Table 6.

Patients’ experiences with the patient-clinician linkage feature in Recovery Record (RR). The table summarizes the individual patient-app interaction, that is, the specific linkage features, the impact of these on patients, and patients’ specific app usage supported by interview quotes.

App features and impact			App usage	Interview quotes
Data sharing
	Supportive
		Feeling safe	Continuous logging	“It provides some kind of security knowing that someone is keeping an eye on me. It makes me feel safer.”
	Obstructive
		Feeling exposed	Avoiding to log or Logging with clinicians in mind	“I wasn't always honest about it [exercising]. Often, I'd just log 'no'. I was embarrassed to admit it to my clinician.” “I cheat quite a lot. Those days when I don't log, it's because I feel bad about not eating what I was supposed to.”
Review notifications
	Supportive
		Feelings of relatedness	Continuous logging	“I like them [review notifications]. It's part of treatment. It reminds me that I'm doing this [eating disorder treatment]. And they [clinicians] are here to help.”
	Obstructive
		Feeling under surveillance	Avoiding to log or Logging with clinicians in mind	“It makes me wonder why they've been looking at my logs at that specific time. If it's in the middle of the week and my appointment isn't until a week later, then I start wondering why they're looking.” “It makes me worry. Like, are they laughing at me? Or judging me. It makes my heartbeat rise.”
Clinicians using logs in sessions
	Supportive
		Encouraging	Continuous logging	“They'll check if you've lost or gained weight [using a scale]. And then they confront you saying look at your app data. You haven't been eating like you should. It's kinda intrusive, but also really helpful getting that push. You need it.” “It makes me so proud when I succeed and they [clinicians and other patients] see it.”
	Obstructive
		Concerned about confrontation	Logging with clinicians in mind	“It was kinda like she had to control that I had been doing things correctly. It made me wonder what would happen if I had done something wrong, or hadn't been doing well enough.” “I'd rather she'd just look, when we meet face-to-face, so I can say something.”
Clinicians not using logs in sessions
	Obstructive
		Feeling neglected	Avoiding to log	“She said she'd go through my logs before our sessions, but I feel like that didn't actually happen. There were no consequences. If I'd logged something specific, she didn't ask about it, although I was expecting it. Then it's like it doesn't really matter what I do.” “If they wanna use it [RR], it should be obvious to them that they should comment on my logs. If they don't, I don't mention it. I don't wanna seem needy.”