5 117 PERSONALIZED MONITORING AND FEEDBACK statement and three remained neutral. At timepoint three, most participants agreed that they could score their ESM diary as often as needed to gain insight in their risk-relevant features (n = 3), while the remaining participants were neutral (n = 1) on this statement or disagreed (n = 1). Participants indicated at time-point three that scoring their ESM dairy motivated them to gain more insight in their risk-relevant features (agree, n = 3; neutral; n = 2). Participants were neutral or (strongly) agreed with the statement that they enjoyed the increased insight in their risk-relevant features gained by daily scoring their ESM diary (t1, neutral n = 1; agree n = 4; t2, neutral n = 2, agree n = 1, strongly agree n = 1, missing n = 1; t3, neural n = 3, agree, n = 2). Several participants indicated during the semi-structured interview that they had developed increased awareness of risk-relevant thoughts and feelings. They stated that not the daily assessments of risk-relevant features as such, but the blended ESM procedure resulted in increased awareness in their personal patterns of risk-relevant features as well as in their possible associations with the risk of sexual reoffending. For some, it was a confirmation of known patterns within their interrelated risk-relevant features while others gained new insights. However, none of the participants who indicated to have acquired new insights in the interrelationships of their risk-relevant features were able to provide specific examples. 5.3.2 EVALUATING THE PROCESS OF COLLECTING PERSONALIZED INFORMATION 5.3.2.1 Perceived effects of recording risk-relevant features The effect of ESM measurements on experienced emotions, sexual feelings, and behavior were evaluated using the online questionnaire and semi-structured interview. The online questionnaire revealed that three participants were neutral about and two participants disagreed that the ESM questions have a positive effect on their emotions, sexual feelings, and behavior. Regarding being negatively influenced on these characteristics by the ESM questions, the participants revealed that they were neutral (n = 2), disagree (n = 2), and strongly disagree (n = 1). Participants reported a similar experience concerning the influence of the ESM questions on sexual feelings. They did not perceive positive effects at all (n = 3), were neutral about it (n = 1), or agreed (n = 1). Negative influences on sexual feelings were not observed by four participants (strongly disagree, n = 1; disagree, n = 3). One participant agreed that he perceived negative effects of the ESM questions on his sexual feelings. Figure 5.3 presents the boxplots for the answers to the online questionnaire. The participant who dropped out indicated during the semi-structured interview that he had feared that filling out questions regarding sexuality five times a day would trigger and thereby increase his sexual (deviant) thoughts and behavior. None of the other participants reported major positive or negative changes in their sexual thoughts, feelings, or behavior due to the daily ESM measurements. One participant reported increased consensual sexual activities and fantasies during the ESM, while his nonconsensual sexual fantasies decreased during this period.
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