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Journal of Biological Education

ISSN: 0021-9266 (Print) 2157-6009 (Online) Journal homepage: http://www.tandfonline.com/loi/rjbe20

The effectiveness of the hybrid problem-based


learning approach in the teaching of biology: a
comparison with lecture-based learning

M. Carrió , P. Larramona , J.E. Baños & J. Pérez

To cite this article: M. Carrió , P. Larramona , J.E. Baños & J. Pérez (2011) The
effectiveness of the hybrid problem-based learning approach in the teaching of biology: a
comparison with lecture-based learning, Journal of Biological Education, 45:4, 229-235, DOI:
10.1080/00219266.2010.546011

To link to this article: https://doi.org/10.1080/00219266.2010.546011

Published online: 15 Jul 2011.

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JOURNAL OF BIOLOGICAL EDUCATION, VOLUME 45, NUMBER 4, DECEMBER 2011 229

Research paper
The effectiveness of the hybrid
problem-based learning approach in
the teaching of biology: a comparison
with lecture-based learning
M. Carrió, P. Larramona, J.E. Baños and J. Pérez
Research Group on Innovative Education in Health Sciences, Faculty of Health and Life Sciences,
Universitat Pompeu Fabra, Barcelona, Spain

Although several studies have shown that the problem-based learning (PBL) method promotes relevant profes-
sional skills as well as critical thinking and lifelong learning, some teachers remain sceptical regarding whether
PBL is also adequate in acquiring the factual knowledge that students need. In this article, we describe an
experience in which PBL has been introduced as an interdisciplinary activity in the teaching of students in the
bachelor degree of biology, with special attention on the analysis of contextualised complex problems. This
experience was a part of a traditional curriculum and roughly 20% of the entire learning time was devoted to
it. We named this teaching approach hybrid problem-based learning (H-PBL) curriculum, in contrast to the
lecture-based learning (LBL) traditional curriculum. The study reported here aims to answer a fundamental
question: are there differences between both models in the students’ factual knowledge acquisition? The results
of this study have failed to show significant differences in factual knowledge acquisition between both groups
of students. We conclude that the use of an interdisciplinary H-PBL approach has no deleterious effect on the
recall of factual knowledge, while it may permit the simultaneous development of other professional skills,
which could be more difficult to attain in traditional curricula based mainly on the lecture-based method.

Keywords: problem-based learning; undergraduate biology; interdisciplinary; contextualised problems

Introduction
The use of problem-based learning (PBL) in college their new learning to similar problems in the future
education has spread extensively during recent dec- (Hmelo-Silver 2004; Cantillon et al. 2003). In PBL,
ades. It has been suggested that PBL is better than students work in small groups, bringing together
the traditional approaches (lecture-based learning, their skills in a process that resembles scientific
LBL) for acquiring the generic skills needed for sci- inquiry. The main elements of this method are the
entific careers, such as cooperative working, integra- problem, the group and the tutor. The problem leads
tion of information, critical thinking, communication to forcing the student to identify the learning objec-
skills and self-directed learning (Dolmans et al. tives and to elaborate a hypothesis. Research, group
2005). In the PBL approach, complex and realistic discussion and the acquisition of new knowledge lead
problems are used to trigger students’ analytic think- them to answer the questions that will solve the
ing and to generate the adequate questions to solve problem. In the learning process of PBL, the tutors’
them. To this end, they need to identify the knowl- role is critical: they will stimulate the participation of
edge, concepts and principles they need to learn in every student, promote critical thinking, facilitate
order to answer the proposed questions and to apply students’ learning and autonomy and prevent the

