Perceptions of Parents and Physicians Concerning the Childhood Asthma Control Test

Background. The Childhood Asthma Control Test (C-ACT) has been proposed to be a simple, patient-based test that is able to reflect the multidimensional nature of asthma control. In this analysis, the aim was to evaluate the perceptions of physicians and caregivers concerning C-ACT and its predictive...

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Bibliographic Details
Published in:	The Journal of asthma Vol. 49; no. 8; pp. 868 - 874
Main Authors:	Uysal Soyer, Özge, Öztürk, Fadil, Keskin, Özlem, Asilsoy, Suna, Altinel, Nazan, Karaman, Özkan, Yazicio lu, Mehtap, Sapan, Nihat, Zeyrek, Dost, Kuyucu, Semanur, Özmen, Serap, Reisli, smail, Aydo an, Metin, Altinta, Derya Ufuk, Orhan, Fazil, Yüksel, Hasan, Bingöl Boz, Ay en, Gürkan, Fuat, Tahan, Fulya, Cevit, Ömer, ekerel, Bülent Enis
Format:	Journal Article
Language:	English
Published:	England Informa Healthcare 01-10-2012 Taylor & Francis
Subjects:	asthma Asthma - diagnosis Asthma - prevention & control Asthma - psychology asthma attack Attitude of Health Personnel Child Child, Preschool Childhood Asthma Control Test Female Humans Logistic Models Male Multivariate Analysis Parents - psychology Physicians - psychology Predictive Value of Tests Prospective Studies pulmonary function test Respiratory Function Tests Surveys and Questionnaires Turkey Turkey
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Summary:	Background. The Childhood Asthma Control Test (C-ACT) has been proposed to be a simple, patient-based test that is able to reflect the multidimensional nature of asthma control. In this analysis, the aim was to evaluate the perceptions of physicians and caregivers concerning C-ACT and its predictive value for future asthma-related events. Method. In a multicenter prospective design, 368 children aged 4-11 years with asthma who were either well- or not well-controlled were included in the study. The study participants were evaluated during three visits made at 2-month intervals and the Turkish version of C-ACT was completed each month. Parents completed questionnaires concerning their perception of asthma (before and after the study) and the C-ACT (after the study). Physicians completed a survey about their perception of a control-based approach and the C-ACT. Results. The C-ACT scores increased from visit 1 to visit 3, with improvement seen in all domains of the test. At the end of the study period, the parents more strongly agreed that asthma could be controlled completely and that asthma attacks and nocturnal awakenings due to asthma were preventable (p < .05). Most of the parents reported that the C-ACT helped them to determine asthma treatment goals for their children and also that the C-ACT improved communication with their physicians. The physicians indicated that a control-centered approach was more convenient (95%) and simpler (94.5%) than a severity-centered approach and provided better disease control (93.4%). A higher C-ACT score was associated with a decreased risk of asthma attack and emergency department admittance in the 2 months following the administration of C-ACT. Conclusion. Our findings indicated that the C-ACT improved both parental outlook on asthma control and the communication between the physician and parents. There was a good correlation between the C-ACT score and the level of asthma control achieved, as described by the physician. Additionally the C-ACT score was predictive of future asthma-related events. These findings suggest that the C-ACT may have an important role in asthma management in the future.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0277-0903 1532-4303
DOI:	10.3109/02770903.2012.694947