Document Type : Original Article
Authors
- . Sujata Yadneshwar Khobragade
- . Htoo Htoo Kyaw Soe
- . Yadneshwar Sudam Khobragade
- . Adinegara Lutfi bin Abas
Abstract
CONTEXT: Virtual learning is not without challenges. It can cause stress, lack of motivation, and social
isolation. Due to COVID‑19 pandemic, our college shifted from face‑to‑face to virtual teaching–learning
style. the aim was to find out the barriers in virtual learning among medical students and provide
solutions to overcome them.
MATERIALS AND METHODS: This cross‑sectional study was conducted among 3rd‑ and 4th‑year
Bachelor of Medicine and Bachelor of Surgery students in 2020. Prevalidated electronic survey forms
on institutional barrier, technical barrier, and individual barrier were sent to students, 160 students
responded. SPSS version 12 was used to calculate descriptive statistics and independent t‑test.
RESULTS: The students had the highest mean score in individual barrier
(mean: 2.82 [standard deviation (SD): 0.72]) followed by institutional barrier (mean: 2.79 [SD: 0.74])
and technological barrier (mean: 2.72 [SD: 0.75]). Regarding technological barriers, 38.6% of the
students agreed difficulty in procurement of the laptop and 66.4% faced slow Internet connection.
Regarding institutional barriers, 75.9% were stressed to join one lecture to another lecture as the
lectures were continuous, 69.6% had limited opportunity to interact with lecturers, and 62.7% had
poor communication between lecturers and students. Regarding individual barriers, 74.1% of the
students were not motivated for online learning, 71.5% of the students could not learn as well as
they were in the classroom, and 58.2% disagreed taking online courses in future.
CONCLUSION: Low motivation, communication, Internet connectivity, and technical problems were
the main barriers. Smaller size class, highly motivated and well‑trained lecturers, and interactive
lectures may help in breaking the barriers of virtual learning.
Keywords
- Bunyan J. PM: Malaysia under Movement Control Order from
Wed Until March 31, All Shops Closed Except for Essential
Services. The Malay Mail; March, 2020. Available from:
https://www.malaymail.com/news/malaysia/2020/03/16/
pm‑malaysia‑in‑lockdown‑from‑wed‑until‑march‑31
‑all‑shops‑closed‑except‑for/1847204.[Last accessed on 2020 Jun 20].
2. Howlett D, Vincent T, Gainsborough N, Fairclough J, Taylor N,
Cohen J, et al. Integration of a case‑based online module into an
undergraduate curriculum: What is involved and is it effective?
Elearn Digit Med 2009;6:372‑84.
3. Saiyad S, Virk A, Mahajan R, Singh T. Online teaching in medical
training: Establishing good online teaching practices from
cumulative experience. Int J Appl Basic Med Res 2020;10:149‑55.
4. Costello E, Corcoran M, Barnett J, Birkmeier M, Cohn R,
Ekmekci O, et al. Information and communication technology to
facilitate learning for students in the health professions: Current
uses, gaps and future directions. Online Learn 2014;18:1‑18.
5. Digital and Media Literacy for Today’s Learners. US Digital
Literacy; 2015.Available from: http://digitalliteracy.us. [Last
accessed on 2021 Mar 13].
6. Al‑Qahtani AA, Higgins SE. Effects of traditional, blended
and e‑learning on students’ achievement in higher education.
J Comput Assisted Learn 2013;29:220‑34.
7. O’Doherty D, Dromey M, Lougheed J, Hannigan A, Last J,
McGrath D. Barriers and solutions to online learning in medical
education – An integrative review. BMC Med Educ 2018;18:130.
8. Niebuhr V, Niebuhr B, Trumble J, Urbani MJ. Online
faculty development for creating E‑learning materials. Educ
Health (Abingdon) 2014;27:255‑61. - 9. Wayne W. Daniel. Biostatistics: A Foundation of Analysis in the
Health Sciences. 3rd Edi. New York, John Wiley & Sons; 1983.
