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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Digital Labs as a Complement to Practical Laboratory Training for Bachelor and Master Biomedicine Students</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Louisa Cheung</string-name>
          <email>louisa.cheung@ki.se</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Leena Strauss</string-name>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Per Antonson</string-name>
          <email>per.antonson@ki.se</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sanna Soini</string-name>
          <email>ssoini@utu.fi</email>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Matthew Kirkham</string-name>
          <email>matthew.kirkham@ki.se</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Rachel M Fisher</string-name>
          <email>Rachel.Fisher@ki.se</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Biosciences and Nutrition, Karolinska Institute</institution>
          ,
          <addr-line>SE-141 83 Huddinge</addr-line>
          ,
          <country country="SE">Sweden</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Cell and Molecular Biology, Karolinska Institute</institution>
          ,
          <addr-line>SE-171 77 Stockholm</addr-line>
          ,
          <country country="SE">Sweden</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Department of Medicine Solna, Karolinska Institutet</institution>
          ,
          <addr-line>SE-171 77 Stockholm</addr-line>
          ,
          <country country="SE">Sweden</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Institute of Biomedicine, University of Turku</institution>
          ,
          <addr-line>Kiinamyllynkatu 10, 20520 Turku</addr-line>
          ,
          <country country="FI">Finland</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Digital laboratories and simulations have been employed as a teaching method for decades. Their main purpose was to complement theoretical teaching and practical laboratory training. Recent studies have also shown that digital laboratories could enhance students' learning through increasing intrinsic motivation and self-efficacy. In this study, we examined the student perception of using digital laboratories in 13 courses within Biomedicine/Life Science at two different universities, University of Turku and Karolinska Institutet. Using two different sets of survey questionnaires, we collected students' responses and comments students after the end of each course. Students were generally positive to the use of digital laboratories to complement their study. They reported they experienced a moderate increase in motivation and interests to the course content. The digital laboratories could, to some extent, help them integrate theory and practice, and prepare for the real-life laboratory sessions. These findings helped university teachers to gain insight on course design when incorporating digital laboratories in university courses. In this study, we also found that digital laboratories, at this present setting, could not support the teamwork and interactions between students that took place in the real-life laboratory sessions. Since a large amount of data was collected in digital laboratory modules, learning analytics would in the future help to identify the difficult concepts that would require follow-up in other teaching and learning activities. Learning analytics would also provide valuable insight for an informed decision when choosing appropriate education tools for the future generation.</p>
      </abstract>
      <kwd-group>
        <kwd>1 Digital Laboratories</kwd>
        <kwd>simulations</kwd>
        <kwd>student motivation</kwd>
        <kwd>science</kwd>
        <kwd>technology</kwd>
        <kwd>engineering</kwd>
        <kwd>mathematics (STEM) education</kwd>
        <kwd>higher education</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>Long before the COVID pandemic, the idea of using simulations and digital laboratories to
complement physical laboratories had already been brought forward [1]. The main objective was to
provide training of novel laboratory techniques to students despite the concern of cost, time, and
safety issues. Throughout the last decade, several studies had shown that immersive digital
laboratories/ simulations could enhance students’ intrinsic motivation, knowledge, and self-efficacy
[2]–[4]. During the COVID-19 pandemic, virtual lab simulations also were used to replace physical
laboratories or staff training as an effective supplement [5]. Recently, a meta-analysis showed only a
medium effect size for the use of virtual laboratory activities to enhance student achievement [6].</p>
      <p>In this study, we examined the student perception of using digital laboratories as learning activities
in several university courses at two different universities, University of Turku and Karolinska
Institutet.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Background</title>
    </sec>
    <sec id="sec-3">
