Skip to main content
Intended for healthcare professionals
Open access
Research article
First published online March 13, 2024

Examining the Impact of Project-Based Learning on Students’ Self-Reported and Actual Learning Outcomes

Abstract

Active, collaborative, and project-based learning strategies have become increasingly popular in college classrooms due to their effectiveness in cultivating student-centered learning. Compared to conventional teaching methods, active and project-based learning engages students in the learning process by fostering collaborative approaches to addressing real-world problems. To better prepare students for future careers in health promotion, we evaluated the effectiveness of a collaborative project-based health promotion assignment on self-perceived and actual learning among a sample of underrepresented students (N = 33). In order to assess learning, students completed both a self-reported and actual learning assessment designed to assess competency of the core learning outcomes of the health promotion course. Results demonstrated approximately similar increases in self-reported and actual learning over the semester. Although the results were unexpectedly parallel, students consistently underestimated their knowledge on both the pre- and post-learning assessments. In all, survey results demonstrated the group-based project served as a valuable tool for undergraduate learning, with the majority of students evaluating the project positively across all measures.

Introduction

Sparked by John Dewey’s constructivist theory of knowledge, active learning has found increasing research support as an effective method of teaching. Defined as a “student-centered concept denoting a participative process of engagement in classes and materials where students are involved in constructing their own learning,” (Prasad et al., 2022, p. 2) active learning is often considered the opposite of passive learning in which instructors relay information to their students (e.g., lecturing) (Chickering & Zelda, 1987; Fields et al., 2021; Powner & Allendoerfer, 2008). It engages students in the process of their learning through activities, emphasizes higher-order thinking, and often includes group work (Freeman et al., 2014).
The constructivist approach emphasizes that knowledge is constructed by the actions of the learner and encourages an activity-based framework (Jonassen, 1991; Linton et al., 2014). Importantly, when compared to traditional lecturing methods, active (or constructive) methods have demonstrated enhanced long-term retention of information (Gijbels et al., 2005). As active learning engages students in the learning process, collaboration is often utilized as a method of facilitating and enhancing student engagement. Collaborative team-based learning has been demonstrated to increase levels of engagement, motivation, learning, enjoyment, and to enhance critical thinking in a multitude of fields, although the literature is limited for public health (Eukel & Morrell, 2021; Freeman et al., 2014; Laal & Laal, 2012; Michael, 2006; Prince, 2004; Shin et al., 2015). In this setting, teachers act as facilitators while students work together in groups to answer questions and find solutions while working (Smith & MacGregor, 1992). As described by Smith, collaborative learning can also support students’ social and emotional needs, as well as academic literacies (Smith & MacGregor, 1992).
Combining both active and collaborative learning, project-based learning (PBL) is an instructional approach which involves students working on projects to explore and solve authentic real-world problems. This method focuses on providing students with an opportunity to acquire deep knowledge through investigation of an authentic problem. Typically, students learn the core curriculum and apply their knowledge by asking questions, designing plans, collecting and analyzing data, drawing conclusions, and creating artifacts in order to develop solutions to their driving questions (Blumenfeld et al., 1991). Not only does PBL help students develop the skills described previously with active and collaborative learning but it also improves important life skills, such as communication, time management, and has been demonstrated to narrow achievement gaps for underrepresented students in a variety of academic fields as well as increase overall enjoyment and learning (Theobald et al., 2020). Overall, PBL can enhance student engagement and motivation, leading to deeper learning and improved academic performance (Almulla, 2020; Blumenfeld et al., 1991; Guo et al., 2020; Helle et al., 2006; Maida, 2011; Ngereja et al., 2020; Tadesse et al., 2022).

