Cook et al. found multiple learning strategies was the only instructional design feature with a significantly positive pooled effect on Kirkpatrick level 4 patient outcomes (0.53, p < 0.001)¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? In the review of technology‐enhanced simulation by Cook et al., multiple learning strategies was the only instructional design feature with a significantly positive pooled effect on level 4 patient outcomes (0.53, p < 0.001). → Sekhavati P 2025

Evidence¶

Sekhavati P 2025¶

Sekhavati P, Wild T, Martinez IDPC, Dion PM, Woo M, Ramlogan R, Boet S, Shorr R, Gu Y. (2025). Instructional design features in ultrasound‐guided regional anaesthesia simulation‐based training: a systematic review. Anaesthesia. https://doi.org/10.1111/anae.16527

q2 · i? · review · r3

The review attributes to Cook et al. the finding that "multiple learning strategies was the only instructional design feature with a significantly positive pooled effect on Kirkpatrick level 4 patient outcomes (0.53, p < 0.001)".

"Further supporting the effectiveness of multiple learning strategies, Cook et al. found that multiple learning strategies was the only instructional design feature with a significantly positive pooled effect on Kirkpatrick level 4 patient outcomes (0.53, p < 0.001) [15]."

Discussion¶

Related Claims¶

• Simulation Based Education Improves Outcomes — a broader claim this one bears on
• Fewer studies assessed Kirkpatrick level 3 behaviour and level 4 patient outcomes, and higher‐level feature combinations remain unclear — related
• Expert instructor presence, repetitive practice and multiple learning strategies were the most common instructional design features — related
• Isolated feature comparisons: multiple learning strategies with repetitive practice increased self‐reported block success, and AI‐assisted nerve identification reduced patient complications — a narrower finding that bears on this claim
• Hybrid simulation of breast examination produces better lesion reporting and malignant-feature identification than traditional teaching — a narrower finding that bears on this claim