<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" "archivearticle.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="systematic-review">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Educ.</journal-id>
<journal-title>Frontiers in Education</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Educ.</abbrev-journal-title>
<issn pub-type="epub">2504-284X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/feduc.2024.1467225</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Education</subject>
<subj-group>
<subject>Systematic Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>BOPPPS model implementation and students&#x00027; performance: a systematic literature review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Liu</surname> <given-names>Jiaying</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2796088/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Omar</surname> <given-names>Siti Zobidah</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Yang</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Xiang</surname> <given-names>Yue</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Faculty of Social Sciences and Liberal Arts, UCSI University</institution>, <addr-line>Kuala Lumpur</addr-line>, <country>Malaysia</country></aff>
<aff id="aff2"><sup>2</sup><institution>Normal Education College, Longyan University</institution>, <addr-line>Longyan, Fujian</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Xingming Ma, Xihua University, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Dennis Arias-Ch&#x000E1;vez, Continental University, Peru</p>
<p>Goran Hauser, University of Rijeka, Croatia</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Jiaying Liu <email>1002162859&#x00040;ucsiuniversity.edu.my</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>08</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>9</volume>
<elocation-id>1467225</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Liu, Omar, Wang and Xiang.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Liu, Omar, Wang and Xiang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Applications of instructional models are among the key factors in enhancing student performance. While the BOPPPS model is widely implemented, a thorough and systematic evaluation of its impact on student performance remains absent. This systematic review synthesized findings from 19 studies to explore the relationship between the BOPPPS model and student performance. Using the PRISMA, Studies were analyzed for research characteristics, focusing on the use of BOPPPS model, learning subjects, student learning formats, and research theories to better analyze student performance. Specific student-related variables analyzed included academic performance, learning performance, skill tests performance, learning and cognitive ability performance, attendance performance, classroom performance, online performance, and other aspects. The results from the majority of the included studies consistently demonstrated a positive impact of the BOPPPS model on student performance across these diverse areas. To enhance understanding of the BOPPPS model&#x00027;s impact, future research could adopt longitudinal and mixed-method approaches, diversify and expand sample sizes, and explore cross-disciplinary and cross-cultural applications. Integrating new tools with the BOPPPS model is also recommended to further improve learner outcomes.</p></abstract>
<kwd-group>
<kwd>BOPPPS model</kwd>
<kwd>students&#x00027; performance</kwd>
<kwd>learning outcomes</kwd>
<kwd>classroom participation</kwd>
<kwd>interaction</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="6"/>
<equation-count count="0"/>
<ref-count count="36"/>
<page-count count="13"/>
<word-count count="9190"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Higher Education</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>The BOPPPS model (Bridge-in, Learning Objective, pre-assessment, Participatory Learning, post-assessment, and Summary) is a teaching approach (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>). It was first established by Douglas Kerr&#x00027;s team at the University of British Columbia in 1978 (Wang, <xref ref-type="bibr" rid="B27">2023</xref>). The BOPPPS model served as the initial theoretical framework for the Instructional Skills Workshop (ISW) in Canada (Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>). The flexible, student-centered BOPPPPS model was designed to enhance classroom teaching efficiency and promote active learning (Guo, <xref ref-type="bibr" rid="B8">2024</xref>). To help students better understand key educational concepts, teachers need to prepare content using the BOPPPS model before class and present it effectively during the lesson (Li et al., <xref ref-type="bibr" rid="B16">2024</xref>). In addition to teaching academic knowledge, teachers could focus on students&#x00027; personal experiences, emotions, and communication, etc. (McCloughen et al., <xref ref-type="bibr" rid="B21">2020</xref>). Teacher-student interaction, identified as a crucial factor in classroom learning, directly influences student motivation and engagement (Wang et al., <xref ref-type="bibr" rid="B28">2022</xref>; Amin et al., <xref ref-type="bibr" rid="B2">2022</xref>). Therefore, it is important for teachers to encourage student learning and motivate student participation (Filgona et al., <xref ref-type="bibr" rid="B7">2020</xref>). And the BOPPPS model can promote students&#x00027; interaction and engagement, thus enhancing their performance and learning experience (Yu, <xref ref-type="bibr" rid="B35">2023</xref>; Yang, <xref ref-type="bibr" rid="B34">2019</xref>). This study offers a systematic examination of the BOPPPS model&#x00027;s impact on student performance. It delves into the themes, theories, and variables associated with the model, analyzing their interrelations in prior studies. This study aims to establish a foundation for future research, offering a clear roadmap and fostering innovative perspectives in the field. In addition, this study provides a useful reference for instructors and helps educators better understand how to optimize classroom instructional strategies to promote students&#x00027; performance.</p>
<sec>
<title>Problem statement</title>
<p>The literature related to BOPPPS shows that there is more literature (Wang et al., <xref ref-type="bibr" rid="B28">2022</xref>; Wei et al., <xref ref-type="bibr" rid="B29">2023</xref>) on BOPPPS for science subjects compared to arts and social science subjects. Science courses tend to require more experimental, practiced, and technical instruction, which may lead teachers to focus more on skill training for their students.</p>
<p>An absence of connection or communication between teachers and students in class under traditional teaching methods (Al Rawashdeh et al., <xref ref-type="bibr" rid="B1">2021</xref>). A decrease in student performance may result from low student engagement (Xu et al., <xref ref-type="bibr" rid="B33">2020</xref>). Students are the main focus of the classroom but rarely participate in class. Instructors discuss the material they are teaching, but students are unable to concentrate. Students who don&#x00027;t make the adjustments to their learning may experience frustration and depression (Liang and Wu, <xref ref-type="bibr" rid="B18">2021</xref>).</p>
<p>Participatory learning is one of the six components of the BOPPPS model (Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>). Accordingly, the researcher aims to use the BOPPPS model to improve teacher-student interaction and investigate the connection between students&#x00027; performance and the model&#x00027;s application. However, few studies discussed the relationship between the BOPPPS model and students&#x00027; performance (Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>).</p>
</sec>
<sec>
<title>Systematic review framework for BOPPPS model and students&#x00027; performance</title>
<p>The central inquiry guiding this investigation revolves around the following: What are the prevailing themes, theories, and frameworks regarding the use of the BOPPPS Model in enhancing students&#x00027; performance, and how do these elements interrelate within the corpus of prior research. This study was dedicated to exploring the factors associated with students&#x00027; performance by exploring the previous theories, methods findings, etc. applied in the study of the BOPPPS model. Its principal aim is to undertake an exhaustive exploration and analysis of the implementation of the BOPPPS Model in educational settings, thereby fostering a nuanced comprehension of its impact on student performance.</p></sec></sec>
<sec id="s2">
<title>Method</title>
<p>This study used Web of Science (WoS) and Scopus as the databases to be searched, and it used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The procedure for retrieval is shown in <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Flow diagram of this review study. Source: adapted from Page et al. (<xref ref-type="bibr" rid="B22">2021</xref>).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="feduc-09-1467225-g0001.tif"/>
</fig>
<sec>
<title>Resources</title>
<p>The databases chosen for this study are WoS and Scopus. WoS is widely recognized for its extensive coverage of scholarly literature and its user-friendly interface, making it a preferred choice for most researchers. It crosses several academic domains, including the social sciences, engineering, natural sciences, humanities, and the arts. Within WoS, researchers can access a diverse range of literature types, including quantitative studies, qualitative research, and mixed-method approaches. The platform can be used in conjunction with a variety of literature management tools to enable notes-taking, citation tracking, bibliographic management, and other functions that promote the efficiency of literature review. Both WoS and Scopus boast broad coverage of scholarly journals and publishers worldwide, albeit accessible only through institutional subscriptions. Scopus covers a wide range of literature types and subject areas, and its advanced search capabilities facilitate systematic literature reviews. WoS is renowned for its high-quality scholarly literature, providing researchers with access to rigorously vetted publications and reliable citation metrics. Scopus boasts a broader coverage of journals and publishers. This study selects the use of both the Scopus and WoS databases, rather than solely depending on WoS. Because Scopus and WoS offer different academic resources and coverage. Scopus includes specific journals that are not covered by WoS. By leveraging the strengths of both databases, researchers can access a more comprehensive pool of literature.</p>
</sec>
<sec>
<title>Identification of studies via databases and registers</title>
<p>Early in March 2024, the first phase in the systematic review process was completed to determine the keywords for information retrieval. The &#x0201C;BOPPPS Model and Student Performance&#x0201D; was thoroughly searched for using dictionaries, thesauruses, and synonyms that were suggested by databases. These terms are defined in <xref ref-type="table" rid="T1">Table 1</xref>. 98 articles from Scopus and 70 from WoS were found during the initial search. There were 138 genuine papers left after 29 duplicates were removed and 1 retracted document that had been detected as ineligible by automated tools was manually removed. <xref ref-type="fig" rid="F1">Figure 1</xref> in the text provides a visual representation of this procedural sequence.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Keywords and information search strategy.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#8f9496;color:#ffffff">
<th valign="top" align="left"><bold>Database</bold></th>
<th valign="top" align="left"><bold>Keywords</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Scopus</td>
