The impact of mediated learning on the academic writing performance of medical students in flipped and traditional classrooms: scaffolding techniques
Open accessAbstract
Writing as a multiple-step process is one of the most complex and demanding skills for graduate students to master. Foreign or second language learners who are required to write for academic purposes at the university level may even find it more demanding to master. One of the ways of decreasing the burden of mastering this skill for learners is mediation, using scaffolding techniques to teach writing. Hence, having a good understanding of the impact(s) of adopting mediating or scaffolding techniques in writing classes is absolutely indispensable. To this end, the present study employed an experimental research design to investigate the impact of mediation in the flipped writing classrooms of the students of medicine. To peruse this goal, 47 medical students were selected through purposive sampling and put into control and treatment groups. Medical students in the treatment group watched teacher-made video content(s) before their writing classes. The students in this group experienced organized-interactive writing group activities in their classes. Unlike the experimental group, the students in the control group received all the instructions in the classroom and were assigned homework. The findings obtained through the ANOVA and t-test indicated that the students in the experimental group significantly outperformed their counterparts in the control group in terms of their writing. A probable conclusion could be that by requiring students to study in advance and take responsibility for their learning, flipped classroom can provide the opportunity for learners to actively construct knowledge rather than receive the information passively in the classroom. Flipped classroom can also cultivate interactive class time for teachers and enable them to invest in more fruitful academic practices, instead of asking students to spend a substantial amount of time each week doing homework independently.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Well-aligned scaffolding can significantly enhance writing proficiency.
“Collectively, this body of work demonstrates that well-aligned scaffolding can significantly enhance writing proficiency.”
From Shaping Human-AI Collaboration: Varied Scaffolding Levels in Co-writing with Language Models (2024) · cites this paper as [39]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Content Analysis Guidebook
Neuendorf, K. A. (2017) · doi:10.4135/9781071802878 · Cited by 9,286 · cited 1× · see citing works
“Since the students’ pretests and posttests were analyzed and marked by two human raters (university lecturers), the inter-rater reliability was calculated (Neuendorf, 2002).”
THE ROLE OF TUTORING IN PROBLEM SOLVING <sup>*</sup>
Wood, D., Bruner, J. S., & Ross, G. (1976) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1976.tb00381.x · Cited by 8,851 · cited 1× · see citing works
“Closely related to the concept of mediation is scaffolding, which originated from the work of Wood, Bruner, and Ross (1976) who used this metaphor to describe a situation in which a teacher assists their students to master certain skills until they become capable of performing them independently.”
BackgroundFlip Your Classroom: Reach Every Student in Every Class Every Day
Sams, A., & Bergmann, J. (2012) · Medical Entomology and Zoology · Cited by 3,847 · see citing works
What is technological pedagogical content knowledge (TPACK)?
