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. 2016 Jul;4(3):111–121.

Appendix 1.

Quality assessment  of the included studies  utilizing the Medical Education Research Quality Index (MERSQI) tool, until Aug. 2015

Study author
and year
Country Type of study Type of sciences had been integration Sampling Type of data Validity of evaluation instrument Data analysis Outcomes Type of barriers Strategies suggested
Cuff P.A. & Vanselow  N.A., 2004 USA Single group cross-sectional Behavioral & Social Science >2*
<50 or not reported**
Assessment by study participant Reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 1-1, 1-3, 2-1, 2-2, 3-1, 3-2, 4-1, 4-2, 4-3, 4-4, 5-2, 5-3 1-1, 1-2, 5-4, 5-3
Russell A., Teijlingen E.V., et al, 2004 UK Single group cross-sectional Behavioral & Social Science >2*
50-74**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 2-1, 3-3, 3-4, 5-2, 6-1 2-3, 3-1, 5-2, 5-3
Litva A. & Peters S., 2008 UK Single group cross-sectional Behavioral & Social Science >2*
50-74**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 1-1, 2-1, 3-2, 3-4,  5-6, 5-7 6-1
Benbassat J., Baumal R., et al, 2003 Israel & Canada & Rhode Island Single group cross-sectional Behavioral & Social Science >2*
N/A*****
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 2-3, 3-3, 5-2, 7-1 5-1, 5-6, 6-2
Peters S. & Livia A., 2006 UK Single group cross-sectional Behavioral & Social Science >2*
50-74**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 3-2, 6-1 1-3, 6-2
Hurster M., 1981 USA Single group cross-sectional Behavioral Science >2*
<50 or not reported**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 4, 5-6,    7-1 -
Griffiths J. A., 1978 UK Single group cross-sectional Behavioral & Social Science >2*
N/A*****
Objective measurement N/A***** Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 2-2,5-4 2-1
Satterfield J.M.,  Adler S.R., et al, 2010 USA Single group cross-sectional Behavioral & Social Science >2*
<50 or not reported**
Assessment by study participant Reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 1-2, 5-6, 5-7, 6-1 3-2, 5-1, 5-2, 5-5, 6-2
Post D.M., Stone L.C., et al, 2008 USA Single group cross-sectional Behavioral Science >2*
<50 or not reported**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 5-5 5-1
Satterfield J.M., Mitteness L.S., et al, 2004 USA Single group cross-sectional Behavioral & Social Science 1*
N/A*****
Assessment by study participant N/A***** Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 2-1, 3-2, 4-2, 4-4, 5-7 1-3, 2-1, 2-2, 3-1, 5-5, 6-2,
Peterson C.D., Rdesinski R.E., et al, 2011 USA Single group cross-sectional Behavioral & Social Science >2*
≥75**
Assessment by study participant Reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 5-1, 5-5, 5-7 5-6, 6-1
Jacobs J.L., Lee M.T., et al, 2005 USA Single group cross-sectional Behavioral & Social Science >2*
≥75**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 5-2 5-6
Sheldrake P., 1973 Edinburgh, UK Single group pretest and posttest Behavioral Science >2*
<50 or not reported**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 3-2 -
Haidet P., Kelly A. & Chou C., 2005 USA Single group cross-sectional Behavioral Science >2*
<50 or not reported**
Assessment by study participant Reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 5-1 -
Cohen R. &Kelner M., 1976 Canada Single group cross-sectional Behavioral & Social Science >2*
50-74**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
Beyond descriptive analysis****
Opinions, general facts 5-2, 5-4, 5-5, 5-6 2-2
Obot I.S., 1988 Nigeria Single group cross-sectional Social Science >2*
50-74**
Assessment by study participant Not reported Data analysis appropriate for study
design and type of data***
descriptive analysis only ****
Opinions, general facts 2-1, 2-2,  3-2 -

*No. of institutions studied

** Response rate, %

*** Appropriateness of analysis

**** Complexity of analysis

***** Not applicable