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Research Article

The experience of flow by people living with disabilities: A meta-study of qualitative research

Die Erfahrung von Flow durch Menschen mit Behinderungen: Eine Metastudie qualitativer Forschungsarbeiten

ORCID Icon, ORCID Icon & ORCID Icon
Received 04 Jan 2023, Accepted 24 Jul 2023, Published online: 29 Aug 2023

References

  • Aegler, B., & Satink, T. (2009). Performing occupations under pain: The experience of persons with chronic pain. Scandinavian Journal of Occupational Therapy, 16(1), 49–56. https://doi.org/10.1080/11038120802512425
  • Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23. https://doi.org/10.1037/h0095655
  • Argentzell, E., Håkansson, C., & Eklund, M. (2012). Experience of meaning in everyday occupations among unemployed people with severe mental illness. Scandinavian Journal of Occupational Therapy, 19(1), 49–58. https://doi.org/10.3109/11038128.2010.540038
  • Asakawa, K. (2010). Flow experience, culture, and well-being: How do autotelic Japanese college students feel, behave, and think in their daily lives? Journal of Happiness Studies, 11(2), 205–223. https://doi.org/10.1007/s10902-008-9132-3
  • Aveyard, H. (2014). Doing a literature review in health and social care: A practical guide (3rd ed.). Open University Press.
  • Bailliard, A. L., Dallman, A. R., Carroll, A., Lee, B. D., & Szendrey, S. (2020). Doing occupational justice: A central dimension of everyday occupational therapy practice. Canadian Journal of Occupational Therapy, 87(2), 144–152. https://doi.org/10.1177/0008417419898930
  • Bassi, M., Steca, P., Monzani, D., Greco, A., & Delle Fave, A. (2014). Personality and optimal experience in adolescence: Implications for well-being and development. Journal of Happiness Studies, 15(4), 829–843. https://doi.org/10.1007/s10902-013-9451-x
  • Bentz, H. H., Madsen, S. H., Pilegaard, M. S., Østergaard, L. G., Brandt, Å., Offersen, S. M. H., & la Cour, K. (2021). Occupations creating joy for people living with advanced cancer: A qualitative descriptive study. British Journal of Occupational Therapy, 85(3), 187–198. https://doi.org/10.1177/03080226211009419
  • Blank, A. A., Harries, P., & Reynolds, F. (2015). ‘Without occupation you don’t exist’: Occupational engagement and mental illness. Journal of Occupational Science, 22(2), 197–209. https://doi.org/10.1080/14427591.2014.882250
  • Block, P., Kasnitz, D., Nishida, A., & Pollard, N. (Eds.). (2016). Occupying disability: Critical approaches to community, justice, and decolonizing disability. Springer.
  • Booth, A. (2016). Searching for qualitative research for inclusion in systematic reviews: A structured methodological review. Systematic Reviews, 5(74), 1–23. https://doi.org/10.1186/s13643-016-0249-x
  • Boffi, M., Riva, E., Rainisio, N., & Inghilleri, P. (2016). Social psychology of flow: A situated framework for optimal experience. In L. Harmat, F. Ø. Andersen, F. Ullén, J. Wright, & G. Sadlo (Eds.), Flow experience: Empirical research and applications. (pp. 215–231). Springer. https://doi.org/10.1007/978-3-319-28634-1_14
  • Brown, C. (2014). Ecological models in occupational therapy. In B. Boyt Schell, M. Scaffa, & G. Gillen (Eds.), Willard & Spackman’s occupational therapy (12th ed., pp. 494–504). Wolters Kluwer.
