Both the National Asthma Education and Prevention Program Expert Panel Report 3 and the Global Initiative for Asthma guidelines identify achieving and maintaining asthma control as goals of therapy, and they emphasize periodic assessment of asthma control once treatment is established. Accurate assessment of asthma control is difficult due to the complexity of asthma control and due to the limitations in the traditional methods of assessment, such as lung function tests, physician assessment, and patients' self-assessment. Relying solely on the role of lung function tests is insufficient to reflect the status of asthma control, since patients with asthma may have normal spirometry between exacerbations. Clinicians often overestimate the level of asthma control. Similarly, it is not uncommon for patients to overestimate how well their asthma is controlled, and, therefore, they under-report asthma symptoms and fail to recognize the impact that asthma has on their daily life.
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The Asthma Therapy Assessment Questionnaire ATAQ for children and adolescents was developed to assist clinicians and health plans to identify children at risk for adverse outcomes of asthma. ATAQ is a brief, item parent-completed questionnaire that generates indicators of potential care problems in several categories, including symptom control, behavior and attitude barriers, self-efficacy barriers, and communication gaps.
This paper describes testing of the internal consistency and construct validity of the instrument. A cross-sectional mail survey with telephone follow-up was conducted with parents of children aged years being treated for asthma and enrolled in three managed care organizations in the Midwestern and Northeastern United States.
ATAQ scales were evaluated using correlations with measures of health status, asthma impact, and healthcare utilization. ATAQ demonstrated good internal consistency and the hypothesized relationships to corresponding measures from existing instruments. Asthma control was significantly associated with measures of physical health, psychosocial health, resource use, and family impact. Other ATAQ components showed similar associations. ATAQ appears to have satisfactory measurement properties and is ready for use to identify patients who might benefit from further disease management efforts or medical attention.
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Schatz M, et al. Am J Manag Care. PMID: Using the pediatric asthma therapy assessment questionnaire to measure asthma control and healthcare utilization in children.
Diette GB, et al. Consistency of care with national guidelines for children with asthma in managed care. J Pediatr. Improved asthma outcomes using a coordinated care approach in a large medical group. Patel PH, et al. Dis Manag. PMID: Review.
Asthma control questionnaires in the management of asthma in children: A review. Voorend-van Bergen S, et al. Pediatr Pulmonol. Epub Sep 3. Show more similar articles See all similar articles. Zhang J, et al. BMJ Open. Silva VBME, et al. Rev Paul Pediatr. Epub Mar Gallucci M, et al. Front Pediatr. How does the GINA definition of control correlate with quality of life and sputum cellularity? Pizzichini MMM, et al.
ERJ Open Res. Kochis SR, et al. J Allergy Clin Immunol Pract. Epub Jan Show more "Cited by" articles See all "Cited by" articles. Publication types Research Support, Non-U. Gov't Actions. Validation Study Actions. MeSH terms Adolescent Actions. Child Actions. Child, Preschool Actions.
Cross-Sectional Studies Actions. Female Actions. Health Care Surveys Actions. Humans Actions. Male Actions. Managed Care Programs Actions.
Midwestern United States Actions. New England Actions. Self Efficacy Actions. Sickness Impact Profile Actions. Full-text links [x] Atypon. Copy Download.
3RN1010 1CW00 PDF
Asthma Therapy Assessment Questionnaire (ATAQ)
Asthma disease management: A worksite-based asthma education program. Disease Management ; Program Description: Asthma accounts for an estimated 3 million workdays lost each year in the United States and for reduced worker productivity. The objective of this study was to evaluate a relatively low-cost managed care organization, worksite-based, employee education program designed to improve control of asthma in workers. The benefit to employees was learning the value and importance of optimal management and the elements of self-care. Benefits to the employer included the prospect of increased productivity reflecting a potential reduction in absences from work and impaired work performance, enhanced employee morale, and decreased medical claims.
BS EN 50174-2 PDF
Adults with Asthma
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