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.

中文翻译：

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促进高收入国家非主要族裔群体获得眼保健服务的干预措施：范围界定审查

目的 与一个国家内的主要种族群体不同的人在获得眼保健服务时可能会遇到各种障碍。我们进行了范围界定审查，以绘制已发布的干预措施，旨在改善居住在高收入国家的非土著、非主导族裔群体获得眼保健服务的机会。方法 我们检索了 MEDLINE、Embase 和 Global Health 的研究，这些研究描述了促进目标人群获得眼保健服务的干预措施。两位作者独立筛选标题和摘要，然后审查潜在相关来源的全文。对于纳入的研究，数据提取由两位作者独立进行。结合描述性统计和主题分析对调查结果进行了总结。结果 我们筛选了 5220 个标题/摘要，其中描述 67 项研究的 82 份报告符合纳入标准。大多数研究是在美国（90%）进行的，试图改善有糖尿病视网膜病变（42%）和青光眼（18%）风险的黑人（48%）或拉丁裔（28%）社区的获取机会。只有 30% 的人将目标人群纳入干预措施的设计中；那些确实采取的措施往往是规模更大的协作举措，涉及患者和提供者的获取途径。四十八项研究 (72%) 评估了干预措施是否改变了结果指标。其中，筛查后参加后续眼科检查是最常见的（n=20/48，42%），据报道直接支持患者克服参加障碍是最有效的方法。建立患者和医疗服务提供者之间的关系、开展协调一致的纵向举措以及支持减少不平等的根本原因（教育和经济）是成功的关键主题。结论 尽管存在评估针对非主导、非土著族群的干预措施的研究，但仍存在重大差距。特别是美国以外相关研究的缺乏需要解决，目标社区需要更频繁地参与干预措施的设计和实施。与研究相关的所有数据都包含在文章中或作为在线补充信息上传。