Effects of reviewing items and altering responses on examinee ability estimates, test precision, test information, decision confidence, and pass/fail status were studied for 376 examinees taking 2 certification tests. Test precision is only slightly affected by review, and average information loss can be recovered by addition of one item. (SLD)

The level of confidence in pass/fail decisions obtained with computerized adaptive tests and paper-and-pencil tests was greater for 645 medical technology students when the computer adaptive test implemented a 90 percent confidence stopping rule than for paper-and-pencil tests of comparable length. (SLD)

This paper explores the effect of reviewing items and altering responses on the efficiency of computer adaptive tests (CATs) and the resultant ability measures of examinees. Subjects included 712 medical students: 220 subjects were randomly assigned to the review condition; 492 were randomly assigned to a review control condition (the usual CAT…

The level of confidence in pass/fail decisions obtained with computer adaptive tests (CATs) was compared to decisions based on paper-and-pencil tests. Subjects included 645 medical technology students from 238 educational programs across the country. The tests used in this study constituted part of the subjects' review for the certification…