Our goal was to understand which features of asthma controller medications
are important to patients. We used a cross-sectional survey of primary care
patients (N = 394) with the diagnosis of asthma. Using conjoint or "trade-
off analysis," we measured patient preferences for hypothetical asthma cont
roller medications based upon their route and frequency of administration,
and need for blood test monitoring. Patients were not willing to use medica
tions that required blood test monitoring. Preference regarding blood test
monitoring was the strongest of any medication attribute that we studied, a
ccounting for 45% of the variation. Patients' decisions were also highly af
fected by the frequency of dosing (40% of the variation). Patients did not
have strong preferences regarding the route of administration (15% of the v
ariation). Understanding these patient preferences may lead to increased co
mpliance with treatment plans and promote physician-patient partnership.