{
  "abstract": "Background\n\nDigital microinterventions are increasingly used to support stress self-management in everyday life. While previous research has examined their feasibility, adherence, and preliminary effectiveness, much less is known about how these interventions are experienced over extended periods of real-world use.Objective\n\nThis study used collaborative autoethnography (CAE) to examine the everyday experience of living with MINT (Micro-Interventions for Navigating Tension), a Telegram-based chatbot for stress management. Our goal was not to evaluate clinical outcomes but to understand how scheduled microinterventions fit into everyday life, when they were ignored, and when people relied on other ways of coping instead, and to identify implications for the design of future digital mental health tools.Methods\n\nWe conducted a 4-week CAE involving 5 digital mental health researchers, who used the MINT chatbot as both participants and researchers. The experience was documented through multiple qualitative and quantitative sources, including reflective diaries, ecological momentary assessments (EMAs), workshop discussions, and wearable data, and analyzed collaboratively using reflexive thematic analysis (RTA).Results\n\nSix interconnected themes described how MINT was experienced in everyday life: (T1) the importance of timing and emotional receptivity, (T2) the need for reciprocity and relational continuity, (T3) the tendency to favor existing coping strategies over suggested exercises, (T4) the meaning of nonengagement during periods of high stress, (T5) the collapse of self-initiated use after reminders were removed, and (T6) how everyday experiences with consumer wearables and general-purpose large language models reshaped expectations of digital mental health systems.Conclusions\n\nOur findings show that CAE complements conventional evaluations of digital mental health interventions by revealing aspects of everyday use that are difficult to capture through feasibility studies, large-scale trials, or looking at usage data. Beyond the specific case of MINT, they suggest that future stress-management systems should better account for users' receptivity, provide greater continuity across interactions, build on existing coping strategies, and help users move from externally prompted engagement to autonomous self-management.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General Psychology, University of Padua, Via Venezia, 8, Padua, Veneto, 35131, Italy, (+39) 049 827 6485.",
    "Centre for Digital Health and Wellbeing, Digital Health Research, Fondazione Bruno Kessler, Trento, Italy."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Marco Bolpagni",
      "orcid": "0000-0001-7789-2535"
    },
    {
      "affs": [
        1
      ],
      "name": "Sofia Asteria Piffer",
      "orcid": "0009-0000-3983-5863"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Marco Pozza",
      "orcid": "0009-0004-5798-0297"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Munesu Maminimini",
      "orcid": "0009-0002-5428-6529"
    },
    {
      "affs": [
        1
      ],
      "name": "Silvia Gabrielli",
      "orcid": "0000-0002-7080-0615"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/63m9bbem3qcpg.bib",
  "cited_by": 0,
  "doi": "10.2196/89876",
  "fulltext_url": "https://europepmc.org/articles/PMC13717341",
  "id": "63m9bbem3qcpg",
  "issns": [
    "2292-9495"
  ],
  "landing_url": "https://europepmc.org/article/MED/42954157",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Design and Usability of Consumer Health Tech and Home Monitoring Devices"
    ],
    [
      "heading",
      "Digital Mental Health Interventions, e-Mental Health and Cyberpsychology"
    ],
    [
      "heading",
      "Focus Groups and Qualitative Research for Human Factors Research"
    ],
    [
      "heading",
      "Formative Evaluation of Digital Health Interventions"
    ],
    [
      "heading",
      "Original Paper"
    ],
    [
      "heading",
      "User-Centered Design Case Studies"
    ],
    [
      "heading",
      "mHealth for Data Collection and Research"
    ],
    [
      "openalex",
      "3202|Digital Mental Health Interventions"
    ]
  ],
  "openalex": "W7213243392",
  "pdf_url": "https://europepmc.org/articles/PMC13717341?pdf=render",
  "pmcid": "PMC13717341",
  "pmid": "42954157",
  "published": "2026-10-27",
  "publisher": "JMIR Publications Inc.",
  "ris": "https://research.draconitic.com/paper/63m9bbem3qcpg.ris",
  "sources": [
    {
      "first_seen": "2026-11-01T00:20:36Z",
      "native_id": "MED:42954157",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42954157"
    },
    {
      "first_seen": "2026-11-02T12:21:40Z",
      "native_id": "PMC13717341",
      "source": "pmc",
      "url": "https://doi.org/10.2196/89876"
    }
  ],
  "subjects": [],
  "title": "Insights on Designing the MINT (Micro-Interventions for Navigating Tension) Chatbot System for Stress Management: Collaborative Autoethnography.",
  "title_text": "Insights on Designing the MINT (Micro-Interventions for Navigating Tension) Chatbot System for Stress Management: Collaborative Autoethnography.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:21:40Z",
  "url": "https://research.draconitic.com/paper/63m9bbem3qcpg",
  "venue": "JMIR human factors",
  "versions": []
}