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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

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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.
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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

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