      <title>2.1. Using digital labs to teach STEM subjects in higher education</title>
      <p>Simulations have been employed as a teaching method in higher education for decades. Different
types of simulations have been used, for example manikins, standardized patients, role playing, case
scenario and digitalized surgery. Simulations have also been used in higher education to mimic
reallife laboratory teaching in science, technology, engineering, mathematics (STEM). The purpose of
using simulations in STEM education is to prepare students for physical laboratories in safe
environments without any time or cost limits [7]. For example, in developing countries, there is a lack
of laboratories including reagents, apparatus and expertise for teaching science. However, if ICT
infrastructure is at sufficient level, virtual laboratories can effectively replace the need of real
laboratories in developing countries. A study by Manyilizu [8] showed that virtual laboratory is a
useful tool to learn chemistry in Tanzanian secondary schools. However, the best learning outcomes
were achieved when virtual laboratories preceded practical experiments. In international study
programmes, students often come from different countries, where they have had unequal possibilities
to study in well-equipped laboratories, and their laboratory skills vary a lot. “The Gap problem”
defined by Nowacyzk et al [9]), means “A situation where the information, the understanding and the
skills that students have are not what is needed for performing laboratory assignments”. Virtual
laboratories may provide a solution for this problem serving as “bridge-studies” between theory and
laboratory sessions. In biomedicine, virtual reality –based teaching, such as virtual laboratories, have
also been used to fulfill the 3R (refinement, reduction, and replacement) principle to protect animals.
Comparing real and virtual laboratories for pharmacy teaching, Schneider and coworkers [10]
indicated that there is no significant difference in learning outcomes between these two teaching
methods, although students found real laboratories more interesting. Furthermore, participating in
teaching and even in developing of virtual laboratories, have been suggested to provide a great
opportunity for doctoral students to gain teaching experience and to place theory into practice [11].</p>
    </sec>
    <sec id="sec-4">
      <title>2.2. Digital laboratory/Simulation software Labster</title>
      <p>While digital laboratories and simulations used in higher education could be developed in-house
to accommodate specific course contents and situations, according to the unpublished survey data
within our consortium, many higher education institutes (HEIs) have chosen to purchase ready-made
products, especially during the COVID pandemic.</p>
      <p>There were several virtual lab simulations and similar resources available before the COVID
pandemic and some with no extra cost for the users like the HHMI resources
(https://www.biointeractive.org/classroom-resources/immunology-virtual-lab and
https://www.biointeractive.org/classroom-resources/transgenic-fly-virtual-lab) Also demonstration
videos and related resources, like Journal of Visualised Experiments, was available. In this study, the
simulation software Labster was chosen to be the virtual lab platform because of the immersive virtual
reality environment, the storytelling of cases and the documented benefit for students’ intrinsic
motivation, knowledge, and self-efficacy [2]–[4].</p>
    </sec>
    <sec id="sec-5">
      <title>2.3. “Do not replace our practical course lab”</title>
      <p>
        Labster simulation modules were first tested on a group of international biomedicine master
students at Karoli
        <xref ref-type="bibr" rid="ref16">nska Institutet in 2016</xref>
        as a pedagogic development project with the objectives of
(1) diversifying the learning of advanced molecular techniques and (2) promoting integration of
theoretical biomedical knowledge with that of practical tech
        <xref ref-type="bibr" rid="ref16">niques. In the spring semester 2017</xref>
        ,
master students were recruited to form a focus group to evaluate how digital lab simulations
promoted student learning. The response was generally positive. The focus group highlighted the
main benefit as the broad range of methods, including the exposure to advanced instrumentation and
lengthy, complex experiments. The focus group also suggested which digital lab simulation modules
would fit best into specific courses in the pro
        <xref ref-type="bibr" rid="ref5">gramme. Then in spring 2019</xref>
        , another focus group was
formed comprising students from the second year of the Bachelor’s Programme in Biomedicine, to
examine the relevance of simulation modules in the Bachelor programme. The general response was
more positive than that of the Master’s students. This second focus group also matched courses to
simulation modules. Only a handful of courses could clearly benefit from including simulation
