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Table 3 Example of the structural analysis from meaning units to themes

From: Problematic substance use among patients in a Swedish outpatient psychiatry setting: staff and manager perceptions of digital options for increased intervention access

Meaning unit

Condensation

Abstraction

Sub-theme

Theme

9:49 Yes, but I think…that I understand that they are down on their knees, we are too, but I also think that, to a certain extent, that we are on our knees because [the substance abuse] is such a problem

I understand that they are down on their knees, we are too, but to a certain extent we are on our knees because [the abuse] s such a problem

Down on one’s knees, partly because of this kind of problem [abuse]

Lacking resources

Encountering obstacles on the path to future implementation of digital interventions

12:64 And for me, it's that I'm not that knowledgeable when it comes to computers at all, so I look at [name of colleague], and technology and so on, and it's not out of disinterest, but I think it's more about what happens when I start with this, that it is important for me then in that case or someone else who feels this uncertainty to get, that I as a staff member then get good, clear information about how this should be able to work

I'm not very knowledgeable when it comes to computers at all and it's not out of disinterest but I think it's more about what happens when I start with this, that it is important to me then in that case or someone else who feels this uncertainty to get, that I as a staff member then get good, clear information about how this should work

Not computer literate but not disinterested–feels insecure–important with information

Feeling concerned about technical solutions

Encountering obstacles on the path to future implementation of digital interventions

7:42 If I were to imagine that I would work with addiction care, then I would think that this is great because then this is something that the patient can work with between the times you are seen. You can look at the pattern they have, you can look at how they handle risk situations or what triggers increased drug use, etc., so then I would think it is great because all types of problem solving or treatment must include the patient

If I were to work with addiction care, then I would think that this is great because then this is something that the patient can work with between the times you are seen. You can look at the pattern they have, then I would think that it is great because all types of problem solving or treatment must include the patient

Great—the patient can work between the times we meet. Great for problem solving to see the pattern and include the patient

Blended care could facilitate integrated care

Searching for ways forward to achieve increased access to care

13:75 Yes, partly they are technically proficient, they have that opportunity and they are already in the app world and all this and understand, they are people who thrive when such things happen and yes, if the others would then I, so they would get super anxious from it and just feel that no, now I'm even worse than I am and now I cannot handle this either and like, yes

Technically proficient, they have that opportunity and they are already in the app world while others would get super anxious from it and just feel that no, now I am even worse than I am and now I cannot do this either

Technically proficient people who are already in the app world are more comfortable than others who can get super anxious

Addressing variations in patient´s technical skills

Searching for ways forward to achieve increased access to care

11:88 Yes and so it is now, that we have a lot of applications that, this is good, this is good, but no one has really gotten into it like that, but if you ensure the quality of these, you can still feel that we trust that you have done a good job and that you have developed this properly and then we can refer to it, it would feel good, that it was through that, that it was picked up

We have a lot of applications that are good, but no one has really gotten into it so, if you ensure the quality of these, you can still feel that we trust that you have done a good job and you have developed this properly and then can we refer to it, it would feel good

Many good applications but no quality assured that we can refer to

Wanting to know more about digital interventions

Taking steps towards the future

5:56 It’s about that I want, hey, I actually want to be part of the development

I want to be part of the development

Wants to be part of the development

Formulating a vision for the future

Taking steps towards the future