The Denver Developmental Screening Test

Dennis R. Brightwell, MD; Nancy L. Brightwell, MA
JAMA. 1973;224(2):250. doi:10.1001/jama.1973.03220150058032.
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To the Editor.—  It has recently been suggested that the use of the raisin in the Denver Developmental Screening Test (DDST) is not adequate to determine whether or not a child has normal vision (223:921, 1973). However, the raisin in the DDST is not intended as a test of vision, and the fact that only very poor vision is needed to locate the raisin serves to increase the value of the test for its intended use.The four tests in which only the raisin is used ("regards raisin," "rakes raisin, attains," "thumb-finger grasp," and "neat pincer grasp of raisin") are designed to evaluate fine motor skills. Because the raisin can be seen so easily, a failure in any of these areas cannot be attributed to poor eyesight.The value of any test, such as the DDST, depends upon its proper utilization. The DDST Manual clearly describes the proper performance of


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