Perceptions of parents and physicians concerning the childhood asthma control test
Date
2012-10
Authors
Soyer, Özge Uysal
Öztürk, Fadıl
Keskin, Özlem
Asilsoy, Suna
Altınel, Nazan
Karaman, Özkan
Yazıcıoğlu, Mehtap
Zeyrek, Dost
Kuyucu, Semanur
Özmen, Serap
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor & Francis
Abstract
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%) thana 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.
Description
Bu çalışma Londra'da EAACI 2010 yıllık kongresinde poster sunumu olarak sunuldu.
Keywords
Allergy, Respiratory system, Asthma, Asthma attack, Child, Childhood asthma control test, Pulmonary function test, Gina criteria, Management, Turkey, Care
Citation
Soyer, Ö. U. vd. (2012). "Perceptions of parents and physicians concerning the childhood asthma control test". Journal of Asthma, 49(8), 868-874.