Monday, September 10, 2012

Social Networking Breast Cancer Ideas



Title
Impact of learning power (ELLI) within SocialLearn on Medical Sensemaking

Abstract

The twenty-first century is in the midst of a dramatic technical revolution.  Dr. Douglas Kellner at UCLA proposes that this revolution will have a far greater effect on our society than the printing press (Kellner, 1995). Education in this complex, changing world is also complex.  Education in this century must expand beyond the factory schooling of the last century to prepare students for their lives in the future.  In this increasingly connected world, skills and thinking and learning dispositions are important.  John Seely Brown describes the new culture of learning as one that can leverage social and technical infrastructures for education, and where play and mentorship and innovation are increasingly important in learning (Thomas & Brown, 2011).  Educators will need to learn to facilitate deeper learning to create a culture of inquiry rather than just delivering information.  One of the key elements to this new educational paradigm is the ability of all learners to learn to learn what they need to learn when they need to learn it, sometimes called “just in time learning”.

Social networking allows individuals to construct a profile within a system, connect to other users, view and communicate with their connections.  Wikipedia lists thirteen virtual communities with 100 million users[1], and lists over 200 social networking websites.[2]  According to the PEW Research Report on Social Media, more than 82% of online teens aged 14-17 use online networks, and as of September 2009, 47% of online adults used a social networking website.  Arrington claims that at least 85% of college students use Facebook once a week (Arrington, 2004). Research on social media has been limited to studying the effects on student grades, engagement, and extra-curricular activities.  No qualitative studies of learning to learn within a social learning environment have been conducted.  Whether the learning power assessment will affect learning to learn in an online social learning platform is not yet known. In order to understand how learners can improve their Effective Lifelong Learning Inventory (ELLI) learning power profile within an online social learning community, this qualitative study of a community of practice proposes to answer the following research questions:

Can SocialLearn, a social network environment for learning and inquiry, and the use of the ELLI learner profile, aid learners with a recent medical diagnosis to develop a coherent, inter-linked process of learning quickly about all aspects of their diagnosis in order to make timely treatment decisions and learn how to live the rest of their lives with the realities of the diagnosis?

This research question can be analyzed in parts:


(RQ2) Can participation in SocialLearn and ELLI, using the online ELLIment mentoring system, help users to find and work with mutually compatible mentors who aid user understanding of the ELLI dimensions, and facilitate user development in one or more of the ELLI dimensions of learning?  Will participants with a breast cancer diagnosis be willing to spend time learning to learn about their disease and options?  Will participants view their participation within SL using ELLI to be valuable, helpful, and perhaps even critical to their emotional and intellectual health in the midst of their crisis?


Introduction

Learning Dispositions
Learning and thinking dispositions have been debated throughout history.  Debates about thinking can be traced back to ancient Greece where Socrates, Plato, and Aristotle modeled and refined logical analysis that was not changed until the twentieth century.  In Western culture, philosophers have relied on logic to reason the soundness of an argument. In the twentieth century, Bertrand Russell, John Dewey, Edward Glaser, Max Black, Israel Schefler, R.S. Peters, Gilbert Ryle, and John Passmore have argued refinements to the critical thinking theory. (Thayer-Bacon, 2000)

In the late twentieth century, David Perkins, Eileen Jay and Shari Tishman of Harvard Graduate School of Education put forth what they call a "triadic conception of thinking dispositions," which includes the concept of ability. They delve into the concept of dispositions from a psychological viewpoint; they propose there are three psychological components, which must be present in order to run dispositional behavior. (Perkins et. al. 1993, 1996)

The twenty-first century technological revolution and the exponential changes in our world argue for a change in educational pedagogy that takes into account complexity.  Complexity theory now argues a reconsideration of learning as a complex activity.  Complexity argues that learning is transformative and unique to each learner’s biologic and experiential structure.  (Davis 2006)

In 2007, Ruth Deakin Crick of the University of Bristol introduced the idea of assessing the power of learning to learn.  Deakin Crick defines seven dimensions of learning and has created a learning assessment and visual learner profile.  Her studies since 2003 have included more than nine thousand classroom learners, and have face validated the ELLI learning profile data. (Deakin Crick, 2007)

In 2008, Deakin Crick reported that a four year study of a second cohort of learners of the seven learning dispositions in the ELLI assessment tool demonstrate a significant degree of internal reliability, validity and stability over time in all age ranges.

