Co-Development and Usability Testing of S-IMCICA: A User-Centered Web-Based E-Learning Curriculum in Early Childhood Cancer Detection for Primary Care Providers in Colombia.
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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.