Purpose
The SPM examines sensory issues, praxis, and social participation of elementary school children aged 5 through 12.
Link to Instrument
Area of Assessment
Activities & ParticipationBodily Functions
Communication
Sensation & Pain
Vestibular
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The SPM examines sensory issues, praxis, and social participation of elementary school children aged 5 through 12.
Home Form: 75 items completed by caregiver
Classroom Form: 62 items completed by classroom teacher
Social Environments Form: completed by other school personnel
15-20 minutes
Time estimate is per form
6 - 12
yearsInitially reviewed by University of Illinois at Chicago Master of Science in Occupational Therapy students Julia Bates, Carol Brod, Louis Calderone, and Ariana Rodriguez.
Recommended and used by many healthcare and academic professionals predominantly in home and school settings.
The SPM was developed and standardized in the United States with typically developing children. This could result in significant cultural bias.
Efforts to standardize the assessment with a representative sample of the United States population were taken, however there was an overrepresentation of parents with higher education status (college degree or more), geographical distribution (majority from the Midwest), and two-parent households.
Information was not included about whether standardization population was from rural or urban settings, which could result in an additional geographical bias.
The SPM assesses family and professional input, without input from the child.
Normative Sample: (Parham, Ecker, Miller Kuhaneck, Henry, & Glennon, 2007; n = 1,057; age = [5, 12])
95% Confidence Intervals for Scale T-Scores Based on Two Reliability Methods |
|
|
|
Standard Error of Measurement (SEM) T-Scores |
|
Scale |
Test-retest reliability |
Internal Consistency |
Home Form |
|
|
Social Participation (SOC) |
2.35 |
3.03 |
Vision (VIS) |
1.56 |
3.70 |
Hearing (HEA) |
1.93 |
3.44 |
Touch (TOU) |
1.60 |
3.91 |
Body Awareness (BOD) |
1.29 |
3.40 |
Balance & Motion (BAL) |
1.84 |
4.40 |
Planning & Ideas (PLA) |
2.07 |
3.07 |
Total Sensory Systems (TOT) |
1.40 |
2.21 |
Main Classroom Form |
|
|
Social Participation (SOC) |
2.13 |
2.52 |
Vision (VIS) |
1.79 |
4.20 |
Hearing (HEA) |
1.48 |
4.00 |
Touch (TOU) |
1.44 |
4.14 |
Body Awareness (BOD) |
1.52 |
3.16 |
Balance & Motion (BAL) |
1.80 |
3.49 |
Planning & Ideas (PLA) |
1.82 |
2.57 |
Total Sensory Systems (TOT) |
1.37 |
2.17 |
Note: SEM = standard error of measurement.
Cut-off scores for School Environments Forms:
Art Class (ART): (n = 311; age = [5, 12]; M (SD) = 20.3 (6.0))
Cut-off score of 29 accurately identified most sensory processing issues (% ≥ cutoff = 10.0)
Music Class (MUS): (n = 306; age = [5, 12]; M = 20.1 (5.7))
Cut-off score of 29 accurately identified most sensory processing issues (% ≥ cutoff = 10.1)
Physical Education (PHY) Class: (n = 308; age = [5, 12]; M (SD) = 19.6 (4.9))
Cut-off score of 28 accurately identified most sensory processing issues (% ≥ cutoff = 9.4)
Recess/Playground (REC): (n = 280; age = [5, 12]; M (SD) = 20.2 (5.7))
Cut-off score of 29 accurately identified most sensory processing issues (% ≥ cutoff = 11.1)
Cafeteria (CAF): (n = 279; age = [5, 12]; M (SD) = 19.7 (5.0))
Cut-off score of 27 accurately identified most sensory processing issues (% ≥ cutoff = 10.0)
School Bus (BUS): (n = 171; age = [5, 12]; M (SD) = 13.4 (3.7))
Cut-off score of 19 accurately identified most sensory processing issues (% ≥ cutoff = 9.9)
Note: Cut-off scores are not reported for Home and Main Classroom Forms.
The SPM - Home Form and SPM - Main Classroom Form were standardized on a sample of 1051 typically developing children aged between 5 and 12 years.
