Enablers and Barriers to Online Learning among Medical Students during COVID-19 Pandemic: An Explanatory Mixed-Method Study

As the coronavirus disease 2019 (COVID-19) trajectory remains unknown, online learning (OL) has replaced face-to-face teaching strategies in education institutions. Research and training focus on harnessing educators, but less is understood at the students' ends. This study examines the OL readiness components, self-regulation, enablers, and barriers to OL at home among medical students during the COVID-19 pandemic through an explanatory mixed-method study. We conducted a cross-sectional study with 178 students and an in-depth interview with 10 students from a public medical school in Malaysia. We found that while all students owned at least one learning device, 22.5% of the students did not have a learning space at home. 21.9% students did not have Wi-Fi access, and 11.2% did not receive mobile broadband coverage at home. Despite these barriers, students had a suitable OL self-regulation level. Significantly higher self-regulation was observed among pre-clinical year students, students with higher grades, and students who had designated learning space at home. We found that high-immediacy and low-bandwidth applications such as WhatsApp and Telegram, and YouTube as the most accessible and easiest platforms to navigate in OL. Our qualitative findings yielded a conceptual model of OL enablers at learners, educators, and institution levels. This framework may serve as one of the guides in faculty development planning and policymaking, especially in promoting a more socially inclusive OL.