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Table 2 Baseline questionnaire, before CEE and eye health education

From: Eye Care Quality and Accessibility Improvement in the Community (EQUALITY) for adults at risk for glaucoma: study rationale and design

Domain

Item synopsis

Eye care utilization

When was the last time you had an eye exam in which your pupils were dilated?

Trouble seeing

Do you have any trouble seeing, even when wearing glasses or contact lenses?

(Yes/no)

Visual task difficulty

Because of your eyesight:

How much difficulty do you have reading ordinary print in newspapers?

How much difficulty do you have going down steps, stairs, or curbs in dim light or at night?

How much difficulty do you have finding something on a crowded shelf?

(Difficulty scale)a

Accessibility/transportation

How much difficulty did you have finding a way to get here? (Difficulty scale)a

I’m more likely to go to the eye doctor if the doctor’s office is near a place I shop

(Agree/disagree scale)b

Review of chronic medical conditions

Have you ever been told by a doctor or other health professional that you have . . .? (Yes/no)

Attitudes about eye care

It is important to go to the eye doctor at least once every 2 years.

There is no need to go to the eye doctor if you’re not having a problem with your eyes.

(Agree/disagree scale)b

Knowledge about glaucoma

A person can have glaucoma and not know it.

Glaucoma can be controlled.

Vision lost from glaucoma can be restored.

A complete glaucoma exam consists only of measuring eye pressure.

People at risk for glaucoma should have an eye examination through dilated pupils.

(True/false)

Cost

Is the cost of an eye exam a problem for you?

Is the cost of buying eyeglasses a problem for you?

If the doctor prescribed eye drops for you in order to treat an eye problem you have, would the cost of prescription eye drops be a problem for you?

(Problem Scale)c

Education completed

How many years of school did you complete?

  1. aDifficulty scale response options: No difficulty, A little difficulty, Moderate difficulty, Extreme difficulty, Unable to do because of eyesight, Do not do this for other reasons
  2. bAgree/disagree scale response options: Strongly agree, Somewhat agree, Somewhat disagree, Strongly disagree
  3. cProblem scale response options: Not a problem at all, A little bit of a problem, Somewhat of a problem, A big problem