{"id":"https://openalex.org/W4392200654","doi":"https://doi.org/10.1007/s13187-024-02416-x","title":"Community Health Navigators for Cancer Screening Among Deaf, Deafblind, and Hard of Hearing Adults Who Use American Sign Language","display_name":"Community Health Navigators for Cancer Screening Among Deaf, Deafblind, and Hard of Hearing Adults Who Use American Sign Language","publication_year":2024,"publication_date":"2024-02-27","ids":{"openalex":"https://openalex.org/W4392200654","doi":"https://doi.org/10.1007/s13187-024-02416-x","pmid":"https://pubmed.ncbi.nlm.nih.gov/38411867","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11219252"},"language":"en","primary_location":{"id":"doi:10.1007/s13187-024-02416-x","doi":"https://doi.org/10.1007/s13187-024-02416-x","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13187-024-02416-x","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13187-024-02416-x.pdf","source":{"id":"https://openalex.org/S149651696","display_name":"Journal of Cancer Education","issn_l":"0885-8195","issn":["0885-8195","1543-0154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cancer Education","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s13187-024-02416-x.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113798309","display_name":"Erika Bergeron","orcid":"https://orcid.org/0000-0003-1592-2262","observed_orcids":["https://orcid.org/0000-0003-1592-2262"]},"institutions":[{"id":"https://openalex.org/I66108857","display_name":"Gallaudet University","ror":"https://ror.org/02b9aym09","country_code":"US","type":"education","lineage":["https://openalex.org/I66108857"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"E. Bergeron","raw_affiliation_strings":["Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA","institution_ids":["https://openalex.org/I66108857"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064590141","display_name":"Rupa S. Valdez","orcid":"https://orcid.org/0000-0002-5125-0793","observed_orcids":["https://orcid.org/0000-0002-5125-0793"]},"institutions":[{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Valdez","raw_affiliation_strings":["Department of Public Health Sciences and Department of Engineering Systems and Environment, University of Virginia, Charlottesville, VA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health Sciences and Department of Engineering Systems and Environment, University of Virginia, Charlottesville, VA, USA","institution_ids":["https://openalex.org/I51556381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070863618","display_name":"Christopher J. Moreland","orcid":"https://orcid.org/0000-0002-2127-5404","observed_orcids":["https://orcid.org/0000-0002-2127-5404"]},"institutions":[{"id":"https://openalex.org/I86519309","display_name":"The University of Texas at Austin","ror":"https://ror.org/00hj54h04","country_code":"US","type":"education","lineage":["https://openalex.org/I86519309"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C. J. Moreland","raw_affiliation_strings":["Department of Internal Medicine, Dell Medical School at the, University of Texas, Austin, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Dell Medical School at the, University of Texas, Austin, TX, USA","institution_ids":["https://openalex.org/I86519309"]}]},{"author_position":"middle","author":{"id":null,"display_name":"R. Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Wang","raw_affiliation_strings":["Department of Family Medicine, University of California at San Diego, San Diego, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, University of California at San Diego, San Diego, CA, USA","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":null,"display_name":"T. Knight","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I191429286","display_name":"Sam Houston State University","ror":"https://ror.org/00yh3cz06","country_code":"US","type":"education","lineage":["https://openalex.org/I191429286"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"T. Knight","raw_affiliation_strings":["Department of World Languages and Cultures, Sam Houston State University, Huntsville, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of World Languages and Cultures, Sam Houston State University, Huntsville, TX, USA","institution_ids":["https://openalex.org/I191429286"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001511610","display_name":"Poorna Kushalnagar","orcid":"https://orcid.org/0000-0002-8658-6932","observed_orcids":["https://orcid.org/0000-0002-8658-6932"]},"institutions":[{"id":"https://openalex.org/I66108857","display_name":"Gallaudet University","ror":"https://ror.org/02b9aym09","country_code":"US","type":"education","lineage":["https://openalex.org/I66108857"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"P. Kushalnagar","raw_affiliation_strings":["Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA. Poorna.kushalnagar@gallaudet.edu","Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA"],"raw_orcid":"https://orcid.org/0000-0002-8658-6932","affiliations":[{"raw_affiliation_string":"Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA. Poorna.kushalnagar@gallaudet.edu","institution_ids":["https://openalex.org/I66108857"]},{"raw_affiliation_string":"Center for Deaf Health Equity, Gallaudet