modules. Overall, this method of using student focus groups to help identify appropriate simulation
modules for certain courses had been well-received by both students and faculty. For the faculty, it
gave them a sense of confidence in adding extra assignments to their courses. For the prospective
students, the fact that the simulation modules were reviewed and selected by their senior peers helped
to reassure them that the additional assignments were relevant and worthwhile. The strongest
comment was that digital lab could not replace the real-life lab. (Find open answer response)
      </p>
    </sec>
    <sec id="sec-6">
      <title>3. Methods</title>
    </sec>
    <sec id="sec-7">
      <title>3.1. Courses in this pilot study</title>
      <p>For this pilot study, 10 courses in the field of Biomedicine from University of Turku (UTU) and
three courses from Karolinska Institutet (KI) were included.</p>
      <sec id="sec-7-1">
        <title>Courses from the University of Turku were Medical Biochemistry, Neurobiology, Cell and Molecular</title>
        <p>Biology and Cancer Biology within the Bachelor’s Programme in Biomedicine, Experimental</p>
      </sec>
      <sec id="sec-7-2">
        <title>Pharmacology and Methods in Experimental Pharmacology within the Master´s Degree Programme in</title>
      </sec>
      <sec id="sec-7-3">
        <title>Biomedical Sciences, Methods in Cell Biology, Methods in Molecular Biology, Methods in Protein</title>
      </sec>
      <sec id="sec-7-4">
        <title>Purification and Analysis, and Laboratory Medicine within the Degree Programme in Medicine.</title>
      </sec>
      <sec id="sec-7-5">
        <title>Courses from the Karolinska Institutet were Genetics, Genomics and Functional Genomics, Cell-,</title>
        <p>Stem Cell and Developmental Biology within the Bachelor’s Programme in Biomedicine, and Frontiers
in Translational Medicine within the Master’s Programme in Molecular Techniques in Life Science.</p>
        <p>At UTU, the Bachelor´s Programme in Biomedicine and Degree Programme in Medicine were
national and Master´s Degree Programme in Biomedicine was international. The courses at KI were
in global study programmes meaning students attending the courses were from an international
background, and English was the medium of instruction (the course language). These courses received
support to pilot digital lab (Labster simulations) by the respective degree programmes, The course
leadership chose which simulations and how simulations were presented/used to their students
independently.</p>
        <p>Textbox: List of courses in this pilot study
Courses at the University of Turku
Bachelor’s Programme in Biomedicine
 Medical Biochemistry


</p>
      </sec>
      <sec id="sec-7-6">
        <title>Neurobiology</title>
      </sec>
      <sec id="sec-7-7">
        <title>Cell and Molecular Biology</title>
      </sec>
      <sec id="sec-7-8">
        <title>Cancer Biology</title>
        <p>



Master´s Degree Programme in Biomedical Sciences
 Experimental Pharmacology</p>
      </sec>
    </sec>
    <sec id="sec-8">
      <title>3.2. Use of Labster in the courses</title>
      <p>Students were asked to complete Labster simulations (virtual laboratories) in different ways in
different courses. Although not optimal, simulations were used to replace in-person practical labs
during COVID lockdowns and, in very rare occasions, absence. Simulations were mostly used as
standalone assignments prior to the learning activities, such as lectures and laboratory sessions. On
some occasions, follow-up discussion seminars (in-person or digital) were held, and follow-up written
assignments were given to students. On some occasions, simulations were given as revision
assignments. In some instances, Labster was used as an exercise to be performed during in-person
laboratories, for example, during an experimental incubation. In some courses, the performance of
Labster simulations was voluntary, but mostly they were mandatory tasks in the course.</p>
    </sec>
    <sec id="sec-9">
      <title>3.3. Evaluation questions</title>
      <p>For this study, two sets of survey questionnaires were developed to investigate student perceptions
of virtual laboratories. The questionnaires included both closed and open-ended questions on various
aspects of the students’ experiences. Error! Reference source not found. shows the questions in
these two sets of survey questionnaires.</p>
      <p>The first set of survey questions (Set A in Table 1) was focused more on course design while the
second set (Set B in Table 1) was more focused on students’ experience and learning. The second set
of questions in the survey questionnaire (Set B in Table 2 Table 1) was selected from the study by
Dyrberg [12] and further developed to fit this pilot study. These questions were validated in a small
group of students to ensure that questions were appropriately formulated and correctly understood.</p>
      <p>These survey questionnaires were sent to all enrolled students after the end of each course.
