Skip to main content
Top
Gepubliceerd in: Mindfulness 2/2023

16-01-2023 | ORIGINAL PAPER

Effects of Mindfulness-Based Intervention to Improve Bracing Compliance in Adolescent Idiopathic Scoliosis Patients: a Randomized Controlled Trial

Auteurs: Xue Li, Elsa Ngar Sze Lau, Stanley Kam Chung Chan, Tsz Ping Lam, Jack Chun Yiu Cheng, Eric Kam Pui Lee, Samuel Yeung Shan Wong, Benjamin Hon Kei Yip

Gepubliceerd in: Mindfulness | Uitgave 2/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Bracing is the primary treatment for preventing spine curve progression and the subsequent need for surgery among patients with adolescent idiopathic scoliosis (AIS), and poor bracing compliance is a major factor limiting its treatment benefits. We compared the effectiveness of a mindfulness-based intervention program called MBrace, which is a shorter version of the Mindfulness-Based Stress Reduction program, versus that of a supervised physiotherapy exercise (PE) program in enhancing bracing compliance among AIS patients followed for eight months.

Method

Eighty-three AIS patients with unsatisfactory bracing compliance (< 18 hr/day) were randomly allocated to MBrace (n = 45) or PE (n = 38) program. The primary outcome was bracing compliance at Month 8 (six months post-intervention). Secondary outcomes included validated inventory of quality-of-life measures, self-compassion, emotion regulation, self-efficacy, stress, and mindfulness level at Month 2 (end of intervention) and Month 8.

Results

Although bracing compliance was considerably improved in the MBrace program group compared with control at Month 8 (difference in changes between-group (DD), 1.64 hr/day; 95% confidence interval (CI), − 0.25 to 3.53 hr/day; p = 0.09), statistical significance was achieved only after the exclusion of outliers (DD, 2.27 hr/day; 95% CI, 0.49–4.05 hr/day; p = 0.01). At Month 2, a significant treatment effect was estimated both with and without the exclusion of outliers. No significant between-group differences were observed in other secondary outcomes.

Conclusions

Mindfulness-based interventions may be effective to improve bracing compliance among AIS patients in the short term. Larger randomized controlled trials with longer follow-up durations are needed to confirm the long-term effects of mindfulness-based interventions.

