Educational Assessment
This study proposes four indices to quantify item influence and distinguishes them from other available item and test measures. We use simulation methods to evaluate and provide guidelines for interpreting each index, followed by a real data application to illustrate their use in practice. We discuss theoretical considerations regarding when influence presents a psychometric concern and other practical concerns such as how the indices function when reducing influence imbalance.
Academic Medicine: May 2018 - Volume 93 - Issue 5 - p 781-785
In 2007, the United States Medical Licensing Examination embedded multimedia simulations of heart sounds into multiple-choice questions. This study investigated changes in item difficulty as determined by examinee performance over time. The data reflect outcomes obtained following initial use of multimedia items from 2007 through 2012, after which an interface change occurred.