This practice analysis describes the philosophical tenets and methods associated with an 8-week mindfulness-based stress reduction (MBSR) programme offered to a heterogeneous group of community-dwelling individuals living with chronic conditions. The programme was sponsored by an occupational therapy graduate school as a community service and was provided by the author. The programme evaluation suggested that participants learned new ways of living, which synthesised change and acceptance strategies. The participatory learning environment, mindfulness training and lifestyle modifications associated with MBSR enhanced the participants' occupational adaptation, sense of empowerment and experience of flow during the performance of occupations. MBSR is an evidence-based approach that is consistent with the occupational therapy emphasis on health promotion and satisfying engagement in life.
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