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. 2023 Aug 24;29(2):689–714. doi: 10.1007/s10459-023-10274-3

Table 4

Study Content Comparison Groups Assessment
(Amabile et al., 2021) Anatomy (course)

A: Lectures, 45 h and Labs, 90 h (Distributed over 2 × 15-week semesters)

B: Lectures, 45 h and Labs, 90 h (Massed over a 10-week semester)

REC (month 18)

(NGR)

(Anders et al., 2022) Physiology (portion of course)

A: Lectures, audience response questions (optional participation) and practice examinations (optional homework) α

B: Lectures, historical control

(No TOT recorded) (no feedback recorded)

Retrieval type not reported (End of course, no retrieval interval reported) (FA or SA − 10%)
(Biwer et al., 2022) Pathophysiology (pre-course)

A: Education about and practice of retrieval practice and distributed practice (class, weeks 2–4, reminders weeks 5–18) α

B: Normal class

(No TOT recorded)

REC (exams week 8, 13 and 18)

(SA)

(Blasiman, 2017) Introductory psychology (portion of course)

A: CR in group previous lectures content (CR) α (class, weeks 1–5, 5–10 min) (feedback)

B: Normal Class

REC (exam 2: week 6)

(SA) (not identical)

(Breckwoldt et al., 2016) Emergency medicine (intensive course)

A: Lectures, 26 h total (Distributed over 4.5 days) α

B: Lectures, 26 h total (Massed over 3 days)

A: CR (day 5)

B: CR (day 5 or 8 or 13)

(FA, immediately prior to SA)

(Brown-Kramer, 2021) Hypothesis 2 Introductory psychology (course)

A: Assignment (practice testing) α

B: Assignment (distributed practice)

C: Assignment (rereading)

D: Assignment (forming mental images)

(Essay assigned week 5, draft week 10, feedback by week 12) (No TOT recorded)

REC (exam 3 week 13 and Exam 4 week 16)

(NGR)

Hypothesis 3 Introductory psychology (course)

A: Assignment options as above α

B: Historical control (assignment of one article, no application section)

(No TOT recorded)

REC (exam 3 week 13 and Exam 4 week 16)

(NGR)

(Burdo & O’Dwyer, 2015) Introductory psychology (course)

A: REC and CR generation and retrieval in group (class, weeks 1–12, 45-minutes) (feedback) α

B: Concept maps in groups (class, weeks 1–12, 45-minutes) (feedback)

C: No additional study

Primarily REC and CR (four module and one final exam)

(SA: 4 highest counted, 20% each) (not identical)

(Cadaret & Yates, 2018) Veterinary anatomy and physiology (course)

REC and CR (homework weekly, day 5 after class) (feedback) α

REC and CR (homework weekly, day 1 after class) (feedback)

(No TOT recorded)

REC and CR (week 13)

(SA) (not identical)

(Carpenter et al., 2016) Introductory biology (20 min in class)

Recall definitions and draw diagram α

Recall definitions and label diagram α

Copy definitions and draw diagram

Copy definitions and label diagram

(Class) (no TOT recorded) (feedback)

REC (day 5)

(FA) (not identical)

(Carpenter et al., 2018) Introductory psychology (course)

A: CR one pre-question (no feedback) and two CR end of class (one identical, one new) (classes weekly) (feedback) α

B: Two CR end of class (classes weekly, less TOT) (feedback) α

C: Control questions not practiced

CR (day 7)

(NGR) (identical)

(Cecilio-Fernandes et al., 2018) Oncology (course/content)

A: Content distributed over 3 years

B: Content massed in first semester of third year α

(Classes) (no TOT recorded)

REC (four in third year)

(SA – must pass three)

(Dobson & Linderholm, 2015a, b)

Phase 1

Anatomy and physiology (class)

A: Read, free recall, read α

B: Read, read take notes

C: Read, read, read

(Class, TOT 4 × 5-7 min, day 0 and 5)

