Every patient treated by Biscuit Health will be assessed for a baseline Rhinitis Control Assessment Test (RCAT) score. If you've been tracking your treatment with our app, you've probably noticed a number called the RCAT score next to your progress chart.
What is the RCAT?
The Rhinitis Control Assessment Test (RCAT) is a short, standard set of questions about how your nose and sinus symptoms have been affecting you(i.e. sneezing, congestion, and itchy or watery eyes). It's a well-established, clinically validated tool used by allergy specialists to measure how well your allergic rhinitis is being managed, not just whether you have symptoms.
How is it scored?
The RCAT has 6 questions, each scored on a scale of 1 to 5, for a total score between 6 and 30. A score of 22 or higher generally means your rhinitis symptoms are well-controlled — scores of 21 or below indicate you may be experiencing uncontrolled allergy symptoms. Higher scores mean your symptoms are better controlled. Generally, we expect your RCAT score to improve as you progress in your treatment. However, you may sometimes see temporary, minor drops in the early stages of your treatment when exposed to large amounts of allergens (i.e. pollen season).
Why is the RCAT so important to us?
Your RCAT score helps us track your progress over time. If your score is trending upward, that's a good sign your treatment plan is working. If it drops or stays low, that's automatically flagged to our care team, who will follow up with you and adjust your treatment if needed. The RCAT gives you and our clinicians an objective and consistent way to see how your treatment is working over time so that there is no guesswork involved.
References
Schatz, M., Meltzer, E.O., Nathan, R., et al. (2010). Psychometric validation of the Rhinitis Control Assessment Test: a brief patient-completed instrument for evaluating rhinitis symptom control. Annals of Allergy, Asthma & Immunology, 104(2), 118-124. PMID: 20306814
Meltzer, E.O., Schatz, M., Nathan, R., Garris, C., Stanford, R.H., & Kosinski, M. (2013). Reliability, validity, and responsiveness of the Rhinitis Control Assessment Test in patients with rhinitis. Journal of Allergy and Clinical Immunology, 131(2), 379-386. PMID: 23219170
