A total of 51 volunteers participated in the survey, however, 19 did not fully complete it so were excluded, giving a total of 32 completed responses. Overall, 10 participants had volunteered for ICSM-TBH online only, 13 had volunteered in-person only and 9 volunteered both online and in-person.
In the academic year 2020/21, the median year of academic studies amongst online volunteer participants was year 1 (range 1–2); the median for participants who volunteered both online and in-person was year 3 (range 2–5); and in-person only volunteer participants was also year 3 (range 2–5).
All volunteer participants who completed the survey, in addition to 12 teachers, were invited to an interview. Overall, 12 volunteer participants (VP) and 4 teacher participants (TP) were interviewed. Of these volunteer participants, 10 were medical students and 2 were life science students; there were no difference in results between these groups, apart from relation to clinical practice. Of the 12 volunteer participants, 5 had participated in both online and in-person ICSM-TBH sessions, 3 had only volunteered in-person with ICSM-TBH and 4 had only volunteered online with ICSM-TBH. However, apart from one volunteer who had only volunteered in-person, all other participants interviewed had experience of both in-person and online volunteering through other organisations.
Survey results
For those who only volunteered in-person, 92% reported that ICSM-TBH sessions were a positive experience, compared to 100% who volunteered online (online only volunteers and both). 92% in-person volunteers agreed or strongly agreed that ICSM-TBH volunteering in-person improved their mood, compared to 89% online; and 100% agreed or strongly agreed that ICSM-TBH volunteering in-person helped them feel part of a community, compared to 84% online (Fig. 2). Of those volunteer participants who volunteered both online and in-person with ICSM-TBH, all preferred in-person (Fig. 2).
Thematic analysis
Five primary themes emerged from the interviews:
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(i)
Interaction and Engagement: volunteers’ experiences interacting with and engaging the school pupils across both modalities.
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(ii)
Personal and Professional Development: the various skills and lessons learnt by volunteers both in their personal and professional lives and how these will be used in future.
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(iii)
Community and Social: volunteers’ perspectives around the sense of community and social aspect across both modalities.
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(iv)
Emotional Wellbeing and Enjoyment: volunteers’ experiences of their emotional wellbeing and their enjoyment from the volunteering across both modalities.
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(v)
Workload: academic workload of medical students and how this impacted volunteering across both modalities.
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(i).
Interaction and Engagement
In-person volunteering allowed for greater interaction and engagement from pupils. One explanation was the ability to capture non-visual cues in-person.
“There are little cues that we don’t necessarily catch online (…) [and] body language is not fully there” (VP6).
Visual cues are crucial enabling effective teamwork, making “co-running the station with someone in-person a lot easier” (VP10) and facilitates awareness of the pupil’s engagement levels.
“If a certain kid isn’t being as engaged in the activity as others, it’s easier to pick up on that [in-person] (...)
and tailor how you’re getting your message across” (VP8).
The lack of physical presence and interaction online made volunteers feel sessions were impersonal, which discouraged some from participating.
Volunteer participants also reported difficulty focusing online, for example,
“You can get a bit distracted (…) all my emails and everything keep tabbing through” (VP1).
Technical challenges, including WiFi or the use of software for teaching, disrupted the flow of sessions.
“Wondering if they can hear you and you can’t hear them half the time. So you just kind of have to fake, (…) “yeah, I think I heard the right answer!” (VP10).
The nature of online sessions made it more difficult to individualise teaching methods for pupils and was further challenged by greater numbers of pupils taught at once.
“(…) you couldn’t speak to children individually. So you didn’t get that like one-to- one” (VP9).
Technical and communication challenges of online volunteering also demanded substantially more input from teachers than in-person volunteering. Whilst this removed the volunteers’ challenging responsibility to keep pupil’s attention, it made interactions with pupils indirect.
“At some points we’re just interacting with the teacher instead of the kids. Because like we say something that kids can’t grab, and the teacher has to repeat it and then the kids respond to the teacher” (VP2)
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(ii).
Personal and Professional Development
Participants valued ICSM-TBH as a space for personal and professional growth, including skill development. Confidence was commonly mentioned; volunteer participants felt more confident engaging with children following in-person sessions.
“I was initially quite scared of children and didn’t really know how to approach and speak to children and how to deal with certain situations regarding children, [following in-person volunteering] I think [I am] definitely currently a lot more comfortable with that, [and have] step[ed] out of my comfort zone.” (VP4).
Some volunteer participants noted that the online modality made them “more shy” (VP9) whereas others felt that the being in the comfort of your own home provided a sense of familiarity making it “less intimidating.” (VP7).
Communication skills are also crucial in the effective delivery of volunteering sessions. In-person sessions were felt to offer a space to develop these. Particularly gaining experience “communicating medical topics to children” (VP8), and with peers. Volunteer participants noted a difference in communication skills required for online delivery versus in-person.
“You have to change (…) how you communicate over a screen as opposed to in-person to make things clearer. It’s (…) another good skill to have” (VP1).
