Quasi-experimental Research Articles

Peer Instruction’s Impact on EFL Writing Proficiency: A Quasi-experiment in a Chinese University

Peer Instruction’s Impact on EFL Writing Proficiency: A Quasi-experiment in a Chinese University

A Quasi-experimental Study to Assess the Effectiveness of Structured Teaching Program in Terms of Knowledge Regarding Road Safety Measures among School Going Students in Govt. Girls Sen. Sec. School Portmore, Shimla, (H.P.)

A Quasi-experimental Study to Assess the Effectiveness of Structured Teaching Program in Terms of Knowledge Regarding Road Safety Measures among School Going Students in Govt. Girls Sen. Sec. School Portmore, Shimla, (H.P.)

Effectiveness of intervention programs in reducing plagiarism by university students: a systematic review

Effectiveness of intervention programs in reducing plagiarism by university students: a systematic review

Benefits of Time Spent Outdoors in Early Childhood Education: A Systematic Review

Several studies have provided evidence that time spent in nature (i.e., in natural environments or the outdoors) plays a beneficial role in child development by positively influencing children’s cognitive processes and states (Bowler et al., 2010; Bratman et al., 2012; 2014; Cameron-Faulkner et al., 2018; Kaplan, 1995; Mitchell et al.). However, to date, no study has looked systematically at the overall literature addressing the benefits nature plays in early childhood education, primarily through outdoor learning or time spent outside in natural environments. The purpose of the current study is to provide a systematic review of the empirical literature evaluating outcomes linked to children spending time outdoors through outdoor play, forests, gardens, or school playgrounds. A systematic search of PsycINFO was conducted to identify critical studies linking the outdoors with outcomes during early childhood. Inclusion criteria were as follows: research studies conducted with children enrolled in early childhood education programs (age 2-5-year-olds) related to nature base experiences in the United States and peer-reviewed articles written in English. This search yielded 12 empirical studies. Codes were developed to examine a) what outcomes have been measured for children spending time outdoors in their early childhood education settings and b) what approaches were used to measure these outcomes. The two most measured outcomes included in studies were children’s behavior (N = 3; 25%) and educational or learning outcomes (N = 3; 25%). Most activities were child-led (N= 6, 50%) while children engaged in free-play (N = 5, 29%) and physical activities (N= 5, 29%). The most common method utilized was a quasi-experimental design (N=5, 29%), followed by secondary research designs (N=2, 16%). A few studies used rigorous methods to examine the links between children spending time outdoors and their specific beneficial outcomes. Implications for future research in this area are discussed.

Effectiveness of the Assessment of Burden of Chronic Conditions (ABCC)-tool in patients with asthma, COPD, type 2 diabetes mellitus, and heart failure: A pragmatic clustered quasi-experimental study in the Netherlands

Background The Assessment of Burden of Chronic Conditions (ABCC)-tool was developed to optimise chronic care. Objectives This study aimed to assess the effectiveness of the ABCC-tool in patients with COPD, asthma, type 2 diabetes, and/or heart failure in primary care in the Netherlands. Methods The study had a pragmatic, clustered, two-armed, quasi-experimental design. The intervention group (41 general practices; 176 patients) used the ABCC-tool during routine consultations and the control group (14 general practices; 61 patients) received usual care. The primary outcome was a change in perceived quality of care (PACIC; Patient Assessment of Chronic Illness Care) after 18 months. Secondary outcomes included change in the PACIC after 6 and 12 months, and in quality of life (EQ-5D-5L; EuroQol-5D-5L), capability well-being (ICECAP-A; ICEpop CAPability measure for Adults), and patients’ activation (PAM; Patient Activation Measure) after 6, 12, and 18 months for the total group and conditions separately. Results We observed a significant difference in the PACIC after 6, 12, and 18 months (18 months: 0.388 points; 95%CI: 0.089–0.687; p = 0.011) for the total group and after 6 and 12 months for type 2 diabetes. After 18 months, we observed a significant difference in the PAM for the total group but not at 6 and 12 months, and not for type 2 diabetes. All significant effects were in favour of the intervention group. No significant differences were found for the EQ-5D-5L and the ICECAP-A. Conclusion Use of the ABCC-tool has a positive effect on perceived quality of care and patients’ activation, which makes the tool ready for use in clinical practice. Healthcare providers (e.g. general practitioners and practice nurses) can use the tool to provide person-centred care. Trial registration number: ClinicalTrials.gov Registry (NCT04127383).

