Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/115511
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Type: Journal article
Title: A review of preference-based measures for the assessment of quality of life in children and adolescents with cerebral palsy
Author: Mpundu-Kaambwa, C.
Chen, G.
Huynh, E.
Russo, R.
Ratcliffe, J.
Citation: Quality of Life Research, 2018; 27(7):1781-1799
Publisher: Springer
Issue Date: 2018
ISSN: 0962-9343
1573-2649
Statement of
Responsibility: 
Christine Mpundu-Kaambwa, Gang Chen, Elisabeth Huynh, Remo Russo, Julie Ratcliffe
Abstract: Purpose: To examine the psychometric properties and suitability for use within the context of cerebral palsy research in children and adolescents of generic preference-based outcome measures (PROMs). Methods: Nine electronic databases were searched in this systematic review. The consensus-based standards for the selection of health measurement instruments (COSMIN) checklist were used to measure the psychometric properties of the PROMs. A meta-analysis was used to pool correlation coefficients for convergent validity using the Schmidt–Hunter method. Heterogeneity was assessed using the I-squared statistic (I2). Results: Four preference-based PROMs were identified from eight studies: Health Utilities Index—Mark 2 and 3 (HUI-2 and HUI-3, respectively), the Assessment Quality of Life-4 dimension (AQoL-4D) and the EuroQol-5 dimension 3 level (EQ-5D-3L). Only the HUI system was primarily developed for application with children/adolescents though health-state values for scoring the PROM were elicited from adults. The HUI-3 covered the most relevant constructs though it excludes important modules of health-related quality of life (HRQOL) such as activity limitations and participation restrictions. In terms of psychometric properties, evidence was presented for only five of COSMIN measurement properties: reliability (HUI3), measurement error (HUI-3), content validity (HUI-2 and HUI-3), Hypotheses testing (HUI-3 and AQoL-4D) and criterion validity (HUI-3). No papers reported on internal consistency, structural validity, cross-cultural validity or responsiveness of the preference-based measures in children and adolescents with cerebral palsy. Conclusions: This review highlights the dearth in studies using preference-based PROMs to measure HRQOL associated with cerebral palsy in children and adolescents. The HUI-3 demonstrated the strongest psychometric properties, though it does not cover all dimensions relevant to this population.
Keywords: Adolescent; Cerebral palsy; Child; Instruments; Quality of life; Utility
Rights: © Springer International Publishing AG, part of Springer Nature 2018
RMID: 0030098631
DOI: 10.1007/s11136-018-1837-0
Appears in Collections:Public Health publications

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