The role of education in the self-compilation of asthma control test score in patients with asthma.

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Silvano Dragonieri
Vitaliano Nicola Quaranta
Enrico Scisci
Elena Capozza
Federica Barratta
Maria Luisa De Candia
Giovanna Elisiana Carpagnano

Keywords

asthma, asthma control test, education

Abstract

BACKGROUND. Asthma Control Test (ACT) is a quick and easy tool that allows physicians to estimate the control of asthma symptoms. Previous studies showed that ACT can be self or physician-administered with similar results.


AIM. The aim of our study was to evaluate the role of instruction in the self-compilation of ACT and its difference with the physician-administered modality.


METHODS. We enrolled 114 patients with asthma from those attending our outpatient clinic. We divided our population into 3 groups, according to their level of education: 1) low level (primary, middle school; n= 34, age 54.3±11.1), 2) middle level (secondary school; n=44, age 38.2±13.8) and 3) high level (university degree; n=34, age 44.8±14.7). All participants answered the questionnaire in both self- and physician-administered ways. Then, we calculated the parameter ΔACT, defined as the difference between physician-administered and self-administered ACT score. The comparison of ΔACT among groups was assessed by Mann-Whitney U test. Moreover, Spearman correlation was used to assess linear relationship between physician- and self-administered ACT in the three groups.


RESULTS. Patients with low and middle education level had higher median ΔACT compared to individuals with high education level (2.17 and 2.15 vs 0.75, p<0.05 for both analysis). Moreover, the R2 value of the high education group (0.915) was higher than those with middle and low education (0.642 and 0.773, respectively).


CONCLUSIONS. Our data suggest that patients without high education levels tend to overestimate their perception of asthma symptoms. Thus, ACT should always be physician-administered in these asthmatic patients.

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References

1) Global Initiative for Asthma, date, https://ginasthma.org, 2020
2) Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control, J. Allergy Clin Immunol 2004;113:59–65.
3) 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.
4) Crimi C, Campisi R, Noto A, et al. Comparability of asthma control test scores between self and physician-administered test. Respir Med 2020;170:106015.
5) 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.
6) Kalpaklioglu AF, Baccioglu A. Evaluation of quality of life: impact of allergic rhinitis on asthma. J Investig Allergol Clin Immunol 2008;18:168–73.
7) Braido F, Baiardini I, Balestracci S, et al. The relationship between asthma control and quality-of-life impairment due to chronic cough: a real-life study. Ann Allergy Asthma Immunol 2008;101:370–4.
8) Schatz M, Mosen DM, Kosinski M, et al. Validity of the asthma control test completed at home. Am J Manag Care 2007;13:661–7.
9) Mancuso CA, Sayles W, Allegrante JP. Knowledge, attitude, and self-efficacy in asthma self-management and quality of life. J. Asthma 2010;47:883–8.
10) Ho J, Bender BG, Gavin LA, et al. Relations among asthma knowledge, treatment adherence, and outcome. J. Allergy Clin Immunol 2003;111: 498–502.
11) Scherer YK, Bruce S. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung 2001;30:250–7.

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