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The effect of reviewing items and altering responses on examinee ability estimates, test precision, test information, decision confidence, and pass/fail status for computerized adaptive tests was explored. Two different populations of examinees took different computerized certification examinations. For purposes of analysis, each population was divided into three ability groups (high, medium, and low). Ability measures before and after review were highly correlated, but slightly lower decision confidence was found after review. Pass/fail status was most affected for examinees with estimates close to the pass point. Decisions remained the same for 94% of the examinees. Test precision is only slightly affected by review, and the average information loss can be recovered by the addition of one item.
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