<td valign="top" align="left">(TITLE-ABS-KEY (&#x0201C;BOPPPS&#x0201D; OR &#x0201C;BOPPPS model&#x0201D;) AND TITLE-ABS-KEY (&#x0201C;Student<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;Student<sup>&#x0002A;</sup> Performance&#x0201D; OR &#x0201C;Student<sup>&#x0002A;</sup> Outcome<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;Achievement&#x0201D; OR &#x0201C;Academic Performance&#x0201D; OR &#x0201C;Learning Performance&#x0201D; OR &#x0201C;Learning Outcome<sup>&#x0002A;</sup>&#x0201D;))</td>
</tr> <tr>
<td valign="top" align="left">WoS</td>
<td valign="top" align="left">TS=(&#x0201C;BOPPPS&#x0201D; OR &#x0201C;BOPPPS model&#x0201D;) AND (&#x0201C;Student<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;Student<sup>&#x0002A;</sup> Performance&#x0201D; OR &#x0201C;Student<sup>&#x0002A;</sup> Outcome<sup>&#x0002A;</sup>&#x0201D; OR &#x0201C;Student<sup>&#x0002A;</sup> Achievement&#x0201D; OR &#x0201C;Academic Performance&#x0201D; OR &#x0201C;Learning Performance&#x0201D;)</td>
</tr></tbody>
</table>
</table-wrap>
<p>Screening was done in the second stage of the systematic review process using predetermined inclusion and exclusion criteria (see <xref ref-type="table" rid="T2">Table 2</xref>). The search for this study was conducted in early March 2024, hence the decision to limit the search period to January 2019 through March 2024. The upward trend in both quantity of literature related to the BOPPPS model since 2019. Setting the cutoff point to March 2024 ensures that the study encompasses the most recent research findings while avoiding the issue of literature becoming outdated due to an excessively long time span. Then, only academic research publications published in journals were judged appropriate for inclusion; books, preprints, serials, theses, review pieces, and conference proceedings were not taken into account. The purpose of including only articles (research articles) in this study was to ensure the quality of the research literature.Selecting only articles only can reduce publication bias. Research Articles are rigorously peer-reviewed, helping to ensure the soundness of research methods and the validity of research findings. While gray literature can provide valuable insights, it is of variable quality and may bring publication bias. Given the scope and objectives of this research, it was necessary to focus on articles that met high standards. The third factor was language selection, with a focus on including English publications to reduce language barriers and any translation distortions. Throughout the retrieval process, no reports that were unattainable were identified. Furthermore, during the assessment for eligibility, articles unrelated to the core focus of the study on the BOPPPS Model and Student Performance or those not centered on &#x0201C;students&#x0201D; as the subject of inquiry were excluded. Additionally, Reason 2 Articles were excluded due to their provision of empirical data and lack of methodological rigor. Lastly, for the research scope of this review, articles solely focusing on online courses were excluded, while those incorporating a hybrid of online and offline courses or offline courses were considered for inclusion. This choice was made in considering the significant variations in student performance between the online course and the other two types of teaching and assessment methods. This study focuses on the impact of offline teaching on students&#x00027; performance, considering that online and offline teaching include offline teaching. Therefore, articles focusing on offline teaching and those combining online and offline teaching are more relevant to the review topic.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Inclusion and exclusion criteria.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#8f9496;color:#ffffff">
<th valign="top" align="left"><bold>Database</bold></th>
<th valign="top" align="left"><bold>Included</bold></th>
<th valign="top" align="left"><bold>Excluded</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Timeline</td>
<td valign="top" align="left">2019&#x02013;March 2024</td>
<td valign="top" align="left">&#x0003C; 2019 and &#x0003E; March 2024</td>
</tr> <tr>
<td valign="top" align="left">Source type</td>
<td valign="top" align="left">Journals (research articles)</td>
<td valign="top" align="left">Journals (review papers), books, preprints, book chapters, series, theses, and conference proceedings</td>
</tr> <tr>
<td valign="top" align="left">Language</td>
<td valign="top" align="left">English</td>
<td valign="top" align="left">Non-English</td>
</tr> <tr>
<td valign="top" align="left">Teaching model</td>
<td valign="top" align="left">BOPPPS model</td>
<td valign="top" align="left">Other models</td>
</tr> <tr>
<td valign="top" align="left">Course type</td>
<td valign="top" align="left">hybrid of online and offline Courses, offline courses</td>
<td valign="top" align="left">Online courses</td>
</tr></tbody>
</table>
</table-wrap>
</sec>
<sec>
<title>Appraisal of quality</title>
<p>According to Stoll et al. (<xref ref-type="bibr" rid="B25">2019</xref>), to reduce bias, it is best to have more than one reviewer involved in the review process. This study use a data extraction sheet for recording and organizing key information extracted from each selected literature (Tian et al., <xref ref-type="bibr" rid="B26">2017</xref>). The extraction process involves two reviewers to ensure the accuracy of the data and the quality of the articles. Disparities in the extraction phase are adjudicated by a consensus review of the full text by the two evaluators and a third evaluator, determining article retention or exclusion.</p>
<p>The articles were quality assessed using the PRISMA 2020 checklist, which covers basic reporting elements of a systematic evaluation, including title, abstract, and methods etc. (Page et al., <xref ref-type="bibr" rid="B22">2021</xref>). Each article was divided into high, medium or low quality (Leadley et al., <xref ref-type="bibr" rid="B13">2014</xref>). The review process focused on factors directly related to students&#x00027; performance. The result are adequately supported by the article&#x00027;s data, and the reasoning process is sound. If the right steps have been taken and potential bias has been sufficiently taken into account. The results are reputable and trustworthy, and the conclusions are succinct and understandable. These 19 articles met at least a moderate standard of quality during the assessment process and were therefore retained.</p>
</sec>
<sec>
<title>Data analysis</title>
<p>This study organizes and identifies research characteristics and trends, exploring the application of the BOPPPS model, learning subjects, student learning formats, and research theories, all aimed at better analyzing student performance. It includes identifying variables related to student performance and discussing findings.</p></sec></sec>
<sec id="s3">
<title>Results and discussion</title>
<sec>
<title>Characteristics of the articles</title>
<p>Use of the BOPPPS model is summarized in three main categories (see <xref ref-type="table" rid="T3">Table 3</xref>), Category one, purely using the BOPPPS model (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Xiong, <xref ref-type="bibr" rid="B31">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>). The advantages of BOPPPS model are clear structure, step-by-step, and conducive to the organization and implementation of classroom teaching. Instructors can easily identify the impact of the BOPPPS model on students&#x00027; performance. Category two, BOPPPS model used combined with another instructional model (Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Yu, <xref ref-type="bibr" rid="B35">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Wang, <xref ref-type="bibr" rid="B27">2023</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>). BOPPPS can better suit the needs of specific courses and learners by combining other instructional models. However, the combination of models is more complicated and requires higher instructional design and organizational skills of teachers. Category three, the BOPPPS model combined with two or more instructional models (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>). The combination of multiple instructional models can greatly increase the complexity of instruction. Teachers need to have a broader range of pedagogical knowledge and experience when applying multiple models, and it is more difficult to implement instruction and assess students&#x00027; performance. The BOPPPS model can be used in combination with one or more models, showing that the model is highly flexible and applicable.</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Characteristics of the articles chosen for evaluation.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#8f9496;color:#ffffff">
<th valign="top" align="left"><bold>Use of BOPPPS model</bold></th>
<th valign="top" align="left"><bold>Learning format</bold></th>
<th valign="top" align="left"><bold>Subject</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">BOPPPS model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">English</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and flipped classrooms</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">English</td>
<td valign="top" align="left">Hu, <xref ref-type="bibr" rid="B11">2024</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Ideological and political education</td>
<td valign="top" align="left">Xiong, <xref ref-type="bibr" rid="B31">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BP-CM (BOPPPS, PAD, cyclic memory, memory system) teaching model</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">IoT hardware technology courses</td>
<td valign="top" align="left">Chen et al., <xref ref-type="bibr" rid="B4">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS model</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Hu et al., <xref ref-type="bibr" rid="B10">2022</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and team-based learning (TBL)</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and Blended learning</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Health management</td>
<td valign="top" align="left">Ma et al., <xref ref-type="bibr" rid="B20">2021</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and Flipped classroom (FC)</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">Business Etiquette</td>
<td valign="top" align="left">Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS model and &#x0201C;Flipped classroom&#x0201D;, &#x0201C;Rain Classroom&#x0201D;, &#x0201C;presentation-assimilation-discussion (PAD)&#x0201D;</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Animal medicine</td>
<td valign="top" align="left">Dai et al., <xref ref-type="bibr" rid="B5">2022</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Mathematics</td>
<td valign="top" align="left">Zeng, <xref ref-type="bibr" rid="B36">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS model and case-based learning (CBL)</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Wen et al., <xref ref-type="bibr" rid="B30">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and Hybrid teaching</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and goal-problem oriented model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Financial</td>
<td valign="top" align="left">Yu, <xref ref-type="bibr" rid="B35">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and case-based learning (CBL) model</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Chen et al., <xref ref-type="bibr" rid="B3">2022</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and flipped classrooms</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Medical</td>
<td valign="top" align="left">Xu et al., <xref ref-type="bibr" rid="B32">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and interactive response system (IRS)</td>
<td valign="top" align="left">Offline</td>
<td valign="top" align="left">Management</td>
<td valign="top" align="left">Wang, <xref ref-type="bibr" rid="B27">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">Blended BOPPPS model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Fermentation engineering</td>