10. Gormley GJ, Collins K, Boohan M, Bickle IC, Stevenson M.
Is there a place for e‑learning in clinical skills? A survey of
undergraduate medical students’ experiences and attitudes. Med
Teach 2009;31:e6‑12.
11. Clayton JF. Development and validation of an instrument
for assessing online learning environments in tertiary
education: The Online Learning Environment Survey (OLLES)
(Doctoral dissertation, Curtin University) 2007. Available from:
http://hdl.handle.net/20.500.11937/550. [Last accessed on 2021
Oct 20].
12. Bączek M, Zagańczyk‑Bączek M, Szpringer M, Jaroszyński A,
Wożakowska‑Kapłon B. Students’ perception of online learning
during the COVID‑19 pandemic: A survey study of Polish medical
students. Medicine (Baltimore) 2021;100:e24821.
13. Degroote L, DeSmet A, De Bourdeaudhuij I, Van Dyck D,
Crombez G. Content validity and methodological considerations
in ecological momentary assessment studies on physical activity
and sedentary behaviour: A systematic review. Int J Behav Nutr
Phys Act 2020;17:35.
14. Aravamudhan NR, Krishnaveni R. Establishing and reporting
content validity evidence of training and development capacity
building scale (TDCBS). Management: Journal of contemporary
management issues. 2015 Jun 30;20(1):131‑58.
15. Kim J. Developing an instrument to measure social presence in
distance higher education. Br J Educ Technol 2011;42:763‑77.
16. Chan YH. Biostatistics 101: Data presentation. Singapore Med J
2003;44:280‑5.
17. Williams B. Exploratory factor analysis: A five‑step guide for
novices. J Emerg Prim Health Care 2010;8:1‑13.
18. Mohebbi B, Tol A, Shakibazadeh E, Yaseri M, Sabouri M,
Agide FD. Testing psychometrics of healthcare empowerment
questionnaires (HCEQ) among Iranian reproductive age women:
Persian version. Ethiop J Health Sci 2018;28:341‑6.
19. Shakibazadeh E, Sabouri M, Mohebbi B, Tol A, Yaseri M. Validity
and reliability properties of the Persian version of perceived health
competence scale among patients with cardiovascular diseases.
J Educ Health Promot 2021;10:19.
20. Lawshe CH. A quantitative approach to content validity. Pers
Psychol 1975;28:563‑75.
21. Aiken LR. Three coefficients for analyzing the reliability and
validity of ratings. Educ Psychol Meas 1985;45:131‑42.
22. Baticulon RE, Sy JJ, Alberto NR, Baron MB, Mabulay RE,
Rizada LG, et al. Barriers to online learning in the time of
COVID‑19: A national survey of medical students in the
Philippines. Med Sci Educ 2021; Feb 24:1‑12. https://doi.
org/10.1007/s40670‑021‑01231‑z rechecked on 12th March 2021.
23. Johnson AM, Jacovina ME, Russell DG, Soto CM. Challenges and
Solutions When Using Technologies in the Classroom. Taylor &
Francis, Routledge: New York. ERIC Clearinghouse; 2016.
24. Dhawan S. Online learning: A panacea in the time of COVID‑19
crisis. J Educ Technol Syst 2020;49:5‑22.
25. Shahmoradi L, Changizi V, Mehraeen E, Bashiri A, Jannat B,
Hosseini M. The challenges of E‑learning system: Higher
educational institutions perspective. J Educ Health Promot
2018;7:116.
26. Zubiri‑Esnaola H, Vidu A, Rios‑Gonzalez O, Morla‑Folch T.
Inclusivity, participation and collaboration: Learning in
interactive groups. Educational Research. 2020 Apr 2;62(2):162‑80.
27. Arzt J. Online Courses and Optimal Class Size: A Complex
Formula. Saint Joseph College Oct 21, 2011. Retrieved on 12th
March 2021 from: https://files.eric.ed.gov/fulltext/ED529663.pdf.
