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DDST II (Students 2017)
DDST II (Students 2017)
Developmentmeasurement
measurement(DDST
(DDST))
Sherzad
Sherzad .Kh.
.Kh. Suleman
Suleman
MSc. pediatric nursing
MSc. pediatric nursing
University
Universityof
ofDuhok
Duhok/College
/Collegeofofnursing
nursing
Pediatric department
Pediatric department
Denver Development Screening Test
(DDST)
Overview
in children
The children are tested on the tasks or items pertinent to their age
Small bell
Tennis ball
Red pencil
Blank paper
Information
Report
3.Remove boots or shoes that might restrict the child motor movements
4.Young child may sit on caregivers lap, older child should sit so
arms can rest upon the table & elbows should be level with table top
5.It should be shared with parent that the tool is to determine the childs
current developmental status and that the child is not expected to pass
7. Items in Fine Motor-Adaptive next (items that do not require child to speak)
8. Language items next and last the Gross Motor items which is gained as test progresses.
10. Keep kit out of sight & only materials being used for current activity on the table
11. For infants (all items be administered with the baby lying down to be tested together)
12. Testing should begin with items that fall completely to the left of the childs age line,
9 30 +17= 47
Date of Test 2011 10 17
Date of - 20
- 2008 -8
Birth
Age of Child 3 1 2
7
Left side of age line
Age of Child 2 19
Adjusted age of
Child 1 5
1.At least three items nearest to
and totally to the left of the age
line
2. Three trials to perform each item
Number of Items to be tested
Depends on age and ability of child
Step 1: in each sector, administer at least three items nearest to and totally to the left of the age
line and every item that is intersected by the age line
Step 2: if the child is unable to perform any item in step 1 (fails, refuses, has had no opportunity)
administer additional items to left in the appropriate sector until child passes three consecutive items
Continue to administer items to the right of any passes in each sector until three failures are
recorded
The child may be given up to three trials to perform each item, when appropriate, before scoring
a failure
Ask the caregiver or parent if the results are typical of childs performance.
1.P for pass the child successfully performs the item, or the caregivers report
(when appropriate)
2.F for Fail- the child does not successfully performs the item, or the caregivers
report (when appropriate) that the child does not do the item.
3.N.O for No Opportunity- the has not had the chance to perform the item, due
to restrictions from the caregivers or other reasons. This score may only be used
on report items.
4.R for Refusal the child refuse to attempt the item. Refusals can be
minimized by telling the child what to do rather than asking. Report items cannot
be scored as refusals.
Interpretation of individual items
Individual items are interpreted first, and then the entire test is interpreted.
a. Advanced Items
If a child passes an item that falls completely to the right of the age
line, the childs development is considered advanced on that item.
b.Normal item
Failure or Refusal of individual items do not necessarily indicated a delay in
development. For example, if a child fails or refuses an item that falls completely
to the right of the age line, the childs development is considered normal.
a child can Pass, Fail, or Refuse an item on which the age line falls between the 25th and
75th percentile, and the childs development on that item will be considered normal.
c. Caution Items
Caution when line falls between 75 and 90 percentile and child fails or refuses C just to the right of
the bar.
d. Delayed Items
A delay is indicated when a child fails or refuses an item that falls completely to
the left of the age line
e. No Opportunity Items
Report items which the parent says the child has
not had an opportunity to try are scored as N.O.
Interpretation of the Test
Normal :
No delay & a maximum of 1 caution
Rescreening at next childs visit.
Suspect:
Delay (1 ore more) & Caution (2 or more)
Rescreening after 1-2 weeks to rule out temporary factors such as fatigue, fear,
illness
Untestable:
Refusal scores on one or more items completely to the left of the age line or on
more than one item intersected by the age line in the 75th to 90th area.
Rescreening after 1-2 weeks
Suspect:
Normal
Delay (1 ore more) &
No delay
Caution (2 or more)
1 caution
Rebar
Ruhan 3 months old
3 month at
calculating
There is No any delay & cautions
1 Delay & 2 Cautions
Referral Considerations