New Strategies for Reducing Cancer Disparities in the Deaf Community

描述（由申请人提供）：获得最新的癌症预防和早期检测知识对每个人来说都是困难的。也许更困难的是整理出快速做出明智决定所需的信息。当存在语言和文化障碍时，这个过程变得更加困难。聋人社区就像所有其他社区一样，面临着文化障碍，以及与使用英语作为第二语言相关的语言和阅读障碍。然而，很少有健康促进计划可以为他们服务。聋人亲和组织的一个正在进行的合作项目是为聋人社区制作美国手语（ASL）的癌症教育视频。这项提议将测试一种新的策略，以改善聋人社区获得癌症信息和护理的机会。它解决了美国手语（ASL）中对更多医学术语符号的需求，并使ASL口译员在翻译时更好地理解肿瘤学。其中一个合作机构，聋人口译员登记处（RID）认识到，这些视频可以作为一个肿瘤学培训项目的基础，传播给全国的美国手语口译员。当口译员将他们更先进的癌症知识和口译技能用于应对癌症的客户时，他们还可以将客户引导到现有的癌症教育视频库，从而进一步传播知识和使用这些现有资源。该项目将：1)保持持续的共识建设讨论，以确定或发展最好的迹象来解释癌症、癌症预防、诊断、治疗、生存和姑息；2)创建并推广一个在线医学术语词汇表及其平行的美国手语符号，由共识小组推荐给聋人社区和为他们服务的口译员使用；3)在美国手语癌症词汇网站上交叉推广美国手语癌症教育视频，在美国手语癌症教育视频网站上交叉推广美国手语癌症词汇网站；4)定义基本癌症知识和科学素养的基础，这将有助于ASL口译员在翻译癌症相关互动时为客户提供更清晰的口译能力；5)制作DVD教育模块，使口译员了解最常见的癌症和科学概念以及治疗方案，并制定培训前和培训后的调查，旨在评估口译员在完成每个培训模块后知识变化的程度；6)邀请ASL口译员使用模块并进行教育前后调查，测试模块和补充培训材料是否成功提高了口译员对癌症基本信息的认识；7)在全国范围内培训至少250名口译员，达到参加美国手语肿瘤学认证考试的口译员人数的临界点；8)将开发的ASL肿瘤学项目移交给RID或其他负责管理培训和认证考试的机构。

DESCRIPTION (provided by applicant): Gaining up-to-date cancer prevention and early detection knowledge is difficult for everyone. Perhaps more difficult is sorting through the information needed to make informed decisions quickly. This process becomes even harder when language and cultural barriers exist. The Deaf community is like all other communities who face cultural barriers, as well as language and reading barriers associated with using English when it is an acquired second language. However, few health promotion programs are available to serve them. An ongoing project of this partnership, of Deaf affinity organizations, is to create cancer education videos in American Sign Language (ASL) for the Deaf community. This proposal will test a new strategy for improving the Deaf community's access to cancer information and care. It addresses the need for more medical terminology signs within American Sign Language (ASL) and for ASL interpreters to have a better understanding of oncology when translating. One of the partnership agencies, the Registry of Interpreters for the Deaf (RID), recognized that these same videos could be the foundation of an oncology training program disseminated to ASL interpreters nationwide. As they use their more advanced cancer knowledge and interpreting skills with clients coping with cancer, interpreters will also be able to direct their clients to the existing library of cancer education videos, thereby further disseminating knowledge and use of those existing resources. This project will: 1) maintain an on-going consensus building discussion to identify or develop the best signs to explain cancer, cancer prevention, diagnosis, treatment, survivorship, and palliation; 2) create and promote an on-line glossary of medical terms and their parallel ASL signs that the consensus panel recommends for use by the Deaf community and the interpreters who serve them; 3) cross promote the ASL cancer education videos on the ASL cancer glossary website and cross promote the ASL cancer glossary website on the ASL cancer education videos website; 4) define the foundation of basic cancer knowledge and scientific literacy that would facilitate ASL interpreters' ability to produce clearer interpretations for their clients when translating cancer-related interactions; 5) create educational modules on DVD that will give the interpreter an understanding of the most common cancer and scientific concepts and treatment options, plus develop pre- and post-training surveys intended to assess the degree of interpreters' change in knowledge following completion of each training module; 6) invite ASL interpreters to use the modules and pre- and post-education surveys to test whether the modules and supplementary training materials succeed in raising the interpreters' knowledge of essential cancer information; 7) take at least 250 interpreters nationwide through the final training modules to reach a tipping point in the number of ASL interpreters who would be prepared to undertake an ASL Oncology Certification Exam; and 8) turn over the developed ASL Oncology Program to RID or other agency then responsible administering training and certification exams.