Asthma Control Test (ACT) Versus Intermittent Oscillation System (IOS) Assessment for Control of Asthmatic Children

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 369A ◽  
Author(s):  
Malak Shaheen ◽  
Mona El Ganzoury ◽  
Emad Mohamed
Keyword(s):  
Asthma Control ◽  
Control Test ◽  
Asthma Control Test ◽  
Oscillation System ◽  
Asthmatic Children

ASSESSING THE BENEFITS THAT COMMUNITY PHARMACIES CAN HAVE ON CHILDHOOD ASTHMA OUTCOMES

2016 ◽  
Vol 101 (9) ◽  
pp. e2.48-e2 ◽  
Author(s):  
Andrew Lilley
Keyword(s):  
Community Pharmacy ◽  
Asthma Control ◽  
Health Care Professionals ◽  
Financial Incentive ◽  
Symptom Control ◽  
Community Pharmacies ◽  
Inhaler Technique ◽  
Control Test ◽  
Asthma Control Test ◽  
Asthmatic Children

IntroductionThe local Clinical Commissioning Group has funded an innovative one-year pilot project to assess the value of providing specialist paediatric pharmacist and physiotherapist support direct to families and health care professionals (GP's, community pharmacists, practice nurses etc.) regarding asthma in the primary care setting. Community pharmacies are the one service that asthmatic children come in contact with in order to pick up their medications it was decided to encourage staff to provide interventions at the point of collection.Methods22 large chain, small chain and independent community pharmacy branches were included in the pilot (out of 152 within CCG area) with a total of 31 pharmacists and 67 assistants trained to provide the service. The plan was to provide ‘back to basics’ leaflets on collection of prescription to help improve education on the medications being used; provide inhaler technique counselling on the collection of all prescriptions for children; encourage pharmacist's to perform medicines use reviews and the new medicines service in asthmatic children of high school age (for which they could collect the standard NHS fee). In order to assess the benefits of this, the pharmacist or assistant would first perform the standard asthma control test, marked out of 25 with the parent/patient completing an online version one month later to assess any improvement in symptom management. In order to trace the number of MURs, NMS, inhaler counselling sessions and leaflets given out a tally chart was completed each month by the branches involved.ResultsUnfortunately of the 22 branches that signed up to the pilot only 15 returned tally charts to the team. Over a six month period 23 MUR's, 3 NMS and 32 inhaler technique sessions were performed with 67 leaflets distributed. Of a possible 55 asthma control tests (MURs and inhaler technique counselling sessions) only 23 patients completed the four week post intervention online form. Of those completed the average asthma control test score increased by 7 points (30% increase). In particular feedback from the pharmacists involved was that the inhaler counselling sessions were of particular benefit to parents/patients.Feedback from the pharmacy teams in general was positive with many stating it was good to be more involved in the care of children's conditions; however many stated in order for the service to roll out to a wider audience the scheme would have to provide a financial incentive for the large chains to take part.ConclusionsIt is clear that interventions performed by the community pharmacy teams can help improve symptom control in asthmatic children. In particular ensuring patients are using their medications correctly appears to be key to symptom control. Encouraging pharmacists to provide child friendly MURs should be investigated further to prove the benefit of this service further. It should be noted that ensuring patients are using their medications correctly is already part of the essential service contract for pharmacies.

Childhood Asthma Control Test in asthmatic children with dysfunctional breathing

2008 ◽  
Vol 121 (1) ◽  
pp. 266-267 ◽  
Author(s):  
Diego G. Peroni ◽  
Giorgio L. Piacentini ◽  
Alessandro Bodini ◽  
Attilio L. Boner
Keyword(s):  
Asthma Control ◽  
Childhood Asthma ◽  
Control Test ◽  
Asthma Control Test ◽  
Asthmatic Children ◽  
Dysfunctional Breathing

scholarly journals Reduced medication use and improved pulmonary function with supplements containing vegetable and fruit concentrate, fish oil and probiotics in asthmatic school children: a randomised controlled trial

