biostudies-literatureUnknown63(10)Jumamyradov M<h4>Objectives</h4>In 2013, the EQ-5D-Y-3L valuation study conducted by Craig and colleagues (ie, the original study) of child health-related quality of life (HRQoL) revealed that U.S. respondents often found it burdensome and guilt-inducing to choose between hypothetical health problems of children. This study introduces an alternative approach where respondents sequentially relieve the health problems of a 10-year-old child for 1 week.<h4>Methods</h4>We conducted a discrete choice experiment (DCE) survey (N=631) with paired comparisons and kaizen tasks. Each kaizen task displayed a single profile of a child's HRQoL using the EQ-5D-Y-3L descriptive system and asked respondents to select first, second, and third improvements for the child's problems. Combining the preference evidence, a coMedical care771-778https://www.ebi.ac.uk/biostudies/studies/S-EPMC12422609biostudies-literatureRevisiting the Valuation of Child Health-Related Quality of Life: Replacing Paired Comparisons With Kaizen Tasks and QALY Scaling With Experience Scaling.PMC12422609Jakubczyk MJumamyradov MCraig BMfalseRevisiting the Valuation of Child Health-Related Quality of Life: Replacing Paired Comparisons With Kaizen Tasks and QALY Scaling With Experience Scaling.<h4>Objectives</h4>In 2013, the EQ-5D-Y-3L valuation study conducted by Craig and colleagues (ie, the original study) of child health-related quality of life (HRQoL) revealed that U.S. respondents often found it burdensome and guilt-inducing to choose between hypothetical health problems of children. This study introduces an alternative approach where respondents sequentially relieve the health problems of a 10-year-old child for 1 week.<h4>Methods</h4>We conducted a discrete choice experiment (DCE) survey (N=631) with paired comparisons and kaizen tasks. Each kaizen task displayed a single profile of a child's HRQoL using the EQ-5D-Y-3L descriptive system and asked respondents to select first, second, and third improvements for the child's problems. Combining the preference evidence, a co2025-01-01T00:00:00Z2025 Oct2026-06-02T20:20:04.116Z2026-04-20T03:09:58.782ZS-EPMC124226094084665010.1097/MLR.0000000000002200