{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T02:34:31Z","timestamp":1773887671882,"version":"3.50.1"},"reference-count":39,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,3,3]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Objective<\/jats:title>\n The aim of this study is to explore in depth adolescents\u2019 insights regarding experiences of spectacle lens wear and its correlation with self-perception, quality of life, social interactions, adherence and barriers.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Qualitative design through individual interviews and thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Middle school students in five regions of Jakarta Province.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n 31 middle school adolescents who participated and received free spectacle wear by the Indonesian Ophthalmologist Association.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A set of semistructured questionnaires exploring adolescents\u2019 perception regarding spectacle lens wear, adapted from the PedEyeQ. Interviews were conducted on site or through Zoom and were then transcribed.<\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n Thematic analysis identified three themes, as follows: (1) experience with eyeglasses, (2) motivation and encouragement and (3) barriers to usage. This study found that more than half of adolescents received their first spectacles during the outreach programme, with most reporting improved vision and academic performance after spectacle wear. However, adherence varied, as some participants\u2014particularly those with moderate to high myopia and astigmatism\u2014did not use their new glasses due to discomfort, poor fit or dissatisfaction with visual clarity. While initial adaptation often involved dizziness or soreness, most adjusted within a week. The majority recognised the importance of spectacle wear, describing clearer vision, reduced eye strain and improved confidence, though a minority viewed it as unnecessary. Parents played a central role in influencing health-seeking behaviour, and limited prior access to eye examinations and geographic challenges restricted care for several adolescents. Financial concerns were reported by a small proportion, while psychological barriers such as fear of teasing or negative self-perception were the major barrier. Overall, adolescents highlighted both the benefits and challenges of spectacle wear, with motivation shaped by personal experience, parental influence and accessibility of eye care services.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Findings showed insight that adolescent understanding regarding eye health is imperative to support adherence. However, psychological barriers act as a major factor that impedes lens wear. Involving parents and teachers in understanding urgency and severity of eye health in adolescents, specifically refractive error and its long-term negative impact, as well as the prominent psychological barriers, may improve adolescent perception and adherence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-109702","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T21:55:46Z","timestamp":1773870946000},"page":"e109702","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescents\u2019 perspectives on spectacle wear and adherence following a school-based outreach programme in Indonesia: a qualitative study"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4713-3444","authenticated-orcid":false,"given":"Tri","family":"Rahayu","sequence":"first","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"},{"name":"Division of Refractive Error Management, Indonesian Ophthalmologist Association, Jakarta, Indonesia"},{"name":"Ophthalmology Department, Cipto Mangunkusumo Hospital, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie Dewi","family":"Barliana","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"},{"name":"Ophthalmology Department, Cipto Mangunkusumo Hospital, Jakarta, Indonesia"},{"name":"Indonesian Ophthalmologist Association, Jakarta Branch, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeni","family":"Lestari","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"},{"name":"Ophthalmology Department, Cipto Mangunkusumo Hospital, Jakarta, Indonesia"},{"name":"Indonesian Ophthalmologist Association, Jakarta Branch, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelina Patricia","family":"Chandra","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhiya","family":"Nadira","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"2026031814551872000_16.3.e109702.1","unstructured":"International Classification of Diseases (ICD), Available: https:\/\/www.who.int\/standards\/classifications\/classification-of-diseases [Accessed 7 Aug 2025]."},{"key":"2026031814551872000_16.3.e109702.2","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.2147\/OPTH.S408610","article-title":"The Magnitude of Refractive Error and Its Associated Factors Among Patients Visiting Ophthalmology Clinics in Southern Ethiopia, 2022","volume":"23","author":"Worku","year":"2023","journal-title":"Clin Ophthalmol Auckl NZ"},{"key":"2026031814551872000_16.3.e109702.3","unstructured":"Vision impairment and blindness, Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/blindness-and-visual-impairment [Accessed 7 Aug 2025]."},{"key":"2026031814551872000_16.3.e109702.4","unstructured":"Attitudes and beliefs of undergraduate students to spectacle wear | request pdf. researchgate. 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