“…The results from studies regarding the influence of TH on quality of life vary; both nonsignificant (Richards & Kafami, 1999;Sempik, 2007) and significant changes (Heliker, Chadwick, & O'Connell, 2000;Waliczek, Zajicek, & Lineberger, 2005) have been reported. Participants in TH programs have often reported that participating was a positive experience (Fieldhouse, 2003;Perrins-Margalis, 2000;74 M. T. GONZALEZ ET AL. Sempik, Aldridge, & Becker, 2005).…”