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Opt."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>While defocus incorporated multiple segments (DIMS) spectacle lenses are clinically proven effective in slowing myopia progression, the long-term, real-world patient experience is poorly understood. This study aimed to provide both quantitative and qualitative analyses of the wearer experience in a long-term cohort of DIMS wearers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, convergent parallel mixed-methods study included 63 former child participants (now aged 17\u201323 years) who participated in the previous DIMS spectacle lenses clinical trial 8\u201310 years earlier. Data were collected 2 years after the final clinical trial concluded. A quantitative online questionnaire assessed wearer experience, while in-depth, semi-structured phone interviews explored the lived wearer journey. Predictors of satisfaction were identified using multiple linear regression and qualitative transcripts were analysed using a systematic thematic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Quantitative analysis revealed high satisfaction, with 88.9% of wearers satisfied or very satisfied and 90.4% believing in the efficacy of DIMS spectacle lenses. Regression analysis identified Maintenance and Durability as the strongest predictors of long-term satisfaction, alongside positive perceptions of appearance (adjusted\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Qualitative analysis revealed a patient journey defined by parent-driven initiation, a manageable sensory adaptation period and strong perceived efficacy based on personal experience. However, only one-third of participants had continued DIMS use; a decision driven overwhelmingly by the high cost of the spectacles.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DIMS spectacle lenses provide a highly positive long-term wearer experience. However, the high cost of the spectacles creates a dominant socioeconomic barrier to treatment continuity, highlighting a critical gap between clinical success and access outside the trial setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s44402-026-00162-9","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T15:20:53Z","timestamp":1786029653000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Long-Term Patient Journey with DIMS Spectacle Lenses: A Mixed-Methods Study of Satisfaction, Adherence and Socioeconomic Barriers"],"prefix":"10.1007","author":[{"given":"Tsz Wing","family":"Leung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han Yu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly Siu Yin","family":"Lam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlasak","family":"Natalia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"162_CR1","doi-asserted-by":"publisher","first-page":"1036","DOI":"10.1016\/j.ophtha.2016.01.006","volume":"123","author":"BA Holden","year":"2016","unstructured":"Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. 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