Background: The Asthma control Test (ACT), Asthma Control Questionnaires (ACQ) and GINA Scales are widely used clinical and scientific tool to evaluate asthma, but not yet validated nor reliability studied in different population Aims: Study is conducted to evaluate usefulness of ACT scores in initiation or treatment change in asthma patients, its reliability and to correlate ACT score with GINA guidelines and ACQ. Setting and Design: This hospital based cross sectional study at department of Pulmonary Medicine, NKP Salve Institute of Medical Sciences, Nagpur. Methods and Material: Our participants were patient’s age 12 years and above, asthma diagnosed according to GINA guidelines, literate to complete questionnaire. We compared ACT score with GINA asthma control, ACQ, and asthma severity. Statistical analysis used: EPI Info Software version 7. Results: Total 111 adult patients with new or previous diagnosed case of asthma who fulfilled the inclusion and exclusion criteria were included. The group of patients having ACT score >20 and <15 had an agreement with GINA controlled and uncontrolled group. The group of patients having ACQ score of <0.75 had fair agreement with ACT score >20.ACQ >1.5 had a moderate agreement with corresponding ACT score of <20. The FEV1 % predicted had a positive correlation with ACT score Asthma control as defined by GINA was highly correlated with asthma severity. Most patients with severe persistent asthma were uncontrolled. Conclusions: Using appropriate cut off point’s agreement can be observed between numerical and categorical scale. The choice of the scale to evaluate current asthma control may have a significant impact on the control status of an individual patient.
