Predicting asthma control using patient attitudes toward medical care: the REACT Score
Background The association between patients' degree of asthma control and their attitudes toward medical professionals and asthma therapy is unknown. Objective To develop a tool, the REACT Score, that can be used by physicians to compute the risk of having uncontrolled asthma based on patient a...
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| Veröffentlicht in: | Annals of allergy, asthma, & immunology asthma, & immunology, 2009-05, Vol.102 (5), p.385-392 |
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| container_title | Annals of allergy, asthma, & immunology |
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| creator | Jones, Craig A., MD Bender, Bruce G., PhD Haselkorn, Tmirah, PhD Fish, James E., MD Mink, David R., MS Peters, Stephen P., MD, PhD Weiss, Scott T., MD |
| description | Background The association between patients' degree of asthma control and their attitudes toward medical professionals and asthma therapy is unknown. Objective To develop a tool, the REACT Score, that can be used by physicians to compute the risk of having uncontrolled asthma based on patient attitudes toward medical professionals and asthma treatment. Methods A nationally representative sample of adult patients (≥18 years old) with moderate to severe asthma completed the Asthma Control Test and were surveyed regarding their attitudes about relationships with medical professionals and asthma treatments. Competing predictive models were developed to determine the association between attitude questions and asthma control. Using the model with the highest c-index, a REACT Score was computed. Results The proportion of uncontrolled patients (Asthma Control Test score |
| doi_str_mv | 10.1016/S1081-1206(10)60509-1 |
| format | Article |
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Objective To develop a tool, the REACT Score, that can be used by physicians to compute the risk of having uncontrolled asthma based on patient attitudes toward medical professionals and asthma treatment. Methods A nationally representative sample of adult patients (≥18 years old) with moderate to severe asthma completed the Asthma Control Test and were surveyed regarding their attitudes about relationships with medical professionals and asthma treatments. Competing predictive models were developed to determine the association between attitude questions and asthma control. Using the model with the highest c-index, a REACT Score was computed. Results The proportion of uncontrolled patients (Asthma Control Test score <20) in the high-, medium-, and low-risk REACT Score categories was 75%, 50%, and 24%, respectively. Patients who believed that their physician recognized lifestyle compromises due to asthma, who were not satisfied with their treatment regimen, and who took asthma medication more frequently than prescribed had a higher risk of poor asthma control. Conclusion The REACT Score is a novel way to predict asthma control and to identify key attitudes and behaviors that need to be addressed to engage a patient in ongoing, effective care. This tool may also improve communication between asthmatic patients and their physicians by identifying patient concerns regarding their treatment and quality of life.</description><identifier>ISSN: 1081-1206</identifier><identifier>EISSN: 1534-4436</identifier><identifier>DOI: 10.1016/S1081-1206(10)60509-1</identifier><identifier>PMID: 19492659</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Allergy and Immunology ; Asthma - drug therapy ; Attitude to Health ; Biological and medical sciences ; Chronic obstructive pulmonary disease, asthma ; Dermatology ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Health Surveys ; Humans ; Internet ; Male ; Medical sciences ; Middle Aged ; Models, Statistical ; Odds Ratio ; Patient Acceptance of Health Care ; Patient Compliance - psychology ; Patient Satisfaction ; Patients - psychology ; Physician-Patient Relations ; Pneumology ; Risk Factors ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Annals of allergy, asthma, & immunology, 2009-05, Vol.102 (5), p.385-392</ispartof><rights>American College of Allergy, Asthma & Immunology</rights><rights>2009 American College of Allergy, Asthma & Immunology</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-c4ba02ea4677453222c09cc5d0e9696619f3a503de8a5f91b931b9b9bdce443d3</citedby><cites>FETCH-LOGICAL-c448t-c4ba02ea4677453222c09cc5d0e9696619f3a503de8a5f91b931b9b9bdce443d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1081120610605091$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21416407$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19492659$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jones, Craig A., MD</creatorcontrib><creatorcontrib>Bender, Bruce G., PhD</creatorcontrib><creatorcontrib>Haselkorn, Tmirah, PhD</creatorcontrib><creatorcontrib>Fish, James E., MD</creatorcontrib><creatorcontrib>Mink, David R., MS</creatorcontrib><creatorcontrib>Peters, Stephen P., MD, PhD</creatorcontrib><creatorcontrib>Weiss, Scott T., MD</creatorcontrib><title>Predicting asthma control using patient attitudes toward medical care: the REACT Score</title><title>Annals of allergy, asthma, & immunology</title><addtitle>Ann Allergy Asthma Immunol</addtitle><description>Background The association between patients' degree of asthma control and their attitudes toward medical professionals and asthma therapy is unknown. Objective To develop a tool, the REACT Score, that can be used by physicians to compute the risk of having uncontrolled asthma based on patient attitudes toward medical professionals and asthma treatment. Methods A nationally representative sample of adult patients (≥18 years old) with moderate to severe asthma completed the Asthma Control Test and were surveyed regarding their attitudes about relationships with medical professionals and asthma treatments. Competing predictive models were developed to determine the association between attitude questions and asthma control. Using the model with the highest c-index, a REACT Score was computed. Results The proportion of uncontrolled patients (Asthma Control Test score <20) in the high-, medium-, and low-risk REACT Score categories was 75%, 50%, and 24%, respectively. Patients who believed that their physician recognized lifestyle compromises due to asthma, who were not satisfied with their treatment regimen, and who took asthma medication more frequently than prescribed had a higher risk of poor asthma control. Conclusion The REACT Score is a novel way to predict asthma control and to identify key attitudes and behaviors that need to be addressed to engage a patient in ongoing, effective care. This tool may also improve communication between asthmatic patients and their physicians by identifying patient concerns regarding their treatment and quality of life.</description><subject>Adult</subject><subject>Allergy and Immunology</subject><subject>Asthma - drug therapy</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Dermatology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Odds Ratio</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Compliance - psychology</subject><subject>Patient Satisfaction</subject><subject>Patients - psychology</subject><subject>Physician-Patient Relations</subject><subject>Pneumology</subject><subject>Risk Factors</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>1081-1206</issn><issn>1534-4436</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1vFCEUhonR2Fr9CRpuNPZi9JyBYQcvNM2mtU2aaGz1lrDMGUudHVZgNP33MrurJt4YwkfIc17ggbGnCK8QUL2-QmixwhrUS4RjBQ3oCu-xQ2yErKQU6n5Z_0YO2KOUbgEAWyUesgPUUteq0Yfsy8dInXfZj1-5TflmbbkLY45h4FOaNzc2exoztzn7PHWUeA4_bez4eq6zA3c20hueb4h_Oj1ZXvMrFyI9Zg96OyR6sp-P2Oez0-vleXX54f3F8uSyclK2uYwrCzVZqRYL2Yi6rh1o55oOSCutFOpe2AZER61teo0rLUovrXNU3tiJI_Zil7uJ4ftEKZu1T46GwY4UpmTUQtTQKlnAZge6GFKK1JtN9Gsb7wyCmYWarVAz25q3tkINlrpn-wOmVXnx36q9wQI83wM2FR19tKPz6Q9Xo0QlYVG4dzuOio4fnqJJroh1xWIkl00X_H-v8vafBDf4cf6Db3RH6TZMcSyuDZpUG9iFzBkI2wQUvwBm36ZN</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Jones, Craig A., MD</creator><creator>Bender, Bruce G., PhD</creator><creator>Haselkorn, Tmirah, PhD</creator><creator>Fish, James E., MD</creator><creator>Mink, David R., MS</creator><creator>Peters, Stephen P., MD, PhD</creator><creator>Weiss, Scott T., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>Predicting asthma control using patient attitudes toward medical care: the REACT Score</title><author>Jones, Craig A., MD ; Bender, Bruce G., PhD ; Haselkorn, Tmirah, PhD ; Fish, James E., MD ; Mink, David R., MS ; Peters, Stephen P., MD, PhD ; Weiss, Scott T., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-c4ba02ea4677453222c09cc5d0e9696619f3a503de8a5f91b931b9b9bdce443d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Allergy