Corresponding author: Mar Carrió, Faculty of Health and Life Sciences, Universitat Pompeu Fabra, Dr. Aiguader, 80,
08003 Barcelona, Spain. Email: mar.carrio@upf.edu.
Journal of Biological Education ISSN 0021–9266 print/ISSN 2157–6009 online Ó 2011 Society of Biology
http://www.tandfonline.com
http://dx.doi.org/10.1080/00219266.2010.546011
230 M. CARRIÓ ET AL. _______________________________________________________________________________________________

discussion from moving away from the main objec- knowledge at the end of the first year. Herein we
tives of the problem (Barrows 1988; De Grave et al. report the main findings of this study.
1999).
There is some evidence of the effectiveness of
PBL in developing critical thinking (Tiwari et al.
Methods, participants and data
2006), acquiring professional skills (Berkson 1993)
sources
and generating students’ interest and motivation
(Michel et al. 2002; Vernon and Blake 1993). Studies Setting
carried out at Harvard University have shown that The study was carried out with the students of the
PBL students believed that this method helped them bachelor degree in biology, in the Faculty of Health
to develop humanistic and social skills and that the and Life Sciences of Universitat Pompeu Fabra, in
programme influenced their thinking about profes- Barcelona (Spain), in the academic years 2004–05 and
sional issues (Peters et al. 2000). Nevertheless, there 2005–06. The PBL method was introduced in the first
is some scepticism about the effectiveness of PBL for year of studies in 2004–05. Therefore, both H-PBL
learning basic science subjects. Some comparisons and LBL learning methods actually co-existed in the
between the PBL and LBL approaches have been faculty, being used by different cohorts.
performed in medical students, which generally show
that factual knowledge is similar in both groups
Participants
(Albano et al. 1996; Blake et al. 2000; Farquhar et al.
1986; Kaufman and Mann 1998). However, such Data were collected from two consecutive cohorts of
comparative studies are lacking for students of bio- second-year students, the first educated only in LBL
logical sciences, where basic subjects might be con- and the second in H-PBL. Sixty students were ini-
sidered even more important than in the training of tially available for each cohort.
medical students.
In 2004, our school began a pilot study devoted
to exploring how to adapt the bachelor of biology to PBL activities
the European Higher Education Area (EHEA), fol- Nine problems, which integrate the different subjects
lowing the Bologna Declaration. One of the corner- of the first year, were prepared by the different
stones of the study has been the introduction of PBL teachers and reviewed by the PBL activity’s coordi-
activities in the traditional curriculum to explore the nators (Mar Carrió and Josep Eladi Baños) in order
feasibility of creating a hybrid model of teaching. to guarantee the problems’ quality and their ability
With this aim, 20% of the teaching time was devoted to reach the educational objectives of the pilot study
to PBL activities, whereas the remaining time was described previously. Accordingly, they included spe-
used in traditional teaching activities such as lectures, cific learning objectives from the different subjects of
lab courses and seminars. This process was started the first year of the degree (Table 1).
with first-year students and has since spread to the Students worked in groups of 8–10 during the full
entire curriculum. Problems that were later used in academic year (nine months). They spent three
PBL tutorials were built using the educational objec- weeks on solving each problem, accounting for nine
tives of the subjects of each term. With this experi- different problems for each year. They had two
ence, faculty members from different disciplines were working sessions per week, one with the tutor and
involved in writing interdisciplinary cases and partici- one with the group alone. The activity started with a
pating as tutors in the group sessions as well. session in which, first of all, each tutor introduced
To permit the inclusion of PBL activities in the the problem and then students stated the main ques-
students’ activities, the time devoted to lectures was tions from the text, identified their knowledge defi-
cut by 20% and transferred to PBL tutorials. This ciencies, had brainstorming sessions, proposed
option was questioned by some faculty members, as hypotheses, listed the learning objectives which
they worried about the possibility that this reduction would constitute their study plan and distributed the
in lecturing would reduce the acquisition of the fac- tasks among the members of the group. After this
tual knowledge that students would need in the fol- session, students individually researched one or more
lowing years. topics in order to share the findings with their peers
The present study was designed to test the in the next meetings. In the second session, students
hypothesis that effectiveness of hybrid PBL model met without the tutor and presented their research;
(H-PBL) and traditional curriculum, mainly based on they had to integrate the new, acquired information
lectures (lecture-based learning, LBL), to learn factual and use it to continue the analysis of the problem. In
knowledge was similar. To prove it, two groups of the third session, they met again with the tutor to
second-year students taken from consecutive years, discuss their research and the new knowledge they
the first educated only in LBL and the second in H- had acquired. The role of the tutor was focused on
PBL, were compared to assess their recall of factual stimulating the students to argue their previously
____________________________________________________________________________ RESEARCH PAPER 231

