The Asthma Control Test, Japanese Version (ACT-J) as a Predictor of Global Initiative for Asthma (GINA) Guideline-Defined Asthma Control: Analysis of a Questionnaire-Based Survey

Hasegawa, Takashi; Koya, Toshiyuki; Sakagami, Takuro; Kagamu, Hiroshi; Arakawa, Masaaki; Gejyo, Fumitake; Narita, Ichiei; Suzuki, Eiichi

doi:10.2332/allergolint.13-oa-0535

Cited by 10 publications

(9 citation statements)

References 37 publications

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“…The median ACT score in this study was 23 points. In our previous study, the optimum cut-off point for predicting Global Initiative for Asthma (GINA)-defined asthma control was 23 points (17). It was therefore considered appropriate to divide the asthma control group in this study into uncontrolled and controlled subgroups, with 23 points as the threshold.…”

Section: Resultsmentioning

confidence: 99%

Influence of Adherence to Inhaled Corticosteroids and Inhaler Handling Errors on Asthma Control in a Japanese Population

et al. 2018

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Objective High adherence to medications and accurate handling of inhaler devices are important for asthma management. However, few reports to date have simultaneously evaluated adherence and handling errors. We therefore investigated the adherence to inhaled corticosteroid (ICS) and inhaler handling errors in the same patients in cooperation with pharmacists. Methods Data were derived from a survey of physicians and pharmacists treating asthma patients who visited participating hospitals and pharmacies from July 2012 to January 2013. The patients were evaluated for asthma control using the Asthma Control Test (ACT) and for inhaler handling errors using checklists. ICS adherence was evaluated based on pharmaceutical records. Results Adherence among participants (n=290) was 33.3% (mean), and the percentage of inhaler handling errors was 20.0% (mean). Total inhalation times in the high-adherence group were fewer than those in the low-adherence group. In a comparison by device, adherence to pressurized metered dose inhalers was significantly lower than that to Diskus inhalers, presumably attributable to the total number of inhalations per day. Adherence, handling errors, and total number of inhalations per day were significantly different between the asthma-controlled group and the uncontrolled group. A multivariate analysis showed that adherence and handling errors were independent factors contributing to asthma control. Conclusion Our data indicated that both adherence to ICS and device handling errors contributed to asthma control in this population.

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Section: Resultsmentioning

confidence: 99%

Influence of Adherence to Inhaled Corticosteroids and Inhaler Handling Errors on Asthma Control in a Japanese Population

et al. 2018

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“…The Asthma Control Test has been developed and validated as a test of appropriate assessment of asthma control, responsive to changes in asthma control over time, proven to be useful tool to the clinicians and easy to apply in everyday clinical care 8,16 . After validation of original ACT questionaire, the validation of ACT questionnaire its translations was reported in the last decade [17][18][19][20][21][22] . Although valida-tion methodology was different in these studies, the overall findings regarding the translated ACT versions were consistent, confirming its value to assess asthma control.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Serbian version of the Asthma Control Test

