MMDST

Administration and
Scoring Directions

   
 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.

   
 SCORING DELAYS IN
DEVELOPMENT
12 14 15 16 17 18 19 20 21 22 23 24

   
 SCORING DELAYS IN
DEVELOPMENT
12 14 15 16 17 18 19 20 21 22 23 24

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 QUESTIONABLE
that sector, no passes intersecting the
age line
When REFUSALS occur in numbers UNTESTABLE
large enough to cause the test result to
be QUESTIONABLE or ABNORMAL if
these were scored as failures
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

   
 AT
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