The use of the ELLI profile within an online social learning community could shed some light on how the dispositions are affected in informal settings, or in a community of practice within SocialLearn. 

Social Learning Media
Social media and social learning media could enhance or impede learning.  The challenge of this investigation is to discern the conditions under which learning to learn improves significantly using an online social learning platform such as SocialLearn (SL).  The task of the creation of an effective community of practice will include inculcating learners to understand that simply because the platform is an online tool, learning may not be quick and easy.  Rather, community learners should be encouraged to learn that time saved by technology can be used for higher order tasks such as debating effectively with others, reading and understanding difficult text and problem sets, asking and answering questions, and writing effective arguments.

Individuals, students, and learners of all types use social media tools to manage their own learning by searching and accessing resources, creating their own resources, storing theirs and other-created artifacts, and making connections with others to communicate and share their ideas, ask questions, and share their own learning experiences and resources.  

SocialLearn is an open and ubiquitous Facebook type platform that offers a variety of learning tools to aid learning through accessing and evaluating educational resources, structuring learning journeys, sharing with others in a community of peers, academics, and mentors, either openly or within a "walled garden" community. In SocialLearn, learners can create their own profile and build their network, connect with other learners, review peer websites and materials, and share their questions and discoveries.  SL user profiles include the learners interests, about me, thinking about, learning about, can help with, and current questions.  Many learning paths are available and additional paths can be created to support different learning goals, such as the goals and objectives of the research community of practice.  Outside of the formal classroom-learning environment, much individual learning occurs by listening, reading, and talking with each other about shared learning challenges. SL can provide the centralized "place" where students can collaborate and help each other, co-create content, and work and learn about computing together.  Sl is a secure, integrated learning platform that is participative, social, and collaborative.

Empathic Communities of Practice
A community of practice (CoP), as defined by Lave and Wenger, originally referred to groups that shared professions or crafts and came together to share information and experiences about their common interests (Lave & Wenger, 1991).  Much of their work focused on professional development through apprenticeship.  Longer-standing members, who helped them navigate the community socialization process, nurtured Newbies to the communities.
Wenger further described the CoP structure as consisting of three interrelationships:  mutual engagement, joint enterprise, and shared repertoire (Wenger, 1998, pp. 72-73).  Wenger’s more recent work views learning as central to one’s identity and learning as social participation (Wenger et. al. 2002.)  The CoP is built of active participant individuals, who process and construct their shared identity and knowledge through community engagement and participation. Wenger further defines the CoP structure as including a common ground domain of knowledge, a community that fosters participation and interaction, and the practice is the focus of the community development (Wenger et. al. 2002).

CoP is a context for knowledge management.  Wasko and Faraj describe three kinds of knowledge: knowledge as object, knowledge embedded in individuals, and knowledge embedded in a community (Wasko & Faraj, 2000).  CoP makes use of explicit experiences; resources and experiences are shared and built on, becoming a source of expertise experience, or tacit knowledge.  Tacit knowledge, as opposed to formal knowledge, is internalized information, experience residing in context, knowledge and information that come from valuable life experiences, emotions, insights, intuitions, and observations.  Tacit knowledge resides in rich reserve in the individuals and community within a CoP.  Tacit knowledge is not easily stored, captured, or codified (Thomas et. al, 2001)

Empathic communities are those communities created on the basis of common interests, share experiences through engagement and participation, but, in addition, these communities allow individuals to receive and offer emotional support in a trusting, empathic community (Preece, J., 1998) Empathic communities often focus on medical or personal problems.  Empathy is the key ingredient; most have rules and behavior expectations that encourage trust and discourage aggression (Preece, J., 1998)

