Three additional measures included students’ satisfaction with
their learning experience of using the computer-based multimedia
lesson was assessed using a 7-point Likert style question (“How
much did you like the “immunization” learning material?”). In
addition, one 7-point Likert style question was asked to measure
users’ perception about their learning achievement (“How well do you
think you did in the preceding tests?”). Learners’ motivation was
measured using a self-report instrument consisting of an 8-item
questionnaire with 7-point Likert style items developed by Isen
and Reeve (2005) for measuring intrinsic motivation (“e.g., “The
learning material is fun.”). Participants were asked to rate how
interesting and enjoyable they found the experience (1 ¼ strongly
disagree, 7 ¼ strongly agree). One point was assigned for each item,
and a mean score of the 8 items was calculated and used in the
analysis (range: 1e7).