Clinic-Referred Children Receiving OT Services versus Typically Developing Children: (Parham et al., 2007)
Reliability was assessed with a sample of 77 children between the ages of 5-12 using the SPM Class and Home forms 2 weeks apart (r > 0.94)
Children with Sensory Processing Difficulties aged 5-12: (Lai, Chung, Chan, & Li-Tsang, 2011; Chinese sample)
Good to excellent test-retest reliability of the SPM-HKC Home Form: (ICC = [0.70, 0.95])
Good to excellent test-retest reliability of the SPM-HKC Main Classroom Form: (ICC = [0.82, 0.98])
Parent and Classroom Teacher Responses for Australian Children Aged 5-10: (Brown, Morrison, & Stagnitti, 2010b)
Adequate interrater reliability was found for the SPM Home Form (ICC = 0.63, p = 0.005) and subscales (ranged from 0.58 (p = 0.011) to 0.81 (p = 0.000))
Clinic-referred Children Receiving OT Services versus Typically Developing Children: (Parham et al., 2007)
High Internal Consistency for the SPM-Home Form (Cronbach's Alpha = [0.77, 0.95])
High Internal Consistency for the SPM-Class Form (Cronbach's Alpha = [0.75, 0.95])
Chinese Children with Sensory Processing Difficulties aged 5-12: (Lai, Chung, Chan, & Li-Tsang, 2011)
Good internal consistency of the SPM-HKC in 3 of 8 Home scales (Cronbach’s Alpha ≥ 0.80)
Good internal consistency of the SPM-HKC in 7 of 8 Main Classroom scales (Cronbach’s Alpha ≥ 0.80)
TNS and BAL Home Form Coefficients > -0.70.
Parent and Classroom Teacher Responses for Australian Children Aged 5-10: (Brown, Morrison, & Stagnitti, 2010b)
Adequate internal consistency in the Home Form (Cronbach's Alpha = 0.93; subscale coefficients ranged from 0.33-0.88; subscale coefficients = [0.04-0.87])
Adequate internal consistency in the Class Form (Cronbach's Alpha = 0.86; subscale coefficients = [0.04, 0.87])
Convergent Validity:
The Sensory Profile and The Sensory Processing Measuring: (Brown, Morrison, & Stagnitti, 2010)
Children with Sensory Processing Difficulties Aged 5 to 12: (Lai, Chung, Chan, & Li-Tsang, 2011)
Children with Fetal Alcohol Spectrum Disorders: (Hansen & Jirikowic, 2013)
Discriminant Validity:
Clinic-referred Children Receiving OT Services Versus Typically Developing Children: (Parham et al., 2007)
Children with Sensory Processing Difficulties ages 5-12: (Lai, Chung, Chan, & Li-Tsang, 2011)
Clinic referred children receiving OT services versus Typically Developing Children: (Parham et al., 2007)
SPM is the product of two prior assessments including the School Assessment of Sensory Integration (SASI) and the Evaluation of Sensory Processing (ESP). Items from both measures are based on sensory integration theory and assess individuals' sensory integration difficulties. The early stages of these two prior assessments' development have enhanced the content validity of the Sensory Processing Measure.
Effect sizes:
SPM Home and Main Classroom Raw Scale Scores: Descriptive Statistics: (Parham et al., 2007)
Scale |
Standardization Sample Versus Clinical Sample Effect Size |
Home Form |
|
Social Participation (SOC) |
1.01 |
Vision (VIS) |
1.01 |
Hearing (HEA) |
1.05 |
Touch (TOU) |
.99 |
Body Awareness (BOD) |
.98 |
Balance & Motion (BAL) |
1.03 |
Planning & Ideas (PLA) |
1.27 |
Total Sensory Systems (TOT) |
1.15 |
Main Classroom Form |
|
Social Participation (SOC) |
1.15 |
Vision (VIS) |
1.02 |
Hearing (HEA) |
1.05 |
Touch (TOU) |
.90 |
Body Awareness (BOD) |
.84 |
Balance & Motion (BAL) |
.90 |
Planning & Ideas (PLA) |
1.19 |
Total Sensory Systems (TOT) |
1.10 |
Note: Higher raw scale scores indicate more problems and poorer functioning; Social Participation items and Home Form Item 57 are scored as follows: Never = 4, Occasionally = 3, Frequently = 2, Always = 1; All other items are scored as follows: Never = 1, Occasionally = 2, Frequently = 3, Always = 4.
SPM Raw Scale Scores: Descriptive Statistics and Effect Sizes by Age Group
Scale |
Ages 5-8 |
Ages 9-12 |
Home Form |
|
|
Social Participation (SOC) |
0.12 |
0.14 |
Vision (VIS) |
0.10 |
0.11 |
Hearing (HEA) |
0.13 |
0.15 |
Touch (TOU) |
0.07 |
0.08 |
Body Awareness (BOD) |
0.19 |
0.23 |
Balance & Motion (BAL) |
0.14 |
0.16 |
Planning & Ideas (PLA) |
0.13 |
0.15 |
Total Sensory Systems (TOT) |
0.14 |
0.17 |
Main Classroom Form |
|
|
Social Participation (SOC) |
0.14 |
0.16 |
Vision (VIS) |
0.16 |
0.19 |
Hearing (HEA) |
0.13 |
0.16 |
Touch (TOU) |
0.13 |
0.16 |
Body Awareness (BOD) |
0.15 |
0.18 |
Balance & Motion (BAL) |
0.14 |
0.17 |
Planning & Ideas (PLA) |
0.15 |
0.18 |
Total Sensory Systems (TOT) |
0.17 |
0.20 |
Ages 5-8: n = 572; Ages 9-12: n = 479; Effect size refers to the difference between the group mean and the grand mean divided by the pooled standard deviation.