Despite the contrast in communication skills developed, volunteer participants felt online volunteering was a “really different but really valuable experience” (VP2) and “requires you to be very prepared for any sort of issue such as connection dropping [or] multiple kids speaking at once” (VP2). Delivering sessions online allowed volunteers to practice “speaking to a large group” and learn “how to address certain phrases or questions online, because it is so different” in a range of audiences from “formal to small group to large audience” (VP3 and VP9).
Additionally, teacher participants noted how pupils were less engaged during online sessions. This was in part due the loss of “hands-on involvement” (TP2) as a method of learning, which instead “felt a lot more like we’re telling you this” which made it “hard for them to maintain concentration” (TP4). This lack of concentration and engagement from pupils made the delivery of some sessions more challenging for volunteers, driving them to develop new ways of communicating with children online.
Medical student volunteer participants felt that both online and in-person prepared them for their paediatric placements by offering exposure to children and opportunities to explain medical concepts to them. However, this experience was attained faster in-person as interactions with children are more direct and “you appreciate all their different personalities much more” (VP3).
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(iii).
Community and Social
Volunteer participants described a strong sense of community in-person as you are “a group of 20 volunteers all wearing the TBH T-shirt” (VP4) with a shared purpose. In contrast, for “online sessions there were lots of people I didn’t know as we hadn’t met, so it makes it difficult to deliver quality sessions” (VP4). Perhaps because online, “allows people to hide behind their cameras” (VP3).
Online sessions also made it more difficult for “basic things such as talking over each other which is just natural in-person (…) with online it was overly formal with stuff like ‘oh no you go first’” (VP1). Many volunteer participants did not consider meeting online as “properly meeting” (VP11) and this may have been due to the lack of social opportunities for example, “between sessions where you get to talk to people”, “talking to your co-presenter” and “talking to people whilst setting-up” which were readily available in in-person sessions. This also could have been due to working online preventing “other people’s personalities (…) com[ing] through as much” (VP1) and limiting how much conversation you could have beyond introductions (VP4).
Finally, despite the convenience of not having a commute, some volunteer participants valued “interacting during the (…) commute [which] added to the sense of community” (VP1) and felt “travelling to sessions (…) offered a lot more opportunities to socialise” (VP10).
Nevertheless, some volunteer participants felt that “the sense of achievement of doing something as a team carries through online” as you are “working together collaboratively for something and this isn’t affected by being online (…) it’s just coming from a different angle” (VP1).
“online volunteering does improve your mental wellbeing during and after sessions (…) because it is still socialising (…) which is still important and a contrast to [life in the pandemic]” (VP11).
In the context of the various lockdowns and government restrictions going on at the time, volunteer participants felt that online volunteering allowed you to “interact with someone you don’t know (…) which is something I kind of missed during lockdowns” (VP2).
“Online volunteering was where I made new friends … [because] obviously you couldn’t talk to that many people during the COVID years” (VP10).
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(iv).
Emotional Wellbeing and Enjoyment
Volunteer participants emphasised that the play-based, in-person, small-group teaching enabled more personalised teaching and therefore both a unique experience for pupils and a more enjoyable experience for themselves.
“being able to like use like physical stuff to interact with them (…) I think that’s what really makes TBH so special.” (VP3).
Lockdowns drastically changed the nature of the university experience; in this context volunteer participants noted the benefits to their mental health of partaking in online volunteering.
“From the whole situation that we were going through in lockdown (…) I think mentally it was one of the things that kept me sane in it (…) I had a moment where I felt that I was doing something good for other people, not related to academics” (VP11).
Volunteer participants enjoyed “seeing the kids (…) [who] have lots of energy (…) and it was nice to feed off that when it was locked down as you weren’t seeing many people” (VP7). Online also offered a space to “de-stress (…) [by] working with kids (…) which takes your mind off (…) other issues” (VP11).
Nevertheless, university teaching was also transferred online, meaning that ICSM-TBH shifting online was yet “another stare-at-screen session” (VP10). In-person volunteering offers a “good [opportunity] to get out of the house” whereas online sessions could “feel very weird in the sense that you do it from your own room, as opposed to physically going to the session and getting excited about speaking to all those 5-6-year-olds” (VP4).
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(xxii)
Workload
The pandemic changed the nature of work for university students; working from home was often “mentally stressful”. Online sessions were a “really fun experience” and a “nice kind of break from uni” (VP12), however sometimes it could be “a bit challenging to find motivation to join”, as “you had been in front of your computer for the entire morning and will be for the entire afternoon for the last five days. So, everything feels like effort and difficult to enjoy” (VP6). In-person sessions allowed volunteers to “split up [their] day a bit more as you have to go in-person instead of everything being online” (VP1).
Convenience was a crucial benefit highlighted in online volunteering as it is “less time intensive” and “easier to fit into schedules” due to not having travel time and making it “easier to commit to sessions” (VP12). In-person volunteering required travelling “which can impede how many people can turn up” and can force volunteers to rush from lectures or clinical placements which can be physically and mentally exhausting. Online platforms allowed volunteers to multitask and do things like “eat lunch during sessions” or “do your laundry whilst it is going on” whereas in-person “often took place over lunch times” which disrupted eating schedules for participants (VP10).