title: Geographical patterns in the recreation and leisure participation of children and youth with cerebral palsy: a CAPE international collaborative network study.
abstract: OBJECTIVE
  To examine geographical variation in the leisure participation of children/youth with cerebral palsy (CP), using Children's Assessment of Participation and Enjoyment (CAPE) data from Australia, Canada (Ontario and Quebec) and the U.S.
  
  
  METHODS
  Data from 1076 children/youth ages 6-20 years with CP were included. Analyses examined CAPE diversity scores in activity types as a function of region, age group and Gross Motor Function Classification System (GMFCS) group, controlling for family income, education and child gender.
  
  
  RESULTS
  There were only two substantial geographical differences: children/youth from the U.S. took part in the fewest active physical activities; those from Ontario took part in the most self-improvement activities. The youngest age group took part in the most recreational activities, and those in GMFCS level IV/V had the lowest levels of participation in recreational, active physical and self-improvement activities, confirming previous findings.
  
  
  CONCLUSIONS
  There were more similarities than differences in participation patterns for the three countries.
authors.affiliation: Bloorview Research Institute, Toronto, ON, Canada. gking27@uwo.ca
authors.forename: Gillian
authors.initials: G
authors.lastname: King
authors.forename: Christine
authors.initials: C
authors.lastname: Imms
authors.forename: Robert
authors.initials: R
authors.lastname: Palisano
authors.forename: Annette
authors.initials: A
authors.lastname: Majnemer
authors.forename: Lisa
authors.initials: L
authors.lastname: Chiarello
authors.forename: Margo
authors.initials: M
authors.lastname: Orlin
authors.forename: Mary
authors.initials: M
authors.lastname: Law
authors.forename: Lisa
authors.initials: L
authors.lastname: Avery
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001315:Australia; D002170:Canada; D002547:Cerebral Palsy / Q000523:psychology*; D002648:Child; D019988:Children with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D007899:Leisure Activities / Q000523:psychology*; D008297:Male; D010988:Play and Playthings / Q000523:psychology*; D011998:Recreation / Q000523:psychology*; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult