Abstract：
Patients affected from hearing loss face many problems when visiting oncologists. We conducted a systematic review to survey if cancer education programs can promote health literacy among deaf and hard of hearing (DHH) patients. The authors searched two databases for RCTs, and cohort studies with interventions promoting cancer health literacy for adult DHH patients. Risk of bias was assessed with SIGN Methodology Checklist for RCTs, and cohort studies. Significance of mean changes over time, and mean differences between comparison groups were used to present outcomes of each study. Surveyed interventions addressed three domains: cancer knowledge, coping skills, and cancer screening. Key information was gathered and synthesized providing a juxtaposition of the content and presenting important effects in detail. Nine RCTs and seven cohorts with 1865 participants were included. In total, 13 studies showed that cancer health literacy interventions improved mean scores significantly from pre- to post-test measures. There are hints that captioning and written texts may be sufficient for milder forms of hearing loss. Three studies showed that resiliency skill training promotes various domains of well-being. Three studies indicated that educational interventions encourage cancer screening practices. Educational programs are an effective way to promote cancer health literacy among DHH patients to facilitate communication with oncologists. As extent of hearing loss was not assessed, the authors cannot say the degree to which results are applicable to all degrees of hearing loss. To obtain hard data, further studies with more diverse populations, various cancer entities, different methods, and exact hearing loss assessments are required.
摘要：
受听力损失影响的患者在拜访肿瘤学家时会面临许多问题。我们进行了系统的审查，以调查癌症教育计划是否可以促进聋哑和听力障碍（DHH）患者的健康素养。作者在两个数据库中搜索了RCT,和队列研究，通过干预措施促进成人DHH患者的癌症健康素养。使用随机对照试验的SIGN方法学清单评估偏倚风险，和队列研究。平均随时间变化的意义，比较组之间的平均差异被用来显示每个研究的结局.调查的干预措施涉及三个领域：癌症知识，应对技巧,和癌症筛查。收集并合成了关键信息，提供了内容的并列并详细介绍了重要影响。包括9个RCT和7个队列，共1865名参与者。总的来说,13项研究表明，从测试前到测试后，癌症健康素养干预措施显着提高了平均得分。有迹象表明，字幕和书面文本可能足以缓解较温和的听力损失。三项研究表明，弹性技能培训可促进福祉的各个领域。三项研究表明，教育干预鼓励癌症筛查实践。教育计划是促进DHH患者癌症健康素养的有效方法，以促进与肿瘤学家的沟通。由于没有评估听力损失的程度，作者无法说出结果适用于所有程度的听力损失的程度.为了获得硬数据，对更多不同人群的进一步研究，各种癌症实体，不同的方法,和准确的听力损失评估是必需的。
