SCORING DELAYS IN DEVELOPMENT • NO, pedals tricycle • Child never had any opportunity to try a bicycle…. never failed nor refused • Items scored NO are not considered in the overall test scores.
SCORING DELAYS IN DEVELOPMENT • Test item that is failed and which falls completely to the left of age line is considered a delay.
• Means, child failed to pass an item which 90% of children normally can pass at younger age
SCORING DELAYS IN DEVELOPMENT • Delays are used to interpret the total MMDST results. • Delays on the test form are emphasized by shading the right end of the bar of the delayed item.
SCORING DELAYS IN DEVELOPMENT • If age line touches the right end of the bar, the item is not considered a delay.
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Delay because it completely to the left of the age line Not a delay because it is Crossed by the age line
Not a delay because bar only touches the age line
INTERPRETING THE TEST RESULTS • MMDST result is interpreted as NOMRAL, QUESTIONABLE, ABNORMAL OR UNTESTABLE depending on the number of delays
INTERPRETING THE TEST RESULTS • Remember!!!!!! That a delay is any failure that completely falls to the left of the age line
INTERPRETING THE TEST RESULTS • To properly interpret the result of the test, follow the steps listed • Step 1 – Mark each delay by heavily shading the right end of the bar
INTERPRETING THE TEST RESULTS • Step 2 – Count the number of sectors that have 2 or more delays
• Step 3 – Count the number of scores that have 1 delay with no passes intersecting the age line in the same sector
INTERPRETING THE TEST RESULTS • Step 4 – Interpret the result using the following criteria – Next slide please
CRITERIA
INTERPRETATION
2 or more sectors with 2 or more delays ABNORMAL 1 sector with 2 or more delays plus 1 or ABNORMAL more sectors with 1 delay and in that same sector, no passes intersecting the age line 1 sector with 2 or more delays
QUESTIONABLE
1 or more sectors with 1 delay and in that sector, no passes intersecting the age line
QUESTIONABLE
When REFUSALS occur in numbers large enough to cause the test result to be QUESTIONABLE or ABNORMAL if these were scored as failures
UNTESTABLE
Any condition not listed above
NORMAL
INTERPRETING THE TEST RESULTS • At the bottom of the age line, indicate the test result and interpretation • E.g. Abnormal, reasons: 2 sectors have 2 delays
DISCUSSING THE TEST RESULT • At the end of the test, ask parent whether child’s performance is typical of his ability and behavior. • Why? Sometimes child may be too shy, ill, tired, or upset when tested to show what he can actually perform
DISCUSSING THE TEST RESULT • Overall interpretation should be given to parent in general terms rather than using the labels ABNORMAL, QUESTIONABLE OR NORMAL • Praise child if child done well and assure mother child is developing as he should be
DISCUSSING THE TEST RESULT • If, the child has a number of delays, remind that this is just a screening test and that you would like to test the child again after approximately two weeks
RETESTING • To retest draw on the same form the age line using another color of pencil • Write the date at the top of new age line
RETESTING • If, a child is abnormal, questionable, or untestable on second test should be referred to pediatrician or health personnel for further evaluation
RETESTING • Nurses can be trained to teach parents skills in developmental stimulation • Continued surveillance and periodic retesting should be done
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