ACT ASTHMA CONTROL TEST ™

This test is for children age 12 and older to evaluate their asthma control. Dr. Rich points out the same questions are asked of younger children,

but the test has not been standardized for that age group. In the past four weeks, how much of the time did your asthma keep you from getting as much done at work or home?

a. none of the time b. a little of the time c. some of the time

d. most of the time

e. all During the past four weeks, how often have you had shortness of breath?

a. Never b. once/twice a week c. 3 to 6 times a week

d. daily

e. more than 3X a day During the past four weeks, how often did you asthma wake you up at night or earlier in the morning than usual? a. not at all b. once a week or less c. few times a week

d. 1-2 times/day

e. more than 3 times How often in the last four weeks have you used your rescue inhaler (albuterol for example)?

a. never b. once a week or less c. few times/week

d. 1-2 times/day

e. more than 3X a day

5. How would you rate your asthma control during the past four weeks?

a. completely controlled b. Well-controlled c. somewhat controlled

d. poorly controlled

e. not controlled at all Scoring: 5 points for a, 4 points for b, 3 points for c, 2 points for d and 1 point for e Results: The total ACT score is based on a range of 5 to 25. A score of 19 or less may be a sign that asthma symptoms are not under control. If

patients score 19 or less, they should meet with their physician to discuss

their ACT results and ensure they are properly controlling airway

constriction and inflammation. Experts also recommend that even if patients score more than 20 they should talk with their physician about

their results to help improve their asthma. EVERY DAY in America, Due to Asthma:  40,000 people miss school or work  30,000 have an asthma attack  5,000 visit an emergency room

 1,000 people are admitted to the hospital  12 people die SOURCE: Allergy and Asthma Foundation of America