The Asthma Control Test™ is a patient self-assessment tool of asthma control and is in no way intended as a substitute for the Royal College of Physicians (RCP) Three Questions, which are recommended in the British Guideline on the Management of Asthma.
The Asthma Control Test™ is a simple five-point questionnaire, which is self completed by patients. Each item is scored from one (poor control) to five (good control) and the scores added to give a final score with a maximum of 25.
The Asthma Control Test Five Questions are:
- During the past 4 weeks, how often did your asthma prevent you from getting as much done at work, school or home?
- During the past 4 weeks, how often have you had shortness of breath?
- During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, chest tightness, shortness of breath) wake you up at night or earlier than usual in the morning?
- During the past 4 weeks, how often have you used your reliever inhaler (usually blue)?
- How would you rate your asthma control during the past 4 weeks?
What you should do when a patient comes in with poor asthma control?
Before considering alteration of drug therapy the following should be considered:
- Is the diagnosis correct? (Is there objective evidence of asthma?)
- Are there any correctable trigger factors (including occupation)?
- Does the patient have allergic rhinitis? (Treatment of this may help asthma control)
- Is there patient compliance with the existing therapy?
- Is the patient able to use their inhaler properly?
Click here to see the Asthma Control Test™ online.