Co-Development and Usability Testing of S-IMCICA: A User-Centered Web-Based E-Learning Curriculum in Early Childhood
Oscar Ramirez1,2,3, Elvia Karina Grillo1,2,4, Santiago Bolivar5
1Research Unit, Fundación POHEMA, Cali, Colombia.
Insights
Improving childhood cancer survival requires early detection. A new e-learning curriculum significantly boosted primary care providers' knowledge of cancer management protocols in Colombia.
Area of Science:
- Pediatric Oncology
- Health Education
- E-learning
Background:
- Early detection of childhood cancer is crucial for survival.
- The Pan American Health Organization's Integrated Management of Childhood Illnesses-Cancer manual (2013) aimed to improve this.
- Familiarity with the manual among primary care providers (PCPs) in southwestern Colombia was low (13%).
Purpose of the Study:
- To co-develop and evaluate an e-learning curriculum (S-IMCICA) to enhance PCP knowledge for early childhood cancer detection.
- To address the low awareness of existing cancer management guidelines among PCPs.
Main Methods:
- Iterative co-development of the S-IMCICA e-learning curriculum with PCPs, oncologists, and health educators.
- Usability testing involving 919 PCPs across five iterations.
- Knowledge assessment before and after curriculum implementation.
Main Results:
- Usability testing demonstrated excellent ratings for the S-IMCICA curriculum.
- Significant mean increases in PCP knowledge of 21%-24% were observed (from 60%-65% to 81%-89%, p < 0.01).
Conclusions:
- The user-centered S-IMCICA e-learning curriculum effectively builds capacity among PCPs.
- This approach enhances early childhood cancer detection in low- and middle-income countries.
- The developed curriculum is a valuable tool for improving pediatric cancer care.
Abstract:
Early detection is critical to improving childhood cancer survival. In 2013, the Pan American Health Organization published the Integrated Management of Childhood Illnesses-Cancer manual. We found that only 13% (n = 21/161) of primary care providers (PCPs) in southwestern Colombia were familiar with this manual. In response, we iteratively co-developed an e-learning curriculum (S-IMCICA) with PCPs, oncologists, and health educators, and applied usability testing for refinement (five iterations; usability testing in 919 PCPs). Usability testing showed mean increases in knowledge of 21%-24% (60%-65% vs. 81%-89%; p < 0.01) and excellent usability ratings. Our user-centered e-learning curriculum contributes to building capacity among PCPs for early childhood cancer detection in low- and middle-income countries.
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