Table 2.

Participants themes presented as keywords, change processes and categories

Category	Keywords	Change process	Themes	Participant nr
	Reading	Readers	Read	4, 8, 11
	Giving up		Eye-opener	4, 8
			Sporadic work	4, 8
			Giving up/avoid	8, 11, 12
Working Process	Trying to practice	Strivers	Interpreting	2, 3, 7, 12
			Ambivalent regarding practice	2, 7, 12
			Uncertain	2, 3, 7, 12
			Trying to redefine	2, 3, 12
	Practice	Doers	Methodical work	1, 5, 6, 9, 10
	Apply insights		Emotional insights	1, 5, 6, 9, 10
			Apply/practice	1, 5, 6, 9, 10
			Redefine barriers	1, 5, 6, 9, 10
	Lack of support	Readers	Lack of support	4, 8, 11
			Not seen	8, 11
			No response	8
Motivation	Insufficient support	Strivers	Missing conversation	2, 3, 12
			High demands	2, 7, 12
			Need of more support	2, 3, 12
	Proximal support	Doers	Self-reinforcement	1, 5, 6, 9,10
			Optimal support	5, 6, 9, 10
			Autonomy	5, 6, 9, 10
			Security	1, 5, 6, 9, 10
	Disappointed	Readers	Not suited for me	4, 8, 12, 11
			Ambivalence	4, 12
Attitudes towards treatment	Uncertain	Strivers	Avoidance	7, 12
			Skepticism/fear	2, 3, 7
	Helpful	Doers	Works	1, 5, 6, 9, 10
			Faith in program	1, 5, 6, 9, 10
	Awareness	Readers	Disappointed/shameful	4, 8, 11
			Lonely	4, 8, 11
			Lack of reinforcement	8, 11
			Awareness of needs	4, 8
Consequences of treatment	Integrated insights	Strivers	Ambivalence	2, 7
			Dependence	12
			Needed more help	3, 7, 12
			Gained insights	2, 3, 7
	Self-sufficiency	Doers	Emotional insights	1, 5, 6, 9, 10
			Generalization	5, 6, 9, 10
			Model of treatment	1, 6, 9, 10
			Acceptance	1, 5, 6, 9,10