REC (day 7)

(NGR) (not identical)

Phase 2 Anatomy and physiology (portion of course)

A: Education on results and benefits of retrieval practice α

B: Historical classes

(Classes) (no TOT recorded)

Retrieval type not reported (third, fourth and fifth exams)

(NGR)

(Dobson et al., 2018) Physiology (class)

A: Text read, read, read, read (day 1, TOT 4 × 4 min)

B: Text read, free recall, read, free recall (day 1, TOT 4 × 4 min) α

C: Article read, read, read, read (day 5, TOT 4 × 6.25 min)

D: Article read, free recall, read, free recall (day 5, TOT 4 × 6.25 min) α

(Classes)

Text A&B:CR (day 7)

Article C&D: FR (day 7)

(NGR) (partially identical)

(Dobson, 2011) Physiology (class)

A: REC and CR (days 1, 2 and 3 equal distribution)

B: REC and CR (days 0, 1 and 3 expanding distribution) α

(Homework) (no feedback) (no TOT recorded)

REC and CR (day 10)

(FA) (identical)

(Dobson, 2012) Physiology (class)

A: REC and CR (days 1, 10 and 20 equal distribution)

B: REC and CR (days 8, 15 and 22 equal distribution)

C: REC and CR (days 1, 6 and 16 expanding distribution) α

D: REC and CR (days 2, 7 and 17 expanding distribution) α

(Homework) (no feedback) (no TOT recorded)

REC and CR (day 30)

(FA) (identical)

(Dobson, 2013)

Retrieval practice subset

Anatomy and physiology (course)

A: REC (homework, no TOT recorded, most weeks 5–15) (no feedback) α

B: No retrieval practice

REC (week 16)

(FA) (not identical, similar)

Distributed practice subset Anatomy and physiology (course)

A: REC (expanding distribution)

B: REC (equal distribution)

(Homework weeks 5–15, no TOT recorded)

REC (week 16)

(FA) (not identical, similar)

(J. L. Dobson and Linderholm, 2015a, b) Anatomy (class)

A: Read, SAQ, read, SAQ α

B: Read, FIB, read, FIB

C: Read, read, read, read

(Class) (TOT 4 × 3 min)

SAQ (day 7)

(FA) (identical)

(Dobson et al., 2019) Physiology (class)

A: Read, FR, read, FR α

B: Read, JOL, read, JOL

C: Read, read, read, read

(Class) (TOT 4 × 4.5 min)

CR (day 7)

(FA) (not identical)

(Dobson et al., 2015) Anatomy (class)

A: Read, CR, read, CR α

B: Read, read, read, read

(Class) (TOT 4 × 2 min)

CR (day 7 and 21)

(FA) (identical)

(Dobson et al., 2017) Anatomy (class)

A: Read, CR, read, CR (day 0, 5 and 7) α

B: Read, read, read, read (day 0, 5 and 7)

C: Read, CR, read, CR, read CR (day 5 and 7)

D: Read, read, read, read, read, read (day 5 and 7)

E: Read, CR, read, CR, read, CR, read, CR, read, CR, read, CR (day 7)

(Class) (TOT 4 × 4 min)

CR (day 7, 28)

(FA) (identical)

(Ernst et al., 2014) Paediatric intubation (intensive course)

A: self-practice (once weekly 2–5) (distributed)

B: self-practice (four consecutive days in week 1 or 2 or 3 or 4 or 5 or 6) (massed)

(Classes) (TOT 10 min sessions) (no feedback)

Practical assessment (week 6)

(NGR) (not identical)

(Fendos, 2020)

Phase 4

Anatomy (course)

A: REC and CR (weekly class) (feedback) α

B: normal class

(No TOT recorded)

REC and CR (midterm and final exam)

(SA, grade total A: 60% B: 80%) (identical)

(Francis et al., 2020) Introductory psychology (course)