Rationale

Although PBL has been demonstrated as an effective teaching method, there is still much to be understood about its true impact on student learning. While there has been some research on the difference between self-reported learning and actual learning in traditional educational settings, there is little research on this distinction in project-based learning contexts. Self-reported learning (or perceived learning) refers to knowledge or skills individuals believe they gained through a learning experience. This form of assessment is often used in educational research but may not always reflect actual learning. Actual learning refers to the actual knowledge or skills gained, as measured by objective assessments or performance evaluations.
This is an important area for further investigation, as PBL is becoming increasingly prevalent in educational settings and health promotion is a critical societal need. Health promotion is a growing field due to the increasing importance of disease prevention and health promotion initiatives, especially after the COVID-19 pandemic. In tandem with the rise of chronic diseases and the aging population, there is greater need for professionals trained to address these multifaceted challenges. PBL provides students with hands-on experience and practical skills which are essential for identifying and addressing health disparities and creating effective health promotion strategies (Trevena, 2007). As such, it is essential to optimize learning interventions in this field.
This study aims to investigate how an active and collaborative project-based health promotion assignment affects both actual and self-reported learning.

Methodology

Study Design

All data collection occurred between August 2022 and June 2023. The University of California, Merced (UC Merced) Institutional Review Board (IRB) deemed this study exempt from full IRB review as it constituted research which only involved educational tests, surveys, and interviews (IRB#: UCM2022-101).

Sample

All 33 students were recruited from an upper-level undergraduate public health course offered through the Department of Public Health at UC Merced titled Health Promotion. The students were all public health majors or minors and were a representative sample of the university population. To avoid feelings of coercion, students were recruited into the study on the first day of class by an independent researcher, while the professor (retracted for review) left the classroom. Subsequently, the requirements of the study were described in detail and any questions students had about the study were answered while the professor was away. Sixty-seven percent of the class volunteered to participate in the study and all subjects provided voluntary informed consent before participation. Students were excluded if they were under the age of 18 years.
This Health Promotion course is a group- and project-based course that requires students to design a health promotion program as a semester-long assignment. The assignment’s primary objective is to develop an evidence-based program targeting a specific population and addressing a real-word public health challenge. It is structured into six distinct scaffolding stages, enabling small groups of three to: (1) identify a health problem and population, (2) design a focus group for needs assessment, (3) establish a vision and action plan for intervention development, (4) deliver a persuasive group presentation for funding, and (5) develop an evaluation plan. In the concluding stage of the assignment, students individually reflect on their program’s development, including insights gained from the planning process, challenging and enjoyable stages, skills acquired, personal strengths and weaknesses, satisfaction with group work, and the potential positive impact of the assignment and course on their future careers.

Assessments and Surveys

Participant demographics were collected during the semester via a short survey capturing their gender, age, race, year in college, and first-generation college student status. The survey took approximately 5 min and was completed in a quiet classroom with pen and paper.
To order to assess learning, students completed both a self-reported and actual learning assessment designed to assess the core learning outcomes of the health promotion course. Assessments were distributed on the first day of class (pre-assessment) and the last day of class after the completion of the 15-week course (post-assessment). This assessment required students to both self-identify their mastery of key course topics (self-reported learning) and to demonstrate their ability through short answer, open-ended questions (actual learning). As the assessments were designed to cover key health promotion content, topics such as the steps required to plan a health promotion program, needs assessment, and evaluation plan were included in the assessment. Neither of the learning assessments counted for a grade in the class but were used as formative assessments in course implementation.
The self-reported learning assessment involved students rating their level of agreement with statements like “I know the steps required to plan a health promotion program” and “I know how to conduct a needs assessment.” The actual learning assessment required students to provide open-ended responses to questions such as “List the steps required to plan a health promotion program” and “Describe how to conduct a needs assessment.” See Appendices I and II to review the entire assessments. These assessments were delivered in a quiet classroom with pen and paper and took an average of 30 min to complete.
The National Commission for Health Education Credentialing (NCHEC) provides a comprehensive set of competencies and sub-competencies defining the role of the health education specialist. While the assessments were not explicitly designed to address these sub-competencies, these professional standards are represented in the actual learning assessment. For example, “Describe how to conduct a needs assessment” (Sub-competency 1.3.1), “Describe how to present a potential health promotion program to possible funders” (Sub-competency 2.1.3), and “Describe how to evaluate a health promotion program” (4.1.1). This alignment further validates the potential impact of our study within the fields of health promotion and health education.
Lastly, several weeks after the end of the course, a validated survey adapted from Ngereja, Hussein, and Andersen was distributed to all students who were enrolled in the course in order to evaluate their perception of the efficacy of the group-based project on their learning (Ngereja et al., 2020). This survey measured student’s perceived impact of PBL on their learning, motivation, and performance. Students rated their level of agreement on 10 items, such as “The project assignment helped me to gain an in-depth understanding of one or several health promotion concepts.” and “The project assignment provided me with an authentic health promotion experience.” See Appendix III for the complete document, Evaluation of the Health Promotion Project Survey.

