TY - JOUR T1 - The role of education in the comparison between self and physician-administered asthma control test scores JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2021.PA3710 VL - 58 IS - suppl 65 SP - PA3710 AU - Silvano Dragonieri AU - Enrico Scisci AU - Elena Capozza AU - Federica Barratta AU - Maria Luisa De Candia AU - Giovanna Elisiana Carpagnano Y1 - 2021/09/05 UR - http://erj.ersjournals.com/content/58/suppl_65/PA3710.abstract N2 - 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.FootnotesCite 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). ER -