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. 2018 Jul 11;5(3):e49. doi: 10.2196/mental.9613

Table 2.

Patients’ main themes, subthemes, and frequent codes.

Main themes and subthemes Frequent codes
Generic theme

Expectations

Help Treatment; alternative treatment; support with life events

Group Exchange; self-disclosure; mutual support; being connected to others; concerns about the group

Intervention Novelty and curiosity; tools against depression; a structured approach to addressing problems

Appraisal of treatment

Group Cohesive entity; atmosphere; self-disclosure and discussion; preference over the platform

Intervention The shift of modalities; structure and composition; practical use

Experience Useful insights; positive over all experience
Theme specifically related to the investigated blended format

Evaluation of blended format

Advantages Contemporary or innovative or engaging approach; transparency or flexibility of approach; blending supports treatment; reminder; enhances consolidation; helps group interaction

Disadvantages Diverging preferences; the importance of group; low usability; concerns regarding format; workshop-like

Evaluation of blended components

Advantages platform Provides information; increases information processing; interactive; practical; clear structure; saves time for the group

Advantages app Reminder; transfer; documentation of mood or activities; awareness; insight or understanding

Advantages in-session media Guides therapists; provides information; supports therapists

Disadvantages of all Low usability of app or platform; does not suit everyone; too little tailoring of reminders; a sense of obligation or annoyance; discouragement due to noncompliance; suboptimal trainer behavior

Structure and tailoring

Structure Positive appraisal of the structure; guiding thread; a systematic approach to work with; unmet needs

Blending Increased individuality; blending leads to the structure; risk of overload

Self-disclosure and internet-based reinforcement

Reinforcement The increased presence of therapist; feedback motivates; personal feedback; support with exercises

Self-disclosure The extra path for self-disclosure; extra information for the therapist; group hinders self-disclosure

Dynamic interplay of group and technology

Preview or rework Preview; rework; alignment; group increases compliance with Web-based elements

Smoothing effect Reduces undesired effects; group drift; domination

Negative effects

Therapist level Therapist’s time management; therapist’s patient management

Patient level Restricted group interaction; noncompliance results in dissonance; low added value

Technology Design or technical or data safety issues