Journal of Cancer Education

, Volume 27, Issue 2, pp 327–337 | Cite as

Effectiveness of Videos Improving Cancer Prevention Knowledge in People with Profound Hearing Loss

  • Philip ZazoveEmail author
  • Helen E. Meador
  • Barbara D. Reed
  • Ananda Sen
  • Daniel W. Gorenflo


Deaf persons have a poorer understanding of cancer prevention, which is felt to be partly due to communication barriers. One hundred ninety-seven d/Deaf persons completed a survey and video on cancer prevention. Half viewed a spoken English program designed for hearing persons (control group); the other half viewed an amended program that had American Sign Language, captions, and printed English options added (experimental group). Knowledge was measured before and after the video, including 1 and 6 months later. Respondents were primarily Caucasian, had low incomes, lost hearing at young ages, and had d/Deaf spouses. Although overall knowledge improved after viewing the video, the presence of culture-specific communications (American Sign Language, captions) did not improve scores compared to the control group, either immediately after the intervention or over time. Moreover, percentage correct on all pretest, and almost all post-test, questions was <50% for both experimental and control groups. For all subjects, regardless of which group they were in, a hearing spouse (p< 0.001) and more healthcare information sources (p = 0.001) improved knowledge, while African-Americans showed a trend to lesser improvement (p = 0.06). Using culture-specific language did not improve cancer prevention knowledge in this d/Deaf population, and overall knowledge remained low. More study is needed to determine the best way to increase cancer prevention knowledge in this population.


American Sign Language Healthcare Information Deaf Community Profound Hearing Loss Deaf Person 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The research was supported by NIH grant #R25DC004604.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Philip Zazove
    • 1
    Email author
  • Helen E. Meador
    • 2
  • Barbara D. Reed
    • 1
  • Ananda Sen
    • 1
  • Daniel W. Gorenflo
    • 1
  1. 1.Department of Family MedicineUniversity of Michigan Health SystemAnn ArborUSA
  2. 2.Private Deaf ConsultantAnn ArborUSA

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