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Infant AND TODDLER SENSORY PROFILE

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Presentation on theme: "Infant AND TODDLER SENSORY PROFILE"— Presentation transcript:

1 Infant AND TODDLER SENSORY PROFILE
Lauren Tumey & Sarah Durham

2 PURPOSE: To evaluate possible sensory processing patterns that support and/or interfere with a child’s daily functional performance. Helps to identify which specific sensory system or systems are contributing to dysfunctional behavior. Provides information about the child’s level of responsivity (hyper responsive or hypo responsive)

3 Key Characteristics Written by Winnie Dunn, OTR
Age: Birth to 36 months Available in English or Spanish Assessment approach: Judgment based-Caregiver Questionnaire Ecological and Top Down Supports family-centered care philosophy Caregiver main source of data collection Assesses child’s response to sensory stimuli in a natural environment (daily routines at home) This tool can be used in early intervention and private practice setting. Judgment based- in form of caregiver questionnaire Ecological- looks at home environment Top down- looks at function and split into domains

4 Key Characteristics Frame of references Length= 30 minutes
Sensory Integration Neuroscience Length= 30 minutes 15 minutes to administer 15 minutes to score Areas of occupation ADLs (Sleep, eating, bathing, grooming, toileting) Social participation Play FOR: Neuroscience- the physiology of why brain may be functioning at high or low sensory neurological threshold Examples of questions: ADLS Sleep= My child has difficulty getting to sleep and is easily awakened toileting= My child seems unaware of dirty diapers Bathing= My child becomes agitated when getting hair washed Social participation= My child avoids playing with others Play= My child finds ways to make noise with toys

5 Test Cost Complete kit =$200.00 Profile User’s Manual= $114.00
Includes user’s manual, 25 questionnaires, and 25 summary score sheets Profile User’s Manual= $114.00 Questionnaire(25)= $59.00 Summary Score Sheet(25)=$35.00 ler-sensory-profile.html?Pid=

6 DOMAINS: Quadrants: Sensory processing sections: low registration
sensation seeking sensory sensitivity sensation avoiding Sensory processing sections: general auditory visual tactile vestibular oral ( 7-36 months only)

7 TESTING PROCEDURES: 3 ways to administer:
Send Caregiver Questionnaire with cover letter for specific instructions home with parent Have caregiver complete form in office or clinic Help caregiver fill out questionnaire( possible language differences/reading disabilities) Inform caregiver to fill out front page of Caregiver Questionnaire including: child’s name, child’s birthdate, caregiver name, relationship to child, and other questions.

8 SPECIFIC ADMINISTRATION PROCEDURE:
Instruct caregiver to read each item on the questionnaire and check the box that best describes the frequency which he/she observes the behaviors. 1 Almost always: >90% 2 Frequently: about 75% 3 Occasionally: about 50% 4 Seldom: about 25% 5 Almost never: <10% Encourage caregiver to make comments under each section and make sure caregiver answers 2 questions at end of questionnaire. Make sure all items are completed because raw scores cannot be completed for that section or quadrant if one is missing. 2 questions at end: What do you see as your child’s strengths? What are your concerns?

9 EXAMPLES OF TEST ITEMS:
Birth to 6 months: 36 items 7 -36 months: 48 items 7-36 months

10 Demonstration

11 Scoring: Quadrant Grids
Low threshold explain how questions overlapped Explain how they must both be outside typical range to be scored properly

12 Interpretation: 7-36 months
Definite difference: outside + or – 2 SD Probable difference: within +/- 1 to 2 SD range Typical performance: at or between +/- 1 SD Notice the age categories: must adjust for age trends

13 Interpretation: birth- 6 months
Consult and follow-up Scores outside + or – 1 SD Typical performance Scores at or between + or – 1 SD

14 Interpretation: Sensory Processing Sections
7-36 months ONLY Reliability was not consistent for 6 months to have sensory processing scores

15 Test Results The results of this measure are not to be used alone.
Should be used in combination with other evaluations, observations, and reports. Measure reveals child’s sensory patterns based on Dunn’s Model of Sensory Processing This helps in guiding treatment planning.

16 Test Development Developed first from the Sensory Profile (ages 3-10)
Exploratory study-100 parents of infants and toddlers completed Sensory Profile and marked out any inappropriate age items. Expert panel- reviewed and sorted items into quadrants Pilot study- Clinical Edition Infant/Toddler Sensory Profile –Standardization Edition study

17 STANDARDIZATION: Standardization sample
0-6 months= 100 7-36 months=489 U.S. children without disabilities Item bias review: Age, gender, region of U.S., ethnicity, yearly income, and type of community

18 What about children with disabilities?
Measure was standardized for children birth to 36 months without disability, but data was provided to guide interpretation for children with the following disabilities: Developmental delay Health impairments and metabolic disorders Pervasive developmental disorder (autism) Down syndrome Sensory integrative dysfunction Language delay Manual provides appendix that graphs the mean and -/+ 1 SD scores for children with and without disabilities.

19 PSYCHOMETRIC PROPERTIES:
Internal Consistency Reliability Test-Retest Reliability Validity Birth to 6 months ( ) Test-Retest Structure (n=32) Content Validity Established through exploratory study, expert panels, and pilot study 7 to 36 months (.42 to .86) Sensory processing section scores = .86 Convergent and Discriminant Evidence (Construct and Concurrent Validity): Criterion measure- Infant/Toddler Symptom Checklist Quadrant scores=.74 Convergent & discriminant= both criterion & construct validity Standard Error of Measurement (SEM) values are provided for each quadrant and sensory section raw score totals. SEM aid in calculation of confidence intervals.

20 Measurement Concerns Judgment based tool
rating is based on parent’s interpretation ( could be bias) Should be used in combination with other tools Can be used by many professionals but recommend background in sensory processing Adequate reliability

21 Reference Dunn, W. (2002). Infant/Toddler Sensory Profile. Bloomington, MN: NCS Pearson, INC.


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