使用美国手语流利的社区卫生导航器通过视频会议与聋人,聋盲人和听力障碍的成年人推进癌症查遵守:随机对照试验的协议
Poorna Kushalnagar1, Sowmya R Rao2, Erika Bergeron1
1Center of Deaf Health Excellence, Gallaudet University, Washington, DC, United States.
JMIR research protocols
|September 9, 2025
概括
这项研究表明,流利使用美国手语的社区卫生导航员 (ASL-CHNs) 改善了聋,聋盲和听力障碍成人癌症查的遵守率. 视频会议的干预有效地弥合了沟通的差距,并提高了癌症治疗的准入.
科学领域:
- 健康差异研究 研究健康差异研究
- 公共卫生干预措施 公共卫生干预措施
- 医疗保健中的沟通可访问性
背景情况:
- 在聋,聋盲和听力障碍 (DDBHH) 成年人中持续的癌症查不遵守.
- 障碍包括沟通挑战,对美国手语 (ASL) 信息的有限访问以及导航困难.
- 交叉障碍影响多个边缘化的DDBHH个体.
研究的目的:
- 通过视频会议评估ASL流利社区卫生导航员 (ASL-CHNs) 的有效性.
- 为了提高DDBHH成年人癌症查遵守率.
- 评估对患者医生沟通和癌症知识的影响.
主要方法:
- 随机对照试验,200名DDBHH参与者 (100次干预,100次标准护理).
- 干预组通过视频会议获得ASL-CHN的支持.
- 主要结果:完成癌症查;次要:患者与医生的沟通;第三级:癌症知识.
主要成果:
- 初步数据显示,ASL-CHN干预组在癌症查遵守方面表现优于标准护理.
- 截至2025年8月,已实现超过75%的目标入学率.
- 干预支持了ASL-CHN促进非附加DDBHH参与者的坚持的假设.
结论:
- ASL-CHN干预提供了一个可访问,可扩展的解决方案,以减少癌症查差异.
- 视频会议的交付克服了以前查计划的局限性.
- 提高早期检测和减少DDBHH群体癌症死亡率的潜力.
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