Halbert Ronald J, Tinkelman David G, Globe Denise R, Lin Shao-Lee
Department of Community Health Sciences, UCLA School of Public Health, Los Angeles, California 90066, USA.
J Asthma. 2009 Sep;46(7):659-64. doi: 10.1080/02770900902963128.
Asthma control is recognized as a critical aspect of the evaluation and management of the disease. Here we evaluate and compare existing instruments for measuring asthma control in an attempt to evaluate their clinical utility. Based on a literature review, we identified validated instruments used to assess asthma control in adults. We examined the specific measurement properties and the strengths and weaknesses of each instrument, and evaluated a single instrument, the Asthma Control Questionnaire (ACQ), more closely as an example, evaluating its applicability in the clinical setting. Our review identified five validated instruments designed to measure asthma control: the Asthma Control Questionnaire (ACQ), Asthma Control Scoring System (ACSS), Asthma Control Test (ACT), Asthma Therapy Assessment Questionnaire (ATAQ), and the Lara Asthma Symptom Scale (LASS). None of the instruments covered all relevant control characteristics, but most were aligned with guideline definitions of control. All instruments demonstrated validity and responsiveness, with some measure of reliability. All instruments were short and easily administered, easy to interpret, and all had evidence to support their use in clinical decision making.
哮喘控制被认为是该疾病评估和管理的关键方面。在此，我们对现有的哮喘控制测量工具进行评估和比较，以试图评估它们的临床效用。基于文献综述，我们确定了用于评估成人哮喘控制的经过验证的工具。我们研究了每种工具的具体测量特性以及优缺点，并以哮喘控制问卷（ACQ）这一单一工具为例进行了更深入的评估，评估其在临床环境中的适用性。我们的综述确定了五种用于测量哮喘控制的经过验证的工具：哮喘控制问卷（ACQ）、哮喘控制评分系统（ACSS）、哮喘控制测试（ACT）、哮喘治疗评估问卷（ATAQ）以及劳拉哮喘症状量表（LASS）。没有一种工具涵盖了所有相关的控制特征，但大多数与控制的指南定义一致。所有工具都显示出有效性和反应性，且具有一定程度的可靠性。所有工具都简短且易于实施，易于解读，并且都有证据支持它们在临床决策中的使用。
