Designing multimedia patient education materials for adolescent idiopathic scoliosis: A protocol for a feasibility randomized controlled trial of patient education videos

Outcomes As recommended in the CONSORT guidelines for feasibility studies [60,61], the feasibility outcomes for this trial will be the number of participants recruited, rejected, dropped out and reasons; adherence to videos via behavioural engagement; number of outcomes completed, and adverse events. Adverse events will be recorded with preparations made for any adverse effects from asking about the participants’ mental health status or from being presented with unexpected information about scoliosis. The preparations are outlined Table 3. Adherence to the RE-AIM framework will also ensure that there is an evaluation of the reach: recording of the percentage of excluded individuals, the percentage of individuals who participate, the characteristics of participants versus non-participants and the recording of qual- itative indicators as to why participants were reached and/or recruited. The effectiveness will be measured using the knowledge outcomes and the overall quality of life outcomes in the SRS-22r Table 2. Outline of educational content. Video Questions to be answered in the educational content 1 What is scoliosis? Is scoliosis more common in boys or girls? What are the other types of scoliosis? Does everyone with scoliosis wear a brace or need surgery? Why do kids get scoliosis? Does bad posture lead to scoliosis? Are there exercises I can do to make my spine straight? 2 Can we screen for scoliosis? Can scoliosis curves get better on their own? How often will I need my scoliosis re-checked? Will the x-rays harm me?

3 What can I do to keep my scoliosis from getting worse? How do you decide what the treatment will be? What is involved in conservative? Can you tell me about bracing? How do you know if a patient needs surgery? Where can I find healthcare specialists who work with scoliosis? Should I try other conservative methods first? 4 Which kind of brace is right for me? What are the different types of braces? Why should I wear a brace? Does it matter how many hours a day I wear the brace? Can I take the brace off for PE at school, sports activities, swimming, etc.? How will I know if the brace is working? I wore a brace for two years and my curve was the same size when I stopped wearing it, why? Did I waste my time? What does a brace look like? 5 If I need scoliosis surgery, what can I expect? Will surgery only stop my curve from growing or will it help straighten it? How long will it take me to recover from surgery? Does that include participation in sports? Will I have my rods removed after my spine is fused? Can the rods break? 6 Should I avoid certain activities because of my scoliosis? Is carrying a heavy back-pack bad? What if I have to wear a brace? How do I cope with having scoliosis? How can I connect with other kids who have scoliosis? Will my curves get worse? Can my scoliosis be cured? If I have mild scoliosis, do I have to see a spine specialist? Will I pass my scoliosis on to my future children? https://doi.org/10.1371/journal.pone.0297394.t002 PLOS ONE Multimedia education materials for adolescent idiopathic scoliosis

PLOS ONE | https://doi.org/10.1371/journal.pone.0297394 May 23, 2024 6 / 14