Deaf Community Cancer Information Diffusion Strategies

描述（由申请人提供）：聋人和重听人社区（DHHC）在获得卫生服务方面遇到的障碍与其他少数民族社区类似。早期听力损失产生了强烈的文化亲和力，一种独特的语言（美国手语），并减少了获得健康信息和护理的机会。卫生保健中心分布广泛，90%的成员出生在有听力的家庭，这使得向其个人提供健康信息更加困难。自1997年以来，加州大学圣地亚哥分校癌症中心、圣地亚哥聋人社区服务公司、加劳德特大学和Bovee Productions建立了一个合作伙伴关系，创建/测试了一个癌症教育项目，以改善DHHC获得健康信息的途径，并在全州范围内提供服务。该节目由美国手语癌症教育视频组成，配有开放字幕和语音覆盖。该提案旨在扩大此类视频的数量，并测试旨在将该计划推广到全国的传播策略，包括与聋人部、DHHC服务机构、美国癌症协会区域办事处、CIS办事处和全国聋人协会字幕媒体计划建立国家合作伙伴关系。视频也将被数字化，分成问答两部分，并放在癌症中心的网站上，供DHHC 24小时访问。将评估电子社会营销策略，以促进网站的使用。为了引起卫生保健中心对这个和其他卫生网站的注意，该伙伴关系还将测试网络广播节目原型，使卫生保健中心能够获得与听力社区通过广播谈话节目获得的信息相同的信息水平。随着合作伙伴对算法的改进，ASL的精细动作可以清晰地进行网络直播，合作伙伴将提供原型的存档、数字化、流媒体网络直播视频。提议的评估策略已经经过测试，包括评估互联网接入的新软件、合作分销机构的调查数据、地理跟踪软件，以及在卫生保健提供者和DHHC的全国会议上的演示。

DESCRIPTION (provided by applicant): The Deaf and Hard of Hearing community (DHHC) experiences barriers to health services similar to other minority communities. Early hearing loss creates a strong cultural affinity, a unique language (American Sign Language), and a diminished access to health information and care. The DHHC is widely dispersed and 90% of its members are born into hearing families, making it even more difficult to reach its individuals with health information. A Partnership since 1997 of UCSD Cancer Center, Deaf Community Services of San Diego, Inc., Gallaudet University, and Bovee Productions, has created/tested a cancer education program to improve the DHHC's access to health information and has made the services available statewide. The program consists of ASL cancer education videos with open captioning and voice overlay. This proposal seeks to expand the number of such videos and to test dissemination strategies designed to take the program nationwide, including national partnerships with deaf ministries, DHHC service agencies, American Cancer Society's regional offices, CIS offices, and the National Association of the Deafs Captioned Media Program. Videos will also be digitized, segmented into question and answer dyads, and mounted on the Cancer Center's website for round-the-clock access by the DHHC. E-social marketing strategies will be evaluated to promote website use. To draw the DHHC's attention to this and other health websites, the Partnership will also test webcast program prototypes to give the DHHC access to the same level of information that the hearing community gets through radio talk shows. As the Partnership hones the algorithms that allow ASL's fine motor movements to be webcast clearly, the Partnership will offer archived, digitized, streaming webcast videos of the prototypes. Proposed evaluation strategies have already been tested, including new software to assess Internet access, survey data from partnering distribution agencies, geographic tracking software, and demonstrations at health care providers' and DHHC's national meetings.