The University of Central Florida implemented Realizeit in the general psychology and nursing physiopathology courses during Fall 2014. 159 students participated in the study. An adapted learning group using Realizeit was compared to two non-adapted groups (a face-to-face group and an online group) for each course. Realizeit outperformed both groups in terms of students receiving an A, B, and C in the course, but the differences were not statistically significant. Student perceptions were surveyed, and results indicated that students were satisfied with the system, felt they engaged the system more, and felt they learned the course materials better (Howlin, 2014).