Abstract
To date, there have been many strategies, including educational interventions, for cancer prevention and control, but most of them are not deaf-tailored ones. This narrative review aimed to examine cancer educational programs to improve the deaf individuals’ knowledge and attitude toward cancer. The design of this study is a narrative review. We searched ISI Web of Science, Scopus, Science Direct, and MEDLINE/PubMed using the following search strategy: (“cancer education” AND “deaf”) OR (“cancer” AND “deaf” AND literacy). Publication years ranged from 1983 to 2016 for studies on cancer educational interventions for the deaf. Included studies were analyzed regarding research methodologies, types of intervention, and major findings. In total, 12 included studies were classified into three research methodologies. Although short-term and long-term knowledge improvement has been reported, since there is limited evidence on the types of cancer-related educational interventions and there are insufficient studies, longterm effectiveness of educations in improving cancer knowledge of the deaf has to be reported cautiously. Current deaf-tailored education interventions are limited, but included functional features which facilitate communicating cancer health information to the deaf community. In fact, cancer literacy might improve considering deaf community preferences such as using a short open caption, sign language, and plain language in educational interventions, but further research is recommended.
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References
Stewart BW, Wild CP (2015) World cancer report 2014
Booker A, Malcarne VL, Sadler GR (2014) Evaluating outcomes of community-basedcancer education interventions: a 10-year review of studies. J Cancer Educ 29:233–240. doi:10.1007/s13187-013-0578-6
Perkins RB, Langrish S, Stern LJ, Simon CJ (2007) A community-based education program about cervical cancer improves knowledge and screening behavior in Honduran women. Rev Panam de Salud Pública 22(3):187–193 http://www.scielosp.org/pdf/rpsp/v22n3/a05v22n3.pdf
Sadler GR, Beerman PR, Lee K, Hung J, Nguyen H, Cho J et al (2012) Promoting breast cancer screening among Asian American women: the Asian grocery store-based cancer education program. J Cancer Educ 27(4):612–617. doi:10.1007/s13187-012-0419-z
Jackson DD, Owens OL, Friedman DB, Dubose-Morris R (2015) Innovative and community-guided evaluation and dissemination of a prostate cancer education program for african-american men and women. J Cancer Educ 30(4):779–785. doi:10.1007/s13187-014-0774-z
Al Amoudi SM (2012) Knowledge and attitude of women with special needs towards breast cancer in Saudi Arabia; a cross sectional study. Life Sci J 9:1348–1352
Wang R, Aldridge AA, Malcarne VL, Choe S, Branz P, Sadler GR (2010) Health locus of control and assimilation of cervical cancer information in deaf women. J Cancer Educ 25:354–359. doi:10.1007/s13187-010-0053-6
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 41:75–79. doi:10.1016/j.amepre.2011.03.004
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 9:518. doi:10.1001/archfami.9.6.518
McKee MM, Paasche-Orlow MK, Winters PC, Fiscella K, Zazove P, Sen A et al (2015) Assessing health literacy in deaf american sign language users. J Health Commun Oct 20:92–100. doi:10.1080/10810730.2015.1066468
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 24:10–15. doi:10.1080/08858190802665245
Pollard RQ, Barnett S (2009) Health-related vocabulary knowledge among deaf adults. Rehabil Psychol 54(2):182. doi:10.1037/a0015771
Kickbusch IS (2001) Health literacy: addressing the health and education divide. Health Promot Int 16(3):289. doi:10.1093/heapro/16.3.289
Zazove P, Meador HE, Reed BD, Sen A, Gorenflo DW (2009) Cancer prevention knowledge of people with profound hearing loss. J Gen Intern Med 24:320–326. doi:10.1007/s11606-008-0895-3
Bukowski PM (2015) Online health information seeking and the deaf: an examination of how the deaf utilize the Internet for healthcare purposes: University of Houston
Kuenburg A, Fellinger P, Fellinger J (2016) Health care access among deaf people. JDSDE 21:1–10. doi:10.1093/deafed/env042
Yao CS, Merz EL, Nakaji M, Harry KM, Malcarne VL, Sadler GR (2012) Cervical cancer control: deaf and hearing women’s response to an educational video. J Cancer Educ 27:62–66. doi:10.1007/s13187-011-0264-5
Berman BA, Jo A, Cumberland WG, Booth H, Britt J, Stern C et al (2013) Breast cancer knowledge and practices among D/deaf women. Disabil Health J 6:303–316. doi:10.1016/j.dhjo.2013.05.001
Sadler GR, Gunsauls DC, Huang J, Padden C, Elion L, Galey T et al (2001) Bringing breast cancer education to deaf women. J Cancer Educ 16:225–228. doi:10.1080/08858190109528778
