Assessing Cardiovascular Risks in Deaf Adolescents who use Sign Language

描述（由申请人提供）：Scott R.史密斯，医学博士，公共卫生硕士是一个聋哑儿科医生谁是双语英语和美国手语（ASL）。他的职业生涯一直专注于特殊人群的医疗保健，这些人群通常服务不足，包括使用手语的聋哑儿童和青少年。史密斯博士的职业目标是成为一名领先的专家和独立研究人员，在聋人青少年的心血管健康知识和识字方面进行突破性研究。罗切斯特大学为史密斯博士提供了一个理想的环境，以实现他的目标，罗切斯特有大量的聋哑儿童和人群，罗切斯特大学医学中心正在积极成为一个卓越的中心，促进健康和疾病预防与人谁是聋人。史密斯将追求更先进的研究培训，包括正式的课程，辅导个性化的课程，咨询支持，导师咨询委员会会议，实地考察和全国会议，以发展必要的研究技能和社区合作，以实现他的目标和目的。此外，由于使用ASL的聋人似乎有更高的特定心血管风险，包括肥胖，史密斯博士将与他的导师，顾问和顾问合作开展一项研究项目，以进一步发展他的研究技能，并产生有关耳聋ASL青少年的关键心血管健康知识和识字技能的新的有价值的信息。他们将通过开发一种新的书面英语测量和调查特定的心血管健康知识和识字相关的饮食，运动和个人家庭心血管史的基础上，从焦点小组和认知访谈聋人青少年的结果来实现这一点。然后，他们将把这一书面英语调查改编成基于计算机的英语视听和基于计算机的美国手语视频调查，并将这些调查用于聋哑和听力正常的青少年群体，以评估他们具体的心血管健康知识和识字率。史密斯博士将与聋人和医疗保健社区分享数据，以计划未来的研究和干预措施，以解决聋人ASL社区的心血管健康差异。 公共卫生相关性：这个建议的指导职业发展奖的总体目标是斯科特史密斯，医学博士，公共卫生硕士成为一个独立的医生，科学家与职业生涯专注于心血管健康知识和识字的聋哑青少年谁使用手语。建议的指导研究项目的目的是评估特定的心血管健康知识和识字技能的聋人青少年主要通过美国手语（ASL）进行交流，通过制定一项新的措施和调查的关键心血管健康知识和识字技能集中在饮食，运动和个人家族史。我们将把这项新措施的重点放在文献中尚未衡量的健康素养方面，这将导致更有效的干预措施，以解决和减少通过手语交流的聋人社区中严重的心血管健康差异。 (End摘要）

DESCRIPTION (provided by applicant): Scott R. Smith, MD, MPH is a deaf pediatrician who is bilingual in English and American Sign Language (ASL). His career has focused on health care in special and often underserved populations including deaf children and adolescents who use sign language. Dr. Smith's career objective is to become a leading expert and independent researcher to conduct breakthrough research in cardiovascular health knowledge and literacy in deaf adolescents. The University of Rochester provides Dr. Smith with an ideal environment to work towards his objective with Rochester having a large population of deaf children and people and the University of Rochester Medical Center being motivated to become a center of excellence on health promotion and disease prevention with people who are deaf. Dr. Smith will pursue more advanced research training including formal coursework, mentored individualized curricula, consultative supports, mentorial advisory committee meetings, field trips, and national conferences to develop the necessary research skills and community collaborations to achieve his goals and objectives. Furthermore, because deaf people who use ASL appear to be at a higher risk for specific cardiovascular risks including obesity, Dr. Smith will work with his mentors, consultants, and advisors to conduct a research project to further his research skills development and to generate new and valuable information about critical cardiovascular health knowledge and literacy skills of deaf ASL adolescents. They will accomplish this by developing a new written English measure and survey of specific cardiovascular health knowledge and literacy related to diet, exercise, and personal family cardiovascular history based on findings from focus groups and cognitive interviews of deaf adolescents. They will then adapt this written English survey into computer- based English audio and visual and computer-based ASL video surveys and administer these surveys to cohorts of deaf and hearing adolescents to evaluate their specific cardiovascular health knowledge and literacy. Dr. Smith will share the data with the deaf and health care communities to plan future research and interventions to address the cardiovascular health disparities of the deaf ASL community. PUBLIC HEALTH RELEVANCE: The overarching aim of this proposed Mentored Career Development Award is for Scott Smith, MD, MPH to become an independent physician-scientist with a career focused on cardiovascular health knowledge and literacy in deaf adolescents who use sign language. The aim of the proposed mentored research project is to assess specific cardiovascular health knowledge and literacy skills in deaf adolescents who primarily communicate through American Sign Language (ASL) by developing a new measure and survey of critical cardiovascular health knowledge and literacy skills focused on diet, exercise, and personal family history. We will focus this new measure to capture aspects of health literacy not yet measured in literature, which will lead to more effective interventions to address and reduce the critical cardiovascular health disparities in the community of deaf people who communicate through sign language. (End of Abstract)