2012 ◽  
Vol 110 (1) ◽  
pp. 145-155 ◽  
Author(s):  
Shu-Chen Lee ◽  
Yao-Hsu Yang ◽  
Shao-Yuan Chuang ◽  
Shih-Yi Huang ◽  
Wen-Harn Pan
Keyword(s):  
Pulmonary Function ◽  
Fish Oil ◽  
Asthma Control ◽  
Childhood Asthma ◽  
Test Score ◽  
Medication Use ◽  
Control Test ◽  
Asthma Control Test ◽  
Asthmatic Children ◽  
Supplement Group

Dietary pattern changes may be one of the key factors associated with increasing asthma prevalence. Observational studies have found negative associations between fruit, vegetable and fish consumption and risk of asthma. Experimental studies have also shown that probiotics can modulate the immune system. However, each dietary component exhibits a modest effect. The objective of the present study was to investigate the joint effect of multiple beneficial dietary components on asthma. We designed a 16-week school-based double-blind placebo-controlled randomised trial. The supplement group received fruit plus vegetable concentrate, fish oil and probiotics (FVFP supplement), while the control group received placebos. A total of 192 asthmatic children aged 10–12 years were recruited from elementary schools in metropolitan Taipei. Pulmonary function, medication usage, Paediatric Asthma Quality of Life Questionnaire (PAQLQ) score and the Childhood Asthma Control Test score were evaluated at baseline, and at weeks 8 and 16. Compared with the placebo group, the supplement group showed significant improvement in pulmonary function parameters (91 v. 178 ml for forced vital capacity (FVC), 40 v. 107 ml for forced expiratory volume in 1 s (FEV1) and 1·6 v. 4·8 % for FEV1:FVC ratio; all P values < 0·01) and had a significantly reduced proportion of those using short-acting inhaled bronchodilators and inhaled corticosteroids. However, the PAQLQ score and the Childhood Asthma Control Test score were not significantly different between the two groups, possibly because the majority of the children were treated routinely. FVFP supplements reduced medication use and improved pulmonary function in asthmatic children. The present study supports an adjuvant intervention with a combination of fruit, vegetable, fish and probiotic foods.

Relationship between Exercise-Induced Bronchospasm (EIB) and Asthma Control Test (ACT) in Asthmatic Children

2011 ◽  
Vol 48 (10) ◽  
pp. 1081-1084 ◽  
Author(s):  
Daniele Rapino ◽  
Nicola PietroConsilvio ◽  
Alessandra Scaparrotta ◽  
Anna Cingolani ◽  
Marina Attanasi ◽  
...  
Keyword(s):  
Asthma Control ◽  
Control Test ◽  
Asthma Control Test ◽  
Asthmatic Children ◽  
Exercise Induced

Development of a nomogram to estimate the quality of life in asthmatic children using the Childhood Asthma Control Test

2016 ◽  
Vol 27 (5) ◽  
pp. 514-520 ◽  
Author(s):  
Laura Montalbano ◽  
Giovanna Cilluffo ◽  
Manuel Gentile ◽  
Giuliana Ferrante ◽  
Velia Malizia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Childhood Asthma ◽  
Control Test ◽  
Asthma Control Test ◽  
Asthmatic Children

scholarly journals Is there an association between the value of forced expiratory volume in the 1st second, the Asthma Control Test and a Control Framework by Global Initiative for asthma in asthmatic children and adolescents treated with inhaled corticosteroids?