Koehler, M. J., Mishra, P., & Cain, W. (2013) · Journal of Education · doi:10.1177/002205741319300303 · Cited by 2,790 · see citing works
Contemporary Issues in Technology and Teacher Education
Bull, G. L., Knezek, G., & Gibson, D. (2025) · Contemporary issues in technology and teacher education · doi:10.70725/833004pqfpbd · Cited by 2,374 · see citing works
Language Learning with Technology
Castillo, D. G. (2021) · Springer eBooks · doi:10.1007/978-981-16-2697-5 · Cited by 2,211 · see citing works
Exploring the impact of artificial intelligence on teaching and learning in higher education
Popenici, S. A. D., & Kerr, S. (2017) · Research and Practice in Technology Enhanced Learning · doi:10.1186/s41039-017-0062-8 · Cited by 2,019 · see citing works
Abeysekera, L., & Dawson, P. (2014) · Higher Education Research & Development · doi:10.1080/07294360.2014.934336 · Cited by 1,972 · see citing works
What Is Technological Pedagogical Content Knowledge
Koehler, M. J., & Mishra, P. (2009) · Cited by 1,690 · see citing works
Digital Literacy: A Conceptual Framework for Survival Skills in the Digital era
Eshet‐Alkalai, Y. (2004) · Journal of educational multimedia and hypermedia · Cited by 1,333 · see citing works
Methodology in Language Teaching
Richards, J. C., & Renandya, W. A. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511667190 · Cited by 1,232 · see citing works
Flipped classroom improves student learning in health professions education: a meta-analysis
HEW, K. F., & LO, C. K. (2018) · BMC Medical Education · doi:10.1186/s12909-018-1144-z · Cited by 1,207 · see citing works
Lai, C., & Hwang, G. (2016) · Computers & Education · doi:10.1016/j.compedu.2016.05.006 · Cited by 884 · see citing works
Testing Esl Composition: A Practical Approach
Jacobs, H. L. (1981) · Medical Entomology and Zoology · Cited by 871 · see citing works
Flipping the classroom for English language learners to foster active learning
Hung, H. (2014) · Computer Assisted Language Learning · doi:10.1080/09588221.2014.967701 · Cited by 794 · see citing works
Lo, C. K., & Hew, K. F. (2017) · Research and Practice in Technology Enhanced Learning · doi:10.1186/s41039-016-0044-2 · Cited by 740 · see citing works
(2002) · Cited by 661 · see citing works
Saye, J. W., & Brush, T. (2002) · Educational Technology Research and Development · doi:10.1007/bf02505026 · Cited by 512 · see citing works
Cheng, L., Ritzhaupt, A. D., & Antonenko, P. (2019) · Educational Technology Research and Development · doi:10.1007/s11423-018-9633-7 · Cited by 494 · see citing works
Sustainable Queuing-Network Design for Airport Security Based on the Monte Carlo Method
Xu, X., Zhou, Z., Dou, Y., Tan, Y., & Liao, T. (2018) · Sustainability · doi:10.3390/su10020001 · Cited by 442 · see citing works
Focusing on form: student engagement with teacher feedback?
Hyland, F. (2003) · System · doi:10.1016/s0346-251x(03)00021-6 · Cited by 411 · see citing works
Al-Zahrani, A. M. (2015) · British Journal of Educational Technology · doi:10.1111/bjet.12353 · Cited by 389 · see citing works
Writing Games: Multicultural Case Studies of Academic Literacy Practices in Higher Education
Casanave, C. P. (2002) · Cited by 383 · see citing works
THE IMPLEMENTATION OF A FLIPPED CLASSROOM IN FOREIGN LANGUAGE TEACHING
Başal, A. (2015) · Turkish Online Journal of Distance Education · doi:10.17718/tojde.72185 · Cited by 319 · see citing works
The relationship between vocabulary and writing quality in three genres
Olinghouse, N. G., & Wilson, J. (2013) · Reading and Writing · doi:10.1007/s11145-012-9392-5 · Cited by 263 · see citing works
Teaching ESL Composition, Purpose, Process, and Practice
Claffey, S. (2000) · System · doi:10.1016/s0346-251x(00)00002-6 · Cited by 236 · see citing works
From Emerging Perspectives on Learning, Teaching and Technology
Kim, B. (2006) · Cited by 226 · see citing works
Treatment of Error in Second Language Student Writing, Second Edition
Ferris, D. R. (2011) · doi:10.3998/mpub.2173290 · Cited by 215 · see citing works
Use of Flipped Classroom Technology in Language Learning
Evseeva, A., & Solozhenko, A. V. (2015) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2015.10.006 · Cited by 190 · see citing works
On the Use and Misuse of Lectures in Higher Education
