Validation of the Spanish Version of the Asthma Control Test (ACT)

Vega, José M.; Badı́a, Xavier; Badiola, Carlos; López-Viña, Antolín; Olaguibel, José María; Picado, César; Sastre, Joaquı́n; Dal‐Ré, Rafael

doi:10.1080/02770900701752615

Cited by 150 publications

(95 citation statements)

References 18 publications

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“…The area under the ROC curve (AUC) was acceptable at 0.85 (95% CI 0.80 to 0.88) and of similar magnitude to previous findings for the ACT. 7,14,[17][18][19][20] The ACT has been shown to be a reliable tool by previous authors, 7,8,[14][15][16][17]21,22 and this is confirmed by this study in a Vietnamese outpatient setting in which Cronbach's alpha reached 0.83, indicating a high consistency among the answers to the five questions.…”

Section: -9supporting

confidence: 74%

“…15 The specificity is similar to a study from Korea (93%), 15 and reached a higher level than in some other countries. 7,9,13,14,16 With a cut-off point of <19, the ACT correctly predicted GINA-defined 'notcontrolled asthma' in 89% of cases while an ACT score of >20 predicted GINA-defined controlled asthma in 79% of cases. The area under the ROC curve (AUC) was acceptable at 0.85 (95% CI 0.80 to 0.88) and of similar magnitude to previous findings for the ACT.…”

Section: -9mentioning

confidence: 99%

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The Asthma Control Test (ACT) as an alternative tool to Global Initiative for Asthma (GINA) guideline criteria for assessing asthma control in Vietnamese outpatients

Nguyen

Chavannes

et al. 2011

Primary Care Respiratory Journal

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Aims: To determine the reliability and validity of the Asthma Control Test (ACT) to detect Global Initiative for Asthma (GINA)-defined uncontrolled or partly controlled asthma, and to determine the agreement between ACT and GINA in classifying asthma control among Vietnamese patients. Methods:A cross-sectional study was performed in 323 of 360 invited outpatients with asthma in Ho Chi Minh City to compare the ACT and GINA classification for asthma control.Results: Internal consistency of the ACT (Cronbach's alpha) was 0.83. The kappa coefficient of 0.55, based on the ternary split, represents moderate agreement between the two rating systems with a correctly classified rate of 75%. The area under the receiver operating characteristics curve for the ACT score predicting GINA control was 0.85. To detect GINA-defined 'not controlled asthma', the ACT had a sensitivity of 70%, specificity of 93%, and a positive predictive value of 89%, with a cut-off point of 19. The validity of the ACT with regard to agreement with the GINA classification was consistent across both sexes, but less so in adolescents or younger adults. The ACT score was significantly correlated with the percentage predicted forced expiratory volume in 1 second (r=0.35, p<0.001) and percentage predicted peak expiratory flow (r=0.26, p<0.001). Conclusions:The Vietnamese ACT is useful for identifying outpatients with GINA-defined uncontrolled or partly controlled asthma.

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Section: -9supporting

confidence: 74%

Section: -9mentioning

confidence: 99%

The Asthma Control Test (ACT) as an alternative tool to Global Initiative for Asthma (GINA) guideline criteria for assessing asthma control in Vietnamese outpatients

Nguyen

Chavannes

et al. 2011

Primary Care Respiratory Journal

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“…[18][19][20] For children, the cACT has more validation data than other tools that target children with asthma. [37][38][39] Also, the populations used in the validation studies vary between tools.…”

Section: Discussionmentioning

confidence: 99%

“…9,15,16 The substantially low correlations between the ACT scores and physiologic measures of asthma, such as FEV 1 values and F ENO , support the notion that asthma control cannot be inferred from physiologic measures alone. 14,17 Furthermore, the ACT has been validated in many languages [18][19][20][21][22][23] and in different settings, including in asthma specialist consultations, 9 in primary care, 13 in pharmacies, 24 by mail, 25 by speech-recognition telephone calls, 26 and over the internet. 27 …”

Section: Validitymentioning

confidence: 99%

Asthma Control Assessment Tools

Alzahrani

Becker

2015

Respir Care

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, and they emphasize periodic assessment of asthma control once treatment is established. Accurate assessment of asthma control is difficult due to the complexity of asthma control and due to the limitations in the traditional methods of assessment, such as lung function tests, physician assessment, and patients' self-assessment. Relying solely on the role of lung function tests is insufficient to reflect the status of asthma control, since patients with asthma may have normal spirometry between exacerbations. Clinicians often overestimate the level of asthma control. Similarly, it is not uncommon for patients to overestimate how well their asthma is controlled, and, therefore, they under-report asthma symptoms and fail to recognize the impact that asthma has on their daily life. As a result, several tools have been developed to quantify the level of asthma control, identify patients at risk, and evaluate the effect of asthma management. This review examines the commonly 106RESPIRATORY CARE • JANUARY 2016 VOL 61 NO 1 used asthma control assessment tools in terms of content, psychometric properties, methods of administration, limitations, and ability to reflect the overall status of asthma control, which can aid clinicians in selecting the most appropriate tool for their needs.

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“…Los pacientes con puntaje total menor a 20 puntos se clasifican como no controlados y aquellos con puntaje menor a 16 puntos son categorizados como pobremente controlados 10,11 . este cuestionario se ha validado en español y también ha sido replicado en nuestro medio, logrando medir con éxito el control de asma en adolescentes de 12 o más años 12,13 . el C-ACT es la versión de ACT para niños menores de 12 años.…”

Section: Cuestionarios De Control De Síntomasunclassified

Cuestionarios de control de asma pediátrica y calidad de vida

2014

Rev. chil. pediatr.

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Validation of the Spanish Version of the Asthma Control Test (ACT)

Abstract: The Spanish version of ACT is shown to be a reliable and valid tool for evaluating and discriminating asthma control.

Cited by 150 publications

References 18 publications

The Asthma Control Test (ACT) as an alternative tool to Global Initiative for Asthma (GINA) guideline criteria for assessing asthma control in Vietnamese outpatients

The Asthma Control Test (ACT) as an alternative tool to Global Initiative for Asthma (GINA) guideline criteria for assessing asthma control in Vietnamese outpatients

Asthma Control Assessment Tools

Cuestionarios de control de asma pediátrica y calidad de vida

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