Fidelity in Sensory Integration Intervention Research

Parham, L. Diane; Cohn, Ellen S.; Spitzer, Susan; Koomar, Jane A.; Miller, Lucy; Burke, Jeremy; Brett-Green, Barbara; Mailloux, Zoe; May-Benson, Teresa A.; Roley, Susanne Smith; Schaaf, Roseann C.; Schoen, Sarah; Summers, Clare A

doi:10.5014/ajot.61.2.216

Cited by 165 publications

(154 citation statements)

References 65 publications

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“…A systematic review of 34 published studies that claimed to evaluate outcomes of OT-SI found that only two of the eight structural elements were described in the majority of studies: professional background of interveners (almost always reported as occupational therapists) and identification of therapeutic equipment used in the study (Parham et al, 2007). This finding underscored the critical need to identify and measure the full range of structural elements necessary in the provision of OT-SI.…”

Section: Development Of Structural Elements Of the Ayres Sensory Intementioning

confidence: 88%

“…Since A. Jean Ayres originally developed sensory integration theory, assessment, and intervention (Ayres, 1972), its use has become commonplace in occupational therapy (Lane, Smith Roley, & Champagne, 2013;Watling, Koenig, Davies, & Schaaf, 2011), yet research on the effectiveness of OT-SI has been severely limited by poor intervention fidelity (Parham et al, 2007). Results of this study show that the structural section of the ASIFM, along with the process section (Parham et al, 2011), is reliable and valid for use in effectiveness studies to ensure that interventions claiming to provide OT-SI are congruent with the underlying principles of this intervention.…”

Section: Resultsmentioning

confidence: 99%

“…The next step in the development of the structural section of the ASIFM involved experienced practitioners of OT-SI from a variety of practice settings who generated and reviewed items to clarify, revise, and expand the initial set of structural elements described by Parham et al (2007). Across a 5-yr period, experienced practitioners who were attending continuing education courses on OT-SI across the United States were invited to review and submit written comments on the contents of the structural section and to participate in focus groups that discussed how the essential structural elements of OT-SI should be represented in the ASIFM.…”

Section: Development Of Structural Elements Of the Ayres Sensory Intementioning

confidence: 99%

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Interrater Reliability and Discriminative Validity of the Structural Elements of the Ayres Sensory Integration® Fidelity Measure©

May-Benson

Roley

Mailloux

et al. 2014

The American Journal of Occupational Therapy

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This study examined the reliability and validity of the structural section of the Ayres Sensory Integration Ò Fidelity Measure Ó (ASIFM), which provides a method for monitoring the extent to which an intervention was implemented as conceptualized in studies of occupational therapy using sensory integration intervention methods (OT-SI). We examined the structural elements of the measure, including content of assessment reports, availability of specific equipment and adequate space, safety monitoring, and integration of communication with parents and other team members, such as collaborative goal setting with parents or family and teacher education, into the intervention program. Analysis of self-report ratings by 259 occupational therapists from 185 different facilities indicated that the structural section of the ASIFM has acceptable interrater reliability (r ³ .82) and significantly differentiates between settings in which therapists reportedly do and do not practice OT-SI (p < .001).

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Section: Development Of Structural Elements Of the Ayres Sensory Intementioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Development Of Structural Elements Of the Ayres Sensory Intementioning

confidence: 99%

See 1 more Smart Citation

Interrater Reliability and Discriminative Validity of the Structural Elements of the Ayres Sensory Integration® Fidelity Measure©

May-Benson

Roley

Mailloux

et al. 2014

The American Journal of Occupational Therapy

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“…Supporters and critics are equally as passionate with their arguments concerning this controversial approach, often arising in heated debate. 3 The most recent example to cause such debate is a policy statement by the American Academy of Pediatrics. 4 In the occupational therapy literature, the terms "sensory integration" and "sensory processing" are used interchangeably and often with controversy.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of the effectiveness of the Wilbarger protocol with children

