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. 2023 Jan 25;23:63. doi: 10.1186/s12909-023-04033-6

Table 2.

The final Modified MERSQI; items after Deplhi-1, scores after Delphi-2

Domain MMERSQI Item Points Score
Each Total Max
Study design 1. Study design: (Pls. select one)
a. Single group cross-sectional or single group post-test only 7 23
b. Single group pre-test & post-test 9
c. Nonrandomised, 2 groups 10
d. Randomised controlled trial with high risk biasa 11
e. Randomised controlled trial with moderate risk biasa 16
f. Randomised controlled trial with low risk biasa 23
Sampling 2. Is there a power calculation (sufficient statistical power) for sample size? 10
a. No 0
b. Yes 3
3. Are detailed participant characteristics for each arm reported?
a. No 0
b. Yes 3
4. Response rate, %: (Pls. select one)
a. Not reported 0.5
b. < 50 1
c. 50‐74 2
d. > 75 4
Setting 5. Institutions studied: (Pls. select one) 8
a. Single centre 5
b. Multi centre no further specification 5
c. Multi centre with specification but not appropriate / balanced / complementary 5
d. Multi centre with appropriate and balanced / complementary 8
Type of data 6. Type of data 11
Assessment by participants 4
Objective measurement (Pls. select one)
a. Knowledge test (e.g. recall type questions) 6
b. Applied knowledge test (e.g. analysis and problem-solving type questions) 8
c. Skills 11
Validity of evaluation instrument 7. Internal structure: 15
a. Not applicable
b. Not reported 0
c. Reported 5
8. Content:
a. Not applicable
b. Not reported 0
c. Reported 5
9. Relationships to other variables:
a. Not applicable
b. Not reported 0
a. Reported 5
Data analysis 10. Appropriateness of analysis: 17
a. Inappropriate for study design or type of data 0
b. Appropriate for study design, type of data 9
11. Complexity of analysis (if appropriate for study design): (Pls. select one)
a. Descriptive analysis only 4
b. Simple inferential statistics 4
c. Modelling and more complex analysis 8
Outcomes 12. Outcomes
Satisfaction, attitudes, perceptions, opinions, general facts 7 16
Knowledge, measured by: (Pls. select one)
a. Low fidelity simulation or paper-based assessments 9
b. High fidelity simulation 12
Skills measured by:
a. Low fidelity simulation or paper-based assessments 8
b. High fidelity simulation 12
Behaviours in clinical environment 13
Patient/health care outcome 16
Total Possible score Min 23.5 Max 100

a Risk of bias judgment based on: sequence generation, blinding & allocation concealment. For more details, please see Additional file 2 Cochrane Risk of Bias Tool for Randomized Controlled Trials