Feasibility of a Digital Intervention for Patients Frequently Admitted to Psychiatric Acute Wards

Acceptability of the digital mental health intervention for patients

Acceptability refers to the degree to which patients feel that the digital health service is appropriate, comfortable, and aligned with their needs and values. Focus: How patients perceive the app in terms of relevance, usability, and emotional response. Data Source: Semi-structured interviews. Research Questions: * How do patients experience using the app? * What aspects of the app do they find helpful or frustrating? * Would they be willing to use it again?

Acceptability of the digital mental health intervention for healthcare providers

Acceptability refers to the extent to which the digital intervention fits within clinical routines, professional standards, and ethical expectations. Focus: How healthcare workers perceive the app's fit with their workflow, values, and patient care. Data Source: Focus group interviews. Research Questions: * How do healthcare workers experience integrating the app into their practice? * What concerns or benefits do they identify? * Does the app align with their professional judgment and routines?

Perceived usefulness of the digital mental health intervention for patients

Usefulness is understood as the degree to which the intervention helps users achieve their goals or solve a problem. Focus: Whether the app is seen as beneficial in supporting patient self-management. Data Source: Interviews with patients Research Questions: * In what ways do users feel the app supports their needs and goals? * Are there features they find particularly valuable or lacking?

Perceived usefulness of the intervention for healthcare providers

Usefulness is understood as the extent to which the digital service contributes to improved care delivery, decision-making, or communication with patients. Focus: Whether the app is seen as beneficial in supporting clinical care. Data Source: Focusgroup interviews. Research Questions: * In what ways do users feel the app supports them in their clinical care? * Are there features they find particularly valuable or lacking?

Number of contacts with health services

Number of readmissions and/or contacts with emergency services during the feasibility trial phase. Data source: interviews with patients.

Implementation feasibility of the digital intervention

Implementation feasibility is understood as the extent to which the digital intervnetion can be practically and successfully delivered in a real-world setting, considering technical, organizational, and contextual factors. Focus: Technical, organizational and contextual factors affecting the delivery and use of the app. Data Source: focus group interviews with healthcare workers (implementation staff) Research Questions: * What barriers or facilitators affect the implementation of the app? * Are there technical, organizational, or contextual challenges? * What adaptations are needed for successful implementation?

Fidelity to protocol

Fidelity to protocol is understood as the degree to which the digital intervention is delivered and used as originally intended, according to the planned procedures, content, and timing. Focus: Whether the app is used as intended and what deviations occur. Data Source: Interviews (with patients) and focus-group interviews (with health care providers), and app-usage logs Research Questions: * Do users follow the intended use of the app? * What factors lead to deviations from the protocol? * How do these deviations affect the perceived value of the app?

Exploration of unintended negative effects

Qualitative assessment of any adverse or unintended effects reported by participants during interviews or focus groups. Unintended effects could be: emotional distress, increased dependence or avoidance, misinterpretation or misuse, privacy and trust concerns. These will be monitored on a weekly basis through the Muli-service (treatment team).