Students chose actively and voluntarily to answer these questions anonymously. Students were
informed that the use of the collected data was for course development and research purposes.
4. Did the Labster simulation work technically?</p>
      <sec id="sec-9-1">
        <title>5. Would you like to have more…</title>
      </sec>
      <sec id="sec-9-2">
        <title>6. Any other comments?</title>
        <p>B
1. Labster/Digital lab increased my interest
towards the course content.
2. Labster/Digital lab increased my understanding
of the course content.
3. Visualising in Labster/digital lab increased my
ability to integrate theory and practice.
4. Labster/Digital lab prepared me for the laboratory
sessions.
5. Has your learning benefitted from Labster/digital
lab? Please explain.
6. Did you have any technical problems with
Labster/digital lab?
o
o
o
o
o
o</p>
      </sec>
      <sec id="sec-9-3">
        <title>Before the lecture (to orientate to the subject) After the lecture (to rehearse the subject)</title>
        <p>o Yes/No
o If not, describe the problems</p>
      </sec>
      <sec id="sec-9-4">
        <title>Theory quizzes Practical lab work Animations Everything was well balanced</title>
      </sec>
      <sec id="sec-9-5">
        <title>Open answer</title>
      </sec>
      <sec id="sec-9-6">
        <title>5-point Likert scale + open answer</title>
      </sec>
      <sec id="sec-9-7">
        <title>5-point Likert scale + open answer</title>
      </sec>
      <sec id="sec-9-8">
        <title>5-point Likert scale + open answer</title>
        <p>5-point Likert scale + open anwer
Open answer
Yes/No. If yes, describe the problems
1. Do you think that virtual laboratory simulation
is a reasonable way to study biomedicine?
Answer options/Scale
5-point Likert scale + open answer
2. Would you prefer to perform virtual laboratory
simulations at your own time alone or at
classroom with other students and teacher?
o At my own tine
o Together
o It doesn´t matter
3. Would Labster simulation work better…</p>
      </sec>
    </sec>
    <sec id="sec-10">
      <title>4. Results</title>
    </sec>
    <sec id="sec-11">
      <title>4.1. Response rates</title>
      <p>
        Students from different academic years were given different sets of questionnaires to answer. From
UTU, 13 out of 24 enrolled students (54%) during spring 2021 answered the questionnaire set A, and
51 out of 112 enrolled students (46%) during spring 2022, autu
        <xref ref-type="bibr" rid="ref7">mn 2022</xref>
        and sp
        <xref ref-type="bibr" rid="ref19">ring 2023</xref>
        submitted
their answers to the questionnaire set B. For KI, 50 out of 78 enrolled students (64%) answered
questionnaire set A during the autumn term 2021 and 76 out of 135 enrolled students (56%) during
2022 (including the spring term and the autumn term) submitted their answers for questionnaire set
B.
      </p>
    </sec>
    <sec id="sec-12">
      <title>4.2. Student preferences on the use of digital labs</title>
      <p>In the survey questionnaire set A, we examined students’ preferences regarding the best format
for incorporating digital labs into university courses. For Q1 “Do you think that virtual laboratory
simulation is a reasonable way to study biomedicine?”, the responses were positive with 62% of the
responses from UTU students and 79% of the responses from KI students being of grade 4 or 5 on a
5point Likert scale (Table 2). The comments emphasized that digital labs were a good complement to
other course content (lectures or laboratory sessions) and provided good preparation for real-life
laboratory sessions. Here follow some representative open answers:
 “It is by no means a replacement, but a nice complementary tool to get a bit more familiar.”
