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Evaluation & the Health Professions
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Confidence in Pass/Fail Decisions for Computer Adaptive and Paper and Pencil Examinations

Betity A. Bergstrom

Mary E. Lunz

American Society of Clinical Pathologists

The purpose of this study is to compare the level of confidence in pass/fail decisions obtained with computer adaptive tests and pencil and paper tests. Examinees took a variablelength computer adaptive test and two fixedlength pencil and paper tests. The computer adaptive test was stopped when the examinee ability estimate was either 1.3 times the standard error of measurement above or below the pass/fail point (one-tailed 90% confidence interval) or when a maximum test length was reached. Results show that greater confidence in the accuracy of the pass/fail decisions is obtained for more examinees when the computer adaptive test implements a 90% confidence stopping rule than with paper and pencil tests of comparable test length.

Evaluation & the Health Professions, Vol. 15, No. 4, 453-464 (1992)
DOI: 10.1177/016327879201500407


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