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. 2023 Apr 12;7:e45970. doi: 10.2196/45970

Table 2.

Hierarchical representation of the categories and dimensions according to the results.

Third order: aggregate dimensions and second order: themes First order: categories
Use patterns of the app

Common use patterns
  • Several times a week

  • Once a week (one day before therapy session)

Benefits of the app

Self-efficacy
  • More intensive examination of the therapy content at home

  • Preparing therapy sessions with the help of the app


Transfer into daily life
  • Work on mental health whenever and wherever the patient wants

  • Patient takes personal time for their mental health beyond sessions

  • Patient takes more initiative and control in their therapy


Psychoeducation
  • More knowledge about emotions and the underlying mental health disorder

  • More self-reflection owing to increased knowledge and awareness on personal problems and their origins

  • Accepting and respecting mental disorder as a disease

Facilitators of the use of the app

Usability and structure
  • Good overview (good structure of courses, therapy progress, and onboarding, and good intuitive handling)

  • Comprehensibility of the tasks

  • Praising after task completion

  • Reminder notifications


Content and design
  • Appropriate and professionally created modules and videos

  • Nice and modest design


Support
  • App as a caring companion throughout the week

  • App provides structure for the students’ lives

Barriers to the use of the app

Overwhelming emotions
  • Being left alone with difficult feelings that could arise during reflections and tasks

  • Compulsory tasks may create pressure


Time requirement
  • Increased time spent on psychotherapy can be a burden

  • Increased involvement with the smartphone


Data security concerns
  • Concerns about data safety and anonymity