<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "http://dtd.nlm.nih.gov/publishing/2.0/journalpublishing.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" article-type="review-article" dtd-version="2.0">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIR</journal-id>
      <journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id>
      <journal-title>Journal of Medical Internet Research</journal-title>
      <issn pub-type="epub">1438-8871</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v22i4e13851</article-id>
      <article-id pub-id-type="pmid">32338618</article-id>
      <article-id pub-id-type="doi">10.2196/13851</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Review</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Review</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Massive Open Online Course Evaluation Methods: Systematic Review</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Eysenbach</surname>
            <given-names>Gunther</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib contrib-type="reviewer">
          <name>
            <surname>Toki</surname>
            <given-names>Eugenia</given-names>
          </name>
        </contrib>
        <contrib contrib-type="reviewer">
          <name>
            <surname>Las Vergnas</surname>
            <given-names>Olivier</given-names>
          </name>
        </contrib>
        <contrib contrib-type="reviewer">
          <name>
            <surname>Sendra-Portero</surname>
            <given-names>Francisco</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author">
          <name name-style="western">
            <surname>Alturkistani</surname>
            <given-names>Abrar</given-names>
          </name>
          <degrees>BSc, MPH</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0001-7935-8870</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Lam</surname>
            <given-names>Ching</given-names>
          </name>
          <degrees>MEng</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-9137-749X</ext-link>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Foley</surname>
            <given-names>Kimberley</given-names>
          </name>
          <degrees>BSc, MSc, PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-3664-8100</ext-link>
        </contrib>
        <contrib id="contrib4" contrib-type="author">
          <name name-style="western">
            <surname>Stenfors</surname>
            <given-names>Terese</given-names>
          </name>
          <degrees>MSc, PhD</degrees>
          <xref rid="aff3" ref-type="aff">3</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-0854-8631</ext-link>
        </contrib>
        <contrib id="contrib5" contrib-type="author">
          <name name-style="western">
            <surname>Blum</surname>
            <given-names>Elizabeth R</given-names>
          </name>
          <degrees>BA, PhD</degrees>
          <xref rid="aff3" ref-type="aff">3</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-3729-3946</ext-link>
        </contrib>
        <contrib id="contrib6" contrib-type="author">
          <name name-style="western">
            <surname>Van Velthoven</surname>
            <given-names>Michelle Helena</given-names>
          </name>
          <degrees>BSc, MSc, PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-1245-8759</ext-link>
        </contrib>
        <contrib id="contrib7" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Meinert</surname>
            <given-names>Edward</given-names>
          </name>
          <degrees>MA, MSc, MBA, MPA, PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <xref rid="aff2" ref-type="aff">2</xref>
          <address>
            <institution>Digitally Enabled PrevenTative Health Research Group</institution>
            <institution>Department of Paediatrics</institution>
            <institution>University of Oxford</institution>
            <addr-line>John Radcliffe Hospital</addr-line>
            <addr-line>Children's Hospital</addr-line>
            <addr-line>Oxford, OX3 9DU</addr-line>
            <country>United Kingdom</country>
            <phone>44 7824446808</phone>
            <email>e.meinert14@imperial.ac.uk</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-2484-3347</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Global Digital Health Unit</institution>
        <institution>Imperial College London</institution>
        <addr-line>London</addr-line>
        <country>United Kingdom</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Digitally Enabled PrevenTative Health Research Group</institution>
        <institution>Department of Paediatrics</institution>
        <institution>University of Oxford</institution>
        <addr-line>Oxford</addr-line>
        <country>United Kingdom</country>
      </aff>
      <aff id="aff3">
        <label>3</label>
        <institution>Department of Learning, Informatics, Management and Ethics</institution>
        <institution>Karolinska Institutet</institution>
        <addr-line>Stockholm</addr-line>
        <country>Sweden</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Edward Meinert <email>e.meinert14@imperial.ac.uk</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <month>4</month>
        <year>2020</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>27</day>
        <month>4</month>
        <year>2020</year>
      </pub-date>
      <volume>22</volume>
      <issue>4</issue>
      <elocation-id>e13851</elocation-id>
      <history>
        <date date-type="received">
          <day>27</day>
          <month>2</month>
          <year>2019</year>
        </date>
        <date date-type="rev-request">
          <day>20</day>
          <month>3</month>
          <year>2019</year>
        </date>
        <date date-type="rev-recd">
          <day>20</day>
          <month>11</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>22</day>
          <month>1</month>
          <year>2020</year>
        </date>
      </history>
      <copyright-statement>©Abrar Alturkistani, Ching Lam, Kimberley Foley, Terese Stenfors, Elizabeth R Blum, Michelle Helena Van Velthoven, Edward Meinert. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 27.04.2020.</copyright-statement>
      <copyright-year>2020</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.jmir.org/2020/4/e13851" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>Massive open online courses (MOOCs) have the potential to make a broader educational impact because many learners undertake these courses. Despite their reach, there is a lack of knowledge about which methods are used for evaluating these courses.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>The aim of this review was to identify current MOOC evaluation methods to inform future study designs.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>We systematically searched the following databases for studies published from January 2008 to October 2018: (1) Scopus, (2) Education Resources Information Center, (3) IEEE (Institute of Electrical and Electronic Engineers) Xplore, (4) PubMed, (5) Web of Science, (6) British Education Index, and (7) Google Scholar search engine. Two reviewers independently screened the abstracts and titles of the studies. Published studies in the English language that evaluated MOOCs were included. The study design of the evaluations, the underlying motivation for the evaluation studies, data collection, and data analysis methods were quantitatively and qualitatively analyzed. The quality of the included studies was appraised using the Cochrane Collaboration Risk of Bias Tool for randomized controlled trials (RCTs) and the National Institutes of Health—National Heart, Lung, and Blood Institute quality assessment tool for cohort observational studies and for before-after (pre-post) studies with no control group.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>The initial search resulted in 3275 studies, and 33 eligible studies were included in this review. In total, 16 studies used a quantitative study design, 11 used a qualitative design, and 6 used a mixed methods study design. In all, 16 studies evaluated learner characteristics and behavior, and 20 studies evaluated learning outcomes and experiences. A total of 12 studies used 1 data source, 11 used 2 data sources, 7 used 3 data sources, 4 used 2 data sources, and 1 used 5 data sources. Overall, 3 studies used more than 3 data sources in their evaluation. In terms of the data analysis methods, quantitative methods were most prominent with descriptive and inferential statistics, which were the top 2 preferred methods. In all, 26 studies with a cross-sectional design had a low-quality assessment, whereas RCTs and quasi-experimental studies received a high-quality assessment.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>The MOOC evaluation data collection and data analysis methods should be determined carefully on the basis of the aim of the evaluation. The MOOC evaluations are subject to bias, which could be reduced using pre-MOOC measures for comparison or by controlling for confounding variables. Future MOOC evaluations should consider using more diverse data sources and data analysis methods.</p>
        </sec>
        <sec sec-type="registered-report">
          <title>International Registered Report Identifier (IRRID)</title>
          <p>RR2-10.2196/12087</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>online learning</kwd>
        <kwd>learning</kwd>
        <kwd>computer-assisted instruction</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec sec-type="introduction">
      <title>Introduction</title>
      <p>Massive open online courses (MOOCs) are free Web-based open courses available to anyone everywhere and have the potential to revolutionize education by increasing the accessibility and reach of education to large numbers of people [<xref ref-type="bibr" rid="ref1">1</xref>]. However, questions remain regarding the quality of education provided through MOOCs [<xref ref-type="bibr" rid="ref1">1</xref>]. One way to ensure the quality of MOOCs is through the evaluation of the course in a systematic way with the goal of <italic>improvement over time</italic> [<xref ref-type="bibr" rid="ref2">2</xref>]. Although research about MOOCs has increased in recent years, there is limited research on the evaluation of MOOCs [<xref ref-type="bibr" rid="ref3">3</xref>]. In addition, there is a need for effective evaluation methods for appraising the effectiveness and success of the courses.</p>
      <p>Evaluation of courses to assess the success and effectiveness and to advise on course improvements is a long-studied approach in the field of education [<xref ref-type="bibr" rid="ref4">4</xref>-<xref ref-type="bibr" rid="ref6">6</xref>]. However, owing to the differences between teaching in MOOCs and traditional, face-to-face classrooms, it is not possible to adapt the same traditional evaluation methods [<xref ref-type="bibr" rid="ref7">7</xref>,<xref ref-type="bibr" rid="ref8">8</xref>]. For example, MOOCs generally have no restrictions on entrance, withdrawal, or the submission of assignments and assessments [<xref ref-type="bibr" rid="ref7">7</xref>]. The methods used in Web-based education or e-learning are not always applicable to MOOCs because Web-based or e-learning courses are often provided as a part of university or higher education curricula, which are different from MOOCs per student expectations [<xref ref-type="bibr" rid="ref8">8</xref>]. It is not suitable to directly compare MOOCs with higher education courses by using traditional evaluation standards and criteria [<xref ref-type="bibr" rid="ref8">8</xref>].</p>
      <p>Despite the limitations in MOOC evaluation methods, several reviews have been conducted on MOOC-related research methods, without specifically focusing on MOOC evaluations. Two recent systematic reviews were published synthesizing MOOC research methods and topics [<xref ref-type="bibr" rid="ref9">9</xref>,<xref ref-type="bibr" rid="ref10">10</xref>]. Zhu et al [<xref ref-type="bibr" rid="ref9">9</xref>] and Bozkurt et al [<xref ref-type="bibr" rid="ref11">11</xref>] recommended further research on the methodological approaches for MOOC evaluation. This research found little focus on the quality of the techniques and methodologies used [<xref ref-type="bibr" rid="ref11">11</xref>]. In addition, a large number of studies on MOOCs examine general pedagogical aspects of the course without evaluating the course itself. Although the general evaluation of MOOC education and pedagogy is useful, it is essential that courses are also evaluated [<xref ref-type="bibr" rid="ref12">12</xref>].</p>
      <p>To address the gaps in MOOC evaluation methods in the literature, this systematic review aimed to identify and analyze current MOOC evaluation methods. The objective of this review was to inform future MOOC evaluation methodology.</p>
    </sec>
    <sec sec-type="methods">
      <title>Methods</title>
      <p>This review explored the following research question: <italic>What methods have been used to evaluate MOOCs?</italic> [<xref ref-type="bibr" rid="ref13">13</xref>]. This systematic review was conducted according to the Cochrane guidelines [<xref ref-type="bibr" rid="ref14">14</xref>] and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (<xref ref-type="supplementary-material" rid="app1">Multimedia Appendix 1</xref>) [<xref ref-type="bibr" rid="ref15">15</xref>]. As the review only used publicly available information, an ethics review board approval was not required. The review was executed in accordance with the protocol published by Foley et al [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
      <sec>
        <title>Eligibility Criteria</title>
        <p>Eligible studies focused on the evaluation of MOOCs with reference to the course design, materials, or topics. The evaluation used the following population, intervention, comparator, outcome (PICO) framework for inclusion in the study:</p>
        <list list-type="bullet">
          <list-item>
            <p>Population: learners in any geographic area who have participated in MOOCs [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
          </list-item>
          <list-item>
            <p>Intervention: MOOC evaluation methods. This is intended to be broad to include qualitative, quantitative, and mixed methods [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
          </list-item>
          <list-item>
            <p>Comparator: studies did not need to include a comparator for inclusion in this systematic review [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
          </list-item>
          <list-item>
            <p>Outcome: learner-focused outcomes such as attitudes, cognitive changes, learner satisfaction, etc, will be assessed [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
          </list-item>
        </list>
        <p>Further to the abovementioned PICO framework, we used the following inclusion and exclusion criteria.</p>
        <sec>
          <title>Inclusion Criteria</title>
          <list list-type="bullet">
            <list-item>
              <p>Studies with a primary focus on MOOC evaluation and studies that have applied or reviewed MOOC evaluation methods (quantitative, qualitative, or mixed methods) [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
            </list-item>
            <list-item>
              <p>Studies published from 2008 to 2018 [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
            </list-item>
            <list-item>
              <p>All types of MOOCs, for example, extended MOOCs, connectivist MOOCs, language MOOCs, or hybrid MOOCs.</p>
            </list-item>
          </list>
        </sec>
        <sec>
          <title>Exclusion Criteria</title>
          <list list-type="bullet">
            <list-item>
              <p>Studies not in the English language [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
            </list-item>
            <list-item>
              <p>Studies that primarily focused on e-learning or blended learning instead of MOOCs [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
            </list-item>
            <list-item>
              <p>Studies that focused only on understanding MOOC learners such as their behaviors or motivation to join MOOCs, without referring to the MOOC.</p>
            </list-item>
            <list-item>
              <p>Studies that focused on machine learning or predictive models to predict learner behavior.</p>
            </list-item>
          </list>
        </sec>
      </sec>
      <sec>
        <title>Search Strategy</title>
        <p>We searched the following databases for potentially relevant literature from January 2008 to October 2018: (1) Scopus, (2) Education Resources Information Center, (3) IEEE (Institute of Electrical and Electronic Engineers) Xplore, (4) Medical Literature Analysis and Retrieval System Online/PubMed, (5) Web of Science, (6) British Education Index, and (7) Google Scholar search engine. The first search was performed in Scopus. The search words and terms for Scopus were as follows: (mooc* OR “massive open online course” OR coursera OR edx OR odl OR udacity OR futurelearn AND evaluat* OR measur* OR compar* OR analys* OR report* OR assess* AND knowledge OR “applicable knowledge” OR retent* OR impact OR quality OR improv* OR environment OR effect “learning outcome” OR learning). The asterisks after the search terms allow all terms beginning with the same root word to be included in the search. The search terms were then adjusted for each database. The complete search strategy for each database can be found in the protocol by Foley et al [<xref ref-type="bibr" rid="ref13">13</xref>] and in <xref ref-type="supplementary-material" rid="app2">Multimedia Appendix 2</xref>. In addition, we scanned the reference lists of included studies.</p>
      </sec>
      <sec>
        <title>Selection of Studies</title>
        <p>Two reviewers (AA and CL) independently screened the titles and abstracts of the articles for eligibility. Selected studies were identified for full-text reading. Disagreements between the reviewers were resolved by discussions with a third reviewer (EM). Few studies (&#60;10) were discussed with a third reviewer.</p>
      </sec>
      <sec>
        <title>Data Extraction</title>
        <p>The following information was extracted from each included study using a data abstraction form (<xref ref-type="supplementary-material" rid="app2">Multimedia Appendix 2</xref>): (1) article title, country of the first author, and year of publication; (2) study aims; (3) evaluation: evaluation method, study design, evaluation type (evaluation of a single MOOC, multiple MOOCs, or review of a method), data collection methods, data analysis methods, and number of participants; and (4) outcome measures of the study: learner-focused outcomes and other outcomes. The studies were classified as quantitative, mixed methods, or qualitative based on the methods used. Studies were considered as mixed methods if they used a combination of qualitative or quantitative <italic>techniques, methods, approaches, concepts, or language</italic> in the same study [<xref ref-type="bibr" rid="ref16">16</xref>].</p>
      </sec>
      <sec>
        <title>Assessment of Methodological Quality</title>
        <p>The Cochrane Collaboration Risk of Bias Tool for randomized controlled trials (RCTs) [<xref ref-type="bibr" rid="ref17">17</xref>] and the National Institutes of Health—National Heart, Lung, and Blood Institute quality assessment tool for cohort observational studies and for before-after (pre-post) studies with no control group [<xref ref-type="bibr" rid="ref18">18</xref>] were used to assess the methodological quality of the included studies depending on their study design.</p>
      </sec>
      <sec>
        <title>Data Synthesis</title>
        <p>We summarized the data graphically and descriptively. The evaluation results were reported according to the design thinking approach for evaluations that follows the subsequent order: (1) problem framing, (2) data collection, (3) analysis, and (4) interpretation [<xref ref-type="bibr" rid="ref19">19</xref>].</p>
      </sec>
      <sec>
        <title>Problem Framing</title>
        <p>The evaluation-focused categories in the problem framing section were determined through discussions among the primary authors to summarize study aims and objectives. The 3 categories used in the evaluation-focused categories were defined as follows:</p>
        <list list-type="order">
          <list-item>
            <p>The learner-focused evaluation seeks to gain insight into the learner characteristics and behavior, including metrics such as completion and participation rates, satisfaction rates, their learning experiences, and outcomes.</p>
          </list-item>
          <list-item>
            <p>Teaching-focused evaluation studies aim to analyze pedagogical practices so as to improve teaching.</p>
          </list-item>
          <list-item>
            <p>MOOC-focused evaluation studies aim to better understand the efficacy of the learning platform to improve the overall impact of these courses.</p>
          </list-item>
        </list>
        <p>Further to the evaluation-focused categories, the subcategories were generated by conducting a thematic analysis of the MOOC evaluation studies’ aims and objectives. The themes resulted through an iterative process where study aims were coded and then consolidated into themes by the first author. The themes were then discussed with and reviewed by the second author until an agreement was reached.</p>
      </sec>
      <sec>
        <title>Data Collection Analysis and Interpretation</title>
        <p>The categories reported in the data collection sections were all representations of what the studies reported to be the data collection method. The categorization of the learner-focused parameters was done based on how the authors identified the outcomes. For example, if authors mention that the reported outcome was measuring <italic>learners’ attitudes to evaluate overall MOOC experience</italic>, the parameter was recorded in the <italic>learner experience</italic> category. Similarly, if the authors mentioned that the reported outcome was evaluating what students gained from the course, the parameter was recorded as <italic>longer term learner outcomes</italic>.</p>
      </sec>
    </sec>
    <sec sec-type="results">
      <title>Results</title>
      <p>In this section, we have described the search results and the methodological quality assessment results. We have then described the study findings using the following categories for MOOC evaluation: research design, aim, data collection methods, data analysis methods, and analysis and interpretation.</p>
      <sec>
        <title>Search Results</title>
        <p>There were 3275 records identified in the literature search and 2499 records remained after duplicates were removed. Records were screened twice before full-text reading. In the first screening (n=2499), all articles that did not focus on MOOCs specifically were removed (<xref rid="figure1" ref-type="fig">Figure 1</xref>). In the second screening (n=906), all articles that did not focus on MOOC learners or MOOC evaluation methods were removed (<xref rid="figure1" ref-type="fig">Figure 1</xref>). This was followed by full-text reading of 154 studies (<xref rid="figure1" ref-type="fig">Figure 1</xref>). An additional 5 studies were identified by searching the bibliographies of the included studies. In total, 33 publications were included in this review. There were 31 cross-sectional studies, 1 randomized trial, and 1 quasi-experimental study. The completed data abstraction forms of the included studies are in <xref ref-type="supplementary-material" rid="app3">Multimedia Appendix 3</xref>.</p>
        <fig id="figure1" position="float">
          <label>Figure 1</label>
          <caption>
            <p>A Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart of the literature search.</p>
          </caption>
          <graphic xlink:href="jmir_v22i4e13851_fig1.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
      </sec>
      <sec>
        <title>Methodological Quality</title>
        <p>The RCT included in this study [<xref ref-type="bibr" rid="ref20">20</xref>] received a low risk-of-bias classification (<xref ref-type="supplementary-material" rid="app4">Multimedia Appendix 4</xref>).</p>
        <p>Of the 31 cross-sectional studies, 26 received poor ratings because of a high risk of bias (<xref ref-type="supplementary-material" rid="app5">Multimedia Appendix 5</xref>). The remaining 5 studies received a fair rating because of a higher consideration for possible bias. In total, 2 studies that were able to measure exposure before outcomes such as studies that performed pretests and posttests [<xref ref-type="bibr" rid="ref21">21</xref>,<xref ref-type="bibr" rid="ref22">22</xref>], 3 studies that accounted for confounding variables [<xref ref-type="bibr" rid="ref21">21</xref>-<xref ref-type="bibr" rid="ref23">23</xref>], 2 studies that used validated exposure [<xref ref-type="bibr" rid="ref24">24</xref>,<xref ref-type="bibr" rid="ref25">25</xref>], and 2 studies that used outcome measures [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref25">25</xref>] received a better quality rating.</p>
        <p>A quality assessment of the quasi-experimental study using longitudinal pretests and posttests [<xref ref-type="bibr" rid="ref26">26</xref>] is included in <xref ref-type="supplementary-material" rid="app6">Multimedia Appendix 6</xref>.</p>
      </sec>
      <sec>
        <title>Massive Open Online Course Evaluation Research Design</title>
        <p>In total, 16 studies used a quantitative study design, 11 studies used a qualitative study design, and 6 studies used a mixed methods study design. There was 1 RCT [<xref ref-type="bibr" rid="ref20">20</xref>] and 1 quasi-experimental study [<xref ref-type="bibr" rid="ref26">26</xref>]. In total, 4 studies evaluated more than 1 MOOC [<xref ref-type="bibr" rid="ref27">27</xref>-<xref ref-type="bibr" rid="ref30">30</xref>]. In all, 2 studies evaluated 2 runs of the same MOOC [<xref ref-type="bibr" rid="ref31">31</xref>,<xref ref-type="bibr" rid="ref32">32</xref>], and 1 study evaluated 3 parts of the same MOOC, run twice for consecutive years [<xref ref-type="bibr" rid="ref33">33</xref>].</p>
        <p>In total, 6 studies used a comparator in their methods. A study compared precourse and postcourse surveys by performing a chi-square test of changes in <italic>confidence, attitudes, and knowledge</italic> [<xref ref-type="bibr" rid="ref34">34</xref>]. A study compared the average assignment and final essay scores of MOOC learners with face-to-face learners and calculated 2 independent sample <italic>t</italic> tests to compare the differences between learners but did not include any pre- and posttest or survey results [<xref ref-type="bibr" rid="ref35">35</xref>]. In all, 4 studies conducted pretest and posttest analyses [<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref26">26</xref>]. Hossain et al [<xref ref-type="bibr" rid="ref20">20</xref>] used an RCT design and calculated the mean between-group differences of knowledge, confidence, and satisfaction comparing MOOC learners with other Web-based learners. Colvin et al [<xref ref-type="bibr" rid="ref21">21</xref>] calculated normalized gain using item response between pretest and posttest scores and the Item Response Theory for weekly performance compared with that of on-campus learners. Rubio et al [<xref ref-type="bibr" rid="ref26">26</xref>] compared the pretest mean and posttest mean of comprehensibility scores in a MOOC, comparing results with those of face-to-face learners [<xref ref-type="bibr" rid="ref26">26</xref>]. Konstan et al [<xref ref-type="bibr" rid="ref22">22</xref>] calculated knowledge test gains by performing a paired <italic>t</italic> test of average knowledge gains, comparing these gains with those of face-to-face learners and (comparing 2 learner groups) the average normalized learning gains among all learners [<xref ref-type="bibr" rid="ref22">22</xref>].</p>
      </sec>
      <sec>
        <title>Aim of Massive Open Online Course Evaluations</title>
        <p>The aim or objective of MOOC evaluations included in this review can be categorized into learner-focused, teaching-focused, and MOOC-focused evaluation aims (<xref ref-type="table" rid="table1">Table 1</xref>). In all, 16 studies evaluated learner characteristics and behavior and 20 studies evaluated learning outcomes and experiences. One of the least studied aspects of MOOC evaluation is pedagogical practices, which were only evaluated by 2 studies [<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref37">37</xref>].</p>
        <table-wrap position="float" id="table1">
          <label>Table 1</label>
          <caption>
            <p>The aim of the massive open online course evaluations for the included studies.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="30"/>
            <col width="400"/>
            <col width="400"/>
            <col width="170"/>
            <thead>
              <tr valign="top">
                <td colspan="2">Evaluation aim focus, subcategories</td>
                <td>Studies</td>
                <td>Number of studies</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td colspan="4">
                  <bold>Learner</bold>
                </td>
              </tr>
              <tr valign="top">
                <td rowspan="8">
                  <break/>
                </td>
                <td>Learner expectations</td>
                <td>[<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref38">38</xref>,<xref ref-type="bibr" rid="ref39">39</xref>]</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Learner characteristics and behavior</td>
                <td>[<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref27">27</xref>,<xref ref-type="bibr" rid="ref28">28</xref>,<xref ref-type="bibr" rid="ref30">30</xref>-<xref ref-type="bibr" rid="ref32">32</xref>,<xref ref-type="bibr" rid="ref38">38</xref>,<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref40">40</xref>-<xref ref-type="bibr" rid="ref46">46</xref>]</td>
                <td>16</td>
              </tr>
              <tr valign="top">
                <td>Learner engagement</td>
                <td>[<xref ref-type="bibr" rid="ref27">27</xref>,<xref ref-type="bibr" rid="ref34">34</xref>,<xref ref-type="bibr" rid="ref43">43</xref>,<xref ref-type="bibr" rid="ref45">45</xref>]</td>
                <td>4</td>
              </tr>
              <tr valign="top">
                <td>Participation or completion rates</td>
                <td>[<xref ref-type="bibr" rid="ref24">24</xref>,<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref34">34</xref>,<xref ref-type="bibr" rid="ref42">42</xref>,<xref ref-type="bibr" rid="ref44">44</xref>,<xref ref-type="bibr" rid="ref45">45</xref>]</td>
                <td>6</td>
              </tr>
              <tr valign="top">
                <td>Learner satisfaction</td>
                <td>[<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref47">47</xref>]</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Peer interaction</td>
                <td>[<xref ref-type="bibr" rid="ref25">25</xref>,<xref ref-type="bibr" rid="ref43">43</xref>,<xref ref-type="bibr" rid="ref46">46</xref>,<xref ref-type="bibr" rid="ref48">48</xref>]</td>
                <td>4</td>
              </tr>
              <tr valign="top">
                <td>Learning outcomes and experience</td>
                <td>[<xref ref-type="bibr" rid="ref21">21</xref>-<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref31">31</xref>,<xref ref-type="bibr" rid="ref33">33</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref37">37</xref>,<xref ref-type="bibr" rid="ref39">39</xref>-<xref ref-type="bibr" rid="ref41">41</xref>,<xref ref-type="bibr" rid="ref43">43</xref>,<xref ref-type="bibr" rid="ref44">44</xref>,<xref ref-type="bibr" rid="ref46">46</xref>-<xref ref-type="bibr" rid="ref50">50</xref>]</td>
                <td>20</td>
              </tr>
              <tr valign="top">
                <td>Knowledge retention</td>
                <td>[<xref ref-type="bibr" rid="ref22">22</xref>]</td>
                <td>1</td>
              </tr>
              <tr valign="top">
                <td colspan="4">
                  <bold>Teaching</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>Pedagogical practices</td>
                <td>[<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref37">37</xref>]</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td colspan="4">
                  <bold>MOOC<sup>a</sup></bold>
                </td>
              </tr>
              <tr valign="top">
                <td rowspan="4">
                  <break/>
                </td>
                <td>Comparison with other learning platforms</td>
                <td>[<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref38">38</xref>]</td>
                <td>4</td>
              </tr>
              <tr valign="top">
                <td>MOOC content and structure</td>
                <td>[<xref ref-type="bibr" rid="ref48">48</xref>]</td>
                <td>1</td>
              </tr>
              <tr valign="top">
                <td>Implementation of MOOC</td>
                <td>[<xref ref-type="bibr" rid="ref29">29</xref>,<xref ref-type="bibr" rid="ref31">31</xref>,<xref ref-type="bibr" rid="ref33">33</xref>,<xref ref-type="bibr" rid="ref49">49</xref>,<xref ref-type="bibr" rid="ref52">52</xref>]</td>
                <td>5</td>
              </tr>
              <tr valign="top">
                <td>Sustainability of MOOC</td>
                <td>[<xref ref-type="bibr" rid="ref49">49</xref>]</td>
                <td>1</td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn id="table1fn1">
              <p><sup>a</sup>MOOC: massive open online course.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
      </sec>
      <sec>
        <title>Massive Open Online Course Evaluation Data Collection Methods</title>
        <p>In all, 12 studies used 1 data source [<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref24">24</xref>,<xref ref-type="bibr" rid="ref25">25</xref>,<xref ref-type="bibr" rid="ref27">27</xref>,<xref ref-type="bibr" rid="ref28">28</xref>,<xref ref-type="bibr" rid="ref31">31</xref>,<xref ref-type="bibr" rid="ref32">32</xref>,<xref ref-type="bibr" rid="ref38">38</xref>,<xref ref-type="bibr" rid="ref43">43</xref>,<xref ref-type="bibr" rid="ref47">47</xref>], 11 studies used 2 data sources [<xref ref-type="bibr" rid="ref21">21</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref29">29</xref>,<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref33">33</xref>,<xref ref-type="bibr" rid="ref34">34</xref>,<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref40">40</xref>,<xref ref-type="bibr" rid="ref42">42</xref>,<xref ref-type="bibr" rid="ref45">45</xref>,<xref ref-type="bibr" rid="ref51">51</xref>], 7 studies used 3 data sources [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref41">41</xref>,<xref ref-type="bibr" rid="ref44">44</xref>,<xref ref-type="bibr" rid="ref46">46</xref>,<xref ref-type="bibr" rid="ref48">48</xref>], 2 studies used 4 data sources [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref37">37</xref>], and 1 study used 5 data sources [<xref ref-type="bibr" rid="ref52">52</xref>]. The most used data sources were surveys followed by learning management system (LMS), quizzes, and interviews (<xref ref-type="table" rid="table2">Table 2</xref>). “Other” data sources that are referred to in <xref ref-type="table" rid="table2">Table 2</xref> include data collected from social media posts [<xref ref-type="bibr" rid="ref37">37</xref>], registration forms [<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref44">44</xref>], online focus groups [<xref ref-type="bibr" rid="ref37">37</xref>], and homework performance data [<xref ref-type="bibr" rid="ref21">21</xref>]. These data sources were used to collect data on different aspects of the evaluation.</p>
        <table-wrap position="float" id="table2">
          <label>Table 2</label>
          <caption>
            <p>Studies using different data sources (N=33).</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="500"/>
            <col width="500"/>
            <thead>
              <tr valign="top">
                <td>Data source</td>
                <td>Value, n (%)</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td>Surveys</td>
                <td>20 (30.8)</td>
              </tr>
              <tr valign="top">
                <td>Interviews</td>
                <td>8 (12.3)</td>
              </tr>
              <tr valign="top">
                <td>Learning Management System</td>
                <td>18 (27.7)</td>
              </tr>
              <tr valign="top">
                <td>Discussions</td>
                <td>5 (7.7)</td>
              </tr>
              <tr valign="top">
                <td>Quizzes</td>
                <td>9 (13.8)</td>
              </tr>
              <tr valign="top">
                <td>Other</td>
                <td>5 (7.7)</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p>In total, 8 studies collected data through interviews and had a population size ranging from 2 to 44 [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref37">37</xref>,<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref42">42</xref>,<xref ref-type="bibr" rid="ref43">43</xref>,<xref ref-type="bibr" rid="ref49">49</xref>,<xref ref-type="bibr" rid="ref51">51</xref>,<xref ref-type="bibr" rid="ref52">52</xref>]. In total, 20 studies that collected data through surveys had a population size ranging from 25 to 10,392 [<xref ref-type="bibr" rid="ref22">22</xref>-<xref ref-type="bibr" rid="ref41">41</xref>,<xref ref-type="bibr" rid="ref44">44</xref>-<xref ref-type="bibr" rid="ref46">46</xref>,<xref ref-type="bibr" rid="ref51">51</xref>,<xref ref-type="bibr" rid="ref52">52</xref>]. In all, 18 studies that collected data through the LMS [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref24">24</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref29">29</xref>-<xref ref-type="bibr" rid="ref31">31</xref>,<xref ref-type="bibr" rid="ref33">33</xref>-<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref39">39</xref>-<xref ref-type="bibr" rid="ref42">42</xref>,<xref ref-type="bibr" rid="ref44">44</xref>-<xref ref-type="bibr" rid="ref46">46</xref>,<xref ref-type="bibr" rid="ref48">48</xref>,<xref ref-type="bibr" rid="ref52">52</xref>] had a population size made of participants or data points (eg, discussion posts) ranging from 59 to 209,871. Nine studies used quiz data [<xref ref-type="bibr" rid="ref20">20</xref>-<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref33">33</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref41">41</xref>,<xref ref-type="bibr" rid="ref47">47</xref>,<xref ref-type="bibr" rid="ref52">52</xref>]. Studies that used quiz data had a population size of 48 [<xref ref-type="bibr" rid="ref20">20</xref>], 53 [<xref ref-type="bibr" rid="ref47">47</xref>], 136 [<xref ref-type="bibr" rid="ref41">41</xref>], 1080 [<xref ref-type="bibr" rid="ref21">21</xref>], and 5255 [<xref ref-type="bibr" rid="ref22">22</xref>]. Other data sources used did not have a clearly reported sample size for a particular source.</p>
        <p><xref ref-type="table" rid="table3">Table 3</xref> shows the various data collection methods and their uses. Pre-MOOC surveys or pretests could be used for baseline data such as learner expectations [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref50">50</xref>] or learner baseline test scores [<xref ref-type="bibr" rid="ref20">20</xref>-<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref33">33</xref>], which, then, allows tests scores to be compared with post-MOOC survey and quiz data [<xref ref-type="bibr" rid="ref20">20</xref>-<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref27">27</xref>,<xref ref-type="bibr" rid="ref33">33</xref>]. <xref ref-type="table" rid="table3">Table 3</xref> explains <italic>how</italic> studies collected data to meet the aims of their evaluation. In general, surveys were used to collect demographic data, learner experience, and learner perceptions and reactions, whereas LMS data were used for tracking learner completion of the MOOCs.</p>
        <table-wrap position="float" id="table3">
          <label>Table 3</label>
          <caption>
            <p>Data collection methods and their uses in massive open online course evaluations.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="230"/>
            <col width="770"/>
            <thead>
              <tr valign="top">
                <td>Data</td>
                <td>Uses</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td>Registration form</td>
                <td>To collect demographic information [<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref30">30</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Pre-MOOC<sup>a</sup> survey</td>
                <td>To collect data on the following: demographic information [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref29">29</xref>,<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref40">40</xref>,<xref ref-type="bibr" rid="ref46">46</xref>,<xref ref-type="bibr" rid="ref50">50</xref>,<xref ref-type="bibr" rid="ref52">52</xref>]; learners’ background [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref29">29</xref>,<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref46">46</xref>] and expectations; perceptions [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref50">50</xref>]; learners’ experience [<xref ref-type="bibr" rid="ref40">40</xref>]; learners’ past MOOC experience [<xref ref-type="bibr" rid="ref29">29</xref>]; learners’ self-efficacy [<xref ref-type="bibr" rid="ref52">52</xref>], motivation [<xref ref-type="bibr" rid="ref52">52</xref>], and goals [<xref ref-type="bibr" rid="ref44">44</xref>,<xref ref-type="bibr" rid="ref50">50</xref>]; assess learners’ knowledge [<xref ref-type="bibr" rid="ref40">40</xref>] and course efficacy [<xref ref-type="bibr" rid="ref50">50</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Pretest</td>
                <td>To collect baseline test scores for comparison with posttest scores [<xref ref-type="bibr" rid="ref20">20</xref>-<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref33">33</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Learning management system data</td>
                <td>To collect data on the following: demographic information [<xref ref-type="bibr" rid="ref24">24</xref>]; attendance rates [<xref ref-type="bibr" rid="ref24">24</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref42">42</xref>]; completion of the different components of the MOOC [<xref ref-type="bibr" rid="ref24">24</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref36">36</xref>,<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref42">42</xref>]; quiz or assignment scores [<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref45">45</xref>]; learner activity [<xref ref-type="bibr" rid="ref45">45</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Discussion posts</td>
                <td>Feedback about the course [<xref ref-type="bibr" rid="ref46">46</xref>] and learner interactions [<xref ref-type="bibr" rid="ref25">25</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Quiz, homework, or test (not specified as pre- or postquiz or test)</td>
                <td>Grades to assess learning [<xref ref-type="bibr" rid="ref21">21</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref41">41</xref>] and a weekly quiz to record learners’ reaction to the tools called <italic>digital readiness tools</italic> of the course [<xref ref-type="bibr" rid="ref47">47</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Post-MOOC survey</td>
                <td>To collect demographic information [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref39">39</xref>-<xref ref-type="bibr" rid="ref41">41</xref>,<xref ref-type="bibr" rid="ref50">50</xref>,<xref ref-type="bibr" rid="ref51">51</xref>]; to record the learning experience [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref41">41</xref>]; to record course influence [<xref ref-type="bibr" rid="ref48">48</xref>]; to guide MOOC design [<xref ref-type="bibr" rid="ref48">48</xref>], course feedback [<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref33">33</xref>,<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref41">41</xref>,<xref ref-type="bibr" rid="ref46">46</xref>,<xref ref-type="bibr" rid="ref50">50</xref>], perceptions [<xref ref-type="bibr" rid="ref38">38</xref>,<xref ref-type="bibr" rid="ref50">50</xref>], excitement [<xref ref-type="bibr" rid="ref38">38</xref>], learners’ motivation [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref32">32</xref>,<xref ref-type="bibr" rid="ref39">39</xref>], learners’ satisfaction [<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref40">40</xref>,<xref ref-type="bibr" rid="ref41">41</xref>], enjoyment of the course [<xref ref-type="bibr" rid="ref40">40</xref>] and “Patterns and levels of participation” in the course [<xref ref-type="bibr" rid="ref37">37</xref>], learning strategies [<xref ref-type="bibr" rid="ref32">32</xref>]; to assess learner knowledge [<xref ref-type="bibr" rid="ref40">40</xref>], course usefulness [<xref ref-type="bibr" rid="ref39">39</xref>,<xref ref-type="bibr" rid="ref45">45</xref>], course degree of perseverance [<xref ref-type="bibr" rid="ref45">45</xref>], reasons for dropping out of the MOOC [<xref ref-type="bibr" rid="ref30">30</xref>]; to recruit participants for research [<xref ref-type="bibr" rid="ref23">23</xref>]; to collect course feedback [<xref ref-type="bibr" rid="ref44">44</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Posttest</td>
                <td>To assess learning [<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref21">21</xref>]; to assess confidence in applying learning [<xref ref-type="bibr" rid="ref20">20</xref>]; to assess satisfaction [<xref ref-type="bibr" rid="ref20">20</xref>]; to calculate the difference in scores compared with pretest [<xref ref-type="bibr" rid="ref22">22</xref>,<xref ref-type="bibr" rid="ref26">26</xref>,<xref ref-type="bibr" rid="ref33">33</xref>]; to assess knowledge retention 5 months post-MOOC [<xref ref-type="bibr" rid="ref22">22</xref>]</td>
              </tr>
              <tr valign="top">
                <td>End of MOOC quiz</td>
                <td>To record learners’ feedback in relation to the course material (whether the course helped them become <italic>flexible learners</italic>) [<xref ref-type="bibr" rid="ref47">47</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Postcourse interview</td>
                <td>Course participation and evaluation [<xref ref-type="bibr" rid="ref37">37</xref>,<xref ref-type="bibr" rid="ref42">42</xref>]; course effectiveness [<xref ref-type="bibr" rid="ref43">43</xref>,<xref ref-type="bibr" rid="ref49">49</xref>]; sustainability of the course [<xref ref-type="bibr" rid="ref49">49</xref>]; reason for taking the course [<xref ref-type="bibr" rid="ref23">23</xref>]; learners’ motivation [<xref ref-type="bibr" rid="ref23">23</xref>,<xref ref-type="bibr" rid="ref42">42</xref>]; to understand learning behavior [<xref ref-type="bibr" rid="ref51">51</xref>]; <italic>postcourse practices</italic> or learners’ behavior [<xref ref-type="bibr" rid="ref52">52</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Email interview</td>
                <td>To understand learners’ behavior and learning in MOOCs [<xref ref-type="bibr" rid="ref37">37</xref>]; specify MOOC positives [<xref ref-type="bibr" rid="ref39">39</xref>]; motivation in MOOC; challenges in MOOC [<xref ref-type="bibr" rid="ref39">39</xref>]</td>
              </tr>
              <tr valign="top">
                <td>Online focus group</td>
                <td>Assessment of the course: organization, assessment, <italic>use of technology</italic> and <italic>inclusive practice</italic> [<xref ref-type="bibr" rid="ref37">37</xref>]</td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn id="table3fn1">
              <p><sup>a</sup>MOOC: massive open online course.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
      </sec>
      <sec>
        <title>Massive Open Online Course Evaluation Analysis and Interpretation</title>
        <p>In terms of the data analysis methods, quantitative methods were the only type of method used in 16 studies with descriptive and inferential statistics, the top 2 preferred methods. Qualitative analysis methods such as thematic analyses, which can include grounded theory [<xref ref-type="bibr" rid="ref49">49</xref>], focused coding [<xref ref-type="bibr" rid="ref38">38</xref>,<xref ref-type="bibr" rid="ref39">39</xref>], and content analysis [<xref ref-type="bibr" rid="ref25">25</xref>,<xref ref-type="bibr" rid="ref50">50</xref>], were mainly used in qualitative studies.</p>
        <p>A summary of the parameters, indicators, and data analysis used for the MOOC evaluation can be found in <xref ref-type="table" rid="table4">Table 4</xref>. Most notably, inferential statistics were used to analyze learning outcomes (<xref ref-type="table" rid="table4">Table 4</xref>) such as the comparison of means or the use of regression methods to analyze quiz or test grades. These outcomes were also used as a measure to evaluate the overall effectiveness of a MOOC by the studies. <xref ref-type="table" rid="table4">Table 4</xref> shows how the data collection method uses mentioned in <xref ref-type="table" rid="table3">Table 3</xref> were measured and analyzed. In general, studies focused on measuring learner engagement and learners’ behavior–related indicators. Studies referred to learning in different ways such as <italic>learning</italic>, learning performance, learning outcome, or gain in comprehensibility depending on the learning material of the course. Other studies considered learning outcomes such as knowledge retention or <italic>what students took away from the course</italic>. There was a consensus that learner engagement can be measured by measuring the various learner activities in the course, whereas learner behavior was a more general term used by studies to describe the different MOOC evaluation measures. For teaching-focused evaluation, both Mackness et al [<xref ref-type="bibr" rid="ref37">37</xref>] and Singh et al [<xref ref-type="bibr" rid="ref36">36</xref>] used learner parameters to reflect and analyze pedagogical practices.</p>
        <table-wrap position="float" id="table4">
          <label>Table 4</label>
          <caption>
            <p>Data collection method uses mentioned earlier and how they were analyzed in massive open online course evaluations.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="30"/>
            <col width="470"/>
            <col width="500"/>
            <thead>
              <tr valign="top">
                <td colspan="2">Data collection method uses, parameters or themes reported</td>
                <td>Data analysis methods</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learning outcomes</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Learning [<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref33">33</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learning performance [<xref ref-type="bibr" rid="ref52">52</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>“Learning outcome” [<xref ref-type="bibr" rid="ref41">41</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learning [<xref ref-type="bibr" rid="ref21">21</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Overall learner ability in the course [<xref ref-type="bibr" rid="ref21">21</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>The students’ gains in comprehensibility [<xref ref-type="bibr" rid="ref26">26</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Subject-matter knowledge [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Comprehensibility of learner audio recordings in a language MOOC<sup>a</sup> [<xref ref-type="bibr" rid="ref26">26</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Knowledge retention [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learning performance [<xref ref-type="bibr" rid="ref35">35</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Calculation of the mean difference between pretest and posttest scores [<xref ref-type="bibr" rid="ref20">20</xref>,<xref ref-type="bibr" rid="ref33">33</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Compare pretest and posttest scores using a paired <italic>t</italic> test [<xref ref-type="bibr" rid="ref33">33</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Descriptive statistics [<xref ref-type="bibr" rid="ref52">52</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>“Regressing quiz and homework score on participation and MOOC experience” [<xref ref-type="bibr" rid="ref41">41</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Calculation of normalized gain between pretest and posttest</p>
                    </list-item>
                    <list-item>
