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This systematic review examines the literature published from January 2007 through May 2015 related to the effectiveness of occupational therapy interventions using parental or teacher education and coaching with children with challenges in sensory processing and sensory integration (SP–SI). Of more than 11,000 abstracts and 86 articles that were considered, only 4 met the criteria and were included in this review. Studies of parental training and coaching for children with challenges in SP–SI and comorbid autism spectrum disorder have suggested that educational or coaching programs could result in positive outcomes for both parents and children, often in a relatively short time period. Recommendations include a greater focus on providing educational interventions for parents and teachers and including specific assessment of SP–SI before implementing interventions meant to address those issues. Specific recommendations for future research are provided.

Scientific theory evolves through phases. Scientists observe phenomena, classify their observations, examine and explain causation, and attempt to understand their results in varied circumstances. If anomalies are found that do not mesh with the theory, revision occurs, and the theory is improved (Christensen, Carlile, & Sundahl, 2001). Each stage requires accurate and precise measurement and, therefore, appropriate measurement tools.The body of scientific inquiry developed by A. Jean Ayres is deeply rooted in systematic and methodical measurement, and her work marked the first effort by an occupational therapist to build a theory for clinical application with an evidence-based approach. The trajectory of the growth of Ayres Sensory Integration® (ASI), beginning in the 1950s with continual advancements from the ongoing contributions of the researchers who have built on her seminal work since that time, has occurred simultaneously with the widespread use of more rigorous research methods, attention to measurement of fidelity, greater usage of exploratory and factor analysis, and more routine practice of examining multivariate research problems with computer statistical programs (Century, Rudnick, & Freeman, 2010; Elmore & Woehlke, 1988; Keselman et al., 1998; Ottenbacher & Peterson, 1985; Press, 2013; Tukey, 1980; West, Carmody, & Stallings, 1983).

Changes in federal legislation guiding occupational therapy practice in educational environments have required modifications in the way therapists evaluate children in these settings. New methods in turn require new tools. This article will describe one new tool designed to assist school-based practitioners in their assessment of the impact of sensory processing and praxis difficulties on educational performance. The Sensory Processing Measure is an assessment tool that promotes team collaboration by examining performance across multiple natural environments and also considers the relationship between sensory processing, praxis and social participation. Part One of this paper provides a description of the assessment tool and its proposed uses while in Part Two, examples of the use of the measure will be presented.

This systematic review describes the published evidence related to the effectiveness of frequency modulation (FM) devices in improving academic outcomes in children with auditory processing difficulties. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards were used to identify articles published between January 2003 and March 2014. The Cochrane Population, Intervention, Control, Outcome, Study Design approach and the American Occupational Therapy Association process forms were used to guide the article selection and evaluation process. Of the 83 articles screened, 7 matched the systematic review inclusion criteria. Findings were consistently positive, although limitations were identified. Results of this review indicate moderate support for the use of FM devices to improve children’s ability to listen and attend in the classroom and mixed evidence to improve specific academic performance areas. FM technology should be considered for school-age children with auditory processing impairments who are receiving occupational therapy services to improve functioning in the school setting.

School-based and early intervention occupational therapy evaluation is influenced by federal policy and prevailing ideas regarding best practice. Current best practice considers a child's performance in appropriate contexts and natural environments, as well as the impact of the environment on occupational functioning and participation across settings. As a recent report suggested 3.4% to 15.6% of children in a community sample of 4-year-olds may demonstrate sensory processing difficulties, occupational therapists should be familiar with multiple methods of assessment to address these concerns. One such assessment tool, the Sensory Processing Measure–Preschool (SPM-P) for children 2- to 5-years old, provides 8 scaled scores: Vision, Hearing, Touch, Body Awareness, Balance and Motion, Total Sensory System Score, Planning and Ideas, and Social Participation. Through discussion on the development, usage, and implementation of both Home and School forms, this article illustrates how the SPM-P provides a mechanism for preschool educational teams to meet best practice initiatives.

Over a decade ago, researchers surveyed pediatric occupational therapists regarding their use of play and concluded that play was addressed inconsistently in the evaluation and treatment of preschool-age clients. Play was primarily used as a modality to achieve a desired performance in another skill area. In the intervening years, a significant body of literature has been published in occupational therapy promoting the use of play as a meaningful outcome of occupational therapy intervention; therefore, practice patterns may have changed. Five hundred pediatric occupational therapists were randomly selected from members of the school system and sensory integration special interest sections of the American Occupational Therapy Association (AOTA) to be surveyed regarding their current usage of play with children ages 3 to 7 years. They received a mailed survey, adapted from the original work of Couch, Dietz, and Kanny with the permission of the primary author. There were 198 surveys returned (40%). Similar to earlier findings, play was used primarily as a means of eliciting improvement in another area, such as fine-motor skill. Although some therapists assessed play, few focused on play as an outcome of importance, or included goals for play. Minimal changes have occurred in the role of play in pediatric occupational therapy. Despite the profession's promotion of our role in play and the suggestion that play is one of the most important occupations of childhood, practitioners continue to report a limited focus on play as an occupation.

OBJECTIVE. The history and development of the Sensory Processing Measure–School are detailed, and findings of initial pilot studies are reported.METHOD. Multiple reviews, focus groups, case studies, and two pilot studies were used to develop the early versions of the tool. Internal consistency and discriminatory ability were examined.RESULTS. Internal consistency measured with Cronbach’s alphas ranged from .93 to .99 in the first pilot study and .70 to .99 in the second pilot study. Children who were typically developing were correctly classified 92.3% of the time, and children with sensory issues were correctly classified 72% of the time.CONCLUSION. Initial results suggest that the tool is reliable and valid and discriminates children with and without sensory processing issues. Further research is under way with larger samples.