Brace Compliance Model in Adolescents with Idiopathic Scoliosis: A Qualitative Research.

Abstract

Background: Evaluating the performance of a brace in the treatment of adolescents with idiopathic scoliosis, without considering the process of brace compliance, is not comprehensive and valuable. This study aimed to evaluate the multifaceted and complex modality of brace compliance by drawing a comprehensive model with a qualitative approach.

Methods: This study employed the grounded theory methodology to systematically explore and interpret factors affecting brace compliance, uncovering patterns and themes that influence treatment success. Data collection involved nonrandom convenience sampling of individuals from local clinics specializing in orthotic management of scoliosis. A semi-structured interview guide was utilized to explore participants' experiences, challenges, and perceptions related to brace compliance and orthotic treatment. We engaged in constant comparison analysis as data were collected until we reached saturation, where no new themes emerged from additional data.

Results: A total of 133 codes about the experiences of patients, parents, and specialists were extracted from the transcripts and categorized into 42 subthemes. The study identified 8 interconnected themes-including extensive lifestyle changes, visible improvements, supervision dynamics, result maintenance, a sense of difference, long-term commitment, monotony, and hope for a definitive treatment without surgery.

Conclusion: This comprehensive analysis provides valuable insights into the multifaceted nature of compliance with braces and the dynamic interplay between patients, their families, and the treatment process.