                      <p>Using the Item Response Theory analyzing pretest, posttest, and homework performance [<xref ref-type="bibr" rid="ref21">21</xref>]A matched-pairs <italic>t</italic> test to measure the “gains in comprehensibility between the pretest and posttest” and an unpaired <italic>t</italic> test to compare the pretest and posttest means [<xref ref-type="bibr" rid="ref26">26</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Knowledge test gains by calculating normalized learning gains when comparing pretest and posttest scores [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Calculation of gains in comprehensibility [<xref ref-type="bibr" rid="ref26">26</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>“A paired-samples <italic>t</italic> test to examine student knowledge retention as measured by the postcourse and follow-up tests” [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Two independent sample <italic>t</italic> tests to compare the quiz and assignment scores [<xref ref-type="bibr" rid="ref35">35</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learner participation or engagement</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Contributions per week, number of tweets, “quality of posted comments and learning designs,” “quality of peer feedback,” “ranking of importance of course features,” “comments received by those posting and sharing a scenario idea in Week 2” [<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref44">44</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Determinants of completion [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Course completion rate [<xref ref-type="bibr" rid="ref42">42</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>The number of videos watched, video activity (play, stops, and full watch), the number of quizzes submitted, and discussion forum activity; reading in forums, the number of posts and comments, and dropout rate [<xref ref-type="bibr" rid="ref31">31</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Reasons for dropping out of the course [<xref ref-type="bibr" rid="ref30">30</xref>], total number of reads in forums, the number of forum and post comments [<xref ref-type="bibr" rid="ref31">31</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>The number of comments per participant, completed steps, and the “likes” count [<xref ref-type="bibr" rid="ref34">34</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>The frequency of viewing lectures [<xref ref-type="bibr" rid="ref40">40</xref>] and frequency of attempting quizzes [<xref ref-type="bibr" rid="ref40">40</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner course activity and course grade [<xref ref-type="bibr" rid="ref45">45</xref>] and frequency of interaction on online forums</p>
                    </list-item>
                    <list-item>
                      <p>Satisfaction with MOOC, comfort with learning new things, and joining MOOC because of the “Love for Learning” [<xref ref-type="bibr" rid="ref27">27</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Descriptive statistics [<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref31">31</xref>,<xref ref-type="bibr" rid="ref34">34</xref>,<xref ref-type="bibr" rid="ref35">35</xref>,<xref ref-type="bibr" rid="ref42">42</xref>,<xref ref-type="bibr" rid="ref44">44</xref>] and frequency analysis [<xref ref-type="bibr" rid="ref45">45</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Logistic regression of homework and exam outcomes [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Regression [<xref ref-type="bibr" rid="ref40">40</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Frequency analysis [<xref ref-type="bibr" rid="ref45">45</xref>] and structural equation modeling [<xref ref-type="bibr" rid="ref27">27</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learner experience</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Comparison of a Likert scale rating of “the technology quality and user-friendliness of the Web environment, the quality of instructional content, and the instructional arrangement,” satisfaction with interactions with instructors, satisfaction with support received, and the satisfaction of learning needs between MOOC and onsite learners [<xref ref-type="bibr" rid="ref35">35</xref>]</p>
                    </list-item>
                  </list>
                  <list list-type="bullet">
                    <list-item>
                      <p>“Perceived usefulness and ease of use” of MOOC [<xref ref-type="bibr" rid="ref41">41</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>“Perceived learning experience” [<xref ref-type="bibr" rid="ref41">41</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner rating of the “usefulness and relevance of the activities” [<xref ref-type="bibr" rid="ref45">45</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Overall learner attitude [<xref ref-type="bibr" rid="ref23">23</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Comparison of “Likert scale items” using the Mann-Whitney U tests [<xref ref-type="bibr" rid="ref35">35</xref>], regression analysis [<xref ref-type="bibr" rid="ref41">41</xref>], factor analysis of factors related to <italic>poststudy feedback</italic> [<xref ref-type="bibr" rid="ref41">41</xref>], frequency analysis [<xref ref-type="bibr" rid="ref45">45</xref>], sentiment analysis of interview data [<xref ref-type="bibr" rid="ref23">23</xref>], and descriptive statistics [<xref ref-type="bibr" rid="ref30">30</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learner expectation</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Student expectations (theme) [<xref ref-type="bibr" rid="ref50">50</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Whether course fulfilled expectations [<xref ref-type="bibr" rid="ref30">30</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Descriptive content analysis [<xref ref-type="bibr" rid="ref50">50</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Descriptive statistics [<xref ref-type="bibr" rid="ref30">30</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learner behavior</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>“Autonomous learning across distributed platforms, learning through diversity, learning through openness and interactivity, organizing learning through aggregation, co-creation, and creativity through remixing and repurposing, coping with uncertainty, and identity building” (themes) [<xref ref-type="bibr" rid="ref37">37</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>How learners approach “professional learning” in a MOOC, what learner behavior is exhibited by learners, and how “professionals relate their MOOC learning to their professional role” [<xref ref-type="bibr" rid="ref51">51</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Factors predicting learner and student success [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner self-reported “assertions on learning strategies” [<xref ref-type="bibr" rid="ref32">32</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Qualitative descriptive [<xref ref-type="bibr" rid="ref37">37</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Coding of interview data [<xref ref-type="bibr" rid="ref51">51</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Ordinary least squares regression using learner demographic data and knowledge data [<xref ref-type="bibr" rid="ref22">22</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Descriptive statistics [<xref ref-type="bibr" rid="ref32">32</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learner retention</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Learner course activity and course grade [<xref ref-type="bibr" rid="ref45">45</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner rating of course perseverance [<xref ref-type="bibr" rid="ref45">45</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>1-2 frequency analysis [<xref ref-type="bibr" rid="ref45">45</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure long-term learner outcomes</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Learner opinions about course effectiveness [<xref ref-type="bibr" rid="ref49">49</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>“What students took away from the MOOC” (theme) [<xref ref-type="bibr" rid="ref50">50</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Using grounded-theory methods of interview data [<xref ref-type="bibr" rid="ref49">49</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Descriptive content analysis [<xref ref-type="bibr" rid="ref50">50</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure social interactions</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Learner “interaction in forums” [<xref ref-type="bibr" rid="ref42">42</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner to learner interactions [<xref ref-type="bibr" rid="ref25">25</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner collaboration patterns [<xref ref-type="bibr" rid="ref25">25</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Social network analysis [<xref ref-type="bibr" rid="ref42">42</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Content analysis of discussions posts using the Interaction Analysis Model [<xref ref-type="bibr" rid="ref25">25</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Social network analysis [<xref ref-type="bibr" rid="ref25">25</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
              <tr valign="top">
                <td colspan="3">
                  <bold>To measure learner motivation</bold>
                </td>
              </tr>
              <tr valign="top">
                <td>
                  <break/>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>“Learning motivation” [<xref ref-type="bibr" rid="ref42">42</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Learner self-reported “assertions on motivation” [<xref ref-type="bibr" rid="ref32">32</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>“A reason for taking or completing the course” [<xref ref-type="bibr" rid="ref23">23</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Exploring the “primary motivation for taking” the course [<xref ref-type="bibr" rid="ref28">28</xref>]</p>
                    </list-item>
                  </list>
                </td>
                <td>
                  <list list-type="bullet">
                    <list-item>
                      <p>Descriptive qualitative [<xref ref-type="bibr" rid="ref42">42</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Descriptive statistics [<xref ref-type="bibr" rid="ref32">32</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Thematic analysis of interview data [<xref ref-type="bibr" rid="ref23">23</xref>]</p>
                    </list-item>
                    <list-item>
                      <p>Emergent coding on survey data [<xref ref-type="bibr" rid="ref28">28</xref>]</p>
                    </list-item>
                  </list>
                </td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn id="table4fn1">
              <p><sup>a</sup>MOOC: massive open online course.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
      </sec>
    </sec>
    <sec sec-type="discussion">
      <title>Discussion</title>
      <p>This study aimed to review current MOOC evaluation methods to understand the methods that have been used in published MOOC studies and subsequently to inform future designs of MOOC evaluation methods. Owing to the diversity of MOOC topics and learners, it is not possible to propose a single evaluation method for all MOOCs. Researchers aiming to evaluate a MOOC should choose a method based on the aims of their evaluation or the parameters they would like to measure. In general, data collection methods were similar in most evaluations, such as the use of interviews or survey data, and the analysis methods were highly heterogeneous among studies.</p>
      <sec>
        <title>Massive Open Online Course Evaluation Research Design</title>
        <p>The cross-sectional study design was used in 31 of 33 of the included studies. The cross-sectional study design was used when the aim was to investigate the factors affecting outcomes for a population at a given time point [<xref ref-type="bibr" rid="ref53">53</xref>]. For the MOOC evaluation, this is particularly useful for observing the population of learners and for understanding the factors affecting the success and impact of a MOOC. They are relatively inexpensive to conduct and can assess many outcomes and factors at the same time. However, cross-sectional study designs are subject to <italic>nonresponse bias</italic>, which means that studies are only representative of those who participated, who incidentally may happen to be different from the rest of the population [<xref ref-type="bibr" rid="ref53">53</xref>].</p>
        <p>One of the most effective methods of evaluation used in MOOCs was the use of baseline data to compare outcomes. Studies that did pretests and posttests had a less likelihood of bias in their outcomes owing to the measurement of exposure before the measurement of outcome [<xref ref-type="bibr" rid="ref18">18</xref>]. Even when studies used pre- and postcourse surveys or tests, they were not longitudinal in design, as such a design requires a follow-up of the same individuals and requires observing them <italic>at multiple time points</italic> [<xref ref-type="bibr" rid="ref53">53</xref>]. Therefore, the use of pre- and postsurveys or tests without linking the individuals may simply represent a difference in the groups studied rather than changes in learning or learner outcomes. The advantages of this method are that it can reduce bias, and quasi-experimental studies are known as strong methods. However, the disadvantage is that although this method may work with assessing learning, such as memorizing information, it may not work to assess skill development or the application of skills.</p>
      </sec>
      <sec>
        <title>Aim of Massive Open Online Course Evaluations</title>
        <p>Understanding the aim behind the evaluation of MOOCs is critically important in designing MOOC evaluation methods as it influences the performance indicators and parameters to be evaluated. More importantly, motivation for the evaluation determines the data methods that will be used. One reason for the inability to conclude a standardized evaluation method from this review is that studies differ in the aspects and purposes of why they are conducting the evaluation. For example, not all studies perform evaluations of MOOCs to evaluate overall effectiveness, which is an important aspect to consider if MOOCs are to be adopted more formally in higher education [<xref ref-type="bibr" rid="ref54">54</xref>]. The variability in the motivation of MOOC evaluations may also explain the high variability in the outcomes measured and reported.</p>
      </sec>
      <sec>
        <title>Data Collection Methodology</title>
        <p>In all, 12 studies used 1 data source and 11 studies used 2 data sources (<xref ref-type="table" rid="table3">Table 3</xref>), which is not different from previous findings [<xref ref-type="bibr" rid="ref10">10</xref>]. The results of this study also show that there is high flexibility in data collection methods for MOOC evaluations from survey data to LMS data to more distinct methods such as online focus groups [<xref ref-type="bibr" rid="ref37">37</xref>]. The number of participants in the studies was exceedingly varied. This is due to the difference in the data collection methods used. For example, studies with data captured through the LMS, which is capable of capturing data from all of the learners who joined the course, had the highest number of learners. On the contrary, studies that used more time-consuming methods, such as surveys or interviews, generally had a lower number of participants. It is important to note that the MOOC evaluation is not necessarily improved by increasing the number of data sources but rather by conducting a meaningful analysis of the available data. Some studies preferred multiple methods of evaluation and assessment of learning. One paper argued that this allows to evaluate learning of the diverse MOOC population in a more effective way [<xref ref-type="bibr" rid="ref22">22</xref>]. Studies should use the best data collection methods to answer their research aims and questions.</p>
      </sec>
      <sec>
        <title>Analysis and Interpretation</title>
        <p>In total, 16 of 33 studies used only quantitative methods for analysis (<xref ref-type="table" rid="table4">Table 4</xref>), which is in line with the general MOOC research, which has been predominated by quantitative methods [<xref ref-type="bibr" rid="ref10">10</xref>,<xref ref-type="bibr" rid="ref55">55</xref>]. Studies used statistical methods such as descriptive and inferential statistics for data analysis and interpretation of results. The availability of data from sources such as the LMS may have encouraged the use of descriptive statistical methods [<xref ref-type="bibr" rid="ref10">10</xref>]. However, 17 of the 33 included studies used some form of qualitative data analysis methods either by using a qualitative study design or by using a mixed methods study design (<xref ref-type="table" rid="table4">Table 4</xref>). This may be explained by the recent (2016-2017) rise in the use of qualitative methods in MOOC research [<xref ref-type="bibr" rid="ref10">10</xref>].</p>
        <p>Although inferential statistics can help create better outcomes from studies, this is not always possible. For example, one study [<xref ref-type="bibr" rid="ref36">36</xref>] mentioned a high variation between pre- and postcourse survey participant numbers and another [<xref ref-type="bibr" rid="ref29">29</xref>] mentioned a small sample size as reasons for not using inferential statistical methods. It should be noted that using data from multiple sources and having a large sample size does not guarantee the quality of the evaluation methods.</p>
