The aim of this study was to investigate the perceived impact and experience of longterm involvement in a community-based group yoga class for people with chronic pain. Eleven participants, who previously completed an 8-week yoga intervention and continued attending yoga at a community pain clinic for 2 years, took part in the study. A mixed methods approach was employed. Two-year follow-ups of the Canadian Occupational Performance Measure (COPM) were collected and compared to baseline COPM scores to measure change in perceived occupational performance and satisfaction. Individual qualitative interviews were conducted to explore participants' perceived impact and experience of long-term yoga involvement. COPM data were analyzed using Wilcoxon sign ranked non-parametric tests and qualitative interviews were analyzed using an inductive approach. COPM performance and satisfaction scores significantly improved between baseline and follow up after 2 years of yoga. Three main themes emerged from the qualitative interviews: 1) Occupational shift from "living" to "existing," 2) The change process is "progressive," and 3) Yoga is "a positive thing I do in my life." Long-term involvement in community-based group yoga may improve and sustain occupational health and well-being. Therefore, occupational therapists may consider yoga as a tool to promote occupational health in people with chronic pain. enjoy the journey. To Dr. Jennifer Portz, for offering insights and critical feedback throughout the process. To my husband, Nick, for steadily believing in me and comforting me during the difficult moments. To Ally Andrews, my yoga research companion, for the many hours she spent coding my interviews and for sharing the struggles and accomplishments of this thesis student experience with me. I would also like to thank my friends and family for understanding the magnitude of this project and loving me through the stressful and celebratory times. Most especially, my warmest thanks to the participants at the Pain Clinic, who shared their inspirational stories and expanded my understanding of life with pain. iv DEDICATION Lastly, I would like to dedicate this thesis to the people in my life who have shown me and continue to show me the power and magic of yoga. To honor these individuals, their initials were used as the pseudonyms for the participants in this study.