Asthma control test an overview sciencedirect topics. It considers how often you experience asthma symptoms and use medications to control them, as well as the severity of symptoms and how they impact on your life. A score of range 20 to 24 indicates wellcontrolled asthma. The act is a validated, short, easy to use, and selfadministered instrument used to assess asthma control. Childhood asthma control test european respiratory society. For the act, 5 items were selected from an initial panel of 22 proposed by a group that consisted of 4 primary care physicians and 7 asthma specialists in america. Severity of asthma score predictions for patients with. It provides a numerical score to help you and your doctor understand your asthma management habits. The second is the asthma control test caregiver report actcr, which is specifically for caregivers of patients 6 to less than 12 years of age. The first is the asthma control test act, which is a short quiz for patients 12 years of age and older. In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home. Changes in fev 1 and act were only minimally correlated.
I was informed there may be more you and your healthcare provider could do to help control your asthma symptoms, and if my score were lower than 15 i was encouraged to contact my healthcare provider right away. Childhood asthma control test for children 4 to 11 years old. Fuhlbrigge, aaron deykin, in clinical asthma, 2008. The adult items are based on a recall period of 4 weeks. Medical experts agree that the level of asthma control is a key feature when determining the best asthma treatment required 1, 2. There are a number of asthma control tests available online, including an example of an asthma control test, asthma score, available via asthma australia. The asthma control test provides a numerical score to help you and your healthcare provider determine if your asthma symptoms are well controlled. Asthma symptoms can vary from month to month, so it is worth keeping the test. Circle the number of the response that best describes how you have been during the past week. The reliabilities of the act scores in this study were 0. Include the act score in your patients chart to track asthma control. Please note that the adult act is owned and controlled by qualitymetricoptum. Your asthma score will assist your health care professional in helping you reach the best asthma control possible. Act and the college board have completed a concordance study that is designed to examine the relationship between scores on the act test and the sat.
The survey measures the elements of asthma control as defined by the national heart, lung, and blood institute nhlbi. For each question, make sure you read all five possible answers before choosing the. To score the act each response to the 5 act questions has a point value from 1 to 5 as shown on the form. Shortacting inhaled betaagonists are the preferred quickrelief medicine. Us department of health and human services, national institutes of health, national heart, lung and blood institute. The asthma control test is suitable for people 12 years of age and older. Include the act score in your patients chart to track asthma. The asthma control test act is a five question health survey used to measure asthma control in individuals 12 years of age or older. The results can help to show the level of control you actually have over your asthma, which may surprise you. In the past 4 weeks did you miss any work, school, or normal daily activities because of your asthma.
Developed by asthma experts, the asthma control test act provides a numerical score to assess the control of asthma. The doctor may then based on your score prescribe any type of improvement in asthma control strategy. Your airways will open up, which will help you breathe better fast. Test for respiratory and asthma control in kids track. The ameican lung association suppports the asthma control test and does not endorse products. Write the number of each answer in the score box provided. The final score of the cact is the simple sum of each item and ranges from 0 to 27. For each question, make sure you read all five possible answers before choosing the best one for you. Acq has a multidimensional construct assessing symptoms 5 itemsself.
If your score is 19 or less, your asthma may not be controlled as well as it could be. The cact can be valuable in clinical practice and research based on its validation, ease of use, input from the child and caregiver, and alignment with asthma guidelines. Spirometry data was collected and asthma specialists, blinded to the act responses, rated asthma control. Childhood asthma control test for children 4 to 11. Moderate correlations existed between the act and the asthma specialists score, whereas changes in the act and acq were found to be highly consistent.