Disaster Risk Management Model for Enhancing the Preparedness of Pregnant Women in Response to the Eruption of Mount Agung: A Quasi-Experimental Study

Background: Volcanic eruptions can harm pregnant women in the absence of disaster risk management. Health personnel have not adequately prepared pregnant women for disaster-prone eruptions. Objectives: This research aimed to evaluate the effectiveness of a disaster risk management model in enhancing the preparedness of pregnant women in anticipation of the eruption of Mount Agung. Methods: The research employed a quasi-experimental design, utilizing a pre-test-post-test control group method. Conducted in Bali, Indonesia, in 2022, the study involved a sample of 200 participants, divided equally into two groups of 100 each. Participants were selected using quota sampling. Preparedness questionnaires were administered before the educational intervention (pre-test) and again after two weeks of education (post-test). The data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U test. Results: It was found that in the intervention group, the preparedness of most pregnant women was categorized as fair (55%) before the intervention and high (65%) after the intervention (p < 0.001). In the control group, most pregnant women's preparedness remained in the fair category both before (66%) and after (65%) the intervention (P = 0.085). Additionally, there was a significant difference in the preparedness levels between the groups after the intervention (P = 0.015). Conclusions: Health workers can enhance the eruption emergency preparedness of pregnant women through educational classes specifically designed for them.

Quality Improvement Intervention Using Social Prescribing at Discharge in a University Hospital in France: Quasi-Experimental Study.

Social prescription is seen as a public health intervention tool with the potential to mitigate social determinants of health. On one side, social prescription is not yet well developed in France, where social workers usually attend to social needs, and historically, there is a deep divide between the health and social sectors. On the other side, discharge coordination is gaining attention in France as a critical tool to improve the quality of care, assessed indirectly using unplanned rehospitalization rates. This study aims to combine social prescription and discharge coordination to assess the need for social prescription and its effect on unplanned rehospitalization rates. We conducted a quasi-experimental study in two departments of medicine in a French university hospital in a disadvantaged suburb of Paris over 2 years (October 2019-October 2021). A discharge coordinator screened patients for social prescribing needs and provided services on the spot or referred the patient to the appropriate service when needed. The primary outcome was the description of the services delivered by the discharge coordinator and of its process, as well as the characteristics of the patients in terms of social needs. The secondary outcome was the comparison of unplanned rehospitalization rates after data chaining. A total of 223 patients were included in the intervention arm, with recruitment being disrupted by the COVID-19 pandemic. More than two-thirds of patients (n=154, 69.1%) needed help understanding discharge information. Slightly less than half of the patients (n=98, 43.9%) seen by the discharge coordinator needed social prescribing, encompassing language, housing, health literacy, and financial issues. The social prescribing covered a large range of services, categorized into finding a general practitioner or private sector nurse, including language-matching; referral to a social worker; referral to nongovernmental organization or group activities; support for transportation issues; support for health-related administrative procedures; and support for additional appointments with nonmedical clinicians. All supports were delivered in a highly personalized way. Ethnic data collection was not legally permitted, but for 81% (n=182) of the patients, French was not the mother tongue. After data chaining, rehospitalization rates were compared between 203 patients who received the intervention (n=5, 3.1%) versus 2095 patients who did not (n=51, 2.6%), and there was no statistical difference. First, our study revealed the breadth of patient's unmet social needs in our university hospital, which caters to an area where the immigrant population is high. The study also revealed the complexity of the discharge coordinator's work, who provided highly personalized support and managed to gain trust. Hospital discharge could be used in France as an opportunity in disadvantaged settings. Eventually, indicators other than the rehospitalization rate should be devised to evaluate the effect of social prescribing and discharge coordination.

KEMAJUAN PERSALINAN DENGAN MENGGUNAKAN BIRTH BALL PADA IBU BERSALIN PRIMIGRAVIDA DI PMB RENNY INDAH SARI

Background: One of the complications of childbirth that contributes to maternal and infant mortality is prolonged labor. The survey results found that prolonged labor can cause emergencies is mothers and babies. Birth ball is a physical therapy ball that helps mothers in labor during the first stage of labor Purpose: To find out the effect of birth balls on the progress of labor in promigravida mothers at PMB in 2023 Method: The research method used is Quasi Experiment. Data collection used total sampling with a sample of 30 mothers giving birth. By using a static group comparison research design or static group comparison where this design applies treatment or intervention (X) followed by a second measurement or observation. The results of the onservations in the control group, which did not receive the intervention Result: The results of this study showed that the average progress of labor in the intervention group was 292.33 minutes, and in the control group the average progress of labor was 419 minutes. Conclusion: The conclusion of this study is that there is an effect of the birth ball on the progress of labor in primigravida mothers in the first active phase as evidenced by the t-test p-value 0,000<0,5.

