Guo Zhirui, Diaz Diana Marcela Nova, Lipman Stefan A, Roijen Leona Hakkaart-van
Erasmus School of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, Rotterdam, 3000 DR, the Netherlands.
Department of Economics, Public University of Navarre (Universidad Pública de Navarra), Navarra, Spain.
Health Qual Life Outcomes. 2025 Sep 26;23(1):86. doi: 10.1186/s12955-025-02418-3.
To comprehensively evaluate health care interventions in younger populations, outcome measurement in economic evaluation may need to be expanded beyond health-related quality of life to include well-being. However, whether appropriate well-being instruments exist for children remains uncertain. This study provides a systematic overview of multidimensional well-being instruments for children and assesses their potential applicability for economic evaluation.
This scoping review was reported following the PRISMA-ScR guidelines. The search strategy included terms related to "well-being," "child or adolescent," and "instrument", and was implemented in four electronic databases, yielding a total of 9622 articles. Two reviewers independently screened articles with ASReview, a machine-learning-based tool for expediting screening, and manually extracted information from relevant articles. Findings were synthesized narratively, highlighting consistency and discrepancies, as well as potential suitability for economic evaluation (using multiple criteria).
Twentyfive studies were included, published between 1993 and 2024. On average, instruments assessed well-being with five dimensions and 38 questions. Common dimensions included physical, health, school, satisfaction, relationship(s), emotional and self. Dimensions that capture children's daily experiences, such as family, achievement, education and after-school activities were frequently considered.
The review highlights the variety of well-being instruments for children. Although many instruments measure well-being comprehensively, only ICECAP-CYP fit all criteria for suitability for economic evaluation. The small number of potentially suitable instruments highlights a growing yet still insufficient interest in moving beyond traditional HRQoL assessments in younger populations.
为了全面评估针对年轻人群的医疗保健干预措施，经济评估中的结果测量可能需要从与健康相关的生活质量扩展到包括幸福感。然而，儿童是否有合适的幸福感测量工具仍不确定。本研究系统综述了用于儿童的多维幸福感测量工具，并评估了它们在经济评估中的潜在适用性。
本范围综述按照PRISMA-ScR指南进行报告。检索策略包括与“幸福感”、“儿童或青少年”和“测量工具”相关的术语，并在四个电子数据库中实施，共检索到9622篇文章。两位评审员使用ASReview（一种基于机器学习的加速筛选工具）独立筛选文章，并从相关文章中手动提取信息。研究结果采用叙述性综合分析，突出一致性和差异，以及在经济评估中的潜在适用性（使用多个标准）。
纳入了25项研究，发表时间为1993年至2024年。平均而言，测量工具从五个维度和38个问题评估幸福感。常见维度包括身体、健康、学校、满意度、人际关系、情绪和自我。经常考虑捕捉儿童日常经历的维度，如家庭、成就、教育和课外活动。
该综述突出了用于儿童的幸福感测量工具的多样性。尽管许多工具全面测量幸福感，但只有ICECAP-CYP符合经济评估适用性的所有标准。潜在适用工具数量较少，这凸显了在年轻人群中超越传统健康相关生活质量评估的兴趣不断增长，但仍显不足。
