Using adult learning theory, this quasi-experimental study, involving a convenience sample of senior student nurses (n=13) enrolled in an Interactive Television (ITV) Course at East Tennessee State University, evaluated the perceived importance of engaged learning activities used. Subjects completed pre-test, post-test, and reflective papers. Analysis focused on the students' evaluation of the following factors: learner choice in selecting assignments and choosing tasks, small group activities, interaction with other students at other sites, classroom tasks linked to real world applications, and reflective paper exercises. Findings indicated that students enjoyed small group activities, as well as opportunities to select assignments and choose tasks. However, students did not feel that being in an ITV course enhanced their understanding of the course material. (Contains 23 references.) (Author/AEF)