title: Breast cancer education for the Deaf community in American Sign Language.
abstract: OBJECTIVE
  To create and evaluate an educational video designed to increase breast cancer-related knowledge and screening behaviors among women who are deaf and use American Sign Language (ASL) as their preferred communication method.
  
  
  METHODS
  A test-retest survey was used to determine retained knowledge following an intervention with an ASL breast cancer education video.
  
  
  METHODS
  Deaf-friendly community settings in southern California.
  
  
  METHODS
  122 women who were deaf with a preference for communicating via ASL.
  
  
  METHODS
  Participants completed a knowledge survey to determine their breast cancer screening practices and baseline breast cancer awareness. Participants then viewed a 30-minute video in ASL. Immediately after viewing the video, participants completed an identical knowledge survey. The survey was administered again two months after the initial intervention to determine long-term breast cancer knowledge retention.
  
  
  METHODS
  Age, breast cancer knowledge and screening practices, education, and health insurance.
  
  
  RESULTS
  At baseline, breast cancer knowledge varied widely and respondents' answered an average of 3 out of 10 questions correctly. Postintervention, respondents answered an average of 8 out of 10 questions correctly, a significant increase from the baseline scores. At the two-month follow-up, respondents answered an average of 6 out of 10 questions correctly, still a significant increase from the baseline scores.
  
  
  CONCLUSIONS
  Breast cancer knowledge of women who are deaf increased significantly by viewing an educational video in ASL and most of the new knowledge remained at the two-month follow-up.
  
  
  CONCLUSIONS
  Nurses can help improve the Deaf community's (DC's) access to breast cancer-related information by disseminating awareness of this online program.
  
  
  CONCLUSIONS
  With this online resource, nurses can more easily initiate discussions to help improve knowledge and screening behaviors in a linguistically and culturally appropriate manner. Improving the DC's access to breast cancer information is of paramount importance to reducing breast cancer morbidity and mortality in the DC.
authors.affiliation: Department of Surgery, School of Medicine at the University of California, San Diego, USA.
authors.forename: Sean
authors.initials: S
authors.lastname: Hickey
authors.forename: Erin L
authors.initials: EL
authors.lastname: Merz
authors.forename: Vanessa L
authors.initials: VL
authors.lastname: Malcarne
authors.forename: Darlene Clark
authors.initials: DC
authors.lastname: Gunsauls
authors.forename: Jessica
authors.initials: J
authors.lastname: Huang
authors.forename: Georgia Robins
authors.initials: GR
authors.lastname: Sadler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000451:nursing; D060345:Education of Persons with Hearing Disabilities / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019986:Persons with Hearing Disabilities; D012111:Residence Characteristics; D012813:Sign Language; D014741:Video Recording / Q000379:methods*; D055815:Young Adult