Preece describes in detail an empathic community focused on ACL (knee ligament) injuries and treatment.  Preece describes the communication in the community:  “The tone of the messages is helpful, empathic, often altruistic, and sometimes cathartic.  People want to share their experiences, learn from others, and support each other.” (Preece, 1998)

The figure below illustrates the balance between knowledge seeking and empathy seeking or offering within the ACL community studies by Jenny Preece:
Description: Macintosh HD:Users:galas:Desktop:Screen Shot 2012-06-26 at 8.54.21 PM.png
(Preece, 1998)

Authentic Enquiry

Social Learning Analytics
SocialLearn provides intelligent recommendations based on learning patterns and needs, and can be accessed by smartphones and tablets.  The traces left by SocialLearn users generates a large dataset that can provide input for Learning Analytics.  The learning patterns of users may have significance in observing learning phenomena, and provides input for the recommendation engines to use learning patterns to individualize learning to each learner’s needs.  

Online Mentoring
Development of an online mentoring system for self-awareness and reflection on lifelong learning skills is underway in Open University and University of Bristol collaboration.  The online ELLIment will provide participants with trained mentors to discuss their learning trajectories and goals.

Cancer Diagnosis: Critical Need for Learning Power
A new diagnosis of cancer is a difficult experience that can overwhelm one’s ability to cope.  Yet, this is a critical time for a person to be at their best in terms of learning to learn about their cancer, whether it has spread, treatment options, chances for cure, tests and procedures, side effects of treatments, and so forth.  Emotions and intellect are often at odds with each other. 

There are blogs, hotlines, research information, and cancer and treatment information all available on the web.  However, there isn’t a place where one can access all of this information, interact with others within that community, and make sense of the information in order to make decisions in the intellectual space and also be able to commiserate with others in the emotional space.

The researcher contends that providing a community within the social learning platform SocialLearn will allow cancer survivors and friends and family to interact with resources and people, and respond as whole human beings, with both intellectual and emotional considerations.  However, in this community, the appropriateness of, and the separation of intellectual and emotional decision-making will be part of the sense-making process by providing the ELLI learning profile.

The ELLI profile will enable survivors to quickly assess their own learning power, and decide which areas are most important to modify in their quest to learn expediently about their disease and make appropriate decisions that are best for them.  Taking the ELLI assessment immediately creates awareness of the seven dimensions of learning, highlighting these for the survivor during their learning process.  The spider diagram provides visual feedback, enabling self-reflection and awareness of these dimensions through the emotionally laden learning process.  ELLI reflects back to the learner what they have reported about their own learning power, creates self-awareness of one’s strengths and limitations, and provides a scaffolding for encountering information about cancer.

The researcher also believes that providing a community in which participants can make sense of information and resources at critical points such as a cancer diagnosis is a relevant contribution.

Approach:

Site Selection
Research will be conducted within the Open University online social learning community, SocialLearn.

Participant Selection
In qualitative research, selecting individuals could be considered purposeful selection (Light et al., 1990, p.53), purposeful sampling (Patton, 1990, p. 169) or criterion-based selection (LeCompte & Preissle, 1993, p. 69.)  Weiss argument that qualitative research may use panels of participants, rather than individuals—“people who are uniquely able to be informative because they are experts in an area or were privileged witnesses to an event” (Weiss, 1994, p. 17), is uniquely relevant to participants at any point in breast cancer diagnosis and treatment.
Possible participants will be recruited from known sites such as the Susan Love Research Foundation, the UCLA Simms Mann Center for Integrative Oncology, and the Susan G. Komen for the Cure, the Y-ME Breast Cancer Support, and the American Cancer Society’s Reach for Recovery.

