Table 1.

Categories identified from the framework analysis

Category	Description	Findings
Utility	What the participants gained from reading journal notes electronically, including psychoeducative and information correction aspects, and how their feedback to health professionals was incorporated.	Reading journal notes helped the participants become more informed about the treatment process.The participants could point out factual errors in the journal and have them corrected
Journal content	The participants’ view of the journal content itself, and match /mismatch between the journal content and the understanding of the consultation in question	Cultural information missing in the journal.One participant held back cultural information as (s)he preferred it not to be written in the journal
Journal language	The participants’ reflections on the written language in the journal, reflections on journal content written in their non-native language, difference between written language and consultations language	Some aspects of the journal notes went missing in the translation processSome participants would prefer the journal in their native language; however, they saw the difficulty of having a journal in a language that is not understandable for all therapists
Cultural knowledge in health services	The participants’ thoughts about how cultural context indirectly affects the journal content, and how the health professionals’ cultural knowledge affect the patients’ perception of the clinical contact.	The health professionals’ cultural knowledge affected the patient-provider relationship.The health professionals’ cultural knowledge affected the journal content
Awareness and extent of use	How the participants became aware of the PAEHR service, and their routines for using it.	None of the participants were guided towards the PAEHR service by health professionalsThe participants used the service routinely after contact with the health services.