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respiratory general-medicine

Asthma Control Test (ACT)

Patient-completed 5-question test for asthma control over past 4 weeks. Score <=19 = not well controlled; score <=15 = very poorly controlled.

Used in: Asthma

Score interpretation

Well-controlled asthma (ACT 20-25)

→ Continue current therapy; annual asthma review; consider step down if stable >=3 months; check inhaler technique; flu vaccine

Partially controlled asthma (ACT 16-19)

→ Review inhaler technique and adherence; step up therapy (increase ICS or add LABA); identify and avoid triggers; respiratory review; asthma action plan

Uncontrolled asthma (ACT <=15)

→ Urgent respiratory review; step up significantly; rule out alternative diagnoses; ICS-LABA combination; consider monoclonal antibodies if severe allergic/eosinophilic asthma; oral prednisolone if acute exacerbation

Interpretation bands for the Asthma Control Test. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.