INFANT AND TODDLER SENSORY PROFILELauren 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/infanttoddler-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. Send Caregiver Questionnaire with cover letter for specific instructions home with parent

2. Have caregiver complete form in office or clinic3. 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 quadrant if one is missing.

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.