Table 4.

Top three apps utilized by staff during the 1 year study (as reported through the staff survey).

App	Developer	Description	Popular features	Patient feedback	Staff feedback
Breathe2Relax	Defense health agency connected health (formerly the National Center for Telehealth and Technology)	Developed for military personnel. Contains step-by-step instructions for diaphragmatic breathing, provides a visually engaging audio guided breathing exercise, and enables users to record their stress levels using a tracking function. http://t2health.dcoe.mil/apps/breathe2relax	Guided diaphragmatic breathing exercise	“I have been doing it every day. I feel like it is cleaning my brain. I have been suggesting it to my friends. I learned that problems we will always have, but I feel more patient now. I noticed some changes on my self-esteem I am becoming more optimistic. I used to have mind racing and not anymore”	“I like Breathe2Relax's visuals” “Breathe2Relax is more popular because it is easier - no language barrier” “Breathe2Relax is very useful as it contains education about deep breathing, a basic exercise and the option to personalize settings”
Self-Help for Anxiety Management (SAM)	The University of the West of England	Developed for college students with low to moderate anxiety. SAM is a “platform of interactive, therapeutic, and well-being exercises” meant to assist users with learning about anxiety, cognitive reframing, relaxation, distress tolerance, lifestyle change and self-monitoring of physical and emotional states related to anxiety. http://sam-app.org.uk	“Picture Peace” “Stop That Thought” “It's Only a Thought” Anxiety Tracker Anxiety Education	Picture Peace: “I slow down and think about what's bothering me” Stop That Thought: “I noticed my thoughts going from “this is annoying” to “I've made a horrible mistake taking this job”. Writing my thoughts down makes me realize how absurd they are and banishing them in the app helps me to better reframe the situation and get more perspective”	“For SAM, I use the picture peace, stop that thought, and it's only a thought features most often” “Patients really like the picture peace feature; I use it too!”
Mindfulness coach	VA's National Center for PTSD and DoD's National Center for Telehealth & Technology	This app was developed to help Veterans, Service members, and others learn how to practice mindfulness. It offers exercises, information, and a tracking log so that you can optimize your practice. https://mobile.va.gov/app/mindfulness-coach	Guided mindfulness exercises	“I used to get jammed up about small things. Doing these exercises helped me to realize that burnt pizza isn't the end of the world”	“Mindfulness coach is great, but I wish it were also available for android. I like the guided mindfulness better than on moodtools especially if it is for a patient not with depression”