Building a Community within SocialLearn
Researcher will build a “walled garden” community within SocialLearn.  The breast cancer community, embedded in SocialLearn and possibly called SL Pink, will serve as an umbrella site, gathering and organizing multiple resources of organizations, research, treatment options and medical referrals. This community will include different entrances for recently diagnosed, undergoing treatment, breast cancer survivor, co-survivors, friends, and medical personnel. Researcher will build one or more learning paths for learners, which will be added to over time by the researcher, and hopefully as the community grows, by other learners within the community.  Researcher will review research of design requirements for empathic communities to aid in initial design of the online community within SocialLearn. The figure below is an illustration of the design requirements for empathic communities presented by Jenny Preece:

Description: Macintosh HD:Users:galas:Desktop:Screen Shot 2012-06-26 at 8.54.35 PM.png
(Preece, 1998)

The concept of learning paths seems to illustrate linear progress through learning, which is not in line with the researcher’s learning philosophy.  Since the learning taking place within this community is also a mix of dealing with the emotions of disease diagnosis, as well as developing the intellectual capabilities to make sense of that disease in one’s own life further complicates, or makes clearer, the need for nonlinear presentation and accessibility of information. How to present accessible topics online in such a way as to use notions of “just in time learning”, and spiral curriculum will be explored.

Users will be asked to complete a pre-intervention ELLI profile as they enter the site, and begin writing their goals for their personal learning journey within the site.  Each users ELLI profile, which has been previously validated by research, will be compared over time, alongside mentor and mentee conversations, and mentee goal development over time to determine growth in the seven dimensions.  The pre-intervention, post-intervention and the profiles in the middle cannot simply be analyzed.  The resulting ELLI spider diagram is not a score, but the basis for conversation with a trained mentor.  Since the levels of the seven dimensions are self-reported, they are also reported on the basis of the awareness of the depth of each dimension at the time of the profile.  As one continues to understand the different dimensions, it is conceivable that one’s view of each dimension may shift, and perhaps become deeper in some areas.  The awareness of depth may affect the self-report in such as way that the resulting spider diagram may actually contract in those areas in which the individual is actually striving and achieving at a deeper level.  Therefore, the profiles, along with the goals, activity within the site and the conversations with a mentor must all be analyzed as one complete picture in order to draw appropriate conclusions.

As users populate the community, The study will be a mixed methods study, applying qualitative study, applying qualitative methods of interview, questionnaire and open-ended survey in addition to learning analytics data gleaned from the learner-user paths and participation within SocialLearn.


Design: Data Collection
ELLI profiles will be collected on each participant, along with the classification of participant type (survivor, co-survivor, friend or family, medical personnel).  These will be matched with ELLIment mentors [SBS2] interview transcripts taken at different times throughout the individual’s process in order to gain understanding of the viewpoint toward the ELLI profile and the resulting spider diagrams.  Further investigation will be made observing and tracking each participant, marking the ELLI profile assessments taken along the timeline, each interview with the ELLIment mentor, paths and actions taken at each point, as well as goals written and revised, and contacts made with other community members.  Researcher may also attempt to make contact and interview willing participants about their progress.

The overlay of each of these pieces of information should result in a timeline of each participant showing the ELLI profiles and spider diagrams, along with all of the actions taken, resources used, and contacts made.  Observation of actions will describe the behavior and events, and interviews with the mentor and researcher will be used to obtain the individual perspectives of the participants.  Using the data thus gathered will enable the researcher to generate an interpretation of each participant’s perspective inferred and informed by the observations and interviews (Maxwell, 1992). Using the data collected from the variety of sources mentioned above may allow a broader understanding of the participants learning power changes, using triangulation (Fielding & Fielding, 1986).

Interview strategies of the researcher will need to be defined by the researcher as those that will work most effectively in the online setting to get data about individual learning using the ELLI.  However, the researcher is aware that if questions asked result in limited understandings and practices, she may need to break from the set of questions into following the logical or illogical leads of the participants to allow them to more freely share their personal experiences (Kirk & Miller, 1986, pp. 25-26).

Design: Data Analysis
Thematic analysis and grounded theory methodologies will be investigated to determine which may represent the appropriately contextualized view of reality in this study.  Grounded theory seeks to generate a theory grounded in the data. (Braun & Clarke, 2006).  If using thematic analysis, the researcher will further analyze the mentor/mentee interviews, text chats online, and interview content for themes.  Since familiarity with the data will be key to adequate analysis of the themes, researcher will give all online interviews and become familiar with the ELLIment transcripts and text chats.  In this way, the researcher can report the experiences and reality of the participants. 

