Brace compliance process in adolescents with spinal deformities: A qualitative study

Area of Science:

• Orthopedics and Rehabilitation
• Adolescent Medicine
• Qualitative Health Research

Background:

• Adolescent idiopathic scoliosis and Scheuermann's kyphosis are common spinal deformities in adolescents.
• Brace treatment is a primary non-surgical intervention, with effectiveness linked to patient compliance.
• Understanding the adolescent brace compliance process is essential for optimizing treatment outcomes.

Purpose of the Study:

• To qualitatively explore the brace compliance process in adolescents with spinal deformities.
• To identify challenges and factors influencing treatment adherence in this population.

Main Methods:

• Multicenter, exploratory qualitative research utilizing an interpretative framework.
• Semi-structured, in-depth interviews and telephone conversations with adolescents, parents, orthotists, physiotherapists, and spine surgeons.
• Content analysis of transcribed interview data.

Main Results:

• Seventy-four participants, including 32 adolescents and 42 healthcare professionals/parents, were interviewed.
• Analysis revealed four main categories, 14 categories, and 69 subcategories from 2403 codes.
• Adolescents encounter significant challenges throughout the brace treatment journey.

Conclusions:

• Adolescents with spinal deformities experience multifaceted challenges impacting brace treatment efficacy.
• Each adolescent's treatment journey is unique, necessitating individualized approaches.
• Tailored solutions and support are vital for navigating treatment challenges and improving outcomes.