<td valign="top" align="left">Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref></td>
</tr> <tr>
<td valign="top" align="left">BOPPPS and design-based model</td>
<td valign="top" align="left">Online and offline</td>
<td valign="top" align="left">Architecture education</td>
<td valign="top" align="left">Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
</tr></tbody>
</table>
</table-wrap>
<p>This study found three learning format in total: online, offline, online, and offline. Online has been excluded during the previous review process, review articles for types of courses see <xref ref-type="table" rid="T3">Table 3</xref>. The literature reviewed contained a total of seven offline (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Wang, <xref ref-type="bibr" rid="B27">2023</xref>). Instructors can directly observe the students&#x00027; learning status and performance in offline classes, and the teaching session can be well controlled. However, it is limited by classroom time and space. There are 12 online and offline papers (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Xiong, <xref ref-type="bibr" rid="B31">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Yu, <xref ref-type="bibr" rid="B35">2023</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>). A noteworthy point is that in most of these references, online and offline mainly refer to instructors uploading learning resources and tasks on online learning platforms for students to independently study relevant knowledge before class. As for offline teaching, some instructors also use the functions of online learning platforms, such as Rain Classroom, WeChat, QQ, etc., to post questions, implement classroom discussions, and collect feedback to help students participate in the classroom. Although the BOPPPS model is primarily implemented in offline settings, some instructors also leverage the functionalities of online learning platforms to enhance student engagement during classroom sessions. This blended approach, capitalizes on the strengths of different instructional phases, providing students with a diversified learning experience. These article features reveal the flexibility of the BOPPPS model to be used independently or in combination with other models, highlighting its broad applicability across disciplines. This versatility helps students be exposed to different forms of learning, which is beneficial for their educational experience. In addition, it provides a basis for current research that assesses students&#x00027; performance.</p>
<p>The literature on BOPPPS indicates that, in comparison to arts and social science courses, there is a larger body of material on BOPPPS for science subjects. The medical category is the most widely used area for applying BOPPPS model in research, with a total of seven publications covering various aspects of Nursing, Surgery, Gynecology, etc. (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>). Three studies in the management category applied the BOPPPS model, including (Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Wang, <xref ref-type="bibr" rid="B27">2023</xref>). There are two literatures in the engineering and technology category of research (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>). And two papers in the language category (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Hu, <xref ref-type="bibr" rid="B11">2024</xref>). Mathematics and Finance each have one related paper (Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Yu, <xref ref-type="bibr" rid="B35">2023</xref>). Finally, one article on the Architectural Design category (Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>).</p>
</sec>
<sec>
<title>Theories</title>
<p>A variety of theories were involved in the literature related to the BOPPPS Model and students&#x00027; performance (see <xref ref-type="table" rid="T4">Table 4</xref>). Nine had no theories and the remaining eleven had less literature using the same theories. These theories can be broadly categorized into the fields of psychology, information science, education, and cognitive science.</p>
<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption><p>Models and theories used in articles.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#8f9496;color:#ffffff">
<th valign="top" align="left"><bold>Theory</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
<th valign="top" align="center"><bold>No</bold>.</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Constructivist and Cognitive<break/> discovery theory</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">Constructivist and Communicative</td>
<td valign="top" align="left">Zeng, <xref ref-type="bibr" rid="B36">2023</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">Information theory</td>
<td valign="top" align="left">Xiong, <xref ref-type="bibr" rid="B31">2023</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">OBE (Outcome based education) concept</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Yu, <xref ref-type="bibr" rid="B35">2023</xref></td>
<td valign="top" align="center">2</td>
</tr> <tr>
<td valign="top" align="left">Memory system</td>
<td valign="top" align="left">Chen et al., <xref ref-type="bibr" rid="B4">2023</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">Team-based learning</td>
<td valign="top" align="left">Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">Bloom&#x00027;s Taxonomy</td>
<td valign="top" align="left">Wen et al., <xref ref-type="bibr" rid="B30">2023</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">Self-regulation theory</td>
<td valign="top" align="left">Wang, <xref ref-type="bibr" rid="B27">2023</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">Design-Based Learning</td>
<td valign="top" align="left">Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
<td valign="top" align="center">1</td>
</tr> <tr>
<td valign="top" align="left">None</td>
<td valign="top" align="left">Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref></td>
<td valign="top" align="center">9</td>
</tr></tbody>
</table>
</table-wrap>
<p>Two articles refer to the Constructivist theory (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>), and one article refer to Cognitive Discovery Theory (Guo, <xref ref-type="bibr" rid="B8">2024</xref>). Several other theories are also employed across the selected articles, Information Theory (Xiong, <xref ref-type="bibr" rid="B31">2023</xref>), OBE (Outcome-based Education) concept (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Yu, <xref ref-type="bibr" rid="B35">2023</xref>), Memory System (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>), Team-based Learning (Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>), Bloom&#x00027;s Taxonomy (Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>), Self-regulation Theory (Wang, <xref ref-type="bibr" rid="B27">2023</xref>), and Design-Based Learning (Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>). However, some articles (Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>) do not explicitly mention any specific theory.</p>
<p>Several theories shed light on the use of the BOPPPS Model and its impact on student performance. The Constructivist theory and Cognitive Discovery theory (Guo, <xref ref-type="bibr" rid="B8">2024</xref>) emphasize learners actively constructing knowledge through experiences, aligning with the participatory learning phase of BOPPPS. Leading American cognitive and educational psychologist Bruner held the view that learning should be oriented toward transforming a subject&#x00027;s fundamental structure into the cognitive structure of the student&#x00027;s mind through the process of discovery learning (Kirschner et al., <xref ref-type="bibr" rid="B12">2006</xref>). The Constructivist and Communicative approaches (Zeng, <xref ref-type="bibr" rid="B36">2023</xref>) underscore the value of interaction, supports an approach that is student-centered, echoing the interactive nature of BOPPPS. According to Anderson&#x00027;s and other experts&#x00027; theories, remembering, comprehension, application, analysis, assessment, and production are among the academic behavior manifestations that people should be proficient in during their cognitive learning process (Feronica et al., <xref ref-type="bibr" rid="B6">2021</xref>).</p>
<p>Information theory (Xiong, <xref ref-type="bibr" rid="B31">2023</xref>) guides optimizing how information is presented and conveyed throughout the model. SPady proposed OBE, emphasizing student-centered, outcome-oriented, and continual improvement are essential principles (Sasipraba et al., <xref ref-type="bibr" rid="B23">2020</xref>). The Outcome-based Education concept (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Yu, <xref ref-type="bibr" rid="B35">2023</xref>) advocates defining clear learning outcomes, mirroring the objective-setting component of BOPPPS. Principles of Memory Systems (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>) can enhance knowledge retention across the model&#x00027;s phases. Team-based Learning strategies (Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>) offer collaborative participatory activities. Both Team-based Learning and BOPPPS promote the promotion of student participation and interaction to improve the effectiveness of teaching and learning. Bloom&#x00027;s Taxonomy (Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>) aligns activities with progressive cognitive levels. Self-regulation Theory (Wang, <xref ref-type="bibr" rid="B27">2023</xref>) highlights cultivating self-directed learners through BOPPPS. Moreover, Design-Based Learning (Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>) mirrors the cyclical process of designing, implementing, and refining BOPPPS in real classroom contexts. These theories provide some guidance for understanding and optimizing the effectiveness of the BOPPPS model in promoting students&#x00027; learning and improving their performance.</p>
<p>In these 19 papers, the use of theory involves a variety of different theoretical perspectives, providing a multifaceted interpretation of the BOPPPS model and its usefulness for students&#x00027; performance. However, there are some shortcomings. Nine articles did not explicitly state the use of theories, accounting for nearly half of the reviewed literature, and the overall theoretical foundation is still weak, making it difficult to form a more systematic and in-depth theoretical analysis of the BOPPPS model. On the other hand, studies that do not mention theories may overlook the guiding of some other important theories. The existing literature needs to be strengthened in the use of theory. In the future, the theoretical basis of the BOPPPS model should be systematically examined and established in more empirical studies to provide solid theoretical support for the design and implementation of BOPPPS instruction.</p>
</sec>
<sec>
<title>Student-related variables in BOPPPS model review</title>
<p>The researcher categorized and organized the factors related to students in the reviewed literature with a focus on identifying factors related to student performance (see <xref ref-type="fig" rid="F2">Figure 2</xref>). Performance from academic performance, learning performance, skill tests, learning ability, cognitive ability, attendance, classroom performance, and classroom participation is categorized in several aspects, as well as online performance and some other factors. The organization and categorization are important for a better understanding of their interactions and impact on BOPPPS educational research, and the categorical organization in the table is based on theoretical foundations and practical considerations.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>BOPPPS model and student-related variables.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="feduc-09-1467225-g0002.tif"/>
</fig>
