{"title":"四选项选择题与三选项选择题的项目辨析、难度和反应时间","authors":"Min Jiang, Jacqueline E. McLaughlin","doi":"10.1016/j.ajpe.2025.101408","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to examine differences in item difficulty, discrimination, and response time for multiple-choice exam items with 3 answer options compared with items with 4 answer options.</div></div><div><h3>Methods</h3><div>Twenty items were administered on the Biostatistics final exam as a 4-option item from 2017 to 2020 and as a 3-option item from 2021 to 2024. The 3-option items were created by removing the least chosen distractors. Mean item difficulty, discrimination, and response time for each item were collected from aggregate exam performance data provided by Examsoft. Paired <em>t</em> tests were used to compare exam performance metrics between 4-option items and 3-option items.</div></div><div><h3>Results</h3><div>Item difficulty did not differ between 4-option items (89.75 ± 8.45%) and 3-option items (86.45 ± 15.98%, <em>p</em> =.08). However, item discrimination improved from 0.23 ± 0.11 for 4-option items to 0.29 ± 0.09 for 3-option items (<em>p</em> =.03), whereas response time per multiple choice question (MCQ) decreased from 42.50 ± 14.70 s for 4-option items to 38.10 ± 17.78 s for 3-option items (<em>p</em> =.02).</div></div><div><h3>Conclusion</h3><div>Three-option MCQs may offer advantages over 4-option MCQs in pharmacy education by reducing time spent per exam item and enhancing item discrimination without impacting item difficulty. Educators and scholars in pharmacy should further explore strategies for optimizing assessment efficiency and effectiveness without comprising psychometric quality.</div></div>","PeriodicalId":55530,"journal":{"name":"American Journal of Pharmaceutical Education","volume":"89 5","pages":"Article 101408"},"PeriodicalIF":3.8000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Item Discrimination, Difficulty, and Response Time for 4-Option Multiple Choice Questions Versus 3-Option Multiple Choice Questions\",\"authors\":\"Min Jiang, Jacqueline E. McLaughlin\",\"doi\":\"10.1016/j.ajpe.2025.101408\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>The purpose of this study was to examine differences in item difficulty, discrimination, and response time for multiple-choice exam items with 3 answer options compared with items with 4 answer options.</div></div><div><h3>Methods</h3><div>Twenty items were administered on the Biostatistics final exam as a 4-option item from 2017 to 2020 and as a 3-option item from 2021 to 2024. The 3-option items were created by removing the least chosen distractors. Mean item difficulty, discrimination, and response time for each item were collected from aggregate exam performance data provided by Examsoft. Paired <em>t</em> tests were used to compare exam performance metrics between 4-option items and 3-option items.</div></div><div><h3>Results</h3><div>Item difficulty did not differ between 4-option items (89.75 ± 8.45%) and 3-option items (86.45 ± 15.98%, <em>p</em> =.08). However, item discrimination improved from 0.23 ± 0.11 for 4-option items to 0.29 ± 0.09 for 3-option items (<em>p</em> =.03), whereas response time per multiple choice question (MCQ) decreased from 42.50 ± 14.70 s for 4-option items to 38.10 ± 17.78 s for 3-option items (<em>p</em> =.02).</div></div><div><h3>Conclusion</h3><div>Three-option MCQs may offer advantages over 4-option MCQs in pharmacy education by reducing time spent per exam item and enhancing item discrimination without impacting item difficulty. Educators and scholars in pharmacy should further explore strategies for optimizing assessment efficiency and effectiveness without comprising psychometric quality.</div></div>\",\"PeriodicalId\":55530,\"journal\":{\"name\":\"American Journal of Pharmaceutical Education\",\"volume\":\"89 5\",\"pages\":\"Article 101408\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Pharmaceutical Education\",\"FirstCategoryId\":\"95\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0002945925000531\",\"RegionNum\":4,\"RegionCategory\":\"教育学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Pharmaceutical Education","FirstCategoryId":"95","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002945925000531","RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Item Discrimination, Difficulty, and Response Time for 4-Option Multiple Choice Questions Versus 3-Option Multiple Choice Questions
Objective
The purpose of this study was to examine differences in item difficulty, discrimination, and response time for multiple-choice exam items with 3 answer options compared with items with 4 answer options.
Methods
Twenty items were administered on the Biostatistics final exam as a 4-option item from 2017 to 2020 and as a 3-option item from 2021 to 2024. The 3-option items were created by removing the least chosen distractors. Mean item difficulty, discrimination, and response time for each item were collected from aggregate exam performance data provided by Examsoft. Paired t tests were used to compare exam performance metrics between 4-option items and 3-option items.
Results
Item difficulty did not differ between 4-option items (89.75 ± 8.45%) and 3-option items (86.45 ± 15.98%, p =.08). However, item discrimination improved from 0.23 ± 0.11 for 4-option items to 0.29 ± 0.09 for 3-option items (p =.03), whereas response time per multiple choice question (MCQ) decreased from 42.50 ± 14.70 s for 4-option items to 38.10 ± 17.78 s for 3-option items (p =.02).
Conclusion
Three-option MCQs may offer advantages over 4-option MCQs in pharmacy education by reducing time spent per exam item and enhancing item discrimination without impacting item difficulty. Educators and scholars in pharmacy should further explore strategies for optimizing assessment efficiency and effectiveness without comprising psychometric quality.
期刊介绍:
The Journal accepts unsolicited manuscripts that have not been published and are not under consideration for publication elsewhere. The Journal only considers material related to pharmaceutical education for publication. Authors must prepare manuscripts to conform to the Journal style (Author Instructions). All manuscripts are subject to peer review and approval by the editor prior to acceptance for publication. Reviewers are assigned by the editor with the advice of the editorial board as needed. Manuscripts are submitted and processed online (Submit a Manuscript) using Editorial Manager, an online manuscript tracking system that facilitates communication between the editorial office, editor, associate editors, reviewers, and authors.
After a manuscript is accepted, it is scheduled for publication in an upcoming issue of the Journal. All manuscripts are formatted and copyedited, and returned to the author for review and approval of the changes. Approximately 2 weeks prior to publication, the author receives an electronic proof of the article for final review and approval. Authors are not assessed page charges for publication.