The act is a triedandtested tool made up of five questions you can complete either on or offline. If your childs score is 19 or less, it may be a sign that your childs asthma is not controlled as well as it could be. Us department of health and human services, national institutes of health. Asthma control test the asthma control test is a way to help you and your healthcare provider determine if your asthma symptoms are well controlled. For each question, make sure you read all five possible answers before. Recognized by the national institutes of health nih in its 2007 asthma guidelines. The asthma control test and asthma control questionnaire. Please turn this page over to see what your childs total score means. Key questions focusing on the past 4 weeks are asked to determine asthma control. Take control of asthma quickrelief rescue medicines these medicines, used as needed, act quickly to relax the muscles around your airways. Your doctor or nurse can recommend an asthma action plan to help improve your asthma control. If the total point value is 19 or below, your childs asthma may not be wellcontrolled.
Calculate your asthma score to determine how well your treatments are controlling your asthma. If your score is 19 or less, your asthma may not be controlled as well as it. The asthma control test is a way to help you and your healthcare provider determine if your asthma symptoms are well controlled. On average, during the past week, how often were you woken by your asthma during the night. Take the asthma control test tm act for people 12 yrs. This test will provide a score that may help your doctor determine if your childs asthma treatment plan is working or if it might be time for a change. The scores range from 5 poor control of asthma to 25 complete control of asthma, with higher scores reflecting greater asthma control. Kappa and mcnemar statistics were used to compare the results of questionnaires. Childhood asthma control test for children 4 to 11 ye ars. Take the asthma control testtm act for people 12 yrs and older. Pdf comparison of asthma control test act with gina. Recent analysis shows that when a cutoff point of 19 was used to distinguish. According to gina guidelines, asthma was uncontrolled in 71 51% children and completely controlled in 19 14% children.
Parents are asked about daytime symptoms, wheeze, and nighttime awakenings. The asthma control test is suitable for individuals 12 years of age and older. It is recommended to consult with a physician after getting the score of the asthma control test. Asthma score is a way of working out your level of asthma control. And, the highest score of 25 indicates total control of the asthma. The asthma control test will provide you with a snapshot of how well your asthma has been controlled over the last four weeks, giving you a simple score out of 25. In the past 4 weeks, did you wake up at night because of your asthma. Several tools are useful in detecting uncontrolled asthma in children. Childhood asthma control test for children 4 to 11 years.
Good asthma control means having all of the following. A quick test that provides a numerical score to assess asthma control. The second is the asthma control test caregiver report actcr, which is specifically for caregivers of. To evaluate whether the asthma control test act score is predictive of global initiative for asthma gina guidelinedefined classification levels of asthma control. Each question offers several answers, which are scored on a scale of 0 to 5. Relationship between the asthma control test act and. Based on your score, your healthcare provider can help you take appropriate action to better manage your asthma. During the past 4 weeks, how often have you had shortness of breath. If your childs score is less than 80, your childs asthma may not be controlled as well as it could be. Add up each score box to get your childs total score. To score the act, add up the point values for each response to all five questions. These concordance tables do not equate scores, but rather provide a tool for finding comparable scores.
Comparing global initiative for asthma gina criteria. Asthma is a chronic inflammatory disorder of the airways. Take the asthma control testtm act for people 12 yrs and. It provides a numerical score to help you and your asthma specialist determine if your asthma symptoms are well controlled. All of the time most of the time some of the time a little of the time none of the time score 15 poor control full control 2.
Asthma is a common and treatable disease that can impact heavily on healthrelated quality of life hrqol. Asthma severity and asthma control are related but separate clinical constructs. The asthma control testtm act as a predictor of gina. Asthma control includes the domains of impairment measured by the. For predicting uncontrolled asthma, score cutoff points of 19 were used for cact and act. If your childs score is 80 or more, their asthma may be under control. The test is a 5 question assessment tool, which provides physicians and patients a simple yet. Asthma control test act the asthma control test act is a 5item see table 153 selfadministered survey. Asthma control tests are a set of health questions used to help measure asthma control in children and adults. Utilization and responsiveness of the asthma control test. Measurement characteristics of the childhood asthma. A simple questionnaire to measure the adequacy of asthma control and change in asthma control which occurs either spontaneously or as a result of treatment. The childhood asthma control test is a way to help your childs healthcare provider determine if your childs asthma. Step 4take the test to the doctor to talk about your childs total score.
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