Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Chronic pain is a debilitating condition that disrupts engagement in meaningful occupations. Self-efficacy may be a protective factor in reducing pain-related disability and promoting effective chronic pain management. After participating in the 8-week Merging Yoga and Self-Management Skills program, dyads with chronic pain reported increased self-efficacy of varying degrees. Significant improvement in self-efficacy related to physical function was reported. Primary Author and Speaker: Charla Kinkel Contributing Authors: Arlene Schmid, Christine A. Fruhauf, Karen Atler, and Haylee A. Candray

OBJECTIVE. Our objective was to determine the efficacy of a Lifestyle Redesign^® intervention for people living with chronic pain on quality of life (QOL), function, self-efficacy, and pain levels. METHOD. Clinical outcomes were collected from 45 patients who completed an individual outpatient Lifestyle Redesign occupational therapy program for chronic pain as part of their usual plan of medical care. Outcome measures included the Canadian Occupational Performance Measure, the 36-Item Short-Form Survey, the Brief Pain Inventory, and the Pain Self-Efficacy Questionnaire. We analyzed scores using paired-samples t tests. RESULTS. Significant changes were observed in occupational performance and satisfaction scores, physical and social functioning, role limitations due to physical and emotional problems, energy and fatigue, general health, and pain self-efficacy. CONCLUSION. Lifestyle Redesign interventions, when integrated into a patient’s medical plan of care, can improve patient functioning, self-efficacy, and QOL.

OBJECTIVE. There is limited research on the relationship between chronic pain and occupation. This phenomenological research study explored the lived occupational experiences of people who have chronic pain. METHOD. Via demographic questionnaires, semistructured interviews, and field notes, data were collected on 13 participants with various types of pain. RESULTS. Thematic analysis yielded one main theme: “Chronic Pain Is Life Changing.” The following subthemes also emerged: “Chronic Pain Triggers Emotional Distress”; “Chronic Pain Reveals the Strength of Relationships”; “Chronic Pain and Occupation Are Reciprocally Related Forces”; and “Chronic Pain Elicits Innovative Adaptive Responses.” Study participants reported experiencing myriad troubling emotions; however, they resourcefully modified their routines and tasks and found enhanced meaning in favored occupations. CONCLUSIONS. This study illuminates the importance of therapeutic listening, the innovativeness of people who have chronic pain, and the possible therapeutic potential of occupation.