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The role of education in the comparison between self and physician-administered asthma control test scores

Silvano Dragonieri, Enrico Scisci, Elena Capozza, Federica Barratta, Maria Luisa De Candia, Giovanna Elisiana Carpagnano
European Respiratory Journal 2021 58: PA3710; DOI: 10.1183/13993003.congress-2021.PA3710
Silvano Dragonieri
1Respiratory Diseases, University of Bari, Italy, Bari (BA), Italy
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  • For correspondence: sdragonieri@hotmail.com
Enrico Scisci
1Respiratory Diseases, University of Bari, Italy, Bari (BA), Italy
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Elena Capozza
1Respiratory Diseases, University of Bari, Italy, Bari (BA), Italy
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Federica Barratta
1Respiratory Diseases, University of Bari, Italy, Bari (BA), Italy
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Maria Luisa De Candia
1Respiratory Diseases, University of Bari, Italy, Bari (BA), Italy
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Giovanna Elisiana Carpagnano
1Respiratory Diseases, University of Bari, Italy, Bari (BA), Italy
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Abstract

Background: Asthma Control Test (ACT) is a quick and easy tool that allows physicians to estimate the control of asthma symptoms. Previous studies showed that ACT can be self or physician-administered with similar results.

Aim: The aim of our study was to evaluate the role of instruction in the self-compilation of ACT and its difference with the physician-administered modality.

Methods: We enrolled 84 patients with asthma from those attending our outpatient clinic. We divided our population into 3 groups, according to their level of education: 1) low level (primary, middle school; n= 24, age 54.3±11.1), 2) middle level (secondary school; n=34, age 38.2±13.8) and 3) high level (university degree; n=24, age 44.8±14.7). All participants answered the questionnaire in both self- and physician-administered ways. Then, we calculated the parameter ΔACT, defined as the difference between physician-administered and self-administered ACT score. One-way ANOVA and two-tailed t-student test were used to assess differences of ΔACT among the groups.

Results: Patients with low and middle education level had higher mean ΔACT compared to individuals with high education level (2.17 and 2.15 vs 0.75, p<0.05 for both analysis).

Conclusions: Our data suggest that patients without high education levels tend to overestimate their perception of asthma symptoms. Thus, ACT should always be physician-administered in these asthmatic patients.

  • Asthma
  • Asthma - management

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3710.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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The role of education in the comparison between self and physician-administered asthma control test scores
Silvano Dragonieri, Enrico Scisci, Elena Capozza, Federica Barratta, Maria Luisa De Candia, Giovanna Elisiana Carpagnano
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3710; DOI: 10.1183/13993003.congress-2021.PA3710

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The role of education in the comparison between self and physician-administered asthma control test scores
Silvano Dragonieri, Enrico Scisci, Elena Capozza, Federica Barratta, Maria Luisa De Candia, Giovanna Elisiana Carpagnano
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3710; DOI: 10.1183/13993003.congress-2021.PA3710
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