87 The feasibility of daily monitoring 4 participants (37%) had a ‘neutral’ stance to their participation. The majority indicated that the 60-day period was appropriate (n = 34, 69%) or even too short (n = 7, 14%), while only eight participants (16%) indicated that it was too long. One survey prompt per day was appropriate for the majority (n =36, 73%), while for nine participants (18%) more surveys per day would have been better and for four participants (8%) less than one survey per day would have been better. In total, 46 participants (94%) would recommend their peers to participate in this study. In the first open-ended question in the follow-up interview, participants were asked to specify their reason(s) for participation. Recurring reasons for participation were the gift-card (38%), increasing self-awareness (34%), to aid in achieving treatment-related behavioral change, such as reduce aggression, self-harm or substance use (26%), simply to participate in research (26%), or improve communication with care givers (8%). When openly asked what participants gained from participating, the most frequently mentioned gains related to increased self-awareness (64%), receiving a gift-card (30%), that it helped them communicate with care givers (18%) and aiding them in reducing the problematic behaviors that were the focus of their therapy, such as reduced substance use (10%), reduced aggression (4%) and reduced selfharm (4%). Five participants (10%) indicated that they did not gain anything. Perceived drawbacks from adhering to the daily diary protocol were technical complications with their phone or the diary application (18%), that certain diary questions were included that they deemed irrelevant for themselves (14%) or difficulties finding an appropriate moment to complete diaries (8%). A majority (52%) could not think of any drawbacks from participating. Lastly, participants were asked to estimate, on average, how long completing one daily diary survey took them. Their responses varied from <1 minute to 8 minutes, with a median of 2 minutes. The 36 participants who did not complete 100% of their diaries were asked what was/were reason(s) for the day(s) they did not complete their diaries. The most prominent reasons for missing diaries were forgetting without a specific reason (23%), being in the company of other people (20%) or that they chose not to complete diaries during days when they experienced high levels of stress (20%). Lastly, they were asked to reflect on what would have helped them to increase their compliance. The most frequently mentioned responses were that they needed more reminders by care professionals (23%), more reminding notifications of the app (11%) or that their set of diary questions should have been updated or altered throughout the study (14%).
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