and Immunology</topic><topic>Asthma - drug therapy</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Dermatology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Internet</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Odds Ratio</topic><topic>Patient Acceptance of Health Care</topic><topic>Patient Compliance - psychology</topic><topic>Patient Satisfaction</topic><topic>Patients - psychology</topic><topic>Physician-Patient Relations</topic><topic>Pneumology</topic><topic>Risk Factors</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jones, Craig A., MD</creatorcontrib><creatorcontrib>Bender, Bruce G., PhD</creatorcontrib><creatorcontrib>Haselkorn, Tmirah, PhD</creatorcontrib><creatorcontrib>Fish, James E., MD</creatorcontrib><creatorcontrib>Mink, David R., MS</creatorcontrib><creatorcontrib>Peters, Stephen P., MD, PhD</creatorcontrib><creatorcontrib>Weiss, Scott T., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of allergy, asthma, & immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jones, Craig A., MD</au><au>Bender, Bruce G., PhD</au><au>Haselkorn, Tmirah, PhD</au><au>Fish, James E., MD</au><au>Mink, David R., MS</au><au>Peters, Stephen P., MD, PhD</au><au>Weiss, Scott T., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting asthma control using patient attitudes toward medical care: the REACT Score</atitle><jtitle>Annals of allergy, asthma, & immunology</jtitle><addtitle>Ann Allergy Asthma Immunol</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>102</volume><issue>5</issue><spage>385</spage><epage>392</epage><pages>385-392</pages><issn>1081-1206</issn><eissn>1534-4436</eissn><abstract>Background The association between patients' degree of asthma control and their attitudes toward medical professionals and asthma therapy is unknown. Objective To develop a tool, the REACT Score, that can be used by physicians to compute the risk of having uncontrolled asthma based on patient attitudes toward medical professionals and asthma treatment. Methods A nationally representative sample of adult patients (≥18 years old) with moderate to severe asthma completed the Asthma Control Test and were surveyed regarding their attitudes about relationships with medical professionals and asthma treatments. Competing predictive models were developed to determine the association between attitude questions and asthma control. Using the model with the highest c-index, a REACT Score was computed. Results The proportion of uncontrolled patients (Asthma Control Test score <20) in the high-, medium-, and low-risk REACT Score categories was 75%, 50%, and 24%, respectively. Patients who believed that their physician recognized lifestyle compromises due to asthma, who were not satisfied with their treatment regimen, and who took asthma medication more frequently than prescribed had a higher risk of poor asthma control. Conclusion The REACT Score is a novel way to predict asthma control and to identify key attitudes and behaviors that need to be addressed to engage a patient in ongoing, effective care. This tool may also improve communication between asthmatic patients and their physicians by identifying patient concerns regarding their treatment and quality of life.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19492659</pmid><doi>10.1016/S1081-1206(10)60509-1</doi><tpages>8</tpages></addata></record> |
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| ispartof | Annals of allergy, asthma, & immunology, 2009-05, Vol.102 (5), p.385-392 |
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| subjects | Adult Allergy and Immunology Asthma - drug therapy Attitude to Health Biological and medical sciences Chronic obstructive pulmonary disease, asthma Dermatology Female Fundamental and applied biological sciences. Psychology Fundamental immunology Health Surveys Humans Internet Male Medical sciences Middle Aged Models, Statistical Odds Ratio Patient Acceptance of Health Care Patient Compliance - psychology Patient Satisfaction Patients - psychology Physician-Patient Relations Pneumology Risk Factors Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Surveys and Questionnaires Treatment Outcome |
| title | Predicting asthma control using patient attitudes toward medical care: the REACT Score |
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