Evaluation of Keratoconus Patients Refractive Status Before and after Corneal Collagen Cross-linking

Background: Corneal Collagen Cross Linking (CXL) incorporated with riboflavin solution activated by UV (Ultraviolet) irradiation is a modern promising treatment protocol for keratoconus. Evaluation of the clinical effect of CXL treatment on keratoconus patients was the aim of this study. Methods: This Quasi Experimental (before-and-after) study was comprised with 50 patients, having progressive keratoconus (progression was documented by Corneal Topography), reported to Cornea Clinic, CMH Dhaka, from February 2022 to January 2023. Before and after the CXL procedure; un-corrected and best-corrected visual acuity of study population was documented using Snellen visual acuity chart. Auto-refractometry readings were also noted. Results: Among the 50 study subjects; 26 (52%) were men and 24 (48%) were female, age was 24.14 ± 5.07 (mean+SD) years and age range was 18-35 years. Mean preoperative spherical power was −1.84 ± 0.82 Diopter (D) and mean cylindrical power was −3.66 ± 0.97 D. Postoperatively, mean spherical power was found −1.15 ± 0.55 D and mean cylindrical power was −2.87 ± 0.99 D. After CXL treatment; significant vision improvement found in 15 (30%) patients (p<0.05). Conclusion: Despite strengthening the corneal stromal collagen bond and halting the keratoconus progression, CXL treatment stabilize the refractive status of keratoconus patient and also in some extent, it improves vision. Bangladesh Armed Forces Med J Vol 56 No (2) December 2023, pp 45-50

How did the use of the social marketing approach in Egyptian communities succeed in improving breastfeeding practices and infants’ growth?

IntroductionImproving breastfeeding practices does not always link to interventions relying only on improving nutrition awareness and education but needs cultural and behavioral insights. AimThis study aimed to evaluate the changes in core breastfeeding indicators as a result of the use of social marketing (SM) approach for improving breastfeeding practices of Egyptian women and the physical growth of infants aged 6 to 12 months. The core breastfeeding indicators were: Early initiation of breastfeeding within one hour of birth, Predominant and exclusive breastfeeding to 6 months (EBF), Bottle feeding with formula, continued breastfeeding to 1 and 2 years, and responsiveness to cues of hunger and satiety.MethodsA quasi-experimental longitudinal study with a posttest-only control design was done over 3 years in three phases; the first was in-depth interviews and formative research followed by health education and counseling interventions and ended by measuring the outcome. Motivating mothers’ voluntary behaviors toward breastfeeding promotion “feeding your baby like a baby” was done using SM principles: product, price, place, and promotion. The interventions targeted 646 pregnant women in their last trimester and delivered mothers and 1454 women in their childbearing period. The statistical analysis was done by using SPSS program, version 26.ResultsMost mothers showed significantly increased awareness about the benefits of breastfeeding and became interested in breastfeeding their children outside the house using the breastfeeding cover (Gawn) (p < 0.05). Breastfeeding initiation, exclusive breastfeeding under 6 months, frequency of breastfeeding per day, and percentage of children who continued breastfeeding till 2 years, were significantly increased (from 30%, 23%, 56%, and 32% to 62%, 47.3%, 69%, and 43.5% respectively). The girls who recorded underweight results over boys during the first year of life were significantly improved (p < 0.01) after the intervention (from 52.1% to 18.8% respectively). At the same time, girls found to be obese before the intervention (15.6%) became no longer obese.ConclusionsImprovement for the majority of the key breastfeeding indicators and physical growth of infants indicates that raising a healthy generation should start by promoting breastfeeding practices that are respectable to societal norms.