Trial Registration

Chinese Clinical Trial Register (ChiCTR), ChiCTR-IOR-16010299.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Routledge.CrossRef Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Routledge.CrossRef
go back to reference Dunning, D. L., Griffiths, K., Kuyken, W., Crane, C., Foulkes, L., Parker, J., & Dalgleish, T. (2019). Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents – A meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry, 60(3), 244–258. https://doi.org/10.1111/jcpp.12980CrossRefPubMed Dunning, D. L., Griffiths, K., Kuyken, W., Crane, C., Foulkes, L., Parker, J., & Dalgleish, T. (2019). Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents – A meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry, 60(3), 244–258. https://​doi.​org/​10.​1111/​jcpp.​12980CrossRefPubMed
go back to reference García-Botello, S. A., García-Granero, E., Lillo, R., López-Mozos, F., Millán, M., & Lledó, S. (2006). Randomized clinical trial to evaluate the effects of perioperative supplemental oxygen administration on the colorectal anastomosis. British Journal of Surgery, 93(6), 698–706. https://doi.org/10.1002/bjs.5370CrossRefPubMed García-Botello, S. A., García-Granero, E., Lillo, R., López-Mozos, F., Millán, M., & Lledó, S. (2006). Randomized clinical trial to evaluate the effects of perioperative supplemental oxygen administration on the colorectal anastomosis. British Journal of Surgery, 93(6), 698–706. https://​doi.​org/​10.​1002/​bjs.​5370CrossRefPubMed
go back to reference Helenius, L., Diarbakerli, E., Grauers, A., Lastikka, M., Oksanen, H., Pajulo, O., Löyttyniemi, E., Manner, T., Gerdhem, P., & Helenius, I. (2019). Back pain and quality of life after surgical treatment for adolescent idiopathic scoliosis at 5-year follow-up: Comparison with healthy controls and patients with untreated idiopathic scoliosis. The Journal of Bone and Joint Surgery, 101(16), 1460–1466. https://doi.org/10.2106/jbjs.18.01370CrossRefPubMed Helenius, L., Diarbakerli, E., Grauers, A., Lastikka, M., Oksanen, H., Pajulo, O., Löyttyniemi, E., Manner, T., Gerdhem, P., & Helenius, I. (2019). Back pain and quality of life after surgical treatment for adolescent idiopathic scoliosis at 5-year follow-up: Comparison with healthy controls and patients with untreated idiopathic scoliosis. The Journal of Bone and Joint Surgery, 101(16), 1460–1466. https://​doi.​org/​10.​2106/​jbjs.​18.​01370CrossRefPubMed
go back to reference Hou, R. J., Wong, S. Y. S., Yip, B. H. K., Hung, A. T. F., Lo, H. H. M., Chan, P. H. S., Lo, C. S. L., Kwok, T. C. Y., Tang, W. K., Mak, W. W. S., Mercer, S. W., & Ma, S. H. (2014b). The effects of mindfulness-based stress reduction program on the mental health of family caregivers: A randomized controlled trial. Psychotherapy and Psychosomatics, 83(1), 45–53. https://doi.org/10.1159/000353278CrossRefPubMed Hou, R. J., Wong, S. Y. S., Yip, B. H. K., Hung, A. T. F., Lo, H. H. M., Chan, P. H. S., Lo, C. S. L., Kwok, T. C. Y., Tang, W. K., Mak, W. W. S., Mercer, S. W., & Ma, S. H. (2014b). The effects of mindfulness-based stress reduction program on the mental health of family caregivers: A randomized controlled trial. Psychotherapy and Psychosomatics, 83(1), 45–53. https://​doi.​org/​10.​1159/​000353278CrossRefPubMed
go back to reference Kabat-Zinn, J. (2013). Full catastrophe living, revised edition: How to cope with stress, pain and illness using mindfulness meditation. Hachette UK. Kabat-Zinn, J. (2013). Full catastrophe living, revised edition: How to cope with stress, pain and illness using mindfulness meditation. Hachette UK.
go back to reference Khan, A., Tansel, A., White, D. L., Kayani, W. T., Bano, S., Lindsay, J., El-Serag, H. B., & Kanwal, F. (2016). Efficacy of psychosocial interventions in inducing and maintaining alcohol abstinence in patients with chronic liver disease: A systematic review. Clinical Gastroenterology and Hepatology, 14(2), 191-202.e194. https://doi.org/10.1016/j.cgh.2015.07.047CrossRefPubMed Khan, A., Tansel, A., White, D. L., Kayani, W. T., Bano, S., Lindsay, J., El-Serag, H. B., & Kanwal, F. (2016). Efficacy of psychosocial interventions in inducing and maintaining alcohol abstinence in patients with chronic liver disease: A systematic review. Clinical Gastroenterology and Hepatology, 14(2), 191-202.e194. https://​doi.​org/​10.​1016/​j.​cgh.​2015.​07.​047CrossRefPubMed