        <p>In MOOC research, qualitative data can be useful to understand the meaning of different behaviors as quantitative data, oftentimes, cannot answer why things happened [<xref ref-type="bibr" rid="ref56">56</xref>].</p>
        <p>Thematic and sentiment data analysis methods seek to represent qualitative data in a systematic way. The thematic analysis seeks to organize information into themes to find patterns [<xref ref-type="bibr" rid="ref57">57</xref>]. This is especially useful for generalizing data for a subsequent analysis. For instance, Singh et al [<xref ref-type="bibr" rid="ref36">36</xref>], Draffan et al [<xref ref-type="bibr" rid="ref34">34</xref>], and Shapiro et al [<xref ref-type="bibr" rid="ref23">23</xref>] all used a thematic analysis to simplify heterogeneous responses from interviewees and participants to understand what students enjoy about the MOOCs. Focused coding and grounded theory use similar approaches to grouping qualitative data into themes based on conceptual similarity and to developing analytic narratives. Liu et al [<xref ref-type="bibr" rid="ref38">38</xref>] used focused coding to group data from course surveys into positive and negative aspects of MOOCs for future MOOC improvement [<xref ref-type="bibr" rid="ref7">7</xref>]. Sentiment analysis and social network analysis are both qualitative analysis strategies with a greater focus on opinion-rich data [<xref ref-type="bibr" rid="ref58">58</xref>]. These are important strategies used in understanding the opinions of learners and converting subjective feelings of learners into data that can be analyzed and interpreted.</p>
      </sec>
      <sec>
        <title>Outcome Measures</title>
        <p>The outcome measures reported greatly varied among studies, which is expected, as identifying the right outcome measures is an inherent challenge in educational research, including more traditional classroom-based studies [<xref ref-type="bibr" rid="ref7">7</xref>].</p>
        <p>The choice of evaluation methods is highly dependent on the aim of the evaluation and the size of the MOOCs. For quantitative measures, such as completion and participation rates, metrics can be easily collected through the MOOC platform. However, these metrics alone may be insufficient to provide insights into why students fail to complete the course for future improvement. Although it may be difficult to represent the problem holistically using qualitative methods, it can be useful in providing insights from individuals who participated in the MOOCs. Mixed methods studies combine the 2 modalities to better understand metrics generated and produce greater insights for future improvement of the MOOCs.</p>
        <p>Learning outcomes were mostly analyzed by inferential statistical methods owing to the use of pretest and posttest methods and the calculation of gains in learning. This method may be most suited for MOOCs that require knowledge retention. Learning parameters also involved a lot of comparisons, either a comparison with pre-MOOC measures or a comparison with other learners or both. Social interactions were studied in 2 of the MOOC evaluations using social network analysis methods. Although the MOOC completion rate has been often cited as a parameter for MOOC success, it can be noticed that studies started to move away from only using completion rates. For example, studies looked at completion of different steps of the MOOCs or looked at overall completion. The learning outcomes reported in this review should be used with caution as not all of them have been validated or assessed for their reliability except for a few.</p>
      </sec>
      <sec>
        <title>Methodological Quality</title>
        <p>In total, 26 studies with a cross-sectional design had a low-quality assessment, whereas RCTs and quasi-experimental studies received a high-quality assessment. Having a high level of bias affects the generalizability of studies, which is a common problem in most research using data from MOOCs [<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref59">59</xref>]. The availability of high risks of bias in current MOOC evaluations requires a closer look at what were the sources of bias and what methods can be used to reduce them. The use of not validated, self-reported data sources and the lack of longitudinal data also increases the risk of bias in these studies [<xref ref-type="bibr" rid="ref56">56</xref>]. However, although most MOOCs struggle with learner retention and MOOC completion rates [<xref ref-type="bibr" rid="ref54">54</xref>], it is understandable that studies are not able to collect longitudinal data.</p>
      </sec>
      <sec>
        <title>Future Directions</title>
        <p>The scarcity of studies focusing on the evaluation of the effectiveness of particular MOOCs relative to the number of available studies on MOOCs raises some questions. For example, many studies that were excluded from this review studied MOOC learners or aspects of the MOOCs without conducting an evaluation of course success or effectiveness. As shown in this review, there is a diverse range of evaluation methods, and the quality of these evaluation studies can be as diverse. The motivation of the evaluation exercise should be the basis of the evaluation study design to design effective quantitative or qualitative data collection strategies. The development of general guidance, standardized performance indicators, and an evaluation framework using a design thinking approach can allow these MOOC evaluation exercises to yield data of better quality and precision and allow improved evaluation outcomes. To provide a comprehensive evaluation of MOOCs, studies should try to use a framework to be able to systematically review all of the aspects of the course.</p>
        <p>In general, the adoption of a mixed methods analysis considering both quantitative and qualitative data can be more useful for evaluating the overall quality of MOOCs. Although it is useful to have quantitative data such as learner participation and dropout rates, qualitative data gathered through interviews and opinion mining provide valuable insights into the reasons behind the success or failure of a MOOC. Studies of MOOC evaluations should aim to use data collection and analysis methods that can minimize the risk of bias and provide objective results. Whenever possible, studies should use comparison methods, such as the use of pretest or posttest or a comparison with other types of learners, as a control measure. In addition, learner persistence is an important indicator for MOOC evaluation that needs to be addressed in future research.</p>
      </sec>
      <sec>
        <title>Strengths and Limitations</title>
        <p>To our knowledge, this is the first study to systematically review the evaluation methods of MOOCs. The findings of this review can serve future MOOC evaluators with recommendations on their evaluation methods to facilitate better study designs and maximize the impact of these Web-based platforms. However, as a lot of MOOCs are not necessarily provided by universities and systematically evaluated and published, the scope of this review can only reflect a small part of MOOC evaluation studies.</p>
      </sec>
      <sec>
        <title>Conclusions</title>
        <p>There is no one way of completing a MOOC evaluation, but there are considerations that should be taken into account in every evaluation. First, because MOOCs are very large, there is a tendency to use quantitative methods using aggregate-level data. However, aggregate-level data do not always tell why things are happening. Qualitative data could further help interpret the results by exploring why things are happening. Evaluations lacked longitudinal data and very few accounted for confounding variables owing to data collection challenges associated with MOOCs such as not having longitudinal data or not having enough data sources. Future studies could help identify how these challenges could be overcome or minimized.</p>
        <p>LMS may not report useful findings on an individual level, but they should still be considered and used in MOOC evaluations. Big data in the form of learning analytics can help with decision making, predicting learner behavior, and providing a more <italic>comprehensive</italic> picture of the phenomena studied [<xref ref-type="bibr" rid="ref60">60</xref>]. Studies should still consider using LMS as it can provide a valuable addition to the research, but researchers need to be careful about the depth of the findings that can be concluded from LMS-only datasets.</p>
        <p>The use of qualitative data could help enhance the findings from the studies by explaining the phenomena. Both quantitative and qualitative methods could play a key role in MOOC evaluations.</p>
        <p>Current MOOC evaluations are subject to many sources of bias owing to the nature of the courses being open and available to a very large and diverse number of participants. However, methods are available to reduce the sources of bias. Studies could use a comparator, such as pretest scores, or other types of learners to be able to calculate relative changes in learning. In addition, studies could control for confounding variables to reduce bias.</p>
        <p>This review has provided an in-depth view of how MOOCs can be evaluated and explored the methodological approaches used. Exploring MOOC methodological approaches has been stated as an area for future research [<xref ref-type="bibr" rid="ref10">10</xref>]. The review also provided recommendations for future MOOC evaluations and for future research in this area to help improve the quality and reliability of the studies. MOOC evaluations could contribute to the development and improvement of these courses.</p>
      </sec>
    </sec>
  </body>
  <back>
    <app-group>
      <supplementary-material id="app1">
        <label>Multimedia Appendix 1</label>
        <p>Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2009 checklist.</p>
        <media xlink:href="jmir_v22i4e13851_app1.docx" xlink:title="DOCX File , 19 KB"/>
      </supplementary-material>
      <supplementary-material id="app2">
        <label>Multimedia Appendix 2</label>
        <p>Search strategy.</p>
        <media xlink:href="jmir_v22i4e13851_app2.docx" xlink:title="DOCX File , 14 KB"/>
      </supplementary-material>
      <supplementary-material id="app3">
        <label>Multimedia Appendix 3</label>
        <p>Data abstraction form.</p>
        <media xlink:href="jmir_v22i4e13851_app3.docx" xlink:title="DOCX File , 24 KB"/>
      </supplementary-material>
      <supplementary-material id="app4">
        <label>Multimedia Appendix 4</label>
        <p>Quality assessment results of the Randomized Controlled Trial [<xref ref-type="bibr" rid="ref20">20</xref>] using the Cochrane Collaboration Risk of Bias Tool.</p>
        <media xlink:href="jmir_v22i4e13851_app4.docx" xlink:title="DOCX File , 14 KB"/>
      </supplementary-material>
      <supplementary-material id="app5">
        <label>Multimedia Appendix 5</label>
        <p>Quality assessment results of cross-sectional studies using the NIH - National Heart, Lung and Blood Institute quality assessment tool.</p>
        <media xlink:href="jmir_v22i4e13851_app5.docx" xlink:title="DOCX File , 43 KB"/>
      </supplementary-material>
      <supplementary-material id="app6">
        <label>Multimedia Appendix 6</label>
        <p>Quality assessment results for the quasi experimental study using the Cochrane Collaboration Risk of Bias Tool for Before-After (Pre-Post) Studies With No Control Group.</p>
        <media xlink:href="jmir_v22i4e13851_app6.docx" xlink:title="DOCX File , 15 KB"/>
      </supplementary-material>
    </app-group>
    <glossary>
      <title>Abbreviations</title>
      <def-list>
        <def-item>
          <term id="abb1">IEEE</term>
          <def>
            <p>Institute of Electrical and Electronic Engineers</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb2">LMS</term>
          <def>
            <p>learning management system</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb3">MOOC</term>
          <def>
            <p>massive open online course</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb4">PICO</term>
          <def>
            <p>population, intervention, comparator, outcome</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb5">RCT</term>
          <def>
            <p>randomized controlled trial</p>
          </def>
        </def-item>
      </def-list>
    </glossary>
    <ack>
      <p>The authors would like to thank the medical librarian, Rebecca Jones, for her guidance in the search methods and for reviewing the search strategy used in this protocol. This work was funded by the European Institute of Technology and Innovation Health (Grant No. 18654).</p>
    </ack>
    <fn-group>
      <fn fn-type="con">
        <p>AA and CL completed the screening of articles and data analysis. AA and CL completed the first draft of the manuscript. All authors reviewed and edited the manuscript for content and clarity. EM was the guarantor.</p>
      </fn>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Rolfe</surname>
              <given-names>V</given-names>
            </name>
          </person-group>
          <article-title>A systematic review of the socio-ethical aspects of massive online open courses</article-title>
          <source>Eur J Open Distance E-Learn</source>
          <year>2015</year>
          <volume>18</volume>
          <issue>1</issue>
          <fpage>52</fpage>
          <lpage>71</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.researchgate.net/publication/282460949_A_Systematic_Review_Of_The_Socio-Ethical_Aspects_Of_Massive_Online_Open_Courses"/>
          </comment>
          <pub-id pub-id-type="doi">10.1515/eurodl-2015-0004</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref2">
        <label>2</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Jansen</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Rosewell</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Kear</surname>
              <given-names>K</given-names>
            </name>
          </person-group>
          <article-title>Quality frameworks for MOOCs</article-title>
          <source>Open Education: from OERs to MOOCs</source>
          <year>2017</year>
          <publisher-loc>Berlin, Heidelberg</publisher-loc>
          <publisher-name>Springer</publisher-name>
          <fpage>261</fpage>
          <lpage>81</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref3">
        <label>3</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Tahiri</surname>
              <given-names>JS</given-names>
            </name>
            <name name-style="western">
              <surname>Bennani</surname>
              <given-names>S</given-names>
            </name>
            <name name-style="western">
              <surname>Idrissi</surname>
              <given-names>MK</given-names>
            </name>
          </person-group>
          <article-title>Using an Analytical Formalism to Diagnostic and Evaluate Massive Open Online Courses</article-title>
          <source>Proceedings of the 2015 10th International Conference on Intelligent Systems: Theories and Applications</source>
          <year>2015</year>
          <conf-name>SITA'15</conf-name>
          <conf-date>October 20-21, 2015</conf-date>
          <conf-loc>Rabat, Morocco</conf-loc>
          <pub-id pub-id-type="doi">10.1109/sita.2015.7358389</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref4">
        <label>4</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Goos</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Salomons</surname>
              <given-names>A</given-names>
            </name>
          </person-group>
          <article-title>Measuring teaching quality in higher education: assessing selection bias in course evaluations</article-title>
          <source>Res High Educ</source>
          <year>2017</year>
          <volume>58</volume>
          <issue>4</issue>
          <fpage>341</fpage>
          <lpage>64</lpage>
          <pub-id pub-id-type="doi">10.1007/s11162-016-9429-8</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref5">
        <label>5</label>
        <nlm-citation citation-type="web">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Gravestock</surname>
              <given-names>P</given-names>
            </name>
            <name name-style="western">
              <surname>Gregor-Greenleaf</surname>
              <given-names>E</given-names>
            </name>
          </person-group>
          <source>Higher Education Quality Council of Ontario</source>
          <year>2008</year>
          <access-date>2020-02-07</access-date>
          <publisher-loc>Toronto</publisher-loc>
          <publisher-name>Higher Education Quality Council of Ontario</publisher-name>
          <comment>Student Course Evaluations: Research, Models and Trends<ext-link ext-link-type="uri" xlink:type="simple" xlink:href="http://www.heqco.ca/SiteCollectionDocuments/Student%20Course%20Evaluations_Research,%20Models%20and%20Trends.pdf">http://www.heqco.ca/SiteCollectionDocuments/Student%20Course%20Evaluations_Research,%20Models%20and%20Trends.pdf</ext-link>
                                                </comment>
        </nlm-citation>
      </ref>
      <ref id="ref6">
        <label>6</label>
        <nlm-citation citation-type="web">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Werdell</surname>
              <given-names>PR</given-names>
            </name>
          </person-group>
          <source>Education Resources Information Center</source>
          <year>1967</year>
          <access-date>2020-02-07</access-date>
          <comment>Course and Teacher Evaluation<ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://eric.ed.gov/?id=ED050693">https://eric.ed.gov/?id=ED050693</ext-link>
