TECHNOLOGIES FOR HEALTH EDUCATION FOR THE DEAF: INTEGRATIVE REVIEW

integrative review carried out in October 2017, with the publications of the last 15 years, in the databases MEDLINE/PubMed, CINAHL, LILACS via Biblioteca Virtual em Saúde (BVS), Web of Science and Scopus.

Results:

we found 3367 articles, of which 19 were included in the study. The predominant type of technology was video, present in ten studies and computerized technologies, such as web sites and online courses, in four studies. The topic most approached by the technologies was cancer, in ten studies and oral health in three. Two articles were methodological, in 17 the application of the technology with deaf occurred and in 16 of these the efficacy and/or viability for health education was proven.

Conclusion:

educational technologies are mostly videos that are comprehensible to deaf people and effective for use in health education.

DESCRIPTORS
Health education; Teaching materials; Educational technology.; Audiovisual aids; People with hearing impairment

Year Country	Educational technology Theme	Results/Conclusion
2017 Iran1313. Abbasi M, Eslami S, Mohammadi M, Khajouei R. The pedagogical effect of a heal the education application for deaf and hard of hearing students in elementary schools. Electronic Physician [Internet]. 2017[cited 2018 Jun 2]; 9(9):5199-205. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/29038697 https://www.ncbi.nlm.nih.gov/pubmed/2903...	Application Oral Health	Effective application for teaching.
2016 Brazil1414. Áfio ACE, Carvalho AT, Carvalho LV, Silva ASR, Pagliuca LMF. Accessibility assessment of assistive technology for the hearing impaired. Rev Bras Enferm [Internet]. 2016[cited 2018 Jun 2]; 69(5):781-7. Available from: Available from: http://www.scielo.br/pdf/reben/v69n5/en_0034-7167-reben-69-05-0833.pdf http://www.scielo.br/pdf/reben/v69n5/en_...	Online course Sexual health	Course adapted to accessibility standards.
2015 Romania1515. Chiriac IA, Stoicu-Tivadar L, Podoleanu E. Comparing video and avatar technology for a health education application for deaf people. Stud Health Technol Inform[Internet]. 2015[cited 2018 Jun 2]; 210:516-20. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/25991201 https://www.ncbi.nlm.nih.gov/pubmed/2599...	Avatar Oral Health	Animated Avatar is more complex, more time-consuming and costly construction, lower quality, compared to the human avatar.
2015 United States1616. Kushalnagar P, Naturale J, Paludneviciene R, Smith SR, Werfel E, Doolittle R, et al. Health Websites: Accessibility and usability for American sign language users. Health Commun [Internet]. 2015 [cited 2018 Jun 2]; 30(8):830-37. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/24901350 https://www.ncbi.nlm.nih.gov/pubmed/2490...	web sites Skin cancer	Web sites insufficient usability by deaf people with less schooling.
2014 Taiwan1717. Lee YH, Wang HL, Li CY, Shiao AS, Tu TY. Exploring the effectiveness of a heal the ducation program on the stimuli frame and on uncertainty in patients with sudden hearing loss. J Nurs [Internet]. 2014 [cited 2018 Jun 2] Jun;61(3):36-44. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/24899557 https://www.ncbi.nlm.nih.gov/pubmed/2489...	Flyer Uncertainty of deafness	Experimental group there was a reduction of uncertainty.
2013 Thailand1818. Srisorachatr S, Huadong Y, Hudthagosol C, Danthanavanich S. Computer assiste dinstruction on “learning nutrition flags for deaf 5th grade and 6th gradstudents”: effectiveness of instruction. J Med Assoc Thai [Internet].2013[cited 2018 Jun 2]; 96(Suppl. 5):S49-S54. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/24851573 https://www.ncbi.nlm.nih.gov/pubmed/2485...	Computer Healthy eating	Greater knowledge in the post-test.
2013 United States1919. Sacks L, Nakaji M, Harry KM, Oen M, Malcarne VL, Sadler GR. Testicular cancer knowledge among deaf and hearing men. J Cancer Educ [Internet]. 2013[cited 2018 Jun 2]; 28(3):503-508. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/23813488 https://www.ncbi.nlm.nih.gov/pubmed/2381...	Video Testicular cancer	Increase in the knowledge of deaf men and listeners.
2013 United States2020. Jensen LG, Nakaji M, Harry KM, Gallegos N, Malcarne VL, Sadler GR. Ovarian cancer: deaf and hearing women’s knowledge before and after an educational video. J Canc Educ [Internet]; 2013 [cited 2018 Jun 2] 28:647-55. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/23975658 https://www.ncbi.nlm.nih.gov/pubmed/2397...	Video Ovary cancer	Improvement in the knowledge of deaf and hearing after video.
