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Table 3 General communication strategies for health professionals working with deaf sign language users

From: Primary non-communicable disease prevention and communication barriers of deaf sign language users: a qualitative study

Elements

Explanation

Adequate light

There needs to be enough light so that facial expressions and lips of all individuals present can be seen well

Maintain eye contact

Eye contact should be maintained throughout the conversation to make sure that lip reading is made as easy as possible

Mouthing/Volume

Articulation of words should be as clear as possible (‘speaking as if one was whispering’). Speech should be a bit slower as compared to normal conversation. Lips need to be visible at all times (if possible no surgical mask).

Difficulty of language/ Written information

Explanations should be made with simple words and technical terms should be avoided, since literacy levels of spoken language differ. If necessary, additional written notes should be provided. It should be kept in mind that written information is like a second language for some deaf sign language users.

Using sign language interpreters

Ideally, accredited sign language interpreters should always be present in order to ensure an effective and nuanced communication environment. Interpreters should sit next to the treating physician, so that direct contact with the patient can be maintained.