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. 2026 Apr 7;10:e91841. doi: 10.2196/91841

Table 4.

Themes specific to Pat.

Sentiment and topics Definition Example quotation Total frequency (N=164), n (%)
Positive sentiment

24/7 Accessibility Constant availability of the platform, valued for being able to access it at any time of day, even outside of professional business hours. “Because it is like having a therapist at home 24/7. It is comforting.“ 69 (42.1)

Useful strategies Providing practical, applicable, and effective tools for addressing complex parenting situations, backed by a solid professional and academic foundation that guarantees their quality and relevance. The approach is perceived as novel and innovative, incorporating distinctive approaches and formats that enrich the user experience. “It gives me concrete tools to help my son, which have brought objective and positive results for him and our family.” 54 (32.9)

Emotional support and containment of Pat A feeling of being emotionally supported through the platform, especially during times of high emotional demand, generating relief, understanding, and containment. “...that she understands me and that I can express everything that is happening to me...and for a while with Pat, when I have time, I can talk without rushing...and she always gives me a solution and support for everything.” 33 (20.1)
Neutral sentiment

Preference for human support Explicit preference for human contact (meetings with professionals) over the use of technological tools, valuing the direct link as more effective or meaningful. “I found the work in meetings with professionals more interesting and specific.” 6 (3.7)

Limitations at critical moments Difficulties expressed by users when trying to access or receive help from the platform at critical moments, where a more immediate or decisive response was expected. “There are times, especially in times of crisis, when it is difficult to consult at the moment.” 1 (0.6)
Negative sentiment

Difficulty trusting the app Accounts that express doubts, skepticism, or difficulty in establishing a relationship of trust with the app, especially when compared to human professional judgment. “I still have a hard time trusting an app can give me more accurate answers than a professional who evaluates my son and the family group.” 1 (0.6)