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Systematic Review of the Psychometric Performance of Generic Childhood Multi-attribute Utility Instruments
Joseph Kwon1, Sarah Smith2, Rakhee Raghunandan3
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Applied Health Economics and Health Policy
|May 3, 2023
Summary
This systematic review found significant evidence gaps in childhood multi-attribute utility instruments (MAUIs), especially for newer instruments and properties like reliability and proxy-child agreement. No single instrument consistently outperformed others across all psychometric properties.
Area of Science:
- Health Economics
- Psychometrics
- Pediatric Health Outcomes
Background:
- Childhood multi-attribute utility instruments (MAUIs) are crucial for health utilities in children (≤18 years) for economic evaluations.
- Previous reviews had limited scope, focusing on fewer MAUIs, specific psychometric properties, and direct psychometric assessment studies.
- A comprehensive psychometric evidence base is needed to guide the selection of appropriate MAUIs for children.
Conclusions:
- Provides comprehensive evidence to aid analysts in selecting childhood MAUIs for cost-effectiveness evaluations.
- Highlights significant evidence gaps and methodological issues, informing future psychometric research.
- Emphasizes the need for future studies focusing on reliability, proxy-child agreement, and instruments for preschool children.
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