                                                </comment>
        </nlm-citation>
      </ref>
      <ref id="ref7">
        <label>7</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Breslow</surname>
              <given-names>L</given-names>
            </name>
            <name name-style="western">
              <surname>Pritchard</surname>
              <given-names>DE</given-names>
            </name>
            <name name-style="western">
              <surname>DeBoer</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Stump</surname>
              <given-names>GS</given-names>
            </name>
            <name name-style="western">
              <surname>Ho</surname>
              <given-names>AD</given-names>
            </name>
            <name name-style="western">
              <surname>Seaton</surname>
              <given-names>DT</given-names>
            </name>
          </person-group>
          <article-title>Studying Learning in the Worldwide Classroom Research into edX's First MOOC</article-title>
          <source>Res Pract Assess</source>
          <year>2013</year>
          <volume>8</volume>
          <fpage>1</fpage>
          <lpage>25</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.rpajournal.com/dev/wp-content/uploads/2013/05/SF2.pdf"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref8">
        <label>8</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Literat</surname>
              <given-names>I</given-names>
            </name>
          </person-group>
          <article-title>Implications of massive open online courses for higher education: mitigating or reifying educational inequities?</article-title>
          <source>High Educ Res Dev</source>
          <year>2015</year>
          <volume>34</volume>
          <issue>6</issue>
          <fpage>1</fpage>
          <lpage>14</lpage>
          <pub-id pub-id-type="doi">10.1080/07294360.2015.1024624</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref9">
        <label>9</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Zhu</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Sari</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Lee</surname>
              <given-names>MM</given-names>
            </name>
          </person-group>
          <article-title>A systematic review of research methods and topics of the empirical MOOC literature (2014–2016)</article-title>
          <source>Intern High Educ</source>
          <year>2018</year>
          <month>04</month>
          <volume>37</volume>
          <fpage>31</fpage>
          <lpage>9</lpage>
          <pub-id pub-id-type="doi">10.1016/j.iheduc.2018.01.002</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref10">
        <label>10</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Zhu</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Sari</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Bonk</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <article-title>A Systematic Review of MOOC Research Methods and Topics: Comparing 2014-2016 and 2016-2017</article-title>
          <year>2018</year>
          <conf-name>World Conference on Educational Media &#38; Technology</conf-name>
          <conf-date>June 25, 2018</conf-date>
          <conf-loc>Amsterdam, Netherlands</conf-loc>
          <publisher-name>Association for the Advancement of Computing in Education (AACE)</publisher-name>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.learntechlib.org/primary/p/184395/"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref11">
        <label>11</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Bozkurt</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Akgün-Özbek</surname>
              <given-names>E</given-names>
            </name>
            <name name-style="western">
              <surname>Zawacki-Richter</surname>
              <given-names>O</given-names>
            </name>
          </person-group>
          <article-title>Trends and patterns in massive open online courses: review and content analysis of research on MOOCs (2008-2015)</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2017</year>
          <month>08</month>
          <day>15</day>
          <volume>18</volume>
          <issue>5</issue>
          <fpage>118</fpage>
          <lpage>47</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v18i5.3080</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref12">
        <label>12</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Bali</surname>
              <given-names>M</given-names>
            </name>
          </person-group>
          <article-title>MOOC Pedagogy: gleaning good practice from existing MOOCs</article-title>
          <source>J Online Learn Teach</source>
          <year>2014</year>
          <volume>10</volume>
          <issue>1</issue>
          <fpage>44</fpage>
          <lpage>56</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://pdfs.semanticscholar.org/5e91/05f38d1d042f0a15cd1378af4427f685b869.pdf"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref13">
        <label>13</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Foley</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Alturkistani</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Carter</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Stenfors</surname>
              <given-names>T</given-names>
            </name>
            <name name-style="western">
              <surname>Blum</surname>
              <given-names>E</given-names>
            </name>
            <name name-style="western">
              <surname>Car</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Majeed</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Brindley</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Meinert</surname>
              <given-names>E</given-names>
            </name>
          </person-group>
          <article-title>Massive Open Online Courses (MOOC) evaluation methods: protocol for a systematic review</article-title>
          <source>JMIR Res Protoc</source>
          <year>2019</year>
          <month>03</month>
          <day>7</day>
          <volume>8</volume>
          <issue>3</issue>
          <fpage>e12087</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.researchprotocols.org/2019/3/e12087/"/>
          </comment>
          <pub-id pub-id-type="doi">10.2196/12087</pub-id>
          <pub-id pub-id-type="medline">30843868</pub-id>
          <pub-id pub-id-type="pii">v8i3e12087</pub-id>
          <pub-id pub-id-type="pmcid">PMC6427096</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref14">
        <label>14</label>
        <nlm-citation citation-type="web">
          <source>Cochrane Training</source>
          <year>2011</year>
          <access-date>2020-02-04</access-date>
          <comment>Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0<ext-link ext-link-type="uri" xlink:type="simple" xlink:href="http://training.cochrane.org/handbook">http://training.cochrane.org/handbook</ext-link>
                                                </comment>
        </nlm-citation>
      </ref>
      <ref id="ref15">
        <label>15</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Knobloch</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Yoon</surname>
              <given-names>U</given-names>
            </name>
            <name name-style="western">
              <surname>Vogt</surname>
              <given-names>PM</given-names>
            </name>
          </person-group>
          <article-title>Preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement and publication bias</article-title>
          <source>J Craniomaxillofac Surg</source>
          <year>2011</year>
          <month>03</month>
          <volume>39</volume>
          <issue>2</issue>
          <fpage>91</fpage>
          <lpage>2</lpage>
          <pub-id pub-id-type="doi">10.1016/j.jcms.2010.11.001</pub-id>
          <pub-id pub-id-type="medline">21145753</pub-id>
          <pub-id pub-id-type="pii">S1010-5182(10)00218-0</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref16">
        <label>16</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Johnson</surname>
              <given-names>RB</given-names>
            </name>
            <name name-style="western">
              <surname>Onwuegbuzie</surname>
              <given-names>AJ</given-names>
            </name>
          </person-group>
          <article-title>Mixed methods research: a research paradigm whose time has come</article-title>
          <source>Educ Res</source>
          <year>2004</year>
          <volume>33</volume>
          <issue>7</issue>
          <fpage>14</fpage>
          <lpage>26</lpage>
          <pub-id pub-id-type="doi">10.3102/0013189X033007014</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref17">
        <label>17</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Higgins</surname>
              <given-names>JP</given-names>
            </name>
            <name name-style="western">
              <surname>Altman</surname>
              <given-names>DG</given-names>
            </name>
            <name name-style="western">
              <surname>Gøtzsche</surname>
              <given-names>PC</given-names>
            </name>
            <name name-style="western">
              <surname>Jüni</surname>
              <given-names>P</given-names>
            </name>
            <name name-style="western">
              <surname>Moher</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Oxman</surname>
              <given-names>AD</given-names>
            </name>
            <name name-style="western">
              <surname>Savovic</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Schulz</surname>
              <given-names>KF</given-names>
            </name>
            <name name-style="western">
              <surname>Weeks</surname>
              <given-names>L</given-names>
            </name>
            <name name-style="western">
              <surname>Sterne</surname>
              <given-names>JA</given-names>
            </name>
            <collab>Cochrane Bias Methods Group</collab>
            <collab>Cochrane Statistical Methods Group</collab>
          </person-group>
          <article-title>The Cochrane Collaboration's tool for assessing risk of bias in randomised trials</article-title>
          <source>Br Med J</source>
          <year>2011</year>
          <month>10</month>
          <day>18</day>
          <volume>343</volume>
          <fpage>d5928</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="http://europepmc.org/abstract/MED/22008217"/>
          </comment>
          <pub-id pub-id-type="doi">10.1136/bmj.d5928</pub-id>
          <pub-id pub-id-type="medline">22008217</pub-id>
          <pub-id pub-id-type="pmcid">PMC3196245</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref18">
        <label>18</label>
        <nlm-citation citation-type="web">
          <source>National Heart, Lung, and Blood Institute (NHLBI)</source>
          <access-date>2018-11-21</access-date>
          <comment>Study Quality Assessment Tools<ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools">https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools</ext-link>
                                                </comment>
        </nlm-citation>
      </ref>
      <ref id="ref19">
        <label>19</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Patton</surname>
              <given-names>MQ</given-names>
            </name>
          </person-group>
          <source>Utilization-Focused Evaluation</source>
          <year>2000</year>
          <publisher-loc>Dordrecht</publisher-loc>
          <publisher-name>Springer</publisher-name>
        </nlm-citation>
      </ref>
      <ref id="ref20">
        <label>20</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Hossain</surname>
              <given-names>MS</given-names>
            </name>
            <name name-style="western">
              <surname>Islam</surname>
              <given-names>MD</given-names>
            </name>
            <name name-style="western">
              <surname>Glinsky</surname>
              <given-names>JV</given-names>
            </name>
            <name name-style="western">
              <surname>Lowe</surname>
              <given-names>R</given-names>
            </name>
            <name name-style="western">
              <surname>Lowe</surname>
              <given-names>T</given-names>
            </name>
            <name name-style="western">
              <surname>Harvey</surname>
              <given-names>LA</given-names>
            </name>
          </person-group>
          <article-title>A massive open online course (MOOC) can be used to teach physiotherapy students about spinal cord injuries: a randomised trial</article-title>
          <source>J Physiother</source>
          <year>2015</year>
          <month>01</month>
          <volume>61</volume>
          <issue>1</issue>
          <fpage>21</fpage>
          <lpage>7</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://linkinghub.elsevier.com/retrieve/pii/S1836-9553(14)00153-2"/>
          </comment>
          <pub-id pub-id-type="doi">10.1016/j.jphys.2014.09.008</pub-id>
          <pub-id pub-id-type="medline">25498151</pub-id>
          <pub-id pub-id-type="pii">S1836-9553(14)00153-2</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref21">
        <label>21</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Colvin</surname>
              <given-names>KF</given-names>
            </name>
            <name name-style="western">
              <surname>Champaign</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Liu</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Zhou</surname>
              <given-names>Q</given-names>
            </name>
            <name name-style="western">
              <surname>Fredericks</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>Pritchard</surname>
              <given-names>DE</given-names>
            </name>
          </person-group>
          <article-title>Learning in an introductory physics MOOC: All cohorts learn equally, including an on-campus class</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2014</year>
          <volume>15</volume>
          <issue>4</issue>
          <fpage>263</fpage>
          <lpage>83</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v15i4.1902</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref22">
        <label>22</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Konstan</surname>
              <given-names>JA</given-names>
            </name>
            <name name-style="western">
              <surname>Walker</surname>
              <given-names>JD</given-names>
            </name>
            <name name-style="western">
              <surname>Brooks</surname>
              <given-names>DC</given-names>
            </name>
            <name name-style="western">
              <surname>Brown</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Ekstrand</surname>
              <given-names>MD</given-names>
            </name>
          </person-group>
          <article-title>Teaching recommender systems at large scale</article-title>
          <source>ACM Trans Comput-Hum Interact</source>
          <year>2015</year>
          <volume>22</volume>
          <issue>2</issue>
          <fpage>1</fpage>
          <lpage>23</lpage>
          <pub-id pub-id-type="doi">10.1145/2728171</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref23">
        <label>23</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Shapiro</surname>
              <given-names>HB</given-names>
            </name>
            <name name-style="western">
              <surname>Lee</surname>
              <given-names>CH</given-names>
            </name>
            <name name-style="western">
              <surname>Roth</surname>
              <given-names>NE</given-names>
            </name>
            <name name-style="western">
              <surname>Li</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Çetinkaya-Rundel</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Canelas</surname>
              <given-names>DA</given-names>
            </name>
          </person-group>
          <article-title>Understanding the massive open online course (MOOC) student experience: an examination of attitudes, motivations, and barriers</article-title>
          <source>Comput Educ</source>
          <year>2017</year>
          <month>07</month>
          <volume>110</volume>
          <fpage>35</fpage>
          <lpage>50</lpage>
          <pub-id pub-id-type="doi">10.1016/j.compedu.2017.03.003</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref24">
        <label>24</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>de la Garza</surname>
              <given-names>LY</given-names>
            </name>
            <name name-style="western">
              <surname>Sancho-Vinuesa</surname>
              <given-names>T</given-names>
            </name>
            <name name-style="western">
              <surname>Zermeño</surname>
              <given-names>MG</given-names>
            </name>
          </person-group>
          <article-title>Atypical: Analysis of a Massive Open Online Course (MOOC) with a Relatively High Rate of Program Completers</article-title>
          <source>Glob Educ Rev</source>
          <year>2015</year>
          <volume>2</volume>
          <issue>3</issue>
          <fpage>68</fpage>
          <lpage>81</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref25">
        <label>25</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Tawfik</surname>
              <given-names>AA</given-names>
            </name>
            <name name-style="western">
              <surname>Reeves</surname>
