Hickey Sean, Merz Erin L, Malcarne Vanessa L, Gunsauls Darlene Clark, Huang Jessica, Sadler Georgia Robins
Department of Surgery, School of Medicine at the University of California, San Diego, USA.
Oncol Nurs Forum. 2013 May 1;40(3):E86-91. doi: 10.1188/13.ONF.E86-E91.
PURPOSE/OBJECTIVES: To create and evaluate an educational video designed to increase breast cancer-related knowledge and screening behaviors among women who are deaf and use American Sign Language (ASL) as their preferred communication method.
A test-retest survey was used to determine retained knowledge following an intervention with an ASL breast cancer education video.
Deaf-friendly community settings in southern California.
122 women who were deaf with a preference for communicating via ASL.
Participants completed a knowledge survey to determine their breast cancer screening practices and baseline breast cancer awareness. Participants then viewed a 30-minute video in ASL. Immediately after viewing the video, participants completed an identical knowledge survey. The survey was administered again two months after the initial intervention to determine long-term breast cancer knowledge retention.
Age, breast cancer knowledge and screening practices, education, and health insurance.
At baseline, breast cancer knowledge varied widely and respondents' answered an average of 3 out of 10 questions correctly. Postintervention, respondents answered an average of 8 out of 10 questions correctly, a significant increase from the baseline scores. At the two-month follow-up, respondents answered an average of 6 out of 10 questions correctly, still a significant increase from the baseline scores.
Breast cancer knowledge of women who are deaf increased significantly by viewing an educational video in ASL and most of the new knowledge remained at the two-month follow-up.
Nurses can help improve the Deaf community's (DC's) access to breast cancer-related information by disseminating awareness of this online program.
With this online resource, nurses can more easily initiate discussions to help improve knowledge and screening behaviors in a linguistically and culturally appropriate manner. Improving the DC's access to breast cancer information is of paramount importance to reducing breast cancer morbidity and mortality in the DC.
目的/目标：制作并评估一部教育视频，该视频旨在增加以美国手语（ASL）为首选交流方式的聋人女性的乳腺癌相关知识及筛查行为。
采用重测调查来确定在接受美国手语乳腺癌教育视频干预后知识的留存情况。
南加州对聋人友好的社区环境。
122名偏好通过美国手语交流的聋人女性。
参与者完成一份知识调查问卷，以确定其乳腺癌筛查行为及基线乳腺癌知晓情况。参与者随后观看一部30分钟的美国手语视频。观看视频后，参与者立即完成一份相同的知识调查问卷。在首次干预两个月后再次进行该调查，以确定乳腺癌知识的长期留存情况。
年龄、乳腺癌知识及筛查行为、教育程度和医疗保险。
在基线时，乳腺癌知识差异很大，受访者平均10个问题中答对3个。干预后，受访者平均10个问题中答对8个，与基线得分相比有显著提高。在两个月的随访中，受访者平均10个问题中答对6个，与基线得分相比仍有显著提高。
通过观看美国手语教育视频，聋人女性的乳腺癌知识显著增加，且大部分新知识在两个月的随访中仍然留存。
护士可以通过宣传该在线项目来帮助改善聋人社区获取乳腺癌相关信息的情况。
借助这个在线资源，护士可以更轻松地发起讨论，以语言和文化适宜的方式帮助提高知识水平和筛查行为。改善聋人社区获取乳腺癌信息的情况对于降低聋人社区的乳腺癌发病率和死亡率至关重要。
