Evidence map›Paper›PMID 41055010›Full record

ArticleJMIR medical education2025

Implementation Outcomes of Reusable Learning Objects in Health Care Education Across Three Malaysian Universities: Evaluation Using the RE-AIM Framework.

Hooi Min Lim, Chin Hai Teo, Yew Kong Lee, Ping Yein Lee, Kuhan Krishnan, Zahiruddin Fitri Abu Hassan, Phelim Voon Chen Yong, Wei Hsum Yap, Renukha Sellappans, Enna Ayub and 13 more

Abstract read
In one paragraph

Article in JMIR medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

23 authors.

Hooi Min LimDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia, 60 379492621.ORCID 0000-0003-2481-9363
Chin Hai TeoDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia, 60 379492621.ORCID 0000-0003-0642-9759
Yew Kong LeeDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia, 60 379492621.ORCID 0000-0002-3034-8601
Ping Yein LeeUMeHealth Unit, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0002-0912-6043
Kuhan KrishnanDean's Office, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID 0009-0001-9173-4135
Zahiruddin Fitri Abu HassanDepartment of Building Surveying, Faculty of Built Environment, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0002-2002-4507
Phelim Voon Chen YongSchool of Biosciences, Faculty of Health & Medical Sciences, Taylor's University, Selangor, Malaysia.ORCID 0000-0002-5817-7381
Wei Hsum YapSchool of Biosciences, Faculty of Health & Medical Sciences, Taylor's University, Selangor, Malaysia.ORCID 0000-0001-8116-6018
Renukha SellappansSchool of Pharmacy, Faculty of Health & Medical Sciences, Taylor's University, Selangor, Malaysia.ORCID 0000-0002-9338-735X
Enna AyubTaylor's Digital, Taylor's University, Selangor, Malaysia.ORCID 0000-0002-4713-620X
Nurhanim HassanLearning Innovation and Development, Centre for Future Learning, Taylor's University, Selangor, Malaysia.ORCID 0000-0002-4369-8483
Sazlina Shariff GhazaliDepartment of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.ORCID 0000-0002-5737-7226
Nurul Amelina NasharuddinDepartment of Multimedia, Faculty of Computer Science and Information Technology, Universiti Putra Malaysia, Selangor, Malaysia.ORCID 0000-0003-2872-5110
Puteri Shanaz Jahn KassimDepartment of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.ORCID 0000-0002-6595-2526
Faridah IdrisDepartment of Pathology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.ORCID 0000-0002-9526-8442
Klas KarlgrenDepartment of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-1255-7650
Natalia StathakarouDepartment of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-7159-5801
Petter MordtNettOp, Department of E-Learning Development, University of Stavanger, Stavanger, Norway.ORCID 0009-0002-1135-9679
Stathis KonstantinidisSchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0002-3680-4559
Michael TaylorSchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.ORCID 0009-0006-5586-8810
Cherry PoussaSchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0002-1639-2665
Heather WharradSchool of Health Sciences, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0001-6030-5648
Chirk Jenn NgDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia, 60 379492621.ORCID 0000-0002-8320-1603

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlabelled: Background: Current e- learning evaluation focuses on learners' knowledge gain, satisfaction, perceptions, and attitudes; few assess the implementation outcomes of e- learning resources in teaching and learning. Objective: In this study, we used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to systematically evaluate the implementation outcomes of reusable learning objects (RLOs) in the context of health care education. Methods: This study is a part of the Advancing Co-creation of RLOs to Digitise H ealthcare Curriculum (ACoRD) project, wherein we developed and implemented 23 RLOs across 3 Malaysian universities for medical, pharmacy, and biomedical curricula. Implementation and dissemination strategies were employed. Data were collected using a self-administered web-based questionnaire and Google Analytics. Results: Th is study report s a cumulative RLO access of 7622 users from 48 countries ( reach). Users rated RLOs as very helpful ( 1452/ 2071, 70.1%) or helpful ( 601/ 2071, 29.1 %). Pre assessments and postassessments showed a significant improvement in the knowledge score (21 RLOs, P < .05) and confidence level (17 RLOs, P < .05) (e ffectiveness). All 3 Malaysian universities adopted RLOs in the fields of professional development, primary care medicine, medicine, pediatrics, nursing, pharmacy, and biomedicine ( adoption). The percentage of users who completed RLOs ranged from 5.6% ( 10/ 179) to 8 5% ( 78/ 92), with nonbounced users (users who viewed more than one page) ranging from 16.3% ( 165/ 1014) to 8 8.5 % ( 3 70/ 4 18) ( implementation). In the 4 months following the completion of the AC oRD project, a total of 2107 users accessed RLOs ( maintenance). Conclusions: We systematically evaluated the implementation of e- learning resources by using the RE-AIM framework, informing future strategies to integrate e- learning innovations in real-world teaching and learning practices.

Indexed as

Computer-Assisted InstructionEducation, MedicalCurriculumHumansLearningMalaysiaProgram EvaluationSurveys and QuestionnairesUniversitiesadoptiondisseminationeffectivenesse-learningimplementationmaintenancemedical educationreachRE-AIMreusable learning objects

Identifiers

PMID41055010
PMCPMC12519310

What OpenQuestion holds

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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.