University, Washington, DC, USA","institution_ids":["https://openalex.org/I66108857"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5001511610"],"corresponding_institution_ids":["https://openalex.org/I66108857"],"apc_list":{"value":3590,"currency":"USD","value_usd":3590},"apc_paid":{"value":3590,"currency":"USD","value_usd":3590},"fwci":2.2123,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.90227841,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"39","issue":"4","first_page":"353","last_page":"359"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.21799999475479126,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.21799999475479126,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12151","display_name":"Interpreting and Communication in Healthcare","score":0.20839999616146088,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.10939999669790268,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tumor-screening","display_name":"cancer screening","score":0.996999979019165},{"id":"https://openalex.org/keywords/american-sign-language","display_name":"American Sign Language","score":0.9980000257492065},{"id":"https://openalex.org/keywords/patient-physician-communication","display_name":"patient-physician communication","score":0.8700000047683716},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.7570000290870667},{"id":"https://openalex.org/keywords/navigator-training","display_name":"navigator training","score":0.5849999785423279},{"id":"https://openalex.org/keywords/cancer-survivors","display_name":"cancer survivors","score":0.45100000500679016},{"id":"https://openalex.org/keywords/underserved-populations","display_name":"underserved populations","score":0.6079999804496765}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8580331802368164},{"id":"https://openalex.org/C2776737515","wikidata":"https://www.wikidata.org/wiki/Q14759","display_name":"American Sign Language","level":3,"score":0.7632229328155518},{"id":"https://openalex.org/C522192633","wikidata":"https://www.wikidata.org/wiki/Q34228","display_name":"Sign language","level":2,"score":0.6636670231819153},{"id":"https://openalex.org/C139676723","wikidata":"https://www.wikidata.org/wiki/Q1193832","display_name":"Sign (mathematics)","level":2,"score":0.6315550208091736},{"id":"https://openalex.org/C2986739715","wikidata":"https://www.wikidata.org/wiki/Q1498636","display_name":"Deaf community","level":3,"score":0.569239616394043},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.4857085645198822},{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.4536908268928528},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.43577301502227783},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3884109556674957},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.12156268954277039},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003144","descriptor_name":"Communication Barriers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003150","descriptor_name":"Community Health Workers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003638","descriptor_name":"Deafness","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D012813","descriptor_name":"Sign Language","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019986","descriptor_name":"Persons with Hearing Disabilities","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D020380","descriptor_name":"Needs Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055088","descriptor_name":"Early Detection of Cancer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055812","descriptor_name":"Community-Based Participatory Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D062526","descriptor_name":"Patient Navigation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1007/s13187-024-02416-x","doi":"https://doi.org/10.1007/s13187-024-02416-x","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13187-024-02416-x","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13187-024-02416-x.pdf","source":{"id":"https://openalex.org/S149651696","display_name":"Journal of Cancer Education","issn_l":"0885-8195","issn":["0885-8195","1543-0154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cancer Education","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11219252","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11219252","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11219252/pdf/13187_2024_Article_2416.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Cancer Educ","raw_type":"Text"},{"id":"pmid:38411867","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38411867","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of cancer education : the official journal of the American Association for Cancer Education","raw_type":"Journal Article"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt2xx658nb","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/2xx658nb","pdf_url":"https://escholarship.org/content/qt2xx658nb/qt2xx658nb.pdf","source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Cancer Education, vol 39, iss 4","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1007/s13187-024-02416-x","doi":"https://doi.org/10.1007/s13187-024-02416-x","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13187-024-02416-x","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13187-024-02416-x.pdf","source":{"id":"https://openalex.org/S149651696","display_name":"Journal of Cancer Education","issn_l":"0885-8195","issn":["0885-8195","1543-0154"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cancer