Multiple-choice-questions are common in medical examinations, but guessing biases assessment results. Confidence-based-testing (CBT) integrates indicated confidence levels. It has been suggested that correctness of and confidence in an answer together indicate knowledge levels thus determining the quality of a resulting decision. We used a CBT…

The purpose of this study was to examine whether the efficiency, precision, and validity of computerized adaptive testing (CAT) could be improved by assessing confidence differences in knowledge that examinees possessed. We proposed a novel polytomous CAT model called the confidence-weighting computerized adaptive testing (CWCAT), which combined a…

The confidence level (information-referenced testing; IRT) design is an attempt to improve upon the multiple choice format by allowing students to express a level of confidence in the answers they choose. In this study, the author evaluated student perceptions of the ease of use and accuracy of and general preference for traditional multiple…

The model of feedback processing proposed by R. W. Kulhavy and W. A. Stock (1989) was studied in a traditional classroom setting in which methods of assessing students' response confidence as predictors of postfeedback performance were also examined. The relationship between confidence ratings at the time of the test and confidence assessed prior…