{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T19:15:30Z","timestamp":1783192530146,"version":"3.54.6"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012544","name":"China Medical University, Taiwan","doi-asserted-by":"publisher","award":["CMU114\u2010MF\u2010117"],"award-info":[{"award-number":["CMU114\u2010MF\u2010117"]}],"id":[{"id":"10.13039\/501100012544","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Dental medico\u2010legal education should connect legal knowledge with responsibility, communication and dispute contexts. This study examined how Analysis, Design, Development, Implementation and Evaluation (ADDIE) can support quality improvement in a mature dental medico\u2010legal curriculum through courtroom immersion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      This curriculum quality\u2010improvement study used a quasi\u2010experimental, non\u2010equivalent\u2010group, post\u2010test\u2010only design comparing two cohorts of fourth\u2010year dental students at a Taiwanese dental school. The 2024 baseline cohort completed the established curriculum; its post\u2010course questionnaire and open\u2010ended feedback informed the next refinement cycle. The 2025 ADDIE\u2010refined cohort completed a revised curriculum incorporating courtroom immersion, judge\u2010facilitated teaching and a restructured mock trial. Quantitative data were analysed using independent\u2010samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, one\u2010sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test against 4 and Cohen's d; qualitative responses were analysed inductively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Valid questionnaires were obtained from 37 baseline and 41 ADDIE\u2010refined participants. Internal consistency of the 13\u2010item scale was high (Cronbach's alpha\u2009=\u20090.94). Ratings were high in both cohorts. The ADDIE\u2010refined cohort reported greater motivation to learn medico\u2010legal content (4.32 vs. 3.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.400), whereas ratings for lawyer feedback and discussion were lower than in the baseline cohort (4.46 vs. 4.76,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037,\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22120.482). No other between\u2010cohort differences were significant. Baseline feedback requested courthouse visits and real\u2010hearing observation; the refined cohort described courtroom immersion as authentic and complementary to mock trials.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ADDIE identified improvement opportunities in a highly rated curriculum. Courtroom immersion complemented mock trials by strengthening procedural authenticity, professional links, motivation and perceived authenticity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eje.70235","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T18:29:47Z","timestamp":1783189787000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Refining a Mature Dental Medico\u2010Legal Curriculum Through\n                    <scp>ADDIE<\/scp>\n                    : Courtroom Immersion Under High\u2010Baseline Evaluation"],"prefix":"10.1111","author":[{"given":"Wei\u2010Chin","family":"Hsu","sequence":"first","affiliation":[{"name":"School of Dentistry China Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lih\u2010Jyh","family":"Fuh","sequence":"additional","affiliation":[{"name":"School of Dentistry China Medical University  Taichung Taiwan"},{"name":"Department of Dentistry China Medical University Hospital  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Chia","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Kaohsiung Chang Gung Memorial Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5335-6957","authenticated-orcid":false,"given":"Shih\u2010Chieh","family":"Liao","sequence":"additional","affiliation":[{"name":"School of Medicine China Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.668637"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14912"},{"key":"e_1_2_10_4_1","volume-title":"Evaluation Theory, Models, and Applications","author":"Stufflebeam D. L.","year":"2014"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.1353\/book.44600","volume-title":"Curriculum Development for Medical Education: A Six\u2010Step Approach","author":"Thomas P. A.","year":"2016"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME\u2010D\u201012\u201000156.1"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-0-387-09506-6","volume-title":"Instructional Design: The ADDIE Approach","author":"Branch R. M.","year":"2009"},{"issue":"7","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1002\/j.0022-0337.2011.75.7.tb05130.x","article-title":"ADEA Competencies for the New General Dentist","volume":"75","author":"American Dental Education Association","year":"2011","journal-title":"Journal of Dental Education"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12307"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12311"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sdentj.2022.11.002"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.qi.a39106"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2023.102555"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.3486"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2023.09.010"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010025\u201005838\u20101"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010023\u201004695\u20102"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010025\u201007379\u20101"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2013.05.004"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00414\u2010024\u201003226\u2010y"},{"key":"e_1_2_10_22_1","volume-title":"Experiential Learning: Experience as the Source of Learning and Development","author":"Kolb D. A.","year":"1984"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459\u2010019\u201009900\u2010w"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2007.04569.x"}],"container-title":["European Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.70235","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eje.70235","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.70235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T18:29:49Z","timestamp":1783189789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eje.70235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,4]]},"references-count":23,"alternative-id":["10.1111\/eje.70235"],"URL":"https:\/\/doi.org\/10.1111\/eje.70235","archive":["Portico"],"relation":{},"ISSN":["1396-5883","1600-0579"],"issn-type":[{"value":"1396-5883","type":"print"},{"value":"1600-0579","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,4]]},"assertion":[{"value":"2026-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"eje.70235"}}