Preferences of patients with chronic obstructive pulmonary disease (COPD) leading to their choice between center-based or home-based pulmonary rehabilitation.

<bold>Introduction:</bold> Outpatient pulmonary rehabilitation (PR) is being developed in order to offer this treatment to as many patients as possible. We present the results of a study that evaluated the reasons <bold>Method:</bold> A regional multicenter study including COPD patients referred for PR in the Lille and Valenciennes metropolitan PR centers, France, was conducted between October 2018 and March 2021 (<ext-link>NCT03453606</ext-link>). At the time of inclusion, a preference questionnaire covering 9 choice criteria and the SURE test were completed. In the event of a strong preference, the patient was referred to the local PR team offering the modality of his or her choice. Otherwise, the patient was randomized between home- and center-based PR. <bold>Results:</bold> 209 patients were included (65% male, mean age 64 years, mean FEV1 and BMI 42% and 26.3 kg/m 2), 188 of whom made a strong choice for one modality, 124 of which for home-based PR. Criteria most frequently associated with the choice of home-based PR were mobility capacities (87.1%), time constraints (83.9%) and constraints on personal life (77.4%). Criteria most frequently associated with the choice of center-based PR were expected supervision (93.8%), psychological support (82.8%), access to equipment (82.8%) and security(79.7%). 96.8% and 90.6% of patients who chose home-and center-based PR, respectively, were certain which was the best choice for them. <bold>Conclusion:</bold> The majority of patients have a preference between home- and center-based PR when choice criteria are proposed to them.