Evidence map›Paper›PMID 42173960›Full record

ArticleScientific reports2026

Effects of online collaborative learning and simulation-based learning on pedagogical knowledge and teaching efficacy in digital education.

Chia-Chen Chang, Wen-Chi Wu, Li-Chu Chen, Ping-Hsiu Tsai, Chen-Yin Tung

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Chia-Chen ChangDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Wen-Chi WuDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Li-Chu ChenDepartment of Early Childhood Care and Education, Kang Ning University, New Taipei City, Taiwan.
Ping-Hsiu TsaiDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Chen-Yin TungDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal University, 162, Section 1, Heping E. Rd., Taipei City, 106, Taiwan. s09144@ntnu.edu.tw.

Funding

Ministry of Education Republic of China (Taiwan). N/A
6 · The paper itself

Abstract

As digital learning becomes increasingly central to teacher professional development, understanding how different online pedagogical models influence learning outcomes has become essential. This quasi-experimental study compared the effects of online collaborative learning (OCL) and simulation-based learning (SBL) on pedagogical knowledge and teaching efficacy in 674 primary and secondary school teachers in Taiwan (OCL group: n = 399; SBL group: n = 275). The OCL and SBL groups participated in a 3-h digital health education enhancement programme. The OCL group engaged in structured online collaboration and reflective dialogue, whereas the SBL group participated in scenario-based simulations that replicated authentic classroom situations. Paired-sample analyses indicated significantly higher pedagogical knowledge and teaching efficacy in both groups following the interventions. The OCL group exhibited greater gains in pedagogical knowledge, whereas the SBL group exhibited greater enhancement of teaching efficacy. Linear mixed-effects models controlling for demographic covariates confirmed distinct patterns of change in the groups. After adjustment, higher education level and specialisation in health education exhibited positive and negative associations, respectively, with teaching efficacy. Moreover, cognitive load was positively associated with knowledge gain but negatively associated with teaching efficacy. These findings highlight that OCL effectively supports teachers' conceptual understanding and knowledge integration, whereas SBL improves their applied competence and instructional confidence through experiential learning. The results underscore the importance of aligning digital pedagogical approaches with professional development objectives and provide empirical evidence to guide differentiated, technology-integrated teacher training programmes.

Indexed as

Education, DistanceLearningSchool TeachersTeachingCooperative BehaviorDigital MediaFemaleHumansTaiwanDigital educationInstructional efficacyOnline collaborative learningOnline teaching methodsPedagogical knowledgeSimulation-based learning

Identifiers

PMID42173960
PMCPMC13407846

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.