Education","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.9629999995231628,"id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"display_name":"Quality education","score":0.7900000214576721,"id":"https://metadata.un.org/sdg/4"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1340212139","display_name":"Using technology-enhanced approaches to advance cancer health equity among diverse deaf, deafblind, and hard of hearing populations.","funder_award_id":"U01OD033240","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G7656477382","display_name":null,"funder_award_id":"1U01OD033240","funder_id":"https://openalex.org/F4320337349","funder_display_name":"NIH Office of the Director"},{"id":"https://openalex.org/G9000032372","display_name":"Using Community Health Navigators to Advance Cancer Screening Adherence through Videoconferencing for all Americans who use ASL: A Randomized Controlled Trial Study","funder_award_id":"U01DC021718","funder_id":"https://openalex.org/F4320337352","funder_display_name":"National Institute on Deafness and Other Communication Disorders"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337349","display_name":"NIH Office of the Director","ror":"https://ror.org/00fj8a872"},{"id":"https://openalex.org/F4320337352","display_name":"National Institute on Deafness and Other Communication Disorders","ror":"https://ror.org/04mhx6838"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4392200654.pdf","grobid_xml":"https://content.openalex.org/works/W4392200654.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W79229537","https://openalex.org/W1497735514","https://openalex.org/W2024784178","https://openalex.org/W2032096993","https://openalex.org/W2056753451","https://openalex.org/W2061347448","https://openalex.org/W2169580040","https://openalex.org/W2619276465","https://openalex.org/W2793168236","https://openalex.org/W2884003245","https://openalex.org/W2895867512","https://openalex.org/W2904426866","https://openalex.org/W2964506473"],"related_works":["https://openalex.org/W7214588574","https://openalex.org/W4414084292","https://openalex.org/W4405856392","https://openalex.org/W4409632342","https://openalex.org/W4393088852","https://openalex.org/W7112688596","https://openalex.org/W7128369631","https://openalex.org/W4409628065","https://openalex.org/W7221773272","https://openalex.org/W6991103940"],"abstract_inverted_index":{"Deaf,":[0],"deafblind,":[1],"and":[2,27,41,52,82,89,108,125,145,164,183,232,240],"hard":[3],"of":[4,99,129,138,166],"hearing":[5],"(DDBHH)":[6],"individuals":[7,230],"experience":[8],"barriers":[9,51,147,189,236],"to":[10,37,49,69,103,115,158,173,192,209,227,237],"accessing":[11],"cancer":[12,39,78,105,174,199,238],"screening,":[13],"including":[14],"ineffective":[15],"patient-physician":[16],"communication":[17],"when":[18],"discussing":[19],"screening":[20,40,91,106,200,239],"recommendations.":[21],"For":[22],"other":[23],"underserved":[24],"communities,":[25],"culturally":[26,124],"linguistically":[28,126],"aligned":[29],"community":[30],"health":[31,185,193],"navigators":[32],"(CHNs)":[33],"have":[34],"been":[35],"shown":[36],"improve":[38],"care.":[42],"A":[43,59],"needs":[44,62],"assessment":[45,63],"study":[46],"was":[47,64,156],"conducted":[48,65],"identify":[50],"gather":[53],"recommendations":[54,211],"for":[55,215],"CHN":[56,102,217],"training":[57,109,159,218],"resources.":[58],"community-based":[60],"participatory":[61],"from":[66],"May":[67],"2022":[68,71],"June":[70],"using":[72],"three":[73,83],"focus":[74,131],"groups.":[75],"Eight":[76],"were":[77,87],"survivors,":[79],"six":[80],"advocates/navigators,":[81],"clinicians.":[84],"All":[85],"questions":[86],"semi-structured":[88],"covered":[90],"barriers,":[92],"observations":[93],"or":[94],"personal":[95],"experiences,":[96],"perceived":[97],"usefulness":[98],"having":[100],"a":[101,221],"promote":[104],"adherence,":[107],"resources":[110],"that":[111,160],"may":[112],"be":[113,225],"useful":[114],"American":[116],"Sign":[117],"Language":[118],"(ASL)-proficient":[119],"CHNs,":[120,167],"who":[121],"are":[122],"also":[123],"aligned.":[127],"Out":[128],"20":[130],"group":[132],"participants,":[133],"seven":[134],"self-identified":[135],"as":[136,148,196],"persons":[137],"color.":[139],"Data":[140],"highlighted":[141],"systemic,":[142],"attitudinal,":[143],"communication,":[144],"personal-level":[146],"recurrent":[149],"themes.":[150],"The":[151,205],"most":[152],"frequently":[153],"cited":[154],"barrier":[155],"access":[157,172],"supports":[161],"the":[162,184],"role":[163],"competencies":[165],"followed":[168],"by":[169],"cultural":[170],"considerations,":[171],"guidelines":[175],"in":[176,180],"ASL,":[177],"dialect":[178],"diversity":[179],"sign":[181],"language,":[182],"system":[186],"itself.":[187],"Unaddressed":[188],"can":[190],"contribute":[191],"disparities,":[194],"such":[195],"lower":[197],"preventive":[198],"rates":[201],"amongst":[202],"DDBHH":[203,216,229],"individuals.":[204],"next":[206],"step":[207],"is":[208],"translate":[210],"into":[212],"actionable":[213],"tasks":[214],"programs.":[219],"As":[220],"result,":[222],"CHNs":[223],"will":[224],"well-equipped":[226],"help":[228],"navigate":[231],"overcome":[233],"their":[234],"unique":[235],"healthcare":[241],"access.":[242]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2024-02-28T00:00:00"}