OBJECTIVE. We sought to identify factors that facilitate and inhibit readiness for low vision interventions in people with vision loss, conceptualized as readiness for change in the way they perform daily activities. METHOD. We conducted 10 semistructured interviews with older adults with low vision and analyzed the results using grounded theory concepts. RESULTS. Themes involving factors that facilitated change included desire to maintain or regain independence, positive attitude, and presence of formal social support. Themes related to barriers to change included limited knowledge of options and activity not a priority. Themes that acted as both barriers and facilitators were informal social support and community resources. CONCLUSION. This study provides insight into readiness to make changes in behavior and environment in older adults with vision loss. Study findings can help occupational therapy practitioners practice clientcentered care more effectively and promote safe and satisfying daily living activity performance in this population.