• Shinichi Noto, Tatsunori Murata, Shota Saito, Takahiro Watanabe, and Makoto Kobayashi.
• Department of Rehabilitation, Niigata University of Health and Welfare, Niigata, Japan.
• Patient Prefer Adher. 2023 Jan 1; 17: 161116201611-1620.

ObjectiveTo investigate the preferences of persons with a history of stroke for various attributes of rehabilitation using a discrete choice experiment (DCE).DesignCross-sectional study.SettingA web-based survey.ParticipantsA total of 600 adults with a history of stroke who were not asked whether or not they had participated in previous rehabilitation.InterventionNone.Main Outcome MeasuresPreference weights by attribute ie, treatment time (30 minutes, one hour, one and a half hours), treatment content (walking exercises, activities of daily living; ADL exercises), priority treatment of paralyzed limbs (upper extremity, lower upper extremity), treatment location (hospital visit, home visit), therapist gender, and out-of-pocket costs for stroke rehabilitation using discrete choice experiment.ResultsThe most common self-reported diagnosis was cerebral infarction (408 patients, 68%). The mean age was 62.0 ± 9.8 years, and 515 (85.8%) were male. Of the five attributes, excluding out-of-pocket costs, the highest relative importance score was treatment location (0.331), followed by treatment time (0.304). Among the rehabilitation programs, the statistically significant coefficients calculated were one hour of therapy (0.173, 95% CI = 0.088-0.258), hospital visits (0.241, 95% CI = 0.180-0.303), and female therapists (0.186, 95% CI = 0.125-0. 247). No significant differences were obtained regarding the treatment contents or the paralyzed limb to be treated.ConclusionA discrete choice experiment revealed that persons with a history of stroke prefer a one-hour hospital rehabilitation program with a female therapist, with cost being a major consideration for rehabilitation. The results of this study may provide useful information for rehabilitation professionals.© 2023 Noto et al.

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