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Improving Community Optometry Practice in Scotland


With the implementation of the NHS (General Ophthalmic Services) (Scotland) Regulations 2006, Optometry in Scotland has undergone significant changes. Some eye care has shifted from hospitals into the community and Optometrists now have increased responsibility for the diagnosis and treatment of eye conditions. To support this transition NHS Education for Scotland’s (NES’s) TRiaDS in Optometry initiative is exploring the generalisability of the TRiaDS research framework to address the challenges of translating knowledge into practice in priority areas for practice improvement in community optometry.

A stepped approach is being taken to the development of this initiative. This includes:

  1. A stakeholder consultation to identify and prioritise area(s) for practice improvement and to identify the initial area of practice to be addressed using the TRiaDS framework.
  2. A review of the literature and guidance in the prioritised area to identify best practice.
  3. Stakeholder interviews, underpinned by the COM-B [1] system and the Theoretical Domains Framework (TDF) [2,3] to identify key professional behaviours and the barriers and facilitators to change.
  4. A national survey to measure current practice and to explore the barriers and facilitators to change. This was sent to all community optometrists in Scotland.

This work is now complete and the findings are being written up for a peer reviewed journal with publication anticipated by the end of 2016. The findings will enable identification of the key determinants for best practice and will elucidate potential theory informed targets for interventions to improve practice in community optometry.

For more information about the TRiaDS in Optometry initiative contact: Tel: +44 (0)1382 740913, e-mail: TRiaDS@nes.scot.nhs.uk

  1. Michie, S., Atkins, L. & West, R. The Behaviour Change Wheel – A Guide to Designing Interventions. (Silverback Publishing, 2014).
  2. Michie, S. et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual. Saf. Health Care 14, 26–33 (2005).
  3. Cane, J., O’Connor, D. & Michie, S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement. Sci. 7, 37 (2012).