Assessing the willingness to change: optimising behaviour change in the management of chronic eye conditions

Abstract

Background: Globally, low vision self-management programmes remain relatively novel, with limited discussion on how acceptance, motivation and readiness to change affect successful and sustainable behaviour change. Aim: To explore the relationship between acceptance, motivation and readiness to change in a group of people participating in low vision self-management programmes. Methods: A participatory action research framework was used with a steering group comprising clinicians and researchers to identify barriers to participation and challenges in the implementation of a self-management low vision programme in Singapore. Results: Many participants were not ready to make changes as they not only did not accept their condition, but were also unmotivated to make changes. We also found that the programme did not meet the psychosocial needs of the participants. Conclusions: Prior to inclusion in self-management programmes, it is recommended that motivational interviewing strategies are used to assess whether individuals have accepted their condition and are ready and motivated to make changes. It is essential that programmes address issues, such as: the emotional consequences of low vision; grief; communicating feelings; and coping strategies