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Economic Evaluation in Child Health$
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Wendy Ungar

Print publication date: 2009

Print ISBN-13: 9780199547494

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780199547494.001.0001

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The reliability and validity of children’s and adolescents’ self-reported health

The reliability and validity of children’s and adolescents’ self-reported health

Chapter:
(p.33) Chapter 2 The reliability and validity of children’s and adolescents’ self-reported health
Source:
Economic Evaluation in Child Health
Author(s):

Katherine B. Bevans

Christopher B. Forrest

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199547494.003.02

This chapter argues that obtaining children's direct reports of wellbeing, symptoms, strengths, and needs using developmentally appropriate strategies is an essential component of thorough and accurate health status assessment. Failure to do so devalues children's perspectives on their own health and results in the loss of essential information. Evidence is reviewed that demonstrates that children are reliable and accurate reporters of their health status when assessment methodologies are sensitive to their cognitive competencies and to their understanding of health and illness. Topics discussed include general cognitive competencies, children's understanding of health and illness concepts, assessment instruments, proxy measures of child health status, and the reliability and validity of children's self-reports of quality of life. The chapter ends with recommendations for health status assessment in children at various developmental levels.

Keywords:   self-report, reliability, validity, health status assessment, cognitive competencies, proxy measures, quality of life assessment

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