A Culturally and Linguistically Specific Deaf Depression Screener

针对文化和语言的聋人抑郁症筛查

• 批准号: 8394233
• 负责人: Elizabeth A Eckhardt
• 金额: $ 45.58万
• 依托单位: SOCIAL SCIENCES INNOVATIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8394233
• 关键词: Adult; Advisory Committees; American; Clinical; Clinical assessments; Communication; Computers; Confidentiality; Consent; DSM-IV; Data; Depression screen; Development; Diagnostic; Diagnostic Procedure; Ear; Guidelines; Health; Health Care Costs; Health Insurance Portability and Accountability Act; Health Personnel; Hearing; Hearing Aids; Hearing Impaired Persons; Individual; Internet; Knowledge; Linguistics; Link; Manuals; Measures; Mental Depression; Mental Health; Methods; Minority; Outcome; Patients; Performance; Persons; Physicians; Prevalence; Preventive; Primary Care Physician; Primary Health Care; Printing; Privacy; Procedures; Protocols documentation; Provider; Quality of life; Reading; Recommendation; Risk; Screening procedure; Self-Administered; Sensitivity and Specificity; Sensory; Services; Severities; Sign Language; Speech; Symptoms; Technology; Testing; Training; Translations; Underserved Population; Validity and Reliability; base; clinical practice; computerized; deafness; hearing impairment; improved; innovation; instrument; novel; response; user-friendly; web site

DESCRIPTION (provided by applicant): Hearing impairment/deafness is the most common sensory limitation in the U.S. An estimated 11 million individuals in the US are deaf or hard-of-hearing. It has been estimated that approximately 1 million Americans use American Sign Language (ASL) as their primary means of communication making it a distinct linguistic minority. This proposal seeks to improve clinical practice by creating a computerized, self-administered depression screener in ASL that is culturally and linguistically accessible to deaf individuals, an at-risk and traditionally underserved population. No current depression screeners have been shown to be valid for the majority of prelingually deaf persons who use ASL as their main communication mode. Studies have shown that depression occurs in higher rates among deaf persons than hearing persons. While the U.S. Preventive Services Task Force recommended systematic screening for depression in primary care clinical settings in 2002, deaf persons have not yet routinely had access to this preventive service. Providing primary care physicians with a depression screener that is culturally and linguistically accurate and can be self-administered via computer and can be used on iPads and iPhones with no further development, can greatly increase the chance that deaf persons with depression will receive proper diagnostic assessment and treatment which can substantially improve their quality of life. The Deaf Depression Screener will also improve scientific knowledge by providing a valid method for estimating the prevalence of depression among deaf persons in primary care which cannot now be accomplished due to the lack of a valid screening instrument. PUBLIC HEALTH RELEVANCE: Screening for depression is recommended for all primary care patients. Deaf persons who use American Sign Language as their main mode of communications are at risk for depression and cannot be screened with existing screeners. This proposal will develop a computerized, self-administered Deaf Depression Screener in American Sign Language that is culturally and linguistically specific and deaf user friendly.

描述（由申请人提供）：听力障碍/耳聋是美国最常见的感觉限制，估计美国有1100万人耳聋或听力困难。据估计，大约有100万美国人使用美国手语（ASL）作为他们的主要交流手段，使其成为一个独特的语言少数民族。这项提案旨在通过创建一个计算机化的，自我管理的抑郁症筛查在美国手语，是文化和语言上的聋人， 高危人群和传统上得不到充分服务的人群。目前没有抑郁症筛查已被证明是有效的大多数语前聋的人谁使用美国手语作为他们的主要沟通模式。研究表明，失聪者患抑郁症的比率高于听力正常者。虽然美国预防服务工作队建议在2002年在初级保健临床环境中进行抑郁症的系统筛查，但聋人尚未常规获得这种预防服务。为初级保健医生提供一种抑郁症筛查工具，这种工具在文化和语言上都是准确的，可以通过计算机自我管理，可以在iPad和iPhone上使用，无需进一步开发，可以大大增加患有抑郁症的聋人接受适当诊断评估和治疗的机会，这可以大大改善他们的生活质量。聋人抑郁症筛查还将通过提供一种有效的方法来估计初级保健中聋人的抑郁症患病率，从而提高科学知识，而由于缺乏有效的筛查工具，目前无法做到这一点。 公共卫生相关性：建议对所有初级保健患者进行抑郁症筛查。使用美国手语作为主要交流方式的聋人有患抑郁症的风险，不能用现有的筛查人员进行筛查。这项提案将开发一个计算机化的，自我管理的聋人抑郁症筛查在美国手语，是文化和语言的具体和聋人用户友好。