{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:46:59Z","timestamp":1791899219320,"version":"4.3.4"},"reference-count":46,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>To determine if a participation-focused therapy (Participate-CP) was more effective than usual care to improve participation in physically active leisure and physical activity for children with cerebral palsy (CP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This prospective, multisite waitlist randomized controlled trial included children with CP, aged 8 to 14\u00a0years, classified in Gross Motor Function Classification System (GMFCS) levels I-IV. Participate-CP comprised weekly, 60-minute sessions over 12\u00a0weeks using motivational interviewing and a toolbox of evidence-based therapy strategies targeting modifiable barriers to participation. Primary outcomes were the Canadian Occupational Performance Measure (COPM) and time spent in moderate-to-vigorous physical activity. Secondary outcomes were the Barriers to Participation in Physical Activities Questionnaire, Participation and Environment Measure for Children and Youth (PEM-CY), Motives for Physical Activities Measure, and Physical Activity Climate Questionnaire and Goal Attainment Scale (GAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 110 children (mean age 10.4\u00a0years [SD, 1.6\u00a0years]; 60% boys; and GMFCS I\u2009=\u200958, II\u2009=\u200930, III\u2009=\u20098, and IV\u2009=\u200914) were assigned to Participate-CP (n\u2009=\u200956) or usual care (n\u2009=\u200954). There were no relevant baseline differences between groups. Participate-CP led to greater changes in perceived performance of participation goals (COPM: mean difference [MD], 2.75; 95% CI, 2.08\u20133.42; P\u2009&amp;lt;\u2009.001), greater average movement intensity (MD, 4.66; 95% CI, 0.50\u20138.82; P\u2009=\u2009.03), fewer barriers to participation (MD, 13.42; 95% CI, 1.69\u201325.14; P\u2009=\u2009.03), and greater frequency of community participation (PEM-CY: MD, 0.35; 95% CI, 0.02\u20130.68; P\u2009=\u2009.04) and expected goal attainment (GAS T score mean, 53.7; SD, 9.9). There were no differences between groups in the remaining measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Participate-CP was confirmed as effective to improve the performance of physically active leisure goals, average movement intensity, frequency of community participation, and reduced barriers to participation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2025-075162","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:02:17Z","timestamp":1783641737000},"source":"Crossref","is-referenced-by-count":1,"title":["Enhancing Physically Active Leisure Participation for Children With Cerebral Palsy: A Randomized Controlled Trial"],"prefix":"10.1542","volume":"158","author":[{"given":"Leanne","family":"Sakzewski","sequence":"first","affiliation":[{"name":"1School of Health and Rehabilitation Sciences, The University 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda","family":"McNamara","sequence":"additional","affiliation":[{"name":"10Physiotherapy Department, Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sian","family":"Williams","sequence":"additional","affiliation":[{"name":"5School of Allied Health, Curtin University, Perth, Western Australia, Australia"},{"name":"11Liggins Institute, The University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Brookes","sequence":"additional","affiliation":[{"name":"12Child Health Research Centre, Faculty of Medicine, The University of Queensland, South Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roslyn N.","family":"Boyd","sequence":"additional","affiliation":[{"name":"3Queensland Cerebral Palsy and 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