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Predicting asthma control using patient attitudes toward medical care: the REACT score
Craig A Jones1, Bruce G Bender, Tmirah Haselkorn
1Agency of Administration, Montpelier, Vermont 05609, USA. Craig.Jones@state.vt.us
Summary
A new tool, the Risk of Poor Asthma Control (REACT) Score, predicts uncontrolled asthma based on patient attitudes. High-risk patients have a 75% chance of poor asthma control.
Area of Science:
- Pulmonary Medicine
- Health Psychology
Background:
- The link between asthma control and patient attitudes towards healthcare providers and treatments is not well understood.
- Understanding these attitudes is crucial for improving patient outcomes.
Purpose of the Study:
- To create the REACT Score (Risk of Poor Asthma Control) for physicians.
- This tool aims to predict the risk of uncontrolled asthma by assessing patient attitudes.
Main Methods:
- Surveyed a national sample of adult patients with moderate to severe asthma.
- Utilized the Asthma Control Test and attitude-related questions to build predictive models.
- Developed the REACT Score using the model with the highest predictive accuracy (c-index).
Main Results:
- Uncontrolled asthma (Asthma Control Test score < 20) was observed in 75% of high-risk, 50% of medium-risk, and 24% of low-risk individuals based on the REACT Score.
- Factors associated with higher risk included patients' belief that physicians recognized asthma's lifestyle impact, dissatisfaction with treatment, and taking medication more often than prescribed.
Conclusions:
- The REACT Score offers a novel method for predicting asthma control.
- It identifies critical patient attitudes and behaviors for effective patient engagement in care.
- This tool can enhance patient-physician communication by highlighting concerns about treatment and quality of life.
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