Researcher will code patterns and themes of prevalence in the data set.  One of the considerations in using thematic analysis is the flexibility it allows in determining themes, as long as the analysis is consistent (Braun & Clarke, 2006).   In this particular study, it seems important that a rich description of the data set, identifying and explaining incidents of themes, provide the best structure for understanding results.  The decision to use inductive or theoretical analysis will consider whether the research question evolves into greater specificity through the coding process (inductive), or the present research question is the basis for the coding of the data (theoretical).

Two additional themes may be deemed important to discuss within the research results. First is the concept of technical accommodation, the capabilities of SocialLearn, the ELLI learner profile and the learner competence in learning use of the new tools will be observed.   Learner struggles with the new learning format, use of the ELLI self-reporting learning assessment and its visual representations, accommodations learners make as they change habits and develop fluency in use of SocialLearn and ELLI, learner discourse peer to peer and with assistants and teachers will be observed and analyzed for affect on learning. The focus is in the users’ or learners’ processes within and outside of the system.

Steps:
1.     Build preliminary walled garden site.
2.     Recruit members to join the community.
3.     Community members take the ELLI profile assessment to determine the status of their self-reported learning dimensions. 
4.     Learners are asked to create preliminary goals and share them with the community, if they wish.
5.     ELLI mentoring will be available to community members to help them understand how these dimensions can aid their quest to learn quickly about their diagnosis, and about living the rest of their lives with this diagnosis.
6.     Researcher will interact with participants in the website and conduct interviews with willing participants at different points in their learning journey.
7.     Researcher will act as moderator of community when necessary.
8.     Researcher will be reading and rereading online transcripts, marking ideas for coding, generating initial codes through the full data set recursively, search for themes and begin constructing thematic maps, reviewing themes, defining and naming themes, and finally, reporting on themes (Braun & Clarke, 2006)
9.     Researcher will consult the British Psychological Society to review its guidelines for quality quantitative research at www.bps.org.uk/publications/journals/joop/qualitativeguidelines.cfm.   Braun and Clarke also offer a 15-point checklist for thematic analysis in their 2006 paper.

Approaches to collecting data are interview, document review, and open-ended survey.  Data will be collected within the community residing in the SocialLearn platform including chat and discussion threads.

Scalability of use of ELLI online mentors is an issue that needs attention.  Especially in the area of disease diagnosis and understanding the learning dimensions, learners will need some initial personal guidance. Mentoring for ELLI profile dimensions and mentoring for understanding disease diagnosis may overlap. 

Research Permissions and Ethical Considerations
Ethical issues will be addressed in planning and implementation of the study, satisfying the Open University’s Research Ethics review panel.  An informed consent form will be developed and participants entering the SL Pink community of SocialLearn will be asked to participate and complete the form.  The form will explain the study, guarantee subjects anonymity, ask subjects to agree to participate and to acknowledge that their rights are protected.  An informed consent statement will appear on the website survey entrance and will reflect compliance by participation.

Anonymity of the participants will be protected by a numerical coding process on each registered participant, which will be reflected on the ELLI profiles, mentor/mentee discussions, text chat, and any other surveys or questionnaires developed for the study. All responses will be kept confidential.  For reporting purposes, interview transcripts, text chat, spider diagrams, and so forth will all be assigned fictitious names that will be used in reporting results.  Participants will be assured that data will be disseminated to the professional community, but the coding and method of reporting will make it impossible to trace responses to individuals.

Terminology
The proposal uses different terminologies for referring to participant status in the communities.  The terminology used in various websites includes variations such as:
“just diagnosed”, “in treatment”, “completed treatment”,
“survivor”, co-survivor”, “friends”, “family”
and medical community is also usually reflected in these descriptions.

The researcher has not yet determined the best terminology for the SocialLearn community, but will take this under consideration, and will then make all terminology consistent within the site, in the proposal, and all reporting.

