Also, the ATAQ score of 3 or greater is the defined cutoff for the NAEPP EPR-3 category of “very poorly controlled” asthma.4. A recent study conducted by Vermeulen et al78 reported that only moderate agreement (r = 0.41–0.6) exists between the ACT, ACQ, ATAQ, and 2009 GINA levels of asthma control. Sullivan et al68 reported that the costs for uncontrolled asthma, as indicated by the ATAQ score, were more than double those with scores indicating controlled asthma. The minimum clinically important difference for a tool is the smallest change in score that can be considered clinically important.35 The minimum clinically important difference enhances the ability of clinicians and researchers to evaluate the effectiveness of interventions. Asthma: Steps in testing and diagnosis Diagnosing asthma generally includes a medical history, physical exam and lung tests. Research has shown that the factors responsible for asthma symptoms and attacks can vary widely from person to person. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Aim: The AQLQ was developed to measure the functional problems (physical, emotional, social, and occupational) that are most troublesome to adults (17–70 years) with asthma. The aim of this research was to report the utility of a novel breathing pattern assessment tool (BPAT) to detect BPD in treatment‐refractory asthma. Subsequently, responses for each of the 8 items are summed to yield total scores that range from 8 to 40, with higher scores representing more severe asthma symptoms.73 The adult version of the LASS is completed by the patient, and the children's version is completed by the parents of the child with asthma. The questionnaire assesses the level of asthma control during the prior 4 weeks by asking the patient about: (1) self-perception of asthma control; (2) missed work, school, or normal daily activities due to asthma; (3) nighttime waking due to asthma symptoms; and (4) use of short-acting β2 agonist bronchodilators. Thus, although each version is valid in its own right, the lack of consistent agreement between them and the guidelines may make it invalid to use them interchangeably. The Cronbach α was .84 in the children's version73 and .84 in the adult version.74 A Chinese version of the LASS showed high internal consistency as well (Cronbach α = .87).75. Publication no. Asthma is a chronic disease with multiple risk factors and causes. Registered Nurses' Association of Ontario, Adult Asthma Care Guidelines for Nurses: Promoting Control of Asthma. Instead, Olaguibel et al63 proposed cutoff points of <0.5 for controlled asthma, 0.5–0.99 for partly controlled asthma, and ≥1 for uncontrolled asthma.64 For the children's version of ACQ, a cutoff value of 1.25 for distinguishing between well-controlled and poorly controlled asthma was reported.54. You can now download pages from the Handbook, click here to learn more 9 The ACT contains 5 items, with a recall window of 4 weeks. There are 32 questions in the AQLQ in 4 domains: symptoms, activity limitation, emotional function, and environmental stimuli). DOI: https://doi.org/10.4187/respcare.04341, GINA Report, Global Strategy for Asthma Management and Prevention, Economic burden of asthma: a systematic review, National Asthma Education and Prevention Program, Expert Panel Report 3 (EPR-3): guidelines for the diagnosis and management of asthma-summary report 2007, Erratum in: J Allergy Clin Immunol 2008;121(6):1330, Assessment of asthma control and severity, A new perspective on concepts of asthma severity and control, Evaluation of asthma control by physicians and patients: comparison with current guidelines, Clinical assessment of asthma symptom control: review of current assessment instruments, Development of the Asthma Control Test: a survey for assessing asthma control, Measuring asthma control is the first step to patient management: a literature review, Asthma control test and asthma quality of life questionnaire association in adults, Validation of a standardized version of the asthma quality of life questionnaire, Asthma control test: reliability, validity, and responsiveness in patients not previously followed by asthma specialists, Development and validation of a questionnaire to measure asthma control, [Comparison of the Asthma Control Test (ACT) with lung function, levels of exhaled nitric oxide and control according to the Global Initiative for Asthma (GINA)], Asthma control test (ACT): comparison with clinical, functional, and biological markers of asthma control, Evaluation of the Asthma Control Test: a reliable determinant of disease stability and a predictor of future exacerbations, Validation of the Spanish version of the Asthma Control Test (ACT), Validity of Asthma Control Test in Chinese patients, Validation of the Arabic version of the Asthma Control Test, Validity and reliability evidence of the Asthma Control Test: ACT in Greece, Correlation between the Korean version of asthma control test and health-related quality of life in adult asthmatics, The asthma control test (ACT) as an alternative tool to global initiative for asthma (GINA) guideline criteria for assessing asthma control in Vietnamese outpatients, Quality of asthma care: results from a community pharmacy based survey, Validity of the Asthma Control Test completed at home, Reliability and predictive validity of the Asthma Control Test administered by telephone calls using speech recognition technology, Real-world evaluation of asthma control and treatment (REACT): findings from a national Web-based survey, Global strategy for asthma management and prevention: GINA executive summary, Monitoring childhood asthma: Web-based diaries and the asthma control test, The Asthma Control Test (ACT) as a predictor of GINA guideline-defined asthma control: Analysis of a multinational cross-sectional survey, Current asthma control predicts future risk of asthma exacerbation: a 12-month prospective cohort study, The association between asthma control and health care utilization, work productivity loss and health-related quality of life, Change in asthma control over time: predictors and outcomes, The relationship of asthma impairment determined by psychometric tools to future asthma exacerbations, The minimally important difference of the Asthma Control Test, Development and cross-sectional validation of the Childhood Asthma Control Test, Reliability and validity of Childhood Asthma Control Test in a population of Chinese asthmatic children, The Childhood Asthma Control Test: retrospective determination and clinical validation of a cut point to identify children with very poorly controlled asthma, Childhood Asthma Control Test and airway inflammation evaluation in asthmatic children, Asthma outcomes: composite scores of asthma control, Comparison of the Global Initiative for Asthma Guideline-based Asthma Control Measure and the Childhood Asthma Control Test in evaluating asthma control in children, Measuring quality of life in children with asthma, Measuring quality of life in the parents of children with asthma, Evaluation of a short form for measuring health-related quality of life among pediatric asthma patients, Clinical profile, health-related quality of life, and asthma control in children attending US asthma camps, Fractional exhaled nitric oxide and forced expiratory flow between 25% and 75% of vital capacity in children with controlled asthma, The Asthma Control Test and Asthma Control Questionnaire for assessing asthma control: systematic review and meta-analysis, Guidelines for management of asthma in adults: I. 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