biostudies-literatureUnknown13Khaldoun L<h4>Background</h4>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' experience and factors contributing to their adherence.<h4>Objective</h4>This study aimed to explore HCWs' 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.<h4>Methods</h4>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' adherence, and a thematic analysis was used to further explore their experience.<h4>Results</h4>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 (F_5,401=6.59; P<.001) suggested that around 7.6% of adherence variation could be explained by satisfaction (β=.16; t₄₀₁=3.14; P=.002) and the app's perceived contribution to self-awareness (β=.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' 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's preferences. Potential app enhancements were provided by the participants.<h4>Conclusions</h4>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.JMIR mHealth and uHealthe70412https://www.ebi.ac.uk/biostudies/studies/S-EPMC12371282biostudies-literatureHealth Care Workers' Experience With a Psychological Self-Monitoring App During the COVID-19 Pandemic: Mixed Methods Study.PMC12371282Bellemare FGeoffrion SKhaldoun LBergeron NGenest CfalseHealth Care Workers' Experience With a Psychological Self-Monitoring App During the COVID-19 Pandemic: Mixed Methods Study.<h4>Background</h4>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' experience and factors contributing to their adherence.<h4>Objective</h4>This study aimed to explore HCWs' 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.<h4>Methods</h4>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' adherence, and a thematic analysis was used to further explore their experience.<h4>Results</h4>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 (F_5,401=6.59; P<.001) suggested that around 7.6% of adherence variation could be explained by satisfaction (β=.16; t₄₀₁=3.14; P=.002) and the app's perceived contribution to self-awareness (β=.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' 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's preferences. Potential app enhancements were provided by the participants.<h4>Conclusions</h4>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.2025-01-01T00:00:00Z2025 Aug2026-05-09T10:33:51.766Z2026-04-08T00:46:51.806ZS-EPMC123712824077374410.2196/70412