Evidence map›Paper›PMID 31140432›Full record

Trial reportJournal of medical Internet research2019

Finding the Right Blend of Technologically Enhanced Learning Environments: Randomized Controlled Study of the Effect of Instructional Sequences on Interprofessional Learning.

Sok Ying Liaw, Khoon Kiat Tan, Ling Ting Wu, Seng Chee Tan, Hyekyung Choo, John Yap, Sok Mui Lim, Lilian Wong, Jeanette Ignacio

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Article
  5. Article
  6. Article
  7. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sok Ying LiawAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-8326-4049
Khoon Kiat TanSchool of Health Sciences, Nanyang Polytechnic, Singapore, Singapore.ORCID 0000-0001-8448-0141
Ling Ting WuAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-9727-2680
Seng Chee TanNational Institute of Education, Learning Sciences & Technologies, Nanyang Technological University, Singapore, Singapore.ORCID 0000-0002-8406-0144
Hyekyung ChooDepartment of Social Work, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-9090-450X
John YapNational University of Singapore Information Technology, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-0936-229X
Sok Mui LimCentre for Learning Environment and Assessment Development, Singapore Institute of Technology, Singapore, Singapore.ORCID 0000-0001-5041-180X
Lilian WongDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-0649-2010
Jeanette IgnacioAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-3850-0348
National University of Singapore · SGNanyang Polytechnic · SGNanyang Technological University · SGSingapore Institute of Technology · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the availability and capabilities of varied technologically enhanced learning activities, the blended learning approach has become increasingly popular in interprofessional education. The combined use of different technologically enhanced learning activities has not been fully examined, particularly to determine the effects of instructional sequences for effective learning outcomes.

objectiveThe objective of this study was to investigate whether the instructional sequences of a blended learning approach can improve students' learning outcomes on interprofessional competencies.

methodsA randomized controlled study was conducted with 40 interprofessional health care teams. These teams undertook three technologically enhanced learning activities-Web-based instruction (WI), virtual reality (VR), and simulation exercise (SE)-after random assignment to three groups based on three different instructional sequences (WI-VR-SE, WI-SE-VR, and SE-WI-VR). Pretests and posttests were conducted to evaluate the students' learning outcomes on interprofessional competencies.

resultsA total of 198 participants from the three groups completed the questionnaires. All three groups reported significant improvement in their levels of self-efficacy (P<.05) and attitudes (P<.001) toward interprofessional team care about 1 month after the interprofessional learning activity. Although no significant difference was found (P=.06) between the WI-VR-SE and WI-SE-VR groups in the self-efficacy posttests, participants in the SE-WI-VR group reported significantly lower (P<.05) posttest scores than those in the WI-SE-VR group. The majority of the participants (137/198, 69.1%) selected the instructional sequence "WI-VR-SE" as their top preference.

conclusionsThis study shows that the instructional sequence of a blended learning approach can have a significant impact on students' learning outcomes. The learning of concepts from WI followed by problem-solving activity in the SE was found to be a more effective learning sequence than the reverse sequence. We recommend that future studies focus on scaffolding students' learning when planning instructional sequences for technologically enhanced learning activities within blended learning environments.

Indexed as

FemaleHumansInterprofessional RelationsLearningMalePatient Care TeamTechnologyVirtual Realityblended learningconstructivisminstructional sequenceinterprofessional learningsimulationtechnologically-enhanced learningvirtual realityweb-based instruction

Identifiers

PMID31140432
PMCPMC6658293
OpenAlexW2929108690

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.