“…King et al did not find a reduction in self‐improvement activities but did report a reduction in social activities, which is different to the participation patterns identified in the current study and that of Majnemer et al, who found that social participation was stable. Possible explanations for the differences in findings across the three studies include sociocultural differences between Canada and Australia, the length of time over which the phenomenon was studied (3y, 5y, or 9y), the frequency of assessment (63.4% of our participants having ≥3 assessments), and the differences in the samples (those with various physical disabilities; only ambulatory CP; or all levels of severity of CP reported here). With the exception of the somewhat larger slopes identified within the recreational activity domain, both King et al and the current study reported small slope values, suggesting that changes in participation, as measured by the CAPE, occur slowly.…”