Table A2.

Modified Medical Education Research Study Quality Instrument (MERSQI) [41,42]

Domain	MERSQI Item	Item Score	Max Score
Study design	Single group cross‐sectional or single group post-test only	1	3
	Single group pre-test & post-test	1.5
	Nonrandomized, 2 groups	2
	Randomized controlled trial	3
Sampling	†Number of Institutions:		3
	1	0.5
	2	1
	3	1.5
	*Number of trainee/learners
	1–10	0.5
	11–50	1
	51+	1.5
*Follow-up of training	Not performed	0	3
	Post training/ongoing support	1
	Follow-up assessment- retention of learning	2
	Follow-up/refresher training	3
Type of data	Assessment by participants	1	3
	Objective measurement	3
Validity assessment of evaluation instrument	Internal structure:		3
	Not applicable
	Not reported	0
	Reported	1
	Content:
	Not applicable
	Not reported	0
	Reported	1
	Relationships to other variables:
	Not applicable
	Not reported	0
	Reported	1
Data analysis	Appropriateness of analysis:		3
	Inappropriate for study design or type of data	0
	Appropriate for study design, type of data	1
	Complexity of analysis:
	Descriptive analysis only	1
	Beyond descriptive analysis	2
Outcomes	Satisfaction, attitudes, perceptions, opinions, general facts	1	3
	Knowledge, skills	1.5
	Behaviours	2
	Patient/health care outcome	3
Total possible score			21

Adapted from the Medical Education Research Study Quality Instrument (MERSQI) [41,42]. *Categories added- Number of trainees (score of 0.5 to 1.5); Follow-up of training (score of 0 to 3).Categories omitted- Response rate (%). Possible score range from 5 to 21 (original MERSQI instrument 5 to 18).