Effectiveness of Videos Improving Cancer Prevention Knowledge in People with Profound Hearing Loss
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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.
KeywordsAmerican Sign Language Healthcare Information Deaf Community Profound Hearing Loss Deaf Person
The research was supported by NIH grant #R25DC004604.
- 6.Dolnick E (1993) Deafness as culture. Atlantic Monthly 272:37–53Google Scholar
- 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
- 20.Drasgow E (1993) Bilingual bicultural deaf education: an overview. Sign Lang Stud 80:243–266Google Scholar
- 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