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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
Article

Abstract

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.

Keywords

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.

Notes

Acknowledgment

The research was supported by NIH grant #R25DC004604.

References

  1. 1.
    Barnett S (1999) Clinical and cultural issues in caring for deaf people. Fam Med 31(1):17–22PubMedGoogle Scholar
  2. 2.
    Tamaskar P, Malia T, Stern C, Gorenflo D, Meador H, Zazove P (2000) Preventive attitudes and beliefs of deaf and hard-of-hearing individuals. Arch Fam Med 9(6):518–525, discussion 526PubMedCrossRefGoogle Scholar
  3. 3.
    Woodroffe T, Gorenflo DW, Meador HE, Zazove P (1998) Knowledge and attitudes about AIDS among deaf and hard of hearing persons. AIDS Care 10(3):377–386PubMedCrossRefGoogle Scholar
  4. 4.
    Margellos-Anast H, Estarziau M, Kaufman G (2006) Cardiovascular disease knowledge among culturally Deaf patients in Chicago. Prev Med 42(3):235–239PubMedCrossRefGoogle Scholar
  5. 5.
    Zazove P, Niemann LC, Gorenflo DW, Carmack C, Mehr D, Coyne JC, Antonucci T (1993) The health status and health care utilization of deaf and hard-of-hearing persons. Arch Fam Med 2(7):745–752PubMedCrossRefGoogle Scholar
  6. 6.
    Dolnick E (1993) Deafness as culture. Atlantic Monthly 272:37–53Google Scholar
  7. 7.
    Bailey EJ, Erwin DO, Belin P (2000) Using cultural beliefs and patterns to improve mammography utilization among African-American women: the Witness Project. J Natl Med Assoc 92(3):136–142PubMedGoogle Scholar
  8. 8.
    Becker G, Beyene Y, Newsom EM, Rodgers DV (1998) Knowledge and care of chronic illness in three ethnic minority groups. Fam Med 30(3):173–178PubMedGoogle Scholar
  9. 9.
    Green MJ, Peterson SK, Baker MW, Harper GR, Friedman LC, Rubinstein WS, Mauger DT (2004) Effect of a computer-based decision aid on knowledge, perceptions, and intentions about genetic testing for breast cancer susceptibility: a randomized controlled trial. Jama 292(4):442–452PubMedCrossRefGoogle Scholar
  10. 10.
    Guidry JJ, Matthews-Juarez P, Copeland VA (2003) Barriers to breast cancer control for African-American women: the interdependence of culture and psychosocial issues. Cancer 97(1 Suppl):318–323PubMedCrossRefGoogle Scholar
  11. 11.
    Paskett ED, Tatum C, Rushing J, Michielutte R, Bell R, Foley KL, Bittoni M, Dickinson S (2004) Racial differences in knowledge, attitudes, and cancer screening practices among a triracial rural population. Cancer 101(11):2650–2659PubMedCrossRefGoogle Scholar
  12. 12.
    Rajaram SS, Rashidi A (1998) Minority women and breast cancer screening: the role of cultural explanatory models. Prev Med 27(5 Pt 1):757–764PubMedCrossRefGoogle Scholar
  13. 13.
    Watts T, Merrell J, Murphy F, Williams A (2004) Breast health information needs of women from minority ethnic groups. J Adv Nurs 47(5):526–535PubMedCrossRefGoogle Scholar
  14. 14.
    Zazove P, Meador HE, Reed BD, Sen A, Gorenflo DW (2009) Cancer prevention knowledge of people with profound hearing loss. J Gen Intern Med 24(3):320–326PubMedCrossRefGoogle Scholar
  15. 15.
    McEwen E, Anton-Culver H (1988) The medical communication of deaf patients. J Fam Pract 26(3):289–291PubMedGoogle Scholar
  16. 16.
    Dolan NC, Ferreira MR, Davis TC, Fitzgibbon ML, Rademaker A, Liu D, Schmitt BP, Gorby N, Wolf M, Bennett CL (2004) Colorectal cancer screening knowledge, attitudes, and beliefs among veterans: does literacy make a difference? J Clin Oncol 22(13):2617–2622PubMedCrossRefGoogle Scholar
  17. 17.
    Lindau ST, Tomori C, Lyons T, Langseth L, Bennett CL, Garcia P (2002) The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. Am J Obstet Gynecol 186(5):938–943PubMedCrossRefGoogle Scholar
  18. 18.
    Hunter JL (2005) Cervical cancer educational pamphlets: do they miss the mark for Mexican immigrant women’s needs? Cancer Control 12(Suppl 2):42–50PubMedGoogle Scholar
  19. 19.
    Clayman ML, Manganello JA, Viswanath K, Hesse BW, Arora NK (2010) Providing health messages to Hispanics/Latinos: understanding the importance of language, trust in health information sources, and media use. J Health Commun 15(Suppl 3):252–263PubMedCrossRefGoogle Scholar
