A Systematic Review of International Guidance for Self-Report and Proxy Completion of Child-Specific Utility Instruments

Christine Mpundu-Kaambwa, Norma Bulamu, Lauren Lines, Gang Chen, Kim Dalziel, Nancy Devlin, Julie Ratcliffe, Quality of Life in Kids: Key Evidence for Decision Makers in Australia (QUOKKA) Project Team

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)


Objectives: This study aimed to identify and summarize published guidance and recommendations for child self- and proxy assessment of existing child-specific instruments of health-related quality of life (HRQoL) that are accompanied by utilities. Methods: A total of 9 databases plus websites of (1) health technology assessment and health economics outcomes research organizations and (2) instrument developers were systematically searched. Studies were included if they reported guidance for child self- and proxy assessment for child populations (0-18 years old). Three reviewers independently screened titles, abstracts, and full-text reviews against the inclusion criteria. Key features of the guidance identified were summarized. Results: A total of 19 studies met the inclusion criteria. In general, journal articles provided little guidance on child self- and proxy assessment, with the majority focused on instrument development and psychometric performance more broadly. Instrument developers’ websites provided more guidance for child self- and proxy reports with specific guidance found for the EQ-5D-Y and the Pediatric Quality of Life Inventory. This guidance included the minimum age for self-report and mode of administration; recommended proxy types, age range of child for whom proxy report can be completed, and target population; and recall period. Websites of leading organizations provided general guidance on HRQoL evaluation in children but lacked specific guidance about self- and proxy completion. Conclusions: EQ-5D-Y and Pediatric Quality of Life Inventory developers’ websites provided the most comprehensive guidance for self-report and proxy report of their respective instruments. More evidence is required for developing best practice guidance on why, when, and how to use self- and proxy reports in assessing HRQoL in child populations.

Original languageEnglish
Pages (from-to)1791-1804
Number of pages14
JournalValue in Health
Issue number10
Early online date3 Jun 2022
Publication statusPublished - Oct 2022


  • child
  • guidance
  • health-related quality of life
  • proxy
  • self-report
  • utility-based


Dive into the research topics of 'A Systematic Review of International Guidance for Self-Report and Proxy Completion of Child-Specific Utility Instruments'. Together they form a unique fingerprint.

Cite this