  • Busch, H., Hofer, J., Chasiotis, A., & Campos, D. (2013). The achievement flow motive as an element of the autotelic personality: Predicting educational attainment in three cultures. European Journal of Psychology of Education, 28(2), 239–254. https://doi.org/10.1007/s10212-012-0112-y
  • Channon, A. (2014). Intellectual disability and activity engagement: Exploring the literature from an occupational perspective. Journal of Occupational Science, 21(4), 443–458. https://doi.org/10.1080/14427591.2013.829398
  • Cheng, W. F. (2018). Is the premise ‘occupation promotes health’ logical? A syllogistic analysis. Journal of Occupational Science, 25(3), 408–416. https://doi.org/10.1080/14427591.2018.1491412
  • Clarke, C., Stack, C., & Martin, M. (2018). Lack of meaningful activity on acute physical hospital wards: Older people’s experiences. British Journal of Occupational Therapy, 81(1), 15–23. https://doi.org/10.1177/0308022617735047
  • Cope, D. G. (2014). Methods and meanings: Credibility and trustworthiness of qualitative research. Oncology Nursing Forum, 41(1), 89–91. https://doi.org/10.1188/14.ONF.89-91
  • Cortinovis, I., Luraschi, E., Intini, S., Sessa, M., & Delle Fave, A. (2011). The daily experience of people with achondroplasia. Applied Psychology: Health and Well-Being, 3(2), 207–227. https://doi.org/10.1111/j.1758-0854.2010.01046.x
  • Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage.
  • Critical Appraisal Skills Programme. (2018). CASP Qualitative Checklist. https://casp-uk.net/casp-tools-checklists/
  • Csikszentmihalyi, M. (1975). Beyond boredom and anxiety. Jossey-Bass Publishers.
  • Csikszentmihalyi, M. (1990). Flow: The psychology of optimal experience. Harper Perennial.
  • Csikszentmihalyi, M. (1993). Activity and happiness: Towards a science of occupation. Journal of Occupational Science: Australia, 1(1), 38–42. https://doi.org/10.1080/14427591.1993.9686377
  • Csikszentmihalyi, M. (1997). Finding flow: The psychology of engagement with everyday life. Basic Books.
  • Csikszentmihalyi, M., & Asakawa, K. (2016). Universal and cultural dimensions of optimal experiences: Flow, culture, and human evolution. Japanese Psychological Research, 58(1), 4–13. https://doi.org/10.1111/jpr.12104
  • Csikszentmihalyi, M., & LeFevre, J. (1989). Optimal experience in work and leisure. Journal of Personality and Social Psychology, 56(5), 815–822. https://doi.org/10.1037//0022-3514.56.5.815
  • da Cruz, D. C., Taff, S., & Davis, J. (2023). Occupational engagement: Some assumptions to inform occupational therapy. Cadernos Brasileiros de Terapia Ocupacional, 31, e3385. https://doi.org/10.1590/2526-8910.ctoAR259233852
  • Delle Fave, A. (2010). Development through disability: The unfolding and sharing of psychological resources. In G. W. Burns (Ed.), Happiness, healing, enhancement: Your casebook collection for applying positive psychology in therapy (pp. 88–99). Wiley.
  • Delle Fave, A., & Bassi, M. (2009). Sharing optimal experiences and promoting good community life in a multicultural society. Journal of Positive Psychology, 4(4), 280–289. https://doi.org/10.1080/17439760902933716
  • Delle Fave, A., & Bassi, M. (2016). Flow and psychological selection. In L. Harmat, F. Orsted Andersen, F. Ullén, J. Wright, & G. Sadlo (Eds.), Flow experience: Empirical research and applications (pp. 3–19). Springer.
  • Delle Fave, A., Fianco, A., & Sartori, R. D. G. (2015). Psychological and relational resources in the experience of disability and caregiving. In S. Joseph (Ed.), Positive psychology in practice (pp. 613–634). John Wiley & Sons.
  • Delle Fave, A., & Massimini, F. (2005). The investigation of optimal experience and apathy. European Psychologist, 10(4), 264–274. https://doi.org/10.1027/1016-9040.10.4.264
  • Denzin, N. K., & Lincoln, Y. S. (Eds.). (2018). The SAGE handbook of qualitative research (5th ed.). Sage.
