The Impact of Integrated Active Learning Strategies on Student Satisfaction and Academic Performance in Histology Education: A Quasi-Experimental Study.
{"title":"The Impact of Integrated Active Learning Strategies on Student Satisfaction and Academic Performance in Histology Education: A Quasi-Experimental Study.","authors":"Maryam Ghaemi-Amiri, Soraya Khafri, Fatemeh Rajati, Zahra Babazadeh","doi":"10.1007/s40670-026-02792-7","DOIUrl":null,"url":null,"abstract":"<p><p>Histology education faces significant challenges due to its abstract content and compressed curricula, with limited comparative evidence on integrated active learning strategies across diverse student groups. A quasi-experimental study at Babol University of Medical Sciences involved students from eight disciplines. Satisfaction was assessed via a 5-point Likert scale from 314 out of 373 active learning students (Flipped Classroom/FC, Small Group Learning/SGL, Teacher Role-Playing/TRP) and 213 out of 365 traditional teaching students. Academic performance was compared using final exam scores from all active learning (<i>n</i> = 373) and traditional (<i>n</i> = 365) students over five semesters. Satisfaction was significantly higher in all active learning groups compared to traditional teaching (3.468 ± 0.067; <i>p</i> < 0.0001). Flipped Classroom achieved the highest satisfaction (3.974 ± 0.051), but didn't show significantly difference with other active groups (Small Group Learning (3.920 ± 0.051, and Teacher Role-Playing (3.897 ± 0.056). Satisfaction correlated with improved motivation, retention, and comprehension. Male students reported higher satisfaction. Teacher Role-Playing satisfaction varied significantly by discipline (<i>p</i> = 0.026), being highest in Anatomical Sciences and lowest in Speech Therapy. Academic performance was superior across active learning groups, with the greatest gains among graduate students (<i>p</i> = 0.0285) and in medium/large classes (<i>p</i> < 0.0001). In conclusion, the integrated active learning strategies significantly enhance both student satisfaction and academic achievement in histology education. Effectiveness is moderated by gender, discipline, academic level, and class size, supporting the adoption of tailored, student-centered approaches to address engagement and curricular challenges in health sciences.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at https://doi.org/10.1007/s40670-026-02792-7.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"36 4","pages":"1933-1944"},"PeriodicalIF":1.8000,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582739/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Science Educator","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40670-026-02792-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/8/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Histology education faces significant challenges due to its abstract content and compressed curricula, with limited comparative evidence on integrated active learning strategies across diverse student groups. A quasi-experimental study at Babol University of Medical Sciences involved students from eight disciplines. Satisfaction was assessed via a 5-point Likert scale from 314 out of 373 active learning students (Flipped Classroom/FC, Small Group Learning/SGL, Teacher Role-Playing/TRP) and 213 out of 365 traditional teaching students. Academic performance was compared using final exam scores from all active learning (n = 373) and traditional (n = 365) students over five semesters. Satisfaction was significantly higher in all active learning groups compared to traditional teaching (3.468 ± 0.067; p < 0.0001). Flipped Classroom achieved the highest satisfaction (3.974 ± 0.051), but didn't show significantly difference with other active groups (Small Group Learning (3.920 ± 0.051, and Teacher Role-Playing (3.897 ± 0.056). Satisfaction correlated with improved motivation, retention, and comprehension. Male students reported higher satisfaction. Teacher Role-Playing satisfaction varied significantly by discipline (p = 0.026), being highest in Anatomical Sciences and lowest in Speech Therapy. Academic performance was superior across active learning groups, with the greatest gains among graduate students (p = 0.0285) and in medium/large classes (p < 0.0001). In conclusion, the integrated active learning strategies significantly enhance both student satisfaction and academic achievement in histology education. Effectiveness is moderated by gender, discipline, academic level, and class size, supporting the adoption of tailored, student-centered approaches to address engagement and curricular challenges in health sciences.
Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s40670-026-02792-7.
期刊介绍:
Medical Science Educator is the successor of the journal JIAMSE. It is the peer-reviewed publication of the International Association of Medical Science Educators (IAMSE). The Journal offers all who teach in healthcare the most current information to succeed in their task by publishing scholarly activities, opinions, and resources in medical science education. Published articles focus on teaching the sciences fundamental to modern medicine and health, and include basic science education, clinical teaching, and the use of modern education technologies. The Journal provides the readership a better understanding of teaching and learning techniques in order to advance medical science education.