Name date childhood asthma control test for children 4 to. Share the results with your child s healthcare provider. The results can help to show the level of control you actually have over your asthma, which may surprise you. The first step is a meticulous history exploring patientcentered outcomes such as the limitations on the child s daily activities, adherence to therapy and factors that may complicate care. Asthma is a heterogeneous chronic airway disease very common in childhood, usually characterized by respiratory symptoms including wheeze, breathlessness, chest tightness and cough, together with variable expiratory airflow obstruction 1, 2. The commonly used validated tools are the asthma control test act, 7 the childhood asthma control test cact, 8 and the asthma control questionnaire acq. The asthma control test is a way to help you and your healthcare provider determine if your asthma symptoms are well controlled take the test and take the results to your doctor based on your score, your healthcare provider can help you take appropriate action to better manage your asthma. Childhood asthma control test for children 4 to 11 ye ars. If your child needs help reading or understanding the question, you may. This test will provide a score that may help your doctor determine if your child s asthma treatment plan is working or if it mi ght be time for a change. This plan will include when you should take them and how much you should take. The asthma control test provides a numerical score to help you and your healthcare provider determine if your asthma symptoms are well controlled.
Cut points for asthma control tests in mexican background. The survey measures the elements of asthma control as defined by the national heart, lung, and blood institute nhlbi. Asthma control test act qualitymetric health outcomes the asthma control test act is a fiveitem health survey used to. The right medication for your child depends on a number of things, including age, symptoms, asthma triggers and what seems to work best to keep his or her asthma under control. Intermediate probability patients have an intermediate probability of asthma if. It does not cover managing severe asthma or acute asthma attacks. Agerelated differences in perceived asthma control in. Spirometry and pef peak expiratory flowcannot be performed in children below 5 years of age. Learn more about the causes, triggers, risk factors, symptoms, diagnosis, treatments. This guideline covers diagnosing, monitoring and managing asthma in adults, young people and children.
How to take the childhood asthma control test let your child respond to the first 4 questions 1 to 4. Most of the children are below 5 years of age who can not tell their symptoms. A lung function test, called spirometry spyrometree, is another way to diagnose asthma. Include the act score in your patients chart to track asthma. If youyour child s asthma is not well controlled youyour child may be at risk of having an asthma attack how to take the childhood asthma control test let your child respond to the. It is a good idea to complete the test regularly as asthma symptoms can vary from month to month and at different times of the year. The american lung association is committed to supporting those affected by asthma. Several tools are useful in detecting uncontrolled asthma in children. In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home.
Current guidelines specify the goals of asthma treatment in children and propose a stepwise approach to achieve them. Among children aged 411 years, the cact requires the simultaneous presence of both parent and child. Childhood asthma diagnosis and treatment mayo clinic. A panel of asthma specialists developed two questionnaires one for children ages 411 and another. It provides a numerical score to help you and your asthma specialist determine if your asthma symptoms are well controlled. Spanish pdf, 72 kb massachusetts adult asthma action plan and care cards.
These tests were developed to detect uncontrolled asthma and are widely used in research and patient care 2, 3. On average, during the past week, how bad were your asthma symptoms when you woke up in the morning. Allergies and asthma tend to run in families and we know that if one parent has been physician diagnosed with allergies or asthma the risk of the child developing asthma is approximately 50%, while if both parents have physician diagnosed allergies and or asthma the risk of the child developing asthma climbs to 75%. How to take the childhood asthma control test step 1 let your child respond to the first 4 questions 1 to 4.
Childhood asthma control test the cact was developed in 2006 to assess asthma control in children 411 y old. Asthma is a condition which varies from day to day and month to month so youyour child s level of control may not always be the same. The cact is for use in children 4 through 11 years of age and consists of 4 pictorial items and 3 verbal items that are scored. A quick test that provides a numerical score to assess asthma control. Test for respiratory and asthma control in kids track. Good asthma control means having all of the following. Asthma symptoms can vary from month to month, so it is worth keeping the test handy to see if your score changes. Control medicines for asthma are drugs you take to control your asthma symptoms.
Dec 26, 2016 subjective measures of asthma control include detailed history taking, use of composite asthma control scores and qualityoflife measures. If your score is 19 or less, your asthma may not be controlled as well as it could be. Environmental protection agency offers you this children s booklet of fun activities to help parents and children learn more about asthma triggers. Adapted version is used with permission from the tacoma pierce county health department. The childhood asthma control test cact and the asthma control test act. The asthma control test act is a five question health survey used to measure asthma control in individuals 12 years of age or older. The degree of control is used to determine whether a patients medications should be adjusted. Asthma control tests are a set of health questions used to help measure asthma control in children and adults.
Complete the remaining three questions 5 to 7 on your own and without letting your child s response influence. Key questions focusing on the past 4 weeks are asked to determine asthma control. A simple asthma control questionnaire or asthma control test act can identify children and adults with poorly controlled asthma who needlessly suffer asthma symptoms that limit their daily activities. Parents are a proxy storyteller, who may mislead the doctor. For children younger than age 3 who have mild symptoms of asthma, the doctor might use a waitandsee approach. Figure 3 5a assessing asthma control in children 0 4 years of age page 75 figure 4 1b stepwise approach for managing asthma in children 5 11 years of age page 306 figure 4 2b classifying asthma severity and initiating treatment in children 5 11 years of age page 308. Take the asthma control testtm act for people 12 yrs and older. There is no cure for asthma, but the good news is it can be managed and treated so you can live a normal, healthy life. Each question offers several answers, which are scored on a scale of 0 to 5. The childhood asthmacontrol test cact is validated for assessing asthma control in paediatric asthma. Take the completed test to your healthcare provider to talk about your score.
