Web-based mindfulness-based cognitive therapy (eMBCT) has been found effective in decreasing fatigue severity in patients suffering from Chronic Cancer-Related Fatigue (CCRF). In web-based therapy, guidance from a therapist positively affects treatment outcome. So far, less is known about what kind of therapist behaviours contribute to treatment outcome. The present study aimed at 1) identifying therapist behaviours during eMBCT and 2) exploring whether these behaviours were correlated to a decrease in fatigue severity among patients. Qualitative content analyses were performed on 537 feedback e-mails from five therapists sent to 31 patients within a secured portal. Through content analyses, nine therapist behaviours were identified: emphatic utterances, probing self-reflection, informing, psychoeducation, task prompting, paraphrasing, task reinforcement, providing group context and alliance bolstering. Among these behaviours task prompting (19%), paraphrasing (16%) and task reinforcement (15%) were the most common. Linear regression analyses showed a significant association between informing and task prompting on the one hand and a decrease in fatigue severity on the other. Multivariate analysis indicated that informing and task prompting jointly explain the decrease in fatigue. These findings underline the importance for therapists to provide patients with sufficient information and to encourage them to do the exercises.

已发现基于网络的正念认知疗法（eMBCT）可有效降低患有慢性癌症相关疲劳（CCRF）的患者的疲劳严重程度。在基于网络的治疗中，治疗师的指导会积极影响治疗效果。迄今为止，人们对哪种治疗师的行为对治疗结果的贡献知之甚少。本研究旨在1）识别eMBCT期间的治疗师行为，以及2）探索这些行为是否与患者疲劳严重程度的降低相关。对来自五位治疗师的537封反馈电子邮件进行了定性内容分析，这些电子邮件被发送到安全门户中的31位患者。通过内容分析，确定了九种治疗师的行为：强调的话语，探索自我反思，通知，心理教育，任务提示，释义，加强任务，提供小组背景和联盟支持。在这些行为中，任务提示（19％），释义（16％）和任务强化（15％）是最常见的。线性回归分析显示，一方面通知和任务提示与另一方面疲劳强度降低之间存在显着关联。多变量分析表明，通知和任务提示共同解释了疲劳的减轻。这些发现强调了治疗师为患者提供足够信息并鼓励他们进行锻炼的重要性。线性回归分析显示，一方面提示和任务提示与另一方面疲劳强度降低之间存在显着关联。多变量分析表明，通知和任务提示共同解释了疲劳的减轻。这些发现强调了治疗师为患者提供足够信息并鼓励他们进行锻炼的重要性。线性回归分析显示，一方面提示和任务提示与另一方面疲劳强度降低之间存在显着关联。多变量分析表明，通知和任务提示共同解释了疲劳的减轻。这些发现强调了治疗师为患者提供足够信息并鼓励他们进行锻炼的重要性。