You are on page 1of 6



KPSP Is a short questionnaire addressed to parents and used as a preliminary
screening tool for development of children aged 3 months to 6 years. For each age
group there were 10 questions for parents or caregivers of children.

Purpose of KPSP
KPSP can be used to determine the presence or absence of obstacles, interference
or problems in child development.

How to Use KPSP
Health officials read KPSP first. Then provide an opportunity for parents to answer the
question group in accordance with the child's age. Results are recorded in the Card Data

How to Calculate Age Children
The child's age determined by year and month. Excess 16 days rounded up to 1 month.
Example: Children aged 3 months to 16 days, rounded to 4 months, Children aged 5
months and 15 days, rounded to 5 months.

How to Select Question KPSP
Questions posed to the parents and the chosen group of questions in accordance with the
child's age.

How to Assess KPSP
a) Re-examine whether all the questions have been answered.
b) Calculating the number of answers Yes.
c) If the number of answers Yes = 9 or 10 means children who examined normal (N).
d) If the number of Yes = less than 9, then it needs to be examined again on:

 How to Conduct Inspection Repeat with KPSP Reexamination using 3 held on the following circumstances: a) KPSP negative results or the number of answers Yes = 9 or 10. How to calculate the age of the child. specify a schedule for reexamination one week later (U).  If the number of answers Yes = 7 or 8.  How to Record Results KPSP . reexamination conducted 1 week later next to the first examination. then the child requires further examination / referenced (TN). e) If the number of answers Yes = 6 or less. e) Results KPSP to answer Yes = less or reexamination remains 7-8. b) every 3 months to under 12 months of age.  Whether the answer to the parents / caregivers of children in accordance with which one. Note: Questions KPSP used in the re-examination tailored to the child's age on the date of the re-examination. the child needs to be referred to health care facilities more complete. d) Results KPSP the number Yes = 7 or 8.  How to choose KPSP question. re-examination can be done. c) every 6 months to age 12 s / d 72 months nevertheless more frequent examinations will be better. whether in accordance with the child's age. then the child requires further examination / referenced (TN).  If the re-examination of the number of answers Yes fixed 7 or 8.

understand and use language eg. fine motor. If the assessment KPSP = 7 or 8. and ability to recognise. sitting. smiling. Write the answer age Yes or No in the box provided for each question according to age groups of children. language and gross motor skills in children aged 1 month to 6 years. and manipulation of small objects . Test design The test consists of up to 125 items. If the assessment KPSP = less than 7 means positive children should be referred (code TN) DDST (Denver Development Screening Test) DDST is one method of screening for developmental disorders of children. Fine motor function: eye/hand co-ordination.  There may be some variation in time depending on both the age and co-operation of the child. means dubious and children need to be re-examined 1 week later. divided into four parts:   Social/personal: aspects of socialisation inside and outside the home . ability to combine words  Gross motor functions: motor control. jumping. it means a good child development (code N). . The test takes approximately 20 minutes to administer and interpret. If the assessment KPSP = 9 or 10 answers Yes.  Interviews can be performed by almost anyone who works with children and medical professionals. grasping and drawing. and other movements Application   No special training is  Language: production of sounds. DDST used to estimate the personal development of social. Then compute the answer Yes.KPSP results are recorded in the Data Card Growth (page 4). This test is not a diagnostic test or IQ test. walking.

namely: 1. for some points. if it is equal to or more  than 15 days rounded up. the mother reports whether the child is capable of performing a given task. b) Doubtful  If the first sector gained 2 delay or more .  Younger infants can sit on their mother's lap. DDST procedure consists of two phases. Abnormal. the 2 sectors or more  If in one or more sectors gained 2 or more delay plus one sector or more with one delay and in the same sector is no pass in the box that intersects the vertical lines of age. ask your child's date of birth to be checked. If in the calculation of the age of less than 15 days rounded down. the test results are classified into: Normal. a) Abnormal  When you got two or more delay. Draw a line based on chronological age intersecting horizontal line on the form DDST   development tasks. The DDST II form User guide book as a reference that explains the ways to test and how assessment.  The test should be given slowly. INSPECTION OF DDST II  Set the chronological age of the child. After that counted in each sector. According to the guidelines. The first stage: periodically performed on all children aged:  3-6 months  9-12 months  18-24 months  3 years  4 years  5 years 2. The items are recorded through direct observations of the child plus. how the P and how the F. doubtful and can not be tested. Then proceed with a complete diagnostic evaluation. The second stage: done on those suspected developmental delays during the first phase. Use  standard 30 days to one month and 12 months for one year.

