Figures (1)  Tables (2)

    • Figure 1. 

      The six therapeutic processes of ACT to promote psychological flexibility and engagement in valued activities and actions[14].

    • N%
      GenderFemale18(75.0)
      Male6(25.0)
      Age (years)35–442(8.3)
      45–545(20.8)
      55–6414(58.3)
      65–742(8.3)
      ≥ 751(4.2)
      Cancer groupBreast10(41.7)
      Lower gastrointestinal9(37.5)
      Head and neck3(12.5)
      Haematological1(4.2)
      Urological1(4.2)
      EthnicityWhite British16(66.7)
      Asian or Asian British3(12.5)
      Black or Black British African3(12.5)
      Mixed White and Black Caribbean1(4.2)
      Missing1(4.2)
      Employment status at baselineEmployed (full or part time, including self-employment)13(54.2)
      Retired6(25.0)
      Unable to work due to long-term sickness3(12.5)
      Looking after home/family1(4.2)
      Missing1(4.2)

      Table 1. 

      Patient participant demographics.

    • Theme Sub-theme
      Engagement with ACT+ processes
      (deductive)      		 Mindfulness
      Being present
      Open up
      Doing what matters
      '+'
      Operationalising ACT+ theory
      (inductive)      		 Flexible/individualised approach or 'person-centred'
      Exercises/metaphors
      Manual
      Autopoietic cycles
      (inductive)
      Receptivity and relational influences regarding ACT+ take-up
      (inductive)      		 Addressing an unmet need
      Willingness and ability to engage
      Relational issues

      Table 2. 

      Key themes and sub-themes.