Schmidt, H. G., Wagener, S. L., Smeets, G., Keemink, L. M., & van der Molen, H. T. (2015) · Health Professions Education · doi:10.1016/j.hpe.2015.11.010 · Cited by 159 · see citing works
Improving Teacher Feedback During Active Learning
van den Bergh, L., Ros, A., & Beijaard, D. (2014) · American Educational Research Journal · doi:10.3102/0002831214531322 · Cited by 153 · see citing works
Re-Examining Embodied SO2 and CO2 Emissions in China
Huang, R., Hubacek, K., Feng, K., Li, X., & Zhang, C. (2018) · Sustainability · doi:10.3390/su10051505 · Cited by 143 · see citing works
Re-Examining Embodied SO2 and CO2 Emissions in China
Huang, R., Hubacek, K., Feng, K., et al. (2018) · University Libraries (University of Maryland) · doi:10.13016/dspace/y3vb-fzwm · Cited by 128 · see citing works
Self-monitoring in student writing: developing learner responsibility
Cresswell, A. (2000) · ELT Journal · doi:10.1093/elt/54.3.235 · Cited by 110 · see citing works
Meta-analysis of MALL research and design
Chwo, G. S. M., Marek, M. W., & Wu, W. V. (2018) · System · doi:10.1016/j.system.2018.02.009 · Cited by 104 · see citing works
Scaffolding EFL Students' Writing through the Writing Process Approach.
Faraj, A. K. A. (2015) · Cited by 89 · see citing works
Elian, S. M., & Hamaidi, D. A. (2018) · International Journal of Emerging Technologies in Learning (iJET) · doi:10.3991/ijet.v13i02.7816 · Cited by 83 · see citing works
Using Scaffolded Instruction to Optimize Learning
Larkin, M. J. (2002) · Cited by 79 · see citing works
The effect of task-based language teaching on analytic writing in EFL classrooms
Kafipour, R., Mahmoudi, E., & Khojasteh, L. (2018) · Cogent Education · doi:10.1080/2331186x.2018.1496627 · Cited by 64 · see citing works
Self-citationAlJaser, A. M. (2017) · English Language Teaching · doi:10.5539/elt.v10n4p67 · Cited by 57 · see citing works
Flipping the Classroom in Teaching Chinese as a Foreign Language.
Jia, Y., Yin, C., & Wang, W. (2018) · Language learning & technology · Cited by 52 · see citing works
The Mapping of On-Line Learning to Flipped Classroom: Small Private Online Course
Zheng, M., Chu, C., Wu, Y. J., & Gou, W. (2018) · Sustainability · doi:10.3390/su10030748 · Cited by 51 · see citing works
Teaching systems thinking through game design
Akcaoğlu, M., & Green, L. S. (2018) · Educational Technology Research and Development · doi:10.1007/s11423-018-9596-8 · Cited by 50 · see citing works
Student Perceptions of Flipped Learning
Murray, D. E., Koziniec, T. W., & McGill, T. J. (2015) · Murdoch University Research Portal · Cited by 38 · see citing works
Barroga, E. F., & Mitoma, H. (2019) · Journal of Korean Medical Science · doi:10.3346/jkms.2019.34.e9 · Cited by 35 · see citing works
The Application of Schema Theory in Teaching College English Writing
Sun, F. (2014) · Theory and Practice in Language Studies · doi:10.4304/tpls.4.7.1476-1482 · Cited by 22 · see citing works
Pasand, P. G., & Tahriri, A. (2017) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 19 · see citing works
Helping English Learners to Write: Meeting Common Core Standards, Grades 6-12
Scarcella, R. C., & Olson, C. B. (2015) · Cited by 13 · see citing works
Eshet, Y. (2007) · ACM SIGCSE Bulletin · doi:10.1145/1272848.1272862 · Cited by 9 · see citing works
SCAFFOLDING PROVIDED BY A TEACHER IN TEACHING WRITING NEWS ITEM TEXT
Dewi, M. S. N. (2013) · Journal of English and Education · Cited by 4 · see citing works
Effectmeting InnovatieImpuls Onderwijs: eindrapport
Heyma, A., Bisschop, P., van den Berg, E., Wartenbergh-Cras, F. P., Kurver, B. L. C., Muskens, M., & Spanjers, I. A. E. (2015) · UvA-DARE (University of Amsterdam) · Cited by 4 · see citing works
Barrault-Méthy, A.-M. (2017) · Recherche et pratiques pédagogiques en langues de spécialité · doi:10.4000/apliut.5720 · Cited by 3 · see citing works
Minds working together: Scaffolding academic writing in a mixed-ability EFL class
Lê, V. C., & Nguyen, T. T. M. (2010) · NIE Digital Repository (National Institute of Education, Nanyang Technological University) · Cited by 3 · see citing works
Flagged first, then by citations
3 of the 56 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Harris, M. (2006). Three steps to teaching abstract and critique writing: Essential stages of scholarly writing. International Journal of Teaching and Learning in Higher Education, 17(2), 136-146.
