Table 2.

Qualitative themes and representative quotes.

Theme	Representative quote
Frustration with technology	Once they did get all the kinks out, it still wasn’t working for me to mess with it; so then, by that time, I had just never gone back in to do anything else with it. [P2] I dropped out a long time ago because of the problems they were having with the app at the very beginning, and I just got frustrated and I went, “Forget it.” [P7]
Rheumatoid arthritis made the app difficult to use	Because I live alone, and I have had my neighbors help me, and I just could not hold the telephone the right way, so the app really did not work for me. [P5] I could never get it to come out right, and I gave up. I just completely gave up. I could not get my hand photographed right, and there wasn’t always somebody there to help me with it. [P11]
Satisfaction with current self-management system	It’s so hit and miss, but, you know, I do my own logs as far as what I eat, what activities I do; and then, the days that I flare, I always go back and look and see if I did anything different, or ate anything different, to see if it coincides. [P2] My rheumatoid arthritis is under good control, so I don’t have a lot of flare-ups and that kind of thing; and if I go through a period where I do, to me, it’s most helpful just to write it in a journal. [P1]