<p>Academic performance are essential indicators of students&#x00027; learning. These variables include regular coursework scores, exam or test scores, and formative assessments (see <xref ref-type="table" rid="T5">Table 5</xref>). These factors are important indicators of academic achievement in educational evaluation procedures. The evaluation of curriculum design, teaching methods, and other educational interventions on student learning Performance by their inclusion in studies. Regular coursework reflects students&#x00027; ongoing grasp of material (Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>). Examination and test scores provide an assessment of learning, and it is the factor that most researchers would choose to measure students&#x00027; performance (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Xiong, <xref ref-type="bibr" rid="B31">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>). Coursework and examinations are used by most researchers to assess students&#x00027; academic performance. Formative assessments allow monitoring of learning progress (Yu, <xref ref-type="bibr" rid="B35">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>). Teachers can use it to better understand how well their students are learning, where they might be having difficulty, and what instructional modifications could be necessary to meet their requirements.</p>
<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption><p>Analysis of variables related to students.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#8f9496;color:#ffffff">
<th valign="top" align="left"><bold>Type of variable</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
<th valign="top" align="left"><bold>No</bold>.</th>
</tr>
</thead>
<tbody>
<tr style="background-color:#dee1e1;">
<td valign="top" align="left" colspan="3"><bold>Performance</bold></td>
</tr> <tr>
<td valign="top" align="left"><bold>1. Academic performance</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Regular coursework score</td>
<td valign="top" align="left">Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
<td valign="top" align="left">4</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Examination/Test score</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Xiong, <xref ref-type="bibr" rid="B31">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref></td>
<td valign="top" align="left">12</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Formative assessment</td>
<td valign="top" align="left">Yu, <xref ref-type="bibr" rid="B35">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left"><bold>2. Learning performance</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning engagement</td>
<td valign="top" align="left">Yu, <xref ref-type="bibr" rid="B35">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Achievement of learning goals</td>
<td valign="top" align="left">Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left"><bold>3. Skill tests performance</bold></td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
<td valign="top" align="left">10</td>
</tr> <tr>
<td valign="top" align="left"><bold>4. Learning ability performance</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Memorization</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Understanding</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Wang, <xref ref-type="bibr" rid="B27">2023</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Knowledge acquisition</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning awareness</td>
<td valign="top" align="left">Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning effectiveness</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning interest</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Self-learning ability</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref></td>
<td valign="top" align="left">6</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning initiative</td>
<td valign="top" align="left">Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
<td valign="top" align="left">4</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Problem-solving skills</td>
<td valign="top" align="left">Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Self-regulated learning</td>
<td valign="top" align="left">Wang, <xref ref-type="bibr" rid="B27">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left"><bold>5. Cognitive ability performance</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Critical thinking ability</td>
<td valign="top" align="left">Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Students&#x00027; perception</td>
<td valign="top" align="left">Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning self-efficacy</td>
<td valign="top" align="left">Wang, <xref ref-type="bibr" rid="B27">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Academic self-efficacy</td>
<td valign="top" align="left">Wang, <xref ref-type="bibr" rid="B27">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Self-confidence</td>
<td valign="top" align="left">Wen et al., <xref ref-type="bibr" rid="B30">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Creative spirit and awareness of research</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Analysis ability</td>
<td valign="top" align="left">Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref></td>
<td valign="top" align="left">4</td>
</tr> <tr>
<td valign="top" align="left"><bold>6. Attendance performance</bold></td>
<td valign="top" align="left">Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr>
<td valign="top" align="left"><bold>7. Classroom performance</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Interaction</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref></td>
<td valign="top" align="left">4</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Classroom attention</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Students&#x00027; responses</td>
<td valign="top" align="left">Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Answering questions</td>
<td valign="top" align="left">Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Discussion</td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Classroom participation</td>
<td valign="top" align="left">Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left"><bold>8.Online performance</bold></td>
<td valign="top" align="left">Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr style="background-color:#dee1e1;">
<td valign="top" align="left" colspan="3"><bold>Other</bold></td>
</tr> <tr>
<td valign="top" align="left"><bold>1. Satisfaction</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Learning satisfaction</td>
<td valign="top" align="left">Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Course satisfaction</td>
<td valign="top" align="left">Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Student satisfaction</td>
<td valign="top" align="left">Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Teaching satisfaction</td>
<td valign="top" align="left">Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref></td>
<td valign="top" align="left">2</td>
</tr> <tr>
<td valign="top" align="left"><bold>2. Other aspects</bold></td>
<td/>
<td/>
</tr> <tr>
<td valign="top" align="left">&#x02022;Intercultural communication competence</td>
<td valign="top" align="left">Hu, <xref ref-type="bibr" rid="B11">2024</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Student learning style expectation</td>
<td valign="top" align="left">Xiong, <xref ref-type="bibr" rid="B31">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Teaching feedback</td>
<td valign="top" align="left">Chen et al., <xref ref-type="bibr" rid="B4">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Students&#x00027; choices about teaching method in the future</td>
<td valign="top" align="left">Liu et al., <xref ref-type="bibr" rid="B19">2022</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Moral concepts and professionalism</td>
<td valign="top" align="left">Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Affective commitment</td>
<td valign="top" align="left">Yu, <xref ref-type="bibr" rid="B35">2023</xref></td>
<td valign="top" align="left">1</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Motivation</td>
<td valign="top" align="left">Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref></td>
<td valign="top" align="left">3</td>
</tr> <tr>
<td valign="top" align="left">&#x02022;Self-improvement</td>
<td valign="top" align="left">Chen et al., <xref ref-type="bibr" rid="B4">2023</xref></td>
<td valign="top" align="left">1</td>
</tr></tbody>
</table>
</table-wrap>
<p>Learning performance can be assessed through learning engagement (Yu, <xref ref-type="bibr" rid="B35">2023</xref>) and achievement of learning goals (Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>). Learning engagement reflects active involvement and participation in learning activities, which is crucial for students&#x00027; deep understanding and knowledge retention. achievement of learning goals assessment can help students determine whether they are meeting their intended learning goals, and it can also help teachers evaluate the effectiveness of their teaching. Skill tests performance (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>) evaluates specific competencies and practical abilities (see <xref ref-type="table" rid="T5">Table 5</xref>). Skills tests are more common in fields such as medicine, languages, and the arts, and usually involve hands-on exercises or demonstrations to assess a student&#x00027;s skills.</p>
<p>Learning ability variables encompass a wide range of factors that influence how students acquire, process, and apply knowledge. Learning ability variables (see <xref ref-type="table" rid="T5">Table 5</xref>) include memorization (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>), understanding (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Wang, <xref ref-type="bibr" rid="B27">2023</xref>), knowledge acquisition (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>), learning awareness (Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>), learning effectiveness (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>), learning interest (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>), self-learning ability (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>), learning initiative (Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>), problem-solving skills (Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>), and self-regulated learning (Wang, <xref ref-type="bibr" rid="B27">2023</xref>). These factors reflect various cognitive processes in learning. Memorization of knowledge and concepts is deepened through repetition and consolidation. Students connect newly learned material to previous knowledge structures at the key learning stage of comprehension. Knowledge acquisition ability enables students to actively learn and acquire new knowledge and skills. Learning awareness, effectiveness, interest, and self-learning ability are important for lifelong learning. Learning initiative, Problem-solving skills and self-regulated learning enable students to navigate complex tasks and effectively manage their learning processes.</p>
<p>Learning ability performance emphasizes an individual&#x00027;s abilities and behaviors in the learning process. It focuses on how individuals approach learning tasks, adapt to the learning environment, and use resources and information for learning. Cognitive ability performance focuses on an individual&#x00027;s performance in cognitive activities. Attention is given to how individuals process information and understand concepts. Variables (see <xref ref-type="table" rid="T5">Table 5</xref>) reflecting cognitive abilities have critical thinking ability (Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>), students&#x00027; perceptions (Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>), learning self-efficacy (Wang, <xref ref-type="bibr" rid="B27">2023</xref>), academic self-efficacy (Wang, <xref ref-type="bibr" rid="B27">2023</xref>), self-confidence (Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>), creative spirit and research awareness (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>), analysis ability (Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>).</p>
