BAPQ development study
Research type
Research Study
Full title
BAPQ development study: Semi-structured interviews to develop a Brace Adherence Prediction Questionnaire (BAPQ) in Adolescent Idiopathic Scoliosis
IRAS ID
296460
Contact name
Raveen Jayasuriya
Contact email
Sponsor organisation
Sheffield Children's NHS Foundation Trust
Duration of Study in the UK
0 years, 11 months, 30 days
Research summary
Scoliosis is a curvature to the side and rotation of the spine. It can cause considerable distress primarily because of the appearance, but significant curves can cause problems with the heart, lungs and pain. The majority of scoliosis begins in early adolescents and has no underlying cause. Curves of 20-40 degrees are offered back brace, to prevent the curve getting worse, when at 50 degrees high risk surgery may be recommended.
The landmark BrAIST trial demonstrated that the success of full-time brace treatment, (in preventing the need for surgery), is adherence dependent, suggesting wear time of more than 18hours. Whilst the efficacy of bracing is established, the acceptability of the treatment to adolescents remains unclear. We must endeavour to understand the psychological factors which influence adolescent patients to wear their brace as prescribed. Understanding these psychological factors may provide a method of predicting a patient’s compliance, and thus tailor treatment by way of: choice of brace type, identifying patients who need additional support and individualising progression risk.
This study will explore factors that patient and parents/guardians state affect brace adherence through 20-30 semi-structured interviews with patients currently undergoing brace treatment. The analysis of these interviews will identify key themes and inform the development of a new questionnaire, based on psychological framework (Protection Motivation Theory), to predict patient adherence to brace wear.
This new questionnaire will be validated through the upcoming NIHR multi-centre BASIS study, which will be using sensors placed in both full-time (FTB) and night-time (NTB) braces to objectively measure brace adherence.
REC name
East Midlands - Leicester South Research Ethics Committee
REC reference
21/EM/0178
Date of REC Opinion
5 Aug 2021
REC opinion
Further Information Favourable Opinion