              <given-names>TD</given-names>
            </name>
            <name name-style="western">
              <surname>Stich</surname>
              <given-names>AE</given-names>
            </name>
            <name name-style="western">
              <surname>Gill</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Hong</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>McDade</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Pillutla</surname>
              <given-names>VS</given-names>
            </name>
            <name name-style="western">
              <surname>Zhou</surname>
              <given-names>X</given-names>
            </name>
            <name name-style="western">
              <surname>Giabbanelli</surname>
              <given-names>PJ</given-names>
            </name>
          </person-group>
          <article-title>The nature and level of learner–learner interaction in a chemistry massive open online course (MOOC)</article-title>
          <source>J Comput High Educ</source>
          <year>2017</year>
          <volume>29</volume>
          <issue>3</issue>
          <fpage>411</fpage>
          <lpage>31</lpage>
          <pub-id pub-id-type="doi">10.1007/s12528-017-9135-3</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref26">
        <label>26</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Rubio</surname>
              <given-names>F</given-names>
            </name>
          </person-group>
          <person-group person-group-type="editor">
            <name name-style="western">
              <surname>Martin-Monje</surname>
              <given-names>E</given-names>
            </name>
            <name name-style="western">
              <surname>Barcena</surname>
              <given-names>E</given-names>
            </name>
          </person-group>
          <article-title>Teaching pronunciation and comprehensibility in a language MOOC</article-title>
          <source>Language MOOCs: Providing Learning, Transcending Boundaries</source>
          <year>2015</year>
          <publisher-loc>Berlin, Germany</publisher-loc>
          <publisher-name>De Gruyter</publisher-name>
          <fpage>143</fpage>
          <lpage>59</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref27">
        <label>27</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Kaveri</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Gunasekar</surname>
              <given-names>S</given-names>
            </name>
            <name name-style="western">
              <surname>Gupta</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Pratap</surname>
              <given-names>M</given-names>
            </name>
          </person-group>
          <article-title>Decoding Engagement in MOOCs: An Indian Learner Perspective</article-title>
          <source>Proceedings of the 2016 IEEE Eighth International Conference on Technology for Education</source>
          <year>2016</year>
          <conf-name>T4E'16</conf-name>
          <conf-date>December 2-4, 2016</conf-date>
          <conf-loc>Mumbai, India</conf-loc>
          <pub-id pub-id-type="doi">10.1109/t4e.2016.027</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref28">
        <label>28</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Milligan</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>Littlejohn</surname>
              <given-names>A</given-names>
            </name>
          </person-group>
          <article-title>Why study on a MOOC? The motives of students and professionals</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2017</year>
          <volume>18</volume>
          <issue>2</issue>
          <fpage>92</fpage>
          <lpage>102</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v18i2.3033</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref29">
        <label>29</label>
        <nlm-citation citation-type="web">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Lesjak</surname>
              <given-names>B</given-names>
            </name>
            <name name-style="western">
              <surname>Florjancic</surname>
              <given-names>V</given-names>
            </name>
          </person-group>
          <source>IDEAS/RePEc</source>
          <year>2014</year>
          <access-date>2018-10-22</access-date>
          <comment>Evaluation of MOOC: Hands-On Project or Creative Use of ICT in Teaching<ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://ideas.repec.org/h/tkp/mklp14/1147-1155.html">https://ideas.repec.org/h/tkp/mklp14/1147-1155.html</ext-link>
                                                </comment>
        </nlm-citation>
      </ref>
      <ref id="ref30">
        <label>30</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Morales</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Rizzardini</surname>
              <given-names>RH</given-names>
            </name>
            <name name-style="western">
              <surname>Gütl</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <article-title>Telescope, a MOOCs Initiative in Latin America: Infrastructure, Best Practices, Completion and Dropout Analysis</article-title>
          <source>Proceedings of the 2014 IEEE Frontiers in Education Conference</source>
          <year>2014</year>
          <conf-name>FIE'14</conf-name>
          <conf-date>October 22-25, 2014</conf-date>
          <conf-loc>Madrid, Spain</conf-loc>
          <pub-id pub-id-type="doi">10.1109/fie.2014.7044103</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref31">
        <label>31</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Khalil</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Ebner</surname>
              <given-names>M</given-names>
            </name>
          </person-group>
          <person-group person-group-type="editor">
            <name name-style="western">
              <surname>Ifenthaler</surname>
              <given-names>D</given-names>
            </name>
          </person-group>
          <article-title>Can learning analytics find success in didactical measurements? Results from a MOOC case study</article-title>
          <source>Digital Workplace Learning</source>
          <year>2018</year>
          <publisher-loc>Cham</publisher-loc>
          <publisher-name>Springer</publisher-name>
          <fpage>211</fpage>
          <lpage>25</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref32">
        <label>32</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Alario-Hoyos</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>Estévez-Ayres</surname>
              <given-names>I</given-names>
            </name>
            <name name-style="western">
              <surname>Pérez-Sanagustín</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Kloos</surname>
              <given-names>CD</given-names>
            </name>
            <name name-style="western">
              <surname>Fernández-Panadero</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <article-title>Understanding learners’ motivation and learning strategies in MOOCs</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2017</year>
          <volume>18</volume>
          <issue>3</issue>
          <fpage>119</fpage>
          <lpage>37</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v18i3.2996</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref33">
        <label>33</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Jacquet</surname>
              <given-names>GA</given-names>
            </name>
            <name name-style="western">
              <surname>Umoren</surname>
              <given-names>RA</given-names>
            </name>
            <name name-style="western">
              <surname>Hayward</surname>
              <given-names>AS</given-names>
            </name>
            <name name-style="western">
              <surname>Myers</surname>
              <given-names>JG</given-names>
            </name>
            <name name-style="western">
              <surname>Modi</surname>
              <given-names>P</given-names>
            </name>
            <name name-style="western">
              <surname>Dunlop</surname>
              <given-names>SJ</given-names>
            </name>
            <name name-style="western">
              <surname>Sarfaty</surname>
              <given-names>S</given-names>
            </name>
            <name name-style="western">
              <surname>Hauswald</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Tupesis</surname>
              <given-names>JP</given-names>
            </name>
          </person-group>
          <article-title>The Practitioner's Guide to Global Health: an interactive, online, open-access curriculum preparing medical learners for global health experiences</article-title>
          <source>Med Educ Online</source>
          <year>2018</year>
          <month>12</month>
          <volume>23</volume>
          <issue>1</issue>
          <fpage>1503914</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="http://europepmc.org/abstract/MED/30081760"/>
          </comment>
          <pub-id pub-id-type="doi">10.1080/10872981.2018.1503914</pub-id>
          <pub-id pub-id-type="medline">30081760</pub-id>
          <pub-id pub-id-type="pmcid">PMC6084492</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref34">
        <label>34</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Draffan</surname>
              <given-names>EA</given-names>
            </name>
            <name name-style="western">
              <surname>Leon</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>James</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Aljaloud</surname>
              <given-names>S</given-names>
            </name>
            <name name-style="western">
              <surname>Wald</surname>
              <given-names>M</given-names>
            </name>
          </person-group>
          <person-group person-group-type="editor">
            <name name-style="western">
              <surname>Miesenberger</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Kouroupetroglou</surname>
              <given-names>G</given-names>
            </name>
          </person-group>
          <article-title>Completion, comments and repurposing a digital accessibility MOOC</article-title>
          <source>Computers Helping People with Special Needs</source>
          <year>2018</year>
          <publisher-loc>New York City</publisher-loc>
          <publisher-name>Springer International Publishing</publisher-name>
          <fpage>138</fpage>
          <lpage>45</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref35">
        <label>35</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Chen</surname>
              <given-names>W</given-names>
            </name>
            <name name-style="western">
              <surname>Jia</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Miao</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Wu</surname>
              <given-names>X</given-names>
            </name>
            <name name-style="western">
              <surname>Wang</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Yang</surname>
              <given-names>B</given-names>
            </name>
          </person-group>
          <article-title>Assessing Students' Learning Experience and Achievements in a Medium-Sized Massively Open Online Course</article-title>
          <source>Proceedings of the 2015 IEEE 15th International Conference on Advanced Learning Technologies</source>
          <year>2015</year>
          <conf-name>ICALT'15</conf-name>
          <conf-date>July 6-9, 2015</conf-date>
          <conf-loc>Hualien, Taiwan</conf-loc>
          <pub-id pub-id-type="doi">10.1109/icalt.2015.69</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref36">
        <label>36</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Singh</surname>
              <given-names>AB</given-names>
            </name>
            <name name-style="western">
              <surname>Mørch</surname>
              <given-names>AI</given-names>
            </name>
          </person-group>
          <article-title>An analysis of participants' experiences from the first international MOOC offered at the University of Oslo</article-title>
          <source>Nord J Digit Lit</source>
          <year>2018</year>
          <volume>13</volume>
          <issue>1</issue>
          <fpage>40</fpage>
          <lpage>64</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.researchgate.net/publication/323718768_An_Analysis_of_Participants'_Experiences_from_the_First_International_MOOC_Offered_at_the_University_of_Oslo"/>
          </comment>
          <pub-id pub-id-type="doi">10.18261/issn.1891-943x-2018-01-04</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref37">
        <label>37</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Mackness</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Waite</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Roberts</surname>
              <given-names>G</given-names>
            </name>
            <name name-style="western">
              <surname>Lovegrove</surname>
              <given-names>E</given-names>
            </name>
          </person-group>
          <article-title>Learning in a small, task–oriented, connectivist MOOC: pedagogical issues and implications for higher education</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2013</year>
          <volume>14</volume>
          <issue>4</issue>
          <fpage>140</fpage>
          <lpage>59</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v14i4.1548</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref38">
        <label>38</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Liu</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Kang</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>McKelroy</surname>
              <given-names>E</given-names>
            </name>
          </person-group>
          <article-title>Examining learners’ perspective of taking a MOOC: reasons, excitement, and perception of usefulness</article-title>
          <source>Educ Media Int</source>
          <year>2015</year>
          <volume>52</volume>
          <issue>2</issue>
          <fpage>1</fpage>
          <lpage>18</lpage>
          <pub-id pub-id-type="doi">10.1080/09523987.2015.1053289</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref39">
        <label>39</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Liu</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Kang</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Cao</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Lim</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Ko</surname>
              <given-names>Y</given-names>
            </name>
            <name name-style="western">
              <surname>Myers</surname>
              <given-names>R</given-names>
            </name>
            <name name-style="western">
              <surname>Weiss</surname>
              <given-names>AS</given-names>
            </name>
          </person-group>
          <article-title>Understanding MOOCs as an emerging online learning tool: perspectives from the students</article-title>
          <source>Am J Distance Educ</source>
          <year>2014</year>
          <volume>28</volume>
          <issue>3</issue>
          <fpage>147</fpage>
          <lpage>59</lpage>
          <pub-id pub-id-type="doi">10.1080/08923647.2014.926145</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref40">
        <label>40</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>MacKay</surname>
              <given-names>JR</given-names>
            </name>
            <name name-style="western">
              <surname>Langford</surname>
              <given-names>F</given-names>
            </name>
            <name name-style="western">
              <surname>Waran</surname>
              <given-names>N</given-names>
            </name>
          </person-group>
          <article-title>Massive open online courses as a tool for global animal welfare education</article-title>
          <source>J Vet Med Educ</source>
          <year>2016</year>
          <volume>43</volume>
          <issue>3</issue>
          <fpage>287</fpage>
          <lpage>301</lpage>
          <pub-id pub-id-type="doi">10.3138/jvme.0415-054R2</pub-id>
          <pub-id pub-id-type="medline">26751911</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref41">
        <label>41</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Liang</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Jia</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Wu</surname>
              <given-names>X</given-names>
            </name>
            <name name-style="western">
              <surname>Miao</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Wang</surname>
              <given-names>A</given-names>
            </name>
          </person-group>
          <article-title>Analysis of learners' behaviors and learning outcomes in a massive open online course</article-title>
          <source>Knowl Manag E-Learn</source>
          <year>2014</year>
          <volume>6</volume>
          <issue>3</issue>
          <fpage>281</fpage>
          <lpage>98</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.researchgate.net/publication/286518903_Analysis_of_learners'_behaviors_and_learning_outcomes_in_a_massive_open_online_course"/>
          </comment>
          <pub-id pub-id-type="doi">10.34105/j.kmel.2014.06.019</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref42">
        <label>42</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Li</surname>
              <given-names>Q</given-names>
            </name>
            <name name-style="western">
              <surname>Wan</surname>
              <given-names>F</given-names>
