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<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>Hamadan University of Medical Sciences</PublisherName>
      <JournalTitle>Avicenna journal of Care and Health in Operating Room</JournalTitle>
      <Issn>2981-0639</Issn>
      <Volume>3</Volume>
      <Issue>4</Issue>
      <PubDate PubStatus="ppublish">
        <Year>2020</Year>
        <Month>12</Month>
        <DAY>16</DAY>
      </PubDate>
    </Journal>
    <ArticleTitle>Unlocking Self-directed Learning and Emotional Resilience Through Critical Thinking Instruction in Medical Students: A Quasi-experimental Study</ArticleTitle>
    <FirstPage>130</FirstPage>
    <LastPage>136</LastPage>
    <ELocationID EIdType="doi">10.34172/ajchor.123</ELocationID>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Ghazaleh</FirstName>
        <LastName>Hokmi</LastName>
        <Identifier Source="ORCID">https://orcid.org/0009-0000-1549-6916</Identifier>
      </Author>
      <Author>
        <FirstName>Saeid</FirstName>
        <LastName>Sharifi Rahnemo</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0002-1601-1674</Identifier>
      </Author>
    </AuthorList>
    <PublicationType>Journal Article</PublicationType>
    <ArticleIdList>
      <ArticleId IdType="doi">10.34172/ajchor.123</ArticleId>
    </ArticleIdList>
    <History>
      <PubDate PubStatus="received">
        <Year>2025</Year>
        <Month>09</Month>
        <Day>21</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2025</Year>
        <Month>11</Month>
        <Day>05</Day>
      </PubDate>
    </History>
    <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&gt;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&lt;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.  </Abstract>
    <ObjectList>
      <Object Type="keyword">
        <Param Name="value">Self-directed learning skills</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Critical thinking</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Emotion regulation</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Medical students</Param>
      </Object>
    </ObjectList>
  </Article>
</ArticleSet>