Relationship between the Asthma Control Test (ACT) and other outcomes: a targeted literature review

Bibliographic Details
Title: Relationship between the Asthma Control Test (ACT) and other outcomes: a targeted literature review
Authors: Bas C. P. van Dijk, Henrik Svedsater, Andreas Heddini, Linda Nelsen, Janita S. Balradj, Cathelijne Alleman
Source: BMC Pulmonary Medicine, Vol 20, Iss 1, Pp 1-9 (2020)
Publisher Information: BMC, 2020.
Publication Year: 2020
Collection: LCC:Diseases of the respiratory system
Subject Terms: Asthma Control Test, ACT, Lung function, Quality of life, Rescue medication, Exacerbations, Diseases of the respiratory system, RC705-779
More Details: Abstract Background The Asthma Control Test (ACT) has been used to assess asthma control in both clinical trials and clinical practice. However, the relationships between ACT score and other measures of asthma impact are not fully understood. Here, we evaluate how ACT scores relate to other clinical, patient-reported, or economic asthma outcomes. Methods A targeted literature search of online databases and conference abstracts was performed. Data were extracted from articles reporting ACT score alongside one or more of: Asthma Control Questionnaire (ACQ) score; rescue medication use; exacerbations; lung function; health−/asthma-related quality of life (QoL); sleep quality; work and productivity; and healthcare resource use (HRU) and costs. Results A total of 1653 publications were identified, 74 of which were included in the final analysis. Of these, 69 studies found that improvement in ACT score was related to improvement in outcome(s), either as correlation or by association. The level of evidence for each relationship differed widely between outcomes: substantial evidence was identified for relationships between ACT score and ACQ score, lung function, and asthma-related QoL; moderate evidence was obtained for relationships between ACT score and rescue medication use, exacerbations, sleep quality, and work and productivity; limited evidence was identified for relationships between ACT score and general health-related QoL, HRU, and healthcare costs. Conclusions Findings of this review suggest that the ACT is an appropriate measure for overall asthma impact and support its use in clinical trial settings. GlaxoSmithKline plc. study number HO-17-18170.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2466
Relation: http://link.springer.com/article/10.1186/s12890-020-1090-5; https://doaj.org/toc/1471-2466
DOI: 10.1186/s12890-020-1090-5
Access URL: https://doaj.org/article/a9da09d6b1e24f5192ec6fb80e1f2ae4
Accession Number: edsdoj.9da09d6b1e24f5192ec6fb80e1f2ae4
Database: Directory of Open Access Journals
More Details
ISSN:14712466
DOI:10.1186/s12890-020-1090-5
Published in:BMC Pulmonary Medicine
Language:English