CHILDHOOD ASTHMA CONTROL TEST (C-ACT)

(For children ages 4–11 years)

The Asthma Control Test (ACT) is a test you can take yourself to assess how well your asthma is controlled. It provides a numeric score to help standardize your asthma control.

While the ACT doesn’t measure your lung function, it considers how your symptoms affect your daily life. This helps doctors guide treatment more effectively.

You can take the test on your own, recalling the effect of your symptoms over the past 4 weeks. Taking the test regularly can help you track your asthma control over time. It can also help doctors assess how your treatments are working.


Asthma Control Test for children ages 4–11 years

The Childhood Asthma Control Test (C-ACT) is for children ages 4–11. The child with asthma answers four questions regarding:

  • how their asthma is today
  • their symptoms when they’re physically active
  • how often they cough due to asthma
  • how often asthma disrupts their sleep

Their parent or guardian then answers three questions addressing the number of days in the past month the child:

  • had daytime symptoms
  • wheezed
  • woke up during the night

The final score will be on a scale of 0–27.

What do my Asthma Control Test Results mean?

C-ACT scores range from 0–27 for the child test. The higher the score, the better the asthma control.

A score of 20 or higher suggests your asthma is probably under control.

Asthma Symptom Control

ACT (ages 12 and older)

Well controlled

20–27

Not well controlled

13–19

Very poorly controlled

0–12

 

Regardless of your child’s score, continue to talk to your healthcare provider. There may be more you and your child’s healthcare provider could do to help control your child’s asthma symptoms.