A: FR concept map (4 topics in class) (feedback) α

B: REC (4 topics in class) (feedback)

C: no intervention (2 topics in class)

(Approximate TOT similar A & B)

REC (week 4, 8, 12 and 16)

(SA) (not identical, similar)

(Glass et al., 2013) Psychology (course)

A: Included REC 21 questions identical to unit exams α

B: Did not include REC 21 questions identical to unit exams

(Final Exam) (no feedback reported)

REC (42 questions) (month 4 post final exam)

(NGR) (identical)

(Gopalan et al., 2020) Biology of cardiovascular and metabolic diseases (course)

A: Closed-book individual quiz and team-based recall (weekly class)

B: Open-book individual quiz and team-based learning (weekly class)

(Retrieval type not reported) (feedback) (no TOT recorded) (question type not reported)

REC and CR (approximately week 4, 8 and 12)

(SA) (not reported if identical)

(Gurung & Burns, 2019) Introductory psychology (course)

A: REC (more distributed, required once α

B: REC (more distributed, required multiple times

C: REC (less distributed, required once α

D: REC (less distributed, required multiple times

(Varying TOT) (mostly feedback) (SA – 10–34%)

REC (varying retrieval interval) (SA – 30–73%) (mostly non-identical)
(Hernick, 2015) Pharmacology (2-month course)

A: REC (access online, unlimited attempts, 6 modules, no TOT recorded) (feedback) α

B: Historical control no modules

REC (no retrieval interval reported)

(SA) (partially identical)

(Higham et al., 2022) Introductory psychology (course)

A: CR (feedback) (successive relearning) α

B: Reread

(Weeks 2–11, each week’s topic repeated 3x that week)

(Online homework, participation 0.5% per learning session) (ToT A < B)

CR (week 12 and 15) (FA – participation 2.5% per exam) (1/3 identical, 1/3 transfer, 1/3 new)
(Iwamoto et al., 2017) Introductory psychology (course)

A: REC (feedback) α

B: Discussion and summary

(Classes, 10 min each class)

REC (no retrieval interval reported)

(SA, high stakes) (not identical, similar)

(Janes et al., 2020)

Experiment 1

Neuroanatomy and neurophysiology (portion of course)

A: CR successive relearning (assigned homework, topic 1 days 3, 6 and 10, topic 2 days 12, 15 and 18) (feedback) α

B: CR (optional homework) (feedback)

C: Content no CR provided

D: Historical control no CR

(No TOT recorded)

REC (day 19)

(SA, high stakes) (not identical)

Experiment 2 Neuroanatomy and neurophysiology (portion of course)

A: CR successive relearning (assigned homework, topic 1 days 3, 7, 10, topic 2 days 12, 15, 18) (feedback) α

B: CR (optional homework) (feedback)

C: Content no CR provided

D: Historical control no CR

(No TOT recorded)

REC (day 21)

(SA, high stakes) (not identical)

(Kerdijk et al., 2015) Internal medicine (course)

A: REC (cumulative exams weeks 4, 8, 10)

B: REC (cumulative exam week 10)

(Self-study TOT self-reported, highest in A)

A&B: REC in week 10

(SA, high stakes) (48 identical)

(Keus et al., 2019) Cell biology and biochemistry (course)

A: Two midterm exams α

B: One midterm exam

(No TOT recorded) (feedback not reported) (question type not reported)

Cumulative final exam

(SA – A: 35% B: 30%) (question type not reported, or if identical)

(LaDisa & Biesboer, 2017) Pharmacotherapy (portion of course)

A: REC and CR (weekly homework, student generated and shared, no TOT recorded) α

B: Historical control (no generation)

REC and CR (unit exam week 5) and REC (final exam week 16)

(NGR) (not identical)

(Lawson, 2022) Introductory psychology (course)

A: CR α

B: REC α

C: No Quiz

(No TOT recorded) (open book) (feedback) (1% for participation in each of 8 quizzes)

