The impact to demographic and academic factors on metacognition and academic self-efficacy: A study on Iranian students in health sciences
Elham Raeisi1, Kamal Solati2, Mathias Hossain Aazami3, Nastaran Shamsipour4, Zohreh Sadeghian4, Soleiman Ahmady5
1 Department of Medical Physics and Radiology, School of Allied Medical Sciences, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Department of Psychiatry, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Department of Cardiology and Cardiac Surgery, Kashani and Hajar University Hospitals, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
4 Department of Medical Physics and Radiology, Student Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran
5 Department of Medical Education, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
|Date of Submission||14-Sep-2019|
|Date of Acceptance||27-Dec-2019|
|Date of Web Publication||31-Mar-2020|
Mathias Hossain Aazami
Department of Cardiology and Cardiac Surgery, Kashani and Hajar University Hospitals, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord
Source of Support: None, Conflict of Interest: None
BACKGROUND: Metacognition and academic self-efficacy are two emerging resources in the process of learning. Basic levels of metacognition and academic self-efficacy may differ and be influenced by demographic and academic factors. This study investigated impacts of demographic and academic factors on metacognition, metacognitive skills, and academic self-efficacy in health sciences students.
MATERIALS AND METHODS: A cross-sectional study was conducted among 404 participating students attending various fields of study in health sciences at Shahrekord University of Medical Sciences. Demographic and academic data were collected. Global metacognition, metacognitive skills, and academic self-efficacy scores were assessed using published or online questionnaires. Means were compared using Student's t-test, whereas intra- and intergroups' scores were compared using one-way ANOVA test.
RESULTS: Global metacognition and academic self-efficacy were not impacted by demographic students' status. The gender and age impacted both knowledge and control of process- planning (favoring male gender), as well knowledge and control-of-self (disfavoring 20–30 age class) of metacognitive skills, (P < 0.05). Academic status did not influence academic self-efficacy. The school type influenced the metacognitive skill component to knowledge and control of process-regulation (disfavoring nursing school) (P < 0.05). The academic discipline impacted the global metacognition (P < 0.05) and its knowledge and control of self-component (P < 0.01).
CONCLUSIONS: Demographic and academic status does impact metacognitive skills and global metacognition scores. Given the heterogeneous level to innate metacognitive skills, this study sheds lights on usefulness to screen learners' subgroups that require supplementary educational instructions to uniformly optimize metacognitive skills.
Keywords: Demography, learning, medical education, metacognition, self-efficacy
|How to cite this article:|
Raeisi E, Solati K, Aazami MH, Shamsipour N, Sadeghian Z, Ahmady S. The impact to demographic and academic factors on metacognition and academic self-efficacy: A study on Iranian students in health sciences. J Edu Health Promot 2020;9:70
|How to cite this URL:|
Raeisi E, Solati K, Aazami MH, Shamsipour N, Sadeghian Z, Ahmady S. The impact to demographic and academic factors on metacognition and academic self-efficacy: A study on Iranian students in health sciences. J Edu Health Promot [serial online] 2020 [cited 2020 May 25];9:70. Available from: http://www.jehp.net/text.asp?2020/9/1/70/281657
| Introduction|| |
The scope of progression in the process of learning seeks insightful strategies to incur polished talent with the aim of conferring ability to achieve the expected educational goals. By the ongoing area, metacognition does play a salient role to candid learning process. Metacognition does afford instrument rating control to fix operational limits of classic cognitive resources in the field of ever-expanding education. Recruiting and ordering metacognitive skills do sustain higher self-confidence and self-efficacy in the course of learning process.,,, By actively integrating metacognition in the learning strategies, grounded educational solutions are advanced: flourishing learning self-responsibility, awareness/recognition of personal learning requirements, and creative skills in conceiving/applying new learning pathways., Identifying factors that may impact the basic level of metacognition and self-efficacy wears salient importance, by screening the suboptimal learners' subgroups. Acknowledging differences in innate learners' skills leads to explore in detail the compensatory educational strategies, useful to anticipate goal-directed learning., Despite the ongoing investigations and interests on exploring metacognition among Iranian students,,,,, yet, the comparative levels of metacognition and self-efficacy among students in health sciences belonging to various schools related to the University of Medical Sciences (UMS) as well as their relative impactors remain to be analyzed. The available literature provides conflictual information on the potential impact of students' demographic and academic status on metacognition and academic self-efficacy. By the present study, it was sought to investigate the impact of demographic and academic status on basic levels of global metacognition, metacognitive skills, and academic self-efficacy. The latter in view of identifying subgroups of students that may require further enhancing educational instructions. At our best knowledge, the available literature does not lead to such a comparable previous study.
