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🫁 Asthma Control Test (ACT)

UseSelf-rated asthma control over the past 4 weeks; 5 items scored 1–5 (total 5–25).

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StrataACT quantifies asthma control over the past 4 weeks (5–25); bands follow Nathan 2004. Treatment changes follo…

LimitsNot a diagnosis or disposition decision on its own. · Interpret with history, examination and other tests. · For licensed clinicians; does not replace clinical judgement.

SourceNathan RA, et al. J Allergy Clin Immunol 2004;113:59–65

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

ACT = Σ 5 items (1–5 each) = 5–25

When to use

Self-rated asthma control over the past 4 weeks; 5 items scored 1–5 (total 5–25).

How it works

ACT = Σ 5 items (1–5 each) = 5–25

Key points

  • ACT = Σ 5 items (1–5 each) = 5–25
  • ≥20 well controlled; 16–19 not well controlled; ≤15 poorly controlled.

References

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

1. Time asthma kept you from getting things doneSome (3)
2. Shortness of breath3–6×/week (3)
3. Night-time/early waking symptomsOnce a week (3)
4. Use of rescue inhaler2–3×/week (3)
5. Self-rated controlSomewhat (3)

→ACT15/25 · Poorly controlled

  • Bands:≥20 well controlled; 16–19 not well controlled; ≤15 poorly controlled.
  • Source:Nathan 2004 (PMID 14713908)
1. Time asthma kept you from getting things doneAll the time (1)
2. Shortness of breath> 1×/day (1)
3. Night-time/early waking symptoms≥ 4 nights/week (1)
4. Use of rescue inhaler≥ 3×/day (1)
5. Self-rated controlNot controlled (1)

→ACT5/25 · Poorly controlled

  • Bands:≥20 well controlled; 16–19 not well controlled; ≤15 poorly controlled.
  • Source:Nathan 2004 (PMID 14713908)
Verification & sources · governance
FAQ

Frequently asked questions

Does Asthma Control Test (ACT) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
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