Table 1. PBL curricula organisation in the first year of the bachelor in biology at
Universitat Pompeu Fabra

Specific educative
Problem Subjects objectives Problem context

1 Physics, biology To define atomic structure A biology student is bombarded with questions by family
and To differentiate stable an and friends about radioactive
chemistry unstable isotopes diagnostic tests and treatments.
To analyse radioactivity
applied to biomedicine

2 Zoology and To apply acid–base reactions An ecological disaster. A toxic product is dumped in a
chemistry To interpret pH and pKa river and a lot of fish are dead.
To compare different The example is used to introduce the respiratory process
respiratory processes from different animals.

3 Physics and To identify animal cooperation A student group talk about a science fiction film about
zoology To relate physiology to giant ants that colonise the earth.
surface/volume animals
To contextualise Bergman and
Allen laws
To analyse magnetism and
biomagnetism

4 Anthropology To analyse non-lineal A discussion about various allergies, such as pollen, gluten
and botany evolution and milk leads to many
To relate genes to culture questions about culture habits and evolution.
coevolution
To analyse angiosperm
evolution
To identify Paleoclimates
through pollen analysis

5 Biochemistry To apply basic statistic A PhD student has to compare intolerance to lactose
and concepts (average, standard results with those of a colleague.
mathematics deviation)
To represent 2D graphics
To determinate enzymatic
activity and relate
primary structure to cellular
localisation and to enzymatic
activity

6 Biochemistry To identify mechanisms A theatre scene about a family discussing the benefits of
and botany involved in texture eating tomatoes.
and fruit composition
To describe maturation fruit
regulation
To analyse transgenic plant
engineering

7 Anatomy, To describe the A man who started going to the gymnasium 6 months
physiology and musculoskeletal system ago has gained muscular mass. The effects of sport and
cytology To relate sport to skeletal supplements are discussed.
muscle

8 Anatomy, To analyse endocytosis A newspaper death notice. It gives little information about
physiology and alterations that can cause heart death by heart attack; students have to discover the causes.
cytology attacks

9 Anatomy, To describe smooth muscle A girl gives birth early.


physiology and To analyse uterine contraction
cytology To differentiate heart from
uterine muscle
232 M. CARRIÓ ET AL. _______________________________________________________________________________________________

formulated hypothesis based on prior knowledge and the number of students that failed to pass the exam
evidence found. A second part of the problem was (pass threshold: 5/10) using the v2 test.
presented at the end of the tutorial and the process A qualitative analysis by means of the v2 test was
was repeated following the same premises. performed to assess which kind of knowledge was
At the end of each problem, students had to pre- better acquired by each cohort, to detect significant
pare a final report explaining the process they fol- differences between both cohorts and to identify the
lowed to solve the problem, including group questions that were better answered by each group.
organisation, identification of the relevant knowl- In addition, the degree of difficulty of each question
edge, working hypotheses, identified research topics, was measured and compared for both cohorts.
conclusions and critical use of the information In all cases, values were considered statistically sig-
sources. Student evaluation was based on their partic- nificant if p<0.05.
ipation in tutorials and on the final report.

Questionnaire for analysing students’


Design of the study competences acquisition in PBL activity
The comparison of two groups was performed by At the end of the 2005–06 academic course, a ques-
means of an evaluation with an instrument specifi- tionnaire aimed to monitor the self-perception of
cally prepared for this purpose (see next section). students’ acquired competences was given to students
Students were evaluated nine months after they had and teachers. Filling in the questionnaire was volun-
completed their first year (ie in their second year of tary and results were collected anonymously. Stu-
their degree) on a day that was not previously dents answered the questionnaire during their
known to them. It was carried out during their lec- lecturing time, while, as for teachers, the question-
turing time, and it was voluntary and anonymous. naire was sent and collected by email.
Almost all students participated. The LBL cohort car- The questionnaire asked the participants to assess
ried out the exercises in 2004, and the PBL cohort several of the developed competences in the PBL
in 2005. The answers from the LBL cohort were activity: hypothesis formulation, argumentation, syn-
stored and analysed when results from both were thesising, data analysis, communication skills, cooper-
available. The reviewers were blind as to which ative working and information and time management.
cohort the exams corresponded to. Acquisition of each competence was rated between 0
(no acquisition) and 10 (fully acquired).

