Limitations
RECRUITMENT
These findings should be considered in light of limitations. The Interviews were conducted with a small sub-sample of end-users and seven patients dropped out of the trial before process evaluation interviews began and withdrew consent for future data collection, which means the perspectives of people who used the intervention less because they dropped out are missing from this study. Therefore, the results likely present factors which are more relevant to patients who had more positive experiences and people we spoke to had engaged significantly more with both self-monitoring and peer support. Future research would be greatly enhanced by discovering why the intervention was less suitable for some people than others, and by conducting more interviews with people who drop out of studies early or decline to take part in a digital intervention trial in the first place. Furthermore, since all interviewees were already participants in a trial, their views may not be representative of how EMPOWER would be used within routine mental health care settings. Only one carer participated. Carers reported feeling relatively uninvolved within routine relapse management [Going forward, patient public involvement work with carers within future process evaluation research (especially exploring best recruitment practices) may be of merit here. The Interview schedules were created to understand implementation behaviours by mapping closely to the process evaluation framework [