Validation of the Pregnancy Asthma Control Test

The Journal of Allergy and Clinical Immunology. in Practice
Kristin PalmstenChristina D Chambers

Abstract

Suboptimal asthma control during pregnancy may affect perinatal outcomes. US guidelines recommend questionnaires to assess asthma control including the Asthma Control Test (ACT). To validate telephone administration of a modified version of ACT during pregnancy. MotherToBaby Pregnancy Studies (2011-2013) enrolled 159 pregnant women with asthma. Participants were interviewed by telephone at intake, at approximately gestational weeks 20 and 32, and postpartum. The ACT was modified to address dyspnea specifically due to asthma; the modified version is the Pregnancy Asthma Control Test (p-ACT). Women answered the p-ACT and guideline-based asthma impairment questions and reported asthma course changes and exacerbations. Possible p-ACT scores ranged from 5 to 25; higher score indicated better control. Reliability, criterion validity, construct validity, prospective validity, and responsiveness were assessed. Cronbach's alpha for internal consistency was similar across time points (0.84-0.90). The p-ACT score varied by impairment; for example, at intake, the mean score was 23.2 for well-controlled versus 13.7 for very poorly controlled asthma. The p-ACT score change between interviews differed by asthma course; for example, women repo...Continue Reading

References

Feb 15, 2001·American Journal of Obstetrics and Gynecology·S LiuM S Kramer
Jan 10, 2004·The Journal of Allergy and Clinical Immunology·Robert A NathanTrudy B Pendergraft
Jul 5, 2005·Obstetrics and Gynecology·Kecia N CarrollTina V Hartert
Jan 4, 2006·American Journal of Obstetrics and Gynecology·Michael SchatzUNKNOWN National Heart, Lung, and Blood Institute
Jan 31, 2006·Immunology and Allergy Clinics of North America·Helen L KwonMichael B Bracken
Mar 9, 2006·The Journal of Allergy and Clinical Immunology·Michael SchatzPriti Jhingran
Dec 30, 2006·The Journal of Allergy and Clinical Immunology·Michael SchatzMark Kosinski
Jul 31, 2007·The Journal of Allergy and Clinical Immunology·Rachel EnriquezTina V Hartert
May 16, 2009·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Robert S ValetTina V Hartert
Jul 14, 2011·BJOG : an International Journal of Obstetrics and Gynaecology·V E MurphyP G Gibson
Mar 14, 2012·The Journal of Allergy and Clinical Immunology·Michelle M CloutierPeter Gergen
Nov 20, 2012·American Journal of Obstetrics and Gynecology·Pauline MendolaJun Zhang
Oct 9, 2014·Respiratory Medicine·Mauro Monteiro de AguiarEmanuel Sávio Cavalcanti Sarinho

❮ Previous
Next ❯

Citations

Sep 3, 2016·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ronghui XuChristina D Chambers
Jun 14, 2017·The Journal of Allergy and Clinical Immunology·Hooman MirzakhaniAugusto A Litonjua
Dec 21, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Marek PrzybyszowskiGrazyna Bochenek
Oct 4, 2017·Paediatric and Perinatal Epidemiology·Kristin PalmstenChristina D Chambers
Apr 7, 2018·Chronic Respiratory Disease·Wanis H IbrahimAzdin A Ibrahim
Jan 22, 2019·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Wanis H IbrahimAzdin A Ibrahim
May 19, 2018·PloS One·Mari KemppainenTurkka Kirjavainen
Jan 26, 2020·The Journal of Allergy and Clinical Immunology. in Practice·Jennifer J YlandSonia Hernández-Díaz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.