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Infant AND TODDLER SENSORY PROFILE

Infant AND TODDLER SENSORY PROFILE. Lauren Tumey & Sarah Durham. PURPOSE:. To evaluate possible sensory processing patterns that support and/or interfere with a child’s daily functional performance.

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Infant AND TODDLER SENSORY PROFILE

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  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.

  4. Key Characteristics • Frame of references • 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

  5. Test Cost • Complete kit =$200.00 • 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 • http://www.pearsonclinical.com/therapy/products/100000389/infanttoddler-sensory-profile.html?Pid=076-1649-549

  6. DOMAINS: • Quadrants: • 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. • 1Almost always: >90% • 2Frequently: about 75% • 3Occasionally: about 50% • 4Seldom: about 25% • 5Almost 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.

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

  10. Demonstration

  11. Scoring: Quadrant Grids

  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

  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

  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 • N=589 • 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: 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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