title: Computer versus paper--does it make any difference in test performance?
abstract: CONSTRUCT: In this study, we examine the differences in test performance between the paper-based and the computer-based version of the Berlin formative Progress Test. In this context it is the first study that allows controlling for students' prior performance.
  
  
  BACKGROUND
  Computer-based tests make possible a more efficient examination procedure for test administration and review. Although university staff will benefit largely from computer-based tests, the question arises if computer-based tests influence students' test performance.
  
  
  METHODS
  A total of 266 German students from the 9th and 10th semester of medicine (comparable with the 4th-year North American medical school schedule) participated in the study (paper = 132, computer = 134). The allocation of the test format was conducted as a randomized matched-pair design in which students were first sorted according to their prior test results. The organizational procedure, the examination conditions, the room, and seating arrangements, as well as the order of questions and answers, were identical in both groups.
  
  
  RESULTS
  The sociodemographic variables and pretest scores of both groups were comparable. The test results from the paper and computer versions did not differ. The groups remained within the allotted time, but students using the computer version (particularly the high performers) needed significantly less time to complete the test. In addition, we found significant differences in guessing behavior. Low performers using the computer version guess significantly more than low-performing students in the paper-pencil version.
  
  
  CONCLUSIONS
  Participants in computer-based tests are not at a disadvantage in terms of their test results. The computer-based test required less processing time. The reason for the longer processing time when using the paper-pencil version might be due to the time needed to write the answer down, controlling for transferring the answer correctly. It is still not known why students using the computer version (particularly low-performing students) guess at a higher rate. Further studies are necessary to understand this finding.
authors.affiliation: a Dean's Office for Student Affairs , Medical Faculty of the University of Cologne , Köln , Germany.
authors.forename: Yassin
authors.initials: Y
authors.lastname: Karay
authors.forename: Stefan K
authors.initials: SK
authors.lastname: Schauber
authors.forename: Christoph
authors.initials: C
authors.lastname: Stosch
authors.forename: Katrin
authors.initials: K
authors.lastname: Schüttpelz-Brauns
mesh_terms: D000328:Adult; D003201:Computers; D004521:Educational Measurement / Q000379:methods*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D010209:Paper; D013337:Students, Medical / Q000523:psychology*
keywords: computer-based test versus paper-based test; difference in test performance; formative Progress Test