| Materials and Methods|| |
This study is a prospective cross-sectional investigation among students in health sciences to the Shahrekord UMS (SKUMS) undertaken during academic winter semester of 2018–2019. The sampling size was calculated with a 95% confidence level and 5% margin of error at, according to the following formula:
n = (z2p(1- p))/d2
Consequently, 404 participants among whole active students in various fields of study in health sciences were sampled. Stratified random sampling was resorted in order to select 404 students among different schools in various field of study. As doing so, the proportional percentage of students in regard to each of SKUMS schools was drawn. Participants were randomly sampled to each of related schools. The relative percentages to each of school participants were determined as follows: medicine 39%, dentistry 3%, allied medicine 16%, health 13%, and nursing 29%. Accordingly, the participant number in relation to each field of study and inside each school was proportionally estimated in respect to the student number of concerned school. The inclusion criteria were being active learner at SKUMS during the study period and being consent to participate in the study. Incompleteness in fulfilling adequately questionnaires was considered as exclusion criteria from the study. In the latter case, the participant was replaced in accordance with the sampling method.
The global metacognition, metacognitive skills, and academic self-efficacy of each participant were assessed by determining their relative scores using questionnaires. The selected participants were informed and instructed to adequately implement questionnaires during organized collective audits at each related school, and prior to study enrollment. Questionnaires were assessed during scheduled time frames to each related school. Global metacognition and metacognitive skills were assessed by Karami questionnaire. The latter assessed four metacognitive skills: Knowledge and Control of Self (Commitment, Attitudes, and Attention), Knowledge and Control of Process Planning, Knowledge and Control of Process Evaluation, and Knowledge and Control of Process Regulation. Karami questionnaire claims a validity of 98% and reliability of 94%. The academic self-efficacy was assessed using Owen and Froman questionnaire with an assigned reliability to 91%. The both questionnaires were answered in the same time frame by each participant. Each participant was interrogated at the ensuing school.
The obtained global metacognition, metacognitive skills, and academic self-efficacy scores were entered to SPSS software version 16 (SPSS Inc., Chicago, IL, USA) and descriptive statistics (the sums, frequency, percentage, means, and standard deviation) were calculated. Student's t-test was used to compare the means, and inter- and intragroups were compared using one-way ANOVA. The current study was approved by the institutional research deputyship, student research committee, and was registered under IR.SKUMS.REC.1396.163. Written consent was obtained from each participant before study enrollment.
| Results|| |
Four hundred four students in various fields of health sciences and issued from five related schools that encompassed 14 academic disciplines and resulting in five academic degrees were included over a total of 2322 active students. The demographic data of participants are reported in [Figure 1]. The majority of participants (173) belonged to the age group of 20–30 years (50%) [Figure 1]a, and 327 students were single as marital status (81%) [Figure 1]b. The frequencies of academic disciplines are reported in [Figure 2]c. Regarding the academic degrees, bachelors in health sciences represented the most prevalent (52%), followed by students in medical doctor degree (32%) [Figure 2]b. One hundred and fifty-eight of the students (39%) belonged to the medical school, and 117 students were selected from the nursing schools (29%) [Figure 2]a.
|Figure 1: Distribution of participants' age (a), marital status (b), and gender (c) frequencies|
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|Figure 2: Distribution of academic school type (a), academic degree (b), and academic discipline per ensuing school (c). Ds Sc = Dentistry School, MD Sc = Medical School, Nr Sc = Nursing and Midwifery School, AM Sc = Allied Medicine School, Hl Sc = Health School|
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Concerning the impact of demographic status on metacognition, global metacognition scores did not differ significantly in respect to the students' gender [Figure 3]a. Among four metacognitive skills, just knowledge and control of process planning significantly differed among the male and female students favoring male gender (P = 0.03). When it comes to the impact of the age [Figure 3]c, only the knowledge and control of self (commitment, attitudes, and attention) showed significant difference among the different age groups disfavoring age less than 30 years (P = 0.03). The civil status did not influence the metacognitive skills. The demographic status did not impact academic self-efficacy [Figure 3]b.