            </name>
          </person-group>
          <article-title>A Case Study of the Characteristics of MOOCs Completers: Taking an Online Professional Training MOOC for Example</article-title>
          <source>Proceedings of the 2016 IEEE 16th International Conference on Advanced Learning Technologies</source>
          <year>2016</year>
          <conf-name>ICALT'16</conf-name>
          <conf-date>July 25-28, 2016</conf-date>
          <conf-loc>Austin, TX, USA</conf-loc>
          <pub-id pub-id-type="doi">10.1109/icalt.2016.2</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref43">
        <label>43</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Alturkistani</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Car</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Majeed</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Brindley</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Wells</surname>
              <given-names>G</given-names>
            </name>
            <name name-style="western">
              <surname>Meinert</surname>
              <given-names>E</given-names>
            </name>
          </person-group>
          <article-title>Determining the Effectiveness of a Massive Open Online Course in Data Science for Health</article-title>
          <source>International Association for Development of the Information Society (IADIS) International Conference on e-Learning</source>
          <year>2018</year>
          <conf-name>IADIS'18</conf-name>
          <conf-date>2018</conf-date>
          <conf-loc>Madrid, Spain</conf-loc>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://pdfs.semanticscholar.org/9426/4917562bf2fde478cf6f8910ae349547f1b1.pdf"/>
          </comment>
          <pub-id pub-id-type="doi">10.2196/preprints.10982</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref44">
        <label>44</label>
        <nlm-citation citation-type="web">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Cross</surname>
              <given-names>S</given-names>
            </name>
          </person-group>
          <source>Open Research Online - The Open University</source>
          <year>2013</year>
          <access-date>2020-02-07</access-date>
          <publisher-loc>Milton Keynes</publisher-loc>
          <publisher-name>Open University</publisher-name>
          <comment>Evaluation of the OLDS MOOC Curriculum Design Course: Participant Perspectives, Expectations and Experiences<ext-link ext-link-type="uri" xlink:type="simple" xlink:href="http://oro.open.ac.uk/37836/1/EvaluationReport_OLDSMOOC_v1.0.pdf">http://oro.open.ac.uk/37836/1/EvaluationReport_OLDSMOOC_v1.0.pdf</ext-link>
                                                </comment>
        </nlm-citation>
      </ref>
      <ref id="ref45">
        <label>45</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Warriem</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Murthy</surname>
              <given-names>S</given-names>
            </name>
            <name name-style="western">
              <surname>Iyer</surname>
              <given-names>S</given-names>
            </name>
          </person-group>
          <article-title>Shifting the focus from learner completion to learner perseverancevidences from a teacher professional development MOOC</article-title>
          <source>Evidences from a Teacher Professional Development MOOC</source>
          <year>2016</year>
          <conf-name>Proceedings of the 24th International Conference on Computers in Education</conf-name>
          <conf-date>2016</conf-date>
          <conf-loc>India</conf-loc>
          <fpage>540</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="http://www.et.iitb.ac.in/~jkmadathil/publications/ICCE2016_Perseverance.pdf"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref46">
        <label>46</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Hudson</surname>
              <given-names>L</given-names>
            </name>
            <name name-style="western">
              <surname>Kortuem</surname>
              <given-names>G</given-names>
            </name>
            <name name-style="western">
              <surname>Wolff</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Hudson</surname>
              <given-names>PL</given-names>
            </name>
          </person-group>
          <article-title>Smart Cities MOOC: Teaching Citizens How to Co-Create Smart Cities</article-title>
          <source>Proceedings of ICT for Sustainability 2016</source>
          <year>2016</year>
          <conf-name>ICT4S'16</conf-name>
          <conf-date>August 29-September 1, 2016</conf-date>
          <conf-loc>Amsterdam, Netherlands</conf-loc>
          <pub-id pub-id-type="doi">10.2991/ict4s-16.2016.18</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref47">
        <label>47</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Brunton</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Brown</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Costello</surname>
              <given-names>E</given-names>
            </name>
            <name name-style="western">
              <surname>Farrell</surname>
              <given-names>O</given-names>
            </name>
            <name name-style="western">
              <surname>Mahon</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <person-group person-group-type="editor">
            <name name-style="western">
              <surname>Delgado</surname>
              <given-names>KC</given-names>
            </name>
            <name name-style="western">
              <surname>Jermann</surname>
              <given-names>P</given-names>
            </name>
            <name name-style="western">
              <surname>Pérez-Sanagustín</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Seaton</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>White</surname>
              <given-names>S</given-names>
            </name>
          </person-group>
          <article-title>Giving flexible learners a head start on higher education: Designing and implementing a pre-induction socialisation MOOC</article-title>
          <source>Digital Education: Out to the World and Back to the Campus</source>
          <year>2017</year>
          <publisher-loc>Cham</publisher-loc>
          <publisher-name>Springer</publisher-name>
          <fpage>10</fpage>
          <lpage>9</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref48">
        <label>48</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Lei</surname>
              <given-names>CU</given-names>
            </name>
            <name name-style="western">
              <surname>Hou</surname>
              <given-names>X</given-names>
            </name>
            <name name-style="western">
              <surname>Kwok</surname>
              <given-names>T</given-names>
            </name>
            <name name-style="western">
              <surname>Chan</surname>
              <given-names>T</given-names>
            </name>
            <name name-style="western">
              <surname>Lee</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Oh</surname>
              <given-names>E</given-names>
            </name>
            <name name-style="western">
              <surname>Gonda</surname>
              <given-names>D</given-names>
            </name>
            <name name-style="western">
              <surname>Yeung</surname>
              <given-names>Y</given-names>
            </name>
            <name name-style="western">
              <surname>Lai</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <article-title>Advancing MOOC and SPOC Development via a Learner Decision Journey Analytic Framework</article-title>
          <source>Proceedings of the 2015 IEEE International Conference on Teaching, Assessment, and Learning for Engineering</source>
          <year>2015</year>
          <conf-name>TALE'15</conf-name>
          <conf-date>December 10-12, 2015</conf-date>
          <conf-loc>Zhuhai, China</conf-loc>
          <fpage>156</fpage>
          <pub-id pub-id-type="doi">10.1109/tale.2015.7386034</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref49">
        <label>49</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Mee</surname>
              <given-names>CK</given-names>
            </name>
            <name name-style="western">
              <surname>Mei</surname>
              <given-names>SL</given-names>
            </name>
            <name name-style="western">
              <surname>Jano</surname>
              <given-names>Z</given-names>
            </name>
            <name name-style="western">
              <surname>Husin</surname>
              <given-names>H</given-names>
            </name>
          </person-group>
          <article-title>The readiness of the administrators and undergraduates in using Massive Open Online Course (MOOC) in the Mandarin subject</article-title>
          <source>Soc Sci</source>
          <year>2016</year>
          <volume>11</volume>
          <issue>12</issue>
          <fpage>3017</fpage>
          <lpage>23</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.researchgate.net/publication/309118697_The_readiness_of_the_administrators_and_undergraduates_in_using_Massive_Open_Online_Course_MOOC_in_the_Mandarin_subject"/>
          </comment>
          <pub-id pub-id-type="doi">10.3923/sscience.2016.3017.3023</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref50">
        <label>50</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Stephens</surname>
              <given-names>M</given-names>
            </name>
            <name name-style="western">
              <surname>Jones</surname>
              <given-names>KM</given-names>
            </name>
          </person-group>
          <article-title>MOOCs as LIS Professional Development Platforms: Evaluating and Refining SJSU’s First Not-for-Credit MOOC</article-title>
          <source>J Educ Libr Inf Sci</source>
          <year>2014</year>
          <volume>55</volume>
          <issue>4</issue>
          <fpage>345</fpage>
          <lpage>61</lpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://files.eric.ed.gov/fulltext/EJ1074321.pdf"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref51">
        <label>51</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Milligan</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>Littlejohn</surname>
              <given-names>A</given-names>
            </name>
          </person-group>
          <article-title>Supporting professional learning in a massive open online course</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2014</year>
          <volume>15</volume>
          <issue>5</issue>
          <fpage>197</fpage>
          <lpage>213</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v15i5.1855</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref52">
        <label>52</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Lin</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Cantoni</surname>
              <given-names>L</given-names>
            </name>
          </person-group>
          <article-title>A critical analysis of evaluation practice: the Kirkpatrick model and the principle of beneficence</article-title>
          <source>Eval Program Plan</source>
          <year>2004</year>
          <month>08</month>
          <conf-name>ENTER 2017</conf-name>
          <conf-date>24-26 January, 2017</conf-date>
          <conf-loc>Rome, Italy</conf-loc>
          <publisher-name>Information and Communication Technologies in Tourism 2017. Springer, Cham</publisher-name>
          <fpage>341</fpage>
          <lpage>7</lpage>
          <pub-id pub-id-type="doi">10.1007/978-3-319-51168-9_10</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref53">
        <label>53</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Sedgwick</surname>
              <given-names>P</given-names>
            </name>
          </person-group>
          <article-title>Cross sectional studies: advantages and disadvantages</article-title>
          <source>Br Med J</source>
          <year>2014</year>
          <volume>348</volume>
          <fpage>g2276</fpage>
          <pub-id pub-id-type="doi">10.1136/bmj.g2276</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref54">
        <label>54</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Khalil</surname>
              <given-names>H</given-names>
            </name>
            <name name-style="western">
              <surname>Ebner</surname>
              <given-names>M</given-names>
            </name>
          </person-group>
          <article-title>MOOCs Completion Rates and Possible Methods to Improve Retention - A Literature Review</article-title>
          <source>Proceedings of World Conference on Educational Multimedia, Hypermedia and Telecommunications 2014</source>
          <year>2014</year>
          <publisher-loc>Chesapeake, VA</publisher-loc>
          <publisher-name>AACE</publisher-name>
          <fpage>1236</fpage>
          <lpage>44</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref55">
        <label>55</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Veletsianos</surname>
              <given-names>G</given-names>
            </name>
            <name name-style="western">
              <surname>Shepherdson</surname>
              <given-names>P</given-names>
            </name>
          </person-group>
          <article-title>A Systematic Analysis and Synthesis of the Empirical MOOC Literature Published in 2013–2015</article-title>
          <source>Int Rev Res Open Distrib Learn</source>
          <year>2016</year>
          <volume>17</volume>
          <issue>2</issue>
          <fpage>198</fpage>
          <lpage>221</lpage>
          <pub-id pub-id-type="doi">10.19173/irrodl.v17i2.2448</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref56">
        <label>56</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Hone</surname>
              <given-names>KS</given-names>
            </name>
            <name name-style="western">
              <surname>El Said</surname>
              <given-names>GR</given-names>
            </name>
          </person-group>
          <article-title>Exploring the factors affecting MOOC retention: a survey study</article-title>
          <source>Comput Educ</source>
          <year>2016</year>
          <volume>98</volume>
          <fpage>157</fpage>
          <lpage>68</lpage>
          <pub-id pub-id-type="doi">10.1016/j.compedu.2016.03.016</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref57">
        <label>57</label>
        <nlm-citation citation-type="book">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Boyatzis</surname>
              <given-names>RE</given-names>
            </name>
          </person-group>
          <source>Transforming Qualitative Information: Thematic Analysis and Code Development</source>
          <year>1998</year>
          <publisher-loc>Thousand Oaks</publisher-loc>
          <publisher-name>SAGE Publications</publisher-name>
        </nlm-citation>
      </ref>
      <ref id="ref58">
        <label>58</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Pang</surname>
              <given-names>B</given-names>
            </name>
            <name name-style="western">
              <surname>Lee</surname>
              <given-names>L</given-names>
            </name>
          </person-group>
          <article-title>Opinion mining and sentiment analysis</article-title>
          <source>Found Trends Inf Retr</source>
          <year>2008</year>
          <volume>2</volume>
          <issue>1–2</issue>
          <fpage>1</fpage>
          <lpage>135</lpage>
          <pub-id pub-id-type="doi">10.1561/1500000011</pub-id>
        </nlm-citation>
      </ref>
      <ref id="ref59">
        <label>59</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Kidzinski</surname>
              <given-names>L</given-names>
            </name>
            <name name-style="western">
              <surname>Sharma</surname>
              <given-names>K</given-names>
            </name>
            <name name-style="western">
              <surname>Shirvani</surname>
              <given-names>BM</given-names>
            </name>
            <name name-style="western">
              <surname>Dillenbourg</surname>
              <given-names>P</given-names>
            </name>
          </person-group>
          <article-title>On generalizability of MOOC models</article-title>
          <source>Proceedings of the 9th International Conference on Educational Data Mining</source>
          <year>2016</year>
          <conf-name>EDM'16</conf-name>
          <conf-date>June 29 - July 2, 2016</conf-date>
          <conf-loc>North Carolina, USA</conf-loc>
          <fpage>406</fpage>
          <lpage>11</lpage>
        </nlm-citation>
      </ref>
      <ref id="ref60">
        <label>60</label>
        <nlm-citation citation-type="confproc">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Roy</surname>
              <given-names>S</given-names>
            </name>
            <name name-style="western">
              <surname>Singh</surname>
              <given-names>SN</given-names>
            </name>
          </person-group>
          <article-title>Emerging Trends in Applications of Big Data in Educational Data Mining and Learning Analytics</article-title>
          <source>Proceedings of the 2017 7th International Conference on Cloud Computing, Data Science &#38; Engineering - Confluence</source>
          <year>2017</year>
          <conf-name>CONFLUENCE'17</conf-name>
          <conf-date>Jan 12-13, 2017</conf-date>
          <conf-loc>Noida, India</conf-loc>
          <pub-id pub-id-type="doi">10.1109/confluence.2017.7943148</pub-id>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
