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The following is a summary of “Patients’ experiences of cognitive behavioural therapy integrated with activity pacing: a qualitative study,” published in the April 2025 issue of BMC Cancer by Gtu et al. 

This qualitative study explores the subjective experiences of patients with breast cancer who underwent Cognitive Behavioral Therapy combined with Activity Pacing (CBT-AP), a novel intervention previously shown to alleviate cancer-related fatigue and depression while enhancing quality of life. Although clinical outcomes have been established, little is known about how patients perceive the therapy’s content, context, delivery, and impact. This study aimed to capture patient insights to inform future refinement and implementation of CBT-AP.

Patients with breast cancer receiving chemotherapy who had participated in CBT-AP sessions were recruited for in-depth interviews. Interviews were conducted until data saturation was reached, yielding a final sample of 20 women aged between 24 and 62, representing varying stages of disease. Transcripts were translated, coded, and analyzed thematically, guided by the study’s objectives and ensuring methodological rigor, contextual sensitivity, and transparency throughout.

Analysis revealed six key thematic areas: therapy content, therapeutic context, implementation experiences, perceived benefits, therapeutic approach, and participant recommendations. Patients consistently emphasized the relevance and usefulness of the CBT-AP content, noting that it addressed common physical and emotional symptoms associated with cancer and its treatment. The approach was seen as empowering and supportive, with patients reporting improvements in psychological well-being, energy levels, and social functioning.

Therapy delivery preferences varied. While most participants favored in-person sessions for their interpersonal richness, several appreciated the flexibility of a hybrid format that included both face-to-face and telephone-based support. The participant manual was praised for its clarity and accessibility, aiding in the understanding and application of the therapeutic tools.

Participants also highlighted the value of the therapist-patient relationship, which fostered a sense of trust, motivation, and engagement. Suggestions for future implementation included tailoring content to individual needs and offering more flexibility in scheduling and session formats to enhance accessibility.

In conclusion, patients reported overwhelmingly positive experiences with CBT-AP, particularly regarding its comprehensiveness, relevance, and delivery. The study underscores the importance of incorporating patient-centered design and flexible formats into therapeutic interventions. These findings support the continued development and broader integration of CBT-AP into supportive care for patients with breast cancer. Further research is warranted to assess its scalability, long-term benefits, and adaptability across diverse clinical and cultural contexts.

Source: bmccancer.biomedcentral.com/articles/10.1186/s12885-025-13971-x