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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/infanttodd
ler-sensory-profile.html?Pid=076-1649-549
DOMAINS:
 Quadrants:  Sensory processing
 low registration sections:
 sensation seeking  general

 sensory sensitivity  auditory

 sensation avoiding  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 clinic
3. 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 Test-Retest Reliability Validity
Reliability
Birth to 6 months Test-Retest Structure Content Validity Established
(.17-.83) (n=32) through exploratory study, expert
panels, and pilot study
7 to 36 months Sensory processing Convergent and Discriminant
(.42 to .86) section scores = .86 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.

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