TY - JOUR T1 - Interventions to promote access to eyecare for non-dominant ethnic groups in high-income countries: a scoping review JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2021-006188 VL - 6 IS - 9 SP - e006188 AU - Lisa M Hamm AU - Aryati Yashadhana AU - Helen Burn AU - Joanna Black AU - Corina Grey AU - Matire Harwood AU - Roshini Peiris-John AU - Matthew J Burton AU - Jennifer R Evans AU - Jacqueline Ramke Y1 - 2021/09/01 UR - http://gh.bmj.com/content/6/9/e006188.abstract N2 - Purpose People who are distinct from the dominant ethnic group within a country can experience a variety of barriers to accessing eyecare services. We conducted a scoping review to map published interventions aimed at improving access to eyecare for non-Indigenous, non-dominant ethnic groups residing in high-income countries.Methods We searched MEDLINE, Embase and Global Health for studies that described an intervention to promote access to eyecare for the target population. Two authors independently screened titles and abstracts followed by review of the full text of potentially relevant sources. For included studies, data extraction was carried out independently by two authors. Findings were summarised using a combination of descriptive statistics and thematic analysis.Results We screened 5220 titles/abstracts, of which 82 reports describing 67 studies met the inclusion criteria. Most studies were conducted in the USA (90%), attempted to improve access for Black (48%) or Latinx (28%) communities at-risk for diabetic retinopathy (42%) and glaucoma (18%). Only 30% included the target population in the design of the intervention; those that did tended to be larger, collaborative initiatives, which addressed both patient and provider components of access. Forty-eight studies (72%) evaluated whether an intervention changed an outcome measure. Among these, attendance at a follow-up eye examination after screening was the most common (n=20/48, 42%), and directly supporting patients to overcome barriers to attendance was reported as the most effective approach. Building relationships between patients and providers, running coordinated, longitudinal initiatives and supporting reduction of root causes for inequity (education and economic) were key themes highlighted for success.Conclusion Although research evaluating interventions for non-dominant, non-Indigenous ethnic groups exist, key gaps remain. In particular, the paucity of relevant studies outside the USA needs to be addressed, and target communities need to be involved in the design and implementation of interventions more frequently.All data relevant to the study are included in the article or uploaded as online supplemental information. ER -