View in EDS

Enhancing Histology Education through a Multimodal Approach: Integrating Digital Annotation, Manual Drawing, and Histological Batik Design

Saved in:
Bibliographic Details
Title: Enhancing Histology Education through a Multimodal Approach: Integrating Digital Annotation, Manual Drawing, and Histological Batik Design
Language: English
Authors: Wike Astrid Cahayani (ORCID 0000-0003-1284-1651), Indriati Dwi Rahayu, Wibi Riawan
Source: Anatomical Sciences Education. 2026 19(4):525-534.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 10
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Anatomy, Science Education, Medical Students, Computer Uses in Education, Documentation, Freehand Drawing, Medical Education, Laboratory Equipment, Instructional Effectiveness, Cultural Activities
DOI: 10.1002/ase.70183
ISSN: 1935-9772
1935-9780
Abstract: Histology often challenges medical students due to its complex terminology and abstract visualization demands. Although various instructional innovations exist, multimodal frameworks that integrate technology with culturally relevant artistic expression remain underexplored, particularly in non-Western settings. This study evaluates a multimodal curriculum combining digital annotation, manual drawing, and culturally grounded batik-motif creation to enhance histology learning. A quasi-experimental mixed-methods study compared two medical student cohorts: a 2019/2020 conventional cohort (n = 232) receiving standard microscopy-based instruction and a 2022/2023 multimodal cohort (n = 248) engaging in digital annotation, manual drawing, and batik-motif design. Data sources included computer-based exam scores, survey responses (n = 169), content analysis of open-ended feedback, and faculty evaluations of student-produced batik designs. Students in the multimodal cohort achieved significantly higher exam scores (89.4 ± 8.7) than those in the conventional cohort (64.2 ± 11.8; p < 0.001; Cohen's d = 2.43). Digital annotation was rated as the most motivating component (91%), while batik design--despite being the most challenging--was valued by 60% of students for deepening histological understanding. Content analysis indicated that the batik task enhanced visual--spatial understanding (78%) and creative engagement (72%). Integrating batik-motif design within a multimodal histology curriculum was associated with improved performance, engagement, and pattern-recognition skills. This culturally informed approach provided complementary learning pathways that supported diverse learners and fostered creative--analytical integration. The model is adaptable to other cultural contexts through locally meaningful artistic traditions.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1502920
Database: ERIC
FullText Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ1502920
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Enhancing Histology Education through a Multimodal Approach: Integrating Digital Annotation, Manual Drawing, and Histological Batik Design
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wike+Astrid+Cahayani%22&quot;&gt;Wike Astrid Cahayani&lt;/searchLink&gt; (ORCID &lt;externalLink term=&quot;https://orcid.org/0000-0003-1284-1651&quot;&gt;0000-0003-1284-1651&lt;/externalLink&gt;)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Indriati+Dwi+Rahayu%22&quot;&gt;Indriati Dwi Rahayu&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wibi+Riawan%22&quot;&gt;Wibi Riawan&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;SO&quot; term=&quot;%22Anatomical+Sciences+Education%22&quot;&gt;&lt;i&gt;Anatomical Sciences Education&lt;/i&gt;&lt;/searchLink&gt;. 2026 19(4):525-534.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: Wiley. Available from: John Wiley &amp; Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 10
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2026
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles&lt;br /&gt;Reports - Research
– Name: Audience
  Label: Education Level
  Group: Audnce
  Data: &lt;searchLink fieldCode=&quot;EL&quot; term=&quot;%22Higher+Education%22&quot;&gt;Higher Education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;EL&quot; term=&quot;%22Postsecondary+Education%22&quot;&gt;Postsecondary Education&lt;/searchLink&gt;
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Anatomy%22&quot;&gt;Anatomy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Science+Education%22&quot;&gt;Science Education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+Students%22&quot;&gt;Medical Students&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Computer+Uses+in+Education%22&quot;&gt;Computer Uses in Education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Documentation%22&quot;&gt;Documentation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Freehand+Drawing%22&quot;&gt;Freehand Drawing&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+Education%22&quot;&gt;Medical Education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Laboratory+Equipment%22&quot;&gt;Laboratory Equipment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Instructional+Effectiveness%22&quot;&gt;Instructional Effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cultural+Activities%22&quot;&gt;Cultural Activities&lt;/searchLink&gt;
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1002/ase.70183
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1935-9772&lt;br /&gt;1935-9780
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Histology often challenges medical students due to its complex terminology and abstract visualization demands. Although various instructional innovations exist, multimodal frameworks that integrate technology with culturally relevant artistic expression remain underexplored, particularly in non-Western settings. This study evaluates a multimodal curriculum combining digital annotation, manual drawing, and culturally grounded batik-motif creation to enhance histology learning. A quasi-experimental mixed-methods study compared two medical student cohorts: a 2019/2020 conventional cohort (n = 232) receiving standard microscopy-based instruction and a 2022/2023 multimodal cohort (n = 248) engaging in digital annotation, manual drawing, and batik-motif design. Data sources included computer-based exam scores, survey responses (n = 169), content analysis of open-ended feedback, and faculty evaluations of student-produced batik designs. Students in the multimodal cohort achieved significantly higher exam scores (89.4 &#177; 8.7) than those in the conventional cohort (64.2 &#177; 11.8; p &lt; 0.001; Cohen&#39;s d = 2.43). Digital annotation was rated as the most motivating component (91%), while batik design--despite being the most challenging--was valued by 60% of students for deepening histological understanding. Content analysis indicated that the batik task enhanced visual--spatial understanding (78%) and creative engagement (72%). Integrating batik-motif design within a multimodal histology curriculum was associated with improved performance, engagement, and pattern-recognition skills. This culturally informed approach provided complementary learning pathways that supported diverse learners and fostered creative--analytical integration. The model is adaptable to other cultural contexts through locally meaningful artistic traditions.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2026
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ1502920
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1502920
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/ase.70183
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 525
    Subjects:
      – SubjectFull: Anatomy
        Type: general
      – SubjectFull: Science Education
        Type: general
      – SubjectFull: Medical Students
        Type: general
      – SubjectFull: Computer Uses in Education
        Type: general
      – SubjectFull: Documentation
        Type: general
      – SubjectFull: Freehand Drawing
        Type: general
      – SubjectFull: Medical Education
        Type: general
      – SubjectFull: Laboratory Equipment
        Type: general
      – SubjectFull: Instructional Effectiveness
        Type: general
      – SubjectFull: Cultural Activities
        Type: general
    Titles:
      – TitleFull: Enhancing Histology Education through a Multimodal Approach: Integrating Digital Annotation, Manual Drawing, and Histological Batik Design
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Wike Astrid Cahayani
      – PersonEntity:
          Name:
            NameFull: Indriati Dwi Rahayu
      – PersonEntity:
          Name:
            NameFull: Wibi Riawan
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 1935-9772
            – Type: issn-electronic
              Value: 1935-9780
          Numbering:
            – Type: volume
              Value: 19
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Anatomical Sciences Education
              Type: main
ResultId 1