REC (4 unit exams, no retrieval interval reported) (NGR) (20–30% identical)
(Linderholm et al., 2016) Exercise physiology (class)

A: Read, FR, read α

B: Read, read, read

(Class) (TOT 3 × 2 min)

CR (day 7)

(FA) (not identical)

(Logan et al., 1975) Psycho-motor dentistry skills (course)

A: Practice sessions (TOT 6 × 1 h)

B: Practice sessions (TOT 3 × 2 h)

C: Practice sessions (TOT 2 × 3 h)

(Classes) (no feedback reported)

Practical exam (no retrieval interval reported)

(NGR) (not identical)

(Messineo et al., 2015) General psychology (course)

A: REC (homework weekly) (feedback, limited TOT) α

B: Reread (homework weekly) (no TOT recorded)

REC (week 10)

(NGR) (not identical, similar)

(Miller & Srimaneerungroj, 2022) Introductory psychology (course)

A: REC (frequently incorrect questions post 4x unit exams, SA – 0–10%) (feedback) α

B: No restudy

REC (days post each unit exam − 99, 71, 40, 12) (NGR) (identical)
(Moore & Chalk, 2012) Muscle stretch reflex (portion of degree)

A: Practical class and test (first and second year) α

B: Theory class (first year), practical class and test (second year)

(No TOT recorded) (no feedback reported)

Practical exam (second year)

(NGR) (identical)

(Nevid et al., 2016) Introductory psychology (class)

A: FR open book

B: FR closed book (no feedback)

C: CR open book

D: CR closed book (no feedback)

(TOT 15 min) (lab/class)

REC (day 7)

(NGR) (not identical)

(Oermann et al., 2022a, b) Cardiopulmonary resuscitation (classes)

A: Practice (4 sessions, 4 consecutive days)

B: Practice (4 sessions, 4 consecutive weeks)

C: Practice (4 sessions, 4 consecutive months)

D: Practice (4 sessions, 4 consecutive yearly quarters)

(No TOT reported) (feedback)

Practical exam (3 or 6 months) (NGR) (identical)
(Oermann et al., 2022a, b) Cardiopulmonary resuscitation (classes)

A: Practice (3 months) α

B: Practice (6 months)

C: Practice (personalised interval) α

(Distributed over 1 year, no TOT reported) (feedback)

Practical exam (1 year) (NGR) (identical)
(Opre et al., 2022) Introductory psychology (course)

A: REC (student generated) (feedback)

B: Normal study

(No TOT reported)

REC (no retrieval interval reported) (NGR) (not identical)

(Osterhage et al., 2019)

Study 2

Introductory biology (course)

A: Demonstrating overestimation in JOL and education on retrieval practice (classes, no TOT recorded) α

B: No demonstration and education

REC (no retrieval interval reported)

(SA)

(Palmen et al., 2015) Anatomy (intensive course)

A: REC (optional online daily, weeks 1–3) (feedback)

B: REC (optional online weekly, weeks 1–3) (feedback)

C: No REC provided

(No TOT recorded, unlimited attempts)

Question type not reported, or if identical (week 4)

(SA)

(Palmer et al., 2019) Pharmacy (class)

A: CR (1 week after lecture) (no feedback reported) (TOT mean 35 min)

B: Rewatch lecture (1 week after lecture) (TOT mean 12 min)

REC and CR (day 7)

(NGR) (not reported if identical)

(Poorthuis & van Dijk, 2021) Psychology assessment in youth (course)

A: REC and CR (weekly homework) (feedback) (Graded 0.1% if > 70% correct, no TOT recorded) α

B: Lecture (class weekly, 2 h, low attendance)

REC (week 4, 10)

(SA – total 50%) (not reported if identical)

(Schmidmaier et al., 2011) Clinical nephrology (class)

A: CR (No feedback)