<p>Attendance performance (see <xref ref-type="table" rid="T5">Table 5</xref>) was measured in some studies (Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>). Attendance records can contribute to the evaluation of a student&#x00027;s performance. Some classes may include attendance as part of the grade. Classroom performance factors (see <xref ref-type="table" rid="T5">Table 5</xref>) included interaction (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>), classroom attention (Guo, <xref ref-type="bibr" rid="B8">2024</xref>), students&#x00027; responses (Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>), answering questions (Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>), discussion (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>), and classroom participation (Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>). Classroom performance is directly related to classroom efficiency and is a crucial element in the success of the BOPPPS model implementation. Classroom interaction and classroom participation promotes communication among students and between students and teachers. students&#x00027; active participation in the classroom can reflect their learning attitudes, and students who actively participate in classroom activities are usually more likely to achieve good grades. Students&#x00027; concentration in class determines their understanding and absorption of the content. Students&#x00027; responses, including answering questions and discussion, are also part of the teacher-student interaction. Teachers can assess the effectiveness of teaching and learning by the extent to which students respond or answer questions and make adjustments based on students&#x00027; feedback. Teachers can assess the effectiveness of teaching through the degree of students&#x00027; responses or answers to questions and make adjustments according to students&#x00027; feedback. A good classroom discussion environment can promote the exchange of ideas and knowledge sharing among students.</p>
<p>Online student performance (see <xref ref-type="table" rid="T5">Table 5</xref>) was not the center of this study, and several of the 11 combined online and offline BOPPPS instructional literatures considered the factors of online student performance (Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>), it captures student engagement in online learning contexts. Satisfaction belongs to multiple dimensions of evaluation Satisfaction variables encompass learning satisfaction (Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>), course satisfaction (Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>), student satisfaction (Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>), and teaching satisfaction (Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>). These variables provide insights into students&#x00027; affective experiences and attitudes toward various aspects of the educational process.</p>
<p>Finally, there are a number of other factors that are relevant to students, but not to students&#x00027; performance (see <xref ref-type="table" rid="T5">Table 5</xref>). Other variables explored include intercultural communication competence (Hu, <xref ref-type="bibr" rid="B11">2024</xref>), student learning style expectation (Xiong, <xref ref-type="bibr" rid="B31">2023</xref>), teaching feedback (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>), students&#x00027; choices about future teaching methods (Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>), moral concepts and professionalism (Li S. et al., <xref ref-type="bibr" rid="B15">2023</xref>), affective commitment (Yu, <xref ref-type="bibr" rid="B35">2023</xref>), motivation (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>), and self-improvement (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>).</p>
<p>From the review, it can be seen that there are many factors associated with students&#x00027; performance in studies using the BOPPPS model, and researchers can choose aspects of interest or less researched elements to explore based on the categorization.</p>
</sec>
<sec>
<title>Review of literature research design, type, and instruments</title>
<p>Research examining the impact of the BOPPPS model on student performance has employed diverse research designs and instruments to comprehensively assess various aspects of student outcomes. Four studies adopted a mixed-methods approach, combining quantitative and qualitative data collection BOPPPS to holistically evaluate the model&#x00027;s effects on students&#x00027; performance (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>). These four mixed-methods studies implemented experimental or quasi-experimental designs and utilized interviews or semi-structured interviews to delve into student performance. Quantitative methods were widely embraced and used. In addition to the quantitative components within the 4 mixed-methods studies, 15 articles employed purely quantitative methods (<xref ref-type="table" rid="T6">Table 6</xref>). Furthermore, most quantitative studies incorporated two or three instruments among tests, scales, or questionnaires to assess students&#x00027; performance.</p>
<table-wrap position="float" id="T6">
<label>Table 6</label>
<caption><p>Research design, type, instruments, and findings.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#8f9496;color:#ffffff">
<th valign="top" align="left"><bold>References</bold></th>
<th valign="top" align="left"><bold>Design and type</bold></th>
<th valign="top" align="left"><bold>Instruments</bold></th>
<th valign="top" align="left"><bold>Finding</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Guo (<xref ref-type="bibr" rid="B8">2024</xref>)</td>
<td valign="top" align="left">Mixed methods (experimental)</td>
<td valign="top" align="left">Test, scale,<break/> interview</td>
<td valign="top" align="left">It can effectively increase students&#x00027; classroom participation and effectiveness in teaching, improving their overall English language skills and independent English learning abilities.</td>
</tr> <tr>
<td valign="top" align="left">Hu (<xref ref-type="bibr" rid="B11">2024</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">A 10-week experiment was set up with two courses. The average score for experimental class performance was much greater than that of the control class.</td>
</tr> <tr>
<td valign="top" align="left">Xiong (<xref ref-type="bibr" rid="B31">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The teaching effectiveness of the BOPPPS teaching mode with online and offline integration is greater than the &#x0201C;online resources &#x0002B; offline classroom teaching&#x0201D; mode, which is greater than the BOPPPS teaching mode, which is greater than the traditional teaching mode.</td>
</tr> <tr>
<td valign="top" align="left">Li P. et al. (<xref ref-type="bibr" rid="B14">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">More than 95% of students are satisfied with the teaching model, which has increased their participation in class and clinical reasoning skills.</td>
</tr> <tr>
<td valign="top" align="left">Chen et al. (<xref ref-type="bibr" rid="B4">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The BP-CM model has a good impact on students&#x00027; initiative and memory. Teachers can receive quick feedback, which greatly increases students&#x00027; knowledge and ability degrees. It improves the teaching quality of IoT hardware technology classes and helps students develop long-term learning capacities.</td>
</tr> <tr>
<td valign="top" align="left">Hu et al. (<xref ref-type="bibr" rid="B10">2022</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, scale</td>
<td valign="top" align="left">The BOPPPS model can better inspire clinical medical students&#x00027; enthusiasm for thoracic surgery and enhance the students&#x00027; comprehensive ability.</td>
</tr> <tr>
<td valign="top" align="left">Li Z. et al. (<xref ref-type="bibr" rid="B17">2023</xref>)</td>
<td valign="top" align="left">Mixed methods (quasi-experimental)</td>
<td valign="top" align="left">Test, semi-structured interview</td>
<td valign="top" align="left">The combination of BOPPPS and TBL positively impacted nursing students by improving their autonomous learning competencies and critical thinking ability.</td>
</tr> <tr>
<td valign="top" align="left">Ma et al. (<xref ref-type="bibr" rid="B20">2021</xref>)</td>
<td valign="top" align="left">Quantitative (quasi-experimental)</td>
<td valign="top" align="left">Test, scale</td>
<td valign="top" align="left">The BL-BOPPPS model has increased health students&#x00027; enthusiasm and interest, strengthened their abilities, initiative, and motivation in learning, and improved self-directed learning capacity, academic performance, and quality of teaching.</td>
</tr> <tr>
<td valign="top" align="left">Shih and Tsai (<xref ref-type="bibr" rid="B24">2020</xref>)</td>
<td valign="top" align="left">Mixed methods (quasi-experimental)</td>
<td valign="top" align="left">Questionnaire, semi-structured interview</td>
<td valign="top" align="left">Students in the BOPPPS group performed better than the traditional group. The experimental group students were very pleased with the BOPPPS teaching method because it produced more teacher-student interactions, making the class lively and fun, which significantly improved their learning outcomes.</td>
</tr> <tr>
<td valign="top" align="left">Dai et al. (<xref ref-type="bibr" rid="B5">2022</xref>)</td>
<td valign="top" align="left">Quantitative</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The BL-BOPPPS teaching model is feasible and effective in veterinary infectious disease course. By establishing a diverse teaching assessment and evaluation system, emphasizing students&#x00027; participatory learning and learning initiative, their independent learning, thinking, and creativity abilities will be enhanced.</td>
</tr> <tr>
<td valign="top" align="left">Zeng (<xref ref-type="bibr" rid="B36">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The BOPPPS teaching approach can considerably raise the number of students who achieve high scores, improve the learning effect, decrease failure rates, and boost students&#x00027; learning passion and ability to absorb knowledge.</td>
</tr> <tr>
<td valign="top" align="left">Wen et al. (<xref ref-type="bibr" rid="B30">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The BOPPPS-CBL model significantly improved nursing students&#x00027; abilities in ECG interpretation. It&#x00027;s an effective approach to improving students&#x00027; attitudes toward teaching and learning.</td>
</tr> <tr>
<td valign="top" align="left">Liu et al. (<xref ref-type="bibr" rid="B19">2022</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">HBOPPPS can improve the effectiveness of Physiology teaching. It is due to greater repeatability and flexibility and also improved learning initiatives.</td>
</tr> <tr>
<td valign="top" align="left">Yu (<xref ref-type="bibr" rid="B35">2023</xref>)</td>
<td valign="top" align="left">Quantitative</td>
<td valign="top" align="left">Questionnaire</td>
<td valign="top" align="left">BL classes based on the GPOB model positively affect students&#x00027; learning engagement and performance and activate their affective commitment to career development.</td>
</tr> <tr>
<td valign="top" align="left">Chen et al. (<xref ref-type="bibr" rid="B3">2022</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The BOPPPS-CBL group showed a significant increase in motivation and learning effect. This model increases students&#x00027; enthusiasm for learning and assists them to develop their analytical and problem-solving skills without raising learning pressure.</td>
</tr> <tr>
