Date of Award

Spring 4-16-2021

Degree Type


Degree Name

Master of Science (MS)


Respiratory Therapy

First Advisor

Dr. Rachel Culbreth PhD, MPH, RRT

Second Advisor

Dr. Lynda Goodfellow, Ed.D., RRT, FAARC

Third Advisor

Dr. Chip Zimmerman PhD, MS, RRT-NPS



Background: Asthma is one of the major chronic diseases around the world. The use of an asthma action plan has been recommended wildly from various well-known health organizations as a form of self-management. Despite the widespread recommendation, the use of an asthma action plan is still questionable. Purpose: The purpose of this study to assess the effectiveness of asthma action plan and asthma self-efficacy on asthma control. Methods: The study was carried out as quantitative cross-sectional survey. The survey was carried out online and consists of three tools which are the Asthma Control Test (ACT), Asthma Impact Survey (AIS) and the Consumer Health Activation Index survey (CHAI). The subjects are divided to two groups adult asthma patients and children with asthma. Results: A total of two hundred and nine respondents, 139 of the respondents completed the survey (Adults group n=77, and Children group n= 62). The average mean ACT score for adults was 13.45, SD 5.3 and 18.98, SD 4.1 and p value < 0.001. Adult patients with an asthma action plan had a mean ACT score of 12.85 SD 5.54 and those without an AAP had a mean score of 14 SD 5.2, p value 0.372. And for the children group with an AAP had a mean ACT score of 19.06, SD 3.9, and those with an AAP had a mean score of 18.55 with SD 4.97, p value = 0.737. A linear regression analysis was done to compare the ACT score and the CHAI score. No association was found between the ACT and CHAI tools in both groups with a p value of 0.827 for the adult group and p value of 0.963 for the children group. Conclusion: Despite the widespread recommendation of the use of an asthma action plan, we found that having an asthma action plan did not improve asthma control.


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