  • Emerson, H., Cook, J., Polatajko, H., & Segal, R. (1998). Enjoyment experiences as described by persons with schizophrenia: A qualitative study. Canadian Journal of Occupational Therapy, 65(4), 183–192. https://doi.org/10.1177/000841749806500403
  • Emery-Whittington, I. G. (2021). Occupational justice—Colonial business as usual? Indigenous observations from Aotearoa New Zealand. Canadian Journal of Occupational Therapy, 88(2), 153–162. https://doi.org/10.1177/00084174211005891
  • Fahy, S., Delicâte, N., & Lynch, H. (2021). Now, being, occupational: Outdoor play and children with autism. Journal of Occupational Science, 28(1), 114–132. https://doi.org/10.1080/14427591.2020.1816207
  • Finfgeld-Connett, D. (2014). Metasynthesis findings: Potential versus reality. Qualitative Health Research, 24(11), 1581–1591. https://doi.org/10.1177/1049732314548878
  • Finlay, L. (2002). “Outing” the researcher: The provenance, process, and practice of reflexivity. Qualitative Health Research, 12(4), 531–545. https://doi.org/10.1177/104973202129120052
  • Finlay, L. (2006). ‘Rigour’, ‘ethical integrity’ or ‘artistry’? Reflexively reviewing criteria for evaluating qualitative research. British Journal of Occupational Therapy, 69(7), 319–326. https://doi.org/10.1177/030802260606900704
  • Forber-Pratt, A. J., Mueller, C. O., & Andrews, E. E. (2019). Disability identity and allyship in rehabilitation psychology: Sit, stand, sign, and show up. Rehabilitation Psychology, 64(2), 119–129. https://doi.org/10.1037/rep0000256
  • Gallagher, M., Muldoon, O. T., & Pettigrew, J. (2015). An integrative review of social and occupational factors influencing health and wellbeing. Frontiers in Psychology, 6(1), Article 1281. https://doi.org/10.3389/fpsyg.2015.01281
  • Gappmayer, G. (2019). Exploring neoliberalism in care for people with intellectual disabilities: A practice theory approach. Journal of Occupational Science, 26(2), 258–274. https://doi.org/10.1080/14427591.2019.1596830
  • Gewurtz, R., Stergiou-Kita, M., Shaw, L., Kirsh, B., & Rappolt, S. (2008). Qualitative meta-synthesis: Reflections on the utility and challenges in occupational therapy. Canadian Journal of Occupational Therapy, 75(5), 301–308. https://doi.org/10.1177/000841740807500513
  • Griffiths, S. (2008). The experience of creative activity as a treatment medium. Journal of Mental Health, 17(1), 49–63. https://doi.org/10.1080/09638230701506242
  • Hammell, K. W. (2011). Resisting theoretical imperialism in the disciplines of occupational science and occupational therapy. British Journal of Occupational Therapy, 74(1), 27–33. https://doi.org/10.4276/030802211X12947686093602
  • Heckhausen, J., Wrosch, C., & Schulz, R. (2010). A motivational theory of life-span development. Psychological Review, 117(1), 32–60. https://doi.org/10.1037/a0017668
  • Hultqvist, J., Eklund, M., & Leufstadius, C. (2015). Empowerment and occupational engagement among people with psychiatric disabilities. Scandinavian Journal of Occupational Therapy, 22(1), 54–61. https://doi.org/10.3109/11038128.2014.934916
  • Ikiugu, M. N., Lucas-Molitor, W., Feldhacker, D., Gebhart, C., Spier, M., Kapels, L., Arnold, R., & Gaikowski, R. (2019). Guidelines for occupational therapy interventions based on meaningful and psychologically rewarding occupations. Journal of Happiness Studies, 20(7), 2027–2053. https://doi.org/10.1007/s10902-018-0030-z
  • Jackman, P. C., Dargue, E. J., Johnston, J. P., & Hawkins, R. M. (2021). Flow in youth sport, physical activity, and physical education: A systematic review. Psychology of Sport & Exercise, 53(2), Article 101852. https://doi.org/10.1016/j.psychsport.2020.101852
  • Kearns Murphy, C., & Shiel, A. (2019). Institutional injustices? Exploring engagement in occupations in a residential mental health facility. Journal of Occupational Science, 26(1), 115–127. https://doi.org/10.1080/14427591.2018.1531780
  • Kennedy, J., & Davis, J. A. (2017). Clarifying the construct of occupational engagement for occupational therapy practice. OTJR: Occupation, Participation and Health, 37(2), 98–108. https://doi.org/10.1177/1539449216688201
  • Kramer-Roy, D. (2015). Using participatory and creative methods to facilitate emancipatory research with people facing multiple disadvantage: A role for health and care professionals. Disability & Society, 30(8), 1207–1224. https://doi.org/10.1080/09687599.2015.1090955
  • Kukita, A., Nakamura, J., & Csikszentmihalyi, M. (2022). How experiencing autonomy contributes to a good life. The Journal of Positive Psychology, 17(1), 34–45. https://doi.org/10.1080/17439760.2020.1818816
  • Kuper, H., & Weber, J. G. (2016). Conceptualizing Disability. In D. Sakellariou & N. Pollard (Eds.), Occupational therapies without borders: Integrating justice with practice (pp. 29–48). Elsevier.