SPM Raw Scale Scores: Descriptive Statistics and Effect Sizes by Gender
Scale |
Males |
Females |
Home Form |
|
|
Social Participation (SOC) |
0.14 |
0.15 |
Vision (VIS) |
0.09 |
0.10 |
Hearing (HEA) |
0.08 |
0.09 |
Touch (TOU) |
0.14 |
0.15 |
Body Awareness (BOD) |
0.17 |
0.19 |
Balance & Motion (BAL) |
0.05 |
0.06 |
Planning & Ideas (PLA) |
0.17 |
0.18 |
Total Sensory Systems (TOT) |
0.13 |
0.14 |
Main Classroom Form |
|
|
Social Participation (SOC) |
0.21 |
0.22 |
Vision (VIS) |
0.20 |
0.21 |
Hearing (HEA) |
0.19 |
0.20 |
Touch (TOU) |
0.14 |
0.15 |
Body Awareness (BOD) |
0.20 |
0.21 |
Balance & Motion (BAL) |
0.19 |
0.20 |
Planning & Ideas (PLA) |
0.17 |
0.19 |
Total Sensory Systems (TOT) |
0.21 |
0.22 |
Males: n = 547; Females: n = 504; Effect size refers to the difference between the group mean and the grand mean divided by the pooled standard deviation.
SPM Raw Scale Scores: Descriptive Statistics and Effect Sizes by Black and Hispanic Ethnicity
Scale |
Black |
Hispanic |
Home Form |
|
|
Social Participation (SOC) |
0.15 |
0.14 |
Vision (VIS) |
0.11 |
0.22 |
Hearing (HEA) |
0.19 |
0.07 |
Touch (TOU) |
0.22 |
0.11 |
Body Awareness (BOD) |
0.22 |
0.01 |
Balance & Motion (BAL) |
0.16 |
0.05 |
Planning & Ideas (PLA) |
0.24 |
0.03 |
Total Sensory Systems (TOT) |
0.20 |
0.10 |
Main Classroom Form |
|
|
Social Participation (SOC) |
0.10 |
0.10 |
Vision (VIS) |
0.08 |
0.11 |
Hearing (HEA) |
0.02 |
0.02 |
Touch (TOU) |
0.02 |
0.09 |
Body Awareness (BOD) |
0.09 |
0.16 |
Balance & Motion (BAL) |
0.06 |
0.05 |
Planning & Ideas (PLA) |
0.05 |
0.11 |
Total Sensory Systems (TOT) |
0.06 |
0.04 |
Black: n = 108; Hispanic n = 130; Effect size refers to the difference between the group mean and the grand mean divided by the pooled standard deviation.
SPM Raw Scale Scores: Descriptive Statistics and Effect Sizes by Parent Educational Attainment
Scale |
No High School Degree |
High School Graduate |
Home Form |
|
|
Social Participation (SOC) |
0.03 |
0.22 |
Vision (VIS) |
0.04 |
0.15 |
Hearing (HEA) |
0.14 |
0.05 |
Touch (TOU) |
0.09 |
0.02 |
Body Awareness (BOD) |
0.16 |
0.09 |
Balance & Motion (BAL) |
0.14 |
0.00 |
Planning & Ideas (PLA) |
0.23 |
0.01 |
Total Sensory Systems (TOT) |
0.11 |
0.08 |
Main Classroom Form |
|
|
Social Participation (SOC) |
0.05 |
0.22 |
Vision (VIS) |
0.01 |
0.16 |
Hearing (HEA) |
0.01 |
0.17 |
Touch (TOU) |
0.08 |
0.17 |
Body Awareness (BOD) |
0.05 |
0.19 |
Balance & Motion (BAL) |
0.01 |
0.21 |
Planning & Ideas (PLA) |
0.10 |
0.19 |
Total Sensory Systems (TOT) |
0.03 |
0.21 |
No high school degree: n = 142; High school graduate: n = 212; Effect size refers to the difference between the group mean and the grand mean divided by the pooled standard deviation.
