Conclusion
psychosis
This study reported what underpinned implementation behaviours from the point of view of patients, mental health staff and one carer when interacting with EMPOWER in daily life.When speaking with patients, initial implementation appeared best explained as EMPOWER offering a range of affordances which could act as implementation barriers or facilitators depending on individual needs and wants. However, ongoing implementation behaviours were better explained by patients and staff perceiving that the intervention had created positive change for them which were having a beneficial impact upon everyday life. Sustained engagement seemed dependent on patients continuing to perceive positive value from the intervention which suggests there may be optimal engagement periods. These findings contribute to our understanding of what underpins relatively successful implementation of digital self-management interventions for psychosis and highlight key suggestions for how to improve interventions further.