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. 2021 Jul 27;23(7):e23029. doi: 10.2196/23029

Table 4.

Coded responses and example quotes for reasons for nonadherence given by participants in engagement facilitation intervention + myCompass 2 and myCompass 2 alone conditionsa.

Themes and subthemes Example quotes (condition) Responses coded in theme (n=144), n (%) Respondents mentioning theme (n=101), n (%)
Structural barriers 67 (46.5) 67 (66.3)

Lack of time or competing demands

  • “Just time with work and study” (EFIb + myCompass 2)

  • “Haven’t found the time” (EFI + myCompass 2).

 49 (34) 49 (48.5)

Technical issues

  • “There were some bugs in some of the questions and answers” (myCompass 2 alone)

  • “Internet at home stopped working” (myCompass 2 alone)

 18 (12.5) 18 (17.8)
Physical or mental barriers 51 (35.4) 51 (50.5)

Forgot to use program

  • “Forgot. A more regular prompt would have been beneficial” (myCompass 2 alone)

  • “Just forgot it was there” (EFI + myCompass 2)

 21 (14.6) 21 (20.8)

Fatigue or concentration issues

  • “I have trouble concentrating for long period of time” (EFI + myCompass 2)

  • “No mental energy” (myCompass 2 alone)

 15 (10.4) 15 (14.9)

Lack of motivation

  • “It was hard to find the time and the motivation to do so” (myCompass 2 alone)

  • “I didn’t feel like filling it out especially if I was having a good day” (EFI + myCompass 2)

 9 (6.3) 9 (8.9)

Too unwell

  • “I was right unwell mentally and was more focus (sic) on that than internet based program.” (myCompass 2 alone)

 6 (4.2) 6 (5.9)
Program barriers 16 (11.1) 16 (15.8)

Poor fit of program to needs

  • “I found the information too general, not really suited to my needs and way too basic. If someone had a serious issue this would not have helped. I found I thought of it as a chore.” (EFI + myCompass 2)

  • “It did not offer modules that were useful for my mental health problems” (myCompass 2 alone)

 10 (6.9) 10 (9.9)

Disliked program

  • “It seemed repetitive” (EFI + myCompass 2).

  • “Bored. Activities were very samey and paint by numbers. Didn’t see the connection between some activities. Needed an overview of what I should be doing and when. Couldn’t see the path I was supposed to be following. Activities didn’t feel specific to me.” (myCompass 2 alone)

 6 (4.2) 6 (5.9)
Other 10 (6.9) 10 (9.9)

Major life events

  • “Suffered an intense relationship breakdown (10 years) half way through the program” (myCompass 2 alone)

 4 (2.8) 3.9 (4)

Not accountable

  • “I found it slipped to the bottom of my to-do list everyday as it did ‘t (sic) have a set time to do it, and no one holding me accountable” (myCompass 2 alone)

 2 (1.4) 1.9 (2)

Completed it

  • “Still completing” (myCompass 2 alone)

 2 (1.4) 1.9 (2)

Miscellaneous (trust and cost)

  • “Was scared of the cost” (myCompass 2 alone)

 2 (1.4) 1.9 (2)

aResponses were coded multiple times into themes (144 codes from 101 responses). Total data (n=101) were from participants from the myCompass 2 alone (n=49) and EFI + myCompass 2 (n=52) conditions only. Data from the control group were omitted (n=27).

bEFI: engagement facilitation intervention.