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…

The equivalence of pencil and paper Rasch item calibrations when used in a computer adaptive test administration was explored in this study. Items (n=726) were precalibarted with the pencil and paper test administrations. A computer adaptive test was administered to 321 medical technology students using the pencil and paper precalibrations in the…

The Board of Registry (BOR) certifies medical technologists and other laboratory personnel. The BOR has studied adaptive testing for over 6 years and now administers all 17 BOR certification examinations using computerized adaptive testing (CAT). This paper presents an overview of the major research efforts from 1989 to the present related to test…

The impact of computerized adaptive test (CAT) administration formats on student performance was studied with 645 medical technology students who also took a paper-and-pencil test. Analysis of covariance indicates no significant interactions among test administration formats and provides evidence for adjusting CAT test to more familiar modalities.…

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)