'Smiling and Talking Slowly': A Qualitative Study on the Ideal Ophthalmologist From the Perspective of Adults With Intellectual Disabilities.

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Title: 'Smiling and Talking Slowly': A Qualitative Study on the Ideal Ophthalmologist From the Perspective of Adults With Intellectual Disabilities.
Authors: Chou, Yueh‐Ching, Chen, Bo‐Wei, Pu, Christy, Hou, Chiun‐Ho
Source: Journal of Intellectual Disability Research. May2025, Vol. 69 Issue 5, p393-402. 10p.
Subjects: Ophthalmologists, Research funding, Qualitative research, Medical quality control, Medical care, Interviewing, Vision testing, Judgment sampling, Anxiety, Patient-centered care, Thematic analysis, Medical appointments, Research methodology, Physician-patient relations, Health equity, Patients' attitudes
Geographic Terms: Taiwan
Abstract: Background: Health care accessibility and inequality for people with intellectual disabilities have long been subjects of discussion. Issues related to eye examinations and visits to ophthalmologists are particularly challenging for these people. However, disability studies and healthcare from the perspectives of people with intellectual disabilities remain scarce. The current study aims to explore the experiences and expectations of adults with intellectual disabilities during ophthalmologist visits, with a focus on their subjective viewpoints. Methods: A qualitative study was conducted between 2021 and 2022 that involved semistructured interviews with 22 adults with intellectual disabilities who were users of day programs or residential services in Taiwan. The interviews, supplemented with pictures, were conducted using purposive sampling. Thematic analysis was used to analyse the data. Findings: Four themes emerged regarding their experiences with ophthalmologists: 'Because my eyes itched, I went to the doctor;' the need for clear and slow explanations during vision screening; anxiety and discomfort during equipment use and focused examination; and 'The doctor is good. She smiles and is gentle with me.' In addition, two themes related to their expectations were identified:equipment use and pre‐examination instructions and ideal characteristics of ophthalmologists: smiling and talking slowly. Conclusion: For people with intellectual disabilities, an ideal ophthalmologist is patient‐centred and provides individualised care—'Smiling and Talking Slowly'; otherwise, fear of visiting eye doctors worsens their health inequalities. Integrating these considerations into ophthalmology training and practice is essential to enhance the quality of care for and the well‐being and dignity of people with intellectual disabilities. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: 'Smiling and Talking Slowly': A Qualitative Study on the Ideal Ophthalmologist From the Perspective of Adults With Intellectual Disabilities.
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  Data: <searchLink fieldCode="AR" term="%22Chou%2C+Yueh‐Ching%22">Chou, Yueh‐Ching</searchLink><br /><searchLink fieldCode="AR" term="%22Chen%2C+Bo‐Wei%22">Chen, Bo‐Wei</searchLink><br /><searchLink fieldCode="AR" term="%22Pu%2C+Christy%22">Pu, Christy</searchLink><br /><searchLink fieldCode="AR" term="%22Hou%2C+Chiun‐Ho%22">Hou, Chiun‐Ho</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. May2025, Vol. 69 Issue 5, p393-402. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Ophthalmologists%22">Ophthalmologists</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Vision+testing%22">Vision testing</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Physician-patient+relations%22">Physician-patient relations</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Taiwan%22">Taiwan</searchLink>
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  Data: Background: Health care accessibility and inequality for people with intellectual disabilities have long been subjects of discussion. Issues related to eye examinations and visits to ophthalmologists are particularly challenging for these people. However, disability studies and healthcare from the perspectives of people with intellectual disabilities remain scarce. The current study aims to explore the experiences and expectations of adults with intellectual disabilities during ophthalmologist visits, with a focus on their subjective viewpoints. Methods: A qualitative study was conducted between 2021 and 2022 that involved semistructured interviews with 22 adults with intellectual disabilities who were users of day programs or residential services in Taiwan. The interviews, supplemented with pictures, were conducted using purposive sampling. Thematic analysis was used to analyse the data. Findings: Four themes emerged regarding their experiences with ophthalmologists: 'Because my eyes itched, I went to the doctor;' the need for clear and slow explanations during vision screening; anxiety and discomfort during equipment use and focused examination; and 'The doctor is good. She smiles and is gentle with me.' In addition, two themes related to their expectations were identified:equipment use and pre‐examination instructions and ideal characteristics of ophthalmologists: smiling and talking slowly. Conclusion: For people with intellectual disabilities, an ideal ophthalmologist is patient‐centred and provides individualised care—'Smiling and Talking Slowly'; otherwise, fear of visiting eye doctors worsens their health inequalities. Integrating these considerations into ophthalmology training and practice is essential to enhance the quality of care for and the well‐being and dignity of people with intellectual disabilities. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/jir.13220
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 393
    Subjects:
      – SubjectFull: Ophthalmologists
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Vision testing
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Thematic analysis
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      – SubjectFull: Medical appointments
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      – SubjectFull: Research methodology
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      – SubjectFull: Physician-patient relations
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      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Patients' attitudes
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      – SubjectFull: Taiwan
        Type: general
    Titles:
      – TitleFull: 'Smiling and Talking Slowly': A Qualitative Study on the Ideal Ophthalmologist From the Perspective of Adults With Intellectual Disabilities.
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            NameFull: Chen, Bo‐Wei
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              M: 05
              Text: May2025
              Type: published
              Y: 2025
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