The past perfect progressive tense is used to describe an action that began in the past and continued up until another time in the past. It is formed using the past tense of "have" (had) plus the present participle of the verb (ending in -ing). This tense emphasizes the duration of an action that took place before another past event. It can also refer to a past action whose duration caused visible results at another point in time, such as being tired from cleaning all day. Time expressions like "before," "by the time," and phrases involving durations like "for" or "how long" are often used with the past perfect progressive.