 “It’s ok when lack of real lab work. But mostly good as a preparation for labs and to gain
knowledge”
 “I feel like it gave me some knowledge that was good to have before doing the actual lab in
real life, but in my opinion it should not be used as an alternative to real life labs, more as a
complement.”
 “I feel they are very different from the real situations”</p>
      <p>Concerning questions about the students’ preferences on when/where to perform the digital labs
(Q3), a clear majority (75%) of students at KI preferred to perform the simulation modules in their
own time, while students at UTU were split between no clear preference (46%) and in their own time
(39%) (Table 2). Taken together, the least popular option, performing the virtual laboratory
simulations together with another student, was common for UTU and KI students.</p>
    </sec>
    <sec id="sec-13">
      <title>4.3. Student interest and motivation</title>
      <p>In the survey questionnaire set B, we examined student perceptions on how digital labs would be
beneficial to their studies. As shown in the Figure 1, the majority of students reported that digital labs
increased their interest in and their understanding of the course content. On integrating theory and
practice as well as preparation for the practical laboratory sessions, students were positive, but not
as clear as for the first two statements. There was also slight difference in skewness of the frequency
curves, but the general trend was the same with no significant difference (tested by normality test
with z-score) between the two universities.</p>
      <p>50%
40%
30%
20%
10%
0%
50%
40%
30%
20%
10%
0%</p>
      <p>Labster/Digital lab increased my interest
towards the course content.</p>
      <p>Labster/Digital lab increased my understanding
of the course content.</p>
      <p>AVE (n=247)</p>
      <p>UTU (n=112)
Visualising in Labster/digital lab increased my
ability to integrate theory and practice.
Labster/Digital lab prepared me for the
laboratory sessions.</p>
      <p>AVE (n=247)</p>
      <p>UTU (n=112)</p>
      <p>There were a few occasions where simulation modules were used as make-up assignments for
absence in real-life lab. Students commented that the assignment was more relevant than writing an
essay on the topic.</p>
      <p>Some representative open answer responses from the impact of digital lab on their interests and
understanding were:
 “The labsters are helpful for understanding the procedures”
 “Labster helped with preparing the physical labs – provided some extra, but useful,
information”
 “All of the labsters were useful and provided either an alternate perspective or a reminder of
the theory and integrated it with practice in a useful way.”</p>
      <p>Concerning the knowledge acquisition of experimental techniques, the students also noted that
digital lab could fill the unmet needs of gaining “experience” in advance techniques like flow
cytometry or confocal microscopy when courses could not provide such practical laboratory sessions
in real-life.</p>
      <p>

“Labster allows me to do experiments that we didn’t have a chance to do in an actual lab.”
“It was useful to have some more complex procedures explained. Also, Labster helps much
more to understand such things as FACS than watching multiple YouTube videos.”</p>
      <p>About the function of preparing students for laboratory session, one response touched upon
selfefficacy:

“It gave me a better overview of a biological lab and made me less anxious for the actual
labs.”</p>
      <p>Among the negative comments, it was predominately about the low difficulty level from the
Master students:
 “I personally did not like the Labster simulations. They felt burdensome and more for someone
in an earlier point of their science education.”
