Objectives The purposes of this study were to conduct international exchange cooperative learning program based on cultural activities provided by English digital textbook and to investigate students’ responses and the effect of elementary school students’ in the 4th to 5th grades on WTC and cultural sensitivity. Methods After 18 students in the 4th to 5th grades of elementary schools in Daejeon participated in the activity for 8 months from March to November 2021, followed by pre and post structured WTC and cultural sensitivity questionnaires, and analyzed learners' follow up responses and interviews. Results The international exchange cooperative learning program based on English digital textbook had a positive effect on the WTC frequency and cultural sensitivity of elementary school students. In addition, there were many positive and helpful responses in post survey and interviews. Conclusions Through this study, international exchange cooperative learning programs based on English digital textbooks will be widely applied to the field to develop various classes and follow-up studies to improve students' English WTC and cultural sensitivity.