Efficacy of participation-focused therapy on performance of physical activity participation goals and habitual physical activity in children with cerebral palsy: a randomized controlled trial

To determine the efficacy of a participation-focused therapy (ParticiPAte CP) on leisure-time physical activity goal performance and satisfaction and habitual physical activity (HPA) in children with cerebral palsy (CP).Randomized waitlist-controlled trial.Home and community.Thirty-seven children Gross Motor Function Classification System (GMFCS) I-III were recruited (18 males, mean age 10y 0mo [SD 1y 5mo]) from a population-based register.Participants were randomized to ParticiPAte CP (an 8-week goal-directed, individualized, participation-focused therapy delivered by a physical therapist) or waitlist usual care.The primary outcome was Canadian Occupational Performance Measure (COPM). Accelerometers were worn for objective measurement of HPA (min·day moderate to vigorous physical activity, MVPA, and sedentary time). Barriers to participation, community participation, and quality of life outcomes were also collected. Data were analysed by intention-to-treat using generalized estimating equations.ParticiPAte CP led to significant improvements in goal performance (MD=3.58, 95% CI=2.19 to 4.97,