Validation of the Serbian version of the Asthma Control Test

Background/Aim. Asthma still remains poorly controlled in the majority of patients. The Asthma Control Test (ACT) is a short and useful patient-administered questionnaire for identification of patients with poor asthma control in clinical settings. The aim of this study was to validate a Serbian ver...

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Main Authors: Milenković Branislava, Ristić Snežana, Mirović Danijela, Dimić-Janjić Sanja, Janković Jelena, Đurđević Nataša, Davičević-Elez Žaklina, Lukić Tamara
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2019-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800006M.pdf
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author Milenković Branislava
Ristić Snežana
Mirović Danijela
Dimić-Janjić Sanja
Janković Jelena
Đurđević Nataša
Davičević-Elez Žaklina
Lukić Tamara
author_facet Milenković Branislava
Ristić Snežana
Mirović Danijela
Dimić-Janjić Sanja
Janković Jelena
Đurđević Nataša
Davičević-Elez Žaklina
Lukić Tamara
author_sort Milenković Branislava
collection DOAJ
description Background/Aim. Asthma still remains poorly controlled in the majority of patients. The Asthma Control Test (ACT) is a short and useful patient-administered questionnaire for identification of patients with poor asthma control in clinical settings. The aim of this study was to validate a Serbian version of the ACT in the adults with asthma. Methods. A total of 250 consecutive adult asthmatic patients were recruited in a prospective observational study. The exclusion criteria were chronic respiratory disease and acute respiratory tract infection in preceding 4 weeks. Results. The spirometry and ACT questionnaire were performed on the baseline visit and 6 months later. The ACT test was completed by 98.8% of patients with the mean time of completion of 4.5 minutes. The correlation of ACT score and lung function parameters (forced expiratory volume in 1 second – FEV1 and forced vital capacity – FVC) was significant (p = 0.016 and p = 0.002, respectively). A change in the ACT scores between baseline and 6- months visit was not associated with a change in FVC and FEV1. The ACT score had excellent diagnostic accuracy according to the physicians asthma control classification and even outstanding accuracy according to the patients’ classification. Conclusion. The results of this study confirm the reliability, validity and accuracy of Serbian version of the ACT, contributing to established value of original ACT test and with consistent findings as the previously reported validity of ACT in other languages. Therefore, it should be utilized more in everyday clinical practice as a useful and reliable tool of asthma control assessment.
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spelling doaj-art-67aef479b6554b5da8548737aba7b2612025-08-20T02:23:49ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176101029103610.2298/VSP171114006M0042-84501800006MValidation of the Serbian version of the Asthma Control TestMilenković Branislava0Ristić Snežana1Mirović Danijela2Dimić-Janjić Sanja3Janković Jelena4Đurđević Nataša5Davičević-Elez Žaklina6Lukić Tamara7Clinical Center of Serbia, Clinic for Pulmonary Diseases, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaInstitute for Students Health Care, Belgrade, SerbiaPrimary Health Care Center, Kotor, MontenegroClinical Center of Serbia, Clinic for Pulmonary Diseases, Belgrade, Serbia Clinical Center of Serbia, Clinic for Pulmonary Diseases, Belgrade, Serbia Clinical Center of Serbia, Clinic for Pulmonary Diseases, Belgrade, Serbia GlaxoSmithKline, Medical Department, Belgrade, Serbia GlaxoSmithKline, Medical Department, Belgrade, Serbia Background/Aim. Asthma still remains poorly controlled in the majority of patients. The Asthma Control Test (ACT) is a short and useful patient-administered questionnaire for identification of patients with poor asthma control in clinical settings. The aim of this study was to validate a Serbian version of the ACT in the adults with asthma. Methods. A total of 250 consecutive adult asthmatic patients were recruited in a prospective observational study. The exclusion criteria were chronic respiratory disease and acute respiratory tract infection in preceding 4 weeks. Results. The spirometry and ACT questionnaire were performed on the baseline visit and 6 months later. The ACT test was completed by 98.8% of patients with the mean time of completion of 4.5 minutes. The correlation of ACT score and lung function parameters (forced expiratory volume in 1 second – FEV1 and forced vital capacity – FVC) was significant (p = 0.016 and p = 0.002, respectively). A change in the ACT scores between baseline and 6- months visit was not associated with a change in FVC and FEV1. The ACT score had excellent diagnostic accuracy according to the physicians asthma control classification and even outstanding accuracy according to the patients’ classification. Conclusion. The results of this study confirm the reliability, validity and accuracy of Serbian version of the ACT, contributing to established value of original ACT test and with consistent findings as the previously reported validity of ACT in other languages. Therefore, it should be utilized more in everyday clinical practice as a useful and reliable tool of asthma control assessment.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800006M.pdfasthmasurveys and questionnairesserbia
spellingShingle Milenković Branislava
Ristić Snežana
Mirović Danijela
Dimić-Janjić Sanja
Janković Jelena
Đurđević Nataša
Davičević-Elez Žaklina
Lukić Tamara
Validation of the Serbian version of the Asthma Control Test
Vojnosanitetski Pregled
asthma
surveys and questionnaires
serbia
title Validation of the Serbian version of the Asthma Control Test
title_full Validation of the Serbian version of the Asthma Control Test
title_fullStr Validation of the Serbian version of the Asthma Control Test
title_full_unstemmed Validation of the Serbian version of the Asthma Control Test
title_short Validation of the Serbian version of the Asthma Control Test
title_sort validation of the serbian version of the asthma control test
topic asthma
surveys and questionnaires
serbia
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501800006M.pdf
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AT dimicjanjicsanja validationoftheserbianversionoftheasthmacontroltest
AT jankovicjelena validationoftheserbianversionoftheasthmacontroltest
AT đurđevicnatasa validationoftheserbianversionoftheasthmacontroltest
AT davicevicelezzaklina validationoftheserbianversionoftheasthmacontroltest
AT lukictamara validationoftheserbianversionoftheasthmacontroltest