28. Parks‑Stamm EJ, Zafonte M, Palenque SM. The effects of instructor
participation and class size on student participation in an online
class discussion forum. Br J Educ Technol 2017;48:1250‑9.
29. Taft SH, Kesten K, El‑Banna MM. One size does not fit all:
Toward an evidence‑based framework for determining online
course enrollment sizes in higher education. Online Learn
2019;23:188‑233.
30. Drew JC, Oli MW, Rice KC, Ardissone AN, Galindo‑Gonzalez S,
Sacasa PR, et al. Development of a distance education program
by a Land‑Grant University augments the 2‑year to 4‑year
STEM pipeline and increases diversity in STEM. PLoS One
2015;10:e0119548.
31. Basu S, Marimuthu Y, Sharma N, Sharma P, Gangadharan N,
Santra S. Attitude towards mobile learning among resident
doctors involved in undergraduate medical education at a
government medical college in Delhi, India. J Educ Health Promot
2020;9:321.
32. Arias JJ, Swinton J, Anderson K. Online vs. face‑to‑face:
A comparison of student outcomes with random assignment. EJ
Bus Educ Scholarsh Teach 2018;12:1‑23.
33. Szeto E. A comparison of online/face‑to‑face students’ and
instructor’s experiences: Examining blended synchronous
learning effects. Procedia Soc Behav Sci 2014;116:4350‑254.
34. Maske SS, Kamble PH, Kataria SK, Raichandani L, Dhankar R.
Feasibility, effectiveness, and students’ attitude toward using
WhatsApp in histology teaching and learning. J Educ Health
Promot 2018;7:158.
35. Changiz T, Haghani F, Nowroozi N. Are postgraduate students
in distance medical education program ready for e‑learning? A
survey in Iran. J Educ Health Promot 2013;2:61.
36. Chang CS, Liu EZ, Sung HY, Lin CH, Chen NS, Cheng SS.
Effects of online college student’s Internet self‑efficacy on
learning motivation and performance. Innov Educ Teach Int
2014;51:366‑77.
37. Gómez‑Rey P, Barbera E, Fernández‑Navarro F. Students’
perceptions about online teaching effectiveness: A bottom‑up
approach for identifying online instructors’ roles. Australasian
Journal of Educational Technology. 2018 Mar 28;34(1).
38. Yawson DE, Yamoah FA. Understanding satisfaction essentials
of E‑learning in higher education: A multi‑generational cohort
perspective. Heliyon 2020;6:e05519.
39. Jill M. Price. Enjoyment in Online Learning: What Instructional
Delivery Methods Contribute to Online RN‑BSN Student
Satisfaction? Doctoral Dissertation, presented in May 2013 as a
part of partial fulfillment for award of PhD, Capella University.
ProQuest Dissertations Publishing, 2013. 3564232. Available from:
https://search.proquest.com/openview/f96c8a1b9d76dea3af08
801625062254/1?cbl=18750&diss=y&pq‑origsite=gscholar. [Last
accessed on 2021 Oct 26].
40. Matsunaga S. College students’ perceptions of online learning:
knowledge gain and course effectiveness. Online J Distance Educ
Elearn 2016;4:20.
41. Lavanya G K. Enriching Education through E‑Learning.
International Journal of Science and Research. 2020
May;9(5):270‑273. https://www.ijsr.net/search_index_results_
paperid.php?id=SR20502162417
42. Ruggeri K, Farrington C, Brayne C. A global model for effective
use and evaluation of e‑learning in health. Telemed J E Health
2013;19:312‑21.
43. Bediang G, Stoll B, Geissbuhler A, Klohn AM, Stuckelberger A,
Nko’o S, et al. Computer literacy and E‑learning perception
in Cameroon: the case of Yaounde Faculty of Medicine and
Biomedical Sciences. BMC Med Educ 2013;13:57.