|Figure 3: Impact of demographic factors on global metacognition, metacognitive skills, and academic self-efficacy scores of medical sciences students: gender (a), marital status (b), and age (c) GMS = Global metacognition score, Regulation = Knowledge and control of process, Evaluation = Knowledge and control of process, Planning = Knowledge and control of process, Self = Knowledge and control of self-commitment, attitudes, and attention, ASE = Academic self-efficacy. Data are presented as mean ± SD|
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The impact of investigated academic status (academic discipline, academic degree, and school type) on metacognition and academic self-efficacy is reported in [Figure 4], [Figure 5], [Figure 6]. The academic degree did neither influenced metacognition, nor academic self-efficacy [Figure 4]a. Knowledge and control of process regulation was the only metacognitive skill significantly impacted by the academic school type in disfavor of nursing school (P = 0.02) [Figure 4]b. The academic discipline significantly influenced global metacognition scores between students groups (P = 0.04) [Figure 5]a, as well as impacting knowledge and control of self-metacognitive skill (P = 0.005) [Figure 5]b. Similarly, to the influence of demographic status, academic self-efficacy was not impacted by students' academic status [Figure 5]c.
|Figure 4: Impact of academic factors on global metacognition, metacognitive skills, and academic self-efficacy scores of medical sciences students: academic degree (a) and academic school type (b). GMS = Global metacognition score, Regulation = Knowledge and control of process, Evaluation = knowledge and control of process, Planning = knowledge and control of process, Self = knowledge and control of self-commitment, attitudes and attention, ASE = academic self-efficacy. Data are presented as mean ± SD|
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|Figure 5: Impact of academic discipline as an academic factor on global metacognition, metacognitive skills, and academic self-efficacy scores of medical sciences students: global metacognition (a), knowledge and control of self (b), and academic self-efficacy (c). Data are presented as mean ± SD|
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|Figure 6: Impact of academic discipline as an academic factor on knowledge and control of process regulation (a), knowledge and control of process evaluation (b), and knowledge and control of process planning (c). Data are presented as mean ± SD|
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| Discussion|| |
Cognition is described as the principal resource to learning process. Nevertheless, the cognitive process of learning displayed its limitations to meet ever-increasing requirements in educational efficiency. Metacognition defined as the active control on cognitive skills, exhausts to reach the top-grade cognitive processing by incurring active awareness to enhance the self-monitoring skill, and conferring proactive educational empowerment.,, Self-efficacy is defined as individual believes in one owns capacity as to set up appropriate mindset, regulating consequent behaviors.
Taking in considerations the salient role of metacognition and self-efficacy in high rising learning, it is advised to assess their respective basic levels as to pragmatically concive the content to educational resources and the optimal way to deploy appropriate instructional methods. In line with the latter, the present study was conceived to investigate the impact of demographic (gender, age classes, and marital status) and academic (academic degrees, school type, and discipline) status on the basic levels of metacognition and academic self-efficacy in a stratified random sampling among SKUMS students at various branches of health sciences.
The present results showed that global metacognition per se and academic self-efficacy were not influenced by the investigated demographic students' status. There are conflictual data in the available literature regarding the impact of demographic status in higher education, and the most available information targeted high school students. Oguz and Ataseven reported significant impact of gender on metacognition among higher education students. In a study over 280 higher school students, Kaur did not find any significant impact of gender on the metacognition level. The latter was confirmed by the study of Siswati and Corebima in Indonesian high school students. Concerning the impact of gender on self-efficacy, Hekmat-Nejad and Safi-Khani reported no correlation among 200 students respecting gender equality, paralleling the recent reported data of Tiyuri et al., among postgraduate students upon research to self-efficacy. The latter was in line with a meta-analysis undertaken by Husain that concluded on absence of any gender impact on self-efficacy. In contrary, Eze et al. found that age and gender had significant impact on academic achievement in 117 Nigerian university students. Mirdrikvand reported significant impacts of gender in academic achievement, favoring female sex, in Iranian students. Amuda et al. did not find any influence of marital status on academic performance in 1200 Nigerian students, whereas Umar and Aliyu reported positive impacts of marriage on academic performance in Sokoto Nigerian area. Robert et al. studied marital status in 374 college students and reported higher grades for married compared to unmarried students. Such conflictual results may be related in existent cultural differences, heterogeneity in tests used to assess metacognition and self-efficacy, different level of socioeconomic accommodation, and various educational programs being resorted.,
When it came to the influence of demographic status on metacognitive components, the gender significantly influenced the knowledge and control of process planning in favor of male gender. The age classes significantly influenced knowledge and control of self (commitment, attitudes, and attention) favoring the students of age more than 30 years. The civilian status did not exert any influence on metacognitive components. Accordingly, regulatory metacognitive skills displayed similar mean basic levels among investigated students in health sciences in respect to demographic status. In contrary to the current findings, Stanton et al. demonstrated that regulatory metacognitive skills displayed heterogeneous levels in a group of students at the introductory biology courses. Meanwhile, the impact of the demographic status on individualized metacognitive skills was not clearly studied in the available literature.