The effect of education on safe use of pesticides based on the health belief model

ObjectiveIn agricultural activities, pesticide use is critical, but poisoning issues are one of the most important occupational hazards for farmers. Training can help protect farmers’ health from pesticide hazards. This study aimed to investigate the effect of education on farmers’ behavior in the safe use of pesticides using the health belief model.MethodsA quasi-experimental (pretest-post-test) study conducted on 84 farmers who were selected using the convenience sampling method. The data collection tool was a two-part questionnaire including demographic information and a questionnaire designed based on the constructs of the health belief model in using personal protective equipment while working with the pesticides. The instrument was completed before and two weeks after an educational intervention. Data analysis was performed using SPSS software version 26.ResultsThe mean age of the participants was 48.94 ± 9.14 years and 69% were male. The study showed that with increasing age, the mean score of health belief model constructs in the safe use of pesticides decreased. Female and higher-educated farmers had higher scores. After the intervention, the mean scores of health belief model constructs in the safe use of pesticides increased significantly, except perceived barriers construct which decreased significantly. Also, the frequency of protective equipment uses while working with pesticides increased significantly after the intervention and safe behaviors increased, while unsafe behaviors decreased.ConclusionThe education as an effective intervention, improves farmers’ safety attitudes and behaviors in pesticide use and it is recommended that educational programs be designed according to the characteristics of the audience.

Deleveraging, Debt Default Risk, and Enterprise Innovation: Evidence from China

This study, at the micro level, takes the Chinese central government's implementation of the "deleveraging" policy as a quasi natural experiment. Based on data from listed companies from 2013 to 2017, this study introduces the Metron default distance that balances financial indicators and asset value fluctuations to measure default risk. Therefore, the DID method is used to test the innovation situation of enterprises with high default risk under the "deleveraging" policy. Research has found that companies with significant default risks under policy shocks have significantly improved their innovation levels and increased their innovation achievements. Furthermore, this research studies the mechanism of the "deleveraging" policy on enterprise innovation from three perspectives: enterprise financing, investment, and business management. The implementation of the "deleveraging" policy will enhance the cash holdings and management governance level of enterprises with high default risk, thereby promoting enterprise innovation.

Work-life balance strategies and employees’ engagement in the food and beverage industry in rivers state

This study explores the nexus between work-life balance (WLB) strategies and employees’ engagement (EE) within the food and beverage (F&amp;B) industry. Employing a quasi-experimental design, data was gathered from 165 employees across selected F&amp;B organizations using a closed-ended Likert-type scale questionnaire. Data analysis via Pearson’s Product Moment correlation (PPMC) statistical technique revealed a positive and significant relationship between the dimensions of work-life balance (WLB) strategies and measures of employees’ engagement (EE) within the food and beverage (F&amp;B) industry. Specifically, the results indicate a robust positive and significant correlation between Work interference with personal life (WIPL) and the measures of employees’ engagement: employees’ emotional engagement (EEE) and employees’ behavioral engagement (EBE), with values ranging from 0.894 to 0.881 respectively. Additionally, personal life interference with work (PLIW) demonstrates a notable positive correlation with the measures of employees’ engagement, attributing to 72.5% to 83.5% of emotional and behavioral engagement, respectively. Furthermore, work enhancement of personal life (WEPL) initiatives and personal life enhancement of work (PLEW) initiatives exhibited very strong positive associations with the measures of employees’ engagement, explaining up to 74% to 85% of emotional and behavioral engagement, respectively. These findings corroborate prior research, highlighting the significance of addressing Work-Life Balance issues to bolster employees’ engagement levels. Practically, the study underscores the importance for managers in the Food and Beverage to prioritize strategies that mitigate work-life interference, such as flexible scheduling and family-friendly policies, to foster higher EE levels. Tailored initiatives and training programs should be implemented to address specific WLB aspects identified within organizations, while fostering open communication channels to identify areas for improvement. By prioritizing WLB and supporting employee well-being, managers can cultivate a more engaged and productive workforce, ultimately contributing to organizational success. Other theoretical and practical implications for promoting WLB and fostering employees’ engagement in the Nigerian workplace are also discussed.

