Table 7.

Participants’ engagement with content based on their reported reasons for their change in motivation^a.

Domain and categories		Felt ready to leave treatment early (n=5)a,b	Negative reason for their change in motivation (n=8)a,b,c
Engagement with content
	Useful tools and exercises	Typical	General
	Reflecting back on completed work was beneficial	Typical	Variant
	Content relevant and relatable to concerns	Typical	Variant
	Manageable workload	Variant	Variant
	Reading and writing provided clarity	Variant	Variant
	Writing about thoughts and feelings felt therapeutic	Typical	Variant
	Felt supported by the program content	Typical	Variant
	Information laid out clearly and concisely	Variant	Variant
	Felt like too much work	Variant	Variant
	Disliked reading and writing	Variant	Variant
	Content was too generic at times	Variant	Variant
	Did not like the personal stories	Variant	Variant
	Content was boring	None	Variant
	Content exacerbated symptoms	None	Variant
	Reflecting of no benefit	None	Variant
	Difficult to understand	None	Variant
	Questionnaires felt pointless	None	Variant
	Did not like the mood monitor	Variant	None
	Content felt disconnected from one section to the next	None	Variant

^aGeneral results apply to all cases (ie, 5/5 and 8/8 cases), typical results apply to at least half of the cases (ie, 3-4 of 5 and 5-7 of 8 cases), and variant results apply to fewer than half of the cases (ie, 1-2 of 5 and 1-4 of 8 cases).

^bOnly 13 participants (5/13, 38% participants felt ready to leave treatment early, and 8/13, 62% participants had negative reasons for their change in motivation) reported on the reasons for their change in motivation.

^cReported negative reasons for change in motivation to continue engaging with treatment are not being in a receptive frame of mind, contextual obstacles, and internet-delivered cognitive behavioral therapy not considered personally fitting.