Concerning the potential influence of academic status (academic degree, school type, and academic discipline) on metacognitive components, the school type influenced knowledge and control of process regulation. The academic discipline significantly affected the global metacognition as well as knowledge and control of self (commitment, attitudes, and attention). The latter could partly reflect the selection process to access the academic discipline based on credential national examination score. The academic status did not in any way impact the level of self-efficacy among students in health sciences.
In spite of the instructional audit undertaking prior to conducting the currect study, the observance to study legacy in view of adequately responding questionnaires was the main limitting factor. This study was undertaken among students at a public tertiary university of health sciences in an Iranian province. This study encompass different socioeconomic levels and reflected heterogenous scores by the time of national examination, mandatory to entry higher education facilities. Furthermore, this study enrolled participants from different stages of each academic discipline that may not reflect the students' metacognition and self-efficacy at higher education introductory. In addition, the cultural features may impact reproducibility of the current results in other societies with different perceptions and believes that do imply further tailored investigations.
| Conclusions|| |
The salient role of metacognition and self-efficacy in efficient learning process remains an ongoing field of interest in educational research. Research-provided information enables to identify students' subgroups, most susceptible to benefit from planning specific educational resources and approaches as to optimally target activation of the metacognitive skills and development of academic self-efficacy. The current study first investigated the impact of demographic and academic status on global metacognition, metacognitive skills, and academic self-efficacy levels among different students in various academic disciplines in health sciences. Although the global metacognition and self-efficacy levels were not impacted by demographic and academic parameters, nevertheless, the metacognitive knowledge and regulation skills were susceptible to be influenced by demographic and academic students' status. The latter should be taken in consideration by pedagogic corpus and educational planners in respect to resort appropriate instructional programs in identified students subgroups. Being aware of possible heterogeneity in metacognitive skills in relation to demographic and academic factors does lead student to seek ways to enhance their learning potential. Focusing efforts on silent implications of metacognition to learning process is recommended by increasing teacher and student apprehension to appropriate supplementary instruction aside conventional academic planning.
The authors would express their gratitude toward Research and Innovation deputyship, Education Deputyships of all schools, as well as Student Research Committee of SKUMS (Grant No. 2547) for their coordinated support to conduct the current study. The study participants and Miss Elaheh Zarean deserve authors' considerations.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Norman E, Furnes B. The concept of “metaemotion”: What is there to learn from research on metacognition? Emot Rev 2016;8:187-93.
Questienne L, Van Opstal F, van Dijck JP, Gevers W. Metacognition and cognitive control: Behavioural adaptation requires conflict experience. Q J Exp Psychol (Hove) 2018;71:411-23.
Ku K, Ho I. Metacognitive strategies that enhance critical thinking. Metacogn Learn 2010;5:251-67.
Dent AL, Hoyle RH. A framework for evaluating and enhancing alignment in self-regulated learning research. Metacogn Learn 2015;10:165-79.
Zhao N, Wardeska JG, McGuire SY, Cook E. Metacognition: An effective tool to promote success in college science learning. J Coll Sci Teach 2014;43:48-54.
Young A, Fry DJ. Metacognitive awareness and academic achievement in college students. J Scholar Teach Learn 2012;8:1-10.
Coertjens L, Donche V, De Maeyer S, Vanthournout G, Van Petegem P. Modeling change in learning strategies throughout higher education: A multi-indicator latent growth perspective. PLoS One 2013;8:e67854.
Raeisi E, Aazami MH, Solati K, Mohamadi O, Ahmady S. A modified student personalized learning approach to prompt academic acquisition in health sciences. J Educ Health Promot 2019;8:156.