<td valign="top" align="left">Xu et al. (<xref ref-type="bibr" rid="B32">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The hybrid BOPPPS teaching method improves trainee doctors&#x00027; learning environments, stimulates their interest and initiative in learning, improves their clinical practice skills, and increases their satisfaction.</td>
</tr> <tr>
<td valign="top" align="left">Wang (<xref ref-type="bibr" rid="B27">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">questionnaire</td>
<td valign="top" align="left">When teachers used the BOPPPS model and the interactive response system tool, students who participated in the classroom showed high levels of learning and academic self-efficacy in the classroom.</td>
</tr> <tr>
<td valign="top" align="left">Li S. et al. (<xref ref-type="bibr" rid="B15">2023</xref>)</td>
<td valign="top" align="left">Quantitative (experimental)</td>
<td valign="top" align="left">Test, questionnaire</td>
<td valign="top" align="left">The &#x0201C;B &#x0002B; BOPPPS&#x0201D; teaching model may increase students&#x00027; interest in studying and boost their subjective initiative. It also increased the student&#x00027;s capacity to gain and apply knowledge, which benefited the theoretical teaching quality of the Fermentation Engineering course.</td>
</tr> <tr>
<td valign="top" align="left">Hsu and Ou (<xref ref-type="bibr" rid="B9">2022</xref>)</td>
<td valign="top" align="left">Mixed methods (experimental)</td>
<td valign="top" align="left">Test, questionnaire and interview</td>
<td valign="top" align="left">It helps students learn more effectively. The analysis of learning satisfaction indicates that it increases students&#x00027; interest and motivation to learn.</td>
</tr></tbody>
</table>
</table-wrap>
<p>Regarding research designs, mixed-methods and quantitative methods garnered substantial attention and application. The mixed-methods, integrating quantitative and qualitative data collection techniques, enabled comprehensive evaluations of the BOPPPS model&#x00027;s impact on students&#x00027; performance. The universal adoption of quantitative methods signifies researchers&#x00027; inclination toward objective data and statistical analyses when assessing the model&#x00027;s effects on students&#x00027; performance. The mixed-methods research offers a more holistic assessment by combining the reliable statistical support of quantitative data with the in-depth exploration of students&#x00027; subjective experiences and perspectives through qualitative data.</p>
<p>Concerning research instruments, questionnaires, tests, and scales were the most commonly employed data collection tools. Additionally, interviews and semi-structured interviews were utilized for qualitative data collection, complementing quantitative data and providing deeper insights into students&#x00027; learning experiences and perceptions. Overall, these studies encompassed diverse research designs and data collection tools, scientifically examining the BOPPPS model&#x00027;s influence on learners from multiple angles, thereby furnishing more reliable evidence to support BOPPPS educational practices.</p>
</sec>
<sec>
<title>Research finding</title>
<p>Several studies reported that the BOPPPS model and its variations effectively enhanced students&#x00027; engagement, participation, interest, and motivation in learning (Guo, <xref ref-type="bibr" rid="B8">2024</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Wang, <xref ref-type="bibr" rid="B27">2023</xref>; Hsu and Ou, <xref ref-type="bibr" rid="B9">2022</xref>). Specifically, Guo (<xref ref-type="bibr" rid="B8">2024</xref>) and Shih and Tsai (<xref ref-type="bibr" rid="B24">2020</xref>) found that the BOPPPS approach increased classroom participation and interactions, and fostered a lively and enjoyable learning environment, leading to improved overall learning outcomes. Ma et al. (<xref ref-type="bibr" rid="B20">2021</xref>) highlighted the model&#x00027;s ability to stimulate enthusiasm and initiative, while Zeng (<xref ref-type="bibr" rid="B36">2023</xref>) observed heightened learning passion and Wang (<xref ref-type="bibr" rid="B27">2023</xref>) found that self-efficacy improved. Li S. et al. (<xref ref-type="bibr" rid="B15">2023</xref>) found increased student initiative and Hsu and Ou (<xref ref-type="bibr" rid="B9">2022</xref>) also noted increased interest and motivation among students.</p>
<p>Several studies have shown how the BOPPPS model and its improved learning abilities and skills, such as critical thinking, problem-solving, analytical skills, and self-directed learning (Li Z. et al., <xref ref-type="bibr" rid="B17">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>). and Li Z. et al. (<xref ref-type="bibr" rid="B17">2023</xref>) proposed the BOPPPS model to improve students&#x00027; autonomous learning competencies and critical thinking abilities. Ma et al. (<xref ref-type="bibr" rid="B20">2021</xref>) and Chen et al. (<xref ref-type="bibr" rid="B3">2022</xref>) found that the model enhanced self-directed learning capacity and problem-solving skills, respectively.</p>
<p>Improved academic performance and learning effectiveness were also observed in multiple studies (Hu, <xref ref-type="bibr" rid="B11">2024</xref>; Li P. et al., <xref ref-type="bibr" rid="B14">2023</xref>; Ma et al., <xref ref-type="bibr" rid="B20">2021</xref>; Shih and Tsai, <xref ref-type="bibr" rid="B24">2020</xref>; Dai et al., <xref ref-type="bibr" rid="B5">2022</xref>; Zeng, <xref ref-type="bibr" rid="B36">2023</xref>; Chen et al., <xref ref-type="bibr" rid="B3">2022</xref>). Hu (<xref ref-type="bibr" rid="B11">2024</xref>) reported higher average scores in the BOPPPS class, while Shih and Tsai (<xref ref-type="bibr" rid="B24">2020</xref>) noted better learning outcomes and Li P. et al. (<xref ref-type="bibr" rid="B14">2023</xref>) find that improved clinical reasoning skills. Ma et al. (<xref ref-type="bibr" rid="B20">2021</xref>) and Zeng (<xref ref-type="bibr" rid="B36">2023</xref>) observed enhanced academic performance and knowledge absorption, respectively. Dai et al. (<xref ref-type="bibr" rid="B5">2022</xref>) and Chen et al. (<xref ref-type="bibr" rid="B3">2022</xref>) highlighted the model&#x00027;s effectiveness in improving learning effects.</p>
<p>Numerous research also emphasized how the BOPPPS model, improves learning environments, student satisfaction, and teaching quality (Chen et al., <xref ref-type="bibr" rid="B4">2023</xref>; Hu et al., <xref ref-type="bibr" rid="B10">2022</xref>; Xu et al., <xref ref-type="bibr" rid="B32">2023</xref>; Wen et al., <xref ref-type="bibr" rid="B30">2023</xref>; Liu et al., <xref ref-type="bibr" rid="B19">2022</xref>). Chen et al. (<xref ref-type="bibr" rid="B4">2023</xref>) found that the model improved teaching quality and facilitated long-term learning capacities, while Hu et al. (<xref ref-type="bibr" rid="B10">2022</xref>) and Xu et al. (<xref ref-type="bibr" rid="B32">2023</xref>) reported increased student satisfaction and improved learning environments. Wen et al. (<xref ref-type="bibr" rid="B30">2023</xref>) and Liu et al. (<xref ref-type="bibr" rid="B19">2022</xref>) noted the model&#x00027;s effectiveness in enhancing teaching and learning.</p>
<p>These research findings point to the possibility that the BOPPPS teaching model can improve student engagement, motivation, skills development, academic performance, and overall quality of teaching and learning. The BOPPPS model emphasizes student engagement throughout the learning process, effectively stimulating their interest and motivation, thereby enhancing learning outcomes. By providing clear learning objectives, the model helps students strengthen their learning focus and improve efficiency. The pre-assessment and post-assessment components enable students to promptly evaluate their learning progress. Additionally, the BOPPPS model offers students a well-structured learning framework, helping them focus more effectively on mastering knowledge and skills.</p></sec></sec>
<sec id="s4">
<title>Limitations and recommendations</title>
<p>It ought to be considered to recognize that there were certain limitations to the method. Several research projects only used questionnaires or interviews, which might not give researchers a complete picture of the efficacy of the BOPPPS model because of biases or incomplete viewpoints. Additionally, the relatively small sample sizes in some research may have had an impact on how broadly applicable the results are. Even though the majority of research presented positive findings, there was no discussion of the accuracy, accessibility, or comprehensiveness of the data gathered. Variables like response rates, incomplete data, or measurement mistakes may affect how valid and reliable the findings remain.</p>
<sec>
<title>Limitations of external and internal validity</title>
<p>The fact that the research was carried out across various academic fields and environments may have limited the findings&#x00027; applicability to different student demographics or scenarios. The efficacy of the BOPPPS paradigm and its modifications may be impacted by subject matter changes, institutional considerations, or cultural differences. There were few talks about possible confounding variables or internal biases that could affect the outcomes, and few research used experimental designs. The observed results could have been affected by variables like student prior knowledge, teacher effectiveness, or the atmosphere of the classroom. A few of the studies mentioned that there were time or resource limits, which could have affected the research&#x00027;s breadth, length, or depth.</p>
</sec>
<sec>
<title>Some methodological advice for the future</title>
<p>Studies should think about using more reliable research designs, including mixed-methods approaches or longitudinal studies, to capture the long-term effects of the BOPPPS model and triangulate results from various data sources. Greater diversity and larger sample sizes may also improve the results&#x00027; generalizability. A review reveals fewer qualitative studies. Qualitative research might be done to learn more about the experiences, opinions, and difficulties that instructors and students have when putting the BOPPPS model into practice. These revelations may help develop strategies for successful execution and remove any obstacles.</p>
<p>Researchers could investigate how well the BOPPPS model and blended BOPPPS model work in other cultural contexts, topic areas, or educational levels (e.g., primary, secondary, or higher education). This would enable a more comprehensive grasp of the model&#x00027;s application by highlighting its adaptability and possible adjustments for particular circumstances. Researchers could investigate how to combine new technologies with the BOPPPS model to improve learning outcomes and offer individualized help as educational technology advances. Finally, future research can contribute to more thorough, constraints, and practices for implementing the BOPPPS teaching model across a variety of educational situations by resolving these limitations and recommendations.</p></sec></sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusion</title>
<p>The study conducted a comprehensive examination of 19 articles using the PRISMA systematic review methodology, with a focus on the characteristics of the articles chosen for evaluation (such as the use of the BOPPPS model, course type, and subject), the application of theory, the variables related to students in the use of the BOPPPS model, research methods, and finding analysis. In the article, student-related variables are categorized into types, including academic performance, learning performance, skill tests performance, learning ability performance, cognitive ability performance, attendance performance, classroom performance, online performance, and other aspects. The key factors associated with students&#x00027; performance and use of the BOPPPS model included students&#x00027; classroom participation, interaction, learning engagement, etc. Participatory learning is a crucial component emphasized by the BOPPPS model. Participation and classroom engagement encourage students to communicate with peers and with teachers and participate in interactions. Students&#x00027; engagement in the classroom is a reflection of their learning attitudes, and actively participating in class activities usually obtains better performance.</p>
