Evidence map›Paper›PMID 30864066›Full record

ArticlePharmacoEconomics2019

Measuring Health Spillover Effects in Caregivers of Children with Autism Spectrum Disorder: A Comparison of the EQ-5D-3L and SF-6D.

Clare C Brown, J Mick Tilford, Nalin Payakachat, D Keith Williams, Karen A Kuhlthau, Jeffrey M Pyne, Renske J Hoefman, Werner B F Brouwer

Open access · hybridAbstract readComparative Study
In one paragraph

Article in PharmacoEconomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
10.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  9. Assessing the psychometric performance of the EQ-5D-5L among informal caregivers of people with dementia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  10. Comparative performance and mapping algorithms between EQ-5D-5L and SF-6Dv2 among the Chinese general population.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
    Article
  11. Review
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  16. Parental health spillover effects of paediatric rare genetic conditions.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  17. Pediatric Concurrent Hospice Care: A Scoping Review and Directions for Future Nursing Research.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2020
    Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Clare C BrownDepartment of Health Policy and Management, University of Arkansas for Medical Sciences, 4301 W. Markham, Slot 820, Little Rock, AR, 72205, USA.
J Mick TilfordDepartment of Health Policy and Management, University of Arkansas for Medical Sciences, 4301 W. Markham, Slot 820, Little Rock, AR, 72205, USA. tilfordmickj@uams.edu.
Nalin PayakachatDivision of Pharmaceutical Evaluation and Policy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
D Keith WilliamsDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Karen A KuhlthauDepartment of Pediatrics, Harvard Medical School, Boston, MA, USA.
Jeffrey M PyneCenter for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System and Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Renske J HoefmanErasmus School of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
Werner B F BrouwerErasmus School of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
University of Arkansas for Medical Sciences · USErasmus University Rotterdam · NLMassachusetts General Hospital · US

Funding

Measuring quality adjusted life years in children with autism spectrum disordersR01MH089466 · NIMH · UNIV OF ARKANSAS FOR MED SCIS · PI KUHLTHAU, KAREN A, TILFORD, JOHN M · 2009 to 2010
$976k
Mapping Clinical Outcomes to Preference-based Measures from the NDAR DatabaseR03MH102495 · NIMH · UNIV OF ARKANSAS FOR MED SCIS · PI PAYAKACHAT, NALIN · 2014 to 2015
$149k
HRSA HHS UA3MC11054NIMH NIH HHS R01 MH089466NIMH NIH HHS R03 MH102495NIMH NIH HHS R03MH102495
6 · The paper itself

Abstract

BACKGROUND AND

objectiveHealthcare interventions that improve the health of children with autism spectrum disorder (ASD) have the potential to affect the health of caregivers. This study compares the three-level EuroQoL-5 Dimension (EQ-5D-3L) and the Short Form-6 Dimension (SF-6D) in their ability to value such spillover effects in caregivers.

methodsClinical data collected from two Autism Treatment Network (ATN) sites was combined with survey data of caregivers of children diagnosed with ASD. Caregivers completed instruments by proxy describing child health and completed the EQ-5D-3L and SF-6D preference-weighted instruments to describe their own health.

resultsThere was a strong correlation between the health utility scores of the two preference-weighted instruments (ρ = 0.6172, p < 0.001) measuring caregiver health-related quality of life. There was a similar correlation between both the SF-6D and EQ-5D-3L scores with a previously validated care-related quality of life measure (Care-related Quality of Life instrument [CarerQol-7D]) (ρ = 0.569, p < 0.001 and ρ = 0.541, p < 0.001, respectively). The mean SF-6D scores for caregivers differed significantly in relation to four of the five child health or behavior measures whereas the EQ-5D-3L differed for only two of them.

conclusionsHealth utility values of caregivers for children with ASD vary by the health characteristics of the child, suggesting significant potential for spillover effects. The comparison of the EQ-5D-3L and SF-6D demonstrated that both instruments can be used to estimate spillover effects of interventions to improve child health, but the SF-6D exhibited greater sensitivity to child health among children with ASD.

Indexed as

Quality of LifeAdultAutism Spectrum DisorderCaregiversChildChild HealthChild, PreschoolFemaleHumansMaleMiddle Aged

Identifiers

PMID30864066
PMCPMC6469595
OpenAlexW2921252611

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.