{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:09:43Z","timestamp":1793315383002,"version":"4.5.0"},"reference-count":36,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research Grant Council of the Hong Kong Special Administrative Region, China","award":["CUHK 14607519"],"award-info":[{"award-number":["CUHK 14607519"]}]},{"name":"Research Grant Council of the Hong Kong Special Administrative Region, China","award":["PolyU 15208018"],"award-info":[{"award-number":["PolyU 15208018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study aimed to explore the subjective experiences of adolescents with scoliosis during brace treatment in order to understand their obstacles and make recommendations to enhance brace compliance. Using purposive sampling, 15 adolescents (2 males and 13 females) with scoliosis aged from 10 to 16 years old during brace treatment were recruited to participate in semi-structured in-depth interviews. The data were recorded, transcribed, and coded using thematic analysis with the qualitative software NVivo 10. Significant statements and phrases were organized into categories and themes to understand adolescents\u2019 experiences during brace treatment for scoliosis. In general, the adolescents acknowledged that compliance with brace treatment was essential to reduce or prevent the progression of spinal curvature and tried their best to comply with the treatment. Regarding their subjective experiences during brace treatment, three themes were identified and emerged as obstacles negatively affecting their brace compliance, including physical discomfort due to brace materials and design, reluctance caused by the brace\u2019s visual appearance, and passive patient participation during the treatment process. This study reveals insights into the experiences of adolescents with scoliosis during brace treatment and what they perceive as hindrances to compliance. In order to have better brace compliance, adolescents\u2019 feelings and difficulties during brace treatment should be recognized and addressed. Therefore, active patient participation throughout the treatment process, involving the co-design of a customized brace, psychosocial interventions, and personalized appearance style management should be considered and promoted to facilitate a more acceptable bracing experience to achieve better brace compliance.<\/jats:p>","DOI":"10.3390\/ijerph191710585","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T21:28:12Z","timestamp":1661462892000},"page":"10585","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Adolescents\u2019 Experience during Brace Treatment for Scoliosis: A Qualitative Study"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0210-0772","authenticated-orcid":false,"given":"Mei-Chun","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derry","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Design, Caritas Institute of Higher Education and Caritas Bianchi College of Careers, Tseung Kwan O, New Territories, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3270-4702","authenticated-orcid":false,"given":"Joanne","family":"Yip","sequence":"additional","affiliation":[{"name":"School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7052-0875","authenticated-orcid":false,"given":"Jason Pui Yin","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"key":"ref_1","first-page":"59","article-title":"Optimal management of idiopathic scoliosis in adolescence","volume":"4","author":"Kotwicki","year":"2013","journal-title":"Adolesc. Health Med. Ther."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"E2","DOI":"10.3171\/2017.7.FOCUS17297","article-title":"Evaluation and management of adolescent idiopathic scoliosis: A review","volume":"43","author":"Jada","year":"2017","journal-title":"Neurosurg. Focus"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1007\/s11999-009-0888-5","article-title":"A History of bracing for idiopathic scoliosis in North America","volume":"468","author":"Fayssoux","year":"2010","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.2106\/JBJS.I.01142","article-title":"Brace wear control of curve progression in adolescent idiopathic scoliosis","volume":"92","author":"Katz","year":"2010","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.jspd.2016.09.004","article-title":"Motivations for compliance with bracing in adolescent idiopathic scoliosis","volume":"5","author":"Brigham","year":"2017","journal-title":"Spine Deform."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1748-7161-2-10","article-title":"Brace related stress in scoliosis patients\u2013Comparison of different concepts of bracing","volume":"2","author":"Weiss","year":"2007","journal-title":"Scoliosis"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"538409","DOI":"10.1100\/2012\/538409","article-title":"Evaluation of the stress level of children with idiopathic scoliosis in relation to the method of treatment and parameters of the deformity","volume":"2012","author":"Leszczewska","year":"2012","journal-title":"Sci. World J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1097\/01.brs.0000249555.87601.fc","article-title":"A review of quality of life and psychosocial issues in scoliosis","volume":"31","author":"Tones","year":"2006","journal-title":"Spine"},{"key":"ref_9","first-page":"1","article-title":"Quality of life and patient satisfaction in bracing treatment of adolescent idiopathic scoliosis","volume":"13","author":"Piantoni","year":"2018","journal-title":"Scoliosis Spinal Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"499","DOI":"10.9734\/BJMMR\/2015\/12935","article-title":"Iranian adolescents with scoliosis: Effects of brace treatment on self-esteem, body image concern and quality of life","volume":"5","author":"Shahidi","year":"2015","journal-title":"Br. J. Med. Med. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1007\/s11136-020-02671-7","article-title":"Quality of life of adolescent idiopathic scoliosis patients under brace treatment: A brief communication of literature review","volume":"30","author":"Wang","year":"2021","journal-title":"Qual. Life Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1046\/j.1365-2648.2001.01900.x","article-title":"Perceptions of body image, happiness and satisfaction in adolescents wearing a Boston brace for scoliosis treatment","volume":"35","author":"Valavanis","year":"2001","journal-title":"J. Adv. Nurs."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Rivett, L., Rothberg, A., Stewart, A., and Berkowitz, R. (2009). The relationship between quality of life and compliance to a brace protocol in adolescents with idiopathic scoliosis: A comparative study. BMC Musculoskelet. Disord., 10.","DOI":"10.1186\/1471-2474-10-5"},{"key":"ref_14","first-page":"76","article-title":"Patient and parent perspectives on treatment for adolescent idiopathic scoliosis","volume":"24","author":"Donnelly","year":"2004","journal-title":"Iowa Orthop. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/BRS.0000000000001210","article-title":"Body image and quality-of-life in untreated versus brace-treated females with adolescent idiopathic scoliosis","volume":"41","author":"Schwieger","year":"2016","journal-title":"Spine"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"306","DOI":"10.12968\/ijtr.2008.15.7.30453","article-title":"User participation and involvement in mental health rehabilitation: A literature review","volume":"15","author":"Petersen","year":"2008","journal-title":"Int. J. Ther. Rehabil."},{"key":"ref_17","first-page":"139","article-title":"I\u2019m not a diagnosis: Adolescents\u2019 perspectives on user participation and shared decision-making in mental healthcare","volume":"8","author":"Storm","year":"2020","journal-title":"Scand. J. Child Adolesc. Psychiatry Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1080\/00140139.2016.1227093","article-title":"Scoliosis brace design: Influence of visual aesthetics on user acceptance and compliance","volume":"60","author":"Law","year":"2017","journal-title":"Ergonomics"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Vossler, A., and Moller, N. (2015). How to use thematic analysis with interview data (process research). The Counselling & Psychotherapy Research Handbook, Sage.","DOI":"10.4135\/9781473909847"},{"key":"ref_20","unstructured":"Valle, R., and Kings, M. (1978). Psychological research as the phenomenologist views it. Existential Phenomenological Alternative for Psychology, Oxford University Press."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1108\/MHRJ-01-2016-0003","article-title":"Whose decision is it anyway? A qualitative study of user participation and how clinicians deal with the patient perspective in mental healthcare","volume":"21","author":"Mathisen","year":"2016","journal-title":"Ment. Health Rev. J."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/08039480600937090","article-title":"Satisfaction with mental health services. A user participation approach","volume":"60","author":"Svensson","year":"2006","journal-title":"Nord. J. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"j1500","DOI":"10.1136\/bmj.j1500","article-title":"High integrity mental health services for children: Focusing on the person, not the problem","volume":"357","author":"Wolpert","year":"2017","journal-title":"BMJ"},{"key":"ref_24","first-page":"89","article-title":"Towards preference-based and person-centered child and adolescent psychiatric service provision","volume":"5","author":"Kongerslev","year":"2017","journal-title":"Scand. J. Child Adolesc. Psychiatry Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1002\/cpp.2052","article-title":"Facilitators and barriers to person-centred care in child and young people mental health services: A systematic review","volume":"24","author":"Gondek","year":"2017","journal-title":"Clin. Psychol. Psychother."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1111\/scs.12376","article-title":"Barriers and facilitators to the implementation of person-centred care in different healthcare contexts","volume":"31","author":"Moore","year":"2017","journal-title":"Scand. J. Caring Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s10728-011-0183-y","article-title":"Person centred care and shared decision making: Implications for ethics, public health and research","volume":"20","author":"Munthe","year":"2012","journal-title":"Health Care Anal."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/S0277-9536(96)00221-3","article-title":"Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)","volume":"44","author":"Charles","year":"1997","journal-title":"Soc. Sci. Med."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Wang, H., Meng, X., Tetteroo, D., Delbressine, F., Xing, Y., Ito, K., Hai, Y., and Markopoulos, P. (2022). Exploration of contributory factors to an unpleasant bracing experience of adolescent idiopathic scoliosis patients a quantitative and qualitative Research. Children, 9.","DOI":"10.3390\/children9050635"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"a1573","DOI":"10.4102\/sajp.v77i2.1573","article-title":"Brace treatment for patients with scoliosis: State of the art","volume":"77","author":"Weiss","year":"2021","journal-title":"S. Afr. J. Physiother."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11892-018-0981-9","article-title":"Family-based interventions targeting improvements in health and family outcomes of children and adolescents with type 1 diabetes: A systematic review","volume":"18","author":"Feldman","year":"2018","journal-title":"Curr. Diabetes Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/jpepsy\/14.2.259","article-title":"Diabetes in adolescence: Effects of multifamily group intervention and parent simulation of diabetes","volume":"14","author":"Satin","year":"1989","journal-title":"J. Pediatric Psychol."},{"key":"ref_33","first-page":"101","article-title":"Multifamily group problem-solving intervention for adherence challenges in pediatric insulin-dependent diabetes","volume":"2","author":"Carpenter","year":"2014","journal-title":"Clin. Pract. Pediatric Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.2337\/diacare.24.7.1286","article-title":"Psychosocial therapies in diabetes: Report of the Psychosocial Therapies Working Group","volume":"24","author":"Delamater","year":"2001","journal-title":"Diabetes Care"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1093\/jpepsy\/jsj098","article-title":"Effects of behavioral family systems therapy for diabetes on adolescents\u2019 family relationships, treatment adherence, and metabolic control","volume":"31","author":"Wysocki","year":"2006","journal-title":"J. Pediatric Psychol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s10964-009-9500-2","article-title":"Body dissatisfaction among adolescent boys and girls: The effects of body mass, peer appearance culture and internalization of appearance ideals","volume":"40","author":"Lawler","year":"2011","journal-title":"J. Youth Adolesc."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/17\/10585\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:15:01Z","timestamp":1760141701000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/17\/10585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,25]]},"references-count":36,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["ijerph191710585"],"URL":"https:\/\/doi.org\/10.3390\/ijerph191710585","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,25]]}}}