The evaluation instrument


The instrument to test factual knowledge of basic Results
science acquired by the first year had two parts, A
Comparison of factual knowledge
and B. Part A comprised 22 multiple-choice ques-
tions (MCQ) and Part B had nine short-answer
acquisition between LBL and H-PBL
questions (SAQ). MCQ were chosen among those students
questions with the lowest difficulty index of each The LBL cohort comprised 52 students, whereas the
subject obtained from previous years, but that had H-PBL group included 42 students. The mean scores
not been used to evaluate the participants of the cur- for the MCQ exam were 5.5 (SD=1.5) and 5.2
rent study. The chosen questions (four for each sub- (SD=1.4) for LBL and H-PBL students, respectively.
ject) were sent to the 11 first-year teachers, who SAQ scores were lower for both cohorts, being 3.8
were asked to choose the two most relevant and to (SD=1.4) and 3.8 (SD=1.6). These values did not
write new questions to be used as contextualised show statistically significant difference (Table 2).
SAQ. All teachers made the choice of the MCQ and A more detailed analysis comparing students of
nine of them wrote the SAQ. Thus, the instrument each cohort that reached the threshold score in
consisted of 22 MCQ and nine SAQ. Assessment of MCQ and SAQ tests did not show statistical differ-
the results of Parts A and B were scored separately ences either (Table 3). Additionally, the qualitative
using the numeric range 1–10 (equivalent to F to A), analysis of the results does not show significant dif-
as this is the habitual way of grading in Spain. ferences between both cohorts. While LBL students
answered five MCQ and one SAQ items better than
H-PBL students, the H-PBL answered better in
Statistical analysis three MCQ and two SAQ items. The individual
Statistical comparisons were carried out using several questions’ difficulty index does not show any statisti-
tests. A t-test was used to compare the mean scores cally significant differences between cohorts (data not
of both groups. Data were also compared considering shown).
____________________________________________________________________________ RESEARCH PAPER 233

Development of students’ competences were actually comparable with those obtained with
in PBL activities curricula using PBL as the main method of teaching.
The voluntary questionnaire assessing the self-percep- Our results, stating the absence of differences in fac-
tion of acquired competences was answered by 72% tual knowledge achievement between the LBL and
and 87% of students and teachers, respectively. H-PBL methods, agree with previous studies carried
As shown in Figure 1, the level of competence out in medical students (Albano et al. 1996; Blake
acquisition was between 5.9 and 7.9. No significant et al. 2000; Farquhar et al. 1986; Kaufman and Mann
differences were obtained between students’ and 1988; Koh et al. 2008; Prince et al. 2003). According
teachers’ perception on competences acquisition. to them, content acquisition in a PBL-based curricu-
However, while students rated cooperative work and lum is as good as in a lecture-based one. However,
information management as the best reinforced com- student satisfaction with the experience was greater
petences, teachers highlighted information manage- with PBL, as well as with critical thinking, coopera-
ment and writing communication skills. Most tive work, information management and communi-
competences were evaluated higher by students com- cation skills were enhanced. Koh et al. (2008) have
pared to teachers. reported evidence which showed that PBL-educated
medical students had a greater appreciation for the
cultural aspects of care as well as legal and ethical
issues and proved greater responsibility in the care of
Discussion patients. Moreover, it has been shown that they were
The introduction of new teaching methods in curric- better able to cope with uncertainty and self-directed
ula dominated by traditional educational approaches continuing learning (Koh et al. 2008; Norman and
is always a conflicting issue among faculty members. Schmidt 2000).
Many reasons are invoked to defeat such changes, a A second aspect is the meaning of the lack of differ-
drop in knowledge acquisition being the most criti- ences between the cohorts of the study. In other
cal. If it can be demonstrated that such concerns are words, is this a good or a bad result for the H-PBL?
unfounded then the door to further innovation will This deserves at least a short comment. It may be said
be opened. With this aim, the present study was that if no differences are seen, then H-PBL is useless,
planned as a controlled experiment to determine as traditional methods give the same outcome in con-
whether there is a difference in student learning, tent knowledge. Conversely, the similar results in this
measured by fact retention, after using the H-PBL or item and the additional value of improving other edu-
LBL approaches. This study has shown that there cational outcomes (such as generic skills) will justify
were no significant differences between both educa- the additional effort. We believe that the lack of statis-
tional strategies in global, MCQ or SAQ scores. tically significant differences between the two
Even when a difference in other learning aspects approaches is a positive outcome, allowing the rejec-
cannot be excluded, these results give an important tion of the idea that there is a reduced factual knowl-
clue to the probability that PBL does not negatively edge associated with H-PBL courses. On the other
affect the acquisition and retention of factual knowl- hand, comparing students’ scores in standardised tests
edge, at least when used as a hybrid method. only measures one of the goals of H-PBL and neglects
This study does raise several questions. The first is the others. Nevertheless, the results concerning stu-
related to the possibility that the results of our study dents’ competences acquisition (Figure 1) show that

