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. Author manuscript; available in PMC: 2022 Mar 1.
Published in final edited form as: Optom Vis Sci. 2021 Mar 1;98(3):243–249. doi: 10.1097/OPX.0000000000001661
Introduction-Motivation:
Many Americans struggle to get eyeglasses. We are conducting a study to learn about the barriers to getting eyeglasses, success stories where people have gotten eyeglasses and helped their vision, and people’s thoughts around eyeglasses and wearing eyeglasses.
  • What are your thoughts after hearing this introduction?

  • After hearing this introduction, what do you think the rest of the session will be like?

Testimonial:
Jean knows that she needs because she can’t see to read anymore, but it is hard for her to get eyeglasses.
  • What are your thoughts about Jean’s story?

  • What have your experiences been with getting eyeglasses?

  • Are your experiences anything like Jean’s?

  • What issues, if any, have people you know had getting glasses?

  • What issues, if any, have you had getting glasses?

  • What do you like and dislike about the story?

  • How could we improve this information?

Self-efficacy:
“I can get glasses if I need them.”
  • What are you thinking when you hear the statement?

  • What are your thoughts about how easy or hard it is to get glasses?

  • Interviewer: If you needed glasses, how would you go about getting them?

Social Determinants of health:
1) Sam is not sure he can afford to buy eyeglasses. So, he is not going to get them right now.
  • What were you thinking as you heard this message about costs?

  • What, if any, thoughts do you have about the cost of getting an eyeglass prescription?

  • What, if any, thoughts do you have about the cost of buying eyeglasses and the frames?

  • How would feel about talking to your doctor about the eyeglasses?

2) Scenario: A friend of Sam’s got her eyeglasses at a church event.
  • What are your thoughts about the story?

  • What do you think about the cost saving strategy that the message describes?

  • Would you feel comfortable asking a friend for help to find a good price on glasses? Why or why not?

3) Scenario: A friend of Sam’s asked her friend for help to get her eyeglasses.
  • What are your thoughts about the story?

  • What do you think about the cost saving strategy that the message describes?

  • Would you feel comfortable asking a friend for help to find a good price on glasses? Why or why not?

4) Scenario: One of your friends got their eyeglasses on the Internet.
  • What are your thoughts about the story?

  • Which strategies discussed in these messages would you be willing to try?

  • What do you like and dislike about these stories? How could we make them better?

Access to Care:
1) “I would like to get eyeglasses but it is hard to get to an eye doctor for a glasses prescription.”
  • What are you thinking when you hear the statement?

  • What, if any, thoughts do you have about getting to an eye doctor for eyeglasses?

  • What, if any, issues have you faced in getting a prescription for glasses and then getting the glasses?

  • How easy is it to get to an eyeglasses shop from where you live?

2) “I would like to get eyeglasses but it is hard to find a place that sells eyeglasses.”
  • What are you thinking when you hear the statement?

  • What if any problems have come up for you when you thought about or tried to get to a store to buy glasses?

  • What, if any, issues have you faced in picking up the frames and deciding on which lenses to buy?

3) “I worry that eyeglasses may harm their eyes.”
  • What are your thoughts about this statement?

  • What, if any, problems can people have with glasses?

  • How does wearing glasses affect your eyes?

Insurance:
“Grace waited until she got insurance to get eyeglasses.”
  • What was going through your head as you heard this section?

  • What, if any, experiences have you had with insurance and getting glasses?

  • Have you got any eyeglasses through insurances in the past?

Competing Priorities:
“I know I need eyeglasses but other things are more important to pay for and concentrate on right now.”
  • What were you thinking when you hard this message?

  • How is the story similar or different to your experiences?

  • How does trouble with vision compare to other things going on in your life?

Value of Vision:
“It is important to wear eyeglasses if you have trouble seeing things.”
  • What was going through your head as you heard this section?

  • What do you take away from this message?

  • After hearing this message, how do you feel about wearing eyeglasses when things are blurry?

  • How, if at all, does wearing or not wearing eyeglasses affect your life?

Personal Health and Vision:
Many people have medical problems that they have to deal with and their medical problems cost a lot of time and money. They don’t have time to get eyeglasses. They get by with the vision that they have.
  • What does this section make you think of?

  • How bad do you think your vision is relative to other people?

  • What, if any, trouble have you had in your personal life because you didn’t have glasses?

  • What are currently the most important things for you to be able to see well?

  • How, if at all, would getting glasses change what you can do in life?

  • How does it feel to discuss these values?

  • How, if at all, has you vision (or lack of eyeglasses) ever affected your ability to pay your bill?

  • Did not having eyeglasses hurt your ability to get a job?

  • To help out at home?

Motivation:
Story: Shelia thought her vision was fine until she mixed up her medicines at home because of the small print on the bottle, and she had trouble seeing her television.
  • What were you thinking as you heard Shelia’s story?

  • How, if at all, can you relate to Shelia’s experiences?

  • What, if anything, has motivated you to try to get glasses?

  • How is Shelia’s story similar or different to your experiences?

  • How does the story relate to your own motivations?

Attitudes/ Norms: Stigma, peer influence, perceptions
  • “Wearing eyeglasses makes your eyes weaker.”

  • What are you thinking as you heard this message?

  • Do many people you know wear eyes glasses? What are they like?

  • What do you think about people who wear eyeglasses?

  • How, if at all, do people who wear glasses have more eye problems?

  • How, if at all, do people who wear glasses get treated differently?

Safety:
  • People who wear eyeglasses are weaker and old.

  • What’s going through your head as you listen to this part?

  • Would you be worried if wore eyeglasses in certain places? Can you describe that?

  • How does your vision impact how safe you feel in your community?

  • What, if any, issues have you had imagined yourself wearing glasses?

Cosmesis:
1) “Most affordable eyeglasses make people look ugly.”
  • What does this part make you think of?

  • What, if anything, comes to mind when you think of how people who wear glasses look?

2) “Most eyeglasses are hard to wear and are always falling and breaking.”
  • What are you thinking as you heard this section?

  • Have you ever bought a pair of glasses that didn’t work?

  • What, if any, issues have you had when you tried on or wore glasses in the past?

Technology:
Right now, you can buy cheap eyeglasses online. Someday, everyone will be able to get an eyeglass prescription on the Internet.
  • What goes through your mind as you hear this information?

  • How would getting glasses from the Internet work for you?

  • How comfortable do you feel getting eyeglasses from the Internet?

  • What might be some problems you could foresee in getting glasses from the Internet?

  • What other ways could you get glasses?

Discussion:
  • As we wrap off, any other thoughts about this discussion?

  • Does this discussion change any of your feelings about getting eyeglasses?

  • Were these topics helpful for you?

  • What other topics would you like to discuss?

  • How can we improve this discussion when we talk with the next person?

Test results:
  • How, if at all, did taking the eye test change the way you were thinking about glasses?