  • Lincoln, Y. S., & Guba, E. G. (2013). The constructivist credo. Left Coast Press.
  • Lindsay, S., & Fuentes, K. (2022). It is time to address ableism in academia: A systematic review of the experiences and impact of ableism among faculty and staff. Disabilities, 2(2), 178–203. https://doi.org/10.3390/disabilities2020014
  • Liu, T., & Csikszentmihalyi, M. (2020). Flow among introverts and extraverts in solitary and social activities. Personality and Individual Differences, 167, Article 110197. https://doi.org/10.1016/j.paid.2020.110197
  • Marty-Dugas, J., & Smilek, D. (2019). Deep, effortless concentration: Re-examining the flow concept and exploring relations with inattention, absorption, and personality. Psychological Research, 83(8), 1760–1777. https://doi.org/10.1007/s00426-018-1031-6
  • Massimini, F., & Delle Fave, A. (2000). Individual development in a bio-cultural perspective. American Psychologist, 55(1), 24–33. https://doi.org/10.1037/0003-066X.55.1.24
  • Miller, S., & Reid, D. (2003). Doing play: Competency, control, and expression. CyberPsychology & Behavior, 6(6), 623–632. https://doi.org/10.1089/109493103322725397
  • Morris, K., & Cox, D. L. (2017). Developing a descriptive framework for “occupational engagement”. Journal of Occupational Science, 24(2), 152–164. https://doi.org/10.1080/14427591.2017.1319292
  • Morris, M., Boruff, J. T., & Gore, G. C. (2016). Scoping reviews: Establishing the role of the librarian. Journal of the Medical Library Association, 104(4), 346–354. https://doi.org/10.3163/1536-5050.104.4.020
  • Murray, C., & Stanley, M. (2015). Meta-synthesis demystified—Connecting islands of knowledge. In S. Nayar & M. Stanley (Eds.), Qualitative research methodologies for occupational science and therapy (pp. 174–189). Routledge.
  • Nakamura, J., & Csikszentmihalyi, M. (2002). The concept of flow. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 89–105). Oxford University Press.
  • Nakamura, J., & Tse, D. C. K. (2020). Flow: Expression and applications. In B. J. Carducci & C. S. Nave (Eds.), The Wiley Encyclopedia of Personality and Individual Differences (pp. 551–556). Wiley. https://doi.org/10.1002/9781118970843.ch356
  • Nye, E., Melendez-Torres, G. J., & Bonell, C. (2016). Origins, methods and advances in qualitative meta-synthesis. Review of Education, 4(1), 57–79. https://doi.org/10.1002/rev3.3065
  • Ottiger, B., Van Wegen, E., Keller, K., Nef, T., Nyffeler, T., Kwakkel, G., & Vanbellingen, T. (2021). Getting into a “Flow” state: A systematic review of flow experience in neurological diseases. Journal of NeuroEngineering and Rehabilitation, 18, Article 65. https://doi.org/10.1186/s12984-021-00864-w
  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, Article n71. https://doi.org/10.1136/bmj.n71
  • Paterson, B., Dubouloz, C.-J., Chevrier, J., Ashe, B., King, J., & Moldoveanu, M. (2009). Conducting qualitative metasynthesis research: Insights from a metasynthesis project. International Journal of Qualitative Methods, 8(3), 22–33. https://doi.org/10.1177/160940690900800304
  • Paterson, B., Thorne, S., Canam, C., & Jillings, C. (2001). Meta-study of qualitative health research. Sage.
