Evidence map›Paper›PMID 30895565›Full record

ArticlePharmacoEconomics2019

Parent Preferences for Health Outcomes Associated with Autism Spectrum Disorders.

Tara A Lavelle, Milton C Weinstein, Joseph P Newhouse, Kerim Munir, Karen A Kuhlthau, Lisa A Prosser

Open access · hybridAbstract read
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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Health state utilities associated with invasive pneumococcal disease, pneumonia, and recurrent acute otitis media in young children.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  3. Exploring non-iterative time trade-off methods for valuation of EQ-5D-5L health states.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
    Article
  4. Article
  5. 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

6 authors at 5 institutions in 1 country.

Tara A LavelleCenter for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA. tlavelle@tuftsmedicalcenter.org.ORCID 0000-0003-1212-6973
Milton C WeinsteinCenter for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Joseph P NewhouseDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Kerim MunirDivision of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA.
Karen A KuhlthauDepartment of Pediatrics, Harvard Medical School, Boston, MA, USA.
Lisa A ProsserDepartment of Pediatrics and Communicable Diseases, Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI, USA.
Boston Children's Hospital · USHarvard University · USNational Bureau of Economic Research · USTufts University · USUniversity of Michigan · US

Funding

Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
HRQOL Impacts of Illness on Family and CaregiversR01NR011880 · NINR · HARVARD SCHOOL OF PUBLIC HEALTH · PI WITTENBERG, EVE · 2009 to 2011
$1.3M
NCD-LIFESPAN Global Mental Health/Developmental Disorders Research Training InitiD43TW009680 · FIC · BOSTON CHILDREN'S HOSPITAL · PI MUNIR, KERIM M · 2014 to 2018
$1.3M
Mental Health/Disabilities(MHDD)Research Education ProgramR25MH071286 · NIMH · CHILDREN'S HOSPITAL BOSTON · PI MUNIR, KERIM M · 2005 to 2011
$784k
FIC NIH HHS D43 TW009680NIMH NIH HHS 5T32MH019733-18NIMH NIH HHS R25 MH071286NIMH NIH HHS R25MH071286NINR NIH HHS 7-R01-NR-011880-03NINR NIH HHS R01 NR011880
6 · The paper itself

Abstract

backgroundFew studies have used preference-based quality-of-life outcomes to assess how autism spectrum disorders (ASDs) affect children and parents, and none have examined variation by ASD severity.

objectiveOur objective was to derive parent valuations of child and parent health associated with varying ASD severity levels.

methodsParents of children aged 3-17 years with and without ASD were selected from a nationally representative research panel to complete a survey. We asked parents time trade-off (TTO) questions to value their own and their child's current health. Parents of children with ASD were asked to report the severity of their child's core ASD symptoms. We calculated utility values from each TTO amount, and used a two-part regression model to estimate the change in parent-reported child health utility, as well as parent health utility, associated with ASD diagnosis and increasing symptom severity, controlling for respondent and child characteristics.

resultsSixty-nine percent of parents responded (final sample size was 135 in the ASD group and 120 in the comparison group). In adjusted analyses, there was a 0.12 (95% confidence interval [CI] 0.03-0.21) decrease in the parent-reported health utility of children with ASD, a 15% decrease from the mean health utility of children without ASD. On average, having a child with ASD was not significantly associated with a decrease in parent health utility, but there was a 0.14 (95% CI 0.01-0.26) reduction in health utility among parents of children with severe ASD, a 15% decrease from the comparison group mean.

conclusionsOverall, ASD had a significant impact on parent-reported child health utility, and the health utility of parents of children with severe ASD.

Indexed as

Child HealthParentsSeverity of Illness IndexAdolescentAdultAutism Spectrum DisorderChildChild, PreschoolCost-Benefit AnalysisFemaleHumansMaleMiddle AgedQuality of LifeYoung Adult

Identifiers

PMID30895565
PMCPMC6469598
OpenAlexW2923291330

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.