“…Fifteen of the 20 studies reported an improvement in knowledge as a result of self-directed learning modules (Boet et al, 2017; da Costa Vieira et al, 2017; Elkin et al, 2018; Ens et al, 2017; Gagnon et al, 2015; Gillan et al, 2018; Goff et al, 2018; Karvinen et al, 2017; Kennedy et al, 2019; McCutcheon et al, 2015; Parsons et al, 2019; Rafferty et al, 2019; Rahmati et al, 2018; Warner et al, 2020; Wu et al, 2018). Five randomized studies designed creative ways to enhance the effectiveness of online modules (da Costa Vieira et al, 2017; Gillan et al, 2018; Karvinen et al, 2017; Rahmati et al, 2018; Warner et al, 2020).…”