“…This longitudinal observational study is part of a larger inquiry regarding the perceived learning environment (Thordardottir et al , 2020; Thygesen et al , 2020), approaches to studying (DaLomba et al , 2020; Gramstad et al , 2020; Mørk et al , 2020; Thørrisen et al , 2020) and academic performance (Bonsaksen et al , 2021) among occupational therapy students in Norway. The study employed data from the students in their first, second and third year of study.…”