  • Persson, D., Andersson, I., & Eklund, M. (2011). Defying aches and revaluating daily doing: Occupational perspectives on adjusting to chronic pain. Scandinavian Journal of Occupational Therapy, 18(3), 188–197. https://doi.org/10.3109/11038128.2010.509810
  • Polkinghorne, D. E. (1995). Narrative configuration in qualitative analysis. International Journal of Qualitative Studies in Education, 8(1), 5–23. https://doi.org/10.1080/0951839950080103
  • Price-Lackey, P., & Cashman, J. (1996). Jenny’s story: Reinventing oneself through occupation and narrative configuration. American Journal of Occupational Therapy, 50(4), 306–314. https://doi.org/10.5014/ajot.50.4.306
  • Rebeiro, K. L. (2001). Enabling occupation: The importance of an affirming environment. Canadian Journal of Occupational Therapy, 68(2), 80–89. https://doi.org/10.1177/000841740106800204
  • Reid, D. (2008). Exploring the relationship between occupational presence, occupational engagement, and people’s well-being. Journal of Occupational Science, 15(1), 43–47. https://doi.org/10.1080/14427591.2008.9686606
  • Reid, D. (2011). Mindfulness and flow in occupational engagement: Presence in doing. Canadian Journal of Occupational Therapy, 78(1), 50–56. https://doi.org/10.2182/cjot.2011.78.1.7
  • Reynolds, F., & Prior, S. (2006). Creative adventures and flow in art-making: A qualitative study of women living with cancer. British Journal of Occupational Therapy, 69(6), 255–262. https://doi.org/10.1177/030802260606900603
  • Rinaldi, J. (2013). Reflexivity in research: Disability between the lines. Disability Studies Quarterly, 33(2), Article 2. https://doi.org/10.18061/dsq.v33i2.3711
  • Riva, E., Freire, T., & Bassi, M. (2016). The flow experience in clinical settings: Applications in psychotherapy and mental health rehabilitation. In L. Harmat, F. Ø. Andersen, F. Ullén, J. Wright, & G. Sadlo (Eds.), Flow experience: Empirical research and applications (pp. 309–326). Springer.
  • Roberts, A. E. K., & Bannigan, K. (2018). Dimensions of personal meaning from engagement in occupations: A metasynthesis. Canadian Journal of Occupational Therapy, 85(5), 386–396. https://doi.org/10.1177/0008417418820358
  • Robinson, K., Kennedy, N., & Harmon, D. (2012). The flow experiences of people with chronic pain. OTJR: Occupation, Participation and Health, 32(3), 104–112. https://doi.org/10.3928/15394492-20111222-01
  • Roy Rosenzweig Center for History and New Media. (2021). Zotero (5.0.96.3). www.zotero.org
  • Sadlo, G. (2016). Towards a neurobiological understanding of reduced self-awareness during flow: An occupational science perspective. In L. Harmat, F. Ø. Andersen, F. Ullén, J. Wright, & G. Sadlo (Eds.), Flow experience: Empirical research and applications (pp. 375–388). Springer.
  • Sandelowski, M., & Barroso, J. (2007). Handbook for synthesizing qualitative research. Springer.
  • Sartori, R. D. G., Marelli, M., D’Angelo, M. G., & Delle Fave, A. (2019). Autonomy level and quality of everyday experience of people with Hereditary Spastic Paraplegia. Health & Social Care in the Community, 27(5), e850–e860. https://doi.org/10.1111/hsc.12812
  • Sattar, R., Lawton, R., Panagioti, M., & Johnson, J. (2021). Meta-ethnography in healthcare research: A guide to using a meta-ethnographic approach for literature synthesis. BMC Health Services Research, 21(1), Article 50. https://doi.org/10.1186/s12913-020-06049-w
  • Shakespeare, T. (2018). Disability: The basics. Routledge.
  • Shakespeare, T., Cooper, H., Bezmez, D., & Poland, F. (2018). Rehabilitation as a disability equality issue: A conceptual shift for disability studies? Social Inclusion, 6(1), 61–72. https://doi.org/10.17645/si.v6i1.1175
  • Steinhardt, F., Dolva, A.-S., Jahnsen, R., & Ullenhag, A. (2021). Exploring two subdimensions of participation, involvement and engagement: A scoping review. Scandinavian Journal of Occupational Therapy, 29(6), 441–463. https://doi.org/10.1080/11038128.2021.1950207
  • Sutton, D. J., Hocking, C. S., & Smythe, L. A. (2012). A phenomenological study of occupational engagement in recovery from mental illness. Canadian Journal of Occupational Therapy, 79(3), 142–150. https://doi.org/10.2182/cjot.2012.79.3.3
  • Thomas, G. M., & Sakellariou, D. (Eds.). (2018). Disability, normalcy and the everyday. Routledge.
