Self-directed learning assessment practices in undergraduate health professions education: a systematic review

ABSTRACTPurpose The goal of this systematic review was to examine self-directed learning (SDL) assessment practices in undergraduate health professions education.Methods Seven electronic databases were searched (PubMed, Embase, PsycINFO, ERIC, CINAHL, Scopus, and Web of Science) to retrieve English-...

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Main Authors: Tracey A.H. Taylor, Kyeorda Kemp, Misa Mi, Sarah Lerchenfeldt
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Medical Education Online
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2023.2189553
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author Tracey A.H. Taylor
Kyeorda Kemp
Misa Mi
Sarah Lerchenfeldt
author_facet Tracey A.H. Taylor
Kyeorda Kemp
Misa Mi
Sarah Lerchenfeldt
author_sort Tracey A.H. Taylor
collection DOAJ
description ABSTRACTPurpose The goal of this systematic review was to examine self-directed learning (SDL) assessment practices in undergraduate health professions education.Methods Seven electronic databases were searched (PubMed, Embase, PsycINFO, ERIC, CINAHL, Scopus, and Web of Science) to retrieve English-language articles published between 2015 and July of 2022, investigating assessment of SDL learning outcomes. Extracted data included the sample size, field of study, study design, SDL activity type, SDL assessment method, number of SDL assessments used, study quality, number of SDL components present utilising the framework the authors developed, and SDL activity outcomes. We also assessed relationships between SDL assessment method and number of SDL components, study quality, field of study, and study outcomes.Results Of the 141 studies included, the majority of study participants were medical (51.8%) or nursing (34.8%) students. The most common SDL assessment method used was internally-developed perception surveys (49.6%). When evaluating outcomes for SDL activities, most studies reported a positive or mixed/neutral outcome (58.2% and 34.8%, respectively). There was a statistically significant relationship between both number and type of assessments used, and study quality, with knowledge assessments (median-IQR 11.5) being associated with higher study quality (p < 0.001). Less than half (48.9%) of the studies used more than one assessment method to evaluate the effectiveness of SDL activities. Having more than one assessment (mean 9.49) was associated with higher quality study (p < 0.001).Conclusions The results of our systematic review suggest that SDL assessment practices within undergraduate health professions education vary greatly, as different aspects of SDL were leveraged and implemented by diverse groups of learners to meet different learning needs and professional accreditation requirements. Evidence-based best practices for the assessment of SDL across undergraduate healthcare professions education should include the use of multiple assessments, with direct and indirect measures, to more accurately assess student performance.
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spelling doaj.art-b38389c3247a4e9f8ed98d66b6b0de2b2023-11-27T16:01:58ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2189553Self-directed learning assessment practices in undergraduate health professions education: a systematic reviewTracey A.H. Taylor0Kyeorda Kemp1Misa Mi2Sarah Lerchenfeldt3Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USADepartment of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USAMedical Library, Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USADepartment of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, USAABSTRACTPurpose The goal of this systematic review was to examine self-directed learning (SDL) assessment practices in undergraduate health professions education.Methods Seven electronic databases were searched (PubMed, Embase, PsycINFO, ERIC, CINAHL, Scopus, and Web of Science) to retrieve English-language articles published between 2015 and July of 2022, investigating assessment of SDL learning outcomes. Extracted data included the sample size, field of study, study design, SDL activity type, SDL assessment method, number of SDL assessments used, study quality, number of SDL components present utilising the framework the authors developed, and SDL activity outcomes. We also assessed relationships between SDL assessment method and number of SDL components, study quality, field of study, and study outcomes.Results Of the 141 studies included, the majority of study participants were medical (51.8%) or nursing (34.8%) students. The most common SDL assessment method used was internally-developed perception surveys (49.6%). When evaluating outcomes for SDL activities, most studies reported a positive or mixed/neutral outcome (58.2% and 34.8%, respectively). There was a statistically significant relationship between both number and type of assessments used, and study quality, with knowledge assessments (median-IQR 11.5) being associated with higher study quality (p < 0.001). Less than half (48.9%) of the studies used more than one assessment method to evaluate the effectiveness of SDL activities. Having more than one assessment (mean 9.49) was associated with higher quality study (p < 0.001).Conclusions The results of our systematic review suggest that SDL assessment practices within undergraduate health professions education vary greatly, as different aspects of SDL were leveraged and implemented by diverse groups of learners to meet different learning needs and professional accreditation requirements. Evidence-based best practices for the assessment of SDL across undergraduate healthcare professions education should include the use of multiple assessments, with direct and indirect measures, to more accurately assess student performance.https://www.tandfonline.com/doi/10.1080/10872981.2023.2189553Self-directed learninghealth profession educationassessmentprogram evaluationmedical studentsnursing students
spellingShingle Tracey A.H. Taylor
Kyeorda Kemp
Misa Mi
Sarah Lerchenfeldt
Self-directed learning assessment practices in undergraduate health professions education: a systematic review
Medical Education Online
Self-directed learning
health profession education
assessment
program evaluation
medical students
nursing students
title Self-directed learning assessment practices in undergraduate health professions education: a systematic review
title_full Self-directed learning assessment practices in undergraduate health professions education: a systematic review
title_fullStr Self-directed learning assessment practices in undergraduate health professions education: a systematic review
title_full_unstemmed Self-directed learning assessment practices in undergraduate health professions education: a systematic review
title_short Self-directed learning assessment practices in undergraduate health professions education: a systematic review
title_sort self directed learning assessment practices in undergraduate health professions education a systematic review
topic Self-directed learning
health profession education
assessment
program evaluation
medical students
nursing students
url https://www.tandfonline.com/doi/10.1080/10872981.2023.2189553
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