Soyer Ozge Uysal, Oztürk Fadil, Keskin Ozlem, Asilsoy Suna, Altinel Nazan, Karaman Ozkan, Yazicioğlu Mehtap, Sapan Nihat, Zeyrek Dost, Kuyucu Semanur, Ozmen Serap, Reisli Ismail, Aydoğan Metin, Altintaş Derya Ufuk, Orhan Fazil, Yüksel Hasan, Boz Ayşen Bingöl, Gürkan Fuat, Tahan Fulya, Cevit Omer, Sekerel Bülent Enis
Pediatric Allergy and Immunology Unit, Hacettepe University, Ankara, Turkey.
J Asthma. 2012 Oct;49(8):868-74. doi: 10.3109/02770903.2012.694947. Epub 2012 Sep 7.
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.
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.
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%) than a 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.
儿童哮喘控制测试（C-ACT）被认为是一种简单的、基于患者的测试，能够反映哮喘控制的多维度性质。在本分析中，目的是评估医生和护理人员对C-ACT的看法及其对未来哮喘相关事件的预测价值。
在一项多中心前瞻性设计中，368名4至11岁哮喘控制良好或控制不佳的儿童被纳入研究。研究参与者在每2个月进行一次的三次访视期间接受评估，并且每月完成土耳其语版的C-ACT。父母完成了关于他们对哮喘的看法（研究前后）和C-ACT（研究后）的问卷。医生完成了一项关于他们对基于控制的方法和C-ACT的看法的调查。
C-ACT分数从第1次访视到第3次访视有所增加，测试的所有领域都有改善。在研究期结束时，父母更强烈地同意哮喘可以完全得到控制，并且哮喘发作和因哮喘导致的夜间觉醒是可以预防的（p < 0.05）。大多数父母报告说，C-ACT帮助他们确定孩子的哮喘治疗目标，并且C-ACT改善了他们与医生的沟通。医生表示，以控制为中心的方法比以严重程度为中心的方法更方便（95%）、更简单（94.5%），并且能提供更好的疾病控制（93.4%）。较高的C-ACT分数与C-ACT实施后2个月内哮喘发作和急诊入院风险的降低相关。结论。我们的研究结果表明，C-ACT改善了父母对哮喘控制的看法以及医生与父母之间的沟通。如医生所述，C-ACT分数与实现的哮喘控制水平之间存在良好的相关性。此外，C-ACT分数可预测未来哮喘相关事件。这些发现表明，C-ACT可能在未来的哮喘管理中发挥重要作用。
