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Current research uses a multimodal data analysis approach to evaluate the emotional and
cognitive aspects of learning and highlight the impact of engagement on learning. In this study,
nursing students’ learning process with a virtual reality (VR) simulation was captured by facial
expression analysis, eye blink frequency, and self-reports. Combining these objective and
subjective measures to track students’ engagement during learning revealed: a) a significant
positive impact of interest level on post-test performance and b) a significant negative impact of
sadness and high attentional load (as measured by blink rate) on post-test performance; which
overall explained 57% of the variability of students’ post-test scores. Integration of multimodal
methodologies can inform instructional design.