2019 ◽  
Vol 29 (3) ◽  
pp. 346-353
Author(s):  
Karla Delevedove Taglia-Ferre ◽  
Sandra Lisboa ◽  
Luanda Dias da S. Salviano ◽  
Ana Carolina Carioca da Costa ◽  
Shandra Lisboa Monteiro ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Asthma Control ◽  
Control Method ◽  
Inhaled Corticosteroids ◽  
Forced Expiratory Volume ◽  
Control Test ◽  
Asthma Control Test ◽  
Asthmatic Children ◽  
Global Initiative For Asthma ◽  
Global Initiative

Objective: Evaluate the presence of association between the classification of the level of asthma control, using the method proposed by the Global Initiative for Asthma (GINA), the Asthma Control Test (ACT)/Childhood-ACT and the forced expiratory volume in the 1st second (FEV1), in asthmatic children and adolescents treated with inhaled corticosteroids, followed up at the National Institute of Women's, Children's and Adolescents' Health FernandesFigueira of the Oswaldo Cruz Foundation (IFF / FIOCRUZ). Method: A cross-sectional study was carried out with a review of the medical records of all children between 7 and 17 years of age followed up at the Asthma Outpatient Clinic and referred to the Respiratory Insertion Test (PFR) sector between March 2013 and September 2014. In the same day were applied the C-ACT/ACT questionnaires, an asthma control method proposed by the GINA and the FEV1 value in a spirometrictest. Results: From the total number of records evaluated (72), 16 children were excluded because they did not meet the required criteria for performing spirometry. The sample studied (56 children) was predominantly male (58.9%) and median age was 12 (7-17) years. It was observed an association between FEV1 and GINA values ??(p <0.01). Conclusion: The results found in this study indicate that FEV1 measurement is a useful component among the instruments for assessing clinical control of asthma by GINA.

scholarly journals Evaluation of association between airway hyperresponsiveness, asthma control test, and asthma therapy assessment questionnaire in asthmatic children

2013 ◽  
Vol 8 ◽  
Author(s):  
Daniele Rapino ◽  
Marina Attanasi ◽  
Nicola P. Consilvio ◽  
Alessandra Scaparrotta ◽  
Anna Cingolani ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Asthma Control ◽  
Asthma Therapy ◽  
Control Test ◽  
Uncontrolled Asthma ◽  
Asthma Control Test ◽  
Therapy Assessment ◽  
Asthmatic Children ◽  
Exercise Induced ◽  
Assessment Questionnaire

Background: Achieving asthma control is a major challenge in children, otherwise symptoms perception remain poor especially at this age. The aim of this study is to evaluate the relationship between Asthma Control Test (ACTTM), Asthma Therapy Assessment Questionnaire (ATAQTM) and exercise-induced bronchospasm (EIB). Methods: We studied 80 asthmatic children. Airways hyperresponsiveness (AHR) was assessed by exercise-induced bronchospasm (Balke Protocol). Asthma control was evaluated using two questionnaires in all subjects: ACT (composed by Childhood-ACT and ACT) and ATAQ. In addition the use of short acting beta 2 agonist agents (SABAs) was assessed for each patient. Non-parametric variables were compared by Chi Square Test. Binomial logistic regression was performed to estimate the two questionnaires Odds Ratio (OR) in finding AHR. Results: We have found that ATAQ has a sensitivity and a specificity of 0.72 and 0.45 respectively; instead, ACT has a sensitivity and a specificity of 0.5 and 0.39 respectively in evaluating AHR. Patients with uncontrolled asthma according to ATAQ revealed a significant higher percentage of AHR compared with ACT (72% vs 50%, p < 0.01). Confirming this finding, patients declaring uncontrolled asthma to ATAQ have a significantly higher percentage (34%) of frequent SABAs use than the group with uncontrolled asthma to ACT (21%) (p <0.01). Binomial logistic regression shows how a test revealing uncontrolled asthma is associated with the increasing odds of having AHR according to ATAQ (OR = 3.8, p = 0.05), not to ACT (OR = 0.2, p = 0.1). Conclusions: Our results show that ATAQ reflects AHR and asthma control better than ACT. Children with uncontrolled asthma according to ATAQ have higher odds of having AHR and use of rescue medications (SABAs) compared to patients declaring uncontrolled asthma according to ACT. However both questionnaires are not sufficient alone to fully evaluate asthma control in children and it is always necessary to perform functional tests and investigate patients lifestyle, drug use and other important data that a simple questionnaire is not able to point out

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