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Digital Standard for the Design of Inclusive and Effective Online Courses in Higher Education


                    Records identi ed from:           Records removed before
               Identi cation  • PubMed (n = 126),     • Duplicate records removed

                                                      screening:
                    Databases (n = 329):
                                                        (n = 72)
                    • Medline and CINAHL (n = 43),

                    • ScienceDirect (n = 160)
                    Records screened                  Records excluded


                    (n = 257)                         (n = 178)

                    Reports sought for retrieval      Reports not retrieved

                    (n = 79)                          (n = 8)
               Screening

                    Reports assessed for eligibility
                                                      • Irrelevant focus (e.g.
                    (n = 71)                          Reports excluded:
                                                        focused on other rather
                                                        than higher education) (n = 33)
                                                      • Lack of theoretical

                                                        models/frameworks (n = 29)
                    Studies included in review
               Included  (n = 9)




             Figure.1  Literature Search Strategy Included in the Integrative Review

               During the screening phase, 178 records were excluded because they did
             not fulfil the predefined inclusion criteria. The remaining 79 articles were
             used for the full-text search. However, 8 reports could not be retrieved and
             were excluded from further evaluation.
               A total of 71 full-text articles were screened for eligibility. Of these, 33 stud-
             ies were excluded due to an irrelevant focus (e.g. studies dealing with edu-
             cational levels other than higher education), while 9 studies were excluded
             due to the lack of a theoretical model or framework. Following this rigorous
             selection process, 9 studies met all eligibility criteria and were included in the
             final analysis.

             Quality Appraisal
             To assess the methodological quality of the included studies, we applied the
             Critical Appraisal Skills Programme (Critical Appraisal Skills Programme, n.d.).


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