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However, treatment adherence is challenging, with an average wearing time of 13\u00a0h\/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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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\u2019s factorial structure and its psychometric properties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2019s 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The MOBI-18f is a reliable and valid measure of patients\u2019 adherence to brace treatment. This questionnaire can be used to develop interprofessional adherence support intervention in AIS patients undergoing brace treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s43390-025-01074-3","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T18:00:02Z","timestamp":1742493602000},"page":"1075-1084","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["My orthopedic brace inventory (MOBI): a new, reliable, and valid questionnaire to identify barriers to brace adherence in adolescent idiopathic scoliosis treatment"],"prefix":"10.1007","volume":"13","author":[{"given":"Omar","family":"Elsemin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3180-3642","authenticated-orcid":false,"given":"Marie","family":"Beaus\u00e9jour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2629-7661","authenticated-orcid":false,"given":"Justin-Pierre","family":"Lorange","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6175-7547","authenticated-orcid":false,"given":"Samuel","family":"Sassine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5883-1590","authenticated-orcid":false,"given":"Jean","family":"Th\u00e9roux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soraya","family":"Barchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4295-3382","authenticated-orcid":false,"given":"Julie","family":"Joncas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4106-6068","authenticated-orcid":false,"given":"Sylvie","family":"Le May","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6202-4257","authenticated-orcid":false,"given":"Carole","family":"Fortin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2374-008X","authenticated-orcid":false,"given":"Carl-\u00c9ric","family":"Aubin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4854-2816","authenticated-orcid":false,"given":"Stefan","family":"Parent","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikita","family":"Cobetto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4566-7955","authenticated-orcid":false,"given":"Marie-Claire","family":"Ishimo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9224-4840","authenticated-orcid":false,"given":"Hubert","family":"Labelle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"issue":"5","key":"1074_CR1","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1016\/j.spinee.2015.01.019","volume":"15","author":"DY Fong","year":"2015","unstructured":"Fong DY et al (2015) A population-based cohort study of 394,401 children followed for 10 years exhibits sustained effectiveness of scoliosis screening. 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Author MB received funding as Co-Principal Investigator from the Canadian Institutes of Health Research, Foundation Program, is the recipient of a FRQ-S salary award Junior 1 and Junior 2, has received start-up funds from CHU Sainte-Justine, Department of Surgery of Universit\u00e9 de Montr\u00e9al and from the Faculty of Medicine and Health Sciences of Universit\u00e9 de Sherbrooke. Author SS is the recipient of a Premier Scholarship from the Faculty of Medicine, University of Montr\u00e9al.\u00a0Author CEA has received a peer-reviewed grant from the Natural Sciences and Engineering Research Council of Canada (industrial research chair program with Medtronic of Canada) and other funds (i.e. Discovery grant from the Natural Sciences and Engineering Research Council of Canada, grant from the Canada First Research Excellence Funds, and development contracts with Medtronic Spine and Biologics through the university Polytechnique Montreal) not related to the work; Author SP has received outside the submitted work: royalties from EOS imaging, he is Co-founder of the company Spinologics Inc., he received consultancy fees from K2M, Medtronic and DePuy Synthes Spine, he received grants from DePuy Synthes Spine, Canadian Institutes of Health Research, Pediatric Orthopaedic Society of North America, Scoliosis Research Society, Medtronic, EOS imaging, Canadian Foundation for Innovation, Setting Scoliosis Straight Foundation, Natural Sciences and Engineering Council of Canada, Fonds de recherche Qu\u00e9bec\u2014Sant\u00e9, grants and Orthopaedic Research and Education Foundation, he received fellowship support from DePuy Synthes and Medtronic, he is the holder of the Academic Chair in Pediatric Spinal Deformities of CHU Ste-Justine, he is member of speaker bureau of Orthopaediatrics. Author HL received funding as Principal Investigator from the Canadian Institutes of Health Research Foundation Program and is Co-founder of the company Spinologics Inc.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the CHU Sainte-Justine (MP-21-2018-1756).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All research participants or their legal guardians provided written consent to be a part of the database and have the data collected be used in ongoing research on scoliosis.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"We obtained consent from the responsible authorities\u00a0to submit this scientific work.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}