2013 United States2121. Hickey S, Merz EL, Malcarne VL, Gunsauls DC, Huang J, Sadler GR. Breast cancer education for the deaf community in American sign language. Oncolog Nurs Forum [Internet]. 2013[cited 2018 Jun 2]; 40(3):e86-e91.Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/23615152 https://www.ncbi.nlm.nih.gov/pubmed/2361...	Video Breast cancer	Increased knowledge after two months.
2012 Thailand2222. Arunakul M, Kuphasuk Y, Boonyathanasit R. Effectiveness of oral hygiene instruction media on periodontal health among hearing impaired children. Southeast Asian J Trop Med Public Health [Internet]. 2012[cited 2018 Jun 2]; 43(5):1297-303. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/23431840 https://www.ncbi.nlm.nih.gov/pubmed/2343...	Video and book Oral Health	Improvement in oral health in both groups.
2012 United States2323. Harry KM, Malcarne VL, Branz P, Fager M, Garcia BD, Sadler GR. Evaluating a skin cancer education program for the deaf community. J Canc Educ [Internet]. 2012 [cited 2018 Jun 2]; 27:501-6. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4153386/ https://www.ncbi.nlm.nih.gov/pmc/article...	Video Skin cancer	Experimental group obtained greater knowledge.
2012 United States2424. Yao CS, Merz EL, Nakaji M, Harry KM, Malcarne VL, Sadler GR. Cervical cancer control: deaf and hearing women’s response to an educational video. J Canc Educ [Internet]. 2012 [cited 2018 Jun 2]; 27:62-66. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/21892725 https://www.ncbi.nlm.nih.gov/pubmed/2189...	Video Cervical cancer	Video increased awareness of deaf and hearing women.
2012 United States2525. Zazove P, Meador HE, Reed BD, Sem A, Gorenflo DW. Effectiveness of videos improving cancer prevention knowledge in people with profound hearing loss. J Canc Educ [Internet]. 2012 [cited 2018 Jun 2]; 27:327-37. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/22528628 https://www.ncbi.nlm.nih.gov/pubmed/2252...	Video Cancer Prevention	Knowledge improved in the post-test, but no difference between groups.
2010 United States2626. Shabaik S, La Housse SF, Branz P, Gandhi V, Khan AM, Sadler GR. Colorectal cancer video for the deaf community: a randomized control trial. J Canc Educ [Internet]. 2010 [cited 2018 Jun 2]; 25:518-23. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/20393824 https://www.ncbi.nlm.nih.gov/pubmed/2039...	Video Colorectal cancer	Experimental group gained more knowledge.
2010 United States2727. Wang R, Aldridge AA, Malcarne VL, Choe S, Branz P, Sadler GR. Health locus of control and assimilation of cervical cancer information in deaf women. J Canc Educ [Internet]. 2010 [cited 2018 Jun 2]; 25:354-9. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/20229077 https://www.ncbi.nlm.nih.gov/pubmed/2022...	Video Cervical cancer	Knowledge was greater after video.
2009 United States2828. Wilson JAB, Wells MG. Tele health and the deaf: a comparison study. J Deaf Stud Deaf Educ [Internet]. 2009 [cited 2018 Jun 2]; 14(3):386-402. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/19398534 https://www.ncbi.nlm.nih.gov/pubmed/1939...	Telehealth Depression	Knowledge increased after telehealth.
2009 United States2929. Choe S, Lim RS, Clark K, Wang R, Branz P, Sadler GR. The impact of cervical cancer education for deaf wome nusing a video educational tool employing American sign language, open caption in gand Graphics. J Cancer Educ [Internet].2009 [cited 2018 Jun 2]; 24:10-55. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772714/ https://www.ncbi.nlm.nih.gov/pmc/article...	Video Cervical Cancer	There was greater knowledge in the intervention group.
2009 United States3030. Pollard Jr RQ, Dean RK, O’Hearn A, Haynes SL. Adapting heal the education material for deaf audiences. Rehabil Psychol[Internet].2009[cited 2018 Jun 2]; 54(2):232-8. Available from: Available from: https://www.ncbi.nlm.nih.gov/pubmed/19469615 https://www.ncbi.nlm.nih.gov/pubmed/1946...	Films Asthma, chemical poisoning and chemical accident	The themes and contents were understood by the deaf.
2003 Brazil3131. Sousa RA, Pagliuca LMF. Education in sexual and reproductive health for deaf: apreciation [sic] of methodology. Acta Paulista de Enfermagem.2003;16(1):22-29.	Book Sexual health	There was apprehension of the knowledge in the post-test.

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[1] CORRESPONDENCE AUTHOR:
Nelson Miguel Galindo Neto nelsongalindont@hotmail.com