Orsi JM, Margellos-Anast H, Perlman TS, Giloth BE, Whitman S (2007) Cancer screening knowledge, attitudes, and behaviors among culturally deaf adults: implications for informed decision making. Cancer Detec Prev 31:474–479. doi:10.1016/j.cdp.2007.10.008
Alse AS, Anandkrishna L, Chandra P, Ramya M, Kamath PS, Shetty AK (2015) Educational intervention on the plaque score among hearing impaired children. Journal of Advanced Clinical & Research Insights 2(1). doi:10.15713/ins.jcri.37
Vejdani-Aram F, Roshanaei G, Hazavehei SMM, Karimi-Shahanjarini A, RezapurShahkolai F (2015) Evaluating a health belief model-based educational program for school injury prevention among hard-of-hearing/deaf high school students. Journal of Education and Community Health 1:32–42
Kaskowitz SR III, Nakaji MC, Clark KL, Gunsauls DC, Sadler GR (2006) Bringing prostate cancer education to deaf men. Cancer Detect Prev 30:439–448. doi:10.1016/j.cdp.2006.09.001
Jones EG, Goldsmith M, Effken J, Button K, Crago M (2010) Creating and testing a deaf-friendly, stop-smoking web site intervention. Am Ann Deaf 155(1):96–102
Morgan L (2013) Best practice patient teaching strategies to promote health literacy when working with individuals with deafness. Washington State university
Steinberg AG, Wiggins EA, Barmada CH, Sullivan VJ (2002) Deaf women: experiences and perceptions of healthcare system access. J Women's Health 11:729–741. doi:10.1089/15409990260363689
Gregg AL, Wozar JA, Wessel CB, Epstein BA (2002) Designing a curriculum on Internet health resources for deaf high school students. J Med Lib Assoc 90:431
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 Public Health. 5.
Shabaik S, LaHousse SF, Branz P, Gandhi V, Khan AM, Sadler GR (2010) Colorectal cancer video for the deaf community: a randomized control trial. J Cancer Educ 25:518–523. doi:10.1007/s13187-010-0113-y
Harry KM, Malcarne VL, Branz P, Fager M, Garcia BD, Sadler GR (2012) Evaluating a skin cancer education program for the deaf community. J Cancer Educ 27:501–506. doi:10.1007/s13187-012-0367-7
Zazove P, Meador HE, Reed BD, Sen A, Gorenflo DW (2012) Effectiveness of videos improving cancer prevention knowledge in people with profound hearing loss. J Cancer Educ 27:327–337. doi:10.1007/s13187-011-0292-1
Hickey S, Merz EL, Malcarne VL, Gunsauls DC, Huang J, Sadler GR (2013) Breast cancer education for the deaf community in American Sign Language. Oncol Nurs Forum 40:E86–E91. doi:10.1188/13.ONF.E86-E91
Jensen LG, Nakaji M, Harry KM, Gallegos N, Malcarne VL, Sadler GR (2013) Ovarian cancer: deaf and hearing women’s knowledge before and after an educational video. J Cancer Educ 28:647–655. doi:10.1007/s13187-013-0529-2
Sacks L, Nakaji M, Harry KM, Oen M, Malcarne VL, Sadler GR (2013) Testicular cancer knowledge among deaf and hearing men. J Cancer Educ 28:503–508. doi:10.1007/s13187-013-0493-x
Palmer CGS, Boudreault P, Berman BA, Wolfson A, Duarte L, Venne VL et al (2016) Bilingual approach to online cancer genetics education for deaf American Sign Language users produces greater knowledge and confidence than English text only: a randomized study. Disabil Health J . doi:10.1016/j.dhjo.2016.07.002Article in press
Kushalnagar P, Smith S, Hopper M, Ryan C, Rinkevich M, Kushalnagar R (2016) Making cancer health text on the internet easier to read for deaf people who use American sign language. J Cancer Educ . doi:10.1007/s13187-016-1059-5Article in press
Zazove P, Meador HE, Reed BD, Gorenflo DW (2013 Jul) Deaf persons’ English reading levels and associations with epidemiological, educational, and cultural factors. J Health Commun 18(7):760–772
Hoang L, LaHousse SF, Nakaji MC, Sadler GR (2011) Assessing deaf cultural competency of physicians and medical students. J Cancer Educ 26(1):175–182. doi:10.1007/s13187-010-0144-4
Sheppard K (2014) Deaf adults and health care: giving voice to their stories. Journal of the American Association of Nurse Practitioners 26(9):504–510. doi:10.1002/2327-6924.12087
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This narrative review is based on available literature.
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This article is a part of a Ph.D. dissertation granted by the Iran University of Medical Sciences (Grant Number: IUMS/SHMIS_2014/294).
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NaseriBooriAbadi, T., Sadoughi, F. & Sheikhtaheri, A. Improving Cancer Literacy for the Deaf Using Deaf-Tailored Educational Interventions: a Review of the Literature. J Canc Educ 33, 737–748 (2018). https://doi.org/10.1007/s13187-017-1216-5
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DOI: https://doi.org/10.1007/s13187-017-1216-5