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Table 3 Quotes for the second theme - Acceptability, validity, and integration into domestic routines

From: Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: a qualitative study

Repetition and boredom effects

I don’t want to say a bad thing but…I thought there would be a variety of different questions and all that lot, which there is not though. It's just sort of like 2 or 3 questions and it asks you over and over again. ID5 (male in his forties)

 

In the interviews they’re different. But in the, they’re different questions in the interview so in a way I do like the interview because it’s like something different but there’s just the same questions all the time in… in the phone. It’s like constantly the same questions they’re asking. Like in the interview it varies a bit. I’m not sure I do prefer, I don’t know which one I prefer. ID9 (male in his late teens)

 

I think people would become tired of the same questions, need different questions. ID14 (male in his forties)

Validity of the questions

Someone who is more suspicious might just throw away your phone and you’ve lost like loads of info or you get someone who just lies on it and you think wow this persons getting better and they are not, this is like quantitative stuff isn’t it so as long as it’s like balanced with interviews however often that person needs yeah but I wouldn’t give all the power to the robots just yet… I just think it would be useful but not to put all eggs in one basket. ID3 (male in his twenties)

 

I think you need more questions to know about how the person is actually feeling… Because certain, like, why are you feeling sad for instance and stuff like that, and like put more into the questions, like say you’re saying I’m feeling sad, then put why are you feeling sad. For example. ID11 (female in her forties)

 

I am not sure it captures what you are experiencing but yeah I mean…I don’t know. ID21 (male in his thirties)

Biographical disruption & symptomatic reactivity

I have a terrible memory which is good in certain situations so forget the bad stuff which helps, but this kicks my memory up so makes me appreciative of when am feeling good. ID3 (male in his twenties)

 

Yes I wouldn’t say the way the questions … they are a little bit uncomfortable at times but most of them are fine. Just the self harm one really and you know when it said did this make you sad, you think well actually it did and realise … you don’t get any sadder but you just realise you’re not where you are. ID18 (male in his twenties)

 

INT Did it make you feel worse or better? R A little bit worse at times. Yes. INT Worse in what ways? R Remembering how ill I was. ID24 (male in his forties)

Ease of integration

Didn’t stop me from doing anything no cause if I was at Uni I wouldn’t have my phone with me anyway. No. I mean sometimes I would be watching the TV or playing a game and the questions arrived and I just paused for 5 minutes answered the questions and then resume. ID4 (male in his twenties)

 

I had to go to the gym on Monday, I noticed that if I wanted the gym I might have missed again because I remember when I had this Smart phone I went to the gym on Monday and I missed it…I missed filling the question because when I came back to take my stuff I saw that you have run out of time to fill in the questionnaire. But this time around I didn’t go to the gym just because of that; I didn’t want to miss it. ID17 (male in his thirties)

 

Like I’ve got loads of chemist, Monday and Friday … Monday, Wednesday and Fridays but I didn’t want to get half way there and the questions starting coming up so I kind of waited until the first set of questions come on then you know then you’ve like half an hour to an hour’s difference to get there and back. You know what I mean. You just didn’t want them to catch you out you know, like half way there and there’s be this beep going. ID19 (male in his forties)