnaire with open and closed questions was designed. Collected data was analyzed with qualitative content analysis based on a deductive approach using the Theoretical Domains Framework (TDF). Results: Based on the TDF framework, barriers and enablers that influence mental health care professionals to apply the distance format as a way of working were identified. The result`s high agreement with previous research, suggests that identified TDF domains can be used to strengthen the acceptance and implementation of Digi-physical healthcare within psychiatric outpatient care.