SPM Raw Scale Scores: Descriptive Statistics and Effect Sizes by Clinical Disorder
Scale |
Sensory Processing
|
Autism Spectrum
|
ADHD |
Mental Retardation/ Developmental Delay |
Home Form |
|
|
|
|
Social Participation (SOC) |
1.05 |
1.61 |
.78 |
1.27 |
Vision (VIS) |
1.00 |
1.43 |
.73 |
1.03 |
Hearing (HEA) |
1.42 |
1.53 |
.62 |
1.12 |
Touch (TOU) |
1.49 |
1.39 |
.73 |
.85 |
Body Awareness (BOD) |
1.43 |
1.12 |
1.19 |
.98 |
Balance & Motion (BAL) |
1.43 |
1.24 |
.83 |
.85 |
Planning & Ideas (PLA) |
1.23 |
1.58 |
1.08 |
1.50 |
Total Sensory Systems (TOT) |
1.55 |
1.53 |
.94 |
1.07 |
Main Classroom Form |
|
|
|
|
Social Participation (SOC) |
.92 |
1.68 |
.90 |
1.32 |
Vision (VIS) |
.76 |
1.29 |
.97 |
1.25 |
Hearing (HEA) |
.79 |
1.53 |
.85 |
1.14 |
Touch (TOU) |
1.27 |
1.32 |
.42 |
1.06 |
Body Awareness (BOD) |
1.02 |
.94 |
.93 |
1.00 |
Balance & Motion (BAL) |
1.11 |
.92 |
1.07 |
.92 |
Planning & Ideas (PLA) |
.89 |
1.43 |
1.04 |
1.56 |
Total Sensory Systems (TOT) |
1.15 |
1.41 |
.99 |
1.22 |
Notes: Effect size of .2 is small, 5 medium, and .8 is large; Sensory processing: n = 33; Autism spectrum: n = 107; ADHD: n = 62; Mental retardation/developmental delay: n = 43; Effect size (Cohen’s d) = scale mean in clinical sample minus scale mean in standardization sample divided by pooled standard deviation.
Brown, T., Morrison, I.C., & Stagnitti, K. (2010a). The convergent validity of two sensory processing scales used with school-age children: Comparing the Sensory Profile and the Sensory Processing Measure. New Zealand Journal of Occupational Therapy, 57(2), 56-65.
Brown, T., Morrison, I.C., & Stagnitti, K. (2010b). The reliability of two sensory processing scales used with school-age children: Comparing the response consistency of mothers, fathers, and classroom teachers rating the same child. Journal of Occupational Therapy, Schools, & Early Intervention, 3(4), 331–347. https://doi.org/10.1080/19411243.2010.541775
Hansen, K.D., & Jirikowic, T. (2013). A comparison of the Sensory Profile and Sensory Processing Measure Home Form for children with fetal alcohol spectrum disorders. Physical & Occupational Therapy in Pediatrics, 33(4), 440-452. https://doi.org/10.3109/01942638.2013.791914
Lai, C.Y.Y., Chung, J.C.C., Chan, C.C.H., & Li-Tsang, C.W.P. (2011). Sensory Processing Measure-HK Chinese version: Psychometric properties and pattern of response across environments. Research in Developmental Disabilities, 32(6), 2636-2643. https://doi.org/10.1016/j.ridd.2011.06.010
Miller-Kuhaneck, H., Henry, D.A., Glennon, T.J., & Mu, K. (2007). Development of Sensory Processing Measure-School form: Initial studies of reliability and validity. American Journal of Occupational Therapy, 61, 170-175. https://doi.org/10.5014/ajot.61.2.170
Miller Kuhaneck, H., Henry, D.A., & Glennon, T.J. (2007). Sensory Processing Measure (SPM): Main Classroom Form. Western Psychological Services: Los Angeles.
Miller Kuhaneck, H., Henry, D.A., & Glennon, T.J. (2007). Sensory Processing Measure (SPM): School Environments Form. Western Psychological Services: Los Angeles.
Parham, L.D., & Ecker, C. (2007). Sensory Processing Measure (SPM): Home Form. Western Psychological Services: Los Angeles.
Parham, L.D., Ecker, C., Miller Kuhaneck, H., Henry, D.A., & Glennon, T.J. (2007). Sensory Processing Measure (SPM): Manual. Western Psychological Services: Los Angeles.
Pfeiffer, B., Daly, B.P., Nicholls, E.G., & Gullo, D.F. (2015). Assessing sensory processing problems in children with and without Attention Deficit Hyperactivity Disorder. Physical & Occupational Therapy in Pediatrics, 35(1), 1-12. https://doi.org/10.3109/01942638.2014.904471
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.