MARC

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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07274-9  |2 doi 
035 |a 3227643009 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Zhu, Jing 
245 1 |a The efficacy of the BOPPPS teaching model in clinical and health education: a systematic review and meta-analysis 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundBOPPPS (Bridge-in, Objective, Preassessment, Participatory learning, Post-assessment, Summary) has emerged as a compelling alternative in clinical and health education, particularly in medical and nursing education. This study aimed to assess the efficacy of BOPPPS in clinical and health education, with a primary focus on medical education, while also considering its applications in related disciplines such as nursing and health services management.MethodsA systematic review and meta-analysis were conducted using databases of PubMed, EMBASE, Cochrane Library, Scopus, and Web of Science, covering studies up to May 15th, 2023. Inclusion criteria were studies involving undergraduate students in clinical and health disciplines (e.g., medicine, nursing, health services management) using BOPPPS, comparing it to traditional teaching methods, and reporting on relevant outcomes. Exclusion criteria were studies not focused on clinical and health education or without a comparison group. Quality assessment was performed using the Newcastle-Ottawa Scale (NOS) for non-randomized studies and the Jadad scale for randomized controlled trials (RCTs). Heterogeneity among the studies was evaluated using the I² statistic and Cochran’s Q test. Publication bias was assessed using funnel plots and Egger’s test.ResultsA total of 146 publications were initially retrieved, with 16 studies (1198 in the BOPPPS group and 1122 in the control group) included. The pooled result revealed that BOPPPS significantly improved final examination scores (Standardized mean difference: 1.14, 95% CI 0.84–1.43; P < 0.001) compared to traditional teaching. Egger’s test indicated no significant publication bias (p-value = 0.12). Additional benefits included improved student satisfaction (SMD 0.94, 95% CI 0.63–1.26; P < 0.001), classroom interaction (SMD 0.83, 95% CI 0.46–1.21; P < 0.001), and learning initiative (SMD 0.73, 95% CI 0.48–0.98; P < 0.001).ConclusionBOPPPS demonstrates significant potential for enhancing various dimensions of clinical and health education, including academic performance, student engagement, and satisfaction. Policymakers and educational leaders should consider integrating BOPPPS into teacher training and curriculum design to promote active learning and improve learning outcomes. However, further research is necessary to explore its effectiveness in diverse cultural and educational contexts, as well as its potential impact on developing higher-order cognitive skills like critical thinking and problem-solving skills. While these findings are generalizable to similar educational settings, caution is recommended when applying them to different cultural contexts. 
651 4 |a China 
653 |a Problem solving 
653 |a Physiology 
653 |a Medical education 
653 |a Collaboration 
653 |a Teaching methods 
653 |a Student participation 
653 |a Statistical analysis 
653 |a Active learning 
653 |a Health education 
653 |a Inclusion 
653 |a College students 
653 |a Critical thinking 
653 |a Nursing 
653 |a Ophthalmology 
653 |a Pedagogy 
653 |a Thoracic surgery 
653 |a Bias 
653 |a Systematic review 
653 |a Health services 
653 |a Meta-analysis 
653 |a Self study 
653 |a Retention (Psychology) 
653 |a Prior Learning 
653 |a Outcome Measures 
653 |a Educational Objectives 
653 |a Information Seeking 
653 |a Effect Size 
653 |a Evidence Based Practice 
653 |a Course Content 
653 |a Learner Engagement 
653 |a Educational Strategies 
653 |a Undergraduate Students 
653 |a Learning Strategies 
653 |a Learning Processes 
653 |a Meta Analysis 
653 |a Outcomes of Education 
653 |a Classroom Communication 
653 |a Educational Facilities Improvement 
700 1 |a Xiao, Heng 
700 1 |a Zhou, Rui 
700 1 |a Gan, Xiaochuang 
700 1 |a Gou, Qitao 
700 1 |a Tie, Hongtao 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-14 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3227643009/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3227643009/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3227643009/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch