Between july 1, 2007, and september 30, 2010, we collected information using the pediatric asthma control and communication instrument pacci, the asthma control test act. 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. In 1993, the national heart, lung, and blood institute collaborated with the world health organization to convene a. Measurement characteristics of the childhood asthma. To evaluate the validity and reliability of the asthmacontrol test act and assess its responsiveness to changes in asthma control over time in a sample of patients who were new to the care of an asthma specialist. The asthma control test provides a numerical score to help you and your healthcare provider determine if your asthma symptoms are well controlled.
Asthma control test act the asthma control test act is a 5item see table 153 selfadministered survey. Childhood asthma control test for children 4 to 11 years know your score. But, there are limited studies comparing asthma control tests with each other. Asthma management and prevention a pocket guide for health professionals. The degree of control is used to determine whether a patients medications should be adjusted. You should share this score with your childs healthcare provider. A prospective design was used to measure provider documentation of the act or cact. Years of age and adults page 344 figure 3 5c assessing asthma control in youths. The data are from national and state surveillance systems administered by the centers for disease control and prevention cdc. Gina criteria with the childhood asthma control test cact. The cact is for use in children 4 through 11 years of age and consists of 4 pictorial items and 3 verbal items that are scored.
Childhood asthma control test for children 4 to 11. It offers an assessment of how well youyour childs asthma has. The asthma control test act is a five question health survey used to measure asthma control in individuals 12 years of age or older. Although asthma is a chronic disease without a cure, with proper diagnosis and management, asthma. The goal of asthma therapy is to provide complete control of symptoms. Measurement characteristics of the childhood asthmacontrol test. A quick test that provides a numerical score to assess asthma control. Asthma is one of the most common chronic pediatric conditions. Intermountain healthcare is a utahbased, notforprofit system of 24 hospitals includes virtual hospital, a medical group with more than 2,400 physicians and advanced practice clinicians at about 160 clinics, a health plans division called selecthealth, and other health services. Comparison of asthma control tests with quality of life in.
Implementation of asthma control test screening tool in. Reliability and predictive validity of the asthma control test administered by telephone calls using speech recognition technology. Fuhlbrigge, aaron deykin, in clinical asthma, 2008. Asthma control questionnaire acq type of questionnairedescription. In clinical practice asthma control levels are determined with questionnaires such as asthma control test act, asthma control questionnaire acq and asthma therapy assessment questionnaire. Recognized by the national institutes of health nih in its 2007 asthma guidelines. Childhood asthma control test for children 4 to 11 years. Pdf asthma control test and bronchial challenge with. The site you are linking to is not controlled or endorsed by gsk, and gsk is not responsible for the content provided on that site.
Asthma control test and bronchial challenge with exercise in pediatric asthma article pdf available in frontiers in pediatrics 46 suppl march. Asthma control was assessed by the asthma control test c. This test will provide a score that may help the doctor determine if your childs asthma treatment plan is working or if it might be time for a change. Commonly used composite tools are the asthma control test act, the childhood asthma control test cact and the asthma control questionnaire acq. On average, during the past week, how often were you woken by your asthma during the night. Quality asthma care involves not only initial diagnosis and treatment to achieve asthma control, but also longterm. Take the childhood asthma control test this short test for children 4 to 11 years old will provide a way to help your childs healthcare provider determine if your childs asthma symptoms are well controlled. Evaluation of asthma control in children using childhood. Childhood asthma control test for children 4 to 11 ye ars. Childhood asthma control test for children 4 to 11 years old. Step 1write the number of each answer in the score box provided.
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. Pdf longitudinal validation of the test for respiratory. Implementation of the asthma control test in a large. Many parents and children are unaware of such changes in lifestyle. Children between 717 years of age with diagnosis of persistent asthma who are not on daily inhaler corticosteroid therapy were involved. Patients or caregivers 4 years of age or older with a known diagnosis of asthma were administered the act ages 12 and older or the cact ages, 411. Clinical reports from the american academy of pediatrics benefit from expertise and.
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. Control is classified as well controlled, not well controlled, and very poorly controlled. The childhood asthma control test is a way to help your childs healthcare provider determine if your childs asthma symptoms are well controlled. The survey measures the elements of asthma control as defined by the national heart, lung, and blood institute nhlbi. According to gina guidelines, asthma was uncontrolled in 71 51% children and completely controlled. Asthma symptoms can vary from month to month, so it is worth keeping the test handy to see if your score changes. Include the act score in your patients chart to track asthma. Validity of the asthma control test completed at home.
Pdf asthma control test and pediatric asthma quality of. Effective public health strategies guide cdcs national asthma control program. Ataq in evaluating asthma control in comparison with gina criteria was analyzed with sensitivity, specificity, positive predictive value, negative predictive value, evaluation of asthma control in children using childhood asthma control test cact and asthma therapy assessment questionnaire ataq ar s omashekar and kg r amakrishnan. The asthma control testtm act as a predictor of asthma. These tables feature the latest national and state statistics on the burden of asthma among children and adults. Guidelines from the national asthma education and prevention program the goal of this asthma care quick reference guide is to help clinicians provide quality care to people who have asthma. The cact is a 7question, 2part questionnaire, with one part to be completed by the child age 411 with caregiver assistance and the other part to be. The childhood asthma control test is a way to help your childs healthcare provider determine if your childs asthma symptoms are well. The act is a validated, 5item, patientcompleted measure of asthma control with a recall period of four weeks. Asthma control test an overview sciencedirect topics. Share the results with your childs healthcare provider. Asthma control test the act is a multidimensional, standardized, and validated tool and the most widely used tool for assessing asthma control in patients with asthma older than 12 y. Figure 4 6 classifying asthma severity and initiating treatment in youths. Download the childhood asthma control test pdf key questions focusing on the past 4 weeks are asked to determine asthma control.
Clinical tools to assess asthma control in children american. Step 1 let your child respond to the first 4 questions 1 to 4. The question remains whether the various retrospectively collected tests. Guidelines for the diagnosis and management of asthma epr3. Write the number of each answer in the score box provided. The childhood asthmacontrol test cact is validated for assessing asthma control in paediatric asthma. Among children aged 411 years, the cact requires the simultaneous presence of both parent and child. How would you rate your asthma control during the past 4 weeks. The aim of this study was to evaluate the association between pediatric asthma quality of life questionnaire paqlq and asthma control test act in patients with poor asthma control. How to take the childhood asthma control test step 1let your child respond to the first four questions 1 to 4. To evaluate whether the asthma control testtm act score is predictive of global initiative for asthma gina guidelinedefined classification levels of asthma control.
Asthma control questionnaire acq american thoracic society. 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. Asthma is a chronic lung disease that inflames and narrows the airways, and causes recurring periods of wheezing, chest tightness, shortness of breath, and coughing cdc, 2011. The 5item, caregivercompleted test for respiratory and asthma control in kids track was developed and validated primarily in asthmaspecialist practices to monitor respiratory control in preschoolaged children. Asthma control assessment using asthma control test. Key questions focusing on the past 4 weeks are asked to determine asthma control.
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