DEVELOPMENTAL SCREENING AT 4 TO 6 MONTHS

MMCL Screening Fact Sheet

Screening between four and six months of age using the Meade Movement Checklist (MMCL) by Vickie Meade PT, DSc, MPH, PCS

**Request copy of award winning research using the MMCL: Identifying Infants at Risk in Community Screening. Pediatric Physical Therapy 2009;21:150-157. at [email protected]

Download free poster of recent research using the MMCL: Poster.pdf

Download free abstract of recent research using the MMCL: Abstract pdf.

WHAT DOES THE TEST PROPOSE TO MEASURE?

  • primary screening tool that requires other evaluations to make a diagnosis
  • designed to identify developmental delays very early
  • Excludes normal, typically developing infants from further evaluation

POPULATION DEVELOPED FOR:

  • four to six months of age, 16-24 weeks optimal window

TEST FORMAT:TYPE

  • criterion and norm referenced

CONTENT

  • 27 items cover vision, attention, fine and gross motor movements, personal-social and communication areas of development

ADMINISTRATION

  • Observation: both health and lay professionals can be trained to observe and guide items which are performed by the parent

SCORING

  • each item is performed according to criteria and is either present or not present (emerging). Each item which is emerging is scored as (1) risk point 0-8 points is optimal range
  • Total possible risk points of 27

INTERPRETATION

  • infants who score more than six emerging points are referred for a detailed evaluation. If an infant scores more than six points, and the parent is not concerned, the infant should be rescreened, and the parents contacted for followup information. Screener must have current reliabilility certificate for these scores to be valid.

RELIABILITY/ VALIDITY

  • over 89% agreement with training; ICC .82 (training video available- see products)
  • standardized scoring on 447 infants
  • norm referenced on 998 infants (1998) -Excellent negative predictive value of 99.3%
  • predictive validity to Bayley Scales of Infant Development (BSID) at 12MO -70% positive predictive validity to BSID II at 6 months when parents are concerned

ADVANTAGES

  • easy to learn, quick to administer (5-15 minutes)
  • involves parents who handle their own infant
  • provides opportunity to educate parents and caregivers
  • good reliability and validity

DISADVANTAGES

  • takes training for screening scores to be considered reliable and valid
  • narrow time frame to administer (2 month period)

Download free information: MMCL.pdf

PURCHASE : Contact Dr. Meade at [email protected]