et al. 2019

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Background/Aim. Asthma still remains poorly controlled in the majority of patients. The Asthma Control Test (ACT) is a short and useful patient-administered questionnaire for identification of patients with poor asthma control in clinical settings. The aim of this study was to validate a Serbian version of the ACT in the adults with asthma. Methods. A total of 250 consecutive adult asthmatic patients were recruited in a prospective observational study. The exclusion criteria were chronic respiratory disease and acute respiratory tract infection in preceding 4 weeks. Results. The spirometry and ACT questionnaire were performed on the baseline visit and 6 months later. The ACT test was completed by 98.8% of patients with the mean time of completion of 4.5 minutes. The correlation of ACT score and lung function parameters (forced expiratory volume in 1 second -FEV1 and forced vital capacity -FVC) was significant (p = 0.016 and p = 0.002, respectively). A change in the ACT scores between baseline and 6months visit was not associated with a change in FVC and FEV1. The ACT score had excellent diagnostic accuracy according to the physicians asthma control classification and even outstanding accuracy according to the patients' classification. Conclusion. The results of this study confirm the reliability, validity and accuracy of Serbian version of the ACT, contributing to established value of original ACT test and with consistent findings as the previously reported validity of ACT in other languages. Therefore, it should be utilized more in everyday clinical practice as a useful and reliable tool of asthma control assessment. ApstraktUvod/Cilj. Astma i dalje ostaje slabo kontrolisana kod vecíne bolesnika. Test za kontrolu astme (Asthma Control Test -ACT) je kratak i koristan upitnik za identifikaciju bolesnika sa lošom kontrolom astme. Cilj ove studije je bio da se učini validacija srpske verzije ACT kod odraslih bolesnika sa astmom. Metode. Ovom prospektivnom opservacionom studijom je obuhvaćeno 250 odraslih bolesnika sa astmom. Kriterijumi za isključenje su bili postojanje hroničnog respiratornog oboljenja kao i akutna infekcija respiratornog trakta u prethodne četiri nedelje. Rezultati. Prilikom prve posete i šest meseci kasnije učinjena je spirometrija i popunjen ACT. ACT je popunilo 98,8% bolesnika sa prosečnim vremenom završetka od 4,5 minuta. Korelacija rezultata ACT i parametara plućne funkcije (forsirani ekspiratorni volumen u prvoj sekundi -FEV1 i forsirani vitalni kapacitet -FVC) bila je značajna (p = 0,016 odnosno p = 0,002). Promena rezultata ACT između prve posete i nakon šest meseci nije bila povezana sa promenom FVC i FEV1. Rezultat ACT je imao odličnu dijagnostičku tačnost u klasifikaciji kontrole astme prema lekaru i čak izuzetnu tačnost prema klasifikaciji samog bolesnika. Zaključak. Rezultati studije potvrdili su pouzdanost, validnost i tačnost srpske verzije ACT, doprinosecí već utvrđenoj vrednosti originalne verzije ACT. Takođe, ovi rezultati su u skladu sa rezultatima istraživanja validnosti verzij...

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“…After reporting daytime and nighttime VAS, each patient continuously underwent the Japanese version of the ACT for adult asthmatics. 20 …”

Section: Methodsmentioning

confidence: 99%

Daytime and Nighttime Visual Analog Scales May Be Useful in Assessing Asthma Control Levels Before and After Treatment

Fujiki¹,

Kawayama²,

Furukawa³

et al. 2022

JAA

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Purpose Few questionnaires evaluate daytime and nighttime symptoms separately, although these assessments could contribute to the improvement of disease control levels and prevention of future risks in asthma. The purpose of this retrospective study was to investigate whether daytime and nighttime visual analog scales (VAS) are useful in measuring the perception of symptoms, assessing disease control levels, and evaluating the treatment effects in asthma. Patients and Methods Self-reporting asthma control tests (ACT) before and after treatment are standardized tests used to determine disease control levels. A multiple regression analysis was performed to determine the correlation between daytime and nighttime VAS and the characteristics of patients before treatment, as well as the changes in VAS and lung functions and fractional exhaled nitrogen oxide after treatment in 55 treatment-naïve symptomatic adult patients with asthma. Results Both daytime ( r = −0.57, P < 0.0001) and nighttime ( r = −0.46, P < 0.0001) VAS correlated well with ACT scores, and there was a correlation between daytime and nighttime VAS ( r = 0.33, P = 0.0148) before treatment. In addition, the changes in daytime ( r = −0.65, P < 0.0001) and nighttime ( r = −0.44, P < 0.0001) VAS were significantly associated with changes in the ACT scores. The multiple regression analysis ( β [95% confidence interval]) revealed that improvements in the daytime (−2.33 [−4.55 to −0.11], P = 0.0405) and nighttime (−3.09 [−6.25 to 0.07], P = 0.0505) VAS were associated with an increased forced vital capacity after treatment, although there was no correlation between the VAS and characteristics before treatment. Conclusion Our study demonstrated that daytime and nighttime VAS were useful in assessing disease control levels and evaluating the treatment effects in asthma.

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The Asthma Control Test, Japanese Version (ACT-J) as a Predictor of Global Initiative for Asthma (GINA) Guideline-Defined Asthma Control: Analysis of a Questionnaire-Based Survey

Cited by 10 publications

References 37 publications

Influence of Adherence to Inhaled Corticosteroids and Inhaler Handling Errors on Asthma Control in a Japanese Population

Influence of Adherence to Inhaled Corticosteroids and Inhaler Handling Errors on Asthma Control in a Japanese Population

Validation of the Serbian version of the Asthma Control Test

Daytime and Nighttime Visual Analog Scales May Be Useful in Assessing Asthma Control Levels Before and After Treatment

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