A comparison of the efficacy of test-driven learning versus self-assessment learning.

Objective : We compared self-assessment and test-driven learning in two groups of students who studied the same subject. Methods : This was a randomized comparative experimental study. The subjects were 259 first-quarter students who were divided into a test group and a self-assessment group based on the methods they used for their learning assessments. We measured the scores and difficulty levels of 3 formal written exams. Students' attitudes toward self-assessment or test-driven learning were surveyed. Results : The mean scores of exam 1, exam 2, and a summative exam were 34 (±6), 32 (±8), and 44 (±6) for the self-assessment group, respectively, with corresponding scores of 33 (±6), 33 (±7), 43 (±6) for the test group. There were no significant differences in the mean scores on all 3 tests between the two groups (p > .05). Of the students in the self-assessment group, 64% scored at least 90%, whereas 47% of students in the test group answered at least 90% of the questions correctly (p < .001). For the survey, students expressed a positive attitude toward both learning strategies. Conclusion : Both self-assessment and tests could have a significant impact on students' learning, but each offers different strengths and weaknesses.