Bjork · The American journal of psychology 2015 · narrative review · n=?

Can Multiple-Choice Testing Induce Desirable Difficulties? Evidence from the Laboratory and the Classroom.

Level 5 - mechanism / opinion, no new human data

Narrative review and theoretical discussion of laboratory and classroom research (by design analogy, not clinical CEBM)

PubMed 26255442 · doi:10.5406/amerjpsyc.128.2.0229 · record verified 2026-08-26

What was done

The authors reviewed existing laboratory and classroom research examining whether multiple-choice testing can trigger effective retrieval processes and serve as a "desirable difficulty" to enhance long-term retention and transfer, similar to cued or free recall tests. They outlined theoretical question design features and student metacognitive strategies required to optimize learning from multiple-choice tests.

What was found

The abstract reports no quantitative data or specific numerical outcomes. It conceptually discusses that while retrieval practice benefits are typically attributed to free or cued recall, multiple-choice questions can be structured to foster similar productive retrieval processes.

Why it matters

Multiple-choice tests are ubiquitous in education and high-stakes assessments, yet are often viewed as passive recognition tasks rather than active learning tools. Framing how to design multiple-choice questions to engage active retrieval could make standard educational testing more instructionally beneficial.

Limits

This is a narrative discussion and theoretical review rather than an empirical trial or systematic meta-analysis; no sample sizes, specific search criteria, effect sizes, or quantitative results are provided in the abstract.

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