Table 2.

Patient and Provider Quotes Aligned With Themes Within the CFIR

Theme(s)	CFIR Domaina	Quote
Transportation/time burden	Outer setting	“Well, every time, like I said, I have all of my appointments up in the morning and that's one of the reasons why. Because [transportation service] stops transporting at a certain time.” –Patient 31
Transportation/social support	Outer setting (patient needs and resources)	“Patients that are relying on somebody to bring them, they are relying on that person. That person needs to take time off work or needs to find somebody to babysit the kids…. If they need someone to drive them to appointments, I think it is really hard for the patients...” –Provider 7
Time burden	Outer setting	“I feel that there are many inefficiencies in our general clinic that make it hard to stay on track. You have one really challenging patient in your clinic and then, you know, you're behind an hour or two easily when that happens.” –Provider 2
Social support	Inner setting	“I don't know that I personally have the skills to tell outside of here how they're going to be.” –Provider 3
Economic situation	Outer setting	“I had a guy a couple of weeks ago who was in a cycle of showing up with uveitis every 6 months and he was like, ‘Every time I get a flare, I lose my job. And then every time I get a new job, they have a 6-month probation period where I can't take any time off, so then I'll be stable for 6 months. Right when I was about to be able to get time off to start coming to appointments, to get on to immunomodulatory therapy, I get another flare and then I have to take prednisone. I have to come every day, or every week and I lose my job.’ And he's been doing this for 3 years.” –Provider 8
Motivation	Characteristics of individual	“I just never knew that I would go through it, go through the things that my momma was going through.” –Patient 84
Care provided	Inner setting	“Once you get to see them, they do pretty good. They talk to you and make sure you understand what they're saying. Make sure you get your medications. It works for me. I really can't complain about it.” –Patient 106

^aOuter setting (economic, political, and social context as well as patient needs and resources such as social support); inner setting (ophthalmology department and health system culture, availability of resources, and readiness for implementation of interventions to support adherence); characteristics of individuals (patient-specific barriers and facilitators to accessing health care, knowledge, self-efficacy, and outcomes expectancy about eye care).