Kallay E. Learning strategies and metacognitive awareness as predictors of academic achievement in a sample of Romanian second-year students. Cogn Brain Behav 2012;16:369-85.
Ndidiamaka RU. Metacognition and achievement goals as correlates of academic success. C J Educ Res 2010;3:1-6.
Saeedzadeh M, Raeisoon MR, Mohammadi Y. The Relationship between cognitive and metacognitive strategies and academic achievement of students of Birjand University of Medical Sciences. Future Med Educ J 2018;8:27-30.
Hekmati-Nejad E, Safi-Khani S. Studying the interaction of gender and self-efficacy [high and low] on the academic achievement of students in third grade. Bull Env Pharmacol Life Sci 2014;3:67-72.
Tiyuri A, Saberi B, Miri M, Shahrestanaki E, Bayat BB, Salehiniya H. Research self-efficacy and its relationship with academic performance in postgraduate students of Tehran University of Medical Sciences in 2016. J Educ Health Promot 2018;7:11.
Mirderikvand F. The relationship between academic self-efficacy with level of education, age and sex in Lorestan University students. J Chem Pharm Res 2016;8:355-58.
Vahabi B, Vahabi A, Sayyad S, Sayyad M, Roshani D, Hajisahne S. The status of academic self-efficacy in the students of Kurdistan University of Medical Sciences and Islamic Azad University, Sanandaj Branch, 2015-2016. Sci J Nurs Midwifery Paramed Fac 2017;3:43-52.
Karami A. Developed a measure to determine the relationship between the learning strategies and study strategies and academic achievement. Tehran: Allameh Tabatabai University; 2001.
Jamali M, Noroozi A, Tahmasebi R. Factors affecting academic self-efficacy and its association with academic achievment among students of Bushehr University Medical Sciences 2012-2013. Iran J Med Edu 2013;13:629-41.
Stanton JD, Neider XN, Gallegos IJ, Clark NC. Differences in metacognitive regulation in introductory biology students: When prompts are not enough. CBE Life Sci Educ 2015;14. pii: ar15.
Aldosari MA, Aljabaa AH, Al-Sehaibany FS, Albarakati SF. Learning style preferences of dental students at a single institution in Riyadh, Saudi Arabia, evaluated using the VARK questionnaire. Adv Med Educ Pract 2018;9:179-86.
Tian Y, Fang Y, Li J. The effect of metacognitive knowledge on mathematics performance in self-regulated learning framework-multiple mediation of self-efficacy and motivation. Front Psychol 2018;9:2518.
Steuber TD, Janzen KM, Walton AM, Nisly SA. Assessment of learner metacognition in a professional pharmacy elective course. Am J Pharm Educ 2017;81:6034.
Oguz A, Ataseven N. The relationship between metacognitive skills and motivation of university students. Educ Process Int J 2016;5:54-64.
Kaur K. Influence of demographic factors on metacognition and its relationship with critical thinking of higher secondary students: Foundation for learning. Int J Res Appl Sci Eng Technol 2017;5:358-63.
Siswati BH, Corebima AD. The effect of education level and gender on students' metacognitive skills in Malang, Indonesia. Adv Soc Sci Res J 2017;4:163-8.
Husain UK. Relationship between Self-Efficacy and Academic Motivation. International Conference on Economics, Education and Humanities; 2014. p. 35-9.
Eze TI, Ezenwafor JI, Obi MN. Effects of age and gender on academic achievement of vocational and technical education (VTE) students of a Nigerian University. J Emerg Trends Educ Res Policy Stud 2015;6:96-101.
Amuda BG, Bulus AK, Joseph HP. Marital status and age as predictors of academic performance of students of colleges of education in the North-Eastern Nigeria. Am J Educ Res 2016;4:896-902.
Umar AA, Aliyu HI. Influence of marriage on the academic performance of female students in tertiary institutions in Sokoto metropolis. Int J Innov Educ Res 2018;6:42-8.
Robert A, Wooster MA, Chen L. Marital status and academic performance in college. Coll Stud J 2009;13:106-11.
Kumar R, Lal R. The role of self-efficacy and gender difference among the adolescents. J Indian Acad Appl Psychol 2006;32:249-54.
Tambawal MU, Umar AA. Relationship between parental influence and career choice of students in selected secondary schools in Sokoto metropolis. Sokoto Int J Couns Psychol 2014;2:25-37.
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