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Previous research on the impact of text and formatting changes on test-item performance has produced mixed results. The present study investigated the effects of 7 classes of stylistic change on item difficulty and response time. Each of 65 item pairs (original, revised) were assigned to approximately 480 examinees per item in a randomized experiment. None of the changes affected item difficulty, while one class of edits – changing an item from an open lead in (incomplete statement) to a closed lead in (direct question) – did result in slightly longer response times. These results have implications for the conventional practice of re-pretesting (or recalibrating) items that have been subjected to editorial changes.
Heather A Stoffel, National Board of Medical Examiners
Mark R. Raymond, National Board of Medical Examiners
S. Deniz Bucak, National Board of Medical Examiners
Steven Arthur Haist, National Board of Medical Examiners