“…Integrating Richard Mayer’s cognitive theory of multimedia learning into teaching and learning process assessment, especially in health education, emphasizes the importance of dual-channel, limited capacity, and active processing in effective educational strategies, including serious games. He outlines the development of the theory, focusing on dual-channel processing (separate channels for verbal and visual information), limited capacity (processing capacity is severely limited), and active processing (meaningful learning involves selecting relevant material to be processed in working memory, organizing it into coherent verbal and visual structures, and integrating it with relevant knowledge from long-term memory) ( Figure 1 ) [ 18 , 19 , 20 ]. This framework is crucial for assessing the teaching–learning process, focusing on the quality and quantity of the process and understanding learning outcomes in terms of acquisitions, effects, and visual representations.…”