Valuing EQ-5D-Y-3L Health States Using a Discrete Choice Experiment: Do Adult and Adolescent Preferences Differ?

David J. Mott, Koonal K. Shah, Juan Manuel Ramos-Goñi, Nancy Devlin () and Oliver Rivero-Arias
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David J. Mott: Office of Health Economics, London, UK
Koonal K. Shah: Office of Health Economics, London, UK
Juan Manuel Ramos-Goñi: Maths in Health, Rotterdam, The Netherlands
Oliver Rivero-Arias: National Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population Health, University of Oxford, Oxford, UK

Medical Decision Making, 2021, vol. 41, issue 5, 584-596

Abstract: Background An important question in the valuation of children’s health is whether the preferences of younger individuals should be captured within value sets for measures that are aimed at them. This depends on whether younger individuals can complete valuation exercises and whether their preferences differ from those of adults. This study compared the preferences of adults and adolescents for EQ-5D-Y-3L health states using latent scale values elicited from a discrete choice experiment (DCE). Methods An online DCE survey, comprising 15 pairwise choices, was provided to samples of UK adults and adolescents (aged 11–17 y). Adults considered the health of a 10-year-old child, whereas adolescents considered their own health. Mixed logit models were estimated, and comparisons were made using relative attribute importance (RAI) scores and a pooled model. Results In total, 1000 adults and 1005 adolescents completed the survey. For both samples, level 3 in pain/discomfort was most important, and level 2 in self-care the least important, based on the relative magnitudes of coefficients. The RAI scores (normalized on self-care) indicated that adolescents gave less weight relative to adults to usual activities (1.18 v. 1.51; P

Keywords: discrete choice experiment; EQ-5D-Y; UK; valuation exercise; youth health state valuation (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:41:y:2021:i:5:p:584-596

DOI: 10.1177/0272989X21999607

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