<p>Some suggestions for methodology for the future. First, to capture the long-term effects of the BOPPPS model, employ mixed-methods approaches or longitudinal research. Second, to improve the ability to apply of findings, include more diversity and larger sample sizes in investigations. Third, find out how well the BOPPPS model works in various educational settings, subject areas, and cultural contexts. Fourth, as educational technology develops, investigate whether new tools might be added to the BOPPPS model to boost student performance and offer created assistance.</p></sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>JL: Formal analysis, Software, Writing &#x02013; original draft. SO: Supervision, Writing &#x02013; review &#x00026; editing. YW: Resources, Validation, Visualization, Writing &#x02013; original draft. YX: Resources, Software, Validation, Writing &#x02013; original draft.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Al Rawashdeh</surname> <given-names>A. Z.</given-names></name> <name><surname>Mohammed</surname> <given-names>E. Y.</given-names></name> <name><surname>Al Arab</surname> <given-names>A. R.</given-names></name> <name><surname>Alara</surname> <given-names>M.</given-names></name> <name><surname>Al-Rawashdeh</surname> <given-names>B.</given-names></name></person-group> (<year>2021</year>). <article-title>Advantages and disadvantages of using e-learning in university education: analyzing students&#x00027; perspectives</article-title>. <source>Elect. J. E-Learn.</source> <volume>19</volume>, <fpage>107</fpage>&#x02013;<lpage>117</lpage>. <pub-id pub-id-type="doi">10.34190/ejel.19.3.2168</pub-id><pub-id pub-id-type="pmid">33967563</pub-id></citation></ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Amin</surname> <given-names>I.</given-names></name> <name><surname>Yousaf</surname> <given-names>A.</given-names></name> <name><surname>Walia</surname> <given-names>S.</given-names></name> <name><surname>Bashir</surname> <given-names>M.</given-names></name></person-group> (<year>2022</year>). <article-title>What shapes E-Learning effectiveness among tourism education students? An empirical assessment during COVID19</article-title>. <source>J. Hospit. Leisure, Sport Tour. Educ.</source> <volume>30</volume>:<fpage>100337</fpage>. <pub-id pub-id-type="doi">10.1016/j.jhlste.2021.100337</pub-id></citation>
</ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>L.</given-names></name> <name><surname>Tang</surname> <given-names>X. J.</given-names></name> <name><surname>Chen</surname> <given-names>X. K.</given-names></name> <name><surname>Ke</surname> <given-names>N.</given-names></name> <name><surname>Liu</surname> <given-names>Q.</given-names></name></person-group> (<year>2022</year>). <article-title>Effect of the BOPPPS model combined with case-based learning versus lecture-based learning on ophthalmology education for five-year paediatric undergraduates in Southwest China</article-title>. <source>BMC Med. Educ.</source> <volume>22</volume>:<fpage>437</fpage>. <pub-id pub-id-type="doi">10.1186/s12909-022-03514-4</pub-id><pub-id pub-id-type="pmid">35668389</pub-id></citation></ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>R.</given-names></name> <name><surname>Luo</surname> <given-names>X.</given-names></name> <name><surname>Nie</surname> <given-names>Q.</given-names></name> <name><surname>Wang</surname> <given-names>L.</given-names></name> <name><surname>Li</surname> <given-names>J.</given-names></name> <name><surname>Zeng</surname> <given-names>X.</given-names></name></person-group> (<year>2023</year>). <article-title>BP-CM Model: A teaching model for improving the teaching quality of IoT hardware technology based on BOPPPS and memory system</article-title>. <source>Educ. Inform. Technol.</source> <volume>28</volume>, <fpage>6249</fpage>&#x02013;<lpage>6268</lpage>. <pub-id pub-id-type="doi">10.1007/s10639-022-11432-7</pub-id></citation>
</ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dai</surname> <given-names>M.</given-names></name> <name><surname>Qi</surname> <given-names>W.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name> <name><surname>Liao</surname> <given-names>M.</given-names></name></person-group> (<year>2022</year>). <article-title>Application and exploration of blended learning with BOPPPS teaching model in a veterinary infectious diseases course</article-title>. <source>J. Biol. Educ.</source> <volume>58</volume>, <fpage>1010</fpage>&#x02013;<lpage>1018</lpage>. <pub-id pub-id-type="doi">10.1080/00219266.2022.2120904</pub-id></citation>
</ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feronica</surname> <given-names>R. A.</given-names></name> <name><surname>Apriani</surname> <given-names>E.</given-names></name> <name><surname>Edy</surname> <given-names>S.</given-names></name></person-group> (<year>2021</year>). <article-title>The implementation of higher order thinking skill (HOTS) in junior high school: teaching practice and problems</article-title>. <source>English Franca</source> <volume>5</volume>, <fpage>185</fpage>&#x02013;<lpage>200</lpage>. <pub-id pub-id-type="doi">10.29240/ef.v5i2.2589</pub-id></citation>
</ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Filgona</surname> <given-names>J.</given-names></name> <name><surname>Sakiyo</surname> <given-names>J.</given-names></name> <name><surname>Gwany</surname> <given-names>D. M.</given-names></name> <name><surname>Okoronka</surname> <given-names>A. U.</given-names></name></person-group> (<year>2020</year>). <article-title>Motivation in learning</article-title>. <source>Asian J. Educ. Soc.Stud.</source> <volume>10</volume>, <fpage>16</fpage>&#x02013;<lpage>37</lpage>. <pub-id pub-id-type="doi">10.9734/ajess/2020/v10i430273</pub-id></citation>
</ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname> <given-names>Y.</given-names></name></person-group> (<year>2024</year>). <article-title>An investigation into the practice of blended teaching in English courses based on the BOPPPS model</article-title>. <source>Appl. Mathem. Nonlinear Sci.</source> <volume>9</volume>:<fpage>336</fpage>. <pub-id pub-id-type="doi">10.2478/amns.2023.1.00336</pub-id><pub-id pub-id-type="pmid">39334154</pub-id></citation></ref>
<ref id="B9">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hsu</surname> <given-names>C. Y.</given-names></name> <name><surname>Ou</surname> <given-names>S. J.</given-names></name></person-group> (<year>2022</year>). <article-title>Innovative practice of sustainable landscape architecture education&#x02014;parametric-aided design and application</article-title>. <source>Sustainability</source> <volume>14</volume>:<fpage>4627</fpage>. <pub-id pub-id-type="doi">10.3390/su14084627</pub-id></citation>
</ref>
<ref id="B10">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>K.</given-names></name> <name><surname>Ma</surname> <given-names>R. J.</given-names></name> <name><surname>Ma</surname> <given-names>C.</given-names></name> <name><surname>Zheng</surname> <given-names>Q. K.</given-names></name> <name><surname>Sun</surname> <given-names>Z. G.</given-names></name></person-group> (<year>2022</year>). <article-title>Comparison of the BOPPPS model and traditional instructional approaches in thoracic surgery education</article-title>. <source>BMC Med. Educ.</source> <volume>22</volume>:<fpage>447</fpage>. <pub-id pub-id-type="doi">10.1186/s12909-022-03526-0</pub-id><pub-id pub-id-type="pmid">35681190</pub-id></citation></ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>Y.</given-names></name></person-group> (<year>2024</year>). <article-title>Exploring the effective path of cultivating college students&#x00027; english intercultural communication competence based on the social network analysis model</article-title>. <source>Appl. Math. Nonlinear Sci.</source> <volume>9</volume>, <fpage>1</fpage>&#x02013;<lpage>4</lpage>. <pub-id pub-id-type="doi">10.2478/amns.2023.2.00730</pub-id></citation>
</ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kirschner</surname> <given-names>P.</given-names></name> <name><surname>Sweller</surname> <given-names>J.</given-names></name> <name><surname>Clark</surname> <given-names>R. E.</given-names></name></person-group> (<year>2006</year>). <article-title>Why unguided learning does not work: An analysis of the failure of discovery learning, problem-based learning, experiential learning and inquiry-based learning</article-title>. <source>Educ. Psychol.</source> <volume>41</volume>, <fpage>75</fpage>&#x02013;<lpage>86</lpage>. <pub-id pub-id-type="doi">10.1207/s15326985ep4102_1</pub-id><pub-id pub-id-type="pmid">31705515</pub-id></citation></ref>
<ref id="B13">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Leadley</surname> <given-names>R. M.</given-names></name> <name><surname>Lang</surname> <given-names>S.</given-names></name> <name><surname>Misso</surname> <given-names>K.</given-names></name> <name><surname>Bekkering</surname> <given-names>T.</given-names></name> <name><surname>Ross</surname> <given-names>J.</given-names></name> <name><surname>Akiyama</surname> <given-names>T.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>A systematic review of the prevalence of Morquio A syndrome: challenges for study reporting in rare diseases</article-title>. <source>Orphanet J. Rare Dis.</source> <volume>9</volume>, <fpage>1</fpage>&#x02013;<lpage>17</lpage>. <pub-id pub-id-type="doi">10.1186/s13023-014-0173-x</pub-id><pub-id pub-id-type="pmid">25404155</pub-id></citation></ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>P.</given-names></name> <name><surname>Lan</surname> <given-names>X.</given-names></name> <name><surname>Ren</surname> <given-names>L.</given-names></name> <name><surname>Xie</surname> <given-names>X.</given-names></name> <name><surname>Xie</surname> <given-names>H.</given-names></name> <name><surname>Liu</surname> <given-names>S.</given-names></name></person-group> (<year>2023</year>). <article-title>Research and practice of the BOPPPS teaching model based on the OBE concept in clinical basic laboratory experiment teaching</article-title>. <source>BMC Med. Educ.</source> <volume>23</volume>:<fpage>882</fpage>. <pub-id pub-id-type="doi">10.1186/s12909-023-04822-z</pub-id><pub-id pub-id-type="pmid">37978370</pub-id></citation></ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>S.</given-names></name> <name><surname>Liu</surname> <given-names>Q.</given-names></name> <name><surname>Guo</surname> <given-names>S.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name> <name><surname>Chen</surname> <given-names>F.</given-names></name> <name><surname>Wang</surname> <given-names>C.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Research on the application of the blended BOPPPS based on an online and offline mixed teaching model in the course of fermentation engineering in applied universities</article-title>. <source>Biochem. Mol. Biol. Educ.</source> <volume>51</volume>, <fpage>244</fpage>&#x02013;<lpage>253</lpage>. <pub-id pub-id-type="doi">10.1002/bmb.21716</pub-id><pub-id pub-id-type="pmid">36825497</pub-id></citation></ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Liu</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name></person-group> (<year>2024</year>). <article-title>Application effect of BOPPPS teaching model on fundamentals of nursing education: a meta-analysis of randomized controlled studies</article-title>. <source>Front. Med.</source> <volume>11</volume>:<fpage>1319711</fpage>. <pub-id pub-id-type="doi">10.3389/fmed.2024.1319711</pub-id><pub-id pub-id-type="pmid">38784229</pub-id></citation></ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Z.</given-names></name> <name><surname>Cai</surname> <given-names>X.</given-names></name> <name><surname>Zhou</surname> <given-names>K.</given-names></name> <name><surname>Qin</surname> <given-names>J.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Yang</surname> <given-names>Q.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Effects of BOPPPS combined with TBL in surgical nursing for nursing undergraduates: a mixed-method study</article-title>. <source>BMC Nurs.</source> <volume>22</volume>:<fpage>133</fpage>. <pub-id pub-id-type="doi">10.1186/s12912-023-01281-1</pub-id><pub-id pub-id-type="pmid">37088853</pub-id></citation></ref>
