Computerized assessments and interactive simulation tasks are increasingly popular and afford the collection of process data, i.e., an examinee's sequence of actions (e.g., clickstreams, keystrokes) that arises from interactions with each task. Action sequence data contain rich information on the problem-solving process but are in a nonstandard,…

Simulation games are becoming increasingly popular in education, but more insight in their critical design features is needed. This study investigated the effects of fidelity of open patient cases in adjunct to an instructional e-module on students' cognitive skills and motivation. We set up a three-group randomized post-test-only design: a…