A comprehensive systematic review and evaluation was conducted on the psychometric performance of 14 generic childhood multi-attribute utility instruments across 18 psychometric properties.

There is a high degree of variability surrounding psychometric performance across the instruments and the psychometric properties evaluated, with more recently developed instruments targeting preschool children having greater evidence gaps.

Identified gaps in psychometric evidence and common methodological issues in psychometric assessment can inform future research directions and methods in this topic area.