<ref id="B18">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liang</surname> <given-names>Y.</given-names></name> <name><surname>Wu</surname> <given-names>S.</given-names></name></person-group> (<year>2021</year>). <article-title>Applying the cloud intelligent classroom to the music curriculum design of the mental health education</article-title>. <source>Front. Psychol.</source> <volume>12</volume>:<fpage>729213</fpage>. <pub-id pub-id-type="doi">10.3389/fpsyg.2021.729213</pub-id><pub-id pub-id-type="pmid">34867609</pub-id></citation></ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>X. Y.</given-names></name> <name><surname>Lu</surname> <given-names>C.</given-names></name> <name><surname>Zhu</surname> <given-names>H.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name> <name><surname>Jia</surname> <given-names>S.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Assessment of the effectiveness of BOPPPS-based hybrid teaching model in physiology education</article-title>. <source>BMC Med. Educ.</source> <volume>22</volume>, <fpage>1</fpage>&#x02013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1186/s12909-022-03269-y</pub-id><pub-id pub-id-type="pmid">35354465</pub-id></citation></ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>X.</given-names></name> <name><surname>Ma</surname> <given-names>X.</given-names></name> <name><surname>Li</surname> <given-names>L.</given-names></name> <name><surname>Luo</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name> <name><surname>Liu</surname> <given-names>Y.</given-names></name></person-group> (<year>2021</year>). <article-title>Effect of blended learning with BOPPPS model on Chinese student outcomes and perceptions in an introduction course of health services management</article-title>. <source>Adv. Physiol. Educ</source>. <volume>45</volume>, <fpage>409</fpage>&#x02013;<lpage>417</lpage>. <pub-id pub-id-type="doi">10.1152/advan.00180.2020</pub-id><pub-id pub-id-type="pmid">34018832</pub-id></citation></ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>McCloughen</surname> <given-names>A.</given-names></name> <name><surname>Levy</surname> <given-names>D.</given-names></name> <name><surname>Johnson</surname> <given-names>A.</given-names></name> <name><surname>Nguyen</surname> <given-names>H.</given-names></name> <name><surname>McKenzie</surname> <given-names>H.</given-names></name></person-group> (<year>2020</year>). <article-title>Nursing students&#x00027; socialisation to emotion management during early clinical placement experiences: a qualitative study</article-title>. <source>J. Clin. Nurs.</source> <volume>29</volume>, <fpage>2508</fpage>&#x02013;<lpage>2520</lpage>. <pub-id pub-id-type="doi">10.1111/jocn.15270</pub-id><pub-id pub-id-type="pmid">32242999</pub-id></citation></ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Page</surname> <given-names>M. J.</given-names></name> <name><surname>McKenzie</surname> <given-names>J. E.</given-names></name> <name><surname>Bossuyt</surname> <given-names>P. M.</given-names></name> <name><surname>Boutron</surname> <given-names>I.</given-names></name> <name><surname>Hoffmann</surname> <given-names>T. C.</given-names></name> <name><surname>Mulrow</surname> <given-names>C. D.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>The PRISMA 2020 statement: an updated guideline for reporting systematic reviews</article-title>. <source>BMJ.</source> <volume>372</volume>:<fpage>n71</fpage>. <pub-id pub-id-type="doi">10.31222/osf.io/v7gm2</pub-id></citation>
</ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sasipraba</surname> <given-names>T.</given-names></name> <name><surname>Navas</surname> <given-names>R. K. B.</given-names></name> <name><surname>Nandhitha</surname> <given-names>N. M.</given-names></name> <name><surname>Prakash</surname> <given-names>S.</given-names></name> <name><surname>Jayaprabakar</surname> <given-names>J.</given-names></name> <name><surname>Pushpakala</surname> <given-names>S. P.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Assessment tools and rubrics for evaluating the capstone projects in outcome based education</article-title>. <source>Procedia Comput. Sci.</source> <volume>172</volume>, <fpage>296</fpage>&#x02013;<lpage>301</lpage>. <pub-id pub-id-type="doi">10.1016/j.procs.2020.05.047</pub-id></citation>
</ref>
<ref id="B24">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shih</surname> <given-names>W. L.</given-names></name> <name><surname>Tsai</surname> <given-names>C. Y.</given-names></name></person-group> (<year>2020</year>). <article-title>Effect of flipped classroom with BOPPPS model on learners&#x00027; learning outcomes and perceptions in a business etiquette course</article-title>. <source>Asia-Pacific Educ. Res.</source> <volume>29</volume>, <fpage>257</fpage>&#x02013;<lpage>268</lpage>. <pub-id pub-id-type="doi">10.1007/s40299-019-00475-z</pub-id></citation>
</ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Stoll</surname> <given-names>C. R.</given-names></name> <name><surname>Izadi</surname> <given-names>S.</given-names></name> <name><surname>Fowler</surname> <given-names>S.</given-names></name> <name><surname>Green</surname> <given-names>P.</given-names></name> <name><surname>Suls</surname> <given-names>J.</given-names></name> <name><surname>Colditz</surname> <given-names>G. A.</given-names></name></person-group> (<year>2019</year>). <article-title>The value of a second reviewer for study selection in systematic reviews</article-title>. <source>Res. Synth. Methods.</source> <volume>10</volume>, <fpage>539</fpage>&#x02013;<lpage>545</lpage>. <pub-id pub-id-type="doi">10.1002/jrsm.1369</pub-id><pub-id pub-id-type="pmid">31272125</pub-id></citation></ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tian</surname> <given-names>J.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Ge</surname> <given-names>L.</given-names></name> <name><surname>Yang</surname> <given-names>K.</given-names></name> <name><surname>Song</surname> <given-names>F.</given-names></name></person-group> (<year>2017</year>). <article-title>The methodological and reporting quality of systematic reviews from China and the USA are similar</article-title>. <source>J. Clin. Epidemiol.</source> <volume>85</volume>, <fpage>50</fpage>&#x02013;<lpage>58</lpage>. <pub-id pub-id-type="doi">10.1016/j.jclinepi.2016.12.004</pub-id><pub-id pub-id-type="pmid">28063911</pub-id></citation></ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>C. J.</given-names></name></person-group> (<year>2023</year>). <article-title>Learning and academic self-efficacy in self-regulated learning: validation study with the BOPPPS model and IRS methods</article-title>. <source>Asia-Pacific Educ. Res.</source> <volume>32</volume>, <fpage>37</fpage>&#x02013;<lpage>51</lpage>. <pub-id pub-id-type="doi">10.1007/s40299-021-00630-5</pub-id></citation>
</ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Tigelaar</surname> <given-names>D. E.</given-names></name> <name><surname>Luo</surname> <given-names>J.</given-names></name> <name><surname>Admiraal</surname> <given-names>W.</given-names></name></person-group> (<year>2022</year>). <article-title>Teacher beliefs, classroom process quality, and student engagement in the smart classroom learning environment: a multilevel analysis</article-title>. <source>Comput. Educ.</source> <volume>183</volume>:<fpage>104501</fpage>. <pub-id pub-id-type="doi">10.1016/j.compedu.2022.104501</pub-id></citation>
</ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname> <given-names>L.</given-names></name> <name><surname>Zhang</surname> <given-names>W.</given-names></name> <name><surname>Lin</surname> <given-names>C.</given-names></name></person-group> (<year>2023</year>). <article-title>Multidimensional characteristics of design-based engineering learning: a grounded theory study</article-title>. <source>Sustainability</source> <volume>15</volume>:<fpage>3389</fpage>. <pub-id pub-id-type="doi">10.3390/su15043389</pub-id></citation>
</ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wen</surname> <given-names>H.</given-names></name> <name><surname>Xu</surname> <given-names>W.</given-names></name> <name><surname>Chen</surname> <given-names>F.</given-names></name> <name><surname>Jiang</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>R.</given-names></name> <name><surname>Zeng</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Application of the BOPPPS-CBL model in electrocardiogram teaching for nursing students: a randomized comparison</article-title>. <source>BMC Med. Educ.</source> <volume>23</volume>:<fpage>987</fpage>. <pub-id pub-id-type="doi">10.1186/s12909-023-04983-x</pub-id><pub-id pub-id-type="pmid">38129836</pub-id></citation></ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xiong</surname> <given-names>M.</given-names></name></person-group> (<year>2023</year>). <article-title>The application of BOPPPS teaching model in online and offline hybrid Civics teaching in universities</article-title>. <source>Appl. Math. Nonlinear Sci</source>. <volume>9</volume>, <fpage>1</fpage>&#x02013;<lpage>13</lpage>. <pub-id pub-id-type="doi">10.2478/amns.2023.2.00578</pub-id></citation>
</ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>Z.</given-names></name> <name><surname>Che</surname> <given-names>X.</given-names></name> <name><surname>Yang</surname> <given-names>X.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name></person-group> (<year>2023</year>). <article-title>Application of the hybrid BOPPPS teaching model in clinical internships in gynecology</article-title>. <source>BMC Med. Educ.</source> <volume>23</volume>:<fpage>465</fpage>. <pub-id pub-id-type="doi">10.1186/s12909-023-04455-2</pub-id><pub-id pub-id-type="pmid">37349730</pub-id></citation></ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>Z.</given-names></name> <name><surname>Yuan</surname> <given-names>H.</given-names></name> <name><surname>Liu</surname> <given-names>Q.</given-names></name></person-group> (<year>2020</year>). <article-title>Student performance prediction based on blended learning</article-title>. <source>IEEE Trans. Educ.</source> <volume>64</volume>, <fpage>66</fpage>&#x02013;<lpage>73</lpage>. <pub-id pub-id-type="doi">10.1109/TE.2020.3008751</pub-id></citation>
</ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>Z.</given-names></name></person-group> (<year>2019</year>). <article-title>Psychological health course teaching mode based on students&#x00027; high-order thinking ability development</article-title>. <source>Int. J. Emerg. Technol. Learn.</source> <volume>14</volume>, <fpage>101</fpage>&#x02013;<lpage>113</lpage>. <pub-id pub-id-type="doi">10.3991/ijet.v14i04.10111</pub-id></citation>
</ref>
<ref id="B35">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname> <given-names>J.</given-names></name></person-group> (<year>2023</year>). <article-title>Constructing an ideal class to facilitate high learning engagement, performance, and affective commitments: a new blended learning model</article-title>. <source>Asia Pacific J. Educ.</source> <volume>2023</volume>, <fpage>1</fpage>&#x02013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1080/02188791.2023.2251706</pub-id></citation>
</ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zeng</surname> <given-names>X.</given-names></name></person-group> (<year>2023</year>). <article-title>Application of BOPPPS teaching model in online and offline blended teaching of college Public Basic Mathematics</article-title>. <source>Appl. Math. Nonlinear Sci</source>. <volume>9</volume>, <fpage>1</fpage>&#x02013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.1142/13173</pub-id></citation>
</ref>
</ref-list>
</back>
</article> 