The influence of self-assessment of asthma control on the Asthma Control Test outcome

Przybyszowski, Marek; Stachura, Tomasz; Szafraniec, Krystyna; Sładek, Krzysztof; Bochenek, Grażyna

doi:10.1080/02770903.2019.1708098

Cited by 9 publications

(8 citation statements)

References 30 publications

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“…Recall that recent studies suggest that the PP-ACT has two components: control of symptoms and impairment and subjective control. 17 , 18 Consistent with prior evidence that the two measures represent different constructs, 17 , 18 we observed a small, negative correlation between these two measures in our sample, r (565) = −0.28, p <0.001. Greater subjective asthma control corresponded with reports of less control over symptoms and impairment.…”

Section: Resultssupporting

confidence: 90%

“…Regarding asthma, caregivers’ gist may or may not arise from specific symptoms their child experiences and can be disconnected from biomedical evidence. Recent research finds that caregivers’ global ratings of their child’s asthma control correlate weakly at best with their reports of symptoms and impairment linked to their child asthma, 17 , 18 suggesting that caregivers’ subjective evaluations or gist regarding their child’s asthma may align poorly with biomedical indicators. Instead, the gist can arise from a variety of contextual factors.…”

Section: Discussionmentioning

confidence: 99%

“…These findings replicate prior evidence that the PP-ACT measures two distinct aspects of asthma that may largely be unrelated. 18 Second, the three groups differed in the average age of the child with asthma. The age of the caregiver’s child was on average two years younger in the less controlled group than in the more controlled and unchanged control groups.…”

Section: Discussionmentioning

confidence: 99%

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Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic

Pogge¹,

Waters²,

Webster³

et al. 2022

JAA

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Although several indicators suggest that pediatric asthma control in the United States improved early in the pandemic, other indicators suggest not. Missing are reports from caregivers of the experiences of their children with asthma early in the pandemic. Methods: Using the PP-ACT and other measures that we specifically constructed for our research, we conducted a cross-sectional national survey of US caregivers of children with asthma (N=595) to examine perceived change in their child's asthma control and changes in reports of ED visits and use of emergency relief medicine and controller medicine pre-pandemic (January to March 2020) versus early-pandemic (June to September 2020). Results: Caregivers fell into three groups: most caregivers perceived that their child's asthma control was improved (50.3%) or unchanged (41.2%), and few reported worse control (8.5%). Surprisingly, all three groups of caregivers reported similar frequencies of early-pandemic and pre-pandemic ED visits and use of emergency relief medicine. Also surprising, caregivers who perceived their child's asthma as more controlled (compared with the other two groups) reported more frequent ED visits and use of emergency relief medicine, yet also more use of controller medicine at both early-pandemic and pre-pandemic. Conclusion:The mismatch between caregivers' perceptions of their child's early-pandemic asthma control and their reports of ED visits and use of emergency relief medicine suggests that caregivers may rely on a gist (a global evaluation that can include nonbiomedical evidence) when estimating their child's asthma control. Caregivers and their families could benefit from help from clinicians in understanding the discrepancy between subjective asthma control and asthma control indicators and in understanding what well-controlled asthma looks and feels like.

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Section: Resultssupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic

Pogge¹,

Waters²,

Webster³

et al. 2022

JAA

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“…Presence of rhinitis and higher FEV 1 /FVC were positively associated with well asthma symptom control, whereas presence of CVD and higher medication number were negatively associated with well controlled asthma symptoms. In the last decade, the percentage of patients with uncontrolled asthma has ranged from 45 to 57% [ 28 ]. A study examined the patterns of aeroallergen sensitivity in 749 asthmatic patients in Mexico and a 37% of the total patients were identified to be well controlled [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between aeroallergen sensitization pattern and clinical features in adult asthmatics

Karadoğan¹,

Telatar²,

Dönmez³

et al. 2023

Heliyon

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“…Patients under six years of age were excluded. We also excluded patients with asthma not adequately controlled by pharmacotherapy [20][21][22] as assessed by Asthma Control Test (ACT) [23][24][25]. Finally, we excluded patients with nasal polyposis diagnosed by nasal endoscopy.…”

Section: Patientsmentioning

confidence: 99%

Predictive Response to Immunotherapy Score: A Useful Tool for Identifying Eligible Patients for Allergen Immunotherapy

et al. 2022

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A specific predictive tool of allergen immunotherapy (AIT) outcome has not been identified yet. This study aims to evaluate the efficacy of a disease score referred to as Predictive Response to Immunotherapy Score (PRIS) to predict the response to AIT and identify eligible patients. A total of 110 patients diagnosed with allergic rhinitis with or without concomitant asthma were enrolled in this study. Before beginning sublingual immunotherapy (SLIT), patients were evaluated by analyzing clinical and laboratory parameters. A specific rating was assigned to each parameter to be combined in a total score named PRIS. At baseline (T0) and follow-up [after 12 (T12) and 24 months (T24) of SLIT], a Visual Analogue Scale (VAS) was used to calculate a mean symptom score (MSS). Finally, the percentage variation between the MSS at T0 and at T12 [ΔMSS-12(%)] and T24 [ΔMSS-24 (%)] was measured. We observed a significant improvement of symptoms at T12 and T24 compared to T0 in all groups undergoing SLIT. PRIS was effective in predicting ΔMSS-24 (%) in patients treated with single-allergen SLIT. In addition, PRIS was effective in predicting ΔMSS-24 (%) in both patients with only rhinitis and with concomitant asthma. PRIS assessment can represent a useful tool to individuate potential responders before SLIT prescription.

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The influence of self-assessment of asthma control on the Asthma Control Test outcome

Cited by 9 publications

References 30 publications

Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic

Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic

Relationship between aeroallergen sensitization pattern and clinical features in adult asthmatics

Predictive Response to Immunotherapy Score: A Useful Tool for Identifying Eligible Patients for Allergen Immunotherapy

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