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29-10-2018

Scoring the Child Health Utility 9D instrument: estimation of a Chinese child and adolescent-specific tariff

Auteurs: Gang Chen, Fei Xu, Elisabeth Huynh, Zhiyong Wang, Katherine Stevens, Julie Ratcliffe

Gepubliceerd in: Quality of Life Research | Uitgave 1/2019

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Abstract

Purpose

To derive children and adolescents’ preferences for health states defined by the Chinese version of Child Health Utility 9D (CHU9D-CHN) instrument in China that can be used to estimate quality-adjusted life years (QALYs) for economic evaluation.

Methods

A profile case best–worst scaling (BWS) and a time trade-off (TTO) method were combined to derive a Chinese-specific tariff for the CHU9D-CHN. The BWS survey recruited students from primary and high schools using a multi-stage random sampling method and was administered in a classroom setting, whilst the TTO survey adopted an interviewer-administrated conventional TTO task and was administered to a convenience sample of undergraduate students. A latent class modelling framework was adopted for analysing the BWS data.

Results

Two independent surveys were conducted in Nanjing, China, including a valid sample of 902 students (mean age 13 years) from the BWS survey and a valid sample of 38 students (mean age 18 years) from the TTO survey. The poolability of the best and the worst responses was rejected and the optimal result based on the best responses only. The optimal model suggests the existence of two latent classes. The BWS estimates were further re-anchored onto the QALY scale using the TTO generated health state values via a mapping approach.

Conclusion

This study provides further insights into the use of the BWS method to generate health state values with young people and highlights the potential different decision rules that young people may employ for determining best vs. worst choices in this context.
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Metagegevens
Titel
Scoring the Child Health Utility 9D instrument: estimation of a Chinese child and adolescent-specific tariff
Auteurs
Gang Chen
Fei Xu
Elisabeth Huynh
Zhiyong Wang
Katherine Stevens
Julie Ratcliffe
Publicatiedatum
29-10-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-2032-z