Table 4.

Patients’ experiences with the Recovery Record (RR) meal log features. The table summarizes the individual patient-app interaction, that is, the specific features related to meal logs, the impact of these on patients, and patients’ specific app usage supported by interview quotes.

App features and impact			App usage	Interview quotes
Preset log questions
	Supportive
		Confronting the eating disorder	Continuous logging	“If you're struggling with binging and purging, you're kinda forced to log it, 'cause you're asked about it. Previously, it was easier to avoid talking about it if you didn't feel like it.” “I've been able to see a relationship between not eating enough or at the right time of day, and having an urge to binge. So, in that way, logging makes a lot of sense to me.”
	Obstructive
		Pointless if no distress	Avoiding to log	“If I’m doing well at a meal and moving forward, I don’t need it [logging]. If I believe I’ve been eating what I’m supposed to, I don’t see a reason to log.”
		Maintaining the eating disorder	Obsessive logging	“There's this thing in me that wants to keep track of everything. It [logging] was overwhelming and quite intrusive, 'cause it had to be a certain way, and I couldn't change the format. That bothered me a lot, 'cause then I felt like the app controlled me.” “Sometimes, logging gives me ideas. When it [RR] asks me if I've been exercising, I hate answering no. I never replied no in the other [fitness] app. So it gives me an urge to exercise.”
Focus of log questions
	Supportive
		Liberating	From obsessive to constructive logging	“I had to follow a meal plan and log it. And stop weighing myself and counting calories. It was so scary and stressful, but also extremely liberating.”
	Obstructive
		Enslaving	Obsessive logging	“I counted calories using this other app. But then I had to use this [RR] too, so I had to use two apps. It was too much and became strenuous.”