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Submitted: 21 Sep 2025
Revision: 27 Oct 2025
Accepted: 05 Nov 2025
ePublished: 16 Dec 2025
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Avicenna J Care Health Oper Room. 2020;3(4): 130-136.
doi: 10.34172/ajchor.123
  Abstract View: 8
  PDF Download: 5

Original Article

Unlocking Self-directed Learning and Emotional Resilience Through Critical Thinking Instruction in Medical Students: A Quasi-experimental Study

Ghazaleh Hokmi 1 ORCID logo, Saeid Sharifi Rahnemo 2* ORCID logo

1 Department of Psychology and Educational Sciences, Islamic Azad University, Hamedan Branch, Hamedan, Iran
2 Educational Development Center (EDC), Research Center for Health Sciences, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Author: Saeid Sharifi Rahnemo, Email: s.sharifirahnemou@umsha.ac.ir

Abstract

Introduction: Critical thinking is regarded as an essential skill for accurately analyzing situations, evaluating evidence, and making sound decisions, with significant impacts on key variables such as self-directed learning and emotion regulation. The present study aimed to investigate the effects of critical thinking training on levels of academic self-direction and emotion regulation among medical students.

Methods: In this quantitative quasi-experimental study, a pre-test/post-test design with a control group was employed. The statistical population consisted of 4149 students at Hamadan University of Medical Sciences. A total of 30 students were selected using convenience sampling method and randomly assigned to either an experimental group (n=15) or a control group (n=15). Data were collected using the Watson-Glaser Critical Thinking Appraisal, Fisher’s standard questionnaire for academic self-directed learning, and the Emotion Regulation Questionnaire (ERQ, 2003). Critical thinking training, based on the approaches of Halpern, Fisher, and Ennis, was delivered to the experimental group in 6 two-hour sessions. Hypotheses were tested using multivariate analysis of covariance (MANCOVA).

Results: Prior to the intervention, no statistically significant differences were observed between the two groups in demographic variables, academic self-direction, or emotion regulation (P>0.05). However, the experimental group demonstrated significantly higher levels of academic self-direction and emotion regulation compared to the control group after the intervention (P<0.05), indicating a significant effect of the training.

Conclusion: The findings suggest that critical thinking training can serve as an effective intervention for enhancing academic self-direction and emotion regulation in medical students. These results underscore the importance of incorporating critical thinking instruction into educational curricula to improve students’ academic and emotional competencies.



Please cite this article as follows: Hokmi G, Sharifi Rahnemo S. Unlocking self-directed learning and emotional resilience through critical thinking instruction in medical students: a quasi-experimental study. Avicenna J Care Health Oper Room 2025;3(4):130-136. doi:10.34172/ajchor.123
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