Implementation outcomes of reusable learning objects in health care education across three Malaysian universities: evaluation using the RE-AIM framework

Implementation outcomes of reusable learning objects in health care education across three Malaysian universities: evaluation using the RE-AIM framework

Background: Current e-learning evaluation focuses on learners’ knowledge gain, satisfaction, perceptions, and attitudes; few assess the implementation outcomes of e-learning resources in teaching and learning. Objective: In this study, we used the RE-AIM (Reach, Effectiveness, Adoption, Implementati...

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Main Authors: Lim, Hooi Min, Teo, Chin Hai, Lee, Yew Kong, Lee, Ping Yein, Krishnan, Kuhan, Abu Hassan, Zahiruddin Fitri, Yong, Phelim Voon Chen, Yap, Wei Hsum, Sellappans, Renukha, Ayub, Enna, Hassan, Nurhanim, Shariff Ghazali, Sazlina, Nasharuddin, Nurul Amelina, Jahn Kassim, Puteri Shanaz, Idris, Faridah, Karlgren, Klas, Stathakarou, Natalia, Mordt, Petter, Konstantinidis, Stathis, Taylor, Michael, Poussa, Cherry, Wharrad, Heather, Ng, Chirk Jenn
Format: Article
Language:en
Published: JMIR Publications 2025
Subjects:
Medicine (all)
Education
Online Access:http://psasir.upm.edu.my/id/eprint/124921/1/124921.pdf
http://psasir.upm.edu.my/id/eprint/124921/
https://mededu.jmir.org/2025/1/e63882
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Summary:Background: Current e-learning evaluation focuses on learners’ knowledge gain, satisfaction, perceptions, and attitudes; few assess the implementation outcomes of e-learning resources in teaching and learning. Objective: In this study, we used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to systematically evaluate the implementation outcomes of reusable learning objects (RLOs) in the context of health care education. Methods: This study is a part of the Advancing Co-creation of RLOs to Digitise Healthcare Curriculum (ACoRD) project, wherein we developed and implemented 23 RLOs across 3 Malaysian universities for medical, pharmacy, and biomedical curricula. Implementation and dissemination strategies were employed. Data were collected using a self-administered web-based questionnaire and Google Analytics. Results: This study reports a cumulative RLO access of 7622 users from 48 countries (reach). Users rated RLOs as very helpful (1452/2071, 70.1%) or helpful (601/2071, 29.1%). Preassessments and postassessments showed a significant improvement in the knowledge score (21 RLOs, P<.05) and confidence level (17 RLOs, P<.05) (effectiveness). All 3 Malaysian universities adopted RLOs in the fields of professional development, primary care medicine, medicine, pediatrics, nursing, pharmacy, and biomedicine (adoption). The percentage of users who completed RLOs ranged from 5.6% (10/179) to 85% (78/92), with nonbounced users (users who viewed more than one page) ranging from 16.3% (165/1014) to 88.5% (370/418) (implementation). In the 4 months following the completion of the ACoRD project, a total of 2107 users accessed RLOs (maintenance). Conclusions: We systematically evaluated the implementation of e-learning resources by using the RE-AIM framework, informing future strategies to integrate e-learning innovations in real-world teaching and learning practices.

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