Asthma Management Handbook

Asthma control questionnaires

Questionnaire-based tools can be used to standardise review of asthma symptoms.

Asthma Score (Asthma Control Test)

The Asthma Score is a questionnaire-based tool that can be used to standardise review of asthma symptoms.

The Asthma Score (Asthma Control Test) was developed by QualityMetric Incorporated and GlaxoSmithKline. Reproduced with permission from GlaxoSmithKline Australia. Asthma Control Test (ACTTM) copyright 2002, 2004, 2013, 2015 QualityMetric Incorporated. All rights reserved. ACTTMis a trademark of QualityMetric Incorporated.

Table. Asthma Score Opens in a new window Please view and print this figure separately: https://www.asthmahandbook.org.au/table/show/88

Table. Interpretation of Asthma Score (Asthma Control Test)

Score Interpretation
≥ 20 Well-controlled asthma
≤ 15 Uncontrolled asthma
Change of ≥ 3 points Clinically important change in an individual patient

Sources

Schatz M, Sorkness CA, Li JT et al. Asthma Control Test: reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol 2006; 117: 549-56. Available from: http://www.jacionline.org/article/S0091-6749(06)00174-6/fulltext

Schatz M, Kosinski M, Yarlas AS et al. The minimally important difference of the Asthma Control Test. J Allergy Clin Immunol 2009; 124: 719-23. Available from: http://www.jacionline.org/article/S0091-6749(09)01245-7/fulltext

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Primary care Asthma Control Screening tool (also known as Pharmacy Asthma Control Screening tool)

A quick screening test to detect poor asthma control, developed and validated for use with Australian patients attending primary care

Table. Primary care Asthma Control Screening tool (PACS)

Have you experienced any of the following more than once a week in the last month? Yes No
Symptoms of asthma, cough, wheeze, shortness of breath
  •  
  •  
Waking at night because of asthma
  •  
  •  
Chest tightness on waking
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  •  
Difficulty in performing vigorous activity like running, lifting heavy objects, exercise
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  •  
Difficulty in performing moderate activities like vacuuming, climbing flights of stairs
  •  
  •  

Interpretation: ‘Yes’ to any question indicates that the person may have poorly controlled asthma, so more detailed assessment is needed.

Source: LeMay KS, Armour CL, Reddel HK. Performance of a brief asthma control screening tool in community pharmacy: a cross-sectional and prospective longitudinal analysis. Prim Care Respir J; 2014. Available from: http://dx.doi.org/10.4104/pcrj.2014.00011

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UK Royal College of Physicians ‘3 Questions' screening tool

Table. UK Royal College of Physicians ‘3 Questions’ screening tool

In the last month: Yes No
Have you had difficulty sleeping because of your asthma symptoms (including cough)?
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  •  
Have you had your usual asthma symptoms during the day (cough, wheeze, chest tightness or breathlessness)?
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Has your asthma interfered with your usual activities (e.g. housework, work/school etc)?
  •  
  •  

Inerpetation:

No to all three questions indicates good control.

Yes to 2 or 3 questions indicates poor control.

Yes to 1 question indicates that more detailed questioning is needed to assess level of asthma control (using another validated questionnaire or by asking about frequency of daytime symptoms, reliever requirement, limitation of activities and symptoms at night or on waking during the previous month).

Note: This test provides a quick and easy way of confirming someone’s asthma control is good, or identifying those who need more assessments.

Sources

Thomas M, Gruffydd-Jones K, Stonham C et al. Assessing asthma control in routine clinical practice: use of the Royal College of Physicians ‘3 Questions’. Prim Care Respir J 2009; 18: 83-8. Available from: http://www.nature.com/articles/pcrj200845

Pinnock H, Burton C, Campbell S et al. Clinical implications of the Royal College of Physicians three questions in routine asthma care: a real-life validation study. Prim Care Respir J 2012; 21: 288-94. Available from: http://www.nature.com/articles/pcrj201252

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Asthma Control Questionnaire (ACQ)

Note: Clinicians and researchers should only use the versions of the ACQ and Asthma Score that have been validated for use in the Australian population. The wording and layout of questionnaires must not be changed.