- Khojasteh, L., Shokrpour, N., & Kafipour, R. (2018). Iranian medical students' perception about classroom participation in general English course and its grading criteria. Pertanika Journal of Social Sciences & Humanities, 26(1), 375-396.
Cited by
Sorted by citations
Shaping Human-AI Collaboration: Varied Scaffolding Levels in Co-writing with Language Models
Dhillon, P. S., Molaei, S., Li, J., Golub, M., Zheng, S., & Robert, L. P. (2024) · Proceedings of the CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642134 · Cited by 111 · see citing works
The Flipped Classroom in Medical Education: Systematic Review and Meta-Analysis
Spaić, D., Bukumirić, Z., Rajović, N., Marković, K., Savic, M. D., Milin-Lazovic, J. S., Grubor, N. N., Milic, N., Stanisavljevic, D. M., Despotović, A., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/60757 · Cited by 42 · see citing works
Revolutionizing EFL writing: unveiling the strategic use of ChatGPT by Indonesian master’s students
Werdiningsih, I., Marzuki, M., Indrawati, I., Rusdin, D., Ivone, F. M., Basthomi, Y., & Zulfahreza (2024) · Cogent Education · doi:10.1080/2331186x.2024.2399431 · Cited by 71 · see citing works
OKOYE, K. O., Daruich, S. D. N., Castaño, R., José Francisco Enríquez de la, O., Escamilla, J., & Hosseini, S. (2024) · Studies In Educational Evaluation · doi:10.1016/j.stueduc.2024.101359 · Cited by 22 · see citing works
Self-citationThe Role of Metacognitive Strategies in Academic Writing Skills in Higher Education
Rosdiana, L. A., Damaianti, V. S., Mulyati, Y., & Sastromiharjo, A. (2023) · International Journal of Learning Teaching and Educational Research · doi:10.26803/ijlter.22.6.18 · Cited by 16 · see citing works
Nygren, M. O., Price, S., & Jha, R. T. (2023) · Science Education · doi:10.1002/sce.21845 · Cited by 13 · see citing works
Villaruz, J. M., & Palma, R. C. (2024) · Asian Journal of Advanced Research and Reports · doi:10.9734/ajarr/2024/v18i7690 · Cited by 9 · see citing works
Abdulaal, M. A. A.-D., Shaalan, I. E.-N. A. W., Alenazi, M. H., Alharbi, W. M. H., & Abuslema, N. F. M. A. (2024) · SAGE Open · doi:10.1177/21582440241257915 · Cited by 5 · see citing works
Nursing Students’ Perceived Satisfaction with Flipped Learning Experiences: A Mixed-Methods Study
Manzanares, M. C. S., Carrillo, C., Llamazares, M. D. C. E., Arribas, S. R., & Serrano‐Gómez, D. (2022) · Sustainability · doi:10.3390/su142316074 · Cited by 5 · see citing works
Chavda, M., Patel, H. R., & Bhatt, H. (2023) · Quality Assurance in Education · doi:10.1108/qae-03-2023-0045 · Cited by 10 · see citing works
A techno-pedagogical design for the production of academic essays in university students
Chura‐Quispe, G., & Castro, R. A. G. (2023) · Contemporary Educational Technology · doi:10.30935/cedtech/14022 · Cited by 3 · see citing works