Analyses

The open-ended questions from the learning assessments were scored independently by two authors on a grading point scale of one to three (1—response is completely incorrect or left blank, 2—response somewhat answers the question, 3—response answers the question thoroughly and correctly). Interrater reliability (IRR) was conducted and resulted in a reliability score of 72%, indicating good reliability. An actual learning score was calculated for each of the 33 students by averaging their earned scores across the 14 open-ended questions. This score was then converted into a percentage (e.g., student received a raw score of 30 out of 42, which was converted to 0.71).
A self-reported (SR) learning score was also calculated by assigning each level of agreement a number (strongly agree—5, agree—4, neutral—3, disagree—2, strongly disagree—1) and averaging the students’ responses for the 14 SR learning questions. This raw score was then converted to a percentage to allow for paired-comparisons with the actual learning scores.
All analyses were conducted using SPSS (v. 28, IBM, Armonk, NY, USA). Paired-samples t-tests were conducted to compare pre- and post-actual learning scores as well as to compare pre- and post- self-reported learning scores. Independent samples t-tests were conducted to determine differences in learning scores between subgroups of students. Statistical significance was set at an a priori alpha level of .05. Effect size was calculated and interpreted using Cohen’s d (Cohen, 2013).
Responses from the Evaluation of the Health Promotion Project Survey were analyzed and summarized simply by frequency. These data were not compared to the learning scores as it was only completed by a subset (n = 11) of the larger sample.

