Development of the asthma control test
Abstract
Background Asthma guidelines indicate that the goal of treatment should be optimum asthma control. In a busy clinic practice with limited time and resources, there is need for a simple method for assessing asthma control with or without lung function testing. Objectives The objective of this article was to describe the development of the Asthma Control Test (ACT), a patient-based tool for identifying patients with poorly controlled asthma. Methods A 22-item survey was administered to 471 patients with asthma in the offices of asthma specialists. The specialist's rating of asthma control after spirometry was also collected. Stepwise regression methods were used to select a subset of items that showed the greatest discriminant validity in relation to the specialist's rating of asthma control. Internal consistency reliability was computed, and discriminant validity tests were conducted for ACT scale scores. The performance of ACT was investigated by using logistic regression methods and receiver operating characteristic analyses. Results Five items were selected from regression analyses. The internal consistency reliability of the 5-item ACT scale was 0.84. ACT scale scores discriminated between groups of patients differing in the specialist's rating of asthma control (F = 34.5, P Conclusion Results reinforce the usefulness of a brief, easy to administer, patient-based index of asthma control.
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The Asthma Control Test has good reliability and can distinguish patient groups with different levels of asthma control.
“The ACT shows good reliability and is able to discriminate between groups of patients with different levels of asthma control (Nathan et al., 2004).”
From Evaluating the role of mindfulness in terms of asthma-related outcomes and depression and anxiety symptoms among individuals with asthma. (2019) · cites this paper as Nathan et al., 2004
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- Authors
- Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., Murray, J. J., & Pendergraft, T. B.
- Affiliations
- University of Wisconsin–Madison (US)
- Kaiser Permanente (US)
- Mayo Clinic (US)
- Great Falls Clinic (US)
- Vanderbilt University Medical Center (US)
- GlaxoSmithKline (United States) (US)
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2004-01
- Volume
- 113
- Issue
- 1
- Pages
- 59-65
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2616424562
- Cited by
- 2,906
- References
- 13
- Citations by year
- 2026: 141 · 2025: 163 · 2024: 189 · 2023: 172 · 2022: 186 · 2021: 204 · 2020: 219 · 2019: 166 · 2018: 149 · 2017: 157 · 2016: 135 · 2015: 137 · 2014: 131 · 2013: 150 · 2012: 112
- FWCI
- 24.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Keywords
- Asthma Control Test, asthma control, patient-reported outcome measures, asthma screening, FEV1, discriminant validity, internal consistency, treatment needs assessment
- MeSH terms
- Adolescent, Adult, Aged, Asthma, False Positive Reactions, Health Surveys, Humans, Middle Aged, Predictive Value of Tests, Surveys and Questionnaires, Sensitivity and Specificity, Severity of Illness Index, Spirometry, Reproducibility of Results, Outcome Assessment, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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