Weeks¹,

Boshoff²,

Stewart³

2012

PHMT

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Background: Sensory processing disorders have an estimated prevalence of 5%-10% in children without disability and 40%-88% in children with disability. A subtype of sensory processing disorder is sensory overresponsivity, which can result in fear, irritability, aggression, or avoidance behaviors in children. The Wilbarger protocol is the most prescriptive program used to treat sensory overresponsivity in children aged 2-12 years. Strong anecdotal evidence suggests that the Wilbarger protocol successfully reduces challenging behavior in children with sensory overresponsivity. The aim of this systematic review was to identify and appraise the existing evidence for the effectiveness of the Wilbarger protocol with children aged 0-18 years. Methods: A systematic review was conducted of the peer-reviewed literature written in English. The electronic databases searched up to April 2012 included CINAHL, Ovid Medline (R), Embase, Scopus, the Cochrane Library, AMED, and the Web of Science. OT Seeker and Google Scholar were searched for missed literature, along with hand-searching of retained articles. Adult studies were excluded. The Critical Review Form for Quantitative Studies by McMaster University and the levels of hierarchy from the Australian National Health and Medical Research Council were used to appraise the literature. Results: A total of 341 studies were found, and 302 were screened for eligibility after duplicates were removed. Four level IV intervention (case series with pretest/posttest) studies were included for indepth review. All four studies had very small sample sizes, exhibited low methodological quality, differed in outcome measures used, and lacked homogeneity of samples and treatment fidelity. Conclusion: A lack of high quality evidence currently exists to support or refute the use of the Wilbarger protocol with children. While the grade of recommendation, as proposed by the Australian National Health and Medical Research Council, suggests that the Wilbarger protocol should be applied with caution, emerging evidence from these studies warrants future robust research on this topic. Clinicians are advised to use clear outcome measures when using the Wilbarger protocol with clients.

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“…Outcomes of SI intervention, therefore, are assumed to be the result of the brain's ability to change, biochemically and structurally, in response to experiences in the environment (Reynolds, Lane, & Richards, 2010) Historically, there has been some confusion about what is and is not SI treatment. Between 2007 and, in an attempt to clarify and preserve SI as envisioned by Ayres, the term Ayres Sensory Integration ® (ASI) was trademarked, and several publications documented the key features that must be present (Parham et al, 2007(Parham et al, , 2011Smith-Roley, Mailloux, Kuhaneck, & Glennon, 2007). Delineating what ASI is (and is not) has been essential in both clinical practice and research.…”

mentioning

confidence: 99%

Using a Multifaceted Approach to Working With Children Who Have Differences in Sensory Processing and Integration

Reynolds

Glennon

Ausderau

et al. 2017

The American Journal of Occupational Therapy

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Pediatric occupational therapy practitioners frequently provide interventions for children with differences in sensory processing and integration. Confusion exists regarding how best to intervene with these children and about how to describe and document methods. Some practitioners hold the misconception that Ayres Sensory Integration intervention is the only approach that can and should be used with this population. The issue is that occupational therapy practitioners must treat the whole client in varied environments; to do so effectively, multiple approaches to intervention often are required. This article presents a framework for conceptualizing interventions for children with differences in sensory processing and integration that incorporates multiple evidence-based approaches. To best meet the needs of the children and families seeking occupational therapy services, interventions must be focused on participation and should be multifaceted.

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Fidelity in Sensory Integration Intervention Research

Abstract: Validity of sensory integration outcomes studies is threatened by weak fidelity in regard to therapeutic process. Inferences regarding sensory integration effectiveness cannot be drawn with confidence until fidelity is adequately addressed in outcomes research.

Cited by 165 publications

References 65 publications

Interrater Reliability and Discriminative Validity of the Structural Elements of the Ayres Sensory Integration® Fidelity Measure©

Interrater Reliability and Discriminative Validity of the Structural Elements of the Ayres Sensory Integration® Fidelity Measure©

Systematic review of the effectiveness of the Wilbarger protocol with children

Using a Multifaceted Approach to Working With Children Who Have Differences in Sensory Processing and Integration

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