Asthma Control Test™

The «Asthma Control Test™» (ACT) helps patients to assess how well their asthma is under control. This can be used as a basis for optimal therapy. Asthma Control Test™ is a trademark of QualityMetric Incorporated (https://www.qualitymetric.com/asthma-control-test-act-2021-2/).

Hindrance

During the last 4 weeks, how much of the time has your asthma kept you from getting as much done at work, school or home?

All of the time (+1) Most of the time Some of the time A little of the time None of the time (+5)

Shortness of breath

During the last 4 weeks, how often have you had shortness of breath?

>1x per day (+1) 1x per day 3–6x per week 1–2x per week Not at all (+5)

Wake up

During the last 4 weeks, how often have your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) woken you up at night or earlier than usual in the morning?

≥4 nights per week (+1) 2–3 nights per week 1 night per week 1–2x last month Not at all (+5)

Inhalation

During the last 4 weeks, how often have you used your rescue inhaler or nebuliser medication (such as Salbutamol)?

≥3 per day (+1) 1–2x per day 2–3x per week ≤1 per week Not at all (+5)

Control

How would you rate your asthma control during the last 4 weeks?

Not controlled at all (+1) Poorly controlled Somewhat controlled Well controlled Completely controlled (+5)

ACT score:

Interpretation

Points	Asthma symptom control
25	Complete
20–24	Good, but not complete
16–19	Poor
≤15	Very poor

References

Nathan RA, Sorkness CA, Kosinski M et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004; 113: 59-65