Findings

Descriptive statistics for the demographics of the sample (N = 33) are shown in Table 1. The sample was majority female (76%), Hispanic (64%), upperclassmen (79%), first-generation college students (79%), with an average age of 20.2 years (SD = 0.95).
Table 1. Descriptive Statistics of the Sample (N = 33).
Variable%n
Gender  
 Female75.825
Race  
 Latino/Hispanic63.621
 Asian27.39
 African-American3.01
 Two or more6.12
Year in college  
 First3.01
 Second18.26
 Third42.414
 Fourth36.412
First-generation college student  
 Yes78.826
There was a statistically significant difference in pre- (M = 0.57, SD = 0.11) and post-actual learning scores (M = 0.83, SD = 0.09); t(32) = −11.85, p < .001, demonstrating an average 25% increase of actual content mastery. Cohen’s effect size value (d = 2.06, 95% [−2.66, −1.45]) suggested a large effect and high practical significance.
There was a statistically significant difference in pre- (M = 0.47, SD = 0.06) and post-self-reported learning scores (M = 0.76, SD = 0.09); t(32) = −17.91, p < .001. These results suggest, on average, post-SR learning scores were 29% higher than pre-SR learning scores. Cohen’s effect size value (d = 3.11, 95% [−3.95, −2.28]) suggested a large effect and high practical significance.
Additionally, there were statistically significant differences among the SR learning scores and actual learning scores for both the pre-assessments (t(32) = −6.40, p < .001; with an average discrepancy of 11%) and the post-assessments (t(32) = −3.12, p = .003; with an average discrepancy of 7%). Cohen’s d also suggested large to medium effect sizes for both comparisons, reporting (d = 1.10, 95% [−1.53, −0.66]) and (d = 0.55, 95% [−0.92, −0.18]), respectively.
Due to the small sample size, the independent samples t-tests conducted to determine differences between demographic groups were underpowered and few statistically significant differences were detected (Table 2).
Table 2. Learning Assessment Scores and Paired t-Test Results (N = 33).
 Mean(SD)
Pre-SR-learning scoresa0.470.06
Post-SR-learning scoresa0.760.09
Pre-actual learning scoresa0.570.11
Post-actual learning scoresa0.830.09
Paired comparisonsMean diff ±(SD)t(31)pCohen’s d
Pre- and post-SR learning scoresa0.290.09−17.91<.001*−3.12
Pre- and post- actual learning scoresa0.250.12−11.85<.001*−2.67
Pre-SR and pre-actual learning scoresa0.110.02−6.40<.001*−1.11
Post-SR and post-actual learning scoresa0.070.02−3.12.003*−0.55
Note. ± Signifies mean difference.
a
All learning scores are represented as percentages.
*
Signifies a p value of less than .05.
Only 11 students completed the post-semester Evaluation of the Health Promotion Project Survey out of the original sample of 33 students (see Table 3). This high dropout rate was most likely due to the survey being distributed after the semester was over when students were less likely to check and respond to their emails. The demographics of this subset of students reflected those of the larger sample. This subset was similarly majority female (73%), Hispanic (82%), upperclassmen (100%), first-generation college students (73%), with an identical average age of 20.2 years. In order to evaluate other potential differences in the subgroup of 11 students, the statistical analyses were re-run on their SR and actual learning scores. The results were identical to those of the larger sample.
Table 3. Percent of Responses for the Evaluation of the Health Promotion Project Survey (N = 11).
 Survey ItemStrongly agree (%)Agree (%)Neutral (%)Disagree (%)Strongly disagree (%)
LearningThe health promotion project helped me to gain an in-depth understanding of one or several health promotion concepts.63.6 (n = 7)36.4 (n = 4)---
The project provided me with an opportunity to relate better to the health promotion concepts presented in the class.27.3 (n = 3)72.7 (n = 8)---
The project helped me to see the steps required to design a health promotion program.63.6 (n = 7)36.4 (n = 4)---
The project provided me with an authentic health promotion experience.36.4 (n = 4)45.5 (n = 5)18.2 (n = 2)--
MotivationKnowing that the project assignment counted for a large portion of the total score in the class motivated me to put in extra effort.63.6 (n = 7)18.2 (n = 2)9.1 (n = 1)9.1 (n = 1)-
Knowing that the results of my project may be used as a learning aid for future students motivated me to put in extra effort.27.3 (n = 3)45.5 (n = 5)27.3 (n = 3)--
I enjoyed working with my fellow team members very much.54.5 (n = 5)27.3 (n = 3)9.1 (n = 1)9.1 (n = 1)-
PerformanceI will be able to design health promotion programs better in the future because of the experiences I gained from working on the project assignment.63.6 (n = 7)36.4 (n = 4)---
I believe the product my group produced will be an excellent learning aid for future students in health promotion.54.6 (n = 5)36.6 (n = 4)9.1 (n = 1)--
I would evaluate my team efforts as outstanding (i.e., collaboration, communication, and knowledge sharing within the team).45.5 (n = 5)45.5 (n = 5)-9.1 (n = 1)-
Note. - Signifies no responses.
Results from the Evaluation of the Health Promotion Project Survey were overwhelmingly positive and suggested the project was a valuable learning tool. All students either agreed or strongly agreed the project helped them gain an in-depth understanding of, and an opportunity to relate better to, health promotion concepts learned in class. Similarly, all students reported the project both helped them see the steps required to plan a health promotion program and feel confident in their ability to design programs better in the future because of the experiences gained from working on the project assignment. The majority of students reported the project gave them an authentic health promotion experience (82%) and they enjoyed working with their fellow group members very much (82%). Ninety-one percent of students reported they would rate their group efforts as outstanding (i.e., collaboration, communication, and knowledge sharing within the team).

