INTRODUCTION Pulmonary rehabilitation (PR) aims to improve disease control in patients with chronic obstructive pulmonary disease (COPD) and asthma. However, the success of PR-programs depends on the patients' participation and willingness to cooperate. Taking the patients' preferences into consideration might improve both of these factors. Accordingly, our study aims to analyze patients' preferences regarding current rehabilitation approaches in order to deduce and discuss possibilities to further optimize pulmonary rehabilitation. METHODS AND ANALYSIS At the end of a 3 weeks in-house PR, patients' preferences concerning the proposed therapies were assessed during two different time slots (summer 2015 and winter 2015/2016) in three clinics using a choice-based conjoint analysis (CA). Relevant therapy attributes and their levels were identified through literature search and expert interviews. Inclusion criteria were as follows: PR-inpatient with asthma and/or COPD, confirmed diagnosis, age over 18 years, capability to write and read German, written informed consent obtained. The CA analyses comprised a generalized linear mixed-effects model and a latent class mixed logit model. RESULTS A total of 542 persons participated in the survey. The most important attribute was sport and exercise therapy. Rehabilitation preferences hardly differed between asthma and COPD patients. Health-related quality of life (HRQoL) as well as time since diagnosis were found to have a significant influence on patients' rehabilitation preferences. CONCLUSIONS Patients in pulmonary rehabilitation have preferences regarding specific program components. To increase the adherence to, and thus, the effectiveness of rehabilitation programs, these results must be considered when developing or optimizing PR-programs.

中文翻译：

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哮喘或COPD患者对肺部康复治疗的偏爱。

引言肺康复（PR）旨在改善慢性阻塞性肺疾病（COPD）和哮喘患者的疾病控制。但是，PR项目的成功取决于患者的参与和合作意愿。考虑患者的喜好可能会同时改善这两个因素。因此，我们的研究旨在分析患者对当前康复方法的偏好，以推断和讨论进一步优化肺康复的可能性。方法和分析在3周的内部PR结束时，在三个不同的时间段（2015年夏季和2015/2016年冬季）使用基于选择的联合分析（CA）评估了患者对拟议疗法的偏好）。通过文献检索和专家访谈确定了相关的治疗属性及其水平。入选标准如下：患有哮喘和/或COPD的PR住院患者，确诊，年龄超过18岁，具有读写德语能力，获得书面知情同意书。CA分析包括广义线性混合效应模型和潜在类混合logit模型。结果共有542人参加了调查。最重要的属性是运动和运动疗法。哮喘和COPD患者的康复偏好几乎没有差异。发现与健康相关的生活质量（HRQoL）以及自诊断以来的时间对患者的康复偏好产生重大影响。结论接受肺康复治疗的患者偏爱特定的程序组成部分。为了提高对康复计划的依从性，从而提高其有效性，在制定或优化PR计划时必须考虑这些结果。