  • Timmons, A., & MacDonald, E. (2008). ‘Alchemy and magic’: The experience of using clay for people with chronic illness and disability. British Journal of Occupational Therapy, 71(3), 86–94. https://doi.org/10.1177/030802260807100302
  • Townsend, E. (1997). Occupation: Potential for personal and social transformation. Journal of Occupational Science, 4(1), 18–26. https://doi.org/10.1080/14427591.1997.9686417
  • Tse, D. C. K., Nakamura, J., & Csikszentmihalyi, M. (2020). Beyond challenge-seeking and skill-building: Toward the lifespan developmental perspective on flow theory. The Journal of Positive Psychology, 15(2), 171–182. https://doi.org/10.1080/17439760.2019.1579362
  • Tse, D. C. K., Nakamura, J., & Csikszentmihalyi, M. (2021). Living well by “flowing’ well: The indirect effect of autotelic personality on well-being through flow experience. Journal of Positive Psychology, 16(3), 310–321. https://doi.org/10.1080/17439760.2020.1716055
  • Tse, D. C. K., Nakamura, J., & Csikszentmihalyi, M. (2022). Flow experiences across adulthood: Preliminary findings on the continuity hypothesis. Journal of Happiness Studies, 23(6), 2517–2540. https://doi.org/10.1007/s10902-022-00514-5
  • von Kürthy, H., Aranda, K., Sadlo, G., & Stew, G. (2022). Embroidering as a transformative occupation. Journal of Occupational Science. Advance online publication. https://doi.org/10.1080/14427591.2022.2104349
  • Walsh, D., & Downe, S. (2005). Meta-synthesis method for qualitative research: A literature review. Journal of Advanced Nursing, 50(2), 204–211. https://doi.org/10.1111/j.1365-2648.2005.03380.x
  • Whiteford, G. (2014). Occupational deprivation: Understanding limited participation. In C. Christiansen & E. Townsend (Eds.), Introduction to occupation: The art and science of living (2nd ed., pp. 281–306). Pearson.
  • Wilcock, A. A. (1993). A theory of the human need for occupation. Journal of Occupational Science: Australia, 1(1), 17–24. https://doi.org/10.1080/14427591.1993.9686375
  • Wilcock, A. A. (2007). Occupation and health: Are they one and the same? Journal of Occupational Science, 14(1), 3–8. https://doi.org/10.1080/14427591.2007.9686577
  • Wissing, M. P., Schutte, L., & Liversage, C. (2022). Embracing well-being in diverse contexts: The third wave of positive psychology and African imprint. In L. Schutte, T. Guse, & M. P. Wissing (Eds.), Embracing well-being in diverse African contexts: Research perspectives (pp. 3–30). Springer. https://doi.org/10.1007/978-3-030-85924-4_1
  • World Health Organization. (2011). World report on disability. https://www.who.int/publications/i/item/9789241564182
  • Wright, J., Wright, S., Sadlo, G., & Stew, G. (2014a). A reversal theory exploration of flow process and the flow channel. Journal of Occupational Science, 21(2), 188–201. https://doi.org/10.1080/14427591.2012.713313
  • Wright, J., Wright, S., Sadlo, G., & Stew, G. (2014b). Exploring optimal experiences: A reversal theory perspective of flow and occupational science. Journal of Occupational Science, 21(2), 173–187. https://doi.org/10.1080/14427591.2012.713312
  • Yerxa, E. J. (1993). Occupational science: A new source of power for participants in occupational therapy. Journal of Occupational Science: Australia, 1(1), 3–9. https://doi.org/10.1080/14427591.1993.9686373
  • Yoshida, I., Hirao, K., & Nonaka, T. (2018). Adjusting challenges-skill balance to improve quality of life in older adults: A randomized controlled trial. American Journal of Occupational Therapy, 72(1), Article 7201205030. https://doi.org/10.5014/ajot.2018.020982
  • Zimmer, L. (2006). Qualitative meta-synthesis: A question of dialoguing with texts. Journal of Advanced Nursing, 53(3), 311–318. https://doi.org/10.1111/j.1365-2648.2006.03721.x

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