Table 2. Comparison of the global scores by type of exam

LBL cohort H-PBL cohort v2 p


MCQ Passed 35 24 1.3 0.31 NS
Failed 17 18
SAQ Passed 12 10 0.01 0.93 NS
Failed 40 32

LBL cohort H-PBL cohort v2 p


MCQ Passed 35 24 1.3 0.31 NS
Failed 17 18
SAQ Passed 12 10 0.01 0.93 NS
Failed 40 32
Notes. Results are expressed by mean (scale 1–10) and standard deviation (SD) parameters for the LBL (n=52) and H-PBL cohorts (n=42).
MCQ, multiple choice questions; SAQ, short answered questions.
234 M. CARRIÓ ET AL. _______________________________________________________________________________________________

Table 3. Comparison using v2 test of the exam scores by pass (>5/10) or fail (<5/10) scores
for the LBL (n=52) and H-PBL cohorts (n=42) in each type of exam

LBL cohort H-PBL cohort


Mean SD Mean SD Student’s t

MCQ 5.5 1.5 5.2 1.4 1.2 NS


SAQ 3.8 1.4 3.8 1.6 0.2 NS
Note. Values were considered statistically significant if p<0.05.

PBL facilitates their achievement, since both students study to test the differences in solving problems and sci-
and teachers rate the development of most of the entific competences between both cohorts.
competences above 6. The competences that students
perceive to be achieved better are the ability to work
in cooperative groups and the facility to manage infor- Educational implications
mation, ie knowing where to search, how to select This study provides experimental evidence that sup-
and how to evaluate information. Moreover, teachers ports the assumption that the H-PBL approach does
also stand out the development of the written com- not affect the students’ factual knowledge acquisition,
munication skills. These competences are hardly when compared with more traditional lecture-based
developed in traditional teaching approaches, although learning. This is especially important if we consider
they might be very useful for students’ future profes- the usefulness of PBL in developing generic and sci-
sional lives and the European Higher Education Area entific skills. With PBL tutorials, students are con-
(EHEA) guidelines emphasise the necessity to be fronted with complex problems, which do not
included in university formation. usually have only one definite solution. They may
The fact that the marks given by the students are have to look for solutions creatively, make decisions,
slightly better than those given by the teachers might work in a cooperative group and deal with uncer-
be explained by the lack of students’ previous learn- tainty. These skills are often ignored in higher-edu-
ing experiences of this kind. cation curricula, but they are very important for
The data about competences’ acquisition through students who will base their profession on scientific
PBL activities are also consistent with those previ- activity and they will need to make decisions under
ously published for experiences in medical studies uncertain situations. Also, the curricula organisation
(Koh et al. 2008). using PBL permits the integration of different disci-
However, further studies regarding the acquisition of plines and the incorporation of social issues in the
generic and scientific competences in H-PBL would be professional practice, which may enforce professional
very interesting. We are currently carrying out a new and citizen responsibility.

