Barriers Faced by Deaf Individuals while Availing Speech and Hearing Services
Abstract
Background and Aim: Deaf individuals in India face significant auditory impairment, leading to challenges in accessing services. Studies highlight the need to enhance communication services and accessibility to ensure fair access to resources for the deaf community. The present study aimed to address the barriers faced by deaf individuals while availing speech and hearing services in India.
Methods: A total of 325 deaf individuals were considered in the age range of 18–30 years, and a survey research design was employed. A 25-item questionnaire was developed under three domains: communication barriers, service access barriers, and psychological barriers. The questionnaires were given to the participants to fill, and the responses were calculated.
Results: The overall results revealed that service access barriers were more compared to communication barriers and psychological barriers. In services-related barriers, the results revealed communication barriers, 74% of the participants preferred sign language during speech and hearing consultations and required counselling by professionals in sign language. Further, in terms of psychological barriers, 70% of participants lacked confidence in visiting speech and hearing institutes/clinics. Moreover, 78.8% of participants reported a need for more materials in sign language at the appointment sections and a lack of sign language interpreters while accessing services in terms of service access barriers.
Conclusion: Addressing these barriers faced by deaf individuals is critical to ensure equitable access to services and promote positive experiences while they are availing speech and hearing services.
2. Yet AXJ, Hapuhinne V, Eu W, Chong EY, Palanisamy UD. Communication methods between physicians and Deaf patients: A scoping review. Patient Educ Couns. 2022;105(9):2841-9. [DOI:10.1016/j.pec.2022.05.001]
3. Thongtawee A, Pinsanoh O, Kitjaidure Y. A novel feature extraction for American sign language recognition using webcam. In 2018 11th Biomedical Engineering International Conference (BMEiCON) 2018 Nov 21 (pp. 1-5). IEEE. [DOI:10.1109/BMEiCON.2018.8609933]
4. McKee M, James TG, Helm KVT, Marzolf B, Chung DH, Williams J, et al. Reframing Our Health Care System for Patients With Hearing Loss. J Speech Lang Hear Res. 2022;65(10):3633-45. [DOI:10.1044/2022_JSLHR-22-00052]
5. Appelman KI, Callahan JO, Mayer MH, Luetke BS, Stryker DS. Education, employment, and independent living of young adults who are deaf and hard of hearing. Am Ann Deaf. 2012;157(3):264-75. [DOI:10.1353/aad.2012.1619]
6. Houston K, Lammers HB, Svorny S. Perceptions of the Effect of Public Policy on Employment Opportunities for Individuals Who Are Deaf or Hard of Hearing. J Disabil Policy Stud. 2010;21(1):9-21. [DOI:10.1177/1044207309357428]
7. McKee M, Schlehofer D, Thew D. Ethical issues in conducting research with deaf populations. Am J Public Health. 2013;103(12):2174-8. [DOI:10.2105/AJPH.2013.301343]
8. Dimitra M, Christina A, Evangelos F. Deaf People Accessibility in Health Services. Health Sci Res. 2014;1(4):102-6.
9. Barnett S. Communication with deaf and hard-of-hearing people: a guide for medical education. Acad Med. 2002;77(7):694-700. [DOI:10.1097/00001888-200207000-00009]
10. Shuler GK, Mistler LA, Torrey K, Depukat R. Bridging communication gaps with the deaf. Nursing. 2013;43(11):24-30; quiz 30-1. [DOI:10.1097/01.NURSE.0000435197.65529.cd]
11. Chaveiro N, Porto CC, Barbosa MA. The relation between deaf patients and the doctor. Braz J Otorhinolaryngol. 2009;75(1):147-50. [DOI:10.1016/s1808-8694(15)30846-6]
12. Iezzoni LI, O'Day BL, Killeen M, Harker H. Communicating about health care: observations from persons who are deaf or hard of hearing. Ann Intern Med. 2004;140(5):356-62. [DOI:10.7326/0003-4819-140-5-200403020-00011]
13. Harmer L. Health care delivery and deaf people: practice, problems, and recommendations for change. J Deaf Stud Deaf Educ. 1999;4(2):73-110. [DOI:10.1093/deafed/4.2.73]
14. Scheier DB. Barriers to health care for people with hearing loss: a review of the literature. J N Y State Nurses Assoc. 2009;40(1):4-10.
15. Kuenburg A, Fellinger P, Fellinger J. Health Care Access Among Deaf People. J Deaf Stud Deaf Educ. 2016;21(1):1-10. [DOI:10.1093/deafed/env042]
16. Appiah PK, Fenu GA, Asalu GA, Dzata WM, Bonchel DA, Abdul-Rahman TI, et al. Communication Experiences of Speech and Hearing Impaired Clients in Accessing Healthcare in Hohoe Municipality of Volta Region, Ghana. Eur Sci J. 2018;14(12):209-28. [DOI:10.19044/esj.2018.v14n12p209]
17. Marschark M, Convertino CM, Macias G, Monikowski CM, Sapere P, Seewagen R. Understanding communication among deaf students who sign and speak: a trivial pursuit? Am Ann Deaf. 2007;152(4):415-24. [DOI:10.1353/aad.2008.0003]
18. Middleton A, Turner GH, Bitner-Glindzicz M, Lewis P, Richards M, Clarke A, et al. Preferences for communication in clinic from deaf people: a cross-sectional study. J Eval Clin Pract. 2010;16(4):811-7. [DOI:10.1111/j.1365-2753.2009.01207.x]
19. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007;30(4):459-67. [DOI:10.1002/nur.20199]
20. Lawshe CH. Inferences from personnel tests and their validity. J Appl Psychol. 1985;70(1):237-8. [DOI:10.1037/0021-9010.70.1.237]
21. Shabaik S, LaHousse SF, Branz P, Gandhi V, Khan AM, Sadler GR. Colorectal cancer video for the deaf community: a randomized control trial. J Cancer Educ. 2010;25(4):518-23. [DOI:10.1007/s13187-010-0113-y]
22. Hommes RE, Borash AI, Hartwig K, DeGracia D. American Sign Language Interpreters Perceptions of Barriers to Healthcare Communication in Deaf and Hard of Hearing Patients. J Community Health. 2018;43(5):956-61. [DOI:10.1007/s10900-018-0511-3]
23. Naseribooriabadi T, Sadoughi F, Sheikhtaheri A. Barriers and Facilitators of Health Literacy among D/deaf Individuals: A Review Article. Iran J Public Health. 2017;46(11):1465-74.
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Keywords | ||
Communication barriers deafness health services accessibility |
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