Reliability and Validity of the Chinese Version of the Infant/Toddler Sensory Profile

Am J Occup Ther. 2020 Mar/Apr;74(2):7402205060p1-7402205060p10. doi: 10.5014/ajot.2020.036566.

Abstract

Importance: In Chinese-speaking societies, a reliable and valid measure is needed to enable early identification of young children's challenges in sensory processing.

Objective: To examine the psychometric properties of the Chinese version of the Infant/Toddler Sensory Profile (ITSP-C) when used with Taiwanese children.

Design: Prospective study.

Setting: Multiple settings.

Participants: Participants were 367 typically developing (TD) infants ages 0-6 mo (mean [M] age = 3.44 mo, standard deviation [SD] = 1.82) and 677 toddlers ages 7-36 mo (M age = 22.33 mo, SD = 8.15), along with 42 toddlers with developmental disabilities (DD; M age = 28.4 mo, SD = 6.7).

Outcomes and measures: The ITSP, a caregiver questionnaire that measures how children respond to sensory events in daily life, was translated and cross-culturally adapted into a Chinese version (ITSP-C).

Results: Internal consistency was high for the 0-6 mo subscale (α = .80) and the 7-36 mo subscale (α = .82). Test-retest reliability was excellent for the 7-36 mo subscale (intraclass correlation coefficient = .94). Logistic regression analysis demonstrated that the ITSP-C discriminated between children with DD and TD children.

Conclusions and relevance: The ITSP was successfully adapted to Chinese with similar reliability and validity to the original ITSP. The 7-36 mo subscale had a higher level of reliability than the 0-6 mo subscale, and quadrant scores were more reliable than section scores. Moreover, the ITSP-C discriminated children with DD from TD children on the basis of their sensory processing patterns.

What this article adds: The ITSP-C has sound psychometric properties and support for its use in early identification of sensory processing difficulties in young Chinese-speaking children.

MeSH terms

  • Caregivers* / psychology
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Infant, Newborn
  • Prospective Studies
  • Psychometrics / methods
  • Psychometrics / standards
  • Reproducibility of Results
  • Surveys and Questionnaires