Discussion

Although PBL is widely accepted and touted as an effective pedagogical style, it is vital to measure its efficacy on actual learning. This study built on previous recommendations (Bacon, 2016; Deslauriers et al., 2019; Trevena, 2007) and primarily attempted to investigate the differences between self-reported and actual learning before and after a PBL health promotion course.
Assessment results suggest both SR and actual student learning increased by an average of 26% over the course of the semester. However, on both the pre- and post-learning assessments, students consistently underestimated their knowledge of core course concepts by approximately 9% (11% and 7%, respectively). As expected, this aligns with previous literature which would expect students’ self-reported learning scores to be more accurate at the end of the semester after they had been exposed to course content (and therefore, would have increased recognition of their deficits) (Surdilovic et al., 2022).
Historically, educational research has tended to focus on mainstream populations, excluding those from diverse backgrounds, including ethnic and racial minorities. This lack of inclusivity perpetuates existing inequalities. Several studies have demonstrated that PBL is beneficial to students of all backgrounds (Qondias et al., 2022; Rahat, 2022; Singaram et al., 2008). As such, PBL is touted by many educators as a best teaching strategy for achieving educational equity as it is rigorous, helps students build skills which are useful outside of the classroom, and increases connection to course content. Given the nature of our predominately Latino and first-generation sample, our findings support the claim PBL may be beneficial for students of underrepresented backgrounds.

Implications for Field of Pedagogy in Health Promotion

As mentioned, previous literature has emphasized the importance of distinguishing actual from perceived learning in educational settings. PBL studies often measure perceived learning instead of actual learning. This can lead to problematic interpretations of the effects of PBL on learning as the two are distinct phenomenon. This is well demonstrated by Donald R. Bacon’s work. In 2011, Bacon replicated a previous study by Revere et al. which demonstrated a positive learning effect when students completed a quiz individually and then in groups (i.e., team testing) (Revere et al., 2008). Importantly, Bacon noted their measure of learning was self-reported, and therefore only measured perceived learning. When the study was replicated by Bacon, he found team testing did have a positive effect on perceived learning but had no significant effect on actual learning (Bacon, 2011).
As such, the current study offers a unique insight into student perception of learning as well as an objective measurement of their actual learning. The close alignment between SR learning and actual learning outcomes suggests students had a relatively accurate perception of their own learning progress. This awareness can be beneficial as it allows students to reflect on their strengths and areas for improvement, which in turn fosters a sense of confidence and motivation. Moreover, the alignment between students’ perceptions of their learning and measurable increases in their knowledge validate the effectiveness of collaborative, PBL approaches, emphasizing the importance of providing students with opportunities for meaningful and impactful learning experiences in health promotion.
Despite this strength, this study is not without limitations. The sample size is relatively small, neither the actual nor SR learning assessments have been validated, and the follow-up survey evaluating the health promotion project was completed by a small subset of students. The Evaluation of the Health Promotion Project Survey was distributed a few weeks after the semester was completed, which most likely decreased the number of students who were aware of, or interested in completing the survey. Ideally, the survey should have been distributed along with the post-learning assessment at the end of the semester, not after its termination. Additionally, we could not compare the results from the survey to the learning scores due to the discrepancy in response rate. These limitations should be kept in mind when considering the implications of this work. Although we believe the results are still valuable and insightful, future work should prioritize higher participant recruitment and improve the timing of assessments to achieve an adequate response rate.
A notable importance of this study is its focus on conducting educational research on an underrepresented population. Including underserved and underrepresented students in these investigations ensures educational practices, policies, and interventions are equitable and inclusive. It allows researchers to identify and address disparities, biases, and any barriers which exist for these students. Educational instructors must acknowledge students’ diverse cultural backgrounds, languages, abilities, socioeconomic statuses, and learning styles. Students’ cultural identities and backgrounds influence their educational experiences and outcomes. Therefore, we advocate for inclusive educational research on diverse populations in order to inform evidence-based practices.

