Metro Manila

Developmental
Screening Test

10/14/16

Cheryll Bandaay

Preface
Devised by Dr. Phoebe Dauz Williams
based on a normative research done
in 1980. Subjects for the research
included 6006 metro Manila children.
Based on the Denver Developmental
Screening Test authored by
Frankenberg et. al.
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Overview
A pediatric developmental screening
test standardized for Filipino
children.
Used to detect developmental delays
among children under 6 years old.

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The MMDST kit

The kit includes:
manual

Test
form

MMDST Bag
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Test
materials

The Test Form

The four sectors:
Personal-Social- tasks which indicate
the childs ability to get along with
people and to take care of himself.
Fine Motor-Adaptive- tasks which
indicate the childs ability to see and
use his hands to pick p objects and to
draw.
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The Test Form

The four sectors:
Language- tasks which indicate the
childs ability to hear, follow
directions and speak.
Gross Motor- tasks which indicate the
childs ability to sit, walk and jump.

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The Test Form

Age scale
Hatch marks
Small number-test directions
R - items that can be passed by
report
Asterisk*- 100% of normal children
pass this item at birth

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The Test Form

Arrows- item may be passed by
normal children even beyond 6
years of age

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The process

Calculate
the
Childs
Age

administer
items
Scoring
Interpret
Result
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Calculating the Childs

Age
Date of test - birth date = AGE
Calculate first the days then months
then years.
Exapmle 1:
test date: October 20, 2007
birthdate: June 14, 2003

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Calculating the Childs Age

year
month
day
Test date
07
10
20
Birth date -03
-06
-14
Age of Child 04
04
06
*Age of child is 4years, 4 months and 6
days.

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Calculating the Childs Age

Example 2:
test date: October 20, 2007
birthdate: Nov. 22, 2006

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Calculating the Childs Age

Example 2:
test date: October 20, 2007
birthdate: Dec. 28, 2006

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Calculating the Childs Age

year
06
07
-06

month
day
21
50
Test date
10
20
Birth date
-12
-28
Age of child
09
22
Age of child 9mos. and 22 days.
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Adjustment for prematurity

Make adjustments for children aged 2
years and younger
Subtract the number of weeks of
premaurity from the actual age of the
child. (adjusted age)
Draw the age line based on the adjusted
age not the chronological age.

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Adjustment for prematurity

Example:
test date: October 20, 2007
birthdate: Nov. 30, 2005

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Adjustment for prematurity

exercise:
test date: October 20, 2007
birthdate: Nov. 30, 2005
Child was born 30 weeks AOG.

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Administer items

1.
2.
3.

Preliminary phase:
Establish rapport
Make child comfortable
Administer items

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Administer items
All items intersected by the ageline
Fail-administer to the left until child
gets 3 passes.
Pass- administer items to the right
until child fails 3 times

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Administer items
1. All items crossing the age line
should be administered.
2. The child should have a minimum of
3 passes to the left of any failure
3. Each sector should have 3 passes
and 3 failures.

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Scoring
Pass (P)
Failure (F)
Refusal (R)
No Opportunity (NO)
*delays-a failed test item that falls
completely to the left of the ageline
-shade the right end of the bar
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Interpreting Test Result

1.

Mark each delay by heavily shading the

right end of the bar
2. Count the number of sectors that have 2
or more delays
3. Count the number of sectors that have 1
delay with no passes intersecting the age
line in the same sector
4. Interpret result

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Interpreting Test Result

CRITERIA

INTERPRETATION

2 or more sectors with 2

or more delays

ABNORMAL

1 sector with 2 or more

delays

ABNORMAL

+ 1 or more sectors with 1

delay and in that same
sector no passes
intersecting the ageline
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Interpreting Test Result

CRITERIA
1 sector with 2 or more
delays
1 or more sectors with 1
delay and in that same
sector, no passes
intersecting the ageline
Any condition not listed
above
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INTERPRETATION

QUESTIONABLE
QUESTIONABLE

NORMAL

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Interpreting Test Result

At the bottom of the age line,
indicate test result and
interpretation.

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Discussing the Test

Result
Overall interpretation should be
given to mother/caregiver.
If child has done well, praise the
child
If child has number of delays, inform
mother that a retest will be done in 2
weeks.

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Retesting
Draw a new age line
Use a pencil of different color
Write the retest date on top of age
line
If abnormal, questionable on the
retest, refer to a pediatrician.

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