“…From the selected studies, 43 studies have used one or more than one instrument for measuring student engagement. The most frequently used instrument is the self‐report in 51.0% ( n = 22) of the studies, 26–28,32,34,37–39,43,53,57,59,62–67,69,73–75 although real‐time measures were used in 19.0% ( n = 8), 29,31,33,36,40,46,47,76 multiple methods represented 16.0% ( n = 7), 41,44,45,50,51,56,60 direct observation represented 7.0% ( n = 3) 42,70,71 and interviews used in 7.0% ( n = 3) of the studies 55,58,68 . For the level of measuring student engagement, 42% ( n = 18) studies are measuring at the activity level, 29,32–34,41,42,44,45,56,59,60,62,65,66,70,71,73,76 37% ( n = 16) at the course level 27,31,36–40,46,47,50,51,53,55,57,58,68 and 21% ( n = 9) at the medical school level 26,28,43,63,64,67,69,74,75 …”