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. 2019 Nov 14;19:419. doi: 10.1186/s12909-019-1861-y

Table 2.

The questionnaire was answered by all the students after the examination. The anonymous paper questionnaire survey was adopted to compare the subjective learning feelings of the two groups of students. The content includes skills development, appropriate assessment, and academic environment. 1 = strongly agree, 2 = agree, 3 = neutral, 4 = strongly disagree, 5 = disagree. Effect size is calculated by test statistic divided by the root of sample size (small effect: 0.1 < r ≤ 0.3, medium effect: 0.3 < r ≤ 0.5, large effect: r > 0.5)

Flipped classroom Control Mann-Whitney U P value Effect size
1. Skills Development
 The class has helped me develop my ability to work as a team member. 1.6875 ± 0.89577863 3.514285714± 0.939435832 102.000 0.000 0.723519
 The class has sharpened my analytical skills. 2.03 ± 0.97 3.11±0.97 249.500 0.000 0.493219
 As a result of my degree course, I feel confident about tackling unfamiliar problems. 2.531 ± 1.27 3.143± 0.961 393.500 0.031 0.263531
 The class has developed my problem-solving skills 2.4063 ± 0.9456 3.1429± 0.971 331.500 0.002 0.378375
 The class has improved my skills in written communication 2.65625 ± 1.09572115 3.342857143±0.903256894 339.500 0.003 0.366768
 My class has helped me to develop the ability to plan my own work 2.53125 ±1.163542283 3.085714286±1.158817131 389.500 0.025 0.273183
2. Appropriate Assessment
 There is a lot of pressure on me as a student in this class 2.9687± 1.092034946 3.257142857±1.125110224 483.500 0.314 0.12303
 The workload is too heavy 2.9375±1.014014697 3.085714286±1.267418323 502.500 0.423 0.097862
 I am generally given enough time to understand the things I have to learn 2.4375±1.075759297 3.085714286±1.401529776 359.000 0.008 0.32413
 The sheer volume of work to be got through in this class means it can’t all be thoroughly comprehended Clear Goals and Standards 2.75±1.163975 2.8±1.656157 539.500 0.788 0.032865
 I have usually had a clear idea of where I am going and what is expected of me in this class 2.0625±1.075759297 2.628571429±1.884565547 418.000 0.065 0.225412
 It is always easy to know the standard of work expected 2.13±1.24 2.94±1.92 345.000 0.006 0.339157
 The staff made it clear right from the start what they expected from students 2.3438±0.9708 3.1429±2.0616 345.00 0.005 0.340501
 It has often been hard to discover what is expected of me in this class 4.125±0.907 3.3429±2.1667 357.500 0.008 0.322663
3. Academic Environment
 The class is intellectually stimulating. 2.0625±1.075759297 2.742857143±2.418677324 392.000 0.030 0.265852
 The class administration is effective in supporting my learning 2±1.135924 3.114286±2.443488 268.000 0.000 0.46292
 My class has stimulated my enthusiasm for further learning 2.1875±1.148281 3±2.621644 340.000 0.004 0.348076
 Where it was used, information technology helped me to learn 2.28125±1.32554 2.942857±2.695528 368.500 0.013 0.303115
 I feel part of a group of students and staff committed to learning 2.46875±1.243937 2.971429±2.882211 408.50 0.048 0.241662
 I feel I benefit from being in contact with active researchers 2.25±1.04727 3±3.075118 359.500 0.009 0.31741