B: Restudy

(Class successive relearning x4) (similar TOT)

CR (month 6) (NGR) (identical)
(Schneider et al., 2019) Biochemistry (portion of course)

A: Video and REC (no feedback) α

B: Video and restudy

C: Video only

(Class) (self-reported TOT higher for B)

REC (week 1.5)

(NGR) (not identical, similar)

(Sennhenn-Kirchner et al., 2018) Dental surgical suturing (course)

A: Practical assessment (month 5 and 6) (feedback) α

B: Practice (month 5 and 6) (feedback)

(Class) (TOT 10 min)

Practical assessment (month 7)

(SA) (identical)

(Shobe, 2022) Introductory psychology (course)

A: REC (group response in class 2/week, approximately 2 weeks per unit) (feedback) (TOT: 8–15 min) α

B: Normal class

REC (6x unit quizzes post unit content) (SA) (50% identical)
(Terenyi et al., 2018) Pharmaceuticals (course)

A: Study (week 1 or 3) CR (week 2 and 10 or 4 and 11), contracting distribution α

B: Study (week 3 or 5) CR (week 4 and 8 or 6 and 9), equal distribution

C: Study (week 1 or 4) CR (week 2 and 5 or 5 and 8), expanding distribution

D: Study (week 2 or 5) CR (week 3 or 6), massed

E: Study only (week 2 or 4)

(Homework) (no feedback reported) (TOT 15 min limit on quiz, no TOT study)

CR (week 12 exam, week 18 long-term retention)

(NGR) (not identical, similar)

(Terenyi et al., 2019)

Experiment 1

Pharmaceuticals (course)

A: CR (weeks 6–10), equal distribution

B: CR (weeks 5–10), expanding distribution α

C: CR (weeks 5–10), contracting distribution

(Homework) (no feedback reported) (TOT 15-25 min limit depending on quiz size, no TOT study)

CR (week 12 exam, week 18 long-term retention)

(NGR) (not identical, similar)

Experiment 2 Pharmaceuticals (course)

A: CR assisted (fill in letters)

B: CR unassisted (fill in whole word) α

(Homework) (no feedback reported) (TOT 15-25 min limit depending on quiz size, no TOT study)

CR (week 12 exam, week 16 long-term retention)

(NGR) (not identical, similar)

(Timmer et al., 2020) Vaccination (class)

A: Lecture (15 min content and 5 min distractor x3, spaced)

B: Lecture (7.5 min distractor 45 min content 7.5 min distractor, massed)

CR (day 8)

(FA)

(Trumbo et al., 2016) Introductory psychology (course)

A: REC (required weekly, 45% final grade) (TOT mean 7min26sec) α

B: REC (optional weekly, no grade) (TOT mean 1min22sec)

(Unlimited attempts) (feedback)

REC (3 unit exams one final exam)

(SA total A: 50% B: 94%) (identical, similar)

Experiment 2 Introductory psychology (course)

A: REC (weekly homework) (TOT measured) α

B: Control (no provided REC)

(SA total 33%, unlimited attempts) (feedback)

REC (11 weekly unit exams

(SA total 50%) (not identical, similar)

Experiment 3 Introductory psychology (course)

A: REC (weekly homework) α

B: Reread (weekly homework)

(SA total 33%, unlimited attempts) (no TOT recorded) (feedback)

REC (11 weekly unit exams

(SA total 50%) (not identical, similar)

(Wong, 2022) Pathology (course)

A: CR (class ‘think-pair-share’) (no TOT) (feedback)

B: Normal class

Retrieval type not reported (retrieval interval not reported) (SA)

Note. Positive effect of an intervention is denoted with α. Recognition (REC); Cued recall (CR); Short answer question (SAQ); Fill-in-the-blank (FIB); Free recall (FR); Summative assessment (SA); Formative assessment (FA); No grade reported (NGR); Time on task (TOT); Judgement of learning (JOL).