Table 4 Overview of all Themes and most often mentioned subordinated codes per topic

1. Experiences with aPM+

Specific aPM + strategies and interventions

Trust and therapeutic relationship

Generally helpful

Further psychological interventions

Structure

Learning and practicing

Slow breathing (22)

Social support (12)

Inactivity cycle (8)

Tree of resources (7)

Physical exercises accompanying slow breathing (5)

Problem management (4)

Positive relationship with PM + trainer (17)

Talking openly about problems (7)

PM + trainer showed empathy (2)

Generally helpful (7)

All strategies were helpful (4)

Generally good experiences (4)

Positive affirmations (5)

Drinking a glass of water (3)

Supportive words (2)

Handouts (3)

Weekly appointments (2)

Reminder per SMS (2)

Learning something new (3)

2. Reported effects of aPM+

Mental

Knowledge

Interpersonal

Behavioral

Physical

Insufficient effect

Feeling better (10)

Feeling empowered (5)

Being calmer/steadier (5)

Being more positive (4)

Ruminating less (4)

Regulating oneself better (11)

Taking time to solve problems (1)

Engaging more with people (5)

Coping better with conflicts/being more patient (5)

Seeking social support (2)

Establishing daily structure/activation (5)

Being more autonomous (2)

Stomach smaller (1)

Sleeping better (1)

Having less headache (1)

Cannot recognize impact (5)

Ruminating more (1)