Metro Manila Dev Screening Test

8/13/2019 Metro Manila Dev Screening Test

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MMDST

Lecture by:Madeline N. Gerzon, RN, MM

Clinical Instructor


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METRO MANILA DEELO!MENT

"CREENING TE"T


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Overview

# "creenin$ is a %resu&%ti'e

identi(ication o( unreco$nized disease

or de(ect# Early detection &odel

# Test c)ildren *it) %roble&

# +acilitates early re(erral and treat&ent


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Overview

# Detection o( de'elo%&ental disabilities

# C)ildren - years and belo*


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)at t)en is MMD"T/


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MMDST

# "i&%le and clinically use(ul tool

# To deter&ine early serious de'elo%&entaldelays


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MMDST

# Dr. illia& 0. +ran1enbur$

# Modi(ied and standardized by Dr.!)oebe D. illia&s DD"T to MMD"T


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MMDST

# De'elo%ed (or )ealt) %ro(essionals 2MDs,

RNs, etc3

# It is not an intelli$ence test


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MMDST

# It is a screenin$ instru&ent todeter&ine i( c)ild4s de'elo%&ent is

*it)in nor&al


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Purposes

# Measures de'elo%&ental delays

# E'aluates 5 as%ects o( de'elo%&ent


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Aspects of development

# !ersonal6social

# +ine6&otor ada%ti'e

# Lan$ua$e# Gross &otor be)a'ior


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MMDST Kit

# Manual

# "a&%le test (or&

# Test &aterials# MMD"T ba$


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Test materials

# A bri$)t red yarn %o&6%o&

# A rattle *it) narro* )andle

# Ei$)t 76inc) colored *ooden bloc1s 2red,yello*, blue $reen3


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Test materials

# A s&all clear $lass8bottle *it) 98 inc)

o%enin$

# A s&all bell *it) ; - inc)6dia&eter &out)


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Test materials

# A rubber ball 7; - inc)es in

circu&(erence

# C)eese curls

# A %encil

# C)eese curls


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Important considerations

# C)ild4s a$e is crucial< initial ste% in test

ad&inistration

# Test ite&s *ill be de%endent on a$e o(

c)ild


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Important considerations

# A$e < $uide t)e selection o( test ite&s and

subse=uent inter%retation o( results


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Scoring the Test

# !assed

# +ailed

# Re(used, or# No o%%ortunity


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Scoring the test

# +ailure o( an ite& t)at is co&%letely to t)e

le(t o( t)e c)ild4s a$e is considered a

de'elo%&ental delay


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The Test Form

# Made o( 7>9 ite&s *ritten in t)e ran$e o(

de'elo%&ent o( c)ildren bet*een birt) and

si? years o( a$e


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Four Sectors

# Personal-Social@ tas1s *)ic) indicate

t)e c)ild4s ability to $et alon$ *it) %eo%le

and to ta1e care o( )i&sel(


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Four Sectors

# Fine-Motor Adaptive@ tas1s *)ic)

indicate t)e c)ild4s ability to see and use

)is )ands to %ic1 u% obects and to dra*


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Four Sectors

# Language@ tas1s *)ic) indicate t)e

c)ild4s ability to )ear, (ollo* directions and

to s%ea1B and


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Four Sectors

# Gross-Motor@ tas1s *)ic) indicate t)e

c)ild4s ability to sit, *al1 and u&%


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Test Directions

7. Try to $et t)e c)ild to s&ile by s&ilin$,

tal1in$ or *a'in$ to )i&. Do not touc)

)i&.

. )en t)e c)ild is %layin$ *it) toy, %ull it

a*ay (ro& )i&. !ass i( )e resists.


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Test Directions

# C)ild does not )a'e to be able to ties)oes or button in t)e bac1

# Mo'e yarn slo*ly in an arc) (ro& oneside to t)e ot)er, about abo'e c)ild4s(ace. !ass i( t)e eyes (ollo* >oto

&idline. 2%ast &idlineB 7>o

3


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Test Directions

# !ass i( t)e c)ild $ras%s rattle *)en it is

touc)ed to t)e bac1s or ti%s o( (in$ers

# !ass i( t)e c)ild continues to loo1 *)ereyarn disa%%eared or tries to see *)ere it

*ent. Farn s)ould be dro%%ed =uic1ly

(ro& si$)t (ro& tester4s )and *it)out ar&&o'e&ent


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Test Directions

7. !ass i( t)e c)ild %ic1s u% c)eese curl

*it) any %art o( t)e t)u&b and (in$er

. !ass i( c)ild %ic1s u% c)eese curl *it)

t)e ends o( t)u&b and inde? (in$er usin$

an o'er )and a%%roac)


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Test Directions

7. !ass any enclosed (or&. +ail continuous

round &otion.


