Omar Elsemin, Marie Beauséjour, Justin-Pierre Lorange, Samuel Sassine, Jean Théroux, Soraya Barchi, Julie Joncas, Sylvie Le May, Carole Fortin, Carl-Éric Aubin
, Stefan Parent, Nikita Cobetto, Marie-Claire Ishimo et Hubert Labelle
Article de revue (2025)
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Abstract
Purpose: Full-time wearing of an orthopedic brace has demonstrated effectiveness in limiting curve progression in adolescents with idiopathic scoliosis. However, treatment adherence is challenging, with an average wearing time of 13 h/day. Despite this issue, barriers to brace adherence have rarely been studied. The aim of this study was to develop and validate a new instrument tool to evaluate factors influencing brace adherence.
Methods: Our study followed the COnsensus-based Standards for the selection of health Measurement INnstruments criteria (COSMIN). A conceptual framework was initially defined, and experts elaborated, reviewed, and selected candidate items. We also investigated the MOBI’s factorial structure and its psychometric properties.
Results: The MOBI initial version included 32 items related to four conceptual barriers to adherence, namely social/emotional, treatment, patient, and health system/professional. The factorial analysis led to an 18-item inventory with an internal consistency of 0.85 with four better-defined barriers (treatment social/emotional support structure, patient’s self-image and perception, treatment adverse effects, and treatment acceptability. The MOBI-18f correlates with the SRS-22 domain treatment satisfaction and pain and the SF-12 mental health. Patients with poor brace wear time and more severe scoliosis will score higher on the MOBI-18f questionnaire.
Conclusion: The MOBI-18f is a reliable and valid measure of patients’ adherence to brace treatment. This questionnaire can be used to develop interprofessional adherence support intervention in AIS patients undergoing brace treatment.
Mots clés
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| Département: | Département de génie mécanique |
| Organismes subventionnaires: | Canadian Institute of Health Research |
| Numéro de subvention: | 375116 |
| URL de PolyPublie: | https://publications.polymtl.ca/63433/ |
| Titre de la revue: | Spine deformity (vol. 13) |
| Maison d'édition: | Springer |
| DOI: | 10.1007/s43390-025-01074-3 |
| URL officielle: | https://doi.org/10.1007/s43390-025-01074-3 |
| Date du dépôt: | 24 mars 2025 13:55 |
| Dernière modification: | 14 août 2026 23:57 |
| Citer en APA 7: | Elsemin, O., Beauséjour, M., Lorange, J.-P., Sassine, S., Théroux, J., Barchi, S., Joncas, J., Le May, S., Fortin, C., Aubin, C.-É., Parent, S., Cobetto, N., Ishimo, M.-C., & Labelle, H. (2025). My orthopedic brace inventory (MOBI): a new, reliable, and valid questionnaire to identify barriers to brace adherence in adolescent idiopathic scoliosis treatment. Spine deformity, 13, 1075-1084. https://doi.org/10.1007/s43390-025-01074-3 |
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