title: The Value Adults Place on Child Health and Functional Status.
abstract: OBJECTIVE
  To summarize the value adults place on child health and functional status and provide a new quantitative tool that enhances our understanding of the benefits of new health technologies and illustrates the potential contributions of existing data sets for comparative effectiveness research in pediatrics.
  
  
  METHODS
  Respondents, ages 18 years and older, were recruited from a nationally representative panel between August 2012 and February 2013 to complete an online survey. The survey included a series of paired comparisons that asked respondents to choose between child health and functional status outcomes, which were described using the National Survey of Children with Special Health Care Needs, a 14-item descriptive system of child health outcomes. Using respondent choices regarding an unnamed 7- or 10-year-old child, generalized linear model analyses estimated the value of child health and functional status on a quality-adjusted life-year scale.
  
  
  RESULTS
  Across the domains of health and functional status, repeated or chronic physical pain, feeling anxious or depressed, and behavioral problems (such as acting out, fighting, bullying, or arguing) were most valuable, as indicated by adult respondents' preference of other health problems to avoid outcomes along these domains.
  
  
  CONCLUSIONS
  These findings may inform comparative effectiveness research, health technology assessments, clinical practice guidelines, and public resource allocation decisions by enhancing understanding of the value adults place on the health and functional status of children.
  
  
  CONCLUSIONS
  Improved measurement of public priorities can promote national child health by drawing attention to what adults value most and complementing conventional measures of public health surveillance.
authors.affiliation: Moffitt Cancer Center, Tampa, FL, USA; University of South Florida, Tampa, FL, USA. Electronic address: benjamin.craig@moffitt.org.
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Craig
authors.affiliation: Brown School, Institute for Public Health, Washington University in St. Louis, St. Louis, MO, USA.
authors.forename: Derek S
authors.initials: DS
authors.lastname: Brown
authors.affiliation: UNC Lineberger Comprehensive Cancer Center and UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Bryce B
authors.initials: BB
authors.lastname: Reeve
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002669:Child Welfare; D019988:Children with Disabilities; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006306:Health Surveys / Q000379:methods / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019057:Quality-Adjusted Life Years; D055815:Young Adult
keywords: NS-CSHCN; National Survey of Children with Special Health Care Needs; QALY; paired comparisons; patient-reported outcomes; quality-adjusted life-years