 “Could be extremely useful for those with no prior experience.”</p>
    </sec>
    <sec id="sec-14">
      <title>5. Discussion</title>
      <p>From this pilot study, we examined the student perception of using digital laboratories in 13
courses within Biomedicine/Life Science at two different universities, University of Turku and
Karolinska Institutet. Using two different sets of survey questionnaires, we collected students’
responses and comments students after the end of each course. Students were generally positive to
the use of digital laboratories to complement their study. They reported they experienced a moderate
increase in motivation and interests to the course content. The digital laboratories could, to some
extent, help them integrate theory and practice, and prepare for the real-life laboratory sessions.</p>
    </sec>
    <sec id="sec-15">
      <title>5.1. Limitations</title>
      <p>There are a couple of limitations in this study: aggregated course occasions, sample size and only
one validated set (Questionnaire set B) of questions.</p>
      <p>We chose to aggregate the responses from students from different courses in order to achieve a
reasonable sample size for analysis. How the simulation modules interacted with the rest of the course
content could vary a lot. The number of simulation modules used and which simulation modules used
also varied between courses. These heterogeneity in course design reduced the specificity of the
responses to the statements. While only a handful of courses involved in this study had around 50
students enrolled, most courses had 20-30 students attending. The responses from courses with more
students might be over-represented while courses with less students would be under-representative
despite a higher response rate. Some students might have attended more than one course covered in
this pilot study, hence answered the survey more than one time.</p>
      <p>Another limitation was that the first survey questionnaire was not validated by testing on a small
group of students and some questions could be interpreted differently by different students.</p>
    </sec>
    <sec id="sec-16">
      <title>Insights from students’ feedback</title>
      <p>From this study, we found that digital laboratories using Labster increased students’ self-reported
interests, understanding and integration of theory and practice (Figure 1). This was in agreement with
previous studies made using the same software but with different modules and in different context
[2]–[4]. The self-reported interest showed smaller effect than the increase in understanding and
integration. Moreover, for the question on integration of theory and practice, the distribution was
wider than the question on understanding. Since different modules were used in different courses,
there were multiple underlying factors in the perceived benefit in integration of theory and practice.
This could imply that Labster simulation modules in general had a clear benefit for the students’
understanding of the subject content.</p>
      <p>The distribution was more skewed towards the higher Likert scale (i.e. agreement of the statement
to a larger extend) in responses from KI than from UTU (Figure 1). We reflected on the possible reason
for this phenomenon. It might be explained by the pre-COVID preparatory work with student focus
groups at KI to align simulation modules to courses both on difficulty and content knowledge. The
student focus group also performed a “quality control” to identify high quality simulation modules.
At KI, there was also prior teaching experience (both success and failures) in implementing the
simulation modules before the COVID pandemic. So, when using simulation modules to replace or
complement some other learning activities, there was a faster transfer know-how and technical
support.</p>
      <p>The situation at UTU was different, as Labster was implemented in the courses only after the
COVID-19 lockdown. After the pandemic, students were probably enthusiastic to work on-site and
were not keen to apply online solutions to their studies. Furthermore, teachers had no previous
experience of Labster and perhaps they were not able to choose the most relevant simulations for
students. Based on the students´ feedback, the selected simulation modules might have been too easy
for some courses at UTU, as student feedback stated:</p>
      <p>“There wasn´t that much new or challenging information that would have affected my interest in the
course.”</p>
      <p>Most Labster simulation modules covered the basic scientific knowledge equivalent to the
difficulty levels in the high school (grade 10-12) and the early years in the first-cycle education at
HEIs. Depending on whether the students would complete an easier simulation module before a more
advanced lecture, or vice versa, the students’ perception of learning motivation, interests and
understanding would be very different.
5.3.</p>
    </sec>
    <sec id="sec-17">
      <title>Insights on course design – Towards a best practice</title>
      <p>Even though the survey questionnaire set A was not validated before we collected responses,
there were common preferences from students attending both universities – a clear majority were
positive to using digital lab simulations as a teaching/learning activity, and most students prefer to
do the simulation assignments at their own pace. It is difficult for students to judge whether the
digital lab should be linked to another teaching/learning activity or not. And if linked, whether the
digital lab should be performed before or after the teaching/learning activities. These questions are
for the course designer to answer.</p>
      <p>Labster simulation modules are designed as self-contained learning activities. Certain simulation
modules work best as standalone assignments. Many Labster simulation modules could be linked to
other teaching/learning activities to enhance students’ learning. For example, synchronous activities
such as lectures and laboratory sessions, and asynchronous activities such as quizzes, written reports,
calculation exercises. For the synchronous activities like lectures, seminars and laboratory sessions,
most students found simulations more beneficial before, given that the simulations served as an
introduction to the topic or method. There could be occasions when simulation modules could be
more appropriate to be performed after the lecture if the virtual laboratory would further the context
of the linked activities. One example would be the more complex concepts on human genetics and
translational medicine. The simulation modules could consolidate what students learned in a lecture
or seminar and applied in the virtual scenario.</p>
      <p>From the student focus groups at Karolinska Institutet, apart from the “match-making exercise”
grading the relevance of simulation modules in different courses, the student focus group also
commented on the format for incorporating digital labs into the courses. With the variety of
simulation modules, there was no standard format, but the key was to communicate to the students
clearly and timely. By explaining why certain simulation modules were chosen and in which way the
linked activities could enhance their knowledge, the students could then understand their progression
in learning.
