{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:57:37Z","timestamp":1782845857598,"version":"3.54.5"},"reference-count":90,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Mhealth Uhealth"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health care workers (HCWs) are at risk of experiencing psychological distress, particularly during the COVID-19 pandemic. Psychological self-monitoring apps may contribute to reducing symptoms of depression, anxiety, and trauma exposure by enhancing emotional self-awareness. This study focused on how a basic psychological self-monitoring app was experienced by HCWs during the COVID-19 pandemic in Quebec by exploring users\u2019 experience and factors contributing to their adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore HCWs\u2019 experiences with a psychological self-monitoring app, including if their satisfaction with the app, their perception of its contribution to self-awareness, and their experience of distress influenced their adherence to the app.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>HCWs in Quebec were invited to respond weekly to questions about their well-being via a mobile app. A convergent mixed methods design was used. Sample data (N=424) were collected from the app, a postparticipation questionnaire was administered, and 30 semistructured interviews were conducted. Correlations and hierarchical multiple regression models were conducted to examine possible factors influencing participants\u2019 adherence, and a thematic analysis was used to further explore their experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over a 12-week-period, mean adherence to the psychological self-monitoring app was 74.5% (SD 29.4%) and mean satisfaction was 80% (SD 20%). Most participants perceived that the app contributed moderately (165\/418, 39.5%) or a lot (140\/418, 33.5%) to enhancing their self-awareness. The significant regression model (F5,401=6.59; P&lt;.001) suggested that around 7.6% of adherence variation could be explained by satisfaction (\u03b2=.16; t401=3.14; P=.002) and the app\u2019s perceived contribution to self-awareness (\u03b2=.15; t401=2.88; P=.004). Biological sex (369\/419, 88.1% female and 50\/419, 11.9% male), age (mean 40.8, SD 9.9 y), and the experience of psychological distress at least once in 12 weeks (228\/420, 54.3%) were not statistically significant predictors of adherence. Emergent themes from the 30 interviews highlighted participants\u2019 experiences. Psychological self-monitoring was seen as an introspective practice, with reports of enhanced self-awareness and self-care practices. Interviewees generally considered the app as practical, but it did not suit everyone\u2019s preferences. Potential app enhancements were provided by the participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A simple psychological self-monitoring app could be an interesting tool for HCWs who wish to improve their self-awareness and prevent psychological distress, particularly in health crises such as pandemics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/70412","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T21:50:06Z","timestamp":1750197006000},"page":"e70412","source":"Crossref","is-referenced-by-count":1,"title":["Health Care Workers\u2019 Experience With a Psychological Self-Monitoring App During the COVID-19 Pandemic: Mixed Methods 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