Assessment of Adolescent and Parent Willingness to Participate in a Comparative Study of Scoliosis Braces

Sara J Morgan; Zelphia C Brown; Mohamed M Ahmed; Jennifer M Bauer; Joshua S Murphy; Benjamin D Roye; Walter H Truong

doi:10.1097/BPO.0000000000002840

Assessment of Adolescent and Parent Willingness to Participate in a Comparative Study of Scoliosis Braces

J Pediatr Orthop. 2024 Oct 17. doi: 10.1097/BPO.0000000000002840. Online ahead of print.

Authors

Sara J Morgan^{1

2}, Zelphia C Brown¹, Mohamed M Ahmed¹, Jennifer M Bauer³, Joshua S Murphy⁴, Benjamin D Roye⁵, Walter H Truong^{1

6

7}

Affiliations

¹ Research Department.
² Department of Family Medicine and Community Health.
³ Department of Orthopaedic Surgery, Seattle Children's Hospital, Seattle, WA.
⁴ Department of Orthopaedic Surgery, Children's Healthcare of Atlanta, Atlanta, GA.
⁵ Department of Orthopaedic Surgery, Columbia University, New York, NY.
⁶ Department of Orthopaedics, Gillette Children's, St. Paul, MN.
⁷ Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN.

PMID: 39466278
DOI: 10.1097/BPO.0000000000002840

Abstract

Objective: Adolescents with idiopathic scoliosis (IS) are often prescribed an orthosis to prevent curve progression and avoid surgery. Standard-of-care scoliosis orthoses are designed for full-time (FT) wear, which can be burdensome for some patients. Nighttime (NT) hypercorrective scoliosis orthoses are another option that has a lower impact on daily life, however, additional research is needed to guide the prescription of NT orthoses. The aim of this study was to assess the willingness of patients with IS and their parents/guardians to enroll in a randomized controlled study on bracing in scoliosis.

Methods: A cross-sectional study was conducted to survey adolescents with IS and their parents/guardians. Eligibility criteria for adolescent participants included: (1) diagnosis of IS, (2) no previous orthosis use, (3) currently seeing a provider for their scoliosis, and (4) able to communicate in English. Parent/guardian participants were the parent or guardian of an adolescent participant and were able to communicate in English. Separate online surveys were designed for adolescents and their parents/guardians. Surveys provided information about a hypothetical study and queried respondents about whether they would participate in the study, their willingness to randomize brace treatment, and their preferences for NT or FT bracing. Descriptive statistics were used to summarize survey data.

Results: One hundred four adolescent/parent dyads completed the survey (104 adolescents and 103 parents). Most participants (adolescents: 55.8%, parents: 55.3%) indicated an interest in study participation, and approximately one-third of participants (adolescents: 31.8%, parents: 30.1%) reported that they would be willing to randomize to brace type. Most participants (adolescent: 77.0%, parent: 81.6%) preferred the NT brace if they needed brace treatment.

Conclusions: High-quality evidence is needed to inform the use of FT and NT scoliosis orthoses. Approximately a third of respondents would enroll in a randomized trial, indicating that multiple collaborative sites will be needed to recruit a sufficient sample into a randomized study on scoliosis bracing. Study findings also demonstrate support from adolescents and their parents/guardians for research on scoliosis bracing.