OT OUTCOMES: CHILDREN WITH SENSORY MODULATION DISORDERS

这一职业发展奖将使申请者成为 独立调查者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 百分比)在丹佛大学和科罗拉多大学 健康科学中心，强化指导(25%)，与两名联合 导师和由五名额外专家组成的委员会，并完成 一个相关的研究项目(50%)将巩固她的新职业 全神贯注。为申请者提供模范环境和研究支持 在这两个机构。 申请人在设计和分析结果研究方面的技能将 通过一个研究项目的执行而得到巩固。样本 包括63名被诊断为感觉调节障碍(SMD)的儿童 按常模参照标尺计算。生理反应的组合， 标准化的注意力、焦虑和日常活动评定量表 生活，以及其他临床措施将评估治疗后 损伤、功能受限和残疾方面的变化。 如果符合SMD纳入标准，则会将孩子分配到以下三项之一 分组使用封锁，随机分配：立即治疗，等待名单 条件，或替代治疗。靶向实验治疗， OT与SI模式结合了以职业为基础的功能性干预， 感官综合活动和以家庭为中心的护理。备择 OT治疗采用以技能为基础的模式。治疗后检查 结果变量是由盲人考官设定的。按重复时间分组 度量的方差分析用于分析数据，区分 三种治疗条件下的疗效比较。 课堂教育、强化辅导和 开展研究项目将使申请者能够：1)学习和 传播适合测量复杂性的研究方法 “以职业为基础”的实地成果，以及2)发展纵向的 与SMD相关的研究计划。该项目还提供了一个 为申请者学习如何评估两者之间的关系 生理/损伤变量，并探索哪种变量最有用 在预测改进方面。

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.