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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-17 DOI:10.1097/BPO.0000000000002840

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

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引用次数: 0

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.

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评估青少年和家长参与脊柱侧弯矫正器比较研究的意愿。

目的：患有特发性脊柱侧弯症（IS）的青少年通常会被要求佩戴矫形器，以防止脊柱侧弯发展并避免手术。标准的脊柱侧弯矫形器是为全时（FT）佩戴而设计的，这可能会给一些患者带来负担。夜间（NT）过度矫正脊柱侧弯矫形器是另一种对日常生活影响较小的选择，但还需要更多的研究来指导NT矫形器的处方。本研究旨在评估IS患者及其父母/监护人是否愿意参加脊柱侧弯矫形器的随机对照研究：本研究对患有IS的青少年及其父母/监护人进行了横断面调查。青少年参与者的资格标准包括(1)确诊为IS；(2)以前未使用过矫形器；(3)目前正在接受脊柱侧凸治疗；(4)能够用英语交流。父母/监护人参与者是青少年参与者的父母或监护人，能够用英语交流。针对青少年及其父母/监护人分别设计了在线调查问卷。调查问卷提供了有关假设研究的信息，并询问受访者是否愿意参与研究、是否愿意接受随机支具治疗以及对 NT 或 FT 支具的偏好。调查数据采用描述性统计方法进行总结：共有 104 名青少年和 103 名家长完成了调查。大多数参与者（青少年：55.8%，家长：55.3%）表示有兴趣参与研究，约三分之一的参与者（青少年：31.8%，家长：30.1%）表示愿意随机选择支架类型。如果需要支具治疗，大多数参与者（青少年：77.0%，家长：81.6%）更愿意选择NT支具：结论：使用FT和NT脊柱侧弯矫形器需要高质量的证据。约有三分之一的受访者愿意参加随机试验，这表明需要多个合作点来招募足够的样本参加脊柱侧弯矫形器的随机研究。研究结果还表明，青少年及其父母/监护人支持对脊柱侧弯矫形器进行研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.