UNASSIGNED: With increasing age, youth with disabilities are at risk for decreased participation in leisure activities, a key component for physical and mental health. This prospective study describes changes in leisure participation and leisure preferences from school-age to adolescence in @entity1 with @entity306 ( @entity306 ). @entity1 were recruited at school-age (6-12 years) for a study on participation and reassessed for a second study on adolescents (12-19 years) if >12 years. Thirty-eight @entity1 (24 males) with @entity306 who could actively participate in the completion of the @entity1 's Assessment of Participation and Enjoyment ( @entity32413 ) and the Preferences for Activities of @entity1 (PAC) comprised the sample. Average time between assessments was 5.0  1.3 years. Most @entity1 were ambulatory (32/38 Gross Motor Function Classification System I-II). In addition to the @entity32413 and PAC, @entity1 were evaluated using the Gross Motor Function Measure-66 and parents completed a socio-demographic questionnaire. Paired t-tests revealed a significant decline in leisure participation diversity and intensity ( @entity32413 ) for recreation (p<.0001), skill-based (p<.0001) and self-improvement (p<.05) activities, whereas social participation remained stable (p>.05). Diversity of active-physical activities increased modestly (p=.06) although intensity of participation in this activity domain decreased (p=.003). There was also a decline in enjoyment of leisure activities. Preferences for these leisure activities remained unchanged between school-age and adolescence, except for recreational activities. Gender, maternal education, family income and gross motor ability were not related to differences in @entity32413 /PAC scores with increasing age. Findings suggest that over time, @entity1 with @entity306 's participation in leisure activities diminishes, which is of concern to their functioning and well-being. Parents may be more involved in early childhood in facilitating participation whereas in adolescence, youth may be faced with more environmental barriers and a greater awareness of challenges to participation. Adolescents demonstrated a persisting desire to do these activities, challenging rehabilitation specialists to prioritize strategies to promote greater participation as @entity1 transition to adolescence.

Stability of leisure participation from school-age to adolescence in individuals with XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'Children', 'Participants'] @entity32413 :: ('10592', 'Gene') :: ['CAPE'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy', 'CP']
@entity306 :: (MESH:D002547,Disease) :: ['cerebral palsy']