The importance of this project:

The application of social media to learning is a new learner-centered approach that is in its infancy.  How to tap the full potential of SocialLearn, as a learning community and define the critical factors that could affect learning in a SocialLearn community are questions that need to be understood. Little research has been conducted on social media learning, and no research on using the ELLI learning dispositions within a social media learning community such as SocialLearn.

Online communities exist to provide information and networking to individuals and families of patients diagnosed with various diseases such as diabetes and Alzheimer’s.  At the present time, there are several communities that exist to support those diagnosed with breast cancer.  Some of these communities include Pink-Link, the American Cancer Society’s Reach to Recovery, Y-ME, the Susan Love Research Foundation, and the Susan G. Komen Research Foundation.

Pink-Link (www.pink-link.org), Reach to Recovery (www.cancer.org/treatment/supportprogramsservices/reach-to-recovery), and Y-ME (www.y-me.org/) all connect breast cancer patients with those currently being treated for breast cancer, breast cancer survivors who have completed treatment, friends and family of breast cancer patients and survivors, and members of the breast cancer medical community.  Members can ask questions, elicit information from each other, and be linked to members with their same diagnosis.

The Dr. Susan Love Research Foundation (www.dslrf.org/) and the Susan G. Komen for the Cure (ww5.komen.org/) actively participate and fund in breast cancer research, disseminate information about breast cancer, and network breast cancer survivors.

None of these organizations provide a sensemaking component to filter through the mountain of information available and learn how to move quickly to make sense of one’s own unique diagnosis and treatment options.  The organizations cited are examples of the vast world community just waiting for a cohesive sensemaking component like the ELLI learning to learn, housed within a social learning site such as SocialLearn.  The researcher contends that a person’s success in life, and their ability to successfully navigate unforeseen and difficult times in life such as a cancer diagnosis is based on the capabilities for learning and thinking critically and reflectively, using logical analysis, and making decisions and risk assessments based on sound judgments rather than emotional reactions.  Allowances for dealing with the emotional aspects of disease diagnosis must also be made.  ELLI, a tool to self-report one’s learning power, within SocialLearn could provide the integration of the people, networks, and research to learning how to learn and make sense of the information available and one’s own diagnosis in order to make appropriate and timely decisions about their personal healthcare.

A community within SocialLearn, perhaps titled SL PINK, would
offer the unique combination of providing links to the above organizations and their wealth of information and survivor networks, as well as a learning to learn component to offer those diagnosed with the means to filter through the networks, research, and information available in order to make sense of one’s own unique diagnosis, treatment options, and make the best decisions possible at the time.  Going forward from treatment, this community could offer continuing support for reflection on improved lifestyle and stress reduction changes in order to live the best life possible while living with breast cancer.  Using the ELLI profile and spider diagram, those given a breast cancer diagnosis may learn to learn about their cancer and options, as well as navigate between the intellectual and emotional learning, separate the two, and make decisions within the intellectual sphere, and while simultaneously addressing their own emotional concerns. Learning to live with breast cancer after treatment is an issue that is often not addressed, but is a critical component for the optimum outcome of the breast cancer survivor.  SLPINK could make a unique contribution in providing the combination of information and network dissemination as well as the learning sensemaking for decision-making in the treatment process as well as life after treatment.

Another aspect of the sensemaking component of the SL PINK site would be helping survivors filter through legitimate, research nonprofit groups, and scam organization “charities” duplicating efforts of established organizations, using telemarketers to solicit donations, and paying founders huge salaries (Goldman, L., 2011)(Squidoo, retrieved 7-12-2012)  Philanthropedia is a US organization that ranks nonprofits. (Philanthropedia, retrieved July 12, 2012.) http://www.myphilanthropedia.org/top-nonprofits/national/cancer

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 [SBS1]Since such a diagnosis has a strong emotional dimension to it, this is quite a good example – it strikes at identity and resilience
 [SBS2]We will have to think about where we recruit and train these. There are certainly some who will be interested

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