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Table 4 Quotes for the third theme – Perceived impact on clinical care

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

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It can only be beneficial to them [clinical team]. As far as I can see. Knowing what mood you are in during the day, and different times of the day and when people are out there it can only be beneficial to them. ID20 (male in his forties)

 

You can get many answers. That’s what I think. You can get many answers and many questions can be asked and stuff like that. From all that one bit of knowledge that you have from what people have filled in. You know, just them questions. ID6 (male in his twenties)

 

If you had this for 3 months say standard, you would get a very intense care kind of thing and you could direct care more effectively, I think if you could see they are more at risk and head it off at the pass sort of thing. ID3 (male in his twenties)

Early intervention

Well its useful, you want to know if, someone like myself or others who are suffering from mental illness, you want to know if they’re in that zone where they’re bad enough to like you say harm themselves, you want to get that gist do you know whatever. Or maybe whether they’re going to violent towards others, I don’t know. It might work that way, yeah. I think in those ways it could be helpful, in that way. That’s the way I saw it. ID10 (male in his thirties)

 

It can nip it in the bud before it gets any worse. ID11 (female in her forties)

 

Well people can be monitored quickly with the response and they can work out what the people’s needs are on a particular day, if they need to. ID24 (male in his forties)

Benefits to communication

I think your ways easier. I think it’s a lot better if it’s put on the phone because that makes it not out loud and stuff… That’s why I’ve done it. Because it’s not out loud, it’s on a screen. It’s a lot easier. ID7 (female in her twenties)

 

I mean it's harder for a person to sum up a week of symptoms and experiences in sort of however long the interview takes anyway. People’s memories get clouded and sort of however you are feeling at that moment sort of bias what you are saying to the interviewer anyway. So I mean if you are having something that tests your regular interview or regular intervals and is purely detached, it's passionate, then you are going to get more valuable data than something that can be woolly and rambling, if you know what I mean. ID15 (male in his twenties)

 

When I hear voices it’s dependant a lot on my situation… how I feel. Like that makes it worse and better and they’re [clinicians] asking me to quantify how much better it’s got but the problem is that it goes week by week so you can’t quantify it over a month. You know some weeks I’d had a fine week and not heard any at all and some weeks I’d had like 5 days in a row where I’d heard them and he wanted to … he [psychiatrist] was saying you know, quantify it and you just … like for me, I can’t and I almost end up arguing with him over it. ID18 (male in his twenties)

Threat to existing care

Yeah the person can be from your Team for instance. Would be ready to listen because some people take interest in listening…I mean some people like it when they have listened, they are being listened you know. They can say what they want. Whatever is in their belly, they just want to lay it out you know. ID17 (male in his thirties)

 

Well its contact isn’t it, its personal contact. You know you, it's much better to have somebody there in person. That’s what I think anyway. ID20 (male in his forties)

 

So if I was really distressed and I believed everything my brain was telling me I would want to speak to a Psychiatrist. ID23 (male in his forties)

Relevancy of intervention

Well I see the staff every day anyway so…it probably wouldn't make much difference really. ID2 (male in his thirties)

 

I don't tell anybody because to me it's not an issue anymore it's in the past now so if I want to move on I better forget everything in the past, that was in the past and move on so it's not relevant for me to mention again my mental issue so something like that…because I don’t consider me to be mentally ill anymore. ID17 (male in his thirties)

 

People who have been unwell and are getting better then it's not going to be as useful is it. I mean they probably would see it as being a waste of time them doing this. ID21 (male in his thirties)