权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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

约有50万人使用美国手语(ASL)。在使用ASL的DDBHH用户中，有在了解印刷的癌症健康信息、获取临床服务方面存在困难的书面报告对于筛查，以及理解和遵循与治疗相关的指令(如果筛查结果需要癌症诊断。这些困难导致了我们在DDBHH人群中观察到的健康不平等。社区卫生工作者已经证明了他们对听力患者的价值，因此有理由预计ASL- 熟练的社区卫生工作者(CHW)将具有相同的潜力来识别和解决DDBHH 人们在接受最佳癌症预防和筛查护理方面的障碍。我们设想一个精通美国手语的人 CHW，作为癌症健康导航员，能够促进癌症筛查的遵守并减少 DDBHH人群的健康差距。这项研究将建立在该团队目前由NIH资助的研究和最近开发的技术平台，特别是SNAP(患者导航辅助系统)，支持癌症患者导航器和重复(通过自适应实现增强实践)的技术辅导)，这是一种构建虚拟指导实践环境的工具，用于培养临床沟通技能域名。使用SNAP和Repeat将提供一个高级起点，使我们能够专注于 DDBHH社区的特定培训和社区应用需求，而不是新技术发展。我们有能力满足这些特定需求，并适当地交付和评估干预措施得到了一个高度跨学科的团队的支持，他们拥有DDBHH健康差距方面的专业知识，残疾研究、公共卫生、健康信息学、文化人类学、人因工程和计算机科学