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Text Box 4 Religious concerns as a reason for early termination of passive data collection

From: Passive sensing on mobile devices to improve mental health services with adolescent and young mothers in low-resource settings: the role of families in feasibility and acceptability

No participants refused to participate because of religious beliefs with the exception of one family that was concerned that the technology was used for Christian religious conversion. A non-depressed mother (19–22 years old) withdrew from the study after a few days. Through follow up qualitative work, we later learned that the main reason the mother’s family asked her to withdraw was that they suspected that the technological devices were being used to convert them to Christianity (due to a legacy of coercive missionary organizations in the study region). We also learned that the participant wanted to continue the study but was forced to drop out by her husband and father-in-law. We collected 14.5% of activity, 65.5% of audio, 6.3% of GPS, and 7.5% of proximity data from the mother. This mother was also one of the earliest participants we gave the devices to, as we were still making changes to the technology for appropriate data collection. The lower GPS data could be due to the mobile phone running out of data. Other data collection could have been affected by social factors. For example, the mother’s family later told the study team that they were reluctant to use the devices, including the beacon on the child. The lower proximity data collection could mean that the Bluetooth on the mobile phone was switched off most of the time. The higher audio data indicates that the mobile phone was still switched on most of the time, although functionality such as Bluetooth was likely disabled or turned off.