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Test Directions

7. )ic) line is lon$er 2not bi$$er3. Turn

t)e %a%er u%side do*n an re%eat 28 or

983


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Test Directions

7. !ass any crossin$ line


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Test Directions

7. a'e c)ild co%y (irst. I( (ailed,

de&onstrate


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Test Directions

# Note

@ )en $i'in$ ite&s , 77 and 7;, do not na&e

t)e (or&s. Do not de&onstrate and 77.


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Test Directions

7. )en scorin$, eac) %air 2; ar&s, ; le$s,

etc3 counts as one %art

. !oint to %icture and )a'e t)e c)ild na&e

it. 2No credit is $i'en (or sounds only3


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Test Directions

7. Tell t)e c)ild to: $i'e bloc1 to &o&&yB%ut bloc1 on tableB %ut bloc1 on (loor.!ass ; o( . 2Do not )el% c)ild by

%ointin$, &o'in$ )ead or eyes.3

. As1 c)ild: )at do you do *)en you are

cold/ un$ry/ Tired/ !ass ; o( .


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Test Directions

# Tell c)ild to: !ut bloc1 on tableB undertableB in (ront o( c)air, be)ind c)air.!ass o( 5. 2Do not )el% c)ild by

%ointin$, &o'in$ )ead or eyes.3

# As1 c)ild: I( (ire is )ot, ice is/ Mot)er isa *o&an, Dad is a/, a )orse is bi$, a

&ouse is / !ass ; o( .


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Test Directions

7. As1 c)ild: )at is a ball/ Ri'er/ Des1/

ouse/ Hanana/, Curtain/ Roo(/ +ence/

"treet/ !ass i( de(ined in ter&s o( use,

s)a%e, *)at is it &ade o( or its $eneralcate$ory 2suc) as banana is a (ruit, not

ust yello*3. !ass o( .


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Test Directions

# As1 c)ild: )at is a s%oon &ade o(/ As)oe &ade o(/ A door &ade o(/ 2noot)er obects can be substituted.3 !ass

o( .

# )en %laced on sto&ac), c)ild li(tsc)est o(( table *it) su%%ort o( (orear&s

and8or )ands.


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Test Directions

7. )ile c)ild is on bac1, $ras% )is )ands

and %ull )i& to sittin$. !ass i( )ead does

not )an$ bac1

. C)ild &ay use *all or rail only, not

%erson. May not cra*l.


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Test Directions

7. C)ild &ust t)ro* ball o'er)ead (eet to

*it)in ar&4s reac) o( tester

. C)ild &ust %er(or& standin$ broad

u&%s o'er *idt) o( test s)eet 2 -

inc)es3


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Test Directions

7. Tell c)ild to *al1 (or*ard, )eel *it)in 7

inc) o( toe. Tester &ay de&onstrate.

C)ild &ust *al1 5 consecuti'e ste%s, ;

out o( trials.


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Test Directions

7. Hounce ball to c)ild *)o s)ould stand

(eet a*ay (ro& tester. C)ild &ust catc)

ball *it) )ands, not ar&s, ; out o(

trials.


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Test Directions

7. Tell c)ild to *al1 bac1*ard toe *it)in 7

inc) o( )eel. Tester &ay de&onstrate.

C)ild &ust *al1 5 consecuti'e ste%s, ;

out o( trials.


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Important

# Date and He)a'ioral Obser'ations

@ o* c)ild (eels at ti&e o( test, relations to

tester, attention s%an, 'erbal be)a'ior, sel(6

con(idence, etc3


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The Test Form

# Across t)e to% and botto& o( (or& are a$e

scales

# A$e is &ar1ed in &ont)s 76;5, and a$e in

years (ro& ; - to .


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The Test Form

# Eac) ite& is re%resented in t)e test (or&

by a bar

# T)e bar is %laced alon$ t)e a$e scale to

s)o* *)en ;9, 9> 2indicated by t)e

)atc) &ar13 J9 and > o( t)e nor&al

c)ildren are able to %ass t)e ite&.


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The Test Form

7> 77 7; 7 75 7 7

AL0" ELL

;9 9> J9 >

atc) Mar1

!ercenta$e o(

nor&al c)ildren

%assin$ t)e ite&


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The Test Form

# "o&e ite&s )a'e a s&all (ootnote nu&berat t)e le(t end o( t)e bar

# +ootnote indicates corres%ondin$

instruction (or ad&inisterin$ t)e ite& (oundat t)e test (or&

AL0" K! "TE!"

