Measuring Asthma Control Is the First Step to Patient Management: A Literature Review

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 t...

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Bibliographic Details
Published in:The Journal of asthma 2009-01, Vol.46 (7), p.659-664
Main Authors: Halbert, Ronald J., Tinkelman, David G., Globe, Denise R., Lin, Shao-Lee
Format: Article
Language:English
Subjects:
asthma
Asthma - diagnosis
Asthma - therapy
asthma control
Humans
Outcome Assessment (Health Care) - methods
patient-reported outcomes
Practice Guidelines as Topic
questionnaires
Randomized Controlled Trials as Topic
Reproducibility of Results
Respiratory Function Tests
Surveys and Questionnaires
Treatment Outcome
validation studies
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Summary: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.
ISSN:0277-0903
1532-4303
DOI:10.1080/02770900902963128