the more likely the child manifests a significant developmental deviation that warrants further evaluation Soetjiningsih. Jakarta: EGC. In the field of mental health. and 2. c) It can not be tested In case of rejection that caused the results of tests become abnormal or doubtful. 1.. Draw a vertical line at the child's chronological age on the charts. 1986. respectively. Tumbuh Kembang Anak. d) Normal All that is not listed in the above criteria. If on one sector or more earned 1 delay and in the same sector nobody pass in the box that intersects the vertical lines of age. Pediatric Symptom Checklist (PSC) The Pediatric Symptom Checklist is a one-page questionnaire listing a broad range of children's emotional and behavioral problems that reflects parents' impressions of their child's psychosocial functioning. Cutoff scores for pre-school and school-age children indicating clinical levels of dysfunction have been empirically derived using Receiver Operator Characteristic analyses in studies comparing the performance of the PSC to other validated questionnaires and clinicians' assessments of children's overall functioning (Jellinek.” or “Often” present and scored 0.  The more items a child fails to perform (passed by 90% of his/her peers). similar to a growth curve. 2012. Interpretation of the test   The data are presented as age norms. the PSC has been used as an outcome measure in an outpatient child psychiatry clinic and has demonstrated preliminary validity and utility for both global and subscale scores.. The screen is intended to facilitate the recognition of emotional and behavioral problems so that appropriate interventions can be initiated as early as possible. subtract the months premature from chronological age. Little et al. The total score is calculated by adding together the score for each of the 35 items. The PSC consists of 35 items that are rated as “Never” “Sometimes. if the infant was premature. Positive screens are those with scores above 27 for ages 6-18 and scores of 24 . 1986. 1994). Jellinek et al.

For the PSC-Y.D. the cutoff score is 15. Kolko and J. Pediatricians whose practices serve a distinct culture should begin by collecting data on a number of cases to ascertain the accuracy of a cut-off score of 28 for their population. All forms of the PSC are scored in this same way. W. The total score is recoded into a dichotomous variable indicating psychosocial impairment or not. A. with a possible range of scores from 0-70.D. A positive score on the PSC suggests the need for further evaluation by a qualified health (M. 1.) or mental health (Ph. although different cut-off scores have been recommended for some of the available versions. J. 6.. 27 or below = not impaired). and only an experienced clinician should interpret a positive PSC score as anything other than a suggestion that further evaluation may be helpful. the cut-off score is 28 (28 or above = impaired. . If four or more items are left blank. respectively. and 2. R. Psy. or “Often” present and scored 0." Journal of the American Academy of Child & Adolescent Psychiatry 46(5): 611-618. Scoring the PSC Instructions for Scoring The standard parent-completed PSC form consists of 35-items that are rated as: “Never”. the questionnaire is considered invalid. it may be especially important to consider using a different cut-off score. LICSW. D.. “Sometimes”.. 17 and 18 are ignored and a total score based on the 31 remaining items is computed. The cut-off score for younger children is 24 or greater. Lucas. If one to three items are left blank by parents. they are simply ignored (score = 0). Both false positives and false negatives occur. Campo (2007). For children ages 3-5. "Comparison of the PSC-17 and alternative mental health screens in an at-risk primary care sample. For children aged six through eighteen. If more than 25% or less than 5% of a given population screen positive.) professional.D.and higher for children ages 4 and 5. Item scores are summed so that the total score is calculated by adding together the score for each of the 35 items. the cutoff is 30 and higher and for the PSC-17. V.N. the scores on elementary school related items 5. Gardner.