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Asthma Detection Research Based on Voice Signal Processing and Machine Learning
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Asthma control test via text messaging: could it be a tool for evaluating asthma control?

Mehmet Atilla Uysal1, Dilsad Mungan, Arzu Yorgancioglu

  • 1Department of Chest Diseases, Yedikule Training and Research Hospital for Chest Diseases and Thoracic Surgery , Istanbul , Turkey .

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|August 9, 2013
PubMed
Summary

The Turkish Asthma Control Test (ACT) is reliable in both paper and text formats. Both versions closely align with physician assessments for managing asthma control effectively.

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Area of Science:

  • Pulmonology
  • Medical Informatics
  • Health Services Research

Background:

  • The Asthma Control Test (ACT) was originally developed for English-speaking populations using a paper-based format.
  • The Turkish translation of the ACT has been validated, necessitating an evaluation of its different administration methods.
  • Assessing asthma control is crucial for effective patient management and requires reliable and accessible tools.

Purpose of the Study:

  • To compare the paper-and-pencil and web-based text messaging formats of the Turkish version of the ACT.
  • To evaluate the compatibility of ACT scores from both formats with physician assessments of asthma control.
  • To determine the reliability and responsiveness of the Turkish ACT in different formats.

Main Methods:

  • A multicentre prospective study involving 431 asthma patients in Turkey.
  • Patients were randomized into paper-and-pencil (n=220) and text messaging (n=211) groups.
  • The ACT was administered at baseline and follow-up visits, with concurrent physician assessments of asthma control.

Main Results:

  • The text-messaging ACT demonstrated good internal consistency (0.82).
  • Significant correlation (r=0.60, p<0.001) was observed between text ACT scores and physician assessments at Visit 1.
  • The text ACT showed an AUC of 0.87, with 78.0% sensitivity and 77.5% specificity for identifying uncontrolled asthma (score ≤19).

Conclusions:

  • The Turkish version of the ACT, whether administered via paper-and-pencil or text messaging, shows strong agreement with physician assessments.
  • Both formats are suitable for evaluating asthma control in the Turkish population.
  • Text-based administration offers a potentially convenient and reliable method for remote asthma monitoring.