The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) conducted a one-year research study comparing performance on the traditional continued professional certification assessment, administered at a test center or online with remote proctoring, to a longitudinal assessment that required answering quarterly…

Unlike the traditional multiple-choice (MC) format, the discrete-option multiple-choice (DOMC) format does not necessarily reveal all answer options to an examinee. The purpose of this study was to determine whether the reduced exposure of item content affects test security. We conducted an experiment in which participants were allowed to view…

In today's digital age, tests are increasingly being delivered on computers. Many of these computer-based tests (CBTs) have been adapted from paper-based tests (PBTs). However, this change in mode of test administration has the potential to introduce construct-irrelevant variance, affecting the validity of score interpretations. Because of this,…

As large-scale standardized tests move from paper-based to computer-based delivery, opportunities arise for test developers to make use of items beyond traditional selected and constructed response types. Technology-enhanced items (TEIs) have the potential to provide advantages over conventional items, including broadening construct measurement,…

The Discrete Option Multiple Choice (DOMC) item format was introduced by Foster and Miller (2009) with the intent of improving the security of test content. However, by changing the amount and order of the content presented, the test taking experience varies by test taker, thereby introducing potential fairness issues. In this paper we…

The need for increased exam security, improved test formats, more flexible scheduling, better measurement, and more efficient administrative processes has caused testing agencies to consider converting the administration of their exams from paper-and-pencil to computer-based testing (CBT). Many decisions must be made in order to provide an optimal…