Conclusion

In conclusion, project-based learning (PBL) shows promise in diverse educational settings. However, future research must differentiate between actual and perceived learning, prioritizing the measurement of actual learning in educational interventions. This crucial distinction is often overlooked beyond a limited group of engaged faculty, impacting our understanding of PBL’s true impact and its equitable application. Integrating self-reported learning assessments, while acknowledging their limitations, complements traditional assessment tools (Pekrun, 2020). Employing a balanced approach encompassing both objective measures and self-perceptions holds vast implications for education, including health education. To achieve this, educators can utilize various assessment tools, fostering equity, inclusivity, and student agency for a richer learning experience. Additionally, exploring students’ insights through qualitative measures like focus groups can provide valuable perspectives. However, it’s crucial to supplement self-reported assessments with objective measures for comprehensive learning evaluation. Understanding the differences between actual and perceived learning aids educators in tailoring teaching methods, especially crucial in addressing equity and diversity in classrooms (Payán, 2021). Employing diverse teaching and assessment methods on varied populations allows triangulation of data, leading to a more inclusive evaluation of students’ learning in contexts like health promotion.

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

ORCID iD

Appendix

I. Self-Reported Learning Assessment
II. Actual Learning Assessment
III. Evaluation of the Health Promotion Program Project Survey

I. Self-Reported Learning Assessment

Instructions: Please select your level of agreement for each statement below, from strongly disagree to strongly agree (strongly agree, agree, neutral, disagree, strongly disagree).
1.
I know the steps required to plan a health promotion program.
2.
I know how to design focus group questions.
3.
I know how to design a focus group session.
4.
I understand the importance of conducting a needs assessment.
5.
I know how to conduct a needs assessment.
6.
I understand the need to be culturally competent when designing a health promotion program.
7.
I know how to present a potential health promotion program to possible funders.
8.
I can identify key issues that may arise when planning a health promotion program.
9.
I can design an evidence-based health promotion program.
10.
I understand the importance of designing an evidence-based health promotion program.
11.
I know how to find credible, peer-reviewed, scientific articles.
12.
I understand the importance of evaluating health promotion programs.
13.
I know how to evaluate a health promotion program.
14.
I know the types of evaluation that can be conducted on health promotion programs.

II. Actual Learning Assessment

Instructions: Answer the following questions in thorough complete sentences. If you do not know an answer, please skip it.
1.
List the steps required to plan a health promotion program.
2.
Describe how to design focus group questions.
3.
Describe how to design a focus group session.
4.
Why is it important to conduct a needs assessment?
5.
Describe how to conduct a needs assessment.
6.
Describe why it is important to be culturally competent when designing a health promotion program.
7.
Describe how to present a potential health promotion program to possible funders.
8.
List key issues that may arise when planning a health promotion program.
9.
Describe how to design an evidence-based health promotion program.
10.
Describe why it is important to design an evidence-based health promotion program.
11.
Describe how to find credible, peer-reviewed, scientific articles.
12.
Describe why it is important to evaluate health promotion programs.
13.
Describe how to evaluate a health promotion program.
14.
List the types of evaluation that can be conducted on health promotion programs.

III. Evaluation of the Health Promotion Program Project Survey

Instructions: Please select your level of agreement for each statement below, from strongly disagree to strongly agree (strongly agree, agree, neutral, disagree, strongly disagree).
1.
The health promotion project helped me to gain an in-depth understanding of one or several health promotion concepts.
2.
The project provided me with an opportunity to relate better to the health promotion concepts presented in the class.
3.
The project helped me to see the steps required to design a health promotion program.
4.
The project provided me with an authentic health promotion experience.
5.
Knowing that the project assignment counted for a large portion of the total score in the class motivated me to put in extra effort.
6.
Knowing that the results of my project may be used as a learning aid for future students motivated me to put in extra effort.
7.
I enjoyed working with my fellow team members very much.
8.
I will be able to design health promotion programs better in the future because of the experiences I gained from working on the project assignment.
9.
I believe the product my group produced will be an excellent learning aid for future students in health promotion.
10.
I would evaluate my team efforts as outstanding (i.e., collaboration, communication, and knowledge sharing within the team).
Note. Adapted from Does Project-Based Learning (PBL) Promote Student Learning? A Performance Evaluation, Bertha Ngereja, Bassam Hussein, and Bjørn Andersen, 202., Journal of Educational Sciences, 10(330), doi:10.3390/educsci10110330.

