ArticleNPJ primary care respiratory medicine2016
Measurement characteristics of the childhood Asthma-Control Test and a shortened, child-only version.
Article in NPJ primary care respiratory medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review of questionnaires measuring asthma control in children in a primary care population.NPJ primary care respiratory medicine · 2023Pooled it
- Validity of the Childhood Asthma Control Test in diverse populations: A systematic review.Pediatric pulmonology · 2023Pooled it
- Development of Core Outcome Measures sets for paediatric and adult Severe Asthma (COMSA).The European respiratory journal · 2023Pooled it
- A Pilot Pragmatic Cluster Randomized Trial of School-Supervised Therapy to Improve Pediatric Asthma Control.The journal of allergy and clinical immunology. In practice · 2025Trial
- Asthma treatment response modified by fine particulate matter, nitrogen dioxide, and ozone among Black children: A reanalysis of the AsthmaNet Best African American Response to Asthma Drugs trial.The Journal of allergy and clinical immunology · 2025Trial
- Vitamin D Oral Replacement in Children With Obesity Related Asthma: VDORA1 Randomized Clinical Trial.Clinical pharmacology and therapeutics · 2024Trial
- Community Health Worker Asthma Interventions for Children: Results From a Clinically Integrated Randomized Comparative Effectiveness Trial (2016‒2019).American journal of public health · 2021Trial
- Safety of live attenuated influenza vaccine (LAIV) in children with moderate to severe asthma.The Journal of allergy and clinical immunology · 2020Trial
- Nurse-led care for children with asthma in primary care: results of a randomised controlled trial.ERJ open research · 2026Article
- Article
- The Airport, Air Quality and Asthma (AAA) Indoor Air Intervention Trial for Children with Asthma: Protocol for a Community Based Study in South King County, Washington State.Research square · 2025Article
- Patient-centred composite scores as tools for assessment of response to biological therapy for paediatric and adult severe asthma.The European respiratory journal · 2025Article
- Difference in the Perceptions of Asthma Control Between Children With Asthma and Their Parents.Pediatric pulmonology · 2025Article
- Article
- High-Flow Humidified Oxygen as an Early Intervention in Children With Acute Severe Asthma: Protocol for a Feasibility Randomized Controlled Trial.JMIR research protocols · 2024Article
- Clinical outcomes of children using a metered dose inhaler with a sleeve attachment device to improve ease of use.The journal of allergy and clinical immunology. Global · 2023Article
- Coordinated Health Care Interventions for Childhood Asthma Gaps in Outcomes (CHICAGO) plan.The journal of allergy and clinical immunology. Global · 2023Article
- Psychometric properties and predictive validity of the PP-ACT.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Content validity of a newly developed observer-reported measure for pediatric asthma in children aged 2-5 years.Journal of patient-reported outcomes · 2022Article
- Development and equivalence of new faces for inclusion in the Childhood Asthma Control Test (C-ACT) response scale.Journal of patient-reported outcomes · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The childhood Asthma-Control Test (C-ACT) is validated for assessing asthma control in paediatric asthma. Among children aged 4-11 years, the C-ACT requires the simultaneous presence of both parent and child. There is an unmet need for a tool that can be used to assess asthma control in children when parents or caregivers are not present such as in the school setting. We assessed the psychometric properties and estimated the minimally important difference (MID) of the C-ACT and a modified version, comprising only the child responses (C-ACTc). Asthma patients aged 6-11 years (n=161) from a previously completed multicenter randomised trial were included. Demographic information, spirometry and questionnaire scores were obtained at baseline and during follow-up. Participants or their guardians kept a daily asthma diary. Internal consistency reliabilities of the C-ACT and C-ACTc were 0.76 and 0.67 (Cronbach's α), respectively. Test-retest reliabilities of the C-ACT and C-ACTc were 0.72 and 0.66 (intra-class correlation), respectively. Significant correlations were noted between C-ACT scores and ACQ scores (Spearman's correlation r=-0.56, 95% CI (-0.66, -0.44), P<0.001). The strength of the correlation between C-ACTc scores and ACQ scores was weaker (Spearman's correlation r=-0.46, 95% CI (-0.58, -0.33), P<0.001). We estimated the MID for the C-ACT and C-ACTc to be 2 points and 1 point, respectively. Among asthma patients aged 6-11 years, the C-ACT had good psychometric properties. The psychometric properties of a shortened child-only version (C-ACTc), although acceptable, are not as strong.
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Registered trials
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