ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2012
ALMA, a new tool for the management of asthma patients in clinical practice: development, validation and initial clinical findings.
Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Evaluation of the psychometric properties of the Greek version of the Active Life with Asthma (Gr-ALMA) review: a descriptive methodological study.BMC health services research · 2019Article
- Types, frequency and impact of asthma triggers on patients' lives: a quantitative study in five European countries.The Journal of asthma : official journal of the Association for the Care of Asthma · 2014Article
- Longitudinal validation of a tool for asthma self-monitoring.Pediatrics · 2013Article
- Clinical implications of the Royal College of Physicians three questions in routine asthma care: a real-life validation study.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
- A question of quality? A single questionnaire for measuring asthma control, structuring asthma reviews, and monitoring health service standards.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral instruments have been developed for measuring asthma control, but there is still a need to provide a structure for primary care asthma reviews.
aimsThe Active Life with Asthma (ALMA) tool was developed with the aim of structuring patient visits and assessing asthma treatment in primary care. The ability of ALMA to map out the care of asthma patients was evaluated and validated.
methodsALMA was developed with patient and clinical expert input. Questions were generated in focus groups and the resulting tool was subsequently validated by factor analysis in 1779 patients (1116 females) of mean age 51 years (range 18-89) in primary care.
resultsThe ALMA tool includes 19 questions, 14 of which belong to a subset assessing asthma control. In this subset, factor analysis revealed three domains (factors): physical, psychological, and environmental triggers. Correlation with the Asthma Control Questionnaire was 0.72 and the Cronbach's alpha was 0.88. The test-retest reliability was 0.93. Of the 1779 patients tested with ALMA in primary care, 62% reported chest tightness, 30% nightly awakenings and 45% asthma breakthrough despite medication.
conclusionsThe ALMA tool is useful as a follow-up instrument in clinical practice to structure patient visits and assess asthma treatment in primary care. The breadth of the questions and the pragmatic use in clinical practice also make it useful as an outcome measure.
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