go back to reference Negrini, S., Aulisa, A. G., Aulisa, L., Circo, A. B., de Mauroy, J. C., Durmala, J., Grivas, T. B., Knott, P., Kotwicki, T., Maruyama, T., Minozzi, S., O’Brien, J. P., Papadopoulos, D., Rigo, M., Rivard, C. H., Romano, M., Wynne, J. H., Villagrasa, M., Weiss, H.-R., & Zaina, F. (2012). 2011 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis, 7(1), 3. https://doi.org/10.1186/1748-7161-7-3CrossRefPubMedPubMedCentral Negrini, S., Aulisa, A. G., Aulisa, L., Circo, A. B., de Mauroy, J. C., Durmala, J., Grivas, T. B., Knott, P., Kotwicki, T., Maruyama, T., Minozzi, S., O’Brien, J. P., Papadopoulos, D., Rigo, M., Rivard, C. H., Romano, M., Wynne, J. H., Villagrasa, M., Weiss, H.-R., & Zaina, F. (2012). 2011 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis, 7(1), 3. https://​doi.​org/​10.​1186/​1748-7161-7-3CrossRefPubMedPubMedCentral
go back to reference Sanger, K. L., & Dorjee, D. (2015). Mindfulness training for adolescents: A neurodevelopmental perspective on investigating modifications in attention and emotion regulation using event-related brain potentials. Cognitive, Affective, & Behavioral Neuroscience, 15(3), 696–711. https://doi.org/10.3758/s13415-015-0354-7CrossRef Sanger, K. L., & Dorjee, D. (2015). Mindfulness training for adolescents: A neurodevelopmental perspective on investigating modifications in attention and emotion regulation using event-related brain potentials. Cognitive, Affective, & Behavioral Neuroscience, 15(3), 696–711. https://​doi.​org/​10.​3758/​s13415-015-0354-7CrossRef
go back to reference van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate imputation by chained equations in R. Journal of Statistical Software, 45(3), 1–67.CrossRef van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate imputation by chained equations in R. Journal of Statistical Software, 45(3), 1–67.CrossRef
go back to reference Wong, S. Y., Zhang, D., Li, C. C., Yip, B. H., Chan, D. C., Ling, Y., Lo, C. S., Woo, D. M., Sun, Y., Ma, H., Mak, W. W., Gao, T., Lee, T. M., & Wing, Y. (2017). Comparing the effects of mindfulness-based cognitive therapy and sleep psycho-education with exercise on chronic insomnia: A randomised controlled trial. Psychotherapy and Psychosomatics, 86(4), 241–253. https://doi.org/10.1159/000470847CrossRefPubMed Wong, S. Y., Zhang, D., Li, C. C., Yip, B. H., Chan, D. C., Ling, Y., Lo, C. S., Woo, D. M., Sun, Y., Ma, H., Mak, W. W., Gao, T., Lee, T. M., & Wing, Y. (2017). Comparing the effects of mindfulness-based cognitive therapy and sleep psycho-education with exercise on chronic insomnia: A randomised controlled trial. Psychotherapy and Psychosomatics, 86(4), 241–253. https://​doi.​org/​10.​1159/​000470847CrossRefPubMed
go back to reference Yip, B. H. K., Li, X., Leung, C. H. Y., Gao, T., Chung, V. C. H., Yu, F. W. P., Lam, T. P., Cheng, J. C. Y., & Wong, S. Y. S. (2018). Trial protocol: The use of mindfulness-based intervention for improving bracing compliance for adolescent idiopathic scoliosis patients: Protocol for a randomised, controlled trial. Journal of Physiotherapy, 64(3), 193. https://doi.org/10.1016/j.jphys.2018.02.019CrossRefPubMed Yip, B. H. K., Li, X., Leung, C. H. Y., Gao, T., Chung, V. C. H., Yu, F. W. P., Lam, T. P., Cheng, J. C. Y., & Wong, S. Y. S. (2018). Trial protocol: The use of mindfulness-based intervention for improving bracing compliance for adolescent idiopathic scoliosis patients: Protocol for a randomised, controlled trial. Journal of Physiotherapy, 64(3), 193. https://​doi.​org/​10.​1016/​j.​jphys.​2018.​02.​019CrossRefPubMed
go back to reference Zhang, J., & Schwarzer, R. (1995). Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychologia: An International Journal of Psychology in the Orient, 38, 174–181. Zhang, J., & Schwarzer, R. (1995). Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychologia: An International Journal of Psychology in the Orient, 38, 174–181.
Metagegevens
Titel
Effects of Mindfulness-Based Intervention to Improve Bracing Compliance in Adolescent Idiopathic Scoliosis Patients: a Randomized Controlled Trial
Auteurs
Xue Li
Elsa Ngar Sze Lau
Stanley Kam Chung Chan
Tsz Ping Lam
Jack Chun Yiu Cheng
Eric Kam Pui Lee
Samuel Yeung Shan Wong
Benjamin Hon Kei Yip
Publicatiedatum
16-01-2023
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-022-02021-3

Andere artikelen Uitgave 2/2023

Mindfulness 2/2023 Naar de uitgave