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Adult deaf sign language users and audiology services: a scoping review on cultural competence practices
Celia Hulme1, Katherine Rogers1, Alys Young1,2
1Social Research with Deaf People (SORD), School of Health Sciences, University of Manchester, Manchester, UK.
Objective:
To examine literature on cultural competence in audiology services for Deaf adult sign language users, identifying themes, evidence gaps, and systemic barriers to inclusive care.
Design:
Scoping review following JBI methodology and PRISM-ScR guidance, with a narrative synthesis and a light-touch quality assessment.
Study Sample:
Comprehensive searches in CINAHL, EMBASE, Project MUSE, PsycINFO, PubMed, and SSCI, supplemented by hand-searching and grey literature, identified 575 sources, of which 13 met inclusion criteria.
Results:
Four themes were identified: (1) The gap between intent and practice in sign language use (2) Interpreter access: inconsistency and over-reliance; (3) Recognising Deaf signers as a cultural-linguistic minority and (4) Barriers to fostering a culturally competent environment.
Conclusions:
This review synthesises evidence on culturally competent audiology care for Deaf signers. Findings highlight systemic exclusion of Deaf individuals as a cultural-linguistic minority and over-reliance on interpreters, which may create superficial access without broader cultural understanding. There is a critical need for whole-service research to inform more inclusive audiology practice.
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