10

1
Hypothesis Argumentation Synthesising Data analysis Oral Written Cooperative Information Time
formulation communication communication work management management

Figure 1. Students’ (black bars) and teachers’ (grey bars) perception of several
competences acquired through PBL activities
Notes: The questionnaire was answered in 2006 by students and teachers who had participated in PBL activities
for two academic years. Acquisition of each competence was rated between 0 (no acquisition) to 10 (fully
acquired). Graph values indicate the mean and the standard deviation obtained by the answered questionnaires
(43 from the students and 34 from the teachers).
____________________________________________________________________________ RESEARCH PAPER 235

In conclusion, we believe that the H-PBL method Blake, R.L., M.C. Hosokawa, and S.L. Riley. 2000. Student performances
on Step 1 and Step 2 of the United States Medical Licensing Examina-
may contribute in developing an extended range of tion following implementation of a problem-based learning curriculum.
scientific and generic skills and may provide a more Academic Medicine 5, no. 1: 66–70.
challenging, motivating and enjoyable approach to Cantillon, P., L. Hutchinson, and D. Wood. 2003. ABC of learning and
teaching in medicine. London: BMJ Publishing Group.
education. Furthermore, the results reported here may
De Grave, W.S., D.H. Dolmans, and C.P. Van der Vleuten. 1999. Profiles
soothe the worries of the teaching staff concerning the of effective tutors in PBL: Scaffolding student learning. Medical Education
possibility that the theoretical basis of their subjects 33: 901–6.
may be not dealt with adequately using PBL Dolmans, D.H., W. De Grave, I.H. Wolfhagen, and C.P. Van der Vleuten.
2005. Problem-based learning: future challenges for educational practice
approaches. H-PBL may also be a good tool to help in and research. Medical Education 39: 732–41.
the transition from traditional models to those primar- Farquhar, L.J., J. Haf, and K. Kotabe. 1986. Effect of two preclinical curric-
ily based on student-centred approaches (Kolmos ula on NBME Part I examination performance. Journal of Medical Educa-
tion 61, no. 5: 368–73.
2002).
Hmelo-Silver, C.E. 2004. Problem-based learning: what and how students
learn. Educational Psychology Review 16, no. 3: 235–66.
Kaufman, D.M., and K.V. Mann. 1998. Comparing achievement on the
Medical Council of Canada Qualifying Examination Part I of students in
Acknowledgements conventional and problem-based learning curricula. Academic Medicine 73:
1211–3.
The authors are very grateful to those who
Koh, G.C.H., H.E. Khoo, M.L. Wong, and D.K. Koh. 2008. The effects of
participated in this study, especially the students
problem-based learning during medical school on physician competency: A
who agreed to take part and the teachers who systematic review. Canadian Medical Association Journal 178, no. 1: 34–41.
helped in choosing the questions and scoring the Kolmos, A. 2002. Facilitating change to a problem-based model. Interna-
tests. We also wish to thank Dr Luis Pérez Jurado tional Journal of Academic Development 7: 64–74.
for allowing us to give the test to students during Michel, M., A. Bischoff, and K.H. Jakobs. 2002. Comparison of problem-
his lessons. Special thanks to Dr Luis Branda for his and lecture-based pharmacology teaching. Trends in Pharmacological Science
review of the manuscript and his suggestions that 23, no. 4: 168–70.
have permitted us to improve a little more each Norman, G.R., and H.G. Schmidt. 2000. Effectiveness of problem-based
day. The English of this manuscript has been learning curricula: Theory, practice and paper darts. Medical Education 34:
proofread by Mr Chuck Simmonds, a native 721–8.
English-speaking university instructor of English. Peters, A.S., R. Greenberger-Rosovsky, C. Crowder, S.D. Block, and G.T.
Moore. 2000. Long-term outcomes of the New Pathway Program at
Harvard Medical School: A randomized controlled trial. Academic Medi-
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