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Studies were included in the meta-analysis if they had a non-adaptive e-learning environment control group and had no missing data. ... ObjectiveAlthough adaptive e-learning environments (AEEs) can provide personalised instruction to health professional and students, their efficacy remains unclear. ... Protected by copyright. ePULab, electronic pressure ulcer lab; NR, not reported; PALM, perceptual adaptive learning module.; SIAS-ITS, SIAS intelligent tutoring system; TOE PALM, transoesophageal echocardiography ...doi:10.1136/bmjopen-2018-025252 pmid:31467045 pmcid:PMC6719835 fatcat:gje7gfthtjbgbceam7cmce5kaa