Evidence map›Paper›PMID 42292247›Full record

ArticleFrontiers in medicine2026

Generative AI and student learning performance in medical higher education: a social cognitive theory perspective.

Muhammad Azeem Ashraf, Muhammad Aftab, Muhammad Mohsin, Sohail Maqbool, Muhammad Hanif

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. 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

5 authors.

Muhammad Azeem AshrafInstitute of Educational Sciences, Hunan University, Changsha, China.
Muhammad AftabFaculty of Management Sciences, University of Okara, Okara, Pakistan.
Muhammad MohsinDepartment of Business and Management, University of Sultan Zain ul Abidin, Kuala Terengganu, Malaysia.
Sohail MaqboolFaculty of Management Sciences, University of Okara, Okara, Pakistan.
Muhammad HanifFaculty of Management Sciences, National University of Modern Languages, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study examines the impact of Generative Artificial Intelligence (GAI) on medical students' learning performance in higher education. Drawing on Social Cognitive Theory, it investigates the mediating roles of technology self-efficacy, perceived learning outcomes, and cognitive engagement, as well as the moderating role of fairness and ethical perceptions in AI-supported learning environments. Methods: A cross-sectional quantitative design was employed, with data collected from 326 medical higher education students in Pakistan using validated survey instruments. Structural equation modeling (SEM) with SmartPLS 4.0 was applied to test direct, mediating, and moderating relationships among the study variables. Results: The findings reveal that GAI-based technologies (GAT) exert a significant positive direct effect on students' learning performance and indirect effects through technology self-efficacy, perceived learning outcomes, and cognitive engagement. Technology self-efficacy and cognitive engagement emerged as strong mediators, while perceived learning outcomes further supported academic motivation and achievement. Moderation analysis demonstrated that perceptions of fairness and ethics significantly strengthen the positive effects of these mediators on learning performance, underscoring the importance of ethically grounded AI implementation. Conclusion: The study provides empirical evidence that GAI can enhance learning performance in medical higher education when supported by strong self-efficacy, engagement, and positive learning perceptions. Importantly, ethical and fair AI practices amplify these benefits. The findings offer practical implications for educators and policymakers seeking to integrate generative AI responsibly and effectively into medical education.

Indexed as

cognitive engagementfairness and ethicsgenerative AIlearning performanceperceived learning outcomestechnology self-efficacy

Identifiers

PMID42292247
PMCPMC13259992

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.