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.

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.