Kasai, H., Imafuku, R., Shikino, K., Tajima, H., Shimizu, I., Hayakawa, K., Kawakami, C., Ito, S., & Saiki, T. (2025) · The Clinical Teacher · doi:10.1111/tct.70242 · Cited by 2 · see citing works
An investigation into effects of teacher mediation on students’ writing skills self-efficacy belief
Abebe, W. M., & Woldearegawi, A. G. (2023) · Bahir Dar Journal of Education · doi:10.4314/bdje.v23i3.5 · Cited by 2 · see citing works
Nameni, A. (2023) · SN Social Sciences · doi:10.1007/s43545-023-00747-y · Cited by 2 · see citing works
Alternative Pedagogies Used by Teachers in Teaching History During the Covid-19 Pandemic
Karuppiah, H. T., & Awang, M. M. (2023) · Malaysian Journal of Social Sciences and Humanities (MJSSH) · doi:10.47405/mjssh.v8i1.2054
Flipped classroom para la enseñanza del idioma inglés
Gonzales, N. H. R. (2023) · Revista Científica de la UCSA · doi:10.18004/ucsa/2409-8752/2023.010.02.138
ENHANCING EFL STUDENTS’ RECOUNT TEXTS BY EMPLOYING METACOGNITIVE LEARNING STRATEGIES (MLS)
Dhillon, B. P. S., Musthafa, B., & Wirza, Y. (2024) · English Review Journal of English Education · doi:10.25134/erjee.v12i1.9206
Academic English course for the health sciences: evolution towards a flipped classroom
Gudex, C. M., Pedersen, J., & Kjær, C. (2024) · Tidsskriftet Læring og Medier (LOM) · doi:10.7146/lom.v17i29.142203
Kasai, H., Asahina, M., Tajima, H., Shikino, K., Shimizu, I., Onodera, M., Kimura, Y., Araki, N., Tsukamoto, T., Yoshida, S., et al. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06041-6
Ismail, A., Wahida, S. H., & Shah, S. H. R. (2025) · Advance Social Science Archive Journal · doi:10.55966/assaj.2025.3.2.021
STUDY OF UNIVERSITY STUDENTS’ ATTITUDE TO FLIPPED CLASSROOMS
Fedoriv, Y., Kytaieva, S., & FEDORIV, M. (2025) · The Modern Higher Education Review · doi:10.28925/2617-5266/2025.1010
- Authors
- Khojasteh, L., Hosseini, S. A., & Nasiri, E.
- Affiliations
- Shiraz University of Medical Sciences (IR)
- Corresponding author
- Khojasteh, Laleh
- Venue
- Research and Practice in Technology Enhanced Learning
- Published
- 2021-06-30
- Volume
- 16
- Issue
- 1
- Pages
- 17-17
- ISSN
- 1793-2068 (ISSN-L)
- 1793-7078
- PMC
- PMC8243063
- OpenAlex
- W3173773772
- Cited by
- 21
- References
- 56
- Citations by year
- 2025: 4 · 2024: 8 · 2023: 8 · 2022: 1
- FWCI
- 7.47
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Research and Practice in Technology Enhanced Learning (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Education › Innovative Teaching Methods
- Social Sciences › Arts and Humanities › Language and Linguistics › EFL/ESL Teaching and Learning
- Social Sciences › Psychology › Developmental and Educational Psychology › Innovative Teaching and Learning Methods
- Keywords
- flipped classroom, scaffolding, academic writing, medical students, mediated learning, writing instruction, second language writing, student responsibility, knowledge construction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review