This test will provide a score that may help the doctor determine if your child s asthma treatment plan is working or if it might be time for a change. Several tools are available to assess asthma control, including the asthma control test and childhood asthma control test cact. The asthma control test is suitable for people 12 years of age and older. If your child needs help reading or understanding the question, you may help, but let your child select the response. This test will provide a score that may help your doctor determine if your child s asthma treatment plan is working or if it might be time for a change. Measurement characteristics of the childhood asthma. The asthma control test will provide you with a snapshot of how well your asthma has been controlled over the last four weeks, giving you a simple score out of 25. Score originally adapted from asthma networkmothers of asthmatics and astrazeneca. Let your child respond to the first four questions 1 to 4. There is widespread concern about symptom control in asthmatic patients, as well as risk of adverse outcomes into clinical. Jun 05, 2014 childhood asthma control test for children 4 to please complete the following questions on your own. We offer a variety of resources and information about the. Complete the remaining 3 questions 5 to 7 on your own and without letting your child s response influence your.
Assessment of asthma control by children and parents. The pattern of symptoms, risk factors, and physical examination are part of diagnosing asthma in children of all ages. The childhood asthma control test is designed for use with children from 4 to 11 years of age. Recent guidelines place a strong emphasis on monitoring asthma control and adjusting treatment accordingly 1. If your child s score is 19 or less, it may be a sign that your child s asthma is not controlle d as well as it could be. These tables feature the latest national and state statistics on the burden of asthma among children and adults. Childhood asthma control test for children 4 to 11 years know your score.
It may be useful for you to discuss your act score with your doctor or nurse the next time you see them. Once you have your act score, return to the site to see how you can get your asthma under control and live every breath. Childhood asthma control test types, procedure, results by. It provides a numerical score to help you and your doctor understand your asthma management habits. The data are from national and state surveillance systems administered by the centers for disease control and prevention cdc.
Asthma is a lung disease that makes breathing difficult for millions of americans. Recognized by the national institutes of health nih in its 2007 asthma guidelines. The asthma control test is a commonly used tool by healthcare providers globally, and has been scientifically tested with hundreds of people with asthma your answers create actionable results the asthma control test is a way to help you and your healthcare provider determine if your asthma symptoms are well controlled. The childhood asthma control test is a way to help your child s healthcare provider determine if your child s asthma symptoms are well controlled. The aim of this study was to compare global initiative for asthma gina guidelines with the childhood asthma control test cact and the asthma control test act in detecting uncontrolled asthma in children. If your child with asthma is 12 years or older, or if you are an adult with asthma, take the asthma control test. The questionnaire includes response to 5 questions, 3 related to symptoms, 1 medication use and 1 overall control. First four questions should be answered by a child while last 3 questions by parents.
Allergies and asthma tend to run in families and we know that if one parent has been physician diagnosed with allergies or asthma the risk of the child developing asthma is approximately 50%, while if both parents have physician diagnosed allergies and or asthma the risk of the child developing asthma. Childhood asthma control test healthy london partnership. Asthma control test act is a widely used asthma control assessment tool that is recognized by the global strategy for asthma management and prevention, global initiative for asthma gina, as a tool for asthma symptoms control assessment 1. A crosssectional postal questionnaire survey was performed in 1998 in all members of the. Childhood asthma is defined as asthma in children, infants, or toddlers. On average, during the past week, how often were you woken by your asthma during the night. How to take the childhood asthma control test step 1let your child respond to the first four questions 1 to 4. Childhood asthma control test european respiratory society. It aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks. Childhood asthma control test for children 4 to 11 years old. Childhood asthma control test for children 4 to 11 years this test will provide a score that might help a doctor determine if your child s asthma treatment plan is working or if it might be time for a change.
How to take the childhood asthma control test step 1let your child respond to. Asthma symptoms can vary from month to month, so it is worth keeping the test. Clinical tools to assess asthma control in children. How to take the childhood asthma control test step 1 let your child respond to the first four questions 1 to 4. Childhood asthma control test for children 4 to 11 years. All of the time 2 more than once a day 2 4 or more nights a week 2. Oct 20, 2016 the childhood asthmacontrol test cact is validated for assessing asthma control in paediatric asthma. Measurement characteristics of the childhood asthmacontrol. To complete it, please mark an in the one box that best describes how you would describe your child s asthma. The first is the asthma control test act, which is a short quiz for patients 12 years of age and older. How would you rate your asthma control during the past 4 weeks. It offers an assessment of how well youyour child s asthma has been controlled over the previous month. Step 1write the number of each answer in the score box provided. Asthma control check national asthma council australia.
How to investigate uncontrolled asthma in primary care box 6. To see how your asthma is affecting you each day take the asthma control test act. The second is the asthma control test caregiver report actcr, which is specifically for caregivers of. Control is classified as well controlled, not well controlled, and very poorly controlled. By clicking on the link below, you will be taken away from the site to complete the act. Dec 28, 2018 childhood asthma control test for children 4 to 11 years is a questionnaire of 7 questions. A spirometer spyrometer measures the largest amount of air you can exhale, or breathe out, after taking a very deep breath. Links to sources are provided with each table to assist with finding additional information on the data. Asthma symptom control means how often in the last four weeks you had asthma symptoms, used your reliever inhaler, woke at night due to asthma, or were limited in activity due to asthma. Write the number of each answer in the score box provided. Sep 17, 2014 among these numerical asthma control tools is asthma control test. Childhood asthma control test types, procedure, results. There are a number of asthma control tests available online, including an example of an asthma control test, asthma score, available via asthma australia. You and your doctor can make a plan for the medicines that work for you.