5.4.</p>
    </sec>
    <sec id="sec-18">
      <title>Future prospective</title>
      <p>Digital labs cannot replace real-life laboratory sessions, although they could provide training in
advanced methodologies and lengthy experimental procedures. Questions remain as to how we can
measure the benefit of learning and the type of learning. Several studies have demonstrated Labster
simulation could increase student self-efficacy [2]–[4]. It was interesting that one open answer
response mentioned just that. Further studies are needed to further explore which types of tasks could
the increase in self-efficacy result in an actual hands-on knowhow in the real-life laboratory session.</p>
      <p>From the survey questionnaire set A, only few students liked to perform the virtual laboratory
simulations together with other students in both the UTU and KI student groups. Teamwork is an
important element in real-life laboratory sessions in the university setting. This further strengthens
the statement that virtual laboratory simulations should not replace real-life labs.</p>
      <p>Learning analytics (LA) is a multidisciplinary field combining computer science, education science,
data mining, statistics, pedagogy and behavioral science [13]. During the last decade, it has been
successfully used to improve and optimize education [14]. However, a recent systematic review of
using LA in virtual laboratory teaching indicates that the potential of LA to analyse and consequently
support learning in virtual laboratories, have still not been largely utilized. Thus, combining LA to
virtual laboratory programs is of great interests for the future</p>
      <p>While simulation based medical education was regarded as a “a powerful educational intervention
when it is used under the right conditions” [16], a recent meta-analysis could only show a medium
effect size for the use of virtual laboratory activities on student achievement [6]. Digitalization in
practical education could improve students’ learning and offer diversity in learning methods. There
is a need now, post-pandemic, to evaluate the impact digital simulations had on students’ learning
and perform a cost benefit analysis.</p>
      <p>In summary, our pilot study provided useful insight on incorporating digital laboratories in
university STEM courses. We also found that digital laboratories could enhance students’ interests
and knowledge acquisition. However, at this present setting, there is limited possibility for
simulations to support the teamwork and interactions between students that took place in the
reallife laboratory sessions. Since a large amount of data was collected in digital laboratory modules,
learning analytics could in the future provide valuable insight on how learning took place in the
digital environment.</p>
    </sec>
    <sec id="sec-19">
      <title>6. Acknowledgements</title>
      <p>This study is funded by the EU’s Erasmus + program within the project of “European Network for
Virtual lab &amp; Interactive SImulated ONline learning (ENVISION_2027)”
(2020-1-FI01-KA226-HE092653). The paper is also co-funded by KI pedagogic development grant, which was received by the
first, second and third authors.</p>
      <p>The authors would like to thank the members in the ENVISION_2027 consortium and special
thanks to Lars-Arne Haldosen for inspiring discussions, Anna Wallén and Zoe Säflund for their
contribution in validation of survey questions. The authors would also like to thank all the teachers
in UTU who have used Labster in their courses and collected feedback from students: Johanna
Dahlström, Sauli Haataja, Kaisa Ivaska, Anne Jokilammi, Tiina Laitala, Jonne Laurila, Anna
LinkoParvinen and Vuokko Loimaranta.
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