The Asthma Control and Communication Instrument (ACCI), a self-reporting questionnaire, may contribute to an improved understanding of asthma control in urban adolescents, according to results published in the Journal of Allergy and Clinical Immunology: In Practice.

Researchers collected data on 280 African-American adolescents who were part of a school-based asthma intervention study and used the ACCI, the Asthma Control Test, the Pediatric Asthma Quality of Life Questionnaire, and lung function to make determinations. The ACCI includes questions about changes in asthma status, perceptions of disease burden, emergency room visits and hospitalizations, steroid use, adherence to prescribed medications, and symptom frequency.

The ACCI demonstrated good internal reliability and strong parallel and discriminative validity with the Pediatric Asthma Quality of Life Questionnaire and the Asthma Control Test. The ACCI accurately classified adolescents with uncontrolled asthma (area under the curve 0.83; 95% CI, 0.79-0.88).

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The researchers concluded that “the ACCI has the potential to assist in the assessment of asthma control in urban, minority, and/or poor adolescents.” 

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Okelo SO, Bilderback AL, Fagnano M, Halterman JS. Validation of asthma control assessment among urban adolescents using the Asthma Control and Communication Instrument (ACCI) [published online October 11, 2018]. J Allergy Clin Immunol Pract. doi:10.1016/j.jaip.2018.10.001