College Career Courses and Growth Toward Vocational Identity Achievement Status

College Career Courses and Growth Toward Vocational Identity Achievement Status

The Effect of Using Guessing Game on Students Vocabulary Achievement at Grade VIII of MTSN 6 Agam

Vocabulary is a component of words with meaning and one of the most essential aspects of learning English. However, pupils are not taught vocabulary specifically in school. This results in a large number of students who lack fundamental vocabulary knowledge, despite the fact that vocabulary is one of the most essential components that students must comprehend in order to learn effectively in class. The purpose of this study was to determine whether the use of a guessing game has a significant impact on students' vocabulary achievement. This research employed a quantitative method and a quasi-experimental design; the research population was eighth-grade MTsN 6 Agam students. The sample was collected using a technique of purposive sampling. Students from the two classes, experimental class with 30 students and control class with 31 students, were given a pre- and post-test. This research instrument is a vocabulary test with 25 multiple-choice questions. The data were analyzed with SPSS 26. The calculated post-test result for the experimental class revealed a mean score of 89.47. It exceeds the mean score of the control group, which was 62.58. The standard deviation of each class is then calculated. Using Independent sample t-test, the researcher compared post-test experimental class and control class using the t-test formula. The output indicates that the value of Sig. (2-tailed) is 0.00 0.05. It indicates that Ha is acceptable. There is a substantial difference between students who are taught using Guessing game and those who are not. The result is also indicated by the fact that the mean post-test score of the experimental group (89.47) is higher than that of the control group (62.28). It indicates that students who are taught with Guessing game are superior to those who are not. Guessing game has a significant impact on the vocabulary attainment of eighth-grade MTsN 6 Agam students.

The Effectiveness of Education with Picture Media to Increase Students’ Knowledge and Attitudes about Maintaining the Cleanliness of the External Genitalia at Al-Azhar26 Junior High School Yogyakarta

Background: Cleanliness of women’s genitals is related to the menstrual cycle. The education of menstruation with picture media increases women’s awareness to maintain the cleanliness of the external genital because picture media shows effects of risk behavior if do not maintain the cleanliness. Women with a better understanding of menstruation often have a safe and clean way to manage their menstrual bleeding. Poor knowledge, attitudes and actions towards external genitalia hygiene in adolescent girls have clinical implications, namely the occurrence of infections in the reproductive system and urinary tract infections. In developing countries, this problem needs more serious attention.Objective: This study aims to analyze the effectiveness of education with picture media to increase students’ knowledge and attitudes about maintaining the cleanliness of the external genitalia at Al-Azhar 26 Junior High School Yogyakarta.Methods: This research is a quantitative study with a quasi-experimental design and uses analytic research with a One Group Pretest- Postest Design. In this study there was no control group, data collection using a questionnaire. The population was made up of Grade VIII students of junior high schools who were actively studying at MTs Al- Azhar 26 Yogyakarta. Respondents came from junior high school students because junior high school students represented teenagers and their intellectual abilities were not much different. The research sample was taken by using a total sampling technique of 60 samples. The treatment procedure was after completing the pre-test, students were given education about external genital hygiene with picture media. After receiving education, students were asked to fill out a post test, after the data was collected, data analysis was carried out using the Wilcoxon test. Ethical permission for this research from FKIK UMY with number 106/EC-KEPK FKIK UMY/IV/2021.Results: Respondents are 60, aged 12 and 13 years. The mean value of knowledge before intervention is 7,02, the mean value of knowledge after intervention is 13,68. The mean value of the attitude before the intervention was 15.35, the mean value of the attitude after the intervention was 33.23. The results of the test on the level of knowledge of the respondents using the Wilcoxon test obtained a value of p = 0.001 (p &lt;0.05), this is a significant result in increasing the level of knowledge of respondents about external genitalia hygiene. The results of the test on respondents’ attitudes using the Wilcoxon test obtained p value = 0.001 (p &lt; 0.05), this is a significant result in increasing respondents’ attitudes about the external genitalia.Conclusion: counseling about genital hygiene is effective in increasing knowledge and attitudes about female genitalia in Yogyakarta. Efforts to improve external genital hygiene in adolescents need to be continuously improved with education that is carried out continuously and carried out using various methods.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 157-164

Effects of Online Cooperative Learning (OCL) Student Teams Achievement Division (STAD) Method to the Motivation, Self – efficacy, And Academic Achievement of Students in Science 10

