Using technology-enhanced approaches to advance cancer health equity among diverse deaf, deafblind, and hard of hearing populations.

使用技术增强的方法来促进不同聋哑人、聋盲人和听力障碍人群的癌症健康公平。

基本信息

批准号：
10534477
负责人：
Poorna Kushalnagar
金额：
$ 11.12万
依托单位：
GALLAUDET UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2023-08-31
项目状态：
已结题

项目摘要

About 500,000 use American Sign Language (ASL). Among DDBHH people who use ASL, there are documented reports of difficulties in understanding cancer health information in print, accessing clinical services for screenings, and understanding and following treatment-related directives if the screening results warrant a cancer diagnosis. These difficulties contribute to the health inequity that we observed in the DDBHH populations. Community health workers have proven their value with hearing patients, so it is reasonable to expect that ASL- proficient community health workers (CHW) will have the same potential to identify and resolve DDBHH people’s barriers to receiving optimal care for cancer prevention and screening. We envision an ASL-proficient CHW, functioning as a cancer health navigator, who is able to promote cancer screening adherence and reduce health disparity among DDBHH people. This research will build on the team’s current NIH-funded research and recently developed technology platform, specifically SNAP (the System for Navigational Assistance for Patients), a technology to support cancer patient navigators, and REPEAT (Realizing Enhanced Practice through Adaptive Tutoring), a tool to build virtual guided practice environments for developing skills in clinical communication domains. Use of SNAP and REPEAT will provide an advanced starting point that allows us to focus on the specific training and community application needs of the DDBHH community, rather than new technology development. Our ability to address these specific needs and to appropriately deliver and evaluate the interventions is supported by a highly interdisciplinary team, spanning expertise in DDBHH health disparity, disability studies, public health, health informatics, cultural anthropology, human factors engineering, and computer science

大约500,000使用美国手语（ASL）。记录的有关理解印刷癌症健康信息的差异的报告，访问临床服务用于筛查，以及张贴并遵循与治疗相关的指令癌症诊断。社区卫生工作者具有听力患者的价值，因此可以合理地期望熟练的社区卫生工作者（CHW）将具有识别和解决DDBHH的相同潜力人们对预防癌症和筛查的最佳护理的障碍 CHW，作为癌症健康导航器，能够促进癌症筛查并减少 DDBHH人的健康差异。最近开发的技术平台，特别是SNAP（为患者提供导航援助系统）一种支持癌症患者导航器和重复器的技术（通过Adaptivee实现了增强的练习辅导），一个建立虚拟指导练习环境以发展临床交流技能技能的环境域的使用。 DDBHH社区的特定培训和社区应用需求，而不是新技术开发。干预措施得到了一个高度跨学科的团队的支持，涵盖了DDBHH健康差异方面的专业知识，滥用性研究，公共卫生，健康信息，文化人类学，人为因素工程和计算机科学