ASSESSMENT OF BENEFITS SUITABLE FOR INCLUSION INTO AN ECONOMIC EVALUATION FOR CHILDREN WITH MOTOR SPEECH DISORDER IN CEREBRAL PALSY
Author(s)
Aluko PO, Vale L, Pennington L
Newcastle University, Newcastle upon Tyne, UK
OBJECTIVES: To review the Quality of Life (QOL) tools suitable for capturing the benefits of an internet delivered speech therapy in children with speech and language difficulties in cerebral palsy. METHODS: PubMed, Embase, Medline, PsycINFO, NHS Economic Evaluation Database and Evidence Based Medicine Reviews (Ovid) databases were searched to identify literatures on QOL tools for children with speech, language and communication disabilities aged 3-18 years. Full text articles were included with no year limitation but language restricted to English. RESULTS: 1052 studies were identified from the search with eight studies meeting the inclusion criteria for the review. Of the six tools identified from the review, Health Utility Index 3 (HUI3) was recommended as the most appropriate tool as it can be used to derive Quality Adjusted Life Years (QALYs) and preferred by decision-makers for utility estimation. Studies also reported the reliability and sensitivity of the tool in capturing different ranges of speech and language disorder as it includes a domain on speech. Strong correlation was found in the HUI3 scores and level of impairment in children with cerebral palsy reinforcing it sensitivity. Paediatric Speech and Language Quality of Life (PedSal QoL), a condition specific measure was also identified as being suitable for this group of children but cannot be applicable because further work would be needed to assign utility scores to responses to this tool. CONCLUSIONS: HUI3 was identified to be the most suitable tool for the assessment of benefit in children with motor speech disorder and cerebral palsy. Another alternative for consideration would be PedSalQoL, but further research would be required before this tool could be used as the basis of health state utilities.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PHS93
Topic
Patient-Centered Research
Topic Subcategory
Health State Utilities, Patient-reported Outcomes & Quality of Life Outcomes
Disease
Neurological Disorders, Pediatrics