Parents are asked about daytime symptoms, wheeze, and nighttime awakenings. It provides a numerical score to help you and your asthma specialist determine if your asthma symptoms are well controlled. Asthma control check national asthma council australia. The ameican lung association suppports the asthma control test and does not endorse products. Good asthma control means having all of the following. For predicting uncontrolled asthma, score cutoff points of 19 were used for cact and act. Severity of asthma score predictions for patients with. 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, national heart, lung and blood institute. To score the act each response to the 5 act questions has a point value from 1 to 5 as shown on the form. Utilization and responsiveness of the asthma control test. The asthma control test and asthma control questionnaire. Please note that the adult act is owned and controlled by qualitymetricoptum. 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.
The survey measures the elements of asthma control as defined by the national heart, lung, and blood institute nhlbi. Asthma control includes the domains of impairment measured by the. Measurement characteristics of the childhood asthma. Your airways will open up, which will help you breathe better fast. Developed by asthma experts, the asthma control test act provides a numerical score to assess the control of asthma. During the past 4 weeks, how often have you had shortness of breath. Spirometry data was collected and asthma specialists, blinded to the act responses, rated asthma control. The doctor may then based on your score prescribe any type of improvement in asthma control strategy. Fuhlbrigge, aaron deykin, in clinical asthma, 2008.
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. Asthma control tests are a set of health questions used to help measure asthma control in children and adults. Childhood asthma control test european respiratory society. Medical experts agree that the level of asthma control is a key feature when determining the best asthma treatment required 1, 2. If your score is 19 or less, your asthma may not be controlled as well as it could be. Several tools are useful in detecting uncontrolled asthma in children. And, the highest score of 25 indicates total control of the asthma.
The act is a triedandtested tool made up of five questions you can complete either on or offline. To evaluate whether the asthma control test act score is predictive of global initiative for asthma gina guidelinedefined classification levels of asthma control. Asthma control test act the asthma control test act is a 5item see table 153 selfadministered survey. The asthma control test is a way to help you and your healthcare provider determine if your asthma symptoms are well controlled. Asthma is a common and treatable disease that can impact heavily on healthrelated quality of life hrqol. Pdf comparison of asthma control test act with gina.
The results can help to show the level of control you actually have over your asthma, which may surprise you. Comparing global initiative for asthma gina criteria. To score the act, add up the point values for each response to all five questions. If the total point value is 19 or below, your childs asthma may not be wellcontrolled. Step 4take the test to the doctor to talk about your childs total score. Kappa and mcnemar statistics were used to compare the results of questionnaires. Recent analysis shows that when a cutoff point of 19 was used to distinguish. For each question, make sure you read all five possible answers before choosing the. The asthma control testtm act as a predictor of gina. The sina panel has reached a consensus of using the asthma control test act score to simplify the initiation and adjustment of asthma therapy, as there are variations in the qualifications of health professionals dealing with asthma.
Your asthma score will assist your health care professional in helping you reach the best asthma control possible. The childhood asthma control test is a way to help your childs healthcare provider determine if your childs asthma. A score of range 20 to 24 indicates wellcontrolled asthma. These concordance tables do not equate scores, but rather provide a tool for finding comparable scores. Circle the number of the response that best describes how you have been during the past week. Each question offers several answers, which are scored on a scale of 0 to 5. 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. Childhood asthma control test for children 4 to 11 years old. Recognized by the national institutes of health nih in its 2007 asthma guidelines. 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 3 parentreported items are scored on a 6point numeric scale from 0 to 5, with higher numbers indicating better asthma control. Take control of asthma quickrelief rescue medicines these medicines, used as needed, act quickly to relax the muscles around your airways. The act is a validated, short, easy to use, and selfadministered instrument used to assess asthma control.
Acq has a multidimensional construct assessing symptoms 5 itemsself. Asthma score is a way of working out your level of asthma control. Your doctor or nurse can recommend an asthma action plan to help improve your asthma control. Take the asthma control testtm act for people 12 yrs and. 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. For each question, make sure you read all five possible answers before choosing the best one for you. Asthma control test an overview sciencedirect topics. If your score is 19 or less, your asthma may not be controlled as well as it. Write the number of each answer in the score box provided.
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. If your childs score is less than 80, your childs asthma may not be controlled as well as it could be. Please turn this page over to see what your childs total score means. 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. Changes in fev 1 and act were only minimally correlated. Include the act score in your patients chart to track asthma control. Relationship between the asthma control test act and. The asthma control test is suitable for individuals 12 years of age and older.
Key questions focusing on the past 4 weeks are asked to determine asthma control. 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. The second is the asthma control test caregiver report actcr, which is specifically for caregivers of. The asthma control test is suitable for people 12 years of age and older. The aim of this study was to compare global initiative for asthma gina guidelines with the childhood asthma control test cact and the asthma control test act in detecting uncontrolled asthma in children.
The adult items are based on a recall period of 4 weeks. On average, during the past week, how often were you woken by your asthma during the night. 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 asthma control test provides a numerical score to help you and your healthcare provider determine if your asthma symptoms are well controlled. Asthma is a chronic inflammatory disorder of the airways. Asthma symptoms can vary from month to month, so it is worth keeping the test. Include the act score in your patients chart to track asthma. The first is the asthma control test act, which is a short quiz for patients 12 years of age and older. The final score of the cact is the simple sum of each item and ranges from 0 to 27. 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.
Calculate your asthma score to determine how well your treatments are controlling your asthma. It will provide you with a snapshot reminder of how well your asthma has been controlled over the last four weeks. It provides a numerical score to help you and your doctor understand your asthma management habits. 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. Asthma severity and asthma control are related but separate clinical constructs. It is recommended to consult with a physician after getting the score of the asthma control test. The reliabilities of the act scores in this study were 0. 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. The scores range from 5 poor control of asthma to 25 complete control of asthma, with higher scores reflecting greater asthma control. In the past 4 weeks did you miss any work, school, or normal daily activities because of your asthma. A quick test that provides a numerical score to assess asthma control. If your childs score is 80 or more, their asthma may be under control. In the past 4 weeks, did you wake up at night because of your asthma.
Test for respiratory and asthma control in kids track. Childhood asthma control test for children 4 to 11 years. Take the asthma control test tm act for people 12 yrs. Us department of health and human services, national institutes of health. Shortacting inhaled betaagonists are the preferred quickrelief medicine.
Childhood asthma control test for children 4 to 11 ye ars. 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. 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.