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Table 3 Analysis results of subgroups

From: Effectiveness of flipped classroom in pharmacy education – a meta-analysis

Subgroup and domain

n

Effects

Heterogeneity

SMD (95% CI)

p-value

I2,%

p-value

Outcome measures

 Exam scores

24

1.82 (1.71,1.93)

< 0.001

99.00%

< 0.001

 Course grade

3

0.25 (0.13,0.38)

< 0.001

96.70%

< 0.001

 OCSE

2

0.98 (0.77,1.20)

< 0.001

97.90%

< 0.001

Research design

 RCT

1

1.41 (1.03,1.79)

   

 Historical control

3

1.58 (1.49,1.68)

< 0.001

99.00%

< 0.001

 Quasi-experiment

24

0.31 (0.04,0.58)

0.023

89.60%

< 0.001

Degree programs

 Doctor of Pharmacy

9

0.24 (0.15,0.32)

< 0.001

97.60%

< 0.001

 Graduate

1

-0.31 (-0.65,0.04)

   

 Undergraduate

2

1.2 (0.9,1.51)

< 0.001

75.30%

0.044

 Associate

1

0.71 (0.29,1.13)

   

Country

 US

22

1.63 (1.53,1.72)

< 0.001

99.10%

< 0.001

 Non-US

6

0.74 (0.58,0.91)

< 0.001

90.40%

< 0.001

Format of test

 MCQ

16

2.57 (2.41,2.73)

< 0.001

99.40%

< 0.001

 Calculation questions

1

0.17 (-0.11,0.44)

   

 Short answer and fill-in-blanks

1

0.29 (0.06,0.51)

   

 Blend

6

0.62 (0.49,0.75)

< 0.001

88.50%

< 0.001

Course type

 Pharmacy course

26

1.58 (1.48,1.67)

< 0.001

99.00%

< 0.001

 Interdisciplinary course

2

0.57 (0.31,0.82)

< 0.001

97.70%

< 0.001

Flipped classroom design

 Short recorded video pre-class (average duration < 18 min)

6

0.63 (0.37,0.88)

0.004

70.8

< 0.001

 Quiz at start of in-class?

9

3.91 (3.66,4.16)

< 0.001

99.70%

< 0.001

 Incorporating patient case discussion in-class?

18

2.14 (2.02,2.27)

< 0.001

99.30

< 0.001

  1. SMD, Standardized Mean Difference; CI, Confidence Interval; OCSE, Objective Structured Clinical Examination; RCT, Randomized Controlled Trial; MCQ, Multiple Choice Questions