Guide to Design and Development of Health-State Utility Instrumentation
AbstractGrowing interest in methods of quantifying health-related quality of life has resulted in demand for a manual describing general techniques that may be customized by health researchers and used to measure preferences in applications having a wide variety of objectives. This report is intended to provide practice guidelines to researchers who require information about the design, construction and administration of instruments used to obtain estimates of health utility. The focus is on the steps required to conduct a study in which preferences are measured; the theory that underlies utility measurement is not presented. Utility scores may be used to assess the health-related quality of life for specific health states. Utility scores are also useful in evaluations, such as cost-utility analyses, in which the costs of health care interventions are compared to their consequences both in terms of quantity and quality of life. In order to obtain reliable, valid, and responsive utility scores, however, the instruments must be carefully designed, tested and executed. Experience to date indicates that careful instrument development requires time, effort and care. Three major instruments are described: rating scale, standard gamble and time trade-off. Methodologically correct techniques are recommended where possible and suggestions, based on experience, are presented for situation in which theoretical or empirical evidence is lacking. The guide discusses the criteria for selection of techniques, materials, interviewers and respondents. Examples of an interviewer training manual, interview scripts and data recording forms are also included. Detailed diagrams provide specifications for assembling visual aids (i.e., interviewing props) and an extensive bibliography will direct readers interested in specific issues to appropriate references.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada in its series Centre for Health Economics and Policy Analysis Working Paper Series with number 1990-09.
Length: 148 pages
Date of creation: 1992
Date of revision:
Contact details of provider:
Postal: CRL Building, 282, 1280 Main Street West, Hamilton, Ontario L8S 4K1
Phone: (905) 525-9140, extension 22122
Fax: (905) 546-5211
Web page: http://www.chepa.org/
More information through EDIRC
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Paul McNamee & Sharon Glendinning & Jonathan Shenfine & Nick Steen & S. Griffin & John Bond, 2004. "Chained time trade-off and standard gamble methods," The European Journal of Health Economics, Springer, vol. 5(1), pages 81-86, February.
- McCabe, C & Brazier, J & Gilks, P & Tsuchiya, A & Roberts, J & O'Hagan, A & Stevens, K, 2004. "Estimating population cardinal health state valuation models from individual ordinal (rank) health state preference data," MPRA Paper 29759, University Library of Munich, Germany.
- Andrew Lloyd & Scott Doyle & Sarah Dewilde & Florian Turk, 2008. "Preferences and utilities for the symptoms of moderate to severe allergic asthma," The European Journal of Health Economics, Springer, vol. 9(3), pages 275-284, August.
- Dolan, P. & Gudex, C. & Kind, P. & Williams, A., 1996. "Valuing health states: A comparison of methods," Journal of Health Economics, Elsevier, vol. 15(2), pages 209-231, April.
- Katherine J. Stevens & Christopher J. McCabe & John E. Brazier, 2006. "Mapping between Visual Analogue Scale and Standard Gamble data; results from the UK Health Utilities Index 2 valuation survey," Health Economics, John Wiley & Sons, Ltd., vol. 15(5), pages 527-533.
- Christopher McCabe & Katherine Stevens & Jennifer Roberts & John Brazier, 2005.
"Health state values for the HUI 2 descriptive system: results from a UK survey,"
John Wiley & Sons, Ltd., vol. 14(3), pages 231-244.
- McCabe, C & Stevens, K & Roberts, J & Brazier, JE, 2003. "Health state values for the HUI 2 descriptive system: results from a UK survey," MPRA Paper 29744, University Library of Munich, Germany.
- Alan Shiell & Janelle Seymour & Penelope Hawe & Sue Cameron, 2000. "Are preferences over health states complete?," Health Economics, John Wiley & Sons, Ltd., vol. 9(1), pages 47-55.
- McCabe, Christopher & Brazier, John & Gilks, Peter & Tsuchiya, Aki & Roberts, Jennifer & O'Hagan, Anthony & Stevens, Katherine, 2006. "Using rank data to estimate health state utility models," Journal of Health Economics, Elsevier, vol. 25(3), pages 418-431, May.
- Zafar Hakim & Dev S. Pathak, 1999. "Modelling the EuroQol data: a comparison of discrete choice conjoint and conditional preference modelling," Health Economics, John Wiley & Sons, Ltd., vol. 8(2), pages 103-116.
- Valerie Seror, 2008. "Fitting observed and theoretical choices - women's choices about prenatal diagnosis of Down syndrome," Health Economics, John Wiley & Sons, Ltd., vol. 17(5), pages 557-577.
- Brazier, John & Roberts, Jennifer & Deverill, Mark, 2002. "The estimation of a preference-based measure of health from the SF-36," Journal of Health Economics, Elsevier, vol. 21(2), pages 271-292, March.
- Brazier, J & Dolan, P, 2005. "Evidence of preference construction in a comparison of variants of the standard gamble method," MPRA Paper 29760, University Library of Munich, Germany.
- Brazier, J, 2005. "Current state of the art in preference-based measures of health and avenues for further research," MPRA Paper 29762, University Library of Munich, Germany.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Lyn Sauberli).
If references are entirely missing, you can add them using this form.