我们开发了“实现自主集成癌症后护理（ASICA）黑色素瘤应用”来支持黑色素瘤幸存者每月进行全身自我检查（TSSE）。一项随机的为期12个月的试验显示，ASICA支持了三分之一的参与者保持每月TSSE的最佳依从性。然而，另外三分之一的参与者最初依从较好，但后来逐渐停止，最后三分之一的参与者根本不依从。本次后续定性研究调查了试验参与者在使用该应用进行TSSE依从性方面的障碍和促进因素的感知。三名前试验参与者参加了一个小组讨论会，另外11名参与者参加了新的半结构化电话访谈。这些访谈数据与试验期间进行的12个定性访谈的次要分析一起进行了主题分析。所有的录音和文字转录都进行了主题分析。五个主题涵盖了ASICA依从性的障碍和促进因素，包括：技术方面、他人的作用、个性化适应、疾病过程和竞争优先权。这些数据将为进一步开发ASICA应用以增加用户依从性提供参考。©作者（2023）。由牛津大学出版社代表英国皮肤科医生协会出版。

We developed the Achieving Self-directed Integrated Cancer Aftercare (ASICA) in melanoma app to support monthly total-skin-self-examinations (TSSE) by melanoma survivors. A randomized 12-month trial demonstrated ASICA supported optimal monthly TSSE adherence in one third of participants. However, a further third of participants adhered well initially but subsequently dropped off, and a final third did not adhere at all. This follow-up qualitative study investigated trial participants' perceptions of barriers and facilitators to TSSE adherence using the app. Three former trial participants participated in a single focus group and 11 participated in new semi-structured telephone interviews. These were analysed thematically alongside secondary analysis of 12 qualitative interviews conducted during the trial. All transcripts were recorded, transcribed, and analysed thematically. Five themes encompassing barriers and facilitators to ASICA adherence emerged. These were: technology; role of others; tailoring; disease journey, and competing priorities. These data will inform further development of ASICA to increase user-adherence.© The Author(s) 2023. Published by Oxford University Press on behalf of British Association of Dermatologists.