My orthopedic brace inventory (MOBI): a new, reliable, and valid questionnaire to identify barriers to brace adherence in adolescent idiopathic scoliosis treatment

• DOI: 10.1007/s43390-025-01074-3
• Publication Date: 2025-03-20T22:00:02Z
• Authors: Omar Elsemen; Marie Beauséjour; Justin-Pierre Lor...; Samuel Sassine; Jean Théroux; Soraya Barchi; Julie Joncas; Sylvie Le May; Carole Fortin; Carl-Éric Aubin; Stefan Parent; Nikita Cobetto; Marie-Claire Ishimo; Hubert Labelle
• Keywords: Idiopathic scoliosis

Abstract Purpose Full-time wearing of an orthopedic brace has demonstrated effectiveness in limiting curve progression adolescents with idiopathic scoliosis. However, treatment adherence is challenging, average time 13 h/day. Despite this issue, barriers to have rarely been studied. The aim study was develop and validate a new instrument tool evaluate factors influencing adherence. Methods Our followed the COnsensus-based Standards for selection health Measurement INnstruments criteria (COSMIN). A conceptual framework initially defined, experts elaborated, reviewed, selected candidate items. We also investigated MOBI’s factorial structure its psychometric properties. Results MOBI initial version included 32 items related four adherence, namely social/emotional, treatment, patient, system/professional. analysis led 18-item inventory internal consistency 0.85 better-defined (treatment social/emotional support structure, patient’s self-image perception, adverse effects, acceptability. MOBI-18f correlates SRS-22 domain satisfaction pain SF-12 mental health. Patients poor wear more severe scoliosis will score higher on questionnaire. Conclusion reliable valid measure patients’ treatment. This questionnaire can be used interprofessional intervention AIS patients undergoing