The findings indicated the vital role played by families and the importance of multifaceted approaches to support- ing participation. Clinically speaking, the major role played by children's preferences suggests that children's participa- tion can be encouraged by explicit consideration of chil- dren's motives for engaging in activities. The literature sug- gests that children are motivated to be involved in activities that supply them with meaningful experiences that satisfy basic psychological needs, including needs for control, self- esteem, and social relatedness (King et al., 2004; Sandler, Ayers, Suter, Schultz, & Twohey-Jacobs, 2004; Tinsley & Eldredge, 1995). Service providers can play an important role in helping children and families to recognize the multi- ple factors influencing participation. Service providers can assess participation and consider the supports that could be provided to influence a child's participation, because support from parents, close friends, and teachers plays an important role in promoting participation.