References

Almulla M. A. (2020). The effectiveness of the project-based learning (PBL) approach as a way to engage students in learning. Sage Open, 10(3), 1–15. https://doi.org/10.1177/2158244020938702
Bacon D. R. (2011). Comparing direct versus indirect measures of the pedagogical effectiveness of team testing. Journal of Marketing Education, 33(3), 348–358. https://doi.org/10.1177/0273475311420243
Bacon D. R. (2016). Reporting actual and perceived student learning in education research. Journal of Marketing Education, 38, 3–6. https://doi.org/10.1177/0273475316636732
Blumenfeld P., Soloway E., Marx R., Krajcik J., Guzdial M., Palincsar A. (1991). Motivating project-based learning: Sustaining the doing, supporting the learning. Educational Psychologist, 26(3), 369–398. https://doi.org/10.1207/s15326985ep2603&4_8
Chickering A. W. G., Zelda F. (1987). Seven principles for good practice in undergraduate education. AAHE Bulletin, 3–7.
Cohen J. (2013). Statistical power analysis for the behavioral sciences. Academic Press.
Deslauriers L., McCarty L. S., Miller K., Callaghan K., Kestin G. (2019). Measuring actual learning versus feeling of learning in response to being actively engaged in the classroom. Proceedings of the National Academy of Sciences of the United States of America, 116(39), 19251–19257. https://doi.org/10.1073/pnas.1821936116
Eukel H., Morrell B. (2021). Ensuring educational escape-room success: The process of designing, piloting, evaluating, redesigning, and re-evaluating educational escape rooms. Simulation & Gaming, 52(1), 18–23. https://doi.org/10.1177/1046878120953453
Fields L., Trostian B., Moroney T., Dean B. A. (2021). Active learning pedagogy transformation: A whole-of-school approach to person-centred teaching and nursing graduates. Nurse Education in Practice, 53, 1–7. https://doi.org/10.1016/j.nepr.2021.103051
Freeman S., Eddy S. L., McDonough M., Smith M. K., Okoroafor N., Jordt H., Wenderoth M. P. (2014). Active learning increases student performance in science, engineering, and mathematics. Proceedings of the National Academy of Sciences, 111(23), 8410–8415. https://doi.org/10.1073/pnas.1319030111
Gijbels D., Dochy F., Van Den Bossche P., Segers M. (2005). Effects of problem-based learning: A meta-analysis from the angle of assessment. Review of Educational Research, 75(1), 27–61. https://doi.org/10.3102/00346543075001027
Guo P., Saab N., Post L. S., Admiraal W. (2020). A review of project-based learning in higher education: Student outcomes and measures. International Journal of Educational Research, 102, 1–6. https://doi.org/10.1016/j.ijer.2020.101586
Helle L., Tynjälä P., Olkinuora E. (2006). Project-based learning in post-secondary education – Theory, practice and rubber sling shots. Higher Education, 51(2), 287–314. https://doi.org/10.1007/s10734-004-6386-5
Jonassen D. H. (1991). Evaluating constructivistic learning. Educational Technology, 31(9), 28–33.
Laal M., Laal M. (2012). Collaborative learning: What is it? Procedia - Social and Behavioral Sciences, 31, 491–495. https://doi.org/10.1016/j.sbspro.2011.12.092
Linton D. L., Pangle W. M., Wyatt K. H., Powell K. N., Sherwood R. E. (2014). Identifying key features of effective active learning: The effects of writing and peer discussion. CBE Life Sciences Education, 13(3), 469–477. https://doi.org/10.1187/cbe.13-12-0242
Maida C. A. (2011). Project-based learning: A critical pedagogy for the twenty-first century. Policy Futures in Education, 9(6), 759–768. https://doi.org/10.2304/pfie.2011.9.6.759
Michael J. (2006). Where's the evidence that active learning works? Advances in Physiology Education, 30(4), 159–167. https://doi.org/10.1152/advan.00053.2006
