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Implementation of the asthma control test in a primary care practice
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Lukusa, Heather. Implementation of the asthma control test in a primary care practice. Retrieved from https://doi.org/doi:10.7282/t3-1zaj-xz16

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TitleImplementation of the asthma control test in a primary care practice
NameLukusa, Heather (author); Kamienski, Mary (chair); Panem, Flordeliz (outside member); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-10 (degree)
SubjectAsthma, Post-Master's DNP Practice
Extent1 online resource (74 pages) : illustrations
DescriptionPurpose of the Project
The Asthma Control Test (ACT) was developed in 2004 as a brief screening questionnaire that assesses a patient’s asthma control and recent symptoms (Nathan et al., 2004). The ACT is available in 35 languages, is free and widely available in print and online, and takes approximately one minute to conduct (American Thoracic Society, 2016). However, despite the availability and ease of use, many primary care practices are not using this important tool. This project evaluated the implementation of the ACT in a large primary care practice in Northern New Jersey and evaluated the impact it has on asthma outcomes. A brief, 15-minute educational session about the ACT and how to properly document the results in the electronic medical record was conducted for all medical providers, nurses, and medical assistants in internal medicine.

Methodology
A retrospective chart review was performed to assess for compliance with the ACT and documentation of the score, and to evaluate whether a change to the asthma management plan was initiated based on the result of the ACT score.

Results
It was found that after the brief educational session, the ACT was conducted on 28% of patients with a diagnosis of asthma, which is an improvement from the 15% of patients who had the Asthma Control Questionnaire performed prior to the intervention.

Implications for Practice
Utilizing the ACT in a primary care practice can improve the evaluation of presence of asthma symptoms and increase the number of patients who receive a change to their asthma management plan.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-1zaj-xz16
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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