  20. 20.
    Drasgow E (1993) Bilingual bicultural deaf education: an overview. Sign Lang Stud 80:243–266Google Scholar
  21. 21.
    Singleton JL, Morgan D, DiGello E, Wiles J, Rivers R (2004) Vocabulary use by low, moderate, and high ASL-proficient writers compared to hearing ESL and monolingual speakers. J Deaf Stud Deaf Educ 9(1):86–103PubMedCrossRefGoogle Scholar
  22. 22.
    Echeverry DM, Dike MR, Washington C, Davidson MB (2003) The impact of using a low-literacy patient education tool on process measures of diabetes care in a minority population. J Natl Med Assoc 95(11):1074–1081PubMedGoogle Scholar
  23. 23.
    Dormandy E, Tsui EY, Marteau TM (2007) Development of a measure of informed choice suitable for use in low literacy populations. Patient Educ Couns 66(3):278–295PubMedCrossRefGoogle Scholar
  24. 24.
    Davis RE, Armstrong DK, Dignan M, Norling GR, Redmond J (2006) Evaluation of educational materials on colorectal cancer screening in Appalachian Kentucky. Prev Chronic Dis 3(2):A43PubMedGoogle Scholar
  25. 25.
    Paskett ED, Tatum C, Wilson A, Dignan M, Velez R (1996) Use of a photoessay to teach low-income African American women about mammography. J Cancer Educ 11(4):216–220PubMedGoogle Scholar
  26. 26.
    Pander Maat H, Lentz L (2010) Improving the usability of patient information leaflets. Patient Educ Couns 80(1):113–119PubMedCrossRefGoogle Scholar
  27. 27.
    McKee MM, Barnett SL, Block RC, Pearson TA (2011) Impact of communication on preventive services among deaf American Sign Language users. Am J Prev Med 41(1):75–79PubMedCrossRefGoogle Scholar
  28. 28.
    MacKinney TG, Walters D, Bird GL, Nattinger AB (1995) Improvements in preventive care and communication for deaf patients: results of a novel primary health care program. J Gen Intern Med 10(3):133–137PubMedCrossRefGoogle Scholar
  29. 29.
    Berman BA, Eckhardt EA, Kleiger HB, Wong G, Lipton DS, Bastani R, Barkin S (2000) Developing a tobacco survey for deaf youth. Am Ann Deaf 145(3):245–255PubMedGoogle Scholar
  30. 30.
    Freimuth VS, Quinn SC (2004) The contributions of health communication to eliminating health disparities. Am J Public Health 94(12):2053–2055PubMedCrossRefGoogle Scholar
  31. 31.
    Steinberg AG, Lipton DS, Eckhardt EA, Goldstein M, Sullivan VJ (1998) The diagnostic interview schedule for deaf patients on interactive video: a preliminary investigation. Am J Psychiatry 155(11):1603–1604PubMedGoogle Scholar
  32. 32.
    Choe S, Lim RS, Clark K, Wang R, Branz P, Sadler GR (2009) The impact of cervical cancer education for deaf women using a video educational tool employing American sign language, open captioning, and graphics. J Cancer Educ 24(1):10–15PubMedCrossRefGoogle Scholar
  33. 33.
    Kaskowitz SR 3rd, Nakaji MC, Clark KL, Gunsauls DC, Sadler GR (2006) Bringing prostate cancer education to deaf men. Cancer Detect Prev 30(5):439–448PubMedCrossRefGoogle Scholar
  34. 34.
    Folkins A, Sadler GR, Ko C, Branz P, Marsh S, Bovee M (2005) Improving the Deaf community’s access to prostate and testicular cancer information: a survey study. BMC Publ Health 5:63CrossRefGoogle Scholar
  35. 35.
    Goldstein MF, Eckhardt EA, Joyner-Creamer P, Berry R, Paradise H, Cleland CM (2010) What do deaf high school students know about HIV? AIDS Educ Prev 22(6):523–537PubMedCrossRefGoogle Scholar
  36. 36.
    Meador HE, Zazove P (2005) Health care interactions with deaf culture. J Am Board Fam Pract 18(3):218–222PubMedCrossRefGoogle Scholar
  37. 37.
    Centers for Disease Control and Prevention (2001) Prevalence of healthy lifestyle characteristics—Michigan, 1998 and 2000. MMWR Morb Mortal Wkly Rep 50(35):758–761Google Scholar
  38. 38.
    Zazove P, Meador HE, Derry HA, Gorenflo DW, Burdick SW, Saunders EW (2004) Deaf persons and computer use. Am Ann Deaf 148(5):376–384PubMedCrossRefGoogle Scholar
  39. 39.
    Barnett S, Franks P (1999) Smoking and deaf adults: associations with age at onset of deafness. Am Ann Deaf 144(1):44–50PubMedGoogle Scholar

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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