INFANT AND TODDLER SENSORY PROFILE Lauren Tumey Sarah

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. 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)

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.

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

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/infantt oddler-sensory-profile. html? Pid=076 -1649 -549

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

TESTING PROCEDURES: 3 ways to administer: 1. 2. 3. 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.

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

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

Demonstration

Scoring: Quadrant Grids

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

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

Interpretation: Sensory Processing Sections 7 -36 months ONLY

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.

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

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

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.

PSYCHOMETRIC PROPERTIES: Internal Consistency Reliability Test-Retest Reliability Validity Birth to 6 months (. 17 -. 83) 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 Standard Error of Measurement (SEM) values are provided for each quadrant and sensory section raw score totals. SEM aid in calculation of confidence intervals.

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

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