Full size table Beta 2 agonist use During the clinical evaluation the physician collected information about the use of SABAs and children were stratified if they need to use this class of drugs more than 2 times during the last month frequent SABAs use. For each questionnaire it was obtained the sensitivity and specificity in achieving AHR. SPSS version Ethical committee and informed consent The study was approved by the ethical committee of the University of Chieti. Written informed consent was obtained by all parents and the study was performed in accordance with Helsinki Declaration Discussion Despite the improvement in asthma knowledge and therapies, asthma control remains a difficult objective to achieve.
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Full size table Beta 2 agonist use During the clinical evaluation the physician collected information about the use of SABAs and children were stratified if they need to use this class of drugs more than 2 times during the last month frequent SABAs use.
For each questionnaire it was obtained the sensitivity and specificity in achieving AHR. SPSS version Ethical committee and informed consent The study was approved by the ethical committee of the University of Chieti. Written informed consent was obtained by all parents and the study was performed in accordance with Helsinki Declaration Discussion Despite the improvement in asthma knowledge and therapies, asthma control remains a difficult objective to achieve.
Increasingly recognized is the importance of tools developed to help physicians and patients measuring asthma symptoms especially in children[ 16 ]. Many questionnaires have been developed to evaluate asthma patients, but additional studies in different populations are still required to assess their validity and clinical utility in comparison with objective tests. ACT is an auto-administrable, easy-to-use validated questionnaire, composed of a few simple questions.
These features render it very useful in screening and evaluating patients at home. On the contrary, some studies have demonstrated that the ACT could overestimate asthma control and does not have a direct and strong correlation with lung function[ 19 ]. ATAQ consists of a form validated for all patients under the age of A large study has shown that ATAQ could be useful in identifying children needing more intensive asthma management.
ATAQ showed to correspond well with asthma control, with measures of physical health, psychosocial health, resources use, and family impact.
It seems to help healthcare with asthma management plans, in fact it was shown to be significantly and positively associated with symptoms and parental satisfaction[ 7 ]. In particular, no studies have been carried out to study the same population with both questionnaires and comparing the two questionnaires with a validated stress test[ 21 , 22 ].
This is an important feature to investigate due to the fact that stress tests have been shown to be useful in evaluating asthma control and the efficacy of asthma therapy as indicated in the PRACTALL consensus[ 10 ]. In fact, patients with uncontrolled asthma to ATAQ presented a significantly higher percentage of positive stress tests than ACT; this finding suggests that a patient with uncontrolled asthma according to ATAQ is more likely to experience airways hyper- reactivity compared to ACT.
After evaluating ATAQ and ACT in patients with uncontrolled asthma and comparing these patient subgroups, we noted that patients with a score showing uncontrolled asthma according to ATAQ questionnaire had a significantly higher rate in beta 2 agonist agents use than patients with uncontrolled asthma according to ACT.
Instead, in both questionnaires, a score showing good asthma control provides no information regarding airways hyperreactivity. Additional studies on asthma control and AHR are necessary to investigate perception of symptoms by the patients during exercise and the degree of airways hyperreactivity.
The inability of a simple questionnaire to reveal AHR could be explained because children experiencing mild asthma symptoms may consider these normal, and in this case they will not report any problem filling out the questionnaire. This consideration is confirmed in literature, in fact Panditi et al.
As a second explanation, asthmatic patients tend to change their lifestyle avoiding exercise, a possible trigger of bronchospasm and symptoms related to AHR; so they could not experiment asthma symptoms because they do not reach a significant exercise threshold. ATAQ results easier to administer and more suitable as auto-administrable questionnaire, improving the power to detect AHR and asthma symptoms in children.
However, another study has shown that ACT does not improve its specificity in achieving airway hyperresponsiveness even adding in the questionnaire a sixth question specifically aimed at detecting exercise-induced asthma confirming that this questionnaire is not able to determine whether a child has AHR or not[ 21 ].
Whichever the questionnaire structure will be, it is important to obtain a good result in terms of acceptable asthma control. Another important consideration is that it is very difficult to understand how much children and parents are reliable in reporting symptoms or drug use. This is an important feature that has to be investigated besides improving questionnaires efficacy to evaluate asthma control.
Both questionnaires alone are not sufficient to fully evaluate asthma control in children, so as functional tests, data on patients lifestyle and drug use, and other important information are always to be achieved in order to obtain a reliable evaluation.
Taugore Correlation between the Korean version of asthma control test and health-related quality of life in adult asthmatics. Disease ManagementVol. Evaluation of association between airway hyperresponsiveness, asthma control test, and asthma therapy assessment questionnaire in asthmatic children. However, a questionnalre interviewer is required to administer the questionnaire to children 6—10 y old. Reliability The ACQ has shown high reliability in adult subjects who remained clinically stable between consecutive visits to the clinic an intraclass correlation coefficient of 0. Ann Allergy Asthma Immunol ; 99 6: Asthma control test and asthma quality of life questionnaire association in adults. Asthma Control Assessment Tools ATAQ appears to have satisfactory measurement properties and is ready for use to identify patients who might benefit from further disease management efforts or medical attention.
Asthma Therapy Assessment Questionnaire (ATAQ)
ATAQ is a brief, item parent-completed questionnaire that generates indicators of potential care problems in several categories, including symptom control, behavior and attitude barriers, self-efficacy barriers, and communication gaps. This paper describes testing of the internal consistency and construct validity of the instrument. A cross-sectional mail survey with telephone follow-up was conducted with parents of children aged years being treated for asthma and enrolled in three managed care organizations in the Midwestern and Northeastern United States. ATAQ scales were evaluated using correlations with measures of health status, asthma impact, and healthcare utilization.