R

;

Ite&s *)ic) can

be %assed by re%ort

+ootnote nu&ber


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The Test Form

# "o&e ite&s &ay bepassed by reporto(

t)e %arent 2R3

# Only ite&s *it) an R on t)e (or& can be

passed by report

# o*e'er, *)ene'er %ossible tester s)ould

obser'e *)at t)e c)ild can %er(or&


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The Test Form

# T)e ite&, equal movements, )as an

asteris1 23 at t)e ri$)t end o( its bar

# Indicates 7>> o( nor&al c)ildren %ass

t)is ite& at birt)

# It is t)e only ite& *it) an 2(ine6&otor

ada%ti'e sector


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The Test Form

# ite&s )a'e arro*s 2 3 at t)e ri$)t end

o( t)ese bars

# T)is includes t)e ite&s, de(ines *ords and

co&%osition o( .

# Arro*s indicate t)at nor&al c)ildren &ay

%ass t)ese ite&s e'en beyond - y.o.


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Calculating Childs Age

# +or&ula

Fear Mont) Day

Date o( test 77 79

Hirt)date 6J 6 67>

A$e o( c)ild ; 9


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# +or&ula

Fear Mont) Day

Date o( test ;

Hirt)date 6J 6 67>

A$e o( c)ild 7 7> ;9


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# +or&ula

Fear Mont) Day

Date o( test ;

Hirt)date 6J 6 67>

A$e o( c)ild 7 7> ;9

7 9


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Drawing the Age !ine

# Kse a$e scale s)o*n at t)e to% and

botto& o( t)e (or&

# Mar1 t)e a$e and dra* a line t)rou$) all

(our sectors

# ")o* acetate


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Drawing the Age !ine

# Location o( a$e &ust be accurateinter%retation de%ends on correct%lace&ent o( t)e line

# "%ace bet*een a$e @66 ; *ee1s until 75&os, 7 &o (ro& 75 to ;5 &os

# +ro& ;5 &os to 9 yrs s%aces bet*eenre%resent &os and t)erea(ter &os


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Ad"usting for Prematurit#

# !re&aturity a((ect ability to %er(or& t)at

nor&al c)ild %ass at t)e sa&e a$e

# Adust (or c)ildren ; years or youn$er

# A(ter ; years, it is no lon$er necessary to

co&%ensate 2+ran1enbur$, et al3

# No adust&ent is &ade on %ostter&


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Ad"usting for Prematurit#

# As1 &ot)er i( c)ild *as born %re&aturely

# +or t*o or t)ree *ee1s earlier, subtract

t)e nu&ber o( *ee1s (ro& actual a$e

# Dra* a$e line based on adusted a$e

Selecting Items to $e


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administered

# Ad&inister (irst t)ose t)rou$) *)ic) c)ild4s

c)ronolo$ical a$e line %asses

# I( (ailure occurs in any ite&s, %roceed to

ad&inister ite&s to t)e le(t o( t)e a$e line

until you obtain %asses t)en sto%


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administered

%&AT TO K''P

I( MI(D)))))



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administered

# All ite&s crossin$ t)e a$e line s)ould be

ad&inistered

# C)ild s)ould )a'e a &ini&u& o( t)ree

%asses to t)e le(t o( any (ailureB and

# Eac) sector s)ould )a'e at least %asses

and t)ree (ailures


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The Test Procedure

# !reli&inary !)ase

@ Establis) ra%%ort

@ Ma1e t)e c)ild as co&(ortable as %ossible

# I( in(anton &ot)er4s la%

# Materials s)ould be accessible


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The Test Procedure

# I( c)ild is one year older, %ut c)ild at ease

@ ")o* toysetc


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The Test Procedure

# "tart *it) Personal-social sector

# Gi'es c)ild c)ance to $et used to tester

# Gi'es tester c)ance as1 %arents *)ic)

can be scored based on re%ort and can

also directly obser'e it


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The Test Procedure

# Fine motor-adaptive sector(ollo*s

# C)ild can %er(or& tas1s e'en *it)out

)a'in$ to directly tal1 to tester

# +ili%ino c)ild..*ar&in$ u%


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The Test Procedure

# T)ird is, language sector

# T)is ti&e c)ild is &ore co&(ortable *it)

you 2tester3

# ill tal1 as &uc) to you


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The Test Procedure

AT MAF NOT HE CANGED/


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The Test Procedure

# Manner in *)ic) eac) test is ad&inistered

# ords or direction &ay not be c)an$ed

#

Metro Manila Dev Screening Test

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