Ngereja B., Hussein B., Andersen B. (2020). Does project-based learning (PBL) promote student learning? A performance evaluation. Education Sciences, 10(11), 330.
Payán D. D. (2021). Cultivating health policy analysis and communication skills in undergraduate public health education: An active learning approach. Pedagogy in Health Promotion, 7(3), 235–241. https://doi.org/10.1177/23733799211003248
Pekrun R. (2020). Self-report is indispensable to assess students’ learning. Frontline Learning Research, 8(3), 185–193. https://doi.org/10.14786/flr.v8i3.637
Powner L. C., Allendoerfer M. G. (2008). Evaluating hypotheses about active learning. International Studies Perspectives, 9(1), 75–89. https://doi.org/10.1111/j.1528-3585.2007.00317.x
Prasad S., O'Malley C. B., DeLeon R., Levy A. S., Griffin D. P. (2022). Inclusive LGBTQIA+ healthcare: An interprofessional case-based experience for cultural competency awareness. Frontiers in Public Health, 10, 1–9. https://doi.org/10.3389/fpubh.2022.993461
Prince M. (2004). Does active learning work? A review of the research. Journal of Engineering Education, 93(3), 223–231. https://doi.org/10.1002/j.2168-9830.2004.tb00809.x
Qondias D., Lasmawan W., Dantes N., Arnyana I. B. P. (2022). Effectiveness of multicultural problem-based learning models in improving social attitudes and critical thinking skills of elementary school students in thematic instruction. Journal of Education and e-Learning Research, 9(2), 62–70. https://doi.org/10.20448/jeelr.v9i2.3812
Rahat R. (2022). A problem-based learning approach to develop minority students’ sustainbility knowledge and professional skills. American Society for Engineering Education.
Revere L., Elden M., Bartsch R. (2008). Designing group examinations to decrease social loafing and increase learning. International Journal for the Scholarship of Teaching and Learning, 2, 1–16. https://doi.org/10.20429/ijsotl.2008.020117
Shin H., Sok S., Hyun K. S., Kim M. J. (2015). Competency and an active learning program in undergraduate nursing education. Journal of Advanced Nursing, 71(3), 591–598. https://doi.org/10.1111/jan.12564
Singaram V., Dolmans D., Lachman N., van der Vleuten C. (2008). Perceptions of problem-based learning (PBL) group effectiveness in a socially-culturally diverse medical student population. Education for Health, 21(2), 116.
Smith B., MacGregor J. (1992). What is collaborative learning? Collaborative learning: A sourcebook for higher education (pp. 1–11). Pennsylvania State University.
Surdilovic D., Adtani P., Fuoad S. A., Abdelaal H. M., D'souza J. (2022). Evaluation of the Dunning-Kruger effects among dental students at an academic training institution in UAE. Acta Stomatologica Croatica, 56(3), 299–310. https://doi.org/10.15644/asc56/3/8
Tadesse S. G., Tadesse D. G., Dagnaw E. H. (2022). Problem based learning approach increases the academic satisfaction of health science students in Ethiopian universities: A comparative cross sectional study. BMC Medical Education, 22(1), 334. https://doi.org/10.1186/s12909-022-03397-5
Theobald E. J., Hill M. J., Tran E., Agrawal S., Arroyo E. N., Behling S., Chambwe N., Cintrón D. L., Cooper J. D., Dunster G., Grummer J. A., Hennessey K., Hsiao J., Iranon N., Jones L., Jordt H., Keller M., Lacey M. E., Littlefield C. E.,. . . Freeman S. (2020). Active learning narrows achievement gaps for underrepresented students in undergraduate science, technology, engineering, and math. Proceedings of the National Academy of Sciences, 117(12), 6476–6483. https://doi.org/10.1073/pnas.1916903117
Trevena L. J. (2007). Problem-based learning in public health workforce training: A discussion of educational principles and evidence. New South Wales Public Health Bulletin, 18(1-2), 4–8. https://doi.org/10.1071/NB07007