This study explores the impact of Online Cooperative Learning (OCL) using the Student Teams Achievement Divisions (STAD) method on science 10 students’ self-efficacy, motivation, and academic achievement. Conducted at Ocampo National High School during the COVID-19 pandemic, the quasi-experimental design involved 90 tenth-grade students split into control and treated groups. Pre- and post-experiment assessments included Likert-scale questionnaires on motivation and self-efficacy, along with summative tests. Data analysis, conducted with R software, employed descriptive statistics, t-tests, Wilcoxon signed-rank tests, and Structural Equation Modeling (SEM). Results indicated significantly heightened motivation (weighted mean=4.17, p=0.056), increased self-efficacy (weighted mean=4.2, p=0.04), and improved academic performance (weighted mean=38.69, p=0.00) among students using OCL-STAD. Path analysis revealed the direct effects of self-efficacy on academic achievement (path coefficient=0.25) and motivation (path coefficient=0.04). Keywords: motivation, online cooperative learning, Student Teams Achievement Divisions (STAD) method, self-efficacy

Evaluating OPEN-MURDER Scenario Impact on Vocational Education

This study investigates the impact of the OPEN-MURDER scenario on the learning outcomes of 36 Software Engineering program students in Vocational Schools (SMK). Utilizing a quasi-experimental design, pretest-posttest assessments were conducted to measure learning outcomes before and after implementing OPEN-MURDER, focusing on mood, understanding, recall, digest, expand, and review. Results show a significant improvement, with pretest scores averaging 71.72 and posttest scores 89.53 (p &lt; 0.05). The findings underscore OPEN-MURDER's positive influence on SMK students' learning outcomes, suggesting its potential as an effective teaching model to enhance motivation, problem-solving skills, and classroom engagement. Future research could explore comparative analyses with control groups and encourage educators to adopt OPEN-MURDER for innovative teaching practices. Highlight: OPEN-MURDER Evaluation: Assesses impact on vocational students' learning outcomes. Experimental Design: Utilizes pretest-posttest method to measure effectiveness. Positive Influence: Shows significant improvement in student learning outcomes post-implementation. Keywoard: Open-Murder Scenario, Learning Outcomes, Vocational Schools, Quasi-Experimental Design, Teaching Model.

Technology-enhanced mindfulness-based collaborative social reasoning to improve adolescents' social-emotional competencies.

This study reports the preliminary efficacy of an innovative school-based, technology-enhanced social-emotional learning program called "mindfulness-based collaborative social reasoning" (MBCSR) for middle school students. MBCSR was developed by an interdisciplinary team of educational psychologists, mindfulness researchers, computer scientists, and health experts. We integrated the strengths of contemplative approaches, collaborative small group discussions, learning technology, and multidimensional assessments of students' social-emotional outcomes. Using a quasi-experimental design, the study was implemented in four sixth-grade English language arts classrooms (2 experimental and 2 business-as-usual control; N = 74) in a public middle school in the Midwest of the United States. It was co-implemented by researchers and teachers, with sessions occurring for 45 minutes, once per week, for 8 weeks. The MBCSR group showed greater self-efficacy for using Upa-yoga and mindful breathing to regulate their emotions and behaviors ( = .13), and lower externalizing ( = .07) and bullying behaviors ( = .09) at the posttest compared to the control group, after controlling for baseline differences. Students in the experimental group overall showed positive and relaxed emotional and physiological states during the sessions. There were no significant differences between the two groups in mindfulness, emotional regulation, and social skills. This program sets an example for integrating social-emotional learning and academic learning into students' daily content instruction.

Putting the pieces together: comparing the effect of jigsaw cooperative learning and lecture on public health students’ knowledge, performance, and satisfaction

ABSTRACT The present research was conducted to compare the effects of two methods of traditional lecture and Jigsaw Cooperative Learning on the students’ knowledge, performance, and satisfaction. This quasi-experimental study was done on 50 public health students, who had been chosen through available sampling. The performance and satisfaction of students was measured through two researcher-made 80 and 18-item questionnaires after receiving the training. Data were analyzed through SPSS 2423.0 software. The mean score of knowledge in the pre-test stage in the jigsaw and lecture groups was 11.40 and 10.56, respectively, while these values in the post-test stage significantly increased in the jigsaw group compared to their lecture counterpart (16.68 vs. 10.76) (P < 0.001). There was a significant difference between the two groups regarding the score of poster and pamphlet preparation, role-playing, and slide preparation in all subscales (P < 0.001). The mean score of satisfaction was higher in the jigsaw group in all subscales except for motivation (P = 0.17) and problem-solving (P = 0.43), compared to the lecture group (P < 0.001). The results indicated that the JCL method, by engaging students in the teaching-learning process, could cause enhanced knowledge, performance, and satisfaction of the learner, helping them deal with their courses with greater interest. .