CARAT 10 - Control of Allergic Rhinitis and Asthma Test

2009

Standout Feature:

  • First and only tool capable of assessing simultaneously the control of upper and lower airway diseases, as recommended by Allergic Rhinitis and Its Impact on Asthma  (ARIA) guidelines  

Key Elements:

  • Brief, self-administered questionnaire to quantify the degree of control of allergic rhinitis and asthma
  • 10 questions addressing upper and lower airway symptoms, sleep interference, activity limitation, and the need to increase medication over four-week period.
  • Answers are rated on a 4-point scale, with a total possible score ranging from 0 (minimum control) to  (maximum control
  •  Validated and translated into >20 languages
  • Free, open access available at: http://www.respiratory-research.com/content/10/1/52
  • Can be used in both clinical studies and clinical practice, allowing for comparison between groups and the evaluation of individual patients over time.
  • Users can print the questionnaire online and print the results; paper versions can also be downloaded, with links to smartphone applications  

Potential Limitations:

  • Cross-cultural validation is underway
  • CARAT questionnaire for children aged 6-12, CARAT Kids, is now fully developed and validated. 

Resource information

Respiratory conditions
  • Asthma
Respiratory topics
  • Disease management
Type of resource
Tool
Project(s)
  • Asthma Right Care
Right Care
  • Asthma
Strategic Objective
  • Diagnosis
  • Management
  • Review
  • Risk Factors
  • When control is poor
Approach
  • Clinical Education
  • Patient Education

Right Care information

References

van der Leewu S, van der Molen T, et al. The minimally clinically importance difference of the control of allergic rhinitis and asthma test (CARAT): cross –cultural validation and relation with pollen counts. Primary Care Respiratory Medicine 2015;25:14107.  

Azevedo P, Correia de Sousa J, Bousquet J, Bugalho-Almeida A, Del Giacco SR, Demoly P, Haahtela T, Jacinto T, Garcia-Larsen V, van der Molen T, Morais-Almeida M, Nogueira-Silva L, Pereira AM, Rodríguez MR, Silva BG, Tsiligianni IG, Yaman H, Yawn B, Fonseca JA; WHO Collaborative Center for Asthma and Rhinitis, Montpellier. Control of Allergic Rhinitis and Asthma Test (CARAT): dissemination and applications in primary care. Prim Care Respir J. 2013 Mar;22(1):112-6. doi: 10.4104/pcrj.2013.00012  

Fonseca JA, Nogueira-Silva L; Morais-Almeida M; Sa-Sousa A; Azevedo LF; Ferreira J; Branco-Ferreira M; Rodrigues-Alves R; BugalhoAlmeida A; Bousquet J. Control of Allergic Rhinitis and Asthma Test (CARAT) can be used to assess individual patients over time. Clin Transl Allergy 2012;2:16.  

CARAT Kids

Borrego LM; Fonseca JA; Pereira AM; Pinto VR; Linhares D; Morais-Almeida M. Development process and cognitive testing of CARATkids - Control of Allergic Rhinitis and Asthma Test for children. BMC Pediatrics 2014;34.  

Linhares DV1, da Fonseca JA, Borrego LM, Matos A, Pereira AM, Sá-Sousa A, Gaspar A, Mendes C, Moreira C, Gomes E, Rebelo FF, Cidrais Rodrigues JC,Onofre JM, Azevedo LF, Alfaro M, Calix MJ, Amaral R, Rodrigues-Alves R, Correia de Sousa J, Morais-Almeida M; CARATKids study group. Validation of control of allergic rhinitis and asthma test for children (CARATKids)--a prospective multicenter study. Pediatr Allergy Immunol. 2014 Mar;25(2):173-9. doi: 10.1111/pai.12218.