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Table 2 Themes arising from free text responses to the second asking of ‘is this cheating’

From: Student cognitive enhancement with non-prescribed modafinil: is it cheating? A survey study

Group name

Explanation

Example (phrase from participants)

Caffeine

Caffeine works similarly to modafinil, so it is like ingesting caffeine in a pill form, meaning that it is not cheating to do so

“They are only trying to stay awake and concentrate. The equivalent to drinking coffee

Coercion

If modafinil becomes popular, those who do not use it, might feel pressured to do so

“The likelihood of coercion I see as the least important as we all have freedom to make our own decisions”

“The likelihood of coercion is concerning and agreeable but people are entitled to their own choices”

Equality

It is accessible for mostly everyone to purchase modafinil due to its low price

“As everyone has access to this I do not view it as cheating” “Plus, everyone else has equal access to modafinil”

Authenticity

The use of modafinil by student does/does not reflect their performance

“How legitimate the performance with the modafinil is the most important one”

“The student is essentially taking performance enhancing drugs to influence his work”

  1. Student participants were again given a scenario where a student consumed modafinil before an exam, despite not having a prescription. Prior to this they had been asked various questions about issues which have been demonstrated in the literature, to affect considerations of whether modafinil use is cheating. They were then asked if they had changed their mind on whether this was cheating, and then asked why, in a free text box. These free text responses were analysed using thematic analysis