Table 3.

Summary of adaptations suggested and rejected for mobile health First Episode Digital Monitoring.

Reason for suggested adaptation				Goal was to increase or improve		What was suggested, but not adapted		Type of adaptation not made		Reason why adaptation not made
Recipient level
	Health narratives and priorities
		Time burden	Fit with recipients, feasibility		Reduce ping frequency		Content: shortening or condensing (pacing or timing), tailoring		Compromises core components
		Time burden	Fit with recipients, feasibility		Tailor ping timing around participant work or school hours		Content: shortening or condensing (pacing or timing), tailoring		Increases complexity
		Privacy or confidentiality	Reach and engagement		Offer non–app-based means of collecting information		Context: format		Beyond intervention scope
		Person-centered care	Fit with recipients, satisfaction		App: ask more positively worded questions		Content: adding elements		Increases recipient time burden
		Person-centered care	Fit with recipients, satisfaction		Ask more open-ended questions		Content: adding elements		Increases complexity of data or report
	Access to resources
		Technology	Reach and engagement, feasibility		Provide phones to participants		Implementation strategy: content, adding		Additional resources required (as well as in-person meeting during COVID-19 pandemic)
	Literacy or education level
		Data visualization	Fit with recipients		Report: simplify report so participants can understand it more easily		Content: tailoring or tweaking or refining		Compromises core components (may reduce usefulness to providers as primary targets)
Provider level
	Clinical judgment
		Clinically meaningful information	Satisfaction, effectiveness		App: ask more about negative symptoms		Content: adding elements		Beyond intervention scope and increases time burden
		Clinically meaningful information	Satisfaction, effectiveness		App: ask about suicidal ideation		Content: adding elements		Additional resources required
		Clinically meaningful information	Satisfaction, effectiveness		Allow providers to access more information than what is on the report		Content: adding elements		Additional resources required
		Clinically meaningful information	Satisfaction, effectiveness		Collect data on days more removed from clinical session		Content: lengthening or extending (pacing or timing)		Beyond scope
	Preferences
		Data visualization	Satisfaction		Report: use bars on granular graphs		Context: format		Not consistent with most clinicians’ preferences
Organization level
	Mission or culture
		Shared decision-making	Satisfaction, effectiveness		Send report or information directly to participant		Context: format		Additional resources required and beyond intervention scope