Introduction
Methodology
Study Design
Study Setting, Participants and Intervention Design
Intervention
Data Collection and Analysis
Ethics
Results
Quantitative Data
Demographic and Microlearning Platform Engagement Metrics
Pre-intervention Validated Surveys
Post-intervention Validated Surveys
Qualitative Data
Semi-structured Interviews
Category | Quote | Participant |
---|---|---|
Patient lived experience | I was fortunate enough not to have any side effects. | P1 |
And it turns out that I had some of the symptoms, but not nearly as many as I expected and not the ones that I was explained. | P3 | |
I found that I’m fairly clear of what I had to do | P4 | |
But generally speaking, I kind of look after myself, when I’ve got problems, common sense what should I do now, and then I do that. | P5 | |
I think when people are confronted. It is quite a shock and hence the million questions you have from oncologists and the literature. | P1 | |
Look, it was all happening very fast, from when I got diagnosed to when treatment started. | P4 | |
No. I’m living in a state of denial. Very few people know my diagnosis and no. | P2 | |
I have a couple of close friends who do know my diagnosis, who are both cancer patients, so that’s possibly helped in a way too. | P2 | |
They’re always forthcoming, people. And other than that, people like to help you. | P5 | |
The first time I came in…, the guy three things over, has a bad allergic reaction and is wheeled out in a wheelchair… | P4 | |
I see people there at the oncology place and they’re in a pretty bad way. You can see that they’ve got problems with it, but just luckily for me, I haven’t had huge problems | P5 | |
Current approaches to health education | Get the information myself and then take what I don’t understand to my team and to the oncologist. | P1 |
So had I been more challenged, perhaps I might have asked more questions or gone elsewhere. | P2 | |
…it was so much information that, I wasn’t aware of the likely effects on me personally. | P3 | |
We’re quite often given a lot of information very fast | P4 | |
There’s a lot of weird stuff out there as well, but there’s plenty of good stuff. | P5 | |
…They came and explained it all fairly well, one-on-one. I found all the instructions were fairly clear. | P3 | |
But then most of the typical thing, was they were basically oral conversations, where they’d come along and talk to me | P4 | |
I was given sheets of paper saying, listing possible side-effects of all the drugs they were going to put me on, and possible risks, and all like that, and outlining that. | P4 | |
And the handout material, or the brochures that they gave me were also pretty helpful. | P5 | |
…I did a certain amount of research online, bearing in mind I know what you read online is not necessarily true. | P2 | |
Nowadays the usual Google trip to see what my particular diagnosis would likely to lead to. | P3 | |
Feedback on platform | I found it repetitive…And I don’t know if that was deliberate as part of the process for your research purposes. I don’t know. But I thought, “Oh here we go again”. | P1 |
I didn’t feel threatened or demeaned by it or you know my self-esteem didn’t go down the toilet from it. | P1 | |
You know don’t answer them first thing in the morning when you wake up and let’s have a look at it | P1 | |
It wasn’t taking up all the time | P4 | |
I didn’t feel that I needed anyone to hold our hand through it, so I was quite independent in doing it. | P1 | |
I didn’t have to remember a password, or anything. I found that very easy. | P4 | |
I liked that the ease when you had to do the emailed questions, they were quick and easy. | P4 | |
I didn’t have any problems with accessing it at all. It’s good. | P5 | |
It was just tapping the email, and it went right to the site, sort of thing. | P4 | |
You could hit on it, and it could be done in three or four minutes, by the time we logged in, and read the questions, select the answer, and then hit submit. It was done, and it was quick and easy. | P4 | |
Course content | My understanding is most of the programmes are how to manage your cancer, not how we can cure your cancer. | P5 |
The information is good, generally common sense, isn’t it? What to do in certain situations. | P5 | |
The amount of information was pretty comprehensive. | P5 | |
Well initially, you see, not having one of those four things, I thought, “Where’s me? Where’s my weariness, et cetera?” Or, “Where are other things?” | P2 | |
No, I haven’t experienced anything that hasn’t been identified as one of the problems, a lot of things. | P3 | |
Admittedly, it seemed to be…I don’t know whether they’re meant to be, it seemed to be a lot of elderly people used in the photos. | P4 | |
I just had an issue with that. It’s just the way it was. It’s sort of led you to think differently to the most obvious answer. | P1 | |
People learn in so many different ways, you know? Yeah. People who see it well, so we’ll comprehend through texts people are more visual and auditory and things like that. And I think it’s good to have both | P1 | |
I get the feeling, and you didn’t say this in your answers, but this is a sort of influence that, look, if you’ve only got these don’t waste the doctor’s time. Sit tight until it either passes or it gets worse and then contact their doctors… | P5 | |
Suitability of microlearning | I found it relevant, not probably enjoyable. I’d do it. It’s not anything you enjoy. You just do it | P4 |
That was a good thing. It didn’t become a chore, the online side. | P$ | |
So, even though I got the answer right, I still looked up the answer. | P5 | |
I know the information’s out there but your way of presenting it, I think is good. | P5 | |
No, I would think it would be a benefit to most people. | P3 | |
I suppose they’re also probably very good, especially for some elderly people who may not be quite as…maybe have a bit of cognitive decline, or whatever. | P4 | |
I don’t know if you get people to agree to do that sort of thing or not. If they can’t be bothered or they forget. | P5 | |
They would have been to the clinics. They would have seen some of the people. So no, none of those cases would frighten them. | P2 | |
Impact | In fact to me, I got the impression that it was leading you away from going to emergency more than anything else. | P1 |
…, it made me more confident in what to expect and how to react to it. | P3 | |
It sort of clarified a lot of the questions, it did. And they’re the ones that I hadn’t had a specific answer to [continuing medication together]. | P4 | |
It gave you a bit of guidelines how far it is. What might be normal, or what might be getting worrisome. | P4 | |
But if you’re a person who really can’t decide or a bit fearful about deciding, that information is very helpful. | P5 | |
…added to my knowledge of the sort of reactions that I could expect or should expect or the sort of things I should do. | P3 | |
It just reinforced how I should act under certain situations | P4 | |
I found it helpful, just reminding me what to look out for. If I was getting any symptoms, or anything, how I should act if I needed to. | P4 | |
…But it was good for me to think about what I would do in that situation, and to work out little strategies… | P2 | |
Suggestions for improvements | I would have possibly included different options in the scenario. Apart from the correct one. | P1 |
…things like meditation and what have you | P2 | |
…I don’t know how holistically people are thinking but I did make a comment in there that I would like to have training for the emotional side of things as well. | P1 | |
…They want to know if they’re going to lose their hair. | P2 | |
…Knowing that someone else is thinking what you’re thinking or feeling, how you’re feeling. It can be of great help and then there’s a support link to that | P1 | |
…In theory good, not so great in practice…A little bit of tweaking and I think you’d be getting to something | P1 | |
…I did find the questions sometimes a little repetitive and a little convoluted, but I don’t know, maybe it’s a round table discussion you need to have with other professionals. | P1 | |
I wondering actually, if you might have a second course further along? How long are people normally in treatment for this lung cancer business? | P2 |