E-learning has become an important component of health professions education, but effective use depends on more than access to digital platforms. This study examined factors influencing utilisation of e-learning platforms among students at three Kenya Medical Training College campuses in the Upper Eastern region: Embu, Maua and Isiolo. Guided by the Technology Acceptance Model, a descriptive cross-sectional survey was conducted using proportionate stratified random sampling by year of study. A structured questionnaire was administered to a target sample of 380 students, and 336 complete responses were obtained, representing an 88.4% response rate. Data were analysed using descriptive statistics, Pearson correlation and multiple linear regression. Digital infrastructure had the lowest mean rating (M = 2.98), followed by e-learning utilisation (M = 3.24) and digital literacy (M = 3.34), while attitudes and perceptions had the highest mean rating (M = 3.54). All three predictors were positively and significantly associated with utilisation. Attitudes and perceptions showed the strongest correlation with utilisation (r = .719) and were also the strongest independent predictor (β = .549), followed by digital literacy (β = .198) and digital infrastructure (β = .101). Together, the predictors explained 56.1% of the variance in utilisation. The findings indicate that positive attitudes, digital competence, reliable connectivity and technical support are important for strengthening e-learning utilisation among KMTC students.
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Okatta et al. (2026) studied this question.
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