Table 5 Adaptations made to selected items with reasoning. DMHI = Digital Mental Health Intervention
Original item nr | Selected Item | Adapted Item Using [DMHI] helps me to… | Reason for adapting or not adapting |
|---|---|---|---|
2 | With the platform, I can empathize with a client's experience | Empathize with a client | Adapted based on a participant’s comment: experience is a vague term which can refer to many things, and without it the item is more clear |
3 | The platform helps me to remain open to a client's issues | Accept difficult feelings that a client evokes in me | Adapted based on a participant’s comment on another, related item: the acceptance of difficult feelings in oneself is more aligned with this element of compassion |
6 | With the platform, I can support a client in working towards their goals | Support a client in working towards their goals | No comments |
7 | The platform enables a compassionate relationship with a client | Have a compassionate relationship with a client | Adapted wording to fit the new sentence format |
8 | The platform helps me to be aware of how a client is doing | Be aware of a client’s behavior | Adapted based on a participant’s comment that in addition to ‘thoughts and feelings’ mentioned in another item, they were interested in a client’s behavior |
9 | The platform helps me prevent becoming overwhelmed by a client's difficult emotions | Prevent becoming overwhelmed with a client’s difficult emotions | No comments |
11 | With the platform, I get a good sense of a client's thoughts and feelings | Get a good sense of a client’s thoughts and feelings | No comments |
15 | With the platform, I realize that having problems is human | Realize that having problems is human | No comments |
17 | With the platform, I can put myself in the perspective of a client | Put myself in the perspective of a client | No comments |
23 | The platform helps me alleviate a client's suffering | Alleviate a client’s suffering | Not adapted, despite one participant’s comment that ‘alleviate’ is a broad term. We chose to keep the original wording to stay close to the theoretical description of this element, in which inherently ‘alleviate’ can have different meanings |
26 | The platform supports compassion in my relationship with a client | Provide compassionate care | Adapted to better fit the new sentence format, and differentiate this item from item nr. 7 |
27 | The platform helps to recognize a client's suffering | Recognize a client’s suffering | No comments |
28 | The platform helps me realize that I could also have been in a client's situation | Realize that I could also be in a client’s situation | Adapted from ‘could also have been’ to ‘could be’ for brevity |
29 | With the platform, I can support a client in improving their situation | Support a client in improving their situation | No comments |
30 | The platform helps me understand a client's problems | Understand a client’s problems | No comments |
31 | The platform helps me deal with my own difficult feelings that arise from empathizing with a client | Deal with my own difficult feelings that arise from empathizing with a client | No comments |
32 | I experience the platform as a compassionate addition to a client's treatment | Offer a compassionate addition to the treatment of a client | No comments |
34 | The platform helps me not to look down on a client's suffering | Not look down on a client’s suffering | No comments |