The validity of the Child Health Utility instrument (CHU9D) as a routine outcome measure for use in child and adolescent mental health services

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• 作者：Gareth Furber ; Leonie Segal
• 关键词：Health related quality of life ; Child and adolescent mental health services ; Validation
• 刊名：Health and Quality of Life Outcomes
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：13
• 期：1
• 全文大小：697 KB
• 参考文献：1. Hall, CL, Moldavsky, M, Taylor, J, Sayal, K, Marriott, M, Batty, MJ (2013) Implementation of routine outcome measurement in child and adolescent mental health services in the United Kingdom: a critical perspective. Eur Child Adolesc Psychiatry 23: pp. 239-42 CrossRef
  2. Duncan, EAS, Murray, J (2012) The barriers and facilitators to routine outcome measurement by allied health professionals in practice: A systematic review. BMC Health Serv Res 12: pp. 96 CrossRef
  3. McKay, R, Coombs, T (2012) An exploration of the ability of routine outcome measurement to represent clinically meaningful information regarding individual consumers. Australas Psychiatry 20: pp. 433-7 CrossRef
  4. Coombs, T, Stapley, K, Pirkis, J (2011) The multiple uses of routine mental health outcome measures in Australia and New Zealand: Experiences from the field. Australas Psychiatry 19: pp. 247-53 CrossRef
  5. Gowers, SG, Harrington, RC, Whitton, A, Lelliott, P, Beevor, A, Wing, J (1999) Brief scale for measuring the outcomes of emotional and behavioural disorders in children. Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Br J Psychiatry 174: pp. 413-6 CrossRef
  6. Goodman, R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38: pp. 581-6 CrossRef
  7. Furber, G, Segal, L (2011) Give your child and adolescent mental health service a health economics makeover. Child Youth Serv Rev 34: pp. 71-5 CrossRef
  8. Green, C, Brazier, J, Deverill, M (2000) Valuing health-related quality of life. Pharmacoeconomics 17: pp. 151-65 CrossRef
  9. Stevens, K (2012) Valuation of the child health utility 9D index. Pharmacoeconomics 30: pp. 729-47 CrossRef
  10. Ratcliffe, J, Flynn, T, Terlich, F, Stevens, K, Brazier, J, Sawyer, M (2012) Developing adolescent-specific health state values for economic evaluation: an application of profile case best-worst scaling to the Child Health Utility 9D. Pharmacoeconomics 30: pp. 713-27 CrossRef
  11. Furlong, WJ, Feeny, DH, Torrance, GW, Barr, RD (2001) The Health Utilities Index (HUI) system for assessing health-related quality of life in clinical studies. Ann Med 33: pp. 375-84 CrossRef
  12. Apajasalo, M, Sintonen, H, Holmberg, C, Sinkkonen, J, Aalberg, V, Pihko, H (1996) Quality of life in early adolescence: a sixteen-dimensional health-related measure (16D). Qual Life Res 5: pp. 205-11 CrossRef
  13. Apajasalo, M, Rautonen, J, Holmberg, C, Sinkkonen, J, Aalberg, V, Pihko, H (1996) Quality of life in pre-adolescence: A 17-dimensional health-related measure (17D). Qual Life Res 5: pp. 532-8 CrossRef
  14. Wille, N, Badia, X, Bonsel, G, Burstr?m, K, Cavrini, G, Devlin, N (2010) Development of the EQ-5D-Y: a child-friendly version of the EQ-5D. Qual Life Res 19: pp. 875-86 CrossRef
  15. Beusterien, KM, Yeung, J-E, Pang, F, Brazier, J (2012) Development of the multi-attribute Adolescent Health Utility Measure (AHUM). Health Qual Life Outcomes 10: pp. 102 CrossRef
  16. Mihalopolous, C, Richardson, J, Iezzi, A, Khan, M (2013) The assessment of Quality of Life Eight Dimension S
• 刊物主题：Quality of Life Research; Quality of Life Research;
• 出版者：BioMed Central
• ISSN：1477-7525

文摘

Background Few cost-utility studies of child and adolescent mental health services (CAMHS) use quality adjusted life years (a combination of utility weights and time in health state) as the outcome to enable comparison across disparate programs and modalities. Part of the solution to this problem involves embedding preference-based health-related quality of life (PBHRQOL) utility instruments, which generate utility weights, in clinical practice and research. The Child Health Utility (CHU9D) is a generic PBHRQOL instrument developed specifically for use in young people. The purpose of this study was to assess the suitability of the CHU9D as a routine outcome measure in CAMHS clinical practice. Methods Two hundred caregivers of children receiving community mental health services completed the CHU9D alongside a standardised child and adolescent mental health measure (the Strengths and Difficulties Questionnaire -SDQ) during a telephone interview. We investigated face validity, practicality, internal consistency, and convergent validity of the CHU9D. In addition, we compared the utility weights obtained in this group with utility weights from other studies of child and adolescent mental health populations. Results Participants found the CHU9D easy and quick to complete. It demonstrated acceptable internal consistency, and correlated moderately with the SDQ. It was able to discriminate between children in the abnormal range and those in the non-clinical/borderline range as measured by the SDQ. Three CHU9D items without corollaries in the SDQ (sleep, schoolwork, daily routine) were found to be significant predictors of the SDQ total score and may be useful clinical metrics. The mean utility weight of this sample was comparable with clinical subsamples from other CHU9D studies, but was significantly higher than mean utility weights noted in other child and adolescent mental health samples. Conclusions Initial validation suggests further investigation of the CHU9D as a routine outcome measure in CAMHS is warranted. Further investigation should explore test-retest reliability, sensitivity to change, concordance between caregiver and child-completed forms, and the calibration of the utility weights. Differences between utility weights generated by the CHU9D and other utility instruments in this population should be further examined by administering a range of PBHRQOL instruments concurrently in a mental health group.