OT OUTCOMES: CHILDREN WITH SENSORY MODULATION DISORDERS

这个职业发展奖将使申请人成为一个 独立调查员在一个新的研究领域，结果研究， 儿科康复 课堂教育的结合（25 在丹佛大学和科罗拉多大学， 健康科学中心，密集的指导（25%）与两个共同的， 导师和另外五名专家组成的委员会，并完成 一个相关的研究项目（50%）将巩固她的新职业生涯 专心点为申请人提供示范性的环境和研究支持 在这两个机构。 申请人在结果研究的设计和分析方面的技能将 通过一个研究项目的执行来巩固。样品 包括63名诊断为感觉调节障碍（SMD）的儿童 以标准为参照的尺度。 一系列生理反应， 注意力、焦虑和日常活动的标准化评定量表 生活和其他临床措施将估计治疗后 损伤、功能限制和残疾的变化。 如果符合SMD入选标准，则将儿童分配到三个 分组随机分配：立即治疗，等待名单 条件或替代治疗。 目标实验治疗， OT与SI模型结合了基于功能性职业的干预， 感觉统合活动和以家庭为中心的护理。 替代 OT治疗采用基于技能的模式。 治疗后检查 结果变量由盲检查者确定。 按重复时间分组 测量方差分析用于分析数据，区分 三种治疗方法的效果。 课堂教育、强化辅导和 进行研究项目将使申请人：1）学习和 传播适合于衡量复杂的 “基于职业”的结果，2）制定一个纵向 与SMD相关的研究项目。该项目还提供了一个 让申请人学习如何评估 生理/损伤变量，并探讨哪一个是最有用的 预测改善。

This career development award will enable the applicant to become an independent investigator in a new field of study, outcomes research in pediatric rehabilitation. A combination of classroom education (25 percent) at the University of Denver and the University of Colorado Health Sciences Center, intensive mentorship (25 percent) with two co- mentors and a committee of five additional experts, and completion of a related research project (50 percent) will consolidate her new career focus. Exemplary environmental and research supports for applicant exist at these two institutions. The applicant's skills in design and analysis of outcome research will be solidified through performance of a research project. The sample includes 63 children diagnosed with sensory modulation disorder (SMD) by a norm-referenced scale. A combination of physiologic responses, standardized rating scales of attention, anxiety and activities of daily living, and additional clinical measures will estimate post-treatment changes in impairments, functional limitations, and disabilities. If SMD inclusion criteria are met, child is assigned to one of three groups using blocked, random allocation: immediate treatment, wait-list condition, or alternative treatment. The target experimental treatment, OT with SI model combines functional occupation-based interventions, sensory integrative activities, and family centered care. Alternative OT treatment uses a skills-based model. Post-treatment examination on outcome variables are made by a blind examiner. Group by time repeated measures analysis of variance is used to analyze data, differentiating the effectiveness of the three treatment conditions. The combination of classroom education, intensive mentorship and conducting the research project will enable applicant to: 1) learn and disseminate research methodologies appropriate to measuring complex "occupation-based" outcomes to the field, and 2) develop a longitudinal program of research related to SMD. The project also provides a mechanism for applicant to learn how to evaluate the relation between physiologic/impairment variables, and to explore which is most useful in predicting improvements.