Turkish Thoracic Journal
Original Article
Validity and Reliability of the Assessment Tool for Asthma (ATA) Questionnaire: the ATA Study

Validity and Reliability of the Assessment Tool for Asthma (ATA) Questionnaire: the ATA Study

1.

Department of Chest Diseases, İstanbul University-Cerrahpaşa, Cerrahpasa School of Medicine, İstanbul, Turkey

2.

Department of Pulmonary Diseases, Division of Allerrgy and Immunology, Ankara University School of Medicine, Ankara, Turkey

3.

Department of Pulmonary Diseases, Kocaeli University School of Medicine, Kocaeli, Turkey

4.

Department of Pulmonary Diseases, Adnan Menderes University School of Medicine, Aydın, Turkey

5.

Department of Pulmonary Diseases, Mersin University School of Medicine, Mersin, Turkey

6.

Ataturk Chest Diseases and Thoracic Surgery Education and Research Hospital, Ankara-Turkey

7.

Süreyyapasa Chest Diseases and Thoracic Surgery Education and Research Hospital, İstanbul, Turkey

8.

Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, İstanbul, Turkey

9.

Department of Pulmonary Diseases, Cumhuriyet University School of Medicine, Sivas, Turkey

10.

Department of Pulmonary Diseases, Dokuz Eylül University School of Medicine, İzmir, Turkey

11.

Department of Internal Medicine, Division of Allergy and Immunology, Recep Tayip Erdoğan University School of Medicine, Rize, Turkey

12.

Department of Pulmonary Diseases, Division of Allerrgy and Immunology, Ege University School of Medicine, İzmir, Turkey

13.

Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey

14.

Department of Pulmonary Diseases, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

15.

Department of Biostatistics, Beykent University, İstanbul, Turkey

Turk Thorac J 2020; 21: 93-99
DOI: 10.5152/TurkThoracJ.2019.180186
Read: 96 Downloads: 29 Published: 13 September 2019

Objective: A multicenter trial was designed to validate the “Assessment Tools for Asthma” (ATA) questionnaire, a newly developed questionnaire, which evaluates both asthma control and risk factors associated with control in the one instrument.

Methods: This cross-sectional study involved 810 cases from 14 clinics in 9 Turkish cities. The ATA questionnaire and Asthma Control Test (ACT) were administered. Visual analog scale (VAS) was used to evaluate the control status of 100 randomized cases. ATA is a physician-administered questionnaire including eight items. The ATA comprises two sections: the ATA1 querying symptomatic control criteria and the remaining section querying flare-up of asthma, control of comorbidities, treatment adherence, and inhaler technique.

Results: The mean scores for ATA1, ATA total, VAS, and ACT were 24.7±14.8, 53.8±19, 7.1±3, and 18.8±5.5, respectively. According to the ATA questionnaire, among all patients, 34.3% had controlled, 18.8% had partly controlled, and 46.9% had uncontrolled asthma. Further, 16.6% patients had flareups between visits, 96.4% patients had uncontrolled comorbidity, 17% patients had irregular asthma treatment, and only 8.4% patients used the incorrect inhaler technique. The ATA questionnaire showed internal consistency (Cronbach’s alpha coefficient = 0.683). ACT, ATA1, and two specialists’ evaluations using VAS were highly correlated to ATA total scores; the Spearman correlation coefficient (r) values were 0.776, 0.783, and 0.909, and p values were p<.001, p<.001, and p<.001, respectively. According to ROC (Receiver Operating Characteristic) analysis, the cut-off value of ATA was 50 (sensitivity=84.4%, specificity=82.40%).

Conclusions: The validated ATA questionnaire may be a practical tool for physicians in asthma management.

Cite this article as: Gemicioğlu B, Mungan D, Bavbek S, et al. Validity and Reliability of the Assessment Tool for Asthma (ATA) Questionnaire: the ATA Study. Turk Thorac J 2019; DOI: Turk Thorac J 2020; 21(2): 93-9.

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