Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India
Purpose: To understand the potential barriers, motivators and enablers in dispensing multifocal contact lenses (MFCL). Method: Two focus group discussions were conducted to design questionnaires regarding the prescribing habits for multifocal contact lenses (MFCL). Questions on potential barriers an...
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doaj-e3e1de1e37af4f2782f01f2d62afc1992020-11-25T01:37:42ZengElsevierJournal of Optometry1888-42962015-01-0181566110.1016/j.optom.2014.12.002Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, IndiaNilesh Thite0Ukti Shah1Jasmin Mehta2Janice Jurkus3International Association of Contact Lens Educators, Pune, Maharashtra, IndiaDr. Doongerwala's Clinic, Mumbai, Maharashtra, IndiaBausch + Lomb, Mumbai, Maharashtra, IndiaIllinois College of Optometry, International Association of Contact Lens Educators, Chicago, IL, USAPurpose: To understand the potential barriers, motivators and enablers in dispensing multifocal contact lenses (MFCL). Method: Two focus group discussions were conducted to design questionnaires regarding the prescribing habits for multifocal contact lenses (MFCL). Questions on potential barriers and motivators were included. The questionnaires were distributed among 133 eye care practitioners across Mumbai, India. Practitioners fitting one or less patient per month with MFCL completed the survey describing potential barriers, while those who prescribed more MFCL's per month completed the survey describing enablers and motivators. Results: Responses from 102 practitioners were received. Most common potential barriers in prescribing MFCL were increased chair time (75%), lack of readily available trials (69%) and limitation in power range (63%). Lack of awareness among patients (90%) was the most common barrier from patients’ outlook. Professional satisfaction (88%) and better business proposition (82%) were observed as main motivators while availability of the trials (84%) and correct patient selection (82%) were the major enablers. Graduate Optometrists felt dispensing MFCL did not offer a good business proposition (p = 0.02). Experienced practitioners were observed to be least motivated (p = 0.01) and believed that their patients found these lenses expensive (p = 0.02). Conclusion: To enhance the MFCL practice, barriers like lack of awareness and limitations in power range must be addressed. Trial lens availability may motivate practitioners to prescribe MFCL. Further probing is required to understand lack of motivation among experienced practitioners.http://www.sciencedirect.com/science/article/pii/S1888429614001009Multifocal contact lensesBarriersMotivatorsEnablers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nilesh Thite Ukti Shah Jasmin Mehta Janice Jurkus |
spellingShingle |
Nilesh Thite Ukti Shah Jasmin Mehta Janice Jurkus Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India Journal of Optometry Multifocal contact lenses Barriers Motivators Enablers |
author_facet |
Nilesh Thite Ukti Shah Jasmin Mehta Janice Jurkus |
author_sort |
Nilesh Thite |
title |
Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India |
title_short |
Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India |
title_full |
Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India |
title_fullStr |
Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India |
title_full_unstemmed |
Barriers, motivators and enablers for dispensing multifocal contact lenses in Mumbai, India |
title_sort |
barriers, motivators and enablers for dispensing multifocal contact lenses in mumbai, india |
publisher |
Elsevier |
series |
Journal of Optometry |
issn |
1888-4296 |
publishDate |
2015-01-01 |
description |
Purpose: To understand the potential barriers, motivators and enablers in dispensing multifocal contact lenses (MFCL).
Method: Two focus group discussions were conducted to design questionnaires regarding the prescribing habits for multifocal contact lenses (MFCL). Questions on potential barriers and motivators were included. The questionnaires were distributed among 133 eye care practitioners across Mumbai, India. Practitioners fitting one or less patient per month with MFCL completed the survey describing potential barriers, while those who prescribed more MFCL's per month completed the survey describing enablers and motivators.
Results: Responses from 102 practitioners were received. Most common potential barriers in prescribing MFCL were increased chair time (75%), lack of readily available trials (69%) and limitation in power range (63%). Lack of awareness among patients (90%) was the most common barrier from patients’ outlook. Professional satisfaction (88%) and better business proposition (82%) were observed as main motivators while availability of the trials (84%) and correct patient selection (82%) were the major enablers. Graduate Optometrists felt dispensing MFCL did not offer a good business proposition (p = 0.02). Experienced practitioners were observed to be least motivated (p = 0.01) and believed that their patients found these lenses expensive (p = 0.02).
Conclusion: To enhance the MFCL practice, barriers like lack of awareness and limitations in power range must be addressed. Trial lens availability may motivate practitioners to prescribe MFCL. Further probing is required to understand lack of motivation among experienced practitioners. |
topic |
Multifocal contact lenses Barriers Motivators Enablers |
url |
http://www.sciencedirect.com/science/article/pii/S1888429614001009 |
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