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Validity of Asthma Control Test in Assessing Asthma Control in Czech Outpatient Setting

Elena Gurková1, Patrice Popelková2

  • 1Department of Nursing, Faculty of Health Care, University of Presov, Presov, Slovak Republic.

Central European Journal of Public Health
|February 4, 2016
PubMed

Insights

The Asthma Control Test (ACT) shows fair agreement with Global Initiative for Asthma (GINA) guidelines for classifying asthma control in the Czech Republic. ACT is a reliable tool for managing outpatients with asthma.

Area of Science:

  • Pulmonology
  • Respiratory Medicine
  • Clinical Trials

Background:

  • Asthma control assessment is crucial for effective patient management.
  • Standardized tools are needed to reliably classify asthma control.
  • The Asthma Control Test (ACT) and Global Initiative for Asthma (GINA) guidelines are widely used but their agreement requires validation in diverse populations.

Purpose of the Study:

  • To determine the reliability and validity of the agreement between the Asthma Control Test (ACT) and Global Initiative for Asthma (GINA) criteria for asthma control classification.
  • To assess the utility of the ACT in the Czech Republic's healthcare setting.

Main Methods:

  • A cohort of 316 asthma patients was recruited from a university hospital in Ostrava.
  • Data collection involved the Asthma Control Test (ACT) and Mini Asthma Quality of Life Questionnaire (Mini-AQLQ).
  • Asthma control was independently assessed by a specialist using GINA 2006 guidelines.

Main Results:

  • The ACT demonstrated good internal consistency.
  • An ACT score of ≥20 predicted GINA-defined controlled asthma with 65% sensitivity and 89% specificity.
  • The agreement between ACT and GINA classifications was fair (kappa = 0.29).
  • ACT scores correlated significantly with specialist ratings, FEV1, and health-related quality of life.

Conclusions:

  • The ACT is a reliable and simple tool for managing outpatients with asthma in the Czech Republic.
  • The ACT effectively predicts GINA-defined 'not-controlled asthma'.
  • ACT scores show a strong correlation with lung function and quality of life, supporting its clinical utility.
Abstract

Keywords:
Czech RepublicGINA guidelinesasthma controlasthma control test

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